|
1481 |
52601230055 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
1492 |
52601230055 |
P000001 |
|
Jarum Suntik |
IDR |
|
0.000000000000 |
1.000000000000 |
2500.000000000000 |
0.000000000000 |
0.000000000000 |
2500.000000000000 |
|
|
|
0.000000000000 |
0 |
|
52601230055 |
|
52601230055 |
|
|
1900-01-01 00:00:00.000000 |
2500.000000000000 |
0.000000000000 |
ren |
1 |
5639005515 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
1482 |
22601240026 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
1748 |
22601240026 |
A000001 |
|
Biaya Kartu Pasien |
IDR |
|
0.000000000000 |
1.000000000000 |
50000.000000000000 |
0.000000000000 |
0.000000000000 |
50000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
22601240026 |
|
22601240026 |
|
|
1900-01-01 00:00:00.000000 |
50000.000000000000 |
0.000000000000 |
ren |
1 |
5639005771 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
1483 |
112603090001 |
2026-03-12 13:08:56.000000 |
3.000000000000 |
2054 |
112603090001 |
R000003 |
|
MRI |
IDR |
|
0.000000000000 |
1.000000000000 |
8000000.000000000000 |
0.000000000000 |
0.000000000000 |
8000000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
112603090001 |
|
112603090001 |
|
|
1900-01-01 00:00:00.000000 |
8000000.000000000000 |
0.000000000000 |
ren |
1 |
5639006027 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
1484 |
32512180011 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
175 |
32512180011 |
T000004 |
|
Pemasangan Infus |
IDR |
|
0.000000000000 |
1.000000000000 |
75000.000000000000 |
0.000000000000 |
0.000000000000 |
75000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
32512180011 |
|
32512180011 |
|
|
1900-01-01 00:00:00.000000 |
75000.000000000000 |
0.000000000000 |
ren |
1 |
5639004236 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
1485 |
22512260002 |
2026-04-04 14:00:51.000000 |
2.000000000000 |
439 |
22512260002 |
D000005 |
|
Dokter Spesialis 150k |
IDR |
|
0.000000000000 |
1.000000000000 |
150000.000000000000 |
0.000000000000 |
0.000000000000 |
150000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
22512260002 |
|
22512260002 |
|
|
1900-01-01 00:00:00.000000 |
150000.000000000000 |
0.000000000000 |
ren |
1 |
5639004492 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
1486 |
32601130004 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
720 |
32601130004 |
D000003 |
|
Dokter Spesialis 50k |
IDR |
|
0.000000000000 |
1.000000000000 |
50000.000000000000 |
0.000000000000 |
0.000000000000 |
50000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
32601130004 |
|
32601130004 |
|
|
1900-01-01 00:00:00.000000 |
50000.000000000000 |
0.000000000000 |
ren |
1 |
5639004748 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
1487 |
42601150022 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
977 |
42601150022 |
F000016 |
|
Vitamin C |
IDR |
|
0.000000000000 |
8.000000000000 |
15500.000000000000 |
0.000000000000 |
0.000000000000 |
124000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
42601150022 |
|
42601150022 |
|
|
1900-01-01 00:00:00.000000 |
124000.000000000000 |
0.000000000000 |
ren |
1 |
5639005004 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
1488 |
2260123000018 |
2026-04-04 14:00:51.000000 |
2.000000000000 |
1237 |
2260123000018 |
A000001 |
|
Biaya Kartu Pasien |
IDR |
|
0.000000000000 |
1.000000000000 |
50000.000000000000 |
0.000000000000 |
0.000000000000 |
50000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
2260123000018 |
|
2260123000018 |
|
|
1900-01-01 00:00:00.000000 |
50000.000000000000 |
0.000000000000 |
ren |
1 |
5639005260 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
1489 |
3202601230008 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
1493 |
3202601230008 |
T000005 |
|
Injeksi Intramuskular |
IDR |
|
0.000000000000 |
1.000000000000 |
40000.000000000000 |
0.000000000000 |
0.000000000000 |
40000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
3202601230008 |
|
3202601230008 |
|
|
1900-01-01 00:00:00.000000 |
40000.000000000000 |
0.000000000000 |
ren |
1 |
5639005516 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
1490 |
22601240026 |
2026-04-04 14:00:51.000000 |
2.000000000000 |
1749 |
22601240026 |
D000001 |
|
Biaya dr. Umum |
IDR |
|
0.000000000000 |
1.000000000000 |
50000.000000000000 |
0.000000000000 |
0.000000000000 |
50000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
22601240026 |
|
22601240026 |
|
|
1900-01-01 00:00:00.000000 |
50000.000000000000 |
0.000000000000 |
ren |
1 |
5639005772 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |