|
2551 |
2251218000068 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
306 |
2251218000068 |
D000013 |
|
Konsultasi Dokter Spesialis Kandungan |
IDR |
|
0.000000000000 |
1.000000000000 |
150000.000000000000 |
0.000000000000 |
0.000000000000 |
150000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
2251218000068 |
|
2251218000068 |
|
|
1900-01-01 00:00:00.000000 |
150000.000000000000 |
0.000000000000 |
ren |
1 |
5639004365 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
2552 |
226010900004 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
571 |
226010900004 |
D000002 |
|
Biaya Konsultasi dr. Spesialis THT |
IDR |
|
0.000000000000 |
1.000000000000 |
75000.000000000000 |
0.000000000000 |
0.000000000000 |
75000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
226010900004 |
|
226010900004 |
|
|
1900-01-01 00:00:00.000000 |
75000.000000000000 |
0.000000000000 |
ren |
1 |
5639004621 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
2553 |
42601150006 |
2026-04-04 14:00:51.000000 |
2.000000000000 |
849 |
42601150006 |
F000013 |
|
Dexamethasone |
IDR |
|
0.000000000000 |
2.000000000000 |
42000.000000000000 |
0.000000000000 |
0.000000000000 |
84000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
42601150006 |
|
42601150006 |
|
|
1900-01-01 00:00:00.000000 |
84000.000000000000 |
0.000000000000 |
ren |
1 |
5639004877 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
2554 |
42601220001 |
2026-04-04 14:00:51.000000 |
5.000000000000 |
1110 |
42601220001 |
F000003 |
|
Alerfed |
IDR |
|
0.000000000000 |
11.000000000000 |
3000.000000000000 |
0.000000000000 |
0.000000000000 |
33000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
42601220001 |
|
42601220001 |
|
|
1900-01-01 00:00:00.000000 |
33000.000000000000 |
0.000000000000 |
ren |
1 |
5639005133 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
2555 |
32601230035 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
1366 |
32601230035 |
A000001 |
|
Biaya Kartu Pasien |
IDR |
|
0.000000000000 |
1.000000000000 |
50000.000000000000 |
0.000000000000 |
0.000000000000 |
50000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
32601230035 |
|
32601230035 |
|
|
1900-01-01 00:00:00.000000 |
50000.000000000000 |
0.000000000000 |
ren |
1 |
5639005389 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
2556 |
2260124000009 |
2026-04-04 14:00:51.000000 |
2.000000000000 |
1622 |
2260124000009 |
A000001 |
|
Biaya Kartu Pasien |
IDR |
|
0.000000000000 |
1.000000000000 |
50000.000000000000 |
0.000000000000 |
0.000000000000 |
50000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
2260124000009 |
|
2260124000009 |
|
|
1900-01-01 00:00:00.000000 |
50000.000000000000 |
0.000000000000 |
ren |
1 |
5639005645 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
2557 |
22602040001 |
2026-04-04 14:00:51.000000 |
2.000000000000 |
1909 |
22602040001 |
A000001 |
|
Biaya Kartu Pasien |
IDR |
|
0.000000000000 |
1.000000000000 |
50000.000000000000 |
0.000000000000 |
0.000000000000 |
50000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
22602040001 |
|
22602040001 |
|
|
1900-01-01 00:00:00.000000 |
50000.000000000000 |
0.000000000000 |
ren |
1 |
5639005901 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
2558 |
22512180009 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
45 |
22512180009 |
D000006 |
|
Dokter Spesialis 200k |
IDR |
|
0.000000000000 |
1.000000000000 |
200000.000000000000 |
0.000000000000 |
0.000000000000 |
200000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
22512180009 |
|
22512180009 |
|
|
1900-01-01 00:00:00.000000 |
200000.000000000000 |
0.000000000000 |
ren |
1 |
5639004110 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
2559 |
2251218000068 |
2026-04-04 14:00:51.000000 |
2.000000000000 |
307 |
2251218000068 |
A000001 |
|
Biaya Kartu Pasien |
IDR |
|
0.000000000000 |
1.000000000000 |
50000.000000000000 |
0.000000000000 |
0.000000000000 |
50000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
2251218000068 |
|
2251218000068 |
|
|
1900-01-01 00:00:00.000000 |
50000.000000000000 |
0.000000000000 |
ren |
1 |
5639004366 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
2560 |
226010900005 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
572 |
226010900005 |
A000003 |
|
Rawat Inap |
IDR |
|
0.000000000000 |
1.000000000000 |
500000.000000000000 |
0.000000000000 |
0.000000000000 |
500000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
226010900005 |
|
226010900005 |
|
|
1900-01-01 00:00:00.000000 |
500000.000000000000 |
0.000000000000 |
ren |
1 |
5639004622 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |