|
1571 |
22603280001 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
2065 |
22603280001 |
D000002 |
|
Biaya Konsultasi dr. Spesialis THT (75.000) |
IDR |
|
0.000000000000 |
1.000000000000 |
75000.000000000000 |
0.000000000000 |
0.000000000000 |
75000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
22603280001 |
|
22603280001 |
|
|
1900-01-01 00:00:00.000000 |
75000.000000000000 |
0.000000000000 |
ren |
1 |
5639006038 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
1572 |
32512180018 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
186 |
32512180018 |
T000004 |
|
Pemasangan Infus |
IDR |
|
0.000000000000 |
100.000000000000 |
75000.000000000000 |
0.000000000000 |
0.000000000000 |
7500000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
32512180018 |
|
32512180018 |
|
|
1900-01-01 00:00:00.000000 |
7500000.000000000000 |
0.000000000000 |
ren |
1 |
5639004247 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
1573 |
42601010001 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
450 |
42601010001 |
F000006 |
|
Amlodipine |
IDR |
|
0.000000000000 |
5.000000000000 |
25500.000000000000 |
0.000000000000 |
0.000000000000 |
127500.000000000000 |
|
|
|
0.000000000000 |
0 |
|
42601010001 |
|
42601010001 |
|
|
1900-01-01 00:00:00.000000 |
127500.000000000000 |
0.000000000000 |
ren |
1 |
5639004503 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
1574 |
32601140002 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
731 |
32601140002 |
T000005 |
|
Injeksi Intramuskular |
IDR |
|
0.000000000000 |
2.000000000000 |
40000.000000000000 |
0.000000000000 |
0.000000000000 |
80000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
32601140002 |
|
32601140002 |
|
|
1900-01-01 00:00:00.000000 |
80000.000000000000 |
0.000000000000 |
ren |
1 |
5639004759 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
1575 |
42601150024 |
2026-04-04 14:00:51.000000 |
3.000000000000 |
988 |
42601150024 |
F000006 |
|
Amlodipine |
IDR |
|
0.000000000000 |
1.000000000000 |
25500.000000000000 |
0.000000000000 |
0.000000000000 |
25500.000000000000 |
|
|
|
0.000000000000 |
0 |
|
42601150024 |
|
42601150024 |
|
|
1900-01-01 00:00:00.000000 |
25500.000000000000 |
0.000000000000 |
ren |
1 |
5639005015 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
1576 |
2260123000020 |
2026-04-04 14:00:51.000000 |
2.000000000000 |
1248 |
2260123000020 |
A000001 |
|
Biaya Kartu Pasien |
IDR |
|
0.000000000000 |
1.000000000000 |
50000.000000000000 |
0.000000000000 |
0.000000000000 |
50000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
2260123000020 |
|
2260123000020 |
|
|
1900-01-01 00:00:00.000000 |
50000.000000000000 |
0.000000000000 |
ren |
1 |
5639005271 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
1577 |
32601230059 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
1504 |
32601230059 |
T000003 |
|
Pemeriksaan Tanda Vital |
IDR |
|
0.000000000000 |
1.000000000000 |
25000.000000000000 |
0.000000000000 |
0.000000000000 |
25000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
32601230059 |
|
32601230059 |
|
|
1900-01-01 00:00:00.000000 |
25000.000000000000 |
0.000000000000 |
ren |
1 |
5639005527 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
1578 |
22601240028 |
2026-04-04 14:00:51.000000 |
2.000000000000 |
1760 |
22601240028 |
A000002 |
|
Rawat Jalan |
IDR |
|
0.000000000000 |
1.000000000000 |
150000.000000000000 |
0.000000000000 |
0.000000000000 |
150000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
22601240028 |
|
22601240028 |
|
|
1900-01-01 00:00:00.000000 |
150000.000000000000 |
0.000000000000 |
ren |
1 |
5639005783 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
1579 |
22603280001 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
2066 |
22603280001 |
A000002 |
|
Rawat Jalan |
IDR |
|
0.000000000000 |
1.000000000000 |
150000.000000000000 |
0.000000000000 |
0.000000000000 |
150000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
22603280001 |
|
22603280001 |
|
|
1900-01-01 00:00:00.000000 |
150000.000000000000 |
0.000000000000 |
ren |
1 |
5639006039 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
1580 |
32512180020 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
189 |
32512180020 |
T000004 |
|
Pemasangan Infus |
IDR |
|
0.000000000000 |
2.000000000000 |
75000.000000000000 |
0.000000000000 |
0.000000000000 |
150000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
32512180020 |
|
32512180020 |
|
|
1900-01-01 00:00:00.000000 |
150000.000000000000 |
0.000000000000 |
ren |
1 |
5639004248 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |