RS.

PALANG BIRU GOMBONG

DUA JT LIMA RATUS RP

JASA MEDIK OKTOBER 2016

05 NOVEMBER 2016

2,500,000 dr. AGUS TUSINO, SpA

Visite Brutto BPJS & Reguler November Rp 447,053,675
Kehadiran, Transport, dll Rp 18,600,000
Potongan RS. Poli Umum Rp 529,950
466,183,625
Transfer BNI
- dr. Adi Purnomo, SpB (0031967415) 22,659,600
- dr. Palupi Widiasih, SpOG (0148135189) 51,892,150
- dr. Darodji, SpB (0121673220) 20,216,800
- dr. Lucy Julianti (0339502761) 7,966,700
- dr. Djamiat Haryono (0031778008) 8,767,600
- Azizah (0191072827) 19,163,800
- Azizah (0191072827) 12,910,900 Alat
- dr. Eko Medio (0004177666) Alat
- dr Ester Tri Rahayu, SpPK (0176133881) 165,000
- dr. Aditiya Herlangga (0269591927) 5,337,200
- dr. Harry Kuncoro (0242771614) 8,326,350
- Maria Hernaniningtyas (0031750048) 3,500,000 Penggantian STR
- dr. Palupi Widiasih (0148135189) 2,500,000 Kehadiran
- dr. Eko Medio (0004177666) 1,500,000 Kehadiran
- dr Ester Tri Rahayu, SpPK (0176133881) 4,875,000 Kehadiran & transport
- dr. Darodji, SpB (121673220) 2,000,000 Tunj.Ketua Komite Medik
Rp 171,781,100

Transfer BRI
- Yayasan Swana Santa (0136.01.000126.56.0) 64,323,971 Potongan RS
- Yayasan Swana Santa (0136.01.000127.56.6) 38,272,014 Pajak
- Mariyun (0139.01.012905.50.4) 10,450,600
- dr Seto Tri Laksono (0078.01.024956.50.9) 492,300
- dr. Iwan Santoso (0078.01.005591.50.0)
- dr Dina Retnaningtyas (0136.01.011416.50.0) 663,500
- dr. Rika Indah Wijayanti (0136.01.013729.50.1) 640,800
- dr.Liana Santoso (0136.01.023959.50.2) 515,000
Rp 115,358,186

Transfer Mandiri
- Puji Hartanti (139.00.1187579.0) 7,584,600
- Edwin (117.00.0589971.1) 4,225,850
- Ferdinandus Yanuar W (900.00.3427661.9) 5,877,100
- Agus Tusino (139.00.0307757.9) 10,875,200
- Elisabeth Dina Herlina (900.00.2096685.0) 3,708,100
- Antonius. F. Bambang (139.00.0404139.2) 88,205,500
- Putri Rizky Septi (137.0005158395) 2,089,300
- Agus Tusino (139.00.0307757.9) 2,500,000 Kehadiran
Rp 125,065,650
Tunai
- dr. Tri Hastuti 6,227,700
- dr. Tri Hastuti 2,500,000 STR
- dr. Cholid 1,992,400
- dr. Cholid 200,000 Transport
- dr. Lilik Karsono 3,769,500
- dr. Sudarmanto 239,200
- dr. Iwan Danardono 3,212,900
- dr. Iwan Danardono 2,500,000 STR
- dr. Rahmad Gunawan 26,078,700
- Ny. Endang 1,546,300
- dr. Ruth Asri Utami 50,300
- Bp. Agung 498,100
- Natalan 1,050,000
- IDI dr Lilik 125,000
- Pinj Kassa dr Palupi 2,500,000
- CU dr. Aditya 1,000,000
- Obat dr 488,350
Rp 53,978,450
Rp 466,183,386
239
 PERINCIAN BIAYA PRAKTEK
SISWA D IV KEBIDANAN POLTEKES KEMENKES
SEMARANG - PRODI MAGELANG
TGL 16 DES 2013 S/D 11 JAN 2014
DI RS PALANG BIRU GOMBONG

* Biaya praktek siswa / minggu sebesar Rp. 20.000,-

Perhitungan 4 siswa x 4 minggu x Rp. 20.000,- = Rp. 320.000,-
* Istirahat selama dinas 1 x selama 30 menit , dan mendapatkan makan
* Biaya makan sebesar Rp. 4.000,-/ sekali makan. ( Dibebaskan )

Gombong, 27 November 2013

Netty Indarwanti
Bag. Keuangan