|
1471 |
42601150022 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
975 |
42601150022 |
F000001 |
|
Paracetamol |
IDR |
|
0.000000000000 |
8.000000000000 |
1500.000000000000 |
0.000000000000 |
0.000000000000 |
12000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
42601150022 |
|
42601150022 |
|
|
1900-01-01 00:00:00.000000 |
12000.000000000000 |
0.000000000000 |
ren |
1 |
5639005002 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
1472 |
32601230018 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
1235 |
32601230018 |
T000009 |
|
Pengambilan Sampel Darah |
IDR |
|
0.000000000000 |
1.000000000000 |
35000.000000000000 |
0.000000000000 |
0.000000000000 |
35000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
32601230018 |
|
32601230018 |
|
|
1900-01-01 00:00:00.000000 |
35000.000000000000 |
0.000000000000 |
ren |
1 |
5639005258 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
1473 |
32601230056 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
1491 |
32601230056 |
T000004 |
|
Pemasangan Infus |
IDR |
|
0.000000000000 |
1.000000000000 |
75000.000000000000 |
0.000000000000 |
0.000000000000 |
75000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
32601230056 |
|
32601230056 |
|
|
1900-01-01 00:00:00.000000 |
75000.000000000000 |
0.000000000000 |
ren |
1 |
5639005514 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
1474 |
OA202601240005 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
1747 |
OA202601240005 |
P000003 |
|
Masker Medis |
IDR |
|
0.000000000000 |
1.000000000000 |
8000.000000000000 |
0.000000000000 |
0.000000000000 |
8000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
OA202601240005 |
|
OA202601240005 |
|
|
1900-01-01 00:00:00.000000 |
8000.000000000000 |
0.000000000000 |
ren |
1 |
5639005770 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
1475 |
112603090001 |
2026-03-12 12:53:02.000000 |
2.000000000000 |
2053 |
112603090001 |
R000002 |
|
CT Scan |
IDR |
|
0.000000000000 |
1.000000000000 |
3500000.000000000000 |
0.000000000000 |
0.000000000000 |
3500000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
112603090001 |
|
112603090001 |
|
|
1900-01-01 00:00:00.000000 |
3500000.000000000000 |
0.000000000000 |
ren |
1 |
5639006026 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
1476 |
32512180011 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
174 |
32512180011 |
T000001 |
|
T000001 |
IDR |
|
0.000000000000 |
1.000000000000 |
50000.000000000000 |
0.000000000000 |
0.000000000000 |
50000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
32512180011 |
|
32512180011 |
|
|
1900-01-01 00:00:00.000000 |
50000.000000000000 |
0.000000000000 |
ren |
1 |
5639004235 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
1477 |
22512260002 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
438 |
22512260002 |
A000003 |
|
Rawat Inap |
IDR |
|
0.000000000000 |
1.000000000000 |
500000.000000000000 |
0.000000000000 |
0.000000000000 |
500000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
22512260002 |
|
22512260002 |
|
|
1900-01-01 00:00:00.000000 |
500000.000000000000 |
0.000000000000 |
ren |
1 |
5639004491 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
1478 |
22601130004 |
2026-04-04 14:00:51.000000 |
3.000000000000 |
719 |
22601130004 |
D000001 |
|
Biaya dr. Umum |
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 |
5639004747 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
1479 |
42601150022 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
976 |
42601150022 |
F000013 |
|
Dexamethasone |
IDR |
|
0.000000000000 |
8.000000000000 |
42000.000000000000 |
0.000000000000 |
0.000000000000 |
336000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
42601150022 |
|
42601150022 |
|
|
1900-01-01 00:00:00.000000 |
336000.000000000000 |
0.000000000000 |
ren |
1 |
5639005003 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
1480 |
2260123000018 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
1236 |
2260123000018 |
D000004 |
|
Dokter Spesialis 100k |
IDR |
|
0.000000000000 |
1.000000000000 |
100000.000000000000 |
0.000000000000 |
0.000000000000 |
100000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
2260123000018 |
|
2260123000018 |
|
|
1900-01-01 00:00:00.000000 |
100000.000000000000 |
0.000000000000 |
ren |
1 |
5639005259 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |