|
5991 |
1260115000001 |
2026-01-15 01:14:36.000000 |
2.000000000000 |
769 |
1260115000001 |
A000001 |
|
Biaya Kartu Pasien |
IDR |
|
0.000000000000 |
1.000000000000 |
50000.000000000000 |
0.000000000000 |
0.000000000000 |
50000.000000000000 |
|
|
|
1.000000000000 |
0 |
|
1260115000001 |
|
1260115000001 |
|
|
1900-01-01 00:00:00.000000 |
50000.000000000000 |
0.000000000000 |
rsvd |
1 |
5639000739 |
2026-03-17 05:03:27.000000 |
? |
2026-03-17 05:03:27.000000 |
? |
0 |
1900-01-01 00:00:00.000000 |
|
5992 |
1260115000027 |
2026-01-15 11:02:20.000000 |
1.000000000000 |
1025 |
1260115000027 |
A000003 |
|
Rawat Inap |
IDR |
|
0.000000000000 |
1.000000000000 |
500000.000000000000 |
0.000000000000 |
0.000000000000 |
500000.000000000000 |
|
|
|
1.000000000000 |
0 |
|
1260115000027 |
|
1260115000027 |
|
|
1900-01-01 00:00:00.000000 |
500000.000000000000 |
0.000000000000 |
rsvd |
1 |
5639000995 |
2026-03-17 05:03:27.000000 |
? |
2026-03-17 05:03:27.000000 |
? |
0 |
1900-01-01 00:00:00.000000 |
|
5993 |
1260123230027 |
2026-01-23 00:00:00.000000 |
5.000000000000 |
1284 |
1260123230027 |
T000009 |
|
|
IDR |
|
0.000000000000 |
2.000000000000 |
35.000000000000 |
0.000000000000 |
0.000000000000 |
70.000000000000 |
|
|
|
2.000000000000 |
0 |
|
1260123230027 |
|
1260123230027 |
|
|
1900-01-01 00:00:00.000000 |
70.000000000000 |
0.000000000000 |
rsvd |
1 |
5639001251 |
2026-03-17 05:03:27.000000 |
? |
2026-03-17 05:03:27.000000 |
? |
0 |
1900-01-01 00:00:00.000000 |
|
5994 |
1260124000002 |
2026-01-24 00:00:00.000000 |
3.000000000000 |
1540 |
1260124000002 |
T000008 |
|
|
IDR |
|
0.000000000000 |
1.000000000000 |
80000.000000000000 |
0.000000000000 |
0.000000000000 |
80000.000000000000 |
|
|
|
1.000000000000 |
0 |
|
1260124000002 |
|
1260124000002 |
|
|
1900-01-01 00:00:00.000000 |
80000.000000000000 |
0.000000000000 |
rsvd |
1 |
5639001507 |
2026-03-17 05:03:27.000000 |
? |
2026-03-17 05:03:27.000000 |
? |
0 |
1900-01-01 00:00:00.000000 |
|
5995 |
1251218000001 |
2026-01-26 15:16:39.000000 |
12.000000000000 |
1798 |
1251218000001 |
F000003 |
|
|
IDR |
|
0.000000000000 |
1.000000000000 |
3000.000000000000 |
0.000000000000 |
0.000000000000 |
3000.000000000000 |
|
|
|
1.000000000000 |
0 |
|
1251218000001 |
|
1251218000001 |
|
|
1900-01-01 00:00:00.000000 |
3000.000000000000 |
0.000000000000 |
rsvd |
1 |
5639001763 |
2026-03-17 05:03:27.000000 |
? |
2026-03-17 05:03:27.000000 |
? |
0 |
1900-01-01 00:00:00.000000 |
|
5996 |
1251218000046 |
2025-12-18 12:21:48.000000 |
3.000000000000 |
237 |
1251218000046 |
A000002 |
|
|
IDR |
|
0.000000000000 |
1.000000000000 |
150000.000000000000 |
0.000000000000 |
0.000000000000 |
150000.000000000000 |
|
|
|
1.000000000000 |
0 |
|
1251218000046 |
|
1251218000046 |
|
|
1900-01-01 00:00:00.000000 |
150000.000000000000 |
0.000000000000 |
rsvd |
1 |
5639000228 |
2026-03-17 05:03:27.000000 |
? |
2026-03-17 05:03:27.000000 |
? |
0 |
1900-01-01 00:00:00.000000 |
|
5997 |
1260107000005 |
2026-01-07 00:00:00.000000 |
3.000000000000 |
499 |
1260107000005 |
D000002 |
|
|
IDR |
|
0.000000000000 |
1.000000000000 |
75000.000000000000 |
0.000000000000 |
0.000000000000 |
75000.000000000000 |
|
|
|
1.000000000000 |
0 |
|
1260107000005 |
|
1260107000005 |
|
|
1900-01-01 00:00:00.000000 |
75000.000000000000 |
0.000000000000 |
rsvd |
1 |
5639000484 |
2026-03-17 05:03:27.000000 |
? |
2026-03-17 05:03:27.000000 |
? |
0 |
1900-01-01 00:00:00.000000 |
|
5998 |
1260115000001 |
2026-01-15 01:14:36.000000 |
3.000000000000 |
770 |
1260115000001 |
D000001 |
|
Biaya dr. Umum |
IDR |
|
0.000000000000 |
1.000000000000 |
50000.000000000000 |
0.000000000000 |
0.000000000000 |
50000.000000000000 |
|
|
|
1.000000000000 |
0 |
|
1260115000001 |
|
1260115000001 |
|
|
1900-01-01 00:00:00.000000 |
50000.000000000000 |
0.000000000000 |
rsvd |
1 |
5639000740 |
2026-03-17 05:03:27.000000 |
? |
2026-03-17 05:03:27.000000 |
? |
0 |
1900-01-01 00:00:00.000000 |
|
5999 |
1260115000027 |
2026-01-15 11:02:20.000000 |
2.000000000000 |
1026 |
1260115000027 |
D000014 |
|
Konsultasi Dokter Spesialis Saraf |
IDR |
|
0.000000000000 |
1.000000000000 |
150000.000000000000 |
0.000000000000 |
0.000000000000 |
150000.000000000000 |
|
|
|
1.000000000000 |
0 |
|
1260115000027 |
|
1260115000027 |
|
|
1900-01-01 00:00:00.000000 |
150000.000000000000 |
0.000000000000 |
rsvd |
1 |
5639000996 |
2026-03-17 05:03:27.000000 |
? |
2026-03-17 05:03:27.000000 |
? |
0 |
1900-01-01 00:00:00.000000 |
|
6000 |
1260123230029 |
2026-01-23 04:56:43.000000 |
1.000000000000 |
1285 |
1260123230029 |
D000005 |
|
|
IDR |
|
0.000000000000 |
1.000000000000 |
150000.000000000000 |
0.000000000000 |
0.000000000000 |
150000.000000000000 |
|
|
|
1.000000000000 |
0 |
|
1260123230029 |
|
1260123230029 |
|
|
1900-01-01 00:00:00.000000 |
150000.000000000000 |
0.000000000000 |
rsvd |
1 |
5639001252 |
2026-03-17 05:03:27.000000 |
? |
2026-03-17 05:03:27.000000 |
? |
0 |
1900-01-01 00:00:00.000000 |