|
2451 |
22601210003 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
1097 |
22601210003 |
A000001 |
|
Biaya Kartu Pasien |
IDR |
|
0.000000000000 |
1.000000000000 |
50000.000000000000 |
0.000000000000 |
0.000000000000 |
50000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
22601210003 |
|
22601210003 |
|
|
1900-01-01 00:00:00.000000 |
50000.000000000000 |
0.000000000000 |
ren |
1 |
5639005121 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
2452 |
42601230036 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
1354 |
42601230036 |
F000001 |
|
Paracetamol |
IDR |
|
0.000000000000 |
1.000000000000 |
1500.000000000000 |
0.000000000000 |
0.000000000000 |
1500.000000000000 |
|
|
|
0.000000000000 |
0 |
|
42601230036 |
|
42601230036 |
|
|
1900-01-01 00:00:00.000000 |
1500.000000000000 |
0.000000000000 |
ren |
1 |
5639005377 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
2453 |
226012400008 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
1610 |
226012400008 |
A000002 |
|
Rawat Jalan |
IDR |
|
0.000000000000 |
1.000000000000 |
150000.000000000000 |
0.000000000000 |
0.000000000000 |
150000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
226012400008 |
|
226012400008 |
|
|
1900-01-01 00:00:00.000000 |
150000.000000000000 |
0.000000000000 |
ren |
1 |
5639005633 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
2454 |
4202601260002 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
1885 |
4202601260002 |
F000009 |
|
Amoxicillin |
IDR |
|
0.000000000000 |
1.000000000000 |
96500.000000000000 |
0.000000000000 |
0.000000000000 |
96500.000000000000 |
|
|
|
0.000000000000 |
0 |
|
4202601260002 |
|
4202601260002 |
|
|
1900-01-01 00:00:00.000000 |
96500.000000000000 |
0.000000000000 |
ren |
1 |
5639005889 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
2455 |
132604020003 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
2172 |
132604020003 |
L000008 |
|
Hematokrit |
IDR |
|
0.000000000000 |
1.000000000000 |
11111.000000000000 |
0.000000000000 |
0.000000000000 |
11111.000000000000 |
|
|
|
0.000000000000 |
0 |
|
132604020003 |
|
132604020003 |
|
|
1900-01-01 00:00:00.000000 |
11111.000000000000 |
0.000000000000 |
ren |
1 |
5639006145 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
2456 |
42512180005 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
33 |
42512180005 |
F000003 |
|
Alerfed |
IDR |
|
0.000000000000 |
90.000000000000 |
3000.000000000000 |
0.000000000000 |
0.000000000000 |
270000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
42512180005 |
|
42512180005 |
|
|
1900-01-01 00:00:00.000000 |
270000.000000000000 |
0.000000000000 |
ren |
1 |
5639004098 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
2457 |
2251218000064 |
2026-04-04 14:00:51.000000 |
2.000000000000 |
295 |
2251218000064 |
A000001 |
|
Biaya Kartu Pasien |
IDR |
|
0.000000000000 |
1.000000000000 |
50000.000000000000 |
0.000000000000 |
0.000000000000 |
50000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
2251218000064 |
|
2251218000064 |
|
|
1900-01-01 00:00:00.000000 |
50000.000000000000 |
0.000000000000 |
ren |
1 |
5639004354 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
2458 |
42601080013 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
557 |
42601080013 |
F000002 |
|
Paramex |
IDR |
|
0.000000000000 |
2.000000000000 |
2500.000000000000 |
0.000000000000 |
0.000000000000 |
5000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
42601080013 |
|
42601080013 |
|
|
1900-01-01 00:00:00.000000 |
5000.000000000000 |
0.000000000000 |
ren |
1 |
5639004610 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
2459 |
22601150014 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
838 |
22601150014 |
A000002 |
|
Rawat Jalan |
IDR |
|
0.000000000000 |
1.000000000000 |
150000.000000000000 |
0.000000000000 |
0.000000000000 |
150000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
22601150014 |
|
22601150014 |
|
|
1900-01-01 00:00:00.000000 |
150000.000000000000 |
0.000000000000 |
ren |
1 |
5639004866 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
2460 |
22601210003 |
2026-04-04 14:00:51.000000 |
2.000000000000 |
1098 |
22601210003 |
D000001 |
|
Biaya dr. Umum |
IDR |
|
0.000000000000 |
1.000000000000 |
50000.000000000000 |
0.000000000000 |
0.000000000000 |
50000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
22601210003 |
|
22601210003 |
|
|
1900-01-01 00:00:00.000000 |
50000.000000000000 |
0.000000000000 |
ren |
1 |
5639005122 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |