|
1451 |
5260310000001 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
2050 |
5260310000001 |
P000012 |
|
Alkohol 70% |
IDR |
|
0.000000000000 |
6.000000000000 |
10000.000000000000 |
0.000000000000 |
0.000000000000 |
60000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
5260310000001 |
|
5260310000001 |
|
|
1900-01-01 00:00:00.000000 |
60000.000000000000 |
0.000000000000 |
ren |
1 |
5639006023 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
1452 |
32512180010 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
171 |
32512180010 |
T000002 |
|
Konsultasi Dokter Spesialis |
IDR |
|
0.000000000000 |
1.000000000000 |
150000.000000000000 |
0.000000000000 |
0.000000000000 |
150000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
32512180010 |
|
32512180010 |
|
|
1900-01-01 00:00:00.000000 |
150000.000000000000 |
0.000000000000 |
ren |
1 |
5639004232 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
1453 |
22512260001 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
435 |
22512260001 |
D000005 |
|
Dokter Spesialis 150k (150.000) |
IDR |
|
0.000000000000 |
1.000000000000 |
150000.000000000000 |
0.000000000000 |
0.000000000000 |
150000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
22512260001 |
|
22512260001 |
|
|
1900-01-01 00:00:00.000000 |
150000.000000000000 |
0.000000000000 |
ren |
1 |
5639004488 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
1454 |
42601130003 |
2026-04-04 14:00:51.000000 |
3.000000000000 |
716 |
42601130003 |
F000009 |
|
Amoxicillin |
IDR |
|
0.000000000000 |
1.000000000000 |
96500.000000000000 |
0.000000000000 |
0.000000000000 |
96500.000000000000 |
|
|
|
0.000000000000 |
0 |
|
42601130003 |
|
42601130003 |
|
|
1900-01-01 00:00:00.000000 |
96500.000000000000 |
0.000000000000 |
ren |
1 |
5639004744 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
1455 |
42601150021 |
2026-04-04 14:00:51.000000 |
2.000000000000 |
973 |
42601150021 |
F000006 |
|
Amlodipine |
IDR |
|
0.000000000000 |
2.000000000000 |
25500.000000000000 |
0.000000000000 |
0.000000000000 |
51000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
42601150021 |
|
42601150021 |
|
|
1900-01-01 00:00:00.000000 |
51000.000000000000 |
0.000000000000 |
ren |
1 |
5639005000 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
1456 |
32601230017 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
1233 |
32601230017 |
T000009 |
|
Pengambilan Sampel Darah |
IDR |
|
0.000000000000 |
1.000000000000 |
35000.000000000000 |
0.000000000000 |
0.000000000000 |
35000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
32601230017 |
|
32601230017 |
|
|
1900-01-01 00:00:00.000000 |
35000.000000000000 |
0.000000000000 |
ren |
1 |
5639005256 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
1457 |
2260123000055 |
2026-04-04 14:00:51.000000 |
2.000000000000 |
1489 |
2260123000055 |
A000001 |
|
Biaya Kartu Pasien |
IDR |
|
0.000000000000 |
1.000000000000 |
50000.000000000000 |
0.000000000000 |
0.000000000000 |
50000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
2260123000055 |
|
2260123000055 |
|
|
1900-01-01 00:00:00.000000 |
50000.000000000000 |
0.000000000000 |
ren |
1 |
5639005512 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
1458 |
226012400026 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
1745 |
226012400026 |
D000001 |
|
Biaya dr. Umum |
IDR |
|
0.000000000000 |
1.000000000000 |
50000.000000000000 |
0.000000000000 |
0.000000000000 |
50000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
226012400026 |
|
226012400026 |
|
|
1900-01-01 00:00:00.000000 |
50000.000000000000 |
0.000000000000 |
ren |
1 |
5639005768 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
1459 |
3260310000001 |
2026-03-12 04:23:03.000000 |
1.000000000000 |
2051 |
3260310000001 |
T000004 |
|
Pemasangan Infus |
IDR |
|
0.000000000000 |
1.000000000000 |
75000.000000000000 |
0.000000000000 |
0.000000000000 |
75000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
3260310000001 |
|
3260310000001 |
|
|
1900-01-01 00:00:00.000000 |
75000.000000000000 |
0.000000000000 |
ren |
1 |
5639006024 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
1460 |
32512180010 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
172 |
32512180010 |
T000001 |
|
T000001 |
IDR |
|
0.000000000000 |
1.000000000000 |
50000.000000000000 |
0.000000000000 |
0.000000000000 |
50000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
32512180010 |
|
32512180010 |
|
|
1900-01-01 00:00:00.000000 |
50000.000000000000 |
0.000000000000 |
ren |
1 |
5639004233 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |