|
4651 |
1260123230021 |
2026-01-23 11:22:51.000000 |
1402.000000000000 |
LID2603171361 |
42601230022 |
F000003 |
|
|
IDR |
|
0.000000000000 |
10.000000000000 |
3000.000000000000 |
0.000000000000 |
0.000000000000 |
30000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
1260123230021 |
|
|
|
|
1900-01-01 00:00:00.000000 |
30000.000000000000 |
10.000000000000 |
snr |
1 |
5639003342 |
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 |
|
4652 |
1260124000002 |
1900-01-01 00:00:00.000000 |
1658.000000000000 |
LID2603171617 |
52601240003 |
X000001 |
|
|
IDR |
|
0.000000000000 |
1.000000000000 |
150000.000000000000 |
0.000000000000 |
0.000000000000 |
150000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
1260124000002 |
|
|
|
|
1900-01-01 00:00:00.000000 |
150000.000000000000 |
1.000000000000 |
snr |
1 |
5639003598 |
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 |
|
4653 |
1260130000001 |
2026-01-30 16:02:09.000000 |
1914.000000000000 |
LID2603171873 |
22601300001 |
D000001 |
|
Biaya dr. Umum |
IDR |
|
0.000000000000 |
1.000000000000 |
50000.000000000000 |
0.000000000000 |
0.000000000000 |
50000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
1260130000001 |
|
|
|
|
1900-01-01 00:00:00.000000 |
50000.000000000000 |
1.000000000000 |
snr |
1 |
5639003854 |
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 |
|
4654 |
1251218000004 |
2025-12-18 06:45:11.000000 |
123.000000000000 |
LID2603170082 |
42601290001 |
F000004 |
|
Methylprednisolone |
IDR |
|
0.000000000000 |
1.000000000000 |
24000.000000000000 |
0.000000000000 |
0.000000000000 |
24000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
1251218000004 |
|
|
|
|
1900-01-01 00:00:00.000000 |
24000.000000000000 |
1.000000000000 |
snr |
1 |
5639002063 |
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 |
|
4655 |
1251218000041 |
2025-12-18 12:21:04.000000 |
379.000000000000 |
LID2603170338 |
2251218000039 |
D000005 |
|
|
IDR |
|
0.000000000000 |
0.000000000000 |
0.000000000000 |
0.000000000000 |
0.000000000000 |
150000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
1251218000041 |
|
|
|
|
1900-01-01 00:00:00.000000 |
150000.000000000000 |
0.000000000000 |
snr |
1 |
5639002319 |
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 |
|
4656 |
1260101000001 |
2026-01-01 02:05:22.000000 |
635.000000000000 |
LID2603170594 |
22601010001 |
A000003 |
|
Rawat Inap |
IDR |
|
0.000000000000 |
1.000000000000 |
500000.000000000000 |
0.000000000000 |
0.000000000000 |
500000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
1260101000001 |
|
|
|
|
1900-01-01 00:00:00.000000 |
500000.000000000000 |
1.000000000000 |
snr |
1 |
5639002575 |
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 |
|
4657 |
1260113000002 |
2026-01-13 09:40:16.000000 |
891.000000000000 |
LID2603170850 |
22601130002 |
A000001 |
|
Biaya Kartu Pasien |
IDR |
|
0.000000000000 |
1.000000000000 |
50000.000000000000 |
0.000000000000 |
0.000000000000 |
50000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
1260113000002 |
|
|
|
|
1900-01-01 00:00:00.000000 |
50000.000000000000 |
1.000000000000 |
snr |
1 |
5639002831 |
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 |
|
4658 |
1260115000019 |
2026-01-15 01:37:03.000000 |
1147.000000000000 |
LID2603171106 |
22601150019 |
A000001 |
|
Biaya Kartu Pasien |
IDR |
|
0.000000000000 |
1.000000000000 |
50000.000000000000 |
0.000000000000 |
0.000000000000 |
50000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
1260115000019 |
|
|
|
|
1900-01-01 00:00:00.000000 |
50000.000000000000 |
1.000000000000 |
snr |
1 |
5639003087 |
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 |
|
4659 |
1260123230021 |
2026-01-23 11:22:51.000000 |
1403.000000000000 |
LID2603171362 |
52601230021 |
P000004 |
|
|
IDR |
|
0.000000000000 |
5.000000000000 |
20000.000000000000 |
0.000000000000 |
0.000000000000 |
100000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
1260123230021 |
|
|
|
|
1900-01-01 00:00:00.000000 |
100000.000000000000 |
5.000000000000 |
snr |
1 |
5639003343 |
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 |
|
4660 |
1260124000002 |
1900-01-01 00:00:00.000000 |
1659.000000000000 |
LID2603171618 |
52601240003 |
P000012 |
|
|
IDR |
|
0.000000000000 |
1.000000000000 |
10000.000000000000 |
0.000000000000 |
0.000000000000 |
10000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
1260124000002 |
|
|
|
|
1900-01-01 00:00:00.000000 |
10000.000000000000 |
1.000000000000 |
snr |
1 |
5639003599 |
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 |