|
4721 |
1260113000003 |
2026-01-13 09:40:17.000000 |
899.000000000000 |
LID2603170858 |
22601130003 |
A000002 |
|
Rawat Jalan |
IDR |
|
0.000000000000 |
1.000000000000 |
150000.000000000000 |
0.000000000000 |
0.000000000000 |
150000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
1260113000003 |
|
|
|
|
1900-01-01 00:00:00.000000 |
150000.000000000000 |
1.000000000000 |
snr |
1 |
5639002839 |
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 |
|
4722 |
1260115000021 |
2026-01-15 01:41:29.000000 |
1155.000000000000 |
LID2603171114 |
32601150030 |
D000003 |
|
|
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 |
5639003095 |
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 |
|
4723 |
1260123230023 |
2026-01-23 04:28:41.000000 |
1411.000000000000 |
LID2603171370 |
2260123000020 |
A000002 |
|
|
IDR |
|
0.000000000000 |
1.000000000000 |
150000.000000000000 |
0.000000000000 |
0.000000000000 |
150000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
1260123230023 |
|
|
|
|
1900-01-01 00:00:00.000000 |
150000.000000000000 |
1.000000000000 |
snr |
1 |
5639003351 |
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 |
|
4724 |
1260124000003 |
2026-01-24 07:59:46.000000 |
1667.000000000000 |
LID2603171626 |
52601240004 |
X000001 |
|
|
IDR |
|
0.000000000000 |
1.000000000000 |
150000.000000000000 |
0.000000000000 |
0.000000000000 |
150000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
1260124000003 |
|
|
|
|
1900-01-01 00:00:00.000000 |
150000.000000000000 |
1.000000000000 |
snr |
1 |
5639003607 |
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 |
|
4725 |
1260201000001 |
1900-01-01 00:00:00.000000 |
1923.000000000000 |
LID2603171882 |
22602010001 |
D000001 |
|
Biaya dr. Umum (50.000) |
IDR |
|
0.000000000000 |
1.000000000000 |
50000.000000000000 |
0.000000000000 |
0.000000000000 |
50000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
1260201000001 |
|
|
|
|
1900-01-01 00:00:00.000000 |
50000.000000000000 |
1.000000000000 |
snr |
1 |
5639003863 |
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 |
|
4726 |
1251218000006 |
1900-01-01 00:00:00.000000 |
132.000000000000 |
LID2603170091 |
22512180006 |
A000001 |
|
|
IDR |
|
0.000000000000 |
1.000000000000 |
20000.000000000000 |
0.000000000000 |
0.000000000000 |
20000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
1251218000006 |
|
|
|
|
1900-01-01 00:00:00.000000 |
20000.000000000000 |
1.000000000000 |
snr |
1 |
5639002072 |
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 |
|
4727 |
1251218000043 |
2025-12-18 12:21:25.000000 |
388.000000000000 |
LID2603170347 |
2251218000041 |
D000009 |
|
|
IDR |
|
0.000000000000 |
0.000000000000 |
0.000000000000 |
0.000000000000 |
0.000000000000 |
60000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
1251218000043 |
|
|
|
|
1900-01-01 00:00:00.000000 |
60000.000000000000 |
0.000000000000 |
snr |
1 |
5639002328 |
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 |
|
4728 |
1260103000002 |
1900-01-01 00:00:00.000000 |
644.000000000000 |
LID2603170603 |
22601030002 |
D000002 |
|
Biaya Konsultasi dr. Spesialis THT (75.000) |
IDR |
|
0.000000000000 |
1.000000000000 |
75000.000000000000 |
0.000000000000 |
0.000000000000 |
75000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
1260103000002 |
|
|
|
|
1900-01-01 00:00:00.000000 |
75000.000000000000 |
1.000000000000 |
snr |
1 |
5639002584 |
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 |
|
4729 |
1260113000003 |
2026-01-13 09:40:17.000000 |
900.000000000000 |
LID2603170859 |
22601130003 |
A000001 |
|
Biaya Kartu Pasien |
IDR |
|
0.000000000000 |
1.000000000000 |
50000.000000000000 |
0.000000000000 |
0.000000000000 |
50000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
1260113000003 |
|
|
|
|
1900-01-01 00:00:00.000000 |
50000.000000000000 |
1.000000000000 |
snr |
1 |
5639002840 |
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 |
|
4730 |
1260115000021 |
2026-01-15 01:41:29.000000 |
1156.000000000000 |
LID2603171115 |
32601150031 |
D000001 |
|
|
IDR |
|
0.000000000000 |
9.000000000000 |
50000.000000000000 |
0.000000000000 |
0.000000000000 |
450000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
1260115000021 |
|
|
|
|
1900-01-01 00:00:00.000000 |
450000.000000000000 |
9.000000000000 |
snr |
1 |
5639003096 |
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 |