|
1511 |
42601150023 |
2026-04-04 14:00:51.000000 |
2.000000000000 |
980 |
42601150023 |
F000001 |
|
Paracetamol |
IDR |
|
0.000000000000 |
2.000000000000 |
1500.000000000000 |
0.000000000000 |
0.000000000000 |
3000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
42601150023 |
|
42601150023 |
|
|
1900-01-01 00:00:00.000000 |
3000.000000000000 |
0.000000000000 |
ren |
1 |
5639005007 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
1512 |
22601230019 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
1240 |
22601230019 |
A000002 |
|
Rawat Jalan |
IDR |
|
0.000000000000 |
1.000000000000 |
150000.000000000000 |
0.000000000000 |
0.000000000000 |
150000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
22601230019 |
|
22601230019 |
|
|
1900-01-01 00:00:00.000000 |
150000.000000000000 |
0.000000000000 |
ren |
1 |
5639005263 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
1513 |
22601230055 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
1496 |
22601230055 |
D000003 |
|
Dokter Spesialis 50k |
IDR |
|
0.000000000000 |
1.000000000000 |
50000.000000000000 |
0.000000000000 |
0.000000000000 |
50000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
22601230055 |
|
22601230055 |
|
|
1900-01-01 00:00:00.000000 |
50000.000000000000 |
0.000000000000 |
ren |
1 |
5639005519 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
1514 |
42601240024 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
1752 |
42601240024 |
F000002 |
|
Paramex |
IDR |
|
0.000000000000 |
6.000000000000 |
2500.000000000000 |
0.000000000000 |
0.000000000000 |
15000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
42601240024 |
|
42601240024 |
|
|
1900-01-01 00:00:00.000000 |
15000.000000000000 |
0.000000000000 |
ren |
1 |
5639005775 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
1515 |
22603060003 |
2026-03-12 16:57:35.000000 |
2.000000000000 |
2058 |
22603060003 |
D000004 |
|
Dokter Spesialis 100k |
IDR |
|
0.000000000000 |
1.000000000000 |
100000.000000000000 |
0.000000000000 |
0.000000000000 |
100000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
22603060003 |
|
22603060003 |
|
|
1900-01-01 00:00:00.000000 |
100000.000000000000 |
0.000000000000 |
ren |
1 |
5639006031 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
1516 |
32512180013 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
179 |
32512180013 |
T000009 |
|
Pengambilan Sampel Darah |
IDR |
|
0.000000000000 |
1.000000000000 |
35000.000000000000 |
0.000000000000 |
0.000000000000 |
35000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
32512180013 |
|
32512180013 |
|
|
1900-01-01 00:00:00.000000 |
35000.000000000000 |
0.000000000000 |
ren |
1 |
5639004240 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
1517 |
32512270001 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
443 |
32512270001 |
T000002 |
|
Konsultasi Dokter Spesialis |
IDR |
|
0.000000000000 |
1.000000000000 |
150000.000000000000 |
0.000000000000 |
0.000000000000 |
150000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
32512270001 |
|
32512270001 |
|
|
1900-01-01 00:00:00.000000 |
150000.000000000000 |
0.000000000000 |
ren |
1 |
5639004496 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
1518 |
42601140001 |
2026-04-04 14:00:51.000000 |
5.000000000000 |
724 |
42601140001 |
F000017 |
|
Panadol |
IDR |
|
0.000000000000 |
10.000000000000 |
12800.000000000000 |
0.000000000000 |
0.000000000000 |
128000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
42601140001 |
|
42601140001 |
|
|
1900-01-01 00:00:00.000000 |
128000.000000000000 |
0.000000000000 |
ren |
1 |
5639004752 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
1519 |
42601150023 |
2026-04-04 14:00:51.000000 |
3.000000000000 |
981 |
42601150023 |
F000006 |
|
Amlodipine |
IDR |
|
0.000000000000 |
1.000000000000 |
25500.000000000000 |
0.000000000000 |
0.000000000000 |
25500.000000000000 |
|
|
|
0.000000000000 |
0 |
|
42601150023 |
|
42601150023 |
|
|
1900-01-01 00:00:00.000000 |
25500.000000000000 |
0.000000000000 |
ren |
1 |
5639005008 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
1520 |
52601230019 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
1241 |
52601230019 |
X000001 |
|
Alat Tes Gula Darah |
IDR |
|
0.000000000000 |
1.000000000000 |
150000.000000000000 |
0.000000000000 |
0.000000000000 |
150000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
52601230019 |
|
52601230019 |
|
|
1900-01-01 00:00:00.000000 |
150000.000000000000 |
0.000000000000 |
ren |
1 |
5639005264 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |