|
101 |
1260525000006 |
1900-01-01 00:00:00.000000 |
2720.000000000000 |
LID2606100591 |
22605250006 |
A000001 |
|
Biaya Kartu Pasien |
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 |
5639006742 |
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 |
|
102 |
1260610000001 |
1900-01-01 00:00:00.000000 |
2976.000000000000 |
LID2606100847 |
112606100001 |
R000002 |
|
|
IDR |
|
0.000000000000 |
1.000000000000 |
3500000.000000000000 |
0.000000000000 |
0.000000000000 |
3500000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
1260610000001 |
|
|
|
|
1900-01-01 00:00:00.000000 |
3500000.000000000000 |
1.000000000000 |
snr |
1 |
5639006998 |
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 |
|
103 |
1260423000001 |
1900-01-01 00:00:00.000000 |
2209.000000000000 |
LID2606100080 |
22604230001 |
A000002 |
|
Rawat Jalan |
IDR |
|
0.000000000000 |
1.000000000000 |
150000.000000000000 |
0.000000000000 |
0.000000000000 |
150000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
1260423000001 |
|
|
|
|
1900-01-01 00:00:00.000000 |
150000.000000000000 |
1.000000000000 |
snr |
1 |
5639006231 |
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 |
|
104 |
1260504000002 |
1900-01-01 00:00:00.000000 |
2465.000000000000 |
LID2606100336 |
32605040007 |
T000005 |
|
Injeksi Intramuskular |
IDR |
|
0.000000000000 |
1.000000000000 |
40000.000000000000 |
0.000000000000 |
0.000000000000 |
40000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
1260504000002 |
|
|
|
|
1900-01-01 00:00:00.000000 |
40000.000000000000 |
1.000000000000 |
snr |
1 |
5639006487 |
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 |
|
105 |
1260525000006 |
1900-01-01 00:00:00.000000 |
2721.000000000000 |
LID2606100592 |
22605250006 |
A000002 |
|
Rawat Jalan |
IDR |
|
0.000000000000 |
1.000000000000 |
150000.000000000000 |
0.000000000000 |
0.000000000000 |
150000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
1260525000006 |
|
|
|
|
1900-01-01 00:00:00.000000 |
150000.000000000000 |
1.000000000000 |
snr |
1 |
5639006743 |
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 |
|
106 |
1260610000001 |
1900-01-01 00:00:00.000000 |
2977.000000000000 |
LID2606100848 |
132606100001 |
L000001 |
|
|
IDR |
|
0.000000000000 |
1.000000000000 |
15000.000000000000 |
0.000000000000 |
0.000000000000 |
15000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
1260610000001 |
|
|
|
|
1900-01-01 00:00:00.000000 |
15000.000000000000 |
1.000000000000 |
snr |
1 |
5639006999 |
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 |
|
107 |
1260423000001 |
1900-01-01 00:00:00.000000 |
2210.000000000000 |
LID2606100081 |
22604230001 |
D000005 |
|
Dokter Spesialis 150k (150.000) |
IDR |
|
0.000000000000 |
1.000000000000 |
150000.000000000000 |
0.000000000000 |
0.000000000000 |
150000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
1260423000001 |
|
|
|
|
1900-01-01 00:00:00.000000 |
150000.000000000000 |
1.000000000000 |
snr |
1 |
5639006232 |
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 |
|
108 |
1260504000002 |
1900-01-01 00:00:00.000000 |
2466.000000000000 |
LID2606100337 |
32605040007 |
T000007 |
|
Perawatan Luka |
IDR |
|
0.000000000000 |
1.000000000000 |
100000.000000000000 |
0.000000000000 |
0.000000000000 |
100000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
1260504000002 |
|
|
|
|
1900-01-01 00:00:00.000000 |
100000.000000000000 |
1.000000000000 |
snr |
1 |
5639006488 |
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 |
|
109 |
1260525000006 |
1900-01-01 00:00:00.000000 |
2722.000000000000 |
LID2606100593 |
22605250006 |
D000004 |
|
Dokter Spesialis 100k (100.000) |
IDR |
|
0.000000000000 |
1.000000000000 |
100000.000000000000 |
0.000000000000 |
0.000000000000 |
100000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
1260525000006 |
|
|
|
|
1900-01-01 00:00:00.000000 |
100000.000000000000 |
1.000000000000 |
snr |
1 |
5639006744 |
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 |
|
110 |
1260610000001 |
1900-01-01 00:00:00.000000 |
2978.000000000000 |
LID2606100849 |
132606100001 |
L000002 |
|
|
IDR |
|
0.000000000000 |
1.000000000000 |
30000.000000000000 |
0.000000000000 |
0.000000000000 |
30000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
1260610000001 |
|
|
|
|
1900-01-01 00:00:00.000000 |
30000.000000000000 |
1.000000000000 |
snr |
1 |
5639007000 |
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 |