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LAPORAN PELAYANAN

RAWAT JALAN TINGKAT PERTAMA (RJTP)

UPT PUSKESMAS WINONG

BULAN : JANUARI TAHUN 2014Kepada Y! :

Kepa"a BPJS

#$% Kepa"a &'a Kee!aa Ka*+ P,-./-e/

d' Tepa

NO TANGGAL No Pcare No. KARTU NAMA PESERTA SEX USIA TUJ

1 1/2/2014 1 1019244328 M FARIS RIA!I L 13 G"#"

2 2 $4$33%842 KESUT SU&AN!I L 4' U()(

3 3 $4481'93$ SATI&I L 3$ U()(

4 $ $44812322 FANA P 31 K I A

5 % $4$%012'3 SA*IANTO L '2 U()(

6 ' 101924%4$$ KUSTIA+ P '% U()(

7 8 $4$19%93% SIL,IANA FA!+ILA P $ K I A

8 9 $449$90'' RU&IATI P 40 K&9 10 $4$19%8$' *ARANTI P 3$ U()(

10 11 $4$%291'3 SITI +AMATUM NISA P 8 G"#"

11 12 $4$3$$'29 +I!AATUL MUNASIRO+ P 1$ U()(

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49 9 $448339%% MUTO+ARO+ P 24 K&

50 10 $44'99'22 MUJI&A+ P 38 U()(

51 11 $44%18012 +UMAIRA LAILI FAU-IA+ P 11 U()(

52 12 84241'21 NURUL A-IMA+ P 41 U()(53 13 84%8%%'9 UMI SALAMA+ P $2 U()(

54 14 $4$$$'12' UNONG P '4 U()(

55 1% $44814818 TAAT NUR ITA L 2 K I A

56 20 1019244903 SU!IRMAN L %2 G"#"

57 22 4'%84%19 SUMARSI+ P %$ U()(

58 23 $4$'4899% TRIANA NUR A+ANI P $ K I A

59 1 10192%2$98 UMI NASIK+A+ P 3$ K I A60 1/6/2014 2 $442'0%89 AN!RI *IJAANTO L 21 U()(

61 3 $4$302$28 RUS!I L 81 U()(

62 4 $4%49328$ !*I MULANTO L 12 G"#"

63 $ $4$3'9208 PA*IT L 38 U()(

64 % $4$1010$3 PAIMUN L '% U()(

65 ' 1019244148 +ESTI SETANINGSI+ P 49 U()(

66 8 $4$$02$32 ROPIATUN P 4% U()(

67 9 $4$$0328$ SOLI+UN L 13 U()(

68 10 $4$$0202$ MUSTOFA L $2 U()(

69 11 $443'''34 MUARIF L 14 U()(

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108 10 1%21%$20$ SU!IRO L '3 U()(

109 11 9'%213$0% II SRIANI P 49 U()(

110 1/8/2014 1 $449$2'99 SANIA+ P 44 U()(

111 2 84300208 !*I LISTARINI P 40 U()(

112 3 84'339%4 SUTA!I L 4' U()(113 4 101924420$ MU+TAR L %3 U()(

114 $ 4'%8$12% TUMISA+ P $9 U()(

115 8 $4$314983 MINTARSI+ P $3 U()(

116 9 $4$81%4$2 TUKIEM P 4' U()(

117 10 $44''31'2 RUKUN PRAITNO L 39 U()(

118 11 $4481%94$ MANISUN L '3 U()(

119 12 $44'23'38 SUNGAE& L $% U()(120 13 $44822'1% RIAN JULIANTO L % G"#"

121 14 $44'4'814 KURNIA A!I JA-ULI R P ' U()(

122 1$ $4%282112 -A+RITUSSIFA P 4 K I A

123 1% 101924$4%$ SOLISA+ P %4 U()(

124 1' 84402''$ SUSI ARIANI P $1 U()(

125 18 $4$28$'44 RAFI ANGGATIASTO L ' U()(

126 19 $4$284001 +ENI SURANI P 3' U()(

127 20 84%$98$9 TRIMA+ ISTIATI P 49 U()(

128 21 $4$81%4$2 TUKIEM P 4' LA&

129 1/9/2014 1 $4480$3%8 SIRONO L $3 U()(

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168 20 $449324$9 &ONIA+ P $0 LA&

169 1/11/2014 1 $4%248'44 PONIA+ P 48 U()(

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179 11 $44''104$ ISTI SURA+ARTATI P 30 G"#"180 12 84418334 ANAS L %8 U()(

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184 1/13/2014 1 1019242%29 ARIANTI P 30 U()(

185 2 $4$'01241 RENA MAULANA RAMA!AN L 4 K I A

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228 8 $4$8'3%92 *AKINI P 42 U()(

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237 1' 8444'483 KUN!ARTO L %$ U()(

238 18 84'23'$9 -AKARIA L $0 G"#"

239 1/16/2014 1 $4$8882$9 SUPONO L %' U()(

240 2 10192%2$98 UMI NASIK+A+ P 3$ K&

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242 4 $4494331% *I*IK MU!IASI+ P 39 K&

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246 8 4'$490%8 ROSI!A+ P 8$ U()(

247 9 $4$1948'' MISRIA+ P 4% U()(

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249 11 $4%$43033 MU+ ARIP AN*AR L $ U()(

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290 11 $4$$1''9' ANGGA &U!I PRATAMA L ' U()(

291 12 $4%189%'1 SUTRISNO L %$ U()(

292 13 $4$084133 MO+ USIN L 1' U()(

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294 1$ 10192'88%% TUKIRA+ P '8 LA&

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298 4 $4$3'9208 PA*IT L 38 U()(

299 $ 101924944' MURNI P $$ U()(

300 % $4$'88203 SARJONO L 4$ U()(

301 ' $4%248$29 ARMAN L $3 U()(

302 8 $4$141193 RUSI!A+ P 3% K&

303 9 $4$49%'83 NGAISA+ P 32 K I A

304 10 $44$93442 PATINA+ P 34 K&

305 11 $44%8'119 IL+AM MAULANA L $ K I A

306 12 $4$%0%1$$ SOFIATUN K+ASANA+ P 4 K I A

307 13 $4482$$41 SITI ASNIA+ P 43 U()(

308 14 101924''83 SUPA!I L $% U()(

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347 9 $4%290%0$ NUR K+OLISA+ P 41 U()(

348 10 $4$2818$2 SITI MUNA*ARO+ P 4% U()(

349 11 $448921'4 A+MA! FAU-AN L 1' U()(

350 12 $4%20$83% !AIMA+ P 48 U()(

351 13 $44''1%31 NUR RI-K SETIA*AN L 8 U()(352 14 $442380$4 SITI PAINGA+ P 34 K&

353 1$ 108244311% +ERI SETIA*AN L 31 U()(

354 1% 4'%84%19 SUMARSI+ P %$ U()(

355 1' $4$14%44% RIKI A!RIAN L 4 K I A

356 1/22/2014 1 $4$1'894' GUNARTI P 41 U()(

357 2 $4$41004$ SRIATUN P $0 U()(

358 3 $4%2$0048 MARLIA+ P '4 U()(

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360 $ $4$'888%% -UKAIK+A+ P 34 U()(

361 % $44'41839 SARIF +I!AAT L 4 K I A

362 ' $44%%'332 !ENI PERMATA SARI P 10 U()(

363 8 $4$%$899% AMA! MANSUR L $$ U()(

364 9 $4491$'98 MUNTASIRO+ P $9 U()(

365 10 $44%28902 SOKIRAN L '3 U()(

366 11 $44922098 SATIA+ P 39 U()(

367 12 $4$1239$' PAIJA+ P 4' U()(

368 13 $4%33444% PAIJA+ P $8 U()(

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407 1/25/2014 1 101924%3'% *I!I ASTUTI P 1' U()(

408 2 $4$30$8$8 K+ANIFA+ P 3' K&

409 3 $44'40939 NUR ATIMA+ P 3$ U()(

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411 $ $4%31'032 NURATI P $0 U()(412 % 10192%2%09 NISA NURAI!A P 1% U()(

413 ' $448339%% MUTO+ARO+ P 24 K I A

414 8 84402''$ SUSI ARIANI P $1 U()(

415 9 84429898 SUMARSI+ P %4 U()(

416 11 $448192%3 MAR-UKI L 83 U()(

417 12 $4$$%%083 SUSILO*ATI P 23 K&

418 13 84422%%$ ROJIA+ P %9 U()(

419 14 201002409 *AGIEM P %8 G"#"

420 1/27/2014 1 $4$828%$' TURINGA+ P 4% U()(

421 2 $4$829$13 AULIA +I!AATI P 8 U()(

422 3 $448%%98$ MU+MAMA! UP SAPUTRA L 11 U()(

423 4 $4$3%342$ FAJAR AR!IANTO L 1$ U()(

424 $ $4$14%481 SUKAN!AR L $0 U()(

425 % 10192$024% SULASI+ P 34 G"#"

426 ' $44%'$0'2 NGAMILA+ P 33 K&

427 8 101918140' SU+ARTI P $% U()(

428 9 $4%0$9%8' !AR*IA+ P 33 K&

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467 11 $44'4'814 KURNIA A!I JA-ULI R P ' U()(

468 12 201002409 *AGIEM P %8 G"#"

469 13 84409%3' SU&O*O L 38 U()(

470 14 8440$003 &AM&ANG TRI AN!ONO L $0 U()(

471 1/29/2014 1 $4$%0$841 *ARSITO L $0 U()(472 2 $449'0%'% SITI RU&AEA+ P 3' U()(

473 3 $449'21'3 MU+AMMA! SAFI N L 9 U()(

474 4 $449'2893 ANISA USOLI+ATUL N P % U()(

475 $ $44821%3% MU+AMMA! AL A&ROR L 4 K I A

476 % $44821$24 SRI RENI RAMA!ANI P 29 U()(

477 ' $4$00%2%1 SUONO L $$ U()(

478 8 4'%8$11$ TUMIRIN L 83 U()(

479 9 $44889'33 A+MA! MIFTAUL RO+MAN L 3 K I A

480 10 $448881$' AMI KUSKIA *ANTARI P 43 K&

481 11 84422%%$ ROJIA+ P %9 U()(

482 12 8424$049 ALFIA+ P 44 U()(

483 13 84$01'8% SITI SAMSIA+ P '4 U()(

484 14 $4$'888%% -UKAIK+A+ P 34 U()(

485 1$ $44823%0$ SITI UMARIA+ P 43 K&

486 1% 84%%2998 SAFRU!IN L $9 U()(

487 1' $4$284001 +ENI SURANI P 3' U()(

488 18 $4$3292'1 SAMA*IA+ P $4 U()(

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LAPORAN PELAYANANRAWAT JALAN TINGKAT PERTAMA (RJTP)

UPT PUSKESMAS WINONG

BULAN : PEBRUARI TAHUN 2014

Kepada Y! :

Kepa"a BPJS

#$% Kepa"a &'a Kee!aa Ka*+ P,-./-e/d' Tepa

NO TANGGAL No Pcare No. KARTU NAMA PESERTA SEX USIA TUJ

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38 24 $4$2%9004 RIANTO L 40 U()(

39 2$ $443'%889 MISATI P 39 U()(

40 2% $4491$'98 MUNTASIRO+ P $9 U()(

41 28 $4$8124$' EN!A+ ATI P $9 U()(

42 29 $4$00%2%1 SUONO L $$ U()(43 30 $4$329989 SINTO P %2 G"#"

44 31 101924$421 MUSTO/IA+ P $8 U()(

45 32 $4$4%%92$ MU+TAR L $4 U()(

46 33 $4$48$814 SITI MAR*IA+ P 3% G"#"

47 34 $4$4$'148 K+ANIFAN L 19 G"#"

48 3% $443'''34 MUARIF L 14 U()(

49 3' 8440%149 +I!A AMALIA P 1% U()(

50 2/4/2014 1 $44898$29 RI-AFF !*I NO,A L 9 U()(

51 2 $4$'$23$9 A!I IMAN IRFANSA+ L 3 K I A

52 4 $4%33444% PAIJA+ P $8 U()(

53 $ $4$$1'34' NUR AFIFA+ P 2' K&

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56 8 $4%229'19 RO!IA+ IN!A AU P 4% U()(

57 9 $44''19$% SUJU! L 4$ U()(

58 10 $4$2'1388 NUR K+ALIMA+ P % U()(

59 11 $44818'4$ M NASRUL MUJA+I! L 4 K I A

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98 1' $448%4%'8 TURISA+ P 34 U()(

99 18 84%8%%13 SULIMA+ *INARATI P %3 U()(

100 19 $4%222$19 IL+AM +I!AATULLA+ L 12 U()(

101 20 $4$2'3$3' NAPSIK+A+ P 4% G"#"

102 2/7/2014 1 $4$0133%9 SU*AR!I L 4% U()(103 2 $4$48$814 SITI MAR*IA+ P 3% K I A

104 3 $44840299 TOFIKURRO+MAN L 4% U()(

105 4 $44842999 M FARK+AM ROMA!+ON L % U()(

106 $ $4%183483 &AINGA+ P %8 U()(

107 % $4$00%2%1 SUONO L $$ U()(

108 ' $44%090%' PAINA+ P %% U()(

109 8 $44984198 NUR AMELIA P 10 U()(

110 9 $4$48%83' SUGENG RIA!I L 8 U()(

111 10 10192%4231 SALIMA+ P $1 U()(

112 11 $4$480'39 PAIJA+ P $0 U()(

113 12 $4%32''18 MU+AMA! NUR &AIN L 9 U()(

114 13 $44'3019% TURIA+ P $3 U()(

115 14 $4%31$2'% MARATUR ROFIA+ P 9 U()(

116 1$ $4$2204$9 SURIJAN L 4' U()(

117 1% 844000%4 MARSINA+ P $3 U()(

118 1' 84429898 SUMARSI+ P %4 U()(

119 2/8/2014 1 $448%%98$ MU+MAMA! UP SAPUTRA L 11 U()(

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158 4 $44%19349 TUPARIA+ P 39 K&

159 $ $448%%%03 SURATI P 3$ K&

160 % $44841234 MUNFARI!A P 32 U()(

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171 18 20219189$ !ANI PRASETO L 18 U()(

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177 3 $444439'4 RO+MATUN NA-ILA+ P 24 K I A

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218 22 4'%82$84 A&U !AR!AK L '4 U()(

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342 20 $4$3292'1 SAMA*IA+ P $4 K I A

343 21 12'3390$14 SITI NURJANA+ P 34 U()(

344 22 $4441''2' NGANEM P '4 U()(

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359 3 $448$8'0$ FE&RI A&!ULLA+ L 2 K I A

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398 $ $4488'191 AMA! JAINI L 38 U()(

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410 18 $4%%3$981 SUPRIATI P 2% K I A

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465 9 $4$%022'4 ISTIA+ P 33 U()(

466 10 $44%28902 SOKIRAN L '3 U()(

467 11 $44843989 PAINGA+ P 38 K&

468 12 $4$190$13 NGALIMAN L '' U()(

469 13 $4$293%8% PARJIEM P 3$ U()(

470 14 $448$8'0$ FE&RI A&!ULLA+ L 2 K I A

471 1$ $4%232$'' ISRO*IA+ P 34 K I A

472 1% $4$%$4$9' TURIA+ P 31 U()(

473 1' $4$33%392 TUSLIMA+ P 29 U()(

474 18 $4$398''3 SITI MARSIAN P 33 U()(

475 19 $4$329348 TUKIRAN L $8 U()(

476 2/27/2014 1 $4$3388'' &ASIRUN L 4% U()(

477 2 $4%1811%$ TASMUN L $% U()(

478 3 $4%20$83% !AIMA+ P 48 U()(

479 4 84409%3' SU&O*O L 38 U()(

7/25/2019 1. Lap. JKN Jan. 14

19/383

7/25/2019 1. Lap. JKN Jan. 14

20/383

26 11 544920412 .NI PUI ASTUTI P 44 Umu

27 12 546209458 IL-I ROA# L 12 Umu

28 13 546360322 SITI !UDRIKA" P 20 K I A

29 14 544908824 SULASTRI P 33 Umu

30 15 545552188 PAINA" P 49 K#31 16 545077146 YA"YA D$I PRAS.TIYANTO L 3 K I A

32 17 546341793 LAS!I P 41 K#

33 18 545068269 SUTAR!I P 45 K#

34 19 546186993 TUKIRAN L 53 Umu

35 20 1019263511 AS!INA" P 48 Umu

36 21 546290605 NUR K"OLISA" P 41 Umu

37 22 544218118 YOGA ALA!SYA" L 5 Umu

38 23 1019245476 TU-UD"A L 28 Gigi

39 24 545486365 A!AT SOLI"IN L 14 Umu

40 25 545196936 SILIANA -AD"ILA P 5 K I A

41 26 546327718 !U"A!AD NUR #AYYIN L 9 Umu

42 27 544256921 !UDLIKA" P 32 K I A

43 28 544895998 SAR!INI P 35 K#

44 29 544821928 NUR "IDAYA" P 33 K#

45 30 162165205 SUDIRO L 73 Umu

46 31 77033968 !O."ADI L 72 Umu

47 32 544746892 T.O SUNARKO L 7 Umu

7/25/2019 1. Lap. JKN Jan. 14

21/383

ALAMAT KET.

Lo"# Lo"#

G"r"6o7o G"r"6o7o

S)ora#a S)ora#a

S)ora#a S)ora#a

G"r"()7o G"r"()7o

*"o# *"o#

S)ora#a S)ora#a

Ja":a#5a Ja":a#5a

S)ora#a S)ora#a

Lo"# Lo"#

T)r)5 T)r)5

7/25/2019 1. Lap. JKN Jan. 14

22/383

7/25/2019 1. Lap. JKN Jan. 14

23/383

7/25/2019 1. Lap. JKN Jan. 14

24/383

7/25/2019 1. Lap. JKN Jan. 14

25/383

7/25/2019 1. Lap. JKN Jan. 14

26/383

7/25/2019 1. Lap. JKN Jan. 14

27/383

7/25/2019 1. Lap. JKN Jan. 14

28/383

7/25/2019 1. Lap. JKN Jan. 14

29/383

7/25/2019 1. Lap. JKN Jan. 14

30/383

ALAMAT KET.

7/25/2019 1. Lap. JKN Jan. 14

31/383

7/25/2019 1. Lap. JKN Jan. 14

32/383

7/25/2019 1. Lap. JKN Jan. 14

33/383

7/25/2019 1. Lap. JKN Jan. 14

34/383

7/25/2019 1. Lap. JKN Jan. 14

35/383

7/25/2019 1. Lap. JKN Jan. 14

36/383

7/25/2019 1. Lap. JKN Jan. 14

37/383

7/25/2019 1. Lap. JKN Jan. 14

38/383

7/25/2019 1. Lap. JKN Jan. 14

39/383

7/25/2019 1. Lap. JKN Jan. 14

40/383

$i(*(g

Tu'i(*

$i(*(g

Tu'i(*

Gii**

$i(*(g L*

$i(*(g

Tuu'

Gii**

$i(*(g

Rug

$i(*(g

!),,(Su+*,g,(

K,,(g Duu

$i(*(g

$i(*(g

L*(i(g

L*(i(g

$i(*(g$i(*(g

$i(*(g

7/25/2019 1. Lap. JKN Jan. 14

41/383

7/25/2019 1. Lap. JKN Jan. 14

42/383

7/25/2019 1. Lap. JKN Jan. 14

43/383

7/25/2019 1. Lap. JKN Jan. 14

44/383

7/25/2019 1. Lap. JKN Jan. 14

45/383

7/25/2019 1. Lap. JKN Jan. 14

46/383

7/25/2019 1. Lap. JKN Jan. 14

47/383

7/25/2019 1. Lap. JKN Jan. 14

48/383

7/25/2019 1. Lap. JKN Jan. 14

49/383

7/25/2019 1. Lap. JKN Jan. 14

50/383

7/25/2019 1. Lap. JKN Jan. 14

51/383

7/25/2019 1. Lap. JKN Jan. 14

52/383

7/25/2019 1. Lap. JKN Jan. 14

53/383

7/25/2019 1. Lap. JKN Jan. 14

54/383

7/25/2019 1. Lap. JKN Jan. 14

55/383

7/25/2019 1. Lap. JKN Jan. 14

56/383

7/25/2019 1. Lap. JKN Jan. 14

57/383

7/25/2019 1. Lap. JKN Jan. 14

58/383

7/25/2019 1. Lap. JKN Jan. 14

59/383

7/25/2019 1. Lap. JKN Jan. 14

60/383

7/25/2019 1. Lap. JKN Jan. 14

61/383

No. Nama UPT Puskesmas Alamat Kecamatan Klasifkasi

1 UPT PUSK.S!AS $INONG D.SA $INONG K.!IRI Pu':; R,,);

7/25/2019 1. Lap. JKN Jan. 14

62/383

7/25/2019 1. Lap. JKN Jan. 14

63/383

7/25/2019 1. Lap. JKN Jan. 14

64/383

7/25/2019 1. Lap. JKN Jan. 14

65/383

7/25/2019 1. Lap. JKN Jan. 14

66/383

7/25/2019 1. Lap. JKN Jan. 14

67/383

7/25/2019 1. Lap. JKN Jan. 14

68/383

7/25/2019 1. Lap. JKN Jan. 14

69/383

7/25/2019 1. Lap. JKN Jan. 14

70/383

7/25/2019 1. Lap. JKN Jan. 14

71/383

7/25/2019 1. Lap. JKN Jan. 14

72/383

7/25/2019 1. Lap. JKN Jan. 14

73/383

JU

Dr Umum dr.Gigi idan T.Gi!

; "(i R,'+i,,( g; Su'i Ai,(i 1; umi,+i Am;K

2; R+(* Su:(g'i&< Am;:

3; U',+u( K&,',(,&< Am; K

7/25/2019 1. Lap. JKN Jan. 14

74/383

7/25/2019 1. Lap. JKN Jan. 14

75/383

7/25/2019 1. Lap. JKN Jan. 14

76/383

7/25/2019 1. Lap. JKN Jan. 14

77/383

7/25/2019 1. Lap. JKN Jan. 14

78/383

7/25/2019 1. Lap. JKN Jan. 14

79/383

7/25/2019 1. Lap. JKN Jan. 14

80/383

7/25/2019 1. Lap. JKN Jan. 14

81/383

7/25/2019 1. Lap. JKN Jan. 14

82/383

7/25/2019 1. Lap. JKN Jan. 14

83/383

7/25/2019 1. Lap. JKN Jan. 14

84/383

SDM

7/25/2019 1. Lap. JKN Jan. 14

85/383

SDM

A"oteker anitarianPromkes Pera#at

La$orat %isiotera"&iUmum Gigi

7/25/2019 1. Lap. JKN Jan. 14

86/383

7/25/2019 1. Lap. JKN Jan. 14

87/383

7/25/2019 1. Lap. JKN Jan. 14

88/383

7/25/2019 1. Lap. JKN Jan. 14

89/383

7/25/2019 1. Lap. JKN Jan. 14

90/383

7/25/2019 1. Lap. JKN Jan. 14

91/383

7/25/2019 1. Lap. JKN Jan. 14

92/383

7/25/2019 1. Lap. JKN Jan. 14

93/383

7/25/2019 1. Lap. JKN Jan. 14

94/383

7/25/2019 1. Lap. JKN Jan. 14

95/383

7/25/2019 1. Lap. JKN Jan. 14

96/383

7/25/2019 1. Lap. JKN Jan. 14

97/383

7/25/2019 1. Lap. JKN Jan. 14

98/383

7/25/2019 1. Lap. JKN Jan. 14

99/383

7/25/2019 1. Lap. JKN Jan. 14

100/383

7/25/2019 1. Lap. JKN Jan. 14

101/383

7/25/2019 1. Lap. JKN Jan. 14

102/383

7/25/2019 1. Lap. JKN Jan. 14

103/383

7/25/2019 1. Lap. JKN Jan. 14

104/383

7/25/2019 1. Lap. JKN Jan. 14

105/383

7/25/2019 1. Lap. JKN Jan. 14

106/383

7/25/2019 1. Lap. JKN Jan. 14

107/383

7/25/2019 1. Lap. JKN Jan. 14

108/383

LA

RAWAT JAL

UPT

7/25/2019 1. Lap. JKN Jan. 14

109/383

UPT

BULAN

Kepada Y! :

Kepa"a BPJS

#$% Kepa"a &'a Kee!aa Ka*+ P,-./-e/

d' Tepa

NO TANGGAL Je"5 Kar) &"a7a No Pcare No. KARTU

1 1/2/2014 :( 4500 1 1019244328

2 :( 4500 2 $4$33%842

3 :( 4500 3 $4481'93$

4 :( 4500 $ $44812322

5 :( 4500 % $4$%012'3

6 :( 4500 ' 101924%4$$

7 :( 4500 8 $4$19%93%

8 :( 4500 9 $449$90''

9 :( 4500 10 $4$19%8$'

0 : 00 11 $4$%291'3

38 :( 4500 1' $44'$81$3

39 :( 4500 18 1019244903

40 A':' 0 19 4'%8$12%

7/25/2019 1. Lap. JKN Jan. 14

110/383

41 :( 4500 20 $4$0''''%

42 1/4/2014 A':' 0 1 84%$0$34

43 :( 4500 2 $4$3$$'29

44 :( 4500 3 $4$843'''

45 :( 4500 4 $44930918

46 A':' 0 % 201002409

47 :( 4500 ' $4%232$''

48 :( 4500 8 $442$392'

49 :( 4500 9 $448339%%

50 :( 4500 10 $44'99'22

51 :( 4500 11 $44%18012

52 A':' 0 12 84241'21

53 A':' 0 13 84%8%%'9

54 :( 4500 14 $4$$$'12'

55 :( 4500 1% $44814818

56 :( 4500 20 1019244903

57 A':' 0 22 4'%84%19

58 :( 4500 23 $4$'4899%

86 :( 4500 29 $44911939

87 :( 4500 30 $4$''%402

88 :( 4500 31 $4$%$1098

7/25/2019 1. Lap. JKN Jan. 14

111/383

89 :( 4500 32 $4$24%$%1

90 :( 4500 33 $44'4$%%$

91 :( 4500 34 $4%49328$

92 :( 4500 3$ $4%20$83%

93 :( 4500 3% $4$183%'3

94 :( 4500 3' $4$182918

95 :( 4500 38 $4$%022'4

96 :( 4500 39 $4$$9%222

97 :( 4500 40 $4$22410$

98 :( 4500 41 $4$0$2194

99 1/7/2014 :( 4500 1 $4$%3848'

100 :( 4500 2 $442'10$1

101 :( 4500 3 $4$'4908%

102 :( 4500 4 $4$'483$$

103 :( 4500 $ $448921'4

104 :( 4500 % $4$3292'1

105 :( 4500 ' $4$$19801

106 :( 4500 8 $449%8$$1

134 :( 4500 % $4$08%31$

135 :( 4500 ' $4421%983

136 :( 4500 8 $4$'$8$'1

7/25/2019 1. Lap. JKN Jan. 14

112/383

137 :( 4500 9 $4$%1%033

138 :( 4500 10 $4$10081%

139 :( 4500 11 10192%149%

140 :( 4500 12 $4$3''11%

141 :( 4500 13 $4$2%91%2

142 :( 4500 14 $4$823'8%

143 :( 4500 1$ $4%290%0$

144 :( 4500 1% $4%33002$

145 :( 4500 1' $4$3%1412

146 A':' 0 18 4'%833'2

147 A':' 0 19 84'3390'

148 A':' 0 20 4'$488$$

149 1/10/2014 :( 4500 1 $4$1%8913

150 :( 4500 2 $4%431128

151 :( 4500 3 $4$00%2%1

152 :( 4500 4 $4$193$84

153 :( 4500 $ 10192'903$

154 :( 4500 % $44910%13

182 A':' 0 14 84449092

183 A':' 0 1$ 4'%84%19

184 1/13/2014 :( 4500 1 1019242%29

7/25/2019 1. Lap. JKN Jan. 14

113/383

185 :( 4500 2 $4$'01241

186 :( 4500 3 $4$'0031'

187 :( 4500 4 $4$8$214'

188 :( 4500 $ $4$09$'08

189 :( 4500 % $4$228$2%

190 :( 4500 ' $4$201043

191 :( 4500 8 $4491324$

192 :( 4500 9 $44914$84

193 :( 4500 10 $4$3$2'2%

194 :( 4500 11 $4$3$1$89

195 :( 4500 12 $44930918

196 :( 4500 13 $4$19289'

197 :( 4500 14 $4$0234%2

198 :( 4500 1$ $4$4%4%31

199 :( 4500 1% $4%1$1994

200 :( 4500 1' $44403891

201 :( 4500 18 $44%'%319

202 :( 4500 19 $44'49232

230 :( 4500 10 $442'1411

231 :( 4500 11 $4$339%%$

232 :( 4500 12 $4$338%$3

233 : 4500 13 $44922098

7/25/2019 1. Lap. JKN Jan. 14

114/383

233 :( 4500 13 $44922098

234 :( 4500 14 $44933'98

235 :( 4500 1$ $4$284001

236 A':' 0 1% ''0339%8

237 A':' 0 1' 8444'483

238 A':' 0 18 84'23'$9

239 1/16/2014 :( 4500 1 $4$8882$9

240 :( 4500 2 10192%2$98

241 :( 4500 3 $4$3$1$89

242 :( 4500 4 $4494331%

243 :( 4500 $ $4481%102

244 :( 4500 % $4481'21$

245 A':' 0 ' 4'%82$84

246 A':' 0 8 4'$490%8

247 :( 4500 9 $4$1948''

248 :( 4500 10 $44''$%81

249 :( 4500 11 $4%$43033

250 :( 4500 12 $4$04133'

278 A':' 0 1' 8424$049

279 :( 4500 18 $44'40939

280 1/18/2014 :( 4500 1 $4422303$

281 : 4500 2 $4488300$

7/25/2019 1. Lap. JKN Jan. 14

115/383

281 :( 4500 2 $4488300$

282 :( 4500 3 10192'903$

283 :( 4500 4 $44%$3044

284 :( 4500 $ $4$%%$82$

285 :( 4500 % $4$24%$%1

286 :( 4500 ' $4$%%$0'2

287 :( 4500 8 $44%2%'9'

288 :( 4500 9 10192'88%%

289 :( 4500 10 $44%21893

290 :( 4500 11 $4$$1''9'

291 :( 4500 12 $4%189%'1

292 :( 4500 13 $4$084133

293 :( 4500 14 84243183

294 :( 4500 1$ 10192'88%%

295 1/20/2014 :( 4500 1 $4%1'$%42

296 :( 4500 2 $4%12'09'

297 :( 4500 3 $44930918

298 :( 4500 4 $4$3'9208

326 :( 4500 32 $44288$$$

327 :( 4500 33 $443'''34

328 :( 4500 34 $443'%889

329 :( 4500 3$ $4$2818$2

7/25/2019 1. Lap. JKN Jan. 14

116/383

329 :( 4500 3$ $4$2818$2

330 :( 4500 3% $448231''

331 A':' 0 3' 84'31%4%

332 A':' 0 38 2083$8043

333 A':' 0 39 84'31%$'

334 A':' 0 40 4'%83001

335 A':' 0 41 4'%84002

336 A':' 0 42 8424'301

337 A':' 0 43 84'31'%9

338 A':' 0 44 84380$4$

339 A':' 0 4$ 84'34$$9

340 1/21/2014 :( 4500 1 $44898924

341 :( 4500 2 $44841234

342 :( 4500 3 12%0932'93

343 :( 4500 4 $4$0%0801

344 :( 4500 % $44292403

345 :( 4500 ' $4420'083

346 :( 4500 8 $44$1%3'8

374 :( 4500 $ $44930'1%

375 :( 4500 % $4%229'19

376 :( 4500 ' $4$38331$

377 :( 4500 8 $449%8$$1

7/25/2019 1. Lap. JKN Jan. 14

117/383

377 :( 4500 8 $449%8$$1

378 :( 4500 9 $4$2818$2

379 :( 4500 10 $4$930493

380 :( 4500 11 $4$4%12$$

381 :( 4500 12 $4$00%2%1

382 :( 4500 13 101924$'81

383 :( 4500 14 $4%189%'1

384 :( 4500 1$ $44239'0'

385 A':' 0 1% 84'1480$

386 A':' 0 1' 84'23$'9

387 :( 4500 18 8434'223

388 :( 4500 19 $444439'4

389 1/24/2014 :( 4500 1 $4$1%8913

390 :( 4500 2 $4$1029$4

391 :( 4500 4 $4$284001

392 :( 4500 $ $44930'1%

393 :( 4500 % $4%229'19

394 :( 4500 ' $4$38331$

422 :( 4500 3 $448%%98$

423 :( 4500 4 $4$3%342$

424 :( 4500 $ $4$14%481

425 :( 4500 % 10192$024%

7/25/2019 1. Lap. JKN Jan. 14

118/383

425 :( 4500 % 10192$024%

426 :( 4500 ' $44%'$0'2

427 :( 4500 8 101918140'

428 :( 4500 9 $4%0$9%8'

429 :( 4500 10 101924%$$%

430 :( 4500 11 $4$841404

431 :( 4500 12 $44%3$1'8

432 :( 4500 13 $44%34133

433 :( 4500 14 $4%183483

434 :( 4500 1$ $4492%$21

435 :( 4500 1% 12%$$'0'8$

436 :( 4500 1' $4481901$

437 :( 4500 18 101924843$

438 A':' 0 19 84$'134$

439 :( 4500 20 $4%11''04

440 :( 4500 21 $4%2094$8

441 :( 4500 22 19912902%

442 A':' 0 23 84449092

470 A':' 0 14 8440$003

471 1/29/2014 :( 4500 1 $4$%0$841

472 :( 4500 2 $449'0%'%

473 :( 4500 3 $449'21'3

7/25/2019 1. Lap. JKN Jan. 14

119/383

473 :( 4500 3 $449'21'3

474 :( 4500 4 $449'2893

475 :( 4500 $ $44821%3%

476 :( 4500 % $44821$24

477 :( 4500 ' $4$00%2%1

478 A':' 0 8 4'%8$11$

479 :( 4500 9 $44889'33

480 :( 4500 10 $448881$'

481 A':' 0 11 84422%%$

482 A':' 0 12 8424$049

483 A':' 0 13 84$01'8%

484 :( 4500 14 $4$'888%%

485 :( 4500 1$ $44823%0$

486 A':' 0 1% 84%%2998

487 :( 4500 1' $4$284001

488 :( 4500 18 $4$3292'1

489 A':' 0 19 84$1'4'9

490 :( 4500 20 $4%32''9'

Ku(< KN = 438

Ku(; + = 0

Ku(; TNI/P*) = 0

7/25/2019 1. Lap. JKN Jan. 14

120/383

LA

19 :( 4500 $ $4$11'%4%

20 :( 4500 % $44'49232

21 :( 4500 ' $442'%14%

22 :( 4500 8 $4$333%81

7/25/2019 1. Lap. JKN Jan. 14

121/383

22 :( 4500

23 :( 4500 9 $4$12$20%

24 :( 4500 10 $4$3$219'25 ,':' 0 11 84'824%3

26 :( 4500 12 $448$8'0$

27 :( 4500 13 $4%291189

28 :( 4500 14 $4$$01114

29 :( 4500 1$ $4$41004$

30 :( 4500 1% 10192%2802

31 :( 4500 1' $4%308$9432 :( 4500 18 $4$14220$

33 :( 4500 19 $4$141193

34 :( 4500 20 $44219931

35 :( 4500 21 $44'8032%

36 :( 4500 22 $44'0$108

37 :( 4500 23 $44'04%82

38 :( 4500 24 $4$2%9004

39 :( 4500 2$ $443'%889

67 ,':' 0 19 84422%%$

68 ,':' 0 20 88348%4$

69 2/5/2014 :( 4500 1 $44892%81

70 :( 4500 2 $4$48%83'

7/25/2019 1. Lap. JKN Jan. 14

122/383

70 :( 4500

71 :( 4500 3 $4$1904$%

72 :( 4500 4 $4%20918873 :( 4500 $ $44%''219

74 :( 4500 % $4$2'2%48

75 :( 4500 ' $44%$1%%1

76 :( 4500 8 $4%232$''

77 :( 4500 9 $4$48%3%$

78 ,':' 0 10 4'$490%8

79 :( 4500 11 $4$44434%80 :( 4500 12 $44912841

81 ,':' 0 13 84'4029'

82 :( 4500 14 $44892%81

83 2/6/2014 :( 4500 1 $44%201$9

84 :( 4500 2 $44'40939

85 :( 4500 3 $4481'21$

86 :( 4500 4 $4481%102

87 :( 4500 $ $44822'1%

115 :( 4500 14 $4%31$2'%

116 :( 4500 1$ $4$2204$9

117 ,':' 0 1% 844000%4

118 ,':' 0 1' 84429898

7/25/2019 1. Lap. JKN Jan. 14

123/383

119 2/8/2014 :( 4500 1 $448%%98$

120 :( 4500 2 $4$21%$'8121 :( 4500 3 $4$219$48

122 :( 4500 4 $4$2204$9

123 :( 4500 $ $4$$%42$9

124 :( 4500 % $44812322

125 ,':' 0 ' 84'33''3

126 :( 4500 8 12%1%492$9

127 :( 4500 9 $44942'$4128 :( 4500 10 $44%92238

129 :( 4500 11 $448921'4

130 ,':' 0 12 2083$8043

131 ,':' 0 13 842%8089

132 ,':' 0 14 84302212

133 ,':' 0 1$ 84429898

134 2/10/2014 :( 4500 2 $4%1$1994135 :( 4500 3 $4449'243

163 :( 4500 9 $4%33444%

164 :( 4500 10 $44$341%$

165 :( 4500 11 $4$482203

166 :( 4500 12 $4%232$''

7/25/2019 1. Lap. JKN Jan. 14

124/383

167 :( 4500 13 101924$421

168 :( 4500 14 12%99'90%4169 :( 4500 1% 4'$490%8

170 A':' 0 1' 84402''$

171 ,':' 0 18 20219189$

172 :( 4500 19 $44%2110$

173 :( 4500 20 $4%$04'%1

174 :( 4500 22 $442''981

175 2/12/2014 :( 4500 1 12%99'90%4176 :( 4500 2 10192$293$

177 :( 4500 3 $444439'4

178 :( 4500 4 $44841234

179 :( 4500 $ $449$4228

180 :( 4500 % $4%%31942

181 :( 4500 ' $448220%4

182 :( 4500 8 $44'1012%183 :( 4500 9 $4%209008

211 :( 4500 14 $4$00%2%1

212 :( 4500 1$ $4%183483

213 :( 4500 1' $4$$01114

214 :( 4500 18 $4$1$'448

7/25/2019 1. Lap. JKN Jan. 14

125/383

215 :( 4500 19 $4491$'98

216 :( 4500 20 $448%$139217 A':' 0 21 1'21$%$44

218 A':' 0 22 4'%82$84

219 A':' 0 23 84'4028%

220 A':' 0 24 84402944

221 2/14/2014 :( 4500 1 $4$%0$841

222 :( 4500 2 $4$3840'9

223 2/15/2014 :( 4500 1 12%3'0'188224 :( 4500 2 $4$2818$2

225 :( 4500 3 10192'9$$3

226 :( 4500 4 $4$2829%$

227 :( 4500 $ $4$%$899%

228 :( 4500 % $4%20'82'

229 :( 4500 ' $4$2204$9

230 :( 4500 8 $4$193%9%231 :( 4500 9 $4$%0$828

259 :( 4500 21 $4$3$22%$

260 :( 4500 22 $4$00%2%1

261 :( 4500 23 $44802%3$

262 :( 4500 24 $448018$8

7/25/2019 1. Lap. JKN Jan. 14

126/383

263 :( 4500 2$ $4$''34%$

264 :( 4500 2% $44219931265 :( 4500 2' 101924%38'

266 :( 4500 28 $4%3%%93%

267 :( 4500 30 $4%32$$%9

268 :( 4500 31 $442''981

269 :( 4500 32 1019248389

270 :( 4500 33 $44808248

271 :( 4500 34 $4$'1$%'4272 :( 4500 3$ $4%232$''

273 :( 4500 3% $4%183483

274 :( 4500 3' $4$''014%

275 :( 4500 38 101924%38'

276 :( 4500 39 $4%32940%

277 :( 4500 40 $44299'2%

278 :( 4500 41 1019289$$4279 :( 4500 42 101924%894

307 2/19/2014 :( 4500 1 $4$%$899%

308 :( 4500 2 $44892499

309 :( 4500 3 $4%313%89

310 :( 4500 4 $4$2%91%2

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311 :( 4500 $ 101924'%3%

312 :( 4500 % $4$2%902%313 :( 4500 ' %$2$'3181

314 :( 4500 8 %$2$'233%

315 :( 4500 9 $4$14220$

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317 :( 4500 11 $4481039'

318 :( 4500 12 101924%332

319 :( 4500 13 $4$229%$2320 :( 4500 14 $4$3$2$%8

321 ,':' 0 1% 19912902%

322 ,':' 0 1' 844'$012

323 :( 4500 18 $4$%30229

324 2/20/2014 :( 4500 1 $4$490191

325 :( 4500 2 $44'881%'

326 :( 4500 3 $448834%%327 :( 4500 4 $449324$9

355 ,':' 0 33 20%8228$%

356 ,':' 0 34 84302212

357 2/21/2014 :( 4500 1 $4$$83341

358 :( 4500 2 $44%8$00$

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359 :( 4500 3 $448$8'0$

360 ,':' 0 4 84'33841361 :( 4500 $ $4%334121

362 ,':' 0 % 842%8089

363 :( 4500 ' $4$339981

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365 ,':' 0 9 20%03'$2'

366 :( 4500 10 $4%$392%4

367 :( 4500 11 $4%$43033368 :( 4500 12 $4$243499

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370 :( 4500 14 $4$33%392

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403 :( 4500 10 12%'$'19'9

404 :( 4500 11 $449'32'$

405 :( 4500 12 $4$14499$

406 :( 4500 13 $4488%%1%

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407 :( 4500 14 $4$3292'1

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410 :( 4500 18 $4%%3$981

411 :( 4500 19 $44239292

412 :( 4500 20 $44240383

413 :( 4500 21 $4%$3%092

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420 :( 4500 28 $4$289'2%

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451 :( 4500 10 $4$198'4'

452 :( 4500 11 $4$2818$2

453 :( 4500 12 $4$243499

454 ,':' 0 13 844041%9

: 14 84300131

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455 ,':' 0 14 84300131

456 :( 4500 1$ $4$$%$'89457 2/26/2014 :( 4500 1 10192'9834

458 :( 4500 2 $4%143$'8

459 :( 4500 3 $4%204$32

460 :( 4500 4 $4%310484

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467 :( 4500 11 $44843989

468 :( 4500 12 $4$190$13

469 :( 4500 13 $4$293%8%

470 :( 4500 14 $448$8'0$471 :( 4500 1$ $4%232$''

499 ,':' 0 % 8429'%$$

500 ,':' 0 ' 84409%3'

501 ,':' 0 8 84%$0422

502 :( 4500 9 1019248%83

503 : 4500 10 $4$$12%91

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503 :( 4500 10 $4$$12%91

504 :( 4500 11 $44892141505 :( 4500 12 $4$8124$'

um),& '+),***

d' Tepa

NO TANGGAL Ko;e &"a7a No Pcare No. KARTU

1 3/1/2014 A : 1 84300219

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1 3/1/2014 A':' 1 84300219

2 :( 4500 2 5448220643 :( 4500 3 545269162

4 :( 4500 4 546254379

5 :( 4500 5 544420901

6 :( 4500 6 546316042

7 :( 4500 7 1019244486

8 :( 4500 8 544249012

9 :( 4500 9 54633444610 :( 4500 10 544937578

11 :( 4500 11 546183483

12 :( 4500 12 546334446

13 :( 4500 13 1272711598

14 :( 4500 14 545164547

15 :( 4500 15 545517347

16 3/3/2014 :( 4500 1 54497483817 :( 4500 2 544495768

45 A':' 0 30 162165205

46 A':' 0 31 77033968

47 :( 4500 32 544746892

48 :( 4500 33 546132699

49 :( 4500 34 544942754

7/25/2019 1. Lap. JKN Jan. 14

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49 :( 4500 34 544942754

50 :( 4500 35 54605980151 :( 4500 36 546059687

52 :( 4500 37 1019278416

53 :( 4500 38 1019278449

54 :( 4500 39 544707088

55 A':' 0 40 976534953

56 A':' 0 41 84404169

57 A':' 0 42 8465057858 :( 4500 43 544597108

59 :( 4500 44 545464348

60 :( 4500 45 544912841

61 3/4/2014 :( 4500 1 545352265

62 :( 4500 2 1019245421

63 :( 4500 3 546349432

64 :( 4500 4 54517894765 :( 4500 5 545388412

93 3/6/2014 :( 4500 1 545369635

94 :( 4500 2 47549068

95 :( 4500 3 545112213

96 :( 4500 4 545503285

97 :( 4500 5 545327144

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97 :( 4500 5 545327144

98 :( 4500 6 54467631999 A':' 0 7 84734313

100 :( 4500 8 545169701

101 :( 4500 9 544832684

102 A':' 0 10 1080768892

103 :( 4500 11 546334121

104 :( 4500 12 545104348

105 A':' 0 13 84733931106 A':' 0 14 84723772

107 :( 4500 15 1019243788

108 :( 4500 16 544302639

109 :( 4500 17 546229811

110 :( 4500 18 546229719

111 A':' 0 19 47682584

112 :( 4500 20 545453065113 :( 4500 21 546220495

141 :( 4500 4 $449980%9

142 :( 4500 $ $448192%3

143 :( 4500 % $44439441

144 :( 4500 ' $4%183483

145 :( 4500 8 $4$1$'292

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145 :( 4500 8 $4$1$'292

146 :( 4500 9 $4%%$8121147 :( 4500 10 $4$0'3232

148 :( 4500 11 $4$0'3%3%

149 :( 4500 12 $4$0'309%

150 :( 4500 13 10192440%9

151 :( 4500 14 $4$'1$%'4

152 A':' 0 1$ 198393243

153 A':' 0 1% 148'90248154 3/10/2014 A':' 0 1 84411281

155 :( 4500 2 $4$0140$%

156 :( 4500 3 $44834012

157 :( 4500 4 $4$40'413

158 :( 4500 $ $4%%3$981

159 A':' 0 % 84'31%92

160 :( 4500 ' $44%20431161 :( 4500 8 $44%'$83%

189 3/12/2014 :( 4500 1 544253927

190 A':' 0 2 47685126

191 A':' 0 3 47549068

192 :( 4500 4 544246874

193 A':' 0 5 84422654

7/25/2019 1. Lap. JKN Jan. 14

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193 A':' 0 5 84422654

194 :( 4500 6 544743551195 :( 4500 7 533033155

196 :( 4500 8 533032817

197 :( 4500 9 546539883

198 :( 4500 10 545006261

199 :( 4500 11 1019246556

200 :( 4500 12 545623839

201 :( 4500 13 546205836202 :( 4500 14 544805267

203 :( 4500 15 544717383

204 :( 4500 16 544718586

205 A':' 0 17 84296867

206 :( 4500 18 544922098

207 :( 4500 19 544277957

208 3/13/2014 :( 4500 12 546254379209 :( 4500 13 545979025

237 :( 4500 30 546574869

238 3/14/2014 :( 4500 1 1282530262

239 A':' 0 2 84662998

240 :( 4500 3 544994379

241 :( 4500 4 545748996

7/25/2019 1. Lap. JKN Jan. 14

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241 :( 4500 4 545748996

242 :( 4500 5 544930918243 :( 4500 6 544942754

244 A':' 0 7 84740297

245 A':' 0 8 84740286

246 :( 4500 9 1282649073

247 :( 4500 10 544596399

248 :( 4500 11 1019244216

249 :( 4500 12 544152431250 A':' 0 13 84422665

251 :( 4500 14 545034677

252 :( 4500 15 545034892

253 3/15/2014 :( 4500 9 544652638

254 :( 4500 10 545177799

255 :( 4500 11 544255874

256 A':' 0 12 84300208257 A':' 0 13 84300219

285 :( 4500 28 544676319

286 :( 4500 32 545178947

287 :( 4500 34 546183483

288 :( 4500 35 545696908

289 :( 4500 36 546209965

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289 :( 4500 36 546209965

290 :( 4500 37 545108714291 :( 4500 38 544772845

292 :( 4500 39 545281852

293 :( 4500 40 545082142

294 :( 4500 41 544891037

295 A':' 0 1 84659894

296 A':' 0 2 84737395

297 :( 4500 3 544610665298 :( 4500 4 545868101

299 :( 4500 5 545336842

300 :( 4500 6 1282649073

301 :( 4500 7 544679796

302 :( 4500 8 1019248378

303 :( 4500 12 544403891

304 :( 4500 14 546315276305 :( 4500 17 1019279553

333 A':' 0 23 84402944

334 :( 4500 24 545347629

335 :( 4500 1 1268002978

336 :( 4500 4 545580707

337 :( 4500 10 545193584

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337 :( 4500 10 545193584

338 3/19/2014 :( 4500 1 533032817339 A':' 0 2 84344411

340 :( 4500 3 544968551

341 :( 4500 4 546282112

342 :( 4500 5 544802141

343 :( 4500 6 545207567

344 :( 4500 7 544824584

345 :( 4500 8 545651537346 :( 4500 9 544866603

347 :( 4500 10 544930918

348 :( 4500 11 544611284

349 A':' 0 12 84245049

350 :( 4500 13 545318649

351 :( 4500 14 544532826

352 A':' 0 15 84735358353 :( 4500 16 545192019

381 :( 4500 27 544891037

382 :( 4500 28 1285102956

383 3/21/2014 :( 4500 2 544886842

384 :( 4500 4 546541683

385 A':' 0 6 84714805

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386 :( 4500 8 546349432387 :( 4500 9 545337538

388 :( 4500 10 545203203

389 :( 4500 11 544825462

390 :( 4500 13 1019277786

391 :( 4500 14 1019245421

392 :( 4500 15 545282965

393 A':' 0 16 84731692394 :( 4500 1 545605841

395 :( 4500 3 545187914

396 A':' 0 5 84733852

397 :( 4500 7 1019277775

398 :( 4500 12 545095348

399 3/22/2014 :( 4500 1 546137943

400 :( 4500 2 1019244622401 :( 4500 3 544973174

429 :( 4500 25 545246561

430 :( 4500 26 546094787

431 :( 4500 28 1019248389

432 :( 4500 29 1019243788

433 :( 4500 30 545257989

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434 :( 4500 31 630830441435 :( 4500 32 630829697

436 :( 4500 33 544855138

437 :( 4500 34 533032817

438 :( 4500 35 544298826

439 :( 4500 36 1019244058

440 :( 4500 37 544919771

441 :( 4500 38 544735798442 :( 4500 39 544937815

443 :( 4500 40 544871799

444 :( 4500 41 544891037

445 :( 4500 42 545802118

446 :( 4500 43 544818745

447 :( 4500 1 1282530262

448 :( 4500 2 545785255449 :( 4500 3 545807259

477 A':' 10 201002409

478 :( 11 545167708

479 :( 12 544619349

480 :( 14 545245705

481 :( 15 545245514

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482 :( 16 545284001483 A':' 17 174677703

484 A':' 18 174565811

485 :( 19 545246414

486 :( 20 545245907

487 :( 21 545284001

488 :( 22 546183483

489 A':' 23 976516176490 :( 24 544842584

491 :( 25 545504657

492 A':' 26 84409637

493 :( 27 545246469

494 :( 28 1019245667

495 A':' 29 174677703

496 :( 31 546346787497 A':' 32 84438573

525 :( 9 544895998

526 :( 11 545776942

527 A':' 12 84422665

528 :( 13 545829513

529 A':' 14 84517479

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530 A':' 15 47685093531 :( 16 545300469

532 :( 17 545300796

533 :( 21 1019248389

534 :( 24 545863623

535 :( 25 545863331

536 A':' 26 84733907

537 A':' 27 84402966538 A':' 28 84731692

539 :( 29 545021627

540 :( 30 545021223

541 :( 31 544746892

542 :( 32 544745665

543 :( 33 544270689

544 :( 34 544890633545 :( 35 544891037

573 :( 7 544622725

574 :( 8 545352568

575 :( 9 544810476

576 :( 10 544810476

577 A':' 11 84733907

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578 :( 5 546543033

ORAN PELAYANAN

N TINGKAT PERTAMA (RJTP)

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: JANUARI TAHUN 2014

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NAMA PESERTA SEX USIA TUJUAN ALAMAT

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+I!AATUL MUNASIRO+ P 1$ U()(

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!*I MULANTO L 12 U()(

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MU+ K+A&A!LAL MUKTAFA L 1% U()(

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% U )

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SRI RENI RAMA!ANI P 29 U()(

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NIP. 19631010 199202 2 001

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SARIMIN L $2 U()(

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*ARSONO L $8 U()(

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SUGENG RIA!I L 8 U()(

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M FIKRI L 13 U()(

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ANA MALIK+ATU--A+RO+ P 8 U()(

A,I SETIANINGRUM P 1% G"#"

*AR!IKUN L $0 U()(

ISRO*IA+ P 34 K I A

AMAT SOLI+IN L 14 U()(

ROSI!A+ P 8$ U()(

,A+RI A&!UL ATI/ L 4 K I A

M SO!A MAULANA L ' U()(

K. &U!I SU+ARNI P $% U()(

KASMI P $9 G"#"

LESTARI P 42 U()(

NUR ATIMA+ P 3$ K I A

SAKA SAURI &A!ARU!IN L 4 K I A

SUPIA+ P 39 U()(

RIAN JULIANTO L % U()(

MARATUR ROFIA+ P 9 U()(

SURIJAN L 4' U()(

MARSINA+ P $3 U()(

SUMARSI+ P %4 U()(

MU+MAMA! UP SAPUTRA L 11 U()(

TOFEK L 44 U()(

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+ERMAN SAFRU!IN L 12 U()(

SURIJAN L 4' U()(

SLAMET L %0 U()(

FANA P 31 U()(

SULAMI P $1 U()(

MAR*IA+ P $0 U()(

SATINA+ P $% U()(

JAENA+ P $4 U()(

A+MA! FAU-AN L 1' U()(

RATNA NING !A+ S P $$ U()(

+ARTATI P $$ U()(

SRI*ATI P 48 U()(

SUMARSI+ P %4 U()(

PARATUN P %' U()(

NUR FAI-IN L 4 K I A

PAIJA+ P $8 U()(

SRIPA+ SEMI P $8 U()(

NUR A-I-A+ P 14 U()(

ISRO*IA+ P 34 K&

MUSTO/IA+ P $8 U()(

+OIRI L 49 U()(

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ROSI!A+ P 8$ U()(

SUSI ARIANI P $1 U()(

!ANI PRASETO L 18 U()(

SAEPURNA L 3' U()(

*ASITA+ P $1 K&

NI!AUL K+USNIA P 1% G"#"

+OIRI L 49 U()(

A+AA !*I *IJAANTI P $ K I A

RO+MATUN NA-ILA+ P 24 K I A

MUNFARI!A P 32 K&

MUNSORIP L 3' U()(

RO+AA+ P 38 K&

RI-KI SAPUTRO L ' U()(

MA+SUN L 3$ U()(

MIFTA+UL +U!A L 21 U()(

SUONO L $$ U()(

&AINGA+ P %8 U()(

KUMPUL L '2 U()(

AMAT SOLI+IN L 39 U()(

MUNTASIRO+ P $9 U()(

A!ITA FAJRI !*I UTOMO L 4 K I A

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FE&RIANA PUTRI NUR ARIANI P 8 U()(

A&U !AR!AK L '4 U()(

+ERU SUPRAPTO L %2 U()(

SARIF IMAM SANTOSO L 3% U()(

*ARSITO L $0 U()(

MURA+ P 43 K&

oa a5a ara("a P 1 K I A


ASTRO L 84 U()(

MU+AMMA! KAUTSAR L 19 U()(

AMA! MANSUR L $$ U()(

!AMAR L $8 U()(

SURIJAN L 4' U()(

ALFINA FITROTUL MU*OT*ARO+ P 14 U()(

SISKA NO,ITASARI P % U()(

SLAMET /OS+IRI L 40 U()(

SUONO L $$ U()(

K+OIRUL AN*AR L % U()(

&AROA+ P 3% U()(

A+MA! MIFTA+U!IN L 8 U()(

PARTINA+ P 4% U()(

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TUMIRAN L %$ U()(

MUNTAMA+ P $$ K&

+ASAN FAU-I L 39 K I A

NI!AUL K+USNIA P 1% G"#"

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SURTINA+ P 49 U()(

MU+AMMA! NAUFAL L 3 K I A

ISRO*IA+ P 34 U()(

&AINGA+ P %8 U()(

*AGIRIN L 39 U()(

TUMIRAN L %$ LA&

-AINUL A&RORO L $ K I A

MAFU!IN L %% U()(

PUR*ANTO L $3 U()(

+ARATI P 39 U()(

AMA! MANSUR L $$ U()(

SAPRU!I L 41 U()(

SITI RO+IMA+ P 38 K&

JUMINI P 4' U()(

MAR*IA+ P 39 U()(

NGA!IMI L 4% U()(

SUPRI+ATININGSI+ P 3 K I A

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SUPRI+ATININGSI+ P 3 K I A

SUMINI P 32 K&

RAFI!A+ !*I ULIANA P 4 K I A

SU+ARANTO L 33 G"#"

MARGIONO L 38 G"#"

SUMILAJ P 48 U()(

ISTI/OMA+ P 41 K&

ULFA+ MUSARO+ P 24 U()(

SETIA*AN ARRIA!+ L $ K I A

PARONO L %3 U()(

SULASTRI P 3$ K&

ARI SU*ARGIANTO L 20 U()(

TU*U+ SUPRIATIN P 29 K&

SUPA*IT P %' U()(

&ONIA+ P $0 U()(

TUMINA+ P '9 U()(

SRI*ATI P 48 U()(

SURATI P $1 U()(

SUROTO L 4$ U()(


SUMARNI P $8 U()(

SENAP L %3 G" "

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SENAP L %3 G"#"

+ARTATI P $$ U()(

AL RI-K -A+ ROTUL +I!AA+ P 2 K I A

ALFITO RAMA!+AN L $ U()(

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PAE! L 44 U()(

MU+ ARIP AN*AR L $ U()(

TRIAS SAPUTRI P ' U()(

SRININGSI+ P 49 K&

TUSLIMA+ P 29 U()(

MU+AMA! &ISRI L %$ U()(

KI!AN L 83 U()(

ANA RA+MA*ATI P 4 K I A

AN*AR NUR+AM-A+ L ' U()(

RULI AN!RIAANSA+ L 1% U()(

RAK+A MAALI RO&I L 1 K I A

SINA+ P %% U()(

RUNTI P 3$ K&

ROUPIA+ P $% U()(

SAMA*IA+ P $4 U()(

MARGIONO L 38 G"#"

TUTI ASI+ P 43 U

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TUTI ASI+ P 43 U()(

SUPRIATI P 2% K I A

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KUMI MUSA&INA+ P 4 K I A

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SARIP L 49 U()(

SENAP L %3 U()(

SOTIMA+ P %4 U()(

NARMIATI P $2 U()(

MUNTASIRO+ P 30 U()(

TARMIATI P 2% K&

SITI UTARI P 4% K&

SRI*ATI P 31 U()(

RE,A SALSA &ILA P 4 K I A

ULI +ARTATI P 28 K I A

ALFIATUN P 39 K&


TRIAS SAPUTRI P ' U()(

+EN!I RASTIA*AN L 38 U()(

!IA+ ARISA UNIARSI+ P 3' U()(

SO&IRIN L 4% U()(

AMAT ROJIKIN L %4 U()(

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AMAT ROJIKIN L %4 U()(

NURAMA+ P 4$ U()(

NURK+ATI P 3% U()(

NASIM I&+AM L 14 U()(

SULISTIATUN P 4% U()(

*AKI!I L $0 U()(

ANAS L %8 U()(

PARIATI P 42 U()(

ISTIA+ P 33 U()(

SOKIRAN L '3 U()(

PAINGA+ P 38 K&

NGALIMAN L '' U()(

PARJIEM P 3$ U()(


ISRO*IA+ P 34 K I A

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SU&O*O L 38 U()(

&LEPOT L $2 U()(

A&!UL RO+MAN L 82 U()(

NUR K+ASANA+ P 21 U()(

MU++I&A+ P 4' U()(

EN!A+ ATI P $9 U()(

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EN!A+ ATI P $9 U()(

Purworejo, 5 Pebruari 2014

Kepala UPT Puskesmas Winong Kemiri

drg. Susi ri!ani

NIP. 19631010 199202 2 001

NAMA PESERTA SEX USIA TUJUAN ALAMAT

AGUNG RUDIYANTO L 40 Umum #,(u Ui

RIZKI SAPUTRO L 7 Gigi $i(*(g

U!INI P 47 Umum Giimu)*

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U!INI P 47 Umum Giimu)*

PONIYA" P 48 Umum Su+*,g,(

YULI "ARTATI P 28 Umum Ku(g)*

SUPIRA" P 43 Umum $i(*(g

!UNIRO" P 44 K# L*(i(g

SUKINI P 72 Umum L*(i(g

PAIA" P 58 Umum $i(*(g

ISRO$ATI P 24 Gigi $i(*(g

#AINGA" P 68 Umum Tuu'

PAIA" P 58 Gigi ,+i,(g',(

%&u'(u) %&*+im,& P 69 Umum !),,(

KIS!IYATI P 20 K# $i(*(g

NUR A-I-A" P 27 Umum $i(*(g

PARIY.! P 51 Umum Tu'i(*

RO"I!A" P 39 Umum Tu'i(*

SUDIRO L 73 Umum $i(*(g

!O."ADI L 72 Umum $i(*(g

T.O SUNARKO L 7 Umum $i(*(g

SU"ARTI P 40 Umum Su+*,g,(

SATINA" P 56 Umum Tuu'

U!!I KULSU! P 11 Gigi $i(*(g

DAR$IYA" P 33 K# Tuu'

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DAR$IYA" P 33 K# Tuu'

SITI NGAISA" P 39 Umum Tuu'

NA-IS "AIKAL L 6 Umum $i(*(g Kiu)

NURIL AN$AR L 13 Umum $i(*(g Kiu)

"USNA" A-I-A" P 17 Umum Su+*,g,(

".NDI RASTIA$AN L 38 Umum L*(i(g

YATI!A" P 51 Umum P,g*(

PARTI P 56 Umum P,g*(

K"OIRIYA" P 34 Umum Su+*,g,(

! SODA !AULANA L 7 Umum $i(*(g

SLA!.T OS"IRI L 40 Umum $i(*(g Kiu)

!USTOIYA" P 58 Umum $i(*(g

IR!A $A"YU -.#RIANINGSI" P 6 Umum $i(*(g

GUNARTI P 41 Umum ,+i,(g',(

PARINGA" P 48 Umum Tuu'

!U"A!AD ALI- L 4 Umum $*(*'u:*

ROSIDA" P 85 Umum $i(*(g

"ARIS S.TIA$AN L 12 Umum $*(*'u:*

SOLI"UN L 13 Umum Su+*,g,(

SUSANTI P 31 Umum Su+*,g,(

SU!INTRI P 51 Umum Pu'*

"ARINI P 51 Umum Si**

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"ARINI P 51 Umum Si**SITI NURO"I!A" P 43 K I A ,+i,(g',(

ISTINGANA" P 28 Umum Su+*,g,(

SRI NURYANTI P 39 Umum $i(*(g L*

S.NAP L 63 Umum $i(*(g

$II ASTUTI P 16 Umum $i(*(g Kiu)

SRI SOD.RIKA" P 56 Umum S(

-IKRIYANA ZAKARIA P 20 Umum $i(*(g

ANANG K"OLILUR L 5 Umum L*(i(g

-ATK"URO"!AN L 13 Umum $i(*(g

U!I INDAYANI P 21 Umum $i(*(g

RODIYA" INDA AYU P 46 Umum $i(*(g

A#U DARDAK L 74 Umum Su+*,g,(

ISTIYANA P 36 K I A Pu'*

SITI !ARK"A!A" P 54 Umum $i(*(g

MAKIA+ P 29 K& Ja":a#5a

MAR-UKI L 83 U()( *"o#

SU*ARTI P %9 U()( Ke;)#o

&AINGA+ P %8 U()( *"o#

TULUS JANURIS*ANTO L 21 U()( &r)ore6o

NIMATUL NGAINI -AIMA+ P 3 K I A T)r)5

+A*A SAKILA P 9 U()( *"o# Lor

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+A*A SAKILA P 9 U()( *"o# Lor

A!AM SARUL +A&I&I L ' U()( *"o# Lor

ARIF OGA PAMUNGKAS L % U()( *"o# Lor

+I!AAT L 18 U()( Lo"#

MU+AMMA! NAUFAL L 3 K I A Mara

EKO *I!IATI P 31 U()( Ke;)#o

&AGUS &IMOKO *INUNGGOJATI L 12 G"#" Ja":a#5a

US*ATUN K+ASANA+ P 4$ U()( *"o#

!AR*ATIK P 34 K& P)ca# A#)#

ROPIATUN P 49 U()( Lo"#

KASMINA+ P $0 U()( *"o# K";)

SUPRIATI P 2% K I A T)r)5

SUGINING RA+AU P $8 U()( S";ore6o

SO,IA *AR!ANI P 4 K I A Re

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ARI#A" ISTIOR P 3 K I A Lo"#

$.NI APRILO$ATI P 16 K I A Lo"#

SUTOPO L 56 Umum Sere

SUYONO L 55 Umum Ja":a#5a

ARODA" P 48 Umum *"o#

SARU!I L 44 Umum G"r"()7o

DAI!A" P 48 Umum *"o#

SITI A!INA" P 56 Umum S)ora#a

NUR K"ALI!A" P 34 Umum S)ora#a

SYA"RUL AKRO! L 6 Umum S)ora#a

!ULATIYA" P 55 Umum S)ora#a

SATIYA" P 39 Umum Ja":a#5a

IR"A!UDIN L 20 Umum Lo"#

PONIYA" P 48 K# S)ora#a

SITI AISA" P 51 K I A P)5=o

US$ATUN #ARIRO" P 28 K I A T)r)5

#ARODIN L 50 Umum !"e(

SA-RUDIN L 59 Umum *"o# K";)

!USTAKI! L 35 Umum T)r)5

TRIANA NUR A"YANI P 5 K I A Re

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SATINA" P 56 Umum #

K; #UDI SU"ARNI P 56 Umum Ja":a#5a

".RU SUPRAPTO L 62 Umum S)ora#a

!ISTIYA" P 44 Umum Ja":a#5a

SUKARTI! L 80 Umum Re

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RIRIN D$I ARIYANTI P 6 Umum #

SITI !UNA$ARO" P 46 Umum Ja":a#5a

!USTAKI! L 53 Umum Ja":a#5a

U!INUR"ADI L 8 Umum Lo"#

SULASIYA" P 54 Umum Ja":a#5a

SIYONO L 55 Umum *"o#

SUGIYANTO L 38 Umum Kara# !):)r

SARINDI L 74 Umum G"r"6o7o

K.SUT SU#ANDI L 47 Umum G"r"6o7o

!ISTIYA" P 44 Umum Re

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SANGADA" P 59 Umum #

SITI "OTI!A" P 31 K I A T)r)5

ZA"RITUSSYI-A P 4 Umum *"o#

IK!ALUDIN L 10 Umum S)ora#a

!ISKIYA" P 61 Umum S)ora#a

RO"!ADI L 80 Umum T)r)5

A#DUL "A-IZD AS SAI-I L 20 Umum Mara

SURYATI P 35 Umum Lo"#

A!AD ZAIDIN L 58 Umum Ja":a#5a

K"ATA!I ALI -A"RIYAN P 6 Umum Kara# !):)r

AL-IA" P 44 Umum *"o#

S.TYO UTO!O L 30 Gigi *"o# K";)

#ADRIYATUN P 30 Umum Kara# !):)r

SUPAR!I P 49 Umum *"o#

A#DURRO"!AN $A"ID L 7 Umum *"o# K";)

U!INUR"ADI L 8 Umum Lo"#

A!AT TOI-UR L 39 Umum *"o#

SUPINA" P 31 Umum *"o# K";)

UINA" P 34 Umum T)r)5

NASRUDIN L 57 Umum *"o#

IR!A $A"YU -.#RIANINGSI" P 6 Umum *"o#

TUKIRIN L 67 Umum Lo"#

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YUL-A -ITRI SAKINA" P 7 Umum G"r"()7o

KRIS !ARSANI P 48 Umum Lo"#

SUPRIYATI P 54 Umum *"o# K";)

!USTOIYA" P 58 Umum *"o#

!U"A!!AD KAUTSAR L 19 Umum Ja":a#5a

SUGINING RA"AYU P 58 Umum S)ora#a

$ARSITO L 50 Umum *oo5)o

!ARSIYA" P 81 Umum S)ora#a

AK"!AD L 54 Umum Kro7o

SUG.NG RA"ARO L 55 Umum *"o# K";)

KOTI!A" P 48 Umum *oo5)o

!UGI ARIS$ANTI P 30 K# K,,(g Duu

ZU#AIDA" P 41 K# L*(i(g

$ASIYA" P 58 U T

!ARSILA" P 73 Umum Su+*,g,(

SOKI#AN L 48 Umum Tuu'

AYU NOITA SARI P 20 Gigi ,+i,(g',(

ANANG K"OLILUR L 5 Umum L*(i(g

YAT!ININGSI" P 37 Umum Giimu)*

#IYA" AYUNINGSI" P 11 Umum Su+*,g,(

SARO" P 29 Umum Su+*,g,(

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gNGAISA" P 81 Umum L*(i(g

$.NI APRILO$ATI P 16 Gigi L*(i(g

OKTA-IA P 5 Umum L*(i(g

SITI "A!IDA" P 53 Umum L*(i(g

SUPRIYADI L 45 Umum $i(*(g

SITI UL-A" P 13 Umum Su+*,g,(

SRIYATI P 51 Umum Tuu'SITI RO"I!A" P 35 K# L*(i(g

U!INUR"ADI L 8 Umum L*(i(g

!UA$ANA" P 44 K# $i(*(g

! NASRUL !UA"ID L 4 K I A $i(*(g

#ARODIN L 50 Umum Di)m

SITI A!INA" P 26 Umum Gii**

SA!SUL !A>ARI- L 52 U Gi i

$AGIY.! P 68 Umum $i(*(g

!ULYANI P 46 K# ,+i,(g',(

TUPARIYA" P 39 Umum Pu'*

RISKI YULIANINGSI" P 8 Umum Giimu)*

PAIN.! P 52 Umum Giimu)*

".NI SURYANI P 37 K# Giimu)*

-AIRUZ !AULANA A L 7 Umum Giimu)*

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-AD"IL INSANI L 11 Umum Giimu)*

!UNTO NGALI!AN L 15 Umum Giimu)*

YULIYATI P 41 Umum Giimu)*

".NI SURYANI P 37 Umum Giimu)*

#AINGA" P 68 Umum $i(*(g

AR-A RAI"ANA A L 6 Umum Su+*,g,(

ZA"ROTUL -ITRIYA" P 13 Umum $i(*(gSLA!.T SU$ARNO L 40 Umum !),,(

SU#O$O L 38 Umum K,(g,(

A#DUL -ARIZAL L 6 Gigi Giimu)*

RO$IYA" P 47 Umum $i(*(g

-AIRUZ !AULANA A L 7 Gigi Giimu)*

RA"!A$ATUL !UNA P 6 Umum Giimu)*

SITI ARIYA" P 58 U $i Ki )

SAR!INI P 35 Gigi L*(i(g

ROND"IYA" P 40 Umum Gii**

ROIYA" P 69 Umum $i(*(g

AULIA "IDAYATI P 8 Umum L*(i(g

SUDARNO L 70 Umum $i(*(g

TULUS L 65 Umum $*(*'u:*

RO#IATUL NGADA$IYA" P 42 Umum $i(*(g L*

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!U" NUR$A"IDIN "IDA L 15 Umum $i(*(g L*

AYU NOITA SARI P 20 Gigi ,+i,(g',(

PONIYA" P 77 Umum P,g*(

A!IR R.O L 78 Umum P,g*(

SARYONO L 60 Gigi S(

-ARDAN -AZA -AUZAN L 9 Umum $i(*(g

SUGINING RA"AYU P 58 Umum Si**ULI "ASANA" P 16 Umum ,+i,(g',(

.NDA" RIYA" P 55 Umum ,+i,(g',(

T.O SUNARKO L 7 Umum Su+*,g,(

SITI !U"ANA" P 47 Umum Rug

ANDRI $IAYANTO L 21 Gigi L*(i(g

SAR$IYA" P 38 Umum L*(i(g

U!INUR"ADI L 8 U L i

!UK!INA" P 37 Umum $i(*(g

UL-A" !USARO" P 24 K# Giimu)*

PRIYANTI P 27 Umum L*(i(g

PRIYANTI P 27 K I A L*(i(g

SARYONO L 60 Gigi S(

!U" ARIP AN$AR L 5 Umum Tuu'

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#u),( ,(u,i 2014

"o T"##$ "o. K%TU "& P'S'%T

1 1>2>2014 844029%% FAR!AN FA-A FAU-AN

2 1>2>2014 8444'$0$ SITI MUSAROFATUN

3 1>2>2014 $44%9%'1% SISNIANTI

4 1>2>2014 $44812322 FANA

$ 1>2>2014 $4481'93$ SATI&I

% 1>2>2014 $44841234 MUNFARI!A

' 1>2>2014 $44849481 EKO NUR K+OLISO+

8 1>2>2014 $4491''23 NURMIATI

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9 1>2>2014 $449$90'' RU&IATI

10 1>2>2014 $4$081218 RUKIA+

11 1>2>2014 $4$1%''08 MULANI

12 1>2>2014 $4$19%8$' *ARANTI

13 1>2>2014 $4$19%93% SIL,IANA FA!+ILA

14 1>2>2014 $4$33%842 KESUT SU&AN!I

1$ 1>2>2014 $4$3$$'29 +I!AATUL MUNASIRO+

1% 1>2>2014 $4$481'9' MAR*IA+

1' 1>2>2014 $4$%012'3 SA*IANTO

1 1>4>2014 4'%84%19 SUMARSI+

2 1>4>2014 84241'21 NURUL A-IMA+

3 1>4>2014 84%$0$34 SUMIA+

4 1>4>2014 84%8%%'9 UMI SALAMA+

$ 1>4>2014 201002409 *AGIEM

% 1>4>2014 $442$392' LUFTI ARKAN MUSTAKIM

' 1>4>2014 $44%18012 +UMAIRA LAILI FAU-IA+

8 1>4>2014 $44'99'22 MUJI&A+

9 1>4>2014 $44814818 TAAT NUR ITA

10 1>4>2014 $448339%% MUTO+ARO+

11 1>4>2014 $44930918 AMA! -AI!IN

12 1>4>2014 $4$3$$'29 +I!AATUL MUNASIRO+

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13 1>4>2014 $4$$$'12' UNONG

14 1>4>2014 $4$'4899% TRIANA NUR A+ANI

1$ 1>4>2014 $4$843''' SOLIK+IN

1% 1>4>2014 $4%232$'' ISRO*IA+

1' 1>4>2014 1019244903 SU!IRMAN

1 1>%>2014 $4424%121 ULIANTI

2 1>%>2014 $442'0%89 AN!RI *IJAANTO

3 1>%>2014 $443'''34 MUARIF

4 1>%>2014 $44%0%391 SUPARIA+

29 1>%>2014 $4%31%2'' SENO FE&RIANTO

30 1>%>2014 $4%334121 SENAP

31 1>%>2014 $4%49328$ !*I MULANTO

32 1>%>2014 $4%49328$ !*I MULANTO

33 1>%>2014 %$2$'233% SUMINI

34 1>%>2014 %$2$'3181 SUPRI+ATININGSI+

3$ 1>%>2014 1019244148 +ESTI SETANINGSI+

3% 1>%>2014 101924843$ SITINA+

3' 1>%>2014 10192%2$98 UMI NASIK+A+

38 1>%>2014 10192''''$ SUGENG RA+ARJO

39 1>%>2014 12%0932'93 SIA+

1 1>'>2014 1%21%$20$ SU!IRO

2 1>'>2014 $442'10$1 AJI *A!I/!O

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2 1>'>2014 $442'10$1 AJI *A!I/!O

3 1>'>2014 $448921'4 A+MA! FAU-AN

4 1>'>2014 $449%8$$1 SITI +OTIMA+

$ 1>'>2014 $4$3292'1 SAMA*IA+

% 1>'>2014 $4$$19801 A!ISTIANA RESTU SAGITA

' 1>'>2014 $4$%3848' UMI K+AATI

8 1>'>2014 $4$%3848' UMI K+AATI

9 1>'>2014 $4$'483$$ SALNO

10 1>'>2014 $4$'4908% ALFIN KURNIA*AN

11 1>'>2014 9'%213$0% II SRIANI

4 1>9>2014 $4421%983 NAPINGA+

$ 1>9>2014 $44%2110$ SAEPURNA

% 1>9>2014 $4480$3%8 SIRONO

' 1>9>2014 $4$0320'8 AMINA+

8 1>9>2014 $4$08%31$ *ARSINEM

9 1>9>2014 $4$10081% SUSIONO

10 1>9>2014 $4$2%91%2 JUMINI

11 1>9>2014 $4$3%1412 ISNAINI

12 1>9>2014 $4$3''11% SUNARSI+

13 1>9>2014 $4$%1%033 *ALIA+

14 1>9>2014 $4$'$8$'1 MASFUATUN

1$ 1>9>2014 $4$823'8% SITI AMINATUN

1% 1>9>2014 $4%290%0$ NUR K+OLISA+

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1% 1>9>2014 $4%290%0$ NUR K+OLISA+

1' 1>9>2014 $4%33002$ RO+IMA+

18 1>9>2014 $4%33444% PAIJA+

19 1>9>2014 10192%149% *AGIEM

20 1>9>2014 10192891%1 !IS PRA&A SAPUTRA

1 1>10>2014 $44'1%134 -A+RA ELMA SA!IA+

2 1>10>2014 $44910%13 M +AIKAL SAPRU!IN

3 1>10>2014 $44911%4' SAMSU!IN

4 1>10>2014 $449324$9 &ONIA+

$ 1>10>2014 $449324$9 &ONIA+

9 1>11>2014 $4$201818 RIONO

10 1>11>2014 $4$32'%2' SUTINI

11 1>11>2014 $4$3$22%$ SLAMET /OS+IRI

12 1>11>2014 $4$%$088$ !ALIA+

13 1>11>2014 $4$'$09$4 AMA! SUGIONO

14 1>11>2014 $4%248'44 PONIA+

1$ 1>11>2014 101924$421 MUSTO/IA+

1 1>13>2014 84422%%$ ROJIA+

2 1>13>2014 84%$0$'8 ATIMA+

3 1>13>2014 84'23'$9 -AKARIA

4 1>13>2014 84'34313 +ARINI

$ 1>13>2014 $44403891 ARIF !*I A+O

% 1>13>2014 $44422$21 SUATMI

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% 1>13>2014 $44422$21 SUATMI

' 1>13>2014 $44%'%319 SUMINTRI

8 1>13>2014 $44'1'383 NUR K+ALIMA+

9 1>13>2014 $44'18$8% SA+RUL AKROM

10 1>13>2014 $44'49232 ATINI

11 1>13>2014 $44''284$ RIRIN !*I ARIANTI

12 1>13>2014 $44802141 IKMALU!IN

13 1>13>2014 $4484899% K+OTIMATUL K+ASANA+

14 1>13>2014 $4488%842 SUPINA+

1$ 1>13>2014 $4491324$ RE*OT

2 1>1$>2014 8444'483 KUN!ARTO

3 1>1$>2014 84'23'$9 -AKARIA

4 1>1$>2014 $442'1411 SIGIT NGA!URO+MA+

$ 1>1$>2014 $44%2398$ *A+UNINGSI+

% 1>1$>2014 $44'28104 SITI MUSMINA+

' 1>1$>2014 $448$'91' NUR K+OLISO+

8 1>1$>2014 $448$8'0$ FE&RI A&!ULLA+

9 1>1$>2014 $44922098 SATIA+

10 1>1$>2014 $4492999% KUSRINI

11 1>1$>2014 $44933'98 SU*ARNI

12 1>1$>2014 $4$109'1$ LINEA SAFITRI

13 1>1$>2014 $4$284001 +ENI SURANI

14 1>1$>2014 $4$319%$2 SANIA+

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14 1>1$>2014 $4$319%$2 SANIA+

1$ 1>1$>2014 $4$338%$3 SUI KARATI

1% 1>1$>2014 $4$339%%$ ALFITO RAMA!+AN

1' 1>1$>2014 $4$490191 ARI SU*ARGIANTO

18 1>1$>2014 $4$8'3%92 *AKINI

1 1>1%>2014 4'$490%8 ROSI!A+

2 1>1%>2014 4'%82$84 A&U !AR!AK

3 1>1%>2014 84302212 SRI*ATI

4 1>1%>2014 844038%% UNI +ARTUTI

$ 1>1%>2014 84'33%83 MU+AMA! SEMINAR

$ 1>1'>2014 $443%%844 FATA+ +I!AAT

% 1>1'>2014 $44'40939 NUR ATIMA+

' 1>1'>2014 $44942'$4 SATINA+

8 1>1'>2014 $449$'042 -A+ROTUL K+ASNA

9 1>1'>2014 $4$00%2%1 SUONO

10 1>1'>2014 $4$1%9014 PARINO

11 1>1'>2014 $4$201$94 TURINA+

12 1>1'>2014 $4$2%$898 KARMINI

13 1>1'>2014 $4$29%$%% SU*ATSI+

14 1>1'>2014 $4$31'3%' !ALIA+

1$ 1>1'>2014 $4$4%42$8 +ERU SUNGKO*O

1% 1>1'>2014 $4$%$088$ !ALIA+

1' 1>1'>2014 10192%2$98 UMI NASIK+A+

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1' 1>1'>2014 10192%2$98 UMI NASIK+A+

1 1>18>2014 84243183 M RUS!AN KARIM

2 1>18>2014 $4422303$ SUPRIATI

3 1>18>2014 $44%21893 ASEP A*ALU!IN

4 1>18>2014 $44%2%'9' SAMI

$ 1>18>2014 $44%$3044 MU+ K+

1. Lap. JKN Jan. 14

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