|
5701 |
1251218000062 |
2025-12-27 00:00:00.000000 |
6.000000000000 |
443 |
1251218000062 |
T000002 |
|
|
IDR |
|
0.000000000000 |
1.000000000000 |
150000.000000000000 |
0.000000000000 |
0.000000000000 |
150000.000000000000 |
|
|
|
1.000000000000 |
0 |
|
1251218000062 |
|
1251218000062 |
|
|
1900-01-01 00:00:00.000000 |
150000.000000000000 |
0.000000000000 |
rsvd |
1 |
5639000428 |
2026-03-17 05:03:27.000000 |
? |
2026-03-17 05:03:27.000000 |
? |
0 |
1900-01-01 00:00:00.000000 |
|
5702 |
1260123230017 |
2026-01-23 11:20:43.000000 |
5.000000000000 |
1229 |
1260123230017 |
F000003 |
|
|
IDR |
|
0.000000000000 |
1.000000000000 |
3000.000000000000 |
0.000000000000 |
0.000000000000 |
3000.000000000000 |
|
|
|
1.000000000000 |
0 |
|
1260123230017 |
|
1260123230017 |
|
|
1900-01-01 00:00:00.000000 |
3000.000000000000 |
0.000000000000 |
rsvd |
1 |
5639001196 |
2026-03-17 05:03:27.000000 |
? |
2026-03-17 05:03:27.000000 |
? |
0 |
1900-01-01 00:00:00.000000 |
|
5703 |
1260310000001 |
2026-03-10 00:00:00.000000 |
8.000000000000 |
2045 |
1260310000001 |
R000008 |
|
|
IDR |
|
0.000000000000 |
1.000000000000 |
2500000.000000000000 |
0.000000000000 |
0.000000000000 |
2500000.000000000000 |
|
|
|
1.000000000000 |
0 |
|
1260310000001 |
|
1260310000001 |
|
|
1900-01-01 00:00:00.000000 |
2500000.000000000000 |
0.000000000000 |
rsvd |
1 |
5639001964 |
2026-03-17 05:03:27.000000 |
? |
2026-03-17 05:03:27.000000 |
? |
0 |
1900-01-01 00:00:00.000000 |
|
5704 |
1251218000020 |
2025-12-18 00:00:00.000000 |
5.000000000000 |
180 |
1251218000020 |
T000001 |
|
|
IDR |
|
0.000000000000 |
4.000000000000 |
50000.000000000000 |
0.000000000000 |
0.000000000000 |
200000.000000000000 |
|
|
|
4.000000000000 |
0 |
|
1251218000020 |
|
1251218000020 |
|
|
1900-01-01 00:00:00.000000 |
200000.000000000000 |
0.000000000000 |
rsvd |
1 |
5639000173 |
2026-03-17 05:03:27.000000 |
? |
2026-03-17 05:03:27.000000 |
? |
0 |
1900-01-01 00:00:00.000000 |
|
5705 |
1260101000001 |
2026-01-01 02:05:22.000000 |
1.000000000000 |
444 |
1260101000001 |
A000003 |
|
Rawat Inap |
IDR |
|
0.000000000000 |
1.000000000000 |
500000.000000000000 |
0.000000000000 |
0.000000000000 |
500000.000000000000 |
|
|
|
1.000000000000 |
0 |
|
1260101000001 |
|
1260101000001 |
|
|
1900-01-01 00:00:00.000000 |
500000.000000000000 |
0.000000000000 |
rsvd |
1 |
5639000429 |
2026-03-17 05:03:27.000000 |
? |
2026-03-17 05:03:27.000000 |
? |
0 |
1900-01-01 00:00:00.000000 |
|
5706 |
1260123230020 |
2026-01-23 11:21:13.000000 |
1.000000000000 |
1230 |
1260123230020 |
D000002 |
|
Biaya Konsultasi dr. Spesialis THT (75.000) |
IDR |
|
0.000000000000 |
1.000000000000 |
75000.000000000000 |
0.000000000000 |
0.000000000000 |
75000.000000000000 |
|
|
|
1.000000000000 |
0 |
|
1260123230020 |
|
1260123230020 |
|
|
1900-01-01 00:00:00.000000 |
75000.000000000000 |
0.000000000000 |
rsvd |
1 |
5639001197 |
2026-03-17 05:03:27.000000 |
? |
2026-03-17 05:03:27.000000 |
? |
0 |
1900-01-01 00:00:00.000000 |
|
5707 |
1260123230061 |
2026-01-23 00:00:00.000000 |
1.000000000000 |
1486 |
1260123230061 |
A000002 |
|
|
IDR |
|
0.000000000000 |
1.000000000000 |
150000.000000000000 |
0.000000000000 |
0.000000000000 |
150000.000000000000 |
|
|
|
1.000000000000 |
0 |
|
1260123230061 |
|
1260123230061 |
|
|
1900-01-01 00:00:00.000000 |
150000.000000000000 |
0.000000000000 |
rsvd |
1 |
5639001453 |
2026-03-17 05:03:27.000000 |
? |
2026-03-17 05:03:27.000000 |
? |
0 |
1900-01-01 00:00:00.000000 |
|
5708 |
1260311000001 |
2026-03-11 09:34:46.000000 |
1.000000000000 |
2046 |
1260311000001 |
D000001 |
|
Biaya dr. Umum (50.000) |
IDR |
|
0.000000000000 |
1.000000000000 |
50000.000000000000 |
0.000000000000 |
0.000000000000 |
50000.000000000000 |
|
|
|
1.000000000000 |
0 |
|
1260311000001 |
|
1260311000001 |
|
|
1900-01-01 00:00:00.000000 |
50000.000000000000 |
0.000000000000 |
rsvd |
1 |
5639001965 |
2026-03-17 05:03:27.000000 |
? |
2026-03-17 05:03:27.000000 |
? |
0 |
1900-01-01 00:00:00.000000 |
|
5709 |
1251218000026 |
2025-12-18 00:00:00.000000 |
5.000000000000 |
181 |
1251218000026 |
T000001 |
|
|
IDR |
|
0.000000000000 |
1.000000000000 |
50000.000000000000 |
0.000000000000 |
0.000000000000 |
50000.000000000000 |
|
|
|
1.000000000000 |
0 |
|
1251218000026 |
|
1251218000026 |
|
|
1900-01-01 00:00:00.000000 |
50000.000000000000 |
0.000000000000 |
rsvd |
1 |
5639000174 |
2026-03-17 05:03:27.000000 |
? |
2026-03-17 05:03:27.000000 |
? |
0 |
1900-01-01 00:00:00.000000 |
|
5710 |
1260101000001 |
2026-01-01 02:05:22.000000 |
2.000000000000 |
445 |
1260101000001 |
A000001 |
|
Biaya Kartu Pasien |
IDR |
|
0.000000000000 |
1.000000000000 |
50000.000000000000 |
0.000000000000 |
0.000000000000 |
50000.000000000000 |
|
|
|
1.000000000000 |
0 |
|
1260101000001 |
|
1260101000001 |
|
|
1900-01-01 00:00:00.000000 |
50000.000000000000 |
0.000000000000 |
rsvd |
1 |
5639000430 |
2026-03-17 05:03:27.000000 |
? |
2026-03-17 05:03:27.000000 |
? |
0 |
1900-01-01 00:00:00.000000 |