|
801 |
1260407000001 |
1900-01-01 00:00:00.000000 |
2167.000000000000 |
LID2606100038 |
22604070001 |
D000001 |
|
Biaya dr. Umum (50.000) |
IDR |
|
0.000000000000 |
1.000000000000 |
50000.000000000000 |
0.000000000000 |
0.000000000000 |
50000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
1260407000001 |
|
|
|
|
1900-01-01 00:00:00.000000 |
50000.000000000000 |
1.000000000000 |
snr |
1 |
5639006189 |
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 |
|
802 |
1260503000012 |
1900-01-01 00:00:00.000000 |
2423.000000000000 |
LID2606100294 |
32605030029 |
T000002 |
|
Konsultasi Dokter Spesialis |
IDR |
|
0.000000000000 |
1.000000000000 |
150000.000000000000 |
0.000000000000 |
0.000000000000 |
150000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
1260503000012 |
|
|
|
|
1900-01-01 00:00:00.000000 |
150000.000000000000 |
1.000000000000 |
snr |
1 |
5639006445 |
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 |
|
803 |
1260525000002 |
1900-01-01 00:00:00.000000 |
2679.000000000000 |
LID2606100550 |
22605250002 |
A000002 |
|
Rawat Jalan |
IDR |
|
0.000000000000 |
1.000000000000 |
150000.000000000000 |
0.000000000000 |
0.000000000000 |
150000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
1260525000002 |
|
|
|
|
1900-01-01 00:00:00.000000 |
150000.000000000000 |
1.000000000000 |
snr |
1 |
5639006701 |
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 |
|
804 |
1260608000002 |
1900-01-01 00:00:00.000000 |
2935.000000000000 |
LID2606100806 |
112606080003 |
R000007 |
|
|
IDR |
|
0.000000000000 |
1.000000000000 |
7000000.000000000000 |
0.000000000000 |
0.000000000000 |
7000000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
1260608000002 |
|
|
|
|
1900-01-01 00:00:00.000000 |
7000000.000000000000 |
1.000000000000 |
snr |
1 |
5639006957 |
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 |
|
805 |
1260407000001 |
1900-01-01 00:00:00.000000 |
2168.000000000000 |
LID2606100039 |
42604080001 |
F000006 |
|
Amlodipine |
IDR |
|
0.000000000000 |
1.000000000000 |
25500.000000000000 |
0.000000000000 |
0.000000000000 |
25500.000000000000 |
|
|
|
0.000000000000 |
0 |
|
1260407000001 |
|
|
|
|
1900-01-01 00:00:00.000000 |
25500.000000000000 |
1.000000000000 |
snr |
1 |
5639006190 |
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 |
|
806 |
1260503000013 |
1900-01-01 00:00:00.000000 |
2424.000000000000 |
LID2606100295 |
132605100004 |
L000002 |
|
|
IDR |
|
0.000000000000 |
1.000000000000 |
30000.000000000000 |
0.000000000000 |
0.000000000000 |
30000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
1260503000013 |
|
|
|
|
1900-01-01 00:00:00.000000 |
30000.000000000000 |
1.000000000000 |
snr |
1 |
5639006446 |
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 |
|
807 |
1260525000002 |
1900-01-01 00:00:00.000000 |
2680.000000000000 |
LID2606100551 |
22605250002 |
D000004 |
|
Dokter Spesialis 100k (100.000) |
IDR |
|
0.000000000000 |
1.000000000000 |
100000.000000000000 |
0.000000000000 |
0.000000000000 |
100000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
1260525000002 |
|
|
|
|
1900-01-01 00:00:00.000000 |
100000.000000000000 |
1.000000000000 |
snr |
1 |
5639006702 |
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 |
|
808 |
1260608000002 |
1900-01-01 00:00:00.000000 |
2936.000000000000 |
LID2606100807 |
132606080002 |
L000002 |
|
|
IDR |
|
0.000000000000 |
1.000000000000 |
30000.000000000000 |
0.000000000000 |
0.000000000000 |
30000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
1260608000002 |
|
|
|
|
1900-01-01 00:00:00.000000 |
30000.000000000000 |
1.000000000000 |
snr |
1 |
5639006958 |
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 |
|
809 |
1260413000001 |
2026-04-13 11:07:21.000000 |
2169.000000000000 |
LID2606100040 |
2260413000001 |
A000001 |
|
|
IDR |
|
0.000000000000 |
1.000000000000 |
50000.000000000000 |
0.000000000000 |
0.000000000000 |
50000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
1260413000001 |
|
|
|
|
1900-01-01 00:00:00.000000 |
50000.000000000000 |
1.000000000000 |
snr |
1 |
5639006191 |
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 |
|
810 |
1260503000013 |
1900-01-01 00:00:00.000000 |
2425.000000000000 |
LID2606100296 |
22605030013 |
A000001 |
|
Biaya Kartu Pasien |
IDR |
|
0.000000000000 |
1.000000000000 |
50000.000000000000 |
0.000000000000 |
0.000000000000 |
50000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
1260503000013 |
|
|
|
|
1900-01-01 00:00:00.000000 |
50000.000000000000 |
1.000000000000 |
snr |
1 |
5639006447 |
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 |