|
1381 |
32512230001 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
426 |
32512230001 |
T000004 |
|
Pemasangan Infus |
IDR |
|
0.000000000000 |
1.000000000000 |
75000.000000000000 |
0.000000000000 |
0.000000000000 |
75000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
32512230001 |
|
32512230001 |
|
|
1900-01-01 00:00:00.000000 |
75000.000000000000 |
0.000000000000 |
ren |
1 |
5639004479 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
1382 |
32601130003 |
2026-04-04 14:00:51.000000 |
3.000000000000 |
707 |
32601130003 |
D000001 |
|
Biaya dr. Umum |
IDR |
|
0.000000000000 |
1.000000000000 |
50000.000000000000 |
0.000000000000 |
0.000000000000 |
50000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
32601130003 |
|
32601130003 |
|
|
1900-01-01 00:00:00.000000 |
50000.000000000000 |
0.000000000000 |
ren |
1 |
5639004735 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
1383 |
32601150027 |
2026-04-04 14:00:51.000000 |
6.000000000000 |
964 |
32601150027 |
D000006 |
|
Dokter Spesialis 200k |
IDR |
|
0.000000000000 |
2.000000000000 |
200000.000000000000 |
0.000000000000 |
0.000000000000 |
400000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
32601150027 |
|
32601150027 |
|
|
1900-01-01 00:00:00.000000 |
400000.000000000000 |
0.000000000000 |
ren |
1 |
5639004991 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
1384 |
42601230016 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
1224 |
42601230016 |
F000005 |
|
Captopril |
IDR |
|
0.000000000000 |
10.000000000000 |
14500.000000000000 |
0.000000000000 |
0.000000000000 |
145000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
42601230016 |
|
42601230016 |
|
|
1900-01-01 00:00:00.000000 |
145000.000000000000 |
0.000000000000 |
ren |
1 |
5639005247 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
1385 |
22601230053 |
2026-04-04 14:00:51.000000 |
2.000000000000 |
1480 |
22601230053 |
D000001 |
|
Biaya dr. Umum |
IDR |
|
0.000000000000 |
1.000000000000 |
50000.000000000000 |
0.000000000000 |
0.000000000000 |
50000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
22601230053 |
|
22601230053 |
|
|
1900-01-01 00:00:00.000000 |
50000.000000000000 |
0.000000000000 |
ren |
1 |
5639005503 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
1386 |
42601240022 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
1736 |
42601240022 |
F000003 |
|
Alerfed |
IDR |
|
0.000000000000 |
1.000000000000 |
3000.000000000000 |
0.000000000000 |
0.000000000000 |
3000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
42601240022 |
|
42601240022 |
|
|
1900-01-01 00:00:00.000000 |
3000.000000000000 |
0.000000000000 |
ren |
1 |
5639005759 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
1387 |
4260310000001 |
2026-04-04 14:00:51.000000 |
5.000000000000 |
2042 |
4260310000001 |
F000003 |
|
Alerfed |
IDR |
|
0.000000000000 |
1.000000000000 |
3000.000000000000 |
0.000000000000 |
0.000000000000 |
3000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
4260310000001 |
|
4260310000001 |
|
|
1900-01-01 00:00:00.000000 |
3000.000000000000 |
0.000000000000 |
ren |
1 |
5639006015 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
1388 |
32512180002 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
162 |
32512180002 |
T000002 |
|
Konsultasi Dokter Spesialis |
IDR |
|
0.000000000000 |
2.000000000000 |
150000.000000000000 |
0.000000000000 |
0.000000000000 |
300000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
32512180002 |
|
32512180002 |
|
|
1900-01-01 00:00:00.000000 |
300000.000000000000 |
0.000000000000 |
ren |
1 |
5639004224 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
1389 |
320251225-000001 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
427 |
320251225-000001 |
T000004 |
|
Pemasangan Infus |
IDR |
|
0.000000000000 |
1.000000000000 |
75000.000000000000 |
0.000000000000 |
0.000000000000 |
75000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
320251225-000001 |
|
320251225-000001 |
|
|
1900-01-01 00:00:00.000000 |
75000.000000000000 |
0.000000000000 |
ren |
1 |
5639004480 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
1390 |
42601130001 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
708 |
42601130001 |
F000001 |
|
Paracetamol |
IDR |
|
0.000000000000 |
1.000000000000 |
1500.000000000000 |
0.000000000000 |
0.000000000000 |
1500.000000000000 |
|
|
|
0.000000000000 |
0 |
|
42601130001 |
|
42601130001 |
|
|
1900-01-01 00:00:00.000000 |
1500.000000000000 |
0.000000000000 |
ren |
1 |
5639004736 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |