|
1861 |
42601060008 |
2026-04-04 14:00:51.000000 |
5.000000000000 |
486 |
42601060008 |
F000005 |
|
Captopril |
IDR |
|
0.000000000000 |
20.000000000000 |
14500.000000000000 |
0.000000000000 |
0.000000000000 |
290000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
42601060008 |
|
42601060008 |
|
|
1900-01-01 00:00:00.000000 |
290000.000000000000 |
0.000000000000 |
ren |
1 |
5639004539 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
1862 |
42601140021 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
767 |
42601140021 |
F000017 |
|
Panadol |
IDR |
|
0.000000000000 |
10.000000000000 |
12800.000000000000 |
0.000000000000 |
0.000000000000 |
128000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
42601140021 |
|
42601140021 |
|
|
1900-01-01 00:00:00.000000 |
128000.000000000000 |
0.000000000000 |
ren |
1 |
5639004795 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
1863 |
226011500030 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
1024 |
226011500030 |
D000002 |
|
Biaya Konsultasi dr. Spesialis THT |
IDR |
|
0.000000000000 |
1.000000000000 |
75000.000000000000 |
0.000000000000 |
0.000000000000 |
75000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
226011500030 |
|
226011500030 |
|
|
1900-01-01 00:00:00.000000 |
75000.000000000000 |
0.000000000000 |
ren |
1 |
5639005051 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
1864 |
32601230024 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
1284 |
32601230024 |
T000009 |
|
Pengambilan Sampel Darah |
IDR |
|
0.000000000000 |
2.000000000000 |
35.000000000000 |
0.000000000000 |
0.000000000000 |
70.000000000000 |
|
|
|
0.000000000000 |
0 |
|
32601230024 |
|
32601230024 |
|
|
1900-01-01 00:00:00.000000 |
70.000000000000 |
0.000000000000 |
ren |
1 |
5639005307 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
1865 |
32601240001 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
1540 |
32601240001 |
T000008 |
|
Nebulisasi |
IDR |
|
0.000000000000 |
1.000000000000 |
80000.000000000000 |
0.000000000000 |
0.000000000000 |
80000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
32601240001 |
|
32601240001 |
|
|
1900-01-01 00:00:00.000000 |
80000.000000000000 |
0.000000000000 |
ren |
1 |
5639005563 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
1866 |
4202601260007 |
2026-01-26 15:16:39.000000 |
1.000000000000 |
1798 |
4202601260007 |
F000003 |
|
Alerfed |
IDR |
|
0.000000000000 |
1.000000000000 |
3000.000000000000 |
0.000000000000 |
0.000000000000 |
3000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
4202601260007 |
|
4202601260007 |
|
|
1900-01-01 00:00:00.000000 |
3000.000000000000 |
0.000000000000 |
ren |
1 |
5639005819 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
1867 |
32603290011 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
2102 |
32603290011 |
T000009 |
|
Pengambilan Sampel Darah |
IDR |
|
0.000000000000 |
1.000000000000 |
35000.000000000000 |
0.000000000000 |
0.000000000000 |
35000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
32603290011 |
|
32603290011 |
|
|
1900-01-01 00:00:00.000000 |
35000.000000000000 |
0.000000000000 |
ren |
1 |
5639006075 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
1868 |
2251218000040 |
2026-04-04 14:00:51.000000 |
2.000000000000 |
225 |
2251218000040 |
A000002 |
|
Rawat Jalan |
IDR |
|
0.000000000000 |
1.000000000000 |
150000.000000000000 |
0.000000000000 |
0.000000000000 |
150000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
2251218000040 |
|
2251218000040 |
|
|
1900-01-01 00:00:00.000000 |
150000.000000000000 |
0.000000000000 |
ren |
1 |
5639004284 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
1869 |
42601060009 |
2026-04-04 14:00:51.000000 |
5.000000000000 |
487 |
42601060009 |
F000003 |
|
Alerfed |
IDR |
|
0.000000000000 |
50.000000000000 |
3000.000000000000 |
0.000000000000 |
0.000000000000 |
150000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
42601060009 |
|
42601060009 |
|
|
1900-01-01 00:00:00.000000 |
150000.000000000000 |
0.000000000000 |
ren |
1 |
5639004540 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
1870 |
22601150001 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
768 |
22601150001 |
A000002 |
|
Rawat Jalan |
IDR |
|
0.000000000000 |
1.000000000000 |
150000.000000000000 |
0.000000000000 |
0.000000000000 |
150000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
22601150001 |
|
22601150001 |
|
|
1900-01-01 00:00:00.000000 |
150000.000000000000 |
0.000000000000 |
ren |
1 |
5639004796 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |