|
2031 |
226011500036 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
1046 |
226011500036 |
A000003 |
|
Rawat Inap |
IDR |
|
0.000000000000 |
1.000000000000 |
500000.000000000000 |
0.000000000000 |
0.000000000000 |
500000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
226011500036 |
|
226011500036 |
|
|
1900-01-01 00:00:00.000000 |
500000.000000000000 |
0.000000000000 |
ren |
1 |
5639005072 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
2032 |
32601230026 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
1305 |
32601230026 |
T000002 |
|
Konsultasi Dokter Spesialis |
IDR |
|
0.000000000000 |
1.000000000000 |
150000.000000000000 |
0.000000000000 |
0.000000000000 |
150000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
32601230026 |
|
32601230026 |
|
|
1900-01-01 00:00:00.000000 |
150000.000000000000 |
0.000000000000 |
ren |
1 |
5639005328 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
2033 |
52601240004 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
1561 |
52601240004 |
X000001 |
|
Alat Tes Gula Darah |
IDR |
|
0.000000000000 |
1.000000000000 |
150000.000000000000 |
0.000000000000 |
0.000000000000 |
150000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
52601240004 |
|
52601240004 |
|
|
1900-01-01 00:00:00.000000 |
150000.000000000000 |
0.000000000000 |
ren |
1 |
5639005584 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
2034 |
32601290001 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
1824 |
32601290001 |
T000002 |
|
Konsultasi Dokter Spesialis |
IDR |
|
0.000000000000 |
1.000000000000 |
150.000000000000 |
0.000000000000 |
0.000000000000 |
150.000000000000 |
|
|
|
0.000000000000 |
0 |
|
32601290001 |
|
32601290001 |
|
|
1900-01-01 00:00:00.000000 |
150.000000000000 |
0.000000000000 |
ren |
1 |
5639005840 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
2035 |
132603300001 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
2123 |
132603300001 |
L000046 |
|
RF (Rheumatoid Factor) |
IDR |
|
0.000000000000 |
1.000000000000 |
50000.000000000000 |
0.000000000000 |
0.000000000000 |
50000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
132603300001 |
|
132603300001 |
|
|
1900-01-01 00:00:00.000000 |
50000.000000000000 |
0.000000000000 |
ren |
1 |
5639006096 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
2036 |
2251218000047 |
2026-04-04 14:00:51.000000 |
2.000000000000 |
246 |
2251218000047 |
A000002 |
|
Rawat Jalan |
IDR |
|
0.000000000000 |
1.000000000000 |
150000.000000000000 |
0.000000000000 |
0.000000000000 |
150000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
2251218000047 |
|
2251218000047 |
|
|
1900-01-01 00:00:00.000000 |
150000.000000000000 |
0.000000000000 |
ren |
1 |
5639004305 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
2037 |
22601080007 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
508 |
22601080007 |
D000004 |
|
Dokter Spesialis 100k (100.000) |
IDR |
|
0.000000000000 |
1.000000000000 |
100000.000000000000 |
0.000000000000 |
0.000000000000 |
100000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
22601080007 |
|
22601080007 |
|
|
1900-01-01 00:00:00.000000 |
100000.000000000000 |
0.000000000000 |
ren |
1 |
5639004561 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
2038 |
42601150002 |
2026-04-04 14:00:51.000000 |
3.000000000000 |
789 |
42601150002 |
F000004 |
|
Methylprednisolone |
IDR |
|
0.000000000000 |
7.000000000000 |
24000.000000000000 |
0.000000000000 |
0.000000000000 |
168000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
42601150002 |
|
42601150002 |
|
|
1900-01-01 00:00:00.000000 |
168000.000000000000 |
0.000000000000 |
ren |
1 |
5639004817 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
2039 |
226011500036 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
1047 |
226011500036 |
D000006 |
|
Dokter Spesialis 200k |
IDR |
|
0.000000000000 |
1.000000000000 |
200000.000000000000 |
0.000000000000 |
0.000000000000 |
200000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
226011500036 |
|
226011500036 |
|
|
1900-01-01 00:00:00.000000 |
200000.000000000000 |
0.000000000000 |
ren |
1 |
5639005073 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
2040 |
32601230027 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
1306 |
32601230027 |
T000007 |
|
Perawatan Luka |
IDR |
|
0.000000000000 |
1.000000000000 |
100000.000000000000 |
0.000000000000 |
0.000000000000 |
100000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
32601230027 |
|
32601230027 |
|
|
1900-01-01 00:00:00.000000 |
100000.000000000000 |
0.000000000000 |
ren |
1 |
5639005329 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |