|
2571 |
22601230036 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
1368 |
22601230036 |
A000002 |
|
Rawat Jalan |
IDR |
|
0.000000000000 |
1.000000000000 |
150000.000000000000 |
0.000000000000 |
0.000000000000 |
150000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
22601230036 |
|
22601230036 |
|
|
1900-01-01 00:00:00.000000 |
150000.000000000000 |
0.000000000000 |
ren |
1 |
5639005391 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
2572 |
22601240009 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
1624 |
22601240009 |
A000002 |
|
Rawat Jalan |
IDR |
|
0.000000000000 |
1.000000000000 |
150000.000000000000 |
0.000000000000 |
0.000000000000 |
150000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
22601240009 |
|
22601240009 |
|
|
1900-01-01 00:00:00.000000 |
150000.000000000000 |
0.000000000000 |
ren |
1 |
5639005647 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
2573 |
32602040001 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
1911 |
32602040001 |
T000005 |
|
Injeksi Intramuskular |
IDR |
|
0.000000000000 |
1.000000000000 |
40000.000000000000 |
0.000000000000 |
0.000000000000 |
40000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
32602040001 |
|
32602040001 |
|
|
1900-01-01 00:00:00.000000 |
40000.000000000000 |
0.000000000000 |
ren |
1 |
5639005903 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
2574 |
22512180010 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
47 |
22512180010 |
A000001 |
|
Biaya Kartu Pasien |
IDR |
|
0.000000000000 |
1.000000000000 |
20000.000000000000 |
0.000000000000 |
0.000000000000 |
20000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
22512180010 |
|
22512180010 |
|
|
1900-01-01 00:00:00.000000 |
20000.000000000000 |
0.000000000000 |
ren |
1 |
5639004112 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
2575 |
42512180041 |
2026-04-04 14:00:51.000000 |
5.000000000000 |
309 |
42512180041 |
F000006 |
|
Amlodipine |
IDR |
|
0.000000000000 |
1.000000000000 |
25500.000000000000 |
0.000000000000 |
0.000000000000 |
25500.000000000000 |
|
|
|
0.000000000000 |
0 |
|
42512180041 |
|
42512180041 |
|
|
1900-01-01 00:00:00.000000 |
25500.000000000000 |
0.000000000000 |
ren |
1 |
5639004368 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
2576 |
42601090002 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
574 |
42601090002 |
F000002 |
|
Paramex |
IDR |
|
0.000000000000 |
1.000000000000 |
250000.000000000000 |
0.000000000000 |
0.000000000000 |
250000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
42601090002 |
|
42601090002 |
|
|
1900-01-01 00:00:00.000000 |
250000.000000000000 |
0.000000000000 |
ren |
1 |
5639004624 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
2577 |
42601150007 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
852 |
42601150007 |
F000004 |
|
Methylprednisolone |
IDR |
|
0.000000000000 |
2.000000000000 |
24000.000000000000 |
0.000000000000 |
0.000000000000 |
48000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
42601150007 |
|
42601150007 |
|
|
1900-01-01 00:00:00.000000 |
48000.000000000000 |
0.000000000000 |
ren |
1 |
5639004880 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
2578 |
42601220003 |
2026-04-04 14:00:51.000000 |
5.000000000000 |
1113 |
42601220003 |
F000014 |
|
Ranitidine |
IDR |
|
0.000000000000 |
10.000000000000 |
23000.000000000000 |
0.000000000000 |
0.000000000000 |
230000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
42601220003 |
|
42601220003 |
|
|
1900-01-01 00:00:00.000000 |
230000.000000000000 |
0.000000000000 |
ren |
1 |
5639005136 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
2579 |
22601230036 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
1369 |
22601230036 |
A000001 |
|
Biaya Kartu Pasien |
IDR |
|
0.000000000000 |
1.000000000000 |
50000.000000000000 |
0.000000000000 |
0.000000000000 |
50000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
22601230036 |
|
22601230036 |
|
|
1900-01-01 00:00:00.000000 |
50000.000000000000 |
0.000000000000 |
ren |
1 |
5639005392 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
2580 |
22601240009 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
1625 |
22601240009 |
A000001 |
|
Biaya Kartu Pasien |
IDR |
|
0.000000000000 |
1.000000000000 |
20000.000000000000 |
0.000000000000 |
0.000000000000 |
20000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
22601240009 |
|
22601240009 |
|
|
1900-01-01 00:00:00.000000 |
20000.000000000000 |
0.000000000000 |
ren |
1 |
5639005648 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |