|
2381 |
520260124-000017 |
2026-04-04 14:00:51.000000 |
2.000000000000 |
1602 |
520260124-000017 |
P000004 |
|
Masker Nebulizer |
IDR |
|
0.000000000000 |
1.000000000000 |
20000.000000000000 |
0.000000000000 |
0.000000000000 |
20000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
520260124-000017 |
|
520260124-000017 |
|
|
1900-01-01 00:00:00.000000 |
20000.000000000000 |
0.000000000000 |
ren |
1 |
5639005625 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
2382 |
32512180011 |
2026-04-04 14:00:51.000000 |
2.000000000000 |
1877 |
32512180011 |
T000006 |
|
Injeksi Intravena |
IDR |
|
0.000000000000 |
1.000000000000 |
50000.000000000000 |
0.000000000000 |
0.000000000000 |
50000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
32512180011 |
|
32512180011 |
|
|
1900-01-01 00:00:00.000000 |
50000.000000000000 |
0.000000000000 |
ren |
1 |
5639005881 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
2383 |
42604020002 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
2164 |
42604020002 |
F000006 |
|
Amlodipine |
IDR |
|
0.000000000000 |
1.000000000000 |
25500.000000000000 |
0.000000000000 |
0.000000000000 |
25500.000000000000 |
|
|
|
0.000000000000 |
0 |
|
42604020002 |
|
42604020002 |
|
|
1900-01-01 00:00:00.000000 |
25500.000000000000 |
0.000000000000 |
ren |
1 |
5639006137 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
2384 |
2251218000003 |
2026-04-04 14:00:51.000000 |
2.000000000000 |
23 |
2251218000003 |
A000002 |
|
Rawat Jalan |
IDR |
|
0.000000000000 |
1.000000000000 |
150000.000000000000 |
0.000000000000 |
0.000000000000 |
150000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
2251218000003 |
|
2251218000003 |
|
|
1900-01-01 00:00:00.000000 |
150000.000000000000 |
0.000000000000 |
ren |
1 |
5639004090 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
2385 |
2251218000061 |
2026-04-04 14:00:51.000000 |
2.000000000000 |
287 |
2251218000061 |
A000002 |
|
Rawat Jalan |
IDR |
|
0.000000000000 |
1.000000000000 |
150000.000000000000 |
0.000000000000 |
0.000000000000 |
150000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
2251218000061 |
|
2251218000061 |
|
|
1900-01-01 00:00:00.000000 |
150000.000000000000 |
0.000000000000 |
ren |
1 |
5639004346 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
2386 |
22601080018 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
549 |
22601080018 |
A000003 |
|
Rawat Inap |
IDR |
|
0.000000000000 |
1.000000000000 |
500000.000000000000 |
0.000000000000 |
0.000000000000 |
500000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
22601080018 |
|
22601080018 |
|
|
1900-01-01 00:00:00.000000 |
500000.000000000000 |
0.000000000000 |
ren |
1 |
5639004602 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
2387 |
42601150003 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
830 |
42601150003 |
F000002 |
|
Paramex |
IDR |
|
0.000000000000 |
25.000000000000 |
2500.000000000000 |
0.000000000000 |
0.000000000000 |
62500.000000000000 |
|
|
|
0.000000000000 |
0 |
|
42601150003 |
|
42601150003 |
|
|
1900-01-01 00:00:00.000000 |
62500.000000000000 |
0.000000000000 |
ren |
1 |
5639004858 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
2388 |
112601210001 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
1090 |
112601210001 |
R000004 |
|
USG (Ultrasonography) |
IDR |
|
0.000000000000 |
2.000000000000 |
300000.000000000000 |
0.000000000000 |
0.000000000000 |
600000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
112601210001 |
|
112601210001 |
|
|
1900-01-01 00:00:00.000000 |
600000.000000000000 |
0.000000000000 |
ren |
1 |
5639005114 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
2389 |
22601230032 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
1347 |
22601230032 |
A000001 |
|
Biaya Kartu Pasien |
IDR |
|
0.000000000000 |
1.000000000000 |
50000.000000000000 |
0.000000000000 |
0.000000000000 |
50000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
22601230032 |
|
22601230032 |
|
|
1900-01-01 00:00:00.000000 |
50000.000000000000 |
0.000000000000 |
ren |
1 |
5639005370 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
2390 |
520260124-000018 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
1603 |
520260124-000018 |
P000001 |
|
Jarum Suntik |
IDR |
|
0.000000000000 |
1.000000000000 |
2500.000000000000 |
0.000000000000 |
0.000000000000 |
2500.000000000000 |
|
|
|
0.000000000000 |
0 |
|
520260124-000018 |
|
520260124-000018 |
|
|
1900-01-01 00:00:00.000000 |
2500.000000000000 |
0.000000000000 |
ren |
1 |
5639005626 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |