|
2371 |
226012300032 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
1345 |
226012300032 |
A000002 |
|
Rawat Jalan |
IDR |
|
0.000000000000 |
1.000000000000 |
150000.000000000000 |
0.000000000000 |
0.000000000000 |
150000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
226012300032 |
|
226012300032 |
|
|
1900-01-01 00:00:00.000000 |
150000.000000000000 |
0.000000000000 |
ren |
1 |
5639005368 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
2372 |
520260124-000017 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
1601 |
520260124-000017 |
P000001 |
|
Jarum Suntik |
IDR |
|
0.000000000000 |
1.000000000000 |
2500.000000000000 |
0.000000000000 |
0.000000000000 |
2500.000000000000 |
|
|
|
0.000000000000 |
0 |
|
520260124-000017 |
|
520260124-000017 |
|
|
1900-01-01 00:00:00.000000 |
2500.000000000000 |
0.000000000000 |
ren |
1 |
5639005624 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
2373 |
42601090007 |
2026-04-04 14:00:51.000000 |
2.000000000000 |
1876 |
42601090007 |
F000004 |
|
Methylprednisolone |
IDR |
|
0.000000000000 |
8.000000000000 |
24000.000000000000 |
0.000000000000 |
0.000000000000 |
192000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
42601090007 |
|
42601090007 |
|
|
1900-01-01 00:00:00.000000 |
192000.000000000000 |
0.000000000000 |
ren |
1 |
5639005880 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
2374 |
42604020001 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
2163 |
42604020001 |
F000003 |
|
Alerfed |
IDR |
|
0.000000000000 |
2.000000000000 |
3000.000000000000 |
0.000000000000 |
0.000000000000 |
6000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
42604020001 |
|
42604020001 |
|
|
1900-01-01 00:00:00.000000 |
6000.000000000000 |
0.000000000000 |
ren |
1 |
5639006136 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
2375 |
2251218000003 |
2026-04-04 14:00:51.000000 |
2.000000000000 |
22 |
2251218000003 |
A000001 |
|
Biaya Kartu Pasien |
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 |
5639004089 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
2376 |
2251218000061 |
2026-04-04 14:00:51.000000 |
2.000000000000 |
286 |
2251218000061 |
A000001 |
|
Biaya Kartu Pasien |
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 |
5639004345 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
2377 |
22601080018 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
548 |
22601080018 |
D000002 |
|
Biaya Konsultasi dr. Spesialis THT (75.000) |
IDR |
|
0.000000000000 |
1.000000000000 |
75000.000000000000 |
0.000000000000 |
0.000000000000 |
75000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
22601080018 |
|
22601080018 |
|
|
1900-01-01 00:00:00.000000 |
75000.000000000000 |
0.000000000000 |
ren |
1 |
5639004601 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
2378 |
42601150003 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
829 |
42601150003 |
F000001 |
|
Paracetamol |
IDR |
|
0.000000000000 |
23.000000000000 |
1500.000000000000 |
0.000000000000 |
0.000000000000 |
34500.000000000000 |
|
|
|
0.000000000000 |
0 |
|
42601150003 |
|
42601150003 |
|
|
1900-01-01 00:00:00.000000 |
34500.000000000000 |
0.000000000000 |
ren |
1 |
5639004857 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
2379 |
42601210001 |
2026-04-04 14:00:51.000000 |
2.000000000000 |
1088 |
42601210001 |
F000005 |
|
Captopril |
IDR |
|
0.000000000000 |
2.000000000000 |
14500.000000000000 |
0.000000000000 |
0.000000000000 |
29000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
42601210001 |
|
42601210001 |
|
|
1900-01-01 00:00:00.000000 |
29000.000000000000 |
0.000000000000 |
ren |
1 |
5639005113 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
2380 |
226012300032 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
1346 |
226012300032 |
D000002 |
|
Biaya Konsultasi dr. Spesialis THT |
IDR |
|
0.000000000000 |
1.000000000000 |
75000.000000000000 |
0.000000000000 |
0.000000000000 |
75000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
226012300032 |
|
226012300032 |
|
|
1900-01-01 00:00:00.000000 |
75000.000000000000 |
0.000000000000 |
ren |
1 |
5639005369 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |