|
291 |
1260507000002 |
1900-01-01 00:00:00.000000 |
2521.000000000000 |
LID2606100392 |
22605070002 |
A000001 |
|
Biaya Kartu Pasien |
IDR |
|
0.000000000000 |
1.000000000000 |
50000.000000000000 |
0.000000000000 |
0.000000000000 |
50000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
1260507000002 |
|
|
|
|
1900-01-01 00:00:00.000000 |
50000.000000000000 |
1.000000000000 |
snr |
1 |
5639006543 |
2026-06-10 08:55:23.000000 |
NAMAKU ADMIN |
2026-06-10 08:55:23.000000 |
NAMAKU ADMIN |
0 |
1900-01-01 00:00:00.000000 |
|
292 |
1260525000011 |
1900-01-01 00:00:00.000000 |
2777.000000000000 |
LID2606100648 |
132605250008 |
L000015 |
|
|
IDR |
|
0.000000000000 |
1.000000000000 |
400.000000000000 |
0.000000000000 |
0.000000000000 |
400.000000000000 |
|
|
|
0.000000000000 |
0 |
|
1260525000011 |
|
|
|
|
1900-01-01 00:00:00.000000 |
400.000000000000 |
1.000000000000 |
snr |
1 |
5639006799 |
2026-06-10 08:55:23.000000 |
NAMAKU ADMIN |
2026-06-10 08:55:23.000000 |
NAMAKU ADMIN |
0 |
1900-01-01 00:00:00.000000 |
|
293 |
1260426000011 |
1900-01-01 00:00:00.000000 |
2266.000000000000 |
LID2606100137 |
22604260011 |
D000001 |
|
Biaya dr. Umum (50.000) |
IDR |
|
0.000000000000 |
1.000000000000 |
50000.000000000000 |
0.000000000000 |
0.000000000000 |
50000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
1260426000011 |
|
|
|
|
1900-01-01 00:00:00.000000 |
50000.000000000000 |
1.000000000000 |
snr |
1 |
5639006288 |
2026-06-10 08:55:23.000000 |
NAMAKU ADMIN |
2026-06-10 08:55:23.000000 |
NAMAKU ADMIN |
0 |
1900-01-01 00:00:00.000000 |
|
294 |
1260507000002 |
1900-01-01 00:00:00.000000 |
2522.000000000000 |
LID2606100393 |
22605070002 |
A000002 |
|
Rawat Jalan |
IDR |
|
0.000000000000 |
1.000000000000 |
150000.000000000000 |
0.000000000000 |
0.000000000000 |
150000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
1260507000002 |
|
|
|
|
1900-01-01 00:00:00.000000 |
150000.000000000000 |
1.000000000000 |
snr |
1 |
5639006544 |
2026-06-10 08:55:23.000000 |
NAMAKU ADMIN |
2026-06-10 08:55:23.000000 |
NAMAKU ADMIN |
0 |
1900-01-01 00:00:00.000000 |
|
295 |
1260525000011 |
1900-01-01 00:00:00.000000 |
2778.000000000000 |
LID2606100649 |
132605250008 |
L000024 |
|
|
IDR |
|
0.000000000000 |
1.000000000000 |
500.000000000000 |
0.000000000000 |
0.000000000000 |
500.000000000000 |
|
|
|
0.000000000000 |
0 |
|
1260525000011 |
|
|
|
|
1900-01-01 00:00:00.000000 |
500.000000000000 |
1.000000000000 |
snr |
1 |
5639006800 |
2026-06-10 08:55:23.000000 |
NAMAKU ADMIN |
2026-06-10 08:55:23.000000 |
NAMAKU ADMIN |
0 |
1900-01-01 00:00:00.000000 |
|
296 |
1260426000011 |
1900-01-01 00:00:00.000000 |
2267.000000000000 |
LID2606100138 |
32605040001 |
T000002 |
|
Konsultasi Dokter Spesialis |
IDR |
|
0.000000000000 |
2.000000000000 |
150000.000000000000 |
0.000000000000 |
0.000000000000 |
300000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
1260426000011 |
|
|
|
|
1900-01-01 00:00:00.000000 |
300000.000000000000 |
2.000000000000 |
snr |
1 |
5639006289 |
2026-06-10 08:55:23.000000 |
NAMAKU ADMIN |
2026-06-10 08:55:23.000000 |
NAMAKU ADMIN |
0 |
1900-01-01 00:00:00.000000 |
|
297 |
1260507000002 |
1900-01-01 00:00:00.000000 |
2523.000000000000 |
LID2606100394 |
22605070002 |
D000001 |
|
Biaya dr. Umum (50.000) |
IDR |
|
0.000000000000 |
1.000000000000 |
50000.000000000000 |
0.000000000000 |
0.000000000000 |
50000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
1260507000002 |
|
|
|
|
1900-01-01 00:00:00.000000 |
50000.000000000000 |
1.000000000000 |
snr |
1 |
5639006545 |
2026-06-10 08:55:23.000000 |
NAMAKU ADMIN |
2026-06-10 08:55:23.000000 |
NAMAKU ADMIN |
0 |
1900-01-01 00:00:00.000000 |
|
298 |
1260525000011 |
1900-01-01 00:00:00.000000 |
2779.000000000000 |
LID2606100650 |
132606030005 |
L000002 |
|
|
IDR |
|
0.000000000000 |
1.000000000000 |
30000.000000000000 |
0.000000000000 |
0.000000000000 |
30000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
1260525000011 |
|
|
|
|
1900-01-01 00:00:00.000000 |
30000.000000000000 |
1.000000000000 |
snr |
1 |
5639006801 |
2026-06-10 08:55:23.000000 |
NAMAKU ADMIN |
2026-06-10 08:55:23.000000 |
NAMAKU ADMIN |
0 |
1900-01-01 00:00:00.000000 |
|
299 |
1260426000011 |
1900-01-01 00:00:00.000000 |
2268.000000000000 |
LID2606100139 |
32605040001 |
T000003 |
|
Pemeriksaan Tanda Vital |
IDR |
|
0.000000000000 |
3.000000000000 |
25000.000000000000 |
0.000000000000 |
0.000000000000 |
75000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
1260426000011 |
|
|
|
|
1900-01-01 00:00:00.000000 |
75000.000000000000 |
3.000000000000 |
snr |
1 |
5639006290 |
2026-06-10 08:55:23.000000 |
NAMAKU ADMIN |
2026-06-10 08:55:23.000000 |
NAMAKU ADMIN |
0 |
1900-01-01 00:00:00.000000 |
|
300 |
1260507000002 |
1900-01-01 00:00:00.000000 |
2524.000000000000 |
LID2606100395 |
32605070003 |
T000004 |
|
Pemasangan Infus |
IDR |
|
0.000000000000 |
4.000000000000 |
75000.000000000000 |
0.000000000000 |
0.000000000000 |
300000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
1260507000002 |
|
|
|
|
1900-01-01 00:00:00.000000 |
300000.000000000000 |
4.000000000000 |
snr |
1 |
5639006546 |
2026-06-10 08:55:23.000000 |
NAMAKU ADMIN |
2026-06-10 08:55:23.000000 |
NAMAKU ADMIN |
0 |
1900-01-01 00:00:00.000000 |