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REKAP PEMAKAI

PUSKESMAS : PEMURUS DALAMBULAN : SEPTEMBER

TABEL A

NO JENIS PEMERIKSAAN TARIF

ETRIBUSI JAN FEB MAR APR MAY1 2 3 4 5 6 7 8

I Rawat Jalan di Pus !s"as dan Pustu

1 Rawat Jalan !"t#$ U%&% 5'((( 352 Rawat Jalan !"t#$ )*+*,Int$a O$al Ca%#$a 5'(((

3 Rawat Jalan P#la-anan !"t#$ S.#/*al*/ 15'(((4 Rawat Jalan P#la-anan !"t#$ S.#/*al*/ 0& 2('(((

II P!#awatan $i%i

1 Ca &t )*+* S&/& 6'((( 5

2 Ca &t )*+* T#ta. S#$* Ta$*n+ P$#%!la$ 1 7'5(( 1

3 Ca &t )*+* T#ta. #n+an P#n-&l*t '5((

4 Ca &t )*+* T#ta. #n+an C*t! J#t 3('((( 5 P#$awatan P&l. Ca..*n+ an T$#.ana/* 6'((( 1

6 T&%.atan S#%#nta$a 6'((( 2

7 T&%.atan A%al+a% 7'5(( 8 T&%.atan )la// l!n!%#$ '(((

T&%.atan 0*+ t C&$# 4('((( 1( B&an+ Ka$an+ )*+* Man&al 15'(((

11 B&an+ Ka$an+ )*+* Ult$a/!n*" 2('(((

12 In */* A / #// '(((

13 O.#$ &l# t!%- 12'(((

14 K!$#"/* O"l&/* 7'5((

15 P#$awatan Sal&$an A"a$ 8'(((

III Tinda an M!di

1 # $* #%#ntt 1('((( 12 Ja *t 0&"a 0&a$

a Ja *t 0&"a 1 5 Ja *tan 1('((( 1

Ja *t 0&"a 6 1( Ja *tan 15'((( Ja *t 0&"a 9 1( Ja *tan 2('(((

3 Ja *t 0&"a ala%

a Ja *t 0&"a 1 5 Ja *tan 1('((( Ja *t 0&"a 6 1( Ja *tan 45'(((

Ja *t 0&"a 9 1( Ja *tan 6('(((

4 0#.a/ Ja *tan

a 0#.a/ Ja *tan 1 5 Ja *tan 5'(((

0#.a/ Ja *tan 6 1( Ja *tan 1('(((

5 B# a M*n!$

a At #$!%a 2('((( 0*.!%a 2('(((

Cla:&/,Cal*&/ 2('(((

T#l*n+a aw*$ 15'((( # C*$ &%/*/* 5('(((

6 a P#$awatan 0&"a Ba"a$ ; 1( < 2('((( a P#$awatan 0&"a Ba"a$ 9 1( < T* a" K! 3('(((

7 M#n+! at* 0&"a E= !$#a/*,0# #t 7'(((

8 )ant* P#$ an 5'(((

T*n *" a&n T#l*n+a 7'(((

1( In */* 15'(((

11 E"/*/* 25'(((

12 E"/t$a"/* K&"& 2('(((

13 E"/t$a"/* C!$.!/ Al*n#&% a T#l*n+a 1('(((

>* &n+ 1('(((

14 S&nt*"an ATS,SABU ?T* a" T#$%a/&" @a"/* 2('(((


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15 P#%#$*"/aan T!n!%#t#$ 7'5((

16 Pa/an+ Kat#t#$ 25'(((

17 0#.a/ Kat#t#$ 1('(((

18 Pa/an+ In &/# 15'(((

1 P#% #$*an O"/*+#n,0*t#$,Ja% 1('(((

2( P#%a/an+an S.al" 25'(((

21 P#%a"a*an N# &l* #$ 35'(((


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I& Su#at K!t!#an%an'P!n%u(ian K!s!)atan

1 P#%#$*"/aan K#/# atan U%&% 5'((( 25

2 Cal!n P#n+ant*n 1('((( 5

3 P#n * *"an , P#nata$an Ba+* PNS 1('((( 1

4 S&$at K#t#$an+an Sa"*t 5'((( 11

5 K#t#$an+an K# a%*lan,P#$/al*nan 1('(((

6 S&$at K#t#$an+an T* a" B&ta a$na 1('((( 47 S&$at K#t#$an+an T* a" B#$tat! 1('(((

8 S&$at K#t#$an+an T* a" B#$t*n *" 1('(((

S&$at K#t#$an+an B# a/ Na$"! a 4('((( 1( S&$at K#t#$an+an 0an/*a 5'(((

& P!"!#i saan Cal*n J!"aa) +a(i

1 P#%#$*"/aan K#/# atan CJ> * 0&a$ P#n&n 5('((( 8

&I P!la,anan Lainn,a

1 K!n/&lta/* San*ta/*' )* * 5'(((

2 T#/t K# &+a$an 1('(((

3 P#%a"a*an M! *l P&/l*n+

a P#%a"a*an /, 1( K% 35'((( P#%a"a*an 9 1( K% ?Ta% a an,K% 5'(((

&II P!"!#i saan La-*#at*#iu"

A PEMERIKSAAN LAB.RAT.RIUM DASAR

1 E$*t$!/*t' >*t&n+ J&%la 4'(((

2 0#"!/*t' >*t&n+ J&%la 4'(((

3 0#"!/*t' >*t&n+ J#n*/ 4'(((

4 >#%!+l! *n' P#n#ta.an Ka a$ 4'((( 1

5 P#% #"&an' Ma/a 7'5((

6 P#n a$a an' Ma/a 3'((( 7 0aD& En a.an a$a 3'(((

8 P#n#ta.an )!l!n+an a$a 3'((( 4

B/ Ka#-*)id#at 1 )l&"!/a S#wa"t& 8'((( 3

2 )l&"!/a P&a/a 8'((( 2

3 )l&"!/a' K&$:a T!l#$an/*' )l&"!/a 3=,5= 8'((( B BIDAN$ SER.L.$I

a 1 * al T#/t 18'(((

3 T#/ K# a%*lan 15'(((PEMERIKSAAN LAB.RAT.RIUM DASAR

1 Anal*/a T*nDa 16'(((

2 P#%#$*"/aan T#l!$ Ca *n+ 1('(((

3 U$*n 0#n+"a. 1('(((

4 Anal*/a Bat& 16'(((

5 Anal*/a S.#$%a 16'(((

6 R# &"/* 3'(((

Mengetahui,Kepala Puskesmas Pemurus Dalam

dr. Hj. Novita

NIP. 19761124 200501 2 011


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N KARCIS RETRIBUSI 2014

KARCIS TERPAKAI

KARCIS TER

JUM0A>

JUN JU0 AU) SEP OCT NO@ EC ETORAN PA1( 11 12 13 14 15 16 17


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a!jarmasi!" 27 #kto$er 2014e!da%ara Pem$a!tu Pe!erimaa! Puskesmas

e!dria! &ari" '(D

NIP. 19)40)20 201001 1 009


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