|
1631 |
42601150025 |
2026-04-04 14:00:51.000000 |
3.000000000000 |
995 |
42601150025 |
F000006 |
|
Amlodipine |
IDR |
|
0.000000000000 |
1.000000000000 |
25500.000000000000 |
0.000000000000 |
0.000000000000 |
25500.000000000000 |
|
|
|
0.000000000000 |
0 |
|
42601150025 |
|
42601150025 |
|
|
1900-01-01 00:00:00.000000 |
25500.000000000000 |
0.000000000000 |
ren |
1 |
5639005022 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
1632 |
2260123000022 |
2026-04-04 14:00:51.000000 |
2.000000000000 |
1255 |
2260123000022 |
A000002 |
|
Rawat Jalan |
IDR |
|
0.000000000000 |
1.000000000000 |
150000.000000000000 |
0.000000000000 |
0.000000000000 |
150000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
2260123000022 |
|
2260123000022 |
|
|
1900-01-01 00:00:00.000000 |
150000.000000000000 |
0.000000000000 |
ren |
1 |
5639005278 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
1633 |
52601230059 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
1511 |
52601230059 |
P000001 |
|
Jarum Suntik |
IDR |
|
0.000000000000 |
1.000000000000 |
2500.000000000000 |
0.000000000000 |
0.000000000000 |
2500.000000000000 |
|
|
|
0.000000000000 |
0 |
|
52601230059 |
|
52601230059 |
|
|
1900-01-01 00:00:00.000000 |
2500.000000000000 |
0.000000000000 |
ren |
1 |
5639005534 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
1634 |
22601240029 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
1767 |
22601240029 |
A000001 |
|
Biaya Kartu Pasien |
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 |
5639005790 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
1635 |
132603280001 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
2073 |
132603280001 |
L000018 |
|
Bilirubin Total |
IDR |
|
0.000000000000 |
1.000000000000 |
50000.000000000000 |
0.000000000000 |
0.000000000000 |
50000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
132603280001 |
|
132603280001 |
|
|
1900-01-01 00:00:00.000000 |
50000.000000000000 |
0.000000000000 |
ren |
1 |
5639006046 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
1636 |
32512180023 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
196 |
32512180023 |
T000004 |
|
Pemasangan Infus |
IDR |
|
0.000000000000 |
2.000000000000 |
75000.000000000000 |
0.000000000000 |
0.000000000000 |
150000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
32512180023 |
|
32512180023 |
|
|
1900-01-01 00:00:00.000000 |
150000.000000000000 |
0.000000000000 |
ren |
1 |
5639004255 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
1637 |
22601050001 |
2026-04-04 14:00:51.000000 |
2.000000000000 |
458 |
22601050001 |
D000002 |
|
Biaya Konsultasi dr. Spesialis THT |
IDR |
|
0.000000000000 |
1.000000000000 |
75000.000000000000 |
0.000000000000 |
0.000000000000 |
75000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
22601050001 |
|
22601050001 |
|
|
1900-01-01 00:00:00.000000 |
75000.000000000000 |
0.000000000000 |
ren |
1 |
5639004511 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
1638 |
42601140006 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
739 |
42601140006 |
F000002 |
|
Paramex |
IDR |
|
0.000000000000 |
10.000000000000 |
2500.000000000000 |
0.000000000000 |
0.000000000000 |
25000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
42601140006 |
|
42601140006 |
|
|
1900-01-01 00:00:00.000000 |
25000.000000000000 |
0.000000000000 |
ren |
1 |
5639004767 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
1639 |
42601150025 |
2026-04-04 14:00:51.000000 |
4.000000000000 |
996 |
42601150025 |
F000009 |
|
Amoxicillin |
IDR |
|
0.000000000000 |
4.000000000000 |
96500.000000000000 |
0.000000000000 |
0.000000000000 |
386000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
42601150025 |
|
42601150025 |
|
|
1900-01-01 00:00:00.000000 |
386000.000000000000 |
0.000000000000 |
ren |
1 |
5639005023 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
1640 |
52601230021 |
2026-04-04 14:00:51.000000 |
5.000000000000 |
1256 |
52601230021 |
P000004 |
|
Masker Nebulizer |
IDR |
|
0.000000000000 |
5.000000000000 |
20000.000000000000 |
0.000000000000 |
0.000000000000 |
100000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
52601230021 |
|
52601230021 |
|
|
1900-01-01 00:00:00.000000 |
100000.000000000000 |
0.000000000000 |
ren |
1 |
5639005279 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |