|
1141 |
42512180013 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
129 |
42512180013 |
F000002 |
|
Paramex |
IDR |
|
0.000000000000 |
1.000000000000 |
2500.000000000000 |
0.000000000000 |
0.000000000000 |
2500.000000000000 |
|
|
|
0.000000000000 |
0 |
|
42512180013 |
|
42512180013 |
|
|
1900-01-01 00:00:00.000000 |
2500.000000000000 |
0.000000000000 |
ren |
1 |
5639004193 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
1142 |
22512200004 |
2026-04-04 14:00:51.000000 |
2.000000000000 |
395 |
22512200004 |
D000009 |
|
Konsultasi Dokter Gigi |
IDR |
|
0.000000000000 |
1.000000000000 |
60000.000000000000 |
0.000000000000 |
0.000000000000 |
60000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
22512200004 |
|
22512200004 |
|
|
1900-01-01 00:00:00.000000 |
60000.000000000000 |
0.000000000000 |
ren |
1 |
5639004449 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
1143 |
22601120003 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
676 |
22601120003 |
A000002 |
|
Rawat Jalan |
IDR |
|
0.000000000000 |
1.000000000000 |
150000.000000000000 |
0.000000000000 |
0.000000000000 |
150000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
22601120003 |
|
22601120003 |
|
|
1900-01-01 00:00:00.000000 |
150000.000000000000 |
0.000000000000 |
ren |
1 |
5639004705 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
1144 |
42601150019 |
2026-04-04 14:00:51.000000 |
2.000000000000 |
933 |
42601150019 |
F000004 |
|
Methylprednisolone |
IDR |
|
0.000000000000 |
2.000000000000 |
24000.000000000000 |
0.000000000000 |
0.000000000000 |
48000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
42601150019 |
|
42601150019 |
|
|
1900-01-01 00:00:00.000000 |
48000.000000000000 |
0.000000000000 |
ren |
1 |
5639004961 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
1145 |
22601230012 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
1194 |
22601230012 |
A000002 |
|
Rawat Jalan |
IDR |
|
0.000000000000 |
1.000000000000 |
150000.000000000000 |
0.000000000000 |
0.000000000000 |
150000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
22601230012 |
|
22601230012 |
|
|
1900-01-01 00:00:00.000000 |
150000.000000000000 |
0.000000000000 |
ren |
1 |
5639005217 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
1146 |
22601230048 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
1450 |
22601230048 |
A000001 |
|
Biaya Kartu Pasien |
IDR |
|
0.000000000000 |
1.000000000000 |
50000.000000000000 |
0.000000000000 |
0.000000000000 |
50000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
22601230048 |
|
22601230048 |
|
|
1900-01-01 00:00:00.000000 |
50000.000000000000 |
0.000000000000 |
ren |
1 |
5639005473 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
1147 |
52601240013 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
1706 |
52601240013 |
P000006 |
|
Kasa Steril |
IDR |
|
0.000000000000 |
1.000000000000 |
1000.000000000000 |
0.000000000000 |
0.000000000000 |
1000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
52601240013 |
|
52601240013 |
|
|
1900-01-01 00:00:00.000000 |
1000.000000000000 |
0.000000000000 |
ren |
1 |
5639005729 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
1148 |
22603030003 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
2011 |
22603030003 |
D000002 |
|
Biaya Konsultasi dr. Spesialis THT (75.000) |
IDR |
|
0.000000000000 |
1.000000000000 |
75000.000000000000 |
0.000000000000 |
0.000000000000 |
75000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
22603030003 |
|
22603030003 |
|
|
1900-01-01 00:00:00.000000 |
75000.000000000000 |
0.000000000000 |
ren |
1 |
5639005985 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
1149 |
42512180014 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
130 |
42512180014 |
F000001 |
|
Paracetamol |
IDR |
|
0.000000000000 |
10.000000000000 |
1500.000000000000 |
0.000000000000 |
0.000000000000 |
15000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
42512180014 |
|
42512180014 |
|
|
1900-01-01 00:00:00.000000 |
15000.000000000000 |
0.000000000000 |
ren |
1 |
5639004194 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
1150 |
22512200005 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
396 |
22512200005 |
A000003 |
|
Rawat Inap |
IDR |
|
0.000000000000 |
1.000000000000 |
500000.000000000000 |
0.000000000000 |
0.000000000000 |
500000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
22512200005 |
|
22512200005 |
|
|
1900-01-01 00:00:00.000000 |
500000.000000000000 |
0.000000000000 |
ren |
1 |
5639004450 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |