|
5721 |
1251218000018 |
2025-12-18 00:00:00.000000 |
6.000000000000 |
183 |
1251218000018 |
T000009 |
|
|
IDR |
|
0.000000000000 |
5.000000000000 |
35000.000000000000 |
0.000000000000 |
0.000000000000 |
175000.000000000000 |
|
|
|
5.000000000000 |
0 |
|
1251218000018 |
|
1251218000018 |
|
|
1900-01-01 00:00:00.000000 |
175000.000000000000 |
0.000000000000 |
rsvd |
1 |
5639000176 |
2026-03-17 05:03:27.000000 |
? |
2026-03-17 05:03:27.000000 |
? |
0 |
1900-01-01 00:00:00.000000 |
|
5722 |
1260101000002 |
2026-01-01 02:56:31.000000 |
1.000000000000 |
447 |
1260101000002 |
A000002 |
|
Rawat Jalan |
IDR |
|
0.000000000000 |
1.000000000000 |
150000.000000000000 |
0.000000000000 |
0.000000000000 |
150000.000000000000 |
|
|
|
1.000000000000 |
0 |
|
1260101000002 |
|
1260101000002 |
|
|
1900-01-01 00:00:00.000000 |
150000.000000000000 |
0.000000000000 |
rsvd |
1 |
5639000432 |
2026-03-17 05:03:27.000000 |
? |
2026-03-17 05:03:27.000000 |
? |
0 |
1900-01-01 00:00:00.000000 |
|
5723 |
1260113000004 |
2026-01-13 10:04:54.000000 |
2.000000000000 |
718 |
1260113000004 |
A000001 |
|
Biaya Kartu Pasien |
IDR |
|
0.000000000000 |
1.000000000000 |
50000.000000000000 |
0.000000000000 |
0.000000000000 |
50000.000000000000 |
|
|
|
1.000000000000 |
0 |
|
1260113000004 |
|
1260113000004 |
|
|
1900-01-01 00:00:00.000000 |
50000.000000000000 |
0.000000000000 |
rsvd |
1 |
5639000688 |
2026-03-17 05:03:27.000000 |
? |
2026-03-17 05:03:27.000000 |
? |
0 |
1900-01-01 00:00:00.000000 |
|
5724 |
1260123230010 |
2026-01-23 00:00:00.000000 |
7.000000000000 |
1233 |
1260123230010 |
T000009 |
|
|
IDR |
|
0.000000000000 |
1.000000000000 |
35000.000000000000 |
0.000000000000 |
0.000000000000 |
35000.000000000000 |
|
|
|
1.000000000000 |
0 |
|
1260123230010 |
|
1260123230010 |
|
|
1900-01-01 00:00:00.000000 |
35000.000000000000 |
0.000000000000 |
rsvd |
1 |
5639001200 |
2026-03-17 05:03:27.000000 |
? |
2026-03-17 05:03:27.000000 |
? |
0 |
1900-01-01 00:00:00.000000 |
|
5725 |
1260123230062 |
2026-01-23 16:31:22.000000 |
2.000000000000 |
1489 |
1260123230062 |
A000001 |
|
|
IDR |
|
0.000000000000 |
1.000000000000 |
50000.000000000000 |
0.000000000000 |
0.000000000000 |
50000.000000000000 |
|
|
|
1.000000000000 |
0 |
|
1260123230062 |
|
1260123230062 |
|
|
1900-01-01 00:00:00.000000 |
50000.000000000000 |
0.000000000000 |
rsvd |
1 |
5639001456 |
2026-03-17 05:03:27.000000 |
? |
2026-03-17 05:03:27.000000 |
? |
0 |
1900-01-01 00:00:00.000000 |
|
5726 |
12601240240025 |
2026-01-24 19:17:30.000000 |
2.000000000000 |
1745 |
12601240240025 |
D000001 |
|
|
IDR |
|
0.000000000000 |
1.000000000000 |
50000.000000000000 |
0.000000000000 |
0.000000000000 |
50000.000000000000 |
|
|
|
1.000000000000 |
0 |
|
12601240240025 |
|
12601240240025 |
|
|
1900-01-01 00:00:00.000000 |
50000.000000000000 |
0.000000000000 |
rsvd |
1 |
5639001712 |
2026-03-17 05:03:27.000000 |
? |
2026-03-17 05:03:27.000000 |
? |
0 |
1900-01-01 00:00:00.000000 |
|
5727 |
1260310000001 |
2026-03-10 15:27:05.000000 |
9.000000000000 |
2049 |
1260310000001 |
X000001 |
|
Alat Tes Gula Darah |
IDR |
|
0.000000000000 |
1.000000000000 |
150000.000000000000 |
0.000000000000 |
0.000000000000 |
150000.000000000000 |
|
|
|
1.000000000000 |
0 |
|
1260310000001 |
|
1260310000001 |
|
|
1900-01-01 00:00:00.000000 |
150000.000000000000 |
0.000000000000 |
rsvd |
1 |
5639001968 |
2026-03-17 05:03:27.000000 |
? |
2026-03-17 05:03:27.000000 |
? |
0 |
1900-01-01 00:00:00.000000 |
|
5728 |
1251218000016 |
2025-12-18 00:00:00.000000 |
4.000000000000 |
184 |
1251218000016 |
T000007 |
|
|
IDR |
|
0.000000000000 |
100.000000000000 |
100000.000000000000 |
0.000000000000 |
0.000000000000 |
10000000.000000000000 |
|
|
|
100.000000000000 |
0 |
|
1251218000016 |
|
1251218000016 |
|
|
1900-01-01 00:00:00.000000 |
10000000.000000000000 |
0.000000000000 |
rsvd |
1 |
5639000177 |
2026-03-17 05:03:27.000000 |
? |
2026-03-17 05:03:27.000000 |
? |
0 |
1900-01-01 00:00:00.000000 |
|
5729 |
1260101000002 |
2026-01-01 02:56:31.000000 |
2.000000000000 |
448 |
1260101000002 |
A000001 |
|
Biaya Kartu Pasien |
IDR |
|
0.000000000000 |
1.000000000000 |
50000.000000000000 |
0.000000000000 |
0.000000000000 |
50000.000000000000 |
|
|
|
1.000000000000 |
0 |
|
1260101000002 |
|
1260101000002 |
|
|
1900-01-01 00:00:00.000000 |
50000.000000000000 |
0.000000000000 |
rsvd |
1 |
5639000433 |
2026-03-17 05:03:27.000000 |
? |
2026-03-17 05:03:27.000000 |
? |
0 |
1900-01-01 00:00:00.000000 |
|
5730 |
1260113000004 |
2026-01-13 10:04:54.000000 |
3.000000000000 |
719 |
1260113000004 |
D000001 |
|
Biaya dr. Umum |
IDR |
|
0.000000000000 |
1.000000000000 |
50000.000000000000 |
0.000000000000 |
0.000000000000 |
50000.000000000000 |
|
|
|
1.000000000000 |
0 |
|
1260113000004 |
|
1260113000004 |
|
|
1900-01-01 00:00:00.000000 |
50000.000000000000 |
0.000000000000 |
rsvd |
1 |
5639000689 |
2026-03-17 05:03:27.000000 |
? |
2026-03-17 05:03:27.000000 |
? |
0 |
1900-01-01 00:00:00.000000 |