|
5151 |
1260111000004 |
2026-01-11 12:43:29.000000 |
3.000000000000 |
611 |
1260111000004 |
A000001 |
|
Biaya Kartu Pasien |
IDR |
|
0.000000000000 |
1.000000000000 |
50000.000000000000 |
0.000000000000 |
0.000000000000 |
50000.000000000000 |
|
|
|
1.000000000000 |
0 |
|
1260111000004 |
|
1260111000004 |
|
|
1900-01-01 00:00:00.000000 |
50000.000000000000 |
0.000000000000 |
rsvd |
1 |
5639000591 |
2026-03-17 05:03:27.000000 |
? |
2026-03-17 05:03:27.000000 |
? |
0 |
1900-01-01 00:00:00.000000 |
|
5152 |
1260115000018 |
2026-01-15 01:36:44.000000 |
3.000000000000 |
877 |
1260115000018 |
D000004 |
|
Dokter Spesialis 100k |
IDR |
|
0.000000000000 |
1.000000000000 |
100000.000000000000 |
0.000000000000 |
0.000000000000 |
100000.000000000000 |
|
|
|
1.000000000000 |
0 |
|
1260115000018 |
|
1260115000018 |
|
|
1900-01-01 00:00:00.000000 |
100000.000000000000 |
0.000000000000 |
rsvd |
1 |
5639000847 |
2026-03-17 05:03:27.000000 |
? |
2026-03-17 05:03:27.000000 |
? |
0 |
1900-01-01 00:00:00.000000 |
|
5153 |
1260123230004 |
2026-01-23 00:00:00.000000 |
4.000000000000 |
1136 |
1260123230004 |
T000003 |
|
|
IDR |
|
0.000000000000 |
1.000000000000 |
25000.000000000000 |
0.000000000000 |
0.000000000000 |
25000.000000000000 |
|
|
|
1.000000000000 |
0 |
|
1260123230004 |
|
1260123230004 |
|
|
1900-01-01 00:00:00.000000 |
25000.000000000000 |
0.000000000000 |
rsvd |
1 |
5639001103 |
2026-03-17 05:03:27.000000 |
? |
2026-03-17 05:03:27.000000 |
? |
0 |
1900-01-01 00:00:00.000000 |
|
5154 |
12601230230047 |
2026-01-23 14:22:29.000000 |
2.000000000000 |
1392 |
12601230230047 |
D000008 |
|
|
IDR |
|
0.000000000000 |
1.000000000000 |
50000.000000000000 |
0.000000000000 |
0.000000000000 |
50000.000000000000 |
|
|
|
1.000000000000 |
0 |
|
12601230230047 |
|
12601230230047 |
|
|
1900-01-01 00:00:00.000000 |
50000.000000000000 |
0.000000000000 |
rsvd |
1 |
5639001359 |
2026-03-17 05:03:27.000000 |
? |
2026-03-17 05:03:27.000000 |
? |
0 |
1900-01-01 00:00:00.000000 |
|
5155 |
12601240012 |
2026-01-24 13:04:35.000000 |
6.000000000000 |
1648 |
12601240012 |
F000005 |
|
|
IDR |
|
0.000000000000 |
10.000000000000 |
14500.000000000000 |
0.000000000000 |
0.000000000000 |
145000.000000000000 |
|
|
|
10.000000000000 |
0 |
|
12601240012 |
|
12601240012 |
|
|
1900-01-01 00:00:00.000000 |
145000.000000000000 |
0.000000000000 |
rsvd |
1 |
5639001615 |
2026-03-17 05:03:27.000000 |
? |
2026-03-17 05:03:27.000000 |
? |
0 |
1900-01-01 00:00:00.000000 |
|
5156 |
1251218000007 |
2025-12-18 00:00:00.000000 |
7.000000000000 |
1951 |
1251218000007 |
F000001 |
|
|
IDR |
|
0.000000000000 |
24.000000000000 |
1500.000000000000 |
0.000000000000 |
0.000000000000 |
36000.000000000000 |
|
|
|
24.000000000000 |
0 |
|
1251218000007 |
|
1251218000007 |
|
|
1900-01-01 00:00:00.000000 |
36000.000000000000 |
0.000000000000 |
rsvd |
1 |
5639001871 |
2026-03-17 05:03:27.000000 |
? |
2026-03-17 05:03:27.000000 |
? |
0 |
1900-01-01 00:00:00.000000 |
|
5157 |
1251218000022 |
2025-12-18 00:00:00.000000 |
2.000000000000 |
83 |
1251218000022 |
A000001 |
|
|
IDR |
|
0.000000000000 |
1.000000000000 |
20000.000000000000 |
0.000000000000 |
0.000000000000 |
20000.000000000000 |
|
|
|
1.000000000000 |
0 |
|
1251218000022 |
|
1251218000022 |
|
|
1900-01-01 00:00:00.000000 |
20000.000000000000 |
0.000000000000 |
rsvd |
1 |
5639000080 |
2026-03-17 05:03:27.000000 |
? |
2026-03-17 05:03:27.000000 |
? |
0 |
1900-01-01 00:00:00.000000 |
|
5158 |
1251218000050 |
2025-12-18 12:46:32.000000 |
4.000000000000 |
345 |
1251218000050 |
F000009 |
|
|
IDR |
|
0.000000000000 |
16.000000000000 |
96500.000000000000 |
0.000000000000 |
0.000000000000 |
1544000.000000000000 |
|
|
|
16.000000000000 |
0 |
|
1251218000050 |
|
1251218000050 |
|
|
1900-01-01 00:00:00.000000 |
1544000.000000000000 |
0.000000000000 |
rsvd |
1 |
5639000336 |
2026-03-17 05:03:27.000000 |
? |
2026-03-17 05:03:27.000000 |
? |
0 |
1900-01-01 00:00:00.000000 |
|
5159 |
1260111000005 |
2026-01-11 12:47:25.000000 |
1.000000000000 |
612 |
1260111000005 |
D000001 |
|
Biaya dr. Umum (50.000) |
IDR |
|
0.000000000000 |
1.000000000000 |
50000.000000000000 |
0.000000000000 |
0.000000000000 |
50000.000000000000 |
|
|
|
1.000000000000 |
0 |
|
1260111000005 |
|
1260111000005 |
|
|
1900-01-01 00:00:00.000000 |
50000.000000000000 |
0.000000000000 |
rsvd |
1 |
5639000592 |
2026-03-17 05:03:27.000000 |
? |
2026-03-17 05:03:27.000000 |
? |
0 |
1900-01-01 00:00:00.000000 |
|
5160 |
1260115000019 |
2026-01-15 01:37:03.000000 |
1.000000000000 |
878 |
1260115000019 |
A000003 |
|
Rawat Inap |
IDR |
|
0.000000000000 |
1.000000000000 |
500000.000000000000 |
0.000000000000 |
0.000000000000 |
500000.000000000000 |
|
|
|
1.000000000000 |
0 |
|
1260115000019 |
|
1260115000019 |
|
|
1900-01-01 00:00:00.000000 |
500000.000000000000 |
0.000000000000 |
rsvd |
1 |
5639000848 |
2026-03-17 05:03:27.000000 |
? |
2026-03-17 05:03:27.000000 |
? |
0 |
1900-01-01 00:00:00.000000 |