|
2721 |
22601150016 |
2026-04-04 14:00:51.000000 |
2.000000000000 |
870 |
22601150016 |
A000001 |
|
Biaya Kartu Pasien |
IDR |
|
0.000000000000 |
1.000000000000 |
50000.000000000000 |
0.000000000000 |
0.000000000000 |
50000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
22601150016 |
|
22601150016 |
|
|
1900-01-01 00:00:00.000000 |
50000.000000000000 |
0.000000000000 |
ren |
1 |
5639004898 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
2722 |
22601230005 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
1131 |
22601230005 |
A000002 |
|
Rawat Jalan |
IDR |
|
0.000000000000 |
1.000000000000 |
150000.000000000000 |
0.000000000000 |
0.000000000000 |
150000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
22601230005 |
|
22601230005 |
|
|
1900-01-01 00:00:00.000000 |
150000.000000000000 |
0.000000000000 |
ren |
1 |
5639005154 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
2723 |
22601230039 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
1387 |
22601230039 |
A000002 |
|
Rawat Jalan |
IDR |
|
0.000000000000 |
1.000000000000 |
150000.000000000000 |
0.000000000000 |
0.000000000000 |
150000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
22601230039 |
|
22601230039 |
|
|
1900-01-01 00:00:00.000000 |
150000.000000000000 |
0.000000000000 |
ren |
1 |
5639005410 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
2724 |
32601240009 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
1643 |
32601240009 |
T000007 |
|
Perawatan Luka |
IDR |
|
0.000000000000 |
1.000000000000 |
100000.000000000000 |
0.000000000000 |
0.000000000000 |
100000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
32601240009 |
|
32601240009 |
|
|
1900-01-01 00:00:00.000000 |
100000.000000000000 |
0.000000000000 |
ren |
1 |
5639005666 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
2725 |
42512180026 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
1948 |
42512180026 |
F000005 |
|
Captopril |
IDR |
|
0.000000000000 |
10.000000000000 |
14500.000000000000 |
0.000000000000 |
0.000000000000 |
145000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
42512180026 |
|
42512180026 |
|
|
1900-01-01 00:00:00.000000 |
145000.000000000000 |
0.000000000000 |
ren |
1 |
5639005922 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
2726 |
22512180016 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
66 |
22512180016 |
D000006 |
|
Dokter Spesialis 200k |
IDR |
|
0.000000000000 |
1.000000000000 |
200000.000000000000 |
0.000000000000 |
0.000000000000 |
200000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
22512180016 |
|
22512180016 |
|
|
1900-01-01 00:00:00.000000 |
200000.000000000000 |
0.000000000000 |
ren |
1 |
5639004131 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
2727 |
42512180052 |
2026-04-04 14:00:51.000000 |
5.000000000000 |
328 |
42512180052 |
F000016 |
|
Vitamin C |
IDR |
|
0.000000000000 |
50.000000000000 |
15500.000000000000 |
0.000000000000 |
0.000000000000 |
775000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
42512180052 |
|
42512180052 |
|
|
1900-01-01 00:00:00.000000 |
775000.000000000000 |
0.000000000000 |
ren |
1 |
5639004387 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
2728 |
22601100002 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
595 |
22601100002 |
A000003 |
|
Rawat Inap |
IDR |
|
0.000000000000 |
1.000000000000 |
500000.000000000000 |
0.000000000000 |
0.000000000000 |
500000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
22601100002 |
|
22601100002 |
|
|
1900-01-01 00:00:00.000000 |
500000.000000000000 |
0.000000000000 |
ren |
1 |
5639004643 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
2729 |
22601150016 |
2026-04-04 14:00:51.000000 |
3.000000000000 |
871 |
22601150016 |
D000001 |
|
Biaya dr. Umum |
IDR |
|
0.000000000000 |
1.000000000000 |
50000.000000000000 |
0.000000000000 |
0.000000000000 |
50000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
22601150016 |
|
22601150016 |
|
|
1900-01-01 00:00:00.000000 |
50000.000000000000 |
0.000000000000 |
ren |
1 |
5639004899 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
2730 |
22601230005 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
1132 |
22601230005 |
A000001 |
|
Biaya Kartu Pasien |
IDR |
|
0.000000000000 |
1.000000000000 |
20000.000000000000 |
0.000000000000 |
0.000000000000 |
20000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
22601230005 |
|
22601230005 |
|
|
1900-01-01 00:00:00.000000 |
20000.000000000000 |
0.000000000000 |
ren |
1 |
5639005155 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |