|
2241 |
2251218000056 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
271 |
2251218000056 |
D000001 |
|
Biaya dr. Umum |
IDR |
|
0.000000000000 |
0.000000000000 |
50000.000000000000 |
0.000000000000 |
0.000000000000 |
50000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
2251218000056 |
|
2251218000056 |
|
|
1900-01-01 00:00:00.000000 |
50000.000000000000 |
0.000000000000 |
ren |
1 |
5639004330 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
2242 |
42601080007 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
533 |
42601080007 |
F000002 |
|
Paramex |
IDR |
|
0.000000000000 |
1.000000000000 |
2500.000000000000 |
0.000000000000 |
0.000000000000 |
2500.000000000000 |
|
|
|
0.000000000000 |
0 |
|
42601080007 |
|
42601080007 |
|
|
1900-01-01 00:00:00.000000 |
2500.000000000000 |
0.000000000000 |
ren |
1 |
5639004586 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
2243 |
32601150005 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
814 |
32601150005 |
T000009 |
|
Pengambilan Sampel Darah |
IDR |
|
0.000000000000 |
9.000000000000 |
35000.000000000000 |
0.000000000000 |
0.000000000000 |
315000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
32601150005 |
|
32601150005 |
|
|
1900-01-01 00:00:00.000000 |
315000.000000000000 |
0.000000000000 |
ren |
1 |
5639004842 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
2244 |
42601170003 |
2026-04-04 14:00:51.000000 |
5.000000000000 |
1073 |
42601170003 |
F000010 |
|
Loratadine |
IDR |
|
0.000000000000 |
7.000000000000 |
18500.000000000000 |
0.000000000000 |
0.000000000000 |
129500.000000000000 |
|
|
|
0.000000000000 |
0 |
|
42601170003 |
|
42601170003 |
|
|
1900-01-01 00:00:00.000000 |
129500.000000000000 |
0.000000000000 |
ren |
1 |
5639005098 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
2245 |
22601230030 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
1331 |
22601230030 |
A000002 |
|
Rawat Jalan |
IDR |
|
0.000000000000 |
1.000000000000 |
150000.000000000000 |
0.000000000000 |
0.000000000000 |
150000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
22601230030 |
|
22601230030 |
|
|
1900-01-01 00:00:00.000000 |
150000.000000000000 |
0.000000000000 |
ren |
1 |
5639005354 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
2246 |
520260124-000009 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
1587 |
520260124-000009 |
P000002 |
|
Sarung Tangan Medis |
IDR |
|
0.000000000000 |
1.000000000000 |
50000.000000000000 |
0.000000000000 |
0.000000000000 |
50000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
520260124-000009 |
|
520260124-000009 |
|
|
1900-01-01 00:00:00.000000 |
50000.000000000000 |
0.000000000000 |
ren |
1 |
5639005610 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
2247 |
32602010001 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
1858 |
32602010001 |
T000006 |
|
Injeksi Intravena |
IDR |
|
0.000000000000 |
1.000000000000 |
50000.000000000000 |
0.000000000000 |
0.000000000000 |
50000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
32602010001 |
|
32602010001 |
|
|
1900-01-01 00:00:00.000000 |
50000.000000000000 |
0.000000000000 |
ren |
1 |
5639005866 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
2248 |
22604010003 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
2149 |
22604010003 |
A000001 |
|
Biaya Kartu Pasien |
IDR |
|
0.000000000000 |
1.000000000000 |
50000.000000000000 |
0.000000000000 |
0.000000000000 |
50000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
22604010003 |
|
22604010003 |
|
|
1900-01-01 00:00:00.000000 |
50000.000000000000 |
0.000000000000 |
ren |
1 |
5639006122 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
2249 |
2251217000002 |
2026-04-04 14:00:51.000000 |
2.000000000000 |
8 |
2251217000002 |
D000002 |
|
Biaya Konsultasi dr. Spesialis THT |
IDR |
|
0.000000000000 |
1.000000000000 |
75000.000000000000 |
0.000000000000 |
0.000000000000 |
75000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
2251217000002 |
|
2251217000002 |
|
|
1900-01-01 00:00:00.000000 |
75000.000000000000 |
0.000000000000 |
ren |
1 |
5639004075 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
2250 |
2251218000056 |
2026-04-04 14:00:51.000000 |
2.000000000000 |
272 |
2251218000056 |
A000001 |
|
Biaya Kartu Pasien |
IDR |
|
0.000000000000 |
1.000000000000 |
50000.000000000000 |
0.000000000000 |
0.000000000000 |
50000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
2251218000056 |
|
2251218000056 |
|
|
1900-01-01 00:00:00.000000 |
50000.000000000000 |
0.000000000000 |
ren |
1 |
5639004331 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |