|
2231 |
42512170003 |
2026-04-04 14:00:51.000000 |
5.000000000000 |
6 |
42512170003 |
F000006 |
|
Amlodipine |
IDR |
|
0.000000000000 |
100.000000000000 |
25500.000000000000 |
0.000000000000 |
0.000000000000 |
510000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
42512170003 |
|
42512170003 |
|
|
1900-01-01 00:00:00.000000 |
510000.000000000000 |
0.000000000000 |
ren |
1 |
5639004073 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
2232 |
2251218000055 |
2026-04-04 14:00:51.000000 |
2.000000000000 |
270 |
2251218000055 |
A000002 |
|
Rawat Jalan |
IDR |
|
0.000000000000 |
1.000000000000 |
150000.000000000000 |
0.000000000000 |
0.000000000000 |
150000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
2251218000055 |
|
2251218000055 |
|
|
1900-01-01 00:00:00.000000 |
150000.000000000000 |
0.000000000000 |
ren |
1 |
5639004329 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
2233 |
22601080013 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
532 |
22601080013 |
A000003 |
|
Rawat Inap |
IDR |
|
0.000000000000 |
1.000000000000 |
500000.000000000000 |
0.000000000000 |
0.000000000000 |
500000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
22601080013 |
|
22601080013 |
|
|
1900-01-01 00:00:00.000000 |
500000.000000000000 |
0.000000000000 |
ren |
1 |
5639004585 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
2234 |
32601150005 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
813 |
32601150005 |
T000001 |
|
T000001 |
IDR |
|
0.000000000000 |
9.000000000000 |
50000.000000000000 |
0.000000000000 |
0.000000000000 |
450000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
32601150005 |
|
32601150005 |
|
|
1900-01-01 00:00:00.000000 |
450000.000000000000 |
0.000000000000 |
ren |
1 |
5639004841 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
2235 |
3202601170002 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
1072 |
3202601170002 |
T000003 |
|
Pemeriksaan Tanda Vital |
IDR |
|
0.000000000000 |
1.000000000000 |
25000.000000000000 |
0.000000000000 |
0.000000000000 |
25000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
3202601170002 |
|
3202601170002 |
|
|
1900-01-01 00:00:00.000000 |
25000.000000000000 |
0.000000000000 |
ren |
1 |
5639005097 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
2236 |
22601230029 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
1330 |
22601230029 |
D000001 |
|
Biaya dr. Umum |
IDR |
|
0.000000000000 |
1.000000000000 |
50000.000000000000 |
0.000000000000 |
0.000000000000 |
50000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
22601230029 |
|
22601230029 |
|
|
1900-01-01 00:00:00.000000 |
50000.000000000000 |
0.000000000000 |
ren |
1 |
5639005353 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
2237 |
520260124-000008 |
2026-04-04 14:00:51.000000 |
2.000000000000 |
1586 |
520260124-000008 |
P000004 |
|
Masker Nebulizer |
IDR |
|
0.000000000000 |
1.000000000000 |
20000.000000000000 |
0.000000000000 |
0.000000000000 |
20000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
520260124-000008 |
|
520260124-000008 |
|
|
1900-01-01 00:00:00.000000 |
20000.000000000000 |
0.000000000000 |
ren |
1 |
5639005609 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
2238 |
32602010001 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
1857 |
32602010001 |
T000004 |
|
Pemasangan Infus |
IDR |
|
0.000000000000 |
1.000000000000 |
75000.000000000000 |
0.000000000000 |
0.000000000000 |
75000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
32602010001 |
|
32602010001 |
|
|
1900-01-01 00:00:00.000000 |
75000.000000000000 |
0.000000000000 |
ren |
1 |
5639005865 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
2239 |
22604010003 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
2148 |
22604010003 |
D000002 |
|
Biaya Konsultasi dr. Spesialis THT (75.000) |
IDR |
|
0.000000000000 |
1.000000000000 |
75000.000000000000 |
0.000000000000 |
0.000000000000 |
75000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
22604010003 |
|
22604010003 |
|
|
1900-01-01 00:00:00.000000 |
75000.000000000000 |
0.000000000000 |
ren |
1 |
5639006121 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
2240 |
42512170003 |
2026-04-04 14:00:51.000000 |
5.000000000000 |
7 |
42512170003 |
F000007 |
|
Captopril |
IDR |
|
0.000000000000 |
100.000000000000 |
14500.000000000000 |
0.000000000000 |
0.000000000000 |
725000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
42512170003 |
|
42512170003 |
|
|
1900-01-01 00:00:00.000000 |
725000.000000000000 |
0.000000000000 |
ren |
1 |
5639004074 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |