|
2471 |
3202601240002 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
1612 |
3202601240002 |
T000005 |
|
Injeksi Intramuskular |
IDR |
|
0.000000000000 |
1.000000000000 |
40000.000000000000 |
0.000000000000 |
0.000000000000 |
40000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
3202601240002 |
|
3202601240002 |
|
|
1900-01-01 00:00:00.000000 |
40000.000000000000 |
0.000000000000 |
ren |
1 |
5639005635 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
2472 |
32512190001 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
1887 |
32512190001 |
T000009 |
|
Pengambilan Sampel Darah |
IDR |
|
0.000000000000 |
1.000000000000 |
35000.000000000000 |
0.000000000000 |
0.000000000000 |
35000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
32512190001 |
|
32512190001 |
|
|
1900-01-01 00:00:00.000000 |
35000.000000000000 |
0.000000000000 |
ren |
1 |
5639005891 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
2473 |
112604030001 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
2174 |
112604030001 |
R000008 |
|
Cassette / Film X-Ray |
IDR |
|
0.000000000000 |
1.000000000000 |
2500000.000000000000 |
0.000000000000 |
0.000000000000 |
2500000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
112604030001 |
|
112604030001 |
|
|
1900-01-01 00:00:00.000000 |
2500000.000000000000 |
0.000000000000 |
ren |
1 |
5639006147 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
2474 |
22512180006 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
35 |
22512180006 |
A000001 |
|
Biaya Kartu Pasien |
IDR |
|
0.000000000000 |
1.000000000000 |
20000.000000000000 |
0.000000000000 |
0.000000000000 |
20000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
22512180006 |
|
22512180006 |
|
|
1900-01-01 00:00:00.000000 |
20000.000000000000 |
0.000000000000 |
ren |
1 |
5639004100 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
2475 |
2251218000065 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
297 |
2251218000065 |
D000004 |
|
Dokter Spesialis 100k |
IDR |
|
0.000000000000 |
1.000000000000 |
100000.000000000000 |
0.000000000000 |
0.000000000000 |
100000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
2251218000065 |
|
2251218000065 |
|
|
1900-01-01 00:00:00.000000 |
100000.000000000000 |
0.000000000000 |
ren |
1 |
5639004356 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
2476 |
42601080013 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
559 |
42601080013 |
F000005 |
|
Captopril |
IDR |
|
0.000000000000 |
2.000000000000 |
14500.000000000000 |
0.000000000000 |
0.000000000000 |
29000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
42601080013 |
|
42601080013 |
|
|
1900-01-01 00:00:00.000000 |
29000.000000000000 |
0.000000000000 |
ren |
1 |
5639004612 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
2477 |
22601150014 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
840 |
22601150014 |
D000001 |
|
Biaya dr. Umum |
IDR |
|
0.000000000000 |
1.000000000000 |
50000.000000000000 |
0.000000000000 |
0.000000000000 |
50000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
22601150014 |
|
22601150014 |
|
|
1900-01-01 00:00:00.000000 |
50000.000000000000 |
0.000000000000 |
ren |
1 |
5639004868 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
2478 |
112601220002 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
1100 |
112601220002 |
R000006 |
|
Rompi / Apron Timbal |
IDR |
|
0.000000000000 |
1.000000000000 |
15000000.000000000000 |
0.000000000000 |
0.000000000000 |
15000000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
112601220002 |
|
112601220002 |
|
|
1900-01-01 00:00:00.000000 |
15000000.000000000000 |
0.000000000000 |
ren |
1 |
5639005124 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
2479 |
42601230037 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
1357 |
42601230037 |
F000004 |
|
Methylprednisolone |
IDR |
|
0.000000000000 |
1.000000000000 |
24000.000000000000 |
0.000000000000 |
0.000000000000 |
24000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
42601230037 |
|
42601230037 |
|
|
1900-01-01 00:00:00.000000 |
24000.000000000000 |
0.000000000000 |
ren |
1 |
5639005380 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
2480 |
OA202601240002 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
1613 |
OA202601240002 |
P000003 |
|
Masker Medis |
IDR |
|
0.000000000000 |
1.000000000000 |
8000.000000000000 |
0.000000000000 |
0.000000000000 |
8000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
OA202601240002 |
|
OA202601240002 |
|
|
1900-01-01 00:00:00.000000 |
8000.000000000000 |
0.000000000000 |
ren |
1 |
5639005636 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |