Tanda Terima Obat Prolanis Keliat

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    No. No. Identitas BPJS Kesehatan Nama Peserta No.Telepon Hp (Wajib)

    1 1423899044 Aminatun Syahro 081370639037

    2 1126360449 Ati

    3 1176026152 Sri Lestio ati 085370615643

    4 1382783883 !"# $ari%ah 081375621652

    5 1800790547 &as'ah 081264665500

    6 1305498339 Susiati 085761489523

    7 1164911545 (rs# !# )al Amri !r* 0823657368608 1316277977 Saminah 081263819464

    9 1196865167 +oniyah 085297133796

    10 1270338028 Suriyani ,an"un- 081376749310

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    11 1316295371 Su*iana 081290842218

    12 1276869497 .u/ Sarono 082160574334

    13 1243084667 Masimin 081264339565

    14 1263867039 !a%iah Br Sem'irin- 08526826848

    15 1305497305 Syariu%%in Sire-ar 08566279597

    16 1808832058 +onisem 08529646460

    17 6626057 Ani Lestari 085214036369

    18 1808830798 Su-ito 08526464960

    19 1270337343 Suheri aransia 081376749310

    20 1848091116 +oniyati 085297133796

    21 1814788192 Ai%ah Rosnany Lu'is 08126463576

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    22 1490632795 Sa%an &-olu L# aol

    23 1489965849 Rosmala !anim

    24 1489965759 Rosi%aati 08126904818

    25 1489965748 &au*a 08126904818

    26 1615844248 Marisem 085262512793

    27 1811091778 Samsiah 085358977395

    28 1490232306 Susi n%rayani 0852210784258

    29 1308454367 Ji%in ,uman--or 081375506021

    30 1138835171 Martomo !uta'arat

    31 1818871615 Suyati

    32 1256978092 Su%arti/

    33 1860631029 Ratimi

    34 1177936211 Siti Aminah

    35 1845007738 Su'ari

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    36 1298752209 Sumisti

    37 1820657553 +e*ri Mani/

    38 1164625738 sman S#L

    39 1877143127 !arlen Siman"unta/

    40 1487130467 Julia%i

    41 1126356884 rni

    42 1818871615 Suyati

    43 1819769984 $eri !en%ra slia%i 085276564376

    44 1808323165 Romli

    45 1825134456 &ilaati 081281555803

    46 1844209642 (asril 081264531015

    47 1490169339 Rosmaati

    48 1816464047 !osen Ali

    49 1816464284 Su-iarti

    50 1806195385 Rahmaati

    51 1131972669 Su*iyanto

    52 1421089852 Sanusi

    53 1811973532 &asir

    54 1877420092 Su/arni

    55 1855494966 ti A-us Suryati

    56 1293007577 +onirin

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    57 1790542776 S Lum'anto'in-

    58 1429774593 !# Suar%i

    59 1847071945 rma *itriani

    60 1187718276 Muliati/ 085213516872

    61 1279855732 Sis Bu%iman62 1451164792 Susi uliani

    63 1845001811 &ur Ainun 085270316029

    64 1489964264 +ristianto 081362300640

    65 1847740667 Mulianta Sem'irin-

    66 1201613602 Sri Mulyati

    67 1336703488 Rasmi Lum'an aol 085278957364

    68 1260397203 Lilin- 085278957364

    69 1615844867 &-atini 081375863057

    70 1136595857 Ristoyo

    71 1615828869 Mangasa Tambunan 81326942852

    72 1814196418 Tri Rasma siregar 8126365127

    73 1809753186 Surya Abadi Simanjunta

    74 1316406755 !"airuddin

    75 1615840356 Sarjui 81370487964

    76 1615844046 Su#arno 85297569828

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    77 1491092695 Sumar$i

    78 1141067529 Rasmini

    79 1445149192 Rosnani 81262495946

    80 1615830682 Su$iasi"

    81 1848190419 %oidi

    82 1342049051 Sari 81260066038

    83 1867440745 M"d& Tau' 85361920209

    84 1388137509 Aisya" 81370853971

    85 1827202961 Rini 81260070831

    86 1828527963 (adi )urnomo 81260239440

    87 1138555798 Abdu$ Muas 85370878233

    88 1130757434 Sumariati 8139721574

    89 1843683794 *isaniya" 85276042660

    90 1421535025 Sri Mu$yani

    91 1838141291 Su+arida

    92 1490229753 Agus e+endi 85373601606

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    93 1246167707 ,urmisran 85290885665

    94 1491091378 )au$ina br -u$tom 85358415262

    95 1152493593 A"#an Agustianto 85277797922

    96 1342040062 !adri 8126417570

    97 11680446 Adi Subirin 8537084866398 1814979609 Tuini 87867695905

    99 1449651058 .ben Sitanggang 82273175958

    100 1490407075 /a$dia"

    101 1875382931 u$"am *ubis 82165517730

    102 1615844147 Aran Siregar 85277529049

    103 1871160996 Sri ani

    104 1446142577 e#iana *ubis

    105 1188495246 ,ur +a#i$iyanti 85361303543

    106 1450020014 Asnan 81260915363

    107 1856086244 A"mad abar 85362801313

    108 1189675023 .rda#ati 82369416698

    109 1860316367 Asna" 81263952779

    110 1855306776 M"d i$yas 82361243102

    111 1321364812 %ur"an 81375715618

    112 1845008122 Ratmi

    113 1490231485 Sri ura$anum 82166370237

    114 1126372342 A$$in *imbong 82276881200

    115 1192594083 *i$i Mariono 85261673309

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    116 1841426638 Asia"

    117 1815752988 Ratmi 85372055120

    118 1491093494 Turini 81260909851

    119 1615841327 Rosmaida 81370464367120 1843138552 Rosniati 85372761958

    121 1148152883 /a"yu ramadii 81397730868

    122 1491091334 Atina"

    123 1126369956 Tri #arni 85217671785

    124 1610798951 u$ia astuti

    125 1436017536&85219 (&Soan

    126 1482896035 Sarjono syam 81362133361

    127 1342048408 Misnan 87869551191

    128 1148151803 /a"yu Ramad"ani 81397730868

    129 1591795754 Su$istiono 81396856059

    130 1809060254 (j& auia"

    131 1822661368 anto S( 81361706336

    132 1869761632 Me$ina

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    152 1485361405 Susiani )rianto 81533762370

    153 1133163898 )aino 85261221440

    154 1176802211 Sarni 85261287758

    155 1838360889 Mariani )urba 82362433373

    156 1889047539 Basiman 082210706574

    157 1491093854 %y harianto 085297083499

    158 1283706641 (aris +ur'a 085310980105

    159 1164737981 ,umiati

    160 9490302438 Misnai%i

    161 1315406755 hairu%%in 085261981318

    )iminan Aoti

    )eraten ,ata$ia %r !e$iat

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    anda Terima Obat Prolanis

    Bulan Januari

    RB Mitra Sehat

    Dianosa Kronis !as"es #JT$ Da%tar Obat P#B &'lai Terda%tar Tanda Tanan

    !, RS L ,o'in- Amlo%i*ine 5 m- 11 30 28 A-ustus 2015

    Metormin 500 m- 21 60 28 A-ustus 2015

    !, RS L ,o'in- Amlo%i*ine 5 m- 11 30 28 A-ustus 2015

    !, RS L ,o'in- Amlo%i*ine 5 m- 11 30 28 A-ustus 2015

    $urosemi%e 40 m- 1130

    !, RS L ,o'in- +io-lita:one 15 m- 11 30

    Amlo%i*ine 5 m- 11 30

    Metormin 500 m- 1130

    !, RS L ,o'in- (io;an 80 m- 1130 28 A-ustus 2015

    Metormin 500 m- 3190

    A

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    !, = (M RS L ,o'in- Amlo%i*ine 5m- 1130 28 A-ustus 2015

    Metormin 500 m- 1130

    Allo*urinol 500 m- 3190

    !, = (M RS L ,o'in- Amlo%i*ine 10 m- 11 30 28 A-ustus 2015

    li'en

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    Biso*rolol 5 m- 1130

    !, RS L ,o'in-

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    !, RS L ,o'in- Amlo%i*ine 10 m- 1130 28 A-ustus 2015

    (M RS L ,o'in- Rena'eti< 1130

    lu%e*ati< 1130

    (M RS L ,o'in- lu%e*ati< 1130

    Rena'eti< 1130

    Amlo%i*ine 10 m- 1130(M RS L ,o'in- lu%e*ati< 2160 11?Se*?15

    (M RS L ,o'in- lu%e*ati< 1130 11?Se*?15

    Rena'eti< 1130

    !, RS L ,o'in- Amlo%i*ine 10 m- 1160 12?Se*?15

    !, RS L ,o'in- Amlo%i*ine 5 m- 1130 14?Se*?15

    $urosemi%e 40 m- 1130

    (M RS L ,o'in- Metormin 500 m- 21 60 14?Se*?15

    (M RS L ,o'in- lu%e*ati< 2160 14?Se*?15

    amlo%i*in5m-1130Rena'eti< 1130

    (M RS L ,o'in- lu%e*ati< 1130 15?Se*?15

    Rena'eti< 1130

    !, RS L ,o'in- Amlo%i*ine 10 m- 1130 15?Se*?15

    (M RS L ,o'in- lu%e*ati< 1130 15?Se*?15

    Rena'eti< 1130

    !, RS L ,o'in- Amlo%i*ine 10 m- 1130 15?Se*?15

    !, RS L ,o'in- Amlo%i*ine 10 m- 1130 16?Se*?15

    !, RS L ,o'in- Amlo%i*ine 10 m- 1130 16?Se*?15

    (M RS L ,o'in- lu%e*ati< 1130 16?Se*?15

    Rena'eti< 1130

    !, RS L ,o'in- Amlo%i*ine 10 m- 1130 16?Se*?15

    (M RS L ,o'in- lime*iri%e 2 m- 1130 16?Se*?15

    Metormin 500 m- 21 60

    !, RS L ,o'in- Amlo%i*ine 10 m- 1130 19?Se*?15

    !, RS L ,o'in- Amlo%i*ine 10 m- 1130 22?Se*?15

    !, RS L ,o'in- Amlo%i*ine 5 m- 1130 25?Se*?15

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    !, RS L ,o'in- Amlo%i*ine 10 m- 1130 25?Se*?15

    !, RS L ,o'in- Amlo%i*ine 5 m- 2160 25?Se*?15

    (M RS L ,o'in- li'en

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    M RS: -* Tobing Met+ormin 500mg2;1tober 2015

    (T RS: -* Tobing Am$odiine 5mg 2;1tober 2015

    (T RS: -* Tobing Am$odiine 5mg 2;1tober 2015

    urosemide4mg 1;1

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    (T RS: -* Tobing Am$odiine 5mg 2;1

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    Met+ormin500mg 3;1

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    Met+ormin500mg 2;1

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    Sim?astatin10mg 1;1