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No Rekam Medik Nama Laki-Laki

1 65.36.27 Ayu Andira -

2 66.65.63 Pentas T 5THN

3 65.19.66 te!en "i#no $THN

$ 59.$9.%7 Ario Ara $THN

5 6$.79.11 Nuru& Annisa -

6 65.$$.23 'aini Man((atun 9THN7 66.6).51 Nadya *itra -

% 6).7$.1$ Putri -

9 66.63.6) +a(,ri a&e, 3THN

1) 66.77.1$ Aransya, 17THN

11 66.75.$) 'eremia Mi&a&a 6THN

12 66.$1.26 +a(ar Ardiansya, 1$THN

13 63.92.%5 Mar/ues 0ridan 7THN

1$ 63.$2.57 i&&iam L oes 9THN

15 66.61.%$ Mu&an Permata ari -

16 63.%7.2$ Hi&man $THN17 6$.26.99 Nuru& +itra, 6THN

1% 66.$$.%1 "i&adinata 5THN

19 66.$6.2% an# Lain -

2) 65.9%.97 *arisa Na(a -

21 2$.$7.53 4enni ardini -

22 53.31.2% A&ika A(u,ra -

23 $).9%.31 M,d Ridan 9THN

2$ 6$.12.$$ Andika Ro,n 2THN

25 66.77.15 A,mad Rian 15THN

26 66.6).19 Nita "a,&iana -

27 65.73.3% Mu,ammad A(am 5THN

2% 63.17.67 Ri(an L 16THN

29 66.53.52 Mu,ammad Ramad,an 3THN

3) 66.76.%5 4asir 1$THN

31 66.13.17 Ardiansya, 6THN

32 53.$6.33 Ra,mat -

33 5%.13.%9 Marisya, -

3$ 66.7$.12 A&eander 2THN

35 66.77.75 Hania, 5THN

36 66.22.6$ anos -

37 66.77.5% uensa -

3% 66.77.$) 4u&ian -

39 1%.3%.51 0nda, 8urniati -

$) 65.19.$1 Reurn Harmayo 6THN

$1 $7.19.$7 Tiom Natasir -

$2 67.3).35 Mau&ana Ha( 3THN

$3 66.77.65 :uas, io!anni 6THN

$$ 66.59.$$ Ayumi -

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$5 63.36.1$ oa -

$6 6$.9$.%7 Re(a Ardinanta 2THN

$7 62.5).1$ Nadina Putri -

$% 57.22.%2 *io 0tinta -

$9 $1.52.23 ;

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Perem

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2THN L;

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5THN H0@

7THN H0@

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7THN P"A

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12THN *H+

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No Rekam medik Nama Laki-&aki

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