|
1361 |
22601230052 |
2026-04-04 14:00:51.000000 |
3.000000000000 |
1477 |
22601230052 |
D000004 |
|
Dokter Spesialis 100k |
IDR |
|
0.000000000000 |
1.000000000000 |
100000.000000000000 |
0.000000000000 |
0.000000000000 |
100000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
22601230052 |
|
22601230052 |
|
|
1900-01-01 00:00:00.000000 |
100000.000000000000 |
0.000000000000 |
ren |
1 |
5639005500 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
1362 |
22601240024 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
1733 |
22601240024 |
A000001 |
|
Biaya Kartu Pasien |
IDR |
|
0.000000000000 |
1.000000000000 |
50000.000000000000 |
0.000000000000 |
0.000000000000 |
50000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
22601240024 |
|
22601240024 |
|
|
1900-01-01 00:00:00.000000 |
50000.000000000000 |
0.000000000000 |
ren |
1 |
5639005756 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
1363 |
2260310000001 |
2026-04-04 14:00:51.000000 |
2.000000000000 |
2038 |
2260310000001 |
A000001 |
|
Biaya Kartu Pasien |
IDR |
|
0.000000000000 |
1.000000000000 |
50000.000000000000 |
0.000000000000 |
0.000000000000 |
50000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
2260310000001 |
|
2260310000001 |
|
|
1900-01-01 00:00:00.000000 |
50000.000000000000 |
0.000000000000 |
ren |
1 |
5639006012 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
1364 |
42512180035 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
159 |
42512180035 |
F000002 |
|
Paramex |
IDR |
|
0.000000000000 |
10.000000000000 |
2500.000000000000 |
0.000000000000 |
0.000000000000 |
25000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
42512180035 |
|
42512180035 |
|
|
1900-01-01 00:00:00.000000 |
25000.000000000000 |
0.000000000000 |
ren |
1 |
5639004221 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
1365 |
2251223000008 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
424 |
2251223000008 |
D000009 |
|
Konsultasi Dokter Gigi |
IDR |
|
0.000000000000 |
1.000000000000 |
60000.000000000000 |
0.000000000000 |
0.000000000000 |
60000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
2251223000008 |
|
2251223000008 |
|
|
1900-01-01 00:00:00.000000 |
60000.000000000000 |
0.000000000000 |
ren |
1 |
5639004477 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
1366 |
32601130003 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
705 |
32601130003 |
D000009 |
|
Konsultasi Dokter Gigi |
IDR |
|
0.000000000000 |
4.000000000000 |
60000.000000000000 |
0.000000000000 |
0.000000000000 |
240000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
32601130003 |
|
32601130003 |
|
|
1900-01-01 00:00:00.000000 |
240000.000000000000 |
0.000000000000 |
ren |
1 |
5639004733 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
1367 |
32601150027 |
2026-04-04 14:00:51.000000 |
3.000000000000 |
961 |
32601150027 |
D000004 |
|
Dokter Spesialis 100k |
IDR |
|
0.000000000000 |
1.000000000000 |
100000.000000000000 |
0.000000000000 |
0.000000000000 |
100000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
32601150027 |
|
32601150027 |
|
|
1900-01-01 00:00:00.000000 |
100000.000000000000 |
0.000000000000 |
ren |
1 |
5639004989 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
1368 |
52601230016 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
1222 |
52601230016 |
X000008 |
|
Map Folder |
IDR |
|
0.000000000000 |
16.000000000000 |
20000.000000000000 |
0.000000000000 |
0.000000000000 |
320000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
52601230016 |
|
52601230016 |
|
|
1900-01-01 00:00:00.000000 |
320000.000000000000 |
0.000000000000 |
ren |
1 |
5639005245 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
1369 |
32601230054 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
1478 |
32601230054 |
T000006 |
|
Injeksi Intravena |
IDR |
|
0.000000000000 |
1.000000000000 |
50000.000000000000 |
0.000000000000 |
0.000000000000 |
50000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
32601230054 |
|
32601230054 |
|
|
1900-01-01 00:00:00.000000 |
50000.000000000000 |
0.000000000000 |
ren |
1 |
5639005501 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
1370 |
32601240021 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
1734 |
32601240021 |
T000003 |
|
Pemeriksaan Tanda Vital |
IDR |
|
0.000000000000 |
1.000000000000 |
25000.000000000000 |
0.000000000000 |
0.000000000000 |
25000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
32601240021 |
|
32601240021 |
|
|
1900-01-01 00:00:00.000000 |
25000.000000000000 |
0.000000000000 |
ren |
1 |
5639005757 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |