|
2361 |
32601210001 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
1086 |
32601210001 |
T000003 |
|
Pemeriksaan Tanda Vital |
IDR |
|
0.000000000000 |
1.000000000000 |
25000.000000000000 |
0.000000000000 |
0.000000000000 |
25000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
32601210001 |
|
32601210001 |
|
|
1900-01-01 00:00:00.000000 |
25000.000000000000 |
0.000000000000 |
ren |
1 |
5639005111 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
2362 |
42601230034 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
1344 |
42601230034 |
F000003 |
|
Alerfed |
IDR |
|
0.000000000000 |
2.000000000000 |
3000.000000000000 |
0.000000000000 |
0.000000000000 |
6000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
42601230034 |
|
42601230034 |
|
|
1900-01-01 00:00:00.000000 |
6000.000000000000 |
0.000000000000 |
ren |
1 |
5639005367 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
2363 |
520260124-000016 |
2026-04-04 14:00:51.000000 |
2.000000000000 |
1600 |
520260124-000016 |
P000004 |
|
Masker Nebulizer |
IDR |
|
0.000000000000 |
1.000000000000 |
20000.000000000000 |
0.000000000000 |
0.000000000000 |
20000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
520260124-000016 |
|
520260124-000016 |
|
|
1900-01-01 00:00:00.000000 |
20000.000000000000 |
0.000000000000 |
ren |
1 |
5639005623 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
2364 |
42601290001 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
1874 |
42601290001 |
F000003 |
|
Alerfed |
IDR |
|
0.000000000000 |
10.000000000000 |
3000.000000000000 |
0.000000000000 |
0.000000000000 |
30000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
42601290001 |
|
42601290001 |
|
|
1900-01-01 00:00:00.000000 |
30000.000000000000 |
0.000000000000 |
ren |
1 |
5639005879 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
2365 |
32604010004 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
2162 |
32604010004 |
T000004 |
|
Pemasangan Infus |
IDR |
|
0.000000000000 |
1.000000000000 |
75000.000000000000 |
0.000000000000 |
0.000000000000 |
75000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
32604010004 |
|
32604010004 |
|
|
1900-01-01 00:00:00.000000 |
75000.000000000000 |
0.000000000000 |
ren |
1 |
5639006135 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
2366 |
2251218000003 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
21 |
2251218000003 |
D000001 |
|
Biaya dr. Umum |
IDR |
|
0.000000000000 |
1.000000000000 |
50000.000000000000 |
0.000000000000 |
0.000000000000 |
50000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
2251218000003 |
|
2251218000003 |
|
|
1900-01-01 00:00:00.000000 |
50000.000000000000 |
0.000000000000 |
ren |
1 |
5639004088 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
2367 |
2251218000061 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
285 |
2251218000061 |
D000001 |
|
Biaya dr. Umum |
IDR |
|
0.000000000000 |
1.000000000000 |
50000.000000000000 |
0.000000000000 |
0.000000000000 |
50000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
2251218000061 |
|
2251218000061 |
|
|
1900-01-01 00:00:00.000000 |
50000.000000000000 |
0.000000000000 |
ren |
1 |
5639004344 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
2368 |
22601080017 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
547 |
22601080017 |
A000002 |
|
Rawat Jalan |
IDR |
|
0.000000000000 |
1.000000000000 |
150000.000000000000 |
0.000000000000 |
0.000000000000 |
150000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
22601080017 |
|
22601080017 |
|
|
1900-01-01 00:00:00.000000 |
150000.000000000000 |
0.000000000000 |
ren |
1 |
5639004600 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
2369 |
32601150007 |
2026-04-04 14:00:51.000000 |
3.000000000000 |
828 |
32601150007 |
D000008 |
|
Konsultasi Dokter Umum |
IDR |
|
0.000000000000 |
8.000000000000 |
50000.000000000000 |
0.000000000000 |
0.000000000000 |
400000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
32601150007 |
|
32601150007 |
|
|
1900-01-01 00:00:00.000000 |
400000.000000000000 |
0.000000000000 |
ren |
1 |
5639004856 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
2370 |
42601210001 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
1087 |
42601210001 |
F000004 |
|
Methylprednisolone |
IDR |
|
0.000000000000 |
1.000000000000 |
24000.000000000000 |
0.000000000000 |
0.000000000000 |
24000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
42601210001 |
|
42601210001 |
|
|
1900-01-01 00:00:00.000000 |
24000.000000000000 |
0.000000000000 |
ren |
1 |
5639005112 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |