|
1791 |
42601150032 |
2026-04-04 14:00:51.000000 |
3.000000000000 |
1015 |
42601150032 |
F000009 |
|
Amoxicillin |
IDR |
|
0.000000000000 |
14.000000000000 |
96500.000000000000 |
0.000000000000 |
0.000000000000 |
1351000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
42601150032 |
|
42601150032 |
|
|
1900-01-01 00:00:00.000000 |
1351000.000000000000 |
0.000000000000 |
ren |
1 |
5639005042 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
1792 |
32601230022 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
1275 |
32601230022 |
T000002 |
|
Konsultasi Dokter Spesialis |
IDR |
|
0.000000000000 |
1.000000000000 |
150000.000000000000 |
0.000000000000 |
0.000000000000 |
150000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
32601230022 |
|
32601230022 |
|
|
1900-01-01 00:00:00.000000 |
150000.000000000000 |
0.000000000000 |
ren |
1 |
5639005298 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
1793 |
2260124000001 |
2026-04-04 14:00:51.000000 |
2.000000000000 |
1531 |
2260124000001 |
A000001 |
|
Biaya Kartu Pasien |
IDR |
|
0.000000000000 |
1.000000000000 |
50000.000000000000 |
0.000000000000 |
0.000000000000 |
50000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
2260124000001 |
|
2260124000001 |
|
|
1900-01-01 00:00:00.000000 |
50000.000000000000 |
0.000000000000 |
ren |
1 |
5639005554 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
1794 |
2260124000032 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
1787 |
2260124000032 |
D000002 |
|
Biaya Konsultasi dr. Spesialis THT |
IDR |
|
0.000000000000 |
1.000000000000 |
75000.000000000000 |
0.000000000000 |
0.000000000000 |
75000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
2260124000032 |
|
2260124000032 |
|
|
1900-01-01 00:00:00.000000 |
75000.000000000000 |
0.000000000000 |
ren |
1 |
5639005810 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
1795 |
22603290004 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
2093 |
22603290004 |
A000001 |
|
Biaya Kartu Pasien |
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 |
5639006066 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
1796 |
2251218000037 |
2026-04-04 14:00:51.000000 |
2.000000000000 |
216 |
2251218000037 |
A000002 |
|
Rawat Jalan |
IDR |
|
0.000000000000 |
1.000000000000 |
150000.000000000000 |
0.000000000000 |
0.000000000000 |
150000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
2251218000037 |
|
2251218000037 |
|
|
1900-01-01 00:00:00.000000 |
150000.000000000000 |
0.000000000000 |
ren |
1 |
5639004275 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
1797 |
22601060002 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
478 |
22601060002 |
A000001 |
|
Biaya Kartu Pasien |
IDR |
|
0.000000000000 |
1.000000000000 |
20000.000000000000 |
0.000000000000 |
0.000000000000 |
20000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
22601060002 |
|
22601060002 |
|
|
1900-01-01 00:00:00.000000 |
20000.000000000000 |
0.000000000000 |
ren |
1 |
5639004531 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
1798 |
42601140015 |
2026-04-04 14:00:51.000000 |
5.000000000000 |
759 |
42601140015 |
F000003 |
|
Alerfed |
IDR |
|
0.000000000000 |
6.000000000000 |
3000.000000000000 |
0.000000000000 |
0.000000000000 |
18000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
42601140015 |
|
42601140015 |
|
|
1900-01-01 00:00:00.000000 |
18000.000000000000 |
0.000000000000 |
ren |
1 |
5639004787 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
1799 |
42601150033 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
1016 |
42601150033 |
F000003 |
|
Alerfed |
IDR |
|
0.000000000000 |
1.000000000000 |
3000.000000000000 |
0.000000000000 |
0.000000000000 |
3000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
42601150033 |
|
42601150033 |
|
|
1900-01-01 00:00:00.000000 |
3000.000000000000 |
0.000000000000 |
ren |
1 |
5639005043 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
1800 |
32601230023 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
1276 |
32601230023 |
F000004 |
|
Methylprednisolone |
IDR |
|
0.000000000000 |
1.000000000000 |
24000.000000000000 |
0.000000000000 |
0.000000000000 |
24000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
32601230023 |
|
32601230023 |
|
|
1900-01-01 00:00:00.000000 |
24000.000000000000 |
0.000000000000 |
ren |
1 |
5639005299 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |