| No. | No. Nota | No. Billing | No. RM | Nama Pasien | Nama Dokter | Kode Item | Nama Item | Harga | Jumlah | Total Harga | Status Eksekusi | Lokasi Eksekusi |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1 | REF2026072600601 | BIL2026072600065 | MR000013 | test-220726 | Fina | A01 | Administrasi Rawat Inap | 100.000 | 1 | 100.000 | BELUM | |
| 2 | REF2026072600601 | BIL2026072600065 | MR000013 | test-220726 | Fina | D000133 | Dokter Spesialis 50k | 50.000 | 1 | 50.000 | BELUM |