|
5601 |
12601240240021 |
2026-01-24 18:01:30.000000 |
2.000000000000 |
1720 |
12601240240021 |
D000005 |
|
|
IDR |
|
0.000000000000 |
1.000000000000 |
150000.000000000000 |
0.000000000000 |
0.000000000000 |
150000.000000000000 |
|
|
|
1.000000000000 |
0 |
|
12601240240021 |
|
12601240240021 |
|
|
1900-01-01 00:00:00.000000 |
150000.000000000000 |
0.000000000000 |
rsvd |
1 |
5639001687 |
2026-03-17 05:03:27.000000 |
? |
2026-03-17 05:03:27.000000 |
? |
0 |
1900-01-01 00:00:00.000000 |
|
5602 |
1251218000029 |
2025-12-18 00:00:00.000000 |
5.000000000000 |
158 |
1251218000029 |
F000012 |
|
|
IDR |
|
0.000000000000 |
1.000000000000 |
28000.000000000000 |
0.000000000000 |
0.000000000000 |
28000.000000000000 |
|
|
|
1.000000000000 |
0 |
|
1251218000029 |
|
1251218000029 |
|
|
1900-01-01 00:00:00.000000 |
28000.000000000000 |
0.000000000000 |
rsvd |
1 |
5639000152 |
2026-03-17 05:03:27.000000 |
? |
2026-03-17 05:03:27.000000 |
? |
0 |
1900-01-01 00:00:00.000000 |
|
5603 |
1251223000007 |
2025-12-23 00:00:00.000000 |
2.000000000000 |
423 |
1251223000007 |
D000007 |
|
|
IDR |
|
0.000000000000 |
1.000000000000 |
120000.000000000000 |
0.000000000000 |
0.000000000000 |
120000.000000000000 |
|
|
|
1.000000000000 |
0 |
|
1251223000007 |
|
1251223000007 |
|
|
1900-01-01 00:00:00.000000 |
120000.000000000000 |
0.000000000000 |
rsvd |
1 |
5639000408 |
2026-03-17 05:03:27.000000 |
? |
2026-03-17 05:03:27.000000 |
? |
0 |
1900-01-01 00:00:00.000000 |
|
5604 |
1260113000001 |
2026-01-13 09:40:16.000000 |
2.000000000000 |
694 |
1260113000001 |
A000001 |
|
Biaya Kartu Pasien |
IDR |
|
0.000000000000 |
1.000000000000 |
50000.000000000000 |
0.000000000000 |
0.000000000000 |
50000.000000000000 |
|
|
|
1.000000000000 |
0 |
|
1260113000001 |
|
1260113000001 |
|
|
1900-01-01 00:00:00.000000 |
50000.000000000000 |
0.000000000000 |
rsvd |
1 |
5639000664 |
2026-03-17 05:03:27.000000 |
? |
2026-03-17 05:03:27.000000 |
? |
0 |
1900-01-01 00:00:00.000000 |
|
5605 |
1260123230015 |
2026-01-23 00:00:00.000000 |
4.000000000000 |
1209 |
1260123230015 |
P000003 |
|
|
IDR |
|
0.000000000000 |
1.000000000000 |
8000.000000000000 |
0.000000000000 |
0.000000000000 |
8000.000000000000 |
|
|
|
1.000000000000 |
0 |
|
1260123230015 |
|
1260123230015 |
|
|
1900-01-01 00:00:00.000000 |
8000.000000000000 |
0.000000000000 |
rsvd |
1 |
5639001176 |
2026-03-17 05:03:27.000000 |
? |
2026-03-17 05:03:27.000000 |
? |
0 |
1900-01-01 00:00:00.000000 |
|
5606 |
1260123230057 |
2026-01-23 15:48:53.000000 |
5.000000000000 |
1465 |
1260123230057 |
F000010 |
|
Loratadine |
IDR |
|
0.000000000000 |
1.000000000000 |
18500.000000000000 |
0.000000000000 |
0.000000000000 |
18500.000000000000 |
|
|
|
1.000000000000 |
0 |
|
1260123230057 |
|
1260123230057 |
|
|
1900-01-01 00:00:00.000000 |
18500.000000000000 |
0.000000000000 |
rsvd |
1 |
5639001432 |
2026-03-17 05:03:27.000000 |
? |
2026-03-17 05:03:27.000000 |
? |
0 |
1900-01-01 00:00:00.000000 |
|
5607 |
1251218000022 |
2025-12-18 00:00:00.000000 |
4.000000000000 |
159 |
1251218000022 |
F000002 |
|
|
IDR |
|
0.000000000000 |
10.000000000000 |
2500.000000000000 |
0.000000000000 |
0.000000000000 |
25000.000000000000 |
|
|
|
10.000000000000 |
0 |
|
1251218000022 |
|
1251218000022 |
|
|
1900-01-01 00:00:00.000000 |
25000.000000000000 |
0.000000000000 |
rsvd |
1 |
5639000153 |
2026-03-17 05:03:27.000000 |
? |
2026-03-17 05:03:27.000000 |
? |
0 |
1900-01-01 00:00:00.000000 |
|
5608 |
1251223000008 |
2025-12-23 11:13:32.000000 |
1.000000000000 |
424 |
1251223000008 |
D000009 |
|
|
IDR |
|
0.000000000000 |
1.000000000000 |
60000.000000000000 |
0.000000000000 |
0.000000000000 |
60000.000000000000 |
|
|
|
1.000000000000 |
0 |
|
1251223000008 |
|
1251223000008 |
|
|
1900-01-01 00:00:00.000000 |
60000.000000000000 |
0.000000000000 |
rsvd |
1 |
5639000409 |
2026-03-17 05:03:27.000000 |
? |
2026-03-17 05:03:27.000000 |
? |
0 |
1900-01-01 00:00:00.000000 |
|
5609 |
1260113000001 |
2026-01-13 09:40:16.000000 |
3.000000000000 |
695 |
1260113000001 |
D000010 |
|
Konsultasi Dokter Anak |
IDR |
|
0.000000000000 |
1.000000000000 |
70000.000000000000 |
0.000000000000 |
0.000000000000 |
70000.000000000000 |
|
|
|
1.000000000000 |
0 |
|
1260113000001 |
|
1260113000001 |
|
|
1900-01-01 00:00:00.000000 |
70000.000000000000 |
0.000000000000 |
rsvd |
1 |
5639000665 |
2026-03-17 05:03:27.000000 |
? |
2026-03-17 05:03:27.000000 |
? |
0 |
1900-01-01 00:00:00.000000 |
|
5610 |
1260123230058 |
2026-01-23 08:50:42.000000 |
1.000000000000 |
1466 |
1260123230058 |
D000002 |
|
|
IDR |
|
0.000000000000 |
1.000000000000 |
75000.000000000000 |
0.000000000000 |
0.000000000000 |
75000.000000000000 |
|
|
|
1.000000000000 |
0 |
|
1260123230058 |
|
1260123230058 |
|
|
1900-01-01 00:00:00.000000 |
75000.000000000000 |
0.000000000000 |
rsvd |
1 |
5639001433 |
2026-03-17 05:03:27.000000 |
? |
2026-03-17 05:03:27.000000 |
? |
0 |
1900-01-01 00:00:00.000000 |