|
2621 |
4202601260009 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
1920 |
4202601260009 |
F000004 |
|
Methylprednisolone |
IDR |
|
0.000000000000 |
1.000000000000 |
24000.000000000000 |
0.000000000000 |
0.000000000000 |
24000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
4202601260009 |
|
4202601260009 |
|
|
1900-01-01 00:00:00.000000 |
24000.000000000000 |
0.000000000000 |
ren |
1 |
5639005909 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
2622 |
22512180012 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
53 |
22512180012 |
A000001 |
|
Biaya Kartu Pasien |
IDR |
|
0.000000000000 |
1.000000000000 |
20000.000000000000 |
0.000000000000 |
0.000000000000 |
20000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
22512180012 |
|
22512180012 |
|
|
1900-01-01 00:00:00.000000 |
20000.000000000000 |
0.000000000000 |
ren |
1 |
5639004118 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
2623 |
42512180045 |
2026-04-04 14:00:51.000000 |
5.000000000000 |
315 |
42512180045 |
F000003 |
|
Alerfed |
IDR |
|
0.000000000000 |
1.000000000000 |
3000.000000000000 |
0.000000000000 |
0.000000000000 |
3000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
42512180045 |
|
42512180045 |
|
|
1900-01-01 00:00:00.000000 |
3000.000000000000 |
0.000000000000 |
ren |
1 |
5639004374 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
2624 |
42601090007 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
581 |
42601090007 |
F000007 |
|
Captopril |
IDR |
|
0.000000000000 |
10.000000000000 |
14500.000000000000 |
0.000000000000 |
0.000000000000 |
145000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
42601090007 |
|
42601090007 |
|
|
1900-01-01 00:00:00.000000 |
145000.000000000000 |
0.000000000000 |
ren |
1 |
5639004630 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
2625 |
32601150009 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
858 |
32601150009 |
T000009 |
|
Pengambilan Sampel Darah |
IDR |
|
0.000000000000 |
1.000000000000 |
35000.000000000000 |
0.000000000000 |
0.000000000000 |
35000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
32601150009 |
|
32601150009 |
|
|
1900-01-01 00:00:00.000000 |
35000.000000000000 |
0.000000000000 |
ren |
1 |
5639004886 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
2626 |
2260122000003 |
2026-04-04 14:00:51.000000 |
2.000000000000 |
1119 |
2260122000003 |
A000002 |
|
Rawat Jalan |
IDR |
|
0.000000000000 |
1.000000000000 |
150000.000000000000 |
0.000000000000 |
0.000000000000 |
150000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
2260122000003 |
|
2260122000003 |
|
|
1900-01-01 00:00:00.000000 |
150000.000000000000 |
0.000000000000 |
ren |
1 |
5639005142 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
2627 |
52601230040 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
1375 |
52601230040 |
P000002 |
|
Sarung Tangan Medis |
IDR |
|
0.000000000000 |
1.000000000000 |
50000.000000000000 |
0.000000000000 |
0.000000000000 |
50000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
52601230040 |
|
52601230040 |
|
|
1900-01-01 00:00:00.000000 |
50000.000000000000 |
0.000000000000 |
ren |
1 |
5639005398 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
2628 |
52601240008 |
2026-04-04 14:00:51.000000 |
5.000000000000 |
1631 |
52601240008 |
X000001 |
|
Alat Tes Gula Darah |
IDR |
|
0.000000000000 |
4.000000000000 |
150000.000000000000 |
0.000000000000 |
0.000000000000 |
600000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
52601240008 |
|
52601240008 |
|
|
1900-01-01 00:00:00.000000 |
600000.000000000000 |
0.000000000000 |
ren |
1 |
5639005654 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
2629 |
4202601260009 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
1921 |
4202601260009 |
F000014 |
|
Ranitidine |
IDR |
|
0.000000000000 |
1.000000000000 |
23000.000000000000 |
0.000000000000 |
0.000000000000 |
23000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
4202601260009 |
|
4202601260009 |
|
|
1900-01-01 00:00:00.000000 |
23000.000000000000 |
0.000000000000 |
ren |
1 |
5639005910 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
2630 |
22512180012 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
54 |
22512180012 |
D000001 |
|
Biaya dr. Umum |
IDR |
|
0.000000000000 |
1.000000000000 |
50000.000000000000 |
0.000000000000 |
0.000000000000 |
50000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
22512180012 |
|
22512180012 |
|
|
1900-01-01 00:00:00.000000 |
50000.000000000000 |
0.000000000000 |
ren |
1 |
5639004119 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |