|
2801 |
22601150019 |
2026-04-04 14:00:51.000000 |
3.000000000000 |
880 |
22601150019 |
D000002 |
|
Biaya Konsultasi dr. Spesialis THT |
IDR |
|
0.000000000000 |
1.000000000000 |
75000.000000000000 |
0.000000000000 |
0.000000000000 |
75000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
22601150019 |
|
22601150019 |
|
|
1900-01-01 00:00:00.000000 |
75000.000000000000 |
0.000000000000 |
ren |
1 |
5639004908 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
2802 |
52601230003 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
1141 |
52601230003 |
X000004 |
|
Stetoskop Premium |
IDR |
|
0.000000000000 |
1.000000000000 |
250000.000000000000 |
0.000000000000 |
0.000000000000 |
250000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
52601230003 |
|
52601230003 |
|
|
1900-01-01 00:00:00.000000 |
250000.000000000000 |
0.000000000000 |
ren |
1 |
5639005164 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
2803 |
32601230041 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
1397 |
32601230041 |
T000002 |
|
Konsultasi Dokter Spesialis |
IDR |
|
0.000000000000 |
1.000000000000 |
150000.000000000000 |
0.000000000000 |
0.000000000000 |
150000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
32601230041 |
|
32601230041 |
|
|
1900-01-01 00:00:00.000000 |
150000.000000000000 |
0.000000000000 |
ren |
1 |
5639005420 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
2804 |
2260124000013 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
1653 |
2260124000013 |
D000004 |
|
Dokter Spesialis 100k |
IDR |
|
0.000000000000 |
1.000000000000 |
100000.000000000000 |
0.000000000000 |
0.000000000000 |
100000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
2260124000013 |
|
2260124000013 |
|
|
1900-01-01 00:00:00.000000 |
100000.000000000000 |
0.000000000000 |
ren |
1 |
5639005676 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
2805 |
3202601280001 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
1958 |
3202601280001 |
T000005 |
|
Injeksi Intramuskular |
IDR |
|
0.000000000000 |
1.000000000000 |
40000.000000000000 |
0.000000000000 |
0.000000000000 |
40000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
3202601280001 |
|
3202601280001 |
|
|
1900-01-01 00:00:00.000000 |
40000.000000000000 |
0.000000000000 |
ren |
1 |
5639005932 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
2806 |
22512180020 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
76 |
22512180020 |
A000002 |
|
Rawat Jalan |
IDR |
|
0.000000000000 |
1.000000000000 |
150000.000000000000 |
0.000000000000 |
0.000000000000 |
150000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
22512180020 |
|
22512180020 |
|
|
1900-01-01 00:00:00.000000 |
150000.000000000000 |
0.000000000000 |
ren |
1 |
5639004141 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
2807 |
42512180059 |
2026-04-04 14:00:51.000000 |
5.000000000000 |
338 |
42512180059 |
F000006 |
|
Amlodipine |
IDR |
|
0.000000000000 |
3.000000000000 |
25500.000000000000 |
0.000000000000 |
0.000000000000 |
76500.000000000000 |
|
|
|
0.000000000000 |
0 |
|
42512180059 |
|
42512180059 |
|
|
1900-01-01 00:00:00.000000 |
76500.000000000000 |
0.000000000000 |
ren |
1 |
5639004397 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
2808 |
22601110001 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
605 |
22601110001 |
A000003 |
|
Rawat Inap |
IDR |
|
0.000000000000 |
1.000000000000 |
500000.000000000000 |
0.000000000000 |
0.000000000000 |
500000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
22601110001 |
|
22601110001 |
|
|
1900-01-01 00:00:00.000000 |
500000.000000000000 |
0.000000000000 |
ren |
1 |
5639004653 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
2809 |
42601150009 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
881 |
42601150009 |
F000006 |
|
Amlodipine |
IDR |
|
0.000000000000 |
10.000000000000 |
25500.000000000000 |
0.000000000000 |
0.000000000000 |
255000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
42601150009 |
|
42601150009 |
|
|
1900-01-01 00:00:00.000000 |
255000.000000000000 |
0.000000000000 |
ren |
1 |
5639004909 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
2810 |
22601230006 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
1142 |
22601230006 |
A000002 |
|
Rawat Jalan |
IDR |
|
0.000000000000 |
1.000000000000 |
150000.000000000000 |
0.000000000000 |
0.000000000000 |
150000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
22601230006 |
|
22601230006 |
|
|
1900-01-01 00:00:00.000000 |
150000.000000000000 |
0.000000000000 |
ren |
1 |
5639005165 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |