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5131 |
1260115000017 |
2026-01-15 01:36:38.000000 |
3.000000000000 |
874 |
1260115000017 |
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Biaya dr. Umum |
IDR |
|
0.000000000000 |
1.000000000000 |
50000.000000000000 |
0.000000000000 |
0.000000000000 |
50000.000000000000 |
|
|
|
1.000000000000 |
0 |
|
1260115000017 |
|
1260115000017 |
|
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1900-01-01 00:00:00.000000 |
50000.000000000000 |
0.000000000000 |
rsvd |
1 |
5639000844 |
2026-03-17 05:03:27.000000 |
? |
2026-03-17 05:03:27.000000 |
? |
0 |
1900-01-01 00:00:00.000000 |
|
5132 |
1260123230004 |
2026-01-23 00:00:00.000000 |
3.000000000000 |
1133 |
1260123230004 |
D000002 |
|
|
IDR |
|
0.000000000000 |
1.000000000000 |
75000.000000000000 |
0.000000000000 |
0.000000000000 |
75000.000000000000 |
|
|
|
1.000000000000 |
0 |
|
1260123230004 |
|
1260123230004 |
|
|
1900-01-01 00:00:00.000000 |
75000.000000000000 |
0.000000000000 |
rsvd |
1 |
5639001100 |
2026-03-17 05:03:27.000000 |
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2026-03-17 05:03:27.000000 |
? |
0 |
1900-01-01 00:00:00.000000 |
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5133 |
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2026-01-23 00:00:00.000000 |
3.000000000000 |
1389 |
1260123230046 |
T000002 |
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|
IDR |
|
0.000000000000 |
1.000000000000 |
150000.000000000000 |
0.000000000000 |
0.000000000000 |
150000.000000000000 |
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|
|
1.000000000000 |
0 |
|
1260123230046 |
|
1260123230046 |
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1900-01-01 00:00:00.000000 |
150000.000000000000 |
0.000000000000 |
rsvd |
1 |
5639001356 |
2026-03-17 05:03:27.000000 |
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2026-03-17 05:03:27.000000 |
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0 |
1900-01-01 00:00:00.000000 |
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5134 |
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2025-12-18 00:00:00.000000 |
9.000000000000 |
1948 |
1251218000016 |
F000005 |
|
|
IDR |
|
0.000000000000 |
10.000000000000 |
14500.000000000000 |
0.000000000000 |
0.000000000000 |
145000.000000000000 |
|
|
|
10.000000000000 |
0 |
|
1251218000016 |
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1251218000016 |
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1900-01-01 00:00:00.000000 |
145000.000000000000 |
0.000000000000 |
rsvd |
1 |
5639001868 |
2026-03-17 05:03:27.000000 |
? |
2026-03-17 05:03:27.000000 |
? |
0 |
1900-01-01 00:00:00.000000 |
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5135 |
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2025-12-18 00:00:00.000000 |
2.000000000000 |
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1251218000021 |
A000001 |
|
|
IDR |
|
0.000000000000 |
1.000000000000 |
20000.000000000000 |
0.000000000000 |
0.000000000000 |
20000.000000000000 |
|
|
|
1.000000000000 |
0 |
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1251218000021 |
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1251218000021 |
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1900-01-01 00:00:00.000000 |
20000.000000000000 |
0.000000000000 |
rsvd |
1 |
5639000077 |
2026-03-17 05:03:27.000000 |
? |
2026-03-17 05:03:27.000000 |
? |
0 |
1900-01-01 00:00:00.000000 |
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5136 |
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2025-12-18 12:46:06.000000 |
4.000000000000 |
342 |
1251218000054 |
F000006 |
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|
IDR |
|
0.000000000000 |
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25500.000000000000 |
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127500.000000000000 |
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|
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5.000000000000 |
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1251218000054 |
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1251218000054 |
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1900-01-01 00:00:00.000000 |
127500.000000000000 |
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rsvd |
1 |
5639000333 |
2026-03-17 05:03:27.000000 |
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2026-03-17 05:03:27.000000 |
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1900-01-01 00:00:00.000000 |
|
5137 |
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2026-01-11 12:43:29.000000 |
1.000000000000 |
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1260111000004 |
D000002 |
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Biaya Konsultasi dr. Spesialis THT (75.000) |
IDR |
|
0.000000000000 |
1.000000000000 |
75000.000000000000 |
0.000000000000 |
0.000000000000 |
75000.000000000000 |
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1.000000000000 |
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1260111000004 |
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1900-01-01 00:00:00.000000 |
75000.000000000000 |
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rsvd |
1 |
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2026-03-17 05:03:27.000000 |
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2026-03-17 05:03:27.000000 |
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1900-01-01 00:00:00.000000 |
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5138 |
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2026-01-15 01:36:44.000000 |
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875 |
1260115000018 |
A000002 |
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Rawat Jalan |
IDR |
|
0.000000000000 |
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150000.000000000000 |
0.000000000000 |
0.000000000000 |
150000.000000000000 |
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|
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1.000000000000 |
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1260115000018 |
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1260115000018 |
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1900-01-01 00:00:00.000000 |
150000.000000000000 |
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rsvd |
1 |
5639000845 |
2026-03-17 05:03:27.000000 |
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2026-03-17 05:03:27.000000 |
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1900-01-01 00:00:00.000000 |
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5139 |
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2026-01-23 00:00:00.000000 |
4.000000000000 |
1390 |
1260123230046 |
P000002 |
|
|
IDR |
|
0.000000000000 |
1.000000000000 |
50000.000000000000 |
0.000000000000 |
0.000000000000 |
50000.000000000000 |
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1.000000000000 |
0 |
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1260123230046 |
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1260123230046 |
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1900-01-01 00:00:00.000000 |
50000.000000000000 |
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rsvd |
1 |
5639001357 |
2026-03-17 05:03:27.000000 |
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2026-03-17 05:03:27.000000 |
? |
0 |
1900-01-01 00:00:00.000000 |
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5140 |
1251218000016 |
2026-01-22 10:11:22.000000 |
10.000000000000 |
1949 |
1251218000016 |
P000012 |
|
|
IDR |
|
0.000000000000 |
1.000000000000 |
10000.000000000000 |
0.000000000000 |
0.000000000000 |
10000.000000000000 |
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|
|
1.000000000000 |
0 |
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1251218000016 |
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1251218000016 |
|
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1900-01-01 00:00:00.000000 |
10000.000000000000 |
0.000000000000 |
rsvd |
1 |
5639001869 |
2026-03-17 05:03:27.000000 |
? |
2026-03-17 05:03:27.000000 |
? |
0 |
1900-01-01 00:00:00.000000 |