|
111 |
1260426000001 |
1900-01-01 00:00:00.000000 |
2211.000000000000 |
LID2606100082 |
22604260001 |
A000002 |
|
Rawat Jalan |
IDR |
|
0.000000000000 |
1.000000000000 |
150000.000000000000 |
0.000000000000 |
0.000000000000 |
150000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
1260426000001 |
|
|
|
|
1900-01-01 00:00:00.000000 |
150000.000000000000 |
1.000000000000 |
snr |
1 |
5639006233 |
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 |
|
112 |
1260504000002 |
1900-01-01 00:00:00.000000 |
2467.000000000000 |
LID2606100338 |
32605040007 |
T000008 |
|
Nebulisasi |
IDR |
|
0.000000000000 |
1.000000000000 |
80000.000000000000 |
0.000000000000 |
0.000000000000 |
80000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
1260504000002 |
|
|
|
|
1900-01-01 00:00:00.000000 |
80000.000000000000 |
1.000000000000 |
snr |
1 |
5639006489 |
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 |
|
113 |
1260525000006 |
1900-01-01 00:00:00.000000 |
2723.000000000000 |
LID2606100594 |
32605250029 |
T000004 |
|
Pemasangan Infus |
IDR |
|
0.000000000000 |
1.000000000000 |
75000.000000000000 |
0.000000000000 |
0.000000000000 |
75000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
1260525000006 |
|
|
|
|
1900-01-01 00:00:00.000000 |
75000.000000000000 |
1.000000000000 |
snr |
1 |
5639006745 |
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 |
|
114 |
1260610000001 |
1900-01-01 00:00:00.000000 |
2979.000000000000 |
LID2606100850 |
22606100001 |
A000001 |
|
Biaya Kartu Pasien |
IDR |
|
0.000000000000 |
1.000000000000 |
50000.000000000000 |
0.000000000000 |
0.000000000000 |
50000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
1260610000001 |
|
|
|
|
1900-01-01 00:00:00.000000 |
50000.000000000000 |
1.000000000000 |
snr |
1 |
5639007001 |
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 |
|
115 |
1260426000001 |
1900-01-01 00:00:00.000000 |
2212.000000000000 |
LID2606100083 |
22604260001 |
D000005 |
|
Dokter Spesialis 150k (150.000) |
IDR |
|
0.000000000000 |
1.000000000000 |
150000.000000000000 |
0.000000000000 |
0.000000000000 |
150000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
1260426000001 |
|
|
|
|
1900-01-01 00:00:00.000000 |
150000.000000000000 |
1.000000000000 |
snr |
1 |
5639006234 |
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 |
|
116 |
1260504000002 |
1900-01-01 00:00:00.000000 |
2468.000000000000 |
LID2606100339 |
32605040007 |
T000009 |
|
Pengambilan Sampel Darah |
IDR |
|
0.000000000000 |
1.000000000000 |
35000.000000000000 |
0.000000000000 |
0.000000000000 |
35000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
1260504000002 |
|
|
|
|
1900-01-01 00:00:00.000000 |
35000.000000000000 |
1.000000000000 |
snr |
1 |
5639006490 |
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 |
|
117 |
1260525000006 |
1900-01-01 00:00:00.000000 |
2724.000000000000 |
LID2606100595 |
32605250029 |
T000005 |
|
Injeksi Intramuskular |
IDR |
|
0.000000000000 |
1.000000000000 |
40000.000000000000 |
0.000000000000 |
0.000000000000 |
40000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
1260525000006 |
|
|
|
|
1900-01-01 00:00:00.000000 |
40000.000000000000 |
1.000000000000 |
snr |
1 |
5639006746 |
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 |
|
118 |
1260610000001 |
1900-01-01 00:00:00.000000 |
2980.000000000000 |
LID2606100851 |
22606100001 |
A000002 |
|
Rawat Jalan |
IDR |
|
0.000000000000 |
1.000000000000 |
150000.000000000000 |
0.000000000000 |
0.000000000000 |
150000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
1260610000001 |
|
|
|
|
1900-01-01 00:00:00.000000 |
150000.000000000000 |
1.000000000000 |
snr |
1 |
5639007002 |
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 |
|
119 |
1260426000002 |
1900-01-01 00:00:00.000000 |
2213.000000000000 |
LID2606100084 |
112604260001 |
R000004 |
|
|
IDR |
|
0.000000000000 |
1.000000000000 |
300000.000000000000 |
0.000000000000 |
0.000000000000 |
300000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
1260426000002 |
|
|
|
|
1900-01-01 00:00:00.000000 |
300000.000000000000 |
1.000000000000 |
snr |
1 |
5639006235 |
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 |
|
120 |
1260504000003 |
1900-01-01 00:00:00.000000 |
2469.000000000000 |
LID2606100340 |
132605110008 |
L000002 |
|
|
IDR |
|
0.000000000000 |
1.000000000000 |
30000.000000000000 |
0.000000000000 |
0.000000000000 |
30000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
1260504000003 |
|
|
|
|
1900-01-01 00:00:00.000000 |
30000.000000000000 |
1.000000000000 |
snr |
1 |
5639006491 |
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 |