|
2671 |
42512180048 |
2026-04-04 14:00:51.000000 |
5.000000000000 |
321 |
42512180048 |
F000003 |
|
Alerfed |
IDR |
|
0.000000000000 |
15.000000000000 |
3000.000000000000 |
0.000000000000 |
0.000000000000 |
45000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
42512180048 |
|
42512180048 |
|
|
1900-01-01 00:00:00.000000 |
45000.000000000000 |
0.000000000000 |
ren |
1 |
5639004380 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
2672 |
226010900016 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
588 |
226010900016 |
A000003 |
|
Rawat Inap |
IDR |
|
0.000000000000 |
1.000000000000 |
500000.000000000000 |
0.000000000000 |
0.000000000000 |
500000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
226010900016 |
|
226010900016 |
|
|
1900-01-01 00:00:00.000000 |
500000.000000000000 |
0.000000000000 |
ren |
1 |
5639004636 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
2673 |
32601150011 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
864 |
32601150011 |
T000004 |
|
Pemasangan Infus |
IDR |
|
0.000000000000 |
1.000000000000 |
75000.000000000000 |
0.000000000000 |
0.000000000000 |
75000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
32601150011 |
|
32601150011 |
|
|
1900-01-01 00:00:00.000000 |
75000.000000000000 |
0.000000000000 |
ren |
1 |
5639004892 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
2674 |
22601230002 |
2026-04-04 14:00:51.000000 |
3.000000000000 |
1125 |
22601230002 |
D000007 |
|
Konsultasi Dokter SPOG |
IDR |
|
0.000000000000 |
1.000000000000 |
120000.000000000000 |
0.000000000000 |
0.000000000000 |
120000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
22601230002 |
|
22601230002 |
|
|
1900-01-01 00:00:00.000000 |
120000.000000000000 |
0.000000000000 |
ren |
1 |
5639005148 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
2675 |
32601230038 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
1381 |
32601230038 |
D000006 |
|
Dokter Spesialis 200k |
IDR |
|
0.000000000000 |
1.000000000000 |
200000.000000000000 |
0.000000000000 |
0.000000000000 |
200000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
32601230038 |
|
32601230038 |
|
|
1900-01-01 00:00:00.000000 |
200000.000000000000 |
0.000000000000 |
ren |
1 |
5639005404 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
2676 |
42601240009 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
1637 |
42601240009 |
F000001 |
|
Paracetamol |
IDR |
|
0.000000000000 |
1.000000000000 |
1500.000000000000 |
0.000000000000 |
0.000000000000 |
1500.000000000000 |
|
|
|
0.000000000000 |
0 |
|
42601240009 |
|
42601240009 |
|
|
1900-01-01 00:00:00.000000 |
1500.000000000000 |
0.000000000000 |
ren |
1 |
5639005660 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
2677 |
32512180007 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
1927 |
32512180007 |
T000009 |
|
Pengambilan Sampel Darah |
IDR |
|
0.000000000000 |
1.000000000000 |
35000.000000000000 |
0.000000000000 |
0.000000000000 |
35000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
32512180007 |
|
32512180007 |
|
|
1900-01-01 00:00:00.000000 |
35000.000000000000 |
0.000000000000 |
ren |
1 |
5639005916 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
2678 |
22512180014 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
60 |
22512180014 |
D000006 |
|
Dokter Spesialis 200k |
IDR |
|
0.000000000000 |
1.000000000000 |
200000.000000000000 |
0.000000000000 |
0.000000000000 |
200000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
22512180014 |
|
22512180014 |
|
|
1900-01-01 00:00:00.000000 |
200000.000000000000 |
0.000000000000 |
ren |
1 |
5639004125 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
2679 |
42512180048 |
2026-04-04 14:00:51.000000 |
5.000000000000 |
322 |
42512180048 |
F000012 |
|
Omeprazole |
IDR |
|
0.000000000000 |
15.000000000000 |
28000.000000000000 |
0.000000000000 |
0.000000000000 |
420000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
42512180048 |
|
42512180048 |
|
|
1900-01-01 00:00:00.000000 |
420000.000000000000 |
0.000000000000 |
ren |
1 |
5639004381 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
2680 |
226010900016 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
589 |
226010900016 |
D000001 |
|
Biaya dr. Umum |
IDR |
|
0.000000000000 |
1.000000000000 |
50000.000000000000 |
0.000000000000 |
0.000000000000 |
50000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
226010900016 |
|
226010900016 |
|
|
1900-01-01 00:00:00.000000 |
50000.000000000000 |
0.000000000000 |
ren |
1 |
5639004637 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |