Mais conteúdo relacionado
451
- 1. <html>
<body>
<? if (KE== 'Pusing,demamtinggidanflu')
{$ND='dr.herman,ph.d';
$DA='demam berdarah';
$BAD=50000;
$BOT=175000;
$BKD=100000;}
elseif (KE==' pusing,tulangsendi nyeri danngilu')
{$ND='dr,Vivian,ph.d';
$DA='kolesterol danrematik' ;
$BAD=55000;
$BAD=200000;
$BKD=110000;}
else
{$ND= ' dr.sutri ';
$DA='diabetes';
$BAD=60000;
$BOT=225000;
$BKD=150000;}
$TB= $BAD + $BOT + BKD;
$PAJAK=10/100 + $TB;
$TP= $TB + $PAJAK;
?>
- 2. <fontface="TimesNewRoman,Times,serif"color="#FF0000" size="+2">
ENTRY DATA PASIEN </font>
<br> <fontface="CourierNew,Courier,monospace"color="#990099" size="+1">
RS. SEHAT BERSAMA
<br> <br>
<form action=""method="">
<table>
<tr> <td> NomorRekamMedis</td> <td> : <inputtype="text"name="NOREC"size="10">
</td> </tr>
<tr> <td> Tanggal Berobat </td> <td> : <inputtype="text"name="TBE"size="10"></td>
</tr>
<tr> <td> NamaPasien</td><td> : <inputtype="text"name="NP"size="10"></td> </tr>
<tr> <td> TempatTanggal/Lahir</td><td> : <inputtype="text"name="TTL"size="10">
</td> </tr>
<tr> <td> Alamat</td> <td> : <inputtype="text"name="ALAMAT"size="10"></td></tr>
<tr> <td> Keluhan</td><td> : <inputtype="text"name="KL"size="10"></td> </tr>
</table>
<br> <br>
<inputtype="submit"name=""value="prosesdataPasien"/>
<fontface="Verdana,Arial,Helvetica,sans-serif"color="#FF6600"size="+2"
<br> <br> INFORMASIPASIEN
<fontface="Geneva,Arial,Helvetica,sans-serif"color="#00CC66" size="+1"
<br> <br> RS.SEHATBERSAMA
<table>
<tr> <td> NomorRekamMedis</td> <td> : <? print$NOREC ?> </td> </tr>
- 3. <tr> <td> Tanggal Berobat</td> <td> : <? print$TBE ?> </td> </tr>
<tr> <td> NamaPasien</td><td> : <? print$NP ?> </td> </tr>
<tr> <td> TempatTanggal/Lahir</td><td> : <? print$TTL ?> </td> </tr>
<tr> <td> Alamat</td> <td> : <? print$ALAMAT ?> </td> </tr>
<tr> <td> Keluhan</td><td> : <? print$KL ?> </td> </tr>
<tr> <td> Namadokter</td> <td> : <? print$ND ?> </td> </tr>
<tr> <td> Diagnosa </td> <td> : <? print$DA ?> </td> </tr>
<tr> <td> BiayaAdminitrasi </td><td> : <? print$BAD ?> </td> </tr>
<tr> <td> BiayaObat danTindakkan</td> <td> : <? print$BOT ?> </td> </tr>
<tr> <td> BiayaKonsul Dokter</td><td> : <? print$BKD ?> </td> </tr>
<tr> <td> Total Biaya</td> <td> : <? print$TB ?> </td> </tr>
</table>
<fontface="TimesNewRoman,Times,serif"color="#FF0000" size="+2">
<br> <br> LAPORAN BIAYA PASIEN YANGBEROBAT</font>
<fontface="TimesNewRoman,Times,serif"color="#0066CC" size="+1">
<br> <br> RS.SEHAT BERSAMA </font>
<fontface="Arial,Helvetica,sans-serif"color="#FF99CC"size="+1">
<br> <br> Priode :30 januari 2015 </font>
<table border="3">
<tr bgcolor="#66FF99"><td> NO</td><td> NomorRekamMedis</td><td> Nama Pasien
</td><td> Umur </td><td> Keluhan</td>
<td> Diaknosa</td><td> BiayaAdministrasi(Rp.) </td><td>BiayaObatdan Tindakan(Rp.)
</td><td> Biaya Konsul Dokter(Rp.) </td>
<td> Total Biaya</td>
<tr bgcolor="#CCCCCC"><td>1 </td><td><? Print$NOREC ?></td><td><? Print$NP
?></td><td><? Print$UMUR ?></td><td><? Print$KL ?></td> <td><? Print$DA ?></td><td><? Print
$BAD ?></td><td><? Print$BOT ?></td><td><? Print$BKD ?></td><td><? Print$TB ?></td>
- 4. </tr>
<tr bgcolor="#660000"> <td> </td> <td colspan="8"> Total biaya</td> <td colspan="4"><?
print$TB ?> </td> </tr>
<tr bgcolor="#CC6600"> <td> </td> <td colspan="8"> Pajak</td> <td colspan="4"> <? print
$PAJAK?> </td> </td>
<tr bgcolor="#996666"> <td> </td> <td colspan="8"> Total Pembayaran</td> <td
colspan="4"> <? print$TP ?> </td>
</table>
<br> <center>PADANG,30 Januari 2015
<br> Staf Adminitrasi,
<br> <br> SARIWAHYUNI( 11011032 ) </center>
</body>
</html>
