Tagihan Oktober

7/21/2019 Tagihan Oktober

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NO TANGGAL NAMA PASIEN1 1/10/2015 ROESMINI2 1/10/2015 RR DJULIANTI3 1/10/2015 PUDJI HARDJONO4 1/10/2015FAUSTINA SRI S5 1/10/2015IGNATIUS DIDIT

6 1/10/2015FLORENA GALATIA7 1/10/2015SHAFIRA NAURAH8 1/10/2015SITI KHOLIFAH9 1/10/2015MOCH ARMANS AH A

10 1/10/2015 D!I SULISTONINGSIH11 1/10/2015"AM"ANG SUTRISNO12 1/10/2015 DINI SUHERTI13 1/10/2015 !I ONO14 1/10/2015 MISTIANAH15 1/10/2015 NURIJADI

16 1/10/2015 RUSTININGSIH17 1/10/2015SOEPARDI PALI18 1/10/2015 RR MINTO SRINI19 1/10/2015 LINDA D!I S20 1/10/2015FAU#AN AFIED M21 1/10/2015 DANI SIS!OKO22 1/10/2015LILIK FAU#IAH23 1/10/2015 KRISTINI K!ARTININGSIH24 1/10/2015 KAMARI 325 1/10/2015 SOEMIATI

26 1/10/2015 PIPIN SULISTA!ATI27 1/10/2015DJALI NUR TJAHO28 1/10/2015 IR ALMI#AN A29 1/10/2015 PONIRIN30 1/10/2015 SUHARMADJI31 2/10/2015 LINDA D!I S32 2/10/2015 SRI HANDINI33 2/10/2015ENDANG ULIATU34 2/10/2015 SRI SAFIJAH35 2/10/2015 DANI SIS!OKO36 2/10/2015 SOEMISI37 2/10/2015 DJAHURI38 2/10/2015 !ITJONOHADI39 2/10/2015ENDANG !IRIJATI40 2/10/2015 HADI SUPRAPTO41 2/10/2015 A"DUL HAMID42 2/10/2015ENDRO !ICAKSONO43 2/10/2015 SETA!AN44 2/10/2015SRI HIDAATI



45 2/10/2015SETO !AHONO46 2/10/2015 DJOERI47 2/10/2015MEINENDAR MEISAROH48 2/10/2015 HER KUSNADI49 2/10/2015 DJADI50 3/10/2015 FERR D!I S

51 3/10/2015 NUR!AKHID52 3/10/2015 !ASIS53 3/10/2015 AMINAH CH54 3/10/2015ENDANG DARMINI55 3/10/2015 KUNIFAH NUR AFIDAH56 3/10/2015 MOCH AFANDI57 3/10/2015 SUNARSIH58 3/10/2015 SOEKRIJONO59 5/10/2015LILIK FAU#IAH60 5/10/2015 ISMADI

61 5/10/2015FE"RANE INDRI62 5/10/2015 IR MAA63 5/10/2015 PARONO HERANTO64 5/10/2015 SOFIKAH65 5/10/2015 SUPARTI66 5/10/2015ENDRO !ICAKSONO67 5/10/2015OEMI NURHAATI68 5/10/2015 AGUS !IDODO69 5/10/2015SRI ENN LATUN70 5/10/2015 SUHARSONO71 5/10/2015 SUDARMUJI72 5/10/2015TOTOK FARIANTO73 5/10/2015 EDI SANTOSO74 5/10/2015 HARIJATOEN75 5/10/2015 KAMARI 376 5/10/2015 SOEMIATI77 5/10/2015 MOCH KAFID78 5/10/2015 IR ALMI#AN A79 5/10/2015 MUJIONO AM80 5/10/2015 SUHARONO81 6/10/2015SITI KHOLIFAH82 6/10/2015 MOCH FIKRI D!I83 6/10/2015MUH !IRA"AKTI84 6/10/2015AGUS !AHONO85 6/10/2015 !ATI AN86 6/10/2015 RR MINTO SRINI87 6/10/2015SUTADJI SADIKIN88 6/10/2015 SRI !INARTI89 6/10/2015 MIENSOEMINI



90 6/10/2015 TITO "AM"ANG S91 6/10/2015 HARI PURNOMO92 6/10/2015MOCH RI#KI RAMADAN93 6/10/2015 ISNO94 6/10/2015 RAKEM AL KUSMIJATI95 6/10/2015DINI ARIANI

96 6/10/2015MAMIK SU ATMI97 6/10/2015 SUHARMADJI98 6/10/2015 PONIRIN99 6/10/2015 KASTUTIK

100 6/10/2015 "UDHI SASOMO101 6/10/2015 SU!ONDO102 6/10/2015 !I!IK SUSINTO!ATI103 6/10/2015SU!ARNO MARIJO104 6/10/2015 SUNDARI105 6/10/2015SRI HIDAATI

106 6/10/2015 MAULANA #AHIRA ISAM107 6/10/2015"AM"ANG SUTRISNO108 6/10/2015RR AM"ARI AH P109 6/10/2015 NURSASI !AH UNINGSIH110 6/10/2015!ISNI RAHARDJO111 7/10/2015 SITI ROCHANI112 7/10/2015 AMINAH113 7/10/2015 SOEKIDJAN114 7/10/2015 RU"INAH115 7/10/2015ROSALIA ERNI J116 7/10/2015 PARONO HERANTO117 7/10/2015 ED !I ONO118 7/10/2015 SUGENG ADI !119 7/10/2015 SRI AGUSTIN120 7/10/2015 SUTINAH121 7/10/2015 FIRDAUS MAULIDIAH122 7/10/2015 ACH MARDJU123 7/10/2015 SOFIKAH124 7/10/2015 !I ONO125 7/10/2015DJOKO SUHARSONO126 7/10/2015 ALLATIF AGUSTINO127 7/10/2015 SINA!AN128 7/10/2015 !AHONO129 7/10/2015 RONN HARI K 130 7/10/2015ATIK MUR!ATI131 7/10/2015 MUKHRODOH132 7/10/2015 DION MIFTAHUL ULUM133 7/10/2015 SUNARJO134 7/10/2015SANTIKA MAGDA



135 7/10/2015DINI SUHERTI136 7/10/2015 SOENDOSIJAH137 7/10/2015D!I IDHA KUNARTI138 7/10/2015SUHARTUTIEK 139 8/10/2015 D!I SET A!AN PP140 8/10/2015!I!IT HARIANI

141 8/10/2015J HARI SAMUDRA142 8/10/2015HELM FACHRI A143 8/10/2015 RICKI ADI G144 8/10/2015ASMI MAUNIS145 8/10/2015 DAHLAN146 8/10/2015 SATUK147 8/10/2015 !INARSIH148 8/10/2015 SITI MARFUAH149 8/10/2015 SUPARTI150 8/10/2015 SOEKRIJONO

151 8/10/2015 SOENDOSIJAH152 8/10/2015D!I IDHA KUNARTI153 8/10/2015 MUH FIKRI F154 8/10/2015 "INCAR PARLINDUNGAN155 9/10/2015 SUHARTIN156 9/10/2015 MELIANDA PRA"AS!ARI157 9/10/2015 SUJAKIAH158 9/10/2015ENDANG SULASTRI159 9/10/2015 ARIF EFFENDI160 9/10/2015SITI MAIMUNAH161 9/10/2015 IRA!AN162 9/10/2015 RATNA HERA!ATI163 9/10/2015 PARONO HERANTO164 9/10/2015 SOETIKNO DJ165 9/10/2015DJU!ARIAH166 9/10/2015 SRI PRO"OHARININGSIH167 9/10/2015 SUHARTIN168 10/10/2015 NATJE PIRIS169 10/10/2015 JOHAN ELISA M170 10/10/2015 RR AM"ARIAH P171 10/10/2015 SRI HIDAATI172 10/10/2015 DANI SIS!OKO173 10/10/2015 MULIEK 174 10/10/2015 MOCH AN!AR175 10/10/2015 SOELISTONINGRUM176 10/10/2015HARINI177 10/10/2015 A$INDHA EKA!ATI178 10/10/2015SUMIATI179 10/10/2015SUPIADI



180 12/10/2015 TOMO SUNARJO181 12/10/2015 SULASMINAH182 12/10/2015 SOEHARTININGSIH183 12/10/2015NGADIMAN184 12/10/2015SUNARJAH185 12/10/2015SOENDARI

186 12/10/2015 SUSENO "ASUKI187 12/10/2015 SHAFIRA NAURAH188 12/10/2015 SITI KHOLIFAH189 12/10/2015 "AM"ANG SUTRISNO190 12/10/2015 DJONO191 12/10/2015 SITI AMINAH192 12/10/2015SUNARKO193 12/10/2015 !H TOTOK SUMANTRI194 12/10/2015 KUSMAN HARIADI195 12/10/2015!ARIONO

196 12/10/2015 AGUS SANTOSO197 12/10/2015 RAHMA!ATI HS198 12/10/2015 MULANA199 12/10/2015 ANGGI NO$ITA200 12/10/2015NGATINI201 12/10/2015!ASITO202 12/10/2015 ACHMAD SUSANTO203 12/10/2015 TUTIK ULIATININGSIH204 12/10/2015TITIEK 205 13/10/2015 A UK RAHMATUL206 13/10/2015 "INCAR PARLINDUNGAN207 13/10/2015SRI !ULAN208 13/10/2015 SRI PRO"OHARININGSIH209 13/10/2015 AL$ARO FARELANTO210 13/10/2015 NANDA FARELANTO211 13/10/2015 NANANG UDIANTO212 13/10/2015 TRI !ULANDARI213 13/10/2015MUH FIKRI F214 13/10/2015 MAULANA #AHIRA ISAM215 13/10/2015 !ATIAN216 13/10/2015 KITT ANNE LAISINA217 13/10/2015 EMILIA INDIRA M218 13/10/2015 NO$I DARSIH F219 13/10/2015 NURHIDAJATI220 13/10/2015 ATIK FRISTIANTI221 13/10/2015 NA"ILA ALI AH222 13/10/2015 HARI !AH U U223 13/10/2015 SALAMOEN MARKA"AN224 13/10/2015 SITI KOESINAH



225 15/10/2015SOEGIRI226 15/10/2015SUMARMI227 15/10/2015 KAMUNO!ATI228 15/10/2015 !IGA IRMANI229 15/10/2015 ISNO230 15/10/2015 SOLICHIN A"D HAMID

231 15/10/2015 ANISSA SEFI232 15/10/2015 MEO JOENTORO233 15/10/2015MUCHDIONO234 15/10/2015 NURUL HIDAATI235 15/10/2015 RAHA U MIATI236 15/10/2015 ANANG ACHMADI237 15/10/2015SUKARNO238 15/10/2015SU!ASTIN239 15/10/2015SOEDJONO240 15/10/2015 CHRISTIANA !AH U DE!I

241 15/10/2015 ARUMI AULIA RAHMA242 15/10/2015 HANIAH NA"ILAH243 15/10/2015DJUNIASIH244 15/10/2015 SINGGIH HARIMAN245 15/10/2015 RITMARATRI SEKAR246 15/10/2015 "INCAR PARLINDUNGAN247 15/10/2015 SOFIE AGUS PUJIASTUTIK 248 16/10/2015 KIRANI SHAFAAH249 16/10/2015 SITI CHALIMAH250 16/10/2015 JUANI251 16/10/2015 IR RR EDHI !AH UNI SETO!ATI252 16/10/2015 DONI $ALIANDRA253 16/10/2015 MOCH ARMANSAH254 16/10/2015 MUH "O"" !IANDA255 16/10/2015 !IDJI EKO SANTOSO256 16/10/2015 OEMI NURHAATI257 16/10/2015 SOEPRAPTO SAID258 16/10/2015 "INCAR PARLINDUNGAN259 16/10/2015SOEMAIJAH260 16/10/2015 SOE!ARDI 2261 16/10/2015 GRET KAUNANG262 16/10/2015 A$INDHA EKA!ATI263 16/10/2015 SUHARTONO264 16/10/2015 LILIK MELANA265 16/10/2015 CHRISTANTI ENDANG266 17/10/2015 NATJE PIRIS267 17/10/2015 ENIE S!ASPADNI268 17/10/2015 SUPARDI IMAM K 269 17/10/2015SUSIATI



270 17/10/2015 SUJONO SAMPAN271 17/10/2015 SOEPAEMAN272 17/10/2015 JAJUK HARTATIK 273 17/10/2015 "ASUKO TUNGGAL E274 17/10/2015 SRI D!I TJANDRA!ATI275 17/10/2015 KRISMIJATI S

276 17/10/2015 SU!ADI SAMIDIN277 19/10/2015KASTUTIK 278 19/10/2015 "UDHI SASOMO279 19/10/2015 !ORO ASTUTI280 19/10/2015 DANI SIS!OKO281 19/10/2015 SOLICHIN A"D HAMID282 19/10/2015SUDARMAJI283 19/10/2015 D!I SULIS SET O!ATI284 19/10/2015 SITI KHOLIFAH285 19/10/2015 MOCH RI#KI RAMADAN

286 19/10/2015 MOCH ARMANSAH287 19/10/2015 ATIK FRISTIANTI288 19/10/2015ALMU#ANI289 19/10/2015 FRANSISCUS SUGENG290 19/10/2015 RESMIATUN291 19/10/2015 AFIRSA MAHIRSA292 19/10/2015 "UDI !ITANDOKO293 19/10/2015DRA !I!IK P294 19/10/2015 ENDANG MUPANGATI295 19/10/2015SOEKAMTO296 19/10/2015 OHANES GATOT297 19/10/2015ROEDJITO D298 20/10/2015SUNARDI299 20/10/2015 TOMO SUNARJO300 20/10/2015UMI TRI L301 20/10/2015 TRIKORO "UDI302 20/10/2015 AL$ARO F303 20/10/2015NANDA F304 20/10/2015 ARI A DE$A N305 20/10/2015ASMIARNO306 20/10/2015ACH MARDJU307 20/10/2015 SOFIKAH308 20/10/2015IMROATIN309 20/10/2015 RA HAN FAREL310 20/10/2015#ULAICHA311 20/10/2015 RITMARATRI SEKAR312 20/10/2015 SUHARTUTIEK 313 20/10/2015 SINGGIH HARIMAN314 20/10/2015SOEMAIJAH



315 20/10/2015 EMM PERISCILIA316 20/10/2015 MUHAMAD RAN317 21/10/2015 !AHONO SAIDI318 21/10/2015IS!ARINI319 21/10/2015 ROSALIA ERNI J320 21/10/2015 IGNATIUS DIDIT

321 21/10/2015 ARIF EFFENDI322 21/10/2015 TOJI"AH AL MUSTOJI"AH323 21/10/2015SOLICHAN324 21/10/2015 RR AM"ARIAH P325 21/10/2015 SUMARSONO TASMUN326 21/10/2015 TANI HARIADI327 21/10/2015 D!I !AH UNI328 21/10/2015SUNARJO329 21/10/2015 SUSDIJATI "SC330 21/10/2015 SOELISTONINGRUM

331 22/10/2015 !ATIAN332 22/10/2015SUNARJO333 22/10/2015 SET O !AHONO334 22/10/2015 SRI HIDAATI335 22/10/2015 INDRASMORO SUDADI336 22/10/2015 PUDJI ASTUTI337 22/10/2015 SITI ROCHANI338 22/10/2015 "INCAR PARLINDUNGAN339 22/10/2015 SRI PRO"OHARININGSIH340 22/10/2015ILHAM A R341 22/10/2015 EMI MARCHAMAH342 22/10/2015 SET A!AN343 22/10/2015 SRI HANDINI344 22/10/2015 DARMA!AN HADI345 22/10/2015 TAUFIK SANTOSO346 22/10/2015 HARIJATOEN347 22/10/2015 RI#%I NURFITRIANA348 22/10/2015 ERFIEN SUDIANTI349 22/10/2015 SUPARTO A350 22/10/2015KAMARI 3351 23/10/2015 D!I SULIS SET O!ATI352 23/10/2015 RA HAN FAREL353 23/10/2015IMROATIN354 23/10/2015 SUHARTONO355 23/10/2015 KRISTINI K!ARTININGSIH356 23/10/2015MOCH RAIS357 23/10/2015 HANIAH NA"ILAH358 23/10/2015NURPAIDA359 23/10/2015SATUK



360 23/10/2015!INARSIH361 23/10/2015 SAHRUL #AIN362 23/10/2015 FERR D!I S363 23/10/2015 ARI A DE$A N364 24/10/2015 SU"ANDI SLAMET365 24/10/2015 !IDJI ASTUTI

366 24/10/2015RUSIANI367 24/10/2015 !IDJAJA NOER SA!ALI368 26/10/2015 ISNO369 26/10/2015 NURSASI !AH UNINGSIH370 26/10/2015SUMARMI371 26/10/2015SOEGIRI372 26/10/2015 LUSIA SETA!ATI CH373 26/10/2015 MAMIK SUATMI374 26/10/2015 ALLATIF AGUSTINO375 26/10/2015RU"INAH

376 26/10/2015 ACHMAD !AH UDI377 26/10/2015 HER KUSNADI378 26/10/2015 DON $ALIANDRA379 26/10/2015 !ISNU RAHARDJO380 26/10/2015 NURSASI !AH UNINGSIH381 26/10/2015!I"ISONO382 26/10/2015 !I!IK !INARTI N383 26/10/2015 MARTINI RAA384 26/10/2015SUNARJO385 26/10/2015 PUDJI ASTUTI386 26/10/2015 D!I SULIS SET O!ATI387 26/10/2015SOEKIDJAN388 26/10/2015SURATI389 26/10/2015 RITMARATRI SEKAR390 27/10/2015 SOLICHIN A"D HAMID391 27/10/2015 "INCAR PARLINDUNGAN392 27/10/2015 SRI PRO"OHARININGSIH393 27/10/2015 SRI KADARMININGSIH394 27/10/2015 ISMAIL SOEPENO395 27/10/2015 KRISTANTI S!ANDAJANI396 27/10/2015 $ICKIANA $ERLITA397 27/10/2015 FITRIANA !IGUNA398 27/10/2015 ELIS ROSIDA399 27/10/2015INDAH !400 27/10/2015 KRISTINI K!ARTININGSIH401 27/10/2015 LILIK IRIANI402 27/10/2015 DJADI403 27/10/2015SUNARKO404 27/10/2015 AGNI !ULANDARI



405 27/10/2015RUDIJAH406 27/10/2015 SUANTO TJ407 27/10/2015 SRI ENN LATUN408 27/10/2015 MIEN SOEMINI409 27/10/2015 TITO "AM"ANG S410 28/10/2015 POER!ATI

411 28/10/2015 SOFIE AGUS PUJIASTUTIK 412 28/10/2015SOEKIDJAN413 28/10/2015 SITI KOESINAH414 28/10/2015 SALAMOEN MARKA"AN415 28/10/2015 A"DULLAH "IN THALI"416 28/10/2015 "INCAR PARLINDUNGAN417 28/10/2015 SRI PRO"OHARININGSIH418 28/10/2015 SUGENG PRI ONO419 28/10/2015 GRET KAUNANG420 28/10/2015 SOEPRAPTO SAID

421 28/10/2015 OEMI NURHAATI422 28/10/2015MISTRI423 28/10/2015 AGUS !AHONO424 28/10/2015UMI TRI L425 28/10/2015 SUPRI ADI426 28/10/2015 MOCH ARMANSAH A427 28/10/2015 ENDANG SUTARNI428 28/10/2015 D!I SULISTONINGSIH429 28/10/2015 "AM"ANG SUTRISNO430 28/10/2015SOEKAMTO431 28/10/2015 SRI CAH ANI432 28/10/2015 KARMA!AN433 29/10/2015 SRI !IDAATI434 29/10/2015 ED !IONO435 29/10/2015 TIANA SA!ITRI436 29/10/2015 !ISNU RAHARDJO437 29/10/2015MUJIONO AM438 29/10/2015 INDAH CAH A!ATI439 29/10/2015 SET O !AHONO440 29/10/2015 D!I SULIS SET O!ATI441 29/10/2015 SUMARNINGSIH442 30/10/2015 LUSIA SETA!ATI CH443 30/10/2015 DJUNI SIS!ANTO444 30/10/2015 TITING HARTANTI445 30/10/2015MUSTINIK 446 30/10/2015 MAULANA #AHIRA ISAM447 30/10/2015 FIRDAUS MAULIDIAH448 30/10/2015 ACHMAD MARDJU449 30/10/2015 SOFIKAH



450 30/10/2015!I ONO451 30/10/2015 DINI SUHERTI452 30/10/2015SOEKAMTO453 30/10/2015 FARAH ISNAINI454 30/10/2015 NORMA INDAH M455 30/10/2015KASIANI

456 30/10/2015 SUPII MATPII457 31/10/2015 SU ISTADI458 31/10/2015!ARIONO459 31/10/2015 ENDANG DARMINI460 31/10/2015 FRANSISCUS SUGENG461 31/10/2015AMINAH CH462 31/10/2015 DANI SIS!OKO463 31/10/2015SOEPI AH464 31/10/2015KAROMAH465 31/10/2015LINDA D!I S



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8000198701040888 250008000198700921203 250008000198700979581 250008000198700927044 250008000198700927036 250008000198701005675 250008000198700999746 250008000198700929529 250008000198700936268 250008000198700946184 250008000198701027638 250008000198700930378 250008000198700932812 250008000198701012192 250008000198700921914 250008000198700916203 250008000198700916195 250008000198701387073 250008000198701042447 250008000198701043454 250008000198701041118 250008000198701041092 250008000198701038015 250008000198701007077 250008000198700980522 750008000198700928711 750008000198700893956 1000008000198700975035 250008000198700951416 25000



8000198700925733 250008000198700925741 250008000198700957223 250008000198700929370 250008000198700929388 250008000198700908283 25000

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8000198700982551 250008000198700982536 250008000198700936094 250008000198701040854 250008000198701040862 250008000198700927200 25000

8000198700927218 250008000198700921955 250008000198700947364 250008000198700914992 250008000198700926020 250008000198700926012 250008000198701136371 250008000198700912061 1000008000198700964187 500008000198701136389 50000

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NO TANGGAL NAMA PASIEN NOMOR KARTU1 1/10/2015 UDADI IRI ANTO 80001987011131802 1/10/2015 SUSANTO 80001987010901313 1/10/2015 FENT AU NURHAINI 80001987010913944 1/10/2015 AGUS D!I SUSANTO 80001987010906855 1/10/2015 RUDI !INARO 8000198701090289

6 1/10/2015 SUJOSO 80001987011108717 1/10/2015 SUDJIONO 80001987011129018 1/10/2015 RIA RUSMIATI 80001987011128859 2/10/2015 TUMINI ASRI 8000198701113032

10 2/10/2015 CHUSNUL HIDAJAT 800019870111374311 5/10/2015 PUTUT SUDJATMIKO 800019870111585412 5/10/2015 RR DIANA INA 800019870111584713 6/10/2015 !AH U NINGSIH 800019870111366914 6/10/2015 MARDIJONO 800019870111367715 6/10/2015 NAURA ARI ANI S 8000198701092616

16 6/10/2015 SUPRIJO 800019870111313117 6/10/2015 SUGIATI 800019870111312318 6/10/2015 JAMES L 800019870108956219 6/10/2015 HERI SULASTRI 800019870111291920 7/10/2015 SUPI ANI 800019870023656021 7/10/2015 FAULI#AR R 800019870023655222 7/10/2015 NUR CHAH ATI 800019870111279423 8/10/2015 RAFLI SAHRUL 800019870109204624 8/10/2015 NURCHAATI 800019870111279425 8/10/2015 EMM SET ORINI 800019870108878826 8/10/2015 IS"ANDI AH 800019870111393327 8/10/2015 ALIFAH 800019870111391728 9/10/2015 CHOLIK 800019870111497229 9/10/2015 SUKARNI 800019870111268730 12/10/2015 HIS AM ISTAHRIL MUA# 800019870109099031 12/10/2015 SUPI ANI 800019870023656032 12/10/2015 RA ENDANG !IDIASTUTI 800019870111373533 12/10/2015 SUJOSO 800019870111087134 12/10/2015 SUGI 800019870111347935 12/10/2015 AMALIA FANI 800019870108758236 12/10/2015 HERMIN SUSJA!ATI 800019870108759037 12/10/2015 MARDIJONO 800019870111367738 12/10/2015 NURCHAATI 800019879111279439 12/10/2015 SOENARO 800019870111280240 13/10/2015 KETUT SANTOSO 800019870108976041 13/10/2015 MADE DARMI 800019870111463442 13/10/2015 AGUS SU"AGIJO 800019870111464243 13/10/2015 ARDILLA A U 800019870109067744 13/10/2015 JAMES L 8000198701089562



45 13/10/2015 HARI ADI SURA 800019870109096846 15/10/2015 DRADJAD SUTIJONO 800019870108036347 15/10/2015 TITIK SUPRAPTI 800019870109009948 15/10/2015 UDADI IRI ANTO 800019870111318049 15/10/2015 TALIS 800019870108931550 15/10/2015 TEGUH SU!AH O 8000198701090412

51 15/10/2015 SUIMAM RUSTANDI 800019870109051152 15/10/2015 "UDI PRI ONO 800019870108815053 15/10/2015 SULASTRI 800019870111421254 15/10/2015 UM"AR 800019870111422055 15/10/2015 AGUS SU"AGIJO 800019870111464256 15/10/2015 KURNIA D!I S 800019870108760857 16/10/2015 HERI SULASTRI 800019870111291958 16/10/2015 RINTAULI SIMAMORA 800019870109070159 16/10/2015 SONN 800019870109072760 16/10/2015 PUTUT SUDJATMIKO 8000198701115854

61 16/10/2015 RR DIANA INA 800019870111584762 17/10/2015 SUPRIJO 800019870111313163 17/10/2015 D!I MUR!ATI 800019870111251364 17/10/2015 TUMINI ASRI 800019870111303265 17/10/2015 SUGIATI 800019870111312366 17/10/2015 "AM"ANG SU!IDJI 800019870111266167 17/10/2015 DE!I ALI AH 800019870111264668 17/10/2015 SUKARNI 800019870111268769 19/10/2015 SUHARTI 800019870111173970 19/10/2015 AGUS SU"AGIJO 800019870111464271 19/10/2015 SRI SAPTO MARTI!I 800019870111608472 19/10/2015 SUKARNI 800019870111268773 20/10/2015 RAO FAIRU# A 800019870109205374 20/10/2015 SUPRIJO 800019870111313175 20/10/2015 SUGIATI 800019870111312376 21/10/2015 SUHARTI 800019870111173977 21/10/2015 !ISNU MARDJOKO 800019870111353778 22/10/2015 SUPARTINAH 800019870111181279 23/10/2015 RITAULI SIMAMORA 800019870109070180 23/10/2015 PUTUT SUDJATMIKO 800019870111585481 23/10/2015 RR DIANA INA 800019870111584782 23/10/2015 LULUK ADILI AH 800019870109203883 23/10/2015 KUSNANDAR 800019870111494984 23/10/2015 RIKANI 800019870111493185 24/10/2015 CHOIRUL LAILI 800019870111587086 27/10/2015 PUTUT SUDJATMIKO 800019870111585487 27/10/2015 RR DIANA INA 800019870111584788 27/10/2015 JAMES L 800019870108956289 27/10/2015 TATIK KUSTI AH 8000198701088879



90 28/10/2015 IMAM AS HARI 800019870109077691 28/10/2015 MOCH RIFAI 800019870108895292 28/10/2015 SUGIHARTO 800019870109046193 28/10/2015 DJOKO !ARDONO 800019870109031394 28/10/2015 SOEGIHARTI 800019870109202095 28/10/2015 SUNARTI 8000198701089638

96 28/10/2015 SAAMAH 800019870109020697 28/10/2015 AGUS D!I SUSANTO 800019870109068598 28/10/2015 AGUS SU"AGIJO 800019870111464299 28/10/2015 KRISTIAN ULI PURNOMO 8000198701089521

100 28/10/2015 PUTUT SUDJATMIKO 8000198701115854101 28/10/2015 D!I "UDI S 8000198701089109102 28/10/2015 SAIFUL 8000198701092434103 29/10/2015 ELL UNITA 8000198701088218104 29/10/2015 SIS!ANTORO 8000198701090362105 29/10/2015 IMAM ROSADI 8000198701089059

106 29/10/2015S AMSUL ISLAM SAH 8000198701114162107 29/10/2015 !AH UNINGSIH 8000198701113669108 29/10/2015 MARDIJONO 8000198701113677109 29/10/2015 TITIK ENDAR!ATI 8000198701113545110 29/10/2015 MOCH ALFAN A 8000198701092012111 29/10/2015 SOEDJONO 8000198701088390112 30/10/2015 JAMES L 8000198701089562113 30/10/2015 MAHER SALAL 8000198701089539



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