|
1191 |
42601120001 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
682 |
42601120001 |
F000001 |
|
Paracetamol |
IDR |
|
0.000000000000 |
4.000000000000 |
1500.000000000000 |
0.000000000000 |
0.000000000000 |
6000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
42601120001 |
|
42601120001 |
|
|
1900-01-01 00:00:00.000000 |
6000.000000000000 |
0.000000000000 |
ren |
1 |
5639004711 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
1192 |
42601150020 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
939 |
42601150020 |
F000004 |
|
Methylprednisolone |
IDR |
|
0.000000000000 |
4.000000000000 |
24000.000000000000 |
0.000000000000 |
0.000000000000 |
96000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
42601150020 |
|
42601150020 |
|
|
1900-01-01 00:00:00.000000 |
96000.000000000000 |
0.000000000000 |
ren |
1 |
5639004967 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
1193 |
2260123000013 |
2026-04-04 14:00:51.000000 |
2.000000000000 |
1200 |
2260123000013 |
A000001 |
|
Biaya Kartu Pasien |
IDR |
|
0.000000000000 |
1.000000000000 |
50000.000000000000 |
0.000000000000 |
0.000000000000 |
50000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
2260123000013 |
|
2260123000013 |
|
|
1900-01-01 00:00:00.000000 |
50000.000000000000 |
0.000000000000 |
ren |
1 |
5639005223 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
1194 |
226012300049 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
1456 |
226012300049 |
A000002 |
|
Rawat Jalan |
IDR |
|
0.000000000000 |
1.000000000000 |
150000.000000000000 |
0.000000000000 |
0.000000000000 |
150000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
226012300049 |
|
226012300049 |
|
|
1900-01-01 00:00:00.000000 |
150000.000000000000 |
0.000000000000 |
ren |
1 |
5639005479 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
1195 |
22601240020 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
1712 |
22601240020 |
D000005 |
|
Dokter Spesialis 150k |
IDR |
|
0.000000000000 |
1.000000000000 |
150000.000000000000 |
0.000000000000 |
0.000000000000 |
150000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
22601240020 |
|
22601240020 |
|
|
1900-01-01 00:00:00.000000 |
150000.000000000000 |
0.000000000000 |
ren |
1 |
5639005735 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
1196 |
5260303000001 |
2026-04-04 14:00:51.000000 |
5.000000000000 |
2017 |
5260303000001 |
P000010 |
|
Cotton Ball |
IDR |
|
0.000000000000 |
1.000000000000 |
5000.000000000000 |
0.000000000000 |
0.000000000000 |
5000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
5260303000001 |
|
5260303000001 |
|
|
1900-01-01 00:00:00.000000 |
5000.000000000000 |
0.000000000000 |
ren |
1 |
5639005991 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
1197 |
42512180017 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
136 |
42512180017 |
F000001 |
|
Paracetamol |
IDR |
|
0.000000000000 |
15.000000000000 |
1500.000000000000 |
0.000000000000 |
0.000000000000 |
22500.000000000000 |
|
|
|
0.000000000000 |
0 |
|
42512180017 |
|
42512180017 |
|
|
1900-01-01 00:00:00.000000 |
22500.000000000000 |
0.000000000000 |
ren |
1 |
5639004200 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
1198 |
22512220002 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
402 |
22512220002 |
A000003 |
|
Rawat Inap |
IDR |
|
0.000000000000 |
1.000000000000 |
500000.000000000000 |
0.000000000000 |
0.000000000000 |
500000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
22512220002 |
|
22512220002 |
|
|
1900-01-01 00:00:00.000000 |
500000.000000000000 |
0.000000000000 |
ren |
1 |
5639004456 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
1199 |
42601120001 |
2026-04-04 14:00:51.000000 |
2.000000000000 |
683 |
42601120001 |
F000002 |
|
Paramex |
IDR |
|
0.000000000000 |
4.000000000000 |
2500.000000000000 |
0.000000000000 |
0.000000000000 |
10000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
42601120001 |
|
42601120001 |
|
|
1900-01-01 00:00:00.000000 |
10000.000000000000 |
0.000000000000 |
ren |
1 |
5639004712 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
1200 |
2260123000013 |
2026-04-04 14:00:51.000000 |
3.000000000000 |
1201 |
2260123000013 |
A000002 |
|
Rawat Jalan |
IDR |
|
0.000000000000 |
1.000000000000 |
150000.000000000000 |
0.000000000000 |
0.000000000000 |
150000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
2260123000013 |
|
2260123000013 |
|
|
1900-01-01 00:00:00.000000 |
150000.000000000000 |
0.000000000000 |
ren |
1 |
5639005224 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |