|
91 |
1260423000001 |
1900-01-01 00:00:00.000000 |
2206.000000000000 |
LID2606100077 |
132604230001 |
L000015 |
|
|
IDR |
|
0.000000000000 |
1.000000000000 |
40000.000000000000 |
0.000000000000 |
0.000000000000 |
40000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
1260423000001 |
|
|
|
|
1900-01-01 00:00:00.000000 |
40000.000000000000 |
1.000000000000 |
snr |
1 |
5639006228 |
2026-06-10 08:55:23.000000 |
NAMAKU ADMIN |
2026-06-10 08:55:23.000000 |
NAMAKU ADMIN |
0 |
1900-01-01 00:00:00.000000 |
|
92 |
1260504000002 |
1900-01-01 00:00:00.000000 |
2462.000000000000 |
LID2606100333 |
22605040002 |
D000005 |
|
Dokter Spesialis 150k (150.000) |
IDR |
|
0.000000000000 |
1.000000000000 |
150000.000000000000 |
0.000000000000 |
0.000000000000 |
150000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
1260504000002 |
|
|
|
|
1900-01-01 00:00:00.000000 |
150000.000000000000 |
1.000000000000 |
snr |
1 |
5639006484 |
2026-06-10 08:55:23.000000 |
NAMAKU ADMIN |
2026-06-10 08:55:23.000000 |
NAMAKU ADMIN |
0 |
1900-01-01 00:00:00.000000 |
|
93 |
1260525000006 |
1900-01-01 00:00:00.000000 |
2718.000000000000 |
LID2606100589 |
132605250014 |
L000021 |
|
|
IDR |
|
0.000000000000 |
1.000000000000 |
50000.000000000000 |
0.000000000000 |
0.000000000000 |
50000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
1260525000006 |
|
|
|
|
1900-01-01 00:00:00.000000 |
50000.000000000000 |
1.000000000000 |
snr |
1 |
5639006740 |
2026-06-10 08:55:23.000000 |
NAMAKU ADMIN |
2026-06-10 08:55:23.000000 |
NAMAKU ADMIN |
0 |
1900-01-01 00:00:00.000000 |
|
94 |
1260609000002 |
1900-01-01 00:00:00.000000 |
2974.000000000000 |
LID2606100845 |
22606090002 |
D000002 |
|
Biaya Konsultasi dr. Spesialis THT (75.000) |
IDR |
|
0.000000000000 |
1.000000000000 |
75000.000000000000 |
0.000000000000 |
0.000000000000 |
75000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
1260609000002 |
|
|
|
|
1900-01-01 00:00:00.000000 |
75000.000000000000 |
1.000000000000 |
snr |
1 |
5639006996 |
2026-06-10 08:55:23.000000 |
NAMAKU ADMIN |
2026-06-10 08:55:23.000000 |
NAMAKU ADMIN |
0 |
1900-01-01 00:00:00.000000 |
|
95 |
1260423000001 |
1900-01-01 00:00:00.000000 |
2207.000000000000 |
LID2606100078 |
132604230001 |
L000030 |
|
|
IDR |
|
0.000000000000 |
1.000000000000 |
55000.000000000000 |
0.000000000000 |
0.000000000000 |
55000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
1260423000001 |
|
|
|
|
1900-01-01 00:00:00.000000 |
55000.000000000000 |
1.000000000000 |
snr |
1 |
5639006229 |
2026-06-10 08:55:23.000000 |
NAMAKU ADMIN |
2026-06-10 08:55:23.000000 |
NAMAKU ADMIN |
0 |
1900-01-01 00:00:00.000000 |
|
96 |
1260504000002 |
1900-01-01 00:00:00.000000 |
2463.000000000000 |
LID2606100334 |
32605040007 |
T000002 |
|
Konsultasi Dokter Spesialis |
IDR |
|
0.000000000000 |
1.000000000000 |
150000.000000000000 |
0.000000000000 |
0.000000000000 |
150000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
1260504000002 |
|
|
|
|
1900-01-01 00:00:00.000000 |
150000.000000000000 |
1.000000000000 |
snr |
1 |
5639006485 |
2026-06-10 08:55:23.000000 |
NAMAKU ADMIN |
2026-06-10 08:55:23.000000 |
NAMAKU ADMIN |
0 |
1900-01-01 00:00:00.000000 |
|
97 |
1260525000006 |
1900-01-01 00:00:00.000000 |
2719.000000000000 |
LID2606100590 |
132605250014 |
L000022 |
|
|
IDR |
|
0.000000000000 |
1.000000000000 |
45000.000000000000 |
0.000000000000 |
0.000000000000 |
45000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
1260525000006 |
|
|
|
|
1900-01-01 00:00:00.000000 |
45000.000000000000 |
1.000000000000 |
snr |
1 |
5639006741 |
2026-06-10 08:55:23.000000 |
NAMAKU ADMIN |
2026-06-10 08:55:23.000000 |
NAMAKU ADMIN |
0 |
1900-01-01 00:00:00.000000 |
|
98 |
1260610000001 |
1900-01-01 00:00:00.000000 |
2975.000000000000 |
LID2606100846 |
112606100001 |
R000001 |
|
|
IDR |
|
0.000000000000 |
1.000000000000 |
500000.000000000000 |
0.000000000000 |
0.000000000000 |
500000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
1260610000001 |
|
|
|
|
1900-01-01 00:00:00.000000 |
500000.000000000000 |
1.000000000000 |
snr |
1 |
5639006997 |
2026-06-10 08:55:23.000000 |
NAMAKU ADMIN |
2026-06-10 08:55:23.000000 |
NAMAKU ADMIN |
0 |
1900-01-01 00:00:00.000000 |
|
99 |
1260423000001 |
1900-01-01 00:00:00.000000 |
2208.000000000000 |
LID2606100079 |
22604230001 |
A000001 |
|
Biaya Kartu Pasien |
IDR |
|
0.000000000000 |
1.000000000000 |
50000.000000000000 |
0.000000000000 |
0.000000000000 |
50000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
1260423000001 |
|
|
|
|
1900-01-01 00:00:00.000000 |
50000.000000000000 |
1.000000000000 |
snr |
1 |
5639006230 |
2026-06-10 08:55:23.000000 |
NAMAKU ADMIN |
2026-06-10 08:55:23.000000 |
NAMAKU ADMIN |
0 |
1900-01-01 00:00:00.000000 |
|
100 |
1260504000002 |
1900-01-01 00:00:00.000000 |
2464.000000000000 |
LID2606100335 |
32605040007 |
T000003 |
|
Pemeriksaan Tanda Vital |
IDR |
|
0.000000000000 |
1.000000000000 |
25000.000000000000 |
0.000000000000 |
0.000000000000 |
25000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
1260504000002 |
|
|
|
|
1900-01-01 00:00:00.000000 |
25000.000000000000 |
1.000000000000 |
snr |
1 |
5639006486 |
2026-06-10 08:55:23.000000 |
NAMAKU ADMIN |
2026-06-10 08:55:23.000000 |
NAMAKU ADMIN |
0 |
1900-01-01 00:00:00.000000 |