|
1781 |
42601060001 |
2026-04-04 14:00:51.000000 |
3.000000000000 |
476 |
42601060001 |
F000002 |
|
Paramex |
IDR |
|
0.000000000000 |
7.000000000000 |
2500.000000000000 |
0.000000000000 |
0.000000000000 |
17500.000000000000 |
|
|
|
0.000000000000 |
0 |
|
42601060001 |
|
42601060001 |
|
|
1900-01-01 00:00:00.000000 |
17500.000000000000 |
0.000000000000 |
ren |
1 |
5639004529 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
1782 |
2260114000008 |
2026-04-04 14:00:51.000000 |
2.000000000000 |
757 |
2260114000008 |
A000002 |
|
Rawat Jalan |
IDR |
|
0.000000000000 |
1.000000000000 |
150000.000000000000 |
0.000000000000 |
0.000000000000 |
150000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
2260114000008 |
|
2260114000008 |
|
|
1900-01-01 00:00:00.000000 |
150000.000000000000 |
0.000000000000 |
ren |
1 |
5639004785 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
1783 |
42601150032 |
2026-04-04 14:00:51.000000 |
2.000000000000 |
1014 |
42601150032 |
F000006 |
|
Amlodipine |
IDR |
|
0.000000000000 |
14.000000000000 |
25500.000000000000 |
0.000000000000 |
0.000000000000 |
357000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
42601150032 |
|
42601150032 |
|
|
1900-01-01 00:00:00.000000 |
357000.000000000000 |
0.000000000000 |
ren |
1 |
5639005041 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
1784 |
22601230021 |
2026-04-04 14:00:51.000000 |
3.000000000000 |
1274 |
22601230021 |
D000001 |
|
Biaya dr. Umum |
IDR |
|
0.000000000000 |
1.000000000000 |
50000.000000000000 |
0.000000000000 |
0.000000000000 |
50000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
22601230021 |
|
22601230021 |
|
|
1900-01-01 00:00:00.000000 |
50000.000000000000 |
0.000000000000 |
ren |
1 |
5639005297 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
1785 |
2260124000001 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
1530 |
2260124000001 |
D000004 |
|
Dokter Spesialis 100k |
IDR |
|
0.000000000000 |
1.000000000000 |
100000.000000000000 |
0.000000000000 |
0.000000000000 |
100000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
2260124000001 |
|
2260124000001 |
|
|
1900-01-01 00:00:00.000000 |
100000.000000000000 |
0.000000000000 |
ren |
1 |
5639005553 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
1786 |
42601240029 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
1786 |
42601240029 |
F000001 |
|
Paracetamol |
IDR |
|
0.000000000000 |
1.000000000000 |
1500.000000000000 |
0.000000000000 |
0.000000000000 |
1500.000000000000 |
|
|
|
0.000000000000 |
0 |
|
42601240029 |
|
42601240029 |
|
|
1900-01-01 00:00:00.000000 |
1500.000000000000 |
0.000000000000 |
ren |
1 |
5639005809 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
1787 |
22603290004 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
2092 |
22603290004 |
D000001 |
|
Biaya dr. Umum (50.000) |
IDR |
|
0.000000000000 |
1.000000000000 |
50000.000000000000 |
0.000000000000 |
0.000000000000 |
50000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
22603290004 |
|
22603290004 |
|
|
1900-01-01 00:00:00.000000 |
50000.000000000000 |
0.000000000000 |
ren |
1 |
5639006065 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
1788 |
2251218000037 |
2026-04-04 14:00:51.000000 |
2.000000000000 |
215 |
2251218000037 |
A000001 |
|
Biaya Kartu Pasien |
IDR |
|
0.000000000000 |
1.000000000000 |
50000.000000000000 |
0.000000000000 |
0.000000000000 |
50000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
2251218000037 |
|
2251218000037 |
|
|
1900-01-01 00:00:00.000000 |
50000.000000000000 |
0.000000000000 |
ren |
1 |
5639004274 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
1789 |
22601060002 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
477 |
22601060002 |
A000002 |
|
Rawat Jalan |
IDR |
|
0.000000000000 |
1.000000000000 |
150000.000000000000 |
0.000000000000 |
0.000000000000 |
150000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
22601060002 |
|
22601060002 |
|
|
1900-01-01 00:00:00.000000 |
150000.000000000000 |
0.000000000000 |
ren |
1 |
5639004530 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
1790 |
52601140006 |
2026-04-04 14:00:51.000000 |
5.000000000000 |
758 |
52601140006 |
P000012 |
|
Alkohol 70% |
IDR |
|
0.000000000000 |
2.000000000000 |
10000.000000000000 |
0.000000000000 |
0.000000000000 |
20000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
52601140006 |
|
52601140006 |
|
|
1900-01-01 00:00:00.000000 |
20000.000000000000 |
0.000000000000 |
ren |
1 |
5639004786 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |