|
331 |
1260525000012 |
1900-01-01 00:00:00.000000 |
2790.000000000000 |
LID2606100661 |
22605250012 |
D000001 |
|
Biaya dr. Umum (50.000) |
IDR |
|
0.000000000000 |
1.000000000000 |
50000.000000000000 |
0.000000000000 |
0.000000000000 |
50000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
1260525000012 |
|
|
|
|
1900-01-01 00:00:00.000000 |
50000.000000000000 |
1.000000000000 |
snr |
1 |
5639006812 |
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 |
|
332 |
1260426000012 |
1900-01-01 00:00:00.000000 |
2279.000000000000 |
LID2606100150 |
32605030041 |
T000003 |
|
Pemeriksaan Tanda Vital |
IDR |
|
0.000000000000 |
2.000000000000 |
25000.000000000000 |
0.000000000000 |
0.000000000000 |
50000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
1260426000012 |
|
|
|
|
1900-01-01 00:00:00.000000 |
50000.000000000000 |
2.000000000000 |
snr |
1 |
5639006301 |
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 |
|
333 |
1260508000002 |
1900-01-01 00:00:00.000000 |
2535.000000000000 |
LID2606100406 |
132605100003 |
L000021 |
|
|
IDR |
|
0.000000000000 |
1.000000000000 |
50000.000000000000 |
0.000000000000 |
0.000000000000 |
50000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
1260508000002 |
|
|
|
|
1900-01-01 00:00:00.000000 |
50000.000000000000 |
1.000000000000 |
snr |
1 |
5639006557 |
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 |
|
334 |
1260525000012 |
1900-01-01 00:00:00.000000 |
2791.000000000000 |
LID2606100662 |
32605250028 |
T000002 |
|
Konsultasi Dokter Spesialis |
IDR |
|
0.000000000000 |
1.000000000000 |
150000.000000000000 |
0.000000000000 |
0.000000000000 |
150000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
1260525000012 |
|
|
|
|
1900-01-01 00:00:00.000000 |
150000.000000000000 |
1.000000000000 |
snr |
1 |
5639006813 |
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 |
|
335 |
1260426000012 |
1900-01-01 00:00:00.000000 |
2280.000000000000 |
LID2606100151 |
32605030041 |
T000007 |
|
Perawatan Luka |
IDR |
|
0.000000000000 |
3.000000000000 |
100000.000000000000 |
0.000000000000 |
0.000000000000 |
300000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
1260426000012 |
|
|
|
|
1900-01-01 00:00:00.000000 |
300000.000000000000 |
3.000000000000 |
snr |
1 |
5639006302 |
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 |
|
336 |
1260508000002 |
1900-01-01 00:00:00.000000 |
2536.000000000000 |
LID2606100407 |
22605080002 |
A000001 |
|
Biaya Kartu Pasien |
IDR |
|
0.000000000000 |
1.000000000000 |
50000.000000000000 |
0.000000000000 |
0.000000000000 |
50000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
1260508000002 |
|
|
|
|
1900-01-01 00:00:00.000000 |
50000.000000000000 |
1.000000000000 |
snr |
1 |
5639006558 |
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 |
|
337 |
1260525000012 |
1900-01-01 00:00:00.000000 |
2792.000000000000 |
LID2606100663 |
32605250028 |
T000007 |
|
Perawatan Luka |
IDR |
|
0.000000000000 |
1.000000000000 |
100000.000000000000 |
0.000000000000 |
0.000000000000 |
100000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
1260525000012 |
|
|
|
|
1900-01-01 00:00:00.000000 |
100000.000000000000 |
1.000000000000 |
snr |
1 |
5639006814 |
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 |
|
338 |
1260427000002 |
1900-01-01 00:00:00.000000 |
2281.000000000000 |
LID2606100152 |
112605300002 |
R000001 |
|
|
IDR |
|
0.000000000000 |
1.000000000000 |
500000.000000000000 |
0.000000000000 |
0.000000000000 |
500000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
1260427000002 |
|
|
|
|
1900-01-01 00:00:00.000000 |
500000.000000000000 |
1.000000000000 |
snr |
1 |
5639006303 |
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 |
|
339 |
1260508000002 |
1900-01-01 00:00:00.000000 |
2537.000000000000 |
LID2606100408 |
22605080002 |
A000002 |
|
Rawat Jalan |
IDR |
|
0.000000000000 |
1.000000000000 |
150000.000000000000 |
0.000000000000 |
0.000000000000 |
150000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
1260508000002 |
|
|
|
|
1900-01-01 00:00:00.000000 |
150000.000000000000 |
1.000000000000 |
snr |
1 |
5639006559 |
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 |
|
340 |
1260525000012 |
1900-01-01 00:00:00.000000 |
2793.000000000000 |
LID2606100664 |
32605250028 |
T000009 |
|
Pengambilan Sampel Darah |
IDR |
|
0.000000000000 |
1.000000000000 |
35000.000000000000 |
0.000000000000 |
0.000000000000 |
35000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
1260525000012 |
|
|
|
|
1900-01-01 00:00:00.000000 |
35000.000000000000 |
1.000000000000 |
snr |
1 |
5639006815 |
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 |