|
1201 |
226012300049 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
1457 |
226012300049 |
D000005 |
|
Dokter Spesialis 150k |
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 |
5639005480 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
1202 |
32601240020 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
1713 |
32601240020 |
T000005 |
|
Injeksi Intramuskular |
IDR |
|
0.000000000000 |
1.000000000000 |
40000.000000000000 |
0.000000000000 |
0.000000000000 |
40000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
32601240020 |
|
32601240020 |
|
|
1900-01-01 00:00:00.000000 |
40000.000000000000 |
0.000000000000 |
ren |
1 |
5639005736 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
1203 |
4260303000001 |
2026-04-04 14:00:51.000000 |
5.000000000000 |
2018 |
4260303000001 |
F000003 |
|
Alerfed |
IDR |
|
0.000000000000 |
5.000000000000 |
3000.000000000000 |
0.000000000000 |
0.000000000000 |
15000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
4260303000001 |
|
4260303000001 |
|
|
1900-01-01 00:00:00.000000 |
15000.000000000000 |
0.000000000000 |
ren |
1 |
5639005992 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
1204 |
42512180018 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
137 |
42512180018 |
F000002 |
|
Paramex |
IDR |
|
0.000000000000 |
15.000000000000 |
2500.000000000000 |
0.000000000000 |
0.000000000000 |
37500.000000000000 |
|
|
|
0.000000000000 |
0 |
|
42512180018 |
|
42512180018 |
|
|
1900-01-01 00:00:00.000000 |
37500.000000000000 |
0.000000000000 |
ren |
1 |
5639004201 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
1205 |
22512220002 |
2026-04-04 14:00:51.000000 |
2.000000000000 |
403 |
22512220002 |
D000007 |
|
Konsultasi Dokter SPOG |
IDR |
|
0.000000000000 |
1.000000000000 |
120000.000000000000 |
0.000000000000 |
0.000000000000 |
120000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
22512220002 |
|
22512220002 |
|
|
1900-01-01 00:00:00.000000 |
120000.000000000000 |
0.000000000000 |
ren |
1 |
5639004457 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
1206 |
42601120001 |
2026-04-04 14:00:51.000000 |
3.000000000000 |
684 |
42601120001 |
F000003 |
|
Alerfed |
IDR |
|
0.000000000000 |
4.000000000000 |
3000.000000000000 |
0.000000000000 |
0.000000000000 |
12000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
42601120001 |
|
42601120001 |
|
|
1900-01-01 00:00:00.000000 |
12000.000000000000 |
0.000000000000 |
ren |
1 |
5639004713 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
1207 |
22601150026 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
941 |
22601150026 |
A000003 |
|
Rawat Inap |
IDR |
|
0.000000000000 |
1.000000000000 |
500000.000000000000 |
0.000000000000 |
0.000000000000 |
500000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
22601150026 |
|
22601150026 |
|
|
1900-01-01 00:00:00.000000 |
500000.000000000000 |
0.000000000000 |
ren |
1 |
5639004969 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
1208 |
52601230012 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
1202 |
52601230012 |
X000006 |
|
Kertas HVS A4 |
IDR |
|
0.000000000000 |
2.000000000000 |
55000.000000000000 |
0.000000000000 |
0.000000000000 |
110000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
52601230012 |
|
52601230012 |
|
|
1900-01-01 00:00:00.000000 |
110000.000000000000 |
0.000000000000 |
ren |
1 |
5639005225 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
1209 |
3202601230007 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
1458 |
3202601230007 |
T000006 |
|
Injeksi Intravena |
IDR |
|
0.000000000000 |
1.000000000000 |
50000.000000000000 |
0.000000000000 |
0.000000000000 |
50000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
3202601230007 |
|
3202601230007 |
|
|
1900-01-01 00:00:00.000000 |
50000.000000000000 |
0.000000000000 |
ren |
1 |
5639005481 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
1210 |
52601240014 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
1714 |
52601240014 |
P000004 |
|
Masker Nebulizer |
IDR |
|
0.000000000000 |
1.000000000000 |
20000.000000000000 |
0.000000000000 |
0.000000000000 |
20000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
52601240014 |
|
52601240014 |
|
|
1900-01-01 00:00:00.000000 |
20000.000000000000 |
0.000000000000 |
ren |
1 |
5639005737 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |