|
2401 |
42604020003 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
2166 |
42604020003 |
F000001 |
|
Paracetamol |
IDR |
|
0.000000000000 |
1.000000000000 |
1500.000000000000 |
0.000000000000 |
0.000000000000 |
1500.000000000000 |
|
|
|
0.000000000000 |
0 |
|
42604020003 |
|
42604020003 |
|
|
1900-01-01 00:00:00.000000 |
1500.000000000000 |
0.000000000000 |
ren |
1 |
5639006139 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
2402 |
2251218000004 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
25 |
2251218000004 |
D000006 |
|
Dokter Spesialis 200k |
IDR |
|
0.000000000000 |
1.000000000000 |
200000.000000000000 |
0.000000000000 |
0.000000000000 |
200000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
2251218000004 |
|
2251218000004 |
|
|
1900-01-01 00:00:00.000000 |
200000.000000000000 |
0.000000000000 |
ren |
1 |
5639004092 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
2403 |
2251218000062 |
2026-04-04 14:00:51.000000 |
2.000000000000 |
289 |
2251218000062 |
A000001 |
|
Biaya Kartu Pasien |
IDR |
|
0.000000000000 |
1.000000000000 |
50000.000000000000 |
0.000000000000 |
0.000000000000 |
50000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
2251218000062 |
|
2251218000062 |
|
|
1900-01-01 00:00:00.000000 |
50000.000000000000 |
0.000000000000 |
ren |
1 |
5639004348 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
2404 |
42601080011 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
551 |
42601080011 |
F000009 |
|
Amoxicillin |
IDR |
|
0.000000000000 |
1.000000000000 |
96500.000000000000 |
0.000000000000 |
0.000000000000 |
96500.000000000000 |
|
|
|
0.000000000000 |
0 |
|
42601080011 |
|
42601080011 |
|
|
1900-01-01 00:00:00.000000 |
96500.000000000000 |
0.000000000000 |
ren |
1 |
5639004604 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
2405 |
32601150008 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
832 |
32601150008 |
D000009 |
|
Konsultasi Dokter Gigi |
IDR |
|
0.000000000000 |
2.000000000000 |
60000.000000000000 |
0.000000000000 |
0.000000000000 |
120000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
32601150008 |
|
32601150008 |
|
|
1900-01-01 00:00:00.000000 |
120000.000000000000 |
0.000000000000 |
ren |
1 |
5639004860 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
2406 |
112601210003 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
1092 |
112601210003 |
R000009 |
|
X-Ray Barrier / Shield |
IDR |
|
0.000000000000 |
1.000000000000 |
26000000.000000000000 |
0.000000000000 |
0.000000000000 |
26000000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
112601210003 |
|
112601210003 |
|
|
1900-01-01 00:00:00.000000 |
26000000.000000000000 |
0.000000000000 |
ren |
1 |
5639005116 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
2407 |
22601230032 |
2026-04-04 14:00:51.000000 |
3.000000000000 |
1349 |
22601230032 |
D000009 |
|
Konsultasi Dokter Gigi |
IDR |
|
0.000000000000 |
1.000000000000 |
60000.000000000000 |
0.000000000000 |
0.000000000000 |
60000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
22601230032 |
|
22601230032 |
|
|
1900-01-01 00:00:00.000000 |
60000.000000000000 |
0.000000000000 |
ren |
1 |
5639005372 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
2408 |
520260124-000019 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
1605 |
520260124-000019 |
P000001 |
|
Jarum Suntik |
IDR |
|
0.000000000000 |
1.000000000000 |
2500.000000000000 |
0.000000000000 |
0.000000000000 |
2500.000000000000 |
|
|
|
0.000000000000 |
0 |
|
520260124-000019 |
|
520260124-000019 |
|
|
1900-01-01 00:00:00.000000 |
2500.000000000000 |
0.000000000000 |
ren |
1 |
5639005628 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
2409 |
2260203000001 |
2026-04-04 14:00:51.000000 |
2.000000000000 |
1880 |
2260203000001 |
A000001 |
|
Biaya Kartu Pasien |
IDR |
|
0.000000000000 |
1.000000000000 |
50000.000000000000 |
0.000000000000 |
0.000000000000 |
50000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
2260203000001 |
|
2260203000001 |
|
|
1900-01-01 00:00:00.000000 |
50000.000000000000 |
0.000000000000 |
ren |
1 |
5639005884 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
2410 |
42604020003 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
2167 |
42604020003 |
F000007 |
|
Captopril |
IDR |
|
0.000000000000 |
1.000000000000 |
14500.000000000000 |
0.000000000000 |
0.000000000000 |
14500.000000000000 |
|
|
|
0.000000000000 |
0 |
|
42604020003 |
|
42604020003 |
|
|
1900-01-01 00:00:00.000000 |
14500.000000000000 |
0.000000000000 |
ren |
1 |
5639006140 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |