|
2111 |
OA202601160002 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
1057 |
OA202601160002 |
P000003 |
|
Masker Medis |
IDR |
|
0.000000000000 |
1.000000000000 |
8000.000000000000 |
0.000000000000 |
0.000000000000 |
8000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
OA202601160002 |
|
OA202601160002 |
|
|
1900-01-01 00:00:00.000000 |
8000.000000000000 |
0.000000000000 |
ren |
1 |
5639005082 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
2112 |
42601230030 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
1315 |
42601230030 |
F000007 |
|
Captopril |
IDR |
|
0.000000000000 |
15.000000000000 |
14500.000000000000 |
0.000000000000 |
0.000000000000 |
217500.000000000000 |
|
|
|
0.000000000000 |
0 |
|
42601230030 |
|
42601230030 |
|
|
1900-01-01 00:00:00.000000 |
217500.000000000000 |
0.000000000000 |
ren |
1 |
5639005338 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
2113 |
32601240005 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
1571 |
32601240005 |
T000004 |
|
Pemasangan Infus |
IDR |
|
0.000000000000 |
32.000000000000 |
75000.000000000000 |
0.000000000000 |
0.000000000000 |
2400000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
32601240005 |
|
32601240005 |
|
|
1900-01-01 00:00:00.000000 |
2400000.000000000000 |
0.000000000000 |
ren |
1 |
5639005594 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
2114 |
32601300001 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
1837 |
32601300001 |
T000006 |
|
Injeksi Intravena |
IDR |
|
0.000000000000 |
2.000000000000 |
50000.000000000000 |
0.000000000000 |
0.000000000000 |
100000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
32601300001 |
|
32601300001 |
|
|
1900-01-01 00:00:00.000000 |
100000.000000000000 |
0.000000000000 |
ren |
1 |
5639005850 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
2115 |
4260331000001 |
2026-04-04 14:00:51.000000 |
5.000000000000 |
2133 |
4260331000001 |
F000007 |
|
Captopril |
IDR |
|
0.000000000000 |
8.000000000000 |
14500.000000000000 |
0.000000000000 |
0.000000000000 |
116000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
4260331000001 |
|
4260331000001 |
|
|
1900-01-01 00:00:00.000000 |
116000.000000000000 |
0.000000000000 |
ren |
1 |
5639006106 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
2116 |
2251218000051 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
256 |
2251218000051 |
D000002 |
|
Biaya Konsultasi dr. Spesialis THT |
IDR |
|
0.000000000000 |
0.000000000000 |
75000.000000000000 |
0.000000000000 |
0.000000000000 |
75000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
2251218000051 |
|
2251218000051 |
|
|
1900-01-01 00:00:00.000000 |
75000.000000000000 |
0.000000000000 |
ren |
1 |
5639004315 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
2117 |
22601080011 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
518 |
22601080011 |
A000002 |
|
Rawat Jalan |
IDR |
|
0.000000000000 |
1.000000000000 |
150000.000000000000 |
0.000000000000 |
0.000000000000 |
150000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
22601080011 |
|
22601080011 |
|
|
1900-01-01 00:00:00.000000 |
150000.000000000000 |
0.000000000000 |
ren |
1 |
5639004571 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
2118 |
22601150007 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
799 |
22601150007 |
A000003 |
|
Rawat Inap |
IDR |
|
0.000000000000 |
1.000000000000 |
500000.000000000000 |
0.000000000000 |
0.000000000000 |
500000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
22601150007 |
|
22601150007 |
|
|
1900-01-01 00:00:00.000000 |
500000.000000000000 |
0.000000000000 |
ren |
1 |
5639004827 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
2119 |
OA202601160003 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
1058 |
OA202601160003 |
P000003 |
|
Masker Medis |
IDR |
|
0.000000000000 |
1.000000000000 |
8000.000000000000 |
0.000000000000 |
0.000000000000 |
8000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
OA202601160003 |
|
OA202601160003 |
|
|
1900-01-01 00:00:00.000000 |
8000.000000000000 |
0.000000000000 |
ren |
1 |
5639005083 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
2120 |
42601230031 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
1316 |
42601230031 |
F000006 |
|
Amlodipine |
IDR |
|
0.000000000000 |
1.000000000000 |
25500.000000000000 |
0.000000000000 |
0.000000000000 |
25500.000000000000 |
|
|
|
0.000000000000 |
0 |
|
42601230031 |
|
42601230031 |
|
|
1900-01-01 00:00:00.000000 |
25500.000000000000 |
0.000000000000 |
ren |
1 |
5639005339 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |