|
1281 |
2260123000052 |
2026-04-04 14:00:51.000000 |
2.000000000000 |
1467 |
2260123000052 |
A000002 |
|
Rawat Jalan |
IDR |
|
0.000000000000 |
1.000000000000 |
150000.000000000000 |
0.000000000000 |
0.000000000000 |
150000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
2260123000052 |
|
2260123000052 |
|
|
1900-01-01 00:00:00.000000 |
150000.000000000000 |
0.000000000000 |
ren |
1 |
5639005490 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
1282 |
22601240022 |
2026-04-04 14:00:51.000000 |
2.000000000000 |
1723 |
22601240022 |
A000002 |
|
Rawat Jalan |
IDR |
|
0.000000000000 |
1.000000000000 |
150000.000000000000 |
0.000000000000 |
0.000000000000 |
150000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
22601240022 |
|
22601240022 |
|
|
1900-01-01 00:00:00.000000 |
150000.000000000000 |
0.000000000000 |
ren |
1 |
5639005746 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
1283 |
112603090001 |
2026-03-09 03:33:20.000000 |
1.000000000000 |
2028 |
112603090001 |
R000008 |
|
Cassette / Film X-Ray |
IDR |
|
0.000000000000 |
1.000000000000 |
2500000.000000000000 |
0.000000000000 |
0.000000000000 |
2500000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
112603090001 |
|
112603090001 |
|
|
1900-01-01 00:00:00.000000 |
2500000.000000000000 |
0.000000000000 |
ren |
1 |
5639006002 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
1284 |
42512180027 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
149 |
42512180027 |
F000002 |
|
Paramex |
IDR |
|
0.000000000000 |
100.000000000000 |
2500.000000000000 |
0.000000000000 |
0.000000000000 |
250000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
42512180027 |
|
42512180027 |
|
|
1900-01-01 00:00:00.000000 |
250000.000000000000 |
0.000000000000 |
ren |
1 |
5639004211 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
1285 |
22512220006 |
2026-04-04 14:00:51.000000 |
3.000000000000 |
414 |
22512220006 |
D000003 |
|
Dokter Spesialis 50k |
IDR |
|
0.000000000000 |
1.000000000000 |
50000.000000000000 |
0.000000000000 |
0.000000000000 |
50000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
22512220006 |
|
22512220006 |
|
|
1900-01-01 00:00:00.000000 |
50000.000000000000 |
0.000000000000 |
ren |
1 |
5639004467 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
1286 |
22601130001 |
2026-04-04 14:00:51.000000 |
3.000000000000 |
695 |
22601130001 |
D000010 |
|
Konsultasi Dokter Anak |
IDR |
|
0.000000000000 |
1.000000000000 |
70000.000000000000 |
0.000000000000 |
0.000000000000 |
70000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
22601130001 |
|
22601130001 |
|
|
1900-01-01 00:00:00.000000 |
70000.000000000000 |
0.000000000000 |
ren |
1 |
5639004723 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
1287 |
32601150023 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
951 |
32601150023 |
D000008 |
|
Konsultasi Dokter Umum |
IDR |
|
0.000000000000 |
14.000000000000 |
50000.000000000000 |
0.000000000000 |
0.000000000000 |
700000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
32601150023 |
|
32601150023 |
|
|
1900-01-01 00:00:00.000000 |
700000.000000000000 |
0.000000000000 |
ren |
1 |
5639004979 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
1288 |
42601230015 |
2026-04-04 14:00:51.000000 |
5.000000000000 |
1212 |
42601230015 |
F000006 |
|
Amlodipine |
IDR |
|
0.000000000000 |
1.000000000000 |
25500.000000000000 |
0.000000000000 |
0.000000000000 |
25500.000000000000 |
|
|
|
0.000000000000 |
0 |
|
42601230015 |
|
42601230015 |
|
|
1900-01-01 00:00:00.000000 |
25500.000000000000 |
0.000000000000 |
ren |
1 |
5639005235 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
1289 |
32601230050 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
1468 |
32601230050 |
T000002 |
|
Konsultasi Dokter Spesialis |
IDR |
|
0.000000000000 |
1.000000000000 |
150000.000000000000 |
0.000000000000 |
0.000000000000 |
150000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
32601230050 |
|
32601230050 |
|
|
1900-01-01 00:00:00.000000 |
150000.000000000000 |
0.000000000000 |
ren |
1 |
5639005491 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
1290 |
22601240022 |
2026-04-04 14:00:51.000000 |
3.000000000000 |
1724 |
22601240022 |
D000001 |
|
Biaya dr. Umum |
IDR |
|
0.000000000000 |
1.000000000000 |
50000.000000000000 |
0.000000000000 |
0.000000000000 |
50000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
22601240022 |
|
22601240022 |
|
|
1900-01-01 00:00:00.000000 |
50000.000000000000 |
0.000000000000 |
ren |
1 |
5639005747 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |