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5761 |
1251226000001 |
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7.000000000000 |
725 |
1251226000001 |
F000017 |
|
|
IDR |
|
0.000000000000 |
15.000000000000 |
12800.000000000000 |
0.000000000000 |
0.000000000000 |
192000.000000000000 |
|
|
|
15.000000000000 |
0 |
|
1251226000001 |
|
1251226000001 |
|
|
1900-01-01 00:00:00.000000 |
192000.000000000000 |
0.000000000000 |
rsvd |
1 |
5639000695 |
2026-03-17 05:03:27.000000 |
? |
2026-03-17 05:03:27.000000 |
? |
0 |
1900-01-01 00:00:00.000000 |
|
5762 |
1260123230022 |
2026-01-23 11:23:08.000000 |
2.000000000000 |
1240 |
1260123230022 |
A000002 |
|
Rawat Jalan |
IDR |
|
0.000000000000 |
1.000000000000 |
150000.000000000000 |
0.000000000000 |
0.000000000000 |
150000.000000000000 |
|
|
|
1.000000000000 |
0 |
|
1260123230022 |
|
1260123230022 |
|
|
1900-01-01 00:00:00.000000 |
150000.000000000000 |
0.000000000000 |
rsvd |
1 |
5639001207 |
2026-03-17 05:03:27.000000 |
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2026-03-17 05:03:27.000000 |
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1900-01-01 00:00:00.000000 |
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5763 |
1260123230063 |
2026-01-23 00:00:00.000000 |
2.000000000000 |
1496 |
1260123230063 |
D000003 |
|
|
IDR |
|
0.000000000000 |
1.000000000000 |
50000.000000000000 |
0.000000000000 |
0.000000000000 |
50000.000000000000 |
|
|
|
1.000000000000 |
0 |
|
1260123230063 |
|
1260123230063 |
|
|
1900-01-01 00:00:00.000000 |
50000.000000000000 |
0.000000000000 |
rsvd |
1 |
5639001463 |
2026-03-17 05:03:27.000000 |
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2026-03-17 05:03:27.000000 |
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0 |
1900-01-01 00:00:00.000000 |
|
5764 |
1251218000028 |
2025-12-18 00:00:00.000000 |
4.000000000000 |
193 |
1251218000028 |
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|
|
IDR |
|
0.000000000000 |
6.000000000000 |
50000.000000000000 |
0.000000000000 |
0.000000000000 |
300000.000000000000 |
|
|
|
6.000000000000 |
0 |
|
1251218000028 |
|
1251218000028 |
|
|
1900-01-01 00:00:00.000000 |
300000.000000000000 |
0.000000000000 |
rsvd |
1 |
5639000184 |
2026-03-17 05:03:27.000000 |
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2026-03-17 05:03:27.000000 |
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1900-01-01 00:00:00.000000 |
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5765 |
1260103000002 |
2026-01-03 20:50:20.000000 |
3.000000000000 |
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1260103000002 |
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|
Biaya Kartu Pasien |
IDR |
|
0.000000000000 |
1.000000000000 |
50000.000000000000 |
0.000000000000 |
0.000000000000 |
50000.000000000000 |
|
|
|
1.000000000000 |
0 |
|
1260103000002 |
|
1260103000002 |
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|
1900-01-01 00:00:00.000000 |
50000.000000000000 |
0.000000000000 |
rsvd |
1 |
5639000440 |
2026-03-17 05:03:27.000000 |
? |
2026-03-17 05:03:27.000000 |
? |
0 |
1900-01-01 00:00:00.000000 |
|
5766 |
1251218000064 |
2026-01-14 11:37:37.000000 |
6.000000000000 |
726 |
1251218000064 |
F000017 |
|
|
IDR |
|
0.000000000000 |
10.000000000000 |
12800.000000000000 |
0.000000000000 |
0.000000000000 |
128000.000000000000 |
|
|
|
10.000000000000 |
0 |
|
1251218000064 |
|
1251218000064 |
|
|
1900-01-01 00:00:00.000000 |
128000.000000000000 |
0.000000000000 |
rsvd |
1 |
5639000696 |
2026-03-17 05:03:27.000000 |
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2026-03-17 05:03:27.000000 |
? |
0 |
1900-01-01 00:00:00.000000 |
|
5767 |
1260123230020 |
2026-01-23 00:00:00.000000 |
5.000000000000 |
1241 |
1260123230020 |
X000001 |
|
Alat Tes Gula Darah |
IDR |
|
0.000000000000 |
1.000000000000 |
150000.000000000000 |
0.000000000000 |
0.000000000000 |
150000.000000000000 |
|
|
|
1.000000000000 |
0 |
|
1260123230020 |
|
1260123230020 |
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1900-01-01 00:00:00.000000 |
150000.000000000000 |
0.000000000000 |
rsvd |
1 |
5639001208 |
2026-03-17 05:03:27.000000 |
? |
2026-03-17 05:03:27.000000 |
? |
0 |
1900-01-01 00:00:00.000000 |
|
5768 |
1260123230063 |
2026-01-23 00:00:00.000000 |
3.000000000000 |
1497 |
1260123230063 |
T000004 |
|
|
IDR |
|
0.000000000000 |
12.000000000000 |
75000.000000000000 |
0.000000000000 |
0.000000000000 |
900000.000000000000 |
|
|
|
12.000000000000 |
0 |
|
1260123230063 |
|
1260123230063 |
|
|
1900-01-01 00:00:00.000000 |
900000.000000000000 |
0.000000000000 |
rsvd |
1 |
5639001464 |
2026-03-17 05:03:27.000000 |
? |
2026-03-17 05:03:27.000000 |
? |
0 |
1900-01-01 00:00:00.000000 |
|
5769 |
1260124240026 |
2026-01-24 00:00:00.000000 |
1.000000000000 |
1753 |
1260124240026 |
A000002 |
|
|
IDR |
|
0.000000000000 |
1.000000000000 |
150000.000000000000 |
0.000000000000 |
0.000000000000 |
150000.000000000000 |
|
|
|
1.000000000000 |
0 |
|
1260124240026 |
|
1260124240026 |
|
|
1900-01-01 00:00:00.000000 |
150000.000000000000 |
0.000000000000 |
rsvd |
1 |
5639001720 |
2026-03-17 05:03:27.000000 |
? |
2026-03-17 05:03:27.000000 |
? |
0 |
1900-01-01 00:00:00.000000 |
|
5770 |
1251218000023 |
2025-12-18 00:00:00.000000 |
6.000000000000 |
194 |
1251218000023 |
T000004 |
|
|
IDR |
|
0.000000000000 |
17.000000000000 |
75000.000000000000 |
0.000000000000 |
0.000000000000 |
1275000.000000000000 |
|
|
|
17.000000000000 |
0 |
|
1251218000023 |
|
1251218000023 |
|
|
1900-01-01 00:00:00.000000 |
1275000.000000000000 |
0.000000000000 |
rsvd |
1 |
5639000185 |
2026-03-17 05:03:27.000000 |
? |
2026-03-17 05:03:27.000000 |
? |
0 |
1900-01-01 00:00:00.000000 |