|
5311 |
1260114000008 |
2026-01-23 10:25:52.000000 |
10.000000000000 |
1160 |
1260114000008 |
P000012 |
|
|
IDR |
|
0.000000000000 |
1.000000000000 |
10000.000000000000 |
0.000000000000 |
0.000000000000 |
10000.000000000000 |
|
|
|
1.000000000000 |
0 |
|
1260114000008 |
|
1260114000008 |
|
|
1900-01-01 00:00:00.000000 |
10000.000000000000 |
0.000000000000 |
rsvd |
1 |
5639001127 |
2026-03-17 05:03:27.000000 |
? |
2026-03-17 05:03:27.000000 |
? |
0 |
1900-01-01 00:00:00.000000 |
|
5312 |
1251218000030 |
2025-12-18 00:00:00.000000 |
3.000000000000 |
107 |
1251218000030 |
D000006 |
|
|
IDR |
|
0.000000000000 |
1.000000000000 |
200000.000000000000 |
0.000000000000 |
0.000000000000 |
200000.000000000000 |
|
|
|
1.000000000000 |
0 |
|
1251218000030 |
|
1251218000030 |
|
|
1900-01-01 00:00:00.000000 |
200000.000000000000 |
0.000000000000 |
rsvd |
1 |
5639000104 |
2026-03-17 05:03:27.000000 |
? |
2026-03-17 05:03:27.000000 |
? |
0 |
1900-01-01 00:00:00.000000 |
|
5313 |
1251219050515 |
2025-12-19 00:00:00.000000 |
2.000000000000 |
372 |
1251219050515 |
A000001 |
|
|
IDR |
|
0.000000000000 |
1.000000000000 |
20000.000000000000 |
0.000000000000 |
0.000000000000 |
20000.000000000000 |
|
|
|
1.000000000000 |
0 |
|
1251219050515 |
|
1251219050515 |
|
|
1900-01-01 00:00:00.000000 |
20000.000000000000 |
0.000000000000 |
rsvd |
1 |
5639000360 |
2026-03-17 05:03:27.000000 |
? |
2026-03-17 05:03:27.000000 |
? |
0 |
1900-01-01 00:00:00.000000 |
|
5314 |
1260111000010 |
2026-01-11 13:45:31.000000 |
4.000000000000 |
641 |
1260111000010 |
F000001 |
|
Paracetamol |
IDR |
|
0.000000000000 |
100.000000000000 |
1500.000000000000 |
0.000000000000 |
0.000000000000 |
150000.000000000000 |
|
|
|
100.000000000000 |
0 |
|
1260111000010 |
|
1260111000010 |
|
|
1900-01-01 00:00:00.000000 |
150000.000000000000 |
0.000000000000 |
rsvd |
1 |
5639000616 |
2026-03-17 05:03:27.000000 |
? |
2026-03-17 05:03:27.000000 |
? |
0 |
1900-01-01 00:00:00.000000 |
|
5315 |
1260115000021 |
2026-01-15 01:41:29.000000 |
2.000000000000 |
902 |
1260115000021 |
A000001 |
|
Biaya Kartu Pasien |
IDR |
|
0.000000000000 |
1.000000000000 |
50000.000000000000 |
0.000000000000 |
0.000000000000 |
50000.000000000000 |
|
|
|
1.000000000000 |
0 |
|
1260115000021 |
|
1260115000021 |
|
|
1900-01-01 00:00:00.000000 |
50000.000000000000 |
0.000000000000 |
rsvd |
1 |
5639000872 |
2026-03-17 05:03:27.000000 |
? |
2026-03-17 05:03:27.000000 |
? |
0 |
1900-01-01 00:00:00.000000 |
|
5316 |
1260114000008 |
2026-01-23 10:25:52.000000 |
11.000000000000 |
1161 |
1260114000008 |
X000006 |
|
|
IDR |
|
0.000000000000 |
1.000000000000 |
55000.000000000000 |
0.000000000000 |
0.000000000000 |
55000.000000000000 |
|
|
|
1.000000000000 |
0 |
|
1260114000008 |
|
1260114000008 |
|
|
1900-01-01 00:00:00.000000 |
55000.000000000000 |
0.000000000000 |
rsvd |
1 |
5639001128 |
2026-03-17 05:03:27.000000 |
? |
2026-03-17 05:03:27.000000 |
? |
0 |
1900-01-01 00:00:00.000000 |
|
5317 |
1260124240015 |
2026-01-24 09:19:46.000000 |
1.000000000000 |
1673 |
1260124240015 |
A000002 |
|
Rawat Jalan |
IDR |
|
0.000000000000 |
1.000000000000 |
150000.000000000000 |
0.000000000000 |
0.000000000000 |
150000.000000000000 |
|
|
|
1.000000000000 |
0 |
|
1260124240015 |
|
1260124240015 |
|
|
1900-01-01 00:00:00.000000 |
150000.000000000000 |
0.000000000000 |
rsvd |
1 |
5639001640 |
2026-03-17 05:03:27.000000 |
? |
2026-03-17 05:03:27.000000 |
? |
0 |
1900-01-01 00:00:00.000000 |
|
5318 |
1251218000031 |
2025-12-18 00:00:00.000000 |
1.000000000000 |
108 |
1251218000031 |
A000002 |
|
|
IDR |
|
0.000000000000 |
1.000000000000 |
150000.000000000000 |
0.000000000000 |
0.000000000000 |
150000.000000000000 |
|
|
|
1.000000000000 |
0 |
|
1251218000031 |
|
1251218000031 |
|
|
1900-01-01 00:00:00.000000 |
150000.000000000000 |
0.000000000000 |
rsvd |
1 |
5639000105 |
2026-03-17 05:03:27.000000 |
? |
2026-03-17 05:03:27.000000 |
? |
0 |
1900-01-01 00:00:00.000000 |
|
5319 |
1251219050515 |
2025-12-19 00:00:00.000000 |
3.000000000000 |
373 |
1251219050515 |
D000001 |
|
|
IDR |
|
0.000000000000 |
1.000000000000 |
50000.000000000000 |
0.000000000000 |
0.000000000000 |
50000.000000000000 |
|
|
|
1.000000000000 |
0 |
|
1251219050515 |
|
1251219050515 |
|
|
1900-01-01 00:00:00.000000 |
50000.000000000000 |
0.000000000000 |
rsvd |
1 |
5639000361 |
2026-03-17 05:03:27.000000 |
? |
2026-03-17 05:03:27.000000 |
? |
0 |
1900-01-01 00:00:00.000000 |
|
5320 |
1260111000011 |
2026-01-11 14:34:45.000000 |
1.000000000000 |
642 |
1260111000011 |
D000002 |
|
Biaya Konsultasi dr. Spesialis THT (75.000) |
IDR |
|
0.000000000000 |
1.000000000000 |
75000.000000000000 |
0.000000000000 |
0.000000000000 |
75000.000000000000 |
|
|
|
1.000000000000 |
0 |
|
1260111000011 |
|
1260111000011 |
|
|
1900-01-01 00:00:00.000000 |
75000.000000000000 |
0.000000000000 |
rsvd |
1 |
5639000617 |
2026-03-17 05:03:27.000000 |
? |
2026-03-17 05:03:27.000000 |
? |
0 |
1900-01-01 00:00:00.000000 |