|
2541 |
4202601260001 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
1907 |
4202601260001 |
F000017 |
|
Panadol |
IDR |
|
0.000000000000 |
1.000000000000 |
12800.000000000000 |
0.000000000000 |
0.000000000000 |
12800.000000000000 |
|
|
|
0.000000000000 |
0 |
|
4202601260001 |
|
4202601260001 |
|
|
1900-01-01 00:00:00.000000 |
12800.000000000000 |
0.000000000000 |
ren |
1 |
5639005899 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
2542 |
22512180009 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
43 |
22512180009 |
A000002 |
|
Rawat Jalan |
IDR |
|
0.000000000000 |
1.000000000000 |
150000.000000000000 |
0.000000000000 |
0.000000000000 |
150000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
22512180009 |
|
22512180009 |
|
|
1900-01-01 00:00:00.000000 |
150000.000000000000 |
0.000000000000 |
ren |
1 |
5639004108 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
2543 |
2251218000067 |
2026-04-04 14:00:51.000000 |
2.000000000000 |
305 |
2251218000067 |
A000002 |
|
Rawat Jalan |
IDR |
|
0.000000000000 |
1.000000000000 |
150000.000000000000 |
0.000000000000 |
0.000000000000 |
150000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
2251218000067 |
|
2251218000067 |
|
|
1900-01-01 00:00:00.000000 |
150000.000000000000 |
0.000000000000 |
ren |
1 |
5639004364 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
2544 |
226010900003 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
569 |
226010900003 |
D000002 |
|
Biaya Konsultasi dr. Spesialis THT |
IDR |
|
0.000000000000 |
1.000000000000 |
75000.000000000000 |
0.000000000000 |
0.000000000000 |
75000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
226010900003 |
|
226010900003 |
|
|
1900-01-01 00:00:00.000000 |
75000.000000000000 |
0.000000000000 |
ren |
1 |
5639004620 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
2545 |
42601150006 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
848 |
42601150006 |
F000004 |
|
Methylprednisolone |
IDR |
|
0.000000000000 |
2.000000000000 |
24000.000000000000 |
0.000000000000 |
0.000000000000 |
48000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
42601150006 |
|
42601150006 |
|
|
1900-01-01 00:00:00.000000 |
48000.000000000000 |
0.000000000000 |
ren |
1 |
5639004876 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
2546 |
52601220002 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
1109 |
52601220002 |
X000006 |
|
Kertas HVS A4 |
IDR |
|
0.000000000000 |
1.000000000000 |
55000.000000000000 |
0.000000000000 |
0.000000000000 |
55000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
52601220002 |
|
52601220002 |
|
|
1900-01-01 00:00:00.000000 |
55000.000000000000 |
0.000000000000 |
ren |
1 |
5639005132 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
2547 |
2260123000035 |
2026-04-04 14:00:51.000000 |
2.000000000000 |
1365 |
2260123000035 |
A000001 |
|
Biaya Kartu Pasien |
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 |
5639005388 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
2548 |
2260124000009 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
1621 |
2260124000009 |
D000002 |
|
Biaya Konsultasi dr. Spesialis THT |
IDR |
|
0.000000000000 |
1.000000000000 |
75000.000000000000 |
0.000000000000 |
0.000000000000 |
75000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
2260124000009 |
|
2260124000009 |
|
|
1900-01-01 00:00:00.000000 |
75000.000000000000 |
0.000000000000 |
ren |
1 |
5639005644 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
2549 |
22602040001 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
1908 |
22602040001 |
A000002 |
|
Rawat Jalan |
IDR |
|
0.000000000000 |
1.000000000000 |
150000.000000000000 |
0.000000000000 |
0.000000000000 |
150000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
22602040001 |
|
22602040001 |
|
|
1900-01-01 00:00:00.000000 |
150000.000000000000 |
0.000000000000 |
ren |
1 |
5639005900 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
2550 |
22512180009 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
44 |
22512180009 |
A000001 |
|
Biaya Kartu Pasien |
IDR |
|
0.000000000000 |
1.000000000000 |
20000.000000000000 |
0.000000000000 |
0.000000000000 |
20000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
22512180009 |
|
22512180009 |
|
|
1900-01-01 00:00:00.000000 |
20000.000000000000 |
0.000000000000 |
ren |
1 |
5639004109 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |