|
2581 |
32602040001 |
2026-04-04 14:00:51.000000 |
2.000000000000 |
1912 |
32602040001 |
T000006 |
|
Injeksi Intravena |
IDR |
|
0.000000000000 |
1.000000000000 |
50000.000000000000 |
0.000000000000 |
0.000000000000 |
50000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
32602040001 |
|
32602040001 |
|
|
1900-01-01 00:00:00.000000 |
50000.000000000000 |
0.000000000000 |
ren |
1 |
5639005904 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
2582 |
22512180010 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
48 |
22512180010 |
D000006 |
|
Dokter Spesialis 200k |
IDR |
|
0.000000000000 |
1.000000000000 |
200000.000000000000 |
0.000000000000 |
0.000000000000 |
200000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
22512180010 |
|
22512180010 |
|
|
1900-01-01 00:00:00.000000 |
200000.000000000000 |
0.000000000000 |
ren |
1 |
5639004113 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
2583 |
42512180041 |
2026-04-04 14:00:51.000000 |
5.000000000000 |
310 |
42512180041 |
F000017 |
|
Panadol |
IDR |
|
0.000000000000 |
1.000000000000 |
12800.000000000000 |
0.000000000000 |
0.000000000000 |
12800.000000000000 |
|
|
|
0.000000000000 |
0 |
|
42512180041 |
|
42512180041 |
|
|
1900-01-01 00:00:00.000000 |
12800.000000000000 |
0.000000000000 |
ren |
1 |
5639004369 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
2584 |
226010900006 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
575 |
226010900006 |
A000003 |
|
Rawat Inap |
IDR |
|
0.000000000000 |
1.000000000000 |
500000.000000000000 |
0.000000000000 |
0.000000000000 |
500000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
226010900006 |
|
226010900006 |
|
|
1900-01-01 00:00:00.000000 |
500000.000000000000 |
0.000000000000 |
ren |
1 |
5639004625 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
2585 |
42601150007 |
2026-04-04 14:00:51.000000 |
2.000000000000 |
853 |
42601150007 |
F000013 |
|
Dexamethasone |
IDR |
|
0.000000000000 |
2.000000000000 |
42000.000000000000 |
0.000000000000 |
0.000000000000 |
84000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
42601150007 |
|
42601150007 |
|
|
1900-01-01 00:00:00.000000 |
84000.000000000000 |
0.000000000000 |
ren |
1 |
5639004881 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
2586 |
22601220002 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
1114 |
22601220002 |
D000001 |
|
Biaya dr. Umum (50.000) |
IDR |
|
0.000000000000 |
1.000000000000 |
50000.000000000000 |
0.000000000000 |
0.000000000000 |
50000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
22601220002 |
|
22601220002 |
|
|
1900-01-01 00:00:00.000000 |
50000.000000000000 |
0.000000000000 |
ren |
1 |
5639005137 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
2587 |
52601230038 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
1370 |
52601230038 |
X000001 |
|
Alat Tes Gula Darah |
IDR |
|
0.000000000000 |
1.000000000000 |
150000.000000000000 |
0.000000000000 |
0.000000000000 |
150000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
52601230038 |
|
52601230038 |
|
|
1900-01-01 00:00:00.000000 |
150000.000000000000 |
0.000000000000 |
ren |
1 |
5639005393 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
2588 |
22601240009 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
1626 |
22601240009 |
D000001 |
|
Biaya dr. Umum |
IDR |
|
0.000000000000 |
1.000000000000 |
50000.000000000000 |
0.000000000000 |
0.000000000000 |
50000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
22601240009 |
|
22601240009 |
|
|
1900-01-01 00:00:00.000000 |
50000.000000000000 |
0.000000000000 |
ren |
1 |
5639005649 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
2589 |
42512170002 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
1915 |
42512170002 |
F000003 |
|
Alerfed |
IDR |
|
0.000000000000 |
12.000000000000 |
3000.000000000000 |
0.000000000000 |
0.000000000000 |
36000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
42512170002 |
|
42512170002 |
|
|
1900-01-01 00:00:00.000000 |
36000.000000000000 |
0.000000000000 |
ren |
1 |
5639005905 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
2590 |
22512180011 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
49 |
22512180011 |
A000002 |
|
Rawat Jalan |
IDR |
|
0.000000000000 |
1.000000000000 |
150000.000000000000 |
0.000000000000 |
0.000000000000 |
150000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
22512180011 |
|
22512180011 |
|
|
1900-01-01 00:00:00.000000 |
150000.000000000000 |
0.000000000000 |
ren |
1 |
5639004114 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |