|
1821 |
42601060003 |
2026-04-04 14:00:51.000000 |
5.000000000000 |
481 |
42601060003 |
F000001 |
|
Paracetamol |
IDR |
|
0.000000000000 |
200.000000000000 |
1500.000000000000 |
0.000000000000 |
0.000000000000 |
300000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
42601060003 |
|
42601060003 |
|
|
1900-01-01 00:00:00.000000 |
300000.000000000000 |
0.000000000000 |
ren |
1 |
5639004534 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
1822 |
52601140007 |
2026-04-04 14:00:51.000000 |
5.000000000000 |
762 |
52601140007 |
P000004 |
|
Masker Nebulizer |
IDR |
|
0.000000000000 |
210.000000000000 |
20000.000000000000 |
0.000000000000 |
0.000000000000 |
4200000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
52601140007 |
|
52601140007 |
|
|
1900-01-01 00:00:00.000000 |
4200000.000000000000 |
0.000000000000 |
ren |
1 |
5639004790 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
1823 |
226011500028 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
1019 |
226011500028 |
A000003 |
|
Rawat Inap |
IDR |
|
0.000000000000 |
1.000000000000 |
500000.000000000000 |
0.000000000000 |
0.000000000000 |
500000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
226011500028 |
|
226011500028 |
|
|
1900-01-01 00:00:00.000000 |
500000.000000000000 |
0.000000000000 |
ren |
1 |
5639005046 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
1824 |
22601230022 |
2026-04-04 14:00:51.000000 |
2.000000000000 |
1279 |
22601230022 |
D000009 |
|
Konsultasi Dokter Gigi |
IDR |
|
0.000000000000 |
1.000000000000 |
60000.000000000000 |
0.000000000000 |
0.000000000000 |
60000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
22601230022 |
|
22601230022 |
|
|
1900-01-01 00:00:00.000000 |
60000.000000000000 |
0.000000000000 |
ren |
1 |
5639005302 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
1825 |
22601230059 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
1535 |
22601230059 |
A000001 |
|
Biaya Kartu Pasien |
IDR |
|
0.000000000000 |
1.000000000000 |
50000.000000000000 |
0.000000000000 |
0.000000000000 |
50000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
22601230059 |
|
22601230059 |
|
|
1900-01-01 00:00:00.000000 |
50000.000000000000 |
0.000000000000 |
ren |
1 |
5639005558 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
1826 |
42601250001 |
2026-04-04 14:00:51.000000 |
5.000000000000 |
1791 |
42601250001 |
F000015 |
|
Diazepam |
IDR |
|
0.000000000000 |
1.000000000000 |
12000.000000000000 |
0.000000000000 |
0.000000000000 |
12000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
42601250001 |
|
42601250001 |
|
|
1900-01-01 00:00:00.000000 |
12000.000000000000 |
0.000000000000 |
ren |
1 |
5639005814 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
1827 |
32603290008 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
2097 |
32603290008 |
T000002 |
|
Konsultasi Dokter Spesialis |
IDR |
|
0.000000000000 |
1.000000000000 |
150000.000000000000 |
0.000000000000 |
0.000000000000 |
150000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
32603290008 |
|
32603290008 |
|
|
1900-01-01 00:00:00.000000 |
150000.000000000000 |
0.000000000000 |
ren |
1 |
5639006070 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
1828 |
2251218000039 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
220 |
2251218000039 |
D000005 |
|
Dokter Spesialis 150k |
IDR |
|
0.000000000000 |
0.000000000000 |
150000.000000000000 |
0.000000000000 |
0.000000000000 |
150000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
2251218000039 |
|
2251218000039 |
|
|
1900-01-01 00:00:00.000000 |
150000.000000000000 |
0.000000000000 |
ren |
1 |
5639004279 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
1829 |
42601060004 |
2026-04-04 14:00:51.000000 |
5.000000000000 |
482 |
42601060004 |
F000003 |
|
Alerfed |
IDR |
|
0.000000000000 |
50.000000000000 |
3000.000000000000 |
0.000000000000 |
0.000000000000 |
150000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
42601060004 |
|
42601060004 |
|
|
1900-01-01 00:00:00.000000 |
150000.000000000000 |
0.000000000000 |
ren |
1 |
5639004535 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
1830 |
52601140008 |
2026-04-04 14:00:51.000000 |
5.000000000000 |
763 |
52601140008 |
P000004 |
|
Masker Nebulizer |
IDR |
|
0.000000000000 |
10.000000000000 |
20000.000000000000 |
0.000000000000 |
0.000000000000 |
200000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
52601140008 |
|
52601140008 |
|
|
1900-01-01 00:00:00.000000 |
200000.000000000000 |
0.000000000000 |
ren |
1 |
5639004791 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |