|
2921 |
22601150020 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
895 |
22601150020 |
A000003 |
|
Rawat Inap |
IDR |
|
0.000000000000 |
1.000000000000 |
500000.000000000000 |
0.000000000000 |
0.000000000000 |
500000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
22601150020 |
|
22601150020 |
|
|
1900-01-01 00:00:00.000000 |
500000.000000000000 |
0.000000000000 |
ren |
1 |
5639004923 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
2922 |
32601230007 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
1156 |
32601230007 |
T000002 |
|
Konsultasi Dokter Spesialis |
IDR |
|
0.000000000000 |
1.000000000000 |
150000.000000000000 |
0.000000000000 |
0.000000000000 |
150000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
32601230007 |
|
32601230007 |
|
|
1900-01-01 00:00:00.000000 |
150000.000000000000 |
0.000000000000 |
ren |
1 |
5639005179 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
2923 |
226012300043 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
1412 |
226012300043 |
D000001 |
|
Biaya dr. Umum |
IDR |
|
0.000000000000 |
1.000000000000 |
50000.000000000000 |
0.000000000000 |
0.000000000000 |
50000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
226012300043 |
|
226012300043 |
|
|
1900-01-01 00:00:00.000000 |
50000.000000000000 |
0.000000000000 |
ren |
1 |
5639005435 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
2924 |
52601240011 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
1668 |
52601240011 |
P000001 |
|
Jarum Suntik |
IDR |
|
0.000000000000 |
1.000000000000 |
2500.000000000000 |
0.000000000000 |
0.000000000000 |
2500.000000000000 |
|
|
|
0.000000000000 |
0 |
|
52601240011 |
|
52601240011 |
|
|
1900-01-01 00:00:00.000000 |
2500.000000000000 |
0.000000000000 |
ren |
1 |
5639005691 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
2925 |
132602060001 |
2026-04-04 14:00:51.000000 |
12.000000000000 |
1973 |
132602060001 |
L000028 |
|
LDL |
IDR |
|
0.000000000000 |
1.000000000000 |
80000.000000000000 |
0.000000000000 |
0.000000000000 |
80000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
132602060001 |
|
132602060001 |
|
|
1900-01-01 00:00:00.000000 |
80000.000000000000 |
0.000000000000 |
ren |
1 |
5639005947 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
2926 |
22512180025 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
91 |
22512180025 |
A000002 |
|
Rawat Jalan |
IDR |
|
0.000000000000 |
1.000000000000 |
150000.000000000000 |
0.000000000000 |
0.000000000000 |
150000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
22512180025 |
|
22512180025 |
|
|
1900-01-01 00:00:00.000000 |
150000.000000000000 |
0.000000000000 |
ren |
1 |
5639004156 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
2927 |
42512180066 |
2026-04-04 14:00:51.000000 |
5.000000000000 |
353 |
42512180066 |
F000006 |
|
Amlodipine |
IDR |
|
0.000000000000 |
14.000000000000 |
25500.000000000000 |
0.000000000000 |
0.000000000000 |
357000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
42512180066 |
|
42512180066 |
|
|
1900-01-01 00:00:00.000000 |
357000.000000000000 |
0.000000000000 |
ren |
1 |
5639004412 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
2928 |
22601110006 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
630 |
22601110006 |
D000002 |
|
Biaya Konsultasi dr. Spesialis THT (75.000) |
IDR |
|
0.000000000000 |
1.000000000000 |
75000.000000000000 |
0.000000000000 |
0.000000000000 |
75000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
22601110006 |
|
22601110006 |
|
|
1900-01-01 00:00:00.000000 |
75000.000000000000 |
0.000000000000 |
ren |
1 |
5639004668 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
2929 |
22601150020 |
2026-04-04 14:00:51.000000 |
2.000000000000 |
896 |
22601150020 |
A000001 |
|
Biaya Kartu Pasien |
IDR |
|
0.000000000000 |
1.000000000000 |
50000.000000000000 |
0.000000000000 |
0.000000000000 |
50000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
22601150020 |
|
22601150020 |
|
|
1900-01-01 00:00:00.000000 |
50000.000000000000 |
0.000000000000 |
ren |
1 |
5639004924 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
2930 |
52601230004 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
1157 |
52601230004 |
P000006 |
|
Kasa Steril |
IDR |
|
0.000000000000 |
1.000000000000 |
1000.000000000000 |
0.000000000000 |
0.000000000000 |
1000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
52601230004 |
|
52601230004 |
|
|
1900-01-01 00:00:00.000000 |
1000.000000000000 |
0.000000000000 |
ren |
1 |
5639005180 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |