|
2741 |
520260122-000002 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
1950 |
520260122-000002 |
P000001 |
|
Jarum Suntik |
IDR |
|
0.000000000000 |
15.000000000000 |
2500.000000000000 |
0.000000000000 |
0.000000000000 |
37500.000000000000 |
|
|
|
0.000000000000 |
0 |
|
520260122-000002 |
|
520260122-000002 |
|
|
1900-01-01 00:00:00.000000 |
37500.000000000000 |
0.000000000000 |
ren |
1 |
5639005924 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
2742 |
22512180017 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
68 |
22512180017 |
A000001 |
|
Biaya Kartu Pasien |
IDR |
|
0.000000000000 |
1.000000000000 |
20000.000000000000 |
0.000000000000 |
0.000000000000 |
20000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
22512180017 |
|
22512180017 |
|
|
1900-01-01 00:00:00.000000 |
20000.000000000000 |
0.000000000000 |
ren |
1 |
5639004133 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
2743 |
42512180054 |
2026-04-04 14:00:51.000000 |
5.000000000000 |
330 |
42512180054 |
F000017 |
|
Panadol |
IDR |
|
0.000000000000 |
10.000000000000 |
12800.000000000000 |
0.000000000000 |
0.000000000000 |
128000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
42512180054 |
|
42512180054 |
|
|
1900-01-01 00:00:00.000000 |
128000.000000000000 |
0.000000000000 |
ren |
1 |
5639004389 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
2744 |
22601100003 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
597 |
22601100003 |
A000001 |
|
Biaya Kartu Pasien |
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 |
5639004645 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
2745 |
22601150017 |
2026-04-04 14:00:51.000000 |
2.000000000000 |
873 |
22601150017 |
A000001 |
|
Biaya Kartu Pasien |
IDR |
|
0.000000000000 |
1.000000000000 |
50000.000000000000 |
0.000000000000 |
0.000000000000 |
50000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
22601150017 |
|
22601150017 |
|
|
1900-01-01 00:00:00.000000 |
50000.000000000000 |
0.000000000000 |
ren |
1 |
5639004901 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
2746 |
32601230002 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
1134 |
32601230002 |
D000001 |
|
Biaya dr. Umum |
IDR |
|
0.000000000000 |
1.000000000000 |
50000.000000000000 |
0.000000000000 |
0.000000000000 |
50000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
32601230002 |
|
32601230002 |
|
|
1900-01-01 00:00:00.000000 |
50000.000000000000 |
0.000000000000 |
ren |
1 |
5639005157 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
2747 |
52601230042 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
1390 |
52601230042 |
P000002 |
|
Sarung Tangan Medis |
IDR |
|
0.000000000000 |
1.000000000000 |
50000.000000000000 |
0.000000000000 |
0.000000000000 |
50000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
52601230042 |
|
52601230042 |
|
|
1900-01-01 00:00:00.000000 |
50000.000000000000 |
0.000000000000 |
ren |
1 |
5639005413 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
2748 |
22601240012 |
2026-04-04 14:00:51.000000 |
3.000000000000 |
1646 |
22601240012 |
D000002 |
|
Biaya Konsultasi dr. Spesialis THT |
IDR |
|
0.000000000000 |
1.000000000000 |
75000.000000000000 |
0.000000000000 |
0.000000000000 |
75000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
22601240012 |
|
22601240012 |
|
|
1900-01-01 00:00:00.000000 |
75000.000000000000 |
0.000000000000 |
ren |
1 |
5639005669 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
2749 |
42512180009 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
1951 |
42512180009 |
F000001 |
|
Paracetamol |
IDR |
|
0.000000000000 |
24.000000000000 |
1500.000000000000 |
0.000000000000 |
0.000000000000 |
36000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
42512180009 |
|
42512180009 |
|
|
1900-01-01 00:00:00.000000 |
36000.000000000000 |
0.000000000000 |
ren |
1 |
5639005925 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
2750 |
22512180017 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
69 |
22512180017 |
D000001 |
|
Biaya dr. Umum |
IDR |
|
0.000000000000 |
1.000000000000 |
50000.000000000000 |
0.000000000000 |
0.000000000000 |
50000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
22512180017 |
|
22512180017 |
|
|
1900-01-01 00:00:00.000000 |
50000.000000000000 |
0.000000000000 |
ren |
1 |
5639004134 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |