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    Rekapan Anc-Pnc Lina

    Uploaded by

    Komariyah
    The document appears to be a recapitulation of postnatal care (PNC) patient visits at the Ciniru Community Health Center in June 2023. It lists 38 patients with information on their name, ID number, age, diagnosis, and dates of PNC visits 1 through 4. It notes there were a total of 4 PNC1 visits and 8 PNC2 visits. The document is signed by the head of the Ciniru Community Health Center and a BPJS health claims manager.

    Copyright:

    © All Rights Reserved
    Download as XLSX, PDF, TXT or read online from Scribd

    Rekapan Anc-Pnc Lina

    Uploaded by

    Komariyah
    21 views10 pages
    The document appears to be a recapitulation of postnatal care (PNC) patient visits at the Ciniru Community Health Center in June 2023. It lists 38 patients with information on their name, ID number, age, diagnosis, and dates of PNC visits 1 through 4. It notes there were a total of 4 PNC1 visits and 8 PNC2 visits. The document is signed by the head of the Ciniru Community Health Center and a BPJS health claims manager.

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    Rekapan Anc-pnc Lina

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    The document appears to be a recapitulation of postnatal care (PNC) patient visits at the Ciniru Community Health Center in June 2023. It lists 38 patients with information on their name, ID number, age, diagnosis, and dates of PNC visits 1 through 4. It notes there were a total of 4 PNC1 visits and 8 PNC2 visits. The document is signed by the head of the Ciniru Community Health Center and a BPJS health claims manager.

    Copyright:

    © All Rights Reserved
    Download as XLSX, PDF, TXT or read online from Scribd
    Download as xlsx, pdf, or txt
    21 views10 pages

    Rekapan Anc-Pnc Lina

    Uploaded by

    Komariyah
    The document appears to be a recapitulation of postnatal care (PNC) patient visits at the Ciniru Community Health Center in June 2023. It lists 38 patients with information on their name, ID number, age, diagnosis, and dates of PNC visits 1 through 4. It notes there were a total of 4 PNC1 visits and 8 PNC2 visits. The document is signed by the head of the Ciniru Community Health Center and a BPJS health claims manager.

    Copyright:

    © All Rights Reserved
    Download as XLSX, PDF, TXT or read online from Scribd
    Download as xlsx, pdf, or txt
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    19 Cici/ Abad 446096542 27 G3P2A0 grav 37 mgg 16/06/2023 1

    Cipedes

    20 Yesi/ Juju 1006343076 26 G2P1A0 grav 22 mgg 9/6/2023 1


    Cipedes

    21 Nia/ Oca 66551567 34 G4P2A1 grav 32 mgg 24/06/2023 1


    Cipedes

    22 Rina/ Gilang 2420393207 26 G2P1A0 grav 19 mgg 21/6/2023 1


    Cipedes

    23 Rosa/ Adit 2942424628 25 G2P1A0 grav 19 mgg 9/6/2023 1


    Cipedes

    24 Serli/ Ali 2430436836 20 G1P0A0 grav 14 mgg 6/6/2023 1


    Cipedes

    25 Joheti/ Darmawan 2964866332 35 G3P2A0 grav 27 mgg 22/06/2023 1


    Cipedes

    26 Ita/ Uci 1729542576 28 G2P1A0 grav 27 mgg 22/06/2023 1


    Cipedes

    27 Rosita/ Juju 2964866308 27 G2P1A0 grav 32 mgg 27/06/2023 1


    Cipedes

    28 Ita/ Fahrul 441768857 21 G1P0A0 grav 33 mgg 8/6/2023 1


    Cipedes

    29 Vina/ Asnad 3502144697 37 G3P2A0 grav 34 mgg 12/6/2023 1


    Cipedes

    30 Evi/ Diding 2061346904 38 G3P2A0 grav 36 mgg 7/6/2023 1


    Cipedes
    31 Ririn/ Agus 2061361541 29 G2P1A0 grav 37 mgg 6/6/2023 1
    Cipedes

    32 Ani 3298552165 29 G1P0A0 grav 10 mgg 6/17/2023 1


    G. Manik

    33 Nurul 2707483871 23 G1P0A0 grav 32 mgg 6/17/2023 1


    G. Manik

    34 Dewi 442117765 27 G2P1A0 grav 22 mgg 6/17/2023 1


    G. Manik

    35 Ratih 3209848615 35 G2P1A0 grav 32 mgg 6/17/2023 1


    G. Manik

    36 Reni 16692660958 26 G2P1A0 grav 35 mgg 6/17/2023 1


    G. Manik

    37 Kiki 442593347 23 G1P0A0 grav 34 mgg 6/17/2023 1


    G. Manik

    38 Rustini 443904851 28 G2P1A0 grav 39 mgg 6/17/2023 1


    G. Manik

    JUMLAH 8 5 23 2 38

    Ciniru, 03 Juni 2023


    Mengetahui, Pengelola Klaim BPJS Kesehatan
    Kepala UPTD Puskesmas Ciniru UPTD Puskesmas Ciniru
    INA LISTIANA, S. Farm, Apt ROSITA SUSAN DAMAYANTI A.Md.Keb
    NIP. 19810828 200902 2 008 NITNP : 6114 19870113 1 001
    Rp 60,000

    Rp 60,000

    Rp 60,000

    Rp 60,000

    Rp 60,000

    Rp 60,000

    Rp 60,000

    Rp 60,000

    Rp 60,000

    Rp 60,000

    Rp 60,000

    Rp 60,000
    Rp 60,000

    Rp 60,000

    Rp 60,000

    Rp 60,000

    Rp 60,000

    Rp 60,000

    Rp 60,000

    Rp 60,000

    2,280,000

    ni 2023
    JS Kesehatan
    as Ciniru
    YANTI A.Md.Keb
    70113 1 001
    REKAPITULASI PENGAJUAN KLAIM KUNJUNGAN PEMERIKSAAN PNC

    Bulan : JUNI 2023


    Puskesmas : PUSKESMAS CINIRU

    KUNJUNGAN PNC
    NO NAMA PASIEN NO.KARTU PESERTA UMUR DIAGNOSA
    PNC 1 PNC 2
    1 Eha/ Jahdi 2698937111 41 P4A0 PP 3 hari 13/6/2023
    Longkewang P4A0 PP 6 hari 17/6/2023

    2 Endah 3306290782 29 P2A0 PP 37 hari


    Rambatan

    3 Indriyani/ Yadi 2395944729 20 P4A0 PP 3 hari 13/6/2023


    Longkewang P4A0 PP 7 hari 17/6/2023

    4 Puja/ Egi 2520845605 22 P1A0 PP 39 hari


    Cipedes

    5 Septiani/ Dading 442472207 22 P1A0 PP 39 hari


    Cipedes

    6 Rika/ Asep 441435295 23 P2A0 PP 39 hari


    Cipedes

    7 Ayu/ Suherman 2900792463 28 P2A0 PP 39 hari


    Cipedes

    8 Evi/ Diding 2061346904 38 P3A0 PP 3 hari 15/6/2023


    Cipedes P3A0 PP 5 hari 17/6/2023

    9 Ririn/ Agus 2061361541 29 P1A0 PP 3 hari 22/06/2023


    Cipedes P1A0 PP 5 hari 24/06/2023

    10 Winti/ Akbar 444760299 19 P1A0 PP 5 hari 3/6/2023


    Cipedes

    11 Nova/ Rona 2232518264 24 P1A0 PP 39 hari


    Cipedes

    12 Icih/ Sanhari 2603395258 42 P4A0 PP 39 hari


    Cipedes

    13 Yuyun/ Jemi 3320226494 29 P2A0 PP 39 hari


    Cipedes

    14 Siska/ Robi 3285182586 21 P1A0 PP 6 hari 12/6/2023


    Cipedes

    15 Yuyun 1006341489 35 P2A0 PP 39 hari


    G. Manik

    16 Neni 3209848582 32 P4A0 PP 38 hari


    G.Manik

    17 Inah Marlinah 1776272051 40 P3A0 PP 5 hari 6/24/2023


    Rambatan

    18 Rustini 3235322902 28 P2A0 PP 5 hari 6/26/2023


    G.manik

    JUMLAH 4 8

    Mengetahui,
    Kepala UPTD Puskesmas Ciniru

    INA LISTIANA, S. Farm, Apt


    NIP. 19810828 200902 2 008
    NGAN PEMERIKSAAN PNC

    KUNJUNGAN PNC JMLH


    TARIF ANC (Rp)
    PNC 3 PNC 4 KUNJUNGAN
    1 40,000
    1 40,000

    24/06/2023 1 40,000

    1 40,000
    1 40,000

    13/06/2023 1 40,000

    19/06/2023 1 40,000

    22/06/2023 1 40,000

    23/06/2023 1 40,000

    1 40,000
    1 40,000

    1 40,000
    1 40,000

    1 40,000

    6/6/2023 1 40,000

    7/6/2023 1 40,000

    26/6/2023 1 40,000

    1 40,000
    6/9/2023 1 40,000

    6/14/2023 1 40,000

    1 40,000

    1 40,000

    10 22 880,000

    Ciniru, 03 Juni 2023


    Pengelola Klaim BPJS Kesehatan
    UPTD Puskesmas Ciniru

    ROSITA SUSAN DAMAYANTI A.Md.Keb


    NITNP : 6114 19870113 1 001

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