|
5731 |
1260115000005 |
2026-01-15 00:00:00.000000 |
16.000000000000 |
975 |
1260115000005 |
F000001 |
|
|
IDR |
|
0.000000000000 |
8.000000000000 |
1500.000000000000 |
0.000000000000 |
0.000000000000 |
12000.000000000000 |
|
|
|
8.000000000000 |
0 |
|
1260115000005 |
|
1260115000005 |
|
|
1900-01-01 00:00:00.000000 |
12000.000000000000 |
0.000000000000 |
rsvd |
1 |
5639000945 |
2026-03-17 05:03:27.000000 |
? |
2026-03-17 05:03:27.000000 |
? |
0 |
1900-01-01 00:00:00.000000 |
|
5732 |
1260123230010 |
2026-01-23 00:00:00.000000 |
8.000000000000 |
1234 |
1260123230010 |
P000010 |
|
|
IDR |
|
0.000000000000 |
1.000000000000 |
5000.000000000000 |
0.000000000000 |
0.000000000000 |
5000.000000000000 |
|
|
|
1.000000000000 |
0 |
|
1260123230010 |
|
1260123230010 |
|
|
1900-01-01 00:00:00.000000 |
5000.000000000000 |
0.000000000000 |
rsvd |
1 |
5639001201 |
2026-03-17 05:03:27.000000 |
? |
2026-03-17 05:03:27.000000 |
? |
0 |
1900-01-01 00:00:00.000000 |
|
5733 |
1260123230062 |
2026-01-23 16:31:22.000000 |
3.000000000000 |
1490 |
1260123230062 |
A000002 |
|
|
IDR |
|
0.000000000000 |
1.000000000000 |
150000.000000000000 |
0.000000000000 |
0.000000000000 |
150000.000000000000 |
|
|
|
1.000000000000 |
0 |
|
1260123230062 |
|
1260123230062 |
|
|
1900-01-01 00:00:00.000000 |
150000.000000000000 |
0.000000000000 |
rsvd |
1 |
5639001457 |
2026-03-17 05:03:27.000000 |
? |
2026-03-17 05:03:27.000000 |
? |
0 |
1900-01-01 00:00:00.000000 |
|
5734 |
1260310000001 |
2026-03-10 15:27:05.000000 |
10.000000000000 |
2050 |
1260310000001 |
P000012 |
|
Alkohol 70% |
IDR |
|
0.000000000000 |
6.000000000000 |
10000.000000000000 |
0.000000000000 |
0.000000000000 |
60000.000000000000 |
|
|
|
6.000000000000 |
0 |
|
1260310000001 |
|
1260310000001 |
|
|
1900-01-01 00:00:00.000000 |
60000.000000000000 |
0.000000000000 |
rsvd |
1 |
5639001969 |
2026-03-17 05:03:27.000000 |
? |
2026-03-17 05:03:27.000000 |
? |
0 |
1900-01-01 00:00:00.000000 |
|
5735 |
1251218000016 |
2025-12-18 00:00:00.000000 |
5.000000000000 |
185 |
1251218000016 |
T000002 |
|
|
IDR |
|
0.000000000000 |
100.000000000000 |
150000.000000000000 |
0.000000000000 |
0.000000000000 |
15000000.000000000000 |
|
|
|
100.000000000000 |
0 |
|
1251218000016 |
|
1251218000016 |
|
|
1900-01-01 00:00:00.000000 |
15000000.000000000000 |
0.000000000000 |
rsvd |
1 |
5639000178 |
2026-03-17 05:03:27.000000 |
? |
2026-03-17 05:03:27.000000 |
? |
0 |
1900-01-01 00:00:00.000000 |
|
5736 |
1260101000002 |
2026-01-01 02:56:31.000000 |
3.000000000000 |
449 |
1260101000002 |
D000001 |
|
Biaya dr. Umum |
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 |
5639000434 |
2026-03-17 05:03:27.000000 |
? |
2026-03-17 05:03:27.000000 |
? |
0 |
1900-01-01 00:00:00.000000 |
|
5737 |
1260115000005 |
2026-01-15 00:00:00.000000 |
17.000000000000 |
976 |
1260115000005 |
F000013 |
|
|
IDR |
|
0.000000000000 |
8.000000000000 |
42000.000000000000 |
0.000000000000 |
0.000000000000 |
336000.000000000000 |
|
|
|
8.000000000000 |
0 |
|
1260115000005 |
|
1260115000005 |
|
|
1900-01-01 00:00:00.000000 |
336000.000000000000 |
0.000000000000 |
rsvd |
1 |
5639000946 |
2026-03-17 05:03:27.000000 |
? |
2026-03-17 05:03:27.000000 |
? |
0 |
1900-01-01 00:00:00.000000 |
|
5738 |
1260123230020 |
2026-01-23 00:00:00.000000 |
4.000000000000 |
1235 |
1260123230020 |
T000009 |
|
Pengambilan Sampel Darah |
IDR |
|
0.000000000000 |
1.000000000000 |
35000.000000000000 |
0.000000000000 |
0.000000000000 |
35000.000000000000 |
|
|
|
1.000000000000 |
0 |
|
1260123230020 |
|
1260123230020 |
|
|
1900-01-01 00:00:00.000000 |
35000.000000000000 |
0.000000000000 |
rsvd |
1 |
5639001202 |
2026-03-17 05:03:27.000000 |
? |
2026-03-17 05:03:27.000000 |
? |
0 |
1900-01-01 00:00:00.000000 |
|
5739 |
1260123230061 |
2026-01-23 00:00:00.000000 |
3.000000000000 |
1491 |
1260123230061 |
T000004 |
|
|
IDR |
|
0.000000000000 |
1.000000000000 |
75000.000000000000 |
0.000000000000 |
0.000000000000 |
75000.000000000000 |
|
|
|
1.000000000000 |
0 |
|
1260123230061 |
|
1260123230061 |
|
|
1900-01-01 00:00:00.000000 |
75000.000000000000 |
0.000000000000 |
rsvd |
1 |
5639001458 |
2026-03-17 05:03:27.000000 |
? |
2026-03-17 05:03:27.000000 |
? |
0 |
1900-01-01 00:00:00.000000 |
|
5740 |
12601240240025 |
2026-01-24 19:20:02.000000 |
4.000000000000 |
1747 |
12601240240025 |
P000003 |
|
|
IDR |
|
0.000000000000 |
1.000000000000 |
8000.000000000000 |
0.000000000000 |
0.000000000000 |
8000.000000000000 |
|
|
|
1.000000000000 |
0 |
|
12601240240025 |
|
12601240240025 |
|
|
1900-01-01 00:00:00.000000 |
8000.000000000000 |
0.000000000000 |
rsvd |
1 |
5639001714 |
2026-03-17 05:03:27.000000 |
? |
2026-03-17 05:03:27.000000 |
? |
0 |
1900-01-01 00:00:00.000000 |