|
2631 |
42512180045 |
2026-04-04 14:00:51.000000 |
5.000000000000 |
316 |
42512180045 |
F000006 |
|
Amlodipine |
IDR |
|
0.000000000000 |
100.000000000000 |
25500.000000000000 |
0.000000000000 |
0.000000000000 |
2550000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
42512180045 |
|
42512180045 |
|
|
1900-01-01 00:00:00.000000 |
2550000.000000000000 |
0.000000000000 |
ren |
1 |
5639004375 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
2632 |
226010900007 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
583 |
226010900007 |
D000005 |
|
Dokter Spesialis 150k |
IDR |
|
0.000000000000 |
1.000000000000 |
150000.000000000000 |
0.000000000000 |
0.000000000000 |
150000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
226010900007 |
|
226010900007 |
|
|
1900-01-01 00:00:00.000000 |
150000.000000000000 |
0.000000000000 |
ren |
1 |
5639004631 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
2633 |
32601150009 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
859 |
32601150009 |
T000001 |
|
T000001 |
IDR |
|
0.000000000000 |
1.000000000000 |
50000.000000000000 |
0.000000000000 |
0.000000000000 |
50000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
32601150009 |
|
32601150009 |
|
|
1900-01-01 00:00:00.000000 |
50000.000000000000 |
0.000000000000 |
ren |
1 |
5639004887 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
2634 |
22601230001 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
1120 |
22601230001 |
A000001 |
|
Biaya Kartu Pasien |
IDR |
|
0.000000000000 |
1.000000000000 |
50000.000000000000 |
0.000000000000 |
0.000000000000 |
50000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
22601230001 |
|
22601230001 |
|
|
1900-01-01 00:00:00.000000 |
50000.000000000000 |
0.000000000000 |
ren |
1 |
5639005143 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
2635 |
22601230037 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
1376 |
22601230037 |
A000001 |
|
Biaya Kartu Pasien |
IDR |
|
0.000000000000 |
1.000000000000 |
50000.000000000000 |
0.000000000000 |
0.000000000000 |
50000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
22601230037 |
|
22601230037 |
|
|
1900-01-01 00:00:00.000000 |
50000.000000000000 |
0.000000000000 |
ren |
1 |
5639005399 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
2636 |
42601240007 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
1632 |
42601240007 |
F000002 |
|
Paramex |
IDR |
|
0.000000000000 |
10.000000000000 |
2500.000000000000 |
0.000000000000 |
0.000000000000 |
25000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
42601240007 |
|
42601240007 |
|
|
1900-01-01 00:00:00.000000 |
25000.000000000000 |
0.000000000000 |
ren |
1 |
5639005655 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
2637 |
4202601260009 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
1922 |
4202601260009 |
F000001 |
|
Paracetamol |
IDR |
|
0.000000000000 |
1.000000000000 |
1500.000000000000 |
0.000000000000 |
0.000000000000 |
1500.000000000000 |
|
|
|
0.000000000000 |
0 |
|
4202601260009 |
|
4202601260009 |
|
|
1900-01-01 00:00:00.000000 |
1500.000000000000 |
0.000000000000 |
ren |
1 |
5639005911 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
2638 |
22512180013 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
55 |
22512180013 |
A000002 |
|
Rawat Jalan |
IDR |
|
0.000000000000 |
1.000000000000 |
150000.000000000000 |
0.000000000000 |
0.000000000000 |
150000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
22512180013 |
|
22512180013 |
|
|
1900-01-01 00:00:00.000000 |
150000.000000000000 |
0.000000000000 |
ren |
1 |
5639004120 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
2639 |
42512180046 |
2026-04-04 14:00:51.000000 |
5.000000000000 |
317 |
42512180046 |
F000003 |
|
Alerfed |
IDR |
|
0.000000000000 |
9.000000000000 |
3000.000000000000 |
0.000000000000 |
0.000000000000 |
27000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
42512180046 |
|
42512180046 |
|
|
1900-01-01 00:00:00.000000 |
27000.000000000000 |
0.000000000000 |
ren |
1 |
5639004376 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
2640 |
226010900014 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
584 |
226010900014 |
A000003 |
|
Rawat Inap |
IDR |
|
0.000000000000 |
1.000000000000 |
500000.000000000000 |
0.000000000000 |
0.000000000000 |
500000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
226010900014 |
|
226010900014 |
|
|
1900-01-01 00:00:00.000000 |
500000.000000000000 |
0.000000000000 |
ren |
1 |
5639004632 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |