|
2701 |
22602040002 |
2026-04-04 14:00:51.000000 |
2.000000000000 |
1931 |
22602040002 |
D000016 |
|
Konsultasi Dokter Spesialis Mata |
IDR |
|
0.000000000000 |
1.000000000000 |
120000.000000000000 |
0.000000000000 |
0.000000000000 |
120000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
22602040002 |
|
22602040002 |
|
|
1900-01-01 00:00:00.000000 |
120000.000000000000 |
0.000000000000 |
ren |
1 |
5639005919 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
2702 |
22512180015 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
63 |
22512180015 |
D000006 |
|
Dokter Spesialis 200k |
IDR |
|
0.000000000000 |
1.000000000000 |
200000.000000000000 |
0.000000000000 |
0.000000000000 |
200000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
22512180015 |
|
22512180015 |
|
|
1900-01-01 00:00:00.000000 |
200000.000000000000 |
0.000000000000 |
ren |
1 |
5639004128 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
2703 |
42512180050 |
2026-04-04 14:00:51.000000 |
5.000000000000 |
325 |
42512180050 |
F000017 |
|
Panadol |
IDR |
|
0.000000000000 |
50.000000000000 |
12800.000000000000 |
0.000000000000 |
0.000000000000 |
640000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
42512180050 |
|
42512180050 |
|
|
1900-01-01 00:00:00.000000 |
640000.000000000000 |
0.000000000000 |
ren |
1 |
5639004384 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
2704 |
112601100001 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
592 |
112601100001 |
R000002 |
|
CT Scan |
IDR |
|
0.000000000000 |
1.000000000000 |
3500000.000000000000 |
0.000000000000 |
0.000000000000 |
3500000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
112601100001 |
|
112601100001 |
|
|
1900-01-01 00:00:00.000000 |
3500000.000000000000 |
0.000000000000 |
ren |
1 |
5639004640 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
2705 |
42601150008 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
868 |
42601150008 |
F000006 |
|
Amlodipine |
IDR |
|
0.000000000000 |
9.000000000000 |
25500.000000000000 |
0.000000000000 |
0.000000000000 |
229500.000000000000 |
|
|
|
0.000000000000 |
0 |
|
42601150008 |
|
42601150008 |
|
|
1900-01-01 00:00:00.000000 |
229500.000000000000 |
0.000000000000 |
ren |
1 |
5639004896 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
2706 |
22601230004 |
2026-04-04 14:00:51.000000 |
2.000000000000 |
1129 |
22601230004 |
D000002 |
|
Biaya Konsultasi dr. Spesialis THT |
IDR |
|
0.000000000000 |
1.000000000000 |
75000.000000000000 |
0.000000000000 |
0.000000000000 |
75000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
22601230004 |
|
22601230004 |
|
|
1900-01-01 00:00:00.000000 |
75000.000000000000 |
0.000000000000 |
ren |
1 |
5639005152 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
2707 |
22601230038 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
1385 |
22601230038 |
A000001 |
|
Biaya Kartu Pasien |
IDR |
|
0.000000000000 |
1.000000000000 |
20000.000000000000 |
0.000000000000 |
0.000000000000 |
20000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
22601230038 |
|
22601230038 |
|
|
1900-01-01 00:00:00.000000 |
20000.000000000000 |
0.000000000000 |
ren |
1 |
5639005408 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
2708 |
22601240011 |
2026-04-04 14:00:51.000000 |
2.000000000000 |
1641 |
22601240011 |
A000002 |
|
Rawat Jalan |
IDR |
|
0.000000000000 |
1.000000000000 |
150000.000000000000 |
0.000000000000 |
0.000000000000 |
150000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
22601240011 |
|
22601240011 |
|
|
1900-01-01 00:00:00.000000 |
150000.000000000000 |
0.000000000000 |
ren |
1 |
5639005664 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
2709 |
42512180004 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
1945 |
42512180004 |
F000003 |
|
Alerfed |
IDR |
|
0.000000000000 |
15.000000000000 |
3000.000000000000 |
0.000000000000 |
0.000000000000 |
45000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
42512180004 |
|
42512180004 |
|
|
1900-01-01 00:00:00.000000 |
45000.000000000000 |
0.000000000000 |
ren |
1 |
5639005920 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
2710 |
22512180016 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
64 |
22512180016 |
A000002 |
|
Rawat Jalan |
IDR |
|
0.000000000000 |
1.000000000000 |
150000.000000000000 |
0.000000000000 |
0.000000000000 |
150000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
22512180016 |
|
22512180016 |
|
|
1900-01-01 00:00:00.000000 |
150000.000000000000 |
0.000000000000 |
ren |
1 |
5639004129 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |