|
2601 |
42601150007 |
2026-04-04 14:00:51.000000 |
4.000000000000 |
855 |
42601150007 |
F000006 |
|
Amlodipine |
IDR |
|
0.000000000000 |
2.000000000000 |
25500.000000000000 |
0.000000000000 |
0.000000000000 |
51000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
42601150007 |
|
42601150007 |
|
|
1900-01-01 00:00:00.000000 |
51000.000000000000 |
0.000000000000 |
ren |
1 |
5639004883 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
2602 |
22601220002 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
1116 |
22601220002 |
A000001 |
|
Biaya Kartu Pasien |
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 |
5639005139 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
2603 |
32601230037 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
1372 |
32601230037 |
T000003 |
|
Pemeriksaan Tanda Vital |
IDR |
|
0.000000000000 |
1.000000000000 |
25000.000000000000 |
0.000000000000 |
0.000000000000 |
25000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
32601230037 |
|
32601230037 |
|
|
1900-01-01 00:00:00.000000 |
25000.000000000000 |
0.000000000000 |
ren |
1 |
5639005395 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
2604 |
32601240007 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
1628 |
32601240007 |
T000002 |
|
Konsultasi Dokter Spesialis |
IDR |
|
0.000000000000 |
1.000000000000 |
150000.000000000000 |
0.000000000000 |
0.000000000000 |
150000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
32601240007 |
|
32601240007 |
|
|
1900-01-01 00:00:00.000000 |
150000.000000000000 |
0.000000000000 |
ren |
1 |
5639005651 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
2605 |
520260204-000001 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
1918 |
520260204-000001 |
P000002 |
|
Sarung Tangan Medis |
IDR |
|
0.000000000000 |
1.000000000000 |
50000.000000000000 |
0.000000000000 |
0.000000000000 |
50000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
520260204-000001 |
|
520260204-000001 |
|
|
1900-01-01 00:00:00.000000 |
50000.000000000000 |
0.000000000000 |
ren |
1 |
5639005907 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
2606 |
22512180011 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
51 |
22512180011 |
D000008 |
|
Konsultasi Dokter Umum |
IDR |
|
0.000000000000 |
1.000000000000 |
50000.000000000000 |
0.000000000000 |
0.000000000000 |
50000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
22512180011 |
|
22512180011 |
|
|
1900-01-01 00:00:00.000000 |
50000.000000000000 |
0.000000000000 |
ren |
1 |
5639004116 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
2607 |
42512180043 |
2026-04-04 14:00:51.000000 |
5.000000000000 |
313 |
42512180043 |
F000009 |
|
Amoxicillin |
IDR |
|
0.000000000000 |
5.000000000000 |
96500.000000000000 |
0.000000000000 |
0.000000000000 |
482500.000000000000 |
|
|
|
0.000000000000 |
0 |
|
42512180043 |
|
42512180043 |
|
|
1900-01-01 00:00:00.000000 |
482500.000000000000 |
0.000000000000 |
ren |
1 |
5639004372 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
2608 |
42601090005 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
579 |
42601090005 |
F000003 |
|
Alerfed |
IDR |
|
0.000000000000 |
1.000000000000 |
3000.000000000000 |
0.000000000000 |
0.000000000000 |
3000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
42601090005 |
|
42601090005 |
|
|
1900-01-01 00:00:00.000000 |
3000.000000000000 |
0.000000000000 |
ren |
1 |
5639004628 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
2609 |
32601150009 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
856 |
32601150009 |
T000004 |
|
Pemasangan Infus |
IDR |
|
0.000000000000 |
1.000000000000 |
75000.000000000000 |
0.000000000000 |
0.000000000000 |
75000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
32601150009 |
|
32601150009 |
|
|
1900-01-01 00:00:00.000000 |
75000.000000000000 |
0.000000000000 |
ren |
1 |
5639004884 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
2610 |
42601220004 |
2026-04-04 14:00:51.000000 |
5.000000000000 |
1117 |
42601220004 |
F000003 |
|
Alerfed |
IDR |
|
0.000000000000 |
1.000000000000 |
3000.000000000000 |
0.000000000000 |
0.000000000000 |
3000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
42601220004 |
|
42601220004 |
|
|
1900-01-01 00:00:00.000000 |
3000.000000000000 |
0.000000000000 |
ren |
1 |
5639005140 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |