|
2851 |
22601230042 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
1403 |
22601230042 |
A000002 |
|
Rawat Jalan |
IDR |
|
0.000000000000 |
1.000000000000 |
150000.000000000000 |
0.000000000000 |
0.000000000000 |
150000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
22601230042 |
|
22601230042 |
|
|
1900-01-01 00:00:00.000000 |
150000.000000000000 |
0.000000000000 |
ren |
1 |
5639005426 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
2852 |
22601240013 |
2026-04-04 14:00:51.000000 |
2.000000000000 |
1659 |
22601240013 |
A000002 |
|
Rawat Jalan |
IDR |
|
0.000000000000 |
1.000000000000 |
150000.000000000000 |
0.000000000000 |
0.000000000000 |
150000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
22601240013 |
|
22601240013 |
|
|
1900-01-01 00:00:00.000000 |
150000.000000000000 |
0.000000000000 |
ren |
1 |
5639005682 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
2853 |
132602060001 |
2026-04-04 14:00:51.000000 |
3.000000000000 |
1964 |
132602060001 |
L000019 |
|
SGOT |
IDR |
|
0.000000000000 |
1.000000000000 |
55000.000000000000 |
0.000000000000 |
0.000000000000 |
55000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
132602060001 |
|
132602060001 |
|
|
1900-01-01 00:00:00.000000 |
55000.000000000000 |
0.000000000000 |
ren |
1 |
5639005938 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
2854 |
22512180022 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
82 |
22512180022 |
A000002 |
|
Rawat Jalan |
IDR |
|
0.000000000000 |
1.000000000000 |
150000.000000000000 |
0.000000000000 |
0.000000000000 |
150000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
22512180022 |
|
22512180022 |
|
|
1900-01-01 00:00:00.000000 |
150000.000000000000 |
0.000000000000 |
ren |
1 |
5639004147 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
2855 |
42512180062 |
2026-04-04 14:00:51.000000 |
5.000000000000 |
344 |
42512180062 |
F000017 |
|
Panadol |
IDR |
|
0.000000000000 |
2.000000000000 |
12800.000000000000 |
0.000000000000 |
0.000000000000 |
25600.000000000000 |
|
|
|
0.000000000000 |
0 |
|
42512180062 |
|
42512180062 |
|
|
1900-01-01 00:00:00.000000 |
25600.000000000000 |
0.000000000000 |
ren |
1 |
5639004403 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
2856 |
22601110003 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
611 |
22601110003 |
A000001 |
|
Biaya Kartu Pasien |
IDR |
|
0.000000000000 |
1.000000000000 |
50000.000000000000 |
0.000000000000 |
0.000000000000 |
50000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
22601110003 |
|
22601110003 |
|
|
1900-01-01 00:00:00.000000 |
50000.000000000000 |
0.000000000000 |
ren |
1 |
5639004659 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
2857 |
32601150013 |
2026-04-04 14:00:51.000000 |
3.000000000000 |
887 |
32601150013 |
D000009 |
|
Konsultasi Dokter Gigi |
IDR |
|
0.000000000000 |
4.000000000000 |
60000.000000000000 |
0.000000000000 |
0.000000000000 |
240000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
32601150013 |
|
32601150013 |
|
|
1900-01-01 00:00:00.000000 |
240000.000000000000 |
0.000000000000 |
ren |
1 |
5639004915 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
2858 |
2260123000008 |
2026-04-04 14:00:51.000000 |
2.000000000000 |
1148 |
2260123000008 |
D000001 |
|
Biaya dr. Umum |
IDR |
|
0.000000000000 |
1.000000000000 |
50000.000000000000 |
0.000000000000 |
0.000000000000 |
50000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
2260123000008 |
|
2260123000008 |
|
|
1900-01-01 00:00:00.000000 |
50000.000000000000 |
0.000000000000 |
ren |
1 |
5639005171 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
2859 |
22601230042 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
1404 |
22601230042 |
A000001 |
|
Biaya Kartu Pasien |
IDR |
|
0.000000000000 |
1.000000000000 |
50000.000000000000 |
0.000000000000 |
0.000000000000 |
50000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
22601230042 |
|
22601230042 |
|
|
1900-01-01 00:00:00.000000 |
50000.000000000000 |
0.000000000000 |
ren |
1 |
5639005427 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
2860 |
22601240013 |
2026-04-04 14:00:51.000000 |
3.000000000000 |
1660 |
22601240013 |
D000010 |
|
Konsultasi Dokter Anak |
IDR |
|
0.000000000000 |
1.000000000000 |
70000.000000000000 |
0.000000000000 |
0.000000000000 |
70000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
22601240013 |
|
22601240013 |
|
|
1900-01-01 00:00:00.000000 |
70000.000000000000 |
0.000000000000 |
ren |
1 |
5639005683 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |