|
2301 |
32602010002 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
1864 |
32602010002 |
T000004 |
|
Pemasangan Infus |
IDR |
|
0.000000000000 |
1.000000000000 |
75000.000000000000 |
0.000000000000 |
0.000000000000 |
75000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
32602010002 |
|
32602010002 |
|
|
1900-01-01 00:00:00.000000 |
75000.000000000000 |
0.000000000000 |
ren |
1 |
5639005872 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
2302 |
112604010002 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
2155 |
112604010002 |
R000009 |
|
X-Ray Barrier / Shield |
IDR |
|
0.000000000000 |
1.000000000000 |
26000000.000000000000 |
0.000000000000 |
0.000000000000 |
26000000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
112604010002 |
|
112604010002 |
|
|
1900-01-01 00:00:00.000000 |
26000000.000000000000 |
0.000000000000 |
ren |
1 |
5639006128 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
2303 |
42512180001 |
2026-04-04 14:00:51.000000 |
5.000000000000 |
14 |
42512180001 |
F000003 |
|
Alerfed |
IDR |
|
0.000000000000 |
100.000000000000 |
3000.000000000000 |
0.000000000000 |
0.000000000000 |
150000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
42512180001 |
|
42512180001 |
|
|
1900-01-01 00:00:00.000000 |
150000.000000000000 |
0.000000000000 |
ren |
1 |
5639004081 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
2304 |
2251218000058 |
2026-04-04 14:00:51.000000 |
2.000000000000 |
278 |
2251218000058 |
A000001 |
|
Biaya Kartu Pasien |
IDR |
|
0.000000000000 |
1.000000000000 |
50000.000000000000 |
0.000000000000 |
0.000000000000 |
50000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
2251218000058 |
|
2251218000058 |
|
|
1900-01-01 00:00:00.000000 |
50000.000000000000 |
0.000000000000 |
ren |
1 |
5639004337 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
2305 |
22601080015 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
540 |
22601080015 |
D000001 |
|
Biaya dr. Umum (50.000) |
IDR |
|
0.000000000000 |
1.000000000000 |
50000.000000000000 |
0.000000000000 |
0.000000000000 |
50000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
22601080015 |
|
22601080015 |
|
|
1900-01-01 00:00:00.000000 |
50000.000000000000 |
0.000000000000 |
ren |
1 |
5639004593 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
2306 |
32601150006 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
821 |
32601150006 |
T000007 |
|
Perawatan Luka |
IDR |
|
0.000000000000 |
10.000000000000 |
100000.000000000000 |
0.000000000000 |
0.000000000000 |
1000000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
32601150006 |
|
32601150006 |
|
|
1900-01-01 00:00:00.000000 |
1000000.000000000000 |
0.000000000000 |
ren |
1 |
5639004849 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
2307 |
52601170001 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
1080 |
52601170001 |
X000009 |
|
Tissue |
IDR |
|
0.000000000000 |
1.000000000000 |
10000.000000000000 |
0.000000000000 |
0.000000000000 |
10000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
52601170001 |
|
52601170001 |
|
|
1900-01-01 00:00:00.000000 |
10000.000000000000 |
0.000000000000 |
ren |
1 |
5639005105 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
2308 |
42601230033 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
1338 |
42601230033 |
F000006 |
|
Amlodipine |
IDR |
|
0.000000000000 |
25.000000000000 |
25500.000000000000 |
0.000000000000 |
0.000000000000 |
637500.000000000000 |
|
|
|
0.000000000000 |
0 |
|
42601230033 |
|
42601230033 |
|
|
1900-01-01 00:00:00.000000 |
637500.000000000000 |
0.000000000000 |
ren |
1 |
5639005361 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
2309 |
520260124-000013 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
1594 |
520260124-000013 |
P000001 |
|
Jarum Suntik |
IDR |
|
0.000000000000 |
1.000000000000 |
2500.000000000000 |
0.000000000000 |
0.000000000000 |
2500.000000000000 |
|
|
|
0.000000000000 |
0 |
|
520260124-000013 |
|
520260124-000013 |
|
|
1900-01-01 00:00:00.000000 |
2500.000000000000 |
0.000000000000 |
ren |
1 |
5639005617 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
2310 |
520260121-000001 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
1865 |
520260121-000001 |
P000005 |
|
Infus Set |
IDR |
|
0.000000000000 |
10.000000000000 |
15000.000000000000 |
0.000000000000 |
0.000000000000 |
150000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
520260121-000001 |
|
520260121-000001 |
|
|
1900-01-01 00:00:00.000000 |
150000.000000000000 |
0.000000000000 |
ren |
1 |
5639005873 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |