|
5591 |
1251218000012 |
2025-12-18 00:00:00.000000 |
5.000000000000 |
156 |
1251218000012 |
F000001 |
|
|
IDR |
|
0.000000000000 |
5.000000000000 |
1500.000000000000 |
0.000000000000 |
0.000000000000 |
7500.000000000000 |
|
|
|
5.000000000000 |
0 |
|
1251218000012 |
|
1251218000012 |
|
|
1900-01-01 00:00:00.000000 |
7500.000000000000 |
0.000000000000 |
rsvd |
1 |
5639000150 |
2026-03-17 05:03:27.000000 |
? |
2026-03-17 05:03:27.000000 |
? |
0 |
1900-01-01 00:00:00.000000 |
|
5592 |
1260111000007 |
2026-01-13 00:00:00.000000 |
4.000000000000 |
692 |
1260111000007 |
T000007 |
|
Perawatan Luka |
IDR |
|
0.000000000000 |
1.000000000000 |
100000.000000000000 |
0.000000000000 |
0.000000000000 |
100000.000000000000 |
|
|
|
1.000000000000 |
0 |
|
1260111000007 |
|
1260111000007 |
|
|
1900-01-01 00:00:00.000000 |
100000.000000000000 |
0.000000000000 |
rsvd |
1 |
5639000662 |
2026-03-17 05:03:27.000000 |
? |
2026-03-17 05:03:27.000000 |
? |
0 |
1900-01-01 00:00:00.000000 |
|
5593 |
1260123230006 |
2026-01-23 11:04:37.000000 |
9.000000000000 |
1207 |
1260123230006 |
F000007 |
|
Captopril |
IDR |
|
0.000000000000 |
3.000000000000 |
14500.000000000000 |
0.000000000000 |
0.000000000000 |
43500.000000000000 |
|
|
|
3.000000000000 |
0 |
|
1260123230006 |
|
1260123230006 |
|
|
1900-01-01 00:00:00.000000 |
43500.000000000000 |
0.000000000000 |
rsvd |
1 |
5639001174 |
2026-03-17 05:03:27.000000 |
? |
2026-03-17 05:03:27.000000 |
? |
0 |
1900-01-01 00:00:00.000000 |
|
5594 |
1260123230057 |
2026-01-23 00:00:00.000000 |
3.000000000000 |
1463 |
1260123230057 |
T000002 |
|
Konsultasi Dokter Spesialis |
IDR |
|
0.000000000000 |
1.000000000000 |
150000.000000000000 |
0.000000000000 |
0.000000000000 |
150000.000000000000 |
|
|
|
1.000000000000 |
0 |
|
1260123230057 |
|
1260123230057 |
|
|
1900-01-01 00:00:00.000000 |
150000.000000000000 |
0.000000000000 |
rsvd |
1 |
5639001430 |
2026-03-17 05:03:27.000000 |
? |
2026-03-17 05:03:27.000000 |
? |
0 |
1900-01-01 00:00:00.000000 |
|
5595 |
12601240240021 |
2026-01-24 18:01:30.000000 |
1.000000000000 |
1719 |
12601240240021 |
A000003 |
|
|
IDR |
|
0.000000000000 |
1.000000000000 |
500000.000000000000 |
0.000000000000 |
0.000000000000 |
500000.000000000000 |
|
|
|
1.000000000000 |
0 |
|
12601240240021 |
|
12601240240021 |
|
|
1900-01-01 00:00:00.000000 |
500000.000000000000 |
0.000000000000 |
rsvd |
1 |
5639001686 |
2026-03-17 05:03:27.000000 |
? |
2026-03-17 05:03:27.000000 |
? |
0 |
1900-01-01 00:00:00.000000 |
|
5596 |
1251218000029 |
2025-12-18 00:00:00.000000 |
4.000000000000 |
157 |
1251218000029 |
F000017 |
|
|
IDR |
|
0.000000000000 |
1.000000000000 |
12800.000000000000 |
0.000000000000 |
0.000000000000 |
12800.000000000000 |
|
|
|
1.000000000000 |
0 |
|
1251218000029 |
|
1251218000029 |
|
|
1900-01-01 00:00:00.000000 |
12800.000000000000 |
0.000000000000 |
rsvd |
1 |
5639000151 |
2026-03-17 05:03:27.000000 |
? |
2026-03-17 05:03:27.000000 |
? |
0 |
1900-01-01 00:00:00.000000 |
|
5597 |
1251223000007 |
2025-12-23 00:00:00.000000 |
1.000000000000 |
422 |
1251223000007 |
A000003 |
|
|
IDR |
|
0.000000000000 |
1.000000000000 |
500000.000000000000 |
0.000000000000 |
0.000000000000 |
500000.000000000000 |
|
|
|
1.000000000000 |
0 |
|
1251223000007 |
|
1251223000007 |
|
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1900-01-01 00:00:00.000000 |
500000.000000000000 |
0.000000000000 |
rsvd |
1 |
5639000407 |
2026-03-17 05:03:27.000000 |
? |
2026-03-17 05:03:27.000000 |
? |
0 |
1900-01-01 00:00:00.000000 |
|
5598 |
1260113000001 |
2026-01-13 09:40:16.000000 |
1.000000000000 |
693 |
1260113000001 |
A000003 |
|
Rawat Inap |
IDR |
|
0.000000000000 |
1.000000000000 |
500000.000000000000 |
0.000000000000 |
0.000000000000 |
500000.000000000000 |
|
|
|
1.000000000000 |
0 |
|
1260113000001 |
|
1260113000001 |
|
|
1900-01-01 00:00:00.000000 |
500000.000000000000 |
0.000000000000 |
rsvd |
1 |
5639000663 |
2026-03-17 05:03:27.000000 |
? |
2026-03-17 05:03:27.000000 |
? |
0 |
1900-01-01 00:00:00.000000 |
|
5599 |
1260123230010 |
2026-01-23 00:00:00.000000 |
6.000000000000 |
1208 |
1260123230010 |
T000004 |
|
|
IDR |
|
0.000000000000 |
1.000000000000 |
75000.000000000000 |
0.000000000000 |
0.000000000000 |
75000.000000000000 |
|
|
|
1.000000000000 |
0 |
|
1260123230010 |
|
1260123230010 |
|
|
1900-01-01 00:00:00.000000 |
75000.000000000000 |
0.000000000000 |
rsvd |
1 |
5639001175 |
2026-03-17 05:03:27.000000 |
? |
2026-03-17 05:03:27.000000 |
? |
0 |
1900-01-01 00:00:00.000000 |
|
5600 |
1260123230057 |
2026-01-23 00:00:00.000000 |
4.000000000000 |
1464 |
1260123230057 |
P000010 |
|
Cotton Ball |
IDR |
|
0.000000000000 |
1.000000000000 |
5000.000000000000 |
0.000000000000 |
0.000000000000 |
5000.000000000000 |
|
|
|
1.000000000000 |
0 |
|
1260123230057 |
|
1260123230057 |
|
|
1900-01-01 00:00:00.000000 |
5000.000000000000 |
0.000000000000 |
rsvd |
1 |
5639001431 |
2026-03-17 05:03:27.000000 |
? |
2026-03-17 05:03:27.000000 |
? |
0 |
1900-01-01 00:00:00.000000 |