|
2511 |
2251218000066 |
2026-04-04 14:00:51.000000 |
2.000000000000 |
301 |
2251218000066 |
A000001 |
|
Biaya Kartu Pasien |
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 |
5639004360 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
2512 |
226010900001 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
564 |
226010900001 |
A000002 |
|
Rawat Jalan |
IDR |
|
0.000000000000 |
1.000000000000 |
150000.000000000000 |
0.000000000000 |
0.000000000000 |
150000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
226010900001 |
|
226010900001 |
|
|
1900-01-01 00:00:00.000000 |
150000.000000000000 |
0.000000000000 |
ren |
1 |
5639004616 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
2513 |
42601150005 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
844 |
42601150005 |
F000004 |
|
Methylprednisolone |
IDR |
|
0.000000000000 |
2.000000000000 |
24000.000000000000 |
0.000000000000 |
0.000000000000 |
48000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
42601150005 |
|
42601150005 |
|
|
1900-01-01 00:00:00.000000 |
48000.000000000000 |
0.000000000000 |
ren |
1 |
5639004872 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
2514 |
2260122000001 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
1105 |
2260122000001 |
D000004 |
|
Dokter Spesialis 100k |
IDR |
|
0.000000000000 |
1.000000000000 |
100000.000000000000 |
0.000000000000 |
0.000000000000 |
100000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
2260122000001 |
|
2260122000001 |
|
|
1900-01-01 00:00:00.000000 |
100000.000000000000 |
0.000000000000 |
ren |
1 |
5639005128 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
2515 |
2260123000034 |
2026-04-04 14:00:51.000000 |
2.000000000000 |
1361 |
2260123000034 |
A000002 |
|
Rawat Jalan |
IDR |
|
0.000000000000 |
1.000000000000 |
150000.000000000000 |
0.000000000000 |
0.000000000000 |
150000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
2260123000034 |
|
2260123000034 |
|
|
1900-01-01 00:00:00.000000 |
150000.000000000000 |
0.000000000000 |
ren |
1 |
5639005384 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
2516 |
22601240008 |
2026-04-04 14:00:51.000000 |
3.000000000000 |
1617 |
22601240008 |
D000002 |
|
Biaya Konsultasi dr. Spesialis THT |
IDR |
|
0.000000000000 |
1.000000000000 |
75000.000000000000 |
0.000000000000 |
0.000000000000 |
75000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
22601240008 |
|
22601240008 |
|
|
1900-01-01 00:00:00.000000 |
75000.000000000000 |
0.000000000000 |
ren |
1 |
5639005640 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
2517 |
32512180019 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
1898 |
32512180019 |
T000009 |
|
Pengambilan Sampel Darah |
IDR |
|
0.000000000000 |
16.000000000000 |
35000.000000000000 |
0.000000000000 |
0.000000000000 |
560000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
32512180019 |
|
32512180019 |
|
|
1900-01-01 00:00:00.000000 |
560000.000000000000 |
0.000000000000 |
ren |
1 |
5639005896 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
2518 |
22512180008 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
40 |
22512180008 |
A000002 |
|
Rawat Jalan |
IDR |
|
0.000000000000 |
1.000000000000 |
150000.000000000000 |
0.000000000000 |
0.000000000000 |
150000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
22512180008 |
|
22512180008 |
|
|
1900-01-01 00:00:00.000000 |
150000.000000000000 |
0.000000000000 |
ren |
1 |
5639004105 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
2519 |
2251218000066 |
2026-04-04 14:00:51.000000 |
2.000000000000 |
302 |
2251218000066 |
A000002 |
|
Rawat Jalan |
IDR |
|
0.000000000000 |
1.000000000000 |
150000.000000000000 |
0.000000000000 |
0.000000000000 |
150000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
2251218000066 |
|
2251218000066 |
|
|
1900-01-01 00:00:00.000000 |
150000.000000000000 |
0.000000000000 |
ren |
1 |
5639004361 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
2520 |
226010900001 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
565 |
226010900001 |
D000003 |
|
Dokter Spesialis 50k |
IDR |
|
0.000000000000 |
1.000000000000 |
50000.000000000000 |
0.000000000000 |
0.000000000000 |
50000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
226010900001 |
|
226010900001 |
|
|
1900-01-01 00:00:00.000000 |
50000.000000000000 |
0.000000000000 |
ren |
1 |
5639004617 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |