|
1461 |
22512260001 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
436 |
22512260001 |
A000001 |
|
Biaya Kartu Pasien |
IDR |
|
0.000000000000 |
1.000000000000 |
50000.000000000000 |
0.000000000000 |
0.000000000000 |
50000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
22512260001 |
|
22512260001 |
|
|
1900-01-01 00:00:00.000000 |
50000.000000000000 |
0.000000000000 |
ren |
1 |
5639004489 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
1462 |
22601130004 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
717 |
22601130004 |
A000002 |
|
Rawat Jalan |
IDR |
|
0.000000000000 |
1.000000000000 |
150000.000000000000 |
0.000000000000 |
0.000000000000 |
150000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
22601130004 |
|
22601130004 |
|
|
1900-01-01 00:00:00.000000 |
150000.000000000000 |
0.000000000000 |
ren |
1 |
5639004745 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
1463 |
42601150021 |
2026-04-04 14:00:51.000000 |
3.000000000000 |
974 |
42601150021 |
F000009 |
|
Amoxicillin |
IDR |
|
0.000000000000 |
2.000000000000 |
96500.000000000000 |
0.000000000000 |
0.000000000000 |
193000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
42601150021 |
|
42601150021 |
|
|
1900-01-01 00:00:00.000000 |
193000.000000000000 |
0.000000000000 |
ren |
1 |
5639005001 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
1464 |
52601230018 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
1234 |
52601230018 |
P000010 |
|
Cotton Ball |
IDR |
|
0.000000000000 |
1.000000000000 |
5000.000000000000 |
0.000000000000 |
0.000000000000 |
5000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
52601230018 |
|
52601230018 |
|
|
1900-01-01 00:00:00.000000 |
5000.000000000000 |
0.000000000000 |
ren |
1 |
5639005257 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
1465 |
2260123000055 |
2026-04-04 14:00:51.000000 |
2.000000000000 |
1490 |
2260123000055 |
A000002 |
|
Rawat Jalan |
IDR |
|
0.000000000000 |
1.000000000000 |
150000.000000000000 |
0.000000000000 |
0.000000000000 |
150000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
2260123000055 |
|
2260123000055 |
|
|
1900-01-01 00:00:00.000000 |
150000.000000000000 |
0.000000000000 |
ren |
1 |
5639005513 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
1466 |
3202601240006 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
1746 |
3202601240006 |
T000002 |
|
Konsultasi Dokter Spesialis |
IDR |
|
0.000000000000 |
1.000000000000 |
150000.000000000000 |
0.000000000000 |
0.000000000000 |
150000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
3202601240006 |
|
3202601240006 |
|
|
1900-01-01 00:00:00.000000 |
150000.000000000000 |
0.000000000000 |
ren |
1 |
5639005769 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
1467 |
22603040001 |
2026-03-12 12:50:24.000000 |
3.000000000000 |
2052 |
22603040001 |
D000002 |
|
Biaya Konsultasi dr. Spesialis THT |
IDR |
|
0.000000000000 |
1.000000000000 |
0.000000000000 |
0.000000000000 |
0.000000000000 |
0.000000000000 |
|
|
|
0.000000000000 |
0 |
|
22603040001 |
|
22603040001 |
|
|
1900-01-01 00:00:00.000000 |
0.000000000000 |
0.000000000000 |
ren |
1 |
5639006025 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
1468 |
32512180011 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
173 |
32512180011 |
T000007 |
|
Perawatan Luka |
IDR |
|
0.000000000000 |
1.000000000000 |
100000.000000000000 |
0.000000000000 |
0.000000000000 |
100000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
32512180011 |
|
32512180011 |
|
|
1900-01-01 00:00:00.000000 |
100000.000000000000 |
0.000000000000 |
ren |
1 |
5639004234 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
1469 |
22512260001 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
437 |
22512260001 |
A000003 |
|
Rawat Inap |
IDR |
|
0.000000000000 |
1.000000000000 |
500000.000000000000 |
0.000000000000 |
0.000000000000 |
500000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
22512260001 |
|
22512260001 |
|
|
1900-01-01 00:00:00.000000 |
500000.000000000000 |
0.000000000000 |
ren |
1 |
5639004490 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
1470 |
22601130004 |
2026-04-04 14:00:51.000000 |
2.000000000000 |
718 |
22601130004 |
A000001 |
|
Biaya Kartu Pasien |
IDR |
|
0.000000000000 |
1.000000000000 |
50000.000000000000 |
0.000000000000 |
0.000000000000 |
50000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
22601130004 |
|
22601130004 |
|
|
1900-01-01 00:00:00.000000 |
50000.000000000000 |
0.000000000000 |
ren |
1 |
5639004746 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |