|
1971 |
112603290004 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
2115 |
112603290004 |
R000002 |
|
CT Scan |
IDR |
|
0.000000000000 |
1.000000000000 |
3500000.000000000000 |
0.000000000000 |
0.000000000000 |
3500000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
112603290004 |
|
112603290004 |
|
|
1900-01-01 00:00:00.000000 |
3500000.000000000000 |
0.000000000000 |
ren |
1 |
5639006088 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
1972 |
2251218000045 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
238 |
2251218000045 |
D000005 |
|
Dokter Spesialis 150k |
IDR |
|
0.000000000000 |
1.000000000000 |
150000.000000000000 |
0.000000000000 |
0.000000000000 |
150000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
2251218000045 |
|
2251218000045 |
|
|
1900-01-01 00:00:00.000000 |
150000.000000000000 |
0.000000000000 |
ren |
1 |
5639004297 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
1973 |
42601070003 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
500 |
42601070003 |
F000003 |
|
Alerfed |
IDR |
|
0.000000000000 |
1.000000000000 |
3000.000000000000 |
0.000000000000 |
0.000000000000 |
3000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
42601070003 |
|
42601070003 |
|
|
1900-01-01 00:00:00.000000 |
3000.000000000000 |
0.000000000000 |
ren |
1 |
5639004553 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
1974 |
22601150004 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
781 |
22601150004 |
A000002 |
|
Rawat Jalan |
IDR |
|
0.000000000000 |
1.000000000000 |
150000.000000000000 |
0.000000000000 |
0.000000000000 |
150000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
22601150004 |
|
22601150004 |
|
|
1900-01-01 00:00:00.000000 |
150000.000000000000 |
0.000000000000 |
ren |
1 |
5639004809 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
1975 |
52601150004 |
2026-04-04 14:00:51.000000 |
5.000000000000 |
1039 |
52601150004 |
P000011 |
|
Masker N95 |
IDR |
|
0.000000000000 |
10.000000000000 |
20000.000000000000 |
0.000000000000 |
0.000000000000 |
200000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
52601150004 |
|
52601150004 |
|
|
1900-01-01 00:00:00.000000 |
200000.000000000000 |
0.000000000000 |
ren |
1 |
5639005065 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
1976 |
22601230023 |
2026-04-04 14:00:51.000000 |
2.000000000000 |
1298 |
22601230023 |
D000003 |
|
Dokter Spesialis 50k |
IDR |
|
0.000000000000 |
1.000000000000 |
50000.000000000000 |
0.000000000000 |
0.000000000000 |
50000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
22601230023 |
|
22601230023 |
|
|
1900-01-01 00:00:00.000000 |
50000.000000000000 |
0.000000000000 |
ren |
1 |
5639005321 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
1977 |
226012400004 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
1554 |
226012400004 |
D000002 |
|
Biaya Konsultasi dr. Spesialis THT |
IDR |
|
0.000000000000 |
1.000000000000 |
75000.000000000000 |
0.000000000000 |
0.000000000000 |
75000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
226012400004 |
|
226012400004 |
|
|
1900-01-01 00:00:00.000000 |
75000.000000000000 |
0.000000000000 |
ren |
1 |
5639005577 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
1978 |
22601290001 |
2026-04-04 14:00:51.000000 |
3.000000000000 |
1817 |
22601290001 |
D000003 |
|
Dokter Spesialis 50k |
IDR |
|
0.000000000000 |
1.000000000000 |
50000.000000000000 |
0.000000000000 |
0.000000000000 |
50000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
22601290001 |
|
22601290001 |
|
|
1900-01-01 00:00:00.000000 |
50000.000000000000 |
0.000000000000 |
ren |
1 |
5639005833 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
1979 |
112603290004 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
2116 |
112603290004 |
R000007 |
|
X-Ray Film Viewer |
IDR |
|
0.000000000000 |
1.000000000000 |
7000000.000000000000 |
0.000000000000 |
0.000000000000 |
7000000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
112603290004 |
|
112603290004 |
|
|
1900-01-01 00:00:00.000000 |
7000000.000000000000 |
0.000000000000 |
ren |
1 |
5639006089 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
1980 |
2251218000045 |
2026-04-04 14:00:51.000000 |
2.000000000000 |
239 |
2251218000045 |
A000001 |
|
Biaya Kartu Pasien |
IDR |
|
0.000000000000 |
1.000000000000 |
50000.000000000000 |
0.000000000000 |
0.000000000000 |
50000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
2251218000045 |
|
2251218000045 |
|
|
1900-01-01 00:00:00.000000 |
50000.000000000000 |
0.000000000000 |
ren |
1 |
5639004298 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |