|
2731 |
22601230039 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
1388 |
22601230039 |
D000001 |
|
Biaya dr. Umum |
IDR |
|
0.000000000000 |
1.000000000000 |
50000.000000000000 |
0.000000000000 |
0.000000000000 |
50000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
22601230039 |
|
22601230039 |
|
|
1900-01-01 00:00:00.000000 |
50000.000000000000 |
0.000000000000 |
ren |
1 |
5639005411 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
2732 |
22601240012 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
1644 |
22601240012 |
A000001 |
|
Biaya Kartu Pasien |
IDR |
|
0.000000000000 |
1.000000000000 |
50000.000000000000 |
0.000000000000 |
0.000000000000 |
50000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
22601240012 |
|
22601240012 |
|
|
1900-01-01 00:00:00.000000 |
50000.000000000000 |
0.000000000000 |
ren |
1 |
5639005667 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
2733 |
520260122-000002 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
1949 |
520260122-000002 |
P000012 |
|
Alkohol 70% |
IDR |
|
0.000000000000 |
1.000000000000 |
10000.000000000000 |
0.000000000000 |
0.000000000000 |
10000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
520260122-000002 |
|
520260122-000002 |
|
|
1900-01-01 00:00:00.000000 |
10000.000000000000 |
0.000000000000 |
ren |
1 |
5639005923 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
2734 |
22512180017 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
67 |
22512180017 |
A000002 |
|
Rawat Jalan |
IDR |
|
0.000000000000 |
1.000000000000 |
150000.000000000000 |
0.000000000000 |
0.000000000000 |
150000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
22512180017 |
|
22512180017 |
|
|
1900-01-01 00:00:00.000000 |
150000.000000000000 |
0.000000000000 |
ren |
1 |
5639004132 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
2735 |
42512180053 |
2026-04-04 14:00:51.000000 |
5.000000000000 |
329 |
42512180053 |
F000006 |
|
Amlodipine |
IDR |
|
0.000000000000 |
10.000000000000 |
25500.000000000000 |
0.000000000000 |
0.000000000000 |
255000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
42512180053 |
|
42512180053 |
|
|
1900-01-01 00:00:00.000000 |
255000.000000000000 |
0.000000000000 |
ren |
1 |
5639004388 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
2736 |
22601100003 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
596 |
22601100003 |
D000001 |
|
Biaya dr. Umum (50.000) |
IDR |
|
0.000000000000 |
1.000000000000 |
50000.000000000000 |
0.000000000000 |
0.000000000000 |
50000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
22601100003 |
|
22601100003 |
|
|
1900-01-01 00:00:00.000000 |
50000.000000000000 |
0.000000000000 |
ren |
1 |
5639004644 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
2737 |
22601150017 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
872 |
22601150017 |
A000002 |
|
Rawat Jalan |
IDR |
|
0.000000000000 |
1.000000000000 |
150000.000000000000 |
0.000000000000 |
0.000000000000 |
150000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
22601150017 |
|
22601150017 |
|
|
1900-01-01 00:00:00.000000 |
150000.000000000000 |
0.000000000000 |
ren |
1 |
5639004900 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
2738 |
22601230005 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
1133 |
22601230005 |
D000002 |
|
Biaya Konsultasi dr. Spesialis THT |
IDR |
|
0.000000000000 |
1.000000000000 |
75000.000000000000 |
0.000000000000 |
0.000000000000 |
75000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
22601230005 |
|
22601230005 |
|
|
1900-01-01 00:00:00.000000 |
75000.000000000000 |
0.000000000000 |
ren |
1 |
5639005156 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
2739 |
32601230039 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
1389 |
32601230039 |
T000002 |
|
Konsultasi Dokter Spesialis |
IDR |
|
0.000000000000 |
1.000000000000 |
150000.000000000000 |
0.000000000000 |
0.000000000000 |
150000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
32601230039 |
|
32601230039 |
|
|
1900-01-01 00:00:00.000000 |
150000.000000000000 |
0.000000000000 |
ren |
1 |
5639005412 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
2740 |
22601240012 |
2026-04-04 14:00:51.000000 |
2.000000000000 |
1645 |
22601240012 |
A000002 |
|
Rawat Jalan |
IDR |
|
0.000000000000 |
1.000000000000 |
150000.000000000000 |
0.000000000000 |
0.000000000000 |
150000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
22601240012 |
|
22601240012 |
|
|
1900-01-01 00:00:00.000000 |
150000.000000000000 |
0.000000000000 |
ren |
1 |
5639005668 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |