|
1671 |
42601150026 |
2026-04-04 14:00:51.000000 |
2.000000000000 |
1000 |
42601150026 |
F000002 |
|
Paramex |
IDR |
|
0.000000000000 |
9.000000000000 |
2500.000000000000 |
0.000000000000 |
0.000000000000 |
22500.000000000000 |
|
|
|
0.000000000000 |
0 |
|
42601150026 |
|
42601150026 |
|
|
1900-01-01 00:00:00.000000 |
22500.000000000000 |
0.000000000000 |
ren |
1 |
5639005027 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
1672 |
22601230020 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
1260 |
22601230020 |
A000001 |
|
Biaya Kartu Pasien |
IDR |
|
0.000000000000 |
1.000000000000 |
50000.000000000000 |
0.000000000000 |
0.000000000000 |
50000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
22601230020 |
|
22601230020 |
|
|
1900-01-01 00:00:00.000000 |
50000.000000000000 |
0.000000000000 |
ren |
1 |
5639005283 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
1673 |
2260123000059 |
2026-04-04 14:00:51.000000 |
2.000000000000 |
1516 |
2260123000059 |
D000001 |
|
Biaya dr. Umum |
IDR |
|
0.000000000000 |
1.000000000000 |
50000.000000000000 |
0.000000000000 |
0.000000000000 |
50000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
2260123000059 |
|
2260123000059 |
|
|
1900-01-01 00:00:00.000000 |
50000.000000000000 |
0.000000000000 |
ren |
1 |
5639005539 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
1674 |
226012400030 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
1772 |
226012400030 |
D000001 |
|
Biaya dr. Umum |
IDR |
|
0.000000000000 |
1.000000000000 |
50000.000000000000 |
0.000000000000 |
0.000000000000 |
50000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
226012400030 |
|
226012400030 |
|
|
1900-01-01 00:00:00.000000 |
50000.000000000000 |
0.000000000000 |
ren |
1 |
5639005795 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
1675 |
112603280001 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
2078 |
112603280001 |
R000001 |
|
X-Ray / Rontgen |
IDR |
|
0.000000000000 |
1.000000000000 |
500000.000000000000 |
0.000000000000 |
0.000000000000 |
500000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
112603280001 |
|
112603280001 |
|
|
1900-01-01 00:00:00.000000 |
500000.000000000000 |
0.000000000000 |
ren |
1 |
5639006051 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
1676 |
32512180025 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
201 |
32512180025 |
T000003 |
|
Pemeriksaan Tanda Vital |
IDR |
|
0.000000000000 |
1.000000000000 |
25000.000000000000 |
0.000000000000 |
0.000000000000 |
25000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
32512180025 |
|
32512180025 |
|
|
1900-01-01 00:00:00.000000 |
25000.000000000000 |
0.000000000000 |
ren |
1 |
5639004260 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
1677 |
22601050003 |
2026-04-04 14:00:51.000000 |
3.000000000000 |
463 |
22601050003 |
D000001 |
|
Biaya dr. Umum |
IDR |
|
0.000000000000 |
1.000000000000 |
50000.000000000000 |
0.000000000000 |
0.000000000000 |
50000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
22601050003 |
|
22601050003 |
|
|
1900-01-01 00:00:00.000000 |
50000.000000000000 |
0.000000000000 |
ren |
1 |
5639004516 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
1678 |
42601140009 |
2026-04-04 14:00:51.000000 |
5.000000000000 |
744 |
42601140009 |
F000005 |
|
Captopril |
IDR |
|
0.000000000000 |
10.000000000000 |
14500.000000000000 |
0.000000000000 |
0.000000000000 |
145000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
42601140009 |
|
42601140009 |
|
|
1900-01-01 00:00:00.000000 |
145000.000000000000 |
0.000000000000 |
ren |
1 |
5639004772 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
1679 |
42601150026 |
2026-04-04 14:00:51.000000 |
3.000000000000 |
1001 |
42601150026 |
F000003 |
|
Alerfed |
IDR |
|
0.000000000000 |
9.000000000000 |
3000.000000000000 |
0.000000000000 |
0.000000000000 |
27000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
42601150026 |
|
42601150026 |
|
|
1900-01-01 00:00:00.000000 |
27000.000000000000 |
0.000000000000 |
ren |
1 |
5639005028 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
1680 |
22601230020 |
2026-04-04 14:00:51.000000 |
2.000000000000 |
1261 |
22601230020 |
A000002 |
|
Rawat Jalan |
IDR |
|
0.000000000000 |
1.000000000000 |
150000.000000000000 |
0.000000000000 |
0.000000000000 |
150000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
22601230020 |
|
22601230020 |
|
|
1900-01-01 00:00:00.000000 |
150000.000000000000 |
0.000000000000 |
ren |
1 |
5639005284 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |