|
1521 |
32601230057 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
1497 |
32601230057 |
T000004 |
|
Pemasangan Infus |
IDR |
|
0.000000000000 |
12.000000000000 |
75000.000000000000 |
0.000000000000 |
0.000000000000 |
900000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
32601230057 |
|
32601230057 |
|
|
1900-01-01 00:00:00.000000 |
900000.000000000000 |
0.000000000000 |
ren |
1 |
5639005520 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
1522 |
22601240027 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
1753 |
22601240027 |
A000002 |
|
Rawat Jalan |
IDR |
|
0.000000000000 |
1.000000000000 |
150000.000000000000 |
0.000000000000 |
0.000000000000 |
150000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
22601240027 |
|
22601240027 |
|
|
1900-01-01 00:00:00.000000 |
150000.000000000000 |
0.000000000000 |
ren |
1 |
5639005776 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
1523 |
22603040001 |
2026-03-12 16:58:06.000000 |
5.000000000000 |
2059 |
22603040001 |
D000014 |
|
Konsultasi Dokter Spesialis Saraf |
IDR |
|
0.000000000000 |
1.000000000000 |
150000.000000000000 |
0.000000000000 |
0.000000000000 |
150000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
22603040001 |
|
22603040001 |
|
|
1900-01-01 00:00:00.000000 |
150000.000000000000 |
0.000000000000 |
ren |
1 |
5639006032 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
1524 |
32512180014 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
180 |
32512180014 |
T000001 |
|
T000001 |
IDR |
|
0.000000000000 |
4.000000000000 |
50000.000000000000 |
0.000000000000 |
0.000000000000 |
200000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
32512180014 |
|
32512180014 |
|
|
1900-01-01 00:00:00.000000 |
200000.000000000000 |
0.000000000000 |
ren |
1 |
5639004241 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
1525 |
22601010001 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
444 |
22601010001 |
A000003 |
|
Rawat Inap |
IDR |
|
0.000000000000 |
1.000000000000 |
500000.000000000000 |
0.000000000000 |
0.000000000000 |
500000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
22601010001 |
|
22601010001 |
|
|
1900-01-01 00:00:00.000000 |
500000.000000000000 |
0.000000000000 |
ren |
1 |
5639004497 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
1526 |
42601140002 |
2026-04-04 14:00:51.000000 |
5.000000000000 |
725 |
42601140002 |
F000017 |
|
Panadol |
IDR |
|
0.000000000000 |
15.000000000000 |
12800.000000000000 |
0.000000000000 |
0.000000000000 |
192000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
42601140002 |
|
42601140002 |
|
|
1900-01-01 00:00:00.000000 |
192000.000000000000 |
0.000000000000 |
ren |
1 |
5639004753 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
1527 |
42601150023 |
2026-04-04 14:00:51.000000 |
4.000000000000 |
982 |
42601150023 |
F000009 |
|
Amoxicillin |
IDR |
|
0.000000000000 |
4.000000000000 |
96500.000000000000 |
0.000000000000 |
0.000000000000 |
386000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
42601150023 |
|
42601150023 |
|
|
1900-01-01 00:00:00.000000 |
386000.000000000000 |
0.000000000000 |
ren |
1 |
5639005009 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
1528 |
42601230019 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
1242 |
42601230019 |
F000006 |
|
Amlodipine |
IDR |
|
0.000000000000 |
1.000000000000 |
25500.000000000000 |
0.000000000000 |
0.000000000000 |
25500.000000000000 |
|
|
|
0.000000000000 |
0 |
|
42601230019 |
|
42601230019 |
|
|
1900-01-01 00:00:00.000000 |
25500.000000000000 |
0.000000000000 |
ren |
1 |
5639005265 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
1529 |
52601230056 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
1498 |
52601230056 |
P000006 |
|
Kasa Steril |
IDR |
|
0.000000000000 |
1.000000000000 |
1000.000000000000 |
0.000000000000 |
0.000000000000 |
1000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
52601230056 |
|
52601230056 |
|
|
1900-01-01 00:00:00.000000 |
1000.000000000000 |
0.000000000000 |
ren |
1 |
5639005521 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
1530 |
22601240027 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
1754 |
22601240027 |
A000001 |
|
Biaya Kartu Pasien |
IDR |
|
0.000000000000 |
1.000000000000 |
20000.000000000000 |
0.000000000000 |
0.000000000000 |
20000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
22601240027 |
|
22601240027 |
|
|
1900-01-01 00:00:00.000000 |
20000.000000000000 |
0.000000000000 |
ren |
1 |
5639005777 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |