|
1811 |
32603290007 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
2095 |
32603290007 |
T000003 |
|
Pemeriksaan Tanda Vital |
IDR |
|
0.000000000000 |
1.000000000000 |
25000.000000000000 |
0.000000000000 |
0.000000000000 |
25000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
32603290007 |
|
32603290007 |
|
|
1900-01-01 00:00:00.000000 |
25000.000000000000 |
0.000000000000 |
ren |
1 |
5639006068 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
1812 |
2251218000038 |
2026-04-04 14:00:51.000000 |
2.000000000000 |
218 |
2251218000038 |
A000001 |
|
Biaya Kartu Pasien |
IDR |
|
0.000000000000 |
1.000000000000 |
50000.000000000000 |
0.000000000000 |
0.000000000000 |
50000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
2251218000038 |
|
2251218000038 |
|
|
1900-01-01 00:00:00.000000 |
50000.000000000000 |
0.000000000000 |
ren |
1 |
5639004277 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
1813 |
42601060002 |
2026-04-04 14:00:51.000000 |
5.000000000000 |
480 |
42601060002 |
F000001 |
|
Paracetamol |
IDR |
|
0.000000000000 |
10.000000000000 |
1500.000000000000 |
0.000000000000 |
0.000000000000 |
15000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
42601060002 |
|
42601060002 |
|
|
1900-01-01 00:00:00.000000 |
15000.000000000000 |
0.000000000000 |
ren |
1 |
5639004533 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
1814 |
42601140017 |
2026-04-04 14:00:51.000000 |
5.000000000000 |
761 |
42601140017 |
F000002 |
|
Paramex |
IDR |
|
0.000000000000 |
160.000000000000 |
2500.000000000000 |
0.000000000000 |
0.000000000000 |
360000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
42601140017 |
|
42601140017 |
|
|
1900-01-01 00:00:00.000000 |
360000.000000000000 |
0.000000000000 |
ren |
1 |
5639004789 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
1815 |
52601150001 |
2026-04-04 14:00:51.000000 |
5.000000000000 |
1018 |
52601150001 |
P000004 |
|
Masker Nebulizer |
IDR |
|
0.000000000000 |
9.000000000000 |
20000.000000000000 |
0.000000000000 |
0.000000000000 |
180000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
52601150001 |
|
52601150001 |
|
|
1900-01-01 00:00:00.000000 |
180000.000000000000 |
0.000000000000 |
ren |
1 |
5639005045 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
1816 |
22601230022 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
1278 |
22601230022 |
A000002 |
|
Rawat Jalan |
IDR |
|
0.000000000000 |
1.000000000000 |
150000.000000000000 |
0.000000000000 |
0.000000000000 |
150000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
22601230022 |
|
22601230022 |
|
|
1900-01-01 00:00:00.000000 |
150000.000000000000 |
0.000000000000 |
ren |
1 |
5639005301 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
1817 |
42601240001 |
2026-04-04 14:00:51.000000 |
5.000000000000 |
1534 |
42601240001 |
F000009 |
|
Amoxicillin |
IDR |
|
0.000000000000 |
1.000000000000 |
96500.000000000000 |
0.000000000000 |
0.000000000000 |
96500.000000000000 |
|
|
|
0.000000000000 |
0 |
|
42601240001 |
|
42601240001 |
|
|
1900-01-01 00:00:00.000000 |
96500.000000000000 |
0.000000000000 |
ren |
1 |
5639005557 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
1818 |
52601240023 |
2026-04-04 14:00:51.000000 |
5.000000000000 |
1790 |
52601240023 |
P000010 |
|
Cotton Ball |
IDR |
|
0.000000000000 |
1.000000000000 |
5000.000000000000 |
0.000000000000 |
0.000000000000 |
5000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
52601240023 |
|
52601240023 |
|
|
1900-01-01 00:00:00.000000 |
5000.000000000000 |
0.000000000000 |
ren |
1 |
5639005813 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
1819 |
112603290002 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
2096 |
112603290002 |
R000004 |
|
USG (Ultrasonography) |
IDR |
|
0.000000000000 |
1.000000000000 |
300000.000000000000 |
0.000000000000 |
0.000000000000 |
300000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
112603290002 |
|
112603290002 |
|
|
1900-01-01 00:00:00.000000 |
300000.000000000000 |
0.000000000000 |
ren |
1 |
5639006069 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
1820 |
2251218000038 |
2026-04-04 14:00:51.000000 |
2.000000000000 |
219 |
2251218000038 |
A000002 |
|
Rawat Jalan |
IDR |
|
0.000000000000 |
1.000000000000 |
150000.000000000000 |
0.000000000000 |
0.000000000000 |
150000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
2251218000038 |
|
2251218000038 |
|
|
1900-01-01 00:00:00.000000 |
150000.000000000000 |
0.000000000000 |
ren |
1 |
5639004278 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |