|
2461 |
32601230034 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
1355 |
32601230034 |
T000009 |
|
Pengambilan Sampel Darah |
IDR |
|
0.000000000000 |
1.000000000000 |
35000.000000000000 |
0.000000000000 |
0.000000000000 |
35000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
32601230034 |
|
32601230034 |
|
|
1900-01-01 00:00:00.000000 |
35000.000000000000 |
0.000000000000 |
ren |
1 |
5639005378 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
2462 |
226012400008 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
1611 |
226012400008 |
D000002 |
|
Biaya Konsultasi dr. Spesialis THT |
IDR |
|
0.000000000000 |
1.000000000000 |
75000.000000000000 |
0.000000000000 |
0.000000000000 |
75000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
226012400008 |
|
226012400008 |
|
|
1900-01-01 00:00:00.000000 |
75000.000000000000 |
0.000000000000 |
ren |
1 |
5639005634 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
2463 |
32512190001 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
1886 |
32512190001 |
T000005 |
|
Injeksi Intramuskular |
IDR |
|
0.000000000000 |
1.000000000000 |
40000.000000000000 |
0.000000000000 |
0.000000000000 |
40000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
32512190001 |
|
32512190001 |
|
|
1900-01-01 00:00:00.000000 |
40000.000000000000 |
0.000000000000 |
ren |
1 |
5639005890 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
2464 |
112604030001 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
2173 |
112604030001 |
R000005 |
|
Fluoroscopy Unit |
IDR |
|
0.000000000000 |
1.000000000000 |
4000000.000000000000 |
0.000000000000 |
0.000000000000 |
4000000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
112604030001 |
|
112604030001 |
|
|
1900-01-01 00:00:00.000000 |
4000000.000000000000 |
0.000000000000 |
ren |
1 |
5639006146 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
2465 |
22512180006 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
34 |
22512180006 |
A000003 |
|
Rawat Inap |
IDR |
|
0.000000000000 |
1.000000000000 |
500000.000000000000 |
0.000000000000 |
0.000000000000 |
500000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
22512180006 |
|
22512180006 |
|
|
1900-01-01 00:00:00.000000 |
500000.000000000000 |
0.000000000000 |
ren |
1 |
5639004099 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
2466 |
2251218000064 |
2026-04-04 14:00:51.000000 |
2.000000000000 |
296 |
2251218000064 |
A000003 |
|
Rawat Inap |
IDR |
|
0.000000000000 |
1.000000000000 |
500000.000000000000 |
0.000000000000 |
0.000000000000 |
500000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
2251218000064 |
|
2251218000064 |
|
|
1900-01-01 00:00:00.000000 |
500000.000000000000 |
0.000000000000 |
ren |
1 |
5639004355 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
2467 |
42601080013 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
558 |
42601080013 |
F000001 |
|
Paracetamol |
IDR |
|
0.000000000000 |
2.000000000000 |
1500.000000000000 |
0.000000000000 |
0.000000000000 |
3000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
42601080013 |
|
42601080013 |
|
|
1900-01-01 00:00:00.000000 |
3000.000000000000 |
0.000000000000 |
ren |
1 |
5639004611 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
2468 |
22601150014 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
839 |
22601150014 |
A000001 |
|
Biaya Kartu Pasien |
IDR |
|
0.000000000000 |
1.000000000000 |
20000.000000000000 |
0.000000000000 |
0.000000000000 |
20000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
22601150014 |
|
22601150014 |
|
|
1900-01-01 00:00:00.000000 |
20000.000000000000 |
0.000000000000 |
ren |
1 |
5639004867 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
2469 |
112601220001 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
1099 |
112601220001 |
R000005 |
|
Fluoroscopy Unit |
IDR |
|
0.000000000000 |
1.000000000000 |
4000000.000000000000 |
0.000000000000 |
0.000000000000 |
4000000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
112601220001 |
|
112601220001 |
|
|
1900-01-01 00:00:00.000000 |
4000000.000000000000 |
0.000000000000 |
ren |
1 |
5639005123 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
2470 |
52601230036 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
1356 |
52601230036 |
P000006 |
|
Kasa Steril |
IDR |
|
0.000000000000 |
3.000000000000 |
1000.000000000000 |
0.000000000000 |
0.000000000000 |
3000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
52601230036 |
|
52601230036 |
|
|
1900-01-01 00:00:00.000000 |
3000.000000000000 |
0.000000000000 |
ren |
1 |
5639005379 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |