|
1611 |
22603280002 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
2070 |
22603280002 |
A000002 |
|
Rawat Jalan |
IDR |
|
0.000000000000 |
1.000000000000 |
150000.000000000000 |
0.000000000000 |
0.000000000000 |
150000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
22603280002 |
|
22603280002 |
|
|
1900-01-01 00:00:00.000000 |
150000.000000000000 |
0.000000000000 |
ren |
1 |
5639006043 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
1612 |
32512180021 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
193 |
32512180021 |
T000001 |
|
T000001 |
IDR |
|
0.000000000000 |
6.000000000000 |
50000.000000000000 |
0.000000000000 |
0.000000000000 |
300000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
32512180021 |
|
32512180021 |
|
|
1900-01-01 00:00:00.000000 |
300000.000000000000 |
0.000000000000 |
ren |
1 |
5639004252 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
1613 |
22601030002 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
455 |
22601030002 |
A000001 |
|
Biaya Kartu Pasien |
IDR |
|
0.000000000000 |
1.000000000000 |
50000.000000000000 |
0.000000000000 |
0.000000000000 |
50000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
22601030002 |
|
22601030002 |
|
|
1900-01-01 00:00:00.000000 |
50000.000000000000 |
0.000000000000 |
ren |
1 |
5639004508 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
1614 |
22601140006 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
736 |
22601140006 |
A000002 |
|
Rawat Jalan |
IDR |
|
0.000000000000 |
1.000000000000 |
150000.000000000000 |
0.000000000000 |
0.000000000000 |
150000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
22601140006 |
|
22601140006 |
|
|
1900-01-01 00:00:00.000000 |
150000.000000000000 |
0.000000000000 |
ren |
1 |
5639004764 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
1615 |
42601150025 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
993 |
42601150025 |
F000003 |
|
Alerfed |
IDR |
|
0.000000000000 |
2.000000000000 |
3000.000000000000 |
0.000000000000 |
0.000000000000 |
6000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
42601150025 |
|
42601150025 |
|
|
1900-01-01 00:00:00.000000 |
6000.000000000000 |
0.000000000000 |
ren |
1 |
5639005020 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
1616 |
2260123000022 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
1253 |
2260123000022 |
D000002 |
|
Biaya Konsultasi dr. Spesialis THT |
IDR |
|
0.000000000000 |
1.000000000000 |
75000.000000000000 |
0.000000000000 |
0.000000000000 |
75000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
2260123000022 |
|
2260123000022 |
|
|
1900-01-01 00:00:00.000000 |
75000.000000000000 |
0.000000000000 |
ren |
1 |
5639005276 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
1617 |
42601230058 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
1509 |
42601230058 |
F000005 |
|
Captopril |
IDR |
|
0.000000000000 |
1.000000000000 |
14500.000000000000 |
0.000000000000 |
0.000000000000 |
14500.000000000000 |
|
|
|
0.000000000000 |
0 |
|
42601230058 |
|
42601230058 |
|
|
1900-01-01 00:00:00.000000 |
14500.000000000000 |
0.000000000000 |
ren |
1 |
5639005532 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
1618 |
22601240029 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
1765 |
22601240029 |
D000003 |
|
Dokter Spesialis 50k (50.000) |
IDR |
|
0.000000000000 |
1.000000000000 |
50000.000000000000 |
0.000000000000 |
0.000000000000 |
50000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
22601240029 |
|
22601240029 |
|
|
1900-01-01 00:00:00.000000 |
50000.000000000000 |
0.000000000000 |
ren |
1 |
5639005788 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
1619 |
22603280003 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
2071 |
22603280003 |
D000001 |
|
Biaya dr. Umum (50.000) |
IDR |
|
0.000000000000 |
1.000000000000 |
50000.000000000000 |
0.000000000000 |
0.000000000000 |
50000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
22603280003 |
|
22603280003 |
|
|
1900-01-01 00:00:00.000000 |
50000.000000000000 |
0.000000000000 |
ren |
1 |
5639006044 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
1620 |
32512180022 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
194 |
32512180022 |
T000004 |
|
Pemasangan Infus |
IDR |
|
0.000000000000 |
17.000000000000 |
75000.000000000000 |
0.000000000000 |
0.000000000000 |
1275000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
32512180022 |
|
32512180022 |
|
|
1900-01-01 00:00:00.000000 |
1275000.000000000000 |
0.000000000000 |
ren |
1 |
5639004253 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |