by_carakeluar_02-01-2016 (1)

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<h5><p style="color:#fff"> </p></h5><h5><p class="text-center">REGISTER PENDAFTARAN PASIEN

RAWAT JALAN NOVEMBER 2015</p></h5><h5><p class="text-center">RS DADI KELUARGA, JL SULTAN A

GUNG, NO. 8A, TELUK <BR> PURWOKERTO SELATAN, PURWOKERTO</p></h5><h5><p class="text-center">BANYUMAS JAWA TANGAH</p></h5>

<br /><table width="100%" style="font-size:13px" class="printtablenya"

><thead style="display:table-header-group;">

<tr style="page-break-after:auto;"><th width="1%">No</th><th>RM</th><th>Nama</th><th>Alamat</th><th>Agama</th><th>Umur</th><th>Kelamin</th><th>Poli</th><th>Diagnosa</th><th>Dokter</th><th>Debitur</th>

</tr></thead>

<tr id="tr1"><td>1</td><td>00153642</td><td>Sarinem, Ny</td><td>Desa Blengor Kulon, Kecamatan Ambal,

Kebumen</td><td>Islam</td><td>67 TH 1 BL 18 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>Umum</td>

</tr><tr id="tr2">

<td>2</td><td>00151147</td><td>Enja, Tn</td><td>Desa Medanglayang, Kecamatan Panumba

ngan, Kabupaten Ciamis</td><td>Islam</td><td>57 TH 7 BL 15 HR</td><td>Laki Laki</td>

<td>Poliklinik Bedah Onkology</td><td>Malignant neoplasm of nasopharynx, u

nspecified</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>

</tr><tr id="tr3">

<td>3</td><td>00141235</td><td>Suparni, Ny</td><td>Desa Kalapacung, Kecamatan Bobotsari

, Purbalingga</td><td>Islam</td><td>44 TH 7 BL 8 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Malignant neoplasm of breast, unspec

ified</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>

</tr><tr id="tr4">

<td>4</td><td>00143124</td><td>Darmuti, Ny</td><td>Desa Cibalung, Cimanggu, Cilacap</td

><td>Islam</td><td>44 TH 10 BL 23 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Malignant neoplasm of breast, unspec


</tr><tr id="tr5">

<td>5</td><td>00153680</td><td>Achmad Aceng Jaelani, Tn</td><td>Desa Patikraja, Kecamatan Patikraja,

Banyumas</td><td>Islam</td><td>72 TH 1 BL 19 HR</td><td>Laki Laki</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>

</tr><tr id="tr6">

<td>6</td><td>00153758</td><td>Juri,Tn</td><td>Kel.Cilacap, Cilacap Selatan, Cilaca

p</td><td>Islam</td><td>57 TH 7 HR</td><td>Laki Laki</td><td>Poliklinik Bedah Onkology</td>

<td>Benign neoplasm of lower jaw bone</td>

<td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>

</tr><tr id="tr7">

<td>7</td><td>00141270</td><td>Carwin Al Mujasir, Tn</td><td>Desa Cijati, Cimanggu, Cilacap</td><td>Islam</td><td>52 TH 7 BL 21 HR</td><td>Laki Laki</td><td>Poliklinik Bedah Onkology</td><td>Benign neoplasm of lower jaw bone</t

d><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>

</tr><tr id="tr8">

<td>8</td><td>00152111</td><td>Icih,Ny</td><td>Desa Mekarmukti, Kecamatan Cisaga, K

abupaten Ciamis</td><td>Islam</td><td>61 TH 7 BL 18 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>

</tr><tr id="tr9">

<td>9</td><td>00151011</td><td>Saniyem, Ny</td><td>Desa Rejodadi, Cimanggu, Cilacap</td

><td>Islam</td><td>56 TH 6 BL 23 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>

</tr><tr id="tr10">

<td>10</td><td>00142983</td><td>Kasiyem, Ny</td><td>Desa Argopeni, Kecamatan Ayah, Kebum

en</td><td>Islam</td><td>58 TH 7 BL 3 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Malignant neoplasm of breast, unspec

ified</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td>

<td>BPJS</td></tr>

<tr id="tr11"><td>11</td><td>00153736</td><td>Kastini, Ny</td><td>Desa Parakan, Kecamatan Purwanegara,

Banjarnegara</td><td>Islam</td><td>69 TH 7 BL 15 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>

</tr><tr id="tr12">

<td>12</td><td>00153734</td><td>Suhara, Tn</td><td>Desa Purwadadi, Kecamatan Purwadadi,

Kabupaten Subang</td><td>Islam</td><td>60 TH 4 BL 3 HR</td><td>Laki Laki</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>Umum</td>

</tr><tr id="tr13">

<td>13</td><td>00151536</td><td>Kasiran, Tn</td><td>Desa Bojong, Kawunganten, Cilacap</t

d><td>Islam</td><td>44 TH 3 BL 1 HR</td><td>Laki Laki</td><td>Poliklinik Bedah Onkology</td><td>Malignant neoplasm of sigmoid colon<

/td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>

</tr><tr id="tr14">

<td>14</td><td>00141229</td><td>Sri Eko Prasetyaningsih, Ny</td><td>Kelurahan Teluk, Kecamatan Purwokert

o Selatan, Purwokerto</td><td>Islam</td><td>49 TH 3 BL</td><td>Perempuan</td><td>Poliklinik Syaraf</td><td>Arteritis, unspecified</td><td>dr. Tutik Ermawati, Sp.S</td><td>BPJS</td>

</tr><tr id="tr15">

<td>15</td><td>00141705</td><td>Musriyah, Ny</td><td>Desa Karanggedang, Kecamatan Bukatej

a, Purbalingga</td><td>Islam</td><td>47 TH 7 BL 6 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Malignant neoplasm of breast, unspec


</tr><tr id="tr16">

<td>16</td><td>00152731</td><td>Sutarni, Ny</td><td>Desa Sumbang, Kecamatan Sumbang, Ban

yumas</td><td>Islam</td><td>67 TH 11 BL 7 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Hepatomegaly, not elsewhere classifi

ed</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>

</tr><tr id="tr17">

<td>17</td><td>00141454</td><td>Watonah, Ny</td><td>Desa Mandala, Cimanggu, Cilacap</td><td>Islam</td><td>29 TH 6 BL 3 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Malignant neoplasm of breast, unspec


</tr><tr id="tr18">

<td>18</td><td>00153774</td><td>Sukanto,Tn</td><td>Desa Karangpetir, Kecamatan Tambak,

Banyumas</td><td>Islam</td><td>65 TH 13 HR</td><td>Laki Laki</td><td>Poliklinik Bedah Onkology</td><td>Malignant neoplasm of other connecti

ve and soft tissue</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>

</tr><tr id="tr19">

<td>19</td>

<td>00152157</td><td>Toyinah, Ny</td><td>Desa Jeruklegi Kulon, Kecamatan Jeru

klegi, Cilacap</td><td>Islam</td><td>50 TH 11 BL 22 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Malignant neoplasm of breast, unspec


</tr><tr id="tr20">

<td>20</td><td>00143126</td><td>Sulistyowati, Ny</td><td>Desa Sokaraja Kidul, Kecamatan Sokar

aja, Banyumas</td><td>Islam</td><td>51 TH 6 BL 14 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>

</tr><tr id="tr21">

<td>21</td><td>00151458</td><td>Narsiyah, Ny</td><td>Desa Sunyalangu, Kecamatan Karanglew

as, Banyumas</td><td>Islam</td><td>48 TH 9 BL 9 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>

</tr><tr id="tr22">

<td>22</td><td>00152954</td><td>Supriyatin, Ny</td><td>Desa Karangrau, Kecamatan Sokaraja,

Banyumas</td><td>Islam</td><td>47 TH 5 BL 13 HR</td><td>Perempuan</td><td>Poliklinik Syaraf</td><td>Migraine, unspecified</td><td>dr. Tutik Ermawati, Sp.S</td><td>BPJS</td>

</tr><tr id="tr23">

<td>23</td><td>00153731</td><td>Tunarji, Tn</td><td>Desa Banjarsari Kulon, Kecamatan Sum

bang, Banyumas</td><td>Islam</td><td>72 TH 1 BL 19 HR</td><td>Laki Laki</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>

</tr><tr id="tr24">

<td>24</td><td>00152044</td><td>Tusirah, Ny</td><td>Desa Bakulan, Kecamatan Kemangkon, P

urbalingga</td><td>Islam</td><td>44 TH 8 BL 25 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>

</tr><tr id="tr25">

<td>25</td><td>00140385</td><td>Muhtiyah, Ny</td><td>Desa Sinduagung, Kecamatan Selomerto

, Wonosobo</td><td>Islam</td><td>60 TH 4 BL</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Malignant neoplasm of breast, unspec


</tr><tr id="tr26">

<td>26</td><td>00152471</td><td>Satiyawati, Ny</td><td>Desa Selabaya, Kecamatan Kalimanah,

Purbalingga</td><td>Islam</td><td>46 TH 9 BL 13 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>

</tr><tr id="tr27">

<td>27</td><td>00143103</td><td>Sutiyah, Ny</td><td>Bukit Makmur, Sungai Bahar, Muaro Ja

mbi</td><td>Islam</td><td>72 TH 7 BL 11 HR</td>

<td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Neoplasm of uncertain or unknown beh

avior of breast</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>

</tr><tr id="tr28">

<td>28</td><td>00153487</td><td>Jamini, Ny</td><td>Desa Krangean, Kecamatan Karanganyar

, Purbalingga</td><td>Islam</td><td>32 TH 8 BL 17 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Malignant neoplasm of sigmoid colon<


</tr><tr id="tr29">

<td>29</td><td>00152587</td><td>Sugiyanto,Tn</td><td>Desa Pejagatan, Kecamatan Kutowinang

un, Kebumen</td><td>Islam</td><td>54 TH 6 BL 10 HR</td><td>Laki Laki</td><td>Poliklinik Bedah Onkology</td><td>Anaemia, unspecified</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>

</tr><tr id="tr30">

<td>30</td><td>00150988</td><td>Karsem, Ny</td><td>Desa Jepara Kulon, Kecamatan Binangu

n, Cilacap</td><td>Islam</td><td>52 TH 1 BL 14 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>

</tr><tr id="tr31">

<td>31</td><td>00152998</td><td>Sukisjo, Tn</td><td>Desa Bantarpanjang, Cimanggu, Cilaca

p</td><td>Islam</td><td>76 TH 5 HR</td><td>Laki Laki</td><td>Poliklinik Bedah Onkology</td>

<td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>

</tr><tr id="tr32">

<td>32</td><td>00141170</td><td>Watinah, Ny</td><td>Desa Cibangkong, Kecamatan Pekuncen,

Banyumas</td><td>Islam</td><td>1 TH 4 BL 25 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>

</tr><tr id="tr33">

<td>33</td><td>00153016</td><td>Tasih,Ny</td><td>Desa Panusupan, Kecamatan Cilongok,


</tr><tr id="tr34">

<td>34</td><td>00151213</td><td>Dian Andriani, Ny</td><td>Desa Pataruman, Kecamatan Pataruman,

Kabupaten Ciamis</td><td>Islam</td><td>44 TH 1 BL 20 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>

</tr><tr id="tr35">

<td>35</td><td>00153745</td><td>Sulastri, Ny</td><td>Desa Taman, Kecamatan Taman, Pemalan

g</td><td>Islam</td><td>53 TH 9 BL 20 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>

</tr>

<tr id="tr36"><td>36</td><td>00153573</td><td>Soim Widayati,Ny</td><td>Desa Madurejo, Kecamatan Puring, Keb

umen</td><td>Islam</td><td>27 TH 10 BL 24 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>Umum</td>

</tr><tr id="tr37">

<td>37</td><td>00142879</td><td>Mujiati, Ny</td><td>Desa Semanding, Kecamatan Gombong, K

ebumen</td><td>Islam</td><td>56 TH 5 BL 4 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>

</tr><tr id="tr38">

<td>38</td><td>00153730</td><td>Indah Kurniati, Ny</td><td>Kel. Kandanggampang, Kecamatan Purba

lingga, Purbalingga</td><td>Kristen</td><td>28 TH 9 BL 19 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>Umum</td>

</tr><tr id="tr39">

<td>39</td><td>00153612</td><td>Sanmuhji Marlan, Tn</td><td>Desa Ketanda, Kecamatan Sumpiuh, Ban

yumas</td><td>Islam</td><td>81 TH 1 BL 22 HR</td><td>Laki Laki</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>

</tr><tr id="tr40">

<td>40</td><td>00153690</td><td>Kasirah,Ny</td>

<td>Desa Kuripan Kidul, Kecamatan Kesugihan, Cilacap</td>

<td>Islam</td><td>49 TH 11 BL 6 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>

</tr><tr id="tr41">

<td>41</td><td>00120838</td><td>Jamiyah, Ny</td><td>Desa Majalangu, Kecamatan Watukumpul

, Pemalang</td><td>Islam</td><td>50 TH 4 BL 18 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Malignant neoplasm of breast, unspec


</tr><tr id="tr42">

<td>42</td><td>00150755</td><td>Siti Maryam, Ny</td><td>Desa Plumbungan, Kecamatan Pagentan,

Banjarnegara</td><td>Islam</td><td>54 TH 8 BL 6 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Malignant neoplasm of breast, unspec


</tr><tr id="tr43">

<td>43</td><td>00153525</td><td>Inti Setyowati,Ny</td><td>Desa Kedungwuluh, Kecamatan Kalimana

h, Purbalingga</td><td>Islam</td><td>55 TH 8 BL 19 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>

</tr><tr id="tr44">

<td>44</td><td>00150394</td><td>Uka, Ny</td><td>Desa Mangunjaya, Kecamatan Padaheran

g, Kabupaten Ciamis</td>

<td>Islam</td><td>52 TH 10 BL 7 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Malignant neoplasm of breast, unspec


</tr><tr id="tr45">

<td>45</td><td>00142525</td><td>Kamsiyah, Ny</td><td>Desa Adisara, Kecamatan Jatilawang,

Banyumas</td><td>Islam</td><td>60 TH 1 BL 16 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Malignant neoplasm of peripheral ner

ves and autonomic nervous system, unspecified</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>

</tr><tr id="tr46">

<td>46</td><td>00153693</td><td>Painah, Ny</td><td>Desa Gerduren, Kecamatan Purwojati,

Banyumas</td><td>Islam</td><td>52 TH 10 BL 16 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Thyroid gland</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>

</tr><tr id="tr47">

<td>47</td><td>00153741</td><td>Amirudin Taswan, Tn</td><td>Desa Kesegeran, Kecamatan Cilongok,


</tr><tr id="tr48">

<td>48</td><td>00153749</td><td>Urip Tiyaningsih, Ny</td><td>Desa Susukan, Kecamatan Sumbang, Ban

yumas</td><td>Islam</td><td>49 TH 3 BL 24 HR</td>

<td>Perempuan</td><td>Poliklinik Syaraf</td><td>Mononeuritis multiplex</td><td>dr. Tutik Ermawati, Sp.S</td><td>BPJS</td>

</tr><tr id="tr49">

<td>49</td><td>00141653</td><td>Hamsinah, Ny</td><td>Desa Redisari, Kecamatan Rowokele, K

ebumen</td><td>Islam</td><td>42 TH 5 BL 20 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Malignant neoplasm of breast, unspec


</tr><tr id="tr50">

<td>50</td><td>00151841</td><td>Pairah, Ny</td><td>Cibubur, Ciracas, Jakarta Timur</td><td>Islam</td><td>50 TH 1 BL 6 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Malignant neoplasm of parotid gland<


</tr><tr id="tr51">

<td>51</td><td>00153849</td><td>Suwanto, Tn</td><td>Desa Parungkamal, Lumbir, Banyumas</

td><td>Islam</td><td>37 TH 8 BL 23 HR</td><td>Laki Laki</td><td>Poliklinik Bedah Onkology</td><td>Neoplasm of uncertain or unknown beh

avior of other specified sites</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>Umum</td>

</tr><tr id="tr52">

<td>52</td><td>00131251</td><td>Siti Hapsoh, Ny</td><td>Desa Langensari, Kecamatan Langensar

i, Kabupaten Ciamis</td><td>Islam</td><td>40 TH 3 BL 15 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td>

<td>Malignant neoplasm of breast, unspecified</td>


</tr><tr id="tr53">

<td>53</td><td>00151051</td><td>Desti Wahyuni, Ny</td><td>Kel.Bobosan, Kecamatan Purwokerto Ut

ara, Purwokerto</td><td>Islam</td><td>49 TH 1 BL 25 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Malignant neoplasm of breast, unspec


</tr><tr id="tr54">

<td>54</td><td>00150419</td><td>Emiliana Siam Riyani, Ny</td><td>Desa Purwasari, Kecamatan Baturaden,

Banyumas</td><td>Khatolik</td><td>50 TH 30 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Malignant neoplasm of breast, unspec


</tr><tr id="tr55">

<td>55</td><td>00151897</td><td>Robiyah, Ny</td><td>Desa Banyumudal, Kecamatan Moga, Pem

alang</td><td>Islam</td><td>38 TH 9 BL 12 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>

</tr><tr id="tr56">

<td>56</td><td>00131420</td><td>Rini Handayani, Ny</td><td>Desa Sumurkidang, Kecamatan Bantarbo

lang, Pemalang</td><td>Islam</td><td>32 TH 4 BL 5 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>-</td>


</tr><tr id="tr57">

<td>57</td><td>00153255</td><td>Nina Tri Utami,An</td><td>Desa Sindangwangi, Bantarkawung, Bre

bes</td><td>Islam</td><td>12 TH 3 BL 16 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>

</tr><tr id="tr58">

<td>58</td><td>00142785</td><td>Ene, Ny</td><td>Desa Baregbeg, Kecamatan Ciamis, Kab

upaten Ciamis</td><td>Islam</td><td>44 TH 7 BL 9 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Malignant neoplasm of breast, unspec


</tr><tr id="tr59">

<td>59</td><td>00151899</td><td>Siti Rochisatun, Ny</td><td>Desa Logede, Kecamatan Pejagoan, Keb

umen</td><td>Islam</td><td>44 TH 1 BL 12 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>

</tr><tr id="tr60">

<td>60</td><td>00150732</td><td>Hj. Siti Abibah,Ny</td><td>Desa Langkap, Kecamatan Bumiayu, Bre

bes</td><td>Islam</td><td>56 TH 6 BL 22 HR</td><td>Perempuan</td><td>Poliklinik Syaraf</td><td>-</td><td>dr. Tutik Ermawati, Sp.S</td><td>BPJS</td>

</tr>

<tr id="tr61"><td>61</td><td>00151714</td><td>Mamiatun, Ny</td><td>Desa Sidanegara, Kecamatan Kaligonda

ng, Purbalingga</td><td>Islam</td><td>39 TH 3 BL 13 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Malignant neoplasm of breast, unspec


</tr><tr id="tr62">

<td>62</td><td>00153535</td><td>Aris Sumrambahyani, Ny</td><td>Desa Adimulyo, Kecamatan Adimulyo, K

ebumen</td><td>Islam</td><td>42 TH 10 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>

</tr><tr id="tr63">

<td>63</td><td>00150427</td><td>Muhammad Nasrul Ulumudin, Sdr</td><td>Desa Pangandaran, Kecamatan Panganda

ran, Kabupaten Ciamis</td><td>Islam</td><td>16 TH 1 BL 29 HR</td><td>Laki Laki</td><td>Poliklinik Bedah Onkology</td><td>Undescended testicle, unspecified</t


</tr><tr id="tr64">

<td>64</td><td>00153764</td><td>Dasiti, Ny</td><td>Desa Cimanggu, Cimanggu, Cilacap</td



</tr><tr id="tr65">

<td>65</td><td>00153506</td><td>Iik Saripah, Ny</td><td>Desa Bojongkantong, Kecamatan Langen

sari, Kabupaten Ciamis</td><td>Islam</td><td>47 TH 8 BL 4 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Malignant neoplasm of breast, unspec


</tr><tr id="tr66">

<td>66</td><td>00153809</td><td>Oktavian Rudi Prastya, Tn</td><td>Kelurahan Tanjung, Kecamatan Purwoke

rto Selatan, Purwokerto</td><td>Islam</td><td>23 TH 3 BL 12 HR</td><td>Laki Laki</td><td>Poliklinik Umum</td><td>-</td><td>dr.Listya Tanjung</td><td>Umum</td>

</tr><tr id="tr67">

<td>67</td><td>00152306</td><td>Tri Umiyatiningsih,Ny</td><td>Desa Kincang, Kecamatan Rakit, Banja

rnegara</td><td>Islam</td><td>50 TH 1 BL 28 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>

</tr><tr id="tr68">

<td>68</td><td>00153851</td><td>Yuli Heriyanti,Ny</td><td>Desa Jeruklegi Wetan, Kecamatan Jeru

klegi, Cilacap</td><td>Islam</td><td>59 TH 6 BL 25 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>

</tr><tr id="tr69">

<td>69</td><td>00151837</td><td>Eni Sugiarti, Ny</td>

<td>Kel.Karangklesem, Kecamatan Purwokerto Selatan, Purwokerto</td>

<td>Islam</td><td>44 TH 3 BL 29 HR</td><td>Perempuan</td><td>Poliklinik Syaraf</td><td>-</td><td>dr. Tutik Ermawati, Sp.S</td><td>BPJS</td>

</tr><tr id="tr70">

<td>70</td><td>00153759</td><td>Simon Soeharmono,Tn</td><td>Kel.Kober, Kecamatan Purwokerto Bara

t, Purwokerto</td><td>Khatolik</td><td>60 TH 7 BL 10 HR</td><td>Laki Laki</td><td>Poliklinik Bedah Onkology</td><td>Neoplasm of uncertain or unknown beh

avior of other specified sites</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>

</tr><tr id="tr71">

<td>71</td><td>00152912</td><td>Sukarni,Ny</td><td>Desa Pasir Lor, Kecamatan Karanglewa

s, Banyumas</td><td>Islam</td><td>36 TH 6 BL 15 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>

</tr><tr id="tr72">

<td>72</td><td>00153852</td><td>Nur Aminah, Ny</td><td>Kel. Tegalkatilayu, Cilacap Selatan,

Cilacap</td><td>Islam</td><td>56 TH 6 BL 16 HR</td><td>Perempuan</td><td>Poliklinik Syaraf</td><td>-</td><td>dr. Tutik Ermawati, Sp.S</td><td>Umum</td>

</tr><tr id="tr73">

<td>73</td><td>00151397</td><td>Watiah, Ny</td><td>Desa Winduaji, Kecamatan Paguyangan,

Brebes</td><td>Islam</td>

<td>61 TH 1 BL 26 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Malignant neoplasm of breast, unspec


</tr><tr id="tr74">

<td>74</td><td>00153755</td><td>Tri Nurhayati,Ny</td><td>Desa Purwasaba, Kecamatan Mandiraja,



</tr><tr id="tr75">

<td>75</td><td>00152516</td><td>Harsih, Ny</td><td>Desa Pekuncen, Kecamatan Pekuncen, B

anyumas</td><td>Islam</td><td>48 TH 1 BL 13 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Malignant neoplasm of breast, unspec


</tr><tr id="tr76">

<td>76</td><td>00152071</td><td>Marsinah, Ny</td><td>Desa Kedawung, Kecamatan Pejagoan, K


</tr><tr id="tr77">

<td>77</td><td>00140848</td><td>Bariyah, Ny</td><td>Desa Glempangpasir, Kecamatan Adipal

a, Cilacap</td><td>Islam</td><td>47 TH 7 BL 2 HR</td>

<td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>

</tr><tr id="tr78">

<td>78</td><td>00153853</td><td>Muntati, Ny</td><td>Desa Kalimandi, Kecamatan Purwarejak

lampok, Banjarnegara</td><td>Islam</td><td>49 TH 6 BL 1 HR</td><td>Perempuan</td><td>Poliklinik Umum</td><td>-</td><td>dr.Listya Tanjung</td><td>Umum</td>

</tr><tr id="tr79">

<td>79</td><td>00143138</td><td>Sri Hartiyati Rejeki, Ny</td><td>Desa Bojongsari, Kecamatan Kembaran,

Banyumas</td><td>Islam</td><td>51 TH 8 BL 29 HR</td><td>Perempuan</td><td>Poliklinik Syaraf</td><td>-</td><td>dr. Tutik Ermawati, Sp.S</td><td>BPJS</td>

</tr><tr id="tr80">

<td>80</td><td>00153746</td><td>Yosep Prayogi, Sdr</td><td>Desa Kujangsari, Kecamatan Langensar

i, Kabupaten Ciamis</td><td>Islam</td><td>29 TH 8 BL 17 HR</td><td>Laki Laki</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>

</tr><tr id="tr81">

<td>81</td><td>00153534</td><td>Sumiyati, Ny</td><td>Desa Jambu, Wanareja, Cilacap</td><td>Islam</td><td>65 TH 1 BL 16 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>Umum</td>

</tr><tr id="tr82">

<td>82</td><td>00152343</td><td>Roesidah, Ny</td><td>Desa Dukuhwaluh, Kecamatan Kembaran,

Banyumas</td><td>Islam</td><td>54 TH 9 BL 28 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Malignant neoplasm of breast, unspec


</tr><tr id="tr83">

<td>83</td><td>00153854</td><td>Suherni,Ny</td><td>Desa Limbangan, Kecamatan Kutasari,

Purbalingga</td><td>Islam</td><td>36 TH 8 BL 5 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>Umum</td>

</tr><tr id="tr84">

<td>84</td><td>00152993</td><td>Eha, Ny</td><td>Desa Cimaragas, Kecamatan Cimaragas,

Kabupaten Ciamis</td><td>Islam</td><td>66 TH 5 BL 5 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Benign neoplasm of lower jaw bone</t

d><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>Umum</td>

</tr><tr id="tr85">

<td>85</td><td>00152843</td><td>Sodikin, Tn</td><td>Desa Pakulaut, Margasari, Tegal</td><td>Islam</td><td>66 TH 3 BL 19 HR</td><td>Laki Laki</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>

</tr><tr id="tr86">

<td>86</td>

<td>00153780</td><td>Tarwono, Tn</td><td>Kel.Kranji, Kecamatan Purwokerto Tim

ur, Purwokerto</td><td>Islam</td><td>52 TH 3 BL 16 HR</td><td>Laki Laki</td><td>Poliklinik Syaraf</td><td>-</td><td>dr. Tutik Ermawati, Sp.S</td><td>BPJS</td>

</tr><tr id="tr87">

<td>87</td><td>00153855</td><td>Supriyati, Ny</td><td>Kel. Kalikabong, Kecamatan Kalimanah

, Purbalingga</td><td>Islam</td><td>48 TH 1 BL 4 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Neoplasm of uncertain or unknown beh

avior of breast</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>Umum</td>

</tr><tr id="tr88">

<td>88</td><td>00153505</td><td>Noffi Eka Wahyuningsih,Ny</td><td>Desa Lumbir, Lumbir, Banyumas</td><td>Islam</td><td>27 TH 11 BL 13 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Malignant neoplasm of breast, unspec


</tr><tr id="tr89">

<td>89</td><td>00153508</td><td>Sukarni, Ny</td><td>Kota Baru, Kuntodarussal, Rokan Hulu

</td><td>Islam</td><td>56 TH 3 BL 6 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>Umum</td>

</tr><tr id="tr90">

<td>90</td><td>00141321</td><td>Tarsinah, Ny</td><td>Desa Badamita, Kecamatan Rakit, Banj

arnegara</td><td>Islam</td><td>66 TH 2 BL 24 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Malignant neoplasm of breast, unspec


</tr><tr id="tr91">

<td>91</td><td>00153753</td><td>Usrifah,Ny</td><td>Desa Banyumudal, Kecamatan Moga, Pem

alang</td><td>Islam</td><td>41 TH 8 BL 29 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Neoplasm of uncertain or unknown beh


</tr><tr id="tr92">

<td>92</td><td>00153388</td><td>Meylinda Wulandari, Ny</td><td>Desa Ciporos, Karangpucung, Cilacap<

/td><td>Islam</td><td>30 TH 8 BL 15 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Diffuse cystic mastopathy</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>

</tr><tr id="tr93">

<td>93</td><td>00153175</td><td>Sri Wahyuningsih, Ny</td><td>Kelurahan Teluk, Kecamatan Purwokert

o Selatan, Purwokerto</td><td>Islam</td><td>55 TH 9 BL 7 HR</td><td>Perempuan</td><td>Poliklinik Syaraf</td><td>Arthrosis, unspecified</td><td>dr. Tutik Ermawati, Sp.S</td><td>BPJS</td>

</tr><tr id="tr94">

<td>94</td><td>00150124</td><td>Nunung Nurhaeni, Ny</td><td>Desa Adisana, Kecamatan Kebasen, Ban

yumas</td><td>Islam</td>

<td>39 TH 8 BL 2 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Neoplasm of uncertain or unknown beh

avior of thyroid gland</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>

</tr><tr id="tr95">

<td>95</td><td>00153548</td><td>Umi Hasanah,Ny</td><td>Desa Bantarmangu, Cimanggu, Cilacap<

/td><td>Islam</td><td>54 TH 8 BL 29 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Malignant neoplasm of breast, unspec


</tr><tr id="tr96">

<td>96</td><td>00152694</td><td>Amir Mahmud, Tn</td><td>Desa Plangkapan, Kecamatan Tambak, B

anyumas</td><td>Islam</td><td>61 TH 1 BL 17 HR</td><td>Laki Laki</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>Umum</td>

</tr><tr id="tr97">

<td>97</td><td>00140404</td><td>Nasudin, Tn</td><td>Desa Kertanegara, Kecamatan Karangan

yar, Purbalingga</td><td>Islam</td><td>63 TH 11 BL 23 HR</td><td>Laki Laki</td><td>Poliklinik Syaraf</td><td>-</td><td>dr. Tutik Ermawati, Sp.S</td><td>Umum</td>

</tr><tr id="tr98">

<td>98</td><td>00153467</td><td>Eti Murniyanti, Ny</td><td>Desa Belik, Kecamatan Belik, Pemalan

g</td><td>Islam</td><td>32 TH 12 HR</td><td>Perempuan</td>

<td>Poliklinik Bedah Onkology</td><td>Neoplasm of uncertain or unknown beh

avior of adrenal gland</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>

</tr><tr id="tr99">

<td>99</td><td>00143302</td><td>Karsem, Ny</td><td>Desa Candiwulan, Kecamatan Mandiraja

, Banjarnegara</td><td>Islam</td><td>50 TH 8 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Malignant neoplasm of breast, unspec


</tr><tr id="tr100">

<td>100</td><td>00153225</td><td>Napsiyah, Ny</td><td>Desa Kertajaya, Candrungmangu, Cilac

ap</td><td>Islam</td><td>37 TH 2 BL 30 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>Umum</td>


<td>101</td><td>00153605</td><td>Sarni,Ny</td><td>Desa Karangrau, Kecamatan Sokaraja,

Banyumas</td><td>Islam</td><td>63 TH 7 BL 11 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Nontoxic goitre, unspecified</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>


<td>102</td><td>00130719</td><td>Jamilah, Ny</td><td>Desa Purwodadi, Kecamatan Nusawungu,

Cilacap</td><td>Islam</td><td>64 TH 8 BL 10 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>-</td>



<td>103</td><td>00141401</td><td>Alis Sriyani, Ny</td><td>Desa Kracak, Kecamatan Ajibarang, Ba

nyumas</td><td>Islam</td><td>31 TH 10 BL 18 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Neoplasm of uncertain or unknown beh



<td>104</td><td>00153278</td><td>Warno, Tn</td><td>Desa Banjarsari Kulon, Kecamatan Sum

bang, Banyumas</td><td>Islam</td><td>60 TH 1 BL 7 HR</td><td>Laki Laki</td><td>Poliklinik Bedah Onkology</td><td>Benign neoplasm of parotid gland</td

><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>


<td>105</td><td>00153239</td><td>Kartiah, Ny</td><td>Desa Sikasur, Kecamatan Belik, Pemal

ang</td><td>Islam</td><td>71 TH 4 BL 2 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Malignant neoplasm of skin, unspecif

ied</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>


<td>106</td><td>00152853</td><td>Haris Prayitno Harsono, Tn</td><td>Kel. Purwokerto Kidul, Kecamatan Pur

wokerto Selatan, Purwokerto</td><td>Islam</td><td>50 TH 4 BL 1 HR</td><td>Laki Laki</td><td>Poliklinik Syaraf</td><td>Sciatica</td><td>dr. Tutik Ermawati, Sp.S</td>

<td>BPJS</td></tr>

<tr id="tr107"><td>107</td><td>00153757</td><td>Tri Respanti,Nn</td><td>Desa Ciberung, Kecamatan Ajibarang,

Banyumas</td><td>Islam</td><td>18 TH 6 BL 16 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Neoplasm of uncertain or unknown beh



<td>108</td><td>00153615</td><td>Siti Kaifah, Ny</td><td>Desa Kedungoleng, Kecamatan Paguyang

an, Brebes</td><td>Islam</td><td>31 TH 2 BL 27 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Diffuse cystic mastopathy</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>


<td>109</td><td>00153288</td><td>Ratiyah, Ny</td><td>Desa Gambarsari, Kecamatan Kebasen,



<td>110</td><td>00152309</td><td>Siti Rohyani,Ny</td><td>Kel.Karangklesem, Kecamatan Purwoker

to Selatan, Purwokerto</td><td>Islam</td><td>43 TH 10 BL 6 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Malignant neoplasm of breast, unspec


</tr>

<tr id="tr111"><td>111</td><td>00153695</td><td>Pungki Retnowati, Nn</td><td>Desa Kracak, Kecamatan Ajibarang, Ba




<td>112</td><td>00153857</td><td>Dalimah,Ny</td><td>Desa Bantarmangu, Cimanggu, Cilacap<

/td><td>Islam</td><td>50 TH 9 BL 10 HR</td><td>Perempuan</td><td>Poliklinik Syaraf</td><td>-</td><td>dr. Tutik Ermawati, Sp.S</td><td>Umum</td>


<td>113</td><td>00152623</td><td>Tri Lastuti, Ny</td><td>Desa Karangsari, Kecamatan Punggelan

, Banjarnegara</td><td>Islam</td><td>43 TH 4 BL 25 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Anaemia, unspecified</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>


<td>114</td><td>00141515</td><td>Rochana, Ny</td><td>Kelurahan Tegalrejo, Cilacap Selatan

, Cilacap</td><td>Islam</td><td>43 TH 4 BL 10 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Malignant neoplasm of breast, unspec



<td>115</td>

<td>00153568</td><td>Eksi Elva Susanti, Ny</td><td>Kelurahan Teluk, Kecamatan Purwokert

o Selatan, Purwokerto</td><td>Islam</td><td>41 TH 6 BL</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Neoplasm of uncertain or unknown beh

avior of connective and other soft tissue</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>


<td>116</td><td>00153858</td><td>Sunarto,Tn</td><td>Desa Lambur, Kecamatan Mrebet, Purba

lingga</td><td>Islam</td><td>73 TH 7 BL 16 HR</td><td>Laki Laki</td><td>Poliklinik Bedah Onkology</td><td>Benign neoplasm of prostate</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>Umum</td>


<td>117</td><td>00153784</td><td>Raminah,Ny</td><td>Desa Sindangbarang, Karangpucung, Ci

lacap</td><td>Islam</td><td>49 TH 8 BL 23 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>Umum</td>


<td>118</td><td>00152914</td><td>Mahdi Carwan,Tn</td><td>Desa Kadupandak, Kecamatan Tambaksar

i, Kabupaten Ciamis</td><td>Islam</td><td>70 TH 4 BL 2 HR</td><td>Laki Laki</td><td>Poliklinik Bedah Onkology</td><td>Non-Hodgkin's lymphoma, unspecified

type</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>


<td>119</td><td>00150730</td><td>Natiyah, Ny</td>

<td>Desa Krajan, Kecamatan Pekuncen, Banyumas</td>




<td>120</td><td>00142069</td><td>Jamilah, Ny</td><td>Desa Laren, Kecamatan Bumiayu, Brebe

s</td><td>Islam</td><td>50 TH 6 BL 25 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>


<td>121</td><td>00153863</td><td>Melinda Handayani,Nn</td><td>Desa Karangpawitan, Kecamatan Padahe

rang, Kabupaten Ciamis</td><td>Islam</td><td>26 TH 6 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>Umum</td>


<td>122</td><td>00153354</td><td>Ratminah, Ny</td><td>Desa Warungpring, Kecamatan Moga, Pe

malang</td><td>Islam</td><td>57 TH 1 BL 15 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Malignant neoplasm of breast, unspec



<td>123</td><td>00142784</td><td>Pujiarti, Ny</td><td>Desa Kapulogo, Kecamatan Kepil, Wono

sobo</td>

<td>Islam</td><td>63 TH 1 BL 16 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Malignant neoplasm of breast</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>


<td>124</td><td>00153373</td><td>Sri Khayawati,Ny</td><td>Desa Bantarbolang, Kecamatan Bantarb

olang, Pemalang</td><td>Islam</td><td>34 TH 1 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>


<td>125</td><td>00153864</td><td>Iis Aisah, Ny</td><td>Desa Bangbayang, Kecamatan Cipaku, K



<td>126</td><td>00150418</td><td>Kowiyah, Ny</td><td>Desa Tempurejo, Kecamatan Sapuran, W

onosobo</td><td>Islam</td><td>46 TH 7 BL 9 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>


<td>127</td><td>00153732</td><td>Supardi, Tn</td><td>Desa Wangon, Kecamatan Wangon, Banyu

mas</td><td>Islam</td><td>69 TH 7 BL 11 HR</td><td>Laki Laki</td><td>Poliklinik Bedah Onkology</td>



<td>128</td><td>00152009</td><td>Siti Fanisiska, Ny</td><td>Desa Kedungbenda, Kecamatan Nusawung

u, Cilacap</td><td>Islam</td><td>29 TH 6 BL 5 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>


<td>129</td><td>00153246</td><td>Nur Khasanah,Ny</td><td>Desa Sibrama, Kecamatan Kemranjen, B

anyumas</td><td>Islam</td><td>46 TH 4 BL 10 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>Umum</td>


<td>130</td><td>00152735</td><td>Malik Harwati, Ny</td><td>Kelurahan Teluk, Kecamatan Purwokert

o Selatan, Purwokerto</td><td>Islam</td><td>44 TH 3 BL</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>


<td>131</td><td>00152572</td><td>Juriah,Ny</td><td>Desa Tidu, Kecamatan Bukateja, Purba

lingga</td><td>Islam</td><td>32 TH 7 BL 27 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>

</tr>

<tr id="tr132"><td>132</td><td>00141713</td><td>Khayanti, Ny</td><td>Desa Sawangan Kidul, Kecamatan Patik

raja, Banyumas</td><td>Islam</td><td>54 TH 3 BL 7 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>


<td>133</td><td>00150166</td><td>Watini, Ny</td><td>Desa Karangkemiri, Kecamatan Pekunce

n, Banyumas</td><td>Islam</td><td>37 TH 3 BL 12 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Malignant neoplasm of breast, unspec



<td>134</td><td>00153080</td><td>Dedeh,Ny</td><td>Desa Cintaratu, Kecamatan Parigi, Ka

bupaten Ciamis</td><td>Islam</td><td>43 TH 6 BL 25 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>


<td>135</td><td>00153766</td><td>Nasiyah,Ny</td><td>Desa Jatisaba, Kecamatan Cilongok, B

anyumas</td><td>Islam</td><td>57 TH 1 BL 15 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>


<td>136</td><td>00153865</td>

<td>Siti Amrihatin, Ny</td><td>Kelurahan Mertasinga, Kec. Cilacap U

tara, Cilacap</td><td>Islam</td><td>48 TH 11 BL 23 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Other and unspecified ovarian cysts<

/td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>Umum</td>


<td>137</td><td>00152585</td><td>Ani Rahmawati, Ny</td><td>Desa Tamansari, Kecamatan Karangmonc

ol, Purbalingga</td><td>Islam</td><td>30 TH 5 BL 5 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>


<td>138</td><td>00142499</td><td>Semi, Ny</td><td>Desa Sarwadadi, Kawunganten, Cilacap

</td><td>Islam</td><td>53 TH 1 BL 14 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Malignant neoplasm of breast, unspec



<td>139</td><td>00131016</td><td>Riswo, Tn</td><td>Desa Salem, Salem, Brebes</td><td>Islam</td><td>45 TH 1 BL 16 HR</td><td>Laki Laki</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>


<td>140</td><td>00151974</td><td>Kami, Ny</td><td>Desa Jebed, Kecamatan Taman, Pemalan

g</td>

<td>Islam</td><td>56 TH 6 BL</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Malignant neoplasm of breast, unspec



<td>141</td><td>00150200</td><td>Sugiarti, Ny</td><td>Desa Sidareja, Sidareja, Cilacap</td




<td>142</td><td>00153866</td><td>Daryati,Ny</td><td>Desa Kalikesur, Kecamatan Kedungbant

eng, Banyumas</td><td>Islam</td><td>36 TH 1 BL 15 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>


<td>143</td><td>00143261</td><td>Ruci, Ny</td><td>Desa Bentarsari, Salem, Brebes</td><td>Islam</td><td>52 TH 6 BL 27 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Malignant neoplasm of breast, unspec



<td>144</td><td>00153798</td><td>Sri Rahayu, Ny</td><td>Kel.Purwokerto Kulon, Kecamatan Purw

okerto Selatan, Purwokerto</td><td>Islam</td><td>47 TH 6 BL</td>

<td>Perempuan</td><td>Poliklinik Syaraf</td><td>Mononeuropathy, unspecified</td><td>dr. Tutik Ermawati, Sp.S</td><td>BPJS</td>


<td>145</td><td>00153767</td><td>Misem,Ny</td><td>Desa Pagedongan, Kecamatan Banjarneg

ara, Banjarnegara</td><td>Islam</td><td>42 TH 3 BL 4 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>


<td>146</td><td>00153128</td><td>Tochid, Tn</td><td>Kel. Purwokerto Kidul, Kecamatan Pur

wokerto Selatan, Purwokerto</td><td>Islam</td><td>71 TH 14 HR</td><td>Laki Laki</td><td>Poliklinik Syaraf</td><td>-</td><td>dr. Tutik Ermawati, Sp.S</td><td>BPJS</td>


<td>147</td><td>00142577</td><td>Narisah, Ny</td><td>Kel. Purwokerto Kidul, Kecamatan Pur

wokerto Selatan, Purwokerto</td><td>Islam</td><td>64 TH 1 BL 17 HR</td><td>Perempuan</td><td>Poliklinik Syaraf</td><td>-</td><td>dr. Tutik Ermawati, Sp.S</td><td>BPJS</td>


<td>148</td><td>00153733</td><td>Paryati, Ny</td><td>Desa Lemberang, Kecamatan Sokaraja,


ified</td>



<td>149</td><td>00153604</td><td>Ruminah,Ny</td><td>Kel.Purwokerto Kulon, Kecamatan Purw

okerto Selatan, Purwokerto</td><td>Islam</td><td>86 TH 1 BL 15 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>


<td>150</td><td>00153624</td><td>Djoeharti,Ny</td><td>Kel.Purwokerto Lor, Kecamatan Purwok

erto Timur, Purwokerto</td><td>Islam</td><td>67 TH 9 BL 1 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Malignant neoplasm of breast, unspec



<td>151</td><td>00153649</td><td>Agus Priyono,Tn</td><td>Kelurahan Teluk, Kecamatan Purwokert

o Selatan, Purwokerto</td><td>Islam</td><td>29 TH 10 BL 12 HR</td><td>Laki Laki</td><td>Poliklinik Penyakit Dalam</td><td>Urinary tract infection, site not sp

ecified</td><td>dr. Aditiawarman, Sp. PD</td><td>BPJS</td>


<td>152</td><td>00142640</td><td>Sunariyah, Ny</td><td>Desa Candiwulan, Kecamatan Kebumen,

Kebumen</td><td>Islam</td><td>61 TH 1 BL 15 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>


<td>153</td><td>00150422</td><td>Tuniyah, Ny</td><td>Desa Sampang, Kecamatan Sampang, Cil

acap</td><td>Islam</td><td>62 TH 10 BL 26 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>


<td>154</td><td>00153773</td><td>Kemin Haryono,Tn</td><td>Desa Sidamulya, Wanareja, Cilacap</t

d><td>Islam</td><td>63 TH 6 BL 9 HR</td><td>Laki Laki</td><td>Poliklinik Bedah Onkology</td><td>Neoplasm of uncertain or unknown beh



<td>155</td><td>00153608</td><td>Mislatun,Ny</td><td>Desa Kertanegara, Kecamatan Karangan

yar, Purbalingga</td><td>Islam</td><td>48 TH 7 BL 10 HR</td><td>Perempuan</td><td>Poliklinik Obsgyn</td><td>-</td><td>dr. Soegeng Djiwarahga, Sp.OG</td><td>BPJS</td>


<td>156</td><td>00153867</td><td>Kursih, Ny</td><td>Desa Limbangan, Wanareja, Cilacap</t

d><td>Islam</td><td>61 TH 1 BL 15 HR</td><td>Perempuan</td><td>Poliklinik Syaraf</td><td>-</td><td>dr. Tutik Ermawati, Sp.S</td><td>Umum</td>


<td>157</td>

<td>00150841</td><td>Mulyati, Ny</td><td>Desa Cimari, Kecamatan Cikoneng, Kab




<td>158</td><td>00153739</td><td>Rumsita, Ny</td><td>Desa Limbangan, Wanareja, Cilacap</t

d><td>Islam</td><td>53 TH 7 BL 30 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Malignant neoplasm of breast, unspec



<td>159</td><td>00153868</td><td>Sri Nuryati, Ny</td><td>Desa Petambakan, Kecamatan Madukara,

Banjarnegara</td><td>Islam</td><td>25 TH 11 BL 2 HR</td><td>Perempuan</td><td>Poliklinik Obsgyn</td><td>-</td><td>dr. Soegeng Djiwarahga, Sp.OG</td><td>Umum</td>


<td>160</td><td>00153869</td><td>Umidah,Ny</td><td>Desa Cimanuk, Kecamatan Cikalong, Ka

bupaten Tasikmalaya</td><td>Islam</td><td>49 TH 5 BL 26 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Neoplasm of uncertain or unknown beh



<td>161</td><td>00141122</td>

<td>Painah, Ny</td><td>Desa Sidarata, Kecamatan Punggelan,




<td>162</td><td>00153619</td><td>Sutirah,Ny</td><td>Desa Kedungwuluh, Kecamatan Kalimana

h, Purbalingga</td><td>Islam</td><td>77 TH 18 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Malignant neoplasm of cervix uteri,

unspecified</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>Umum</td>


<td>163</td><td>00130181</td><td>Rokisah, Ny</td><td>Desa Griting, Bulakamba, Brebes</td><td>Islam</td><td>53 TH 1 BL 13 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Malignant neoplasm of thyroid gland<



<td>164</td><td>00153260</td><td>Dursiyah, Ny</td><td>Desa Pangawaren, Karangpucung, Cilac

ap</td><td>Islam</td><td>56 TH 5 BL 30 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>


<td>165</td><td>00153870</td><td>Siti Khotijah,Ny</td><td>Desa Patimuan, Kecamatan Patimuan, C

ilacap</td><td>Islam</td><td>52 TH 1 BL 13 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Parotid gland</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>Umum</td>


<td>166</td><td>00153743</td><td>Rita Hartuti, Ny</td><td>Desa Dukuhturi, Dukuhturi, Tegal</td

><td>Islam</td><td>28 TH 9 BL 21 HR</td><td>Perempuan</td><td>Poliklinik Penyakit Dalam</td><td>-</td><td>dr. Aditiawarman, Sp. PD</td><td>Umum</td>


<td>167</td><td>00150499</td><td>Saeri, Ny</td><td>Desa Kedungter, Brebes, Brebes</td><td>Islam</td><td>51 TH 6 BL 26 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Malignant neoplasm of breast, unspec



<td>168</td><td>00140979</td><td>Siti Toyibah, Ny</td><td>Desa Rawalo, Kecamatan Rawalo, Banyu

mas</td><td>Islam</td><td>65 TH 8 BL 8 HR</td><td>Perempuan</td><td>Poliklinik Penyakit Dalam</td><td>-</td><td>dr. Aditiawarman, Sp. PD</td><td>BPJS</td>


<td>169</td><td>00153577</td><td>Rita Rahayu, Nn</td><td>Desa Pekuncen, Kecamatan Kroya, Cila

cap</td><td>Islam</td><td>23 TH 4 BL</td><td>Perempuan</td>

<td>Poliklinik Bedah Onkology</td><td>Breast, unspecified</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>


<td>170</td><td>00153363</td><td>Chomisah, Ny</td><td>Desa Sudimara, Kecamatan Cilongok, B

anyumas</td><td>Islam</td><td>46 TH 11 BL 14 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Neoplasm of uncertain or unknown beh



<td>171</td><td>00153067</td><td>Fitri Edi, Sdr</td><td>Desa Kaliurip, Kecamatan Madukara, B

anjarnegara</td><td>Islam</td><td>34 TH 5 BL 20 HR</td><td>Laki Laki</td><td>Poliklinik Penyakit Dalam</td><td>-</td><td>dr. Aditiawarman, Sp. PD</td><td>BPJS</td>


<td>172</td><td>00153553</td><td>Kanuri, Tn</td><td>Desa Jatibogor, Kecamatan Suradadi,

Tegal</td><td>Islam</td><td>70 TH 1 BL 18 HR</td><td>Laki Laki</td><td>Poliklinik Bedah Onkology</td><td>Malignant neoplasm of thyroid gland<



<td>173</td><td>00152339</td><td>Muzayanah, Ny</td><td>Desa Pegiringan, Kecamatan Bantarbol

ang, Pemalang</td><td>Islam</td><td>53 TH 7 BL 20 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Malignant neoplasm of breast, unspec



<td>174</td><td>00153762</td><td>Melsawati,Ny</td><td>Desa Langgongsari, Kecamatan Cilongo

k, Banyumas</td><td>Islam</td><td>23 TH 3 BL 11 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Breast, unspecified</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>


<td>175</td><td>00153871</td><td>Emilia Sari, Ny</td><td>Desa Pegiringan, Kecamatan Bantarbol

ang, Pemalang</td><td>Islam</td><td>41 TH 1 BL 13 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Acute lymphadenitis, unspecified</td



<td>176</td><td>00130130</td><td>Musodikin, Tn</td><td>Desa Cilibur, Kecamatan Paguyangan,

Brebes</td><td>Islam</td><td>28 TH 1 BL 7 HR</td><td>Laki Laki</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>Umum</td>


<td>177</td><td>00153872</td><td>Abdul Haris, Sdr</td><td>Desa Pruwatan, Kecamatan Bumiayu, Br

ebes</td><td>Islam</td><td>17 TH 8 BL 24 HR</td><td>Laki Laki</td><td>Poliklinik Bedah Onkology</td><td>Neoplasm of uncertain or unknown beh

avior of other specified sites</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td>

<td>BPJS</td></tr>

<tr id="tr178"><td>178</td><td>00151719</td><td>Wastono, Tn</td><td>Desa Pangadegan, Majenang, Cilacap</

td><td>Islam</td><td>57 TH 1 BL 5 HR</td><td>Laki Laki</td><td>Poliklinik Bedah Onkology</td><td>Malignant neoplasm of head, face and

neck</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>Umum</td>


<td>179</td><td>00153874</td><td>Riena Kartika Sari, Ny</td><td>Desa Kalisalak, Kecamatan Kebasen, B

anyumas</td><td>Islam</td><td>28 TH 7 BL 29 HR</td><td>Perempuan</td><td>Poliklinik Penyakit Dalam</td><td>-</td><td>dr. Aditiawarman, Sp. PD</td><td>Umum</td>


<td>180</td><td>00151560</td><td>Sutarjo, Tn</td><td>Kel.Karangklesem, Kecamatan Purwoker

to Selatan, Purwokerto</td><td>Islam</td><td>65 TH 1 BL 17 HR</td><td>Laki Laki</td><td>Poliklinik Syaraf</td><td>Neuropathic arthropathy</td><td>dr. Tutik Ermawati, Sp.S</td><td>BPJS</td>


<td>181</td><td>00152021</td><td>Tasih, Ny</td><td>Desa Kujangsari, Kecamatan Langensar

i, Kabupaten Ciamis</td><td>Islam</td><td>52 TH 2 BL 23 HR</td><td>Perempuan</td><td>Poliklinik Syaraf</td><td>Monoplegia, unspecified</td><td>dr. Tutik Ermawati, Sp.S</td><td>BPJS</td>


<td>182</td><td>00152139</td><td>Karsito, Tn</td><td>Kelurahan Teluk, Kecamatan Purwokert

o Selatan, Purwokerto</td><td>Islam</td><td>56 TH 9 BL 7 HR</td><td>Laki Laki</td><td>Poliklinik Penyakit Dalam</td><td>-</td><td>dr. Aditiawarman, Sp. PD</td><td>BPJS</td>


<td>183</td><td>00151470</td><td>Muslihudin,Tn</td><td>Desa Rakit, Kecamatan Rakit, Banjarn

egara</td><td>Islam</td><td>58 TH 11 BL 21 HR</td><td>Laki Laki</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>


<td>184</td><td>00153792</td><td>Kasminten,Ny</td><td>Kel.Karangklesem, Kecamatan Purwoker

to Selatan, Purwokerto</td><td>Islam</td><td>64 TH 1 BL 17 HR</td><td>Perempuan</td><td>Poliklinik Syaraf</td><td>-</td><td>dr. Tutik Ermawati, Sp.S</td><td>BPJS</td>


<td>185</td><td>00142902</td><td>Kaptingah, Ny</td><td>Desa Punggelan, Kecamatan Punggelan,




<td>186</td><td>00152962</td><td>Mringati,Ny</td>

<td>Desa Bodaskarangjati, Kecamatan Rembang, Purbalingga</td>




<td>187</td><td>00153769</td><td>Dwi Historini,Ny</td><td>Desa Kemutug Lor, Kecamatan Baturade

n, Banyumas</td><td>Islam</td><td>53 TH 9 BL 28 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Neoplasm of uncertain or unknown beh



<td>188</td><td>00153727</td><td>Arif Budiman,Sdr</td><td>Desa Sidayu, Kecamatan Gombong, Kebu

men</td><td>Islam</td><td>23 TH 5 BL 6 HR</td><td>Laki Laki</td><td>Poliklinik Syaraf</td><td>-</td><td>dr. Tutik Ermawati, Sp.S</td><td>BPJS</td>


<td>189</td><td>00153875</td><td>Tursinah Binti Kartomo, Ny</td><td>Desa Klegen, Kecamatan Comal, Pemala

ng</td><td>Islam</td><td>47 TH 16 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>


<td>190</td><td>00153876</td><td>Hartono,Tn</td><td>Kel.Kebumen, Kecamatan Kebumen, Kebu

men</td>

<td>Islam</td><td>51 TH 6 BL 10 HR</td><td>Laki Laki</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>Umum</td>


<td>191</td><td>00141605</td><td>Pargiyati, Ny</td><td>Desa Sidareja, Kecamatan Kaligondang

, Purbalingga</td><td>Islam</td><td>36 TH 4 BL 10 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>


<td>192</td><td>00153434</td><td>Kartem, Ny</td><td>Desa Jenang, Majenang, Cilacap</td><td>Islam</td><td>41 TH 1 BL 22 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Malignant neoplasm of thyroid gland<



<td>193</td><td>00153877</td><td>Anggun Sri Yanti,Nn</td><td>Desa Karanglo, Kecamatan Cilongok, B

anyumas</td><td>Islam</td><td>20 TH 5 BL 23 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Fibroadenosis of breast</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>


<td>194</td><td>00150820</td><td>Titin Anggraeni, Ny</td><td>Kel.Berkoh, Kecamatan Purwokerto Sel

atan, Purwokerto</td><td>Islam</td><td>37 TH 8 BL 6 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td>




<td>195</td><td>00150277</td><td>Naning Sri Suwarni, Ny</td><td>Kelurahan Teluk, Kecamatan Purwokert

o Selatan, Purwokerto</td><td>Islam</td><td>60 TH 6 BL 14 HR</td><td>Perempuan</td><td>Poliklinik Syaraf</td><td>-</td><td>dr. Tutik Ermawati, Sp.S</td><td>BPJS</td>


<td>196</td><td>00151565</td><td>Sugianti, Ny</td><td>Desa Adikarto, Kecamatan Adimulyo, K



<td>197</td><td>00150610</td><td>Gunastiti, Ny</td><td>Kel.Kedungwuluh, Kecamatan Purwokert

o Barat, Purwokerto</td><td>Islam</td><td>67 TH 5 BL 20 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Malignant neoplasm of breast, unspec



<td>198</td><td>00140998</td><td>Salminah, Ny</td><td>Desa Cintajaya, Kecamatan Lakbok, Ka

bupaten Ciamis</td><td>Islam</td><td>56 TH 1 BL 14 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Malignant neoplasm of skin, unspecif

ied</td>



<td>199</td><td>00153646</td><td>Nurlaelatul Maesaroh, Ny</td><td>Kel.Karanglewas Lor, Kecamatan Purwo

kerto Barat, Purwokerto</td><td>Islam</td><td>40 TH 2 BL 21 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Neoplasm of uncertain or unknown beh



<td>200</td><td>00153600</td><td>Reni Haryati, Ny</td><td>Keluranhan Purbalingga Kidul, Kecama

tan Purbalingga, Purbalingga</td><td>Islam</td><td>51 TH 10 BL 4 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Malignant neoplasm of breast, unspec



<td>201</td><td>00131684</td><td>Kusnadi, Tn</td><td>Desa Karangnanas, Kecamatan Sokaraja

, Banyumas</td><td>Islam</td><td>68 TH 2 BL 17 HR</td><td>Laki Laki</td><td>Poliklinik THT</td><td>-</td><td>dr.Bagus Condro Prasetyo, Sp.THT-KL<

/td><td>BPJS</td>


<td>202</td><td>00142304</td><td>Dahyuni, Ny</td><td>Desa Bantarmangu, Cimanggu, Cilacap<

/td><td>Islam</td><td>41 TH 7 BL 7 HR</td><td>Perempuan</td><td>Poliklinik Syaraf</td><td>Mononeuropathy, unspecified</td><td>dr. Tutik Ermawati, Sp.S</td>

<td>BPJS</td></tr>

<tr id="tr203"><td>203</td><td>00142557</td><td>Budiman,Tn</td><td>Kel.Purwokerto Wetan, Kecamatan Purw

okerto Timur, Purwokerto</td><td>Khatolik</td><td>45 TH 20 HR</td><td>Laki Laki</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>


<td>204</td><td>00151328</td><td>Sartem, Ny</td><td>Desa Pandansari, Kecamatan Ajibarang

, Banyumas</td><td>Islam</td><td>65 TH 9 BL 23 HR</td><td>Perempuan</td><td>Poliklinik Syaraf</td><td>-</td><td>dr. Tutik Ermawati, Sp.S</td><td>Umum</td>


<td>205</td><td>00141177</td><td>Siti Nuriyah, Ny</td><td>Desa Kalibagor, Kecamatan Kalibagor,




<td>206</td><td>00142858</td><td>Satam, Tn</td><td>Desa Doplang, Kecamatan Adipala, Cil

acap</td><td>Islam</td><td>42 TH 4 BL 28 HR</td><td>Laki Laki</td><td>Poliklinik Bedah Onkology</td><td>Fibroblastic disorder, unspecified</

td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>

</tr>

<tr id="tr207"><td>207</td><td>00142455</td><td>Dwi Arya Ravi Nur Pitoyo, An</td><td>Desa Karangnanas, Kecamatan Sokaraja

, Banyumas</td><td>Islam</td><td>8 TH 8 BL 5 HR</td><td>Laki Laki</td><td>Poliklinik Syaraf</td><td>Epilepsy, unspecified</td><td>dr. Tutik Ermawati, Sp.S</td><td>BPJS</td>


<td>208</td><td>00141917</td><td>Mutmainah, Ny</td><td>Desa Karangtalun Lor, Kecamatan Purw

ojati, Banyumas</td><td>Islam</td><td>48 TH 1 BL 13 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Malignant neoplasm of breast, unspec



<td>209</td><td>00152902</td><td>Rustam Hadinata, Tn</td><td>Desa Cikidang, Kecamatan Cilongok, B

anyumas</td><td>Islam</td><td>50 TH 5 BL 26 HR</td><td>Laki Laki</td><td>Poliklinik Bedah Onkology</td><td>Tuberculosis of other organs</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>


<td>210</td><td>00150331</td><td>Rinna Dwi Astuti, Ny</td><td>Kel. Gumilir, Kec. Cilacap Utara, Ci

lacap</td><td>Islam</td><td>34 TH 10 BL 4 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Breast, unspecified</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>


<td>211</td><td>00153168</td>

<td>Maylina Kusumastuti, Ny</td><td>Desa Gemuruh, Kecamatan Bawang, Banj




<td>212</td><td>00141055</td><td>Darkimah, Ny</td><td>Desa Kalinusu, Kecamatan Bumiayu, Br

ebes</td><td>Islam</td><td>74 TH 2 BL 9 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Malignant neoplasm of breast, unspec



<td>213</td><td>00153878</td><td>Sukirman, Tn</td><td>Desa Purwasari, Kecamatan Baturaden,

Banyumas</td><td>Khatolik</td><td>57 TH 9 BL 9 HR</td><td>Laki Laki</td><td>Poliklinik THT</td><td>Tinnitus</td><td>dr.Bagus Condro Prasetyo, Sp.THT-KL<

/td><td>BPJS</td>


<td>214</td><td>00153284</td><td>Anisah, Ny</td><td>Desa Jangrana, Kecamatan Kesugihan,

Cilacap</td><td>Islam</td><td>37 TH 4 BL</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Breast, unspecified</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>


<td>215</td><td>00153639</td><td>Dwi Ratna Sari, Nn</td>

<td>Kel.Karangklesem, Kecamatan Purwokerto Selatan, Purwokerto</td>

<td>Islam</td><td>20 TH 19 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Malignant neoplasm of breast, unspec



<td>216</td><td>00153879</td><td>Agni Ayu Pahmilah, Nn</td><td>Desa Pengarasan, Bantarkawung, Brebe

s</td><td>Islam</td><td>17 TH 14 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Lipomatosis, not elsewhere classifie

d</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>


<td>217</td><td>00153051</td><td>Rowiyah, Ny</td><td>Desa Widarapayung Kulon, Kecamatan B

inangun, Cilacap</td><td>Islam</td><td>31 TH 8 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Malignant neoplasm of breast, unspec



<td>218</td><td>00153760</td><td>Sodikin,Tn</td><td>Desa Bangbayang, Bantarkawung, Brebe

s</td><td>Islam</td><td>77 TH 7 BL 8 HR</td><td>Laki Laki</td><td>Poliklinik Bedah Onkology</td><td>Intracerebral haemorrhage, unspecifi

ed</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>Umum</td>


<td>219</td><td>00153880</td><td>Yanter Tri Laksono, Tn</td>

<td>Desa Sokaraja Tengah, Kecamatan Sokaraja, Banyumas</td>

<td>Islam</td><td>26 TH 1 BL</td><td>Laki Laki</td><td>Poliklinik THT</td><td>Acute sinusitis</td><td>dr.Bagus Condro Prasetyo, Sp.THT-KL<

/td><td>BPJS</td>


<td>220</td><td>00141240</td><td>Sudarmi, Ny</td><td>Desa Cilopadang, Majenang, Cilacap</

td><td>Islam</td><td>54 TH 4 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Malignant neoplasm of breast, unspec



<td>221</td><td>00152267</td><td>Maryati,Ny</td><td>Desa Gerduren, Kecamatan Purwojati,



<td>222</td><td>00153304</td><td>Trias Harnisah, Ny</td><td>Desa Mereng, Kecamatan Moga, Pemalan

g</td><td>Islam</td><td>26 TH 5 BL 19 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Neoplasm of uncertain or unknown beh



<td>223</td><td>00153482</td><td>Wahari, Tn</td><td>Desa Bulakan, Kecamatan Belik, Pemal

ang</td><td>Islam</td><td>66 TH 12 HR</td><td>Laki Laki</td><td>Poliklinik Bedah Onkology</td><td>Neoplasm of uncertain or unknown beh



<td>224</td><td>00153881</td><td>Wachmuhadi Waluyo, Tn</td><td>Desa Wangon, Kecamatan Wangon, Banyu

mas</td><td>Islam</td><td>53 TH 10 BL 29 HR</td><td>Laki Laki</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>Umum</td>


<td>225</td><td>00140576</td><td>Sri Prapti Agustin, Ny</td><td>Kel. Slawi Kulon, Slawi, Tegal</td><td>Islam</td><td>56 TH 5 BL 16 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Malignant neoplasm of breast, unspec



<td>226</td><td>00153882</td><td>Rangga Prajawan Yanuwardana, Sdr</td

><td>Desa Ngareanak, Kecamatan Singorojo,

Kendal</td><td>Islam</td><td>29 TH 2 BL 2 HR</td><td>Laki Laki</td><td>Poliklinik Bedah Onkology</td><td>Neoplasm of uncertain or unknown beh



<td>227</td><td>00151098</td><td>Slamet Ciptadi, Tn</td><td>Kel.Berkoh, Kecamatan Purwokerto Sel

atan, Purwokerto</td>

<td>Islam</td><td>58 TH 11 BL 18 HR</td><td>Laki Laki</td><td>Poliklinik Syaraf</td><td>Spondylopathies</td><td>dr. Tutik Ermawati, Sp.S</td><td>BPJS</td>


<td>228</td><td>00151085</td><td>Rudiyanti, Ny</td><td>Kel.Berkoh, Kecamatan Purwokerto Sel

atan, Purwokerto</td><td>Islam</td><td>58 TH 8 BL 23 HR</td><td>Perempuan</td><td>Poliklinik Syaraf</td><td>Polyneuropathy, unspecified</td><td>dr. Tutik Ermawati, Sp.S</td><td>BPJS</td>


<td>229</td><td>00152048</td><td>Sudirah,Ny</td><td>Desa Karanglewas Kidul, Kecamatan Ka

ranglewas, Banyumas</td><td>Islam</td><td>47 TH 8 BL 24 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Malignant neoplasm of breast, unspec



<td>230</td><td>00153761</td><td>Suprijatmo,Tn</td><td>Kelurahan Teluk, Kecamatan Purwokert

o Selatan, Purwokerto</td><td>Islam</td><td>70 TH 9 BL 1 HR</td><td>Laki Laki</td><td>Poliklinik Gigi</td><td>-</td><td>drg. Perwita Oktikarini</td><td>BPJS</td>


<td>231</td><td>00153781</td><td>Sulistiyowati, Ny</td><td>Desa Kertayasa, Kecamatan Mandiraja,

Banjarnegara</td><td>Islam</td><td>43 TH 2 BL 29 HR</td><td>Perempuan</td>

<td>Poliklinik Bedah Onkology</td><td>Malignant neoplasm of breast, unspec



<td>232</td><td>00151580</td><td>Neni Fitriyani, Ny</td><td>Desa Kutaliman, Kecamatan Kedungbant

eng, Banyumas</td><td>Islam</td><td>27 TH 8 BL 20 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Tuberculosis of other organs</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>


<td>233</td><td>00131228</td><td>Elijah Miasih, Ny</td><td>Desa Pekuncen, Kecamatan Pekuncen, B




<td>234</td><td>00153536</td><td>Maryoto, Tn</td><td>Desa Kubangkangkung, Kawunganten, Ci

lacap</td><td>Islam</td><td>53 TH 8 BL 27 HR</td><td>Laki Laki</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>


<td>235</td><td>00151836</td><td>Sumini, Ny</td><td>Desa Karangnanas, Kecamatan Sokaraja

, Banyumas</td><td>Islam</td><td>39 TH 14 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Tuberculosis of other organs</td>



<td>236</td><td>00153884</td><td>Estriana Krisdiantari, Nn</td><td>Kel.Sumpiuh, Kecamatan Sumpiuh, Bany

umas</td><td>Islam</td><td>17 TH 8 BL 23 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Follicular cyst of ovary</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>


<td>237</td><td>00153698</td><td>Syakirudin, Tn</td><td>Kel.Karangklesem, Kecamatan Purwoker

to Selatan, Purwokerto</td><td>Islam</td><td>66 TH 6 BL 14 HR</td><td>Laki Laki</td><td>Poliklinik Gigi</td><td>-</td><td>drg. Perwita Oktikarini</td><td>BPJS</td>


<td>238</td><td>00153582</td><td>Anton Yahya Nugroho, Sdr</td><td>Desa Pandak, Kecamatan Sidoharjo, Sr

agen</td><td>Islam</td><td>18 TH 5 BL 18 HR</td><td>Laki Laki</td><td>Poliklinik Syaraf</td><td>Adhesive capsulitis of shoulder</td><td>dr. Tutik Ermawati, Sp.S</td><td>BPJS</td>


<td>239</td><td>00153885</td><td>Sulistiani Nur Laely, Nn</td><td>Desa Pasir Lor, Kecamatan Karanglewa

s, Banyumas</td><td>Islam</td><td>18 TH 9 BL 17 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Malignant neoplasm of breast</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>Umum</td>


<td>240</td><td>00153456</td><td>Djoko Susilo, Tn</td><td>Desa Bobotsari, Kecamatan Bobotsari,

Purbalingga</td><td>Kristen</td><td>68 TH</td><td>Laki Laki</td><td>Poliklinik Syaraf</td><td>Neuropathic arthropathy</td><td>dr. Tutik Ermawati, Sp.S</td><td>BPJS</td>


<td>241</td><td>00153797</td><td>Taryono, Tn</td><td>Desa Karangpucung, Karangpucung, Cil

acap</td><td>Islam</td><td>56 TH 6 BL 4 HR</td><td>Laki Laki</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>


<td>242</td><td>00153886</td><td>Sodikin, Tn</td><td>Desa Cimanggu, Cimanggu, Cilacap</td

><td>Islam</td><td>64 TH 4 BL 9 HR</td><td>Laki Laki</td><td>Poliklinik Bedah Onkology</td><td>Haemorrhoids</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>


<td>243</td><td>00140789</td><td>Rokhayati, Ny</td><td>Desa Mejasem Timur, Kecamatan Kramat

, Tegal</td><td>Islam</td><td>53 TH 10 BL 1 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Malignant neoplasm of breast, unspec



<td>244</td><td>00153355</td><td>Saipul Haq,Tn</td>

<td>Karang Agung, Sumber Jaya, Lampung Barat</td>



<td>245</td><td>00153887</td><td>Hj. Mufid Khoiru Sholeh, Tn</td><td>Desa Kaliwadas, Kecamatan Bumiayu, B

rebes</td><td>Islam</td><td>85 TH 1 BL 21 HR</td><td>Laki Laki</td><td>Poliklinik Bedah Onkology</td><td>Neoplasm of uncertain or unknown beh

avior of stomach</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>Umum</td>



Purbalingga</td><td>Islam</td><td>36 TH 8 BL 5 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Neoplasm of uncertain or unknown beh



<td>247</td><td>00152145</td><td>Nartem,Ny</td><td>Desa Kedungwringin, Kecamatan Jatila

wang, Banyumas</td><td>Islam</td><td>56 TH 1 BL 15 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Malignant neoplasm of breast, unspec



<td>248</td><td>00152317</td><td>Alfiah, Ny</td><td>Desa Rawaheng, Kecamatan Wangon, Ban

yumas</td><td>Islam</td><td>43 TH 11 BL 22 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Malignant neoplasm of nasopharynx, u



<td>249</td><td>00153804</td><td>Tarwan Hadi Siswoyo, Tn</td><td>Kelurahan Teluk, Kecamatan Purwokert

o Selatan, Purwokerto</td><td>Islam</td><td>69 TH 5 BL 1 HR</td><td>Laki Laki</td><td>Poliklinik Bedah Onkology</td><td>Disorder of prostate, unspecified</t



<td>250</td><td>00150163</td><td>Titi, Ny</td><td>Desa Ciliang, Kecamatan Parigi, Kabu

paten Ciamis</td><td>Islam</td><td>55 TH 9 BL 4 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Malignant neoplasm of breast, unspec



<td>251</td><td>00152165</td><td>Erlentina Teresiana, Ny</td><td>Desa Kaliori, Kecamatan Kalibagor, B




<td>252</td><td>00151053</td><td>Darti, Ny</td><td>Desa Grogolpenatus, Kecamatan Petaha

nan, Kebumen</td><td>Islam</td><td>55 TH 5 BL 2 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Malignant neoplasm of breast, unspec



<td>253</td><td>00141725</td><td>Nening Sofiah, Ny</td><td>Desa Pangkah, Pangkah, Tegal</td><td>Islam</td><td>61 TH 11 BL 18 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Malignant neoplasm of breast, unspec



<td>254</td><td>00142811</td><td>Tumiati, Ny</td><td>Desa Gintungreja, Candrungmangu, Cil

acap</td><td>Islam</td><td>49 TH 6 BL 9 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Malignant neoplasm of breast, unspec



<td>255</td><td>00153787</td><td>Sutriyati,Ny</td><td>Desa Bulakan, Kecamatan Belik, Pemal

ang</td><td>Islam</td><td>44 TH 7 BL 30 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Neoplasm of uncertain or unknown beh



<td>256</td><td>00153384</td><td>Wainah,Ny</td><td>Desa Kalisalak, Kecamatan Kedungbant

eng, Banyumas</td>

<td>Islam</td><td>57 TH 1 BL 15 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Non-Hodgkin's lymphoma, unspecified



<td>257</td><td>00153776</td><td>Retno Warastuti,Ny</td><td>Kel.Purwokerto Kulon, Kecamatan Purw

okerto Selatan, Purwokerto</td><td>Islam</td><td>37 TH 11 BL 14 HR</td><td>Perempuan</td><td>Poliklinik Penyakit Dalam</td><td>Neoplasm of uncertain or unknown beh

avior of parathyroid gland</td><td>dr. Tiara, Sp.PD</td><td>BPJS</td>


<td>258</td><td>00151229</td><td>Lestari, Ny</td><td>Kel.Sumampir, Kecamatan Purwokerto U

tara, Purwokerto</td><td>Islam</td><td>18 TH 7 BL 11 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Malignant neoplasm of breast, unspec



<td>259</td><td>00140123</td><td>Siti Zulecha, Ny</td><td>Desa Gumelem Wetan, Kecamatan Susuka

n, Banjarnegara</td><td>Islam</td><td>53 TH 5 BL 8 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Malignant neoplasm of breast, unspec



<td>260</td><td>00153498</td><td>Sobiyatun, Ny</td><td>Desa Pasiraman Lor, Kecamatan Pekunc

en, Banyumas</td>




<td>261</td><td>00153786</td><td>Nuraeni,Ny</td><td>Desa Kediri, Kecamatan Binong, Kabup

aten Subang</td><td>Islam</td><td>50 TH 8 BL 23 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Neoplasm of uncertain or unknown beh



<td>262</td><td>00141715</td><td>Harmeni, Ny</td><td>Desa Karangjambu, Kecamatan Karangre

ja, Purbalingga</td><td>Islam</td><td>45 TH 3 BL 12 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>


<td>263</td><td>00153117</td><td>Badar, Ny</td><td>Desa Kauman, Kecamatan Kaliwiro, Won

osobo</td><td>Islam</td><td>76 TH 9 BL 5 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>


<td>264</td><td>00153890</td><td>Laily Istiqomah Ekowati, Ny</td><td>Kel.Cilacap, Cilacap Selatan, Cilaca

p</td><td>Islam</td><td>46 TH 10 BL 14 HR</td>



<td>265</td><td>00152969</td><td>Nulyati, Ny</td><td>Desa Adimulyo, Wanareja, Cilacap</td

><td>Kristen</td><td>54 TH 1 BL 18 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>


<td>266</td><td>00150921</td><td>Suwartini, Ny</td><td>Desa Kuntili, Kecamatan Sumpiuh, Ban

yumas</td><td>Islam</td><td>37 TH 11 BL 18 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>


<td>267</td><td>00140961</td><td>Manem, Ny</td><td>Desa Karangkemiri, Kecamatan Maos, C

ilacap</td><td>Islam</td><td>66 TH 1 BL 16 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Malignant neoplasm of endometrium</t



<td>268</td><td>00151501</td><td>Tasmuh, Ny</td><td>Desa Bener, Majenang, Cilacap</td><td>Islam</td><td>72 TH 6 BL 3 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Neoplasm of uncertain or unknown beh

avior of other specified sites</td>

<td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>Umum</td>


<td>269</td><td>00141380</td><td>Sabri Ilham Rizki, Sdr</td><td>Desa Kebanggan, Kecamatan Sumbang, B

anyumas</td><td>Islam</td><td>18 TH 2 BL 16 HR</td><td>Laki Laki</td><td>Poliklinik Bedah Onkology</td><td>Neoplasm of uncertain or unknown beh



<td>270</td><td>00151758</td><td>Mariyah, Ny</td><td>Desa Banjarsari, Kecamatan Nusawungu

, Cilacap</td><td>Islam</td><td>49 TH 11 BL 2 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>


<td>271</td><td>00141341</td><td>Sungesti Mardjuansih, Ny</td><td>Kelurahan Teluk, Kecamatan Purwokert



<td>272</td><td>00153330</td><td>Tasikun, Tn</td><td>Desa Kedungrandu, Kecamatan Patikraj

a, Banyumas</td><td>Islam</td><td>67 TH 8 BL 9 HR</td><td>Laki Laki</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>

</tr>

<tr id="tr273"><td>273</td><td>00140361</td><td>Siti Soimah, Ny</td><td>Desa Mangunjaya, Kecamatan Padaheran

g, Kabupaten Ciamis</td><td>Islam</td><td>45 TH 3 BL 1 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Malignant neoplasm of breast, unspec



<td>274</td><td>00153584</td><td>Sukidah, Ny</td><td>Kel.Kranji, Kecamatan Purwokerto Tim

ur, Purwokerto</td><td>Islam</td><td>60 TH 3 BL 16 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>


<td>275</td><td>00153891</td><td>Narsiti, Ny</td><td>Desa Karangnanas, Kecamatan Sokaraja

, Banyumas</td><td>Islam</td><td>35 TH 7 BL 6 HR</td><td>Perempuan</td><td>Poliklinik Umum</td><td>Vertigo of central origin</td><td>dr. Wandito Gayuh Utomo</td><td>Umum</td>


<td>276</td><td>00142278</td><td>Dainah, Ny</td><td>Desa Sesepan, Balapulang, Tegal</td><td>Islam</td><td>58 TH 7 BL 12 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Malignant neoplasm of breast, unspec



<td>277</td><td>00142772</td>

<td>Rumiyati, Ny</td><td>Kel.Purwokerto Lor, Kecamatan Purwok

erto Timur, Purwokerto</td><td>Islam</td><td>50 TH 10 BL 21 HR</td><td>Perempuan</td><td>Poliklinik Syaraf</td><td>-</td><td>dr. Tutik Ermawati, Sp.S</td><td>BPJS</td>


<td>278</td><td>00142320</td><td>Sartini, Ny</td><td>Desa Banjaranyar, Kecamatan Pekuncen

, Banyumas</td><td>Islam</td><td>55 TH 1 BL 14 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>


<td>279</td><td>00111216</td><td>Nurhayati, Ny</td><td>Desa Hegarsari, Kecamatan Pataruman,

Kabupaten Ciamis</td><td>Islam</td><td>55 TH 1 BL 13 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Malignant neoplasm of breast, unspec



<td>280</td><td>00153729</td><td>Siti Hotimah, Ny</td><td>Desa Kertajaya, Kecamatan Padaherang

, Kabupaten Ciamis</td><td>Islam</td><td>61 TH 7 BL 8 HR</td><td>Perempuan</td><td>Poliklinik Obsgyn</td><td>Secondary malignant neoplasm of ovar

y</td><td>dr. Soegeng Djiwarahga, Sp.OG</td><td>Umum</td>


<td>281</td><td>00142171</td><td>Jahrudin, Tn</td><td>Desa Rejasari, Kecamatan Langensari,

Kabupaten Ciamis</td><td>Islam</td><td>61 TH 9 BL 1 HR</td><td>Laki Laki</td><td>Poliklinik Bedah Onkology</td><td>Malignant neoplasm of head, face and

neck</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>


<td>282</td><td>00153611</td><td>Tarjono, Tn</td><td>Desa Tayem, Karangpucung, Cilacap</t

d><td>Islam</td><td>54 TH 8 BL 5 HR</td><td>Laki Laki</td><td>Poliklinik Bedah Onkology</td><td>Unspecified haemorrhoids without com

plication</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>


<td>283</td><td>00151126</td><td>Siti Asiyah, Ny</td><td>Desa Bondolharjo, Kecamatan Punggela




<td>284</td><td>00152814</td><td>Satem, Ny</td><td>Desa Kesugihan, Kecamatan Kesugihan,

Cilacap</td><td>Islam</td><td>74 TH 9 BL 12 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Malignant neoplasm of breast, unspec



<td>285</td><td>00153720</td><td>Saniem,Ny</td><td>Desa Sindangjaya, Kecamatan Padahera

ng, Kabupaten Ciamis</td><td>Islam</td><td>91 TH 1 BL 22 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Other degenerative diseases of basal

ganglia</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>Umum</td>


<td>286</td><td>00153829</td><td>Iroh Sujamroh,Ny</td><td>Kelurahan Teluk, Kecamatan Purwokert

o Selatan, Purwokerto</td><td>Islam</td><td>42 TH 8 BL 3 HR</td><td>Perempuan</td><td>Poliklinik Umum</td><td>Open wound of cheek and temporomandi

bular area</td><td>dr. Wandito Gayuh Utomo</td><td>Umum</td>


<td>287</td><td>00153892</td><td>Abimanyu Adia Putra, An</td><td>Kelurahan Teluk, Kecamatan Purwokert

o Selatan, Purwokerto</td><td>Islam</td><td>2 TH 3 BL 22 HR</td><td>Laki Laki</td><td>Poliklinik Umum</td><td>-</td><td>dr. Wandito Gayuh Utomo</td><td>Umum</td>


<td>288</td><td>00152722</td><td>Kalimatus Sadiyah,Nn</td><td>Desa Pruwatan, Kecamatan Bumiayu, Br

ebes</td><td>Islam</td><td>22 TH 3 BL 8 HR</td><td>Perempuan</td><td>Poliklinik Penyakit Dalam</td><td>-</td><td>dr. Tiara, Sp.PD</td><td>BPJS</td>


<td>289</td><td>00153512</td><td>Warsono,Tn</td><td>Desa Dukuhturi, Kecamatan Bumiayu, B

rebes</td><td>Islam</td>

<td>53 TH 1 BL 12 HR</td><td>Laki Laki</td><td>Poliklinik Syaraf</td><td>-</td><td>dr. Tutik Ermawati, Sp.S</td><td>BPJS</td>


<td>290</td><td>00150169</td><td>Supriasih, Ny</td><td>Kelurahan Teluk, Kecamatan Purwokert

o Selatan, Purwokerto</td><td>Islam</td><td>35 TH 8 BL 3 HR</td><td>Perempuan</td><td>Poliklinik Penyakit Dalam</td><td>-</td><td>dr. Tiara, Sp.PD</td><td>BPJS</td>


<td>291</td><td>00153893</td><td>Sulisno, Tn</td><td>Desa Ciporos, Karangpucung, Cilacap<

/td><td>Islam</td><td>66 TH 4 BL 11 HR</td><td>Laki Laki</td><td>Poliklinik Penyakit Dalam</td><td>-</td><td>dr. Tiara, Sp.PD</td><td>BPJS</td>


<td>292</td><td>00152640</td><td>Juni Susanto, Sdr</td><td>Desa Cikidang, Kecamatan Cilongok, B

anyumas</td><td>Islam</td><td>16 TH 7 BL 29 HR</td><td>Laki Laki</td><td>Poliklinik Bedah Orthopedi</td><td>Neoplasm of uncertain or unknown beh

avior of bone and articular cartilage</td><td>dr. Bambang Agus Teja Kusumah Sp. OT

</td><td>BPJS</td>


<td>293</td><td>00153894</td><td>Muji Pangestuti, Ny</td><td>Desa Karanglo, Kecamatan Cilongok, B

anyumas</td><td>Islam</td><td>31 TH 10 BL 7 HR</td><td>Perempuan</td>




<td>294</td><td>00152067</td><td>Hadi Sarbini , Tn</td><td>Desa Rakit, Kecamatan Rakit, Banjarn



<td>295</td><td>00141701</td><td>Sutanti, Ny</td><td>Kel.Kober, Kecamatan Purwokerto Bara

t, Purwokerto</td><td>Islam</td><td>66 TH 1 BL 17 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>


<td>296</td><td>00153386</td><td>Suparyami, Ny</td><td>Desa Susukan, Kecamatan Comal, Pemal

ang</td><td>Islam</td><td>60 TH 9 BL 4 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Non-Hodgkin's lymphoma, unspecified



<td>297</td><td>00153675</td><td>Mucik Amiyati,Ny</td><td>Desa Bojongkantong, Kecamatan Langen


ified</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>Umum</td>


<td>298</td><td>00152336</td><td>Siti Amanah, Ny</td><td>Desa Sindangkasih, Kecamatan Cikonen

g, Kabupaten Ciamis</td><td>Islam</td><td>32 TH 6 BL 11 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>


<td>299</td><td>00151872</td><td>Sariman Muhroji, Tn</td><td>Desa Gandrungmangu, Candrungmangu, C

ilacap</td><td>Islam</td><td>58 TH 11 BL 2 HR</td><td>Laki Laki</td><td>Poliklinik Bedah Onkology</td><td>Malignant neoplasm of ill-defined si

tes within the digestive system</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>


<td>300</td><td>00110399</td><td>Siti Rohayati, Ny</td><td>Desa Kuripan, Kecamatan Kesugihan, C

ilacap</td><td>Islam</td><td>38 TH 8 BL 28 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Malignant neoplasm of breast, unspec



<td>301</td><td>00120052</td><td>Slamet, Tn</td><td>Kel.Karangklesem, Kecamatan Purwoker

to Selatan, Purwokerto</td><td>Islam</td><td>61 TH 9 BL 2 HR</td><td>Laki Laki</td><td>Poliklinik Penyakit Dalam</td><td>-</td><td>dr. Tiara, Sp.PD</td>

<td>BPJS</td></tr>

<tr id="tr302"><td>302</td><td>00140570</td><td>Sajem, Ny</td><td>Desa Tambakreja, Kedungreja, Cilacap




<td>303</td><td>00142338</td><td>Danisah, Ny</td><td>Desa Wanarata, Kecamatan Bantarbolan

g, Pemalang</td><td>Islam</td><td>46 TH 7 BL 22 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Malignant neoplasm of breast, unspec



<td>304</td><td>00153169</td><td>Samen, Ny</td><td>Kelurahan Tritih Kulon, Kec. Cilacap

Utara, Cilacap</td><td>Islam</td><td>69 TH 4 BL 7 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>


<td>305</td><td>00153777</td><td>Suryati,Nn</td><td>Desa Petahunan, Kecamatan Pekuncen,




<td>306</td><td>00152322</td><td>Basimah, Ny</td><td>Desa Gunungreja, Sidareja, Cilacap</

td><td>Islam</td><td>68 TH 1 BL 11 HR</td><td>Perempuan</td><td>Poliklinik Penyakit Dalam</td><td>-</td><td>dr. Tiara, Sp.PD</td><td>Umum</td>


<td>307</td><td>00153108</td><td>Sopiyah, Ny</td><td>Desa Mergosari, Kecamatan Leksono, W

onosobo</td><td>Islam</td><td>42 TH 10 BL 2 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Malignant neoplasm of breast, unspec



<td>308</td><td>00152820</td><td>Siti Djumarni, Ny</td><td>Desa Karanggintung, Kecamatan Sumban

g, Banyumas</td><td>Islam</td><td>61 TH 2 BL 4 HR</td><td>Perempuan</td><td>Poliklinik Syaraf</td><td>-</td><td>dr. Tutik Ermawati, Sp.S</td><td>BPJS</td>


<td>309</td><td>00131657</td><td>Neli Nuryati, Ny</td><td>Desa Jompo Kulon, Kecamatan Sokaraja

, Banyumas</td><td>Islam</td><td>45 TH 5 BL 3 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Malignant neoplasm of breast, unspec



<td>310</td><td>00153895</td><td>Anita Sofhia, Ny</td><td>Kalisari, Pasarrebo, Jakarta Timur</

td><td>Islam</td><td>38 TH 9 BL 17 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>Umum</td>


<td>311</td><td>00142639</td><td>Moedji Rahajoe, Ny</td><td>Desa Sidamulya, Sidareja, Cilacap</t

d><td>Islam</td><td>76 TH 19 HR</td><td>Perempuan</td><td>Poliklinik Syaraf</td><td>-</td><td>dr. Tutik Ermawati, Sp.S</td><td>BPJS</td>


<td>312</td><td>00153896</td><td>Lutfiyah, Ny</td><td>Desa Sidamulya, Sidareja, Cilacap</t

d><td>Islam</td><td>51 TH 4 BL 27 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Neoplasm of uncertain or unknown beh

avior of connective and other soft tissue</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>Umum</td>


<td>313</td><td>00153897</td><td>Yasinta Arabbela, An</td><td>Desa Bantarsari, Kecamatan Pamarican

, Kabupaten Ciamis</td><td>Islam</td><td>9 TH 6 BL 3 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Neoplasm of uncertain or unknown beh



<td>314</td><td>00153244</td>

<td>Tulus Prayitno,Tn</td><td>Desa Patimuan, Kecamatan Patimuan, C

ilacap</td><td>Islam</td><td>37 TH 5 BL 27 HR</td><td>Perempuan</td><td>Poliklinik Syaraf</td><td>-</td><td>dr. Tutik Ermawati, Sp.S</td><td>BPJS</td>


<td>315</td><td>00152907</td><td>Kuswiyati, Ny</td><td>Desa Ciberung, Kecamatan Ajibarang,

Banyumas</td><td>Islam</td><td>41 TH 3 BL</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Malignant neoplasm of breast, unspec



<td>316</td><td>00152056</td><td>Auliya Khayatun, An</td><td>Desa Danasri, Kecamatan Nusawungu, C

ilacap</td><td>Islam</td><td>6 TH 7 BL 13 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Anaemia, unspecified</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>


<td>317</td><td>00153476</td><td>Supriyatin, Ny</td><td>Desa Cibangkong, Kecamatan Pekuncen,



<td>318</td><td>00150670</td><td>Anwar Iswanti, Ny</td><td>Kelurahan Gunungsimping, Cilacap Ten

gah, Cilacap</td>



<td>319</td><td>00150836</td><td>Surtini, Ny</td><td>Desa Bantarwuni, Kecamatan Kembaran,



<td>320</td><td>00153241</td><td>Suriah, Ny</td><td>Desa Sikasur, Kecamatan Belik, Pemal

ang</td><td>Islam</td><td>57 TH 6 BL 21 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>


<td>321</td><td>00153898</td><td>Retnoasih,Ny</td><td>Desa Karangrau, Kecamatan Sokaraja,

Banyumas</td><td>Islam</td><td>26 TH 10 BL 27 HR</td><td>Perempuan</td><td>Poliklinik Syaraf</td><td>-</td><td>dr. Tutik Ermawati, Sp.S</td><td>Umum</td>


<td>322</td><td>00152445</td><td>Eni Listiawati, Nn</td><td>Desa Kertanegara, Kecamatan Karangan

yar, Purbalingga</td><td>Islam</td><td>19 TH 8 BL 27 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td>

<td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>Umum</td>


<td>323</td><td>00150339</td><td>Machtori Solechan, Tn</td><td>Desa Susukan, Kecamatan Sumbang, Ban

yumas</td><td>Islam</td><td>77 TH 1 BL 29 HR</td><td>Laki Laki</td><td>Poliklinik Syaraf</td><td>Epilepsy, unspecified</td><td>dr. Tutik Ermawati, Sp.S</td><td>BPJS</td>


<td>324</td><td>00153696</td><td>Sonnia Pravita Sari, Nn</td><td>Desa Mulyasari, Majenang, Cilacap</t

d><td>Islam</td><td>22 TH 10 BL 25 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>Umum</td>


<td>325</td><td>00131461</td><td>Sri Sukarti, Ny</td><td>Desa Cisumur, Candrungmangu, Cilacap

</td><td>Islam</td><td>56 TH 9 BL 10 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>


<td>326</td><td>00153581</td><td>Yatinah, Ny</td><td>Desa Bener, Majenang, Cilacap</td><td>Islam</td><td>36 TH 4 BL 3 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>Umum</td>


<td>327</td><td>00142735</td><td>Ponirah, Ny</td><td>Desa Adireja Wetan, Kecamatan Adipal

a, Cilacap</td><td>Islam</td><td>36 TH 3 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>


<td>328</td><td>00153899</td><td>Faikoh,Ny</td><td>Desa Kalijeruk, Kawunganten, Cilacap

</td><td>Islam</td><td>47 TH 4 BL 25 HR</td><td>Perempuan</td><td>Poliklinik Syaraf</td><td>-</td><td>dr. Tutik Ermawati, Sp.S</td><td>BPJS</td>


<td>329</td><td>00142273</td><td>Sri Suliasti, Ny</td><td>Kel. Bancar, Kecamatan Purbalingga,



<td>330</td><td>00153524</td><td>Darwo,Tn</td><td>Desa Sokawera Kidul, Kecamatan Patik

raja, Banyumas</td><td>Islam</td><td>54 TH 2 BL 7 HR</td><td>Laki Laki</td><td>Poliklinik Syaraf</td><td>-</td><td>dr. Tutik Ermawati, Sp.S</td><td>BPJS</td>


<td>331</td><td>00150281</td><td>Siti Masithoh, Ny</td><td>Desa Blambangan, Kecamatan Bawang, B

anjarnegara</td><td>Islam</td><td>64 TH 7 BL 19 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Malignant neoplasm of breast, unspec



<td>332</td><td>00153643</td><td>Sutinah, Ny</td><td>Desa Susukan, Kecamatan Susukan, Ban

jarnegara</td><td>Islam</td><td>58 TH 5 BL</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Malignant neoplasm of breast, unspec



<td>333</td><td>00140650</td><td>Sudarmadi, Tn</td><td>Desa Sidamulya, Sidareja, Cilacap</t

d><td>Khatolik</td><td>60 TH 10 BL 25 HR</td><td>Laki Laki</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>Umum</td>


<td>334</td><td>00151544</td><td>Endang Retnoningsih, Ny</td><td>Desa Wanacala, Songgom, Brebes</td><td>Islam</td><td>48 TH 1 BL 13 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>


<td>335</td><td>00152861</td><td>Sulastri, Ny</td><td>Desa Karanggintung, Kecamatan Sumban

g, Banyumas</td><td>Kristen</td><td>72 TH 11 BL</td>

<td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Anaemia, unspecified</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>


<td>336</td><td>00153176</td><td>Saminah, Ny</td><td>Desa Ajibarang Kulon, Kecamatan Ajib

arang, Banyumas</td><td>Islam</td><td>64 TH 1 BL 17 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>


<td>337</td><td>00151218</td><td>Darmun, Tn</td><td>Desa Mujur Lor, Kecamatan Kroya, Cil

acap</td><td>Islam</td><td>68 TH 1 BL 14 HR</td><td>Laki Laki</td><td>Poliklinik Bedah Onkology</td><td>Carcinoma in situ of rectum</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>


<td>338</td><td>00153161</td><td>Nina, Ny</td><td>Kel.Kranji, Kecamatan Purwokerto Tim

ur, Purwokerto</td><td>Islam</td><td>38 TH 4 BL</td><td>Perempuan</td><td>Poliklinik Syaraf</td><td>-</td><td>dr. Tutik Ermawati, Sp.S</td><td>BPJS</td>


<td>339</td><td>00152114</td><td>Hasna Azzahra,Nn</td><td>Kel.Purwokerto Wetan, Kecamatan Purw

okerto Timur, Purwokerto</td><td>Islam</td><td>16 TH 7 BL 10 HR</td><td>Perempuan</td><td>Poliklinik Syaraf</td><td>-</td><td>dr. Tutik Ermawati, Sp.S</td>

<td>Umum</td></tr>

<tr id="tr340"><td>340</td><td>00131273</td><td>Anisa Basamalah, Ny</td><td>Kel.Kranji, Kecamatan Purwokerto Tim

ur, Purwokerto</td><td>Islam</td><td>61 TH 11 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>Umum</td>


<td>341</td><td>00150658</td><td>Rasiman, Tn</td><td>Kelurahan Teluk, Kecamatan Purwokert

o Selatan, Purwokerto</td><td>Islam</td><td>62 TH 11 BL 20 HR</td><td>Laki Laki</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>


<td>342</td><td>00151012</td><td>Lily Kusumaningsih, Ny</td><td>Desa Kedungbenda, Kecamatan Kemangko

n, Purbalingga</td><td>Islam</td><td>40 TH 10 BL 11 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>


<td>343</td><td>00141076</td><td>Endang Rosomulyo, Ny</td><td>Kelurahan Teluk, Kecamatan Purwokert

o Selatan, Purwokerto</td><td>Islam</td><td>46 TH 7 BL 29 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>


<td>344</td>

<td>00153691</td><td>Ineke Indrijawati S,Ny</td><td>Kel.Purwokerto Kulon, Kecamatan Purw

okerto Selatan, Purwokerto</td><td>Kristen</td><td>46 TH 9 BL 21 HR</td><td>Perempuan</td><td>Poliklinik Syaraf</td><td>-</td><td>dr. Tutik Ermawati, Sp.S</td><td>BPJS</td>


<td>345</td><td>00153692</td><td>Lie Fie Lian Theresia,Nn</td><td>Kel.Karangpucung, Kecamatan Purwoker

to Selatan, Purwokerto</td><td>Khatolik</td><td>49 TH 14 HR</td><td>Perempuan</td><td>Poliklinik Syaraf</td><td>-</td><td>dr. Tutik Ermawati, Sp.S</td><td>BPJS</td>


<td>346</td><td>00153494</td><td>Koo Hwie Nio Yohana, Ny</td><td>Kel.Karangpucung, Kecamatan Purwoker

to Selatan, Purwokerto</td><td>Khatolik</td><td>78 TH 2 BL 22 HR</td><td>Perempuan</td><td>Poliklinik Syaraf</td><td>-</td><td>dr. Tutik Ermawati, Sp.S</td><td>BPJS</td>


<td>347</td><td>00153031</td><td>Faizal Fandi Fialdi,Sdr</td><td>Kelurahan Ketintang, Kec.Gayungan, K

otamadya Surabaya</td><td>Islam</td><td>19 TH 9 BL 23 HR</td><td>Laki Laki</td><td>Poliklinik Umum</td><td>-</td><td>dr.Andy Lestiono</td><td>Umum</td>


<td>348</td><td>00153811</td><td>Admini, Ny</td><td>Desa Karangkemojing, Gumelar, Banyum

as</td>

<td>Islam</td><td>34 TH 1 BL 8 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Malignant neoplasm of breast</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>Umum</td>


<td>349</td><td>00110376</td><td>Supriyati, Ny</td><td>Desa Winduaji, Kecamatan Paguyangan,

Brebes</td><td>Islam</td><td>56 TH 6 BL 20 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>


<td>350</td><td>00142014</td><td>Supriyatin, Ny</td><td>Kelurahan Sidanegara, Cilacap Tengah




<td>351</td><td>00151898</td><td>Sulasmi, Ny</td><td>Desa Brecek, Kecamatan Kaligondang,

Purbalingga</td><td>Islam</td><td>46 TH 5 BL 17 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Malignant neoplasm of breast, unspec



<td>352</td><td>00152746</td><td>Sukmanah, Ny</td><td>Desa Cimanggu, Kecamatan Langkaplanc

ar, Kabupaten Ciamis</td><td>Islam</td><td>55 TH 6 BL 29 HR</td>



<td>353</td><td>00153358</td><td>Yatimah,Ny</td><td>Kel.Kober, Kecamatan Purwokerto Bara

t, Purwokerto</td><td>Islam</td><td>46 TH 6 BL 23 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>Umum</td>


<td>354</td><td>00142891</td><td>Turimah, Ny</td><td>Desa Candiwulan, Kecamatan Kutasari,



<td>355</td><td>00153381</td><td>Isak, Tn</td><td>Desa Sukadana, Kecamatan Compreng, K

abupaten Subang</td><td>Islam</td><td>40 TH 1 BL 10 HR</td><td>Laki Laki</td><td>Poliklinik Bedah Onkology</td><td>Neoplasm of uncertain or unknown beh



<td>356</td><td>00151480</td><td>Rio Bahtiar, Sdr</td><td>Desa Sirnajaya, Kecamatan Rajadesa,

Kabupaten Ciamis</td><td>Islam</td><td>14 TH 9 BL 2 HR</td><td>Laki Laki</td><td>Poliklinik Bedah Onkology</td><td>-</td>



<td>357</td><td>00143229</td><td>Mafiroh, Ny</td><td>Desa Pulosari, Kecamatan Pulosari, P

emalang</td><td>Islam</td><td>52 TH 1 BL 15 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Malignant neoplasm of breast, unspec



<td>358</td><td>00152542</td><td>Neni Haerani,Ny</td><td>Desa Baregbeg, Kecamatan Ciamis, Kab

upaten Ciamis</td><td>Islam</td><td>43 TH 2 BL 9 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>


<td>359</td><td>00152108</td><td>Siswo Wardiyono, Tn</td><td>Desa Karangjambe, Kecamatan Padamara

, Purbalingga</td><td>Islam</td><td>61 TH 2 BL 4 HR</td><td>Laki Laki</td><td>Poliklinik Bedah Onkology</td><td>Malignant neoplasm of head, face and



<td>360</td><td>00153479</td><td>Supirno, Tn</td><td>Desa Purbadana, Kecamatan Kembaran,

Banyumas</td><td>Islam</td><td>67 TH 5 BL 24 HR</td><td>Laki Laki</td><td>Poliklinik Bedah Onkology</td><td>Hydrocele, unspecified</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>


<td>361</td><td>00151880</td><td>Sutirah, Ny</td><td>Desa Pekuncen, Kecamatan Jatilawang,




<td>362</td><td>00153678</td><td>Rasem,Ny</td><td>Desa Kutasari, Cipari, Cilacap</td><td>Islam</td><td>51 TH 6 BL 10 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Malignant neoplasm of breast, unspec



<td>363</td><td>00152895</td><td>Duriyah, Ny</td><td>Desa Belik, Kecamatan Belik, Pemalan



<td>364</td><td>00152005</td><td>Carti, Ny</td><td>Desa Banjaran, Salem, Brebes</td><td>Islam</td><td>51 TH 3 BL 28 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>


<td>365</td><td>00153004</td>

<td>Chodiati,Ny</td><td>Desa Kertahayu, Kecamatan Pamarican,



<td>366</td><td>00153499</td><td>Rochisoh, Ny</td><td>Desa Sikonco, Kecamatan Nusawungu, C

ilacap</td><td>Islam</td><td>39 TH 5 BL 11 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Malignant neoplasm of breast</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>


<td>367</td><td>00153689</td><td>Wiwi,Ny</td><td>Desa Cisontrol, Kecamatan Rancah, Ka

bupaten Ciamis</td><td>Islam</td><td>36 TH 10 BL 20 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Malignant neoplasm of breast, unspec



<td>368</td><td>00150083</td><td>Dirkem, Ny</td><td>Desa Karangmangu, Kecamatan Purwojat

i, Banyumas</td><td>Islam</td><td>42 TH 6 BL 2 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Malignant neoplasm of breast, unspec



<td>369</td><td>00151659</td><td>Slamet Sankardi, Tn</td><td>Desa Kewangunan, Kecamatan Petahanan

, Kebumen</td><td>Islam</td><td>54 TH 11 BL 9 HR</td><td>Laki Laki</td><td>Poliklinik Bedah Onkology</td><td>Malignant neoplasm of head, face and



<td>370</td><td>00151044</td><td>Suliyah, Ny</td><td>Desa Karangnanas, Kecamatan Sokaraja

, Banyumas</td><td>Islam</td><td>38 TH 4 BL 20 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Malignant neoplasm of rectum</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>


<td>371</td><td>00151341</td><td>Nur Indah Permatasari, Ny</td><td>Desa Gentasari, Kecamatan Kroya, Cil

acap</td><td>Islam</td><td>25 TH 4 BL 27 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Malignant neoplasm of mandible</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>



lingga, Purbalingga</td><td>Kristen</td><td>28 TH 9 BL 19 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Breast, unspecified</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>Umum</td>


<td>373</td><td>00152734</td><td>Dewi Quraesyin Siregar, Ny</td><td>Desa Cipadujaya, Kecamatan Larangan,

Kotamadya Tangerang</td><td>Islam</td><td>67 TH 3 BL</td>



<td>374</td><td>00153903</td><td>Rahayu,Ny</td><td>Kapuk, Cengkareng, Jakarta Barat</td




<td>375</td><td>00140159</td><td>Patikha, Ny</td><td>Desa Lebaksiu Kidul, Lebaksiu, Tegal




<td>376</td><td>00153709</td><td>Puspita Mutiarasari, Ny</td><td>Kelurahan Teluk, Kecamatan Purwokert

o Selatan, Purwokerto</td><td>Islam</td><td>28 TH 26 HR</td><td>Perempuan</td><td>Poliklinik THT</td><td>Syncope and collapse</td><td>dr.Bagus Condro Prasetyo, Sp.THT-KL<

/td><td>BPJS</td>


<td>377</td><td>00153765</td><td>Dasri, Ny</td><td>Desa Cilibur, Kecamatan Paguyangan,

Brebes</td><td>Islam</td><td>48 TH 1 BL 10 HR</td><td>Perempuan</td>

<td>Poliklinik Bedah Onkology</td><td>Bladder-neck obstruction</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>


<td>378</td><td>00151615</td><td>Holisoh,Ny</td><td>Desa Margasari, Sidareja, Cilacap</t

d><td>Islam</td><td>46 TH 8 BL 30 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Haemorrhage of anus and rectum</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>


<td>379</td><td>00153518</td><td>Ambar Wati, Nn</td><td>Kel. Arcawinangun, Kecamatan Purwoke

rto Timur, Purwokerto</td><td>Islam</td><td>35 TH 9 BL 10 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Neoplasm of uncertain or unknown beh



<td>380</td><td>00140115</td><td>Casem, Ny</td><td>Desa Kesegeran, Kecamatan Cilongok,



<td>381</td><td>00141898</td><td>Dwi Rahayu, Ny</td><td>Desa Kutosari, Kecamatan Kebumen, Ke

bumen</td><td>Islam</td><td>54 TH 6 BL 3 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Malignant neoplasm of breast, unspec

ified</td>



<td>382</td><td>00142298</td><td>Sarifatun, Ny</td><td>Desa Karangjati, Kecamatan Sampang,




<td>383</td><td>00153790</td><td>Wasyati Wibowo,Ny</td><td>Desa Kebandungan, Bantarkawung, Breb

es</td><td>Islam</td><td>35 TH 9 BL 19 HR</td><td>Perempuan</td><td>Poliklinik THT</td><td>-</td><td>dr.Bagus Condro Prasetyo, Sp.THT-KL<

/td><td>Umum</td>


<td>384</td><td>00153628</td><td>Roni Rahmana,Tn</td><td>Desa Kebandungan, Bantarkawung, Breb

es</td><td>Islam</td><td>34 TH 8 BL 24 HR</td><td>Laki Laki</td><td>Poliklinik THT</td><td>-</td><td>dr.Bagus Condro Prasetyo, Sp.THT-KL<

/td><td>Umum</td>


<td>385</td><td>00152548</td><td>Abdul Jalil, Tn</td><td>Desa Bangbayang, Kecamatan Cipaku, K

abupaten Ciamis</td><td>Islam</td><td>46 TH 9 BL 4 HR</td><td>Laki Laki</td><td>Poliklinik THT</td><td>-</td><td>dr.Bagus Condro Prasetyo, Sp.THT-KL<

/td><td>BPJS</td>


<td>386</td><td>00153224</td><td>Pujiati, Ny</td><td>Desa Sidamulya, Sidareja, Cilacap</t




<td>387</td><td>00153598</td><td>Kanthi Wiyatni, Nn</td><td>Desa Keleng, Kecamatan Kesugihan, Ci

lacap</td><td>Islam</td><td>20 TH 1 BL 16 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Neoplasm of uncertain or unknown beh



<td>388</td><td>00143308</td><td>Suharti, Ny</td><td>Desa Cikeasudik, Kecamatan Gunungput

ri, Kabupaten Bogor</td><td>Islam</td><td>40 TH 1 BL 11 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Malignant neoplasm of breast, unspec



<td>389</td><td>00153110</td><td>Herni Subandiyati, Ny</td><td>Desa Cimanggu, Cimanggu, Cilacap</td

><td>Islam</td><td>55 TH 10 BL 26 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Anaemia, unspecified</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td>

<td>BPJS</td></tr>

<tr id="tr390"><td>390</td><td>00152475</td><td>Sariyah, Ny</td><td>Desa Winongsari, Kecamatan Kaliwiro,

Wonosobo</td><td>Islam</td><td>50 TH 24 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Anaemia, unspecified</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>


<td>391</td><td>00153275</td><td>Rizal Mahmud Tamami, An</td><td>Desa Cikoneng, Kecamatan Cikoneng, K


/td><td>BPJS</td>


<td>392</td><td>00153441</td><td>Saminah, Ny</td><td>Desa Kujangsari, Kecamatan Langensar

i, Kabupaten Ciamis</td><td>Islam</td><td>53 TH 8 BL 3 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Benign neoplasm of colon, unspecifie



<td>393</td><td>00151179</td><td>Ani Fadillah, Ny</td><td>Desa Bajong, Kecamatan Bukateja, Pur

balingga</td><td>Islam</td><td>47 TH 7 BL 27 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Malignant neoplasm of breast, unspec



<td>394</td><td>00153537</td><td>Wartiyem, Ny</td><td>Desa Karangrau, Kecamatan Sokaraja,

Banyumas</td><td>Islam</td><td>43 TH 10 HR</td><td>Perempuan</td><td>Poliklinik Gigi</td><td>Exfoliation of teeth due to systemic

causes</td><td>drg. Perwita Oktikarini</td><td>BPJS</td>


<td>395</td><td>00153905</td><td>Sartini,Ny</td><td>Desa Bumireja, Kedungreja, Cilacap</

td><td>Islam</td><td>50 TH 4 BL 10 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Calculus of kidney</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>Umum</td>


<td>396</td><td>00142533</td><td>Tujiah, Ny</td><td>Kel. Wonosobo, Kecamatan Wonosobo,

Wonosobo</td><td>Islam</td><td>56 TH 8 BL 20 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Malignant neoplasm of breast, unspec



<td>397</td><td>00153906</td><td>Jeje,Tn</td><td>Desa Batukaras, Kecamatan Cijulang,

Kabupaten Ciamis</td><td>Islam</td><td>58 TH 8 BL 8 HR</td><td>Laki Laki</td><td>Poliklinik Bedah Onkology</td><td>Neoplasm of uncertain or unknown beh


</tr>

<tr id="tr398"><td>398</td><td>00142256</td><td>Dyah Sri Hastuti, Ny</td><td>Desa Banjarsari Wetan, Kecamatan Sum

bang, Banyumas</td><td>Islam</td><td>58 TH 11 BL 2 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Malignant neoplasm of breast, unspec



<td>399</td><td>00153256</td><td>Sukesih,Ny</td><td>Desa Glempang, Kecamatan Mandiraja,

Banjarnegara</td><td>Islam</td><td>34 TH 6 BL</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>


<td>400</td><td>00141743</td><td>Triyati, Ny</td><td>Desa Penggarutan, Kecamatan Bumiayu,

Brebes</td><td>Islam</td><td>53 TH 9 BL 5 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Malignant neoplasm of breast, unspec



<td>401</td><td>00153794</td><td>Sikun P,Tn</td><td>Desa Pangandaran, Kecamatan Panganda

ran, Kabupaten Ciamis</td><td>Islam</td><td>60 TH 3 BL 5 HR</td><td>Laki Laki</td><td>Poliklinik Bedah Onkology</td><td>Intracerebral haemorrhage, unspecifi

ed</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>Umum</td>


<td>402</td><td>00153752</td><td>Sriyanti,Ny</td><td>Desa Sukomulyo, Kecamatan Rowokele,

Kebumen</td><td>Islam</td><td>38 TH 7 BL 15 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Neoplasm of uncertain or unknown beh



<td>403</td><td>00142656</td><td>Tuminah, Ny</td><td>Kel. Tambakreja, Cilacap Selatan, Ci

lacap</td><td>Islam</td><td>62 TH 6 BL 1 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Malignant neoplasm of breast, unspec



<td>404</td><td>00150615</td><td>Tatik Suciati, Ny</td><td>Kelurahan Sidanegara, Cilacap Tengah

, Cilacap</td><td>Islam</td><td>54 TH 9 BL 29 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Neoplasm of uncertain or unknown beh



<td>405</td><td>00150038</td><td>Tunifah, Ny</td><td>Desa Danasri Lor, Kecamatan Nusawung

u, Cilacap</td><td>Islam</td><td>37 TH 6 BL 27 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Malignant neoplasm of breast, unspec



<td>406</td><td>00152972</td><td>Anisah, Ny</td><td>Desa Penican, Kecamatan Kemangkon, P

urbalingga</td><td>Islam</td><td>38 TH 5 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Malignant neoplasm of breast, unspec



<td>407</td><td>00150452</td><td>Darsini, Ny</td><td>Desa Randudongkal, Kecamatan Randudo

ngkal, Pemalang</td><td>Islam</td><td>39 TH 10 BL 18 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>


<td>408</td><td>00151227</td><td>Tursilah, Ny</td><td>Desa Kapulogo, Kecamatan Kepil, Wono

sobo</td><td>Islam</td><td>54 TH 1 BL 14 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Malignant neoplasm of breast, unspec



<td>409</td><td>00152992</td><td>H. Udin Ahmudin, Tn</td><td>Desa Patimuan, Kecamatan Patimuan, C

ilacap</td><td>Islam</td><td>56 TH 4 BL 4 HR</td><td>Laki Laki</td><td>Poliklinik Bedah Onkology</td><td>Anaemia, unspecified</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>


<td>410</td><td>00150879</td>

<td>Warsito, Sdr</td><td>Kel.Karangklesem, Kecamatan Purwoker

to Selatan, Purwokerto</td><td>Islam</td><td>26 TH 18 HR</td><td>Laki Laki</td><td>Poliklinik THT</td><td>Tinnitus</td><td>dr.Bagus Condro Prasetyo, Sp.THT-KL<

/td><td>BPJS</td>


<td>411</td><td>00153907</td><td>Suhadi, Tn</td><td>Desa Penolih, Kecamatan Kaligondang,

Purbalingga</td><td>Islam</td><td>63 TH 11 BL 18 HR</td><td>Laki Laki</td><td>Poliklinik Bedah Onkology</td><td>Neoplasm of uncertain or unknown beh



<td>412</td><td>00142206</td><td>Sugianto, Tn</td><td>Desa Petir, Kecamatan Kalibagor, Ban

yumas</td><td>Islam</td><td>45 TH 1 BL 21 HR</td><td>Laki Laki</td><td>Poliklinik Syaraf</td><td>Stroke, not specified as haemorrhage

or infarction</td><td>dr. Tutik Ermawati, Sp.S</td><td>BPJS</td>


<td>413</td><td>00130057</td><td>Suharyanto, Tn</td><td>Kelurahan Teluk, Kecamatan Purwokert

o Selatan, Purwokerto</td><td>Islam</td><td>65 TH 4 BL 18 HR</td><td>Perempuan</td><td>Poliklinik Syaraf</td><td>Bouchard's nodes (with arthropathy)<

/td><td>dr. Tutik Ermawati, Sp.S</td><td>BPJS</td>


<td>414</td><td>00141340</td>

<td>Sugiyanto, Tn</td><td>Desa Klapa, Kecamatan Punggelan, Ban

jarnegara</td><td>Islam</td><td>50 TH 1 BL 12 HR</td><td>Laki Laki</td><td>Poliklinik Bedah Onkology</td><td>Malignant neoplasm of occipital lobe

</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>


<td>415</td><td>00153193</td><td>Apriana Tri Rahmadini, Ny</td><td>Desa Karangtalun Lor, Kecamatan Purw

ojati, Banyumas</td><td>Islam</td><td>27 TH 9 BL 5 HR</td><td>Perempuan</td><td>Poliklinik Penyakit Dalam</td><td>Abdominal and pelvic pain</td><td>dr. Tiara, Sp.PD</td><td>Umum</td>


<td>416</td><td>00153908</td><td>Lusia, Ny</td><td>Kel.Purwokerto Wetan, Kecamatan Purw

okerto Timur, Purwokerto</td><td>Kristen</td><td>60 TH 7 BL 10 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>


<td>417</td><td>00090231</td><td>Tusiyah, Ny</td><td>Desa Demangsari, Kecamatan Ayah, Keb

umen</td><td>Islam</td><td>59 TH 2 BL 13 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Malignant neoplasm of breast, unspec



<td>418</td><td>00153700</td><td>Yessy Natassa Cokrohandoyo, Nn</td><td>Sukabumi Utara, Kebonjeruk, Jakarta

Barat</td><td>Kristen</td><td>25 TH 1 BL 27 HR</td><td>Perempuan</td><td>Poliklinik THT</td><td>Otitis media, unspecified</td><td>dr.Bagus Condro Prasetyo, Sp.THT-KL<

/td><td>Umum</td>


<td>419</td><td>00153613</td><td>Sanis, Ny</td><td>Desa Sidayu, Kecamatan Binangun, Cil



<td>420</td><td>00141302</td><td>Sugiri, Tn</td><td>Kelurahan Teluk, Kecamatan Purwokert

o Selatan, Purwokerto</td><td>Islam</td><td>27 TH 4 HR</td><td>Perempuan</td><td>Poliklinik Syaraf</td><td>Sequelae of stroke, not specified as

haemorrhage or infarction</td><td>dr. Tutik Ermawati, Sp.S</td><td>BPJS</td>


<td>421</td><td>00151651</td><td>Sarti,Ny</td><td>Desa Pliken, Kecamatan Kembaran, Ban

yumas</td><td>Islam</td><td>55 TH 3 BL 27 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Malignant neoplasm of breast, unspec



<td>422</td><td>00153796</td><td>Salim, Tn</td><td>Kel.Pasir Kidul, Kecamatan Purwokert

o Barat, Purwokerto</td>

<td>Islam</td><td>68 TH 3 BL 30 HR</td><td>Laki Laki</td><td>Poliklinik THT</td><td>Otosclerosis, unspecified</td><td>dr.Bagus Condro Prasetyo, Sp.THT-KL<

/td><td>BPJS</td>


<td>423</td><td>00150520</td><td>Suparyo, Tn</td><td>Desa Serang, Kecamatan Karangreja, P

urbalingga</td><td>Islam</td><td>35 TH 8 BL 19 HR</td><td>Laki Laki</td><td>Poliklinik Bedah Onkology</td><td>Malignant neoplasm of head, face and



<td>424</td><td>00152188</td><td>Dasinem Madiredja, Ny</td><td>Desa Jatiluhur, Kecamatan Rowokele,

Kebumen</td><td>Islam</td><td>87 TH 5 BL 4 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Malignant neoplasm of breast, unspec



<td>425</td><td>00152642</td><td>Sopiyah, Ny</td><td>Desa Selabaya, Kecamatan Kalimanah,

Purbalingga</td><td>Islam</td><td>65 TH 1 BL 17 HR</td><td>Perempuan</td><td>Poliklinik Syaraf</td><td>Bouchard's nodes (with arthropathy)<



<td>426</td><td>00153640</td><td>Sudarsih, Ny</td><td>Kel.Kranji, Kecamatan Purwokerto Tim

ur, Purwokerto</td>

<td>Islam</td><td>46 TH 1 BL 12 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Neoplasm of uncertain or unknown beh



<td>427</td><td>00153909</td><td>Tusrimin Sukirman, Tn</td><td>Desa Pagentan, Kecamatan Pagentan, B

anjarnegara</td><td>Islam</td><td>34 TH 10 BL 8 HR</td><td>Laki Laki</td><td>Poliklinik Bedah Onkology</td><td>Benign neoplasm of lymph nodes</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>


<td>428</td><td>00153910</td><td>Suwandi, Tn</td><td>Desa Bukateja, Kecamatan Bukateja, P

urbalingga</td><td>Islam</td><td>74 TH 1 BL 12 HR</td><td>Laki Laki</td><td>Poliklinik Bedah Onkology</td><td>Unspecified haemorrhoids without com



<td>429</td><td>00130944</td><td>Siti Nuraeni, Ny</td><td>Desa Karanglewas Kidul, Kecamatan Ka

ranglewas, Banyumas</td><td>Islam</td><td>57 TH 6 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>


<td>430</td><td>00143043</td><td>Tusini, Ny</td><td>Desa Ledug, Kecamatan Kembaran, Bany

umas</td><td>Islam</td><td>53 TH 3 BL 22 HR</td>




<td>431</td><td>00153911</td><td>Suryati, Ny</td><td>Desa Pancurendang, Kecamatan Ajibara

ng, Banyumas</td><td>Islam</td><td>73 TH 5 BL 17 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Malignant neoplasm of axillary tail

of breast</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>Umum</td>


<td>432</td><td>00153684</td><td>Siti Nurjannah, Nn</td><td>Desa Banjarparakan, Kecamatan Rawalo




<td>433</td><td>00141194</td><td>Sri Rahmatiah, Ny</td><td>Kel.Karangklesem, Kecamatan Purwoker

to Selatan, Purwokerto</td><td>Islam</td><td>34 TH 11 BL 9 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>


<td>434</td><td>00150773</td><td>Sainah, Ny</td><td>Kelurahan Teluk, Kecamatan Purwokert

o Selatan, Purwokerto</td><td>Islam</td><td>47 TH 1 BL 12 HR</td><td>Perempuan</td>

<td>Poliklinik Syaraf</td><td>Low back pain</td><td>dr. Tutik Ermawati, Sp.S</td><td>BPJS</td>


<td>435</td><td>00153583</td><td>Imam Susanto. Tn</td><td>Desa Ajibarang Wetan, Kecamatan Ajib

arang, Banyumas</td><td>Kristen</td><td>74 TH 1 BL 6 HR</td><td>Laki Laki</td><td>Poliklinik Syaraf</td><td>Parkinson's disease</td><td>dr. Tutik Ermawati, Sp.S</td><td>Umum</td>


<td>436</td><td>00131053</td><td>Wartinah, Ny</td><td>Kel.Mersi, Kecamatan Purwokerto Timu

r, Purwokerto</td><td>Islam</td><td>70 TH 2 BL 13 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Malignant neoplasm of breast, unspec



<td>437</td><td>00153573</td><td>Soim Widayati,Ny</td><td>Desa Madurejo, Kecamatan Puring, Keb

umen</td><td>Islam</td><td>27 TH 10 BL 24 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Neoplasm of uncertain or unknown beh



<td>438</td><td>00153722</td><td>Tjarsim,Tn</td><td>Desa Jipang, Bantarkawung, Brebes</t

d><td>Islam</td><td>86 TH 1 BL 7 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>-</td>



<td>439</td><td>00153699</td><td>Sri Wahyuni, Ny</td><td>Desa Ketanda, Kecamatan Sumpiuh, Ban

yumas</td><td>Islam</td><td>26 TH 1 BL 2 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Malignant neoplasm of breast</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>


<td>440</td><td>00153818</td><td>Engkos,Tn</td><td>Desa Karangpari, Bantarkawung, Brebe

s</td><td>Islam</td><td>50 TH 1 BL 6 HR</td><td>Laki Laki</td><td>Poliklinik Bedah Onkology</td><td>Calculus in bladder</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>


<td>441</td><td>00150278</td><td>Sri Widarti, Ny</td><td>Desa Mujur, Kecamatan Kroya, Cilacap




<td>442</td><td>00152781</td><td>Partini, Ny</td><td>Desa Karangrau, Kecamatan Sokaraja,




<td>443</td><td>00121125</td><td>Rafiah, Ny</td><td>Desa Cijulang, Kecamatan Cijulang, K

abupaten Ciamis</td><td>Islam</td><td>62 TH 20 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>


<td>444</td><td>00153028</td><td>Rusminah, Ny</td><td>Kel.Kober, Kecamatan Purwokerto Bara

t, Purwokerto</td><td>Islam</td><td>50 TH 2 BL 21 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Tuberculosis of other specified orga

ns</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>


<td>445</td><td>00153138</td><td>Siti Hadiyatun, Ny</td><td>Desa Muktisari, Kecamatan Kebumen, K

ebumen</td><td>Islam</td><td>43 TH 6 BL</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>


<td>446</td><td>00152473</td><td>Miskam, Tn</td><td>Desa Gebangsari, Kecamatan Tambak, B

anyumas</td><td>Islam</td><td>55 TH 3 BL 19 HR</td><td>Laki Laki</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>


<td>447</td>

<td>00153723</td><td>Rasiyem,Ny</td><td>Desa Gebangsari, Kecamatan Tambak, B



<td>448</td><td>00151671</td><td>Agus Sugiarto, Tn</td><td>Desa Wonolelo, Kecamatan Wonosobo, W

onosobo</td><td>Islam</td><td>42 TH 6 BL 4 HR</td><td>Laki Laki</td><td>Poliklinik Bedah Onkology</td><td>Malignant neoplasm of skin, unspecif



<td>449</td><td>00153785</td><td>Kasliyem,Ny</td><td>Desa Babakan, Karangpucung, Cilacap<




<td>450</td><td>00152300</td><td>Suratmi, Ny</td><td>Desa Sungapan, Kecamatan Pemalang, P

emalang</td><td>Islam</td><td>63 TH 9 BL 12 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>


<td>451</td><td>00153721</td><td>Edi Susanto,An</td>

<td>Desa Ayamalas, Kecamatan Kroya, Cilacap</td>

<td>Islam</td><td>11 TH 10 BL 25 HR</td><td>Laki Laki</td><td>Poliklinik Bedah Onkology</td><td>Malignant neoplasm of skin, unspecif



<td>452</td><td>00151755</td><td>Siti Romiah, Ny</td><td>Kel.Mersi, Kecamatan Purwokerto Timu




<td>453</td><td>00153003</td><td>Kadem, Ny</td><td>Desa Pangadegan, Kecamatan Wangon, B



<td>454</td><td>00153831</td><td>Baryati,Ny</td><td>Kel.Purwanegara, Kecamatan Purwokert

o Utara, Purwokerto</td><td>Islam</td><td>52 TH 4 BL 2 HR</td><td>Laki Laki</td><td>Poliklinik Bedah Onkology</td><td>Malignant neoplasm of breast, unspec



<td>455</td><td>00153314</td><td>Dariyah,Ny</td><td>Kel. Arcawinangun, Kecamatan Purwoke

rto Timur, Purwokerto</td><td>Islam</td><td>43 TH 4 BL 18 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>


<td>456</td><td>00152456</td><td>Darwen,Ny</td><td>Desa Jatisaba, Kecamatan Cilongok, B



<td>457</td><td>00153914</td><td>Muhammad Aril Armando, An</td><td>Desa Menganti, Kecamatan Rawalo, Ban

yumas</td><td>Islam</td><td>16 TH 10 BL</td><td>Laki Laki</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>Umum</td>


<td>458</td><td>00150547</td><td>Ngapiyah, Ny</td><td>Kel. Arcawinangun, Kecamatan Purwoke

rto Timur, Purwokerto</td><td>Islam</td><td>54 TH 6 BL 4 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Malignant neoplasm of breast, unspec



<td>459</td><td>00153803</td><td>Khansa Janitra W,An</td><td>Kel.Karangklesem, Kecamatan Purwoker

to Selatan, Purwokerto</td><td>Islam</td><td>5 TH 5 BL 25 HR</td>

<td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>Umum</td>


<td>460</td><td>00152770</td><td>Kadirun, Tn</td><td>Desa Kedawung, Kecamatan Susukan, Ba

njarnegara</td><td>Islam</td><td>57 TH 1 BL 9 HR</td><td>Laki Laki</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>


<td>461</td><td>00153915</td><td>Kasta Meja,Tn</td><td>Desa Maruyungsari, Kecamatan Padaher

ang, Kabupaten Ciamis</td><td>Islam</td><td>84 TH 18 HR</td><td>Laki Laki</td><td>Poliklinik Bedah Onkology</td><td>Neoplasm of uncertain or unknown beh

avior of thyroid gland</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>Umum</td>


<td>462</td><td>00152136</td><td>Nafisa Rahmadani, An</td><td>Desa Surusunda, Karangpucung, Cilaca

p</td><td>Islam</td><td>7 BL 10 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Cleft palate</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>Umum</td>


<td>463</td><td>00153672</td><td>Angga Nur Zami,Sdr</td><td>Desa Adisana, Kecamatan Bumiayu, Bre

bes</td><td>Islam</td><td>17 TH 8 BL 2 HR</td><td>Laki Laki</td><td>Poliklinik Bedah Onkology</td><td>-</td>





Kendal</td><td>Islam</td><td>29 TH 2 BL 2 HR</td><td>Laki Laki</td><td>Poliklinik Bedah Onkology</td><td>Benign neoplasm of parotid gland</td



<td>465</td><td>00153405</td><td>Siti Mutmainah, Ny</td><td>Desa Minomartani, Kecamatan Ngaglik,

Kabupaten Sleman</td><td>Islam</td><td>57 TH 2 BL 2 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Malignant neoplasm of endometrium</t



<td>466</td><td>00153686</td><td>Erwin Munandar,Tn</td><td>Kel. Pabuaran, Kecamatan Purwokerto

Utara, Purwokerto</td><td>Islam</td><td>41 TH 1 BL 11 HR</td><td>Laki Laki</td><td>Poliklinik Bedah Onkology</td><td>Acute appendicitis, unspecified</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>


<td>467</td><td>00153917</td><td>Agustina Rini Prestiwaningsih,Ny</td

><td>Desa Gulon, Kecamatan Salam, Magelan

g</td><td>Khatolik</td><td>24 TH 5 BL 26 HR</td><td>Perempuan</td><td>Poliklinik Obsgyn</td><td>-</td>

<td>dr. Soegeng Djiwarahga, Sp.OG</td><td>BPJS</td>


<td>468</td><td>00142706</td><td>Sitiati, Ny</td><td>Kel. Kejambon, Tegal Timur, Tegal</t




<td>469</td><td>00150922</td><td>Siti Aliyah, Ny</td><td>Desa Kademangaran, Dukuhturi, Tegal<




<td>470</td><td>00151585</td><td>Kusmeni, Ny</td><td>Desa Jenang, Majenang, Cilacap</td><td>Islam</td><td>49 TH 4 BL 2 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Secondary malignant neoplasm of ovar

y</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>


<td>471</td><td>00142276</td><td>Tarsem, Ny</td><td>Desa Cilempuyang, Cimanggu, Cilacap<



<td>BPJS</td></tr>

<tr id="tr472"><td>472</td><td>00153471</td><td>Samroh, Ny</td><td>Desa Dawuhan Kulon, Kecamatan Kedung

banteng, Banyumas</td><td>Islam</td><td>32 TH 6 BL 17 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Diffuse cystic mastopathy</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>


<td>473</td><td>00153719</td><td>Siti Khoeriyah, Ny</td><td>Desa Bangunreja, Kedungreja, Cilacap

</td><td>Islam</td><td>45 TH 2 BL 1 HR</td><td>Perempuan</td><td>Poliklinik Obsgyn</td><td>-</td><td>dr. Soegeng Djiwarahga, Sp.OG</td><td>BPJS</td>


<td>474</td><td>00151564</td><td>Titi, Ny</td><td>Desa Dewasari, Kecamatan Cijeungjing

, Kabupaten Ciamis</td><td>Islam</td><td>55 TH 8 BL 10 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Malignant neoplasm of breast, unspec



<td>475</td><td>00153627</td><td>Septin Sugiarti,Ny</td><td>Desa Kedungwringin, Kecamatan Jatila

wang, Banyumas</td><td>Islam</td><td>30 TH 4 BL 8 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Neoplasm of uncertain or unknown beh


</tr>

<tr id="tr476"><td>476</td><td>00153726</td><td>Yeni Purwanti,Ny</td><td>Desa Sikasur, Kecamatan Belik, Pemal

ang</td><td>Islam</td><td>43 TH 11 BL 15 HR</td><td>Laki Laki</td><td>Poliklinik Bedah Onkology</td><td>Neoplasm of uncertain or unknown beh



<td>477</td><td>00130125</td><td>Okza Riyana, Nn</td><td>Desa Gandrungmangu, Candrungmangu, C

ilacap</td><td>Islam</td><td>20 TH 3 BL 22 HR</td><td>Perempuan</td><td>Poliklinik Syaraf</td><td>-</td><td>dr. Tutik Ermawati, Sp.S</td><td>Umum</td>


<td>478</td><td>00142400</td><td>Fatimah, Nn</td><td>Desa Winduaji, Kecamatan Paguyangan,



<td>479</td><td>00153918</td><td>Umiyati,Ny</td><td>Desa Cidadap, Karangpucung, Cilacap<

/td><td>Islam</td><td>40 TH 5 BL 21 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Neoplasm of uncertain or unknown beh



<td>480</td>

<td>00153682</td><td>Tarhowi, Tn</td><td>Desa Sadabumi, Majenang, Cilacap</td

><td>Islam</td><td>77 TH 8 BL 15 HR</td><td>Laki Laki</td><td>Poliklinik Bedah Onkology</td><td>Prostate</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>


<td>481</td><td>00153302</td><td>Ika Agustina, Ny</td><td>Desa Tembokluwung, Adiwerna, Tegal</

td><td>Islam</td><td>32 TH 5 BL 11 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Neoplasm of uncertain or unknown beh



<td>482</td><td>00153919</td><td>Sri Suryo Esti,S.Ag,Ny</td><td>Desa Nampudadi, Kecamatan Petahanan,

Kebumen</td><td>Islam</td><td>46 TH 6 BL 2 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Neoplasm of uncertain or unknown beh



<td>483</td><td>00152156</td><td>Sri Rahayu, Ny</td><td>Kel.Karangklesem, Kecamatan Purwoker

to Selatan, Purwokerto</td><td>Islam</td><td>56 TH 8 BL 23 HR</td><td>Perempuan</td><td>Poliklinik Syaraf</td><td>Stroke, not specified as haemorrhage



<td>484</td><td>00153428</td>

<td>Rudi Hartono, Tn</td><td>Desa Negarajati, Cimanggu, Cilacap</

td><td>Islam</td><td>63 TH 1 BL 8 HR</td><td>Laki Laki</td><td>Poliklinik Syaraf</td><td>Headache</td><td>dr. Tutik Ermawati, Sp.S</td><td>BPJS</td>


<td>485</td><td>00143381</td><td>Lasmini, Ny</td><td>Kelurahan Teluk, Kecamatan Purwokert

o Selatan, Purwokerto</td><td>Islam</td><td>65 TH 7 BL 3 HR</td><td>Perempuan</td><td>Poliklinik Syaraf</td><td>Arthrosis</td><td>dr. Tutik Ermawati, Sp.S</td><td>BPJS</td>


<td>486</td><td>00142077</td><td>Dawud Dwijanto, Tn</td><td>Kelurahan Teluk, Kecamatan Purwokert

o Selatan, Purwokerto</td><td>Kristen</td><td>79 TH 5 BL 7 HR</td><td>Laki Laki</td><td>Poliklinik Syaraf</td><td>Dizziness and giddiness</td><td>dr. Tutik Ermawati, Sp.S</td><td>BPJS</td>


<td>487</td><td>00151733</td><td>Meida Kusumandari, Ny</td><td>Kel.Purbalingga Weatan, Kecamatan Pu

rbalingga, Purbalingga</td><td>Islam</td><td>48 TH 8 BL 11 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Malignant neoplasm of breast, unspec



<td>488</td><td>00153920</td><td>Sanuji Al Sadam,Tn</td><td>Desa Mandirancan, Kecamatan Kebasen,

Banyumas</td>

<td>Islam</td><td>71 TH 1 BL 13 HR</td><td>Laki Laki</td><td>Poliklinik Bedah Onkology</td><td>Unilateral or unspecified inguinal h

ernia, without obstruction or gangrene</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>Umum</td>


<td>489</td><td>00153663</td><td>Purwati, Ny</td><td>Kel. Donan, Cilacap Tengah, Cilacap<




<td>490</td><td>00153629</td><td>Laeli Sofiyah, Ny</td><td>Kel. Leksono, Kecamatan Leksono, W

onosobo</td><td>Islam</td><td>44 TH 6 BL 5 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Neoplasm of uncertain or unknown beh



<td>491</td><td>00151701</td><td>Setiyowati Rejeki Ningsih, Ny</td><td>Desa Kutasari, Kecamatan Baturaden,

Banyumas</td><td>Islam</td><td>43 TH 10 BL 16 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Tuberculosis of other specified orga



<td>492</td><td>00153826</td><td>Suwarti,Ny</td><td>Desa Karangjati, Kecamatan Kemranjen

, Banyumas</td>




<td>493</td><td>00153406</td><td>Siti Masitoh, Ny</td><td>Duernsawit, Durensawit, Jakarta Timu

r</td><td>Islam</td><td>31 TH 3 BL 8 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Malignant neoplasm of breast, unspec



<td>494</td><td>00153921</td><td>Marsingah, Ny</td><td>Desa Jatisari, Kedungreja, Cilacap</




<td>495</td><td>00110864</td><td>Wahyu Romadhon Wijaya, Tn</td><td>Kelurahan Teluk, Kecamatan Purwokert

o Selatan, Purwokerto</td><td>Islam</td><td>30 TH 8 BL 16 HR</td><td>Laki Laki</td><td>Poliklinik Syaraf</td><td>Epilepsy, unspecified</td><td>dr. Tutik Ermawati, Sp.S</td><td>BPJS</td>


<td>496</td><td>00151633</td><td>Trias Handayani, Ny</td><td>Kelurahan Tegalrejo, Cilacap Selatan

, Cilacap</td><td>Islam</td>




<td>497</td><td>00153922</td><td>Dasiwen, Ny</td><td>Kel.Karangklesem, Kecamatan Purwoker

to Selatan, Purwokerto</td><td>Islam</td><td>69 TH 7 BL 11 HR</td><td>Perempuan</td><td>Poliklinik Umum</td><td>Chest pain, unspecified</td><td>dr. Inos</td><td>Umum</td>


<td>498</td><td>00153523</td><td>Siti Setiasih,Ny</td><td>Desa Karangklesem, Kecamatan Pekunce

n, Banyumas</td><td>Islam</td><td>30 TH 2 BL 12 HR</td><td>Perempuan</td><td>Poliklinik Syaraf</td><td>Headache</td><td>dr. Tutik Ermawati, Sp.S</td><td>BPJS</td>


<td>499</td><td>00140875</td><td>Wasiyah, Ny</td><td>Desa Rawalo, Kecamatan Rawalo, Banyu

mas</td><td>Islam</td><td>49 TH 1 BL 12 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Tuberculosis of other organs</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>Umum</td>


<td>500</td><td>00141673</td><td>Uji Hendarwati, Ny</td><td>Desa Karangnanas, Kecamatan Sokaraja

, Banyumas</td><td>Islam</td><td>61 TH 9 HR</td><td>Perempuan</td><td>Poliklinik Syaraf</td>

<td>Mononeuropathy, unspecified</td><td>dr. Tutik Ermawati, Sp.S</td><td>BPJS</td>


<td>501</td><td>00152333</td><td>Samirah, Ny</td><td>Desa Sibalung, Kecamatan Kemranjen,



<td>502</td><td>00143208</td><td>Mahmudin, Tn</td><td>Kel.Karangklesem, Kecamatan Purwoker

to Selatan, Purwokerto</td><td>Islam</td><td>59 TH 5 BL 23 HR</td><td>Laki Laki</td><td>Poliklinik Penyakit Dalam</td><td>Chronic gastritis, unspecified</td><td>dr. Tiara, Sp.PD</td><td>BPJS</td>


<td>503</td><td>00153923</td><td>Hj. Fatonah, Ny</td><td>Desa Kejene, Kecamatan Randudongkal,

Pemalang</td><td>Islam</td><td>55 TH 7 BL 11 HR</td><td>Perempuan</td><td>Poliklinik Syaraf</td><td>Low back pain</td><td>dr. Tutik Ermawati, Sp.S</td><td>Umum</td>


<td>504</td><td>00130552</td><td>Lestari, Ny</td><td>Desa Purbayasa, Kecamatan Padamara,


</tr>

<tr id="tr505"><td>505</td><td>00140133</td><td>Atik Sri Murwati, Ny</td><td>Desa Sumur, Kecamatan Brangsong, Ken

dal</td><td>Islam</td><td>39 TH 8 BL 6 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>Umum</td>


<td>506</td><td>00140371</td><td>Matoyah, Ny</td><td>Desa Kertayasa, Kecamatan Mandiraja,



<td>507</td><td>00151912</td><td>Undi Susanti, Ny</td><td>Desa Karangtengah Kidul, Kecamatan K

embaran, Banyumas</td><td>Islam</td><td>26 TH 7 BL 15 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Tuberculosis of other organs</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>


<td>508</td><td>00150458</td><td>Janatul Mawa, Ny</td><td>Desa Pruwatan, Kecamatan Bumiayu, Br




<td>509</td><td>00152341</td>

<td>Katam,Tn</td><td>Desa Kemawi, Kecamatan Somagede, Ban

yumas</td><td>Islam</td><td>51 TH 9 BL 23 HR</td><td>Laki Laki</td><td>Poliklinik Bedah Onkology</td><td>Malignant neoplasm of testis, unspec



<td>510</td><td>00153325</td><td>Siti Robingatun, Ny</td><td>Desa Kuwayuhan, Kecamatan Pejagoan,




<td>511</td><td>00142889</td><td>Hj. Hang Budhiarti, Ny</td><td>Kelurahan Sidanegara, Cilacap Tengah

, Cilacap</td><td>Islam</td><td>67 TH 6 BL 5 HR</td><td>Perempuan</td><td>Poliklinik Syaraf</td><td>Polyneuropathy, unspecified</td><td>dr. Tutik Ermawati, Sp.S</td><td>BPJS</td>


<td>512</td><td>00150932</td><td>Suradi, Tn</td><td>Kel.Berkoh, Kecamatan Purwokerto Sel

atan, Purwokerto</td><td>Islam</td><td>71 TH 6 BL 4 HR</td><td>Laki Laki</td><td>Poliklinik Bedah Onkology</td><td>Carcinoma in situ of rectum</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>


<td>513</td><td>00143349</td><td>Siayem, Ny</td><td>Desa Gandrungmangu, Candrungmangu, C

ilacap</td><td>Islam</td><td>43 TH 7 BL 29 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Non-Hodgkin's lymphoma, unspecified



<td>514</td><td>00153287</td><td>Siti Nuraisatun, Nn</td><td>Desa Dagan, Kecamatan Bobotsari, Pur

balingga</td><td>Islam</td><td>23 TH 10 BL 20 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Neoplasm of uncertain or unknown beh







<td>516</td><td>00153432</td><td>Sutarni, Ny</td><td>Desa Kendaga, Kecamatan Banjarmangu,

Banjarnegara</td><td>Islam</td><td>38 TH 7 BL 25 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Malignant neoplasm of head, face and



<td>517</td><td>00151287</td><td>Duhri, Tn</td><td>Desa Kembaran, Kecamatan Kembaran, B

anyumas</td><td>Islam</td><td>46 TH 3 BL 11 HR</td><td>Laki Laki</td><td>Poliklinik Bedah Onkology</td><td>Malignant neoplasm of breast, unspec



<td>518</td><td>00151812</td><td>Muhlasoh, Ny</td><td>Desa Podoluhur, Kecamatan Klirong, K




<td>519</td><td>00143353</td><td>Hj.Runtah Juariyah, Ny</td><td>Desa Kalibening, Kecamatan Kalibenin

g, Banjarnegara</td><td>Islam</td><td>58 TH 10 BL 4 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>


<td>520</td><td>00153693</td><td>Painah, Ny</td><td>Desa Gerduren, Kecamatan Purwojati,




bang, Banyumas</td><td>Islam</td>

<td>72 TH 1 BL 19 HR</td><td>Laki Laki</td><td>Poliklinik Bedah Onkology</td><td>Neoplasm of uncertain or unknown beh



<td>522</td><td>00150576</td><td>Slamet Mulyadi, Tn</td><td>Desa Danasri Kidul, Kecamatan Nusawu

ngu, Cilacap</td><td>Islam</td><td>59 TH 6 BL 17 HR</td><td>Laki Laki</td><td>Poliklinik Bedah Onkology</td><td>Non-Hodgkin's lymphoma, unspecified



<td>523</td><td>00153346</td><td>Nur Agus Wirawan, Sdr</td><td>Desa Tlagayasa, Kecamatan Bobotsari,

Purbalingga</td><td>Islam</td><td>25 TH 5 BL 18 HR</td><td>Laki Laki</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>


<td>524</td><td>00142486</td><td>Leily Nur Annisa,Ny</td><td>Desa Tambakboyo, Kecamatan Mantingan

, Kabupaten Ngawi</td><td>Islam</td><td>25 TH 2 BL 28 HR</td><td>Perempuan</td><td>Poliklinik Bedah Orthopedi</td><td>-</td><td>dr. Bambang Agus Teja Kusumah Sp. OT

</td><td>BPJS</td>



><td>Islam</td><td>56 TH 6 BL 23 HR</td>

<td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Malignant neoplasm of breast, unspec



<td>526</td><td>00150963</td><td>Sahidin, Tn</td><td>Desa Cijati, Cimanggu, Cilacap</td><td>Islam</td><td>49 TH 6 BL 3 HR</td><td>Laki Laki</td><td>Poliklinik Bedah Onkology</td><td>Malignant neoplasm of skin, unspecif



<td>527</td><td>00153724</td><td>Dwi Endah Yuliati,Ny</td><td>Desa Tambaksogra, Kecamatan Sumbang,




Banyumas</td><td>Islam</td><td>72 TH 1 BL 19 HR</td><td>Laki Laki</td><td>Poliklinik Bedah Onkology</td><td>Unilateral or unspecified inguinal h

ernia, with gangrene</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>


<td>529</td><td>00152700</td><td>Nasem, Ny</td><td>Desa Limbangan, Kecamatan Madukara,

Banjarnegara</td><td>Islam</td><td>53 TH 7 BL 11 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td>



<td>530</td><td>00151520</td><td>Rohimah, Ny</td><td>Desa Kalijaran, Kecamatan Karanganya

r, Purbalingga</td><td>Islam</td><td>37 TH 6 BL 28 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>


<td>531</td><td>00152890</td><td>Soliah, Ny</td><td>Desa Banjarsari, Kecamatan Ajibarang

, Banyumas</td><td>Islam</td><td>30 TH 4 BL</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Tuberculous peripheral lymphadenopat

hy</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>


<td>532</td><td>00150142</td><td>Purwati, Ny</td><td>Desa Karangmanggu, Kecamatan Kroya,




<td>533</td><td>00153690</td><td>Kasirah,Ny</td><td>Desa Kuripan Kidul, Kecamatan Kesugi

han, Cilacap</td><td>Islam</td><td>49 TH 11 BL 6 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Neoplasm of uncertain or unknown beh

avior of thyroid gland</td>



<td>534</td><td>00153748</td><td>Sumi, Ny</td><td>Desa Waringinsari, Kecamatan Langens

ari, Kabupaten Ciamis</td><td>Islam</td><td>56 TH 1 BL 14 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Neoplasm of uncertain or unknown beh




, Banyumas</td><td>Islam</td><td>35 TH 7 BL 6 HR</td><td>Perempuan</td><td>Poliklinik Syaraf</td><td>Headache</td><td>dr. Tutik Ermawati, Sp.S</td><td>Umum</td>


<td>536</td><td>00153926</td><td>Dyah Ajeng Permatahani, Nn</td><td>Kel. Purwokerto Kidul, Kecamatan Pur

wokerto Selatan, Purwokerto</td><td>Islam</td><td>21 TH 9 BL 11 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Neoplasm of uncertain or unknown beh



<td>537</td><td>00153927</td><td>Dewi Haryani, Ny</td><td>Kelurahan Tritih Kulon, Kec. Cilacap

Utara, Cilacap</td><td>Islam</td><td>37 TH 9 BL 1 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Neoplasm of uncertain or unknown beh

avior of other specified sites</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td>

<td>Umum</td></tr>

<tr id="tr538"><td>538</td><td>00153734</td><td>Suhara, Tn</td><td>Desa Purwadadi, Kecamatan Purwadadi,

Kabupaten Subang</td><td>Islam</td><td>60 TH 4 BL 3 HR</td><td>Laki Laki</td><td>Poliklinik Bedah Onkology</td><td>Neoplasm of uncertain or unknown beh



<td>539</td><td>00151062</td><td>Karsem, Ny</td><td>Desa Karangtengah, Kecamatan Sampang

, Cilacap</td><td>Islam</td><td>63 TH 9 BL 22 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Malignant neoplasm of skin, unspecif



<td>540</td><td>00153928</td><td>Rasti Trisnawati, Ny</td><td>Desa Bagolo, Kecamatan Kalipucang, K

abupaten Ciamis</td><td>Islam</td><td>32 TH 11 BL 2 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Lip, oral cavity and pharynx</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>Umum</td>


<td>541</td><td>00143281</td><td>Mariah, Ny</td><td>Desa Bojongkantong, Kecamatan Langen

sari, Kabupaten Ciamis</td><td>Islam</td><td>45 TH 2 BL 2 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>

</tr>

<tr id="tr542"><td>542</td><td>00141129</td><td>Sarmi, Ny</td><td>Desa Tambakmulyo, Kecamatan Puring,




<td>543</td><td>00153929</td><td>Ari Pangesti, Ny</td><td>Desa Kedungwringin, Kecamatan Patikr

aja, Banyumas</td><td>Islam</td><td>44 TH 3 BL 15 HR</td><td>Perempuan</td><td>Poliklinik THT</td><td>Neoplasm of uncertain or unknown beh

avior of other specified sites</td><td>dr.Bagus Condro Prasetyo, Sp.THT-KL<

/td><td>BPJS</td>


<td>544</td><td>00151217</td><td>Pandam Puspitasari, Ny</td><td>Kelurahan Karangtalun, Kec. Cilacap

Utara, Cilacap</td><td>Islam</td><td>42 TH 8 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Tuberculous peripheral lymphadenopat



<td>545</td><td>00153930</td><td>Sugiyatik, Ny</td><td>Kel.Karangpucung, Kecamatan Purwoker

to Selatan, Purwokerto</td><td>Islam</td><td>60 TH 10 BL 20 HR</td><td>Perempuan</td><td>Poliklinik Syaraf</td><td>Vertigo of central origin</td><td>dr. Tutik Ermawati, Sp.S</td><td>BPJS</td>

</tr>

<tr id="tr546"><td>546</td><td>00140935</td><td>Daryani, Ny</td><td>Kelurahan Sidanegara, Cilacap Tengah







<td>548</td><td>00153742</td><td>Wariyah, Ny</td><td>Desa Dermaji, Lumbir, Banyumas</td><td>Islam</td><td>36 TH 1 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Neoplasm of uncertain or unknown beh



<td>549</td><td>00141103</td><td>Salimah, Ny</td><td>Desa Maos Lor, Kecamatan Maos, Cilac

ap</td><td>Islam</td><td>53 TH 6 BL 16 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Malignant neoplasm of breast, unspec



<td>550</td>

<td>00151347</td><td>Suwarti, Ny</td><td>Desa Karangkobar, Kecamatan Karangko

bar, Banjarnegara</td><td>Islam</td><td>42 TH 1 BL 17 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>


<td>551</td><td>00151982</td><td>Lilis, Ny</td><td>Desa Paledah, Kecamatan Padaherang,




<td>552</td><td>00153534</td><td>Sumiyati, Ny</td><td>Desa Jambu, Wanareja, Cilacap</td><td>Islam</td><td>65 TH 1 BL 16 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Calculus of kidney</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>Umum</td>


<td>553</td><td>00152015</td><td>Rowiyah,Ny</td><td>Kelurahan Bumirejo, Kecamatan Kebume

n, Kebumen</td><td>Islam</td><td>60 TH 6 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Malignant neoplasm of breast, unspec



<td>554</td><td>00153746</td><td>Yosep Prayogi, Sdr</td><td>Desa Kujangsari, Kecamatan Langensar

i, Kabupaten Ciamis</td><td>Islam</td><td>29 TH 8 BL 17 HR</td><td>Laki Laki</td><td>Poliklinik Bedah Onkology</td><td>Malignant neoplasm of head, face and



<td>555</td><td>00143038</td><td>Siti Solikha, Ny</td><td>Desa Balapulang Kulon, Balapulang, T

egal</td><td>Islam</td><td>44 TH 1 BL 2 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Malignant neoplasm of breast, unspec







><td>Islam</td><td>48 TH 10 BL 2 HR</td><td>Perempuan</td><td>Poliklinik Syaraf</td><td>Malignant neoplasm of breast, unspec

ified</td><td>dr. Tutik Ermawati, Sp.S</td><td>BPJS</td>


<td>558</td><td>00152650</td><td>Suparmi, Ny</td><td>Desa Ayamalas, Kecamatan Kroya, Cila

cap</td>




Kotamadya Tangerang</td><td>Islam</td><td>67 TH 3 BL</td><td>Perempuan</td><td>Poliklinik Syaraf</td><td>Monoplegia, unspecified</td><td>dr. Tutik Ermawati, Sp.S</td><td>BPJS</td>



i, Kabupaten Ciamis</td><td>Islam</td><td>40 TH 3 BL 15 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Malignant neoplasm of breast, unspec



<td>561</td><td>00153299</td><td>Wasum, Tn</td><td>Desa Rawaapu, Kecamatan Patimuan, Ci

lacap</td><td>Islam</td><td>74 TH 5 HR</td><td>Laki Laki</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>


<td>562</td><td>00153039</td><td>Siti Julaeha, Ny</td><td>Desa Cibeunying, Majenang, Cilacap</

td><td>Islam</td><td>56 TH 1 BL 1 HR</td><td>Perempuan</td>




<td>563</td><td>00153931</td><td>Rodliyah, Ny</td><td>Kel.Purwokerto Lor, Kecamatan Purwok

erto Timur, Purwokerto</td><td>Islam</td><td>58 TH 12 HR</td><td>Perempuan</td><td>Poliklinik Syaraf</td><td>Bell's palsy</td><td>dr. Tutik Ermawati, Sp.S</td><td>BPJS</td>


<td>564</td><td>00153932</td><td>Rumiyati, Ny</td><td>Desa Bajing, Kecamatan Kroya, Cilaca

p</td><td>Islam</td><td>50 TH 4 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Malignant neoplasm of breast</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>


<td>565</td><td>00153791</td><td>Sansukarta,Tn</td><td>Desa Sukanagara, Kecamatan Padaheran

g, Kabupaten Ciamis</td><td>Islam</td><td>60 TH 1 BL 15 HR</td><td>Laki Laki</td><td>Poliklinik Bedah Onkology</td><td>Disorder of prostate, unspecified</t



<td>566</td><td>00153933</td><td>Ade Pratiwi, Nn</td><td>Kel.Pasirmuncang, Kecamatan Purwoker

to Barat, Purwokerto</td><td>Islam</td><td>23 TH 9 BL 6 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Malignant neoplasm of breast, unspec



<td>567</td><td>00152924</td><td>Saringah, Ny</td><td>Desa Waringinsari, Kecamatan Langens

ari, Kabupaten Ciamis</td><td>Islam</td><td>46 TH 3 BL 25 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>


<td>568</td><td>00153276</td><td>Stefani Parmunah,Ny</td><td>Kel.Bantarsoka, Kecamatan Purwokerto

Barat, Purwokerto</td><td>Islam</td><td>70 TH 9 BL 10 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>


<td>569</td><td>00151566</td><td>Pamili,Ny</td><td>Desa Losari, Kecamatan Rembang, Purb

alingga</td><td>Islam</td><td>47 TH 5 BL 10 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Malignant neoplasm of breast, unspec



<td>570</td><td>00153876</td><td>Hartono,Tn</td><td>Kel.Kebumen, Kecamatan Kebumen, Kebu

men</td><td>Islam</td><td>51 TH 6 BL 10 HR</td><td>Laki Laki</td><td>Poliklinik Bedah Onkology</td><td>Disease of tongue, unspecified</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>


<td>571</td><td>00153642</td><td>Sarinem, Ny</td><td>Desa Blengor Kulon, Kecamatan Ambal,

Kebumen</td><td>Islam</td><td>67 TH 1 BL 18 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Acute maxillary sinusitis</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>Umum</td>


<td>572</td><td>00153103</td><td>Sutiyem,Ny</td><td>Desa Nusawungu, Kecamatan Nusawungu,




<td>573</td><td>00152989</td><td>Aspiah,Ny</td><td>Desa Bojong, Kecamatan Parigi, Kabup

aten Ciamis</td><td>Islam</td><td>63 TH 3 BL 6 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Malignant neoplasm of main bronchus<



<td>574</td><td>00150094</td><td>Kasinah, Ny</td><td>Kelurahan Tegalrejo, Cilacap Selatan



</tr>

<tr id="tr575"><td>575</td><td>00151316</td><td>Minah, Ny</td><td>Desa Menganti, Kecamatan Kesugihan,

Cilacap</td><td>Islam</td><td>38 TH 9 BL 3 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Malignant neoplasm of cheek mucosa</



<td>576</td><td>00153027</td><td>Sapti Waliah, Ny</td><td>Desa Sidamulya, Sidareja, Cilacap</t




<td>577</td><td>00153904</td><td>Primas Tomi,Sdr</td><td>Kel.Pasir Kidul, Kecamatan Purwokert

o Barat, Purwokerto</td><td>Islam</td><td>21 TH 8 BL 18 HR</td><td>Laki Laki</td><td>Poliklinik Bedah Orthopedi</td><td>-</td><td>dr. Bambang Agus Teja Kusumah Sp. OT

</td><td>BPJS</td>


<td>578</td><td>00153477</td><td>Waliyah, Ny</td><td>Desa Cilempuyang, Cimanggu, Cilacap<

/td><td>Islam</td><td>61 TH 9 BL 23 HR</td><td>Perempuan</td><td>Poliklinik THT</td><td>Otitis media, unspecified</td><td>dr.Bagus Condro Prasetyo, Sp.THT-KL<

/td><td>BPJS</td>

</tr>

<tr id="tr579"><td>579</td><td>00152392</td><td>Siswahyu Diarti,Ny</td><td>Kelurahan Teluk, Kecamatan Purwokert

o Selatan, Purwokerto</td><td>Islam</td><td>60 TH 11 BL 14 HR</td><td>Perempuan</td><td>Poliklinik Syaraf</td><td>Arthrosis, unspecified</td><td>dr. Tutik Ermawati, Sp.S</td><td>BPJS</td>



Banyumas</td><td>Islam</td><td>37 TH 10 BL 29 HR</td><td>Laki Laki</td><td>Poliklinik Bedah Onkology</td><td>Neoplasm of uncertain or unknown beh



<td>581</td><td>00153934</td><td>Tarsikun, Tn</td><td>Kelurahan Teluk, Kecamatan Purwokert

o Selatan, Purwokerto</td><td>Islam</td><td>67 TH 4 BL 28 HR</td><td>Laki Laki</td><td>Poliklinik Syaraf</td><td>Mononeuropathy, unspecified</td><td>dr. Tutik Ermawati, Sp.S</td><td>BPJS</td>



yumas</td><td>Islam</td><td>81 TH 1 BL 22 HR</td><td>Laki Laki</td><td>Poliklinik Bedah Onkology</td><td>Neoplasm of uncertain or unknown beh



<td>583</td>

<td>00152948</td><td>Sarpinah,Ny</td><td>Desa Kalimanah Wetan, Kecamatan Kali

manah, Purbalingga</td><td>Islam</td><td>70 TH 7 BL 15 HR</td><td>Perempuan</td><td>Poliklinik Syaraf</td><td>Bouchard's nodes (with arthropathy)<



<td>584</td><td>00141660</td><td>Rasiyem, Ny</td><td>Kelurahan Teluk, Kecamatan Purwokert

o Selatan, Purwokerto</td><td>Islam</td><td>69 TH 1 BL 10 HR</td><td>Perempuan</td><td>Poliklinik Syaraf</td><td>Neuropathic arthropathy</td><td>dr. Tutik Ermawati, Sp.S</td><td>BPJS</td>







, Banyumas</td><td>Islam</td><td>68 TH 2 BL 17 HR</td><td>Laki Laki</td><td>Poliklinik Syaraf</td><td>Headache</td><td>dr. Tutik Ermawati, Sp.S</td><td>BPJS</td>


<td>587</td><td>00153202</td><td>Parmini, Ny</td>

<td>Desa Pamijen, Kecamatan Sokaraja, Banyumas</td>

<td>Islam</td><td>57 TH 4 BL 23 HR</td><td>Perempuan</td><td>Poliklinik Syaraf</td><td>Spondylopathy, unspecified</td><td>dr. Tutik Ermawati, Sp.S</td><td>BPJS</td>


<td>588</td><td>00141208</td><td>Zein Elfan Alfiansyah, Sdr</td><td>Desa Majasari, Kecamatan Bukateja, P

urbalingga</td><td>Islam</td><td>16 TH 9 BL 8 HR</td><td>Laki Laki</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>


<td>589</td><td>00153757</td><td>Tri Respanti,Nn</td><td>Desa Ciberung, Kecamatan Ajibarang,







<td>591</td><td>00150762</td><td>Darni, Ny</td><td>Desa Karangnanas, Kecamatan Sokaraja

, Banyumas</td><td>Islam</td>

<td>56 TH 5 BL 18 HR</td><td>Perempuan</td><td>Poliklinik Syaraf</td><td>Arthrosis, unspecified</td><td>dr. Tutik Ermawati, Sp.S</td><td>BPJS</td>


<td>592</td><td>00130076</td><td>Mutiah, Ny</td><td>Desa Langensari, Kecamatan Langensar

i, Kabupaten Ciamis</td><td>Islam</td><td>60 TH 1 BL 15 HR</td><td>Perempuan</td><td>Poliklinik Syaraf</td><td>Trigeminal neuralgia</td><td>dr. Tutik Ermawati, Sp.S</td><td>Umum</td>


<td>593</td><td>00142771</td><td>Karsidah, Ny</td><td>Kelurahan Teluk, Kecamatan Purwokert

o Selatan, Purwokerto</td><td>Islam</td><td>48 TH 11 BL 14 HR</td><td>Perempuan</td><td>Poliklinik Syaraf</td><td>Neuropathic arthropathy</td><td>dr. Tutik Ermawati, Sp.S</td><td>BPJS</td>






<td>595</td><td>00153323</td><td>Khomsatun, Ny</td><td>Desa Kertanegara, Kecamatan Karangan








<td>597</td><td>00152930</td><td>Umi Kalsum, Ny</td><td>Kel.Grendeng, Kecamatan Purwokerto U

tara, Purwokerto</td><td>Islam</td><td>52 TH 1 BL 19 HR</td><td>Perempuan</td><td>Poliklinik THT</td><td>Chronic maxillary sinusitis</td><td>dr.Bagus Condro Prasetyo, Sp.THT-KL<

/td><td>BPJS</td>


<td>598</td><td>00152430</td><td>Debora Agustina,Ny</td><td>Kel.Purwokerto Kulon, Kecamatan Purw

okerto Selatan, Purwokerto</td><td>Kristen</td><td>64 TH 5 BL 19 HR</td><td>Perempuan</td><td>Poliklinik Syaraf</td><td>Neuropathic arthropathy</td><td>dr. Tutik Ermawati, Sp.S</td><td>BPJS</td>


<td>599</td><td>00153747</td><td>Jimun Siswanto, Tn</td><td>Desa Kamulyan, Kec. Kuwarasan, Kebum

en</td><td>Islam</td><td>44 TH 3 BL 12 HR</td><td>Laki Laki</td><td>Poliklinik Bedah Onkology</td><td>Neoplasm of uncertain or unknown beh

avior of connective and other soft tissue</td>



<td>600</td><td>00150903</td><td>Sulastri, Ny</td><td>Desa Jambudesa, Kecamatan Karanganya

r, Purbalingga</td><td>Islam</td><td>46 TH 2 BL 20 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Malignant neoplasm of breast, unspec




yumas</td><td>Islam</td><td>16 TH 10 BL</td><td>Laki Laki</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>


<td>602</td><td>00130567</td><td>Yuliana Sumartini, Ny</td><td>Kel.Purwanegara, Kecamatan Purwokert

o Utara, Purwokerto</td><td>Khatolik</td><td>67 TH 8 BL 13 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Malignant neoplasm of breast, unspec



<td>603</td><td>00153843</td><td>Robinah, Ny</td><td>Desa Klapagading, Kecamatan Wangon,

Banyumas</td><td>Islam</td><td>63 TH 16 HR</td><td>Perempuan</td><td>Poliklinik Syaraf</td><td>Low back pain</td><td>dr. Tutik Ermawati, Sp.S</td><td>BPJS</td>


<td>604</td><td>00150650</td><td>Om Sunarti, Ny</td><td>Desa Sindangbarang, Karangpucung, Ci

lacap</td><td>Islam</td><td>61 TH 8 BL 21 HR</td><td>Perempuan</td><td>Poliklinik Syaraf</td><td>-</td><td>dr. Tutik Ermawati, Sp.S</td><td>BPJS</td>


<td>605</td><td>00151558</td><td>Indriyawati, Ny</td><td>Desa Banjengan, Kecamatan Mandiraja,

Banjarnegara</td><td>Islam</td><td>35 TH 4 BL 15 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Malignant neoplasm of mandible</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>


<td>606</td><td>00150263</td><td>Sulasmi, Ny</td><td>Desa Kedawung, Kecamatan Kroya, Cila

cap</td><td>Islam</td><td>61 TH 3 BL 7 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Malignant neoplasm of breast, unspec



<td>607</td><td>00141922</td><td>Cicilia Bea Etika Hesti Rahayu, Ny</

td><td>Kelurahan Teluk, Kecamatan Purwokert

o Selatan, Purwokerto</td><td>Kristen</td><td>51 TH 4 BL 1 HR</td><td>Perempuan</td><td>Poliklinik Syaraf</td><td>-</td><td>dr. Tutik Ermawati, Sp.S</td><td>BPJS</td>


<td>608</td><td>00152334</td><td>Mega Karmulita, An</td><td>Desa Sindangbarang, Karangpucung, Ci



<td>609</td><td>00110045</td><td>Riyanto, Tn</td><td>Desa Karangnanas, Kecamatan Sokaraja

, Banyumas</td><td>Islam</td><td>53 TH 7 BL 24 HR</td><td>Laki Laki</td><td>Poliklinik Syaraf</td><td>Stroke, not specified as haemorrhage








alang</td><td>Islam</td><td>41 TH 8 BL 29 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Malignant neoplasm of breast, unspec



<td>612</td>

<td>00153937</td><td>Abdul Muiz, Tn</td><td>Desa Banyumudal, Kecamatan Moga, Pem

alang</td><td>Islam</td><td>49 TH 10 BL 10 HR</td><td>Laki Laki</td><td>Poliklinik Syaraf</td><td>-</td><td>dr. Tutik Ermawati, Sp.S</td><td>BPJS</td>


<td>613</td><td>00153938</td><td>Sri Kustanti,Ny</td><td>Desa Karangnanas, Kecamatan Sokaraja

, Banyumas</td><td>Islam</td><td>64 TH 8 BL 28 HR</td><td>Perempuan</td><td>Poliklinik Umum</td><td>-</td><td>dr. Edi Wibowo</td><td>Umum</td>


<td>614</td><td>00153801</td><td>Sulastri, Ny</td><td>Kel.Bojong, Kecamatan Purbalingga, P

urbalingga</td><td>Islam</td><td>55 TH 6 BL 16 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Breast, unspecified</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>


<td>615</td><td>00150507</td><td>Ulfatunnisha, Ny</td><td>Desa Karanganyar, Kecamatan Karangan

yar, Purbalingga</td><td>Islam</td><td>31 TH 6 BL 22 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Malignant neoplasm of breast, unspec



<td>616</td><td>00152932</td><td>Suleman, Tn</td><td>Kel. Purbalingga Kulon, Kecamatan Pu

rbalingga, Purbalingga</td><td>Khatolik</td><td>66 TH 9 BL 3 HR</td><td>Laki Laki</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>



o Selatan, Purwokerto</td><td>Islam</td><td>67 TH 4 BL 28 HR</td><td>Laki Laki</td><td>Poliklinik Syaraf</td><td>-</td><td>dr. Tutik Ermawati, Sp.S</td><td>BPJS</td>


<td>618</td><td>00143104</td><td>Komsiah, Ny</td><td>Desa Cilempuyang, Cimanggu, Cilacap<




<td>619</td><td>00153940</td><td>Suyati, Ny</td><td>Desa Sidamulya, Wanareja, Cilacap</t




<td>620</td><td>00151591</td><td>Nur Khatiroh, Ny</td><td>Desa Bumijawa, Kecamatan Bumijawa, T

egal</td><td>Islam</td>




<td>621</td><td>00152351</td><td>Ngatirah, Ny</td><td>Desa Banyumudal, Kecamatan Moga, Pem



<td>622</td><td>00152690</td><td>Siti Hajijah, Ny</td><td>Desa Glempang, Kecamatan Pekuncen, B

anyumas</td><td>Islam</td><td>47 TH 1 BL 12 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Diffuse cystic mastopathy</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>






<td>624</td><td>00141713</td><td>Khayanti, Ny</td><td>Desa Sawangan Kidul, Kecamatan Patik

raja, Banyumas</td><td>Islam</td><td>54 TH 3 BL 7 HR</td><td>Perempuan</td>




<td>625</td><td>00142861</td><td>Idris, Tn</td><td>Desa Ajibarang Kulon, Kecamatan Ajib

arang, Banyumas</td><td>Islam</td><td>70 TH 3 BL 6 HR</td><td>Laki Laki</td><td>Poliklinik Bedah Onkology</td><td>Malignant neoplasm of nasopharynx, u



<td>626</td><td>00151579</td><td>Sri Rejeki, Ny</td><td>Kel. Andongsili, Kecamatan Mojoten

gah, Wonosobo</td><td>Islam</td><td>47 TH 8 BL 20 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>


<td>627</td><td>00142360</td><td>Hartiningsih, Ny</td><td>Desa Kuta, Kecamatan Belik, Pemalang



<td>628</td><td>00152233</td><td>Tarminah, Ny</td><td>Desa Badak, Kecamatan Belik, Pemalan

g</td><td>Islam</td><td>58 TH 6 BL 17 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Malignant neoplasm of breast, unspec



<td>629</td><td>00150574</td><td>Erlina, Ny</td><td>Desa Siasem, Wanasari, Brebes</td><td>Islam</td><td>26 TH 6 BL 12 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>


<td>630</td><td>00151249</td><td>Lusin Paryati,Ny</td><td>Desa Kalipurwo, Kec. Kuwarasan, Kebu

men</td><td>Islam</td><td>46 TH 8 BL 26 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Malignant neoplasm of breast, unspec



<td>631</td><td>00152106</td><td>Suparmi, Ny</td><td>Desa Lamuk, Kecamatan Kalikajar, Won



<td>632</td><td>00151994</td><td>Turahmi, Ny</td><td>Desa Karanganyar, Kecamatan Madukara

, Banjarnegara</td><td>Islam</td><td>50 TH 6 BL 10 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Malignant neoplasm of breast, unspec







<td>634</td><td>00153064</td><td>Supriyati, Ny</td><td>Kel.Bobosan, Kecamatan Purwokerto Ut

ara, Purwokerto</td><td>Kristen</td><td>60 TH 1 BL 16 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>


<td>635</td><td>00142284</td><td>Atthaya Saverio Dzakiy Saputra, An</

td><td>Desa Karanglewas Kidul, Kecamatan Ka

ranglewas, Banyumas</td><td>Islam</td><td>1 TH 4 BL 21 HR</td><td>Laki Laki</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>


<td>636</td><td>00110115</td><td>Warni, Ny</td><td>Desa Karangnanas, Kecamatan Sokaraja



<td>637</td><td>00151259</td><td>Taswen, Ny</td><td>Desa Karangtengah, Kecamatan Cilongo

k, Banyumas</td><td>Islam</td><td>47 TH 1 BL 12 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Malignant neoplasm of breast, unspec




malang</td><td>Islam</td><td>57 TH 1 BL 15 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>


<td>639</td><td>00150354</td><td>Wartini, Ny</td><td>Desa Karangcengis, Kecamatan Bukatej




<td>640</td><td>00143122</td><td>Dyah Sulistyanti, Ny</td><td>Desa Sokaraja Tengah, Kecamatan Soka



<td>641</td><td>00153773</td>

<td>Kemin Haryono,Tn</td><td>Desa Sidamulya, Wanareja, Cilacap</t

d><td>Islam</td><td>63 TH 6 BL 9 HR</td><td>Laki Laki</td><td>Poliklinik Bedah Onkology</td><td>Neoplasm of uncertain or unknown beh



<td>642</td><td>00153770</td><td>Juju,Ny</td><td>Desa Batukaras, Kecamatan Cijulang,

Kabupaten Ciamis</td><td>Islam</td><td>55 TH 11 BL 12 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Breast, unspecified</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>


<td>643</td><td>00151966</td><td>Priyatin, Ny</td><td>Desa Brobot, Kecamatan Bojongsari, P



<td>644</td><td>00152104</td><td>Rokiyem, Ny</td><td>Desa Wero, Kecamatan Gombong, Kebume

n</td><td>Islam</td><td>54 TH 3 BL 26 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>


<td>645</td><td>00152543</td><td>Badjuri,Tn</td><td>Desa Kepudang, Kecamatan Binangun, C

ilacap</td>

<td>Islam</td><td>71 TH 6 BL 2 HR</td><td>Laki Laki</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>



okerto Selatan, Purwokerto</td><td>Islam</td><td>86 TH 1 BL 15 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Malignant neoplasm of short bones of

upper limb</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>


<td>647</td><td>00143396</td><td>Eli Muharti, Ny</td><td>Kelurahan Teluk, Kecamatan Purwokert

o Selatan, Purwokerto</td><td>Islam</td><td>40 TH 3 BL 13 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Malignant neoplasm of breast, unspec



<td>648</td><td>00152705</td><td>Kusmiyati, Ny</td><td>Desa Cibeber, Kecamatan Cibeber, Kot

a Administratif Cilegon</td><td>Islam</td><td>47 TH 5 BL 30 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>



n, Banyumas</td><td>Islam</td><td>53 TH 9 BL 28 HR</td>

<td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Ganglion</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>


<td>650</td><td>00152620</td><td>Carti, Ny</td><td>Desa Cipete, Kecamatan Cilongok, Ban

yumas</td><td>Islam</td><td>67 TH 5 BL 25 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Anaemia, unspecified</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>


<td>651</td><td>00152418</td><td>Kisem, Ny</td><td>Desa Kebanaran, Kecamatan Mandiraja,



<td>652</td><td>00152840</td><td>Aristianti, Ny</td><td>Desa Karangsalam Kidul, Kecamatan Ke

dungbanteng, Banyumas</td><td>Islam</td><td>51 TH 9 BL 21 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>



sobo</td><td>Islam</td><td>63 TH 1 BL 16 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td>

<td>BPJS</td></tr>

<tr id="tr654"><td>654</td><td>00120665</td><td>Inem, Ny</td><td>Desa Banjarsari, Kecamatan Banjarsar

i, Kabupaten Ciamis</td><td>Islam</td><td>50 TH 3 BL 23 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>


<td>655</td><td>00150066</td><td>Sapariyah, Ny</td><td>Desa Mrentul, Kecamatan Mirit, Kebu

men</td><td>Islam</td><td>68 TH 10 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Malignant neoplasm of breast, unspec



<td>656</td><td>00150260</td><td>Rasmini, Ny</td><td>Desa Sidarata, Kecamatan Punggelan,








<td>658</td><td>00153710</td><td>Tri Multiyah,Ny</td><td>Desa Kalimandi, Kecamatan Purwarejak

lampok, Banjarnegara</td><td>Islam</td><td>60 TH 7 BL 13 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Malignant neoplasm of pleura</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>





<td>660</td><td>00152329</td><td>Ratnawati, Ny</td><td>Desa Ciporos, Karangpucung, Cilacap<

/td><td>Kristen</td><td>32 TH 9 BL 20 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Benign neoplasm of parotid gland</td



<td>661</td><td>00153795</td><td>Marjo,Tn</td><td>Desa Karangtawang, Kecamatan Nusawun

gu, Cilacap</td><td>Islam</td><td>70 TH 3 BL 20 HR</td><td>Laki Laki</td><td>Poliklinik Bedah Onkology</td><td>Disorder of prostate, unspecified</t



<td>662</td><td>00150025</td><td>Mabruroh, Ny</td><td>Desa Winduaji, Kecamatan Paguyangan,

Brebes</td><td>Islam</td><td>33 TH 6 BL 26 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Burkitt's tumour non-Hodgkin's lymph

oma</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>


<td>663</td><td>00150560</td><td>Yayat Hidayat, Tn</td><td>Desa Baregbeg, Kecamatan Ciamis, Kab

upaten Ciamis</td><td>Islam</td><td>36 TH 6 BL 22 HR</td><td>Laki Laki</td><td>Poliklinik Bedah Onkology</td><td>Benign neoplasm of colon, unspecifie



<td>664</td><td>00150121</td><td>Kartinem, Ny</td><td>Desa Pancarmulyo, Kecamatan Leksono,

Wonosobo</td><td>Islam</td><td>55 TH 9 BL 26 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Haemorrhage of anus and rectum</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>





<td>666</td><td>00153646</td>

<td>Nurlaelatul Maesaroh, Ny</td><td>Kel.Karanglewas Lor, Kecamatan Purwo

kerto Barat, Purwokerto</td><td>Islam</td><td>40 TH 2 BL 21 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Benign lipomatous neoplasm, unspecif



<td>667</td><td>00153716</td><td>Mirma Dwi Budianti,Ny</td><td>Desa Kalitinggar, Kecamatan Padamara

, Purbalingga</td><td>Islam</td><td>32 TH 3 BL 16 HR</td><td>Perempuan</td><td>Poliklinik Penyakit Dalam</td><td>-</td><td>dr. Aditiawarman, Sp. PD</td><td>BPJS</td>


<td>668</td><td>00152953</td><td>Mudji Arif Rahman, Tn</td><td>Desa Kunci, Sidareja, Cilacap</td><td>Islam</td><td>69 TH 6 BL 3 HR</td><td>Laki Laki</td><td>Poliklinik Syaraf</td><td>Paraplegia, unspecified</td><td>dr. Tutik Ermawati, Sp.S</td><td>BPJS</td>


<td>669</td><td>00153666</td><td>Sri Komsiah Bomistuti,Ny</td><td>Desa Karangrau, Kecamatan Sokaraja,

Banyumas</td><td>Islam</td><td>64 TH 10 BL 1 HR</td><td>Perempuan</td><td>Poliklinik Penyakit Dalam</td><td>-</td><td>dr. Aditiawarman, Sp. PD</td><td>BPJS</td>


<td>670</td><td>00153357</td><td>Markono,Tn</td><td>Desa Kalidesel, Kecamatan Watumalang

, Wonosobo</td><td>Islam</td>

<td>59 TH 7 BL 12 HR</td><td>Laki Laki</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>


<td>671</td><td>00142395</td><td>Marniti, Ny</td><td>Desa Keboledan, Wanasari, Brebes</td

><td>Islam</td><td>34 TH 5 BL 15 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Burkitt's tumour non-Hodgkin's lymph



<td>672</td><td>00153214</td><td>Ima Dwi Aryanti,Ny</td><td>Kel.Kober, Kecamatan Purwokerto Bara

t, Purwokerto</td><td>Islam</td><td>34 TH 10 BL 9 HR</td><td>Perempuan</td><td>Poliklinik Penyakit Dalam</td><td>-</td><td>dr. Aditiawarman, Sp. PD</td><td>BPJS</td>


<td>673</td><td>00153751</td><td>Ismailah Nur Elliza,Nn</td><td>Kel. Karangmanyar, Kecamatan Kaliman

ah, Purbalingga</td><td>Islam</td><td>24 TH 7 BL 1 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Breast, unspecified</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>Umum</td>


<td>674</td><td>00152537</td><td>Painem, Ny</td><td>Desa Mergosari, Kecamatan Leksono, W

onosobo</td><td>Islam</td><td>43 TH 6 BL 24 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td>




<td>675</td><td>00152918</td><td>Watimah, Nn</td><td>Desa Kutawis, Kecamatan Bukateja, Pu

rbalingga</td><td>Islam</td><td>18 TH 6 BL 8 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Malignant neoplasm of skin, unspecif



<td>676</td><td>00153941</td><td>Achmad Sanusi, Tn</td><td>Sukabumi, Cempaka, Ogan Komering Ulu

</td><td>Islam</td><td>65 TH 9 BL 29 HR</td><td>Laki Laki</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>Umum</td>


<td>677</td><td>00153942</td><td>Tusliyah, Ny</td><td>Desa Wanakarsa, Kecamatan Wanadadi,

Banjarnegara</td><td>Islam</td><td>52 TH 9 BL 21 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Neoplasm of uncertain or unknown beh



<td>678</td><td>00152327</td><td>Sarjo,Tn</td><td>Desa Bantarpanjang, Cimanggu, Cilaca

p</td><td>Islam</td><td>53 TH 1 HR</td><td>Laki Laki</td><td>Poliklinik Bedah Onkology</td><td>-</td>



<td>679</td><td>00153268</td><td>Moh. Farid Maroef, Tn</td><td>Desa Notog, Kecamatan Patikraja, Ban

yumas</td><td>Islam</td><td>48 TH 7 BL 11 HR</td><td>Laki Laki</td><td>Poliklinik Syaraf</td><td>-</td><td>dr. Tutik Ermawati, Sp.S</td><td>BPJS</td>


<td>680</td><td>00152983</td><td>Yoanita Ariani Wijaya, Ny</td><td>Kelurahan Teluk, Kecamatan Purwokert







<td>682</td><td>00150479</td><td>Ellysa A.Y, Ny</td><td>Kelurahan Sidanegara, Cilacap Tengah




<td>683</td><td>00142344</td><td>Dini Luthfiatsari, Nn</td><td>Kelurahan Teluk, Kecamatan Purwokert

o Selatan, Purwokerto</td><td>Islam</td><td>23 TH 1 BL 8 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Neoplasm of uncertain or unknown beh



<td>684</td><td>00151673</td><td>Suparyo,Tn</td><td>Desa Merden, Kecamatan Purwanegara,

Banjarnegara</td><td>Islam</td><td>51 TH 8 BL 23 HR</td><td>Laki Laki</td><td>Poliklinik Syaraf</td><td>-</td><td>dr. Tutik Ermawati, Sp.S</td><td>BPJS</td>


<td>685</td><td>00153838</td><td>Ojah,Ny</td><td>Desa Patimuan, Kecamatan Patimuan, C

ilacap</td><td>Islam</td><td>48 TH 9 BL 24 HR</td><td>Perempuan</td><td>Poliklinik Penyakit Dalam</td><td>-</td><td>dr. Aditiawarman, Sp. PD</td><td>Umum</td>



tan Purbalingga, Purbalingga</td><td>Islam</td><td>51 TH 10 BL 4 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>


<td>687</td>

<td>00153015</td><td>Sitem,Ny</td><td>Desa Kedungrandu, Kecamatan Patikraj

a, Banyumas</td><td>Islam</td><td>73 TH 7 BL 16 HR</td><td>Perempuan</td><td>Poliklinik Syaraf</td><td>-</td><td>dr. Tutik Ermawati, Sp.S</td><td>BPJS</td>


<td>688</td><td>00153808</td><td>Sahidin, Tn</td><td>Desa Cinyawang, Kecamatan Patimuan,

Cilacap</td><td>Islam</td><td>53 TH 4 BL 4 HR</td><td>Perempuan</td><td>Poliklinik Syaraf</td><td>-</td><td>dr. Tutik Ermawati, Sp.S</td><td>BPJS</td>


<td>689</td><td>00153772</td><td>Indrayanto,Tn</td><td>Kelurahan Teluk, Kecamatan Purwokert






<td>691</td><td>00152962</td><td>Mringati,Ny</td><td>Desa Bodaskarangjati, Kecamatan Remb

ang, Purbalingga</td>



<td>692</td><td>00130909</td><td>Sanggu Endriyani, Ny</td><td>Desa Kaliori, Kecamatan Kalibagor, B

anyumas</td><td>Islam</td><td>43 TH 3 BL 17 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Breast, unspecified</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>Umum</td>


<td>693</td><td>00153177</td><td>Tusiyatun,Ny</td><td>Desa Keleng, Kecamatan Kesugihan, Ci



<td>694</td><td>00152461</td><td>Ademas Putra Setiawan, An</td><td>Desa Jatisaba, Kecamatan Cilongok, B

anyumas</td><td>Islam</td><td>11 TH 8 BL 1 HR</td><td>Laki Laki</td><td>Poliklinik Bedah Onkology</td><td>Malignant neoplasm of skin, unspecif



<td>695</td><td>00153694</td><td>Kuswadi Chandra HS, Tn</td><td>Kelurahan Teluk, Kecamatan Purwokert

o Selatan, Purwokerto</td><td>Islam</td><td>66 TH 3 BL 11 HR</td><td>Laki Laki</td>

<td>Poliklinik Syaraf</td><td>-</td><td>dr. Tutik Ermawati, Sp.S</td><td>BPJS</td>


<td>696</td><td>00153333</td><td>Rosalia Hidayat, Nn</td><td>Desa Purwasari, Kecamatan Baturaden,

Banyumas</td><td>Khatolik</td><td>36 TH 8 BL 2 HR</td><td>Perempuan</td><td>Poliklinik Syaraf</td><td>-</td><td>dr. Tutik Ermawati, Sp.S</td><td>BPJS</td>


<td>697</td><td>00153840</td><td>Hj. Sulastri,Ny</td><td>Desa Karangjati, Kecamatan Sampang,

Cilacap</td><td>Islam</td><td>45 TH 10 BL 24 HR</td><td>Perempuan</td><td>Poliklinik Syaraf</td><td>-</td><td>dr. Tutik Ermawati, Sp.S</td><td>Umum</td>


<td>698</td><td>00152499</td><td>Saeri, Tn</td><td>Kel.Karangklesem, Kecamatan Purwoker

to Selatan, Purwokerto</td><td>Islam</td><td>80 TH 8 BL 12 HR</td><td>Laki Laki</td><td>Poliklinik Syaraf</td><td>-</td><td>dr. Tutik Ermawati, Sp.S</td><td>BPJS</td>


<td>699</td><td>00141245</td><td>Purwati, Ny</td><td>Kelurahan Teluk, Kecamatan Purwokert



<td>700</td><td>00152725</td><td>Wahadi, Tn</td><td>Desa Cikadu, Kecamatan Watukumpul, P

emalang</td><td>Islam</td><td>68 TH 5 BL 5 HR</td><td>Laki Laki</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>


<td>701</td><td>00152838</td><td>Narsidah, ny</td><td>Kel.Grendeng, Kecamatan Purwokerto U

tara, Purwokerto</td><td>Islam</td><td>55 TH 4 BL 3 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>


<td>702</td><td>00152644</td><td>Musriyah, Ny</td><td>Desa Kepudang, Kecamatan Binangun, C

ilacap</td><td>Islam</td><td>37 TH 5 BL 19 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>Umum</td>



yumas</td><td>Islam</td><td>49 TH 3 BL 24 HR</td><td>Perempuan</td><td>Poliklinik Syaraf</td><td>-</td><td>dr. Tutik Ermawati, Sp.S</td><td>BPJS</td>


<td>704</td><td>00142852</td>

<td>Sudiah, Ny</td><td>Desa Tambaksogra, Kecamatan Sumbang,



<td>705</td><td>00131068</td><td>Widihastuti, Ny</td><td>Kel.Sokanegara, Kecamatan Purwokerto

Timur, Purwokerto</td><td>Islam</td><td>47 TH 7 BL 11 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>


<td>706</td><td>00142794</td><td>Djun Kei, Tn</td><td>Kel.Purwokerto Wetan, Kecamatan Purw

okerto Timur, Purwokerto</td><td>Khatolik</td><td>63 TH 5 BL 16 HR</td><td>Laki Laki</td><td>Poliklinik Syaraf</td><td>-</td><td>dr. Tutik Ermawati, Sp.S</td><td>BPJS</td>


<td>707</td><td>00142051</td><td>Kartinah, Ny</td><td>Desa Patikraja, Kecamatan Patikraja,



<td>708</td><td>00151980</td><td>Edy Supriyanto, Tn</td><td>Desa Sidabowa, Kecamatan Patikraja,

Banyumas</td><td>Islam</td>



<td>709</td><td>00120807</td><td>Ellis Maestika,Ny</td><td>Desa Sindangsari, Majenang, Cilacap<

/td><td>Islam</td><td>58 TH 3 BL 20 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>


<td>710</td><td>00142823</td><td>Dwi Wurnindah, Ny</td><td>Kel. Karanganyar, Kecamatan Karangan

yar, Kebumen</td><td>Islam</td><td>50 TH 10 BL 25 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>





<td>712</td><td>00153175</td><td>Sri Wahyuningsih, Ny</td><td>Kelurahan Teluk, Kecamatan Purwokert

o Selatan, Purwokerto</td><td>Islam</td><td>55 TH 9 BL 7 HR</td><td>Perempuan</td><td>Poliklinik Syaraf</td><td>-</td>

<td>dr. Tutik Ermawati, Sp.S</td><td>BPJS</td>


<td>713</td><td>00152368</td><td>Pudjiarti, Ny</td><td>Kel.Grendeng, Kecamatan Purwokerto U

tara, Purwokerto</td><td>Islam</td><td>67 TH 6 BL 29 HR</td><td>Perempuan</td><td>Poliklinik Syaraf</td><td>-</td><td>dr. Tutik Ermawati, Sp.S</td><td>BPJS</td>


<td>714</td><td>00153810</td><td>Sri Kusmartini, Ny</td><td>Kel.Karangklesem, Kecamatan Purwoker

to Selatan, Purwokerto</td><td>Khatolik</td><td>45 TH 5 BL 1 HR</td><td>Perempuan</td><td>Poliklinik Syaraf</td><td>-</td><td>dr. Tutik Ermawati, Sp.S</td><td>BPJS</td>


<td>715</td><td>00151886</td><td>Ngadi, Tn</td><td>Kelurahan Bancarkembar, Kecamatan Pu

rwokerto Utara, Purwokerto</td><td>Islam</td><td>73 TH 4 BL 27 HR</td><td>Laki Laki</td><td>Poliklinik Syaraf</td><td>-</td><td>dr. Tutik Ermawati, Sp.S</td><td>Umum</td>


<td>716</td><td>00153812</td><td>Muhidin, Tn</td><td>Desa Sindangwangi, Bantarkawung, Bre

bes</td><td>Islam</td><td>67 TH 4 BL 28 HR</td><td>Laki Laki</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>


<td>717</td><td>00153660</td><td>Suharti, Ny</td><td>Desa Kedungrandu, Kecamatan Patikraj

a, Banyumas</td><td>Islam</td><td>44 TH 11 BL 13 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>


<td>718</td><td>00150886</td><td>Aminah, Ny</td><td>Desa Kembaran, Kecamatan Kembaran, B

anyumas</td><td>Islam</td><td>64 TH 11 BL 6 HR</td><td>Perempuan</td><td>Poliklinik Syaraf</td><td>-</td><td>dr. Tutik Ermawati, Sp.S</td><td>BPJS</td>



g</td><td>Islam</td><td>32 TH 12 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>


<td>720</td><td>00110289</td><td>Samen, Ny</td><td>Desa Karangrena, Kecamatan Maos, Cil



<td>721</td><td>00150495</td><td>Trisniani Budi, Lestari, Ny</td><td>Kelurahan Teluk, Kecamatan Purwokert



<td>722</td><td>00152816</td><td>Hadi Suwarso, Tn</td><td>Desa Pekaja, Kecamatan Kalibagor, Ba

nyumas</td><td>Islam</td><td>49 TH 8 BL 26 HR</td><td>Laki Laki</td><td>Poliklinik Syaraf</td><td>-</td><td>dr. Tutik Ermawati, Sp.S</td><td>Umum</td>


<td>723</td><td>00140969</td><td>Matin Susani, Ny</td><td>Desa Sambirata, Kecamatan Cilongok,

Banyumas</td><td>Islam</td><td>43 TH 1 BL 10 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>Umum</td>


<td>724</td><td>00153618</td><td>Kasinah, Ny</td><td>Desa Kebarongan, Kecamatan Kemranjen




p</td><td>Islam</td><td>57 TH 7 HR</td><td>Laki Laki</td>

<td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>Umum</td>


<td>726</td><td>00143351</td><td>Warsiti, Ny</td><td>Desa Kramat, Kecamatan Kembaran, Ban




<td>727</td><td>00150715</td><td>Atikah, Ny</td><td>Desa Andapraja, Kecamatan Rajadesa,

Kabupaten Ciamis</td><td>Islam</td><td>58 TH 3 BL</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Malignant neoplasm of breast, unspec



<td>728</td><td>00152835</td><td>Neti Sumiati, Ny</td><td>Desa Panulisan, Dayeuhluhur, Cilacap



<td>729</td><td>00153517</td><td>Mislam, Tn</td><td>Desa Sawal, Kecamatan Sigaluh, Banja

rnegara</td><td>Islam</td><td>63 TH 7 BL 1 HR</td><td>Laki Laki</td><td>Poliklinik Bedah Onkology</td><td>-</td>




a, Purbalingga</td><td>Islam</td><td>47 TH 7 BL 6 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>


<td>731</td><td>00151929</td><td>Tepi Agustina,Nn</td><td>Desa Padangjaya, Majenang, Cilacap</

td><td>Islam</td><td>16 TH 5 BL 28 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Malignant neoplasm of skin, unspecif



<td>732</td><td>00142515</td><td>Wastinah, Ny</td><td>Desa Kembaran, Kecamatan Kalikajar,




<td>733</td><td>00150372</td><td>Entin, Ny</td><td>Desa Ciganjeng, Kecamatan Padaherang

, Kabupaten Ciamis</td><td>Islam</td><td>54 TH 7 BL 28 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Malignant neoplasm of cervix uteri,

unspecified</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td>

<td>BPJS</td></tr>

<tr id="tr734"><td>734</td><td>00153766</td><td>Nasiyah,Ny</td><td>Desa Jatisaba, Kecamatan Cilongok, B



<td>735</td><td>00150432</td><td>Rohinah, Ny</td><td>Desa Purbadana, Kecamatan Kembaran,




<td>736</td><td>00153369</td><td>Sukarni, Ny</td><td>Kel. Gumilir, Kec. Cilacap Utara, Ci

lacap</td><td>Islam</td><td>48 TH 6 BL 12 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Anaemia, unspecified</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>


<td>737</td><td>00152190</td><td>Hadi Suwito, Tn</td><td>Desa Kemiri, Kecamatan Sumpiuh, Bany

umas</td><td>Islam</td><td>79 TH 1 BL 20 HR</td><td>Laki Laki</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>


<td>738</td><td>00153116</td><td>Siti Sarkonah,Ny</td><td>Desa Bumijawa, Kecamatan Bumijawa, T

egal</td><td>Islam</td><td>72 TH 3 BL 21 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Malignant neoplasm of breast, unspec



<td>739</td><td>00153822</td><td>Tasiem,Ny</td><td>Desa Cintaratu, Kecamatan Lakbok, Ka

bupaten Ciamis</td><td>Islam</td><td>61 TH 6 BL 10 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>Umum</td>


<td>740</td><td>00141137</td><td>Tuwen, Ny</td><td>Desa Bokol, Kecamatan Kemangkon, Pur




<td>741</td><td>00152519</td><td>Sunarto, Tn</td><td>Kelurahan Teluk, Kecamatan Purwokert



<td>742</td><td>00153870</td>

<td>Siti Khotijah,Ny</td><td>Desa Patimuan, Kecamatan Patimuan, C







ang</td><td>Islam</td><td>44 TH 7 BL 30 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Malignant neoplasm of breast, unspec



<td>745</td><td>00150595</td><td>Maemunah, Ny</td><td>Desa Handapherang, Kecamatan Cijeung

jing, Kabupaten Ciamis</td><td>Islam</td><td>67 TH 8 BL 30 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Malignant neoplasm of breast, unspec



<td>746</td><td>00152494</td><td>Ambar Priyanto, Tn</td><td>Desa Toyareka, Kecamatan Kemangkon,

Purbalingga</td><td>Islam</td><td>43 TH 10 BL 18 HR</td><td>Laki Laki</td><td>Poliklinik Bedah Onkology</td><td>Malignant neoplasm of nasopharynx, u






<td>748</td><td>00153943</td><td>Siti Ajnikhatin, Ny</td><td>Desa Kalijaran, Kecamatan Karanganya

r, Purbalingga</td><td>Islam</td><td>49 TH 1 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Malignant neoplasm of breast, unspec



<td>749</td><td>00151031</td><td>Siwi Hestiningsih, Nn</td><td>Kel.Purwanegara, Kecamatan Purwokert

o Utara, Purwokerto</td><td>Islam</td><td>42 TH 10 BL 16 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Malignant neoplasm of breast, unspec




en, Banyumas</td>




<td>751</td><td>00152416</td><td>Siti Djuweriyah, Ny</td><td>Desa Dagan, Kecamatan Bobotsari, Pur

balingga</td><td>Islam</td><td>56 TH 2 BL 16 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>


<td>752</td><td>00153121</td><td>Suharjo, Tn</td><td>Desa Pangebatan, Kecamatan Karanglew

as, Banyumas</td><td>Islam</td><td>62 TH 1 BL 16 HR</td><td>Laki Laki</td><td>Poliklinik Bedah Onkology</td><td>Malignant neoplasm of head, face and



<td>753</td><td>00152892</td><td>Sari Mulyono, Tn</td><td>Desa Sumbang, Kecamatan Sumbang, Ban




s</td><td>Islam</td><td>17 TH 14 HR</td>







Banyumas</td><td>Islam</td><td>65 TH 13 HR</td><td>Laki Laki</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>


<td>757</td><td>00130623</td><td>Tapsiyah, Ny</td><td>Desa Sampang, Kecamatan Sampang, Cil





klegi, Cilacap</td><td>Islam</td><td>59 TH 6 BL 25 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Neoplasm of uncertain or unknown beh

avior of lip, oral cavity and pharynx</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>


<td>759</td><td>00152212</td><td>Siti Muzaro'ah, Ny</td><td>Desa Sawangan, Kec. Kuwarasan, Kebum




<td>760</td><td>00150308</td><td>Sutarmi, Ny</td><td>Desa Tamansari, Kecamatan Karangmonc

ol, Purbalingga</td><td>Islam</td><td>38 TH 6 BL 29 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Malignant neoplasm of breast, unspec






<td>762</td><td>00150392</td><td>Suharno, Tn</td><td>Desa Jatibogor, Kecamatan Suradadi,

Tegal</td><td>Islam</td><td>48 TH 10 BL 28 HR</td><td>Laki Laki</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td>

<td>BPJS</td></tr>

<tr id="tr763"><td>763</td><td>00153815</td><td>Teguh Wahyudiono,Tn</td><td>Desa Langgongsari, Kecamatan Cilongo

k, Banyumas</td><td>Islam</td><td>40 TH 2 BL 23 HR</td><td>Laki Laki</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>Umum</td>


<td>764</td><td>00141768</td><td>Suprijati, Ny</td><td>Desa Klapasawit, Kecamatan Kalimanah




<td>765</td><td>00152507</td><td>Teti Wahyuni, Ny</td><td>Kel. Gumilir, Kec. Cilacap Utara, Ci




<td>766</td><td>00142772</td><td>Rumiyati, Ny</td><td>Kel.Purwokerto Lor, Kecamatan Purwok

erto Timur, Purwokerto</td><td>Islam</td><td>50 TH 10 BL 21 HR</td><td>Perempuan</td><td>Poliklinik Syaraf</td><td>-</td><td>dr. Tutik Ermawati, Sp.S</td><td>BPJS</td>

</tr>

<tr id="tr767"><td>767</td><td>00152141</td><td>Andayani, Ny</td><td>Kel. Donan, Cilacap Tengah, Cilacap<






<td>769</td><td>00143046</td><td>Faizatun Munfairoh, Ny</td><td>Pinangsia, Tamansari, Jakarta Barat<




lingga, Purbalingga</td><td>Kristen</td><td>28 TH 9 BL 19 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>Umum</td>


<td>771</td><td>00153584</td><td>Sukidah, Ny</td>

<td>Kel.Kranji, Kecamatan Purwokerto Timur, Purwokerto</td>







<td>773</td><td>00151418</td><td>Sambini, Ny</td><td>Desa Manduraga, Kecamatan Kalimanah,




<td>774</td><td>00153836</td><td>Arif Budi Raharja,Tn</td><td>Desa Kemutug Lor, Kecamatan Baturade

n, Banyumas</td><td>Islam</td><td>45 TH 4 BL 8 HR</td><td>Laki Laki</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>


<td>775</td><td>00141786</td><td>Kholidin, Tn</td><td>Desa Beji, Kecamatan Kedungbanteng,

Banyumas</td>

<td>Islam</td><td>49 TH 1 BL 13 HR</td><td>Laki Laki</td><td>Poliklinik Bedah Onkology</td><td>Neoplasm of uncertain or unknown beh



<td>776</td><td>00153720</td><td>Saniem,Ny</td><td>Desa Sindangjaya, Kecamatan Padahera

ng, Kabupaten Ciamis</td><td>Islam</td><td>91 TH 1 BL 22 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>Umum</td>


<td>777</td><td>00153000</td><td>Siti Sulastri, Ny</td><td>Desa Lebeng, Kecamatan Sumpiuh, Bany

umas</td><td>Islam</td><td>51 TH 5 BL 9 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>


<td>778</td><td>00153706</td><td>Kresmon Ade Pamungkas, Sdr</td><td>Kelurahan Teluk, Kecamatan Purwokert

o Selatan, Purwokerto</td><td>Khatolik</td><td>17 TH 10 BL 24 HR</td><td>Laki Laki</td><td>Poliklinik Syaraf</td><td>Dizziness and giddiness</td><td>dr. Tutik Ermawati, Sp.S</td><td>BPJS</td>


<td>779</td><td>00140946</td><td>Siti Warningsih, Ny</td><td>Kel.Berkoh, Kecamatan Purwokerto Sel

atan, Purwokerto</td><td>Islam</td><td>52 TH 4 BL 26 HR</td><td>Perempuan</td>





s, Banyumas</td><td>Islam</td><td>36 TH 6 BL 15 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Malignant neoplasm of breast, unspec



<td>781</td><td>00150078</td><td>Sere, Ny</td><td>Desa Cibadak, Kecamatan Banjarsari,

Kabupaten Ciamis</td><td>Islam</td><td>40 TH 27 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>


<td>782</td><td>00110126</td><td>Maryatun, Ny</td><td>Desa Sidamara, Kecamatan Buluspesant

ren, Kebumen</td><td>Islam</td><td>27 TH 4 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>Umum</td>



ap</td><td>Islam</td><td>37 TH 2 BL 30 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>-</td>



<td>784</td><td>00153944</td><td>Sawitri, Ny</td><td>Kel.Kedungwuluh, Kecamatan Purwokert

o Barat, Purwokerto</td><td>Islam</td><td>33 TH 11 BL 15 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Malignant neoplasm of cervix uteri,




Kabupaten Ciamis</td><td>Islam</td><td>66 TH 5 BL 5 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>Umum</td>


<td>786</td><td>00153606</td><td>Siti Sri Suparsih,Ny</td><td>Kelurahan Kraton Lor, Kecamatan Peka

longan Utara, Pekalongan</td><td>Islam</td><td>52 TH 5 BL 10 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>


<td>787</td><td>00141350</td><td>Hundawati, Ny</td><td>Kelurahan Teluk, Kecamatan Purwokert


</tr>

<tr id="tr788"><td>788</td><td>00150577</td><td>Warsiti, Ny</td><td>Desa Karangkemiri, Kecamatan Karangl

ewas, Banyumas</td><td>Islam</td><td>53 TH 6 BL 7 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Burkitt's tumour non-Hodgkin's lymph



<td>789</td><td>00153683</td><td>Mudrikah, Ny</td><td>Desa Ambarwinangun, Kecamatan Ambal,



<td>790</td><td>00150841</td><td>Mulyati, Ny</td><td>Desa Cimari, Kecamatan Cikoneng, Kab



<td>791</td><td>00142688</td><td>Kartini, Ny</td><td>Desa Sikumpul, Kecamatan Kalibening,

Banjarnegara</td><td>Islam</td><td>32 TH 5 BL</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Malignant neoplasm of breast, unspec



<td>792</td>

<td>00153062</td><td>Kasem, Ny</td><td>Desa Sidaurip, Candrungmangu, Cilaca

p</td><td>Islam</td><td>43 TH 10 BL 1 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>


<td>793</td><td>00140289</td><td>Rustiyah, Ny</td><td>Desa Karangreja, Kecamatan Karangrej



<td>794</td><td>00143255</td><td>Murtini, Ny</td><td>Desa Kamulyan, Kec. Kuwarasan, Kebum




<td>795</td><td>00153619</td><td>Sutirah,Ny</td><td>Desa Kedungwuluh, Kecamatan Kalimana

h, Purbalingga</td><td>Islam</td><td>77 TH 18 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>Umum</td>


<td>796</td><td>00153259</td><td>NurHidayat,Tn</td><td>Desa Wadasmalang, Kecamatan Sadang,

Kebumen</td><td>Islam</td><td>46 TH 1 BL 24 HR</td><td>Laki Laki</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>Umum</td>


<td>797</td><td>00152712</td><td>Kasinah, Ny</td><td>Desa Klapagading Kulon, Kecamatan Wa

ngon, Banyumas</td><td>Islam</td><td>56 TH 3 BL 27 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>


<td>798</td><td>00153945</td><td>Samirah, Ny</td><td>Desa Pasirbungur, Kecamatan Purwadad

i, Kabupaten Subang</td><td>Islam</td><td>37 TH 9 BL</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Neoplasm of uncertain or unknown beh



<td>799</td><td>00153173</td><td>Sugeng Tirtopranoto,Tn</td><td>Kel.Sumampir, Kecamatan Purwokerto U

tara, Purwokerto</td><td>Islam</td><td>68 TH 9 BL 4 HR</td><td>Laki Laki</td><td>Poliklinik Syaraf</td><td>-</td><td>dr. Tutik Ermawati, Sp.S</td><td>BPJS</td>


<td>800</td><td>00152851</td><td>Waedah, Ny</td><td>Desa Keboledan, Wanasari, Brebes</td

><td>Islam</td><td>57 TH 5 BL 18 HR</td>




<td>801</td><td>00130002</td><td>Wahyu Setianingrum, Ny</td><td>Kel.Kranji, Kecamatan Purwokerto Tim

ur, Purwokerto</td><td>Islam</td><td>56 TH 9 BL 28 HR</td><td>Perempuan</td><td>Poliklinik Syaraf</td><td>-</td><td>dr. Tutik Ermawati, Sp.S</td><td>BPJS</td>


<td>802</td><td>00142465</td><td>Umi Alfiyah, Ny</td><td>Desa Mangli, Kecamatan Randudongkal,

Pemalang</td><td>Islam</td><td>44 TH 4 BL 21 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>


<td>803</td><td>00153058</td><td>Eny Parmiati, Ny</td><td>Kel.Kedungwuluh, Kecamatan Purwokert

o Barat, Purwokerto</td><td>Islam</td><td>51 TH 7 BL 15 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>Umum</td>



ang</td><td>Islam</td><td>57 TH 6 BL 21 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>-</td>



<td>805</td><td>00152163</td><td>Kushartini, Ny</td><td>Kel.Tegalrejo, Cilacap Selatan, Cila

cap</td><td>Islam</td><td>59 TH 2 BL 8 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>


<td>806</td><td>00151841</td><td>Pairah, Ny</td><td>Cibubur, Ciracas, Jakarta Timur</td><td>Islam</td><td>50 TH 1 BL 6 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>


<td>807</td><td>00153798</td><td>Sri Rahayu, Ny</td><td>Kel.Purwokerto Kulon, Kecamatan Purw

okerto Selatan, Purwokerto</td><td>Islam</td><td>47 TH 6 BL</td><td>Perempuan</td><td>Poliklinik Syaraf</td><td>Mononeuropathy, unspecified</td><td>dr. Tutik Ermawati, Sp.S</td><td>BPJS</td>


<td>808</td><td>00150618</td><td>Chotirah, Ny</td><td>Desa Purwanegara, Kecamatan Purwaneg



<td>809</td>

<td>00150336</td><td>Saryan, Tn</td><td>Kelurahan Panambongan, Kecamatan Pur

balingga, Purbalingga</td><td>Islam</td><td>64 TH 5 BL 29 HR</td><td>Laki Laki</td><td>Poliklinik Syaraf</td><td>Neuralgia and neuritis, unspecified,

multiple sites</td><td>dr. Tutik Ermawati, Sp.S</td><td>BPJS</td>


<td>810</td><td>00151946</td><td>J Soekapti, Ny</td><td>Kel. Purbalingga Kulon, Kecamatan Pu

rbalingga, Purbalingga</td><td>Khatolik</td><td>78 TH 7 BL 11 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Malignant neoplasm of breast, unspec



<td>811</td><td>00151653</td><td>Tuti Nur Hidayati,Ny</td><td>Desa Notog, Kecamatan Patikraja, Ban




<td>812</td><td>00151426</td><td>Ma'ronah, Ny</td><td>Desa Banyumudal, Kecamatan Moga, Pem




<td>813</td>

<td>00152853</td><td>Haris Prayitno Harsono, Tn</td><td>Kel. Purwokerto Kidul, Kecamatan Pur

wokerto Selatan, Purwokerto</td><td>Islam</td><td>50 TH 4 BL 1 HR</td><td>Laki Laki</td><td>Poliklinik Syaraf</td><td>Sciatica</td><td>dr. Tutik Ermawati, Sp.S</td><td>BPJS</td>


<td>814</td><td>00153695</td><td>Pungki Retnowati, Nn</td><td>Desa Kracak, Kecamatan Ajibarang, Ba

nyumas</td><td>Islam</td><td>21 TH 8 BL 30 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>Umum</td>


<td>815</td><td>00153135</td><td>Paiman,Tn</td><td>Desa Bantar, Wanareja, Cilacap</td><td>Islam</td><td>57 TH 11 BL 18 HR</td><td>Laki Laki</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>






s, Banyumas</td><td>Islam</td>

<td>18 TH 9 BL 17 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Breast, unspecified</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>Umum</td>




<td>819</td><td>00151933</td><td>Marsiti, Ny</td><td>Desa Tumiyang, Kecamatan Pekuncen, B




<td>820</td><td>00151632</td><td>Sarwasih Wahyuni, Ny</td><td>Desa Wero, Kecamatan Gombong, Kebume



<td>821</td><td>00121153</td><td>Siti Khalimah, Ny</td><td>Desa Doplang, Kecamatan Adipala, Cil

acap</td><td>Islam</td><td>59 TH 1 BL 14 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>-</td>



<td>822</td><td>00151643</td><td>Sumiatun, Ny</td><td>Desa Adisana, Kecamatan Kebasen, Ban



<td>823</td><td>00153813</td><td>Mutolib, Tn</td><td>Desa Ampelsari, Kecamatan Petahanan,

Kebumen</td><td>Islam</td><td>39 TH 9 BL 1 HR</td><td>Laki Laki</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>Umum</td>


<td>824</td><td>00153948</td><td>Tarsim,Tn</td><td>Desa Pasawahan, Kecamatan Banjarsari

, Kabupaten Ciamis</td><td>Islam</td><td>43 TH 8 BL 5 HR</td><td>Laki Laki</td><td>Poliklinik Bedah Onkology</td><td>Neoplasm of uncertain or unknown beh

avior of urethra</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>Umum</td>


<td>825</td><td>00153784</td><td>Raminah,Ny</td><td>Desa Sindangbarang, Karangpucung, Ci

lacap</td><td>Islam</td><td>49 TH 8 BL 23 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>Umum</td>

</tr>

<tr id="tr826"><td>826</td><td>00110158</td><td>Disem, Ny</td><td>Desa Kebocoran, Kecamatan Kedungbant

eng, Banyumas</td><td>Islam</td><td>46 TH 1 BL 12 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Malignant neoplasm of breast, unspec



<td>827</td><td>00100189</td><td>Sri Karwati, Ny</td><td>Desa Karangtengah, Kecamatan Sampang

, Cilacap</td><td>Islam</td><td>40 TH 3 BL 30 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>Umum</td>


<td>828</td><td>00150730</td><td>Natiyah, Ny</td><td>Desa Krajan, Kecamatan Pekuncen, Ban




i, Kabupaten Ciamis</td><td>Islam</td><td>70 TH 4 BL 2 HR</td><td>Laki Laki</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>


<td>830</td><td>00142069</td>

<td>Jamilah, Ny</td><td>Desa Laren, Kecamatan Bumiayu, Brebe

s</td><td>Islam</td><td>50 TH 6 BL 25 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>





<td>832</td><td>00143346</td><td>Lamiyatun, Ny</td><td>Desa Kebulusan, Kecamatan Pejagoan,




inangun, Cilacap</td><td>Islam</td><td>31 TH 8 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>



o Selatan, Purwokerto</td><td>Islam</td>

<td>44 TH 3 BL</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>





<td>836</td><td>00152980</td><td>Ikah Atikah, Ny</td><td>Desa Nasor, Kecamatan Cikoneng, Kabu

paten Ciamis</td><td>Islam</td><td>60 TH 7 BL 7 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>



Utara, Cilacap</td><td>Islam</td><td>37 TH 9 BL 1 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Malignant neoplasm of breast, unspec



<td>838</td><td>00143261</td><td>Ruci, Ny</td><td>Desa Bentarsari, Salem, Brebes</td><td>Islam</td><td>52 TH 6 BL 27 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>-</td>









<td>841</td><td>00153671</td><td>Suwarti,Ny</td><td>Desa Banjarsari, Kecamatan Nusawungu

, Cilacap</td><td>Islam</td><td>43 TH 2 BL 4 HR</td><td>Perempuan</td><td>Poliklinik Obsgyn</td><td>Leiomyoma of uterus, unspecified</td

><td>dr. Soegeng Djiwarahga, Sp.OG</td><td>BPJS</td>


<td>842</td><td>00143329</td><td>Endang Sri Gunawati, Ny</td><td>Desa Purwasari, Kecamatan Baturaden,


</tr>

<tr id="tr843"><td>843</td><td>00153327</td><td>Sumitri, Ny</td><td>Kelurahan Teluk, Kecamatan Purwokert

o Selatan, Purwokerto</td><td>Islam</td><td>54 TH 2 BL 24 HR</td><td>Perempuan</td><td>Poliklinik Penyakit Dalam</td><td>Congestive heart failure</td><td>dr. Aditiawarman, Sp. PD</td><td>BPJS</td>


<td>844</td><td>00152157</td><td>Toyinah, Ny</td><td>Desa Jeruklegi Kulon, Kecamatan Jeru



<td>845</td><td>00142238</td><td>Ritah, Ny</td><td>Desa Warungpring, Kecamatan Moga, Pe



<td>846</td><td>00150345</td><td>Darsono, Tn</td><td>Desa Kedawung, Kecamatan Pejagoan, K

ebumen</td><td>Islam</td><td>73 TH 1 BL 20 HR</td><td>Laki Laki</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>


<td>847</td><td>00152884</td><td>Indri Indrawati, Ny</td>

<td>Kelurahan Teluk, Kecamatan Purwokerto Selatan, Purwokerto</td>

<td>Islam</td><td>48 TH 10 BL 28 HR</td><td>Perempuan</td><td>Poliklinik Syaraf</td><td>Carpal tunnel syndrome</td><td>dr. Tutik Ermawati, Sp.S</td><td>BPJS</td>



anjarnegara</td><td>Islam</td><td>34 TH 5 BL 20 HR</td><td>Laki Laki</td><td>Poliklinik Penyakit Dalam</td><td>-</td><td>dr. Aditiawarman, Sp. PD</td><td>BPJS</td>


<td>849</td><td>00153608</td><td>Mislatun,Ny</td><td>Desa Kertanegara, Kecamatan Karangan

yar, Purbalingga</td><td>Islam</td><td>48 TH 7 BL 10 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>


<td>850</td><td>00153847</td><td>Mujinah, Ny</td><td>Desa Sindangsari, Kecamatan Garung,

Wonosobo</td><td>Islam</td><td>70 TH 3 BL 8 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Neoplasm of uncertain or unknown beh



<td>851</td><td>00153631</td><td>Riwen,Ny</td><td>Kel.Karangklesem, Kecamatan Purwoker

to Selatan, Purwokerto</td><td>Islam</td>

<td>72 TH 1 BL 19 HR</td><td>Perempuan</td><td>Poliklinik Penyakit Dalam</td><td>-</td><td>dr. Aditiawarman, Sp. PD</td><td>BPJS</td>


<td>852</td><td>00153901</td><td>Sukir,Tn</td><td>Kel.Karangklesem, Kecamatan Purwoker

to Selatan, Purwokerto</td><td>Islam</td><td>57 TH 2 BL 5 HR</td><td>Laki Laki</td><td>Poliklinik Umum</td><td>-</td><td>dr. Wandito Gayuh Utomo</td><td>Umum</td>


<td>853</td><td>00153860</td><td>Reno Bambang Agustiono,Tn</td><td>Desa Bojanegara, Kecamatan Padamara,

Purbalingga</td><td>Islam</td><td>55 TH 5 BL 21 HR</td><td>Laki Laki</td><td>Poliklinik Bedah Onkology</td><td>Unspecified haemorrhoids without com



<td>854</td><td>00153490</td><td>Wiryono, Tn</td><td>Desa Mandirancan, Kecamatan Kebasen,

Banyumas</td><td>Islam</td><td>58 TH 11 BL 23 HR</td><td>Laki Laki</td><td>Poliklinik Penyakit Dalam</td><td>-</td><td>dr. Aditiawarman, Sp. PD</td><td>BPJS</td>


<td>855</td><td>00153735</td><td>Ida Safuroh, Ny</td><td>Desa Dondong, Kecamatan Kesugihan, C

ilacap</td><td>Islam</td><td>23 TH 4 BL 1 HR</td><td>Perempuan</td><td>Poliklinik Umum</td>

<td>-</td><td>dr. Wandito Gayuh Utomo</td><td>Umum</td>


<td>856</td><td>00152830</td><td>Sarti, Ny</td><td>Desa Jogopaten, Kecamatan Buluspesan

tren, Kebumen</td><td>Islam</td><td>47 TH 1 BL 12 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Malignant neoplasm of breast, unspec




un, Kebumen</td><td>Islam</td><td>54 TH 6 BL 10 HR</td><td>Laki Laki</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>


<td>858</td><td>00152978</td><td>Jaminem, Ny</td><td>Desa Kemawi, Kecamatan Somagede, Ban

yumas</td><td>Islam</td><td>61 TH 9 BL</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>


<td>859</td><td>00142802</td><td>Parsih, Ny</td><td>Kel.Purwokerto Wetan, Kecamatan Purw

okerto Timur, Purwokerto</td><td>Islam</td><td>47 TH 8 BL 4 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Malignant neoplasm of breast, unspec


<td>BPJS</td></tr>

<tr id="tr860"><td>860</td><td>00152978</td><td>Jaminem, Ny</td><td>Desa Kemawi, Kecamatan Somagede, Ban

yumas</td><td>Islam</td><td>61 TH 9 BL</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Malignant neoplasm of mouth, unspeci

fied</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>


<td>861</td><td>00153949</td><td>Sutrisni,Nn</td><td>Desa Tamansari, Kecamatan Karangmonc

ol, Purbalingga</td><td>Islam</td><td>33 TH 7 BL 29 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Neoplasm of uncertain or unknown beh



<td>862</td><td>00152219</td><td>Ranem, Ny</td><td>Desa Limbangan, Kecamatan Madukara,




<td>863</td><td>00152927</td><td>Kasirun, Tn</td><td>Desa Tumiyang, Kecamatan Pekuncen, B

anyumas</td><td>Islam</td><td>57 TH 11 BL 14 HR</td><td>Laki Laki</td><td>Poliklinik Bedah Onkology</td><td>Carcinoma in situ of rectum</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>





<td>865</td><td>00140906</td><td>Parti, Ny</td><td>Desa Gumelem Kulon, Kecamatan Susuka

n, Banjarnegara</td><td>Islam</td><td>46 TH 3 BL 30 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>Umum</td>


<td>866</td><td>00150301</td><td>Sri Hartati, Ny</td><td>Kel.Kutabanjarnegara, Kecamatan Banj

arnegara, Banjarnegara</td><td>Islam</td><td>68 TH 8 BL 7 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Malignant neoplasm of breast, unspec



<td>867</td><td>00150499</td><td>Saeri, Ny</td><td>Desa Kedungter, Brebes, Brebes</td><td>Islam</td><td>51 TH 6 BL 26 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>


<td>868</td><td>00153399</td>

<td>Hutama Jappar,Tn</td><td>Kel.Karangpucung, Kecamatan Purwoker

to Selatan, Purwokerto</td><td>Khatolik</td><td>62 TH 2 BL 5 HR</td><td>Laki Laki</td><td>Poliklinik Penyakit Dalam</td><td>-</td><td>dr. Aditiawarman, Sp. PD</td><td>BPJS</td>


<td>869</td><td>00153611</td><td>Tarjono, Tn</td><td>Desa Tayem, Karangpucung, Cilacap</t

d><td>Islam</td><td>54 TH 8 BL 5 HR</td><td>Laki Laki</td><td>Poliklinik Bedah Onkology</td><td>Unspecified haemorrhoids without com



<td>870</td><td>00152440</td><td>Wahyuningsih,Ny</td><td>Desa Gandasuli, Kecamatan Bobotsari,

Purbalingga</td><td>Islam</td><td>36 TH 7 BL 19 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Anaemia, unspecified</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>






Banyumas</td>




<td>873</td><td>00153951</td><td>Turahmi,Ny</td><td>Desa Candiwulan, Kecamatan Kutasari,




<td>874</td><td>00150559</td><td>Musliah, Ny</td><td>Kel. Donan, Cilacap Tengah, Cilacap<




<td>875</td><td>00153952</td><td>Sumarni,Ny</td><td>Kelurahan Teluk, Kecamatan Purwokert



<td>876</td><td>00152752</td><td>Tjinta Wati, Ny</td><td>Kel. Kradenan, Kecamatan Sumpiuh, Ba

nyumas</td><td>Khatolik</td>

<td>82 TH 6 BL 14 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Malignant neoplasm of peripheral ner

ves and autonomic nervous system, unspecified</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>


<td>877</td><td>00152392</td><td>Siswahyu Diarti,Ny</td><td>Kelurahan Teluk, Kecamatan Purwokert

o Selatan, Purwokerto</td><td>Islam</td><td>60 TH 11 BL 14 HR</td><td>Perempuan</td><td>Poliklinik Bedah Orthopedi</td><td>Low back pain</td><td>dr. Bambang Agus Teja Kusumah Sp. OT

</td><td>BPJS</td>


<td>878</td><td>00153953</td><td>Karsinah, Ny</td><td>Desa Batuanten, Kecamatan Cilongok,




<td>879</td><td>00151617</td><td>Tasmini, Ny</td><td>Desa Petarukan, Kecamatan Petarukan,

Pemalang</td><td>Islam</td><td>41 TH 9 BL 2 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Malignant neoplasm of breast, unspec



<td>880</td><td>00153954</td><td>Sabrina Nur Isnaeni, Nn</td><td>Desa Nusajati, Kecamatan Sampang, Ci

lacap</td><td>Islam</td>

<td>14 TH 7 BL 16 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Neoplasm of uncertain or unknown beh



<td>881</td><td>00153955</td><td>Javas Agastya Pradita,An</td><td>Desa Kaligiri, Kecamatan Sirampog, B

rebes</td><td>Islam</td><td>2 TH 23 HR</td><td>Laki Laki</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>Umum</td>


<td>882</td><td>00151672</td><td>Nur 'Ayati, Ny</td><td>Kel.Limbangan Wetan, Brebes, Brebes<




<td>883</td><td>00152546</td><td>Sutarmi, Ny</td><td>Desa Blambangan, Kecamatan Bawang, B

anjarnegara</td><td>Islam</td><td>35 TH 11 BL 9 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Anaemia, unspecified</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>


<td>884</td><td>00110930</td><td>Asmungi Dimin, Tn</td><td>Desa Binangun, Kawunganten, Cilacap<

/td><td>Islam</td><td>65 TH 1 BL 17 HR</td><td>Laki Laki</td>

<td>Poliklinik Syaraf</td><td>-</td><td>dr. Tutik Ermawati, Sp.S</td><td>BPJS</td>









<td>887</td><td>00120124</td><td>Narkem, Ny</td><td>Desa Karangnanas, Kecamatan Sokaraja

, Banyumas</td><td>Islam</td><td>58 TH 8 BL</td><td>Perempuan</td><td>Poliklinik Syaraf</td><td>Headache</td><td>dr. Tutik Ermawati, Sp.S</td><td>BPJS</td>



Cilacap</td><td>Islam</td><td>37 TH 4 BL</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Malignant neoplasm of breast, unspec

ified</td>



<td>889</td><td>00152122</td><td>Natun, Tn</td><td>Desa Papringan, Kecamatan Banyumas,

Banyumas</td><td>Islam</td><td>53 TH 10 BL 23 HR</td><td>Laki Laki</td><td>Poliklinik Bedah Onkology</td><td>Anaemia, unspecified</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>






</td><td>Islam</td><td>47 TH 4 BL 25 HR</td><td>Perempuan</td><td>Poliklinik Syaraf</td><td>Bouchard's nodes (with arthropathy)<



<td>892</td><td>00130627</td><td>Natawirya,Tn</td><td>Desa Kedungreja, Kedungreja, Cilacap

</td><td>Islam</td><td>67 TH 10 BL 28 HR</td><td>Laki Laki</td><td>Poliklinik Bedah Onkology</td><td>Neoplasm of uncertain or unknown beh

avior of skin</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>


<td>893</td><td>00153166</td><td>Narsanto, Tn</td><td>Desa Dukuhwaluh, Kecamatan Kembaran,

Banyumas</td><td>Islam</td><td>61 TH 22 HR</td><td>Laki Laki</td><td>Poliklinik Syaraf</td><td>Low back pain</td><td>dr. Tutik Ermawati, Sp.S</td><td>BPJS</td>






<td>895</td><td>00151344</td><td>Siti Rochyati, Ny</td><td>Desa Banteran, Kecamatan Sumbang, Ba

nyumas</td><td>Islam</td><td>66 TH 9 BL 19 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Malignant neoplasm of breast, unspec






</tr>

<tr id="tr897"><td>897</td><td>00153956</td><td>Liana Ratnasari, Nn</td><td>Desa Kedunguter, Kecamatan Banyumas,




<td>898</td><td>00153634</td><td>Lie Lian,Ny</td><td>Kel.Purwokerto Lor, Kecamatan Purwok

erto Timur, Purwokerto</td><td>Kristen</td><td>52 TH 9 BL 29 HR</td><td>Perempuan</td><td>Poliklinik Syaraf</td><td>-</td><td>dr. Tutik Ermawati, Sp.S</td><td>BPJS</td>


<td>899</td><td>00150359</td><td>Tri Titi Lestari, Ny</td><td>Kelurahan Teluk, Kecamatan Purwokert

o Selatan, Purwokerto</td><td>Islam</td><td>63 TH 18 HR</td><td>Perempuan</td><td>Poliklinik Syaraf</td><td>-</td><td>dr. Tutik Ermawati, Sp.S</td><td>BPJS</td>






<td>901</td>

<td>00153727</td><td>Arif Budiman,Sdr</td><td>Desa Sidayu, Kecamatan Gombong, Kebu

men</td><td>Islam</td><td>23 TH 5 BL 6 HR</td><td>Laki Laki</td><td>Poliklinik Syaraf</td><td>Tetraplegia, unspecified</td><td>dr. Tutik Ermawati, Sp.S</td><td>BPJS</td>


<td>902</td><td>00151396</td><td>Suwarsono,Tn</td><td>Kelurahan Teluk, Kecamatan Purwokert

o Selatan, Purwokerto</td><td>Islam</td><td>60 TH 4 BL 14 HR</td><td>Laki Laki</td><td>Poliklinik Syaraf</td><td>Stroke, not specified as haemorrhage



<td>903</td><td>00141617</td><td>Resniti, Ny</td><td>Kelurahan Teluk, Kecamatan Purwokert

o Selatan, Purwokerto</td><td>Islam</td><td>53 TH 10 BL 11 HR</td><td>Perempuan</td><td>Poliklinik Syaraf</td><td>Stroke, not specified as haemorrhage



<td>904</td><td>00153878</td><td>Sukirman, Tn</td><td>Desa Purwasari, Kecamatan Baturaden,

Banyumas</td><td>Khatolik</td><td>57 TH 9 BL 9 HR</td><td>Laki Laki</td><td>Poliklinik THT</td><td>Tinnitus</td><td>dr.Bagus Condro Prasetyo, Sp.THT-KL<

/td><td>BPJS</td>


<td>905</td><td>00153957</td>

<td>Ani Nuryati, Ny</td><td>Desa Bogares Kidul, Pangkah, Tegal</




<td>906</td><td>00153083</td><td>Us. Eko Watiningsih,Ny</td><td>Kel.Bobosan, Kecamatan Purwokerto Ut

ara, Purwokerto</td><td>Islam</td><td>54 TH 4 BL 20 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Malignant neoplasm of head, face and



<td>907</td><td>00152164</td><td>Novia Dwi Lestari, Ny</td><td>Desa Susukan, Kecamatan Sumbang, Ban

yumas</td><td>Islam</td><td>32 TH 3 BL</td><td>Perempuan</td><td>Poliklinik Syaraf</td><td>Unspecified urinary incontinence</td

><td>dr. Tutik Ermawati, Sp.S</td><td>BPJS</td>


<td>908</td><td>00150203</td><td>Siti Muslimah, Ny</td><td>Desa Purwanegara, Kecamatan Purwaneg

ara, Banjarnegara</td><td>Islam</td><td>53 TH 5 BL</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Malignant neoplasm of breast, unspec



<td>909</td><td>00153278</td>

<td>Warno, Tn</td><td>Desa Banjarsari Kulon, Kecamatan Sum

bang, Banyumas</td><td>Islam</td><td>60 TH 1 BL 7 HR</td><td>Laki Laki</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>


<td>910</td><td>00153845</td><td>Ruswati, Ny</td><td>Desa Klahang, Kecamatan Sokaraja, Ba

nyumas</td><td>Islam</td><td>51 TH 4 BL 30 HR</td><td>Perempuan</td><td>Poliklinik Syaraf</td><td>Spondylolisthesis</td><td>dr. Tutik Ermawati, Sp.S</td><td>BPJS</td>


<td>911</td><td>00142838</td><td>Wartoyo, Tn</td><td>Desa Tanggeran, Kecamatan Somagede,

Banyumas</td><td>Islam</td><td>46 TH 1 BL 11 HR</td><td>Laki Laki</td><td>Poliklinik Bedah Onkology</td><td>Non-Hodgkin's lymphoma, unspecified







<td>913</td><td>00152679</td><td>Entin Hartini, Ny</td><td>Desa Madura, Wanareja, Cilacap</td>

<td>Islam</td><td>52 TH 5 BL 29 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Aplastic and other anaemias</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>


<td>914</td><td>00153453</td><td>Diana Ambarwati,Ny</td><td>Kel. Rejasari, Kecamatan Purwokerto

Barat, Purwokerto</td><td>Islam</td><td>32 TH 11 BL 6 HR</td><td>Perempuan</td><td>Poliklinik Syaraf</td><td>Low back pain</td><td>dr. Tutik Ermawati, Sp.S</td><td>BPJS</td>


<td>915</td><td>00152930</td><td>Umi Kalsum, Ny</td><td>Kel.Grendeng, Kecamatan Purwokerto U

tara, Purwokerto</td><td>Islam</td><td>52 TH 1 BL 19 HR</td><td>Perempuan</td><td>Poliklinik Syaraf</td><td>Neuralgia and neuritis, unspecified,

site unspecified</td><td>dr. Tutik Ermawati, Sp.S</td><td>BPJS</td>


<td>916</td><td>00130432</td><td>Sahdi, Tn</td><td>Desa Cibanten, Kecamatan Cijulang, K

abupaten Ciamis</td><td>Islam</td><td>57 TH 6 BL 3 HR</td><td>Laki Laki</td><td>Poliklinik Bedah Onkology</td><td>Neoplasm of uncertain or unknown beh



<td>917</td><td>00153738</td><td>Sutati, Ny</td><td>Kelurahan Teluk, Kecamatan Purwokert

o Selatan, Purwokerto</td><td>Islam</td><td>59 TH 8 BL 10 HR</td>

<td>Perempuan</td><td>Poliklinik Bedah Orthopedi</td><td>Sequelae of fracture at wrist and ha

nd level</td><td>dr. Bambang Agus Teja Kusumah Sp. OT

</td><td>BPJS</td>


<td>918</td><td>00153886</td><td>Sodikin, Tn</td><td>Desa Cimanggu, Cimanggu, Cilacap</td

><td>Islam</td><td>64 TH 4 BL 9 HR</td><td>Laki Laki</td><td>Poliklinik Bedah Onkology</td><td>Haemorrhoids</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>


<td>919</td><td>00153423</td><td>Mitro, Tn</td><td>Desa Ciberem, Kecamatan Sumbang, Ban

yumas</td><td>Islam</td><td>46 TH 2 BL 23 HR</td><td>Laki Laki</td><td>Poliklinik Syaraf</td><td>Parkinson's disease</td><td>dr. Tutik Ermawati, Sp.S</td><td>BPJS</td>



o Selatan, Purwokerto</td><td>Islam</td><td>47 TH 1 BL 12 HR</td><td>Perempuan</td><td>Poliklinik Syaraf</td><td>Low back pain</td><td>dr. Tutik Ermawati, Sp.S</td><td>BPJS</td>


<td>921</td><td>00142021</td><td>Rismarwati, Ny</td><td>Desa Gambarsari, Kecamatan Kebasen,

Banyumas</td><td>Islam</td><td>44 TH 7 BL 28 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td>




<td>922</td><td>00141979</td><td>Mudita Kentakasari, Ny</td><td>Desa Keniten, Kecamatan Kedungbanten

g, Banyumas</td><td>Islam</td><td>43 TH 6 BL 15 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Malignant neoplasm of breast, unspec



<td>923</td><td>00153959</td><td>Ali, Tn</td><td>Desa Ciporos, Karangpucung, Cilacap<

/td><td>Islam</td><td>65 TH 4 BL 8 HR</td><td>Laki Laki</td><td>Poliklinik Bedah Onkology</td><td>Unilateral or unspecified inguinal h




, Banjarnegara</td><td>Islam</td><td>43 TH 4 BL 25 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>



Purbalingga</td><td>Kristen</td><td>68 TH</td><td>Laki Laki</td><td>Poliklinik Syaraf</td><td>Bouchard's nodes (with arthropathy)<



<td>926</td><td>00153355</td><td>Saipul Haq,Tn</td><td>Karang Agung, Sumber Jaya, Lampung B

arat</td><td>Islam</td><td>64 TH 5 BL 2 HR</td><td>Laki Laki</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>Umum</td>


<td>927</td><td>00150440</td><td>Radiantini Retno Edi,Ny</td><td>Kel.Berkoh, Kecamatan Purwokerto Sel

atan, Purwokerto</td><td>Islam</td><td>64 TH 8 BL</td><td>Perempuan</td><td>Poliklinik Syaraf</td><td>Essential (primary) hypertension</td

><td>dr. Tutik Ermawati, Sp.S</td><td>BPJS</td>



ngan, Kabupaten Ciamis</td><td>Islam</td><td>57 TH 7 BL 15 HR</td><td>Laki Laki</td><td>Poliklinik Bedah Onkology</td><td>Malignant neoplasm of nasopharynx</t




d><td>Islam</td><td>86 TH 1 BL 7 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td>

<td>BPJS</td></tr>

<tr id="tr930"><td>930</td><td>00152050</td><td>Suryaman,Tn</td><td>Desa Iser, Kecamatan Petarukan, Pema

lang</td><td>Islam</td><td>49 TH 7 BL 27 HR</td><td>Laki Laki</td><td>Poliklinik Bedah Onkology</td><td>Malignant neoplasm of head, face and



<td>931</td><td>00140267</td><td>Abdul Kohar, Tn</td><td>Desa Adiarsa, Kecamatan Karanganyar,



<td>932</td><td>00142615</td><td>Sukinem, Ny</td><td>Desa Waringinsari, Kecamatan Langens

ari, Kabupaten Ciamis</td><td>Islam</td><td>56 TH 1 BL 14 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Malignant neoplasm of breast, unspec




t, Purwokerto</td><td>Islam</td><td>46 TH 6 BL 23 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Malignant neoplasm of skin, unspecif




wang, Banyumas</td><td>Islam</td><td>56 TH 1 BL 15 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Malignant neoplasm of breast, unspec



<td>935</td><td>00153961</td><td>Turah, Ny</td><td>Desa Kauman, Kecamatan Kaliwiro, Won



<td>936</td><td>00153723</td><td>Rasiyem,Ny</td><td>Desa Gebangsari, Kecamatan Tambak, B










<td>939</td><td>00153348</td><td>Poniyem, Ny</td><td>Desa Bunton, Kecamatan Adipala, Cila




<td>940</td><td>00153514</td><td>Kamisem,Ny</td><td>Desa Kroya, Kecamatan Kroya, Cilacap

</td><td>Islam</td><td>52 TH 3 BL 21 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Neoplasm of uncertain or unknown beh







<td>942</td>

<td>00153721</td><td>Edi Susanto,An</td><td>Desa Ayamalas, Kecamatan Kroya, Cila

cap</td><td>Islam</td><td>11 TH 10 BL 25 HR</td><td>Laki Laki</td><td>Poliklinik Bedah Onkology</td><td>Malignant neoplasm of skin of lip</t



<td>943</td><td>00153486</td><td>Karsem, Ny</td><td>Desa Karangmangu, Kecamatan Baturade

n, Banyumas</td><td>Islam</td><td>62 TH 7 BL 29 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Malignant neoplasm of parotid gland<







<td>945</td><td>00153802</td><td>Aminah, Ny</td><td>Desa Janggala, Kecamatan Sukaraya, K

abupaten Tasikmalaya</td><td>Islam</td><td>39 TH 11 BL 22 HR</td><td>Perempuan</td><td>Poliklinik Obsgyn</td><td>-</td><td>dr. Soegeng Djiwarahga, Sp.OG</td><td>BPJS</td>


<td>946</td><td>00151243</td>

<td>Masiroh, Ny</td><td>Desa Manggis, Kecamatan Sirampog, Br

ebes</td><td>Islam</td><td>44 TH 9 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Malignant neoplasm of breast, unspec




acap</td><td>Islam</td><td>25 TH 4 BL 27 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Malignant neoplasm of mandible</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>


<td>948</td><td>00142811</td><td>Tumiati, Ny</td><td>Desa Gintungreja, Candrungmangu, Cil






<td>950</td><td>00152831</td><td>Tusnan Harjo Sumitro, Tn</td><td>Desa Sikampuh, Kecamatan Kroya, Cila

cap</td>

<td>Islam</td><td>69 TH 1 BL 18 HR</td><td>Laki Laki</td><td>Poliklinik Bedah Onkology</td><td>Disorder of prostate, unspecified</t



<td>951</td><td>00142895</td><td>Wagiah, Ny</td><td>Desa Mangunjaya, Kecamatan Padaheran




<td>952</td><td>00143052</td><td>Rufingah, Ny</td><td>Kel.Karangklesem, Kecamatan Purwoker



<td>953</td><td>00153285</td><td>Lieng Soe Moy, Ny</td><td>Kel. Kandanggampang, Kecamatan Purba

lingga, Purbalingga</td><td>Islam</td><td>68 TH 10 BL 29 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>


<td>954</td><td>00153786</td><td>Nuraeni,Ny</td><td>Desa Kediri, Kecamatan Binong, Kabup

aten Subang</td><td>Islam</td><td>50 TH 8 BL 23 HR</td>




<td>955</td><td>00152512</td><td>Soliah,Ny</td><td>Desa Kedungbanteng, Kecamatan Kedung

banteng, Banyumas</td><td>Islam</td><td>54 TH 6 BL</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Malignant neoplasm of breast, unspec




lingga</td><td>Islam</td><td>73 TH 7 BL 16 HR</td><td>Laki Laki</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>Umum</td>


<td>957</td><td>00153778</td><td>Aah Rubeah, Ny</td><td>Desa Kawali, Kecamatan Kawali, Kabup

aten Ciamis</td><td>Islam</td><td>57 TH 4 BL 26 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>


<td>958</td><td>00153835</td><td>Warsitem, Ny</td><td>Kel.Karangpucung, Kecamatan Purwoker

to Selatan, Purwokerto</td><td>Islam</td><td>56 TH 6 BL</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td>




ilacap</td><td>Islam</td><td>66 TH 1 BL 16 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>









<td>962</td><td>00153906</td><td>Jeje,Tn</td><td>Desa Batukaras, Kecamatan Cijulang,

Kabupaten Ciamis</td><td>Islam</td><td>58 TH 8 BL 8 HR</td><td>Laki Laki</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>


<td>963</td><td>00153962</td><td>Romlah, Ny</td><td>Desa Cibangkong, Kecamatan Pekuncen,

Banyumas</td><td>Islam</td><td>32 TH 7 BL 8 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Carcinoma in situ of rectum</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>


<td>964</td><td>00153200</td><td>Kartikaningsih,Ny</td><td>Kel. Sugihwaras, Kecamatan Pemalang,

Pemalang</td><td>Islam</td><td>46 TH 9 BL 17 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>Umum</td>


<td>965</td><td>00152577</td><td>Sutrimo, Tn</td><td>Kelurahan Teluk, Kecamatan Purwokert



<td>966</td><td>00152428</td><td>Tri Endri Yuliono, Tn</td><td>Desa Karangmangu, Kecamatan Baturade



<td>967</td><td>00110068</td>

<td>Hartini,Ny</td><td>Desa Cibinong, Kecamatan Cibinong, K

abupaten Bogor</td><td>Islam</td><td>43 TH 5 BL 22 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>



><td>Islam</td><td>39 TH 8 BL 1 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Neoplasm of uncertain or unknown beh



<td>969</td><td>00150640</td><td>Kalsum, Ny</td><td>Desa Paledah, Kecamatan Padaherang,

Kabupaten Ciamis</td><td>Islam</td><td>49 TH 11 BL</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>


<td>970</td><td>00142278</td><td>Dainah, Ny</td><td>Desa Sesepan, Balapulang, Tegal</td><td>Islam</td><td>58 TH 7 BL 12 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>



d><td>Islam</td>

<td>46 TH 8 BL 30 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>




g</td><td>Khatolik</td><td>24 TH 5 BL 26 HR</td><td>Perempuan</td><td>Poliklinik Obsgyn</td><td>Maternal care for other malpresentat

ion of fetus</td><td>dr. Soegeng Djiwarahga, Sp.OG</td><td>BPJS</td>


<td>973</td><td>00142934</td><td>Rundiyah, Ny</td><td>Desa Karangnanas, Kecamatan Sokaraja

, Banyumas</td><td>Islam</td><td>66 TH 9 BL 21 HR</td><td>Perempuan</td><td>Poliklinik Penyakit Dalam</td><td>-</td><td>dr. Tiara, Sp.PD</td><td>BPJS</td>



anyumas</td><td>Islam</td><td>16 TH 7 BL 29 HR</td><td>Laki Laki</td><td>Poliklinik Bedah Orthopedi</td><td>Neoplasm of uncertain or unknown beh

avior of bone and articular cartilage</td><td>dr. Bambang Agus Teja Kusumah Sp. OT

</td><td>BPJS</td>












<td>978</td><td>00151123</td><td>Siyah, Ny</td><td>Desa Panawaren, Kecamatan Sigaluh, B

anjarnegara</td><td>Islam</td><td>59 TH 1 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Non-Hodgkin's lymphoma, unspecified



<td>979</td><td>00153518</td><td>Ambar Wati, Nn</td><td>Kel. Arcawinangun, Kecamatan Purwoke

rto Timur, Purwokerto</td><td>Islam</td><td>35 TH 9 BL 10 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td>



<td>980</td><td>00153386</td><td>Suparyami, Ny</td><td>Desa Susukan, Kecamatan Comal, Pemal




d><td>Islam</td><td>50 TH 5 BL 2 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>


<td>982</td><td>00152996</td><td>Kasmintana, Tn</td><td>Desa Kalirejo, Kecamatan Karanggayam

, Kebumen</td><td>Islam</td><td>59 TH 8 BL 30 HR</td><td>Laki Laki</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>


<td>983</td><td>00142263</td><td>Sawiyah, Ny</td><td>Desa Adipala, Kecamatan Adipala, Cil


</tr>

<tr id="tr984"><td>984</td><td>00153124</td><td>Darsiti, Ny</td><td>Desa Pruwatan, Kecamatan Bumiayu, Br





eng, Banyumas</td><td>Islam</td><td>36 TH 1 BL 15 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Neoplasm of uncertain or unknown beh



<td>986</td><td>00153675</td><td>Mucik Amiyati,Ny</td><td>Desa Bojongkantong, Kecamatan Langen

sari, Kabupaten Ciamis</td><td>Islam</td><td>43 TH 11 BL 1 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>Umum</td>


<td>987</td><td>00153964</td><td>Isropah, Ny</td><td>Desa Langensari, Kecamatan Langensar

i, Kabupaten Ciamis</td><td>Islam</td><td>32 TH 11 BL 15 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>Umum</td>


<td>988</td>

<td>00150057</td><td>Esani, Ny</td><td>Desa Menganti, Kecamatan Kesugihan,

Cilacap</td><td>Islam</td><td>50 TH 4 BL 27 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>


<td>989</td><td>00153965</td><td>Sutoyo, Tn</td><td>Desa Sindangwangi, Bantarkawung, Bre

bes</td><td>Islam</td><td>46 TH 3 BL</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Unspecified appendicitis</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>


<td>990</td><td>00153503</td><td>Mujiati, Ny</td><td>Desa Layansari, Candrungmangu, Cilac




<td>991</td><td>00143085</td><td>Tuyem, Ny</td><td>Desa Simbang, Kecamatan Mandiraja, B

anjarnegara</td><td>Islam</td><td>58 TH 1 BL 16 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Malignant neoplasm of breast, unspec



<td>992</td><td>00153302</td><td>Ika Agustina, Ny</td>

<td>Desa Tembokluwung, Adiwerna, Tegal</td>



<td>993</td><td>00141161</td><td>Suparmi, Ny</td><td>Desa Pandak, Kecamatan Sumpiuh, Bany

umas</td><td>Islam</td><td>57 TH 24 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>


<td>994</td><td>00153726</td><td>Yeni Purwanti,Ny</td><td>Desa Sikasur, Kecamatan Belik, Pemal

ang</td><td>Islam</td><td>43 TH 11 BL 15 HR</td><td>Laki Laki</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>


<td>995</td><td>00153966</td><td>Rifzika Bella Ayuningtyas, Nn</td><td>Desa Karanganyar, Kecamatan Karangan

yar, Purbalingga</td><td>Islam</td><td>15 TH 8 BL 2 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>Umum</td>


<td>996</td><td>00143381</td><td>Lasmini, Ny</td><td>Kelurahan Teluk, Kecamatan Purwokert


<td>Perempuan</td><td>Poliklinik Syaraf</td><td>-</td><td>dr. Tutik Ermawati, Sp.S</td><td>BPJS</td>


<td>997</td><td>00153794</td><td>Sikun P,Tn</td><td>Desa Pangandaran, Kecamatan Panganda

ran, Kabupaten Ciamis</td><td>Islam</td><td>60 TH 3 BL 5 HR</td><td>Laki Laki</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>Umum</td>


<td>998</td><td>00151444</td><td>Supiyah, Ny</td><td>Desa Jonggolsari, Kecamatan Leksono,

Wonosobo</td><td>Islam</td><td>54 TH 10 BL 25 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>


<td>999</td><td>00153539</td><td>Linawati, An</td><td>Desa Sudimara, Kecamatan Cilongok, B


</tr><tr id="tr1000">

<td>1000</td><td>00151564</td><td>Titi, Ny</td><td>Desa Dewasari, Kecamatan Cijeungjing

, Kabupaten Ciamis</td><td>Islam</td><td>55 TH 8 BL 10 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td>

<td>BPJS</td></tr>

<tr id="tr1001"><td>1001</td><td>00153165</td><td>Surattinah, Ny</td><td>Desa Kecitran, Kecamatan Purwarejakl

ampok, Banjarnegara</td><td>Islam</td><td>37 TH 2 BL</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>

</tr><tr id="tr1002">


/td><td>Islam</td><td>66 TH 4 BL 11 HR</td><td>Laki Laki</td><td>Poliklinik Penyakit Dalam</td><td>-</td><td>dr. Tiara, Sp.PD</td><td>BPJS</td>

</tr><tr id="tr1003">

<td>1003</td><td>00151830</td><td>Fatimah, Ny</td><td>Desa Jambusari, Kecamatan Jeruklegi,



</tr><tr id="tr1004">

<td>1004</td><td>00153557</td><td>Entih, Ny</td><td>Desa Margacinta, Kecamatan Cijulang,

Kabupaten Ciamis</td><td>Islam</td><td>61 TH 14 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Non-Hodgkin's lymphoma, unspecified


</tr>

<tr id="tr1005"><td>1005</td><td>00152665</td><td>Amin Triono,Tn</td><td>Desa Pagentan, Kecamatan Pagentan, B

anjarnegara</td><td>Islam</td><td>33 TH 5 BL 28 HR</td><td>Laki Laki</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>

</tr><tr id="tr1006">


as</td><td>Islam</td><td>34 TH 1 BL 8 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Malignant neoplasm of breast, unspec


</tr><tr id="tr1007">

<td>1007</td><td>00153967</td><td>Triyani, Ny</td><td>Desa Karanganyar, Kecamatan Jatilawa

ng, Banyumas</td><td>Islam</td><td>32 TH 8 BL 11 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Malignant neoplasm of breast, unspec


</tr><tr id="tr1008">

<td>1008</td><td>00153220</td><td>Aris Widodo,Tn</td><td>Desa Kebasen, Kecamatan Kebasen, Ban

yumas</td><td>Islam</td><td>32 TH 9 BL 28 HR</td><td>Laki Laki</td><td>Poliklinik Syaraf</td><td>-</td><td>dr. Tutik Ermawati, Sp.S</td><td>Umum</td>

</tr><tr id="tr1009">

<td>1009</td>

<td>00153857</td><td>Dalimah,Ny</td><td>Desa Bantarmangu, Cimanggu, Cilacap<

/td><td>Islam</td><td>50 TH 9 BL 10 HR</td><td>Perempuan</td><td>Poliklinik Syaraf</td><td>-</td><td>dr. Tutik Ermawati, Sp.S</td><td>Umum</td>

</tr><tr id="tr1010">

<td>1010</td><td>00153969</td><td>Rinah, Ny</td><td>Desa Kutamendala, Kecamatan Tonjong,



</tr><tr id="tr1011">



</tr><tr id="tr1012">


, Purbalingga</td><td>Islam</td><td>48 TH 1 BL 4 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>Umum</td>

</tr><tr id="tr1013">

<td>1013</td><td>00143219</td><td>Umar, Tn</td><td>Kelurahan Teluk, Kecamatan Purwokert

o Selatan, Purwokerto</td><td>Islam</td><td>73 TH 6 BL 16 HR</td><td>Laki Laki</td><td>Poliklinik Syaraf</td><td>Monoplegia of lower limb</td><td>dr. Tutik Ermawati, Sp.S</td><td>BPJS</td>

</tr><tr id="tr1014">

<td>1014</td><td>00150382</td><td>Muhajir, Tn</td><td>Desa Pandak, Kecamatan Sumpiuh, Bany

umas</td><td>Islam</td><td>47 TH 10 BL 12 HR</td><td>Laki Laki</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>

</tr><tr id="tr1015">

<td>1015</td><td>00150469</td><td>Murongah, Ny</td><td>Desa Pandak, Kecamatan Sumpiuh, Bany

umas</td><td>Islam</td><td>45 TH 6 BL 30 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Malignant neoplasm of breast, unspec


</tr><tr id="tr1016">


, Banyumas</td><td>Islam</td><td>62 TH 10 BL 13 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Neoplasm of uncertain or unknown beh


</tr><tr id="tr1017">

<td>1017</td><td>00152255</td><td>Sudar,Tn</td><td>Desa Mandirancan, Kecamatan Kebasen,



</tr><tr id="tr1018">



</tr><tr id="tr1019">

<td>1019</td><td>00153337</td><td>Dwi Fitri Nurindah Sari, Nn</td><td>Desa Suro, Kecamatan Kalibagor, Bany

umas</td><td>Islam</td><td>19 TH 4 BL 12 HR</td><td>Perempuan</td><td>Poliklinik Syaraf</td><td>-</td><td>dr. Tutik Ermawati, Sp.S</td><td>BPJS</td>

</tr><tr id="tr1020">


r</td><td>Islam</td><td>31 TH 3 BL 8 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>

</tr><tr id="tr1021">

<td>1021</td><td>00153264</td><td>Sukarni, Ny</td><td>Kel.Sokanegara, Kecamatan Purwokerto

Timur, Purwokerto</td><td>Islam</td><td>52 TH 8 BL 30 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>-</td>


</tr><tr id="tr1022">

<td>1022</td><td>00153919</td><td>Sri Suryo Esti,S.Ag,Ny</td><td>Desa Nampudadi, Kecamatan Petahanan,


</tr><tr id="tr1023">

<td>1023</td><td>00153244</td><td>Tulus Prayitno,Tn</td><td>Desa Patimuan, Kecamatan Patimuan, C

ilacap</td><td>Islam</td><td>37 TH 5 BL 27 HR</td><td>Perempuan</td><td>Poliklinik Syaraf</td><td>-</td><td>dr. Tutik Ermawati, Sp.S</td><td>BPJS</td>

</tr><tr id="tr1024">



</tr><tr id="tr1025">


Banyumas</td><td>Khatolik</td><td>50 TH 30 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>

</tr><tr id="tr1026">

<td>1026</td><td>00141270</td><td>Carwin Al Mujasir, Tn</td><td>Desa Cijati, Cimanggu, Cilacap</td><td>Islam</td><td>52 TH 7 BL 21 HR</td><td>Laki Laki</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>

</tr><tr id="tr1027">

<td>1027</td><td>00151395</td><td>Yasawireja Mingun, Tn</td><td>Desa Kalijaran, Kecamatan Maos, Cila

cap</td><td>Islam</td><td>88 TH 1 BL 23 HR</td><td>Laki Laki</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>

</tr><tr id="tr1028">



</tr><tr id="tr1029">

<td>1029</td><td>00153168</td><td>Maylina Kusumastuti, Ny</td><td>Desa Gemuruh, Kecamatan Bawang, Banj

arnegara</td><td>Islam</td><td>36 TH 8 BL 13 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>

</tr><tr id="tr1030">


rebes</td>

<td>Islam</td><td>53 TH 1 BL 12 HR</td><td>Laki Laki</td><td>Poliklinik Syaraf</td><td>-</td><td>dr. Tutik Ermawati, Sp.S</td><td>BPJS</td>

</tr><tr id="tr1031">

<td>1031</td><td>00151695</td><td>Endang Mayang Arum, Ny</td><td>Desa Purwanegara, Kecamatan Purwaneg

ara, Banjarnegara</td><td>Islam</td><td>44 TH 4 BL</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Malignant neoplasm of breast, unspec


</tr><tr id="tr1032">

<td>1032</td><td>00153737</td><td>Teguh Sari, Ny</td><td>Desa Kedungrandu, Kecamatan Patikraj


</tr><tr id="tr1033">

<td>1033</td><td>00153143</td><td>Sumarsih, Ny</td><td>Desa Karangrau, Kecamatan Sokaraja,


</tr><tr id="tr1034">

<td>1034</td><td>00153971</td><td>Mulastuti, Ny</td><td>Desa Gumelar, Gumelar, Banyumas</td><td>Islam</td><td>58 TH 8 BL 25 HR</td><td>Perempuan</td><td>Poliklinik Syaraf</td>

<td>-</td><td>dr. Tutik Ermawati, Sp.S</td><td>BPJS</td>

</tr><tr id="tr1035">

<td>1035</td><td>00153972</td><td>Suliyah, Ny</td><td>Desa Bantarpanjang, Cimanggu, Cilaca

p</td><td>Islam</td><td>55 TH 5 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Malignant neoplasm of breast, unspec


</tr><tr id="tr1036">



</tr><tr id="tr1037">



</tr><tr id="tr1038">


h, Purbalingga</td><td>Islam</td><td>55 TH 8 BL 19 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>

</tr><tr id="tr1039">

<td>1039</td><td>00153199</td><td>Linda, Ny</td><td>Kel.Purwokerto Kulon, Kecamatan Purw

okerto Selatan, Purwokerto</td><td>Budha</td><td>47 TH 10 BL 27 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>

</tr><tr id="tr1040">

<td>1040</td><td>00153923</td><td>Hj. Fatonah, Ny</td><td>Desa Kejene, Kecamatan Randudongkal,

Pemalang</td><td>Islam</td><td>55 TH 7 BL 11 HR</td><td>Perempuan</td><td>Poliklinik Syaraf</td><td>-</td><td>dr. Tutik Ermawati, Sp.S</td><td>Umum</td>

</tr><tr id="tr1041">

<td>1041</td><td>00153973</td><td>Imam Setiawan, Sdr</td><td>Kel.Karangklesem, Kecamatan Purwoker

to Selatan, Purwokerto</td><td>Islam</td><td>18 TH 7 BL 17 HR</td><td>Laki Laki</td><td>Poliklinik Umum</td><td>-</td><td>dr.Andy Lestiono</td><td>Umum</td>

</tr><tr id="tr1042">

<td>1042</td><td>00153595</td><td>Lulu Andina Rahayu,Nn</td><td>Desa Pandansari, Kecamatan Ajibarang


</tr><tr id="tr1043">

<td>1043</td><td>00151012</td>

<td>Lily Kusumaningsih, Ny</td><td>Desa Kedungbenda, Kecamatan Kemangko

n, Purbalingga</td><td>Islam</td><td>40 TH 10 BL 11 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>

</tr><tr id="tr1044">

<td>1044</td><td>00153974</td><td>Agustina Rini Prestiwaningsih,By,Ny<

/td><td>Desa Gulon, Kecamatan Salam, Magelan

g</td><td>Islam</td><td>2 BL 21 HR</td><td>Laki Laki</td><td>Poliklinik Obsgyn</td><td>-</td><td>dr. Soegeng Djiwarahga, Sp.OG</td><td>Umum</td>

</tr><tr id="tr1045">

<td>1045</td><td>00152766</td><td>Rasno Hardjo Saputro, Tn</td><td>Kelurahan Teluk, Kecamatan Purwokert

o Selatan, Purwokerto</td><td>Islam</td><td>58 TH 8 BL</td><td>Laki Laki</td><td>Poliklinik Umum</td><td>-</td><td>dr.Andy Lestiono</td><td>Umum</td>

</tr><tr id="tr1046">

<td>1046</td><td>00130301</td><td>Muksinah, Ny</td><td>Desa Panisihan, Kecamatan Maos, Cila



</tr><tr id="tr1047">


abupaten Subang</td><td>Islam</td><td>40 TH 1 BL 10 HR</td><td>Laki Laki</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>Umum</td>

</tr><tr id="tr1048">




</tr><tr id="tr1049">

<td>1049</td><td>00153182</td><td>M. Pariz Rizkiawan, Tn</td><td>Desa Manggis, Kecamatan Sirampog, Br

ebes</td><td>Islam</td><td>25 TH 2 BL 3 HR</td><td>Laki Laki</td><td>Poliklinik Bedah Onkology</td><td>Anaemia, unspecified</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>

</tr><tr id="tr1050">

<td>1050</td><td>00150480</td><td>Karsuti, Ny</td><td>Desa Mernek, Kecamatan Maos, Cilacap



</tr><tr id="tr1051">

<td>1051</td><td>00150390</td><td>Karsih, Ny</td><td>Desa Bener, Majenang, Cilacap</td><td>Islam</td><td>45 TH 5 BL 6 HR</td>



</tr><tr id="tr1052">

<td>1052</td><td>00150880</td><td>Surtinah, Ny</td><td>Desa Kroya, Kecamatan Kroya, Cilacap



</tr><tr id="tr1053">

<td>1053</td><td>00153850</td><td>Sakum Ach Safingi, Tn</td><td>Kelurahan Teluk, Kecamatan Purwokert

o Selatan, Purwokerto</td><td>Islam</td><td>75 TH 5 BL 10 HR</td><td>Laki Laki</td><td>Poliklinik Penyakit Dalam</td><td>-</td><td>dr. Tiara, Sp.PD</td><td>BPJS</td>

</tr><tr id="tr1054">


Banyumas</td><td>Islam</td><td>30 TH 6 BL 27 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Tuberculosis of other specified orga


</tr><tr id="tr1055">

<td>1055</td><td>00151274</td><td>Tuminah, Ny</td><td>Desa Bantarpanjang, Cimanggu, Cilaca

p</td><td>Islam</td><td>51 TH 9 BL 25 HR</td><td>Perempuan</td>



</tr><tr id="tr1056">

<td>1056</td><td>00153819</td><td>Warsun, Tn</td><td>Desa Patikraja, Kecamatan Patikraja,

Banyumas</td><td>Islam</td><td>46 TH 8 BL 19 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Acute appendicitis, unspecified</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>

</tr><tr id="tr1057">


bang, Banyumas</td><td>Islam</td><td>72 TH 1 BL 19 HR</td><td>Laki Laki</td><td>Poliklinik Bedah Onkology</td><td>Malignant neoplasm of lip, unspecifi


</tr><tr id="tr1058">

<td>1058</td><td>00141456</td><td>Warsini, Ny</td><td>Desa Patikraja, Kecamatan Patikraja,

Banyumas</td><td>Islam</td><td>74 TH 5 BL 1 HR</td><td>Perempuan</td><td>Poliklinik Syaraf</td><td>Low back pain</td><td>dr. Tutik Ermawati, Sp.S</td><td>BPJS</td>

</tr><tr id="tr1059">

<td>1059</td><td>00141977</td><td>Sawitem, Ny</td><td>Desa Pasinggahan, Kecamatan Banyumas

, Banyumas</td><td>Islam</td><td>49 TH 5 BL 25 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Anaemia, unspecified</td>


</tr><tr id="tr1060">


Pemalang</td><td>Islam</td><td>46 TH 9 BL 17 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>

</tr><tr id="tr1061">


o Utara, Purwokerto</td><td>Islam</td><td>52 TH 4 BL 2 HR</td><td>Laki Laki</td><td>Poliklinik Bedah Onkology</td><td>Neoplasm of uncertain or unknown beh


</tr><tr id="tr1062">


><td>Islam</td><td>56 TH 6 BL 23 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Nontoxic goitre, unspecified</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>

</tr><tr id="tr1063">

<td>1063</td><td>00140266</td><td>Masiyah, Ny</td><td>Desa Kalipoh, Kecamatan Ayah, Kebume

n</td><td>Islam</td><td>65 TH 8 BL 1 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Malignant neoplasm of breast, unspec


</tr><tr id="tr1064">

<td>1064</td><td>00153820</td><td>Muzaenah, Ny</td><td>Kelurahan Teluk, Kecamatan Purwokert


</tr><tr id="tr1065">

<td>1065</td><td>00153883</td><td>Marsini, Ny</td><td>Desa Karangrena, Kecamatan Maos, Cil

acap</td><td>Islam</td><td>48 TH 6 BL 7 HR</td><td>Perempuan</td><td>Poliklinik Obsgyn</td><td>Leiomyoma of uterus</td><td>dr. Soegeng Djiwarahga, Sp.OG</td><td>BPJS</td>

</tr><tr id="tr1066">

<td>1066</td><td>00153803</td><td>Khansa Janitra W,An</td><td>Kel.Karangklesem, Kecamatan Purwoker

to Selatan, Purwokerto</td><td>Islam</td><td>5 TH 5 BL 25 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Neoplasm of uncertain or unknown beh


</tr><tr id="tr1067">


Kabupaten Subang</td><td>Islam</td><td>60 TH 4 BL 3 HR</td><td>Laki Laki</td><td>Poliklinik THT</td><td>-</td><td>dr.Bagus Condro Prasetyo, Sp.THT-KL<

/td><td>Umum</td>

</tr><tr id="tr1068">



</tr><tr id="tr1069">

<td>1069</td><td>00153709</td><td>Puspita Mutiarasari, Ny</td><td>Kelurahan Teluk, Kecamatan Purwokert

o Selatan, Purwokerto</td><td>Islam</td><td>28 TH 26 HR</td><td>Perempuan</td><td>Poliklinik THT</td><td>-</td><td>dr.Bagus Condro Prasetyo, Sp.THT-KL<

/td><td>BPJS</td>

</tr><tr id="tr1070">



</tr><tr id="tr1071">

<td>1071</td><td>00150227</td><td>Saminem, Ny</td><td>Desa Punggelan, Kecamatan Punggelan,



</tr><tr id="tr1072">

<td>1072</td><td>00153690</td>

<td>Kasirah,Ny</td><td>Desa Kuripan Kidul, Kecamatan Kesugi

han, Cilacap</td><td>Islam</td><td>49 TH 11 BL 6 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Malignant neoplasm of breast, unspec


</tr><tr id="tr1073">

<td>1073</td><td>00153155</td><td>Purwati, ny</td><td>Desa Gancang, Gumelar, Banyumas</td><td>Islam</td><td>32 TH 1 BL 8 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Anaemia, unspecified</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>

</tr><tr id="tr1074">

<td>1074</td><td>00153828</td><td>Tofur,Tn</td><td>Desa Karangduren, Kecamatan Sokaraja

, Banyumas</td><td>Islam</td><td>53 TH 4 BL 5 HR</td><td>Laki Laki</td><td>Poliklinik Syaraf</td><td>Dizziness and giddiness</td><td>dr. Tutik Ermawati, Sp.S</td><td>BPJS</td>

</tr><tr id="tr1075">

<td>1075</td><td>00152959</td><td>Sakrod, Tn</td><td>Desa Tonjong, Kecamatan Tonjong, Bre

bes</td><td>Islam</td><td>68 TH 7 BL 10 HR</td><td>Laki Laki</td><td>Poliklinik Syaraf</td><td>-</td><td>dr. Tutik Ermawati, Sp.S</td><td>BPJS</td>

</tr><tr id="tr1076">



Kendal</td>

<td>Islam</td><td>29 TH 2 BL 2 HR</td><td>Laki Laki</td><td>Poliklinik Bedah Onkology</td><td>Benign neoplasm of parotid gland</td


</tr><tr id="tr1077">

<td>1077</td><td>00150804</td><td>Sumarto, Tn</td><td>Desa Candirenggo, Kecamatan Ayah, Ke

bumen</td><td>Islam</td><td>54 TH 4 BL 13 HR</td><td>Laki Laki</td><td>Poliklinik Bedah Onkology</td><td>Malignant neoplasm of other and ill-

defined digestive organs</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>

</tr><tr id="tr1078">




</tr><tr id="tr1079">

<td>1079</td><td>00141273</td><td>Purwati, Ny</td><td>Desa Kawunganten, Kawunganten, Cilac



</tr><tr id="tr1080">

<td>1080</td><td>00153742</td><td>Wariyah, Ny</td><td>Desa Dermaji, Lumbir, Banyumas</td><td>Islam</td>

<td>36 TH 1 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Neoplasm of uncertain or unknown beh


</tr><tr id="tr1081">



</tr><tr id="tr1082">

<td>1082</td><td>00151025</td><td>Soejadi, Tn</td><td>Kelurahan Teluk, Kecamatan Purwokert

o Selatan, Purwokerto</td><td>Islam</td><td>77 TH 10 BL 20 HR</td><td>Laki Laki</td><td>Poliklinik Penyakit Dalam</td><td>Arthrosis, unspecified</td><td>dr. Tiara, Sp.PD</td><td>BPJS</td>

</tr><tr id="tr1083">




</tr><tr id="tr1084">


onosobo</td><td>Islam</td><td>42 TH 10 BL 2 HR</td><td>Perempuan</td>

<td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>

</tr><tr id="tr1085">

<td>1085</td><td>00153931</td><td>Rodliyah, Ny</td><td>Kel.Purwokerto Lor, Kecamatan Purwok

erto Timur, Purwokerto</td><td>Islam</td><td>58 TH 12 HR</td><td>Perempuan</td><td>Poliklinik Syaraf</td><td>Bell's palsy</td><td>dr. Tutik Ermawati, Sp.S</td><td>BPJS</td>

</tr><tr id="tr1086">

<td>1086</td><td>00152738</td><td>Uswatun Hasanah, Ny</td><td>Desa Winduaji, Kecamatan Paguyangan,



</tr><tr id="tr1087">

<td>1087</td><td>00153540</td><td>Sakem,Ny</td><td>Desa Mandirancan, Kecamatan Kebasen,



</tr><tr id="tr1088">


ilacap</td><td>Islam</td><td>6 TH 7 BL 13 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>-</td>


</tr><tr id="tr1089">

<td>1089</td><td>00141980</td><td>Etty Sukaningsih, Ny</td><td>Kelurahan Teluk, Kecamatan Purwokert

o Selatan, Purwokerto</td><td>Kristen</td><td>74 TH 8 BL 5 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Neoplasm of uncertain or unknown beh


</tr><tr id="tr1090">




</tr><tr id="tr1091">

<td>1091</td><td>00153605</td><td>Sarni,Ny</td><td>Desa Karangrau, Kecamatan Sokaraja,

Banyumas</td><td>Islam</td><td>63 TH 7 BL 11 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Nontoxic goitre, unspecified</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>

</tr><tr id="tr1092">

<td>1092</td><td>00152919</td><td>Nardem,Ny</td><td>Desa Banjarsari Kulon, Kecamatan Sum

bang, Banyumas</td><td>Islam</td><td>52 TH 8 BL 7 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Malignant neoplasm of breast, unspec


<td>BPJS</td></tr>

<tr id="tr1093"><td>1093</td><td>00153975</td><td>Wiyanto, Ny ( Tuwini,Ny )</td><td>Desa Tanjungtirta, Kecamatan Punggel

an, Banjarnegara</td><td>Islam</td><td>59 TH 5 BL 28 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Malignant neoplasm of breast, unspec


</tr><tr id="tr1094">


o Selatan, Purwokerto</td><td>Islam</td><td>60 TH 11 BL 14 HR</td><td>Perempuan</td><td>Poliklinik Syaraf</td><td>Carpal tunnel syndrome</td><td>dr. Tutik Ermawati, Sp.S</td><td>BPJS</td>

</tr><tr id="tr1095">


o Selatan, Purwokerto</td><td>Islam</td><td>67 TH 4 BL 28 HR</td><td>Laki Laki</td><td>Poliklinik Syaraf</td><td>Carpal tunnel syndrome</td><td>dr. Tutik Ermawati, Sp.S</td><td>BPJS</td>

</tr><tr id="tr1096">


g, Banyumas</td><td>Kristen</td><td>72 TH 11 BL</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>

</tr><tr id="tr1097">

<td>1097</td><td>00141366</td><td>Sofiatun Khasanah, Ny</td><td>Desa Candinegara, Kecamatan Pekuncen



</tr><tr id="tr1098">

<td>1098</td><td>00142217</td><td>Samadin, Tn</td><td>Kelurahan Teluk, Kecamatan Purwokert



</tr><tr id="tr1099">

<td>1099</td><td>00153976</td><td>Arif Firmansyah,Sdr</td><td>Desa Buniwah, Kecamatan Sirampog, Br

ebes</td><td>Islam</td><td>16 TH 6 BL 25 HR</td><td>Laki Laki</td><td>Poliklinik THT</td><td>-</td><td>dr.Bagus Condro Prasetyo, Sp.THT-KL<

/td><td>Umum</td>

</tr><tr id="tr1100">


Banyumas</td><td>Islam</td><td>41 TH 3 BL</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>

</tr><tr id="tr1101">

<td>1101</td>

<td>00153846</td><td>Subianingsih, Ny</td><td>Kel.Karangklesem, Kecamatan Purwoker

to Selatan, Purwokerto</td><td>Islam</td><td>69 TH 8 BL 9 HR</td><td>Perempuan</td><td>Poliklinik Penyakit Dalam</td><td>-</td><td>dr. Tiara, Sp.PD</td><td>BPJS</td>

</tr><tr id="tr1102">

<td>1102</td><td>00153958</td><td>Rochjati, Ny</td><td>Desa Sokaraja Kidul, Kecamatan Sokar

aja, Banyumas</td><td>Islam</td><td>54 TH 1 BL 13 HR</td><td>Perempuan</td><td>Poliklinik THT</td><td>-</td><td>dr.Bagus Condro Prasetyo, Sp.THT-KL<

/td><td>BPJS</td>

</tr><tr id="tr1103">

<td>1103</td><td>00153071</td><td>Yetti sugiarti,Ny</td><td>Kelurahan Teluk, Kecamatan Purwokert

o Selatan, Purwokerto</td><td>Islam</td><td>57 TH 5 BL 27 HR</td><td>Perempuan</td><td>Poliklinik Syaraf</td><td>Arthrosis</td><td>dr. Tutik Ermawati, Sp.S</td><td>BPJS</td>

</tr><tr id="tr1104">


ilacap</td><td>Islam</td><td>56 TH 4 BL 4 HR</td><td>Laki Laki</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>

</tr><tr id="tr1105">

<td>1105</td><td>00140964</td><td>Nursini, Ny</td><td>Desa Sumilir, Kecamatan Kemangkon, P

urbalingga</td><td>Islam</td><td>44 TH 8 BL 11 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Malignant neoplasm of breast, unspec


</tr><tr id="tr1106">

<td>1106</td><td>00153436</td><td>Soelistiadi Wibowo, Sdr</td><td>Kel. Purwokerto Kidul, Kecamatan Pur

wokerto Selatan, Purwokerto</td><td>Khatolik</td><td>25 TH 5 BL 7 HR</td><td>Laki Laki</td><td>Poliklinik Syaraf</td><td>-</td><td>dr. Tutik Ermawati, Sp.S</td><td>BPJS</td>

</tr><tr id="tr1107">

<td>1107</td><td>00141881</td><td>Sunari, Ny</td><td>Keluranhan Purbalingga Kidul, Kecama

tan Purbalingga, Purbalingga</td><td>Islam</td><td>41 TH 5 BL 26 HR</td><td>Laki Laki</td><td>Poliklinik Bedah Onkology</td><td>Malignant neoplasm of breast, unspec


</tr><tr id="tr1108">

<td>1108</td><td>00153977</td><td>Setyo Wardoyo, Tn</td><td>Desa Plana, Kecamatan Somagede, Bany

umas</td><td>Islam</td><td>31 TH 12 HR</td><td>Laki Laki</td><td>Poliklinik Gigi</td><td>-</td><td>drg. Perwita Oktikarini</td><td>BPJS</td>

</tr><tr id="tr1109">




</tr><tr id="tr1110">


s, Banyumas</td><td>Islam</td><td>18 TH 9 BL 17 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Neoplasm of uncertain or unknown beh


</tr><tr id="tr1111">

<td>1111</td><td>00141692</td><td>Sri Siaganingsih, Ny</td><td>Desa Notog, Kecamatan Patikraja, Ban



</tr><tr id="tr1112">




</tr><tr id="tr1113">

<td>1113</td><td>00152724</td><td>Basri,Tn</td><td>Desa Purwareja, Kecamatan Purwarejak

lampok, Banjarnegara</td><td>Islam</td><td>61 TH 3 BL 19 HR</td>

<td>Laki Laki</td><td>Poliklinik Bedah Onkology</td><td>Burkitt's tumour non-Hodgkin's lymph


</tr><tr id="tr1114">


mas</td><td>Islam</td><td>53 TH 10 BL 29 HR</td><td>Laki Laki</td><td>Poliklinik Bedah Onkology</td><td>Anaemia, unspecified</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>

</tr><tr id="tr1115">


tara, Purwokerto</td><td>Islam</td><td>67 TH 6 BL 29 HR</td><td>Perempuan</td><td>Poliklinik Syaraf</td><td>-</td><td>dr. Tutik Ermawati, Sp.S</td><td>Umum</td>

</tr><tr id="tr1116">

<td>1116</td><td>00141904</td><td>Fitri Nova Sari, Ny</td><td>Desa Dukuhwaluh, Kecamatan Kembaran,



</tr><tr id="tr1117">

<td>1117</td><td>00151872</td><td>Sariman Muhroji, Tn</td><td>Desa Gandrungmangu, Candrungmangu, C

ilacap</td><td>Islam</td><td>58 TH 11 BL 2 HR</td><td>Laki Laki</td><td>Poliklinik Bedah Onkology</td>


</tr><tr id="tr1118">

<td>1118</td><td>00120049</td><td>Siti Eliminah, Ny</td><td>Desa Karangsalam Kidul, Kecamatan Ke

dungbanteng, Banyumas</td><td>Islam</td><td>56 TH 1 BL 14 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>Umum</td>

</tr><tr id="tr1119">


ojati, Banyumas</td><td>Islam</td><td>27 TH 9 BL 5 HR</td><td>Perempuan</td><td>Poliklinik Penyakit Dalam</td><td>Hepatitis A without hepatic coma</td

><td>dr. Tiara, Sp.PD</td><td>Umum</td>

</tr><tr id="tr1120">

<td>1120</td><td>00153230</td><td>Darwati, Ny</td><td>Desa Leksana, Kecamatan Karangkobar,



</tr><tr id="tr1121">


Purbalingga</td><td>Islam</td><td>65 TH 1 BL 17 HR</td><td>Perempuan</td><td>Poliklinik Syaraf</td><td>-</td><td>dr. Tutik Ermawati, Sp.S</td>

<td>BPJS</td></tr>

<tr id="tr1122"><td>1122</td><td>00153978</td><td>Sumarno, Tn</td><td>Desa Selabaya, Kecamatan Kalimanah,

Purbalingga</td><td>Islam</td><td>76 TH 13 HR</td><td>Laki Laki</td><td>Poliklinik Syaraf</td><td>-</td><td>dr. Tutik Ermawati, Sp.S</td><td>BPJS</td>

</tr><tr id="tr1123">

<td>1123</td><td>00110041</td><td>Endang Prihadi Winarni, Ny</td><td>Desa Karangduren, Kecamatan Bobotsar

i, Purbalingga</td><td>Islam</td><td>63 TH 2 BL 18 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Malignant neoplasm of breast, unspec


</tr><tr id="tr1124">



</tr><tr id="tr1125">

<td>1125</td><td>00153573</td><td>Soim Widayati,Ny</td><td>Desa Madurejo, Kecamatan Puring, Keb


</tr><tr id="tr1126">

<td>1126</td><td>00153780</td><td>Tarwono, Tn</td><td>Kel.Kranji, Kecamatan Purwokerto Tim

ur, Purwokerto</td><td>Islam</td><td>52 TH 3 BL 16 HR</td><td>Laki Laki</td><td>Poliklinik Syaraf</td><td>Mononeuropathy, unspecified</td><td>dr. Tutik Ermawati, Sp.S</td><td>BPJS</td>

</tr><tr id="tr1127">




</tr><tr id="tr1128">

<td>1128</td><td>00153979</td><td>Janti Sudarti, Ny</td><td>Desa Sokawera Kidul, Kecamatan Patik

raja, Banyumas</td><td>Islam</td><td>71 TH 2 BL 11 HR</td><td>Perempuan</td><td>Poliklinik Syaraf</td><td>-</td><td>dr. Tutik Ermawati, Sp.S</td><td>BPJS</td>

</tr><tr id="tr1129">

<td>1129</td><td>00153568</td><td>Eksi Elva Susanti, Ny</td><td>Kelurahan Teluk, Kecamatan Purwokert


</tr><tr id="tr1130">

<td>1130</td><td>00142350</td><td>Eli Rusmiyati, Ny</td>

<td>Kel.Kedungmenjangan, Kecamatan Purbalingga, Purbalingga</td>



</tr><tr id="tr1131">


abupaten Ciamis</td><td>Islam</td><td>32 TH 11 BL 2 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>Umum</td>

</tr><tr id="tr1132">

<td>1132</td><td>00153383</td><td>Yeni Rusiana, Ny</td><td>Desa Tipar Kidul, Kecamatan Ajibaran

g, Banyumas</td><td>Islam</td><td>27 TH 9 BL 25 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Tuberculosis of other specified orga


</tr><tr id="tr1133">


d><td>Islam</td><td>38 TH 4 BL 29 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Malignant neoplasm of thyroid gland<


</tr><tr id="tr1134">

<td>1134</td><td>00141477</td><td>Pairoh, Ny</td><td>Desa Panimbang, Cimanggu, Cilacap</t



</tr><tr id="tr1135">

<td>1135</td><td>00153981</td><td>Isah, Ny</td><td>Desa Karangkemiri, Kecamatan Langkap

lancar, Kabupaten Ciamis</td><td>Islam</td><td>43 TH 5 BL 30 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Malignant neoplasm of breast, unspec


</tr><tr id="tr1136">




</tr><tr id="tr1137">

<td>1137</td><td>00151324</td><td>Raminah, Ny</td><td>Desa Kertanegara, Kecamatan Karangan



</tr><tr id="tr1138">


rto Timur, Purwokerto</td><td>Islam</td><td>54 TH 6 BL 4 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>

</tr><tr id="tr1139">

<td>1139</td><td>00151880</td><td>Sutirah, Ny</td><td>Desa Pekuncen, Kecamatan Jatilawang,


</tr><tr id="tr1140">

<td>1140</td><td>00141236</td><td>Suminah, Ny</td><td>Desa Pucangan, Kecamatan Ambal, Kebu

men</td><td>Islam</td><td>51 TH 1 BL 13 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Malignant neoplasm of breast, unspec


</tr><tr id="tr1141">


njarnegara</td><td>Islam</td><td>57 TH 1 BL 9 HR</td><td>Laki Laki</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>

</tr><tr id="tr1142">

<td>1142</td><td>00152452</td><td>Eko Rosiani,Ny</td><td>Kel. Purbalingga Kulon, Kecamatan Pu

rbalingga, Purbalingga</td><td>Islam</td><td>28 TH 5 BL 16 HR</td>

<td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Malignant neoplasm of thyroid gland<


</tr><tr id="tr1143">

<td>1143</td><td>00151330</td><td>Supriyati, Ny</td><td>Kel.Purwokerto Lor, Kecamatan Purwok

erto Timur, Purwokerto</td><td>Islam</td><td>45 TH 4 BL 27 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Tuberculosis of other specified orga


</tr><tr id="tr1144">

<td>1144</td><td>00153982</td><td>Yanti Rahayu, Ny</td><td>Kel.Karangklesem, Kecamatan Purwoker

to Selatan, Purwokerto</td><td>Islam</td><td>44 TH 4 BL 24 HR</td><td>Perempuan</td><td>Poliklinik Obsgyn</td><td>-</td><td>dr. Edy Sp.OG</td><td>BKKBN</td>

</tr><tr id="tr1145">


raja, Banyumas</td><td>Islam</td><td>54 TH 3 BL 7 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Malignant neoplasm of breast, unspec


</tr><tr id="tr1146">

<td>1146</td><td>00153983</td><td>Ari Mahtuti, Ny</td><td>Kel.Karangklesem, Kecamatan Purwoker

to Selatan, Purwokerto</td><td>Islam</td><td>37 TH 11 BL 22 HR</td><td>Perempuan</td>

<td>Poliklinik Obsgyn</td><td>-</td><td>dr. Edy Sp.OG</td><td>BKKBN</td>

</tr><tr id="tr1147">

<td>1147</td><td>00153984</td><td>Yuliati, Ny</td><td>Kel.Berkoh, Kecamatan Purwokerto Sel

atan, Purwokerto</td><td>Islam</td><td>32 TH 6 BL 9 HR</td><td>Perempuan</td><td>Poliklinik Obsgyn</td><td>-</td><td>dr. Edy Sp.OG</td><td>BKKBN</td>

</tr><tr id="tr1148">

<td>1148</td><td>00153985</td><td>Ruhyati, Ny</td><td>Desa Adiarsa, Kecamatan Karanganyar,



</tr><tr id="tr1149">




</tr><tr id="tr1150">


anyumas</td><td>Islam</td><td>55 TH 3 BL 19 HR</td><td>Laki Laki</td><td>Poliklinik Bedah Onkology</td><td>-</td>


</tr><tr id="tr1151">

<td>1151</td><td>00153986</td><td>Oki Dwi Anggraeni, Ny</td><td>Kelurahan Teluk, Kecamatan Purwokert

o Selatan, Purwokerto</td><td>Islam</td><td>24 TH 3 BL 25 HR</td><td>Perempuan</td><td>Poliklinik Obsgyn</td><td>-</td><td>dr. Edy Sp.OG</td><td>BKKBN</td>

</tr><tr id="tr1152">

<td>1152</td><td>00153987</td><td>Kuswati, Ny</td><td>Kel.Berkoh, Kecamatan Purwokerto Sel


</tr><tr id="tr1153">

<td>1153</td><td>00152675</td><td>Karsiyem, Ny</td><td>Desa Gandrungmangu, Candrungmangu, C

ilacap</td><td>Islam</td><td>80 TH 6 BL 13 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Haemorrhage of anus and rectum</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>

</tr><tr id="tr1154">

<td>1154</td><td>00153989</td><td>Triyani, Ny</td><td>Kelurahan Teluk, Kecamatan Purwokert


</tr><tr id="tr1155">

<td>1155</td><td>00153990</td><td>Sukesih, Ny</td><td>Kelurahan Teluk, Kecamatan Purwokert


</tr><tr id="tr1156">

<td>1156</td><td>00130627</td><td>Natawirya,Tn</td><td>Desa Kedungreja, Kedungreja, Cilacap

</td><td>Islam</td><td>67 TH 10 BL 28 HR</td><td>Laki Laki</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>Umum</td>

</tr><tr id="tr1157">

<td>1157</td><td>00153991</td><td>Umiati, Ny</td><td>Kel.Berkoh, Kecamatan Purwokerto Sel


</tr><tr id="tr1158">

<td>1158</td><td>00153992</td><td>Turyati, Ny</td><td>Kel.Berkoh, Kecamatan Purwokerto Sel


</tr><tr id="tr1159">

<td>1159</td><td>00153993</td><td>Eti Mufaliyah, Ny</td><td>Kelurahan Teluk, Kecamatan Purwokert


</tr><tr id="tr1160">

<td>1160</td><td>00153994</td><td>Marliah, Ny</td><td>Kel.Karangklesem, Kecamatan Purwoker


</tr><tr id="tr1161">

<td>1161</td><td>00153995</td><td>Diana Suprihatin, Ny</td><td>Kelurahan Sukorejo, Kecamatan Sukore

jo, Kotamadya Blitar</td><td>Islam</td><td>37 TH 9 BL 2 HR</td><td>Perempuan</td><td>Poliklinik Obsgyn</td><td>-</td><td>dr. Edy Sp.OG</td><td>BKKBN</td>

</tr><tr id="tr1162">

<td>1162</td><td>00153848</td><td>Afrila dwi eviana,Ny</td><td>Kelurahan Teluk, Kecamatan Purwokert

o Selatan, Purwokerto</td><td>Islam</td><td>30 TH 9 BL 14 HR</td><td>Perempuan</td><td>Poliklinik Obsgyn</td><td>-</td><td>dr. Soegeng Djiwarahga, Sp.OG</td><td>Umum</td>

</tr><tr id="tr1163">

<td>1163</td><td>00153996</td><td>Ari Kusmirah, Ny</td><td>Kel.Karangklesem, Kecamatan Purwoker

to Selatan, Purwokerto</td><td>Islam</td><td>33 TH 28 HR</td><td>Perempuan</td>


</tr><tr id="tr1164">

<td>1164</td><td>00153997</td><td>Naijah, Ny ( BKKBN )</td><td>Kel.Karangklesem, Kecamatan Purwoker


</tr><tr id="tr1165">

<td>1165</td><td>00152266</td><td>Fam Fie Lin, Ny</td><td>Kel.Purwokerto Wetan, Kecamatan Purw

okerto Timur, Purwokerto</td><td>Lain-lain</td><td>80 TH 4 BL 17 HR</td><td>Perempuan</td><td>Poliklinik Syaraf</td><td>Neuropathic arthropathy</td><td>dr. Tutik Ermawati, Sp.S</td><td>BPJS</td>

</tr><tr id="tr1166">

<td>1166</td><td>00152185</td><td>Yetty Setyawati Ho, Ny</td><td>Kelurahan Teluk, Kecamatan Purwokert

o Selatan, Purwokerto</td><td>Khatolik</td><td>54 TH 11 BL 18 HR</td><td>Perempuan</td><td>Poliklinik Syaraf</td><td>Osteoporosis, unspecified</td><td>dr. Tutik Ermawati, Sp.S</td><td>BPJS</td>

</tr><tr id="tr1167">



</tr><tr id="tr1168">

<td>1168</td><td>00150931</td><td>Komilah, Ny</td><td>Desa Tanggungsari, Kecamatan Ketangg

ungan, Brebes</td><td>Islam</td><td>35 TH 9 BL 2 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Malignant neoplasm of breast, unspec


</tr><tr id="tr1169">

<td>1169</td><td>00150888</td><td>Watiah, Ny</td><td>Desa Sidamukti, Kecamatan Patimuan,



</tr><tr id="tr1170">

<td>1170</td><td>00153998</td><td>Sri Ayati, Ny</td><td>Kel.Karangklesem, Kecamatan Purwoker


</tr><tr id="tr1171">

<td>1171</td><td>00153999</td><td>Isti, Ny</td><td>Kelurahan Teluk, Kecamatan Purwokert


</tr><tr id="tr1172">

<td>1172</td><td>00154000</td><td>Miswati, Ny ( BKKBN )</td><td>Kel.Karangklesem, Kecamatan Purwoker


</tr><tr id="tr1173">

<td>1173</td><td>00154001</td><td>Catur Mei Liasasi, Ny (BKKBN)</td><td>Kel.Karangklesem, Kecamatan Purwoker


</tr><tr id="tr1174">

<td>1174</td><td>00154002</td><td>Nani Setiyani, Ny (BKKBN)</td><td>Kel.Karangklesem, Kecamatan Purwoker


</tr><tr id="tr1175">

<td>1175</td><td>00154003</td><td>Suryati, Ny (BKKBN)</td><td>Kel.Karangklesem, Kecamatan Purwoker


</tr><tr id="tr1176">

<td>1176</td><td>00154004</td><td>Turiman, Tn</td><td>Desa Sindangasih, Kecamatan Banjarsa

ri, Kabupaten Ciamis</td><td>Islam</td><td>56 TH</td><td>Laki Laki</td><td>Poliklinik Bedah Onkology</td><td>Unilateral or unspecified inguinal h


</tr><tr id="tr1177">

<td>1177</td><td>00154005</td><td>Eli Kusnaningsih, Ny (BKKBN)</td><td>Kelurahan Teluk, Kecamatan Purwokert


</tr><tr id="tr1178">

<td>1178</td><td>00154006</td><td>Naswen, Ny (BKKBN)</td><td>Kel.Karangklesem, Kecamatan Purwoker


</tr><tr id="tr1179">

<td>1179</td><td>00154007</td><td>Tjandra Dirahajoe,Ny</td><td>Desa Sokaraja Kulon, Kecamatan Sokar

aja, Banyumas</td><td>Kristen</td><td>52 TH 4 BL 2 HR</td><td>Perempuan</td><td>Poliklinik Obsgyn</td><td>-</td><td>dr. Soegeng Djiwarahga, Sp.OG</td><td>BPJS</td>

</tr><tr id="tr1180">

<td>1180</td><td>00154008</td><td>Tati Setyowati, Ny (BKKBN)</td><td>Kel. Purwokerto Kidul, Kecamatan Pur

wokerto Selatan, Purwokerto</td><td>Islam</td><td>35 TH 4 BL 21 HR</td>

<td>Perempuan</td><td>Poliklinik Obsgyn</td><td>Nausea and vomiting</td><td>dr. Edy Sp.OG</td><td>BKKBN</td>

</tr><tr id="tr1181">

<td>1181</td><td>00154009</td><td>Nur Pujiati, Ny (BKKBN)</td><td>Kelurahan Teluk, Kecamatan Purwokert


</tr><tr id="tr1182">

<td>1182</td><td>00152475</td><td>Sariyah, Ny</td><td>Desa Winongsari, Kecamatan Kaliwiro,

Wonosobo</td><td>Islam</td><td>50 TH 24 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>

</tr><tr id="tr1183">

<td>1183</td><td>00154010</td><td>Umi Asihatun, Ny (BKKBN)</td><td>Kel.Karangklesem, Kecamatan Purwoker


</tr><tr id="tr1184">

<td>1184</td><td>00154011</td><td>Ratmiati, Ny (BKKBN)</td><td>Kel.Karangklesem, Kecamatan Purwoker

to Selatan, Purwokerto</td><td>Islam</td><td>32 TH 1 BL 1 HR</td><td>Perempuan</td><td>Poliklinik Obsgyn</td><td>-</td><td>dr. Edy Sp.OG</td>

<td>BKKBN</td></tr>

<tr id="tr1185"><td>1185</td><td>00154012</td><td>Safitriyani, Ny (BKKBN)</td><td>Kel.Karangklesem, Kecamatan Purwoker


</tr><tr id="tr1186">


p</td><td>Islam</td><td>57 TH 7 HR</td><td>Laki Laki</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>

</tr><tr id="tr1187">

<td>1187</td><td>00154013</td><td>Carkem, Ny (BKKBN)</td><td>Kel.Karangklesem, Kecamatan Purwoker


</tr><tr id="tr1188">

<td>1188</td><td>00154014</td><td>Mainah, Ny</td><td>Kel. Tambakreja, Cilacap Selatan, Ci



</tr><tr id="tr1189">

<td>1189</td><td>00154015</td><td>Kartem, Ny (BKKBN)</td><td>Desa Karangnanas, Kecamatan Sokaraja

, Banyumas</td><td>Islam</td><td>50 TH 1 BL 12 HR</td><td>Perempuan</td><td>Poliklinik Obsgyn</td><td>-</td><td>dr. Edy Sp.OG</td><td>BKKBN</td>

</tr><tr id="tr1190">

<td>1190</td><td>00154016</td><td>Sumarni, Ny (BKKBN)</td><td>Kel.Karangpucung, Kecamatan Purwoker


</tr><tr id="tr1191">

<td>1191</td><td>00154017</td><td>Nuryati, Ny (BKKBN)</td><td>Kel.Berkoh, Kecamatan Purwokerto Sel


</tr><tr id="tr1192">

<td>1192</td><td>00154018</td><td>Sunaryo, Tn</td><td>Desa Sidabowa, Kecamatan Patikraja,

Banyumas</td><td>Islam</td><td>50 TH 30 HR</td><td>Laki Laki</td><td>Poliklinik Bedah Onkology</td><td>Connective and other soft tissue</td


</tr><tr id="tr1193">

<td>1193</td><td>00154019</td><td>Warisah, Ny(BKKBN)</td>

<td>Kel.Karangpucung, Kecamatan Purwokerto Selatan, Purwokerto</td>

<td>Islam</td><td>28 TH 1 BL 7 HR</td><td>Perempuan</td><td>Poliklinik Obsgyn</td><td>-</td><td>dr. Edy Sp.OG</td><td>BKKBN</td>

</tr><tr id="tr1194">

<td>1194</td><td>00154020</td><td>Soimah, Ny</td><td>Desa Sunyalangu, Kecamatan Karanglew

as, Banyumas</td><td>Islam</td><td>46 TH 5 BL 21 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Malignant neoplasm of breast, unspec


</tr><tr id="tr1195">

<td>1195</td><td>00154021</td><td>Nok Dewi, Ny (BKKBN)</td><td>Desa Banjarsari Kidul, Kecamatan Sok

araja, Banyumas</td><td>Islam</td><td>27 TH 1 BL 6 HR</td><td>Perempuan</td><td>Poliklinik Obsgyn</td><td>-</td><td>dr. Edy Sp.OG</td><td>BKKBN</td>

</tr><tr id="tr1196">

<td>1196</td><td>00154022</td><td>Suminah, Ny (BKKBN)</td><td>Kelurahan Teluk, Kecamatan Purwokert


</tr><tr id="tr1197">

<td>1197</td><td>00141789</td><td>Edah, Ny</td><td>Desa Bangunsari, Kecamatan Pamarican

, Kabupaten Ciamis</td><td>Islam</td>



</tr><tr id="tr1198">

<td>1198</td><td>00154023</td><td>Okti Riyani, Ny (BKKBN)</td><td>Desa Kedongdong, Kecamatan Sokaraja,

Banyumas</td><td>Islam</td><td>2 BL 19 HR</td><td>Perempuan</td><td>Poliklinik Obsgyn</td><td>-</td><td>dr. Edy Sp.OG</td><td>BKKBN</td>

</tr><tr id="tr1199">

<td>1199</td><td>00154024</td><td>Lutiah, Ny (BKKBN)</td><td>Kel.Karangklesem, Kecamatan Purwoker


</tr><tr id="tr1200">

<td>1200</td><td>00154025</td><td>Sri Wedari, Ny (BKKBN)</td><td>Kel.Karangklesem, Kecamatan Purwoker


</tr><tr id="tr1201">

<td>1201</td><td>00131405</td><td>Tuti Estiningsih, Ny</td><td>Kelurahan Gunungsimping, Cilacap Ten

gah, Cilacap</td><td>Islam</td><td>44 TH 8 BL 4 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td>



</tr><tr id="tr1202">

<td>1202</td><td>00154026</td><td>Tarmini, Ny (BKKBN)</td><td>Desa Karangnanas, Kecamatan Sokaraja


</tr><tr id="tr1203">

<td>1203</td><td>00154027</td><td>Sri Susmiati, Ny (BKKBN)</td><td>Kel.Karangklesem, Kecamatan Purwoker


</tr><tr id="tr1204">

<td>1204</td><td>00154028</td><td>Darsiwen, Ny (BKKBN)</td><td>Desa Karangnanas, Kecamatan Sokaraja


</tr><tr id="tr1205">

<td>1205</td><td>00154029</td><td>Mujiati, Ny (BKKBN)</td><td>Kelurahan Teluk, Kecamatan Purwokert


</tr><tr id="tr1206">

<td>1206</td><td>00154030</td><td>Supriyati, Ny (BKKBN)</td><td>Desa Wiradadi, Kecamatan Sokaraja, B

anyumas</td><td>Islam</td><td>35 TH 2 BL 7 HR</td><td>Perempuan</td><td>Poliklinik Obsgyn</td><td>-</td><td>dr. Soegeng Djiwarahga, Sp.OG</td><td>BKKBN</td>

</tr><tr id="tr1207">

<td>1207</td><td>00150562</td><td>Siti Buniroh, Ny</td><td>Desa Karangpucung, Karangpucung, Cil



</tr><tr id="tr1208">

<td>1208</td><td>00154031</td><td>Amaliyah, Ny (BKKBN)</td><td>Desa Sokaraja Wetan, Kecamatan Sokar

aja, Banyumas</td><td>Islam</td><td>27 TH 9 BL 28 HR</td><td>Perempuan</td><td>Poliklinik Obsgyn</td><td>-</td><td>dr. Edy Sp.OG</td><td>BKKBN</td>

</tr><tr id="tr1209">

<td>1209</td><td>00154032</td><td>Uun K, Ny (BKKBN)</td><td>Desa Karangrau, Kecamatan Sokaraja,

Banyumas</td><td>Islam</td><td>30 TH 1 BL 7 HR</td><td>Perempuan</td><td>Poliklinik Obsgyn</td><td>-</td><td>dr. Edy Sp.OG</td><td>BKKBN</td>

</tr><tr id="tr1210">

<td>1210</td>

<td>00154033</td><td>Unisah, Ny (BKKBN)</td><td>Desa Karangnanas, Kecamatan Sokaraja


</tr><tr id="tr1211">

<td>1211</td><td>00141455</td><td>Rojiyah, Ny</td><td>Desa Trimulyo, Kecamatan Wadaslintan

g, Wonosobo</td><td>Islam</td><td>36 TH 9 BL 1 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Malignant neoplasm of breast, unspec


</tr><tr id="tr1212">

<td>1212</td><td>00154034</td><td>Narsiti, Ny (BKKBN)</td><td>Desa Karangnanas, Kecamatan Sokaraja


</tr><tr id="tr1213">

<td>1213</td><td>00154035</td><td>Suparti, Ny (BKKBN)</td><td>Desa Karangnanas, Kecamatan Sokaraja


</tr><tr id="tr1214">

<td>1214</td><td>00142246</td><td>Dartin, Ny</td><td>Desa Jatimalang, Kecamatan Klirong,



</tr><tr id="tr1215">

<td>1215</td><td>00154036</td><td>Neni Kurniatun, Ny (BKKBN)</td><td>Desa Karangrau, Kecamatan Sokaraja,


</tr><tr id="tr1216">

<td>1216</td><td>00154037</td><td>Suripah, Ny (BKKBN)</td><td>Desa Karangnanas, Kecamatan Sokaraja


</tr><tr id="tr1217">

<td>1217</td><td>00154038</td><td>Manisah, Ny (BKKBN)</td><td>Desa Karangnanas, Kecamatan Sokaraja


</tr><tr id="tr1218">

<td>1218</td><td>00154039</td><td>Anisatul Mukninah, Ny (BKKBN)</td><td>Desa Karangrau, Kecamatan Sokaraja,

Banyumas</td><td>Islam</td><td>26 TH 2 BL 28 HR</td>

<td>Perempuan</td><td>Poliklinik Obsgyn</td><td>-</td><td>dr. Edy Sp.OG</td><td>BKKBN</td>

</tr><tr id="tr1219">

<td>1219</td><td>00154040</td><td>Tri AMaliyah, Ny (BKKBN)</td><td>Kel.Karangpucung, Kecamatan Purwoker


</tr><tr id="tr1220">

<td>1220</td><td>00154041</td><td>Mutmainah, Ny ( BKKBN)</td><td>Kel.Karangpucung, Kecamatan Purwoker


</tr><tr id="tr1221">

<td>1221</td><td>00154042</td><td>Aprilia Erinawati, Ny (BKKBN)</td><td>Desa Lemberang, Kecamatan Sokaraja,


</tr><tr id="tr1222">

<td>1222</td><td>00154043</td><td>Waryati, Ny (BKKBN)</td><td>Kel.Karangpucung, Kecamatan Purwoker

to Selatan, Purwokerto</td><td>Islam</td><td>34 TH 5 BL 30 HR</td><td>Perempuan</td><td>Poliklinik Obsgyn</td><td>-</td><td>dr. Edy Sp.OG</td>

<td>BKKBN</td></tr>

<tr id="tr1223"><td>1223</td><td>00154044</td><td>Surati, Ny (BKKBN)</td><td>Desa Lemberang, Kecamatan Sokaraja,


</tr><tr id="tr1224">

<td>1224</td><td>00154045</td><td>Beti Jumiati, Ny (BKKBN)</td><td>Kel.Karangpucung, Kecamatan Purwoker


</tr><tr id="tr1225">

<td>1225</td><td>00143213</td><td>Sri Holan, Tn</td><td>Desa Tanggungharjo, Kecamatan Tanggu

ngharjo, Grobogan</td><td>Islam</td><td>57 TH 4 BL 22 HR</td><td>Laki Laki</td><td>Poliklinik Penyakit Dalam</td><td>Congestive heart failure</td><td>dr. Tiara, Sp.PD</td><td>BPJS</td>

</tr><tr id="tr1226">

<td>1226</td><td>00154046</td><td>Rastini, Ny (BKKBN)</td><td>Desa Kedongdong, Kecamatan Sokaraja,


</tr><tr id="tr1227">

<td>1227</td>

<td>00153105</td><td>Enih Rohaeni,Ny</td><td>Desa Kertaharja, Kecamatan Cijeungji

ng, Kabupaten Ciamis</td><td>Islam</td><td>41 TH 8 BL 4 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Anaemia, unspecified</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>

</tr><tr id="tr1228">

<td>1228</td><td>00154047</td><td>Wuri Paryanti, Ny (BKKBN)</td><td>Desa Kedongdong, Kecamatan Sokaraja,


</tr><tr id="tr1229">

<td>1229</td><td>00154048</td><td>Muhyatun, Ny (BKKBN)</td><td>Desa Banjarsari Kidul, Kecamatan Sok


</tr><tr id="tr1230">

<td>1230</td><td>00154049</td><td>Sartini, Ny (BKKBN)</td><td>Desa Sokaraja Wetan, Kecamatan Sokar


</tr><tr id="tr1231">


p</td>



</tr><tr id="tr1232">

<td>1232</td><td>00154050</td><td>Sartini, Ny (BKKBN)</td><td>Kel.Karangpucung, Kecamatan Purwoker


</tr><tr id="tr1233">

<td>1233</td><td>00154051</td><td>Laely Nurul Amala, Ny</td><td>Desa Karangsari, Kecamatan Adipala,



</tr><tr id="tr1234">

<td>1234</td><td>00154052</td><td>Sulimah, Ny (BKKBN)</td><td>Desa Banjaranyar, Kecamatan Sokaraja


</tr><tr id="tr1235">

<td>1235</td><td>00154053</td><td>Trisnawati, Ny (BKKBN)</td><td>Kelurahan Teluk, Kecamatan Purwokert



</tr><tr id="tr1236">

<td>1236</td><td>00153830</td><td>Sukarti,Ny</td><td>Desa Kalimandi, Kecamatan Purwarejak

lampok, Banjarnegara</td><td>Islam</td><td>60 TH 1 BL 15 HR</td><td>Perempuan</td><td>Poliklinik Umum</td><td>-</td><td>dr. Wandito Gayuh Utomo</td><td>Umum</td>

</tr><tr id="tr1237">

<td>1237</td><td>00154054</td><td>Sugiarti, Ny (BKKBN)</td><td>Desa Banjaranyar, Kecamatan Sokaraja


</tr><tr id="tr1238">

<td>1238</td><td>00154055</td><td>Karmini, Ny (BKKBN)</td><td>Kelurahan Tanjung, Kecamatan Purwoke

rto Selatan, Purwokerto</td><td>Islam</td><td>40 TH 4 BL 1 HR</td><td>Perempuan</td><td>Poliklinik Obsgyn</td><td>-</td><td>dr. Edy Sp.OG</td><td>BKKBN</td>

</tr><tr id="tr1239">

<td>1239</td><td>00154056</td><td>Rohimah, Ny ( BKKBN)</td><td>Desa Banjaranyar, Kecamatan Sokaraja

, Banyumas</td><td>Islam</td><td>44 TH 1 BL 11 HR</td><td>Perempuan</td><td>Poliklinik Obsgyn</td><td>-</td><td>dr. Edy Sp.OG</td>

<td>BKKBN</td></tr>

<tr id="tr1240"><td>1240</td><td>00153710</td><td>Tri Multiyah,Ny</td><td>Desa Kalimandi, Kecamatan Purwarejak

lampok, Banjarnegara</td><td>Islam</td><td>60 TH 7 BL 13 HR</td><td>Perempuan</td><td>Poliklinik Penyakit Dalam</td><td>Congestive heart failure</td><td>dr. Aditiawarman, Sp. PD</td><td>BPJS</td>

</tr><tr id="tr1241">

<td>1241</td><td>00154057</td><td>Maryati, Ny (BKKBN)</td><td>Desa Banjaranyar, Kecamatan Sokaraja


</tr><tr id="tr1242">

<td>1242</td><td>00154058</td><td>Turyali, Ny (BKKBN)</td><td>Desa Banjaranyar, Kecamatan Sokaraja


</tr><tr id="tr1243">

<td>1243</td><td>00154059</td><td>Rumiyati, Ny (BKKBN)</td><td>Desa Banjaranyar, Kecamatan Sokaraja


</tr><tr id="tr1244">

<td>1244</td>

<td>00154060</td><td>Nurhayati, Ny (BKKBN)</td><td>Desa Banjaranyar, Kecamatan Sokaraja


</tr><tr id="tr1245">

<td>1245</td><td>00154061</td><td>Hadmini, Ny (BKKBN)</td><td>Desa Banjaranyar, Kecamatan Sokaraja


</tr><tr id="tr1246">

<td>1246</td><td>00154062</td><td>Kusmirah, Ny (BKKBN)</td><td>Kelurahan Tanjung, Kecamatan Purwoke

rto Selatan, Purwokerto</td><td>Islam</td><td>31 TH 2 BL 10 HR</td><td>Perempuan</td><td>Poliklinik Obsgyn</td><td>-</td><td>dr. Edy Sp.OG</td><td>BKKBN</td>

</tr><tr id="tr1247">

<td>1247</td><td>00154063</td><td>Sumini, Ny (BKKBN)</td><td>Kel.Karangpucung, Kecamatan Purwoker


</tr><tr id="tr1248">

<td>1248</td><td>00154064</td><td>Suminah, Ny (BKKBN)</td><td>Kel. Purwokerto Kidul, Kecamatan Pur

wokerto Selatan, Purwokerto</td>


</tr><tr id="tr1249">

<td>1249</td><td>00154065</td><td>Leli, Ny (BKKBN)</td><td>Kel. Purwokerto Kidul, Kecamatan Pur

wokerto Selatan, Purwokerto</td><td>Islam</td><td>33 TH 1 BL 8 HR</td><td>Perempuan</td><td>Poliklinik Obsgyn</td><td>-</td><td>dr. Edy Sp.OG</td><td>BKKBN</td>

</tr><tr id="tr1250">

<td>1250</td><td>00154066</td><td>Yuliarni, Ny (BKKBN)</td><td>Kel. Purwokerto Kidul, Kecamatan Pur


</tr><tr id="tr1251">

<td>1251</td><td>00153757</td><td>Tri Respanti,Nn</td><td>Desa Ciberung, Kecamatan Ajibarang,


</tr><tr id="tr1252">

<td>1252</td><td>00154067</td><td>Siti Marfuah, Ny (BKKBN)</td><td>Kel.Karangpucung, Kecamatan Purwoker

to Selatan, Purwokerto</td><td>Islam</td><td>24 TH 1 BL 6 HR</td><td>Perempuan</td><td>Poliklinik Obsgyn</td>

<td>-</td><td>dr. Edy Sp.OG</td><td>BKKBN</td>

</tr><tr id="tr1253">

<td>1253</td><td>00154068</td><td>Nur Prihatin, Ny (BKKBN)</td><td>Desa Karangrau, Kecamatan Sokaraja,

Banyumas</td><td>Islam</td><td>37 TH 17 HR</td><td>Perempuan</td><td>Poliklinik Obsgyn</td><td>-</td><td>dr. Edy Sp.OG</td><td>BKKBN</td>

</tr><tr id="tr1254">

<td>1254</td><td>00154069</td><td>Ariyanti, Ny (BKKBN)</td><td>Kel.Berkoh, Kecamatan Purwokerto Sel


</tr><tr id="tr1255">


g, Kabupaten Ciamis</td><td>Islam</td><td>60 TH 1 BL 15 HR</td><td>Laki Laki</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>Umum</td>

</tr><tr id="tr1256">

<td>1256</td><td>00154070</td><td>Supriati, Ny (BKKBN)</td><td>Desa Banjaranyar, Kecamatan Sokaraja


</tr>

<tr id="tr1257"><td>1257</td><td>00154071</td><td>Chotijah, Ny (BKKBN)</td><td>Desa Karangrau, Kecamatan Sokaraja,


</tr><tr id="tr1258">

<td>1258</td><td>00141056</td><td>Wahyuni, Ny</td><td>Desa Rakit, Kecamatan Rakit, Banjarn

egara</td><td>Islam</td><td>62 TH 1 BL 16 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>

</tr><tr id="tr1259">

<td>1259</td><td>00154072</td><td>Sri Lestari, Ny (BKKBN)</td><td>Desa Banjaranyar, Kecamatan Sokaraja


</tr><tr id="tr1260">

<td>1260</td><td>00154073</td><td>Nur Anisah, Ny (BKKBN)</td><td>Kel. Purwokerto Kidul, Kecamatan Pur


</tr><tr id="tr1261">

<td>1261</td><td>00154074</td><td>Wasirah, Ny (BKKBN)</td>

<td>Kelurahan Tanjung, Kecamatan Purwokerto Selatan, Purwokerto</td>


</tr><tr id="tr1262">


to Selatan, Purwokerto</td><td>Islam</td><td>65 TH 1 BL 17 HR</td><td>Laki Laki</td><td>Poliklinik Syaraf</td><td>Neuropathic arthropathy</td><td>dr. Tutik Ermawati, Sp.S</td><td>BPJS</td>

</tr><tr id="tr1263">


to Selatan, Purwokerto</td><td>Islam</td><td>64 TH 1 BL 17 HR</td><td>Perempuan</td><td>Poliklinik Syaraf</td><td>Arthrosis, unspecified</td><td>dr. Tutik Ermawati, Sp.S</td><td>BPJS</td>

</tr><tr id="tr1264">



</tr><tr id="tr1265">


urbalingga</td><td>Islam</td><td>38 TH 5 HR</td>


</tr><tr id="tr1266">

<td>1266</td><td>00151567</td><td>R Seto Waluyadi,Tn</td><td>Desa Kunci, Sidareja, Cilacap</td><td>Islam</td><td>64 TH 5 BL 22 HR</td><td>Laki Laki</td><td>Poliklinik Syaraf</td><td>-</td><td>dr. Tutik Ermawati, Sp.S</td><td>BPJS</td>

</tr><tr id="tr1267">


/td><td>Islam</td><td>41 TH 7 BL 7 HR</td><td>Perempuan</td><td>Poliklinik Syaraf</td><td>Mononeuropathy, unspecified</td><td>dr. Tutik Ermawati, Sp.S</td><td>BPJS</td>

</tr><tr id="tr1268">

<td>1268</td><td>00150277</td><td>Naning Sri Suwarni, Ny</td><td>Kelurahan Teluk, Kecamatan Purwokert

o Selatan, Purwokerto</td><td>Islam</td><td>60 TH 6 BL 14 HR</td><td>Perempuan</td><td>Poliklinik Syaraf</td><td>Epilepsy, unspecified</td><td>dr. Tutik Ermawati, Sp.S</td><td>BPJS</td>

</tr><tr id="tr1269">




<td>BPJS</td></tr>

<tr id="tr1270"><td>1270</td><td>00142341</td><td>Dasinem, Ny</td><td>Desa Pasinggahan, Kecamatan Banyumas

, Banyumas</td><td>Islam</td><td>61 TH 1 BL 2 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Burkitt's tumour non-Hodgkin's lymph


</tr><tr id="tr1271">

<td>1271</td><td>00151824</td><td>Zalinawati, Ny</td><td>Desa Menganti, Kecamatan Rawalo, Ban

yumas</td><td>Islam</td><td>37 TH 8 BL 23 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Neoplasm of uncertain or unknown beh


</tr><tr id="tr1272">

<td>1272</td><td>00142292</td><td>Rojiah, Ny</td><td>Desa Pekuncen, Kecamatan Pekuncen, B



</tr><tr id="tr1273">



</tr><tr id="tr1274">

<td>1274</td><td>00154075</td><td>Kaminah,Ny</td><td>Desa Gandrungmangu, Candrungmangu, C

ilacap</td><td>Islam</td><td>62 TH 10 BL 23 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Neoplasm of uncertain or unknown beh


</tr><tr id="tr1275">

<td>1275</td><td>00154076</td><td>Ida Sangidah,Ny</td><td>Desa Kecila, Kecamatan Kemranjen, Ba

nyumas</td><td>Islam</td><td>43 TH 11 BL 14 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>

</tr><tr id="tr1276">




</tr><tr id="tr1277">

<td>1277</td><td>00152662</td><td>Eti, Ny</td><td>Desa Ciliang, Kecamatan Parigi, Kabu

paten Ciamis</td><td>Islam</td><td>49 TH 6 BL 1 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Malignant neoplasm of cervix uteri,


</tr>

<tr id="tr1278"><td>1278</td><td>00153920</td><td>Sanuji Al Sadam,Tn</td><td>Desa Mandirancan, Kecamatan Kebasen,

Banyumas</td><td>Islam</td><td>71 TH 1 BL 13 HR</td><td>Laki Laki</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>Umum</td>

</tr><tr id="tr1279">




</tr><tr id="tr1280">

<td>1280</td><td>00150014</td><td>Ismardi Waluyo, Tn</td><td>Kelurahan Teluk, Kecamatan Purwokert



</tr><tr id="tr1281">

<td>1281</td><td>00150724</td><td>Subagyo, Tn</td><td>Kelurahan Teluk, Kecamatan Purwokert


</tr><tr id="tr1282">

<td>1282</td>

<td>00153600</td><td>Reni Haryati, Ny</td><td>Keluranhan Purbalingga Kidul, Kecama



</tr><tr id="tr1283">

<td>1283</td><td>00154077</td><td>Masrifah,Ny</td><td>Desa Pandansari, Kecamatan Ajibarang

, Banyumas</td><td>Islam</td><td>25 TH 12 HR</td><td>Perempuan</td><td>Poliklinik Syaraf</td><td>Effects of caisson disease [decompre

ssion sickness]</td><td>dr. Tutik Ermawati, Sp.S</td><td>Umum</td>

</tr><tr id="tr1284">

<td>1284</td><td>00141792</td><td>Muslihatun, Ny</td><td>Desa Ketanda, Kecamatan Sumpiuh, Ban



</tr><tr id="tr1285">

<td>1285</td><td>00151633</td><td>Trias Handayani, Ny</td><td>Kelurahan Tegalrejo, Cilacap Selatan



</tr><tr id="tr1286">

<td>1286</td>

<td>00151098</td><td>Slamet Ciptadi, Tn</td><td>Kel.Berkoh, Kecamatan Purwokerto Sel

atan, Purwokerto</td><td>Islam</td><td>58 TH 11 BL 18 HR</td><td>Laki Laki</td><td>Poliklinik Syaraf</td><td>Spondylopathy, unspecified</td><td>dr. Tutik Ermawati, Sp.S</td><td>BPJS</td>

</tr><tr id="tr1287">


atan, Purwokerto</td><td>Islam</td><td>58 TH 8 BL 23 HR</td><td>Perempuan</td><td>Poliklinik Syaraf</td><td>-</td><td>dr. Tutik Ermawati, Sp.S</td><td>BPJS</td>

</tr><tr id="tr1288">

<td>1288</td><td>00151173</td><td>Chusnul Chotimah, Ny</td><td>Desa Kembaran, Kecamatan Kembaran, B


</tr><tr id="tr1289">


Kabupaten Sleman</td><td>Islam</td><td>57 TH 2 BL 2 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>

</tr><tr id="tr1290">

<td>1290</td><td>00131682</td><td>Indah Listyowati,Ny</td><td>Kel.Karangklesem, Kecamatan Purwoker

to Selatan, Purwokerto</td>

<td>Kristen</td><td>32 TH 3 BL 8 HR</td><td>Perempuan</td><td>Poliklinik Syaraf</td><td>Headache</td><td>dr. Tutik Ermawati, Sp.S</td><td>Umum</td>

</tr><tr id="tr1291">




</tr><tr id="tr1292">


o Selatan, Purwokerto</td><td>Islam</td><td>29 TH 10 BL 12 HR</td><td>Laki Laki</td><td>Poliklinik Penyakit Dalam</td><td>Urinary tract infection, site not sp

ecified</td><td>dr. Tiara, Sp.PD</td><td>BPJS</td>

</tr><tr id="tr1293">

<td>1293</td><td>00152324</td><td>Sutarni, Ny</td><td>Desa Jepara Wetan, Kecamatan Binangu


</tr><tr id="tr1294">

<td>1294</td><td>00154079</td><td>Karsun,Tn</td><td>Desa Wangon, Kecamatan Wangon, Banyu

mas</td><td>Islam</td><td>70 TH 7 BL 26 HR</td>

<td>Laki Laki</td><td>Poliklinik Syaraf</td><td>Bouchard's nodes (with arthropathy)<

/td><td>dr. Tutik Ermawati, Sp.S</td><td>Umum</td>

</tr><tr id="tr1295">

<td>1295</td><td>00140842</td><td>Munfi'ah, Ny</td><td>Desa Bulaksari, Kawunganten, Cilacap



</tr><tr id="tr1296">

<td>1296</td><td>00154080</td><td>Eva Tri Noviani,Ny</td><td>Desa Cilangkap, Gumelar, Banyumas</t



</tr><tr id="tr1297">

<td>1297</td><td>00154081</td><td>Sunarti,Ny</td><td>Desa Sumbang, Kecamatan Sumbang, Ban

yumas</td><td>Islam</td><td>80 TH 1 BL 21 HR</td><td>Perempuan</td><td>Poliklinik Penyakit Dalam</td><td>Gastro-oesophageal reflux disease</t

d><td>dr. Tiara, Sp.PD</td><td>BPJS</td>

</tr><tr id="tr1298">


to Selatan, Purwokerto</td><td>Khatolik</td><td>49 TH 14 HR</td>

<td>Perempuan</td><td>Poliklinik Syaraf</td><td>Arthrosis, unspecified</td><td>dr. Tutik Ermawati, Sp.S</td><td>BPJS</td>

</tr><tr id="tr1299">

<td>1299</td><td>00153691</td><td>Ineke Indrijawati S,Ny</td><td>Kel.Purwokerto Kulon, Kecamatan Purw

okerto Selatan, Purwokerto</td><td>Kristen</td><td>46 TH 9 BL 21 HR</td><td>Perempuan</td><td>Poliklinik Syaraf</td><td>Plantar fascial fibromatosis</td><td>dr. Tutik Ermawati, Sp.S</td><td>BPJS</td>

</tr><tr id="tr1300">

<td>1300</td><td>00152718</td><td>Kusniah, Ny</td><td>Desa Sukahaji, Kecamatan Cihaurbeuti

, Kabupaten Ciamis</td><td>Islam</td><td>50 TH 7 BL 5 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>

</tr><tr id="tr1301">


o Selatan, Purwokerto</td><td>Islam</td><td>48 TH 11 BL 14 HR</td><td>Perempuan</td><td>Poliklinik Syaraf</td><td>Headache</td><td>dr. Tutik Ermawati, Sp.S</td><td>BPJS</td>

</tr><tr id="tr1302">

<td>1302</td><td>00142870</td><td>Sukesti, Ny</td><td>Kel. Rejasari, Kecamatan Purwokerto

Barat, Purwokerto</td><td>Islam</td><td>58 TH 7 BL 2 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Malignant neoplasm of breast, unspec

ified</td>


</tr><tr id="tr1303">

<td>1303</td><td>00154082</td><td>Maftuhatu Hasanah,Ny</td><td>Desa Karangsari, Cimanggu, Cilacap</



</tr><tr id="tr1304">

<td>1304</td><td>00154083</td><td>Holil,Tn</td><td>Desa Cimerak, Kecamatan Cimerak, Kab

upaten Ciamis</td><td>Islam</td><td>81 TH 5 HR</td><td>Laki Laki</td><td>Poliklinik Bedah Onkology</td><td>Unilateral or unspecified inguinal h


</tr><tr id="tr1305">

<td>1305</td><td>00153939</td><td>Margono,Tn</td><td>Desa Bulupayung, Kecamatan Patimuan,

Cilacap</td><td>Islam</td><td>40 TH 5 BL 2 HR</td><td>Laki Laki</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>Umum</td>

</tr><tr id="tr1306">

<td>1306</td><td>00153478</td><td>Nuraeni, Ny</td><td>Desa Cibuyur, Kecamatan Moga, Pemala

ng</td><td>Islam</td><td>40 TH 8 BL 6 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>

</tr><tr id="tr1307">



</tr><tr id="tr1308">

<td>1308</td><td>00153192</td><td>Marmo, Tn</td><td>Kel.Purwanegara, Kecamatan Purwokert

o Utara, Purwokerto</td><td>Islam</td><td>45 TH 8 BL 26 HR</td><td>Laki Laki</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>

</tr><tr id="tr1309">

<td>1309</td><td>00153523</td><td>Siti Setiasih,Ny</td><td>Desa Karangklesem, Kecamatan Pekunce

n, Banyumas</td><td>Islam</td><td>30 TH 2 BL 12 HR</td><td>Perempuan</td><td>Poliklinik Syaraf</td><td>-</td><td>dr. Tutik Ermawati, Sp.S</td><td>BPJS</td>

</tr><tr id="tr1310">

<td>1310</td><td>00154087</td><td>Turi,Ny</td><td>Desa Boja, Majenang, Cilacap</td><td>Islam</td><td>48 TH 10 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Calculus of kidney</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>Umum</td>

</tr><tr id="tr1311">

<td>1311</td><td>00154088</td><td>Anggun Rahma Wulan, Nn</td>

<td>Desa Sindangwangi, Bantarkawung, Brebes</td>



</tr><tr id="tr1312">



</tr><tr id="tr1313">

<td>1313</td><td>00153599</td><td>Fitri Nurjanah, Nn</td><td>Desa Gunungwetan, Kecamatan Jatilawa

ng, Banyumas</td><td>Islam</td><td>24 TH 7 BL 15 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>Umum</td>

</tr><tr id="tr1314">

<td>1314</td><td>00150892</td><td>Jumiyah, Ny</td><td>Desa Karangputat, Kecamatan Nusawung

u, Cilacap</td><td>Islam</td><td>45 TH 4 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>

</tr><tr id="tr1315">

<td>1315</td><td>00141494</td><td>Turahmi, Ny</td><td>Desa Tinggarjaya, Kecamatan Jatilawa

ng, Banyumas</td><td>Islam</td>


</tr><tr id="tr1316">

<td>1316</td><td>00142433</td><td>Edi Santoso, Tn</td><td>Desa Pangawaren, Karangpucung, Cilac

ap</td><td>Islam</td><td>28 TH 2 BL 27 HR</td><td>Laki Laki</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>

</tr><tr id="tr1317">

<td>1317</td><td>00152834</td><td>Purbayu Budi Santoso, Tn</td><td>Desa Karangklesem, Kecamatan Pekunce


</tr><tr id="tr1318">

<td>1318</td><td>00150591</td><td>Sanmursidi, Tn</td><td>Desa Tamansari, Kecamatan Karangmonc

ol, Purbalingga</td><td>Islam</td><td>71 TH 1 BL 9 HR</td><td>Laki Laki</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>

</tr><tr id="tr1319">

<td>1319</td><td>00150308</td><td>Sutarmi, Ny</td><td>Desa Tamansari, Kecamatan Karangmonc

ol, Purbalingga</td><td>Islam</td><td>38 TH 6 BL 29 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>-</td>


</tr><tr id="tr1320">

<td>1320</td><td>00150689</td><td>Ilah, Ny</td><td>Desa Cisontrol, Kecamatan Rancah, Ka


</tr><tr id="tr1321">

<td>1321</td><td>00150907</td><td>Sri Setiyani, Ny</td><td>Kel.Purwokerto Lor, Kecamatan Purwok



</tr><tr id="tr1322">

<td>1322</td><td>00151852</td><td>Fita Mulyaningsih, Ny</td><td>Desa Karangkemiri, Kecamatan Pekunce

n, Banyumas</td><td>Islam</td><td>18 TH 7 BL 11 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>

</tr><tr id="tr1323">

<td>1323</td><td>00140686</td><td>Kaisah, Ny</td><td>Desa Sawangan Kidul, Kecamatan Patik

raja, Banyumas</td><td>Islam</td><td>48 TH 10 BL</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Malignant neoplasm of breast, unspec


</tr><tr id="tr1324">

<td>1324</td><td>00153475</td><td>Kisi, Ny</td><td>Desa Lebak, Kecamatan Kaliwiro, Wono

sobo</td><td>Islam</td><td>47 TH 2 BL 29 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>

</tr><tr id="tr1325">


bupaten Tasikmalaya</td><td>Islam</td><td>49 TH 5 BL 26 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>

</tr><tr id="tr1326">

<td>1326</td><td>00130840</td><td>Tri Asih Boru Saragih, Ny</td><td>Desa Sempor, Kecamatan Sempor, Kebum

en</td><td>Islam</td><td>55 TH 2 BL 7 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>

</tr><tr id="tr1327">

<td>1327</td><td>00141292</td><td>Hartini, Ny</td><td>Desa Wonosari, Kecamatan Kebumen, Ke

bumen</td><td>Islam</td><td>59 TH 5 BL 16 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>

</tr><tr id="tr1328">

<td>1328</td><td>00153766</td>

<td>Nasiyah,Ny</td><td>Desa Jatisaba, Kecamatan Cilongok, B



</tr><tr id="tr1329">

<td>1329</td><td>00150803</td><td>Kustini, Ny</td><td>Desa Ciwuni, Kecamatan Kesugihan, Ci

lacap</td><td>Islam</td><td>33 TH 7 BL</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>

</tr><tr id="tr1330">


s</td><td>Islam</td><td>17 TH 14 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>

</tr><tr id="tr1331">

<td>1331</td><td>00150944</td><td>Rahayuningsih, Ny</td><td>Desa Banjar, Kecamatan Banjar, Kabup


</tr><tr id="tr1332">


en, Banyumas</td>


</tr><tr id="tr1333">




</tr><tr id="tr1334">



</tr><tr id="tr1335">


Brebes</td><td>Islam</td><td>28 TH 1 BL 7 HR</td><td>Laki Laki</td><td>Poliklinik Bedah Onkology</td><td>Malignant neoplasm of bones of skull

and face</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>Umum</td>

</tr><tr id="tr1336">

<td>1336</td><td>00152247</td><td>Suripah</td><td>Desa Kalikidang, Kecamatan Sokaraja,



</tr><tr id="tr1337">


Kabupaten Subang</td><td>Islam</td><td>60 TH 4 BL 3 HR</td><td>Laki Laki</td><td>Poliklinik THT</td><td>-</td><td>dr.Bagus Condro Prasetyo, Sp.THT-KL<

/td><td>Umum</td>

</tr><tr id="tr1338">

<td>1338</td><td>00152601</td><td>Minah, Ny</td><td>Desa Pagedongan, Kecamatan Banjarneg


</tr><tr id="tr1339">

<td>1339</td><td>00153670</td><td>Jasmini,Ny</td><td>Desa Jurangbahas, Kecamatan Wangon,


</tr><tr id="tr1340">

<td>1340</td><td>00143070</td><td>Tarsiwen, Ny</td><td>Desa Kedungrandu, Kecamatan Patikraj

a, Banyumas</td><td>Islam</td><td>55 TH 6 BL 9 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>-</td>


</tr><tr id="tr1341">


d><td>Islam</td><td>63 TH 6 BL 9 HR</td><td>Laki Laki</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>

</tr><tr id="tr1342">



</tr><tr id="tr1343">

<td>1343</td><td>00142749</td><td>Martiyah, Ny</td><td>Desa Panjangsari, Kecamatan Gombong,



</tr><tr id="tr1344">

<td>1344</td><td>00154090</td><td>Oky Kristiani, By Ny</td><td>Kel. Kraton, Tegal Barat, Tegal</td><td>Khatolik</td><td>2 BL 18 HR</td><td>Perempuan</td><td>Poliklinik Obsgyn</td><td>Palindromic rheumatism, other sites<

/td><td>dr. Soegeng Djiwarahga, Sp.OG</td><td>Umum</td>

</tr>

<tr id="tr1345"><td>1345</td><td>00153720</td><td>Saniem,Ny</td><td>Desa Sindangjaya, Kecamatan Padahera

ng, Kabupaten Ciamis</td><td>Islam</td><td>91 TH 1 BL 22 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>Umum</td>

</tr><tr id="tr1346">

<td>1346</td><td>00153968</td><td>Ahmad Dzaki R, An</td><td>Kelurahan Teluk, Kecamatan Purwokert


</tr><tr id="tr1347">



</tr><tr id="tr1348">



</tr><tr id="tr1349">

<td>1349</td><td>00130158</td><td>Mahwati, Ny</td>

<td>Desa Pagerandong, Kecamatan Mrebet, Purbalingga</td>



</tr><tr id="tr1350">

<td>1350</td><td>00140109</td><td>Wasirah, Ny</td><td>Desa Jepara Kulon, Kecamatan Binangu

n, Cilacap</td><td>Islam</td><td>59 TH 7 BL 29 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Malignant neoplasm of breast, unspec


</tr><tr id="tr1351">

<td>1351</td><td>00130419</td><td>Suciati,Ny</td><td>Desa Maruyungsari, Kecamatan Padaher

ang, Kabupaten Ciamis</td><td>Islam</td><td>30 TH 8 BL 19 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Malignant neoplasm of breast, unspec


</tr><tr id="tr1352">

<td>1352</td><td>00153588</td><td>Nunik Wahyuni, Nn</td><td>Desa Karangrau, Kecamatan Sokaraja,

Banyumas</td><td>Islam</td><td>18 TH 1 BL 4 HR</td><td>Perempuan</td><td>Poliklinik Penyakit Dalam</td><td>-</td><td>dr. Aditiawarman, Sp. PD</td><td>Umum</td>

</tr><tr id="tr1353">



</tr><tr id="tr1354">



</tr><tr id="tr1355">


s, Banyumas</td><td>Islam</td><td>36 TH 6 BL 15 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>

</tr><tr id="tr1356">

<td>1356</td><td>00153805</td><td>Kurniasih, Ny</td><td>Desa Ciliang, Kecamatan Parigi, Kabu

paten Ciamis</td><td>Islam</td><td>45 TH 9 BL 21 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Leiomyoma of uterus, unspecified</td

><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>Umum</td>

</tr><tr id="tr1357">

<td>1357</td><td>00154092</td><td>Rukyati, Ny</td><td>Desa Bantarmangu, Cimanggu, Cilacap<

/td><td>Islam</td><td>49 TH 1 HR</td>

<td>Perempuan</td><td>Poliklinik Penyakit Dalam</td><td>-</td><td>dr. Tiara, Sp.PD</td><td>Umum</td>

</tr><tr id="tr1358">

<td>1358</td><td>00100412</td><td>Fatonah, Ny</td><td>Desa Bumiayu, Kecamatan Bumiayu, Bre

bes</td><td>Islam</td><td>62 TH 10 BL</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>Umum</td>

</tr><tr id="tr1359">

<td>1359</td><td>00154093</td><td>Muslih, Tn</td><td>Desa Kalijaran, Kecamatan Karanganya

r, Purbalingga</td><td>Islam</td><td>72 TH 10 BL 4 HR</td><td>Laki Laki</td><td>Poliklinik Bedah Onkology</td><td>Neoplasm of uncertain or unknown beh


</tr><tr id="tr1360">



</tr><tr id="tr1361">


t, Purwokerto</td><td>Khatolik</td><td>60 TH 7 BL 10 HR</td><td>Laki Laki</td><td>Poliklinik Bedah Onkology</td><td>-</td>


</tr><tr id="tr1362">

<td>1362</td><td>00151230</td><td>Khoeron, Tn</td><td>Desa Kalipoh, Kecamatan Ayah, Kebume

n</td><td>Islam</td><td>35 TH 3 BL 7 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Anaemia, unspecified</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>

</tr><tr id="tr1363">

<td>1363</td><td>00153142</td><td>Nur Izzati, Ny</td><td>Desa Sokaraja Kidul, Kecamatan Sokar

aja, Banyumas</td><td>Islam</td><td>39 TH 1 BL 26 HR</td><td>Perempuan</td><td>Poliklinik Syaraf</td><td>-</td><td>dr. Tutik Ermawati, Sp.S</td><td>BPJS</td>

</tr><tr id="tr1364">



</tr><tr id="tr1365">

<td>1365</td><td>00154095</td><td>Satini, Ny</td><td>Desa Gembong, Kecamatan Bojongsari,



</tr>

<tr id="tr1366"><td>1366</td><td>00154096</td><td>Karwan Sudjono, Tn</td><td>Desa Sokaraja Kulon, Kecamatan Sokar

aja, Banyumas</td><td>Islam</td><td>68 TH 8 BL</td><td>Laki Laki</td><td>Poliklinik Bedah Onkology</td><td>Benign neoplasm of parotid gland</td


</tr><tr id="tr1367">

<td>1367</td><td>00153841</td><td>Supomo, Tn</td><td>Desa Sokaraja Kidul, Kecamatan Sokar

aja, Banyumas</td><td>Islam</td><td>66 TH 11 BL 17 HR</td><td>Laki Laki</td><td>Poliklinik Bedah Orthopedi</td><td>Fracture of lumbar vertebra</td><td>dr. Bambang Agus Teja Kusumah Sp. OT

</td><td>BPJS</td>

</tr><tr id="tr1368">

<td>1368</td><td>00154097</td><td>Nartem, Ny</td><td>Desa Batuanten, Kecamatan Cilongok,



</tr><tr id="tr1369">

<td>1369</td><td>00120567</td><td>Surti, Ny</td><td>Desa Kecila, Kecamatan Kemranjen, Ba

nyumas</td><td>Islam</td><td>68 TH 4 BL 2 HR</td><td>Perempuan</td><td>Poliklinik THT</td><td>Nasopharynx, unspecified</td><td>dr.Bagus Condro Prasetyo, Sp.THT-KL<

/td><td>BPJS</td>

</tr>

<tr id="tr1370"><td>1370</td><td>00100388</td><td>Windiarti, Ny</td><td>Desa Pangkah, Pangkah, Tegal</td><td>Islam</td><td>58 TH 3 BL 11 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>Umum</td>

</tr><tr id="tr1371">

<td>1371</td><td>00143128</td><td>Suharni, Ny</td><td>Lagoa, Koja, Jakarta Utara</td><td>Islam</td><td>49 TH 8 BL 16 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>

</tr><tr id="tr1372">

<td>1372</td><td>00143086</td><td>Siti Maryam, Ny</td><td>Desa Karanggedang, Kecamatan Bukatej

a, Purbalingga</td><td>Islam</td><td>59 TH 3 BL 30 HR</td><td>Perempuan</td><td>Poliklinik Syaraf</td><td>Stroke, not specified as haemorrhage


</tr><tr id="tr1373">



</tr><tr id="tr1374">

<td>1374</td><td>00152658</td><td>Rinna Elyzabet Yulliana Syautta, Nn<

/td>

<td>Kelurahan Gunungsimping, Cilacap Tengah, Cilacap</td>

<td>Kristen</td><td>26 TH 11 BL 5 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Malignant neoplasm of breast, unspec


</tr><tr id="tr1375">

<td>1375</td><td>00141343</td><td>Dede Tatang, Tn</td><td>Kelurahan Teluk, Kecamatan Purwokert

o Selatan, Purwokerto</td><td>Islam</td><td>27 TH 4 HR</td><td>Laki Laki</td><td>Poliklinik THT</td><td>Tinnitus</td><td>dr.Bagus Condro Prasetyo, Sp.THT-KL<

/td><td>BPJS</td>

</tr><tr id="tr1376">

<td>1376</td><td>00152465</td><td>Eka Ambarwati, Ny</td><td>Desa Kutawis, Kecamatan Bukateja, Pu

rbalingga</td><td>Islam</td><td>24 TH 8 BL 14 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Neoplasm of uncertain or unknown beh


</tr><tr id="tr1377">

<td>1377</td><td>00153581</td><td>Yatinah, Ny</td><td>Desa Bener, Majenang, Cilacap</td><td>Islam</td><td>36 TH 4 BL 3 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Neoplasm of uncertain or unknown beh


</tr><tr id="tr1378">


g, Banyumas</td><td>Islam</td><td>61 TH 2 BL 4 HR</td><td>Perempuan</td><td>Poliklinik Syaraf</td><td>Bouchard's nodes (with arthropathy)<


</tr><tr id="tr1379">




</tr><tr id="tr1380">

<td>1380</td><td>00142920</td><td>Kiswen, Ny</td><td>Desa Karangsalam, Kecamatan Kemranje



</tr><tr id="tr1381">

<td>1381</td><td>00130567</td><td>Yuliana Sumartini, Ny</td><td>Kel.Purwanegara, Kecamatan Purwokert

o Utara, Purwokerto</td><td>Khatolik</td><td>67 TH 8 BL 13 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Malignant neoplasm of breast, unspec


</tr><tr id="tr1382">



</tr><tr id="tr1383">

<td>1383</td><td>00142656</td><td>Tuminah, Ny</td><td>Kel. Tambakreja, Cilacap Selatan, Ci



</tr><tr id="tr1384">

<td>1384</td><td>00154098</td><td>Jessica Angelina, An</td><td>Kel. Arcawinangun, Kecamatan Purwoke

rto Timur, Purwokerto</td><td>Khatolik</td><td>7 TH 26 HR</td><td>Perempuan</td><td>Poliklinik Bedah Orthopedi</td><td>Scoliosis, unspecified</td><td>dr. Bambang Agus Teja Kusumah Sp. OT

</td><td>Umum</td>

</tr><tr id="tr1385">

<td>1385</td><td>00140948</td><td>Mukiyah, Ny</td><td>Desa Kroya, Kecamatan Kroya, Cilacap

</td><td>Islam</td><td>52 TH 11 BL</td><td>Perempuan</td><td>Poliklinik THT</td><td>Disorder of ear, unspecified</td><td>dr.Bagus Condro Prasetyo, Sp.THT-KL<

/td><td>Umum</td>

</tr><tr id="tr1386">

<td>1386</td><td>00140948</td><td>Mukiyah, Ny</td><td>Desa Kroya, Kecamatan Kroya, Cilacap

</td>

<td>Islam</td><td>52 TH 11 BL</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Neoplasm of uncertain or unknown beh


</tr><tr id="tr1387">



o Selatan, Purwokerto</td><td>Kristen</td><td>51 TH 4 BL 1 HR</td><td>Perempuan</td><td>Poliklinik Syaraf</td><td>Vertigo of central origin</td><td>dr. Tutik Ermawati, Sp.S</td><td>BPJS</td>

</tr><tr id="tr1388">

<td>1388</td><td>00143232</td><td>Lilis Widhiarti, Ny</td><td>Sungai Raya, Sungai Raya, Pontianak<

/td><td>Kristen</td><td>49 TH 4 BL 29 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>Umum</td>

</tr><tr id="tr1389">

<td>1389</td><td>00154099</td><td>Ratna Sri Dian Astari Dewi, Ny</td><td>Kel. Karangmanyar, Kecamatan Kaliman

ah, Purbalingga</td><td>Islam</td><td>39 TH 6 BL 11 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Neoplasm of uncertain or unknown beh


</tr><tr id="tr1390">



<td>30 TH 6 BL 27 HR</td><td>Perempuan</td><td>Poliklinik Umum</td><td>-</td><td>dr. Inos</td><td>Umum</td>

</tr><tr id="tr1391">

<td>1391</td><td>00154100</td><td>Rizki Indriani, By, Ny</td><td>Kel.Kedungwuluh, Kecamatan Purwokert

o Barat, Purwokerto</td><td>Islam</td><td>2 BL 18 HR</td><td>Perempuan</td><td>Poliklinik Obsgyn</td><td>Fetus and newborn affected by caesar

ean delivery</td><td>dr. Soegeng Djiwarahga, Sp.OG</td><td>Umum</td>

</tr><tr id="tr1392">

<td>1392</td><td>00154101</td><td>Samihardi, Tn</td><td>Desa Pangawaren, Karangpucung, Cilac

ap</td><td>Islam</td><td>67 TH 3 BL 4 HR</td><td>Laki Laki</td><td>Poliklinik Bedah Onkology</td><td>Unilateral or unspecified inguinal h

ernia, without obstruction or gangrene</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>

</tr><tr id="tr1393">




</tr><tr id="tr1394">

<td>1394</td><td>00150950</td><td>Enok Suryati, Ny</td><td>Kel. Sindangrasa, Kecamatan Ciamis,

Kabupaten Ciamis</td><td>Islam</td><td>54 TH 5 BL 18 HR</td>



</tr><tr id="tr1395">

<td>1395</td><td>00150360</td><td>Yatin, Ny</td><td>Desa Kejene, Kecamatan Randudongkal,

Pemalang</td><td>Islam</td><td>56 TH 1 BL 16 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Malignant neoplasm of cervix uteri</


</tr><tr id="tr1396">

<td>1396</td><td>00151435</td><td>Jaswen, Ny</td><td>Desa Cindaga, Kecamatan Kebasen, Ban



</tr><tr id="tr1397">

<td>1397</td><td>00141160</td><td>Sri Pangestuti, Ny</td><td>Kel.Krandegan, Kecamatan Banjarnegar

a, Banjarnegara</td><td>Islam</td><td>49 TH 9 BL 15 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Malignant neoplasm of breast, unspec


</tr><tr id="tr1398">

<td>1398</td><td>00154105</td><td>Narwan, Tn</td><td>Desa Koranji, Kecamatan Purwadadi, K

abupaten Subang</td><td>Islam</td><td>52 TH 7 BL 30 HR</td>

<td>Laki Laki</td><td>Poliklinik Bedah Onkology</td><td>Malignant neoplasm of peripheral ner

ves and autonomic nervous system, unspecified</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>Umum</td>

</tr><tr id="tr1399">

<td>1399</td><td>00142861</td><td>Idris, Tn</td><td>Desa Ajibarang Kulon, Kecamatan Ajib

arang, Banyumas</td><td>Islam</td><td>70 TH 3 BL 6 HR</td><td>Laki Laki</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>

</tr><tr id="tr1400">



</tr><tr id="tr1401">



</tr><tr id="tr1402">


Banjarnegara</td><td>Islam</td><td>38 TH 7 BL 25 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>-</td>


</tr><tr id="tr1403">


Kebumen</td><td>Islam</td><td>53 TH 8 BL 19 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Non-Hodgkin's lymphoma, unspecified


</tr><tr id="tr1404">



</tr><tr id="tr1405">

<td>1405</td><td>00152106</td><td>Suparmi, Ny</td><td>Desa Lamuk, Kecamatan Kalikajar, Won

osobo</td><td>Islam</td><td>40 TH 7 BL 8 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Malignant neoplasm of breast, unspec


</tr><tr id="tr1406">

<td>1406</td><td>00152462</td><td>Juwariyah, Ny</td><td>Desa Sokaraja Kulon, Kecamatan Sokar

aja, Banyumas</td><td>Islam</td><td>44 TH 26 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Malignant neoplasm of breast, unspec


<td>BPJS</td></tr>

<tr id="tr1407"><td>1407</td><td>00143190</td><td>Tumiyem, Ny</td><td>Kel. Lomanis, Cilacap Tengah, Cilaca

p</td><td>Islam</td><td>60 TH 9 BL 5 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Malignant neoplasm of breast, unspec


</tr><tr id="tr1408">

<td>1408</td><td>00152616</td><td>Budi Santosa, Tn</td><td>Desa Kembaran Wetan, Kecamatan Kalig

ondang, Purbalingga</td><td>Islam</td><td>51 TH 7 BL 27 HR</td><td>Laki Laki</td><td>Poliklinik Bedah Onkology</td><td>Malignant neoplasm of skin, unspecif


</tr><tr id="tr1409">


, Wonosobo</td><td>Islam</td><td>59 TH 7 BL 12 HR</td><td>Laki Laki</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>

</tr><tr id="tr1410">

<td>1410</td><td>00152876</td><td>Sukini, Ny</td><td>Desa Kalikidang, Kecamatan Sokaraja,



</tr><tr id="tr1411">

<td>1411</td><td>00153638</td><td>Sri Yustinah, Ny</td><td>Sungai Paring, Martapura, Banjar</td

><td>Islam</td><td>48 TH 10 BL 26 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Malignant neoplasm of cervix uteri,

unspecified</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>

</tr><tr id="tr1412">


Kotamadya Tangerang</td><td>Islam</td><td>67 TH 3 BL</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Malignant neoplasm of breast, unspec


</tr><tr id="tr1413">

<td>1413</td><td>00151518</td><td>Septi Purwati Ningsih, Ny</td><td>Kel.Sokanegara, Kecamatan Purwokerto

Timur, Purwokerto</td><td>Islam</td><td>29 TH 4 BL 26 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Tuberculous peripheral lymphadenopat


</tr><tr id="tr1414">


okerto Selatan, Purwokerto</td><td>Islam</td><td>86 TH 1 BL 15 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Cellulitis of other parts of limb</t


</tr><tr id="tr1415">


n, Banyumas</td><td>Islam</td><td>53 TH 9 BL 28 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Benign lipomatous neoplasm, unspecif


</tr><tr id="tr1416">

<td>1416</td><td>00151966</td><td>Priyatin, Ny</td><td>Desa Brobot, Kecamatan Bojongsari, P



</tr><tr id="tr1417">

<td>1417</td><td>00153004</td><td>Chodiati,Ny</td><td>Desa Kertahayu, Kecamatan Pamarican,



</tr><tr id="tr1418">




</tr><tr id="tr1419">


o Selatan, Purwokerto</td><td>Islam</td><td>32 TH 1 BL 3 HR</td><td>Perempuan</td><td>Poliklinik Penyakit Dalam</td><td>Unspecified diabetes mellitus</td><td>dr. Aditiawarman, Sp. PD</td><td>BPJS</td>

</tr><tr id="tr1420">


Cilacap</td><td>Islam</td><td>37 TH 4 BL</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Malignant neoplasm of breast, unspec


</tr><tr id="tr1421">

<td>1421</td><td>00154106</td><td>Fusi Oktaviana,Nn</td><td>Desa Selandaka, Kecamatan Sumpiuh, B



</tr><tr id="tr1422">


p</td><td>Islam</td><td>7 BL 10 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Neoplasm of uncertain or unknown beh


</tr>

<tr id="tr1423"><td>1423</td><td>00153915</td><td>Kasta Meja,Tn</td><td>Desa Maruyungsari, Kecamatan Padaher

ang, Kabupaten Ciamis</td><td>Islam</td><td>84 TH 18 HR</td><td>Laki Laki</td><td>Poliklinik Bedah Onkology</td><td>Neoplasm of uncertain or unknown beh


</tr><tr id="tr1424">

<td>1424</td><td>00120665</td><td>Inem, Ny</td><td>Desa Banjarsari, Kecamatan Banjarsar



</tr><tr id="tr1425">

<td>1425</td><td>00150893</td><td>Masitoh, Ny</td><td>Desa Tembongraja, Salem, Brebes</td><td>Islam</td><td>42 TH 5 BL 30 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Malignant neoplasm of breast, unspec


</tr><tr id="tr1426">


okerto Timur, Purwokerto</td><td>Khatolik</td><td>63 TH 5 BL 16 HR</td><td>Laki Laki</td><td>Poliklinik Syaraf</td><td>Neuropathic arthropathy</td><td>dr. Tutik Ermawati, Sp.S</td><td>BPJS</td>

</tr><tr id="tr1427">

<td>1427</td>

<td>00152418</td><td>Kisem, Ny</td><td>Desa Kebanaran, Kecamatan Mandiraja,



</tr><tr id="tr1428">

<td>1428</td><td>00153705</td><td>Suharti, Ny</td><td>Desa Karangpakis, Kecamatan Nusawung

u, Cilacap</td><td>Islam</td><td>43 TH 11 BL 19 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Anaemia, unspecified</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>

</tr><tr id="tr1429">

<td>1429</td><td>00141942</td><td>Kurniasih, Ny</td><td>Desa Karanglo, Kecamatan Cilongok, B



</tr><tr id="tr1430">

<td>1430</td><td>00150850</td><td>Rusiyah, Ny</td><td>Desa Kedungbenda, Kecamatan Nusawung

u, Cilacap</td><td>Islam</td><td>53 TH 7 BL</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Malignant neoplasm of breast, unspec


</tr><tr id="tr1431">

<td>1431</td><td>00153441</td>

<td>Saminah, Ny</td><td>Desa Kujangsari, Kecamatan Langensar


</tr><tr id="tr1432">


n, Kebumen</td><td>Islam</td><td>60 TH 6 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>

</tr><tr id="tr1433">

<td>1433</td><td>00154107</td><td>Supardi,Tn</td><td>Desa Karangmangu, Kecamatan Baturade

n, Banyumas</td><td>Islam</td><td>63 TH 6 BL 15 HR</td><td>Laki Laki</td><td>Poliklinik Syaraf</td><td>Cerebral infarction, unspecified</td

><td>dr. Tutik Ermawati, Sp.S</td><td>Umum</td>

</tr><tr id="tr1434">

<td>1434</td><td>00150967</td><td>Kus Daryati, Ny</td><td>Desa Kuwayuhan, Kecamatan Pejagoan,



</tr><tr id="tr1435">

<td>1435</td><td>00130185</td><td>Halimah, Ny</td><td>Desa Sukadana, Kecamatan Sukadana, K

abupaten Ciamis</td><td>Islam</td><td>48 TH 1 BL 12 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>Umum</td>

</tr><tr id="tr1436">

<td>1436</td><td>00152618</td><td>Yuliati, Ny</td><td>Desa Bojongsari, Kedungreja, Cilacap

</td><td>Islam</td><td>36 TH 1 BL 9 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Carcinoma in situ of rectum</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>

</tr><tr id="tr1437">

<td>1437</td><td>00141326</td><td>Sri Wuryani, Ny</td><td>Kelurahan Teluk, Kecamatan Purwokert

o Selatan, Purwokerto</td><td>Islam</td><td>55 TH 4 BL 10 HR</td><td>Perempuan</td><td>Poliklinik Penyakit Dalam</td><td>Congestive heart failure</td><td>dr. Aditiawarman, Sp. PD</td><td>BPJS</td>

</tr><tr id="tr1438">


ang, Purbalingga</td><td>Islam</td><td>42 TH 2 BL 8 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Malignant neoplasm of breast, unspec


</tr><tr id="tr1439">

<td>1439</td><td>00150594</td><td>Yusmini, Ny</td><td>Desa Kradenan, Kecamatan Mrebet, Pur

balingga</td><td>Islam</td><td>73 TH 7 BL 16 HR</td>



</tr><tr id="tr1440">


td><td>Islam</td><td>56 TH 1 BL 1 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>

</tr><tr id="tr1441">

<td>1441</td><td>00152083</td><td>Sadirah, Ny</td><td>Kel. Tambakreja, Cilacap Selatan, Ci

lacap</td><td>Islam</td><td>63 TH 9 BL 26 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Non-Hodgkin's lymphoma, unspecified


</tr><tr id="tr1442">


/td><td>Kristen</td><td>32 TH 9 BL 20 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>

</tr><tr id="tr1443">

<td>1443</td><td>00154108</td><td>Arif Budiharto SP,Sdr</td><td>Desa Karangjati, Kecamatan Sampang,

Cilacap</td><td>Islam</td><td>41 TH 9 BL 7 HR</td><td>Laki Laki</td><td>Poliklinik Syaraf</td>

<td>Low back pain</td><td>dr. Tutik Ermawati, Sp.S</td><td>Umum</td>

</tr><tr id="tr1444">

<td>1444</td><td>00151954</td><td>Siswati, Ny</td><td>Desa Sidabowa, Kecamatan Patikraja,

Banyumas</td><td>Islam</td><td>40 TH 9 BL 20 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Tuberculous peripheral lymphadenopat


</tr><tr id="tr1445">

<td>1445</td><td>00153922</td><td>Dasiwen, Ny</td><td>Kel.Karangklesem, Kecamatan Purwoker

to Selatan, Purwokerto</td><td>Islam</td><td>69 TH 7 BL 11 HR</td><td>Perempuan</td><td>Poliklinik Umum</td><td>-</td><td>dr.Listya Tanjung</td><td>Umum</td>

</tr><tr id="tr1446">

<td>1446</td><td>00142344</td><td>Dini Luthfiatsari, Nn</td><td>Kelurahan Teluk, Kecamatan Purwokert

o Selatan, Purwokerto</td><td>Islam</td><td>23 TH 1 BL 8 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Neoplasm of uncertain or unknown beh


</tr><tr id="tr1447">


g</td><td>Islam</td><td>32 TH 12 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Neoplasm of uncertain or unknown beh

avior of thyroid gland</td>


</tr><tr id="tr1448">


rbalingga</td><td>Islam</td><td>18 TH 6 BL 8 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>

</tr><tr id="tr1449">

<td>1449</td><td>00152892</td><td>Sari Mulyono, Tn</td><td>Desa Sumbang, Kecamatan Sumbang, Ban

yumas</td><td>Islam</td><td>46 TH 3 BL 14 HR</td><td>Laki Laki</td><td>Poliklinik Syaraf</td><td>Mononeuropathy, unspecified</td><td>dr. Tutik Ermawati, Sp.S</td><td>BPJS</td>

</tr><tr id="tr1450">

<td>1450</td><td>00152559</td><td>Puger Iswiyati,Ny</td><td>Desa Kedungwringin, Kecamatan Patikr

aja, Banyumas</td><td>Islam</td><td>51 TH 1 BL 14 HR</td><td>Perempuan</td><td>Poliklinik Syaraf</td><td>Arthropathic psoriasis</td><td>dr. Tutik Ermawati, Sp.S</td><td>BPJS</td>

</tr><tr id="tr1451">


yumas</td><td>Islam</td><td>49 TH 3 BL 24 HR</td><td>Perempuan</td><td>Poliklinik Syaraf</td><td>Arthrosis, unspecified</td><td>dr. Tutik Ermawati, Sp.S</td><td>BPJS</td>

</tr><tr id="tr1452">


lampok, Banjarnegara</td><td>Islam</td><td>60 TH 7 BL 13 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Secondary malignant neoplasm of pleu

ra</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>

</tr><tr id="tr1453">

<td>1453</td><td>00131657</td><td>Neli Nuryati, Ny</td><td>Desa Jompo Kulon, Kecamatan Sokaraja



</tr><tr id="tr1454">



</tr><tr id="tr1455">


kerto Barat, Purwokerto</td><td>Islam</td><td>40 TH 2 BL 21 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Benign lipomatous neoplasm, unspecif


</tr><tr id="tr1456">

<td>1456</td>

<td>00153795</td><td>Marjo,Tn</td><td>Desa Karangtawang, Kecamatan Nusawun

gu, Cilacap</td><td>Islam</td><td>70 TH 3 BL 20 HR</td><td>Laki Laki</td><td>Poliklinik Bedah Onkology</td><td>Neoplasm of uncertain or unknown beh


</tr><tr id="tr1457">


an, Brebes</td><td>Islam</td><td>31 TH 2 BL 27 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Neoplasm of uncertain or unknown beh


</tr><tr id="tr1458">

<td>1458</td><td>00141441</td><td>Kartinah, Ny</td><td>Desa Sindangsari, Majenang, Cilacap<

/td><td>Islam</td><td>67 TH 11 BL 7 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Anaemia, unspecified</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>

</tr><tr id="tr1459">


lacap</td><td>Islam</td><td>50 TH 5 BL 21 HR</td><td>Perempuan</td><td>Poliklinik Syaraf</td><td>Neuropathic arthropathy</td><td>dr. Tutik Ermawati, Sp.S</td><td>BPJS</td>

</tr><tr id="tr1460">

<td>1460</td><td>00152811</td><td>Suyanti, Ny</td>

<td>Desa Karangturi, Kecamatan Mrebet, Purbalingga</td>



</tr><tr id="tr1461">


Banyumas</td><td>Khatolik</td><td>36 TH 8 BL 2 HR</td><td>Perempuan</td><td>Poliklinik Syaraf</td><td>Arthrosis, unspecified</td><td>dr. Tutik Ermawati, Sp.S</td><td>BPJS</td>

</tr><tr id="tr1462">

<td>1462</td><td>00150947</td><td>Kasiwen, Ny</td><td>Desa Pasinggahan, Kecamatan Banyumas

, Banyumas</td><td>Islam</td><td>51 TH 1 BL 13 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Malignant neoplasm of breast</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>

</tr><tr id="tr1463">

<td>1463</td><td>00153407</td><td>Subandiyah, Ny</td><td>Desa Windunegara, Kecamatan Wangon,

Banyumas</td><td>Islam</td><td>58 TH 12 HR</td><td>Perempuan</td><td>Poliklinik Syaraf</td><td>Stroke, not specified as haemorrhage


</tr><tr id="tr1464">

<td>1464</td><td>00141340</td><td>Sugiyanto, Tn</td><td>Desa Klapa, Kecamatan Punggelan, Ban

jarnegara</td>

<td>Islam</td><td>50 TH 1 BL 12 HR</td><td>Laki Laki</td><td>Poliklinik Bedah Onkology</td><td>Malignant neoplasm of occipital lobe

</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>

</tr><tr id="tr1465">

<td>1465</td><td>00141612</td><td>Sukarti, Ny</td><td>Desa Karangcegak, Kecamatan Kutasari

, Purbalingga</td><td>Islam</td><td>53 TH 24 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Malignant neoplasm of breast, unspec


</tr><tr id="tr1466">

<td>1466</td><td>00151194</td><td>Astuti Khomsah, Ny</td><td>Desa Mujur, Kecamatan Kroya, Cilacap

</td><td>Islam</td><td>41 TH 7 BL 14 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Non-Hodgkin's lymphoma, unspecified


</tr><tr id="tr1467">


klegi, Cilacap</td><td>Islam</td><td>59 TH 6 BL 25 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Benign neoplasm of parotid gland</td


</tr><tr id="tr1468">

<td>1468</td><td>00150203</td><td>Siti Muslimah, Ny</td><td>Desa Purwanegara, Kecamatan Purwaneg

ara, Banjarnegara</td>

<td>Islam</td><td>53 TH 5 BL</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Neoplasm of uncertain or unknown beh


</tr><tr id="tr1469">


bes</td><td>Islam</td><td>67 TH 4 BL 28 HR</td><td>Laki Laki</td><td>Poliklinik Bedah Onkology</td><td>Disorder of prostate, unspecified</t


</tr><tr id="tr1470">

<td>1470</td><td>00150723</td><td>Robinhot Lumbantoruan, Tn</td><td>Desa Kedungwringin, Kecamatan Patikr

aja, Banyumas</td><td>Kristen</td><td>52 TH 8 BL 5 HR</td><td>Laki Laki</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>

</tr><tr id="tr1471">


alingga</td><td>Islam</td><td>47 TH 5 BL 10 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>

</tr><tr id="tr1472">

<td>1472</td><td>00151039</td><td>Nasikin, Tn</td><td>Desa Jubang, Bulakamba, Brebes</td><td>Islam</td><td>45 TH 9 BL 19 HR</td><td>Laki Laki</td>

<td>Poliklinik Bedah Onkology</td><td>Anaemia, unspecified</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>

</tr><tr id="tr1473">


Banyumas</td><td>Islam</td><td>59 TH 10 BL 24 HR</td><td>Laki Laki</td><td>Poliklinik Syaraf</td><td>Neuropathic arthropathy</td><td>dr. Tutik Ermawati, Sp.S</td><td>BPJS</td>

</tr><tr id="tr1474">


Banyumas</td><td>Islam</td><td>43 TH 10 HR</td><td>Perempuan</td><td>Poliklinik Gigi</td><td>-</td><td>drg. Perwita Oktikarini</td><td>BPJS</td>

</tr><tr id="tr1475">

<td>1475</td><td>00141191</td><td>Zubaedah Fitriani, Ny</td><td>Desa Kalibagor, Kecamatan Kalibagor,

Banyumas</td><td>Islam</td><td>33 TH 6 BL 14 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Disturbances of skin sensation</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>

</tr><tr id="tr1476">


ur, Purwokerto</td><td>Islam</td><td>38 TH 4 BL</td><td>Perempuan</td><td>Poliklinik Syaraf</td><td>Bell's palsy</td><td>dr. Tutik Ermawati, Sp.S</td><td>BPJS</td>

</tr><tr id="tr1477">

<td>1477</td><td>00153842</td><td>Alan Wibowo,Tn</td><td>Desa Sidarahayu, Kecamatan Lakbok, K

abupaten Ciamis</td><td>Islam</td><td>38 TH 4 BL 30 HR</td><td>Laki Laki</td><td>Poliklinik Syaraf</td><td>-</td><td>dr. Tutik Ermawati, Sp.S</td><td>Umum</td>

</tr><tr id="tr1478">

<td>1478</td><td>00154111</td><td>Edi Lastono, Tn</td><td>Desa Menganti, Kecamatan Rawalo, Ban

yumas</td><td>Islam</td><td>36 TH 1 BL</td><td>Laki Laki</td><td>Poliklinik Gigi</td><td>-</td><td>drg. Perwita Oktikarini</td><td>BPJS</td>

</tr><tr id="tr1479">

<td>1479</td><td>00154112</td><td>Radem, Ny</td><td>Desa Gandatapa, Kecamatan Sumbang, B

anyumas</td><td>Islam</td><td>45 TH 2 BL 28 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Unilateral or unspecified inguinal h


</tr><tr id="tr1480">

<td>1480</td><td>00153952</td><td>Sumarni,Ny</td><td>Kelurahan Teluk, Kecamatan Purwokert


</tr><tr id="tr1481">

<td>1481</td>

<td>00154113</td><td>Mira Apriyani,Nn</td><td>Kelurahan Tritih Kulon, Kec. Cilacap

Utara, Cilacap</td><td>Islam</td><td>25 TH 9 BL 26 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>Umum</td>

</tr><tr id="tr1482">

<td>1482</td><td>00153457</td><td>Diana Dee Nayla, An</td><td>Desa Darmakradenan, Kecamatan Ajibar

ang, Banyumas</td><td>Islam</td><td>2 TH 7 BL 15 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>Umum</td>

</tr><tr id="tr1483">

<td>1483</td><td>00153210</td><td>Listya Ayu Dwi Susanti,Nn</td><td>Desa Candirenggo, Kecamatan Ayah, Ke

bumen</td><td>Islam</td><td>23 TH 8 BL 18 HR</td><td>Perempuan</td><td>Poliklinik Umum</td><td>-</td><td>dr. Inos</td><td>Umum</td>

</tr><tr id="tr1484">

<td>1484</td><td>00141270</td><td>Carwin Al Mujasir, Tn</td><td>Desa Cijati, Cimanggu, Cilacap</td><td>Islam</td><td>52 TH 7 BL 21 HR</td><td>Laki Laki</td><td>Poliklinik Bedah Onkology</td><td>Benign neoplasm of lower jaw bone</t


</tr><tr id="tr1485">

<td>1485</td><td>00152793</td><td>Muheri, Tn</td><td>Desa Somawangi, Kecamatan Mandiraja,

Banjarnegara</td>

<td>Islam</td><td>86 TH 1 BL 21 HR</td><td>Laki Laki</td><td>Poliklinik Bedah Onkology</td><td>Haemorrhage of anus and rectum</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>

</tr><tr id="tr1486">

<td>1486</td><td>00153404</td><td>Ratnasih,Ny</td><td>Desa Limbangan, Wanareja, Cilacap</t

d><td>Islam</td><td>41 TH 1 BL 14 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Malignant neoplasm of breast</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>

</tr><tr id="tr1487">

<td>1487</td><td>00151458</td><td>Narsiyah, Ny</td><td>Desa Sunyalangu, Kecamatan Karanglew



</tr><tr id="tr1488">

<td>1488</td><td>00151093</td><td>Lusyma, Ny</td><td>Desa Pandak, Kecamatan Sumpiuh, Bany


</tr><tr id="tr1489">


bupaten Ciamis</td><td>Islam</td><td>36 TH 10 BL 20 HR</td><td>Perempuan</td>


</tr><tr id="tr1490">

<td>1490</td><td>00151258</td><td>Musodah, Ny</td><td>Desa Talaga, Bantarkawung, Brebes</t


</tr><tr id="tr1491">

<td>1491</td><td>00142434</td><td>Supriyati, Ny</td><td>Desa Kutasari, Kecamatan Baturaden,



</tr><tr id="tr1492">

<td>1492</td><td>00142111</td><td>Chujaemah, Ny</td><td>Desa Muktisari, Kecamatan Kebumen, K



</tr><tr id="tr1493">


g</td><td>Islam</td><td>58 TH 6 BL 17 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>-</td>


</tr><tr id="tr1494">

<td>1494</td><td>00153574</td><td>Intan Nopiana,Ny</td><td>Desa Cibuyur, Kecamatan Moga, Pemala

ng</td><td>Islam</td><td>21 TH 2 BL 9 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Malignant neoplasm of breast</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>

</tr><tr id="tr1495">

<td>1495</td><td>00151332</td><td>Avi Kartika, Ny</td><td>Desa Larangan, Larangan, Brebes</td><td>Islam</td><td>48 TH 1 BL</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Malignant neoplasm of breast, unspec


</tr><tr id="tr1496">


bupaten Ciamis</td><td>Islam</td><td>61 TH 6 BL 10 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>Umum</td>

</tr><tr id="tr1497">

<td>1497</td><td>00153463</td><td>Chatim Susanto,Tn</td><td>Desa Bantarpanjang, Cimanggu, Cilaca

p</td><td>Islam</td><td>55 TH 10 BL</td><td>Laki Laki</td><td>Poliklinik Bedah Onkology</td><td>Haemorrhage of anus and rectum</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>

</tr><tr id="tr1498">


p</td><td>Islam</td><td>76 TH 5 HR</td><td>Laki Laki</td><td>Poliklinik Bedah Onkology</td><td>Malignant neoplasm of mandible</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>

</tr><tr id="tr1499">

<td>1499</td><td>00151283</td><td>Purwatiningsih,Ny</td><td>Desa Bantarpanjang, Cimanggu, Cilaca

p</td><td>Islam</td><td>48 TH 3 BL 20 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Malignant neoplasm of thyroid gland<


</tr><tr id="tr1500">




</tr><tr id="tr1501">

<td>1501</td><td>00150456</td><td>Sutimah, Ny</td><td>Desa Limbangan, Wanareja, Cilacap</t



</tr><tr id="tr1502">

<td>1502</td>

<td>00151857</td><td>Tri Chasanah, Ny</td><td>Desa Gumiwang, Kecamatan Purwanegara

, Banjarnegara</td><td>Islam</td><td>41 TH 3 BL 26 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Malignant neoplasm of breast, unspec


</tr><tr id="tr1503">



</tr><tr id="tr1504">

<td>1504</td><td>00151410</td><td>Suratmo, Tn</td><td>Desa Tayem Timur, Karangpucung, Cila

cap</td><td>Islam</td><td>60 TH 9 BL 25 HR</td><td>Laki Laki</td><td>Poliklinik Bedah Onkology</td><td>Malignant neoplasm of skin, unspecif


</tr><tr id="tr1505">


ur, Purwokerto</td><td>Islam</td><td>46 TH 1 BL 12 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Neoplasm of uncertain or unknown beh


</tr><tr id="tr1506">

<td>1506</td><td>00153624</td>

<td>Djoeharti,Ny</td><td>Kel.Purwokerto Lor, Kecamatan Purwok



</tr><tr id="tr1507">

<td>1507</td><td>00151714</td><td>Mamiatun, Ny</td><td>Desa Sidanegara, Kecamatan Kaligonda

ng, Purbalingga</td><td>Islam</td><td>39 TH 3 BL 13 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Malignant neoplasm of skin, unspecif


</tr><tr id="tr1508">

<td>1508</td><td>00153942</td><td>Tusliyah, Ny</td><td>Desa Wanakarsa, Kecamatan Wanadadi,

Banjarnegara</td><td>Islam</td><td>52 TH 9 BL 21 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Malignant neoplasm of thyroid gland<


</tr><tr id="tr1509">


balingga</td><td>Islam</td><td>56 TH 2 BL 16 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>

</tr><tr id="tr1510">

<td>1510</td><td>00151679</td><td>Enny Ragil Sari, Ny</td>

<td>Desa Dukuhwaluh, Kecamatan Kembaran, Banyumas</td>



</tr><tr id="tr1511">


ilacap</td><td>Islam</td><td>52 TH 1 BL 13 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Benign neoplasm of parotid gland</td

><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>Umum</td>

</tr><tr id="tr1512">

<td>1512</td><td>00151212</td><td>Sri Supriyati, Ny</td><td>Kelurahan Mertasinga, Kec. Cilacap U

tara, Cilacap</td><td>Islam</td><td>63 TH 10 BL 1 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Malignant neoplasm of mandible</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>

</tr><tr id="tr1513">


ebumen</td><td>Islam</td><td>56 TH 5 BL 4 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Malignant neoplasm of cervix uteri,


</tr><tr id="tr1514">

<td>1514</td><td>00152843</td><td>Sodikin, Tn</td><td>Desa Pakulaut, Margasari, Tegal</td>

<td>Islam</td><td>66 TH 3 BL 19 HR</td><td>Laki Laki</td><td>Poliklinik Bedah Onkology</td><td>Anaemia, unspecified</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>

</tr><tr id="tr1515">



</tr><tr id="tr1516">

<td>1516</td><td>00150792</td><td>Richayati, Ny</td><td>Desa Dukuhturi, Kecamatan Bumiayu, B

rebes</td><td>Islam</td><td>60 TH 9 BL 6 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Malignant neoplasm of thyroid gland<


</tr><tr id="tr1517">

<td>1517</td><td>00131636</td><td>Rusjati, Ny</td><td>Kelurahan Gunungsimping, Cilacap Ten

gah, Cilacap</td><td>Islam</td><td>67 TH 2 BL 2 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Malignant neoplasm of breast, unspec


</tr><tr id="tr1518">


bes</td><td>Islam</td><td>17 TH 8 BL 2 HR</td>

<td>Laki Laki</td><td>Poliklinik Bedah Onkology</td><td>Neoplasm of uncertain or unknown beh


</tr><tr id="tr1519">

<td>1519</td><td>00151662</td><td>Sar'an, Tn</td><td>Desa Pengarasan, Bantarkawung, Brebe

s</td><td>Islam</td><td>67 TH 9 BL 9 HR</td><td>Laki Laki</td><td>Poliklinik Bedah Onkology</td><td>Polycystic kidney, unspecified</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>

</tr><tr id="tr1520">

<td>1520</td><td>00151251</td><td>Nurul Fadilah, Ny</td><td>Desa Kutasari, Kecamatan Baturaden,



</tr><tr id="tr1521">




</tr><tr id="tr1522">


Tegal</td><td>Islam</td><td>48 TH 10 BL 28 HR</td><td>Laki Laki</td>


</tr><tr id="tr1523">

<td>1523</td><td>00151071</td><td>Maria Evelyn, Ny</td><td>Kel.Sidakaya, Cilacap Selatan, Cilac

ap</td><td>Khatolik</td><td>34 TH 3 BL 27 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Burkitt's tumour non-Hodgkin's lymph


</tr><tr id="tr1524">

<td>1524</td><td>00150577</td><td>Warsiti, Ny</td><td>Desa Karangkemiri, Kecamatan Karangl

ewas, Banyumas</td><td>Islam</td><td>53 TH 6 BL 7 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>

</tr><tr id="tr1525">

<td>1525</td><td>00110132</td><td>Eli Suswati,Ny</td><td>Desa Cinyawang, Kecamatan Patimuan,

Cilacap</td><td>Islam</td><td>33 TH 2 BL 17 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>Umum</td>

</tr><tr id="tr1526">


/td><td>Islam</td><td>33 TH 6 BL 2 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td>

<td>BPJS</td></tr>

<tr id="tr1527"><td>1527</td><td>00150359</td><td>Tri Titi Lestari, Ny</td><td>Kelurahan Teluk, Kecamatan Purwokert

o Selatan, Purwokerto</td><td>Islam</td><td>63 TH 18 HR</td><td>Perempuan</td><td>Poliklinik Syaraf</td><td>Stroke, not specified as haemorrhage


</tr><tr id="tr1528">

<td>1528</td><td>00150170</td><td>Emmy Saraswati, Ny</td><td>Desa Purwasari, Kecamatan Baturaden,

Banyumas</td><td>Islam</td><td>60 TH 28 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Malignant neoplasm of breast, unspec


</tr><tr id="tr1529">


Banyumas</td><td>Islam</td><td>37 TH 10 BL 29 HR</td><td>Laki Laki</td><td>Poliklinik Bedah Onkology</td><td>Neoplasm of uncertain or unknown beh


</tr><tr id="tr1530">

<td>1530</td><td>00151845</td><td>Nur Khasanah, Ny</td><td>Desa Serang, Cipari, Cilacap</td><td>Islam</td><td>37 TH 1 BL 10 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Tuberculosis of other organs</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>

</tr>

<tr id="tr1531"><td>1531</td><td>00153255</td><td>Nina Tri Utami,An</td><td>Desa Sindangwangi, Bantarkawung, Bre

bes</td><td>Islam</td><td>12 TH 3 BL 16 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Malignant neoplasm of skin, unspecif


</tr><tr id="tr1532">

<td>1532</td><td>00150427</td><td>Muhammad Nasrul Ulumudin, Sdr</td><td>Desa Pangandaran, Kecamatan Panganda

ran, Kabupaten Ciamis</td><td>Islam</td><td>16 TH 1 BL 29 HR</td><td>Laki Laki</td><td>Poliklinik Bedah Onkology</td><td>Undescended testicle, unspecified</t


</tr><tr id="tr1533">

<td>1533</td><td>00151109</td><td>Samirah, Ny</td><td>Kelurahan Sidanegara, Cilacap Tengah



</tr><tr id="tr1534">


td><td>Islam</td><td>50 TH 4 BL 10 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Haemorrhagic fever with renal syndro

me</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>Umum</td>

</tr>

<tr id="tr1535"><td>1535</td><td>00142902</td><td>Kaptingah, Ny</td><td>Desa Punggelan, Kecamatan Punggelan,



</tr><tr id="tr1536">


, Banyumas</td><td>Islam</td><td>35 TH 7 BL 6 HR</td><td>Perempuan</td><td>Poliklinik Syaraf</td><td>Intracranial space-occupying lesion<

/td><td>dr. Tutik Ermawati, Sp.S</td><td>Umum</td>

</tr><tr id="tr1537">


ol, Purbalingga</td><td>Islam</td><td>33 TH 7 BL 29 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Breast, unspecified</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>Umum</td>

</tr><tr id="tr1538">

<td>1538</td><td>00153041</td><td>Siti Riyanti, Ny</td><td>Kel. Purwokerto Kidul, Kecamatan Pur

wokerto Selatan, Purwokerto</td><td>Islam</td><td>32 TH 6 BL 25 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>

</tr><tr id="tr1539">

<td>1539</td>

<td>00153246</td><td>Nur Khasanah,Ny</td><td>Desa Sibrama, Kecamatan Kemranjen, B


</tr><tr id="tr1540">


lingga, Purbalingga</td><td>Kristen</td><td>28 TH 9 BL 19 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Breast, unspecified</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>Umum</td>

</tr><tr id="tr1541">

<td>1541</td><td>00153933</td><td>Ade Pratiwi, Nn</td><td>Kel.Pasirmuncang, Kecamatan Purwoker

to Barat, Purwokerto</td><td>Islam</td><td>23 TH 9 BL 6 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Breast, unspecified</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>Umum</td>

</tr><tr id="tr1542">


Kabupaten Ciamis</td><td>Islam</td><td>66 TH 5 BL 5 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>Umum</td>

</tr><tr id="tr1543">

<td>1543</td><td>00142013</td><td>Masusanto, Tn</td><td>Desa Brecong, Kecamatan Buluspesantr

en, Kebumen</td>

<td>Islam</td><td>36 TH 4 BL 14 HR</td><td>Laki Laki</td><td>Poliklinik Bedah Onkology</td><td>Benign neoplasm of parotid gland</td


</tr><tr id="tr1544">

<td>1544</td><td>00154115</td><td>Warsiti,Ny</td><td>Desa Karangkemiri, Kecamatan Jerukle

gi, Cilacap</td><td>Islam</td><td>42 TH 6 BL 4 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Neoplasm of uncertain or unknown beh


</tr><tr id="tr1545">




</tr><tr id="tr1546">

<td>1546</td><td>00154116</td><td>Karmini,Ny</td><td>Desa Ledug, Kecamatan Kembaran, Bany

umas</td><td>Islam</td><td>50 TH 2 BL 1 HR</td><td>Perempuan</td><td>Poliklinik Syaraf</td><td>Low back pain</td><td>dr. Tutik Ermawati, Sp.S</td><td>BPJS</td>

</tr><tr id="tr1547">

<td>1547</td><td>00154117</td><td>Rinda Permata Sari,Ny</td><td>Desa Candinegara, Kecamatan Pekuncen

, Banyumas</td><td>Islam</td>

<td>29 TH 6 BL 15 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Breast, unspecified</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>

</tr><tr id="tr1548">

<td>1548</td><td>00152480</td><td>Wartini, Ny</td><td>Kel.Pasir Kidul, Kecamatan Purwokert

o Barat, Purwokerto</td><td>Islam</td><td>61 TH 3 BL 21 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>

</tr><tr id="tr1549">

<td>1549</td><td>00143388</td><td>Siti Solikhatun, Ny</td><td>Desa Jatisari, Kedungreja, Cilacap</

td><td>Islam</td><td>53 TH 9 BL 24 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Malignant neoplasm of head, face and


</tr><tr id="tr1550">

<td>1550</td><td>00142399</td><td>Badriah, Ny</td><td>Desa Mangunjaya, Kecamatan Padaheran



</tr><tr id="tr1551">

<td>1551</td><td>00150270</td><td>Suminah, Ny</td><td>Desa Cipete, Kecamatan Cilongok, Ban

yumas</td><td>Islam</td><td>59 TH 7 BL 28 HR</td><td>Perempuan</td>

<td>Poliklinik Syaraf</td><td>Stroke, not specified as haemorrhage


</tr><tr id="tr1552">



</tr><tr id="tr1553">



</tr><tr id="tr1554">


lang, Pemalang</td><td>Islam</td><td>32 TH 4 BL 5 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Anaemia, unspecified</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>

</tr><tr id="tr1555">

<td>1555</td><td>00142241</td><td>Caryuni, Ny</td><td>Desa Sindangwangi, Bantarkawung, Bre

bes</td><td>Islam</td><td>39 TH 23 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Malignant neoplasm of breast, unspec

ified</td>


</tr><tr id="tr1556">

<td>1556</td><td>00151837</td><td>Eni Sugiarti, Ny</td><td>Kel.Karangklesem, Kecamatan Purwoker

to Selatan, Purwokerto</td><td>Islam</td><td>44 TH 3 BL 29 HR</td><td>Perempuan</td><td>Poliklinik Syaraf</td><td>Neuropathic arthropathy</td><td>dr. Tutik Ermawati, Sp.S</td><td>BPJS</td>

</tr><tr id="tr1557">



</tr><tr id="tr1558">

<td>1558</td><td>00150078</td><td>Sere, Ny</td><td>Desa Cibadak, Kecamatan Banjarsari,


</tr><tr id="tr1559">

<td>1559</td><td>00154118</td><td>Wasiyati,Ny</td><td>Desa Ciporos, Karangpucung, Cilacap<

/td><td>Islam</td><td>52 TH 7 BL 6 HR</td><td>Perempuan</td><td>Poliklinik Syaraf</td><td>Polymyalgia rheumatica</td><td>dr. Tutik Ermawati, Sp.S</td><td>BPJS</td>

</tr><tr id="tr1560">

<td>1560</td><td>00153815</td><td>Teguh Wahyudiono,Tn</td><td>Desa Langgongsari, Kecamatan Cilongo

k, Banyumas</td><td>Islam</td><td>40 TH 2 BL 23 HR</td><td>Laki Laki</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>Umum</td>

</tr><tr id="tr1561">


anyumas</td><td>Islam</td><td>48 TH 1 BL 13 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Malignant neoplasm of breast</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>

</tr><tr id="tr1562">


erto Timur, Purwokerto</td><td>Islam</td><td>50 TH 10 BL 21 HR</td><td>Perempuan</td><td>Poliklinik Syaraf</td><td>Neuropathic arthropathy</td><td>dr. Tutik Ermawati, Sp.S</td><td>BPJS</td>

</tr><tr id="tr1563">


ap</td><td>Islam</td><td>37 TH 2 BL 30 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Haemorrhage of anus and rectum</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>

</tr><tr id="tr1564">

<td>1564</td><td>00100180</td><td>Supiyah, Ny</td><td>Desa Gandrungmangu, Candrungmangu, C



</tr><tr id="tr1565">

<td>1565</td><td>00143167</td><td>Sutrisno,Tn</td><td>Desa Pananjung, Kecamatan Pangandara

n, Kabupaten Ciamis</td><td>Islam</td><td>51 TH 8 BL 28 HR</td><td>Laki Laki</td><td>Poliklinik Bedah Onkology</td><td>Unilateral or unspecified inguinal h


</tr><tr id="tr1566">

<td>1566</td><td>00142380</td><td>Tawen, Ny</td><td>Desa Dayeuhluhur, Dayeuhluhur, Cilac

ap</td><td>Islam</td><td>51 TH 4 BL 5 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Burkitt's tumour non-Hodgkin's lymph


</tr><tr id="tr1567">



</tr><tr id="tr1568">

<td>1568</td><td>00151643</td><td>Sumiatun, Ny</td><td>Desa Adisana, Kecamatan Kebasen, Ban

yumas</td>



</tr><tr id="tr1569">


><td>Islam</td><td>39 TH 8 BL 1 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Neoplasm of uncertain or unknown beh


</tr><tr id="tr1570">



</tr><tr id="tr1571">



</tr><tr id="tr1572">


longan Utara, Pekalongan</td><td>Islam</td><td>52 TH 5 BL 10 HR</td>


</tr><tr id="tr1573">

<td>1573</td><td>00141600</td><td>Daroli, Ny</td><td>Desa Widuri, Kecamatan Pemalang, Pem



</tr><tr id="tr1574">




</tr><tr id="tr1575">

<td>1575</td><td>00142741</td><td>Danik Sri Sudarti, Ny</td><td>Kel. Wonosobo, Kecamatan Wonosobo,



</tr><tr id="tr1576">

<td>1576</td><td>00152556</td><td>Linda Anayanti, Ny</td><td>Kelurahan Bancarkembar, Kecamatan Pu

rwokerto Utara, Purwokerto</td><td>Islam</td><td>71 TH 1 BL 25 HR</td><td>Perempuan</td>

<td>Poliklinik Syaraf</td><td>Low back pain</td><td>dr. Tutik Ermawati, Sp.S</td><td>BPJS</td>

</tr><tr id="tr1577">


Banyumas</td><td>Islam</td><td>47 TH 5 BL 13 HR</td><td>Perempuan</td><td>Poliklinik Syaraf</td><td>Headache</td><td>dr. Tutik Ermawati, Sp.S</td><td>BPJS</td>

</tr><tr id="tr1578">

<td>1578</td><td>00151386</td><td>Cut Baetiningsih, Ny</td><td>Desa Ledug, Kecamatan Kembaran, Bany

umas</td><td>Islam</td><td>50 TH 9 BL 22 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Tuberculosis of other organs</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>

</tr><tr id="tr1579">

<td>1579</td><td>00141100</td><td>Salmah, Ny</td><td>Desa Padamulya, Kecamatan Cipunagara

, Kabupaten Subang</td><td>Islam</td><td>47 TH 6 BL 6 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>Umum</td>

</tr><tr id="tr1580">

<td>1580</td><td>00142880</td><td>Sulastri, Ny</td><td>Kel. Pabuaran, Kecamatan Purwokerto

Utara, Purwokerto</td><td>Islam</td><td>64 TH 7 BL 10 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Malignant neoplasm of breast, unspec


<td>BPJS</td></tr>

<tr id="tr1581"><td>1581</td><td>00152102</td><td>Nana, Tn</td><td>Desa Kertaharja, Kecamatan Cijeungji

ng, Kabupaten Ciamis</td><td>Islam</td><td>36 TH 6 BL</td><td>Laki Laki</td><td>Poliklinik Bedah Onkology</td><td>Burkitt's tumour non-Hodgkin's lymph


</tr><tr id="tr1582">

<td>1582</td><td>00154119</td><td>Yayah Uripah,Ny</td><td>Kel.Karangwangkal, Kecamatan Purwoke

rto Utara, Purwokerto</td><td>Islam</td><td>59 TH 3 BL 13 HR</td><td>Perempuan</td><td>Poliklinik Syaraf</td><td>-</td><td>dr. Tutik Ermawati, Sp.S</td><td>Umum</td>

</tr><tr id="tr1583">



</tr><tr id="tr1584">



</tr><tr id="tr1585">

<td>1585</td><td>00141603</td><td>Lasmini, Ny</td><td>Desa Somagede, Kecamatan Somagede, B



</tr><tr id="tr1586">

<td>1586</td><td>00152693</td><td>Rajani, Tn</td><td>Desa Klegen, Kecamatan Comal, Pemala

ng</td><td>Islam</td><td>60 TH 2 BL 6 HR</td><td>Laki Laki</td><td>Poliklinik Bedah Onkology</td><td>Anaemia, unspecified</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>

</tr><tr id="tr1587">

<td>1587</td><td>00130070</td><td>Sumini, Ny</td><td>Kelurahan Sidanegara, Cilacap Tengah


</tr><tr id="tr1588">

<td>1588</td><td>00143359</td><td>Bariyah, Ny</td><td>Desa Cipete, Kecamatan Cilongok, Ban



</tr><tr id="tr1589">

<td>1589</td><td>00141967</td>

<td>Kainah, Ny</td><td>Desa Karangnangka, Kecamatan Bukatej


</tr><tr id="tr1590">


rebes</td><td>Islam</td><td>2 TH 23 HR</td><td>Laki Laki</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>Umum</td>

</tr><tr id="tr1591">


ang</td><td>Islam</td><td>43 TH 11 BL 15 HR</td><td>Laki Laki</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>

</tr><tr id="tr1592">

<td>1592</td><td>00152163</td><td>Kushartini, Ny</td><td>Kel.Tegalrejo, Cilacap Selatan, Cila



</tr><tr id="tr1593">

<td>1593</td><td>00152537</td><td>Painem, Ny</td><td>Desa Mergosari, Kecamatan Leksono, W

onosobo</td>


</tr><tr id="tr1594">



</tr><tr id="tr1595">



</tr><tr id="tr1596">

<td>1596</td><td>00152505</td><td>Da'ani, Ny</td><td>Desa Pangkah, Pangkah, Tegal</td><td>Islam</td><td>52 TH 7 BL 11 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>

</tr><tr id="tr1597">


ang</td><td>Islam</td><td>71 TH 4 BL 2 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>-</td>


</tr><tr id="tr1598">



</tr><tr id="tr1599">

<td>1599</td><td>00141401</td><td>Alis Sriyani, Ny</td><td>Desa Kracak, Kecamatan Ajibarang, Ba


</tr><tr id="tr1600">

<td>1600</td><td>00142858</td><td>Satam, Tn</td><td>Desa Doplang, Kecamatan Adipala, Cil


</tr><tr id="tr1601">

<td>1601</td><td>00152612</td><td>Roasih, Ny</td><td>Desa Meles, Kecamatan Adimulyo, Kebu

men</td><td>Islam</td><td>53 TH 24 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>

</tr><tr id="tr1602">


Timur, Purwokerto</td><td>Islam</td><td>47 TH 7 BL 11 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>

</tr><tr id="tr1603">


nyumas</td><td>Khatolik</td><td>82 TH 6 BL 14 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>

</tr><tr id="tr1604">

<td>1604</td><td>00141106</td><td>Enah Sukaenah, Ny</td><td>Desa Mekarsari, Kecamatan Banjar, Ka


</tr><tr id="tr1605">

<td>1605</td><td>00151532</td><td>Feby Lestari Supriyono,Ss,Ny</td><td>Desa Kalibagor, Kecamatan Kalibagor,

Banyumas</td><td>Islam</td><td>34 TH 2 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>

</tr><tr id="tr1606">

<td>1606</td><td>00151022</td><td>Wasini Sugito, Ny</td><td>Desa Ketenger, Kecamatan Baturaden,


</tr><tr id="tr1607">



</tr><tr id="tr1608">

<td>1608</td><td>00153736</td><td>Kastini, Ny</td><td>Desa Parakan, Kecamatan Purwanegara,


</tr><tr id="tr1609">

<td>1609</td><td>00152701</td><td>Hermawan Dwi Pratama, Sdr</td><td>Desa Jepara Wetan, Kecamatan Binangu

n, Cilacap</td><td>Islam</td><td>15 TH 9 BL</td><td>Laki Laki</td><td>Poliklinik Syaraf</td><td>-</td><td>dr. Tutik Ermawati, Sp.S</td><td>Umum</td>

</tr><tr id="tr1610">

<td>1610</td><td>00152341</td><td>Katam,Tn</td><td>Desa Kemawi, Kecamatan Somagede, Ban

yumas</td><td>Islam</td><td>51 TH 9 BL 23 HR</td><td>Laki Laki</td>


</tr><tr id="tr1611">

<td>1611</td><td>00153288</td><td>Ratiyah, Ny</td><td>Desa Gambarsari, Kecamatan Kebasen,

Banyumas</td><td>Islam</td><td>52 TH 1 BL 13 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Anaemia, unspecified</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>

</tr><tr id="tr1612">

<td>1612</td><td>00142127</td><td>Suciati, Ny</td><td>Desa Adipala, Kecamatan Adipala, Cil

acap</td><td>Islam</td><td>59 TH 2 BL 30 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>Umum</td>

</tr><tr id="tr1613">



</tr><tr id="tr1614">

<td>1614</td><td>00153135</td><td>Paiman,Tn</td><td>Desa Bantar, Wanareja, Cilacap</td><td>Islam</td><td>57 TH 11 BL 18 HR</td><td>Laki Laki</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>

</tr>

<tr id="tr1615"><td>1615</td><td>00154121</td><td>Dariyah, Ny</td><td>Desa Bantar, Wanareja, Cilacap</td><td>Islam</td><td>55 TH 5 BL 1 HR</td><td>Perempuan</td><td>Poliklinik Umum</td><td>-</td><td>dr. Wibisono Nugraha</td><td>Umum</td>

</tr><tr id="tr1616">

<td>1616</td><td>00154123</td><td>Suparno, Tn</td><td>Kelurahan Teluk, Kecamatan Purwokert

o Selatan, Purwokerto</td><td>Islam</td><td>44 TH 6 BL 19 HR</td><td>Laki Laki</td><td>Poliklinik Umum</td><td>-</td><td>dr. Wibisono Nugraha</td><td>Umum</td>

</tr><tr id="tr1617">

<td>1617</td><td>00141843</td><td>Gatot Suroyo, Tn</td><td>Kelurahan Teluk, Kecamatan Purwokert


</tr><tr id="tr1618">

<td>1618</td><td>00154120</td><td>Sinta Indriani, Ny</td><td>Kel. Arcawinangun, Kecamatan Purwoke

rto Timur, Purwokerto</td><td>Islam</td><td>48 TH 5 BL 30 HR</td><td>Perempuan</td><td>Poliklinik Syaraf</td><td>-</td><td>dr. Tutik Ermawati, Sp.S</td><td>Umum</td>

</tr><tr id="tr1619">

<td>1619</td><td>00150343</td><td>Nisem, Ny</td><td>Desa Susukan, Kecamatan Susukan, Ban

jarnegara</td><td>Islam</td><td>55 TH 7 BL 11 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Carcinoma in situ of rectum</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>

</tr><tr id="tr1620">


abupaten Ciamis</td><td>Islam</td><td>51 TH 4 BL 6 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Malignant neoplasm of breast, unspec


</tr><tr id="tr1621">

<td>1621</td><td>00151429</td><td>Harjo Warsito,Tn</td><td>Desa Banjareja, Kecamatan Nusawungu,

Cilacap</td><td>Islam</td><td>82 TH 1 BL 21 HR</td><td>Laki Laki</td><td>Poliklinik Bedah Onkology</td><td>Carcinoma in situ of rectum</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>

</tr><tr id="tr1622">

<td>1622</td><td>00142914</td><td>Soetarminah, Ny</td><td>Kel.Purwokerto Lor, Kecamatan Purwok

erto Timur, Purwokerto</td><td>Islam</td><td>70 TH 7 BL 3 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Neoplasm of uncertain or unknown beh

avior of trachea, bronchus and lung</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>

</tr><tr id="tr1623">

<td>1623</td><td>00151895</td><td>Cuk Wimbo Harsono, Tn</td><td>Desa Cijayanti, Kecamatan Babakan Ma

dang, Kabupaten Bogor</td><td>Islam</td>

<td>35 TH 5 BL 18 HR</td><td>Laki Laki</td><td>Poliklinik Bedah Onkology</td><td>Carcinoma in situ of rectum</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>

</tr><tr id="tr1624">

<td>1624</td><td>00152009</td><td>Siti Fanisiska, Ny</td><td>Desa Kedungbenda, Kecamatan Nusawung

u, Cilacap</td><td>Islam</td><td>29 TH 6 BL 5 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Secondary malignant neoplasm of ovar


</tr><tr id="tr1625">

<td>1625</td><td>00142137</td><td>Artini, Ny</td><td>Desa Gunungtelu, Karangpucung, Cilac



</tr><tr id="tr1626">


Banyumas</td><td>Islam</td><td>72 TH 1 BL 19 HR</td><td>Laki Laki</td><td>Poliklinik Bedah Onkology</td><td>Unilateral or unspecified inguinal h


</tr><tr id="tr1627">

<td>1627</td><td>00131028</td><td>Sukinah, Ny</td><td>Desa Jambusari, Kecamatan Jeruklegi,

Cilacap</td><td>Islam</td><td>46 TH 2 BL 11 HR</td>



</tr><tr id="tr1628">


lacap</td><td>Islam</td><td>48 TH 6 BL 12 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>

</tr><tr id="tr1629">



</tr><tr id="tr1630">

<td>1630</td><td>00142829</td><td>Opsah, Ny</td><td>Desa Panisihan, Kecamatan Maos, Cila

cap</td><td>Islam</td><td>68 TH 1 BL 7 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Secondary malignant neoplasm of ovar


</tr><tr id="tr1631">


d><td>Islam</td><td>53 TH 7 BL 30 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td>


</tr><tr id="tr1632">

<td>1632</td><td>00153080</td><td>Dedeh,Ny</td><td>Desa Cintaratu, Kecamatan Parigi, Ka

bupaten Ciamis</td><td>Islam</td><td>43 TH 6 BL 25 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Anaemia, unspecified</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>

</tr><tr id="tr1633">


lingga</td><td>Islam</td><td>32 TH 7 BL 27 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Malignant neoplasm of breast, unspec


</tr><tr id="tr1634">


Banyumas</td><td>Islam</td><td>46 TH 8 BL 19 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Unspecified appendicitis</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>

</tr><tr id="tr1635">


o Selatan, Purwokerto</td><td>Islam</td><td>49 TH 3 BL</td><td>Perempuan</td><td>Poliklinik Syaraf</td><td>Vertigo of central origin</td><td>dr. Tutik Ermawati, Sp.S</td><td>BPJS</td>

</tr><tr id="tr1636">

<td>1636</td><td>00153431</td><td>Turni, Ny</td><td>Desa Kuripan, Kecamatan Watumalang,


avior of adrenal gland</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>Umum</td>

</tr><tr id="tr1637">

<td>1637</td><td>00154129</td><td>Raspini, Ny</td><td>Desa Ajibarang Kulon, Kecamatan Ajib

arang, Banyumas</td><td>Islam</td><td>51 TH 3 BL 28 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Malignant neoplasm of breast, unspec


</tr><tr id="tr1638">

<td>1638</td><td>00131016</td><td>Riswo, Tn</td><td>Desa Salem, Salem, Brebes</td><td>Islam</td><td>45 TH 1 BL 16 HR</td><td>Laki Laki</td><td>Poliklinik Bedah Onkology</td><td>Neoplasm of uncertain or unknown beh

avior of bone and articular cartilage</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>

</tr><tr id="tr1639">



</tr><tr id="tr1640">

<td>1640</td><td>00152708</td><td>Subeni, Tn</td><td>Desa Pucung Kidul, Kecamatan Kroya,

Cilacap</td><td>Islam</td><td>57 TH 2 BL 16 HR</td><td>Laki Laki</td><td>Poliklinik Bedah Onkology</td><td>Malignant neoplasm of thorax</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>

</tr><tr id="tr1641">

<td>1641</td><td>00152157</td><td>Toyinah, Ny</td><td>Desa Jeruklegi Kulon, Kecamatan Jeru



</tr><tr id="tr1642">


Banyumas</td><td>Islam</td><td>61 TH 1 BL 16 HR</td><td>Perempuan</td><td>Poliklinik Syaraf</td><td>Secondary parkinsonism, unspecified<


</tr><tr id="tr1643">

<td>1643</td><td>00152389</td><td>Hasan Suwarno, Tn</td><td>Desa Kemutug Kidul, Kecamatan Batura

den, Banyumas</td><td>Islam</td><td>77 TH 2 BL 19 HR</td><td>Laki Laki</td><td>Poliklinik Bedah Onkology</td><td>Carcinoma in situ of rectum</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>

</tr><tr id="tr1644">

<td>1644</td><td>00153831</td>

<td>Baryati,Ny</td><td>Kel.Purwanegara, Kecamatan Purwokert



</tr><tr id="tr1645">

<td>1645</td><td>00153719</td><td>Siti Khoeriyah, Ny</td><td>Desa Bangunreja, Kedungreja, Cilacap

</td><td>Islam</td><td>45 TH 2 BL 1 HR</td><td>Perempuan</td><td>Poliklinik Obsgyn</td><td>Secondary malignant neoplasm of ovar

y</td><td>dr. Soegeng Djiwarahga, Sp.OG</td><td>BPJS</td>

</tr><tr id="tr1646">


egal</td><td>Islam</td><td>72 TH 3 BL 21 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>

</tr><tr id="tr1647">


ol, Purbalingga</td><td>Islam</td><td>30 TH 5 BL 5 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Anaemia, unspecified</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>

</tr><tr id="tr1648">

<td>1648</td><td>00153770</td><td>Juju,Ny</td><td>Desa Batukaras, Kecamatan Cijulang,



</tr><tr id="tr1649">




</tr><tr id="tr1650">



</tr><tr id="tr1651">


okerto Timur, Purwokerto</td><td>Islam</td><td>47 TH 8 BL 4 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>

</tr><tr id="tr1652">

<td>1652</td><td>00154130</td><td>Desi Intan Permani, Ny</td><td>Desa Parigi, Kecamatan Parigi, Kabup

aten Ciamis</td><td>Islam</td>

<td>25 TH 1 BL 24 HR</td><td>Perempuan</td><td>Poliklinik Obsgyn</td><td>Ovarian pregnancy</td><td>dr. Soegeng Djiwarahga, Sp.OG</td><td>Umum</td>

</tr><tr id="tr1653">


ara, Banjarnegara</td><td>Islam</td><td>42 TH 3 BL 4 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Secondary malignant neoplasm of ovar


</tr><tr id="tr1654">

<td>1654</td><td>00153260</td><td>Dursiyah, Ny</td><td>Desa Pangawaren, Karangpucung, Cilac

ap</td><td>Islam</td><td>56 TH 5 BL 30 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Anaemia, unspecified</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>

</tr><tr id="tr1655">


as, Banyumas</td><td>Islam</td><td>62 TH 1 BL 16 HR</td><td>Laki Laki</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>

</tr><tr id="tr1656">


d><td>Islam</td><td>59 TH 9 BL 11 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td>

<td>Breast, unspecified</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>Umum</td>

</tr><tr id="tr1657">




</tr><tr id="tr1658">

<td>1658</td><td>00150673</td><td>Eha Julaeha, Ny</td><td>Desa Bayasari, Kecamatan Jatinagara,


</tr><tr id="tr1659">

<td>1659</td><td>00152999</td><td>Jaenah, Ny</td><td>Desa Panimbang, Cimanggu, Cilacap</t

d><td>Islam</td><td>55 TH 5 BL 9 HR</td><td>Perempuan</td><td>Poliklinik Obsgyn</td><td>Leiomyoma of uterus, unspecified</td


</tr><tr id="tr1660">

<td>1660</td><td>00153900</td><td>Supardi,Tn</td><td>Desa Puloerang, Kecamatan Lakbok, Ka

bupaten Ciamis</td><td>Islam</td><td>62 TH 3 BL 12 HR</td><td>Laki Laki</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td>

<td>Umum</td></tr>

<tr id="tr1661"><td>1661</td><td>00153882</td><td>Rangga Prajawan Yanuwardana, Sdr</td


Kendal</td><td>Islam</td><td>29 TH 2 BL 2 HR</td><td>Laki Laki</td><td>Poliklinik Bedah Onkology</td><td>Tuberculosis of other organs</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>

</tr><tr id="tr1662">


umen</td><td>Islam</td><td>44 TH 1 BL 12 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Malignant neoplasm of breast, unspec


</tr><tr id="tr1663">

<td>1663</td><td>00142715</td><td>Tarminah, Ny</td><td>Desa Ngombol, Kecamatan Ngombol, Pur

worejo</td><td>Islam</td><td>55 TH 5 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Malignant neoplasm of breast, unspec


</tr><tr id="tr1664">

<td>1664</td><td>00150184</td><td>Chomyati, Ny</td><td>Desa Pahonjean, Majenang, Cilacap</t

d><td>Islam</td><td>46 TH 9 BL</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Malignant neoplasm of breast, unspec


<td>BPJS</td></tr>

<tr id="tr1665"><td>1665</td><td>00151470</td><td>Muslihudin,Tn</td><td>Desa Rakit, Kecamatan Rakit, Banjarn


</tr><tr id="tr1666">

<td>1666</td><td>00142327</td><td>Jubaedah, Ny</td><td>Desa Sidaharja, Kecamatan Pamarican,



</tr><tr id="tr1667">




</tr><tr id="tr1668">


anjarnegara</td><td>Islam</td><td>34 TH 5 BL 20 HR</td><td>Laki Laki</td><td>Poliklinik Penyakit Dalam</td><td>-</td><td>dr. Tiara, Sp.PD</td><td>BPJS</td>

</tr>

<tr id="tr1669"><td>1669</td><td>00153893</td><td>Sulisno, Tn</td><td>Desa Ciporos, Karangpucung, Cilacap<

/td><td>Islam</td><td>66 TH 4 BL 11 HR</td><td>Laki Laki</td><td>Poliklinik Penyakit Dalam</td><td>Neoplasm of uncertain or unknown beh

avior of urethra</td><td>dr. Tiara, Sp.PD</td><td>BPJS</td>

</tr><tr id="tr1670">


Banyumas</td><td>Islam</td><td>22 TH 7 BL 30 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Breast, unspecified</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>Umum</td>

</tr><tr id="tr1671">

<td>1671</td><td>00151106</td><td>Saminem, Ny</td><td>Desa Kemiriombo, Kecamatan Kaliwiro,


</tr><tr id="tr1672">


, Kabupaten Ciamis</td><td>Islam</td><td>43 TH 8 BL 5 HR</td><td>Laki Laki</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>Umum</td>

</tr><tr id="tr1673">

<td>1673</td><td>00152327</td>

<td>Sarjo,Tn</td><td>Desa Bantarpanjang, Cimanggu, Cilaca

p</td><td>Islam</td><td>53 TH 1 HR</td><td>Laki Laki</td><td>Poliklinik Syaraf</td><td>Stroke, not specified as haemorrhage


</tr><tr id="tr1674">

<td>1674</td><td>00152851</td><td>Waedah, Ny</td><td>Desa Keboledan, Wanasari, Brebes</td


</tr><tr id="tr1675">

<td>1675</td><td>00140905</td><td>Sarti, Ny</td><td>Desa Karangkemojing, Gumelar, Banyum

as</td><td>Islam</td><td>39 TH 9 BL 24 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>

</tr><tr id="tr1676">



</tr><tr id="tr1677">

<td>1677</td><td>00120361</td><td>Nanik Trilistyaningsih, Ny</td><td>Desa Tritih Wetan, Kecamatan Jerukle

gi, Cilacap</td>



</tr><tr id="tr1678">




</tr><tr id="tr1679">

<td>1679</td><td>00151604</td><td>Sri Hartuti,Ny</td><td>Kelurahan Teluk, Kecamatan Purwokert


</tr><tr id="tr1680">

<td>1680</td><td>00154132</td><td>Retno Wati Aji M, Ny</td><td>Kel.Berkoh, Kecamatan Purwokerto Sel

atan, Purwokerto</td><td>Islam</td><td>58 TH 11 BL</td><td>Perempuan</td><td>Poliklinik Syaraf</td><td>Mononeuropathy, unspecified</td><td>dr. Tutik Ermawati, Sp.S</td><td>BPJS</td>

</tr><tr id="tr1681">


nyumas</td><td>Islam</td><td>66 TH 9 BL 19 HR</td>


</tr><tr id="tr1682">



</tr><tr id="tr1683">

<td>1683</td><td>00130900</td><td>Turyati, Ny</td><td>Desa Pakujati, Kecamatan Paguyangan,



</tr><tr id="tr1684">



</tr><tr id="tr1685">

<td>1685</td><td>00154133</td><td>Dani Nugraha, Tn</td><td>Desa Ciliang, Kecamatan Parigi, Kabu

paten Ciamis</td><td>Islam</td><td>26 TH 26 HR</td><td>Laki Laki</td><td>Poliklinik THT</td><td>-</td>

<td>dr.Bagus Condro Prasetyo, Sp.THT-KL</td>

<td>Umum</td></tr>

<tr id="tr1686"><td>1686</td><td>00143165</td><td>Iis Minarsih, Ny</td><td>Desa Sirnajaya, Kecamatan Rajadesa,


</tr><tr id="tr1687">



</tr><tr id="tr1688">

<td>1688</td><td>00153202</td><td>Parmini, Ny</td><td>Desa Pamijen, Kecamatan Sokaraja, Ba

nyumas</td><td>Islam</td><td>57 TH 4 BL 23 HR</td><td>Perempuan</td><td>Poliklinik Syaraf</td><td>Spondylopathy, unspecified</td><td>dr. Tutik Ermawati, Sp.S</td><td>BPJS</td>

</tr><tr id="tr1689">



</tr>

<tr id="tr1690"><td>1690</td><td>00153428</td><td>Rudi Hartono, Tn</td><td>Desa Negarajati, Cimanggu, Cilacap</

td><td>Islam</td><td>63 TH 1 BL 8 HR</td><td>Laki Laki</td><td>Poliklinik Syaraf</td><td>Headache</td><td>dr. Tutik Ermawati, Sp.S</td><td>BPJS</td>

</tr><tr id="tr1691">


, Banyumas</td><td>Islam</td><td>56 TH 5 BL 18 HR</td><td>Perempuan</td><td>Poliklinik Syaraf</td><td>Arthrosis, unspecified</td><td>dr. Tutik Ermawati, Sp.S</td><td>BPJS</td>

</tr><tr id="tr1692">

<td>1692</td><td>00142455</td><td>Dwi Arya Ravi Nur Pitoyo, An</td><td>Desa Karangnanas, Kecamatan Sokaraja


</tr><tr id="tr1693">


men</td><td>Islam</td><td>23 TH 5 BL 6 HR</td><td>Laki Laki</td><td>Poliklinik Syaraf</td><td>Paraplegia, unspecified</td><td>dr. Tutik Ermawati, Sp.S</td><td>BPJS</td>

</tr><tr id="tr1694">

<td>1694</td><td>00153849</td><td>Suwanto, Tn</td>

<td>Desa Parungkamal, Lumbir, Banyumas</td>

<td>Islam</td><td>37 TH 8 BL 23 HR</td><td>Laki Laki</td><td>Poliklinik Bedah Onkology</td><td>Neoplasm of uncertain or unknown beh


</tr><tr id="tr1695">




</tr><tr id="tr1696">


anjarnegara</td><td>Islam</td><td>35 TH 11 BL 9 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>

</tr><tr id="tr1697">

<td>1697</td><td>00154134</td><td>Rudi Irawan, Sdr</td><td>Kel.Karangklesem, Kecamatan Purwoker

to Selatan, Purwokerto</td><td>Khatolik</td><td>26 TH 5 BL 10 HR</td><td>Laki Laki</td><td>Poliklinik Umum</td><td>-</td><td>dr. Wandito Gayuh Utomo</td><td>Umum</td>

</tr><tr id="tr1698">


okerto Selatan, Purwokerto</td>

<td>Kristen</td><td>64 TH 5 BL 19 HR</td><td>Perempuan</td><td>Poliklinik Syaraf</td><td>-</td><td>dr. Tutik Ermawati, Sp.S</td><td>BPJS</td>

</tr><tr id="tr1699">

<td>1699</td><td>00141142</td><td>Prupc Hellraiser Gallant Putra Indri

, An</td><td>Kel.Purwokerto Lor, Kecamatan Purwok

erto Timur, Purwokerto</td><td>Islam</td><td>13 TH 9 BL 24 HR</td><td>Laki Laki</td><td>Poliklinik Bedah Onkology</td><td>Burkitt's tumour non-Hodgkin's lymph


</tr><tr id="tr1700">

<td>1700</td><td>00142639</td><td>Moedji Rahajoe, Ny</td><td>Desa Sidamulya, Sidareja, Cilacap</t

d><td>Islam</td><td>76 TH 19 HR</td><td>Perempuan</td><td>Poliklinik Syaraf</td><td>-</td><td>dr. Tutik Ermawati, Sp.S</td><td>BPJS</td>

</tr><tr id="tr1701">

<td>1701</td><td>00153971</td><td>Mulastuti, Ny</td><td>Desa Gumelar, Gumelar, Banyumas</td><td>Islam</td><td>58 TH 8 BL 25 HR</td><td>Perempuan</td><td>Poliklinik Syaraf</td><td>-</td><td>dr. Tutik Ermawati, Sp.S</td><td>BPJS</td>

</tr><tr id="tr1702">


d><td>Islam</td><td>51 TH 4 BL 27 HR</td><td>Perempuan</td>



</tr><tr id="tr1703">



</tr><tr id="tr1704">



</tr><tr id="tr1705">




</tr><tr id="tr1706">

<td>1706</td><td>00154135</td><td>Sri Murtini, Ny</td><td>Desa Karangreja, Kecamatan Maos, Cil

acap</td><td>Islam</td><td>65 TH 1 BL 21 HR</td><td>Perempuan</td><td>Poliklinik Syaraf</td><td>-</td>


</tr><tr id="tr1707">



</tr><tr id="tr1708">

<td>1708</td><td>00153663</td><td>Purwati, Ny</td><td>Kel. Donan, Cilacap Tengah, Cilacap<

/td><td>Islam</td><td>43 TH 3 BL 28 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Malignant neoplasm of thyroid gland<


</tr><tr id="tr1709">



</tr><tr id="tr1710">



</tr>

<tr id="tr1711"><td>1711</td><td>00150109</td><td>Soedino Bradja, Tn</td><td>Kel.Karangsentul, Kecamatan Padamara

, Purbalingga</td><td>Islam</td><td>71 TH 1 BL 8 HR</td><td>Laki Laki</td><td>Poliklinik Syaraf</td><td>Neuropathic arthropathy</td><td>dr. Tutik Ermawati, Sp.S</td><td>BPJS</td>

</tr><tr id="tr1712">



</tr><tr id="tr1713">


urbalingga</td><td>Islam</td><td>74 TH 1 BL 12 HR</td><td>Laki Laki</td><td>Poliklinik Bedah Onkology</td><td>Malignant neoplasm of rectum</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>

</tr><tr id="tr1714">

<td>1714</td><td>00110072</td><td>Inis, Ny</td><td>Desa Cipari, Cipari, Cilacap</td><td>Islam</td><td>67 TH 1 BL 16 HR</td><td>Perempuan</td><td>Poliklinik Syaraf</td><td>-</td><td>dr. Tutik Ermawati, Sp.S</td><td>Umum</td>

</tr><tr id="tr1715">

<td>1715</td><td>00153581</td><td>Yatinah, Ny</td><td>Desa Bener, Majenang, Cilacap</td>



</tr><tr id="tr1716">

<td>1716</td><td>00151919</td><td>Sariyem Yunus, Ny</td><td>Desa Kebrengan, Kecamatan Mojotengah

, Wonosobo</td><td>Islam</td><td>46 TH 1 BL 11 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>

</tr><tr id="tr1717">

<td>1717</td><td>00151056</td><td>Sutjiawati Tjahmulyo,Ny</td><td>Kel. Arcawinangun, Kecamatan Purwoke

rto Timur, Purwokerto</td><td>Khatolik</td><td>76 TH 11 BL 23 HR</td><td>Perempuan</td><td>Poliklinik Syaraf</td><td>Polyneuropathy, unspecified</td><td>dr. Tutik Ermawati, Sp.S</td><td>BPJS</td>

</tr><tr id="tr1718">

<td>1718</td><td>00150904</td><td>Yuliani, Ny</td><td>Kel. Arcawinangun, Kecamatan Purwoke

rto Timur, Purwokerto</td><td>Islam</td><td>72 TH 4 HR</td><td>Perempuan</td><td>Poliklinik Syaraf</td><td>Arthrosis, unspecified</td><td>dr. Tutik Ermawati, Sp.S</td><td>BPJS</td>

</tr><tr id="tr1719">

<td>1719</td><td>00140957</td><td>Daryati, Ny</td><td>Desa Karangpucung, Karangpucung, Cil

acap</td><td>Islam</td><td>50 TH 11 BL 4 HR</td><td>Perempuan</td>


</tr><tr id="tr1720">

<td>1720</td><td>00154136</td><td>Murdiastuti, Ny</td><td>Kel.Kedungwuluh, Kecamatan Purwokert

o Barat, Purwokerto</td><td>Khatolik</td><td>66 TH 9 BL 12 HR</td><td>Perempuan</td><td>Poliklinik Syaraf</td><td>-</td><td>dr. Tutik Ermawati, Sp.S</td><td>BPJS</td>

</tr><tr id="tr1721">


Purbalingga</td><td>Kristen</td><td>68 TH</td><td>Laki Laki</td><td>Poliklinik Syaraf</td><td>-</td><td>dr. Tutik Ermawati, Sp.S</td><td>BPJS</td>

</tr><tr id="tr1722">

<td>1722</td><td>00153957</td><td>Ani Nuryati, Ny</td><td>Desa Bogares Kidul, Pangkah, Tegal</

td><td>Islam</td><td>35 TH 5 BL 21 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>Umum</td>

</tr><tr id="tr1723">

<td>1723</td><td>00154114</td><td>Gilang Ramadan, An</td><td>Kel.Karangklesem, Kecamatan Purwoker

to Selatan, Purwokerto</td><td>Islam</td><td>6 TH 4 BL 19 HR</td><td>Laki Laki</td><td>Poliklinik Umum</td><td>-</td><td>dr. Inos</td><td>Umum</td>

</tr><tr id="tr1724">



</tr><tr id="tr1725">

<td>1725</td><td>00141904</td><td>Fitri Nova Sari, Ny</td><td>Desa Dukuhwaluh, Kecamatan Kembaran,


</tr><tr id="tr1726">

<td>1726</td><td>00154138</td><td>Mega Novia,Nn</td><td>Desa Pangandaran, Kecamatan Panganda

ran, Kabupaten Ciamis</td><td>Islam</td><td>18 TH 2 BL 25 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Neoplasm of uncertain or unknown beh


</tr><tr id="tr1727">

<td>1727</td><td>00141440</td><td>Sukirah, Ny</td><td>Desa Sokawera Kidul, Kecamatan Patik


</tr><tr id="tr1728">

<td>1728</td>

<td>00151508</td><td>Lidya Mick Triatmi, Ny</td><td>Kelurahan Teluk, Kecamatan Purwokert


</tr><tr id="tr1729">



</tr><tr id="tr1730">

<td>1730</td><td>00153950</td><td>Nur Kholisoh,Ny</td><td>Kelurahan Teluk, Kecamatan Purwokert

o Selatan, Purwokerto</td><td>Islam</td><td>34 TH 2 BL 30 HR</td><td>Perempuan</td><td>Poliklinik Syaraf</td><td>-</td><td>dr. Tutik Ermawati, Sp.S</td><td>Umum</td>

</tr><tr id="tr1731">

<td>1731</td><td>00142302</td><td>Ludiyah, Ny</td><td>Desa Sumingkir, Kecamatan Jeruklegi,

Cilacap</td><td>Islam</td><td>47 TH 14 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Malignant neoplasm of breast, unspec


</tr><tr id="tr1732">

<td>1732</td><td>00152731</td><td>Sutarni, Ny</td><td>Desa Sumbang, Kecamatan Sumbang, Ban


</tr><tr id="tr1733">

<td>1733</td><td>00150997</td><td>Sutinah, Ny</td><td>Kelurahan Sidanegara, Cilacap Tengah


</tr><tr id="tr1734">

<td>1734</td><td>00150402</td><td>Tukiyah, Ny</td><td>Desa Karangkemojing, Gumelar, Banyum



</tr><tr id="tr1735">



</tr><tr id="tr1736">


, Cilacap</td><td>Islam</td><td>49 TH 11 BL 2 HR</td>


</tr><tr id="tr1737">



</tr><tr id="tr1738">



</tr><tr id="tr1739">

<td>1739</td><td>00142006</td><td>Uti Wahyuti, Ny</td><td>Desa Cibeunying, Majenang, Cilacap</


</tr><tr id="tr1740">

<td>1740</td><td>00154143</td><td>Sukendar,Tn</td><td>Desa Bojongnangka, Kecamatan Pemalan

g, Pemalang</td><td>Islam</td><td>60 TH 7 BL 13 HR</td><td>Laki Laki</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td>

<td>Umum</td></tr>

<tr id="tr1741"><td>1741</td><td>00154144</td><td>Dwi Astuti, Ny</td><td>Desa Rogodono, Kecamatan Buayan, Keb

umen</td><td>Islam</td><td>41 TH 6 BL 2 HR</td><td>Perempuan</td><td>Poliklinik Obsgyn</td><td>-</td><td>dr. Soegeng Djiwarahga, Sp.OG</td><td>BPJS</td>

</tr><tr id="tr1742">


, Cilacap</td><td>Islam</td><td>43 TH 2 BL 4 HR</td><td>Perempuan</td><td>Poliklinik Obsgyn</td><td>-</td><td>dr. Soegeng Djiwarahga, Sp.OG</td><td>BPJS</td>

</tr><tr id="tr1743">

<td>1743</td><td>00142961</td><td>Hj.Siti Maesaroh, Ny</td><td>Desa Gentasari, Kecamatan Kroya, Cil


</tr><tr id="tr1744">

<td>1744</td><td>00152978</td><td>Jaminem, Ny</td><td>Desa Kemawi, Kecamatan Somagede, Ban


</tr><tr id="tr1745">

<td>1745</td>

<td>00152969</td><td>Nulyati, Ny</td><td>Desa Adimulyo, Wanareja, Cilacap</td


</tr><tr id="tr1746">

<td>1746</td><td>00152830</td><td>Sarti, Ny</td><td>Desa Jogopaten, Kecamatan Buluspesan

tren, Kebumen</td><td>Islam</td><td>47 TH 1 BL 12 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>

</tr><tr id="tr1747">


Banyumas</td><td>Khatolik</td><td>50 TH 30 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>

</tr><tr id="tr1748">



</tr><tr id="tr1749">


p</td>


</tr><tr id="tr1750">

<td>1750</td><td>00152970</td><td>Sunarti, Ny</td><td>Desa Sikampuh, Kecamatan Kroya, Cila


</tr><tr id="tr1751">


a, Banyumas</td><td>Islam</td><td>67 TH 8 BL 9 HR</td><td>Laki Laki</td><td>Poliklinik Bedah Onkology</td><td>Anaemia, unspecified</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>

</tr><tr id="tr1752">



</tr><tr id="tr1753">


anyumas</td><td>Islam</td><td>16 TH 7 BL 29 HR</td><td>Laki Laki</td><td>Poliklinik Bedah Orthopedi</td>

<td>-</td><td>dr. Bambang Agus Teja Kusumah Sp. OT

</td><td>BPJS</td>

</tr><tr id="tr1754">

<td>1754</td><td>00152859</td><td>Hastuti, Ny</td><td>Desa Wiradadi, Kecamatan Sokaraja, B

anyumas</td><td>Islam</td><td>53 TH 8 BL 28 HR</td><td>Perempuan</td><td>Poliklinik Penyakit Dalam</td><td>-</td><td>dr. Tiara, Sp.PD</td><td>BPJS</td>

</tr><tr id="tr1755">

<td>1755</td><td>00153343</td><td>Achmad Suwedi, Tn</td><td>Desa Karanggude Kulon, Kecamatan Kar

anglewas, Banyumas</td><td>Islam</td><td>68 TH 9 BL 27 HR</td><td>Laki Laki</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>

</tr><tr id="tr1756">

<td>1756</td><td>00153557</td><td>Entih, Ny</td><td>Desa Margacinta, Kecamatan Cijulang,


</tr><tr id="tr1757">



</tr><tr id="tr1758">

<td>1758</td><td>00154145</td><td>Supriyatin,Ny</td><td>Kel. Rejasari, Kecamatan Purwokerto

Barat, Purwokerto</td><td>Islam</td><td>40 TH 6 BL 13 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Neoplasm of uncertain or unknown beh


</tr><tr id="tr1759">


, Banyumas</td><td>Islam</td><td>55 TH 1 BL 14 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Malignant neoplasm of skin, unspecif


</tr><tr id="tr1760">



g</td><td>Khatolik</td><td>24 TH 5 BL 26 HR</td><td>Perempuan</td><td>Poliklinik Obsgyn</td><td>-</td><td>dr. Soegeng Djiwarahga, Sp.OG</td><td>BPJS</td>

</tr><tr id="tr1761">

<td>1761</td><td>00142357</td><td>Nani Naningsih, Ny</td><td>Desa Raharja, Kecamatan Purwaharja,


</tr>

<tr id="tr1762"><td>1762</td><td>00142663</td><td>Muklinah, Ny</td><td>Desa Kuripan, Kecamatan Garung, Wono


</tr><tr id="tr1763">


lingga</td><td>Islam</td><td>73 TH 7 BL 16 HR</td><td>Laki Laki</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>Umum</td>

</tr><tr id="tr1764">


to Selatan, Purwokerto</td><td>Islam</td><td>61 TH 9 BL 2 HR</td><td>Laki Laki</td><td>Poliklinik Syaraf</td><td>Low back pain</td><td>dr. Tutik Ermawati, Sp.S</td><td>BPJS</td>

</tr><tr id="tr1765">

<td>1765</td><td>00142586</td><td>Temah, Ny</td><td>Desa Pagerbarang, Pagerbarang, Tegal



</tr><tr id="tr1766">

<td>1766</td><td>00153945</td>

<td>Samirah, Ny</td><td>Desa Pasirbungur, Kecamatan Purwadad

i, Kabupaten Subang</td><td>Islam</td><td>37 TH 9 BL</td><td>Perempuan</td><td>Poliklinik Obsgyn</td><td>-</td><td>dr. Soegeng Djiwarahga, Sp.OG</td><td>Umum</td>

</tr><tr id="tr1767">



</tr><tr id="tr1768">

<td>1768</td><td>00143302</td><td>Karsem, Ny</td><td>Desa Candiwulan, Kecamatan Mandiraja

, Banjarnegara</td><td>Islam</td><td>50 TH 8 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Malignant neoplasm of breast, unspec


</tr><tr id="tr1769">

<td>1769</td><td>00130181</td><td>Rokisah, Ny</td><td>Desa Griting, Bulakamba, Brebes</td><td>Islam</td><td>53 TH 1 BL 13 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>

</tr><tr id="tr1770">


g, Kabupaten Ciamis</td><td>Islam</td>



</tr><tr id="tr1771">




</tr><tr id="tr1772">




</tr><tr id="tr1773">

<td>1773</td><td>00141161</td><td>Suparmi, Ny</td><td>Desa Pandak, Kecamatan Sumpiuh, Bany

umas</td><td>Islam</td><td>57 TH 24 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>

</tr><tr id="tr1774">

<td>1774</td><td>00130114</td><td>Rutiati,Ny</td><td>Desa Ajibarang Wetan, Kecamatan Ajib

arang, Banyumas</td><td>Islam</td><td>59 TH 1 BL 15 HR</td>


</tr><tr id="tr1775">

<td>1775</td><td>00153808</td><td>Sahidin, Tn</td><td>Desa Cinyawang, Kecamatan Patimuan,

Cilacap</td><td>Islam</td><td>53 TH 4 BL 4 HR</td><td>Perempuan</td><td>Poliklinik Syaraf</td><td>Malignant neoplasm of breast, unspec


</tr><tr id="tr1776">


bes</td><td>Islam</td><td>46 TH 3 BL</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>

</tr><tr id="tr1777">




</tr><tr id="tr1778">

<td>1778</td><td>00150921</td><td>Suwartini, Ny</td><td>Desa Kuntili, Kecamatan Sumpiuh, Ban

yumas</td><td>Islam</td><td>37 TH 11 BL 18 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td>



</tr><tr id="tr1779">


p</td><td>Islam</td><td>50 TH 4 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>

</tr><tr id="tr1780">

<td>1780</td><td>00153867</td><td>Kursih, Ny</td><td>Desa Limbangan, Wanareja, Cilacap</t

d><td>Islam</td><td>61 TH 1 BL 15 HR</td><td>Perempuan</td><td>Poliklinik Syaraf</td><td>-</td><td>dr. Tutik Ermawati, Sp.S</td><td>Umum</td>

</tr><tr id="tr1781">

<td>1781</td><td>00153962</td><td>Romlah, Ny</td><td>Desa Cibangkong, Kecamatan Pekuncen,

Banyumas</td><td>Islam</td><td>32 TH 7 BL 8 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Haemorrhage of anus and rectum</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>

</tr><tr id="tr1782">


o Selatan, Purwokerto</td><td>Kristen</td><td>79 TH 5 BL 7 HR</td><td>Laki Laki</td><td>Poliklinik Syaraf</td><td>Mononeuropathy, unspecified</td><td>dr. Tutik Ermawati, Sp.S</td><td>BPJS</td>

</tr><tr id="tr1783">


, Purbalingga</td><td>Islam</td><td>48 TH 1 BL 4 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Malignant neoplasm of breast</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>Umum</td>

</tr><tr id="tr1784">

<td>1784</td><td>00150246</td><td>Jarti, Ny</td><td>Desa Pekiringan, Kecamatan Karangmon

col, Purbalingga</td><td>Islam</td><td>51 TH 4 BL 4 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Malignant neoplasm of breast, unspec


</tr><tr id="tr1785">

<td>1785</td><td>00131784</td><td>Ari Susanti, Ny</td><td>Desa Cikawung, Kecamatan Pekuncen, B



</tr><tr id="tr1786">

<td>1786</td><td>00153810</td><td>Sri Kusmartini, Ny</td><td>Kel.Karangklesem, Kecamatan Purwoker

to Selatan, Purwokerto</td><td>Khatolik</td><td>45 TH 5 BL 1 HR</td><td>Perempuan</td><td>Poliklinik Syaraf</td><td>Calcaneal spur</td><td>dr. Tutik Ermawati, Sp.S</td><td>BPJS</td>

</tr><tr id="tr1787">


Kotamadya Tangerang</td><td>Islam</td><td>67 TH 3 BL</td><td>Perempuan</td><td>Poliklinik Syaraf</td><td>-</td><td>dr. Tutik Ermawati, Sp.S</td><td>BPJS</td>

</tr><tr id="tr1788">




</tr><tr id="tr1789">



</tr><tr id="tr1790">

<td>1790</td><td>00153476</td><td>Supriyatin, Ny</td><td>Desa Cibangkong, Kecamatan Pekuncen,

Banyumas</td><td>Islam</td><td>44 TH 11 BL 22 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Malignant neoplasm of thyroid gland<


</tr><tr id="tr1791">

<td>1791</td><td>00150339</td>

<td>Machtori Solechan, Tn</td><td>Desa Susukan, Kecamatan Sumbang, Ban


</tr><tr id="tr1792">

<td>1792</td><td>00153772</td><td>Indrayanto,Tn</td><td>Kelurahan Teluk, Kecamatan Purwokert

o Selatan, Purwokerto</td><td>Islam</td><td>60 TH 7 BL 13 HR</td><td>Laki Laki</td><td>Poliklinik Syaraf</td><td>Parkinson's disease</td><td>dr. Tutik Ermawati, Sp.S</td><td>BPJS</td>

</tr><tr id="tr1793">

<td>1793</td><td>00154146</td><td>Manisah,Ny</td><td>Desa Kalimandi, Kecamatan Purwarejak

lampok, Banjarnegara</td><td>Islam</td><td>55 TH 7 BL 29 HR</td><td>Perempuan</td><td>Poliklinik Penyakit Dalam</td><td>-</td><td>dr. Tiara, Sp.PD</td><td>Umum</td>

</tr><tr id="tr1794">



</tr><tr id="tr1795">

<td>1795</td><td>00153083</td><td>Us. Eko Watiningsih,Ny</td><td>Kel.Bobosan, Kecamatan Purwokerto Ut

ara, Purwokerto</td><td>Islam</td>


</tr><tr id="tr1796">



</tr><tr id="tr1797">

<td>1797</td><td>00140789</td><td>Rokhayati, Ny</td><td>Desa Mejasem Timur, Kecamatan Kramat

, Tegal</td><td>Islam</td><td>53 TH 10 BL 1 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Malignant neoplasm of breast, unspec


</tr><tr id="tr1798">


, Banyumas</td><td>Islam</td><td>25 TH 12 HR</td><td>Perempuan</td><td>Poliklinik Syaraf</td><td>-</td><td>dr. Tutik Ermawati, Sp.S</td><td>Umum</td>

</tr><tr id="tr1799">


/td><td>Islam</td><td>30 TH 8 BL 15 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td>



</tr><tr id="tr1800">

<td>1800</td><td>00100210</td><td>Dawen, Ny</td><td>Desa Binangun, Kecamatan Binangun, C


</tr><tr id="tr1801">




</tr><tr id="tr1802">




</tr><tr id="tr1803">


umen</td><td>Islam</td><td>59 TH 2 BL 13 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>-</td>


</tr><tr id="tr1804">


o Selatan, Purwokerto</td><td>Islam</td><td>48 TH 11 BL 14 HR</td><td>Perempuan</td><td>Poliklinik Syaraf</td><td>Sciatica</td><td>dr. Tutik Ermawati, Sp.S</td><td>BPJS</td>

</tr><tr id="tr1805">

<td>1805</td><td>00154147</td><td>Titin, Heryati, Ny</td><td>Desa Sukasari, Kecamatan Banjarsari,

Kabupaten Ciamis</td><td>Islam</td><td>46 TH 11 BL 3 HR</td><td>Perempuan</td><td>Poliklinik Syaraf</td><td>-</td><td>dr. Tutik Ermawati, Sp.S</td><td>Umum</td>

</tr><tr id="tr1806">

<td>1806</td><td>00131588</td><td>Emilia Purwanti,Ny</td><td>Desa Brobot, Kecamatan Bojongsari, P

urbalingga</td><td>Islam</td><td>21 TH 2 BL 19 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>Umum</td>

</tr><tr id="tr1807">


h, Purbalingga</td><td>Islam</td><td>55 TH 8 BL 19 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>Umum</td>

</tr><tr id="tr1808">



</tr><tr id="tr1809">



</tr><tr id="tr1810">



</tr><tr id="tr1811">

<td>1811</td><td>00151836</td><td>Sumini, Ny</td><td>Desa Karangnanas, Kecamatan Sokaraja

, Banyumas</td><td>Islam</td><td>39 TH 14 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Tuberculosis of other organs</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>

</tr><tr id="tr1812">


arang, Banyumas</td><td>Islam</td><td>64 TH 1 BL 17 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Anaemia, unspecified</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>

</tr><tr id="tr1813">

<td>1813</td><td>00141871</td><td>Kardiyah, Ny</td><td>Desa Sokawera Kidul, Kecamatan Patik

raja, Banyumas</td><td>Islam</td><td>52 TH 5 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>

</tr><tr id="tr1814">

<td>1814</td><td>00142557</td><td>Budiman,Tn</td><td>Kel.Purwokerto Wetan, Kecamatan Purw

okerto Timur, Purwokerto</td><td>Khatolik</td><td>45 TH 20 HR</td><td>Laki Laki</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>

</tr><tr id="tr1815">




</tr><tr id="tr1816">

<td>1816</td><td>00153182</td><td>M. Pariz Rizkiawan, Tn</td><td>Desa Manggis, Kecamatan Sirampog, Br

ebes</td><td>Islam</td><td>25 TH 2 BL 3 HR</td>

<td>Laki Laki</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>

</tr><tr id="tr1817">


Kabupaten Ciamis</td><td>Islam</td><td>14 TH 9 BL 2 HR</td><td>Laki Laki</td><td>Poliklinik Bedah Onkology</td><td>Non-Hodgkin's lymphoma, unspecified


</tr><tr id="tr1818">

<td>1818</td><td>00152317</td><td>Alfiah, Ny</td><td>Desa Rawaheng, Kecamatan Wangon, Ban

yumas</td><td>Islam</td><td>43 TH 11 BL 22 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Malignant neoplasm of nasopharynx, u


</tr><tr id="tr1819">


ar, Kabupaten Ciamis</td><td>Islam</td><td>55 TH 6 BL 29 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Malignant neoplasm of breast, unspec


</tr><tr id="tr1820">


lancar, Kabupaten Ciamis</td><td>Islam</td><td>43 TH 5 BL 30 HR</td><td>Perempuan</td>



</tr><tr id="tr1821">


wang, Banyumas</td><td>Islam</td><td>56 TH 1 BL 15 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>

</tr><tr id="tr1822">

<td>1822</td><td>00150136</td><td>Suhartini, Ny</td><td>Desa Bakulan, Kecamatan Kemangkon, P



</tr><tr id="tr1823">

<td>1823</td><td>00150480</td><td>Karsuti, Ny</td><td>Desa Mernek, Kecamatan Maos, Cilacap


</tr><tr id="tr1824">


upaten Ciamis</td><td>Islam</td><td>43 TH 2 BL 9 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Aplastic and other anaemias</td>


</tr><tr id="tr1825">




</tr><tr id="tr1826">


Banyumas</td><td>Islam</td><td>60 TH 1 BL 16 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Overlapping lesion of peripheral ner

ves and autonomic nervous system</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>

</tr><tr id="tr1827">




</tr><tr id="tr1828">

<td>1828</td><td>00153486</td><td>Karsem, Ny</td><td>Desa Karangmangu, Kecamatan Baturade

n, Banyumas</td><td>Islam</td><td>62 TH 7 BL 29 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td>

<td>BPJS</td></tr>

<tr id="tr1829"><td>1829</td><td>00153363</td><td>Chomisah, Ny</td><td>Desa Sudimara, Kecamatan Cilongok, B



</tr><tr id="tr1830">

<td>1830</td><td>00153451</td><td>Rina Novarita,Ny</td><td>Desa Sirnabaya, Kecamatan Rajadesa,



</tr><tr id="tr1831">

<td>1831</td><td>00151946</td><td>J Soekapti, Ny</td><td>Kel. Purbalingga Kulon, Kecamatan Pu

rbalingga, Purbalingga</td><td>Khatolik</td><td>78 TH 7 BL 11 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Malignant neoplasm of breast, unspec


</tr><tr id="tr1832">

<td>1832</td><td>00140115</td><td>Casem, Ny</td><td>Desa Kesegeran, Kecamatan Cilongok,



<td>BPJS</td></tr>

<tr id="tr1833"><td>1833</td><td>00153733</td><td>Paryati, Ny</td><td>Desa Lemberang, Kecamatan Sokaraja,



</tr><tr id="tr1834">

<td>1834</td><td>00141977</td><td>Sawitem, Ny</td><td>Desa Pasinggahan, Kecamatan Banyumas


</tr><tr id="tr1835">




</tr><tr id="tr1836">




</tr><tr id="tr1837">

<td>1837</td><td>00153348</td><td>Poniyem, Ny</td><td>Desa Bunton, Kecamatan Adipala, Cila


</tr><tr id="tr1838">

<td>1838</td><td>00152108</td><td>Siswo Wardiyono, Tn</td><td>Desa Karangjambe, Kecamatan Padamara

, Purbalingga</td><td>Islam</td><td>61 TH 2 BL 4 HR</td><td>Laki Laki</td><td>Poliklinik Bedah Onkology</td><td>Malignant neoplasm of head, face and


</tr><tr id="tr1839">


d><td>Islam</td><td>63 TH 6 BL 9 HR</td><td>Laki Laki</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>

</tr><tr id="tr1840">

<td>1840</td><td>00141380</td><td>Sabri Ilham Rizki, Sdr</td><td>Desa Kebanggan, Kecamatan Sumbang, B

anyumas</td><td>Islam</td><td>18 TH 2 BL 16 HR</td><td>Laki Laki</td><td>Poliklinik Bedah Onkology</td><td>Neoplasm of uncertain or unknown beh


</tr><tr id="tr1841">

<td>1841</td><td>00152512</td><td>Soliah,Ny</td><td>Desa Kedungbanteng, Kecamatan Kedung

banteng, Banyumas</td><td>Islam</td><td>54 TH 6 BL</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>

</tr><tr id="tr1842">




</tr><tr id="tr1843">


en, Banyumas</td><td>Islam</td><td>57 TH 10 BL 1 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Malignant neoplasm of breast, unspec


</tr><tr id="tr1844">


Banyumas</td><td>Islam</td><td>50 TH 30 HR</td><td>Laki Laki</td><td>Poliklinik Bedah Onkology</td><td>Neoplasm of uncertain or unknown beh


</tr><tr id="tr1845">

<td>1845</td>

<td>00152005</td><td>Carti, Ny</td><td>Desa Banjaran, Salem, Brebes</td><td>Islam</td><td>51 TH 3 BL 28 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Anaemia, unspecified</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>

</tr><tr id="tr1846">




</tr><tr id="tr1847">

<td>1847</td><td>00153796</td><td>Salim, Tn</td><td>Kel.Pasir Kidul, Kecamatan Purwokert

o Barat, Purwokerto</td><td>Islam</td><td>68 TH 3 BL 30 HR</td><td>Laki Laki</td><td>Poliklinik THT</td><td>Tinnitus</td><td>dr.Bagus Condro Prasetyo, Sp.THT-KL<

/td><td>BPJS</td>

</tr><tr id="tr1848">

<td>1848</td><td>00153501</td><td>Wairah, Ny</td><td>Desa Wlahar, Larangan, Brebes</td><td>Islam</td><td>64 TH 7 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Malignant neoplasm of breast, unspec


</tr><tr id="tr1849">


bupaten Tasikmalaya</td><td>Islam</td><td>49 TH 5 BL 26 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Neoplasm of uncertain or unknown beh


</tr><tr id="tr1850">

<td>1850</td><td>00154150</td><td>Jeminah,Ny</td><td>Desa Karangturi, Kecamatan Kroya, Ci



</tr><tr id="tr1851">


Brebes</td><td>Islam</td><td>63 TH 9 BL 14 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>Umum</td>

</tr><tr id="tr1852">

<td>1852</td><td>00152069</td><td>Nur Nendah, Ny</td><td>Desa Putrapinggan, Kecamatan Kalipuc

ang, Kabupaten Ciamis</td><td>Islam</td><td>36 TH 11 BL 13 HR</td><td>Perempuan</td><td>Poliklinik Obsgyn</td><td>Leiomyoma of uterus, unspecified</td

><td>dr. Soegeng Djiwarahga, Sp.OG</td><td>Umum</td>

</tr><tr id="tr1853">

<td>1853</td><td>00142171</td><td>Jahrudin, Tn</td><td>Desa Rejasari, Kecamatan Langensari,

Kabupaten Ciamis</td>


</tr><tr id="tr1854">

<td>1854</td><td>00121519</td><td>Painem, Ny</td><td>Desa Paledah, Kecamatan Padaherang,

Kabupaten Ciamis</td><td>Islam</td><td>43 TH 8 BL</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>

</tr><tr id="tr1855">

<td>1855</td><td>00110721</td><td>Partinah, Ny / Fatchiyah, Ny</td><td>Desa Warungpring, Kecamatan Moga, Pe

malang</td><td>Islam</td><td>58 TH 1 BL 11 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>Umum</td>

</tr><tr id="tr1856">

<td>1856</td><td>00150336</td><td>Saryan, Tn</td><td>Kelurahan Panambongan, Kecamatan Pur

balingga, Purbalingga</td><td>Islam</td><td>64 TH 5 BL 29 HR</td><td>Laki Laki</td><td>Poliklinik Syaraf</td><td>Neuralgia and neuritis, unspecified,


</tr><tr id="tr1857">


abupaten Ciamis</td><td>Islam</td><td>15 TH 10 BL 28 HR</td><td>Laki Laki</td>

<td>Poliklinik THT</td><td>-</td><td>dr.Bagus Condro Prasetyo, Sp.THT-KL<

/td><td>BPJS</td>

</tr><tr id="tr1858">



</tr><tr id="tr1859">


ang, Pemalang</td><td>Islam</td><td>41 TH 1 BL 13 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Neoplasm of uncertain or unknown beh


</tr><tr id="tr1860">

<td>1860</td><td>00154151</td><td>Afrizal Adi Pratama,An</td><td>Kelurahan Teluk, Kecamatan Purwokert

o Selatan, Purwokerto</td><td>Islam</td><td>8 TH 9 BL 5 HR</td><td>Laki Laki</td><td>Poliklinik Bedah Onkology</td><td>Cutaneous abscess, furuncle and carb

uncle of trunk</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>

</tr><tr id="tr1861">

<td>1861</td><td>00150880</td><td>Surtinah, Ny</td><td>Desa Kroya, Kecamatan Kroya, Cilacap

</td><td>Islam</td><td>60 TH 1 BL 16 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td>


</tr><tr id="tr1862">

<td>1862</td><td>00154152</td><td>Idah,Ny</td><td>Kel.Karangklesem, Kecamatan Purwoker

to Selatan, Purwokerto</td><td>Islam</td><td>35 TH 11 BL 12 HR</td><td>Perempuan</td><td>Poliklinik Syaraf</td><td>Carpal tunnel syndrome</td><td>dr. Tutik Ermawati, Sp.S</td><td>BPJS</td>

</tr><tr id="tr1863">




</tr><tr id="tr1864">

<td>1864</td><td>00153742</td><td>Wariyah, Ny</td><td>Desa Dermaji, Lumbir, Banyumas</td><td>Islam</td><td>36 TH 1 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>Umum</td>

</tr><tr id="tr1865">


o Selatan, Purwokerto</td><td>Islam</td><td>8 TH 2 BL 8 HR</td><td>Laki Laki</td><td>Poliklinik Umum</td><td>Tinea cruris</td><td>dr.Andy Lestiono</td><td>Umum</td>

</tr>

<tr id="tr1866"><td>1866</td><td>00152548</td><td>Abdul Jalil, Tn</td><td>Desa Bangbayang, Kecamatan Cipaku, K

abupaten Ciamis</td><td>Islam</td><td>46 TH 9 BL 4 HR</td><td>Laki Laki</td><td>Poliklinik THT</td><td>Acute tonsillitis, unspecified</td><td>dr.Bagus Condro Prasetyo, Sp.THT-KL<

/td><td>BPJS</td>

</tr><tr id="tr1867">



</tr><tr id="tr1868">

<td>1868</td><td>00152828</td><td>Darno, Tn</td><td>Desa Wanarata, Kecamatan Bantarbolan

g, Pemalang</td><td>Islam</td><td>47 TH 4 BL 3 HR</td><td>Laki Laki</td><td>Poliklinik Bedah Onkology</td><td>Malignant neoplasm of breast, unspec


</tr><tr id="tr1869">

<td>1869</td><td>00154153</td><td>Nok Atin Supriyatin,Ny</td><td>Kel. Jaraksari, Kecamatan Wonosobo,



</tr><tr id="tr1870">

<td>1870</td><td>00153503</td><td>Mujiati, Ny</td><td>Desa Layansari, Candrungmangu, Cilac


</tr><tr id="tr1871">

<td>1871</td><td>00153124</td><td>Darsiti, Ny</td><td>Desa Pruwatan, Kecamatan Bumiayu, Br

ebes</td><td>Islam</td><td>53 TH 11 BL 4 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>

</tr><tr id="tr1872">

<td>1872</td><td>00153540</td><td>Sakem,Ny</td><td>Desa Mandirancan, Kecamatan Kebasen,


</tr><tr id="tr1873">

<td>1873</td><td>00153966</td><td>Rifzika Bella Ayuningtyas, Nn</td><td>Desa Karanganyar, Kecamatan Karangan

yar, Purbalingga</td><td>Islam</td><td>15 TH 8 BL 2 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>Umum</td>

</tr><tr id="tr1874">

<td>1874</td><td>00154154</td><td>Susi Setianingsih,Nn</td><td>Desa Bulupayung, Kecamatan Patimuan,

Cilacap</td><td>Islam</td><td>21 TH 19 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Neoplasm of uncertain or unknown beh


</tr><tr id="tr1875">

<td>1875</td><td>00153936</td><td>Nur Indah Yuniarsih,An</td><td>Desa Pangebatan, Kecamatan Karanglew

as, Banyumas</td><td>Islam</td><td>12 TH 2 BL 28 HR</td><td>Perempuan</td><td>Poliklinik Bedah Orthopedi</td><td>-</td><td>dr. Bambang Agus Teja Kusumah Sp. OT

</td><td>Umum</td>

</tr><tr id="tr1876">

<td>1876</td><td>00154155</td><td>Suwarto,Tn</td><td>Kelurahan Panambongan, Kecamatan Pur

balingga, Purbalingga</td><td>Islam</td><td>40 TH 12 HR</td><td>Laki Laki</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>Umum</td>

</tr><tr id="tr1877">

<td>1877</td><td>00153164</td><td>Rofik Gustanto, Sdr</td><td>Desa Blambangan, Kecamatan Bawang, B


</tr><tr id="tr1878">


acap</td><td>Islam</td>

<td>72 TH 1 BL 20 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Anaemia, unspecified</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>

</tr><tr id="tr1879">


Banjarnegara</td><td>Islam</td><td>34 TH 6 BL</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Anaemia, unspecified</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>

</tr><tr id="tr1880">



</tr><tr id="tr1881">

<td>1881</td><td>00154156</td><td>Sakimun,Tn</td><td>Desa Bulupayung, Kecamatan Patimuan,

Cilacap</td><td>Islam</td><td>49 TH 9 BL 7 HR</td><td>Laki Laki</td><td>Poliklinik Syaraf</td><td>-</td><td>dr. Tutik Ermawati, Sp.S</td><td>Umum</td>

</tr><tr id="tr1882">

<td>1882</td><td>00153976</td><td>Arif Firmansyah,Sdr</td><td>Desa Buniwah, Kecamatan Sirampog, Br

ebes</td><td>Islam</td><td>16 TH 6 BL 25 HR</td><td>Laki Laki</td><td>Poliklinik THT</td><td>-</td>


<td>Umum</td></tr>

<tr id="tr1883"><td>1883</td><td>00154157</td><td>Mihasan,Tn</td><td>Desa Ciputih, Salem, Brebes</td><td>Islam</td><td>58 TH 8 BL 27 HR</td><td>Laki Laki</td><td>Poliklinik Bedah Onkology</td><td>Benign neoplasm of testis</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>

</tr><tr id="tr1884">

<td>1884</td><td>00151730</td><td>Sazkia Cahya Maharani, An</td><td>Desa Trikarso, Kecamatan Sruweng, Ke

bumen</td><td>Islam</td><td>6 TH 8 BL 22 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>

</tr><tr id="tr1885">



</tr><tr id="tr1886">

<td>1886</td><td>00142617</td><td>Rasini, Ny</td><td>Desa Kretek, Kecamatan Rowokele, Keb


</tr><tr id="tr1887">

<td>1887</td><td>00153752</td><td>Sriyanti,Ny</td><td>Desa Sukomulyo, Kecamatan Rowokele,


</tr><tr id="tr1888">



</tr><tr id="tr1889">



</tr><tr id="tr1890">


ur, Purwokerto</td><td>Islam</td><td>60 TH 3 BL 16 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Malignant neoplasm of breast, unspec


</tr><tr id="tr1891">

<td>1891</td><td>00152392</td><td>Siswahyu Diarti,Ny</td>

<td>Kelurahan Teluk, Kecamatan Purwokerto Selatan, Purwokerto</td>

<td>Islam</td><td>60 TH 11 BL 14 HR</td><td>Perempuan</td><td>Poliklinik Bedah Orthopedi</td><td>-</td><td>dr. Bambang Agus Teja Kusumah Sp. OT

</td><td>BPJS</td>

</tr><tr id="tr1892">

<td>1892</td><td>00151701</td><td>Setiyowati Rejeki Ningsih, Ny</td><td>Desa Kutasari, Kecamatan Baturaden,

Banyumas</td><td>Islam</td><td>43 TH 10 BL 16 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Tuberculosis of other organs</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>

</tr><tr id="tr1893">




</tr><tr id="tr1894">




</tr><tr id="tr1895">

<td>1895</td><td>00142476</td><td>Suparni, Ny</td><td>Desa Beji, Kecamatan Kedungbanteng,

Banyumas</td><td>Islam</td><td>55 TH 3 BL 24 HR</td><td>Perempuan</td><td>Poliklinik Penyakit Dalam</td><td>-</td><td>dr. Tiara, Sp.PD</td><td>Umum</td>

</tr><tr id="tr1896">

<td>1896</td><td>00131749</td><td>Yustinah Suripah, Ny</td><td>Kel.Sidakaya, Cilacap Selatan, Cilac

ap</td><td>Khatolik</td><td>51 TH 8 BL 10 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Malignant neoplasm of breast, unspec


</tr><tr id="tr1897">



</tr><tr id="tr1898">



</tr><tr id="tr1899">

<td>1899</td><td>00141147</td><td>Supinem, Ny</td><td>Desa Pajerukan, Kecamatan Kalibagor,




</tr><tr id="tr1900">


Purbalingga</td><td>Islam</td><td>65 TH 1 BL 17 HR</td><td>Perempuan</td><td>Poliklinik Syaraf</td><td>-</td><td>dr. Tutik Ermawati, Sp.S</td><td>BPJS</td>

</tr><tr id="tr1901">

<td>1901</td><td>00153978</td><td>Sumarno, Tn</td><td>Desa Selabaya, Kecamatan Kalimanah,

Purbalingga</td><td>Islam</td><td>76 TH 13 HR</td><td>Laki Laki</td><td>Poliklinik Syaraf</td><td>-</td><td>dr. Tutik Ermawati, Sp.S</td><td>BPJS</td>

</tr><tr id="tr1902">

<td>1902</td><td>00152724</td><td>Basri,Tn</td><td>Desa Purwareja, Kecamatan Purwarejak

lampok, Banjarnegara</td><td>Islam</td><td>61 TH 3 BL 19 HR</td><td>Laki Laki</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>

</tr><tr id="tr1903">


mas</td><td>Islam</td><td>53 TH 10 BL 29 HR</td><td>Laki Laki</td><td>Poliklinik Bedah Onkology</td><td>-</td>


</tr><tr id="tr1904">

<td>1904</td><td>00152236</td><td>Onisah, Ny</td><td>Desa Sidamukti, Kecamatan Patimuan,



</tr><tr id="tr1905">


ur, Purwokerto</td><td>Islam</td><td>56 TH 9 BL 28 HR</td><td>Perempuan</td><td>Poliklinik Syaraf</td><td>Epilepsy, unspecified</td><td>dr. Tutik Ermawati, Sp.S</td><td>BPJS</td>

</tr><tr id="tr1906">

<td>1906</td><td>00154158</td><td>Kiswoyo, Tn</td><td>Kel. Sindangrasa, Kecamatan Ciamis,

Kabupaten Ciamis</td><td>Islam</td><td>61 TH 4 BL 7 HR</td><td>Laki Laki</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>Umum</td>

</tr><tr id="tr1907">

<td>1907</td><td>00153173</td><td>Sugeng Tirtopranoto,Tn</td><td>Kel.Sumampir, Kecamatan Purwokerto U

tara, Purwokerto</td><td>Islam</td><td>68 TH 9 BL 4 HR</td><td>Laki Laki</td><td>Poliklinik Syaraf</td><td>Low back pain</td><td>dr. Tutik Ermawati, Sp.S</td><td>BPJS</td>

</tr>

<tr id="tr1908"><td>1908</td><td>00141922</td><td>Cicilia Bea Etika Hesti Rahayu, Ny</



</tr><tr id="tr1909">

<td>1909</td><td>00152704</td><td>Hedy Widodo, Tn</td><td>Desa Kalierang, Kecamatan Bumiayu, B

rebes</td><td>Islam</td><td>49 TH 8 BL 2 HR</td><td>Laki Laki</td><td>Poliklinik Syaraf</td><td>-</td><td>dr. Tutik Ermawati, Sp.S</td><td>Umum</td>

</tr><tr id="tr1910">


ilacap</td><td>Islam</td><td>6 TH 7 BL 13 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>

</tr><tr id="tr1911">

<td>1911</td><td>00131728</td><td>Ponirah, Ny</td><td>Desa Pekiringan, Kecamatan Karangmon

col, Purbalingga</td><td>Islam</td><td>61 TH 10 BL 3 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Malignant neoplasm of breast, unspec


</tr><tr id="tr1912">

<td>1912</td>

<td>00120310</td><td>Tarisah, Ny</td><td>Desa Panembangan, Kecamatan Cilongok



</tr><tr id="tr1913">


s, Banyumas</td><td>Islam</td><td>18 TH 9 BL 17 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>Umum</td>

</tr><tr id="tr1914">


s, Banyumas</td><td>Islam</td><td>18 TH 9 BL 17 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>Umum</td>

</tr><tr id="tr1915">

<td>1915</td><td>00142342</td><td>Sipen, Ny</td><td>Desa Gumelem Kulon, Kecamatan Susuka

n, Banjarnegara</td><td>Islam</td><td>53 TH 2 BL 7 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>

</tr><tr id="tr1916">


as</td><td>Islam</td><td>34 TH 1 BL 8 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Neoplasm of uncertain or unknown beh


</tr><tr id="tr1917">

<td>1917</td><td>00154162</td><td>Waskem,Ny</td><td>Desa Boja, Majenang, Cilacap</td><td>Islam</td><td>54 TH 11 BL 3 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Unilateral or unspecified inguinal h


</tr><tr id="tr1918">

<td>1918</td><td>00153699</td><td>Sri Wahyuni, Ny</td><td>Desa Ketanda, Kecamatan Sumpiuh, Ban



</tr><tr id="tr1919">

<td>1919</td><td>00150223</td><td>Raisah, Ny</td><td>Kel.Kutabanjarnegara, Kecamatan Banj

arnegara, Banjarnegara</td><td>Islam</td><td>49 TH 9 BL 14 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Malignant neoplasm of breast, unspec


</tr><tr id="tr1920">

<td>1920</td><td>00141910</td><td>Wasti, Ny</td><td>Desa Banjaran, Salem, Brebes</td><td>Islam</td>



</tr><tr id="tr1921">

<td>1921</td><td>00154084</td><td>Royanah,Ny</td><td>Desa Sridadi, Kecamatan Sirampog, Br

ebes</td><td>Islam</td><td>46 TH 6 BL 30 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Neoplasm of uncertain or unknown beh


</tr><tr id="tr1922">

<td>1922</td><td>00154088</td><td>Anggun Rahma Wulan, Nn</td><td>Desa Sindangwangi, Bantarkawung, Bre

bes</td><td>Islam</td><td>18 TH 1 BL 26 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Neoplasm of uncertain or unknown beh


</tr><tr id="tr1923">

<td>1923</td><td>00121125</td><td>Rafiah, Ny</td><td>Desa Cijulang, Kecamatan Cijulang, K

abupaten Ciamis</td><td>Islam</td><td>62 TH 20 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Malignant neoplasm of skin, unspecif


</tr><tr id="tr1924">

<td>1924</td><td>00154163</td><td>Muhamad Fudholi,Tn</td><td>Desa Harjosari, Adiwerna, Tegal</td><td>Islam</td><td>32 TH 20 HR</td>

<td>Laki Laki</td><td>Poliklinik Umum</td><td>Acute pharyngitis</td><td>dr.Andy Lestiono</td><td>Umum</td>

</tr><tr id="tr1925">

<td>1925</td><td>00153678</td><td>Rasem,Ny</td><td>Desa Kutasari, Cipari, Cilacap</td><td>Islam</td><td>51 TH 6 BL 10 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>

</tr><tr id="tr1926">


ebumen</td><td>Islam</td><td>43 TH 6 BL</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Malignant neoplasm of breast, unspec


</tr><tr id="tr1927">


abupaten Ciamis</td><td>Islam</td><td>32 TH 11 BL 2 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Other and unspecified parts of mouth

</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>Umum</td>

</tr><tr id="tr1928">




</tr><tr id="tr1929">

<td>1929</td><td>00151229</td><td>Lestari, Ny</td><td>Kel.Sumampir, Kecamatan Purwokerto U



</tr><tr id="tr1930">


anyumas</td><td>Islam</td><td>55 TH 3 BL 19 HR</td><td>Laki Laki</td><td>Poliklinik Bedah Onkology</td><td>Non-Hodgkin's lymphoma, unspecified


</tr><tr id="tr1931">

<td>1931</td><td>00151321</td><td>Iin Suryanti, Ny</td><td>Kel. Mudal, Kecamatan Mojotengah,



</tr><tr id="tr1932">


emalang</td><td>Islam</td><td>63 TH 9 BL 12 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Anaemia, unspecified</td>


</tr><tr id="tr1933">


ilacap</td><td>Islam</td><td>62 TH 10 BL 23 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Neoplasm of uncertain or unknown beh


</tr><tr id="tr1934">


anjarnegara</td><td>Islam</td><td>34 TH 10 BL 8 HR</td><td>Laki Laki</td><td>Poliklinik Bedah Onkology</td><td>Malignant neoplasm of skin, unspecif


</tr><tr id="tr1935">

<td>1935</td><td>00154165</td><td>Siti Ropiah,Ny</td><td>Desa Cipari, Cipari, Cilacap</td><td>Islam</td><td>47 TH 2 BL 23 HR</td><td>Perempuan</td><td>Poliklinik Obsgyn</td><td>Malignant neoplasm of ovary</td><td>dr. Soegeng Djiwarahga, Sp.OG</td><td>Umum</td>

</tr><tr id="tr1936">


p</td><td>Islam</td><td>55 TH 5 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Neoplasm of uncertain or unknown beh


</tr><tr id="tr1937">



</tr><tr id="tr1938">

<td>1938</td><td>00141075</td><td>Suyiroh, Ny</td><td>Desa Kalilangkap, Kecamatan Bumiayu,



</tr><tr id="tr1939">

<td>1939</td><td>00130846</td><td>Suratmi, Ny</td><td>Desa Sidaurip, Kecamatan Binangun, C


</tr><tr id="tr1940">


acap</td><td>Islam</td><td>48 TH 6 BL 7 HR</td><td>Perempuan</td><td>Poliklinik Obsgyn</td><td>Neoplasm of uncertain or unknown beh

avior of connective and other soft tissue</td><td>dr. Soegeng Djiwarahga, Sp.OG</td><td>BPJS</td>

</tr><tr id="tr1941">

<td>1941</td><td>00121086</td><td>Muji Suprapti, Ny</td><td>Desa Kutasari, Kecamatan Baturaden,


</tr><tr id="tr1942">

<td>1942</td><td>00154166</td><td>Siti Sarifah,Ny</td><td>Desa Kertanegara, Kecamatan Karangan

yar, Purbalingga</td><td>Islam</td><td>57 TH 7 BL 6 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Neoplasm of uncertain or unknown beh


</tr><tr id="tr1943">

<td>1943</td><td>00151708</td><td>Tariah, Ny</td><td>Desa Karangmulya, Kecamatan Padahera

ng, Kabupaten Ciamis</td><td>Islam</td><td>42 TH 10 BL 14 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Malignant neoplasm of breast, unspec


</tr><tr id="tr1944">

<td>1944</td><td>00130443</td><td>Tursiah, Ny</td><td>Desa Karangkemojing, Gumelar, Banyum

as</td><td>Islam</td><td>50 TH 1 BL 13 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>Umum</td>

</tr><tr id="tr1945">

<td>1945</td><td>00154123</td>

<td>Suparno, Tn</td><td>Kelurahan Teluk, Kecamatan Purwokert


</tr><tr id="tr1946">


Wonosobo</td><td>Islam</td><td>50 TH 24 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Malignant neoplasm of skin, unspecif


</tr><tr id="tr1947">

<td>1947</td><td>00154085</td><td>Oky Kristiani,Ny</td><td>Kel. Kraton, Tegal Barat, Tegal</td><td>Khatolik</td><td>26 TH 3 BL 19 HR</td><td>Perempuan</td><td>Poliklinik Obsgyn</td><td>Postpartum inversion of uterus</td><td>dr. Soegeng Djiwarahga, Sp.OG</td><td>BPJS</td>

</tr><tr id="tr1948">

<td>1948</td><td>00154108</td><td>Arif Budiharto SP,Sdr</td><td>Desa Karangjati, Kecamatan Sampang,

Cilacap</td><td>Islam</td><td>41 TH 9 BL 7 HR</td><td>Laki Laki</td><td>Poliklinik Syaraf</td><td>Low back pain</td><td>dr. Tutik Ermawati, Sp.S</td><td>Umum</td>

</tr><tr id="tr1949">

<td>1949</td><td>00153105</td><td>Enih Rohaeni,Ny</td><td>Desa Kertaharja, Kecamatan Cijeungji

ng, Kabupaten Ciamis</td><td>Islam</td>


</tr><tr id="tr1950">

<td>1950</td><td>00142276</td><td>Tarsem, Ny</td><td>Desa Cilempuyang, Cimanggu, Cilacap<


</tr><tr id="tr1951">

<td>1951</td><td>00130125</td><td>Okza Riyana, Nn</td><td>Desa Gandrungmangu, Candrungmangu, C

ilacap</td><td>Islam</td><td>20 TH 3 BL 22 HR</td><td>Perempuan</td><td>Poliklinik Syaraf</td><td>-</td><td>dr. Tutik Ermawati, Sp.S</td><td>Umum</td>

</tr><tr id="tr1952">

<td>1952</td><td>00141249</td><td>Khasanah, Ny</td><td>Desa Ciberung, Kecamatan Ajibarang,


</tr><tr id="tr1953">

<td>1953</td><td>00154167</td><td>Sultoni,Tn</td><td>Desa Danasri, Kecamatan Nusawungu, C

ilacap</td><td>Islam</td><td>61 TH 4 BL</td><td>Laki Laki</td><td>Poliklinik Bedah Onkology</td><td>Calculus of ureter</td>


</tr><tr id="tr1954">

<td>1954</td><td>00152662</td><td>Eti, Ny</td><td>Desa Ciliang, Kecamatan Parigi, Kabu

paten Ciamis</td><td>Islam</td><td>49 TH 6 BL 1 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>Umum</td>

</tr><tr id="tr1955">



</tr><tr id="tr1956">

<td>1956</td><td>00143102</td><td>Naryati, Ny</td><td>Desa Randegan, Kecamatan Wangon, Ban


</tr><tr id="tr1957">

<td>1957</td><td>00151396</td><td>Suwarsono,Tn</td><td>Kelurahan Teluk, Kecamatan Purwokert



</tr>

<tr id="tr1958"><td>1958</td><td>00153710</td><td>Tri Multiyah,Ny</td><td>Desa Kalimandi, Kecamatan Purwarejak

lampok, Banjarnegara</td><td>Islam</td><td>60 TH 7 BL 13 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>

</tr><tr id="tr1959">


/td><td>Islam</td><td>65 TH 4 BL 8 HR</td><td>Laki Laki</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>Umum</td>

</tr><tr id="tr1960">


ng, Banyumas</td><td>Islam</td><td>32 TH 8 BL 11 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>Umum</td>

</tr><tr id="tr1961">

<td>1961</td><td>00154096</td><td>Karwan Sudjono, Tn</td><td>Desa Sokaraja Kulon, Kecamatan Sokar

aja, Banyumas</td><td>Islam</td><td>68 TH 8 BL</td><td>Laki Laki</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>

</tr><tr id="tr1962">

<td>1962</td><td>00153795</td><td>Marjo,Tn</td>

<td>Desa Karangtawang, Kecamatan Nusawungu, Cilacap</td>


</tr><tr id="tr1963">

<td>1963</td><td>00152738</td><td>Uswatun Hasanah, Ny</td><td>Desa Winduaji, Kecamatan Paguyangan,


</tr><tr id="tr1964">

<td>1964</td><td>00152154</td><td>Riyan Andriyana, Sdr</td><td>Desa Ciputih, Salem, Brebes</td><td>Islam</td><td>19 TH 10 BL 28 HR</td><td>Laki Laki</td><td>Poliklinik Umum</td><td>Dermatitis, unspecified</td><td>dr.Andy Lestiono</td><td>Umum</td>

</tr><tr id="tr1965">


g, Kabupaten Ciamis</td><td>Islam</td><td>60 TH 1 BL 15 HR</td><td>Laki Laki</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>Umum</td>

</tr><tr id="tr1966">


Banyumas</td><td>Islam</td><td>51 TH 8 BL 29 HR</td><td>Perempuan</td>

<td>Poliklinik Syaraf</td><td>Arthrosis, unspecified</td><td>dr. Tutik Ermawati, Sp.S</td><td>BPJS</td>

</tr><tr id="tr1967">



</tr><tr id="tr1968">


, Banyumas</td><td>Islam</td><td>58 TH 8 BL</td><td>Perempuan</td><td>Poliklinik Syaraf</td><td>-</td><td>dr. Tutik Ermawati, Sp.S</td><td>BPJS</td>

</tr><tr id="tr1969">



</tr><tr id="tr1970">


ah, Purbalingga</td><td>Islam</td><td>39 TH 6 BL 11 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>

</tr><tr id="tr1971">

<td>1971</td><td>00152871</td><td>Samidi, Tn</td><td>Kel.Berkoh, Kecamatan Purwokerto Sel

atan, Purwokerto</td><td>Islam</td><td>67 TH 2 BL 19 HR</td><td>Laki Laki</td><td>Poliklinik Penyakit Dalam</td><td>Chronic ischaemic heart disease</td><td>dr. Tiara, Sp.PD</td><td>BPJS</td>

</tr><tr id="tr1972">

<td>1972</td><td>00153155</td><td>Purwati, ny</td><td>Desa Gancang, Gumelar, Banyumas</td><td>Islam</td><td>32 TH 1 BL 8 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>

</tr><tr id="tr1973">

<td>1973</td><td>00152919</td><td>Nardem,Ny</td><td>Desa Banjarsari Kulon, Kecamatan Sum

bang, Banyumas</td><td>Islam</td><td>52 TH 8 BL 7 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>

</tr><tr id="tr1974">

<td>1974</td><td>00153188</td><td>Arnie Yuhasimah, Ny</td><td>Desa Losari Kidul, Kecamatan Losari,

Kabupaten Cirebon</td><td>Islam</td><td>64 TH 3 BL 15 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Anaemia, unspecified</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>Umum</td>

</tr><tr id="tr1975">

<td>1975</td><td>00150657</td><td>Mustofa Qastolani, Tn</td>

<td>Desa Banjarparakan, Kecamatan Rawalo, Banyumas</td>

<td>Islam</td><td>63 TH 1 BL 16 HR</td><td>Laki Laki</td><td>Poliklinik Penyakit Dalam</td><td>-</td><td>dr. Tiara, Sp.PD</td><td>BPJS</td>

</tr><tr id="tr1976">

<td>1976</td><td>00143386</td><td>Endang Purwani, Ny</td><td>Desa Cilopadang, Majenang, Cilacap</


</tr><tr id="tr1977">

<td>1977</td><td>00141655</td><td>Maria Tuti Amintosih, Ny</td><td>Desa Kalicupak Kidul, Kecamatan Kali

bagor, Banyumas</td><td>Islam</td><td>46 TH 5 BL 10 HR</td><td>Perempuan</td><td>Poliklinik Syaraf</td><td>Hypertensive diseases</td><td>dr. Tutik Ermawati, Sp.S</td><td>BPJS</td>

</tr><tr id="tr1978">

<td>1978</td><td>00152641</td><td>Warsiyah, Ny</td><td>Kel.Grendeng, Kecamatan Purwokerto U


</tr><tr id="tr1979">


Banjarnegara</td><td>Islam</td><td>38 TH 7 BL 25 HR</td>


</tr><tr id="tr1980">

<td>1980</td><td>00151408</td><td>Tabita Todingubua Pradono, Ny</td><td>Kelurahan Teluk, Kecamatan Purwokert


</tr><tr id="tr1981">

<td>1981</td><td>00154168</td><td>Yusup Atmosuwiryo, Tn</td><td>Desa Pandak, Kecamatan Baturaden, Ba

nyumas</td><td>Islam</td><td>83 TH 3 BL 19 HR</td><td>Laki Laki</td><td>Poliklinik Syaraf</td><td>-</td><td>dr. Tutik Ermawati, Sp.S</td><td>BPJS</td>

</tr><tr id="tr1982">

<td>1982</td><td>00141002</td><td>Revita, Nn</td><td>Desa Munjul, Kecamatan Kutasari, Pur

balingga</td><td>Islam</td><td>26 TH 7 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>

</tr><tr id="tr1983">


Purbalingga</td><td>Islam</td><td>62 TH 6 BL 30 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td>

<td>BPJS</td></tr>

<tr id="tr1984"><td>1984</td><td>00154170</td><td>Slamet Hadi Suprapto, Tn</td><td>Desa Pegalongan, Kecamatan Patikraja

, Banyumas</td><td>Islam</td><td>66 TH 9 BL 6 HR</td><td>Laki Laki</td><td>Poliklinik Bedah Onkology</td><td>Unilateral or unspecified inguinal h


</tr><tr id="tr1985">

<td>1985</td><td>00141617</td><td>Resniti, Ny</td><td>Kelurahan Teluk, Kecamatan Purwokert


</tr><tr id="tr1986">



</tr><tr id="tr1987">

<td>1987</td><td>00153230</td><td>Darwati, Ny</td><td>Desa Leksana, Kecamatan Karangkobar,


</tr><tr id="tr1988">

<td>1988</td><td>00152324</td><td>Sutarni, Ny</td><td>Desa Jepara Wetan, Kecamatan Binangu


</tr><tr id="tr1989">


Banyumas</td><td>Islam</td><td>71 TH 1 BL 13 HR</td><td>Laki Laki</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>Umum</td>

</tr><tr id="tr1990">

<td>1990</td><td>00141692</td><td>Sri Siaganingsih, Ny</td><td>Desa Notog, Kecamatan Patikraja, Ban


</tr><tr id="tr1991">


wokerto Selatan, Purwokerto</td><td>Islam</td><td>50 TH 4 BL 1 HR</td><td>Laki Laki</td><td>Poliklinik Syaraf</td><td>-</td><td>dr. Tutik Ermawati, Sp.S</td><td>BPJS</td>

</tr><tr id="tr1992">

<td>1992</td><td>00152114</td><td>Hasna Azzahra,Nn</td><td>Kel.Purwokerto Wetan, Kecamatan Purw

okerto Timur, Purwokerto</td><td>Islam</td><td>16 TH 7 BL 10 HR</td><td>Perempuan</td><td>Poliklinik Syaraf</td><td>-</td><td>dr. Tutik Ermawati, Sp.S</td><td>Umum</td>

</tr><tr id="tr1993">

<td>1993</td><td>00154171</td><td>Candra Sari Kusumaningrum, Nn</td><td>Kel. Kadipiro, Kecamatan Banjarsari

, Surakarta</td><td>Kristen</td><td>28 TH 11 BL 23 HR</td><td>Perempuan</td><td>Poliklinik Syaraf</td><td>-</td><td>dr. Tutik Ermawati, Sp.S</td><td>Umum</td>

</tr><tr id="tr1994">




</tr><tr id="tr1995">

<td>1995</td><td>00151155</td><td>Hartutik, Ny</td><td>Desa Kecitran, Kecamatan Purwarejakl

ampok, Banjarnegara</td><td>Islam</td><td>38 TH 4 BL 28 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Malignant neoplasm of breast, unspec


</tr><tr id="tr1996">


Cilacap</td><td>Islam</td>

<td>40 TH 5 BL 2 HR</td><td>Laki Laki</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>Umum</td>

</tr><tr id="tr1997">

<td>1997</td><td>00141495</td><td>Rohati, Ny</td><td>Desa Ragatunjung, Kecamatan Paguyang

an, Brebes</td><td>Islam</td><td>39 TH 1 BL 8 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Malignant neoplasm of breast, unspec


</tr><tr id="tr1998">


g, Banjarnegara</td><td>Islam</td><td>58 TH 10 BL 4 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Malignant neoplasm of breast, unspec


</tr><tr id="tr1999">

<td>1999</td><td>00150892</td><td>Jumiyah, Ny</td><td>Desa Karangputat, Kecamatan Nusawung

u, Cilacap</td><td>Islam</td><td>45 TH 4 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>

</tr><tr id="tr2000">

<td>2000</td><td>00100044</td><td>Daryoko, Tn</td><td>Desa Kramat, Kecamatan Kembaran, Ban

yumas</td><td>Islam</td><td>32 TH 5 BL 10 HR</td><td>Laki Laki</td>

<td>Poliklinik Bedah Onkology</td><td>Benign neoplasm of colon, unspecifie


</tr><tr id="tr2001">

<td>2001</td><td>00151671</td><td>Agus Sugiarto, Tn</td><td>Desa Wonolelo, Kecamatan Wonosobo, W

onosobo</td><td>Islam</td><td>42 TH 6 BL 4 HR</td><td>Laki Laki</td><td>Poliklinik Bedah Onkology</td><td>Malignant neoplasm of skin, unspecif


</tr><tr id="tr2002">


s</td><td>Islam</td><td>17 TH 14 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Neoplasm of uncertain or unknown beh


</tr><tr id="tr2003">

<td>2003</td><td>00152884</td><td>Indri Indrawati, Ny</td><td>Kelurahan Teluk, Kecamatan Purwokert


</tr><tr id="tr2004">

<td>2004</td><td>00140938</td><td>Subiyati, Ny</td><td>Desa Gambaran, Kecamatan Kaliwiro, W

onosobo</td><td>Islam</td><td>43 TH 1 BL 1 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td>

<td>Burkitt's tumour non-Hodgkin's lymphoma</td>


</tr><tr id="tr2005">

<td>2005</td><td>00153499</td><td>Rochisoh, Ny</td><td>Desa Sikonco, Kecamatan Nusawungu, C

ilacap</td><td>Islam</td><td>39 TH 5 BL 11 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Breast, unspecified</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>

</tr><tr id="tr2006">

<td>2006</td><td>00153028</td><td>Rusminah, Ny</td><td>Kel.Kober, Kecamatan Purwokerto Bara

t, Purwokerto</td><td>Islam</td><td>50 TH 2 BL 21 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Tuberculosis of other organs</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>

</tr><tr id="tr2007">

<td>2007</td><td>00150083</td><td>Dirkem, Ny</td><td>Desa Karangmangu, Kecamatan Purwojat

i, Banyumas</td><td>Islam</td><td>42 TH 6 BL 2 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Malignant neoplasm of breast, unspec


</tr><tr id="tr2008">

<td>2008</td><td>00153343</td><td>Achmad Suwedi, Tn</td><td>Desa Karanggude Kulon, Kecamatan Kar

anglewas, Banyumas</td><td>Islam</td><td>68 TH 9 BL 27 HR</td><td>Laki Laki</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td>

<td>Umum</td></tr>

<tr id="tr2009"><td>2009</td><td>00142206</td><td>Sugianto, Tn</td><td>Desa Petir, Kecamatan Kalibagor, Ban


</tr><tr id="tr2010">


lacap</td><td>Islam</td><td>20 TH 1 BL 16 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Tuberculosis of other organs</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>

</tr><tr id="tr2011">

<td>2011</td><td>00153143</td><td>Sumarsih, Ny</td><td>Desa Karangrau, Kecamatan Sokaraja,

Banyumas</td><td>Islam</td><td>86 TH 5 BL 28 HR</td><td>Perempuan</td><td>Poliklinik Syaraf</td><td>Stroke, not specified as haemorrhage


</tr><tr id="tr2012">




</tr>

<tr id="tr2013"><td>2013</td><td>00154175</td><td>Karto Leksono, Tn</td><td>Desa Sokaraja Kidul, Kecamatan Sokar

aja, Banyumas</td><td>Khatolik</td><td>78 TH 7 BL 13 HR</td><td>Laki Laki</td><td>Poliklinik Syaraf</td><td>-</td><td>dr. Tutik Ermawati, Sp.S</td><td>BPJS</td>

</tr><tr id="tr2014">



</tr><tr id="tr2015">

<td>2015</td><td>00154112</td><td>Radem, Ny</td><td>Desa Gandatapa, Kecamatan Sumbang, B


</tr><tr id="tr2016">


r, Purbalingga</td><td>Islam</td><td>37 TH 6 BL 28 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Anaemia, unspecified</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>

</tr><tr id="tr2017">

<td>2017</td><td>00154176</td><td>Anggi Cahyani, Nn</td>

<td>Desa Bantarmangu, Cimanggu, Cilacap</td>

<td>Islam</td><td>18 TH 9 BL 28 HR</td><td>Perempuan</td><td>Poliklinik Penyakit Dalam</td><td>-</td><td>dr. Tiara, Sp.PD</td><td>Umum</td>

</tr><tr id="tr2018">


Purbalingga</td><td>Islam</td><td>40 TH 10 BL 26 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Malignant neoplasm of breast</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>

</tr><tr id="tr2019">


okerto Selatan, Purwokerto</td><td>Islam</td><td>86 TH 1 BL 15 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Neoplasm of uncertain or unknown beh


</tr><tr id="tr2020">


anyumas</td><td>Islam</td><td>46 TH 4 BL 10 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Malignant neoplasm of thyroid gland<


</tr><tr id="tr2021">


erto Timur, Purwokerto</td>



</tr><tr id="tr2022">


o Selatan, Purwokerto</td><td>Islam</td><td>75 TH 5 BL 10 HR</td><td>Laki Laki</td><td>Poliklinik Penyakit Dalam</td><td>Gastritis, unspecified</td><td>dr. Tiara, Sp.PD</td><td>BPJS</td>

</tr><tr id="tr2023">



</tr><tr id="tr2024">

<td>2024</td><td>00154177</td><td>Ani Riswanti, Ny (BKKBN)</td><td>Desa Banjaranyar, Kecamatan Sokaraja


</tr><tr id="tr2025">

<td>2025</td><td>00154178</td><td>Siti Zahroh, Ny (BKKBN)</td><td>Desa Banjaranyar, Kecamatan Sokaraja

, Banyumas</td><td>Islam</td><td>36 TH 3 HR</td><td>Perempuan</td>


</tr><tr id="tr2026">

<td>2026</td><td>00154179</td><td>Umiyati, Ny (BKKBN)</td><td>Desa Banjaranyar, Kecamatan Sokaraja


</tr><tr id="tr2027">

<td>2027</td><td>00154180</td><td>Turinem, Ny (BKKBN)</td><td>Desa Banjaranyar, Kecamatan Sokaraja


</tr><tr id="tr2028">

<td>2028</td><td>00154181</td><td>Maryati, Ny (BKKBN)</td><td>Desa Banjaranyar, Kecamatan Sokaraja


</tr><tr id="tr2029">

<td>2029</td><td>00154182</td><td>Ponirah, Ny (BKKBN)</td><td>Desa Banjaranyar, Kecamatan Sokaraja


</tr><tr id="tr2030">

<td>2030</td><td>00153975</td><td>Wiyanto, Ny ( Tuwini,Ny )</td><td>Desa Tanjungtirta, Kecamatan Punggel

an, Banjarnegara</td><td>Islam</td><td>59 TH 5 BL 28 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Malignant neoplasm of breast, unspec


</tr><tr id="tr2031">

<td>2031</td><td>00154183</td><td>Sukarti, Ny (BKKBN)</td><td>Desa Banjaranyar, Kecamatan Sokaraja


</tr><tr id="tr2032">

<td>2032</td><td>00152677</td><td>Mirun, Tn</td><td>Desa Kalipelus, Kecamatan Purwanegar

a, Banjarnegara</td><td>Islam</td><td>47 TH 7 BL 9 HR</td><td>Laki Laki</td><td>Poliklinik Bedah Onkology</td><td>Haemorrhage of anus and rectum</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>

</tr><tr id="tr2033">

<td>2033</td><td>00154184</td><td>Rusmiati, Ny (BKKBN)</td><td>Desa Banjaranyar, Kecamatan Sokaraja


</tr><tr id="tr2034">

<td>2034</td>

<td>00153877</td><td>Anggun Sri Yanti,Nn</td><td>Desa Karanglo, Kecamatan Cilongok, B

anyumas</td><td>Islam</td><td>20 TH 5 BL 23 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Malignant neoplasm of breast</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>

</tr><tr id="tr2035">

<td>2035</td><td>00154185</td><td>Sukarti, Ny (BKKBN)</td><td>Desa Banjaranyar, Kecamatan Sokaraja


</tr><tr id="tr2036">

<td>2036</td><td>00154186</td><td>Mifthahul Janah, Ny (BKKBN)</td><td>Desa Lemberang, Kecamatan Sokaraja,


</tr><tr id="tr2037">

<td>2037</td><td>00153471</td><td>Samroh, Ny</td><td>Desa Dawuhan Kulon, Kecamatan Kedung

banteng, Banyumas</td><td>Islam</td><td>32 TH 6 BL 17 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Diffuse cystic mastopathy</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>

</tr><tr id="tr2038">

<td>2038</td><td>00154187</td><td>Kusmiati, Ny (BKKBN)</td><td>Desa Karangnanas, Kecamatan Sokaraja

, Banyumas</td>


</tr><tr id="tr2039">


sari, Kabupaten Ciamis</td><td>Islam</td><td>45 TH 2 BL 2 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Anaemia, unspecified</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>

</tr><tr id="tr2040">

<td>2040</td><td>00154188</td><td>Kuswati, Ny (BKKBN)</td><td>Desa Banjaranyar, Kecamatan Sokaraja


</tr><tr id="tr2041">



</tr><tr id="tr2042">

<td>2042</td><td>00154189</td><td>Nining Lusiana, Ny (BKKBN)</td><td>Desa Banjaranyar, Kecamatan Sokaraja

, Banyumas</td><td>Islam</td><td>26 TH 8 BL 14 HR</td><td>Perempuan</td><td>Poliklinik Obsgyn</td>


</tr><tr id="tr2043">

<td>2043</td><td>00154190</td><td>Nurwati, Ny (BKKBN)</td><td>Desa Lemberang, Kecamatan Sokaraja,


</tr><tr id="tr2044">

<td>2044</td><td>00142400</td><td>Fatimah, Nn</td><td>Desa Winduaji, Kecamatan Paguyangan,

Brebes</td><td>Islam</td><td>19 TH 9 BL 15 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Acute lymphadenitis, unspecified</td


</tr><tr id="tr2045">


ari, Kabupaten Ciamis</td><td>Islam</td><td>46 TH 3 BL 25 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Malignant neoplasm of breast, unspec


</tr><tr id="tr2046">

<td>2046</td><td>00154191</td><td>Parsini, Ny (BKKBN)</td><td>Desa Lemberang, Kecamatan Sokaraja,

Banyumas</td><td>Islam</td><td>42 TH 10 BL 21 HR</td><td>Perempuan</td><td>Poliklinik Obsgyn</td><td>-</td><td>dr. Edy Sp.OG</td>

<td>BKKBN</td></tr>

<tr id="tr2047"><td>2047</td><td>00154192</td><td>Iwan Sumaryono, Tn</td><td>Desa Semedo, Kecamatan Pekuncen, Ban

yumas</td><td>Islam</td><td>31 TH 9 BL 21 HR</td><td>Laki Laki</td><td>Poliklinik Penyakit Dalam</td><td>-</td><td>dr. Tiara, Sp.PD</td><td>BPJS</td>

</tr><tr id="tr2048">



</tr><tr id="tr2049">

<td>2049</td><td>00150107</td><td>Kasirah, Ny</td><td>Desa Sikonco, Kecamatan Nusawungu, C



</tr><tr id="tr2050">

<td>2050</td><td>00151585</td><td>Kusmeni, Ny</td><td>Desa Jenang, Majenang, Cilacap</td><td>Islam</td><td>49 TH 4 BL 2 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Malignant neoplasm of breast, unspec


</tr><tr id="tr2051">

<td>2051</td><td>00154193</td><td>Basriyah, Ny (BKKBN)</td><td>Desa Lemberang, Kecamatan Sokaraja,


</tr><tr id="tr2052">




</tr><tr id="tr2053">

<td>2053</td><td>00154001</td><td>Catur Mei Liasasi, Ny (BKKBN)</td><td>Kel.Karangklesem, Kecamatan Purwoker


</tr><tr id="tr2054">




</tr><tr id="tr2055">

<td>2055</td><td>00154051</td>

<td>Laely Nurul Amala, Ny</td><td>Desa Karangsari, Kecamatan Adipala,



</tr><tr id="tr2056">

<td>2056</td><td>00154086</td><td>Sdr. maskur amin mustofa</td><td>Belian, Nongsa, Kota Batam</td><td>Islam</td><td>19 TH 5 BL 17 HR</td><td>Laki Laki</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>

</tr><tr id="tr2057">



</tr><tr id="tr2058">

<td>2058</td><td>00152996</td><td>Kasmintana, Tn</td><td>Desa Kalirejo, Kecamatan Karanggayam


</tr><tr id="tr2059">

<td>2059</td><td>00142476</td><td>Suparni, Ny</td><td>Desa Beji, Kecamatan Kedungbanteng,


<td>55 TH 3 BL 24 HR</td><td>Perempuan</td><td>Poliklinik Penyakit Dalam</td><td>-</td><td>dr. Tiara, Sp.PD</td><td>Umum</td>

</tr><tr id="tr2060">

<td>2060</td><td>00151230</td><td>Khoeron, Tn</td><td>Desa Kalipoh, Kecamatan Ayah, Kebume


</tr><tr id="tr2061">


td><td>Islam</td><td>50 TH 4 BL 10 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Haemorrhagic fever with renal syndro

me</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>Umum</td>

</tr><tr id="tr2062">

<td>2062</td><td>00154113</td><td>Mira Apriyani,Nn</td><td>Kelurahan Tritih Kulon, Kec. Cilacap

Utara, Cilacap</td><td>Islam</td><td>25 TH 9 BL 26 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Neoplasm of uncertain or unknown beh


</tr><tr id="tr2063">


Banyumas</td><td>Islam</td><td>65 TH 13 HR</td><td>Laki Laki</td>

<td>Poliklinik Bedah Onkology</td><td>Sequestration of lung</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>

</tr><tr id="tr2064">




</tr><tr id="tr2065">

<td>2065</td><td>00142225</td><td>Sri Wahyuni, Ny</td><td>Kelurahan Pelutan, Kecamatan Pemalan



</tr><tr id="tr2066">

<td>2066</td><td>00141791</td><td>Waisem, Ny</td><td>Desa Kubangkangkung, Kawunganten, Ci



</tr><tr id="tr2067">

<td>2067</td><td>00152658</td><td>Rinna Elyzabet Yulliana Syautta, Nn<

/td><td>Kelurahan Gunungsimping, Cilacap Ten

gah, Cilacap</td><td>Kristen</td><td>26 TH 11 BL 5 HR</td><td>Perempuan</td>


</tr><tr id="tr2068">



</tr><tr id="tr2069">

<td>2069</td><td>00151316</td><td>Minah, Ny</td><td>Desa Menganti, Kecamatan Kesugihan,


</tr><tr id="tr2070">


Barat, Purwokerto</td><td>Islam</td><td>70 TH 9 BL 10 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Anaemia, unspecified</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>

</tr><tr id="tr2071">

<td>2071</td><td>00154195</td><td>Iin Kurniawati Afifah, Nn</td><td>Desa Tayem, Karangpucung, Cilacap</t

d><td>Islam</td><td>19 TH 2 BL 17 HR</td><td>Perempuan</td><td>Poliklinik THT</td><td>Chronic tonsillitis</td><td>dr.Bagus Condro Prasetyo, Sp.THT-KL<

/td>

<td>Umum</td></tr>

<tr id="tr2072"><td>2072</td><td>00141006</td><td>Syarofi Fatoni, Tn</td><td>Desa Winduaji, Kecamatan Paguyangan,

Brebes</td><td>Islam</td><td>66 TH 2 BL 5 HR</td><td>Laki Laki</td><td>Poliklinik Bedah Onkology</td><td>Haemorrhage of anus and rectum</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>

</tr><tr id="tr2073">

<td>2073</td><td>00151440</td><td>Naryati, Ny</td><td>Desa Winduaji, Kecamatan Paguyangan,

Brebes</td><td>Islam</td><td>57 TH 2 BL 7 HR</td><td>Perempuan</td><td>Poliklinik Syaraf</td><td>Arthrosis, unspecified</td><td>dr. Tutik Ermawati, Sp.S</td><td>BPJS</td>

</tr><tr id="tr2074">

<td>2074</td><td>00130081</td><td>Siti Suniah, Ny</td><td>Kel.Kedungwuluh, Kecamatan Purwokert

o Barat, Purwokerto</td><td>Islam</td><td>71 TH 1 BL 17 HR</td><td>Perempuan</td><td>Poliklinik Syaraf</td><td>-</td><td>dr. Tutik Ermawati, Sp.S</td><td>Umum</td>

</tr><tr id="tr2075">



</tr><tr id="tr2076">

<td>2076</td>

<td>00142404</td><td>Tarsim Sutardja, Tn</td><td>Kelurahan Teluk, Kecamatan Purwokert

o Selatan, Purwokerto</td><td>Islam</td><td>60 TH 4 BL 11 HR</td><td>Laki Laki</td><td>Poliklinik Penyakit Dalam</td><td>Heart disease, unspecified</td><td>dr. Tiara, Sp.PD</td><td>BPJS</td>

</tr><tr id="tr2077">

<td>2077</td><td>00151842</td><td>Darwi, Ny</td><td>Kelurahan Teluk, Kecamatan Purwokert

o Selatan, Purwokerto</td><td>Islam</td><td>62 TH 7 BL 12 HR</td><td>Perempuan</td><td>Poliklinik Penyakit Dalam</td><td>Heart disease, unspecified</td><td>dr. Tiara, Sp.PD</td><td>BPJS</td>

</tr><tr id="tr2078">


</td><td>Islam</td><td>47 TH 4 BL 25 HR</td><td>Perempuan</td><td>Poliklinik Syaraf</td><td>Arthropathic psoriasis</td><td>dr. Tutik Ermawati, Sp.S</td><td>BPJS</td>

</tr><tr id="tr2079">



</tr><tr id="tr2080">


yumas</td>



</tr><tr id="tr2081">

<td>2081</td><td>00141704</td><td>Jariyah, Ny</td><td>Desa Pekuncen, Kecamatan Pekuncen, B


</tr><tr id="tr2082">

<td>2082</td><td>00141270</td><td>Carwin Al Mujasir, Tn</td><td>Desa Cijati, Cimanggu, Cilacap</td><td>Islam</td><td>52 TH 7 BL 21 HR</td><td>Laki Laki</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>

</tr><tr id="tr2083">

<td>2083</td><td>00152665</td><td>Amin Triono,Tn</td><td>Desa Pagentan, Kecamatan Pagentan, B


</tr><tr id="tr2084">


ur, Purwokerto</td><td>Islam</td><td>46 TH 1 BL 12 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td>


</tr><tr id="tr2085">


urbalingga</td><td>Islam</td><td>16 TH 9 BL 8 HR</td><td>Laki Laki</td><td>Poliklinik Bedah Onkology</td><td>Anaemia, unspecified</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>

</tr><tr id="tr2086">


an, Brebes</td><td>Islam</td><td>31 TH 2 BL 27 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>

</tr><tr id="tr2087">


ol, Purbalingga</td><td>Islam</td><td>33 TH 7 BL 29 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>Umum</td>

</tr><tr id="tr2088">

<td>2088</td><td>00153587</td><td>Sigit Darwanto, Sdr</td><td>Desa Bojanegara, Kecamatan Padamara,

Purbalingga</td><td>Islam</td><td>18 TH 3 BL 22 HR</td><td>Laki Laki</td><td>Poliklinik Syaraf</td><td>Encephalitis, myelitis and encephalo

myelitis, unspecified</td><td>dr. Tutik Ermawati, Sp.S</td><td>BPJS</td>

</tr><tr id="tr2089">

<td>2089</td><td>00152499</td><td>Saeri, Tn</td><td>Kel.Karangklesem, Kecamatan Purwoker


</tr><tr id="tr2090">

<td>2090</td><td>00154196</td><td>Adelardo Delta Putra, An</td><td>Desa Pagentan, Kecamatan Pagentan, B

anjarnegara</td><td>Islam</td><td>1 TH 7 BL 3 HR</td><td>Laki Laki</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>Umum</td>

</tr><tr id="tr2091">

<td>2091</td><td>00153915</td><td>Kasta Meja,Tn</td><td>Desa Maruyungsari, Kecamatan Padaher

ang, Kabupaten Ciamis</td><td>Islam</td><td>84 TH 18 HR</td><td>Laki Laki</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>

</tr><tr id="tr2092">

<td>2092</td><td>00130696</td><td>Chanifah, Ny</td><td>Desa Kaliori, Kecamatan Kalibagor, B


</tr><tr id="tr2093">

<td>2093</td><td>00142268</td>

<td>Sarmini, Ny</td><td>Desa Sidamulih, Kecamatan Rawalo, Ba


</tr><tr id="tr2094">

<td>2094</td><td>00140308</td><td>Darwanti, Ny</td><td>Desa Nusamangir, Kecamatan Kemranjen

, Banyumas</td><td>Islam</td><td>57 TH 1 BL 14 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>Umum</td>

</tr><tr id="tr2095">



</tr><tr id="tr2096">

<td>2096</td><td>00151567</td><td>R Seto Waluyadi,Tn</td><td>Desa Kunci, Sidareja, Cilacap</td><td>Islam</td><td>64 TH 5 BL 22 HR</td><td>Laki Laki</td><td>Poliklinik Syaraf</td><td>-</td><td>dr. Tutik Ermawati, Sp.S</td><td>BPJS</td>

</tr><tr id="tr2097">

<td>2097</td><td>00152678</td><td>Drs. Kasman Kusuma Aji, Tn</td><td>Desa Kroya, Kecamatan Kroya, Cilacap

</td><td>Islam</td><td>60 TH 2 BL 14 HR</td>

<td>Laki Laki</td><td>Poliklinik Bedah Onkology</td><td>Malignant neoplasm of breast, unspec


</tr><tr id="tr2098">

<td>2098</td><td>00140182</td><td>Ari Sri Winardji, Ny</td><td>Kelurahan Teluk, Kecamatan Purwokert


</tr><tr id="tr2099">



</tr><tr id="tr2100">

<td>2100</td><td>00150520</td><td>Suparyo, Tn</td><td>Desa Serang, Kecamatan Karangreja, P


</tr><tr id="tr2101">

<td>2101</td><td>00154197</td><td>Eky Supriyatiningsih, Ny</td><td>Kel.Sumampir, Kecamatan Purwokerto U



</tr><tr id="tr2102">



</tr><tr id="tr2103">



</tr><tr id="tr2104">

<td>2104</td><td>00141673</td><td>Uji Hendarwati, Ny</td><td>Desa Karangnanas, Kecamatan Sokaraja

, Banyumas</td><td>Islam</td><td>61 TH 9 HR</td><td>Perempuan</td><td>Poliklinik Syaraf</td><td>-</td><td>dr. Tutik Ermawati, Sp.S</td><td>BPJS</td>

</tr><tr id="tr2105">


Banyumas</td><td>Islam</td><td>63 TH 16 HR</td><td>Perempuan</td><td>Poliklinik Syaraf</td><td>-</td><td>dr. Tutik Ermawati, Sp.S</td><td>BPJS</td>

</tr>

<tr id="tr2106"><td>2106</td><td>00150650</td><td>Om Sunarti, Ny</td><td>Desa Sindangbarang, Karangpucung, Ci


</tr><tr id="tr2107">

<td>2107</td><td>00153737</td><td>Teguh Sari, Ny</td><td>Desa Kedungrandu, Kecamatan Patikraj


</tr><tr id="tr2108">


rebes</td><td>Islam</td><td>53 TH 1 BL 12 HR</td><td>Laki Laki</td><td>Poliklinik Syaraf</td><td>-</td><td>dr. Tutik Ermawati, Sp.S</td><td>BPJS</td>

</tr><tr id="tr2109">



</tr><tr id="tr2110">

<td>2110</td><td>00153494</td><td>Koo Hwie Nio Yohana, Ny</td>

<td>Kel.Karangpucung, Kecamatan Purwokerto Selatan, Purwokerto</td>

<td>Khatolik</td><td>78 TH 2 BL 22 HR</td><td>Perempuan</td><td>Poliklinik Syaraf</td><td>-</td><td>dr. Tutik Ermawati, Sp.S</td><td>BPJS</td>

</tr><tr id="tr2111">



</tr><tr id="tr2112">

<td>2112</td><td>00154198</td><td>Sugiarti,Ny</td><td>Kel.Karangpucung, Kecamatan Purwoker


</tr><tr id="tr2113">

<td>2113</td><td>00130379</td><td>Rasiah, Ny</td><td>Desa Kasih, Kecamatan Karanganyar, P

urbalingga</td><td>Islam</td><td>55 TH 1 BL 13 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>Umum</td>

</tr><tr id="tr2114">


a, Purbalingga</td><td>Islam</td><td>59 TH 3 BL 30 HR</td>


</tr><tr id="tr2115">



</tr><tr id="tr2116">

<td>2116</td><td>00154200</td><td>Masiyah, Ny</td><td>Desa Muntang, Kecamatan Kemangkon, P



</tr><tr id="tr2117">

<td>2117</td><td>00154201</td><td>Hevrina Ulfa Ramadhani, Nn</td><td>Desa Leksana, Kecamatan Karangkobar,

Banjarnegara</td><td>Islam</td><td>24 TH 9 BL 26 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>Umum</td>

</tr><tr id="tr2118">

<td>2118</td><td>00151347</td><td>Suwarti, Ny</td><td>Desa Karangkobar, Kecamatan Karangko

bar, Banjarnegara</td><td>Islam</td><td>42 TH 1 BL 17 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>-</td>


</tr><tr id="tr2119">

<td>2119</td><td>00153813</td><td>Mutolib, Tn</td><td>Desa Ampelsari, Kecamatan Petahanan,

Kebumen</td><td>Islam</td><td>39 TH 9 BL 1 HR</td><td>Laki Laki</td><td>Poliklinik Bedah Onkology</td><td>Neoplasm of uncertain or unknown beh


</tr><tr id="tr2120">

<td>2120</td><td>00153992</td><td>Turyati, Ny</td><td>Kel.Berkoh, Kecamatan Purwokerto Sel

atan, Purwokerto</td><td>Islam</td><td>40 TH 7 BL 29 HR</td><td>Perempuan</td><td>Poliklinik Umum</td><td>-</td><td>dr.Andy Lestiono</td><td>BKKBN</td>

</tr><tr id="tr2121">

<td>2121</td><td>00153989</td><td>Triyani, Ny</td><td>Kelurahan Teluk, Kecamatan Purwokert

o Selatan, Purwokerto</td><td>Islam</td><td>30 TH 8 BL 29 HR</td><td>Perempuan</td><td>Poliklinik Umum</td><td>-</td><td>dr.Andy Lestiono</td><td>BKKBN</td>

</tr><tr id="tr2122">

<td>2122</td><td>00153984</td><td>Yuliati, Ny</td><td>Kel.Berkoh, Kecamatan Purwokerto Sel


</tr>

<tr id="tr2123"><td>2123</td><td>00153995</td><td>Diana Suprihatin, Ny</td><td>Kelurahan Sukorejo, Kecamatan Sukore

jo, Kotamadya Blitar</td><td>Islam</td><td>37 TH 9 BL 2 HR</td><td>Perempuan</td><td>Poliklinik Umum</td><td>-</td><td>dr.Andy Lestiono</td><td>BKKBN</td>

</tr><tr id="tr2124">

<td>2124</td><td>00154024</td><td>Lutiah, Ny (BKKBN)</td><td>Kel.Karangklesem, Kecamatan Purwoker

to Selatan, Purwokerto</td><td>Islam</td><td>35 TH 2 BL 29 HR</td><td>Perempuan</td><td>Poliklinik Umum</td><td>-</td><td>dr.Andy Lestiono</td><td>BKKBN</td>

</tr><tr id="tr2125">

<td>2125</td><td>00154038</td><td>Manisah, Ny (BKKBN)</td><td>Desa Karangnanas, Kecamatan Sokaraja

, Banyumas</td><td>Islam</td><td>41 TH 8 BL 7 HR</td><td>Perempuan</td><td>Poliklinik Umum</td><td>-</td><td>dr.Andy Lestiono</td><td>BKKBN</td>

</tr><tr id="tr2126">

<td>2126</td><td>00154034</td><td>Narsiti, Ny (BKKBN)</td><td>Desa Karangnanas, Kecamatan Sokaraja

, Banyumas</td><td>Islam</td><td>44 TH 1 BL 11 HR</td><td>Perempuan</td><td>Poliklinik Umum</td><td>-</td><td>dr.Andy Lestiono</td><td>BKKBN</td>

</tr><tr id="tr2127">

<td>2127</td><td>00154026</td><td>Tarmini, Ny (BKKBN)</td>

<td>Desa Karangnanas, Kecamatan Sokaraja, Banyumas</td>

<td>Islam</td><td>41 TH 1 BL 10 HR</td><td>Perempuan</td><td>Poliklinik Umum</td><td>-</td><td>dr.Andy Lestiono</td><td>BKKBN</td>

</tr><tr id="tr2128">

<td>2128</td><td>00154050</td><td>Sartini, Ny (BKKBN)</td><td>Kel.Karangpucung, Kecamatan Purwoker


</tr><tr id="tr2129">

<td>2129</td><td>00154025</td><td>Sri Wedari, Ny (BKKBN)</td><td>Kel.Karangklesem, Kecamatan Purwoker


</tr><tr id="tr2130">

<td>2130</td><td>00153996</td><td>Ari Kusmirah, Ny</td><td>Kel.Karangklesem, Kecamatan Purwoker

to Selatan, Purwokerto</td><td>Islam</td><td>33 TH 28 HR</td><td>Perempuan</td><td>Poliklinik Umum</td><td>-</td><td>dr.Andy Lestiono</td><td>BKKBN</td>

</tr><tr id="tr2131">

<td>2131</td><td>00153982</td><td>Yanti Rahayu, Ny</td><td>Kel.Karangklesem, Kecamatan Purwoker

to Selatan, Purwokerto</td><td>Islam</td><td>44 TH 4 BL 24 HR</td>

<td>Perempuan</td><td>Poliklinik Umum</td><td>-</td><td>dr.Andy Lestiono</td><td>BKKBN</td>

</tr><tr id="tr2132">

<td>2132</td><td>00154027</td><td>Sri Susmiati, Ny (BKKBN)</td><td>Kel.Karangklesem, Kecamatan Purwoker


</tr><tr id="tr2133">

<td>2133</td><td>00153991</td><td>Umiati, Ny</td><td>Kel.Berkoh, Kecamatan Purwokerto Sel


</tr><tr id="tr2134">

<td>2134</td><td>00153987</td><td>Kuswati, Ny</td><td>Kel.Berkoh, Kecamatan Purwokerto Sel


</tr><tr id="tr2135">

<td>2135</td><td>00154067</td><td>Siti Marfuah, Ny (BKKBN)</td><td>Kel.Karangpucung, Kecamatan Purwoker

to Selatan, Purwokerto</td><td>Islam</td><td>24 TH 1 BL 6 HR</td><td>Perempuan</td><td>Poliklinik Umum</td><td>-</td><td>dr.Andy Lestiono</td>

<td>BKKBN</td></tr>

<tr id="tr2136"><td>2136</td><td>00154017</td><td>Nuryati, Ny (BKKBN)</td><td>Kel.Berkoh, Kecamatan Purwokerto Sel


</tr><tr id="tr2137">

<td>2137</td><td>00154006</td><td>Naswen, Ny (BKKBN)</td><td>Kel.Karangklesem, Kecamatan Purwoker


</tr><tr id="tr2138">

<td>2138</td><td>00154008</td><td>Tati Setyowati, Ny (BKKBN)</td><td>Kel. Purwokerto Kidul, Kecamatan Pur

wokerto Selatan, Purwokerto</td><td>Islam</td><td>35 TH 4 BL 21 HR</td><td>Perempuan</td><td>Poliklinik Umum</td><td>-</td><td>dr.Andy Lestiono</td><td>BKKBN</td>

</tr><tr id="tr2139">

<td>2139</td><td>00153113</td><td>Yaya, Tn</td><td>Desa Ciakar, Kecamatan Cijulang, Kab

upaten Ciamis</td><td>Islam</td><td>57 TH 5 BL 7 HR</td><td>Laki Laki</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>

</tr><tr id="tr2140">

<td>2140</td>

<td>00153284</td><td>Anisah, Ny</td><td>Desa Jangrana, Kecamatan Kesugihan,

Cilacap</td><td>Islam</td><td>37 TH 4 BL</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>

</tr><tr id="tr2141">

<td>2141</td><td>00154114</td><td>Gilang Ramadan, An</td><td>Kel.Karangklesem, Kecamatan Purwoker

to Selatan, Purwokerto</td><td>Islam</td><td>6 TH 4 BL 19 HR</td><td>Laki Laki</td><td>Poliklinik Umum</td><td>-</td><td>dr. Inos</td><td>Umum</td>

</tr><tr id="tr2142">

<td>2142</td><td>00151264</td><td>Sukarti, Ny</td><td>Desa Pekauman, Kecamatan Madukara, B

anjarnegara</td><td>Islam</td><td>53 TH 2 BL 2 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>

</tr><tr id="tr2143">

<td>2143</td><td>00154204</td><td>Tika Kusumawati Dewi, Ny</td><td>Desa Cikeasudik, Kecamatan Gunungput

ri, Kabupaten Bogor</td><td>Islam</td><td>37 TH 12 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>Umum</td>

</tr><tr id="tr2144">


</td>


</tr><tr id="tr2145">

<td>2145</td><td>00150265</td><td>Sutini, Ny</td><td>Desa Sidaurip, Kecamatan Binangun, C



</tr><tr id="tr2146">

<td>2146</td><td>00153475</td><td>Kisi, Ny</td><td>Desa Lebak, Kecamatan Kaliwiro, Wono


</tr><tr id="tr2147">



</tr><tr id="tr2148">




</tr><tr id="tr2149">

<td>2149</td><td>00151912</td><td>Undi Susanti, Ny</td><td>Desa Karangtengah Kidul, Kecamatan K

embaran, Banyumas</td><td>Islam</td><td>26 TH 7 BL 15 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>

</tr><tr id="tr2150">

<td>2150</td><td>00140429</td><td>Juwariyah, Ny</td><td>Desa Kroya, Kecamatan Kroya, Cilacap



</tr><tr id="tr2151">

<td>2151</td><td>00153670</td><td>Jasmini,Ny</td><td>Desa Jurangbahas, Kecamatan Wangon,


</tr><tr id="tr2152">


upaten Ciamis</td><td>Islam</td><td>81 TH 5 HR</td><td>Laki Laki</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td>

<td>Umum</td></tr>

<tr id="tr2153"><td>2153</td><td>00153064</td><td>Supriyati, Ny</td><td>Kel.Bobosan, Kecamatan Purwokerto Ut


</tr><tr id="tr2154">

<td>2154</td><td>00143349</td><td>Siayem, Ny</td><td>Desa Gandrungmangu, Candrungmangu, C

ilacap</td><td>Islam</td><td>43 TH 7 BL 29 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Non-Hodgkin's lymphoma, unspecified


</tr><tr id="tr2155">


n, Banyumas</td><td>Islam</td><td>53 TH 9 BL 28 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>

</tr><tr id="tr2156">

<td>2156</td><td>00151062</td><td>Karsem, Ny</td><td>Desa Karangtengah, Kecamatan Sampang


</tr><tr id="tr2157">

<td>2157</td><td>00152935</td><td>Suyatno, Tn</td><td>Kel.Berkoh, Kecamatan Purwokerto Sel

atan, Purwokerto</td><td>Islam</td><td>74 TH 2 BL 22 HR</td><td>Laki Laki</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>

</tr><tr id="tr2158">

<td>2158</td><td>00143263</td><td>Maesaroh, Ny</td><td>Desa Kedungwringin, Kecamatan Patikr

aja, Banyumas</td><td>Islam</td><td>41 TH 3 BL 15 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Malignant neoplasm of breast, unspec


</tr><tr id="tr2159">

<td>2159</td><td>00152616</td><td>Budi Santosa, Tn</td><td>Desa Kembaran Wetan, Kecamatan Kalig

ondang, Purbalingga</td><td>Islam</td><td>51 TH 7 BL 27 HR</td><td>Laki Laki</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>

</tr><tr id="tr2160">

<td>2160</td><td>00150963</td><td>Sahidin, Tn</td><td>Desa Cijati, Cimanggu, Cilacap</td><td>Islam</td><td>49 TH 6 BL 3 HR</td><td>Laki Laki</td><td>Poliklinik Bedah Onkology</td><td>Malignant neoplasm of skin, unspecif


</tr><tr id="tr2161">

<td>2161</td><td>00142511</td><td>Misriatun, Ny</td>

<td>Kel. Lomanis, Cilacap Tengah, Cilacap</td>


</tr><tr id="tr2162">



</tr><tr id="tr2163">



</tr><tr id="tr2164">

<td>2164</td><td>00153192</td><td>Marmo, Tn</td><td>Kel.Purwanegara, Kecamatan Purwokert

o Utara, Purwokerto</td><td>Islam</td><td>45 TH 8 BL 26 HR</td><td>Laki Laki</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>

</tr><tr id="tr2165">

<td>2165</td><td>00153142</td><td>Nur Izzati, Ny</td><td>Desa Sokaraja Kidul, Kecamatan Sokar

aja, Banyumas</td><td>Islam</td><td>39 TH 1 BL 26 HR</td>

<td>Perempuan</td><td>Poliklinik Syaraf</td><td>Bouchard's nodes (with arthropathy)<


</tr><tr id="tr2166">

<td>2166</td><td>00152601</td><td>Minah, Ny</td><td>Desa Pagedongan, Kecamatan Banjarneg


</tr><tr id="tr2167">

<td>2167</td><td>00152247</td><td>Suripah</td><td>Desa Kalikidang, Kecamatan Sokaraja,


</tr><tr id="tr2168">

<td>2168</td><td>00152890</td><td>Soliah, Ny</td><td>Desa Banjarsari, Kecamatan Ajibarang

, Banyumas</td><td>Islam</td><td>30 TH 4 BL</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>

</tr><tr id="tr2169">


bupaten Ciamis</td><td>Islam</td><td>61 TH 6 BL 10 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>-</td>


</tr><tr id="tr2170">



</tr><tr id="tr2171">

<td>2171</td><td>00154089</td><td>Mochammad Adji Priyanto, Tn</td><td>Kel.Karangklesem, Kecamatan Purwoker

to Selatan, Purwokerto</td><td>Islam</td><td>49 TH 6 BL 10 HR</td><td>Laki Laki</td><td>Poliklinik Penyakit Dalam</td><td>-</td><td>dr. Aditiawarman, Sp. PD</td><td>Umum</td>

</tr><tr id="tr2172">

<td>2172</td><td>00152932</td><td>Suleman, Tn</td><td>Kel. Purbalingga Kulon, Kecamatan Pu

rbalingga, Purbalingga</td><td>Khatolik</td><td>66 TH 9 BL 3 HR</td><td>Laki Laki</td><td>Poliklinik Bedah Onkology</td><td>Malignant neoplasm of other and ill-


</tr><tr id="tr2173">

<td>2173</td><td>00153638</td><td>Sri Yustinah, Ny</td><td>Sungai Paring, Martapura, Banjar</td


</tr>

<tr id="tr2174"><td>2174</td><td>00151327</td><td>Ida Listinah, Ny</td><td>Desa Sidayu, Kecamatan Gombong, Kebu

men</td><td>Islam</td><td>46 TH 4 BL 28 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>

</tr><tr id="tr2175">



</tr><tr id="tr2176">

<td>2176</td><td>00152083</td><td>Sadirah, Ny</td><td>Kel. Tambakreja, Cilacap Selatan, Ci


</tr><tr id="tr2177">

<td>2177</td><td>00152159</td><td>Wasirah, Ny</td><td>Desa Serang, Kecamatan Karangreja, P


</tr><tr id="tr2178">

<td>2178</td><td>00154205</td><td>Soewarni, Ny</td>

<td>Kel.Kutabanjarnegara, Kecamatan Banjarnegara, Banjarnegara</td>



</tr><tr id="tr2179">

<td>2179</td><td>00150574</td><td>Erlina, Ny</td><td>Desa Siasem, Wanasari, Brebes</td><td>Islam</td><td>26 TH 6 BL 12 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Anaemia, unspecified</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>

</tr><tr id="tr2180">



</tr><tr id="tr2181">



</tr><tr id="tr2182">


ng</td><td>Islam</td><td>47 TH 16 HR</td>


</tr><tr id="tr2183">

<td>2183</td><td>00154206</td><td>Icoh, Ny</td><td>Desa Limbangan, Wanareja, Cilacap</t

d><td>Islam</td><td>51 TH 23 HR</td><td>Perempuan</td><td>Poliklinik Umum</td><td>-</td><td>dr.Listya Tanjung</td><td>Umum</td>

</tr><tr id="tr2184">


gi, Cilacap</td><td>Islam</td><td>42 TH 6 BL 4 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>Umum</td>

</tr><tr id="tr2185">

<td>2185</td><td>00130419</td><td>Suciati,Ny</td><td>Desa Maruyungsari, Kecamatan Padaher

ang, Kabupaten Ciamis</td><td>Islam</td><td>30 TH 8 BL 19 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>

</tr><tr id="tr2186">

<td>2186</td><td>00151217</td><td>Pandam Puspitasari, Ny</td><td>Kelurahan Karangtalun, Kec. Cilacap

Utara, Cilacap</td><td>Islam</td><td>42 TH 8 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td>

<td>BPJS</td></tr>

<tr id="tr2187"><td>2187</td><td>00153705</td><td>Suharti, Ny</td><td>Desa Karangpakis, Kecamatan Nusawung

u, Cilacap</td><td>Islam</td><td>43 TH 11 BL 19 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>

</tr><tr id="tr2188">



</tr><tr id="tr2189">

<td>2189</td><td>00154207</td><td>Riki Dian Romanzah, Sdr</td><td>Desa Wiradadi, Kecamatan Sokaraja, B

anyumas</td><td>Islam</td><td>29 TH 8 BL 9 HR</td><td>Laki Laki</td><td>Poliklinik Syaraf</td><td>Arthrosis, unspecified</td><td>dr. Tutik Ermawati, Sp.S</td><td>BPJS</td>

</tr><tr id="tr2190">

<td>2190</td><td>00151215</td><td>Nur Laeli, Ny</td><td>Desa Karangpucung, Karangpucung, Cil



</tr><tr id="tr2191">


/td><td>Kristen</td><td>32 TH 9 BL 20 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>

</tr><tr id="tr2192">

<td>2192</td><td>00152959</td><td>Sakrod, Tn</td><td>Desa Tonjong, Kecamatan Tonjong, Bre

bes</td><td>Islam</td><td>68 TH 7 BL 10 HR</td><td>Laki Laki</td><td>Poliklinik Syaraf</td><td>Stroke, not specified as haemorrhage


</tr><tr id="tr2193">



</tr><tr id="tr2194">


ang, Purbalingga</td><td>Islam</td><td>42 TH 2 BL 8 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Anaemia, unspecified</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>

</tr><tr id="tr2195">

<td>2195</td><td>00150594</td><td>Yusmini, Ny</td>

<td>Desa Kradenan, Kecamatan Mrebet, Purbalingga</td>


</tr><tr id="tr2196">




</tr><tr id="tr2197">

<td>2197</td><td>00142706</td><td>Sitiati, Ny</td><td>Kel. Kejambon, Tegal Timur, Tegal</t


</tr><tr id="tr2198">

<td>2198</td><td>00152953</td><td>Mudji Arif Rahman, Tn</td><td>Desa Kunci, Sidareja, Cilacap</td><td>Islam</td><td>69 TH 6 BL 3 HR</td><td>Laki Laki</td><td>Poliklinik Syaraf</td><td>Paraplegia, unspecified</td><td>dr. Tutik Ermawati, Sp.S</td><td>BPJS</td>

</tr><tr id="tr2199">

<td>2199</td><td>00142678</td><td>Rumnasih, Ny</td><td>Desa Jipang, Bantarkawung, Brebes</t

d><td>Islam</td><td>44 TH 1 BL 12 HR</td>


</tr><tr id="tr2200">


ngon, Banyumas</td><td>Islam</td><td>56 TH 3 BL 27 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Neoplasm of uncertain or unknown beh


</tr><tr id="tr2201">

<td>2201</td><td>00142318</td><td>Juariyah, Ny</td><td>Desa Pekuncen, Kecamatan Pekuncen, B


</tr><tr id="tr2202">


Wonosobo</td><td>Islam</td><td>70 TH 3 BL 8 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>Umum</td>

</tr><tr id="tr2203">

<td>2203</td><td>00141019</td><td>Sutarmi, Ny</td><td>Desa Banjaranyar, Kecamatan Sokaraja



</tr><tr id="tr2204">



</tr><tr id="tr2205">



</tr><tr id="tr2206">


p</td><td>Islam</td><td>7 BL 10 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>Umum</td>

</tr><tr id="tr2207">

<td>2207</td><td>00141441</td><td>Kartinah, Ny</td><td>Desa Sindangsari, Majenang, Cilacap<


</tr>

<tr id="tr2208"><td>2208</td><td>00153062</td><td>Kasem, Ny</td><td>Desa Sidaurip, Candrungmangu, Cilaca

p</td><td>Islam</td><td>43 TH 10 BL 1 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Anaemia, unspecified</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>

</tr><tr id="tr2209">


, Kabupaten Ciamis</td><td>Islam</td><td>43 TH 8 BL 5 HR</td><td>Laki Laki</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>Umum</td>

</tr><tr id="tr2210">

<td>2210</td><td>00153214</td><td>Ima Dwi Aryanti,Ny</td><td>Kel.Kober, Kecamatan Purwokerto Bara

t, Purwokerto</td><td>Islam</td><td>34 TH 10 BL 9 HR</td><td>Perempuan</td><td>Poliklinik Penyakit Dalam</td><td>-</td><td>dr. Aditiawarman, Sp. PD</td><td>BPJS</td>

</tr><tr id="tr2211">

<td>2211</td><td>00153716</td><td>Mirma Dwi Budianti,Ny</td><td>Desa Kalitinggar, Kecamatan Padamara

, Purbalingga</td><td>Islam</td><td>32 TH 3 BL 16 HR</td><td>Perempuan</td><td>Poliklinik Penyakit Dalam</td><td>-</td><td>dr. Aditiawarman, Sp. PD</td><td>BPJS</td>

</tr><tr id="tr2212">

<td>2212</td><td>00153812</td><td>Muhidin, Tn</td>

<td>Desa Sindangwangi, Bantarkawung, Brebes</td>


</tr><tr id="tr2213">




</tr><tr id="tr2214">

<td>2214</td><td>00152443</td><td>Lilis Kurniyati, Ny</td><td>Desa Kalimandi, Kecamatan Purwarejak

lampok, Banjarnegara</td><td>Islam</td><td>46 TH 6 BL 24 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Malignant neoplasm of breast, unspec


</tr><tr id="tr2215">

<td>2215</td><td>00141891</td><td>Sumiati, Ny</td><td>Desa Cilangkap, Gumelar, Banyumas</t

d><td>Islam</td><td>47 TH 6 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Malignant neoplasm of breast, unspec


</tr><tr id="tr2216">



</tr><tr id="tr2217">




</tr><tr id="tr2218">

<td>2218</td><td>00152148</td><td>Masitah, Ny</td><td>Desa Cintajaya, Kecamatan Lakbok, Ka


</tr><tr id="tr2219">

<td>2219</td><td>00154208</td><td>Nur Amaliah, Ny</td><td>Kelurahan Teluk, Kecamatan Purwokert

o Selatan, Purwokerto</td><td>Islam</td><td>30 TH 10 BL 6 HR</td><td>Perempuan</td><td>Poliklinik Syaraf</td><td>-</td><td>dr. Tutik Ermawati, Sp.S</td><td>Umum</td>

</tr><tr id="tr2220">


alingga</td><td>Islam</td><td>47 TH 5 BL 10 HR</td>


</tr><tr id="tr2221">

<td>2221</td><td>00152811</td><td>Suyanti, Ny</td><td>Desa Karangturi, Kecamatan Mrebet, P


</tr><tr id="tr2222">

<td>2222</td><td>00153430</td><td>Kusniah, Ny</td><td>Desa Kedungrandu, Kecamatan Patikraj

a, Banyumas</td><td>Islam</td><td>50 TH 7 BL 18 HR</td><td>Perempuan</td><td>Poliklinik Penyakit Dalam</td><td>-</td><td>dr. Aditiawarman, Sp. PD</td><td>BPJS</td>

</tr><tr id="tr2223">

<td>2223</td><td>00153694</td><td>Kuswadi Chandra HS, Tn</td><td>Kelurahan Teluk, Kecamatan Purwokert


</tr><tr id="tr2224">


dungbanteng, Banyumas</td><td>Islam</td><td>51 TH 9 BL 21 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Malignant neoplasm of breast, unspec

ified</td>


</tr><tr id="tr2225">


Banyumas</td><td>Khatolik</td><td>36 TH 8 BL 2 HR</td><td>Perempuan</td><td>Poliklinik Syaraf</td><td>Arthrosis, unspecified</td><td>dr. Tutik Ermawati, Sp.S</td><td>BPJS</td>

</tr><tr id="tr2226">

<td>2226</td><td>00151039</td><td>Nasikin, Tn</td><td>Desa Jubang, Bulakamba, Brebes</td><td>Islam</td><td>45 TH 9 BL 19 HR</td><td>Laki Laki</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>

</tr><tr id="tr2227">

<td>2227</td><td>00150865</td><td>Sri Wirahayu, Ny</td><td>Desa Karangnanas, Kecamatan Sokaraja

, Banyumas</td><td>Islam</td><td>41 TH 5 BL 16 HR</td><td>Perempuan</td><td>Poliklinik Syaraf</td><td>Myasthenia gravis</td><td>dr. Tutik Ermawati, Sp.S</td><td>BPJS</td>

</tr><tr id="tr2228">

<td>2228</td><td>00153751</td><td>Ismailah Nur Elliza,Nn</td><td>Kel. Karangmanyar, Kecamatan Kaliman

ah, Purbalingga</td><td>Islam</td><td>24 TH 7 BL 1 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>Umum</td>

</tr><tr id="tr2229">

<td>2229</td>

<td>00151197</td><td>Watimah, Ny</td><td>Desa Kutawis, Kecamatan Bukateja, Pu

rbalingga</td><td>Islam</td><td>41 TH 8 BL 6 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Malignant neoplasm of breast, unspec


</tr><tr id="tr2230">


urbalingga</td><td>Islam</td><td>55 TH 6 BL 16 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Neoplasm of uncertain or unknown beh


</tr><tr id="tr2231">


emalang</td><td>Islam</td><td>68 TH 5 BL 5 HR</td><td>Laki Laki</td><td>Poliklinik Bedah Onkology</td><td>Malignant neoplasm of skin, unspecif


</tr><tr id="tr2232">

<td>2232</td><td>00154211</td><td>Yustiarjo,Tn</td><td>Desa Cilapar, Kecamatan Kaligondang,



</tr><tr id="tr2233">

<td>2233</td>

<td>00151872</td><td>Sariman Muhroji, Tn</td><td>Desa Gandrungmangu, Candrungmangu, C

ilacap</td><td>Islam</td><td>58 TH 11 BL 2 HR</td><td>Laki Laki</td><td>Poliklinik Bedah Onkology</td><td>Malignant neoplasm of other and ill-


</tr><tr id="tr2234">




</tr><tr id="tr2235">




</tr><tr id="tr2236">

<td>2236</td><td>00154212</td><td>Raihanah Khairunnisa, An</td><td>Kel.Karangklesem, Kecamatan Purwoker

to Selatan, Purwokerto</td><td>Islam</td><td>2 TH 3 BL 7 HR</td><td>Perempuan</td><td>Poliklinik Syaraf</td><td>Unspecified mental disorder</td><td>dr. Tutik Ermawati, Sp.S</td><td>Umum</td>

</tr><tr id="tr2237">

<td>2237</td><td>00141306</td>

<td>Herlina, Ny</td><td>Desa Pangandaran, Kecamatan Panganda

ran, Kabupaten Ciamis</td><td>Islam</td><td>41 TH 1 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Malignant neoplasm of breast, unspec


</tr><tr id="tr2238">

<td>2238</td><td>00150886</td><td>Aminah, Ny</td><td>Desa Kembaran, Kecamatan Kembaran, B

anyumas</td><td>Islam</td><td>64 TH 11 BL 6 HR</td><td>Perempuan</td><td>Poliklinik Syaraf</td><td>Stroke, not specified as haemorrhage


</tr><tr id="tr2239">

<td>2239</td><td>00154213</td><td>Livia Intan Dwi Lestari, Nn</td><td>Desa Wlahar Wetan, Kecamatan Kalibag

or, Banyumas</td><td>Islam</td><td>17 TH 10 BL 11 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Malignant melanoma of skin, unspecif

ied</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>Umum</td>

</tr><tr id="tr2240">

<td>2240</td><td>00153583</td><td>Imam Susanto. Tn</td><td>Desa Ajibarang Wetan, Kecamatan Ajib

arang, Banyumas</td><td>Kristen</td><td>74 TH 1 BL 6 HR</td><td>Laki Laki</td><td>Poliklinik Syaraf</td><td>Parkinson's disease</td><td>dr. Tutik Ermawati, Sp.S</td><td>Umum</td>

</tr><tr id="tr2241">

<td>2241</td><td>00111067</td><td>Yuyun, Ny</td>

<td>Desa Randudongkal, Kecamatan Randudongkal, Pemalang</td>

<td>Islam</td><td>30 TH 13 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>Umum</td>

</tr><tr id="tr2242">

<td>2242</td><td>00153705</td><td>Suharti, Ny</td><td>Desa Karangpakis, Kecamatan Nusawung

u, Cilacap</td><td>Islam</td><td>43 TH 11 BL 19 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Malignant neoplasm of cervix uteri,


</tr><tr id="tr2243">




</tr><tr id="tr2244">

<td>2244</td><td>00153828</td><td>Tofur,Tn</td><td>Desa Karangduren, Kecamatan Sokaraja

, Banyumas</td><td>Islam</td><td>53 TH 4 BL 5 HR</td><td>Laki Laki</td><td>Poliklinik Syaraf</td><td>Vertigo of central origin</td><td>dr. Tutik Ermawati, Sp.S</td><td>BPJS</td>

</tr><tr id="tr2245">

<td>2245</td><td>00154214</td><td>Nur Rizal Aji Rahmanda, Tn</td><td>Kel.Sumampir, Kecamatan Purwokerto U

tara, Purwokerto</td>

<td>Islam</td><td>36 TH 1 BL 15 HR</td><td>Laki Laki</td><td>Poliklinik Bedah Onkology</td><td>Foreign body granuloma of soft tissu

e, other</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>

</tr><tr id="tr2246">

<td>2246</td><td>00151385</td><td>Tuminah, Ny</td><td>Desa Kemiri, Kecamatan Sumpiuh, Bany

umas</td><td>Islam</td><td>58 TH 1 BL 25 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Neoplasm of uncertain or unknown beh


</tr><tr id="tr2247">



</tr><tr id="tr2248">

<td>2248</td><td>00151508</td><td>Lidya Mick Triatmi, Ny</td><td>Kelurahan Teluk, Kecamatan Purwokert


</tr><tr id="tr2249">

<td>2249</td><td>00140601</td><td>Turyanto, Tn</td><td>Desa Kebanaran, Kecamatan Mandiraja,

Banjarnegara</td><td>Islam</td><td>48 TH 3 HR</td>

<td>Laki Laki</td><td>Poliklinik Bedah Onkology</td><td>Non-Hodgkin's lymphoma, unspecified


</tr><tr id="tr2250">

<td>2250</td><td>00154215</td><td>Mara Tua,Tn</td><td>Pasaman Baru, Pasaman, Pasaman</td><td>Islam</td><td>39 TH 9 BL 2 HR</td><td>Laki Laki</td><td>Poliklinik Umum</td><td>-</td><td>dr. Inos</td><td>Umum</td>

</tr><tr id="tr2251">




</tr><tr id="tr2252">

<td>2252</td><td>00141305</td><td>Cahyaningsih, Ny</td><td>Desa Karangpucung, Kecamatan Karanga

nyar, Purbalingga</td><td>Islam</td><td>47 TH 4 BL 10 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Malignant neoplasm of breast, unspec


</tr><tr id="tr2253">

<td>2253</td><td>00154216</td><td>Mariatun Safitri,Nn</td><td>Desa Sumbang, Kecamatan Sumbang, Ban



</tr><tr id="tr2254">

<td>2254</td><td>00152690</td><td>Siti Hajijah, Ny</td><td>Desa Glempang, Kecamatan Pekuncen, B


</tr><tr id="tr2255">

<td>2255</td><td>00143124</td><td>Darmuti, Ny</td><td>Desa Cibalung, Cimanggu, Cilacap</td



</tr><tr id="tr2256">

<td>2256</td><td>00140385</td><td>Muhtiyah, Ny</td><td>Desa Sinduagung, Kecamatan Selomerto

, Wonosobo</td><td>Islam</td><td>60 TH 4 BL</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Malignant neoplasm of breast, unspec


</tr><tr id="tr2257">

<td>2257</td><td>00141361</td><td>Siti Solichah, Ny</td><td>Desa Gumelar, Gumelar, Banyumas</td><td>Islam</td><td>66 TH 5 BL 9 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Malignant neoplasm of breast, unspec


<td>BPJS</td></tr>

<tr id="tr2258"><td>2258</td><td>00153787</td><td>Sutriyati,Ny</td><td>Desa Bulakan, Kecamatan Belik, Pemal



</tr><tr id="tr2259">

<td>2259</td><td>00150838</td><td>Karyati, Ny</td><td>Desa Tambaknegara, Kecamatan Rawalo,



</tr><tr id="tr2260">




</tr><tr id="tr2261">

<td>2261</td><td>00150372</td><td>Entin, Ny</td><td>Desa Ciganjeng, Kecamatan Padaherang

, Kabupaten Ciamis</td><td>Islam</td><td>54 TH 7 BL 28 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Malignant neoplasm of cervix uteri,

unspecified</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td>

<td>BPJS</td></tr>

<tr id="tr2262"><td>2262</td><td>00154119</td><td>Yayah Uripah,Ny</td><td>Kel.Karangwangkal, Kecamatan Purwoke

rto Utara, Purwokerto</td><td>Islam</td><td>59 TH 3 BL 13 HR</td><td>Perempuan</td><td>Poliklinik Syaraf</td><td>-</td><td>dr. Tutik Ermawati, Sp.S</td><td>BPJS</td>

</tr><tr id="tr2263">




</tr><tr id="tr2264">


o Selatan, Purwokerto</td><td>Islam</td><td>53 TH 6 BL 20 HR</td><td>Laki Laki</td><td>Poliklinik Bedah Onkology</td><td>Anaemia, unspecified</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>

</tr><tr id="tr2265">




</tr>

<tr id="tr2266"><td>2266</td><td>00151458</td><td>Narsiyah, Ny</td><td>Desa Sunyalangu, Kecamatan Karanglew


</tr><tr id="tr2267">

<td>2267</td><td>00141170</td><td>Watinah, Ny</td><td>Desa Cibangkong, Kecamatan Pekuncen,



</tr><tr id="tr2268">

<td>2268</td><td>00151929</td><td>Tepi Agustina,Nn</td><td>Desa Padangjaya, Majenang, Cilacap</

td><td>Islam</td><td>16 TH 5 BL 28 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Malignant neoplasm of breast, unspec


</tr><tr id="tr2269">

<td>2269</td><td>00141454</td><td>Watonah, Ny</td><td>Desa Mandala, Cimanggu, Cilacap</td><td>Islam</td><td>29 TH 6 BL 3 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Malignant neoplasm of breast, unspec


</tr><tr id="tr2270">

<td>2270</td>

<td>00143122</td><td>Dyah Sulistyanti, Ny</td><td>Desa Sokaraja Tengah, Kecamatan Soka

raja, Banyumas</td><td>Islam</td><td>39 TH 10 BL 3 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Secondary malignant neoplasm of ovar


</tr><tr id="tr2271">




</tr><tr id="tr2272">

<td>2272</td><td>00151536</td><td>Kasiran, Tn</td><td>Desa Bojong, Kawunganten, Cilacap</t

d><td>Islam</td><td>44 TH 3 BL 1 HR</td><td>Laki Laki</td><td>Poliklinik Bedah Onkology</td><td>Carcinoma in situ of rectum</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>

</tr><tr id="tr2273">

<td>2273</td><td>00152876</td><td>Sukini, Ny</td><td>Desa Kalikidang, Kecamatan Sokaraja,


</tr><tr id="tr2274">

<td>2274</td><td>00142981</td><td>Umi Salamah, Ny</td>

<td>Desa Serang, Cipari, Cilacap</td><td>Islam</td><td>36 TH 1 BL 21 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Malignant neoplasm of breast, unspec


</tr><tr id="tr2275">



</tr><tr id="tr2276">

<td>2276</td><td>00153202</td><td>Parmini, Ny</td><td>Desa Pamijen, Kecamatan Sokaraja, Ba

nyumas</td><td>Islam</td><td>57 TH 4 BL 23 HR</td><td>Perempuan</td><td>Poliklinik Syaraf</td><td>Diabetes mellitus</td><td>dr. Tutik Ermawati, Sp.S</td><td>BPJS</td>

</tr><tr id="tr2277">


Banyumas</td><td>Islam</td><td>37 TH 10 BL 29 HR</td><td>Laki Laki</td><td>Poliklinik Bedah Onkology</td><td>Benign lipomatous neoplasm, unspecif


</tr><tr id="tr2278">


i, Kabupaten Ciamis</td><td>Islam</td>

<td>70 TH 4 BL 2 HR</td><td>Laki Laki</td><td>Poliklinik Bedah Onkology</td><td>Non-Hodgkin's lymphoma, unspecified


</tr><tr id="tr2279">

<td>2279</td><td>00153721</td><td>Edi Susanto,An</td><td>Desa Ayamalas, Kecamatan Kroya, Cila

cap</td><td>Islam</td><td>11 TH 10 BL 25 HR</td><td>Laki Laki</td><td>Poliklinik Bedah Onkology</td><td>Malignant neoplasm of skin, unspecif


</tr><tr id="tr2280">

<td>2280</td><td>00154220</td><td>Eka Somawati, Ny (BKKBN)</td><td>Desa Purwasari, Kecamatan Baturaden,


</tr><tr id="tr2281">


eng, Banyumas</td><td>Islam</td><td>36 TH 1 BL 15 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Neoplasm of uncertain or unknown beh


</tr><tr id="tr2282">


ebumen</td><td>Islam</td><td>56 TH 5 BL 4 HR</td>


</tr><tr id="tr2283">


ap</td><td>Islam</td><td>67 TH 3 BL 4 HR</td><td>Laki Laki</td><td>Poliklinik Bedah Onkology</td><td>Disorder of prostate, unspecified</t


</tr><tr id="tr2284">

<td>2284</td><td>00154221</td><td>Runingsih, Ny (BKKBN)</td><td>Desa Kemutug Lor, Kecamatan Baturade

n, Banyumas</td><td>Islam</td><td>30 TH 3 BL 14 HR</td><td>Perempuan</td><td>Poliklinik Obsgyn</td><td>-</td><td>dr. Edy Sp.OG</td><td>BKKBN</td>

</tr><tr id="tr2285">

<td>2285</td><td>00154223</td><td>Sutirah, Ny (BKKBN)</td><td>Desa Keniten, Kecamatan Kedungbanten

g, Banyumas</td><td>Islam</td><td>39 TH 7 BL 17 HR</td><td>Perempuan</td><td>Poliklinik Obsgyn</td><td>-</td><td>dr. Edy Sp.OG</td><td>BKKBN</td>

</tr><tr id="tr2286">

<td>2286</td><td>00154224</td><td>Siti Aniatun Hamdiyah, Ny (BKKBN)</t

d><td>Desa Dawuhan Wetan, Kecamatan Kedung

banteng, Banyumas</td><td>Islam</td><td>33 TH 10 BL 22 HR</td><td>Perempuan</td><td>Poliklinik Obsgyn</td>


</tr><tr id="tr2287">

<td>2287</td><td>00154225</td><td>Asih Cahyawati, Ny (BKKBN)</td><td>Desa Karangnangka, Kecamatan Kedungb

anteng, Banyumas</td><td>Islam</td><td>36 TH 1 BL 24 HR</td><td>Perempuan</td><td>Poliklinik Obsgyn</td><td>-</td><td>dr. Edy Sp.OG</td><td>BKKBN</td>

</tr><tr id="tr2288">

<td>2288</td><td>00151283</td><td>Purwatiningsih,Ny</td><td>Desa Bantarpanjang, Cimanggu, Cilaca

p</td><td>Islam</td><td>48 TH 3 BL 20 HR</td><td>Perempuan</td><td>Poliklinik Syaraf</td><td>Neuralgia and neuritis, unspecified,


</tr><tr id="tr2289">


p</td><td>Islam</td><td>76 TH 5 HR</td><td>Laki Laki</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>

</tr><tr id="tr2290">

<td>2290</td><td>00154226</td><td>Siti Purwaningsih, Ny (BKKBN)</td><td>Desa Kedungbanteng, Kecamatan Kedung

banteng, Banyumas</td><td>Islam</td><td>38 TH 4 BL 25 HR</td><td>Perempuan</td><td>Poliklinik Obsgyn</td><td>-</td><td>dr. Edy Sp.OG</td><td>BKKBN</td>

</tr><tr id="tr2291">

<td>2291</td><td>00154227</td><td>Asih Yatiningsih, Ny (BKKBN)</td><td>Desa Karangpucung, Kecamatan Tambak,


</tr><tr id="tr2292">

<td>2292</td><td>00154228</td><td>Sarningatun, Ny (BKKBN)</td><td>Desa Karangpetir, Kecamatan Tambak,


</tr><tr id="tr2293">

<td>2293</td><td>00154229</td><td>Sri Hartati, Ny</td><td>Desa Kasilib, Kecamatan Wanadadi, Ba

njarnegara</td><td>Islam</td><td>58 TH 11 BL 15 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Malignant neoplasm of breast, unspec


</tr><tr id="tr2294">

<td>2294</td><td>00154230</td><td>Wiwi Suprihatin, Ny (BKKBN)</td><td>Kel.Kranji, Kecamatan Purwokerto Tim

ur, Purwokerto</td><td>Islam</td><td>44 TH 4 BL 30 HR</td><td>Perempuan</td><td>Poliklinik Obsgyn</td><td>-</td><td>dr. Edy Sp.OG</td><td>BKKBN</td>

</tr><tr id="tr2295">

<td>2295</td>

<td>00154117</td><td>Rinda Permata Sari,Ny</td><td>Desa Candinegara, Kecamatan Pekuncen



</tr><tr id="tr2296">



</tr><tr id="tr2297">




</tr><tr id="tr2298">

<td>2298</td><td>00154231</td><td>Yulia Anggraeni, Ny (BKKBN)</td><td>Kel.Kedungwuluh, Kecamatan Purwokert

o Barat, Purwokerto</td><td>Islam</td><td>41 TH 7 BL 13 HR</td><td>Perempuan</td><td>Poliklinik Obsgyn</td><td>-</td><td>dr. Edy Sp.OG</td><td>BKKBN</td>

</tr><tr id="tr2299">

<td>2299</td><td>00154232</td><td>Nur Afifah, Ny (BKKBN)</td>

<td>Kel. Rejasari, Kecamatan Purwokerto Barat, Purwokerto</td>


</tr><tr id="tr2300">

<td>2300</td><td>00142785</td><td>Ene, Ny</td><td>Desa Baregbeg, Kecamatan Ciamis, Kab



</tr><tr id="tr2301">

<td>2301</td><td>00154233</td><td>Ridho Akbarsyah,An</td><td>Kel. Gumilir, Kec. Cilacap Utara, Ci

lacap</td><td>Islam</td><td>16 TH 1 BL 21 HR</td><td>Laki Laki</td><td>Poliklinik Syaraf</td><td>Low back pain</td><td>dr. Tutik Ermawati, Sp.S</td><td>Umum</td>

</tr><tr id="tr2302">

<td>2302</td><td>00154234</td><td>Asih Murdiningrum, Ny (BKKBN)</td><td>Kel. Rejasari, Kecamatan Purwokerto

Barat, Purwokerto</td><td>Islam</td><td>45 TH 6 BL 4 HR</td><td>Perempuan</td><td>Poliklinik Obsgyn</td><td>-</td><td>dr. Edy Sp.OG</td><td>BKKBN</td>

</tr><tr id="tr2303">





</tr><tr id="tr2304">

<td>2304</td><td>00154235</td><td>Purnomowati, Ny (BKKBN)</td><td>Kel.Purwanegara, Kecamatan Purwokert

o Utara, Purwokerto</td><td>Islam</td><td>43 TH 3 BL 16 HR</td><td>Perempuan</td><td>Poliklinik Obsgyn</td><td>-</td><td>dr. Edy Sp.OG</td><td>BKKBN</td>

</tr><tr id="tr2305">

<td>2305</td><td>00154236</td><td>Lewi Indra Mawar Isdiati, Ny (BKKBN)

</td><td>Kel.Mersi, Kecamatan Purwokerto Timu

r, Purwokerto</td><td>Islam</td><td>38 TH 10 BL 23 HR</td><td>Perempuan</td><td>Poliklinik Obsgyn</td><td>-</td><td>dr. Edy Sp.OG</td><td>BKKBN</td>

</tr><tr id="tr2306">


jarnegara</td><td>Islam</td><td>58 TH 5 BL</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>

</tr><tr id="tr2307">

<td>2307</td><td>00150025</td><td>Mabruroh, Ny</td><td>Desa Winduaji, Kecamatan Paguyangan,


<td>Poliklinik Bedah Onkology</td><td>Non-Hodgkin's lymphoma, unspecified


</tr><tr id="tr2308">

<td>2308</td><td>00154237</td><td>Lasmini, Ny (BKKBN)</td><td>Kel.Mersi, Kecamatan Purwokerto Timu

r, Purwokerto</td><td>Islam</td><td>35 TH 3 BL 2 HR</td><td>Perempuan</td><td>Poliklinik Obsgyn</td><td>-</td><td>dr. Edy Sp.OG</td><td>BKKBN</td>

</tr><tr id="tr2309">

<td>2309</td><td>00153487</td><td>Jamini, Ny</td><td>Desa Krangean, Kecamatan Karanganyar

, Purbalingga</td><td>Islam</td><td>32 TH 8 BL 17 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Malignant neoplasm of colon</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>

</tr><tr id="tr2310">

<td>2310</td><td>00154087</td><td>Turi,Ny</td><td>Desa Boja, Majenang, Cilacap</td><td>Islam</td><td>48 TH 10 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Calculus of kidney</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>Umum</td>

</tr><tr id="tr2311">

<td>2311</td><td>00154238</td><td>Karsitem, Ny (BKKBN)</td><td>Desa Karangendep, Kecamatan Patikraj

a, Banyumas</td><td>Islam</td><td>38 TH 3 BL 27 HR</td><td>Perempuan</td><td>Poliklinik Obsgyn</td><td>-</td><td>dr. Edy Sp.OG</td><td>BKKBN</td>

</tr><tr id="tr2312">

<td>2312</td><td>00151213</td><td>Dian Andriani, Ny</td><td>Desa Pataruman, Kecamatan Pataruman,



</tr><tr id="tr2313">

<td>2313</td><td>00152509</td><td>Arum Handayani, Ny</td><td>Desa Tembokluwung, Adiwerna, Tegal</



</tr><tr id="tr2314">

<td>2314</td><td>00154239</td><td>Badriyah, Ny (BKKBN)</td><td>Desa Kedungwringin, Kecamatan Patikr


</tr><tr id="tr2315">

<td>2315</td><td>00154240</td><td>Dwi Tuti Anggraeni, Ny (BKKBN)</td><td>Kel.Sumpiuh, Kecamatan Sumpiuh, Bany

umas</td><td>Islam</td><td>33 TH 4 BL 17 HR</td><td>Perempuan</td><td>Poliklinik Obsgyn</td><td>-</td><td>dr. Edy Sp.OG</td><td>BKKBN</td>

</tr><tr id="tr2316">

<td>2316</td><td>00154135</td><td>Sri Murtini, Ny</td><td>Desa Karangreja, Kecamatan Maos, Cil

acap</td><td>Islam</td><td>65 TH 1 BL 21 HR</td><td>Perempuan</td><td>Poliklinik Syaraf</td><td>Arthrosis, unspecified</td><td>dr. Tutik Ermawati, Sp.S</td><td>BPJS</td>

</tr><tr id="tr2317">


/td><td>Islam</td><td>52 TH 7 BL 6 HR</td><td>Perempuan</td><td>Poliklinik Syaraf</td><td>Arthrosis, unspecified</td><td>dr. Tutik Ermawati, Sp.S</td><td>BPJS</td>

</tr><tr id="tr2318">

<td>2318</td><td>00153706</td><td>Kresmon Ade Pamungkas, Sdr</td><td>Kelurahan Teluk, Kecamatan Purwokert

o Selatan, Purwokerto</td><td>Khatolik</td><td>17 TH 10 BL 24 HR</td><td>Laki Laki</td><td>Poliklinik Syaraf</td><td>Dizziness and giddiness</td><td>dr. Tutik Ermawati, Sp.S</td><td>BPJS</td>

</tr><tr id="tr2319">




</tr><tr id="tr2320">

<td>2320</td><td>00154241</td><td>Asri Widi Astuti, Ny (BKKBN)</td>

<td>Kel.Sumpiuh, Kecamatan Sumpiuh, Banyumas</td>


</tr><tr id="tr2321">

<td>2321</td><td>00131156</td><td>Sunarti, Ny</td><td>Desa Tembokluwung, Adiwerna, Tegal</

td><td>Islam</td><td>45 TH 10 BL 6 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Malignant neoplasm of breast, unspec


</tr><tr id="tr2322">

<td>2322</td><td>00154242</td><td>Suyati, Ny (BKKBN)</td><td>Kel.Sumpiuh, Kecamatan Sumpiuh, Bany


</tr><tr id="tr2323">

<td>2323</td><td>00154243</td><td>Widiantoro,Sdr</td><td>Desa Gandrungmangu, Candrungmangu, C

ilacap</td><td>Islam</td><td>37 TH 5 BL 14 HR</td><td>Laki Laki</td><td>Poliklinik Syaraf</td><td>Facial nerve disorders</td><td>dr. Tutik Ermawati, Sp.S</td><td>Umum</td>

</tr><tr id="tr2324">

<td>2324</td><td>00154244</td><td>Sainah, Ny (BKKBN)</td><td>Kel.Sumpiuh, Kecamatan Sumpiuh, Bany

umas</td><td>Islam</td>

<td>46 TH 5 BL 22 HR</td><td>Perempuan</td><td>Poliklinik Obsgyn</td><td>-</td><td>dr. Edy Sp.OG</td><td>BKKBN</td>

</tr><tr id="tr2325">

<td>2325</td><td>00154245</td><td>Budi Yuniarti, Ny (BKKBN)</td><td>Desa Karangsalam, Kecamatan Kemranje

n, Banyumas</td><td>Islam</td><td>36 TH 8 BL 3 HR</td><td>Perempuan</td><td>Poliklinik Obsgyn</td><td>-</td><td>dr. Edy Sp.OG</td><td>BKKBN</td>

</tr><tr id="tr2326">

<td>2326</td><td>00154246</td><td>Daryati, Ny (BKKBN)</td><td>Desa Alasmalang, Kecamatan Kemranjen


</tr><tr id="tr2327">

<td>2327</td><td>00154247</td><td>Umiyati,Ny</td><td>Desa Negaradaha, Kecamatan Bumiayu,

Brebes</td><td>Islam</td><td>74 TH 6 BL 21 HR</td><td>Perempuan</td><td>Poliklinik Syaraf</td><td>Hypertensive diseases</td><td>dr. Tutik Ermawati, Sp.S</td><td>BPJS</td>

</tr><tr id="tr2328">

<td>2328</td><td>00150169</td><td>Supriasih, Ny</td><td>Kelurahan Teluk, Kecamatan Purwokert

o Selatan, Purwokerto</td><td>Islam</td><td>35 TH 8 BL 3 HR</td><td>Perempuan</td><td>Poliklinik Syaraf</td><td>Dizziness and giddiness</td>


</tr><tr id="tr2329">

<td>2329</td><td>00150144</td><td>Sutirah Al Jayadi, Ny</td><td>Desa Pakelen, Kecamatan Madukara, Ba

njarnegara</td><td>Islam</td><td>70 TH 4 BL 4 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Malignant neoplasm of breast, unspec


</tr><tr id="tr2330">

<td>2330</td><td>00140198</td><td>Waluyati, Ny</td><td>Desa Cilumping, Dayeuhluhur, Cilacap

</td><td>Islam</td><td>54 TH 1 BL 13 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Neoplasm of uncertain or unknown beh


</tr><tr id="tr2331">

<td>2331</td><td>00151397</td><td>Watiah, Ny</td><td>Desa Winduaji, Kecamatan Paguyangan,



</tr><tr id="tr2332">


bes</td><td>Islam</td><td>46 TH 3 BL</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Unspecified appendicitis</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td>

<td>BPJS</td></tr>

<tr id="tr2333"><td>2333</td><td>00154248</td><td>Boedi Handayani,Ny</td><td>Kel.Berkoh, Kecamatan Purwokerto Sel

atan, Purwokerto</td><td>Islam</td><td>59 TH 6 BL 3 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Neoplasm of uncertain or unknown beh


</tr><tr id="tr2334">

<td>2334</td><td>00142395</td><td>Marniti, Ny</td><td>Desa Keboledan, Wanasari, Brebes</td

><td>Islam</td><td>34 TH 5 BL 15 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Non-Hodgkin's lymphoma, unspecified


</tr><tr id="tr2335">

<td>2335</td><td>00152309</td><td>Siti Rohyani,Ny</td><td>Kel.Karangklesem, Kecamatan Purwoker

to Selatan, Purwokerto</td><td>Islam</td><td>43 TH 10 BL 6 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Malignant neoplasm of breast, unspec


</tr><tr id="tr2336">



ied</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td>

<td>BPJS</td></tr>

<tr id="tr2337"><td>2337</td><td>00142380</td><td>Tawen, Ny</td><td>Desa Dayeuhluhur, Dayeuhluhur, Cilac

ap</td><td>Islam</td><td>51 TH 4 BL 5 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Non-Hodgkin's lymphoma, unspecified


</tr><tr id="tr2338">


n, Cilacap</td><td>Islam</td><td>52 TH 1 BL 14 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Malignant neoplasm of breast, unspec


</tr><tr id="tr2339">

<td>2339</td><td>00152141</td><td>Andayani, Ny</td><td>Kel. Donan, Cilacap Tengah, Cilacap<



</tr><tr id="tr2340">




<td>BPJS</td></tr>

<tr id="tr2341"><td>2341</td><td>00153900</td><td>Supardi,Tn</td><td>Desa Puloerang, Kecamatan Lakbok, Ka

bupaten Ciamis</td><td>Islam</td><td>62 TH 3 BL 12 HR</td><td>Laki Laki</td><td>Poliklinik Bedah Onkology</td><td>Neoplasm of uncertain or unknown beh


</tr><tr id="tr2342">

<td>2342</td><td>00153166</td><td>Narsanto, Tn</td><td>Desa Dukuhwaluh, Kecamatan Kembaran,

Banyumas</td><td>Islam</td><td>61 TH 22 HR</td><td>Laki Laki</td><td>Poliklinik Syaraf</td><td>-</td><td>dr. Tutik Ermawati, Sp.S</td><td>BPJS</td>

</tr><tr id="tr2343">




</tr><tr id="tr2344">



</tr>

<tr id="tr2345"><td>2345</td><td>00141786</td><td>Kholidin, Tn</td><td>Desa Beji, Kecamatan Kedungbanteng,


</tr><tr id="tr2346">

<td>2346</td><td>00131082</td><td>Upah Kuraesin, Ny</td><td>Desa Jangraga, Kecamatan Padaherang,



</tr><tr id="tr2347">

<td>2347</td><td>00154249</td><td>Muhamad Toha, Tn</td><td>Desa Ciporos, Karangpucung, Cilacap<

/td><td>Islam</td><td>57 TH 9 BL 21 HR</td><td>Laki Laki</td><td>Poliklinik Umum</td><td>Delivery of viable fetus in abdomina

l pregnancy</td><td>dr.Listya Tanjung</td><td>Umum</td>

</tr><tr id="tr2348">




</tr><tr id="tr2349">

<td>2349</td><td>00153950</td><td>Nur Kholisoh,Ny</td><td>Kelurahan Teluk, Kecamatan Purwokert

o Selatan, Purwokerto</td><td>Islam</td><td>34 TH 2 BL 30 HR</td><td>Perempuan</td><td>Poliklinik Syaraf</td><td>Cluster headache syndrome</td><td>dr. Tutik Ermawati, Sp.S</td><td>Umum</td>

</tr><tr id="tr2350">


Timur, Purwokerto</td><td>Islam</td><td>47 TH 7 BL 11 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Malignant neoplasm of breast, unspec


</tr><tr id="tr2351">


o Selatan, Purwokerto</td><td>Islam</td><td>8 TH 2 BL 8 HR</td><td>Laki Laki</td><td>Poliklinik Umum</td><td>-</td><td>dr.Listya Tanjung</td><td>Umum</td>

</tr><tr id="tr2352">



</tr><tr id="tr2353">

<td>2353</td><td>00153836</td><td>Arif Budi Raharja,Tn</td>

<td>Desa Kemutug Lor, Kecamatan Baturaden, Banyumas</td>


</tr><tr id="tr2354">




</tr><tr id="tr2355">




</tr><tr id="tr2356">

<td>2356</td><td>00142853</td><td>Syaiful Hidayat, Sdr</td><td>Kelurahan Teluk, Kecamatan Purwokert


</tr><tr id="tr2357">

<td>2357</td><td>00141889</td><td>Ngatini, Ny</td><td>Desa Cihonje, Gumelar, Banyumas</td><td>Islam</td>

<td>65 TH 5 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Malignant neoplasm of breast, unspec


</tr><tr id="tr2358">




</tr><tr id="tr2359">

<td>2359</td><td>00150185</td><td>Sri Eko Pujiasih, Ny</td><td>Desa Bulusari, Bulakamba, Brebes</td



</tr><tr id="tr2360">



</tr><tr id="tr2361">

<td>2361</td><td>00153736</td><td>Kastini, Ny</td><td>Desa Parakan, Kecamatan Purwanegara,

Banjarnegara</td><td>Islam</td><td>69 TH 7 BL 15 HR</td>


</tr><tr id="tr2362">

<td>2362</td><td>00141493</td><td>Lina Krisyana, Ny</td><td>Kelurahan Bancarkembar, Kecamatan Pu

rwokerto Utara, Purwokerto</td><td>Kristen</td><td>50 TH 4 BL 19 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Malignant neoplasm of breast, unspec


</tr><tr id="tr2363">

<td>2363</td><td>00154250</td><td>Ling Ling Ismayati,Ny</td><td>Desa Karangreja, Cimanggu, Cilacap</

td><td>Islam</td><td>39 TH 5 BL 28 HR</td><td>Perempuan</td><td>Poliklinik Syaraf</td><td>-</td><td>dr. Tutik Ermawati, Sp.S</td><td>BPJS</td>

</tr><tr id="tr2364">

<td>2364</td><td>00110021</td><td>Indra Yuditira, Sdr</td><td>Kelurahan Tanjung, Kecamatan Purwoke

rto Selatan, Purwokerto</td><td>Islam</td><td>19 TH 1 BL 4 HR</td><td>Laki Laki</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>Umum</td>

</tr><tr id="tr2365">


Cilacap</td><td>Islam</td><td>40 TH 5 BL 2 HR</td><td>Laki Laki</td><td>Poliklinik Bedah Onkology</td><td>Neoplasm of uncertain or unknown beh


</tr><tr id="tr2366">

<td>2366</td><td>00150950</td><td>Enok Suryati, Ny</td><td>Kel. Sindangrasa, Kecamatan Ciamis,



</tr><tr id="tr2367">

<td>2367</td><td>00154204</td><td>Tika Kusumawati Dewi, Ny</td><td>Desa Cikeasudik, Kecamatan Gunungput

ri, Kabupaten Bogor</td><td>Islam</td><td>37 TH 12 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Neoplasm of uncertain or unknown beh


</tr><tr id="tr2368">

<td>2368</td><td>00150166</td><td>Watini, Ny</td><td>Desa Karangkemiri, Kecamatan Pekunce



</tr><tr id="tr2369">




</tr><tr id="tr2370">

<td>2370</td><td>00143171</td><td>Sukeri, Ny</td><td>Desa Jenang, Majenang, Cilacap</td><td>Islam</td><td>58 TH 10 BL 1 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Malignant neoplasm of breast, unspec


</tr><tr id="tr2371">


o Selatan, Purwokerto</td><td>Islam</td><td>44 TH 3 BL</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Anaemia, unspecified</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>

</tr><tr id="tr2372">


lancar, Kabupaten Ciamis</td><td>Islam</td><td>43 TH 5 BL 30 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>

</tr><tr id="tr2373">

<td>2373</td><td>00153373</td><td>Sri Khayawati,Ny</td><td>Desa Bantarbolang, Kecamatan Bantarb

olang, Pemalang</td><td>Islam</td><td>34 TH 1 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Malignant neoplasm of breast, unspec


</tr><tr id="tr2374">


Banyumas</td><td>Islam</td><td>60 TH 1 BL 16 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Disorder of central nervous system,


</tr><tr id="tr2375">

<td>2375</td><td>00140686</td><td>Kaisah, Ny</td><td>Desa Sawangan Kidul, Kecamatan Patik

raja, Banyumas</td><td>Islam</td><td>48 TH 10 BL</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Malignant neoplasm of breast, unspec


</tr><tr id="tr2376">

<td>2376</td><td>00131228</td><td>Elijah Miasih, Ny</td><td>Desa Pekuncen, Kecamatan Pekuncen, B



</tr><tr id="tr2377">

<td>2377</td><td>00151924</td><td>Indarti Sumariyah, Ny</td><td>Desa Purwareja, Kecamatan Purwarejak



</tr><tr id="tr2378">


anjarnegara</td><td>Islam</td><td>35 TH 11 BL 9 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Malignant neoplasm of cervix uteri,


</tr><tr id="tr2379">




</tr><tr id="tr2380">

<td>2380</td><td>00141366</td><td>Sofiatun Khasanah, Ny</td><td>Desa Candinegara, Kecamatan Pekuncen


</tr><tr id="tr2381">

<td>2381</td><td>00143261</td><td>Ruci, Ny</td><td>Desa Bentarsari, Salem, Brebes</td><td>Islam</td><td>52 TH 6 BL 27 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Malignant neoplasm of breast, unspec


</tr><tr id="tr2382">


abupaten Ciamis</td><td>Islam</td><td>61 TH 7 BL 18 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Malignant neoplasm of breast, unspec


</tr><tr id="tr2383">

<td>2383</td><td>00152980</td><td>Ikah Atikah, Ny</td><td>Desa Nasor, Kecamatan Cikoneng, Kabu



</tr><tr id="tr2384">


o Selatan, Purwokerto</td><td>Islam</td><td>49 TH 3 BL</td><td>Perempuan</td><td>Poliklinik Penyakit Dalam</td><td>Hypertensive diseases</td><td>dr. Aditiawarman, Sp. PD</td><td>BPJS</td>

</tr><tr id="tr2385">




</tr><tr id="tr2386">

<td>2386</td>

<td>00131016</td><td>Riswo, Tn</td><td>Desa Salem, Salem, Brebes</td><td>Islam</td><td>45 TH 1 BL 16 HR</td><td>Laki Laki</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>

</tr><tr id="tr2387">


Purbalingga</td><td>Islam</td><td>43 TH 10 BL 18 HR</td><td>Laki Laki</td><td>Poliklinik Bedah Onkology</td><td>Malignant neoplasm of nasopharynx, u


</tr><tr id="tr2388">




</tr><tr id="tr2389">

<td>2389</td><td>00151519</td><td>Atun Supriyatun, Ny</td><td>Desa Pebatan, Wanasari, Brebes</td><td>Islam</td><td>34 TH 5 BL 20 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Malignant neoplasm of breast, unspec


</tr><tr id="tr2390">

<td>2390</td><td>00141932</td><td>Sarni, Ny</td><td>Desa Alasmalang, Kecamatan Kemranjen



</tr><tr id="tr2391">

<td>2391</td><td>00150200</td><td>Sugiarti, Ny</td><td>Desa Sidareja, Sidareja, Cilacap</td



</tr><tr id="tr2392">


Banyumas</td><td>Islam</td><td>50 TH 30 HR</td><td>Laki Laki</td><td>Poliklinik Bedah Onkology</td><td>Neoplasm of uncertain or unknown beh


</tr><tr id="tr2393">



</tr><tr id="tr2394">

<td>2394</td><td>00154218</td><td>Machtori,Tn</td><td>Kelurahan Teluk, Kecamatan Purwokert

o Selatan, Purwokerto</td>

<td>Islam</td><td>52 TH 10 BL 18 HR</td><td>Laki Laki</td><td>Poliklinik Umum</td><td>Injuries to the head</td><td>dr. Inos</td><td>Umum</td>

</tr><tr id="tr2395">




</tr><tr id="tr2396">

<td>2396</td><td>00153634</td><td>Lie Lian,Ny</td><td>Kel.Purwokerto Lor, Kecamatan Purwok

erto Timur, Purwokerto</td><td>Kristen</td><td>52 TH 9 BL 29 HR</td><td>Perempuan</td><td>Poliklinik Syaraf</td><td>Parkinson's disease</td><td>dr. Tutik Ermawati, Sp.S</td><td>BPJS</td>

</tr><tr id="tr2397">

<td>2397</td><td>00154144</td><td>Dwi Astuti, Ny</td><td>Desa Rogodono, Kecamatan Buayan, Keb

umen</td><td>Islam</td><td>41 TH 6 BL 2 HR</td><td>Perempuan</td><td>Poliklinik Obsgyn</td><td>Other and unspecified ovarian cysts<

/td><td>dr. Soegeng Djiwarahga, Sp.OG</td><td>BPJS</td>

</tr><tr id="tr2398">


ojati, Banyumas</td><td>Islam</td><td>27 TH 9 BL 5 HR</td>

<td>Perempuan</td><td>Poliklinik Penyakit Dalam</td><td>Allergic contact dermatitis due to d

rugs in contact with skin</td><td>dr. Aditiawarman, Sp. PD</td><td>Umum</td>

</tr><tr id="tr2399">

<td>2399</td><td>00150422</td><td>Tuniyah, Ny</td><td>Desa Sampang, Kecamatan Sampang, Cil


</tr><tr id="tr2400">

<td>2400</td><td>00150841</td><td>Mulyati, Ny</td><td>Desa Cimari, Kecamatan Cikoneng, Kab



</tr><tr id="tr2401">

<td>2401</td><td>00154255</td><td>Ratiman,Tn</td><td>Kelurahan Teluk, Kecamatan Purwokert

o Selatan, Purwokerto</td><td>Islam</td><td>63 TH 6 BL 13 HR</td><td>Laki Laki</td><td>Poliklinik THT</td><td>Tinnitus</td><td>dr.Bagus Condro Prasetyo, Sp.THT-KL<

/td><td>BPJS</td>

</tr><tr id="tr2402">

<td>2402</td><td>00154194</td><td>Muhamad Atah, An</td><td>Kelurahan Teluk, Kecamatan Purwokert

o Selatan, Purwokerto</td><td>Islam</td><td>6 TH 6 BL 15 HR</td><td>Laki Laki</td>

<td>Poliklinik Umum</td><td>Unspecified multiple injuries</td><td>dr. Inos</td><td>Umum</td>

</tr><tr id="tr2403">

<td>2403</td><td>00154256</td><td>Warih Jaladriningrum,Nn</td><td>Kelurahan Bancarkembar, Kecamatan Pu

rwokerto Utara, Purwokerto</td><td>Islam</td><td>16 TH 8 BL 15 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Nonspecific lymphadenitis, unspecifi


</tr><tr id="tr2404">

<td>2404</td><td>00141122</td><td>Painah, Ny</td><td>Desa Sidarata, Kecamatan Punggelan,



</tr><tr id="tr2405">


lang, Pemalang</td><td>Islam</td><td>32 TH 4 BL 5 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>

</tr><tr id="tr2406">

<td>2406</td><td>00154078</td><td>Rizki Indriani,Ny</td><td>Kel.Kedungwuluh, Kecamatan Purwokert

o Barat, Purwokerto</td><td>Kristen</td><td>26 TH 6 BL 20 HR</td><td>Perempuan</td><td>Poliklinik Obsgyn</td><td>Delivery by elective caesarean secti

on</td><td>dr. Soegeng Djiwarahga, Sp.OG</td><td>BPJS</td>

</tr><tr id="tr2407">


Barat, Purwokerto</td><td>Islam</td><td>40 TH 6 BL 13 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Neoplasm of uncertain or unknown beh


</tr><tr id="tr2408">

<td>2408</td><td>00154257</td><td>Asri Winarti, Ny (BKKBN)</td><td>Desa Sokaraja Wetan, Kecamatan Sokar


</tr><tr id="tr2409">

<td>2409</td><td>00153628</td><td>Roni Rahmana,Tn</td><td>Desa Kebandungan, Bantarkawung, Breb

es</td><td>Islam</td><td>34 TH 8 BL 24 HR</td><td>Laki Laki</td><td>Poliklinik THT</td><td>-</td><td>dr.Bagus Condro Prasetyo, Sp.THT-KL<

/td><td>Umum</td>

</tr><tr id="tr2410">

<td>2410</td><td>00154258</td><td>Triana Septianingsih, Ny (BKKBN)</td

><td>Desa Sokaraja Wetan, Kecamatan Sokar

aja, Banyumas</td><td>Islam</td><td>21 TH 10 BL 7 HR</td><td>Perempuan</td><td>Poliklinik Obsgyn</td><td>-</td>

<td>dr. Edy Sp.OG</td><td>BKKBN</td>

</tr><tr id="tr2411">

<td>2411</td><td>00154259</td><td>Musrifah,Ny</td><td>Kel.Purwokerto Wetan, Kecamatan Purw

okerto Timur, Purwokerto</td><td>Islam</td><td>48 TH 6 BL 4 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Neoplasm of uncertain or unknown beh


</tr><tr id="tr2412">

<td>2412</td><td>00154260</td><td>Gusti Yanti, Ny (BKKBN)</td><td>Desa Sokaraja Wetan, Kecamatan Sokar


</tr><tr id="tr2413">

<td>2413</td><td>00154261</td><td>Zeni Hunafi, Ny (BKKBN)</td><td>Desa Sokaraja Wetan, Kecamatan Sokar


</tr><tr id="tr2414">

<td>2414</td><td>00154262</td><td>Marsini, Ny (BKKBN)</td><td>Desa Karangnanas, Kecamatan Sokaraja


</tr>

<tr id="tr2415"><td>2415</td><td>00143167</td><td>Sutrisno,Tn</td><td>Desa Pananjung, Kecamatan Pangandara

n, Kabupaten Ciamis</td><td>Islam</td><td>51 TH 8 BL 28 HR</td><td>Laki Laki</td><td>Poliklinik Bedah Onkology</td><td>Unilateral or unspecified inguinal h


</tr><tr id="tr2416">

<td>2416</td><td>00150499</td><td>Saeri, Ny</td><td>Desa Kedungter, Brebes, Brebes</td><td>Islam</td><td>51 TH 6 BL 26 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Malignant neoplasm of breast, unspec


</tr><tr id="tr2417">



</tr><tr id="tr2418">

<td>2418</td><td>00131009</td><td>Karniti, Ny</td><td>Desa Sidamulya, Wanasari, Brebes</td



</tr><tr id="tr2419">

<td>2419</td>

<td>00150528</td><td>Darsih, Ny</td><td>Kelurahan Teluk, Kecamatan Purwokert

o Selatan, Purwokerto</td><td>Islam</td><td>55 TH 1 BL 14 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Malignant neoplasm of skin, unspecif


</tr><tr id="tr2420">

<td>2420</td><td>00154263</td><td>Mukrimah, Ny (BKKBN)</td><td>Kelurahan Teluk, Kecamatan Purwokert


</tr><tr id="tr2421">

<td>2421</td><td>00154264</td><td>Karminah,Ny</td><td>Desa Mangunharjo, Kecamatan Adimulyo

, Kebumen</td><td>Islam</td><td>61 TH 1 BL 10 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Malignant neoplasm of breast, unspec


</tr><tr id="tr2422">



</tr><tr id="tr2423">

<td>2423</td><td>00152339</td><td>Muzayanah, Ny</td>

<td>Desa Pegiringan, Kecamatan Bantarbolang, Pemalang</td>


</tr><tr id="tr2424">

<td>2424</td><td>00152693</td><td>Rajani, Tn</td><td>Desa Klegen, Kecamatan Comal, Pemala

ng</td><td>Islam</td><td>60 TH 2 BL 6 HR</td><td>Laki Laki</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>

</tr><tr id="tr2425">



</tr><tr id="tr2426">

<td>2426</td><td>00130301</td><td>Muksinah, Ny</td><td>Desa Panisihan, Kecamatan Maos, Cila

cap</td><td>Islam</td><td>48 TH 3 BL 23 HR</td><td>Perempuan</td><td>Poliklinik Obsgyn</td><td>-</td><td>dr. Soegeng Djiwarahga, Sp.OG</td><td>BPJS</td>

</tr><tr id="tr2427">

<td>2427</td><td>00154265</td><td>Siti Hofsah,Ny</td><td>Desa Sindangsari, Majenang, Cilacap<

/td><td>Islam</td><td>44 TH 26 HR</td>

<td>Perempuan</td><td>Poliklinik Penyakit Dalam</td><td>-</td><td>dr. Aditiawarman, Sp. PD</td><td>Umum</td>

</tr><tr id="tr2428">

<td>2428</td><td>00154154</td><td>Susi Setianingsih,Nn</td><td>Desa Bulupayung, Kecamatan Patimuan,

Cilacap</td><td>Islam</td><td>21 TH 19 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Malignant neoplasm of breast, unspec


</tr><tr id="tr2429">

<td>2429</td><td>00154156</td><td>Sakimun,Tn</td><td>Desa Bulupayung, Kecamatan Patimuan,

Cilacap</td><td>Islam</td><td>49 TH 9 BL 7 HR</td><td>Laki Laki</td><td>Poliklinik Syaraf</td><td>Osteomyelitis, unspecified</td><td>dr. Tutik Ermawati, Sp.S</td><td>Umum</td>

</tr><tr id="tr2430">

<td>2430</td><td>00141917</td><td>Mutmainah, Ny</td><td>Desa Karangtalun Lor, Kecamatan Purw

ojati, Banyumas</td><td>Islam</td><td>48 TH 1 BL 13 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>

</tr><tr id="tr2431">

<td>2431</td><td>00142657</td><td>Sri Astuti, Ny</td><td>Desa Tegalretno, Kecamatan Petahanan

, Kebumen</td><td>Islam</td><td>53 TH 1 BL 14 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>-</td>


</tr><tr id="tr2432">

<td>2432</td><td>00153539</td><td>Linawati, An</td><td>Desa Sudimara, Kecamatan Cilongok, B

anyumas</td><td>Islam</td><td>12 TH 6 BL 13 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Sequelae of tuberculosis of other or

gans</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>

</tr><tr id="tr2433">



</tr><tr id="tr2434">



</tr><tr id="tr2435">

<td>2435</td><td>00151159</td><td>Mutikha, Ny</td><td>Desa Jatirokeh, Songgom, Brebes</td><td>Islam</td><td>37 TH</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Malignant neoplasm of breast, unspec


</tr>

<tr id="tr2436"><td>2436</td><td>00150184</td><td>Chomyati, Ny</td><td>Desa Pahonjean, Majenang, Cilacap</t

d><td>Islam</td><td>46 TH 9 BL</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>

</tr><tr id="tr2437">

<td>2437</td><td>00150610</td><td>Gunastiti, Ny</td><td>Kel.Kedungwuluh, Kecamatan Purwokert



</tr><tr id="tr2438">



</tr><tr id="tr2439">


nyumas</td><td>Khatolik</td><td>82 TH 6 BL 14 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>

</tr><tr id="tr2440">

<td>2440</td><td>00110930</td>

<td>Asmungi Dimin, Tn</td><td>Desa Binangun, Kawunganten, Cilacap<

/td><td>Islam</td><td>65 TH 1 BL 17 HR</td><td>Laki Laki</td><td>Poliklinik Syaraf</td><td>Spondylolisthesis</td><td>dr. Tutik Ermawati, Sp.S</td><td>BPJS</td>

</tr><tr id="tr2441">

<td>2441</td><td>00154267</td><td>Sudirah,Ny</td><td>Desa Merden, Kecamatan Purwanegara,


</tr><tr id="tr2442">

<td>2442</td><td>00151841</td><td>Pairah, Ny</td><td>Cibubur, Ciracas, Jakarta Timur</td><td>Islam</td><td>50 TH 1 BL 6 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>

</tr><tr id="tr2443">


g, Banyumas</td><td>Islam</td><td>61 TH 2 BL 4 HR</td><td>Perempuan</td><td>Poliklinik Syaraf</td><td>Bouchard's nodes (with arthropathy)<


</tr><tr id="tr2444">

<td>2444</td><td>00154268</td><td>Bondet Setyorini,Ny</td><td>Kel. Jaraksari, Kecamatan Wonosobo,

Wonosobo</td><td>Islam</td>



</tr><tr id="tr2445">


/td><td>Islam</td><td>41 TH 7 BL 7 HR</td><td>Perempuan</td><td>Poliklinik Syaraf</td><td>-</td><td>dr. Tutik Ermawati, Sp.S</td><td>BPJS</td>

</tr><tr id="tr2446">


erto Timur, Purwokerto</td><td>Islam</td><td>70 TH 7 BL 3 HR</td><td>Perempuan</td><td>Poliklinik Penyakit Dalam</td><td>Pleural effusion in conditions class

ified elsewhere</td><td>dr. Aditiawarman, Sp. PD</td><td>BPJS</td>

</tr><tr id="tr2447">

<td>2447</td><td>00154269</td><td>Suryati,Ny</td><td>Desa Bantarpanjang, Cimanggu, Cilaca

p</td><td>Islam</td><td>39 TH 5 BL 3 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Neoplasm of uncertain or unknown beh


</tr><tr id="tr2448">


ang</td><td>Islam</td><td>43 TH 11 BL 15 HR</td>


</tr><tr id="tr2449">



</tr><tr id="tr2450">

<td>2450</td><td>00154270</td><td>Mustini, Ny</td><td>Desa Ledug, Kecamatan Kembaran, Bany


</tr><tr id="tr2451">



</tr><tr id="tr2452">


ur, Purwokerto</td><td>Islam</td><td>60 TH 3 BL 16 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td>

<td>BPJS</td></tr>

<tr id="tr2453"><td>2453</td><td>00154271</td><td>Maksudi, Tn</td><td>Desa Kertanegara, Kecamatan Karangan

yar, Purbalingga</td><td>Islam</td><td>72 TH 8 BL 3 HR</td><td>Laki Laki</td><td>Poliklinik Bedah Onkology</td><td>Neoplasm of uncertain or unknown beh

avior of skin</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>

</tr><tr id="tr2454">

<td>2454</td><td>00153071</td><td>Yetti sugiarti,Ny</td><td>Kelurahan Teluk, Kecamatan Purwokert


</tr><tr id="tr2455">



</tr><tr id="tr2456">


</tr><tr id="tr2457">

<td>2457</td>

<td>00153288</td><td>Ratiyah, Ny</td><td>Desa Gambarsari, Kecamatan Kebasen,


</tr><tr id="tr2458">



</tr><tr id="tr2459">

<td>2459</td><td>00141177</td><td>Siti Nuriyah, Ny</td><td>Desa Kalibagor, Kecamatan Kalibagor,


</tr><tr id="tr2460">


men</td><td>Islam</td><td>23 TH 5 BL 6 HR</td><td>Laki Laki</td><td>Poliklinik Syaraf</td><td>-</td><td>dr. Tutik Ermawati, Sp.S</td><td>BPJS</td>

</tr><tr id="tr2461">

<td>2461</td><td>00150618</td><td>Chotirah, Ny</td><td>Desa Purwanegara, Kecamatan Purwaneg



</tr><tr id="tr2462">



</tr><tr id="tr2463">

<td>2463</td><td>00150729</td><td>Supriyati, Ny</td><td>Desa Bukateja, Kecamatan Bukateja, P


</tr><tr id="tr2464">



</tr><tr id="tr2465">


, Banjarnegara</td><td>Islam</td><td>43 TH 4 BL 25 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td>

<td>Anaemia, unspecified</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>

</tr><tr id="tr2466">

<td>2466</td><td>00140576</td><td>Sri Prapti Agustin, Ny</td><td>Kel. Slawi Kulon, Slawi, Tegal</td><td>Islam</td><td>56 TH 5 BL 16 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>

</tr><tr id="tr2467">


, Banyumas</td><td>Islam</td><td>25 TH 12 HR</td><td>Perempuan</td><td>Poliklinik Syaraf</td><td>-</td><td>dr. Tutik Ermawati, Sp.S</td><td>Umum</td>

</tr><tr id="tr2468">

<td>2468</td><td>00152302</td><td>Soliyah, Ny</td><td>Desa Kemiri, Kecamatan Sumpiuh, Bany


</tr><tr id="tr2469">

<td>2469</td><td>00143305</td><td>Sulistyowati, Ny</td><td>Desa Purwasaba, Kecamatan Mandiraja,


</tr><tr id="tr2470">




</tr><tr id="tr2471">

<td>2471</td><td>00141605</td><td>Pargiyati, Ny</td><td>Desa Sidareja, Kecamatan Kaligondang


</tr><tr id="tr2472">

<td>2472</td><td>00151098</td><td>Slamet Ciptadi, Tn</td><td>Kel.Berkoh, Kecamatan Purwokerto Sel

atan, Purwokerto</td><td>Islam</td><td>58 TH 11 BL 18 HR</td><td>Laki Laki</td><td>Poliklinik Syaraf</td><td>-</td><td>dr. Tutik Ermawati, Sp.S</td><td>BPJS</td>

</tr><tr id="tr2473">

<td>2473</td><td>00141778</td><td>Ratini, Ny</td><td>Desa Cipaku, Kecamatan Mrebet, Purba


</tr><tr id="tr2474">

<td>2474</td><td>00150336</td><td>Saryan, Tn</td>

<td>Kelurahan Panambongan, Kecamatan Purbalingga, Purbalingga</td>

<td>Islam</td><td>64 TH 5 BL 29 HR</td><td>Laki Laki</td><td>Poliklinik Syaraf</td><td>-</td><td>dr. Tutik Ermawati, Sp.S</td><td>BPJS</td>

</tr><tr id="tr2475">



</tr><tr id="tr2476">


un, Kebumen</td><td>Islam</td><td>54 TH 6 BL 10 HR</td><td>Laki Laki</td><td>Poliklinik Bedah Onkology</td><td>Anaemia, unspecified</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>

</tr><tr id="tr2477">

<td>2477</td><td>00152928</td><td>Latifatun Najah, Nn</td><td>Desa Senon, Kecamatan Kemangkon, Pur

balingga</td><td>Islam</td><td>21 TH 2 HR</td><td>Perempuan</td><td>Poliklinik Gigi</td><td>-</td><td>drg. Perwita Oktikarini</td><td>Umum</td>

</tr><tr id="tr2478">

<td>2478</td><td>00152341</td><td>Katam,Tn</td><td>Desa Kemawi, Kecamatan Somagede, Ban

yumas</td><td>Islam</td><td>51 TH 9 BL 23 HR</td>


</tr><tr id="tr2479">

<td>2479</td><td>00153536</td><td>Maryoto, Tn</td><td>Desa Kubangkangkung, Kawunganten, Ci

lacap</td><td>Islam</td><td>53 TH 8 BL 27 HR</td><td>Laki Laki</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>

</tr><tr id="tr2480">


atan, Purwokerto</td><td>Islam</td><td>58 TH 8 BL 23 HR</td><td>Perempuan</td><td>Poliklinik Syaraf</td><td>-</td><td>dr. Tutik Ermawati, Sp.S</td><td>BPJS</td>

</tr><tr id="tr2481">

<td>2481</td><td>00152048</td><td>Sudirah,Ny</td><td>Desa Karanglewas Kidul, Kecamatan Ka

ranglewas, Banyumas</td><td>Islam</td><td>47 TH 8 BL 24 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>

</tr><tr id="tr2482">

<td>2482</td><td>00151590</td><td>Triyono, Tn</td><td>Desa Gumelar, Gumelar, Banyumas</td><td>Islam</td><td>28 TH 7 BL 5 HR</td><td>Laki Laki</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>Umum</td>

</tr><tr id="tr2483">



</tr><tr id="tr2484">



</tr><tr id="tr2485">


anjarnegara</td><td>Islam</td><td>1 TH 7 BL 3 HR</td><td>Laki Laki</td><td>Poliklinik Bedah Onkology</td><td>Unilateral or unspecified inguinal h


</tr><tr id="tr2486">



</tr><tr id="tr2487">

<td>2487</td>

<td>00154272</td><td>Sri Hartini, Ny</td><td>Desa Sokawera Kidul, Kecamatan Patik

raja, Banyumas</td><td>Islam</td><td>54 TH 10 BL 1 HR</td><td>Perempuan</td><td>Poliklinik Syaraf</td><td>-</td><td>dr. Tutik Ermawati, Sp.S</td><td>Umum</td>

</tr><tr id="tr2488">

<td>2488</td><td>00154159</td><td>Khalifah Halda Soraya, An</td><td>Kelurahan Teluk, Kecamatan Purwokert

o Selatan, Purwokerto</td><td>Islam</td><td>6 TH 5 BL 11 HR</td><td>Perempuan</td><td>Poliklinik Umum</td><td>-</td><td>dr.Listya Tanjung</td><td>Umum</td>

</tr><tr id="tr2489">



</tr><tr id="tr2490">

<td>2490</td><td>00153054</td><td>Siti Rofingah, Ny</td><td>Desa Sidabowa, Kecamatan Patikraja,

Banyumas</td><td>Islam</td><td>54 TH 6 BL 7 HR</td><td>Perempuan</td><td>Poliklinik Gigi</td><td>-</td><td>drg. Perwita Oktikarini</td><td>Umum</td>

</tr><tr id="tr2491">


Purbalingga</td>


</tr><tr id="tr2492">


h, Purbalingga</td><td>Islam</td><td>55 TH 8 BL 19 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Generalized skin eruption due to dru

gs and medicaments</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>

</tr><tr id="tr2493">

<td>2493</td><td>00140669</td><td>Satya Alam Prihatini, Ny</td><td>Desa Sokaraja Kulon, Kecamatan Sokar

aja, Banyumas</td><td>Islam</td><td>53 TH 8 BL 9 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>

</tr><tr id="tr2494">




</tr><tr id="tr2495">


abupaten Ciamis</td><td>Islam</td><td>51 TH 4 BL 6 HR</td>


</tr><tr id="tr2496">

<td>2496</td><td>00150163</td><td>Titi, Ny</td><td>Desa Ciliang, Kecamatan Parigi, Kabu



</tr><tr id="tr2497">


ebes</td><td>Islam</td><td>46 TH 6 BL 30 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Neoplasm of uncertain or unknown beh


</tr><tr id="tr2498">

<td>2498</td><td>00142607</td><td>Aminah, Ny</td><td>Desa Bajing, Kecamatan Kroya, Cilaca

p</td><td>Islam</td><td>61 TH 8 BL</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Benign neoplasm of ovary</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>

</tr><tr id="tr2499">


/td><td>Islam</td><td>66 TH 4 BL 11 HR</td><td>Laki Laki</td><td>Poliklinik Bedah Onkology</td>

<td>Urethral fistula</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>

</tr><tr id="tr2500">


d><td>Islam</td><td>86 TH 1 BL 7 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Burkitt's tumour non-Hodgkin's lymph


</tr><tr id="tr2501">


bes</td><td>Islam</td><td>18 TH 1 BL 26 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Malignant neoplasm of breast, unspec


</tr><tr id="tr2502">

<td>2502</td><td>00153723</td><td>Rasiyem,Ny</td><td>Desa Gebangsari, Kecamatan Tambak, B

anyumas</td><td>Islam</td><td>56 TH 7 BL 8 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Burkitt's tumour non-Hodgkin's lymph


</tr><tr id="tr2503">


eng, Banyumas</td><td>Islam</td><td>57 TH 1 BL 15 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Burkitt's tumour non-Hodgkin's lymph


</tr><tr id="tr2504">

<td>2504</td><td>00142597</td><td>Rasiyem, Ny</td><td>Desa Pageralang, Kecamatan Kemranjen



</tr><tr id="tr2505">

<td>2505</td><td>00154274</td><td>Dede Kurniasih, Ny</td><td>Desa Panulisan Timur, Dayeuhluhur, C



</tr><tr id="tr2506">

<td>2506</td><td>00143346</td><td>Lamiyatun, Ny</td><td>Desa Kebulusan, Kecamatan Pejagoan,

Kebumen</td><td>Islam</td><td>54 TH 1 BL 14 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Malignant neoplasm of head, face and


</tr><tr id="tr2507">

<td>2507</td><td>00150835</td><td>Siti Jamingah, Ny</td><td>Desa Sidabowa, Kecamatan Patikraja,



</tr><tr id="tr2508">



</tr><tr id="tr2509">

<td>2509</td><td>00150840</td><td>Saminem, Ny</td><td>Desa Kedunggede, Kecamatan Banyumas,



</tr><tr id="tr2510">


arang, Banyumas</td><td>Islam</td><td>51 TH 3 BL 28 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Malignant neoplasm of breast, unspec


</tr><tr id="tr2511">

<td>2511</td><td>00151518</td><td>Septi Purwati Ningsih, Ny</td><td>Kel.Sokanegara, Kecamatan Purwokerto

Timur, Purwokerto</td><td>Islam</td><td>29 TH 4 BL 26 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Tuberculosis of other organs</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td>

<td>BPJS</td></tr>

<tr id="tr2512"><td>2512</td><td>00140123</td><td>Siti Zulecha, Ny</td><td>Desa Gumelem Wetan, Kecamatan Susuka



</tr><tr id="tr2513">

<td>2513</td><td>00154151</td><td>Afrizal Adi Pratama,An</td><td>Kelurahan Teluk, Kecamatan Purwokert


</tr><tr id="tr2514">


aten Ciamis</td><td>Islam</td><td>57 TH 4 BL 26 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Malignant neoplasm of breast, unspec


</tr><tr id="tr2515">

<td>2515</td><td>00153961</td><td>Turah, Ny</td><td>Desa Kauman, Kecamatan Kaliwiro, Won

osobo</td><td>Islam</td><td>59 TH 3 BL 30 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Burkitt's tumour non-Hodgkin's lymph


</tr><tr id="tr2516">


rbalingga</td><td>Islam</td><td>24 TH 8 BL 14 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Malignant neoplasm of breast, unspec


</tr><tr id="tr2517">


a, Banyumas</td><td>Islam</td><td>67 TH 8 BL 9 HR</td><td>Laki Laki</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>

</tr><tr id="tr2518">


lingga</td><td>Islam</td><td>73 TH 7 BL 16 HR</td><td>Laki Laki</td><td>Poliklinik Bedah Onkology</td><td>Hernia</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>Umum</td>

</tr><tr id="tr2519">


ol, Purbalingga</td><td>Islam</td><td>30 TH 5 BL 5 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>

</tr><tr id="tr2520">

<td>2520</td>

<td>00153260</td><td>Dursiyah, Ny</td><td>Desa Pangawaren, Karangpucung, Cilac


</tr><tr id="tr2521">


ilacap</td><td>Islam</td><td>66 TH 1 BL 16 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Malignant neoplasm of endometrium</t


</tr><tr id="tr2522">

<td>2522</td><td>00154168</td><td>Yusup Atmosuwiryo, Tn</td><td>Desa Pandak, Kecamatan Baturaden, Ba

nyumas</td><td>Islam</td><td>83 TH 3 BL 19 HR</td><td>Laki Laki</td><td>Poliklinik Syaraf</td><td>Stroke, not specified as haemorrhage


</tr><tr id="tr2523">



</tr><tr id="tr2524">

<td>2524</td><td>00150921</td><td>Suwartini, Ny</td>

<td>Desa Kuntili, Kecamatan Sumpiuh, Banyumas</td>


</tr><tr id="tr2525">

<td>2525</td><td>00141005</td><td>Rosinah, Ny</td><td>Desa Cinangsi, Candrungmangu, Cilaca

p</td><td>Islam</td><td>56 TH 10 BL 12 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Malignant neoplasm of breast, unspec


</tr><tr id="tr2526">




</tr><tr id="tr2527">

<td>2527</td><td>00150755</td><td>Siti Maryam, Ny</td><td>Desa Plumbungan, Kecamatan Pagentan,



</tr><tr id="tr2528">

<td>2528</td><td>00154157</td><td>Mihasan,Tn</td><td>Desa Ciputih, Salem, Brebes</td>


</tr><tr id="tr2529">

<td>2529</td><td>00151053</td><td>Darti, Ny</td><td>Desa Grogolpenatus, Kecamatan Petaha

nan, Kebumen</td><td>Islam</td><td>55 TH 5 BL 2 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Malignant neoplasm of breast, unspec


</tr><tr id="tr2530">

<td>2530</td><td>00150345</td><td>Darsono, Tn</td><td>Desa Kedawung, Kecamatan Pejagoan, K

ebumen</td><td>Islam</td><td>73 TH 1 BL 20 HR</td><td>Laki Laki</td><td>Poliklinik Bedah Onkology</td><td>Malignant neoplasm of breast, unspec


</tr><tr id="tr2531">

<td>2531</td><td>00153285</td><td>Lieng Soe Moy, Ny</td><td>Kel. Kandanggampang, Kecamatan Purba

lingga, Purbalingga</td><td>Islam</td><td>68 TH 10 BL 29 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Malignant neoplasm of breast, unspec


</tr><tr id="tr2532">

<td>2532</td><td>00140361</td><td>Siti Soimah, Ny</td><td>Desa Mangunjaya, Kecamatan Padaheran

g, Kabupaten Ciamis</td><td>Islam</td>



</tr><tr id="tr2533">


, Cilacap</td><td>Islam</td><td>43 TH 2 BL 4 HR</td><td>Perempuan</td><td>Poliklinik Obsgyn</td><td>-</td><td>dr. Soegeng Djiwarahga, Sp.OG</td><td>BPJS</td>

</tr><tr id="tr2534">

<td>2534</td><td>00152859</td><td>Hastuti, Ny</td><td>Desa Wiradadi, Kecamatan Sokaraja, B

anyumas</td><td>Islam</td><td>53 TH 8 BL 28 HR</td><td>Perempuan</td><td>Poliklinik Penyakit Dalam</td><td>Congestive heart failure</td><td>dr. Tiara, Sp.PD</td><td>BPJS</td>

</tr><tr id="tr2535">


okerto Timur, Purwokerto</td><td>Khatolik</td><td>63 TH 5 BL 16 HR</td><td>Laki Laki</td><td>Poliklinik Syaraf</td><td>Neuropathic arthropathy</td><td>dr. Tutik Ermawati, Sp.S</td><td>BPJS</td>

</tr><tr id="tr2536">

<td>2536</td><td>00154275</td><td>Mella Safitri, Ny</td><td>Desa Karangnanas, Kecamatan Sokaraja

, Banyumas</td><td>Islam</td><td>28 TH 8 BL 14 HR</td><td>Perempuan</td><td>Poliklinik Obsgyn</td>

<td>-</td><td>dr. Soegeng Djiwarahga, Sp.OG</td><td>BPJS</td>

</tr><tr id="tr2537">

<td>2537</td><td>00150726</td><td>Naibah, Ny</td><td>Desa Mentasan, Kawunganten, Cilacap<



</tr><tr id="tr2538">

<td>2538</td><td>00142278</td><td>Dainah, Ny</td><td>Desa Sesepan, Balapulang, Tegal</td><td>Islam</td><td>58 TH 7 BL 12 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Malignant neoplasm of breast, unspec


</tr><tr id="tr2539">

<td>2539</td><td>00154152</td><td>Idah,Ny</td><td>Kel.Karangklesem, Kecamatan Purwoker


</tr><tr id="tr2540">

<td>2540</td><td>00143204</td><td>Narkum, Tn</td><td>Pengadegan, Pancoran, Jakarta Selata

n</td><td>Islam</td><td>72 TH 2 BL 18 HR</td><td>Laki Laki</td><td>Poliklinik Bedah Onkology</td><td>Maple-syrup-urine disease</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>

</tr><tr id="tr2541">

<td>2541</td><td>00153805</td><td>Kurniasih, Ny</td><td>Desa Ciliang, Kecamatan Parigi, Kabu

paten Ciamis</td><td>Islam</td><td>45 TH 9 BL 21 HR</td><td>Perempuan</td><td>Poliklinik Obsgyn</td><td>-</td><td>dr. Soegeng Djiwarahga, Sp.OG</td><td>BPJS</td>

</tr><tr id="tr2542">



</tr><tr id="tr2543">



</tr><tr id="tr2544">

<td>2544</td><td>00154276</td><td>Sarwen, Ny</td><td>Desa Griting, Bulakamba, Brebes</td><td>Islam</td><td>46 TH 1 BL 11 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Neoplasm of uncertain or unknown beh


</tr><tr id="tr2545">

<td>2545</td><td>00153523</td>

<td>Siti Setiasih,Ny</td><td>Desa Karangklesem, Kecamatan Pekunce

n, Banyumas</td><td>Islam</td><td>30 TH 2 BL 12 HR</td><td>Perempuan</td><td>Poliklinik Syaraf</td><td>-</td><td>dr. Tutik Ermawati, Sp.S</td><td>BPJS</td>

</tr><tr id="tr2546">

<td>2546</td><td>00154277</td><td>Alim Wahyudi, Tn</td><td>Desa Karangklesem, Kecamatan Pekunce

n, Banyumas</td><td>Islam</td><td>63 TH 1 BL 16 HR</td><td>Laki Laki</td><td>Poliklinik Syaraf</td><td>Injury of heart</td><td>dr. Tutik Ermawati, Sp.S</td><td>BPJS</td>

</tr><tr id="tr2547">




</tr><tr id="tr2548">



</tr><tr id="tr2549">

<td>2549</td><td>00141350</td><td>Hundawati, Ny</td><td>Kelurahan Teluk, Kecamatan Purwokert


<td>Islam</td><td>59 TH 1 BL 15 HR</td><td>Perempuan</td><td>Poliklinik Syaraf</td><td>Mononeuropathy, unspecified</td><td>dr. Tutik Ermawati, Sp.S</td><td>BPJS</td>

</tr><tr id="tr2550">

<td>2550</td><td>00153835</td><td>Warsitem, Ny</td><td>Kel.Karangpucung, Kecamatan Purwoker

to Selatan, Purwokerto</td><td>Islam</td><td>56 TH 6 BL</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Dyspnoea</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>

</tr><tr id="tr2551">

<td>2551</td><td>00153742</td><td>Wariyah, Ny</td><td>Desa Dermaji, Lumbir, Banyumas</td><td>Islam</td><td>36 TH 1 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Malignant neoplasm of breast, unspec


</tr><tr id="tr2552">


klegi, Cilacap</td><td>Islam</td><td>59 TH 6 BL 25 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Benign neoplasm of parotid gland</td


</tr><tr id="tr2553">





</tr><tr id="tr2554">

<td>2554</td><td>00150120</td><td>Marto Diharjo, Tn</td><td>Desa Karangrena, Kecamatan Maos, Cil

acap</td><td>Islam</td><td>51 TH 2 BL 2 HR</td><td>Laki Laki</td><td>Poliklinik Bedah Onkology</td><td>Neoplasm of uncertain or unknown beh


</tr><tr id="tr2555">

<td>2555</td><td>00152071</td><td>Marsinah, Ny</td><td>Desa Kedawung, Kecamatan Pejagoan, K



</tr><tr id="tr2556">



</tr><tr id="tr2557">


Banyumas</td><td>Islam</td><td>54 TH 9 BL 28 HR</td><td>Perempuan</td><td>Poliklinik Bedah Orthopedi</td>

<td>Fracture of lower end of humerus, open</td>

<td>dr. Bambang Agus Teja Kusumah Sp. OT</td>

<td>BPJS</td></tr>

<tr id="tr2558"><td>2558</td><td>00151328</td><td>Sartem, Ny</td><td>Desa Pandansari, Kecamatan Ajibarang


</tr><tr id="tr2559">

<td>2559</td><td>00150292</td><td>Koesnadi, Tn</td><td>Desa Sikonco, Kecamatan Nusawungu, C

ilacap</td><td>Islam</td><td>51 TH 7 BL 17 HR</td><td>Laki Laki</td><td>Poliklinik Bedah Onkology</td><td>Malignant neoplasm of thyroid gland<


</tr><tr id="tr2560">



</tr><tr id="tr2561">


yumas</td><td>Islam</td><td>49 TH 3 BL 24 HR</td><td>Perempuan</td><td>Poliklinik Syaraf</td><td>Arthrosis</td>


</tr><tr id="tr2562">



</tr><tr id="tr2563">

<td>2563</td><td>00153316</td><td>Tirto Handoko,Sdr</td><td>Desa Kutabima, Cimanggu, Cilacap</td

><td>Islam</td><td>15 TH 9 BL 19 HR</td><td>Laki Laki</td><td>Poliklinik Penyakit Dalam</td><td>Diabetes mellitus</td><td>dr. Tiara, Sp.PD</td><td>BPJS</td>

</tr><tr id="tr2564">

<td>2564</td><td>00110399</td><td>Siti Rohayati, Ny</td><td>Desa Kuripan, Kecamatan Kesugihan, C



</tr><tr id="tr2565">

<td>2565</td><td>00154278</td><td>Kiki Ayu Widiastuti, Nn</td><td>Desa Limbangan, Kecamatan Ulujami, P

emalang</td><td>Islam</td><td>19 TH 6 BL</td><td>Perempuan</td><td>Poliklinik Umum</td><td>-</td><td>dr. Wandito Gayuh Utomo</td><td>Umum</td>

</tr>

<tr id="tr2566"><td>2566</td><td>00154279</td><td>Namen, Ny</td><td>Desa Karangtawang, Kecamatan Nusawun

gu, Cilacap</td><td>Islam</td><td>62 TH 1 BL 16 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Neoplasm of uncertain or unknown beh


</tr><tr id="tr2567">

<td>2567</td><td>00154280</td><td>Nusareja Saimin, Tn</td><td>Desa Karangpakis, Kecamatan Nusawung

u, Cilacap</td><td>Islam</td><td>56 TH 7 BL 7 HR</td><td>Laki Laki</td><td>Poliklinik Bedah Onkology</td><td>Neoplasm of uncertain or unknown beh


</tr><tr id="tr2568">

<td>2568</td><td>00130070</td><td>Sumini, Ny</td><td>Kelurahan Sidanegara, Cilacap Tengah



</tr><tr id="tr2569">


r, Purbalingga</td><td>Islam</td><td>72 TH 10 BL 4 HR</td><td>Laki Laki</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>

</tr><tr id="tr2570">


aja, Banyumas</td><td>Islam</td><td>68 TH 8 BL</td><td>Laki Laki</td><td>Poliklinik Bedah Onkology</td><td>Aspergillosis, unspecified</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>

</tr><tr id="tr2571">

<td>2571</td><td>00154281</td><td>Siti Saroh, Ny</td><td>Desa Kalijaran, Kecamatan Karanganya

r, Purbalingga</td><td>Islam</td><td>30 TH 9 BL 26 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Neoplasm of uncertain or unknown beh


</tr><tr id="tr2572">

<td>2572</td><td>00142338</td><td>Danisah, Ny</td><td>Desa Wanarata, Kecamatan Bantarbolan



</tr><tr id="tr2573">




</tr><tr id="tr2574">

<td>2574</td>

<td>00154282</td><td>Sukandi,Tn</td><td>Desa Bantarmangu, Cimanggu, Cilacap<



</tr><tr id="tr2575">


ng, Banyumas</td><td>Islam</td><td>32 TH 8 BL 11 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Neoplasm of uncertain or unknown beh


</tr><tr id="tr2576">

<td>2576</td><td>00140979</td><td>Siti Toyibah, Ny</td><td>Desa Rawalo, Kecamatan Rawalo, Banyu

mas</td><td>Islam</td><td>65 TH 8 BL 8 HR</td><td>Perempuan</td><td>Poliklinik Penyakit Dalam</td><td>Bronchitis, not specified as acute o

r chronic</td><td>dr. Tiara, Sp.PD</td><td>BPJS</td>

</tr><tr id="tr2577">

<td>2577</td><td>00152460</td><td>Tasmiyah, Ny</td><td>Kelurahan Teluk, Kecamatan Purwokert

o Selatan, Purwokerto</td><td>Islam</td><td>88 TH 1 BL 23 HR</td><td>Perempuan</td><td>Poliklinik Penyakit Dalam</td><td>Arthrosis, unspecified</td><td>dr. Tiara, Sp.PD</td><td>BPJS</td>

</tr><tr id="tr2578">

<td>2578</td><td>00153600</td>

<td>Reni Haryati, Ny</td><td>Keluranhan Purbalingga Kidul, Kecama

tan Purbalingga, Purbalingga</td><td>Islam</td><td>51 TH 10 BL 4 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Generalized skin eruption due to dru

gs and medicaments</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>

</tr><tr id="tr2579">


rebes</td><td>Islam</td><td>2 TH 23 HR</td><td>Laki Laki</td><td>Poliklinik Bedah Onkology</td><td>Neoplasm of uncertain or unknown beh


</tr><tr id="tr2580">

<td>2580</td><td>00154283</td><td>Sri Kundiastuti,Ny</td><td>Kel.Cilacap, Cilacap Selatan, Cilaca

p</td><td>Islam</td><td>61 TH 9 BL 19 HR</td><td>Perempuan</td><td>Poliklinik Penyakit Dalam</td><td>Gastritis, unspecified</td><td>dr. Tiara, Sp.PD</td><td>BPJS</td>

</tr><tr id="tr2581">




</tr><tr id="tr2582">

<td>2582</td><td>00150670</td><td>Anwar Iswanti, Ny</td>

<td>Kelurahan Gunungsimping, Cilacap Tengah, Cilacap</td>



</tr><tr id="tr2583">




</tr><tr id="tr2584">


lacap</td><td>Islam</td><td>50 TH 5 BL 21 HR</td><td>Perempuan</td><td>Poliklinik Syaraf</td><td>Bouchard's nodes (with arthropathy)<


</tr><tr id="tr2585">


r</td><td>Islam</td><td>31 TH 3 BL 8 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Anaemia, unspecified</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>

</tr><tr id="tr2586">




</tr><tr id="tr2587">

<td>2587</td><td>00141845</td><td>Darmiyati, Ny</td><td>Kel.Kebokuro, Kecamatan Sumpiuh, Ban



</tr><tr id="tr2588">

<td>2588</td><td>00153337</td><td>Dwi Fitri Nurindah Sari, Nn</td><td>Desa Suro, Kecamatan Kalibagor, Bany

umas</td><td>Islam</td><td>19 TH 4 BL 12 HR</td><td>Perempuan</td><td>Poliklinik Syaraf</td><td>Epilepsy</td><td>dr. Tutik Ermawati, Sp.S</td><td>BPJS</td>

</tr><tr id="tr2589">

<td>2589</td><td>00150440</td><td>Radiantini Retno Edi,Ny</td><td>Kel.Berkoh, Kecamatan Purwokerto Sel

atan, Purwokerto</td><td>Islam</td><td>64 TH 8 BL</td><td>Perempuan</td><td>Poliklinik Syaraf</td><td>Headache</td><td>dr. Tutik Ermawati, Sp.S</td><td>BPJS</td>

</tr><tr id="tr2590">

<td>2590</td><td>00152334</td><td>Mega Karmulita, An</td><td>Desa Sindangbarang, Karangpucung, Ci

lacap</td><td>Islam</td>

<td>16 TH 1 BL 13 HR</td><td>Perempuan</td><td>Poliklinik Syaraf</td><td>Epilepsy</td><td>dr. Tutik Ermawati, Sp.S</td><td>BPJS</td>

</tr><tr id="tr2591">




</tr><tr id="tr2592">



</tr><tr id="tr2593">



</tr><tr id="tr2594">

<td>2594</td><td>00150281</td><td>Siti Masithoh, Ny</td><td>Desa Blambangan, Kecamatan Bawang, B

anjarnegara</td><td>Islam</td><td>64 TH 7 BL 19 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td>



</tr><tr id="tr2595">

<td>2595</td><td>00154284</td><td>Sri Suwardayati,Ny</td><td>Desa Salebu, Majenang, Cilacap</td><td>Islam</td><td>55 TH 8 BL 20 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Neoplasm of uncertain or unknown beh


</tr><tr id="tr2596">

<td>2596</td><td>00151218</td><td>Darmun, Tn</td><td>Desa Mujur Lor, Kecamatan Kroya, Cil

acap</td><td>Islam</td><td>68 TH 1 BL 14 HR</td><td>Laki Laki</td><td>Poliklinik Bedah Onkology</td><td>Carcinoma in situ of rectum</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>

</tr><tr id="tr2597">

<td>2597</td><td>00151012</td><td>Lily Kusumaningsih, Ny</td><td>Desa Kedungbenda, Kecamatan Kemangko

n, Purbalingga</td><td>Islam</td><td>40 TH 10 BL 11 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Malignant neoplasm of breast, unspec


</tr><tr id="tr2598">

<td>2598</td><td>00154138</td><td>Mega Novia,Nn</td><td>Desa Pangandaran, Kecamatan Panganda

ran, Kabupaten Ciamis</td><td>Islam</td><td>18 TH 2 BL 25 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Neoplasm of uncertain or unknown beh

avior of connective and other soft tissue</td>


</tr><tr id="tr2599">

<td>2599</td><td>00141691</td><td>Sumiyati, Ny</td><td>Desa Rabak, Kecamatan Kalimanah, Pur

balingga</td><td>Islam</td><td>56 TH 3 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Malignant neoplasm of breast, unspec


</tr><tr id="tr2600">


tara, Purwokerto</td><td>Islam</td><td>36 TH 1 BL 15 HR</td><td>Laki Laki</td><td>Poliklinik Umum</td><td>-</td><td>dr.Andy Lestiono</td><td>Umum</td>

</tr><tr id="tr2601">

<td>2601</td><td>00142517</td><td>Rusiyah, Ny</td><td>Desa Pagedongan, Kecamatan Banjarneg


</tr><tr id="tr2602">


abupaten Subang</td><td>Islam</td><td>40 TH 1 BL 10 HR</td><td>Laki Laki</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>Umum</td>

</tr>

<tr id="tr2603"><td>2603</td><td>00142512</td><td>Chalimah, Ny</td><td>Desa Petarangan, Kecamatan Kemranjen



</tr><tr id="tr2604">


ngan, Kabupaten Ciamis</td><td>Islam</td><td>57 TH 7 BL 15 HR</td><td>Laki Laki</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>

</tr><tr id="tr2605">

<td>2605</td><td>00142014</td><td>Supriyatin, Ny</td><td>Kelurahan Sidanegara, Cilacap Tengah



</tr><tr id="tr2606">

<td>2606</td><td>00141156</td><td>Umsiyah, Ny</td><td>Desa Sambeng Kulon, Kecamatan Kembar

an, Banyumas</td><td>Islam</td><td>27 TH 4 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Malignant neoplasm of breast, unspec


</tr><tr id="tr2607">



</tr><tr id="tr2608">

<td>2608</td><td>00151490</td><td>Harnani, Ny</td><td>Kel. Purbalingga Lor, Kecamatan Purb

alingga, Purbalingga</td><td>Islam</td><td>46 TH 7 BL 19 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Malignant neoplasm of breast, unspec


</tr><tr id="tr2609">


t, Purwokerto</td><td>Islam</td><td>46 TH 6 BL 23 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Malignant neoplasm of breast, unspec


</tr><tr id="tr2610">

<td>2610</td><td>00153500</td><td>Suharti,Ny</td><td>Kel.Purwokerto Wetan, Kecamatan Purw

okerto Timur, Purwokerto</td><td>Islam</td><td>65 TH 1 BL 12 HR</td><td>Perempuan</td><td>Poliklinik Syaraf</td><td>-</td><td>dr. Tutik Ermawati, Sp.S</td><td>BPJS</td>

</tr><tr id="tr2611">

<td>2611</td><td>00150607</td>

<td>Supriyati, Ny</td><td>Kel. Jaraksari, Kecamatan Wonosobo,

Wonosobo</td><td>Kristen</td><td>53 TH 6 BL 21 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>

</tr><tr id="tr2612">

<td>2612</td><td>00152050</td><td>Suryaman,Tn</td><td>Desa Iser, Kecamatan Petarukan, Pema

lang</td><td>Islam</td><td>49 TH 7 BL 27 HR</td><td>Laki Laki</td><td>Poliklinik Bedah Onkology</td><td>Malignant neoplasm of head, face and


</tr><tr id="tr2613">

<td>2613</td><td>00143229</td><td>Mafiroh, Ny</td><td>Desa Pulosari, Kecamatan Pulosari, P


</tr><tr id="tr2614">

<td>2614</td><td>00143308</td><td>Suharti, Ny</td><td>Desa Cikeasudik, Kecamatan Gunungput

ri, Kabupaten Bogor</td><td>Islam</td><td>40 TH 1 BL 11 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Malignant neoplasm of breast, unspec


</tr><tr id="tr2615">


wang, Banyumas</td><td>Islam</td><td>56 TH 1 BL 15 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>

</tr><tr id="tr2616">

<td>2616</td><td>00141988</td><td>Masinem, Ny</td><td>Desa Rejamulya, Kedungreja, Cilacap<


</tr><tr id="tr2617">



</tr><tr id="tr2618">

<td>2618</td><td>00154287</td><td>Ajeng Ana Musrifah, Nn</td><td>Desa Salem, Salem, Brebes</td><td>Islam</td><td>18 TH 8 BL 10 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>Umum</td>

</tr><tr id="tr2619">


bang, Banyumas</td><td>Islam</td><td>72 TH 1 BL 19 HR</td><td>Laki Laki</td><td>Poliklinik Bedah Onkology</td>


</tr><tr id="tr2620">

<td>2620</td><td>00153514</td><td>Kamisem,Ny</td><td>Desa Kroya, Kecamatan Kroya, Cilacap


</tr><tr id="tr2621">



</tr><tr id="tr2622">

<td>2622</td><td>00151464</td><td>Taswiyah,Ny</td><td>Desa Jeruklegi Wetan, Kecamatan Jeru


</tr><tr id="tr2623">

<td>2623</td><td>00152969</td><td>Nulyati, Ny</td><td>Desa Adimulyo, Wanareja, Cilacap</td


</tr>

<tr id="tr2624"><td>2624</td><td>00152005</td><td>Carti, Ny</td><td>Desa Banjaran, Salem, Brebes</td><td>Islam</td><td>51 TH 3 BL 28 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>

</tr><tr id="tr2625">



</tr><tr id="tr2626">



</tr><tr id="tr2627">



</tr><tr id="tr2628">

<td>2628</td><td>00152428</td><td>Tri Endri Yuliono, Tn</td><td>Desa Karangmangu, Kecamatan Baturade


</tr><tr id="tr2629">



</tr><tr id="tr2630">



</tr><tr id="tr2631">


Pemalang</td><td>Islam</td><td>46 TH 9 BL 17 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Anaemia, unspecified</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>

</tr><tr id="tr2632">


p</td><td>Islam</td><td>46 TH 10 BL 14 HR</td><td>Perempuan</td>


</tr><tr id="tr2633">

<td>2633</td><td>00154194</td><td>Muhamad Atah, An</td><td>Kelurahan Teluk, Kecamatan Purwokert

o Selatan, Purwokerto</td><td>Islam</td><td>6 TH 6 BL 15 HR</td><td>Laki Laki</td><td>Poliklinik Umum</td><td>-</td><td>dr.Andy Lestiono</td><td>Umum</td>

</tr><tr id="tr2634">


erto Timur, Purwokerto</td><td>Islam</td><td>67 TH 9 BL 1 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>

</tr><tr id="tr2635">

<td>2635</td><td>00154288</td><td>Siti Purwati, Ny (BKKBN)</td><td>Kel.Karangpucung, Kecamatan Purwoker


</tr><tr id="tr2636">


acap</td><td>Islam</td><td>48 TH 6 BL 7 HR</td><td>Perempuan</td><td>Poliklinik Obsgyn</td><td>-</td><td>dr. Soegeng Djiwarahga, Sp.OG</td><td>BPJS</td>

</tr><tr id="tr2637">

<td>2637</td><td>00154289</td><td>Sutini, Ny (BKKBN)</td><td>Kel.Karangpucung, Kecamatan Purwoker


</tr><tr id="tr2638">

<td>2638</td><td>00154290</td><td>Siti Afikoh, Ny (BKKBN)</td><td>Kel.Karangpucung, Kecamatan Purwoker


</tr><tr id="tr2639">

<td>2639</td><td>00154291</td><td>Sri Anisah, Ny (BKKBN)</td><td>Kel.Karangpucung, Kecamatan Purwoker


</tr><tr id="tr2640">


okerto Selatan, Purwokerto</td><td>Islam</td><td>86 TH 1 BL 15 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>

</tr><tr id="tr2641">

<td>2641</td><td>00154293</td>

<td>Nuridin, Tn</td><td>Desa Karanggude Kulon, Kecamatan Kar

anglewas, Banyumas</td><td>Islam</td><td>60 TH 7 BL 7 HR</td><td>Laki Laki</td><td>Poliklinik Syaraf</td><td>-</td><td>dr. Tutik Ermawati, Sp.S</td><td>Umum</td>

</tr><tr id="tr2642">

<td>2642</td><td>00141898</td><td>Dwi Rahayu, Ny</td><td>Desa Kutosari, Kecamatan Kebumen, Ke

bumen</td><td>Islam</td><td>54 TH 6 BL 3 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Malignant neoplasm of breast, unspec


</tr><tr id="tr2643">



</tr><tr id="tr2644">

<td>2644</td><td>00154294</td><td>Suharti, Ny (BKKBN)</td><td>Kelurahan Teluk, Kecamatan Purwokert


</tr><tr id="tr2645">




</tr><tr id="tr2646">

<td>2646</td><td>00151227</td><td>Tursilah, Ny</td><td>Desa Kapulogo, Kecamatan Kepil, Wono



</tr><tr id="tr2647">

<td>2647</td><td>00154295</td><td>Diana, Ny (BKKBN)</td><td>Desa Banjaranyar, Kecamatan Sokaraja


</tr><tr id="tr2648">



/td><td>BPJS</td>

</tr><tr id="tr2649">

<td>2649</td><td>00154296</td><td>Lita, Ny (BKKBN)</td><td>Kelurahan Teluk, Kecamatan Purwokert



</tr><tr id="tr2650">

<td>2650</td><td>00154297</td><td>Maryati, Ny (BKKBN)</td><td>Kelurahan Teluk, Kecamatan Purwokert


</tr><tr id="tr2651">


ang, Pemalang</td><td>Islam</td><td>41 TH 1 BL 13 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>

</tr><tr id="tr2652">


><td>Islam</td><td>55 TH 10 BL 26 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Anaemia, unspecified</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>

</tr><tr id="tr2653">

<td>2653</td><td>00141600</td><td>Daroli, Ny</td><td>Desa Widuri, Kecamatan Pemalang, Pem

alang</td><td>Islam</td><td>53 TH 7 BL 11 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td>

<td>BPJS</td></tr>

<tr id="tr2654"><td>2654</td><td>00151123</td><td>Siyah, Ny</td><td>Desa Panawaren, Kecamatan Sigaluh, B

anjarnegara</td><td>Islam</td><td>59 TH 1 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>

</tr><tr id="tr2655">

<td>2655</td><td>00154298</td><td>Jumiati, Ny (BKKBN)</td><td>Desa Banjaranyar, Kecamatan Sokaraja


</tr><tr id="tr2656">

<td>2656</td><td>00142891</td><td>Turimah, Ny</td><td>Desa Candiwulan, Kecamatan Kutasari,


</tr><tr id="tr2657">


an, Banjarnegara</td><td>Islam</td><td>59 TH 5 BL 28 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>

</tr><tr id="tr2658">

<td>2658</td>

<td>00150143</td><td>Siti Kotiyah, Ny</td><td>Desa Sidomukti, Kec. Kuwarasan, Kebu

men</td><td>Islam</td><td>41 TH 10 BL 30 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Neoplasm of uncertain or unknown beh


</tr><tr id="tr2659">

<td>2659</td><td>00142533</td><td>Tujiah, Ny</td><td>Kel. Wonosobo, Kecamatan Wonosobo,



</tr><tr id="tr2660">



</tr><tr id="tr2661">

<td>2661</td><td>00152548</td><td>Abdul Jalil, Tn</td><td>Desa Bangbayang, Kecamatan Cipaku, K

abupaten Ciamis</td><td>Islam</td><td>46 TH 9 BL 4 HR</td><td>Laki Laki</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>

</tr><tr id="tr2662">

<td>2662</td><td>00142787</td><td>Hj. Ida Maemunah, Ny</td>

<td>Desa Pasirbatang, Kecamatan Manonjaya, Kabupaten Tasikmalaya</td>



</tr><tr id="tr2663">

<td>2663</td><td>00154175</td><td>Karto Leksono, Tn</td><td>Desa Sokaraja Kidul, Kecamatan Sokar

aja, Banyumas</td><td>Khatolik</td><td>78 TH 7 BL 13 HR</td><td>Laki Laki</td><td>Poliklinik Syaraf</td><td>Stroke, not specified as haemorrhage


</tr><tr id="tr2664">

<td>2664</td><td>00130446</td><td>Suharti, Ny</td><td>Desa Adisana, Kecamatan Bumiayu, Bre

bes</td><td>Islam</td><td>33 TH 10 BL 26 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>Umum</td>

</tr><tr id="tr2665">

<td>2665</td><td>00142263</td><td>Sawiyah, Ny</td><td>Desa Adipala, Kecamatan Adipala, Cil


</tr><tr id="tr2666">

<td>2666</td><td>00150469</td><td>Murongah, Ny</td><td>Desa Pandak, Kecamatan Sumpiuh, Bany

umas</td>


</tr><tr id="tr2667">

<td>2667</td><td>00151179</td><td>Ani Fadillah, Ny</td><td>Desa Bajong, Kecamatan Bukateja, Pur



</tr><tr id="tr2668">

<td>2668</td><td>00152577</td><td>Sutrimo, Tn</td><td>Kelurahan Teluk, Kecamatan Purwokert

o Selatan, Purwokerto</td><td>Islam</td><td>46 TH 1 BL 11 HR</td><td>Laki Laki</td><td>Poliklinik Penyakit Dalam</td><td>Dyspepsia</td><td>dr. Tiara, Sp.PD</td><td>BPJS</td>

</tr><tr id="tr2669">

<td>2669</td><td>00141060</td><td>Nasiyah, Ny</td><td>Desa Karanggedang, Kecamatan Sruweng

, Kebumen</td><td>Islam</td><td>50 TH 11 BL 11 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>

</tr><tr id="tr2670">

<td>2670</td><td>00141743</td><td>Triyati, Ny</td><td>Desa Penggarutan, Kecamatan Bumiayu,




</tr><tr id="tr2671">

<td>2671</td><td>00153477</td><td>Waliyah, Ny</td><td>Desa Cilempuyang, Cimanggu, Cilacap<

/td><td>Islam</td><td>61 TH 9 BL 23 HR</td><td>Perempuan</td><td>Poliklinik THT</td><td>-</td><td>dr.Bagus Condro Prasetyo, Sp.THT-KL<

/td><td>BPJS</td>

</tr><tr id="tr2672">



</tr><tr id="tr2673">

<td>2673</td><td>00150038</td><td>Tunifah, Ny</td><td>Desa Danasri Lor, Kecamatan Nusawung

u, Cilacap</td><td>Islam</td><td>37 TH 6 BL 27 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Malignant neoplasm of breast, unspec


</tr><tr id="tr2674">




</tr><tr id="tr2675">



</tr><tr id="tr2676">




</tr><tr id="tr2677">

<td>2677</td><td>00153188</td><td>Arnie Yuhasimah, Ny</td><td>Desa Losari Kidul, Kecamatan Losari,

Kabupaten Cirebon</td><td>Islam</td><td>64 TH 3 BL 15 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>

</tr><tr id="tr2678">

<td>2678</td><td>00152612</td><td>Roasih, Ny</td><td>Desa Meles, Kecamatan Adimulyo, Kebu

men</td><td>Islam</td><td>53 TH 24 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Malignant neoplasm of breast, unspec


<td>BPJS</td></tr>

<tr id="tr2679"><td>2679</td><td>00153615</td><td>Siti Kaifah, Ny</td><td>Desa Kedungoleng, Kecamatan Paguyang


</tr><tr id="tr2680">



</tr><tr id="tr2681">




</tr><tr id="tr2682">


erto Timur, Purwokerto</td><td>Islam</td><td>50 TH 10 BL 21 HR</td><td>Perempuan</td><td>Poliklinik Syaraf</td><td>Low back pain</td><td>dr. Tutik Ermawati, Sp.S</td><td>BPJS</td>

</tr><tr id="tr2683">

<td>2683</td><td>00154170</td><td>Slamet Hadi Suprapto, Tn</td><td>Desa Pegalongan, Kecamatan Patikraja

, Banyumas</td><td>Islam</td><td>66 TH 9 BL 6 HR</td><td>Laki Laki</td><td>Poliklinik Bedah Onkology</td><td>Inguinal hernia</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>

</tr><tr id="tr2684">


ilacap</td><td>Islam</td><td>56 TH 4 BL 4 HR</td><td>Laki Laki</td><td>Poliklinik Bedah Onkology</td><td>Anaemia, unspecified</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>

</tr><tr id="tr2685">


g, Banyumas</td><td>Kristen</td><td>72 TH 11 BL</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Anaemia, unspecified</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>

</tr><tr id="tr2686">

<td>2686</td><td>00154300</td><td>Aedelia Rizki Octaviani,Nn</td><td>Desa Kedungwringin, Kecamatan Patikr

aja, Banyumas</td><td>Kristen</td><td>22 TH 4 BL 2 HR</td><td>Perempuan</td><td>Poliklinik THT</td><td>Suppurative otitis media, unspecifie

d</td><td>dr.Bagus Condro Prasetyo, Sp.THT-KL<

/td><td>BPJS</td>

</tr><tr id="tr2687">

<td>2687</td><td>00150382</td>

<td>Muhajir, Tn</td><td>Desa Pandak, Kecamatan Sumpiuh, Bany

umas</td><td>Islam</td><td>47 TH 10 BL 12 HR</td><td>Laki Laki</td><td>Poliklinik Bedah Onkology</td><td>Non-Hodgkin's lymphoma, unspecified


</tr><tr id="tr2688">


Banyumas</td><td>Islam</td><td>41 TH 3 BL</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Malignant neoplasm of breast, unspec


</tr><tr id="tr2689">


to Selatan, Purwokerto</td><td>Islam</td><td>60 TH 10 BL 20 HR</td><td>Perempuan</td><td>Poliklinik Syaraf</td><td>Vertigo of central origin</td><td>dr. Tutik Ermawati, Sp.S</td><td>BPJS</td>

</tr><tr id="tr2690">

<td>2690</td><td>00152188</td><td>Dasinem Madiredja, Ny</td><td>Desa Jatiluhur, Kecamatan Rowokele,

Kebumen</td><td>Islam</td><td>87 TH 5 BL 4 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Carcinoma in situ of rectum</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>

</tr><tr id="tr2691">


Banyumas</td><td>Islam</td><td>59 TH 10 BL 24 HR</td><td>Laki Laki</td><td>Poliklinik Syaraf</td><td>Bouchard's nodes (with arthropathy)<


</tr><tr id="tr2692">

<td>2692</td><td>00091000</td><td>pasien coba</td><td>Podomoro, Peringsewu, Tanggamus</td><td>Islam</td><td>2 TH 5 BL 25 HR</td><td>Laki Laki</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>Umum</td>

</tr><tr id="tr2693">

<td>2693</td><td>00154302</td><td>Wuryani, Ny (BKKBN)</td><td>Desa Banjaranyar, Kecamatan Sokaraja


</tr><tr id="tr2694">

<td>2694</td><td>00150359</td><td>Tri Titi Lestari, Ny</td><td>Kelurahan Teluk, Kecamatan Purwokert

o Selatan, Purwokerto</td><td>Islam</td><td>63 TH 18 HR</td><td>Perempuan</td><td>Poliklinik Syaraf</td><td>Stroke, not specified as haemorrhage


</tr><tr id="tr2695">





</tr><tr id="tr2696">

<td>2696</td><td>00154304</td><td>Rita Kusumaningsih,Ny</td><td>Desa Karangnanas, Kecamatan Sokaraja

, Banyumas</td><td>Islam</td><td>40 TH 9 BL 30 HR</td><td>Perempuan</td><td>Poliklinik Syaraf</td><td>Arthrosis, unspecified</td><td>dr. Tutik Ermawati, Sp.S</td><td>Umum</td>

</tr><tr id="tr2697">



</tr><tr id="tr2698">

<td>2698</td><td>00150658</td><td>Rasiman, Tn</td><td>Kelurahan Teluk, Kecamatan Purwokert

o Selatan, Purwokerto</td><td>Islam</td><td>62 TH 11 BL 20 HR</td><td>Laki Laki</td><td>Poliklinik Bedah Onkology</td><td>Benign neoplasm of colon, unspecifie


</tr><tr id="tr2699">

<td>2699</td><td>00154079</td><td>Karsun,Tn</td><td>Desa Wangon, Kecamatan Wangon, Banyu

mas</td><td>Islam</td><td>70 TH 7 BL 26 HR</td><td>Laki Laki</td><td>Poliklinik Syaraf</td>

<td>Bouchard's nodes (with arthropathy)</td>


</tr><tr id="tr2700">

<td>2700</td><td>00153901</td><td>Sukir,Tn</td><td>Kel.Karangklesem, Kecamatan Purwoker

to Selatan, Purwokerto</td><td>Islam</td><td>57 TH 2 BL 5 HR</td><td>Laki Laki</td><td>Poliklinik Penyakit Dalam</td><td>Hypertensive diseases</td><td>dr. Aditiawarman, Sp. PD</td><td>Umum</td>

</tr><tr id="tr2701">

<td>2701</td><td>00151412</td><td>Muchyatun,Ny</td><td>Desa Belik, Kecamatan Belik, Pemalan



</tr><tr id="tr2702">




</tr><tr id="tr2703">

<td>2703</td><td>00110115</td><td>Warni, Ny</td><td>Desa Karangnanas, Kecamatan Sokaraja

, Banyumas</td><td>Islam</td><td>52 TH 1 BL 13 HR</td><td>Perempuan</td><td>Poliklinik Syaraf</td><td>-</td>

<td>dr. Tutik Ermawati, Sp.S</td><td>Umum</td>

</tr><tr id="tr2704">


o Selatan, Purwokerto</td><td>Islam</td><td>52 TH 10 BL 18 HR</td><td>Laki Laki</td><td>Poliklinik Umum</td><td>Delayed union of fracture</td><td>dr. Edi Wibowo</td><td>Umum</td>

</tr><tr id="tr2705">


ar, Kabupaten Ciamis</td><td>Islam</td><td>55 TH 6 BL 29 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>

</tr><tr id="tr2706">



</tr><tr id="tr2707">



</tr><tr id="tr2708">

<td>2708</td><td>00142355</td><td>Ani Nurhayati, Nn</td><td>Desa Cingebul, Lumbir, Banyumas</td><td>Islam</td><td>33 TH 1 BL 12 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Malignant neoplasm of breast, unspec


</tr><tr id="tr2709">



</tr><tr id="tr2710">

<td>2710</td><td>00151664</td><td>Suyatno, Tn</td><td>Desa Rajawana, Kecamatan Karangmonco

l, Purbalingga</td><td>Islam</td><td>65 TH 4 BL 9 HR</td><td>Laki Laki</td><td>Poliklinik Bedah Onkology</td><td>Disorder of prostate, unspecified</t


</tr><tr id="tr2711">

<td>2711</td><td>00153004</td><td>Chodiati,Ny</td><td>Desa Kertahayu, Kecamatan Pamarican,


</tr><tr id="tr2712">

<td>2712</td><td>00154207</td><td>Riki Dian Romanzah, Sdr</td>

<td>Desa Wiradadi, Kecamatan Sokaraja, Banyumas</td>

<td>Islam</td><td>29 TH 8 BL 9 HR</td><td>Laki Laki</td><td>Poliklinik Syaraf</td><td>Arthrosis, unspecified</td><td>dr. Tutik Ermawati, Sp.S</td><td>BPJS</td>

</tr><tr id="tr2713">



</tr><tr id="tr2714">

<td>2714</td><td>00151755</td><td>Siti Romiah, Ny</td><td>Kel.Mersi, Kecamatan Purwokerto Timu



</tr><tr id="tr2715">


rto Timur, Purwokerto</td><td>Islam</td><td>54 TH 6 BL 4 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Malignant neoplasm of breast, unspec


</tr><tr id="tr2716">


acap</td>


</tr><tr id="tr2717">




</tr><tr id="tr2718">

<td>2718</td><td>00121418</td><td>Mutingah, Ny</td><td>Desa Sikampuh, Kecamatan Kroya, Cila



</tr><tr id="tr2719">



</tr><tr id="tr2720">




</tr><tr id="tr2721">




</tr><tr id="tr2722">

<td>2722</td><td>00151729</td><td>Kamisem, Ny</td><td>Desa Jeruklegi Wetan, Kecamatan Jeru



</tr><tr id="tr2723">

<td>2723</td><td>00154308</td><td>Maria Ariyanti, Ny (BKKBN)</td><td>Kel.Karangklesem, Kecamatan Purwoker

to Selatan, Purwokerto</td><td>Khatolik</td><td>41 TH 3 BL 15 HR</td><td>Perempuan</td><td>Poliklinik Obsgyn</td><td>-</td><td>dr. Edy Sp.OG</td><td>BKKBN</td>

</tr><tr id="tr2724">

<td>2724</td><td>00150943</td><td>Paronah, Ny</td><td>Desa Kertahayu, Kecamatan Pamarican,

Kabupaten Ciamis</td><td>Islam</td><td>78 TH 7 BL 15 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td>



</tr><tr id="tr2725">

<td>2725</td><td>00152266</td><td>Fam Fie Lin, Ny</td><td>Kel.Purwokerto Wetan, Kecamatan Purw

okerto Timur, Purwokerto</td><td>Lain-lain</td><td>80 TH 4 BL 17 HR</td><td>Perempuan</td><td>Poliklinik Syaraf</td><td>-</td><td>dr. Tutik Ermawati, Sp.S</td><td>BPJS</td>

</tr><tr id="tr2726">

<td>2726</td><td>00152185</td><td>Yetty Setyawati Ho, Ny</td><td>Kelurahan Teluk, Kecamatan Purwokert

o Selatan, Purwokerto</td><td>Khatolik</td><td>54 TH 11 BL 18 HR</td><td>Perempuan</td><td>Poliklinik Syaraf</td><td>Arthrosis, unspecified</td><td>dr. Tutik Ermawati, Sp.S</td><td>BPJS</td>

</tr><tr id="tr2727">

<td>2727</td><td>00154309</td><td>Eli Ernawati, Ny (BKKBN)</td><td>Kel.Karangpucung, Kecamatan Purwoker


</tr><tr id="tr2728">

<td>2728</td><td>00154310</td><td>Noviyati, Ny (BKKBN)</td><td>Kelurahan Teluk, Kecamatan Purwokert


</tr><tr id="tr2729">

<td>2729</td><td>00154148</td><td>Suryati Dwi Astuti, Ny</td><td>Desa Badakarya, Kecamatan Punggelan,

Banjarnegara</td><td>Islam</td><td>32 TH 2 BL 28 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Haemorrhage of anus and rectum</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>

</tr><tr id="tr2730">


Kotamadya Tangerang</td><td>Islam</td><td>67 TH 3 BL</td><td>Perempuan</td><td>Poliklinik Syaraf</td><td>-</td><td>dr. Tutik Ermawati, Sp.S</td><td>Umum</td>

</tr><tr id="tr2731">

<td>2731</td><td>00151161</td><td>Sapinah, Ny</td><td>Desa Jagapura, Kersana, Brebes</td><td>Islam</td><td>56 TH 1 BL 15 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Malignant neoplasm of breast, unspec


</tr><tr id="tr2732">

<td>2732</td><td>00150804</td><td>Sumarto, Tn</td><td>Desa Candirenggo, Kecamatan Ayah, Ke

bumen</td><td>Islam</td><td>54 TH 4 BL 13 HR</td><td>Laki Laki</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>

</tr><tr id="tr2733">

<td>2733</td><td>00154311</td>

<td>Nining Rosihatin,Ny</td><td>Desa Salebu, Majenang, Cilacap</td><td>Islam</td><td>46 TH 7 BL 16 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Malignant neoplasm of breast, unspec


</tr><tr id="tr2734">




</tr><tr id="tr2735">

<td>2735</td><td>00153735</td><td>Ida Safuroh, Ny</td><td>Desa Dondong, Kecamatan Kesugihan, C

ilacap</td><td>Islam</td><td>23 TH 4 BL 1 HR</td><td>Perempuan</td><td>Poliklinik Penyakit Dalam</td><td>-</td><td>dr. Tiara, Sp.PD</td><td>Umum</td>

</tr><tr id="tr2736">

<td>2736</td><td>00151127</td><td>Darsiyem, Ny</td><td>Desa Mendala, Kecamatan Sirampog, Br

ebes</td><td>Islam</td><td>36 TH 23 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Malignant neoplasm of breast, unspec


</tr><tr id="tr2737">

<td>2737</td><td>00152963</td><td>Turningsih,Ny</td><td>Desa Dondong, Kecamatan Kesugihan, C

ilacap</td><td>Islam</td><td>50 TH 1 BL 13 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Cystic fibrosis, unspecified</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>Umum</td>

</tr><tr id="tr2738">


anjarnegara</td><td>Islam</td><td>34 TH 5 BL 20 HR</td><td>Laki Laki</td><td>Poliklinik Penyakit Dalam</td><td>Generalized skin eruption due to dru

gs and medicaments</td><td>dr. Tiara, Sp.PD</td><td>BPJS</td>

</tr><tr id="tr2739">

<td>2739</td><td>00121430</td><td>Karyati, Ny</td><td>Desa Kroya, Kecamatan Kroya, Cilacap



</tr><tr id="tr2740">

<td>2740</td><td>00141259</td><td>Ori Wardani, Ny</td><td>Desa Rawaapu, Kecamatan Patimuan, Ci



</tr><tr id="tr2741">

<td>2741</td><td>00142365</td><td>Pikky Fadhil, Sdr</td><td>Kelurahan Teluk, Kecamatan Purwokert


<td>Islam</td><td>21 TH 1 BL 12 HR</td><td>Laki Laki</td><td>Poliklinik Penyakit Dalam</td><td>Acute bronchiolitis, unspecified</td

><td>dr. Tiara, Sp.PD</td><td>BPJS</td>

</tr><tr id="tr2742">




</tr><tr id="tr2743">

<td>2743</td><td>00141325</td><td>Rohayati, Ny</td><td>Desa Mangunjaya, Kecamatan Padaheran

g, Kabupaten Ciamis</td><td>Islam</td><td>48 TH 8 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Malignant neoplasm of breast, unspec


</tr><tr id="tr2744">


Banjarnegara</td><td>Islam</td><td>34 TH 6 BL</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>

</tr><tr id="tr2745">

<td>2745</td><td>00142022</td><td>Willyanto, Sdr</td><td>Desa Kedungwringin, Kecamatan Patikr

aja, Banyumas</td><td>Islam</td>

<td>18 TH 7 BL 6 HR</td><td>Laki Laki</td><td>Poliklinik Syaraf</td><td>-</td><td>dr. Tutik Ermawati, Sp.S</td><td>Umum</td>

</tr><tr id="tr2746">




</tr><tr id="tr2747">

<td>2747</td><td>00152327</td><td>Sarjo,Tn</td><td>Desa Bantarpanjang, Cimanggu, Cilaca

p</td><td>Islam</td><td>53 TH 1 HR</td><td>Laki Laki</td><td>Poliklinik Syaraf</td><td>Stroke, not specified as haemorrhage


</tr><tr id="tr2748">




</tr><tr id="tr2749">


o Selatan, Purwokerto</td><td>Kristen</td><td>79 TH 5 BL 7 HR</td>

<td>Laki Laki</td><td>Poliklinik Syaraf</td><td>Mononeuropathy, unspecified</td><td>dr. Tutik Ermawati, Sp.S</td><td>BPJS</td>

</tr><tr id="tr2750">

<td>2750</td><td>00142217</td><td>Samadin, Tn</td><td>Kelurahan Teluk, Kecamatan Purwokert



</tr><tr id="tr2751">

<td>2751</td><td>00142637</td><td>Eny Sutaryam, Ny</td><td>Kel. Kejiwan, Kecamatan Wonosobo,



</tr><tr id="tr2752">

<td>2752</td><td>00154132</td><td>Retno Wati Aji M, Ny</td><td>Kel.Berkoh, Kecamatan Purwokerto Sel

atan, Purwokerto</td><td>Islam</td><td>58 TH 11 BL</td><td>Perempuan</td><td>Poliklinik Syaraf</td><td>Mononeuropathy of upper limb, unspec


</tr><tr id="tr2753">

<td>2753</td><td>00140067</td><td>Muflikhah, Ny</td><td>Desa Batur, Kecamatan Batur, Banjarn

egara</td><td>Islam</td><td>70 TH 1 BL 17 HR</td><td>Perempuan</td>


</tr><tr id="tr2754">


to Selatan, Purwokerto</td><td>Islam</td><td>56 TH 8 BL 23 HR</td><td>Perempuan</td><td>Poliklinik Syaraf</td><td>Stroke, not specified as haemorrhage


</tr><tr id="tr2755">

<td>2755</td><td>00151360</td><td>Bimbim Wirasatriaji, An</td><td>Kel.Berkoh, Kecamatan Purwokerto Sel

atan, Purwokerto</td><td>Islam</td><td>14 TH 10 BL 18 HR</td><td>Laki Laki</td><td>Poliklinik Bedah Onkology</td><td>Neoplasm of uncertain or unknown beh


</tr><tr id="tr2756">

<td>2756</td><td>00152871</td><td>Samidi, Tn</td><td>Kel.Berkoh, Kecamatan Purwokerto Sel

atan, Purwokerto</td><td>Islam</td><td>67 TH 2 BL 19 HR</td><td>Laki Laki</td><td>Poliklinik Penyakit Dalam</td><td>Gastritis, unspecified</td><td>dr. Aditiawarman, Sp. PD</td><td>BPJS</td>

</tr><tr id="tr2757">

<td>2757</td><td>00154312</td><td>Dasmito,Tn</td><td>Desa Kutabima, Cimanggu, Cilacap</td

><td>Islam</td><td>69 TH 8 BL 12 HR</td><td>Laki Laki</td><td>Poliklinik Bedah Onkology</td><td>Hyperplasia of prostate</td>


</tr><tr id="tr2758">


njarnegara</td><td>Islam</td><td>57 TH 1 BL 9 HR</td><td>Laki Laki</td><td>Poliklinik Bedah Onkology</td><td>Anaemia, unspecified</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>

</tr><tr id="tr2759">




</tr><tr id="tr2760">

<td>2760</td><td>00152361</td><td>Sumitro, Tn</td><td>Kelurahan Teluk, Kecamatan Purwokert

o Selatan, Purwokerto</td><td>Islam</td><td>68 TH 4 BL 2 HR</td><td>Laki Laki</td><td>Poliklinik Penyakit Dalam</td><td>Diabetes mellitus</td><td>dr. Tiara, Sp.PD</td><td>BPJS</td>

</tr><tr id="tr2761">


, Banyumas</td><td>Islam</td><td>56 TH 5 BL 18 HR</td><td>Perempuan</td><td>Poliklinik Syaraf</td><td>Arthrosis, unspecified</td><td>dr. Tutik Ermawati, Sp.S</td><td>BPJS</td>

</tr>

<tr id="tr2762"><td>2762</td><td>00150993</td><td>Martinah, Ny</td><td>Kel. Purwokerto Kidul, Kecamatan Pur

wokerto Selatan, Purwokerto</td><td>Islam</td><td>59 TH 11 BL 8 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Neoplasm of uncertain or unknown beh


</tr><tr id="tr2763">


yumas</td><td>Islam</td><td>48 TH 7 BL 11 HR</td><td>Laki Laki</td><td>Poliklinik Syaraf</td><td>Spondylolysis</td><td>dr. Tutik Ermawati, Sp.S</td><td>BPJS</td>

</tr><tr id="tr2764">



</tr><tr id="tr2765">



</tr><tr id="tr2766">

<td>2766</td><td>00154076</td>

<td>Ida Sangidah,Ny</td><td>Desa Kecila, Kecamatan Kemranjen, Ba

nyumas</td><td>Islam</td><td>43 TH 11 BL 14 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Malignant neoplasm of nasopharynx</t


</tr><tr id="tr2767">




</tr><tr id="tr2768">

<td>2768</td><td>00141123</td><td>Supriyati, Ny</td><td>Desa Pamijen, Kecamatan Baturaden, B


</tr><tr id="tr2769">

<td>2769</td><td>00140540</td><td>Wartinah, Ny</td><td>Desa Mojosari, Kecamatan Mojotengah,


</tr><tr id="tr2770">

<td>2770</td><td>00142723</td><td>Aminah, Ny</td><td>Desa Karangrena, Kecamatan Maos, Cil



</tr><tr id="tr2771">

<td>2771</td><td>00150014</td><td>Ismardi Waluyo, Tn</td><td>Kelurahan Teluk, Kecamatan Purwokert


</tr><tr id="tr2772">

<td>2772</td><td>00154313</td><td>Annisa Dian Anindita, Nn</td><td>Kelurahan Tanjung, Kecamatan Purwoke

rto Selatan, Purwokerto</td><td>Islam</td><td>25 TH 7 BL 22 HR</td><td>Perempuan</td><td>Poliklinik Umum</td><td>-</td><td>dr. Inos</td><td>Umum</td>

</tr><tr id="tr2773">


okerto Selatan, Purwokerto</td><td>Kristen</td><td>64 TH 5 BL 19 HR</td><td>Perempuan</td><td>Poliklinik Syaraf</td><td>Arthrosis, unspecified</td><td>dr. Tutik Ermawati, Sp.S</td><td>BPJS</td>

</tr><tr id="tr2774">


Kabupaten Sleman</td><td>Islam</td><td>57 TH 2 BL 2 HR</td>



</tr><tr id="tr2775">

<td>2775</td><td>00141433</td><td>Watini, Ny</td><td>Desa Widarapayung Wetan, Kecamatan B

inangun, Cilacap</td><td>Islam</td><td>55 TH 5 BL 28 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Malignant neoplasm of breast, unspec


</tr><tr id="tr2776">

<td>2776</td><td>00154314</td><td>Dasuki, Tn</td><td>Desa Dulang, Kecamatan Torjun, Kabup

aten Sampang</td><td>Islam</td><td>55 TH 5 BL 11 HR</td><td>Laki Laki</td><td>Poliklinik Syaraf</td><td>Dizziness and giddiness</td><td>dr. Tutik Ermawati, Sp.S</td><td>Umum</td>

</tr><tr id="tr2777">

<td>2777</td><td>00152701</td><td>Hermawan Dwi Pratama, Sdr</td><td>Desa Jepara Wetan, Kecamatan Binangu

n, Cilacap</td><td>Islam</td><td>15 TH 9 BL</td><td>Laki Laki</td><td>Poliklinik Syaraf</td><td>-</td><td>dr. Tutik Ermawati, Sp.S</td><td>Umum</td>

</tr><tr id="tr2778">

<td>2778</td><td>00153494</td><td>Koo Hwie Nio Yohana, Ny</td><td>Kel.Karangpucung, Kecamatan Purwoker

to Selatan, Purwokerto</td><td>Khatolik</td><td>78 TH 2 BL 22 HR</td><td>Perempuan</td><td>Poliklinik Syaraf</td>

<td>Low back pain</td><td>dr. Tutik Ermawati, Sp.S</td><td>BPJS</td>

</tr><tr id="tr2779">


to Selatan, Purwokerto</td><td>Khatolik</td><td>49 TH 14 HR</td><td>Perempuan</td><td>Poliklinik Syaraf</td><td>Calcific tendinitis, hand</td><td>dr. Tutik Ermawati, Sp.S</td><td>BPJS</td>

</tr><tr id="tr2780">

<td>2780</td><td>00153691</td><td>Ineke Indrijawati S,Ny</td><td>Kel.Purwokerto Kulon, Kecamatan Purw

okerto Selatan, Purwokerto</td><td>Kristen</td><td>46 TH 9 BL 21 HR</td><td>Perempuan</td><td>Poliklinik Syaraf</td><td>-</td><td>dr. Tutik Ermawati, Sp.S</td><td>BPJS</td>

</tr><tr id="tr2781">

<td>2781</td><td>00154216</td><td>Mariatun Safitri,Nn</td><td>Desa Sumbang, Kecamatan Sumbang, Ban



</tr><tr id="tr2782">

<td>2782</td><td>00142397</td><td>Vindhi Dwi A, Nn</td><td>Desa Singamerta, Kecamatan Sigaluh,

Banjarnegara</td><td>Islam</td><td>20 TH 1 BL 5 HR</td><td>Perempuan</td><td>Poliklinik Syaraf</td><td>Epilepsy, unspecified</td><td>dr. Tutik Ermawati, Sp.S</td><td>BPJS</td>

</tr><tr id="tr2783">

<td>2783</td><td>00100156</td><td>Kardi,Tn</td><td>Desa Sumbang, Kecamatan Sumbang, Ban


</tr><tr id="tr2784">

<td>2784</td><td>00154315</td><td>Sri Sudarti, Ny</td><td>Desa Sumbang, Kecamatan Sumbang, Ban

yumas</td><td>Islam</td><td>62 TH 9 BL 26 HR</td><td>Perempuan</td><td>Poliklinik Syaraf</td><td>Arthrosis</td><td>dr. Tutik Ermawati, Sp.S</td><td>BPJS</td>

</tr><tr id="tr2785">

<td>2785</td><td>00142716</td><td>Maryam, Ny</td><td>Desa Manggis, Kecamatan Sirampog, Br



</tr><tr id="tr2786">




</tr><tr id="tr2787">

<td>2787</td><td>00150932</td><td>Suradi, Tn</td><td>Kel.Berkoh, Kecamatan Purwokerto Sel

atan, Purwokerto</td><td>Islam</td><td>71 TH 6 BL 4 HR</td><td>Laki Laki</td><td>Poliklinik Bedah Onkology</td><td>Haemorrhage of anus and rectum</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>

</tr><tr id="tr2788">




</tr><tr id="tr2789">

<td>2789</td><td>00150907</td><td>Sri Setiyani, Ny</td><td>Kel.Purwokerto Lor, Kecamatan Purwok



</tr><tr id="tr2790">


g, Banjarnegara</td><td>Islam</td><td>58 TH 10 BL 4 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>

</tr><tr id="tr2791">

<td>2791</td><td>00142747</td>

<td>Sussanti, Ny</td><td>Kel. Randugunting, Tegal Selatan, Te

gal</td><td>Islam</td><td>41 TH 8 BL 11 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Malignant neoplasm of breast, unspec


</tr><tr id="tr2792">


d><td>Islam</td><td>38 TH 4 BL 29 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Other specified endocrine disorders<


</tr><tr id="tr2793">

<td>2793</td><td>00153383</td><td>Yeni Rusiana, Ny</td><td>Desa Tipar Kidul, Kecamatan Ajibaran

g, Banyumas</td><td>Islam</td><td>27 TH 9 BL 25 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Tuberculosis of other organs</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>

</tr><tr id="tr2794">



</tr><tr id="tr2795">

<td>2795</td><td>00154287</td><td>Ajeng Ana Musrifah, Nn</td><td>Desa Salem, Salem, Brebes</td>

<td>Islam</td><td>18 TH 8 BL 10 HR</td><td>Perempuan</td><td>Poliklinik THT</td><td>-</td><td>dr.Bagus Condro Prasetyo, Sp.THT-KL<

/td><td>BPJS</td>

</tr><tr id="tr2796">


eng, Banyumas</td><td>Islam</td><td>36 TH 1 BL 15 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Malignant neoplasm of thyroid gland<


</tr><tr id="tr2797">



</tr><tr id="tr2798">



</tr><tr id="tr2799">


ap</td><td>Islam</td><td>67 TH 3 BL 4 HR</td>

<td>Laki Laki</td><td>Poliklinik Bedah Onkology</td><td>Disorder of prostate, unspecified</t


</tr><tr id="tr2800">

<td>2800</td><td>00151287</td><td>Duhri, Tn</td><td>Desa Kembaran, Kecamatan Kembaran, B

anyumas</td><td>Islam</td><td>46 TH 3 BL 11 HR</td><td>Laki Laki</td><td>Poliklinik Bedah Onkology</td><td>Malignant neoplasm of breast, unspec


</tr><tr id="tr2801">

<td>2801</td><td>00153667</td><td>Tarmiyah, Ny</td><td>Desa Pangawaren, Karangpucung, Cilac

ap</td><td>Islam</td><td>45 TH 10 BL 11 HR</td><td>Perempuan</td><td>Poliklinik Syaraf</td><td>Stroke, not specified as haemorrhage


</tr><tr id="tr2802">

<td>2802</td><td>00152400</td><td>sri endah swastiningrum,ny</td><td>Desa Karangrau, Kecamatan Sokaraja,

Banyumas</td><td>Islam</td><td>70 TH 5 BL 30 HR</td><td>Perempuan</td><td>Poliklinik Umum</td><td>Portal hypertension</td><td>dr. Wandito Gayuh Utomo</td><td>Umum</td>

</tr><tr id="tr2803">


anyumas</td><td>Islam</td><td>44 TH 1 BL 2 HR</td><td>Perempuan</td>



</tr><tr id="tr2804">

<td>2804</td><td>00141129</td><td>Sarmi, Ny</td><td>Desa Tambakmulyo, Kecamatan Puring,



</tr><tr id="tr2805">


ebumen</td><td>Islam</td><td>43 TH 6 BL</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>

</tr><tr id="tr2806">

<td>2806</td><td>00154320</td><td>Yudi Hermantiono, Tn</td><td>Desa Kroya, Kecamatan Kroya, Cilacap

</td><td>Islam</td><td>62 TH 11 BL 7 HR</td><td>Laki Laki</td><td>Poliklinik Bedah Onkology</td><td>Hyperplasia of prostate</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>

</tr><tr id="tr2807">

<td>2807</td><td>00154007</td><td>Tjandra Dirahajoe,Ny</td><td>Desa Sokaraja Kulon, Kecamatan Sokar

aja, Banyumas</td><td>Kristen</td><td>52 TH 4 BL 2 HR</td><td>Perempuan</td><td>Poliklinik Obsgyn</td><td>Leiomyoma of uterus, unspecified</td


</tr><tr id="tr2808">

<td>2808</td><td>00154321</td><td>Sumarni, Ny (BKKBN)</td><td>Desa Banjarsari Kidul, Kecamatan Sok


</tr><tr id="tr2809">

<td>2809</td><td>00154322</td><td>Ratmini, Ny (BKKBN)</td><td>Desa Banjarsari Kidul, Kecamatan Sok


</tr><tr id="tr2810">

<td>2810</td><td>00153318</td><td>Andi Imam Prasetiyo,Sdr</td><td>Desa Madukara, Kecamatan Madukara, B

anjarnegara</td><td>Islam</td><td>16 TH 3 BL 18 HR</td><td>Laki Laki</td><td>Poliklinik Bedah Onkology</td><td>Polydactyly</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>

</tr><tr id="tr2811">

<td>2811</td><td>00153782</td><td>Rudinah, Ny</td><td>Kel.Kedungwuluh, Kecamatan Purwokert



</tr><tr id="tr2812">

<td>2812</td><td>00154323</td><td>Irma Rosiana, Ny (BKKBN)</td><td>Desa Banjarsari Kidul, Kecamatan Sok


</tr><tr id="tr2813">

<td>2813</td><td>00150068</td><td>Siti Azizah, Ny</td><td>Desa Kesuben, Lebaksiu, Tegal</td><td>Islam</td><td>67 TH 2 BL 16 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Malignant neoplasm of breast, unspec


</tr><tr id="tr2814">

<td>2814</td><td>00154324</td><td>Rumini,Ny</td><td>Desa Badakarya, Kecamatan Punggelan,

Banjarnegara</td><td>Islam</td><td>65 TH 1 BL 17 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Malignant neoplasm of abdomen</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>

</tr><tr id="tr2815">

<td>2815</td><td>00150931</td><td>Komilah, Ny</td><td>Desa Tanggungsari, Kecamatan Ketangg

ungan, Brebes</td><td>Islam</td><td>35 TH 9 BL 2 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Burkitt's tumour non-Hodgkin's lymph


</tr><tr id="tr2816">

<td>2816</td>

<td>00154325</td><td>Natasya Tsama Almi,An</td><td>Desa Semingkir, Kecamatan Randudongk

al, Pemalang</td><td>Islam</td><td>10 TH 5 BL 13 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Neoplasm of uncertain or unknown beh


</tr><tr id="tr2817">

<td>2817</td><td>00150142</td><td>Purwati, Ny</td><td>Desa Karangmanggu, Kecamatan Kroya,


</tr><tr id="tr2818">

<td>2818</td><td>00141056</td><td>Wahyuni, Ny</td><td>Desa Rakit, Kecamatan Rakit, Banjarn

egara</td><td>Islam</td><td>62 TH 1 BL 16 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Malignant neoplasm of ill-defined si

tes within the digestive system</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>

</tr><tr id="tr2819">

<td>2819</td><td>00154326</td><td>Suparjo, Tn</td><td>Desa Bantarmangu, Cimanggu, Cilacap<



</tr><tr id="tr2820">

<td>2820</td><td>00154327</td>

<td>Puspita Reasy Aryovater,An</td><td>Desa Purwodadi, Kecamatan Tambak, Ba



</tr><tr id="tr2821">

<td>2821</td><td>00153978</td><td>Sumarno, Tn</td><td>Desa Selabaya, Kecamatan Kalimanah,

Purbalingga</td><td>Islam</td><td>76 TH 13 HR</td><td>Laki Laki</td><td>Poliklinik Syaraf</td><td>Arthrosis, unspecified</td><td>dr. Tutik Ermawati, Sp.S</td><td>BPJS</td>

</tr><tr id="tr2822">


Purbalingga</td><td>Islam</td><td>65 TH 1 BL 17 HR</td><td>Perempuan</td><td>Poliklinik Syaraf</td><td>-</td><td>dr. Tutik Ermawati, Sp.S</td><td>BPJS</td>

</tr><tr id="tr2823">

<td>2823</td><td>00154147</td><td>Titin, Heryati, Ny</td><td>Desa Sukasari, Kecamatan Banjarsari,

Kabupaten Ciamis</td><td>Islam</td><td>46 TH 11 BL 3 HR</td><td>Perempuan</td><td>Poliklinik Syaraf</td><td>Spondylolysis</td><td>dr. Tutik Ermawati, Sp.S</td><td>Umum</td>

</tr><tr id="tr2824">

<td>2824</td><td>00154328</td><td>Khaerul Anwar, Tn</td><td>Kel. Arcawinangun, Kecamatan Purwoke

rto Timur, Purwokerto</td>

<td>Islam</td><td>55 TH 9 BL 18 HR</td><td>Laki Laki</td><td>Poliklinik Syaraf</td><td>Seropositive rheumatoid arthritis, u

nspecified</td><td>dr. Tutik Ermawati, Sp.S</td><td>BPJS</td>

</tr><tr id="tr2825">

<td>2825</td><td>00154329</td><td>Edison Susanto, Tn</td><td>Belian, Nongsa, Kota Batam</td><td>Kristen</td><td>65 TH 5 BL 7 HR</td><td>Laki Laki</td><td>Poliklinik Bedah Onkology</td><td>Hyperplasia of prostate</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>Umum</td>

</tr><tr id="tr2826">

<td>2826</td><td>00150865</td><td>Sri Wirahayu, Ny</td><td>Desa Karangnanas, Kecamatan Sokaraja

, Banyumas</td><td>Islam</td><td>41 TH 5 BL 16 HR</td><td>Perempuan</td><td>Poliklinik Syaraf</td><td>Myasthenia gravis</td><td>dr. Tutik Ermawati, Sp.S</td><td>BPJS</td>

</tr><tr id="tr2827">

<td>2827</td><td>00150192</td><td>Rasati,Ny</td><td>Desa Kalimandi, Kecamatan Purwarejak



</tr><tr id="tr2828">

<td>2828</td><td>00154330</td><td>Susi Murini,Ny</td><td>Desa Watukumpul, Kecamatan Watukumpu

l, Pemalang</td><td>Islam</td><td>31 TH 1 BL 8 HR</td><td>Perempuan</td>



</tr><tr id="tr2829">

<td>2829</td><td>00142341</td><td>Dasinem, Ny</td><td>Desa Pasinggahan, Kecamatan Banyumas


</tr><tr id="tr2830">



</tr><tr id="tr2831">

<td>2831</td><td>00120567</td><td>Surti, Ny</td><td>Desa Kecila, Kecamatan Kemranjen, Ba

nyumas</td><td>Islam</td><td>68 TH 4 BL 2 HR</td><td>Perempuan</td><td>Poliklinik THT</td><td>Malignant neoplasm of nasopharynx</t

d><td>dr.Bagus Condro Prasetyo, Sp.THT-KL<

/td><td>BPJS</td>

</tr><tr id="tr2832">





</tr><tr id="tr2833">




</tr><tr id="tr2834">


o Selatan, Purwokerto</td><td>Islam</td><td>60 TH 11 BL 14 HR</td><td>Perempuan</td><td>Poliklinik Bedah Orthopedi</td><td>-</td><td>dr. Bambang Agus Teja Kusumah Sp. OT

</td><td>BPJS</td>

</tr><tr id="tr2835">



</tr><tr id="tr2836">


Kabupaten Subang</td><td>Islam</td><td>60 TH 4 BL 3 HR</td><td>Laki Laki</td><td>Poliklinik THT</td><td>Malignant neoplasm of nasopharynx, u

nspecified</td><td>dr.Bagus Condro Prasetyo, Sp.THT-KL<

/td><td>Umum</td>

</tr><tr id="tr2837">

<td>2837</td><td>00143071</td><td>Sukatmi, Ny</td><td>Desa Sidasari, Kecamatan Sampang, Ci



</tr><tr id="tr2838">

<td>2838</td><td>00154331</td><td>Eko Sarino,Tn</td><td>Desa Sidasari, Kecamatan Sampang, Ci

lacap</td><td>Islam</td><td>57 TH 6 BL 3 HR</td><td>Laki Laki</td><td>Poliklinik THT</td><td>Allergic rhinitis, unspecified</td><td>dr.Bagus Condro Prasetyo, Sp.THT-KL<

/td><td>BPJS</td>

</tr><tr id="tr2839">


Banyumas</td><td>Islam</td><td>26 TH 10 BL 27 HR</td><td>Perempuan</td><td>Poliklinik Syaraf</td><td>Bell's palsy</td><td>dr. Tutik Ermawati, Sp.S</td><td>Umum</td>

</tr><tr id="tr2840">

<td>2840</td><td>00150507</td><td>Ulfatunnisha, Ny</td><td>Desa Karanganyar, Kecamatan Karangan



</tr><tr id="tr2841">

<td>2841</td><td>00150903</td><td>Sulastri, Ny</td><td>Desa Jambudesa, Kecamatan Karanganya

r, Purbalingga</td><td>Islam</td><td>46 TH 2 BL 20 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Malignant neoplasm of breast, unspec


</tr><tr id="tr2842">

<td>2842</td><td>00151638</td><td>Erni Windiati, Ny</td><td>Desa Selandaka, Kecamatan Sumpiuh, B



</tr><tr id="tr2843">


tara, Purwokerto</td><td>Islam</td><td>67 TH 6 BL 29 HR</td><td>Perempuan</td><td>Poliklinik Syaraf</td><td>Headache</td><td>dr. Tutik Ermawati, Sp.S</td><td>BPJS</td>

</tr><tr id="tr2844">

<td>2844</td><td>00154332</td><td>Kadiya,Tn</td><td>Desa Pamijen, Kecamatan Sokaraja, Ba

nyumas</td><td>Kristen</td><td>60 TH 10 BL 10 HR</td><td>Laki Laki</td><td>Poliklinik THT</td><td>Other serum reactions</td><td>dr.Bagus Condro Prasetyo, Sp.THT-KL<

/td><td>BPJS</td>

</tr><tr id="tr2845">


mas</td><td>Islam</td><td>53 TH 10 BL 29 HR</td><td>Laki Laki</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>

</tr><tr id="tr2846">

<td>2846</td><td>00153841</td><td>Supomo, Tn</td><td>Desa Sokaraja Kidul, Kecamatan Sokar

aja, Banyumas</td><td>Islam</td><td>66 TH 11 BL 17 HR</td><td>Laki Laki</td><td>Poliklinik Syaraf</td><td>Fracture of second cervical vertebra

</td><td>dr. Tutik Ermawati, Sp.S</td><td>BPJS</td>

</tr><tr id="tr2847">

<td>2847</td><td>00151508</td><td>Lidya Mick Triatmi, Ny</td><td>Kelurahan Teluk, Kecamatan Purwokert

o Selatan, Purwokerto</td><td>Kristen</td><td>56 TH 11 BL 14 HR</td><td>Perempuan</td><td>Poliklinik Syaraf</td><td>Low back pain</td><td>dr. Tutik Ermawati, Sp.S</td><td>BPJS</td>

</tr><tr id="tr2848">




</tr><tr id="tr2849">




</tr><tr id="tr2850">

<td>2850</td><td>00154250</td><td>Ling Ling Ismayati,Ny</td><td>Desa Karangreja, Cimanggu, Cilacap</

td><td>Islam</td><td>39 TH 5 BL 28 HR</td><td>Perempuan</td><td>Poliklinik Syaraf</td><td>Low back pain</td><td>dr. Tutik Ermawati, Sp.S</td><td>BPJS</td>

</tr><tr id="tr2851">


raja, Banyumas</td><td>Islam</td><td>54 TH 2 BL 7 HR</td><td>Laki Laki</td><td>Poliklinik Syaraf</td><td>Stroke, not specified as haemorrhage


</tr><tr id="tr2852">




</tr>

<tr id="tr2853"><td>2853</td><td>00151347</td><td>Suwarti, Ny</td><td>Desa Karangkobar, Kecamatan Karangko

bar, Banjarnegara</td><td>Islam</td><td>42 TH 1 BL 17 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>

</tr><tr id="tr2854">




</tr><tr id="tr2855">


Banyumas</td><td>Islam</td><td>43 TH 10 HR</td><td>Perempuan</td><td>Poliklinik Gigi</td><td>Exfoliation of teeth due to systemic

causes</td><td>drg. Perwita Oktikarini</td><td>BPJS</td>

</tr><tr id="tr2856">

<td>2856</td><td>00154334</td><td>Madaspan, Tn</td><td>Desa Kuwayuhan, Kecamatan Pejagoan,

Kebumen</td><td>Islam</td><td>91 TH 7 BL 20 HR</td><td>Laki Laki</td><td>Poliklinik Bedah Onkology</td><td>Neoplasm of uncertain or unknown beh


</tr><tr id="tr2857">

<td>2857</td><td>00142433</td><td>Edi Santoso, Tn</td><td>Desa Pangawaren, Karangpucung, Cilac

ap</td><td>Islam</td><td>28 TH 2 BL 27 HR</td><td>Laki Laki</td><td>Poliklinik Bedah Onkology</td><td>Malignant neoplasm of parotid gland<


</tr><tr id="tr2858">




</tr><tr id="tr2859">



</tr><tr id="tr2860">

<td>2860</td><td>00151579</td><td>Sri Rejeki, Ny</td><td>Kel. Andongsili, Kecamatan Mojoten

gah, Wonosobo</td><td>Islam</td><td>47 TH 8 BL 20 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Malignant neoplasm of breast, unspec


</tr><tr id="tr2861">

<td>2861</td>

<td>00150591</td><td>Sanmursidi, Tn</td><td>Desa Tamansari, Kecamatan Karangmonc

ol, Purbalingga</td><td>Islam</td><td>71 TH 1 BL 9 HR</td><td>Laki Laki</td><td>Poliklinik Bedah Onkology</td><td>Malignant neoplasm of head, face and


</tr><tr id="tr2862">



</tr><tr id="tr2863">

<td>2863</td><td>00150360</td><td>Yatin, Ny</td><td>Desa Kejene, Kecamatan Randudongkal,

Pemalang</td><td>Islam</td><td>56 TH 1 BL 16 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Malignant neoplasm of cervix uteri,


</tr><tr id="tr2864">

<td>2864</td><td>00151852</td><td>Fita Mulyaningsih, Ny</td><td>Desa Karangkemiri, Kecamatan Pekunce

n, Banyumas</td><td>Islam</td><td>18 TH 7 BL 11 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Sequelae of tuberculosis of other or

gans</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>

</tr><tr id="tr2865">

<td>2865</td><td>00152935</td>

<td>Suyatno, Tn</td><td>Kel.Berkoh, Kecamatan Purwokerto Sel

atan, Purwokerto</td><td>Islam</td><td>74 TH 2 BL 22 HR</td><td>Laki Laki</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>

</tr><tr id="tr2866">



</tr><tr id="tr2867">



</tr><tr id="tr2868">

<td>2868</td><td>00154248</td><td>Boedi Handayani,Ny</td><td>Kel.Berkoh, Kecamatan Purwokerto Sel

atan, Purwokerto</td><td>Islam</td><td>59 TH 6 BL 3 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Neoplasm of uncertain or unknown beh


</tr><tr id="tr2869">

<td>2869</td><td>00141498</td><td>Bariyah, Ny</td><td>Desa Pucung Lor, Kecamatan Kroya, Ci

lacap</td>


</tr><tr id="tr2870">




</tr><tr id="tr2871">

<td>2871</td><td>00154211</td><td>Yustiarjo,Tn</td><td>Desa Cilapar, Kecamatan Kaligondang,



</tr><tr id="tr2872">

<td>2872</td><td>00142437</td><td>Sairoh, Ny</td><td>Desa Mangli, Kecamatan Randudongkal,

Pemalang</td><td>Islam</td><td>37 TH 6 BL 18 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Malignant neoplasm of breast, unspec


</tr><tr id="tr2873">


Kebumen</td><td>Islam</td>



</tr><tr id="tr2874">

<td>2874</td><td>00150574</td><td>Erlina, Ny</td><td>Desa Siasem, Wanasari, Brebes</td><td>Islam</td><td>26 TH 6 BL 12 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>

</tr><tr id="tr2875">



</tr><tr id="tr2876">




</tr><tr id="tr2877">

<td>2877</td><td>00152240</td><td>Sutrisno,Tn</td><td>Desa Binorong, Kecamatan Bawang, Ban

jarnegara</td><td>Islam</td><td>52 TH 10 BL 5 HR</td><td>Laki Laki</td><td>Poliklinik Bedah Onkology</td>


</tr><tr id="tr2878">




</tr><tr id="tr2879">

<td>2879</td><td>00152621</td><td>Sukismo Setianto, Tn</td><td>Kelurahan Teluk, Kecamatan Purwokert

o Selatan, Purwokerto</td><td>Islam</td><td>45 TH 11 BL 17 HR</td><td>Laki Laki</td><td>Poliklinik Penyakit Dalam</td><td>Transitory neonatal hypoparathyroidi

sm</td><td>dr. Aditiawarman, Sp. PD</td><td>BPJS</td>

</tr><tr id="tr2880">


, Wonosobo</td><td>Islam</td><td>59 TH 7 BL 12 HR</td><td>Laki Laki</td><td>Poliklinik Bedah Onkology</td><td>Non-Hodgkin's lymphoma, unspecified


</tr><tr id="tr2881">


bupaten Ciamis</td><td>Islam</td><td>61 TH 6 BL 10 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>-</td>


</tr><tr id="tr2882">

<td>2882</td><td>00152104</td><td>Rokiyem, Ny</td><td>Desa Wero, Kecamatan Gombong, Kebume



</tr><tr id="tr2883">



</tr><tr id="tr2884">


n, Banyumas</td><td>Islam</td><td>53 TH 9 BL 28 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Ganglion</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>

</tr><tr id="tr2885">



</tr>

<tr id="tr2886"><td>2886</td><td>00143396</td><td>Eli Muharti, Ny</td><td>Kelurahan Teluk, Kecamatan Purwokert

o Selatan, Purwokerto</td><td>Islam</td><td>40 TH 3 BL 13 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Malignant neoplasm of breast, unspec


</tr><tr id="tr2887">

<td>2887</td><td>00142539</td><td>Soeaibah, Ny</td><td>Kelurahan Teluk, Kecamatan Purwokert

o Selatan, Purwokerto</td><td>Islam</td><td>72 TH 10 BL 16 HR</td><td>Perempuan</td><td>Poliklinik Penyakit Dalam</td><td>Ischaemic heart diseases</td><td>dr. Aditiawarman, Sp. PD</td><td>BPJS</td>

</tr><tr id="tr2888">

<td>2888</td><td>00154339</td><td>Ambar Wijayaningsih, Ny</td><td>Desa Tajug, Kecamatan Karangmoncol,



</tr><tr id="tr2889">

<td>2889</td><td>00131682</td><td>Indah Listyowati,Ny</td><td>Kel.Karangklesem, Kecamatan Purwoker

to Selatan, Purwokerto</td><td>Kristen</td><td>32 TH 3 BL 8 HR</td><td>Perempuan</td><td>Poliklinik Penyakit Dalam</td><td>Typhoid fever</td><td>dr. Aditiawarman, Sp. PD</td><td>BPJS</td>

</tr><tr id="tr2890">

<td>2890</td>

<td>00153906</td><td>Jeje,Tn</td><td>Desa Batukaras, Kecamatan Cijulang,


</tr><tr id="tr2891">



</tr><tr id="tr2892">

<td>2892</td><td>00154174</td><td>Winarti, Ny</td><td>Desa Paguyangan, Kecamatan Paguyanga

n, Brebes</td><td>Islam</td><td>47 TH 9 BL 27 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>

</tr><tr id="tr2893">

<td>2893</td><td>00154169</td><td>Khasan Fajari, Sdr</td><td>Desa Keniten, Kecamatan Kedungbanten

g, Banyumas</td><td>Islam</td><td>24 TH 1 BL 30 HR</td><td>Laki Laki</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>

</tr><tr id="tr2894">

<td>2894</td><td>00143253</td><td>Hj.Rina Suryani, Ny</td><td>Desa Kalimanggis, Kecamatan Manonjay

a, Kabupaten Tasikmalaya</td>


</tr><tr id="tr2895">

<td>2895</td><td>00153717</td><td>Nur Lili Julianti,Nn</td><td>Desa Wiradadi, Kecamatan Sokaraja, B

anyumas</td><td>Islam</td><td>16 TH 3 BL 11 HR</td><td>Perempuan</td><td>Poliklinik Syaraf</td><td>-</td><td>dr. Tutik Ermawati, Sp.S</td><td>Umum</td>

</tr><tr id="tr2896">

<td>2896</td><td>00154340</td><td>Budi Winarno, Tn</td><td>Desa Sokaraja Kulon, Kecamatan Sokar

aja, Banyumas</td><td>Islam</td><td>61 TH 11 BL 18 HR</td><td>Laki Laki</td><td>Poliklinik Syaraf</td><td>Stroke, not specified as haemorrhage


</tr><tr id="tr2897">

<td>2897</td><td>00154078</td><td>Rizki Indriani,Ny</td><td>Kel.Kedungwuluh, Kecamatan Purwokert

o Barat, Purwokerto</td><td>Kristen</td><td>26 TH 6 BL 20 HR</td><td>Perempuan</td><td>Poliklinik Obsgyn</td><td>Delivery by caesarean section, unspe

cified</td><td>dr. Soegeng Djiwarahga, Sp.OG</td><td>BPJS</td>

</tr><tr id="tr2898">

<td>2898</td><td>00150657</td><td>Mustofa Qastolani, Tn</td><td>Desa Banjarparakan, Kecamatan Rawalo

, Banyumas</td><td>Islam</td><td>63 TH 1 BL 16 HR</td>

<td>Laki Laki</td><td>Poliklinik Penyakit Dalam</td><td>Diabetes mellitus</td><td>dr. Aditiawarman, Sp. PD</td><td>BPJS</td>

</tr><tr id="tr2899">

<td>2899</td><td>00154341</td><td>Swa Cahayati,Ny</td><td>Kelurahan Teluk, Kecamatan Purwokert

o Selatan, Purwokerto</td><td>Islam</td><td>49 TH 6 BL 27 HR</td><td>Perempuan</td><td>Poliklinik Umum</td><td>Asthma, unspecified</td><td>dr. Wibisono Nugraha</td><td>Umum</td>

</tr><tr id="tr2900">

<td>2900</td><td>00150354</td><td>Wartini, Ny</td><td>Desa Karangcengis, Kecamatan Bukatej



</tr><tr id="tr2901">


erto Timur, Purwokerto</td><td>Islam</td><td>70 TH 7 BL 3 HR</td><td>Perempuan</td><td>Poliklinik Penyakit Dalam</td><td>Dyspnoea</td><td>dr. Aditiawarman, Sp. PD</td><td>BPJS</td>

</tr><tr id="tr2902">

<td>2902</td><td>00150260</td><td>Rasmini, Ny</td><td>Desa Sidarata, Kecamatan Punggelan,

Banjarnegara</td><td>Islam</td><td>62 TH 11 BL 7 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>-</td>


</tr><tr id="tr2903">

<td>2903</td><td>00141942</td><td>Kurniasih, Ny</td><td>Desa Karanglo, Kecamatan Cilongok, B



</tr><tr id="tr2904">




</tr><tr id="tr2905">

<td>2905</td><td>00154342</td><td>Dimyatno, Tn</td><td>Desa Gambarsari, Kecamatan Kebasen,

Banyumas</td><td>Islam</td><td>57 TH 7 BL 8 HR</td><td>Laki Laki</td><td>Poliklinik Penyakit Dalam</td><td>Gastrojejunal ulcer, acute with haem

orrhage</td><td>dr. Aditiawarman, Sp. PD</td><td>BPJS</td>

</tr><tr id="tr2906">

<td>2906</td><td>00154343</td><td>Wasini, Ny</td><td>Desa Karanggedang, Kecamatan Sruweng


ified</td>


</tr><tr id="tr2907">

<td>2907</td><td>00120888</td><td>Murniati, Ny</td><td>Kel.Kedungwuluh, Kecamatan Purwokert

o Barat, Purwokerto</td><td>Islam</td><td>63 TH 5 BL 11 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>

</tr><tr id="tr2908">



</tr><tr id="tr2909">

<td>2909</td><td>00154344</td><td>Frans Manudjaja, Tn</td><td>Kel. Arcawinangun, Kecamatan Purwoke

rto Timur, Purwokerto</td><td>Khatolik</td><td>69 TH 11 BL 19 HR</td><td>Laki Laki</td><td>Poliklinik Penyakit Dalam</td><td>Hypertensive diseases</td><td>dr. Aditiawarman, Sp. PD</td><td>BPJS</td>

</tr><tr id="tr2910">

<td>2910</td><td>00150121</td><td>Kartinem, Ny</td><td>Desa Pancarmulyo, Kecamatan Leksono,

Wonosobo</td><td>Islam</td><td>55 TH 9 BL 26 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Carcinoma in situ of rectum</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>

</tr><tr id="tr2911">



</tr><tr id="tr2912">

<td>2912</td><td>00150560</td><td>Yayat Hidayat, Tn</td><td>Desa Baregbeg, Kecamatan Ciamis, Kab

upaten Ciamis</td><td>Islam</td><td>36 TH 6 BL 22 HR</td><td>Laki Laki</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>

</tr><tr id="tr2913">

<td>2913</td><td>00154326</td><td>Suparjo, Tn</td><td>Desa Bantarmangu, Cimanggu, Cilacap<



</tr><tr id="tr2914">


ari, Kabupaten Ciamis</td><td>Islam</td><td>46 TH 3 BL 25 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>

</tr><tr id="tr2915">

<td>2915</td><td>00142902</td><td>Kaptingah, Ny</td>

<td>Desa Punggelan, Kecamatan Punggelan, Banjarnegara</td>


</tr><tr id="tr2916">



</tr><tr id="tr2917">


n, Kebumen</td><td>Islam</td><td>60 TH 6 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Anaemia, unspecified</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>

</tr><tr id="tr2918">



</tr><tr id="tr2919">

<td>2919</td><td>00142823</td><td>Dwi Wurnindah, Ny</td><td>Kel. Karanganyar, Kecamatan Karangan

yar, Kebumen</td><td>Islam</td><td>50 TH 10 BL 25 HR</td>



</tr><tr id="tr2920">

<td>2920</td><td>00154199</td><td>Kusmana, Tn</td><td>Desa Babakan, Kecamatan Pangandaran,


</tr><tr id="tr2921">

<td>2921</td><td>00154051</td><td>Laely Nurul Amala, Ny</td><td>Desa Karangsari, Kecamatan Adipala,

Cilacap</td><td>Islam</td><td>27 TH 10 BL 24 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Neoplasm of uncertain or unknown beh


</tr><tr id="tr2922">



</tr><tr id="tr2923">

<td>2923</td><td>00150246</td><td>Jarti, Ny</td><td>Desa Pekiringan, Kecamatan Karangmon

col, Purbalingga</td><td>Islam</td><td>51 TH 4 BL 4 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td>



</tr><tr id="tr2924">

<td>2924</td><td>00142657</td><td>Sri Astuti, Ny</td><td>Desa Tegalretno, Kecamatan Petahanan



</tr><tr id="tr2925">




</tr><tr id="tr2926">



</tr><tr id="tr2927">

<td>2927</td><td>00154303</td><td>Septi Koningsih,Ny</td><td>Desa Sirau, Kecamatan Karangmoncol,



</tr><tr id="tr2928">

<td>2928</td><td>00140234</td><td>Watimah, Ny</td><td>Desa Gancang, Gumelar, Banyumas</td><td>Islam</td><td>51 TH 1 BL 12 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>Umum</td>

</tr><tr id="tr2929">

<td>2929</td><td>00154153</td><td>Nok Atin Supriyatin,Ny</td><td>Kel. Jaraksari, Kecamatan Wonosobo,


</tr><tr id="tr2930">

<td>2930</td><td>00154345</td><td>Kun Hidayati, Ny</td><td>Desa Pucang, Kecamatan Bawang, Banja

rnegara</td><td>Islam</td><td>46 TH 11 BL 23 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Neoplasm of uncertain or unknown beh


</tr><tr id="tr2931">


wokerto Selatan, Purwokerto</td><td>Islam</td><td>50 TH 4 BL 1 HR</td><td>Laki Laki</td><td>Poliklinik Syaraf</td><td>-</td><td>dr. Tutik Ermawati, Sp.S</td><td>BPJS</td>

</tr>

<tr id="tr2932"><td>2932</td><td>00154167</td><td>Sultoni,Tn</td><td>Desa Danasri, Kecamatan Nusawungu, C

ilacap</td><td>Islam</td><td>61 TH 4 BL</td><td>Laki Laki</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>

</tr><tr id="tr2933">




</tr><tr id="tr2934">

<td>2934</td><td>00141389</td><td>Turinah, Ny</td><td>Desa Sidamukti, Kecamatan Patimuan,


</tr><tr id="tr2935">

<td>2935</td><td>00130194</td><td>Parisah, Ny</td><td>Desa Pangadegan, Kecamatan Wangon, B


</tr><tr id="tr2936">

<td>2936</td><td>00154200</td>

<td>Masiyah, Ny</td><td>Desa Muntang, Kecamatan Kemangkon, P


</tr><tr id="tr2937">

<td>2937</td><td>00150528</td><td>Darsih, Ny</td><td>Kelurahan Teluk, Kecamatan Purwokert


</tr><tr id="tr2938">



</tr><tr id="tr2939">


aten Ciamis</td><td>Islam</td><td>57 TH 4 BL 26 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>Umum</td>

</tr><tr id="tr2940">

<td>2940</td><td>00151197</td><td>Watimah, Ny</td><td>Desa Kutawis, Kecamatan Bukateja, Pu

rbalingga</td><td>Islam</td>

<td>41 TH 8 BL 6 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>Umum</td>

</tr><tr id="tr2941">

<td>2941</td><td>00141340</td><td>Sugiyanto, Tn</td><td>Desa Klapa, Kecamatan Punggelan, Ban

jarnegara</td><td>Islam</td><td>50 TH 1 BL 12 HR</td><td>Laki Laki</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>

</tr><tr id="tr2942">


ur, Purwokerto</td><td>Islam</td><td>38 TH 4 BL</td><td>Perempuan</td><td>Poliklinik Syaraf</td><td>-</td><td>dr. Tutik Ermawati, Sp.S</td><td>BPJS</td>

</tr><tr id="tr2943">



</tr><tr id="tr2944">


Barat, Purwokerto</td><td>Islam</td><td>70 TH 9 BL 10 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>-</td>


</tr><tr id="tr2945">

<td>2945</td><td>00152559</td><td>Puger Iswiyati,Ny</td><td>Desa Kedungwringin, Kecamatan Patikr

aja, Banyumas</td><td>Islam</td><td>51 TH 1 BL 14 HR</td><td>Perempuan</td><td>Poliklinik Syaraf</td><td>-</td><td>dr. Tutik Ermawati, Sp.S</td><td>BPJS</td>

</tr><tr id="tr2946">

<td>2946</td><td>00120613</td><td>Singgih Dwi Ariyanti, Ny</td><td>Desa Kalikidang, Kecamatan Sokaraja,


</tr><tr id="tr2947">

<td>2947</td><td>00154197</td><td>Eky Supriyatiningsih, Ny</td><td>Kel.Sumampir, Kecamatan Purwokerto U


</tr><tr id="tr2948">

<td>2948</td><td>00154346</td><td>Siti Hendaryati, Ny</td><td>Desa Karangklesem, Kecamatan Kutasar

i, Purbalingga</td><td>Islam</td><td>49 TH 3 BL 30 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>Umum</td>

</tr><tr id="tr2949">

<td>2949</td><td>00154213</td><td>Livia Intan Dwi Lestari, Nn</td><td>Desa Wlahar Wetan, Kecamatan Kalibag

or, Banyumas</td><td>Islam</td><td>17 TH 10 BL 11 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>Umum</td>

</tr><tr id="tr2950">

<td>2950</td><td>00153407</td><td>Subandiyah, Ny</td><td>Desa Windunegara, Kecamatan Wangon,


</tr><tr id="tr2951">

<td>2951</td><td>00153780</td><td>Tarwono, Tn</td><td>Kel.Kranji, Kecamatan Purwokerto Tim

ur, Purwokerto</td><td>Islam</td><td>52 TH 3 BL 16 HR</td><td>Laki Laki</td><td>Poliklinik Syaraf</td><td>-</td><td>dr. Tutik Ermawati, Sp.S</td><td>BPJS</td>

</tr><tr id="tr2952">



</tr><tr id="tr2953">

<td>2953</td><td>00153581</td><td>Yatinah, Ny</td><td>Desa Bener, Majenang, Cilacap</td>

<td>Islam</td><td>36 TH 4 BL 3 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>Umum</td>

</tr><tr id="tr2954">



</tr><tr id="tr2955">


tara, Purwokerto</td><td>Islam</td><td>36 TH 1 BL 15 HR</td><td>Laki Laki</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>

</tr><tr id="tr2956">

<td>2956</td><td>00154113</td><td>Mira Apriyani,Nn</td><td>Kelurahan Tritih Kulon, Kec. Cilacap


</tr><tr id="tr2957">

<td>2957</td><td>00153376</td><td>Idap Mustika Sukarti, Ny</td><td>Desa Pedagangan, Dukuwaru, Tegal</td

><td>Islam</td><td>51 TH 4 BL 15 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td>


</tr><tr id="tr2958">

<td>2958</td><td>00151149</td><td>Tasmini, Ny</td><td>Desa Alasmalang, Kecamatan Kemranjen



</tr><tr id="tr2959">




</tr><tr id="tr2960">

<td>2960</td><td>00154349</td><td>Umiyati,Ny</td><td>Desa Karangklesem, Kecamatan Pekunce

n, Banyumas</td><td>Islam</td><td>56 TH 10 BL 9 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Neoplasm of uncertain or unknown beh


</tr><tr id="tr2961">

<td>2961</td><td>00151024</td><td>Khuzaemah, Ny</td><td>Desa Kedungurang, Gumelar, Banyumas<



</tr><tr id="tr2962">


balingga</td><td>Islam</td><td>56 TH 2 BL 16 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Malignant neoplasm of ovary</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>

</tr><tr id="tr2963">




</tr><tr id="tr2964">


bes</td><td>Islam</td><td>18 TH 1 BL 26 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Malignant neoplasm of breast, unspec


</tr><tr id="tr2965">


alang</td><td>Islam</td><td>61 TH 8 BL 6 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td>

<td>BPJS</td></tr>

<tr id="tr2966"><td>2966</td><td>00141229</td><td>Sri Eko Prasetyaningsih, Ny</td><td>Kelurahan Teluk, Kecamatan Purwokert

o Selatan, Purwokerto</td><td>Islam</td><td>49 TH 3 BL</td><td>Perempuan</td><td>Poliklinik Syaraf</td><td>-</td><td>dr. Tutik Ermawati, Sp.S</td><td>BPJS</td>

</tr><tr id="tr2967">



</tr><tr id="tr2968">

<td>2968</td><td>00150595</td><td>Maemunah, Ny</td><td>Desa Handapherang, Kecamatan Cijeung

jing, Kabupaten Ciamis</td><td>Islam</td><td>67 TH 8 BL 30 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Malignant neoplasm of breast, unspec


</tr><tr id="tr2969">




</tr>

<tr id="tr2970"><td>2970</td><td>00142515</td><td>Wastinah, Ny</td><td>Desa Kembaran, Kecamatan Kalikajar,


</tr><tr id="tr2971">




</tr><tr id="tr2972">



</tr><tr id="tr2973">



</tr><tr id="tr2974">

<td>2974</td><td>00153574</td>

<td>Intan Nopiana,Ny</td><td>Desa Cibuyur, Kecamatan Moga, Pemala

ng</td><td>Islam</td><td>21 TH 2 BL 9 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>

</tr><tr id="tr2975">

<td>2975</td><td>00154155</td><td>Suwarto,Tn</td><td>Kelurahan Panambongan, Kecamatan Pur

balingga, Purbalingga</td><td>Islam</td><td>40 TH 12 HR</td><td>Laki Laki</td><td>Poliklinik Bedah Onkology</td><td>Non-Hodgkin's lymphoma, unspecified


</tr><tr id="tr2976">

<td>2976</td><td>00154269</td><td>Suryati,Ny</td><td>Desa Bantarpanjang, Cimanggu, Cilaca

p</td><td>Islam</td><td>39 TH 5 BL 3 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>Umum</td>

</tr><tr id="tr2977">

<td>2977</td><td>00150432</td><td>Rohinah, Ny</td><td>Desa Purbadana, Kecamatan Kembaran,


</tr><tr id="tr2978">


yumas</td>

<td>Islam</td><td>67 TH 5 BL 25 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Anaemia, unspecified</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>

</tr><tr id="tr2979">



</tr><tr id="tr2980">

<td>2980</td><td>00154350</td><td>Nurhikmah, Ny (BKKBN)</td><td>Desa Tambaksogra, Kecamatan Sumbang,


</tr><tr id="tr2981">

<td>2981</td><td>00153064</td><td>Supriyati, Ny</td><td>Kel.Bobosan, Kecamatan Purwokerto Ut


</tr><tr id="tr2982">


as</td><td>Islam</td><td>34 TH 1 BL 8 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td>

<td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>Umum</td>

</tr><tr id="tr2983">



</tr><tr id="tr2984">

<td>2984</td><td>00154351</td><td>Ndoniyah, Ny (BKKBN)</td><td>Desa Ciberem, Kecamatan Sumbang, Ban

yumas</td><td>Islam</td><td>31 TH 7 BL 27 HR</td><td>Perempuan</td><td>Poliklinik Obsgyn</td><td>-</td><td>dr. Edy Sp.OG</td><td>BKKBN</td>

</tr><tr id="tr2985">


r, Purbalingga</td><td>Islam</td><td>37 TH 6 BL 28 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>

</tr><tr id="tr2986">

<td>2986</td><td>00121018</td><td>Rasmini, Ny</td><td>Desa Pekiringan, Kecamatan Karangmon

col, Purbalingga</td><td>Islam</td><td>64 TH 1 BL 16 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>Umum</td>

</tr>

<tr id="tr2987"><td>2987</td><td>00154352</td><td>Sawinah, Ny (BKKBN)</td><td>Desa Ciberem, Kecamatan Sumbang, Ban


</tr><tr id="tr2988">

<td>2988</td><td>00150577</td><td>Warsiti, Ny</td><td>Desa Karangkemiri, Kecamatan Karangl

ewas, Banyumas</td><td>Islam</td><td>53 TH 6 BL 7 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>

</tr><tr id="tr2989">

<td>2989</td><td>00154353</td><td>Supardi,Tn</td><td>Desa Purwadadi, Kecamatan Lakbok, Ka

bupaten Ciamis</td><td>Islam</td><td>55 TH 2 BL 4 HR</td><td>Laki Laki</td><td>Poliklinik Bedah Onkology</td><td>Unilateral or unspecified inguinal h


</tr><tr id="tr2990">


ang, Purbalingga</td><td>Islam</td><td>42 TH 2 BL 8 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>

</tr><tr id="tr2991">

<td>2991</td><td>00154354</td>

<td>Taswen, Ny (BKKBN)</td><td>Desa Ciberem, Kecamatan Sumbang, Ban


</tr><tr id="tr2992">

<td>2992</td><td>00154355</td><td>Racik, Ny (BKKBN)</td><td>Desa Sikapat, Kecamatan Sumbang, Ban


</tr><tr id="tr2993">

<td>2993</td><td>00154259</td><td>Musrifah,Ny</td><td>Kel.Purwokerto Wetan, Kecamatan Purw

okerto Timur, Purwokerto</td><td>Islam</td><td>48 TH 6 BL 4 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>Umum</td>

</tr><tr id="tr2994">

<td>2994</td><td>00152418</td><td>Kisem, Ny</td><td>Desa Kebanaran, Kecamatan Mandiraja,



</tr><tr id="tr2995">

<td>2995</td><td>00151194</td><td>Astuti Khomsah, Ny</td><td>Desa Mujur, Kecamatan Kroya, Cilacap

</td>


</tr><tr id="tr2996">

<td>2996</td><td>00154356</td><td>Sawen, Ny (BKKBN)</td><td>Desa Sikapat, Kecamatan Sumbang, Ban

yumas</td><td>Islam</td><td>41 TH 27 HR</td><td>Perempuan</td><td>Poliklinik Obsgyn</td><td>-</td><td>dr. Edy Sp.OG</td><td>BKKBN</td>

</tr><tr id="tr2997">

<td>2997</td><td>00142852</td><td>Sudiah, Ny</td><td>Desa Tambaksogra, Kecamatan Sumbang,



</tr><tr id="tr2998">


ebes</td><td>Islam</td><td>46 TH 6 BL 30 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>

</tr><tr id="tr2999">

<td>2999</td><td>00154357</td><td>Indarwati, ny (BKKBN)</td><td>Desa Sokaraja Tengah, Kecamatan Soka

raja, Banyumas</td><td>Islam</td><td>36 TH 5 BL 8 HR</td><td>Perempuan</td>


</tr><tr id="tr3000">

<td>3000</td><td>00154358</td><td>Eni Darwati, Ny (BKKBN)</td><td>Desa Sokaraja Wetan, Kecamatan Sokar


</tr><tr id="tr3001">

<td>3001</td><td>00154359</td><td>Rhocimah, Ny (BKKBN)</td><td>Desa Dukuhwaluh, Kecamatan Kembaran,


</tr><tr id="tr3002">

<td>3002</td><td>00154360</td><td>Sagino,Tn</td><td>Desa Sidomukti, Kec. Kuwarasan, Kebu

men</td><td>Islam</td><td>46 TH 2 BL 28 HR</td><td>Laki Laki</td><td>Poliklinik Bedah Onkology</td><td>Neoplasm of uncertain or unknown beh


</tr><tr id="tr3003">

<td>3003</td><td>00154361</td><td>Wakub,Tn</td><td>Desa Waru, Bantarkawung, Brebes</td><td>Islam</td><td>37 TH 6 BL 17 HR</td><td>Laki Laki</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>Umum</td>

</tr><tr id="tr3004">

<td>3004</td><td>00154362</td><td>Cahyani, Ny (BKKBN)</td><td>Desa Linggasari, Kecamatan Kembaran,


</tr><tr id="tr3005">

<td>3005</td><td>00154363</td><td>Murniyah, Ny (BKKBN)</td><td>Desa Tambaksogra, Kecamatan Sumbang,


</tr><tr id="tr3006">

<td>3006</td><td>00154364</td><td>Suparni, Ny (BKKBN)</td><td>Desa Tambaksogra, Kecamatan Sumbang,


</tr><tr id="tr3007">

<td>3007</td><td>00153255</td><td>Nina Tri Utami,An</td><td>Desa Sindangwangi, Bantarkawung, Bre

bes</td><td>Islam</td><td>12 TH 3 BL 16 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>

</tr><tr id="tr3008">

<td>3008</td><td>00120838</td>

<td>Jamiyah, Ny</td><td>Desa Majalangu, Kecamatan Watukumpul

, Pemalang</td><td>Islam</td><td>50 TH 4 BL 18 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>

</tr><tr id="tr3009">

<td>3009</td><td>00151837</td><td>Eni Sugiarti, Ny</td><td>Kel.Karangklesem, Kecamatan Purwoker

to Selatan, Purwokerto</td><td>Islam</td><td>44 TH 3 BL 29 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>

</tr><tr id="tr3010">

<td>3010</td><td>00154365</td><td>Kasitem, Ny (BKKBN)</td><td>Desa Banteran, Kecamatan Sumbang, Ba

nyumas</td><td>Islam</td><td>35 TH 2 BL 13 HR</td><td>Perempuan</td><td>Poliklinik Obsgyn</td><td>-</td><td>dr. Edy Sp.OG</td><td>BKKBN</td>

</tr><tr id="tr3011">

<td>3011</td><td>00154366</td><td>Ngabas,Tn</td><td>Desa Carui, Cipari, Cilacap</td><td>Islam</td><td>66 TH 1 BL 16 HR</td><td>Laki Laki</td><td>Poliklinik Bedah Onkology</td><td>Neoplasm of uncertain or unknown beh


</tr><tr id="tr3012">


Tegal</td><td>Islam</td>


</tr><tr id="tr3013">

<td>3013</td><td>00154367</td><td>Darisem, Ny (BKKBN)</td><td>Desa Ketayasa, Kecamatan Sumbang, Ba

nyumas</td><td>Islam</td><td>44 TH 7 BL 28 HR</td><td>Perempuan</td><td>Poliklinik Obsgyn</td><td>-</td><td>dr. Edy Sp.OG</td><td>BKKBN</td>

</tr><tr id="tr3014">

<td>3014</td><td>00150057</td><td>Esani, Ny</td><td>Desa Menganti, Kecamatan Kesugihan,


</tr><tr id="tr3015">



</tr><tr id="tr3016">

<td>3016</td><td>00154368</td><td>Rusmini, Ny (BKKBN)</td><td>Desa Ketayasa, Kecamatan Sumbang, Ba

nyumas</td><td>Islam</td><td>42 TH 2 BL 11 HR</td><td>Perempuan</td><td>Poliklinik Obsgyn</td><td>-</td>

<td>dr. Edy Sp.OG</td><td>BKKBN</td>

</tr><tr id="tr3017">

<td>3017</td><td>00154369</td><td>Mulyadi,Tn</td><td>Desa Pahonjean, Majenang, Cilacap</t

d><td>Islam</td><td>57 TH 5 BL 9 HR</td><td>Laki Laki</td><td>Poliklinik Bedah Onkology</td><td>Calculus of kidney</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>

</tr><tr id="tr3018">

<td>3018</td><td>00154271</td><td>Maksudi, Tn</td><td>Desa Kertanegara, Kecamatan Karangan

yar, Purbalingga</td><td>Islam</td><td>72 TH 8 BL 3 HR</td><td>Laki Laki</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>

</tr><tr id="tr3019">

<td>3019</td><td>00154370</td><td>Partinah, Ny (BKKBN)</td><td>Kel. Kukusan, Kecamatan Beji, Kota

Depok</td><td>Islam</td><td>36 TH 10 BL 30 HR</td><td>Perempuan</td><td>Poliklinik Obsgyn</td><td>-</td><td>dr. Edy Sp.OG</td><td>BKKBN</td>

</tr><tr id="tr3020">

<td>3020</td><td>00154371</td><td>Sunarti, Ny (BKKBN)</td><td>Desa Plana, Kecamatan Somagede, Bany


</tr><tr id="tr3021">

<td>3021</td><td>00152141</td><td>Andayani, Ny</td><td>Kel. Donan, Cilacap Tengah, Cilacap<


</tr><tr id="tr3022">

<td>3022</td><td>00154372</td><td>Siti Khomsatun,Ny</td><td>Kel. Rejasari, Kecamatan Purwokerto


</tr><tr id="tr3023">

<td>3023</td><td>00154373</td><td>Sutarti, Ny (BKKBN)</td><td>Desa Somagede, Kecamatan Somagede, B

anyumas</td><td>Islam</td><td>38 TH 2 BL 29 HR</td><td>Perempuan</td><td>Poliklinik Obsgyn</td><td>-</td><td>dr. Edy Sp.OG</td><td>BKKBN</td>

</tr><tr id="tr3024">

<td>3024</td><td>00143204</td><td>Narkum, Tn</td><td>Pengadegan, Pancoran, Jakarta Selata

n</td><td>Islam</td><td>72 TH 2 BL 18 HR</td><td>Laki Laki</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>

</tr><tr id="tr3025">

<td>3025</td><td>00154375</td><td>Yoga Yuswidiastuti, Ny (BKKBN)</td><td>Desa Klinting, Kecamatan Somagede, B

anyumas</td><td>Islam</td><td>37 TH 2 BL 2 HR</td><td>Perempuan</td><td>Poliklinik Obsgyn</td><td>-</td><td>dr. Edy Sp.OG</td><td>BKKBN</td>

</tr><tr id="tr3026">

<td>3026</td><td>00154205</td><td>Soewarni, Ny</td><td>Kel.Kutabanjarnegara, Kecamatan Banj

arnegara, Banjarnegara</td><td>Islam</td><td>70 TH 10 BL 29 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>

</tr><tr id="tr3027">



</tr><tr id="tr3028">

<td>3028</td><td>00154376</td><td>Aminah, Ny ( BKKBN)</td><td>Desa Pasir Kulon, Kecamatan Karangle

was, Banyumas</td><td>Islam</td><td>31 TH 3 BL 8 HR</td><td>Perempuan</td><td>Poliklinik Obsgyn</td><td>-</td><td>dr. Edy Sp.OG</td><td>BKKBN</td>

</tr><tr id="tr3029">

<td>3029</td><td>00153795</td><td>Marjo,Tn</td><td>Desa Karangtawang, Kecamatan Nusawun

gu, Cilacap</td><td>Islam</td><td>70 TH 3 BL 20 HR</td><td>Laki Laki</td>


</tr><tr id="tr3030">



</tr><tr id="tr3031">

<td>3031</td><td>00154377</td><td>Dariwen, Ny ( BKKBN)</td><td>Desa Pasir Kulon, Kecamatan Karangle

was, Banyumas</td><td>Islam</td><td>40 TH 9 BL 21 HR</td><td>Perempuan</td><td>Poliklinik Obsgyn</td><td>-</td><td>dr. Edy Sp.OG</td><td>BKKBN</td>

</tr><tr id="tr3032">


/td><td>Islam</td><td>65 TH 4 BL 8 HR</td><td>Laki Laki</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>Umum</td>

</tr><tr id="tr3033">



</tr><tr id="tr3034">


/td><td>Islam</td><td>66 TH 4 BL 11 HR</td><td>Laki Laki</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>

</tr><tr id="tr3035">

<td>3035</td><td>00153102</td><td>Maria Rossyastuti, Ny</td><td>Kelurahan Teluk, Kecamatan Purwokert

o Selatan, Purwokerto</td><td>Khatolik</td><td>61 TH 2 BL 12 HR</td><td>Perempuan</td><td>Poliklinik Syaraf</td><td>-</td><td>dr. Tutik Ermawati, Sp.S</td><td>BPJS</td>

</tr><tr id="tr3036">



</tr><tr id="tr3037">

<td>3037</td><td>00150120</td><td>Marto Diharjo, Tn</td><td>Desa Karangrena, Kecamatan Maos, Cil

acap</td><td>Islam</td><td>51 TH 2 BL 2 HR</td><td>Laki Laki</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>Umum</td>

</tr><tr id="tr3038">

<td>3038</td><td>00154292</td>

<td>Sikin Hadi Suwito, Tn</td><td>Desa Pancurendang, Kecamatan Ajibara

ng, Banyumas</td><td>Islam</td><td>55 TH 7 BL 11 HR</td><td>Laki Laki</td><td>Poliklinik Bedah Onkology</td><td>Unilateral or unspecified inguinal h


</tr><tr id="tr3039">

<td>3039</td><td>00150732</td><td>Hj. Siti Abibah,Ny</td><td>Desa Langkap, Kecamatan Bumiayu, Bre

bes</td><td>Islam</td><td>56 TH 6 BL 22 HR</td><td>Perempuan</td><td>Poliklinik Syaraf</td><td>-</td><td>dr. Tutik Ermawati, Sp.S</td><td>BPJS</td>

</tr><tr id="tr3040">



</tr><tr id="tr3041">



</tr><tr id="tr3042">

<td>3042</td><td>00154276</td><td>Sarwen, Ny</td><td>Desa Griting, Bulakamba, Brebes</td><td>Islam</td>

<td>46 TH 1 BL 11 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>Umum</td>

</tr><tr id="tr3043">


kerto Barat, Purwokerto</td><td>Islam</td><td>40 TH 2 BL 21 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>

</tr><tr id="tr3044">



</tr><tr id="tr3045">



</tr><tr id="tr3046">


anyumas</td><td>Islam</td><td>48 TH 1 BL 13 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>-</td>


</tr><tr id="tr3047">



</tr><tr id="tr3048">



</tr><tr id="tr3049">



</tr><tr id="tr3050">

<td>3050</td><td>00153944</td><td>Sawitri, Ny</td><td>Kel.Kedungwuluh, Kecamatan Purwokert


</tr><tr id="tr3051">


dungbanteng, Banyumas</td><td>Islam</td><td>51 TH 9 BL 21 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>

</tr><tr id="tr3052">


Wonosobo</td><td>Islam</td><td>50 TH 24 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Malignant neoplasm of skin, unspecif


</tr><tr id="tr3053">

<td>3053</td><td>00142913</td><td>Rosidah, Ny</td><td>Kel. Mlipak, Kecamatan Wonosobo, Won

osobo</td><td>Islam</td><td>66 TH 6 BL 7 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>Umum</td>

</tr><tr id="tr3054">



</tr><tr id="tr3055">

<td>3055</td><td>00153781</td><td>Sulistiyowati, Ny</td>

<td>Desa Kertayasa, Kecamatan Mandiraja, Banjarnegara</td>


</tr><tr id="tr3056">

<td>3056</td><td>00141351</td><td>Suci Koningah, Ny</td><td>Desa Pamijen, Kecamatan Baturaden, B


</tr><tr id="tr3057">



</tr><tr id="tr3058">




</tr><tr id="tr3059">


longan Utara, Pekalongan</td><td>Islam</td>

<td>52 TH 5 BL 10 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Anaemia, unspecified</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>

</tr><tr id="tr3060">

<td>3060</td><td>00130466</td><td>Khotiyah, Ny</td><td>Desa Pagak, Kecamatan Purwarejaklamp

ok, Banjarnegara</td><td>Islam</td><td>48 TH 1 BL 2 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>

</tr><tr id="tr3061">



</tr><tr id="tr3062">


ngon, Banyumas</td><td>Islam</td><td>56 TH 3 BL 27 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>

</tr><tr id="tr3063">

<td>3063</td><td>00153062</td><td>Kasem, Ny</td><td>Desa Sidaurip, Candrungmangu, Cilaca

p</td><td>Islam</td><td>43 TH 10 BL 1 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>-</td>


</tr><tr id="tr3064">



</tr><tr id="tr3065">


bes</td><td>Islam</td><td>46 TH 3 BL</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>

</tr><tr id="tr3066">

<td>3066</td><td>00141560</td><td>Najmi, Tn</td><td>Kel.Bojong, Kecamatan Purbalingga, P


</tr><tr id="tr3067">

<td>3067</td><td>00153683</td><td>Mudrikah, Ny</td><td>Desa Ambarwinangun, Kecamatan Ambal,


</tr><tr id="tr3068">



</tr><tr id="tr3069">



</tr><tr id="tr3070">

<td>3070</td><td>00154267</td><td>Sudirah,Ny</td><td>Desa Merden, Kecamatan Purwanegara,


</tr><tr id="tr3071">


lampok, Banjarnegara</td><td>Islam</td><td>60 TH 7 BL 13 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>

</tr><tr id="tr3072">



</tr><tr id="tr3073">


tan Purbalingga, Purbalingga</td><td>Islam</td><td>51 TH 10 BL 4 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>

</tr><tr id="tr3074">

<td>3074</td><td>00154160</td><td>Kamisah, Ny</td><td>Desa Kutabawa, Kecamatan Karangreja,


</tr><tr id="tr3075">

<td>3075</td><td>00153802</td><td>Aminah, Ny</td><td>Desa Janggala, Kecamatan Sukaraya, K

abupaten Tasikmalaya</td><td>Islam</td><td>39 TH 11 BL 22 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>Umum</td>

</tr><tr id="tr3076">

<td>3076</td><td>00141020</td><td>Turihah, Ny</td><td>Desa Bawang, Kecamatan Bawang, Banja

rnegara</td><td>Islam</td><td>60 TH 7 BL 13 HR</td><td>Perempuan</td>



</tr><tr id="tr3077">

<td>3077</td><td>00151954</td><td>Siswati, Ny</td><td>Desa Sidabowa, Kecamatan Patikraja,


</tr><tr id="tr3078">




</tr><tr id="tr3079">

<td>3079</td><td>00150723</td><td>Robinhot Lumbantoruan, Tn</td><td>Desa Kedungwringin, Kecamatan Patikr

aja, Banyumas</td><td>Kristen</td><td>52 TH 8 BL 5 HR</td><td>Laki Laki</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>

</tr><tr id="tr3080">


Kabupaten Ciamis</td><td>Islam</td><td>66 TH 5 BL 5 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>-</td>


</tr><tr id="tr3081">



</tr><tr id="tr3082">

<td>3082</td><td>00151841</td><td>Pairah, Ny</td><td>Cibubur, Ciracas, Jakarta Timur</td><td>Islam</td><td>50 TH 1 BL 6 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Benign neoplasm of parotid gland</td


</tr><tr id="tr3083">

<td>3083</td><td>00150731</td><td>Tri Wati, Ny</td><td>Desa Pucungkerep, Kecamatan Kaliwiro

, Wonosobo</td><td>Islam</td><td>38 TH 9 BL 27 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Malignant neoplasm of breast, unspec


</tr><tr id="tr3084">




</tr><tr id="tr3085">


gi, Cilacap</td><td>Islam</td><td>42 TH 6 BL 4 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>Umum</td>

</tr><tr id="tr3086">


rnegara</td><td>Islam</td><td>50 TH 1 BL 28 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Malignant neoplasm of breast, unspec


</tr><tr id="tr3087">



</tr><tr id="tr3088">



</tr><tr id="tr3089">

<td>3089</td>

<td>00141191</td><td>Zubaedah Fitriani, Ny</td><td>Desa Kalibagor, Kecamatan Kalibagor,

Banyumas</td><td>Islam</td><td>33 TH 6 BL 14 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Malignant neoplasm of skin, unspecif


</tr><tr id="tr3090">




</tr><tr id="tr3091">



</tr><tr id="tr3092">


Banyumas</td><td>Islam</td><td>71 TH 1 BL 13 HR</td><td>Laki Laki</td><td>Poliklinik Bedah Onkology</td><td>Hernia</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>Umum</td>

</tr><tr id="tr3093">

<td>3093</td><td>00141401</td><td>Alis Sriyani, Ny</td>

<td>Desa Kracak, Kecamatan Ajibarang, Banyumas</td>



</tr><tr id="tr3094">

<td>3094</td><td>00154378</td><td>Suryanto, Tn</td><td>Desa Kedungwuluh, Kecamatan Kalimana

h, Purbalingga</td><td>Islam</td><td>54 TH 1 BL 12 HR</td><td>Laki Laki</td><td>Poliklinik Syaraf</td><td>-</td><td>dr. Tutik Ermawati, Sp.S</td><td>Umum</td>

</tr><tr id="tr3095">


emalang</td><td>Islam</td><td>68 TH 5 BL 5 HR</td><td>Laki Laki</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>

</tr><tr id="tr3096">

<td>3096</td><td>00154379</td><td>Sujiyanti, NY</td><td>Desa Tipar Kidul, Kecamatan Ajibaran

g, Banyumas</td><td>Islam</td><td>41 TH 1 BL 11 HR</td><td>Perempuan</td><td>Poliklinik Syaraf</td><td>-</td><td>dr. Tutik Ermawati, Sp.S</td><td>Umum</td>

</tr><tr id="tr3097">

<td>3097</td><td>00151933</td><td>Marsiti, Ny</td><td>Desa Tumiyang, Kecamatan Pekuncen, B

anyumas</td><td>Islam</td>



</tr><tr id="tr3098">




</tr><tr id="tr3099">

<td>3099</td><td>00151039</td><td>Nasikin, Tn</td><td>Desa Jubang, Bulakamba, Brebes</td><td>Islam</td><td>45 TH 9 BL 19 HR</td><td>Laki Laki</td><td>Poliklinik Bedah Onkology</td><td>Malignant neoplasm of skin, unspecif


</tr><tr id="tr3100">

<td>3100</td><td>00153135</td><td>Paiman,Tn</td><td>Desa Bantar, Wanareja, Cilacap</td><td>Islam</td><td>57 TH 11 BL 18 HR</td><td>Laki Laki</td><td>Poliklinik Bedah Onkology</td><td>Polycystic kidney, unspecified</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>

</tr><tr id="tr3101">


ur, Purwokerto</td><td>Islam</td><td>56 TH 9 BL 28 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td>


</tr><tr id="tr3102">



</tr><tr id="tr3103">


aja, Banyumas</td><td>Islam</td><td>68 TH 8 BL</td><td>Laki Laki</td><td>Poliklinik Bedah Onkology</td><td>Benign neoplasm of parotid gland</td


</tr><tr id="tr3104">

<td>3104</td><td>00110158</td><td>Disem, Ny</td><td>Desa Kebocoran, Kecamatan Kedungbant


</tr><tr id="tr3105">



</tr><tr id="tr3106">

<td>3106</td><td>00142069</td><td>Jamilah, Ny</td><td>Desa Laren, Kecamatan Bumiayu, Brebe

s</td><td>Islam</td><td>50 TH 6 BL 25 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Malignant neoplasm of breast, unspec


</tr><tr id="tr3107">

<td>3107</td><td>00151385</td><td>Tuminah, Ny</td><td>Desa Kemiri, Kecamatan Sumpiuh, Bany


</tr><tr id="tr3108">



</tr><tr id="tr3109">

<td>3109</td><td>00151071</td><td>Maria Evelyn, Ny</td><td>Kel.Sidakaya, Cilacap Selatan, Cilac

ap</td><td>Khatolik</td><td>34 TH 3 BL 27 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Non-Hodgkin's lymphoma, unspecified


</tr><tr id="tr3110">

<td>3110</td><td>00110473</td><td>Siti Mustonah, Ny</td><td>Kel.Kober, Kecamatan Purwokerto Bara

t, Purwokerto</td><td>Islam</td><td>44 TH 4 BL 27 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>

</tr><tr id="tr3111">

<td>3111</td><td>00150792</td><td>Richayati, Ny</td><td>Desa Dukuhturi, Kecamatan Bumiayu, B

rebes</td><td>Islam</td><td>60 TH 9 BL 6 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>

</tr><tr id="tr3112">

<td>3112</td><td>00152884</td><td>Indri Indrawati, Ny</td><td>Kelurahan Teluk, Kecamatan Purwokert


</tr><tr id="tr3113">

<td>3113</td><td>00143261</td><td>Ruci, Ny</td><td>Desa Bentarsari, Salem, Brebes</td><td>Islam</td><td>52 TH 6 BL 27 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>

</tr><tr id="tr3114">


onosobo</td>


</tr><tr id="tr3115">



</tr><tr id="tr3116">

<td>3116</td><td>00151845</td><td>Nur Khasanah, Ny</td><td>Desa Serang, Cipari, Cilacap</td><td>Islam</td><td>37 TH 1 BL 10 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>

</tr><tr id="tr3117">

<td>3117</td><td>00151714</td><td>Mamiatun, Ny</td><td>Desa Sidanegara, Kecamatan Kaligonda

ng, Purbalingga</td><td>Islam</td><td>39 TH 3 BL 13 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Malignant neoplasm of skin, unspecif


</tr><tr id="tr3118">

<td>3118</td><td>00154381</td><td>Warti, Ny</td><td>Desa Panusupan, Kecamatan Cilongok,

Banyumas</td><td>Islam</td><td>47 TH 11 BL 2 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td>

<td>Neoplasm of uncertain or unknown behavior of breast</td>


</tr><tr id="tr3119">

<td>3119</td><td>00150753</td><td>Rasem,Ny</td><td>Desa Kutaliman, Kecamatan Kedungbant


</tr><tr id="tr3120">



</tr><tr id="tr3121">

<td>3121</td><td>00151662</td><td>Sar'an, Tn</td><td>Desa Pengarasan, Bantarkawung, Brebe

s</td><td>Islam</td><td>67 TH 9 BL 9 HR</td><td>Laki Laki</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>

</tr><tr id="tr3122">

<td>3122</td><td>00151679</td><td>Enny Ragil Sari, Ny</td><td>Desa Dukuhwaluh, Kecamatan Kembaran,

Banyumas</td><td>Islam</td><td>40 TH 26 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>

</tr><tr id="tr3123">

<td>3123</td><td>00151013</td><td>Sumarmi, Ny</td><td>Desa Mentasan, Kawunganten, Cilacap<


</tr><tr id="tr3124">

<td>3124</td><td>00154382</td><td>Walip, Tn</td><td>Desa Kaligiri, Kecamatan Sirampog, B

rebes</td><td>Islam</td><td>55 TH 5 BL</td><td>Laki Laki</td><td>Poliklinik Bedah Onkology</td><td>Unilateral or unspecified inguinal h


</tr><tr id="tr3125">

<td>3125</td><td>00151256</td><td>Riwen, Ny</td><td>Desa Panusupan, Kecamatan Cilongok,


</tr><tr id="tr3126">



</tr><tr id="tr3127">

<td>3127</td>

<td>00152465</td><td>Eka Ambarwati, Ny</td><td>Desa Kutawis, Kecamatan Bukateja, Pu


</tr><tr id="tr3128">



</tr><tr id="tr3129">



</tr><tr id="tr3130">

<td>3130</td><td>00153147</td><td>Tasiyem,Ny</td><td>Desa Bulupayung, Kecamatan Patimuan,


</tr><tr id="tr3131">

<td>3131</td><td>00154195</td><td>Iin Kurniawati Afifah, Nn</td><td>Desa Tayem, Karangpucung, Cilacap</t

d>

<td>Islam</td><td>19 TH 2 BL 17 HR</td><td>Perempuan</td><td>Poliklinik THT</td><td>-</td><td>dr.Bagus Condro Prasetyo, Sp.THT-KL<

/td><td>Umum</td>

</tr><tr id="tr3132">


egal</td><td>Islam</td><td>72 TH 3 BL 21 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>

</tr><tr id="tr3133">

<td>3133</td><td>00154383</td><td>Kasirin,Tn</td><td>Desa Karangpucung, Karangpucung, Cil

acap</td><td>Islam</td><td>34 TH 7 BL 23 HR</td><td>Laki Laki</td><td>Poliklinik Bedah Onkology</td><td>Unilateral or unspecified inguinal h


</tr><tr id="tr3134">


p</td><td>Islam</td><td>55 TH 5 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>

</tr><tr id="tr3135">

<td>3135</td><td>00152766</td><td>Rasno Hardjo Saputro, Tn</td><td>Kelurahan Teluk, Kecamatan Purwokert

o Selatan, Purwokerto</td><td>Islam</td><td>58 TH 8 BL</td>


</tr><tr id="tr3136">



</tr><tr id="tr3137">

<td>3137</td><td>00152139</td><td>Karsito, Tn</td><td>Kelurahan Teluk, Kecamatan Purwokert


</tr><tr id="tr3138">



</tr><tr id="tr3139">

<td>3139</td><td>00151410</td><td>Suratmo, Tn</td><td>Desa Tayem Timur, Karangpucung, Cila

cap</td><td>Islam</td><td>60 TH 9 BL 25 HR</td><td>Laki Laki</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td>

<td>BPJS</td></tr>

<tr id="tr3140"><td>3140</td><td>00153945</td><td>Samirah, Ny</td><td>Desa Pasirbungur, Kecamatan Purwadad

i, Kabupaten Subang</td><td>Islam</td><td>37 TH 9 BL</td><td>Perempuan</td><td>Poliklinik Obsgyn</td><td>-</td><td>dr. Soegeng Djiwarahga, Sp.OG</td><td>Umum</td>

</tr><tr id="tr3141">

<td>3141</td><td>00154384</td><td>Sutiman,Tn</td><td>Kelurahan Teluk, Kecamatan Purwokert

o Selatan, Purwokerto</td><td>Islam</td><td>56 TH 2 BL 8 HR</td><td>Laki Laki</td><td>Poliklinik Syaraf</td><td>Neuropathic arthropathy</td><td>dr. Tutik Ermawati, Sp.S</td><td>BPJS</td>

</tr><tr id="tr3142">

<td>3142</td><td>00154164</td><td>Eko Febriyanti,Nn</td><td>Kel.Karangklesem, Kecamatan Purwoker

to Selatan, Purwokerto</td><td>Islam</td><td>24 TH 11 BL 12 HR</td><td>Perempuan</td><td>Poliklinik Obsgyn</td><td>-</td><td>dr. Soegeng Djiwarahga, Sp.OG</td><td>Umum</td>

</tr><tr id="tr3143">

<td>3143</td><td>00154385</td><td>Fanti Istanti,Ny</td><td>Kel.Mersi, Kecamatan Purwokerto Timu

r, Purwokerto</td><td>Islam</td><td>31 TH 11 BL 20 HR</td><td>Perempuan</td><td>Poliklinik Obsgyn</td><td>-</td><td>dr. Soegeng Djiwarahga, Sp.OG</td><td>BPJS</td>

</tr><tr id="tr3144">

<td>3144</td>

<td>00154386</td><td>Niati, Ny</td><td>Desa Karangjambe, Kecamatan Padamara

, Purbalingga</td><td>Islam</td><td>49 TH 6 BL 25 HR</td><td>Perempuan</td><td>Poliklinik Obsgyn</td><td>-</td><td>dr. Soegeng Djiwarahga, Sp.OG</td><td>BPJS</td>

</tr><tr id="tr3145">


as, Banyumas</td><td>Islam</td><td>62 TH 1 BL 16 HR</td><td>Laki Laki</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>

</tr><tr id="tr3146">

<td>3146</td><td>00154165</td><td>Siti Ropiah,Ny</td><td>Desa Cipari, Cipari, Cilacap</td><td>Islam</td><td>47 TH 2 BL 23 HR</td><td>Perempuan</td><td>Poliklinik Obsgyn</td><td>-</td><td>dr. Soegeng Djiwarahga, Sp.OG</td><td>Umum</td>

</tr><tr id="tr3147">


okerto Timur, Purwokerto</td><td>Islam</td><td>47 TH 8 BL 4 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>

</tr><tr id="tr3148">

<td>3148</td><td>00152927</td><td>Kasirun, Tn</td><td>Desa Tumiyang, Kecamatan Pekuncen, B

anyumas</td><td>Islam</td>


</tr><tr id="tr3149">

<td>3149</td><td>00154387</td><td>Duriah,Ny</td><td>Desa Majakerta, Kecamatan Watukumpul

, Pemalang</td><td>Islam</td><td>55 TH 11 BL 13 HR</td><td>Perempuan</td><td>Poliklinik Penyakit Dalam</td><td>Chronic obstructive pulmonary diseas

e, unspecified</td><td>dr. Aditiawarman, Sp. PD</td><td>Umum</td>

</tr><tr id="tr3150">

<td>3150</td><td>00154388</td><td>Nur Hidayah, Ny</td><td>Kel.Purwokerto Lor, Kecamatan Purwok

erto Timur, Purwokerto</td><td>Islam</td><td>39 TH 1 BL 3 HR</td><td>Perempuan</td><td>Poliklinik Syaraf</td><td>Neuropathic arthropathy</td><td>dr. Tutik Ermawati, Sp.S</td><td>BPJS</td>

</tr><tr id="tr3151">


, Banyumas</td><td>Islam</td><td>35 TH 7 BL 6 HR</td><td>Perempuan</td><td>Poliklinik Syaraf</td><td>Headache</td><td>dr. Tutik Ermawati, Sp.S</td><td>Umum</td>

</tr><tr id="tr3152">

<td>3152</td><td>00154389</td><td>Satim,Tn</td><td>Desa Bangkal, Kecamatan Binangun, Ci

lacap</td><td>Islam</td><td>53 TH 1 BL 21 HR</td><td>Laki Laki</td><td>Poliklinik Bedah Onkology</td>

<td>Unilateral or unspecified inguinal hernia, with gangrene</td>


</tr><tr id="tr3153">

<td>3153</td><td>00150888</td><td>Watiah, Ny</td><td>Desa Sidamukti, Kecamatan Patimuan,


</tr><tr id="tr3154">

<td>3154</td><td>00140848</td><td>Bariyah, Ny</td><td>Desa Glempangpasir, Kecamatan Adipal

a, Cilacap</td><td>Islam</td><td>47 TH 7 BL 2 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>

</tr><tr id="tr3155">

<td>3155</td><td>00154039</td><td>Anisatul Mukninah, Ny (BKKBN)</td><td>Desa Karangrau, Kecamatan Sokaraja,


</tr><tr id="tr3156">

<td>3156</td><td>00151212</td><td>Sri Supriyati, Ny</td><td>Kelurahan Mertasinga, Kec. Cilacap U

tara, Cilacap</td><td>Islam</td><td>63 TH 10 BL 1 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>

</tr><tr id="tr3157">

<td>3157</td><td>00154255</td><td>Ratiman,Tn</td><td>Kelurahan Teluk, Kecamatan Purwokert

o Selatan, Purwokerto</td><td>Islam</td><td>63 TH 6 BL 13 HR</td><td>Laki Laki</td><td>Poliklinik THT</td><td>-</td><td>dr.Bagus Condro Prasetyo, Sp.THT-KL<

/td><td>BPJS</td>

</tr><tr id="tr3158">

<td>3158</td><td>00143167</td><td>Sutrisno,Tn</td><td>Desa Pananjung, Kecamatan Pangandara

n, Kabupaten Ciamis</td><td>Islam</td><td>51 TH 8 BL 28 HR</td><td>Laki Laki</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>

</tr><tr id="tr3159">

<td>3159</td><td>00143388</td><td>Siti Solikhatun, Ny</td><td>Desa Jatisari, Kedungreja, Cilacap</


</tr><tr id="tr3160">

<td>3160</td><td>00110068</td><td>Hartini,Ny</td><td>Desa Cibinong, Kecamatan Cibinong, K

abupaten Bogor</td><td>Islam</td><td>43 TH 5 BL 22 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>

</tr><tr id="tr3161">

<td>3161</td>

<td>00142013</td><td>Masusanto, Tn</td><td>Desa Brecong, Kecamatan Buluspesantr

en, Kebumen</td><td>Islam</td><td>36 TH 4 BL 14 HR</td><td>Laki Laki</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>

</tr><tr id="tr3162">

<td>3162</td><td>00111220</td><td>Kartiwen,Ny</td><td>Kel.Karangklesem, Kecamatan Purwoker

to Selatan, Purwokerto</td><td>Islam</td><td>52 TH 11 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>Umum</td>

</tr><tr id="tr3163">


an, Banjarnegara</td><td>Islam</td><td>59 TH 5 BL 28 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>

</tr><tr id="tr3164">

<td>3164</td><td>00141172</td><td>Bandiyah, Ny</td><td>Desa Kamulyan, Kecamatan Tambak, Ban


</tr><tr id="tr3165">

<td>3165</td><td>00150499</td><td>Saeri, Ny</td><td>Desa Kedungter, Brebes, Brebes</td><td>Islam</td>


</tr><tr id="tr3166">


lang, Pemalang</td><td>Islam</td><td>32 TH 4 BL 5 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>

</tr><tr id="tr3167">

<td>3167</td><td>00154222</td><td>Wasilah,Ny</td><td>Desa Kadipaten, Kecamatan Selomerto,



</tr><tr id="tr3168">

<td>3168</td><td>00141984</td><td>Marsinah, Ny</td><td>Desa Kesegeran, Kecamatan Cilongok,


</tr><tr id="tr3169">

<td>3169</td><td>00143196</td><td>Hera Erawati, Ny</td><td>Desa Tegalrejo, Kecamatan Pekalongan

Barat, Pekalongan</td><td>Islam</td><td>48 TH 4 BL 14 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td>



</tr><tr id="tr3170">



</tr><tr id="tr3171">

<td>3171</td><td>00151524</td><td>Eryati, Ny</td><td>Desa Prapag Lor, Losari, Brebes</td><td>Islam</td><td>44 TH 7 BL 8 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>

</tr><tr id="tr3172">



</tr><tr id="tr3173">

<td>3173</td><td>00150124</td><td>Nunung Nurhaeni, Ny</td><td>Desa Adisana, Kecamatan Kebasen, Ban


</tr>

<tr id="tr3174"><td>3174</td><td>00152537</td><td>Painem, Ny</td><td>Desa Mergosari, Kecamatan Leksono, W


</tr><tr id="tr3175">

<td>3175</td><td>00152505</td><td>Da'ani, Ny</td><td>Desa Pangkah, Pangkah, Tegal</td><td>Islam</td><td>52 TH 7 BL 11 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>

</tr><tr id="tr3176">


ang, Pemalang</td><td>Islam</td><td>41 TH 1 BL 13 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>

</tr><tr id="tr3177">

<td>3177</td><td>00154390</td><td>Ukat,Ny</td><td>Desa Payutran, Kecamatan Padaherang,

Kabupaten Ciamis</td><td>Islam</td><td>40 TH 2 BL 30 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Other and unspecified abdominal pain

</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>Umum</td>

</tr><tr id="tr3178">

<td>3178</td><td>00151051</td><td>Desti Wahyuni, Ny</td>

<td>Kel.Bobosan, Kecamatan Purwokerto Utara, Purwokerto</td>


</tr><tr id="tr3179">

<td>3179</td><td>00141150</td><td>Sulasmini, Ny</td><td>Desa Jatimalang, Kecamatan Klirong,


</tr><tr id="tr3180">


ojati, Banyumas</td><td>Islam</td><td>27 TH 9 BL 5 HR</td><td>Perempuan</td><td>Poliklinik Penyakit Dalam</td><td>-</td><td>dr. Aditiawarman, Sp. PD</td><td>Umum</td>

</tr><tr id="tr3181">



</tr><tr id="tr3182">


p</td><td>Islam</td><td>50 TH 4 HR</td>



</tr><tr id="tr3183">



</tr><tr id="tr3184">

<td>3184</td><td>00151609</td><td>Suwarni, Ny</td><td>Desa Bojong, Kecamatan Bojong, Tegal


</tr><tr id="tr3185">

<td>3185</td><td>00154391</td><td>Partini, Ny</td><td>Desa Tlaga, Kecamatan Punggelan, Ban

jarnegara</td><td>Islam</td><td>30 TH 7 BL 5 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>

</tr><tr id="tr3186">

<td>3186</td><td>00141791</td><td>Waisem, Ny</td><td>Desa Kubangkangkung, Kawunganten, Ci



</tr><tr id="tr3187">

<td>3187</td><td>00141270</td><td>Carwin Al Mujasir, Tn</td><td>Desa Cijati, Cimanggu, Cilacap</td><td>Islam</td><td>52 TH 7 BL 21 HR</td><td>Laki Laki</td><td>Poliklinik Bedah Onkology</td><td>Lower jaw bone</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>

</tr><tr id="tr3188">

<td>3188</td><td>00152694</td><td>Amir Mahmud, Tn</td><td>Desa Plangkapan, Kecamatan Tambak, B

anyumas</td><td>Islam</td><td>61 TH 1 BL 17 HR</td><td>Laki Laki</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>Umum</td>

</tr><tr id="tr3189">


lacap</td><td>Islam</td><td>38 TH 8 BL 6 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Anaemia, unspecified</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>

</tr><tr id="tr3190">


yar, Purbalingga</td><td>Islam</td><td>57 TH 7 BL 6 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Neoplasm of uncertain or unknown beh


</tr>

<tr id="tr3191"><td>3191</td><td>00142577</td><td>Narisah, Ny</td><td>Kel. Purwokerto Kidul, Kecamatan Pur

wokerto Selatan, Purwokerto</td><td>Islam</td><td>64 TH 1 BL 17 HR</td><td>Perempuan</td><td>Poliklinik Syaraf</td><td>Stroke, not specified as haemorrhage


</tr><tr id="tr3192">


wokerto Selatan, Purwokerto</td><td>Islam</td><td>71 TH 14 HR</td><td>Laki Laki</td><td>Poliklinik Syaraf</td><td>Bouchard's nodes (with arthropathy)<


</tr><tr id="tr3193">


umas</td><td>Islam</td><td>50 TH 2 BL 1 HR</td><td>Perempuan</td><td>Poliklinik Syaraf</td><td>Spondylopathies</td><td>dr. Tutik Ermawati, Sp.S</td><td>BPJS</td>

</tr><tr id="tr3194">

<td>3194</td><td>00154123</td><td>Suparno, Tn</td><td>Kelurahan Teluk, Kecamatan Purwokert


</tr><tr id="tr3195">

<td>3195</td>

<td>00142304</td><td>Dahyuni, Ny</td><td>Desa Bantarmangu, Cimanggu, Cilacap<

/td><td>Islam</td><td>41 TH 7 BL 7 HR</td><td>Perempuan</td><td>Poliklinik Syaraf</td><td>Arthrosis</td><td>dr. Tutik Ermawati, Sp.S</td><td>BPJS</td>

</tr><tr id="tr3196">

<td>3196</td><td>00154392</td><td>Sri Susilowati, Ny</td><td>Desa Tambaksogra, Kecamatan Sumbang,

Banyumas</td><td>Islam</td><td>62 TH 23 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Neoplasm of uncertain or unknown beh

avior of skin</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>Umum</td>

</tr><tr id="tr3197">

<td>3197</td><td>00151141</td><td>Ani Sulistiyani, Ny</td><td>Kel.Bantarsoka, Kecamatan Purwokerto

Barat, Purwokerto</td><td>Islam</td><td>52 TH 6 BL 1 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Malignant neoplasm of breast, unspec


</tr><tr id="tr3198">


to Selatan, Purwokerto</td><td>Islam</td><td>65 TH 1 BL 17 HR</td><td>Laki Laki</td><td>Poliklinik Syaraf</td><td>Stroke, not specified as haemorrhage


</tr><tr id="tr3199">

<td>3199</td><td>00153792</td>

<td>Kasminten,Ny</td><td>Kel.Karangklesem, Kecamatan Purwoker

to Selatan, Purwokerto</td><td>Islam</td><td>64 TH 1 BL 17 HR</td><td>Perempuan</td><td>Poliklinik Syaraf</td><td>Hypertensive diseases</td><td>dr. Tutik Ermawati, Sp.S</td><td>BPJS</td>

</tr><tr id="tr3200">


upaten Ciamis</td><td>Islam</td><td>81 TH 5 HR</td><td>Laki Laki</td><td>Poliklinik Bedah Onkology</td><td>Hyperplasia of prostate</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>Umum</td>

</tr><tr id="tr3201">

<td>3201</td><td>00142206</td><td>Sugianto, Tn</td><td>Desa Petir, Kecamatan Kalibagor, Ban

yumas</td><td>Islam</td><td>45 TH 1 BL 21 HR</td><td>Laki Laki</td><td>Poliklinik Syaraf</td><td>Stroke, not specified as haemorrhage


</tr><tr id="tr3202">

<td>3202</td><td>00154280</td><td>Nusareja Saimin, Tn</td><td>Desa Karangpakis, Kecamatan Nusawung

u, Cilacap</td><td>Islam</td><td>56 TH 7 BL 7 HR</td><td>Laki Laki</td><td>Poliklinik Bedah Onkology</td><td>Neoplasm of uncertain or unknown beh


</tr><tr id="tr3203">




</tr><tr id="tr3204">



</tr><tr id="tr3205">


, Banyumas</td><td>Islam</td><td>58 TH 8 BL</td><td>Perempuan</td><td>Poliklinik Syaraf</td><td>Vertigo of central origin</td><td>dr. Tutik Ermawati, Sp.S</td><td>BPJS</td>

</tr><tr id="tr3206">

<td>3206</td><td>00154393</td><td>Iryanti, Ny</td><td>Desa Sidabowa, Kecamatan Patikraja,



</tr><tr id="tr3207">



<td>46 TH 2 BL 23 HR</td><td>Laki Laki</td><td>Poliklinik Syaraf</td><td>Dizziness and giddiness</td><td>dr. Tutik Ermawati, Sp.S</td><td>BPJS</td>

</tr><tr id="tr3208">

<td>3208</td><td>00152665</td><td>Amin Triono,Tn</td><td>Desa Pagentan, Kecamatan Pagentan, B

anjarnegara</td><td>Islam</td><td>33 TH 5 BL 28 HR</td><td>Laki Laki</td><td>Poliklinik Bedah Onkology</td><td>Benign neoplasm of lower jaw bone</t


</tr><tr id="tr3209">

<td>3209</td><td>00154256</td><td>Warih Jaladriningrum,Nn</td><td>Kelurahan Bancarkembar, Kecamatan Pu

rwokerto Utara, Purwokerto</td><td>Islam</td><td>16 TH 8 BL 15 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Neoplasm of uncertain or unknown beh


</tr><tr id="tr3210">




</tr><tr id="tr3211">


rebes</td><td>Islam</td><td>53 TH 1 BL 12 HR</td>

<td>Laki Laki</td><td>Poliklinik Syaraf</td><td>Stroke, not specified as haemorrhage


</tr><tr id="tr3212">

<td>3212</td><td>00150339</td><td>Machtori Solechan, Tn</td><td>Desa Susukan, Kecamatan Sumbang, Ban

yumas</td><td>Islam</td><td>77 TH 1 BL 29 HR</td><td>Laki Laki</td><td>Poliklinik Syaraf</td><td>Epilepsy, unspecified</td><td>dr. Tutik Ermawati, Sp.S</td><td>BPJS</td>

</tr><tr id="tr3213">


nyumas</td><td>Islam</td><td>66 TH 9 BL 19 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Malignant neoplasm of breast, unspec


</tr><tr id="tr3214">

<td>3214</td><td>00153717</td><td>Nur Lili Julianti,Nn</td><td>Desa Wiradadi, Kecamatan Sokaraja, B

anyumas</td><td>Islam</td><td>16 TH 3 BL 11 HR</td><td>Perempuan</td><td>Poliklinik Syaraf</td><td>Epilepsy, unspecified</td><td>dr. Tutik Ermawati, Sp.S</td><td>Umum</td>

</tr><tr id="tr3215">

<td>3215</td><td>00152140</td><td>Syamdhany Wakhyudy, Tn</td><td>Desa Tambaksari Kidul, Kecamatan Kem

baran, Banyumas</td><td>Islam</td><td>41 TH 3 BL 26 HR</td><td>Laki Laki</td><td>Poliklinik THT</td>

<td>Malignant neoplasm of nasopharynx</td>


<td>BPJS</td></tr>

<tr id="tr3216"><td>3216</td><td>00154097</td><td>Nartem, Ny</td><td>Desa Batuanten, Kecamatan Cilongok,

Banyumas</td><td>Islam</td><td>75 TH 1 BL 19 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Malignant neoplasm of skin, unspecif


</tr><tr id="tr3217">


/td><td>Islam</td><td>52 TH 7 BL 6 HR</td><td>Perempuan</td><td>Poliklinik Syaraf</td><td>Arthrosis</td><td>dr. Tutik Ermawati, Sp.S</td><td>BPJS</td>

</tr><tr id="tr3218">



</tr><tr id="tr3219">

<td>3219</td><td>00154394</td><td>Ninie Rianti,Ny</td><td>Kel.Purwokerto Kulon, Kecamatan Purw

okerto Selatan, Purwokerto</td><td>Khatolik</td><td>67 TH 1 BL 12 HR</td><td>Perempuan</td><td>Poliklinik Syaraf</td><td>Trigger finger</td>

<td>dr. Tutik Ermawati, Sp.S</td><td>Umum</td>

</tr><tr id="tr3220">

<td>3220</td><td>00154395</td><td>Sudarni, Ny</td><td>Desa Sindangbarang, Karangpucung, Ci

lacap</td><td>Islam</td><td>58 TH 14 HR</td><td>Perempuan</td><td>Poliklinik Syaraf</td><td>Epidemic vertigo</td><td>dr. Tutik Ermawati, Sp.S</td><td>BPJS</td>

</tr><tr id="tr3221">

<td>3221</td><td>00150650</td><td>Om Sunarti, Ny</td><td>Desa Sindangbarang, Karangpucung, Ci

lacap</td><td>Islam</td><td>61 TH 8 BL 21 HR</td><td>Perempuan</td><td>Poliklinik Syaraf</td><td>Dizziness and giddiness</td><td>dr. Tutik Ermawati, Sp.S</td><td>BPJS</td>

</tr><tr id="tr3222">


, Banyumas</td><td>Islam</td><td>62 TH 10 BL 13 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Benign neoplasm of other specified s

ites</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>

</tr><tr id="tr3223">

<td>3223</td><td>00154396</td><td>Niti, Ny</td><td>Desa Rempoa, Kecamatan Ciputat, Kabu

paten Tangerang</td><td>Islam</td><td>38 TH 6 BL 26 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Anaemia, unspecified</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>Umum</td>

</tr>

<tr id="tr3224"><td>3224</td><td>00154304</td><td>Rita Kusumaningsih,Ny</td><td>Desa Karangnanas, Kecamatan Sokaraja

, Banyumas</td><td>Islam</td><td>40 TH 9 BL 30 HR</td><td>Perempuan</td><td>Poliklinik Syaraf</td><td>Arthrosis</td><td>dr. Tutik Ermawati, Sp.S</td><td>Umum</td>

</tr><tr id="tr3225">


men</td><td>Islam</td><td>23 TH 5 BL 6 HR</td><td>Laki Laki</td><td>Poliklinik Syaraf</td><td>Tetraplegia, unspecified</td><td>dr. Tutik Ermawati, Sp.S</td><td>BPJS</td>

</tr><tr id="tr3226">

<td>3226</td><td>00154170</td><td>Slamet Hadi Suprapto, Tn</td><td>Desa Pegalongan, Kecamatan Patikraja

, Banyumas</td><td>Islam</td><td>66 TH 9 BL 6 HR</td><td>Laki Laki</td><td>Poliklinik Bedah Onkology</td><td>Unilateral or unspecified femoral he

rnia, with gangrene</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>

</tr><tr id="tr3227">

<td>3227</td><td>00141418</td><td>Murgiyati, Ny</td><td>Desa Karangnanas, Kecamatan Sokaraja



</tr><tr id="tr3228">

<td>3228</td>

<td>00141617</td><td>Resniti, Ny</td><td>Kelurahan Teluk, Kecamatan Purwokert



</tr><tr id="tr3229">


p</td><td>Islam</td><td>57 TH 7 HR</td><td>Laki Laki</td><td>Poliklinik Bedah Onkology</td><td>Fracture of mandible</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>

</tr><tr id="tr3230">

<td>3230</td><td>00154279</td><td>Namen, Ny</td><td>Desa Karangtawang, Kecamatan Nusawun

gu, Cilacap</td><td>Islam</td><td>62 TH 1 BL 16 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Neoplasm of uncertain or unknown beh


</tr><tr id="tr3231">

<td>3231</td><td>00154397</td><td>Rukimah, Ny</td><td>Desa Sikasur, Kecamatan Belik, Pemal

ang</td><td>Islam</td><td>52 TH 1 BL 7 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Neoplasm of uncertain or unknown beh


</tr><tr id="tr3232">

<td>3232</td><td>00151173</td>

<td>Chusnul Chotimah, Ny</td><td>Desa Kembaran, Kecamatan Kembaran, B


</tr><tr id="tr3233">

<td>3233</td><td>00143195</td><td>Siti Maimunah, Ny</td><td>Desa Widarapayung Kulon, Kecamatan B

inangun, Cilacap</td><td>Islam</td><td>32 TH 11 BL 13 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Malignant neoplasm of breast, unspec


</tr><tr id="tr3234">

<td>3234</td><td>00154175</td><td>Karto Leksono, Tn</td><td>Desa Sokaraja Kidul, Kecamatan Sokar

aja, Banyumas</td><td>Khatolik</td><td>78 TH 7 BL 13 HR</td><td>Laki Laki</td><td>Poliklinik Syaraf</td><td>Stroke, not specified as haemorrhage


</tr><tr id="tr3235">


aten Ciamis</td><td>Islam</td><td>63 TH 3 BL 6 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Malignant neoplasm of main bronchus<


</tr><tr id="tr3236">

<td>3236</td><td>00153424</td><td>Siti Ma'rifatul Maschalah, Ny</td>

<td>Kel.Bobosan, Kecamatan Purwokerto Utara, Purwokerto</td>



</tr><tr id="tr3237">



</tr><tr id="tr3238">

<td>3238</td><td>00153041</td><td>Siti Riyanti, Ny</td><td>Kel. Purwokerto Kidul, Kecamatan Pur

wokerto Selatan, Purwokerto</td><td>Islam</td><td>32 TH 6 BL 25 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Tuberculosis of intestines, peritone

um and mesenteric glands</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>BPJS</td>

</tr><tr id="tr3239">


ol, Purbalingga</td><td>Islam</td><td>33 TH 7 BL 29 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>Umum</td>

</tr><tr id="tr3240">

<td>3240</td><td>00154398</td><td>Supendi Dursin, Tn</td><td>Desa Penyarang, Sidareja, Cilacap</t

d>

<td>Islam</td><td>71 TH 9 BL 5 HR</td><td>Laki Laki</td><td>Poliklinik Bedah Onkology</td><td>Disorder of prostate, unspecified</t


</tr><tr id="tr3241">


raja, Banyumas</td><td>Islam</td><td>71 TH 2 BL 11 HR</td><td>Perempuan</td><td>Poliklinik Syaraf</td><td>Spondylopathies</td><td>dr. Tutik Ermawati, Sp.S</td><td>BPJS</td>

</tr><tr id="tr3242">


a, Purbalingga</td><td>Islam</td><td>59 TH 3 BL 30 HR</td><td>Perempuan</td><td>Poliklinik Syaraf</td><td>Stroke, not specified as haemorrhage


</tr><tr id="tr3243">




</tr><tr id="tr3244">

<td>3244</td><td>00152480</td><td>Wartini, Ny</td><td>Kel.Pasir Kidul, Kecamatan Purwokert

o Barat, Purwokerto</td><td>Islam</td>

<td>61 TH 3 BL 21 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>Malignant neoplasm of head, face and


</tr><tr id="tr3245">

<td>3245</td><td>00130638</td><td>Suripah, Ny</td><td>Desa Tunjungmuli, Kecamatan Karangmo

ncol, Purbalingga</td><td>Islam</td><td>43 TH 1 BL 10 HR</td><td>Perempuan</td><td>Poliklinik Bedah Onkology</td><td>-</td><td>dr. Lopo Triyanto, Sp.B.(K) Onk</td><td>Umum</td>

</tr><tr id="tr3246">

<td>3246</td><td>00142455</td><td>Dwi Arya Ravi Nur Pitoyo, An</td><td>Desa Karangnanas, Kecamatan Sokaraja


</tr><tr id="tr3247">



</tr><tr id="tr3248">

<td>3248</td><td>00154399</td><td>Meyliana Indrawati,Ny</td><td>Kel.Berkoh, Kecamatan Purwokerto Sel

atan, Purwokerto</td><td>Khatolik</td><td>55 TH 4 BL 23 HR</td><td>Perempuan</td><td>Poliklinik Syaraf</td>

<td>Neuropathic arthropathy</td><td>dr. Tutik Ermawati, Sp.S</td><td>Umum</td>

</tr><tr id="tr3249">

<td>3249</td><td>00154293</td><td>Nuridin, Tn</td><td>Desa Karanggude Kulon, Kecamatan Kar

anglewas, Banyumas</td><td>Islam</td><td>60 TH 7 BL 7 HR</td><td>Laki Laki</td><td>Poliklinik Syaraf</td><td>-</td><td>dr. Tutik Ermawati, Sp.S</td><td>BPJS</td>

</tr><tr id="tr3250">


o Selatan, Purwokerto</td><td>Islam</td><td>52 TH 10 BL 18 HR</td><td>Laki Laki</td><td>Poliklinik Umum</td><td>-</td><td>dr. Inos</td><td>Umum</td>

</tr><tr id="tr3251">

<td>3251</td><td>00150816</td><td>Istiana Nurhanifah, Nn</td><td>Desa Pancurendang, Kecamatan Ajibara



</tr><tr id="tr3252">

<td>3252</td><td>00142026</td><td>Michael Tinton Adhe Suryanto, Sdr</t

d><td>Kel.Purwokerto Lor, Kecamatan Purwok

erto Timur, Purwokerto</td><td>Kristen</td><td>25 TH 8 BL 26 HR</td><td>Laki Laki</td><td>Poliklinik Syaraf</td><td>Epilepsy, unspecified</td><td>dr. Tutik Ermawati, Sp.S</td>

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