|
1491 |
112603090001 |
2026-03-12 13:12:50.000000 |
4.000000000000 |
2055 |
112603090001 |
R000004 |
|
USG (Ultrasonography) |
IDR |
|
0.000000000000 |
1.000000000000 |
300000.000000000000 |
0.000000000000 |
0.000000000000 |
300000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
112603090001 |
|
112603090001 |
|
|
1900-01-01 00:00:00.000000 |
300000.000000000000 |
0.000000000000 |
ren |
1 |
5639006028 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
1492 |
32512180012 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
176 |
32512180012 |
T000010 |
|
T000010 |
IDR |
|
0.000000000000 |
16.000000000000 |
120000.000000000000 |
0.000000000000 |
0.000000000000 |
1920000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
32512180012 |
|
32512180012 |
|
|
1900-01-01 00:00:00.000000 |
1920000.000000000000 |
0.000000000000 |
ren |
1 |
5639004237 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
1493 |
42512260001 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
440 |
42512260001 |
F000006 |
|
Amlodipine |
IDR |
|
0.000000000000 |
5.000000000000 |
25500.000000000000 |
0.000000000000 |
0.000000000000 |
127500.000000000000 |
|
|
|
0.000000000000 |
0 |
|
42512260001 |
|
42512260001 |
|
|
1900-01-01 00:00:00.000000 |
127500.000000000000 |
0.000000000000 |
ren |
1 |
5639004493 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
1494 |
42601130004 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
721 |
42601130004 |
F000001 |
|
Paracetamol |
IDR |
|
0.000000000000 |
10.000000000000 |
1500.000000000000 |
0.000000000000 |
0.000000000000 |
15000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
42601130004 |
|
42601130004 |
|
|
1900-01-01 00:00:00.000000 |
15000.000000000000 |
0.000000000000 |
ren |
1 |
5639004749 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
1495 |
42601150022 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
978 |
42601150022 |
F000017 |
|
Panadol |
IDR |
|
0.000000000000 |
8.000000000000 |
12800.000000000000 |
0.000000000000 |
0.000000000000 |
102400.000000000000 |
|
|
|
0.000000000000 |
0 |
|
42601150022 |
|
42601150022 |
|
|
1900-01-01 00:00:00.000000 |
102400.000000000000 |
0.000000000000 |
ren |
1 |
5639005005 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
1496 |
2260123000018 |
2026-04-04 14:00:51.000000 |
2.000000000000 |
1238 |
2260123000018 |
A000002 |
|
Rawat Jalan |
IDR |
|
0.000000000000 |
1.000000000000 |
150000.000000000000 |
0.000000000000 |
0.000000000000 |
150000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
2260123000018 |
|
2260123000018 |
|
|
1900-01-01 00:00:00.000000 |
150000.000000000000 |
0.000000000000 |
ren |
1 |
5639005261 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
1497 |
42601230056 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
1494 |
42601230056 |
F000013 |
|
Dexamethasone |
IDR |
|
0.000000000000 |
1.000000000000 |
42000.000000000000 |
0.000000000000 |
0.000000000000 |
42000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
42601230056 |
|
42601230056 |
|
|
1900-01-01 00:00:00.000000 |
42000.000000000000 |
0.000000000000 |
ren |
1 |
5639005517 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
1498 |
32601240024 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
1750 |
32601240024 |
T000004 |
|
Pemasangan Infus |
IDR |
|
0.000000000000 |
1.000000000000 |
75000.000000000000 |
0.000000000000 |
0.000000000000 |
75000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
32601240024 |
|
32601240024 |
|
|
1900-01-01 00:00:00.000000 |
75000.000000000000 |
0.000000000000 |
ren |
1 |
5639005773 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
1499 |
112603090001 |
2026-03-12 13:16:45.000000 |
5.000000000000 |
2056 |
112603090001 |
R000006 |
|
Rompi / Apron Timbal |
IDR |
|
0.000000000000 |
1.000000000000 |
15000000.000000000000 |
0.000000000000 |
0.000000000000 |
15000000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
112603090001 |
|
112603090001 |
|
|
1900-01-01 00:00:00.000000 |
15000000.000000000000 |
0.000000000000 |
ren |
1 |
5639006029 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
1500 |
32512180012 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
177 |
32512180012 |
T000009 |
|
Pengambilan Sampel Darah |
IDR |
|
0.000000000000 |
10.000000000000 |
35000.000000000000 |
0.000000000000 |
0.000000000000 |
350000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
32512180012 |
|
32512180012 |
|
|
1900-01-01 00:00:00.000000 |
350000.000000000000 |
0.000000000000 |
ren |
1 |
5639004238 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |