|
1831 |
226011500028 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
1020 |
226011500028 |
D000002 |
|
Biaya Konsultasi dr. Spesialis THT |
IDR |
|
0.000000000000 |
1.000000000000 |
75000.000000000000 |
0.000000000000 |
0.000000000000 |
75000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
226011500028 |
|
226011500028 |
|
|
1900-01-01 00:00:00.000000 |
75000.000000000000 |
0.000000000000 |
ren |
1 |
5639005047 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
1832 |
52601230024 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
1280 |
52601230024 |
X000001 |
|
Alat Tes Gula Darah |
IDR |
|
0.000000000000 |
1.000000000000 |
150000.000000000000 |
0.000000000000 |
0.000000000000 |
150000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
52601230024 |
|
52601230024 |
|
|
1900-01-01 00:00:00.000000 |
150000.000000000000 |
0.000000000000 |
ren |
1 |
5639005303 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
1833 |
22601230059 |
2026-04-04 14:00:51.000000 |
2.000000000000 |
1536 |
22601230059 |
A000002 |
|
Rawat Jalan |
IDR |
|
0.000000000000 |
1.000000000000 |
150000.000000000000 |
0.000000000000 |
0.000000000000 |
150000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
22601230059 |
|
22601230059 |
|
|
1900-01-01 00:00:00.000000 |
150000.000000000000 |
0.000000000000 |
ren |
1 |
5639005559 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
1834 |
4202601260003 |
2026-01-26 15:13:23.000000 |
1.000000000000 |
1794 |
4202601260003 |
F000003 |
|
Alerfed |
IDR |
|
0.000000000000 |
1.000000000000 |
3000.000000000000 |
0.000000000000 |
0.000000000000 |
3000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
4202601260003 |
|
4202601260003 |
|
|
1900-01-01 00:00:00.000000 |
3000.000000000000 |
0.000000000000 |
ren |
1 |
5639005815 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
1835 |
32603290009 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
2098 |
32603290009 |
T000002 |
|
Konsultasi Dokter Spesialis |
IDR |
|
0.000000000000 |
1.000000000000 |
150000.000000000000 |
0.000000000000 |
0.000000000000 |
150000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
32603290009 |
|
32603290009 |
|
|
1900-01-01 00:00:00.000000 |
150000.000000000000 |
0.000000000000 |
ren |
1 |
5639006071 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
1836 |
2251218000039 |
2026-04-04 14:00:51.000000 |
2.000000000000 |
221 |
2251218000039 |
A000001 |
|
Biaya Kartu Pasien |
IDR |
|
0.000000000000 |
1.000000000000 |
50000.000000000000 |
0.000000000000 |
0.000000000000 |
50000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
2251218000039 |
|
2251218000039 |
|
|
1900-01-01 00:00:00.000000 |
50000.000000000000 |
0.000000000000 |
ren |
1 |
5639004280 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
1837 |
42601060005 |
2026-04-04 14:00:51.000000 |
5.000000000000 |
483 |
42601060005 |
F000003 |
|
Alerfed |
IDR |
|
0.000000000000 |
10.000000000000 |
3000.000000000000 |
0.000000000000 |
0.000000000000 |
30000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
42601060005 |
|
42601060005 |
|
|
1900-01-01 00:00:00.000000 |
30000.000000000000 |
0.000000000000 |
ren |
1 |
5639004536 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
1838 |
42601140018 |
2026-04-04 14:00:51.000000 |
5.000000000000 |
764 |
42601140018 |
F000006 |
|
Amlodipine |
IDR |
|
0.000000000000 |
300.000000000000 |
25500.000000000000 |
0.000000000000 |
0.000000000000 |
6885000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
42601140018 |
|
42601140018 |
|
|
1900-01-01 00:00:00.000000 |
6885000.000000000000 |
0.000000000000 |
ren |
1 |
5639004792 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
1839 |
226011500029 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
1021 |
226011500029 |
A000003 |
|
Rawat Inap |
IDR |
|
0.000000000000 |
1.000000000000 |
500000.000000000000 |
0.000000000000 |
0.000000000000 |
500000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
226011500029 |
|
226011500029 |
|
|
1900-01-01 00:00:00.000000 |
500000.000000000000 |
0.000000000000 |
ren |
1 |
5639005048 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
1840 |
42601230024 |
2026-04-04 14:00:51.000000 |
5.000000000000 |
1281 |
42601230024 |
F000003 |
|
Alerfed |
IDR |
|
0.000000000000 |
10.000000000000 |
3000.000000000000 |
0.000000000000 |
0.000000000000 |
30000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
42601230024 |
|
42601230024 |
|
|
1900-01-01 00:00:00.000000 |
30000.000000000000 |
0.000000000000 |
ren |
1 |
5639005304 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |