|
2791 |
42512180057 |
2026-04-04 14:00:51.000000 |
5.000000000000 |
336 |
42512180057 |
F000006 |
|
Amlodipine |
IDR |
|
0.000000000000 |
10.000000000000 |
25500.000000000000 |
0.000000000000 |
0.000000000000 |
255000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
42512180057 |
|
42512180057 |
|
|
1900-01-01 00:00:00.000000 |
255000.000000000000 |
0.000000000000 |
ren |
1 |
5639004395 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
2792 |
22601100005 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
603 |
22601100005 |
A000002 |
|
Rawat Jalan |
IDR |
|
0.000000000000 |
1.000000000000 |
150000.000000000000 |
0.000000000000 |
0.000000000000 |
150000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
22601100005 |
|
22601100005 |
|
|
1900-01-01 00:00:00.000000 |
150000.000000000000 |
0.000000000000 |
ren |
1 |
5639004651 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
2793 |
22601150019 |
2026-04-04 14:00:51.000000 |
2.000000000000 |
879 |
22601150019 |
A000001 |
|
Biaya Kartu Pasien |
IDR |
|
0.000000000000 |
1.000000000000 |
50000.000000000000 |
0.000000000000 |
0.000000000000 |
50000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
22601150019 |
|
22601150019 |
|
|
1900-01-01 00:00:00.000000 |
50000.000000000000 |
0.000000000000 |
ren |
1 |
5639004907 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
2794 |
42601230002 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
1140 |
42601230002 |
F000005 |
|
Captopril |
IDR |
|
0.000000000000 |
1.000000000000 |
14500.000000000000 |
0.000000000000 |
0.000000000000 |
14500.000000000000 |
|
|
|
0.000000000000 |
0 |
|
42601230002 |
|
42601230002 |
|
|
1900-01-01 00:00:00.000000 |
14500.000000000000 |
0.000000000000 |
ren |
1 |
5639005163 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
2795 |
52601230043 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
1396 |
52601230043 |
P000006 |
|
Kasa Steril |
IDR |
|
0.000000000000 |
1.000000000000 |
1000.000000000000 |
0.000000000000 |
0.000000000000 |
1000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
52601230043 |
|
52601230043 |
|
|
1900-01-01 00:00:00.000000 |
1000.000000000000 |
0.000000000000 |
ren |
1 |
5639005419 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
2796 |
42601240012 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
1652 |
42601240012 |
F000002 |
|
Paramex |
IDR |
|
0.000000000000 |
31.000000000000 |
2500.000000000000 |
0.000000000000 |
0.000000000000 |
77500.000000000000 |
|
|
|
0.000000000000 |
0 |
|
42601240012 |
|
42601240012 |
|
|
1900-01-01 00:00:00.000000 |
77500.000000000000 |
0.000000000000 |
ren |
1 |
5639005675 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
2797 |
4202601260015 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
1957 |
4202601260015 |
F000009 |
|
Amoxicillin |
IDR |
|
0.000000000000 |
1.000000000000 |
96500.000000000000 |
0.000000000000 |
0.000000000000 |
96500.000000000000 |
|
|
|
0.000000000000 |
0 |
|
4202601260015 |
|
4202601260015 |
|
|
1900-01-01 00:00:00.000000 |
96500.000000000000 |
0.000000000000 |
ren |
1 |
5639005931 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
2798 |
22512180019 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
75 |
22512180019 |
D000006 |
|
Dokter Spesialis 200k |
IDR |
|
0.000000000000 |
1.000000000000 |
200000.000000000000 |
0.000000000000 |
0.000000000000 |
200000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
22512180019 |
|
22512180019 |
|
|
1900-01-01 00:00:00.000000 |
200000.000000000000 |
0.000000000000 |
ren |
1 |
5639004140 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
2799 |
42512180058 |
2026-04-04 14:00:51.000000 |
5.000000000000 |
337 |
42512180058 |
F000009 |
|
Amoxicillin |
IDR |
|
0.000000000000 |
10.000000000000 |
96500.000000000000 |
0.000000000000 |
0.000000000000 |
965000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
42512180058 |
|
42512180058 |
|
|
1900-01-01 00:00:00.000000 |
965000.000000000000 |
0.000000000000 |
ren |
1 |
5639004396 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
2800 |
22601110001 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
604 |
22601110001 |
D000002 |
|
Biaya Konsultasi dr. Spesialis THT (75.000) |
IDR |
|
0.000000000000 |
1.000000000000 |
75000.000000000000 |
0.000000000000 |
0.000000000000 |
75000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
22601110001 |
|
22601110001 |
|
|
1900-01-01 00:00:00.000000 |
75000.000000000000 |
0.000000000000 |
ren |
1 |
5639004652 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |