|
5181 |
1260115000002 |
2026-01-15 00:00:00.000000 |
9.000000000000 |
881 |
1260115000002 |
F000006 |
|
|
IDR |
|
0.000000000000 |
10.000000000000 |
25500.000000000000 |
0.000000000000 |
0.000000000000 |
255000.000000000000 |
|
|
|
10.000000000000 |
0 |
|
1260115000002 |
|
1260115000002 |
|
|
1900-01-01 00:00:00.000000 |
255000.000000000000 |
0.000000000000 |
rsvd |
1 |
5639000851 |
2026-03-17 05:03:27.000000 |
? |
2026-03-17 05:03:27.000000 |
? |
0 |
1900-01-01 00:00:00.000000 |
|
5182 |
1260123230004 |
2026-01-23 00:00:00.000000 |
6.000000000000 |
1140 |
1260123230004 |
F000005 |
|
|
IDR |
|
0.000000000000 |
1.000000000000 |
14500.000000000000 |
0.000000000000 |
0.000000000000 |
14500.000000000000 |
|
|
|
1.000000000000 |
0 |
|
1260123230004 |
|
1260123230004 |
|
|
1900-01-01 00:00:00.000000 |
14500.000000000000 |
0.000000000000 |
rsvd |
1 |
5639001107 |
2026-03-17 05:03:27.000000 |
? |
2026-03-17 05:03:27.000000 |
? |
0 |
1900-01-01 00:00:00.000000 |
|
5183 |
1260123230040 |
2026-01-23 00:00:00.000000 |
4.000000000000 |
1396 |
1260123230040 |
P000006 |
|
|
IDR |
|
0.000000000000 |
1.000000000000 |
1000.000000000000 |
0.000000000000 |
0.000000000000 |
1000.000000000000 |
|
|
|
1.000000000000 |
0 |
|
1260123230040 |
|
1260123230040 |
|
|
1900-01-01 00:00:00.000000 |
1000.000000000000 |
0.000000000000 |
rsvd |
1 |
5639001363 |
2026-03-17 05:03:27.000000 |
? |
2026-03-17 05:03:27.000000 |
? |
0 |
1900-01-01 00:00:00.000000 |
|
5184 |
1251218000004 |
2026-01-26 21:05:04.000000 |
10.000000000000 |
1955 |
1251218000004 |
F000005 |
|
|
IDR |
|
0.000000000000 |
1.000000000000 |
14500.000000000000 |
0.000000000000 |
0.000000000000 |
14500.000000000000 |
|
|
|
1.000000000000 |
0 |
|
1251218000004 |
|
1251218000004 |
|
|
1900-01-01 00:00:00.000000 |
14500.000000000000 |
0.000000000000 |
rsvd |
1 |
5639001875 |
2026-03-17 05:03:27.000000 |
? |
2026-03-17 05:03:27.000000 |
? |
0 |
1900-01-01 00:00:00.000000 |
|
5185 |
1251218000023 |
2025-12-18 00:00:00.000000 |
3.000000000000 |
87 |
1251218000023 |
D000006 |
|
|
IDR |
|
0.000000000000 |
1.000000000000 |
200000.000000000000 |
0.000000000000 |
0.000000000000 |
200000.000000000000 |
|
|
|
1.000000000000 |
0 |
|
1251218000023 |
|
1251218000023 |
|
|
1900-01-01 00:00:00.000000 |
200000.000000000000 |
0.000000000000 |
rsvd |
1 |
5639000084 |
2026-03-17 05:03:27.000000 |
? |
2026-03-17 05:03:27.000000 |
? |
0 |
1900-01-01 00:00:00.000000 |
|
5186 |
1251218000071 |
2025-12-18 12:47:43.000000 |
3.000000000000 |
349 |
1251218000071 |
A000002 |
|
|
IDR |
|
0.000000000000 |
1.000000000000 |
150000.000000000000 |
0.000000000000 |
0.000000000000 |
150000.000000000000 |
|
|
|
1.000000000000 |
0 |
|
1251218000071 |
|
1251218000071 |
|
|
1900-01-01 00:00:00.000000 |
150000.000000000000 |
0.000000000000 |
rsvd |
1 |
5639000340 |
2026-03-17 05:03:27.000000 |
? |
2026-03-17 05:03:27.000000 |
? |
0 |
1900-01-01 00:00:00.000000 |
|
5187 |
1260111000002 |
2026-01-11 12:42:14.000000 |
6.000000000000 |
616 |
1260111000002 |
A000001 |
|
Biaya Kartu Pasien |
IDR |
|
0.000000000000 |
1.000000000000 |
50000.000000000000 |
0.000000000000 |
0.000000000000 |
50000.000000000000 |
|
|
|
1.000000000000 |
0 |
|
1260111000002 |
|
1260111000002 |
|
|
1900-01-01 00:00:00.000000 |
50000.000000000000 |
0.000000000000 |
rsvd |
1 |
5639000596 |
2026-03-17 05:03:27.000000 |
? |
2026-03-17 05:03:27.000000 |
? |
0 |
1900-01-01 00:00:00.000000 |
|
5188 |
1260115000002 |
2026-01-15 00:00:00.000000 |
10.000000000000 |
882 |
1260115000002 |
F000013 |
|
|
IDR |
|
0.000000000000 |
10.000000000000 |
42000.000000000000 |
0.000000000000 |
0.000000000000 |
420000.000000000000 |
|
|
|
10.000000000000 |
0 |
|
1260115000002 |
|
1260115000002 |
|
|
1900-01-01 00:00:00.000000 |
420000.000000000000 |
0.000000000000 |
rsvd |
1 |
5639000852 |
2026-03-17 05:03:27.000000 |
? |
2026-03-17 05:03:27.000000 |
? |
0 |
1900-01-01 00:00:00.000000 |
|
5189 |
1260123230048 |
2026-01-23 00:00:00.000000 |
3.000000000000 |
1397 |
1260123230048 |
T000002 |
|
Konsultasi Dokter Spesialis |
IDR |
|
0.000000000000 |
1.000000000000 |
150000.000000000000 |
0.000000000000 |
0.000000000000 |
150000.000000000000 |
|
|
|
1.000000000000 |
0 |
|
1260123230048 |
|
1260123230048 |
|
|
1900-01-01 00:00:00.000000 |
150000.000000000000 |
0.000000000000 |
rsvd |
1 |
5639001364 |
2026-03-17 05:03:27.000000 |
? |
2026-03-17 05:03:27.000000 |
? |
0 |
1900-01-01 00:00:00.000000 |
|
5190 |
1260124240013 |
2026-01-24 13:18:06.000000 |
1.000000000000 |
1653 |
1260124240013 |
D000004 |
|
|
IDR |
|
0.000000000000 |
1.000000000000 |
100000.000000000000 |
0.000000000000 |
0.000000000000 |
100000.000000000000 |
|
|
|
1.000000000000 |
0 |
|
1260124240013 |
|
1260124240013 |
|
|
1900-01-01 00:00:00.000000 |
100000.000000000000 |
0.000000000000 |
rsvd |
1 |
5639001620 |
2026-03-17 05:03:27.000000 |
? |
2026-03-17 05:03:27.000000 |
? |
0 |
1900-01-01 00:00:00.000000 |