Professional Documents
Culture Documents
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<TH ALIGN=right COLSPAN=3>Hal 1 dari 1</TH>
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COLSPAN=4>Jl. Jenderal Sudirman No.3, Sungailiat, Prov.&nb
sp;Kepulauan Bangka Belitung 33215, Telp. +62
(717) 95837, Fax +62 (717) 93335</TH>
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<TH ALIGN=right COLSPAN=3>22/12/2022</TH>
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<TH COLSPAN=14>DAFTAR TINDAKAN DAN TARIF POLIKLINIK</TH>
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<TD COLSPAN=6>POLI PARU</TD>
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<TD>No.</TD>
<TD ALIGN=center COLSPAN=2>Kode</TD>
<TD ALIGN=right>10.000</TD>
<TD ALIGN=right>10.000</TD>
<TD ALIGN=right>10.000</TD>
<TD ALIGN=right COLSPAN=2>10.000</TD>
<TD ALIGN=right>10.000</TD>
<TD ALIGN=right>10.000</TD>
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<TD>2</TD>
<TD COLSPAN=2>000055</TD>
<TD ALIGN=right>400.000</TD>
<TD ALIGN=right>400.000</TD>
<TD ALIGN=right>400.000</TD>
<TD ALIGN=right COLSPAN=2>400.000</TD>
<TD ALIGN=right>400.000</TD>
<TD ALIGN=right>400.000</TD>
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<TD>3</TD>
<TD COLSPAN=2>000972</TD>
<TD ALIGN=right>500.000</TD>
<TD ALIGN=right>500.000</TD>
<TD ALIGN=right>500.000</TD>
<TD ALIGN=right COLSPAN=2>500.000</TD>
<TD ALIGN=right>500.000</TD>
<TD ALIGN=right>500.000</TD>
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<TD>4</TD>
<TD COLSPAN=2>000970</TD>
<TD>AMBULANCE KE KIM</TD>
<TD ALIGN=right COLSPAN=2>350.000</TD>
<TD ALIGN=right>350.000</TD>
<TD ALIGN=right>350.000</TD>
<TD ALIGN=right>350.000</TD>
<TD ALIGN=right COLSPAN=2>350.000</TD>
<TD ALIGN=right>350.000</TD>
<TD ALIGN=right>350.000</TD>
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<TD>5</TD>
<TD COLSPAN=2>000051</TD>
<TD ALIGN=right>100.000</TD>
<TD ALIGN=right>100.000</TD>
<TD ALIGN=right>100.000</TD>
<TD ALIGN=right COLSPAN=2>100.000</TD>
<TD ALIGN=right>100.000</TD>
<TD ALIGN=right>100.000</TD>
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<TD>6</TD>
<TD COLSPAN=2>000054</TD>
<TD ALIGN=right>300.000</TD>
<TD ALIGN=right>300.000</TD>
<TD ALIGN=right>300.000</TD>
<TD ALIGN=right COLSPAN=2>300.000</TD>
<TD ALIGN=right>300.000</TD>
<TD ALIGN=right>300.000</TD>
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<TD>7</TD>
<TD COLSPAN=2>000052</TD>
<TD ALIGN=right>100.000</TD>
<TD ALIGN=right>100.000</TD>
<TD ALIGN=right>100.000</TD>
<TD ALIGN=right COLSPAN=2>100.000</TD>
<TD ALIGN=right>100.000</TD>
<TD ALIGN=right>100.000</TD>
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<TD>8</TD>
<TD COLSPAN=2>000050</TD>
<TD ALIGN=right>100.000</TD>
<TD ALIGN=right>100.000</TD>
<TD ALIGN=right>100.000</TD>
<TD ALIGN=right COLSPAN=2>100.000</TD>
<TD ALIGN=right>100.000</TD>
<TD ALIGN=right>100.000</TD>
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<TD>9</TD>
<TD COLSPAN=2>000053</TD>
<TD ALIGN=right>250.000</TD>
<TD ALIGN=right>250.000</TD>
<TD ALIGN=right>250.000</TD>
<TD ALIGN=right COLSPAN=2>250.000</TD>
<TD ALIGN=right>250.000</TD>
<TD ALIGN=right>250.000</TD>
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<TD>10</TD>
<TD COLSPAN=2>000056</TD>
<TD>AMBULANCE RS SILOAM</TD>
<TD ALIGN=right COLSPAN=2>400.000</TD>
<TD ALIGN=right>400.000</TD>
<TD ALIGN=right>400.000</TD>
<TD ALIGN=right>400.000</TD>
<TD ALIGN=right COLSPAN=2>400.000</TD>
<TD ALIGN=right>400.000</TD>
<TD ALIGN=right>400.000</TD>
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<TD>11</TD>
<TD COLSPAN=2>000228</TD>
<TD>EKG </TD>
<TD ALIGN=right COLSPAN=2>130.000</TD>
<TD ALIGN=right>130.000</TD>
<TD ALIGN=right>130.000</TD>
<TD ALIGN=right>130.000</TD>
<TD ALIGN=right COLSPAN=2>130.000</TD>
<TD ALIGN=right>130.000</TD>
<TD ALIGN=right>130.000</TD>
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<TD></TD>
<TD>12</TD>
<TD COLSPAN=2>000659</TD>
<TD ALIGN=right>30.000</TD>
<TD ALIGN=right>30.000</TD>
<TD ALIGN=right>30.000</TD>
<TD ALIGN=right COLSPAN=2>30.000</TD>
<TD ALIGN=right>30.000</TD>
<TD ALIGN=right>30.000</TD>
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<TD>13</TD>
<TD COLSPAN=2>000027</TD>
<TD ALIGN=right>120.000</TD>
<TD ALIGN=right>120.000</TD>
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<TD>14</TD>
<TD COLSPAN=2>001036</TD>
<TD>PA 1</TD>
<TD ALIGN=right COLSPAN=2>300.000</TD>
<TD ALIGN=right>300.000</TD>
<TD ALIGN=right>300.000</TD>
<TD ALIGN=right>300.000</TD>
<TD ALIGN=right COLSPAN=2>300.000</TD>
<TD ALIGN=right>300.000</TD>
<TD ALIGN=right>300.000</TD>
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<TD>15</TD>
<TD COLSPAN=2>001037</TD>
<TD>PA 2</TD>
<TD ALIGN=right COLSPAN=2>350.000</TD>
<TD ALIGN=right>350.000</TD>
<TD ALIGN=right>350.000</TD>
<TD ALIGN=right>350.000</TD>
<TD ALIGN=right COLSPAN=2>350.000</TD>
<TD ALIGN=right>350.000</TD>
<TD ALIGN=right>350.000</TD>
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<TD>16</TD>
<TD COLSPAN=2>001038</TD>
<TD>PA 3</TD>
<TD ALIGN=right COLSPAN=2>400.000</TD>
<TD ALIGN=right>400.000</TD>
<TD ALIGN=right>400.000</TD>
<TD ALIGN=right>400.000</TD>
<TD ALIGN=right COLSPAN=2>400.000</TD>
<TD ALIGN=right>400.000</TD>
<TD ALIGN=right>400.000</TD>
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<TD>17</TD>
<TD COLSPAN=2>001039</TD>
<TD>PA 4</TD>
<TD ALIGN=right COLSPAN=2>450.000</TD>
<TD ALIGN=right>450.000</TD>
<TD ALIGN=right>450.000</TD>
<TD ALIGN=right>450.000</TD>
<TD ALIGN=right COLSPAN=2>450.000</TD>
<TD ALIGN=right>450.000</TD>
<TD ALIGN=right>450.000</TD>
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<TD>18</TD>
<TD COLSPAN=2>001040</TD>
<TD>PA 5</TD>
<TD ALIGN=right COLSPAN=2>500.000</TD>
<TD ALIGN=right>500.000</TD>
<TD ALIGN=right>500.000</TD>
<TD ALIGN=right>500.000</TD>
<TD ALIGN=right COLSPAN=2>500.000</TD>
<TD ALIGN=right>500.000</TD>
<TD ALIGN=right>500.000</TD>
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<TD>19</TD>
<TD COLSPAN=2>001041</TD>
<TD>PA 6</TD>
<TD ALIGN=right COLSPAN=2>550.000</TD>
<TD ALIGN=right>550.000</TD>
<TD ALIGN=right>550.000</TD>
<TD ALIGN=right>550.000</TD>
<TD ALIGN=right COLSPAN=2>550.000</TD>
<TD ALIGN=right>550.000</TD>
<TD ALIGN=right>550.000</TD>
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<TD>20</TD>
<TD COLSPAN=2>001042</TD>
<TD>PA 7</TD>
<TD ALIGN=right COLSPAN=2>600.000</TD>
<TD ALIGN=right>600.000</TD>
<TD ALIGN=right>600.000</TD>
<TD ALIGN=right>600.000</TD>
<TD ALIGN=right COLSPAN=2>600.000</TD>
<TD ALIGN=right>600.000</TD>
<TD ALIGN=right>600.000</TD>
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<TD>21</TD>
<TD COLSPAN=2>001043</TD>
<TD>PA 8</TD>
<TD ALIGN=right COLSPAN=2>650.000</TD>
<TD ALIGN=right>650.000</TD>
<TD ALIGN=right>650.000</TD>
<TD ALIGN=right>650.000</TD>
<TD ALIGN=right COLSPAN=2>650.000</TD>
<TD ALIGN=right>650.000</TD>
<TD ALIGN=right>650.000</TD>
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<TD></TD>
<TD>22</TD>
<TD COLSPAN=2>000884</TD>
<TD ALIGN=right>50.000</TD>
<TD ALIGN=right>50.000</TD>
<TD ALIGN=right>50.000</TD>
<TD ALIGN=right COLSPAN=2>50.000</TD>
<TD ALIGN=right>50.000</TD>
<TD ALIGN=right>50.000</TD>
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<TD>23</TD>
<TD COLSPAN=2>000883</TD>
<TD>PENGISIAN VISUM</TD>
<TD ALIGN=right COLSPAN=2>50.000</TD>
<TD ALIGN=right>50.000</TD>
<TD ALIGN=right>50.000</TD>
<TD ALIGN=right>50.000</TD>
<TD ALIGN=right COLSPAN=2>50.000</TD>
<TD ALIGN=right>50.000</TD>
<TD ALIGN=right>50.000</TD>
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<TD>24</TD>
<TD COLSPAN=2>000226</TD>
<TD>PUNGSI PLEURA</TD>
<TD ALIGN=right COLSPAN=2>310.000</TD>
<TD ALIGN=right>310.000</TD>
<TD ALIGN=right>542.000</TD>
<TD ALIGN=right>484.000</TD>
<TD ALIGN=right COLSPAN=2>440.000</TD>
<TD ALIGN=right>400.000</TD>
<TD ALIGN=right>400.000</TD>
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<TD>25</TD>
<TD COLSPAN=2>000048</TD>
<TD>SPIROMETRI </TD>
<TD ALIGN=right COLSPAN=2>120.000</TD>
<TD ALIGN=right>120.000</TD>
<TD ALIGN=right>162.500</TD>
<TD ALIGN=right>145.200</TD>
<TD ALIGN=right COLSPAN=2>132.000</TD>
<TD ALIGN=right>120.000</TD>
<TD ALIGN=right>120.000</TD>
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<TD>26</TD>
<TD COLSPAN=2>000978</TD>
<TD ALIGN=right>80.000</TD>
<TD ALIGN=right>80.000</TD>
<TD ALIGN=right>80.000</TD>
<TD ALIGN=right COLSPAN=2>80.000</TD>
<TD ALIGN=right>80.000</TD>
<TD ALIGN=right>80.000</TD>
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<TD>27</TD>
<TD COLSPAN=2>000215</TD>
<TD>UP HECHTING</TD>
<TD ALIGN=right COLSPAN=2>60.000</TD>
<TD ALIGN=right>60.000</TD>
<TD ALIGN=right>60.000</TD>
<TD ALIGN=right>60.000</TD>
<TD ALIGN=right COLSPAN=2>60.000</TD>
<TD ALIGN=right>60.000</TD>
<TD ALIGN=right>60.000</TD>
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