|
2101 |
22601080011 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
516 |
22601080011 |
D000001 |
|
Biaya dr. Umum (50.000) |
IDR |
|
0.000000000000 |
1.000000000000 |
50000.000000000000 |
0.000000000000 |
0.000000000000 |
50000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
22601080011 |
|
22601080011 |
|
|
1900-01-01 00:00:00.000000 |
50000.000000000000 |
0.000000000000 |
ren |
1 |
5639004569 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
2102 |
22601150006 |
2026-04-04 14:00:51.000000 |
2.000000000000 |
797 |
22601150006 |
A000001 |
|
Biaya Kartu Pasien |
IDR |
|
0.000000000000 |
1.000000000000 |
50000.000000000000 |
0.000000000000 |
0.000000000000 |
50000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
22601150006 |
|
22601150006 |
|
|
1900-01-01 00:00:00.000000 |
50000.000000000000 |
0.000000000000 |
ren |
1 |
5639004825 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
2103 |
OA202601160001 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
1056 |
OA202601160001 |
P000003 |
|
Masker Medis |
IDR |
|
0.000000000000 |
1.000000000000 |
8000.000000000000 |
0.000000000000 |
0.000000000000 |
8000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
OA202601160001 |
|
OA202601160001 |
|
|
1900-01-01 00:00:00.000000 |
8000.000000000000 |
0.000000000000 |
ren |
1 |
5639005081 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
2104 |
52601230029 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
1314 |
52601230029 |
P000006 |
|
Kasa Steril |
IDR |
|
0.000000000000 |
10.000000000000 |
1000.000000000000 |
0.000000000000 |
0.000000000000 |
10000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
52601230029 |
|
52601230029 |
|
|
1900-01-01 00:00:00.000000 |
10000.000000000000 |
0.000000000000 |
ren |
1 |
5639005337 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
2105 |
32601240004 |
2026-04-04 14:00:51.000000 |
2.000000000000 |
1570 |
32601240004 |
T000005 |
|
Injeksi Intramuskular |
IDR |
|
0.000000000000 |
1.000000000000 |
40000.000000000000 |
0.000000000000 |
0.000000000000 |
40000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
32601240004 |
|
32601240004 |
|
|
1900-01-01 00:00:00.000000 |
40000.000000000000 |
0.000000000000 |
ren |
1 |
5639005593 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
2106 |
32601300001 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
1836 |
32601300001 |
T000005 |
|
Injeksi Intramuskular |
IDR |
|
0.000000000000 |
2.000000000000 |
40000.000000000000 |
0.000000000000 |
0.000000000000 |
80000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
32601300001 |
|
32601300001 |
|
|
1900-01-01 00:00:00.000000 |
80000.000000000000 |
0.000000000000 |
ren |
1 |
5639005849 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
2107 |
4260331000001 |
2026-04-04 14:00:51.000000 |
5.000000000000 |
2132 |
4260331000001 |
F000003 |
|
Alerfed |
IDR |
|
0.000000000000 |
1.000000000000 |
3000.000000000000 |
0.000000000000 |
0.000000000000 |
3000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
4260331000001 |
|
4260331000001 |
|
|
1900-01-01 00:00:00.000000 |
3000.000000000000 |
0.000000000000 |
ren |
1 |
5639006105 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
2108 |
2251218000050 |
2026-04-04 14:00:51.000000 |
2.000000000000 |
255 |
2251218000050 |
A000002 |
|
Rawat Jalan |
IDR |
|
0.000000000000 |
1.000000000000 |
150000.000000000000 |
0.000000000000 |
0.000000000000 |
150000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
2251218000050 |
|
2251218000050 |
|
|
1900-01-01 00:00:00.000000 |
150000.000000000000 |
0.000000000000 |
ren |
1 |
5639004314 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
2109 |
22601080011 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
517 |
22601080011 |
A000001 |
|
Biaya Kartu Pasien |
IDR |
|
0.000000000000 |
1.000000000000 |
50000.000000000000 |
0.000000000000 |
0.000000000000 |
50000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
22601080011 |
|
22601080011 |
|
|
1900-01-01 00:00:00.000000 |
50000.000000000000 |
0.000000000000 |
ren |
1 |
5639004570 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
2110 |
22601150006 |
2026-04-04 14:00:51.000000 |
3.000000000000 |
798 |
22601150006 |
D000002 |
|
Biaya Konsultasi dr. Spesialis THT |
IDR |
|
0.000000000000 |
1.000000000000 |
75000.000000000000 |
0.000000000000 |
0.000000000000 |
75000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
22601150006 |
|
22601150006 |
|
|
1900-01-01 00:00:00.000000 |
75000.000000000000 |
0.000000000000 |
ren |
1 |
5639004826 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |