|
2141 |
42601080003 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
521 |
42601080003 |
F000017 |
|
Panadol |
IDR |
|
0.000000000000 |
3.000000000000 |
12800.000000000000 |
0.000000000000 |
0.000000000000 |
38400.000000000000 |
|
|
|
0.000000000000 |
0 |
|
42601080003 |
|
42601080003 |
|
|
1900-01-01 00:00:00.000000 |
38400.000000000000 |
0.000000000000 |
ren |
1 |
5639004574 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
2142 |
22601150008 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
802 |
22601150008 |
A000001 |
|
Biaya Kartu Pasien |
IDR |
|
0.000000000000 |
1.000000000000 |
20000.000000000000 |
0.000000000000 |
0.000000000000 |
20000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
22601150008 |
|
22601150008 |
|
|
1900-01-01 00:00:00.000000 |
20000.000000000000 |
0.000000000000 |
ren |
1 |
5639004830 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
2143 |
OA202601160006 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
1061 |
OA202601160006 |
P000003 |
|
Masker Medis |
IDR |
|
0.000000000000 |
1.000000000000 |
8000.000000000000 |
0.000000000000 |
0.000000000000 |
8000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
OA202601160006 |
|
OA202601160006 |
|
|
1900-01-01 00:00:00.000000 |
8000.000000000000 |
0.000000000000 |
ren |
1 |
5639005086 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
2144 |
52601230030 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
1319 |
52601230030 |
P000002 |
|
Sarung Tangan Medis |
IDR |
|
0.000000000000 |
10.000000000000 |
50000.000000000000 |
0.000000000000 |
0.000000000000 |
500000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
52601230030 |
|
52601230030 |
|
|
1900-01-01 00:00:00.000000 |
500000.000000000000 |
0.000000000000 |
ren |
1 |
5639005342 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
2145 |
520260124-000002 |
2026-04-04 14:00:51.000000 |
2.000000000000 |
1575 |
520260124-000002 |
P000004 |
|
Masker Nebulizer |
IDR |
|
0.000000000000 |
1.000000000000 |
20000.000000000000 |
0.000000000000 |
0.000000000000 |
20000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
520260124-000002 |
|
520260124-000002 |
|
|
1900-01-01 00:00:00.000000 |
20000.000000000000 |
0.000000000000 |
ren |
1 |
5639005598 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
2146 |
132601300001 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
1841 |
132601300001 |
L000002 |
|
Hemoglobin |
IDR |
|
0.000000000000 |
3.000000000000 |
20000.000000000000 |
0.000000000000 |
0.000000000000 |
60000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
132601300001 |
|
132601300001 |
|
|
1900-01-01 00:00:00.000000 |
60000.000000000000 |
0.000000000000 |
ren |
1 |
5639005854 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
2147 |
132603310001 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
2137 |
132603310001 |
L000032 |
|
Glukosa Puasa |
IDR |
|
0.000000000000 |
1.000000000000 |
35000.000000000000 |
0.000000000000 |
0.000000000000 |
35000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
132603310001 |
|
132603310001 |
|
|
1900-01-01 00:00:00.000000 |
35000.000000000000 |
0.000000000000 |
ren |
1 |
5639006110 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
2148 |
2251218000052 |
2026-04-04 14:00:51.000000 |
2.000000000000 |
260 |
2251218000052 |
A000001 |
|
Biaya Kartu Pasien |
IDR |
|
0.000000000000 |
1.000000000000 |
50000.000000000000 |
0.000000000000 |
0.000000000000 |
50000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
2251218000052 |
|
2251218000052 |
|
|
1900-01-01 00:00:00.000000 |
50000.000000000000 |
0.000000000000 |
ren |
1 |
5639004319 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
2149 |
42601080003 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
522 |
42601080003 |
F000001 |
|
Paracetamol |
IDR |
|
0.000000000000 |
3.000000000000 |
1500.000000000000 |
0.000000000000 |
0.000000000000 |
4500.000000000000 |
|
|
|
0.000000000000 |
0 |
|
42601080003 |
|
42601080003 |
|
|
1900-01-01 00:00:00.000000 |
4500.000000000000 |
0.000000000000 |
ren |
1 |
5639004575 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
2150 |
22601150008 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
803 |
22601150008 |
D000003 |
|
Dokter Spesialis 50k |
IDR |
|
0.000000000000 |
1.000000000000 |
50000.000000000000 |
0.000000000000 |
0.000000000000 |
50000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
22601150008 |
|
22601150008 |
|
|
1900-01-01 00:00:00.000000 |
50000.000000000000 |
0.000000000000 |
ren |
1 |
5639004831 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |