|
1421 |
32512250003 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
431 |
32512250003 |
T000004 |
|
Pemasangan Infus |
IDR |
|
0.000000000000 |
1.000000000000 |
75000.000000000000 |
0.000000000000 |
0.000000000000 |
75000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
32512250003 |
|
32512250003 |
|
|
1900-01-01 00:00:00.000000 |
75000.000000000000 |
0.000000000000 |
ren |
1 |
5639004484 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
1422 |
42601130002 |
2026-04-04 14:00:51.000000 |
2.000000000000 |
712 |
42601130002 |
F000005 |
|
Captopril |
IDR |
|
0.000000000000 |
1.000000000000 |
14500.000000000000 |
0.000000000000 |
0.000000000000 |
14500.000000000000 |
|
|
|
0.000000000000 |
0 |
|
42601130002 |
|
42601130002 |
|
|
1900-01-01 00:00:00.000000 |
14500.000000000000 |
0.000000000000 |
ren |
1 |
5639004740 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
1423 |
32601150029 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
969 |
32601150029 |
T000009 |
|
Pengambilan Sampel Darah |
IDR |
|
0.000000000000 |
8.000000000000 |
35000.000000000000 |
0.000000000000 |
0.000000000000 |
280000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
32601150029 |
|
32601150029 |
|
|
1900-01-01 00:00:00.000000 |
280000.000000000000 |
0.000000000000 |
ren |
1 |
5639004996 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
1424 |
42601230018 |
2026-04-04 14:00:51.000000 |
5.000000000000 |
1229 |
42601230018 |
F000003 |
|
Alerfed |
IDR |
|
0.000000000000 |
1.000000000000 |
3000.000000000000 |
0.000000000000 |
0.000000000000 |
3000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
42601230018 |
|
42601230018 |
|
|
1900-01-01 00:00:00.000000 |
3000.000000000000 |
0.000000000000 |
ren |
1 |
5639005252 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
1425 |
42601230055 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
1485 |
42601230055 |
F000012 |
|
Omeprazole |
IDR |
|
0.000000000000 |
1.000000000000 |
28000.000000000000 |
0.000000000000 |
0.000000000000 |
28000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
42601230055 |
|
42601230055 |
|
|
1900-01-01 00:00:00.000000 |
28000.000000000000 |
0.000000000000 |
ren |
1 |
5639005508 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
1426 |
32601240023 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
1741 |
32601240023 |
T000003 |
|
Pemeriksaan Tanda Vital |
IDR |
|
0.000000000000 |
1.000000000000 |
25000.000000000000 |
0.000000000000 |
0.000000000000 |
25000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
32601240023 |
|
32601240023 |
|
|
1900-01-01 00:00:00.000000 |
25000.000000000000 |
0.000000000000 |
ren |
1 |
5639005764 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
1427 |
22603110001 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
2047 |
22603110001 |
A000001 |
|
Biaya Kartu Pasien |
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 |
5639006020 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
1428 |
32512180006 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
167 |
32512180006 |
T000004 |
|
Pemasangan Infus |
IDR |
|
0.000000000000 |
12.000000000000 |
75000.000000000000 |
0.000000000000 |
0.000000000000 |
900000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
32512180006 |
|
32512180006 |
|
|
1900-01-01 00:00:00.000000 |
900000.000000000000 |
0.000000000000 |
ren |
1 |
5639004229 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
1429 |
42512250001 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
432 |
42512250001 |
F000009 |
|
Amoxicillin |
IDR |
|
0.000000000000 |
1.000000000000 |
96500.000000000000 |
0.000000000000 |
0.000000000000 |
96500.000000000000 |
|
|
|
0.000000000000 |
0 |
|
42512250001 |
|
42512250001 |
|
|
1900-01-01 00:00:00.000000 |
96500.000000000000 |
0.000000000000 |
ren |
1 |
5639004485 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
1430 |
42601130002 |
2026-04-04 14:00:51.000000 |
3.000000000000 |
713 |
42601130002 |
F000015 |
|
Diazepam |
IDR |
|
0.000000000000 |
1.000000000000 |
12000.000000000000 |
0.000000000000 |
0.000000000000 |
12000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
42601130002 |
|
42601130002 |
|
|
1900-01-01 00:00:00.000000 |
12000.000000000000 |
0.000000000000 |
ren |
1 |
5639004741 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |