|
301 |
1260525000011 |
1900-01-01 00:00:00.000000 |
2780.000000000000 |
LID2606100651 |
22605250011 |
A000001 |
|
Biaya Kartu Pasien |
IDR |
|
0.000000000000 |
1.000000000000 |
50000.000000000000 |
0.000000000000 |
0.000000000000 |
50000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
1260525000011 |
|
|
|
|
1900-01-01 00:00:00.000000 |
50000.000000000000 |
1.000000000000 |
snr |
1 |
5639006802 |
2026-06-10 08:55:23.000000 |
NAMAKU ADMIN |
2026-06-10 08:55:23.000000 |
NAMAKU ADMIN |
0 |
1900-01-01 00:00:00.000000 |
|
302 |
1260426000012 |
1900-01-01 00:00:00.000000 |
2269.000000000000 |
LID2606100140 |
112604260003 |
R000004 |
|
|
IDR |
|
0.000000000000 |
1.000000000000 |
300000.000000000000 |
0.000000000000 |
0.000000000000 |
300000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
1260426000012 |
|
|
|
|
1900-01-01 00:00:00.000000 |
300000.000000000000 |
1.000000000000 |
snr |
1 |
5639006291 |
2026-06-10 08:55:23.000000 |
NAMAKU ADMIN |
2026-06-10 08:55:23.000000 |
NAMAKU ADMIN |
0 |
1900-01-01 00:00:00.000000 |
|
303 |
1260507000002 |
1900-01-01 00:00:00.000000 |
2525.000000000000 |
LID2606100396 |
32605070003 |
T000005 |
|
Injeksi Intramuskular |
IDR |
|
0.000000000000 |
3.000000000000 |
40000.000000000000 |
0.000000000000 |
0.000000000000 |
120000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
1260507000002 |
|
|
|
|
1900-01-01 00:00:00.000000 |
120000.000000000000 |
3.000000000000 |
snr |
1 |
5639006547 |
2026-06-10 08:55:23.000000 |
NAMAKU ADMIN |
2026-06-10 08:55:23.000000 |
NAMAKU ADMIN |
0 |
1900-01-01 00:00:00.000000 |
|
304 |
1260525000011 |
1900-01-01 00:00:00.000000 |
2781.000000000000 |
LID2606100652 |
22605250011 |
A000002 |
|
Rawat Jalan |
IDR |
|
0.000000000000 |
1.000000000000 |
150000.000000000000 |
0.000000000000 |
0.000000000000 |
150000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
1260525000011 |
|
|
|
|
1900-01-01 00:00:00.000000 |
150000.000000000000 |
1.000000000000 |
snr |
1 |
5639006803 |
2026-06-10 08:55:23.000000 |
NAMAKU ADMIN |
2026-06-10 08:55:23.000000 |
NAMAKU ADMIN |
0 |
1900-01-01 00:00:00.000000 |
|
305 |
1260426000012 |
1900-01-01 00:00:00.000000 |
2270.000000000000 |
LID2606100141 |
132604260003 |
L000021 |
|
|
IDR |
|
0.000000000000 |
1.000000000000 |
50000.000000000000 |
0.000000000000 |
0.000000000000 |
50000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
1260426000012 |
|
|
|
|
1900-01-01 00:00:00.000000 |
50000.000000000000 |
1.000000000000 |
snr |
1 |
5639006292 |
2026-06-10 08:55:23.000000 |
NAMAKU ADMIN |
2026-06-10 08:55:23.000000 |
NAMAKU ADMIN |
0 |
1900-01-01 00:00:00.000000 |
|
306 |
1260507000002 |
1900-01-01 00:00:00.000000 |
2526.000000000000 |
LID2606100397 |
32605070005 |
T000002 |
|
Konsultasi Dokter Spesialis |
IDR |
|
0.000000000000 |
1.000000000000 |
150000.000000000000 |
0.000000000000 |
0.000000000000 |
150000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
1260507000002 |
|
|
|
|
1900-01-01 00:00:00.000000 |
150000.000000000000 |
1.000000000000 |
snr |
1 |
5639006548 |
2026-06-10 08:55:23.000000 |
NAMAKU ADMIN |
2026-06-10 08:55:23.000000 |
NAMAKU ADMIN |
0 |
1900-01-01 00:00:00.000000 |
|
307 |
1260525000011 |
1900-01-01 00:00:00.000000 |
2782.000000000000 |
LID2606100653 |
22605250011 |
D000001 |
|
Biaya dr. Umum (50.000) |
IDR |
|
0.000000000000 |
1.000000000000 |
50000.000000000000 |
0.000000000000 |
0.000000000000 |
50000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
1260525000011 |
|
|
|
|
1900-01-01 00:00:00.000000 |
50000.000000000000 |
1.000000000000 |
snr |
1 |
5639006804 |
2026-06-10 08:55:23.000000 |
NAMAKU ADMIN |
2026-06-10 08:55:23.000000 |
NAMAKU ADMIN |
0 |
1900-01-01 00:00:00.000000 |
|
308 |
1260426000012 |
1900-01-01 00:00:00.000000 |
2271.000000000000 |
LID2606100142 |
132605030004 |
L000021 |
|
|
IDR |
|
0.000000000000 |
2.000000000000 |
50000.000000000000 |
0.000000000000 |
0.000000000000 |
100000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
1260426000012 |
|
|
|
|
1900-01-01 00:00:00.000000 |
100000.000000000000 |
2.000000000000 |
snr |
1 |
5639006293 |
2026-06-10 08:55:23.000000 |
NAMAKU ADMIN |
2026-06-10 08:55:23.000000 |
NAMAKU ADMIN |
0 |
1900-01-01 00:00:00.000000 |
|
309 |
1260507000002 |
1900-01-01 00:00:00.000000 |
2527.000000000000 |
LID2606100398 |
32605070005 |
T000004 |
|
Pemasangan Infus |
IDR |
|
0.000000000000 |
4.000000000000 |
75000.000000000000 |
0.000000000000 |
0.000000000000 |
300000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
1260507000002 |
|
|
|
|
1900-01-01 00:00:00.000000 |
300000.000000000000 |
4.000000000000 |
snr |
1 |
5639006549 |
2026-06-10 08:55:23.000000 |
NAMAKU ADMIN |
2026-06-10 08:55:23.000000 |
NAMAKU ADMIN |
0 |
1900-01-01 00:00:00.000000 |
|
310 |
1260525000011 |
1900-01-01 00:00:00.000000 |
2783.000000000000 |
LID2606100654 |
32605250022 |
T000004 |
|
Pemasangan Infus |
IDR |
|
0.000000000000 |
1.000000000000 |
75000.000000000000 |
0.000000000000 |
0.000000000000 |
75000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
1260525000011 |
|
|
|
|
1900-01-01 00:00:00.000000 |
75000.000000000000 |
1.000000000000 |
snr |
1 |
5639006805 |
2026-06-10 08:55:23.000000 |
NAMAKU ADMIN |
2026-06-10 08:55:23.000000 |
NAMAKU ADMIN |
0 |
1900-01-01 00:00:00.000000 |