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5231 |
1251218000069 |
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6.000000000000 |
356 |
1251218000069 |
T000002 |
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|
IDR |
|
0.000000000000 |
1.000000000000 |
150000.000000000000 |
0.000000000000 |
0.000000000000 |
150000.000000000000 |
|
|
|
1.000000000000 |
0 |
|
1251218000069 |
|
1251218000069 |
|
|
1900-01-01 00:00:00.000000 |
150000.000000000000 |
0.000000000000 |
rsvd |
1 |
5639000347 |
2026-03-17 05:03:27.000000 |
? |
2026-03-17 05:03:27.000000 |
? |
0 |
1900-01-01 00:00:00.000000 |
|
5232 |
1260111000003 |
2026-01-11 12:42:47.000000 |
6.000000000000 |
623 |
1260111000003 |
A000003 |
|
Rawat Inap |
IDR |
|
0.000000000000 |
1.000000000000 |
500000.000000000000 |
0.000000000000 |
0.000000000000 |
500000.000000000000 |
|
|
|
1.000000000000 |
0 |
|
1260111000003 |
|
1260111000003 |
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1900-01-01 00:00:00.000000 |
500000.000000000000 |
0.000000000000 |
rsvd |
1 |
5639000603 |
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 |
|
5233 |
1260115000007 |
2026-01-15 00:00:00.000000 |
4.000000000000 |
889 |
1260115000007 |
T000004 |
|
|
IDR |
|
0.000000000000 |
1.000000000000 |
75000.000000000000 |
0.000000000000 |
0.000000000000 |
75000.000000000000 |
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|
|
1.000000000000 |
0 |
|
1260115000007 |
|
1260115000007 |
|
|
1900-01-01 00:00:00.000000 |
75000.000000000000 |
0.000000000000 |
rsvd |
1 |
5639000859 |
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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5234 |
1260123230007 |
2026-01-23 03:13:37.000000 |
1.000000000000 |
1148 |
1260123230007 |
D000001 |
|
|
IDR |
|
0.000000000000 |
1.000000000000 |
50000.000000000000 |
0.000000000000 |
0.000000000000 |
50000.000000000000 |
|
|
|
1.000000000000 |
0 |
|
1260123230007 |
|
1260123230007 |
|
|
1900-01-01 00:00:00.000000 |
50000.000000000000 |
0.000000000000 |
rsvd |
1 |
5639001115 |
2026-03-17 05:03:27.000000 |
? |
2026-03-17 05:03:27.000000 |
? |
0 |
1900-01-01 00:00:00.000000 |
|
5235 |
1260123230049 |
2026-01-23 14:31:18.000000 |
3.000000000000 |
1404 |
1260123230049 |
A000001 |
|
Biaya Kartu Pasien |
IDR |
|
0.000000000000 |
1.000000000000 |
50000.000000000000 |
0.000000000000 |
0.000000000000 |
50000.000000000000 |
|
|
|
1.000000000000 |
0 |
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1260123230049 |
|
1260123230049 |
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1900-01-01 00:00:00.000000 |
50000.000000000000 |
0.000000000000 |
rsvd |
1 |
5639001371 |
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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5236 |
12601240014 |
2026-01-24 06:56:44.000000 |
3.000000000000 |
1660 |
12601240014 |
D000010 |
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|
IDR |
|
0.000000000000 |
1.000000000000 |
70000.000000000000 |
0.000000000000 |
0.000000000000 |
70000.000000000000 |
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|
|
1.000000000000 |
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12601240014 |
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12601240014 |
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1900-01-01 00:00:00.000000 |
70000.000000000000 |
0.000000000000 |
rsvd |
1 |
5639001627 |
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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5237 |
1251218000026 |
2025-12-18 00:00:00.000000 |
2.000000000000 |
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1251218000026 |
A000001 |
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|
IDR |
|
0.000000000000 |
1.000000000000 |
20000.000000000000 |
0.000000000000 |
0.000000000000 |
20000.000000000000 |
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|
|
1.000000000000 |
0 |
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1251218000026 |
|
1251218000026 |
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1900-01-01 00:00:00.000000 |
20000.000000000000 |
0.000000000000 |
rsvd |
1 |
5639000092 |
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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5238 |
1251218000069 |
2025-12-18 00:00:00.000000 |
7.000000000000 |
357 |
1251218000069 |
T000009 |
|
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IDR |
|
0.000000000000 |
1.000000000000 |
35000.000000000000 |
0.000000000000 |
0.000000000000 |
350.000000000000 |
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|
|
1.000000000000 |
0 |
|
1251218000069 |
|
1251218000069 |
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1900-01-01 00:00:00.000000 |
350.000000000000 |
0.000000000000 |
rsvd |
1 |
5639000348 |
2026-03-17 05:03:27.000000 |
? |
2026-03-17 05:03:27.000000 |
? |
0 |
1900-01-01 00:00:00.000000 |
|
5239 |
1260111000004 |
2026-01-11 12:43:29.000000 |
4.000000000000 |
624 |
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 |
|
1260111000004 |
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1900-01-01 00:00:00.000000 |
75000.000000000000 |
0.000000000000 |
rsvd |
1 |
5639000604 |
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 |
|
5240 |
1260115000007 |
2026-01-15 00:00:00.000000 |
5.000000000000 |
890 |
1260115000007 |
T000006 |
|
|
IDR |
|
0.000000000000 |
1.000000000000 |
50000.000000000000 |
0.000000000000 |
0.000000000000 |
50000.000000000000 |
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|
|
1.000000000000 |
0 |
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1260115000007 |
|
1260115000007 |
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1900-01-01 00:00:00.000000 |
50000.000000000000 |
0.000000000000 |
rsvd |
1 |
5639000860 |
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 |