|
2481 |
32512190001 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
1888 |
32512190001 |
T000006 |
|
Injeksi Intravena |
IDR |
|
0.000000000000 |
1.000000000000 |
50000.000000000000 |
0.000000000000 |
0.000000000000 |
50000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
32512190001 |
|
32512190001 |
|
|
1900-01-01 00:00:00.000000 |
50000.000000000000 |
0.000000000000 |
ren |
1 |
5639005892 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
2482 |
112604030002 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
2175 |
112604030002 |
R000004 |
|
USG (Ultrasonography) |
IDR |
|
0.000000000000 |
1.000000000000 |
300000.000000000000 |
0.000000000000 |
0.000000000000 |
300000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
112604030002 |
|
112604030002 |
|
|
1900-01-01 00:00:00.000000 |
300000.000000000000 |
0.000000000000 |
ren |
1 |
5639006148 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
2483 |
22512180006 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
36 |
22512180006 |
D000003 |
|
Dokter Spesialis 50k |
IDR |
|
0.000000000000 |
1.000000000000 |
50000.000000000000 |
0.000000000000 |
0.000000000000 |
50000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
22512180006 |
|
22512180006 |
|
|
1900-01-01 00:00:00.000000 |
50000.000000000000 |
0.000000000000 |
ren |
1 |
5639004101 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
2484 |
2251218000065 |
2026-04-04 14:00:51.000000 |
2.000000000000 |
298 |
2251218000065 |
A000001 |
|
Biaya Kartu Pasien |
IDR |
|
0.000000000000 |
1.000000000000 |
50000.000000000000 |
0.000000000000 |
0.000000000000 |
50000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
2251218000065 |
|
2251218000065 |
|
|
1900-01-01 00:00:00.000000 |
50000.000000000000 |
0.000000000000 |
ren |
1 |
5639004357 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
2485 |
42601080014 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
560 |
42601080014 |
F000002 |
|
Paramex |
IDR |
|
0.000000000000 |
1.000000000000 |
2500.000000000000 |
0.000000000000 |
0.000000000000 |
2500.000000000000 |
|
|
|
0.000000000000 |
0 |
|
42601080014 |
|
42601080014 |
|
|
1900-01-01 00:00:00.000000 |
2500.000000000000 |
0.000000000000 |
ren |
1 |
5639004613 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
2486 |
22601150015 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
841 |
22601150015 |
A000002 |
|
Rawat Jalan |
IDR |
|
0.000000000000 |
1.000000000000 |
150000.000000000000 |
0.000000000000 |
0.000000000000 |
150000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
22601150015 |
|
22601150015 |
|
|
1900-01-01 00:00:00.000000 |
150000.000000000000 |
0.000000000000 |
ren |
1 |
5639004869 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
2487 |
132601220001 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
1101 |
132601220001 |
L000006 |
|
Hit. Juml Trombosit |
IDR |
|
0.000000000000 |
2.000000000000 |
5000000.000000000000 |
0.000000000000 |
0.000000000000 |
10000000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
132601220001 |
|
132601220001 |
|
|
1900-01-01 00:00:00.000000 |
10000000.000000000000 |
0.000000000000 |
ren |
1 |
5639005125 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
2488 |
52601230037 |
2026-04-04 14:00:51.000000 |
5.000000000000 |
1358 |
52601230037 |
P000005 |
|
Infus Set |
IDR |
|
0.000000000000 |
1.000000000000 |
15000.000000000000 |
0.000000000000 |
0.000000000000 |
15000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
52601230037 |
|
52601230037 |
|
|
1900-01-01 00:00:00.000000 |
15000.000000000000 |
0.000000000000 |
ren |
1 |
5639005381 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
2489 |
OA202601240002 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
1614 |
OA202601240002 |
P000002 |
|
Sarung Tangan Medis |
IDR |
|
0.000000000000 |
1.000000000000 |
50000.000000000000 |
0.000000000000 |
0.000000000000 |
50000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
OA202601240002 |
|
OA202601240002 |
|
|
1900-01-01 00:00:00.000000 |
50000.000000000000 |
0.000000000000 |
ren |
1 |
5639005637 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
2490 |
3260131000001 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
1889 |
3260131000001 |
T000005 |
|
Injeksi Intramuskular |
IDR |
|
0.000000000000 |
1.000000000000 |
40000.000000000000 |
0.000000000000 |
0.000000000000 |
40000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
3260131000001 |
|
3260131000001 |
|
|
1900-01-01 00:00:00.000000 |
40000.000000000000 |
0.000000000000 |
ren |
1 |
5639005893 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |