|
6151 |
1260103000002 |
2026-01-08 21:33:55.000000 |
4.000000000000 |
527 |
1260103000002 |
F000001 |
|
Paracetamol |
IDR |
|
0.000000000000 |
1.000000000000 |
1500.000000000000 |
0.000000000000 |
0.000000000000 |
1500.000000000000 |
|
|
|
1.000000000000 |
0 |
|
1260103000002 |
|
1260103000002 |
|
|
1900-01-01 00:00:00.000000 |
1500.000000000000 |
0.000000000000 |
rsvd |
1 |
5639000512 |
2026-03-17 05:03:27.000000 |
? |
2026-03-17 05:03:27.000000 |
? |
0 |
1900-01-01 00:00:00.000000 |
|
6152 |
1260115000006 |
2026-01-15 01:25:59.000000 |
3.000000000000 |
798 |
1260115000006 |
D000002 |
|
Biaya Konsultasi dr. Spesialis THT |
IDR |
|
0.000000000000 |
1.000000000000 |
75000.000000000000 |
0.000000000000 |
0.000000000000 |
75000.000000000000 |
|
|
|
1.000000000000 |
0 |
|
1260115000006 |
|
1260115000006 |
|
|
1900-01-01 00:00:00.000000 |
75000.000000000000 |
0.000000000000 |
rsvd |
1 |
5639000768 |
2026-03-17 05:03:27.000000 |
? |
2026-03-17 05:03:27.000000 |
? |
0 |
1900-01-01 00:00:00.000000 |
|
6153 |
1260124000004 |
2026-01-24 09:43:18.000000 |
4.000000000000 |
1569 |
1260124000004 |
T000003 |
|
|
IDR |
|
0.000000000000 |
1.000000000000 |
25000.000000000000 |
0.000000000000 |
0.000000000000 |
25000.000000000000 |
|
|
|
1.000000000000 |
0 |
|
1260124000004 |
|
1260124000004 |
|
|
1900-01-01 00:00:00.000000 |
25000.000000000000 |
0.000000000000 |
rsvd |
1 |
5639001536 |
2026-03-17 05:03:27.000000 |
? |
2026-03-17 05:03:27.000000 |
? |
0 |
1900-01-01 00:00:00.000000 |
|
6154 |
1260130000001 |
2026-01-30 16:02:09.000000 |
2.000000000000 |
1834 |
1260130000001 |
A000001 |
|
Biaya Kartu Pasien |
IDR |
|
0.000000000000 |
1.000000000000 |
50000.000000000000 |
0.000000000000 |
0.000000000000 |
50000.000000000000 |
|
|
|
1.000000000000 |
0 |
|
1260130000001 |
|
1260130000001 |
|
|
1900-01-01 00:00:00.000000 |
50000.000000000000 |
0.000000000000 |
rsvd |
1 |
5639001792 |
2026-03-17 05:03:27.000000 |
? |
2026-03-17 05:03:27.000000 |
? |
0 |
1900-01-01 00:00:00.000000 |
|
6155 |
12601230230051 |
2026-01-23 14:47:38.000000 |
1.000000000000 |
0 |
12601230230051 |
F000001 |
|
|
IDR |
|
0.000000000000 |
1.000000000000 |
1500.000000000000 |
0.000000000000 |
0.000000000000 |
1500.000000000000 |
|
|
|
1.000000000000 |
0 |
|
12601230230051 |
|
12601230230051 |
|
|
1900-01-01 00:00:00.000000 |
1500.000000000000 |
0.000000000000 |
rsvd |
1 |
5639000001 |
2026-03-17 05:03:27.000000 |
? |
2026-03-17 05:03:27.000000 |
? |
0 |
1900-01-01 00:00:00.000000 |
|
6156 |
1251218000056 |
2025-12-18 12:22:40.000000 |
2.000000000000 |
266 |
1251218000056 |
A000001 |
|
|
IDR |
|
0.000000000000 |
1.000000000000 |
50000.000000000000 |
0.000000000000 |
0.000000000000 |
50000.000000000000 |
|
|
|
1.000000000000 |
0 |
|
1251218000056 |
|
1251218000056 |
|
|
1900-01-01 00:00:00.000000 |
50000.000000000000 |
0.000000000000 |
rsvd |
1 |
5639000257 |
2026-03-17 05:03:27.000000 |
? |
2026-03-17 05:03:27.000000 |
? |
0 |
1900-01-01 00:00:00.000000 |
|
6157 |
1260108000009 |
2026-01-08 21:35:31.000000 |
3.000000000000 |
528 |
1260108000009 |
F000003 |
|
Alerfed |
IDR |
|
0.000000000000 |
1.000000000000 |
3000.000000000000 |
0.000000000000 |
0.000000000000 |
3000.000000000000 |
|
|
|
1.000000000000 |
0 |
|
1260108000009 |
|
1260108000009 |
|
|
1900-01-01 00:00:00.000000 |
3000.000000000000 |
0.000000000000 |
rsvd |
1 |
5639000513 |
2026-03-17 05:03:27.000000 |
? |
2026-03-17 05:03:27.000000 |
? |
0 |
1900-01-01 00:00:00.000000 |
|
6158 |
1260115000007 |
2026-01-15 00:00:00.000000 |
1.000000000000 |
799 |
1260115000007 |
A000003 |
|
|
IDR |
|
0.000000000000 |
1.000000000000 |
500000.000000000000 |
0.000000000000 |
0.000000000000 |
500000.000000000000 |
|
|
|
1.000000000000 |
0 |
|
1260115000007 |
|
1260115000007 |
|
|
1900-01-01 00:00:00.000000 |
500000.000000000000 |
0.000000000000 |
rsvd |
1 |
5639000769 |
2026-03-17 05:03:27.000000 |
? |
2026-03-17 05:03:27.000000 |
? |
0 |
1900-01-01 00:00:00.000000 |
|
6159 |
1251218000034 |
2026-01-16 21:06:42.000000 |
6.000000000000 |
1056 |
1251218000034 |
P000003 |
|
|
IDR |
|
0.000000000000 |
1.000000000000 |
8000.000000000000 |
0.000000000000 |
0.000000000000 |
8000.000000000000 |
|
|
|
1.000000000000 |
0 |
|
1251218000034 |
|
1251218000034 |
|
|
1900-01-01 00:00:00.000000 |
8000.000000000000 |
0.000000000000 |
rsvd |
1 |
5639001025 |
2026-03-17 05:03:27.000000 |
? |
2026-03-17 05:03:27.000000 |
? |
0 |
1900-01-01 00:00:00.000000 |
|
6160 |
1260124000004 |
2026-01-24 09:43:18.000000 |
5.000000000000 |
1570 |
1260124000004 |
T000005 |
|
|
IDR |
|
0.000000000000 |
1.000000000000 |
40000.000000000000 |
0.000000000000 |
0.000000000000 |
40000.000000000000 |
|
|
|
1.000000000000 |
0 |
|
1260124000004 |
|
1260124000004 |
|
|
1900-01-01 00:00:00.000000 |
40000.000000000000 |
0.000000000000 |
rsvd |
1 |
5639001537 |
2026-03-17 05:03:27.000000 |
? |
2026-03-17 05:03:27.000000 |
? |
0 |
1900-01-01 00:00:00.000000 |