|
2201 |
520260124-000006 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
1582 |
520260124-000006 |
P000002 |
|
Sarung Tangan Medis |
IDR |
|
0.000000000000 |
1.000000000000 |
50000.000000000000 |
0.000000000000 |
0.000000000000 |
50000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
520260124-000006 |
|
520260124-000006 |
|
|
1900-01-01 00:00:00.000000 |
50000.000000000000 |
0.000000000000 |
ren |
1 |
5639005605 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
2202 |
3260131000001 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
1853 |
3260131000001 |
T000008 |
|
Nebulisasi |
IDR |
|
0.000000000000 |
1.000000000000 |
80000.000000000000 |
0.000000000000 |
0.000000000000 |
80000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
3260131000001 |
|
3260131000001 |
|
|
1900-01-01 00:00:00.000000 |
80000.000000000000 |
0.000000000000 |
ren |
1 |
5639005861 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
2203 |
112604010001 |
2026-04-01 07:28:41.000000 |
1.000000000000 |
2144 |
112604010001 |
R000003 |
|
MRI |
IDR |
|
0.000000000000 |
1.000000000000 |
8000000.000000000000 |
0.000000000000 |
0.000000000000 |
8000000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
112604010001 |
|
112604010001 |
|
|
1900-01-01 00:00:00.000000 |
8000000.000000000000 |
0.000000000000 |
ren |
1 |
5639006117 |
2026-04-04 14:00:51.000000 |
jasa |
2026-04-04 14:00:51.000000 |
jasa |
0 |
1900-01-01 00:00:00.000000 |
|
2204 |
2251217000001 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
1 |
2251217000001 |
D000002 |
|
Biaya Konsultasi dr. Spesialis THT |
IDR |
|
0.000000000000 |
1.000000000000 |
75000.000000000000 |
0.000000000000 |
0.000000000000 |
75000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
2251217000001 |
|
2251217000001 |
|
|
1900-01-01 00:00:00.000000 |
75000.000000000000 |
0.000000000000 |
ren |
1 |
5639004070 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
2205 |
2251218000054 |
2026-04-04 14:00:51.000000 |
2.000000000000 |
267 |
2251218000054 |
A000002 |
|
Rawat Jalan |
IDR |
|
0.000000000000 |
1.000000000000 |
150000.000000000000 |
0.000000000000 |
0.000000000000 |
150000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
2251218000054 |
|
2251218000054 |
|
|
1900-01-01 00:00:00.000000 |
150000.000000000000 |
0.000000000000 |
ren |
1 |
5639004326 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
2206 |
42601080006 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
529 |
42601080006 |
F000002 |
|
Paramex |
IDR |
|
0.000000000000 |
1.000000000000 |
2500.000000000000 |
0.000000000000 |
0.000000000000 |
2500.000000000000 |
|
|
|
0.000000000000 |
0 |
|
42601080006 |
|
42601080006 |
|
|
1900-01-01 00:00:00.000000 |
2500.000000000000 |
0.000000000000 |
ren |
1 |
5639004582 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
2207 |
22601150011 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
810 |
22601150011 |
A000002 |
|
Rawat Jalan |
IDR |
|
0.000000000000 |
1.000000000000 |
150000.000000000000 |
0.000000000000 |
0.000000000000 |
150000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
22601150011 |
|
22601150011 |
|
|
1900-01-01 00:00:00.000000 |
150000.000000000000 |
0.000000000000 |
ren |
1 |
5639004838 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
2208 |
3202601170001 |
2026-04-04 14:00:51.000000 |
2.000000000000 |
1069 |
3202601170001 |
T000005 |
|
Injeksi Intramuskular |
IDR |
|
0.000000000000 |
1.000000000000 |
40000.000000000000 |
0.000000000000 |
0.000000000000 |
40000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
3202601170001 |
|
3202601170001 |
|
|
1900-01-01 00:00:00.000000 |
40000.000000000000 |
0.000000000000 |
ren |
1 |
5639005094 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
2209 |
22601230028 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
1327 |
22601230028 |
D000016 |
|
Konsultasi Dokter Spesialis Mata |
IDR |
|
0.000000000000 |
1.000000000000 |
120000.000000000000 |
0.000000000000 |
0.000000000000 |
120000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
22601230028 |
|
22601230028 |
|
|
1900-01-01 00:00:00.000000 |
120000.000000000000 |
0.000000000000 |
ren |
1 |
5639005350 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
2210 |
520260124-000006 |
2026-04-04 14:00:51.000000 |
2.000000000000 |
1583 |
520260124-000006 |
P000004 |
|
Masker Nebulizer |
IDR |
|
0.000000000000 |
1.000000000000 |
20000.000000000000 |
0.000000000000 |
0.000000000000 |
20000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
520260124-000006 |
|
520260124-000006 |
|
|
1900-01-01 00:00:00.000000 |
20000.000000000000 |
0.000000000000 |
ren |
1 |
5639005606 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |