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| Ruangan | Kelas Pelayanan | Penjamin Nama | Tarif |
|---|---|---|---|
| Bedah Sentral | PONEK | Rizki Bunda, RSIA | 1134000 |
| Bedah Sentral | PONEK | Tiga Permata, Klinik | 1134000 |
| Bedah Sentral | PONEK | Mutiara Biru, Klinik | 1134000 |
| Bedah Sentral | PONEK | Jasa Raharja, PT. | 1134000 |
| Bedah Sentral | PONEK | Mandiri In-Health | 1134000 |
| Bedah Sentral | PONEK | Bpjs Ketenagakerjaan | 1134000 |
| Bedah Sentral | PONEK | BPJS | 1134000 |
| Bedah Sentral | PONEK | Jampersal | 1134000 |
| Bedah Sentral | PONEK | Pemerintah (covid-19) | 1134000 |
| Bedah Sentral | PONEK | Taspen, Pt. | 1134000 |