|
1531 |
3202603120001 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
2060 |
3202603120001 |
T000004 |
|
Pemasangan Infus |
IDR |
|
0.000000000000 |
1.000000000000 |
75000.000000000000 |
0.000000000000 |
0.000000000000 |
75000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
3202603120001 |
|
3202603120001 |
|
|
1900-01-01 00:00:00.000000 |
75000.000000000000 |
0.000000000000 |
ren |
1 |
5639006033 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
1532 |
32512180015 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
181 |
32512180015 |
T000001 |
|
T000001 |
IDR |
|
0.000000000000 |
1.000000000000 |
50000.000000000000 |
0.000000000000 |
0.000000000000 |
50000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
32512180015 |
|
32512180015 |
|
|
1900-01-01 00:00:00.000000 |
50000.000000000000 |
0.000000000000 |
ren |
1 |
5639004242 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
1533 |
22601010001 |
2026-04-04 14:00:51.000000 |
2.000000000000 |
445 |
22601010001 |
A000001 |
|
Biaya Kartu Pasien |
IDR |
|
0.000000000000 |
1.000000000000 |
50000.000000000000 |
0.000000000000 |
0.000000000000 |
50000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
22601010001 |
|
22601010001 |
|
|
1900-01-01 00:00:00.000000 |
50000.000000000000 |
0.000000000000 |
ren |
1 |
5639004498 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
1534 |
42601140003 |
2026-04-04 14:00:51.000000 |
5.000000000000 |
726 |
42601140003 |
F000017 |
|
Panadol |
IDR |
|
0.000000000000 |
10.000000000000 |
12800.000000000000 |
0.000000000000 |
0.000000000000 |
128000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
42601140003 |
|
42601140003 |
|
|
1900-01-01 00:00:00.000000 |
128000.000000000000 |
0.000000000000 |
ren |
1 |
5639004754 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
1535 |
42601150023 |
2026-04-04 14:00:51.000000 |
5.000000000000 |
983 |
42601150023 |
F000010 |
|
Loratadine |
IDR |
|
0.000000000000 |
3.000000000000 |
18500.000000000000 |
0.000000000000 |
0.000000000000 |
55500.000000000000 |
|
|
|
0.000000000000 |
0 |
|
42601150023 |
|
42601150023 |
|
|
1900-01-01 00:00:00.000000 |
55500.000000000000 |
0.000000000000 |
ren |
1 |
5639005010 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
1536 |
32601230019 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
1243 |
32601230019 |
T000009 |
|
Pengambilan Sampel Darah |
IDR |
|
0.000000000000 |
1.000000000000 |
35000.000000000000 |
0.000000000000 |
0.000000000000 |
35000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
32601230019 |
|
32601230019 |
|
|
1900-01-01 00:00:00.000000 |
35000.000000000000 |
0.000000000000 |
ren |
1 |
5639005266 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
1537 |
42601230057 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
1499 |
42601230057 |
F000003 |
|
Alerfed |
IDR |
|
0.000000000000 |
1.000000000000 |
3000.000000000000 |
0.000000000000 |
0.000000000000 |
3000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
42601230057 |
|
42601230057 |
|
|
1900-01-01 00:00:00.000000 |
3000.000000000000 |
0.000000000000 |
ren |
1 |
5639005522 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
1538 |
22601240027 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
1755 |
22601240027 |
D000001 |
|
Biaya dr. Umum |
IDR |
|
0.000000000000 |
1.000000000000 |
50000.000000000000 |
0.000000000000 |
0.000000000000 |
50000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
22601240027 |
|
22601240027 |
|
|
1900-01-01 00:00:00.000000 |
50000.000000000000 |
0.000000000000 |
ren |
1 |
5639005778 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
1539 |
4260310000001 |
2026-03-13 10:14:24.000000 |
6.000000000000 |
2061 |
4260310000001 |
F000008 |
|
Metformin |
IDR |
|
0.000000000000 |
1.000000000000 |
2500.000000000000 |
0.000000000000 |
0.000000000000 |
2500.000000000000 |
|
|
|
0.000000000000 |
0 |
|
4260310000001 |
|
4260310000001 |
|
|
1900-01-01 00:00:00.000000 |
2500.000000000000 |
0.000000000000 |
ren |
1 |
5639006034 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
1540 |
32512180016 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
182 |
32512180016 |
T000009 |
|
Pengambilan Sampel Darah |
IDR |
|
0.000000000000 |
5.000000000000 |
35000.000000000000 |
0.000000000000 |
0.000000000000 |
175000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
32512180016 |
|
32512180016 |
|
|
1900-01-01 00:00:00.000000 |
175000.000000000000 |
0.000000000000 |
ren |
1 |
5639004243 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |