| No. | No. Nota | No. Billing | No. RM | Nama Pasien | Nama Dokter | Kode Item | Nama Item | Harga | Jumlah | Total Harga | Status Eksekusi | Lokasi Eksekusi |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1 | REF20260123000003 | BIL20260123000003 | MR000002 | tester.20260123@ester | Leonysa | A02 | Biaya Pendaftaran Rawat Jalan | 50.000 | 1 | 50.000 | ||
| 2 | REF20260123000003 | BIL20260123000003 | MR000002 | tester.20260123@ester | Leonysa | A03 | Biaya Kartu Pasien | 20.000 | 1 | 20.000 | ||
| 3 | REF20260123000003 | BIL20260123000003 | MR000002 | tester.20260123@ester | Leonysa | D000135 | Dokter Spesialis 100k | 100.000 | 1 | 100.000 |