|
2281 |
52601230032 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
1335 |
52601230032 |
P000001 |
|
Jarum Suntik |
IDR |
|
0.000000000000 |
1.000000000000 |
2500.000000000000 |
0.000000000000 |
0.000000000000 |
2500.000000000000 |
|
|
|
0.000000000000 |
0 |
|
52601230032 |
|
52601230032 |
|
|
1900-01-01 00:00:00.000000 |
2500.000000000000 |
0.000000000000 |
ren |
1 |
5639005358 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
2282 |
520260124-000011 |
2026-04-04 14:00:51.000000 |
2.000000000000 |
1591 |
520260124-000011 |
P000004 |
|
Masker Nebulizer |
IDR |
|
0.000000000000 |
1.000000000000 |
20000.000000000000 |
0.000000000000 |
0.000000000000 |
20000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
520260124-000011 |
|
520260124-000011 |
|
|
1900-01-01 00:00:00.000000 |
20000.000000000000 |
0.000000000000 |
ren |
1 |
5639005614 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
2283 |
42602010001 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
1862 |
42602010001 |
F000002 |
|
Paramex |
IDR |
|
0.000000000000 |
1.000000000000 |
2500.000000000000 |
0.000000000000 |
0.000000000000 |
2500.000000000000 |
|
|
|
0.000000000000 |
0 |
|
42602010001 |
|
42602010001 |
|
|
1900-01-01 00:00:00.000000 |
2500.000000000000 |
0.000000000000 |
ren |
1 |
5639005870 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
2284 |
132604010001 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
2153 |
132604010001 |
L000040 |
|
Bilirubin |
IDR |
|
0.000000000000 |
1.000000000000 |
4545.000000000000 |
0.000000000000 |
0.000000000000 |
4545.000000000000 |
|
|
|
0.000000000000 |
0 |
|
132604010001 |
|
132604010001 |
|
|
1900-01-01 00:00:00.000000 |
4545.000000000000 |
0.000000000000 |
ren |
1 |
5639006126 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
2285 |
2251218000001 |
2026-04-04 14:00:51.000000 |
2.000000000000 |
12 |
2251218000001 |
A000001 |
|
Biaya Kartu Pasien |
IDR |
|
0.000000000000 |
1.000000000000 |
50000.000000000000 |
0.000000000000 |
0.000000000000 |
50000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
2251218000001 |
|
2251218000001 |
|
|
1900-01-01 00:00:00.000000 |
50000.000000000000 |
0.000000000000 |
ren |
1 |
5639004079 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
2286 |
2251218000057 |
2026-04-04 14:00:51.000000 |
2.000000000000 |
276 |
2251218000057 |
A000002 |
|
Rawat Jalan |
IDR |
|
0.000000000000 |
1.000000000000 |
150000.000000000000 |
0.000000000000 |
0.000000000000 |
150000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
2251218000057 |
|
2251218000057 |
|
|
1900-01-01 00:00:00.000000 |
150000.000000000000 |
0.000000000000 |
ren |
1 |
5639004335 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
2287 |
22601080014 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
538 |
22601080014 |
A000001 |
|
Biaya Kartu Pasien |
IDR |
|
0.000000000000 |
1.000000000000 |
50000.000000000000 |
0.000000000000 |
0.000000000000 |
50000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
22601080014 |
|
22601080014 |
|
|
1900-01-01 00:00:00.000000 |
50000.000000000000 |
0.000000000000 |
ren |
1 |
5639004591 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
2288 |
32601150006 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
819 |
32601150006 |
T000008 |
|
Nebulisasi |
IDR |
|
0.000000000000 |
10.000000000000 |
80000.000000000000 |
0.000000000000 |
0.000000000000 |
800000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
32601150006 |
|
32601150006 |
|
|
1900-01-01 00:00:00.000000 |
800000.000000000000 |
0.000000000000 |
ren |
1 |
5639004847 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
2289 |
22601170002 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
1078 |
22601170002 |
D000002 |
|
Biaya Konsultasi dr. Spesialis THT (75.000) |
IDR |
|
0.000000000000 |
1.000000000000 |
75000.000000000000 |
0.000000000000 |
0.000000000000 |
75000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
22601170002 |
|
22601170002 |
|
|
1900-01-01 00:00:00.000000 |
75000.000000000000 |
0.000000000000 |
ren |
1 |
5639005103 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
2290 |
32601230031 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
1336 |
32601230031 |
T000005 |
|
Injeksi Intramuskular |
IDR |
|
0.000000000000 |
1.000000000000 |
40000.000000000000 |
0.000000000000 |
0.000000000000 |
40000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
32601230031 |
|
32601230031 |
|
|
1900-01-01 00:00:00.000000 |
40000.000000000000 |
0.000000000000 |
ren |
1 |
5639005359 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |