|
1771 |
132603290001 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
2090 |
132603290001 |
L000046 |
|
RF (Rheumatoid Factor) |
IDR |
|
0.000000000000 |
1.000000000000 |
50000.000000000000 |
0.000000000000 |
0.000000000000 |
50000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
132603290001 |
|
132603290001 |
|
|
1900-01-01 00:00:00.000000 |
50000.000000000000 |
0.000000000000 |
ren |
1 |
5639006063 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
1772 |
42512180040 |
2026-04-04 14:00:51.000000 |
5.000000000000 |
213 |
42512180040 |
F000003 |
|
Alerfed |
IDR |
|
0.000000000000 |
10.000000000000 |
3000.000000000000 |
0.000000000000 |
0.000000000000 |
30000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
42512180040 |
|
42512180040 |
|
|
1900-01-01 00:00:00.000000 |
30000.000000000000 |
0.000000000000 |
ren |
1 |
5639004272 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
1773 |
42601060001 |
2026-04-04 14:00:51.000000 |
2.000000000000 |
475 |
42601060001 |
F000017 |
|
Panadol |
IDR |
|
0.000000000000 |
7.000000000000 |
12800.000000000000 |
0.000000000000 |
0.000000000000 |
89600.000000000000 |
|
|
|
0.000000000000 |
0 |
|
42601060001 |
|
42601060001 |
|
|
1900-01-01 00:00:00.000000 |
89600.000000000000 |
0.000000000000 |
ren |
1 |
5639004528 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
1774 |
2260114000008 |
2026-04-04 14:00:51.000000 |
2.000000000000 |
756 |
2260114000008 |
A000001 |
|
Biaya Kartu Pasien |
IDR |
|
0.000000000000 |
1.000000000000 |
50000.000000000000 |
0.000000000000 |
0.000000000000 |
50000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
2260114000008 |
|
2260114000008 |
|
|
1900-01-01 00:00:00.000000 |
50000.000000000000 |
0.000000000000 |
ren |
1 |
5639004784 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
1775 |
42601150032 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
1013 |
42601150032 |
F000003 |
|
Alerfed |
IDR |
|
0.000000000000 |
14.000000000000 |
3000.000000000000 |
0.000000000000 |
0.000000000000 |
42000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
42601150032 |
|
42601150032 |
|
|
1900-01-01 00:00:00.000000 |
42000.000000000000 |
0.000000000000 |
ren |
1 |
5639005040 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
1776 |
22601230021 |
2026-04-04 14:00:51.000000 |
2.000000000000 |
1273 |
22601230021 |
A000002 |
|
Rawat Jalan |
IDR |
|
0.000000000000 |
1.000000000000 |
150000.000000000000 |
0.000000000000 |
0.000000000000 |
150000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
22601230021 |
|
22601230021 |
|
|
1900-01-01 00:00:00.000000 |
150000.000000000000 |
0.000000000000 |
ren |
1 |
5639005296 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
1777 |
OA202601230001 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
1529 |
OA202601230001 |
P000003 |
|
Masker Medis |
IDR |
|
0.000000000000 |
1.000000000000 |
8000.000000000000 |
0.000000000000 |
0.000000000000 |
8000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
OA202601230001 |
|
OA202601230001 |
|
|
1900-01-01 00:00:00.000000 |
8000.000000000000 |
0.000000000000 |
ren |
1 |
5639005552 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
1778 |
520260124-000030 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
1785 |
520260124-000030 |
P000002 |
|
Sarung Tangan Medis |
IDR |
|
0.000000000000 |
1.000000000000 |
50000.000000000000 |
0.000000000000 |
0.000000000000 |
50000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
520260124-000030 |
|
520260124-000030 |
|
|
1900-01-01 00:00:00.000000 |
50000.000000000000 |
0.000000000000 |
ren |
1 |
5639005808 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
1779 |
112603290001 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
2091 |
112603290001 |
R000002 |
|
CT Scan |
IDR |
|
0.000000000000 |
1.000000000000 |
3500000.000000000000 |
0.000000000000 |
0.000000000000 |
3500000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
112603290001 |
|
112603290001 |
|
|
1900-01-01 00:00:00.000000 |
3500000.000000000000 |
0.000000000000 |
ren |
1 |
5639006064 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
1780 |
2251218000037 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
214 |
2251218000037 |
D000004 |
|
Dokter Spesialis 100k |
IDR |
|
0.000000000000 |
1.000000000000 |
100000.000000000000 |
0.000000000000 |
0.000000000000 |
100000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
2251218000037 |
|
2251218000037 |
|
|
1900-01-01 00:00:00.000000 |
100000.000000000000 |
0.000000000000 |
ren |
1 |
5639004273 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |