|
521 |
1260428000010 |
1900-01-01 00:00:00.000000 |
2342.000000000000 |
LID2606100213 |
22604280010 |
D000001 |
|
Biaya dr. Umum (50.000) |
IDR |
|
0.000000000000 |
1.000000000000 |
50000.000000000000 |
0.000000000000 |
0.000000000000 |
50000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
1260428000010 |
|
|
|
|
1900-01-01 00:00:00.000000 |
50000.000000000000 |
1.000000000000 |
snr |
1 |
5639006364 |
2026-06-10 08:55:23.000000 |
NAMAKU ADMIN |
2026-06-10 08:55:23.000000 |
NAMAKU ADMIN |
0 |
1900-01-01 00:00:00.000000 |
|
522 |
1260510000011 |
1900-01-01 00:00:00.000000 |
2598.000000000000 |
LID2606100469 |
32605100015 |
T000003 |
|
Pemeriksaan Tanda Vital |
IDR |
|
0.000000000000 |
1.000000000000 |
25000.000000000000 |
0.000000000000 |
0.000000000000 |
25000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
1260510000011 |
|
|
|
|
1900-01-01 00:00:00.000000 |
25000.000000000000 |
1.000000000000 |
snr |
1 |
5639006620 |
2026-06-10 08:55:23.000000 |
NAMAKU ADMIN |
2026-06-10 08:55:23.000000 |
NAMAKU ADMIN |
0 |
1900-01-01 00:00:00.000000 |
|
523 |
1260526000001 |
1900-01-01 00:00:00.000000 |
2854.000000000000 |
LID2606100725 |
112606080005 |
R000001 |
|
|
IDR |
|
0.000000000000 |
1.000000000000 |
500000.000000000000 |
0.000000000000 |
0.000000000000 |
500000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
1260526000001 |
|
|
|
|
1900-01-01 00:00:00.000000 |
500000.000000000000 |
1.000000000000 |
snr |
1 |
5639006876 |
2026-06-10 08:55:23.000000 |
NAMAKU ADMIN |
2026-06-10 08:55:23.000000 |
NAMAKU ADMIN |
0 |
1900-01-01 00:00:00.000000 |
|
524 |
1260428000011 |
1900-01-01 00:00:00.000000 |
2343.000000000000 |
LID2606100214 |
22604280011 |
A000002 |
|
Rawat Jalan |
IDR |
|
0.000000000000 |
1.000000000000 |
150000.000000000000 |
0.000000000000 |
0.000000000000 |
150000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
1260428000011 |
|
|
|
|
1900-01-01 00:00:00.000000 |
150000.000000000000 |
1.000000000000 |
snr |
1 |
5639006365 |
2026-06-10 08:55:23.000000 |
NAMAKU ADMIN |
2026-06-10 08:55:23.000000 |
NAMAKU ADMIN |
0 |
1900-01-01 00:00:00.000000 |
|
525 |
1260510000012 |
1900-01-01 00:00:00.000000 |
2599.000000000000 |
LID2606100470 |
132605100006 |
L000013 |
|
|
IDR |
|
0.000000000000 |
1.000000000000 |
70000.000000000000 |
0.000000000000 |
0.000000000000 |
70000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
1260510000012 |
|
|
|
|
1900-01-01 00:00:00.000000 |
70000.000000000000 |
1.000000000000 |
snr |
1 |
5639006621 |
2026-06-10 08:55:23.000000 |
NAMAKU ADMIN |
2026-06-10 08:55:23.000000 |
NAMAKU ADMIN |
0 |
1900-01-01 00:00:00.000000 |
|
526 |
1260526000001 |
1900-01-01 00:00:00.000000 |
2855.000000000000 |
LID2606100726 |
112606080005 |
R000002 |
|
|
IDR |
|
0.000000000000 |
1.000000000000 |
3500000.000000000000 |
0.000000000000 |
0.000000000000 |
3500000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
1260526000001 |
|
|
|
|
1900-01-01 00:00:00.000000 |
3500000.000000000000 |
1.000000000000 |
snr |
1 |
5639006877 |
2026-06-10 08:55:23.000000 |
NAMAKU ADMIN |
2026-06-10 08:55:23.000000 |
NAMAKU ADMIN |
0 |
1900-01-01 00:00:00.000000 |
|
527 |
1260428000011 |
1900-01-01 00:00:00.000000 |
2344.000000000000 |
LID2606100215 |
22604280011 |
D000001 |
|
Biaya dr. Umum (50.000) |
IDR |
|
0.000000000000 |
1.000000000000 |
50000.000000000000 |
0.000000000000 |
0.000000000000 |
50000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
1260428000011 |
|
|
|
|
1900-01-01 00:00:00.000000 |
50000.000000000000 |
1.000000000000 |
snr |
1 |
5639006366 |
2026-06-10 08:55:23.000000 |
NAMAKU ADMIN |
2026-06-10 08:55:23.000000 |
NAMAKU ADMIN |
0 |
1900-01-01 00:00:00.000000 |
|
528 |
1260510000012 |
1900-01-01 00:00:00.000000 |
2600.000000000000 |
LID2606100471 |
22605100012 |
D000002 |
|
Biaya Konsultasi dr. Spesialis THT (75.000) |
IDR |
|
0.000000000000 |
1.000000000000 |
75000.000000000000 |
0.000000000000 |
0.000000000000 |
75000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
1260510000012 |
|
|
|
|
1900-01-01 00:00:00.000000 |
75000.000000000000 |
1.000000000000 |
snr |
1 |
5639006622 |
2026-06-10 08:55:23.000000 |
NAMAKU ADMIN |
2026-06-10 08:55:23.000000 |
NAMAKU ADMIN |
0 |
1900-01-01 00:00:00.000000 |
|
529 |
1260526000001 |
1900-01-01 00:00:00.000000 |
2856.000000000000 |
LID2606100727 |
112606080005 |
R000009 |
|
|
IDR |
|
0.000000000000 |
1.000000000000 |
26000000.000000000000 |
0.000000000000 |
0.000000000000 |
26000000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
1260526000001 |
|
|
|
|
1900-01-01 00:00:00.000000 |
26000000.000000000000 |
1.000000000000 |
snr |
1 |
5639006878 |
2026-06-10 08:55:23.000000 |
NAMAKU ADMIN |
2026-06-10 08:55:23.000000 |
NAMAKU ADMIN |
0 |
1900-01-01 00:00:00.000000 |
|
530 |
1260428000012 |
1900-01-01 00:00:00.000000 |
2345.000000000000 |
LID2606100216 |
22604280012 |
A000002 |
|
Rawat Jalan |
IDR |
|
0.000000000000 |
1.000000000000 |
150000.000000000000 |
0.000000000000 |
0.000000000000 |
150000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
1260428000012 |
|
|
|
|
1900-01-01 00:00:00.000000 |
150000.000000000000 |
1.000000000000 |
snr |
1 |
5639006367 |
2026-06-10 08:55:23.000000 |
NAMAKU ADMIN |
2026-06-10 08:55:23.000000 |
NAMAKU ADMIN |
0 |
1900-01-01 00:00:00.000000 |