|
2681 |
32601150011 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
865 |
32601150011 |
T000002 |
|
Konsultasi Dokter Spesialis |
IDR |
|
0.000000000000 |
1.000000000000 |
150000.000000000000 |
0.000000000000 |
0.000000000000 |
150000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
32601150011 |
|
32601150011 |
|
|
1900-01-01 00:00:00.000000 |
150000.000000000000 |
0.000000000000 |
ren |
1 |
5639004893 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
2682 |
22601230003 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
1126 |
22601230003 |
A000002 |
|
Rawat Jalan |
IDR |
|
0.000000000000 |
1.000000000000 |
150000.000000000000 |
0.000000000000 |
0.000000000000 |
150000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
22601230003 |
|
22601230003 |
|
|
1900-01-01 00:00:00.000000 |
150000.000000000000 |
0.000000000000 |
ren |
1 |
5639005149 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
2683 |
52601230041 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
1382 |
52601230041 |
X000001 |
|
Alat Tes Gula Darah |
IDR |
|
0.000000000000 |
1.000000000000 |
150000.000000000000 |
0.000000000000 |
0.000000000000 |
150000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
52601230041 |
|
52601230041 |
|
|
1900-01-01 00:00:00.000000 |
150000.000000000000 |
0.000000000000 |
ren |
1 |
5639005405 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
2684 |
32601240008 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
1638 |
32601240008 |
F000009 |
|
Amoxicillin |
IDR |
|
0.000000000000 |
4.000000000000 |
96500.000000000000 |
0.000000000000 |
0.000000000000 |
386000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
32601240008 |
|
32601240008 |
|
|
1900-01-01 00:00:00.000000 |
386000.000000000000 |
0.000000000000 |
ren |
1 |
5639005661 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
2685 |
32512180007 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
1928 |
32512180007 |
T000004 |
|
Pemasangan Infus |
IDR |
|
0.000000000000 |
1.000000000000 |
75000.000000000000 |
0.000000000000 |
0.000000000000 |
75000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
32512180007 |
|
32512180007 |
|
|
1900-01-01 00:00:00.000000 |
75000.000000000000 |
0.000000000000 |
ren |
1 |
5639005917 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
2686 |
22512180015 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
61 |
22512180015 |
A000002 |
|
Rawat Jalan |
IDR |
|
0.000000000000 |
1.000000000000 |
150000.000000000000 |
0.000000000000 |
0.000000000000 |
150000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
22512180015 |
|
22512180015 |
|
|
1900-01-01 00:00:00.000000 |
150000.000000000000 |
0.000000000000 |
ren |
1 |
5639004126 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
2687 |
42512180049 |
2026-04-04 14:00:51.000000 |
5.000000000000 |
323 |
42512180049 |
F000003 |
|
Alerfed |
IDR |
|
0.000000000000 |
12.000000000000 |
3000.000000000000 |
0.000000000000 |
0.000000000000 |
36000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
42512180049 |
|
42512180049 |
|
|
1900-01-01 00:00:00.000000 |
36000.000000000000 |
0.000000000000 |
ren |
1 |
5639004382 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
2688 |
22601100001 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
590 |
22601100001 |
D000001 |
|
Biaya dr. Umum (50.000) |
IDR |
|
0.000000000000 |
1.000000000000 |
50000.000000000000 |
0.000000000000 |
0.000000000000 |
50000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
22601100001 |
|
22601100001 |
|
|
1900-01-01 00:00:00.000000 |
50000.000000000000 |
0.000000000000 |
ren |
1 |
5639004638 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
2689 |
42601150008 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
866 |
42601150008 |
F000009 |
|
Amoxicillin |
IDR |
|
0.000000000000 |
9.000000000000 |
96500.000000000000 |
0.000000000000 |
0.000000000000 |
868500.000000000000 |
|
|
|
0.000000000000 |
0 |
|
42601150008 |
|
42601150008 |
|
|
1900-01-01 00:00:00.000000 |
868500.000000000000 |
0.000000000000 |
ren |
1 |
5639004894 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
2690 |
22601230003 |
2026-04-04 14:00:51.000000 |
2.000000000000 |
1127 |
22601230003 |
D000001 |
|
Biaya dr. Umum |
IDR |
|
0.000000000000 |
1.000000000000 |
50000.000000000000 |
0.000000000000 |
0.000000000000 |
50000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
22601230003 |
|
22601230003 |
|
|
1900-01-01 00:00:00.000000 |
50000.000000000000 |
0.000000000000 |
ren |
1 |
5639005150 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |