|
1291 |
112603090002 |
2026-03-09 10:34:50.000000 |
1.000000000000 |
2029 |
112603090002 |
R000008 |
|
Cassette / Film X-Ray |
IDR |
|
0.000000000000 |
1.000000000000 |
2500000.000000000000 |
0.000000000000 |
0.000000000000 |
2500000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
112603090002 |
|
112603090002 |
|
|
1900-01-01 00:00:00.000000 |
2500000.000000000000 |
0.000000000000 |
ren |
1 |
5639006003 |
2026-04-04 14:00:51.000000 |
saya admin |
2026-04-04 14:00:51.000000 |
saya admin |
0 |
1900-01-01 00:00:00.000000 |
|
1292 |
42512180029 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
150 |
42512180029 |
F000016 |
|
Vitamin C |
IDR |
|
0.000000000000 |
1.000000000000 |
15500.000000000000 |
0.000000000000 |
0.000000000000 |
15500.000000000000 |
|
|
|
0.000000000000 |
0 |
|
42512180029 |
|
42512180029 |
|
|
1900-01-01 00:00:00.000000 |
15500.000000000000 |
0.000000000000 |
ren |
1 |
5639004212 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
1293 |
132512220001 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
415 |
132512220001 |
L000008 |
|
Hematokrit |
IDR |
|
0.000000000000 |
1.000000000000 |
10000000.000000000000 |
0.000000000000 |
0.000000000000 |
10000000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
132512220001 |
|
132512220001 |
|
|
1900-01-01 00:00:00.000000 |
10000000.000000000000 |
0.000000000000 |
ren |
1 |
5639004468 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
1294 |
22601130002 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
696 |
22601130002 |
A000002 |
|
Rawat Jalan |
IDR |
|
0.000000000000 |
1.000000000000 |
150000.000000000000 |
0.000000000000 |
0.000000000000 |
150000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
22601130002 |
|
22601130002 |
|
|
1900-01-01 00:00:00.000000 |
150000.000000000000 |
0.000000000000 |
ren |
1 |
5639004724 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
1295 |
32601150023 |
2026-04-04 14:00:51.000000 |
2.000000000000 |
952 |
32601150023 |
D000001 |
|
Biaya dr. 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 |
5639004980 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
1296 |
32601230015 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
1213 |
32601230015 |
T000003 |
|
Pemeriksaan Tanda Vital |
IDR |
|
0.000000000000 |
1.000000000000 |
25000.000000000000 |
0.000000000000 |
0.000000000000 |
25000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
32601230015 |
|
32601230015 |
|
|
1900-01-01 00:00:00.000000 |
25000.000000000000 |
0.000000000000 |
ren |
1 |
5639005236 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
1297 |
32601230051 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
1469 |
32601230051 |
T000002 |
|
Konsultasi Dokter Spesialis |
IDR |
|
0.000000000000 |
1.000000000000 |
150000.000000000000 |
0.000000000000 |
0.000000000000 |
150000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
32601230051 |
|
32601230051 |
|
|
1900-01-01 00:00:00.000000 |
150000.000000000000 |
0.000000000000 |
ren |
1 |
5639005492 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
1298 |
OA202601240004 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
1725 |
OA202601240004 |
P000001 |
|
Jarum Suntik |
IDR |
|
0.000000000000 |
1.000000000000 |
2500.000000000000 |
0.000000000000 |
0.000000000000 |
2500.000000000000 |
|
|
|
0.000000000000 |
0 |
|
OA202601240004 |
|
OA202601240004 |
|
|
1900-01-01 00:00:00.000000 |
2500.000000000000 |
0.000000000000 |
ren |
1 |
5639005748 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
1299 |
42601090004 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
2030 |
42601090004 |
F000002 |
|
Paramex |
IDR |
|
0.000000000000 |
1.000000000000 |
250000.000000000000 |
0.000000000000 |
0.000000000000 |
250000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
42601090004 |
|
42601090004 |
|
|
1900-01-01 00:00:00.000000 |
250000.000000000000 |
0.000000000000 |
ren |
1 |
5639006004 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
1300 |
42512180030 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
151 |
42512180030 |
F000009 |
|
Amoxicillin |
IDR |
|
0.000000000000 |
7.000000000000 |
96500.000000000000 |
0.000000000000 |
0.000000000000 |
675500.000000000000 |
|
|
|
0.000000000000 |
0 |
|
42512180030 |
|
42512180030 |
|
|
1900-01-01 00:00:00.000000 |
675500.000000000000 |
0.000000000000 |
ren |
1 |
5639004213 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |