|
2161 |
520260124-000003 |
2026-04-04 14:00:51.000000 |
2.000000000000 |
1577 |
520260124-000003 |
P000004 |
|
Masker Nebulizer |
IDR |
|
0.000000000000 |
1.000000000000 |
20000.000000000000 |
0.000000000000 |
0.000000000000 |
20000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
520260124-000003 |
|
520260124-000003 |
|
|
1900-01-01 00:00:00.000000 |
20000.000000000000 |
0.000000000000 |
ren |
1 |
5639005600 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
2162 |
112601300001 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
1844 |
112601300001 |
R000002 |
|
CT Scan |
IDR |
|
0.000000000000 |
1.000000000000 |
3500000.000000000000 |
0.000000000000 |
0.000000000000 |
3500000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
112601300001 |
|
112601300001 |
|
|
1900-01-01 00:00:00.000000 |
3500000.000000000000 |
0.000000000000 |
ren |
1 |
5639005856 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
2163 |
22603310001 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
2139 |
22603310001 |
A000002 |
|
Rawat Jalan |
IDR |
|
0.000000000000 |
1.000000000000 |
150000.000000000000 |
0.000000000000 |
0.000000000000 |
150000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
22603310001 |
|
22603310001 |
|
|
1900-01-01 00:00:00.000000 |
150000.000000000000 |
0.000000000000 |
ren |
1 |
5639006112 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
2164 |
2251218000053 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
262 |
2251218000053 |
D000004 |
|
Dokter Spesialis 100k |
IDR |
|
0.000000000000 |
1.000000000000 |
100000.000000000000 |
0.000000000000 |
0.000000000000 |
100000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
2251218000053 |
|
2251218000053 |
|
|
1900-01-01 00:00:00.000000 |
100000.000000000000 |
0.000000000000 |
ren |
1 |
5639004321 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
2165 |
42601080004 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
524 |
42601080004 |
F000009 |
|
Amoxicillin |
IDR |
|
0.000000000000 |
1.000000000000 |
96500.000000000000 |
0.000000000000 |
0.000000000000 |
96500.000000000000 |
|
|
|
0.000000000000 |
0 |
|
42601080004 |
|
42601080004 |
|
|
1900-01-01 00:00:00.000000 |
96500.000000000000 |
0.000000000000 |
ren |
1 |
5639004577 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
2166 |
22601150009 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
805 |
22601150009 |
A000001 |
|
Biaya Kartu Pasien |
IDR |
|
0.000000000000 |
1.000000000000 |
20000.000000000000 |
0.000000000000 |
0.000000000000 |
20000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
22601150009 |
|
22601150009 |
|
|
1900-01-01 00:00:00.000000 |
20000.000000000000 |
0.000000000000 |
ren |
1 |
5639004833 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
2167 |
OA202601160009 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
1064 |
OA202601160009 |
P000003 |
|
Masker Medis |
IDR |
|
0.000000000000 |
1.000000000000 |
8000.000000000000 |
0.000000000000 |
0.000000000000 |
8000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
OA202601160009 |
|
OA202601160009 |
|
|
1900-01-01 00:00:00.000000 |
8000.000000000000 |
0.000000000000 |
ren |
1 |
5639005089 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
2168 |
52601230031 |
2026-04-04 14:00:51.000000 |
2.000000000000 |
1322 |
52601230031 |
P000001 |
|
Jarum Suntik |
IDR |
|
0.000000000000 |
3.000000000000 |
2500.000000000000 |
0.000000000000 |
0.000000000000 |
7500.000000000000 |
|
|
|
0.000000000000 |
0 |
|
52601230031 |
|
52601230031 |
|
|
1900-01-01 00:00:00.000000 |
7500.000000000000 |
0.000000000000 |
ren |
1 |
5639005345 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
2169 |
520260124-000004 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
1578 |
520260124-000004 |
P000002 |
|
Sarung Tangan Medis |
IDR |
|
0.000000000000 |
1.000000000000 |
50000.000000000000 |
0.000000000000 |
0.000000000000 |
50000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
520260124-000004 |
|
520260124-000004 |
|
|
1900-01-01 00:00:00.000000 |
50000.000000000000 |
0.000000000000 |
ren |
1 |
5639005601 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
2170 |
42601310002 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
1846 |
42601310002 |
F000009 |
|
Amoxicillin |
IDR |
|
0.000000000000 |
5.000000000000 |
96500.000000000000 |
0.000000000000 |
0.000000000000 |
482500.000000000000 |
|
|
|
0.000000000000 |
0 |
|
42601310002 |
|
42601310002 |
|
|
1900-01-01 00:00:00.000000 |
482500.000000000000 |
0.000000000000 |
ren |
1 |
5639005857 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |