|
5091 |
1260110000005 |
2026-01-10 21:21:47.000000 |
2.000000000000 |
603 |
1260110000005 |
A000002 |
|
Rawat Jalan |
IDR |
|
0.000000000000 |
1.000000000000 |
150000.000000000000 |
0.000000000000 |
0.000000000000 |
150000.000000000000 |
|
|
|
1.000000000000 |
0 |
|
1260110000005 |
|
1260110000005 |
|
|
1900-01-01 00:00:00.000000 |
150000.000000000000 |
0.000000000000 |
rsvd |
1 |
5639000583 |
2026-03-17 05:03:27.000000 |
? |
2026-03-17 05:03:27.000000 |
? |
0 |
1900-01-01 00:00:00.000000 |
|
5092 |
1260115000016 |
2026-01-15 01:36:09.000000 |
1.000000000000 |
869 |
1260115000016 |
A000003 |
|
Rawat Inap |
IDR |
|
0.000000000000 |
1.000000000000 |
500000.000000000000 |
0.000000000000 |
0.000000000000 |
500000.000000000000 |
|
|
|
1.000000000000 |
0 |
|
1260115000016 |
|
1260115000016 |
|
|
1900-01-01 00:00:00.000000 |
500000.000000000000 |
0.000000000000 |
rsvd |
1 |
5639000839 |
2026-03-17 05:03:27.000000 |
? |
2026-03-17 05:03:27.000000 |
? |
0 |
1900-01-01 00:00:00.000000 |
|
5093 |
1260123230003 |
2026-01-23 02:53:48.000000 |
1.000000000000 |
1128 |
1260123230003 |
A000003 |
|
Rawat Inap |
IDR |
|
0.000000000000 |
1.000000000000 |
500000.000000000000 |
0.000000000000 |
0.000000000000 |
500000.000000000000 |
|
|
|
1.000000000000 |
0 |
|
1260123230003 |
|
1260123230003 |
|
|
1900-01-01 00:00:00.000000 |
500000.000000000000 |
0.000000000000 |
rsvd |
1 |
5639001095 |
2026-03-17 05:03:27.000000 |
? |
2026-03-17 05:03:27.000000 |
? |
0 |
1900-01-01 00:00:00.000000 |
|
5094 |
1260123230045 |
2026-01-23 00:00:00.000000 |
1.000000000000 |
1384 |
1260123230045 |
A000002 |
|
|
IDR |
|
0.000000000000 |
1.000000000000 |
150000.000000000000 |
0.000000000000 |
0.000000000000 |
150000.000000000000 |
|
|
|
1.000000000000 |
0 |
|
1260123230045 |
|
1260123230045 |
|
|
1900-01-01 00:00:00.000000 |
150000.000000000000 |
0.000000000000 |
rsvd |
1 |
5639001351 |
2026-03-17 05:03:27.000000 |
? |
2026-03-17 05:03:27.000000 |
? |
0 |
1900-01-01 00:00:00.000000 |
|
5095 |
12601240012 |
2026-01-24 06:01:10.000000 |
1.000000000000 |
1640 |
12601240012 |
A000001 |
|
|
IDR |
|
0.000000000000 |
1.000000000000 |
50000.000000000000 |
0.000000000000 |
0.000000000000 |
50000.000000000000 |
|
|
|
1.000000000000 |
0 |
|
12601240012 |
|
12601240012 |
|
|
1900-01-01 00:00:00.000000 |
50000.000000000000 |
0.000000000000 |
rsvd |
1 |
5639001607 |
2026-03-17 05:03:27.000000 |
? |
2026-03-17 05:03:27.000000 |
? |
0 |
1900-01-01 00:00:00.000000 |
|
5096 |
1251218000007 |
2025-12-18 00:00:00.000000 |
6.000000000000 |
1928 |
1251218000007 |
T000004 |
|
|
IDR |
|
0.000000000000 |
1.000000000000 |
75000.000000000000 |
0.000000000000 |
0.000000000000 |
75000.000000000000 |
|
|
|
1.000000000000 |
0 |
|
1251218000007 |
|
1251218000007 |
|
|
1900-01-01 00:00:00.000000 |
75000.000000000000 |
0.000000000000 |
rsvd |
1 |
5639001863 |
2026-03-17 05:03:27.000000 |
? |
2026-03-17 05:03:27.000000 |
? |
0 |
1900-01-01 00:00:00.000000 |
|
5097 |
1251218000019 |
2025-12-18 00:00:00.000000 |
3.000000000000 |
75 |
1251218000019 |
D000006 |
|
|
IDR |
|
0.000000000000 |
1.000000000000 |
200000.000000000000 |
0.000000000000 |
0.000000000000 |
200000.000000000000 |
|
|
|
1.000000000000 |
0 |
|
1251218000019 |
|
1251218000019 |
|
|
1900-01-01 00:00:00.000000 |
200000.000000000000 |
0.000000000000 |
rsvd |
1 |
5639000072 |
2026-03-17 05:03:27.000000 |
? |
2026-03-17 05:03:27.000000 |
? |
0 |
1900-01-01 00:00:00.000000 |
|
5098 |
1251218000059 |
2025-12-18 12:45:45.000000 |
4.000000000000 |
337 |
1251218000059 |
F000009 |
|
|
IDR |
|
0.000000000000 |
10.000000000000 |
96500.000000000000 |
0.000000000000 |
0.000000000000 |
965000.000000000000 |
|
|
|
10.000000000000 |
0 |
|
1251218000059 |
|
1251218000059 |
|
|
1900-01-01 00:00:00.000000 |
965000.000000000000 |
0.000000000000 |
rsvd |
1 |
5639000328 |
2026-03-17 05:03:27.000000 |
? |
2026-03-17 05:03:27.000000 |
? |
0 |
1900-01-01 00:00:00.000000 |
|
5099 |
1260111000002 |
2026-01-11 12:42:14.000000 |
1.000000000000 |
604 |
1260111000002 |
D000002 |
|
Biaya Konsultasi dr. Spesialis THT (75.000) |
IDR |
|
0.000000000000 |
1.000000000000 |
75000.000000000000 |
0.000000000000 |
0.000000000000 |
75000.000000000000 |
|
|
|
1.000000000000 |
0 |
|
1260111000002 |
|
1260111000002 |
|
|
1900-01-01 00:00:00.000000 |
75000.000000000000 |
0.000000000000 |
rsvd |
1 |
5639000584 |
2026-03-17 05:03:27.000000 |
? |
2026-03-17 05:03:27.000000 |
? |
0 |
1900-01-01 00:00:00.000000 |
|
5100 |
1260115000016 |
2026-01-15 01:36:09.000000 |
2.000000000000 |
870 |
1260115000016 |
A000001 |
|
Biaya Kartu Pasien |
IDR |
|
0.000000000000 |
1.000000000000 |
50000.000000000000 |
0.000000000000 |
0.000000000000 |
50000.000000000000 |
|
|
|
1.000000000000 |
0 |
|
1260115000016 |
|
1260115000016 |
|
|
1900-01-01 00:00:00.000000 |
50000.000000000000 |
0.000000000000 |
rsvd |
1 |
5639000840 |
2026-03-17 05:03:27.000000 |
? |
2026-03-17 05:03:27.000000 |
? |
0 |
1900-01-01 00:00:00.000000 |