|
421 |
1260525000015 |
1900-01-01 00:00:00.000000 |
2820.000000000000 |
LID2606100691 |
32605250027 |
T000004 |
|
Pemasangan Infus |
IDR |
|
0.000000000000 |
1.000000000000 |
75000.000000000000 |
0.000000000000 |
0.000000000000 |
75000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
1260525000015 |
|
|
|
|
1900-01-01 00:00:00.000000 |
75000.000000000000 |
1.000000000000 |
snr |
1 |
5639006842 |
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 |
|
422 |
1260427000009 |
1900-01-01 00:00:00.000000 |
2309.000000000000 |
LID2606100180 |
22604270009 |
D000004 |
|
Dokter Spesialis 100k (100.000) |
IDR |
|
0.000000000000 |
1.000000000000 |
100000.000000000000 |
0.000000000000 |
0.000000000000 |
100000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
1260427000009 |
|
|
|
|
1900-01-01 00:00:00.000000 |
100000.000000000000 |
1.000000000000 |
snr |
1 |
5639006331 |
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 |
|
423 |
1260510000002 |
1900-01-01 00:00:00.000000 |
2565.000000000000 |
LID2606100436 |
32605100004 |
T000003 |
|
Pemeriksaan Tanda Vital |
IDR |
|
0.000000000000 |
3.000000000000 |
25000.000000000000 |
0.000000000000 |
0.000000000000 |
75000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
1260510000002 |
|
|
|
|
1900-01-01 00:00:00.000000 |
75000.000000000000 |
3.000000000000 |
snr |
1 |
5639006587 |
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 |
|
424 |
1260525000015 |
1900-01-01 00:00:00.000000 |
2821.000000000000 |
LID2606100692 |
32605250027 |
T000005 |
|
Injeksi Intramuskular |
IDR |
|
0.000000000000 |
1.000000000000 |
40000.000000000000 |
0.000000000000 |
0.000000000000 |
40000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
1260525000015 |
|
|
|
|
1900-01-01 00:00:00.000000 |
40000.000000000000 |
1.000000000000 |
snr |
1 |
5639006843 |
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 |
|
425 |
1260427000010 |
1900-01-01 00:00:00.000000 |
2310.000000000000 |
LID2606100181 |
22604270010 |
A000001 |
|
Biaya Kartu Pasien |
IDR |
|
0.000000000000 |
1.000000000000 |
50000.000000000000 |
0.000000000000 |
0.000000000000 |
50000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
1260427000010 |
|
|
|
|
1900-01-01 00:00:00.000000 |
50000.000000000000 |
1.000000000000 |
snr |
1 |
5639006332 |
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 |
|
426 |
1260510000002 |
1900-01-01 00:00:00.000000 |
2566.000000000000 |
LID2606100437 |
32605100004 |
T000004 |
|
Pemasangan Infus |
IDR |
|
0.000000000000 |
3.000000000000 |
75000.000000000000 |
0.000000000000 |
0.000000000000 |
225000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
1260510000002 |
|
|
|
|
1900-01-01 00:00:00.000000 |
225000.000000000000 |
3.000000000000 |
snr |
1 |
5639006588 |
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 |
|
427 |
1260525000015 |
1900-01-01 00:00:00.000000 |
2822.000000000000 |
LID2606100693 |
32605250027 |
T000009 |
|
Pengambilan Sampel Darah |
IDR |
|
0.000000000000 |
1.000000000000 |
35000.000000000000 |
0.000000000000 |
0.000000000000 |
35000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
1260525000015 |
|
|
|
|
1900-01-01 00:00:00.000000 |
35000.000000000000 |
1.000000000000 |
snr |
1 |
5639006844 |
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 |
|
428 |
1260427000010 |
1900-01-01 00:00:00.000000 |
2311.000000000000 |
LID2606100182 |
22604270010 |
A000002 |
|
Rawat Jalan |
IDR |
|
0.000000000000 |
1.000000000000 |
150000.000000000000 |
0.000000000000 |
0.000000000000 |
150000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
1260427000010 |
|
|
|
|
1900-01-01 00:00:00.000000 |
150000.000000000000 |
1.000000000000 |
snr |
1 |
5639006333 |
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 |
|
429 |
1260510000003 |
1900-01-01 00:00:00.000000 |
2567.000000000000 |
LID2606100438 |
22605100003 |
A000002 |
|
Rawat Jalan |
IDR |
|
0.000000000000 |
1.000000000000 |
150000.000000000000 |
0.000000000000 |
0.000000000000 |
150000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
1260510000003 |
|
|
|
|
1900-01-01 00:00:00.000000 |
150000.000000000000 |
1.000000000000 |
snr |
1 |
5639006589 |
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 |
|
430 |
1260525000016 |
1900-01-01 00:00:00.000000 |
2823.000000000000 |
LID2606100694 |
22605250016 |
D000004 |
|
Dokter Spesialis 100k (100.000) |
IDR |
|
0.000000000000 |
1.000000000000 |
100000.000000000000 |
0.000000000000 |
0.000000000000 |
100000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
1260525000016 |
|
|
|
|
1900-01-01 00:00:00.000000 |
100000.000000000000 |
1.000000000000 |
snr |
1 |
5639006845 |
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 |