8/18/2019 kebijakan cara memperoleh second opinion
1/66
LAPORAN PERUSAHAANDINAS SORE TGL 01 Desember 2014
No Nama Perusahaan Dokter T n!akan1 Aghsal R KPC dr.Zainuddin2 Rachmadi KPC dr.Zainuddin3 Rahmi Y KPC dr.Zainuddin4 Maulana KPC dr.Juwita5 H ru!uti"n# KPC dr.!ugiant#$ Arahman KPC dr.!ugiant#% &ada Ali'ah KPC dr.!ugiant#( &ur)a'a KPC dr.*"ta R+ %5,---
Parida KPC dr.M#nita1- A/mi KPC dr.M#nita11 M &i0Amillah KPC dr.Juwita12 Muh !a'uti KPC dr.!ugiant#13 &'d' KPC dr.&'#man14 Anind'a KPC dr.&'#man15 Par #n# KPC dr. achtiar1$ mi Asih KPC dr.!ugiant#1% am)ang K KPC dr.M#nita1( !ri Mawartini KPC dr.*"ta R+ %5,---1 ndah * KPC dr.*"ta R+ %5,---2- Mu iati KPC dr.!ugiant#
21 Mir/a R KPC dr.&'#man22 Ahmad au6i" KPC dr.!ugiant#23 !ha6a A KPC dr.&'#man24 Aulia Ananda KPC dr.&'#man25 Kristina KPC dr. achtiar2$ M 7ahrians'ah KPC dr.!ugiant#2% &ahriah KPC dr. achtiar2( 8ita KPC dr.*"ta R+ %5,---2 Hasdiant# KPC dr.9isa3- H rma'anti KPC dr.*"ta R+ %5,---
31 Katrina KPC dr.*"ta R+ %5,---32 :ha''as KPC drg.Ari 633 indah & KPC dr.M#nita34 8i A KPC dr.*"ta R+ %5,---35 Ainul KPC dr.Juwita R+ 1-%,( $3$ 9ilis R Pama dr.*Kta R+ %5,---3% A/"ha A Pama dr.&'#man3( ;ndah < 8i Pama dr.*"ta R+ %5,---3 Paramita Pama dr.!ugiant#4- 9inaM ga hi ss dr.*"ta R+ %5,---41 &Y.!u+ri'ati hi ss K )idanan42 &ur 9a la hi ss dr.M#nita43 Muh Ras'a *rica dr.M#nita44 Zul6ahmi *rica dr.&'#man45 Jumri *rica drg.Ari 64$ ;ndar ra"ind# dr.*"ta R+ %5,---4% &a)ila ra"ind# dr.&'#man4( Awam ra"ind# dr.Ricard4 =ang ! Ass.Adira
5- !iti 7atima ;nd >in dr.*"ta R+ %5,---51 A/"a 7 Anugrah dr.&'#man52 !iti a'ah Ass.;nh alth dr.Zainuddin
8/18/2019 kebijakan cara memperoleh second opinion
2/66
53 HAM/ah Ass.;nh alth dr.Zainuddin54 ! l+iana #rn # P dr.Zainuddin55 < #"# :unta !am)a dr.Zainuddin5$ risn# =
8/18/2019 kebijakan cara memperoleh second opinion
3/66
Obat Tota* R+ 1-4,1(- R+ 1-4,1(-R+ 145,%52 R+ 145,%52R+ 1--,-(2 R+ 1--,-(2R+ 53,132 R+ 53,132R+ 5 2,414 R+ 5 2,414R+ 224,(1- R+ 224,(1-R+ 345,$3( R+ 345,$3(R+ 3 3,%4( R+ 4$(,%4(R+ 552,2 - R+ 552,2 -R+ 1$(, %5 R+ 1$(, %5R+ 335,(3$ R+ 335,(3$R+ 4 1,$42 R+ 4 1,$42R+ 1-%,-4% R+ 1-%,-4%R+ 21-,$5% R+ 21-,$5%R+ 1,-5 , 25 R+ 1,-5 , 25R+ 553,$%- R+ 553,$%-R+ 23(, 4- R+ 23(, 4-R+ 5$$,4(- R+ $41,4(-R+ 45,32- R+ 12-,32-R+ 3--, 32 R+ 3--, 32
R+ 22(,(%4 R+ 22(,(%4R+ 5-5,1 R+ 5-5,1R+ 143,$ 1 R+ 143,$ 1R+ 1%-,52- R+ 1%-,52-R+ (11,33 R+ (11,33R+ 43 ,-3$ R+ 43 ,-3$R+ 412,1$$ R+ 412,1$$R+ 25,%3$ R+ 1--,%3$R+ 21$, -5 R+ 21$, -5
R+ %5,---
R+ 4(1,45- R+ 55$,45-R+ 1$,323 R+ 1$,323R+ 41(,$%- R+ 41(,$%-R+ 4 2,52 R+ 5$%,52R+ 4$%,54- R+ 5%5,43$R+ 4%5,2$- R+ 55-,2$-R+ 1-1, 2( R+ 1-1, 2(
R+ %5,---R+ 544,34 R+ 544,34R+ 42 , 1- R+ 5-4, 1-R+ 3-,--- R+ 3-,---R+ 3%2,345 R+ 3%2,345R+ 1(1,%35 R+ 1(1,%35R+ 21$,$1% R+ 21$,$1%R+ 14,($- R+ 14,($-
R+ %5,---R+ 1-1, 4( R+ 1-1, 4(R+ 215,23( R+ 215,23(R+ 1(3,335 R+ 1(3,335
R+ 241,-$- R+ 31$,-$-R+ 2%(,$-$ R+ 2%(,$-$R+ $3,2 - R+ $3,2 -
8/18/2019 kebijakan cara memperoleh second opinion
4/66
R+ $(,2 - R+ $(,2 -R+ 13 ,1%2 R+ 13 ,1%2R+ 1-4,1(- R+ 1-4,1(-R+ 13 ,1%2 R+ 13 ,1%2R+ $(,2 - R+ $(,2 -R+ 2,31% R+ 2,31%
R+ ?
R" 1.#4%/#/.0 R" 1'#4&1#24'
A"ot k
)e* +,ou* -Rose#Surt
8/18/2019 kebijakan cara memperoleh second opinion
5/66
LAPORAN (AR,A AN RS P(T PDINAS )ALA) TGL 02 Desember 2014
&ama
8/18/2019 kebijakan cara memperoleh second opinion
6/66
*)at #tal R+ 14$, 43 R+ 14$, 43R+ $2,%1- R+ $2,%1-R+ $-,313 R+ $-,313R+ 231, 31 R+ 3($,-((
R+ 5-1,( % R+ $5$,-54
A"ot k
Neet
8/18/2019 kebijakan cara memperoleh second opinion
7/66
LAPORAN (AR,A AN RS P(T PDINAS )ALA) TGL 0/ Desember 2014
&ama
8/18/2019 kebijakan cara memperoleh second opinion
8/66
#tal R+ 3,%%$R+ 2$,3(-R+ 5(,51(R+ 2$3,$ -R+ 43(,%5-R+ 253,%-(R+ ?R+ ?R+ 1,-44,(22
8/18/2019 kebijakan cara memperoleh second opinion
9/66
LAPORAN (AR,A AN RS P(T PDINAS )ALA) TGL 0/ Desember 2014
&ama
8/18/2019 kebijakan cara memperoleh second opinion
10/66
#tal R+ 2-$,3%-R+ 3-,---R+ 1-(,(3-R+ 1((,4 %R+ 31, 2-R+ 3,3 5R+ ?R+ ?R+ $5 ,-12
8/18/2019 kebijakan cara memperoleh second opinion
11/66
LAPORAN PERUSAHAANDINAS )ALA) TGL 0. Desember 2014
No Nama Perusahaan Dokter T n!akan
1 6itri KPC dr. acthiar
R"
(EUANGAN
Muliana
8/18/2019 kebijakan cara memperoleh second opinion
12/66
Obat Tota*
R+ 2$3,(%3 R+ 2$3,(%3R+ ?R+ ?R+ ?R+ ?
R" 2'/#%$/ R" 2'/#%$/
A"ot k
rose
8/18/2019 kebijakan cara memperoleh second opinion
13/66
LAPORAN 3ASH APOTI(DINAS SORE TGL 0' Desember 2014
&ama
8/18/2019 kebijakan cara memperoleh second opinion
14/66
8/18/2019 kebijakan cara memperoleh second opinion
15/66
LAPORAN (AR,A AN RS P(T PDINAS )ALA) TGL 0$Desember 2014
&ama
8/18/2019 kebijakan cara memperoleh second opinion
16/66
*)at #tal
R+ 2-,4(1 R+ 2-,4(1R+ 13,--- R+ 13,---
R+ ?R+ ?R+ ?R+ ?R+ ?R+ ?
R+ 33,4(1 R+ 33,4(1
A"ot k
rose
8/18/2019 kebijakan cara memperoleh second opinion
17/66
LAPORAN (AR,A AN RS P(T PDINAS )ALA) TGL 0%Desember 2014
&ama
8/18/2019 kebijakan cara memperoleh second opinion
18/66
*)at #tal R+ (,4 3 R+ 2-,-1%R+ 153,323 R+ 1%2,1 2 R+ 1%2,1 2R+ 24%,22% R+ 24%,22%R+ 34,2 4 R+ 34,2 4R+ 122, (- R+ 122, (-R+ 31 ,34- R+ 31 ,34-R+ 131,--- R+ 131,---R+ 1((,$12 R+ 1((,$12R+ 2%,4(5 R+ 2%,4(5R+ 3-,--- R+ 3-,---
R+ 1,434, 4$ R+ 1,44$,4%-
A"ot k
Neet
8/18/2019 kebijakan cara memperoleh second opinion
19/66
LAPORAN (AR,A AN RS P(T PDINAS )ALA) TGL 0& DESE)5ER 2014
No Nama Perusahaan Dokter T n!akan1 !atri# R!. PK Prima A+#t " r2 M r'ana R!. PK Prima
8/18/2019 kebijakan cara memperoleh second opinion
20/66
Obat Tota* R+ 2--, 3- R+ 2--, 3-R+ 1%,41- R+ 1%,41-R+ 21,-4- R+ 21,-4-R+ 21,-4- R+ 21,-4-R+ 1$(, %5 R+ 1$(, %5R+ 42%,3%- R+ 42%,3%-R+ 1 ,%(- R+ 412,%4
R" %$'#.4. R" 1#2'.14
A"ot k
)e * ant
8/18/2019 kebijakan cara memperoleh second opinion
21/66
LAPORAN (AR,A AN RS P(T PDINAS )ALA) TGL 0& DESE)5ER 2014
No Nama Perusahaan Dokter T n!akan1 Ald 8dan R!. PK Prima
8/18/2019 kebijakan cara memperoleh second opinion
22/66
Obat Tota* R+ 4 -,$11 R+ 4 -,$11R+ 3-%,1 % R+ 3-%,1 %R+ $(,14- R+ $(,14-R+ 5$,325 R+ 5$,325R+ 23$,513 R+ 23$,513R+ 2%,$15 R+ 2%,$15R+ 31$,-2- R+ 31$,-2-
R" 1#.02#421 R" 1#.02#421
A"ot k
)e * ant
8/18/2019 kebijakan cara memperoleh second opinion
23/66
LAPORAN PERUSAHAANDINAS )ALA) TGL 11 DESE)5ER 2014
No Nama Perusahaan Dokter T n!akan1
8/18/2019 kebijakan cara memperoleh second opinion
24/66
8/18/2019 kebijakan cara memperoleh second opinion
25/66
LAPORAN (AR,A AN RS P(T PDINAS )ALA) TGL 12 DESE)5ER 2014
No Nama Perusahaan Dokter T n!akan1 Kartini Rs PK Prima dr. ndang2 Agus
8/18/2019 kebijakan cara memperoleh second opinion
26/66
Obat Tota* R+ 232,2(- R+ 232,2(-R+ 45,32- R+ 45,32-R+ 1--,$2- R+ 1--,$2-R+ 31-,44$ R+ 31-,44$R+ 1 2,$1 R+ 1 2,$1R+ 2-,4(1 R+ 2-,4(1R+ 2-,4(1 R+ 2-,4(1R+ 2-,4(1 R+ 2-,4(1
R" &42#$2% R" &42#$2%
A"ot k
,ou*
8/18/2019 kebijakan cara memperoleh second opinion
27/66
LAPORAN (AR,A AN RS P(T PDINAS )ALA) TGL 1/ DESE)5ER 2014
No Nama Perusahaan Dokter T n!akan1 dr.7aisal Rs P"t Prima A+#t " r2 M li Yanti Rs P"t Prima dr.9isa
R"
(EUANGAN
)u* ana
8/18/2019 kebijakan cara memperoleh second opinion
28/66
Obat Tota* R+ 24,5-5 R+ 24,5-5R+ 24,-2- R+ 24,-2-
R+ ?R+ ?
R" 4%#.2. R" 4%#.2.
A"ot k
,ou*
8/18/2019 kebijakan cara memperoleh second opinion
29/66
LAPORAN (AR,A AN RS P(T PDINAS )ALA) TGL 14 DESE)5ER 2014
No Nama Perusahaan Dokter T n!akan Obat1 Al6an R!. PK Prima A+#t " r R+ 2(, 132 !a nal A)idin R!. PK Prima
8/18/2019 kebijakan cara memperoleh second opinion
30/66
Tota* R+ 2(, 13R+ 11,(5%R+ $5,-4-R+ 135, %-R+ (3,$4-
R" /2.#420
8/18/2019 kebijakan cara memperoleh second opinion
31/66
LAPORAN (AR,A AN RS P(T PDINAS )ALA) TGL 1. DESE)5ER 2014
No Nama Perusahaan Dokter T n!akan
1 Ast RS- P(T Pr ma !r- )on ta 2 !r- )on ta RS- P(T Pr ma a"oteker/ N na RS- P(T Pr ma !r- 6u74 a* ah RS- P(T Pr ma !r- 5a u. Don RS- P(T Pr ma !r- )on ta ' Sumart n RS- P(T Pr ma !r- 6u7
R"
(EUANGAN
)u* ana
8/18/2019 kebijakan cara memperoleh second opinion
32/66
Obat Tota*
R" $'#040 $'0402%%&4& 2%%&4&&4&00 &4&00/1&/40 /1&/40224'$0 224'$022'/'. 22'/'.
R" 1#2/0#2'4 R" 1#2/0#2'4
A"ot k
rose
8/18/2019 kebijakan cara memperoleh second opinion
33/66
LAPORAN 3ASH APOTI(DINAS )ALA) TGL 1' DESE)5ER 2014
&ama
8/18/2019 kebijakan cara memperoleh second opinion
34/66
*)at #tal R+ 3 ,(24 R+ 1,322,244R+ 13(, 5( R+ 1($,45(
R+ ?
R" 1$%#$%2 R" 1#.0%#$02
A"ot k
rose
8/18/2019 kebijakan cara memperoleh second opinion
35/66
LAPORAN PERUSAHAANDINAS SORE TGL 1$ DESE)5ER 2014
No Nama Perusahaan Dokter T n!akan1 Raihan KPC dr &ursari2 Anglica KPC dr Ari 63 7ari/ KPC dr 9isa4 Yuli'ana KPC dr *"ta R+ %5,---5 &ani" KPC dr !ugiant#$ am)ang KPC dr Zulmi'ati% M#chammad ! KPC dr Yanti( Muh
8/18/2019 kebijakan cara memperoleh second opinion
36/66
Obat Tota* R+ 112,423 R+ 112,423R+ 53, 54 R+ 53, 54R+ 1 $,343 R+ 1 $,343
R+ %5,---R+ 255,$(- R+ 255,$(-R+ 512, -- R+ 512, --R+ $%, -4 R+ $%, -4R+ 1$,323 R+ 1$,323R+ 144,%5 R+ 144,%5R+ 31 ,-43 R+ 31 ,-43R+ 1,(25,%5- R+ 1,(25,%5-R+ 523,-(- R+ 5 (,-(-R+ 45%,(%3 R+ 45%,(%3R+ %2, 51 R+ %2, 51R+ 1,213,52- R+ 1,213,52-R+ 1%5, $- R+ 1%5, $-R+ 214,214 R+ 2( ,214R+ 2($, 3- R+ 3$1, 3-R+ 35,5 - R+ 35,5 -R+ 13(, 1- R+ 13(, 1-R+ 1$$,325 R+ 1$$,325
R+ 52$,2 - R+ $-1,2 -R+ 2$ ,--4 R+ 2$ ,--4R+ 532,%$( R+ 532,%$(R+ 355,( - R+ 355,( -R+ (3,31$ R+ (3,31$R+ 3%2,4%5 R+ 44%,4%5R+ % , $- R+ % , $-R+ 1-5,(34 R+ 1-5,(34R+ 115,$55 R+ 115,$55R+ 35,44% R+ 35,44%
R+ 1,31- R+ 1,31-R+ 1,251,1 - R+ 1,251,1 -R+ 45%,54( R+ 45%,54(R+ 123,-(- R+ 123,-(-R+ 43,5%5 R+ 43,5%5R+ ($-, $- R+ ($-, $-R+ 14$,%%- R+ 221,%%-R+ 53,1 - R+ 53,1 -R+ 554,( - R+ 554,( -R+ 1 1, -- R+ 1 1, --R+ 13%,424 R+ 13%,424R+ 214,($$ R+ 214,($$
R" 14#2&/#$$4 R" 14#%1%#$$4
A"ot k
eth -Irma#Surth #) ,en
8/18/2019 kebijakan cara memperoleh second opinion
37/66
LAPORAN (AR,A AN RS P(T PDINAS )ALA) TGL 1% DESE)5ER 2014
No Nama Perusahaan Dokter T n!akan1 &asrah &asnur R!. PK Prima
8/18/2019 kebijakan cara memperoleh second opinion
38/66
Obat Tota* R+ 34,(55 R+ 34,(55R+ 211,%1- R+ 211,%1-R+ 325, R+ 325,R+ 5 ,1 $ R+ 1(-,($2R+ 1(4,14- R+ 1(4,14-R+ 154, 4- R+ 154, 4-
R" &$0#%40 R" 1#0&2#.0'
A"ot k
)e * ant
8/18/2019 kebijakan cara memperoleh second opinion
39/66
LAPORAN (AR,A AN RS P(T PDINAS )ALA) TGL 1& DESE)5ER 2014
No Nama Perusahaan Dokter T n!akan
1 ma'nar mah'astut' R!. PK Prima dr. a'u2 naning hartati" R!. PK Prima dr.ari 63 muh. @i a' A. R!. PK Prima dr. sugiant#4 " trin R!. PK Prima dr.adht'a5 cicilia R!. PK Prima dr.agus 4(55$ rahmawati R!. PK Prima dr.adhit'a% 'us ri'ant' R!. PK Prima dr.adhit'a( dr.i"hwan ahmad R!. PK Prima a+#t " r
r#sdianti R!. PK Prima dr.adhit'a1- m.ri/ i A. R!. PK Prima dr. uwita11 dr.7aisal R!. PK Prima a+#t " r
R" 4#%..
(EUANGAN
)u* ana
8/18/2019 kebijakan cara memperoleh second opinion
40/66
Obat Tota*
R+ 3$,5$- R+ 3$,5$-R+ 2-,4$- R+ 2-,4$-R+ 342,443 R+ 342,443R+ 11-,1$- R+ 11-,1$-R+ ,%52 R+ 1-4,$-%R+ 315,-45 R+ 315,-45R+ (4, $ R+ (4, $R+ $-5,2%- R+ $-5,2%-R+ 113,35- R+ 113,35-R+ 2$1,143 R+ 2$1,143R+ %(2,2$- R+ %(2,2$-
R" 2#$$1#4/& R" 2#$$'#2&4
A"ot k
Irma
8/18/2019 kebijakan cara memperoleh second opinion
41/66
LAPORAN 3ASH APOTI(DINAS )ALA) TGL 20 DESE)5ER 2014
&ama
8/18/2019 kebijakan cara memperoleh second opinion
42/66
*)at #tal
R+ 3-1,-%5 R+ 35%,325
R" /01#0$. R" /.$#/2.
A"ot k
Irma
8/18/2019 kebijakan cara memperoleh second opinion
43/66
LAPORAN (AR,A AN RS P(T P
DINAS )ALA) TGL 21 DESE)5ER 2014
No Nama Perusahaan Dokter T n!akan1 Rahmat R!. PK Prima dr.Adhit'a2 nn' < si8ia R!. PK Prima dr.H n'3 Cicilia R!. PK Prima dr.H n'4 Za"i Muhi)uddin R!. PK Prima dr.H n'5 dr.Adhit'a R!. PK Prima a+#t " r
(EUANGAN
)u* ana
8/18/2019 kebijakan cara memperoleh second opinion
44/66
8/18/2019 kebijakan cara memperoleh second opinion
45/66
LAPORAN (AR,A AN RS P(T PDINAS )ALA) TGL 22 DESE)5ER 2014
No Nama Perusahaan Dokter T n!akan
1 "a ! Rs P"t Prima dr. a'u2 A)dullah Rs P"t Prima dr.Juwita3 &urun Ha)i)ah Rs P"t Prima A+#t " r4 Mad agus Rs P"t Prima A+#t " r5 &urun Ha)i)ah Rs P"t Prima dr.!ugaint#
(EUANGAN
)u* ana
8/18/2019 kebijakan cara memperoleh second opinion
46/66
Obat Tota*
R+ 14(,(5- R+ 14(,(5-R+ %3,1$- R+ %3,1$-R+ 2%2,111 R+ 2%2,111R+ 3%, (3 R+ 3%, (3R+ 323,$%- R+ 323,$%-
R+ ?R+ ?
R" %..#$$4 R" %..#$$4
A"ot k
,ou*
8/18/2019 kebijakan cara memperoleh second opinion
47/66
LAPORAN PERUSAHAANDINAS )ALA) TGL 2/ DESE)5ER 2014
No Nama Perusahaan Dokter T n!akan Obat1 R !7an (P3 !r-A! th t a R" 2''#'002 At ka (P3 !r-Sar R" 244#./2
R" R" .11#1/2
(EUANGAN A"ot k
)u* ana ,ou*
8/18/2019 kebijakan cara memperoleh second opinion
48/66
Tota* R" 2''#'00R" 244#./2R" R" R" R"
R" .11#1/2
8/18/2019 kebijakan cara memperoleh second opinion
49/66
LAPORAN PERUSAHAANDINAS SORE TGL 24 DESE)5ER 2014
No Nama Perusahaan Dokter T n!akan1 &isar KPC dr Mar6iah2 ind# dr Mar6iah22 M ga Alwi Pama dr Ari 623 Han"i !wa"arsa dr M#nita R+ $,5%4,(224 Ca imh Ass ;nh alt dr &ursari25 Yuliant# Ass !inar mas dr #w#2$ ;chwan Ass A8i8a dr ndang2% !usanti ra"ind# dr Mar6iah2( Jamaluddin hi ss dr Mar6iah
Tota* R" '#.$4#%2&
(EUANGAN
Nasra
8/18/2019 kebijakan cara memperoleh second opinion
50/66
Obat Tota* R+ 1%2,-4- R+ 1%2,-4-R+ 13-,544 R+ 13-,544R+ 1,1 5,115 R+ 1,1 5,115R+ $5,4 5 R+ $5,4 5R+ 142,(52 R+ 142,(52R+ 2(%,$-- R+ 2(%,$--R+ ((,23- R+ ((,23-R+ 41 ,12 R+ 41 ,12R+ 32$,- 5 R+ 32$,- 5R+ %-, - R+ %-, -R+ $-,5 - R+ $-,5 -
R+ 52,3(- R+ 52,3(-R+ 43,432 R+ 43,432R+ ((,23- R+ ((,23-R+ 2(3,3$1 R+ 2(3,3$1R+ 11-,- 3 R+ 11-,- 3R+ 4(2,-$5 R+ 4(2,-$5R+ 25,-%- R+ 25,-%-R+ 2%,$15 R+ 2%,$15R+ 4,33- R+ 4,33-
R+ $5,1-- R+ $5,1--R+ (2,222 R+ (2,222R+ 2 4,244 R+ $,($ ,-%3R+ 1-4,$%$ R+ 1-4,$%$R+ 4 5,(-- R+ 4 5,(--R+ 24$,1$- R+ 24$,1$-R+ 34,1 - R+ 34,1 -R+ 12$,- $ R+ 12$,- $
R" .#.2/#$44 R" 12#0&%#.$/
A"ot k
Irma#)an!a#Surth #) ,en
8/18/2019 kebijakan cara memperoleh second opinion
51/66
LAPORAN 3ASH APOTI(DINAS )ALA) TGL 2. DESE)5ER 2014
&ama
8/18/2019 kebijakan cara memperoleh second opinion
52/66
#tal R+ 215,5%(R+ $,525R+ 233,( -R+ 1%2,5-5R+ 3,5%5R+ $%,42(R+ 3(2, --R+ 3-,---R+ ?R" 1#202#401
8/18/2019 kebijakan cara memperoleh second opinion
53/66
LAPORAN (AR,A AN RS P(T PDINAS )ALA) TGL 2. DESE)5ER 2014
No Nama Perusahaan Dokter T n!akan1 Anas R!PK dr. M#nita2 dr. !ugiant# R!PK a+#t " r3 < d' R!PK dr. Adhit'a4 Aal 7athul R!PK dr. &'#man5 Asriadi R!PK dr. Adhit'a 3--2
R" /0#02&
(EUANGAN
)u* ana
8/18/2019 kebijakan cara memperoleh second opinion
54/66
Obat Tota* R+ 11$,%52 R+ 11$,%52R+ 112,$$- R+ 112,$$-R+ 11%,55- R+ 11%,55-R+ 244,3 4 R+ 244,3 4R+ 213,-32 R+ 243,-$1
R" %04#/%% R" %/4#41$
A"ot k
rose
8/18/2019 kebijakan cara memperoleh second opinion
55/66
LAPORAN (AR,A AN RS P(T PDINAS )ALA) TGL 2. DESE)5ER 2014
No Nama Perusahaan Dokter T n!akan
1 ;8an = R!. PK Prima
8/18/2019 kebijakan cara memperoleh second opinion
56/66
Obat Tota*
R+ 5%,( R+ 5%,(R+ 134,1(3 R+ 134,1(3R+ $5,-4- R+ $5,-4-R+ (2,- R+ (2,-R+ 44,(-( R+ 44,(-(R+ 1%$,-2 R+ 1%$,-2R+ 124,25- R+ 124,25-R+ 151,1%( R+ 151,1%(R+ (-,%24 R+ (-,%24
R" &1'#210 R" &1'#210
A"ot k
)e * ant
8/18/2019 kebijakan cara memperoleh second opinion
57/66
LAPORAN 3ASH APOTI(DINAS )ALA) TGL 2$ DESE)5ER 2014
&ama
8/18/2019 kebijakan cara memperoleh second opinion
58/66
*)at #tal R+ 42,2 - R+ 42,2 -R+ 22,--- R+ 22,---R+ $,1(( R+ $,1((
R" $0#4$% R" $0#4$%
A"ot k
)e * ant
8/18/2019 kebijakan cara memperoleh second opinion
59/66
8/18/2019 kebijakan cara memperoleh second opinion
60/66
Tota* R" ''/#000R"
(EUANGAN
Nasra
8/18/2019 kebijakan cara memperoleh second opinion
61/66
Obat Tota* R+ 2 2,345 R+ 2 2,345R+ 33$,$55 R+ 33$,$55R+ 4(4,%4$ R+ 4(4,%4$R+ %-,231 R+ %-,231R+ 434,442 R+ 434,442R+ 2 4,%3% R+ 2 4,%3%R+ 5$3,45- R+ 5$3,45-R+ 2%1,$5 R+ 2%1,$5R+ %2,2(- R+ %2,2(-R+ 115,44% R+ 115,44%R+ 21 ,(13 R+ 21 ,(13R+ 1-4,1(- R+ 1-4,1(-R+ 1$%,( 3 R+ 1$%,( 3R+ 2- , -$ R+ 2- , -$R+ 2$2,5(5 R+ 2$2,5(5R+ 44 ,3%- R+ 44 ,3%-R+ 133, -4 R+ 133, -4R+ 3$5,11$ R+ 3$5,11$R+ 52 ,3(- R+ 52 ,3(-R+ 345,43 R+ 345,43
R+ $-,$$- R+ $-,$$-R+ 425,-21 R+ 425,-21R+ 3(%,$1( R+ 3(%,$1(R+ 1,--3,24- R+ 1,2 1,24-R+ 1(2,(5- R+ 25%,(5-R+ 2%(,2($ R+ 2%(,2($R+ 451,45- R+ 52$,45-R+ 135, - R+ 135, -R+ 3%,5 - R+ 3%,5 -
R+ 3 4,$%5 R+ 3 4,$%5R+ 1(,$ - R+ 1(,$ -R+ %2,2(- R+ %2,2(-R+ 13$, 4( R+ 13$, 4(R+ $%3,3-- R+ %4(,3--R+ 1$,323 R+ 1$,323R+ 24$,514 R+ 24$,514R+ 221,((1 R+ 221,((1R+ 131,$1- R+ 2-$,$1-R+ 3,(35,% 3 R+ 3,(35,% 3R+ 3-,--- R+ 3-,---R+ 1-3,5 - R+ 1-3,5 -R+ 44%,-15 R+ 44%,-15R+ 152,121 R+ 152,121R+ 44$,$15 R+ 44$,$15R+ 22,-4- R+ 22,-4-R+ 52,11 R+ 52,11R+ $5,442 R+ $5,442R+ %(,$(2 R+ %(,$(2R+ %1,42- R+ %1,42-R+ 232, 33 R+ 232, 33
8/18/2019 kebijakan cara memperoleh second opinion
62/66
R" 1'#1/'#2$4 R" 1'#$&$4''/#000
A"ot k
,ou* #)an!a#Surt #)b#,en
8/18/2019 kebijakan cara memperoleh second opinion
63/66
LAPORAN PERUSAHAANDINAS )ALA) TGL /0 DESE)5ER 2014
No Nama Perusahaan Dokter T n!akan Obat1 "a Handa'ani KPC dr.Ari 6 R+ 25,-%-2 Marni ra"ind# dr.M#nita R+ $$ ,12-3 ;mam Allian/ ass dr.Ari 6 R+ 12 ,25-
R+ (23,44-
(EUANGAN A"ot k
)u* ana Irma
8/18/2019 kebijakan cara memperoleh second opinion
64/66
Tota* R+ 25,-%-R+ $$ ,12-R+ 12 ,25-
R+ (23,44-
8/18/2019 kebijakan cara memperoleh second opinion
65/66
LAPORAN (AR,A AN RS P(T PDINAS )ALA) TGL /1 DESE)5ER 2014
No Nama Perusahaan Dokter T n!akan Obat1 M ntari R!. PK Prima dr.M#nita R+ 114,( -2 Ainun R!. PK Prima dr.Mar6iah R+ 114,43-3 &ina R!. PK Prima dr. #w# R+ $1,1--4 drg.Ari 6 R!. PK Prima A+#t " r R+ 32,(2-5 Ririn ni R!. PK Prima dr. #w# R+ 1%2,4$4$ rni !usanti R!. PK Prima dr. #w# R+ 13(,4 -% H sti 9istiani R!. PK Prima dr.M#nita R+ 5(,51( M r'ana R!. PK Prima dr. #w# R+ 1%4, -1
&urudin R!. PK Prima dr.M#nita R+ $1,1331- 9ush' Maram+a R!. PK Prima dr.M#nita R+ 12-,1 -
R" R" 1#04%#&/$
(EUANGAN A"ot k
)u* ana Irma
8/18/2019 kebijakan cara memperoleh second opinion
66/66
Tota* R+ 114,( -R+ 114,43-R+ $1,1--R+ 32,(2-R+ 1%2,4$4R+ 13(,4 -R+ 5(,51R+ 1%4, -1R+ $1,133R+ 12-,1 -R" 1#04%#&/$
Top Related