|
2441 |
42601150004 |
2026-04-04 14:00:51.000000 |
2.000000000000 |
836 |
42601150004 |
F000009 |
|
Amoxicillin |
IDR |
|
0.000000000000 |
6.000000000000 |
96500.000000000000 |
0.000000000000 |
0.000000000000 |
579000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
42601150004 |
|
42601150004 |
|
|
1900-01-01 00:00:00.000000 |
579000.000000000000 |
0.000000000000 |
ren |
1 |
5639004864 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
2442 |
22601210002 |
2026-04-04 14:00:51.000000 |
2.000000000000 |
1096 |
22601210002 |
D000004 |
|
Dokter Spesialis 100k |
IDR |
|
0.000000000000 |
1.000000000000 |
100000.000000000000 |
0.000000000000 |
0.000000000000 |
100000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
22601210002 |
|
22601210002 |
|
|
1900-01-01 00:00:00.000000 |
100000.000000000000 |
0.000000000000 |
ren |
1 |
5639005120 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
2443 |
22601230033 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
1353 |
22601230033 |
D000002 |
|
Biaya Konsultasi dr. Spesialis THT |
IDR |
|
0.000000000000 |
1.000000000000 |
75000.000000000000 |
0.000000000000 |
0.000000000000 |
75000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
22601230033 |
|
22601230033 |
|
|
1900-01-01 00:00:00.000000 |
75000.000000000000 |
0.000000000000 |
ren |
1 |
5639005376 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
2444 |
42601240005 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
1609 |
42601240005 |
F000005 |
|
Captopril |
IDR |
|
0.000000000000 |
1.000000000000 |
14500.000000000000 |
0.000000000000 |
0.000000000000 |
14500.000000000000 |
|
|
|
0.000000000000 |
0 |
|
42601240005 |
|
42601240005 |
|
|
1900-01-01 00:00:00.000000 |
14500.000000000000 |
0.000000000000 |
ren |
1 |
5639005632 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
2445 |
4202601260002 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
1884 |
4202601260002 |
F000003 |
|
Alerfed |
IDR |
|
0.000000000000 |
1.000000000000 |
3000.000000000000 |
0.000000000000 |
0.000000000000 |
3000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
4202601260002 |
|
4202601260002 |
|
|
1900-01-01 00:00:00.000000 |
3000.000000000000 |
0.000000000000 |
ren |
1 |
5639005888 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
2446 |
132604020002 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
2171 |
132604020002 |
L000015 |
|
Tes Golongan Darah |
IDR |
|
0.000000000000 |
1.000000000000 |
40000.000000000000 |
0.000000000000 |
0.000000000000 |
40000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
132604020002 |
|
132604020002 |
|
|
1900-01-01 00:00:00.000000 |
40000.000000000000 |
0.000000000000 |
ren |
1 |
5639006144 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
2447 |
42512180005 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
32 |
42512180005 |
F000001 |
|
Paracetamol |
IDR |
|
0.000000000000 |
90.000000000000 |
1500.000000000000 |
0.000000000000 |
0.000000000000 |
135000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
42512180005 |
|
42512180005 |
|
|
1900-01-01 00:00:00.000000 |
135000.000000000000 |
0.000000000000 |
ren |
1 |
5639004097 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
2448 |
2251218000064 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
294 |
2251218000064 |
D000009 |
|
Konsultasi Dokter Gigi |
IDR |
|
0.000000000000 |
1.000000000000 |
60000.000000000000 |
0.000000000000 |
0.000000000000 |
60000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
2251218000064 |
|
2251218000064 |
|
|
1900-01-01 00:00:00.000000 |
60000.000000000000 |
0.000000000000 |
ren |
1 |
5639004353 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
2449 |
42601080012 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
556 |
42601080012 |
F000001 |
|
Paracetamol |
IDR |
|
0.000000000000 |
1.000000000000 |
1500.000000000000 |
0.000000000000 |
0.000000000000 |
1500.000000000000 |
|
|
|
0.000000000000 |
0 |
|
42601080012 |
|
42601080012 |
|
|
1900-01-01 00:00:00.000000 |
1500.000000000000 |
0.000000000000 |
ren |
1 |
5639004609 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
2450 |
42601150004 |
2026-04-04 14:00:51.000000 |
3.000000000000 |
837 |
42601150004 |
F000004 |
|
Methylprednisolone |
IDR |
|
0.000000000000 |
8.000000000000 |
24000.000000000000 |
0.000000000000 |
0.000000000000 |
192000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
42601150004 |
|
42601150004 |
|
|
1900-01-01 00:00:00.000000 |
192000.000000000000 |
0.000000000000 |
ren |
1 |
5639004865 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |