|
3031 |
1260330000003 |
1900-01-01 00:00:00.000000 |
2099.000000000000 |
LID2604020074 |
22603300003 |
D000001 |
|
Biaya dr. Umum (50.000) |
IDR |
|
0.000000000000 |
1.000000000000 |
50000.000000000000 |
0.000000000000 |
0.000000000000 |
50000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
1260330000003 |
|
|
|
|
1900-01-01 00:00:00.000000 |
50000.000000000000 |
1.000000000000 |
snr |
1 |
5639004039 |
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 |
|
3032 |
1260330000003 |
1900-01-01 00:00:00.000000 |
2100.000000000000 |
LID2604020075 |
22603300003 |
A000002 |
|
Rawat Jalan |
IDR |
|
0.000000000000 |
1.000000000000 |
150000.000000000000 |
0.000000000000 |
0.000000000000 |
150000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
1260330000003 |
|
|
|
|
1900-01-01 00:00:00.000000 |
150000.000000000000 |
1.000000000000 |
snr |
1 |
5639004040 |
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 |
|
3033 |
1260330000003 |
1900-01-01 00:00:00.000000 |
2101.000000000000 |
LID2604020076 |
22603300003 |
A000001 |
|
Biaya Kartu Pasien |
IDR |
|
0.000000000000 |
1.000000000000 |
50000.000000000000 |
0.000000000000 |
0.000000000000 |
50000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
1260330000003 |
|
|
|
|
1900-01-01 00:00:00.000000 |
50000.000000000000 |
1.000000000000 |
snr |
1 |
5639004041 |
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 |
|
3034 |
1260330000003 |
1900-01-01 00:00:00.000000 |
2102.000000000000 |
LID2604020077 |
32603310001 |
T000002 |
|
Konsultasi Dokter Spesialis |
IDR |
|
0.000000000000 |
1.000000000000 |
150000.000000000000 |
0.000000000000 |
0.000000000000 |
150000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
1260330000003 |
|
|
|
|
1900-01-01 00:00:00.000000 |
150000.000000000000 |
1.000000000000 |
snr |
1 |
5639004042 |
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 |
|
3035 |
1260330000003 |
1900-01-01 00:00:00.000000 |
2103.000000000000 |
LID2604020078 |
32603310001 |
T000009 |
|
Pengambilan Sampel Darah |
IDR |
|
0.000000000000 |
1.000000000000 |
35000.000000000000 |
0.000000000000 |
0.000000000000 |
35000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
1260330000003 |
|
|
|
|
1900-01-01 00:00:00.000000 |
35000.000000000000 |
1.000000000000 |
snr |
1 |
5639004043 |
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 |
|
3036 |
1260331000001 |
1900-01-01 00:00:00.000000 |
2104.000000000000 |
LID2604020079 |
112604010003 |
R000004 |
|
|
IDR |
|
0.000000000000 |
1.000000000000 |
300000.000000000000 |
0.000000000000 |
0.000000000000 |
300000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
1260331000001 |
|
|
|
|
1900-01-01 00:00:00.000000 |
300000.000000000000 |
1.000000000000 |
snr |
1 |
5639004044 |
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 |
|
3037 |
1260331000001 |
1900-01-01 00:00:00.000000 |
2105.000000000000 |
LID2604020080 |
112604010004 |
R000004 |
|
|
IDR |
|
0.000000000000 |
1.000000000000 |
300000.000000000000 |
0.000000000000 |
0.000000000000 |
300000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
1260331000001 |
|
|
|
|
1900-01-01 00:00:00.000000 |
300000.000000000000 |
1.000000000000 |
snr |
1 |
5639004045 |
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 |
|
3038 |
1260331000001 |
1900-01-01 00:00:00.000000 |
2106.000000000000 |
LID2604020081 |
132604010002 |
L000021 |
|
|
IDR |
|
0.000000000000 |
1.000000000000 |
50000.000000000000 |
0.000000000000 |
0.000000000000 |
50000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
1260331000001 |
|
|
|
|
1900-01-01 00:00:00.000000 |
50000.000000000000 |
1.000000000000 |
snr |
1 |
5639004046 |
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 |
|
3039 |
1260331000001 |
1900-01-01 00:00:00.000000 |
2107.000000000000 |
LID2604020082 |
22603310001 |
D000001 |
|
Biaya dr. Umum (50.000) |
IDR |
|
0.000000000000 |
1.000000000000 |
50000.000000000000 |
0.000000000000 |
0.000000000000 |
50000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
1260331000001 |
|
|
|
|
1900-01-01 00:00:00.000000 |
50000.000000000000 |
1.000000000000 |
snr |
1 |
5639004047 |
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 |
|
3040 |
1260331000001 |
1900-01-01 00:00:00.000000 |
2108.000000000000 |
LID2604020083 |
22603310001 |
A000002 |
|
Rawat Jalan |
IDR |
|
0.000000000000 |
1.000000000000 |
150000.000000000000 |
0.000000000000 |
0.000000000000 |
150000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
1260331000001 |
|
|
|
|
1900-01-01 00:00:00.000000 |
150000.000000000000 |
1.000000000000 |
snr |
1 |
5639004048 |
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 |