|
2591 |
42512180042 |
2026-04-04 14:00:51.000000 |
5.000000000000 |
311 |
42512180042 |
F000017 |
|
Panadol |
IDR |
|
0.000000000000 |
500.000000000000 |
12800.000000000000 |
0.000000000000 |
0.000000000000 |
5760000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
42512180042 |
|
42512180042 |
|
|
1900-01-01 00:00:00.000000 |
5760000.000000000000 |
0.000000000000 |
ren |
1 |
5639004370 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
2592 |
226010900006 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
576 |
226010900006 |
D000002 |
|
Biaya Konsultasi dr. Spesialis THT |
IDR |
|
0.000000000000 |
1.000000000000 |
75000.000000000000 |
0.000000000000 |
0.000000000000 |
75000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
226010900006 |
|
226010900006 |
|
|
1900-01-01 00:00:00.000000 |
75000.000000000000 |
0.000000000000 |
ren |
1 |
5639004626 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
2593 |
42601150007 |
2026-04-04 14:00:51.000000 |
3.000000000000 |
854 |
42601150007 |
F000009 |
|
Amoxicillin |
IDR |
|
0.000000000000 |
2.000000000000 |
96500.000000000000 |
0.000000000000 |
0.000000000000 |
193000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
42601150007 |
|
42601150007 |
|
|
1900-01-01 00:00:00.000000 |
193000.000000000000 |
0.000000000000 |
ren |
1 |
5639004882 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
2594 |
22601220002 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
1115 |
22601220002 |
A000002 |
|
Rawat Jalan |
IDR |
|
0.000000000000 |
1.000000000000 |
150000.000000000000 |
0.000000000000 |
0.000000000000 |
150000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
22601220002 |
|
22601220002 |
|
|
1900-01-01 00:00:00.000000 |
150000.000000000000 |
0.000000000000 |
ren |
1 |
5639005138 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
2595 |
32601230036 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
1371 |
32601230036 |
T000007 |
|
Perawatan Luka |
IDR |
|
0.000000000000 |
1.000000000000 |
100000.000000000000 |
0.000000000000 |
0.000000000000 |
100000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
32601230036 |
|
32601230036 |
|
|
1900-01-01 00:00:00.000000 |
100000.000000000000 |
0.000000000000 |
ren |
1 |
5639005394 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
2596 |
32601240007 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
1627 |
32601240007 |
T000004 |
|
Pemasangan Infus |
IDR |
|
0.000000000000 |
2.000000000000 |
75000.000000000000 |
0.000000000000 |
0.000000000000 |
150000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
32601240007 |
|
32601240007 |
|
|
1900-01-01 00:00:00.000000 |
150000.000000000000 |
0.000000000000 |
ren |
1 |
5639005650 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
2597 |
42512170002 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
1916 |
42512170002 |
F000005 |
|
Captopril |
IDR |
|
0.000000000000 |
100.000000000000 |
14500.000000000000 |
0.000000000000 |
0.000000000000 |
1450000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
42512170002 |
|
42512170002 |
|
|
1900-01-01 00:00:00.000000 |
1450000.000000000000 |
0.000000000000 |
ren |
1 |
5639005906 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
2598 |
22512180011 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
50 |
22512180011 |
A000001 |
|
Biaya Kartu Pasien |
IDR |
|
0.000000000000 |
1.000000000000 |
20000.000000000000 |
0.000000000000 |
0.000000000000 |
20000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
22512180011 |
|
22512180011 |
|
|
1900-01-01 00:00:00.000000 |
20000.000000000000 |
0.000000000000 |
ren |
1 |
5639004115 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
2599 |
42512180042 |
2026-04-04 14:00:51.000000 |
5.000000000000 |
312 |
42512180042 |
F000002 |
|
Paramex |
IDR |
|
0.000000000000 |
100.000000000000 |
2500.000000000000 |
0.000000000000 |
0.000000000000 |
225000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
42512180042 |
|
42512180042 |
|
|
1900-01-01 00:00:00.000000 |
225000.000000000000 |
0.000000000000 |
ren |
1 |
5639004371 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
2600 |
42601090003 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
577 |
42601090003 |
F000002 |
|
Paramex |
IDR |
|
0.000000000000 |
1.000000000000 |
250000.000000000000 |
0.000000000000 |
0.000000000000 |
250000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
42601090003 |
|
42601090003 |
|
|
1900-01-01 00:00:00.000000 |
250000.000000000000 |
0.000000000000 |
ren |
1 |
5639004627 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |