|
1431 |
32601150030 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
970 |
32601150030 |
D000003 |
|
Dokter Spesialis 50k |
IDR |
|
0.000000000000 |
1.000000000000 |
50000.000000000000 |
0.000000000000 |
0.000000000000 |
50000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
32601150030 |
|
32601150030 |
|
|
1900-01-01 00:00:00.000000 |
50000.000000000000 |
0.000000000000 |
ren |
1 |
5639004997 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
1432 |
22601230017 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
1230 |
22601230017 |
D000002 |
|
Biaya Konsultasi dr. Spesialis THT (75.000) |
IDR |
|
0.000000000000 |
1.000000000000 |
75000.000000000000 |
0.000000000000 |
0.000000000000 |
75000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
22601230017 |
|
22601230017 |
|
|
1900-01-01 00:00:00.000000 |
75000.000000000000 |
0.000000000000 |
ren |
1 |
5639005253 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
1433 |
22601230054 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
1486 |
22601230054 |
A000002 |
|
Rawat Jalan |
IDR |
|
0.000000000000 |
1.000000000000 |
150000.000000000000 |
0.000000000000 |
0.000000000000 |
150000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
22601230054 |
|
22601230054 |
|
|
1900-01-01 00:00:00.000000 |
150000.000000000000 |
0.000000000000 |
ren |
1 |
5639005509 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
1434 |
52601240017 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
1742 |
52601240017 |
X000001 |
|
Alat Tes Gula Darah |
IDR |
|
0.000000000000 |
1.000000000000 |
150000.000000000000 |
0.000000000000 |
0.000000000000 |
150000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
52601240017 |
|
52601240017 |
|
|
1900-01-01 00:00:00.000000 |
150000.000000000000 |
0.000000000000 |
ren |
1 |
5639005765 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
1435 |
22603110001 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
2048 |
22603110001 |
A000002 |
|
Rawat Jalan |
IDR |
|
0.000000000000 |
1.000000000000 |
150000.000000000000 |
0.000000000000 |
0.000000000000 |
150000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
22603110001 |
|
22603110001 |
|
|
1900-01-01 00:00:00.000000 |
150000.000000000000 |
0.000000000000 |
ren |
1 |
5639006021 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
1436 |
32512180008 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
169 |
32512180008 |
T000004 |
|
Pemasangan Infus |
IDR |
|
0.000000000000 |
2.000000000000 |
75000.000000000000 |
0.000000000000 |
0.000000000000 |
150000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
32512180008 |
|
32512180008 |
|
|
1900-01-01 00:00:00.000000 |
150000.000000000000 |
0.000000000000 |
ren |
1 |
5639004230 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
1437 |
42512250002 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
433 |
42512250002 |
F000005 |
|
Captopril |
IDR |
|
0.000000000000 |
1.000000000000 |
14500.000000000000 |
0.000000000000 |
0.000000000000 |
14500.000000000000 |
|
|
|
0.000000000000 |
0 |
|
42512250002 |
|
42512250002 |
|
|
1900-01-01 00:00:00.000000 |
14500.000000000000 |
0.000000000000 |
ren |
1 |
5639004486 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
1438 |
42601130003 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
714 |
42601130003 |
F000006 |
|
Amlodipine |
IDR |
|
0.000000000000 |
1.000000000000 |
25500.000000000000 |
0.000000000000 |
0.000000000000 |
25500.000000000000 |
|
|
|
0.000000000000 |
0 |
|
42601130003 |
|
42601130003 |
|
|
1900-01-01 00:00:00.000000 |
25500.000000000000 |
0.000000000000 |
ren |
1 |
5639004742 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
1439 |
32601150031 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
971 |
32601150031 |
D000001 |
|
Biaya dr. Umum |
IDR |
|
0.000000000000 |
9.000000000000 |
50000.000000000000 |
0.000000000000 |
0.000000000000 |
450000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
32601150031 |
|
32601150031 |
|
|
1900-01-01 00:00:00.000000 |
450000.000000000000 |
0.000000000000 |
ren |
1 |
5639004998 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
1440 |
22601230017 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
1231 |
22601230017 |
A000001 |
|
Biaya Kartu Pasien |
IDR |
|
0.000000000000 |
1.000000000000 |
50000.000000000000 |
0.000000000000 |
0.000000000000 |
50000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
22601230017 |
|
22601230017 |
|
|
1900-01-01 00:00:00.000000 |
50000.000000000000 |
0.000000000000 |
ren |
1 |
5639005254 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |