|
3051 |
1260401000002 |
2026-04-01 08:53:44.000000 |
2119.000000000000 |
LID2604020094 |
22604010002 |
D000006 |
|
Dokter Spesialis 200k |
IDR |
|
0.000000000000 |
1.000000000000 |
200000.000000000000 |
0.000000000000 |
0.000000000000 |
200000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
1260401000002 |
|
|
|
|
1900-01-01 00:00:00.000000 |
200000.000000000000 |
1.000000000000 |
snr |
1 |
5639004059 |
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 |
|
3052 |
1260401000002 |
2026-04-01 08:53:44.000000 |
2120.000000000000 |
LID2604020095 |
42604020002 |
F000006 |
|
Amlodipine |
IDR |
|
0.000000000000 |
1.000000000000 |
25500.000000000000 |
0.000000000000 |
0.000000000000 |
25500.000000000000 |
|
|
|
0.000000000000 |
0 |
|
1260401000002 |
|
|
|
|
1900-01-01 00:00:00.000000 |
25500.000000000000 |
1.000000000000 |
snr |
1 |
5639004060 |
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 |
|
3053 |
1260401000002 |
2026-04-01 08:53:44.000000 |
2121.000000000000 |
LID2604020096 |
42604020002 |
F000013 |
|
Dexamethasone |
IDR |
|
0.000000000000 |
1.000000000000 |
42000.000000000000 |
0.000000000000 |
0.000000000000 |
42000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
1260401000002 |
|
|
|
|
1900-01-01 00:00:00.000000 |
42000.000000000000 |
1.000000000000 |
snr |
1 |
5639004061 |
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 |
|
3054 |
1260401000003 |
1900-01-01 00:00:00.000000 |
2122.000000000000 |
LID2604020097 |
112604010002 |
R000009 |
|
|
IDR |
|
0.000000000000 |
1.000000000000 |
26000000.000000000000 |
0.000000000000 |
0.000000000000 |
26000000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
1260401000003 |
|
|
|
|
1900-01-01 00:00:00.000000 |
26000000.000000000000 |
1.000000000000 |
snr |
1 |
5639004062 |
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 |
|
3055 |
1260401000003 |
1900-01-01 00:00:00.000000 |
2123.000000000000 |
LID2604020098 |
132604010001 |
L000040 |
|
|
IDR |
|
0.000000000000 |
1.000000000000 |
4545.000000000000 |
0.000000000000 |
0.000000000000 |
4545.000000000000 |
|
|
|
0.000000000000 |
0 |
|
1260401000003 |
|
|
|
|
1900-01-01 00:00:00.000000 |
4545.000000000000 |
1.000000000000 |
snr |
1 |
5639004063 |
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 |
|
3056 |
1260401000003 |
1900-01-01 00:00:00.000000 |
2124.000000000000 |
LID2604020099 |
22604010003 |
D000002 |
|
Biaya Konsultasi dr. Spesialis THT (75.000) |
IDR |
|
0.000000000000 |
1.000000000000 |
75000.000000000000 |
0.000000000000 |
0.000000000000 |
75000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
1260401000003 |
|
|
|
|
1900-01-01 00:00:00.000000 |
75000.000000000000 |
1.000000000000 |
snr |
1 |
5639004064 |
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 |
|
3057 |
1260401000003 |
1900-01-01 00:00:00.000000 |
2125.000000000000 |
LID2604020100 |
22604010003 |
A000001 |
|
Biaya Kartu Pasien |
IDR |
|
0.000000000000 |
1.000000000000 |
50000.000000000000 |
0.000000000000 |
0.000000000000 |
50000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
1260401000003 |
|
|
|
|
1900-01-01 00:00:00.000000 |
50000.000000000000 |
1.000000000000 |
snr |
1 |
5639004065 |
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 |
|
3058 |
1260401000003 |
1900-01-01 00:00:00.000000 |
2126.000000000000 |
LID2604020101 |
22604010003 |
A000002 |
|
Rawat Jalan |
IDR |
|
0.000000000000 |
1.000000000000 |
150000.000000000000 |
0.000000000000 |
0.000000000000 |
150000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
1260401000003 |
|
|
|
|
1900-01-01 00:00:00.000000 |
150000.000000000000 |
1.000000000000 |
snr |
1 |
5639004066 |
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 |
|
3059 |
1260401000003 |
1900-01-01 00:00:00.000000 |
2127.000000000000 |
LID2604020102 |
32604010002 |
T000004 |
|
Pemasangan Infus |
IDR |
|
0.000000000000 |
1.000000000000 |
75000.000000000000 |
0.000000000000 |
0.000000000000 |
75000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
1260401000003 |
|
|
|
|
1900-01-01 00:00:00.000000 |
75000.000000000000 |
1.000000000000 |
snr |
1 |
5639004067 |
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 |
|
3060 |
1260401000003 |
1900-01-01 00:00:00.000000 |
2128.000000000000 |
LID2604020103 |
32604010002 |
T000009 |
|
Pengambilan Sampel Darah |
IDR |
|
0.000000000000 |
1.000000000000 |
35000.000000000000 |
0.000000000000 |
0.000000000000 |
35000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
1260401000003 |
|
|
|
|
1900-01-01 00:00:00.000000 |
35000.000000000000 |
1.000000000000 |
snr |
1 |
5639004068 |
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 |