|
3001 |
1260329000005 |
1900-01-01 00:00:00.000000 |
2069.000000000000 |
LID2604020044 |
32603290011 |
T000003 |
|
Pemeriksaan Tanda Vital |
IDR |
|
0.000000000000 |
1.000000000000 |
25000.000000000000 |
0.000000000000 |
0.000000000000 |
25000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
1260329000005 |
|
|
|
|
1900-01-01 00:00:00.000000 |
25000.000000000000 |
1.000000000000 |
snr |
1 |
5639004009 |
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 |
|
3002 |
1260329000005 |
1900-01-01 00:00:00.000000 |
2070.000000000000 |
LID2604020045 |
32603290011 |
T000009 |
|
Pengambilan Sampel Darah |
IDR |
|
0.000000000000 |
1.000000000000 |
35000.000000000000 |
0.000000000000 |
0.000000000000 |
35000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
1260329000005 |
|
|
|
|
1900-01-01 00:00:00.000000 |
35000.000000000000 |
1.000000000000 |
snr |
1 |
5639004010 |
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 |
|
3003 |
1260329000006 |
1900-01-01 00:00:00.000000 |
2071.000000000000 |
LID2604020046 |
22603290006 |
D000003 |
|
Dokter Spesialis 50k (50.000) |
IDR |
|
0.000000000000 |
1.000000000000 |
50000.000000000000 |
0.000000000000 |
0.000000000000 |
50000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
1260329000006 |
|
|
|
|
1900-01-01 00:00:00.000000 |
50000.000000000000 |
1.000000000000 |
snr |
1 |
5639004011 |
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 |
|
3004 |
1260329000006 |
1900-01-01 00:00:00.000000 |
2072.000000000000 |
LID2604020047 |
22603290006 |
A000001 |
|
Biaya Kartu Pasien |
IDR |
|
0.000000000000 |
1.000000000000 |
50000.000000000000 |
0.000000000000 |
0.000000000000 |
50000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
1260329000006 |
|
|
|
|
1900-01-01 00:00:00.000000 |
50000.000000000000 |
1.000000000000 |
snr |
1 |
5639004012 |
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 |
|
3005 |
1260329000006 |
1900-01-01 00:00:00.000000 |
2073.000000000000 |
LID2604020048 |
22603290006 |
A000002 |
|
Rawat Jalan |
IDR |
|
0.000000000000 |
1.000000000000 |
150000.000000000000 |
0.000000000000 |
0.000000000000 |
150000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
1260329000006 |
|
|
|
|
1900-01-01 00:00:00.000000 |
150000.000000000000 |
1.000000000000 |
snr |
1 |
5639004013 |
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 |
|
3006 |
1260329000006 |
1900-01-01 00:00:00.000000 |
2074.000000000000 |
LID2604020049 |
32604010004 |
T000007 |
|
Perawatan Luka |
IDR |
|
0.000000000000 |
1.000000000000 |
100000.000000000000 |
0.000000000000 |
0.000000000000 |
100000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
1260329000006 |
|
|
|
|
1900-01-01 00:00:00.000000 |
100000.000000000000 |
1.000000000000 |
snr |
1 |
5639004014 |
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 |
|
3007 |
1260329000006 |
1900-01-01 00:00:00.000000 |
2075.000000000000 |
LID2604020050 |
32604010004 |
T000004 |
|
Pemasangan Infus |
IDR |
|
0.000000000000 |
1.000000000000 |
75000.000000000000 |
0.000000000000 |
0.000000000000 |
75000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
1260329000006 |
|
|
|
|
1900-01-01 00:00:00.000000 |
75000.000000000000 |
1.000000000000 |
snr |
1 |
5639004015 |
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 |
|
3008 |
1260329000007 |
1900-01-01 00:00:00.000000 |
2076.000000000000 |
LID2604020051 |
22603290007 |
D000001 |
|
Biaya dr. Umum (50.000) |
IDR |
|
0.000000000000 |
1.000000000000 |
50000.000000000000 |
0.000000000000 |
0.000000000000 |
50000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
1260329000007 |
|
|
|
|
1900-01-01 00:00:00.000000 |
50000.000000000000 |
1.000000000000 |
snr |
1 |
5639004016 |
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 |
|
3009 |
1260329000007 |
1900-01-01 00:00:00.000000 |
2077.000000000000 |
LID2604020052 |
22603290007 |
A000002 |
|
Jalan Rawat |
IDR |
|
0.000000000000 |
1.000000000000 |
150000.000000000000 |
0.000000000000 |
0.000000000000 |
150000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
1260329000007 |
|
|
|
|
1900-01-01 00:00:00.000000 |
150000.000000000000 |
1.000000000000 |
snr |
1 |
5639004017 |
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 |
|
3010 |
1260329000007 |
1900-01-01 00:00:00.000000 |
2078.000000000000 |
LID2604020053 |
32603290015 |
T000004 |
|
Pemasangan Infus |
IDR |
|
0.000000000000 |
1.000000000000 |
75000.000000000000 |
0.000000000000 |
0.000000000000 |
75000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
1260329000007 |
|
|
|
|
1900-01-01 00:00:00.000000 |
75000.000000000000 |
1.000000000000 |
snr |
1 |
5639004018 |
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 |