|
1031 |
42601110002 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
661 |
42601110002 |
F000002 |
|
Paramex |
IDR |
|
0.000000000000 |
3.000000000000 |
2500.000000000000 |
0.000000000000 |
0.000000000000 |
7500.000000000000 |
|
|
|
0.000000000000 |
0 |
|
42601110002 |
|
42601110002 |
|
|
1900-01-01 00:00:00.000000 |
7500.000000000000 |
0.000000000000 |
ren |
1 |
5639004691 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
1032 |
42601150015 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
919 |
42601150015 |
F000009 |
|
Amoxicillin |
IDR |
|
0.000000000000 |
6.000000000000 |
96500.000000000000 |
0.000000000000 |
0.000000000000 |
579000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
42601150015 |
|
42601150015 |
|
|
1900-01-01 00:00:00.000000 |
579000.000000000000 |
0.000000000000 |
ren |
1 |
5639004947 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
1033 |
2260123000010 |
2026-04-04 14:00:51.000000 |
3.000000000000 |
1180 |
2260123000010 |
A000002 |
|
Rawat Jalan |
IDR |
|
0.000000000000 |
1.000000000000 |
150000.000000000000 |
0.000000000000 |
0.000000000000 |
150000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
2260123000010 |
|
2260123000010 |
|
|
1900-01-01 00:00:00.000000 |
150000.000000000000 |
0.000000000000 |
ren |
1 |
5639005203 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
1034 |
226012300046 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
1436 |
226012300046 |
D000001 |
|
Biaya dr. Umum |
IDR |
|
0.000000000000 |
1.000000000000 |
50000.000000000000 |
0.000000000000 |
0.000000000000 |
50000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
226012300046 |
|
226012300046 |
|
|
1900-01-01 00:00:00.000000 |
50000.000000000000 |
0.000000000000 |
ren |
1 |
5639005459 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
1035 |
42601240017 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
1692 |
42601240017 |
F000002 |
|
Paramex |
IDR |
|
0.000000000000 |
10.000000000000 |
2500.000000000000 |
0.000000000000 |
0.000000000000 |
25000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
42601240017 |
|
42601240017 |
|
|
1900-01-01 00:00:00.000000 |
25000.000000000000 |
0.000000000000 |
ren |
1 |
5639005715 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
1036 |
2260227000001 |
2026-04-04 14:00:51.000000 |
2.000000000000 |
1997 |
2260227000001 |
D000002 |
|
Biaya Konsultasi dr. Spesialis THT |
IDR |
|
0.000000000000 |
1.000000000000 |
75000.000000000000 |
0.000000000000 |
0.000000000000 |
75000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
2260227000001 |
|
2260227000001 |
|
|
1900-01-01 00:00:00.000000 |
75000.000000000000 |
0.000000000000 |
ren |
1 |
5639005971 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
1037 |
2251218000033 |
2026-04-04 14:00:51.000000 |
2.000000000000 |
115 |
2251218000033 |
A000002 |
|
Rawat Jalan |
IDR |
|
0.000000000000 |
1.000000000000 |
150000.000000000000 |
0.000000000000 |
0.000000000000 |
150000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
2251218000033 |
|
2251218000033 |
|
|
1900-01-01 00:00:00.000000 |
150000.000000000000 |
0.000000000000 |
ren |
1 |
5639004180 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
1038 |
22512190003 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
382 |
22512190003 |
A000003 |
|
Rawat Inap |
IDR |
|
0.000000000000 |
1.000000000000 |
0.000000000000 |
0.000000000000 |
0.000000000000 |
0.000000000000 |
|
|
|
0.000000000000 |
0 |
|
22512190003 |
|
22512190003 |
|
|
1900-01-01 00:00:00.000000 |
0.000000000000 |
0.000000000000 |
ren |
1 |
5639004436 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
1039 |
42601110002 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
662 |
42601110002 |
F000005 |
|
Captopril |
IDR |
|
0.000000000000 |
3.000000000000 |
14500.000000000000 |
0.000000000000 |
0.000000000000 |
43500.000000000000 |
|
|
|
0.000000000000 |
0 |
|
42601110002 |
|
42601110002 |
|
|
1900-01-01 00:00:00.000000 |
43500.000000000000 |
0.000000000000 |
ren |
1 |
5639004692 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
1040 |
42601150015 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
920 |
42601150015 |
F000001 |
|
Paracetamol |
IDR |
|
0.000000000000 |
10.000000000000 |
1500.000000000000 |
0.000000000000 |
0.000000000000 |
15000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
42601150015 |
|
42601150015 |
|
|
1900-01-01 00:00:00.000000 |
15000.000000000000 |
0.000000000000 |
ren |
1 |
5639004948 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |