|
4701 |
1260130000001 |
2026-01-30 16:02:09.000000 |
1920.000000000000 |
LID2603171879 |
42601310002 |
F000009 |
|
Amoxicillin |
IDR |
|
0.000000000000 |
5.000000000000 |
96500.000000000000 |
0.000000000000 |
0.000000000000 |
482500.000000000000 |
|
|
|
0.000000000000 |
0 |
|
1260130000001 |
|
|
|
|
1900-01-01 00:00:00.000000 |
482500.000000000000 |
5.000000000000 |
snr |
1 |
5639003860 |
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 |
|
4702 |
1251218000005 |
1900-01-01 00:00:00.000000 |
129.000000000000 |
LID2603170088 |
42512180005 |
F000003 |
|
Alerfed |
IDR |
|
0.000000000000 |
90.000000000000 |
3000.000000000000 |
0.000000000000 |
0.000000000000 |
270000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
1251218000005 |
|
|
|
|
1900-01-01 00:00:00.000000 |
270000.000000000000 |
90.000000000000 |
snr |
1 |
5639002069 |
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 |
|
4703 |
1251218000042 |
2025-12-18 12:21:23.000000 |
385.000000000000 |
LID2603170344 |
2251218000040 |
A000002 |
|
|
IDR |
|
0.000000000000 |
1.000000000000 |
150000.000000000000 |
0.000000000000 |
0.000000000000 |
150000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
1251218000042 |
|
|
|
|
1900-01-01 00:00:00.000000 |
150000.000000000000 |
1.000000000000 |
snr |
1 |
5639002325 |
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 |
|
4704 |
1260101000002 |
2026-01-01 02:56:31.000000 |
641.000000000000 |
LID2603170600 |
22601010002 |
D000001 |
|
Biaya dr. Umum |
IDR |
|
0.000000000000 |
1.000000000000 |
50000.000000000000 |
0.000000000000 |
0.000000000000 |
50000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
1260101000002 |
|
|
|
|
1900-01-01 00:00:00.000000 |
50000.000000000000 |
1.000000000000 |
snr |
1 |
5639002581 |
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 |
|
4705 |
1260113000002 |
2026-01-13 09:40:16.000000 |
897.000000000000 |
LID2603170856 |
42601130001 |
F000003 |
|
|
IDR |
|
0.000000000000 |
1.000000000000 |
3000.000000000000 |
0.000000000000 |
0.000000000000 |
3000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
1260113000002 |
|
|
|
|
1900-01-01 00:00:00.000000 |
3000.000000000000 |
1.000000000000 |
snr |
1 |
5639002837 |
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 |
|
4706 |
1260115000021 |
2026-01-15 01:41:29.000000 |
1153.000000000000 |
LID2603171112 |
22601150021 |
A000001 |
|
Biaya Kartu Pasien |
IDR |
|
0.000000000000 |
1.000000000000 |
50000.000000000000 |
0.000000000000 |
0.000000000000 |
50000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
1260115000021 |
|
|
|
|
1900-01-01 00:00:00.000000 |
50000.000000000000 |
1.000000000000 |
snr |
1 |
5639003093 |
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 |
|
4707 |
1260123230023 |
2026-01-23 04:28:41.000000 |
1409.000000000000 |
LID2603171368 |
2260123000020 |
D000004 |
|
|
IDR |
|
0.000000000000 |
1.000000000000 |
100000.000000000000 |
0.000000000000 |
0.000000000000 |
100000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
1260123230023 |
|
|
|
|
1900-01-01 00:00:00.000000 |
100000.000000000000 |
1.000000000000 |
snr |
1 |
5639003349 |
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 |
|
4708 |
1260124000003 |
2026-01-24 07:59:46.000000 |
1665.000000000000 |
LID2603171624 |
32601240003 |
T000005 |
|
|
IDR |
|
0.000000000000 |
1.000000000000 |
40000.000000000000 |
0.000000000000 |
0.000000000000 |
40000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
1260124000003 |
|
|
|
|
1900-01-01 00:00:00.000000 |
40000.000000000000 |
1.000000000000 |
snr |
1 |
5639003605 |
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 |
|
4709 |
1260130000001 |
2026-01-30 16:02:09.000000 |
1921.000000000000 |
LID2603171880 |
52601300001 |
X000001 |
|
|
IDR |
|
0.000000000000 |
2.000000000000 |
150000.000000000000 |
0.000000000000 |
0.000000000000 |
300000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
1260130000001 |
|
|
|
|
1900-01-01 00:00:00.000000 |
300000.000000000000 |
2.000000000000 |
snr |
1 |
5639003861 |
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 |
|
4710 |
1251218000005 |
1900-01-01 00:00:00.000000 |
130.000000000000 |
LID2603170089 |
520260121-000001 |
P000005 |
|
|
IDR |
|
0.000000000000 |
10.000000000000 |
15000.000000000000 |
0.000000000000 |
0.000000000000 |
150000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
1251218000005 |
|
|
|
|
1900-01-01 00:00:00.000000 |
150000.000000000000 |
10.000000000000 |
snr |
1 |
5639002070 |
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 |