|
1221 |
22512220003 |
2026-04-04 14:00:51.000000 |
2.000000000000 |
405 |
22512220003 |
D000016 |
|
Konsultasi Dokter Spesialis Mata |
IDR |
|
0.000000000000 |
1.000000000000 |
120000.000000000000 |
0.000000000000 |
0.000000000000 |
120000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
22512220003 |
|
22512220003 |
|
|
1900-01-01 00:00:00.000000 |
120000.000000000000 |
0.000000000000 |
ren |
1 |
5639004459 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
1222 |
42601120002 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
687 |
42601120002 |
F000002 |
|
Paramex |
IDR |
|
0.000000000000 |
5.000000000000 |
2500.000000000000 |
0.000000000000 |
0.000000000000 |
12500.000000000000 |
|
|
|
0.000000000000 |
0 |
|
42601120002 |
|
42601120002 |
|
|
1900-01-01 00:00:00.000000 |
12500.000000000000 |
0.000000000000 |
ren |
1 |
5639004715 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
1223 |
32601150017 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
943 |
32601150017 |
D000004 |
|
Dokter Spesialis 100k |
IDR |
|
0.000000000000 |
1.000000000000 |
100000.000000000000 |
0.000000000000 |
0.000000000000 |
100000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
32601150017 |
|
32601150017 |
|
|
1900-01-01 00:00:00.000000 |
100000.000000000000 |
0.000000000000 |
ren |
1 |
5639004971 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
1224 |
52601230013 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
1204 |
52601230013 |
P000010 |
|
Cotton Ball |
IDR |
|
0.000000000000 |
1.000000000000 |
5000.000000000000 |
0.000000000000 |
0.000000000000 |
5000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
52601230013 |
|
52601230013 |
|
|
1900-01-01 00:00:00.000000 |
5000.000000000000 |
0.000000000000 |
ren |
1 |
5639005227 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
1225 |
22601230050 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
1460 |
22601230050 |
A000002 |
|
Rawat Jalan |
IDR |
|
0.000000000000 |
1.000000000000 |
150000.000000000000 |
0.000000000000 |
0.000000000000 |
150000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
22601230050 |
|
22601230050 |
|
|
1900-01-01 00:00:00.000000 |
150000.000000000000 |
0.000000000000 |
ren |
1 |
5639005483 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
1226 |
22601240021 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
1716 |
22601240021 |
A000001 |
|
Biaya Kartu Pasien |
IDR |
|
0.000000000000 |
1.000000000000 |
50000.000000000000 |
0.000000000000 |
0.000000000000 |
50000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
22601240021 |
|
22601240021 |
|
|
1900-01-01 00:00:00.000000 |
50000.000000000000 |
0.000000000000 |
ren |
1 |
5639005739 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
1227 |
22603050001 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
2021 |
22603050001 |
A000001 |
|
Biaya Kartu Pasien |
IDR |
|
0.000000000000 |
1.000000000000 |
50000.000000000000 |
0.000000000000 |
0.000000000000 |
50000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
22603050001 |
|
22603050001 |
|
|
1900-01-01 00:00:00.000000 |
50000.000000000000 |
0.000000000000 |
ren |
1 |
5639005995 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
1228 |
42512180019 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
140 |
42512180019 |
F000001 |
|
Paracetamol |
IDR |
|
0.000000000000 |
15.000000000000 |
1500.000000000000 |
0.000000000000 |
0.000000000000 |
22500.000000000000 |
|
|
|
0.000000000000 |
0 |
|
42512180019 |
|
42512180019 |
|
|
1900-01-01 00:00:00.000000 |
22500.000000000000 |
0.000000000000 |
ren |
1 |
5639004204 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
1229 |
22512220004 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
406 |
22512220004 |
A000003 |
|
Rawat Inap |
IDR |
|
0.000000000000 |
1.000000000000 |
500000.000000000000 |
0.000000000000 |
0.000000000000 |
500000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
22512220004 |
|
22512220004 |
|
|
1900-01-01 00:00:00.000000 |
500000.000000000000 |
0.000000000000 |
ren |
1 |
5639004460 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
1230 |
132601120001 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
688 |
132601120001 |
L000001 |
|
DDR |
IDR |
|
0.000000000000 |
1.000000000000 |
50000000.000000000000 |
0.000000000000 |
0.000000000000 |
50000000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
132601120001 |
|
132601120001 |
|
|
1900-01-01 00:00:00.000000 |
50000000.000000000000 |
0.000000000000 |
ren |
1 |
5639004716 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |