|
1061 |
2251218000034 |
2026-04-04 14:00:51.000000 |
2.000000000000 |
118 |
2251218000034 |
A000002 |
|
Rawat Jalan |
IDR |
|
0.000000000000 |
1.000000000000 |
150000.000000000000 |
0.000000000000 |
0.000000000000 |
150000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
2251218000034 |
|
2251218000034 |
|
|
1900-01-01 00:00:00.000000 |
150000.000000000000 |
0.000000000000 |
ren |
1 |
5639004183 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
1062 |
22512190004 |
2026-04-04 14:00:51.000000 |
2.000000000000 |
385 |
22512190004 |
D000002 |
|
Biaya Konsultasi dr. Spesialis THT |
IDR |
|
0.000000000000 |
1.000000000000 |
0.000000000000 |
0.000000000000 |
0.000000000000 |
0.000000000000 |
|
|
|
0.000000000000 |
0 |
|
22512190004 |
|
22512190004 |
|
|
1900-01-01 00:00:00.000000 |
0.000000000000 |
0.000000000000 |
ren |
1 |
5639004439 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
1063 |
32601110002 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
665 |
32601110002 |
D000013 |
|
Konsultasi Dokter Spesialis Kandungan |
IDR |
|
0.000000000000 |
1.000000000000 |
150000.000000000000 |
0.000000000000 |
0.000000000000 |
150000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
32601110002 |
|
32601110002 |
|
|
1900-01-01 00:00:00.000000 |
150000.000000000000 |
0.000000000000 |
ren |
1 |
5639004695 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
1064 |
22601150023 |
2026-04-04 14:00:51.000000 |
2.000000000000 |
923 |
22601150023 |
D000001 |
|
Biaya dr. Umum |
IDR |
|
0.000000000000 |
1.000000000000 |
50000.000000000000 |
0.000000000000 |
0.000000000000 |
50000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
22601150023 |
|
22601150023 |
|
|
1900-01-01 00:00:00.000000 |
50000.000000000000 |
0.000000000000 |
ren |
1 |
5639004951 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
1065 |
42601230010 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
1184 |
42601230010 |
F000010 |
|
Loratadine |
IDR |
|
0.000000000000 |
1.000000000000 |
18500.000000000000 |
0.000000000000 |
0.000000000000 |
18500.000000000000 |
|
|
|
0.000000000000 |
0 |
|
42601230010 |
|
42601230010 |
|
|
1900-01-01 00:00:00.000000 |
18500.000000000000 |
0.000000000000 |
ren |
1 |
5639005207 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
1066 |
3202601230006 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
1440 |
3202601230006 |
T000006 |
|
Injeksi Intravena |
IDR |
|
0.000000000000 |
1.000000000000 |
50000.000000000000 |
0.000000000000 |
0.000000000000 |
50000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
3202601230006 |
|
3202601230006 |
|
|
1900-01-01 00:00:00.000000 |
50000.000000000000 |
0.000000000000 |
ren |
1 |
5639005463 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
1067 |
22601240017 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
1696 |
22601240017 |
a |
|
a |
IDR |
|
0.000000000000 |
1.000000000000 |
0.000000000000 |
0.000000000000 |
0.000000000000 |
0.000000000000 |
|
|
|
0.000000000000 |
0 |
|
22601240017 |
|
22601240017 |
|
|
1900-01-01 00:00:00.000000 |
0.000000000000 |
0.000000000000 |
ren |
1 |
5639005719 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
1068 |
52603020001 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
2001 |
52603020001 |
P000001 |
|
Jarum Suntik |
IDR |
|
0.000000000000 |
1.000000000000 |
2500.000000000000 |
0.000000000000 |
0.000000000000 |
2500.000000000000 |
|
|
|
0.000000000000 |
0 |
|
52603020001 |
|
52603020001 |
|
|
1900-01-01 00:00:00.000000 |
2500.000000000000 |
0.000000000000 |
ren |
1 |
5639005975 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
1069 |
22512180033 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
119 |
22512180033 |
A000003 |
|
Rawat Inap |
IDR |
|
0.000000000000 |
1.000000000000 |
500000.000000000000 |
0.000000000000 |
0.000000000000 |
500000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
22512180033 |
|
22512180033 |
|
|
1900-01-01 00:00:00.000000 |
500000.000000000000 |
0.000000000000 |
ren |
1 |
5639004184 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
1070 |
22512190005 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
386 |
22512190005 |
A000003 |
|
Rawat Inap |
IDR |
|
0.000000000000 |
1.000000000000 |
0.000000000000 |
0.000000000000 |
0.000000000000 |
0.000000000000 |
|
|
|
0.000000000000 |
0 |
|
22512190005 |
|
22512190005 |
|
|
1900-01-01 00:00:00.000000 |
0.000000000000 |
0.000000000000 |
ren |
1 |
5639004440 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |