|
1561 |
22601230057 |
2026-04-04 14:00:51.000000 |
2.000000000000 |
1502 |
22601230057 |
D000002 |
|
Biaya Konsultasi dr. Spesialis THT |
IDR |
|
0.000000000000 |
1.000000000000 |
75000.000000000000 |
0.000000000000 |
0.000000000000 |
75000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
22601230057 |
|
22601230057 |
|
|
1900-01-01 00:00:00.000000 |
75000.000000000000 |
0.000000000000 |
ren |
1 |
5639005525 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
1562 |
42601240025 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
1758 |
42601240025 |
F000001 |
|
Paracetamol |
IDR |
|
0.000000000000 |
4.000000000000 |
1500.000000000000 |
0.000000000000 |
0.000000000000 |
6000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
42601240025 |
|
42601240025 |
|
|
1900-01-01 00:00:00.000000 |
6000.000000000000 |
0.000000000000 |
ren |
1 |
5639005781 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
1563 |
132603260001 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
2064 |
132603260001 |
L000029 |
|
Triglyserida |
IDR |
|
0.000000000000 |
2.000000000000 |
55000.000000000000 |
0.000000000000 |
0.000000000000 |
110000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
132603260001 |
|
132603260001 |
|
|
1900-01-01 00:00:00.000000 |
110000.000000000000 |
0.000000000000 |
ren |
1 |
5639006037 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
1564 |
32512180018 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
185 |
32512180018 |
T000002 |
|
Konsultasi Dokter Spesialis |
IDR |
|
0.000000000000 |
100.000000000000 |
150000.000000000000 |
0.000000000000 |
0.000000000000 |
15000000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
32512180018 |
|
32512180018 |
|
|
1900-01-01 00:00:00.000000 |
15000000.000000000000 |
0.000000000000 |
ren |
1 |
5639004246 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
1565 |
22601010002 |
2026-04-04 14:00:51.000000 |
3.000000000000 |
449 |
22601010002 |
D000001 |
|
Biaya dr. Umum |
IDR |
|
0.000000000000 |
1.000000000000 |
50000.000000000000 |
0.000000000000 |
0.000000000000 |
50000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
22601010002 |
|
22601010002 |
|
|
1900-01-01 00:00:00.000000 |
50000.000000000000 |
0.000000000000 |
ren |
1 |
5639004502 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
1566 |
32601140002 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
730 |
32601140002 |
T000004 |
|
Pemasangan Infus |
IDR |
|
0.000000000000 |
1.000000000000 |
75000.000000000000 |
0.000000000000 |
0.000000000000 |
75000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
32601140002 |
|
32601140002 |
|
|
1900-01-01 00:00:00.000000 |
75000.000000000000 |
0.000000000000 |
ren |
1 |
5639004758 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
1567 |
42601150024 |
2026-04-04 14:00:51.000000 |
2.000000000000 |
987 |
42601150024 |
F000001 |
|
Paracetamol |
IDR |
|
0.000000000000 |
2.000000000000 |
1500.000000000000 |
0.000000000000 |
0.000000000000 |
3000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
42601150024 |
|
42601150024 |
|
|
1900-01-01 00:00:00.000000 |
3000.000000000000 |
0.000000000000 |
ren |
1 |
5639005014 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
1568 |
2260123000020 |
2026-04-04 14:00:51.000000 |
2.000000000000 |
1247 |
2260123000020 |
D000004 |
|
Dokter Spesialis 100k |
IDR |
|
0.000000000000 |
1.000000000000 |
100000.000000000000 |
0.000000000000 |
0.000000000000 |
100000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
2260123000020 |
|
2260123000020 |
|
|
1900-01-01 00:00:00.000000 |
100000.000000000000 |
0.000000000000 |
ren |
1 |
5639005270 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
1569 |
32601230058 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
1503 |
32601230058 |
T000002 |
|
Konsultasi Dokter Spesialis |
IDR |
|
0.000000000000 |
1.000000000000 |
150000.000000000000 |
0.000000000000 |
0.000000000000 |
150000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
32601230058 |
|
32601230058 |
|
|
1900-01-01 00:00:00.000000 |
150000.000000000000 |
0.000000000000 |
ren |
1 |
5639005526 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
1570 |
22601240028 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
1759 |
22601240028 |
A000001 |
|
Biaya Kartu Pasien |
IDR |
|
0.000000000000 |
1.000000000000 |
50000.000000000000 |
0.000000000000 |
0.000000000000 |
50000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
22601240028 |
|
22601240028 |
|
|
1900-01-01 00:00:00.000000 |
50000.000000000000 |
0.000000000000 |
ren |
1 |
5639005782 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |