|
2661 |
4202601260008 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
1925 |
4202601260008 |
F000010 |
|
Loratadine |
IDR |
|
0.000000000000 |
1.000000000000 |
18500.000000000000 |
0.000000000000 |
0.000000000000 |
18500.000000000000 |
|
|
|
0.000000000000 |
0 |
|
4202601260008 |
|
4202601260008 |
|
|
1900-01-01 00:00:00.000000 |
18500.000000000000 |
0.000000000000 |
ren |
1 |
5639005914 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
2662 |
22512180014 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
58 |
22512180014 |
A000002 |
|
Rawat Jalan |
IDR |
|
0.000000000000 |
1.000000000000 |
150000.000000000000 |
0.000000000000 |
0.000000000000 |
150000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
22512180014 |
|
22512180014 |
|
|
1900-01-01 00:00:00.000000 |
150000.000000000000 |
0.000000000000 |
ren |
1 |
5639004123 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
2663 |
42512180047 |
2026-04-04 14:00:51.000000 |
5.000000000000 |
320 |
42512180047 |
F000003 |
|
Alerfed |
IDR |
|
0.000000000000 |
8.000000000000 |
3000.000000000000 |
0.000000000000 |
0.000000000000 |
24000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
42512180047 |
|
42512180047 |
|
|
1900-01-01 00:00:00.000000 |
24000.000000000000 |
0.000000000000 |
ren |
1 |
5639004379 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
2664 |
226010900015 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
587 |
226010900015 |
D000001 |
|
Biaya dr. Umum |
IDR |
|
0.000000000000 |
1.000000000000 |
50000.000000000000 |
0.000000000000 |
0.000000000000 |
50000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
226010900015 |
|
226010900015 |
|
|
1900-01-01 00:00:00.000000 |
50000.000000000000 |
0.000000000000 |
ren |
1 |
5639004635 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
2665 |
32601150011 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
863 |
32601150011 |
T000001 |
|
T000001 |
IDR |
|
0.000000000000 |
1.000000000000 |
50000.000000000000 |
0.000000000000 |
0.000000000000 |
50000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
32601150011 |
|
32601150011 |
|
|
1900-01-01 00:00:00.000000 |
50000.000000000000 |
0.000000000000 |
ren |
1 |
5639004891 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
2666 |
22601230002 |
2026-04-04 14:00:51.000000 |
2.000000000000 |
1124 |
22601230002 |
A000002 |
|
Rawat Jalan |
IDR |
|
0.000000000000 |
1.000000000000 |
150000.000000000000 |
0.000000000000 |
0.000000000000 |
150000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
22601230002 |
|
22601230002 |
|
|
1900-01-01 00:00:00.000000 |
150000.000000000000 |
0.000000000000 |
ren |
1 |
5639005147 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
2667 |
42601230041 |
2026-04-04 14:00:51.000000 |
5.000000000000 |
1380 |
42601230041 |
F000006 |
|
Amlodipine |
IDR |
|
0.000000000000 |
1.000000000000 |
25500.000000000000 |
0.000000000000 |
0.000000000000 |
25500.000000000000 |
|
|
|
0.000000000000 |
0 |
|
42601230041 |
|
42601230041 |
|
|
1900-01-01 00:00:00.000000 |
25500.000000000000 |
0.000000000000 |
ren |
1 |
5639005403 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
2668 |
42601240008 |
2026-04-04 14:00:51.000000 |
5.000000000000 |
1636 |
42601240008 |
F000003 |
|
Alerfed |
IDR |
|
0.000000000000 |
6.000000000000 |
3000.000000000000 |
0.000000000000 |
0.000000000000 |
18000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
42601240008 |
|
42601240008 |
|
|
1900-01-01 00:00:00.000000 |
18000.000000000000 |
0.000000000000 |
ren |
1 |
5639005659 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
2669 |
32512180007 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
1926 |
32512180007 |
T000002 |
|
Konsultasi Dokter Spesialis |
IDR |
|
0.000000000000 |
15.000000000000 |
150000.000000000000 |
0.000000000000 |
0.000000000000 |
2250000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
32512180007 |
|
32512180007 |
|
|
1900-01-01 00:00:00.000000 |
2250000.000000000000 |
0.000000000000 |
ren |
1 |
5639005915 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
2670 |
22512180014 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
59 |
22512180014 |
A000001 |
|
Biaya Kartu Pasien |
IDR |
|
0.000000000000 |
1.000000000000 |
20000.000000000000 |
0.000000000000 |
0.000000000000 |
20000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
22512180014 |
|
22512180014 |
|
|
1900-01-01 00:00:00.000000 |
20000.000000000000 |
0.000000000000 |
ren |
1 |
5639004124 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |