|
2061 |
22601080008 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
511 |
22601080008 |
A000002 |
|
Rawat Jalan |
IDR |
|
0.000000000000 |
1.000000000000 |
150000.000000000000 |
0.000000000000 |
0.000000000000 |
150000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
22601080008 |
|
22601080008 |
|
|
1900-01-01 00:00:00.000000 |
150000.000000000000 |
0.000000000000 |
ren |
1 |
5639004564 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
2062 |
22601150005 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
792 |
22601150005 |
D000017 |
|
Konsultasi Dokter Spesialis Kulit |
IDR |
|
0.000000000000 |
1.000000000000 |
120000.000000000000 |
0.000000000000 |
0.000000000000 |
120000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
22601150005 |
|
22601150005 |
|
|
1900-01-01 00:00:00.000000 |
120000.000000000000 |
0.000000000000 |
ren |
1 |
5639004820 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
2063 |
42601160001 |
2026-04-04 14:00:51.000000 |
5.000000000000 |
1051 |
42601160001 |
F000017 |
|
Panadol |
IDR |
|
0.000000000000 |
1.000000000000 |
12800.000000000000 |
0.000000000000 |
0.000000000000 |
12800.000000000000 |
|
|
|
0.000000000000 |
0 |
|
42601160001 |
|
42601160001 |
|
|
1900-01-01 00:00:00.000000 |
12800.000000000000 |
0.000000000000 |
ren |
1 |
5639005076 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
2064 |
22601230027 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
1309 |
22601230027 |
A000001 |
|
Biaya Kartu Pasien |
IDR |
|
0.000000000000 |
1.000000000000 |
50000.000000000000 |
0.000000000000 |
0.000000000000 |
50000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
22601230027 |
|
22601230027 |
|
|
1900-01-01 00:00:00.000000 |
50000.000000000000 |
0.000000000000 |
ren |
1 |
5639005332 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
2065 |
22601240006 |
2026-04-04 14:00:51.000000 |
2.000000000000 |
1565 |
22601240006 |
D000003 |
|
Dokter Spesialis 50k |
IDR |
|
0.000000000000 |
1.000000000000 |
50000.000000000000 |
0.000000000000 |
0.000000000000 |
50000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
22601240006 |
|
22601240006 |
|
|
1900-01-01 00:00:00.000000 |
50000.000000000000 |
0.000000000000 |
ren |
1 |
5639005588 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
2066 |
42601290002 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
1829 |
42601290002 |
F000004 |
|
Methylprednisolone |
IDR |
|
0.000000000000 |
1.000000000000 |
24000.000000000000 |
0.000000000000 |
0.000000000000 |
24000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
42601290002 |
|
42601290002 |
|
|
1900-01-01 00:00:00.000000 |
24000.000000000000 |
0.000000000000 |
ren |
1 |
5639005844 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
2067 |
22603300002 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
2127 |
22603300002 |
A000001 |
|
Biaya Kartu Pasien |
IDR |
|
0.000000000000 |
1.000000000000 |
50000.000000000000 |
0.000000000000 |
0.000000000000 |
50000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
22603300002 |
|
22603300002 |
|
|
1900-01-01 00:00:00.000000 |
50000.000000000000 |
0.000000000000 |
ren |
1 |
5639006100 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
2068 |
2251218000049 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
250 |
2251218000049 |
D000006 |
|
Dokter Spesialis 200k |
IDR |
|
0.000000000000 |
0.000000000000 |
200000.000000000000 |
0.000000000000 |
0.000000000000 |
200000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
2251218000049 |
|
2251218000049 |
|
|
1900-01-01 00:00:00.000000 |
200000.000000000000 |
0.000000000000 |
ren |
1 |
5639004309 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
2069 |
22601080009 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
512 |
22601080009 |
D000001 |
|
Biaya dr. Umum (50.000) |
IDR |
|
0.000000000000 |
1.000000000000 |
50000.000000000000 |
0.000000000000 |
0.000000000000 |
50000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
22601080009 |
|
22601080009 |
|
|
1900-01-01 00:00:00.000000 |
50000.000000000000 |
0.000000000000 |
ren |
1 |
5639004565 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
2070 |
32601150003 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
793 |
32601150003 |
T000001 |
|
T000001 |
IDR |
|
0.000000000000 |
23.000000000000 |
50000.000000000000 |
0.000000000000 |
0.000000000000 |
1150000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
32601150003 |
|
32601150003 |
|
|
1900-01-01 00:00:00.000000 |
1150000.000000000000 |
0.000000000000 |
ren |
1 |
5639004821 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |