1. lap. jkn jan. 14
Post on 25-Feb-2018
224 Views
Preview:
TRANSCRIPT
-
7/25/2019 1. Lap. JKN Jan. 14
1/383
LAPORAN PELAYANAN
RAWAT JALAN TINGKAT PERTAMA (RJTP)
UPT PUSKESMAS WINONG
BULAN : JANUARI TAHUN 2014Kepada Y! :
Kepa"a BPJS
#$% Kepa"a &'a Kee!aa Ka*+ P,-./-e/
d' Tepa
NO TANGGAL No Pcare No. KARTU NAMA PESERTA SEX USIA TUJ
1 1/2/2014 1 1019244328 M FARIS RIA!I L 13 G"#"
2 2 $4$33%842 KESUT SU&AN!I L 4' U()(
3 3 $4481'93$ SATI&I L 3$ U()(
4 $ $44812322 FANA P 31 K I A
5 % $4$%012'3 SA*IANTO L '2 U()(
6 ' 101924%4$$ KUSTIA+ P '% U()(
7 8 $4$19%93% SIL,IANA FA!+ILA P $ K I A
8 9 $449$90'' RU&IATI P 40 K&9 10 $4$19%8$' *ARANTI P 3$ U()(
10 11 $4$%291'3 SITI +AMATUM NISA P 8 G"#"
11 12 $4$3$$'29 +I!AATUL MUNASIRO+ P 1$ U()(
-
7/25/2019 1. Lap. JKN Jan. 14
2/383
49 9 $448339%% MUTO+ARO+ P 24 K&
50 10 $44'99'22 MUJI&A+ P 38 U()(
51 11 $44%18012 +UMAIRA LAILI FAU-IA+ P 11 U()(
52 12 84241'21 NURUL A-IMA+ P 41 U()(53 13 84%8%%'9 UMI SALAMA+ P $2 U()(
54 14 $4$$$'12' UNONG P '4 U()(
55 1% $44814818 TAAT NUR ITA L 2 K I A
56 20 1019244903 SU!IRMAN L %2 G"#"
57 22 4'%84%19 SUMARSI+ P %$ U()(
58 23 $4$'4899% TRIANA NUR A+ANI P $ K I A
59 1 10192%2$98 UMI NASIK+A+ P 3$ K I A60 1/6/2014 2 $442'0%89 AN!RI *IJAANTO L 21 U()(
61 3 $4$302$28 RUS!I L 81 U()(
62 4 $4%49328$ !*I MULANTO L 12 G"#"
63 $ $4$3'9208 PA*IT L 38 U()(
64 % $4$1010$3 PAIMUN L '% U()(
65 ' 1019244148 +ESTI SETANINGSI+ P 49 U()(
66 8 $4$$02$32 ROPIATUN P 4% U()(
67 9 $4$$0328$ SOLI+UN L 13 U()(
68 10 $4$$0202$ MUSTOFA L $2 U()(
69 11 $443'''34 MUARIF L 14 U()(
-
7/25/2019 1. Lap. JKN Jan. 14
3/383
108 10 1%21%$20$ SU!IRO L '3 U()(
109 11 9'%213$0% II SRIANI P 49 U()(
110 1/8/2014 1 $449$2'99 SANIA+ P 44 U()(
111 2 84300208 !*I LISTARINI P 40 U()(
112 3 84'339%4 SUTA!I L 4' U()(113 4 101924420$ MU+TAR L %3 U()(
114 $ 4'%8$12% TUMISA+ P $9 U()(
115 8 $4$314983 MINTARSI+ P $3 U()(
116 9 $4$81%4$2 TUKIEM P 4' U()(
117 10 $44''31'2 RUKUN PRAITNO L 39 U()(
118 11 $4481%94$ MANISUN L '3 U()(
119 12 $44'23'38 SUNGAE& L $% U()(120 13 $44822'1% RIAN JULIANTO L % G"#"
121 14 $44'4'814 KURNIA A!I JA-ULI R P ' U()(
122 1$ $4%282112 -A+RITUSSIFA P 4 K I A
123 1% 101924$4%$ SOLISA+ P %4 U()(
124 1' 84402''$ SUSI ARIANI P $1 U()(
125 18 $4$28$'44 RAFI ANGGATIASTO L ' U()(
126 19 $4$284001 +ENI SURANI P 3' U()(
127 20 84%$98$9 TRIMA+ ISTIATI P 49 U()(
128 21 $4$81%4$2 TUKIEM P 4' LA&
129 1/9/2014 1 $4480$3%8 SIRONO L $3 U()(
-
7/25/2019 1. Lap. JKN Jan. 14
4/383
168 20 $449324$9 &ONIA+ P $0 LA&
169 1/11/2014 1 $4%248'44 PONIA+ P 48 U()(
170 2 $4$201818 RIONO L 42 U()(
171 3 $44'41839 SARIF +I!AAT L 4 K I A
172 4 $4$3$22%$ SLAMET /OS+IRI L 40 U()(173 $ $4$'$09$4 AMA! SUGIONO L 4' U()(
174 % $4$32'%2' SUTINI P '% U()(
175 ' $4$%$088$ !ALIA+ P 48 U()(
176 8 101924$421 MUSTO/IA+ P $8 U()(
177 9 $4482243$ TUONO L %' U()(
178 10 $44''1%31 NUR RI-K SETIA*AN L 8 U()(
179 11 $44''104$ ISTI SURA+ARTATI P 30 G"#"180 12 84418334 ANAS L %8 U()(
181 13 88348%4$ KA&UL SU*ARTO L $8 U()(
182 14 84449092 LASONO L %' U()(
183 1$ 4'%84%19 SUMARSI+ P %$ U()(
184 1/13/2014 1 1019242%29 ARIANTI P 30 U()(
185 2 $4$'01241 RENA MAULANA RAMA!AN L 4 K I A
186 3 $4$'0031' SAROFA+ P 38 K&
187 4 $4$8$214' *ALROFINGA+ P 42 U()(
188 $ $4$09$'08 &AN!IA+ P %% U()(
189 % $4$228$2% ENI FE&RINA P 9 U()(
-
7/25/2019 1. Lap. JKN Jan. 14
5/383
228 8 $4$8'3%92 *AKINI P 42 U()(
229 9 $4$319%$2 SANIA+ P 3' K I A
230 10 $442'1411 SIGIT NGA!URO+MA+ L 14 U()(
231 11 $4$339%%$ ALFITO RAMA!+AN L $ K I A
232 12 $4$338%$3 SUI KARATI P 22 G"#"233 13 $44922098 SATIA+ P 39 U()(
234 14 $44933'98 SU*ARNI P 3' K&
235 1$ $4$284001 +ENI SURANI P 3' U()(
236 1% ''0339%8 MOE+A!I L '2 U()(
237 1' 8444'483 KUN!ARTO L %$ U()(
238 18 84'23'$9 -AKARIA L $0 G"#"
239 1/16/2014 1 $4$8882$9 SUPONO L %' U()(
240 2 10192%2$98 UMI NASIK+A+ P 3$ K&
241 3 $4$3$1$89 SURANI P 3% U()(
242 4 $4494331% *I*IK MU!IASI+ P 39 K&
243 $ $4481%102 SUPIA+ P 39 U()(
244 % $4481'21$ SAKA SAURI &A!ARU!IN L 4 K I A
245 ' 4'%82$84 A&U !AR!AK L '4 U()(
246 8 4'$490%8 ROSI!A+ P 8$ U()(
247 9 $4$1948'' MISRIA+ P 4% U()(
248 10 $44''$%81 SITI KOTIA+ P '0 U()(
249 11 $4%$43033 MU+ ARIP AN*AR L $ U()(
-
7/25/2019 1. Lap. JKN Jan. 14
6/383
288 9 10192'88%% TUKIRA+ P '8 U()(
289 10 $44%21893 ASEP A*ALU!IN L 9 U()(
290 11 $4$$1''9' ANGGA &U!I PRATAMA L ' U()(
291 12 $4%189%'1 SUTRISNO L %$ U()(
292 13 $4$084133 MO+ USIN L 1' U()(
293 14 84243183 M RUS!AN KARIM L % U()(
294 1$ 10192'88%% TUKIRA+ P '8 LA&
295 1/20/2014 1 $4%1'$%42 K+ATMA+ P 4% K&
296 2 $4%12'09' SUGIATI P 49 U()(
297 3 $44930918 AMA! -AI!IN L $8 U()(
298 4 $4$3'9208 PA*IT L 38 U()(
299 $ 101924944' MURNI P $$ U()(
300 % $4$'88203 SARJONO L 4$ U()(
301 ' $4%248$29 ARMAN L $3 U()(
302 8 $4$141193 RUSI!A+ P 3% K&
303 9 $4$49%'83 NGAISA+ P 32 K I A
304 10 $44$93442 PATINA+ P 34 K&
305 11 $44%8'119 IL+AM MAULANA L $ K I A
306 12 $4$%0%1$$ SOFIATUN K+ASANA+ P 4 K I A
307 13 $4482$$41 SITI ASNIA+ P 43 U()(
308 14 101924''83 SUPA!I L $% U()(
-
7/25/2019 1. Lap. JKN Jan. 14
7/383
347 9 $4%290%0$ NUR K+OLISA+ P 41 U()(
348 10 $4$2818$2 SITI MUNA*ARO+ P 4% U()(
349 11 $448921'4 A+MA! FAU-AN L 1' U()(
350 12 $4%20$83% !AIMA+ P 48 U()(
351 13 $44''1%31 NUR RI-K SETIA*AN L 8 U()(352 14 $442380$4 SITI PAINGA+ P 34 K&
353 1$ 108244311% +ERI SETIA*AN L 31 U()(
354 1% 4'%84%19 SUMARSI+ P %$ U()(
355 1' $4$14%44% RIKI A!RIAN L 4 K I A
356 1/22/2014 1 $4$1'894' GUNARTI P 41 U()(
357 2 $4$41004$ SRIATUN P $0 U()(
358 3 $4%2$0048 MARLIA+ P '4 U()(
359 4 $4$'9112' RESMA*ATI P 11 U()(
360 $ $4$'888%% -UKAIK+A+ P 34 U()(
361 % $44'41839 SARIF +I!AAT L 4 K I A
362 ' $44%%'332 !ENI PERMATA SARI P 10 U()(
363 8 $4$%$899% AMA! MANSUR L $$ U()(
364 9 $4491$'98 MUNTASIRO+ P $9 U()(
365 10 $44%28902 SOKIRAN L '3 U()(
366 11 $44922098 SATIA+ P 39 U()(
367 12 $4$1239$' PAIJA+ P 4' U()(
368 13 $4%33444% PAIJA+ P $8 U()(
-
7/25/2019 1. Lap. JKN Jan. 14
8/383
407 1/25/2014 1 101924%3'% *I!I ASTUTI P 1' U()(
408 2 $4$30$8$8 K+ANIFA+ P 3' K&
409 3 $44'40939 NUR ATIMA+ P 3$ U()(
410 4 $44930918 AMA! -AI!IN L $8 U()(
411 $ $4%31'032 NURATI P $0 U()(412 % 10192%2%09 NISA NURAI!A P 1% U()(
413 ' $448339%% MUTO+ARO+ P 24 K I A
414 8 84402''$ SUSI ARIANI P $1 U()(
415 9 84429898 SUMARSI+ P %4 U()(
416 11 $448192%3 MAR-UKI L 83 U()(
417 12 $4$$%%083 SUSILO*ATI P 23 K&
418 13 84422%%$ ROJIA+ P %9 U()(
419 14 201002409 *AGIEM P %8 G"#"
420 1/27/2014 1 $4$828%$' TURINGA+ P 4% U()(
421 2 $4$829$13 AULIA +I!AATI P 8 U()(
422 3 $448%%98$ MU+MAMA! UP SAPUTRA L 11 U()(
423 4 $4$3%342$ FAJAR AR!IANTO L 1$ U()(
424 $ $4$14%481 SUKAN!AR L $0 U()(
425 % 10192$024% SULASI+ P 34 G"#"
426 ' $44%'$0'2 NGAMILA+ P 33 K&
427 8 101918140' SU+ARTI P $% U()(
428 9 $4%0$9%8' !AR*IA+ P 33 K&
-
7/25/2019 1. Lap. JKN Jan. 14
9/383
467 11 $44'4'814 KURNIA A!I JA-ULI R P ' U()(
468 12 201002409 *AGIEM P %8 G"#"
469 13 84409%3' SU&O*O L 38 U()(
470 14 8440$003 &AM&ANG TRI AN!ONO L $0 U()(
471 1/29/2014 1 $4$%0$841 *ARSITO L $0 U()(472 2 $449'0%'% SITI RU&AEA+ P 3' U()(
473 3 $449'21'3 MU+AMMA! SAFI N L 9 U()(
474 4 $449'2893 ANISA USOLI+ATUL N P % U()(
475 $ $44821%3% MU+AMMA! AL A&ROR L 4 K I A
476 % $44821$24 SRI RENI RAMA!ANI P 29 U()(
477 ' $4$00%2%1 SUONO L $$ U()(
478 8 4'%8$11$ TUMIRIN L 83 U()(
479 9 $44889'33 A+MA! MIFTAUL RO+MAN L 3 K I A
480 10 $448881$' AMI KUSKIA *ANTARI P 43 K&
481 11 84422%%$ ROJIA+ P %9 U()(
482 12 8424$049 ALFIA+ P 44 U()(
483 13 84$01'8% SITI SAMSIA+ P '4 U()(
484 14 $4$'888%% -UKAIK+A+ P 34 U()(
485 1$ $44823%0$ SITI UMARIA+ P 43 K&
486 1% 84%%2998 SAFRU!IN L $9 U()(
487 1' $4$284001 +ENI SURANI P 3' U()(
488 18 $4$3292'1 SAMA*IA+ P $4 U()(
-
7/25/2019 1. Lap. JKN Jan. 14
10/383
LAPORAN PELAYANANRAWAT JALAN TINGKAT PERTAMA (RJTP)
UPT PUSKESMAS WINONG
BULAN : PEBRUARI TAHUN 2014
Kepada Y! :
Kepa"a BPJS
#$% Kepa"a &'a Kee!aa Ka*+ P,-./-e/d' Tepa
NO TANGGAL No Pcare No. KARTU NAMA PESERTA SEX USIA TUJ
-
7/25/2019 1. Lap. JKN Jan. 14
11/383
38 24 $4$2%9004 RIANTO L 40 U()(
39 2$ $443'%889 MISATI P 39 U()(
40 2% $4491$'98 MUNTASIRO+ P $9 U()(
41 28 $4$8124$' EN!A+ ATI P $9 U()(
42 29 $4$00%2%1 SUONO L $$ U()(43 30 $4$329989 SINTO P %2 G"#"
44 31 101924$421 MUSTO/IA+ P $8 U()(
45 32 $4$4%%92$ MU+TAR L $4 U()(
46 33 $4$48$814 SITI MAR*IA+ P 3% G"#"
47 34 $4$4$'148 K+ANIFAN L 19 G"#"
48 3% $443'''34 MUARIF L 14 U()(
49 3' 8440%149 +I!A AMALIA P 1% U()(
50 2/4/2014 1 $44898$29 RI-AFF !*I NO,A L 9 U()(
51 2 $4$'$23$9 A!I IMAN IRFANSA+ L 3 K I A
52 4 $4%33444% PAIJA+ P $8 U()(
53 $ $4$$1'34' NUR AFIFA+ P 2' K&
54 % $4424409$ !ARSINA+ P 3% U()(
55 ' 101924%11' PUR*ATMI P 43 U()(
56 8 $4%229'19 RO!IA+ IN!A AU P 4% U()(
57 9 $44''19$% SUJU! L 4$ U()(
58 10 $4$2'1388 NUR K+ALIMA+ P % U()(
59 11 $44818'4$ M NASRUL MUJA+I! L 4 K I A
-
7/25/2019 1. Lap. JKN Jan. 14
12/383
98 1' $448%4%'8 TURISA+ P 34 U()(
99 18 84%8%%13 SULIMA+ *INARATI P %3 U()(
100 19 $4%222$19 IL+AM +I!AATULLA+ L 12 U()(
101 20 $4$2'3$3' NAPSIK+A+ P 4% G"#"
102 2/7/2014 1 $4$0133%9 SU*AR!I L 4% U()(103 2 $4$48$814 SITI MAR*IA+ P 3% K I A
104 3 $44840299 TOFIKURRO+MAN L 4% U()(
105 4 $44842999 M FARK+AM ROMA!+ON L % U()(
106 $ $4%183483 &AINGA+ P %8 U()(
107 % $4$00%2%1 SUONO L $$ U()(
108 ' $44%090%' PAINA+ P %% U()(
109 8 $44984198 NUR AMELIA P 10 U()(
110 9 $4$48%83' SUGENG RIA!I L 8 U()(
111 10 10192%4231 SALIMA+ P $1 U()(
112 11 $4$480'39 PAIJA+ P $0 U()(
113 12 $4%32''18 MU+AMA! NUR &AIN L 9 U()(
114 13 $44'3019% TURIA+ P $3 U()(
115 14 $4%31$2'% MARATUR ROFIA+ P 9 U()(
116 1$ $4$2204$9 SURIJAN L 4' U()(
117 1% 844000%4 MARSINA+ P $3 U()(
118 1' 84429898 SUMARSI+ P %4 U()(
119 2/8/2014 1 $448%%98$ MU+MAMA! UP SAPUTRA L 11 U()(
-
7/25/2019 1. Lap. JKN Jan. 14
13/383
158 4 $44%19349 TUPARIA+ P 39 K&
159 $ $448%%%03 SURATI P 3$ K&
160 % $44841234 MUNFARI!A P 32 U()(
161 ' $4$1'894' GUNARTI P 41 U()(
162 8 $4$1444%% !*I NURUL ARFA+ P 8 U()(163 9 $4%33444% PAIJA+ P $8 U()(
164 10 $44$341%$ SRIPA+ SEMI P $8 U()(
165 11 $4$482203 NUR A-I-A+ P 14 U()(
166 12 $4%232$'' ISRO*IA+ P 34 K&
167 13 101924$421 MUSTO/IA+ P $8 U()(
168 14 12%99'90%4 +OIRI L 49 U()(
169 1% 4'$490%8 ROSI!A+ P 8$ U()(
170 1' 84402''$ SUSI ARIANI P $1 U()(
171 18 20219189$ !ANI PRASETO L 18 U()(
172 19 $44%2110$ SAEPURNA L 3' U()(
173 20 $4%$04'%1 *ASITA+ P $1 K&
174 22 $442''981 NI!AUL K+USNIA P 1% G"#"
175 2/12/2014 1 12%99'90%4 +OIRI L 49 U()(
176 2 10192$293$ A+AA !*I *IJAANTI P $ K I A
177 3 $444439'4 RO+MATUN NA-ILA+ P 24 K I A
178 4 $44841234 MUNFARI!A P 32 K&
179 $ $449$4228 MUNSORIP L 3' U()(
-
7/25/2019 1. Lap. JKN Jan. 14
14/383
218 22 4'%82$84 A&U !AR!AK L '4 U()(
219 23 84'4028% +ERU SUPRAPTO L %2 U()(
220 24 84402944 SARIF IMAM SANTOSO L 3% U()(
221 2/14/2014 1 $4$%0$841 *ARSITO L $0 U()(
222 2 $4$3840'9 MURA+ P 43 K&223 2/15/2014 1 12%3'0'188 oa a5a ara("a P 1 K I A
224 2 $4$2818$2 SITI MUNA*ARO+ P 4% U()(
225 3 10192'9$$3 ASTRO L 84 U()(
226 4 $4$2829%$ MU+AMMA! KAUTSAR L 19 U()(
227 $ $4$%$899% AMA! MANSUR L $$ U()(
228 % $4%20'82' !AMAR L $8 U()(
229 ' $4$2204$9 SURIJAN L 4' U()(
230 8 $4$193%9% ALFINA FITROTUL MU*OT*ARO+ P 14 U()(
231 9 $4$%0$828 SISKA NO,ITASARI P % U()(
232 10 $4$48%$4$ SLAMET RIA!I L 8 U()(
233 11 $4%31%042 SUPIRA+ P 43 K&
234 12 84300221 !AFFA ANANTO L 10 U()(
235 13 84300208 !*I LISTARINI P 40 U()(
236 14 84300131 !IA+ ARISA UNIARSI+ P 3' U()(
237 1$ 84'1480$ NASRU!IN L $' U()(
238 1% 201002409 *AGIEM P %8 G"#"
239 1' 4'$488$$ MISIRA+ P '' U()(
-
7/25/2019 1. Lap. JKN Jan. 14
15/383
278 41 1019289$$4 PUR*ANTO L $3 U()(
279 42 101924%894 +ARATI P 39 U()(
280 43 $4$082142 MUSTAKIM L $3 U()(
281 44 $4$2'1849 RAPI AFAN!I L % U()(
282 4$ 108$%0%829 ILFA RAI+ANA SUKAR!I P 1 K I A
283 4% 4'%83$1' NURU!IN L %9 U()(
284 4' 9'%$1%1'% ARFA RAI+ANA A L % K I A
285 48 8440$03% !ELLA ARINTA SAPUTRI P 1' G"#"
286 2/18/2014 1 12%'$8%919 MU+AMA! A&!UL MUI! L 38 U()(
287 2 $44933'98 SU*ARNI P 3' U()(
288 3 1019181093 UMI +ANI P 13 U()(
289 4 $4$$93893 TENTREM P 48 U()(
290 $ $4$%$'$23 SRI MUJIATI P 3' K&
291 % 4'%82$84 A&U !AR!AK L '4 U()(
292 ' 4'%8$093 TULUS L %$ U()(
293 8 4'$490%8 ROSI!A+ P 8$ U()(
294 9 84344411 SANGA!A+ P $9 U()(
295 10 $4%348$21 IR+AM L 32 U()(
296 11 $44'%02$% LIS SETO*ATI P 3$ K&
297 12 $4$1911$4 SAMIEM P 38 K&
298 13 $4%1482'1 AN!RI !IANSARI P 3% K&
299 14 $44884131 ISRO*IA+ P $0 U()(
-
7/25/2019 1. Lap. JKN Jan. 14
16/383
338 1$ $4$491%8% TANTI US*ATI P 40 K&
339 1' 10192'9'99 SU+ARTI P 3' U()(
340 18 10192'9812 SINGGI+ KURNIA*AN L 13 U()(
341 19 $449822$3 SURIP SUPRIANTO L $1 U()(
342 20 $4$3292'1 SAMA*IA+ P $4 K I A
343 21 12'3390$14 SITI NURJANA+ P 34 U()(
344 22 $4441''2' NGANEM P '4 U()(
345 23 $4$220'42 SITI AENA+ P 42 K&
346 24 $4%12$949 TURMU!I L $' U()(
347 2$ $442'2%82 TRI P 10 U()(
348 2% $4$3010%% JAE!UN L 3% U()(
349 2' 8442'299 !JAENA& P $4 U()(
350 28 84%$4303 ISRURO+ P $0 G"#"
351 29 4'%8$093 TULUS L %$ U()(
352 30 84'''2$4 R *A+U *I!AAT L $$ U()(
353 31 4'%833'2 SUPRAPTI P %1 U()(
354 32 12'41%33'' PARANTI P $0 U()(
355 33 20%8228$% TUMINA+ P '9 U()(
356 34 84302212 SRI*ATI P 48 U()(
357 2/21/2014 1 $4$$83341 SURATI P $1 U()(
358 2 $44%8$00$ SUROTO L 4$ U()(
359 3 $448$8'0$ FE&RI A&!ULLA+ L 2 K I A
-
7/25/2019 1. Lap. JKN Jan. 14
17/383
398 $ $4488'191 AMA! JAINI L 38 U()(
399 % $4$%0$828 SISKA NO,ITASARI P % U()(
400 ' 1019243'09 ASNAMI L 3% U()(
401 8 20%03'$2' R. LARAS*ATI P %0 U()(
402 9 4'%8$12% TUMISA+ P $9 U()(
403 10 12%'$'19'9 RAK+A MAALI RO&I L 1 K I A
404 11 $449'32'$ SINA+ P %% U()(
405 12 $4$14499$ RUNTI P 3$ K&
406 13 $4488%%1% ROUPIA+ P $% U()(
407 14 $4$3292'1 SAMA*IA+ P $4 U()(
408 1$ $4481039' MARGIONO L 38 G"#"
409 1% 84'23%2$ TUTI ASI+ P 43 U()(
410 18 $4%%3$981 SUPRIATI P 2% K I A
411 19 $44239292 SITI U&AI!A+ P 40 U()(
412 20 $44240383 KUMI MUSA&INA+ P 4 K I A
413 21 $4%$3%092 RO&I TRI MAULANA L 9 G"#"
414 22 $4%$3423$ SARIP L 49 U()(
415 23 $4%334121 SENAP L %3 U()(
416 24 $4$308391 SOTIMA+ P %4 U()(
417 2$ $4422'118 NARMIATI P $2 U()(
418 2% $448902'3 MUNTASIRO+ P 30 U()(
419 2' $4%04013$ TARMIATI P 2% K&
-
7/25/2019 1. Lap. JKN Jan. 14
18/383
458 2 $4%143$'8 NURAMA+ P 4$ U()(
459 3 $4%204$32 NURK+ATI P 3% U()(
460 4 $4%310484 NASIM I&+AM L 14 U()(
461 $ $448'3$'' SULISTIATUN P 4% U()(
462 % 84'34$$9 *AKI!I L $0 U()(
463 ' 84418334 ANAS L %8 U()(
464 8 84'23'%1 PARIATI P 42 U()(
465 9 $4$%022'4 ISTIA+ P 33 U()(
466 10 $44%28902 SOKIRAN L '3 U()(
467 11 $44843989 PAINGA+ P 38 K&
468 12 $4$190$13 NGALIMAN L '' U()(
469 13 $4$293%8% PARJIEM P 3$ U()(
470 14 $448$8'0$ FE&RI A&!ULLA+ L 2 K I A
471 1$ $4%232$'' ISRO*IA+ P 34 K I A
472 1% $4$%$4$9' TURIA+ P 31 U()(
473 1' $4$33%392 TUSLIMA+ P 29 U()(
474 18 $4$398''3 SITI MARSIAN P 33 U()(
475 19 $4$329348 TUKIRAN L $8 U()(
476 2/27/2014 1 $4$3388'' &ASIRUN L 4% U()(
477 2 $4%1811%$ TASMUN L $% U()(
478 3 $4%20$83% !AIMA+ P 48 U()(
479 4 84409%3' SU&O*O L 38 U()(
-
7/25/2019 1. Lap. JKN Jan. 14
19/383
-
7/25/2019 1. Lap. JKN Jan. 14
20/383
26 11 544920412 .NI PUI ASTUTI P 44 Umu
27 12 546209458 IL-I ROA# L 12 Umu
28 13 546360322 SITI !UDRIKA" P 20 K I A
29 14 544908824 SULASTRI P 33 Umu
30 15 545552188 PAINA" P 49 K#31 16 545077146 YA"YA D$I PRAS.TIYANTO L 3 K I A
32 17 546341793 LAS!I P 41 K#
33 18 545068269 SUTAR!I P 45 K#
34 19 546186993 TUKIRAN L 53 Umu
35 20 1019263511 AS!INA" P 48 Umu
36 21 546290605 NUR K"OLISA" P 41 Umu
37 22 544218118 YOGA ALA!SYA" L 5 Umu
38 23 1019245476 TU-UD"A L 28 Gigi
39 24 545486365 A!AT SOLI"IN L 14 Umu
40 25 545196936 SILIANA -AD"ILA P 5 K I A
41 26 546327718 !U"A!AD NUR #AYYIN L 9 Umu
42 27 544256921 !UDLIKA" P 32 K I A
43 28 544895998 SAR!INI P 35 K#
44 29 544821928 NUR "IDAYA" P 33 K#
45 30 162165205 SUDIRO L 73 Umu
46 31 77033968 !O."ADI L 72 Umu
47 32 544746892 T.O SUNARKO L 7 Umu
-
7/25/2019 1. Lap. JKN Jan. 14
21/383
ALAMAT KET.
Lo"# Lo"#
G"r"6o7o G"r"6o7o
S)ora#a S)ora#a
S)ora#a S)ora#a
G"r"()7o G"r"()7o
*"o# *"o#
S)ora#a S)ora#a
Ja":a#5a Ja":a#5a
S)ora#a S)ora#a
Lo"# Lo"#
T)r)5 T)r)5
-
7/25/2019 1. Lap. JKN Jan. 14
22/383
-
7/25/2019 1. Lap. JKN Jan. 14
23/383
-
7/25/2019 1. Lap. JKN Jan. 14
24/383
-
7/25/2019 1. Lap. JKN Jan. 14
25/383
-
7/25/2019 1. Lap. JKN Jan. 14
26/383
-
7/25/2019 1. Lap. JKN Jan. 14
27/383
-
7/25/2019 1. Lap. JKN Jan. 14
28/383
-
7/25/2019 1. Lap. JKN Jan. 14
29/383
-
7/25/2019 1. Lap. JKN Jan. 14
30/383
ALAMAT KET.
-
7/25/2019 1. Lap. JKN Jan. 14
31/383
-
7/25/2019 1. Lap. JKN Jan. 14
32/383
-
7/25/2019 1. Lap. JKN Jan. 14
33/383
-
7/25/2019 1. Lap. JKN Jan. 14
34/383
-
7/25/2019 1. Lap. JKN Jan. 14
35/383
-
7/25/2019 1. Lap. JKN Jan. 14
36/383
-
7/25/2019 1. Lap. JKN Jan. 14
37/383
-
7/25/2019 1. Lap. JKN Jan. 14
38/383
-
7/25/2019 1. Lap. JKN Jan. 14
39/383
-
7/25/2019 1. Lap. JKN Jan. 14
40/383
$i(*(g
Tu'i(*
$i(*(g
Tu'i(*
Gii**
$i(*(g L*
$i(*(g
Tuu'
Gii**
$i(*(g
Rug
$i(*(g
!),,(Su+*,g,(
K,,(g Duu
$i(*(g
$i(*(g
L*(i(g
L*(i(g
$i(*(g$i(*(g
$i(*(g
-
7/25/2019 1. Lap. JKN Jan. 14
41/383
-
7/25/2019 1. Lap. JKN Jan. 14
42/383
-
7/25/2019 1. Lap. JKN Jan. 14
43/383
-
7/25/2019 1. Lap. JKN Jan. 14
44/383
-
7/25/2019 1. Lap. JKN Jan. 14
45/383
-
7/25/2019 1. Lap. JKN Jan. 14
46/383
-
7/25/2019 1. Lap. JKN Jan. 14
47/383
-
7/25/2019 1. Lap. JKN Jan. 14
48/383
-
7/25/2019 1. Lap. JKN Jan. 14
49/383
-
7/25/2019 1. Lap. JKN Jan. 14
50/383
-
7/25/2019 1. Lap. JKN Jan. 14
51/383
-
7/25/2019 1. Lap. JKN Jan. 14
52/383
-
7/25/2019 1. Lap. JKN Jan. 14
53/383
-
7/25/2019 1. Lap. JKN Jan. 14
54/383
-
7/25/2019 1. Lap. JKN Jan. 14
55/383
-
7/25/2019 1. Lap. JKN Jan. 14
56/383
-
7/25/2019 1. Lap. JKN Jan. 14
57/383
-
7/25/2019 1. Lap. JKN Jan. 14
58/383
-
7/25/2019 1. Lap. JKN Jan. 14
59/383
-
7/25/2019 1. Lap. JKN Jan. 14
60/383
-
7/25/2019 1. Lap. JKN Jan. 14
61/383
No. Nama UPT Puskesmas Alamat Kecamatan Klasifkasi
1 UPT PUSK.S!AS $INONG D.SA $INONG K.!IRI Pu':; R,,);
-
7/25/2019 1. Lap. JKN Jan. 14
62/383
-
7/25/2019 1. Lap. JKN Jan. 14
63/383
-
7/25/2019 1. Lap. JKN Jan. 14
64/383
-
7/25/2019 1. Lap. JKN Jan. 14
65/383
-
7/25/2019 1. Lap. JKN Jan. 14
66/383
-
7/25/2019 1. Lap. JKN Jan. 14
67/383
-
7/25/2019 1. Lap. JKN Jan. 14
68/383
-
7/25/2019 1. Lap. JKN Jan. 14
69/383
-
7/25/2019 1. Lap. JKN Jan. 14
70/383
-
7/25/2019 1. Lap. JKN Jan. 14
71/383
-
7/25/2019 1. Lap. JKN Jan. 14
72/383
-
7/25/2019 1. Lap. JKN Jan. 14
73/383
JU
Dr Umum dr.Gigi idan T.Gi!
; "(i R,'+i,,( g; Su'i Ai,(i 1; umi,+i Am;K
2; R+(* Su:(g'i&< Am;:
3; U',+u( K&,',(,&< Am; K
-
7/25/2019 1. Lap. JKN Jan. 14
74/383
-
7/25/2019 1. Lap. JKN Jan. 14
75/383
-
7/25/2019 1. Lap. JKN Jan. 14
76/383
-
7/25/2019 1. Lap. JKN Jan. 14
77/383
-
7/25/2019 1. Lap. JKN Jan. 14
78/383
-
7/25/2019 1. Lap. JKN Jan. 14
79/383
-
7/25/2019 1. Lap. JKN Jan. 14
80/383
-
7/25/2019 1. Lap. JKN Jan. 14
81/383
-
7/25/2019 1. Lap. JKN Jan. 14
82/383
-
7/25/2019 1. Lap. JKN Jan. 14
83/383
-
7/25/2019 1. Lap. JKN Jan. 14
84/383
SDM
-
7/25/2019 1. Lap. JKN Jan. 14
85/383
SDM
A"oteker anitarianPromkes Pera#at
La$orat %isiotera"&iUmum Gigi
-
7/25/2019 1. Lap. JKN Jan. 14
86/383
-
7/25/2019 1. Lap. JKN Jan. 14
87/383
-
7/25/2019 1. Lap. JKN Jan. 14
88/383
-
7/25/2019 1. Lap. JKN Jan. 14
89/383
-
7/25/2019 1. Lap. JKN Jan. 14
90/383
-
7/25/2019 1. Lap. JKN Jan. 14
91/383
-
7/25/2019 1. Lap. JKN Jan. 14
92/383
-
7/25/2019 1. Lap. JKN Jan. 14
93/383
-
7/25/2019 1. Lap. JKN Jan. 14
94/383
-
7/25/2019 1. Lap. JKN Jan. 14
95/383
-
7/25/2019 1. Lap. JKN Jan. 14
96/383
-
7/25/2019 1. Lap. JKN Jan. 14
97/383
-
7/25/2019 1. Lap. JKN Jan. 14
98/383
-
7/25/2019 1. Lap. JKN Jan. 14
99/383
-
7/25/2019 1. Lap. JKN Jan. 14
100/383
-
7/25/2019 1. Lap. JKN Jan. 14
101/383
-
7/25/2019 1. Lap. JKN Jan. 14
102/383
-
7/25/2019 1. Lap. JKN Jan. 14
103/383
-
7/25/2019 1. Lap. JKN Jan. 14
104/383
-
7/25/2019 1. Lap. JKN Jan. 14
105/383
-
7/25/2019 1. Lap. JKN Jan. 14
106/383
-
7/25/2019 1. Lap. JKN Jan. 14
107/383
-
7/25/2019 1. Lap. JKN Jan. 14
108/383
LA
RAWAT JAL
UPT
-
7/25/2019 1. Lap. JKN Jan. 14
109/383
UPT
BULAN
Kepada Y! :
Kepa"a BPJS
#$% Kepa"a &'a Kee!aa Ka*+ P,-./-e/
d' Tepa
NO TANGGAL Je"5 Kar) &"a7a No Pcare No. KARTU
1 1/2/2014 :( 4500 1 1019244328
2 :( 4500 2 $4$33%842
3 :( 4500 3 $4481'93$
4 :( 4500 $ $44812322
5 :( 4500 % $4$%012'3
6 :( 4500 ' 101924%4$$
7 :( 4500 8 $4$19%93%
8 :( 4500 9 $449$90''
9 :( 4500 10 $4$19%8$'
0 : 00 11 $4$%291'3
38 :( 4500 1' $44'$81$3
39 :( 4500 18 1019244903
40 A':' 0 19 4'%8$12%
-
7/25/2019 1. Lap. JKN Jan. 14
110/383
41 :( 4500 20 $4$0''''%
42 1/4/2014 A':' 0 1 84%$0$34
43 :( 4500 2 $4$3$$'29
44 :( 4500 3 $4$843'''
45 :( 4500 4 $44930918
46 A':' 0 % 201002409
47 :( 4500 ' $4%232$''
48 :( 4500 8 $442$392'
49 :( 4500 9 $448339%%
50 :( 4500 10 $44'99'22
51 :( 4500 11 $44%18012
52 A':' 0 12 84241'21
53 A':' 0 13 84%8%%'9
54 :( 4500 14 $4$$$'12'
55 :( 4500 1% $44814818
56 :( 4500 20 1019244903
57 A':' 0 22 4'%84%19
58 :( 4500 23 $4$'4899%
86 :( 4500 29 $44911939
87 :( 4500 30 $4$''%402
88 :( 4500 31 $4$%$1098
-
7/25/2019 1. Lap. JKN Jan. 14
111/383
89 :( 4500 32 $4$24%$%1
90 :( 4500 33 $44'4$%%$
91 :( 4500 34 $4%49328$
92 :( 4500 3$ $4%20$83%
93 :( 4500 3% $4$183%'3
94 :( 4500 3' $4$182918
95 :( 4500 38 $4$%022'4
96 :( 4500 39 $4$$9%222
97 :( 4500 40 $4$22410$
98 :( 4500 41 $4$0$2194
99 1/7/2014 :( 4500 1 $4$%3848'
100 :( 4500 2 $442'10$1
101 :( 4500 3 $4$'4908%
102 :( 4500 4 $4$'483$$
103 :( 4500 $ $448921'4
104 :( 4500 % $4$3292'1
105 :( 4500 ' $4$$19801
106 :( 4500 8 $449%8$$1
134 :( 4500 % $4$08%31$
135 :( 4500 ' $4421%983
136 :( 4500 8 $4$'$8$'1
-
7/25/2019 1. Lap. JKN Jan. 14
112/383
137 :( 4500 9 $4$%1%033
138 :( 4500 10 $4$10081%
139 :( 4500 11 10192%149%
140 :( 4500 12 $4$3''11%
141 :( 4500 13 $4$2%91%2
142 :( 4500 14 $4$823'8%
143 :( 4500 1$ $4%290%0$
144 :( 4500 1% $4%33002$
145 :( 4500 1' $4$3%1412
146 A':' 0 18 4'%833'2
147 A':' 0 19 84'3390'
148 A':' 0 20 4'$488$$
149 1/10/2014 :( 4500 1 $4$1%8913
150 :( 4500 2 $4%431128
151 :( 4500 3 $4$00%2%1
152 :( 4500 4 $4$193$84
153 :( 4500 $ 10192'903$
154 :( 4500 % $44910%13
182 A':' 0 14 84449092
183 A':' 0 1$ 4'%84%19
184 1/13/2014 :( 4500 1 1019242%29
-
7/25/2019 1. Lap. JKN Jan. 14
113/383
185 :( 4500 2 $4$'01241
186 :( 4500 3 $4$'0031'
187 :( 4500 4 $4$8$214'
188 :( 4500 $ $4$09$'08
189 :( 4500 % $4$228$2%
190 :( 4500 ' $4$201043
191 :( 4500 8 $4491324$
192 :( 4500 9 $44914$84
193 :( 4500 10 $4$3$2'2%
194 :( 4500 11 $4$3$1$89
195 :( 4500 12 $44930918
196 :( 4500 13 $4$19289'
197 :( 4500 14 $4$0234%2
198 :( 4500 1$ $4$4%4%31
199 :( 4500 1% $4%1$1994
200 :( 4500 1' $44403891
201 :( 4500 18 $44%'%319
202 :( 4500 19 $44'49232
230 :( 4500 10 $442'1411
231 :( 4500 11 $4$339%%$
232 :( 4500 12 $4$338%$3
233 : 4500 13 $44922098
-
7/25/2019 1. Lap. JKN Jan. 14
114/383
233 :( 4500 13 $44922098
234 :( 4500 14 $44933'98
235 :( 4500 1$ $4$284001
236 A':' 0 1% ''0339%8
237 A':' 0 1' 8444'483
238 A':' 0 18 84'23'$9
239 1/16/2014 :( 4500 1 $4$8882$9
240 :( 4500 2 10192%2$98
241 :( 4500 3 $4$3$1$89
242 :( 4500 4 $4494331%
243 :( 4500 $ $4481%102
244 :( 4500 % $4481'21$
245 A':' 0 ' 4'%82$84
246 A':' 0 8 4'$490%8
247 :( 4500 9 $4$1948''
248 :( 4500 10 $44''$%81
249 :( 4500 11 $4%$43033
250 :( 4500 12 $4$04133'
278 A':' 0 1' 8424$049
279 :( 4500 18 $44'40939
280 1/18/2014 :( 4500 1 $4422303$
281 : 4500 2 $4488300$
-
7/25/2019 1. Lap. JKN Jan. 14
115/383
281 :( 4500 2 $4488300$
282 :( 4500 3 10192'903$
283 :( 4500 4 $44%$3044
284 :( 4500 $ $4$%%$82$
285 :( 4500 % $4$24%$%1
286 :( 4500 ' $4$%%$0'2
287 :( 4500 8 $44%2%'9'
288 :( 4500 9 10192'88%%
289 :( 4500 10 $44%21893
290 :( 4500 11 $4$$1''9'
291 :( 4500 12 $4%189%'1
292 :( 4500 13 $4$084133
293 :( 4500 14 84243183
294 :( 4500 1$ 10192'88%%
295 1/20/2014 :( 4500 1 $4%1'$%42
296 :( 4500 2 $4%12'09'
297 :( 4500 3 $44930918
298 :( 4500 4 $4$3'9208
326 :( 4500 32 $44288$$$
327 :( 4500 33 $443'''34
328 :( 4500 34 $443'%889
329 :( 4500 3$ $4$2818$2
-
7/25/2019 1. Lap. JKN Jan. 14
116/383
329 :( 4500 3$ $4$2818$2
330 :( 4500 3% $448231''
331 A':' 0 3' 84'31%4%
332 A':' 0 38 2083$8043
333 A':' 0 39 84'31%$'
334 A':' 0 40 4'%83001
335 A':' 0 41 4'%84002
336 A':' 0 42 8424'301
337 A':' 0 43 84'31'%9
338 A':' 0 44 84380$4$
339 A':' 0 4$ 84'34$$9
340 1/21/2014 :( 4500 1 $44898924
341 :( 4500 2 $44841234
342 :( 4500 3 12%0932'93
343 :( 4500 4 $4$0%0801
344 :( 4500 % $44292403
345 :( 4500 ' $4420'083
346 :( 4500 8 $44$1%3'8
374 :( 4500 $ $44930'1%
375 :( 4500 % $4%229'19
376 :( 4500 ' $4$38331$
377 :( 4500 8 $449%8$$1
-
7/25/2019 1. Lap. JKN Jan. 14
117/383
377 :( 4500 8 $449%8$$1
378 :( 4500 9 $4$2818$2
379 :( 4500 10 $4$930493
380 :( 4500 11 $4$4%12$$
381 :( 4500 12 $4$00%2%1
382 :( 4500 13 101924$'81
383 :( 4500 14 $4%189%'1
384 :( 4500 1$ $44239'0'
385 A':' 0 1% 84'1480$
386 A':' 0 1' 84'23$'9
387 :( 4500 18 8434'223
388 :( 4500 19 $444439'4
389 1/24/2014 :( 4500 1 $4$1%8913
390 :( 4500 2 $4$1029$4
391 :( 4500 4 $4$284001
392 :( 4500 $ $44930'1%
393 :( 4500 % $4%229'19
394 :( 4500 ' $4$38331$
422 :( 4500 3 $448%%98$
423 :( 4500 4 $4$3%342$
424 :( 4500 $ $4$14%481
425 :( 4500 % 10192$024%
-
7/25/2019 1. Lap. JKN Jan. 14
118/383
425 :( 4500 % 10192$024%
426 :( 4500 ' $44%'$0'2
427 :( 4500 8 101918140'
428 :( 4500 9 $4%0$9%8'
429 :( 4500 10 101924%$$%
430 :( 4500 11 $4$841404
431 :( 4500 12 $44%3$1'8
432 :( 4500 13 $44%34133
433 :( 4500 14 $4%183483
434 :( 4500 1$ $4492%$21
435 :( 4500 1% 12%$$'0'8$
436 :( 4500 1' $4481901$
437 :( 4500 18 101924843$
438 A':' 0 19 84$'134$
439 :( 4500 20 $4%11''04
440 :( 4500 21 $4%2094$8
441 :( 4500 22 19912902%
442 A':' 0 23 84449092
470 A':' 0 14 8440$003
471 1/29/2014 :( 4500 1 $4$%0$841
472 :( 4500 2 $449'0%'%
473 :( 4500 3 $449'21'3
-
7/25/2019 1. Lap. JKN Jan. 14
119/383
473 :( 4500 3 $449'21'3
474 :( 4500 4 $449'2893
475 :( 4500 $ $44821%3%
476 :( 4500 % $44821$24
477 :( 4500 ' $4$00%2%1
478 A':' 0 8 4'%8$11$
479 :( 4500 9 $44889'33
480 :( 4500 10 $448881$'
481 A':' 0 11 84422%%$
482 A':' 0 12 8424$049
483 A':' 0 13 84$01'8%
484 :( 4500 14 $4$'888%%
485 :( 4500 1$ $44823%0$
486 A':' 0 1% 84%%2998
487 :( 4500 1' $4$284001
488 :( 4500 18 $4$3292'1
489 A':' 0 19 84$1'4'9
490 :( 4500 20 $4%32''9'
Ku(< KN = 438
Ku(; + = 0
Ku(; TNI/P*) = 0
-
7/25/2019 1. Lap. JKN Jan. 14
120/383
LA
19 :( 4500 $ $4$11'%4%
20 :( 4500 % $44'49232
21 :( 4500 ' $442'%14%
22 :( 4500 8 $4$333%81
-
7/25/2019 1. Lap. JKN Jan. 14
121/383
22 :( 4500
23 :( 4500 9 $4$12$20%
24 :( 4500 10 $4$3$219'25 ,':' 0 11 84'824%3
26 :( 4500 12 $448$8'0$
27 :( 4500 13 $4%291189
28 :( 4500 14 $4$$01114
29 :( 4500 1$ $4$41004$
30 :( 4500 1% 10192%2802
31 :( 4500 1' $4%308$9432 :( 4500 18 $4$14220$
33 :( 4500 19 $4$141193
34 :( 4500 20 $44219931
35 :( 4500 21 $44'8032%
36 :( 4500 22 $44'0$108
37 :( 4500 23 $44'04%82
38 :( 4500 24 $4$2%9004
39 :( 4500 2$ $443'%889
67 ,':' 0 19 84422%%$
68 ,':' 0 20 88348%4$
69 2/5/2014 :( 4500 1 $44892%81
70 :( 4500 2 $4$48%83'
-
7/25/2019 1. Lap. JKN Jan. 14
122/383
70 :( 4500
71 :( 4500 3 $4$1904$%
72 :( 4500 4 $4%20918873 :( 4500 $ $44%''219
74 :( 4500 % $4$2'2%48
75 :( 4500 ' $44%$1%%1
76 :( 4500 8 $4%232$''
77 :( 4500 9 $4$48%3%$
78 ,':' 0 10 4'$490%8
79 :( 4500 11 $4$44434%80 :( 4500 12 $44912841
81 ,':' 0 13 84'4029'
82 :( 4500 14 $44892%81
83 2/6/2014 :( 4500 1 $44%201$9
84 :( 4500 2 $44'40939
85 :( 4500 3 $4481'21$
86 :( 4500 4 $4481%102
87 :( 4500 $ $44822'1%
115 :( 4500 14 $4%31$2'%
116 :( 4500 1$ $4$2204$9
117 ,':' 0 1% 844000%4
118 ,':' 0 1' 84429898
-
7/25/2019 1. Lap. JKN Jan. 14
123/383
119 2/8/2014 :( 4500 1 $448%%98$
120 :( 4500 2 $4$21%$'8121 :( 4500 3 $4$219$48
122 :( 4500 4 $4$2204$9
123 :( 4500 $ $4$$%42$9
124 :( 4500 % $44812322
125 ,':' 0 ' 84'33''3
126 :( 4500 8 12%1%492$9
127 :( 4500 9 $44942'$4128 :( 4500 10 $44%92238
129 :( 4500 11 $448921'4
130 ,':' 0 12 2083$8043
131 ,':' 0 13 842%8089
132 ,':' 0 14 84302212
133 ,':' 0 1$ 84429898
134 2/10/2014 :( 4500 2 $4%1$1994135 :( 4500 3 $4449'243
163 :( 4500 9 $4%33444%
164 :( 4500 10 $44$341%$
165 :( 4500 11 $4$482203
166 :( 4500 12 $4%232$''
-
7/25/2019 1. Lap. JKN Jan. 14
124/383
167 :( 4500 13 101924$421
168 :( 4500 14 12%99'90%4169 :( 4500 1% 4'$490%8
170 A':' 0 1' 84402''$
171 ,':' 0 18 20219189$
172 :( 4500 19 $44%2110$
173 :( 4500 20 $4%$04'%1
174 :( 4500 22 $442''981
175 2/12/2014 :( 4500 1 12%99'90%4176 :( 4500 2 10192$293$
177 :( 4500 3 $444439'4
178 :( 4500 4 $44841234
179 :( 4500 $ $449$4228
180 :( 4500 % $4%%31942
181 :( 4500 ' $448220%4
182 :( 4500 8 $44'1012%183 :( 4500 9 $4%209008
211 :( 4500 14 $4$00%2%1
212 :( 4500 1$ $4%183483
213 :( 4500 1' $4$$01114
214 :( 4500 18 $4$1$'448
-
7/25/2019 1. Lap. JKN Jan. 14
125/383
215 :( 4500 19 $4491$'98
216 :( 4500 20 $448%$139217 A':' 0 21 1'21$%$44
218 A':' 0 22 4'%82$84
219 A':' 0 23 84'4028%
220 A':' 0 24 84402944
221 2/14/2014 :( 4500 1 $4$%0$841
222 :( 4500 2 $4$3840'9
223 2/15/2014 :( 4500 1 12%3'0'188224 :( 4500 2 $4$2818$2
225 :( 4500 3 10192'9$$3
226 :( 4500 4 $4$2829%$
227 :( 4500 $ $4$%$899%
228 :( 4500 % $4%20'82'
229 :( 4500 ' $4$2204$9
230 :( 4500 8 $4$193%9%231 :( 4500 9 $4$%0$828
259 :( 4500 21 $4$3$22%$
260 :( 4500 22 $4$00%2%1
261 :( 4500 23 $44802%3$
262 :( 4500 24 $448018$8
-
7/25/2019 1. Lap. JKN Jan. 14
126/383
263 :( 4500 2$ $4$''34%$
264 :( 4500 2% $44219931265 :( 4500 2' 101924%38'
266 :( 4500 28 $4%3%%93%
267 :( 4500 30 $4%32$$%9
268 :( 4500 31 $442''981
269 :( 4500 32 1019248389
270 :( 4500 33 $44808248
271 :( 4500 34 $4$'1$%'4272 :( 4500 3$ $4%232$''
273 :( 4500 3% $4%183483
274 :( 4500 3' $4$''014%
275 :( 4500 38 101924%38'
276 :( 4500 39 $4%32940%
277 :( 4500 40 $44299'2%
278 :( 4500 41 1019289$$4279 :( 4500 42 101924%894
307 2/19/2014 :( 4500 1 $4$%$899%
308 :( 4500 2 $44892499
309 :( 4500 3 $4%313%89
310 :( 4500 4 $4$2%91%2
-
7/25/2019 1. Lap. JKN Jan. 14
127/383
311 :( 4500 $ 101924'%3%
312 :( 4500 % $4$2%902%313 :( 4500 ' %$2$'3181
314 :( 4500 8 %$2$'233%
315 :( 4500 9 $4$14220$
316 :( 4500 10 $4$213204
317 :( 4500 11 $4481039'
318 :( 4500 12 101924%332
319 :( 4500 13 $4$229%$2320 :( 4500 14 $4$3$2$%8
321 ,':' 0 1% 19912902%
322 ,':' 0 1' 844'$012
323 :( 4500 18 $4$%30229
324 2/20/2014 :( 4500 1 $4$490191
325 :( 4500 2 $44'881%'
326 :( 4500 3 $448834%%327 :( 4500 4 $449324$9
355 ,':' 0 33 20%8228$%
356 ,':' 0 34 84302212
357 2/21/2014 :( 4500 1 $4$$83341
358 :( 4500 2 $44%8$00$
-
7/25/2019 1. Lap. JKN Jan. 14
128/383
359 :( 4500 3 $448$8'0$
360 ,':' 0 4 84'33841361 :( 4500 $ $4%334121
362 ,':' 0 % 842%8089
363 :( 4500 ' $4$339981
364 :( 4500 8 $4$339%%$
365 ,':' 0 9 20%03'$2'
366 :( 4500 10 $4%$392%4
367 :( 4500 11 $4%$43033368 :( 4500 12 $4$243499
369 :( 4500 13 $4$'0$%84
370 :( 4500 14 $4$33%392
371 :( 4500 1$ $4$24$042
372 :( 4500 1% $4$380%83
373 :( 4500 1' $4$2%9184
374 :( 4500 18 $4$4$$3'2375 :( 4500 19 $4$2%13'%
403 :( 4500 10 12%'$'19'9
404 :( 4500 11 $449'32'$
405 :( 4500 12 $4$14499$
406 :( 4500 13 $4488%%1%
-
7/25/2019 1. Lap. JKN Jan. 14
129/383
407 :( 4500 14 $4$3292'1
408 :( 4500 1$ $4481039'409 :( 4500 1% 84'23%2$
410 :( 4500 18 $4%%3$981
411 :( 4500 19 $44239292
412 :( 4500 20 $44240383
413 :( 4500 21 $4%$3%092
414 :( 4500 22 $4%$3423$
415 :( 4500 23 $4%334121416 :( 4500 24 $4$308391
417 :( 4500 2$ $4422'118
418 :( 4500 2% $448902'3
419 :( 4500 2' $4%04013$
420 :( 4500 28 $4$289'2%
421 :( 4500 29 $4$022$9$
422 :( 4500 30 $4$022%1'423 :( 4500 31 $44420901
451 :( 4500 10 $4$198'4'
452 :( 4500 11 $4$2818$2
453 :( 4500 12 $4$243499
454 ,':' 0 13 844041%9
: 14 84300131
-
7/25/2019 1. Lap. JKN Jan. 14
130/383
455 ,':' 0 14 84300131
456 :( 4500 1$ $4$$%$'89457 2/26/2014 :( 4500 1 10192'9834
458 :( 4500 2 $4%143$'8
459 :( 4500 3 $4%204$32
460 :( 4500 4 $4%310484
461 :( 4500 $ $448'3$''
462 ,':' 0 % 84'34$$9
463 ,':' 0 ' 84418334464 ,':' 0 8 84'23'%1
465 :( 4500 9 $4$%022'4
466 :( 4500 10 $44%28902
467 :( 4500 11 $44843989
468 :( 4500 12 $4$190$13
469 :( 4500 13 $4$293%8%
470 :( 4500 14 $448$8'0$471 :( 4500 1$ $4%232$''
499 ,':' 0 % 8429'%$$
500 ,':' 0 ' 84409%3'
501 ,':' 0 8 84%$0422
502 :( 4500 9 1019248%83
503 : 4500 10 $4$$12%91
-
7/25/2019 1. Lap. JKN Jan. 14
131/383
503 :( 4500 10 $4$$12%91
504 :( 4500 11 $44892141505 :( 4500 12 $4$8124$'
um),& '+),***
d' Tepa
NO TANGGAL Ko;e &"a7a No Pcare No. KARTU
1 3/1/2014 A : 1 84300219
-
7/25/2019 1. Lap. JKN Jan. 14
132/383
1 3/1/2014 A':' 1 84300219
2 :( 4500 2 5448220643 :( 4500 3 545269162
4 :( 4500 4 546254379
5 :( 4500 5 544420901
6 :( 4500 6 546316042
7 :( 4500 7 1019244486
8 :( 4500 8 544249012
9 :( 4500 9 54633444610 :( 4500 10 544937578
11 :( 4500 11 546183483
12 :( 4500 12 546334446
13 :( 4500 13 1272711598
14 :( 4500 14 545164547
15 :( 4500 15 545517347
16 3/3/2014 :( 4500 1 54497483817 :( 4500 2 544495768
45 A':' 0 30 162165205
46 A':' 0 31 77033968
47 :( 4500 32 544746892
48 :( 4500 33 546132699
49 :( 4500 34 544942754
-
7/25/2019 1. Lap. JKN Jan. 14
133/383
49 :( 4500 34 544942754
50 :( 4500 35 54605980151 :( 4500 36 546059687
52 :( 4500 37 1019278416
53 :( 4500 38 1019278449
54 :( 4500 39 544707088
55 A':' 0 40 976534953
56 A':' 0 41 84404169
57 A':' 0 42 8465057858 :( 4500 43 544597108
59 :( 4500 44 545464348
60 :( 4500 45 544912841
61 3/4/2014 :( 4500 1 545352265
62 :( 4500 2 1019245421
63 :( 4500 3 546349432
64 :( 4500 4 54517894765 :( 4500 5 545388412
93 3/6/2014 :( 4500 1 545369635
94 :( 4500 2 47549068
95 :( 4500 3 545112213
96 :( 4500 4 545503285
97 :( 4500 5 545327144
-
7/25/2019 1. Lap. JKN Jan. 14
134/383
97 :( 4500 5 545327144
98 :( 4500 6 54467631999 A':' 0 7 84734313
100 :( 4500 8 545169701
101 :( 4500 9 544832684
102 A':' 0 10 1080768892
103 :( 4500 11 546334121
104 :( 4500 12 545104348
105 A':' 0 13 84733931106 A':' 0 14 84723772
107 :( 4500 15 1019243788
108 :( 4500 16 544302639
109 :( 4500 17 546229811
110 :( 4500 18 546229719
111 A':' 0 19 47682584
112 :( 4500 20 545453065113 :( 4500 21 546220495
141 :( 4500 4 $449980%9
142 :( 4500 $ $448192%3
143 :( 4500 % $44439441
144 :( 4500 ' $4%183483
145 :( 4500 8 $4$1$'292
-
7/25/2019 1. Lap. JKN Jan. 14
135/383
145 :( 4500 8 $4$1$'292
146 :( 4500 9 $4%%$8121147 :( 4500 10 $4$0'3232
148 :( 4500 11 $4$0'3%3%
149 :( 4500 12 $4$0'309%
150 :( 4500 13 10192440%9
151 :( 4500 14 $4$'1$%'4
152 A':' 0 1$ 198393243
153 A':' 0 1% 148'90248154 3/10/2014 A':' 0 1 84411281
155 :( 4500 2 $4$0140$%
156 :( 4500 3 $44834012
157 :( 4500 4 $4$40'413
158 :( 4500 $ $4%%3$981
159 A':' 0 % 84'31%92
160 :( 4500 ' $44%20431161 :( 4500 8 $44%'$83%
189 3/12/2014 :( 4500 1 544253927
190 A':' 0 2 47685126
191 A':' 0 3 47549068
192 :( 4500 4 544246874
193 A':' 0 5 84422654
-
7/25/2019 1. Lap. JKN Jan. 14
136/383
193 A':' 0 5 84422654
194 :( 4500 6 544743551195 :( 4500 7 533033155
196 :( 4500 8 533032817
197 :( 4500 9 546539883
198 :( 4500 10 545006261
199 :( 4500 11 1019246556
200 :( 4500 12 545623839
201 :( 4500 13 546205836202 :( 4500 14 544805267
203 :( 4500 15 544717383
204 :( 4500 16 544718586
205 A':' 0 17 84296867
206 :( 4500 18 544922098
207 :( 4500 19 544277957
208 3/13/2014 :( 4500 12 546254379209 :( 4500 13 545979025
237 :( 4500 30 546574869
238 3/14/2014 :( 4500 1 1282530262
239 A':' 0 2 84662998
240 :( 4500 3 544994379
241 :( 4500 4 545748996
-
7/25/2019 1. Lap. JKN Jan. 14
137/383
241 :( 4500 4 545748996
242 :( 4500 5 544930918243 :( 4500 6 544942754
244 A':' 0 7 84740297
245 A':' 0 8 84740286
246 :( 4500 9 1282649073
247 :( 4500 10 544596399
248 :( 4500 11 1019244216
249 :( 4500 12 544152431250 A':' 0 13 84422665
251 :( 4500 14 545034677
252 :( 4500 15 545034892
253 3/15/2014 :( 4500 9 544652638
254 :( 4500 10 545177799
255 :( 4500 11 544255874
256 A':' 0 12 84300208257 A':' 0 13 84300219
285 :( 4500 28 544676319
286 :( 4500 32 545178947
287 :( 4500 34 546183483
288 :( 4500 35 545696908
289 :( 4500 36 546209965
-
7/25/2019 1. Lap. JKN Jan. 14
138/383
289 :( 4500 36 546209965
290 :( 4500 37 545108714291 :( 4500 38 544772845
292 :( 4500 39 545281852
293 :( 4500 40 545082142
294 :( 4500 41 544891037
295 A':' 0 1 84659894
296 A':' 0 2 84737395
297 :( 4500 3 544610665298 :( 4500 4 545868101
299 :( 4500 5 545336842
300 :( 4500 6 1282649073
301 :( 4500 7 544679796
302 :( 4500 8 1019248378
303 :( 4500 12 544403891
304 :( 4500 14 546315276305 :( 4500 17 1019279553
333 A':' 0 23 84402944
334 :( 4500 24 545347629
335 :( 4500 1 1268002978
336 :( 4500 4 545580707
337 :( 4500 10 545193584
-
7/25/2019 1. Lap. JKN Jan. 14
139/383
337 :( 4500 10 545193584
338 3/19/2014 :( 4500 1 533032817339 A':' 0 2 84344411
340 :( 4500 3 544968551
341 :( 4500 4 546282112
342 :( 4500 5 544802141
343 :( 4500 6 545207567
344 :( 4500 7 544824584
345 :( 4500 8 545651537346 :( 4500 9 544866603
347 :( 4500 10 544930918
348 :( 4500 11 544611284
349 A':' 0 12 84245049
350 :( 4500 13 545318649
351 :( 4500 14 544532826
352 A':' 0 15 84735358353 :( 4500 16 545192019
381 :( 4500 27 544891037
382 :( 4500 28 1285102956
383 3/21/2014 :( 4500 2 544886842
384 :( 4500 4 546541683
385 A':' 0 6 84714805
-
7/25/2019 1. Lap. JKN Jan. 14
140/383
386 :( 4500 8 546349432387 :( 4500 9 545337538
388 :( 4500 10 545203203
389 :( 4500 11 544825462
390 :( 4500 13 1019277786
391 :( 4500 14 1019245421
392 :( 4500 15 545282965
393 A':' 0 16 84731692394 :( 4500 1 545605841
395 :( 4500 3 545187914
396 A':' 0 5 84733852
397 :( 4500 7 1019277775
398 :( 4500 12 545095348
399 3/22/2014 :( 4500 1 546137943
400 :( 4500 2 1019244622401 :( 4500 3 544973174
429 :( 4500 25 545246561
430 :( 4500 26 546094787
431 :( 4500 28 1019248389
432 :( 4500 29 1019243788
433 :( 4500 30 545257989
-
7/25/2019 1. Lap. JKN Jan. 14
141/383
434 :( 4500 31 630830441435 :( 4500 32 630829697
436 :( 4500 33 544855138
437 :( 4500 34 533032817
438 :( 4500 35 544298826
439 :( 4500 36 1019244058
440 :( 4500 37 544919771
441 :( 4500 38 544735798442 :( 4500 39 544937815
443 :( 4500 40 544871799
444 :( 4500 41 544891037
445 :( 4500 42 545802118
446 :( 4500 43 544818745
447 :( 4500 1 1282530262
448 :( 4500 2 545785255449 :( 4500 3 545807259
477 A':' 10 201002409
478 :( 11 545167708
479 :( 12 544619349
480 :( 14 545245705
481 :( 15 545245514
-
7/25/2019 1. Lap. JKN Jan. 14
142/383
482 :( 16 545284001483 A':' 17 174677703
484 A':' 18 174565811
485 :( 19 545246414
486 :( 20 545245907
487 :( 21 545284001
488 :( 22 546183483
489 A':' 23 976516176490 :( 24 544842584
491 :( 25 545504657
492 A':' 26 84409637
493 :( 27 545246469
494 :( 28 1019245667
495 A':' 29 174677703
496 :( 31 546346787497 A':' 32 84438573
525 :( 9 544895998
526 :( 11 545776942
527 A':' 12 84422665
528 :( 13 545829513
529 A':' 14 84517479
-
7/25/2019 1. Lap. JKN Jan. 14
143/383
530 A':' 15 47685093531 :( 16 545300469
532 :( 17 545300796
533 :( 21 1019248389
534 :( 24 545863623
535 :( 25 545863331
536 A':' 26 84733907
537 A':' 27 84402966538 A':' 28 84731692
539 :( 29 545021627
540 :( 30 545021223
541 :( 31 544746892
542 :( 32 544745665
543 :( 33 544270689
544 :( 34 544890633545 :( 35 544891037
573 :( 7 544622725
574 :( 8 545352568
575 :( 9 544810476
576 :( 10 544810476
577 A':' 11 84733907
-
7/25/2019 1. Lap. JKN Jan. 14
144/383
578 :( 5 546543033
ORAN PELAYANAN
N TINGKAT PERTAMA (RJTP)
USKESMAS WINONG
: JANUARI TAHUN 2014
-
7/25/2019 1. Lap. JKN Jan. 14
145/383
NAMA PESERTA SEX USIA TUJUAN ALAMAT
M FARIS RIA!I L 13 G"#" Lo"#
KESUT SU&AN!I L 4' U()( G"r"6o7oSATI&I L 3$ U()( S)ora#a
FANA P 31 K I A S)ora#a
SA*IANTO L '2 U()( G"r"()7o
KUSTIA+ P '% U()( *"o#
SIL,IANA FA!+ILA P $ K I A S)ora#a
RU&IATI P 40 K& Ja":a#5a
*ARANTI P 3$ U()( S)ora#aSITI +AMATUM NISA P 8 G" " L "
ULISTIO REN!I !*I K L 14 K I A
SU!IRMAN L %2 G"#"
TUMISA+ P $9 U()(
FAJAR NURSASONGKO L 1' U()(
SUMIA+ P 4% U()(
+I!AATUL MUNASIRO+ P 1$ U
-
7/25/2019 1. Lap. JKN Jan. 14
146/383
+I!AATUL MUNASIRO+ P 1$ U()(
SOLIK+IN L %9 U()(
AMA! -AI!IN L $8 U()(
*AGIEM P %8 U()(
ISRO*IA+ P 34 K I A
LUFTI ARKAN MUSTAKIM L 2 K I A
MUTO+ARO+ P 24 K&
MUJI&A+ P 38 U()(
+UMAIRA LAILI FAU-IA+ P 11 U()(
NURUL A-IMA+ P 41 U()(
UMI SALAMA+ P $2 U()(
UNONG P '4 U()(
TAAT NUR ITA L 2 K I A
SU!IRMAN L %2 G"#"
SUMARSI+ P %$ U()(
TRIANA NUR A+ANI P $ K I A
TUKIA+ P 41 U()(
*ASALAM L 4' U()(
+OIMA+ P 44 U()(
MARSILA+ P '3 U()(
SITI MU+ANA+ P 4' U()(
!*I MULANTO L 12 U
-
7/25/2019 1. Lap. JKN Jan. 14
147/383
!*I MULANTO L 12 U()(
!AIMA+ P 48 U()(
IKROM SAPTA PRATAMA L $ K I A
+ERNI FITRIANI P 2% K&
ISTIA+ P 33 U()(
PONI!A+ P 3% K&
SAMSI L '% U()(
ARGA AK+SAN ALFIAN L 3 K I A
UMI K+AATI P 3$ U()(
AJI *A!I/!O L 19 U()(
ALFIN KURNIA*AN L 3 K I A
SALNO L 4% U()(
A+MA! FAU-AN L 1' K I A
SAMA*IA+ P $4 U()(
A!ISTIANA RESTU SAGITA P 1$ U()(
SITI +OTIMA+ P 31 U()(
*ARSINEM P 41 K I A
NAPINGA+ P $4 U()(
MASFUATUN P 21 U()(
*ALIA+ P 38 K I A
SUSIONO L 2$ U()(
*AGIEM P 41 K I A
-
7/25/2019 1. Lap. JKN Jan. 14
148/383
*AGIEM P 41 K I A
SUNARSI+ P 4% K&
JUMINI P 4' K&
SITI AMINATUN P 3$ K&
NUR K+OLISA+ P 41 U()(
RO+IMA+ P $% U()(
ISNAINI P 42 K&
SUPRAPTI P %1 U()(
SARONO L %0 U()(
MISIRA+ P '' U()(
ATUR JUMIASTUTI P 1' U()(
UMAR MAKRUF L %3 U()(
SUONO L $$ U()(
SUKARMI P 3% G"#"
!*I PRASETO L 9 U()(
M +AIKAL SAPRU!IN L % K I A
LASONO L %' U()(
SUMARSI+ P %$ U()(
ARIANTI P 30 U()(
RENA MAULANA RAMA!AN L 4 K I A
SAROFA+ P 38 K&
*ALROFINGA+ P 42 U()(
-
7/25/2019 1. Lap. JKN Jan. 14
149/383
*ALROFINGA+ P 42 U()(
&AN!IA+ P %% U()(
ENI FE&RINA P 9 U()(
A+MA! RENO SAPUTRA L $ K I A
RE*OT P '' U()(
NUR FAU-IA+ P 8 U()(
SUMARTININGSI+ P 19 U()(
SURANI P 3% U()(
AMA! -AI!IN L $8 U()(
MANISA+ P $8 U()(
A+MA! &A+RUN L %4 U()(
!*ISINTA K+OIRONI P $ K I A
PARATUN P %' U()(
ARIF !*I A+O L 18 U()(
SUMINTRI P $1 U()(
ATINI P '% U()(
SIGIT NGA!URO+MA+ L 14 U()(
ALFITO RAMA!+AN L $ K I A
SUI KARATI P 22 G"#"
SATIA+ P 39 U()(
SU*ARNI P 3' K&
+ENI SURANI P 3' U()(
-
7/25/2019 1. Lap. JKN Jan. 14
150/383
+ENI SURANI P 3' U()(
MOE+A!I L '2 U()(
KUN!ARTO L %$ U()(
-AKARIA L $0 G"#"
SUPONO L %' U()(
UMI NASIK+A+ P 3$ K&
SURANI P 3% U()(
*I*IK MU!IASI+ P 39 K&
SUPIA+ P 39 U()(
SAKA SAURI &A!ARU!IN L 4 K I A
A&U !AR!AK L '4 U()(
ROSI!A+ P 8$ U()(
MISRIA+ P 4% U()(
SITI KOTIA+ P '0 U()(
MU+ ARIP AN*AR L $ U()(
TRANSITI !AMAANTI P 3' K&
ALFIA+ P 44 U()(
NUR ATIMA+ P 3$ K I A
SUPRIATI P $$ U()(
NURPAINGA+ P 4' U()(
!*I PRASETO L 9 U()(
MU+ K+A&A!LAL MUKTAFA L 1% U()(
-
7/25/2019 1. Lap. JKN Jan. 14
151/383
MU+ K+A&A!LAL MUKTAFA L 1% U()(
ROSITA FA!+ILAN FATIN P 4 K I A
MARSILA+ P '3 U()(
SITI SARIA+ P 3' K&
SAMI P $9 U()(
TUKIRA+ P '8 U()(
ASEP A*ALU!IN L 9 U()(
ANGGA &U!I PRATAMA L ' U()(
SUTRISNO L %$ U()(
MO+ USIN L 1' U()(
M RUS!AN KARIM L % U()(
TUKIRA+ P '8 LA&
K+ATMA+ P 4% K&
SUGIATI P 49 U()(
AMA! -AI!IN L $8 U()(
PA*IT L 38 U()(
*A+I!A+ P 33 G"#"
MUARIF L 14 U()(
MISATI P 39 U()(
SITI MUNA*ARO+ P 4% U()(
MU+A!I L 48 U()(
RUFINGA+ P $% U()(
-
7/25/2019 1. Lap. JKN Jan. 14
152/383
RUFINGA+ P $% U()(
RATNA NING !A+ S P $$ U()(
NGASIRUN L %0 U()(
+J MUN!ARATI SAN!I P %9 U()(
SAN!I L '4 U()(
SUMRAPTO L $% U()(
JUMIATI P 4' U()(
&ASTIA+ P $9 U()(
*AKI!I L $0 U()(
NGATIA+ P 3% K&
MUNFARI!A P 32 U()(
SIA+ P 4' U()(
NGA!ENAN L %9 U()(
SRI AM&AR*ATI P 3' K&
PATIMAN P %2 U()(
FITRIA+ P 24 U()(
-AK+A AL FIR!AUS L 4 K I A
RO!IA+ IN!A AU P 4% U()(
SULIA+ P $$ U()(
SITI +OTIMA+ P 31 K&
SITI MUNA*ARO+ P 4% U()(
!IKI L % U()(
-
7/25/2019 1. Lap. JKN Jan. 14
153/383
% U )
KOLIL L $$ U()(
SUONO L $$ U()(
!*I APRIANTI P 20 G"#"
SUTRISNO L %$ U()(
RO+MA!ATUL MAULA P % U()(
NASRU!IN L $' U()(
EMI ULIANI P $4 U()(
RANTINA+ P %0 U()(
RO+MATUN NA-ILA+ P 24 K I A
ATUR JUMIASTUTI P 1' U()(
SUNGKONO L '4 U()(
+ENI SURANI P 3' U()(
-AK+A AL FIR!AUS L 4 K I A
RO!IA+ IN!A AU P 4% U()(
SULIA+ P $$ U()(
MU+MAMA! UP SAPUTRA L 11 U()(
FAJAR AR!IANTO L 1$ U()(
SUKAN!AR L $0 U()(
SULASI+ P 34 G"#"
NGAMILA+ P 33 K&
SU+ARTI P $% U()(
-
7/25/2019 1. Lap. JKN Jan. 14
154/383
!AR*IA+ P 33 K&
JARO!A+ P 48 U()(
SORANA+ P %0 U()(
,ILA SETIA*ATI P 11 U()(
SUTARMI P 39 U()(
&AINGA+ P %8 U()(
SITI ROMLAN P 43 U()(
KUMPUL REJO L $% U()(
MU+AMA! SAIFURRO+MAN L 10 U()(
SITINA+ P 49 U()(
LETO L %% U()(
A&U KOSIM L $4 U()(
ILFI ROJA& L 12 U()(
SETIA*AN ARRIA!+ L $ K I A
LASONO L %' U()(
&AM&ANG TRI AN!ONO L $0 U()(
*ARSITO L $0 U()(
SITI RU&AEA+ P 3' U()(
MU+AMMA! SAFI N L 9 U()(
ANISA USOLI+ATUL N P % U()(
MU+AMMA! AL A&ROR L 4 K I A
-
7/25/2019 1. Lap. JKN Jan. 14
155/383
SRI RENI RAMA!ANI P 29 U()(
SUONO L $$ U()(
TUMIRIN L 83 U()(
A+MA! MIFTAUL RO+MAN L 3 K I A
AMI KUSKIA *ANTARI P 43 K&
ROJIA+ P %9 U()(
ALFIA+ P 44 U()(
SITI SAMSIA+ P '4 U()(
-UKAIK+A+ P 34 U()(
SITI UMARIA+ P 43 K&
SAFRU!IN L $9 U()(
+ENI SURANI P 3' U()(
SAMA*IA+ P $4 U()(
SU!ARNO L '0 U()(
MU+AMA! ANSOR FUA! L 8 U()(
Kepala UPT Puskesmas Winong Kemiri
drg. Susi ri!ani
-
7/25/2019 1. Lap. JKN Jan. 14
156/383
NIP. 19631010 199202 2 001
ORAN PELAYANAN
SARIMIN L $2 U()(
ATINI P '% U()(
K+ASINATUL NGI!ATI P 24 K&
K+OTIMA+ P $0 U()(
SULIMA+ P $2 U()(
SUPAMI P 49 U()(
-
7/25/2019 1. Lap. JKN Jan. 14
157/383
*ARSONO L $8 U()(
FE&RI A&!ULLA+ L 2 K I A
,IKA NO,IANTI P 10 U()(
KUMPUL L '2 U()(
SRIATUN P $0 U()(
MISIEM L 4' U()(
FAU-ATUL ULFA+ P 2% K&
RAFI!A+ !*I ULIANA P 4 K I A
RUSI!A+ P 3% U()(
PARTINA+ P 4% U()(
MU+AMMA! MAS+URI L 11 U()(
ASLAMIATI P 43 U()(
A&!URRO+MAN L 48 U()(
RIANTO L 40 U()(
MISATI P 39 U()(
ROJIA+ P %9 U()(
KA&UL SU*ARTO L $8 U()(
KASMI P $9 U()(
SUGENG RIA!I L 8 U()(
-AI!ATUL +I!AA+ P 13 U()(
M FIKRI L 13 U()(
-
7/25/2019 1. Lap. JKN Jan. 14
158/383
ANA MALIK+ATU--A+RO+ P 8 U()(
A,I SETIANINGRUM P 1% G"#"
*AR!IKUN L $0 U()(
ISRO*IA+ P 34 K I A
AMAT SOLI+IN L 14 U()(
ROSI!A+ P 8$ U()(
,A+RI A&!UL ATI/ L 4 K I A
M SO!A MAULANA L ' U()(
K. &U!I SU+ARNI P $% U()(
KASMI P $9 G"#"
LESTARI P 42 U()(
NUR ATIMA+ P 3$ K I A
SAKA SAURI &A!ARU!IN L 4 K I A
SUPIA+ P 39 U()(
RIAN JULIANTO L % U()(
MARATUR ROFIA+ P 9 U()(
SURIJAN L 4' U()(
MARSINA+ P $3 U()(
SUMARSI+ P %4 U()(
MU+MAMA! UP SAPUTRA L 11 U()(
TOFEK L 44 U()(
-
7/25/2019 1. Lap. JKN Jan. 14
159/383
+ERMAN SAFRU!IN L 12 U()(
SURIJAN L 4' U()(
SLAMET L %0 U()(
FANA P 31 U()(
SULAMI P $1 U()(
MAR*IA+ P $0 U()(
SATINA+ P $% U()(
JAENA+ P $4 U()(
A+MA! FAU-AN L 1' U()(
RATNA NING !A+ S P $$ U()(
+ARTATI P $$ U()(
SRI*ATI P 48 U()(
SUMARSI+ P %4 U()(
PARATUN P %' U()(
NUR FAI-IN L 4 K I A
PAIJA+ P $8 U()(
SRIPA+ SEMI P $8 U()(
NUR A-I-A+ P 14 U()(
ISRO*IA+ P 34 K&
MUSTO/IA+ P $8 U()(
+OIRI L 49 U()(
-
7/25/2019 1. Lap. JKN Jan. 14
160/383
ROSI!A+ P 8$ U()(
SUSI ARIANI P $1 U()(
!ANI PRASETO L 18 U()(
SAEPURNA L 3' U()(
*ASITA+ P $1 K&
NI!AUL K+USNIA P 1% G"#"
+OIRI L 49 U()(
A+AA !*I *IJAANTI P $ K I A
RO+MATUN NA-ILA+ P 24 K I A
MUNFARI!A P 32 K&
MUNSORIP L 3' U()(
RO+AA+ P 38 K&
RI-KI SAPUTRO L ' U()(
MA+SUN L 3$ U()(
MIFTA+UL +U!A L 21 U()(
SUONO L $$ U()(
&AINGA+ P %8 U()(
KUMPUL L '2 U()(
AMAT SOLI+IN L 39 U()(
MUNTASIRO+ P $9 U()(
A!ITA FAJRI !*I UTOMO L 4 K I A
-
7/25/2019 1. Lap. JKN Jan. 14
161/383
FE&RIANA PUTRI NUR ARIANI P 8 U()(
A&U !AR!AK L '4 U()(
+ERU SUPRAPTO L %2 U()(
SARIF IMAM SANTOSO L 3% U()(
*ARSITO L $0 U()(
MURA+ P 43 K&
oa a5a ara("a P 1 K I A
SITI MUNA*ARO+ P 4% U()(
ASTRO L 84 U()(
MU+AMMA! KAUTSAR L 19 U()(
AMA! MANSUR L $$ U()(
!AMAR L $8 U()(
SURIJAN L 4' U()(
ALFINA FITROTUL MU*OT*ARO+ P 14 U()(
SISKA NO,ITASARI P % U()(
SLAMET /OS+IRI L 40 U()(
SUONO L $$ U()(
K+OIRUL AN*AR L % U()(
&AROA+ P 3% U()(
A+MA! MIFTA+U!IN L 8 U()(
PARTINA+ P 4% U()(
-
7/25/2019 1. Lap. JKN Jan. 14
162/383
TUMIRAN L %$ U()(
MUNTAMA+ P $$ K&
+ASAN FAU-I L 39 K I A
NI!AUL K+USNIA P 1% G"#"
AU NO,ITA SARI P 20 U()(
SURTINA+ P 49 U()(
MU+AMMA! NAUFAL L 3 K I A
ISRO*IA+ P 34 U()(
&AINGA+ P %8 U()(
*AGIRIN L 39 U()(
TUMIRAN L %$ LA&
-AINUL A&RORO L $ K I A
MAFU!IN L %% U()(
PUR*ANTO L $3 U()(
+ARATI P 39 U()(
AMA! MANSUR L $$ U()(
SAPRU!I L 41 U()(
SITI RO+IMA+ P 38 K&
JUMINI P 4' U()(
MAR*IA+ P 39 U()(
NGA!IMI L 4% U()(
SUPRI+ATININGSI+ P 3 K I A
-
7/25/2019 1. Lap. JKN Jan. 14
163/383
SUPRI+ATININGSI+ P 3 K I A
SUMINI P 32 K&
RAFI!A+ !*I ULIANA P 4 K I A
SU+ARANTO L 33 G"#"
MARGIONO L 38 G"#"
SUMILAJ P 48 U()(
ISTI/OMA+ P 41 K&
ULFA+ MUSARO+ P 24 U()(
SETIA*AN ARRIA!+ L $ K I A
PARONO L %3 U()(
SULASTRI P 3$ K&
ARI SU*ARGIANTO L 20 U()(
TU*U+ SUPRIATIN P 29 K&
SUPA*IT P %' U()(
&ONIA+ P $0 U()(
TUMINA+ P '9 U()(
SRI*ATI P 48 U()(
SURATI P $1 U()(
SUROTO L 4$ U()(
FE&RI A&!ULLA+ L 2 K I A
SUMARNI P $8 U()(
SENAP L %3 G" "
-
7/25/2019 1. Lap. JKN Jan. 14
164/383
SENAP L %3 G"#"
+ARTATI P $$ U()(
AL RI-K -A+ ROTUL +I!AA+ P 2 K I A
ALFITO RAMA!+AN L $ U()(
R. LARAS*ATI P %0 U()(
PAE! L 44 U()(
MU+ ARIP AN*AR L $ U()(
TRIAS SAPUTRI P ' U()(
SRININGSI+ P 49 K&
TUSLIMA+ P 29 U()(
MU+AMA! &ISRI L %$ U()(
KI!AN L 83 U()(
ANA RA+MA*ATI P 4 K I A
AN*AR NUR+AM-A+ L ' U()(
RULI AN!RIAANSA+ L 1% U()(
RAK+A MAALI RO&I L 1 K I A
SINA+ P %% U()(
RUNTI P 3$ K&
ROUPIA+ P $% U()(
SAMA*IA+ P $4 U()(
MARGIONO L 38 G"#"
TUTI ASI+ P 43 U
-
7/25/2019 1. Lap. JKN Jan. 14
165/383
TUTI ASI+ P 43 U()(
SUPRIATI P 2% K I A
SITI U&AI!A+ P 40 U()(
KUMI MUSA&INA+ P 4 K I A
RO&I TRI MAULANA L 9 G"#"
SARIP L 49 U()(
SENAP L %3 U()(
SOTIMA+ P %4 U()(
NARMIATI P $2 U()(
MUNTASIRO+ P 30 U()(
TARMIATI P 2% K&
SITI UTARI P 4% K&
SRI*ATI P 31 U()(
RE,A SALSA &ILA P 4 K I A
ULI +ARTATI P 28 K I A
ALFIATUN P 39 K&
SITI MUNA*ARO+ P 4% U()(
TRIAS SAPUTRI P ' U()(
+EN!I RASTIA*AN L 38 U()(
!IA+ ARISA UNIARSI+ P 3' U()(
SO&IRIN L 4% U()(
AMAT ROJIKIN L %4 U()(
-
7/25/2019 1. Lap. JKN Jan. 14
166/383
AMAT ROJIKIN L %4 U()(
NURAMA+ P 4$ U()(
NURK+ATI P 3% U()(
NASIM I&+AM L 14 U()(
SULISTIATUN P 4% U()(
*AKI!I L $0 U()(
ANAS L %8 U()(
PARIATI P 42 U()(
ISTIA+ P 33 U()(
SOKIRAN L '3 U()(
PAINGA+ P 38 K&
NGALIMAN L '' U()(
PARJIEM P 3$ U()(
FE&RI A&!ULLA+ L 2 K I A
ISRO*IA+ P 34 K I A
RITA ENING SETOSARI P 40 U()(
SU&O*O L 38 U()(
&LEPOT L $2 U()(
A&!UL RO+MAN L 82 U()(
NUR K+ASANA+ P 21 U()(
MU++I&A+ P 4' U()(
EN!A+ ATI P $9 U()(
-
7/25/2019 1. Lap. JKN Jan. 14
167/383
EN!A+ ATI P $9 U()(
Purworejo, 5 Pebruari 2014
Kepala UPT Puskesmas Winong Kemiri
drg. Susi ri!ani
NIP. 19631010 199202 2 001
NAMA PESERTA SEX USIA TUJUAN ALAMAT
AGUNG RUDIYANTO L 40 Umum #,(u Ui
RIZKI SAPUTRO L 7 Gigi $i(*(g
U!INI P 47 Umum Giimu)*
-
7/25/2019 1. Lap. JKN Jan. 14
168/383
U!INI P 47 Umum Giimu)*
PONIYA" P 48 Umum Su+*,g,(
YULI "ARTATI P 28 Umum Ku(g)*
SUPIRA" P 43 Umum $i(*(g
!UNIRO" P 44 K# L*(i(g
SUKINI P 72 Umum L*(i(g
PAIA" P 58 Umum $i(*(g
ISRO$ATI P 24 Gigi $i(*(g
#AINGA" P 68 Umum Tuu'
PAIA" P 58 Gigi ,+i,(g',(
%&u'(u) %&*+im,& P 69 Umum !),,(
KIS!IYATI P 20 K# $i(*(g
NUR A-I-A" P 27 Umum $i(*(g
PARIY.! P 51 Umum Tu'i(*
RO"I!A" P 39 Umum Tu'i(*
SUDIRO L 73 Umum $i(*(g
!O."ADI L 72 Umum $i(*(g
T.O SUNARKO L 7 Umum $i(*(g
SU"ARTI P 40 Umum Su+*,g,(
SATINA" P 56 Umum Tuu'
U!!I KULSU! P 11 Gigi $i(*(g
DAR$IYA" P 33 K# Tuu'
-
7/25/2019 1. Lap. JKN Jan. 14
169/383
DAR$IYA" P 33 K# Tuu'
SITI NGAISA" P 39 Umum Tuu'
NA-IS "AIKAL L 6 Umum $i(*(g Kiu)
NURIL AN$AR L 13 Umum $i(*(g Kiu)
"USNA" A-I-A" P 17 Umum Su+*,g,(
".NDI RASTIA$AN L 38 Umum L*(i(g
YATI!A" P 51 Umum P,g*(
PARTI P 56 Umum P,g*(
K"OIRIYA" P 34 Umum Su+*,g,(
! SODA !AULANA L 7 Umum $i(*(g
SLA!.T OS"IRI L 40 Umum $i(*(g Kiu)
!USTOIYA" P 58 Umum $i(*(g
IR!A $A"YU -.#RIANINGSI" P 6 Umum $i(*(g
GUNARTI P 41 Umum ,+i,(g',(
PARINGA" P 48 Umum Tuu'
!U"A!AD ALI- L 4 Umum $*(*'u:*
ROSIDA" P 85 Umum $i(*(g
"ARIS S.TIA$AN L 12 Umum $*(*'u:*
SOLI"UN L 13 Umum Su+*,g,(
SUSANTI P 31 Umum Su+*,g,(
SU!INTRI P 51 Umum Pu'*
"ARINI P 51 Umum Si**
-
7/25/2019 1. Lap. JKN Jan. 14
170/383
"ARINI P 51 Umum Si**SITI NURO"I!A" P 43 K I A ,+i,(g',(
ISTINGANA" P 28 Umum Su+*,g,(
SRI NURYANTI P 39 Umum $i(*(g L*
S.NAP L 63 Umum $i(*(g
$II ASTUTI P 16 Umum $i(*(g Kiu)
SRI SOD.RIKA" P 56 Umum S(
-IKRIYANA ZAKARIA P 20 Umum $i(*(g
ANANG K"OLILUR L 5 Umum L*(i(g
-ATK"URO"!AN L 13 Umum $i(*(g
U!I INDAYANI P 21 Umum $i(*(g
RODIYA" INDA AYU P 46 Umum $i(*(g
A#U DARDAK L 74 Umum Su+*,g,(
ISTIYANA P 36 K I A Pu'*
SITI !ARK"A!A" P 54 Umum $i(*(g
MAKIA+ P 29 K& Ja":a#5a
MAR-UKI L 83 U()( *"o#
SU*ARTI P %9 U()( Ke;)#o
&AINGA+ P %8 U()( *"o#
TULUS JANURIS*ANTO L 21 U()( &r)ore6o
NIMATUL NGAINI -AIMA+ P 3 K I A T)r)5
+A*A SAKILA P 9 U()( *"o# Lor
-
7/25/2019 1. Lap. JKN Jan. 14
171/383
+A*A SAKILA P 9 U()( *"o# Lor
A!AM SARUL +A&I&I L ' U()( *"o# Lor
ARIF OGA PAMUNGKAS L % U()( *"o# Lor
+I!AAT L 18 U()( Lo"#
MU+AMMA! NAUFAL L 3 K I A Mara
EKO *I!IATI P 31 U()( Ke;)#o
&AGUS &IMOKO *INUNGGOJATI L 12 G"#" Ja":a#5a
US*ATUN K+ASANA+ P 4$ U()( *"o#
!AR*ATIK P 34 K& P)ca# A#)#
ROPIATUN P 49 U()( Lo"#
KASMINA+ P $0 U()( *"o# K";)
SUPRIATI P 2% K I A T)r)5
SUGINING RA+AU P $8 U()( S";ore6o
SO,IA *AR!ANI P 4 K I A Re
-
7/25/2019 1. Lap. JKN Jan. 14
172/383
ARI#A" ISTIOR P 3 K I A Lo"#
$.NI APRILO$ATI P 16 K I A Lo"#
SUTOPO L 56 Umum Sere
SUYONO L 55 Umum Ja":a#5a
ARODA" P 48 Umum *"o#
SARU!I L 44 Umum G"r"()7o
DAI!A" P 48 Umum *"o#
SITI A!INA" P 56 Umum S)ora#a
NUR K"ALI!A" P 34 Umum S)ora#a
SYA"RUL AKRO! L 6 Umum S)ora#a
!ULATIYA" P 55 Umum S)ora#a
SATIYA" P 39 Umum Ja":a#5a
IR"A!UDIN L 20 Umum Lo"#
PONIYA" P 48 K# S)ora#a
SITI AISA" P 51 K I A P)5=o
US$ATUN #ARIRO" P 28 K I A T)r)5
#ARODIN L 50 Umum !"e(
SA-RUDIN L 59 Umum *"o# K";)
!USTAKI! L 35 Umum T)r)5
TRIANA NUR A"YANI P 5 K I A Re
-
7/25/2019 1. Lap. JKN Jan. 14
173/383
SATINA" P 56 Umum #
K; #UDI SU"ARNI P 56 Umum Ja":a#5a
".RU SUPRAPTO L 62 Umum S)ora#a
!ISTIYA" P 44 Umum Ja":a#5a
SUKARTI! L 80 Umum Re
-
7/25/2019 1. Lap. JKN Jan. 14
174/383
RIRIN D$I ARIYANTI P 6 Umum #
SITI !UNA$ARO" P 46 Umum Ja":a#5a
!USTAKI! L 53 Umum Ja":a#5a
U!INUR"ADI L 8 Umum Lo"#
SULASIYA" P 54 Umum Ja":a#5a
SIYONO L 55 Umum *"o#
SUGIYANTO L 38 Umum Kara# !):)r
SARINDI L 74 Umum G"r"6o7o
K.SUT SU#ANDI L 47 Umum G"r"6o7o
!ISTIYA" P 44 Umum Re
-
7/25/2019 1. Lap. JKN Jan. 14
175/383
SANGADA" P 59 Umum #
SITI "OTI!A" P 31 K I A T)r)5
ZA"RITUSSYI-A P 4 Umum *"o#
IK!ALUDIN L 10 Umum S)ora#a
!ISKIYA" P 61 Umum S)ora#a
RO"!ADI L 80 Umum T)r)5
A#DUL "A-IZD AS SAI-I L 20 Umum Mara
SURYATI P 35 Umum Lo"#
A!AD ZAIDIN L 58 Umum Ja":a#5a
K"ATA!I ALI -A"RIYAN P 6 Umum Kara# !):)r
AL-IA" P 44 Umum *"o#
S.TYO UTO!O L 30 Gigi *"o# K";)
#ADRIYATUN P 30 Umum Kara# !):)r
SUPAR!I P 49 Umum *"o#
A#DURRO"!AN $A"ID L 7 Umum *"o# K";)
U!INUR"ADI L 8 Umum Lo"#
A!AT TOI-UR L 39 Umum *"o#
SUPINA" P 31 Umum *"o# K";)
UINA" P 34 Umum T)r)5
NASRUDIN L 57 Umum *"o#
IR!A $A"YU -.#RIANINGSI" P 6 Umum *"o#
TUKIRIN L 67 Umum Lo"#
-
7/25/2019 1. Lap. JKN Jan. 14
176/383
YUL-A -ITRI SAKINA" P 7 Umum G"r"()7o
KRIS !ARSANI P 48 Umum Lo"#
SUPRIYATI P 54 Umum *"o# K";)
!USTOIYA" P 58 Umum *"o#
!U"A!!AD KAUTSAR L 19 Umum Ja":a#5a
SUGINING RA"AYU P 58 Umum S)ora#a
$ARSITO L 50 Umum *oo5)o
!ARSIYA" P 81 Umum S)ora#a
AK"!AD L 54 Umum Kro7o
SUG.NG RA"ARO L 55 Umum *"o# K";)
KOTI!A" P 48 Umum *oo5)o
!UGI ARIS$ANTI P 30 K# K,,(g Duu
ZU#AIDA" P 41 K# L*(i(g
$ASIYA" P 58 U T
!ARSILA" P 73 Umum Su+*,g,(
SOKI#AN L 48 Umum Tuu'
AYU NOITA SARI P 20 Gigi ,+i,(g',(
ANANG K"OLILUR L 5 Umum L*(i(g
YAT!ININGSI" P 37 Umum Giimu)*
#IYA" AYUNINGSI" P 11 Umum Su+*,g,(
SARO" P 29 Umum Su+*,g,(
-
7/25/2019 1. Lap. JKN Jan. 14
177/383
gNGAISA" P 81 Umum L*(i(g
$.NI APRILO$ATI P 16 Gigi L*(i(g
OKTA-IA P 5 Umum L*(i(g
SITI "A!IDA" P 53 Umum L*(i(g
SUPRIYADI L 45 Umum $i(*(g
SITI UL-A" P 13 Umum Su+*,g,(
SRIYATI P 51 Umum Tuu'SITI RO"I!A" P 35 K# L*(i(g
U!INUR"ADI L 8 Umum L*(i(g
!UA$ANA" P 44 K# $i(*(g
! NASRUL !UA"ID L 4 K I A $i(*(g
#ARODIN L 50 Umum Di)m
SITI A!INA" P 26 Umum Gii**
SA!SUL !A>ARI- L 52 U Gi i
$AGIY.! P 68 Umum $i(*(g
!ULYANI P 46 K# ,+i,(g',(
TUPARIYA" P 39 Umum Pu'*
RISKI YULIANINGSI" P 8 Umum Giimu)*
PAIN.! P 52 Umum Giimu)*
".NI SURYANI P 37 K# Giimu)*
-AIRUZ !AULANA A L 7 Umum Giimu)*
-
7/25/2019 1. Lap. JKN Jan. 14
178/383
-AD"IL INSANI L 11 Umum Giimu)*
!UNTO NGALI!AN L 15 Umum Giimu)*
YULIYATI P 41 Umum Giimu)*
".NI SURYANI P 37 Umum Giimu)*
#AINGA" P 68 Umum $i(*(g
AR-A RAI"ANA A L 6 Umum Su+*,g,(
ZA"ROTUL -ITRIYA" P 13 Umum $i(*(gSLA!.T SU$ARNO L 40 Umum !),,(
SU#O$O L 38 Umum K,(g,(
A#DUL -ARIZAL L 6 Gigi Giimu)*
RO$IYA" P 47 Umum $i(*(g
-AIRUZ !AULANA A L 7 Gigi Giimu)*
RA"!A$ATUL !UNA P 6 Umum Giimu)*
SITI ARIYA" P 58 U $i Ki )
SAR!INI P 35 Gigi L*(i(g
ROND"IYA" P 40 Umum Gii**
ROIYA" P 69 Umum $i(*(g
AULIA "IDAYATI P 8 Umum L*(i(g
SUDARNO L 70 Umum $i(*(g
TULUS L 65 Umum $*(*'u:*
RO#IATUL NGADA$IYA" P 42 Umum $i(*(g L*
-
7/25/2019 1. Lap. JKN Jan. 14
179/383
!U" NUR$A"IDIN "IDA L 15 Umum $i(*(g L*
AYU NOITA SARI P 20 Gigi ,+i,(g',(
PONIYA" P 77 Umum P,g*(
A!IR R.O L 78 Umum P,g*(
SARYONO L 60 Gigi S(
-ARDAN -AZA -AUZAN L 9 Umum $i(*(g
SUGINING RA"AYU P 58 Umum Si**ULI "ASANA" P 16 Umum ,+i,(g',(
.NDA" RIYA" P 55 Umum ,+i,(g',(
T.O SUNARKO L 7 Umum Su+*,g,(
SITI !U"ANA" P 47 Umum Rug
ANDRI $IAYANTO L 21 Gigi L*(i(g
SAR$IYA" P 38 Umum L*(i(g
U!INUR"ADI L 8 U L i
!UK!INA" P 37 Umum $i(*(g
UL-A" !USARO" P 24 K# Giimu)*
PRIYANTI P 27 Umum L*(i(g
PRIYANTI P 27 K I A L*(i(g
SARYONO L 60 Gigi S(
!U" ARIP AN$AR L 5 Umum Tuu'
-
7/25/2019 1. Lap. JKN Jan. 14
180/383
-
7/25/2019 1. Lap. JKN Jan. 14
181/383
-
7/25/2019 1. Lap. JKN Jan. 14
182/383
-
7/25/2019 1. Lap. JKN Jan. 14
183/383
-
7/25/2019 1. Lap. JKN Jan. 14
184/383
-
7/25/2019 1. Lap. JKN Jan. 14
185/383
-
7/25/2019 1. Lap. JKN Jan. 14
186/383
-
7/25/2019 1. Lap. JKN Jan. 14
187/383
-
7/25/2019 1. Lap. JKN Jan. 14
188/383
-
7/25/2019 1. Lap. JKN Jan. 14
189/383
-
7/25/2019 1. Lap. JKN Jan. 14
190/383
-
7/25/2019 1. Lap. JKN Jan. 14
191/383
-
7/25/2019 1. Lap. JKN Jan. 14
192/383
-
7/25/2019 1. Lap. JKN Jan. 14
193/383
-
7/25/2019 1. Lap. JKN Jan. 14
194/383
-
7/25/2019 1. Lap. JKN Jan. 14
195/383
-
7/25/2019 1. Lap. JKN Jan. 14
196/383
-
7/25/2019 1. Lap. JKN Jan. 14
197/383
-
7/25/2019 1. Lap. JKN Jan. 14
198/383
-
7/25/2019 1. Lap. JKN Jan. 14
199/383
-
7/25/2019 1. Lap. JKN Jan. 14
200/383
-
7/25/2019 1. Lap. JKN Jan. 14
201/383
-
7/25/2019 1. Lap. JKN Jan. 14
202/383
-
7/25/2019 1. Lap. JKN Jan. 14
203/383
-
7/25/2019 1. Lap. JKN Jan. 14
204/383
-
7/25/2019 1. Lap. JKN Jan. 14
205/383
-
7/25/2019 1. Lap. JKN Jan. 14
206/383
-
7/25/2019 1. Lap. JKN Jan. 14
207/383
-
7/25/2019 1. Lap. JKN Jan. 14
208/383
-
7/25/2019 1. Lap. JKN Jan. 14
209/383
-
7/25/2019 1. Lap. JKN Jan. 14
210/383
-
7/25/2019 1. Lap. JKN Jan. 14
211/383
-
7/25/2019 1. Lap. JKN Jan. 14
212/383
-
7/25/2019 1. Lap. JKN Jan. 14
213/383
-
7/25/2019 1. Lap. JKN Jan. 14
214/383
-
7/25/2019 1. Lap. JKN Jan. 14
215/383
-
7/25/2019 1. Lap. JKN Jan. 14
216/383
-
7/25/2019 1. Lap. JKN Jan. 14
217/383
-
7/25/2019 1. Lap. JKN Jan. 14
218/383
-
7/25/2019 1. Lap. JKN Jan. 14
219/383
-
7/25/2019 1. Lap. JKN Jan. 14
220/383
-
7/25/2019 1. Lap. JKN Jan. 14
221/383
-
7/25/2019 1. Lap. JKN Jan. 14
222/383
-
7/25/2019 1. Lap. JKN Jan. 14
223/383
-
7/25/2019 1. Lap. JKN Jan. 14
224/383
-
7/25/2019 1. Lap. JKN Jan. 14
225/383
-
7/25/2019 1. Lap. JKN Jan. 14
226/383
-
7/25/2019 1. Lap. JKN Jan. 14
227/383
-
7/25/2019 1. Lap. JKN Jan. 14
228/383
1920
21
22
23
24
25
2627
28
29
-
7/25/2019 1. Lap. JKN Jan. 14
229/383
29
30
31
32
3334
35
36
37
38
39
6768
69
70
71
72
73
7475
76
77
-
7/25/2019 1. Lap. JKN Jan. 14
230/383
77
78
79
80
8182
83
84
85
86
87
115116
117
118
119
120
121
122123
124
125
-
7/25/2019 1. Lap. JKN Jan. 14
231/383
125
126
127
128
129130
131
132
133
134
135
163164
165
166
167
168
169
170171
172
173
-
7/25/2019 1. Lap. JKN Jan. 14
232/383
173
174
175
176
177178
179
180
181
182
183
211212
213
214
215
216
217
218219
220
221
-
7/25/2019 1. Lap. JKN Jan. 14
233/383
221
222
223
224
225226
227
228
229
230
231
259260
261
262
263
264
265
266267
268
269
-
7/25/2019 1. Lap. JKN Jan. 14
234/383
269
270
271
272
273274
275
276
277
278
279
307308
309
310
311
312
313
314315
316
317
-
7/25/2019 1. Lap. JKN Jan. 14
235/383
317
318
319
320
321322
323
324
325
326
327
355356
357
358
359
360
361
362363
364
365
-
7/25/2019 1. Lap. JKN Jan. 14
236/383
365
366
367
368
369370
371
372
373
374
375
1617
18
19
20
21
22
2324
25
26
-
7/25/2019 1. Lap. JKN Jan. 14
237/383
26
27
28
29
3031
32
33
34
35
36
6465
66
67
68
69
70
7172
73
74
-
7/25/2019 1. Lap. JKN Jan. 14
238/383
75
76
77
7879
80
81
82
83
84
1819
20
21
22
23
24
-
7/25/2019 1. Lap. JKN Jan. 14
239/383
-
7/25/2019 1. Lap. JKN Jan. 14
240/383
-
7/25/2019 1. Lap. JKN Jan. 14
241/383
-
7/25/2019 1. Lap. JKN Jan. 14
242/383
-
7/25/2019 1. Lap. JKN Jan. 14
243/383
-
7/25/2019 1. Lap. JKN Jan. 14
244/383
-
7/25/2019 1. Lap. JKN Jan. 14
245/383
-
7/25/2019 1. Lap. JKN Jan. 14
246/383
-
7/25/2019 1. Lap. JKN Jan. 14
247/383
-
7/25/2019 1. Lap. JKN Jan. 14
248/383
-
7/25/2019 1. Lap. JKN Jan. 14
249/383
-
7/25/2019 1. Lap. JKN Jan. 14
250/383
-
7/25/2019 1. Lap. JKN Jan. 14
251/383
-
7/25/2019 1. Lap. JKN Jan. 14
252/383
#u),( ,(u,i 2014
"o T"##$ "o. K%TU "& P'S'%T
1 1>2>2014 844029%% FAR!AN FA-A FAU-AN
2 1>2>2014 8444'$0$ SITI MUSAROFATUN
3 1>2>2014 $44%9%'1% SISNIANTI
4 1>2>2014 $44812322 FANA
$ 1>2>2014 $4481'93$ SATI&I
% 1>2>2014 $44841234 MUNFARI!A
' 1>2>2014 $44849481 EKO NUR K+OLISO+
8 1>2>2014 $4491''23 NURMIATI
-
7/25/2019 1. Lap. JKN Jan. 14
253/383
9 1>2>2014 $449$90'' RU&IATI
10 1>2>2014 $4$081218 RUKIA+
11 1>2>2014 $4$1%''08 MULANI
12 1>2>2014 $4$19%8$' *ARANTI
13 1>2>2014 $4$19%93% SIL,IANA FA!+ILA
14 1>2>2014 $4$33%842 KESUT SU&AN!I
1$ 1>2>2014 $4$3$$'29 +I!AATUL MUNASIRO+
1% 1>2>2014 $4$481'9' MAR*IA+
1' 1>2>2014 $4$%012'3 SA*IANTO
1 1>4>2014 4'%84%19 SUMARSI+
2 1>4>2014 84241'21 NURUL A-IMA+
3 1>4>2014 84%$0$34 SUMIA+
4 1>4>2014 84%8%%'9 UMI SALAMA+
$ 1>4>2014 201002409 *AGIEM
% 1>4>2014 $442$392' LUFTI ARKAN MUSTAKIM
' 1>4>2014 $44%18012 +UMAIRA LAILI FAU-IA+
8 1>4>2014 $44'99'22 MUJI&A+
9 1>4>2014 $44814818 TAAT NUR ITA
10 1>4>2014 $448339%% MUTO+ARO+
11 1>4>2014 $44930918 AMA! -AI!IN
12 1>4>2014 $4$3$$'29 +I!AATUL MUNASIRO+
-
7/25/2019 1. Lap. JKN Jan. 14
254/383
13 1>4>2014 $4$$$'12' UNONG
14 1>4>2014 $4$'4899% TRIANA NUR A+ANI
1$ 1>4>2014 $4$843''' SOLIK+IN
1% 1>4>2014 $4%232$'' ISRO*IA+
1' 1>4>2014 1019244903 SU!IRMAN
1 1>%>2014 $4424%121 ULIANTI
2 1>%>2014 $442'0%89 AN!RI *IJAANTO
3 1>%>2014 $443'''34 MUARIF
4 1>%>2014 $44%0%391 SUPARIA+
29 1>%>2014 $4%31%2'' SENO FE&RIANTO
30 1>%>2014 $4%334121 SENAP
31 1>%>2014 $4%49328$ !*I MULANTO
32 1>%>2014 $4%49328$ !*I MULANTO
33 1>%>2014 %$2$'233% SUMINI
34 1>%>2014 %$2$'3181 SUPRI+ATININGSI+
3$ 1>%>2014 1019244148 +ESTI SETANINGSI+
3% 1>%>2014 101924843$ SITINA+
3' 1>%>2014 10192%2$98 UMI NASIK+A+
38 1>%>2014 10192''''$ SUGENG RA+ARJO
39 1>%>2014 12%0932'93 SIA+
1 1>'>2014 1%21%$20$ SU!IRO
2 1>'>2014 $442'10$1 AJI *A!I/!O
-
7/25/2019 1. Lap. JKN Jan. 14
255/383
2 1>'>2014 $442'10$1 AJI *A!I/!O
3 1>'>2014 $448921'4 A+MA! FAU-AN
4 1>'>2014 $449%8$$1 SITI +OTIMA+
$ 1>'>2014 $4$3292'1 SAMA*IA+
% 1>'>2014 $4$$19801 A!ISTIANA RESTU SAGITA
' 1>'>2014 $4$%3848' UMI K+AATI
8 1>'>2014 $4$%3848' UMI K+AATI
9 1>'>2014 $4$'483$$ SALNO
10 1>'>2014 $4$'4908% ALFIN KURNIA*AN
11 1>'>2014 9'%213$0% II SRIANI
4 1>9>2014 $4421%983 NAPINGA+
$ 1>9>2014 $44%2110$ SAEPURNA
% 1>9>2014 $4480$3%8 SIRONO
' 1>9>2014 $4$0320'8 AMINA+
8 1>9>2014 $4$08%31$ *ARSINEM
9 1>9>2014 $4$10081% SUSIONO
10 1>9>2014 $4$2%91%2 JUMINI
11 1>9>2014 $4$3%1412 ISNAINI
12 1>9>2014 $4$3''11% SUNARSI+
13 1>9>2014 $4$%1%033 *ALIA+
14 1>9>2014 $4$'$8$'1 MASFUATUN
1$ 1>9>2014 $4$823'8% SITI AMINATUN
1% 1>9>2014 $4%290%0$ NUR K+OLISA+
-
7/25/2019 1. Lap. JKN Jan. 14
256/383
1% 1>9>2014 $4%290%0$ NUR K+OLISA+
1' 1>9>2014 $4%33002$ RO+IMA+
18 1>9>2014 $4%33444% PAIJA+
19 1>9>2014 10192%149% *AGIEM
20 1>9>2014 10192891%1 !IS PRA&A SAPUTRA
1 1>10>2014 $44'1%134 -A+RA ELMA SA!IA+
2 1>10>2014 $44910%13 M +AIKAL SAPRU!IN
3 1>10>2014 $44911%4' SAMSU!IN
4 1>10>2014 $449324$9 &ONIA+
$ 1>10>2014 $449324$9 &ONIA+
9 1>11>2014 $4$201818 RIONO
10 1>11>2014 $4$32'%2' SUTINI
11 1>11>2014 $4$3$22%$ SLAMET /OS+IRI
12 1>11>2014 $4$%$088$ !ALIA+
13 1>11>2014 $4$'$09$4 AMA! SUGIONO
14 1>11>2014 $4%248'44 PONIA+
1$ 1>11>2014 101924$421 MUSTO/IA+
1 1>13>2014 84422%%$ ROJIA+
2 1>13>2014 84%$0$'8 ATIMA+
3 1>13>2014 84'23'$9 -AKARIA
4 1>13>2014 84'34313 +ARINI
$ 1>13>2014 $44403891 ARIF !*I A+O
% 1>13>2014 $44422$21 SUATMI
-
7/25/2019 1. Lap. JKN Jan. 14
257/383
% 1>13>2014 $44422$21 SUATMI
' 1>13>2014 $44%'%319 SUMINTRI
8 1>13>2014 $44'1'383 NUR K+ALIMA+
9 1>13>2014 $44'18$8% SA+RUL AKROM
10 1>13>2014 $44'49232 ATINI
11 1>13>2014 $44''284$ RIRIN !*I ARIANTI
12 1>13>2014 $44802141 IKMALU!IN
13 1>13>2014 $4484899% K+OTIMATUL K+ASANA+
14 1>13>2014 $4488%842 SUPINA+
1$ 1>13>2014 $4491324$ RE*OT
2 1>1$>2014 8444'483 KUN!ARTO
3 1>1$>2014 84'23'$9 -AKARIA
4 1>1$>2014 $442'1411 SIGIT NGA!URO+MA+
$ 1>1$>2014 $44%2398$ *A+UNINGSI+
% 1>1$>2014 $44'28104 SITI MUSMINA+
' 1>1$>2014 $448$'91' NUR K+OLISO+
8 1>1$>2014 $448$8'0$ FE&RI A&!ULLA+
9 1>1$>2014 $44922098 SATIA+
10 1>1$>2014 $4492999% KUSRINI
11 1>1$>2014 $44933'98 SU*ARNI
12 1>1$>2014 $4$109'1$ LINEA SAFITRI
13 1>1$>2014 $4$284001 +ENI SURANI
14 1>1$>2014 $4$319%$2 SANIA+
-
7/25/2019 1. Lap. JKN Jan. 14
258/383
14 1>1$>2014 $4$319%$2 SANIA+
1$ 1>1$>2014 $4$338%$3 SUI KARATI
1% 1>1$>2014 $4$339%%$ ALFITO RAMA!+AN
1' 1>1$>2014 $4$490191 ARI SU*ARGIANTO
18 1>1$>2014 $4$8'3%92 *AKINI
1 1>1%>2014 4'$490%8 ROSI!A+
2 1>1%>2014 4'%82$84 A&U !AR!AK
3 1>1%>2014 84302212 SRI*ATI
4 1>1%>2014 844038%% UNI +ARTUTI
$ 1>1%>2014 84'33%83 MU+AMA! SEMINAR
$ 1>1'>2014 $443%%844 FATA+ +I!AAT
% 1>1'>2014 $44'40939 NUR ATIMA+
' 1>1'>2014 $44942'$4 SATINA+
8 1>1'>2014 $449$'042 -A+ROTUL K+ASNA
9 1>1'>2014 $4$00%2%1 SUONO
10 1>1'>2014 $4$1%9014 PARINO
11 1>1'>2014 $4$201$94 TURINA+
12 1>1'>2014 $4$2%$898 KARMINI
13 1>1'>2014 $4$29%$%% SU*ATSI+
14 1>1'>2014 $4$31'3%' !ALIA+
1$ 1>1'>2014 $4$4%42$8 +ERU SUNGKO*O
1% 1>1'>2014 $4$%$088$ !ALIA+
1' 1>1'>2014 10192%2$98 UMI NASIK+A+
-
7/25/2019 1. Lap. JKN Jan. 14
259/383
1' 1>1'>2014 10192%2$98 UMI NASIK+A+
1 1>18>2014 84243183 M RUS!AN KARIM
2 1>18>2014 $4422303$ SUPRIATI
3 1>18>2014 $44%21893 ASEP A*ALU!IN
4 1>18>2014 $44%2%'9' SAMI
$ 1>18>2014 $44%$3044 MU+ K+
top related