|
2991 |
1260329000004 |
1900-01-01 00:00:00.000000 |
2059.000000000000 |
LID2604020034 |
22603290004 |
A000001 |
|
Biaya Kartu Pasien |
IDR |
|
0.000000000000 |
1.000000000000 |
50000.000000000000 |
0.000000000000 |
0.000000000000 |
50000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
1260329000004 |
|
|
|
|
1900-01-01 00:00:00.000000 |
50000.000000000000 |
1.000000000000 |
snr |
1 |
5639003999 |
2026-04-02 09:49:13.000000 |
NAMAKU ADMIN |
2026-04-02 09:49:13.000000 |
NAMAKU ADMIN |
0 |
1900-01-01 00:00:00.000000 |
|
2992 |
1260329000004 |
1900-01-01 00:00:00.000000 |
2060.000000000000 |
LID2604020035 |
22603290004 |
A000002 |
|
Jalan Rawat |
IDR |
|
0.000000000000 |
1.000000000000 |
150000.000000000000 |
0.000000000000 |
0.000000000000 |
150000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
1260329000004 |
|
|
|
|
1900-01-01 00:00:00.000000 |
150000.000000000000 |
1.000000000000 |
snr |
1 |
5639004000 |
2026-04-02 09:49:13.000000 |
NAMAKU ADMIN |
2026-04-02 09:49:13.000000 |
NAMAKU ADMIN |
0 |
1900-01-01 00:00:00.000000 |
|
2993 |
1260329000004 |
1900-01-01 00:00:00.000000 |
2061.000000000000 |
LID2604020036 |
32603290007 |
T000003 |
|
Pemeriksaan Tanda Vital |
IDR |
|
0.000000000000 |
1.000000000000 |
25000.000000000000 |
0.000000000000 |
0.000000000000 |
25000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
1260329000004 |
|
|
|
|
1900-01-01 00:00:00.000000 |
25000.000000000000 |
1.000000000000 |
snr |
1 |
5639004001 |
2026-04-02 09:49:13.000000 |
NAMAKU ADMIN |
2026-04-02 09:49:13.000000 |
NAMAKU ADMIN |
0 |
1900-01-01 00:00:00.000000 |
|
2994 |
1260329000004 |
1900-01-01 00:00:00.000000 |
2062.000000000000 |
LID2604020037 |
32603290008 |
T000002 |
|
Konsultasi Dokter Spesialis |
IDR |
|
0.000000000000 |
1.000000000000 |
150000.000000000000 |
0.000000000000 |
0.000000000000 |
150000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
1260329000004 |
|
|
|
|
1900-01-01 00:00:00.000000 |
150000.000000000000 |
1.000000000000 |
snr |
1 |
5639004002 |
2026-04-02 09:49:13.000000 |
NAMAKU ADMIN |
2026-04-02 09:49:13.000000 |
NAMAKU ADMIN |
0 |
1900-01-01 00:00:00.000000 |
|
2995 |
1260329000004 |
1900-01-01 00:00:00.000000 |
2063.000000000000 |
LID2604020038 |
32603290009 |
T000002 |
|
Konsultasi Dokter Spesialis |
IDR |
|
0.000000000000 |
1.000000000000 |
150000.000000000000 |
0.000000000000 |
0.000000000000 |
150000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
1260329000004 |
|
|
|
|
1900-01-01 00:00:00.000000 |
150000.000000000000 |
1.000000000000 |
snr |
1 |
5639004003 |
2026-04-02 09:49:13.000000 |
NAMAKU ADMIN |
2026-04-02 09:49:13.000000 |
NAMAKU ADMIN |
0 |
1900-01-01 00:00:00.000000 |
|
2996 |
1260329000005 |
1900-01-01 00:00:00.000000 |
2064.000000000000 |
LID2604020039 |
112603290004 |
R000002 |
|
|
IDR |
|
0.000000000000 |
1.000000000000 |
3500000.000000000000 |
0.000000000000 |
0.000000000000 |
3500000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
1260329000005 |
|
|
|
|
1900-01-01 00:00:00.000000 |
3500000.000000000000 |
1.000000000000 |
snr |
1 |
5639004004 |
2026-04-02 09:49:13.000000 |
NAMAKU ADMIN |
2026-04-02 09:49:13.000000 |
NAMAKU ADMIN |
0 |
1900-01-01 00:00:00.000000 |
|
2997 |
1260329000005 |
1900-01-01 00:00:00.000000 |
2065.000000000000 |
LID2604020040 |
112603290004 |
R000007 |
|
|
IDR |
|
0.000000000000 |
1.000000000000 |
7000000.000000000000 |
0.000000000000 |
0.000000000000 |
7000000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
1260329000005 |
|
|
|
|
1900-01-01 00:00:00.000000 |
7000000.000000000000 |
1.000000000000 |
snr |
1 |
5639004005 |
2026-04-02 09:49:13.000000 |
NAMAKU ADMIN |
2026-04-02 09:49:13.000000 |
NAMAKU ADMIN |
0 |
1900-01-01 00:00:00.000000 |
|
2998 |
1260329000005 |
1900-01-01 00:00:00.000000 |
2066.000000000000 |
LID2604020041 |
132603290003 |
L000004 |
|
|
IDR |
|
0.000000000000 |
1.000000000000 |
11111.000000000000 |
0.000000000000 |
0.000000000000 |
11111.000000000000 |
|
|
|
0.000000000000 |
0 |
|
1260329000005 |
|
|
|
|
1900-01-01 00:00:00.000000 |
11111.000000000000 |
1.000000000000 |
snr |
1 |
5639004006 |
2026-04-02 09:49:13.000000 |
NAMAKU ADMIN |
2026-04-02 09:49:13.000000 |
NAMAKU ADMIN |
0 |
1900-01-01 00:00:00.000000 |
|
2999 |
1260329000005 |
1900-01-01 00:00:00.000000 |
2067.000000000000 |
LID2604020042 |
22603290005 |
D000001 |
|
Biaya dr. Umum (50.000) |
IDR |
|
0.000000000000 |
1.000000000000 |
50000.000000000000 |
0.000000000000 |
0.000000000000 |
50000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
1260329000005 |
|
|
|
|
1900-01-01 00:00:00.000000 |
50000.000000000000 |
1.000000000000 |
snr |
1 |
5639004007 |
2026-04-02 09:49:13.000000 |
NAMAKU ADMIN |
2026-04-02 09:49:13.000000 |
NAMAKU ADMIN |
0 |
1900-01-01 00:00:00.000000 |
|
3000 |
1260329000005 |
1900-01-01 00:00:00.000000 |
2068.000000000000 |
LID2604020043 |
22603290005 |
A000002 |
|
Rawat Jalan |
IDR |
|
0.000000000000 |
1.000000000000 |
150000.000000000000 |
0.000000000000 |
0.000000000000 |
150000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
1260329000005 |
|
|
|
|
1900-01-01 00:00:00.000000 |
150000.000000000000 |
1.000000000000 |
snr |
1 |
5639004008 |
2026-04-02 09:49:13.000000 |
NAMAKU ADMIN |
2026-04-02 09:49:13.000000 |
NAMAKU ADMIN |
0 |
1900-01-01 00:00:00.000000 |