|
6141 |
1251218000055 |
2025-12-18 12:22:37.000000 |
2.000000000000 |
263 |
1251218000055 |
A000001 |
|
|
IDR |
|
0.000000000000 |
1.000000000000 |
50000.000000000000 |
0.000000000000 |
0.000000000000 |
50000.000000000000 |
|
|
|
1.000000000000 |
0 |
|
1251218000055 |
|
1251218000055 |
|
|
1900-01-01 00:00:00.000000 |
50000.000000000000 |
0.000000000000 |
rsvd |
1 |
5639000254 |
2026-03-17 05:03:27.000000 |
? |
2026-03-17 05:03:27.000000 |
? |
0 |
1900-01-01 00:00:00.000000 |
|
6142 |
1260108000008 |
2026-01-08 21:32:16.000000 |
4.000000000000 |
525 |
1260108000008 |
F000017 |
|
Panadol |
IDR |
|
0.000000000000 |
1.000000000000 |
12800.000000000000 |
0.000000000000 |
0.000000000000 |
12800.000000000000 |
|
|
|
1.000000000000 |
0 |
|
1260108000008 |
|
1260108000008 |
|
|
1900-01-01 00:00:00.000000 |
12800.000000000000 |
0.000000000000 |
rsvd |
1 |
5639000510 |
2026-03-17 05:03:27.000000 |
? |
2026-03-17 05:03:27.000000 |
? |
0 |
1900-01-01 00:00:00.000000 |
|
6143 |
1260115000006 |
2026-01-15 01:25:59.000000 |
1.000000000000 |
796 |
1260115000006 |
A000003 |
|
Rawat Inap |
IDR |
|
0.000000000000 |
1.000000000000 |
500000.000000000000 |
0.000000000000 |
0.000000000000 |
500000.000000000000 |
|
|
|
1.000000000000 |
0 |
|
1260115000006 |
|
1260115000006 |
|
|
1900-01-01 00:00:00.000000 |
500000.000000000000 |
0.000000000000 |
rsvd |
1 |
5639000766 |
2026-03-17 05:03:27.000000 |
? |
2026-03-17 05:03:27.000000 |
? |
0 |
1900-01-01 00:00:00.000000 |
|
6144 |
12601240007 |
2026-01-24 02:42:25.000000 |
2.000000000000 |
1567 |
12601240007 |
A000002 |
|
|
IDR |
|
0.000000000000 |
1.000000000000 |
150000.000000000000 |
0.000000000000 |
0.000000000000 |
150000.000000000000 |
|
|
|
1.000000000000 |
0 |
|
12601240007 |
|
12601240007 |
|
|
1900-01-01 00:00:00.000000 |
150000.000000000000 |
0.000000000000 |
rsvd |
1 |
5639001534 |
2026-03-17 05:03:27.000000 |
? |
2026-03-17 05:03:27.000000 |
? |
0 |
1900-01-01 00:00:00.000000 |
|
6145 |
1251218000055 |
2025-12-18 12:22:37.000000 |
3.000000000000 |
264 |
1251218000055 |
A000002 |
|
|
IDR |
|
0.000000000000 |
1.000000000000 |
150000.000000000000 |
0.000000000000 |
0.000000000000 |
150000.000000000000 |
|
|
|
1.000000000000 |
0 |
|
1251218000055 |
|
1251218000055 |
|
|
1900-01-01 00:00:00.000000 |
150000.000000000000 |
0.000000000000 |
rsvd |
1 |
5639000255 |
2026-03-17 05:03:27.000000 |
? |
2026-03-17 05:03:27.000000 |
? |
0 |
1900-01-01 00:00:00.000000 |
|
6146 |
1260108000008 |
2026-01-08 21:32:16.000000 |
5.000000000000 |
526 |
1260108000008 |
F000001 |
|
Paracetamol |
IDR |
|
0.000000000000 |
1.000000000000 |
1500.000000000000 |
0.000000000000 |
0.000000000000 |
1500.000000000000 |
|
|
|
1.000000000000 |
0 |
|
1260108000008 |
|
1260108000008 |
|
|
1900-01-01 00:00:00.000000 |
1500.000000000000 |
0.000000000000 |
rsvd |
1 |
5639000511 |
2026-03-17 05:03:27.000000 |
? |
2026-03-17 05:03:27.000000 |
? |
0 |
1900-01-01 00:00:00.000000 |
|
6147 |
1260115000006 |
2026-01-15 01:25:59.000000 |
2.000000000000 |
797 |
1260115000006 |
A000001 |
|
Biaya Kartu Pasien |
IDR |
|
0.000000000000 |
1.000000000000 |
50000.000000000000 |
0.000000000000 |
0.000000000000 |
50000.000000000000 |
|
|
|
1.000000000000 |
0 |
|
1260115000006 |
|
1260115000006 |
|
|
1900-01-01 00:00:00.000000 |
50000.000000000000 |
0.000000000000 |
rsvd |
1 |
5639000767 |
2026-03-17 05:03:27.000000 |
? |
2026-03-17 05:03:27.000000 |
? |
0 |
1900-01-01 00:00:00.000000 |
|
6148 |
12601240007 |
2026-01-24 02:42:25.000000 |
3.000000000000 |
1568 |
12601240007 |
D000001 |
|
|
IDR |
|
0.000000000000 |
1.000000000000 |
50000.000000000000 |
0.000000000000 |
0.000000000000 |
50000.000000000000 |
|
|
|
1.000000000000 |
0 |
|
12601240007 |
|
12601240007 |
|
|
1900-01-01 00:00:00.000000 |
50000.000000000000 |
0.000000000000 |
rsvd |
1 |
5639001535 |
2026-03-17 05:03:27.000000 |
? |
2026-03-17 05:03:27.000000 |
? |
0 |
1900-01-01 00:00:00.000000 |
|
6149 |
1260130000001 |
2026-01-30 16:02:09.000000 |
1.000000000000 |
1833 |
1260130000001 |
A000002 |
|
Rawat Jalan |
IDR |
|
0.000000000000 |
1.000000000000 |
150000.000000000000 |
0.000000000000 |
0.000000000000 |
150000.000000000000 |
|
|
|
1.000000000000 |
0 |
|
1260130000001 |
|
1260130000001 |
|
|
1900-01-01 00:00:00.000000 |
150000.000000000000 |
0.000000000000 |
rsvd |
1 |
5639001791 |
2026-03-17 05:03:27.000000 |
? |
2026-03-17 05:03:27.000000 |
? |
0 |
1900-01-01 00:00:00.000000 |
|
6150 |
1251218000056 |
2025-12-18 12:22:40.000000 |
1.000000000000 |
265 |
1251218000056 |
D000004 |
|
|
IDR |
|
0.000000000000 |
0.000000000000 |
100000.000000000000 |
0.000000000000 |
0.000000000000 |
100000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
1251218000056 |
|
1251218000056 |
|
|
1900-01-01 00:00:00.000000 |
100000.000000000000 |
0.000000000000 |
rsvd |
1 |
5639000256 |
2026-03-17 05:03:27.000000 |
? |
2026-03-17 05:03:27.000000 |
? |
0 |
1900-01-01 00:00:00.000000 |