|
1931 |
32603290015 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
2110 |
32603290015 |
T000004 |
|
Pemasangan Infus |
IDR |
|
0.000000000000 |
1.000000000000 |
75000.000000000000 |
0.000000000000 |
0.000000000000 |
75000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
32603290015 |
|
32603290015 |
|
|
1900-01-01 00:00:00.000000 |
75000.000000000000 |
0.000000000000 |
ren |
1 |
5639006083 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
1932 |
2251218000043 |
2026-04-04 14:00:51.000000 |
2.000000000000 |
233 |
2251218000043 |
A000001 |
|
Biaya Kartu Pasien |
IDR |
|
0.000000000000 |
1.000000000000 |
50000.000000000000 |
0.000000000000 |
0.000000000000 |
50000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
2251218000043 |
|
2251218000043 |
|
|
1900-01-01 00:00:00.000000 |
50000.000000000000 |
0.000000000000 |
ren |
1 |
5639004292 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
1933 |
22601070004 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
495 |
22601070004 |
A000001 |
|
Biaya Kartu Pasien |
IDR |
|
0.000000000000 |
1.000000000000 |
20000.000000000000 |
0.000000000000 |
0.000000000000 |
20000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
22601070004 |
|
22601070004 |
|
|
1900-01-01 00:00:00.000000 |
20000.000000000000 |
0.000000000000 |
ren |
1 |
5639004548 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
1934 |
32601150001 |
2026-04-04 14:00:51.000000 |
2.000000000000 |
776 |
32601150001 |
L000002 |
|
Hemoglobin |
IDR |
|
0.000000000000 |
10.000000000000 |
60000000.000000000000 |
0.000000000000 |
0.000000000000 |
600000000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
32601150001 |
|
32601150001 |
|
|
1900-01-01 00:00:00.000000 |
600000000.000000000000 |
0.000000000000 |
ren |
1 |
5639004804 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
1935 |
52601150003 |
2026-04-04 14:00:51.000000 |
5.000000000000 |
1034 |
52601150003 |
X000001 |
|
Alat Tes Gula Darah |
IDR |
|
0.000000000000 |
11.000000000000 |
150000.000000000000 |
0.000000000000 |
0.000000000000 |
1650000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
52601150003 |
|
52601150003 |
|
|
1900-01-01 00:00:00.000000 |
1650000.000000000000 |
0.000000000000 |
ren |
1 |
5639005060 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
1936 |
42601230027 |
2026-04-04 14:00:51.000000 |
5.000000000000 |
1293 |
42601230027 |
F000007 |
|
Captopril |
IDR |
|
0.000000000000 |
5.000000000000 |
14500.000000000000 |
0.000000000000 |
0.000000000000 |
72500.000000000000 |
|
|
|
0.000000000000 |
0 |
|
42601230027 |
|
42601230027 |
|
|
1900-01-01 00:00:00.000000 |
72500.000000000000 |
0.000000000000 |
ren |
1 |
5639005316 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
1937 |
32601240002 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
1549 |
32601240002 |
P000012 |
|
Alkohol 70% |
IDR |
|
0.000000000000 |
1.000000000000 |
10000.000000000000 |
0.000000000000 |
0.000000000000 |
10000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
32601240002 |
|
32601240002 |
|
|
1900-01-01 00:00:00.000000 |
10000.000000000000 |
0.000000000000 |
ren |
1 |
5639005572 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
1938 |
32601270001 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
1811 |
32601270001 |
T000002 |
|
Konsultasi Dokter Spesialis |
IDR |
|
0.000000000000 |
1.000000000000 |
150000.000000000000 |
0.000000000000 |
0.000000000000 |
150000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
32601270001 |
|
32601270001 |
|
|
1900-01-01 00:00:00.000000 |
150000.000000000000 |
0.000000000000 |
ren |
1 |
5639005828 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
1939 |
112603290003 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
2111 |
112603290003 |
R000009 |
|
X-Ray Barrier / Shield |
IDR |
|
0.000000000000 |
1.000000000000 |
26000000.000000000000 |
0.000000000000 |
0.000000000000 |
26000000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
112603290003 |
|
112603290003 |
|
|
1900-01-01 00:00:00.000000 |
26000000.000000000000 |
0.000000000000 |
ren |
1 |
5639006084 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
1940 |
2251218000043 |
2026-04-04 14:00:51.000000 |
2.000000000000 |
234 |
2251218000043 |
A000002 |
|
Rawat Jalan |
IDR |
|
0.000000000000 |
1.000000000000 |
150000.000000000000 |
0.000000000000 |
0.000000000000 |
150000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
2251218000043 |
|
2251218000043 |
|
|
1900-01-01 00:00:00.000000 |
150000.000000000000 |
0.000000000000 |
ren |
1 |
5639004293 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |