|
1711 |
42601150029 |
2026-04-04 14:00:51.000000 |
2.000000000000 |
1005 |
42601150029 |
F000006 |
|
Amlodipine |
IDR |
|
0.000000000000 |
5.000000000000 |
25500.000000000000 |
0.000000000000 |
0.000000000000 |
127500.000000000000 |
|
|
|
0.000000000000 |
0 |
|
42601150029 |
|
42601150029 |
|
|
1900-01-01 00:00:00.000000 |
127500.000000000000 |
0.000000000000 |
ren |
1 |
5639005032 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
1712 |
2260123000023 |
2026-04-04 14:00:51.000000 |
2.000000000000 |
1265 |
2260123000023 |
A000001 |
|
Biaya Kartu Pasien |
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 |
5639005288 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
1713 |
32601230063 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
1521 |
32601230063 |
T000002 |
|
Konsultasi Dokter Spesialis |
IDR |
|
0.000000000000 |
2.000000000000 |
150000.000000000000 |
0.000000000000 |
0.000000000000 |
300000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
32601230063 |
|
32601230063 |
|
|
1900-01-01 00:00:00.000000 |
300000.000000000000 |
0.000000000000 |
ren |
1 |
5639005544 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
1714 |
22601240030 |
2026-04-04 14:00:51.000000 |
3.000000000000 |
1777 |
22601240030 |
D000005 |
|
Dokter Spesialis 150k |
IDR |
|
0.000000000000 |
1.000000000000 |
150000.000000000000 |
0.000000000000 |
0.000000000000 |
150000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
22601240030 |
|
22601240030 |
|
|
1900-01-01 00:00:00.000000 |
150000.000000000000 |
0.000000000000 |
ren |
1 |
5639005800 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
1715 |
22603290002 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
2083 |
22603290002 |
A000002 |
|
Jalan Rawat |
IDR |
|
0.000000000000 |
1.000000000000 |
150000.000000000000 |
0.000000000000 |
0.000000000000 |
150000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
22603290002 |
|
22603290002 |
|
|
1900-01-01 00:00:00.000000 |
150000.000000000000 |
0.000000000000 |
ren |
1 |
5639006056 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
1716 |
2251218000035 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
206 |
2251218000035 |
D000001 |
|
Biaya dr. Umum |
IDR |
|
0.000000000000 |
0.000000000000 |
50000.000000000000 |
0.000000000000 |
0.000000000000 |
50000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
2251218000035 |
|
2251218000035 |
|
|
1900-01-01 00:00:00.000000 |
50000.000000000000 |
0.000000000000 |
ren |
1 |
5639004265 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
1717 |
22601060001 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
468 |
22601060001 |
A000002 |
|
Rawat Jalan |
IDR |
|
0.000000000000 |
1.000000000000 |
150000.000000000000 |
0.000000000000 |
0.000000000000 |
150000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
22601060001 |
|
22601060001 |
|
|
1900-01-01 00:00:00.000000 |
150000.000000000000 |
0.000000000000 |
ren |
1 |
5639004521 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
1718 |
42601140012 |
2026-04-04 14:00:51.000000 |
5.000000000000 |
749 |
42601140012 |
F000001 |
|
Paracetamol |
IDR |
|
0.000000000000 |
10.000000000000 |
1500.000000000000 |
0.000000000000 |
0.000000000000 |
15000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
42601140012 |
|
42601140012 |
|
|
1900-01-01 00:00:00.000000 |
15000.000000000000 |
0.000000000000 |
ren |
1 |
5639004777 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
1719 |
42601150029 |
2026-04-04 14:00:51.000000 |
3.000000000000 |
1006 |
42601150029 |
F000009 |
|
Amoxicillin |
IDR |
|
0.000000000000 |
5.000000000000 |
96500.000000000000 |
0.000000000000 |
0.000000000000 |
482500.000000000000 |
|
|
|
0.000000000000 |
0 |
|
42601150029 |
|
42601150029 |
|
|
1900-01-01 00:00:00.000000 |
482500.000000000000 |
0.000000000000 |
ren |
1 |
5639005033 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
1720 |
2260123000023 |
2026-04-04 14:00:51.000000 |
3.000000000000 |
1266 |
2260123000023 |
A000002 |
|
Rawat Jalan |
IDR |
|
0.000000000000 |
1.000000000000 |
150000.000000000000 |
0.000000000000 |
0.000000000000 |
150000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
2260123000023 |
|
2260123000023 |
|
|
1900-01-01 00:00:00.000000 |
150000.000000000000 |
0.000000000000 |
ren |
1 |
5639005289 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |