|
3041 |
1260331000001 |
1900-01-01 00:00:00.000000 |
2109.000000000000 |
LID2604020084 |
22603310001 |
A000001 |
|
Biaya Kartu Pasien |
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 |
5639004049 |
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 |
|
3042 |
1260331000001 |
1900-01-01 00:00:00.000000 |
2110.000000000000 |
LID2604020085 |
32604010003 |
T000009 |
|
Pengambilan Sampel Darah |
IDR |
|
0.000000000000 |
1.000000000000 |
35000.000000000000 |
0.000000000000 |
0.000000000000 |
35000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
1260331000001 |
|
|
|
|
1900-01-01 00:00:00.000000 |
35000.000000000000 |
1.000000000000 |
snr |
1 |
5639004050 |
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 |
|
3043 |
1260331000001 |
1900-01-01 00:00:00.000000 |
2111.000000000000 |
LID2604020086 |
42604020003 |
F000001 |
|
Paracetamol |
IDR |
|
0.000000000000 |
1.000000000000 |
1500.000000000000 |
0.000000000000 |
0.000000000000 |
1500.000000000000 |
|
|
|
0.000000000000 |
0 |
|
1260331000001 |
|
|
|
|
1900-01-01 00:00:00.000000 |
1500.000000000000 |
1.000000000000 |
snr |
1 |
5639004051 |
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 |
|
3044 |
1260331000001 |
1900-01-01 00:00:00.000000 |
2112.000000000000 |
LID2604020087 |
42604020003 |
F000007 |
|
Captopril |
IDR |
|
0.000000000000 |
1.000000000000 |
14500.000000000000 |
0.000000000000 |
0.000000000000 |
14500.000000000000 |
|
|
|
0.000000000000 |
0 |
|
1260331000001 |
|
|
|
|
1900-01-01 00:00:00.000000 |
14500.000000000000 |
1.000000000000 |
snr |
1 |
5639004052 |
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 |
|
3045 |
1260401000001 |
2026-04-01 07:24:22.000000 |
2113.000000000000 |
LID2604020088 |
112604010001 |
R000003 |
|
|
IDR |
|
0.000000000000 |
1.000000000000 |
8000000.000000000000 |
0.000000000000 |
0.000000000000 |
8000000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
1260401000001 |
|
|
|
|
1900-01-01 00:00:00.000000 |
8000000.000000000000 |
1.000000000000 |
snr |
1 |
5639004053 |
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 |
|
3046 |
1260401000001 |
2026-04-01 07:24:22.000000 |
2114.000000000000 |
LID2604020089 |
22604010001 |
A000002 |
|
Rawat Jalan |
IDR |
|
0.000000000000 |
1.000000000000 |
150000.000000000000 |
0.000000000000 |
0.000000000000 |
150000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
1260401000001 |
|
|
|
|
1900-01-01 00:00:00.000000 |
150000.000000000000 |
1.000000000000 |
snr |
1 |
5639004054 |
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 |
|
3047 |
1260401000001 |
2026-04-01 07:24:22.000000 |
2115.000000000000 |
LID2604020090 |
22604010001 |
A000001 |
|
Biaya Kartu Pasien |
IDR |
|
0.000000000000 |
1.000000000000 |
50000.000000000000 |
0.000000000000 |
0.000000000000 |
50000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
1260401000001 |
|
|
|
|
1900-01-01 00:00:00.000000 |
50000.000000000000 |
1.000000000000 |
snr |
1 |
5639004055 |
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 |
|
3048 |
1260401000001 |
2026-04-01 07:24:22.000000 |
2116.000000000000 |
LID2604020091 |
22604010001 |
D000005 |
|
Dokter Spesialis 150k |
IDR |
|
0.000000000000 |
1.000000000000 |
150000.000000000000 |
0.000000000000 |
0.000000000000 |
150000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
1260401000001 |
|
|
|
|
1900-01-01 00:00:00.000000 |
150000.000000000000 |
1.000000000000 |
snr |
1 |
5639004056 |
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 |
|
3049 |
1260401000002 |
2026-04-01 08:53:44.000000 |
2117.000000000000 |
LID2604020092 |
22604010002 |
A000002 |
|
Rawat Jalan |
IDR |
|
0.000000000000 |
1.000000000000 |
150000.000000000000 |
0.000000000000 |
0.000000000000 |
150000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
1260401000002 |
|
|
|
|
1900-01-01 00:00:00.000000 |
150000.000000000000 |
1.000000000000 |
snr |
1 |
5639004057 |
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 |
|
3050 |
1260401000002 |
2026-04-01 08:53:44.000000 |
2118.000000000000 |
LID2604020093 |
22604010002 |
A000001 |
|
Biaya Kartu Pasien |
IDR |
|
0.000000000000 |
1.000000000000 |
50000.000000000000 |
0.000000000000 |
0.000000000000 |
50000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
1260401000002 |
|
|
|
|
1900-01-01 00:00:00.000000 |
50000.000000000000 |
1.000000000000 |
snr |
1 |
5639004058 |
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 |