|
1021 |
2251218000033 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
113 |
2251218000033 |
D000004 |
|
Dokter Spesialis 100k |
IDR |
|
0.000000000000 |
1.000000000000 |
100000.000000000000 |
0.000000000000 |
0.000000000000 |
100000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
2251218000033 |
|
2251218000033 |
|
|
1900-01-01 00:00:00.000000 |
100000.000000000000 |
0.000000000000 |
ren |
1 |
5639004178 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
1022 |
112512190005 |
2025-12-19 06:11:19.000000 |
1.000000000000 |
378 |
112512190005 |
R000008 |
|
Cassette / Film X-Ray |
IDR |
|
0.000000000000 |
1.000000000000 |
2500000.000000000000 |
0.000000000000 |
0.000000000000 |
2500000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
112512190005 |
|
112512190005 |
|
|
1900-01-01 00:00:00.000000 |
2500000.000000000000 |
0.000000000000 |
ren |
1 |
5639004434 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
1023 |
42601110002 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
660 |
42601110002 |
F000001 |
|
Paracetamol |
IDR |
|
0.000000000000 |
3.000000000000 |
1500.000000000000 |
0.000000000000 |
0.000000000000 |
4500.000000000000 |
|
|
|
0.000000000000 |
0 |
|
42601110002 |
|
42601110002 |
|
|
1900-01-01 00:00:00.000000 |
4500.000000000000 |
0.000000000000 |
ren |
1 |
5639004690 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
1024 |
42601150014 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
918 |
42601150014 |
F000003 |
|
Alerfed |
IDR |
|
0.000000000000 |
24.000000000000 |
3000.000000000000 |
0.000000000000 |
0.000000000000 |
72000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
42601150014 |
|
42601150014 |
|
|
1900-01-01 00:00:00.000000 |
72000.000000000000 |
0.000000000000 |
ren |
1 |
5639004946 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
1025 |
2260123000010 |
2026-04-04 14:00:51.000000 |
2.000000000000 |
1179 |
2260123000010 |
A000001 |
|
Biaya Kartu Pasien |
IDR |
|
0.000000000000 |
1.000000000000 |
50000.000000000000 |
0.000000000000 |
0.000000000000 |
50000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
2260123000010 |
|
2260123000010 |
|
|
1900-01-01 00:00:00.000000 |
50000.000000000000 |
0.000000000000 |
ren |
1 |
5639005202 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
1026 |
226012300046 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
1435 |
226012300046 |
D000010 |
|
Konsultasi Dokter Anak |
IDR |
|
0.000000000000 |
1.000000000000 |
70000.000000000000 |
0.000000000000 |
0.000000000000 |
70000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
226012300046 |
|
226012300046 |
|
|
1900-01-01 00:00:00.000000 |
70000.000000000000 |
0.000000000000 |
ren |
1 |
5639005458 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
1027 |
520260124-000029 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
1691 |
520260124-000029 |
P000004 |
|
Masker Nebulizer |
IDR |
|
0.000000000000 |
1.000000000000 |
20000.000000000000 |
0.000000000000 |
0.000000000000 |
20000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
520260124-000029 |
|
520260124-000029 |
|
|
1900-01-01 00:00:00.000000 |
20000.000000000000 |
0.000000000000 |
ren |
1 |
5639005714 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
1028 |
112602270002 |
2026-02-27 06:35:26.000000 |
1.000000000000 |
1996 |
112602270002 |
R000002 |
|
CT Scan |
IDR |
|
0.000000000000 |
1.000000000000 |
3500000.000000000000 |
0.000000000000 |
0.000000000000 |
3500000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
112602270002 |
|
112602270002 |
|
|
1900-01-01 00:00:00.000000 |
3500000.000000000000 |
0.000000000000 |
ren |
1 |
5639005970 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
1029 |
2251218000033 |
2026-04-04 14:00:51.000000 |
2.000000000000 |
114 |
2251218000033 |
A000001 |
|
Biaya Kartu Pasien |
IDR |
|
0.000000000000 |
1.000000000000 |
50000.000000000000 |
0.000000000000 |
0.000000000000 |
50000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
2251218000033 |
|
2251218000033 |
|
|
1900-01-01 00:00:00.000000 |
50000.000000000000 |
0.000000000000 |
ren |
1 |
5639004179 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
1030 |
420251219-000001 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
381 |
420251219-000001 |
F000012 |
|
Omeprazole |
IDR |
|
0.000000000000 |
5.000000000000 |
28000.000000000000 |
0.000000000000 |
0.000000000000 |
140000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
420251219-000001 |
|
420251219-000001 |
|
|
1900-01-01 00:00:00.000000 |
140000.000000000000 |
0.000000000000 |
ren |
1 |
5639004435 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |