|
2781 |
4202601260015 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
1955 |
4202601260015 |
F000005 |
|
Captopril |
IDR |
|
0.000000000000 |
1.000000000000 |
14500.000000000000 |
0.000000000000 |
0.000000000000 |
14500.000000000000 |
|
|
|
0.000000000000 |
0 |
|
4202601260015 |
|
4202601260015 |
|
|
1900-01-01 00:00:00.000000 |
14500.000000000000 |
0.000000000000 |
ren |
1 |
5639005929 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
2782 |
22512180019 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
73 |
22512180019 |
A000002 |
|
Rawat Jalan |
IDR |
|
0.000000000000 |
1.000000000000 |
150000.000000000000 |
0.000000000000 |
0.000000000000 |
150000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
22512180019 |
|
22512180019 |
|
|
1900-01-01 00:00:00.000000 |
150000.000000000000 |
0.000000000000 |
ren |
1 |
5639004138 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
2783 |
42512180056 |
2026-04-04 14:00:51.000000 |
5.000000000000 |
335 |
42512180056 |
F000017 |
|
Panadol |
IDR |
|
0.000000000000 |
4.000000000000 |
12800.000000000000 |
0.000000000000 |
0.000000000000 |
51200.000000000000 |
|
|
|
0.000000000000 |
0 |
|
42512180056 |
|
42512180056 |
|
|
1900-01-01 00:00:00.000000 |
51200.000000000000 |
0.000000000000 |
ren |
1 |
5639004394 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
2784 |
22601100005 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
602 |
22601100005 |
D000009 |
|
Konsultasi Dokter Gigi (60.000) |
IDR |
|
0.000000000000 |
1.000000000000 |
60000.000000000000 |
0.000000000000 |
0.000000000000 |
60000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
22601100005 |
|
22601100005 |
|
|
1900-01-01 00:00:00.000000 |
60000.000000000000 |
0.000000000000 |
ren |
1 |
5639004650 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
2785 |
22601150019 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
878 |
22601150019 |
A000003 |
|
Rawat Inap |
IDR |
|
0.000000000000 |
1.000000000000 |
500000.000000000000 |
0.000000000000 |
0.000000000000 |
500000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
22601150019 |
|
22601150019 |
|
|
1900-01-01 00:00:00.000000 |
500000.000000000000 |
0.000000000000 |
ren |
1 |
5639004906 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
2786 |
52601230002 |
2026-04-04 14:00:51.000000 |
5.000000000000 |
1139 |
52601230002 |
X000001 |
|
Alat Tes Gula Darah |
IDR |
|
0.000000000000 |
1.000000000000 |
150000.000000000000 |
0.000000000000 |
0.000000000000 |
150000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
52601230002 |
|
52601230002 |
|
|
1900-01-01 00:00:00.000000 |
150000.000000000000 |
0.000000000000 |
ren |
1 |
5639005162 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
2787 |
22601230041 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
1395 |
22601230041 |
A000002 |
|
Rawat Jalan |
IDR |
|
0.000000000000 |
1.000000000000 |
150000.000000000000 |
0.000000000000 |
0.000000000000 |
150000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
22601230041 |
|
22601230041 |
|
|
1900-01-01 00:00:00.000000 |
150000.000000000000 |
0.000000000000 |
ren |
1 |
5639005418 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
2788 |
32601240011 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
1651 |
32601240011 |
F000003 |
|
Alerfed |
IDR |
|
0.000000000000 |
5.000000000000 |
3000.000000000000 |
0.000000000000 |
0.000000000000 |
15000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
32601240011 |
|
32601240011 |
|
|
1900-01-01 00:00:00.000000 |
15000.000000000000 |
0.000000000000 |
ren |
1 |
5639005674 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
2789 |
4202601260015 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
1956 |
4202601260015 |
F000004 |
|
Methylprednisolone |
IDR |
|
0.000000000000 |
10.000000000000 |
24000.000000000000 |
0.000000000000 |
0.000000000000 |
240000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
4202601260015 |
|
4202601260015 |
|
|
1900-01-01 00:00:00.000000 |
240000.000000000000 |
0.000000000000 |
ren |
1 |
5639005930 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
2790 |
22512180019 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
74 |
22512180019 |
A000001 |
|
Biaya Kartu Pasien |
IDR |
|
0.000000000000 |
1.000000000000 |
20000.000000000000 |
0.000000000000 |
0.000000000000 |
20000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
22512180019 |
|
22512180019 |
|
|
1900-01-01 00:00:00.000000 |
20000.000000000000 |
0.000000000000 |
ren |
1 |
5639004139 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |