|
1331 |
42601300002 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
2034 |
42601300002 |
F000011 |
|
Ibuprofen |
IDR |
|
0.000000000000 |
1.000000000000 |
30800.000000000000 |
0.000000000000 |
0.000000000000 |
30800.000000000000 |
|
|
|
0.000000000000 |
0 |
|
42601300002 |
|
42601300002 |
|
|
1900-01-01 00:00:00.000000 |
30800.000000000000 |
0.000000000000 |
ren |
1 |
5639006008 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
1332 |
42512180033 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
155 |
42512180033 |
F000013 |
|
Dexamethasone |
IDR |
|
0.000000000000 |
4.000000000000 |
42000.000000000000 |
0.000000000000 |
0.000000000000 |
168000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
42512180033 |
|
42512180033 |
|
|
1900-01-01 00:00:00.000000 |
168000.000000000000 |
0.000000000000 |
ren |
1 |
5639004217 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
1333 |
32512220002 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
420 |
32512220002 |
F000001 |
|
Paracetamol |
IDR |
|
0.000000000000 |
1.000000000000 |
1500.000000000000 |
0.000000000000 |
0.000000000000 |
1500.000000000000 |
|
|
|
0.000000000000 |
0 |
|
32512220002 |
|
32512220002 |
|
|
1900-01-01 00:00:00.000000 |
1500.000000000000 |
0.000000000000 |
ren |
1 |
5639004473 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
1334 |
22601130003 |
2026-04-04 14:00:51.000000 |
3.000000000000 |
701 |
22601130003 |
D000001 |
|
Biaya dr. Umum |
IDR |
|
0.000000000000 |
1.000000000000 |
50000.000000000000 |
0.000000000000 |
0.000000000000 |
50000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
22601130003 |
|
22601130003 |
|
|
1900-01-01 00:00:00.000000 |
50000.000000000000 |
0.000000000000 |
ren |
1 |
5639004729 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
1335 |
32601150025 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
957 |
32601150025 |
D000001 |
|
Biaya dr. Umum |
IDR |
|
0.000000000000 |
1.000000000000 |
50000.000000000000 |
0.000000000000 |
0.000000000000 |
50000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
32601150025 |
|
32601150025 |
|
|
1900-01-01 00:00:00.000000 |
50000.000000000000 |
0.000000000000 |
ren |
1 |
5639004985 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
1336 |
22601230015 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
1218 |
22601230015 |
A000002 |
|
Rawat Jalan |
IDR |
|
0.000000000000 |
1.000000000000 |
150000.000000000000 |
0.000000000000 |
0.000000000000 |
150000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
22601230015 |
|
22601230015 |
|
|
1900-01-01 00:00:00.000000 |
150000.000000000000 |
0.000000000000 |
ren |
1 |
5639005241 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
1337 |
42601230053 |
2026-04-04 14:00:51.000000 |
5.000000000000 |
1474 |
42601230053 |
F000007 |
|
Captopril |
IDR |
|
0.000000000000 |
100.000000000000 |
14500.000000000000 |
0.000000000000 |
0.000000000000 |
1450000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
42601230053 |
|
42601230053 |
|
|
1900-01-01 00:00:00.000000 |
1450000.000000000000 |
0.000000000000 |
ren |
1 |
5639005497 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
1338 |
42601240021 |
2026-04-04 14:00:51.000000 |
5.000000000000 |
1730 |
42601240021 |
F000006 |
|
Amlodipine |
IDR |
|
0.000000000000 |
10.000000000000 |
25500.000000000000 |
0.000000000000 |
0.000000000000 |
255000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
42601240021 |
|
42601240021 |
|
|
1900-01-01 00:00:00.000000 |
255000.000000000000 |
0.000000000000 |
ren |
1 |
5639005753 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
1339 |
42601300002 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
2035 |
42601300002 |
F000017 |
|
Panadol |
IDR |
|
0.000000000000 |
1.000000000000 |
12800.000000000000 |
0.000000000000 |
0.000000000000 |
12800.000000000000 |
|
|
|
0.000000000000 |
0 |
|
42601300002 |
|
42601300002 |
|
|
1900-01-01 00:00:00.000000 |
12800.000000000000 |
0.000000000000 |
ren |
1 |
5639006009 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
1340 |
42512180033 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
156 |
42512180033 |
F000001 |
|
Paracetamol |
IDR |
|
0.000000000000 |
5.000000000000 |
1500.000000000000 |
0.000000000000 |
0.000000000000 |
7500.000000000000 |
|
|
|
0.000000000000 |
0 |
|
42512180033 |
|
42512180033 |
|
|
1900-01-01 00:00:00.000000 |
7500.000000000000 |
0.000000000000 |
ren |
1 |
5639004218 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |