|
1411 |
112603100001 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
2045 |
112603100001 |
R000008 |
|
Cassette / Film X-Ray |
IDR |
|
0.000000000000 |
1.000000000000 |
2500000.000000000000 |
0.000000000000 |
0.000000000000 |
2500000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
112603100001 |
|
112603100001 |
|
|
1900-01-01 00:00:00.000000 |
2500000.000000000000 |
0.000000000000 |
ren |
1 |
5639006018 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
1412 |
32512180005 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
165 |
32512180005 |
T000007 |
|
Perawatan Luka |
IDR |
|
0.000000000000 |
2.000000000000 |
100000.000000000000 |
0.000000000000 |
0.000000000000 |
200000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
32512180005 |
|
32512180005 |
|
|
1900-01-01 00:00:00.000000 |
200000.000000000000 |
0.000000000000 |
ren |
1 |
5639004227 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
1413 |
3251225250002 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
430 |
3251225250002 |
T000009 |
|
Pengambilan Sampel Darah |
IDR |
|
0.000000000000 |
2.000000000000 |
35000.000000000000 |
0.000000000000 |
0.000000000000 |
70000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
3251225250002 |
|
3251225250002 |
|
|
1900-01-01 00:00:00.000000 |
70000.000000000000 |
0.000000000000 |
ren |
1 |
5639004483 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
1414 |
42601130002 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
711 |
42601130002 |
F000006 |
|
Amlodipine |
IDR |
|
0.000000000000 |
1.000000000000 |
25500.000000000000 |
0.000000000000 |
0.000000000000 |
25500.000000000000 |
|
|
|
0.000000000000 |
0 |
|
42601130002 |
|
42601130002 |
|
|
1900-01-01 00:00:00.000000 |
25500.000000000000 |
0.000000000000 |
ren |
1 |
5639004739 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
1415 |
32601150029 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
968 |
32601150029 |
T000007 |
|
Perawatan Luka |
IDR |
|
0.000000000000 |
8.000000000000 |
100000.000000000000 |
0.000000000000 |
0.000000000000 |
800000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
32601150029 |
|
32601150029 |
|
|
1900-01-01 00:00:00.000000 |
800000.000000000000 |
0.000000000000 |
ren |
1 |
5639004995 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
1416 |
52601230017 |
2026-04-04 14:00:51.000000 |
5.000000000000 |
1228 |
52601230017 |
X000001 |
|
Alat Tes Gula Darah |
IDR |
|
0.000000000000 |
1.000000000000 |
150000.000000000000 |
0.000000000000 |
0.000000000000 |
150000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
52601230017 |
|
52601230017 |
|
|
1900-01-01 00:00:00.000000 |
150000.000000000000 |
0.000000000000 |
ren |
1 |
5639005251 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
1417 |
52601230054 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
1484 |
52601230054 |
P000004 |
|
Masker Nebulizer |
IDR |
|
0.000000000000 |
1.000000000000 |
20000.000000000000 |
0.000000000000 |
0.000000000000 |
20000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
52601230054 |
|
52601230054 |
|
|
1900-01-01 00:00:00.000000 |
20000.000000000000 |
0.000000000000 |
ren |
1 |
5639005507 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
1418 |
32601240022 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
1740 |
32601240022 |
A000001 |
|
Biaya Kartu Pasien |
IDR |
|
0.000000000000 |
1.000000000000 |
50000.000000000000 |
0.000000000000 |
0.000000000000 |
50000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
32601240022 |
|
32601240022 |
|
|
1900-01-01 00:00:00.000000 |
50000.000000000000 |
0.000000000000 |
ren |
1 |
5639005763 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
1419 |
22603110001 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
2046 |
22603110001 |
D000001 |
|
Biaya dr. Umum (50.000) |
IDR |
|
0.000000000000 |
1.000000000000 |
50000.000000000000 |
0.000000000000 |
0.000000000000 |
50000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
22603110001 |
|
22603110001 |
|
|
1900-01-01 00:00:00.000000 |
50000.000000000000 |
0.000000000000 |
ren |
1 |
5639006019 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
1420 |
32512180006 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
166 |
32512180006 |
T000007 |
|
Perawatan Luka |
IDR |
|
0.000000000000 |
12.000000000000 |
100000.000000000000 |
0.000000000000 |
0.000000000000 |
1200000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
32512180006 |
|
32512180006 |
|
|
1900-01-01 00:00:00.000000 |
1200000.000000000000 |
0.000000000000 |
ren |
1 |
5639004228 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |