|
5751 |
1260111000015 |
2026-01-14 00:00:00.000000 |
6.000000000000 |
723 |
1260111000015 |
T000004 |
|
Pemasangan Infus |
IDR |
|
0.000000000000 |
1.000000000000 |
75000.000000000000 |
0.000000000000 |
0.000000000000 |
75000.000000000000 |
|
|
|
1.000000000000 |
0 |
|
1260111000015 |
|
1260111000015 |
|
|
1900-01-01 00:00:00.000000 |
75000.000000000000 |
0.000000000000 |
rsvd |
1 |
5639000693 |
2026-03-17 05:03:27.000000 |
? |
2026-03-17 05:03:27.000000 |
? |
0 |
1900-01-01 00:00:00.000000 |
|
5752 |
1260123230021 |
2026-01-23 11:22:51.000000 |
3.000000000000 |
1238 |
1260123230021 |
A000002 |
|
|
IDR |
|
0.000000000000 |
1.000000000000 |
150000.000000000000 |
0.000000000000 |
0.000000000000 |
150000.000000000000 |
|
|
|
1.000000000000 |
0 |
|
1260123230021 |
|
1260123230021 |
|
|
1900-01-01 00:00:00.000000 |
150000.000000000000 |
0.000000000000 |
rsvd |
1 |
5639001205 |
2026-03-17 05:03:27.000000 |
? |
2026-03-17 05:03:27.000000 |
? |
0 |
1900-01-01 00:00:00.000000 |
|
5753 |
1260123230061 |
2026-01-23 00:00:00.000000 |
5.000000000000 |
1494 |
1260123230061 |
F000013 |
|
|
IDR |
|
0.000000000000 |
1.000000000000 |
42000.000000000000 |
0.000000000000 |
0.000000000000 |
42000.000000000000 |
|
|
|
1.000000000000 |
0 |
|
1260123230061 |
|
1260123230061 |
|
|
1900-01-01 00:00:00.000000 |
42000.000000000000 |
0.000000000000 |
rsvd |
1 |
5639001461 |
2026-03-17 05:03:27.000000 |
? |
2026-03-17 05:03:27.000000 |
? |
0 |
1900-01-01 00:00:00.000000 |
|
5754 |
1251218000036 |
2025-12-18 00:00:00.000000 |
2.000000000000 |
191 |
1251218000036 |
A000001 |
|
|
IDR |
|
0.000000000000 |
1.000000000000 |
20000.000000000000 |
0.000000000000 |
0.000000000000 |
20000.000000000000 |
|
|
|
1.000000000000 |
0 |
|
1251218000036 |
|
1251218000036 |
|
|
1900-01-01 00:00:00.000000 |
20000.000000000000 |
0.000000000000 |
rsvd |
1 |
5639000182 |
2026-03-17 05:03:27.000000 |
? |
2026-03-17 05:03:27.000000 |
? |
0 |
1900-01-01 00:00:00.000000 |
|
5755 |
1260103000002 |
2026-01-03 20:50:20.000000 |
1.000000000000 |
453 |
1260103000002 |
D000002 |
|
Biaya Konsultasi dr. Spesialis THT (75.000) |
IDR |
|
0.000000000000 |
1.000000000000 |
75000.000000000000 |
0.000000000000 |
0.000000000000 |
75000.000000000000 |
|
|
|
1.000000000000 |
0 |
|
1260103000002 |
|
1260103000002 |
|
|
1900-01-01 00:00:00.000000 |
75000.000000000000 |
0.000000000000 |
rsvd |
1 |
5639000438 |
2026-03-17 05:03:27.000000 |
? |
2026-03-17 05:03:27.000000 |
? |
0 |
1900-01-01 00:00:00.000000 |
|
5756 |
1260111000015 |
2026-01-14 11:26:17.000000 |
7.000000000000 |
724 |
1260111000015 |
F000017 |
|
|
IDR |
|
0.000000000000 |
10.000000000000 |
12800.000000000000 |
0.000000000000 |
0.000000000000 |
128000.000000000000 |
|
|
|
10.000000000000 |
0 |
|
1260111000015 |
|
1260111000015 |
|
|
1900-01-01 00:00:00.000000 |
128000.000000000000 |
0.000000000000 |
rsvd |
1 |
5639000694 |
2026-03-17 05:03:27.000000 |
? |
2026-03-17 05:03:27.000000 |
? |
0 |
1900-01-01 00:00:00.000000 |
|
5757 |
1260123230022 |
2026-01-23 11:23:08.000000 |
1.000000000000 |
1239 |
1260123230022 |
D000004 |
|
Dokter Spesialis 100k (100.000) |
IDR |
|
0.000000000000 |
1.000000000000 |
100000.000000000000 |
0.000000000000 |
0.000000000000 |
100000.000000000000 |
|
|
|
1.000000000000 |
0 |
|
1260123230022 |
|
1260123230022 |
|
|
1900-01-01 00:00:00.000000 |
100000.000000000000 |
0.000000000000 |
rsvd |
1 |
5639001206 |
2026-03-17 05:03:27.000000 |
? |
2026-03-17 05:03:27.000000 |
? |
0 |
1900-01-01 00:00:00.000000 |
|
5758 |
1260123230063 |
2026-01-23 00:00:00.000000 |
1.000000000000 |
1495 |
1260123230063 |
A000002 |
|
|
IDR |
|
0.000000000000 |
1.000000000000 |
150000.000000000000 |
0.000000000000 |
0.000000000000 |
150000.000000000000 |
|
|
|
1.000000000000 |
0 |
|
1260123230063 |
|
1260123230063 |
|
|
1900-01-01 00:00:00.000000 |
150000.000000000000 |
0.000000000000 |
rsvd |
1 |
5639001462 |
2026-03-17 05:03:27.000000 |
? |
2026-03-17 05:03:27.000000 |
? |
0 |
1900-01-01 00:00:00.000000 |
|
5759 |
1251218000036 |
2025-12-18 00:00:00.000000 |
3.000000000000 |
192 |
1251218000036 |
D000008 |
|
|
IDR |
|
0.000000000000 |
1.000000000000 |
50000.000000000000 |
0.000000000000 |
0.000000000000 |
50000.000000000000 |
|
|
|
1.000000000000 |
0 |
|
1251218000036 |
|
1251218000036 |
|
|
1900-01-01 00:00:00.000000 |
50000.000000000000 |
0.000000000000 |
rsvd |
1 |
5639000183 |
2026-03-17 05:03:27.000000 |
? |
2026-03-17 05:03:27.000000 |
? |
0 |
1900-01-01 00:00:00.000000 |
|
5760 |
1260103000002 |
2026-01-03 20:50:20.000000 |
2.000000000000 |
454 |
1260103000002 |
A000002 |
|
Rawat Jalan |
IDR |
|
0.000000000000 |
1.000000000000 |
150000.000000000000 |
0.000000000000 |
0.000000000000 |
150000.000000000000 |
|
|
|
1.000000000000 |
0 |
|
1260103000002 |
|
1260103000002 |
|
|
1900-01-01 00:00:00.000000 |
150000.000000000000 |
0.000000000000 |
rsvd |
1 |
5639000439 |
2026-03-17 05:03:27.000000 |
? |
2026-03-17 05:03:27.000000 |
? |
0 |
1900-01-01 00:00:00.000000 |