|
1241 |
22601230051 |
2026-04-04 14:00:51.000000 |
2.000000000000 |
1462 |
22601230051 |
D000004 |
|
Dokter Spesialis 100k |
IDR |
|
0.000000000000 |
1.000000000000 |
100000.000000000000 |
0.000000000000 |
0.000000000000 |
100000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
22601230051 |
|
22601230051 |
|
|
1900-01-01 00:00:00.000000 |
100000.000000000000 |
0.000000000000 |
ren |
1 |
5639005485 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
1242 |
22601240021 |
2026-04-04 14:00:51.000000 |
3.000000000000 |
1718 |
22601240021 |
D000003 |
|
Dokter Spesialis 50k |
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 |
5639005741 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
1243 |
22603050001 |
2026-04-04 14:00:51.000000 |
3.000000000000 |
2023 |
22603050001 |
D000003 |
|
Dokter Spesialis 50k |
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 |
5639005997 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
1244 |
42512180022 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
142 |
42512180022 |
F000001 |
|
Paracetamol |
IDR |
|
0.000000000000 |
1.000000000000 |
1500.000000000000 |
0.000000000000 |
0.000000000000 |
1500.000000000000 |
|
|
|
0.000000000000 |
0 |
|
42512180022 |
|
42512180022 |
|
|
1900-01-01 00:00:00.000000 |
1500.000000000000 |
0.000000000000 |
ren |
1 |
5639004206 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
1245 |
22512220005 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
409 |
22512220005 |
A000001 |
|
Biaya Kartu Pasien |
IDR |
|
0.000000000000 |
1.000000000000 |
50000.000000000000 |
0.000000000000 |
0.000000000000 |
50000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
22512220005 |
|
22512220005 |
|
|
1900-01-01 00:00:00.000000 |
50000.000000000000 |
0.000000000000 |
ren |
1 |
5639004462 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
1246 |
132601130002 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
690 |
132601130002 |
L000003 |
|
Hit. Juml Leukosit |
IDR |
|
0.000000000000 |
1.000000000000 |
10000000.000000000000 |
0.000000000000 |
0.000000000000 |
10000000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
132601130002 |
|
132601130002 |
|
|
1900-01-01 00:00:00.000000 |
10000000.000000000000 |
0.000000000000 |
ren |
1 |
5639004718 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
1247 |
32601150019 |
2026-04-04 14:00:51.000000 |
2.000000000000 |
946 |
32601150019 |
D000005 |
|
Dokter Spesialis 150k |
IDR |
|
0.000000000000 |
1.000000000000 |
150000.000000000000 |
0.000000000000 |
0.000000000000 |
150000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
32601150019 |
|
32601150019 |
|
|
1900-01-01 00:00:00.000000 |
150000.000000000000 |
0.000000000000 |
ren |
1 |
5639004974 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
1248 |
42601230014 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
1207 |
42601230014 |
F000007 |
|
Captopril |
IDR |
|
0.000000000000 |
3.000000000000 |
14500.000000000000 |
0.000000000000 |
0.000000000000 |
43500.000000000000 |
|
|
|
0.000000000000 |
0 |
|
42601230014 |
|
42601230014 |
|
|
1900-01-01 00:00:00.000000 |
43500.000000000000 |
0.000000000000 |
ren |
1 |
5639005230 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
1249 |
32601230049 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
1463 |
32601230049 |
T000002 |
|
Konsultasi Dokter Spesialis |
IDR |
|
0.000000000000 |
1.000000000000 |
150000.000000000000 |
0.000000000000 |
0.000000000000 |
150000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
32601230049 |
|
32601230049 |
|
|
1900-01-01 00:00:00.000000 |
150000.000000000000 |
0.000000000000 |
ren |
1 |
5639005486 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
1250 |
226012400022 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
1719 |
226012400022 |
A000003 |
|
Rawat Inap |
IDR |
|
0.000000000000 |
1.000000000000 |
500000.000000000000 |
0.000000000000 |
0.000000000000 |
500000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
226012400022 |
|
226012400022 |
|
|
1900-01-01 00:00:00.000000 |
500000.000000000000 |
0.000000000000 |
ren |
1 |
5639005742 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |