|
2501 |
22512180007 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
38 |
22512180007 |
A000001 |
|
Biaya Kartu Pasien |
IDR |
|
0.000000000000 |
1.000000000000 |
20000.000000000000 |
0.000000000000 |
0.000000000000 |
20000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
22512180007 |
|
22512180007 |
|
|
1900-01-01 00:00:00.000000 |
20000.000000000000 |
0.000000000000 |
ren |
1 |
5639004103 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
2502 |
2251218000066 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
300 |
2251218000066 |
D000001 |
|
Biaya dr. Umum |
IDR |
|
0.000000000000 |
1.000000000000 |
50000.000000000000 |
0.000000000000 |
0.000000000000 |
50000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
2251218000066 |
|
2251218000066 |
|
|
1900-01-01 00:00:00.000000 |
50000.000000000000 |
0.000000000000 |
ren |
1 |
5639004359 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
2503 |
52601090002 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
563 |
52601090002 |
X000001 |
|
Alat Tes Gula Darah |
IDR |
|
0.000000000000 |
600.000000000000 |
150000.000000000000 |
0.000000000000 |
0.000000000000 |
90000000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
52601090002 |
|
52601090002 |
|
|
1900-01-01 00:00:00.000000 |
90000000.000000000000 |
0.000000000000 |
ren |
1 |
5639004615 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
2504 |
22601150015 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
843 |
22601150015 |
D000001 |
|
Biaya dr. Umum |
IDR |
|
0.000000000000 |
1.000000000000 |
50000.000000000000 |
0.000000000000 |
0.000000000000 |
50000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
22601150015 |
|
22601150015 |
|
|
1900-01-01 00:00:00.000000 |
50000.000000000000 |
0.000000000000 |
ren |
1 |
5639004871 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
2505 |
520260122-000003 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
1104 |
520260122-000003 |
P000012 |
|
Alkohol 70% |
IDR |
|
0.000000000000 |
1.000000000000 |
10000.000000000000 |
0.000000000000 |
0.000000000000 |
10000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
520260122-000003 |
|
520260122-000003 |
|
|
1900-01-01 00:00:00.000000 |
10000.000000000000 |
0.000000000000 |
ren |
1 |
5639005127 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
2506 |
2260123000034 |
2026-04-04 14:00:51.000000 |
2.000000000000 |
1360 |
2260123000034 |
D000004 |
|
Dokter Spesialis 100k |
IDR |
|
0.000000000000 |
1.000000000000 |
100000.000000000000 |
0.000000000000 |
0.000000000000 |
100000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
2260123000034 |
|
2260123000034 |
|
|
1900-01-01 00:00:00.000000 |
100000.000000000000 |
0.000000000000 |
ren |
1 |
5639005383 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
2507 |
22601240008 |
2026-04-04 14:00:51.000000 |
2.000000000000 |
1616 |
22601240008 |
A000001 |
|
Biaya Kartu Pasien |
IDR |
|
0.000000000000 |
1.000000000000 |
50000.000000000000 |
0.000000000000 |
0.000000000000 |
50000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
22601240008 |
|
22601240008 |
|
|
1900-01-01 00:00:00.000000 |
50000.000000000000 |
0.000000000000 |
ren |
1 |
5639005639 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
2508 |
32512180019 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
1897 |
32512180019 |
T000006 |
|
Injeksi Intravena |
IDR |
|
0.000000000000 |
7.000000000000 |
50000.000000000000 |
0.000000000000 |
0.000000000000 |
350000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
32512180019 |
|
32512180019 |
|
|
1900-01-01 00:00:00.000000 |
350000.000000000000 |
0.000000000000 |
ren |
1 |
5639005895 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
2509 |
112604040001 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
2178 |
112604040001 |
R000001 |
|
X-Ray / Rontgen |
IDR |
|
0.000000000000 |
1.000000000000 |
500000.000000000000 |
0.000000000000 |
0.000000000000 |
500000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
112604040001 |
|
112604040001 |
|
|
1900-01-01 00:00:00.000000 |
500000.000000000000 |
0.000000000000 |
ren |
1 |
5639006151 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
2510 |
22512180007 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
39 |
22512180007 |
D000001 |
|
Biaya dr. Umum |
IDR |
|
0.000000000000 |
1.000000000000 |
50000.000000000000 |
0.000000000000 |
0.000000000000 |
50000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
22512180007 |
|
22512180007 |
|
|
1900-01-01 00:00:00.000000 |
50000.000000000000 |
0.000000000000 |
ren |
1 |
5639004104 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |