|
4121 |
1260111000011 |
1900-01-01 00:00:00.000000 |
824.000000000000 |
LID2603170783 |
22601110010 |
D000002 |
|
Biaya Konsultasi dr. Spesialis THT (75.000) |
IDR |
|
0.000000000000 |
1.000000000000 |
75000.000000000000 |
0.000000000000 |
0.000000000000 |
75000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
1260111000011 |
|
|
|
|
1900-01-01 00:00:00.000000 |
75000.000000000000 |
1.000000000000 |
snr |
1 |
5639002764 |
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 |
|
4122 |
1260115000010 |
2026-01-15 01:27:17.000000 |
1080.000000000000 |
LID2603171039 |
42601150006 |
F000011 |
|
|
IDR |
|
0.000000000000 |
2.000000000000 |
30800.000000000000 |
0.000000000000 |
0.000000000000 |
61600.000000000000 |
|
|
|
0.000000000000 |
0 |
|
1260115000010 |
|
|
|
|
1900-01-01 00:00:00.000000 |
61600.000000000000 |
2.000000000000 |
snr |
1 |
5639003020 |
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 |
|
4123 |
1260123230009 |
2026-01-23 03:26:31.000000 |
1336.000000000000 |
LID2603171295 |
22601230007 |
A000001 |
|
Biaya Kartu Pasien |
IDR |
|
0.000000000000 |
1.000000000000 |
50000.000000000000 |
0.000000000000 |
0.000000000000 |
50000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
1260123230009 |
|
|
|
|
1900-01-01 00:00:00.000000 |
50000.000000000000 |
1.000000000000 |
snr |
1 |
5639003276 |
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 |
|
4124 |
1260123230059 |
2026-01-23 09:01:55.000000 |
1592.000000000000 |
LID2603171551 |
42601230054 |
F000006 |
|
|
IDR |
|
0.000000000000 |
1.000000000000 |
25500.000000000000 |
0.000000000000 |
0.000000000000 |
25500.000000000000 |
|
|
|
0.000000000000 |
0 |
|
1260123230059 |
|
|
|
|
1900-01-01 00:00:00.000000 |
25500.000000000000 |
1.000000000000 |
snr |
1 |
5639003532 |
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 |
|
4125 |
1260124240023 |
1900-01-01 00:00:00.000000 |
1848.000000000000 |
LID2603171807 |
22601240024 |
A000002 |
|
Rawat Jalan |
IDR |
|
0.000000000000 |
1.000000000000 |
150000.000000000000 |
0.000000000000 |
0.000000000000 |
150000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
1260124240023 |
|
|
|
|
1900-01-01 00:00:00.000000 |
150000.000000000000 |
1.000000000000 |
snr |
1 |
5639003788 |
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 |
|
4126 |
1251217000002 |
2025-12-17 17:21:30.000000 |
57.000000000000 |
LID2603170016 |
4202601260009 |
F000004 |
|
|
IDR |
|
0.000000000000 |
1.000000000000 |
24000.000000000000 |
0.000000000000 |
0.000000000000 |
24000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
1251217000002 |
|
|
|
|
1900-01-01 00:00:00.000000 |
24000.000000000000 |
1.000000000000 |
snr |
1 |
5639001997 |
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 |
|
4127 |
1251218000031 |
1900-01-01 00:00:00.000000 |
313.000000000000 |
LID2603170272 |
22512180031 |
D000016 |
|
|
IDR |
|
0.000000000000 |
1.000000000000 |
120000.000000000000 |
0.000000000000 |
0.000000000000 |
120000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
1251218000031 |
|
|
|
|
1900-01-01 00:00:00.000000 |
120000.000000000000 |
1.000000000000 |
snr |
1 |
5639002253 |
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 |
|
4128 |
12512190001 |
1900-01-01 00:00:00.000000 |
569.000000000000 |
LID2603170528 |
42601070003 |
F000003 |
|
|
IDR |
|
0.000000000000 |
1.000000000000 |
3000.000000000000 |
0.000000000000 |
0.000000000000 |
3000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
12512190001 |
|
|
|
|
1900-01-01 00:00:00.000000 |
3000.000000000000 |
1.000000000000 |
snr |
1 |
5639002509 |
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 |
|
4129 |
1260111000011 |
1900-01-01 00:00:00.000000 |
825.000000000000 |
LID2603170784 |
22601110010 |
A000003 |
|
Rawat Inap |
IDR |
|
0.000000000000 |
1.000000000000 |
500000.000000000000 |
0.000000000000 |
0.000000000000 |
500000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
1260111000011 |
|
|
|
|
1900-01-01 00:00:00.000000 |
500000.000000000000 |
1.000000000000 |
snr |
1 |
5639002765 |
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 |
|
4130 |
1260115000010 |
2026-01-15 01:27:17.000000 |
1081.000000000000 |
LID2603171040 |
42601150007 |
F000004 |
|
|
IDR |
|
0.000000000000 |
2.000000000000 |
24000.000000000000 |
0.000000000000 |
0.000000000000 |
48000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
1260115000010 |
|
|
|
|
1900-01-01 00:00:00.000000 |
48000.000000000000 |
2.000000000000 |
snr |
1 |
5639003021 |
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 |