|
2861 |
132602060001 |
2026-04-04 14:00:51.000000 |
4.000000000000 |
1965 |
132602060001 |
L000020 |
|
SGPT |
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 |
5639005939 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
2862 |
22512180022 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
83 |
22512180022 |
A000001 |
|
Biaya Kartu Pasien |
IDR |
|
0.000000000000 |
1.000000000000 |
20000.000000000000 |
0.000000000000 |
0.000000000000 |
20000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
22512180022 |
|
22512180022 |
|
|
1900-01-01 00:00:00.000000 |
20000.000000000000 |
0.000000000000 |
ren |
1 |
5639004148 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
2863 |
42512180063 |
2026-04-04 14:00:51.000000 |
5.000000000000 |
345 |
42512180063 |
F000009 |
|
Amoxicillin |
IDR |
|
0.000000000000 |
16.000000000000 |
96500.000000000000 |
0.000000000000 |
0.000000000000 |
1544000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
42512180063 |
|
42512180063 |
|
|
1900-01-01 00:00:00.000000 |
1544000.000000000000 |
0.000000000000 |
ren |
1 |
5639004404 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
2864 |
22601110004 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
612 |
22601110004 |
D000001 |
|
Biaya dr. Umum (50.000) |
IDR |
|
0.000000000000 |
1.000000000000 |
50000.000000000000 |
0.000000000000 |
0.000000000000 |
50000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
22601110004 |
|
22601110004 |
|
|
1900-01-01 00:00:00.000000 |
50000.000000000000 |
0.000000000000 |
ren |
1 |
5639004660 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
2865 |
32601150014 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
888 |
32601150014 |
T000007 |
|
Perawatan Luka |
IDR |
|
0.000000000000 |
1.000000000000 |
100000.000000000000 |
0.000000000000 |
0.000000000000 |
100000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
32601150014 |
|
32601150014 |
|
|
1900-01-01 00:00:00.000000 |
100000.000000000000 |
0.000000000000 |
ren |
1 |
5639004916 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
2866 |
2260123000008 |
2026-04-04 14:00:51.000000 |
2.000000000000 |
1149 |
2260123000008 |
A000001 |
|
Biaya Kartu Pasien |
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 |
5639005172 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
2867 |
32601230042 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
1405 |
32601230042 |
T000002 |
|
Konsultasi Dokter Spesialis |
IDR |
|
0.000000000000 |
1.000000000000 |
150000.000000000000 |
0.000000000000 |
0.000000000000 |
150000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
32601230042 |
|
32601230042 |
|
|
1900-01-01 00:00:00.000000 |
150000.000000000000 |
0.000000000000 |
ren |
1 |
5639005428 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
2868 |
32601240012 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
1661 |
32601240012 |
T000003 |
|
Pemeriksaan Tanda Vital |
IDR |
|
0.000000000000 |
1.000000000000 |
25000.000000000000 |
0.000000000000 |
0.000000000000 |
25000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
32601240012 |
|
32601240012 |
|
|
1900-01-01 00:00:00.000000 |
25000.000000000000 |
0.000000000000 |
ren |
1 |
5639005684 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
2869 |
132602060001 |
2026-04-04 14:00:51.000000 |
5.000000000000 |
1966 |
132602060001 |
L000021 |
|
Protein Total |
IDR |
|
0.000000000000 |
1.000000000000 |
50000.000000000000 |
0.000000000000 |
0.000000000000 |
50000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
132602060001 |
|
132602060001 |
|
|
1900-01-01 00:00:00.000000 |
50000.000000000000 |
0.000000000000 |
ren |
1 |
5639005940 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
2870 |
22512180022 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
84 |
22512180022 |
D000002 |
|
Biaya Konsultasi dr. Spesialis THT |
IDR |
|
0.000000000000 |
1.000000000000 |
75000.000000000000 |
0.000000000000 |
0.000000000000 |
75000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
22512180022 |
|
22512180022 |
|
|
1900-01-01 00:00:00.000000 |
75000.000000000000 |
0.000000000000 |
ren |
1 |
5639004149 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |