|
2771 |
32601230040 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
1393 |
32601230040 |
T000005 |
|
Injeksi Intramuskular |
IDR |
|
0.000000000000 |
1.000000000000 |
40000.000000000000 |
0.000000000000 |
0.000000000000 |
40000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
32601230040 |
|
32601230040 |
|
|
1900-01-01 00:00:00.000000 |
40000.000000000000 |
0.000000000000 |
ren |
1 |
5639005416 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
2772 |
32601240010 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
1649 |
32601240010 |
L000008 |
|
Hematokrit |
IDR |
|
0.000000000000 |
2.000000000000 |
10000000.000000000000 |
0.000000000000 |
0.000000000000 |
20000000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
32601240010 |
|
32601240010 |
|
|
1900-01-01 00:00:00.000000 |
20000000.000000000000 |
0.000000000000 |
ren |
1 |
5639005672 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
2773 |
4202601260015 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
1954 |
4202601260015 |
F000001 |
|
Paracetamol |
IDR |
|
0.000000000000 |
1.000000000000 |
1500.000000000000 |
0.000000000000 |
0.000000000000 |
1500.000000000000 |
|
|
|
0.000000000000 |
0 |
|
4202601260015 |
|
4202601260015 |
|
|
1900-01-01 00:00:00.000000 |
1500.000000000000 |
0.000000000000 |
ren |
1 |
5639005928 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
2774 |
22512180018 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
72 |
22512180018 |
D000006 |
|
Dokter Spesialis 200k |
IDR |
|
0.000000000000 |
1.000000000000 |
200000.000000000000 |
0.000000000000 |
0.000000000000 |
200000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
22512180018 |
|
22512180018 |
|
|
1900-01-01 00:00:00.000000 |
200000.000000000000 |
0.000000000000 |
ren |
1 |
5639004137 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
2775 |
42512180056 |
2026-04-04 14:00:51.000000 |
5.000000000000 |
334 |
42512180056 |
F000009 |
|
Amoxicillin |
IDR |
|
0.000000000000 |
2.000000000000 |
96500.000000000000 |
0.000000000000 |
0.000000000000 |
193000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
42512180056 |
|
42512180056 |
|
|
1900-01-01 00:00:00.000000 |
193000.000000000000 |
0.000000000000 |
ren |
1 |
5639004393 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
2776 |
22601100004 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
601 |
22601100004 |
A000003 |
|
Rawat Inap |
IDR |
|
0.000000000000 |
1.000000000000 |
500000.000000000000 |
0.000000000000 |
0.000000000000 |
500000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
22601100004 |
|
22601100004 |
|
|
1900-01-01 00:00:00.000000 |
500000.000000000000 |
0.000000000000 |
ren |
1 |
5639004649 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
2777 |
22601150018 |
2026-04-04 14:00:51.000000 |
3.000000000000 |
877 |
22601150018 |
D000004 |
|
Dokter Spesialis 100k |
IDR |
|
0.000000000000 |
1.000000000000 |
100000.000000000000 |
0.000000000000 |
0.000000000000 |
100000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
22601150018 |
|
22601150018 |
|
|
1900-01-01 00:00:00.000000 |
100000.000000000000 |
0.000000000000 |
ren |
1 |
5639004905 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
2778 |
42601230001 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
1138 |
42601230001 |
F000001 |
|
Paracetamol |
IDR |
|
0.000000000000 |
1.000000000000 |
1500.000000000000 |
0.000000000000 |
0.000000000000 |
1500.000000000000 |
|
|
|
0.000000000000 |
0 |
|
42601230001 |
|
42601230001 |
|
|
1900-01-01 00:00:00.000000 |
1500.000000000000 |
0.000000000000 |
ren |
1 |
5639005161 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
2779 |
22601230041 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
1394 |
22601230041 |
D000001 |
|
Biaya dr. Umum (50.000) |
IDR |
|
0.000000000000 |
1.000000000000 |
50000.000000000000 |
0.000000000000 |
0.000000000000 |
50000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
22601230041 |
|
22601230041 |
|
|
1900-01-01 00:00:00.000000 |
50000.000000000000 |
0.000000000000 |
ren |
1 |
5639005417 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
2780 |
42601240011 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
1650 |
42601240011 |
F000002 |
|
Paramex |
IDR |
|
0.000000000000 |
1.000000000000 |
2500.000000000000 |
0.000000000000 |
0.000000000000 |
2500.000000000000 |
|
|
|
0.000000000000 |
0 |
|
42601240011 |
|
42601240011 |
|
|
1900-01-01 00:00:00.000000 |
2500.000000000000 |
0.000000000000 |
ren |
1 |
5639005673 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |