|
5651 |
1260123230029 |
2026-01-23 00:00:00.000000 |
6.000000000000 |
1474 |
1260123230029 |
F000007 |
|
|
IDR |
|
0.000000000000 |
100.000000000000 |
14500.000000000000 |
0.000000000000 |
0.000000000000 |
1450000.000000000000 |
|
|
|
100.000000000000 |
0 |
|
1260123230029 |
|
1260123230029 |
|
|
1900-01-01 00:00:00.000000 |
1450000.000000000000 |
0.000000000000 |
rsvd |
1 |
5639001441 |
2026-03-17 05:03:27.000000 |
? |
2026-03-17 05:03:27.000000 |
? |
0 |
1900-01-01 00:00:00.000000 |
|
5652 |
1260124240022 |
2026-01-24 18:29:58.000000 |
5.000000000000 |
1730 |
1260124240022 |
F000006 |
|
|
IDR |
|
0.000000000000 |
10.000000000000 |
25500.000000000000 |
0.000000000000 |
0.000000000000 |
255000.000000000000 |
|
|
|
10.000000000000 |
0 |
|
1260124240022 |
|
1260124240022 |
|
|
1900-01-01 00:00:00.000000 |
255000.000000000000 |
0.000000000000 |
rsvd |
1 |
5639001697 |
2026-03-17 05:03:27.000000 |
? |
2026-03-17 05:03:27.000000 |
? |
0 |
1900-01-01 00:00:00.000000 |
|
5653 |
1251218000013 |
2025-12-18 00:00:00.000000 |
6.000000000000 |
169 |
1251218000013 |
T000004 |
|
|
IDR |
|
0.000000000000 |
2.000000000000 |
75000.000000000000 |
0.000000000000 |
0.000000000000 |
150000.000000000000 |
|
|
|
2.000000000000 |
0 |
|
1251218000013 |
|
1251218000013 |
|
|
1900-01-01 00:00:00.000000 |
150000.000000000000 |
0.000000000000 |
rsvd |
1 |
5639000162 |
2026-03-17 05:03:27.000000 |
? |
2026-03-17 05:03:27.000000 |
? |
0 |
1900-01-01 00:00:00.000000 |
|
5654 |
1251218000026 |
2025-12-25 00:00:00.000000 |
6.000000000000 |
433 |
1251218000026 |
F000005 |
|
|
IDR |
|
0.000000000000 |
1.000000000000 |
14500.000000000000 |
0.000000000000 |
0.000000000000 |
14500.000000000000 |
|
|
|
1.000000000000 |
0 |
|
1251218000026 |
|
1251218000026 |
|
|
1900-01-01 00:00:00.000000 |
14500.000000000000 |
0.000000000000 |
rsvd |
1 |
5639000418 |
2026-03-17 05:03:27.000000 |
? |
2026-03-17 05:03:27.000000 |
? |
0 |
1900-01-01 00:00:00.000000 |
|
5655 |
1260123230059 |
2026-01-23 09:01:55.000000 |
1.000000000000 |
1475 |
1260123230059 |
A000002 |
|
Rawat Jalan |
IDR |
|
0.000000000000 |
1.000000000000 |
150000.000000000000 |
0.000000000000 |
0.000000000000 |
150000.000000000000 |
|
|
|
1.000000000000 |
0 |
|
1260123230059 |
|
1260123230059 |
|
|
1900-01-01 00:00:00.000000 |
150000.000000000000 |
0.000000000000 |
rsvd |
1 |
5639001442 |
2026-03-17 05:03:27.000000 |
? |
2026-03-17 05:03:27.000000 |
? |
0 |
1900-01-01 00:00:00.000000 |
|
5656 |
1260124240023 |
2026-01-24 18:36:56.000000 |
1.000000000000 |
1731 |
1260124240023 |
D000002 |
|
Biaya Konsultasi dr. Spesialis THT (75.000) |
IDR |
|
0.000000000000 |
1.000000000000 |
75000.000000000000 |
0.000000000000 |
0.000000000000 |
75000.000000000000 |
|
|
|
1.000000000000 |
0 |
|
1260124240023 |
|
1260124240023 |
|
|
1900-01-01 00:00:00.000000 |
75000.000000000000 |
0.000000000000 |
rsvd |
1 |
5639001698 |
2026-03-17 05:03:27.000000 |
? |
2026-03-17 05:03:27.000000 |
? |
0 |
1900-01-01 00:00:00.000000 |
|
5657 |
1251218000017 |
2025-12-18 00:00:00.000000 |
5.000000000000 |
170 |
1251218000017 |
T000001 |
|
|
IDR |
|
0.000000000000 |
4.000000000000 |
50000.000000000000 |
0.000000000000 |
0.000000000000 |
200000.000000000000 |
|
|
|
4.000000000000 |
0 |
|
1251218000017 |
|
1251218000017 |
|
|
1900-01-01 00:00:00.000000 |
200000.000000000000 |
0.000000000000 |
rsvd |
1 |
5639000163 |
2026-03-17 05:03:27.000000 |
? |
2026-03-17 05:03:27.000000 |
? |
0 |
1900-01-01 00:00:00.000000 |
|
5658 |
1260123230018 |
2026-01-23 00:00:00.000000 |
3.000000000000 |
1220 |
1260123230018 |
T000004 |
|
Pemasangan Infus |
IDR |
|
0.000000000000 |
1.000000000000 |
75000.000000000000 |
0.000000000000 |
0.000000000000 |
75000.000000000000 |
|
|
|
1.000000000000 |
0 |
|
1260123230018 |
|
1260123230018 |
|
|
1900-01-01 00:00:00.000000 |
75000.000000000000 |
0.000000000000 |
rsvd |
1 |
5639001187 |
2026-03-17 05:03:27.000000 |
? |
2026-03-17 05:03:27.000000 |
? |
0 |
1900-01-01 00:00:00.000000 |
|
5659 |
1260123230059 |
2026-01-23 09:01:55.000000 |
2.000000000000 |
1476 |
1260123230059 |
A000001 |
|
Biaya Kartu Pasien |
IDR |
|
0.000000000000 |
1.000000000000 |
50000.000000000000 |
0.000000000000 |
0.000000000000 |
50000.000000000000 |
|
|
|
1.000000000000 |
0 |
|
1260123230059 |
|
1260123230059 |
|
|
1900-01-01 00:00:00.000000 |
50000.000000000000 |
0.000000000000 |
rsvd |
1 |
5639001443 |
2026-03-17 05:03:27.000000 |
? |
2026-03-17 05:03:27.000000 |
? |
0 |
1900-01-01 00:00:00.000000 |
|
5660 |
1260124240023 |
2026-01-24 18:36:56.000000 |
2.000000000000 |
1732 |
1260124240023 |
A000002 |
|
Rawat Jalan |
IDR |
|
0.000000000000 |
1.000000000000 |
150000.000000000000 |
0.000000000000 |
0.000000000000 |
150000.000000000000 |
|
|
|
1.000000000000 |
0 |
|
1260124240023 |
|
1260124240023 |
|
|
1900-01-01 00:00:00.000000 |
150000.000000000000 |
0.000000000000 |
rsvd |
1 |
5639001699 |
2026-03-17 05:03:27.000000 |
? |
2026-03-17 05:03:27.000000 |
? |
0 |
1900-01-01 00:00:00.000000 |