| 0 |
2023/12/05/000312 |
054906 |
|
052 |
Poliklinik Syaraf / Neurologi |
BPJS |
dr. Fanel Putra Sp.N |
BASARIAH LUBIS |
JL DURIAN NUSANTARA I, -, -, - |
- |
2023-12-05 |
ralan |
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| 84 |
85 |
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148483 |
ELVIA MUSTIKA |
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32 Th |
JLN. SSQ GG BADAR , KELURAHAN, KECAMATAN, KABUPATE... |
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B210 K3-04 BOUGENVILLE |
Atas Persetujuan Dokter |
2023-12-04 |
dr. Maduma Octha Marini Simarmata. Sp.OG, dr. Lail... |
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192.168.30.192 |
| 80 |
81 |
083942 |
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RAFINDA JENIKA |
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30 Th |
JL. AMAN GANG SUAKARSA, -, -, - |
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B208 K2-03 BOUGENVILLE |
Atas Persetujuan Dokter |
2023-12-03 |
dr. Maduma Octha Marini Simarmata. Sp.OG, dr. Ilha... |
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192.168.30.192 |
| 81 |
82 |
146990 |
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FATIMAH SIREGAR |
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35 Th |
PT MII, PAMESI, BATHIN SOLAPAN, KAB. BENGKALIS |
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B208 K2-01 BOUGENVILLE |
Atas Persetujuan Dokter |
2023-12-03 |
dr. Maduma Octha Marini Simarmata. Sp.OG, dr. Madu... |
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192.168.30.192 |
| 2205 |
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KIMIA KLINIK (P.J. Lab) |
25,000 |
1 |
25,000 |
0 |
0 |
25,000 |
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192.168.15.104 |
| 1445 |
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804. 2025-05-16 |
159194 METRINITA |
Laborat |
BPJS |
KIMIA KLINIK (P.J. Lab) |
25,000 |
1 |
25,000 |
0 |
0 |
25,000 |
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192.168.15.104 |
| 1374 |
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HEMATOLOGI (P.J. Lab) |
110,000 |
1 |
110,000 |
0 |
0 |
110,000 |
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192.168.15.104 |
| 14 |
2025-07-14 |
PN250714004 |
CLEANING SERVICE |
1805173 Resita Gustina Amd. KL |
Baru |
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192.168.102.119 |
| 15 |
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1. B00594 PENGHARUM RUANGAN GANTUNG (3) |
10 |
BUNGKUS |
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192.168.102.119 |
| 1443 |
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IMUNOSEROLOGI (P.J. Lab) |
230,000 |
1 |
230,000 |
0 |
0 |
230,000 |
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192.168.15.104 |
| 1444 |
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KIMIA KLINIK (P.J. Lab) |
25,000 |
1 |
25,000 |
0 |
0 |
25,000 |
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192.168.15.104 |
| 13 |
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B000001120 |
MELOXICAM 15 MG |
10 |
TAB |
1,384 |
13,840 |
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192.168.18.72 |
| 14 |
|
B000001125 |
BISOPROLOL 5 MG ( DEXA ) |
30 |
TAB |
1,153 |
34,590 |
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192.168.18.72 |
| 4 |
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B000000286 |
DEXKETOPROFEN 25 MG (ETERCON) |
6 |
TAB |
2,418 |
14,508 |
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192.168.18.72 |
| 79 |
80 |
|
148470 |
IKA RAHMAYANTI |
|
28 Th |
JL SINTONG, KELURAHAN, KECAMATAN, KABUPATEN |
|
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B210 K3-05 BOUGENVILLE |
Atas Persetujuan Dokter |
2023-12-03 |
dr. Maduma Octha Marini Simarmata. Sp.OG, dr. Madu... |
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192.168.30.192 |
| 78 |
79 |
148383 |
|
TIUR MAULINA |
|
20 Th |
JLN. SIMPANG GAROGA , KELURAHAN, KECAMATAN, KABUPA... |
|
|
K0000123 BOUGENVILLE* |
Atas Persetujuan Dokter |
2023-12-01 |
dr. Maduma Octha Marini Simarmata. Sp.OG, dr. Madu... |
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192.168.30.192 |
| 77 |
78 |
139263 |
|
NILA KARMILA |
|
31 Th |
JL ARENA, KELURAHAN, KECAMATAN, KABUPATEN |
|
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B210 K3-04 BOUGENVILLE |
Atas Persetujuan Dokter |
2023-11-30 |
dr. Maduma Octha Marini Simarmata. Sp.OG, dr. Dea ... |
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192.168.30.192 |
| 76 |
77 |
|
148323 |
KHOLIZAH |
|
31 Th |
JLN. KANDIS , KELURAHAN, KECAMATAN, KABUPATEN |
|
|
B210 K3-03 BOUGENVILLE |
Atas Persetujuan Dokter |
2023-11-30 |
dr. Maduma Octha Marini Simarmata. Sp.OG, dr. Wiwi... |
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192.168.30.192 |
| 75 |
76 |
|
148375 |
HOTMAULI PAKPAHAN |
|
25 Th |
JLN.MANDAU , KELURAHAN, KECAMATAN, KABUPATEN |
|
|
B210 K3-06 BOUGENVILLE |
Atas Persetujuan Dokter |
2023-11-30 |
dr. Maduma Octha Marini Simarmata. Sp.OG, dr. Dea ... |
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192.168.30.192 |
| 74 |
75 |
|
148374 |
EKA SILAWATI |
|
31 Th |
JL LUBUT LUMBUT, KELURAHAN, KECAMATAN, KABUPATEN |
|
|
B210 K3-08 BOUGENVILLE |
Atas Persetujuan Dokter |
2023-11-30 |
dr. Maduma Octha Marini Simarmata. Sp.OG, dr. Dea ... |
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192.168.30.192 |
| 73 |
74 |
147837 |
|
ASRAWATI NAINGGOLAN |
|
30 Th |
JL. DURIAN, SERAIWANGI, TALANG MUANDAU, KAB. BENGK... |
|
|
B210 K3-02 BOUGENVILLE |
Atas Persetujuan Dokter |
2023-11-29 |
dr. Maduma Octha Marini Simarmata. Sp.OG, dr. Rahm... |
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192.168.30.192 |
| 72 |
73 |
105557 |
|
SUSI MARIYATI |
|
30 Th |
JL. KARANG ANYER, -, -, - |
|
|
B205 K2-01 BOUGENVILLE |
Atas Persetujuan Dokter |
2023-11-29 |
dr. Maduma Octha Marini Simarmata. Sp.OG, dr. Madu... |
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192.168.30.192 |
| 71 |
72 |
070798 |
|
MEGGIE HARTYA PUSPITA |
|
30 Th |
JL. SUBRANTAS GANG PAN, -, -, - |
|
|
B210 K3-04 BOUGENVILLE |
Atas Persetujuan Dokter |
2023-11-28 |
dr. Maduma Octha Marini Simarmata. Sp.OG, dr. Dea ... |
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192.168.30.192 |
| 1188 |
B000000175 |
POSOP TETES MATA MD |
K-4 |
MIN |
10781.0 |
29.0 |
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192.168.30.233 |
| 2204 |
|
|
|
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|
IMUNOSEROLOGI (P.J. Lab) |
160,000 |
1 |
160,000 |
0 |
0 |
160,000 |
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192.168.15.104 |