|
2311 |
132604010002 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
2156 |
132604010002 |
L000021 |
|
Protein Total |
IDR |
|
0.000000000000 |
1.000000000000 |
50000.000000000000 |
0.000000000000 |
0.000000000000 |
50000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
132604010002 |
|
132604010002 |
|
|
1900-01-01 00:00:00.000000 |
50000.000000000000 |
0.000000000000 |
ren |
1 |
5639006129 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
2312 |
42512180001 |
2026-04-04 14:00:51.000000 |
5.000000000000 |
15 |
42512180001 |
F000006 |
|
Amlodipine |
IDR |
|
0.000000000000 |
100.000000000000 |
25500.000000000000 |
0.000000000000 |
0.000000000000 |
1275000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
42512180001 |
|
42512180001 |
|
|
1900-01-01 00:00:00.000000 |
1275000.000000000000 |
0.000000000000 |
ren |
1 |
5639004082 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
2313 |
2251218000058 |
2026-04-04 14:00:51.000000 |
2.000000000000 |
279 |
2251218000058 |
A000002 |
|
Rawat Jalan |
IDR |
|
0.000000000000 |
1.000000000000 |
150000.000000000000 |
0.000000000000 |
0.000000000000 |
150000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
2251218000058 |
|
2251218000058 |
|
|
1900-01-01 00:00:00.000000 |
150000.000000000000 |
0.000000000000 |
ren |
1 |
5639004338 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
2314 |
22601080015 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
541 |
22601080015 |
A000002 |
|
Rawat Jalan |
IDR |
|
0.000000000000 |
1.000000000000 |
150000.000000000000 |
0.000000000000 |
0.000000000000 |
150000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
22601080015 |
|
22601080015 |
|
|
1900-01-01 00:00:00.000000 |
150000.000000000000 |
0.000000000000 |
ren |
1 |
5639004594 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
2315 |
32601150006 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
822 |
32601150006 |
T000009 |
|
Pengambilan Sampel Darah |
IDR |
|
0.000000000000 |
10.000000000000 |
35000.000000000000 |
0.000000000000 |
0.000000000000 |
350000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
32601150006 |
|
32601150006 |
|
|
1900-01-01 00:00:00.000000 |
350000.000000000000 |
0.000000000000 |
ren |
1 |
5639004850 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
2316 |
22601170003 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
1081 |
22601170003 |
D000001 |
|
Biaya dr. Umum |
IDR |
|
0.000000000000 |
1.000000000000 |
50000.000000000000 |
0.000000000000 |
0.000000000000 |
50000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
22601170003 |
|
22601170003 |
|
|
1900-01-01 00:00:00.000000 |
50000.000000000000 |
0.000000000000 |
ren |
1 |
5639005106 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
2317 |
22601230031 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
1339 |
22601230031 |
A000001 |
|
Biaya Kartu Pasien |
IDR |
|
0.000000000000 |
1.000000000000 |
50000.000000000000 |
0.000000000000 |
0.000000000000 |
50000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
22601230031 |
|
22601230031 |
|
|
1900-01-01 00:00:00.000000 |
50000.000000000000 |
0.000000000000 |
ren |
1 |
5639005362 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
2318 |
520260124-000013 |
2026-04-04 14:00:51.000000 |
2.000000000000 |
1595 |
520260124-000013 |
P000004 |
|
Masker Nebulizer |
IDR |
|
0.000000000000 |
1.000000000000 |
20000.000000000000 |
0.000000000000 |
0.000000000000 |
20000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
520260124-000013 |
|
520260124-000013 |
|
|
1900-01-01 00:00:00.000000 |
20000.000000000000 |
0.000000000000 |
ren |
1 |
5639005618 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
2319 |
42601310001 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
1869 |
42601310001 |
F000001 |
|
Paracetamol |
IDR |
|
0.000000000000 |
2.000000000000 |
1500.000000000000 |
0.000000000000 |
0.000000000000 |
3000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
42601310001 |
|
42601310001 |
|
|
1900-01-01 00:00:00.000000 |
3000.000000000000 |
0.000000000000 |
ren |
1 |
5639005874 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
2320 |
112604010003 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
2157 |
112604010003 |
R000004 |
|
USG (Ultrasonography) |
IDR |
|
0.000000000000 |
1.000000000000 |
300000.000000000000 |
0.000000000000 |
0.000000000000 |
300000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
112604010003 |
|
112604010003 |
|
|
1900-01-01 00:00:00.000000 |
300000.000000000000 |
0.000000000000 |
ren |
1 |
5639006130 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |