|
71 |
1260418000001 |
1900-01-01 00:00:00.000000 |
2201.000000000000 |
LID2606100072 |
112604190001 |
R000001 |
|
|
IDR |
|
0.000000000000 |
1.000000000000 |
500000.000000000000 |
0.000000000000 |
0.000000000000 |
500000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
1260418000001 |
|
|
|
|
1900-01-01 00:00:00.000000 |
500000.000000000000 |
1.000000000000 |
snr |
1 |
5639006223 |
2026-06-10 08:55:23.000000 |
NAMAKU ADMIN |
2026-06-10 08:55:23.000000 |
NAMAKU ADMIN |
0 |
1900-01-01 00:00:00.000000 |
|
72 |
1260504000001 |
1900-01-01 00:00:00.000000 |
2457.000000000000 |
LID2606100328 |
32605040009 |
T000003 |
|
Pemeriksaan Tanda Vital |
IDR |
|
0.000000000000 |
1.000000000000 |
25000.000000000000 |
0.000000000000 |
0.000000000000 |
25000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
1260504000001 |
|
|
|
|
1900-01-01 00:00:00.000000 |
25000.000000000000 |
1.000000000000 |
snr |
1 |
5639006479 |
2026-06-10 08:55:23.000000 |
NAMAKU ADMIN |
2026-06-10 08:55:23.000000 |
NAMAKU ADMIN |
0 |
1900-01-01 00:00:00.000000 |
|
73 |
1260525000005 |
1900-01-01 00:00:00.000000 |
2713.000000000000 |
LID2606100584 |
22605250005 |
D000004 |
|
Dokter Spesialis 100k (100.000) |
IDR |
|
0.000000000000 |
1.000000000000 |
100000.000000000000 |
0.000000000000 |
0.000000000000 |
100000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
1260525000005 |
|
|
|
|
1900-01-01 00:00:00.000000 |
100000.000000000000 |
1.000000000000 |
snr |
1 |
5639006735 |
2026-06-10 08:55:23.000000 |
NAMAKU ADMIN |
2026-06-10 08:55:23.000000 |
NAMAKU ADMIN |
0 |
1900-01-01 00:00:00.000000 |
|
74 |
1260608000011 |
1900-01-01 00:00:00.000000 |
2969.000000000000 |
LID2606100840 |
22606080011 |
D000002 |
|
Biaya Konsultasi dr. Spesialis THT (75.000) |
IDR |
|
0.000000000000 |
1.000000000000 |
75000.000000000000 |
0.000000000000 |
0.000000000000 |
75000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
1260608000011 |
|
|
|
|
1900-01-01 00:00:00.000000 |
75000.000000000000 |
1.000000000000 |
snr |
1 |
5639006991 |
2026-06-10 08:55:23.000000 |
NAMAKU ADMIN |
2026-06-10 08:55:23.000000 |
NAMAKU ADMIN |
0 |
1900-01-01 00:00:00.000000 |
|
75 |
1260418000001 |
1900-01-01 00:00:00.000000 |
2202.000000000000 |
LID2606100073 |
132604190001 |
L000030 |
|
|
IDR |
|
0.000000000000 |
1.000000000000 |
55000.000000000000 |
0.000000000000 |
0.000000000000 |
55000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
1260418000001 |
|
|
|
|
1900-01-01 00:00:00.000000 |
55000.000000000000 |
1.000000000000 |
snr |
1 |
5639006224 |
2026-06-10 08:55:23.000000 |
NAMAKU ADMIN |
2026-06-10 08:55:23.000000 |
NAMAKU ADMIN |
0 |
1900-01-01 00:00:00.000000 |
|
76 |
1260504000001 |
1900-01-01 00:00:00.000000 |
2458.000000000000 |
LID2606100329 |
32605040009 |
T000005 |
|
Injeksi Intramuskular |
IDR |
|
0.000000000000 |
1.000000000000 |
40000.000000000000 |
0.000000000000 |
0.000000000000 |
40000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
1260504000001 |
|
|
|
|
1900-01-01 00:00:00.000000 |
40000.000000000000 |
1.000000000000 |
snr |
1 |
5639006480 |
2026-06-10 08:55:23.000000 |
NAMAKU ADMIN |
2026-06-10 08:55:23.000000 |
NAMAKU ADMIN |
0 |
1900-01-01 00:00:00.000000 |
|
77 |
1260525000005 |
1900-01-01 00:00:00.000000 |
2714.000000000000 |
LID2606100585 |
32605250026 |
T000002 |
|
Konsultasi Dokter Spesialis |
IDR |
|
0.000000000000 |
1.000000000000 |
150000.000000000000 |
0.000000000000 |
0.000000000000 |
150000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
1260525000005 |
|
|
|
|
1900-01-01 00:00:00.000000 |
150000.000000000000 |
1.000000000000 |
snr |
1 |
5639006736 |
2026-06-10 08:55:23.000000 |
NAMAKU ADMIN |
2026-06-10 08:55:23.000000 |
NAMAKU ADMIN |
0 |
1900-01-01 00:00:00.000000 |
|
78 |
1260608000011 |
1900-01-01 00:00:00.000000 |
2970.000000000000 |
LID2606100841 |
32606080011 |
T000002 |
|
Konsultasi Dokter Spesialis |
IDR |
|
0.000000000000 |
1.000000000000 |
150000.000000000000 |
0.000000000000 |
0.000000000000 |
150000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
1260608000011 |
|
|
|
|
1900-01-01 00:00:00.000000 |
150000.000000000000 |
1.000000000000 |
snr |
1 |
5639006992 |
2026-06-10 08:55:23.000000 |
NAMAKU ADMIN |
2026-06-10 08:55:23.000000 |
NAMAKU ADMIN |
0 |
1900-01-01 00:00:00.000000 |
|
79 |
1260418000001 |
1900-01-01 00:00:00.000000 |
2203.000000000000 |
LID2606100074 |
22604180001 |
A000002 |
|
Rawat Jalan |
IDR |
|
0.000000000000 |
1.000000000000 |
150000.000000000000 |
0.000000000000 |
0.000000000000 |
150000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
1260418000001 |
|
|
|
|
1900-01-01 00:00:00.000000 |
150000.000000000000 |
1.000000000000 |
snr |
1 |
5639006225 |
2026-06-10 08:55:23.000000 |
NAMAKU ADMIN |
2026-06-10 08:55:23.000000 |
NAMAKU ADMIN |
0 |
1900-01-01 00:00:00.000000 |
|
80 |
1260504000001 |
1900-01-01 00:00:00.000000 |
2459.000000000000 |
LID2606100330 |
32605040009 |
T000007 |
|
Perawatan Luka |
IDR |
|
0.000000000000 |
1.000000000000 |
100000.000000000000 |
0.000000000000 |
0.000000000000 |
100000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
1260504000001 |
|
|
|
|
1900-01-01 00:00:00.000000 |
100000.000000000000 |
1.000000000000 |
snr |
1 |
5639006481 |
2026-06-10 08:55:23.000000 |
NAMAKU ADMIN |
2026-06-10 08:55:23.000000 |
NAMAKU ADMIN |
0 |
1900-01-01 00:00:00.000000 |