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| Ruangan | Kelas Pelayanan | Nama Kamar | No Kamar | No. Bed | Status | Tarif Umum |
|---|---|---|---|---|---|---|
| Bangsal Anak | Kelas III | Bangsal Anak | Kamar I - Kelas 3 | 1 | DIGUNAKAN | Rp. 150.000 |
| Kamar II - Kelas 3 | 2 | Rp. 150.000 | ||||
| HCU | HCU | 1 | TERSEDIA | 0 | ||
| Kelas II | Kelas 2 | 2 | DIGUNAKAN | Rp. 200.000 | ||
| Kelas III | Kamar II - Kelas 3 | 1 | TERSEDIA | Rp. 150.000 | ||
| Kelas II | Kelas 2 | 1 | DIGUNAKAN | Rp. 200.000 | ||
| ISOLASI | ISOLASI-I | 1 | TERSEDIA | Rp. 150.000 | ||
| ISOLASI-II | 1 | Rp. 150.000 | ||||
| Kelas III | Kamar I - Kelas 3 | 2 | DIGUNAKAN | Rp. 150.000 | ||
| Bangsal Bedah | Bangsal Bedah | CW IIIA - Kelas 3 Wanita | 8 | Rp. 150.000 |
| Ruangan | Kelas Pelayanan | Penjamin Nama | Tarif |
|---|---|---|---|
| VIP | VVIP | Mutiara Biru, Klinik | 750000 |
| VIP | VVIP | Jasa Raharja, PT. | 750000 |
| VIP | VVIP | Mandiri In-Health | 750000 |
| VIP | VVIP | Bpjs Ketenagakerjaan | 750000 |
| VIP | VVIP | BPJS | 750000 |
| VIP | VVIP | Jampersal | 750000 |
| VIP | VVIP | Pemerintah (covid-19) | 750000 |
| VIP | VVIP | Taspen, Pt. | 750000 |
| VIP | ICU | Umum | 500000 |
| VIP | ICU | Mutiara Agam, PT. | 500000 |