|
911 |
22601110010 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
643 |
22601110010 |
A000003 |
|
Rawat Inap |
IDR |
|
0.000000000000 |
1.000000000000 |
500000.000000000000 |
0.000000000000 |
0.000000000000 |
500000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
22601110010 |
|
22601110010 |
|
|
1900-01-01 00:00:00.000000 |
500000.000000000000 |
0.000000000000 |
ren |
1 |
5639004676 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
912 |
42601150011 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
904 |
42601150011 |
F000001 |
|
Paracetamol |
IDR |
|
0.000000000000 |
1.000000000000 |
1500.000000000000 |
0.000000000000 |
0.000000000000 |
1500.000000000000 |
|
|
|
0.000000000000 |
0 |
|
42601150011 |
|
42601150011 |
|
|
1900-01-01 00:00:00.000000 |
1500.000000000000 |
0.000000000000 |
ren |
1 |
5639004932 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
913 |
42601230004 |
2026-04-04 14:00:51.000000 |
5.000000000000 |
1165 |
42601230004 |
F000003 |
|
Alerfed |
IDR |
|
0.000000000000 |
1.000000000000 |
3000.000000000000 |
0.000000000000 |
0.000000000000 |
3000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
42601230004 |
|
42601230004 |
|
|
1900-01-01 00:00:00.000000 |
3000.000000000000 |
0.000000000000 |
ren |
1 |
5639005188 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
914 |
22601230044 |
2026-04-04 14:00:51.000000 |
2.000000000000 |
1421 |
22601230044 |
D000003 |
|
Dokter Spesialis 50k |
IDR |
|
0.000000000000 |
1.000000000000 |
50000.000000000000 |
0.000000000000 |
0.000000000000 |
50000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
22601230044 |
|
22601230044 |
|
|
1900-01-01 00:00:00.000000 |
50000.000000000000 |
0.000000000000 |
ren |
1 |
5639005444 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
915 |
52601240012 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
1677 |
52601240012 |
X000006 |
|
Kertas HVS A4 |
IDR |
|
0.000000000000 |
1.000000000000 |
55000.000000000000 |
0.000000000000 |
0.000000000000 |
55000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
52601240012 |
|
52601240012 |
|
|
1900-01-01 00:00:00.000000 |
55000.000000000000 |
0.000000000000 |
ren |
1 |
5639005700 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
916 |
52602150001 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
1982 |
52602150001 |
P000001 |
|
Jarum Suntik |
IDR |
|
0.000000000000 |
1.000000000000 |
2500.000000000000 |
0.000000000000 |
0.000000000000 |
2500.000000000000 |
|
|
|
0.000000000000 |
0 |
|
52602150001 |
|
52602150001 |
|
|
1900-01-01 00:00:00.000000 |
2500.000000000000 |
0.000000000000 |
ren |
1 |
5639005956 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
917 |
22512180028 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
100 |
22512180028 |
A000002 |
|
Rawat Jalan |
IDR |
|
0.000000000000 |
1.000000000000 |
150000.000000000000 |
0.000000000000 |
0.000000000000 |
150000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
22512180028 |
|
22512180028 |
|
|
1900-01-01 00:00:00.000000 |
150000.000000000000 |
0.000000000000 |
ren |
1 |
5639004165 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
918 |
2251219000002 |
2026-04-04 14:00:51.000000 |
2.000000000000 |
363 |
2251219000002 |
A000001 |
|
Biaya Kartu Pasien |
IDR |
|
0.000000000000 |
1.000000000000 |
50000.000000000000 |
0.000000000000 |
0.000000000000 |
50000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
2251219000002 |
|
2251219000002 |
|
|
1900-01-01 00:00:00.000000 |
50000.000000000000 |
0.000000000000 |
ren |
1 |
5639004421 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
919 |
22601110011 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
644 |
22601110011 |
D000002 |
|
Biaya Konsultasi dr. Spesialis THT (75.000) |
IDR |
|
0.000000000000 |
1.000000000000 |
75000.000000000000 |
0.000000000000 |
0.000000000000 |
75000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
22601110011 |
|
22601110011 |
|
|
1900-01-01 00:00:00.000000 |
75000.000000000000 |
0.000000000000 |
ren |
1 |
5639004677 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |
|
920 |
42601150011 |
2026-04-04 14:00:51.000000 |
1.000000000000 |
905 |
42601150011 |
F000015 |
|
Diazepam |
IDR |
|
0.000000000000 |
1.000000000000 |
12000.000000000000 |
0.000000000000 |
0.000000000000 |
12000.000000000000 |
|
|
|
0.000000000000 |
0 |
|
42601150011 |
|
42601150011 |
|
|
1900-01-01 00:00:00.000000 |
12000.000000000000 |
0.000000000000 |
ren |
1 |
5639004933 |
2026-04-04 14:00:51.000000 |
system |
2026-04-04 14:00:51.000000 |
system |
0 |
1900-01-01 00:00:00.000000 |