Pendaftaran 1 20,000
Adm Rawat inap 2 80,000
Jasa medis 2 150,000
Jasa Pelaksana Perawatan 2 100,000
Ringer Laktat 3 300,000
Infus set 1 10,000
Abbocath 24 1 25,000
Ondansentron Inj 2 150.000
Neurosanbe Inj 1 100.000
Sanmol Tab 500 mg 10 40.000
Vitonal M sy 1 40.000
Ranacid F Tab 10 40.000
Lactona Susu Ibu Hamil 1 45.000
Jumlah
1.100.000,-
Penerima