|
1701 |
22601050004 |
2026-04-04 14:00:51.000000 |
3.000000000000 |
466 |
22601050004 |
D000003 |
|
Dokter Spesialis 50k |
IDR |
|
0.000000000000 |
1.000000000000 |
50000.000000000000 |
0.000000000000 |
0.000000000000 |
50000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
22601050004 |
|
22601050004 |
|
|
1900-01-01 00:00:00.000000 |
50000.000000000000 |
0.000000000000 |
ren |
1 |
5639004519 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
1702 |
52601140003 |
2026-04-04 14:00:51.000000 |
5.000000000000 |
747 |
52601140003 |
P000012 |
|
Alkohol 70% |
IDR |
|
0.000000000000 |
1.000000000000 |
10000.000000000000 |
0.000000000000 |
0.000000000000 |
10000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
52601140003 |
|
52601140003 |
|
|
1900-01-01 00:00:00.000000 |
10000.000000000000 |
0.000000000000 |
ren |
1 |
5639004775 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
1703 |
42601150029 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
1004 |
42601150029 |
F000003 |
|
Alerfed |
IDR |
|
0.000000000000 |
5.000000000000 |
3000.000000000000 |
0.000000000000 |
0.000000000000 |
15000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
42601150029 |
|
42601150029 |
|
|
1900-01-01 00:00:00.000000 |
15000.000000000000 |
0.000000000000 |
ren |
1 |
5639005031 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
1704 |
2260123000023 |
2026-04-04 14:00:51.000000 |
2.000000000000 |
1264 |
2260123000023 |
D000001 |
|
Biaya dr. Umum |
IDR |
|
0.000000000000 |
1.000000000000 |
50000.000000000000 |
0.000000000000 |
0.000000000000 |
50000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
2260123000023 |
|
2260123000023 |
|
|
1900-01-01 00:00:00.000000 |
50000.000000000000 |
0.000000000000 |
ren |
1 |
5639005287 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
1705 |
42601230061 |
2026-04-04 14:00:51.000000 |
5.000000000000 |
1520 |
42601230061 |
F000006 |
|
Amlodipine |
IDR |
|
0.000000000000 |
1.000000000000 |
25500.000000000000 |
0.000000000000 |
0.000000000000 |
25500.000000000000 |
|
|
|
0.000000000000 |
0 |
|
42601230061 |
|
42601230061 |
|
|
1900-01-01 00:00:00.000000 |
25500.000000000000 |
0.000000000000 |
ren |
1 |
5639005543 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
1706 |
22601240030 |
2026-04-04 14:00:51.000000 |
2.000000000000 |
1776 |
22601240030 |
A000001 |
|
Biaya Kartu Pasien |
IDR |
|
0.000000000000 |
1.000000000000 |
50000.000000000000 |
0.000000000000 |
0.000000000000 |
50000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
22601240030 |
|
22601240030 |
|
|
1900-01-01 00:00:00.000000 |
50000.000000000000 |
0.000000000000 |
ren |
1 |
5639005799 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
1707 |
22603290002 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
2082 |
22603290002 |
A000001 |
|
Biaya Kartu Pasien |
IDR |
|
0.000000000000 |
1.000000000000 |
50000.000000000000 |
0.000000000000 |
0.000000000000 |
50000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
22603290002 |
|
22603290002 |
|
|
1900-01-01 00:00:00.000000 |
50000.000000000000 |
0.000000000000 |
ren |
1 |
5639006055 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
1708 |
42512180038 |
2026-04-04 14:00:51.000000 |
5.000000000000 |
205 |
42512180038 |
F000001 |
|
Paracetamol |
IDR |
|
0.000000000000 |
100.000000000000 |
1500.000000000000 |
0.000000000000 |
0.000000000000 |
150000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
42512180038 |
|
42512180038 |
|
|
1900-01-01 00:00:00.000000 |
150000.000000000000 |
0.000000000000 |
ren |
1 |
5639004264 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
1709 |
420260105-000001 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
467 |
420260105-000001 |
F000006 |
|
Amlodipine |
IDR |
|
0.000000000000 |
10.000000000000 |
25500.000000000000 |
0.000000000000 |
0.000000000000 |
255000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
420260105-000001 |
|
420260105-000001 |
|
|
1900-01-01 00:00:00.000000 |
255000.000000000000 |
0.000000000000 |
ren |
1 |
5639004520 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
1710 |
42601140011 |
2026-04-04 14:00:51.000000 |
5.000000000000 |
748 |
42601140011 |
F000001 |
|
Paracetamol |
IDR |
|
0.000000000000 |
10.000000000000 |
1500.000000000000 |
0.000000000000 |
0.000000000000 |
15000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
42601140011 |
|
42601140011 |
|
|
1900-01-01 00:00:00.000000 |
15000.000000000000 |
0.000000000000 |
ren |
1 |
5639004776 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |