|
2761 |
22601150018 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
875 |
22601150018 |
A000002 |
|
Rawat Jalan |
IDR |
|
0.000000000000 |
1.000000000000 |
150000.000000000000 |
0.000000000000 |
0.000000000000 |
150000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
22601150018 |
|
22601150018 |
|
|
1900-01-01 00:00:00.000000 |
150000.000000000000 |
0.000000000000 |
ren |
1 |
5639004903 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
2762 |
32601230003 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
1136 |
32601230003 |
T000003 |
|
Pemeriksaan Tanda Vital |
IDR |
|
0.000000000000 |
1.000000000000 |
25000.000000000000 |
0.000000000000 |
0.000000000000 |
25000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
32601230003 |
|
32601230003 |
|
|
1900-01-01 00:00:00.000000 |
25000.000000000000 |
0.000000000000 |
ren |
1 |
5639005159 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
2763 |
226012300040 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
1392 |
226012300040 |
D000008 |
|
Konsultasi Dokter Umum |
IDR |
|
0.000000000000 |
1.000000000000 |
50000.000000000000 |
0.000000000000 |
0.000000000000 |
50000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
226012300040 |
|
226012300040 |
|
|
1900-01-01 00:00:00.000000 |
50000.000000000000 |
0.000000000000 |
ren |
1 |
5639005415 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
2764 |
42601240010 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
1648 |
42601240010 |
F000005 |
|
Captopril |
IDR |
|
0.000000000000 |
10.000000000000 |
14500.000000000000 |
0.000000000000 |
0.000000000000 |
145000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
42601240010 |
|
42601240010 |
|
|
1900-01-01 00:00:00.000000 |
145000.000000000000 |
0.000000000000 |
ren |
1 |
5639005671 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
2765 |
4202601260015 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
1953 |
4202601260015 |
F000003 |
|
Alerfed |
IDR |
|
0.000000000000 |
1.000000000000 |
3000.000000000000 |
0.000000000000 |
0.000000000000 |
3000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
4202601260015 |
|
4202601260015 |
|
|
1900-01-01 00:00:00.000000 |
3000.000000000000 |
0.000000000000 |
ren |
1 |
5639005927 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
2766 |
22512180018 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
71 |
22512180018 |
A000001 |
|
Biaya Kartu Pasien |
IDR |
|
0.000000000000 |
1.000000000000 |
20000.000000000000 |
0.000000000000 |
0.000000000000 |
20000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
22512180018 |
|
22512180018 |
|
|
1900-01-01 00:00:00.000000 |
20000.000000000000 |
0.000000000000 |
ren |
1 |
5639004136 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
2767 |
42512180055 |
2026-04-04 14:00:51.000000 |
5.000000000000 |
333 |
42512180055 |
F000012 |
|
Omeprazole |
IDR |
|
0.000000000000 |
5.000000000000 |
28000.000000000000 |
0.000000000000 |
0.000000000000 |
140000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
42512180055 |
|
42512180055 |
|
|
1900-01-01 00:00:00.000000 |
140000.000000000000 |
0.000000000000 |
ren |
1 |
5639004392 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
2768 |
22601100004 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
600 |
22601100004 |
A000001 |
|
Biaya Kartu Pasien |
IDR |
|
0.000000000000 |
1.000000000000 |
50000.000000000000 |
0.000000000000 |
0.000000000000 |
50000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
22601100004 |
|
22601100004 |
|
|
1900-01-01 00:00:00.000000 |
50000.000000000000 |
0.000000000000 |
ren |
1 |
5639004648 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
2769 |
22601150018 |
2026-04-04 14:00:51.000000 |
2.000000000000 |
876 |
22601150018 |
A000001 |
|
Biaya Kartu Pasien |
IDR |
|
0.000000000000 |
1.000000000000 |
50000.000000000000 |
0.000000000000 |
0.000000000000 |
50000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
22601150018 |
|
22601150018 |
|
|
1900-01-01 00:00:00.000000 |
50000.000000000000 |
0.000000000000 |
ren |
1 |
5639004904 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
2770 |
52601230001 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
1137 |
52601230001 |
P000004 |
|
Masker Nebulizer |
IDR |
|
0.000000000000 |
1.000000000000 |
20000.000000000000 |
0.000000000000 |
0.000000000000 |
20000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
52601230001 |
|
52601230001 |
|
|
1900-01-01 00:00:00.000000 |
20000.000000000000 |
0.000000000000 |
ren |
1 |
5639005160 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |