|
3801 |
1260123230049 |
1900-01-01 00:00:00.000000 |
1548.000000000000 |
LID2603171507 |
22601230042 |
A000001 |
|
Biaya Kartu Pasien |
IDR |
|
0.000000000000 |
1.000000000000 |
50000.000000000000 |
0.000000000000 |
0.000000000000 |
50000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
1260123230049 |
|
|
|
|
1900-01-01 00:00:00.000000 |
50000.000000000000 |
1.000000000000 |
snr |
1 |
5639003488 |
2026-03-17 13:37:34.000000 |
NAMAKU ADMIN |
2026-03-17 13:37:34.000000 |
NAMAKU ADMIN |
0 |
1900-01-01 00:00:00.000000 |
|
3802 |
1260124240014 |
1900-01-01 00:00:00.000000 |
1804.000000000000 |
LID2603171763 |
22601240014 |
D000003 |
|
Dokter Spesialis 50k (50.000) |
IDR |
|
0.000000000000 |
1.000000000000 |
50000.000000000000 |
0.000000000000 |
0.000000000000 |
50000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
1260124240014 |
|
|
|
|
1900-01-01 00:00:00.000000 |
50000.000000000000 |
1.000000000000 |
snr |
1 |
5639003744 |
2026-03-17 13:37:34.000000 |
NAMAKU ADMIN |
2026-03-17 13:37:34.000000 |
NAMAKU ADMIN |
0 |
1900-01-01 00:00:00.000000 |
|
3803 |
1251218000024 |
1900-01-01 00:00:00.000000 |
269.000000000000 |
LID2603170228 |
22512180024 |
D000006 |
|
|
IDR |
|
0.000000000000 |
1.000000000000 |
200000.000000000000 |
0.000000000000 |
0.000000000000 |
200000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
1251218000024 |
|
|
|
|
1900-01-01 00:00:00.000000 |
200000.000000000000 |
1.000000000000 |
snr |
1 |
5639002209 |
2026-03-17 13:37:34.000000 |
NAMAKU ADMIN |
2026-03-17 13:37:34.000000 |
NAMAKU ADMIN |
0 |
1900-01-01 00:00:00.000000 |
|
3804 |
1251218000068 |
2025-12-18 12:29:07.000000 |
525.000000000000 |
LID2603170484 |
42601060008 |
F000005 |
|
|
IDR |
|
0.000000000000 |
20.000000000000 |
14500.000000000000 |
0.000000000000 |
0.000000000000 |
290000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
1251218000068 |
|
|
|
|
1900-01-01 00:00:00.000000 |
290000.000000000000 |
20.000000000000 |
snr |
1 |
5639002465 |
2026-03-17 13:37:34.000000 |
NAMAKU ADMIN |
2026-03-17 13:37:34.000000 |
NAMAKU ADMIN |
0 |
1900-01-01 00:00:00.000000 |
|
3805 |
1260110000003 |
1900-01-01 00:00:00.000000 |
781.000000000000 |
LID2603170740 |
22601100003 |
D000001 |
|
Biaya dr. Umum (50.000) |
IDR |
|
0.000000000000 |
1.000000000000 |
50000.000000000000 |
0.000000000000 |
0.000000000000 |
50000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
1260110000003 |
|
|
|
|
1900-01-01 00:00:00.000000 |
50000.000000000000 |
1.000000000000 |
snr |
1 |
5639002721 |
2026-03-17 13:37:34.000000 |
NAMAKU ADMIN |
2026-03-17 13:37:34.000000 |
NAMAKU ADMIN |
0 |
1900-01-01 00:00:00.000000 |
|
3806 |
1260115000006 |
2026-01-15 01:25:59.000000 |
1037.000000000000 |
LID2603170996 |
42601150004 |
F000009 |
|
|
IDR |
|
0.000000000000 |
6.000000000000 |
96500.000000000000 |
0.000000000000 |
0.000000000000 |
579000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
1260115000006 |
|
|
|
|
1900-01-01 00:00:00.000000 |
579000.000000000000 |
6.000000000000 |
snr |
1 |
5639002977 |
2026-03-17 13:37:34.000000 |
NAMAKU ADMIN |
2026-03-17 13:37:34.000000 |
NAMAKU ADMIN |
0 |
1900-01-01 00:00:00.000000 |
|
3807 |
12601230230054 |
1900-01-01 00:00:00.000000 |
1293.000000000000 |
LID2603171252 |
226012300046 |
A000002 |
|
|
IDR |
|
0.000000000000 |
1.000000000000 |
150000.000000000000 |
0.000000000000 |
0.000000000000 |
150000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
12601230230054 |
|
|
|
|
1900-01-01 00:00:00.000000 |
150000.000000000000 |
1.000000000000 |
snr |
1 |
5639003233 |
2026-03-17 13:37:34.000000 |
NAMAKU ADMIN |
2026-03-17 13:37:34.000000 |
NAMAKU ADMIN |
0 |
1900-01-01 00:00:00.000000 |
|
3808 |
1260123230049 |
1900-01-01 00:00:00.000000 |
1549.000000000000 |
LID2603171508 |
32601230042 |
T000002 |
|
Konsultasi Dokter Spesialis |
IDR |
|
0.000000000000 |
1.000000000000 |
150000.000000000000 |
0.000000000000 |
0.000000000000 |
150000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
1260123230049 |
|
|
|
|
1900-01-01 00:00:00.000000 |
150000.000000000000 |
1.000000000000 |
snr |
1 |
5639003489 |
2026-03-17 13:37:34.000000 |
NAMAKU ADMIN |
2026-03-17 13:37:34.000000 |
NAMAKU ADMIN |
0 |
1900-01-01 00:00:00.000000 |
|
3809 |
1260124240014 |
1900-01-01 00:00:00.000000 |
1805.000000000000 |
LID2603171764 |
22601240014 |
A000002 |
|
Rawat Jalan |
IDR |
|
0.000000000000 |
1.000000000000 |
150000.000000000000 |
0.000000000000 |
0.000000000000 |
150000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
1260124240014 |
|
|
|
|
1900-01-01 00:00:00.000000 |
150000.000000000000 |
1.000000000000 |
snr |
1 |
5639003745 |
2026-03-17 13:37:34.000000 |
NAMAKU ADMIN |
2026-03-17 13:37:34.000000 |
NAMAKU ADMIN |
0 |
1900-01-01 00:00:00.000000 |
|
3810 |
1251218000024 |
1900-01-01 00:00:00.000000 |
270.000000000000 |
LID2603170229 |
32512180025 |
T000004 |
|
|
IDR |
|
0.000000000000 |
1.000000000000 |
75000.000000000000 |
0.000000000000 |
0.000000000000 |
75000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
1251218000024 |
|
|
|
|
1900-01-01 00:00:00.000000 |
75000.000000000000 |
1.000000000000 |
snr |
1 |
5639002210 |
2026-03-17 13:37:34.000000 |
NAMAKU ADMIN |
2026-03-17 13:37:34.000000 |
NAMAKU ADMIN |
0 |
1900-01-01 00:00:00.000000 |