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  • Anc Pajak Juni 2015

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    Denny Noor Tjahjo
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    ASAAA

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    18 views2 pages

    Anc Pajak Juni 2015

    Uploaded by

    Denny Noor Tjahjo
    ASAAA

    Copyright:

    © All Rights Reserved
    Download as DOC, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    of 2

    Kepada yth. dr. SUSANTI MINTARSIH, Sp.OG.

    No. Tanggal Nama Pasien Alamat Nominal


    1. 02/07/2015 Ny. Darti Ngawi Rp. 60.000
    2. 02/07/2015 Ny. Rethy Manisrejo Rp. 60.000
    3. 02/07/2015 Ny. Rince Saradan Rp. 60.000
    4. 02/07/2015 Ny. Arik Sendangrejo Rp. 60.000
    5. 02/07/2015 Ny. Selvi Kertosari Rp. 60.000
    6. 02/07/2015 Ny. Sulastri Asrama 501 Rp. 60.000
    7. 02/07/2015 Ny. Fadilah Kartoharjo Rp. 60.000
    8. 02/07/2015 Ny. Indri Sangen Rp. 60.000
    9. 02/07/2015 Ny. Titin Sumberejo Rp. 60.000
    10. 02/07/2015 Ny. Dian Wungu Rp. 60.000

    11. 09/07/2015 Ny. Nova Demangan Rp. 60.000


    12. 09/07/2015 Ny. Luisa Gorang Gareng Rp. 60.000
    13. 09/07/2015 Ny. Ardani Ds. Jatisari Rp. 60.000
    14. 09/07/2015 Ny. Nur Jl. Maijend Sungkono Rp. 60.000
    15. 09/07/2015 Ny. Agrisa Kaibon Rp. 60.000
    16. 09/07/2015 Ny. Endang Dungus Rp. 60.000
    17. 09/07/2015 Ny. Rosa Jl. Salak Rp. 60.000

    18. 23/07/2015 Ny. Ferri Sendangrejo Rp. 60.000


    19. 23/07/2015 Ny. Sriatun Wonoasri Rp. 60.000
    20. 23/07/2015 Ny. Elisatul Jl. Manyar Rp. 60.000
    21. 23/07/2015 Ny. Cicik Klegen Rp. 60.000
    22. 23/07/2015 Ny. Galuh Manisrejo Rp. 60.000
    23. 23/07/2015 Ny. Sami Jl. Prajuritan Rp. 60.000
    24. 23/07/2015 Ny. Titis Jl. Thamrin Rp. 60.000
    25. 23/07/2015 Ny. Lufia Sambirejo Rp. 60.000
    26. 23/07/2015 Ny. Mareta Sogaten Rp. 60.000
    27. 23/07/2015 Ny. Rini Sawahan Rp. 60.000

    28. 30/07/2015 Ny. Hasna Balerejo Rp. 60.000


    29. 30/07/2015 Ny. Karmini Ds. Pupus Rp. 60.000
    30. 30/07/2015 Ny. Nila Kel. Mejayan Rp. 60.000
    31. 30/07/2015 Ny. Uki Ds. Sobrah Rp. 60.000
    32. 30/07/2015 Ny. Anita Ds. Sobrah Rp. 60.000 +
    Total Rp. 1.920.000
    Kepada Yth. dr. TAUHID ISLAMY, Sp.OG.

    No. Tanggal Nama Pasien Alamat Nominal


    1. 03/07/2015 Ny. Sri S Ds. Sukomoro Rp. 60.000

    2. 06/07/2015 Ny. Ayu Ds. Kertosari Rp. 60.000


    3. 06/07/2015 Ny. Destria Jl. Melati Rp. 60.000
    4. 06/07/2015 Ny. Vindy Jl. Purbaya Rp. 60.000
    5. 06/07/2015 Ny. Ardiana Oro Oro Ombo Rp. 60.000
    6. 06/07/2015 Ny. Mega Ds. Sidorejo Rp. 60.000

    7. 07/07/2015 Ny. Resty Tawang Rp. 60.000


    8. 07/07/2015 Ny. Enggar Nglames Rp. 60.000

    9. 13/07/2015 Ny. Luluk Kalisumber Rp. 60.000


    10. 13/07/2015 Ny. Rumini Ds. Garon Rp. 60.000
    11. 13/07/2015 Ny. Indriana Jl. Tawang Madya Rp. 60.000
    12. 13/07/2015 Ny. Hartini Sambirejo Rp. 60.000
    13. 13/07/2015 Ny. Siti K Sangen Rp. 60.000

    14. 14/07/2015 Ny. Agustin Sabdo Palon Rp. 60.000


    15. 14/07/2015 Ny. Anindita Dolopo Rp. 60.000
    16. 14/07/2015 Ny. Ghaida Manisrejo Rp. 60.000
    17. 14/07/2015 Ny. Resti Tawang Rp. 60.000

    18. 27/07/2015 Ny. Tri W Pucangrejo Rp. 60.000


    19. 27/07/2015 Ny. Tri Fitri Ds. Nglandung Rp. 60.000
    20. 27/07/2015 Ny. Sundari Nambangan Rp. 60.000
    21. 27/07/2015 Ny. Rini Saradan Rp. 60.000
    22. 27/07/2015 Ny. Ashila Perum Rejomulyo Rp. 60.000
    23. 27/07/2015 Ny. Enggar Nglames Rp. 60.000

    24. 28/07/2015 Ny. Minuk Wonoasri Rp. 60.000 +


    Total Rp. 1.440.000

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