|
2531 |
22601230034 |
2026-04-04 14:00:51.000000 |
2.000000000000 |
1363 |
22601230034 |
D000001 |
|
Biaya dr. Umum |
IDR |
|
0.000000000000 |
1.000000000000 |
50000.000000000000 |
0.000000000000 |
0.000000000000 |
50000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
22601230034 |
|
22601230034 |
|
|
1900-01-01 00:00:00.000000 |
50000.000000000000 |
0.000000000000 |
ren |
1 |
5639005386 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
2532 |
52601240006 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
1619 |
52601240006 |
X000002 |
|
Tensimeter Digital |
IDR |
|
0.000000000000 |
15.000000000000 |
350000.000000000000 |
0.000000000000 |
0.000000000000 |
5250000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
52601240006 |
|
52601240006 |
|
|
1900-01-01 00:00:00.000000 |
5250000.000000000000 |
0.000000000000 |
ren |
1 |
5639005642 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
2533 |
4202601260001 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
1906 |
4202601260001 |
F000001 |
|
Paracetamol |
IDR |
|
0.000000000000 |
1.000000000000 |
1500.000000000000 |
0.000000000000 |
0.000000000000 |
1500.000000000000 |
|
|
|
0.000000000000 |
0 |
|
4202601260001 |
|
4202601260001 |
|
|
1900-01-01 00:00:00.000000 |
1500.000000000000 |
0.000000000000 |
ren |
1 |
5639005898 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
2534 |
22512180008 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
42 |
22512180008 |
D000004 |
|
Dokter Spesialis 100k |
IDR |
|
0.000000000000 |
1.000000000000 |
100000.000000000000 |
0.000000000000 |
0.000000000000 |
100000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
22512180008 |
|
22512180008 |
|
|
1900-01-01 00:00:00.000000 |
100000.000000000000 |
0.000000000000 |
ren |
1 |
5639004107 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
2535 |
2251218000067 |
2026-04-04 14:00:51.000000 |
2.000000000000 |
304 |
2251218000067 |
A000001 |
|
Biaya Kartu Pasien |
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 |
5639004363 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
2536 |
226010900003 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
568 |
226010900003 |
A000003 |
|
Rawat Inap |
IDR |
|
0.000000000000 |
1.000000000000 |
500000.000000000000 |
0.000000000000 |
0.000000000000 |
500000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
226010900003 |
|
226010900003 |
|
|
1900-01-01 00:00:00.000000 |
500000.000000000000 |
0.000000000000 |
ren |
1 |
5639004619 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
2537 |
42601150005 |
2026-04-04 14:00:51.000000 |
4.000000000000 |
847 |
42601150005 |
F000011 |
|
Ibuprofen |
IDR |
|
0.000000000000 |
2.000000000000 |
30800.000000000000 |
0.000000000000 |
0.000000000000 |
61600.000000000000 |
|
|
|
0.000000000000 |
0 |
|
42601150005 |
|
42601150005 |
|
|
1900-01-01 00:00:00.000000 |
61600.000000000000 |
0.000000000000 |
ren |
1 |
5639004875 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
2538 |
52601220001 |
2026-04-04 14:00:51.000000 |
5.000000000000 |
1108 |
52601220001 |
X000001 |
|
Alat Tes Gula Darah |
IDR |
|
0.000000000000 |
1.000000000000 |
150000.000000000000 |
0.000000000000 |
0.000000000000 |
150000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
52601220001 |
|
52601220001 |
|
|
1900-01-01 00:00:00.000000 |
150000.000000000000 |
0.000000000000 |
ren |
1 |
5639005131 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
2539 |
2260123000035 |
2026-04-04 14:00:51.000000 |
2.000000000000 |
1364 |
2260123000035 |
D000003 |
|
Dokter Spesialis 50k |
IDR |
|
0.000000000000 |
1.000000000000 |
50000.000000000000 |
0.000000000000 |
0.000000000000 |
50000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
2260123000035 |
|
2260123000035 |
|
|
1900-01-01 00:00:00.000000 |
50000.000000000000 |
0.000000000000 |
ren |
1 |
5639005387 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
2540 |
42601240006 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
1620 |
42601240006 |
F000009 |
|
Amoxicillin |
IDR |
|
0.000000000000 |
11.000000000000 |
96500.000000000000 |
0.000000000000 |
0.000000000000 |
1061500.000000000000 |
|
|
|
0.000000000000 |
0 |
|
42601240006 |
|
42601240006 |
|
|
1900-01-01 00:00:00.000000 |
1061500.000000000000 |
0.000000000000 |
ren |
1 |
5639005643 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |