|
2521 |
42601150005 |
2026-04-04 14:00:51.000000 |
2.000000000000 |
845 |
42601150005 |
F000013 |
|
Dexamethasone |
IDR |
|
0.000000000000 |
1.000000000000 |
42000.000000000000 |
0.000000000000 |
0.000000000000 |
42000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
42601150005 |
|
42601150005 |
|
|
1900-01-01 00:00:00.000000 |
42000.000000000000 |
0.000000000000 |
ren |
1 |
5639004873 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
2522 |
2260122000001 |
2026-04-04 14:00:51.000000 |
2.000000000000 |
1106 |
2260122000001 |
A000001 |
|
Biaya Kartu Pasien |
IDR |
|
0.000000000000 |
1.000000000000 |
50000.000000000000 |
0.000000000000 |
0.000000000000 |
50000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
2260122000001 |
|
2260122000001 |
|
|
1900-01-01 00:00:00.000000 |
50000.000000000000 |
0.000000000000 |
ren |
1 |
5639005129 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
2523 |
22601230034 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
1362 |
22601230034 |
A000002 |
|
Rawat Jalan |
IDR |
|
0.000000000000 |
1.000000000000 |
150000.000000000000 |
0.000000000000 |
0.000000000000 |
150000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
22601230034 |
|
22601230034 |
|
|
1900-01-01 00:00:00.000000 |
150000.000000000000 |
0.000000000000 |
ren |
1 |
5639005385 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
2524 |
32601240006 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
1618 |
32601240006 |
T000009 |
|
Pengambilan Sampel Darah |
IDR |
|
0.000000000000 |
1.000000000000 |
35000.000000000000 |
0.000000000000 |
0.000000000000 |
35000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
32601240006 |
|
32601240006 |
|
|
1900-01-01 00:00:00.000000 |
35000.000000000000 |
0.000000000000 |
ren |
1 |
5639005641 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
2525 |
32512180019 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
1899 |
32512180019 |
T000003 |
|
Pemeriksaan Tanda Vital |
IDR |
|
0.000000000000 |
1.000000000000 |
25000.000000000000 |
0.000000000000 |
0.000000000000 |
25000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
32512180019 |
|
32512180019 |
|
|
1900-01-01 00:00:00.000000 |
25000.000000000000 |
0.000000000000 |
ren |
1 |
5639005897 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
2526 |
22512180008 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
41 |
22512180008 |
A000001 |
|
Biaya Kartu Pasien |
IDR |
|
0.000000000000 |
1.000000000000 |
20000.000000000000 |
0.000000000000 |
0.000000000000 |
20000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
22512180008 |
|
22512180008 |
|
|
1900-01-01 00:00:00.000000 |
20000.000000000000 |
0.000000000000 |
ren |
1 |
5639004106 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
2527 |
2251218000067 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
303 |
2251218000067 |
D000001 |
|
Biaya dr. Umum |
IDR |
|
0.000000000000 |
1.000000000000 |
50000.000000000000 |
0.000000000000 |
0.000000000000 |
50000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
2251218000067 |
|
2251218000067 |
|
|
1900-01-01 00:00:00.000000 |
50000.000000000000 |
0.000000000000 |
ren |
1 |
5639004362 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
2528 |
226010900002 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
567 |
226010900002 |
D000002 |
|
Biaya Konsultasi dr. Spesialis THT |
IDR |
|
0.000000000000 |
1.000000000000 |
75000.000000000000 |
0.000000000000 |
0.000000000000 |
75000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
226010900002 |
|
226010900002 |
|
|
1900-01-01 00:00:00.000000 |
75000.000000000000 |
0.000000000000 |
ren |
1 |
5639004618 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
2529 |
42601150005 |
2026-04-04 14:00:51.000000 |
3.000000000000 |
846 |
42601150005 |
F000009 |
|
Amoxicillin |
IDR |
|
0.000000000000 |
2.000000000000 |
96500.000000000000 |
0.000000000000 |
0.000000000000 |
193000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
42601150005 |
|
42601150005 |
|
|
1900-01-01 00:00:00.000000 |
193000.000000000000 |
0.000000000000 |
ren |
1 |
5639004874 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
2530 |
2260122000001 |
2026-04-04 14:00:51.000000 |
2.000000000000 |
1107 |
2260122000001 |
A000002 |
|
Rawat Jalan |
IDR |
|
0.000000000000 |
1.000000000000 |
150000.000000000000 |
0.000000000000 |
0.000000000000 |
150000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
2260122000001 |
|
2260122000001 |
|
|
1900-01-01 00:00:00.000000 |
150000.000000000000 |
0.000000000000 |
ren |
1 |
5639005130 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |