|
2431 |
42601080012 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
554 |
42601080012 |
F000006 |
|
Amlodipine |
IDR |
|
0.000000000000 |
1.000000000000 |
25500.000000000000 |
0.000000000000 |
0.000000000000 |
25500.000000000000 |
|
|
|
0.000000000000 |
0 |
|
42601080012 |
|
42601080012 |
|
|
1900-01-01 00:00:00.000000 |
25500.000000000000 |
0.000000000000 |
ren |
1 |
5639004607 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
2432 |
42601150004 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
835 |
42601150004 |
F000001 |
|
Paracetamol |
IDR |
|
0.000000000000 |
4.000000000000 |
1500.000000000000 |
0.000000000000 |
0.000000000000 |
6000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
42601150004 |
|
42601150004 |
|
|
1900-01-01 00:00:00.000000 |
6000.000000000000 |
0.000000000000 |
ren |
1 |
5639004863 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
2433 |
22601210002 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
1095 |
22601210002 |
A000001 |
|
Biaya Kartu Pasien |
IDR |
|
0.000000000000 |
1.000000000000 |
50000.000000000000 |
0.000000000000 |
0.000000000000 |
50000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
22601210002 |
|
22601210002 |
|
|
1900-01-01 00:00:00.000000 |
50000.000000000000 |
0.000000000000 |
ren |
1 |
5639005119 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
2434 |
42601230035 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
1352 |
42601230035 |
F000005 |
|
Captopril |
IDR |
|
0.000000000000 |
23.000000000000 |
14500.000000000000 |
0.000000000000 |
0.000000000000 |
333500.000000000000 |
|
|
|
0.000000000000 |
0 |
|
42601230035 |
|
42601230035 |
|
|
1900-01-01 00:00:00.000000 |
333500.000000000000 |
0.000000000000 |
ren |
1 |
5639005375 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
2435 |
42601240004 |
2026-04-04 14:00:51.000000 |
2.000000000000 |
1608 |
42601240004 |
F000003 |
|
Alerfed |
IDR |
|
0.000000000000 |
1.000000000000 |
3000.000000000000 |
0.000000000000 |
0.000000000000 |
3000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
42601240004 |
|
42601240004 |
|
|
1900-01-01 00:00:00.000000 |
3000.000000000000 |
0.000000000000 |
ren |
1 |
5639005631 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
2436 |
3202601160001 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
1883 |
3202601160001 |
T000007 |
|
Perawatan Luka |
IDR |
|
0.000000000000 |
1.000000000000 |
100000.000000000000 |
0.000000000000 |
0.000000000000 |
100000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
3202601160001 |
|
3202601160001 |
|
|
1900-01-01 00:00:00.000000 |
100000.000000000000 |
0.000000000000 |
ren |
1 |
5639005887 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
2437 |
132604020001 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
2170 |
132604020001 |
L000004 |
|
Hit. Jen Leukosit |
IDR |
|
0.000000000000 |
1.000000000000 |
11111.000000000000 |
0.000000000000 |
0.000000000000 |
0.000000000000 |
|
|
|
0.000000000000 |
0 |
|
132604020001 |
|
132604020001 |
|
|
1900-01-01 00:00:00.000000 |
0.000000000000 |
0.000000000000 |
ren |
1 |
5639006143 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
2438 |
22512180005 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
31 |
22512180005 |
A000002 |
|
Rawat Jalan |
IDR |
|
0.000000000000 |
1.000000000000 |
150000.000000000000 |
0.000000000000 |
0.000000000000 |
150000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
22512180005 |
|
22512180005 |
|
|
1900-01-01 00:00:00.000000 |
150000.000000000000 |
0.000000000000 |
ren |
1 |
5639004096 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
2439 |
2251218000063 |
2026-04-04 14:00:51.000000 |
2.000000000000 |
293 |
2251218000063 |
A000002 |
|
Rawat Jalan |
IDR |
|
0.000000000000 |
1.000000000000 |
150000.000000000000 |
0.000000000000 |
0.000000000000 |
150000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
2251218000063 |
|
2251218000063 |
|
|
1900-01-01 00:00:00.000000 |
150000.000000000000 |
0.000000000000 |
ren |
1 |
5639004352 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
2440 |
42601080012 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
555 |
42601080012 |
F000017 |
|
Panadol |
IDR |
|
0.000000000000 |
1.000000000000 |
12800.000000000000 |
0.000000000000 |
0.000000000000 |
12800.000000000000 |
|
|
|
0.000000000000 |
0 |
|
42601080012 |
|
42601080012 |
|
|
1900-01-01 00:00:00.000000 |
12800.000000000000 |
0.000000000000 |
ren |
1 |
5639004608 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |