|
1001 |
42601230009 |
2026-04-04 14:00:51.000000 |
5.000000000000 |
1176 |
42601230009 |
F000009 |
|
Amoxicillin |
IDR |
|
0.000000000000 |
10.000000000000 |
96500.000000000000 |
0.000000000000 |
0.000000000000 |
965000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
42601230009 |
|
42601230009 |
|
|
1900-01-01 00:00:00.000000 |
965000.000000000000 |
0.000000000000 |
ren |
1 |
5639005199 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
1002 |
22601230045 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
1432 |
22601230045 |
D000003 |
|
Dokter Spesialis 50k |
IDR |
|
0.000000000000 |
1.000000000000 |
50000.000000000000 |
0.000000000000 |
0.000000000000 |
50000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
22601230045 |
|
22601230045 |
|
|
1900-01-01 00:00:00.000000 |
50000.000000000000 |
0.000000000000 |
ren |
1 |
5639005455 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
1003 |
520260124-000026 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
1688 |
520260124-000026 |
P000004 |
|
Masker Nebulizer |
IDR |
|
0.000000000000 |
1.000000000000 |
20000.000000000000 |
0.000000000000 |
0.000000000000 |
20000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
520260124-000026 |
|
520260124-000026 |
|
|
1900-01-01 00:00:00.000000 |
20000.000000000000 |
0.000000000000 |
ren |
1 |
5639005711 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
1004 |
112602260001 |
2026-02-26 06:35:12.000000 |
1.000000000000 |
1993 |
112602260001 |
R000008 |
|
Cassette / Film X-Ray |
IDR |
|
0.000000000000 |
1.000000000000 |
2500000.000000000000 |
0.000000000000 |
0.000000000000 |
2500000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
112602260001 |
|
112602260001 |
|
|
1900-01-01 00:00:00.000000 |
2500000.000000000000 |
0.000000000000 |
ren |
1 |
5639005967 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
1005 |
22512180032 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
111 |
22512180032 |
A000001 |
|
Biaya Kartu Pasien |
IDR |
|
0.000000000000 |
1.000000000000 |
20000.000000000000 |
0.000000000000 |
0.000000000000 |
20000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
22512180032 |
|
22512180032 |
|
|
1900-01-01 00:00:00.000000 |
20000.000000000000 |
0.000000000000 |
ren |
1 |
5639004176 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
1006 |
225121900003 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
376 |
225121900003 |
A000003 |
|
Rawat Inap |
IDR |
|
0.000000000000 |
1.000000000000 |
500000.000000000000 |
0.000000000000 |
0.000000000000 |
500000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
225121900003 |
|
225121900003 |
|
|
1900-01-01 00:00:00.000000 |
500000.000000000000 |
0.000000000000 |
ren |
1 |
5639004432 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
1007 |
32601110001 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
658 |
32601110001 |
T000004 |
|
Pemasangan Infus |
IDR |
|
0.000000000000 |
3.000000000000 |
75000.000000000000 |
0.000000000000 |
0.000000000000 |
225000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
32601110001 |
|
32601110001 |
|
|
1900-01-01 00:00:00.000000 |
225000.000000000000 |
0.000000000000 |
ren |
1 |
5639004688 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
1008 |
42601150014 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
916 |
42601150014 |
F000001 |
|
Paracetamol |
IDR |
|
0.000000000000 |
24.000000000000 |
1500.000000000000 |
0.000000000000 |
0.000000000000 |
36000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
42601150014 |
|
42601150014 |
|
|
1900-01-01 00:00:00.000000 |
36000.000000000000 |
0.000000000000 |
ren |
1 |
5639004944 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
1009 |
52601230009 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
1177 |
52601230009 |
P000003 |
|
Masker Medis |
IDR |
|
0.000000000000 |
1.000000000000 |
8000.000000000000 |
0.000000000000 |
0.000000000000 |
8000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
52601230009 |
|
52601230009 |
|
|
1900-01-01 00:00:00.000000 |
8000.000000000000 |
0.000000000000 |
ren |
1 |
5639005200 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
1010 |
32601230045 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
1433 |
32601230045 |
T000003 |
|
Pemeriksaan Tanda Vital |
IDR |
|
0.000000000000 |
1.000000000000 |
25000.000000000000 |
0.000000000000 |
0.000000000000 |
25000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
32601230045 |
|
32601230045 |
|
|
1900-01-01 00:00:00.000000 |
25000.000000000000 |
0.000000000000 |
ren |
1 |
5639005456 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |