|
1251 |
22603060001 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
2024 |
22603060001 |
A000001 |
|
Biaya Kartu Pasien |
IDR |
|
0.000000000000 |
1.000000000000 |
50000.000000000000 |
0.000000000000 |
0.000000000000 |
50000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
22603060001 |
|
22603060001 |
|
|
1900-01-01 00:00:00.000000 |
50000.000000000000 |
0.000000000000 |
ren |
1 |
5639005998 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
1252 |
42512180023 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
143 |
42512180023 |
F000015 |
|
Diazepam |
IDR |
|
0.000000000000 |
3.000000000000 |
12000.000000000000 |
0.000000000000 |
0.000000000000 |
36000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
42512180023 |
|
42512180023 |
|
|
1900-01-01 00:00:00.000000 |
36000.000000000000 |
0.000000000000 |
ren |
1 |
5639004207 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
1253 |
22512220005 |
2026-04-04 14:00:51.000000 |
2.000000000000 |
410 |
22512220005 |
A000003 |
|
Rawat Inap |
IDR |
|
0.000000000000 |
1.000000000000 |
500000.000000000000 |
0.000000000000 |
0.000000000000 |
500000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
22512220005 |
|
22512220005 |
|
|
1900-01-01 00:00:00.000000 |
500000.000000000000 |
0.000000000000 |
ren |
1 |
5639004463 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
1254 |
132601130003 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
691 |
132601130003 |
L000001 |
|
DDR |
IDR |
|
0.000000000000 |
1.000000000000 |
50000000.000000000000 |
0.000000000000 |
0.000000000000 |
50000000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
132601130003 |
|
132601130003 |
|
|
1900-01-01 00:00:00.000000 |
50000000.000000000000 |
0.000000000000 |
ren |
1 |
5639004719 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
1255 |
32601150019 |
2026-04-04 14:00:51.000000 |
3.000000000000 |
947 |
32601150019 |
D000002 |
|
Biaya Konsultasi dr. Spesialis THT |
IDR |
|
0.000000000000 |
1.000000000000 |
75000.000000000000 |
0.000000000000 |
0.000000000000 |
75000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
32601150019 |
|
32601150019 |
|
|
1900-01-01 00:00:00.000000 |
75000.000000000000 |
0.000000000000 |
ren |
1 |
5639004975 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
1256 |
32601230014 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
1208 |
32601230014 |
T000004 |
|
Pemasangan Infus |
IDR |
|
0.000000000000 |
1.000000000000 |
75000.000000000000 |
0.000000000000 |
0.000000000000 |
75000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
32601230014 |
|
32601230014 |
|
|
1900-01-01 00:00:00.000000 |
75000.000000000000 |
0.000000000000 |
ren |
1 |
5639005231 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
1257 |
52601230051 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
1464 |
52601230051 |
P000010 |
|
Cotton Ball |
IDR |
|
0.000000000000 |
1.000000000000 |
5000.000000000000 |
0.000000000000 |
0.000000000000 |
5000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
52601230051 |
|
52601230051 |
|
|
1900-01-01 00:00:00.000000 |
5000.000000000000 |
0.000000000000 |
ren |
1 |
5639005487 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
1258 |
226012400022 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
1720 |
226012400022 |
D000005 |
|
Dokter Spesialis 150k |
IDR |
|
0.000000000000 |
1.000000000000 |
150000.000000000000 |
0.000000000000 |
0.000000000000 |
150000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
226012400022 |
|
226012400022 |
|
|
1900-01-01 00:00:00.000000 |
150000.000000000000 |
0.000000000000 |
ren |
1 |
5639005743 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
1259 |
22603060001 |
2026-04-04 14:00:51.000000 |
2.000000000000 |
2025 |
22603060001 |
D000007 |
|
Konsultasi Dokter SPOG |
IDR |
|
0.000000000000 |
1.000000000000 |
120000.000000000000 |
0.000000000000 |
0.000000000000 |
120000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
22603060001 |
|
22603060001 |
|
|
1900-01-01 00:00:00.000000 |
120000.000000000000 |
0.000000000000 |
ren |
1 |
5639005999 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
1260 |
42512180024 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
144 |
42512180024 |
F000001 |
|
Paracetamol |
IDR |
|
0.000000000000 |
1.000000000000 |
1500.000000000000 |
0.000000000000 |
0.000000000000 |
1500.000000000000 |
|
|
|
0.000000000000 |
0 |
|
42512180024 |
|
42512180024 |
|
|
1900-01-01 00:00:00.000000 |
1500.000000000000 |
0.000000000000 |
ren |
1 |
5639004208 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |