|
1731 |
22603290003 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
2085 |
22603290003 |
A000002 |
|
Jalan Rawat |
IDR |
|
0.000000000000 |
1.000000000000 |
150000.000000000000 |
0.000000000000 |
0.000000000000 |
150000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
22603290003 |
|
22603290003 |
|
|
1900-01-01 00:00:00.000000 |
150000.000000000000 |
0.000000000000 |
ren |
1 |
5639006058 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
1732 |
2251218000035 |
2026-04-04 14:00:51.000000 |
2.000000000000 |
208 |
2251218000035 |
A000002 |
|
Rawat Jalan |
IDR |
|
0.000000000000 |
1.000000000000 |
150000.000000000000 |
0.000000000000 |
0.000000000000 |
150000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
2251218000035 |
|
2251218000035 |
|
|
1900-01-01 00:00:00.000000 |
150000.000000000000 |
0.000000000000 |
ren |
1 |
5639004267 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
1733 |
22601060001 |
2026-04-04 14:00:51.000000 |
3.000000000000 |
470 |
22601060001 |
D000001 |
|
Biaya dr. Umum |
IDR |
|
0.000000000000 |
1.000000000000 |
50000.000000000000 |
0.000000000000 |
0.000000000000 |
50000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
22601060001 |
|
22601060001 |
|
|
1900-01-01 00:00:00.000000 |
50000.000000000000 |
0.000000000000 |
ren |
1 |
5639004523 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
1734 |
52601140004 |
2026-04-04 14:00:51.000000 |
5.000000000000 |
751 |
52601140004 |
X000001 |
|
Alat Tes Gula Darah |
IDR |
|
0.000000000000 |
10.000000000000 |
150000.000000000000 |
0.000000000000 |
0.000000000000 |
1500000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
52601140004 |
|
52601140004 |
|
|
1900-01-01 00:00:00.000000 |
1500000.000000000000 |
0.000000000000 |
ren |
1 |
5639004779 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
1735 |
42601150030 |
2026-04-04 14:00:51.000000 |
2.000000000000 |
1008 |
42601150030 |
F000003 |
|
Alerfed |
IDR |
|
0.000000000000 |
11.000000000000 |
3000.000000000000 |
0.000000000000 |
0.000000000000 |
33000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
42601150030 |
|
42601150030 |
|
|
1900-01-01 00:00:00.000000 |
33000.000000000000 |
0.000000000000 |
ren |
1 |
5639005035 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
1736 |
520260123-000002 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
1268 |
520260123-000002 |
P000001 |
|
Jarum Suntik |
IDR |
|
0.000000000000 |
1.000000000000 |
2500.000000000000 |
0.000000000000 |
0.000000000000 |
2500.000000000000 |
|
|
|
0.000000000000 |
0 |
|
520260123-000002 |
|
520260123-000002 |
|
|
1900-01-01 00:00:00.000000 |
2500.000000000000 |
0.000000000000 |
ren |
1 |
5639005291 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
1737 |
2260123000060 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
1524 |
2260123000060 |
D000002 |
|
Biaya Konsultasi dr. Spesialis THT |
IDR |
|
0.000000000000 |
1.000000000000 |
75000.000000000000 |
0.000000000000 |
0.000000000000 |
75000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
2260123000060 |
|
2260123000060 |
|
|
1900-01-01 00:00:00.000000 |
75000.000000000000 |
0.000000000000 |
ren |
1 |
5639005547 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
1738 |
42601240028 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
1780 |
42601240028 |
F000003 |
|
Alerfed |
IDR |
|
0.000000000000 |
1.000000000000 |
3000.000000000000 |
0.000000000000 |
0.000000000000 |
3000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
42601240028 |
|
42601240028 |
|
|
1900-01-01 00:00:00.000000 |
3000.000000000000 |
0.000000000000 |
ren |
1 |
5639005803 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
1739 |
22603290003 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
2086 |
22603290003 |
A000001 |
|
Biaya Kartu Pasien |
IDR |
|
0.000000000000 |
1.000000000000 |
50000.000000000000 |
0.000000000000 |
0.000000000000 |
50000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
22603290003 |
|
22603290003 |
|
|
1900-01-01 00:00:00.000000 |
50000.000000000000 |
0.000000000000 |
ren |
1 |
5639006059 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
1740 |
2251218000036 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
209 |
2251218000036 |
D000001 |
|
Biaya dr. Umum |
IDR |
|
0.000000000000 |
1.000000000000 |
50000.000000000000 |
0.000000000000 |
0.000000000000 |
50000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
2251218000036 |
|
2251218000036 |
|
|
1900-01-01 00:00:00.000000 |
50000.000000000000 |
0.000000000000 |
ren |
1 |
5639004268 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |