|
1801 |
2260124000001 |
2026-04-04 14:00:51.000000 |
2.000000000000 |
1532 |
2260124000001 |
A000002 |
|
Rawat Jalan |
IDR |
|
0.000000000000 |
1.000000000000 |
150000.000000000000 |
0.000000000000 |
0.000000000000 |
150000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
2260124000001 |
|
2260124000001 |
|
|
1900-01-01 00:00:00.000000 |
150000.000000000000 |
0.000000000000 |
ren |
1 |
5639005555 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
1802 |
2260124000032 |
2026-04-04 14:00:51.000000 |
2.000000000000 |
1788 |
2260124000032 |
A000001 |
|
Biaya Kartu Pasien |
IDR |
|
0.000000000000 |
1.000000000000 |
50000.000000000000 |
0.000000000000 |
0.000000000000 |
50000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
2260124000032 |
|
2260124000032 |
|
|
1900-01-01 00:00:00.000000 |
50000.000000000000 |
0.000000000000 |
ren |
1 |
5639005811 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
1803 |
22603290004 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
2094 |
22603290004 |
A000002 |
|
Jalan Rawat |
IDR |
|
0.000000000000 |
1.000000000000 |
150000.000000000000 |
0.000000000000 |
0.000000000000 |
150000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
22603290004 |
|
22603290004 |
|
|
1900-01-01 00:00:00.000000 |
150000.000000000000 |
0.000000000000 |
ren |
1 |
5639006067 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
1804 |
2251218000038 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
217 |
2251218000038 |
D000004 |
|
Dokter Spesialis 100k |
IDR |
|
0.000000000000 |
1.000000000000 |
100000.000000000000 |
0.000000000000 |
0.000000000000 |
100000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
2251218000038 |
|
2251218000038 |
|
|
1900-01-01 00:00:00.000000 |
100000.000000000000 |
0.000000000000 |
ren |
1 |
5639004276 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
1805 |
22601060002 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
479 |
22601060002 |
D000001 |
|
Biaya dr. Umum |
IDR |
|
0.000000000000 |
1.000000000000 |
50000.000000000000 |
0.000000000000 |
0.000000000000 |
50000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
22601060002 |
|
22601060002 |
|
|
1900-01-01 00:00:00.000000 |
50000.000000000000 |
0.000000000000 |
ren |
1 |
5639004532 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
1806 |
42601140016 |
2026-04-04 14:00:51.000000 |
5.000000000000 |
760 |
42601140016 |
F000006 |
|
Amlodipine |
IDR |
|
0.000000000000 |
5.000000000000 |
25500.000000000000 |
0.000000000000 |
0.000000000000 |
127500.000000000000 |
|
|
|
0.000000000000 |
0 |
|
42601140016 |
|
42601140016 |
|
|
1900-01-01 00:00:00.000000 |
127500.000000000000 |
0.000000000000 |
ren |
1 |
5639004788 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
1807 |
42601150034 |
2026-04-04 14:00:51.000000 |
5.000000000000 |
1017 |
42601150034 |
F000005 |
|
Captopril |
IDR |
|
0.000000000000 |
4.000000000000 |
14500.000000000000 |
0.000000000000 |
0.000000000000 |
58000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
42601150034 |
|
42601150034 |
|
|
1900-01-01 00:00:00.000000 |
58000.000000000000 |
0.000000000000 |
ren |
1 |
5639005044 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
1808 |
42601230023 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
1277 |
42601230023 |
F000001 |
|
Paracetamol |
IDR |
|
0.000000000000 |
1.000000000000 |
1500.000000000000 |
0.000000000000 |
0.000000000000 |
1500.000000000000 |
|
|
|
0.000000000000 |
0 |
|
42601230023 |
|
42601230023 |
|
|
1900-01-01 00:00:00.000000 |
1500.000000000000 |
0.000000000000 |
ren |
1 |
5639005300 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
1809 |
52601240001 |
2026-04-04 14:00:51.000000 |
5.000000000000 |
1533 |
52601240001 |
P000010 |
|
Cotton Ball |
IDR |
|
0.000000000000 |
1.000000000000 |
5000.000000000000 |
0.000000000000 |
0.000000000000 |
5000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
52601240001 |
|
52601240001 |
|
|
1900-01-01 00:00:00.000000 |
5000.000000000000 |
0.000000000000 |
ren |
1 |
5639005556 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
1810 |
2260124000032 |
2026-04-04 14:00:51.000000 |
2.000000000000 |
1789 |
2260124000032 |
A000002 |
|
Rawat Jalan |
IDR |
|
0.000000000000 |
1.000000000000 |
150000.000000000000 |
0.000000000000 |
0.000000000000 |
150000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
2260124000032 |
|
2260124000032 |
|
|
1900-01-01 00:00:00.000000 |
150000.000000000000 |
0.000000000000 |
ren |
1 |
5639005812 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |