|
2351 |
32601150007 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
826 |
32601150007 |
D000002 |
|
Biaya Konsultasi dr. Spesialis THT |
IDR |
|
0.000000000000 |
4.000000000000 |
75000.000000000000 |
0.000000000000 |
0.000000000000 |
300000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
32601150007 |
|
32601150007 |
|
|
1900-01-01 00:00:00.000000 |
300000.000000000000 |
0.000000000000 |
ren |
1 |
5639004854 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
2352 |
52601180001 |
2026-04-04 14:00:51.000000 |
5.000000000000 |
1085 |
52601180001 |
P000006 |
|
Kasa Steril |
IDR |
|
0.000000000000 |
1.000000000000 |
1000.000000000000 |
0.000000000000 |
0.000000000000 |
1000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
52601180001 |
|
52601180001 |
|
|
1900-01-01 00:00:00.000000 |
1000.000000000000 |
0.000000000000 |
ren |
1 |
5639005110 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
2353 |
52601230034 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
1343 |
52601230034 |
X000001 |
|
Alat Tes Gula Darah |
IDR |
|
0.000000000000 |
2.000000000000 |
150000.000000000000 |
0.000000000000 |
0.000000000000 |
300000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
52601230034 |
|
52601230034 |
|
|
1900-01-01 00:00:00.000000 |
300000.000000000000 |
0.000000000000 |
ren |
1 |
5639005366 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
2354 |
520260124-000016 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
1599 |
520260124-000016 |
P000001 |
|
Jarum Suntik |
IDR |
|
0.000000000000 |
1.000000000000 |
2500.000000000000 |
0.000000000000 |
0.000000000000 |
2500.000000000000 |
|
|
|
0.000000000000 |
0 |
|
520260124-000016 |
|
520260124-000016 |
|
|
1900-01-01 00:00:00.000000 |
2500.000000000000 |
0.000000000000 |
ren |
1 |
5639005622 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
2355 |
42601290001 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
1873 |
42601290001 |
F000004 |
|
Methylprednisolone |
IDR |
|
0.000000000000 |
1.000000000000 |
24000.000000000000 |
0.000000000000 |
0.000000000000 |
24000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
42601290001 |
|
42601290001 |
|
|
1900-01-01 00:00:00.000000 |
24000.000000000000 |
0.000000000000 |
ren |
1 |
5639005878 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
2356 |
32604010004 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
2161 |
32604010004 |
T000007 |
|
Perawatan Luka |
IDR |
|
0.000000000000 |
1.000000000000 |
100000.000000000000 |
0.000000000000 |
0.000000000000 |
100000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
32604010004 |
|
32604010004 |
|
|
1900-01-01 00:00:00.000000 |
100000.000000000000 |
0.000000000000 |
ren |
1 |
5639006134 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
2357 |
42512180002 |
2026-04-04 14:00:51.000000 |
5.000000000000 |
20 |
42512180002 |
F000006 |
|
Amlodipine |
IDR |
|
0.000000000000 |
10.000000000000 |
25500.000000000000 |
0.000000000000 |
0.000000000000 |
255000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
42512180002 |
|
42512180002 |
|
|
1900-01-01 00:00:00.000000 |
255000.000000000000 |
0.000000000000 |
ren |
1 |
5639004087 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
2358 |
2251218000060 |
2026-04-04 14:00:51.000000 |
2.000000000000 |
284 |
2251218000060 |
A000003 |
|
Rawat Inap |
IDR |
|
0.000000000000 |
1.000000000000 |
500000.000000000000 |
0.000000000000 |
0.000000000000 |
500000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
2251218000060 |
|
2251218000060 |
|
|
1900-01-01 00:00:00.000000 |
500000.000000000000 |
0.000000000000 |
ren |
1 |
5639004343 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
2359 |
22601080017 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
546 |
22601080017 |
D000001 |
|
Biaya dr. Umum (50.000) |
IDR |
|
0.000000000000 |
1.000000000000 |
50000.000000000000 |
0.000000000000 |
0.000000000000 |
50000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
22601080017 |
|
22601080017 |
|
|
1900-01-01 00:00:00.000000 |
50000.000000000000 |
0.000000000000 |
ren |
1 |
5639004599 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
2360 |
32601150007 |
2026-04-04 14:00:51.000000 |
2.000000000000 |
827 |
32601150007 |
D000009 |
|
Konsultasi Dokter Gigi |
IDR |
|
0.000000000000 |
6.000000000000 |
60000.000000000000 |
0.000000000000 |
0.000000000000 |
360000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
32601150007 |
|
32601150007 |
|
|
1900-01-01 00:00:00.000000 |
360000.000000000000 |
0.000000000000 |
ren |
1 |
5639004855 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |