|
1121 |
22601230011 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
1191 |
22601230011 |
D000003 |
|
Dokter Spesialis 50k (50.000) |
IDR |
|
0.000000000000 |
1.000000000000 |
50000.000000000000 |
0.000000000000 |
0.000000000000 |
50000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
22601230011 |
|
22601230011 |
|
|
1900-01-01 00:00:00.000000 |
50000.000000000000 |
0.000000000000 |
ren |
1 |
5639005214 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
1122 |
32601230047 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
1447 |
32601230047 |
T000005 |
|
Injeksi Intramuskular |
IDR |
|
0.000000000000 |
1.000000000000 |
40000.000000000000 |
0.000000000000 |
0.000000000000 |
40000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
32601230047 |
|
32601230047 |
|
|
1900-01-01 00:00:00.000000 |
40000.000000000000 |
0.000000000000 |
ren |
1 |
5639005470 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
1123 |
32601240019 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
1703 |
32601240019 |
T000005 |
|
Injeksi Intramuskular |
IDR |
|
0.000000000000 |
1.000000000000 |
40000.000000000000 |
0.000000000000 |
0.000000000000 |
40000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
32601240019 |
|
32601240019 |
|
|
1900-01-01 00:00:00.000000 |
40000.000000000000 |
0.000000000000 |
ren |
1 |
5639005726 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
1124 |
32603030003 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
2008 |
32603030003 |
T000007 |
|
Perawatan Luka |
IDR |
|
0.000000000000 |
1.000000000000 |
100000.000000000000 |
0.000000000000 |
0.000000000000 |
100000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
32603030003 |
|
32603030003 |
|
|
1900-01-01 00:00:00.000000 |
100000.000000000000 |
0.000000000000 |
ren |
1 |
5639005982 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
1125 |
42512180012 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
127 |
42512180012 |
F000002 |
|
Paramex |
IDR |
|
0.000000000000 |
10.000000000000 |
2500.000000000000 |
0.000000000000 |
0.000000000000 |
25000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
42512180012 |
|
42512180012 |
|
|
1900-01-01 00:00:00.000000 |
25000.000000000000 |
0.000000000000 |
ren |
1 |
5639004191 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
1126 |
22512200003 |
2026-04-04 14:00:51.000000 |
2.000000000000 |
393 |
22512200003 |
D000002 |
|
Biaya Konsultasi dr. Spesialis THT |
IDR |
|
0.000000000000 |
1.000000000000 |
75000.000000000000 |
0.000000000000 |
0.000000000000 |
75000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
22512200003 |
|
22512200003 |
|
|
1900-01-01 00:00:00.000000 |
75000.000000000000 |
0.000000000000 |
ren |
1 |
5639004447 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
1127 |
22601120002 |
2026-04-04 14:00:51.000000 |
3.000000000000 |
674 |
22601120002 |
D000001 |
|
Biaya dr. Umum |
IDR |
|
0.000000000000 |
1.000000000000 |
50000.000000000000 |
0.000000000000 |
0.000000000000 |
50000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
22601120002 |
|
22601120002 |
|
|
1900-01-01 00:00:00.000000 |
50000.000000000000 |
0.000000000000 |
ren |
1 |
5639004703 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
1128 |
42601150018 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
931 |
42601150018 |
F000013 |
|
Dexamethasone |
IDR |
|
0.000000000000 |
1.000000000000 |
42000.000000000000 |
0.000000000000 |
0.000000000000 |
42000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
42601150018 |
|
42601150018 |
|
|
1900-01-01 00:00:00.000000 |
42000.000000000000 |
0.000000000000 |
ren |
1 |
5639004959 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
1129 |
22601230011 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
1192 |
22601230011 |
A000001 |
|
Biaya Kartu Pasien |
IDR |
|
0.000000000000 |
1.000000000000 |
50000.000000000000 |
0.000000000000 |
0.000000000000 |
50000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
22601230011 |
|
22601230011 |
|
|
1900-01-01 00:00:00.000000 |
50000.000000000000 |
0.000000000000 |
ren |
1 |
5639005215 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
1130 |
52601230050 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
1448 |
52601230050 |
P000001 |
|
Jarum Suntik |
IDR |
|
0.000000000000 |
1.000000000000 |
2500.000000000000 |
0.000000000000 |
0.000000000000 |
2500.000000000000 |
|
|
|
0.000000000000 |
0 |
|
52601230050 |
|
52601230050 |
|
|
1900-01-01 00:00:00.000000 |
2500.000000000000 |
0.000000000000 |
ren |
1 |
5639005471 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |