Tarif Pelayanan
NO | JENIS PELAYANAN | TARIF | ||
OBAT-OBATAN | JASA PELAYANAN | TOTAL | ||
1 | Rawat Jalan | Rp 3,000 | Rp 2,000 | Rp 8,000 |
| Karcis Rp. 3000 | | | |
NO | JENIS PELAYANAN | TARIF | ||
BAHAN DAN ALAT | JASA PEMERIKSAAN | TOTAL | ||
2 | ADMINISTRASI UMUM | | | |
| - Surat Keterangan Sehat | Rp 2,000 | Rp 8,000 | Rp 10,000 |
| - Surat Keterangan Sakit | Rp 2,000 | Rp 8,000 | Rp 10,000 |
| - Surat Keterangan Bebas Narkoba | Rp 2,000 | Rp 8,000 | Rp 10,000 |
| -Surat Keterangan Kelahiran | Rp 2,000 | Rp 8,000 | Rp 10,000 |
| - Surat Keterangan Visum Et Rertum | Rp 2,000 | Rp 28,000 | Rp 30,000 |
| -Surat Kematian | Rp 2,000 | Rp 8,000 | Rp 10,000 |
| -Surat Keterangan Imunisasi TT Calon Pengantin | Rp 2,000 |
Rp 8,000 | Rp 10,000 |
| -Surat Pemeriksaan Calon Jemaah Haji | Rp 5,000 |
Rp 25,000 |
Rp 30,000 |
NO | JENIS PELAYANAN | TARIF | |||
BAHAN DAN ALAT | JASA SARANA | JASA PELAYANAN | TOTAL | ||
3 | PEMERIKSAAN LABORATORIUM | | | | |
| A. Hematologi | | | | |
| - Darah Rutin | Rp 13,000 | Rp 5,000 | Rp 10,500 | Rp 28,500 |
| - Golongan Darah | Rp 7,500 | Rp 1,000 | Rp 3,500 | Rp 12,000 |
| B. Urine Rutin | Rp 6,500 | Rp 1,000 | Rp 2,000 | Rp 9,500 |
| C. Feses Feses Rutin |
Rp 2,500 | Rp 1,000 | Rp 2,000 | Rp 5,500 |
| D. Kimia Darah |
| | | |
| - Asam Urat Stik | Rp 10,500 | Rp 1,000 | Rp 3,500 | Rp 15,000 |
| - Gula Darah Stik | Rp 10,000 | Rp 1,000 | Rp 4,000 | Rp 15,000 |
| - Kolestrol Stik | Rp 20,000 | Rp 1,000 | Rp 10,000 | Rp 31,000 |
| E. Plano Test | Rp 5,000 | Rp 1,000 | Rp 4,000 | Rp 10,000 |
NO | JENIS PELAYANAN | TARIF | |||
BAHAN & ALAT | JASA MEDIS | OBAT | TOTAL | ||
4 | TINDAKAN GIGI DAN MULUT | | | | |
| A. Ekstraksi Gigi Susu | Rp 4,000 | Rp 6,000 |
| Rp 10,000 |
| B.Ekstraksi Gigi Dewasa Tetap | Rp 5,000 | Rp 10,000 |
| Rp 15,000 |
| Premedikasi |
| Rp 2,000 | Rp 3,000 | Rp 2,000 |