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LAPORAN PENDAPATAN RAWAT JALAN

Periode: 01-05-2016 s/d 01-05-2016

No. RM Nama PasieNo. Apotek IGD Rawat Jala Jasa DokterDokter Lab Kartu
R003788 RINA SETIA 6 22,800 - 5,000 - WULAN WI - -
D000951 DINI FARAH 9 20,000 - 5,000 - WULAN WI - -
D000988 DZIKRI ADZ 10 14,400 - 5,000 - WULAN WI - -
A002389 AGUS SUTI 67 28,000 - 5,000 - H. ASEP S - -
N001353 NENG LINA 71 13,500 - 5,000 - DETY NUR - -
RANA 21,000 - 5,000 - WULAN WI - -

LAPORAN PENDAPATAN RAWAT JALAN


Periode: 02-05-2016 s/d 02-05-2016

No. RM Nama PasieNo. Apotek IGD Rawat Jala Jasa DokterDokter Lab Kartu
N001614 NITA AGNIA 1 93,500 - 15,000 - NOVI YULIA 80,000 -
M004847 MEILANI PU 2 24,000 - 15,000 - NOVI YULIA - -
E003653 ENENG SRI 7 27,000 - 15,000 - NOVI YULIA - -
S003402 SUSI IMAWA 8 24,000 - 15,000 - NOVI YULIA - -
L000315 LINDA PER 9 18,000 - 5,000 - NOVI YULIA - -
P000842 PUJI APRIA 10 27,000 - 15,000 - NOVI YULIA - -
D007044 DEDI KURN 12 16,000 - 15,000 - NOVI YULIA - -
A008183 AZNI LULU 13 27,000 - 15,000 - NOVI YULIA - -
W001155 WULANSAR 14 25,000 - 15,000 - NOVI YULIA - -
A009456 ADE KOMAR 15 - - 15,000 - NOVI YULIA - -
N002815 NAJILAH 16 - - 15,000 - NOVI YULIA 18,000 -
A008581 ALVARO AD 18 38,000 45,000 15,000 - NOVI YULIA - -
J000803 JIMI KURN 19 29,000 - 15,000 - NOVI YULIA - -
R002193 RANI ANUR 20 25,000 - 15,000 - NOVI YULIA - -
S002626 SUHAENI 21 - - - - PERIKSA K - -
E003738 ENGKUS 22 25,000 - 15,000 - NOVI YULIA - -
L001270 LILIS KURNI 23 32,000 - 15,000 - NOVI YULIA - -
R002481 RANA 24 - - 15,000 - NOVI YULIA - -
A008032 AZIKRA AN 26 31,000 - 15,000 - NOVI YULIA - -
K001123 KIKI MULYA 27 28,000 - 15,000 - NOVI YULIA 80,000 -
R004537 RAZKA MU 28 41,000 45,000 15,000 - NOVI YULIA - -
A002035 ADE RODIA 29 23,000 - 15,000 - NOVI YULIA - -
R000827 RATIH FITRI 31 16,000 - 15,000 - NOVI YULIA - -
M002617 MUNIR ISK 33 14,000 - 15,000 - NOVI YULIA - -
E002154 EUIS TUTI 34 21,000 - 15,000 - NOVI YULIA - -
A009335 ALINDA NU 36 9,000 - 15,000 - NOVI YULIA - -
A009214 ABIZAR RIZ 38 21,000 - 15,000 - NOVI YULIA 80,000 -
N003813 NENDEN SU 39 25,000 - 15,000 - NOVI YULIA - -
M000032 M.SAID 41 28,000 - 15,000 - NOVI YULIA - -
T001517 TJATJIH 43 31,000 - 15,000 - NOVI YULIA - -
A006081 AZKIA CES 45 27,000 - 15,000 - NOVI YULIA - -
S003892 SALMA FIH 47 26,000 - 10,000 5,000 NOVI YULIA - -
A019035 ANGLING ZA 48 31,000 - 15,000 - NOVI YULIA - -
E001937 EFA RATNAS 52 25,000 - 15,000 - NOVI YULIA - -
R004540 RANI DIAN 54 - - - - PERIKSA K - -
I002719 IIS KURNIAT 58 31,000 - 15,000 - NOVI YULIA - -
F002009 FARDAN FA 59 12,000 - 15,000 - NOVI YULIA - -
Y001877 YATI ROHAY 60 27,000 - 15,000 - NOVI YULIA - -
S005014 SITI RISWA 61 29,000 - 15,000 - NOVI YULIA - -
A019037 ATIKAH 62 27,000 - 15,000 - NOVI YULIA 20,000 -
A000627 ASTRI FEBR 64 22,000 - 15,000 - NOVI YULIA - -
A004658 ANINDITA 65 21,000 - 15,000 - NOVI YULIA - -
T000696 TAUFIK AKB 66 41,000 - 15,000 - NOVI YULIA - -
R002755 RIZWAN AH 69 36,000 - 15,000 - NOVI YULIA - -
R017271 RAHMAN L 73 11,000 - 15,000 - NOVI YULIA 80,000 -
A009382 AMANDA R 74 - - 15,000 - NOVI YULIA - -
E003324 ERNA HERM 75 - - - - PERIKSA K - -
M001489 MAMAN SU 77 27,000 - 15,000 - NOVI YULIA - -
A002324 ALEN AMEL 80 23,000 - 5,000 - NOVI YULIA - -
M002993 M. AIRALD 81 17,000 - 5,000 - NOVI YULIA - -
H000586 HANDAYANI 82 - - 15,000 - NOVI YULIA - -
A006532 ASEP TAHY 84 31,000 - 5,000 - NOVI YULIA - -
N001521 NOVI YULIA 85 12,000 - 5,000 - NOVI YULIA - -
H001184 HAFID RAML 88 33,000 - 15,000 - NOVI YULIA - -
A001687 ARI SUGIAR 89 21,000 - 15,000 - NOVI YULIA - -
E001335 EROS ROSIT 92 25,000 - 15,000 - NOVI YULIA - -
A003358 ALYA NURAI 93 36,600 - 15,000 - NOVI YULIA - -
T001102 TURSINAH 94 14,800 - 15,000 - NOVI YULIA - -
F001431 FAJAR ALB 99 18,900 - 15,000 - H. THIA SI - -
P000792 PIPIT NURD 101 22,000 - 15,000 - H. THIA SI - -
F000092 FADLI FADL 103 19,700 - 15,000 - H. THIA SI 80,000 -
G000195 GUNGUN G 104 16,000 - 11,000 4,000 H. THIA SI - -
A008583 ANI ROHAN 112 30,200 - 15,000 - H. THIA SI - -
N003289 NOPIYAN N 115 38,200 - 15,000 - H. THIA SI - -
A007826 AULIA SEPT 116 26,000 - 15,000 - H. THIA SI - -
N002324 NUNUNG 119 25,750 - 15,000 - H. THIA SI - -
P000683 PIPIN NURA 120 17,600 - 10,000 5,000 H. THIA SI - -
G000623 G SITI UM 123 18,200 - 15,000 - H. THIA SI - -
I002596 IDA PARIDA 125 17,600 - 15,000 - H. THIA SI - -
F002015 FAKHIRA S 127 21,600 - 15,000 - H. THIA SI - -
M001428 M.AHZA FA 128 24,900 - 15,000 - H. THIA SI - -
LAPORAN PENDAPATAN RAWAT JALAN
Periode: 03-05-2016 s/d 03-05-2016

No. RM Nama PasieNo. Apotek IGD Rawat Jala Jasa DokterDokter Lab Kartu
H007264 HILDA DEST 5 37,000 - 15,000 - WULAN WI - -
R001191 RIZQYLILL 7 18,000 - 5,000 - H. ASEP - -
W001156 WINA NADI 8 31,000 - 15,000 - WULAN WI - -
A009516 ACOEM MA 10 51,000 - 15,000 - WULAN WI - -
A004895 ADIT RAKA 11 33,000 - 15,000 - WULAN WI - -
S005078 SURACHMA 12 30,000 - 15,000 - WULAN WI 80,000 -
T001466 TOTO ISKA 13 21,000 - 15,000 - WULAN WI - -
A009544WAGUS YUSU 14 22,000 - 15,000 - WULAN WI - -
R017272 RAHMA SEP 15 29,000 - 15,000 - WULAN WI - -
S019340 SITI PATIM 16 22,000 - 15,000 - WULAN WI - -
N001187 NAURA ANG 18 22,000 - 15,000 - WULAN WI - -
N015906 NABHAN AN 19 33,000 - 15,000 - WULAN WI - -
D003382 DEWI NURU 20 17,000 - 15,000 - WULAN WI - -
D003856 DEDE KURN 21 15,000 - 15,000 - WULAN WI - -
D003592 DADANG Y 23 - - 15,000 - WULAN WI 125,000 -
E006047 EDI SUPRIA 24 33,000 - 15,000 - WULAN WI - -
M003181 MAMAY PUJ 25 - - 15,000 - WULAN WI - -
F001804 FAHRI HAR 28 34,000 - 15,000 - WULAN WI - -
D003385 DEWI SART 29 20,000 - 15,000 - WULAN WI - -
G000608 GHAISA LU 30 22,000 - 15,000 - WULAN WI - -
M004672 MUHAMMAD 31 19,000 - 15,000 - WULAN WI - -
Y002261 YENI RISTI 36 15,000 - 15,000 - WULAN WI - -
A007248 ARIEF RAH 37 25,000 - 15,000 - WULAN WI - -
S004186 SITI MAEM 38 19,000 - 15,000 - WULAN WI 18,000 -
M003476 MOCHAMMA 40 32,000 - 15,000 - WULAN WI - -
K009838 KANDI 41 28,000 - 15,000 - WULAN WI - -
R005013 RENI WINA 43 17,000 - 15,000 - WULAN WI - -
W019592 WIWIN WID 48 - - - - PERIKSA K - -
N003240 NAURA HAS 49 21,000 - 15,000 - WULAN WI - -
Y000710 YUDI WAHY 51 235,000 55,000 15,000 - WULAN WI - -
F000664 FITRI AGUS 55 - - - - PERIKSA K - -
N003627 NAJWA APRI 56 19,000 - 15,000 - WULAN WI - -
N000197 NANDANG 57 34,000 - 15,000 - WULAN WI - -
E006048 ENDANG PU 58 17,000 - 15,000 - WULAN WI - -
I003396 IIS LIAWATI 59 9,000 - 15,000 - WULAN WI - -
F002007 FAKHIRA KA 60 - - 15,000 - WULAN WI - -
T001779W TUTI MULYA 62 19,000 - 15,000 - WULAN WI - -
N003620 NERISA MA 63 17,000 - 15,000 - WULAN WI - -
R017273 RANI RAMD 64 26,000 - 15,000 - WULAN WI - -
M014545 MUHAMMAD 67 27,000 - 15,000 - WULAN WI - -
N003130 NOVAL DA 68 25,000 - 15,000 - WULAN WI - -
H000885 HERLAN LO 69 48,700 - 15,000 - WULAN WI - -
F001897 FATIH IHSA 74 15,000 - 15,000 - WULAN WI - -
C000597 CUCUM SUM 77 109,000 - 15,000 - WULAN WI - -
N002279 NABILA FEB 80 11,000 - 15,000 - WULAN WI - -
L001076 LARA NUR 87 22,750 - 15,000 - NOVI YULIA - -
A007588 ATI ROHATI 88 13,000 - 15,000 - NOVI YULIA - -
Y001419 YANTI MUL 91 24,000 - 15,000 - NOVI YULIA - -
I001931 IMAS HERA 95 38,400 - 15,000 - NOVI YULIA - -
F002170 FALQI A FI 98 32,900 - 15,000 - NOVI YULIA - -
D003800 DINA MARY 99 30,000 - 15,000 - NOVI YULIA - -
P000290 PUTRI NUR 103 30,500 - 15,000 - NOVI YULIA - -
S005062 SALSABILA 104 16,800 - 15,000 - NOVI YULIA - -
R005231 RANI NURA 105 37,200 - 15,000 - NOVI YULIA - -
T001752 TIARA AME 106 27,200 - 15,000 - NOVI YULIA - -
L001154 LILIS RUSMI 109 24,400 - 15,000 - NOVI YULIA - -
I007357 INTAN HERL 110 21,000 - 15,000 - NOVI YULIA - -
S005053 SALMA FAR 115 23,700 - 15,000 - NOVI YULIA - -
S004096 SALMA PUTR 116 61,900 - 15,000 - NOVI YULIA 80,000 -
O017456 OOM KOMA 121 22,000 - 15,000 - NOVI YULIA - -
W001096 WIDA FARI 122 19,200 - 15,000 - NOVI YULIA - -
D003561 DIPAL MU 123 36,600 - 15,000 - NOVI YULIA - -
M004686 MELYASA Y 128 19,600 - 15,000 - NOVI YULIA - -
G000649 GHAZY AUF 129 27,800 - 15,000 - NOVI YULIA - -
R017275 RINI YUSINI 130 26,000 - 15,000 - NOVI YULIA - -
M004420 MUHAMAD F 132 97,000 45,000 15,000 - NOVI YULIA - -
S000096 SHAFA SAF 134 29,500 - 15,000 - NOVI YULIA - -
M003487 M ALFATIH 135 22,600 - 15,000 - NOVI YULIA - -
A002324 ALEN AMEL 136 17,000 - 5,000 - NOVI YULIA - -
N003974 NIA KUSMIA 138 27,000 - 15,000 - ENCEP SU - -
N002689 NINDYA FAR 142 26,000 - 5,000 - ENCEP SU - -
LAPORAN PENDAPATAN RAWAT JALAN
Periode: 04-05-2016 s/d 04-05-2016

No. RM Nama PasieNo. Apotek IGD Rawat Jala Jasa DokterDokter Lab Kartu
U016788 UDIN SAEP 7 - - 15,000 - NOVI YULIA - -
E003704 ENGKON 8 21,300 - 15,000 - NOVI YULIA - -
D003805 DIKI PADI 11 48,000 45,000 15,000 - NOVI YULIA - -
T001284 TITIN SUPR 12 26,500 - 15,000 - NOVI YULIA - -
S005401 SRI VANIA 14 23,000 - 15,000 - NOVI YULIA - -
A019049 AKBAR PRA 15 - - 15,000 - NOVI YULIA - -
N003334 NOVI AHDI 16 - - 15,000 - NOVI YULIA - -
A008510 ANDI FIRM 20 8,000 - 15,000 - NOVI YULIA - -
W001117 WIRANTIWI 21 - - 15,000 - NOVI YULIA - -
E003341 ENENG YAN 26 44,000 - 15,000 - NOVI YULIA - -
A004738 ADE HERWA 27 10,600 - 15,000 - NOVI YULIA - -
A001685 ALI AKBAR 33 39,600 - 5,000 - NOVI YULIA - -
Q000039 QUTHBIE Z 34 - - 15,000 - NOVI YULIA - -
S005461 SRI KOMAR 36 24,000 75,000 15,000 - NOVI YULIA - -
D002749 DEDE 38 32,900 - 15,000 - NOVI YULIA - -
D003240 DANI RAM 39 27,800 - 15,000 - NOVI YULIA - -
A000372 AGUS RAHA 40 77,200 - 15,000 - NOVI YULIA - -
A009642 AN NU,MAN 42 25,000 - 15,000 - NOVI YULIA - -
D003141 DINI NURHA 44 24,500 - 15,000 - NOVI YULIA - -
A000525 AI SAIDAH 47 14,000 40,000 15,000 - NOVI YULIA - -
I000724 IKEU NURJ 52 - - - - PERIKSA K - -
D002391 DIKA MUH 54 36,100 - 15,000 - NOVI YULIA - -
I001457 IIN KURNIA 57 19,700 - 15,000 - NOVI YULIA - -
I001721 INDRI MAR 58 25,400 - 15,000 - NOVI YULIA - -
R017277 RANI PERM 61 19,200 - 15,000 - WULAN WI - -
E006050 EDI SUSAN 62 30,000 - 15,000 - WULAN WI - -
T001571 TATI HARTA 66 16,600 - 15,000 - WULAN WI - -
F000202 FADILAH RI 67 26,000 - 15,000 - WULAN WI - -
I003537 IRMA RISMI 68 18,200 - 15,000 - WULAN WI - -
Q000084 QUEEN SAM 69 16,800 - 15,000 - WULAN WI - -
F001080 FATHIMAH 70 26,100 - 15,000 - WULAN WI - -
K009839 KAILA NOVI 73 28,100 - 15,000 - WULAN WI - -
L001271 LINA GANT 75 15,950 - 15,000 - WULAN WI - -
R004952 RATIH PUR 76 29,100 - 15,000 - WULAN WI - -
Y002212 YENI 77 22,500 - 15,000 - WULAN WI - -
E002872 ERNI YULIA 78 28,700 - 15,000 - WULAN WI - -
A009054 ATSIILAH J 79 52,200 - 15,000 - WULAN WI - -
M005129 MUHAMMAD 80 28,400 - 15,000 - WULAN WI - -
I003077 IMAS ISMA 83 24,000 - 15,000 - WULAN WI - -
N001839 NENG NUR 85 - - 15,000 - WULAN WI - -
U000786 USUP YUSU 86 - - 15,000 - WULAN WI - -
S002512 SONI HERY 92 16,000 - 15,000 - WULAN WI - -
R000028 RAKEYAN C 93 103,100 - 15,000 - WULAN WI - -
S000031 SITI NURLIT 94 20,500 - 15,000 - WULAN WI - -
M014550 MOCHAMAD 96 27,000 - 15,000 - WULAN WI 55,000 -
Y002018 YATNA SUP 97 10,600 - 15,000 - WULAN WI - -
M014551 MULYANA 98 32,900 - 15,000 - WULAN WI - -
E006051 ERWIN HID 102 32,900 - 15,000 - WULAN WI - -
Y001914 YULI YULIA 103 19,000 - 15,000 - WULAN WI - -
M003393 MOCHAMAD 104 24,500 - 15,000 - WULAN WI - -
R003132 RIRIN SANT 106 31,000 - 5,000 - WULAN WI - -
A009244 AGUS TUR 107 33,600 - 15,000 - WULAN WI - -
M005136 M RAFFA S 108 17,500 - 15,000 - WULAN WI - -
A002324 ALEN AMEL 110 20,000 - 5,000 - WULAN WI - -
M014552 M. RAMDAN 116 24,400 - 15,000 - WULAN WI - -

LAPORAN PENDAPATAN RAWAT JALAN


Periode: 05-05-2016 s/d 05-05-2016

No. RM Nama PasieNo. Apotek IGD Rawat Jala Jasa DokterDokter Lab Kartu
D000977 DINAR AGUS 2 34,200 - 5,000 - H. THIA SI - -
A006946 ADNEY ATH 4 42,100 - 5,000 - NOVI YULIA - -
N003478 NOVI LESTA 62 7,000 - 5,000 - ENCEP SU - -

LAPORAN PENDAPATAN RAWAT JALAN


Periode: 06-05-2016 s/d 06-05-2016

No. RM Nama PasieNo. Apotek IGD Rawat Jala Jasa DokterDokter Lab Kartu
D000977 DINAR AGUS 9 20,250 - 5,000 - WULAN WI - -
N002830 NAURA SYAK 20 32,200 - 5,000 - WULAN WI - -
M003871 MUHAMMAD 31 17,300 - 5,000 - H. THIA SI - -
E001186 ELVIN FATH 35 17,000 - 5,000 - WULAN WI - -
R001465 RAHMAWAT 36 21,000 - 5,000 - WULAN WI - -

LAPORAN PENDAPATAN RAWAT JALAN


Periode: 07-05-2016 s/d 07-05-2016

No. RM Nama PasieNo. Apotek IGD Rawat Jala Jasa DokterDokter Lab Kartu
A005134 ANGGA ER 1 19,000 - 15,000 - H. THIA SI - -
S004669 SLAMET RIY 4 23,400 - 15,000 - WULAN WI - -
H001184 HAFID RAML 5 16,000 - 15,000 - WULAN WI - -
Y001728 YULI HERLI 7 32,500 - 15,000 - WULAN WI - -
M014552 M. RAMDAN 8 43,000 45,000 15,000 - WULAN WI - -
E003468 EVI LESTARI 9 28,000 - 15,000 - WULAN WI 80,000 -
F001897 FATIH IHSA 10 20,000 - 5,000 - WULAN WI - -
S019355 SANI SUSAN 14 15,400 - 15,000 - WULAN WI - -
S005464 SANTI KUR 16 15,100 - 15,000 - WULAN WI 18,000 -
N002932 NENGSIH 17 27,700 - 15,000 - WULAN WI - -
D003004 DIANA WAT 23 9,000 - 25,000 - WULAN WI - -
M003877 MUHAMMAD 24 22,000 - 15,000 - WULAN WI - -
S001597 SYIFA FAU 26 24,200 - 15,000 - WULAN WI - -
D001390 DEDI SAEDI 28 16,000 - 15,000 - WULAN WI - -
R002427 RAHMAWAT 29 21,900 - 15,000 - WULAN WI - -
L000491 LENI FITRIA 30 17,800 - 15,000 - WULAN WI - -
R002418 RUSMINI 31 156,800 - 15,000 - WULAN WI 25,000 -
R017272 RAHMA SEP 35 20,400 - 15,000 - WULAN WI - -
W000774 WULAN WID 36 16,500 - 15,000 - WULAN WI - -
L000896 LAYLIA NAB 37 16,000 - 15,000 - WULAN WI - -
L001038 LILIS TUTI 40 24,400 - 15,000 - WULAN WI - -
M003933 MUJAHID AL 41 32,100 - 15,000 - WULAN WI - -
E001335 EROS ROSIT 42 26,600 - 15,000 - WULAN WI - -
A006858 ASTRIANTI 46 - - - - PERIKSA K - -
A008902 AI SONIANG 48 - - - - PERIKSA K - -
A002209 AHMAD SOB 49 24,400 - 15,000 - WULAN WI - -
R017283 RIANI SUHA 50 10,300 - 15,000 - WULAN WI - -
A019069 ALYA MAHB 51 - - 15,000 - WULAN WI - -
T001785 TASEM 53 23,800 - 15,000 - WULAN WI - -
R000999 REKSA END 58 32,000 - 15,000 - WULAN WI - -
R017284 RINI ANDRI 59 22,000 - 15,000 - WULAN WI - -
Y000203 YATNA TRE 60 12,100 - 15,000 - WULAN WI - -
E003253 EGA AGUST 61 15,000 - 15,000 - WULAN WI - -
Q000053 QIRENA JUL 62 16,700 - 15,000 - WULAN WI - -
P000835 PENTI HADI 64 27,100 - 15,000 - WULAN WI 105,000 -
N002130 NURUDIN 65 16,000 - 15,000 - WULAN WI - -
E001642 EGI YUDHA 72 32,000 - 15,000 - H. THIA SI - -
Y001911 YENI HERYA 79 29,000 - 15,000 - H. THIA SI - -
Y001117 YANTI YULI 83 - - - - PERIKSA K - -
A001685 ALI AKBAR 89 8,000 - 5,000 - H. THIA SI - -
D001919 DEVI RAMD 90 19,000 - 15,000 - H. THIA SI - -
R017285 ROSITA 98 27,000 - 15,000 - H. THIA SI - -
Z000289 ZAHRA AZA 100 - - 15,000 - H. THIA SI - -
A005675 ASIAH 105 23,000 - 15,000 - H. THIA SI - -
A007253 AGUS SOFY 107 27,000 - 15,000 - H. THIA SI - -

LAPORAN PENDAPATAN RAWAT JALAN


Periode: 08-05-2016 s/d 08-05-2016

No. RM Nama PasieNo. Apotek IGD Rawat Jala Jasa DokterDokter Lab Kartu
D001618 DESI BHUDI 9 11,000 - 5,000 - NOVI YULIA - -
R001191 RIZQYLILL 64 13,500 - 5,000 - H. ASEP S - -

LAPORAN PENDAPATAN RAWAT JALAN


Periode: 09-05-2016 s/d 09-05-2016

No. RM Nama PasieNo. Apotek IGD Rawat Jala Jasa DokterDokter Lab Kartu
B000632 BUNGA NUR 2 17,000 - 15,000 - WULAN WI - -
S004354 SITI NUR A 3 - - 15,000 - WULAN WI - -
R004353 RUKHYANTI 4 - - 15,000 - WULAN WI - -
E003129 EUIS PUPU 6 - - 15,000 - WULAN WI - -
M000822 MOCHAMAD 7 35,000 - 15,000 - WULAN WI - -
U016788 UDIN SAEP 8 - - 15,000 - WULAN WI - -
S004608 SRI DEWI L 9 25,000 - 15,000 - WULAN WI - -
M002248 MUTIARA R 10 24,000 - 15,000 - WULAN WI - -
Y000305 YAYAN 11 23,000 - 15,000 - WULAN WI - -
Z000116 ZIVANA AY 12 24,000 - 15,000 - WULAN WI - -
A019080 AMELIA MEL 13 19,000 - 15,000 - WULAN WI - -
J000817 JUBAEDAH 14 18,000 - 15,000 - WULAN WI - -
M003501 M. ALBANI 17 57,000 - 15,000 - WULAN WI - -
A009375 AJAT ACEN 18 11,000 - 15,000 - WULAN WI - -
S019360 SILVIA FEB 20 - - 10,000 5,000 WULAN WI - -
Z000496 ZAM ZAM M 24 - - 15,000 - WULAN WI 80,000 -
Y000479 YATI ROHMA 26 10,000 - 15,000 - WULAN WI - -
D003190 DUDI NURDI 27 24,000 - 15,000 - WULAN WI - -
R002682 RAMANDA 28 17,000 - 15,000 - WULAN WI - -
S003628 SOPIAN HA 31 32,000 - 15,000 - WULAN WI - -
E003320 EUIS ROSID 34 17,000 - 15,000 - WULAN WI - -
R003305 ROBIN SUK 38 19,000 - 15,000 - WULAN WI - -
K000013 KUSTILAH 44 25,000 - 15,000 - WULAN WI - -
D002915 DEDAH 51 15,000 - 15,000 - WULAN WI - -
N003807 NIA KURNI 53 23,000 - 15,000 - WULAN WI - -
P000809 PUTRI PER 54 31,000 - 15,000 - WULAN WI - -
V010269 VEBRYANTY 55 23,000 - 15,000 - WULAN WI - -
E003341 ENENG YAN 58 - - 15,000 - WULAN WI 80,000 -
J000647 JIHAN SAFI 59 14,000 - 15,000 - WULAN WI - -
M003567 MOCH JAN 61 10,000 - 15,000 - WULAN WI - -
M001381 MEGA ASTU 62 22,000 - 15,000 - WULAN WI - -
B000474 BENY AHMA 64 - - 15,000 - WULAN WI - -
V000247 VIRLA FIRSI 65 22,000 - 15,000 - WULAN WI - -
E001134 ERVAN RINA 66 - - 15,000 - WULAN WI - -
G000274 GINA ANGG 69 26,000 - 15,000 - WULAN WI - -
A006390 AGUS SAND 70 27,000 - 15,000 - WULAN WI - -
H001940 HUMAIGA 71 28,000 - 15,000 - WULAN WI - -
T000407 TITA MART 74 30,000 - 15,000 - WULAN WI - -
O000589 OHAR.H 75 20,000 - 15,000 - WULAN WI 18,000 -
A009343 ALI FRENGK 78 25,000 - 15,000 - WULAN WI - -
T016883 TATI SUPIAT 79 16,000 - 15,000 - WULAN WI - -
N003439 NOVIYANTI 80 14,000 - 15,000 - WULAN WI - -
G000701 GENI SUPAR 83 24,000 - 15,000 - WULAN WI - -
M004983 MICKAEL TR 84 28,000 - 15,000 - WULAN WI - -
D007063 DEDE SUPR 86 23,000 - 15,000 - WULAN WI - -
M001164 MIMA YULI 90 11,000 - 15,000 - WULAN WI - -
Y000797 YETI NURHA 93 24,000 - 15,000 - WULAN WI - -
Z000579 ZAIN NATH 94 17,000 - 15,000 - WULAN WI - -
N015920 NENENG AA 95 32,000 - 15,000 - WULAN WI - -
A000658 AAN 98 26,100 - 15,000 - WULAN WI - -
D007064 DICKY NU 99 33,100 - 15,000 - WULAN WI - -
M002993 M. AIRALD 100 25,000 - 15,000 - WULAN WI - -
LAPORAN PENDAPATAN RAWAT JALAN
Periode: 10-05-2016 s/d 10-05-2016

No. RM Nama PasieNo. Apotek IGD Rawat Jala Jasa DokterDokter Lab Kartu
U000840 UUM UMIR 2 19,750 - 15,000 - WULAN WI - -
N002175 NUNUNG R 4 31,800 - 15,000 - WULAN WI - -
T001441 TRI SUDART 5 10,300 - 15,000 - WULAN WI - -
P000701 POPI HERA 9 16,800 - 15,000 - WULAN WI - -
R003655 RAIHAN KE 16 21,100 - 15,000 - WULAN WI - -
A002324 ALEN AMEL 17 26,200 - 5,000 - WULAN WI - -
I007369 ITA ROSITA 18 - - - - PERIKSA K - -
I002859 IMAS MASL 19 17,700 - 15,000 - WULAN WI 60,000 -
M001295 MUFTI MU 20 77,200 - 15,000 - WULAN WI 55,000 -
H000161 HAFID RAM 22 23,100 - 15,000 - WULAN WI - -
T001904 TORIQ ABD 23 35,000 - 15,000 - WULAN WI - -
N003529 NENI SUPIA 24 24,400 - 15,000 - WULAN WI - -
T001654 TONO JULI 28 23,000 - 15,000 - NOVI YULIA - -
A019088 ABID AQILA 31 14,600 - 15,000 - WULAN WI - -
W019592 WIWIN WID 32 - - - - PERIKSA K - -
R000792 RISA YUNIA 33 14,000 - 15,000 - WULAN WI - -
N003933 NENENG NO 34 20,300 - 15,000 - WULAN WI - -
A019089 AZKA AL KH 35 35,800 - - - WULAN WI - -
A019006 AA AHMAD 36 43,000 45,000 15,000 - WULAN WI - -
A006482 AI NURARO 39 17,600 - 15,000 - WULAN WI 60,000 -
A006087 ALVI REFALI 43 26,150 - 15,000 - WULAN WI - -
I002398 IKBAL PUR 45 22,400 - 15,000 - WULAN WI - -
A002061 ANNISA NU 46 27,700 - 15,000 - WULAN WI - -
T001151 TETIN RIZKI 47 18,300 - 15,000 - WULAN WI - -
D000368 DENA SUTI 48 19,200 - 15,000 - WULAN WI - -
E000967 ESTI RAHM 50 27,000 - 15,000 - WULAN WI 80,000 -
R004004 RINRIN DA 51 13,750 - 15,000 - WULAN WI - -
R004699 RAFLI FAH 52 31,400 - 15,000 - WULAN WI - -
R000832 REGA ALDI 53 26,000 40,000 15,000 - WULAN WI - -
A009353 AI ROSITAW 54 14,950 - 15,000 - WULAN WI - -
D002778 DIAN HAND 55 24,400 - 15,000 - WULAN WI - -
A007663 ACEP ROH 57 20,200 - 15,000 - WULAN WI - -
I002740 IYAN SURY 58 26,200 - 15,000 - WULAN WI - -
L001262 LISNA YULI 60 - - 15,000 - WULAN WI - -
I002956 INDRI TRI 61 17,800 - 15,000 - WULAN WI - -
Y002184 YULIA AGU 65 - - - - PERIKSA K - -
T001731 TIN SURTIN 70 18,600 - 15,000 - WULAN WI - -
A019093 ANNISA SRI 74 18,000 - 15,000 - NOVI YULIA - -
A019094 ANNISA RA 76 25,200 - 15,000 - NOVI YULIA - -
L001154 LILIS RUSMI 77 29,600 - 15,000 - NOVI YULIA - -
A002766 ASYANTI 78 31,100 - 15,000 - NOVI YULIA - -
N002930 NAZWA SEP 86 26,500 - 15,000 - NOVI YULIA - -
D002928 DINAR SAR 87 29,800 - 15,000 - NOVI YULIA - -
H001830 HANA WUL 93 - - - - PERIKSA K - -
A007403 ALFIN DZA 94 33,000 - 15,000 - NOVI YULIA - -
N002998 NURAFNI A 95 30,000 - 15,000 - NOVI YULIA - -
S001480 SUTARSIH 97 49,400 - 15,000 - NOVI YULIA - -
A007424 ANI NURDI 99 11,750 - 15,000 - NOVI YULIA - -
S005170 SRI RAHAY 108 - - - - PERIKSA K - -
S019367 SANTI SUPR 109 - - - - PERIKSA K - -
Z000394 ZALFA OKTA 110 25,700 - 15,000 - ENCEP SU - -
T000311 TINA AGUS 114 16,200 - 15,000 - NOVI YULIA - -
A008825 ADIVA HAS 116 32,200 - 15,000 - NOVI YULIA - -
S005070 SOPANDI 117 13,200 - 15,000 - NOVI YULIA - -
A007618 ADINDA RA 118 21,100 - 15,000 - NOVI YULIA - -
S001597 SYIFA FAU 120 37,000 - 5,000 - NOVI YULIA - -
M001189 MARIA FITR 126 9,000 - 5,000 - NOVI YULIA - -
V000094 VANZY WAN 128 7,000 - 5,000 - NOVI YULIA - -
E000825 ELDESSA VA 136 15,000 - 15,000 - ENCEP SU - -

LAPORAN PENDAPATAN RAWAT JALAN


Periode: 11-05-2016 s/d 11-05-2016

No. RM Nama PasieNo. Apotek IGD Rawat Jala Jasa DokterDokter Lab Kartu
F001556 FITRI SUSI 2 22,200 - 15,000 - NOVI YULIA - -
S005044 SELOMITAH 3 21,100 - 15,000 - NOVI YULIA - -
D000971 DADANG N 7 12,000 - 15,000 - NOVI YULIA - -
E002490 ERSAN ALI 10 23,350 - 15,000 - NOVI YULIA - -
E000574 EKSA ALYA 11 35,000 - 15,000 - NOVI YULIA - -
I002350 IYAM SITI 12 22,400 - 15,000 - NOVI YULIA - -
T016885 TIA SETIA 13 23,800 - 15,000 - NOVI YULIA - -
A009693 ARKAN SAI 14 44,600 - 15,000 - NOVI YULIA - -
E003167 ENTUT KAR 15 55,400 - 15,000 - NOVI YULIA 66,000 -
F001623 FITRIANI SI 16 - - 15,000 - NOVI YULIA - -
E002890 ENCUM KU 17 37,700 - 15,000 - NOVI YULIA - -
N003313 NINA YUNI 18 16,800 - 15,000 - NOVI YULIA - -
Y002126 YENI SUMA 19 26,600 - 15,000 - NOVI YULIA - -
A009335 ALINDA NU 21 33,600 - 15,000 - NOVI YULIA - -
S004652 SITI ROHM 24 21,400 - 15,000 - NOVI YULIA - -
I001457 IIN KURNIA 27 31,950 - 15,000 - NOVI YULIA - -
R003174 RIA SATRIA 28 - - - - PERIKSA K - -
R003648 RINRIN APR 29 23,000 - 15,000 - NOVI YULIA - -
A008909 ABDUL HAF 32 16,800 - 15,000 - NOVI YULIA - -
S004512 SEPTI FITRI 34 28,100 - 15,000 - NOVI YULIA - -
F004763 FARSHAD G 38 23,700 - 15,000 - NOVI YULIA - -
W001099 WILDAN RIF 39 26,400 - 15,000 - NOVI YULIA - -
M004900 MUHAMAD A 41 - - 15,000 - NOVI YULIA - -
O000668 OHAN SUR 43 26,600 - 15,000 - NOVI YULIA - -
A002603 ANGGA DES 44 25,950 - 15,000 - NOVI YULIA - -
R005213 ROSA DESN 47 25,400 - 15,000 - NOVI YULIA - -
Z000418 ZIE HANA S 50 37,400 - 15,000 - NOVI YULIA - -
M001381 MEGA ASTU 51 5,200 - 15,000 - NOVI YULIA 25,000 -
A006788 AHMAD SU 53 15,400 - 15,000 - WULAN WI - -
H000780 HELMI ANG 57 21,100 - 15,000 - WULAN WI 80,000 -
I003327 ISHFIYYA 64 21,700 - 15,000 - WULAN WI - -
S004983 SRI MULYAN 65 - - 15,000 - WULAN WI - -
S004309 SINTA APRI 67 44,000 - 15,000 - WULAN WI - -
I007350 IDA NURLA 68 14,000 - 15,000 - WULAN WI - -
I003246 IFFATUL AZ 69 26,200 - 15,000 - WULAN WI - -
E002872 ERNI YULIA 70 27,000 - 15,000 - WULAN WI - -
I003077 IMAS ISMA 74 - - - - PERIKSA K - -
D007069 DIKI MARJU 77 18,500 - 15,000 - WULAN WI - -
S004942 SHEREN MA 78 14,000 - 15,000 - WULAN WI - -
S004863 SHERRELL 79 7,700 - 15,000 - WULAN WI - -
A008479 ASYIFA RA 80 31,800 - 15,000 - WULAN WI - -
E003477 EGI DEWI S 81 16,000 - 15,000 - WULAN WI - -
A003289 AGUS TATA 82 22,500 - 5,000 - WULAN WI - -
R003924 RINI SARIN 85 22,000 - 15,000 - WULAN WI - -
N003834 NING WATI 87 18,800 - 15,000 - WULAN WI - -
P000795 PUTRI AUR 88 79,400 - 15,000 - WULAN WI - -
D007070 DJUHUD, H 89 32,700 105,000 15,000 - WULAN WI - -
B000471 BUDIYARSA 90 10,200 - 15,000 - WULAN WI - -
A003667 AMAS MAS 97 19,000 - 15,000 - WULAN WI - -
A008295 ANNISA KA 100 23,800 - 15,000 - WULAN WI - -
A008069 ALYA PUTR 101 31,700 - 15,000 - WULAN WI - -
Y001988 YENI GUSM 102 15,500 - 15,000 - WULAN WI - -
F001918 FERDI ARD 103 21,500 - 15,000 - WULAN WI - -
H000655 HARISA AT 105 17,000 - 15,000 - WULAN WI - -
LAPORAN PENDAPATAN RAWAT JALAN
Periode: 12-05-2016 s/d 12-05-2016

No. RM Nama PasieNo. Apotek IGD Rawat Jala Jasa DokterDokter Lab Kartu
A003000 ARNI SULAN 3 - - - - PERIKSA K - -
R000369 RIA FITRIAN 4 32,000 - 5,000 - ENCEP SU - -
E006063 ENUNG 7 14,800 - 15,000 - NOVI YULIA - -
M014567 M.HILMI 8 43,000 45,000 15,000 - NOVI YULIA - -
H007278 HANNIE VI 14 15,000 - 15,000 - NOVI YULIA - -
R005329 RESTI APRIL 15 25,750 - 15,000 - NOVI YULIA - -
M014568 MAHMURI 16 25,000 - 15,000 - NOVI YULIA - -
T001579 TIA 20 26,000 - 15,000 - NOVI YULIA - -
A009209 ADITYA SAT 21 32,500 - 15,000 - NOVI YULIA - -
N015924 NUR AFWA 22 37,200 - 15,000 - NOVI YULIA - -
E001145 ENENG KUR 23 38,100 - 15,000 - NOVI YULIA - -
G000551 GEN GEN A 25 24,350 - 15,000 - NOVI YULIA - -
I000520 IJAH KHADI 26 24,700 - 15,000 - NOVI YULIA - -
F001725 FAHMI FA 29 32,750 - 15,000 - NOVI YULIA 80,000 -
F002184 FITRIANI 33 - - - - PERIKSA K - -
D007072 DZAKIRA A 34 21,100 - 15,000 - NOVI YULIA - -
R004353 RUKHYANTI 36 - - 15,000 - NOVI YULIA - -
A007249 ADAM BERL 38 - - 15,000 - NOVI YULIA - -
S019369 SASKIA ME 39 9,000 - 15,000 - NOVI YULIA - -
F000774 FENI FEBRI 40 - - 15,000 - NOVI YULIA - -
M014569 MUHAMADR 41 28,300 - 15,000 - NOVI YULIA - -
H001184 HAFID RAML 45 77,000 45,000 15,000 - NOVI YULIA - -
A009321 ADE RUKA 47 32,000 - 15,000 - NOVI YULIA - -
S005458 SUMPENA 49 27,700 - 15,000 - NOVI YULIA 25,000 -
C000682 CUCU JUAR 51 - - 15,000 - NOVI YULIA - -
E006064 ENGKUN A 52 - - 15,000 - NOVI YULIA - -
M014571 MELDA NUR 53 - - 15,000 - NOVI YULIA - -
D003605 DANDAN AC 54 22,200 - 15,000 - NOVI YULIA - -
A007192 AI ECIN KU 56 24,700 - 15,000 - NOVI YULIA - -
M014572 MIN ALFI 57 10,150 - 15,000 - NOVI YULIA - -
I003188 ILHAM WIR 58 32,600 - 15,000 - NOVI YULIA - -
K001007 KIRANA AZ 61 28,100 - 15,000 - NOVI YULIA - -
W000351 WITA PUSPI 64 - - - - PERIKSA K - -
L000365 LUTFI SALM 65 - - 15,000 - NOVI YULIA - -
S001808 SATRIA KRI 67 17,000 - 5,000 - NOVI YULIA - -
L010572 LUTFI BAHT 68 - - 15,000 - NOVI YULIA - -
F000516 FARINA NU 72 21,000 - 15,000 - NOVI YULIA - -
D003240 DANI RAM 74 29,000 - 5,000 - NOVI YULIA - -
S004694 SAEPUDIN 75 29,000 - 15,000 - NOVI YULIA - -
W001117 WIRANTIWI 77 - - 15,000 - H. ASEP - -
S005219 SYIFA SYAFI 78 30,000 - 15,000 - H. ASEP - -
A001685 ALI AKBAR 80 23,000 - 5,000 - H. ASEP - -
S003810 SYAHNAZ N 84 26,000 - 15,000 - H. ASEP - -
P000792 PIPIT NURD 88 - - 15,000 - H. ASEP - -
I002956 INDRI TRI 89 24,000 - 15,000 - H. ASEP 25,000 -
P000663 PIAN GUST 90 21,000 - 15,000 - H. ASEP - -
A004673 ACENG FIR 95 - - 15,000 - H. ASEP - -
A006631 AAN JUANA 97 - - 15,000 - H. ASEP - -
H000974 HERI RUSLI 99 32,000 - 15,000 - H. ASEP - -
A003377 AI SOLIHAT 100 22,000 - 15,000 - H. ASEP - -
N000412 NETI CICI 101 28,000 - 15,000 - H. ASEP - -
T001051 TETI HARYA 102 18,500 - 15,000 - H. ASEP 25,000 -
D001026 DIDI SUNAN 105 13,000 - 15,000 - H. ASEP - -
R001436 RATIH DWI 107 29,000 - 15,000 - H. ASEP - -
R004004 RINRIN DA 109 29,000 - 15,000 - H. ASEP - -
D003738 DIAN SUGI 110 21,000 - 15,000 - H. ASEP - -
Y001559 YANTI ROH 112 26,000 - 15,000 - H. ASEP - -
A001212 ANDHITA JU 116 24,000 - 15,000 - H. ASEP - -
I003660 IMAM FAJ 117 34,000 - 15,000 - H. ASEP - -
L000350 LILIS ROHAY 126 33,000 - 15,000 - H. ASEP - -
M000706 MIMIN AM 127 21,000 - 15,000 - H. ASEP - -
A005273 AQILA DEV 128 22,000 - 15,000 - H. ASEP - -
E000825 ELDESSA VA 131 22,600 - 5,000 - DETY NUR - -

LAPORAN PENDAPATAN RAWAT JALAN


Periode: 13-05-2016 s/d 13-05-2016

No. RM Nama PasieNo. Apotek IGD Rawat Jala Jasa DokterDokter Lab Kartu
U000153 UJANG JAE 5 32,000 - 15,000 - WULAN WI - -
R017301 RIZAL ROJAL 7 26,600 - 15,000 - WULAN WI - -
A007211 ANITA LEST 13 22,000 - 15,000 - WULAN WI - -
E006066 EDGINA FA 14 16,700 - 15,000 - WULAN WI - -
M004403 MUHAMAD R 15 19,100 - 15,000 - WULAN WI - -
M004125 MARDIANI 17 - - - - PERIKSA K - -
S003729 SAMSUDIN, 18 36,000 - 15,000 - WULAN WI - -
A019102 ARIE AKBAR 19 23,200 - 15,000 - WULAN WI - -
M003889 M. HAIKAL 23 18,100 - 15,000 - WULAN WI - -
N003585 NONENG SO 24 9,000 - 15,000 - WULAN WI - -
M002954 MOCHAMAD 26 35,800 - 15,000 - WULAN WI - -
Y019303 YUDI SETIA 28 28,200 - 15,000 - WULAN WI - -
S001808 SATRIA KRI 29 34,500 - 5,000 - WULAN WI - -
E006067 EUIS JUWIT 30 27,000 - 15,000 - WULAN WI - -
E002516 ENIH YUNI 31 34,100 - 15,000 - WULAN WI - -
Y001591 YADI SUPRI 32 16,500 - 15,000 - WULAN WI - -
B000255 BAGJA WIR 34 25,000 - 15,000 - WULAN WI - -
E003738 ENGKUS 35 26,400 - 15,000 - WULAN WI - -
L001270 LILIS KURNI 36 29,250 - 15,000 - WULAN WI - -
U000662 USAM SAM 37 18,200 - 15,000 - WULAN WI - -
D003455 DERI DWI 39 29,600 - 15,000 - WULAN WI - -
F004765 FAHMI ZAE 41 24,400 - 15,000 - WULAN WI - -
E002918 ELSA RHOS 42 17,700 - 15,000 - WULAN WI - -
A019103 AHMAD SAR 43 18,400 - 15,000 - WULAN WI - -
S005379 SITI FATIM 44 11,800 - 15,000 - WULAN WI - -
F000562 FAUZAN AB 45 16,000 - 15,000 - WULAN WI - -
Z000654 ZAENUDIN 49 20,100 - 15,000 - WULAN WI - -
I000951 IVAN HERV 51 - - - - WULAN WI - -
A002436 AI ANITA 52 - - - - WULAN WI - -
A004540 AZMI FAHR 53 - - - - WULAN WI - -
S005559 SHUHAIL K 54 26,200 - 15,000 - WULAN WI - -
E006068 ELSAMALAN 55 28,000 - 15,000 - ANDI HER 80,000 -
Y000708 YUNI NURA 56 24,500 - 15,000 - WULAN WI - -
N015928 NAURA SHA 61 36,000 - 15,000 - ANDI HER - -
A002209 AHMAD SOB 66 45,000 - 15,000 - ANDI HER 18,000 -
I002444 IRVAN FIRD 70 23,000 - 15,000 - ANDI HER 25,000 -
G000412 GITA FLORE 71 32,000 - 15,000 - ANDI HER - -
M004726 MUHAMMAD 72 25,000 - 15,000 - ANDI HER - -
W000756 WAWANG S 75 29,000 - 15,000 - ANDI HER 18,000 -
Q005680 QUENZI JAS 76 31,000 - 15,000 - ANDI HER - -
A002466 ANISA FEBR 77 31,000 - 15,000 - ANDI HER - -
A009548 AMANDA N 78 34,000 - 15,000 - ANDI HER - -
A003495 AZMI ATOIL 81 35,000 - 15,000 - ANDI HER 80,000 -
S003402 SUSI IMAWA 82 42,000 - 15,000 - ANDI HER - -
N000469 NINA ROST 83 43,000 - 15,000 - ANDI HER - -
S002017 SINAR RIZKI 86 35,000 - 15,000 - ANDI HER - -
N003359 NAILA PUTE 88 54,000 - 15,000 - ANDI HER - -
A003391 ARDI SETIA 89 23,000 - 15,000 - ANDI HER - -
N015929 NAZWA AGT 91 57,000 - 15,000 - ANDI HER - -
A002011 AINUN ALIF 92 35,000 - 15,000 - ANDI HER - -
N003889 NIRA ANGG 95 31,000 - 15,000 - ANDI HER - -

LAPORAN PENDAPATAN RAWAT JALAN


Periode: 14-05-2016 s/d 14-05-2016

No. RM Nama PasieNo. Apotek IGD Rawat Jala Jasa DokterDokter Lab Kartu
R002481 RANA 3 - - 5,000 - ENCEP SU - -
A003289 AGUS TATA 4 15,500 - 5,000 - ENCEP SU - -
E002321 ENCEP NUR 5 26,000 - 15,000 - WULAN WI 18,000 -
R002418 RUSMINI 6 22,000 - 15,000 - WULAN WI - -
A009043 ADE KOMA 7 33,000 - 15,000 - WULAN WI 18,000 -
T001863 TINI SUMAR 8 - - 15,000 - WULAN WI - -
A008191 ALLWY ADHI 12 19,000 - 15,000 - WULAN WI - -
Y000436 YANTI HERL 13 22,000 - 15,000 - WULAN WI 78,000 -
D001390 DEDI SAEDI 18 11,000 - 15,000 - NOVI YULIA - -
W000550 WATI ROHA 19 37,000 - 15,000 - NOVI YULIA 43,000 -
R004271 RIZKI AHM 20 24,000 - 15,000 - WULAN WI - -
N002665 NURFITRI 22 21,000 - 15,000 - WULAN WI - -
D003605 DANDAN AC 23 11,000 - 15,000 - WULAN WI - -
S005240 SANIM RUD 25 23,000 - 15,000 - WULAN WI - -
D003645 DESY SUSA 26 - - - - PERIKSA K - -
I003670 IMAS 27 19,000 - 15,000 - WULAN WI 66,000 -
P000708 PIRMAN N 28 - - 15,000 - WULAN WI - -
H001515 HANNY HIDA 29 20,000 - 15,000 - WULAN WI - -
R005116 RAFFAEL A 30 22,000 - 15,000 - WULAN WI - -
D000951 DINI FARAH 31 32,000 - 15,000 - WULAN WI - -
Y002117 YENI RAHM 32 12,000 - 15,000 - WULAN WI - -
N003063 NEVI NAZM 33 19,000 - 15,000 - WULAN WI - -
A019107 AZIZAH PUT 34 - - 15,000 - WULAN WI - -
M003572 MARIANA O 35 14,000 - 15,000 - WULAN WI - -
A008175 ANDI NUGR 36 20,000 - 15,000 - WULAN WI 60,000 -
A003495 AZMI ATOIL 37 22,000 - 15,000 - WULAN WI - -
S005219 SYIFA SYAFI 38 23,000 - 15,000 - WULAN WI - -
N002689 NINDYA FAR 40 16,000 - 15,000 - WULAN WI - -
F001739 FAUZAN MU 41 17,000 - 10,000 5,000 WULAN WI - -
G000300 GEMA AKB 42 35,000 - 15,000 - WULAN WI - -
A007619 ASRI AMAL 44 - - - - PERIKSA K - -
K000546 KHANSA TS 46 20,000 - 15,000 - WULAN WI - -
Z000399 ZEIN AFKA 49 21,000 - 15,000 - WULAN WI - -
F001318 FERLY ARVI 50 11,000 - 15,000 - WULAN WI - -
E003641 ENDAH ASTR 56 16,000 - 15,000 - WULAN WI - -
T016887 TAUFIK RA 57 23,000 - 10,000 5,000 WULAN WI - -
M004776 MUHAMAD 60 21,100 - 15,000 - WULAN WI - -
N015932 NABILA WA 62 16,500 - 15,000 - NOVI YULIA - -
I003677 IRA FARDIL 68 31,800 - 15,000 - NOVI YULIA - -
R004806 RESTU AYU 69 38,400 - 15,000 - NOVI YULIA - -
A008126 ABIDIN 73 35,500 - 15,000 - NOVI YULIA - -
K001071 KANDA SU 74 33,000 - 15,000 - NOVI YULIA 66,000 -
W000163 WAHDAN SY 77 31,500 - 10,000 5,000 NOVI YULIA - -
N003469 NAUFAL SA 78 20,000 40,000 15,000 - NOVI YULIA - -
N002932 NENGSIH 79 39,400 - 15,000 - NOVI YULIA - -
R017306 RANDI SEB 80 34,200 - 15,000 - NOVI YULIA - -
A008080 ADI MUSLI 81 30,000 - 15,000 - NOVI YULIA - -
A009626 AJAN, S.HU 85 23,000 - 15,000 - NOVI YULIA - -
D007075 DEFINA DA 86 24,500 - 15,000 - NOVI YULIA - -
N002830 NAURA SYAK 96 14,700 - - - DETY NUR - -

LAPORAN PENDAPATAN RAWAT JALAN


Periode: 16-05-2016 s/d 16-05-2016

No. RM Nama PasieNo. Apotek IGD Rawat Jala Jasa DokterDokter Lab Kartu
G000608 GHAISA LU 5 32,450 - 15,000 - WULAN WI - -
M004672 MUHAMMAD 6 20,000 - 15,000 - WULAN WI - -
E002890 ENCUM KU 7 23,600 - 15,000 - WULAN WI - -
I002207 IYANG SAE 8 - - 15,000 - WULAN WI - -
S004270 SOFIA NURH 12 33,600 - 15,000 - WULAN WI - -
L000709 LIA NURYAN 13 17,600 - 15,000 - WULAN WI - -
M003747 MOCH ADE 15 20,200 - 15,000 - WULAN WI - -
A009516 ACOEM MA 18 - - 15,000 - WULAN WI - -
R004806 RESTU AYU 19 25,200 - 15,000 - WULAN WI 80,000 -
S019376 SUPENI 20 20,800 - 15,000 - WULAN WI - -
M002590 M. RIZKY 22 8,000 - 15,000 - WULAN WI - -
S005304 SRI TUTI M 25 20,200 - 15,000 - WULAN WI - -
N003439 NOVIYANTI 27 - - 15,000 - WULAN WI - -
R017311 RESTY PUJI 28 - - 15,000 - WULAN WI - -
K009838 KANDI 29 37,200 - 15,000 - WULAN WI - -
L001050 LILIS APRIA 34 19,200 - 15,000 - WULAN WI - -
A008102 ARIS SUNA 36 9,000 - 15,000 - WULAN WI - -
S003863 SUHUD SYA 39 22,200 - 15,000 - WULAN WI - -
S003896 SYAHID ALI 40 25,400 - 15,000 - WULAN WI 80,000 -
L010574 LINDA FAJA 41 13,200 - 15,000 - WULAN WI - -
A006608 ALYA FATM 42 27,400 - 15,000 - WULAN WI 80,000 -
N000596 NAUFAL MU 44 14,000 - 15,000 - WULAN WI - -
S000781 SANTANA 45 22,400 - 15,000 - WULAN WI - -
Z000552 ZAHRA AUL 46 19,100 - 15,000 - WULAN WI - -
A019115 ANNE INAY 47 - - - - PERIKSA K - -
E003402 ERUM RUMY 51 21,900 - 15,000 - ENCEP SU - -
E003571 EUIS ANDRI 52 31,800 - 15,000 - WULAN WI - -
I003396 IIS LIAWATI 54 20,000 - 15,000 - WULAN WI - -
R004945 RESYA AUL 55 18,500 - 15,000 - WULAN WI - -
M001060 M FAJAR SI 56 22,400 - 15,000 - WULAN WI - -
S019377 SANITA 57 30,400 - 15,000 - WULAN WI - -
S004337 SOFYAN ZA 65 48,000 - 15,000 - WULAN WI - -
I001722 IIS KARTIN 66 21,500 - 15,000 - WULAN WI - -
V000068 VERAWATI 67 24,500 - 15,000 - WULAN WI - -
A019117 ANTIN ISHA 68 26,000 - 15,000 - WULAN WI - -
A006886 ADI ROSDI 69 20,200 - 15,000 - WULAN WI - -
A003195 AISYAH 70 - - - - PERIKSA K - -
D007079 DEDE ZAEN 71 17,500 - 15,000 - WULAN WI - -
Y002268 YANA MULY 72 21,500 - 15,000 - WULAN WI - -
H007281 HARRY MO 73 17,100 - 15,000 - WULAN WI - -
R004335 RISNAWATI 76 22,000 - 15,000 - WULAN WI - -
A009314 AULIA RIZ 77 28,400 - 15,000 - WULAN WI - -
Y019306 YULIA TEZI 78 21,200 - 15,000 - WULAN WI - -
E003591 EULIS 80 12,350 - 15,000 - WULAN WI - -
N003509 N. KUSMAR 81 32,800 - 15,000 - WULAN WI - -
A019119 AKBAR SALM 82 16,700 - 15,000 - WULAN WI - -
Z000465 ZULIAN N 83 14,700 - 15,000 - WULAN WI - -
S004602 SETIAWATI 85 16,000 - 15,000 - WULAN WI - -
A007518 AMUS SUR 86 22,900 - 15,000 - WULAN WI - -
N003807 NIA KURNI 87 21,600 - 15,000 - WULAN WI - -
S005379 SITI FATIM 88 9,000 - 15,000 - WULAN WI - -
D002589 DHIVANIA 90 16,400 - 15,000 - WULAN WI - -
Y001485 YUDI MULY 93 24,750 - 15,000 - WULAN WI - -
I000921 INES NAISH 94 16,500 - 5,000 - WULAN WI - -
A009001 ANGGA SU 97 20,300 - 15,000 - WULAN WI - -
S005254 SITI JUARIA 98 25,800 - 15,000 - WULAN WI - -
M014584 MUHAMMAD 99 17,300 - 15,000 - WULAN WI - -
N000873 NENDEN WI 101 31,200 - 15,000 - WULAN WI - -
D001618 DESI BHUDI 102 20,200 - 5,000 - WULAN WI - -
Y019307 YANA MULY 105 26,000 - 15,000 - ENCEP SU - -
N002948 NHINDO KU 109 19,700 - 15,000 - ENCEP SU - -
E002879 EEN ATIT 110 20,200 - 15,000 - ENCEP SU - -
W001193 WAHYU 113 29,400 - 15,000 - ENCEP SU - -
T000291 TUTI KARTI 115 21,400 - 15,000 - ENCEP SU - -
H001855 HOLIS 117 20,600 - 15,000 - ENCEP SU - -
A006576 ACEP NAHW 118 33,000 - 15,000 - ENCEP SU - -
M014585 MUHAMAD 123 25,200 - 15,000 - ENCEP SU - -
M004877 MUHAMMM 129 29,000 - 15,000 - ENCEP SU - -
L001219 LUSIANA 130 20,200 - 15,000 - ENCEP SU - -
B000674 BABAN SYA 131 19,100 - 15,000 - ENCEP SU - -
A009641 AZALEA KI 132 20,000 - 15,000 - ENCEP SU - -
E003352 EKY YADI 137 17,200 - 15,000 - ENCEP SU 23,000 -
A019122 AISAH 140 23,100 - 10,000 5,000 ENCEP SU - -
R005315 RISWANDI 144 24,200 - 15,000 - ENCEP SU - -
I003246 IFFATUL AZ 145 14,000 - 15,000 - ENCEP SU - -
Z000542 ZALFA A 146 30,700 - 15,000 - ENCEP SU - -
A003495 AZMI ATOIL 147 18,500 - 15,000 - ENCEP SU - -

LAPORAN PENDAPATAN RAWAT JALAN


Periode: 17-05-2016 s/d 17-05-2016

No. RM Nama PasieNo. Apotek IGD Rawat Jala Jasa DokterDokter Lab Kartu
A006530 ANDRI JUL 3 26,000 - 15,000 - WULAN WI - -
E003641 ENDAH ASTR 4 18,400 - 15,000 - WULAN WI - -
M003238 M RIZKI SU 6 25,500 - 15,000 - H. ASEP - -
L000524 LISTIAWATI 8 14,950 - 15,000 - WULAN WI - -
S004760 SHAKTI IQD 9 21,100 - 15,000 - WULAN WI - -
S004220 SASA SARIP 10 15,650 - 15,000 - WULAN WI - -
S004652 SITI ROHM 11 13,200 - 15,000 - WULAN WI - -
S003729 SAMSUDIN, 15 29,600 - 15,000 - WULAN WI 103,000 -
J000460 JAMALUDIN 16 25,800 - 11,000 4,000 WULAN WI - -
I001342 IPIN ARIPIN 17 22,400 - 15,000 - WULAN WI - -
M002188 MUSLIHAT 18 90,900 - 15,000 - WULAN WI - -
R001465 RAHMAWAT 19 28,000 - 15,000 - WULAN WI - -
N015939 NANI SUMA 20 13,500 - 15,000 - WULAN WI - -
A009199 ANAZWA PU 21 15,100 - 15,000 - WULAN WI - -
O017463 OTO SUKIA 22 10,900 - 15,000 - WULAN WI - -
A007156 AISHA ZULE 23 24,800 - 15,000 - WULAN WI - -
T001445W TUTI HERA 25 44,000 - 15,000 - WULAN WI - -
J000653 JUBAEDAH , 26 14,500 - 15,000 - WULAN WI - -
R004127 RINI 29 - - - - PERIKSA K - -
N003469 NAUFAL SA 30 23,000 - 15,000 - WULAN WI - -
A003224 ALDI PANC 31 14,700 - 15,000 - WULAN WI - -
T000224 TOHA UMUL 32 18,000 - 15,000 - WULAN WI - -
A007031 AYI SITI NU 34 - - - - PERIKSA K - -
E002773 ELVIRA JULI 35 36,000 - 15,000 - WULAN WI - -
I003213 IIN SURTINI 40 16,950 - 15,000 - WULAN WI - -
M014587 M HABI ZI 41 25,000 - 15,000 - WULAN WI - -
R004783 RUSLAN 42 20,300 - 15,000 - WULAN WI 25,000 -
D002910 DEWI AMRO 46 - - 15,000 - WULAN WI - -
H000161 HAFID RAM 50 23,000 - 15,000 - WULAN WI - -
S002644 SITI SAHRA 51 26,000 - 15,000 - WULAN WI - -
D002777 DEDE WAH 52 28,600 - 15,000 - WULAN WI - -
A006913 ASRIL ADI 53 16,000 - 15,000 - WULAN WI - -
T001743 TITING SU 55 9,000 - 15,000 - WULAN WI 25,000 -
M004931 MITA HANN 56 21,700 - 15,000 - WULAN WI - -
C000161 CIKA GHAN 57 8,300 - 15,000 - WULAN WI - -
S019381 SABIRA APR 58 35,000 - 15,000 - WULAN WI - -
D003314 DIDAH HAM 63 24,500 - 15,000 - WULAN WI - -
D007081 D AHMAD S 66 27,200 - 15,000 - WULAN WI - -
S001888 SULASTRI 67 19,000 - 15,000 - WULAN WI - -
N002377 NAZNEN AT 68 20,700 - 15,000 - WULAN WI - -
S005464 SANTI KUR 71 - - 15,000 - WULAN WI - -
I007349 ISAM SAMS 72 - - 15,000 - WULAN WI - -
D002976 DONI IGUST 73 24,600 - 15,000 - WULAN WI - -
B000726 BILQIS MA 74 19,700 - 15,000 - WULAN WI - -
R005179 RAHMAN N 75 33,000 - 10,000 5,000 NOVI YULIA - -
N001402 NENENG SU 76 11,200 - 10,000 5,000 NOVI YULIA - -
I003147 ISAH 77 19,100 - 15,000 - WULAN WI - -
I002693 IDA FARIDA 78 16,800 - 15,000 - NOVI YULIA - -
R005119 REPI NURDI 80 34,600 - 15,000 - NOVI YULIA - -
D000980 DHANI WUL 90 28,600 - 15,000 - NOVI YULIA 55,000 -
H000744 HADI SEPTI 91 19,150 - 15,000 - NOVI YULIA - -
R017316 ROMLAH 93 - - 15,000 - NOVI YULIA - -
S004694 SAEPUDIN 95 34,600 - 15,000 - NOVI YULIA - -
L000273 LEGINA 96 28,000 - 15,000 - NOVI YULIA - -
R004530 RATNA SAR 98 26,300 - 15,000 - NOVI YULIA - -
A006631 AAN JUANA 101 - - 15,000 - NOVI YULIA - -
M004429 MUHAMMA 103 36,200 - 15,000 - NOVI YULIA - -
S019385 SAUZAN FIT 108 29,200 - 15,000 - NOVI YULIA - -
A009204 ADAM AL AZ 115 28,000 - 15,000 - NOVI YULIA - -
A006788 AHMAD SU 116 27,000 - 15,000 - NOVI YULIA - -
A007156 AISHA ZULE 87 38,200 - 15,000 - NOVI YULIA - -

LAPORAN PENDAPATAN RAWAT JALAN


Periode: 18-05-2016 s/d 18-05-2016

No. RM Nama PasieNo. Apotek IGD Rawat Jala Jasa DokterDokter Lab Kartu
B000462 BUDI SUTIS 6 13,000 - 15,000 - NOVI YULIA - -
G000038 GINA SITI 9 33,000 - 15,000 - NOVI YULIA - -
K000013 KUSTILAH 10 21,000 - 15,000 - NOVI YULIA - -
E003167 ENTUT KAR 11 41,800 - 15,000 - NOVI YULIA 18,000 -
P000293 PUTRI SAL 14 - - 15,000 - NOVI YULIA - -
E000238 EDI RUSWA 15 - - 15,000 - NOVI YULIA - -
A004895 ADIT RAKA 18 26,100 - 15,000 - NOVI YULIA - -
W000811 WIWIN 19 43,600 - 15,000 - NOVI YULIA - -
D003098 DWIYAN AD 20 26,000 - 15,000 - NOVI YULIA - -
R005056 RINI NURBA 21 - - 15,000 - NOVI YULIA - -
D007084 DENNY SUR 22 - - 15,000 - NOVI YULIA 118,000 -
L001242 LIA NURUL 29 26,600 - 15,000 - NOVI YULIA - -
M003065 MIMIN MIN 31 - - 15,000 - NOVI YULIA - -
H001940 HUMAIGA 32 33,000 - 15,000 - NOVI YULIA - -
O000571 OOP ASROP 33 35,100 - 15,000 - NOVI YULIA - -
K001181 KHALILANI 34 18,700 - 15,000 - NOVI YULIA - -
M000112 MAMAH 39 27,700 - 15,000 - NOVI YULIA - -
A000764 ANI SURYAN 41 32,900 - 15,000 - NOVI YULIA - -
A009103 AUN GAHA 42 30,000 - 15,000 - NOVI YULIA - -
S003874 SUBHAN 44 13,200 - 15,000 - NOVI YULIA - -
D003029 DARLIANI 45 27,200 - 15,000 - NOVI YULIA 25,000 -
A003061 ADELIA 46 28,600 - 15,000 - NOVI YULIA - -
A003549 ATIKAH 48 29,700 - 15,000 - NOVI YULIA - -
F002031 FAZILLA SE 49 23,200 - 15,000 - NOVI YULIA - -
M003747 MOCH ADE 51 29,000 - 15,000 - NOVI YULIA - -
M004742 MEIRINA N 52 - - 15,000 - NOVI YULIA - -
B018275 BAMBANG 57 8,000 - 5,000 - NOVI YULIA - -
R001101 RONI FIRM 61 11,200 - 5,000 - NOVI YULIA - -
D000951 DINI FARAH 62 25,500 - 5,000 - NOVI YULIA 25,000 -
L001095 LILIS LISNA 63 24,400 - 5,000 - NOVI YULIA - -
A002324 ALEN AMEL 68 37,000 - 5,000 - NOVI YULIA - -
A014000 ASEP BUDI 69 13,000 - 15,000 - NOVI YULIA - -
D007086 DWI AJENG 71 24,000 - 15,000 - NOVI YULIA - -
N003782 NAJLA NAFI 72 20,000 - 15,000 - NOVI YULIA - -
W000099 WIWIN WID 75 24,000 - 15,000 - WULAN WI - -
S005170 SRI RAHAY 82 18,000 - 15,000 - WULAN WI - -
M004825 MOCH IDH 84 12,000 - 15,000 - WULAN WI - -
E003463 ERYANTO 85 31,000 - 15,000 - WULAN WI - -
M003948 MUHAMMAD 87 26,000 - 15,000 - WULAN WI - -
S004928 SOLEH SUM 88 16,000 - 15,000 - WULAN WI - -
R004335 RISNAWATI 89 21,000 - 15,000 - WULAN WI - -
M014589 MOCH FAIS 90 24,000 - 15,000 - WULAN WI - -
D000705 DODI RISW 94 30,000 - 15,000 - WULAN WI - -
B000661 BATRISYA S 97 21,000 - 15,000 - WULAN WI - -
S001103 SURYANI P 99 5,000 - 15,000 - WULAN WI - -
R004723 RIEN JULIA 100 14,000 - 15,000 - WULAN WI - -
Y000938 YUDI J RAM 104 18,000 - 15,000 - WULAN WI - -
B000339 BUDHI RO 107 17,000 - 15,000 - WULAN WI - -
N003657 NAZWA ALK 108 17,000 - 15,000 - WULAN WI - -
F001400 FAIDZ AKBA 110 46,000 45,000 15,000 - WULAN WI - -
S005437 SATRIA MA 111 19,000 - 15,000 - WULAN WI - -
B000701 BERA 113 30,000 - 15,000 - WULAN WI - -
K001232 KURNIA, S. 116 16,000 - 15,000 - WULAN WI - -
S001597 SYIFA FAU 117 22,000 - 5,000 - WULAN WI - -
A019132 AI KURNIA 119 - - 15,000 - WULAN WI - -

LAPORAN PENDAPATAN RAWAT JALAN


Periode: 19-05-2016 s/d 19-05-2016

No. RM Nama PasieNo. Apotek IGD Rawat Jala Jasa DokterDokter Lab Kartu
A019133 APRIA RUK 3 19,200 - 15,000 - NOVI YULIA - -
K009851 KEINAN NA 5 - - 15,000 - NOVI YULIA - -
A019134 AZKA AL KH 6 - - 15,000 - NOVI YULIA - -
N003439 NOVIYANTI 9 - - 15,000 - NOVI YULIA - -
A008016 ANI ROHAET 10 10,600 - 15,000 - NOVI YULIA - -
N003535 NAHARA NU 11 22,600 - 15,000 - NOVI YULIA - -
S019389 SUSI SUSAN 13 13,200 - 15,000 - NOVI YULIA - -
J008246 JAJANG KU 14 16,900 - 15,000 - NOVI YULIA - -
B018276 BERRY PRI 15 23,600 - 15,000 - NOVI YULIA - -
A019080 AMELIA MEL 16 - - 15,000 - NOVI YULIA - -
Y001419 YANTI MUL 17 24,200 - 15,000 - NOVI YULIA - -
R005019 RAKHA RID 18 28,100 - 15,000 - NOVI YULIA - -
M004731 MUHAMMAD 20 24,000 - 15,000 - NOVI YULIA - -
N003426 NANA MUL 21 41,700 - 15,000 - NOVI YULIA - -
Y001485 YUDI MULY 22 47,200 - 15,000 - NOVI YULIA 80,000 -
N003240 NAURA HAS 24 15,900 - 15,000 - NOVI YULIA - -
E006048 ENDANG PU 25 29,200 - 15,000 - NOVI YULIA 60,000 -
Y019313 YULIA 26 28,700 - 15,000 - NOVI YULIA 38,000 -
R000799 RIZKY ALFAR 32 34,200 - 15,000 - NOVI YULIA - -
E002850 ERGA SUGA 34 24,200 - 15,000 - NOVI YULIA - -
G000412 GITA FLORE 37 33,500 - 15,000 - NOVI YULIA - -
I001754 IDA KARLIN 38 - - 15,000 - NOVI YULIA - -
N015942 NANDANG 40 19,600 - 15,000 - NOVI YULIA - -
N015943 NITA ANDRI 41 25,400 - 15,000 - NOVI YULIA - -
Z000527 ZIDDAN HIK 42 18,000 - 15,000 - NOVI YULIA - -
R004719 REHAN AN 46 21,100 - 15,000 - NOVI YULIA - -
N003649 NOFI RATNA 47 23,750 - 15,000 - NOVI YULIA - -
N003063 NEVI NAZM 48 22,400 - 15,000 - NOVI YULIA - -
D003316 DEDEH KUR 49 - - 15,000 - NOVI YULIA - -
Y019314 YATI 50 - - 15,000 - NOVI YULIA - -
A004230 AGUS MUL 51 27,400 - 15,000 - NOVI YULIA - -
M004931 MITA HANN 53 19,000 - 15,000 - NOVI YULIA 80,000 -
M014590 MOCHAMAD 54 18,000 - 15,000 - NOVI YULIA - -
A008472 ALBAR RIZQ 55 18,000 - 15,000 - NOVI YULIA - -
R004979 ROSIYANI 56 11,000 - 15,000 - NOVI YULIA - -
N003678 NABILA AZI 57 19,000 - 15,000 - H. ASEP - -
M002993 M. AIRALD 58 11,000 - 5,000 - NOVI YULIA - -
A000009 AAM AMAL 62 39,000 - 15,000 - H. ASEP - -
D001919 DEVI RAMD 63 22,000 - 15,000 - H. ASEP - -
T001695 TUTI RAHM 66 20,000 - 15,000 - H. ASEP - -
J008239 JULITA AN 67 23,000 - 15,000 - H. ASEP - -
Y001559 YANTI ROH 69 19,000 - 15,000 - H. ASEP - -
S019390 SITI NURAI 71 17,000 - 15,000 - H. ASEP - -
R005201 RANI NUR 73 33,000 - 15,000 - H. ASEP - -
Y001166 YANTI ROH 76 16,000 - 15,000 - H. ASEP - -
W000827 WIDANINGS 77 25,000 - 15,000 - H. ASEP - -
S004742 SANTI SUSI 78 30,000 - 15,000 - H. ASEP - -
S004652 SITI ROHM 84 24,000 - 15,000 - H. ASEP - -
R002418 RUSMINI 87 - - 15,000 - H. ASEP - -
D002589 DHIVANIA 91 10,000 - 15,000 - H. ASEP 80,000 -
W019602 WIDA WIDI 95 21,000 - 15,000 - H. ASEP - -
M001133 M. GALANG 104 77,000 - 15,000 - H. ASEP - -
T001785 TASEM 105 24,000 - 15,000 - H. ASEP - -
D003869 DEULIS S 109 25,000 - 15,000 - H. ASEP - -

LAPORAN PENDAPATAN RAWAT JALAN


Periode: 20-05-2016 s/d 20-05-2016

No. RM Nama PasieNo. Apotek IGD Rawat Jala Jasa DokterDokter Lab Kartu
F001431 FAJAR ALB 1 23,000 - 15,000 - WULAN WI - -
R001465 RAHMAWAT 2 - - - - PERIKSA K - -
R004679 RATNA SOL 3 20,000 - 15,000 - WULAN WI - -
M004214 MARYANI 4 22,000 - 15,000 - WULAN WI - -
M001808 MULYADIN 5 21,000 - 15,000 - WULAN WI - -
A000933 AUN GAHA 6 - - 15,000 - WULAN WI - -
A019089 AZKA AL KH 7 18,000 - 15,000 - WULAN WI - -
K009851 KEINAN NA 8 18,000 - 15,000 - WULAN WI - -
D003098 DWIYAN AD 9 30,000 - 15,000 - WULAN WI 80,000 -
A008183 AZNI LULU 11 20,000 - 15,000 - WULAN WI - -
A009020 ASTI APRILI 12 20,000 - 15,000 - WULAN WI - -
M002264 MUMAMMAD 14 29,000 - 15,000 - WULAN WI - -
M004758 MUHAMAD R 15 - - 15,000 - WULAN WI - -
L010576 LIA SUSILA 17 16,000 - 15,000 - WULAN WI - -
N001641 NOVIA RES 18 24,000 - 15,000 - WULAN WI - -
Y001904 YOGI KURN 19 13,000 - 15,000 - WULAN WI - -
G000630 GIANDA PRA 20 8,000 - 15,000 - WULAN WI - -
M004376 MOCHAMAD 21 71,000 - 15,000 - WULAN WI 80,000 -
C000294 CANTIK ZIA 22 22,000 - 15,000 - WULAN WI - -
N001209 NURAENI 23 20,000 - 15,000 - WULAN WI - -
Y001332 YAYAT ROHA 30 19,000 - 15,000 - WULAN WI - -
F002184 FITRIANI 32 - - - - PERIKSA K - -
S005275 SITI FADILA 35 - - 15,000 - WULAN WI - -
E001186 ELVIN FATH 36 22,000 - 15,000 - WULAN WI - -
R002504 RIZKI RAM 37 23,000 - 15,000 - WULAN WI - -
R001191 RIZQYLILL 39 28,000 - 5,000 - WULAN WI - -
S004740 SARAH RAF 42 26,000 - 15,000 - WULAN WI - -
M004825 MOCH IDH 43 - - 15,000 - WULAN WI - -
D007090 DWI SUSIL 44 22,000 - 15,000 - WULAN WI - -
F002116 FADYA FAU 46 29,000 - 15,000 - WULAN WI - -
A003027 AHMAD NAS 47 32,000 - 15,000 - WULAN WI - -
R003370 RUHIYATI 54 10,000 - 15,000 - WULAN WI - -
N015949 NAILA AZZ 55 - - 15,000 - WULAN WI - -
H007281 HARRY MO 56 10,550 - 15,000 - WULAN WI - -
R005120 REVI SEPTI 58 19,750 - 15,000 - WULAN WI - -
M001164 MIMA YULI 59 26,500 - 5,000 - WULAN WI 25,000 -
D000237 DIAN FERD 60 25,400 - 15,000 - ENCEP SU - -
N001353 NENG LINA 62 28,000 - 15,000 - ENCEP SU - -
N003955 NADHIRA R 65 30,600 - 15,000 - ENCEP SU - -
R017283 RIANI SUHA 68 32,000 - 15,000 - ENCEP SU - -
A007503 ACAH 71 31,600 - 15,000 - ENCEP SU - -
J000700 JULIA PUTR 74 18,000 - 15,000 - ENCEP SU - -
I002809 IIS AISYAH 75 34,900 - 15,000 - ENCEP SU - -
W019603 WELLY NO 77 28,000 - 15,000 - ENCEP SU - -
T001957 TIKA SARTI 78 22,000 - 15,000 - ENCEP SU - -
C000282 CECEP BUD 81 28,000 - 15,000 - ENCEP SU - -
N000412 NETI CICI 82 29,400 - 15,000 - ENCEP SU - -
N015952 NENG RODI 87 20,000 - 15,000 - ENCEP SU - -
W019604 WILDAN AG 88 27,000 - 15,000 - ENCEP SU - -
V000136 VITA NOVIA 89 26,000 - 15,000 - ENCEP SU - -
W000651 WAWAN SU 91 24,500 - 15,000 - ENCEP SU - -
I002605 IIS HARYATI, 93 28,000 - 15,000 - ENCEP SU - -
P000536 PIPIH SRI 94 17,900 - 15,000 - ENCEP SU - -
A002682 ARTI JUART 98 19,400 - 15,000 - ENCEP SU - -
A002477 ANISA MAR 99 25,400 - 15,000 - ENCEP SU - -
A007829 ALLYSA RA 100 21,500 - 15,000 - ENCEP SU - -
A006184 AQILA ZAH 101 26,800 - 15,000 - ENCEP SU - -
S003826 SADIAH 104 22,700 - 15,000 - ENCEP SU - -
Y001802 YENI HERYA 105 24,500 - 15,000 - ENCEP SU - -
N002694 NISA AROM 108 22,000 - 15,000 ENCEP SU - -
I002596 IDA PARIDA 109 27,000 - 15,000 - ENCEP SU - -
W001099 WILDAN RIF 110 21,000 - 15,000 - ENCEP SU - -
R004530 RATNA SAR 113 22,000 - 15,000 - ENCEP SU - -
A006013 AGUS SUW 116 35,000 - 5,000 - ENCEP SU - -

LAPORAN PENDAPATAN RAWAT JALAN


Periode: 21-05-2016 s/d 21-05-2016

No. RM Nama PasieNo. Apotek IGD Rawat Jala Jasa DokterDokter Lab Kartu
I003440 IRSYAD FAH 3 24,000 - 15,000 - WULAN WI - -
I000921 INES NAISH 4 42,000 - 5,000 - ENCEP SU - -
A003000 ARNI SULAN 8 37,000 - 5,000 - ENCEP SU - -
K000091 KULSUM RA 10 39,800 - 15,000 - WULAN WI - -
F000946 FITRI PUSP 12 20,000 - 15,000 - WULAN WI - -
H001940 HUMAIGA 13 - - 15,000 - WULAN WI 80,000 -
M014596 MUHAMAD 14 28,000 - 15,000 - WULAN WI - -
M014597 MUHAMMAD 16 25,000 40,000 15,000 - WULAN WI - -
B000614 BAGAS ABD 17 9,000 - 15,000 - WULAN WI - -
M014598 MUHAMMAD 18 29,000 - 15,000 - WULAN WI - -
S004821 SITI AMINA 19 14,000 - 15,000 - WULAN WI - -
Y001708 YAYAT RAN 20 9,000 - 15,000 - WULAN WI - -
M014545 MUHAMMAD 21 38,000 - 15,000 - WULAN WI - -
J000669 JOSEPH CH 23 19,000 - 5,000 - WULAN WI - -
R017327 RIDWAN 24 25,000 - 15,000 - WULAN WI - -
H001425 HUMAIRA M 25 27,000 - 15,000 - WULAN WI - -
M004233 MIFTHA WI 27 19,000 - 15,000 - WULAN WI - -
N001828 NENENG N 29 25,000 - 15,000 - WULAN WI - -
E003686 ENOK 31 112,000 - 15,000 - WULAN WI - -
A006584 AGUS AWAL 33 20,000 - 15,000 - WULAN WI - -
L000572 LISKA RAH 34 21,000 - 15,000 - WULAN WI - -
D001123 DENY IBRA 36 20,000 - 15,000 - WULAN WI 18,000 -
J000650 JUJU JUARI 37 39,000 - 15,000 - WULAN WI 18,000 -
T001697 TATI HARTA 40 23,000 - 15,000 - WULAN WI - -
A008755 ASEP FIRM 41 14,000 - 15,000 - WULAN WI - -
W000756 WAWANG S 42 24,000 - 15,000 - WULAN WI - -
N003313 NINA YUNI 43 22,000 - 15,000 - WULAN WI - -
O999989 OHAR.H 44 27,000 - 15,000 - WULAN WI - -
E003484 ENTIN FAT 45 27,000 - 15,000 - WULAN WI - -
A003358 ALYA NURAI 47 43,000 - 15,000 - WULAN WI - -
R004530 RATNA SAR 50 8,000 - 15,000 - WULAN WI - -
L000610 LELA MUNI 51 19,000 - 5,000 - WULAN WI - -
R003174 RIA SATRIA 53 29,000 - 15,000 - WULAN WI - -
I001457 IIN KURNIA 54 27,000 - 15,000 - WULAN WI - -
S019355 SANI SUSAN 55 16,500 - 15,000 - WULAN WI - -
R002682 RAMANDA 59 22,600 - 15,000 - WULAN WI - -
S005599 SITI HANIF 63 - - - - PERIKSA K - -
N000070 NANDA DAV 64 21,000 - 15,000 - WULAN WI - -
D007081 D AHMAD S 65 40,400 - 15,000 - WULAN WI - -
Y001943 YANTI SUR 67 23,000 - 15,000 - WULAN WI - -
S019395 SYAFA HILY 69 31,800 - 15,000 - WULAN WI - -
S000929 SAEPUL R 73 35,000 - 15,000 - WULAN WI - -
S004652 SITI ROHM 75 32,300 - 15,000 - WULAN WI - -
A003229 ASTI SEPTI 80 21,200 - 15,000 - WULAN WI - -
C999897 CALVIN MO 88 42,500 - 5,000 - DETY NUR - -
LAPORAN PENDAPATAN RAWAT JALAN
Periode: 22-05-2016 s/d 22-05-2016

No. RM Nama PasieNo. Apotek IGD Rawat Jala Jasa DokterDokter Lab Kartu
R001191 RIZQYLILL 2 45,000 - 5,000 - DETY NUR - -
A006946 ADNEY ATH 25 35,000 - 5,000 - H. ASEP S - -
H000655 HARISA AT 35 29,000 - 5,000 - NOVI YULIA - -

LAPORAN PENDAPATAN RAWAT JALAN


Periode: 23-05-2016 s/d 23-05-2016

No. RM Nama PasieNo. Apotek IGD Rawat Jala Jasa DokterDokter Lab Kartu
E002841 ENTIN KART 6 42,200 - 15,000 - WULAN WI - -
S004652 SITI ROHM 7 40,000 - 15,000 - WULAN WI 140,000 -
S004220 SASA SARIP 8 22,450 - 15,000 - WULAN WI 66,000 -
A003811 AHMAD NAS 10 29,400 - 15,000 - WULAN WI - -
T000554 TITIN SUPR 12 27,000 - 15,000 - WULAN WI - -
N003834 NING WATI 13 134,400 - 15,000 - WULAN WI - -
T000826 TONI SANT 17 19,200 - 15,000 - WULAN WI - -
B000161 BUNGA KEZI 18 28,100 - 15,000 - WULAN WI - -
Y002265 YENI ROHA 19 34,000 - 15,000 - WULAN WI - -
A019025 ASEP SUPRI 21 29,000 - 15,000 - WULAN WI - -
D001804 DEDE NURYA 22 26,400 - 15,000 - WULAN WI - -
S002334 SAEFULLOH 23 12,950 - 15,000 - WULAN WI - -
U000999 UJANG SUP 25 16,000 - 15,000 - WULAN WI 25,000 -
M004875 M ZULFI IB 26 30,600 - 15,000 - WULAN WI - -
K001282 KANIA DEW 31 31,000 - 15,000 - WULAN WI - -
A003377 AI SOLIHAT 32 13,200 - 15,000 - WULAN WI - -
W999990 WINI ADETI 36 24,200 - 15,000 - WULAN WI - -
E006056 ELIN SARTI 38 31,000 - 15,000 - WULAN WI - -
E003701 ETRIS NURW 39 24,900 - 15,000 - WULAN WI - -
F999889 FURKON 40 32,400 - 15,000 - WULAN WI - -
A004359 ASEP SAEP 41 20,000 - 15,000 - ENCEP SU - -
A000907 ALGIA PUTR 42 24,500 - 15,000 - ENCEP SU - -
S005479 SITI JENAB 46 - - 15,000 - WULAN WI - -
T001890 TITING SUM 47 21,100 - 15,000 - WULAN WI - -
O000227 OMANAH 49 20,200 - 15,000 - WULAN WI - -
A008891 AI SOPIAH 50 13,700 - 15,000 - WULAN WI - -
R000251 RIHANDI AL 51 28,100 - 15,000 - WULAN WI - -
I001843 IQBAL GUM 54 20,700 - 15,000 - WULAN WI - -
A000525 AI SAIDAH 56 25,600 - 15,000 - WULAN WI - -
A004839 ASTRI WUL 57 24,200 - 15,000 - WULAN WI - -
R001369 RAIQA DIN 58 17,700 - 15,000 - WULAN WI - -
R001368 RAISHA AL 59 22,000 - 15,000 - WULAN WI - -
W001117 WIRANTIWI 61 - - - - PERIKSA K - -
N003974 NIA KUSMIA 62 24,500 - 15,000 - WULAN WI - -
I002709 INDRIYANI 63 12,750 - 15,000 - WULAN WI - -
Y019311 Y.ROSMIATI 64 24,000 - 15,000 - WULAN WI 25,000 -
S002715 SASTIRA DW 65 32,800 - 15,000 - WULAN WI - -
D000256 DEVI SRITIA 66 34,100 - 15,000 - WULAN WI - -
R002793 RINI JULIAN 67 28,000 - 15,000 - WULAN WI - -
A002164 ACHMAD D 68 17,400 - 15,000 - WULAN WI - -
D003316 DEDEH KUR 72 - - 15,000 - WULAN WI - -
O000684 OPAN SOPA 73 - - 15,000 - WULAN WI - -
M001521 MUHLIS 74 27,200 - 15,000 - WULAN WI - -
T999990 TANTI KRE 75 28,150 - 15,000 - WULAN WI - -
N001353 NENG LINA 76 39,000 - 5,000 - WULAN WI - -
A008921 ASKANA SA 83 21,100 - 15,000 - WULAN WI - -
M004731 MUHAMMAD 84 19,300 - 15,000 - WULAN WI - -
W001142 WAWAT RU 85 21,600 - 15,000 - WULAN WI - -
L000288 LASIDI 91 28,600 - 15,000 - WULAN WI - -
N003127 NIZAR ABDI 92 29,600 - 15,000 - WULAN WI - -
E003695 ETI KARWAT 93 21,550 - 15,000 - WULAN WI - -
I003035 INNE INDAH 94 15,000 - 15,000 - ENCEP SU - -
R001301 RINEU TUS 96 22,000 - 15,000 - ENCEP SU - -
A008505 ALMAQVIRA 97 30,300 - 15,000 - ENCEP SU - -
T001237 TITIN SUPR 98 17,900 - 15,000 - ENCEP SU 18,000 -
D002011 DIDA DARU 99 14,000 - 15,000 - ENCEP SU - -
M004166 MUHAMMAD 100 36,000 45,000 15,000 - ENCEP SU - -
R004666 RAHMAT HI 101 24,200 - 15,000 - ENCEP SU - -
D001188 DEDE AISYA 102 28,700 - 15,000 - ENCEP SU - -
A002232 ASTI JAYANT 103 - - - - PERIKSA K - -
D003429 DESFINA J 104 33,700 - 15,000 - ENCEP SU - -
A009020 ASTI APRILI 105 24,900 - 15,000 - ENCEP SU - -
H001634 HABIB FIK 106 19,700 - 15,000 - ENCEP SU - -
D002989 DEDE KUS 107 17,900 - 15,000 - ENCEP SU - -
R005213 ROSA DESN 108 37,600 - 15,000 - ENCEP SU - -
U000153 UJANG JAE 110 33,500 - 15,000 - ENCEP SU - -
M001354 MUHAMAD 111 26,000 - 15,000 - ENCEP SU - -
N002410 NURUL AZI 113 - - - - PERIKSA K - -
F002051 FAQIH HA 116 23,900 - 15,000 - ENCEP SU - -
A006858 ASTRIANTI 118 - - - - PERIKSA K - -
R017283 RIANI SUHA 119 22,400 - 15,000 - ENCEP SU - -
S005544 SITI ZULFA 120 28,200 - 15,000 - ENCEP SU - -
A009581 ASEP ARYAD 121 34,000 - 15,000 - ENCEP SU - -
M002238 MUHAMMAD 123 18,700 - 15,000 - ENCEP SU - -
C000697 CECEP SAE 125 17,000 - 15,000 - ENCEP SU - -
Y001643 YAN SURYA 126 37,500 - 15,000 - ENCEP SU - -
I003570 INAYA TUL 127 29,100 - 15,000 - ENCEP SU - -
M001867 MARTINA P 128 27,600 - 15,000 - ENCEP SU - -
M004568 MEVIRA HU 130 25,000 - 15,000 - ENCEP SU - -
S005070 SOPANDI 131 23,600 - 15,000 - ENCEP SU - -
O000591 OTAS MARY 133 27,100 - 15,000 - ENCEP SU - -
I002859 IMAS MASL 134 17,900 - 15,000 - ENCEP SU - -
S000020 SANTI SUSA 135 17,500 - 15,000 - ENCEP SU - -
E003129 EUIS PUPU 136 20,600 - 15,000 - ENCEP SU - -
N003662 NIA MUNIH 138 25,000 - 15,000 - ENCEP SU - -
A008894 ASSYIFA RI 139 27,000 - 15,000 - ENCEP SU - -
T001785 TASEM 140 31,000 - 15,000 - ENCEP SU - -
RIAN ROBIAN 18,000 - 15,000 - WULAN WI - -
ALBI APRIZAL 19,000 - 15,000 - WULAN WI - -
M AZKA 24,000 - 15,000 - WULAN WI - -
ADHI GHAISA 9,000 - 15,000 - WULAN WI - -
RAMDHAN 27,000 - 15,000 - WULAN WI - -
ARMAN 18,000 - 15,000 - WULAN WI - -

LAPORAN PENDAPATAN RAWAT JALAN


Periode: 24-05-2016 s/d 24-05-2016

No. RM Nama PasieNo. Apotek IGD Rawat Jala Jasa DokterDokter Lab Kartu
S002785 SHANTY RA 5 24,400 - 15,000 - H. ASEP - -
E002176 R. ETY RO 6 14,400 - 15,000 - WULAN WI 101,000 -
S005310 SITI WAHYU 7 23,400 - 15,000 - WULAN WI - -
A007829 ALLYSA RA 8 27,000 - 15,000 - H. ASEP - -
A001445 ARFA GLAD 11 22,000 - 15,000 - H. ASEP - -
S005023 SUDENG IB 12 45,500 - 15,000 - WULAN WI - -
A006382 ASEP SETI 15 23,750 - 15,000 - WULAN WI - -
R000944 RISA FITRIA 16 35,100 - 15,000 - WULAN WI - -
S005379 SITI FATIM 19 35,100 - 15,000 - WULAN WI - -
H001371 HERI SUWA 20 23,750 - 15,000 - WULAN WI - -
M004445 MAE 21 29,200 - 15,000 - WULAN WI - -
E003686 ENOK 23 46,100 - 15,000 - WULAN WI - -
T001869 TEDI TAOPI 24 14,750 - 15,000 - WULAN WI 25,000 -
S002875 SAEPUL UY 28 15,550 - 15,000 - WULAN WI - -
R004571 RENI SUSAN 32 22,400 - 15,000 - WULAN WI - -
F001954 FETTIE FAT 34 20,000 - 15,000 - NOVI YULIA - -
R004613 RIDWAN FE 35 15,000 - 15,000 - NOVI YULIA - -
M004885 MUHAMAD 37 25,000 - 15,000 - WULAN WI - -
A009001 ANGGA SU 41 31,000 - 15,000 - WULAN WI - -
T000460 TETI ROHAE 42 40,000 - 15,000 - WULAN WI 43,000 -
A008876 AI SOLIHAT 46 20,000 - 15,000 - NOVI YULIA - -
.000002 .MASITOH 48 32,000 - 15,000 - NOVI YULIA - -
T001854 TEDI KURN 49 26,000 - 15,000 - NOVI YULIA - -
S004694 SAEPUDIN 50 33,000 - 15,000 - NOVI YULIA - -
E003455 ENENG ROS 51 - - - - PERIKSA K - -
M001133 M. GALANG 52 23,000 - 15,000 - NOVI YULIA 80,000 -
E001937 EFA RATNAS 56 28,000 - 15,000 - NOVI YULIA - -
R001191 RIZQYLILL 56 - - 5,000 - NOVI YULIA 55,000 -
Y019307 YANA MULY 58 42,000 - 15,000 - NOVI YULIA 105,000 -
Y001633 YULIA 60 29,000 - 15,000 - NOVI YULIA - -
M002555 MIRA HERM 62 14,000 - 15,000 - NOVI YULIA - -
A009321 ADE RUKA 63 21,000 - 15,000 - NOVI YULIA - -
.000004 .MUHAMMA 64 21,000 - 15,000 - NOVI YULIA - -
A009502 ARIS SUHE 65 13,000 - 15,000 - NOVI YULIA - -
N001766 NAJLA NADA 67 10,000 - 15,000 - NOVI YULIA - -
I002496 ICIH SUKAR 68 30,000 - 15,000 - NOVI YULIA - -
N003609 N OTIH SUM 69 23,000 - 15,000 - NOVI YULIA - -
A004500 AMINAH 70 29,000 - 15,000 - NOVI YULIA - -
Y002244 YENI KAMIL 71 - - - - PERIKSA K - -
I003367 IMAS ROH 72 - - 15,000 - NOVI YULIA - -
W001102 WIRACHMA 73 17,000 - 15,000 - NOVI YULIA - -
M003476 MOCHAMMA 76 30,000 - 15,000 - NOVI YULIA - -
R017257 ROBI MUIZ 79 34,000 - 15,000 - NOVI YULIA - -
A006184 AQILA ZAH 81 31,000 - 15,000 - NOVI YULIA - -
PIPIT - - 15,000 - WULAN WI - -
FITRAH - - 15,000 - WULAN WI - -
SANTI N 12,000 - 15,000 - WULAN WI - -
HERMAN 16,000 - 15,000 - WULAN WI - -
JOHAN 29,000 - 15,000 - WULAN WI - -
RISKA 21,000 - 15,000 - WULAN WI - -
DESI 11,000 - 15,000 - WULAN WI - -
AIRLAD 31,000 - 15,000 - WULAN WI - -
IIS 23,000 - 15,000 - WULAN WI - -
IYAN 22,000 - 15,000 - WULAN WI - -
NELLY - - 15,000 - WULAN WI - -
ADI R 25,000 - 15,000 - WULAN WI - -

LAPORAN PENDAPATAN RAWAT JALAN


Periode: 25-05-2016 s/d 24-05-2016

No. RM Nama PasieNo. Apotek IGD Rawat Jala Jasa DokterDokter Lab Kartu
F001375 FIRAS MAUL 1 19,000 - 15,000 - NOVI YULIA - -
W000388 WIWIN 5 36,000 - 5,000 - NOVI YULIA - -
M001164 MIMA YULI 8 - - - - CEK LAB SA 105,000 -
A019035 ANGLING ZA 10 21,150 - 15,000 - NOVI YULIA - -
N003470 NONENG M 12 19,200 - 15,000 - NOVI YULIA - -
N002175 NUNUNG R 16 35,300 - 15,000 - NOVI YULIA - -
A004738 ADE HERWA 21 21,600 - 15,000 - NOVI YULIA - -
N002471 NAZIL MUF 22 16,000 - 15,000 - NOVI YULIA - -
D001950 DONI RIYAD 24 21,000 - 15,000 - NOVI YULIA - -
Q000039 QUTHBIE Z 26 20,900 - 15,000 - NOVI YULIA - -
W999990 WINI ADETI 27 7,000 - 15,000 - NOVI YULIA 80,000 -
R004264 RESA RESTI 34 21,350 - 15,000 - NOVI YULIA 80,000 -
W000550 WATI ROHA 38 12,700 - 15,000 - NOVI YULIA - -
E002692 EVA HERMIA 39 17,000 - 15,000 - WULAN WI - -
E003571 EUIS ANDRI 49 18,000 - 15,000 - WULAN WI - -
D003455 DERI DWI 53 51,000 - 15,000 - WULAN WI - -
E000785 EKA DEWI F 54 25,000 - 5,000 - WULAN WI - -
D000751 DWI INTANI 55 16,000 - 5,000 - WULAN WI - -
E003477 EGI DEWI S 57 18,000 - 15,000 - WULAN WI - -
A999894 AGUS SUW 60 23,000 - 5,000 - WULAN WI - -
I002956 INDRI TRI 62 20,000 - 15,000 - WULAN WI - -
J000703 JALINAR R 63 24,000 - 15,000 - WULAN WI - -
N000703 NABILA HA 66 33,000 - 15,000 - WULAN WI - -
S004652 SITI ROHM 68 - - 15,000 - WULAN WI - -
S004220 SASA SARIP 69 31,000 - 15,000 - WULAN WI - -
J000737 JENI AYUWI 74 22,000 - 15,000 - WULAN WI - -
Y001802 YENI HERYA 75 17,000 - 15,000 - WULAN WI - -
Y002184 YULIA AGU 76 - - - - PERIKSA K - -
W999992 WENI SRI U 77 24,000 - 15,000 - WULAN WI - -
A003630 AL SAKINA 78 25,000 - 15,000 - WULAN WI - -
M014533 MUHAMMAD 80 22,000 - 15,000 - WULAN WI - -
F999891 FARIS ATTA 81 33,000 - 15,000 - WULAN WI - -
T999993 TAUFAN IL 82 8,000 - 15,000 - WULAN WI 66,000 -
S005337 SUSANTI 83 28,000 - 15,000 - WULAN WI - -
Y001296 YAYAT HIDA 84 16,000 - 15,000 - WULAN WI 18,000 -
I002537 IYAY RAHAY 87 14,000 - 15,000 - WULAN WI - -
S004067 SURYANA 88 21,000 - 15,000 - WULAN WI - -
.000015 .NURSINTA 89 27,000 - 15,000 - WULAN WI 80,000 -
S000462 SYAMIA AU 91 - - 15,000 - WULAN WI - -
W000076 WILI WIGU 96 18,000 - 15,000 - WULAN WI - -
A006334 AOS 99 28,000 - 15,000 - WULAN WI - -
.000020 .RUSMIANT 100 23,000 - 15,000 - WULAN WI - -
N003970 NURLINA 101 16,000 - 15,000 - WULAN WI - -
N003952 NETA NURLI 102 28,000 - 15,000 - WULAN WI - -
L000405 LUTHFIA S 103 9,000 - 5,000 - WULAN WI 80,000 -
E002100 EKA RANA 105 11,200 - 15,000 - WULAN WI - -
K000674 KEISYA SITI 106 16,000 - 15,000 - WULAN WI - -
C999897 ALVIN MOC 108 5,000 - 5,000 - DETY NUR - -
FARSHAD 22,000 - 15,000 - NOVI YULIA - -
WIWIN 16,000 - 15,000 - NOVI YULIA - -
SALWA 30,000 - 15,000 - NOVI YULIA - -
HUSNA 36,000 - 15,000 - NOVI YULIA - -
M HIBAN - - 15,000 - NOVI YULIA 80,000 -
ADE LIA 18,000 - 15,000 - WULAN WI - -
HEMA 16,000 - 15,000 - WULAN WI - -
RATNA 19,000 - 15,000 - WULAN WI - -
M FAWWAS 30,000 - 15,000 - NOVI YULIA - -
AGUS RIYADI 23,000 - 15,000 - NOVI YULIA - -
NOVAL APRILIANSYAH 25,000 - 15,000 - NOVI YULIA - -
NOVAL DARUSSALAM 27,000 - 15,000 - NOVI YULIA - -
DZISYAMILTHFI - - 15,000 - NOVI YULIA 80,000 -
IRWAN 33,000 - 15,000 - NOVI YULIA - -
SYAHRUL G 30,000 - 15,000 - NOVI YULIA - -

LAPORAN PENDAPATAN RAWAT JALAN


Periode: 26-05-2016 s/d 26-05-2016

No. RM Nama PasieNo. Apotek IGD Rawat Jala Jasa DokterDokter Lab Kartu
D003240 DANI RAM 1 32,000 - 5,000 - DETY NUR - -
A999897 ADI SEPTI 7 30,000 - 15,000 - NOVI YULIA - -
A009209 ADITYA SAT 11 25,000 - 15,000 - NOVI YULIA - -
P000806 PAREL MU 13 41,000 - 15,000 NOVI YULIA - -
W999990 WINI ADETI 15 23,000 - 15,000 - NOVI YULIA 80,000 -
N001298 NANANG S 19 28,000 - 15,000 - NOVI YULIA - -
O000591 OTAS MARY 24 32,000 - 15,000 - NOVI YULIA - -
I002124 IRA PUSPIT 30 14,000 - 10,000 5,000 NOVI YULIA - -
A003619 AI KOMARA 32 11,000 - 15,000 - NOVI YULIA - -
W001099 WILDAN RIF 34 31,000 - 15,000 - NOVI YULIA 80,000 -
M004831 M.ALFIN A 35 27,000 - 15,000 - NOVI YULIA - -
S005500 SITI NURLA 40 19,000 - 15,000 - NOVI YULIA - -
Z000456 ZHAAHIRA 146 35,000 - 15,000 - NOVI YULIA - -
N003476 NONENG 147 15,400 - 15,000 - NOVI YULIA - -
R999992 RAHMADINI 150 - - 15,000 - H. ASEP - -
M999992 MUH. FAIR 152 30,400 - 15,000 - H. ASEP - -
N003262 NAJMA ZAHR 155 30,200 - 15,000 - H. ASEP 80,000 -
A000658 AAN 157 28,500 - 15,000 - H. ASEP - -
D003928ASDEBBY RAT 161 25,600 - 15,000 - H. ASEP - -
U000047A UUS RUSTA 162 16,400 - 15,000 - H. ASEP - -
S004901 SAKRIM 165 21,800 - 15,000 - H. ASEP - -
K001282 KANIA DEW 168 32,000 - 15,000 - H. ASEP - -
S000838 SRI RAHAYU 171 30,400 - 15,000 - H. ASEP - -
M005036 MUHAMMAD 172 24,600 - 15,000 - H. ASEP - -
Y002251 YOLANDA M 173 24,400 - 15,000 - H. ASEP - -
S999996 SURYA RINJ 174 24,100 - 15,000 - H. ASEP - -
A006878 AGEUNG ME 176 35,000 - 15,000 - H. ASEP - -
A004597 ANWAR GU 177 10,000 - 15,000 - H. ASEP - -
A009232 ASEP NURJ 178 18,000 - 10,000 5,000 H. ASEP 18,000 -
R004723 RIEN JULIA 179 20,000 - 15,000 - H. ASEP - -
W999996 WAHYU SO 180 16,000 - 15,000 - H. ASEP - -
F999893 FAUZIAH NU 182 25,000 - 15,000 - H. ASEP - -
M004646 MUHAMMAD 183 19,000 - 15,000 - H. ASEP - -
E002078 ENANG SUR 188 31,000 - 15,000 - H. ASEP - -
L000999 LILIS 189 23,400 - 15,000 - H. ASEP - -
M004758 MUHAMAD R 191 13,000 - 15,000 - H. ASEP - -
R999999 RAMAPUTR 193 24,200 - 15,000 - H. ASEP - -
S001977ASSOFIA NURH 197 22,200 - 10,000 5,000 H. ASEP - -
M004601 MUJIONO 198 20,600 - 15,000 - H. ASEP - -
INES 42,000 - 5,000 - ENCEP SU - -
VENDRA 29,000 - 15,000 - H. ASEP - -
LAPORAN PENDAPATAN RAWAT JALAN
Periode: 27-05-2016 s/d 27-05-2016

No. RM Nama PasieNo. Apotek IGD Rawat Jala Jasa DokterDokter Lab Kartu
I003396 IIS LIAWATI 1 5,800 - 15,000 - WULAN WI - -
F001375 FIRAS MAUL 3 41,500 - 15,000 - WULAN WI 80,000 -
D002586 DIDI SAHIDI 4 21,800 - 15,000 - WULAN WI - -
M004678 MUHAMAD 6 27,100 - 15,000 - WULAN WI - -
N003184 NANI SRI M 8 24,000 - 15,000 - WULAN WI - -
S004695 SUPARMAN 9 33,400 - 15,000 - WULAN WI - -
M003596 MAULIDA F 11 17,600 - 15,000 - WULAN WI - -
R001209 RIFAN KUR 13 24,400 - 15,000 - WULAN WI - -
N001267 NURAENI 14 24,200 35,000 15,000 - WULAN WI - -
U000840 UUM UMIR 15 24,900 - 15,000 - WULAN WI - -
N003775 NOVIANA 17 23,300 - 15,000 - WULAN WI - -
R017265 RIZKY FAT 19 19,000 - 15,000 - WULAN WI - -
A009544 AGUS YUSU 20 27,000 - 15,000 - WULAN WI 43,000 -
R999998 RATNA KAR 21 44,000 - 15,000 - WULAN WI 80,000 -
E002516 ENIH YUNI 23 34,000 - 15,000 - WULAN WI - -
S004220 SASA SARIP 24 - - 15,000 - WULAN WI - -
A008437 ADIBA MUS 27 9,000 - 15,000 - WULAN WI - -
I001378 IBRAHIM MA 28 23,000 - 15,000 - WULAN WI - -
F999895 FAREZKA A 29 27,000 40,000 15,000 - WULAN WI - -
O999993 OYANG 30 25,000 - 15,000 - WULAN WI 66,000 -
R004601 REYZA PADI 32 21,000 - 15,000 - WULAN WI - -
H001801 HANA YULI 35 27,000 - 15,000 - WULAN WI - -
A999911 ALFI ANDRA 36 - - 15,000 - WULAN WI - -
J008239 JULITA AN 38 29,400 - 15,000 - WULAN WI - -
C000359 CHOERUNNA 39 61,000 - 15,000 - WULAN WI - -
D002391 DIKA MUH 41 26,000 - 15,000 - WULAN WI - -
M003355 MUHAMMAD 42 11,000 - 15,000 - WULAN WI - -
I000252 ILIS 44 24,000 - 15,000 - WULAN WI - -
S000330 SRI NURBAE 45 30,000 - 15,000 - WULAN WI - -
T000139 TITI SURYAT 47 18,000 - 15,000 - WULAN WI 101,000 -
N003234 NELI IBRAH 48 23,800 - 15,000 - WULAN WI - -
K009836 KHAIRIN H 49 21,100 - 15,000 - WULAN WI 10,000 -
K000988 KEYSHA AU 50 18,100 - 15,000 - WULAN WI - -
N003695 NUR ANALI 52 19,000 - 15,000 - WULAN WI - -
M004726 MUHAMMAD 53 18,000 - 15,000 - WULAN WI - -
R017299 RAKHSHAND 54 17,000 - 15,000 - WULAN WI - -
A003358 ALYA NURAI 55 37,000 - 15,000 - WULAN WI - -
M003933 MUJAHID AL 56 30,000 - 15,000 - WULAN WI - -
N002456 NUNUNG LA 57 15,000 - 15,000 - WULAN WI - -
T001571 TATI HARTA 58 26,000 - 15,000 - WULAN WI - -
E002890 ENCUM KU 59 21,000 - 15,000 - WULAN WI - -
M003461 MUHAMMAD 62 19,000 - 15,000 - WULAN WI - -
T000009 TINI SURTIN 64 15,000 - 15,000 - WULAN WI - -
G000300 GEMA AKB 66 24,500 - 15,000 - WULAN WI - -
J000620 JEJEN 67 35,450 - 15,000 - ANDI HER - -
Y001944 YANTI SITI 68 75,000 - 15,000 - ANDI HER - -
D000971 DADANG N 69 15,200 - 15,000 - ANDI HER - -
S001472 SALISA SAL 70 24,900 - 15,000 - ANDI HER - -
B000792 BETTY NAI 72 - - - - PERIKSA K - -
Z000260 ZENAL MUT 74 14,000 - 5,000 - ANDI HER - -
R004826 RAHMA AGU 75 34,800 - 15,000 - ANDI HER 80,000 -
A003092 AGNIA FITR 77 25,400 - 15,000 - ANDI HER - -
A002232 ASTI JAYANT 79 - - - - PERIKSA K - -
N003987 NAZWA RAF 80 22,800 - 15,000 - ANDI HER - -
P000439 POPY FAUZ 82 23,400 - 11,000 4,000 ANDI HER - -
I003548 IRMA HASA 83 71,300 - 15,000 - ANDI HER - -
N999994 NANANG S 84 33,000 - 15,000 - ANDI HER - -
N015917 NADZIRA R 88 25,400 - 10,000 5,000 ANDI HER - -
T001471 TUTI HERA 89 47,200 - 15,000 - ANDI HER 18,000 -
C000538 CECEP A S 90 26,500 - 15,000 - ANDI HER 18,000 -
D002920 DENI ZAM 91 24,400 - 15,000 - ANDI HER - -
A009143 AYU SAJIDA 93 28,800 - 15,000 - ANDI HER - -
I002443 IRWAN KU 95 25,400 - 15,000 - ANDI HER - -
J008246 JAJANG KU 103 27,500 - 15,000 - ANDI HER - -
SRINITA 25,000 - 15,000 - WULAN WI - -
ASEP KOMARA 32,000 - 15,000 - WULAN WI - -
M ALFI 23,000 - 15,000 - WULAN WI - -
M IQBAL 29,000 - 15,000 - WULAN WI - -
MAHMURI 26,000 - 15,000 - H ASEP M - -
AGUS TATANG S 31,000 - 15,000 - DETY NUR - -

LAPORAN PENDAPATAN RAWAT JALAN


Periode: 28-05-2016 s/d 28-05-2016

No. RM Nama PasieNo. Apotek IGD Rawat Jala Jasa DokterDokter Lab Kartu
V999992 VENDRA R 1 20,200 - 15,000 - WULAN WI 80,000 -
A009043 ADE KOMA 2 25,950 - 15,000 - WULAN WI 18,000 -
T001736 TETEH DESI 5 23,600 - 15,000 - WULAN WI - -
E999897 E ROHANA 13 - - 15,000 - WULAN WI - -
A999897 ADI SEPTI 14 - - 15,000 - WULAN WI 80,000 -
O017456 OOM KOMA 17 35,000 - 15,000 - WULAN WI 18,000 -
R002794 ROFFI SUB 18 22,400 - 15,000 - WULAN WI - -
W019602 WIDA WIDI 19 - - 15,000 - WULAN WI - -
A006858 ASTRIANTI 22 35,000 - 15,000 - WULAN WI - -
D003122 DINAR RUS 24 16,600 - 15,000 - WULAN WI - -
E001558 ENCUK NUR 26 31,400 - 15,000 - WULAN WI - -
H001375 HENDAR WI 27 10,600 - 15,000 - WULAN WI - -
A009282 ADZKA SYA 28 28,600 - 15,000 - WULAN WI - -
F001725 FAHMI FA 29 27,000 - 15,000 - WULAN WI - -
I001378 IBRAHIM MA 30 - - 15,000 - WULAN WI - -
F002163 FADHILAH 33 16,000 - 15,000 - WULAN WI - -
A009414 AGHARR AL 34 18,400 - 15,000 - WULAN WI - -
A009294 ASEP WAWA 35 21,200 - 15,000 - WULAN WI - -
S003793 SUHERMAN 36 35,100 - 15,000 - WULAN WI - -
H001462 HAYKAL RIZ 38 10,400 - 15,000 - WULAN WI - -
D003240 DANI RAM 39 16,000 - 15,000 - WULAN WI - -
S003729 SAMSUDIN, 41 20,250 - 15,000 - WULAN WI - -
M002645 MAMAN 42 23,200 - 15,000 - WULAN WI - -
M001932 MOCH DAFA 44 27,600 - 15,000 - WULAN WI - -
R003367 RAHMI RA 45 - - - - PERIKSA K - -
M004900 MUHAMAD A 47 20,000 - 15,000 - WULAN WI - -
H002002 HAMIDAH 48 11,200 - 15,000 - WULAN WI - -
A050001 ALFATH NA 53 9,800 - 15,000 - WULAN WI - -
B000426 BAGUS BAG 58 9,100 - 15,000 - NOVI YULIA - -
A006334 AOS 59 - - 15,000 - NOVI YULIA - -
E002321 ENCEP NUR 60 56,000 - 15,000 - NOVI YULIA 18,000 -
N002171 NONAH MA 63 27,400 - 15,000 - NOVI YULIA - -
M999999 MUHAMMA 64 - - 15,000 - NOVI YULIA 80,000 -
E002094 ELOH 65 30,000 - 15,000 - NOVI YULIA - -
M003363 MUHAMMAD 69 18,000 - 15,000 - NOVI YULIA - -
D000998 DADAN SOB 70 16,000 - 15,000 - NOVI YULIA - -
S000493 SITI HANIF 71 23,400 - 15,000 - NOVI YULIA - -
E000778 ETI KUSWAT 72 47,200 - 15,000 - NOVI YULIA - -
D001716 DEDE RUST 78 - - 15,000 - NOVI YULIA - -
A005675 ASIAH 86 30,400 - 15,000 - NOVI YULIA - -
M002993 M. AIRALD 87 24,200 - 5,000 - NOVI YULIA - -
L001186 LIA AWALIY 89 39,600 - 15,000 - DETY NUR - -
RIAN H 32,000 - 15,000 - WULAN WI - -
M ARSYAD 17,000 - 15,000 - WULAN WI - -

LAPORAN PENDAPATAN RAWAT JALAN


Periode: 30-05-2016 s/d 30-05-2016

No. RM Nama PasieNo. Apotek IGD Rawat Jala Jasa DokterDokter Lab Kartu
A007931 ATORI SAE 1 - - 15,000 - NOVI YULIA 57,000 -
A008317 ALLYA ALFI 10 - - 15,000 - NOVI YULIA - -
J000737 JENI AYUWI 23 - - 15,000 - NOVI YULIA - -
A006858 ASTRIANTI 27 - - 15,000 - NOVI YULIA 80,000 -
A007314 ASRI DWI A 29 - - 15,000 - NOVI YULIA - -
Z000654 ZAENUDIN 43 - - 15,000 - NOVI YULIA - -
A000345 ASEP KURN 63 - - 15,000 - NOVI YULIA - -
N003289 NOPIYAN N 75 - - 15,000 - ANDI HER - -

LAPORAN PENDAPATAN RAWAT JALAN


Periode: 31-05-2016 s/d 31-05-2016

No. RM Nama PasieNo. Apotek IGD Rawat Jala Jasa DokterDokter Lab Kartu
E002774 E. SUMINA 2 25,000 - 15,000 - WULAN WI - -
A007299 ATO SUKIR 4 22,000 - 15,000 - WULAN WI - -
K001271 KANIYA NUR 5 9,000 - 15,000 - WULAN WI - -
W001050 WINEU OKT 7 23,200 - 15,000 - WULAN WI - -
S005461 SRI KOMAR 8 43,100 - 15,000 - WULAN WI - -
N003844 NENG SITI 11 37,800 - 15,000 - WULAN WI - -
A005525 ADIN ROSID 12 20,600 - 10,000 5,000 WULAN WI - -
A003169 AULIA NUR 13 21,300 - 15,000 - WULAN WI - -
M002074 MUHAMMA 14 9,000 - 15,000 - WULAN WI - -
P000746 PUSPA NENS 17 22,000 - 15,000 - WULAN WI - -
D003063 DEDE TARL 18 - - 15,000 - WULAN WI - -
N003063 NEVI NAZM 19 - - - - PERIKSA K - -
M004672 MUHAMMAD 20 29,100 - 15,000 - WULAN WI 80,000 -
D003122 DINAR RUS 21 27,400 - 15,000 - WULAN WI - -
F001556 FITRI SUSI 23 23,150 - 15,000 - WULAN WI - -
N003793 NIA DAMAY 24 27,500 - 15,000 - WULAN WI - -
K000008 KAYLA APRI 25 36,800 - 15,000 - WULAN WI - -
F001725 FAHMI FA 26 31,750 - 15,000 - WULAN WI 80,000 -
F002050 FAHRI FAT 27 30,200 - 15,000 - WULAN WI - -
E002446 ERLANGGA 28 35,000 - 15,000 - WULAN WI - -
I000963 IKIN TAPIA 29 37,000 - 15,000 - WULAN WI 18,000 -
H000658 HALIL HAN 33 - - 15,000 - WULAN WI - -
B000545 BILQIS ALI 34 31,500 - 15,000 - WULAN WI - -
E002692 EVA HERMIA 35 - - 15,000 - WULAN WI - -
S003719 SATRIO NU 37 72,100 - 15,000 - WULAN WI - -
H001833 HENI YULIA 40 12,100 - 15,000 - WULAN WI - -
D002874 DIMAS WS 44 24,600 - 15,000 - WULAN WI - -
E003484 ENTIN FAT 46 30,400 - 15,000 - WULAN WI 43,000 -
M004742 MEIRINA N 49 16,000 - 15,000 - WULAN WI - -
M004581 M HASBI RA 50 11,200 - 15,000 - WULAN WI - -
R005053 RESTI LESTA 51 9,000 - 15,000 - WULAN WI - -
A009200 ANI NURHA 56 23,200 - 15,000 - WULAN WI - -
T000655 TAUFIK ISM 58 29,000 - 5,000 - WULAN WI - -
I003077 IMAS ISMA 61 - - - - PERIKSA K - -
I999903 IKA KARTIK 62 28,000 - 15,000 - WULAN WI - -
F999903 FIKRI RAMD 63 22,000 - 15,000 - WULAN WI - -
H001973 HENDI 66 20,400 - 15,000 - ANDI HER - -
S004679 SUPRIATIN 67 77,000 - 15,000 - ANDI HER - -
N000469 NINA ROST 70 35,000 - 15,000 - ANDI HER - -
Y000589 YUPI ROSY 72 16,600 - 15,000 - ANDI HER 136,000 -
A009567 AI ENDEN 73 - - 15,000 - ANDI HER - -
C000371 CUCU NURH 77 32,000 - 15,000 - ANDI HER - -
F001613 FAIQ ISAM 78 35,000 - 15,000 - ANDI HER - -
T001389 TATI ROHAY 79 24,000 - 15,000 - ANDI HER - -
R999998 RATNA KAR 80 39,000 - 15,000 - ANDI HER - -
F001787 FABIAN NUR 82 34,000 - 15,000 - ANDI HER - -
P999997 PARDI 83 25,000 - 15,000 - ANDI HER - -
S003493 SILMY KOM 84 - - - - PERIKSA K - -
I003414 ISNAN BUN 87 27,000 - 15,000 - ANDI HER - -
A003354 ATIKAH 88 26,000 - 15,000 - ANDI HER - -
A008375 AULIA OKT 90 35,000 - 15,000 - ANDI HER - -
R003833 RUMINA JD 91 26,000 - 15,000 - ANDI HER - -
K001384 KHOIRUL NI 92 28,800 - 15,000 - ANDI HER - -
W000583 WAWANG 94 25,000 - 15,000 - ANDI HER - -
R005030 RATNA WU 95 38,000 - 15,000 - ANDI HER - -
H001109 HERI RUSLI 96 23,000 - 15,000 - ANDI HER - -
R004537 RAZKA MU 98 20,000 45,000 15,000 - ANDI HER - -
J999896 JUJUN JUNA 101 27,000 - 15,000 - ANDI HER - -
USMAN 22,000 - 15,000 - ANDI HER - -
NAVITA - - 15,000 - WULAN WI - -
RENI 24,000 - 15,000 - WULAN WI - -
WAT JALAN
-05-2016

Oxygen KIA Jumlah Jenis Pasie Keterangan APOTEK LAB


- - 27,800 BPJS SUDAH DILAYANI
- - 25,000 BPJS SUDAH DILAYANI
- - 19,400 BPJS SUDAH DILAYANI
- - 33,000 BPJS SUDAH DILAYANI
- - 18,500 BPJS SUDAH DILAYANI
- - 26,000 BPJS SUDAH DILAYANI
WULAN WIDYAWATI=4
DETY NUR RACHMAWATI=1
H. ASEP SANI SULAEMAN=1

WAT JALAN
-05-2016

Oxygen KIA Jumlah Jenis Pasie Keterangan APOTEK LAB


- - 188,500 ASKES SUDAH DILAYANI 94,000 25,000
- - 39,000 BPJS SUDAH DILAYANI
- - 42,000 BPJS SUDAH DILAYANI
- - 39,000 BPJS SUDAH DILAYANI
- - 23,000 BPJS SUDAH DILAYANI
- - 42,000 BPJS SUDAH DILAYANI
- - 31,000 BPJS SUDAH DILAYANI
- - 42,000 BPJS SUDAH DILAYANI
- - 40,000 UMUM/BPJSUDAH DILAYANI
- - 15,000 BPJS SUDAH DILAYANI
- - 33,000 BPJS SUDAH DILAYANI
- - 98,000 BPJS SUDAH DILAYANI 20,000
- - 44,000 BPJS SUDAH DILAYANI
- - 40,000 BPJS SUDAH DILAYANI
- 27,700 27,700 BPJS SUDAH DILAYANI
- - 40,000 BPJS SUDAH DILAYANI
- - 47,000 BPJS SUDAH DILAYANI
- - 15,000 BPJS SUDAH DILAYANI
- - 46,000 BPJS SUDAH DILAYANI
- - 123,000 BPJS SUDAH DILAYANI 25,000
- - 101,000 BPJS SUDAH DILAYANI 20,000
- - 38,000 BPJS SUDAH DILAYANI
- - 31,000 UMUM/BPJSUDAH DILAYANI
- - 29,000 BPJS SUDAH DILAYANI
- - 36,000 BPJS SUDAH DILAYANI
- - 24,000 BPJS SUDAH DILAYANI
- - 116,000 BPJS SUDAH DILAYANI 25,000
- - 40,000 BPJS SUDAH DILAYANI
- - 43,000 BPJS SUDAH DILAYANI
- - 46,000 BPJS SUDAH DILAYANI
- - 42,000 BPJS SUDAH DILAYANI
- - 41,000 UMUM/BPJSUDAH DILAYANI
- - 46,000 BPJS SUDAH DILAYANI
- - 40,000 BPJS SUDAH DILAYANI
- 40,000 40,000 BPJS SUDAH DILAYANI
- - 46,000 BPJS SUDAH DILAYANI
- - 27,000 BPJS SUDAH DILAYANI
- - 42,000 BPJS SUDAH DILAYANI
- - 44,000 BPJS SUDAH DILAYANI
- - 62,000 BPJS SUDAH DILAYANI
- - 37,000 UMUM/BPJSUDAH DILAYANI
- - 36,000 BPJS SUDAH DILAYANI
- - 56,000 BPJS SUDAH DILAYANI 21,000
- - 51,000 BPJS SUDAH DILAYANI
- - 106,000 BPJS SUDAH DILAYANI 25000
- - 15,000 BPJS SUDAH DILAYANI
- 27,700 27,700 BPJS SUDAH DILAYANI
- - 42,000 BPJS SUDAH DILAYANI
- - 28,000 BPJS SUDAH DILAYANI
- - 22,000 BPJS SUDAH DILAYANI
- - 15,000 BPJS SUDAH DILAYANI
- - 36,000 BPJS SUDAH DILAYANI
- - 17,000 BPJS SUDAH DILAYANI
- - 48,000 ASKES SUDAH DILAYANI
- - 36,000 BPJS SUDAH DILAYANI
- - 40,000 BPJS SUDAH DILAYANI
- - 51,600 BPJS SUDAH DILAYANI
- - 29,800 BPJS SUDAH DILAYANI
- - 33,900 BPJS SUDAH DILAYANI
- - 37,000 BPJS SUDAH DILAYANI
- - 114,700 BPJS SUDAH DILAYANI 25,000
- - 31,000 JAMSOSTESUDAH DILAYANI
- - 45,200 BPJS SUDAH DILAYANI
- - 53,200 BPJS SUDAH DILAYANI
- - 41,000 BPJS SUDAH DILAYANI
- - 40,750 BPJS SUDAH DILAYANI
- - 32,600 UMUM/BPJSUDAH DILAYANI
- - 33,200 BPJS SUDAH DILAYANI
- - 32,600 ASKES SUDAH DILAYANI
- - 36,600 BPJS SUDAH DILAYANI
- - 39,900 BPJS SUDAH DILAYANI
155,000 125,000
280,000
NOVI YULIANTI=55
H. THIA SILVANA=13
PERIKSA KEBIDANAN=3
IGD=2
RUJUK=5

WAT JALAN
-05-2016

Oxygen KIA Jumlah Jenis Pasie Keterangan APOTEK/USLAB


- - 52,000 BPJS SUDAH DILAYANI
- - 23,000 BPJS SUDAH DILAYANI
- - 46,000 BPJS SUDAH DILAYANI
- - 66,000 BPJS SUDAH DILAYANI 40,000
- - 48,000 BPJS SUDAH DILAYANI
- - 125,000 BPJS SUDAH DILAYANI 25,000
- - 36,000 BPJS SUDAH DILAYANI
- - 37,000 ASKES SUDAH DILAYANI
- - 44,000 BPJS SUDAH DILAYANI
- - 37,000 ASKES SUDAH DILAYANI
- - 37,000 BPJS SUDAH DILAYANI
- - 48,000 BPJS SUDAH DILAYANI
- - 32,000 BPJS SUDAH DILAYANI
- - 30,000 BPJS SUDAH DILAYANI
- - 140,000 BPJS SUDAH DILAYANI 70,000
- - 48,000 BPJS SUDAH DILAYANI
- - 15,000 BPJS SUDAH DILAYANI
- - 49,000 BPJS SUDAH DILAYANI
- - 35,000 BPJS SUDAH DILAYANI
- - 37,000 BPJS SUDAH DILAYANI
- - 34,000 BPJS SUDAH DILAYANI
- - 30,000 BPJS SUDAH DILAYANI
- - 40,000 BPJS SUDAH DILAYANI
- - 52,000 BPJS SUDAH DILAYANI
- - 47,000 BPJS SUDAH DILAYANI
- - 43,000 BPJS SUDAH DILAYANI
- - 32,000 BPJS SUDAH DILAYANI
- 96,000 96,000 BPJS SUDAH DILAYANI
- - 36,000 BPJS SUDAH DILAYANI
- - 305,000 BPJS SUDAH DILAYANI 188,000
- 56,000 56,000 BPJS SUDAH DILAYANI 25,000
- - 34,000 BPJS SUDAH DILAYANI
- - 49,000 BPJS SUDAH DILAYANI
- - 32,000 ASKES SUDAH DILAYANI
- - 24,000 BPJS SUDAH DILAYANI
- - 15,000 BPJS SUDAH DILAYANI
- - 34,000 BPJS SUDAH DILAYANI
- - 32,000 BPJS SUDAH DILAYANI
- - 41,000 BPJS SUDAH DILAYANI
- - 42,000 BPJS SUDAH DILAYANI
- - 40,000 BPJS SUDAH DILAYANI
- - 63,700 BPJS SUDAH DILAYANI
- - 30,000 BPJS SUDAH DILAYANI
- - 124,000 BPJS SUDAH DILAYANI 90,000
- - 26,000 BPJS SUDAH DILAYANI
- - 37,750 BPJS SUDAH DILAYANI
- - 28,000 BPJS SUDAH DILAYANI
- - 39,000 BPJS SUDAH DILAYANI
- - 53,400 BPJS SUDAH DILAYANI
- - 47,900 BPJS SUDAH DILAYANI
- - 45,000 BPJS SUDAH DILAYANI
- - 45,500 BPJS SUDAH DILAYANI
- - 31,800 BPJS SUDAH DILAYANI
- - 52,200 BPJS SUDAH DILAYANI
- - 42,200 BPJS SUDAH DILAYANI
- - 39,400 BPJS SUDAH DILAYANI
- - 36,000 BPJS SUDAH DILAYANI
- - 38,700 BPJS SUDAH DILAYANI
- - 156,900 BPJS SUDAH DILAYANI 54,000 25,000
- - 37,000 BPJS SUDAH DILAYANI
- - 34,200 BPJS SUDAH DILAYANI
- - 51,600 BPJS SUDAH DILAYANI
- - 34,600 BPJS SUDAH DILAYANI
- - 42,800 BPJS SUDAH DILAYANI
- - 41,000 BPJS SUDAH DILAYANI
20,000 - 177,000 BPJS SUDAH DILAYANI 97,000
- - 44,500 BPJS SUDAH DILAYANI
- - 37,600 BPJS SUDAH DILAYANI
- - 22,000 BPJS SUDAH DILAYANI
- - 42,000 ASKES SUDAH DILAYANI
- - 31,000 BPJS SUDAH DILAYANI
494,000 120,000
614,000
ENCEP SUDARYANA=2
H. ASEP MARYAMAN=1
NOVI YULIANTI=24
WULAN WIDYAWATI=42
PERIKSA KEBIDANAN=2
IGD=2
RUJUK=3

WAT JALAN
-05-2016

Oxygen KIA Jumlah Jenis Pasie Keterangan APOTEK/USLAB


- - 15,000 BPJS SUDAH DILAYANI
- - 36,300 BPJS SUDAH DILAYANI
- - 108,000 BPJS SUDAH DILAYANI 20,000
- - 41,500 BPJS SUDAH DILAYANI
- - 38,000 BPJS SUDAH DILAYANI
- - 15,000 UMUM/BPJSUDAH DILAYANI
- - 15,000 BPJS SUDAH DILAYANI
- - 23,000 UMUM/BPJSUDAH DILAYANI
- - 15,000 BPJS SUDAH DILAYANI
- - 59,000 BPJS SUDAH DILAYANI 21,000
- - 25,600 BPJS SUDAH DILAYANI
- - 44,600 BPJS SUDAH DILAYANI
- - 15,000 BPJS SUDAH DILAYANI
- - 114,000 BPJS SUDAH DILAYANI
- - 47,900 BPJS SUDAH DILAYANI
- - 42,800 BPJS SUDAH DILAYANI
- - 92,200 BPJS SUDAH DILAYANI 64,000
- - 40,000 BPJS SUDAH DILAYANI
- - 39,500 BPJS SUDAH DILAYANI
- - 69,000 BPJS SUDAH DILAYANI
- - 26,400 BPJS SUDAH DILAYANI
- - 51,100 BPJS SUDAH DILAYANI
- - 34,700 BPJS SUDAH DILAYANI
- - 40,400 BPJS SUDAH DILAYANI
- - 34,200 BPJS SUDAH DILAYANI
- - 45,000 BPJS SUDAH DILAYANI
- - 31,600 ASKES SUDAH DILAYANI
- - 41,000 BPJS SUDAH DILAYANI
- - 33,200 BPJS SUDAH DILAYANI
- - 31,800 BPJS SUDAH DILAYANI
- - 41,100 ASKES SUDAH DILAYANI
- - 43,100 BPJS SUDAH DILAYANI
- - 30,950 BPJS SUDAH DILAYANI
- - 44,100 BPJS SUDAH DILAYANI
- - 37,500 BPJS SUDAH DILAYANI
- - 43,700 BPJS SUDAH DILAYANI
- - 67,200 BPJS SUDAH DILAYANI
- - 43,400 BPJS SUDAH DILAYANI
- - 39,000 UMUM/BPJSUDAH DILAYANI
- - 15,000 ASKES SUDAH DILAYANI
- - 15,000 BPJS SUDAH DILAYANI
- - 31,000 UMUM/BPJSUDAH DILAYANI
- - 118,100 UMUM/BPJSUDAH DILAYANI 100,000
- - 35,500 BPJS SUDAH DILAYANI
- - 97,000 BPJS SUDAH DILAYANI
- - 25,600 BPJS SUDAH DILAYANI
- - 47,900 BPJS SUDAH DILAYANI
- - 47,900 BPJS SUDAH DILAYANI
- - 34,000 BPJS SUDAH DILAYANI
- - 39,500 BPJS SUDAH DILAYANI
- - 36,000 BPJS SUDAH DILAYANI
- - 48,600 BPJS SUDAH DILAYANI 13,000
- - 32,500 BPJS SUDAH DILAYANI
- - 25,000 BPJS SUDAH DILAYANI
- - 39,400 ASKES SUDAH DILAYANI
218,000 -
218,000
NOVI YULIANTI=23 54
WULAN WIDYAWATI=31
PERIKSA KEBIDANAN=1
IGD=3
RUJUK=7

WAT JALAN
-05-2016

Oxygen KIA Jumlah Jenis Pasie Keterangan APOTEK/USLAB


- - 39,200 BPJS SUDAH DILAYANI
- - 47,100 BPJS SUDAH DILAYANI
- - 12,000 BPJS SUDAH DILAYANI
- -
-
ENCEP SUDARYANA=1
H. THIA SILVANA=1
NOVI YULIANTI=1

WAT JALAN
-05-2016

Oxygen KIA Jumlah Jenis Pasie Keterangan APOTEK/USLAB


- - 25,250 BPJS SUDAH DILAYANI
- - 37,200 BPJS SUDAH DILAYANI 18,000
- - 22,300 BPJS SUDAH DILAYANI
- - 22,000 BPJS SUDAH DILAYANI
- - 26,000 BPJS SUDAH DILAYANI
18,000 -
18,000
WULAN WIDYAWATI=4
H. THIA SILVANA=1

WAT JALAN
-05-2016

Oxygen KIA Jumlah Jenis Pasie Keterangan APOTEK/USLAB


- - 34,000 BPJS SUDAH DILAYANI
- - 38,400 BPJS SUDAH DILAYANI
- - 31,000 ASKES SUDAH DILAYANI
- - 47,500 BPJS SUDAH DILAYANI
- - 103,000 ASKES SUDAH DILAYANI 20,000
- - 123,000 BPJS SUDAH DILAYANI 25,000
- - 25,000 BPJS SUDAH DILAYANI 20,000
- - 30,400 BPJS SUDAH DILAYANI
- - 48,100 BPJS SUDAH DILAYANI
- - 42,700 BPJS SUDAH DILAYANI
- - 34,000 BPJS SUDAH DILAYANI
- - 37,000 BPJS SUDAH DILAYANI
- - 39,200 BPJS SUDAH DILAYANI
- - 31,000 BPJS SUDAH DILAYANI
- - 36,900 BPJS SUDAH DILAYANI
- - 32,800 BPJS SUDAH DILAYANI
- - 196,800 BPJS SUDAH DILAYANI 145,000 25,000
- - 35,400 BPJS SUDAH DILAYANI
- - 31,500 BPJS SUDAH DILAYANI
- - 31,000 BPJS SUDAH DILAYANI
- - 39,400 BPJS SUDAH DILAYANI
- - 47,100 BPJS SUDAH DILAYANI
- - 41,600 BPJS SUDAH DILAYANI
- 38,500 38,500 BPJS SUDAH DILAYANI
- 26,400 26,400 BPJS SUDAH DILAYANI
- - 39,400 BPJS SUDAH DILAYANI
- - 25,300 BPJS SUDAH DILAYANI
- - 15,000 BPJS SUDAH DILAYANI
- - 38,800 BPJS SUDAH DILAYANI
- - 47,000 BPJS SUDAH DILAYANI
- - 37,000 BPJS SUDAH DILAYANI
- - 27,100 BPJS SUDAH DILAYANI
- - 30,000 BPJS SUDAH DILAYANI
- - 31,700 BPJS SUDAH DILAYANI
- - 147,100 BPJS SUDAH DILAYANI 63,000
- - 31,000 BPJS SUDAH DILAYANI
- - 47,000 BPJS SUDAH DILAYANI
- - 44,000 BPJS SUDAH DILAYANI
- 28,000 28,000 BPJS SUDAH DILAYANI
- - 13,000 BPJS SUDAH DILAYANI
- - 34,000 BPJS SUDAH DILAYANI
- - 42,000 BPJS SUDAH DILAYANI
- - 15,000 BPJS SUDAH DILAYANI
- - 38,000 BPJS SUDAH DILAYANI
- - 42,000 BPJS SUDAH DILAYANI
185,000 113,000
298,000
H. THIA SILVANA=9 43
WULAN WIDYAWATI=34
PERIKSA KEBIDANAN=2
RUJUK=3
IGD=1

WAT JALAN
-05-2016

Oxygen KIA Jumlah Jenis Pasie Keterangan APOTEK/USLAB


- - 16,000 BPJS SUDAH DILAYANI
- - 18,500 BPJS RESERVASI
NOVI YULI 2
H. ASEP SANI SULAEMAN=1

WAT JALAN
-05-2016

Oxygen KIA Jumlah Jenis Pasie Keterangan APOTEK/USLAB


- - 32,000 BPJS SUDAH DILAYANI
- - 15,000 BPJS SUDAH DILAYANI
- - 15,000 BPJS SUDAH DILAYANI
- - 15,000 BPJS SUDAH DILAYANI
- - 50,000 BPJS SUDAH DILAYANI
- - 15,000 BPJS SUDAH DILAYANI
- - 40,000 BPJS SUDAH DILAYANI
- - 39,000 BPJS SUDAH DILAYANI
- - 38,000 BPJS SUDAH DILAYANI
- - 39,000 BPJS SUDAH DILAYANI
- - 34,000 BPJS SUDAH DILAYANI
- - 33,000 BPJS SUDAH DILAYANI
- - 72,000 BPJS SUDAH DILAYANI 37,000
- - 26,000 BPJS SUDAH DILAYANI
- - 15,000 UMUM/BPJSUDAH DILAYANI
- - 95,000 BPJS SUDAH DILAYANI 25,000
- - 25,000 BPJS SUDAH DILAYANI
- - 39,000 BPJS SUDAH DILAYANI
- - 32,000 BPJS SUDAH DILAYANI
- - 47,000 BPJS SUDAH DILAYANI
- - 32,000 ASKES SUDAH DILAYANI
- - 34,000 BPJS SUDAH DILAYANI
- - 40,000 BPJS SUDAH DILAYANI
- - 30,000 BPJS SUDAH DILAYANI
- - 38,000 BPJS SUDAH DILAYANI
- - 46,000 BPJS SUDAH DILAYANI
- - 38,000 BPJS SUDAH DILAYANI
- - 95,000 BPJS SUDAH DILAYANI 25,000
- - 29,000 BPJS SUDAH DILAYANI
- - 25,000 BPJS SUDAH DILAYANI
- - 37,000 BPJS SUDAH DILAYANI
- - 15,000 BPJS SUDAH DILAYANI
- - 37,000 BPJS SUDAH DILAYANI
- - 15,000 BPJS SUDAH DILAYANI
- - 41,000 BPJS SUDAH DILAYANI
- - 42,000 BPJS SUDAH DILAYANI
- - 43,000 BPJS SUDAH DILAYANI
- - 45,000 BPJS SUDAH DILAYANI
- - 53,000 ASKES SUDAH DILAYANI 13,000
- - 40,000 BPJS SUDAH DILAYANI
- - 31,000 BPJS SUDAH DILAYANI
- - 29,000 BPJS SUDAH DILAYANI
- - 39,000 BPJS SUDAH DILAYANI
- - 43,000 BPJS SUDAH DILAYANI
- - 38,000 BPJS SUDAH DILAYANI
- - 26,000 BPJS SUDAH DILAYANI
- - 39,000 BPJS SUDAH DILAYANI
- - 32,000 BPJS SUDAH DILAYANI
- - 47,000 ASKES SUDAH DILAYANI
- - 41,100 BPJS SUDAH DILAYANI
- - 48,100 BPJS SUDAH DILAYANI
- - 40,000 BPJS SUDAH DILAYANI
50,000 50,000
100,000
ENCEP SUDARYANA=9
H. THIA SILVANA=10
WULAN WIDYAWATI=52
CEK LAB SAJA=1
PERIKSA KEBIDANAN=3
RUJUK=9

WAT JALAN
-05-2016

Oxygen KIA Jumlah Jenis Pasie Keterangan APOTEK/USLAB


- - 34,750 BPJS SUDAH DILAYANI
- - 46,800 BPJS SUDAH DILAYANI
- - 25,300 BPJS SUDAH DILAYANI
- - 31,800 BPJS SUDAH DILAYANI
- - 36,100 BPJS SUDAH DILAYANI
- - 31,200 BPJS SUDAH DILAYANI
- 36,000 36,000 BPJS SUDAH DILAYANI
- - 92,700 BPJS SUDAH DILAYANI 60,000
- - 147,200 BPJS SUDAH DILAYANI 61,000
- - 38,100 BPJS SUDAH DILAYANI
- - 50,000 BPJS SUDAH DILAYANI 19,000
- - 39,400 BPJS SUDAH DILAYANI
- - 38,000 BPJS SUDAH DILAYANI
- - 29,600 BPJS SUDAH DILAYANI
- 15,000 15,000 BPJS SUDAH DILAYANI
- - 29,000 ASKES SUDAH DILAYANI
- - 35,300 BPJS SUDAH DILAYANI
- - 35,800 BPJS SUDAH DILAYANI
- - 103,000 BPJS SUDAH DILAYANI 28,000
- - 92,600 BPJS SUDAH DILAYANI 60,000
- - 41,150 BPJS SUDAH DILAYANI
- - 37,400 BPJS SUDAH DILAYANI
- - 42,700 BPJS SUDAH DILAYANI
- - 33,300 ASKES SUDAH DILAYANI
- - 34,200 BPJS SUDAH DILAYANI
- - 122,000 BPJS SUDAH DILAYANI 25,000
- - 28,750 BPJS SUDAH DILAYANI
- - 46,400 ASKES SUDAH DILAYANI
- - 81,000 BPJS SUDAH DILAYANI
- - 29,950 BPJS SUDAH DILAYANI
- - 39,400 BPJS SUDAH DILAYANI
- - 35,200 BPJS SUDAH DILAYANI
- - 41,200 BPJS SUDAH DILAYANI
- - 15,000 BPJS SUDAH DILAYANI
- - 32,800 BPJS SUDAH DILAYANI
- 36,000 36,000 BPJS SUDAH DILAYANI
- - 33,600 BPJS SUDAH DILAYANI
- - 33,000 BPJS SUDAH DILAYANI
- - 40,200 BPJS SUDAH DILAYANI
- - 44,600 BPJS SUDAH DILAYANI 13,000
- - 46,100 BPJS SUDAH DILAYANI
- - 41,500 BPJS SUDAH DILAYANI
- - 44,800 BPJS SUDAH DILAYANI
- 35,000 35,000 BPJS SUDAH DILAYANI
- - 48,000 BPJS SUDAH DILAYANI 12,000
- - 45,000 BPJS SUDAH DILAYANI
- - 64,400 BPJS SUDAH DILAYANI 19,000
- - 26,750 BPJS SUDAH DILAYANI
- 88,000 88,000 BPJS SUDAH DILAYANI 67,000
- 37,500 37,500 BPJS SUDAH DILAYANI
- - 40,700 ASKES SUDAH DILAYANI
- - 31,200 BPJS SUDAH DILAYANI
- - 47,200 BPJS SUDAH DILAYANI 19,000
- - 28,200 BPJS SUDAH DILAYANI
- - 36,100 BPJS SUDAH DILAYANI
- - 42,000 BPJS SUDAH DILAYANI
- - 14,000 BPJS SUDAH DILAYANI
- - 12,000 BPJS SUDAH DILAYANI
- - 30,000 BPJS SUDAH DILAYANI
238,000 145,000
383,000
ENCEP SUDARYANA=2
NOVI YULIANTI=18
WULAN WIDYAWATI=33
PERIKSA KEBIDANAN=6
IGD=2
RUJUK=1

WAT JALAN
-05-2016

Oxygen KIA Jumlah Jenis Pasie Keterangan APOTEK/USLAB


- - 37,200 BPJS SUDAH DILAYANI
- - 36,100 BPJS SUDAH DILAYANI
- - 27,000 BPJS SUDAH DILAYANI
- - 38,350 BPJS SUDAH DILAYANI
- - 50,000 BPJS SUDAH DILAYANI
- - 37,400 BPJS SUDAH DILAYANI 6,000
- - 38,800 BPJS SUDAH DILAYANI
- - 59,600 BPJS SUDAH DILAYANI 15,000
- - 136,400 ASKES SUDAH DILAYANI 63,000
- - 15,000 BPJS SUDAH DILAYANI
- - 52,700 BPJS SUDAH DILAYANI 8,000
- - 31,800 BPJS SUDAH DILAYANI
- - 41,600 BPJS SUDAH DILAYANI
- - 48,600 BPJS SUDAH DILAYANI
- - 36,400 BPJS SUDAH DILAYANI
- - 46,950 BPJS SUDAH DILAYANI
- 26,700 26,700 BPJS SUDAH DILAYANI
- - 38,000 BPJS SUDAH DILAYANI
- - 31,800 BPJS SUDAH DILAYANI
- - 43,100 BPJS SUDAH DILAYANI
- - 38,700 BPJS SUDAH DILAYANI
- - 41,400 BPJS SUDAH DILAYANI
- - 15,000 BPJS SUDAH DILAYANI
- - 41,600 ASKES SUDAH DILAYANI
- - 40,950 BPJS SUDAH DILAYANI
- - 40,400 BPJS SUDAH DILAYANI
- - 52,400 BPJS SUDAH DILAYANI 19,000
- - 45,200 BPJS SUDAH DILAYANI 25,000
- - 30,400 BPJS SUDAH DILAYANI
- - 116,100 BPJS SUDAH DILAYANI 9,000 25,000
- - 36,700 BPJS SUDAH DILAYANI
- - 15,000 BPJS SUDAH DILAYANI
- - 59,000 BPJS SUDAH DILAYANI 21,000
- - 29,000 BPJS SUDAH DILAYANI
- - 41,200 BPJS SUDAH DILAYANI
- - 42,000 BPJS SUDAH DILAYANI
- 40,000 40,000 BPJS SUDAH DILAYANI
- - 33,500 BPJS SUDAH DILAYANI
- - 29,000 ASKES SUDAH DILAYANI
- - 22,700 BPJS SUDAH DILAYANI
- - 46,800 BPJS SUDAH DILAYANI
- - 31,000 BPJS SUDAH DILAYANI
- - 27,500 BPJS SUDAH DILAYANI
- - 37,000 BPJS SUDAH DILAYANI
- - 33,800 BPJS SUDAH DILAYANI
- - 94,400 BPJS SUDAH DILAYANI 44,000
- - 152,700 BPJS SUDAH DILAYANI 33,000
- - 25,200 BPJS SUDAH DILAYANI
- - 34,000 BPJS SUDAH DILAYANI
- - 38,800 BPJS SUDAH DILAYANI
- - 46,700 BPJS SUDAH DILAYANI
- - 30,500 BPJS SUDAH DILAYANI
- - 36,500 BPJS SUDAH DILAYANI
- - 32,000 BPJS SUDAH DILAYANI
155,000 113,000
268,000
NOVI YULIANTI=27
WULAN WIDYAWATI=25
PERIKSA KEBIDANAN=2
igd=1
rujuk=3

WAT JALAN
-05-2016

Oxygen KIA Jumlah Jenis Pasie Keterangan APOTEK/USLAB


- 17,700 17,700 BPJS SUDAH DILAYANI
- - 37,000 BPJS SUDAH DILAYANI
- - 29,800 BPJS SUDAH DILAYANI
- - 103,000 BPJS SUDAH DILAYANI 20,000
- - 30,000 UMUM/BPJSUDAH DILAYANI
- - 40,750 BPJS SUDAH DILAYANI
- - 40,000 BPJS SUDAH DILAYANI
- - 41,000 BPJS SUDAH DILAYANI
- - 47,500 BPJS SUDAH DILAYANI
- - 52,200 BPJS SUDAH DILAYANI
- - 53,100 BPJS SUDAH DILAYANI
- - 39,350 BPJS SUDAH DILAYANI
- - 39,700 BPJS SUDAH DILAYANI
- - 127,750 BPJS SUDAH DILAYANI 25,000
- 44,000 44,000 BPJS SUDAH DILAYANI
- - 36,100 BPJS SUDAH DILAYANI
- - 15,000 BPJS SUDAH DILAYANI
- - 15,000 BPJS SUDAH DILAYANI
- - 24,000 BPJS SUDAH DILAYANI
- - 15,000 BPJS SUDAH DILAYANI
- - 43,300 BPJS SUDAH DILAYANI
- - 137,000 ASKES SUDAH DILAYANI 41,000
- - 47,000 BPJS SUDAH DILAYANI
- - 67,700 BPJS SUDAH DILAYANI 21,000 25,000
- - 15,000 BPJS SUDAH DILAYANI
- - 15,000 BPJS SUDAH DILAYANI
- - 15,000 BPJS SUDAH DILAYANI
- - 37,200 ASKES SUDAH DILAYANI
- - 39,700 BPJS SUDAH DILAYANI
- - 25,150 BPJS SUDAH DILAYANI
- - 47,600 BPJS SUDAH DILAYANI
- - 43,100 BPJS SUDAH DILAYANI
- 27,700 27,700 BPJS SUDAH DILAYANI
- - 15,000 BPJS SUDAH DILAYANI
- - 22,000 BPJS SUDAH DILAYANI
- - 15,000 BPJS SUDAH DILAYANI
- - 36,000 BPJS SUDAH DILAYANI
- - 34,000 BPJS SUDAH DILAYANI
- - 44,000 BPJS SUDAH DILAYANI
- - 15,000 BPJS SUDAH DILAYANI
- - 45,000 BPJS SUDAH DILAYANI
- - 28,000 BPJS SUDAH DILAYANI
- - 41,000 BPJS SUDAH DILAYANI
- - 15,000 BPJS SUDAH DILAYANI
- - 64,000 BPJS SUDAH DILAYANI 25000
- - 36,000 BPJS SUDAH DILAYANI
- - 15,000 BPJS SUDAH DILAYANI
- - 15,000 BPJS SUDAH DILAYANI
- - 47,000 UMUM/BPJSUDAH DILAYANI
- - 37,000 ASKES SUDAH DILAYANI
- - 43,000 BPJS SUDAH DILAYANI
- - 58,500 BPJS SUDAH DILAYANI 25,000
- - 28,000 BPJS SUDAH DILAYANI
- - 44,000 BPJS SUDAH DILAYANI
- - 44,000 BPJS SUDAH DILAYANI
- - 36,000 ASKES SUDAH DILAYANI
- - 41,000 BPJS SUDAH DILAYANI
- - 39,000 BPJS SUDAH DILAYANI
- - 49,000 BPJS SUDAH DILAYANI
- - 48,000 JAMSOSTESUDAH DILAYANI
- - 36,000 ASKES SUDAH DILAYANI
- - 37,000 BPJS SUDAH DILAYANI
- - 27,600 BPJS SUDAH DILAYANI
82,000 100,000
182,000
DETY NUR RACHMAWATI=1
ENCEP SUDARYANA=1
H. ASEP MARYAMAN=23
NOVI YULIANTI=35
PERIKSA KEBIDANAN=3
RUJUK=12
IGD=2

WAT JALAN
-05-2016

Oxygen KIA Jumlah Jenis Pasie Keterangan APOTEK/USLAB


- - 47,000 UMUM/BPJSUDAH DILAYANI
- - 41,600 BPJS SUDAH DILAYANI
- - 37,000 BPJS SUDAH DILAYANI
- - 31,700 BPJS SUDAH DILAYANI
- - 34,100 BPJS SUDAH DILAYANI
- 38,000 38,000 BPJS SUDAH DILAYANI
- - 51,000 BPJS SUDAH DILAYANI
- - 38,200 BPJS SUDAH DILAYANI
- - 33,100 BPJS SUDAH DILAYANI
- - 24,000 BPJS SUDAH DILAYANI
- - 50,800 BPJS SUDAH DILAYANI
- - 43,200 BPJS SUDAH DILAYANI
- - 39,500 BPJS SUDAH DILAYANI
- - 42,000 BPJS SUDAH DILAYANI 9,000
- - 49,100 BPJS SUDAH DILAYANI
- - 31,500 BPJS SUDAH DILAYANI
- - 40,000 BPJS SUDAH DILAYANI
- - 41,400 BPJS SUDAH DILAYANI
- - 44,250 BPJS SUDAH DILAYANI
- - 33,200 BPJS SUDAH DILAYANI
- - 44,600 BPJS SUDAH DILAYANI
- - 39,400 BPJS SUDAH DILAYANI
- - 32,700 BPJS SUDAH DILAYANI
- - 33,400 BPJS SUDAH DILAYANI
- - 26,800 BPJS SUDAH DILAYANI
- - 31,000 BPJS SUDAH DILAYANI
- - 35,100 BPJS SUDAH DILAYANI
- - - BPJS SUDAH DILAYANI
- - - BPJS SUDAH DILAYANI
- - - BPJS SUDAH DILAYANI
- - 41,200 BPJS SUDAH DILAYANI
- - 123,000 BPJS SUDAH DILAYANI 25,000
- - 39,500 BPJS SUDAH DILAYANI
- - 51,000 BPJS SUDAH DILAYANI
- - 78,000 BPJS SUDAH DILAYANI 21,000
- - 63,000 ASKES SUDAH DILAYANI 25,000
- - 47,000 ASKES SUDAH DILAYANI
- - 40,000 BPJS SUDAH DILAYANI
- - 62,000 BPJS SUDAH DILAYANI
- - 46,000 BPJS SUDAH DILAYANI 22,000
- - 46,000 BPJS SUDAH DILAYANI
- - 49,000 BPJS SUDAH DILAYANI
- - 130,000 BPJS SUDAH DILAYANI 25000
- - 57,000 BPJS SUDAH DILAYANI 21,000
- - 58,000 BPJS SUDAH DILAYANI 21,000
- - 50,000 BPJS SUDAH DILAYANI
- - 69,000 BPJS SUDAH DILAYANI
- - 38,000 UMUM/BPJSUDAH DILAYANI
- - 72,000 BPJS SUDAH DILAYANI 30,000
- - 50,000 BPJS SUDAH DILAYANI
- - 46,000 BPJS SUDAH DILAYANI
124,000 75,000
199,000
ANDI HERMANSYAH=19
WULAN WIDYAWATI=31
PERIKSA KEBIDANAN=1
RUJUK=3

WAT JALAN
-05-2016

Oxygen KIA Jumlah Jenis Pasie Keterangan APOTEK/USLAB


- - 5,000 BPJS SUDAH DILAYANI
- - 20,500 BPJS SUDAH DILAYANI
- - 59,000 ASKES SUDAH DILAYANI 19,000
- - 37,000 BPJS SUDAH DILAYANI
- - 66,000 BPJS SUDAH DILAYANI 6,000
- - 15,000 BPJS SUDAH DILAYANI
- - 34,000 BPJS SUDAH DILAYANI
- - 115,000 ASKES SUDAH DILAYANI 60,000
- - 26,000 BPJS SUDAH DILAYANI
- - 95,000 BPJS SUDAH DILAYANI 6,000 25,000
- - 39,000 BPJS SUDAH DILAYANI
- - 36,000 UMUM/BPJSUDAH DILAYANI
- - 26,000 ASKES SUDAH DILAYANI
- - 38,000 BPJS SUDAH DILAYANI
- 31,000 31,000 BPJS SUDAH DILAYANI
- - 100,000 BPJS SUDAH DILAYANI 48,000
- - 15,000 BPJS SUDAH DILAYANI
- - 35,000 BPJS SUDAH DILAYANI
- - 37,000 BPJS SUDAH DILAYANI
- - 47,000 BPJS SUDAH DILAYANI
- - 27,000 BPJS SUDAH DILAYANI
- - 34,000 BPJS SUDAH DILAYANI
- - 15,000 UMUM/BPJSUDAH DILAYANI
- - 29,000 BPJS SUDAH DILAYANI
- - 95,000 BPJS SUDAH DILAYANI 60,000
- - 37,000 BPJS SUDAH DILAYANI
- - 38,000 BPJS SUDAH DILAYANI
- - 31,000 BPJS SUDAH DILAYANI
- - 32,000 UMUM/BPJSUDAH DILAYANI
- - 50,000 BPJS SUDAH DILAYANI
- 28,000 28,000 BPJS SUDAH DILAYANI
- - 35,000 BPJS SUDAH DILAYANI
- - 36,000 BPJS SUDAH DILAYANI
- - 26,000 BPJS SUDAH DILAYANI
- - 31,000 BPJS SUDAH DILAYANI
- - 38,000 UMUM/BPJSUDAH DILAYANI
- - 36,100 BPJS SUDAH DILAYANI
- - 31,500 BPJS SUDAH DILAYANI
- - 46,800 BPJS SUDAH DILAYANI
- - 53,400 BPJS SUDAH DILAYANI
- - 50,500 BPJS SUDAH DILAYANI
- - 114,000 BPJS SUDAH DILAYANI 48000
- - 46,500 UMUM/BPJSUDAH DILAYANI
- - 75,000 BPJS SUDAH DILAYANI
- - 54,400 BPJS SUDAH DILAYANI
- - 49,200 BPJS SUDAH DILAYANI 19,000
- - 45,000 BPJS SUDAH DILAYANI
- - 38,000 BPJS SUDAH DILAYANI
- - 39,500 BPJS SUDAH DILAYANI
- - 14,700 BPJS SUDAH DILAYANI
50,000 241,000
291,000
DETY NUR RACHMAWATI=1
ENCEP SUDARYANA=2
NOVI YULIANTI=14
WULAN WIDYAWATI=31
PERIKSA KEBIDANAN=2
RUJUK=4
IGD=1

WAT JALAN
-05-2016

Oxygen KIA Jumlah Jenis Pasie Keterangan APOTEK/USLAB


- - 47,450 BPJS SUDAH DILAYANI
- - 35,000 BPJS SUDAH DILAYANI
- - 38,600 BPJS SUDAH DILAYANI
- - 15,000 BPJS SUDAH DILAYANI
- - 48,600 BPJS SUDAH DILAYANI
- - 32,600 BPJS SUDAH DILAYANI
- - 35,200 BPJS SUDAH DILAYANI
- - 15,000 BPJS SUDAH DILAYANI
- - 120,200 BPJS SUDAH DILAYANI 25,000
- - 35,800 BPJS SUDAH DILAYANI
- - 23,000 BPJS SUDAH DILAYANI
- - 35,200 BPJS SUDAH DILAYANI
- - 15,000 BPJS SUDAH DILAYANI
- - 15,000 BPJS SUDAH DILAYANI
- - 52,200 BPJS SUDAH DILAYANI
- - 34,200 BPJS SUDAH DILAYANI
- - 24,000 BPJS SUDAH DILAYANI
- - 37,200 BPJS SUDAH DILAYANI
- - 120,400 BPJS SUDAH DILAYANI 25,000
- - 28,200 BPJS SUDAH DILAYANI
- - 122,400 BPJS SUDAH DILAYANI 25,000
- - 29,000 BPJS SUDAH DILAYANI
- - 37,400 BPJS SUDAH DILAYANI
- - 34,100 BPJS SUDAH DILAYANI
- 28,500 28,500 BPJS SUDAH DILAYANI
- - 36,900 BPJS SUDAH DILAYANI
- - 46,800 BPJS SUDAH DILAYANI
- - 35,000 BPJS SUDAH DILAYANI
- - 33,500 BPJS SUDAH DILAYANI
- - 37,400 BPJS SUDAH DILAYANI
- - 45,400 BPJS SUDAH DILAYANI
- - 63,000 ASKES SUDAH DILAYANI
- - 36,500 ASKES SUDAH DILAYANI
- - 39,500 BPJS SUDAH DILAYANI
- - 41,000 BPJS SUDAH DILAYANI
- - 35,200 BPJS SUDAH DILAYANI
- 35,750 35,750 BPJS SUDAH DILAYANI
- - 32,500 BPJS SUDAH DILAYANI
- - 36,500 BPJS SUDAH DILAYANI
- - 32,100 BPJS SUDAH DILAYANI
- - 37,000 BPJS SUDAH DILAYANI
- - 43,400 BPJS SUDAH DILAYANI
- - 36,200 BPJS SUDAH DILAYANI
- - 27,350 BPJS SUDAH DILAYANI
- - 47,800 BPJS SUDAH DILAYANI
- - 31,700 BPJS SUDAH DILAYANI
- - 29,700 BPJS SUDAH DILAYANI
- - 31,000 BPJS SUDAH DILAYANI
- - 37,900 BPJS SUDAH DILAYANI
- - 36,600 BPJS SUDAH DILAYANI
- - 24,000 BPJS SUDAH DILAYANI
- - 31,400 BPJS SUDAH DILAYANI
- - 39,750 BPJS SUDAH DILAYANI
- - 21,500 BPJS SUDAH DILAYANI
- - 35,300 ASKES SUDAH DILAYANI
- - 40,800 BPJS SUDAH DILAYANI
- - 32,300 BPJS SUDAH DILAYANI
- - 46,200 BPJS SUDAH DILAYANI
- - 25,200 BPJS SUDAH DILAYANI
- - 41,000 UMUM/BPJSUDAH DILAYANI
- - 34,700 BPJS SUDAH DILAYANI
- - 35,200 BPJS SUDAH DILAYANI
- - 44,400 BPJS SUDAH DILAYANI
- - 36,400 BPJS SUDAH DILAYANI
- - 35,600 ASKES SUDAH DILAYANI
- - 48,000 BPJS SUDAH DILAYANI
- - 40,200 BPJS SUDAH DILAYANI
- - 44,000 BPJS SUDAH DILAYANI
- - 35,200 BPJS SUDAH DILAYANI
- - 34,100 BPJS SUDAH DILAYANI
- - 35,000 BPJS SUDAH DILAYANI
- - 55,200 UMUM/BPJSUDAH DILAYANI 23,000
- - 38,100 UMUM/BPJSUDAH DILAYANI
- - 39,200 BPJS SUDAH DILAYANI
- - 29,000 BPJS SUDAH DILAYANI
- - 45,700 UMUM/BPJSUDAH DILAYANI
- - 33,500 BPJS SUDAH DILAYANI
- 98,000
ENCEP SUDARYANA=19
WULAN WIDYAWATI=56
PERIKSA KEBIDANAN=2
RUJUK=4

WAT JALAN
-05-2016

Oxygen KIA Jumlah Jenis Pasie Keterangan APOTEK/USLAB


- - 41,000 BPJS SUDAH DILAYANI
- - 33,400 BPJS SUDAH DILAYANI
- - 40,500 BPJS SUDAH DILAYANI
- - 29,950 BPJS SUDAH DILAYANI
- - 36,100 BPJS SUDAH DILAYANI
- - 30,650 BPJS SUDAH DILAYANI
- - 28,200 BPJS SUDAH DILAYANI
- - 147,600 BPJS SUDAH DILAYANI 48,000
- - 40,800 JAMSOSTESUDAH DILAYANI
- - 37,400 BPJS SUDAH DILAYANI
- - 105,900 BPJS SUDAH DILAYANI 77,000
- - 43,000 BPJS SUDAH DILAYANI
- - 28,500 BPJS SUDAH DILAYANI
- - 30,100 BPJS SUDAH DILAYANI
- - 25,900 BPJS SUDAH DILAYANI
- - 39,800 BPJS SUDAH DILAYANI
- - 59,000 BPJS SUDAH DILAYANI
- - 29,500 BPJS SUDAH DILAYANI
- 27,700 27,700 BPJS SUDAH DILAYANI
- - 38,000 BPJS SUDAH DILAYANI
- - 29,700 BPJS SUDAH DILAYANI
- - 33,000 BPJS SUDAH DILAYANI
- 35,500 35,500 BPJS SUDAH DILAYANI
- - 51,000 BPJS SUDAH DILAYANI
- - 31,950 BPJS SUDAH DILAYANI
- - 40,000 BPJS SUDAH DILAYANI
- - 60,300 BPJS SUDAH DILAYANI 25,000
- - 15,000 BPJS SUDAH DILAYANI
- - 38,000 BPJS SUDAH DILAYANI
- - 41,000 BPJS SUDAH DILAYANI
- - 43,600 BPJS SUDAH DILAYANI
- - 31,000 BPJS SUDAH DILAYANI
- - 49,000 ASKES SUDAH DILAYANI 25,000
- - 36,700 BPJS SUDAH DILAYANI
- - 23,300 BPJS SUDAH DILAYANI
- - 50,000 BPJS SUDAH DILAYANI
- - 39,500 BPJS SUDAH DILAYANI
- - 42,200 BPJS SUDAH DILAYANI
- - 34,000 UMUM/BPJSUDAH DILAYANI
- - 35,700 BPJS SUDAH DILAYANI
- - 15,000 BPJS SUDAH DILAYANI
- - 15,000 BPJS SUDAH DILAYANI
- - 39,600 BPJS SUDAH DILAYANI
- - 34,700 BPJS SUDAH DILAYANI
- - 48,000 UMUM/BPJSUDAH DILAYANI
- - 26,200 UMUM/BPJSUDAH DILAYANI
- - 34,100 BPJS SUDAH DILAYANI
- - 31,800 BPJS SUDAH DILAYANI
- - 49,600 BPJS SUDAH DILAYANI
- - 98,600 BPJS SUDAH DILAYANI
- - 34,150 BPJS SUDAH DILAYANI
- - 15,000 BPJS SUDAH DILAYANI
- - 49,600 BPJS SUDAH DILAYANI 21,000
- - 43,000 BPJS SUDAH DILAYANI
- - 41,300 BPJS SUDAH DILAYANI 13,000
- - 15,000 BPJS SUDAH DILAYANI
- - 51,200 BPJS SUDAH DILAYANI
- - 44,200 BPJS SUDAH DILAYANI
- - 43,000 BPJS SUDAH DILAYANI
- - 42,000 BPJS SUDAH DILAYANI
- - 53,200 BPJS SUDAH DILAYANI
111,000 98,000
209,000
H. ASEP MARYAMAN=1
NOVI YULIANTI=16
WULAN WIDYAWATI=42
PERIKSA KEBIDANAN=2
RUJUK=5

WAT JALAN
-05-2016

Oxygen KIA Jumlah Jenis Pasie Keterangan APOTEK/USLAB


- - 28,000 BPJS SUDAH DILAYANI
- - 48,000 UMUM/BPJSUDAH DILAYANI
- - 36,000 BPJS SUDAH DILAYANI
- - 74,800 ASKES SUDAH DILAYANI
- - 15,000 BPJS SUDAH DILAYANI
- - 15,000 BPJS SUDAH DILAYANI
- - 41,100 BPJS SUDAH DILAYANI
- - 58,600 BPJS SUDAH DILAYANI 12,000
- - 41,000 BPJS SUDAH DILAYANI
- - 15,000 BPJS SUDAH DILAYANI
- - 133,000 BPJS SUDAH DILAYANI 25,000
- - 41,600 BPJS SUDAH DILAYANI
- - 15,000 BPJS SUDAH DILAYANI
- - 48,000 BPJS SUDAH DILAYANI
- - 50,100 BPJS SUDAH DILAYANI
- - 33,700 BPJS SUDAH DILAYANI
- - 42,700 ASKES SUDAH DILAYANI 6,000
- - 47,900 BPJS SUDAH DILAYANI 19,000
- - 45,000 ASKES SUDAH DILAYANI
- - 28,200 BPJS SUDAH DILAYANI
- - 67,200 BPJS SUDAH DILAYANI 25,000
- - 43,600 BPJS SUDAH DILAYANI
- - 44,700 BPJS SUDAH DILAYANI
- - 38,200 BPJS SUDAH DILAYANI
- - 44,000 BPJS SUDAH DILAYANI
- - 15,000 ASKES SUDAH DILAYANI
- - 13,000 BPJS SUDAH DILAYANI
- - 16,200 BPJS SUDAH DILAYANI
- - 55,500 BPJS SUDAH DILAYANI 12,500
- - 29,400 BPJS SUDAH DILAYANI
- - 42,000 BPJS SUDAH DILAYANI
- - 28,000 BPJS SUDAH DILAYANI
- - 39,000 BPJS SUDAH DILAYANI
- - 35,000 BPJS SUDAH DILAYANI
- - 39,000 ASKES SUDAH DILAYANI 14,000
- - 33,000 BPJS SUDAH DILAYANI
- - 27,000 BPJS SUDAH DILAYANI
- - 46,000 BPJS SUDAH DILAYANI
- - 41,000 BPJS SUDAH DILAYANI
- - 31,000 BPJS SUDAH DILAYANI
- - 36,000 BPJS SUDAH DILAYANI
- - 39,000 BPJS SUDAH DILAYANI
- - 45,000 BPJS SUDAH DILAYANI
- - 36,000 BPJS SUDAH DILAYANI
- - 20,000 BPJS SUDAH DILAYANI
- - 29,000 BPJS SUDAH DILAYANI
- - 33,000 BPJS SUDAH DILAYANI
- - 32,000 BPJS SUDAH DILAYANI
- - 32,000 BPJS SUDAH DILAYANI
- - 106,000 BPJS SUDAH DILAYANI 20,000
- - 34,000 BPJS SUDAH DILAYANI
- - 45,000 BPJS SUDAH DILAYANI
- - 31,000 BPJS SUDAH DILAYANI
- - 27,000 BPJS SUDAH DILAYANI
- - 15,000 BPJS SUDAH DILAYANI
71,000 62,500
133,500
NOVI YULIANTI=34
WULAN WIDYAWATI=21
rujuk=7
igd=1

WAT JALAN
-05-2016

Oxygen KIA Jumlah Jenis Pasie Keterangan APOTEK/USLAB


- - 34,200 BPJS SUDAH DILAYANI
- - 15,000 BPJS SUDAH DILAYANI
- - 15,000 BPJS SUDAH DILAYANI
- - 15,000 BPJS SUDAH DILAYANI
- - 25,600 BPJS SUDAH DILAYANI
- - 37,600 BPJS SUDAH DILAYANI
- - 28,200 BPJS SUDAH DILAYANI
- - 31,900 BPJS SUDAH DILAYANI
- - 38,600 BPJS SUDAH DILAYANI
- - 15,000 BPJS SUDAH DILAYANI
- - 39,200 BPJS SUDAH DILAYANI
- - 43,100 BPJS SUDAH DILAYANI
- - 39,000 BPJS SUDAH DILAYANI
- - 56,700 BPJS SUDAH DILAYANI
- - 142,200 BPJS SUDAH DILAYANI 27,000 25,000
- - 30,900 BPJS SUDAH DILAYANI
- - 104,200 ASKES SUDAH DILAYANI 60,000
- - 81,700 BPJS SUDAH DILAYANI
- - 49,200 BPJS SUDAH DILAYANI
- - 39,200 BPJS SUDAH DILAYANI
- - 48,500 ASKES SUDAH DILAYANI 16,000
- - 15,000 BPJS SUDAH DILAYANI
- - 34,600 BPJS SUDAH DILAYANI
- - 40,400 BPJS SUDAH DILAYANI
- - 33,000 BPJS SUDAH DILAYANI 18,000
- - 36,100 BPJS SUDAH DILAYANI
- - 38,750 BPJS SUDAH DILAYANI
- - 37,400 BPJS SUDAH DILAYANI
- - 15,000 ASKES SUDAH DILAYANI
- - 15,000 BPJS SUDAH DILAYANI
- - 42,400 BPJS SUDAH DILAYANI
- - 114,000 BPJS SUDAH DILAYANI 25,000
- - 33,000 BPJS SUDAH DILAYANI
- - 33,000 BPJS SUDAH DILAYANI
- - 26,000 BPJS SUDAH DILAYANI
- - 34,000 BPJS SUDAH DILAYANI
- - 16,000 BPJS SUDAH DILAYANI
- - 54,000 ASKES SUDAH DILAYANI
- - 37,000 BPJS SUDAH DILAYANI
- - 35,000 BPJS SUDAH DILAYANI
- - 38,000 ASKES SUDAH DILAYANI
- - 34,000 BPJS SUDAH DILAYANI
- - 32,000 BPJS SUDAH DILAYANI
- - 48,000 BPJS SUDAH DILAYANI
- - 31,000 BPJS SUDAH DILAYANI
- - 40,000 BPJS SUDAH DILAYANI
- - 45,000 BPJS SUDAH DILAYANI
- - 39,000 BPJS SUDAH DILAYANI
- - 15,000 BPJS SUDAH DILAYANI
- - 105,000 BPJS SUDAH DILAYANI 25000
- - 36,000 BPJS SUDAH DILAYANI
- - 92,000 BPJS SUDAH DILAYANI 65,000
- - 39,000 BPJS SUDAH DILAYANI
- - 40,000 BPJS SUDAH DILAYANI
126,000 135,000
261,000
NOVI YULIANTI=36
H. ASEP MARYAMAN=18
rujuk=8

N RAWAT JALAN
/d 20-05-2016

Oxygen KIA Ambulans Jumlah Jenis Pasien Keterangan APOTEK/USLAB


- - 38,000 BPJS SUDAH DILAYANI
- 28,000 - 28,000 BPJS SUDAH DILAYANI
- - 35,000 BPJS SUDAH DIL 7,000
- - 37,000 BPJS SUDAH DILAYANI
- - 36,000 BPJS SUDAH DILAYANI
- - 15,000 UMUM/BPJS SUDAH DILAYANI
- - 33,000 BPJS SUDAH DILAYANI
- - 33,000 BPJS SUDAH DILAYANI
- - 125,000 BPJS SUDAH DILAYANI 25,000
- - 35,000 BPJS SUDAH DILAYANI
- - 35,000 BPJS SUDAH DILAYANI
- - 44,000 BPJS SUDAH DILAYANI
- - 15,000 BPJS SUDAH DILAYANI
- - 31,000 BPJS SUDAH DILAYANI
- - 39,000 BPJS SUDAH DILAYANI
- - 28,000 BPJS SUDAH DILAYANI
- - 23,000 BPJS SUDAH DILAYANI
- - 166,000 BPJS SUDAH DIL 70,000 25,000
- - 37,000 BPJS SUDAH DILAYANI
- - 35,000 BPJS SUDAH DILAYANI
- - 34,000 ASKES SUDAH DIL 13,000
- 15,000 - 15,000 BPJS SUDAH DILAYANI
- - 15,000 BPJS SUDAH DILAYANI
- - 37,000 BPJS SUDAH DILAYANI
- - 38,000 BPJS SUDAH DILAYANI
- - 33,000 BPJS SUDAH DIL 21,000
- - 41,000 BPJS SUDAH DILAYANI
- - 15,000 BPJS SUDAH DILAYANI
- - 37,000 ASKES SUDAH DILAYANI
- - 44,000 BPJS SUDAH DILAYANI
- - 47,000 UMUM/BPJS SUDAH DILAYANI
- - 25,000 BPJS SUDAH DILAYANI
- - 15,000 BPJS SUDAH DILAYANI
- - 25,550 BPJS SUDAH DILAYANI
- - 34,750 BPJS SUDAH DILAYANI
- - 56,500 BPJS SUDAH DILAYANI 12,500
- - 40,400 BPJS SUDAH DILAYANI
- - 43,000 BPJS SUDAH DILAYANI
- - 45,600 BPJS SUDAH DILAYANI
- - 47,000 BPJS SUDAH DILAYANI
- - 46,600 BPJS SUDAH DILAYANI
- - 33,000 BPJS SUDAH DILAYANI
- - 49,900 BPJS SUDAH DIL 19,000
- - 43,000 BPJS SUDAH DILAYANI
- - 37,000 BPJS SUDAH DILAYANI
- - 43,000 BPJS SUDAH DILAYANI
- - 44,400 BPJS SUDAH DILAYANI
- - 35,000 BPJS SUDAH DILAYANI
- - 42,000 BPJS SUDAH DILAYANI
- - 41,000 BPJS SUDAH DILAYANI
- - 39,500 BPJS SUDAH DILAYANI
- - 43,000 ASKES SUDAH DILAYANI
- - 32,900 BPJS SUDAH DILAYANI
- - 34,400 BPJS SUDAH DILAYANI
- - 40,400 BPJS SUDAH DILAYANI
- - 36,500 BPJS SUDAH DILAYANI
- - 41,800 BPJS SUDAH DILAYANI
- - 37,700 BPJS SUDAH DILAYANI
- - 39,500 BPJS SUDAH DILAYANI
- - 37,000 BPJS SUDAH DILAYANI
- - 42,000 ASKES SUDAH DILAYANI
- - 36,000 BPJS SUDAH DILAYANI
- - 37,000 BPJS SUDAH DILAYANI
- - 40,000 BPJS SUDAH DIL 20,000
150,000 62,500
212,500
ENCEP SUDARYANA=28
WULAN WIDYAWATI=34
PERIKSA KEBIDANAN=2
RUJUK=5

WAT JALAN
-05-2016

Oxygen KIA Jumlah Jenis Pasei Keterangan APOTEK/USLAB


- - 39,000 BPJS SUDAH DILAYANI
- - 47,000 BPJS SUDAH DILAYANI
- - 42,000 BPJS SUDAH DILAYANI
- - 54,800 ASKES SUDAH DILAYANI
- - 35,000 BPJS SUDAH DILAYANI
- - 95,000 BPJS SUDAH DILAYANI 25,000
- - 43,000 BPJS SUDAH DILAYANI
- - 80,000 BPJS SUDAH DILAYANI
- - 24,000 BPJS SUDAH DILAYANI
- - 44,000 BPJS SUDAH DILAYANI
- - 29,000 BPJS SUDAH DILAYANI
- - 24,000 BPJS SUDAH DILAYANI
- - 53,000 BPJS SUDAH DILAYANI
- - 24,000 BPJS SUDAH DILAYANI
- - 40,000 BPJS SUDAH DILAYANI
- - 42,000 BPJS SUDAH DILAYANI
- - 34,000 BPJS SUDAH DILAYANI
- - 40,000 BPJS SUDAH DILAYANI
- - 127,000 BPJS SUDAH DILAYANI 91,000
- - 35,000 BPJS SUDAH DILAYANI
- - 36,000 BPJS SUDAH DILAYANI
- - 53,000 BPJS SUDAH DILAYANI
- - 72,000 BPJS SUDAH DILAYANI
- - 38,000 BPJS SUDAH DILAYANI
- - 29,000 BPJS SUDAH DILAYANI
- - 39,000 BPJS SUDAH DILAYANI
- - 37,000 BPJS SUDAH DILAYANI
- - 42,000 UMUM/BPJSUDAH DILAYANI
- - 42,000 BPJS SUDAH DILAYANI
- - 58,000 BPJS SUDAH DILAYANI
- - 23,000 BPJS SUDAH DILAYANI
- - 24,000 BPJS SUDAH DILAYANI
- - 44,000 BPJS SUDAH DILAYANI
- - 42,000 BPJS SUDAH DILAYANI
- - 31,500 BPJS SUDAH DILAYANI
- - 37,600 BPJS SUDAH DILAYANI
- 32,000 32,000 BPJS SUDAH DILAYANI
- - 36,000 BPJS SUDAH DILAYANI
- - 55,400 BPJS SUDAH DILAYANI
- - 38,000 BPJS SUDAH DILAYANI
- - 46,800 BPJS SUDAH DILAYANI
- - 50,000 BPJS SUDAH DILAYANI
- - 47,300 BPJS SUDAH DILAYANI 13,000
- - 36,200 BPJS SUDAH DILAYANI
- - 47,500 BPJS SUDAH DILAYANI 11,000
115,000 25,000
140,000
DETY NUR RACHMAWATI=1
ENCEP SUDARYANA=2
WULAN WIDYAWATI=41
RUJUK=1
IGD=1

WAT JALAN
-05-2016

Oxygen KIA Jumlah Jenis Pasie Keterangan APOTEK/USLAB


- - 50,000 BPJS RESERVASI
- - 40,000 BPJS SUDAH DILAYANI 20,000
- - 34,000 BPJS RESERVASI
20,000 -
20,000
DETY NUR RACHMAWATI=1
H. ASEP SANI SULAEMAN=1
NOVI YULIANTI=1

WAT JALAN
-05-2016

Oxygen Kia Jumlah Jenis Pasie Keterangan APOTEK/USLAB


- - 57,200 BPJS SUDAH DILAYANI
- - 195,000 BPJS SUDAH DILAYANI 25,000 85,000
- - 103,450 BPJS SUDAH DILAYANI 48,000
- - 44,400 BPJS SUDAH DILAYANI
- - 42,000 BPJS SUDAH DILAYANI
- - 149,400 BPJS SUDAH DILAYANI 94,000
- - 34,200 BPJS SUDAH DILAYANI
- - 43,100 BPJS SUDAH DILAYANI
- - 49,000 BPJS SUDAH DILAYANI
- - 44,000 BPJS SUDAH DILAYANI
- - 41,400 BPJS SUDAH DILAYANI
- - 27,950 ASKES SUDAH DILAYANI
- - 56,000 BPJS SUDAH DILAYANI 25,000
- - 45,600 BPJS SUDAH DILAYANI
- - 46,000 BPJS SUDAH DILAYANI
- - 28,200 ASKES SUDAH DILAYANI
- - 39,200 BPJS SUDAH DILAYANI
- - 46,000 BPJS SUDAH DILAYANI
- - 39,900 BPJS SUDAH DILAYANI
- - 47,400 BPJS SUDAH DILAYANI
- - 35,000 BPJS SUDAH DILAYANI
- - 39,500 BPJS SUDAH DILAYANI
- - 15,000 BPJS SUDAH DILAYANI
- - 36,100 BPJS SUDAH DILAYANI
- - 35,200 BPJS SUDAH DILAYANI
- - 28,700 BPJS SUDAH DILAYANI
- - 43,100 BPJS SUDAH DILAYANI
- - 35,700 BPJS SUDAH DILAYANI
- - 40,600 BPJS SUDAH DILAYANI
- - 39,200 BPJS SUDAH DILAYANI
- - 32,700 BPJS SUDAH DILAYANI
- - 37,000 BPJS SUDAH DILAYANI
- 35,000 35,000 BPJS SUDAH DILAYANI
- - 39,500 ASKES SUDAH DILAYANI
- - 27,750 BPJS SUDAH DILAYANI
- - 64,000 BPJS SUDAH DILAYANI 25,000
- - 47,800 BPJS SUDAH DILAYANI
- - 49,100 BPJS SUDAH DILAYANI
- - 43,000 BPJS SUDAH DILAYANI
- - 32,400 BPJS SUDAH DILAYANI
- - 15,000 ASKES SUDAH DILAYANI
- - 15,000 BPJS SUDAH DILAYANI
- - 42,200 BPJS SUDAH DILAYANI
- - 43,150 ASKES SUDAH DILAYANI
- - 44,000 BPJS SUDAH DILAYANI
- - 36,100 BPJS SUDAH DILAYANI
- - 34,300 BPJS SUDAH DILAYANI
- - 36,600 BPJS SUDAH DILAYANI
- - 43,600 BPJS SUDAH DILAYANI
- - 44,600 BPJS SUDAH DILAYANI
- - 36,550 BPJS SUDAH DILAYANI
- - 30,000 BPJS SUDAH DILAYANI
- - 37,000 BPJS SUDAH DILAYANI
- - 45,300 BPJS SUDAH DILAYANI
- - 50,900 BPJS SUDAH DILAYANI
- - 29,000 BPJS SUDAH DILAYANI
- - 96,000 BPJS SUDAH DILAYANI 20,000
- - 39,200 BPJS SUDAH DILAYANI
- - 43,700 BPJS SUDAH DILAYANI
- 35,000 35,000 UMUM/BPJSUDAH DILAYANI
- - 48,700 BPJS SUDAH DILAYANI
- - 39,900 BPJS SUDAH DILAYANI
- - 34,700 BPJS SUDAH DILAYANI
- - 32,900 BPJS SUDAH DILAYANI
- - 52,600 BPJS SUDAH DILAYANI 19,000
- - 48,500 ASKES SUDAH DILAYANI
- - 41,000 BPJS SUDAH DILAYANI
- 30,000 30,000 BPJS SUDAH DILAYANI
- - 38,900 BPJS SUDAH DILAYANI
- 30,000 30,000 BPJS SUDAH DILAYANI
- - 37,400 BPJS SUDAH DILAYANI
- - 43,200 BPJS SUDAH DILAYANI
- - 49,000 BPJS SUDAH DILAYANI
- - 33,700 BPJS SUDAH DILAYANI
- - 32,000 BPJS SUDAH DILAYANI
- - 52,500 BPJS SUDAH DILAYANI
- - 44,100 BPJS SUDAH DILAYANI
- - 42,600 BPJS SUDAH DILAYANI
- - 40,000 BPJS SUDAH DILAYANI
- - 38,600 BPJS SUDAH DILAYANI
- - 42,100 BPJS SUDAH DILAYANI
- - 32,900 BPJS SUDAH DILAYANI
- - 32,500 BPJS SUDAH DILAYANI
- - 35,600 BPJS SUDAH DILAYANI
- - 40,000 ASKES SUDAH DILAYANI
- - 42,000 ASKES SUDAH DILAYANI
- - 46,000 BPJS SUDAH DILAYANI
- - 33,000 BPJS SUDAH DILAYANI
- - 34,000 BPJS SUDAH DILAYANI
- - 39,000 BPJS SUDAH DILAYANI
- - 24,000 BPJS SUDAH DILAYANI
- - 42,000 BPJS SUDAH DILAYANI
- - 33,000 BPJS SUDAH DILAYANI
158,000 183,000
341,000
ENCEP SUDARYANA=35
WULAN WIDYAWATI=54
PERIKSA KEBIDANAN=4
RUJUK=3
IGD=1

WAT JALAN
-05-2016

Makan & s KIA Jumlah Jenis Pasei Keterangan APOTEK/USLAB


- - 39,400 BPJS SUDAH DILAYANI
- - 130,400 BPJS SUDAH DILAYANI 83,000
- - 38,400 BPJS SUDAH DILAYANI
- - 42,000 BPJS SUDAH DILAYANI
- - 37,000 BPJS SUDAH DILAYANI
- - 60,500 BPJS SUDAH DILAYANI 12,000
- - 38,750 BPJS SUDAH DILAYANI
- - 50,100 BPJS SUDAH DILAYANI
- - 50,100 BPJS SUDAH DILAYANI
- - 38,750 BPJS SUDAH DILAYANI
- - 44,200 BPJS SUDAH DILAYANI
- - 61,100 BPJS SUDAH DILAYANI 38,000
- - 54,750 BPJS SUDAH DILAYANI 25,000
- - 30,550 BPJS SUDAH DILAYANI
- - 37,400 BPJS SUDAH DILAYANI
- - 35,000 BPJS SUDAH DILAYANI
- - 30,000 BPJS SUDAH DILAYANI
- - 40,000 BPJS SUDAH DILAYANI
- - 46,000 ASKES SUDAH DILAYANI
- - 98,000 BPJS SUDAH DILAYANI 25,000
- - 35,000 BPJS SUDAH DILAYANI
- - 47,000 BPJS SUDAH DILAYANI
- - 41,000 BPJS SUDAH DILAYANI
- - 48,000 BPJS SUDAH DILAYANI
- 40,000 40,000 BPJS SUDAH DILAYANI
- - 118,000 BPJS SUDAH DILAYANI 25,000
- - 43,000 BPJS SUDAH DILAYANI
- - 60,000 BPJS SUDAH DILAYANI
- - 162,000 BPJS SUDAH DILAYANI 25,000
- - 44,000 BPJS SUDAH DILAYANI
- - 29,000 BPJS SUDAH DILAYANI
- - 36,000 BPJS SUDAH DILAYANI
- - 36,000 BPJS SUDAH DILAYANI
- - 28,000 BPJS SUDAH DILAYANI
- - 25,000 BPJS SUDAH DILAYANI
- - 45,000 BPJS SUDAH DILAYANI
- - 38,000 BPJS SUDAH DILAYANI
- - 44,000 BPJS SUDAH DILAYANI
- 40,000 40,000 BPJS SUDAH DILAYANI
- - 15,000 BPJS SUDAH DILAYANI
- - 32,000 BPJS SUDAH DILAYANI
- - 45,000 BPJS SUDAH DILAYANI
- - 49,000 BPJS SUDAH DILAYANI
- - 46,000 BPJS SUDAH DILAYANI 7,000
- - 15,000 BPJS SUDAH DILAYANI
- - 15,000 BPJS SUDAH DILAYANI
- - 27,000 BPJS SUDAH DILAYANI
- - 31,000 BPJS SUDAH DILAYANI
- - 44,000 BPJS SUDAH DILAYANI
- - 36,000 BPJS SUDAH DILAYANI
- - 26,000 BPJS SUDAH DILAYANI
- - 46,000 BPJS SUDAH DILAYANI
- - 38,000 BPJS SUDAH DILAYANI
- - 37,000 BPJS SUDAH DILAYANI
- - 15,000 BPJS SUDAH DILAYANI
- - 40,000 BPJS SUDAH DILAYANI
57,000 183,000
240,000
H. ASEP MARYAMAN=3
NOVI YULIANTI=24
WULAN WIDYAWATI=27
PERIKSA KEBIDANAN=2
RUJUK=5

WAT JALAN
-05-2016

Oksigen Kia Jumlah Jenis Pasei Keterangan APOTEK/USLAB


- - 34,000 BPJS SUDAH DILAYANI
- - 41,000 BPJS SUDAH DILAYANI 21,000
- - 105,000 BPJS SUDAH DILAYANI 25,000
- - 36,150 BPJS SUDAH DILAYANI
- - 34,200 BPJS SUDAH DILAYANI
- - 50,300 BPJS SUDAH DILAYANI
- - 36,600 BPJS SUDAH DILAYANI
- - 31,000 BPJS SUDAH DILAYANI
- - 36,000 BPJS SUDAH DILAYANI
- - 35,900 BPJS SUDAH DILAYANI
- - 102,000 BPJS SUDAH DILAYANI 25,000
- - 116,350 BPJS SUDAH DILAYANI 25,000
- - 27,700 BPJS SUDAH DILAYANI
- - 32,000 BPJS SUDAH DILAYANI
- - 33,000 BPJS SUDAH DILAYANI
- - 66,000 BPJS SUDAH DILAYANI 14,000
- - 30,000 BPJS SUDAH DILAYANI
- - 21,000 BPJS SUDAH DILAYANI
- - 33,000 BPJS SUDAH DILAYANI
- - 28,000 BPJS SUDAH DILAYANI
- - 35,000 BPJS SUDAH DILAYANI
- - 39,000 BPJS SUDAH DILAYANI
- - 48,000 BPJS SUDAH DILAYANI
- - 15,000 BPJS SUDAH DILAYANI
- - 46,000 BPJS SUDAH DILAYANI 13,000
- - 37,000 BPJS SUDAH DILAYANI
- - 32,000 BPJS SUDAH DILAYANI
- 42,000 42,000 BPJS SUDAH DILAYANI
- - 39,000 BPJS SUDAH DILAYANI
- - 40,000 BPJS SUDAH DILAYANI
- - 37,000 BPJS SUDAH DILAYANI
- - 48,000 BPJS SUDAH DILAYANI
- - 89,000 BPJS SUDAH DILAYANI 48000
- - 43,000 BPJS SUDAH DILAYANI
- - 49,000 BPJS SUDAH DILAYANI
- - 29,000 BPJS SUDAH DILAYANI
- - 36,000 BPJS SUDAH DILAYANI
- - 122,000 BPJS SUDAH DILAYANI 25000
- - 15,000 BPJS SUDAH DILAYANI
- - 33,000 BPJS SUDAH DILAYANI
- - 43,000 BPJS SUDAH DILAYANI
- - 38,000 BPJS SUDAH DILAYANI
- - 31,000 BPJS SUDAH DILAYANI
- - 43,000 BPJS SUDAH DILAYANI
- - 94,000 BPJS SUDAH DILAYANI 19,000
- - 26,200 BPJS SUDAH DILAYANI
- - 31,000 BPJS SUDAH DILAYANI
- - 10,000 BPJS SUDAH DILAYANI
- - 37,000 BPJS SUDAH DILAYANI
- - 31,000 BPJS SUDAH DILAYANI
- - 45,000 BPJS SUDAH DILAYANI
- - 51,000 BPJS SUDAH DILAYANI 18,000
- - 95,000 BPJS SUDAH DILAYANI 25,000
- - 33,000 BPJS SUDAH DILAYANI
- - 31,000 BPJS SUDAH DILAYANI
- - 34,000 BPJS SUDAH DILAYANI
- - 45,000 BPJS SUDAH DILAYANI
- - 38,000 BPJS SUDAH DILAYANI
- - 40,000 BPJS SUDAH DILAYANI
- - 42,000 BPJS SUDAH DILAYANI
- - 95,000 BPJS SUDAH DILAYANI 25,000
- - 48,000 BPJS SUDAH DILAYANI
- - 45,000 BPJS SUDAH DILAYANI
66,000 217,000
283,000
DETY NUR RACHMAWATI=1
NOVI YULIANTI=32
WULAN WIDYAWATI=38
PERIKSA KEBIDANAN=1
CEK LAB SAJA=1
RUJUK=6

WAT JALAN
-05-2016

Oksigen Kia Jumlah Jenis Pasei Keterangan APOTEK/USLAB


- - 37,000 BPJS SUDAH DILAYANI 19,000
- - 45,000 BPJS SUDAH DILAYANI
- - 40,000 BPJS SUDAH DILAYANI
- - 56,000 BPJS SUDAH DILAYANI
- - 118,000 BPJS SUDAH DILAYANI 25,000
- - 43,000 BPJS SUDAH DILAYANI
- - 47,000 BPJS SUDAH DILAYANI
- - 29,000 UMUM/BPJSUDAH DILAYANI
- - 26,000 BPJS SUDAH DILAYANI
- - 126,000 BPJS SUDAH DILAYANI 25,000
- - 42,000 BPJS SUDAH DILAYANI
- - 34,000 BPJS SUDAH DILAYANI
- - 50,000 BPJS SUDAH DILAYANI
- - 30,400 ASKES SUDAH DILAYANI
- - 15,000 BPJS SUDAH DILAYANI
- - 45,400 BPJS SUDAH DILAYANI
- - 125,200 BPJS SUDAH DILAYANI 25,000
- - 43,500 BPJS SUDAH DILAYANI
- - 40,600 BPJS SUDAH DILAYANI
- - 31,400 BPJS SUDAH DILAYANI
- - 36,800 BPJS SUDAH DILAYANI
- - 47,000 BPJS SUDAH DILAYANI
- - 45,400 BPJS SUDAH DILAYANI
- - 39,600 BPJS SUDAH DILAYANI
- - 39,400 BPJS SUDAH DILAYANI
- - 39,100 BPJS SUDAH DILAYANI
- - 50,000 BPJS SUDAH DILAYANI 15,000
- - 25,000 BPJS SUDAH DILAYANI
- - 51,000 UMUM/BPJSUDAH DILAYANI
- - 35,000 BPJS SUDAH DILAYANI
- - 31,000 BPJS SUDAH DILAYANI
- - 40,000 BPJS SUDAH DILAYANI
- - 34,000 BPJS SUDAH DILAYANI
- - 46,000 BPJS SUDAH DILAYANI
- - 38,400 BPJS SUDAH DILAYANI
- - 28,000 BPJS SUDAH DILAYANI
- - 39,200 BPJS SUDAH DILAYANI
- - 37,200 UMUM/BPJSUDAH DILAYANI
- - 35,600 BPJS SUDAH DILAYANI
- - 47,000 BPJS SUDAH DILAYANI 20,000
- - 44,000 BPJS SUDAH DILAYANI
54,000 75,000
129,000
NOVI YULIANTI=13
H. ASEP MARYAMAN=26
ENCEP SUDARYANA=1
DETY NUR RACHMAWATI=1
RUJUK=1

WAT JALAN
-05-2016

Oksigen Kia Jumlah Jenis Pasei Keterangan APOTEK/USLAB


- - 20,800 BPJS SUDAH DILAYANI
- - 136,500 BPJS SUDAH DILAYANI 21,000 25,000
- - 36,800 BPJS SUDAH DILAYANI
- - 42,100 BPJS SUDAH DILAYANI
- - 39,000 BPJS SUDAH DILAYANI
- - 48,400 BPJS SUDAH DILAYANI
- - 32,600 BPJS SUDAH DILAYANI
- - 39,400 BPJS SUDAH DILAYANI
- - 74,200 BPJS SUDAH DILAYANI
- - 39,900 BPJS SUDAH DILAYANI
- - 38,300 BPJS SUDAH DILAYANI
- - 34,000 ASKES SUDAH DILAYANI 19,000
- - 85,000 ASKES SUDAH DILAYANI 23,000
- - 139,000 BPJS SUDAH DILAYANI 21,000 25,000
- - 49,000 BPJS SUDAH DILAYANI
- - 15,000 BPJS SUDAH DILAYANI
- - 24,000 BPJS SUDAH DILAYANI
- - 38,000 BPJS SUDAH DILAYANI
- - 82,000 BPJS SUDAH DILAYANI
- - 106,000 BPJS SUDAH DILAYANI 48,000
- - 36,000 BPJS SUDAH DILAYANI
- - 42,000 BPJS SUDAH DILAYANI
- - 15,000 BPJS SUDAH DILAYANI
- - 44,400 ASKES SUDAH DILAYANI 13,000
- - 76,000 BPJS SUDAH DILAYANI 36,000
- - 41,000 BPJS SUDAH DILAYANI
- - 26,000 BPJS SUDAH DILAYANI
- - 39,000 BPJS SUDAH DILAYANI
- - 45,000 BPJS SUDAH DILAYANI
- - 134,000 BPJS SUDAH DILAYANI 83,000
- - 38,800 BPJS SUDAH DILAYANI
- - 46,100 BPJS SUDAH DILAYANI
- - 33,100 BPJS SUDAH DILAYANI
- - 34,000 BPJS SUDAH DILAYANI
- - 33,000 BPJS SUDAH DILAYANI
- - 32,000 BPJS SUDAH DILAYANI
- - 52,000 BPJS SUDAH DILAYANI
- - 45,000 BPJS SUDAH DILAYANI
- - 30,000 BPJS SUDAH DILAYANI
- - 41,000 ASKES SUDAH DILAYANI
- - 36,000 BPJS SUDAH DILAYANI
- - 34,000 BPJS SUDAH DILAYANI
- - 30,000 BPJS SUDAH DILAYANI
- - 39,500 BPJS SUDAH DILAYANI
- - 50,450 BPJS SUDAH DILAYANI
- - 90,000 BPJS SUDAH DILAYANI 62,000
- - 30,200 BPJS SUDAH DILAYANI
- - 39,900 BPJS SUDAH DILAYANI
- 34,000 34,000 BPJS SUDAH DILAYANI
- - 19,000 BPJS SUDAH DILAYANI 13,000
- - 129,800 BPJS SUDAH DILAYANI 25000
- - 40,400 BPJS SUDAH DILAYANI
- 44,000 44,000 UMUM/BPJSUDAH DILAYANI
- - 37,800 BPJS SUDAH DILAYANI 8,000
- - 38,400 JAMSOSTESUDAH DILAYANI
- - 86,300 BPJS SUDAH DILAYANI 57,000
- - 48,000 BPJS SUDAH DILAYANI 13,000
- - 40,400 UMUM/BPJSUDAH DILAYANI
- - 80,200 BPJS SUDAH DILAYANI
- - 59,500 ASKES SUDAH DILAYANI
- - 39,400 BPJS SUDAH DILAYANI
- - 43,800 BPJS SUDAH DILAYANI
- - 40,400 BPJS SUDAH DILAYANI
- - 42,500 BPJS SUDAH DILAYANI
- - 40,000 BPJS SUDAH DILAYANI
- - 47,000 BPJS SUDAH DILAYANI
- - 38,000 BPJS SUDAH DILAYANI
- - 44,000 BPJS SUDAH DILAYANI
- - 41,000 BPJS SUDAH DILAYANI
- - 46,000 BPJS SUDAH DILAYANI
263,000 229,000
492,000
ANDI HERMANSYAH=18
DETY NUR RACHMAWATI=1
H ASEP MARYAMAN=1
WULAN WIDYAWATI=48
PERIKSA KEBIDANAN=2
IGD=2
RUJUK=2

WAT JALAN
-05-2016

Oksigen Kia Jumlah Jenis Pasei Keterangan APOTEK/USLAB


- - 115,200 BPJS SUDAH DILAYANI 25,000
- - 58,950 BPJS SUDAH DILAYANI
- - 38,600 BPJS SUDAH DILAYANI
- - 15,000 BPJS SUDAH DILAYANI
- - 95,000 BPJS SUDAH DILAYANI 25,000
- - 68,000 BPJS SUDAH DILAYANI
- - 37,400 BPJS SUDAH DILAYANI
- - 15,000 BPJS SUDAH DILAYANI
- - 50,000 BPJS SUDAH DILAYANI
- - 31,600 BPJS SUDAH DILAYANI
- - 46,400 BPJS SUDAH DILAYANI 21,000
- - 25,600 BPJS SUDAH DILAYANI
- - 43,600 BPJS SUDAH DILAYANI
- - 42,000 BPJS SUDAH DILAYANI
- - 15,000 BPJS SUDAH DILAYANI
- - 31,000 BPJS SUDAH DILAYANI
- - 33,400 BPJS SUDAH DILAYANI
- - 36,200 BPJS SUDAH DILAYANI
- - 50,100 BPJS SUDAH DILAYANI
- - 25,400 BPJS SUDAH DILAYANI
- - 31,000 BPJS SUDAH DILAYANI
- - 35,250 BPJS SUDAH DILAYANI
- - 38,200 BPJS SUDAH DILAYANI
- - 42,600 BPJS SUDAH DILAYANI
- 36,000 36,000 BPJS SUDAH DILAYANI
- - 35,000 BPJS SUDAH DILAYANI
- - 26,200 BPJS SUDAH DILAYANI
- - 24,800 BPJS SUDAH DILAYANI
- - 24,100 BPJS SUDAH DILAYANI
- - 15,000 BPJS SUDAH DILAYANI
- - 89,000 ASKES SUDAH DILAYANI 13,000
- - 42,400 BPJS SUDAH DILAYANI
- - 95,000 BPJS SUDAH DILAYANI 25,000
- - 45,000 BPJS SUDAH DILAYANI
- - 33,000 BPJS SUDAH DILAYANI
- - 31,000 BPJS SUDAH DILAYANI
- - 38,400 BPJS SUDAH DILAYANI
- - 62,200 BPJS SUDAH DILAYANI 19,000
- - 15,000 BPJS SUDAH DILAYANI
- - 45,400 BPJS SUDAH DILAYANI
- - 29,200 BPJS SUDAH DILAYANI
- - 54,600 BPJS SUDAH DILAYANI 30,000
- - 47,000 BPJS SUDAH DILAYANI
- - 32,000 BPJS SUDAH DILAYANI
83,000 75,000
158,000
DETY NUR RACHMAWATI=1
NOVI YULIANTI=13
WULAN WIDYAWATI=29
PERIKSA KEBIDANAN=1
RUJUK=7

WAT JALAN
-05-2016

Oksigen Kia Jumlah Jenis Pasei Keterangan APOTEK/USLAB


- - 72,000 UMUM/BPJSUDAH DILAYANI 25,000
- - 15,000 BPJS SUDAH DILAYANI
- - 15,000 BPJS SUDAH DILAYANI
- - 95,000 BPJS SUDAH DILAYANI 25,000
- - 15,000 BPJS SUDAH DILAYANI
- - 15,000 BPJS SUDAH DILAYANI
- - 15,000 ASKES SUDAH DILAYANI
- - 15,000 BPJS SUDAH DILAYANI
ANDI HERMANSYAH=28
H. ASEP MARYAMAN=2
NOVI YULIANTI=37
PERIKSA KEBIDANAN=5
RUJUK=8

WAT JALAN
-05-2016

Oksigen Kia Jumlah Jenis Pasei Keterangan APOTEK/USLAB


- - 40,000 BPJS SUDAH DILAYANI
- - 37,000 BPJS SUDAH DILAYANI
- - 24,000 BPJS SUDAH DILAYANI
- - 38,200 BPJS SUDAH DILAYANI
- - 58,100 BPJS SUDAH DILAYANI 21,000
- - 52,800 BPJS SUDAH DILAYANI
- - 35,600 UMUM/BPJSUDAH DILAYANI
- - 36,300 BPJS SUDAH DILAYANI
- - 24,000 BPJS SUDAH DILAYANI
- - 37,000 BPJS SUDAH DILAYANI
- - 15,000 ASKES SUDAH DILAYANI
- 28,500 28,500 BPJS SUDAH DILAYANI
- - 124,100 BPJS SUDAH DILAYANI 25,000
- - 42,400 BPJS SUDAH DILAYANI
- - 38,150 BPJS SUDAH DILAYANI
- - 42,500 BPJS SUDAH DILAYANI
- - 51,800 BPJS SUDAH DILAYANI
- - 126,750 BPJS SUDAH DILAYANI 25,000
- - 45,200 BPJS SUDAH DILAYANI
- - 50,000 BPJS SUDAH DILAYANI
- - 70,000 BPJS SUDAH DILAYANI
- - 15,000 BPJS SUDAH DILAYANI
- - 46,500 BPJS SUDAH DILAYANI
- - 15,000 BPJS SUDAH DILAYANI
- - 87,100 BPJS SUDAH DILAYANI 12,000
- - 27,100 BPJS SUDAH DILAYANI
- - 39,600 BPJS SUDAH DILAYANI
- - 88,400 BPJS SUDAH DILAYANI 25,000
- - 31,000 ASKES SUDAH DILAYANI
- - 26,200 ASKES SUDAH DILAYANI
- - 24,000 BPJS SUDAH DILAYANI
- - 38,200 BPJS SUDAH DILAYANI
- - 34,000 BPJS SUDAH DILAYANI
- 33,000 33,000 BPJS SUDAH DILAYANI
- - 43,000 BPJS SUDAH DILAYANI
- - 37,000 BPJS SUDAH DILAYANI
- - 35,400 UMUM/BPJSUDAH DILAYANI
- - 92,000 BPJS SUDAH DILAYANI 62,000
- - 50,000 BPJS SUDAH DILAYANI 21,000
- - 167,600 BPJS SUDAH DILAYANI 63,000
- - 15,000 BPJS SUDAH DILAYANI
- - 47,000 BPJS SUDAH DILAYANI
- - 50,000 BPJS SUDAH DILAYANI
- - 39,000 BPJS SUDAH DILAYANI
- - 54,000 BPJS SUDAH DILAYANI
- - 49,000 BPJS SUDAH DILAYANI
- - 40,000 BPJS SUDAH DILAYANI
- 30,000 30,000 BPJS SUDAH DILAYANI
- - 42,000 BPJS SUDAH DILAYANI
- - 41,000 BPJS SUDAH DILAYANI
- - 50,000 BPJS SUDAH DILAYANI
- - 41,000 ASKES SUDAH DILAYANI
- - 43,800 BPJS SUDAH DILAYANI
- - 40,000 BPJS SUDAH DILAYANI
- - 53,000 BPJS SUDAH DILAYANI 13,000
- - 38,000 BPJS SUDAH DILAYANI
- - 80,000 BPJS SUDAH DILAYANI -
- - 42,000 BPJS SUDAH DILAYANI
- - 37,000 BPJS SUDAH DILAYANI
- - 15,000 BPJS SUDAH DILAYANI
- - 39,000 BPJS SUDAH DILAYANI
129,000 138,000
267,000
ANDI HERMANSYAH=22
WULAN WIDYAWATI=36
PERIKSA KEBIDANAN=3
IGD=1
RUJUK=5
DARYANA=28
WIDYAWATI=34
EBIDANAN=2
LA
P

No Tanggal No. RM Nama Pasien No. Apotek IGD Rawat Jalan


1 01.05.16 R003788 RINA SETIANI 6 22,800 - 1,000
2 01.05.17 D000951 DINI FARAH FARDIANI 9 20,000 - 1,000
3 01.05.18 D000988 DZIKRI ADZANI AL K.W.D 10 14,400 - 1,000
4 01.05.19 A002389 AGUS SUTISNA 67 28,000 - 1,000
5 01.05.20 N001353 NENG LINA APRILIA 71 13,500 - 1,000
6 01.05.21 RANA 21,000 - 1,000
7 02.05.16 N001614 NITA AGNIATI 1 93,500 - 11,000
8 02.05.17 M004847 MEILANI PUTRI PRATIWI 2 24,000 - 11,000
9 02.05.18 E003653 ENENG SRI MULYATI 7 27,000 - 11,000
10 02.05.19 S003402 SUSI IMAWATI 8 24,000 - 11,000
11 02.05.20 L000315 LINDA PERMANA PUTRI 9 18,000 - 1,000
12 02.05.21 P000842 PUJI APRIANI 10 27,000 - 11,000
13 02.05.22 D007044 DEDI KURNIAWAN 12 16,000 - 11,000
14 02.05.23 A008183 AZNI LULU HUWAIDA 13 27,000 - 11,000
15 02.05.24 W001155 WULANSARI 14 25,000 - 11,000
16 02.05.25 A009456 ADE KOMARIAH 15 - - 11,000
17 02.05.26 N002815 NAJILAH 16 - - 11,000
18 02.05.27 A008581 ALVARO ADHYATSA 18 38,000 45,000 11,000
19 02.05.28 J000803 JIMI KURNIAWAN 19 29,000 - 11,000
20 02.05.29 R002193 RANI ANUR R 20 25,000 - 11,000
21 02.05.30 S002626 SUHAENI 21 - - -
22 02.05.31 E003738 ENGKUS 22 25,000 - 11,000
23 02.05.32 L001270 LILIS KURNIA 23 32,000 - 11,000
24 02.05.33 R002481 RANA 24 - - 11,000
25 02.05.34 A008032 AZIKRA ANBIYA MAULANA 26 31,000 - 11,000
26 02.05.35 K001123 KIKI MULYANA 27 28,000 - 11,000
27 02.05.36 R004537 RAZKA MUHAMMAD HISHAM 28 41,000 45,000 11,000
28 02.05.37 A002035 ADE RODIAH 29 23,000 - 11,000
29 02.05.38 R000827 RATIH FITRIANI 31 16,000 - 11,000
30 02.05.39 M002617 MUNIR ISKANDAR 33 14,000 - 11,000
31 02.05.40 E002154 EUIS TUTI JUARSIH 34 21,000 - 11,000
32 02.05.41 A009335 ALINDA NUR AGNIA SALAM 36 9,000 - 11,000
33 02.05.42 A009214 ABIZAR RIZQIA PRATAMA 38 21,000 - 11,000
34 02.05.43 N003813 NENDEN SUSI MULYANI 39 25,000 - 11,000
35 02.05.44 M000032 M.SAID 41 28,000 - 11,000
36 02.05.45 T001517 TJATJIH 43 31,000 - 11,000
37 02.05.46 A006081 AZKIA CESYA RAMADHANI 45 27,000 - 11,000
38 02.05.47 S003892 SALMA FIHAYA 47 26,000 - 11,000
39 02.05.48 A019035 ANGLING ZANIFIAR H 48 31,000 - 11,000
40 02.05.49 E001937 EFA RATNASARI 52 25,000 - 11,000
41 02.05.50 R004540 RANI DIANA 54 - - -
42 02.05.51 I002719 IIS KURNIATI 58 31,000 - 11,000
43 02.05.52 F002009 FARDAN FAKHRUDIN 59 12,000 - 11,000
44 02.05.53 Y001877 YATI ROHAYATI 60 27,000 - 11,000
45 02.05.54 S005014 SITI RISWANTI 61 29,000 - 11,000
46 02.05.55 A019037 ATIKAH 62 27,000 - 11,000
47 02.05.56 A000627 ASTRI FEBRIANTI 64 22,000 - 11,000
48 02.05.57 A004658 ANINDITA DWI SETIAWAN 65 21,000 - 11,000
49 02.05.58 T000696 TAUFIK AKBAR 66 41,000 - 11,000
50 02.05.59 R002755 RIZWAN AHMAD A 69 36,000 - 11,000
51 02.05.60 R017271 RAHMAN LUKMAN NURYAMAN 73 11,000 - 11,000
52 02.05.61 A009382 AMANDA RAHAYU 74 - - 11,000
53 02.05.62 E003324 ERNA HERMAWATI 75 - - -
54 02.05.63 M001489 MAMAN SUPARMAN 77 27,000 - 11,000
55 02.05.64 A002324 ALEN AMELIA 80 23,000 - 1,000
56 02.05.65 M002993 M. AIRALD R.A 81 17,000 - 1,000
57 02.05.66 H000586 HANDAYANI SAFITRI 82 - - 11,000
58 02.05.67 A006532 ASEP TAHYANUDIN 84 31,000 - 1,000
59 02.05.68 N001521 NOVI YULIANTI 85 12,000 - 1,000
60 02.05.69 H001184 HAFID RAMLAN, S.PD 88 33,000 - 11,000
61 02.05.70 A001687 ARI SUGIARTI 89 21,000 - 11,000
62 02.05.71 E001335 EROS ROSITA 92 25,000 - 11,000
63 02.05.72 A003358 ALYA NURAINI 93 36,600 - 11,000
64 02.05.73 T001102 TURSINAH ROHIMAH 94 14,800 - 11,000
65 02.05.74 F001431 FAJAR ALBARA 99 18,900 - 11,000
66 02.05.75 P000792 PIPIT NURDIANA 101 22,000 - 11,000
67 02.05.76 F000092 FADLI FADLILLAH 103 19,700 - 11,000
68 02.05.77 G000195 GUNGUN GUNAWAN 104 16,000 - 11,000
69 02.05.78 A008583 ANI ROHANI 112 30,200 - 11,000
70 02.05.79 N003289 NOPIYAN NURDIANSYAH 115 38,200 - 11,000
71 02.05.80 A007826 AULIA SEPTIANI E 116 26,000 - 11,000
72 02.05.81 N002324 NUNUNG 119 25,750 - 11,000
73 02.05.82 P000683 PIPIN NURAENI 120 17,600 - 11,000
74 02.05.83 G000623 G SITI UMMU KULSUM 123 18,200 - 11,000
75 02.05.84 I002596 IDA PARIDA 125 17,600 - 11,000
76 02.05.85 F002015 FAKHIRA SALWA NURFAUZYAH 127 21,600 - 11,000
77 02.05.86 M001428 M.AHZA FAIDLURRAHMAN 128 24,900 - 11,000
78 03.05.16 H007264 HILDA DESTRIANI 5 37,000 - 11,000
79 03.05.17 R001191 RIZQYLILLAH ABDUROCHIM 7 18,000 - 1,000
80 03.05.18 W001156 WINA NADIA SARI 8 31,000 - 11,000
81 03.05.19 A009516 ACOEM MASOEM 10 51,000 - 11,000
82 03.05.20 A004895 ADIT RAKA MULYANA 11 33,000 - 11,000
83 03.05.21 S005078 SURACHMAN 12 30,000 - 11,000
84 03.05.22 T001466 TOTO ISKANDAR 13 21,000 - 11,000
85 03.05.23 A009544W AGUS YUSUP 14 22,000 - 11,000
86 03.05.24 R017272 RAHMA SEPTIANI MUJAHID 15 29,000 - 11,000
87 03.05.25 S019340 SITI PATIMAH 16 22,000 - 11,000
88 03.05.26 N001187 NAURA ANGGITA KHAERUNNISA 18 22,000 - 11,000
89 03.05.27 N015906 NABHAN ANGGARA ZAKARIA 19 33,000 - 11,000
90 03.05.28 D003382 DEWI NURUL FAUZIAH 20 17,000 - 11,000
91 03.05.29 D003856 DEDE KURNIA 21 15,000 - 11,000
92 03.05.30 D003592 DADANG YANTO 23 - - 11,000
93 03.05.31 E006047 EDI SUPRIADI 24 33,000 - 11,000
94 03.05.32 M003181 MAMAY PUJIANTI 25 - - 11,000
95 03.05.33 F001804 FAHRI HARDIANSYAH 28 34,000 - 11,000
96 03.05.34 D003385 DEWI SARTIKA 29 20,000 - 11,000
97 03.05.35 G000608 GHAISA LUANA ALMASYAH 30 22,000 - 11,000
98 03.05.36 M004672 MUHAMMAD AQILA MUSYAFFA 31 19,000 - 11,000
99 03.05.37 Y002261 YENI RISTIAWATI 36 15,000 - 11,000
100 03.05.38 A007248 ARIEF RAHMAN 37 25,000 - 11,000
101 03.05.39 S004186 SITI MAEMUNAH 38 19,000 - 11,000
102 03.05.40 M003476 MOCHAMMAD RAFA ADITYA 40 32,000 - 11,000
103 03.05.41 K009838 KANDI 41 28,000 - 11,000
104 03.05.42 R005013 RENI WINARNI 43 17,000 - 11,000
105 03.05.43 W019592 WIWIN WIDANINGSIH 48 - - -
106 03.05.44 N003240 NAURA HASNA ANNINDAA 49 21,000 - 11,000
107 03.05.45 Y000710 YUDI WAHYUDI 51 235,000 55,000 11,000
108 03.05.46 F000664 FITRI AGUSTINA 55 - - -
109 03.05.47 N003627 NAJWA APRILIA PRIADI 56 19,000 - 11,000
110 03.05.48 N000197 NANDANG SUHERMAN 57 34,000 - 11,000
111 03.05.49 E006048 ENDANG PURWATININGSIH 58 17,000 - 11,000
112 03.05.50 I003396 IIS LIAWATI 59 9,000 - 11,000
113 03.05.51 F002007 FAKHIRA KAILA KHANSA 60 - - 11,000
114 03.05.52 T001779W TUTI MULYATI 62 19,000 - 11,000
115 03.05.53 N003620 NERISA MAULIDA 63 17,000 - 11,000
116 03.05.54 R017273 RANI RAMDHANI 64 26,000 - 11,000
117 03.05.55 M014545 MUHAMMAD NAZRIL RIZQI PR 67 27,000 - 11,000
118 03.05.56 N003130 NOVAL DARUSALAM 68 25,000 - 11,000
119 03.05.57 H000885 HERLAN LOKASWARA 69 48,700 - 11,000
120 03.05.58 F001897 FATIH IHSAN AL-FARUQ 74 15,000 - 11,000
121 03.05.59 C000597 CUCUM SUMARYATI 77 109,000 - 11,000
122 03.05.60 N002279 NABILA FEBRIYANI 80 11,000 - 11,000
123 03.05.61 L001076 LARA NUR INTAN 87 22,750 - 11,000
124 03.05.62 A007588 ATI ROHATI 88 13,000 - 11,000
125 03.05.63 Y001419 YANTI MULYANTI 91 24,000 - 11,000
126 03.05.64 I001931 IMAS HERAWATI HJ 95 38,400 - 11,000
127 03.05.65 F002170 FALQI A FIRDAUS 98 32,900 - 11,000
128 03.05.66 D003800 DINA MARYANTI 99 30,000 - 11,000
129 03.05.67 P000290 PUTRI NURUL RAMADITA 103 30,500 - 11,000
130 03.05.68 S005062 SALSABILA AZZAHRA 104 16,800 - 11,000
131 03.05.69 R005231 RANI NURANI 105 37,200 - 11,000
132 03.05.70 T001752 TIARA AMELIA 106 27,200 - 11,000
133 03.05.71 L001154 LILIS RUSMIATI 109 24,400 - 11,000
134 03.05.72 I007357 INTAN HERLINA SARI 110 21,000 - 11,000
135 03.05.73 S005053 SALMA FARACHDIEBA 115 23,700 - 11,000
136 03.05.74 S004096 SALMA PUTRI SAPARI 116 61,900 - 11,000
137 03.05.75 O017456 OOM KOMARIAH 121 22,000 - 11,000
138 03.05.76 W001096 WIDA FARIDA 122 19,200 - 11,000
139 03.05.77 D003561 DIPAL MUHAMAD AMERULOH 123 36,600 - 11,000
140 03.05.78 M004686 MELYASA YUSRIYYA 128 19,600 - 11,000
141 03.05.79 G000649 GHAZY AUFA FARUQ 129 27,800 - 11,000
142 03.05.80 R017275 RINI YUSINI 130 26,000 - 11,000
143 03.05.81 M004420 MUHAMAD FASIL DZAKWAN AZ 132 97,000 45,000 11,000
144 03.05.82 S000096 SHAFA SAFINA 134 29,500 - 11,000
145 03.05.83 M003487 M ALFATIH IBRAHIM 135 22,600 - 11,000
146 03.05.84 A002324 ALEN AMELIA 136 17,000 - 1,000
147 03.05.85 N003974 NIA KUSMIATI 138 27,000 - 11,000
148 03.05.86 N002689 NINDYA FARANISA AZNI 142 26,000 - 1,000
149 04.05.16 U016788 UDIN SAEPUDIN 7 - - 11,000
150 04.05.17 E003704 ENGKON 8 21,300 - 11,000
151 04.05.18 D003805 DIKI PADILAH MAULANA 11 48,000 45,000 11,000
152 04.05.19 T001284 TITIN SUPRIATIN 12 26,500 - 11,000
153 04.05.20 S005401 SRI VANIA UTAMI 14 23,000 - 11,000
154 04.05.21 A019049 AKBAR PRATAMA 15 - - 11,000
155 04.05.22 N003334 NOVI AHDIANTI 16 - - 11,000
156 04.05.23 A008510 ANDI FIRMANSYAH 20 8,000 - 11,000
157 04.05.24 W001117 WIRANTIWI AGUSTINA 21 - - 11,000
158 04.05.25 E003341 ENENG YANTI 26 44,000 - 11,000
159 04.05.26 A004738 ADE HERWANDI 27 10,600 - 11,000
160 04.05.27 A001685 ALI AKBAR NAWAWI 33 39,600 - 1,000
161 04.05.28 Q000039 QUTHBIE ZAHIN NUGRAHA 34 - - 11,000
162 04.05.29 S005461 SRI KOMARA WATI 36 24,000 75,000 11,000
163 04.05.30 D002749 DEDE 38 32,900 - 11,000
164 04.05.31 D003240 DANI RAMADHAN 39 27,800 - 11,000
165 04.05.32 A000372 AGUS RAHAYU 40 77,200 - 11,000
166 04.05.33 A009642 AN NU,MAN SYARIF 42 25,000 - 11,000
167 04.05.34 D003141 DINI NURHAYATI 44 24,500 - 11,000
168 04.05.35 A000525 AI SAIDAH 47 14,000 40,000 11,000
169 04.05.36 I000724 IKEU NURJANAH 52 - - -
170 04.05.37 D002391 DIKA MUHAMAD NUGRAHA 54 36,100 - 11,000
171 04.05.38 I001457 IIN KURNIATIN 57 19,700 - 11,000
172 04.05.39 I001721 INDRI MARYANI 58 25,400 - 11,000
173 04.05.40 R017277 RANI PERMATASARI 61 19,200 - 11,000
174 04.05.41 E006050 EDI SUSANTO 62 30,000 - 11,000
175 04.05.42 T001571 TATI HARTATI 66 16,600 - 11,000
176 04.05.43 F000202 FADILAH RIZQI HIDAYAT 67 26,000 - 11,000
177 04.05.44 I003537 IRMA RISMIYANTI 68 18,200 - 11,000
178 04.05.45 Q000084 QUEEN SAMIKA ILAR 69 16,800 - 11,000
179 04.05.46 F001080 FATHIMAH AZZAHRA B 70 26,100 - 11,000
180 04.05.47 K009839 KAILA NOVIANTI 73 28,100 - 11,000
181 04.05.48 L001271 LINA GANTINA 75 15,950 - 11,000
182 04.05.49 R004952 RATIH PURWASIH 76 29,100 - 11,000
183 04.05.50 Y002212 YENI 77 22,500 - 11,000
184 04.05.51 E002872 ERNI YULIANSYAH 78 28,700 - 11,000
185 04.05.52 A009054 ATSIILAH JANISSARY RAHAYU 79 52,200 - 11,000
186 04.05.53 M005129 MUHAMMAD REZA FAHRIZAL 80 28,400 - 11,000
187 04.05.54 I003077 IMAS ISMAHAYATI 83 24,000 - 11,000
188 04.05.55 N001839 NENG NURJANAH 85 - - 11,000
189 04.05.56 U000786 USUP YUSUP 86 - - 11,000
190 04.05.57 S002512 SONI HERYANA 92 16,000 - 11,000
191 04.05.58 R000028 RAKEYAN CAKRA 93 103,100 - 11,000
192 04.05.59 S000031 SITI NURLITA 94 20,500 - 11,000
193 04.05.60 M014550 MOCHAMAD REZZA MAULANA 96 27,000 - 11,000
194 04.05.61 Y002018 YATNA SUPRIATNA 97 10,600 - 11,000
195 04.05.62 M014551 MULYANA 98 32,900 - 11,000
196 04.05.63 E006051 ERWIN HIDAYAT 102 32,900 - 11,000
197 04.05.64 Y001914 YULI YULIANTI 103 19,000 - 11,000
198 04.05.65 M003393 MOCHAMAD ZALSA RAMADHA 104 24,500 - 11,000
199 04.05.66 R003132 RIRIN SANTINI 106 31,000 - 1,000
200 04.05.67 A009244 AGUS TURKAWAN 107 33,600 - 11,000
201 04.05.68 M005136 M RAFFA SYABAN SOFIAN 108 17,500 - 11,000
202 04.05.69 A002324 ALEN AMELIA 110 20,000 - 1,000
203 04.05.70 M014552 M. RAMDANI HIDAYAT 116 24,400 - 11,000
204 05.05.16 D000977 DINAR AGUSDINA AL GHIFARI 2 34,200 - 1,000
205 05.05.17 A006946 ADNEY ATHAYA APRIESSA 4 42,100 - 1,000
206 05.05.18 N003478 NOVI LESTARI 62 7,000 - 1,000
207 06.05.16 D000977 DINAR AGUSDINA AL GHIFARI 9 20,250 - 1,000
208 06.05.17 N002830 NAURA SYAKILA FAIHARIFDA 20 32,200 - 1,000
209 06.05.18 M003871 MUHAMMAD ARRASYID ARGAN 31 17,300 - 1,000
210 06.05.19 E001186 ELVIN FATHIYAH 35 17,000 - 1,000
211 06.05.20 R001465 RAHMAWATI 36 21,000 - 1,000
212 07.05.16 A005134 ANGGA ERLANGGA 1 19,000 - 11,000
213 07.05.17 S004669 SLAMET RIYADI 4 23,400 - 11,000
214 07.05.18 H001184 HAFID RAMLAN, S.PD 5 16,000 - 11,000
215 07.05.19 Y001728 YULI HERLINA 7 32,500 - 11,000
216 07.05.20 M014552 M. RAMDANI HIDAYAT 8 43,000 45,000 11,000
217 07.05.21 E003468 EVI LESTARI 9 28,000 - 11,000
218 07.05.22 F001897 FATIH IHSAN AL-FARUQ 10 20,000 - 1,000
219 07.05.23 S019355 SANI SUSANTI 14 15,400 - 11,000
220 07.05.24 S005464 SANTI KURNIAWATI 16 15,100 - 11,000
221 07.05.25 N002932 NENGSIH 17 27,700 - 11,000
222 07.05.26 D003004 DIANA WATI 23 9,000 - 11,000
223 07.05.27 M003877 MUHAMMAD SURYA ANUGRAH 24 22,000 - 11,000
224 07.05.28 S001597 SYIFA FAUZIAH MUTMAINNAH 26 24,200 - 11,000
225 07.05.29 D001390 DEDI SAEDI 28 16,000 - 11,000
226 07.05.30 R002427 RAHMAWATI 29 21,900 - 11,000
227 07.05.31 L000491 LENI FITRIANI 30 17,800 - 11,000
228 07.05.32 R002418 RUSMINI 31 156,800 - 11,000
229 07.05.33 R017272 RAHMA SEPTIANI MUJAHID 35 20,400 - 11,000
230 07.05.34 W000774 WULAN WIDYAWATI 36 16,500 - 11,000
231 07.05.35 L000896 LAYLIA NABILAJAUZA 37 16,000 - 11,000
232 07.05.36 L001038 LILIS TUTI 40 24,400 - 11,000
233 07.05.37 M003933 MUJAHID ALFARIZI 41 32,100 - 11,000
234 07.05.38 E001335 EROS ROSITA 42 26,600 - 11,000
235 07.05.39 A006858 ASTRIANTIKA NUR OCTARESA 46 - - -
236 07.05.40 A008902 AI SONIANGSIH 48 - - -
237 07.05.41 A002209 AHMAD SOBARI 49 24,400 - 11,000
238 07.05.42 R017283 RIANI SUHARTINI 50 10,300 - 11,000
239 07.05.43 A019069 ALYA MAHBUBAH SABANIAH 51 - - 11,000
240 07.05.44 T001785 TASEM 53 23,800 - 11,000
241 07.05.45 R000999 REKSA ENDRA RUDIANA 58 32,000 - 11,000
242 07.05.46 R017284 RINI ANDRIANI 59 22,000 - 11,000
243 07.05.47 Y000203 YATNA TRESYANA 60 12,100 - 11,000
244 07.05.48 E003253 EGA AGUSTINA 61 15,000 - 11,000
245 07.05.49 Q000053 QIRENA JULIA HAFIZ 62 16,700 - 11,000
246 07.05.50 P000835 PENTI HADIANTI 64 27,100 - 11,000
247 07.05.51 N002130 NURUDIN 65 16,000 - 11,000
248 07.05.52 E001642 EGI YUDHA PERMANA 72 32,000 - 11,000
249 07.05.53 Y001911 YENI HERYANI 79 29,000 - 11,000
250 07.05.54 Y001117 YANTI YULIANTI 83 - - -
251 07.05.55 A001685 ALI AKBAR NAWAWI 89 8,000 - 1,000
252 07.05.56 D001919 DEVI RAMDHANI 90 19,000 - 11,000
253 07.05.57 R017285 ROSITA 98 27,000 - 11,000
254 07.05.58 Z000289 ZAHRA AZARIA AZHAR 100 - - 11,000
255 07.05.59 A005675 ASIAH 105 23,000 - 11,000
256 07.05.60 A007253 AGUS SOFYAN 107 27,000 - 11,000
257 08.05.15 D001618 DESI BHUDIARTI 9 11,000 - 1,000
258 08.05.16 R001191 RIZQYLILLAH ABDUROCHIM 64 13,500 - 1,000
259 09.05.16 B000632 BUNGA NURROHMAH ADINITA S 2 17,000 - 11,000
260 09.05.17 S004354 SITI NUR AZIZAH SEPTIYANTI 3 - - 11,000
261 09.05.18 R004353 RUKHYANTI SUMANTIKA 4 - - 11,000
262 09.05.19 E003129 EUIS PUPU 6 - - 11,000
263 09.05.20 M000822 MOCHAMAD BURHAN 7 35,000 - 11,000
264 09.05.21 U016788 UDIN SAEPUDIN 8 - - 11,000
265 09.05.22 S004608 SRI DEWI LANASINTA 9 25,000 - 11,000
266 09.05.23 M002248 MUTIARA RAMAYANTI 10 24,000 - 11,000
267 09.05.24 Y000305 YAYAN 11 23,000 - 11,000
268 09.05.25 Z000116 ZIVANA AYATUL HUSNA 12 24,000 - 11,000
269 09.05.26 A019080 AMELIA MELIYANI PUTRI 13 19,000 - 11,000
270 09.05.27 J000817 JUBAEDAH 14 18,000 - 11,000
271 09.05.28 M003501 M. ALBANI NUGRAHA 17 57,000 - 11,000
272 09.05.29 A009375 AJAT ACENG KURNIA 18 11,000 - 11,000
273 09.05.30 S019360 SILVIA FEBRIANI FIRMANSYAH 20 - - 11,000
274 09.05.31 Z000496 ZAM ZAM MAULID 24 - - 11,000
275 09.05.32 Y000479 YATI ROHMAYATI 26 10,000 - 11,000
276 09.05.33 D003190 DUDI NURDIYANSYAH, ST 27 24,000 - 11,000
277 09.05.34 R002682 RAMANDA FAUJAN 28 17,000 - 11,000
278 09.05.35 S003628 SOPIAN HAMZAH 31 32,000 - 11,000
279 09.05.36 E003320 EUIS ROSIDA 34 17,000 - 11,000
280 09.05.37 R003305 ROBIN SUKIRMAN 38 19,000 - 11,000
281 09.05.38 K000013 KUSTILAH 44 25,000 - 11,000
282 09.05.39 D002915 DEDAH 51 15,000 - 11,000
283 09.05.40 N003807 NIA KURNIAWATI 53 23,000 - 11,000
284 09.05.41 P000809 PUTRI PERMATA AIDAH 54 31,000 - 11,000
285 09.05.42 V010269 VEBRYANTY MUTIARA SARI SUT 55 23,000 - 11,000
286 09.05.43 E003341 ENENG YANTI 58 - - 11,000
287 09.05.44 J000647 JIHAN SAFIRA BALQIS 59 14,000 - 11,000
288 09.05.45 M003567 MOCH JANUAR HENDRA KOESO 61 10,000 - 11,000
289 09.05.46 M001381 MEGA ASTUTI BASUKI 62 22,000 - 11,000
290 09.05.47 B000474 BENY AHMAD HIDAJAT 64 - - 11,000
291 09.05.48 V000247 VIRLA FIRSILIA AFRIANTI 65 22,000 - 11,000
292 09.05.49 E001134 ERVAN RINALDI 66 - - 11,000
293 09.05.50 G000274 GINA ANGGRAENI 69 26,000 - 11,000
294 09.05.51 A006390 AGUS SANDI 70 27,000 - 11,000
295 09.05.52 H001940 HUMAIGA MUTIA 71 28,000 - 11,000
296 09.05.53 T000407 TITA MARTHA JUWITA 74 30,000 - 11,000
297 09.05.54 O000589 OHAR.H 75 20,000 - 11,000
298 09.05.55 A009343 ALI FRENGKY 78 25,000 - 11,000
299 09.05.56 T016883 TATI SUPIATI 79 16,000 - 11,000
300 09.05.57 N003439 NOVIYANTI 80 14,000 - 11,000
301 09.05.58 G000701 GENI SUPARTINI 83 24,000 - 11,000
302 09.05.59 M004983 MICKAEL TRI GENI ISYANTO 84 28,000 - 11,000
303 09.05.60 D007063 DEDE SUPRIYANTO 86 23,000 - 11,000
304 09.05.61 M001164 MIMA YULIA 90 11,000 - 11,000
305 09.05.62 Y000797 YETI NURHAYATI 93 24,000 - 11,000
306 09.05.63 Z000579 ZAIN NATHAN PUTRANTO 94 17,000 - 11,000
307 09.05.64 N015920 NENENG AAS MARLIYANI 95 32,000 - 11,000
308 09.05.65 A000658 AAN 98 26,100 - 11,000
309 09.05.66 D007064 DICKY NURRAHMAN 99 33,100 - 11,000
310 09.05.67 M002993 M. AIRALD R.A 100 25,000 - 11,000
311 09.05.67 D007064 DICKY NURRAHMAN 99 33,100 - 11,000
312 09.05.67 M002993 M. AIRALD R.A 100 25,000 - 11,000
313 09.05.67 I002408 IMEL AMELIA 101 13,000 - 11,000
314 09.05.67 R003370 RUHIYATI 103 16,800 - 11,000
315 09.05.67 H001351 HERAWATI 108 18,200 - 11,000
316 09.05.67 A006143 ARYA 109 14,600 - 11,000
317 09.05.67 L000139 LUTFI M. RAMDAN 110 24,500 - 11,000
318 09.05.67 R004742 RAZQA ARYA SATYA CHARISMA 111 23,800 - 11,000
319 09.05.67 M002990 MIMIK WATIMAH 114 29,200 - 11,000
320 09.05.67 F001080 FATHIMAH AZZAHRA B 115 99,000 40,000 11,000
321 09.05.67 A003947 ANA SUJANA 117 34,400 - 11,000
322 09.05.67 B000782 BURHAM NURDIN 118 16,500 - 11,000
323 09.05.67 A004673 ACENG FIRMAN 120 34,000 - 11,000
324 09.05.67 S001103 SURYANI PANCAWATI 123 - - -
325 09.05.67 S005467 SITI NURHASANAH 124 - - -
326 09.05.67 Y002244 YENI KAMILASARI 125 22,000 - 11,000
327 09.05.67 E006061 EDJE 127 25,700 - 11,000
328 09.05.67 D007065 DEDEH SADIAH 128 36,700 - 11,000
329 09.05.67 T001389 TATI ROHAYATI 129 17,900 - 11,000
330 09.05.67 A007031 AYI SITI NURBAETI 132 - - -
331 09.05.67 M004798 MOCH. IBNU AZZQA AL FARIZQI 136 23,600 - 11,000
332 09.05.67 T000416 TIFFANNY ALAYYAH 137 16,000 - 11,000
333 09.05.67 B000790 BUNYAMIN 138 27,200 - 11,000
334 10.05.16 U000840 UUM UMIRAH 2 19,750 - 11,000
335 10.05.17 N002175 NUNUNG ROSDIANA 4 31,800 - 11,000
336 10.05.18 T001441 TRI SUDARTI 5 10,300 - 11,000
337 10.05.19 P000701 POPI HERAWATI 9 16,800 - 11,000
338 10.05.20 R003655 RAIHAN KENZIE HAMIZAN 16 21,100 - 11,000
339 10.05.21 A002324 ALEN AMELIA 17 26,200 - 1,000
340 10.05.22 I007369 ITA ROSITA 18 - - -
341 10.05.23 I002859 IMAS MASLIAH 19 17,700 - 11,000
342 10.05.24 M001295 MUFTI MUHAMMAD 20 77,200 - 11,000
343 10.05.25 H000161 HAFID RAMLAN 22 23,100 - 11,000
344 10.05.26 T001904 TORIQ ABDURRAUF HAIDAR 23 35,000 - 11,000
345 10.05.27 N003529 NENI SUPIANTI 24 24,400 - 11,000
346 10.05.28 T001654 TONO JULIO 28 23,000 - 11,000
347 10.05.29 A019088 ABID AQILA 31 14,600 - 11,000
348 10.05.30 W019592 WIWIN WIDANINGSIH 32 - - -
349 10.05.31 R000792 RISA YUNIANTI 33 14,000 - 11,000
350 10.05.32 N003933 NENENG NOVIYANTI 34 20,300 - 11,000
351 10.05.33 A019089 AZKA AL KHAIRY ISKANDAR 35 35,800 - 11,000
352 10.05.34 A019006 AA AHMAD 36 43,000 45,000 11,000
353 10.05.35 A006482 AI NURAROFAH 39 17,600 - 11,000
354 10.05.36 A006087 ALVI REFALIANI S 43 26,150 - 11,000
355 10.05.37 I002398 IKBAL PURNAMA CHRISTIAN 45 22,400 - 11,000
356 10.05.38 A002061 ANNISA NUFAH RAMADHANI 46 27,700 - 11,000
357 10.05.39 T001151 TETIN RIZKIATIN 47 18,300 - 11,000
358 10.05.40 D000368 DENA SUTISNA 48 19,200 - 11,000
359 10.05.41 E000967 ESTI RAHMAWATI 50 27,000 - 11,000
360 10.05.42 R004004 RINRIN DAMAYANTI 51 13,750 - 11,000
361 10.05.43 R004699 RAFLI FAHREZA GUNADI 52 31,400 - 11,000
362 10.05.44 R000832 REGA ALDIRA GUNAWAN 53 26,000 40,000 11,000
363 10.05.45 A009353 AI ROSITAWATI 54 14,950 - 11,000
364 10.05.46 D002778 DIAN HANDIANTI 55 24,400 - 11,000
365 10.05.47 A007663 ACEP ROHMAN 57 20,200 - 11,000
366 10.05.48 I002740 IYAN SURYANA 58 26,200 - 11,000
367 10.05.49 L001262 LISNA YULIANA 60 - - 11,000
368 10.05.50 I002956 INDRI TRI NURTANTI 61 17,800 - 11,000
369 10.05.51 Y002184 YULIA AGUSTINA 65 - - -
370 10.05.52 T001731 TIN SURTINI 70 18,600 - 11,000
371 10.05.53 A019093 ANNISA SRIWILYANTI 74 18,000 - 11,000
372 10.05.54 A019094 ANNISA RAHAYU 76 25,200 - 11,000
373 10.05.55 L001154 LILIS RUSMIATI 77 29,600 - 11,000
374 10.05.56 A002766 ASYANTI 78 31,100 - 11,000
375 10.05.57 N002930 NAZWA SEPTIAN SALIM 86 26,500 - 11,000
376 10.05.58 D002928 DINAR SARININGRUM 87 29,800 - 11,000
377 10.05.59 H001830 HANA WULANDARI 93 - - -
378 10.05.60 A007403 ALFIN DZAKY NURAHIN 94 33,000 - 11,000
379 10.05.61 N002998 NURAFNI ADEEVA MAHESWARI 95 30,000 - 11,000
380 10.05.62 S001480 SUTARSIH 97 49,400 - 11,000
381 10.05.63 A007424 ANI NURDIANI 99 11,750 - 11,000
382 10.05.64 S005170 SRI RAHAYU 108 - - -
383 10.05.65 S019367 SANTI SUPRIANTI 109 - - -
384 10.05.66 Z000394 ZALFA OKTAVIA 110 25,700 - 11,000
385 10.05.67 T000311 TINA AGUSTINA 114 16,200 - 11,000
386 10.05.68 A008825 ADIVA HASNA AFFANDI 116 32,200 - 11,000
387 10.05.69 S005070 SOPANDI 117 13,200 - 11,000
388 10.05.70 A007618 ADINDA RAIFA FIRMANSYAH 118 21,100 - 11,000
389 10.05.71 S001597 SYIFA FAUZIAH MUTMAINNAH 120 37,000 - 1,000
390 10.05.72 M001189 MARIA FITRI 126 9,000 - 1,000
391 10.05.73 V000094 VANZY WANDA DINATA 128 7,000 - 1,000
392 10.05.74 E000825 ELDESSA VAVA RILLA 136 15,000 - 11,000
393 11.05.16 F001556 FITRI SUSILAWATI 2 22,200 - 11,000
394 11.05.17 S005044 SELOMITAH NURFIDIANTI 3 21,100 - 11,000
395 11.05.18 D000971 DADANG NURJAMAN 7 12,000 - 11,000
396 11.05.19 E002490 ERSAN ALI HILMAN 10 23,350 - 11,000
397 11.05.20 E000574 EKSA ALYA PUTRI 11 35,000 - 11,000
398 11.05.21 I002350 IYAM SITI MARIAM 12 22,400 - 11,000
399 11.05.22 T016885 TIA SETIAWAN 13 23,800 - 11,000
400 11.05.23 A009693 ARKAN SAID RAMADHAN 14 44,600 - 11,000
401 11.05.24 E003167 ENTUT KARTUTI 15 55,400 - 11,000
402 11.05.25 F001623 FITRIANI SILVIDA BERTI 16 - - 11,000
403 11.05.26 E002890 ENCUM KULSUM 17 37,700 - 11,000
404 11.05.27 N003313 NINA YUNIAWATI 18 16,800 - 11,000
405 11.05.28 Y002126 YENI SUMARNI 19 26,600 - 11,000
406 11.05.29 A009335 ALINDA NUR AGNIA SALAM 21 33,600 - 11,000
407 11.05.30 S004652 SITI ROHMAH 24 21,400 - 11,000
408 11.05.31 I001457 IIN KURNIATIN 27 31,950 - 11,000
409 11.05.32 R003174 RIA SATRIANA 28 - - -
410 11.05.33 R003648 RINRIN APRIANI 29 23,000 - 11,000
411 11.05.34 A008909 ABDUL HAFIDZ RAZA.RD 32 16,800 - 11,000
412 11.05.35 S004512 SEPTI FITRIANI 34 28,100 - 11,000
413 11.05.36 F004763 FARSHAD GHAISAN HARITH 38 23,700 - 11,000
414 11.05.37 W001099 WILDAN RIFALDI 39 26,400 - 11,000
415 11.05.38 M004900 MUHAMAD AKHDAN ZAHID RAB 41 - - 11,000
416 11.05.39 O000668 OHAN SURYANA 43 26,600 - 11,000
417 11.05.40 A002603 ANGGA DESIANTO 44 25,950 - 11,000
418 11.05.41 R005213 ROSA DESNIAWATI 47 25,400 - 11,000
419 11.05.42 Z000418 ZIE HANA SYIFAAR ROJA 50 37,400 - 11,000
420 11.05.43 M001381 MEGA ASTUTI BASUKI 51 5,200 - 11,000
421 11.05.44 A006788 AHMAD SULAEMAN SAPUTRA 53 15,400 - 11,000
422 11.05.45 H000780 HELMI ANGGIA 57 21,100 - 11,000
423 11.05.46 I003327 ISHFIYYA NADWATUL UMMAH 64 21,700 - 11,000
424 11.05.47 S004983 SRI MULYANI 65 - - 11,000
425 11.05.48 S004309 SINTA APRIANTI 67 44,000 - 11,000
426 11.05.49 I007350 IDA NURLAELA 68 14,000 - 11,000
427 11.05.50 I003246 IFFATUL AZIZA 69 26,200 - 11,000
428 11.05.51 E002872 ERNI YULIANSYAH 70 27,000 - 11,000
429 11.05.52 I003077 IMAS ISMAHAYATI 74 - - -
430 11.05.53 D007069 DIKI MARJUKI 77 18,500 - 11,000
431 11.05.54 S004942 SHEREN MAULUDDINA RAMDAN 78 14,000 - 11,000
432 11.05.55 S004863 SHERRELL ALDRIC RAMDANI 79 7,700 - 11,000
433 11.05.56 A008479 ASYIFA RAHMADHANI 80 31,800 - 11,000
434 11.05.57 E003477 EGI DEWI SEPTIANA 81 16,000 - 11,000
435 11.05.58 A003289 AGUS TATANG SOLIHIN 82 22,500 - 1,000
436 11.05.59 R003924 RINI SARININGSIH 85 22,000 - 11,000
437 11.05.60 N003834 NING WATI 87 18,800 - 11,000
438 11.05.61 P000795 PUTRI AURELIA RAHMA 88 79,400 - 11,000
439 11.05.62 D007070 DJUHUD, H DRS M. PD 89 32,700 105,000 11,000
440 11.05.63 B000471 BUDIYARSA 90 10,200 - 11,000
441 11.05.64 A003667 AMAS MASDAR 97 19,000 - 11,000
442 11.05.65 A008295 ANNISA KAMILA NUR AZARIA 100 23,800 - 11,000
443 11.05.66 A008069 ALYA PUTRIA RAMADHANI 101 31,700 - 11,000
444 11.05.67 Y001988 YENI GUSMAYANTI 102 15,500 - 11,000
445 11.05.68 F001918 FERDI ARDIANSYAH 103 21,500 - 11,000
446 11.05.69 H000655 HARISA ATMAJA 105 17,000 - 11,000
447 12.05.16 A003000 ARNI SULANI 3 - - -
448 12.05.17 R000369 RIA FITRIANI 4 32,000 - 1,000
449 12.05.18 E006063 ENUNG 7 14,800 - 11,000
450 12.05.19 M014567 M.HILMI 8 43,000 45,000 11,000
451 12.05.20 H007278 HANNIE VIRGANITA 14 15,000 - 11,000
452 12.05.21 R005329 RESTI APRILIYANTI 15 25,750 - 11,000
453 12.05.22 M014568 MAHMURI 16 25,000 - 11,000
454 12.05.23 T001579 TIA 20 26,000 - 11,000
455 12.05.24 A009209 ADITYA SATRIA PRATAMA 21 32,500 - 11,000
456 12.05.25 N015924 NUR AFWA RAMADHAN 22 37,200 - 11,000
457 12.05.26 E001145 ENENG KURNIATI 23 38,100 - 11,000
458 12.05.27 G000551 GEN GEN ARGENTINA 25 24,350 - 11,000
459 12.05.28 I000520 IJAH KHADIJAH, HJ 26 24,700 - 11,000
460 12.05.29 F001725 FAHMI FATHURAHMAN 29 32,750 - 11,000
461 12.05.30 F002184 FITRIANI 33 - - -
462 12.05.31 D007072 DZAKIRA AFTANI AZZAHRA 34 21,100 - 11,000
463 12.05.32 R004353 RUKHYANTI SUMANTIKA 36 - - 11,000
464 12.05.33 A007249 ADAM BERLIANDI 38 - - 11,000
465 12.05.34 S019369 SASKIA MELINDA 39 9,000 - 11,000
466 12.05.35 F000774 FENI FEBRIANI 40 - - 11,000
467 12.05.36 M014569 MUHAMADRIZQINURDALLA 41 28,300 - 11,000
468 12.05.37 H001184 HAFID RAMLAN, S.PD 45 77,000 45,000 11,000
469 12.05.38 A009321 ADE RUKANAH 47 32,000 - 11,000
470 12.05.39 S005458 SUMPENA ABDUL ROHMAT 49 27,700 - 11,000
471 12.05.40 C000682 CUCU JUARSIH 51 - - 11,000
472 12.05.41 E006064 ENGKUN ARWADIKUN 52 - - 11,000
473 12.05.42 M014571 MELDA NURUL HUDA 53 - - 11,000
474 12.05.43 D003605 DANDAN ACHMAD SYAFARI 54 22,200 - 11,000
475 12.05.44 A007192 AI ECIN KURAESIN 56 24,700 - 11,000
476 12.05.45 M014572 MIN ALFI 57 10,150 - 11,000
477 12.05.46 I003188 ILHAM WIRAYUDA 58 32,600 - 11,000
478 12.05.47 K001007 KIRANA AZKADINA RAMADHAN 61 28,100 - 11,000
479 12.05.48 W000351 WITA PUSPITASARI 64 - - -
480 12.05.49 L000365 LUTFI SALMA SULAFA 65 - - 11,000
481 12.05.50 S001808 SATRIA KRISHNAWIJAYASHAKTI 67 17,000 - 1,000
482 12.05.51 L010572 LUTFI BAHTIAR SAKTI 68 - - 11,000
483 12.05.52 F000516 FARINA NUGRAHANI 72 21,000 - 11,000
484 12.05.53 D003240 DANI RAMADHAN 74 29,000 - 1,000
485 12.05.54 S004694 SAEPUDIN 75 29,000 - 11,000
486 12.05.55 W001117 WIRANTIWI AGUSTINA 77 - - 11,000
487 12.05.56 S005219 SYIFA SYAFITRI 78 30,000 - 11,000
488 12.05.57 A001685 ALI AKBAR NAWAWI 80 23,000 - 1,000
489 12.05.58 S003810 SYAHNAZ NAHL CHAERUNISA 84 26,000 - 11,000
490 12.05.59 P000792 PIPIT NURDIANA 88 - - 11,000
491 12.05.60 I002956 INDRI TRI NURTANTI 89 24,000 - 11,000
492 12.05.61 P000663 PIAN GUSTIANA 90 21,000 - 11,000
493 12.05.62 A004673 ACENG FIRMAN 95 - - 11,000
494 12.05.63 A006631 AAN JUANAH 97 - - 11,000
495 12.05.64 H000974 HERI RUSLI 99 32,000 - 11,000
496 12.05.65 A003377 AI SOLIHAT 100 22,000 - 11,000
497 12.05.66 N000412 NETI CICI 101 28,000 - 11,000
498 12.05.67 T001051 TETI HARYANI 102 18,500 - 11,000
499 12.05.68 D001026 DIDI SUNANDI 105 13,000 - 11,000
500 12.05.69 R001436 RATIH DWI INDRIYANI 107 29,000 - 11,000
501 12.05.70 R004004 RINRIN DAMAYANTI 109 29,000 - 11,000
502 12.05.71 D003738 DIAN SUGIANTO 110 21,000 - 11,000
503 12.05.72 Y001559 YANTI ROHMAN 112 26,000 - 11,000
504 12.05.73 A001212 ANDHITA JUWITA SARI 116 24,000 - 11,000
505 12.05.74 I003660 IMAM FAJAR RAMADHAN 117 34,000 - 11,000
506 12.05.75 L000350 LILIS ROHAYATI 126 33,000 - 11,000
507 12.05.76 M000706 MIMIN AMINAH 127 21,000 - 11,000
508 12.05.77 A005273 AQILA DEVANA GUNAWAN 128 22,000 - 11,000
509 12.05.78 E000825 ELDESSA VAVA RILLA 131 22,600 - 1,000
510 13.05.16 U000153 UJANG JAENUDIN 5 32,000 - 11,000
511 13.05.17 R017301 RIZAL ROJALI 7 26,600 - 11,000
512 13.05.18 A007211 ANITA LESTARI 13 22,000 - 11,000
513 13.05.19 E006066 EDGINA FALOYA 14 16,700 - 11,000
514 13.05.20 M004403 MUHAMAD REIHAN NAZRIL 15 19,100 - 11,000
515 13.05.21 M004125 MARDIANI HAFSHARRY 17 - - -
516 13.05.22 S003729 SAMSUDIN, H 18 36,000 - 11,000
517 13.05.23 A019102 ARIE AKBAR 19 23,200 - 11,000
518 13.05.24 M003889 M. HAIKAL AL GHIFARY 23 18,100 - 11,000
519 13.05.25 N003585 NONENG SOLIHAT 24 9,000 - 11,000
520 13.05.26 M002954 MOCHAMAD ARDYANSYAH 26 35,800 - 11,000
521 13.05.27 Y019303 YUDI SETIADI 28 28,200 - 11,000
522 13.05.28 S001808 SATRIA KRISHNAWIJAYASHAKTI 29 34,500 - 1,000
523 13.05.29 E006067 EUIS JUWITA 30 27,000 - 11,000
524 13.05.30 E002516 ENIH YUNINGSIH 31 34,100 - 11,000
525 13.05.31 Y001591 YADI SUPRIADI 32 16,500 - 11,000
526 13.05.32 B000255 BAGJA WIRATMAJA 34 25,000 - 11,000
527 13.05.33 E003738 ENGKUS 35 26,400 - 11,000
528 13.05.34 L001270 LILIS KURNIA 36 29,250 - 11,000
529 13.05.35 U000662 USAM SAMSUDIN 37 18,200 - 11,000
530 13.05.36 D003455 DERI DWI LESMANA 39 29,600 - 11,000
531 13.05.37 F004765 FAHMI ZAENAL MUTAQIN 41 24,400 - 11,000
532 13.05.38 E002918 ELSA RHOSANA SURYA 42 17,700 - 11,000
533 13.05.39 A019103 AHMAD SARIPUDIN 43 18,400 - 11,000
534 13.05.40 S005379 SITI FATIMAH PUTRI PERMANA 44 11,800 - 11,000
535 13.05.41 F000562 FAUZAN ABQARI SYAUQI 45 16,000 - 11,000
536 13.05.42 Z000654 ZAENUDIN SOLEH 49 20,100 - 11,000
540 13.05.46 S005559 SHUHAIL KAUTHAR 54 26,200 - 11,000
541 13.05.47 E006068 ELSAMALANTIKA 55 28,000 - 11,000
542 13.05.48 Y000708 YUNI NURAENI M 56 24,500 - 11,000
543 13.05.49 N015928 NAURA SHABIRA 61 36,000 - 11,000
544 13.05.50 A002209 AHMAD SOBARI 66 45,000 - 11,000
545 13.05.51 I002444 IRVAN FIRDAUS 70 23,000 - 11,000
546 13.05.52 G000412 GITA FLORENCIA 71 32,000 - 11,000
547 13.05.53 M004726 MUHAMMAD AKMAL FAUZAN 72 25,000 - 11,000
548 13.05.54 W000756 WAWANG SUWANGSIH 75 29,000 - 11,000
549 13.05.55 Q005680 QUENZI JASIR 76 31,000 - 11,000
550 13.05.56 A002466 ANISA FEBRIANTI 77 31,000 - 11,000
551 13.05.57 A009548 AMANDA NAZWA RAMADHANI 78 34,000 - 11,000
552 13.05.58 A003495 AZMI ATOILLAH 81 35,000 - 11,000
553 13.05.59 S003402 SUSI IMAWATI 82 42,000 - 11,000
554 13.05.60 N000469 NINA ROSTIANA 83 43,000 - 11,000
555 13.05.61 S002017 SINAR RIZKI K 86 35,000 - 11,000
556 13.05.62 N003359 NAILA PUTERI A 88 54,000 - 11,000
557 13.05.63 A003391 ARDI SETIADI 89 23,000 - 11,000
558 13.05.64 N015929 NAZWA AGTAASYLA 91 57,000 - 11,000
559 13.05.65 A002011 AINUN ALIFIA HAPSAH 92 35,000 - 11,000
560 13.05.66 N003889 NIRA ANGGRAENI 95 31,000 - 11,000
561 14.05.16 R002481 RANA 3 - - 1,000
562 14.05.17 A003289 AGUS TATANG SOLIHIN 4 15,500 - 1,000
563 14.05.18 E002321 ENCEP NURDIN 5 26,000 - 11,000
564 14.05.19 R002418 RUSMINI 6 22,000 - 11,000
565 14.05.20 A009043 ADE KOMARUDIN 7 33,000 - 11,000
566 14.05.21 T001863 TINI SUMARTINI 8 - - 11,000
567 14.05.22 A008191 ALLWY ADHITYA JULIO 12 19,000 - 11,000
568 14.05.23 Y000436 YANTI HERLIANTINI 13 22,000 - 11,000
569 14.05.24 D001390 DEDI SAEDI 18 11,000 - 11,000
570 14.05.25 W000550 WATI ROHATI 19 37,000 - 11,000
571 14.05.26 R004271 RIZKI AHMAD 20 24,000 - 11,000
572 14.05.27 N002665 NURFITRI 22 21,000 - 11,000
573 14.05.28 D003605 DANDAN ACHMAD SYAFARI 23 11,000 - 11,000
574 14.05.29 S005240 SANIM RUDIE SYOLEH 25 23,000 - 11,000
575 14.05.30 D003645 DESY SUSANTY 26 - - -
576 14.05.31 I003670 IMAS 27 19,000 - 11,000
577 14.05.32 P000708 PIRMAN NURHASBY MAULANA 28 - - 11,000
578 14.05.33 H001515 HANNY HIDAYATI NAFI’AH 29 20,000 - 11,000
579 14.05.34 R005116 RAFFAEL ADRYAN 30 22,000 - 11,000
580 14.05.35 D000951 DINI FARAH FARDIANI 31 32,000 - 11,000
581 14.05.36 Y002117 YENI RAHMAT 32 12,000 - 11,000
582 14.05.37 N003063 NEVI NAZMIAH 33 19,000 - 11,000
583 14.05.38 A019107 AZIZAH PUTRI ISMAIL 34 - - 11,000
584 14.05.39 M003572 MARIANA OKTARINA SUTISNA 35 14,000 - 11,000
585 14.05.40 A008175 ANDI NUGRAHA, SE 36 20,000 - 11,000
586 14.05.41 A003495 AZMI ATOILLAH 37 22,000 - 11,000
587 14.05.42 S005219 SYIFA SYAFITRI 38 23,000 - 11,000
588 14.05.43 N002689 NINDYA FARANISA AZNI 40 16,000 - 11,000
589 14.05.44 F001739 FAUZAN MUFTI 41 17,000 - 11,000
590 14.05.45 G000300 GEMA AKBAR RAMADHAN 42 35,000 - 11,000
591 14.05.46 A007619 ASRI AMALIAH 44 - - -
592 14.05.47 K000546 KHANSA TSABITAH 46 20,000 - 11,000
593 14.05.48 Z000399 ZEIN AFKAN WIRANATA 49 21,000 - 11,000
594 14.05.49 F001318 FERLY ARVISYAH 50 11,000 - 11,000
595 14.05.50 E003641 ENDAH ASTRI NIA 56 16,000 - 11,000
596 14.05.51 T016887 TAUFIK RAHMA SOFYAN 57 23,000 - 11,000
597 14.05.52 M004776 MUHAMAD SIDIK NUGRAHA 60 21,100 - 11,000
598 14.05.53 N015932 NABILA WARANGGANI 62 16,500 - 11,000
599 14.05.54 I003677 IRA FARDILA 68 31,800 - 11,000
600 14.05.55 R004806 RESTU AYU LESTARI 69 38,400 - 11,000
601 14.05.56 A008126 ABIDIN 73 35,500 - 11,000
602 14.05.57 K001071 KANDA SUKANDA 74 33,000 - 11,000
603 14.05.58 W000163 WAHDAN SYARIF 77 31,500 - 11,000
604 14.05.59 N003469 NAUFAL SATRIA LUTHFI NURA 78 20,000 40,000 11,000
605 14.05.60 N002932 NENGSIH 79 39,400 - 11,000
606 14.05.61 R017306 RANDI SEBASTIAN 80 34,200 - 11,000
607 14.05.62 A008080 ADI MUSLIM 81 30,000 - 11,000
608 14.05.63 A009626 AJAN, S.HUT 85 23,000 - 11,000
609 14.05.64 D007075 DEFINA DAMYANTI 86 24,500 - 11,000
610 14.05.65 N002830 NAURA SYAKILA FAIHARIFDA 96 14,700 - 11,000
611 16.05.16 G000608 GHAISA LUANA ALMASYAH 5 32,450 - 11,000
612 16.05.17 M004672 MUHAMMAD AQILA MUSYAFFA 6 20,000 - 11,000
613 16.05.18 E002890 ENCUM KULSUM 7 23,600 - 11,000
614 16.05.19 I002207 IYANG SAEPUDIN 8 - - 11,000
615 16.05.20 S004270 SOFIA NURHAYATI 12 33,600 - 11,000
616 16.05.21 L000709 LIA NURYANI 13 17,600 - 11,000
617 16.05.22 M003747 MOCH ADE KAMALUDIN 15 20,200 - 11,000
618 16.05.23 A009516 ACOEM MASOEM 18 - - 11,000
619 16.05.24 R004806 RESTU AYU LESTARI 19 25,200 - 11,000
620 16.05.25 S019376 SUPENI 20 20,800 - 11,000
621 16.05.26 M002590 M. RIZKY MULYANA 22 8,000 - 11,000
622 16.05.27 S005304 SRI TUTI MULYATI 25 20,200 - 11,000
623 16.05.28 N003439 NOVIYANTI 27 - - 11,000
624 16.05.29 R017311 RESTY PUJIASTUTI 28 - - 11,000
625 16.05.30 K009838 KANDI 29 37,200 - 11,000
626 16.05.31 L001050 LILIS APRIANI 34 19,200 - 11,000
627 16.05.32 A008102 ARIS SUNANDANG 36 9,000 - 11,000
628 16.05.33 S003863 SUHUD SYAEFUL ANWAR 39 22,200 - 11,000
629 16.05.34 S003896 SYAHID ALI RIDHO 40 25,400 - 11,000
630 16.05.35 L010574 LINDA FAJARWATI 41 13,200 - 11,000
631 16.05.36 A006608 ALYA FATMA ASIDAH 42 27,400 - 11,000
632 16.05.37 N000596 NAUFAL MULKI FAWWAZ 44 14,000 - 11,000
633 16.05.38 S000781 SANTANA MUHARROM 45 22,400 - 11,000
634 16.05.39 Z000552 ZAHRA AULIA RAHMI 46 19,100 - 11,000
635 16.05.40 A019115 ANNE INAYAH 47 - - -
636 16.05.41 E003402 ERUM RUMYATI 51 21,900 - 11,000
637 16.05.42 E003571 EUIS ANDRIANI 52 31,800 - 11,000
638 16.05.43 I003396 IIS LIAWATI 54 20,000 - 11,000
639 16.05.44 R004945 RESYA AULIA MEGA 55 18,500 - 11,000
640 16.05.45 M001060 M FAJAR SIDIK 56 22,400 - 11,000
641 16.05.46 S019377 SANITA 57 30,400 - 11,000
642 16.05.47 S004337 SOFYAN ZAKARIA 65 48,000 - 11,000
643 16.05.48 I001722 IIS KARTINI NURAENI 66 21,500 - 11,000
644 16.05.49 V000068 VERAWATI 67 24,500 - 11,000
645 16.05.50 A019117 ANTIN ISHAK 68 26,000 - 11,000
646 16.05.51 A006886 ADI ROSDIAN SHAF 69 20,200 - 11,000
647 16.05.52 A003195 AISYAH 70 - - -
648 16.05.53 D007079 DEDE ZAENAL 71 17,500 - 11,000
649 16.05.54 Y002268 YANA MULYANA 72 21,500 - 11,000
650 16.05.55 H007281 HARRY MOCHAMMAD FAUZIE 73 17,100 - 11,000
651 16.05.56 R004335 RISNAWATI 76 22,000 - 11,000
652 16.05.57 A009314 AULIA RIZKY LAURANDRA 77 28,400 - 11,000
653 16.05.58 Y019306 YULIA TEZIARTI 78 21,200 - 11,000
654 16.05.59 E003591 EULIS 80 12,350 - 11,000
655 16.05.60 N003509 N. KUSMARA 81 32,800 - 11,000
656 16.05.61 A019119 AKBAR SALMAN ALFARIZI R 82 16,700 - 11,000
657 16.05.62 Z000465 ZULIAN NURRAHMAN 83 14,700 - 11,000
658 16.05.63 S004602 SETIAWATI 85 16,000 - 11,000
659 16.05.64 A007518 AMUS SURYAMAN 86 22,900 - 11,000
660 16.05.65 N003807 NIA KURNIAWATI 87 21,600 - 11,000
661 16.05.66 S005379 SITI FATIMAH PUTRI PERMANA 88 9,000 - 11,000
662 16.05.67 D002589 DHIVANIA NOVIAN RAMADHANI 90 16,400 - 11,000
663 16.05.68 Y001485 YUDI MULYADI 93 24,750 - 11,000
664 16.05.69 I000921 INES NAISHA GAYATRI 94 16,500 - 1,000
665 16.05.70 A009001 ANGGA SURYA PURNAMA 97 20,300 - 11,000
666 16.05.71 S005254 SITI JUARIAH 98 25,800 - 11,000
667 16.05.72 M014584 MUHAMMAD JAELANI 99 17,300 - 11,000
668 16.05.73 N000873 NENDEN WIDIANTI 101 31,200 - 11,000
669 16.05.74 D001618 DESI BHUDIARTI 102 20,200 - 1,000
670 16.05.75 Y019307 YANA MULYANA 105 26,000 - 11,000
671 16.05.76 N002948 NHINDO KUSDIANA 109 19,700 - 11,000
672 16.05.77 E002879 EEN ATIT 110 20,200 - 11,000
673 16.05.78 W001193 WAHYU 113 29,400 - 11,000
674 16.05.79 T000291 TUTI KARTINI 115 21,400 - 11,000
675 16.05.80 H001855 HOLIS 117 20,600 - 11,000
676 16.05.81 A006576 ACEP NAHWAN,DRS 118 33,000 - 11,000
677 16.05.82 M014585 MUHAMAD DAFFA MUTAFA 123 25,200 - 11,000
678 16.05.83 M004877 MUHAMMMAD AKRAM 129 29,000 - 11,000
679 16.05.84 L001219 LUSIANA 130 20,200 - 11,000
680 16.05.85 B000674 BABAN SYAH BANA 131 19,100 - 11,000
681 16.05.86 A009641 AZALEA KIANDRA PUTRI 132 20,000 - 11,000
682 16.05.87 E003352 EKY YADI 137 17,200 - 11,000
683 16.05.88 A019122 AISAH 140 23,100 - 11,000
684 16.05.89 R005315 RISWANDI 144 24,200 - 11,000
685 16.05.90 I003246 IFFATUL AZIZA 145 14,000 - 11,000
686 16.05.91 Z000542 ZALFA A 146 30,700 - 11,000
687 16.05.92 A003495 AZMI ATOILLAH 147 18,500 - 11,000
688 17.05.16 A006530 ANDRI JULIANSYAH 3 26,000 - 11,000
689 17.05.17 E003641 ENDAH ASTRI NIA 4 18,400 - 11,000
690 17.05.18 M003238 M RIZKI SUBAGJA 6 25,500 - 11,000
691 17.05.19 L000524 LISTIAWATI 8 14,950 - 11,000
692 17.05.20 S004760 SHAKTI IQDHIAR KUSTIAWADI 9 21,100 - 11,000
693 17.05.21 S004220 SASA SARIPUDIN 10 15,650 - 11,000
694 17.05.22 S004652 SITI ROHMAH 11 13,200 - 11,000
695 17.05.23 S003729 SAMSUDIN, H 15 29,600 - 11,000
696 17.05.24 J000460 JAMALUDIN 16 25,800 - 11,000
697 17.05.25 I001342 IPIN ARIPIN 17 22,400 - 11,000
698 17.05.26 M002188 MUSLIHAT 18 90,900 - 11,000
699 17.05.27 R001465 RAHMAWATI 19 28,000 - 11,000
700 17.05.28 N015939 NANI SUMARNI 20 13,500 - 11,000
701 17.05.29 A009199 ANAZWA PUTRINA TAUFIK 21 15,100 - 11,000
702 17.05.30 O017463 OTO SUKIAH 22 10,900 - 11,000
703 17.05.31 A007156 AISHA ZULEIKA 23 24,800 - 11,000
704 17.05.32 T001445W TUTI HERAWATI 25 44,000 - 11,000
705 17.05.33 J000653 JUBAEDAH , HJ 26 14,500 - 11,000
706 17.05.34 R004127 RINI 29 - - -
707 17.05.35 N003469 NAUFAL SATRIA LUTHFI NURA 30 23,000 - 11,000
708 17.05.36 A003224 ALDI PANCA MAULANA 31 14,700 - 11,000
709 17.05.37 T000224 TOHA UMULUDIN, SE 32 18,000 - 11,000
710 17.05.38 A007031 AYI SITI NURBAETI 34 - - -
711 17.05.39 E002773 ELVIRA JULIETA H 35 36,000 - 11,000
712 17.05.40 I003213 IIN SURTINI 40 16,950 - 11,000
713 17.05.41 M014587 M HABI ZIAULHAQ 41 25,000 - 11,000
714 17.05.42 R004783 RUSLAN 42 20,300 - 11,000
715 17.05.43 D002910 DEWI AMROENI 46 - - 11,000
716 17.05.44 H000161 HAFID RAMLAN 50 23,000 - 11,000
717 17.05.45 S002644 SITI SAHRANI 51 26,000 - 11,000
718 17.05.46 D002777 DEDE WAHYUDIN 52 28,600 - 11,000
719 17.05.47 A006913 ASRIL ADI GUNA 53 16,000 - 11,000
720 17.05.48 T001743 TITING SUMINARSIH 55 9,000 - 11,000
721 17.05.49 M004931 MITA HANNI FATUNNISA 56 21,700 - 11,000
722 17.05.50 C000161 CIKA GHANIYYAYUNTAFA 57 8,300 - 11,000
723 17.05.51 S019381 SABIRA APRILIANTY GHEISYA 58 35,000 - 11,000
724 17.05.52 D003314 DIDAH HAMIDAH 63 24,500 - 11,000
725 17.05.53 D007081 D AHMAD SOBARI 66 27,200 - 11,000
726 17.05.54 S001888 SULASTRI 67 19,000 - 11,000
727 17.05.55 N002377 NAZNEN ATRAHH 68 20,700 - 11,000
728 17.05.56 S005464 SANTI KURNIAWATI 71 - - 11,000
729 17.05.57 I007349 ISAM SAMSUDIN 72 - - 11,000
730 17.05.58 D002976 DONI IGUSTI 73 24,600 - 11,000
731 17.05.59 B000726 BILQIS MAHARANI 74 19,700 - 11,000
732 17.05.60 R005179 RAHMAN NUGRAHA 75 33,000 - 11,000
733 17.05.61 N001402 NENENG SUMIATI 76 11,200 - 11,000
734 17.05.62 I003147 ISAH 77 19,100 - 11,000
735 17.05.63 I002693 IDA FARIDA 78 16,800 - 11,000
736 17.05.64 R005119 REPI NURDIANTI 80 34,600 - 11,000
737 17.05.65 D000980 DHANI WULANDARI 90 28,600 - 11,000
738 17.05.66 H000744 HADI SEPTIADI 91 19,150 - 11,000
739 17.05.67 R017316 ROMLAH 93 - - 11,000
740 17.05.68 S004694 SAEPUDIN 95 34,600 - 11,000
741 17.05.69 L000273 LEGINA 96 28,000 - 11,000
742 17.05.70 R004530 RATNA SARI DEWI 98 26,300 - 11,000
743 17.05.71 A006631 AAN JUANAH 101 - - 11,000
744 17.05.72 M004429 MUHAMMAD RAMADHAN 103 36,200 - 11,000
745 17.05.73 S019385 SAUZAN FITRIANI LESTARI 108 29,200 - 11,000
746 17.05.74 A009204 ADAM AL AZIS 115 28,000 - 11,000
747 17.05.75 A006788 AHMAD SULAEMAN SAPUTRA 116 27,000 - 11,000
748 17.05.76 A007156 AISHA ZULEIKA 87 38,200 - 11,000
749 18.05.16 B000462 BUDI SUTISNA 6 13,000 - 11,000
750 18.05.17 G000038 GINA SITI FATIMAH 9 33,000 - 11,000
751 18.05.18 K000013 KUSTILAH 10 21,000 - 11,000
752 18.05.19 E003167 ENTUT KARTUTI 11 41,800 - 11,000
753 18.05.20 P000293 PUTRI SALWA NUR JANAH 14 - - 11,000
754 18.05.21 E000238 EDI RUSWANDI 15 - - 11,000
755 18.05.22 A004895 ADIT RAKA MULYANA 18 26,100 - 11,000
756 18.05.23 W000811 WIWIN 19 43,600 - 11,000
757 18.05.24 D003098 DWIYAN ADITYA SAPUTRA 20 26,000 - 11,000
758 18.05.25 R005056 RINI NURBAYANTI 21 - - 11,000
759 18.05.26 D007084 DENNY SURUR BULDANI 22 - - 11,000
760 18.05.27 L001242 LIA NURUL HIDAYAH 29 26,600 - 11,000
761 18.05.28 M003065 MIMIN MINTARSIH 31 - - 11,000
762 18.05.29 H001940 HUMAIGA MUTIA 32 33,000 - 11,000
763 18.05.30 O000571 OOP ASROPIADIN 33 35,100 - 11,000
764 18.05.31 K001181 KHALILANI PUTRI AHDIANI 34 18,700 - 11,000
765 18.05.32 M000112 MAMAH 39 27,700 - 11,000
766 18.05.33 A000764 ANI SURYANI 41 32,900 - 11,000
767 18.05.34 A009103 AUN GAHARA 42 30,000 - 11,000
768 18.05.35 S003874 SUBHAN 44 13,200 - 11,000
769 18.05.36 D003029 DARLIANI 45 27,200 - 11,000
770 18.05.37 A003061 ADELIA 46 28,600 - 11,000
771 18.05.38 A003549 ATIKAH 48 29,700 - 11,000
772 18.05.39 F002031 FAZILLA SEPTIANI BONISA 49 23,200 - 11,000
773 18.05.40 M003747 MOCH ADE KAMALUDIN 51 29,000 - 11,000
774 18.05.41 M004742 MEIRINA NURAENI 52 - - 11,000
775 18.05.42 B018275 BAMBANG ANGGRIAWAN 57 8,000 - 1,000
776 18.05.43 R001101 RONI FIRMANSYAH 61 11,200 - 1,000
777 18.05.44 D000951 DINI FARAH FARDIANI 62 25,500 - 1,000
778 18.05.45 L001095 LILIS LISNAWATI 63 24,400 - 1,000
779 18.05.46 A002324 ALEN AMELIA 68 37,000 - 1,000
780 18.05.47 A014000 ASEP BUDIMAN 69 13,000 - 11,000
781 18.05.48 D007086 DWI AJENG AMALIA SUSANTI 71 24,000 - 11,000
782 18.05.49 N003782 NAJLA NAFIZA ULFAH 72 20,000 - 11,000
783 18.05.50 W000099 WIWIN WIDANINGSIH 75 24,000 - 11,000
784 18.05.51 S005170 SRI RAHAYU 82 18,000 - 11,000
785 18.05.52 M004825 MOCH IDHAM HENDRIYAMA 84 12,000 - 11,000
786 18.05.53 E003463 ERYANTO 85 31,000 - 11,000
787 18.05.54 M003948 MUHAMMAD SIDIK KAMALUDI 87 26,000 - 11,000
788 18.05.55 S004928 SOLEH SUMITRA 88 16,000 - 11,000
789 18.05.56 R004335 RISNAWATI 89 21,000 - 11,000
790 18.05.57 M014589 MOCH FAISAL RAMDAN 90 24,000 - 11,000
791 18.05.58 D000705 DODI RISWANDI 94 30,000 - 11,000
792 18.05.59 B000661 BATRISYA SYAKILA SUNTONO 97 21,000 - 11,000
793 18.05.60 S001103 SURYANI PANCAWATI 99 5,000 - 11,000
794 18.05.61 R004723 RIEN JULIARTI UTAMI 100 14,000 - 11,000
795 18.05.62 Y000938 YUDI J RAMLI 104 18,000 - 11,000
796 18.05.63 B000339 BUDHI ROHMAN 107 17,000 - 11,000
797 18.05.64 N003657 NAZWA ALKEJORA 108 17,000 - 11,000
798 18.05.65 F001400 FAIDZ AKBAR F 110 46,000 45,000 11,000
799 18.05.66 S005437 SATRIA MALKA FIRDAUS 111 19,000 - 11,000
800 18.05.67 B000701 BERA 113 30,000 - 11,000
801 18.05.68 K001232 KURNIA, S.HUT 116 16,000 - 11,000
802 18.05.69 S001597 SYIFA FAUZIAH MUTMAINNAH 117 22,000 - 1,000
803 18.05.70 A019132 AI KURNIA 119 - - 11,000
804 19.05.16 A019133 APRIA RUKMINI 3 19,200 - 11,000
805 19.05.17 K009851 KEINAN NAILA ISKANDAR 5 - - 11,000
806 19.05.18 A019134 AZKA AL KHAIRY ISKANDAR 6 - - 11,000
807 19.05.19 N003439 NOVIYANTI 9 - - 11,000
808 19.05.20 A008016 ANI ROHAETI 10 10,600 - 11,000
809 19.05.21 N003535 NAHARA NURUL MAULIDDINA 11 22,600 - 11,000
810 19.05.22 S019389 SUSI SUSANTI 13 13,200 - 11,000
811 19.05.23 J008246 JAJANG KUSMANA 14 16,900 - 11,000
812 19.05.24 B018276 BERRY PRIMA 15 23,600 - 11,000
813 19.05.25 A019080 AMELIA MELIYANI PUTRI 16 - - 11,000
814 19.05.26 Y001419 YANTI MULYANTI 17 24,200 - 11,000
815 19.05.27 R005019 RAKHA RIDWANSYAH 18 28,100 - 11,000
816 19.05.28 M004731 MUHAMMAD AMZAR RAQILLA 20 24,000 - 11,000
817 19.05.29 N003426 NANA MULYANA 21 41,700 - 11,000
818 19.05.30 Y001485 YUDI MULYADI 22 47,200 - 11,000
819 19.05.31 N003240 NAURA HASNA ANNINDAA 24 15,900 - 11,000
820 19.05.32 E006048 ENDANG PURWATININGSIH 25 29,200 - 11,000
821 19.05.33 Y019313 YULIA 26 28,700 - 11,000
822 19.05.34 R000799 RIZKY ALFARIZI 32 34,200 - 11,000
823 19.05.35 E002850 ERGA SUGARA 34 24,200 - 11,000
824 19.05.36 G000412 GITA FLORENCIA 37 33,500 - 11,000
825 19.05.37 I001754 IDA KARLINA 38 - - 11,000
826 19.05.38 N015942 NANDANG KHERUDIN 40 19,600 - 11,000
827 19.05.39 N015943 NITA ANDRIANI 41 25,400 - 11,000
828 19.05.40 Z000527 ZIDDAN HIKARI AL RASHID 42 18,000 - 11,000
829 19.05.41 R004719 REHAN ANDIRA GUNAWAN 46 21,100 - 11,000
830 19.05.42 N003649 NOFI RATNA HARTATIK 47 23,750 - 11,000
831 19.05.43 N003063 NEVI NAZMIAH 48 22,400 - 11,000
832 19.05.44 D003316 DEDEH KURNIASIH 49 - - 11,000
833 19.05.45 Y019314 YATI 50 - - 11,000
834 19.05.46 A004230 AGUS MULYONO 51 27,400 - 11,000
835 19.05.47 M004931 MITA HANNI FATUNNISA 53 19,000 - 11,000
836 19.05.48 M014590 MOCHAMAD RIZKI 54 18,000 - 11,000
837 19.05.49 A008472 ALBAR RIZQI 55 18,000 - 11,000
838 19.05.50 R004979 ROSIYANI 56 11,000 - 11,000
839 19.05.51 N003678 NABILA AZIZAH 57 19,000 - 11,000
840 19.05.52 M002993 M. AIRALD R.A 58 11,000 - 1,000
841 19.05.53 A000009 AAM AMALIA 62 39,000 - 11,000
842 19.05.54 D001919 DEVI RAMDHANI 63 22,000 - 11,000
843 19.05.55 T001695 TUTI RAHMAYANI 66 20,000 - 11,000
844 19.05.56 J008239 JULITA ANGGOMAN 67 23,000 - 11,000
845 19.05.57 Y001559 YANTI ROHMAN 69 19,000 - 11,000
846 19.05.58 S019390 SITI NURAISYAH 71 17,000 - 11,000
847 19.05.59 R005201 RANI NUR RAMDANI 73 33,000 - 11,000
848 19.05.60 Y001166 YANTI ROHIMAH 76 16,000 - 11,000
849 19.05.61 W000827 WIDANINGSIH 77 25,000 - 11,000
850 19.05.62 S004742 SANTI SUSILAWATI 78 30,000 - 11,000
851 19.05.63 S004652 SITI ROHMAH 84 24,000 - 11,000
852 19.05.64 R002418 RUSMINI 87 - - 11,000
853 19.05.65 D002589 DHIVANIA NOVIAN RAMADHANI 91 10,000 - 11,000
854 19.05.66 W019602 WIDA WIDIAWATI 95 21,000 - 11,000
855 19.05.67 M001133 M. GALANG ANUGRAH 104 77,000 - 11,000
856 19.05.68 T001785 TASEM 105 24,000 - 11,000
857 19.05.69 D003869 DEULIS S 109 25,000 - 11,000
858 20.05.16 F001431 FAJAR ALBARA 1 23,000 - 11,000
859 20.05.17 R001465 RAHMAWATI 2 - - -
860 20.05.18 R004679 RATNA SOLIHATIN 3 20,000 - 11,000
861 20.05.19 M004214 MARYANI 4 22,000 - 11,000
862 20.05.20 M001808 MULYADIN 5 21,000 - 11,000
863 20.05.21 A000933 AUN GAHARA 6 - - 11,000
864 20.05.22 A019089 AZKA AL KHAIRY ISKANDAR 7 18,000 - 11,000
865 20.05.23 K009851 KEINAN NAILA ISKANDAR 8 18,000 - 11,000
866 20.05.24 D003098 DWIYAN ADITYA SAPUTRA 9 30,000 - 11,000
867 20.05.25 A008183 AZNI LULU HUWAIDA 11 20,000 - 11,000
868 20.05.26 A009020 ASTI APRILIANI 12 20,000 - 11,000
869 20.05.27 M002264 MUMAMMAD ROCHMAT FAUDZ 14 29,000 - 11,000
870 20.05.28 M004758 MUHAMAD RIZAL FIRMANSYAH 15 - - 11,000
871 20.05.29 L010576 LIA SUSILAWATI 17 16,000 - 11,000
872 20.05.30 N001641 NOVIA RESTU ANGGINI 18 24,000 - 11,000
873 20.05.31 Y001904 YOGI KURNIAWAN 19 13,000 - 11,000
874 20.05.32 G000630 GIANDA PRASTA AR RASYID 20 8,000 - 11,000
875 20.05.33 M004376 MOCHAMAD ALVIN RAMADAN 21 71,000 - 11,000
876 20.05.34 C000294 CANTIK ZIAD D K 22 22,000 - 11,000
877 20.05.35 N001209 NURAENI 23 20,000 - 11,000
878 20.05.36 Y001332 YAYAT ROHAYATI 30 19,000 - 11,000
879 20.05.37 F002184 FITRIANI 32 - - -
880 20.05.38 S005275 SITI FADILAH 35 - - 11,000
881 20.05.39 E001186 ELVIN FATHIYAH 36 22,000 - 11,000
882 20.05.40 R002504 RIZKI RAMDANI 37 23,000 - 11,000
883 20.05.41 R001191 RIZQYLILLAH ABDUROCHIM 39 28,000 - 1,000
884 20.05.42 S004740 SARAH RAFAHAZAHRAH FATHI 42 26,000 - 11,000
885 20.05.43 M004825 MOCH IDHAM HENDRIYAMA 43 - - 11,000
886 20.05.44 D007090 DWI SUSILAWATI 44 22,000 - 11,000
887 20.05.45 F002116 FADYA FAUZIAH 46 29,000 - 11,000
888 20.05.46 A003027 AHMAD NASIR 47 32,000 - 11,000
889 20.05.47 R003370 RUHIYATI 54 10,000 - 11,000
890 20.05.48 N015949 NAILA AZZAHRA 55 - - 11,000
891 20.05.49 H007281 HARRY MOCHAMMAD FAUZIE 56 10,550 - 11,000
892 20.05.50 R005120 REVI SEPTIANA 58 19,750 - 11,000
893 20.05.51 M001164 MIMA YULIA 59 26,500 - 1,000
894 20.05.52 D000237 DIAN FERDIANSYAH 60 25,400 - 11,000
895 20.05.53 N001353 NENG LINA APRILIA 62 28,000 - 11,000
896 20.05.54 N003955 NADHIRA RAMDHINI 65 30,600 - 11,000
897 20.05.55 R017283 RIANI SUHARTINI 68 32,000 - 11,000
898 20.05.56 A007503 ACAH 71 31,600 - 11,000
899 20.05.57 J000700 JULIA PUTRI CAHYANI 74 18,000 - 11,000
900 20.05.58 I002809 IIS AISYAH 75 34,900 - 11,000
901 20.05.59 W019603 WELLY NOVANDA KUSUMA 77 28,000 - 11,000
902 20.05.60 T001957 TIKA SARTIKA 78 22,000 - 11,000
903 20.05.61 C000282 CECEP BUDI HERNAWAN 81 28,000 - 11,000
904 20.05.62 N000412 NETI CICI 82 29,400 - 11,000
905 20.05.63 N015952 NENG RODIAH 87 20,000 - 11,000
906 20.05.64 W019604 WILDAN AGUSTIAN NUGRAHA 88 27,000 - 11,000
907 20.05.65 V000136 VITA NOVIANTI 89 26,000 - 11,000
908 20.05.66 W000651 WAWAN SUKARNA 91 24,500 - 11,000
909 20.05.67 I002605 IIS HARYATI, S, PD, I 93 28,000 - 11,000
910 20.05.68 P000536 PIPIH SRI HANIPAH 94 17,900 - 11,000
911 20.05.69 A002682 ARTI JUARTI 98 19,400 - 11,000
912 20.05.70 A002477 ANISA MARDIANI 99 25,400 - 11,000
913 20.05.71 A007829 ALLYSA RAHMI UTAMI 100 21,500 - 11,000
914 20.05.72 A006184 AQILA ZAHRA YULIA HERAWAN 101 26,800 - 11,000
915 20.05.73 S003826 SADIAH 104 22,700 - 11,000
916 20.05.74 Y001802 YENI HERYANI 105 24,500 - 11,000
917 20.05.75 N002694 NISA AROMANTIKA HIDAYAH 108 22,000 - 11,000
918 20.05.76 I002596 IDA PARIDA 109 27,000 - 11,000
919 20.05.77 W001099 WILDAN RIFALDI 110 21,000 - 11,000
920 20.05.78 R004530 RATNA SARI DEWI 113 22,000 - 11,000
921 20.05.79 A006013 AGUS SUWARMAN 116 35,000 - 1,000
922 21.05.16 I003440 IRSYAD FAHRUROZI 3 24,000 - 11,000
923 21.05.17 I000921 INES NAISHA GAYATRI 4 42,000 - 1,000
924 21.05.18 A003000 ARNI SULANI 8 37,000 - 1,000
925 21.05.19 K000091 KULSUM RAHMI HAFID, S.PD 10 39,800 - 11,000
926 21.05.20 F000946 FITRI PUSPITASARI 12 20,000 - 11,000
927 21.05.21 H001940 HUMAIGA MUTIA 13 - - 11,000
928 21.05.22 M014596 MUHAMAD LUTFI 14 28,000 - 11,000
929 21.05.23 M014597 MUHAMMAD SHANDI NASRULL 16 25,000 40,000 11,000
930 21.05.24 B000614 BAGAS ABDUL AZIZ 17 9,000 - 11,000
931 21.05.25 M014598 MUHAMMAD HAIKAL 18 29,000 - 11,000
932 21.05.26 S004821 SITI AMINARTI 19 14,000 - 11,000
933 21.05.27 Y001708 YAYAT RANA HERDIANA 20 9,000 - 11,000
934 21.05.28 M014545 MUHAMMAD NAZRIL RIZQI PR 21 38,000 - 11,000
935 21.05.29 J000669 JOSEPH CHRISTIAN AKAWA 23 19,000 - 1,000
936 21.05.30 R017327 RIDWAN 24 25,000 - 11,000
937 21.05.31 H001425 HUMAIRA MAULIDDINA 25 27,000 - 11,000
938 21.05.32 M004233 MIFTHA WIDYA PUTRI 27 19,000 - 11,000
939 21.05.33 N001828 NENENG NURJANAH 29 25,000 - 11,000
940 21.05.34 E003686 ENOK 31 120,000 - 11,000
941 21.05.35 A006584 AGUS AWALLUDIN, SH 33 20,000 - 11,000
942 21.05.36 L000572 LISKA RAHMAWATI 34 21,000 - 11,000
943 21.05.37 D001123 DENY IBRAHIM 36 20,000 - 11,000
944 21.05.38 J000650 JUJU JUARIAH 37 39,000 - 11,000
945 21.05.39 T001697 TATI HARTATI 40 23,000 - 11,000
946 21.05.40 A008755 ASEP FIRMAN NURJAMAN 41 14,000 - 11,000
947 21.05.41 W000756 WAWANG SUWANGSIH 42 24,000 - 11,000
948 21.05.42 N003313 NINA YUNIAWATI 43 22,000 - 11,000
949 21.05.43 O999989 OHAR.H 44 27,000 - 11,000
950 21.05.44 E003484 ENTIN FATIMAH 45 27,000 - 11,000
951 21.05.45 A003358 ALYA NURAINI 47 43,000 - 11,000
952 21.05.46 R004530 RATNA SARI DEWI 50 8,000 - 11,000
953 21.05.47 L000610 LELA MUNIKA 51 19,000 - 1,000
954 21.05.48 R003174 RIA SATRIANA 53 29,000 - 11,000
955 21.05.49 I001457 IIN KURNIATIN 54 27,000 - 11,000
956 21.05.50 S019355 SANI SUSANTI 55 16,500 - 11,000
957 21.05.51 R002682 RAMANDA FAUJAN 59 22,600 - 11,000
958 21.05.52 S005599 SITI HANIFAH 63 - - -
959 21.05.53 N000070 NANDA DAVINA HILYATULBAETI 64 21,000 - 11,000
960 21.05.54 D007081 D AHMAD SOBARI 65 40,400 - 11,000
961 21.05.55 Y001943 YANTI SURYA ANGGRAENI 67 23,000 - 11,000
962 21.05.56 S019395 SYAFA HILYATUL AULIA 69 31,800 - 11,000
963 21.05.57 S000929 SAEPUL ROHMAN 73 35,000 - 11,000
964 21.05.58 S004652 SITI ROHMAH 75 32,300 - 11,000
965 21.05.59 A003229 ASTI SEPTIANI 80 21,200 - 11,000
966 21.05.60 C999897 CALVIN MOCHAMAD ERSYAH 88 42,500 - 1,000
967 22.05.16 R001191 RIZQYLILLAH ABDUROCHIM 2 45,000 - 1,000
968 22.05.17 A006946 ADNEY ATHAYA APRIESSA 25 35,000 - 1,000
969 22.05.18 H000655 HARISA ATMAJA 35 29,000 - 1,000
970 23.05.16 E002841 ENTIN KARTINI 6 42,200 - 11,000
971 23.05.17 S004652 SITI ROHMAH 7 40,000 - 11,000
972 23.05.18 S004220 SASA SARIPUDIN 8 22,450 - 11,000
973 23.05.19 A003811 AHMAD NASIR 10 29,400 - 11,000
974 23.05.20 T000554 TITIN SUPRIATIN 12 27,000 - 11,000
975 23.05.21 N003834 NING WATI 13 134,400 - 11,000
976 23.05.22 T000826 TONI SANTOSO 17 19,200 - 11,000
977 23.05.23 B000161 BUNGA KEZIA PUTRI 18 28,100 - 11,000
978 23.05.24 Y002265 YENI ROHAENI 19 34,000 - 11,000
979 23.05.25 A019025 ASEP SUPRIADIN 21 29,000 - 11,000
980 23.05.26 D001804 DEDE NURYATI,HJ 22 26,400 - 11,000
981 23.05.27 S002334 SAEFULLOH 23 12,950 - 11,000
982 23.05.28 U000999 UJANG SUPRIATNA 25 16,000 - 11,000
983 23.05.29 M004875 M ZULFI IBRAHIM 26 30,600 - 11,000
984 23.05.30 K001282 KANIA DEWI AYU 31 31,000 - 11,000
985 23.05.31 A003377 AI SOLIHAT 32 13,200 - 11,000
986 23.05.32 W999990 WINI ADETIA DEWI 36 24,200 - 11,000
987 23.05.33 E006056 ELIN SARTIKA 38 31,000 - 11,000
988 23.05.34 E003701 ETRIS NURWIDAYATI 39 24,900 - 11,000
989 23.05.35 F999889 FURKON 40 32,400 - 11,000
990 23.05.36 A004359 ASEP SAEPUDIN 41 20,000 - 11,000
991 23.05.37 A000907 ALGIA PUTRI 42 24,500 - 11,000
992 23.05.38 S005479 SITI JENAB 46 - - 11,000
993 23.05.39 T001890 TITING SUMARTINI 47 21,100 - 11,000
994 23.05.40 O000227 OMANAH 49 20,200 - 11,000
995 23.05.41 A008891 AI SOPIAH 50 13,700 - 11,000
996 23.05.42 R000251 RIHANDI ALFARIZA WIJAYA 51 28,100 - 11,000
997 23.05.43 I001843 IQBAL GUMILAR 54 20,700 - 11,000
998 23.05.44 A000525 AI SAIDAH 56 25,600 - 11,000
999 23.05.45 A004839 ASTRI WULANDARI 57 24,200 - 11,000
1000 23.05.46 R001369 RAIQA DINAYA NUGRAHA 58 17,700 - 11,000
1001 23.05.47 R001368 RAISHA ALMAIRA NUGRAHA 59 22,000 - 11,000
1002 23.05.48 W001117 WIRANTIWI AGUSTINA 61 - - -
1003 23.05.49 N003974 NIA KUSMIATI 62 24,500 - 11,000
1004 23.05.50 I002709 INDRIYANI PUTRI BUDIMAN 63 12,750 - 11,000
1005 23.05.51 Y019311 Y.ROSMIATI 64 24,000 - 11,000
1006 23.05.52 S002715 SASTIRA DWI HANIFAH F 65 32,800 - 11,000
1007 23.05.53 D000256 DEVI SRITIANI 66 34,100 - 11,000
1008 23.05.54 R002793 RINI JULIANTI 67 28,000 - 11,000
1009 23.05.55 A002164 ACHMAD DJUHANA 68 17,400 - 11,000
1010 23.05.56 D003316 DEDEH KURNIASIH 72 - - 11,000
1011 23.05.57 O000684 OPAN SOPANDI 73 - - 11,000
1012 23.05.58 M001521 MUHLIS 74 27,200 - 11,000
1013 23.05.59 T999990 TANTI KRESNAWATI 75 28,150 - 11,000
1014 23.05.60 N001353 NENG LINA APRILIA 76 39,000 - 1,000
1015 23.05.61 A008921 ASKANA SAKHI 83 21,100 - 11,000
1016 23.05.62 M004731 MUHAMMAD AMZAR RAQILLA 84 19,300 - 11,000
1017 23.05.63 W001142 WAWAT RUSWATI 85 21,600 - 11,000
1018 23.05.64 L000288 LASIDI 91 28,600 - 11,000
1019 23.05.65 N003127 NIZAR ABDILLAH P (N-2895) 92 29,600 - 11,000
1020 23.05.66 E003695 ETI KARWATI 93 21,550 - 11,000
1021 23.05.67 I003035 INNE INDAH PRATIWI 94 15,000 - 11,000
1022 23.05.68 R001301 RINEU TUSANTI 96 22,000 - 11,000
1023 23.05.69 A008505 ALMAQVIRA KHANZA ZAIDA PUT 97 30,300 - 11,000
1024 23.05.70 T001237 TITIN SUPRIATIN RACHMAT 98 17,900 - 11,000
1025 23.05.71 D002011 DIDA DARUL FADILAH 99 14,000 - 11,000
1026 23.05.72 M004166 MUHAMMAD LUTHFI AL IKHWA 100 36,000 45,000 11,000
1027 23.05.73 R004666 RAHMAT HIDAYAT 101 24,200 - 11,000
1028 23.05.74 D001188 DEDE AISYAH 102 28,700 - 11,000
1029 23.05.75 A002232 ASTI JAYANTI 103 - - -
1030 23.05.76 D003429 DESFINA JASMINE 104 33,700 - 11,000
1031 23.05.77 A009020 ASTI APRILIANI 105 24,900 - 11,000
1032 23.05.78 H001634 HABIB FIKI ARRAHMAN 106 19,700 - 11,000
1033 23.05.79 D002989 DEDE KUSMAWAN 107 17,900 - 11,000
1034 23.05.80 R005213 ROSA DESNIAWATI 108 37,600 - 11,000
1035 23.05.81 U000153 UJANG JAENUDIN 110 33,500 - 11,000
1036 23.05.82 M001354 MUHAMAD HIBAN NM 111 26,000 - 11,000
1037 23.05.83 N002410 NURUL AZIZA 113 - - -
1038 23.05.84 F002051 FAQIH HAMDANY 116 23,900 - 11,000
1039 23.05.85 A006858 ASTRIANTIKA NUR OCTARESA 118 - - -
1040 23.05.86 R017283 RIANI SUHARTINI 119 22,400 - 11,000
1041 23.05.87 S005544 SITI ZULFA NURFITIAH 120 28,200 - 11,000
1042 23.05.88 A009581 ASEP ARYADI 121 34,000 - 11,000
1043 23.05.89 M002238 MUHAMMAD ALAWI FAQIHUDD 123 18,700 - 11,000
1044 23.05.90 C000697 CECEP SAEPUL HUDA 125 17,000 - 11,000
1045 23.05.91 Y001643 YAN SURYANA 126 37,500 - 11,000
1046 23.05.92 I003570 INAYA TULMILAH 127 29,100 - 11,000
1047 23.05.93 M001867 MARTINA PATRIASARI 128 27,600 - 11,000
1048 23.05.94 M004568 MEVIRA HUSNI SOPANDI 130 25,000 - 11,000
1049 23.05.95 S005070 SOPANDI 131 23,600 - 11,000
1050 23.05.96 O000591 OTAS MARYANI 133 27,100 - 11,000
1051 23.05.97 I002859 IMAS MASLIAH 134 17,900 - 11,000
1052 23.05.98 S000020 SANTI SUSANTI 135 17,500 - 11,000
1053 23.05.99 E003129 EUIS PUPU 136 20,600 - 11,000
1054 23.05.100 N003662 NIA MUNIHARTIN 138 25,000 - 11,000
1055 23.05.101 A008894 ASSYIFA RIZKADIANI 139 27,000 - 11,000
1056 23.05.102 T001785 TASEM 140 31,000 - 11,000
1057 23.05.103 RIAN ROBIAN 18,000 - 11,000
1058 23.05.104 ALBI APRIZAL 19,000 - 11,000
1059 23.05.105 M AZKA 24,000 - 11,000
1060 23.05.106 ADHI GHAISA 9,000 - 11,000
1061 23.05.107 RAMDHAN 27,000 - 11,000
1062 23.05.108 ARMAN 18,000 - 11,000
1063 24.05.16 S002785 SHANTY RAUDANTI 5 24,400 - 11,000
1064 24.05.17 E002176 R. ETY ROHMAT 6 14,400 - 11,000
1065 24.05.18 S005310 SITI WAHYUNI 7 23,400 - 11,000
1066 24.05.19 A007829 ALLYSA RAHMI UTAMI 8 27,000 - 11,000
1067 24.05.20 A001445 ARFA GLADISYA KHUMAIRA 11 22,000 - 11,000
1068 24.05.21 S005023 SUDENG IBRACHIM 12 45,500 - 11,000
1069 24.05.22 A006382 ASEP SETIAWAN 15 23,750 - 11,000
1070 24.05.23 R000944 RISA FITRIANI 16 35,100 - 11,000
1071 24.05.24 S005379 SITI FATIMAH PUTRI PERMANA 19 35,100 - 11,000
1072 24.05.25 H001371 HERI SUWANDA 20 23,750 - 11,000
1073 24.05.26 M004445 MAE 21 29,200 - 11,000
1074 24.05.27 E003686 ENOK 23 46,100 - 11,000
1075 24.05.28 T001869 TEDI TAOPIK 24 14,750 - 11,000
1076 24.05.29 S002875 SAEPUL UYUN 28 15,550 - 11,000
1077 24.05.30 R004571 RENI SUSANTI 32 22,400 - 11,000
1078 24.05.31 F001954 FETTIE FATIMAH 34 20,000 - 11,000
1079 24.05.32 R004613 RIDWAN FELIS WIBISONO 35 15,000 - 11,000
1080 24.05.33 M004885 MUHAMAD MUNIF RABBANI 37 25,000 - 11,000
1081 24.05.34 A009001 ANGGA SURYA PURNAMA 41 31,000 - 11,000
1082 24.05.35 T000460 TETI ROHAETI 42 40,000 - 11,000
1083 24.05.36 A008876 AI SOLIHAT 46 20,000 - 11,000
1084 24.05.37 .000002 .MASITOH 48 32,000 - 11,000
1085 24.05.38 T001854 TEDI KURNIAWAN 49 26,000 - 11,000
1086 24.05.39 S004694 SAEPUDIN 50 33,000 - 11,000
1087 24.05.40 E003455 ENENG ROSANTI 51 - - -
1088 24.05.41 M001133 M. GALANG ANUGRAH 52 23,000 - 11,000
1089 24.05.42 E001937 EFA RATNASARI 56 28,000 - 11,000
1090 24.05.43 R001191 RIZQYLILLAH ABDUROCHIM 56 - - 1,000
1091 24.05.44 Y019307 YANA MULYANA 58 42,000 - 11,000
1092 24.05.45 Y001633 YULIA 60 29,000 - 11,000
1093 24.05.46 M002555 MIRA HERMALANI 62 14,000 - 11,000
1094 24.05.47 A009321 ADE RUKANAH 63 21,000 - 11,000
1095 24.05.48 .000004 .MUHAMMAD FATHUR RAHMA 64 21,000 - 11,000
1096 24.05.49 A009502 ARIS SUHENDAR 65 13,000 - 11,000
1097 24.05.50 N001766 NAJLA NADA SALSABILA 67 10,000 - 11,000
1098 24.05.51 I002496 ICIH SUKARSIH 68 30,000 - 11,000
1099 24.05.52 N003609 N OTIH SUMIATI,S.AG 69 23,000 - 11,000
1100 24.05.53 A004500 AMINAH 70 29,000 - 11,000
1101 24.05.54 Y002244 YENI KAMILASARI 71 - - -
1102 24.05.55 I003367 IMAS ROHANAH 72 - - 11,000
1103 24.05.56 W001102 WIRACHMAN SURYANTO 73 17,000 - 11,000
1104 24.05.57 M003476 MOCHAMMAD RAFA ADITYA 76 30,000 - 11,000
1105 24.05.58 R017257 ROBI MUIZANI 79 34,000 - 11,000
1106 24.05.59 A006184 AQILA ZAHRA YULIA HERAWAN 81 31,000 - 11,000
1107 24.05.60 PIPIT - - 11,000
1108 24.05.61 FITRAH - - 11,000
1109 24.05.62 SANTI N 12,000 - 11,000
1110 24.05.63 HERMAN 16,000 - 11,000
1111 24.05.64 JOHAN 29,000 - 11,000
1112 24.05.65 RISKA 21,000 - 11,000
1113 24.05.66 DESI 11,000 - 11,000
1114 24.05.67 AIRLAD 31,000 - 11,000
1115 24.05.68 IIS 23,000 - 11,000
1116 24.05.69 IYAN 22,000 - 11,000
1117 24.05.70 NELLY - - 11,000
1118 24.05.71 ADI R 25,000 - 11,000
1119 25.05.16 F001375 FIRAS MAULANA LASIDI 1 19,000 - 11,000
1120 25.05.17 W000388 WIWIN 5 36,000 - 1,000
1121 25.05.18 M001164 MIMA YULIA 8 - - -
1122 25.05.19 A019035 ANGLING ZANIFIAR H 10 21,150 - 11,000
1123 25.05.20 N003470 NONENG MASPUAH 12 19,200 - 11,000
1124 25.05.21 N002175 NUNUNG ROSDIANA 16 35,300 - 11,000
1125 25.05.22 A004738 ADE HERWANDI 21 21,600 - 11,000
1126 25.05.23 N002471 NAZIL MUFTI MUBAROK 22 16,000 - 11,000
1127 25.05.24 D001950 DONI RIYADI 24 21,000 - 11,000
1128 25.05.25 Q000039 QUTHBIE ZAHIN NUGRAHA 26 20,900 - 11,000
1129 25.05.26 W999990 WINI ADETIA DEWI 27 7,000 - 11,000
1130 25.05.27 R004264 RESA RESTIANI 34 21,350 - 11,000
1131 25.05.28 W000550 WATI ROHATI 38 12,700 - 11,000
1132 25.05.29 E002692 EVA HERMIATI 39 17,000 - 11,000
1133 25.05.30 E003571 EUIS ANDRIANI 49 18,000 - 11,000
1134 25.05.31 D003455 DERI DWI LESMANA 53 51,000 - 11,000
1135 25.05.32 E000785 EKA DEWI FITRIANTY 54 25,000 - 1,000
1136 25.05.33 D000751 DWI INTANI PUTRIA 55 16,000 - 1,000
1137 25.05.34 E003477 EGI DEWI SEPTIANA 57 18,000 - 11,000
1138 25.05.35 A999894 AGUS SUWARMAN 60 23,000 - 1,000
1139 25.05.36 I002956 INDRI TRI NURTANTI 62 20,000 - 11,000
1140 25.05.37 J000703 JALINAR RASHIFAH MUTMAINA 63 24,000 - 11,000
1141 25.05.38 N000703 NABILA HAURA AZ ZAHRA 66 33,000 - 11,000
1142 25.05.39 S004652 SITI ROHMAH 68 - - 11,000
1143 25.05.40 S004220 SASA SARIPUDIN 69 31,000 - 11,000
1144 25.05.41 J000737 JENI AYUWINARTI 74 22,000 - 11,000
1145 25.05.42 Y001802 YENI HERYANI 75 17,000 - 11,000
1146 25.05.43 Y002184 YULIA AGUSTINA 76 - - -
1147 25.05.44 W999992 WENI SRI UTARI 77 24,000 - 11,000
1148 25.05.45 A003630 AL SAKINAH NUR FIRMANSYAH 78 25,000 - 11,000
1149 25.05.46 M014533 MUHAMMAD ELLVAN BAIHAQI 80 22,000 - 11,000
1150 25.05.47 F999891 FARIS ATTALLAH AZMI 81 33,000 - 11,000
1151 25.05.48 T999993 TAUFAN ILHAM RAMDANI 82 8,000 - 11,000
1152 25.05.49 S005337 SUSANTI 83 28,000 - 11,000
1153 25.05.50 Y001296 YAYAT HIDAYAT 84 16,000 - 11,000
1154 25.05.51 I002537 IYAY RAHAYU 87 14,000 - 11,000
1155 25.05.52 S004067 SURYANA 88 21,000 - 11,000
1156 25.05.53 .000015 .NURSINTA AYU 89 27,000 - 11,000
1157 25.05.54 S000462 SYAMIA AULIA MS 91 - - 11,000
1158 25.05.55 W000076 WILI WIGUNA 96 18,000 - 11,000
1159 25.05.56 A006334 AOS 99 28,000 - 11,000
1160 25.05.57 .000020 .RUSMIANTO 100 23,000 - 11,000
1161 25.05.58 N003970 NURLINA 101 16,000 - 11,000
1162 25.05.59 N003952 NETA NURLIYANISARI 102 28,000 - 11,000
1163 25.05.60 L000405 LUTHFIA SHABIRAH HAFIZHAH 103 9,000 - 1,000
1164 25.05.61 E002100 EKA RANA WIJAYA 105 11,200 - 11,000
1165 25.05.62 K000674 KEISYA SITI AURELIA 106 16,000 - 11,000
1166 25.05.63 C999897 ALVIN MOCHAMAD ERSYAH 108 5,000 - 1,000
1167 25.05.64 FARSHAD 22,000 - 11,000
1168 25.05.65 WIWIN 16,000 - 11,000
1169 25.05.66 SALWA 30,000 - 11,000
1170 25.05.67 HUSNA 36,000 - 11,000
1171 25.05.68 M HIBAN - - 11,000
1172 25.05.69 ADE LIA 18,000 - 11,000
1173 25.05.70 HEMA 16,000 - 11,000
1174 25.05.71 RATNA 19,000 - 11,000
1175 25.05.72 M FAWWAS 30,000 - 11,000
1176 25.05.73 AGUS RIYADI 23,000 - 11,000
1177 25.05.74 NOVAL APRILIANSYAH 25,000 - 11,000
1178 25.05.75 NOVAL DARUSSALAM 27,000 - 11,000
1179 25.05.76 DZISYAMILTHFI - - 11,000
1180 25.05.77 IRWAN 33,000 - 11,000
1181 25.05.78 SYAHRUL G 30,000 - 11,000
1182 25.05.78 G000274 GINA ANGGRAENI 69 26,000 - 11,000
1183 25.05.78 A006390 AGUS SANDI 70 27,000 - 11,000
1184 25.05.78 H001940 HUMAIGA MUTIA 71 28,000 - 11,000
1185 25.05.78 T000407 TITA MARTHA JUWITA 74 30,000 - 11,000
1186 25.05.78 O000589 OHAR.H 75 20,000 - 11,000
1187 25.05.78 A009343 ALI FRENGKY 78 25,000 - 11,000
1188 25.05.78 T016883 TATI SUPIATI 79 16,000 - 11,000
1189 25.05.78 N003439 NOVIYANTI 80 14,000 - 11,000
1190 25.05.78 G000701 GENI SUPARTINI 83 24,000 - 11,000
1191 25.05.78 M004983 MICKAEL TRI GENI ISYANTO 84 28,000 - 11,000
1192 25.05.78 D007063 DEDE SUPRIYANTO 86 23,000 - 11,000
1193 25.05.78 M001164 MIMA YULIA 90 11,000 - 11,000
1194 26.05.16 D003240 DANI RAMADHAN 1 32,000 - 1,000
1195 26.05.17 A999897 ADI SEPTI RAMDANI 7 30,000 - 11,000
1196 26.05.18 A009209 ADITYA SATRIA PRATAMA 11 25,000 - 11,000
1197 26.05.19 P000806 PAREL MUHAMAD 13 41,000 - 11,000
1198 26.05.20 W999990 WINI ADETIA DEWI 15 23,000 - 11,000
1199 26.05.21 N001298 NANANG SUKANDAR 19 28,000 - 11,000
1200 26.05.22 O000591 OTAS MARYANI 24 32,000 - 11,000
1201 26.05.23 I002124 IRA PUSPITA SARI 30 14,000 - 11,000
1202 26.05.24 A003619 AI KOMARA 32 11,000 - 11,000
1203 26.05.25 W001099 WILDAN RIFALDI 34 31,000 - 11,000
1204 26.05.26 M004831 M.ALFIN ALAMSYAH 35 27,000 - 11,000
1205 26.05.27 S005500 SITI NURLAELA SARI 40 19,000 - 11,000
1206 26.05.28 Z000456 ZHAAHIRA NUR SAPUTRI 146 35,000 - 11,000
1207 26.05.29 N003476 NONENG 147 15,400 - 11,000
1208 26.05.30 R999992 RAHMADINI EKA CAHYA 150 - - 11,000
1209 26.05.31 M999992 MUH. FAIRUZ QUTHHAZ APIP 152 30,400 - 11,000
1210 26.05.32 N003262 NAJMA ZAHRA FIRSTALIYA 155 30,200 - 11,000
1211 26.05.33 A000658 AAN 157 28,500 - 11,000
1212 26.05.34 D003928AS DEBBY RATNA PURI 161 25,600 - 11,000
1213 26.05.35 U000047A UUS RUSTANDI 162 16,400 - 11,000
1214 26.05.36 S004901 SAKRIM 165 21,800 - 11,000
1215 26.05.37 K001282 KANIA DEWI AYU 168 32,000 - 11,000
1216 26.05.38 S000838 SRI RAHAYU PEBRIANI 171 30,400 - 11,000
1217 26.05.39 M005036 MUHAMMAD NAZRIL ALFATIH 172 24,600 - 11,000
1218 26.05.40 Y002251 YOLANDA MEGA YUNIAR 173 24,400 - 11,000
1219 26.05.41 S999996 SURYA RINJANI 174 24,100 - 11,000
1220 26.05.42 A006878 AGEUNG MELINA 176 35,000 - 11,000
1221 26.05.43 A004597 ANWAR GUMILAR 177 10,000 - 11,000
1222 26.05.44 A009232 ASEP NURJAMAN 178 18,000 - 11,000
1223 26.05.45 R004723 RIEN JULIARTI UTAMI 179 20,000 - 11,000
1224 26.05.46 W999996 WAHYU SOBARNA 180 16,000 - 11,000
1225 26.05.47 F999893 FAUZIAH NURRUL AFIAT 182 25,000 - 11,000
1226 26.05.48 M004646 MUHAMMAD MISHAL ANANGG 183 19,000 - 11,000
1227 26.05.49 E002078 ENANG SURYANA 188 31,000 - 11,000
1228 26.05.50 L000999 LILIS 189 23,400 - 11,000
1229 26.05.51 M004758 MUHAMAD RIZAL FIRMANSYAH 191 13,000 - 11,000
1230 26.05.52 R999999 RAMAPUTRAL 193 24,200 - 11,000
1231 26.05.53 S001977AS SOFIA NURHAYATI 197 22,200 - 11,000
1232 26.05.54 M004601 MUJIONO 198 20,600 - 11,000
1233 26.05.55 INES 42,000 - 1,000
1234 26.05.56 VENDRA 29,000 - 11,000
1235 27.05.16 I003396 IIS LIAWATI 1 5,800 - 11,000
1236 27.05.17 F001375 FIRAS MAULANA LASIDI 3 41,500 - 11,000
1237 27.05.18 D002586 DIDI SAHIDI 4 21,800 - 11,000
1238 27.05.19 M004678 MUHAMAD RYAN HENDARSYAH 6 27,100 - 11,000
1239 27.05.20 N003184 NANI SRI MULYANI 8 24,000 - 11,000
1240 27.05.21 S004695 SUPARMAN 9 33,400 - 11,000
1241 27.05.22 M003596 MAULIDA FEBRIYANTI 11 17,600 - 11,000
1242 27.05.23 R001209 RIFAN KURNIAWAN 13 24,400 - 11,000
1243 27.05.24 N001267 NURAENI 14 24,200 35,000 11,000
1244 27.05.25 U000840 UUM UMIRAH 15 24,900 - 11,000
1245 27.05.26 N003775 NOVIANA 17 23,300 - 11,000
1246 27.05.27 R017265 RIZKY FATHURAHMAN S 19 19,000 - 11,000
1247 27.05.28 A009544 AGUS YUSUP 20 27,000 - 11,000
1248 27.05.29 R999998 RATNA KARMIDAH 21 44,000 - 11,000
1249 27.05.30 E002516 ENIH YUNINGSIH 23 34,000 - 11,000
1250 27.05.31 S004220 SASA SARIPUDIN 24 - - 11,000
1251 27.05.32 A008437 ADIBA MUSYAFFA ASLAM 27 9,000 - 11,000
1252 27.05.33 I001378 IBRAHIM MALIK AULIA 28 23,000 - 11,000
1253 27.05.34 F999895 FAREZKA ANDRIANI 29 27,000 40,000 11,000
1254 27.05.35 O999993 OYANG 30 25,000 - 11,000
1255 27.05.36 R004601 REYZA PADILLAH 32 21,000 - 11,000
1256 27.05.37 H001801 HANA YULIANTI 35 27,000 - 11,000
1257 27.05.38 A999911 ALFI ANDRA ADITYA 36 - - 11,000
1258 27.05.39 J008239 JULITA ANGGOMAN 38 29,400 - 11,000
1259 27.05.40 C000359 CHOERUNNAS CAKRAPRAJA 39 61,000 - 11,000
1260 27.05.41 D002391 DIKA MUHAMAD NUGRAHA 41 26,000 - 11,000
1261 27.05.42 M003355 MUHAMMAD DIO RAMADHAN 42 11,000 - 11,000
1262 27.05.43 I000252 ILIS 44 24,000 - 11,000
1263 27.05.44 S000330 SRI NURBAETI 45 30,000 - 11,000
1264 27.05.45 T000139 TITI SURYATI 47 18,000 - 11,000
1265 27.05.46 N003234 NELI IBRAHIM, S.PD 48 23,800 - 11,000
1266 27.05.47 K009836 KHAIRIN HANINDA AULIA 49 21,100 - 11,000
1267 27.05.48 K000988 KEYSHA AUDICHA 50 18,100 - 11,000
1268 27.05.49 N003695 NUR ANALIS 52 19,000 - 11,000
1269 27.05.50 M004726 MUHAMMAD AKMAL FAUZAN 53 18,000 - 11,000
1270 27.05.51 R017299 RAKHSHANDRINA EL HAZIMA A 54 17,000 - 11,000
1271 27.05.52 A003358 ALYA NURAINI 55 37,000 - 11,000
1272 27.05.53 M003933 MUJAHID ALFARIZI 56 30,000 - 11,000
1273 27.05.54 N002456 NUNUNG LATIPAH 57 15,000 - 11,000
1274 27.05.55 T001571 TATI HARTATI 58 26,000 - 11,000
1275 27.05.56 E002890 ENCUM KULSUM 59 21,000 - 11,000
1276 27.05.57 M003461 MUHAMMAD NABIL SYAPUTRA 62 19,000 - 11,000
1277 27.05.58 T000009 TINI SURTINI 64 15,000 - 11,000
1278 27.05.59 G000300 GEMA AKBAR RAMADHAN 66 24,500 - 11,000
1279 27.05.60 J000620 JEJEN 67 35,450 - 11,000
1280 27.05.61 Y001944 YANTI SITI JULAEHA 68 75,000 - 11,000
1281 27.05.62 D000971 DADANG NURJAMAN 69 15,200 - 11,000
1282 27.05.63 S001472 SALISA SALSABILA R 70 24,900 - 11,000
1283 27.05.64 B000792 BETTY NAINGGOLAN 72 - - -
1284 27.05.65 Z000260 ZENAL MUTAQIN 74 14,000 - 1,000
1285 27.05.66 R004826 RAHMA AGUSTINA NURYADI 75 34,800 - 11,000
1286 27.05.67 A003092 AGNIA FITRI NUR PADILA 77 25,400 - 11,000
1287 27.05.68 A002232 ASTI JAYANTI 79 - - -
1288 27.05.69 N003987 NAZWA RAFA 80 22,800 - 11,000
1289 27.05.70 P000439 POPY FAUZIYAH 82 23,400 - 11,000
1290 27.05.71 I003548 IRMA HASANAH 83 71,300 - 11,000
1291 27.05.72 N999994 NANANG SUNDAWAN 84 33,000 - 11,000
1292 27.05.73 N015917 NADZIRA RIZQIA QUEENESYA 88 25,400 - 11,000
1293 27.05.74 T001471 TUTI HERAWATI 89 47,200 - 11,000
1294 27.05.75 C000538 CECEP A SUMPENA 90 26,500 - 11,000
1295 27.05.76 D002920 DENI ZAM JAMI 91 24,400 - 11,000
1296 27.05.77 A009143 AYU SAJIDAH 93 28,800 - 11,000
1297 27.05.78 I002443 IRWAN KURNIAWAN 95 25,400 - 11,000
1298 27.05.79 J008246 JAJANG KUSMANA 103 27,500 - 11,000
1299 27.05.80 SRINITA 25,000 - 11,000
1300 27.05.81 ASEP KOMARA 32,000 - 11,000
1301 27.05.82 M ALFI 23,000 - 11,000
1302 27.05.83 M IQBAL 29,000 - 11,000
1303 27.05.84 MAHMURI 26,000 - 11,000
1304 27.05.85 AGUS TATANG S 31,000 - 11,000
1305 28.05.16 V999992 VENDRA RUMAGARA 1 20,200 - 11,000
1306 28.05.17 A009043 ADE KOMARUDIN 2 25,950 - 11,000
1307 28.05.18 T001736 TETEH DESI 5 23,600 - 11,000
1308 28.05.19 E999897 E ROHANAH 13 - - 11,000
1309 28.05.20 A999897 ADI SEPTI RAMDANI 14 - - 11,000
1310 28.05.21 O017456 OOM KOMARIAH 17 35,000 - 11,000
1311 28.05.22 R002794 ROFFI SUBAGJA PUTRA 18 22,400 - 11,000
1312 28.05.23 W019602 WIDA WIDIAWATI 19 - - 11,000
1313 28.05.24 A006858 ASTRIANTIKA NUR OCTARESA 22 35,000 - 11,000
1314 28.05.25 D003122 DINAR RUSTANDI 24 16,600 - 11,000
1315 28.05.26 E001558 ENCUK NURHAYATI 26 31,400 - 11,000
1316 28.05.27 H001375 HENDAR WIJAYA 27 10,600 - 11,000
1317 28.05.28 A009282 ADZKA SYAM PRATAMA 28 28,600 - 11,000
1318 28.05.29 F001725 FAHMI FATHURAHMAN 29 27,000 - 11,000
1319 28.05.30 I001378 IBRAHIM MALIK AULIA 30 - - 11,000
1320 28.05.31 F002163 FADHILAH YAQDAN MULYA 33 16,000 - 11,000
1321 28.05.32 A009414 AGHARR AL-GHIFARI 34 18,400 - 11,000
1322 28.05.33 A009294 ASEP WAWAN S 35 21,200 - 11,000
1323 28.05.34 S003793 SUHERMAN 36 35,100 - 11,000
1324 28.05.35 H001462 HAYKAL RIZKI 38 10,400 - 11,000
1325 28.05.36 D003240 DANI RAMADHAN 39 16,000 - 11,000
1326 28.05.37 S003729 SAMSUDIN, H 41 20,250 - 11,000
1327 28.05.38 M002645 MAMAN 42 23,200 - 11,000
1328 28.05.39 M001932 MOCH DAFA LAKSANA 44 27,600 - 11,000
1329 28.05.40 R003367 RAHMI RAHMAWATI 45 - - -
1330 28.05.41 M004900 MUHAMAD AKHDAN ZAHID RAB 47 20,000 - 11,000
1331 28.05.42 H002002 HAMIDAH 48 11,200 - 11,000
1332 28.05.43 A050001 ALFATH NATHAN AKAWA 53 9,800 - 11,000
1333 28.05.44 B000426 BAGUS BAGJA 58 9,100 - 11,000
1334 28.05.45 A006334 AOS 59 - - 11,000
1335 28.05.46 E002321 ENCEP NURDIN 60 56,000 - 11,000
1336 28.05.47 N002171 NONAH MARYONAH 63 27,400 - 11,000
1337 28.05.48 M999999 MUHAMMAD FAWWAZ 64 - - 11,000
1338 28.05.49 E002094 ELOH 65 30,000 - 11,000
1339 28.05.50 M003363 MUHAMMAD RAFA FAIZULLAH 69 18,000 - 11,000
1340 28.05.51 D000998 DADAN SOBANDI 70 16,000 - 11,000
1341 28.05.52 S000493 SITI HANIFAH FAUZIAH 71 23,400 - 11,000
1342 28.05.53 E000778 ETI KUSWATI 72 47,200 - 11,000
1343 28.05.54 D001716 DEDE RUSTANDI 78 - - 11,000
1344 28.05.55 A005675 ASIAH 86 30,400 - 11,000
1345 28.05.56 M002993 M. AIRALD R.A 87 24,200 - 1,000
1346 28.05.57 L001186 LIA AWALIYAH 89 39,600 - 11,000
1347 28.05.58 RIAN H 32,000 - 11,000
1348 28.05.59 M ARSYAD 17,000 - 11,000
1349 A007931 ATORI SAEPUL ANWAR 1 - - 11,000
1350 N002274 NANI 2 40,400 - 11,000
1351 A999936 ABIZAR RIADUL LESMANA 5 21,700 - 11,000
1352 A004895 ADIT RAKA MULYANA 6 13,400 - 11,000
1353 V999992 VENDRA RUMAGARA 8 30,000 - 11,000
1354 E002872 ERNI YULIANSYAH 9 18,500 - 11,000
1355 A008317 ALLYA ALFIRA DWIPUTRI 10 - - 11,000
1356 R001436 RATIH DWI INDRIYANI 11 28,000 - 11,000
1357 A008466 ANDRI AHMAD SUTISNA 13 24,500 - 11,000
1358 A004875 ANGGIA SITI AL JANIRA 15 16,200 - 11,000
1359 Y002212 YENI 16 38,500 - 11,000
1360 M003173 MUHAMMAD FAIZ DHAWY MAK 17 61,000 - 11,000
1361 K001080 KISTO 18 16,500 - 11,000
1362 A019115 ANNE INAYAH 19 - - -
1363 N001980 NASIA NEGRI SANCIA 20 18,700 - 11,000
1364 D003800 DINA MARYANTI 21 26,800 - 11,000
1365 K001297 KIANDRA ANAIA NUR FATHIYYA 22 24,000 - 11,000
1366 J000737 JENI AYUWINARTI 23 - - 11,000
1367 Y002204 YANNY GUSTIANI 24 18,800 - 11,000
1368 M004678 MUHAMAD RYAN HENDARSYAH 25 21,000 - 11,000
1369 A006858 ASTRIANTIKA NUR OCTARESA 27 - - 11,000
1370 A007314 ASRI DWI ANDINI 29 - - 11,000
1371 A008902 AI SONIANGSIH 33 45,500 - 11,000
1372 A006681 ASEP SAEPUDIN 34 19,000 - 11,000
1373 M001773 M. ALVIN SEPTIAN 35 30,000 - 11,000
1374 S002715 SASTIRA DWI HANIFAH F 36 17,100 - 11,000
1375 D003424 D.SUBAGIO 37 30,000 - 11,000
1376 M003247 MASRURI 38 37,600 - 11,000
1377 L000243 LENI NURAENI 40 37,500 - 11,000
1378 Z000532 ZULFA 42 36,100 - 11,000
1379 Z000654 ZAENUDIN SOLEH 43 - - 11,000
1380 N015897 NURHAYATI 44 19,000 - 11,000
1381 S005457 SITI HALIMAH MARYATI 46 34,000 - 11,000
1382 Y001590 YULI TAJULARIFIN 48 17,000 - 11,000
1383 I003426 IRMA SUSANTI 50 - - -
1384 P999992 PUTRI KUSUMAH 52 23,000 - 11,000
1385 T016885 TIA SETIAWAN 53 33,000 - 11,000
1386 A000345 ASEP KURNIA 63 - - 11,000
1387 S003645 SURYANA FATAH 66 17,000 - 11,000
1388 N003415 NENG NOVIANDINY 68 - - -
1389 N003662 NIA MUNIHARTIN 69 21,000 - 11,000
1390 N003795 NABILLA MAULIDYA 70 31,000 - 11,000
1391 T001785 TASEM 71 23,000 - 11,000
1392 S005312 SAHRUL AKBAR 72 27,000 - 11,000
1393 R003683 RAISA SAKILA H 73 35,000 - 11,000
1394 H999911 HADIMIN 74 34,150 - 11,000
1395 N003289 NOPIYAN NURDIANSYAH 75 - - 11,000
1396 D003429 DESFINA JASMINE 76 25,000 - 11,000
1397 R001726 RATNA SARI DEWI 77 28,000 - 11,000
1398 R004537 RAZKA MUHAMMAD HISHAM 80 39,000 - 11,000
1399 A002035 ADE RODIAH 81 14,000 - 11,000
1400 A008863 AI HALIMAH 86 27,000 - 11,000
1401 Y999999 YUDI 87 22,000 - 11,000
1402 N003843 NURYANTI APRIANI 88 37,000 - 11,000
1403 S005479 SITI JENAB 89 - - -
1404 S005467 SITI NURHASANAH 93 - - -
1405 N003973 NENDEN 99 22,000 - 11,000
1406 A999951 AZKIA RINDRA NURAENI 101 33,000 - 11,000
1407 W000902 WAHYUDIN SAFARI 102 39,000 - 11,000
1408 N003514 NABILA ALIFHIA 104 28,000 - 11,000
1409 L000021 LILI ALIJUDIN,S.ST 105 32,000 - 11,000
1410 L001212 LUKMANNASRULOH 106 24,000 - 11,000
1411 A009481 ASEP HUDAN MUSTAKIN 108 12,000 - 11,000
1412 H999912 HILMAN 111 32,000 - 11,000
1413 G000319 GUNASIR 114 38,000 - 11,000
1414 M002980 MARIAM NITA ARIYANTI 115 32,000 - 11,000
1415 M002290 M ADITYA TA’ZIR ILHAM 117 35,000 - 11,000
1416 I000818 IMAS NURHAEDAROH 119 84,000 - 11,000
1417 D003636 DAFFA PRAJA ISMAIL ALFARIZKI 121 25,000 - 1,000
1418 R001973 RISKA KOMALASARI 128 20,000 - 1,000
1419 SITI AISYAH 32,000 - 11,000
1420 RACHEL 33,000 - 11,000
1421 31.05.16 E002774 E. SUMINAR 2 25,000 - 11,000
1422 31.05.17 A007299 ATO SUKIRMAN 4 22,000 - 11,000
1423 31.05.18 K001271 KANIYA NUR APRILIA 5 9,000 - 11,000
1424 31.05.19 W001050 WINEU OKTAVIANI 7 23,200 - 11,000
1425 31.05.20 S005461 SRI KOMARA WATI 8 43,100 - 11,000
1426 31.05.21 N003844 NENG SITI KURNIAWATI 11 37,800 - 11,000
1427 31.05.22 A005525 ADIN ROSIDIN 12 20,600 - 11,000
1428 31.05.23 A003169 AULIA NUR MAYANTI 13 21,300 - 11,000
1429 31.05.24 M002074 MUHAMMAD AKMAL 14 9,000 - 11,000
1430 31.05.25 P000746 PUSPA NENSA PUSPITA SARI 17 22,000 - 11,000
1431 31.05.26 D003063 DEDE TARLAN 18 - - 11,000
1432 31.05.27 N003063 NEVI NAZMIAH 19 - - -
1433 31.05.28 M004672 MUHAMMAD AQILA MUSYAFFA 20 29,100 - 11,000
1434 31.05.29 D003122 DINAR RUSTANDI 21 27,400 - 11,000
1435 31.05.30 F001556 FITRI SUSILAWATI 23 23,150 - 11,000
1436 31.05.31 N003793 NIA DAMAYANTI 24 27,500 - 11,000
1437 31.05.32 K000008 KAYLA APRILIA 25 36,800 - 11,000
1438 31.05.33 F001725 FAHMI FATHURAHMAN 26 31,750 - 11,000
1439 31.05.34 F002050 FAHRI FATUROHIM 27 30,200 - 11,000
1440 31.05.35 E002446 ERLANGGA DIWANSYAH R 28 35,000 - 11,000
1441 31.05.36 I000963 IKIN TAPIATUDIN SH 29 37,000 - 11,000
1442 31.05.37 H000658 HALIL HANDA 33 - - 11,000
1443 31.05.38 B000545 BILQIS ALIFAH SYAFANA 34 31,500 - 11,000
1444 31.05.39 E002692 EVA HERMIATI 35 - - 11,000
1445 31.05.40 S003719 SATRIO NUGRAHA 37 72,100 - 11,000
1446 31.05.41 H001833 HENI YULIANI 40 12,100 - 11,000
1447 31.05.42 D002874 DIMAS WS 44 24,600 - 11,000
1448 31.05.43 E003484 ENTIN FATIMAH 46 30,400 - 11,000
1449 31.05.44 M004742 MEIRINA NURAENI 49 16,000 - 11,000
1450 31.05.45 M004581 M HASBI RAJABI 50 11,200 - 11,000
1451 31.05.46 R005053 RESTI LESTARI 51 9,000 - 11,000
1452 31.05.47 A009200 ANI NURHAYATI ABDUL GANI 56 23,200 - 11,000
1453 31.05.48 T000655 TAUFIK ISMAIL 58 29,000 - 1,000
1454 31.05.49 I003077 IMAS ISMAHAYATI 61 - - -
1455 31.05.50 I999903 IKA KARTIKA 62 28,000 - 11,000
1456 31.05.51 F999903 FIKRI RAMDANI 63 22,000 - 11,000
1457 31.05.52 H001973 HENDI 66 20,400 - 11,000
1458 31.05.53 S004679 SUPRIATIN 67 77,000 - 11,000
1459 31.05.54 N000469 NINA ROSTIANA 70 35,000 - 11,000
1460 31.05.55 Y000589 YUPI ROSYANA 72 16,600 - 11,000
1461 31.05.56 A009567 AI ENDEN 73 - - 11,000
1462 31.05.57 C000371 CUCU NURHAYATI 77 32,000 - 11,000
1463 31.05.58 F001613 FAIQ ISAM FARSA 78 35,000 - 11,000
1464 31.05.59 T001389 TATI ROHAYATI 79 24,000 - 11,000
1465 31.05.60 R999998 RATNA KARMIDAH 80 39,000 - 11,000
1466 31.05.61 F001787 FABIAN NUR AYDIN MILADI 82 34,000 - 11,000
1467 31.05.62 P999997 PARDI 83 25,000 - 11,000
1468 31.05.63 S003493 SILMY KOMALADEWI 84 - - -
1469 31.05.64 I003414 ISNAN BUNAYA 87 27,000 - 11,000
1470 31.05.65 A003354 ATIKAH 88 26,000 - 11,000
1471 31.05.66 A008375 AULIA OKTAVIONA AZZAHRA 90 35,000 - 11,000
1472 31.05.67 R003833 RUMINA JD NANA SUJANA 91 26,000 - 11,000
1473 31.05.68 K001384 KHOIRUL NIZAM GHAIZAAL GHI 92 28,800 - 11,000
1474 31.05.69 W000583 WAWANG 94 25,000 - 11,000
1475 31.05.70 R005030 RATNA WULAN 95 38,000 - 11,000
1476 31.05.71 H001109 HERI RUSLI 96 29,400 - 11,000
1477 31.05.72 R004537 RAZKA MUHAMMAD HISHAM 98 20,000 45,000 11,000
1478 31.05.73 J999896 JUJUN JUNAEDI 101 27,000 - 11,000
1479 31.05.74 USMAN 22,000 - 11,000
1480 31.05.75 NAVITA - - 11,000
1481 31.05.76 RENI 24,000 - 11,000

33,710,000 1,005,000 14,916,000


LAPORAN PENDAPATAN RAWAT JALAN
Periode: 01-05-2016 s/d 01-05-2016

Jasa Dokter Dokter Lab Kartu Oxygen KIA Jumlah


4,000 WULAN WIDYAWATI - - - - 27,800
4,000 WULAN WIDYAWATI - - - - 25,000
4,000 WULAN WIDYAWATI - - - - 19,400
4,000 H. ASEP SANI SULAEMAN - - - - 33,000
4,000 DETY NUR RACHMAWATI - - - - 18,500
4,000 WULAN WIDYAWATI - - - - 26,000
4,000 NOVI YULIANTI 80,000 - - - 188,500
4,000 NOVI YULIANTI - - - - 39,000
4,000 NOVI YULIANTI - - - - 42,000
4,000 NOVI YULIANTI - - - - 39,000
4,000 NOVI YULIANTI - - - - 23,000
4,000 NOVI YULIANTI - - - - 42,000
4,000 NOVI YULIANTI - - - - 31,000
4,000 NOVI YULIANTI - - - - 42,000
4,000 NOVI YULIANTI - - - - 40,000
4,000 NOVI YULIANTI - - - - 15,000
4,000 NOVI YULIANTI 18,000 - - - 33,000
4,000 NOVI YULIANTI - - - - 98,000
4,000 NOVI YULIANTI - - - - 44,000
4,000 NOVI YULIANTI - - - - 40,000
- PERIKSA KEBIDANAN - - - 27,700 27,700
4,000 NOVI YULIANTI - - - - 40,000
4,000 NOVI YULIANTI - - - - 47,000
4,000 NOVI YULIANTI - - - - 15,000
4,000 NOVI YULIANTI - - - - 46,000
4,000 NOVI YULIANTI 80,000 - - - 123,000
4,000 NOVI YULIANTI - - - - 101,000
4,000 NOVI YULIANTI - - - - 38,000
4,000 NOVI YULIANTI - - - - 31,000
4,000 NOVI YULIANTI - - - - 29,000
4,000 NOVI YULIANTI - - - - 36,000
4,000 NOVI YULIANTI - - - - 24,000
4,000 NOVI YULIANTI 80,000 - - - 116,000
4,000 NOVI YULIANTI - - - - 40,000
4,000 NOVI YULIANTI - - - - 43,000
4,000 NOVI YULIANTI - - - - 46,000
4,000 NOVI YULIANTI - - - - 42,000
4,000 NOVI YULIANTI - - - - 41,000
4,000 NOVI YULIANTI - - - - 46,000
4,000 NOVI YULIANTI - - - - 40,000
- PERIKSA KEBIDANAN - - - 40,000 40,000
4,000 NOVI YULIANTI - - - - 46,000
4,000 NOVI YULIANTI - - - - 27,000
4,000 NOVI YULIANTI - - - - 42,000
4,000 NOVI YULIANTI - - - - 44,000
4,000 NOVI YULIANTI 20,000 - - - 62,000
4,000 NOVI YULIANTI - - - - 37,000
4,000 NOVI YULIANTI - - - - 36,000
4,000 NOVI YULIANTI - - - - 56,000
4,000 NOVI YULIANTI - - - - 51,000
4,000 NOVI YULIANTI 80,000 - - - 106,000
4,000 NOVI YULIANTI - - - - 15,000
- PERIKSA KEBIDANAN - - - 27,700 27,700
4,000 NOVI YULIANTI - - - - 42,000
4,000 NOVI YULIANTI - - - - 28,000
4,000 NOVI YULIANTI - - - - 22,000
4,000 NOVI YULIANTI - - - - 15,000
4,000 NOVI YULIANTI - - - - 36,000
4,000 NOVI YULIANTI - - - - 17,000
4,000 NOVI YULIANTI - - - - 48,000
4,000 NOVI YULIANTI - - - - 36,000
4,000 NOVI YULIANTI - - - - 40,000
4,000 NOVI YULIANTI - - - - 51,600
4,000 NOVI YULIANTI - - - - 29,800
4,000 H. THIA SILVANA - - - - 33,900
4,000 H. THIA SILVANA - - - - 37,000
4,000 H. THIA SILVANA 80,000 - - - 114,700
4,000 H. THIA SILVANA - - - - 31,000
4,000 H. THIA SILVANA - - - - 45,200
4,000 H. THIA SILVANA - - - - 53,200
4,000 H. THIA SILVANA - - - - 41,000
4,000 H. THIA SILVANA - - - - 40,750
4,000 H. THIA SILVANA - - - - 32,600
4,000 H. THIA SILVANA - - - - 33,200
4,000 H. THIA SILVANA - - - - 32,600
4,000 H. THIA SILVANA - - - - 36,600
4,000 H. THIA SILVANA - - - - 39,900
4,000 WULAN WIDYAWATI - - - - 52,000
4,000 H. ASEP MARYAMAN - - - - 23,000
4,000 WULAN WIDYAWATI - - - - 46,000
4,000 WULAN WIDYAWATI - - - - 66,000
4,000 WULAN WIDYAWATI - - - - 48,000
4,000 WULAN WIDYAWATI 80,000 - - - 125,000
4,000 WULAN WIDYAWATI - - - - 36,000
4,000 WULAN WIDYAWATI - - - - 37,000
4,000 WULAN WIDYAWATI - - - - 44,000
4,000 WULAN WIDYAWATI - - - - 37,000
4,000 WULAN WIDYAWATI - - - - 37,000
4,000 WULAN WIDYAWATI - - - - 48,000
4,000 WULAN WIDYAWATI - - - - 32,000
4,000 WULAN WIDYAWATI - - - - 30,000
4,000 WULAN WIDYAWATI 125,000 - - - 140,000
4,000 WULAN WIDYAWATI - - - - 48,000
4,000 WULAN WIDYAWATI - - - - 15,000
4,000 WULAN WIDYAWATI - - - - 49,000
4,000 WULAN WIDYAWATI - - - - 35,000
4,000 WULAN WIDYAWATI - - - - 37,000
4,000 WULAN WIDYAWATI - - - - 34,000
4,000 WULAN WIDYAWATI - - - - 30,000
4,000 WULAN WIDYAWATI - - - - 40,000
4,000 WULAN WIDYAWATI 18,000 - - - 52,000
4,000 WULAN WIDYAWATI - - - - 47,000
4,000 WULAN WIDYAWATI - - - - 43,000
4,000 WULAN WIDYAWATI - - - - 32,000
- PERIKSA KEBIDANAN - - - 96,000 96,000
4,000 WULAN WIDYAWATI - - - - 36,000
4,000 WULAN WIDYAWATI - - - - 305,000
- PERIKSA KEBIDANAN - - - 56,000 56,000
4,000 WULAN WIDYAWATI - - - - 34,000
4,000 WULAN WIDYAWATI - - - - 49,000
4,000 WULAN WIDYAWATI - - - - 32,000
4,000 WULAN WIDYAWATI - - - - 24,000
4,000 WULAN WIDYAWATI - - - - 15,000
4,000 WULAN WIDYAWATI - - - - 34,000
4,000 WULAN WIDYAWATI - - - - 32,000
4,000 WULAN WIDYAWATI - - - - 41,000
4,000 WULAN WIDYAWATI - - - - 42,000
4,000 WULAN WIDYAWATI - - - - 40,000
4,000 WULAN WIDYAWATI - - - - 63,700
4,000 WULAN WIDYAWATI - - - - 30,000
4,000 WULAN WIDYAWATI - - - - 124,000
4,000 WULAN WIDYAWATI - - - - 26,000
4,000 NOVI YULIANTI - - - - 37,750
4,000 NOVI YULIANTI - - - - 28,000
4,000 NOVI YULIANTI - - - - 39,000
4,000 NOVI YULIANTI - - - - 53,400
4,000 NOVI YULIANTI - - - - 47,900
4,000 NOVI YULIANTI - - - - 45,000
4,000 NOVI YULIANTI - - - - 45,500
4,000 NOVI YULIANTI - - - - 31,800
4,000 NOVI YULIANTI - - - - 52,200
4,000 NOVI YULIANTI - - - - 42,200
4,000 NOVI YULIANTI - - - - 39,400
4,000 NOVI YULIANTI - - - - 36,000
4,000 NOVI YULIANTI - - - - 38,700
4,000 NOVI YULIANTI 80,000 - - - 156,900
4,000 NOVI YULIANTI - - - - 37,000
4,000 NOVI YULIANTI - - - - 34,200
4,000 NOVI YULIANTI - - - - 51,600
4,000 NOVI YULIANTI - - - - 34,600
4,000 NOVI YULIANTI - - - - 42,800
4,000 NOVI YULIANTI - - - - 41,000
4,000 NOVI YULIANTI - - 20,000 - 177,000
4,000 NOVI YULIANTI - - - - 44,500
4,000 NOVI YULIANTI - - - - 37,600
4,000 NOVI YULIANTI - - - - 22,000
4,000 ENCEP SUDARYANA - - - - 42,000
4,000 ENCEP SUDARYANA - - - - 31,000
4,000 NOVI YULIANTI - - - - 15,000
4,000 NOVI YULIANTI - - - - 36,300
4,000 NOVI YULIANTI - - - - 108,000
4,000 NOVI YULIANTI - - - - 41,500
4,000 NOVI YULIANTI - - - - 38,000
4,000 NOVI YULIANTI - - - - 15,000
4,000 NOVI YULIANTI - - - - 15,000
4,000 NOVI YULIANTI - - - - 23,000
4,000 NOVI YULIANTI - - - - 15,000
4,000 NOVI YULIANTI - - - - 59,000
4,000 NOVI YULIANTI - - - - 25,600
4,000 NOVI YULIANTI - - - - 44,600
4,000 NOVI YULIANTI - - - - 15,000
4,000 NOVI YULIANTI - - - - 114,000
4,000 NOVI YULIANTI - - - - 47,900
4,000 NOVI YULIANTI - - - - 42,800
4,000 NOVI YULIANTI - - - - 92,200
4,000 NOVI YULIANTI - - - - 40,000
4,000 NOVI YULIANTI - - - - 39,500
4,000 NOVI YULIANTI - - - - 69,000
- PERIKSA KEBIDANAN - - - - 26,400
4,000 NOVI YULIANTI - - - - 51,100
4,000 NOVI YULIANTI - - - - 34,700
4,000 NOVI YULIANTI - - - - 40,400
4,000 WULAN WIDYAWATI - - - - 34,200
4,000 WULAN WIDYAWATI - - - - 45,000
4,000 WULAN WIDYAWATI - - - - 31,600
4,000 WULAN WIDYAWATI - - - - 41,000
4,000 WULAN WIDYAWATI - - - - 33,200
4,000 WULAN WIDYAWATI - - - - 31,800
4,000 WULAN WIDYAWATI - - - - 41,100
4,000 WULAN WIDYAWATI - - - - 43,100
4,000 WULAN WIDYAWATI - - - - 30,950
4,000 WULAN WIDYAWATI - - - - 44,100
4,000 WULAN WIDYAWATI - - - - 37,500
4,000 WULAN WIDYAWATI - - - - 43,700
4,000 WULAN WIDYAWATI - - - - 67,200
4,000 WULAN WIDYAWATI - - - - 43,400
4,000 WULAN WIDYAWATI - - - - 39,000
4,000 WULAN WIDYAWATI - - - - 15,000
4,000 WULAN WIDYAWATI - - - - 15,000
4,000 WULAN WIDYAWATI - - - - 31,000
4,000 WULAN WIDYAWATI - - - - 118,100
4,000 WULAN WIDYAWATI - - - - 35,500
4,000 WULAN WIDYAWATI 55,000 - - - 97,000
4,000 WULAN WIDYAWATI - - - - 25,600
4,000 WULAN WIDYAWATI - - - - 47,900
4,000 WULAN WIDYAWATI - - - - 47,900
4,000 WULAN WIDYAWATI - - - - 34,000
4,000 WULAN WIDYAWATI - - - - 39,500
4,000 WULAN WIDYAWATI - - - - 36,000
4,000 WULAN WIDYAWATI - - - - 48,600
4,000 WULAN WIDYAWATI - - - - 32,500
4,000 WULAN WIDYAWATI - - - - 25,000
4,000 WULAN WIDYAWATI - - - - 39,400
4,000 H. THIA SILVANA - - - - 39,200
4,000 NOVI YULIANTI - - - - 47,100
4,000 ENCEP SUDARYANA - - - - 12,000
4,000 WULAN WIDYAWATI - - - - 25,250
4,000 WULAN WIDYAWATI - - - - 37,200
4,000 H. THIA SILVANA - - - - 22,300
4,000 WULAN WIDYAWATI - - - - 22,000
4,000 WULAN WIDYAWATI - - - - 26,000
4,000 H. THIA SILVANA - - - - 34,000
4,000 WULAN WIDYAWATI - - - - 38,400
4,000 WULAN WIDYAWATI - - - - 31,000
4,000 WULAN WIDYAWATI - - - - 47,500
4,000 WULAN WIDYAWATI - - - - 103,000
4,000 WULAN WIDYAWATI 80,000 - - - 123,000
4,000 WULAN WIDYAWATI - - - - 25,000
4,000 WULAN WIDYAWATI - - - - 30,400
4,000 WULAN WIDYAWATI 18,000 - - - 48,100
4,000 WULAN WIDYAWATI - - - - 42,700
4,000 WULAN WIDYAWATI - - - - 34,000
4,000 WULAN WIDYAWATI - - - - 37,000
4,000 WULAN WIDYAWATI - - - - 39,200
4,000 WULAN WIDYAWATI - - - - 31,000
4,000 WULAN WIDYAWATI - - - - 36,900
4,000 WULAN WIDYAWATI - - - - 32,800
4,000 WULAN WIDYAWATI 25,000 - - - 196,800
4,000 WULAN WIDYAWATI - - - - 35,400
4,000 WULAN WIDYAWATI - - - - 31,500
4,000 WULAN WIDYAWATI - - - - 31,000
4,000 WULAN WIDYAWATI - - - - 39,400
4,000 WULAN WIDYAWATI - - - - 47,100
4,000 WULAN WIDYAWATI - - - - 41,600
- PERIKSA KEBIDANAN - - - 38,500 38,500
- PERIKSA KEBIDANAN - - - 26,400 26,400
4,000 WULAN WIDYAWATI - - - - 39,400
4,000 WULAN WIDYAWATI - - - - 25,300
4,000 WULAN WIDYAWATI - - - - 15,000
4,000 WULAN WIDYAWATI - - - - 38,800
4,000 WULAN WIDYAWATI - - - - 47,000
4,000 WULAN WIDYAWATI - - - - 37,000
4,000 WULAN WIDYAWATI - - - - 27,100
4,000 WULAN WIDYAWATI - - - - 30,000
4,000 WULAN WIDYAWATI - - - - 31,700
4,000 WULAN WIDYAWATI 105,000 - - - 147,100
4,000 WULAN WIDYAWATI - - - - 31,000
4,000 H. THIA SILVANA - - - - 47,000
4,000 H. THIA SILVANA - - - - 44,000
- PERIKSA KEBIDANAN - - - 28,000 28,000
4,000 H. THIA SILVANA - - - - 13,000
4,000 H. THIA SILVANA - - - - 34,000
4,000 H. THIA SILVANA - - - - 42,000
4,000 H. THIA SILVANA - - - - 15,000
4,000 H. THIA SILVANA - - - - 38,000
4,000 H. THIA SILVANA - - - - 42,000
4,000 NOVI YULIANTI - - - - 16,000
4,000 H. ASEP SANI SULAEMAN - - - - 18,500
4,000 WULAN WIDYAWATI - - - - 32,000
4,000 WULAN WIDYAWATI - - - - 15,000
4,000 WULAN WIDYAWATI - - - - 15,000
4,000 WULAN WIDYAWATI - - - - 15,000
4,000 WULAN WIDYAWATI - - - - 50,000
4,000 WULAN WIDYAWATI - - - - 15,000
4,000 WULAN WIDYAWATI - - - - 40,000
4,000 WULAN WIDYAWATI - - - - 39,000
4,000 WULAN WIDYAWATI - - - - 38,000
4,000 WULAN WIDYAWATI - - - - 39,000
4,000 WULAN WIDYAWATI - - - - 34,000
4,000 WULAN WIDYAWATI - - - - 33,000
4,000 WULAN WIDYAWATI - - - - 72,000
4,000 WULAN WIDYAWATI - - - - 26,000
4,000 WULAN WIDYAWATI - - - - 15,000
4,000 WULAN WIDYAWATI 80,000 - - - 95,000
4,000 WULAN WIDYAWATI - - - - 25,000
4,000 WULAN WIDYAWATI - - - - 39,000
4,000 WULAN WIDYAWATI - - - - 32,000
4,000 WULAN WIDYAWATI - - - - 47,000
4,000 WULAN WIDYAWATI - - - - 32,000
4,000 WULAN WIDYAWATI - - - - 34,000
4,000 WULAN WIDYAWATI - - - - 40,000
4,000 WULAN WIDYAWATI - - - - 30,000
4,000 WULAN WIDYAWATI - - - - 38,000
4,000 WULAN WIDYAWATI - - - - 46,000
4,000 WULAN WIDYAWATI - - - - 38,000
4,000 WULAN WIDYAWATI 80,000 - - - 95,000
4,000 WULAN WIDYAWATI - - - - 29,000
4,000 WULAN WIDYAWATI - - - - 25,000
4,000 WULAN WIDYAWATI - - - - 37,000
4,000 WULAN WIDYAWATI - - - - 15,000
4,000 WULAN WIDYAWATI - - - - 37,000
4,000 WULAN WIDYAWATI - - - - 15,000
4,000 WULAN WIDYAWATI - - - - 41,000
4,000 WULAN WIDYAWATI - - - - 42,000
4,000 WULAN WIDYAWATI - - - - 43,000
4,000 WULAN WIDYAWATI - - - - 45,000
4,000 WULAN WIDYAWATI 18,000 - - - 53,000
4,000 WULAN WIDYAWATI - - - - 40,000
4,000 WULAN WIDYAWATI - - - - 31,000
4,000 WULAN WIDYAWATI - - - - 29,000
4,000 WULAN WIDYAWATI - - - - 39,000
4,000 WULAN WIDYAWATI - - - - 43,000
4,000 WULAN WIDYAWATI - - - - 38,000
4,000 WULAN WIDYAWATI - - - - 26,000
4,000 WULAN WIDYAWATI - - - - 39,000
4,000 WULAN WIDYAWATI - - - - 32,000
4,000 WULAN WIDYAWATI - - - - 47,000
4,000 WULAN WIDYAWATI - - - - 41,100
4,000 WULAN WIDYAWATI - - - - 48,100
4,000 WULAN WIDYAWATI - - - - 40,000
4,000 WULAN WIDYAWATI - - - - 48,100
4,000 WULAN WIDYAWATI - - - - 40,000
4,000 H. THIA SILVANA - - - - 28,000
4,000 H. THIA SILVANA - - - - 31,800
4,000 H. THIA SILVANA - - - - 33,200
4,000 H. THIA SILVANA - - - - 29,600
4,000 H. THIA SILVANA - - - - 39,500
4,000 H. THIA SILVANA - - - - 38,800
4,000 H. THIA SILVANA - - - - 44,200
4,000 H. THIA SILVANA - - - - 154,000
4,000 ENCEP SUDARYANA 83,000 - - - 132,400
4,000 H. THIA SILVANA - - - - 31,500
4,000 ENCEP SUDARYANA - - - - 49,000
- PERIKSA KEBIDANAN - - - 39,000 39,000
- PERIKSA KEBIDANAN - - - 31,000 31,000
4,000 ENCEP SUDARYANA 12,000 - - - 49,000
4,000 ENCEP SUDARYANA - - - - 40,700
4,000 ENCEP SUDARYANA - - - - 51,700
4,000 ENCEP SUDARYANA - - - - 32,900
- PERIKSA KEBIDANAN - - - 31,000 31,000
4,000 ENCEP SUDARYANA - - - - 38,600
4,000 ENCEP SUDARYANA - - - - 31,000
4,000 ENCEP SUDARYANA - - - - 42,200
4,000 WULAN WIDYAWATI - - - - 34,750
4,000 WULAN WIDYAWATI - - - - 46,800
4,000 WULAN WIDYAWATI - - - - 25,300
4,000 WULAN WIDYAWATI - - - - 31,800
4,000 WULAN WIDYAWATI - - - - 36,100
4,000 WULAN WIDYAWATI - - - - 31,200
- PERIKSA KEBIDANAN - - - 36,000 36,000
4,000 WULAN WIDYAWATI 60,000 - - - 92,700
4,000 WULAN WIDYAWATI 55,000 - - - 147,200
4,000 WULAN WIDYAWATI - - - - 38,100
4,000 WULAN WIDYAWATI - - - - 50,000
4,000 WULAN WIDYAWATI - - - - 39,400
4,000 NOVI YULIANTI - - - - 38,000
4,000 WULAN WIDYAWATI - - - - 29,600
- PERIKSA KEBIDANAN - - - 15,000 15,000
4,000 WULAN WIDYAWATI - - - - 29,000
4,000 WULAN WIDYAWATI - - - - 35,300
4,000 WULAN WIDYAWATI - - - - 35,800
4,000 WULAN WIDYAWATI - - - - 103,000
4,000 WULAN WIDYAWATI 60,000 - - - 92,600
4,000 WULAN WIDYAWATI - - - - 41,150
4,000 WULAN WIDYAWATI - - - - 37,400
4,000 WULAN WIDYAWATI - - - - 42,700
4,000 WULAN WIDYAWATI - - - - 33,300
4,000 WULAN WIDYAWATI - - - - 34,200
4,000 WULAN WIDYAWATI 80,000 - - - 122,000
4,000 WULAN WIDYAWATI - - - - 28,750
4,000 WULAN WIDYAWATI - - - - 46,400
4,000 WULAN WIDYAWATI - - - - 81,000
4,000 WULAN WIDYAWATI - - - - 29,950
4,000 WULAN WIDYAWATI - - - - 39,400
4,000 WULAN WIDYAWATI - - - - 35,200
4,000 WULAN WIDYAWATI - - - - 41,200
4,000 WULAN WIDYAWATI - - - - 15,000
4,000 WULAN WIDYAWATI - - - - 32,800
- PERIKSA KEBIDANAN - - - 36,000 36,000
4,000 WULAN WIDYAWATI - - - - 33,600
4,000 NOVI YULIANTI - - - - 33,000
4,000 NOVI YULIANTI - - - - 40,200
4,000 NOVI YULIANTI - - - - 44,600
4,000 NOVI YULIANTI - - - - 46,100
4,000 NOVI YULIANTI - - - - 41,500
4,000 NOVI YULIANTI - - - - 44,800
- PERIKSA KEBIDANAN - - - 35,000 35,000
4,000 NOVI YULIANTI - - - - 48,000
4,000 NOVI YULIANTI - - - - 45,000
4,000 NOVI YULIANTI - - - - 64,400
4,000 NOVI YULIANTI - - - - 26,750
- PERIKSA KEBIDANAN - - - 88,000 88,000
- PERIKSA KEBIDANAN - - - 37,500 37,500
4,000 ENCEP SUDARYANA - - - - 40,700
4,000 NOVI YULIANTI - - - - 31,200
4,000 NOVI YULIANTI - - - - 47,200
4,000 NOVI YULIANTI - - - - 28,200
4,000 NOVI YULIANTI - - - - 36,100
4,000 NOVI YULIANTI - - - - 42,000
4,000 NOVI YULIANTI - - - - 14,000
4,000 NOVI YULIANTI - - - - 12,000
4,000 ENCEP SUDARYANA - - - - 30,000
4,000 NOVI YULIANTI - - - - 37,200
4,000 NOVI YULIANTI - - - - 36,100
4,000 NOVI YULIANTI - - - - 27,000
4,000 NOVI YULIANTI - - - - 38,350
4,000 NOVI YULIANTI - - - - 50,000
4,000 NOVI YULIANTI - - - - 37,400
4,000 NOVI YULIANTI - - - - 38,800
4,000 NOVI YULIANTI - - - - 59,600
4,000 NOVI YULIANTI 66,000 - - - 136,400
4,000 NOVI YULIANTI - - - - 15,000
4,000 NOVI YULIANTI - - - - 52,700
4,000 NOVI YULIANTI - - - - 31,800
4,000 NOVI YULIANTI - - - - 41,600
4,000 NOVI YULIANTI - - - - 48,600
4,000 NOVI YULIANTI - - - - 36,400
4,000 NOVI YULIANTI - - - - 46,950
- PERIKSA KEBIDANAN - - - 26,700 26,700
4,000 NOVI YULIANTI - - - - 38,000
4,000 NOVI YULIANTI - - - - 31,800
4,000 NOVI YULIANTI - - - - 43,100
4,000 NOVI YULIANTI - - - - 38,700
4,000 NOVI YULIANTI - - - - 41,400
4,000 NOVI YULIANTI - - - - 15,000
4,000 NOVI YULIANTI - - - - 41,600
4,000 NOVI YULIANTI - - - - 40,950
4,000 NOVI YULIANTI - - - - 40,400
4,000 NOVI YULIANTI - - - - 52,400
4,000 NOVI YULIANTI 25,000 - - - 45,200
4,000 WULAN WIDYAWATI - - - - 30,400
4,000 WULAN WIDYAWATI 80,000 - - - 116,100
4,000 WULAN WIDYAWATI - - - - 36,700
4,000 WULAN WIDYAWATI - - - - 15,000
4,000 WULAN WIDYAWATI - - - - 59,000
4,000 WULAN WIDYAWATI - - - - 29,000
4,000 WULAN WIDYAWATI - - - - 41,200
4,000 WULAN WIDYAWATI - - - - 42,000
- PERIKSA KEBIDANAN - - - 40,000 40,000
4,000 WULAN WIDYAWATI - - - - 33,500
4,000 WULAN WIDYAWATI - - - - 29,000
4,000 WULAN WIDYAWATI - - - - 22,700
4,000 WULAN WIDYAWATI - - - - 46,800
4,000 WULAN WIDYAWATI - - - - 31,000
4,000 WULAN WIDYAWATI - - - - 27,500
4,000 WULAN WIDYAWATI - - - - 37,000
4,000 WULAN WIDYAWATI - - - - 33,800
4,000 WULAN WIDYAWATI - - - - 94,400
4,000 WULAN WIDYAWATI - - - - 152,700
4,000 WULAN WIDYAWATI - - - - 25,200
4,000 WULAN WIDYAWATI - - - - 34,000
4,000 WULAN WIDYAWATI - - - - 38,800
4,000 WULAN WIDYAWATI - - - - 46,700
4,000 WULAN WIDYAWATI - - - - 30,500
4,000 WULAN WIDYAWATI - - - - 36,500
4,000 WULAN WIDYAWATI - - - - 32,000
- PERIKSA KEBIDANAN - - - 17,700 17,700
4,000 ENCEP SUDARYANA - - - - 37,000
4,000 NOVI YULIANTI - - - - 29,800
4,000 NOVI YULIANTI - - - - 103,000
4,000 NOVI YULIANTI - - - - 30,000
4,000 NOVI YULIANTI - - - - 40,750
4,000 NOVI YULIANTI - - - - 40,000
4,000 NOVI YULIANTI - - - - 41,000
4,000 NOVI YULIANTI - - - - 47,500
4,000 NOVI YULIANTI - - - - 52,200
4,000 NOVI YULIANTI - - - - 53,100
4,000 NOVI YULIANTI - - - - 39,350
4,000 NOVI YULIANTI - - - - 39,700
4,000 NOVI YULIANTI 80,000 - - - 127,750
- PERIKSA KEBIDANAN - - - 44,000 44,000
4,000 NOVI YULIANTI - - - - 36,100
4,000 NOVI YULIANTI - - - - 15,000
4,000 NOVI YULIANTI - - - - 15,000
4,000 NOVI YULIANTI - - - - 24,000
4,000 NOVI YULIANTI - - - - 15,000
4,000 NOVI YULIANTI - - - - 43,300
4,000 NOVI YULIANTI - - - - 137,000
4,000 NOVI YULIANTI - - - - 47,000
4,000 NOVI YULIANTI 25,000 - - - 67,700
4,000 NOVI YULIANTI - - - - 15,000
4,000 NOVI YULIANTI - - - - 15,000
4,000 NOVI YULIANTI - - - - 15,000
4,000 NOVI YULIANTI - - - - 37,200
4,000 NOVI YULIANTI - - - - 39,700
4,000 NOVI YULIANTI - - - - 25,150
4,000 NOVI YULIANTI - - - - 47,600
4,000 NOVI YULIANTI - - - - 43,100
- PERIKSA KEBIDANAN - - - 27,700 27,700
4,000 NOVI YULIANTI - - - - 15,000
4,000 NOVI YULIANTI - - - - 22,000
4,000 NOVI YULIANTI - - - - 15,000
4,000 NOVI YULIANTI - - - - 36,000
4,000 NOVI YULIANTI - - - - 34,000
4,000 NOVI YULIANTI - - - - 44,000
4,000 H. ASEP MARYAMAN - - - - 15,000
4,000 H. ASEP MARYAMAN - - - - 45,000
4,000 H. ASEP MARYAMAN - - - - 28,000
4,000 H. ASEP MARYAMAN - - - - 41,000
4,000 H. ASEP MARYAMAN - - - - 15,000
4,000 H. ASEP MARYAMAN 25,000 - - - 64,000
4,000 H. ASEP MARYAMAN - - - - 36,000
4,000 H. ASEP MARYAMAN - - - - 15,000
4,000 H. ASEP MARYAMAN - - - - 15,000
4,000 H. ASEP MARYAMAN - - - - 47,000
4,000 H. ASEP MARYAMAN - - - - 37,000
4,000 H. ASEP MARYAMAN - - - - 43,000
4,000 H. ASEP MARYAMAN 25,000 - - - 58,500
4,000 H. ASEP MARYAMAN - - - - 28,000
4,000 H. ASEP MARYAMAN - - - - 44,000
4,000 H. ASEP MARYAMAN - - - - 44,000
4,000 H. ASEP MARYAMAN - - - - 36,000
4,000 H. ASEP MARYAMAN - - - - 41,000
4,000 H. ASEP MARYAMAN - - - - 39,000
4,000 H. ASEP MARYAMAN - - - - 49,000
4,000 H. ASEP MARYAMAN - - - - 48,000
4,000 H. ASEP MARYAMAN - - - - 36,000
4,000 H. ASEP MARYAMAN - - - - 37,000
4,000 DETY NUR RACHMAWATI - - - - 27,600
4,000 WULAN WIDYAWATI - - - - 47,000
4,000 WULAN WIDYAWATI - - - - 41,600
4,000 WULAN WIDYAWATI - - - - 37,000
4,000 WULAN WIDYAWATI - - - - 31,700
4,000 WULAN WIDYAWATI - - - - 34,100
- PERIKSA KEBIDANAN - - - 38,000 38,000
4,000 WULAN WIDYAWATI - - - - 51,000
4,000 WULAN WIDYAWATI - - - - 38,200
4,000 WULAN WIDYAWATI - - - - 33,100
4,000 WULAN WIDYAWATI - - - - 24,000
4,000 WULAN WIDYAWATI - - - - 50,800
4,000 WULAN WIDYAWATI - - - - 43,200
4,000 WULAN WIDYAWATI - - - - 39,500
4,000 WULAN WIDYAWATI - - - - 42,000
4,000 WULAN WIDYAWATI - - - - 49,100
4,000 WULAN WIDYAWATI - - - - 31,500
4,000 WULAN WIDYAWATI - - - - 40,000
4,000 WULAN WIDYAWATI - - - - 41,400
4,000 WULAN WIDYAWATI - - - - 44,250
4,000 WULAN WIDYAWATI - - - - 33,200
4,000 WULAN WIDYAWATI - - - - 44,600
4,000 WULAN WIDYAWATI - - - - 39,400
4,000 WULAN WIDYAWATI - - - - 32,700
4,000 WULAN WIDYAWATI - - - - 33,400
4,000 WULAN WIDYAWATI - - - - 26,800
4,000 WULAN WIDYAWATI - - - - 31,000
4,000 WULAN WIDYAWATI - - - - 35,100
4,000 WULAN WIDYAWATI - - - - 41,200
4,000 ANDI HERMANSYAH 80,000 - - - 123,000
4,000 WULAN WIDYAWATI - - - - 39,500
4,000 ANDI HERMANSYAH - - - - 51,000
4,000 ANDI HERMANSYAH 18,000 - - - 78,000
4,000 ANDI HERMANSYAH 25,000 - - - 63,000
4,000 ANDI HERMANSYAH - - - - 47,000
4,000 ANDI HERMANSYAH - - - - 40,000
4,000 ANDI HERMANSYAH 18,000 - - - 62,000
4,000 ANDI HERMANSYAH - - - - 46,000
4,000 ANDI HERMANSYAH - - - - 46,000
4,000 ANDI HERMANSYAH - - - - 49,000
4,000 ANDI HERMANSYAH 80,000 - - - 130,000
4,000 ANDI HERMANSYAH - - - - 57,000
4,000 ANDI HERMANSYAH - - - - 58,000
4,000 ANDI HERMANSYAH - - - - 50,000
4,000 ANDI HERMANSYAH - - - - 69,000
4,000 ANDI HERMANSYAH - - - - 38,000
4,000 ANDI HERMANSYAH - - - - 72,000
4,000 ANDI HERMANSYAH - - - - 50,000
4,000 ANDI HERMANSYAH - - - - 46,000
4,000 ENCEP SUDARYANA - - - - 5,000
4,000 ENCEP SUDARYANA - - - - 20,500
4,000 WULAN WIDYAWATI 18,000 - - - 59,000
4,000 WULAN WIDYAWATI - - - - 37,000
4,000 WULAN WIDYAWATI 18,000 - - - 66,000
4,000 WULAN WIDYAWATI - - - - 15,000
4,000 WULAN WIDYAWATI - - - - 34,000
4,000 WULAN WIDYAWATI 78,000 - - - 115,000
4,000 NOVI YULIANTI - - - - 26,000
4,000 NOVI YULIANTI 43,000 - - - 95,000
4,000 WULAN WIDYAWATI - - - - 39,000
4,000 WULAN WIDYAWATI - - - - 36,000
4,000 WULAN WIDYAWATI - - - - 26,000
4,000 WULAN WIDYAWATI - - - - 38,000
- PERIKSA KEBIDANAN - - - 31,000 31,000
4,000 WULAN WIDYAWATI 66,000 - - - 100,000
4,000 WULAN WIDYAWATI - - - - 15,000
4,000 WULAN WIDYAWATI - - - - 35,000
4,000 WULAN WIDYAWATI - - - - 37,000
4,000 WULAN WIDYAWATI - - - - 47,000
4,000 WULAN WIDYAWATI - - - - 27,000
4,000 WULAN WIDYAWATI - - - - 34,000
4,000 WULAN WIDYAWATI - - - - 15,000
4,000 WULAN WIDYAWATI - - - - 29,000
4,000 WULAN WIDYAWATI 60,000 - - - 95,000
4,000 WULAN WIDYAWATI - - - - 37,000
4,000 WULAN WIDYAWATI - - - - 38,000
4,000 WULAN WIDYAWATI - - - - 31,000
4,000 WULAN WIDYAWATI - - - - 32,000
4,000 WULAN WIDYAWATI - - - - 50,000
- PERIKSA KEBIDANAN - - - 28,000 28,000
4,000 WULAN WIDYAWATI - - - - 35,000
4,000 WULAN WIDYAWATI - - - - 36,000
4,000 WULAN WIDYAWATI - - - - 26,000
4,000 WULAN WIDYAWATI - - - - 31,000
4,000 WULAN WIDYAWATI - - - - 38,000
4,000 WULAN WIDYAWATI - - - - 36,100
4,000 NOVI YULIANTI - - - - 31,500
4,000 NOVI YULIANTI - - - - 46,800
4,000 NOVI YULIANTI - - - - 53,400
4,000 NOVI YULIANTI - - - - 50,500
4,000 NOVI YULIANTI 66,000 - - - 114,000
4,000 NOVI YULIANTI - - - - 46,500
4,000 NOVI YULIANTI - - - - 75,000
4,000 NOVI YULIANTI - - - - 54,400
4,000 NOVI YULIANTI - - - - 49,200
4,000 NOVI YULIANTI - - - - 45,000
4,000 NOVI YULIANTI - - - - 38,000
4,000 NOVI YULIANTI - - - - 39,500
4,000 DETY NUR RACHMAWATI - - - - 14,700
4,000 WULAN WIDYAWATI - - - - 47,450
4,000 WULAN WIDYAWATI - - - - 35,000
4,000 WULAN WIDYAWATI - - - - 38,600
4,000 WULAN WIDYAWATI - - - - 15,000
4,000 WULAN WIDYAWATI - - - - 48,600
4,000 WULAN WIDYAWATI - - - - 32,600
4,000 WULAN WIDYAWATI - - - - 35,200
4,000 WULAN WIDYAWATI - - - - 15,000
4,000 WULAN WIDYAWATI 80,000 - - - 120,200
4,000 WULAN WIDYAWATI - - - - 35,800
4,000 WULAN WIDYAWATI - - - - 23,000
4,000 WULAN WIDYAWATI - - - - 35,200
4,000 WULAN WIDYAWATI - - - - 15,000
4,000 WULAN WIDYAWATI - - - - 15,000
4,000 WULAN WIDYAWATI - - - - 52,200
4,000 WULAN WIDYAWATI - - - - 34,200
4,000 WULAN WIDYAWATI - - - - 24,000
4,000 WULAN WIDYAWATI - - - - 37,200
4,000 WULAN WIDYAWATI 80,000 - - - 120,400
4,000 WULAN WIDYAWATI - - - - 28,200
4,000 WULAN WIDYAWATI 80,000 - - - 122,400
4,000 WULAN WIDYAWATI - - - - 29,000
4,000 WULAN WIDYAWATI - - - - 37,400
4,000 WULAN WIDYAWATI - - - - 34,100
- PERIKSA KEBIDANAN - - - 28,500 28,500
4,000 ENCEP SUDARYANA - - - - 36,900
4,000 WULAN WIDYAWATI - - - - 46,800
4,000 WULAN WIDYAWATI - - - - 35,000
4,000 WULAN WIDYAWATI - - - - 33,500
4,000 WULAN WIDYAWATI - - - - 37,400
4,000 WULAN WIDYAWATI - - - - 45,400
4,000 WULAN WIDYAWATI - - - - 63,000
4,000 WULAN WIDYAWATI - - - - 36,500
4,000 WULAN WIDYAWATI - - - - 39,500
4,000 WULAN WIDYAWATI - - - - 41,000
4,000 WULAN WIDYAWATI - - - - 35,200
- PERIKSA KEBIDANAN - - - 35,750 35,750
4,000 WULAN WIDYAWATI - - - - 32,500
4,000 WULAN WIDYAWATI - - - - 36,500
4,000 WULAN WIDYAWATI - - - - 32,100
4,000 WULAN WIDYAWATI - - - - 37,000
4,000 WULAN WIDYAWATI - - - - 43,400
4,000 WULAN WIDYAWATI - - - - 36,200
4,000 WULAN WIDYAWATI - - - - 27,350
4,000 WULAN WIDYAWATI - - - - 47,800
4,000 WULAN WIDYAWATI - - - - 31,700
4,000 WULAN WIDYAWATI - - - - 29,700
4,000 WULAN WIDYAWATI - - - - 31,000
4,000 WULAN WIDYAWATI - - - - 37,900
4,000 WULAN WIDYAWATI - - - - 36,600
4,000 WULAN WIDYAWATI - - - - 24,000
4,000 WULAN WIDYAWATI - - - - 31,400
4,000 WULAN WIDYAWATI - - - - 39,750
4,000 WULAN WIDYAWATI - - - - 21,500
4,000 WULAN WIDYAWATI - - - - 35,300
4,000 WULAN WIDYAWATI - - - - 40,800
4,000 WULAN WIDYAWATI - - - - 32,300
4,000 WULAN WIDYAWATI - - - - 46,200
4,000 WULAN WIDYAWATI - - - - 25,200
4,000 ENCEP SUDARYANA - - - - 41,000
4,000 ENCEP SUDARYANA - - - - 34,700
4,000 ENCEP SUDARYANA - - - - 35,200
4,000 ENCEP SUDARYANA - - - - 44,400
4,000 ENCEP SUDARYANA - - - - 36,400
4,000 ENCEP SUDARYANA - - - - 35,600
4,000 ENCEP SUDARYANA - - - - 48,000
4,000 ENCEP SUDARYANA - - - - 40,200
4,000 ENCEP SUDARYANA - - - - 44,000
4,000 ENCEP SUDARYANA - - - - 35,200
4,000 ENCEP SUDARYANA - - - - 34,100
4,000 ENCEP SUDARYANA - - - - 35,000
4,000 ENCEP SUDARYANA 23,000 - - - 55,200
4,000 ENCEP SUDARYANA - - - - 38,100
4,000 ENCEP SUDARYANA - - - - 39,200
4,000 ENCEP SUDARYANA - - - - 29,000
4,000 ENCEP SUDARYANA - - - - 45,700
4,000 ENCEP SUDARYANA - - - - 33,500
4,000 WULAN WIDYAWATI - - - - 41,000
4,000 WULAN WIDYAWATI - - - - 33,400
4,000 H. ASEP MARYAMAN - - - - 40,500
4,000 WULAN WIDYAWATI - - - - 29,950
4,000 WULAN WIDYAWATI - - - - 36,100
4,000 WULAN WIDYAWATI - - - - 30,650
4,000 WULAN WIDYAWATI - - - - 28,200
4,000 WULAN WIDYAWATI 103,000 - - - 147,600
4,000 WULAN WIDYAWATI - - - - 40,800
4,000 WULAN WIDYAWATI - - - - 37,400
4,000 WULAN WIDYAWATI - - - - 105,900
4,000 WULAN WIDYAWATI - - - - 43,000
4,000 WULAN WIDYAWATI - - - - 28,500
4,000 WULAN WIDYAWATI - - - - 30,100
4,000 WULAN WIDYAWATI - - - - 25,900
4,000 WULAN WIDYAWATI - - - - 39,800
4,000 WULAN WIDYAWATI - - - - 59,000
4,000 WULAN WIDYAWATI - - - - 29,500
- PERIKSA KEBIDANAN - - - 27,700 27,700
4,000 WULAN WIDYAWATI - - - - 38,000
4,000 WULAN WIDYAWATI - - - - 29,700
4,000 WULAN WIDYAWATI - - - - 33,000
- PERIKSA KEBIDANAN - - - 35,500 35,500
4,000 WULAN WIDYAWATI - - - - 51,000
4,000 WULAN WIDYAWATI - - - - 31,950
4,000 WULAN WIDYAWATI - - - - 40,000
4,000 WULAN WIDYAWATI 25,000 - - - 60,300
4,000 WULAN WIDYAWATI - - - - 15,000
4,000 WULAN WIDYAWATI - - - - 38,000
4,000 WULAN WIDYAWATI - - - - 41,000
4,000 WULAN WIDYAWATI - - - - 43,600
4,000 WULAN WIDYAWATI - - - - 31,000
4,000 WULAN WIDYAWATI 25,000 - - - 49,000
4,000 WULAN WIDYAWATI - - - - 36,700
4,000 WULAN WIDYAWATI - - - - 23,300
4,000 WULAN WIDYAWATI - - - - 50,000
4,000 WULAN WIDYAWATI - - - - 39,500
4,000 WULAN WIDYAWATI - - - - 42,200
4,000 WULAN WIDYAWATI - - - - 34,000
4,000 WULAN WIDYAWATI - - - - 35,700
4,000 WULAN WIDYAWATI - - - - 15,000
4,000 WULAN WIDYAWATI - - - - 15,000
4,000 WULAN WIDYAWATI - - - - 39,600
4,000 WULAN WIDYAWATI - - - - 34,700
4,000 NOVI YULIANTI - - - - 48,000
4,000 NOVI YULIANTI - - - - 26,200
4,000 WULAN WIDYAWATI - - - - 34,100
4,000 NOVI YULIANTI - - - - 31,800
4,000 NOVI YULIANTI - - - - 49,600
4,000 NOVI YULIANTI 55,000 - - - 98,600
4,000 NOVI YULIANTI - - - - 34,150
4,000 NOVI YULIANTI - - - - 15,000
4,000 NOVI YULIANTI - - - - 49,600
4,000 NOVI YULIANTI - - - - 43,000
4,000 NOVI YULIANTI - - - - 41,300
4,000 NOVI YULIANTI - - - - 15,000
4,000 NOVI YULIANTI - - - - 51,200
4,000 NOVI YULIANTI - - - - 44,200
4,000 NOVI YULIANTI - - - - 43,000
4,000 NOVI YULIANTI - - - - 42,000
4,000 NOVI YULIANTI - - - - 53,200
4,000 NOVI YULIANTI - - - - 28,000
4,000 NOVI YULIANTI - - - - 48,000
4,000 NOVI YULIANTI - - - - 36,000
4,000 NOVI YULIANTI 18,000 - - - 74,800
4,000 NOVI YULIANTI - - - - 15,000
4,000 NOVI YULIANTI - - - - 15,000
4,000 NOVI YULIANTI - - - - 41,100
4,000 NOVI YULIANTI - - - - 58,600
4,000 NOVI YULIANTI - - - - 41,000
4,000 NOVI YULIANTI - - - - 15,000
4,000 NOVI YULIANTI 118,000 - - - 133,000
4,000 NOVI YULIANTI - - - - 41,600
4,000 NOVI YULIANTI - - - - 15,000
4,000 NOVI YULIANTI - - - - 48,000
4,000 NOVI YULIANTI - - - - 50,100
4,000 NOVI YULIANTI - - - - 33,700
4,000 NOVI YULIANTI - - - - 42,700
4,000 NOVI YULIANTI - - - - 47,900
4,000 NOVI YULIANTI - - - - 45,000
4,000 NOVI YULIANTI - - - - 28,200
4,000 NOVI YULIANTI 25,000 - - - 67,200
4,000 NOVI YULIANTI - - - - 43,600
4,000 NOVI YULIANTI - - - - 44,700
4,000 NOVI YULIANTI - - - - 38,200
4,000 NOVI YULIANTI - - - - 44,000
4,000 NOVI YULIANTI - - - - 15,000
4,000 NOVI YULIANTI - - - - 13,000
4,000 NOVI YULIANTI - - - - 16,200
4,000 NOVI YULIANTI 25,000 - - - 55,500
4,000 NOVI YULIANTI - - - - 29,400
4,000 NOVI YULIANTI - - - - 42,000
4,000 NOVI YULIANTI - - - - 28,000
4,000 NOVI YULIANTI - - - - 39,000
4,000 NOVI YULIANTI - - - - 35,000
4,000 WULAN WIDYAWATI - - - - 39,000
4,000 WULAN WIDYAWATI - - - - 33,000
4,000 WULAN WIDYAWATI - - - - 27,000
4,000 WULAN WIDYAWATI - - - - 46,000
4,000 WULAN WIDYAWATI - - - - 41,000
4,000 WULAN WIDYAWATI - - - - 31,000
4,000 WULAN WIDYAWATI - - - - 36,000
4,000 WULAN WIDYAWATI - - - - 39,000
4,000 WULAN WIDYAWATI - - - - 45,000
4,000 WULAN WIDYAWATI - - - - 36,000
4,000 WULAN WIDYAWATI - - - - 20,000
4,000 WULAN WIDYAWATI - - - - 29,000
4,000 WULAN WIDYAWATI - - - - 33,000
4,000 WULAN WIDYAWATI - - - - 32,000
4,000 WULAN WIDYAWATI - - - - 32,000
4,000 WULAN WIDYAWATI - - - - 106,000
4,000 WULAN WIDYAWATI - - - - 34,000
4,000 WULAN WIDYAWATI - - - - 45,000
4,000 WULAN WIDYAWATI - - - - 31,000
4,000 WULAN WIDYAWATI - - - - 27,000
4,000 WULAN WIDYAWATI - - - - 15,000
4,000 NOVI YULIANTI - - - - 34,200
4,000 NOVI YULIANTI - - - - 15,000
4,000 NOVI YULIANTI - - - - 15,000
4,000 NOVI YULIANTI - - - - 15,000
4,000 NOVI YULIANTI - - - - 25,600
4,000 NOVI YULIANTI - - - - 37,600
4,000 NOVI YULIANTI - - - - 28,200
4,000 NOVI YULIANTI - - - - 31,900
4,000 NOVI YULIANTI - - - - 38,600
4,000 NOVI YULIANTI - - - - 15,000
4,000 NOVI YULIANTI - - - - 39,200
4,000 NOVI YULIANTI - - - - 43,100
4,000 NOVI YULIANTI - - - - 39,000
4,000 NOVI YULIANTI - - - - 56,700
4,000 NOVI YULIANTI 80,000 - - - 142,200
4,000 NOVI YULIANTI - - - - 30,900
4,000 NOVI YULIANTI 60,000 - - - 104,200
4,000 NOVI YULIANTI 38,000 - - - 81,700
4,000 NOVI YULIANTI - - - - 49,200
4,000 NOVI YULIANTI - - - - 39,200
4,000 NOVI YULIANTI - - - - 48,500
4,000 NOVI YULIANTI - - - - 15,000
4,000 NOVI YULIANTI - - - - 34,600
4,000 NOVI YULIANTI - - - - 40,400
4,000 NOVI YULIANTI - - - - 33,000
4,000 NOVI YULIANTI - - - - 36,100
4,000 NOVI YULIANTI - - - - 38,750
4,000 NOVI YULIANTI - - - - 37,400
4,000 NOVI YULIANTI - - - - 15,000
4,000 NOVI YULIANTI - - - - 15,000
4,000 NOVI YULIANTI - - - - 42,400
4,000 NOVI YULIANTI 80,000 - - - 114,000
4,000 NOVI YULIANTI - - - - 33,000
4,000 NOVI YULIANTI - - - - 33,000
4,000 NOVI YULIANTI - - - - 26,000
4,000 H. ASEP MARYAMAN - - - - 34,000
4,000 NOVI YULIANTI - - - - 16,000
4,000 H. ASEP MARYAMAN - - - - 54,000
4,000 H. ASEP MARYAMAN - - - - 37,000
4,000 H. ASEP MARYAMAN - - - - 35,000
4,000 H. ASEP MARYAMAN - - - - 38,000
4,000 H. ASEP MARYAMAN - - - - 34,000
4,000 H. ASEP MARYAMAN - - - - 32,000
4,000 H. ASEP MARYAMAN - - - - 48,000
4,000 H. ASEP MARYAMAN - - - - 31,000
4,000 H. ASEP MARYAMAN - - - - 40,000
4,000 H. ASEP MARYAMAN - - - - 45,000
4,000 H. ASEP MARYAMAN - - - - 39,000
4,000 H. ASEP MARYAMAN - - - - 15,000
4,000 H. ASEP MARYAMAN 80,000 - - - 105,000
4,000 H. ASEP MARYAMAN - - - - 36,000
4,000 H. ASEP MARYAMAN - - - - 92,000
4,000 H. ASEP MARYAMAN - - - - 39,000
4,000 H. ASEP MARYAMAN - - - - 40,000
4,000 WULAN WIDYAWATI - - - 38,000
- PERIKSA KEBIDANAN - - - 28,000 28,000
4,000 WULAN WIDYAWATI - - - 35,000
4,000 WULAN WIDYAWATI - - - 37,000
4,000 WULAN WIDYAWATI - - - 36,000
4,000 WULAN WIDYAWATI - - - 15,000
4,000 WULAN WIDYAWATI - - - 33,000
4,000 WULAN WIDYAWATI - - - 33,000
4,000 WULAN WIDYAWATI 80,000 - - 125,000
4,000 WULAN WIDYAWATI - - - 35,000
4,000 WULAN WIDYAWATI - - - 35,000
4,000 WULAN WIDYAWATI - - - 44,000
4,000 WULAN WIDYAWATI - - - 15,000
4,000 WULAN WIDYAWATI - - - 31,000
4,000 WULAN WIDYAWATI - - - 39,000
4,000 WULAN WIDYAWATI - - - 28,000
4,000 WULAN WIDYAWATI - - - 23,000
4,000 WULAN WIDYAWATI 80,000 - - 166,000
4,000 WULAN WIDYAWATI - - - 37,000
4,000 WULAN WIDYAWATI - - - 35,000
4,000 WULAN WIDYAWATI - - - 34,000
- PERIKSA KEBIDANAN - - - 15,000 15,000
4,000 WULAN WIDYAWATI - - - 15,000
4,000 WULAN WIDYAWATI - - - 37,000
4,000 WULAN WIDYAWATI - - - 38,000
4,000 WULAN WIDYAWATI - - - 33,000
4,000 WULAN WIDYAWATI - - - 41,000
4,000 WULAN WIDYAWATI - - - 15,000
4,000 WULAN WIDYAWATI - - - 37,000
4,000 WULAN WIDYAWATI - - - 44,000
4,000 WULAN WIDYAWATI - - - 47,000
4,000 WULAN WIDYAWATI - - - 25,000
4,000 WULAN WIDYAWATI - - - 15,000
4,000 WULAN WIDYAWATI - - - 25,550
4,000 WULAN WIDYAWATI - - - 34,750
4,000 WULAN WIDYAWATI 25,000 - - 56,500
4,000 ENCEP SUDARYANA - - - 40,400
4,000 ENCEP SUDARYANA - - - 43,000
4,000 ENCEP SUDARYANA - - - 45,600
4,000 ENCEP SUDARYANA - - - 47,000
4,000 ENCEP SUDARYANA - - - 46,600
4,000 ENCEP SUDARYANA - - - 33,000
4,000 ENCEP SUDARYANA - - - 49,900
4,000 ENCEP SUDARYANA - - - 43,000
4,000 ENCEP SUDARYANA - - - 37,000
4,000 ENCEP SUDARYANA - - - 43,000
4,000 ENCEP SUDARYANA - - - 44,400
4,000 ENCEP SUDARYANA - - - 35,000
4,000 ENCEP SUDARYANA - - - 42,000
4,000 ENCEP SUDARYANA - - - 41,000
4,000 ENCEP SUDARYANA - - - 39,500
4,000 ENCEP SUDARYANA - - - 43,000
4,000 ENCEP SUDARYANA - - - 32,900
4,000 ENCEP SUDARYANA - - - 34,400
4,000 ENCEP SUDARYANA - - - 40,400
4,000 ENCEP SUDARYANA - - - 36,500
4,000 ENCEP SUDARYANA - - - 41,800
4,000 ENCEP SUDARYANA - - - 37,700
4,000 ENCEP SUDARYANA - - - 39,500
4,000 ENCEP SUDARYANA - - - 37,000
4,000 ENCEP SUDARYANA - - - 42,000
4,000 ENCEP SUDARYANA - - - 36,000
4,000 ENCEP SUDARYANA - - - 37,000
4,000 ENCEP SUDARYANA - - - 40,000
4,000 WULAN WIDYAWATI - - - - 39,000
4,000 ENCEP SUDARYANA - - - - 47,000
4,000 ENCEP SUDARYANA - - - - 42,000
4,000 WULAN WIDYAWATI - - - - 54,800
4,000 WULAN WIDYAWATI - - - - 35,000
4,000 WULAN WIDYAWATI 80,000 - - - 95,000
4,000 WULAN WIDYAWATI - - - - 43,000
4,000 WULAN WIDYAWATI - - - - 80,000
4,000 WULAN WIDYAWATI - - - - 24,000
4,000 WULAN WIDYAWATI - - - - 44,000
4,000 WULAN WIDYAWATI - - - - 29,000
4,000 WULAN WIDYAWATI - - - - 24,000
4,000 WULAN WIDYAWATI - - - - 53,000
4,000 WULAN WIDYAWATI - - - - 24,000
4,000 WULAN WIDYAWATI - - - - 40,000
4,000 WULAN WIDYAWATI - - - - 42,000
4,000 WULAN WIDYAWATI - - - - 34,000
4,000 WULAN WIDYAWATI - - - - 40,000
4,000 WULAN WIDYAWATI - - - - 135,000
4,000 WULAN WIDYAWATI - - - - 35,000
4,000 WULAN WIDYAWATI - - - - 36,000
4,000 WULAN WIDYAWATI 18,000 - - - 53,000
4,000 WULAN WIDYAWATI 18,000 - - - 72,000
4,000 WULAN WIDYAWATI - - - - 38,000
4,000 WULAN WIDYAWATI - - - - 29,000
4,000 WULAN WIDYAWATI - - - - 39,000
4,000 WULAN WIDYAWATI - - - - 37,000
4,000 WULAN WIDYAWATI - - - - 42,000
4,000 WULAN WIDYAWATI - - - - 42,000
4,000 WULAN WIDYAWATI - - - - 58,000
4,000 WULAN WIDYAWATI - - - - 23,000
4,000 WULAN WIDYAWATI - - - - 24,000
4,000 WULAN WIDYAWATI - - - - 44,000
4,000 WULAN WIDYAWATI - - - - 42,000
4,000 WULAN WIDYAWATI - - - - 31,500
4,000 WULAN WIDYAWATI - - - - 37,600
- PERIKSA KEBIDANAN - - - 32,000 32,000
4,000 WULAN WIDYAWATI - - - - 36,000
4,000 WULAN WIDYAWATI - - - - 55,400
4,000 WULAN WIDYAWATI - - - - 38,000
4,000 WULAN WIDYAWATI - - - - 46,800
4,000 WULAN WIDYAWATI - - - - 50,000
4,000 WULAN WIDYAWATI - - - - 47,300
4,000 WULAN WIDYAWATI - - - - 36,200
4,000 DETY NUR RACHMAWATI - - - - 47,500
4,000 DETY NUR RACHMAWATI - - - - 50,000
4,000 H. ASEP SANI SULAEMAN - - - - 40,000
4,000 NOVI YULIANTI - - - - 34,000
4,000 WULAN WIDYAWATI - - - - 57,200
4,000 WULAN WIDYAWATI 140,000 - - - 195,000
4,000 WULAN WIDYAWATI 66,000 - - - 103,450
4,000 WULAN WIDYAWATI - - - - 44,400
4,000 WULAN WIDYAWATI - - - - 42,000
4,000 WULAN WIDYAWATI - - - - 149,400
4,000 WULAN WIDYAWATI - - - - 34,200
4,000 WULAN WIDYAWATI - - - - 43,100
4,000 WULAN WIDYAWATI - - - - 49,000
4,000 WULAN WIDYAWATI - - - - 44,000
4,000 WULAN WIDYAWATI - - - - 41,400
4,000 WULAN WIDYAWATI - - - - 27,950
4,000 WULAN WIDYAWATI 25,000 - - - 56,000
4,000 WULAN WIDYAWATI - - - - 45,600
4,000 WULAN WIDYAWATI - - - - 46,000
4,000 WULAN WIDYAWATI - - - - 28,200
4,000 WULAN WIDYAWATI - - - - 39,200
4,000 WULAN WIDYAWATI - - - - 46,000
4,000 WULAN WIDYAWATI - - - - 39,900
4,000 WULAN WIDYAWATI - - - - 47,400
4,000 ENCEP SUDARYANA - - - - 35,000
4,000 ENCEP SUDARYANA - - - - 39,500
4,000 WULAN WIDYAWATI - - - - 15,000
4,000 WULAN WIDYAWATI - - - - 36,100
4,000 WULAN WIDYAWATI - - - - 35,200
4,000 WULAN WIDYAWATI - - - - 28,700
4,000 WULAN WIDYAWATI - - - - 43,100
4,000 WULAN WIDYAWATI - - - - 35,700
4,000 WULAN WIDYAWATI - - - - 40,600
4,000 WULAN WIDYAWATI - - - - 39,200
4,000 WULAN WIDYAWATI - - - - 32,700
4,000 WULAN WIDYAWATI - - - - 37,000
- PERIKSA KEBIDANAN - - - 35,000 35,000
4,000 WULAN WIDYAWATI - - - - 39,500
4,000 WULAN WIDYAWATI - - - - 27,750
4,000 WULAN WIDYAWATI 25,000 - - - 64,000
4,000 WULAN WIDYAWATI - - - - 47,800
4,000 WULAN WIDYAWATI - - - - 49,100
4,000 WULAN WIDYAWATI - - - - 43,000
4,000 WULAN WIDYAWATI - - - - 32,400
4,000 WULAN WIDYAWATI - - - - 15,000
4,000 WULAN WIDYAWATI - - - - 15,000
4,000 WULAN WIDYAWATI - - - - 42,200
4,000 WULAN WIDYAWATI - - - - 43,150
4,000 WULAN WIDYAWATI - - - - 44,000
4,000 WULAN WIDYAWATI - - - - 36,100
4,000 WULAN WIDYAWATI - - - - 34,300
4,000 WULAN WIDYAWATI - - - - 36,600
4,000 WULAN WIDYAWATI - - - - 43,600
4,000 WULAN WIDYAWATI - - - - 44,600
4,000 WULAN WIDYAWATI - - - - 36,550
4,000 ENCEP SUDARYANA - - - - 30,000
4,000 ENCEP SUDARYANA - - - - 37,000
4,000 ENCEP SUDARYANA - - - - 45,300
4,000 ENCEP SUDARYANA 18,000 - - - 50,900
4,000 ENCEP SUDARYANA - - - - 29,000
4,000 ENCEP SUDARYANA - - - - 96,000
4,000 ENCEP SUDARYANA - - - - 39,200
4,000 ENCEP SUDARYANA - - - - 43,700
- PERIKSA KEBIDANAN - - - 35,000 35,000
4,000 ENCEP SUDARYANA - - - - 48,700
4,000 ENCEP SUDARYANA - - - - 39,900
4,000 ENCEP SUDARYANA - - - - 34,700
4,000 ENCEP SUDARYANA - - - - 32,900
4,000 ENCEP SUDARYANA - - - - 52,600
4,000 ENCEP SUDARYANA - - - - 48,500
4,000 ENCEP SUDARYANA - - - - 41,000
- PERIKSA KEBIDANAN - - - 30,000 30,000
4,000 ENCEP SUDARYANA - - - - 38,900
- PERIKSA KEBIDANAN - - - 30,000 30,000
4,000 ENCEP SUDARYANA - - - - 37,400
4,000 ENCEP SUDARYANA - - - - 43,200
4,000 ENCEP SUDARYANA - - - - 49,000
4,000 ENCEP SUDARYANA - - - - 33,700
4,000 ENCEP SUDARYANA - - - - 32,000
4,000 ENCEP SUDARYANA - - - - 52,500
4,000 ENCEP SUDARYANA - - - - 44,100
4,000 ENCEP SUDARYANA - - - - 42,600
4,000 ENCEP SUDARYANA - - - - 40,000
4,000 ENCEP SUDARYANA - - - - 38,600
4,000 ENCEP SUDARYANA - - - - 42,100
4,000 ENCEP SUDARYANA - - - - 32,900
4,000 ENCEP SUDARYANA - - - - 32,500
4,000 ENCEP SUDARYANA - - - - 35,600
4,000 ENCEP SUDARYANA - - - - 40,000
4,000 ENCEP SUDARYANA - - - - 42,000
4,000 ENCEP SUDARYANA - - - - 46,000
4,000 WULAN WIDYAWATI - - - - 33,000
4,000 WULAN WIDYAWATI - - - - 34,000
4,000 WULAN WIDYAWATI - - - - 39,000
4,000 WULAN WIDYAWATI - - - - 24,000
4,000 WULAN WIDYAWATI - - - - 42,000
4,000 WULAN WIDYAWATI - - - - 33,000
4,000 H. ASEP MARYAMAN - - - - 39,400
4,000 WULAN WIDYAWATI 101,000 - - - 130,400
4,000 WULAN WIDYAWATI - - - - 38,400
4,000 H. ASEP MARYAMAN - - - - 42,000
4,000 H. ASEP MARYAMAN - - - - 37,000
4,000 WULAN WIDYAWATI - - - - 60,500
4,000 WULAN WIDYAWATI - - - - 38,750
4,000 WULAN WIDYAWATI - - - - 50,100
4,000 WULAN WIDYAWATI - - - - 50,100
4,000 WULAN WIDYAWATI - - - - 38,750
4,000 WULAN WIDYAWATI - - - - 44,200
4,000 WULAN WIDYAWATI - - - - 61,100
4,000 WULAN WIDYAWATI 25,000 - - - 54,750
4,000 WULAN WIDYAWATI - - - - 30,550
4,000 WULAN WIDYAWATI - - - - 37,400
4,000 NOVI YULIANTI - - - - 35,000
4,000 NOVI YULIANTI - - - - 30,000
4,000 WULAN WIDYAWATI - - - - 40,000
4,000 WULAN WIDYAWATI - - - - 46,000
4,000 WULAN WIDYAWATI 43,000 - - - 98,000
4,000 NOVI YULIANTI - - - - 35,000
4,000 NOVI YULIANTI - - - - 47,000
4,000 NOVI YULIANTI - - - - 41,000
4,000 NOVI YULIANTI - - - - 48,000
- PERIKSA KEBIDANAN - - - 40,000 40,000
4,000 NOVI YULIANTI 80,000 - - - 118,000
4,000 NOVI YULIANTI - - - - 43,000
4,000 NOVI YULIANTI 55,000 - - - 60,000
4,000 NOVI YULIANTI 105,000 - - - 162,000
4,000 NOVI YULIANTI - - - - 44,000
4,000 NOVI YULIANTI - - - - 29,000
4,000 NOVI YULIANTI - - - - 36,000
4,000 NOVI YULIANTI - - - - 36,000
4,000 NOVI YULIANTI - - - - 28,000
4,000 NOVI YULIANTI - - - - 25,000
4,000 NOVI YULIANTI - - - - 45,000
4,000 NOVI YULIANTI - - - - 38,000
4,000 NOVI YULIANTI - - - - 44,000
- PERIKSA KEBIDANAN - - - 40,000 40,000
4,000 NOVI YULIANTI - - - - 15,000
4,000 NOVI YULIANTI - - - - 32,000
4,000 NOVI YULIANTI - - - - 45,000
4,000 NOVI YULIANTI - - - - 49,000
4,000 NOVI YULIANTI - - - - 46,000
4,000 WULAN WIDYAWATI - - - - 15,000
4,000 WULAN WIDYAWATI - - - - 15,000
4,000 WULAN WIDYAWATI - - - - 27,000
4,000 WULAN WIDYAWATI - - - - 31,000
4,000 WULAN WIDYAWATI - - - - 44,000
4,000 WULAN WIDYAWATI - - - - 36,000
4,000 WULAN WIDYAWATI - - - - 26,000
4,000 WULAN WIDYAWATI - - - - 46,000
4,000 WULAN WIDYAWATI - - - - 38,000
4,000 WULAN WIDYAWATI - - - - 37,000
4,000 WULAN WIDYAWATI - - - - 15,000
4,000 WULAN WIDYAWATI - - - - 40,000
4,000 NOVI YULIANTI - - - - 34,000
4,000 NOVI YULIANTI - - - - 41,000
- CEK LAB SAJA 105,000 - - - 105,000
4,000 NOVI YULIANTI - - - - 36,150
4,000 NOVI YULIANTI - - - - 34,200
4,000 NOVI YULIANTI - - - - 50,300
4,000 NOVI YULIANTI - - - - 36,600
4,000 NOVI YULIANTI - - - - 31,000
4,000 NOVI YULIANTI - - - - 36,000
4,000 NOVI YULIANTI - - - - 35,900
4,000 NOVI YULIANTI 80,000 - - - 102,000
4,000 NOVI YULIANTI 80,000 - - - 116,350
4,000 NOVI YULIANTI - - - - 27,700
4,000 WULAN WIDYAWATI - - - - 32,000
4,000 WULAN WIDYAWATI - - - - 33,000
4,000 WULAN WIDYAWATI - - - - 66,000
4,000 WULAN WIDYAWATI - - - - 30,000
4,000 WULAN WIDYAWATI - - - - 21,000
4,000 WULAN WIDYAWATI - - - - 33,000
4,000 WULAN WIDYAWATI - - - - 28,000
4,000 WULAN WIDYAWATI - - - - 35,000
4,000 WULAN WIDYAWATI - - - - 39,000
4,000 WULAN WIDYAWATI - - - - 48,000
4,000 WULAN WIDYAWATI - - - - 15,000
4,000 WULAN WIDYAWATI - - - - 46,000
4,000 WULAN WIDYAWATI - - - - 37,000
4,000 WULAN WIDYAWATI - - - - 32,000
- PERIKSA KEBIDANAN - - - 42,000 42,000
4,000 WULAN WIDYAWATI - - - - 39,000
4,000 WULAN WIDYAWATI - - - - 40,000
4,000 WULAN WIDYAWATI - - - - 37,000
4,000 WULAN WIDYAWATI - - - - 48,000
4,000 WULAN WIDYAWATI 66,000 - - - 89,000
4,000 WULAN WIDYAWATI - - - - 43,000
4,000 WULAN WIDYAWATI 18,000 - - - 49,000
4,000 WULAN WIDYAWATI - - - - 29,000
4,000 WULAN WIDYAWATI - - - - 36,000
4,000 WULAN WIDYAWATI 80,000 - - - 122,000
4,000 WULAN WIDYAWATI - - - - 15,000
4,000 WULAN WIDYAWATI - - - - 33,000
4,000 WULAN WIDYAWATI - - - - 43,000
4,000 WULAN WIDYAWATI - - - - 38,000
4,000 WULAN WIDYAWATI - - - - 31,000
4,000 WULAN WIDYAWATI - - - - 43,000
4,000 WULAN WIDYAWATI 80,000 - - - 94,000
4,000 WULAN WIDYAWATI - - - - 26,200
4,000 WULAN WIDYAWATI - - - - 31,000
4,000 DETY NUR RACHMAWATI - - - - 10,000
4,000 NOVI YULIANTI - - - - 37,000
4,000 NOVI YULIANTI - - - - 31,000
4,000 NOVI YULIANTI - - - - 45,000
4,000 NOVI YULIANTI - - - - 51,000
4,000 NOVI YULIANTI 80,000 - - - 95,000
4,000 WULAN WIDYAWATI - - - - 33,000
4,000 WULAN WIDYAWATI - - - - 31,000
4,000 WULAN WIDYAWATI - - - - 34,000
4,000 NOVI YULIANTI - - - - 45,000
4,000 NOVI YULIANTI - - - - 38,000
4,000 NOVI YULIANTI - - - - 40,000
4,000 NOVI YULIANTI - - - - 42,000
4,000 NOVI YULIANTI 80,000 - - - 95,000
4,000 NOVI YULIANTI - - - - 48,000
4,000 NOVI YULIANTI - - - - 45,000
4,000 WULAN WIDYAWATI - - - - 41,000
4,000 WULAN WIDYAWATI - - - - 42,000
4,000 WULAN WIDYAWATI - - - - 43,000
4,000 WULAN WIDYAWATI - - - - 45,000
4,000 WULAN WIDYAWATI 18,000 - - - 53,000
4,000 WULAN WIDYAWATI - - - - 40,000
4,000 WULAN WIDYAWATI - - - - 31,000
4,000 WULAN WIDYAWATI - - - - 29,000
4,000 WULAN WIDYAWATI - - - - 39,000
4,000 WULAN WIDYAWATI - - - - 43,000
4,000 WULAN WIDYAWATI - - - - 38,000
4,000 WULAN WIDYAWATI - - - - 26,000
4,000 DETY NUR RACHMAWATI - - - - 37,000
4,000 NOVI YULIANTI - - - - 45,000
4,000 NOVI YULIANTI - - - - 40,000
4,000 NOVI YULIANTI - - - - 56,000
4,000 NOVI YULIANTI 80,000 - - - 118,000
4,000 NOVI YULIANTI - - - - 43,000
4,000 NOVI YULIANTI - - - - 47,000
4,000 NOVI YULIANTI - - - - 29,000
4,000 NOVI YULIANTI - - - - 26,000
4,000 NOVI YULIANTI 80,000 - - - 126,000
4,000 NOVI YULIANTI - - - - 42,000
4,000 NOVI YULIANTI - - - - 34,000
4,000 NOVI YULIANTI - - - - 50,000
4,000 NOVI YULIANTI - - - - 30,400
4,000 H. ASEP MARYAMAN - - - - 15,000
4,000 H. ASEP MARYAMAN - - - - 45,400
4,000 H. ASEP MARYAMAN 80,000 - - - 125,200
4,000 H. ASEP MARYAMAN - - - - 43,500
4,000 H. ASEP MARYAMAN - - - - 40,600
4,000 H. ASEP MARYAMAN - - - - 31,400
4,000 H. ASEP MARYAMAN - - - - 36,800
4,000 H. ASEP MARYAMAN - - - - 47,000
4,000 H. ASEP MARYAMAN - - - - 45,400
4,000 H. ASEP MARYAMAN - - - - 39,600
4,000 H. ASEP MARYAMAN - - - - 39,400
4,000 H. ASEP MARYAMAN - - - - 39,100
4,000 H. ASEP MARYAMAN - - - - 50,000
4,000 H. ASEP MARYAMAN - - - - 25,000
4,000 H. ASEP MARYAMAN 18,000 - - - 51,000
4,000 H. ASEP MARYAMAN - - - - 35,000
4,000 H. ASEP MARYAMAN - - - - 31,000
4,000 H. ASEP MARYAMAN - - - - 40,000
4,000 H. ASEP MARYAMAN - - - - 34,000
4,000 H. ASEP MARYAMAN - - - - 46,000
4,000 H. ASEP MARYAMAN - - - - 38,400
4,000 H. ASEP MARYAMAN - - - - 28,000
4,000 H. ASEP MARYAMAN - - - - 39,200
4,000 H. ASEP MARYAMAN - - - - 37,200
4,000 H. ASEP MARYAMAN - - - - 35,600
4,000 ENCEP SUDARYANA - - - - 47,000
4,000 H. ASEP MARYAMAN - - - - 44,000
4,000 WULAN WIDYAWATI - - - - 20,800
4,000 WULAN WIDYAWATI 80,000 - - - 136,500
4,000 WULAN WIDYAWATI - - - - 36,800
4,000 WULAN WIDYAWATI - - - - 42,100
4,000 WULAN WIDYAWATI - - - - 39,000
4,000 WULAN WIDYAWATI - - - - 48,400
4,000 WULAN WIDYAWATI - - - - 32,600
4,000 WULAN WIDYAWATI - - - - 39,400
4,000 WULAN WIDYAWATI - - - - 74,200
4,000 WULAN WIDYAWATI - - - - 39,900
4,000 WULAN WIDYAWATI - - - - 38,300
4,000 WULAN WIDYAWATI - - - - 34,000
4,000 WULAN WIDYAWATI 43,000 - - - 85,000
4,000 WULAN WIDYAWATI 80,000 - - - 139,000
4,000 WULAN WIDYAWATI - - - - 49,000
4,000 WULAN WIDYAWATI - - - - 15,000
4,000 WULAN WIDYAWATI - - - - 24,000
4,000 WULAN WIDYAWATI - - - - 38,000
4,000 WULAN WIDYAWATI - - - - 82,000
4,000 WULAN WIDYAWATI 66,000 - - - 106,000
4,000 WULAN WIDYAWATI - - - - 36,000
4,000 WULAN WIDYAWATI - - - - 42,000
4,000 WULAN WIDYAWATI - - - - 15,000
4,000 WULAN WIDYAWATI - - - - 44,400
4,000 WULAN WIDYAWATI - - - - 76,000
4,000 WULAN WIDYAWATI - - - - 41,000
4,000 WULAN WIDYAWATI - - - - 26,000
4,000 WULAN WIDYAWATI - - - - 39,000
4,000 WULAN WIDYAWATI - - - - 45,000
4,000 WULAN WIDYAWATI 101,000 - - - 134,000
4,000 WULAN WIDYAWATI - - - - 38,800
4,000 WULAN WIDYAWATI 10,000 - - - 46,100
4,000 WULAN WIDYAWATI - - - - 33,100
4,000 WULAN WIDYAWATI - - - - 34,000
4,000 WULAN WIDYAWATI - - - - 33,000
4,000 WULAN WIDYAWATI - - - - 32,000
4,000 WULAN WIDYAWATI - - - - 52,000
4,000 WULAN WIDYAWATI - - - - 45,000
4,000 WULAN WIDYAWATI - - - - 30,000
4,000 WULAN WIDYAWATI - - - - 41,000
4,000 WULAN WIDYAWATI - - - - 36,000
4,000 WULAN WIDYAWATI - - - - 34,000
4,000 WULAN WIDYAWATI - - - - 30,000
4,000 WULAN WIDYAWATI - - - - 39,500
4,000 ANDI HERMANSYAH - - - - 50,450
4,000 ANDI HERMANSYAH - - - - 90,000
4,000 ANDI HERMANSYAH - - - - 30,200
4,000 ANDI HERMANSYAH - - - - 39,900
- PERIKSA KEBIDANAN - - - 34,000 34,000
4,000 ANDI HERMANSYAH - - - - 19,000
4,000 ANDI HERMANSYAH 80,000 - - - 129,800
4,000 ANDI HERMANSYAH - - - - 40,400
- PERIKSA KEBIDANAN - - - 44,000 44,000
4,000 ANDI HERMANSYAH - - - - 37,800
4,000 ANDI HERMANSYAH - - - - 38,400
4,000 ANDI HERMANSYAH - - - - 86,300
4,000 ANDI HERMANSYAH - - - - 48,000
4,000 ANDI HERMANSYAH - - - - 40,400
4,000 ANDI HERMANSYAH 18,000 - - - 80,200
4,000 ANDI HERMANSYAH 18,000 - - - 59,500
4,000 ANDI HERMANSYAH - - - - 39,400
4,000 ANDI HERMANSYAH - - - - 43,800
4,000 ANDI HERMANSYAH - - - - 40,400
4,000 ANDI HERMANSYAH - - - - 42,500
4,000 WULAN WIDYAWATI - - - - 40,000
4,000 WULAN WIDYAWATI - - - - 47,000
4,000 WULAN WIDYAWATI - - - - 38,000
4,000 WULAN WIDYAWATI - - - - 44,000
4,000 H ASEP MARYAMAN - - - - 41,000
4,000 DETY NUR RACHMAWATI - - - - 46,000
4,000 WULAN WIDYAWATI 80,000 - - - 115,200
4,000 WULAN WIDYAWATI 18,000 - - - 58,950
4,000 WULAN WIDYAWATI - - - - 38,600
4,000 WULAN WIDYAWATI - - - - 15,000
4,000 WULAN WIDYAWATI 80,000 - - - 95,000
4,000 WULAN WIDYAWATI 18,000 - - - 68,000
4,000 WULAN WIDYAWATI - - - - 37,400
4,000 WULAN WIDYAWATI - - - - 15,000
4,000 WULAN WIDYAWATI - - - - 50,000
4,000 WULAN WIDYAWATI - - - - 31,600
4,000 WULAN WIDYAWATI - - - - 46,400
4,000 WULAN WIDYAWATI - - - - 25,600
4,000 WULAN WIDYAWATI - - - - 43,600
4,000 WULAN WIDYAWATI - - - - 42,000
4,000 WULAN WIDYAWATI - - - - 15,000
4,000 WULAN WIDYAWATI - - - - 31,000
4,000 WULAN WIDYAWATI - - - - 33,400
4,000 WULAN WIDYAWATI - - - - 36,200
4,000 WULAN WIDYAWATI - - - - 50,100
4,000 WULAN WIDYAWATI - - - - 25,400
4,000 WULAN WIDYAWATI - - - - 31,000
4,000 WULAN WIDYAWATI - - - - 35,250
4,000 WULAN WIDYAWATI - - - - 38,200
4,000 WULAN WIDYAWATI - - - - 42,600
- PERIKSA KEBIDANAN - - - 36,000 36,000
4,000 WULAN WIDYAWATI - - - - 35,000
4,000 WULAN WIDYAWATI - - - - 26,200
4,000 WULAN WIDYAWATI - - - - 24,800
4,000 NOVI YULIANTI - - - - 24,100
4,000 NOVI YULIANTI - - - - 15,000
4,000 NOVI YULIANTI 18,000 - - - 89,000
4,000 NOVI YULIANTI - - - - 42,400
4,000 NOVI YULIANTI 80,000 - - - 95,000
4,000 NOVI YULIANTI - - - - 45,000
4,000 NOVI YULIANTI - - - - 33,000
4,000 NOVI YULIANTI - - - - 31,000
4,000 NOVI YULIANTI - - - - 38,400
4,000 NOVI YULIANTI - - - - 62,200
4,000 NOVI YULIANTI - - - - 15,000
4,000 NOVI YULIANTI - - - - 45,400
4,000 NOVI YULIANTI - - - - 29,200
4,000 DETY NUR RACHMAWATI - - - - 54,600
4,000 WULAN WIDYAWATI - - - - 47,000
4,000 WULAN WIDYAWATI - - - - 32,000
4,000 NOVI YULIANTI 57,000 - - - 72,000
4,000 NOVI YULIANTI - - - - 55,400
4,000 NOVI YULIANTI - - - - 36,700
4,000 NOVI YULIANTI - - - - 28,400
4,000 NOVI YULIANTI 105,000 - - - 150,000
4,000 NOVI YULIANTI - - - - 33,500
4,000 NOVI YULIANTI - - - - 15,000
4,000 NOVI YULIANTI - - - - 43,000
4,000 NOVI YULIANTI - - - - 39,500
4,000 NOVI YULIANTI - - - - 31,200
4,000 NOVI YULIANTI - - - - 53,500
4,000 NOVI YULIANTI - - - - 76,000
4,000 NOVI YULIANTI - - - - 31,500
- PERIKSA KEBIDANAN - - - 15,000 15,000
4,000 NOVI YULIANTI - - - - 33,700
4,000 NOVI YULIANTI - - - - 41,800
4,000 NOVI YULIANTI - - - - 39,000
4,000 NOVI YULIANTI - - - - 15,000
4,000 NOVI YULIANTI - - - - 33,800
4,000 NOVI YULIANTI - - - - 36,000
4,000 NOVI YULIANTI 80,000 - - - 95,000
4,000 NOVI YULIANTI - - - - 15,000
4,000 NOVI YULIANTI - - - - 60,500
4,000 NOVI YULIANTI - - - - 34,000
4,000 NOVI YULIANTI - - - - 45,000
4,000 NOVI YULIANTI - - - - 32,100
4,000 NOVI YULIANTI 18,000 - - - 63,000
4,000 NOVI YULIANTI - - - - 52,600
4,000 NOVI YULIANTI - - - - 52,500
4,000 NOVI YULIANTI - - - - 51,100
4,000 NOVI YULIANTI - - - - 15,000
4,000 NOVI YULIANTI - - - - 34,000
4,000 NOVI YULIANTI - - - - 49,000
4,000 NOVI YULIANTI - - - - 32,000
- PERIKSA KEBIDANAN - - - 27,000 27,000
4,000 NOVI YULIANTI - - - - 38,000
4,000 NOVI YULIANTI - - - - 48,000
4,000 NOVI YULIANTI - - - - 15,000
4,000 NOVI YULIANTI - - - - 32,000
- PERIKSA KEBIDANAN - - - 33,000 33,000
4,000 ANDI HERMANSYAH - - - - 36,000
4,000 ANDI HERMANSYAH - - - - 46,000
4,000 ANDI HERMANSYAH - - - - 38,000
4,000 ANDI HERMANSYAH - - - - 42,000
4,000 ANDI HERMANSYAH - - - - 50,000
4,000 ANDI HERMANSYAH - - - - 49,150
4,000 ANDI HERMANSYAH - - - - 15,000
4,000 ANDI HERMANSYAH - - - - 40,000
4,000 ANDI HERMANSYAH - - - - 43,000
4,000 ANDI HERMANSYAH - - - - 54,000
4,000 ANDI HERMANSYAH - - - - 29,000
4,000 ANDI HERMANSYAH - - - - 42,000
4,000 ANDI HERMANSYAH - - - - 37,000
4,000 ANDI HERMANSYAH - - - - 52,000
- PERIKSA KEBIDANAN - - - 15,000 15,000
- PERIKSA KEBIDANAN - - - 33,000 33,000
4,000 ANDI HERMANSYAH - - - - 37,000
4,000 ANDI HERMANSYAH - - - - 48,000
4,000 ANDI HERMANSYAH - - - - 54,000
4,000 ANDI HERMANSYAH - - - - 43,000
4,000 ANDI HERMANSYAH 66,000 - - - 113,000
4,000 ANDI HERMANSYAH - - - - 39,000
4,000 ANDI HERMANSYAH - - - - 27,000
4,000 ANDI HERMANSYAH - - - - 47,000
4,000 ANDI HERMANSYAH - - - - 53,000
4,000 ANDI HERMANSYAH - - - - 47,000
4,000 ANDI HERMANSYAH - - - - 50,000
4,000 ANDI HERMANSYAH - - - - 99,000
4,000 H. ASEP MARYAMAN - - - - 30,000
4,000 H. ASEP MARYAMAN - - - - 25,000
4,000 ANDI HERMANSYAH 80,000 - - - 127,000
4,000 ANDI HERMANSYAH - - - - 48,000
4,000 WULAN WIDYAWATI - - - - 40,000
4,000 WULAN WIDYAWATI - - - - 37,000
4,000 WULAN WIDYAWATI - - - - 24,000
4,000 WULAN WIDYAWATI - - - - 38,200
4,000 WULAN WIDYAWATI - - - - 58,100
4,000 WULAN WIDYAWATI - - - - 52,800
4,000 WULAN WIDYAWATI - - - - 35,600
4,000 WULAN WIDYAWATI - - - - 36,300
4,000 WULAN WIDYAWATI - - - - 24,000
4,000 WULAN WIDYAWATI - - - - 37,000
4,000 WULAN WIDYAWATI - - - - 15,000
- PERIKSA KEBIDANAN - - - 28,500 28,500
4,000 WULAN WIDYAWATI 80,000 - - - 124,100
4,000 WULAN WIDYAWATI - - - - 42,400
4,000 WULAN WIDYAWATI - - - - 38,150
4,000 WULAN WIDYAWATI - - - - 42,500
4,000 WULAN WIDYAWATI - - - - 51,800
4,000 WULAN WIDYAWATI 80,000 - - - 126,750
4,000 WULAN WIDYAWATI - - - - 45,200
4,000 WULAN WIDYAWATI - - - - 50,000
4,000 WULAN WIDYAWATI 18,000 - - - 70,000
4,000 WULAN WIDYAWATI - - - - 15,000
4,000 WULAN WIDYAWATI - - - - 46,500
4,000 WULAN WIDYAWATI - - - - 15,000
4,000 WULAN WIDYAWATI - - - - 87,100
4,000 WULAN WIDYAWATI - - - - 27,100
4,000 WULAN WIDYAWATI - - - - 39,600
4,000 WULAN WIDYAWATI 43,000 - - - 88,400
4,000 WULAN WIDYAWATI - - - - 31,000
4,000 WULAN WIDYAWATI - - - - 26,200
4,000 WULAN WIDYAWATI - - - - 24,000
4,000 WULAN WIDYAWATI - - - - 38,200
4,000 WULAN WIDYAWATI - - - - 34,000
- PERIKSA KEBIDANAN - - - 33,000 33,000
4,000 WULAN WIDYAWATI - - - - 43,000
4,000 WULAN WIDYAWATI - - - - 37,000
4,000 ANDI HERMANSYAH - - - - 35,400
4,000 ANDI HERMANSYAH - - - - 92,000
4,000 ANDI HERMANSYAH - - - - 50,000
4,000 ANDI HERMANSYAH 136,000 - - - 167,600
4,000 ANDI HERMANSYAH - - - - 15,000
4,000 ANDI HERMANSYAH - - - - 47,000
4,000 ANDI HERMANSYAH - - - - 50,000
4,000 ANDI HERMANSYAH - - - - 39,000
4,000 ANDI HERMANSYAH - - - - 54,000
4,000 ANDI HERMANSYAH - - - - 49,000
4,000 ANDI HERMANSYAH - - - - 40,000
- PERIKSA KEBIDANAN - - - 30,000 30,000
4,000 ANDI HERMANSYAH - - - - 42,000
4,000 ANDI HERMANSYAH - - - - 41,000
4,000 ANDI HERMANSYAH - - - - 50,000
4,000 ANDI HERMANSYAH - - - - 41,000
4,000 ANDI HERMANSYAH - - - - 43,800
4,000 ANDI HERMANSYAH - - - - 40,000
4,000 ANDI HERMANSYAH - - - - 53,000
4,000 ANDI HERMANSYAH - - - - 38,000
4,000 ANDI HERMANSYAH - - - - 80,000
4,000 ANDI HERMANSYAH - - - - 42,000
4,000 ANDI HERMANSYAH - - - - 37,000
4,000 WULAN WIDYAWATI - - - - 15,000
4,000 WULAN WIDYAWATI - - - - 39,000

5,704,000 - 6,925,000 - 20,000 1,724,850 64,004,850


20,620,000 64,004,850
-
Jenis Pasie Keterangan APOTEK LAB Jumlah
BPJS SUDAH DILAYANI -
BPJS SUDAH DILAYANI -
BPJS SUDAH DILAYANI -
BPJS SUDAH DILAYANI -
BPJS SUDAH DILAYANI -
BPJS SUDAH DILAYANI -
ASKES SUDAH DILAYANI 94,000 25,000 119,000
BPJS SUDAH DILAYANI 119,000
BPJS SUDAH DILAYANI 119,000
BPJS SUDAH DILAYANI 119,000
BPJS SUDAH DILAYANI 119,000
BPJS SUDAH DILAYANI 119,000
BPJS SUDAH DILAYANI 119,000
BPJS SUDAH DILAYANI 119,000
UMUM/BPJSUDAH DILAYANI 119,000
BPJS SUDAH DILAYANI 119,000
BPJS SUDAH DILAYANI 119,000
BPJS SUDAH DILAYANI 20,000 139,000
BPJS SUDAH DILAYANI 139,000
BPJS SUDAH DILAYANI 139,000
BPJS SUDAH DILAYANI 139,000
BPJS SUDAH DILAYANI 139,000
BPJS SUDAH DILAYANI 139,000
BPJS SUDAH DILAYANI 139,000
BPJS SUDAH DILAYANI 139,000
BPJS SUDAH DILAYANI 25,000 164,000
BPJS SUDAH DILAYANI 20,000 184,000
BPJS SUDAH DILAYANI 184,000
UMUM/BPJSUDAH DILAYANI 184,000
BPJS SUDAH DILAYANI 184,000
BPJS SUDAH DILAYANI 184,000
BPJS SUDAH DILAYANI 184,000
BPJS SUDAH DILAYANI 25,000 209,000
BPJS SUDAH DILAYANI 209,000
BPJS SUDAH DILAYANI 209,000
BPJS SUDAH DILAYANI 209,000
BPJS SUDAH DILAYANI 209,000
UMUM/BPJSUDAH DILAYANI 209,000
BPJS SUDAH DILAYANI 209,000
BPJS SUDAH DILAYANI 209,000
BPJS SUDAH DILAYANI 209,000
BPJS SUDAH DILAYANI 209,000
BPJS SUDAH DILAYANI 209,000
BPJS SUDAH DILAYANI 209,000
BPJS SUDAH DILAYANI 209,000
BPJS SUDAH DILAYANI 209,000
UMUM/BPJSUDAH DILAYANI 209,000
BPJS SUDAH DILAYANI 209,000
BPJS SUDAH DILAYANI 21,000 230,000
BPJS SUDAH DILAYANI 230,000
BPJS SUDAH DILAYANI 25000 255,000
BPJS SUDAH DILAYANI 255,000
BPJS SUDAH DILAYANI 255,000
BPJS SUDAH DILAYANI 255,000
BPJS SUDAH DILAYANI 255,000
BPJS SUDAH DILAYANI 255,000
BPJS SUDAH DILAYANI 255,000
BPJS SUDAH DILAYANI 255,000
BPJS SUDAH DILAYANI 255,000
ASKES SUDAH DILAYANI 255,000
BPJS SUDAH DILAYANI 255,000
BPJS SUDAH DILAYANI 255,000
BPJS SUDAH DILAYANI 255,000
BPJS SUDAH DILAYANI 255,000
BPJS SUDAH DILAYANI 255,000
BPJS SUDAH DILAYANI 255,000
BPJS SUDAH DILAYANI 25,000 280,000
JAMSOSTESUDAH DILAYANI 280,000
BPJS SUDAH DILAYANI 280,000
BPJS SUDAH DILAYANI 280,000
BPJS SUDAH DILAYANI 280,000
BPJS SUDAH DILAYANI 280,000
UMUM/BPJSUDAH DILAYANI 280,000
BPJS SUDAH DILAYANI 280,000
ASKES SUDAH DILAYANI 280,000
BPJS SUDAH DILAYANI 280,000
BPJS SUDAH DILAYANI 280,000
BPJS SUDAH DILAYANI 280,000
BPJS SUDAH DILAYANI 280,000
BPJS SUDAH DILAYANI 280,000
BPJS SUDAH DILAYANI 40,000 320,000
BPJS SUDAH DILAYANI 320,000
BPJS SUDAH DILAYANI 25,000 345,000
BPJS SUDAH DILAYANI 345,000
ASKES SUDAH DILAYANI 345,000
BPJS SUDAH DILAYANI 345,000
ASKES SUDAH DILAYANI 345,000
BPJS SUDAH DILAYANI 345,000
BPJS SUDAH DILAYANI 345,000
BPJS SUDAH DILAYANI 345,000
BPJS SUDAH DILAYANI 345,000
BPJS SUDAH DILAYANI 70,000 415,000
BPJS SUDAH DILAYANI 415,000
BPJS SUDAH DILAYANI 415,000
BPJS SUDAH DILAYANI 415,000
BPJS SUDAH DILAYANI 415,000
BPJS SUDAH DILAYANI 415,000
BPJS SUDAH DILAYANI 415,000
BPJS SUDAH DILAYANI 415,000
BPJS SUDAH DILAYANI 415,000
BPJS SUDAH DILAYANI 415,000
BPJS SUDAH DILAYANI 415,000
BPJS SUDAH DILAYANI 415,000
BPJS SUDAH DILAYANI 415,000
BPJS SUDAH DILAYANI 415,000
BPJS SUDAH DILAYANI 415,000
BPJS SUDAH DILAYANI 188,000 603,000
BPJS SUDAH DILAYANI 25,000 628,000
BPJS SUDAH DILAYANI 628,000
BPJS SUDAH DILAYANI 628,000
ASKES SUDAH DILAYANI 628,000
BPJS SUDAH DILAYANI 628,000
BPJS SUDAH DILAYANI 628,000
BPJS SUDAH DILAYANI 628,000
BPJS SUDAH DILAYANI 628,000
BPJS SUDAH DILAYANI 628,000
BPJS SUDAH DILAYANI 628,000
BPJS SUDAH DILAYANI 628,000
BPJS SUDAH DILAYANI 628,000
BPJS SUDAH DILAYANI 628,000
BPJS SUDAH DILAYANI 90,000 718,000
BPJS SUDAH DILAYANI 718,000
BPJS SUDAH DILAYANI 718,000
BPJS SUDAH DILAYANI 718,000
BPJS SUDAH DILAYANI 718,000
BPJS SUDAH DILAYANI 718,000
BPJS SUDAH DILAYANI 718,000
BPJS SUDAH DILAYANI 718,000
BPJS SUDAH DILAYANI 718,000
BPJS SUDAH DILAYANI 718,000
BPJS SUDAH DILAYANI 718,000
BPJS SUDAH DILAYANI 718,000
BPJS SUDAH DILAYANI 718,000
BPJS SUDAH DILAYANI 718,000
BPJS SUDAH DILAYANI 718,000
BPJS SUDAH DILAYANI 54,000 25,000 797,000
BPJS SUDAH DILAYANI 797,000
BPJS SUDAH DILAYANI 797,000
BPJS SUDAH DILAYANI 797,000
BPJS SUDAH DILAYANI 797,000
BPJS SUDAH DILAYANI 797,000
BPJS SUDAH DILAYANI 797,000
BPJS SUDAH DILAYANI 97,000 894,000
BPJS SUDAH DILAYANI 894,000
BPJS SUDAH DILAYANI 894,000
BPJS SUDAH DILAYANI 894,000
ASKES SUDAH DILAYANI 894,000
BPJS SUDAH DILAYANI 894,000
BPJS SUDAH DILAYANI 894,000
BPJS SUDAH DILAYANI 894,000
BPJS SUDAH DILAYANI 20,000 914,000
BPJS SUDAH DILAYANI 914,000
BPJS SUDAH DILAYANI 914,000
UMUM/BPJSUDAH DILAYANI 914,000
BPJS SUDAH DILAYANI 914,000
UMUM/BPJSUDAH DILAYANI 914,000
BPJS SUDAH DILAYANI 914,000
BPJS SUDAH DILAYANI 21,000 935,000
BPJS SUDAH DILAYANI 935,000
BPJS SUDAH DILAYANI 935,000
BPJS SUDAH DILAYANI 935,000
BPJS SUDAH DILAYANI 935,000
BPJS SUDAH DILAYANI 935,000
BPJS SUDAH DILAYANI 935,000
BPJS SUDAH DILAYANI 64,000 999,000
BPJS SUDAH DILAYANI 999,000
BPJS SUDAH DILAYANI 999,000
BPJS SUDAH DILAYANI 999,000
BPJS SUDAH DILAYANI 999,000
BPJS SUDAH DILAYANI 999,000
BPJS SUDAH DILAYANI 999,000
BPJS SUDAH DILAYANI 999,000
BPJS SUDAH DILAYANI 999,000
BPJS SUDAH DILAYANI 999,000
ASKES SUDAH DILAYANI 999,000
BPJS SUDAH DILAYANI 999,000
BPJS SUDAH DILAYANI 999,000
BPJS SUDAH DILAYANI 999,000
ASKES SUDAH DILAYANI 999,000
BPJS SUDAH DILAYANI 999,000
BPJS SUDAH DILAYANI 999,000
BPJS SUDAH DILAYANI 999,000
BPJS SUDAH DILAYANI 999,000
BPJS SUDAH DILAYANI 999,000
BPJS SUDAH DILAYANI 999,000
BPJS SUDAH DILAYANI 999,000
UMUM/BPJSUDAH DILAYANI 999,000
ASKES SUDAH DILAYANI 999,000
BPJS SUDAH DILAYANI 999,000
UMUM/BPJSUDAH DILAYANI 999,000
UMUM/BPJSUDAH DILAYANI 100,000 1,099,000
BPJS SUDAH DILAYANI 1,099,000
BPJS SUDAH DILAYANI 1,099,000
BPJS SUDAH DILAYANI 1,099,000
BPJS SUDAH DILAYANI 1,099,000
BPJS SUDAH DILAYANI 1,099,000
BPJS SUDAH DILAYANI 1,099,000
BPJS SUDAH DILAYANI 1,099,000
BPJS SUDAH DILAYANI 1,099,000
BPJS SUDAH DILAYANI 13,000 1,112,000
BPJS SUDAH DILAYANI 1,112,000
BPJS SUDAH DILAYANI 1,112,000
ASKES SUDAH DILAYANI 1,112,000
BPJS SUDAH DILAYANI 1,112,000
BPJS SUDAH DILAYANI 1,112,000
BPJS SUDAH DILAYANI 1,112,000
BPJS SUDAH DILAYANI 1,112,000
BPJS SUDAH DILAYANI 18,000 1,130,000
BPJS SUDAH DILAYANI 1,130,000
BPJS SUDAH DILAYANI 1,130,000
BPJS SUDAH DILAYANI 1,130,000
BPJS SUDAH DILAYANI 1,130,000
BPJS SUDAH DILAYANI 1,130,000
ASKES SUDAH DILAYANI 1,130,000
BPJS SUDAH DILAYANI 1,130,000
ASKES SUDAH DILAYANI 20,000 1,150,000
BPJS SUDAH DILAYANI 25,000 1,175,000
BPJS SUDAH DILAYANI 20,000 1,195,000
BPJS SUDAH DILAYANI 1,195,000
BPJS SUDAH DILAYANI 1,195,000
BPJS SUDAH DILAYANI 1,195,000
BPJS SUDAH DILAYANI 1,195,000
BPJS SUDAH DILAYANI 1,195,000
BPJS SUDAH DILAYANI 1,195,000
BPJS SUDAH DILAYANI 1,195,000
BPJS SUDAH DILAYANI 1,195,000
BPJS SUDAH DILAYANI 1,195,000
BPJS SUDAH DILAYANI 145,000 25,000 1,365,000
BPJS SUDAH DILAYANI 1,365,000
BPJS SUDAH DILAYANI 1,365,000
BPJS SUDAH DILAYANI 1,365,000
BPJS SUDAH DILAYANI 1,365,000
BPJS SUDAH DILAYANI 1,365,000
BPJS SUDAH DILAYANI 1,365,000
BPJS SUDAH DILAYANI 1,365,000
BPJS SUDAH DILAYANI 1,365,000
BPJS SUDAH DILAYANI 1,365,000
BPJS SUDAH DILAYANI 1,365,000
BPJS SUDAH DILAYANI 1,365,000
BPJS SUDAH DILAYANI 1,365,000
BPJS SUDAH DILAYANI 1,365,000
BPJS SUDAH DILAYANI 1,365,000
BPJS SUDAH DILAYANI 1,365,000
BPJS SUDAH DILAYANI 1,365,000
BPJS SUDAH DILAYANI 1,365,000
BPJS SUDAH DILAYANI 63,000 1,428,000
BPJS SUDAH DILAYANI 1,428,000
BPJS SUDAH DILAYANI 1,428,000
BPJS SUDAH DILAYANI 1,428,000
BPJS SUDAH DILAYANI 1,428,000
BPJS SUDAH DILAYANI 1,428,000
BPJS SUDAH DILAYANI 1,428,000
BPJS SUDAH DILAYANI 1,428,000
BPJS SUDAH DILAYANI 1,428,000
BPJS SUDAH DILAYANI 1,428,000
BPJS SUDAH DILAYANI 1,428,000
BPJS SUDAH DILAYANI 1,428,000
BPJS RESERVASI 1,428,000
BPJS SUDAH DILAYANI 1,428,000
BPJS SUDAH DILAYANI 1,428,000
BPJS SUDAH DILAYANI 1,428,000
BPJS SUDAH DILAYANI 1,428,000
BPJS SUDAH DILAYANI 1,428,000
BPJS SUDAH DILAYANI 1,428,000
BPJS SUDAH DILAYANI 1,428,000
BPJS SUDAH DILAYANI 1,428,000
BPJS SUDAH DILAYANI 1,428,000
BPJS SUDAH DILAYANI 1,428,000
BPJS SUDAH DILAYANI 1,428,000
BPJS SUDAH DILAYANI 1,428,000
BPJS SUDAH DILAYANI 37,000 1,465,000
BPJS SUDAH DILAYANI 1,465,000
UMUM/BPJSUDAH DILAYANI 1,465,000
BPJS SUDAH DILAYANI 25,000 1,490,000
BPJS SUDAH DILAYANI 1,490,000
BPJS SUDAH DILAYANI 1,490,000
BPJS SUDAH DILAYANI 1,490,000
BPJS SUDAH DILAYANI 1,490,000
ASKES SUDAH DILAYANI 1,490,000
BPJS SUDAH DILAYANI 1,490,000
BPJS SUDAH DILAYANI 1,490,000
BPJS SUDAH DILAYANI 1,490,000
BPJS SUDAH DILAYANI 1,490,000
BPJS SUDAH DILAYANI 1,490,000
BPJS SUDAH DILAYANI 1,490,000
BPJS SUDAH DILAYANI 25,000 1,515,000
BPJS SUDAH DILAYANI 1,515,000
BPJS SUDAH DILAYANI 1,515,000
BPJS SUDAH DILAYANI 1,515,000
BPJS SUDAH DILAYANI 1,515,000
BPJS SUDAH DILAYANI 1,515,000
BPJS SUDAH DILAYANI 1,515,000
BPJS SUDAH DILAYANI 1,515,000
BPJS SUDAH DILAYANI 1,515,000
BPJS SUDAH DILAYANI 1,515,000
BPJS SUDAH DILAYANI 1,515,000
ASKES SUDAH DILAYANI 13,000 1,528,000
BPJS SUDAH DILAYANI 1,528,000
BPJS SUDAH DILAYANI 1,528,000
BPJS SUDAH DILAYANI 1,528,000
BPJS SUDAH DILAYANI 1,528,000
BPJS SUDAH DILAYANI 1,528,000
BPJS SUDAH DILAYANI 1,528,000
BPJS SUDAH DILAYANI 1,528,000
BPJS SUDAH DILAYANI 1,528,000
BPJS SUDAH DILAYANI 1,528,000
ASKES SUDAH DILAYANI 1,528,000
BPJS SUDAH DILAYANI 1,528,000
BPJS SUDAH DILAYANI 1,528,000
BPJS SUDAH DILAYANI 1,528,000
BPJS SUDAH DILAYANI 1,528,000
BPJS SUDAH DILAYANI 1,528,000
BPJS SUDAH DILAYANI 1,528,000
BPJS SUDAH DILAYANI 1,528,000
BPJS SUDAH DILAYANI 1,528,000
BPJS SUDAH DILAYANI 1,528,000
BPJS SUDAH DILAYANI 1,528,000
BPJS SUDAH DILAYANI 1,528,000
ASKES SUDAH DILAYANI 1,528,000
ASKES SUDAH DILAYANI 1,528,000
ASKES SUDAH DILAYANI 66,000 1,594,000
BPJS SUDAH DILAYANI 1,594,000
BPJS SUDAH DILAYANI 1,594,000
BPJS SUDAH DILAYANI 1,594,000
BPJS SUDAH DILAYANI 1,594,000
BPJS SUDAH DILAYANI 1,594,000
ASKES SUDAH DILAYANI 1,594,000
ASKES SUDAH DILAYANI 1,594,000
BPJS SUDAH DILAYANI 1,594,000
BPJS SUDAH DILAYANI 1,594,000
BPJS SUDAH DILAYANI 1,594,000
BPJS SUDAH DILAYANI 1,594,000
BPJS SUDAH DILAYANI 1,594,000
BPJS SUDAH DILAYANI 1,594,000
BPJS SUDAH DILAYANI 1,594,000
BPJS SUDAH DILAYANI 1,594,000
BPJS SUDAH DILAYANI 1,594,000
BPJS SUDAH DILAYANI 1,594,000
BPJS SUDAH DILAYANI 1,594,000
BPJS SUDAH DILAYANI 1,594,000
BPJS SUDAH DILAYANI 60,000 1,654,000
BPJS SUDAH DILAYANI 61,000 1,715,000
BPJS SUDAH DILAYANI 1,715,000
BPJS SUDAH DILAYANI 19,000 1,734,000
BPJS SUDAH DILAYANI 1,734,000
BPJS SUDAH DILAYANI 1,734,000
BPJS SUDAH DILAYANI 1,734,000
BPJS SUDAH DILAYANI 1,734,000
ASKES SUDAH DILAYANI 1,734,000
BPJS SUDAH DILAYANI 1,734,000
BPJS SUDAH DILAYANI 1,734,000
BPJS SUDAH DILAYANI 28,000 1,762,000
BPJS SUDAH DILAYANI 60,000 1,822,000
BPJS SUDAH DILAYANI 1,822,000
BPJS SUDAH DILAYANI 1,822,000
BPJS SUDAH DILAYANI 1,822,000
ASKES SUDAH DILAYANI 1,822,000
BPJS SUDAH DILAYANI 1,822,000
BPJS SUDAH DILAYANI 25,000 1,847,000
BPJS SUDAH DILAYANI 1,847,000
ASKES SUDAH DILAYANI 1,847,000
BPJS SUDAH DILAYANI 1,847,000
BPJS SUDAH DILAYANI 1,847,000
BPJS SUDAH DILAYANI 1,847,000
BPJS SUDAH DILAYANI 1,847,000
BPJS SUDAH DILAYANI 1,847,000
BPJS SUDAH DILAYANI 1,847,000
BPJS SUDAH DILAYANI 1,847,000
BPJS SUDAH DILAYANI 1,847,000
BPJS SUDAH DILAYANI 1,847,000
BPJS SUDAH DILAYANI 1,847,000
BPJS SUDAH DILAYANI 1,847,000
BPJS SUDAH DILAYANI 13,000 1,860,000
BPJS SUDAH DILAYANI 1,860,000
BPJS SUDAH DILAYANI 1,860,000
BPJS SUDAH DILAYANI 1,860,000
BPJS SUDAH DILAYANI 1,860,000
BPJS SUDAH DILAYANI 12,000 1,872,000
BPJS SUDAH DILAYANI 1,872,000
BPJS SUDAH DILAYANI 19,000 1,891,000
BPJS SUDAH DILAYANI 1,891,000
BPJS SUDAH DILAYANI 67,000 1,958,000
BPJS SUDAH DILAYANI 1,958,000
ASKES SUDAH DILAYANI 1,958,000
BPJS SUDAH DILAYANI 1,958,000
BPJS SUDAH DILAYANI 19,000 1,977,000
BPJS SUDAH DILAYANI 1,977,000
BPJS SUDAH DILAYANI 1,977,000
BPJS SUDAH DILAYANI 1,977,000
BPJS SUDAH DILAYANI 1,977,000
BPJS SUDAH DILAYANI 1,977,000
BPJS SUDAH DILAYANI 1,977,000
BPJS SUDAH DILAYANI 1,977,000
BPJS SUDAH DILAYANI 1,977,000
BPJS SUDAH DILAYANI 1,977,000
BPJS SUDAH DILAYANI 1,977,000
BPJS SUDAH DILAYANI 1,977,000
BPJS SUDAH DILAYANI 6,000 1,983,000
BPJS SUDAH DILAYANI 1,983,000
BPJS SUDAH DILAYANI 15,000 1,998,000
ASKES SUDAH DILAYANI 63,000 2,061,000
BPJS SUDAH DILAYANI 2,061,000
BPJS SUDAH DILAYANI 8,000 2,069,000
BPJS SUDAH DILAYANI 2,069,000
BPJS SUDAH DILAYANI 2,069,000
BPJS SUDAH DILAYANI 2,069,000
BPJS SUDAH DILAYANI 2,069,000
BPJS SUDAH DILAYANI 2,069,000
BPJS SUDAH DILAYANI 2,069,000
BPJS SUDAH DILAYANI 2,069,000
BPJS SUDAH DILAYANI 2,069,000
BPJS SUDAH DILAYANI 2,069,000
BPJS SUDAH DILAYANI 2,069,000
BPJS SUDAH DILAYANI 2,069,000
BPJS SUDAH DILAYANI 2,069,000
ASKES SUDAH DILAYANI 2,069,000
BPJS SUDAH DILAYANI 2,069,000
BPJS SUDAH DILAYANI 2,069,000
BPJS SUDAH DILAYANI 19,000 2,088,000
BPJS SUDAH DILAYANI 25,000 2,113,000
BPJS SUDAH DILAYANI 2,113,000
BPJS SUDAH DILAYANI 9,000 25,000 2,147,000
BPJS SUDAH DILAYANI 2,147,000
BPJS SUDAH DILAYANI 2,147,000
BPJS SUDAH DILAYANI 21,000 2,168,000
BPJS SUDAH DILAYANI 2,168,000
BPJS SUDAH DILAYANI 2,168,000
BPJS SUDAH DILAYANI 2,168,000
BPJS SUDAH DILAYANI 2,168,000
BPJS SUDAH DILAYANI 2,168,000
ASKES SUDAH DILAYANI 2,168,000
BPJS SUDAH DILAYANI 2,168,000
BPJS SUDAH DILAYANI 2,168,000
BPJS SUDAH DILAYANI 2,168,000
BPJS SUDAH DILAYANI 2,168,000
BPJS SUDAH DILAYANI 2,168,000
BPJS SUDAH DILAYANI 2,168,000
BPJS SUDAH DILAYANI 44,000 2,212,000
BPJS SUDAH DILAYANI 33,000 2,245,000
BPJS SUDAH DILAYANI 2,245,000
BPJS SUDAH DILAYANI 2,245,000
BPJS SUDAH DILAYANI 2,245,000
BPJS SUDAH DILAYANI 2,245,000
BPJS SUDAH DILAYANI 2,245,000
BPJS SUDAH DILAYANI 2,245,000
BPJS SUDAH DILAYANI 2,245,000
BPJS SUDAH DILAYANI 2,245,000
BPJS SUDAH DILAYANI 2,245,000
BPJS SUDAH DILAYANI 2,245,000
BPJS SUDAH DILAYANI 20,000 2,265,000
UMUM/BPJSUDAH DILAYANI 2,265,000
BPJS SUDAH DILAYANI 2,265,000
BPJS SUDAH DILAYANI 2,265,000
BPJS SUDAH DILAYANI 2,265,000
BPJS SUDAH DILAYANI 2,265,000
BPJS SUDAH DILAYANI 2,265,000
BPJS SUDAH DILAYANI 2,265,000
BPJS SUDAH DILAYANI 2,265,000
BPJS SUDAH DILAYANI 2,265,000
BPJS SUDAH DILAYANI 25,000 2,290,000
BPJS SUDAH DILAYANI 2,290,000
BPJS SUDAH DILAYANI 2,290,000
BPJS SUDAH DILAYANI 2,290,000
BPJS SUDAH DILAYANI 2,290,000
BPJS SUDAH DILAYANI 2,290,000
BPJS SUDAH DILAYANI 2,290,000
BPJS SUDAH DILAYANI 2,290,000
ASKES SUDAH DILAYANI 41,000 2,331,000
BPJS SUDAH DILAYANI 2,331,000
BPJS SUDAH DILAYANI 21,000 25,000 2,377,000
BPJS SUDAH DILAYANI 2,377,000
BPJS SUDAH DILAYANI 2,377,000
BPJS SUDAH DILAYANI 2,377,000
ASKES SUDAH DILAYANI 2,377,000
BPJS SUDAH DILAYANI 2,377,000
BPJS SUDAH DILAYANI 2,377,000
BPJS SUDAH DILAYANI 2,377,000
BPJS SUDAH DILAYANI 2,377,000
BPJS SUDAH DILAYANI 2,377,000
BPJS SUDAH DILAYANI 2,377,000
BPJS SUDAH DILAYANI 2,377,000
BPJS SUDAH DILAYANI 2,377,000
BPJS SUDAH DILAYANI 2,377,000
BPJS SUDAH DILAYANI 2,377,000
BPJS SUDAH DILAYANI 2,377,000
BPJS SUDAH DILAYANI 2,377,000
BPJS SUDAH DILAYANI 2,377,000
BPJS SUDAH DILAYANI 2,377,000
BPJS SUDAH DILAYANI 2,377,000
BPJS SUDAH DILAYANI 2,377,000
BPJS SUDAH DILAYANI 25000 2,402,000
BPJS SUDAH DILAYANI 2,402,000
BPJS SUDAH DILAYANI 2,402,000
BPJS SUDAH DILAYANI 2,402,000
UMUM/BPJSUDAH DILAYANI 2,402,000
ASKES SUDAH DILAYANI 2,402,000
BPJS SUDAH DILAYANI 2,402,000
BPJS SUDAH DILAYANI 25,000 2,427,000
BPJS SUDAH DILAYANI 2,427,000
BPJS SUDAH DILAYANI 2,427,000
BPJS SUDAH DILAYANI 2,427,000
ASKES SUDAH DILAYANI 2,427,000
BPJS SUDAH DILAYANI 2,427,000
BPJS SUDAH DILAYANI 2,427,000
BPJS SUDAH DILAYANI 2,427,000
JAMSOSTESUDAH DILAYANI 2,427,000
ASKES SUDAH DILAYANI 2,427,000
BPJS SUDAH DILAYANI 2,427,000
BPJS SUDAH DILAYANI 2,427,000
UMUM/BPJSUDAH DILAYANI 2,427,000
BPJS SUDAH DILAYANI 2,427,000
BPJS SUDAH DILAYANI 2,427,000
BPJS SUDAH DILAYANI 2,427,000
BPJS SUDAH DILAYANI 2,427,000
BPJS SUDAH DILAYANI 2,427,000
BPJS SUDAH DILAYANI 2,427,000
BPJS SUDAH DILAYANI 2,427,000
BPJS SUDAH DILAYANI 2,427,000
BPJS SUDAH DILAYANI 2,427,000
BPJS SUDAH DILAYANI 2,427,000
BPJS SUDAH DILAYANI 2,427,000
BPJS SUDAH DILAYANI 2,427,000
BPJS SUDAH DILAYANI 9,000 2,436,000
BPJS SUDAH DILAYANI 2,436,000
BPJS SUDAH DILAYANI 2,436,000
BPJS SUDAH DILAYANI 2,436,000
BPJS SUDAH DILAYANI 2,436,000
BPJS SUDAH DILAYANI 2,436,000
BPJS SUDAH DILAYANI 2,436,000
BPJS SUDAH DILAYANI 2,436,000
BPJS SUDAH DILAYANI 2,436,000
BPJS SUDAH DILAYANI 2,436,000
BPJS SUDAH DILAYANI 2,436,000
BPJS SUDAH DILAYANI 2,436,000
BPJS SUDAH DILAYANI 2,436,000
BPJS SUDAH DILAYANI 2,436,000
BPJS SUDAH DILAYANI 2,436,000
BPJS SUDAH DILAYANI 25,000 2,461,000
BPJS SUDAH DILAYANI 2,461,000
BPJS SUDAH DILAYANI 2,461,000
BPJS SUDAH DILAYANI 21,000 2,482,000
ASKES SUDAH DILAYANI 25,000 2,507,000
ASKES SUDAH DILAYANI 2,507,000
BPJS SUDAH DILAYANI 2,507,000
BPJS SUDAH DILAYANI 2,507,000
BPJS SUDAH DILAYANI 22,000 2,529,000
BPJS SUDAH DILAYANI 2,529,000
BPJS SUDAH DILAYANI 2,529,000
BPJS SUDAH DILAYANI 25000 2,554,000
BPJS SUDAH DILAYANI 21,000 2,575,000
BPJS SUDAH DILAYANI 21,000 2,596,000
BPJS SUDAH DILAYANI 2,596,000
BPJS SUDAH DILAYANI 2,596,000
UMUM/BPJSUDAH DILAYANI 2,596,000
BPJS SUDAH DILAYANI 30,000 2,626,000
BPJS SUDAH DILAYANI 2,626,000
BPJS SUDAH DILAYANI 2,626,000
BPJS SUDAH DILAYANI 2,626,000
BPJS SUDAH DILAYANI 2,626,000
ASKES SUDAH DILAYANI 19,000 2,645,000
BPJS SUDAH DILAYANI 2,645,000
BPJS SUDAH DILAYANI 6,000 2,651,000
BPJS SUDAH DILAYANI 2,651,000
BPJS SUDAH DILAYANI 2,651,000
ASKES SUDAH DILAYANI 60,000 2,711,000
BPJS SUDAH DILAYANI 2,711,000
BPJS SUDAH DILAYANI 6,000 25,000 2,742,000
BPJS SUDAH DILAYANI 2,742,000
UMUM/BPJSUDAH DILAYANI 2,742,000
ASKES SUDAH DILAYANI 2,742,000
BPJS SUDAH DILAYANI 2,742,000
BPJS SUDAH DILAYANI 2,742,000
BPJS SUDAH DILAYANI 48,000 2,790,000
BPJS SUDAH DILAYANI 2,790,000
BPJS SUDAH DILAYANI 2,790,000
BPJS SUDAH DILAYANI 2,790,000
BPJS SUDAH DILAYANI 2,790,000
BPJS SUDAH DILAYANI 2,790,000
BPJS SUDAH DILAYANI 2,790,000
UMUM/BPJSUDAH DILAYANI 2,790,000
BPJS SUDAH DILAYANI 2,790,000
BPJS SUDAH DILAYANI 60,000 2,850,000
BPJS SUDAH DILAYANI 2,850,000
BPJS SUDAH DILAYANI 2,850,000
BPJS SUDAH DILAYANI 2,850,000
UMUM/BPJSUDAH DILAYANI 2,850,000
BPJS SUDAH DILAYANI 2,850,000
BPJS SUDAH DILAYANI 2,850,000
BPJS SUDAH DILAYANI 2,850,000
BPJS SUDAH DILAYANI 2,850,000
BPJS SUDAH DILAYANI 2,850,000
BPJS SUDAH DILAYANI 2,850,000
UMUM/BPJSUDAH DILAYANI 2,850,000
BPJS SUDAH DILAYANI 2,850,000
BPJS SUDAH DILAYANI 2,850,000
BPJS SUDAH DILAYANI 2,850,000
BPJS SUDAH DILAYANI 2,850,000
BPJS SUDAH DILAYANI 2,850,000
BPJS SUDAH DILAYANI 48000 2,898,000
UMUM/BPJSUDAH DILAYANI 2,898,000
BPJS SUDAH DILAYANI 2,898,000
BPJS SUDAH DILAYANI 2,898,000
BPJS SUDAH DILAYANI 19,000 2,917,000
BPJS SUDAH DILAYANI 2,917,000
BPJS SUDAH DILAYANI 2,917,000
BPJS SUDAH DILAYANI 2,917,000
BPJS SUDAH DILAYANI 2,917,000
BPJS SUDAH DILAYANI 2,917,000
BPJS SUDAH DILAYANI 2,917,000
BPJS SUDAH DILAYANI 2,917,000
BPJS SUDAH DILAYANI 2,917,000
BPJS SUDAH DILAYANI 2,917,000
BPJS SUDAH DILAYANI 2,917,000
BPJS SUDAH DILAYANI 2,917,000
BPJS SUDAH DILAYANI 2,917,000
BPJS SUDAH DILAYANI 25,000 2,942,000
BPJS SUDAH DILAYANI 2,942,000
BPJS SUDAH DILAYANI 2,942,000
BPJS SUDAH DILAYANI 2,942,000
BPJS SUDAH DILAYANI 2,942,000
BPJS SUDAH DILAYANI 2,942,000
BPJS SUDAH DILAYANI 2,942,000
BPJS SUDAH DILAYANI 2,942,000
BPJS SUDAH DILAYANI 2,942,000
BPJS SUDAH DILAYANI 2,942,000
BPJS SUDAH DILAYANI 25,000 2,967,000
BPJS SUDAH DILAYANI 2,967,000
BPJS SUDAH DILAYANI 25,000 2,992,000
BPJS SUDAH DILAYANI 2,992,000
BPJS SUDAH DILAYANI 2,992,000
BPJS SUDAH DILAYANI 2,992,000
BPJS SUDAH DILAYANI 2,992,000
BPJS SUDAH DILAYANI 2,992,000
BPJS SUDAH DILAYANI 2,992,000
BPJS SUDAH DILAYANI 2,992,000
BPJS SUDAH DILAYANI 2,992,000
BPJS SUDAH DILAYANI 2,992,000
BPJS SUDAH DILAYANI 2,992,000
ASKES SUDAH DILAYANI 2,992,000
ASKES SUDAH DILAYANI 2,992,000
BPJS SUDAH DILAYANI 2,992,000
BPJS SUDAH DILAYANI 2,992,000
BPJS SUDAH DILAYANI 2,992,000
BPJS SUDAH DILAYANI 2,992,000
BPJS SUDAH DILAYANI 2,992,000
BPJS SUDAH DILAYANI 2,992,000
BPJS SUDAH DILAYANI 2,992,000
BPJS SUDAH DILAYANI 2,992,000
BPJS SUDAH DILAYANI 2,992,000
BPJS SUDAH DILAYANI 2,992,000
BPJS SUDAH DILAYANI 2,992,000
BPJS SUDAH DILAYANI 2,992,000
BPJS SUDAH DILAYANI 2,992,000
BPJS SUDAH DILAYANI 2,992,000
BPJS SUDAH DILAYANI 2,992,000
BPJS SUDAH DILAYANI 2,992,000
BPJS SUDAH DILAYANI 2,992,000
BPJS SUDAH DILAYANI 2,992,000
BPJS SUDAH DILAYANI 2,992,000
BPJS SUDAH DILAYANI 2,992,000
BPJS SUDAH DILAYANI 2,992,000
ASKES SUDAH DILAYANI 2,992,000
BPJS SUDAH DILAYANI 2,992,000
BPJS SUDAH DILAYANI 2,992,000
BPJS SUDAH DILAYANI 2,992,000
BPJS SUDAH DILAYANI 2,992,000
UMUM/BPJSUDAH DILAYANI 2,992,000
BPJS SUDAH DILAYANI 2,992,000
BPJS SUDAH DILAYANI 2,992,000
BPJS SUDAH DILAYANI 2,992,000
BPJS SUDAH DILAYANI 2,992,000
ASKES SUDAH DILAYANI 2,992,000
BPJS SUDAH DILAYANI 2,992,000
BPJS SUDAH DILAYANI 2,992,000
BPJS SUDAH DILAYANI 2,992,000
BPJS SUDAH DILAYANI 2,992,000
BPJS SUDAH DILAYANI 2,992,000
BPJS SUDAH DILAYANI 2,992,000
UMUM/BPJSUDAH DILAYANI 23,000 3,015,000
UMUM/BPJSUDAH DILAYANI 3,015,000
BPJS SUDAH DILAYANI 3,015,000
BPJS SUDAH DILAYANI 3,015,000
UMUM/BPJSUDAH DILAYANI 3,015,000
BPJS SUDAH DILAYANI 3,015,000
BPJS SUDAH DILAYANI 3,015,000
BPJS SUDAH DILAYANI 3,015,000
BPJS SUDAH DILAYANI 3,015,000
BPJS SUDAH DILAYANI 3,015,000
BPJS SUDAH DILAYANI 3,015,000
BPJS SUDAH DILAYANI 3,015,000
BPJS SUDAH DILAYANI 3,015,000
BPJS SUDAH DILAYANI 48,000 3,063,000
JAMSOSTESUDAH DILAYANI 3,063,000
BPJS SUDAH DILAYANI 3,063,000
BPJS SUDAH DILAYANI 77,000 3,140,000
BPJS SUDAH DILAYANI 3,140,000
BPJS SUDAH DILAYANI 3,140,000
BPJS SUDAH DILAYANI 3,140,000
BPJS SUDAH DILAYANI 3,140,000
BPJS SUDAH DILAYANI 3,140,000
BPJS SUDAH DILAYANI 3,140,000
BPJS SUDAH DILAYANI 3,140,000
BPJS SUDAH DILAYANI 3,140,000
BPJS SUDAH DILAYANI 3,140,000
BPJS SUDAH DILAYANI 3,140,000
BPJS SUDAH DILAYANI 3,140,000
BPJS SUDAH DILAYANI 3,140,000
BPJS SUDAH DILAYANI 3,140,000
BPJS SUDAH DILAYANI 3,140,000
BPJS SUDAH DILAYANI 3,140,000
BPJS SUDAH DILAYANI 25,000 3,165,000
BPJS SUDAH DILAYANI 3,165,000
BPJS SUDAH DILAYANI 3,165,000
BPJS SUDAH DILAYANI 3,165,000
BPJS SUDAH DILAYANI 3,165,000
BPJS SUDAH DILAYANI 3,165,000
ASKES SUDAH DILAYANI 25,000 3,190,000
BPJS SUDAH DILAYANI 3,190,000
BPJS SUDAH DILAYANI 3,190,000
BPJS SUDAH DILAYANI 3,190,000
BPJS SUDAH DILAYANI 3,190,000
BPJS SUDAH DILAYANI 3,190,000
UMUM/BPJSUDAH DILAYANI 3,190,000
BPJS SUDAH DILAYANI 3,190,000
BPJS SUDAH DILAYANI 3,190,000
BPJS SUDAH DILAYANI 3,190,000
BPJS SUDAH DILAYANI 3,190,000
BPJS SUDAH DILAYANI 3,190,000
UMUM/BPJSUDAH DILAYANI 3,190,000
UMUM/BPJSUDAH DILAYANI 3,190,000
BPJS SUDAH DILAYANI 3,190,000
BPJS SUDAH DILAYANI 3,190,000
BPJS SUDAH DILAYANI 3,190,000
BPJS SUDAH DILAYANI 3,190,000
BPJS SUDAH DILAYANI 3,190,000
BPJS SUDAH DILAYANI 3,190,000
BPJS SUDAH DILAYANI 21,000 3,211,000
BPJS SUDAH DILAYANI 3,211,000
BPJS SUDAH DILAYANI 13,000 3,224,000
BPJS SUDAH DILAYANI 3,224,000
BPJS SUDAH DILAYANI 3,224,000
BPJS SUDAH DILAYANI 3,224,000
BPJS SUDAH DILAYANI 3,224,000
BPJS SUDAH DILAYANI 3,224,000
BPJS SUDAH DILAYANI 3,224,000
BPJS SUDAH DILAYANI 3,224,000
UMUM/BPJSUDAH DILAYANI 3,224,000
BPJS SUDAH DILAYANI 3,224,000
ASKES SUDAH DILAYANI 3,224,000
BPJS SUDAH DILAYANI 3,224,000
BPJS SUDAH DILAYANI 3,224,000
BPJS SUDAH DILAYANI 3,224,000
BPJS SUDAH DILAYANI 12,000 3,236,000
BPJS SUDAH DILAYANI 3,236,000
BPJS SUDAH DILAYANI 3,236,000
BPJS SUDAH DILAYANI 25,000 3,261,000
BPJS SUDAH DILAYANI 3,261,000
BPJS SUDAH DILAYANI 3,261,000
BPJS SUDAH DILAYANI 3,261,000
BPJS SUDAH DILAYANI 3,261,000
BPJS SUDAH DILAYANI 3,261,000
ASKES SUDAH DILAYANI 6,000 3,267,000
BPJS SUDAH DILAYANI 19,000 3,286,000
ASKES SUDAH DILAYANI 3,286,000
BPJS SUDAH DILAYANI 3,286,000
BPJS SUDAH DILAYANI 25,000 3,311,000
BPJS SUDAH DILAYANI 3,311,000
BPJS SUDAH DILAYANI 3,311,000
BPJS SUDAH DILAYANI 3,311,000
BPJS SUDAH DILAYANI 3,311,000
ASKES SUDAH DILAYANI 3,311,000
BPJS SUDAH DILAYANI 3,311,000
BPJS SUDAH DILAYANI 3,311,000
BPJS SUDAH DILAYANI 12,500 3,323,500
BPJS SUDAH DILAYANI 3,323,500
BPJS SUDAH DILAYANI 3,323,500
BPJS SUDAH DILAYANI 3,323,500
BPJS SUDAH DILAYANI 3,323,500
BPJS SUDAH DILAYANI 3,323,500
ASKES SUDAH DILAYANI 14,000 3,337,500
BPJS SUDAH DILAYANI 3,337,500
BPJS SUDAH DILAYANI 3,337,500
BPJS SUDAH DILAYANI 3,337,500
BPJS SUDAH DILAYANI 3,337,500
BPJS SUDAH DILAYANI 3,337,500
BPJS SUDAH DILAYANI 3,337,500
BPJS SUDAH DILAYANI 3,337,500
BPJS SUDAH DILAYANI 3,337,500
BPJS SUDAH DILAYANI 3,337,500
BPJS SUDAH DILAYANI 3,337,500
BPJS SUDAH DILAYANI 3,337,500
BPJS SUDAH DILAYANI 3,337,500
BPJS SUDAH DILAYANI 3,337,500
BPJS SUDAH DILAYANI 3,337,500
BPJS SUDAH DILAYANI 20,000 3,357,500
BPJS SUDAH DILAYANI 3,357,500
BPJS SUDAH DILAYANI 3,357,500
BPJS SUDAH DILAYANI 3,357,500
BPJS SUDAH DILAYANI 3,357,500
BPJS SUDAH DILAYANI 3,357,500
BPJS SUDAH DILAYANI 3,357,500
BPJS SUDAH DILAYANI 3,357,500
BPJS SUDAH DILAYANI 3,357,500
BPJS SUDAH DILAYANI 3,357,500
BPJS SUDAH DILAYANI 3,357,500
BPJS SUDAH DILAYANI 3,357,500
BPJS SUDAH DILAYANI 3,357,500
BPJS SUDAH DILAYANI 3,357,500
BPJS SUDAH DILAYANI 3,357,500
BPJS SUDAH DILAYANI 3,357,500
BPJS SUDAH DILAYANI 3,357,500
BPJS SUDAH DILAYANI 3,357,500
BPJS SUDAH DILAYANI 3,357,500
BPJS SUDAH DILAYANI 3,357,500
BPJS SUDAH DILAYANI 27,000 25,000 3,409,500
BPJS SUDAH DILAYANI 3,409,500
ASKES SUDAH DILAYANI 60,000 3,469,500
BPJS SUDAH DILAYANI 25,000 3,494,500
BPJS SUDAH DILAYANI 3,494,500
BPJS SUDAH DILAYANI 3,494,500
ASKES SUDAH DILAYANI 16,000 3,510,500
BPJS SUDAH DILAYANI 3,510,500
BPJS SUDAH DILAYANI 3,510,500
BPJS SUDAH DILAYANI 3,510,500
BPJS SUDAH DILAYANI 18,000 3,528,500
BPJS SUDAH DILAYANI 3,528,500
BPJS SUDAH DILAYANI 3,528,500
BPJS SUDAH DILAYANI 3,528,500
ASKES SUDAH DILAYANI 3,528,500
BPJS SUDAH DILAYANI 3,528,500
BPJS SUDAH DILAYANI 3,528,500
BPJS SUDAH DILAYANI 25,000 3,553,500
BPJS SUDAH DILAYANI 3,553,500
BPJS SUDAH DILAYANI 3,553,500
BPJS SUDAH DILAYANI 3,553,500
BPJS SUDAH DILAYANI 3,553,500
BPJS SUDAH DILAYANI 3,553,500
ASKES SUDAH DILAYANI 3,553,500
BPJS SUDAH DILAYANI 3,553,500
BPJS SUDAH DILAYANI 3,553,500
ASKES SUDAH DILAYANI 3,553,500
BPJS SUDAH DILAYANI 3,553,500
BPJS SUDAH DILAYANI 3,553,500
BPJS SUDAH DILAYANI 3,553,500
BPJS SUDAH DILAYANI 3,553,500
BPJS SUDAH DILAYANI 3,553,500
BPJS SUDAH DILAYANI 3,553,500
BPJS SUDAH DILAYANI 3,553,500
BPJS SUDAH DILAYANI 3,553,500
BPJS SUDAH DILAYANI 25000 3,578,500
BPJS SUDAH DILAYANI 3,578,500
BPJS SUDAH DILAYANI 65,000 3,643,500
BPJS SUDAH DILAYANI 3,643,500
BPJS SUDAH DILAYANI 3,643,500
BPJS SUDAH DILAYANI 3,643,500
BPJS SUDAH DILAYANI 3,643,500
BPJS SUDAH DILAYANI 7,000 3,650,500
BPJS SUDAH DILAYANI 3,650,500
BPJS SUDAH DILAYANI 3,650,500
UMUM/BPJSUDAH DILAYANI 3,650,500
BPJS SUDAH DILAYANI 3,650,500
BPJS SUDAH DILAYANI 3,650,500
BPJS SUDAH DILAYANI 25000 3,675,500
BPJS SUDAH DILAYANI 3,675,500
BPJS SUDAH DILAYANI 3,675,500
BPJS SUDAH DILAYANI 3,675,500
BPJS SUDAH DILAYANI 3,675,500
BPJS SUDAH DILAYANI 3,675,500
BPJS SUDAH DILAYANI 3,675,500
BPJS SUDAH DILAYANI 3,675,500
BPJS SUDAH DILAYANI 3,675,500
BPJS SUDAH DILAYANI 70,000 25000 3,770,500
BPJS SUDAH DILAYANI 3,770,500
BPJS SUDAH DILAYANI 3,770,500
ASKES SUDAH DILAYANI 13,000 3,783,500
BPJS SUDAH DILAYANI 3,783,500
BPJS SUDAH DILAYANI 3,783,500
BPJS SUDAH DILAYANI 3,783,500
BPJS SUDAH DILAYANI 3,783,500
BPJS SUDAH DILAYANI 21,000 3,804,500
BPJS SUDAH DILAYANI 3,804,500
BPJS SUDAH DILAYANI 3,804,500
ASKES SUDAH DILAYANI 3,804,500
BPJS SUDAH DILAYANI 3,804,500
UMUM/BPJSUDAH DILAYANI 3,804,500
BPJS SUDAH DILAYANI 3,804,500
BPJS SUDAH DILAYANI 3,804,500
BPJS SUDAH DILAYANI 3,804,500
BPJS SUDAH DILAYANI 3,804,500
BPJS SUDAH DILAYANI 25000 3,829,500
BPJS SUDAH DILAYANI 3,829,500
BPJS SUDAH DILAYANI 3,829,500
BPJS SUDAH DILAYANI 3,829,500
BPJS SUDAH DILAYANI 3,829,500
BPJS SUDAH DILAYANI 3,829,500
BPJS SUDAH DILAYANI 3,829,500
BPJS SUDAH DILAYANI 19,000 3,848,500
BPJS SUDAH DILAYANI 3,848,500
BPJS SUDAH DILAYANI 3,848,500
BPJS SUDAH DILAYANI 3,848,500
BPJS SUDAH DILAYANI 3,848,500
BPJS SUDAH DILAYANI 3,848,500
BPJS SUDAH DILAYANI 3,848,500
BPJS SUDAH DILAYANI 3,848,500
BPJS SUDAH DILAYANI 3,848,500
ASKES SUDAH DILAYANI 3,848,500
BPJS SUDAH DILAYANI 3,848,500
BPJS SUDAH DILAYANI 3,848,500
BPJS SUDAH DILAYANI 3,848,500
BPJS SUDAH DILAYANI 3,848,500
BPJS SUDAH DILAYANI 3,848,500
BPJS SUDAH DILAYANI 3,848,500
BPJS SUDAH DILAYANI 3,848,500
BPJS SUDAH DILAYANI 3,848,500
ASKES SUDAH DILAYANI 3,848,500
BPJS SUDAH DILAYANI 3,848,500
BPJS SUDAH DILAYANI 3,848,500
BPJS SUDAH DILAYANI 20,000 3,868,500
BPJS SUDAH DILAYANI 3,868,500
BPJS SUDAH DILAYANI 3,868,500
BPJS SUDAH DILAYANI 3,868,500
ASKES SUDAH DILAYANI 3,868,500
BPJS SUDAH DILAYANI 3,868,500
BPJS SUDAH DILAYANI 25,000 3,893,500
BPJS SUDAH DILAYANI 3,893,500
BPJS SUDAH DILAYANI 3,893,500
BPJS SUDAH DILAYANI 3,893,500
BPJS SUDAH DILAYANI 3,893,500
BPJS SUDAH DILAYANI 3,893,500
BPJS SUDAH DILAYANI 3,893,500
BPJS SUDAH DILAYANI 3,893,500
BPJS SUDAH DILAYANI 3,893,500
BPJS SUDAH DILAYANI 3,893,500
BPJS SUDAH DILAYANI 3,893,500
BPJS SUDAH DILAYANI 3,893,500
BPJS SUDAH DILAYANI 3,893,500
BPJS SUDAH DILAYANI 118,500 4,012,000
BPJS SUDAH DILAYANI 4,012,000
BPJS SUDAH DILAYANI 4,012,000
BPJS SUDAH DILAYANI 4,012,000
BPJS SUDAH DILAYANI 4,012,000
BPJS SUDAH DILAYANI 4,012,000
BPJS SUDAH DILAYANI 4,012,000
BPJS SUDAH DILAYANI 4,012,000
BPJS SUDAH DILAYANI 4,012,000
UMUM/BPJSUDAH DILAYANI 4,012,000
BPJS SUDAH DILAYANI 4,012,000
BPJS SUDAH DILAYANI 4,012,000
BPJS SUDAH DILAYANI 4,012,000
BPJS SUDAH DILAYANI 4,012,000
BPJS SUDAH DILAYANI 4,012,000
BPJS SUDAH DILAYANI 4,012,000
BPJS SUDAH DILAYANI 4,012,000
BPJS SUDAH DILAYANI 4,012,000
BPJS SUDAH DILAYANI 4,012,000
BPJS SUDAH DILAYANI 4,012,000
BPJS SUDAH DILAYANI 4,012,000
BPJS SUDAH DILAYANI 4,012,000
BPJS SUDAH DILAYANI 4,012,000
BPJS SUDAH DILAYANI 4,012,000
BPJS SUDAH DILAYANI 13,000 4,025,000
BPJS SUDAH DILAYANI 4,025,000
BPJS SUDAH DILAYANI 11,000 4,036,000
BPJS RESERVASI 4,036,000
BPJS SUDAH DILAYANI 20,000 4,056,000
BPJS RESERVASI 4,056,000
BPJS SUDAH DILAYANI 4,056,000
BPJS SUDAH DILAYANI 25,000 85,000 4,166,000
BPJS SUDAH DILAYANI 48,000 4,214,000
BPJS SUDAH DILAYANI 4,214,000
BPJS SUDAH DILAYANI 4,214,000
BPJS SUDAH DILAYANI 94,000 4,308,000
BPJS SUDAH DILAYANI 4,308,000
BPJS SUDAH DILAYANI 4,308,000
BPJS SUDAH DILAYANI 4,308,000
BPJS SUDAH DILAYANI 4,308,000
BPJS SUDAH DILAYANI 4,308,000
ASKES SUDAH DILAYANI 4,308,000
BPJS SUDAH DILAYANI 25,000 4,333,000
BPJS SUDAH DILAYANI 4,333,000
BPJS SUDAH DILAYANI 4,333,000
ASKES SUDAH DILAYANI 4,333,000
BPJS SUDAH DILAYANI 4,333,000
BPJS SUDAH DILAYANI 4,333,000
BPJS SUDAH DILAYANI 4,333,000
BPJS SUDAH DILAYANI 4,333,000
BPJS SUDAH DILAYANI 4,333,000
BPJS SUDAH DILAYANI 4,333,000
BPJS SUDAH DILAYANI 4,333,000
BPJS SUDAH DILAYANI 4,333,000
BPJS SUDAH DILAYANI 4,333,000
BPJS SUDAH DILAYANI 4,333,000
BPJS SUDAH DILAYANI 4,333,000
BPJS SUDAH DILAYANI 4,333,000
BPJS SUDAH DILAYANI 4,333,000
BPJS SUDAH DILAYANI 4,333,000
BPJS SUDAH DILAYANI 4,333,000
BPJS SUDAH DILAYANI 4,333,000
BPJS SUDAH DILAYANI 4,333,000
ASKES SUDAH DILAYANI 4,333,000
BPJS SUDAH DILAYANI 4,333,000
BPJS SUDAH DILAYANI 25,000 4,358,000
BPJS SUDAH DILAYANI 4,358,000
BPJS SUDAH DILAYANI 4,358,000
BPJS SUDAH DILAYANI 4,358,000
BPJS SUDAH DILAYANI 4,358,000
ASKES SUDAH DILAYANI 4,358,000
BPJS SUDAH DILAYANI 4,358,000
BPJS SUDAH DILAYANI 4,358,000
ASKES SUDAH DILAYANI 4,358,000
BPJS SUDAH DILAYANI 4,358,000
BPJS SUDAH DILAYANI 4,358,000
BPJS SUDAH DILAYANI 4,358,000
BPJS SUDAH DILAYANI 4,358,000
BPJS SUDAH DILAYANI 4,358,000
BPJS SUDAH DILAYANI 4,358,000
BPJS SUDAH DILAYANI 4,358,000
BPJS SUDAH DILAYANI 4,358,000
BPJS SUDAH DILAYANI 4,358,000
BPJS SUDAH DILAYANI 4,358,000
BPJS SUDAH DILAYANI 4,358,000
BPJS SUDAH DILAYANI 4,358,000
BPJS SUDAH DILAYANI 20,000 4,378,000
BPJS SUDAH DILAYANI 4,378,000
BPJS SUDAH DILAYANI 4,378,000
UMUM/BPJSUDAH DILAYANI 4,378,000
BPJS SUDAH DILAYANI 4,378,000
BPJS SUDAH DILAYANI 4,378,000
BPJS SUDAH DILAYANI 4,378,000
BPJS SUDAH DILAYANI 4,378,000
BPJS SUDAH DILAYANI 19,000 4,397,000
ASKES SUDAH DILAYANI 4,397,000
BPJS SUDAH DILAYANI 4,397,000
BPJS SUDAH DILAYANI 4,397,000
BPJS SUDAH DILAYANI 4,397,000
BPJS SUDAH DILAYANI 4,397,000
BPJS SUDAH DILAYANI 4,397,000
BPJS SUDAH DILAYANI 4,397,000
BPJS SUDAH DILAYANI 4,397,000
BPJS SUDAH DILAYANI 4,397,000
BPJS SUDAH DILAYANI 4,397,000
BPJS SUDAH DILAYANI 4,397,000
BPJS SUDAH DILAYANI 4,397,000
BPJS SUDAH DILAYANI 4,397,000
BPJS SUDAH DILAYANI 4,397,000
BPJS SUDAH DILAYANI 4,397,000
BPJS SUDAH DILAYANI 4,397,000
BPJS SUDAH DILAYANI 4,397,000
BPJS SUDAH DILAYANI 4,397,000
BPJS SUDAH DILAYANI 4,397,000
ASKES SUDAH DILAYANI 4,397,000
ASKES SUDAH DILAYANI 4,397,000
BPJS SUDAH DILAYANI 4,397,000
BPJS SUDAH DILAYANI 4,397,000
BPJS SUDAH DILAYANI 4,397,000
BPJS SUDAH DILAYANI 4,397,000
BPJS SUDAH DILAYANI 4,397,000
BPJS SUDAH DILAYANI 4,397,000
BPJS SUDAH DILAYANI 4,397,000
BPJS SUDAH DILAYANI 4,397,000
BPJS SUDAH DILAYANI 83,000 4,480,000
BPJS SUDAH DILAYANI 4,480,000
BPJS SUDAH DILAYANI 4,480,000
BPJS SUDAH DILAYANI 4,480,000
BPJS SUDAH DILAYANI 12,000 4,492,000
BPJS SUDAH DILAYANI 4,492,000
BPJS SUDAH DILAYANI 4,492,000
BPJS SUDAH DILAYANI 4,492,000
BPJS SUDAH DILAYANI 4,492,000
BPJS SUDAH DILAYANI 4,492,000
BPJS SUDAH DILAYANI 38,000 4,530,000
BPJS SUDAH DILAYANI 25,000 4,555,000
BPJS SUDAH DILAYANI 4,555,000
BPJS SUDAH DILAYANI 4,555,000
BPJS SUDAH DILAYANI 4,555,000
BPJS SUDAH DILAYANI 4,555,000
BPJS SUDAH DILAYANI 4,555,000
ASKES SUDAH DILAYANI 4,555,000
BPJS SUDAH DILAYANI 25,000 4,580,000
BPJS SUDAH DILAYANI 4,580,000
BPJS SUDAH DILAYANI 4,580,000
BPJS SUDAH DILAYANI 4,580,000
BPJS SUDAH DILAYANI 4,580,000
BPJS SUDAH DILAYANI 4,580,000
BPJS SUDAH DILAYANI 25,000 4,605,000
BPJS SUDAH DILAYANI 4,605,000
BPJS SUDAH DILAYANI 4,605,000
BPJS SUDAH DILAYANI 25,000 4,630,000
BPJS SUDAH DILAYANI 4,630,000
BPJS SUDAH DILAYANI 4,630,000
BPJS SUDAH DILAYANI 4,630,000
BPJS SUDAH DILAYANI 4,630,000
BPJS SUDAH DILAYANI 4,630,000
BPJS SUDAH DILAYANI 4,630,000
BPJS SUDAH DILAYANI 4,630,000
BPJS SUDAH DILAYANI 4,630,000
BPJS SUDAH DILAYANI 4,630,000
BPJS SUDAH DILAYANI 4,630,000
BPJS SUDAH DILAYANI 4,630,000
BPJS SUDAH DILAYANI 4,630,000
BPJS SUDAH DILAYANI 4,630,000
BPJS SUDAH DILAYANI 4,630,000
BPJS SUDAH DILAYANI 7,000 4,637,000
BPJS SUDAH DILAYANI 4,637,000
BPJS SUDAH DILAYANI 4,637,000
BPJS SUDAH DILAYANI 4,637,000
BPJS SUDAH DILAYANI 4,637,000
BPJS SUDAH DILAYANI 4,637,000
BPJS SUDAH DILAYANI 4,637,000
BPJS SUDAH DILAYANI 4,637,000
BPJS SUDAH DILAYANI 4,637,000
BPJS SUDAH DILAYANI 4,637,000
BPJS SUDAH DILAYANI 4,637,000
BPJS SUDAH DILAYANI 4,637,000
BPJS SUDAH DILAYANI 4,637,000
BPJS SUDAH DILAYANI 4,637,000
BPJS SUDAH DILAYANI 21,000 4,658,000
BPJS SUDAH DILAYANI 25,000 4,683,000
BPJS SUDAH DILAYANI 4,683,000
BPJS SUDAH DILAYANI 4,683,000
BPJS SUDAH DILAYANI 4,683,000
BPJS SUDAH DILAYANI 4,683,000
BPJS SUDAH DILAYANI 4,683,000
BPJS SUDAH DILAYANI 4,683,000
BPJS SUDAH DILAYANI 4,683,000
BPJS SUDAH DILAYANI 25,000 4,708,000
BPJS SUDAH DILAYANI 25,000 4,733,000
BPJS SUDAH DILAYANI 4,733,000
BPJS SUDAH DILAYANI 4,733,000
BPJS SUDAH DILAYANI 4,733,000
BPJS SUDAH DILAYANI 14,000 4,747,000
BPJS SUDAH DILAYANI 4,747,000
BPJS SUDAH DILAYANI 4,747,000
BPJS SUDAH DILAYANI 4,747,000
BPJS SUDAH DILAYANI 4,747,000
BPJS SUDAH DILAYANI 4,747,000
BPJS SUDAH DILAYANI 4,747,000
BPJS SUDAH DILAYANI 4,747,000
BPJS SUDAH DILAYANI 4,747,000
BPJS SUDAH DILAYANI 13,000 4,760,000
BPJS SUDAH DILAYANI 4,760,000
BPJS SUDAH DILAYANI 4,760,000
BPJS SUDAH DILAYANI 4,760,000
BPJS SUDAH DILAYANI 4,760,000
BPJS SUDAH DILAYANI 4,760,000
BPJS SUDAH DILAYANI 4,760,000
BPJS SUDAH DILAYANI 4,760,000
BPJS SUDAH DILAYANI 48000 4,808,000
BPJS SUDAH DILAYANI 4,808,000
BPJS SUDAH DILAYANI 4,808,000
BPJS SUDAH DILAYANI 4,808,000
BPJS SUDAH DILAYANI 4,808,000
BPJS SUDAH DILAYANI 25000 4,833,000
BPJS SUDAH DILAYANI 4,833,000
BPJS SUDAH DILAYANI 4,833,000
BPJS SUDAH DILAYANI 4,833,000
BPJS SUDAH DILAYANI 4,833,000
BPJS SUDAH DILAYANI 4,833,000
BPJS SUDAH DILAYANI 4,833,000
BPJS SUDAH DILAYANI 19,000 4,852,000
BPJS SUDAH DILAYANI 4,852,000
BPJS SUDAH DILAYANI 4,852,000
BPJS SUDAH DILAYANI 4,852,000
BPJS SUDAH DILAYANI 4,852,000
BPJS SUDAH DILAYANI 4,852,000
BPJS SUDAH DILAYANI 4,852,000
BPJS SUDAH DILAYANI 18,000 4,870,000
BPJS SUDAH DILAYANI 25,000 4,895,000
BPJS SUDAH DILAYANI 4,895,000
BPJS SUDAH DILAYANI 4,895,000
BPJS SUDAH DILAYANI 4,895,000
BPJS SUDAH DILAYANI 4,895,000
BPJS SUDAH DILAYANI 4,895,000
BPJS SUDAH DILAYANI 4,895,000
BPJS SUDAH DILAYANI 4,895,000
BPJS SUDAH DILAYANI 25,000 4,920,000
BPJS SUDAH DILAYANI 4,920,000
BPJS SUDAH DILAYANI 4,920,000
BPJS SUDAH DILAYANI 4,920,000
BPJS SUDAH DILAYANI 4,920,000
BPJS SUDAH DILAYANI 4,920,000
BPJS SUDAH DILAYANI 4,920,000
ASKES SUDAH DILAYANI 4,920,000
BPJS SUDAH DILAYANI 4,920,000
BPJS SUDAH DILAYANI 4,920,000
BPJS SUDAH DILAYANI 4,920,000
BPJS SUDAH DILAYANI 4,920,000
BPJS SUDAH DILAYANI 4,920,000
BPJS SUDAH DILAYANI 4,920,000
BPJS SUDAH DILAYANI 4,920,000
BPJS SUDAH DILAYANI 19,000 4,939,000
BPJS SUDAH DILAYANI 4,939,000
BPJS SUDAH DILAYANI 4,939,000
BPJS SUDAH DILAYANI 4,939,000
BPJS SUDAH DILAYANI 25,000 4,964,000
BPJS SUDAH DILAYANI 4,964,000
BPJS SUDAH DILAYANI 4,964,000
UMUM/BPJSUDAH DILAYANI 4,964,000
BPJS SUDAH DILAYANI 4,964,000
BPJS SUDAH DILAYANI 25,000 4,989,000
BPJS SUDAH DILAYANI 4,989,000
BPJS SUDAH DILAYANI 4,989,000
BPJS SUDAH DILAYANI 4,989,000
ASKES SUDAH DILAYANI 4,989,000
BPJS SUDAH DILAYANI 4,989,000
BPJS SUDAH DILAYANI 4,989,000
BPJS SUDAH DILAYANI 25,000 5,014,000
BPJS SUDAH DILAYANI 5,014,000
BPJS SUDAH DILAYANI 5,014,000
BPJS SUDAH DILAYANI 5,014,000
BPJS SUDAH DILAYANI 5,014,000
BPJS SUDAH DILAYANI 5,014,000
BPJS SUDAH DILAYANI 5,014,000
BPJS SUDAH DILAYANI 5,014,000
BPJS SUDAH DILAYANI 5,014,000
BPJS SUDAH DILAYANI 5,014,000
BPJS SUDAH DILAYANI 15,000 5,029,000
BPJS SUDAH DILAYANI 5,029,000
UMUM/BPJSUDAH DILAYANI 5,029,000
BPJS SUDAH DILAYANI 5,029,000
BPJS SUDAH DILAYANI 5,029,000
BPJS SUDAH DILAYANI 5,029,000
BPJS SUDAH DILAYANI 5,029,000
BPJS SUDAH DILAYANI 5,029,000
BPJS SUDAH DILAYANI 5,029,000
BPJS SUDAH DILAYANI 5,029,000
BPJS SUDAH DILAYANI 5,029,000
UMUM/BPJSUDAH DILAYANI 5,029,000
BPJS SUDAH DILAYANI 5,029,000
BPJS SUDAH DILAYANI 20,000 5,049,000
BPJS SUDAH DILAYANI 5,049,000
BPJS SUDAH DILAYANI 5,049,000
BPJS SUDAH DILAYANI 21,000 25,000 5,095,000
BPJS SUDAH DILAYANI 5,095,000
BPJS SUDAH DILAYANI 5,095,000
BPJS SUDAH DILAYANI 5,095,000
BPJS SUDAH DILAYANI 5,095,000
BPJS SUDAH DILAYANI 5,095,000
BPJS SUDAH DILAYANI 5,095,000
BPJS SUDAH DILAYANI 5,095,000
BPJS SUDAH DILAYANI 5,095,000
BPJS SUDAH DILAYANI 5,095,000
ASKES SUDAH DILAYANI 19,000 5,114,000
ASKES SUDAH DILAYANI 23,000 5,137,000
BPJS SUDAH DILAYANI 21,000 25,000 5,183,000
BPJS SUDAH DILAYANI 5,183,000
BPJS SUDAH DILAYANI 5,183,000
BPJS SUDAH DILAYANI 5,183,000
BPJS SUDAH DILAYANI 5,183,000
BPJS SUDAH DILAYANI 5,183,000
BPJS SUDAH DILAYANI 48,000 5,231,000
BPJS SUDAH DILAYANI 5,231,000
BPJS SUDAH DILAYANI 5,231,000
BPJS SUDAH DILAYANI 5,231,000
ASKES SUDAH DILAYANI 13,000 5,244,000
BPJS SUDAH DILAYANI 36,000 5,280,000
BPJS SUDAH DILAYANI 5,280,000
BPJS SUDAH DILAYANI 5,280,000
BPJS SUDAH DILAYANI 5,280,000
BPJS SUDAH DILAYANI 5,280,000
BPJS SUDAH DILAYANI 83,000 5,363,000
BPJS SUDAH DILAYANI 5,363,000
BPJS SUDAH DILAYANI 5,363,000
BPJS SUDAH DILAYANI 5,363,000
BPJS SUDAH DILAYANI 5,363,000
BPJS SUDAH DILAYANI 5,363,000
BPJS SUDAH DILAYANI 5,363,000
BPJS SUDAH DILAYANI 5,363,000
BPJS SUDAH DILAYANI 5,363,000
BPJS SUDAH DILAYANI 5,363,000
ASKES SUDAH DILAYANI 5,363,000
BPJS SUDAH DILAYANI 5,363,000
BPJS SUDAH DILAYANI 5,363,000
BPJS SUDAH DILAYANI 5,363,000
BPJS SUDAH DILAYANI 5,363,000
BPJS SUDAH DILAYANI 5,363,000
BPJS SUDAH DILAYANI 62,000 5,425,000
BPJS SUDAH DILAYANI 5,425,000
BPJS SUDAH DILAYANI 5,425,000
BPJS SUDAH DILAYANI 5,425,000
BPJS SUDAH DILAYANI 13,000 5,438,000
BPJS SUDAH DILAYANI 25000 5,463,000
BPJS SUDAH DILAYANI 5,463,000
UMUM/BPJSUDAH DILAYANI 5,463,000
BPJS SUDAH DILAYANI 8,000 5,471,000
JAMSOSTESUDAH DILAYANI 5,471,000
BPJS SUDAH DILAYANI 57,000 5,528,000
BPJS SUDAH DILAYANI 13,000 5,541,000
UMUM/BPJSUDAH DILAYANI 5,541,000
BPJS SUDAH DILAYANI 5,541,000
ASKES SUDAH DILAYANI 5,541,000
BPJS SUDAH DILAYANI 5,541,000
BPJS SUDAH DILAYANI 5,541,000
BPJS SUDAH DILAYANI 5,541,000
BPJS SUDAH DILAYANI 5,541,000
BPJS SUDAH DILAYANI 5,541,000
BPJS SUDAH DILAYANI 5,541,000
BPJS SUDAH DILAYANI 5,541,000
BPJS SUDAH DILAYANI 5,541,000
BPJS SUDAH DILAYANI 5,541,000
BPJS SUDAH DILAYANI 5,541,000
BPJS SUDAH DILAYANI 25,000 5,566,000
BPJS SUDAH DILAYANI 5,566,000
BPJS SUDAH DILAYANI 5,566,000
BPJS SUDAH DILAYANI 5,566,000
BPJS SUDAH DILAYANI 25,000 5,591,000
BPJS SUDAH DILAYANI 5,591,000
BPJS SUDAH DILAYANI 5,591,000
BPJS SUDAH DILAYANI 5,591,000
BPJS SUDAH DILAYANI 5,591,000
BPJS SUDAH DILAYANI 5,591,000
BPJS SUDAH DILAYANI 21,000 5,612,000
BPJS SUDAH DILAYANI 5,612,000
BPJS SUDAH DILAYANI 5,612,000
BPJS SUDAH DILAYANI 5,612,000
BPJS SUDAH DILAYANI 5,612,000
BPJS SUDAH DILAYANI 5,612,000
BPJS SUDAH DILAYANI 5,612,000
BPJS SUDAH DILAYANI 5,612,000
BPJS SUDAH DILAYANI 5,612,000
BPJS SUDAH DILAYANI 5,612,000
BPJS SUDAH DILAYANI 5,612,000
BPJS SUDAH DILAYANI 5,612,000
BPJS SUDAH DILAYANI 5,612,000
BPJS SUDAH DILAYANI 5,612,000
BPJS SUDAH DILAYANI 5,612,000
BPJS SUDAH DILAYANI 5,612,000
BPJS SUDAH DILAYANI 5,612,000
BPJS SUDAH DILAYANI 5,612,000
BPJS SUDAH DILAYANI 5,612,000
BPJS SUDAH DILAYANI 5,612,000
ASKES SUDAH DILAYANI 13,000 5,625,000
BPJS SUDAH DILAYANI 5,625,000
BPJS SUDAH DILAYANI 25,000 5,650,000
BPJS SUDAH DILAYANI 5,650,000
BPJS SUDAH DILAYANI 5,650,000
BPJS SUDAH DILAYANI 5,650,000
BPJS SUDAH DILAYANI 5,650,000
BPJS SUDAH DILAYANI 19,000 5,669,000
BPJS SUDAH DILAYANI 5,669,000
BPJS SUDAH DILAYANI 5,669,000
BPJS SUDAH DILAYANI 5,669,000
BPJS SUDAH DILAYANI 30,000 5,699,000
BPJS SUDAH DILAYANI 5,699,000
BPJS SUDAH DILAYANI 5,699,000
UMUM/BPJSUDAH DILAYANI 25,000 5,724,000
BPJS SUDAH DILAYANI 5,724,000
BPJS SUDAH DILAYANI 5,724,000
BPJS SUDAH DILAYANI 5,724,000
BPJS SUDAH DILAYANI 25,000 5,749,000
BPJS SUDAH DILAYANI 5,749,000
BPJS SUDAH DILAYANI 5,749,000
BPJS SUDAH DILAYANI 5,749,000
BPJS SUDAH DILAYANI 5,749,000
BPJS SUDAH DILAYANI 5,749,000
BPJS SUDAH DILAYANI 5,749,000
UMUM/BPJSUDAH DILAYANI 46,000 5,795,000
BPJS SUDAH DILAYANI 5,795,000
BPJS SUDAH DILAYANI 5,795,000
BPJS SUDAH DILAYANI 5,795,000
BPJS SUDAH DILAYANI 5,795,000
BPJS SUDAH DILAYANI 5,795,000
BPJS SUDAH DILAYANI 5,795,000
BPJS SUDAH DILAYANI 5,795,000
BPJS SUDAH DILAYANI 21,000 5,816,000
BPJS SUDAH DILAYANI 25,000 5,841,000
BPJS SUDAH DILAYANI 5,841,000
BPJS SUDAH DILAYANI 16,000 5,857,000
BPJS SUDAH DILAYANI 5,857,000
BPJS SUDAH DILAYANI 5,857,000
BPJS SUDAH DILAYANI 5,857,000
ASKES SUDAH DILAYANI 5,857,000
BPJS SUDAH DILAYANI 5,857,000
BPJS SUDAH DILAYANI 5,857,000
BPJS SUDAH DILAYANI 5,857,000
BPJS SUDAH DILAYANI 5,857,000
BPJS SUDAH DILAYANI 5,857,000
BPJS SUDAH DILAYANI 5,857,000
BPJS SUDAH DILAYANI 5,857,000
BPJS SUDAH DILAYANI 5,857,000
UMUM/BPJSUDAH DILAYANI 5,857,000
BPJS SUDAH DILAYANI 5,857,000
ASKES SUDAH DILAYANI 5,857,000
BPJS SUDAH DILAYANI 5,857,000
BPJS SUDAH DILAYANI 5,857,000
ASKES SUDAH DILAYANI 5,857,000
ASKES SUDAH DILAYANI 5,857,000
BPJS SUDAH DILAYANI 5,857,000
ASKES SUDAH DILAYANI 5,857,000
BPJS SUDAH DILAYANI 5,857,000
BPJS SUDAH DILAYANI 13,000 5,870,000
BPJS SUDAH DILAYANI 5,870,000
BPJS SUDAH DILAYANI 5,870,000
UMUM/BPJSUDAH DILAYANI 12,000 5,882,000
BPJS SUDAH DILAYANI 5,882,000
BPJS SUDAH DILAYANI 5,882,000
BPJS SUDAH DILAYANI 5,882,000
BPJS SUDAH DILAYANI 5,882,000
BPJS SUDAH DILAYANI 5,882,000
BPJS SUDAH DILAYANI 5,882,000
BPJS SUDAH DILAYANI 5,882,000
BPJS SUDAH DILAYANI 5,882,000
BPJS SUDAH DILAYANI 5,882,000
BPJS SUDAH DILAYANI 21,000 5,903,000
BPJS SUDAH DILAYANI 5,903,000
BPJS SUDAH DILAYANI 21,000 48,000 5,972,000
BPJS SUDAH DILAYANI 5,972,000
BPJS SUDAH DILAYANI 5,972,000
BPJS SUDAH DILAYANI 5,972,000
BPJS SUDAH DILAYANI 13,000 5,985,000
BPJS SUDAH DILAYANI 5,985,000
BPJS SUDAH DILAYANI 5,985,000
BPJS SUDAH DILAYANI 70,000 6,055,000
BPJS SUDAH DILAYANI 6,055,000
BPJS SUDAH DILAYANI 6,055,000
BPJS SUDAH DILAYANI 25,000 6,080,000
BPJS SUDAH DILAYANI 6,080,000
BPJS SUDAH DILAYANI 6,080,000
BPJS SUDAH DILAYANI 6,080,000
BPJS SUDAH DILAYANI 6,080,000
BPJS SUDAH DILAYANI 6,080,000
BPJS SUDAH DILAYANI 21,000 6,101,000
BPJS SUDAH DILAYANI 6,101,000
UMUM/BPJSUDAH DILAYANI 6,101,000
BPJS SUDAH DILAYANI 6,101,000
BPJS SUDAH DILAYANI 6,101,000
BPJS SUDAH DILAYANI 6,101,000
ASKES SUDAH DILAYANI 6,101,000
BPJS SUDAH DILAYANI 6,101,000
BPJS SUDAH DILAYANI 25,000 6,126,000
BPJS SUDAH DILAYANI 6,126,000
BPJS SUDAH DILAYANI 6,126,000
BPJS SUDAH DILAYANI 6,126,000
BPJS SUDAH DILAYANI 6,126,000
BPJS SUDAH DILAYANI 25,000 6,151,000
BPJS SUDAH DILAYANI 6,151,000
BPJS SUDAH DILAYANI 6,151,000
BPJS SUDAH DILAYANI 6,151,000
BPJS SUDAH DILAYANI 6,151,000
BPJS SUDAH DILAYANI 6,151,000
BPJS SUDAH DILAYANI 6,151,000
BPJS SUDAH DILAYANI 12,000 6,163,000
BPJS SUDAH DILAYANI 6,163,000
BPJS SUDAH DILAYANI 6,163,000
BPJS SUDAH DILAYANI 25,000 6,188,000
ASKES SUDAH DILAYANI 6,188,000
ASKES SUDAH DILAYANI 6,188,000
BPJS SUDAH DILAYANI 6,188,000
BPJS SUDAH DILAYANI 6,188,000
BPJS SUDAH DILAYANI 6,188,000
BPJS SUDAH DILAYANI 6,188,000
BPJS SUDAH DILAYANI 6,188,000
BPJS SUDAH DILAYANI 6,188,000
UMUM/BPJSUDAH DILAYANI 6,188,000
BPJS SUDAH DILAYANI 62,000 6,250,000
BPJS SUDAH DILAYANI 21,000 6,271,000
BPJS SUDAH DILAYANI 63,000 6,334,000
BPJS SUDAH DILAYANI 6,334,000
BPJS SUDAH DILAYANI 6,334,000
BPJS SUDAH DILAYANI 6,334,000
BPJS SUDAH DILAYANI 6,334,000
BPJS SUDAH DILAYANI 6,334,000
BPJS SUDAH DILAYANI 6,334,000
BPJS SUDAH DILAYANI 6,334,000
BPJS SUDAH DILAYANI 6,334,000
BPJS SUDAH DILAYANI 6,334,000
BPJS SUDAH DILAYANI 6,334,000
BPJS SUDAH DILAYANI 6,334,000
ASKES SUDAH DILAYANI 6,334,000
BPJS SUDAH DILAYANI 6,334,000
BPJS SUDAH DILAYANI 6,334,000
BPJS SUDAH DILAYANI 13,000 6,347,000
BPJS SUDAH DILAYANI 6,347,000
BPJS SUDAH DILAYANI - 6,347,000
BPJS SUDAH DILAYANI 6,347,000
BPJS SUDAH DILAYANI 6,347,000
BPJS SUDAH DILAYANI 6,347,000
BPJS SUDAH DILAYANI 6,347,000
3,432,500 2,914,500
6,347,000
6,347,000
-
LAPORAN PENDAPATAN RAWAT JALAN
Periode: 01-04-2016 s/d 01-04-2016

No. RM Nama Pasien No. Apotek IGD Rawat Jala Jasa DokterDokter
I000963 IKIN TAPIATUDIN SH 9 28,200 - 15,000 - WULAN WI
A007560 ARIS AGUSTIAWAN 11 24,200 - 15,000 - WULAN WI
U001006 UDO 12 15,000 - 15,000 - WULAN WI
B000792 BETTY NAINGGOLAN 21 - - - - PERIKSA K
I000664 IPIT WIDIAWATI 23 - - - - PERIKSA K
M003060 MOCH. FAZRI AL-AWALI 25 20,200 - 15,000 - WULAN WI
P000806 PAREL MUHAMAD 26 50,000 30,000 15,000 - WULAN WI
L001254 LISNA DANIATI 28 32,300 - 15,000 - WULAN WI
N003955 NADHIRA RAMDHINI 31 34,500 - 15,000 - WULAN WI
D002595 DANI RAMDANI 32 11,000 - 15,000 - WULAN WI
R000948 RICKI NURSYARIFUDIN 34 25,000 - 15,000 - WULAN WI
A000370 ARSYA ADITYA NURWANSYAH 37 37,600 - 15,000 - WULAN WI
N000894 NONOH HARYATI 38 15,950 - 11,000 4,000 WULAN WI
E002719 EMUD SOBANA 39 - - 15,000 - WULAN WI
E003466 ELIS YULIANA SRIWULANDARI 40 25,200 - 15,000 - WULAN WI
N003956 NAZWA SAFIRA 41 29,400 - 15,000 - WULAN WI
D002073 DESTA HARYANTO 42 21,000 - 15,000 - WULAN WI
E002516 ENIH YUNINGSIH 43 22,900 - 15,000 - WULAN WI
D002912 DADAY JUBAEDAH 45 24,900 - 15,000 - WULAN WI
M005013 MUHAMMAD SYATIBI 48 32,500 - 15,000 - WULAN WI
B000706 BAGUS TRI PRASETYO 53 12,200 - 15,000 - WULAN WI
T001779 TUTI MULYATI 55 15,200 - 15,000 - WULAN WI
E003651 EDI SUTISNA 57 14,000 - 15,000 - WULAN WI
S005557 SYAHLA NURFADILAH MP 58 29,100 - 15,000 - WULAN WI
T001820 TITI RUKMINI 59 - - 15,000 - WULAN WI
L000288 LASIDI 62 43,000 45,000 15,000 - WULAN WI
A009581 ASEP ARYADI 63 22,400 - 15,000 - WULAN WI
N003695 NUR ANALIS 64 - - 15,000 - WULAN WI
R005318 RIJKI MOHAMAD NURDIN 65 21,300 - 15,000 - WULAN WI
I003605 INA MARLINA 69 - - - - PERIKSA K
S005531 SABAR GARINDA ODANG 71 16,000 35,000 15,000 - WULAN WI
Y000711 YOPI KUSTIAWAN 74 34,000 45,000 15,000 - WULAN WI
F001906 FATIH MUHAMMAD NURHAKIM 75 20,400 - 15,000 - WULAN WI
S003391 SUTARNI 76 13,200 - 15,000 - WULAN WI
Y001122 YAYAN SOPYAN 78 32,000 - 15,000 - WULAN WI
S004603 SITI LINAWATI 87 25,000 - 15,000 - ANDI HER
H001855 HOLIS 88 50,000 - 15,000 - ANDI HER
S005312 SAHRUL AKBAR 91 - - 15,000 - ANDI HER
E000932 ELEN MARY R 92 32,000 - 15,000 - ANDI HER
S005559 SHUHAIL KAUTHAR 93 21,000 - 15,000 - ANDI HER
A004932 ADELLA PRATHAMA 94 35,000 - 15,000 - ANDI HER
D000818 DARISYANDI 95 71,000 - 15,000 - ANDI HER
W001069 WINDA LAELASARI 98 38,000 - 15,000 - ANDI HER
E003647 ENDANG MASHUDI,DRS 100 26,000 - 15,000 - ANDI HER
H000233 HENDRA GUNARAH S 103 89,000 - 15,000 - ANDI HER
A009007 AIN WAHYATIN 112 44,000 - 15,000 - ANDI HER
F001389 FIRLA WAFALI JANEETA JINAN 113 41,000 - 15,000 - ANDI HER
F001897 FATIH IHSAN AL-FARUQ 121 15,000 - 5,000 - ANDI HER
D001666 DEDI WIHARJA 131 25,500 - 5,000 - H. THIA SI

LAPORAN PENDAPATAN RAWAT JALAN


Periode: 02-04-2016 s/d 02-04-2016

No. RM Nama Pasien No. Apotek IGD Rawat Jala Jasa DokterDokter
I003537 IRMA RISMIYANTI 5 26,000 - 15,000 - WULAN WI
Z000639 ZIRAN PATRIYASA RAMDHAN 6 19,000 - 15,000 - WULAN WI
H001730 HILAL MAKARIM 8 24,000 - 15,000 - WULAN WI
A009584 ANANDA ATHAR YUDISTIRA 9 21,000 - 15,000 - WULAN WI
A004584 ALFIANSYAH MIROJ FATAHILLAH 11 24,000 - 15,000 - WULAN WI
T000162 TINI SUMARTINI 12 - - 15,000 - WULAN WI
M001801 MULYANA 14 20,000 - 15,000 - WULAN WI
E003686 ENOK 15 87,000 - 15,000 - WULAN WI
M003948 MUHAMMAD SIDIK KAMALUDIN 16 23,000 - 15,000 - WULAN WI
A008828 ALBY AZZAKY IGUSTI 17 104,000 - 15,000 - WULAN WI
N003469 NAUFAL SATRIA LUTHFI NURAHMA 18 72,000 35,000 15,000 - WULAN WI
S003729 SAMSUDIN, H 19 10,000 - 15,000 - WULAN WI
H001527 HAEROJI 21 36,000 - 15,000 - WULAN WI
S004841 SITI JENAB 29 - - - - PERIKSA K
I002809 IIS AISYAH 31 33,000 - 15,000 - WULAN WI
S003939 SINTA CAHYA DEWI 42 21,000 - 15,000 - WULAN WI
I000818 IMAS NURHAEDAROH 44 15,000 - 15,000 - WULAN WI
S003255 SARI NUR AZIZI 45 21,000 - 15,000 - WULAN WI
A008897 ASTRI LESTARI 48 - - - - PERIKSA K
A002459 ABAY NURJAMIL 49 - - 15,000 - WULAN WI
D002714 DEDEN DARWAN 50 35,000 - 15,000 - WULAN WI
N003634 NUR KAAFA RAFIANA 52 23,000 - 15,000 - WULAN WI
K000595 KUSUMAWARDHANI AFANDI 53 - - - - PERIKSA K
H001320 HAMZAH ALIYUMAR 55 17,000 - 15,000 - WULAN WI
S004702 SYAFIQ ASSYAUQIEQ 58 27,000 - 15,000 - WULAN WI
S004703 SABIQ EL FATHIN 59 19,000 - 15,000 - WULAN WI
S000330 SRI NURBAETI 64 31,000 - 5,000 - WULAN WI
N002456 NUNUNG LATIPAH 67 22,000 - 15,000 - WULAN WI
K001182 KHASYI FARZANA PUTRA 70 80,000 - 15,000 - WULAN WI
D003902 DIKY SODIKIN ISKANDAR 71 19,000 - - - CEK LAB SA
M003030 M FAHMI KAYZAN RAMDHANI 74 9,000 - 15,000 - WULAN WI
T001203 TUTI SULASTRI 75 15,000 - 15,000 - WULAN WI
P000656 PAJAR CAHYADI 79 8,000 - 15,000 - WULAN WI
Y000878 YULI NURWANTO, SE 81 20,000 - 15,000 - WULAN WI
W000351 WITA PUSPITASARI 84 14,000 - 15,000 - WULAN WI
M000049 M AKHZAB AGUNG PAMUNGKAS 87 58,000 - 15,000 - WULAN WI
Y000479 YATI ROHMAYATI 89 26,000 - 15,000 - WULAN WI
A006017 ALFATH NATHAN AKAWA 91 17,100 - 15,000 - WULAN WI
E003402 ERUM RUMYATI 92 15,000 - 15,000 - WULAN WI
O000684 OPAN SOPANDI 93 22,000 - 15,000 - WULAN WI
S002072 SRIYANI 96 16,000 - 15,000 - WULAN WI
S005461 SRI KOMARA WATI 97 23,600 - 15,000 - WULAN WI
K001207 KIKI PUSPITASARI 98 30,900 - 15,000 - WULAN WI
D003636 DAFFA PRAJA ISMAIL ALFARIZKI 99 26,600 - 15,000 - WULAN WI
J000881 JENAB GARNINGSIH 105 46,100 - 15,000 - NOVI YULIA
A006013 AGUS SUWARMAN 108 37,500 - 15,000 - NOVI YULIA
Z000644 ZIKRIE YAZIED BARRA KISWANTO 109 44,600 - 15,000 - NOVI YULIA
B000780 BAGJA REZA NURZAMAN 116 34,100 - 15,000 - NOVI YULIA
H001243 HAWINA 120 41,800 - 15,000 - NOVI YULIA
H001830 HANA WULANDARI 124 - - - - PERIKSA K
S001829 SUHERMAN, H 127 38,000 40,000 15,000 - NOVI YULIA
N002726 NURWAHIDAH 130 18,000 40,000 15,000 - NOVI YULIA
A007605 AHMAD SHOHIB 131 17,400 - 15,000 - NOVI YULIA

LAPORAN PENDAPATAN RAWAT JALAN


Periode: 03-04-2016 s/d 03-04-2016

No. RM Nama Pasien No. Apotek IGD Rawat Jala Jasa DokterDokter
A006666 ATI RIDOWATI 42 16,400 - 15,000 - H. ASEP S
A008148 ALVIN MOCHAMAD ERSYAH 53 16,500 - 5,000 - H. ASEP S
D003240 DANI RAMADHAN 55 19,400 - 5,000 - H. ASEP S
A001646 AJENG DANUR FAIDAH R 66 20,000 - 5,000 - DETY NUR

LAPORAN PENDAPATAN RAWAT JALAN


Periode: 04-04-2016 s/d 04-04-2016

No. RM Nama Pasien No. Apotek IGD Rawat Jala Jasa DokterDokter
T000753 TAPIP APIPI 5 30,400 - 15,000 - NOVI YULIA
I002350 IYAM SITI MARIAM 6 41,900 - 15,000 - NOVI YULIA
R002585 RIVALDY NAUFAL 8 - - 15,000 - NOVI YULIA
S005379 SITI FATIMAH PUTRI PERMANA 10 22,800 - 15,000 - NOVI YULIA
W000787 WAHYU 12 18,000 - 15,000 - NOVI YULIA
D000368 DENA SUTISNA 13 40,000 - 15,000 - NOVI YULIA
T001571 TATI HARTATI 15 34,700 - 15,000 - NOVI YULIA
S003946 SITI FATIMAH AZAHRA 17 29,000 - 15,000 - NOVI YULIA
S002875 SAEPUL UYUN 21 - - - - CEK LAB SA
R005329 RESTI APRILIYANTI 22 23,000 - 15,000 - NOVI YULIA
A001741 ANTON RAKA KUSWARA 23 37,500 - 15,000 - NOVI YULIA
E003577 ENDAH GARULITA 24 30,000 - 15,000 - NOVI YULIA
A003426 AZIZAH MAULADIFA RAHAYU 26 33,000 - 15,000 - NOVI YULIA
E002574 EMIRAH 27 16,500 - 15,000 - NOVI YULIA
R005225 RISKA HAYATI 28 36,000 - 15,000 - NOVI YULIA
R003683 RAISA SAKILA H 29 28,100 - 15,000 - NOVI YULIA
F001735 FAJAR RADITYA FIRMANSYAH 30 28,100 - 15,000 - NOVI YULIA
A007572 ANEUKEU ANDRIANI 31 28,100 - 15,000 - NOVI YULIA
F001876 FIRMAN JAELANI 32 39,500 - 15,000 - NOVI YULIA
N002815 NAJILAH 33 29,200 - 15,000 - NOVI YULIA
A009335 ALINDA NUR AGNIA SALAM 38 28,000 - 15,000 - NOVI YULIA
R004728 ROROY ROHAYATI 39 24,400 - 15,000 - NOVI YULIA
T001517 TJATJIH 40 30,500 - 15,000 - NOVI YULIA
M000112 MAMAH 42 29,000 - 15,000 - NOVI YULIA
S005457 SITI HALIMAH MARYATI 43 23,500 - 15,000 - NOVI YULIA
S004063 SYIFA NURSAFITRI 44 4,500 - 15,000 - NOVI YULIA
S004079 SITI SOLIHAH 45 12,200 - 15,000 - NOVI YULIA
R000137 RABNI TSANIA MAULIDNA 47 36,500 - 15,000 - NOVI YULIA
T001936 TONI SANTONI 48 12,200 - 15,000 - NOVI YULIA
A002603 ANGGA DESIANTO 49 33,000 - 15,000 - NOVI YULIA
H001243 HAWINA 50 15,000 - 15,000 - NOVI YULIA
U000716 UU SUYUD 51 16,000 - 15,000 - NOVI YULIA
A007495 ASEP RUSYANDI 59 23,000 - 23,000 - NOVI YULIA
T001858 TITA HARYATI 60 21,500 - 15,000 - NOVI YULIA
I001771 IJANG NASUTION 68 32,000 - 15,000 - NOVI YULIA
E002730 EKA WISNU 69 30,000 - 15,000 - NOVI YULIA
L000999 LILIS 70 33,400 - 15,000 - NOVI YULIA
D001472 DENDI AHMAD DANI 71 7,000 - 15,000 - NOVI YULIA
S004186 SITI MAEMUNAH 74 40,400 - 15,000 - NOVI YULIA
F001857 FITRI WULANSARI 77 20,000 - 15,000 - NOVI YULIA
H001320 HAMZAH ALIYUMAR 79 41,000 - 15,000 - NOVI YULIA
I003246 IFFATUL AZIZA 80 28,000 - 15,000 - NOVI YULIA
E003154 ECIN 85 - - 15,000 - NOVI YULIA
D000634 DANI HAMDANI 86 17,000 - 15,000 - NOVI YULIA
D003636 DAFFA PRAJA ISMAIL ALFARIZKI 93 7,300 - 5,000 - NOVI YULIA
M004717 MUHAMMAD ABDUL AZIZ PERMAD 94 23,400 - 15,000 - H. THIA SI
I003147 ISAH 96 17,800 - 15,000 - H. THIA SI
A008080 ADI MUSLIM 98 35,000 - 15,000 - H. THIA SI
N001537 NASYATH MA 99 34,500 - 15,000 - H. THIA SI
A009598 ASEP IQMAN BUDIMAN 103 20,600 - 15,000 - ANDI HER
A009581 ASEP ARYADI 105 - - 15,000 - ANDI HER
Y002039ASYANGYANG EGA SEMILAM 108 27,600 - 15,000 - ANDI HER
R004826 RAHMA AGUSTINA NURYADI 109 8,700 - 15,000 - ANDI HER
M003860 MOCH FAHRIZAL RISWANDI 110 35,300 - 15,000 - ANDI HER
E002774 E. SUMINAR 111 36,500 - 15,000 - ANDI HER
S004260 SANTI SINTAWATI 112 19,900 - 15,000 - ANDI HER
Z000579 ZAIN NATHAN PUTRANTO 118 29,000 - 15,000 - ANDI HER
F002167 FITRI 119 12,900 - 15,000 - ANDI HER
A009599 ANGGI AGUSTIAN 126 37,000 - 15,000 - ANDI HER
R000513 RAHMI FADLILLAH 127 40,000 - 15,000 - ANDI HER
D003739 DEWI YULIANTI 128 18,000 - 15,000 - ANDI HER
A008876 AI SOLIHAT 129 27,000 - 15,000 - ANDI HER
H001853 HERAWANTI 130 57,000 - 15,000 - ANDI HER
R005155 RAYHAN MUHAMAD IQBAL 133 16,000 - 15,000 - ANDI HER
A009239 ANI SURYANI 134 16,000 - 15,000 - ANDI HER
H002112 HILMAN ARIFIN 135 64,000 - 15,000 - ANDI HER
M004473 MIA KUSMIATI 136 - - 15,000 - ANDI HER
M005105 MOCH ARIL HASBI 137 26,000 - 15,000 - ANDI HER
E003695 ETI KARWATI 139 14,000 - 15,000 - ANDI HER
S004652 SITI ROHMAH 141 17,000 - 15,000 - ANDI HER
S004220 SASA SARIPUDIN 142 25,000 - 15,000 - ANDI HER
S004595 SHOFI APRILIAN SARIPUDIN 143 35,000 - 15,000 - ANDI HER
M003495 MELY YULIANA 148 22,000 - 15,000 - ANDI HER
D000895 DUDI MULYADI 152 21,000 - 15,000 - ANDI HER
LAPORAN PENDAPATAN RAWAT JALAN
Periode: 05-04-2016 s/d 05-04-2016

No. RM Nama Pasien No. Apotek IGD Rawat Jala Jasa DokterDokter
R003788 RINA SETIANI 1 30,000 - 15,000 - H. ASEP
I002378 IRMA MULYANI 3 15,100 - 15,000 - WULAN WI
C000277 CUCU LAKSANA 5 - - 15,000 - H. ASEP
A003811 AHMAD NASIR 7 16,500 - 15,000 - WULAN WI
M005108 M. FARHAN FADHILAH 8 20,900 - 15,000 - WULAN WI
O000006 OOM KOMARIAH 11 21,000 - 15,000 - WULAN WI
M005109 MUGNI MASMITA 16 23,750 - 15,000 - WULAN WI
S000800 SARAH HAPSARI 18 23,200 - 15,000 - WULAN WI
N002331 NONENG 21 20,000 - 15,000 - WULAN WI
G000650 GIA GEMILINA 22 31,400 - 15,000 - WULAN WI
R003657 RIDWAN NURHIDAYAT 24 27,000 - 15,000 - WULAN WI
N003246 NENDI 25 28,600 - 15,000 - WULAN WI
K001105 KHAIRIN HANINDA AULIA 28 21,450 - 15,000 - WULAN WI
D002912 DADAY JUBAEDAH 29 23,400 - 15,000 - WULAN WI
S005573 SANTI HARDIANTI 32 16,950 - 15,000 - WULAN WI
A009169 ANI MULYANI 33 - - - - PERIKSA K
I002948 IRA SUSILAWATI 34 12,250 - 15,000 - WULAN WI
M004896 MUHAMMAD KHAIZURAN 35 21,000 - 15,000 - WULAN WI
E003536 EUIS NURJANAH 36 12,750 - 15,000 - WULAN WI
M004465 MARYATI 38 24,400 - 15,000 - WULAN WI
A009417 ARIA RAHMAN 39 14,700 - 15,000 - WULAN WI
D003046 DETTY SUMIATI,HJ,IR 40 24,500 - 15,000 - WULAN WI
F000562 FAUZAN ABQARI SYAUQI 44 20,100 - 15,000 - WULAN WI
Z000184 ZIDAN AKRAM Z 45 16,000 - 15,000 - WULAN WI
Y002251 YOLANDA MEGA YUNIAR 46 17,600 - 15,000 - WULAN WI
A009601 ASEP MIFTAHUL HAYAT 48 24,000 - 15,000 - WULAN WI
N003240 NAURA HASNA ANNINDAA 50 34,000 - 15,000 - WULAN WI
N001760 NOLIS HARYANI, S.PD 58 26,250 - 15,000 - WULAN WI
S005329 SUHERMAN 59 17,950 - 15,000 - WULAN WI
A008807 AI PURNAMA SARI 60 19,600 - 15,000 - WULAN WI
W000899 WIWIN MARYANA,HJ 62 19,600 - 15,000 - WULAN WI
A007961 ATANG FATAH, H. DRS 63 20,700 - 15,000 - WULAN WI
A004837 ADITYA SANA FUTRA 67 16,400 - 15,000 - WULAN WI
N001759 NISA SAHARA 73 15,000 - 15,000 - WULAN WI
M004956 MUHAMAD RIZAL AGUSTIAN 75 43,000 - 15,000 - WULAN WI
F002099 FAZA FAUZAN FAQIHUDDIN 76 35,600 - 15,000 - WULAN WI
C000148 CECEP YUDI BUDIMAN 79 25,000 - 15,000 - WULAN WI
A008754 ADITYA DIVA PUTRA PRATAMA 80 25,000 40,000 15,000 - WULAN WI
A004500 AMINAH 85 23,100 - 15,000 - WULAN WI
N003609 N OTIH SUMIATI,S.AG 86 34,900 - 15,000 - WULAN WI
O000589 OHAR.H 87 26,600 - 15,000 - WULAN WI
S005392 SARI YULIANTI 88 33,400 - 15,000 - WULAN WI
C000597 CUCUM SUMARYATI 90 19,700 - 15,000 - NOVI YULIA
N003944 NADHIFA ELZALORA 92 16,000 65,000 15,000 - NOVI YULIA
D003491 DINAR KARTINI 93 - - - - PERIKSA K
M003074 MUHAMMAD NAFIS JATNIKA 95 30,900 - 15,000 - NOVI YULIA
N000696 NURI ARIPIN 96 8,200 - 15,000 - NOVI YULIA
M004280 MOHAMAD SUNGKAWA 100 25,600 - 15,000 - NOVI YULIA
M004910 MUHAMMAD AL RASYID 104 33,300 - 15,000 - NOVI YULIA
W000827 WIDANINGSIH 105 23,400 - 15,000 - NOVI YULIA
S001829 SUHERMAN, H 106 6,700 - 15,000 - NOVI YULIA
A006681 ASEP SAEPUDIN 108 44,000 - 15,000 - NOVI YULIA
K001207 KIKI PUSPITASARI 111 21,600 - 15,000 - NOVI YULIA
T000727 TUTRI HANDAYANI 114 29,600 - 15,000 - NOVI YULIA
I003660 IMAM FAJAR RAMADHAN 115 28,600 - 15,000 - NOVI YULIA
A001212 ANDHITA JUWITA SARI 116 28,100 - 15,000 - NOVI YULIA
P000681 PADRIKA AHMAD ALANSYAH 117 16,000 - 15,000 - NOVI YULIA
R001301 RINEU TUSANTI 118 27,100 - 15,000 - NOVI YULIA
W000845 WAWAN 119 18,200 - 15,000 - NOVI YULIA
D003909 DEDI NURJAMAN 121 34,800 - 15,000 - NOVI YULIA
C000613 CICAH CAHYATI 122 25,400 - 15,000 - NOVI YULIA
R005140 RISA RISMAWANTI 125 19,600 - 15,000 - NOVI YULIA
M005110 MUHAMMAD SYAHRUL MAUDI 126 37,100 - 15,000 - NOVI YULIA
I000724 IKEU NURJANAH 127 25,700 - 15,000 - NOVI YULIA
L000568 LORENZA FEBRIAN 129 21,900 - 15,000 - NOVI YULIA
Y001492 YULIARTI ANTIKA 131 38,000 - 5,000 - ENCEP SU
N000933 NESYA YULISTIAN DINI 137 13,500 - 5,000 - ENCEP SU

LAPORAN PENDAPATAN RAWAT JALAN


Periode: 06-04-2016 s/d 06-04-2016

No. RM Nama Pasien No. Apotek IGD Rawat Jala Jasa DokterDokter
S003348 SRI HARTATI 3 25,600 - 15,000 - ENCEP SU
D003240 DANI RAMADHAN 4 15,900 - 15,000 - ENCEP SU
D001350 DIAN NURDIANA 6 16,150 - 15,000 - NOVI YULIA
V000247 VIRLA FIRSILIA AFRIANTI 7 29,900 - 15,000 - NOVI YULIA
N003944 NADHIFA ELZALORA 12 7,000 40,000 15,000 - NOVI YULIA
R003683 RAISA SAKILA H 14 35,100 - 15,000 - NOVI YULIA
I003381 IMAS SITI HINDUN 17 11,000 - 15,000 - NOVI YULIA
Y000477 YOYO SAEPUDIN 18 17,500 - 15,000 - NOVI YULIA
F001228 FIKRI ABRAR ABDURRASYID 19 26,800 - 15,000 - NOVI YULIA
H001349 HAIKAL RIZARIYADI 23 34,600 - 15,000 - NOVI YULIA
A002364 ASEP DUDI 24 15,000 - 15,000 - NOVI YULIA
H000657 HARIS ISKANDAR 25 18,000 - 15,000 - NOVI YULIA
D003024 DEA KARYAWATI 27 24,000 - 15,000 - NOVI YULIA
O000468 OO SANTONI 28 27,500 - 15,000 - NOVI YULIA
Y000797 YETI NURHAYATI 29 34,000 - 15,000 - NOVI YULIA
W000412 WAWANG NAWANGSIH 30 23,000 - 15,000 - NOVI YULIA
E003647 ENDANG MASHUDI,DRS 33 29,900 - 15,000 - NOVI YULIA
I002527 IDRIS ILHAM 36 33,100 - 15,000 - NOVI YULIA
W001090 WIWIT SARTIKA 37 - - 15,000 - NOVI YULIA
L000672 LINDA DEWI 40 35,800 - 15,000 - NOVI YULIA
L000130 LILIS SURYANI 41 35,200 - 15,000 - NOVI YULIA
A007557 AFIFAH YUMNA KOESTOMI 47 27,000 - 15,000 - NOVI YULIA
D003902 DIKY SODIKIN ISKANDAR 48 11,750 - 15,000 - NOVI YULIA
S004193 SRI RAHAYU KUSMINATI 49 27,000 - 15,000 - PERIKSA K
E003463 ERYANTO 52 31,000 - 15,000 - NOVI YULIA
K001347 KAYLA LUTHFIYYAH 55 24,000 - 15,000 - NOVI YULIA
M005113 MUSLIM FAUZI S 56 20,000 155,000 15,000 - NOVI YULIA
H001435 HERDY AULIA SYAKIB 57 72,900 - 15,000 - NOVI YULIA
A002324 ALEN AMELIA 58 11,800 - 5,000 - NOVI YULIA
N003913 NATHAN NIYAS SABQIE 65 19,000 - 15,000 - WULAN WI
U000436 UUS RUSLI 66 19,000 - 15,000 - WULAN WI
E000752 ESA MEILANI SUNDARI 67 15,000 - 5,000 - WULAN WI
A000525 AI SAIDAH 68 15,000 - 15,000 - WULAN WI
N003313 NINA YUNIAWATI 69 23,000 - 15,000 - WULAN WI
K001384 KHOIRUL NIZAM GHAIZAAL GHIFAR 73 34,000 - 15,000 - WULAN WI
D002880 DZIKRA TANZIL SYIFA 74 34,000 - 15,000 - WULAN WI
R003822 RUSTIAWATI KUSUMAH 77 42,000 - 15,000 - WULAN WI
I003606 IIS KHODIJAH 79 16,000 - 15,000 - WULAN WI
A009564 AHMAD SOLEH 80 12,000 - 15,000 - WULAN WI
R003788 RINA SETIANI 82 28,000 - 15,000 - WULAN WI
D003739 DEWI YULIANTI 85 21,000 - 15,000 - WULAN WI
N003555 NENENG SUMARNI 86 14,000 - 15,000 - WULAN WI
E001723 ELIS KURNIATI 87 33,000 - 5,000 - WULAN WI
S002030 SENO MULYA WIJAYA, RD 89 27,000 - 15,000 - WULAN WI
S001103 SURYANI PANCAWATI 90 17,000 - 15,000 - WULAN WI
N002726 NURWAHIDAH 91 8,000 40,000 15,000 - WULAN WI
W000850 WINA AGUSTIANI 92 37,000 - 15,000 - WULAN WI
W000287 WINI LESTARI 94 16,000 - 15,000 - WULAN WI
W001117 WIRANTIWI AGUSTINA 95 - - - - PERIKSA K
W000214 WIWIN W 96 24,000 - 15,000 - WULAN WI
S004891 SHIFA UMMU SALAMAH 100 28,000 - 15,000 - WULAN WI
R003879 RIAN BAELAWI 102 22,000 - 15,000 - WULAN WI
E003068 ENDE YENI 104 - - 15,000 - WULAN WI
R005168 RIPAL RIJALUL WAHID 106 30,000 - 15,000 - WULAN WI
I002537 IYAY RAHAYU 107 17,000 - 15,000 - WULAN WI
A008917 AIDIL PUTRA 108 24,000 - 15,000 - WULAN WI
R005334 RIMA FEBRIANI 109 31,000 - 15,000 - WULAN WI
A009611 ASEP SUHENDAR 110 6,000 - 15,000 - WULAN WI
C000349 CECEP DIDIN 111 14,000 - 15,000 - WULAN WI
Y001351 YOSI DAMAYANTI 112 15,000 - 15,000 - WULAN WI
D003636 DAFFA PRAJA ISMAIL ALFARIZKI 117 9,000 - 5,000 - WULAN WI
S005170 SRI RAHAYU 118 - - - - PERIKSA K
A008457 AGUS PURWANTO, SH 120 7,000 - 15,000 - WULAN WI
S003826 SADIAH 121 24,000 - 15,000 - WULAN WI
C000697 CECEP SAEPUL HUDA 122 18,000 - 15,000 - WULAN WI
S000624 SITI ROHIMAH 123 25,000 - 15,000 - WULAN WI
K001182 KHASYI FARZANA PUTRA 125 66,000 - 15,000 - WULAN WI
T001785 TASEM 126 29,000 - 15,000 - WULAN WI
D003911 DENISHA LUTFIYAH HERMAWAN 127 22,000 - 15,000 - WULAN WI

LAPORAN PENDAPATAN RAWAT JALAN


Periode: 07-04-2016 s/d 07-04-2016

No. RM Nama Pasien No. Apotek IGD Rawat Jala Jasa DokterDokter
Z000428 ZEIN AFKAR WIRANATA 3 31,800 - 15,000 - NOVI YULIA
F001939 FENY FEBRIANY R,S.PD 4 30,000 - 15,000 - NOVI YULIA
W000613 WAWA SUSILAWATI 5 17,200 - 11,000 4,000 NOVI YULIA
R004137 RAHMAT SUKMANA 9 - - 15,000 - NOVI YULIA
D003913 DEDE HARYATI 10 38,200 - 15,000 - NOVI YULIA
Y001708 YAYAT RANA HERDIANA 12 9,000 - 15,000 - NOVI YULIA
I000520 IJAH KHADIJAH, HJ 14 28,500 - 15,000 - NOVI YULIA
A008148 ALVIN MOCHAMAD ERSYAH 16 32,000 - 5,000 - NOVI YULIA
D001022 DUDUNG MAULUDIN 17 15,200 - 15,000 - NOVI YULIA
A003224 ALDI PANCA MAULANA 18 28,100 - 15,000 - NOVI YULIA
K000024 KINARA AL MAIDAH 20 28,100 - 15,000 - NOVI YULIA
R003671 RIZKA SITI RAHMAWATI 21 38,200 - 15,000 - NOVI YULIA
S000676 SURYATI 22 34,100 - 15,000 - NOVI YULIA
F002183 FITRI AYU MILASARI 23 34,400 - 15,000 - NOVI YULIA
S002334 SAEFULLOH 24 20,500 - 15,000 - NOVI YULIA
S001612 SUPARDI 25 10,000 - 15,000 - NOVI YULIA
S004703 SABIQ EL FATHIN 30 36,000 - 15,000 - NOVI YULIA
S004702 SYAFIQ ASSYAUQIEQ 31 46,600 - 15,000 - NOVI YULIA
A006083 ADE SUHERMAN 34 25,600 - 15,000 - NOVI YULIA
S002581 SONYA GARTIKA 35 19,600 - 15,000 - NOVI YULIA
M004975 MOH GALIH GHIFARI 38 35,100 - 15,000 - NOVI YULIA
M005116 MOCH GILANG NURZAMAN 39 31,400 - 15,000 - NOVI YULIA
N003428 NOVI HODIJAH 40 10,600 - 15,000 - NOVI YULIA
S004075 SITI AMINAH 41 16,000 - 15,000 - NOVI YULIA
I002733 INTAN BELINA 42 12,750 - 15,000 - NOVI YULIA
D001027 DJUNAEDI 49 29,500 - 15,000 - NOVI YULIA
W001101 WENI ASRINI AULIA 54 27,150 - 15,000 - NOVI YULIA
F000756 FITRI APRIANI 55 16,500 - 15,000 - NOVI YULIA
N003234 NELI IBRAHIM, S.PD 56 22,550 - 15,000 - NOVI YULIA
G000336 GEA NURHIDAYAH 59 28,100 - 11,000 4,000 NOVI YULIA
I003661 IMAN MUNANDAR 63 - - 15,000 - NOVI YULIA
M003933 MUJAHID ALFARIZI 67 28,000 - 15,000 - H. ASEP
A003358 ALYA NURAINI 68 20,000 - 15,000 - H. ASEP
S001101 SHOPA MARWAH 71 31,000 - 15,000 - H. ASEP
E003696 EVI AAM MARLINA 72 14,000 - 15,000 - H. ASEP
A006858 ASTRIANTIKA NUR OCTARESA 73 - - - - PERIKSA K
Q000053 QIRENA JULIA HAFIZ 75 32,000 - 15,000 - H. ASEP
S004832 SUKIRMAN TOHA SENJAYA 76 33,000 - 15,000 - H. ASEP
N002689 NINDYA FARANISA AZNI 77 20,000 - 15,000 - H. ASEP
B000782 BURHAN NURDIN 78 24,000 - 15,000 - H. ASEP
S004220 SASA SARIPUDIN 88 34,000 - 15,000 - H. ASEP
S004595 SHOFI APRILIAN SARIPUDIN 89 24,000 - 15,000 - H. ASEP
H001990 HANA NUR PAJRIAH 90 24,000 - 15,000 - H. ASEP
N003947 NAZWA KHAERANI ZAKARIA 92 22,000 - 15,000 - H. ASEP
D003097 DIMAS PERMADI 93 35,000 - 15,000 - H. ASEP
R003370 RUHIYATI 94 23,000 - 15,000 - H. ASEP
S005044 SELOMITAH NURFIDIANTI 95 28,000 - 15,000 - H. ASEP
N000928 NURAENI 96 19,000 - 15,000 - H. ASEP
I003382 IBNU KAHFI HILMAN 97 26,000 - 15,000 - H. ASEP
N003188 NURHAYATI 98 23,000 - 15,000 - H. ASEP
N003406 NURHAYATI 100 23,000 - 15,000 - H. ASEP
Z000651 ZAIDAN HUSNI MUZAQI 102 24,000 - 15,000 - H. ASEP
H001320 HAMZAH ALIYUMAR 103 23,000 - 15,000 - H. ASEP
M002990 MIMIK WATIMAH 105 42,000 - 15,000 - H. ASEP
Y001642 YUSUP HENDI 106 22,000 - 15,000 - H. ASEP
R000587 RESI RUSTIANI 107 - - 15,000 - H. ASEP
A003080 ACENG ROHMAN 112 24,000 55,000 15,000 - H. ASEP
G000694 GINA SONYA 114 23,000 - 15,000 - H. ASEP
R005315 RISWANDI 117 31,000 - 15,000 - H. ASEP
N003970 NURLINA 118 24,000 - 15,000 - H. ASEP
D002112 DARA ISTIQOMAH 119 25,000 - 15,000 - H. ASEP
H001548 HERAWATI 120 20,000 - 15,000 - H. ASEP
A009621 ANGGUN NATA UTAMI RAHMAN 121 20,000 - 15,000 - H. ASEP
I002064 ITANG SUDRAJAT 123 29,000 - 15,000 - H. ASEP
F001735 FAJAR RADITYA FIRMANSYAH 125 28,000 - 15,000 - H. ASEP
N001759 NISA SAHARA 128 - - 15,000 - H. ASEP

LAPORAN PENDAPATAN RAWAT JALAN


Periode: 08-04-2016 s/d 08-04-2016

No. RM Nama Pasien No. Apotek IGD Rawat Jala Jasa DokterDokter
A009043 ADE KOMARUDIN 2 38,000 - 15,000 - WULAN WI
R004537 RAZKA MUHAMMAD HISHAM 6 23,000 - 15,000 - WULAN WI
L000709 LIA NURYANI 7 25,000 - 15,000 - WULAN WI
M004044 MOCH IQBAL IKLASHUL AMIL 11 42,000 - 15,000 - WULAN WI
N003535 NAHARA NURUL MAULIDDINA 12 32,000 - 15,000 - WULAN WI
S005023 SUDENG IBRACHIM 13 15,000 - 15,000 - WULAN WI
T001863 TINI SURTINI 15 13,000 - 15,000 - WULAN WI
R001191 RIZQYLILLAH ABDUROCHIM 16 16,000 - 15,000 - WULAN WI
P000792 PIPIT NURDIANA 17 26,000 - 15,000 - WULAN WI
P000708 PIRMAN NURHASBY MAULANA 19 29,000 - 15,000 - WULAN WI
A002324 ALEN AMELIA 20 38,000 - 15,000 - WULAN WI
K000091 KULSUM RAHMI HAFID, S.PD 22 13,000 - 15,000 - WULAN WI
H001462 HAYKAL RIZKI 23 19,000 - 15,000 - WULAN WI
M004214 MARYANI 24 28,000 - 15,000 - WULAN WI
T001803 TITA LISNAWATI 25 31,000 - 15,000 - WULAN WI
R004353 RUKHYANTI SUMANTIKA 27 26,000 - 15,000 - WULAN WI
A007645 ASEP RIYADHUDDIN 28 - - 15,000 - WULAN WI
S005580 SITI NURHAYATI 30 18,000 - 15,000 - WULAN WI
N003568 NABILA INDAH ODELIA 32 27,000 - 15,000 - WULAN WI
A003326 ASEP SUPRIATNA 33 25,000 - 15,000 - WULAN WI
F002184 FITRIANI 34 17,000 - 15,000 - WULAN WI
Y001591 YADI SUPRIADI 35 25,000 - 15,000 - WULAN WI
D001472 DENDI AHMAD DANI 36 27,000 65,000 15,000 - WULAN WI
E003320 EUIS ROSIDA 37 20,000 - 15,000 - WULAN WI
O000557 OPAH 38 28,000 - 15,000 - WULAN WI
D003425 DETI RAHMAWATI 40 - - 15,000 - WULAN WI
L001050 LILIS APRIANI 48 29,000 - 15,000 - WULAN WI
I002675 IYEP RUSMAN SAEPUDIN 49 17,000 - 15,000 - WULAN WI
N001353 NENG LINA APRILIA 50 11,000 - 5,000 - WULAN WI
M000573 MIA MINARNI 51 21,000 - 15,000 - WULAN WI
M001489 MAMAN SUPARMAN 53 26,000 - 15,000 - WULAN WI
I002205 IIS ISMAYANTI 54 - - - - PERIKSA K
F001804 FAHRI HARDIANSYAH 55 32,000 - 15,000 - WULAN WI
N002949 NISPI SYA’BANI 57 10,000 - 5,000 - WULAN WI
S004983 SRI MULYANI 58 - - - - PERIKSA K
R001297 RIKA SRI KARTIWI 62 - - 15,000 - WULAN WI
D002391 DIKA MUHAMAD NUGRAHA 64 22,000 - 15,000 - WULAN WI
A006532 ASEP TAHYANUDIN 65 20,000 - 15,000 - WULAN WI
A007249 ADAM BERLIANDI 67 28,400 - 15,000 - WULAN WI
D003915 DITA HANDAYANI 68 19,200 - 15,000 - WULAN WI
A000009 AAM AMALIA 70 28,000 - 15,000 - ANDI HER
R004078 RENY RAHAYU SOFIANINGSIH 73 18,750 - 15,000 - ANDI HER
M001436 MEILANI NURUL SUCI 74 18,500 - 15,000 - ANDI HER
P000814 POPON 75 21,500 - 15,000 - ANDI HER
N003205 NELI RUBIANTI DEWI 78 27,750 - 15,000 - ANDI HER
Z000496 ZAM ZAM MAULID 81 38,000 100,000 15,000 - ANDI HER
W001180 WINDA AGUSTIN 82 37,500 - 15,000 - ANDI HER
S002031 SILMI D.S 83 27,000 - 15,000 - ANDI HER
P000734 PUTRI DIESY FITRIANI 85 98,500 - 15,000 - ANDI HER
W000911 WIWIN WINTARSIH 87 35,000 75,000 15,000 - ANDI HER
H000910 HAMIZAN MI’RAJ 89 21,600 - 15,000 - ANDI HER
A006899 ADE RUSMANA 95 30,000 - 15,000 - ANDI HER
T000926 TRIYANI HERIYANTI 96 30,000 - 15,000 - ANDI HER
D001089 DINY ANDIANY 98 27,000 - 15,000 - ANDI HER
M005120 MUHAMAD KEMAL MAULANA 100 21,000 - 15,000 - ANDI HER
M004888 MUHAMMAD KAVI PUTRA DENISW 101 26,700 - 15,000 - ANDI HER
T001944 TRIAN ERVIANI 102 21,000 - 15,000 - ANDI HER
E003041 ENTAT TATI 107 18,600 - 15,000 - ANDI HER
D003300 DARSONO 108 15,000 - 15,000 - ANDI HER
A009624 ALIKHA SALSABILA 110 30,300 - 15,000 - ANDI HER
R005339 R.ANY TRININDANY 112 40,000 - 15,000 - ANDI HER
A001646 AJENG DANUR FAIDAH R 115 17,000 - 5,000 - DETY NUR
A003000 ARNI SULANI 118 26,000 - 5,000 - DETY NUR
LAPORAN PENDAPATAN RAWAT JALAN
Periode: 09-04-2016 s/d 09-04-2016

No. RM Nama Pasien No. Apotek IGD Rawat Jala Jasa DokterDokter
H001730 HILAL MAKARIM 5 78,000 - 15,000 - WULAN WI
T001203 TUTI SULASTRI 7 28,000 - 15,000 - WULAN WI
A007738 AGUS SAEPUL HAYAT 8 37,000 - 15,000 - WULAN WI
U000889 UTAMI MAELANI 9 25,000 - 15,000 - WULAN WI
S005585 SUTISNA 11 21,000 - 15,000 - WULAN WI
V000251 VIKRI NURRAMADHAN 12 24,000 - 15,000 - WULAN WI
M004672 MUHAMMAD AQILA MUSYAFFA 14 27,000 - 15,000 - WULAN WI
D003385 DEWI SARTIKA 15 11,000 - 15,000 - WULAN WI
T001284 TITIN SUPRIATIN 20 23,000 - 15,000 - WULAN WI
F002171 FAHRIZA AKHDAN 25 - - 15,000 - WULAN WI
W000351 WITA PUSPITASARI 27 26,000 - 15,000 - WULAN WI
M000879 MOCH. FACHRI AZIS 28 33,000 - 15,000 - WULAN WI
D002405 DZAKIRA SAKHI KRISNAYADI 30 - - 15,000 - WULAN WI
N003873 NUR SARAH 38 8,000 - 15,000 - WULAN WI
A001445 ARFA GLADISYA KHUMAIRA 39 24,000 - 15,000 - WULAN WI
H001964 HADA SUHADA, H. 43 - - 15,000 - WULAN WI
N002898 NENENG SUPRIATI 44 35,000 - 15,000 - WULAN WI
A007618 ADINDA RAIFA FIRMANSYAH 45 9,000 - 5,000 - WULAN WI
A009626 AJAN, S.HUT 46 25,000 - 15,000 - WULAN WI
I003663 IMAN MUNAJAT 47 12,000 - 15,000 - WULAN WI
D003240 DANI RAMADHAN 49 27,000 - 5,000 - WULAN WI
Z000652 ZILAN MAHARANI DEWI 53 22,000 - 15,000 - WULAN WI
M003867 MUHAMAD AKMILUDDIN ANNAQS 55 14,600 - 15,000 - WULAN WI
S005464 SANTI KURNIAWATI 56 22,500 - 15,000 - WULAN WI
E000825 ELDESSA VAVA RILLA 57 26,000 - 15,000 - WULAN WI

LAPORAN PENDAPATAN RAWAT JALAN


Periode: 10-04-2016 s/d 10-04-2016
No. RM Nama Pasien No. Apotek IGD Rawat Jala Jasa DokterDokter
F001897 FATIH IHSAN AL-FARUQ 2 8,300 - 5,000 - NOVI YULIA
M000361 M ZULFI FAUZAN 3 33,000 - 5,000 - NOVI YULIA
M003871 MUHAMMAD ARRASYID ARGANI 35 28,100 - 5,000 - NOVI YULIA
N003478 NOVI LESTARI 36 17,000 - 5,000 - NOVI YULIA
D003636 DAFFA PRAJA ISMAIL ALFARIZKI 64 16,500 - 5,000 - H. ASEP S

LAPORAN PENDAPATAN RAWAT JALAN


Periode: 11-04-2016 s/d 11-04-2016

No. RM Nama Pasien No. Apotek IGD Rawat Jala Jasa DokterDokter
A008457 AGUS PURWANTO, SH 3 - - 15,000 - WULAN WI
M003527 MOCHAMAD ARDYANSAH 4 31,400 - 15,000 - WULAN WI
M000361 M ZULFI FAUZAN 6 - - 15,000 - WULAN WI
N003386 NAZWA SRI AMELIA 7 75,200 - 15,000 - WULAN WI
E002643 ERNI KUSRIANI 8 26,600 - 15,000 - WULAN WI
A006660 ARDIANSYAH PUTRA 9 28,700 - 15,000 - WULAN WI
M004025 MIRA MARDIANTI 10 - - - - PERIKSA K
A006666 ATI RIDOWATI 11 16,500 - 15,000 - WULAN WI
H001730 HILAL MAKARIM 12 - - 15,000 - WULAN WI
T001571 TATI HARTATI 15 43,000 - 15,000 - WULAN WI
B000632 BUNGA NURROHMAH ADINITA S S 16 24,000 - 15,000 - WULAN WI
S001849 SARAH NURFAUZIAH 18 31,400 - 15,000 - WULAN WI
N003695 NUR ANALIS 19 - - 15,000 - WULAN WI
M004731 MUHAMMAD AMZAR RAQILLA 20 28,900 - 15,000 - WULAN WI
W001142 WAWAT RUSWATI 21 23,400 - 15,000 - WULAN WI
A008627 AI TETI MULYANI 24 17,500 - 15,000 - WULAN WI
Y002258 YANA SURYANA 25 32,200 - 15,000 - WULAN WI
E003029 ENUNG SEMI HANDAYANI 27 17,200 - 15,000 - WULAN WI
E003034 EULIS ROHAYATI 29 24,300 - 15,000 - WULAN WI
S005458 SUMPENA ABDUL ROHMAT 30 16,000 - 15,000 - WULAN WI
E003704 ENGK0N 35 15,000 - 15,000 - WULAN WI
N003978 NURDIN 36 24,900 - 15,000 - WULAN WI
U000736 UTI YULIANTI 38 29,600 - 15,000 - WULAN WI
F001239 FIKRI ALFI MAULANA 40 - - 15,000 - WULAN WI
W000550 WATI ROHATI 42 29,000 - 15,000 - WULAN WI
M003479 MILA MELIANA S 44 28,200 - 15,000 - WULAN WI
I003665 IIM RUHIMAT 46 21,700 - 15,000 - WULAN WI
S004985 SITI NUR INDAH 47 15,000 - 15,000 - WULAN WI
A009224 ALI ABDILLAH 48 23,600 - 15,000 - WULAN WI
P000792 PIPIT NURDIANA 50 - - 15,000 - WULAN WI
I003666 IING SOLIHIN 51 18,500 - 15,000 - WULAN WI
E002890 ENCUM KULSUM 52 47,050 - 15,000 - WULAN WI
D003913 DEDE HARYATI 53 30,900 - 15,000 - WULAN WI
T001947 TRESNA HANDAYANI 54 8,000 - 15,000 - WULAN WI
N003979 NUGRAHA ANGGA K 55 61,800 - 15,000 - WULAN WI
E003068 ENDE YENI 57 - - 15,000 - WULAN WI
A009636 ANGGI AYUDIA 58 24,400 - 15,000 - WULAN WI
S005590 SUHAETI 59 - - 15,000 - WULAN WI
N002833 NUNUNG ROSYANTI 62 26,000 - 15,000 - WULAN WI
A009282 ADZKA SYAM PRATAMA 63 24,000 - 15,000 - WULAN WI
L001259 LINDA LESTARI 73 - - 15,000 - WULAN WI
A001280 AYUNI DWI ASMARANI 77 26,400 - 15,000 - WULAN WI
R004537 RAZKA MUHAMMAD HISHAM 78 41,000 45,000 15,000 - WULAN WI
D003029 DARLIANI 79 32,400 - 15,000 - WULAN WI
S003874 SUBHAN 80 23,000 - 15,000 - WULAN WI
D003918 DIJAN AGRIJANA 82 31,200 - 15,000 - WULAN WI
Z000654 ZAENUDIN SOLEH 84 - - 15,000 - WULAN WI
R004932 REYKA ASYIFA MAULIDDIYA 86 24,000 - 15,000 - WULAN WI
W001186 WIWIN WINANGSH 87 14,500 - 15,000 - WULAN WI
N003197 NANDYRA MALIKA IRAWAN 88 - - 15,000 - WULAN WI
M003961 MOCH U JUHANA 89 32,000 - 15,000 - WULAN WI
D003919 DZALIKA KHAIRUNNISA 93 37,100 - 15,000 - WULAN WI
D003915 DITA HANDAYANI 95 - - 15,000 - WULAN WI
S004073 SITI NUROCHMAH 96 19,300 - 15,000 - WULAN WI
S003301 SITI JULAEHA 107 29,000 - 15,000 - ANDI HER
S004938 SOPIAN NURHAKIM 108 27,000 - 15,000 - ANDI HER
M002001 M. NAUFAL AL-MAROGHI 109 31,000 - 15,000 - ANDI HER
D001716 DEDE RUSTANDI 110 - - 15,000 - ANDI HER
B000782 BURHAN NURDIN 112 31,400 - 15,000 - ANDI HER
D003814 DADAN RAMDANI 115 26,500 - 15,000 - H. ASEP S
N003981 NENDEN LIS SINARYA 116 27,800 - 15,000 - H. ASEP S
N002894 NURMAYANTI 117 72,700 - 15,000 - H. ASEP S
M005127 MUSTIKA UTAMI 118 18,200 - 15,000 - H. ASEP S
W000214 WIWIN W 119 31,000 - 15,000 - H. ASEP S
I000820 IWAN RIDWAN 120 32,000 - 15,000 - H. ASEP S
Z000496 ZAM ZAM MAULID 121 25,000 40,000 15,000 - ANDI HER
S004946 SAMSUL RIZAL 124 23,700 - 15,000 - ANDI HER
M000573 MIA MINARNI 128 31,400 - 15,000 - ANDI HER
H000233 HENDRA GUNARAH S 129 35,500 - 15,000 - ANDI HER
N000933 NESYA YULISTIAN DINI 131 26,700 - 5,000 - ANDI HER
S001808 SATRIA KRISHNAWIJAYASHAKTI 132 28,500 - 5,000 - ANDI HER
Y001643 YAN SURYANA 134 8,800 - 15,000 - ANDI HER
D000081 DADANG SUDIANA 135 51,000 - 15,000 - ANDI HER
R005347 RADITYA PRADIPA PUTRA 138 34,500 - 15,000 - ANDI HER
T000038 TATANG HIDAYAT 139 - - 15,000 - ANDI HER
K000703 KALSUM INAYAH KAUSAR 140 23,750 - 15,000 - ANDI HER
N002471 NAZIL MUFTI MUBAROK 142 22,000 - 15,000 - ANDI HER
R004777 RAYYANDRA ILYAS SEFA 144 28,400 - 15,000 - ANDI HER
K001307 KAHLA AUFA ARIBAH 147 48,000 - 15,000 - ANDI HER
M004420 MUHAMAD FASIL DZAKWAN AZHA 148 30,100 - 15,000 - ANDI HER
N003982 NAUFAL TAQIYUDIN SP 149 23,400 - 15,000 - ANDI HER
ASEP 18,000 - 5,000 - H. ASEP
M. AIRALD 22,000 - 5,000 - H. ASEP

LAPORAN PENDAPATAN RAWAT JALAN


Periode: 12-04-2016 s/d 12-04-2016

No. RM Nama Pasien No. Apotek IGD Rawat Jala Jasa DokterDokter
N000991 NURHAYATI 1 27,600 - 15,000 - WULAN WI
S001597 SYIFA FAUZIAH MUTMAINNAH 3 24,500 - 5,000 - H. ASEP
D000951 DINI FARAH FARDIANI 6 31,800 - 5,000 - WULAN WI
M005128 MOCH RAKA FAUZAN 8 - - 15,000 - WULAN WI
W001090 WIWIT SARTIKA 9 - - 15,000 - WULAN WI
I003298 IYANG SAEPUDIN 10 32,500 - 15,000 - WULAN WI
N000922 NAZMY SYAFRIL ALYSA 11 26,200 - 15,000 - WULAN WI
P000708 PIRMAN NURHASBY MAULANA 14 - - 15,000 - WULAN WI
I000252 ILIS 15 23,500 - 15,000 - WULAN WI
I003461 ITA ROSITA 16 - - - - PERIKSA K
C000651 CITRA DIANAWATI 19 18,000 - 15,000 - WULAN WI
W001063 WAHYU KURNIA 20 22,000 - 15,000 - WULAN WI
O000589 OHAR.H 22 - - 15,000 - WULAN WI
R004636 RIZQI SAPUTRA 23 23,300 - 15,000 - WULAN WI
A001175 ADE JUHANAH 25 32,800 - 15,000 - WULAN WI
Y001661 YAFI RASYIQ H 26 22,800 - 15,000 - WULAN WI
M004571 MUHAMMAD RAYHAN PRATAMA 28 30,000 - 15,000 - WULAN WI
D002405 DZAKIRA SAKHI KRISNAYADI 33 - - 15,000 - WULAN WI
H001680 HJ AI AMAR K 35 - - 15,000 - WULAN WI
M005129 MUHAMMAD REZA FAHRIZAL 36 24,000 - 15,000 - WULAN WI
F002184 FITRIANI 37 - - - - PERIKSA K
A005695 APRILIA AGUSTIN 41 28,100 - 15,000 - WULAN WI
D002517 DEWI AGUSTINA 42 16,600 - 15,000 - WULAN WI
S002748 SIVA NOPIANTI 43 22,400 - 15,000 - WULAN WI
M004888 MUHAMMAD KAVI PUTRA DENISW 48 53,000 - 15,000 - WULAN WI
D001123 DENY IBRAHIM 49 22,900 - 15,000 - WULAN WI
N003571 N ENUNG RUGOYAH 50 22,700 - 15,000 - WULAN WI
D002989 DEDE KUSMAWAN 51 28,400 - 15,000 - WULAN WI
M000383 MULKI HIDAYAT 52 - - 15,000 - WULAN WI
S003266 SITI NURHAYATI 53 30,200 - 15,000 - WULAN WI
A004693 ANIDA TRI HAPSARI 54 29,500 - 15,000 - WULAN WI
A007248 ARIEF RAHMAN 60 24,400 - 15,000 - WULAN WI
S004186 SITI MAEMUNAH 61 31,600 - 15,000 - WULAN WI
A004843 ADILA ADI FEBI 62 33,200 - 15,000 - WULAN WI
T000016 TIKA SURTIKANTI 63 - - 15,000 - WULAN WI
E002490 ERSAN ALI HILMAN 66 19,000 - 15,000 - WULAN WI
A004803 ASEP ROHMAN 67 - - 15,000 - WULAN WI
I001931 IMAS HERAWATI HJ 68 29,000 - 15,000 - WULAN WI
I002496 ICIH SUKARSIH 71 27,000 - 15,000 - NOVI YULIA
R005119 REPI NURDIANTI 72 22,000 - 15,000 - NOVI YULIA
A008876 AI SOLIHAT 74 - - 15,000 - NOVI YULIA
A007967 ASEP ZAENUDIN 77 22,000 - 15,000 - NOVI YULIA
T001061 TARYONO 78 38,000 - 15,000 - NOVI YULIA
R005223 RIO SATRIA RAMDHANI 83 22,000 - 15,000 - NOVI YULIA
N003842 NUR SUPRIATININGSIH 84 38,000 - 15,000 - NOVI YULIA
F002192 FIQQI SYUMAYA HAKIM 86 40,000 - 15,000 - NOVI YULIA
M004700 M FAHIM SYUKRILLAH 91 36,000 - 15,000 - NOVI YULIA
M002677 MUHAMAD MARHAM SIDIK 92 17,000 - 15,000 - NOVI YULIA
M003832 MILA LIS SUNARYA 93 20,000 - 15,000 - NOVI YULIA
S004309 SINTA APRIANTI 94 20,000 - 15,000 - NOVI YULIA
A005427 ABIRA SHAZIA DIAN 95 34,000 - 15,000 - NOVI YULIA
A002469 ASTI RISMAWATI 96 15,000 - 15,000 - NOVI YULIA
A004420 ANDRI RIANTO 97 20,000 - 15,000 - NOVI YULIA

LAPORAN PENDAPATAN RAWAT JALAN


Periode: 13-04-2016 s/d 13-04-2016

No. RM Nama Pasien No. Apotek IGD Rawat Jala Jasa DokterDokter
R005350 RIFAN GINANJAR 1 19,200 - 15,000 - NOVI YULIA
M002954 MOCHAMAD ARDYANSYAH 5 26,400 - 5,000 - NOVI YULIA
M004717 MUHAMMAD ABDUL AZIZ PERMAD 8 39,800 - 15,000 - NOVI YULIA
D002880 DZIKRA TANZIL SYIFA 9 26,400 - 15,000 - NOVI YULIA
T001863 TINI SUMARTINI 10 - - 15,000 - NOVI YULIA
S004946 SAMSUL RIZAL 12 - - 15,000 - NOVI YULIA
N003364 NURUL ILMI 14 17,800 - 15,000 - NOVI YULIA
A009415 ARA SUHARA 18 44,200 - 15,000 - NOVI YULIA
N002279 NABILA FEBRIYANI 20 25,800 - 15,000 - NOVI YULIA
I003367 IMAS ROHANAH 24 16,350 - 15,000 - NOVI YULIA
W001102 WIRACHMAN SURYANTO 25 27,500 - 15,000 - NOVI YULIA
T001890 TITING SUMARTINI 26 29,500 - 15,000 - NOVI YULIA
A009641 AZALEA KIANDRA PUTRI 27 21,000 - 15,000 - NOVI YULIA
N001062 NENIH 29 16,800 - 15,000 - NOVI YULIA
S004221 SELMA 31 32,000 - 15,000 - NOVI YULIA
M004425 MUHAMMAD ALKHA ASHOURA 32 29,500 - 15,000 - NOVI YULIA
I002825 IIM SRIMAYANTI 36 24,400 - 15,000 - NOVI YULIA
T001431 TATANG SURYANA 37 28,600 - 15,000 - NOVI YULIA
N002898 NENENG SUPRIATI 38 27,100 - 15,000 - NOVI YULIA
I000724 IKEU NURJANAH 39 18,000 - 15,000 - NOVI YULIA
M004831 M.ALFIN ALAMSYAH 42 39,300 - 15,000 - NOVI YULIA
I003444 IRMA ANGRAENI 43 22,500 - 15,000 - NOVI YULIA
A009642 AN NU,MAN SYARIF 46 27,800 - 15,000 - NOVI YULIA
Y002244 YENI KAMILASARI 47 19,200 - 15,000 - NOVI YULIA
N003205 NELI RUBIANTI DEWI 48 26,600 - 15,000 - NOVI YULIA
M003014 MUHAMMAD REZQY RAMADHANI 50 23,000 - 15,000 - NOVI YULIA
L001260 LINA ROSDIANI 51 22,900 - 15,000 - NOVI YULIA
I001771 IJANG NASUTION 52 27,800 - 15,000 - NOVI YULIA
D002992 DEDE SAMSUDIN 53 33,500 - 15,000 - NOVI YULIA
R005307 RATNA NURBAINAH 54 - - - - PERIKSA K
M004895 MARCEL FOR GENI ISYANTO 56 28,900 - 15,000 - NOVI YULIA
D000780 DIVA FEBRIA FIRMANSYAH 61 28,000 - 5,000 - NOVI YULIA
S004742 SANTI SUSILAWATI 63 27,400 - 15,000 - NOVI YULIA
N001766 NAJLA NADA SALSABILA 64 34,600 - 15,000 - NOVI YULIA
C000716 CUCU CAHYATI 69 27,000 - 15,000 - WULAN WI
R005285 RODIAH 70 23,000 - 15,000 - WULAN WI
N000157 NENI RUSTIANI 72 14,000 - 15,000 - WULAN WI
T001149 TASBIH NUROHMAN 73 29,000 - 15,000 - WULAN WI
W000351 WITA PUSPITASARI 76 30,000 - 15,000 - WULAN WI
M000879 MOCH. FACHRI AZIS 77 27,200 - 15,000 - WULAN WI
A002928 AKBAR PUTRA PRATAMA 78 28,000 - 15,000 - WULAN WI
W001062 WILDA ROBIANTI 79 9,000 - 15,000 - WULAN WI
Y002251 YOLANDA MEGA YUNIAR 80 23,000 - 15,000 - WULAN WI
A003617 ALMIRA REGINA PUTRI 84 20,000 - 15,000 - WULAN WI
R001838 RUSTANDI 90 3,000 - 5,000 - WULAN WI
M004758 MUHAMAD RIZAL FIRMANSYAH 92 35,000 40,000 15,000 - WULAN WI
A001663 AZKA JARWALTAISIR 94 14,000 - 15,000 - WULAN WI
I002058 ILHAM BURHANUDIN 95 24,000 - 15,000 - WULAN WI
M003871 MUHAMMAD ARRASYID ARGANI 98 9,000 - 5,000 - WULAN WI
E003545 EGI TRIONO 99 16,000 - 15,000 - WULAN WI
R000587 RESI RUSTIANI 102 17,000 - 15,000 - WULAN WI
D002922 DEVIANA NUR UTAMI 103 17,000 - 15,000 - WULAN WI
L001095 LILIS LISNAWATI 104 15,000 - 15,000 - WULAN WI
A003289 AGUS TATANG SOLIHIN 110 28,500 - 5,000 - ENCEP SU

LAPORAN PENDAPATAN RAWAT JALAN


Periode: 14-04-2016 s/d 14-04-2016

No. RM Nama Pasien No. Apotek IGD Rawat Jala Jasa DokterDokter
P000139 PUJI TRI RAHAYU 5 - - 15,000 - NOVI YULIA
M000361 M ZULFI FAUZAN 8 25,000 - 5,000 - NOVI YULIA
A005273 AQILA DEVANA GUNAWAN 9 45,000 45,000 15,000 - NOVI YULIA
R000658 RESI RESNAWATI 10 22,000 - 15,000 - NOVI YULIA
I002782 IDAH SAIDAH 11 27,000 - 15,000 - NOVI YULIA
I002956 INDRI TRI NURTANTI 12 7,000 - 15,000 - NOVI YULIA
H001243 HAWINA 14 28,000 - 15,000 - NOVI YULIA
S005595 SIDIQ HAIKAL MAULANA 16 18,000 - 15,000 - NOVI YULIA
N003313 NINA YUNIAWATI 17 30,000 - 15,000 - NOVI YULIA
R005351 RIZAEKAM 18 43,000 - 15,000 - NOVI YULIA
H001833 HENI YULIANI 19 17,000 - 15,000 - NOVI YULIA
S005349 SYALLIQUE AFFAN IHSAN 20 29,000 - 15,000 - NOVI YULIA
N003746 NURBAENI 21 25,000 - 15,000 - NOVI YULIA
T001654 TONO JULIO 25 24,800 - 15,000 - H. ASEP
N003793 NIA DAMAYANTI 26 13,000 - 15,000 - NOVI YULIA
A009643 ANNISA NUR FITRIWAL 27 29,000 - 15,000 - NOVI YULIA
D003925 DIDIS SUHERMAN 29 23,000 - 15,000 - NOVI YULIA
S005596 SUSI HERMAYANI 32 15,000 - 15,000 - NOVI YULIA
I003161 IKIN ASIKIN 33 28,000 - 15,000 - NOVI YULIA
E003496 ELIS HERYANI 35 8,000 - 15,000 - NOVI YULIA
N002738 NURMARINI 36 14,000 - 15,000 - NOVI YULIA
A009645 AI SUMIATI 37 13,000 - 15,000 - NOVI YULIA
K000921 KEYLA APRILIA 38 78,000 45,000 15,000 - NOVI YULIA
A009581 ASEP ARYADI 39 37,000 - 15,000 - NOVI YULIA
E003707 ELIN HERLINA 40 24,000 - 15,000 - NOVI YULIA
I003670 IMAS 41 28,000 - 15,000 - NOVI YULIA
O000589 OHAR.H 42 - - 15,000 - NOVI YULIA
S001612 SUPARDI 43 15,000 - 15,000 - NOVI YULIA
D003926 DEDIH SANJAYA 44 - - 15,000 - NOVI YULIA
D003927 DIEVA RESMI RAINA 48 20,000 - 15,000 - NOVI YULIA
W000388 WIWIN 51 9,000 - 5,000 - NOVI YULIA
S005597 SADIAH 55 25,000 - 15,000 - NOVI YULIA
D001950 DONI RIYADI 56 22,950 - 15,000 - NOVI YULIA
W000940 WAFA AKMALUDDIN AL-QODIRI 58 18,000 - 15,000 - NOVI YULIA
F000206 FAHMI ISLAM 59 20,250 - 15,000 - NOVI YULIA
A009354 ALIMUDIN 61 19,700 - 15,000 - H. ASEP
Y001802 YENI HERYANI 62 23,400 - 15,000 - H. ASEP
M004708 MUHAMMAD ARZIKI PRATAMA 64 25,700 - 15,000 - H. ASEP
Y002089 YENI KURNIAWATI 65 23,400 - 15,000 - H. ASEP
I001238 IWAN SETIAWAN 66 31,000 - 5,000 - H. ASEP
P000792 PIPIT NURDIANA 69 19,400 - 15,000 - H. ASEP
E003708 ELI NURHANIFAH 72 24,400 - 15,000 - H. ASEP
N002171 NONAH MARYONAH 73 24,100 - 15,000 - H. ASEP
Z000496 ZAM ZAM MAULID 75 15,000 70,000 15,000 - H. ASEP
A005354 ANDI HALILINTAR 76 21,700 - 15,000 - H. ASEP
T001949 TRISTAN HAAQ AQEEL ALTEZZA PU 78 21,000 - 15,000 - H. ASEP
S001808 SATRIA KRISHNAWIJAYASHAKTI 79 21,000 - 15,000 - H. ASEP
I002901 IPIT 84 30,200 - 15,000 - H. ASEP
N002410 NURUL AZIZA 85 - - - - PERIKSA K
N003987 NAZWA RAFA 86 21,500 - 15,000 - H. ASEP
S005467 SITI NURHASANAH 87 - - - - PERIKSA K
T001342 TASLIYA BILQISTH SHOLIHA 88 21,500 - 15,000 - H. ASEP
P000542 POPON PATIMAH 89 21,300 - 15,000 - H. ASEP
A008166 ANNISA SOLIHAH 90 24,400 - 15,000 - H. ASEP
D003928 DEBBY RATNA PURI 91 25,600 - 15,000 - H. ASEP
M005136 M RAFFA SYABAN SOFIAN 92 16,300 - 15,000 - H. ASEP
H000865 HOPSOH 94 21,400 - 15,000 - H. ASEP
P000682 PUJI PRADINA 97 20,000 - 15,000 - H. ASEP
K001108 KARISA SYAKIRA ANGGRAENI 98 9,000 - 15,000 - H. ASEP
A007709 ALIFVIA SYAKIRA AULIA 99 22,000 - 15,000 - H. ASEP
T000003 TITIN MARTINAH 104 23,500 - 15,000 - H. ASEP
H001592 HAIFA AISHY N. K 105 24,600 - 15,000 - H. ASEP
I002064 ITANG SUDRAJAT 106 16,300 - 15,000 - H. ASEP
R004259 RAHIMA NUR HAMIDAH 107 27,300 - 15,000 - H. ASEP
I000523 IMAS SUKAESIH 108 18,000 - 15,000 - H. ASEP
D000452 DIMYATI 110 26,000 - 15,000 - H. ASEP
LAPORAN PENDAPATAN RAWAT JALAN
Periode: 15-04-2016 s/d 15-04-2016

No. RM Nama Pasien No. Apotek IGD Rawat Jala Jasa DokterDokter
A009043 ADE KOMARUDIN 3 59,000 - 15,000 - WULAN WI
I000520 IJAH KHADIJAH, HJ 7 65,000 - 15,000 - WULAN WI
M001164 MIMA YULIA 8 26,000 - 5,000 - WULAN WI
I002937 IFQINI HAULA HAQ HERMAWAN 12 25,000 - 15,000 - WULAN WI
S005598 SITI ROHMAH 15 15,000 - 15,000 - WULAN WI
W001142 WAWAT RUSWATI 17 20,000 - 15,000 - WULAN WI
N003695 NUR ANALIS 18 9,000 - 15,000 - WULAN WI
M004731 MUHAMMAD AMZAR RAQILLA 19 18,000 - 15,000 - WULAN WI
A008921 ASKANA SAKHI 20 32,000 - 15,000 - WULAN WI
J000889 JIKO NURALAM 25 13,000 - 15,000 - WULAN WI
I003298 IYANG SAEPUDIN 26 20,000 - 15,000 - WULAN WI
F002061 FAIDA AZMI KAMILA 28 80,000 45,000 15,000 - WULAN WI
R004944 RAKA DWI NOVALLINO HIDAYAT 29 21,000 - 15,000 - WULAN WI
A009169 ANI MULYANI 30 - - - - PERIKSA K
I003035 INNE INDAH PRATIWI 34 27,000 - 15,000 - WULAN WI
N000813 NABILA NURUL SOPIAN 37 29,000 - 15,000 - WULAN WI
H001770 HANA HILDIANA 38 27,000 - 15,000 - WULAN WI
G000336 GEA NURHIDAYAH 39 15,000 - 15,000 - WULAN WI
E001532 ENONG 42 13,000 - 15,000 - WULAN WI
N001481 NENG ALIA 43 15,000 - 15,000 - WULAN WI
P000651 PETTY PURNAMAWATI, SH 44 24,000 - 15,000 - WULAN WI
R002948 RENI SAPARINGGA 46 17,000 - 15,000 - WULAN WI
I003674 IMAS MARYANI 48 13,000 - 15,000 - WULAN WI
J000647 JIHAN SAFIRA BALQIS 50 22,000 - 15,000 - WULAN WI
I003013 IRENA MEGANTARI 52 31,000 - 15,000 - WULAN WI
E003167 ENTUT KARTUTI 53 27,000 - 15,000 - WULAN WI
N001537 NASYATH MA 57 31,000 - 15,000 - WULAN WI
N002710 NADIRAH AL KOMARIAH 59 32,000 - 15,000 - WULAN WI
Y002261 YENI RISTIAWATI 66 44,000 - 15,000 - WULAN WI
I003440 IRSYAD FAHRUROZI 70 22,400 - 15,000 - WULAN WI
C000717 CHEPY RACHMANSYAH 71 14,000 - 15,000 - WULAN WI
T001731 TIN SURTINI 73 20,200 - 15,000 - WULAN WI
S005151 SABKY HAMZAH MAOLANA 74 21,600 - 15,000 - WULAN WI
T001441 TRI SUDARTI 77 22,800 - 15,000 - ANDI HER
E002879 EEN ATIT 79 28,800 - 15,000 - ANDI HER
S000496 SUHAEBAH 80 81,000 - 15,000 - ANDI HER
S003714 SYAHLAA ADIBA R A 82 28,000 - 15,000 - ANDI HER
W001075 WULAN WIDTANTI 85 26,100 - 15,000 - ANDI HER
S004342 SOPIAN 87 21,400 - 15,000 - ANDI HER
U000736 UTI YULIANTI 88 38,000 - 15,000 - ANDI HER
A002324 ALEN AMELIA 89 - - - - CEK LAB SA
S000227 SITI KOMARIAH 90 26,150 - 15,000 - ANDI HER
Y002184 YULIA AGUSTINA 91 - - - - PERIKSA K
M002993 M. AIRALD R.A 92 17,000 - 5,000 - ANDI HER
F002007 FAKHIRA KAILA KHANSA 95 41,600 - 15,000 - ANDI HER
Y000938 YUDI J RAMLI 96 25,900 - 15,000 - ANDI HER
S005599 SITI HANIFAH 98 - - - - PERIKSA K
Y001260 YANI SURYANI 99 28,500 - 15,000 - ANDI HER
A008148 ALVIN MOCHAMAD ERSYAH 101 52,000 - 15,000 - ANDI HER
R004162 RONNI RUSDIANA 102 21,750 - 15,000 - ANDI HER
R003767 RIA MARIANA FEBRIANTI 103 26,250 - 15,000 - ANDI HER
F000669 FAZIL FAUZI HIDAYAT 104 82,300 - 15,000 - ANDI HER
H002126 HINDUN HARUNNISA 105 29,400 - 15,000 - ANDI HER
W000076 WILI WIGUNA 107 25,400 - 15,000 - ANDI HER
S005096 SITI MARIAM,BA 109 32,000 - 15,000 - ANDI HER
D003411 DIDIT MULYANA 110 47,000 - 15,000 - ANDI HER
I003320 ITA JUWITA 114 46,000 - 15,000 - ANDI HER
D003562 DESTA KARUNIA PUTRA 115 29,000 - 15,000 - ANDI HER

LAPORAN PENDAPATAN RAWAT JALAN


Periode: 16-04-2016 s/d 16-04-2016

No. RM Nama Pasien No. Apotek IGD Rawat Jala Jasa DokterDokter
E002321 ENCEP NURDIN 2 27,400 - 15,000 - WULAN WI
D000392 DENI MUHAMAD RAMDAN 3 23,000 - 15,000 - WULAN WI
O000698 OJO SUHARJO 4 21,000 - 15,000 - WULAN WI
R001191 RIZQYLILLAH ABDUROCHIM 6 39,000 - 5,000 - ENCEP SU
I001328 ICEU DEWI SARAH 7 45,100 - 15,000 - WULAN WI
S003946 SITI FATIMAH AZAHRA 11 21,000 - 15,000 - WULAN WI
U001014 UJANG TARNA 14 - - 15,000 - WULAN WI
K001172 KANNAYA TUNGGA DEWI 15 11,700 - 15,000 - WULAN WI
M004240 MENIK PURWANDARI ASTUTI 16 17,350 - 15,000 - WULAN WI
D003110 DIVA 19 27,800 - 15,000 - WULAN WI
A007364 AAN ROKAYAH 24 11,200 - 15,000 - WULAN WI
T001490 TIARA INDAH LAELASARI 25 21,700 - 15,000 - WULAN WI
E003245 ECIN 26 23,200 - 15,000 - WULAN WI
D003900 DADAN 28 23,100 - 15,000 - WULAN WI
T001445 TUTI HERAWATI 30 23,200 - 15,000 - WULAN WI
N000935 NANANG RUSTANDI 31 24,000 - 11,000 4,000 WULAN WI
H001527 HAEROJI 42 28,200 - 15,000 - WULAN WI
R000897 RIDAN HARDIANSYAH 49 23,400 - 15,000 - WULAN WI
O000468 OO SANTONI 50 26,100 - 15,000 - WULAN WI
A007619 ASRI AMALIAH 51 - - - - PERIKSA K
Y001492 YULIARTI ANTIKA 54 13,200 - 5,000 - WULAN WI
G000300 GEMA AKBAR RAMADHAN 58 34,900 - 15,000 - WULAN WI
N000928 NURAENI 59 24,600 - 15,000 - WULAN WI
Z000496 ZAM ZAM MAULID 64 7,000 40,000 15,000 - WULAN WI
A003358 ALYA NURAINI 71 43,600 - 15,000 - WULAN WI
M003933 MUJAHID ALFARIZI 72 31,600 - 15,000 - WULAN WI
R002081 R ANY TRINIDANY 75 32,750 - 15,000 - NOVI YULIA
M000573 MIA MINARNI 76 35,200 - 15,000 - NOVI YULIA
S000569 SHAFIRA MEDINA VEGA 77 16,800 - 15,000 - NOVI YULIA
H000680 HIRMAN 79 28,200 - 15,000 - NOVI YULIA
D003067 DINA KHAIRUNISA 81 34,600 - 15,000 - NOVI YULIA
A008317 ALLYA ALFIRA DWIPUTRI 83 39,400 - 15,000 - NOVI YULIA
E002872 ERNI YULIANSYAH 84 31,500 - 15,000 - NOVI YULIA
I003677 IRA FARDILA 88 25,800 - 15,000 - NOVI YULIA
R003833 RUMINA JD NANA SUJANA 89 27,550 - 15,000 - NOVI YULIA
E002553 ELIS SUPRIATIN 90 10,600 - 15,000 - NOVI YULIA
M002248 MUTIARA RAMAYANTI 91 7,000 - 15,000 - NOVI YULIA
I002350 IYAM SITI MARIAM 92 24,900 - 15,000 - NOVI YULIA
M004373 MINA 93 22,800 - 15,000 - NOVI YULIA
R002327 RULI HIDAYAT 96 17,400 - 15,000 - NOVI YULIA
M004118 MUHAMMAD RAIN RAMADAN 97 30,000 - 15,000 - NOVI YULIA
S003128 SOVA SOBARIAH 100 29,900 - 15,000 - NOVI YULIA
Z000394 ZALFA OKTAVIA 101 31,700 - 15,000 - NOVI YULIA
Z000643 ZETA SANGGI PAMELA PAMUNGKA 105 18,000 - 15,000 - NOVI YULIA
W001117 WIRANTIWI AGUSTINA 110 - - - - PERIKSA K
A007332 ASILA PRATIWI HIDAYAT 112 21,600 - 15,000 - NOVI YULIA
R002275 RAZKA SURYA IVANDA 114 16,800 - 15,000 - NOVI YULIA
R004249 ROSYATI 118 16,000 - 15,000 - NOVI YULIA
D000811 DENI SUTISNA 119 28,800 - 15,000 - NOVI YULIA
A004932 ADELLA PRATHAMA 120 28,700 - 15,000 - NOVI YULIA
P000835 PENTI HADIANTI 122 29,000 - 15,000 - NOVI YULIA
A001646 AJENG DANUR FAIDAH R 124 21,000 - 5,000 - NOVI YULIA
M003867 MUHAMAD AKMILUDDIN ANNAQS 125 18,200 - 5,000 - NOVI YULIA
S004044 SAODAH 132 37,500 - 15,000 - NOVI YULIA
N003974 NIA KUSMIATI 134 34,000 - 15,000 - NOVI YULIA
I002709 INDRIYANI PUTRI BUDIMAN 135 33,700 - 15,000 - NOVI YULIA
LAPORAN PENDAPATAN RAWAT JALAN
Periode: 17-04-2016 s/d 17-04-2016

No. RM Nama Pasien No. Apotek IGD Rawat Jala Jasa DokterDokter
Y000708 YUNI NURAENI M 17 11,500 - 5,000 - H. ASEP S
W000940 WAFA AKMALUDDIN AL-QODIRI 38 30,000 - 5,000 - DETY NUR
W000940 WAFA AKMALUDDIN AL-QODIRI 38 38,000 - 5,000 - H. ASEP S

LAPORAN PENDAPATAN RAWAT JALAN


Periode: 18-04-2016 s/d 18-04-2016

No. RM Nama Pasien No. Apotek IGD Rawat Jala Jasa DokterDokter
I000252 ILIS 3 - - 15,000 - NOVI YULIA
A004903 ADE OMAN HIDAYAT 4 27,100 - 15,000 - NOVI YULIA
F001375 FIRAS MAULANA LASIDI 7 27,600 - 15,000 - NOVI YULIA
K001042 KIREINA MEINA HILMAN 8 37,100 - 15,000 - NOVI YULIA
I003382 IBNU KAHFI HILMAN 9 31,500 - 15,000 - NOVI YULIA
D000923 DEDE RUSTANDI 10 - - 15,000 - NOVI YULIA
M004465 MARYATI 14 - - 15,000 - NOVI YULIA
Y002212 YENI 16 30,000 - 15,000 - NOVI YULIA
E002841 ENTIN KARTINI 17 20,500 - 15,000 - NOVI YULIA
S003394 SYIFA NADIYA 18 35,100 - 15,000 - NOVI YULIA
D003935 DINI INDRIANI 19 32,000 - 15,000 - NOVI YULIA
Z000654 ZAENUDIN SOLEH 20 25,500 - 15,000 - NOVI YULIA
N003746 NURBAENI 22 - - 15,000 - NOVI YULIA
Y002126 YENI SUMARNI 23 16,800 - 15,000 - NOVI YULIA
D003936 DASIYO 24 36,500 - 15,000 - NOVI YULIA
R003568 RINA GUNAWAN 25 30,000 - 15,000 - NOVI YULIA
C000495 CARBAELI 26 40,500 - 15,000 - NOVI YULIA
Z000289 ZAHRA AZARIA AZHAR 27 - - 15,000 - NOVI YULIA
A004025 ALEXA PUTRI ROSALINA H 28 35,100 - 15,000 - NOVI YULIA
C000630 CUNCUN CAHYADI 30 - - 15,000 - NOVI YULIA
R004127 RINI 31 - - - - PERIKSA K
A000023 ADE SUHARTI, HJ 32 - - 15,000 - NOVI YULIA
T001389 TATI ROHAYATI 36 15,200 - 15,000 - NOVI YULIA
F001613 FAIQ ISAM FARSA 37 20,700 - 15,000 - NOVI YULIA
B000804 BASTIAN GHAZALI SEHABUDIN 38 72,800 - 15,000 - NOVI YULIA
H000277 HERVY HERPIANSYAH 39 22,400 - 15,000 - NOVI YULIA
S004057 SUDARWANTO 41 38,400 - 15,000 - NOVI YULIA
C000214 CEPI ABDAL HALIK 42 24,400 - 15,000 - NOVI YULIA
F001634 FAISAL HAMDANI 44 16,000 - 15,000 - NOVI YULIA
E003716 EUTIK JUAEDAH 48 37,500 - 15,000 - NOVI YULIA
T001697 TATI HARTATI 49 13,500 - 15,000 - NOVI YULIA
S005151 SABKY HAMZAH MAOLANA 50 31,600 - 15,000 - NOVI YULIA
T001731 TIN SURTINI 51 12,400 - 15,000 - PERIKSA K
M004858 MAMAH SALAMAH 54 32,400 - 15,000 - NOVI YULIA
M004799 MULYANA HERMAWAN 55 28,700 - 15,000 - NOVI YULIA
S003826 SADIAH 56 28,500 - 15,000 - NOVI YULIA
Y001643 YAN SURYANA 57 25,500 - 15,000 - NOVI YULIA
S005252 SUSI RATNASARI 58 33,800 - 15,000 - NOVI YULIA
Y001911 YENI HERYANI 59 30,400 - 15,000 - NOVI YULIA
W000899 WIWIN MARYANA,HJ 61 27,400 - 15,000 - NOVI YULIA
S001369 SITI FAUZIAH 63 36,600 - 15,000 - NOVI YULIA
T001736 TETEH DESI 65 31,000 - 15,000 - NOVI YULIA
I000921 INES NAISHA GAYATRI 68 29,000 - 5,000 - NOVI YULIA
N003807 NIA KURNIAWATI 70 9,000 - 15,000 - NOVI YULIA
R002427 RAHMAWATI 71 - - - - PERIKSA K
N003928 NELI RUBIABNTI DEWI 76 15,500 - 15,000 - NOVI YULIA
Z000058 ZEZEN ZAELANI 78 27,200 - 15,000 - NOVI YULIA
U000976 UNDANG PERMANA 79 - - 15,000 - NOVI YULIA
T000009 TINI SURTINI 83 38,000 - 15,000 - IWAN SUW
M003149 M. JALALUDIN 84 32,000 - 15,000 - IWAN SUW
D003913 DEDE HARYATI 86 27,000 - 15,000 - IWAN SUW
A009661 ATHA RASYIID RAMADHAN 92 51,000 - 15,000 - IWAN SUW
Y001513 YUNI SUKMANINGTIAS 93 40,000 - 15,000 - IWAN SUW
I002669 IIS SURYANI 96 59,000 - 15,000 - IWAN SUW
M002626 MOMON DURAHMAN 97 22,000 - 15,000 - IWAN SUW
S001480 SUTARSIH 98 23,000 - 15,000 - IWAN SUW
R000927 RAFLI AHMAD FAUZI 99 28,000 - 15,000 - IWAN SUW
M001104 M GALANG AGUNG M 103 33,000 - 15,000 - IWAN SUW
I003178 IKHLAS HANIFAH 104 30,000 - 15,000 - IWAN SUW
W001002 WIWIN PURNIAWATI 105 - - 15,000 - IWAN SUW
E002692 EVA HERMIATI 107 30,000 - 15,000 - IWAN SUW
Q000071 QOISAR MALIK IBRAHIM 110 30,000 - 15,000 - IWAN SUW
A009054 ATSIILAH JANISSARY RAHAYU 111 25,000 - 15,000 - IWAN SUW
H000698 HARI WIBOWO 112 23,000 - 15,000 - IWAN SUW
R005154 RIKAH NURHAYATI 114 - - - - PERIKSA K
I003026 IMAS NURLATIFAH 116 27,000 - 15,000 - IWAN SUW
S000781 SANTANA MUHARROM 117 28,000 - 15,000 - IWAN SUW
N003359 NAILA PUTERI A 119 29,000 - 15,000 - IWAN SUW
L001219 LUSIANA 120 34,000 - 15,000 - IWAN SUW
N001775 NADYA ALYSSA A 121 29,000 - 15,000 - IWAN SUW
D003202 DINI ANGGRAENI 122 22,000 - 15,000 - IWAN SUW
R001101 RONI FIRMANSYAH 123 26,000 - 5,000 - IWAN SUW
R004571 RENI SUSANTI 124 10,000 - 15,000 - IWAN SUW
N003996 NOVAL LUTHFIA N 130 11,000 - 15,000 - IWAN SUW
A002383 ARLIN MARLINA 132 43,000 - 15,000 - IWAN SUW
T001869 TEDI TAOPIK 133 15,000 - 15,000 - IWAN SUW
S001808 SATRIA KRISHNAWIJAYASHAKTI 143 21,750 - 5,000 - H. ASEP

LAPORAN PENDAPATAN RAWAT JALAN


Periode: 19-04-2016 s/d 19-04-2016

No. RM Nama Pasien No. Apotek IGD Rawat Jala Jasa DokterDokter
U000933 UPA MASTUPA 11 28,200 - 15,000 - WULAN WI
S005573 SANTI HARDIANTI 12 20,400 - 15,000 - WULAN WI
A007961 ATANG FATAH, H. DRS 13 20,750 - 15,000 - WULAN WI
F002163 FADHILAH YAQDAN MULYA 15 17,000 - 15,000 - WULAN WI
A002389 AGUS SUTISNA 16 36,000 - 15,000 - WULAN WI
N003813 NENDEN SUSI MULYANI 19 22,400 - 15,000 - WULAN WI
Y001708 YAYAT RANA HERDIANA 20 19,600 - 15,000 - WULAN WI
M004118 MUHAMMAD RAIN RAMADAN 22 - - 15,000 - WULAN WI
Y000357 YUSTI DINA 23 14,350 - 15,000 - WULAN WI
A000764 ANI SURYANI 24 19,200 - 15,000 - WULAN WI
S004746 SENI ROHAENI 25 13,200 - 15,000 - WULAN WI
A009173 ARIF CAHYADI 27 28,000 - 15,000 - WULAN WI
Z000552 ZAHRA AULIA RAHMI 29 29,500 - 15,000 - WULAN WI
Z000659 ZULAIKHA YUMNA PUTRI KURNIA 32 9,000 - 15,000 - WULAN WI
D003938 DETI RAHAYU 33 18,200 - 15,000 - WULAN WI
I001722 IIS KARTINI NURAENI 34 26,700 - 15,000 - WULAN WI
J000137 JUHAENI 36 13,000 - 15,000 - WULAN WI
N001759 NISA SAHARA 37 - - 15,000 - WULAN WI
S004200 SARAH WATI 39 28,300 - 15,000 - WULAN WI
P000838 PEPEN EPENDI 40 13,750 - 15,000 - WULAN WI
F000756 FITRI APRIANI 42 26,700 - 15,000 - WULAN WI
E002890 ENCUM KULSUM 43 31,800 - 15,000 - WULAN WI
N003657 NAZWA ALKEJORA 44 33,000 45,000 15,000 - WULAN WI
A008755 ASEP FIRMAN NURJAMAN 47 14,500 - 15,000 - WULAN WI
A002011 AINUN ALIFIA HAPSAH 50 19,700 - 15,000 - WULAN WI
S005467 SITI NURHASANAH 51 - - - - PERIKSA K
G000276 GEN GEN SYAMSIAH, S.PD 54 27,800 - 15,000 - WULAN WI
C000597 CUCUM SUMARYATI 56 130,500 - 15,000 - WULAN WI
T001953 TUTIH 57 17,200 - 15,000 - WULAN WI
R004869 RAMDANI 62 23,400 - 15,000 - WULAN WI
F001375 FIRAS MAULANA LASIDI 63 31,600 - 11,000 4,000 WULAN WI
E001186 ELVIN FATHIYAH 64 6,700 - 5,000 - WULAN WI
M001164 MIMA YULIA 67 33,400 - 5,000 - WULAN WI
T000199 TATI SUPRIATI 68 18,500 - 15,000 - WULAN WI
M003177 MUHAMMAD HAGIAL MUSLIM 69 24,750 - 15,000 - WULAN WI
Y000203 YATNA TRESYANA 71 17,800 - 15,000 - WULAN WI
P000792 PIPIT NURDIANA 74 23,000 - 15,000 - WULAN WI
R004004 RINRIN DAMAYANTI 75 19,000 - 15,000 - WULAN WI
D002375 DEVI RAMDHANI 76 25,000 - 15,000 - NOVI YULIA
M004708 MUHAMMAD ARZIKI PRATAMA 77 24,000 - 15,000 - NOVI YULIA
K000546 KHANSA TSABITAH 81 55,000 - 15,000 - NOVI YULIA
G000593 GHAZIYA KHAIRA LUBNA 83 11,000 - 15,000 - NOVI YULIA
M001104 M GALANG AGUNG M 84 38,000 45,000 15,000 - NOVI YULIA
A007338 ADE ANWAR JANUAR 89 36,000 - 15,000 - NOVI YULIA
M000177 MUHAMMAD FATIR ARRAFI 91 38,000 - 15,000 - NOVI YULIA
M004678 MUHAMAD RYAN HENDARSYAH 92 32,600 - 15,000 - NOVI YULIA
Z000496 ZAM ZAM MAULID 93 6,000 40,000 15,000 - NOVI YULIA
S005219 SYIFA SYAFITRI 101 28,000 - 15,000 - NOVI YULIA
O000717 OPIK RUSTANDI 106 16,000 - 15,000 - NOVI YULIA

LAPORAN PENDAPATAN RAWAT JALAN


Periode: 20-04-2016 s/d 20-04-2016

No. RM Nama Pasien No. Apotek IGD Rawat Jala Jasa DokterDokter
N003627 NAJWA APRILIA PRIADI 5 32,000 - 15,000 - NOVI YULIA
A007929 ADUNG 6 23,000 - 15,000 - NOVI YULIA
T001850 TAZRIAN AL JANNATAN 7 32,000 - 15,000 - NOVI YULIA
N002156 NASYA TAZKIYA 8 28,000 - 15,000 - NOVI YULIA
M003572 MARIANA OKTARINA SUTISNA 9 26,000 - 15,000 - NOVI YULIA
E002100 EKA RANA WIJAYA 10 - - 15,000 - NOVI YULIA
N003797 NAUFAL IJLALUL RAMADHAN 11 9,000 - 15,000 - NOVI YULIA
M003948 MUHAMMAD SIDIK KAMALUDIN 12 99,000 45,000 15,000 - NOVI YULIA
S004698 SONIANSIH 15 - - 15,000 - NOVI YULIA
I001025 ITA NURHAYATI 16 11,000 - 15,000 - NOVI YULIA
A009581 ASEP ARYADI 20 38,000 - 15,000 - NOVI YULIA
G000630 GIANDA PRASTA AR RASYID 21 21,000 - 15,000 - NOVI YULIA
N003313 NINA YUNIAWATI 23 27,000 - 15,000 - NOVI YULIA
R003376 RAHMANIA PUTRI C 24 37,000 - 15,000 - NOVI YULIA
E003630 ENIH YUNINGSIH 25 35,000 - 15,000 - NOVI YULIA
S005608 SYPA FAUZIAH 27 20,000 - 15,000 - NOVI YULIA
M005147 MUHAMAD RIZKI 30 24,000 - 15,000 - NOVI YULIA
Y001756 YAYAN NURMULYANI 31 24,000 - 15,000 - NOVI YULIA
M003596 MAULIDA FEBRIYANTI 32 15,000 - 15,000 - NOVI YULIA
A002213 ALGI FERDIANSYAH 34 26,000 - 15,000 - NOVI YULIA
A003195 AISYAH 36 20,500 15,000 WULAN WI
A003195 AISYAH 36 - - - - PERIKSA K
S000927 SARAH 38 25,000 - 15,000 - NOVI YULIA
Y001492 YULIARTI ANTIKA 39 - - - - PERIKSA K
S003391 SUTARNI 40 18,000 - 15,000 - NOVI YULIA
M004983 MICKAEL TRI GENI ISYANTO 41 36,000 - 15,000 - NOVI YULIA
E003722 ELA NURLELA 42 23,000 - 15,000 - NOVI YULIA
Y002261 YENI RISTIAWATI 44 20,000 - 15,000 - NOVI YULIA
R004234 ROMANSYAH 47 27,000 - 15,000 - NOVI YULIA
A006590 ADHY PUTRA JUNJUNAN 48 22,000 - 5,000 - NOVI YULIA
Y002264 YAYAT HIDAYAT 49 33,000 - 15,000 - NOVI YULIA
K001198 KHAIDIR ALI FACHREZA 51 - - 15,000 - NOVI YULIA
D000368 DENA SUTISNA 55 23,700 - 15,000 - NOVI YULIA
A009668 ARAY NANDA FIRMANSYAH 56 14,600 - 15,000 - NOVI YULIA
S000048 SITI JUARIAH 57 24,400 - 15,000 - WULAN WI
N002689 NINDYA FARANISA AZNI 59 20,700 - 15,000 - WULAN WI
A003000 ARNI SULANI 60 21,500 - 5,000 - WULAN WI
J000566 JULAEHA 64 28,800 - 15,000 - WULAN WI
A003811 AHMAD NASIR 66 8,000 - 15,000 - WULAN WI
D001699 DEWI SRI ANJANI 69 14,200 - 15,000 - WULAN WI
T000519 TIARA SYIFA 70 30,200 - 15,000 - WULAN WI
Y000179 YAYU YULIANA 76 36,000 - 15,000 - WULAN WI
A004499 APIPUDIN 78 26,800 - 15,000 - WULAN WI
M005148 MUHAMMAD RIVANT DESTANDY 81 18,700 - 15,000 - WULAN WI
M003813 MOCH RIVQY ATTALLA 84 28,100 - 15,000 - WULAN WI
M003761 MOCHAMMAD RAFALLAH F A 85 26,800 - 15,000 - WULAN WI
Y001374 YADI JANUARI 89 61,600 - 15,000 - WULAN WI
A002209 AHMAD SOBARI 90 31,700 - 15,000 - WULAN WI
H001748 HETI SULASTRI (DISATUKAN H-1677 91 22,200 - 15,000 - WULAN WI
A007581 AA RUSDIANA 92 23,000 - 15,000 - WULAN WI
Y001914 YULI YULIANTI 93 24,200 - 15,000 - WULAN WI
E001145 ENENG KURNIATI 95 16,500 - 15,000 - WULAN WI
R003669 REFAN RAMADAN HAMDANI 97 37,900 - 15,000 - WULAN WI
A006858 ASTRIANTIKA NUR OCTARESA 98 30,000 - 15,000 - WULAN WI
A008199 ANISA NAZWA 99 16,200 - 15,000 - WULAN WI
D003274 DIKDIK PRIATNA 104 30,000 - 15,000 - WULAN WI
A002324 ALEN AMELIA 108 19,300 - 5,000 - WULAN WI
W000212 WAHYU GUNAWAN 111 15,700 - 15,000 - WULAN WI
T000655 TAUFIK ISMAIL 113 25,200 - 5,000 - WULAN WI
A003377 AI SOLIHAT 114 32,000 - 15,000 - WULAN WI
T001785 TASEM 115 22,800 - 15,000 - WULAN WI
N003795 NABILLA MAULIDYA 116 - - 15,000 - WULAN WI
S001808 SATRIA KRISHNAWIJAYASHAKTI 121 28,000 - 5,000 - WULAN WI
M004103 MOCHAMAD RIJAL SUMIARSA 122 16,500 - 15,000 - WULAN WI
R001191 RIZQYLILLAH ABDUROCHIM 123 19,800 - 5,000 - WULAN WI

LAPORAN PENDAPATAN RAWAT JALAN


Periode: 21-04-2016 s/d 21-04-2016

No. RM Nama Pasien No. Apotek IGD Rawat Jala Jasa DokterDokter
J000650 JUJU JUARIAH 3 46,000 40,000 15,000 - NOVI YULIA
Y002265 YENI ROHAENI 12 13,000 - 15,000 - NOVI YULIA
A008035 ASEP SAPUDIN 13 25,000 - 15,000 - NOVI YULIA
F001375 FIRAS MAULANA LASIDI 15 6,000 - 15,000 - NOVI YULIA
S005437 SATRIA MALKA FIRDAUS 20 32,000 - 15,000 - NOVI YULIA
M000368 M.ILHAN 21 15,000 - 15,000 - NOVI YULIA
S002621 SOPI SOPINAH 22 9,000 - 15,000 - NOVI YULIA
N003071 NIKEN AYU CAHYA SUMIRAT 28 20,000 - 15,000 - NOVI YULIA
N000704 NURMAYANTI 29 23,000 - 15,000 - NOVI YULIA
N003081 NOLA MAULANI 30 31,000 - 15,000 - NOVI YULIA
N002455 NOVAL ARIANTO PUTRA 32 35,000 - 15,000 - NOVI YULIA
N003982 NAUFAL TAQIYUDIN SP 35 23,000 - 15,000 - NOVI YULIA
D001615 DEDE GUNAWAN 44 11,000 - 15,000 - NOVI YULIA
L001095 LILIS LISNAWATI 46 9,000 - 5,000 - NOVI YULIA
S004694 SAEPUDIN 47 43,000 - 15,000 - NOVI YULIA
T001891 TOTO HATORI 48 77,000 - 15,000 - NOVI YULIA
E003484 ENTIN FATIMAH 49 28,000 - 15,000 - NOVI YULIA
M005019 MUHAMMAD ARKEN ALKAHFI 51 18,000 - 15,000 - NOVI YULIA
R004571 RENI SUSANTI 52 - - - - PERIKSA K
T001697 TATI HARTATI 53 - - 15,000 - NOVI YULIA
S005611 SYIFA NUR QAMILLAH 54 17,000 - 15,000 - NOVI YULIA
D003029 DARLIANI 56 16,500 - 15,000 - NOVI YULIA
S003874 SUBHAN 57 29,600 - 15,000 - NOVI YULIA
S004226 SABILA PUTRI ALDIANI 63 39,700 - 15,000 - H. ASEP
A007826 AULIA SEPTIANI E 64 30,000 - 15,000 - H. ASEP
S004189 SYAFKA ABIZA SOFYAN 65 20,000 - 15,000 - H. ASEP
E003695 ETI KARWATI 66 19,000 - 15,000 - H. ASEP
M004641 MAMAN ARISMAN 69 32,700 - 15,000 - H. ASEP
E003728 EMUN MA’MUN 74 25,500 - 15,000 - H. ASEP
I003013 IRENA MEGANTARI 75 - - 15,000 - H. ASEP
Y002212 YENI 76 30,000 - 15,000 - H. ASEP
N002324 NUNUNG 77 30,000 - 15,000 - H. ASEP
S004203 SANDY KUSWANDY 79 26,000 - 15,000 - H. ASEP
M000879 MOCH. FACHRI AZIS 81 - - 15,000 - H. ASEP
S002030 SENO MULYA WIJAYA, RD 83 18,000 - 15,000 - H. ASEP
M004829 MUHAMMAD FAQIH 84 9,000 - 15,000 - H. ASEP
A004393 ANI JUNIAWATI 86 18,250 - 15,000 - H. ASEP
N000980 NUNIK MAHMUDAH NOORILAH 88 25,000 - 15,000 - H. ASEP
N001458 NINO LESMANA 89 14,000 - 15,000 - H. ASEP
N002932 NENGSIH 90 25,900 - 15,000 - H. ASEP
P000840 PUTRA PRATAMA 96 22,800 - 15,000 - H. ASEP
E003707 ELIN HERLINA 97 31,000 - 15,000 - H. ASEP
P000369 PUTRI SARI INTAN 99 22,400 - 15,000 - H. ASEP
R005370 REHAN MAULANA FEBRIANSYAH 100 24,000 - 15,000 - H. ASEP
N000137 NAZWA AZZAHRA GINANJAR 101 31,500 - 15,000 - H. ASEP
N000415 NAZRIEL WILIAM GINANJAR 102 22,000 - 15,000 - H. ASEP
S005240 SANIM RUDIE SYOLEH 103 24,400 - 15,000 - H. ASEP
R004218 RINA AGUSTINA 105 26,300 - 15,000 - H. ASEP
A009204 ADAM AL AZIS 106 24,400 - 15,000 - H. ASEP
Y002266 YUPI AMALIA 107 24,400 - 15,000 - H. ASEP
I001513 ISMAYANTI 108 24,400 - 15,000 - H. ASEP
R003015 RELA SARI 109 23,400 - 15,000 - H. ASEP
I002605 IIS HARYATI, S, PD, I 110 28,200 - 15,000 - H. ASEP
E002078 ENANG SURYANA 113 33,000 - 15,000 - H. ASEP
T000038 TATANG HIDAYAT 115 29,000 - 15,000 - H. ASEP

LAPORAN PENDAPATAN RAWAT JALAN


Periode: 22-04-2016 s/d 22-04-2016
No. RM Nama Pasien No. Apotek IGD Rawat Jala Jasa DokterDokter
T000656 TINTIN SETIANI 3 23,000 - 15,000 - WULAN WI
I000520 IJAH KHADIJAH, HJ 4 17,950 - 15,000 - WULAN WI
I000664 IPIT WIDIAWATI 7 30,000 - 15,000 - WULAN WI
R003326 REYHAN RIZKY F 8 28,100 - 15,000 - WULAN WI
Y001851 YANA SETIAWAN 9 12,600 - 15,000 - WULAN WI
A004895 ADIT RAKA MULYANA 10 20,200 - 15,000 - WULAN WI
R004636 RIZQI SAPUTRA 13 22,900 - 15,000 - WULAN WI
S004044 SAODAH 14 23,000 - 15,000 - WULAN WI
I003644 IBRAHIM MUFIQ 16 64,600 - 15,000 - WULAN WI
M003065 MIMIN MINTARSIH 18 - - - - PERIKSA K
F001892 FIAN SOFYAN ANSORI 19 11,350 - 15,000 - WULAN WI
W001102 WIRACHMAN SURYANTO 20 86,500 - 15,000 - WULAN WI
A009283 AKUN 21 12,600 - 15,000 - WULAN WI
A007067 ASEP YUDI WISNU WARDANI 23 23,000 - 15,000 - WULAN WI
Y000436 YANTI HERLIANTINI 24 20,900 - 15,000 - WULAN WI
A008376 ALIEF JANUAR FIRMANSYAH 27 27,000 - 15,000 - WULAN WI
M000368 M.ILHAN 29 28,800 - 15,000 - WULAN WI
S003384 SANA HERMANSYAH 30 9,350 - 15,000 - WULAN WI
I001447 ILTSAR RAMADHAN 31 18,100 - 15,000 - WULAN WI
S004760 SHAKTI IQDHIAR KUSTIAWADI 32 32,600 - 15,000 - WULAN WI
A004875 ANGGIA SITI AL JANIRA 35 23,700 - 15,000 - WULAN WI
S004841 SITI JENAB 43 - - - - PERIKSA K
R004822 RISCA THIA HANDAYANI 44 11,000 - 15,000 - WULAN WI
I003572 IRWAN IRWANSYACH 45 17,000 - - - WULAN WI
A005695 APRILIA AGUSTIN 48 28,000 - 15,000 - WULAN WI
I003390 IMAM HAMDANI 50 25,000 - 15,000 - WULAN WI
S000330 SRI NURBAETI 52 30,000 - 15,000 - WULAN WI
R002481 RANA 53 20,500 - 5,000 - WULAN WI
C000019 CARRISA AURORA M 55 14,000 - 15,000 - WULAN WI
I000724 IKEU NURJANAH 56 20,600 - 15,000 - WULAN WI
E002685 EKA RAHMAWATI 60 17,000 - 15,000 - IWAN SUW
A008811 ATIKA SYAHIDAH 61 46,000 - 15,000 - IWAN SUW
S005145 SUHENDAR 65 39,700 - 15,000 - IWAN SUW
N003470 NONENG MASPUAH 66 20,000 - 15,000 - IWAN SUW
A003289 AGUS TATANG SOLIHIN 68 52,100 - 5,000 - IWAN SUW
S004901 SAKRIM 69 30,500 - 15,000 - IWAN SUW
P000792 PIPIT NURDIANA 70 27,800 - 15,000 - IWAN SUW
W001193 WAHYU 71 24,900 - 15,000 - IWAN SUW
S002060 SURYA HAMIZAN 72 34,600 - 15,000 - IWAN SUW
T000009 TINI SURTINI 73 47,000 45,000 15,000 - IWAN SUW
B000492 BAMBANG ARIANTO 77 21,500 - 15,000 - IWAN SUW
Y000924 YAYU RAHAYU 79 33,000 - 15,000 - IWAN SUW
A004738 ADE HERWANDI 80 25,000 - 15,000 - IWAN SUW
Q000065 QIRAN ISNAENI ZULFAHMI 83 26,900 - 15,000 - IWAN SUW
H002129 HENI SOPIANI 85 26,700 - 15,000 - IWAN SUW
H002130 HAIKAL AKBAR 86 29,100 - 15,000 - IWAN SUW
N003970 NURLINA 87 24,500 - 15,000 - IWAN SUW
N003952 NETA NURLIYANISARI 88 15,700 - 15,000 - IWAN SUW
E003730 EVA NURPADILA 90 25,500 - 15,000 - IWAN SUW
I002058 ILHAM BURHANUDIN 91 27,500 - 15,000 - IWAN SUW
R004499 RATIH MELASARI 92 25,500 - 15,000 - IWAN SUW
N003172 NASYA SYAFA AZAHRA 96 33,000 - 15,000 - H. THIA SI
RINI 26,000 - 15,000 - WULAN WI
SIFA FAUZIAH M 26,000 - 5,000 - WULAN WI
WULAN 6,000 - 5,000 - WULAN WI
MULYADIN 29,000 - 15,000 - WULAN WI
FATIH IHSAN 21,000 - 5,000 - WULAN WI
NANDA 32,000 - 5,000 - WULAN WI
RUHIYATI 14,000 - 15,000 - WULAN WI
MUHAMMAD NASIR 16,000 - 15,000 - WULAN WI
RIAN 36,000 - 15,000 - WULAN WI
TUTI HERAWATI 27,000 - 15,000 - WULAN WI
IIN KURNIATIN 21,000 - 15,000 - WULAN WI
CECEP 29,000 - 15,000 - WULAN WI

LAPORAN PENDAPATAN RAWAT JALAN


Periode: 23-04-2016 s/d 23-04-2016

No. RM Nama Pasien No. Apotek IGD Rawat Jala Jasa DokterDokter
O000589 OHAR.H 2 - - 15,000 - WULAN WI
M003570 MUHAMAD FAJAR SIDIQ 3 14,750 - 15,000 - WULAN WI
Y002213 YUSEP SUSANTO 4 25,800 - 15,000 - WULAN WI
C000604 CECEP SAEPUDIN 5 31,800 - 15,000 - WULAN WI
S005559 SHUHAIL KAUTHAR 6 21,500 - 15,000 - WULAN WI
I002451 INDRIATI SITI PRATIWI 8 20,500 - 15,000 - WULAN WI
A004249 ATHALA GIBRAN KAL 12 55,000 - 15,000 - WULAN WI
Y001643 YAN SURYANA 15 18,700 - 15,000 - WULAN WI
S003826 SADIAH 16 11,500 - 15,000 - WULAN WI
T001295 TINI APRIANI 18 24,400 - 15,000 - WULAN WI
R001052 RESGI ZULFIA MAUDI 20 14,800 - 15,000 - WULAN WI
N003250 NABILA KAMIL RAHMANI 21 23,900 - 15,000 - WULAN WI
L000139 LUTFI M. RAMDAN 25 18,200 - 15,000 - WULAN WI
F000309 FERI PURNAMA 28 23,000 - 15,000 - WULAN WI
D002375 DEVI RAMDHANI 29 32,800 - 15,000 - WULAN WI
E001019 ENING 32 22,200 - 15,000 - WULAN WI
A009244 AGUS TURKAWAN 35 30,000 - 15,000 - WULAN WI
T001957 TIKA SARTIKA 37 23,000 - 15,000 - WULAN WI
E003686 ENOK 39 5,500 - 15,000 - WULAN WI
I003426 IRMA SUSANTI 40 - - - - PERIKSA K
A006143 ARYA 42 28,800 - 15,000 - WULAN WI
Z000229 ZAYDAN AL RAFI FAIZAL 43 16,800 - 15,000 - WULAN WI
Y001874 YUDA HIDAYAT 44 24,200 - 15,000 - WULAN WI
S005557 SYAHLA NURFADILAH MP 45 25,200 - 15,000 - WULAN WI
R005375 RICKY PRAWIRAYUDA PUTRA KELA 46 19,200 - 15,000 - WULAN WI
M005150 MARNI SUMARNI 49 23,200 - 15,000 - WULAN WI
H000003 HENDRA HEPIANA 51 24,400 - 15,000 - WULAN WI
A007982 AZMI’UL WAHDI M 54 21,300 - 15,000 - WULAN WI
L001144 LUSI OKTAVIANI 57 14,600 - 15,000 - WULAN WI
A008897 ASTRI LESTARI 58 - - 15,000 - WULAN WI
M003662 MERI JUMANTARA RACHMAT 59 15,700 - 15,000 - WULAN WI
R000370 RADITYA HAIDAR DZKIA 61 16,800 - 15,000 - WULAN WI
D003636 DAFFA PRAJA ISMAIL ALFARIZKI 64 16,000 - 15,000 - WULAN WI
F001906 FATIH MUHAMMAD NURHAKIM 65 29,000 40,000 15,000 - WULAN WI
S001229 SYAHLA ISTI’ADAH 68 22,000 - 15,000 - WULAN WI
N003444 NINING SRI YUNINGSIH 69 23,600 - 15,000 - WULAN WI
H001349 HAIKAL RIZARIYADI 71 20,600 - 15,000 - WULAN WI
A009115 AI SARININGSIH 72 - - 15,000 - WULAN WI
A008362 ADE DANIS 73 14,600 - 15,000 - WULAN WI
Y001728 YULI HERLINA 74 - - - - PERIKSA K
T001949 TRISTAN HAAQ AQEEL ALTEZZA PU 78 9,000 - 5,000 - WULAN WI
N000978 NENDA RIZKI NURINDAH 79 38,000 - 15,000 - WULAN WI
U000932 UTENG R 81 16,000 - 15,000 - WULAN WI
S003493 SILMY KOMALADEWI 82 - - - - PERIKSA K
S004089 SULTAN AL GIFARI 86 35,900 - 15,000 - WULAN WI
S001612 SUPARDI 92 18,200 - 15,000 - WULAN WI
R000927 RAFLI AHMAD FAUZI 93 - - 15,000 - WULAN WI
L001267 LALA ASILAH 95 23,000 - 15,000 - WULAN WI
D003545 DAWAM SHAFANA RHADIQ 103 19,000 - 15,000 - WULAN WI
I003696 INTAN RAHMA WULAN, A.MD 104 14,600 - 15,000 - WULAN WI
R005154 RIKAH NURHAYATI 105 17,600 - 15,000 - WULAN WI
W001108 WIWIN WINANGSIH 109 - - 15,000 - WULAN WI
P000835 PENTI HADIANTI 113 21,200 - 15,000 - WULAN WI
LAPORAN PENDAPATAN RAWAT JALAN
Periode: 24-04-2016 s/d 24-04-2016

No. RM Nama Pasien No. Apotek IGD Rawat Jala Jasa DokterDokter
N001353 NENG LINA APRILIA 30 26,000 - 5,000 - NOVI YULIA
A002469 ASTI RISMAWATI 63 16,500 - 5,000 - DETY NUR

LAPORAN PENDAPATAN RAWAT JALAN


Periode: 25-04-2016 s/d 25-04-2016

No. RM Nama Pasien No. Apotek IGD Rawat Jala Jasa DokterDokter
V000235 VIRA AGUSTIN 2 16,400 - 15,000 - WULAN WI
T001571 TATI HARTATI 3 - - 15,000 - WULAN WI
L000504 LINA KARTUTI 4 27,500 - 15,000 - WULAN WI
H000773 HILMAN MUHAMAD S 8 20,700 - 15,000 - WULAN WI
A000656 ALIF ABDUL HAKIM 9 28,750 - 15,000 - WULAN WI
N002694 NISA AROMANTIKA HIDAYAH 10 - - 15,000 - WULAN WI
M004769 MUHAMMAD ABYAN DZULQARNAI 11 25,500 - 15,000 - WULAN WI
A006382 ASEP SETIAWAN 12 28,000 - 15,000 - WULAN WI
R002682 RAMANDA FAUJAN 14 9,000 - 5,000 - WULAN WI
I003416 IDAH SAIDAH 15 20,900 - 15,000 - WULAN WI
S005622 SYAHLA AZHAR QURRATUL’AIHI 17 28,000 - 15,000 - WULAN WI
S005623 SYIFA ALIKA RAHMAN 18 32,000 - 15,000 - WULAN WI
H001195 HENDRA LESMANA 19 21,600 - 15,000 - WULAN WI
T001891 TOTO HATORI 20 - - 15,000 - WULAN WI
E002492 EEM MARYATI 22 24,400 - 15,000 - WULAN WI
M002943 MAKMUN, H 29 21,700 - 15,000 - WULAN WI
H002132 HABIB SALLAHUDIN 36 34,800 - 15,000 - WULAN WI
O000554 OKKY SANJAYA 39 27,400 - 15,000 - WULAN WI
A009353 AI ROSITAWATI 40 13,550 - 15,000 - WULAN WI
R005154 RIKAH NURHAYATI 43 20,600 - 15,000 - WULAN WI
M005155 MOCH CRISH FIRDAUS 46 13,200 - 15,000 - WULAN WI
M000112 MAMAH 47 9,000 35,000 15,000 - WULAN WI
D001188 DEDE AISYAH 49 21,600 - 15,000 - WULAN WI
R003568 RINA GUNAWAN 52 24,200 - 15,000 - WULAN WI
M004900 MUHAMAD AKHDAN ZAHID RABBA 53 19,500 - 15,000 - WULAN WI
L001269 LILI SAHLIA 54 - - 15,000 - WULAN WI
H002133 HERA HERAWATI 55 28,100 - 15,000 - WULAN WI
S004953 SALWA NAWAAL PUTRI PERMANA 57 31,400 - 15,000 - WULAN WI
D000237 DIAN FERDIANSYAH 59 17,000 - 15,000 - WULAN WI
N000945 NINA MARDIANA 60 24,400 - 15,000 - WULAN WI
Z000575 ZAHRA AULIA RAHMI 62 36,200 - 15,000 - WULAN WI
L000572 LISKA RAHMAWATI 63 12,750 - 15,000 - WULAN WI
D001999 DIAH RATNASARI 67 9,950 - 15,000 - WULAN WI
R000490 RINA MARLINA 68 - - 15,000 - WULAN WI
N003367 NOVI MEILANI 69 30,200 - 15,000 - WULAN WI
B000790 BUNYAMIN 70 24,400 - 15,000 - WULAN WI
Y002264 YAYAT HIDAYAT 72 32,200 - 15,000 - WULAN WI
N002281 NANI HARYANI 74 18,800 - 15,000 - WULAN WI
A009692 ANDIKA MAOLANA 77 19,000 - 15,000 - H. THIA SI
S005625 SITI FATIMAH 78 32,000 - 15,000 - H. THIA SI
E001065 ELA AMELIA 79 10,300 - 15,000 - WULAN WI
Y002261 YENI RISTIAWATI 81 8,000 - 15,000 - WULAN WI
G000599 GHIRY LEO LESMANA 83 29,000 - 15,000 - WULAN WI
C000359 CHOERUNNAS CAKRAPRAJA 85 16,900 - 15,000 - WULAN WI
K001191 KHASYI FARZANA PUTRA 86 - - 15,000 - WULAN WI
H002134 HADI ISMAL 87 30,000 - 15,000 - WULAN WI
R000137 RABNI TSANIA MAULIDNA 88 8,000 - 15,000 - WULAN WI
K000846 KAISYA ALYA 89 16,000 - 15,000 - WULAN WI
R004752 ROSSA ROSMAYANTI 90 24,800 - 15,000 - WULAN WI
I001685 INTAN NOVITA SARI 92 13,150 - 15,000 - WULAN WI
R003720 RIKA KARTIKA SARI 94 5,800 - 15,000 - WULAN WI
E003346 ENUR LATIFAH SUPARDI 95 18,000 - 15,000 - WULAN WI
M004331 MOCHAMMAD RAKHA AGUSTIAN R 96 30,000 - 15,000 - WULAN WI
A009564 AHMAD SOLEH 97 - - 15,000 - WULAN WI
E003738 ENGKUS 99 26,000 - 15,000 - H. THIA SI
L001270 LILIS KURNIA 100 21,000 - 15,000 - H. THIA SI
G000701 GENI SUPARTINI 101 17,000 - 15,000 - H. THIA SI
V000261 VIONA RENI NURFAUZIAH 102 16,000 - 15,000 - H. THIA SI
Y001117 YANTI YULIANTI 103 25,000 - 15,000 - H. THIA SI
H001884 HENI JOHARUDIN 106 25,000 - 15,000 - H. THIA SI
I003701 IWA GUNAWAN 107 28,000 - 15,000 - H. THIA SI
M004377 MUHAMMAD RAFIE ASY’ARI 108 44,000 - 15,000 - H. THIA SI
N003555 NENENG SUMARNI 109 32,000 - 15,000 - H. THIA SI
T000656 TINTIN SETIANI 112 35,000 - 15,000 - H. THIA SI
H000901 HENI NURMAYANTI INAYAH 113 34,000 - 15,000 - H. THIA SI
Y001930 YUS AHMAD YUSUF 117 45,000 - 15,000 - H. THIA SI
H000586 HANDAYANI SAFITRI 118 39,000 - 15,000 - H. THIA SI
A009693 ARKAN SAID RAMADHAN 122 17,000 - 15,000 - H. THIA SI
D001224 DEWI ANGGRAENI 124 15,000 - 15,000 - H. THIA SI
M000261 MITA LESTARI 127 36,000 - 15,000 - H. THIA SI
F000309 FERI PURNAMA 129 - - 15,000 - H. THIA SI
H001689 HERLINA 130 33,000 - 15,000 - H. THIA SI
D000032 DINI ILMI 131 32,000 - 15,000 - H. THIA SI
R005056 RINI NURBAYANTI 132 24,000 - 15,000 - H. THIA SI
N003560 NAURA LIA ANGGRAENI 136 21,000 - 15,000 - H. THIA SI
B018263 BINDA LAELASARI 146 23,000 - 15,000 - H. THIA SI
A008583 ANI ROHANI 148 19,000 - 15,000 - H. THIA SI
S005170 SRI RAHAYU 149 - - 15,000 - H. THIA SI

LAPORAN PENDAPATAN RAWAT JALAN


Periode: 26-04-2016 s/d 26-04-2016

No. RM Nama Pasien No. Apotek IGD Rawat Jala Jasa DokterDokter
N00413 NURWITA DAINI FATAH,S.PD 6 25,000 - 15,000 - WULAN WI
A009516 ACOEM MASOEM 9 22,000 - 15,000 - WULAN WI
A008682 ADZRA AQILA QANITA 11 17,000 - 15,000 - WULAN WI
D003949 DEDI SUPARDI 12 34,000 - 15,000 - WULAN WI
H001598 HENI HERYANI HJ 16 - - 15,000 - WULAN WI
T000291 TUTI KARTINI 18 19,000 - 15,000 - WULAN WI
M003806 MUHAMMAD AKMAL ZAIMURIZAL 19 - - 15,000 - WULAN WI
A006878 AGEUNG MELINA 20 30,000 - 15,000 - WULAN WI
F001875 FAIKARA GARSIKA 21 - - 15,000 - WULAN WI
N003452 NAMIYA MUJAB 22 - - 15,000 - WULAN WI
P000842 PUJI APRIANI 23 25,000 - 15,000 - WULAN WI
A002412 ADITHYA RAIHAN MULYADI 24 191,000 40,000 15,000 - WULAN WI
N003807 NIA KURNIAWATI 27 - - 15,000 - WULAN WI
I000963 IKIN TAPIATUDIN SH 30 31,000 - 15,000 - WULAN WI
S004193 SRI RAHAYU KUSMINATI 36 - - - - PERIKSA K
F001745 FIRYAL THUFAILAH NAJLA 41 19,000 - 15,000 - WULAN WI
R004571 RENI SUSANTI 43 23,000 - 15,000 - WULAN WI
N000704 NURMAYANTI 44 - - 15,000 - WULAN WI
A009115 AI SARININGSIH 45 30,000 - 15,000 - WULAN WI
Y001399 YATI SUMIATI 46 29,000 - 15,000 - WULAN WI
A009169 ANI MULYANI 47 - - - - PERIKSA K
A006903 AGNIA AFIATUL JANAH 48 23,000 - 15,000 - WULAN WI
P000843 PANJI PRATAMA WIDANI 50 30,000 - 15,000 - WULAN WI
Y001969 YAYAT RUHIYAT 51 19,000 - 15,000 - WULAN WI
Y002268 YANA MULYANA 52 23,000 - 15,000 - WULAN WI
A003377 AI SOLIHAT 54 21,000 - 15,000 - WULAN WI
H002138 HIRAJUDIN 55 17,000 - 15,000 - WULAN WI
T001960 TIRA AKBAR 56 12,000 - 15,000 - WULAN WI
F001318 FERLY ARVISYAH 57 16,000 - 15,000 - WULAN WI
E003484 ENTIN FATIMAH 60 40,000 - 15,000 - WULAN WI
A009200 ANI NURHAYATI ABDUL GANI 62 18,000 - 15,000 - WULAN WI
I002365 IDING JAMALUDIN 65 19,000 - 15,000 - WULAN WI
Q000039 QUTHBIE ZAHIN NUGRAHA 66 - - 15,000 - WULAN WI
I000818 IMAS NURHAEDAROH 70 16,500 - 15,000 - WULAN WI
S001849 SARAH NURFAUZIAH 71 - - 15,000 - WULAN WI
W000287 WINI LESTARI 72 32,000 45,000 15,000 - WULAN WI
A008752 ARIFIN RAZAK 73 27,000 - 15,000 - WULAN WI
O000591 OTAS MARYANI 74 21,000 - 15,000 - NOVI YULIA
S003811 SONARA SARI 75 20,000 - 15,000 - NOVI YULIA
S003810 SYAHNAZ NAHL CHAERUNISA 76 22,600 - 15,000 - NOVI YULIA
M004669 M HAIKAL AKBAR 77 - - 15,000 - NOVI YULIA
C000651 CITRA DIANAWATI 78 40,500 - 15,000 - NOVI YULIA
Y019290 YADI MULYADI 80 18,500 - 15,000 - NOVI YULIA
A008982 AI ROHAENI 83 31,600 - 15,000 - NOVI YULIA
M004922 MULYATI 84 32,800 - 15,000 - NOVI YULIA
U000932 UTENG R 85 31,000 - 15,000 - NOVI YULIA
S003720 SHELI AMANDA 86 30,000 - 15,000 - NOVI YULIA
F004751 FEBY KRISYANDI 87 12,250 - 15,000 - NOVI YULIA
A005706 AMIRA HASNA LUTHFIYAH 88 22,400 - 15,000 - NOVI YULIA
I003259 IRNA ROSMAWATI 89 19,000 - 15,000 - NOVI YULIA
P000517 PINK MEYLANI IDRUS 90 35,100 - 15,000 - NOVI YULIA
E002793 ERNA ERNAWATI ROCHAMA 92 42,500 - 15,000 - NOVI YULIA
S004516 SALWA NUR ISTIFAHARANI R 93 - - 15,000 - NOVI YULIA
Z000452 ZAHRA SALSABILA RACHMAWAN 94 - - 15,000 - NOVI YULIA
M004910 MUHAMMAD AL RASYID 95 22,800 - 15,000 - NOVI YULIA
T000416 TIFFANNY ALAYYAH 96 32,000 - 15,000 - NOVI YULIA
A019005 AMANG YUDI 100 31,000 - 15,000 - NOVI YULIA
Y002184 YULIA AGUSTINA 105 28,000 - 15,000 - NOVI YULIA
H002130 HAIKAL AKBAR 106 57,800 - 15,000 - NOVI YULIA
M003871 MUHAMMAD ARRASYID ARGANI 107 26,800 - 5,000 - NOVI YULIA
S005381 SYAMSIR MUHAMMAD 115 28,400 - 15,000 - NOVI YULIA
A019007 ALMA ZACKIAH FITRIANI 117 35,100 - 15,000 - NOVI YULIA
N001521 NOVI YULIANTI 118 18,200 - 5,000 - NOVI YULIA
LAPORAN PENDAPATAN RAWAT JALAN
Periode: 27-04-2016 s/d 27-04-2016

No. RM Nama Pasien No. Apotek IGD Rawat Jala Jasa DokterDokter
A007363 AULIA SALSABILA 4 29,000 - 15,000 - NOVI YULIA
B000545 BILQIS ALIFAH SYAFANA 5 17,000 - 15,000 - NOVI YULIA
Y019291 YULI SRI RAHAYU 6 25,000 - 15,000 - NOVI YULIA
D003720 DESI LESTARI 7 17,000 - 15,000 - NOVI YULIA
O017456 OOM KOMARIAH 10 38,000 - 15,000 - NOVI YULIA
N002175 NUNUNG ROSDIANA 11 28,000 - 15,000 - NOVI YULIA
L001271 LINA GANTINA 12 38,000 - 15,000 - NOVI YULIA
S004821 SITI AMINARTI 14 28,000 - 15,000 - NOVI YULIA
D003240 DANI RAMADHAN 15 - - 5,000 - NOVI YULIA
F001862 FADYA LESTARI PUTRI 16 17,000 - 15,000 - NOVI YULIA
Y001098 YENI FEBRIANI 17 23,000 - 15,000 - NOVI YULIA
N015897 NURHAYATI 21 18,000 - 15,000 - NOVI YULIA
B000792 BETTY NAINGGOLAN 22 - - - - PERIKSAKE
K000013 KUSTILAH 25 21,000 - 15,000 - NOVI YULIA
A008902 AI SONIANGSIH 26 45,000 - 15,000 - NOVI YULIA
M004745 MUHAMAD YUSEP PURNAMA 27 30,000 - 15,000 - NOVI YULIA
R017257 ROBI MUIZANI 28 24,000 - 15,000 - NOVI YULIA
E002057 EKA KUSDIANA 29 27,000 - 15,000 - NOVI YULIA
H000782 HAIKAL TRI FADLI 30 31,000 - 15,000 - NOVI YULIA
M004022 MELINDA INDRIANI 31 32,000 - 15,000 - NOVI YULIA
A008581 ALVARO ADHYATSA 33 21,000 - 15,000 - NOVI YULIA
K000587 KEYSHA NOVELLIA PUTRI 34 26,000 - 15,000 - NOVI YULIA
D002908 DINDA NIKEN KINANTI 35 28,000 - 15,000 - NOVI YULIA
A001459 ATAT SULASTRI 36 25,000 - 15,000 - NOVI YULIA
S019328 SONY HERMANSYAH 37 24,000 - 15,000 - NOVI YULIA
I003496 IYUS SUGARA 38 31,000 - 15,000 - NOVI YULIA
E003571 EUIS ANDRIANI 41 28,000 - 15,000 - NOVI YULIA
N002331 NONENG 43 31,000 - 15,000 - NOVI YULIA
A008718 ANISA NURUL AYUNI 44 28,000 - 15,000 - NOVI YULIA
U000732 UUN KURNIASIH 45 22,000 - 15,000 - NOVI YULIA
R017259 RIKI ZULKARNAEN 51 34,000 - 15,000 - NOVI YULIA
R005101 RYAN TRYANDANI 52 17,000 - 15,000 - NOVI YULIA
S001597 SYIFA FAUZIAH MUTMAINNAH 53 26,000 - 5,000 - NOVI YULIA
K001204 KARTIKA NUR FAIZAH 56 - - 15,000 - NOVI YULIA
A000525 AI SAIDAH 57 22,000 40,000 15,000 - NOVI YULIA
Z000289 ZAHRA AZARIA AZHAR 62 35,000 - 15,000 - NOVI YULIA
A019015 ACENG HOLIS 63 22,000 - 15,000 - NOVI YULIA
E006034 ECEP RUDI MUHARAM 64 21,600 - 15,000 - NOVI YULIA
R004530 RATNA SARI DEWI 66 13,400 - 15,000 - NOVI YULIA
N000895 NIZAM MUHAMMAD DAFI 67 44,800 - 15,000 - NOVI YULIA
Y001492 YULIARTI ANTIKA 70 39,000 - 5,000 - NOVI YULIA
A008744 AYESHA HUMAIRA DINAYA 72 21,000 - 15,000 - WULAN WI
W001117 WIRANTIWI AGUSTINA 74 - - - - PERIKSAKE
B000702 BETI PATMAWATI 84 20,200 - 15,000 - WULAN WI
N003439 NOVIYANTI 85 23,000 - 15,000 - WULAN WI
M001189 MARIA FITRI 87 22,000 - 5,000 - WULAN WI
S004005 SOPIAN 89 13,200 - 15,000 - WULAN WI
R000658 RESI RESNAWATI 94 23,000 - 15,000 - WULAN WI
R001191 RIZQYLILLAH ABDUROCHIM 95 34,800 - 15,000 - WULAN WI
H001851 HENI NURHAENI 96 19,000 - 15,000 - WULAN WI
R003302 RIDWAN, H 98 21,500 - 15,000 - WULAN WI
F001817 FAISAL HAMDANI 100 17,600 - 15,000 - WULAN WI
S005275 SITI FADILAH 101 35,000 - 15,000 - WULAN WI
T001785 TASEM 102 16,800 - 15,000 - WULAN WI
R004777 RAYYANDRA ILYAS SEFA 103 53,300 - 15,000 - WULAN WI
A008894 ASSYIFA RIZKADIANI 104 - - 15,000 - WULAN WI
E006037 ETI KUSWATI 105 22,000 - 15,000 - WULAN WI
S004946 SAMSUL RIZAL 106 26,300 - 15,000 - WULAN WI
H001109 HERI RUSLI 107 17,600 - 15,000 - WULAN WI

LAPORAN PENDAPATAN RAWAT JALAN


Periode: 28-04-2016 s/d 28-04-2016

No. RM Nama Pasien No. Apotek IGD Rawat Jala Jasa DokterDokter
L010564 LUSI AGUSTIN 2 22,000 - 15,000 - H. THIA SI
H001184 HAFID RAMLAN, S.PD 4 27,200 - 15,000 - H. THIA SI
M004425 MUHAMMAD ALKHA ASHOURA 7 - - 15,000 - NOVI YULIA
N000100 NUGRAHA ARKA SETIAWAN 8 28,100 - 15,000 - NOVI YULIA
S001857 SURYATI 10 32,500 - 15,000 - NOVI YULIA
L001088 LINA MARLINA 11 19,750 - 15,000 - NOVI YULIA
S002060 SURYA HAMIZAN 12 32,600 - 15,000 - NOVI YULIA
J000779 JAWAD MOCHTAR JAWAD 13 26,400 - 15,000 - NOVI YULIA
P000507 POPON CAHYATI 15 40,500 - 15,000 - NOVI YULIA
T000772 TRIZTA PUTUEKAWATI 19 - - - - PERIKSA K
M000112 MAMAH 20 - - 15,000 - NOVI YULIA
S019331 SHELOMITHA ANNISA PUTRI 21 34,000 - 15,000 - NOVI YULIA
S019332 SHAKIRA BILQIS HUMAIRA 22 24,000 - 15,000 - NOVI YULIA
Y000797 YETI NURHAYATI 24 14,600 - 15,000 - NOVI YULIA
S004412 SAEPULLOH 35 40,500 - 15,000 - NOVI YULIA
E003092 ENGKUS NADIN 36 23,400 - 15,000 - NOVI YULIA
A009636 ANGGI AYUDIA 39 32,000 - 15,000 - NOVI YULIA
A008752 ARIFIN RAZAK 44 37,600 - 15,000 - NOVI YULIA
A009314 AULIA RIZKY LAURANDRA 45 30,000 - 15,000 - NOVI YULIA
N001105 NURYANTI 47 30,000 - 15,000 - NOVI YULIA
I003259 IRNA ROSMAWATI 50 22,000 - 15,000 - NOVI YULIA
M004837 MIGAS WIRAYUDA 52 37,500 - 15,000 - NOVI YULIA
J000717 JENISITI ANGGRAENI 55 32,000 - 15,000 - NOVI YULIA
M003660 MUHAMMAD ALVI AL FARIZI 56 - - 15,000 - NOVI YULIA
R002130 RATNA RAHAYU 59 24,400 - 15,000 - NOVI YULIA
R004983 RIDWAN RUSTANDI 60 22,000 - 15,000 - NOVI YULIA
A005990 AULIA IZZATUNNISA 61 28,200 - 15,000 - NOVI YULIA
R002481 RANA 63 33,000 - 5,000 - NOVI YULIA
N003234 NELI IBRAHIM, S.PD 69 26,000 - 15,000 - H. ASEP
K009836 KHAIRIN HANINDA AULIA 70 - - 15,000 - H. ASEP
A006899 ADE RUSMANA 71 29,000 - 15,000 - H. ASEP
R017260 RINI NOVIANI 72 - - - - PERIKSA K
N003567 NURUL BADRIAH 81 33,000 - 15,000 - H. ASEP
S004096 SALMA PUTRI SAPARI 84 24,000 - 15,000 - H. ASEP
A000656 ALIF ABDUL HAKIM 86 26,000 - 15,000 - H. ASEP

LAPORAN PENDAPATAN RAWAT JALAN


Periode: 29-04-2016 s/d 29-04-2016

No. RM Nama Pasien No. Apotek IGD Rawat Jala Jasa DokterDokter
H007264 HILDA DESTRIANI 2 13,200 - 15,000 - WULAN WI
S005189 SIPA MARWAH 6 38,000 45,000 15,000 - WULAN WI
A008296 AISHA LIYANA KEJORA 7 26,800 - 15,000 - WULAN WI
S003301 SITI JULAEHA 8 14,500 - 15,000 - WULAN WI
I001801 ILHAM NURZAMAN 10 13,400 - 15,000 - WULAN WI
I001637 ISMAYA NUR ARAFAH 11 22,000 - 15,000 - WULAN WI
A004174 APIT SAMSUDIN 12 19,200 - 15,000 - WULAN WI
M003168 MERI KUSTIANI 14 13,000 - 15,000 - WULAN WI
M004798 MOCH. IBNU AZZQA AL FARIZQI 16 17,200 - 15,000 - WULAN WI
F002183 FITRI AYU MILASARI 17 23,200 - 15,000 - WULAN WI
D001027 DJUNAEDI 20 36,700 - 15,000 - WULAN WI
N003695 NUR ANALIS 21 19,200 - 15,000 - WULAN WI
M004731 MUHAMMAD AMZAR RAQILLA 22 17,500 - 15,000 - WULAN WI
R004848 RIZKI AKBAR JULIAN 24 25,500 - 15,000 - WULAN WI
E003167 ENTUT KARTUTI 28 35,200 - 15,000 - WULAN WI
T001799 TANTI TRISTIANTI 30 88,000 - 15,000 - WULAN WI
E003324 ERNA HERMAWATI 32 17,500 - 15,000 - WULAN WI
E002863 EUIS PATIMAH 33 24,400 - 15,000 - WULAN WI
N001800 NOVA KUSTIAWADI 41 17,500 - 15,000 - WULAN WI
D003676 DENI RAMDANI 42 52,000 45,000 15,000 - WULAN WI
W001108WWIWIN WINANGSIH 43 - - 15,000 - WULAN WI
S004649 SUJANA 46 29,000 - 15,000 - WULAN WI
M000824 MUHAMMAD KEVIN RADITYA 50 24,000 - 15,000 - WULAN WI
A008029 ANISA 57 16,400 - 15,000 - WULAN WI
R004234 ROMANSYAH 58 30,000 - 15,000 - WULAN WI
E002701 EGIS PURWANTO 59 21,900 - 15,000 - ANDI HER
R017265 RIZKY FATHURAHMAN S 63 37,500 - 15,000 - ANDI HER
T000199 TATI SUPRIATI 67 22,500 - 15,000 - ANDI HER
F002007 FAKHIRA KAILA KHANSA 72 36,500 - 15,000 - ANDI HER
D003676 DENI RAMDANI 73 29,000 50,000 15,000 - ANDI HER
D003382 DEWI NURUL FAUZIAH 75 23,000 - 15,000 - ANDI HER
M004166 MUHAMMAD LUTHFI AL IKHWANI 77 42,700 - 15,000 - ANDI HER
R005225 RISKA HAYATI 80 29,500 - 15,000 - ANDI HER
A003426 AZIZA MAULADIFA RAHAYU 81 22,700 - 15,000 - ANDI HER
M014529 MILDA SYAHAILA DESTIANTI 85 14,000 - 15,000 - ANDI HER
S003705 SAEPUDIN 86 24,000 - 15,000 - ANDI HER
D002918 DEDE DELISDA 87 21,000 - 15,000 - ANDI HER
T001790 TJUTJU SURJADI DRS. H 90 35,000 - 15,000 - ANDI HER
R005213 ROSA DESNIAWATI 91 40,700 - 15,000 - ANDI HER
I007349 ISAM SAMSUDIN 92 28,000 - 15,000 - ANDI HER
A001772 ALFAN DESVIAN ISKANDAR 95 40,700 - 15,000 - ANDI HER
A004932 ADELLA PRATHAMA 97 72,300 - 15,000 - ANDI HER
R004571 RENI SUSANTI 99 - - - - PERIKSA K
A005403 ANDI GALATAMA 102 30,500 - 15,000 - ANDI HER
S002617 SUSANTI 103 40,000 - 15,000 - ANDI HER
I001771 IJANG NASUTION 104 30,000 - 15,000 - ANDI HER
D000988 DZIKRI ADZANI AL K.W.D 105 28,700 - 15,000 - ANDI HER
D003592 DADANG YANTO 106 25,000 - 15,000 - ANDI HER
I003570 INAYA TULMILAH 108 40,000 - 15,000 - ANDI HER
D002392 DESI SUSANTI 109 24,400 - 15,000 - ANDI HER
S000096 SHAFA SAFINA 110 24,400 - 15,000 - ANDI HER
S003929 SHANTI HASANAH 111 - - 15,000 - ANDI HER
A000707 ACHMAD HAIKAL 112 21,150 - 15,000 - ANDI HER
Y000436 YANTI HERLIANTINI 116 21,750 - 15,000 - ANDI HER
E000825 ELDESSA VAVA RILLA 117 7,000 - 15,000 - ANDI HER
LAPORAN PENDAPATAN RAWAT JALAN
Periode: 30-04-2016 s/d 30-04-2016

No. RM Nama Pasien No. Apotek IGD Rawat Jala Jasa DokterDokter
M003871 MUHAMMAD ARRASYID ARGANI 1 52,400 - 5,000 - H. THIA SI
A009043 ADE KOMARUDIN 9 37,000 - 15,000 - WULAN WI
L001271 LINA GANTINA 11 32,400 - 15,000 - WULAN WI
M001295 MUFTI MUHAMMAD 13 24,200 - 15,000 - WULAN WI
N002281 NANI HARYANI 15 114,500 - 15,000 - WULAN WI
A019025 ASEP SUPRIADIN 16 22,400 - 15,000 - WULAN WI
I007350 IDA NURLAELA 18 - - - - PERIKSA K
S003627 SITI ANISA NURFADILA 20 29,200 - 15,000 - WULAN WI
F000957 FARDAN KHALLILURAHMAN . M 21 19,400 - 15,000 - WULAN WI
M004022 MELINDA INDRIANI 24 25,100 - 15,000 - WULAN WI
F002052 FITRI PURNAMA AMIN 29 18,800 - 15,000 - WULAN WI
M014532 MOCH. DADE AA 31 31,700 - 15,000 - WULAN WI
M004896 MUHAMMAD KHAIZURAN 32 19,200 - 15,000 - WULAN WI
R001606 ROFFY IDHAM RAMADHAN 36 21,000 - 15,000 - WULAN WI
M014533 MUHAMMAD ELLVAN BAIHAQI 37 32,000 - 15,000 - WULAN WI
A003803 AREL OKTAVIAN 39 28,100 - 15,000 - WULAN WI
M001200 M. AUDRIC RAJENDRA 41 17,500 - 15,000 - WULAN WI
A009178 ATI NURDIANTI 47 - - - - PERIKSA K
S005441 SRI MULYATI 48 18,000 - 15,000 - WULAN WI
R003370 RUHIYATI 49 21,100 - 15,000 - WULAN WI
N003813 NENDEN SUSI MULYANI 50 24,500 - 15,000 - WULAN WI
Y002099 YUDI FIRMANSYAH 51 12,200 - 15,000 - WULAN WI
I001685 INTAN NOVITA SARI 54 14,500 - 15,000 - WULAN WI
H000597 HERNI SURYANI 55 23,200 - 15,000 - WULAN WI
H000360 HABIBI WAROSATU AL-ANBIYA 56 28,100 - 15,000 - WULAN WI
M001133 M. GALANG ANUGRAH 57 28,100 - 15,000 - WULAN WI
E002866 ETI ROHAETI 58 24,000 - 15,000 - WULAN WI
S004946 SAMSUL RIZAL 61 18,100 - 15,000 - WULAN WI
D001683 DEDEN SOMANTRI 62 20,800 - 15,000 - WULAN WI
R000251 RIHANDI ALFARIZA WIJAYA 64 33,000 75,000 15,000 - WULAN WI
A000111 AJI PRAYOGA 65 - - 15,000 - WULAN WI
R004211 RAISHA HAMIDAH DWI F 66 36,000 - 15,000 - WULAN WI
W000351 WITA PUSPITASARI 68 31,000 - 15,000 - WULAN WI
I003677 IRA FARDILA 71 21,000 - 15,000 - WULAN WI
S005599 SITI HANIFAH 77 - - - - PERIKSA K
S005500 SITI NURLAELA SARI 78 45,000 - 15,000 - NOVI YULIA
J008239 JULITA ANGGOMAN 84 21,000 - 15,000 - NOVI YULIA
A004597 ANWAR GUMILAR 89 22,000 - 15,000 - NOVI YULIA
N002245 NAZIL MUHAMMAD ARIF 92 28,000 - 15,000 - NOVI YULIA
T001342 TASLIYA BILQISTH SHOLIHA 95 32,000 - 15,000 - NOVI YULIA
W001058 WIWI 100 44,000 - 15,000 - NOVI YULIA
S004954 SENI HERMALIYA SOLIHAH 101 36,000 - 15,000 - NOVI YULIA
R005314 REGA JANWAR ABDILAH 102 42,000 - 15,000 - NOVI YULIA
E002813 ERITA PUSPITASARI 103 29,000 - 15,000 - NOVI YULIA
N003151 NAIMA SENIYYAH FEBRIANDINI 104 9,000 - 15,000 - NOVI YULIA
F000092 FADLI FADLILLAH 105 14,000 - 15,000 - NOVI YULIA
M000039 M NANDANG PRAHARA 106 38,000 - 15,000 - NOVI YULIA
A007618 ADINDA RAIFA FIRMANSYAH 108 64,000 - 5,000 - NOVI YULIA
A008148 ALVIN MOCHAMAD ERSYAH 109 20,000 - 15,000 - NOVI YULIA
A007503 ACAH 117 33,000 - 15,000 - NOVI YULIA
ATAN RAWAT JALAN
016 s/d 01-04-2016

Lab Kartu Oxygen KIA Jumlah Jenis Pasie Keterangan APOTEK


18,000 - - - 61,200 BPJS SUDAH DILAYANI
- - - - 39,200 BPJS SUDAH DILAYANI
- - - - 30,000 BPJS SUDAH DILAYANI
- - - 31,000 31,000 BPJS SUDAH DILAYANI
12,000 - - 40,200 52,200 BPJS SUDAH DILAYANI
- - - - 35,200 BPJS SUDAH DILAYANI
- - - - 95,000 BPJS SUDAH DILAYANI
- - - - 47,300 BPJS SUDAH DILAYANI
- - - - 49,500 BPJS SUDAH DILAYANI
- - - - 26,000 BPJS SUDAH DILAYANI
- - - - 40,000 BPJS SUDAH DILAYANI
- - - - 52,600 BPJS SUDAH DILAYANI
- - - - 30,950 JAMSOSTESUDAH DILAYANI
- - - - 15,000 ASKES SUDAH DILAYANI
- - - - 40,200 BPJS SUDAH DILAYANI
- - - - 44,400 BPJS SUDAH DILAYANI
- - - - 36,000 BPJS SUDAH DILAYANI
- - - - 37,900 UMUM/BPJSUDAH DILAYANI
- - - - 39,900 BPJS SUDAH DILAYANI
- - - - 47,500 BPJS SUDAH DILAYANI
- - - - 27,200 BPJS SUDAH DILAYANI
- - - - 30,200 BPJS SUDAH DILAYANI
23,000 - - - 52,000 BPJS SUDAH DILAYANI
- - - - 44,100 BPJS SUDAH DILAYANI
- - - - 15,000 ASKES SUDAH DILAYANI
- - - - 103,000 BPJS SUDAH DILAYANI 19,000
- - - - 37,400 BPJS SUDAH DILAYANI
- - - - 15,000 BPJS SUDAH DILAYANI
- - - - 36,300 BPJS SUDAH DILAYANI
- - - 15,000 15,000 BPJS SUDAH DILAYANI
- - - - 66,000 BPJS SUDAH DILAYANI
- - - - 94,000 BPJS SUDAH DILAYANI 14,000
- - - - 35,400 BPJS SUDAH DILAYANI
- - - - 28,200 BPJS SUDAH DILAYANI
- - - - 47,000 BPJS SUDAH DILAYANI
- - - - 40,000 BPJS SUDAH DILAYANI
- - - - 65,000 ASKES SUDAH DILAYANI 21,000
- - - - 15,000 ASKES SUDAH DILAYANI
- - - - 47,000 ASKES SUDAH DILAYANI
- - - - 36,000 BPJS SUDAH DILAYANI
- - - - 50,000 BPJS SUDAH DILAYANI
- - - - 86,000 BPJS SUDAH DILAYANI 42,000
- - - - 53,000 BPJS SUDAH DILAYANI
- - - - 41,000 ASKES SUDAH DILAYANI
- - - - 104,000 BPJS SUDAH DILAYANI 74,000
- - - - 59,000 BPJS SUDAH DILAYANI
- - - - 56,000 BPJS SUDAH DILAYANI
- - - - 20,000 BPJS SUDAH DILAYANI
- - - - 30,500 BPJS SUDAH DILAYANI
170,000
205,000
ANDI HERMANSYAH=13
WULAN WIDYAWATI=32
H. THIA SILVANA=1
PERIKSA KEBIDANAN=3
RUJUK=4
IGD=4

ATAN RAWAT JALAN


016 s/d 02-04-2016

Lab Kartu Oxygen KIA Jumlah Jenis Pasie Keterangan APOTEK


- - - - 41,000 BPJS SUDAH DILAYANI
- - - - 34,000 BPJS SUDAH DILAYANI
- - - - 39,000 BPJS SUDAH DILAYANI
- - - - 36,000 BPJS SUDAH DILAYANI
- - - - 39,000 BPJS SUDAH DILAYANI
- - - - 15,000 BPJS SUDAH DILAYANI
- - - - 35,000 BPJS SUDAH DILAYANI 9,000
- - - - 102,000 BPJS SUDAH DILAYANI 70,000
- - - - 38,000 BPJS SUDAH DILAYANI
55,000 - - - 174,000 BPJS SUDAH DILAYANI 104,000
- - - - 122,000 BPJS SUDAH DILAYANI 51,000
- - - - 25,000 BPJS SUDAH DILAYANI
- - - - 51,000 BPJS SUDAH DILAYANI
- - - 30,000 30,000 BPJS SUDAH DILAYANI
- - - - 48,000 BPJS SUDAH DILAYANI
- - - - 36,000 BPJS SUDAH DILAYANI
- - - - 30,000 BPJS SUDAH DILAYANI
- - - - 36,000 BPJS SUDAH DILAYANI
- - - 30,000 30,000 BPJS SUDAH DILAYANI
105,000 - - - 120,000 BPJS SUDAH DILAYANI
140,000 - - - 190,000 BPJS SUDAH DILAYANI
- - - - 38,000 BPJS SUDAH DILAYANI
- - - 30,000 30,000 BPJS SUDAH DILAYANI
- - - - 32,000 BPJS SUDAH DILAYANI
- - - - 42,000 BPJS SUDAH DILAYANI
- - - - 34,000 BPJS SUDAH DILAYANI
- - - - 36,000 BPJS SUDAH DILAYANI
- - - - 37,000 BPJS SUDAH DILAYANI
- - - - 95,000 BPJS SUDAH DILAYANI 69,000
80,000 - - - 99,000 BPJS SUDAH DILAYANI
- - - - 24,000 BPJS SUDAH DILAYANI
- - - - 30,000 BPJS SUDAH DILAYANI
- - - - 23,000 BPJS SUDAH DILAYANI
55,000 - - - 90,000 UMUM/BPJSUDAH DILAYANI
- - - - 29,000 BPJS SUDAH DILAYANI
- - - - 73,000 BPJS SUDAH DILAYANI 34,000
- - - - 41,000 BPJS SUDAH DILAYANI
- - - - 32,100 BPJS SUDAH DILAYANI
- - - - 30,000 BPJS SUDAH DILAYANI
- - - - 37,000 BPJS SUDAH DILAYANI
- - - - 31,000 BPJS SUDAH DILAYANI
- - - - 38,600 BPJS SUDAH DILAYANI
- - - - 45,900 BPJS SUDAH DILAYANI
- - - - 41,600 BPJS SUDAH DILAYANI 23,000
- - - - 61,100 BPJS SUDAH DILAYANI 23,000
- - - - 52,500 BPJS SUDAH DILAYANI
- - - - 59,600 BPJS SUDAH DILAYANI
- - - - 49,100 BPJS SUDAH DILAYANI
- - - - 56,800 BPJS SUDAH DILAYANI 23,000
- - - 30,000 30,000 BPJS SUDAH DILAYANI
- - - - 93,000 ASKES SUDAH DILAYANI
- - - - 73,000 BPJS SUDAH DILAYANI
- - - - 32,400 BPJS SUDAH DILAYANI
406,000
566,000
WULAN WIDYAWATI=40
NOVI YULIANTI=8
PERIKSA KEBIDANAN=4
RUJUK=2
IGD=3

ATAN RAWAT JALAN


016 s/d 03-04-2016

Lab Kartu Oxygen KIA Jumlah Jenis Pasie Keterangan APOTEK


- - - - 31,400 BPJS SUDAH DILAYANI
- - - - 21,500 BPJS SUDAH DILAYANI
- - - - 24,400 BPJS SUDAH DILAYANI
- - - - 25,000 BPJS SUDAH DILAYANI
H. ASEP SANI SULAEMAN=3
DETY NUR RACHMAWATI=1

ATAN RAWAT JALAN


016 s/d 04-04-2016

Lab Kartu Oxygen Konsul gizi Jumlah Jenis Pasie Keterangan APOTEK
- - - - 45,400 BPJS SUDAH DILAYANI
25,000 - - - 81,900 BPJS SUDAH DILAYANI
84,000 - - - 99,000 BPJS SUDAH DILAYANI
- - - - 37,800 BPJS SUDAH DILAYANI
- - - - 33,000 BPJS SUDAH DILAYANI
- - - - 55,000 BPJS SUDAH DILAYANI
25,000 - - - 74,700 ASKES SUDAH DILAYANI
- - - - 44,000 BPJS SUDAH DILAYANI
66,000 - - - 66,000 BPJS SUDAH DILAYANI
- - - - 38,000 BPJS SUDAH DILAYANI
66,000 - - - 118,500 BPJS SUDAH DILAYANI
- - - - 45,000 BPJS SUDAH DILAYANI
- - - - 48,000 BPJS SUDAH DILAYANI
- - - - 31,500 BPJS SUDAH DILAYANI
- - - - 51,000 BPJS SUDAH DILAYANI
- - - - 43,100 BPJS SUDAH DILAYANI
- - - - 43,100 BPJS SUDAH DILAYANI
- - - - 43,100 BPJS SUDAH DILAYANI
- - - - 54,500 BPJS SUDAH DILAYANI
18,000 - - - 62,200 BPJS SUDAH DILAYANI 15,000
- - - - 43,000 BPJS SUDAH DILAYANI
- - - - 39,400 BPJS SUDAH DILAYANI
- - - - 45,500 BPJS SUDAH DILAYANI
- - - - 44,000 ASKES SUDAH DILAYANI
- - - - 38,500 BPJS SUDAH DILAYANI
- - - - 19,500 BPJS SUDAH DILAYANI
- - - - 27,200 BPJS SUDAH DILAYANI
- - - - 51,500 BPJS SUDAH DILAYANI
- - - - 27,200 BPJS SUDAH DILAYANI
- - - - 48,000 BPJS SUDAH DILAYANI
- - - - 30,000 BPJS SUDAH DILAYANI
- - - - 31,000 BPJS SUDAH DILAYANI
- - - - 46,000 BPJS SUDAH DILAYANI
- - - - 36,500 BPJS SUDAH DILAYANI
- - - - 47,000 BPJS SUDAH DILAYANI
- - - - 45,000 BPJS SUDAH DILAYANI
- - - - 48,400 BPJS SUDAH DILAYANI
- - - - 22,000 BPJS SUDAH DILAYANI
- - - - 55,400 BPJS SUDAH DILAYANI
- - - - 35,000 BPJS SUDAH DILAYANI
80,000 - - - 136,000 BPJS SUDAH DILAYANI
- - - - 43,000 BPJS SUDAH DILAYANI
- - - - 15,000 BPJS SUDAH DILAYANI
66,000 - - - 98,000 BPJS SUDAH DILAYANI
- - - - 12,300 BPJS SUDAH DILAYANI
- - - - 38,400 BPJS SUDAH DILAYANI 18,000
- - - - 32,800 BPJS SUDAH DILAYANI
- - - - 50,000 BPJS SUDAH DILAYANI
- - - - 49,500 BPJS SUDAH DILAYANI
- - - - 35,600 BPJS SUDAH DILAYANI
- - - - 15,000 BPJS SUDAH DILAYANI
- - - - 42,600 BPJS SUDAH DILAYANI 16,000
- - - - 23,700 BPJS SUDAH DILAYANI
- - - - 50,300 BPJS SUDAH DILAYANI 19,000
- - - - 51,500 BPJS SUDAH DILAYANI 21,000
- - - - 34,900 BPJS SUDAH DILAYANI
- - - - 44,000 BPJS SUDAH DILAYANI
- - - - 27,900 BPJS SUDAH DILAYANI
- - - - 52,000 BPJS SUDAH DILAYANI 21,000
- - - - 55,000 BPJS SUDAH DILAYANI 11,000
- - - - 33,000 BPJS SUDAH DILAYANI
- - - - 42,000 BPJS SUDAH DILAYANI
- - - - 72,000 BPJS SUDAH DILAYANI 57,000
- - - - 31,000 BPJS SUDAH DILAYANI
- - - - 31,000 BPJS SUDAH DILAYANI
- - - - 79,000 BPJS SUDAH DILAYANI 52,000
- - - - 15,000 BPJS SUDAH DILAYANI
- - - - 41,000 BPJS SUDAH DILAYANI
- - - - 29,000 BPJS SUDAH DILAYANI
- - - - 32,000 BPJS SUDAH DILAYANI
- - - - 40,000 BPJS SUDAH DILAYANI
- - - - 50,000 BPJS SUDAH DILAYANI
- - - - 37,000 BPJS SUDAH DILAYANI
- - - - 36,000 BPJS SUDAH DILAYANI
230,000
474,000
NOVI YULIANTI=44
H. THIA SILVANA=4
ANDI HERMANSYAH=25
CEK LAB SAJA=1
RUJUK=4
IGD=-
ATAN RAWAT JALAN
016 s/d 05-04-2016

Lab Kartu Oxygen KIA Jumlah Jenis Pasie Keterangan APOTEK


- - - - 45,000 BPJS SUDAH DILAYANI
- - - - 30,100 BPJS SUDAH DILAYANI
- - - - 15,000 BPJS SUDAH DILAYANI
- - - - 31,500 BPJS SUDAH DILAYANI
- - - - 35,900 BPJS SUDAH DILAYANI
18,000 - - - 54,000 BPJS SUDAH DILAYANI
80,000 - - - 118,750 ASKES SUDAH DILAYANI
- - - - 38,200 BPJS SUDAH DILAYANI
- - - - 35,000 ASKES SUDAH DILAYANI
- - - - 46,400 BPJS SUDAH DILAYANI
- - - - 42,000 BPJS SUDAH DILAYANI
- - - - 43,600 BPJS SUDAH DILAYANI
- - - - 36,450 BPJS SUDAH DILAYANI
- - - - 38,400 BPJS SUDAH DILAYANI
- - - - 31,950 BPJS SUDAH DILAYANI
- - - 30,000 30,000 BPJS SUDAH DILAYANI
- - - - 27,250 BPJS SUDAH DILAYANI
- - - - 36,000 BPJS SUDAH DILAYANI
- - - - 27,750 BPJS SUDAH DILAYANI
- - - - 39,400 ASKES SUDAH DILAYANI
- - - - 29,700 UMUM/BPJSUDAH DILAYANI
- - - - 39,500 BPJS SUDAH DILAYANI
- - - - 35,100 BPJS SUDAH DILAYANI
- - - - 31,000 BPJS SUDAH DILAYANI
- - - - 32,600 BPJS SUDAH DILAYANI
- - - - 39,000 BPJS SUDAH DILAYANI
- - - - 49,000 BPJS SUDAH DILAYANI
- - - - 41,250 BPJS SUDAH DILAYANI
- - - - 32,950 BPJS SUDAH DILAYANI
- - - - 34,600 BPJS SUDAH DILAYANI
- - - - 34,600 BPJS SUDAH DILAYANI
66,000 - - - 101,700 BPJS SUDAH DILAYANI
- - - - 31,400 BPJS SUDAH DILAYANI
- - - - 30,000 BPJS SUDAH DILAYANI
- - - - 58,000 BPJS SUDAH DILAYANI 34,000
- - - - 50,600 BPJS SUDAH DILAYANI
- - - - 40,000 BPJS SUDAH DILAYANI
- - - - 80,000 BPJS SUDAH DILAYANI
- - - - 38,100 UMUM/BPJSUDAH DILAYANI -
- - - - 49,900 BPJS SUDAH DILAYANI
18,000 - - - 59,600 ASKES SUDAH DILAYANI
- - - - 48,400 BPJS SUDAH DILAYANI
- - - - 34,700 BPJS SUDAH DILAYANI
- - - - 96,000 BPJS SUDAH DILAYANI
- - - 32,500 32,500 BPJS SUDAH DILAYANI
- - - - 45,900 BPJS SUDAH DILAYANI
- - - - 23,200 UMUM/BPJSUDAH DILAYANI
- - - - 40,600 BPJS SUDAH DILAYANI
80,000 - - - 128,300 BPJS SUDAH DILAYANI 23,000
- - - - 38,400 BPJS SUDAH DILAYANI
- - - - 21,700 ASKES SUDAH DILAYANI
23,000 - - - 82,000 BPJS SUDAH DILAYANI 23,000
- - - - 36,600 BPJS SUDAH DILAYANI
- - - - 44,600 BPJS SUDAH DILAYANI
- - - - 43,600 BPJS SUDAH DILAYANI
- - - - 43,100 BPJS SUDAH DILAYANI
- - - - 31,000 BPJS SUDAH DILAYANI
- - - - 42,100 BPJS SUDAH DILAYANI
- - - - 33,200 BPJS SUDAH DILAYANI
- - - - 49,800 BPJS SUDAH DILAYANI
- - - - 40,400 BPJS SUDAH DILAYANI
- - - - 34,600 BPJS SUDAH DILAYANI
- - - - 52,100 BPJS SUDAH DILAYANI 15,000
- - - - 40,700 UMUM/BPJSUDAH DILAYANI
- - - - 36,900 BPJS SUDAH DILAYANI
- - - - 43,000 BPJS SUDAH DILAYANI
- - - - 18,500 BPJS SUDAH DILAYANI
95,000
216,000
ENCEP SUDARYANA=2
H. ASEP MARYAMAN=2
NOVI YULIANTI=22
WULAN WIDYAWATI=39
PERIKSA KEBIDANAN=2
IGD=2
RUJUK=1

ATAN RAWAT JALAN


016 s/d 06-04-2016

Lab Kartu Oxygen KIA Jumlah Jenis Pasie Keterangan APOTEK


- - - - 40,600 BPJS SUDAH DILAYANI
- - - - 30,900 BPJS SUDAH DILAYANI
- - - - 31,150 BPJS SUDAH DILAYANI
- - - - 44,900 BPJS SUDAH DILAYANI
- - - - 62,000 BPJS SUDAH DILAYANI
80,000 - - - 130,100 BPJS SUDAH DILAYANI 23,000
- - - - 26,000 BPJS SUDAH DILAYANI
- - - - 32,500 BPJS SUDAH DILAYANI
- - - - 41,800 BPJS SUDAH DILAYANI
- - - - 49,600 BPJS SUDAH DILAYANI
- - - - 30,000 BPJS SUDAH DILAYANI
- - - - 33,000 BPJS SUDAH DILAYANI
- - - - 39,000 BPJS SUDAH DILAYANI
- - - - 42,500 BPJS SUDAH DILAYANI
- - - - 49,000 BPJS SUDAH DILAYANI
- - - - 38,000 ASKES SUDAH DILAYANI
- - - - 44,900 ASKES SUDAH DILAYANI
- - - - 48,100 BPJS SUDAH DILAYANI
- - - - 15,000 BPJS SUDAH DILAYANI
- - - - 50,800 BPJS SUDAH DILAYANI 21,000
- - - - 50,200 BPJS SUDAH DILAYANI
- - - - 42,000 BPJS SUDAH DILAYANI
55,000 - - - 81,750 BPJS SUDAH DILAYANI
- - - - 42,000 BPJS SUDAH DILAYANI
- - - - 46,000 BPJS SUDAH DILAYANI
- - - - 39,000 BPJS SUDAH DILAYANI
- - - - 190,000 BPJS SUDAH DILAYANI
- - - - 87,900 BPJS SUDAH DILAYANI 51,000
- - - - 16,800 BPJS SUDAH DILAYANI
- - - - 34,000 BPJS SUDAH DILAYANI
- - - - 34,000 BPJS SUDAH DILAYANI
- - - - 20,000 BPJS SUDAH DILAYANI
- - - - 30,000 BPJS SUDAH DILAYANI
- - - - 38,000 BPJS SUDAH DILAYANI
- - - - 49,000 BPJS SUDAH DILAYANI
- - - - 49,000 BPJS SUDAH DILAYANI
60,000 - - - 117,000 BPJS SUDAH DILAYANI 21,000
- - - - 31,000 BPJS SUDAH DILAYANI
- - - - 27,000 BPJS SUDAH DILAYANI
- - - - 43,000 BPJS SUDAH DILAYANI
- - - - 36,000 BPJS SUDAH DILAYANI
- - - - 29,000 BPJS SUDAH DILAYANI
- - - - 38,000 BPJS SUDAH DILAYANI
- - - - 42,000 BPJS SUDAH DILAYANI
- - - - 32,000 BPJS SUDAH DILAYANI
- - - - 63,000 BPJS SUDAH DILAYANI
- - - - 52,000 BPJS SUDAH DILAYANI
- - - - 31,000 BPJS SUDAH DILAYANI
- - - 34,000 34,000 BPJS SUDAH DILAYANI
- - - - 39,000 UMUM/BPJSUDAH DILAYANI
- - - - 43,000 BPJS SUDAH DILAYANI 18,000
- - - - 37,000 BPJS SUDAH DILAYANI
- - - - 15,000 BPJS SUDAH DILAYANI
- - - - 45,000 UMUM/BPJSUDAH DILAYANI
- - - - 32,000 BPJS SUDAH DILAYANI
- - - - 39,000 UMUM/BPJSUDAH DILAYANI
- - - - 46,000 BPJS SUDAH DILAYANI
- - - - 21,000 BPJS SUDAH DILAYANI
- - - - 29,000 BPJS SUDAH DILAYANI
- - - - 30,000 BPJS SUDAH DILAYANI
- - - - 14,000 BPJS SUDAH DILAYANI
- - - 38,000 38,000 BPJS SUDAH DILAYANI
- - - - 22,000 ASKES SUDAH DILAYANI
- - - - 39,000 BPJS SUDAH DILAYANI 18,000
- - - - 33,000 BPJS SUDAH DILAYANI
- - - - 40,000 BPJS SUDAH DILAYANI
55,000 - - - 136,000 BPJS SUDAH DILAYANI 57,000
- - - - 44,000 BPJS SUDAH DILAYANI 12,000
- - - - 37,000 BPJS SUDAH DILAYANI
221,000
306,000
ENCEP SUDARYANA=2
NOVI YULIANTI=26
WULAN WIDYAWATI=38
PERIKSA KEBIDANAN=3
RUJUK=2

ATAN RAWAT JALAN


016 s/d 07-04-2016

Lab Kartu Oxygen KIA Jumlah Jenis Pasie Keterangan APOTEK


- - - - 46,800 BPJS SUDAH DILAYANI
- - - - 45,000 BPJS SUDAH DILAYANI
- - - - 32,200 JAMSOSTESUDAH DILAYANI
- - - - 15,000 BPJS SUDAH DILAYANI
- - - - 53,200 BPJS SUDAH DILAYANI
- - - - 24,000 BPJS SUDAH DILAYANI
- - - - 43,500 BPJS SUDAH DILAYANI
- - - - 37,000 BPJS SUDAH DILAYANI
- - - - 30,200 ASKES SUDAH DILAYANI
- - - - 43,100 BPJS SUDAH DILAYANI
- - - - 43,100 BPJS SUDAH DILAYANI
- - - - 53,200 BPJS SUDAH DILAYANI
- - - - 49,100 BPJS SUDAH DILAYANI
- - - - 49,400 BPJS SUDAH DILAYANI
- - - - 35,500 ASKES SUDAH DILAYANI
- - - - 25,000 BPJS SUDAH DILAYANI
- - - - 51,000 BPJS SUDAH DILAYANI 23,000
- - - - 61,600 BPJS SUDAH DILAYANI
- - - - 40,600 BPJS SUDAH DILAYANI
- - - - 34,600 BPJS SUDAH DILAYANI
- - - - 50,100 BPJS SUDAH DILAYANI
- - - - 46,400 BPJS SUDAH DILAYANI
- - - - 25,600 BPJS SUDAH DILAYANI
- - - - 31,000 BPJS SUDAH DILAYANI
- - - - 27,750 BPJS SUDAH DILAYANI
- - - - 44,500 ASKES SUDAH DILAYANI
- - - - 42,150 BPJS SUDAH DILAYANI
- - - - 31,500 BPJS SUDAH DILAYANI
- - - - 37,550 BPJS SUDAH DILAYANI
- - - - 43,100 JAMSOSTESUDAH DILAYANI
- - - - 15,000 BPJS SUDAH DILAYANI
- - - - 43,000 BPJS SUDAH DILAYANI
- - - - 35,000 BPJS SUDAH DILAYANI
- - - - 46,000 BPJS SUDAH DILAYANI
- - - - 29,000 BPJS SUDAH DILAYANI
- - - 38,000 38,000 BPJS SUDAH DILAYANI
- - - - 47,000 BPJS SUDAH DILAYANI
- - - - 48,000 ASKES SUDAH DILAYANI
- - - - 35,000 BPJS SUDAH DILAYANI
- - - - 39,000 BPJS SUDAH DILAYANI
- - - - 49,000 BPJS SUDAH DILAYANI
- - - - 39,000 BPJS SUDAH DILAYANI
- - - - 39,000 BPJS SUDAH DILAYANI
- - - - 37,000 BPJS SUDAH DILAYANI
80,000 - - - 130,000 BPJS SUDAH DILAYANI
- - - - 38,000 BPJS SUDAH DILAYANI
- - - - 43,000 BPJS SUDAH DILAYANI
48,000 - - - 82,000 BPJS SUDAH DILAYANI
- - - - 41,000 BPJS SUDAH DILAYANI
- - - - 38,000 BPJS SUDAH DILAYANI
- - - - 38,000 BPJS SUDAH DILAYANI
- - - - 39,000 BPJS SUDAH DILAYANI
80,000 - - - 118,000 BPJS SUDAH DILAYANI
- - - - 57,000 ASKES SUDAH DILAYANI
- - - - 37,000 BPJS SUDAH DILAYANI
- - - - 15,000 BPJS SUDAH DILAYANI
- - - - 94,000 BPJS SUDAH DILAYANI
- - - - 38,000 BPJS SUDAH DILAYANI
- - - - 46,000 BPJS SUDAH DILAYANI
- - - - 39,000 BPJS SUDAH DILAYANI
- - - - 40,000 BPJS SUDAH DILAYANI
- - - - 35,000 BPJS SUDAH DILAYANI
- - - - 35,000 BPJS SUDAH DILAYANI
- - - - 44,000 BPJS SUDAH DILAYANI
- - - - 43,000 BPJS SUDAH DILAYANI
- - - - 15,000 BPJS SUDAH DILAYANI 23,000
121,000
NOVI YULIANTI=31
H. ASEP MARYAMAN=34
PERIKSA KEBIDANAN=1
RUJUK=4
IGD=1

ATAN RAWAT JALAN


016 s/d 08-04-2016

Lab Kartu Oxygen KIA Jumlah Jenis Pasie Keterangan APOTEK


73,000 - - - 126,000 BPJS SUDAH DILAYANI
- - - - 38,000 BPJS SUDAH DILAYANI
- - - - 40,000 BPJS SUDAH DILAYANI
- - - - 57,000 BPJS SUDAH DILAYANI 33,000
- - - - 47,000 BPJS SUDAH DILAYANI
- - - - 30,000 BPJS SUDAH DILAYANI
- - - - 28,000 BPJS SUDAH DILAYANI
- - - - 31,000 BPJS SUDAH DILAYANI
- - - - 41,000 BPJS SUDAH DILAYANI
- - - - 44,000 BPJS SUDAH DILAYANI
- - - - 53,000 BPJS SUDAH DILAYANI
146,000 - - - 174,000 ASKES SUDAH DILAYANI
- - - - 34,000 BPJS SUDAH DILAYANI
- - - - 43,000 BPJS SUDAH DILAYANI
- - - - 46,000 BPJS SUDAH DILAYANI
23,000 - - - 64,000 BPJS SUDAH DILAYANI 23,000
- - - - 15,000 BPJS SUDAH DILAYANI
- - - - 33,000 BPJS SUDAH DILAYANI
- - - - 42,000 BPJS SUDAH DILAYANI
- - - - 40,000 BPJS SUDAH DILAYANI
- - - - 32,000 BPJS SUDAH DILAYANI
- - - - 40,000 BPJS SUDAH DILAYANI
- - - - 107,000 BPJS SUDAH DILAYANI
- - - - 35,000 ASKES SUDAH DILAYANI
- - - - 43,000 BPJS SUDAH DILAYANI
- - - - 15,000 BPJS SUDAH DILAYANI
80,000 - - - 124,000 BPJS SUDAH DILAYANI
- - - - 32,000 BPJS SUDAH DILAYANI
- - - - 16,000 BPJS SUDAH DILAYANI
- - - - 36,000 BPJS SUDAH DILAYANI
48,000 - - - 89,000 BPJS SUDAH DILAYANI 16,000
- - - 27,000 27,000 BPJS SUDAH DILAYANI
- - - - 47,000 BPJS SUDAH DILAYANI
18,000 - - - 33,000 BPJS SUDAH DILAYANI
- - - 25,000 25,000 BPJS SUDAH DILAYANI
- - - - 15,000 BPJS SUDAH DILAYANI
- - - - 37,000 BPJS SUDAH DILAYANI
- - - - 35,000 BPJS SUDAH DILAYANI
- - - - 43,400 BPJS SUDAH DILAYANI
- - - - 34,200 BPJS SUDAH DILAYANI
- - - - 43,000 ASKES SUDAH DILAYANI
- - - - 33,750 BPJS SUDAH DILAYANI
- - - - 33,500 BPJS SUDAH DILAYANI
18,000 - - - 54,500 BPJS SUDAH DILAYANI
- - - - 42,750 BPJS SUDAH DILAYANI
- - - - 153,000 BPJS SUDAH DILAYANI 23,000
- - - - 52,500 BPJS SUDAH DILAYANI
- - - - 42,000 BPJS SUDAH DILAYANI
- - - - 113,500 BPJS SUDAH DILAYANI 70,000
- - - - 125,000 BPJS SUDAH DILAYANI 25,000
- - - - 36,600 BPJS SUDAH DILAYANI
- - - - 45,000 BPJS SUDAH DILAYANI
- - - - 45,000 BPJS SUDAH DILAYANI
- - - - 42,000 BPJS SUDAH DILAYANI
- - - - 36,000 BPJS SUDAH DILAYANI
- - - - 41,700 BPJS SUDAH DILAYANI
- - - - 36,000 BPJS SUDAH DILAYANI
- - - - 33,600 BPJS SUDAH DILAYANI
- - - - 30,000 BPJS SUDAH DILAYANI
- - - - 45,300 BPJS SUDAH DILAYANI
- - - - 55,000 BPJS SUDAH DILAYANI 21,000
- - - - 22,000 BPJS SUDAH DILAYANI
- - - - 31,000 BPJS SUDAH DILAYANI
211,000
530,000
ANDI HERMANSYAH=21
DETY NUR RACHMAWATI=2
WULAN WIDYAWATI=38
PERIKSA KEBIDANAN=2
RUJUK=3
IGD=3

ATAN RAWAT JALAN


016 s/d 09-04-2016

Lab Kartu Oxygen KIA Jumlah Jenis Pasie Keterangan APOTEK


80,000 - - - 173,000 BPJS SUDAH DILAYANI 71,000
101,000 - - - 144,000 BPJS SUDAH DILAYANI 17,000
- - - - 52,000 BPJS SUDAH DILAYANI
- - - - 40,000 UMUM/BPJSUDAH DILAYANI 9,000
- - - - 36,000 BPJS SUDAH DILAYANI
- - - - 39,000 BPJS SUDAH DILAYANI
- - - - 42,000 BPJS SUDAH DILAYANI
- - - - 26,000 BPJS SUDAH DILAYANI
- - - - 38,000 BPJS SUDAH DILAYANI
- - - - 15,000 BPJS SUDAH DILAYANI
- - - - 41,000 BPJS SUDAH DILAYANI
- - - - 48,000 BPJS SUDAH DILAYANI
- - - - 15,000 BPJS SUDAH DILAYANI
- - - - 23,000 BPJS SUDAH DILAYANI
- - - - 39,000 BPJS SUDAH DILAYANI
- - - - 15,000 BPJS SUDAH DILAYANI
- - - - 50,000 BPJS SUDAH DILAYANI 13,000
- - - - 14,000 BPJS SUDAH DILAYANI
- - - - 40,000 BPJS SUDAH DILAYANI
- - - - 27,000 BPJS SUDAH DILAYANI
- - - - 32,000 BPJS SUDAH DILAYANI
- - - - 37,000 BPJS SUDAH DILAYANI
- - - - 29,600 BPJS SUDAH DILAYANI
- - - - 37,500 BPJS SUDAH DILAYANI
- - - - 41,000 BPJS SUDAH DILAYANI
110,000
218,000
IWAN SUWARSA=11
WULAN WIDYAWATI=25
PERIKSA KEBIDANAN=3
RUJUK=4
IGD=1

ATAN RAWAT JALAN


016 s/d 10-04-2016
Lab Kartu Oxygen KIA Jumlah Jenis Pasie Keterangan APOTEK
- - - - 13,300 BPJS SUDAH DILAYANI
- - - - 38,000 BPJS SUDAH DILAYANI
- - - - 33,100 BPJS SUDAH DILAYANI
- - - - 22,000 BPJS SUDAH DILAYANI
- - - - 21,500 BPJS SUDAH DILAYANI
NOVI YULIANTI=4
H. ASEP SANI SULAEMAN=1

ATAN RAWAT JALAN


016 s/d 11-04-2016

Lab Kartu Oxygen KIA Jumlah Jenis Pasie Keterangan APOTEK


- - - - 15,000 ASKES SUDAH DILAYANI
- - - - 46,400 BPJS SUDAH DILAYANI
84,000 - - - 99,000 BPJS SUDAH DILAYANI
- - - - 90,200 BPJS SUDAH DILAYANI 47,000
- - - - 41,600 BPJS SUDAH DILAYANI
- - - - 43,700 BPJS SUDAH DILAYANI
- - - 37,000 37,000 BPJS SUDAH DILAYANI
- - - - 31,500 BPJS SUDAH DILAYANI
- - - - 15,000 BPJS SUDAH DILAYANI
66,000 - - - 124,000 ASKES SUDAH DILAYANI
- - - - 39,000 BPJS SUDAH DILAYANI
- - - - 46,400 ASKES SUDAH DILAYANI
- - - - 15,000 BPJS SUDAH DILAYANI
- - - - 43,900 BPJS SUDAH DILAYANI
- - - - 38,400 BPJS SUDAH DILAYANI
- - - - 32,500 BPJS SUDAH DILAYANI
- - - - 47,200 BPJS SUDAH DILAYANI
- - - - 32,200 BPJS SUDAH DILAYANI
- - - - 39,300 ASKES SUDAH DILAYANI 2,000
60,000 - - - 91,000 BPJS SUDAH DILAYANI
- - - - 30,000 UMUM/BPJSUDAH DILAYANI
- - - - 39,900 UMUM/BPJSUDAH DILAYANI 17,000
- - - - 44,600 ASKES SUDAH DILAYANI
55,000 - - - 70,000 UMUM/BPJSUDAH DILAYANI
43,000 - - - 87,000 BPJS SUDAH DILAYANI
- - - - 43,200 BPJS SUDAH DILAYANI
- - - - 36,700 BPJS SUDAH DILAYANI
- - - - 30,000 BPJS SUDAH DILAYANI
- - - - 38,600 BPJS SUDAH DILAYANI
100,000 - - - 115,000 BPJS SUDAH DILAYANI
- - - - 33,500 BPJS SUDAH DILAYANI
- - - - 62,050 BPJS SUDAH DILAYANI 28,000
- - - - 45,900 BPJS SUDAH DILAYANI
- - - - 23,000 BPJS SUDAH DILAYANI
- - - - 76,800 BPJS SUDAH DILAYANI 47,000
- - - - 15,000 BPJS SUDAH DILAYANI
- - - - 39,400 BPJS SUDAH DILAYANI
- - - - 15,000 BPJS SUDAH DILAYANI
- - - - 41,000 ASKES SUDAH DILAYANI
- - - - 39,000 BPJS SUDAH DILAYANI
- - - - 15,000 BPJS SUDAH DILAYANI
- - - - 41,400 BPJS SUDAH DILAYANI
- - - - 101,000 BPJS SUDAH DILAYANI 22,000
- - - - 47,400 BPJS SUDAH DILAYANI
- - - - 38,000 BPJS SUDAH DILAYANI
- - - - 46,200 BPJS SUDAH DILAYANI
- - - - 15,000 BPJS SUDAH DILAYANI
- - - - 39,000 BPJS SUDAH DILAYANI
- - - - 29,500 BPJS SUDAH DILAYANI
- - - - 15,000 BPJS SUDAH DILAYANI
- - - - 47,000 BPJS SUDAH DILAYANI
- - - - 52,100 BPJS SUDAH DILAYANI
- - - - 15,000 BPJS SUDAH DILAYANI
- - - - 34,300 BPJS SUDAH DILAYANI 13,000
- - - - 44,000 BPJS SUDAH DILAYANI
- - - - 42,000 BPJS SUDAH DILAYANI
- - - - 46,000 UMUM/BPJSUDAH DILAYANI
121,000 - - - 136,000 BPJS SUDAH DILAYANI
- - - - 46,400 BPJS SUDAH DILAYANI
- - - - 41,500 BPJS SUDAH DILAYANI
- - - - 42,800 BPJS SUDAH DILAYANI
- - - - 87,700 BPJS SUDAH DILAYANI 57,000
- - - - 33,200 BPJS SUDAH DILAYANI
- - - - 46,000 UMUM/BPJSUDAH DILAYANI 24,000
- - - - 47,000 BPJS SUDAH DILAYANI 21,000
- - - - 80,000 BPJS SUDAH DILAYANI
- - - - 38,700 BPJS SUDAH DILAYANI
- - - - 46,400 BPJS SUDAH DILAYANI
- - - - 50,500 BPJS SUDAH DILAYANI 20,000
- - - - 31,700 BPJS SUDAH DILAYANI
- - - - 33,500 BPJS SUDAH DILAYANI
- - - - 23,800 BPJS SUDAH DILAYANI
- - - - 66,000 BPJS SUDAH DILAYANI
- - - - 49,500 BPJS SUDAH DILAYANI
- - - - 15,000 BPJS SUDAH DILAYANI
- - - - 38,750 BPJS SUDAH DILAYANI
- - - - 37,000 BPJS SUDAH DILAYANI
- - - - 43,400 BPJS SUDAH DILAYANI
- - - - 63,000 BPJS SUDAH DILAYANI
- - - - 45,100 BPJS SUDAH DILAYANI
- - - - 38,400 ASKES SUDAH DILAYANI
- - - - 23,000 BPJS SUDAH DILAYANI
- - - - 27,000 BPJS SUDAH DILAYANI
298,000
547,000
ANDI HERMANSYAH=21
H. ASEP MARYAMAN=2
H. ASEP SANI SULAEMAN=6
WULAN WIDYAWATI=53
PERIKSA KEBIDANAN=1
RUJUK=14
IGD=2

ATAN RAWAT JALAN


016 s/d 12-04-2016

Lab Kartu Oxygen KIA Jumlah Jenis Pasie Keterangan APOTEK


- - - - 42,600 BPJS SUDAH DILAYANI 5,000
- - - - 29,500 BPJS SUDAH DILAYANI
- - - - 36,800 BPJS SUDAH DILAYANI
- - - - 15,000 BPJS SUDAH DILAYANI
- - - - 15,000 BPJS SUDAH DILAYANI
- - - - 47,500 BPJS SUDAH DILAYANI
- - - - 41,200 BPJS SUDAH DILAYANI
- - - - 15,000 BPJS SUDAH DILAYANI
48,000 - - - 86,500 BPJS SUDAH DILAYANI 13,000
- - - 34,000 34,000 BPJS SUDAH DILAYANI
- - - - 33,000 BPJS SUDAH DILAYANI
- - - - 37,000 BPJS SUDAH DILAYANI
- - - - 15,000 ASKES SUDAH DILAYANI
- - - - 38,300 BPJS SUDAH DILAYANI
18,000 - - - 65,800 BPJS SUDAH DILAYANI
- - - - 37,800 BPJS SUDAH DILAYANI
- - - - 45,000 BPJS SUDAH DILAYANI
- - - - 15,000 BPJS SUDAH DILAYANI
- - - - 15,000 BPJS SUDAH DILAYANI
- - - - 39,000 BPJS SUDAH DILAYANI
- - - 36,000 36,000 BPJS SUDAH DILAYANI
- - - - 43,100 BPJS SUDAH DILAYANI
- - - - 31,600 BPJS SUDAH DILAYANI
- - - - 37,400 BPJS SUDAH DILAYANI
80,000 - - - 148,000 BPJS SUDAH DILAYANI 31,000
18,000 - - - 55,900 BPJS SUDAH DILAYANI
- - - - 37,700 BPJS SUDAH DILAYANI
- - - - 43,400 BPJS SUDAH DILAYANI
- - - - 15,000 BPJS SUDAH DILAYANI
- - - - 45,200 UMUM/BPJSUDAH DILAYANI
- - - - 44,500 BPJS SUDAH DILAYANI
- - - - 39,400 BPJS SUDAH DILAYANI
- - - - 46,600 BPJS SUDAH DILAYANI
- - - - 48,200 BPJS SUDAH DILAYANI
- - - - 15,000 BPJS SUDAH DILAYANI
- - - - 34,000 BPJS SUDAH DILAYANI
- - - - 15,000 BPJS SUDAH DILAYANI
- - - - 44,000 BPJS SUDAH DILAYANI
- - - - 42,000 BPJS SUDAH DILAYANI
- - - - 37,000 BPJS SUDAH DILAYANI
- - - - 15,000 BPJS SUDAH DILAYANI
- - - - 37,000 BPJS SUDAH DILAYANI
- - - - 53,000 BPJS SUDAH DILAYANI 28,000
- - - - 37,000 BPJS SUDAH DILAYANI
- - - - 53,000 BPJS SUDAH DILAYANI
- - - - 55,000 BPJS SUDAH DILAYANI 19,000
- - - - 51,000 BPJS SUDAH DILAYANI
- - - - 32,000 BPJS SUDAH DILAYANI
- - - - 35,000 BPJS SUDAH DILAYANI
55,000 - - - 90,000 BPJS SUDAH DILAYANI
- - - - 49,000 UMUM/BPJSUDAH DILAYANI
- - - - 30,000 BPJS SUDAH DILAYANI
- - - - 35,000 BPJS SUDAH DILAYANI
96,000
169,000
H. ASEP MARYAMAN=1
NOVI YULIANTI=15
WULAN WIDYAWATI=35
PERIKSA KEBIDANAN=2
RUJUK=10
IGD= -

ATAN RAWAT JALAN


016 s/d 13-04-2016

Lab Kartu Oxygen KIA Jumlah Jenis Pasie Keterangan APOTEK


- - - - 34,200 BPJS SUDAH DILAYANI
160,000 - - - 191,400 BPJS SUDAH DILAYANI
- - - - 54,800 BPJS SUDAH DILAYANI
- - - - 41,400 BPJS SUDAH DILAYANI
- - - - 15,000 BPJS SUDAH DILAYANI
- - - - 15,000 BPJS SUDAH DILAYANI
- - - - 32,800 BPJS SUDAH DILAYANI
- - - - 59,200 BPJS SUDAH DILAYANI 21,000
- - - - 40,800 BPJS SUDAH DILAYANI
- - - - 31,350 BPJS SUDAH DILAYANI
- - - - 42,500 BPJS SUDAH DILAYANI
- - - - 44,500 BPJS SUDAH DILAYANI
- - - - 36,000 BPJS SUDAH DILAYANI
- - - - 31,800 BPJS SUDAH DILAYANI
- - - - 47,000 BPJS SUDAH DILAYANI
- - - - 44,500 BPJS SUDAH DILAYANI
- - - - 39,400 BPJS SUDAH DILAYANI
- - - - 43,600 BPJS SUDAH DILAYANI
- - - - 42,100 BPJS SUDAH DILAYANI
- - - - 33,000 BPJS SUDAH DILAYANI
- - - - 54,300 BPJS SUDAH DILAYANI
- - - - 37,500 BPJS SUDAH DILAYANI
- - - - 42,800 BPJS SUDAH DILAYANI
- - - - 34,200 BPJS SUDAH DILAYANI
- - - - 41,600 BPJS SUDAH DILAYANI
- - - - 38,000 BPJS SUDAH DILAYANI
- - - - 37,900 BPJS SUDAH DILAYANI
- - - - 42,800 BPJS SUDAH DILAYANI
18,000 - - - 66,500 BPJS SUDAH DILAYANI
- - - 34,000 34,000 BPJS SUDAH DILAYANI
- - - - 43,900 BPJS SUDAH DILAYANI
- - - - 33,000 BPJS SUDAH DILAYANI
- - - - 42,400 BPJS SUDAH DILAYANI
- - - - 49,600 BPJS SUDAH DILAYANI
- - - - 42,000 BPJS SUDAH DILAYANI
- - - - 38,000 BPJS SUDAH DILAYANI
- - - - 29,000 BPJS SUDAH DILAYANI
- - - - 44,000 BPJS SUDAH DILAYANI
- - - - 45,000 BPJS SUDAH DILAYANI 8,000
- - - - 42,200 BPJS SUDAH DILAYANI 8,000
- - - - 43,000 UMUM/BPJSUDAH DILAYANI -
- - - - 24,000 BPJS SUDAH DILAYANI
- - - - 38,000 BPJS SUDAH DILAYANI
- - - - 35,000 BPJS SUDAH DILAYANI
- - - - 8,000 BPJS SUDAH DILAYANI
- - - - 90,000 BPJS SUDAH DILAYANI
- - - - 29,000 BPJS SUDAH DILAYANI
- - - - 39,000 BPJS SUDAH DILAYANI
- - - - 14,000 BPJS SUDAH DILAYANI
- - - - 31,000 BPJS SUDAH DILAYANI
- - - - 32,000 BPJS SUDAH DILAYANI
- - - - 32,000 BPJS SUDAH DILAYANI
- - - - 30,000 BPJS SUDAH DILAYANI
- - - - 33,500 BPJS SUDAH DILAYANI
37,000
106,000
NOVI YULIANTI=33
WULAN WIDYAWATI=19
ENCEP SUDARYANA=1
PERIKSA KEBIDANAN=1
RUJUK=2
IGD=1

ATAN RAWAT JALAN


016 s/d 14-04-2016

Lab Kartu Oxygen KIA Jumlah Jenis Pasie Keterangan APOTEK


80,000 - - - 95,000 UMUM/BPJSUDAH DILAYANI
- - - - 30,000 BPJS SUDAH DILAYANI
- - - - 105,000 BPJS SUDAH DILAYANI 20,000
- - - - 37,000 BPJS SUDAH DILAYANI
- - - - 42,000 BPJS SUDAH DILAYANI
- - - - 22,000 BPJS SUDAH DILAYANI
- - - - 43,000 BPJS SUDAH DILAYANI
- - - - 33,000 BPJS SUDAH DILAYANI
- - - - 45,000 BPJS SUDAH DILAYANI
- - - - 58,000 BPJS SUDAH DILAYANI 19,000
78,000 - - - 110,000 BPJS SUDAH DILAYANI
- - - - 44,000 BPJS SUDAH DILAYANI
- - - - 40,000 BPJS SUDAH DILAYANI
- - - - 39,800 BPJS SUDAH DILAYANI
- - - - 28,000 BPJS SUDAH DILAYANI
- - - - 44,000 BPJS SUDAH DILAYANI
- - - - 38,000 BPJS SUDAH DILAYANI
- - - - 30,000 BPJS SUDAH DILAYANI
- - - - 43,000 BPJS SUDAH DILAYANI
- - - - 23,000 BPJS SUDAH DILAYANI
- - - - 29,000 BPJS SUDAH DILAYANI
- - - - 28,000 BPJS SUDAH DILAYANI
- - - - 138,000 BPJS SUDAH DILAYANI 54,000
- - - - 52,000 BPJS SUDAH DILAYANI
- - - - 39,000 BPJS SUDAH DILAYANI
- - - - 43,000 BPJS SUDAH DILAYANI
- - - - 15,000 ASKES SUDAH DILAYANI
23,000 - - - 53,000 BPJS SUDAH DILAYANI
- - - - 15,000 BPJS SUDAH DILAYANI
- - - - 35,000 BPJS SUDAH DILAYANI
- - - - 14,000 BPJS SUDAH DILAYANI
- - - - 40,000 ASKES SUDAH DILAYANI
- - - - 37,950 BPJS SUDAH DILAYANI
- - - - 33,000 BPJS SUDAH DILAYANI
- - - - 35,250 ASKES SUDAH DILAYANI
- - - - 34,700 BPJS SUDAH DILAYANI
- - - - 38,400 BPJS SUDAH DILAYANI
- - - - 40,700 BPJS SUDAH DILAYANI 8,000
- - - - 38,400 BPJS SUDAH DILAYANI
- - - - 36,000 BPJS SUDAH DILAYANI
- - - - 34,400 BPJS SUDAH DILAYANI
- - - - 39,400 BPJS SUDAH DILAYANI
- - - - 39,100 BPJS SUDAH DILAYANI
- - - - 100,000 BPJS SUDAH DILAYANI
- - - - 36,700 BPJS SUDAH DILAYANI
- - - - 36,000 BPJS SUDAH DILAYANI
- - - - 36,000 BPJS SUDAH DILAYANI
- - - - 45,200 BPJS SUDAH DILAYANI
- - - 32,500 32,500 BPJS SUDAH DILAYANI
- - - - 36,500 BPJS SUDAH DILAYANI
- - - 32,500 32,500 BPJS SUDAH DILAYANI
- - - - 36,500 BPJS SUDAH DILAYANI
- - - - 36,300 BPJS SUDAH DILAYANI 17,000
- - - - 39,400 BPJS SUDAH DILAYANI
- - - - 40,600 BPJS SUDAH DILAYANI
- - - - 31,300 BPJS SUDAH DILAYANI
- - - - 36,400 ASKES SUDAH DILAYANI
- - - - 35,000 BPJS SUDAH DILAYANI
- - - - 24,000 BPJS SUDAH DILAYANI
- - - - 37,000 BPJS SUDAH DILAYANI
- - - - 38,500 BPJS SUDAH DILAYANI
- - - - 39,600 BPJS SUDAH DILAYANI
66,000 - - - 97,300 BPJS SUDAH DILAYANI
- - - - 42,300 BPJS SUDAH DILAYANI
- - - - 33,000 BPJS SUDAH DILAYANI
- - - - 41,000 ASKES SUDAH DILAYANI
118,000
274,000
NOVI YULIANTI=34
H. ASEP MARYAMAN=30
PERIKSA KEBIDANAN=2
RUJUK=3
IGD=3

ATAN RAWAT JALAN


016 s/d 15-04-2016

Lab Kartu Oxygen KIA Jumlah Jenis Pasie Keterangan APOTEK


18,000 - - - 92,000 BPJS SUDAH DILAYANI 42,000
- - - - 80,000 BPJS SUDAH DILAYANI 39,000
- - - - 31,000 BPJS SUDAH DILAYANI
- - - - 40,000 BPJS SUDAH DILAYANI
- - - - 30,000 BPJS SUDAH DILAYANI
- - - - 35,000 BPJS SUDAH DILAYANI
- - - - 24,000 BPJS SUDAH DILAYANI
- - - - 33,000 BPJS SUDAH DILAYANI
- - - - 47,000 BPJS SUDAH DILAYANI
- - - - 28,000 BPJS SUDAH DILAYANI
- - - - 35,000 BPJS SUDAH DILAYANI
- - - - 140,000 BPJS SUDAH DILAYANI 45,000
- - - - 36,000 BPJS SUDAH DILAYANI
- - - 35,000 35,000 BPJS SUDAH DILAYANI
- - - - 42,000 BPJS SUDAH DILAYANI
- - - - 44,000 BPJS SUDAH DILAYANI
- - - - 42,000 BPJS SUDAH DILAYANI
- - - - 30,000 JAMSOSTESUDAH DILAYANI
- - - - 28,000 BPJS SUDAH DILAYANI
- - - - 30,000 BPJS SUDAH DILAYANI
- - - - 39,000 BPJS SUDAH DILAYANI
- - - - 32,000 BPJS SUDAH DILAYANI
- - - - 28,000 BPJS SUDAH DILAYANI
- - - - 37,000 BPJS SUDAH DILAYANI
- - - - 46,000 BPJS SUDAH DILAYANI
18,000 - - - 60,000 ASKES SUDAH DILAYANI
- - - - 46,000 BPJS SUDAH DILAYANI
- - - - 47,000 BPJS SUDAH DILAYANI
- - - - 59,000 BPJS SUDAH DILAYANI
- - - - 37,400 BPJS SUDAH DILAYANI
- - - - 29,000 BPJS SUDAH DILAYANI
- - - - 35,200 BPJS SUDAH DILAYANI
- - - - 36,600 BPJS SUDAH DILAYANI
- - - - 37,800 BPJS SUDAH DILAYANI
- - - - 43,800 BPJS SUDAH DILAYANI
- - - - 96,000 ASKES SUDAH DILAYANI 62,000
- - - - 43,000 BPJS SUDAH DILAYANI
- - - - 41,100 BPJS SUDAH DILAYANI
- - - - 36,400 BPJS SUDAH DILAYANI
- - - - 53,000 ASKES SUDAH DILAYANI
115,000 - - - 115,000 BPJS SUDAH DILAYANI
- - - 41,150 BPJS SUDAH DILAYANI
- - - 42,500 42,500 BPJS SUDAH DILAYANI
- - - - 22,000 BPJS SUDAH DILAYANI
- - - - 56,600 BPJS SUDAH DILAYANI
- - - - 40,900 BPJS SUDAH DILAYANI
- - - 35,000 35,000 BPJS SUDAH DILAYANI
25,000 - - - 68,500 BPJS SUDAH DILAYANI
55,000 - - - 122,000 BPJS SUDAH DILAYANI 21,000
18,000 - - - 54,750 BPJS SUDAH DILAYANI
- - - - 41,250 BPJS SUDAH DILAYANI
- - - - 97,300 BPJS SUDAH DILAYANI 57,000
- - - - 44,400 BPJS SUDAH DILAYANI
- - - - 40,400 BPJS SUDAH DILAYANI
- - - - 47,000 ASKES SUDAH DILAYANI
- - - - 62,000 BPJS SUDAH DILAYANI 21,000
- - - - 61,000 BPJS SUDAH DILAYANI
- - - - 44,000 BPJS SUDAH DILAYANI
287,000
342,000
WULAN WIDYAWATI=32
ANDI HERMANSYAH=22
PERIKSA KEBIDANAN=3
IGD=1
CEK LAB SAJA=1

ATAN RAWAT JALAN


016 s/d 16-04-2016

Lab Kartu Oxygen KIA Jumlah Jenis Pasie Keterangan APOTEK


18,000 - - - 60,400 ASKES SUDAH DILAYANI
- - - - 38,000 BPJS SUDAH DILAYANI
- - - - 36,000 BPJS SUDAH DILAYANI
- - - - 44,000 BPJS SUDAH DILAYANI
- - - - 60,100 BPJS SUDAH DILAYANI 16,000
- - - - 36,000 BPJS SUDAH DILAYANI
- - - - 15,000 BPJS SUDAH DILAYANI
- - - - 26,700 BPJS SUDAH DILAYANI
- - - - 32,350 BPJS SUDAH DILAYANI
- - - - 42,800 BPJS SUDAH DILAYANI
- - - - 26,200 BPJS SUDAH DILAYANI
- - - - 36,700 BPJS SUDAH DILAYANI
- - - - 38,200 BPJS SUDAH DILAYANI
- - - - 38,100 BPJS SUDAH DILAYANI
- - - - 38,200 BPJS SUDAH DILAYANI 9,000
- - - - 39,000 JAMSOSTESUDAH DILAYANI
80,000 - - - 123,200 BPJS SUDAH DILAYANI
- - - - 38,400 BPJS SUDAH DILAYANI
43,000 - - - 84,100 BPJS SUDAH DILAYANI
- - - 26,700 26,700 BPJS SUDAH DILAYANI
- - - - 18,200 BPJS SUDAH DILAYANI
- - - - 49,900 BPJS SUDAH DILAYANI
- - - - 39,600 BPJS SUDAH DILAYANI
- - - - 62,000 BPJS SUDAH DILAYANI
- - - - 58,600 BPJS SUDAH DILAYANI
- - - - 46,600 BPJS SUDAH DILAYANI
80,000 - - - 127,750 BPJS SUDAH DILAYANI 21,000
- - - - 50,200 BPJS SUDAH DILAYANI 15,000
- - - - 31,800 BPJS SUDAH DILAYANI
- - - - 43,200 BPJS SUDAH DILAYANI
- - - - 49,600 BPJS SUDAH DILAYANI
- - - - 54,400 BPJS SUDAH DILAYANI
- - - - 46,500 BPJS SUDAH DILAYANI
- - - - 40,800 BPJS SUDAH DILAYANI
- - - - 42,550 ASKES SUDAH DILAYANI 13,000
25,000 - - - 50,600 BPJS SUDAH DILAYANI
- - - - 22,000 BPJS SUDAH DILAYANI
- - - - 39,900 BPJS SUDAH DILAYANI
- - - - 37,800 BPJS SUDAH DILAYANI
- - - - 32,400 BPJS SUDAH DILAYANI
- - - - 45,000 BPJS SUDAH DILAYANI
- - - - 44,900 BPJS SUDAH DILAYANI
- - - - 46,700 ASKES SUDAH DILAYANI
- - - - 33,000 BPJS SUDAH DILAYANI
- - - 30,000 30,000 BPJS SUDAH DILAYANI
- - - - 36,600 BPJS SUDAH DILAYANI
- - - - 31,800 BPJS SUDAH DILAYANI
- - - - 31,000 BPJS SUDAH DILAYANI
- - - - 43,800 BPJS SUDAH DILAYANI
- - - - 43,700 BPJS SUDAH DILAYANI
- - - - 44,000 BPJS SUDAH DILAYANI
- - - - 26,000 BPJS SUDAH DILAYANI
- - - - 23,200 BPJS SUDAH DILAYANI
- - - - 52,500 BPJS SUDAH DILAYANI
- - - - 49,000 ASKES SUDAH DILAYANI
- - - - 48,700 BPJS SUDAH DILAYANI
74,000
174,000
ENCEP SUDARYANA=1
NOVI YULIANTI=29
WULAN WIDYAWATI=24
PERIKSA KEBIDANAN=2
rujuk=1
igd=1

ATAN RAWAT JALAN


016 s/d 17-04-2016

Lab Kartu Oxygen KIA Jumlah Jenis Pasie Keterangan APOTEK


84,000 - - - 100,500 BPJS SUDAH DILAYANI
- - - - 35,000 BPJS SUDAH DILAYANI
- - - - 43,000 BPJS SUDAH DILAYANI

H. ASEP SANI SULAEMAN=2


DETY NUR RACHMAWATI=1

ATAN RAWAT JALAN


016 s/d 18-04-2016

Lab Kartu Oxygen KIA Jumlah Jenis Pasie Keterangan APOTEK


- - - - 15,000 BPJS SUDAH DILAYANI
18,000 - - - 60,100 BPJS SUDAH DILAYANI
- - - - 42,600 UMUM/BPJSUDAH DILAYANI
- - - - 52,100 BPJS SUDAH DILAYANI
- - - - 46,500 BPJS SUDAH DILAYANI
- - - - 15,000 UMUM/BPJSUDAH DILAYANI
- - - - 15,000 ASKES SUDAH DILAYANI
- - - - 45,000 BPJS SUDAH DILAYANI
- - - - 35,500 BPJS SUDAH DILAYANI
- - - - 50,100 BPJS SUDAH DILAYANI
- - - - 47,000 BPJS SUDAH DILAYANI
43,000 - - - 83,500 BPJS SUDAH DILAYANI
- - - - 15,000 BPJS RI/SUDAH DILAYANI
- - - - 31,800 BPJS SUDAH DILAYANI
35,000 - - - 86,500 BPJS SUDAH DILAYANI 28,000
- - - - 45,000 BPJS SUDAH DILAYANI
- - - - 55,500 BPJS SUDAH DILAYANI
- - - - 15,000 BPJS SUDAH DILAYANI
- - - - 50,100 BPJS SUDAH DILAYANI
- - - - 15,000 BPJS SUDAH DILAYANI
- - - 29,100 29,100 BPJS SUDAH DILAYANI
- - - - 15,000 ASKES SUDAH DILAYANI
- - - - 30,200 BPJS SUDAH DILAYANI
- - - - 35,700 BPJS SUDAH DILAYANI
- - - - 87,800 BPJS SUDAH DILAYANI 65,000
- - - - 37,400 BPJS SUDAH DILAYANI
- - - - 53,400 BPJS SUDAH DILAYANI
- - - - 39,400 BPJS SUDAH DILAYANI
- - - - 31,000 BPJS SUDAH DILAYANI
- - - - 52,500 BPJS SUDAH DILAYANI 21,000
- - - - 28,500 BPJS SUDAH DILAYANI
- - - - 46,600 BPJS SUDAH DILAYANI
- - - - 27,400 BPJS SUDAH DILAYANI
- - - - 47,400 BPJS SUDAH DILAYANI
- - - - 43,700 BPJS SUDAH DILAYANI
- - - - 43,500 BPJS SUDAH DILAYANI
- - - - 40,500 BPJS SUDAH DILAYANI
- - - - 48,800 BPJS SUDAH DILAYANI
- - - - 45,400 BPJS SUDAH DILAYANI
66,000 - - - 108,400 BPJS SUDAH DILAYANI
48,000 - - - 99,600 BPJS SUDAH DILAYANI 19,000
- - - - 46,000 BPJS SUDAH DILAYANI
- - - - 34,000 BPJS SUDAH DILAYANI
- - - - 24,000 BPJS SUDAH DILAYANI
- - - 49,000 49,000 BPJS SUDAH DILAYANI
- - - - 30,500 BPJS SUDAH DILAYANI
- - - - 42,200 BPJS SUDAH DILAYANI
- - - - 15,000 BPJS SUDAH DILAYANI
- - - - 53,000 BPJS SUDAH DILAYANI 18,000
- - - - 47,000 BPJS SUDAH DILAYANI 18,000
- - - - 42,000 BPJS SUDAH DILAYANI
- - - - 66,000 BPJS SUDAH DILAYANI 19,000
- - - - 55,000 BPJS SUDAH DILAYANI 18,000
- - - - 74,000 BPJS SUDAH DILAYANI 44,000
- - - - 37,000 BPJS SUDAH DILAYANI
- - - - 38,000 BPJS SUDAH DILAYANI
- - - - 43,000 BPJS SUDAH DILAYANI
- - - - 48,000 BPJS SUDAH DILAYANI
- - - - 45,000 BPJS SUDAH DILAYANI
- - - - 15,000 BPJS SUDAH DILAYANI
- - - - 45,000 BPJS SUDAH DILAYANI
- - - - 45,000 BPJS SUDAH DILAYANI
- - - - 40,000 BPJS SUDAH DILAYANI
- - - - 38,000 UMUM/BPJSUDAH DILAYANI
- - - 28,000 28,000 BPJS SUDAH DILAYANI
- - - - 42,000 BPJS SUDAH DILAYANI
- - - - 43,000 BPJS SUDAH DILAYANI
- - - - 44,000 BPJS SUDAH DILAYANI
- - - - 49,000 BPJS SUDAH DILAYANI 19,000
- - - - 44,000 BPJS SUDAH DILAYANI
- - - - 37,000 BPJS SUDAH DILAYANI
- - - - 31,000 BPJS SUDAH DILAYANI
12,000 - - - 37,000 BPJS SUDAH DILAYANI
- - - - 26,000 BPJS SUDAH DILAYANI
48,000 - - - 106,000 BPJS SUDAH DILAYANI 19,000
25,000 - - - 55,000 BPJS SUDAH DILAYANI
- - - - 26,750 BPJS SUDAH DILAYANI
288,000
517,000
H. ASEP MARYAMAN=1
IWAN SUWARSA=27
NOVI YULIANTI=45
PERIKSA KEBIDANAN=4
RUJUK=9

ATAN RAWAT JALAN


016 s/d 19-04-2016

Lab Kartu Oxygen KIA Jumlah Jenis Pasie Keterangan APOTEK


- - - - 43,200 BPJS SUDAH DILAYANI
- - - - 35,400 BPJS SUDAH DILAYANI
- - - - 35,750 BPJS SUDAH DILAYANI
- - - - 32,000 BPJS SUDAH DILAYANI
- - - - 51,000 BPJS SUDAH DILAYANI
- - - - 37,400 BPJS SUDAH DILAYANI
- - - - 34,600 BPJS SUDAH DILAYANI
- - - - 15,000 BPJS SUDAH DILAYANI
- - - - 29,350 BPJS SUDAH DILAYANI
- - - - 34,200 BPJS SUDAH DILAYANI
- - - - 28,200 BPJS SUDAH DILAYANI
- - - - 43,000 BPJS SUDAH DILAYANI
- - - - 44,500 BPJS SUDAH DILAYANI
- - - - 24,000 BPJS SUDAH DILAYANI
- - - - 33,200 BPJS SUDAH DILAYANI
43,000 - - - 84,700 ASKES SUDAH DILAYANI
- - - - 28,000 BPJS SUDAH DILAYANI
- - - - 15,000 BPJS SUDAH DILAYANI
- - - - 43,300 BPJS SUDAH DILAYANI
- - - - 28,750 BPJS SUDAH DILAYANI
- - - - 41,700 BPJS SUDAH DILAYANI
- - - - 46,800 BPJS SUDAH DILAYANI
- - - - 93,000 BPJS SUDAH DILAYANI 14,000
- - - - 29,500 BPJS SUDAH DILAYANI
- - - - 34,700 BPJS SUDAH DILAYANI
- - - 43,600 43,600 BPJS SUDAH DILAYANI
- - - - 42,800 ASKES SUDAH DILAYANI
78,000 - - - 223,500 BPJS SUDAH DILAYANI 101,000
- - - - 32,200 BPJS SUDAH DILAYANI
- - - - 38,400 BPJS SUDAH DILAYANI
- - - - 46,600 BPJS SUDAH DILAYANI
- - - - 11,700 BPJS SUDAH DILAYANI
60,000 - - - 98,400 BPJS SUDAH DILAYANI 9,000
- - - - 33,500 BPJS SUDAH DILAYANI
- - - - 39,750 BPJS SUDAH DILAYANI
- - - - 32,800 BPJS SUDAH DILAYANI
- - - - 38,000 BPJS SUDAH DILAYANI
- - - - 34,000 BPJS SUDAH DILAYANI
- - - - 40,000 BPJS SUDAH DILAYANI
- - - - 39,000 BPJS SUDAH DILAYANI
- - - - 70,000 BPJS SUDAH DILAYANI 31,000
- - - - 26,000 BPJS SUDAH DILAYANI
- - - - 98,000 BPJS SUDAH DILAYANI 20,000
- - - - 51,000 BPJS SUDAH DILAYANI 21,000
- - - - 53,000 BPJS SUDAH DILAYANI
- - - - 47,600 BPJS SUDAH DILAYANI
- - - - 61,000 BPJS SUDAH DILAYANI
- - - - 43,000 BPJS SUDAH DILAYANI
- - - - 31,000 BPJS SUDAH DILAYANI
196,000
311,000
NOVI YULIANTI=11
WULAN WIDYAWATI=37
PERIKSA KEBIDANAN=1
RUJUK=2
IGD=3

ATAN RAWAT JALAN


016 s/d 20-04-2016

Lab Kartu Oxygen KIA Jumlah Jenis Pasie Keterangan APOTEK


- - - - 47,000 BPJS SUDAH DILAYANI
- - - - 38,000 ASKES SUDAH DILAYANI
- - - - 47,000 BPJS SUDAH DILAYANI
- - - - 43,000 BPJS SUDAH DILAYANI
- - - - 41,000 BPJS SUDAH DILAYANI
- - - - 15,000 BPJS SUDAH DILAYANI
- - - - 24,000 BPJS SUDAH DILAYANI
- - - - 159,000 BPJS SUDAH DILAYANI 71,000
- - - - 15,000 BPJS SUDAH DILAYANI
- - - - 26,000 BPJS SUDAH DILAYANI
80,000 - - - 133,000 BPJS SUDAH DILAYANI 21,000
- - - - 36,000 BPJS SUDAH DILAYANI
- - - - 42,000 BPJS SUDAH DILAYANI
- - - - 52,000 BPJS SUDAH DILAYANI
- - - - 50,000 BPJS SUDAH DILAYANI
- - - - 35,000 BPJS SUDAH DILAYANI
- - - - 39,000 BPJS SUDAH DILAYANI
- - - - 39,000 BPJS SUDAH DILAYANI
- - - - 30,000 BPJS SUDAH DILAYANI
- - - - 41,000 BPJS SUDAH DILAYANI
- - - - 35,500 BPJS SUDAH DILAYANI
- - - 33,000 33,000 BPJS SUDAH DILAYANI
- - - - 40,000 BPJS SUDAH DILAYANI
- - - 18,800 18,800 BPJS SUDAH DILAYANI
25,000 - - - 58,000 BPJS SUDAH DILAYANI
- - - - 51,000 BPJS SUDAH DILAYANI
- - - - 38,000 BPJS SUDAH DILAYANI
- - - - 35,000 BPJS SUDAH DILAYANI
- - - - 42,000 BPJS SUDAH DILAYANI 8,000
- - - - 27,000 BPJS SUDAH DILAYANI 21,000
- - - - 48,000 BPJS SUDAH DILAYANI
- - - - 15,000 BPJS SUDAH DILAYANI
- - - - 38,700 BPJS SUDAH DILAYANI
- - - - 29,600 BPJS SUDAH DILAYANI
- - - - 39,400 BPJS SUDAH DILAYANI
- - - - 35,700 BPJS SUDAH DILAYANI
- - - - 26,500 BPJS SUDAH DILAYANI
- - - - 43,800 BPJS SUDAH DILAYANI
25,000 - - - 48,000 BPJS SUDAH DILAYANI
- - - - 29,200 UMUM/BPJSUDAH DILAYANI
- - - - 45,200 BPJS SUDAH DILAYANI
- - - - 51,000 BPJS SUDAH DILAYANI
- - - - 41,800 BPJS SUDAH DILAYANI
- - - - 33,700 BPJS SUDAH DILAYANI
- - - - 43,100 BPJS SUDAH DILAYANI
- - - - 41,800 BPJS SUDAH DILAYANI
- - - - 76,600 BPJS SUDAH DILAYANI 39,000
- - - - 46,700 BPJS SUDAH DILAYANI
- - - - 37,200 BPJS SUDAH DILAYANI
- - - - 38,000 BPJS SUDAH DILAYANI
- - - - 39,200 BPJS SUDAH DILAYANI
- - - - 31,500 BPJS SUDAH DILAYANI
- - - - 52,900 BPJS SUDAH DILAYANI
- - - - 45,000 BPJS SUDAH DILAYANI
- - - - 31,200 BPJS SUDAH DILAYANI
- - - - 45,000 BPJS SUDAH DILAYANI
158,000 - - - 182,300 BPJS SUDAH DILAYANI
- - - - 30,700 BPJS SUDAH DILAYANI
- - - - 30,200 BPJS SUDAH DILAYANI
- - - - 47,000 ASKES SUDAH DILAYANI
- - - - 37,800 BPJS SUDAH DILAYANI
- - - - 15,000 ASKES SUDAH DILAYANI
- - - - 33,000 BPJS SUDAH DILAYANI
- - - - 31,500 BPJS SUDAH DILAYANI
- - - - 24,800 BPJS SUDAH DILAYANI
160,000
302,500
NOVI YULIANTI=32
WULAN WIDYAWATI=32
PERIKSA KEBIDANAN=1
RUJUK=4
IGD=1

ATAN RAWAT JALAN


016 s/d 21-04-2016

Lab Kartu Oxygen KIA Jumlah Jenis Pasie Keterangan APOTEK


- - - - 101,000 BPJS SUDAH DILAYANI
- - - - 28,000 BPJS SUDAH DILAYANI
- - - - 40,000 BPJS SUDAH DILAYANI
- - - - 21,000 BPJS SUDAH DILAYANI
- - - - 47,000 BPJS SUDAH DILAYANI
- - - - 30,000 BPJS SUDAH DILAYANI
- - - - 24,000 BPJS SUDAH DILAYANI
- - - - 35,000 BPJS SUDAH DILAYANI
- - - - 38,000 BPJS SUDAH DILAYANI
- - - - 46,000 BPJS SUDAH DILAYANI
- - - - 50,000 BPJS SUDAH DILAYANI
80,000 - - - 118,000 ASKES SUDAH DILAYANI
66,000 - - - 92,000 BPJS SUDAH DILAYANI
- - - - 14,000 BPJS SUDAH DILAYANI
- - - - 58,000 BPJS SUDAH DILAYANI 21,000
- - - - 92,000 BPJS SUDAH DILAYANI 36,000
- - - - 43,000 BPJS SUDAH DILAYANI
80,000 - - - 113,000 BPJS SUDAH DILAYANI
- - - 40,000 40,000 BPJS SUDAH DILAYANI
- - - - 15,000 BPJS SUDAH DILAYANI
- - - - 32,000 BPJS SUDAH DILAYANI
- - - - 31,500 BPJS SUDAH DILAYANI
- - - - 44,600 BPJS SUDAH DILAYANI
- - - - 54,700 BPJS SUDAH DILAYANI
- - - - 45,000 BPJS SUDAH DILAYANI
- - - - 35,000 BPJS SUDAH DILAYANI
- - - - 34,000 BPJS SUDAH DILAYANI
- - - - 47,700 BPJS SUDAH DILAYANI
- - - - 40,500 BPJS SUDAH DILAYANI
80,000 - - - 95,000 BPJS SUDAH DILAYANI
- - - - 45,000 BPJS SUDAH DILAYANI 16,000
- - - - 45,000 BPJS SUDAH DILAYANI 10,000
48,000 - - - 89,000 BPJS SUDAH DILAYANI
- - - - 15,000 BPJS SUDAH DILAYANI
- - - - 33,000 BPJS SUDAH DILAYANI
55,000 - - - 79,000 BPJS SUDAH DILAYANI
- - - - 33,250 BPJS SUDAH DILAYANI
- - - - 40,000 BPJS SUDAH DILAYANI
- - - - 29,000 BPJS SUDAH DILAYANI
- - - - 40,900 BPJS SUDAH DILAYANI
- - - - 37,800 BPJS SUDAH DILAYANI
- - - - 46,000 BPJS SUDAH DILAYANI
- - - - 37,400 BPJS SUDAH DILAYANI
- - - - 39,000 BPJS SUDAH DILAYANI
- - - - 46,500 BPJS SUDAH DILAYANI
- - - - 37,000 BPJS SUDAH DILAYANI
- - - - 39,400 BPJS SUDAH DILAYANI
- - - - 41,300 BPJS SUDAH DILAYANI
- - - - 39,400 BPJS SUDAH DILAYANI
- - - - 39,400 BPJS SUDAH DILAYANI
- - - - 39,400 BPJS SUDAH DILAYANI
- - - - 38,400 BPJS SUDAH DILAYANI
- - - - 43,200 ASKES SUDAH DILAYANI
- - - - 48,000 BPJS SUDAH DILAYANI
- - - - 44,000 BPJS SUDAH DILAYANI
83,000
254,000
NOVI YULIANTI=22
H. ASEP MARYAMAN=32
PERIKSA KEBIDANAN=1
RUJUK=3
IGD=1

ATAN RAWAT JALAN


016 s/d 22-04-2016
Lab Kartu Oxygen KIA Jumlah Jenis Pasie Keterangan APOTEK
- - - - 38,000 BPJS SUDAH DILAYANI
18,000 - - - 50,950 BPJS SUDAH DILAYANI
- - - - 45,000 BPJS SUDAH DILAYANI
75,000 - - - 118,100 BPJS SUDAH DILAYANI
- - - - 27,600 BPJS SUDAH DILAYANI
- - - - 35,200 BPJS SUDAH DILAYANI
- - - - 37,900 BPJS SUDAH DILAYANI
- - - - 38,000 BPJS SUDAH DILAYANI 8,000
- - - - 79,600 BPJS SUDAH DILAYANI 52,000
- - - 29,000 29,000 BPJS SUDAH DILAYANI
- - - - 26,350 BPJS SUDAH DILAYANI
- - - - 101,500 BPJS SUDAH DILAYANI 11,000
- - - - 27,600 BPJS SUDAH DILAYANI
- - - - 38,000 BPJS SUDAH DILAYANI
- - - - 35,900 ASKES SUDAH DILAYANI
- - - - 42,000 BPJS SUDAH DILAYANI
- - - - 43,800 BPJS SUDAH DILAYANI
- - - - 24,350 BPJS SUDAH DILAYANI
- - - - 33,100 BPJS SUDAH DILAYANI
- - - - 47,600 BPJS SUDAH DILAYANI
- - - - 38,700 BPJS SUDAH DILAYANI
- - - 25,000 25,000 BPJS SUDAH DILAYANI
- - - - 26,000 BPJS SUDAH DILAYANI
- - - - 17,000 BPJS SUDAH DILAYANI
- - - - 43,000 BPJS SUDAH DILAYANI
- - - - 40,000 ASKES SUDAH DILAYANI
- - - - 45,000 BPJS SUDAH DILAYANI
- - - - 25,500 BPJS SUDAH DILAYANI
- - - - 29,000 BPJS SUDAH DILAYANI
- - - - 35,600 BPJS SUDAH DILAYANI
- - - - 32,000 BPJS SUDAH DILAYANI
- - - - 61,000 ASKES SUDAH DILAYANI
41,000 - - - 95,700 BPJS SUDAH DILAYANI
25,000 - - - 60,000 BPJS SUDAH DILAYANI
- - - - 57,100 BPJS SUDAH DILAYANI
- - - - 45,500 BPJS SUDAH DILAYANI
- - - - 42,800 BPJS SUDAH DILAYANI
- - - - 39,900 BPJS SUDAH DILAYANI
- - - - 49,600 BPJS SUDAH DILAYANI
- - - - 107,000 BPJS SUDAH DILAYANI 20,000
25,000 - - - 61,500 BPJS SUDAH DILAYANI
48,000 - - - 96,000 BPJS SUDAH DILAYANI
96,000 - - - 136,000 BPJS SUDAH DILAYANI
- - - - 41,900 BPJS SUDAH DILAYANI
- - - - 41,700 BPJS SUDAH DILAYANI
- - - - 44,100 BPJS SUDAH DILAYANI 8,000
- - - - 39,500 BPJS SUDAH DILAYANI
- - - - 30,700 BPJS SUDAH DILAYANI
- - - - 40,500 BPJS SUDAH DILAYANI
- - - - 42,500 BPJS SUDAH DILAYANI
- - - - 40,500 BPJS SUDAH DILAYANI
- - - - 48,000 BPJS SUDAH DILAYANI
- - - - 41,000 BPJS SUDAH DILAYANI
- - - - 31,000 BPJS SUDAH DILAYANI
- - - - 11,000 BPJS SUDAH DILAYANI
- - - - 44,000 BPJS SUDAH DILAYANI
- - - - 26,000 BPJS SUDAH DILAYANI
- - - - 37,000 BPJS SUDAH DILAYANI
- - - - 29,000 BPJS SUDAH DILAYANI
- - - - 31,000 BPJS SUDAH DILAYANI
- - - - 51,000 BPJS SUDAH DILAYANI 15,000
18,000 - - - 60,000 BPJS SUDAH DILAYANI
- - - - 36,000 BPJS SUDAH DILAYANI
18,000 - - - 62,000 BPJS SUDAH DILAYANI
114,000
260,000
WULAN WIDYAWATI=40
IWAN SUWARSA=21
H. THIA SILVANA=1
PERIKSA KEBIDANAN=2
IGD=1

ATAN RAWAT JALAN


016 s/d 23-04-2016

Lab Kartu Oxygen KIA Jumlah Jenis Pasie Keterangan APOTEK


- - - - 15,000 ASKES SUDAH DILAYANI
- - - - 29,750 BPJS SUDAH DILAYANI
- - - - 40,800 BPJS SUDAH DILAYANI 14,000
66,000 - - - 112,800 BPJS SUDAH DILAYANI 13,000
- - - - 36,500 BPJS SUDAH DILAYANI
- - - - 35,500 BPJS SUDAH DILAYANI
- - - - 70,000 BPJS SUDAH DILAYANI 34,000
- - - - 33,700 BPJS SUDAH DILAYANI
- - - - 26,500 BPJS SUDAH DILAYANI
- - - - 39,400 BPJS SUDAH DILAYANI
- - - - 29,800 BPJS SUDAH DILAYANI
- - - - 38,900 BPJS SUDAH DILAYANI
- - - - 33,200 BPJS SUDAH DILAYANI
- - - - 38,000 BPJS SUDAH DILAYANI
- - - - 47,800 BPJS SUDAH DILAYANI 18,000
- - - - 37,200 BPJS SUDAH DILAYANI
- - - - 45,000 BPJS SUDAH DILAYANI
- - - - 38,000 BPJS SUDAH DILAYANI
- - - - 20,500 BPJS SUDAH DILAYANI
- - - 26,700 26,700 BPJS SUDAH DILAYANI
- - - - 43,800 BPJS SUDAH DILAYANI
- - - - 31,800 BPJS SUDAH DILAYANI
- - - - 39,200 BPJS SUDAH DILAYANI
- - - - 40,200 BPJS SUDAH DILAYANI
- - - - 34,200 BPJS SUDAH DILAYANI 19,000
- - - - 38,200 BPJS SUDAH DILAYANI
- - - - 39,400 BPJS SUDAH DILAYANI
- - - - 36,300 BPJS SUDAH DILAYANI
- - - - 29,600 BPJS SUDAH DILAYANI
- - - - 15,000 BPJS SUDAH DILAYANI
60,000 - - - 90,700 BPJS SUDAH DILAYANI
- - - - 31,800 BPJS SUDAH DILAYANI
- - - - 31,000 BPJS SUDAH DILAYANI
- - - - 84,000 BPJS SUDAH DILAYANI
- - - - 37,000 BPJS SUDAH DILAYANI
- - - - 38,600 BPJS SUDAH DILAYANI
- - - - 35,600 BPJS SUDAH DILAYANI
- - - - 15,000 BPJS SUDAH DILAYANI
- - - - 29,600 BPJS SUDAH DILAYANI
- - - 39,500 39,500 UMUM/BPJSUDAH DILAYANI
- - - - 14,000 BPJS SUDAH DILAYANI
23,000 - - - 76,000 BPJS SUDAH DILAYANI
- - - - 31,000 BPJS SUDAH DILAYANI
- - - 34,500 34,500 BPJS SUDAH DILAYANI
- - - - 50,900 UMUM/BPJSUDAH DILAYANI 21,000
- - - - 33,200 BPJS SUDAH DILAYANI
80,000 - - - 95,000 BPJS SUDAH DILAYANI
- - - - 38,000 BPJS SUDAH DILAYANI
- - - - 34,000 BPJS SUDAH DILAYANI
- - - - 29,600 ASKES SUDAH DILAYANI
- - - - 32,600 BPJS SUDAH DILAYANI
- - - - 15,000 BPJS SUDAH DILAYANI
- - - - 36,200 BPJS SUDAH DILAYANI
119,000
269,000
WULAN WIDYAWATI=50
PERIKSA KEBIDANAN=3
RUJUK=5
IGD=1

ATAN RAWAT JALAN


016 s/d 24-04-2016

Lab Kartu Oxygen KIA Jumlah Jenis Pasie Keterangan APOTEK


- - - - 31,000 BPJS SUDAH DILAYANI
- - - - 21,500 BPJS SUDAH DILAYANI
NOVI YULIANTI=1
DETY NUR RACHMAWATI=1

ATAN RAWAT JALAN


016 s/d 25-04-2016

Lab Kartu Oxygen KIA Jumlah Jenis Pasie Keterangan APOTEK


- - - - 31,400 BPJS SUDAH DILAYANI
- - - - 15,000 ASKES SUDAH DILAYANI
20,000 - - - 62,500 BPJS SUDAH DILAYANI
- - - - 35,700 BPJS SUDAH DILAYANI
- - - - 43,750 BPJS SUDAH DILAYANI
- - - - 15,000 BPJS SUDAH DILAYANI
- - - - 40,500 BPJS SUDAH DILAYANI
- - - - 43,000 BPJS SUDAH DILAYANI
84,000 - - - 98,000 BPJS SUDAH DILAYANI
- - - - 35,900 BPJS SUDAH DILAYANI
- - - - 43,000 BPJS SUDAH DILAYANI
- - - - 47,000 BPJS SUDAH DILAYANI
- - - - 36,600 UMUM/BPJSUDAH DILAYANI
- - - - 15,000 BPJS SUDAH DILAYANI
- - - - 39,400 ASKES SUDAH DILAYANI 8,000
- - - - 36,700 BPJS SUDAH DILAYANI
- - - - 49,800 BPJS SUDAH DILAYANI
- - - - 42,400 BPJS SUDAH DILAYANI
- - - - 28,550 BPJS SUDAH DILAYANI
140,000 - - - 175,600 BPJS SUDAH DILAYANI
- - - - 28,200 BPJS SUDAH DILAYANI
- - - - 59,000 ASKES SUDAH DILAYANI
- - - - 36,600 BPJS SUDAH DILAYANI
- - - - 39,200 BPJS SUDAH DILAYANI
- - - - 34,500 BPJS SUDAH DILAYANI
- - - - 15,000 UMUM/BPJSUDAH DILAYANI
- - - - 43,100 BPJS SUDAH DILAYANI
- - - - 46,400 BPJS SUDAH DILAYANI
- - - - 32,000 BPJS SUDAH DILAYANI
- - - - 39,400 BPJS SUDAH DILAYANI
- - - - 51,200 BPJS SUDAH DILAYANI
- - - - 27,750 BPJS SUDAH DILAYANI
- - - - 24,950 BPJS SUDAH DILAYANI
- - - - 15,000 BPJS SUDAH DILAYANI
- - - - 45,200 BPJS SUDAH DILAYANI
- - - - 39,400 BPJS SUDAH DILAYANI
- - - - 47,200 BPJS SUDAH DILAYANI
- - - - 33,800 BPJS SUDAH DILAYANI
- - - - 34,000 BPJS SUDAH DILAYANI
- - - - 47,000 BPJS SUDAH DILAYANI
- - - - 25,300 BPJS SUDAH DILAYANI
- - - - 23,000 BPJS SUDAH DILAYANI
- - - - 44,000 BPJS SUDAH DILAYANI
- - - - 31,900 BPJS SUDAH DILAYANI
- - - - 15,000 BPJS SUDAH DILAYANI
- - - - 45,000 BPJS SUDAH DILAYANI
- - - - 23,000 BPJS SUDAH DILAYANI
- - - - 31,000 ASKES SUDAH DILAYANI
- - - - 39,800 BPJS SUDAH DILAYANI
- - - - 28,150 BPJS SUDAH DILAYANI
- - - - 20,800 BPJS SUDAH DILAYANI
- - - - 33,000 BPJS SUDAH DILAYANI
- - - - 45,000 BPJS SUDAH DILAYANI
- - - - 15,000 BPJS SUDAH DILAYANI
- - - - 41,000 BPJS SUDAH DILAYANI
- - - - 36,000 BPJS SUDAH DILAYANI
- - - - 32,000 BPJS SUDAH DILAYANI
- - - - 31,000 BPJS SUDAH DILAYANI
- - - - 40,000 BPJS SUDAH DILAYANI
- - - - 40,000 BPJS SUDAH DILAYANI
80,000 - - - 123,000 BPJS SUDAH DILAYANI
- - - - 59,000 BPJS SUDAH DILAYANI 24,000
- - - - 47,000 BPJS SUDAH DILAYANI
- - - - 50,000 BPJS SUDAH DILAYANI
- - - - 49,000 BPJS SUDAH DILAYANI
- - - - 60,000 BPJS SUDAH DILAYANI
- - - - 54,000 BPJS SUDAH DILAYANI
- - - - 32,000 BPJS SUDAH DILAYANI
- - - - 30,000 BPJS SUDAH DILAYANI
- - - - 51,000 BPJS SUDAH DILAYANI
80,000 - - - 95,000 BPJS SUDAH DILAYANI
- - - - 48,000 BPJS SUDAH DILAYANI
- - - - 47,000 BPJS SUDAH DILAYANI
- - - - 39,000 BPJS SUDAH DILAYANI
- - - - 36,000 BPJS SUDAH DILAYANI
- - - - 38,000 BPJS SUDAH DILAYANI
- - - - 34,000 BPJS SUDAH DILAYANI
- - - - 15,000 BPJS SUDAH DILAYANI
32,000
186,000
ENCEP SUDARYANA=1
H. ASEP SANI SULAEMAN=11
H. THIA SILVANA=26
WULAN WIDYAWATI=52
PERIKSA KEBIDANAN=2
RUJUK=9
IGD=1

ATAN RAWAT JALAN


016 s/d 26-04-2016

Lab Kartu Oxygen KIA Jumlah Jenis Pasie Keterangan APOTEK


- - - - 40,000 BPJS SUDAH DILAYANI
- - - - 37,000 BPJS SUDAH DILAYANI
- - - - 32,000 BPJS SUDAH DILAYANI
- - - - 49,000 BPJS SUDAH DILAYANI
- - - - 15,000 BPJS SUDAH DILAYANI
- - - - 34,000 BPJS SUDAH DILAYANI
- - - - 15,000 BPJS SUDAH DILAYANI
- - - - 45,000 BPJS SUDAH DILAYANI
- - - - 15,000 BPJS SUDAH DILAYANI
- - - - 15,000 BPJS SUDAH DILAYANI
- - - - 40,000 BPJS SUDAH DILAYANI
- - - - 246,000 BPJS SUDAH DILAYANI 167,000
- - - - 15,000 BPJS SUDAH DILAYANI
- - - - 46,000 BPJS SUDAH DILAYANI
- - - 52,000 52,000 BPJS SUDAH DILAYANI
- - - - 34,000 BPJS SUDAH DILAYANI
- - - - 38,000 BPJS SUDAH DILAYANI
- - - - 15,000 BPJS SUDAH DILAYANI
- - - - 45,000 BPJS SUDAH DILAYANI
- - - - 44,000 UMUM/BPJSUDAH DILAYANI 17,000
- - - 26,000 26,000 BPJS SUDAH DILAYANI
- - - - 38,000 BPJS SUDAH DILAYANI
- - - - 45,000 BPJS SUDAH DILAYANI
- - - - 34,000 BPJS SUDAH DILAYANI
- - - - 38,000 BPJS SUDAH DILAYANI
- - - - 36,000 ASKES SUDAH DILAYANI
- - - - 32,000 BPJS SUDAH DILAYANI
- - - - 27,000 BPJS SUDAH DILAYANI
- - - - 31,000 BPJS SUDAH DILAYANI
43,000 - - - 98,000 BPJS SUDAH DILAYANI
- - - - 33,000 BPJS SUDAH DILAYANI 9,000
- - - - 34,000 BPJS SUDAH DILAYANI
- - - - 15,000 BPJS SUDAH DILAYANI
- - - - 31,500 BPJS SUDAH DILAYANI
- - - - 15,000 ASKES SUDAH DILAYANI
- - - - 92,000 BPJS SUDAH DILAYANI 16,000
- - - - 42,000 BPJS SUDAH DILAYANI
- - - - 36,000 BPJS SUDAH DILAYANI
- - - - 35,000 BPJS SUDAH DILAYANI
- - - - 37,600 BPJS SUDAH DILAYANI
80,000 - - - 95,000 BPJS SUDAH DILAYANI
- - - - 55,500 BPJS SUDAH DILAYANI 15,000
- - - - 33,500 BPJS SUDAH DILAYANI
- - - - 46,600 BPJS SUDAH DILAYANI
- - - - 47,800 BPJS SUDAH DILAYANI 20,000
- - - - 46,000 BPJS SUDAH DILAYANI
- - - - 45,000 UMUM/BPJSUDAH DILAYANI
- - - - 27,250 BPJS SUDAH DILAYANI
- - - - 37,400 BPJS SUDAH DILAYANI
25,000 - - - 59,000 BPJS SUDAH DILAYANI
- - - - 50,100 BPJS SUDAH DILAYANI
- - - - 57,500 BPJS SUDAH DILAYANI
- - - - 15,000 BPJS SUDAH DILAYANI
- - - - 15,000 BPJS SUDAH DILAYANI
- - - - 37,800 BPJS SUDAH DILAYANI
- - - - 47,000 BPJS SUDAH DILAYANI
- - - - 46,000 BPJS SUDAH DILAYANI
- - - - 43,000 BPJS SUDAH DILAYANI
- - - - 72,800 BPJS SUDAH DILAYANI 35,000
- - - - 31,800 BPJS SUDAH DILAYANI
- - - - 43,400 BPJS SUDAH DILAYANI 12,000
- - - - 50,100 BPJS SUDAH DILAYANI
- - - - 23,200 BPJS SUDAH DILAYANI
291,000
366,000
NOVI YULIANTI=26
WULAN WIDYAWATI=35
PERIKSA KEBIDANAN=2
RUJUK=11
IGD=2
ATAN RAWAT JALAN
016 s/d 27-04-2016

Lab Kartu Oxygen KIA Jumlah Jenis Pasie Keterangan APOTEK


- - - - 44,000 BPJS SUDAH DILAYANI
- - - - 32,000 BPJS SUDAH DILAYANI
- - - - 40,000 BPJS SUDAH DILAYANI
- - - - 32,000 BPJS SUDAH DILAYANI
- - - - 53,000 BPJS SUDAH DILAYANI
- - - - 43,000 BPJS SUDAH DILAYANI
80,000 - - - 133,000 BPJS SUDAH DILAYANI
- - - - 43,000 BPJS SUDAH DILAYANI
43,000 - - - 48,000 BPJS SUDAH DILAYANI
- - - - 32,000 BPJS SUDAH DILAYANI
- - - - 38,000 UMUM/BPJSUDAH DILAYANI
- - - - 33,000 BPJS SUDAH DILAYANI
- - - 33,000 33,000 BPJS SUDAH DILAYANI
- - - - 36,000 BPJS SUDAH DILAYANI
- - - - 60,000 BPJS SUDAH DILAYANI 16,000
- - - - 45,000 BPJS SUDAH DILAYANI
- - - - 39,000 BPJS SUDAH DILAYANI
- - - - 42,000 BPJS SUDAH DILAYANI
- - - - 46,000 BPJS SUDAH DILAYANI
- - - - 47,000 BPJS SUDAH DILAYANI
- - - - 36,000 BPJS SUDAH DILAYANI
- - - - 41,000 BPJS SUDAH DILAYANI
- - - - 43,000 BPJS SUDAH DILAYANI
- - - - 40,000 BPJS SUDAH DILAYANI
- - - - 39,000 BPJS SUDAH DILAYANI
- - - - 46,000 BPJS SUDAH DILAYANI
- - - - 43,000 BPJS SUDAH DILAYANI
66,000 - - - 112,000 BPJS SUDAH DILAYANI
- - - - 43,000 BPJS SUDAH DILAYANI
- - - - 37,000 UMUM/BPJSUDAH DILAYANI
- - - - 49,000 BPJS SUDAH DILAYANI
- - - - 32,000 BPJS SUDAH DILAYANI
- - - - 31,000 BPJS SUDAH DILAYANI
- - - - 15,000 BPJS SUDAH DILAYANI
- - - - 77,000 BPJS SUDAH DILAYANI
- - - - 50,000 BPJS SUDAH DILAYANI
- - - - 37,000 BPJS SUDAH DILAYANI
- - - - 36,600 BPJS SUDAH DILAYANI
- - - - 28,400 BPJS SUDAH DILAYANI
80,000 - - - 139,800 BPJS SUDAH DILAYANI
- - - - 44,000 BPJS SUDAH DILAYANI
- - - - 36,000 BPJS SUDAH DILAYANI
- - - 33,000 33,000 BPJS SUDAH DILAYANI
- - - - 35,200 BPJS SUDAH DILAYANI
- - - - 38,000 BPJS SUDAH DILAYANI
- - - - 27,000 BPJS SUDAH DILAYANI
- - - - 28,200 BPJS SUDAH DILAYANI
- - - - 38,000 BPJS SUDAH DILAYANI
- - - - 49,800 BPJS SUDAH DILAYANI
- - - - 34,000 BPJS SUDAH DILAYANI
- - - - 36,500 BPJS SUDAH DILAYANI
- - - - 32,600 BPJS SUDAH DILAYANI
- - - - 50,000 BPJS SUDAH DILAYANI
- - - - 31,800 BPJS SUDAH DILAYANI
- - - - 68,300 BPJS SUDAH DILAYANI 24,000
- - - - 15,000 ASKES SUDAH DILAYANI
- - - - 37,000 BPJS SUDAH DILAYANI
- - - - 41,300 BPJS SUDAH DILAYANI
- - - - 32,600 BPJS SUDAH DILAYANI
40,000
150,500
NOVI YULIANTI=40
WULAN WIDYAWATI=17
PERIKSAKEBIDANAN=2
RUJUK=3
IGD=1

ATAN RAWAT JALAN


016 s/d 28-04-2016

Lab Kartu Oxygen KIA Jumlah Jenis Pasie Keterangan APOTEK


- - - - 37,000 BPJS SUDAH DILAYANI
- - - - 42,200 ASKES SUDAH DILAYANI
- - - - 15,000 BPJS SUDAH DILAYANI
- - - - 43,100 BPJS SUDAH DILAYANI
- - - - 47,500 BPJS SUDAH DILAYANI
- - - - 34,750 ASKES SUDAH DILAYANI
- - - - 47,600 BPJS SUDAH DILAYANI
- - - - 41,400 BPJS SUDAH DILAYANI
25,000 - - - 80,500 UMUM/BPJSUDAH DILAYANI 33,000
- - - 32,500 32,500 BPJS SUDAH DILAYANI
- - - - 15,000 ASKES SUDAH DILAYANI
- - - - 49,000 BPJS SUDAH DILAYANI 33,000
- - - - 39,000 BPJS SUDAH DILAYANI
- - - - 29,600 BPJS SUDAH DILAYANI
- - - - 55,500 BPJS SUDAH DILAYANI
- - - - 38,400 UMUM/BPJSUDAH DILAYANI
- - - - 47,000 BPJS SUDAH DILAYANI
80,000 - - - 132,600 BPJS SUDAH DILAYANI
- - - - 45,000 BPJS SUDAH DILAYANI
- - - - 45,000 BPJS SUDAH DILAYANI
- - - - 37,000 BPJS SUDAH DILAYANI 21,000
- - - - 52,500 BPJS SUDAH DILAYANI
- - - - 47,000 BPJS SUDAH DILAYANI
- - - - 15,000 BPJS SUDAH DILAYANI
- - - - 39,400 BPJS SUDAH DILAYANI
- - - - 37,000 BPJS SUDAH DILAYANI
- - - - 43,200 BPJS SUDAH DILAYANI
- - - - 38,000 BPJS SUDAH DILAYANI 15,000
- - - - 41,000 BPJS SUDAH DILAYANI
- - - - 15,000 BPJS SUDAH DILAYANI
- - - - 44,000 BPJS SUDAH DILAYANI
- - - 29,000 29,000 BPJS SUDAH DILAYANI
- - - - 48,000 BPJS SUDAH DILAYANI
- - - - 39,000 BPJS SUDAH DILAYANI
- - - - 41,000 BPJS SUDAH DILAYANI
102,000
152,000
H. ASEP MARYAMAN=6
H. THIA SILVANA=2
NOVI YULIANTI=25
PERIKSA KEBIDANAN=2
RUJUK=4

ATAN RAWAT JALAN


016 s/d 29-04-2016

Lab Kartu Oxygen KIA Jumlah Jenis Pasie Keterangan APOTEK


- - - - 28,200 BPJS SUDAH DILAYANI
- - - - 98,000 BPJS SUDAH DILAYANI
- - - - 41,800 BPJS SUDAH DILAYANI
48,000 - - - 77,500 BPJS SUDAH DILAYANI
- - - - 28,400 JAMSOSTESUDAH DILAYANI
- - - - 37,000 BPJS SUDAH DILAYANI
- - - - 34,200 BPJS SUDAH DILAYANI
30,000 - - - 58,000 BPJS SUDAH DILAYANI
- - - - 32,200 BPJS SUDAH DILAYANI
- - - - 38,200 BPJS SUDAH DILAYANI
- - - - 51,700 ASKES SUDAH DILAYANI
- - - - 34,200 BPJS SUDAH DILAYANI
- - - - 32,500 BPJS SUDAH DILAYANI
- - - - 40,500 BPJS SUDAH DILAYANI
18,000 - - - 68,200 ASKES SUDAH DILAYANI
- - - - 103,000 BPJS SUDAH DILAYANI 43,000
- - - - 32,500 BPJS SUDAH DILAYANI
- - - - 39,400 BPJS SUDAH DILAYANI
- - - - 32,500 BPJS SUDAH DILAYANI
- - - - 112,000 BPJS SUDAH DILAYANI 19,000
- - - - 15,000 BPJS SUDAH DILAYANI
- - - - 44,000 BPJS SUDAH DILAYANI
- - - - 39,000 BPJS SUDAH DILAYANI
- - - - 31,400 BPJS SUDAH DILAYANI
- - - - 45,000 BPJS SUDAH DILAYANI
- - - - 36,900 BPJS SUDAH DILAYANI
- - - - 52,500 ASKES SUDAH DILAYANI
- - - - 37,500 BPJS SUDAH DILAYANI
- - - - 51,500 BPJS SUDAH DILAYANI
- - - - 94,000 BPJS SUDAH DILAYANI 40,000
- - - - 38,000 BPJS SUDAH DILAYANI
- - - - 57,700 BPJS SUDAH DILAYANI
- - - - 44,500 BPJS SUDAH DILAYANI
- - - - 37,700 BPJS SUDAH DILAYANI 8,000
- - - - 29,000 BPJS SUDAH DILAYANI
- - - - 39,000 BPJS SUDAH DILAYANI
- - - - 36,000 BPJS SUDAH DILAYANI
- - - - 50,000 ASKES SUDAH DILAYANI
- - - - 55,700 BPJS SUDAH DILAYANI
- - - - 43,000 BPJS SUDAH DILAYANI
- - - - 55,700 BPJS SUDAH DILAYANI
- - - - 87,300 BPJS SUDAH DILAYANI 60,000
- - - 30,500 30,500 BPJS SUDAH DILAYANI
- - - - 45,500 BPJS SUDAH DILAYANI
- - - - 55,000 BPJS SUDAH DILAYANI
- - - - 45,000 BPJS SUDAH DILAYANI
- - - - 43,700 BPJS SUDAH DILAYANI
- - - - 40,000 UMUM/BPJSUDAH DILAYANI
- - - - 55,000 BPJS SUDAH DILAYANI
- - - - 39,400 BPJS SUDAH DILAYANI
- - - - 39,400 BPJS SUDAH DILAYANI 12,000
- - - - 15,000 BPJS SUDAH DILAYANI
- - - - 36,150 BPJS SUDAH DILAYANI
- - - - 36,750 ASKES SUDAH DILAYANI
- - - - 22,000 BPJS SUDAH DILAYANI
182,000
249,000
ANDI HERMANSYAH=29
WULAN WIDYAWATI=25
PERIKSA KEBIDANAN=1
RUJUK=2
IGD=3

ATAN RAWAT JALAN


016 s/d 30-04-2016

Lab Kartu Oxygen KIA Jumlah Jenis Pasie Keterangan APOTEK


- - - - 57,400 BPJS SUDAH DILAYANI 30,000
18,000 - - - 70,000 BPJS SUDAH DILAYANI
- - - - 47,400 BPJS SUDAH DILAYANI
- - - - 39,200 BPJS SUDAH DILAYANI
80,000 - - - 209,500 BPJS SUDAH DILAYANI 91,000
- - - - 37,400 BPJS SUDAH DILAYANI
- - - 30,000 30,000 BPJS SUDAH DILAYANI
- - - - 44,200 BPJS SUDAH DILAYANI
- - - - 34,400 BPJS SUDAH DILAYANI
- - - - 40,100 BPJS SUDAH DILAYANI
- - - - 33,800 BPJS SUDAH DILAYANI 6,000
- - - - 46,700 BPJS SUDAH DILAYANI
- - - - 34,200 BPJS SUDAH DILAYANI
- - - - 36,000 BPJS SUDAH DILAYANI
- - - - 47,000 BPJS SUDAH DILAYANI
- - - - 43,100 BPJS SUDAH DILAYANI
- - - - 32,500 ASKES SUDAH DILAYANI
- - - 36,000 36,000 BPJS SUDAH DILAYANI
- - - - 33,000 BPJS SUDAH DILAYANI
- - - - 36,100 BPJS SUDAH DILAYANI
- - - - 39,500 BPJS SUDAH DILAYANI 6,000
- - - - 27,200 BPJS SUDAH DILAYANI
- - - - 29,500 BPJS SUDAH DILAYANI
- - - - 38,200 BPJS SUDAH DILAYANI
- - - - 43,100 BPJS SUDAH DILAYANI
- - - - 43,100 BPJS SUDAH DILAYANI
- - - - 39,000 BPJS SUDAH DILAYANI
- - - - 33,100 BPJS SUDAH DILAYANI 10,000
- - - - 35,800 BPJS SUDAH DILAYANI
- - - - 123,000 BPJS SUDAH DILAYANI
- - - - 15,000 BPJS SUDAH DILAYANI
- - - - 51,000 BPJS SUDAH DILAYANI
- - - - 46,000 BPJS SUDAH DILAYANI
- - - - 36,000 BPJS SUDAH DILAYANI
- - - 33,000 33,000 BPJS SUDAH DILAYANI
- - - - 60,000 BPJS SUDAH DILAYANI
- - - - 36,000 ASKES SUDAH DILAYANI
- - - - 37,000 BPJS SUDAH DILAYANI
- - - - 43,000 BPJS SUDAH DILAYANI
- - - - 47,000 BPJS SUDAH DILAYANI
- - - - 59,000 BPJS SUDAH DILAYANI
- - - - 51,000 BPJS SUDAH DILAYANI
100,000 - - - 157,000 BPJS SUDAH DILAYANI 23,000
- - - - 44,000 BPJS SUDAH DILAYANI
- - - - 24,000 BPJS SUDAH DILAYANI
- - - - 29,000 BPJS SUDAH DILAYANI
- - - - 53,000 BPJS SUDAH DILAYANI 15,000
- - - - 69,000 BPJS SUDAH DILAYANI 34,000
- - - - 35,000 BPJS SUDAH DILAYANI
- - - - 48,000 BPJS SUDAH DILAYANI
215,000
265,000
H. THIA SILVANA=1
NOVI YULIANTI=15
WULAN WIDYAWATI=31
PERIKSA KEBIDANAN=3
RUJUK=1
IGD=1
LAB

12,000

23,000
35,000

I HERMANSYAH=13
AN WIDYAWATI=32
HIA SILVANA=1
KSA KEBIDANAN=3

LAB

50,000
85,000
25,000

160,000

AN WIDYAWATI=40
I YULIANTI=8
KSA KEBIDANAN=4

LAB
SEP SANI SULAEMAN=3
Y NUR RACHMAWATI=1

LAB

25,000
25,000

25,000

48,000

48,000
25,000

48,000

244,000

I YULIANTI=44
HIA SILVANA=4
I HERMANSYAH=25
LAB SAJA=1
LAB

25,000

48,000

73,000
25,000

23,000

121,000

EP SUDARYANA=2
SEP MARYAMAN=2
I YULIANTI=22
AN WIDYAWATI=39
KSA KEBIDANAN=2

LAB
25,000

60,000
85,000

EP SUDARYANA=2
I YULIANTI=26
AN WIDYAWATI=38
KSA KEBIDANAN=3

LAB
25,000

48,000

25,000
98,000

I YULIANTI=31
SEP MARYAMAN=34
KSA KEBIDANAN=1

LAB IGD

136,000
40,000

25,000

48,000

70,000

279,000 40,000

I HERMANSYAH=21 61
Y NUR RACHMAWATI=2
AN WIDYAWATI=38
KSA KEBIDANAN=2

LAB
25,000
83,000

108,000

N SUWARSA=11
AN WIDYAWATI=25
KSA KEBIDANAN=3
IGD

I YULIANTI=4
SEP SANI SULAEMAN=1

LAB

25,000

48,000

60,000

25,000

25,000
66,000
249,000

I HERMANSYAH=21
SEP MARYAMAN=2
SEP SANI SULAEMAN=6
AN WIDYAWATI=53
KSA KEBIDANAN=1

LAB

48,000
25,000

73,000

SEP MARYAMAN=1
I YULIANTI=15
AN WIDYAWATI=35
KSA KEBIDANAN=2

LAB

19,000
25,000
25,000
69,000

I YULIANTI=33
AN WIDYAWATI=19
EP SUDARYANA=1
KSA KEBIDANAN=1

LAB
25,000

60,000
23,000

48,000

156,000

I YULIANTI=34
SEP MARYAMAN=30
KSA KEBIDANAN=2
LAB
30000

25,000

55,000

AN WIDYAWATI=32
I HERMANSYAH=22
KSA KEBIDANAN=3

LAB SAJA=1

LAB Shift 1
###
Rp 83,000
###

Rp 89,000
Rp 99,000

###
Rp 57,000
###

25,000
###
25,000 Rp 95,000
Rp 65,000
Rp 62,000

25000

25,000

100,000
EP SUDARYANA=1 54
I YULIANTI=29
AN WIDYAWATI=24
KSA KEBIDANAN=2

LAB
13,500

13,500
SEP SANI SULAEMAN=2
Y NUR RACHMAWATI=1

LAB

25,000

35,000
48,000
48,000
48,000
25,000

229,000

SEP MARYAMAN=1 73
N SUWARSA=27
I YULIANTI=45
KSA KEBIDANAN=4

LAB

25,000
60,000

30,000

115,000

I YULIANTI=11 48
AN WIDYAWATI=37
KSA KEBIDANAN=1

LAB
25,000

25,000

25,000

25000
42,500

142,500

I YULIANTI=32 64
AN WIDYAWATI=32
KSA KEBIDANAN=1

LAB

25,000
48,000

25,000
25000

48000

171,000

I YULIANTI=22 54
SEP MARYAMAN=32
KSA KEBIDANAN=1
LAB

23,000
25,000

25000
48000
25000
146,000

AN WIDYAWATI=40 62
N SUWARSA=21
HIA SILVANA=1
KSA KEBIDANAN=2

LAB

48,000
60,000

17000

25,000

150,000

AN WIDYAWATI=50 50
KSA KEBIDANAN=3
LAB

2
Y NUR RACHMAWATI=1

LAB

19,000

85,000
25,000

25,000
154,000

EP SUDARYANA=1
SEP SANI SULAEMAN=11
HIA SILVANA=26
AN WIDYAWATI=52
KSA KEBIDANAN=2

LAB
25,000

25000

25000

75,000

I YULIANTI=26 61
AN WIDYAWATI=35
KSA KEBIDANAN=2
LAB

25,000

12,500

48,000

25,000
110,500

I YULIANTI=40 57
AN WIDYAWATI=17
KSAKEBIDANAN=2

LAB

25,000
25,000

50,000

SEP MARYAMAN=6 33
HIA SILVANA=2
I YULIANTI=25
KSA KEBIDANAN=2

LAB

48,000

19,000
67,000
I HERMANSYAH=29 54
AN WIDYAWATI=25
KSA KEBIDANAN=1

LAB

25,000
25,000

50,000

HIA SILVANA=1 47
I YULIANTI=15
AN WIDYAWATI=31
KSA KEBIDANAN=3
LAPORAN PENDAPATAN RAWAT JALAN
Periode: 01-03-2016 s/d 01-03-2016

Tanggal No. RM Nama Pasien No. Apotek IGD Rawat Jalan Jasa Dokter Dokter Lab Kartu
01.03.16 F000228 FAHIRA RAISA 7 21,000 - 15,000 - WULAN WIDYAWATI - -
01.03.16 S005349 SYALLIQUE AFFAN IHSAN 9 18,000 - 15,000 - WULAN WIDYAWATI - -
01.03.16 R005225 RISKA HAYATI 12 21,000 - 15,000 - WULAN WIDYAWATI 101,000 -
01.03.16 M004993 MUTIA ZAHARANIE PUTRI 14 23,000 - 15,000 - WULAN WIDYAWATI - -
01.03.16 T000660 TIA DESTIANA 15 15,000 - 15,000 - WULAN WIDYAWATI - -
01.03.16 T001151 TETIN RIZKIATIN 16 10,000 - 15,000 - WULAN WIDYAWATI - -
01.03.16 H000460 HAZKIA YUNAIRA W 18 19,000 - 15,000 - WULAN WIDYAWATI - -
01.03.16 H000199 HADZIQ ABDUSY WIGUNA 19 19,000 - 15,000 - WULAN WIDYAWATI - -
01.03.16 I003582 IDA FARIDAWATI 22 29,000 - 15,000 - WULAN WIDYAWATI - -
01.03.16 R004636 RIZQI SAPUTRA 23 25,000 - 15,000 - WULAN WIDYAWATI - -
01.03.16 Y000457 YENI HERYANI 24 29,000 - 15,000 - WULAN WIDYAWATI - -
01.03.16 A005710 AGUS SUDARMAN 25 16,000 - 15,000 - WULAN WIDYAWATI - -
01.03.16 E003346 ENUR LATIFAH SUPARDI 27 19,000 - 15,000 - WULAN WIDYAWATI - -
01.03.16 I001558 IRI AMAS 28 14,000 - 15,000 - WULAN WIDYAWATI - -
01.03.16 E003607 ERNI WIDIASARI 29 30,000 - 15,000 - WULAN WIDYAWATI - -
01.03.16 S004952 SUSUM SUMIATI 32 27,000 - 15,000 - WULAN WIDYAWATI - -
01.03.16 A008155 AI NURHAYATI 33 27,000 - 15,000 - WULAN WIDYAWATI - -
01.03.16 E003001 ETI SUSANTI 36 16,000 - 15,000 - WULAN WIDYAWATI - -
01.03.16 S000676 SURYATI 41 33,000 - 15,000 - WULAN WIDYAWATI - -
01.03.16 U000304 UUS KUSNADI 42 21,000 - 15,000 - WULAN WIDYAWATI - -
01.03.16 K001207 KIKI PUSPITASARI 44 15,000 - 15,000 - WULAN WIDYAWATI - -
01.03.16 K001202 KHALIFA LULU HUWAIDA 45 20,000 - 15,000 - WULAN WIDYAWATI - -
01.03.16 A009406 ALMA AURIELLA MAOLANI 47 26,000 - 15,000 - WULAN WIDYAWATI - -
01.03.16 A004843 ADILA ADI FEBI 49 28,000 - 15,000 - WULAN WIDYAWATI - -
01.03.16 S005219 SYIFA SYAFITRI 52 40,000 - 15,000 - WULAN WIDYAWATI - -
01.03.16 S003644 SULTAN ALI MUBAROK 55 47,000 - 15,000 - WULAN WIDYAWATI 80,000 -
01.03.16 W001163 WAWA ABDUL WAHAB 56 32,000 - 15,000 - WULAN WIDYAWATI - -
01.03.16 A008126 ABIDIN 57 16,000 - 15,000 - WULAN WIDYAWATI - -
01.03.16 D002574 DENI IBRAHIM 60 14,000 - 15,000 - WULAN WIDYAWATI 18,000 -
01.03.16 P000003 PEPEN FATHUROCHMAN 63 7,000 - 15,000 - WULAN WIDYAWATI - -
01.03.16 R002682 RAMANDA FAUJAN 64 35,000 - 15,000 - WULAN WIDYAWATI - -
01.03.16 T001887 TRIANGGA 65 26,000 - 11,000 4,000 WULAN WIDYAWATI - -
01.03.16 N001458 NINO LESMANA 66 14,000 - 15,000 - WULAN WIDYAWATI - -
01.03.16 O000227 OMANAH 67 44,000 - 15,000 - WULAN WIDYAWATI 60,000 -
01.03.16 F002137 FELISA RHAMADANI 69 27,000 - 15,000 - WULAN WIDYAWATI - -
01.03.16 I002685 IRA RAHMAWULAN 71 20,000 - 15,000 - WULAN WIDYAWATI - -
01.03.16 A009407 ASEP LILI 74 37,000 - 15,000 - WULAN WIDYAWATI - -
01.03.16 S003142 SURYANA 75 21,000 - 15,000 - WULAN WIDYAWATI 18,000 -
01.03.16 R000369 RIA FITRIANI 76 28,000 - 5,000 - WULAN WIDYAWATI - -
01.03.16 A009409 ABDUL AZIS 78 18,000 - 15,000 - WULAN WIDYAWATI - -
01.03.16 A007495 ASEP RUSYANDI 79 7,000 - 15,000 - WULAN WIDYAWATI 18,000 -
01.03.16 W000940 WAFA AKMALUDDIN AL-QODIRI 80 25,200 - 15,000 - WULAN WIDYAWATI - -
01.03.16 A000372 AGUS RAHAYU 81 90,000 - 15,000 - NOVI YULIANTI - -
01.03.16 I003537 IRMA RISMIYANTI 82 32,000 - 15,000 - NOVI YULIANTI - -
01.03.16 A008709 ANISA ISNA MUTIA 83 - - 15,000 - NOVI YULIANTI - -
01.03.16 Y002098 YASARA RAHMA HIJRIA 84 17,000 - 15,000 - NOVI YULIANTI - -
01.03.16 Y001661 YAFI RASYIQ H 85 30,000 - 15,000 - NOVI YULIANTI - -
01.03.16 D000082 DIAR MOCHAMMAD SYAFRIZAL 86 26,000 - 11,000 4,000 NOVI YULIANTI 80,000 -
01.03.16 F002138 FITRIA ENDAH HARYANI 87 - - 15,000 - NOVI YULIANTI - -
01.03.16 A007560 ARIS AGUSTIAWAN 88 26,400 - 15,000 - NOVI YULIANTI - -
01.03.16 M004669 M HAIKAL AKBAR 89 28,700 - 15,000 - NOVI YULIANTI - -
01.03.16 M004638 MUHAMAD RAMY AL RASYID 90 59,700 - 15,000 - NOVI YULIANTI - -
01.03.16 A008583 ANI ROHANI 91 30,600 - 15,000 - NOVI YULIANTI - -
01.03.16 M004571 MUHAMMAD RAYHAN PRATAMA 93 27,100 - 15,000 - NOVI YULIANTI 80,000 -
01.03.16 G000412 GITA FLORENCIA 95 20,600 - 15,000 - NOVI YULIANTI - -
01.03.16 Y002184 YULIA AGUSTINA 97 21,000 - 15,000 - NOVI YULIANTI - -
01.03.16 R001367 RIANI PUTRI NINGTIAS 100 28,100 - 15,000 - NOVI YULIANTI - -
01.03.16 L000568 LORENZA FEBRIAN 102 22,000 - 15,000 - NOVI YULIANTI - -
01.03.16 A001585 AEP KUSMAN 103 21,200 - 15,000 - NOVI YULIANTI - -
01.03.16 W001055 WATI RATNAWATI, HJ 104 17,200 - 15,000 - NOVI YULIANTI - -
01.03.16 J000262 JOHAN TAMSIR 105 63,000 - 15,000 - NOVI YULIANTI 48,000 -
01.03.16 M004240 MENIK PURWANDARI ASTUTI 110 27,200 - 15,000 - NOVI YULIANTI - -
01.03.16 R004986 RAILA NOVIA SRI RAHMI 113 5,800 - 15,000 - NOVI YULIANTI - -
01.03.16 N000933 NESYA YULISTIAN DINI 116 19,000 - 15,000 - NOVI YULIANTI - -
01.03.16 F001706 FAIREL TWINDRA ATHARIZ 117 17,000 - 15,000 - NOVI YULIANTI - -
01.03.16 L000993 LUKMAN HIELMI 119 21,000 - 15,000 - NOVI YULIANTI - -
02.03.16 Z000516 ZIAN ZAHRANI APRILIA HANDRIY 2 28,700 - 11,000 4,000 NOVI YULIANTI - -
02.03.16 Z000639 ZIRAN PATRIYASA RAMDHAN 3 21,000 - 11,000 4,000 NOVI YULIANTI - -
02.03.16 A003169 AULIA NUR MAYANTI 10 28,000 - 11,000 4,000 NOVI YULIANTI - -
02.03.16 S004901 SAKRIM 12 21,000 - 11,000 4,000 NOVI YULIANTI - -
02.03.16 R004537 RAZKA MUHAMMAD HISHAM 13 9,000 - 11,000 4,000 NOVI YULIANTI - -
02.03.16 O000589 OHAR.H 14 - - - - CEK LAB SAJA 43,000 -
02.03.16 U000662 USAM SAMSUDIN 17 40,000 - 11,000 4,000 NOVI YULIANTI - -
02.03.16 M004571 MUHAMMAD RAYHAN PRATAMA 18 - - 11,000 4,000 NOVI YULIANTI 55,000 -
02.03.16 N003585 NONENG SOLIHAT 22 18,000 - 11,000 4,000 NOVI YULIANTI - -
02.03.16 R004839 RUDI SUHERLI 23 - - 11,000 4,000 NOVI YULIANTI - -
02.03.16 N000265 NANANG SURYATNA 24 19,000 - 11,000 4,000 NOVI YULIANTI - -
02.03.16 I000123 IMAS SURTINI PERMASIH 25 19,000 - 11,000 4,000 NOVI YULIANTI - -
02.03.16 A009414 AGHARR AL-GHIFARI 27 46,000 - 11,000 4,000 NOVI YULIANTI - -
02.03.16 H002002 HAMIDAH 31 - - 11,000 4,000 NOVI YULIANTI - -
02.03.16 D001804 DEDE NURYATI,HJ 33 45,000 - 11,000 4,000 NOVI YULIANTI 25,000 -
02.03.16 S002334 SAEFULLOH 34 18,000 - 11,000 4,000 NOVI YULIANTI - -
02.03.16 E003484 ENTIN FATIMAH 36 35,000 - 11,000 4,000 NOVI YULIANTI 35,000 -
02.03.16 E002490 ERSAN ALI HILMAN 38 25,000 - 11,000 4,000 NOVI YULIANTI - -
02.03.16 A008437 ADIBA MUSYAFFA ASLAM 43 20,000 - 11,000 4,000 NOVI YULIANTI - -
02.03.16 R005097 RAPI RAMADAN 44 29,000 - 11,000 4,000 NOVI YULIANTI - -
02.03.16 A008393 ASEP ROHMAN 46 25,000 - 11,000 4,000 NOVI YULIANTI - -
02.03.16 N003835 NOPI HERLINA 52 - - 11,000 4,000 PERIKSA KEBIDANAN - -
02.03.16 Y002206 YOPI GUNAWAN 56 18,000 - 11,000 4,000 NOVI YULIANTI - -
02.03.16 N003880 NURLIAWATI 57 21,000 - 11,000 4,000 NOVI YULIANTI - -
02.03.16 E001197 EMPON 58 25,000 - 11,000 4,000 NOVI YULIANTI 48,000 -
02.03.16 F001854 FAZILLA SEPTIANI BONISA (F 2031) 60 - - 11,000 4,000 NOVI YULIANTI - -
02.03.16 L000887 LARAS MUTIARA PUTRI 61 26,000 - 11,000 4,000 NOVI YULIANTI - -
02.03.16 A008656 ANDRI YANA 62 6,000 - 11,000 4,000 NOVI YULIANTI - -
02.03.16 W000787 WAHYU 66 30,000 - 11,000 4,000 NOVI YULIANTI 48,000 -
02.03.16 T001517 TJATJIH 67 34,000 - 11,000 4,000 NOVI YULIANTI - -
02.03.16 D001472 DENDI AHMAD DANI 68 31,000 11,000 4,000 NOVI YULIANTI - -
02.03.16 R005119 REPI NURDIANTI 70 27,000 - 11,000 4,000 NOVI YULIANTI - -
02.03.16 K001105 KHAIRIN HANINDA AULIA 71 21,900 - 11,000 4,000 NOVI YULIANTI - -
02.03.16 T001746 TITA SETIAWATI 77 15,700 - 11,000 4,000 WULAN WIDYAWATI - -
02.03.16 N002932 NENGSIH 79 19,300 - 11,000 4,000 WULAN WIDYAWATI - -
02.03.16 D002391 DIKA MUHAMAD NUGRAHA 80 22,000 - 11,000 4,000 WULAN WIDYAWATI - -
02.03.16 H001830 HANA WULANDARI 81 16,000 - 11,000 4,000 WULAN WIDYAWATI - -
02.03.16 L001137 LINDAWATI 83 22,400 - 11,000 4,000 WULAN WIDYAWATI - -
02.03.16 M003238 M RIZKI SUBAGJA 87 28,100 - 11,000 4,000 WULAN WIDYAWATI - -
02.03.16 Y002166 YAKIN SETIAHARSA 90 - - 11,000 4,000 WULAN WIDYAWATI - -
02.03.16 A001843 ALZA SHABRINA ADZAM 91 35,500 - 11,000 4,000 WULAN WIDYAWATI - -
02.03.16 F001329 FAIZ AHMAD FIRDAUS 93 24,500 - 11,000 4,000 WULAN WIDYAWATI - -
02.03.16 N003472 NIJMA FIRDAUSI RIDWAN 105 18,900 - 11,000 4,000 WULAN WIDYAWATI - -
02.03.16 M003514 MUHAMMAD TSAQIF NASHRUDIN 106 29,100 - 11,000 4,000 WULAN WIDYAWATI - -
02.03.16 D002983 DINA HANIPAH 109 22,750 - 11,000 4,000 WULAN WIDYAWATI 80,000 -
02.03.16 M004658 MAMAT RAHMAT 115 24,900 - 11,000 4,000 WULAN WIDYAWATI
02.03.16 E003595 EVA FARIDA TRESNA 116 15,200 - 11,000 4,000 WULAN WIDYAWATI - -
02.03.16 A009418 ANGGA TRESNA SANJAYA 117 26,900 - 11,000 4,000 WULAN WIDYAWATI - -
02.03.16 I002443 IRWAN KURNIAWAN 118 21,300 - 11,000 4,000 WULAN WIDYAWATI - -
02.03.16 A006681 ASEP SAEPUDIN 119 10,000 - 11,000 4,000 WULAN WIDYAWATI - -
02.03.16 S005472 SRI SETIANI 120 26,700 - 11,000 4,000 WULAN WIDYAWATI - -
02.03.16 A005273 AQILA DEVANA GUNAWAN 121 20,000 - 11,000 4,000 WULAN WIDYAWATI - -
02.03.16 R004777 RAYYANDRA ILYAS SEFA 123 28,100 - 11,000 4,000 WULAN WIDYAWATI - -
02.03.16 D000032 DINI ILMI 125 28,200 - 11,000 4,000 WULAN WIDYAWATI - -
02.03.16 T000931 TATSBITA FAHNA SAKINAH 127 41,700 - 11,000 4,000 WULAN WIDYAWATI - -
03.03.16 A007990 A.SAEPUDIN 4 30,700 - 15,000 - NOVI YULIANTI - -
03.03.16 A001536 AI RAHMAWATI 5 28,200 - 15,000 - NOVI YULIANTI - -
03.03.16 B000544 BUNGAINTANSUCIANI 15 - - 15,000 - NOVI YULIANTI - -
03.03.16 D000104 DELIA AGUSTIN 16 11,000 - 15,000 - NOVI YULIANTI - -
03.03.16 O000684 OPAN SOPANDI 17 22,000 - 15,000 - NOVI YULIANTI - -
03.03.16 A008657 ALMAGHAVIRA KEYSHA PUTRI 20 21,000 - 15,000 - NOVI YULIANTI - -
03.03.16 T000789 TITIN SUPRIATIN 21 24,400 - 15,000 - NOVI YULIANTI - -
03.03.16 F002125 FATIMAH 22 19,900 - 15,000 - NOVI YULIANTI - -
03.03.16 P000293 PUTRI SALWA NUR JANAH 23 53,300 - 15,000 - NOVI YULIANTI - -
03.03.16 R004078 RENY RAHAYU SOFIANINGSIH 25 12,000 - 15,000 - NOVI YULIANTI - -
03.03.16 S003589 SANI NARULITA 27 24,000 - 11,000 4,000 NOVI YULIANTI - -
03.03.16 D003636 DAFFA PRAJA ISMAIL ALFARIZKI 29 20,000 - 15,000 - NOVI YULIANTI - -
03.03.16 N003881 NURHAYANI 32 25,600 - 15,000 - NOVI YULIANTI - -
03.03.16 S005062 SALSABILA AZZAHRA 34 14,000 - 15,000 - NOVI YULIANTI - -
03.03.16 A008126 ABIDIN 40 16,400 - 15,000 - NOVI YULIANTI - -
03.03.16 N003882 NURRIS BAYANTI RUHIYANTINA 41 - - 15,000 - NOVI YULIANTI - -
03.03.16 S005475 SOFI SOFWANTI 43 25,200 - 15,000 - NOVI YULIANTI - -
03.03.16 F001892 FIAN SOFYAN ANSORI 44 20,000 - 15,000 - NOVI YULIANTI - -
03.03.16 G000650 GIA GEMILINA 54 46,900 - 15,000 - NOVI YULIANTI 80,000 -
03.03.16 O000591 OTAS MARYANI 66 30,500 - 15,000 - NOVI YULIANTI - -
03.03.16 N001458 NINO LESMANA 68 21,000 - 15,000 - H. ASEP MARYAMAN - -
03.03.16 A002469 ASTI RISMAWATI 69 7,000 - 15,000 - NOVI YULIANTI - -
03.03.16 R000255 RIDWAN SOFYAN 70 24,000 - 15,000 - H. ASEP MARYAMAN - -
03.03.16 D003455 DERI DWI LESMANA 73 18,000 - 15,000 - H. ASEP MARYAMAN - -
03.03.16 R002692 REVAN DAIS PRATAMA 74 21,000 - 15,000 - H. ASEP MARYAMAN - -
03.03.16 N003883 NOPI HERLIANA 75 - - 15,000 - H. ASEP MARYAMAN - -
03.03.16 N003884 NAURAJASMINER 76 27,000 - 15,000 - H. ASEP MARYAMAN - -
03.03.16 M005003 MUHAMMADDANISH 77 22,000 - 15,000 - H. ASEP MARYAMAN - -
03.03.16 L001219 LUSIANA 83 32,000 - 15,000 - H. ASEP MARYAMAN - -
03.03.16 U000676 UNAISAH 85 22,600 - 15,000 - H. ASEP MARYAMAN 80,000 -
03.03.16 U000847 UMAR FAUZAN ABDUSALAM 86 18,400 - 15,000 - H. ASEP MARYAMAN - -
03.03.16 M004798 MOCH. IBNU AZZQA AL FARIZQI 88 27,000 - 15,000 - H. ASEP MARYAMAN - -
03.03.16 T001889 TEGUH AKBAR FIRMANSYAH 89 - - 15,000 - H. ASEP MARYAMAN - -
03.03.16 Y000708 YUNI NURAENI M 90 - - - - H. ASEP MARYAMAN 66,000 -
03.03.16 R002761 RUDI PARMATO 91 34,000 - 15,000 - H. ASEP MARYAMAN - -
03.03.16 E002299 ENTIN KARTINI 92 21,500 - 15,000 - H. ASEP MARYAMAN - -
03.03.16 K001191 KHASYI FARZANA PUTRA 95 20,000 - 15,000 - H. ASEP MARYAMAN - -
03.03.16 M004015 MUH FAIRUZ QUTHHAZ APIP 99 7,000 - 15,000 - H. ASEP MARYAMAN - -
03.03.16 H000848 HARI HILMANSYAH 102 27,000 - 5,000 - DETY NUR RACHMAWATI - -
04.03.16 A009407 ASEP LILI 2 23,500 - 15,000 - WULAN WIDYAWATI 80,000 -
04.03.16 R001191 RIZQYLILLAH ABDUROCHIM 3 32,100 - 15,000 - WULAN WIDYAWATI - -
04.03.16 I003590 IHKAM ZIKRA NURPIKRI 9 - - 15,000 - WULAN WIDYAWATI - -
04.03.16 D000951 DINI FARAH FARDIANI 10 11,000 - 5,000 - WULAN WIDYAWATI - -
04.03.16 M002074 MUHAMMAD AKMAL 11 24,200 - 15,000 - WULAN WIDYAWATI - -
04.03.16 K000426 KINTAN AMALIA FEBRIANI 16 23,200 - 15,000 - WULAN WIDYAWATI - -
04.03.16 S005478 SINDANITA RISKA ARUM MARESWARY 17 15,400 - 15,000 - WULAN WIDYAWATI - -
04.03.16 A001175 ADE JUHANAH 21 28,400 - 15,000 - WULAN WIDYAWATI 18,000 -
04.03.16 C000019 CARRISA AURORA M 22 - - 15,000 - WULAN WIDYAWATI 80,000 -
04.03.16 S005156 SITI UMU HANIFAH 23 21,000 - 15,000 - WULAN WIDYAWATI - -
04.03.16 M004730 MUHAMAD IQBAL MAULANA 24 9,000 - 15,000 - WULAN WIDYAWATI - -
04.03.16 R005025 ROHIM 26 47,000 - 15,000 - WULAN WIDYAWATI - -
04.03.16 M003168 MERI KUSTIANI 28 26,000 - 15,000 - PERIKSA KEBIDANAN - -
04.03.16 N003082 NUFAIL 30 40,700 - 15,000 - WULAN WIDYAWATI - -
04.03.16 A009220 AGUS ROHMAN 31 - - 15,000 - WULAN WIDYAWATI - -
04.03.16 H002035 HANI NURAFIANTI 32 54,000 - 15,000 - WULAN WIDYAWATI - -
04.03.16 A006574 AJENG PUTERI ANRIANI 33 - - 15,000 - PERIKSA KEBIDANAN 12,000 -
04.03.16 M005004 MUHAMAD SPFWAN NUROHMAN 34 21,400 - 15,000 - WULAN WIDYAWATI - -
04.03.16 A005753W ANDRIS NOVIAN 35 34,000 - 11,000 4,000 WULAN WIDYAWATI - -
04.03.16 L001135 LUTHFIA PUTRI FAHIRA 38 - - 15,000 - WULAN WIDYAWATI - -
04.03.16 A003283 ASRI HENDRA MAWATY 40 46,200 45,000 - - WULAN WIDYAWATI - -
04.03.16 H000999 HERA HERAWATI 41 12,000 - 15,000 - WULAN WIDYAWATI - -
04.03.16 P000814 POPON 46 21,600 15,000 - WULAN WIDYAWATI - -
04.03.16 S004875 SAKHI NAZ’DHAN SETIAWAN 49 - - - - WULAN WIDYAWATI - -
04.03.16 C000701 CUCU 51 24,000 - 15,000 - WULAN WIDYAWATI 43,000 -
04.03.16 K001042 KIREINA MEINA HILMAN 55 24,600 - 15,000 - WULAN WIDYAWATI - -
04.03.16 W000756 WAWANG SUWANGSIH 56 28,400 - 15,000 - WULAN WIDYAWATI - -
04.03.16 S003939 SINTA CAHYA DEWI 58 19,500 - 15,000 - WULAN WIDYAWATI - -
04.03.16 E003102 EMA KRISMAWATI 61 16,600 - 15,000 - WULAN WIDYAWATI - -
04.03.16 A008876 AI SOLIHAT 63 12,000 - 15,000 - WULAN WIDYAWATI - -
04.03.16 Y001708 YAYAT RANA HERDIANA 64 29,500 - 15,000 - WULAN WIDYAWATI - -
04.03.16 R003648 RINRIN APRIANI 66 24,000 - 15,000 - WULAN WIDYAWATI - -
04.03.16 I001721 INDRI MARYANI 67 28,000 - 15,000 - WULAN WIDYAWATI - -
04.03.16 R003174 RIA SATRIANA 68 29,000 - 15,000 - WULAN WIDYAWATI - -
04.03.16 R004909 RAYA OKTAVIANI 69 27,000 - 15,000 - WULAN WIDYAWATI - -
04.03.16 H000226 HARRY WIRAWAN 71 29,000 75,000 15,000 - ANDI HERMANSYAH - -
04.03.16 I001457 IIN KURNIATIN 72 22,000 - 15,000 - WULAN WIDYAWATI - -
04.03.16 N003793 NIA DAMAYANTI 74 26,000 - 15,000 - ANDI HERMANSYAH 80,000 -
04.03.16 N003289 NOPIYAN NURDIANSYAH 75 - - 15,000 - ANDI HERMANSYAH - -
04.03.16 A009221 ALMAIRA ZAHRATUNNIDA 76 37,000 - 15,000 - ANDI HERMANSYAH - -
04.03.16 R005137 RAISYA AZZAHRA NUROHMAN 77 20,000 - 15,000 - ANDI HERMANSYAH - -
04.03.16 B000736 BASTIAN EKA SANJAYA 78 28,000 - 15,000 - ANDI HERMANSYAH - -
04.03.16 L001095 LILIS LISNAWATI 84 15,000 - 5,000 - ANDI HERMANSYAH - -
04.03.16 W000351 WITA PUSPITASARI 85 22,000 - 15,000 - PERIKSA KEBIDANAN - -
04.03.16 T001890 TITING SUMARTINI 86 24,000 - 15,000 - ANDI HERMANSYAH - -
04.03.16 S005479 SITI JENAB 87 15,000 - 15,000 - PERIKSA KEBIDANAN - -
04.03.16 T001149 TASBIH NUROHMAN 88 36,000 - 15,000 - ANDI HERMANSYAH - -
04.03.16 I000820 IWAN RIDWAN 89 35,000 - 15,000 - ANDI HERMANSYAH - -
04.03.16 I002524 IWAN SOPYAN 90 26,000 - 11,000 4,000 ANDI HERMANSYAH - -
04.03.16 A009423 AI TUTI ATIKAH 92 25,000 - 15,000 - ANDI HERMANSYAH - -
04.03.16 I002602 INDRA GUNAWAN 93 46,000 - 15,000 - ANDI HERMANSYAH - -
04.03.16 D001324 DEWI KURNIATI 94 19,000 - 15,000 - ANDI HERMANSYAH - -
04.03.16 M003049 M. NASIR NURROHIM 95 - - 15,000 - ANDI HERMANSYAH - -
04.03.16 C000512 CINTARSIH 96 - - 15,000 - ANDI HERMANSYAH - -
04.03.16 S002630 SYAMSIR MUHAMMAD ROFIQI 98 18,000 - 15,000 - ANDI HERMANSYAH - -
04.03.16 K001313 KURNIATIN 99 - - 15,000 - ANDI HERMANSYAH - -
04.03.16 E003612 ETI ROHAETI 101 77,000 - 15,000 - ANDI HERMANSYAH - -
04.03.16 A007826 AULIA SEPTIANI E 102 16,000 - 15,000 - ANDI HERMANSYAH - -
04.03.16 M004061 M MALEEK S 103 101,000 - 15,000 - ANDI HERMANSYAH - -
04.03.16 S004658 SANTI AJINAWATI 109 22,000 - 15,000 - ANDI HERMANSYAH - -
04.03.16 I003026 IMAS NURLATIFAH 110 29,000 - 15,000 - ANDI HERMANSYAH - -
04.03.16 D002848 DEDE ROSMAWATI 111 82,000 - 15,000 - ANDI HERMANSYAH - -
04.03.16 D003356 DEVISKA JANUAR ASTUTI 112 51,000 - 15,000 - ANDI HERMANSYAH - -
04.03.16 N002471 NAZIL MUFTI MUBAROK 113 34,000 - 15,000 - ANDI HERMANSYAH - -
04.03.16 G000593 GHAZIYA KHAIRA LUBNA 115 50,500 - 15,000 - ANDI HERMANSYAH - -
04.03.16 N000657 NURMALIA RAHAYU,SPD 116 19,950 - 15,000 - ANDI HERMANSYAH - -
04.03.16 R000550 RIA NINGSIH 118 24,400 - 15,000 - ANDI HERMANSYAH - -
04.03.16 K001307 KAHLA AUFA ARIBAH 121 37,700 - 15,000 - ANDI HERMANSYAH - -
05.03.16 P000708 PIRMAN NURHASBY MAULANA 3 73,000 45,000 15,000 - WULAN WIDYAWATI - -
05.03.16 A001646 AJENG DANUR FAIDAH R 9 20,700 - 15,000 - H. THIA SILVANA - -
05.03.16 Y002207 YANTI SOBARIAH JD SUSANTO 12 - - 15,000 - WULAN WIDYAWATI - -
05.03.16 M002993 M. AIRALD R.A 13 49,400 - 15,000 - WULAN WIDYAWATI - -
05.03.16 E000325 ENDANG SUHERMAN, H 14 81,000 - 15,000 - WULAN WIDYAWATI - -
05.03.16 F002141 FUTIHAT 15 31,200 - 15,000 - WULAN WIDYAWATI - -
05.03.16 A008657 ALMAGHAVIRA KEYSHA PUTRI 18 6,700 - 15,000 - WULAN WIDYAWATI - -
05.03.16 M004731 MUHAMMAD AMZAR RAQILLA 22 25,700 - 15,000 - WULAN WIDYAWATI - -
05.03.16 A008921 ASKANA SAKHI 23 41,700 - 15,000 - WULAN WIDYAWATI - -
05.03.16 M004051 M. FAISHAL FIRDAUS 24 22,000 - 15,000 - WULAN WIDYAWATI - -
05.03.16 R004127 RINI 25 19,500 - 15,000 - WULAN WIDYAWATI - -
05.03.16 N003891 NUFAIL LUZMAN SATRIA PUTRA 29 27,000 - 15,000 - WULAN WIDYAWATI - -
05.03.16 N002981 NADIRA FATIA KHOERUNISA 31 21,200 - 15,000 - WULAN WIDYAWATI - -
05.03.16 P000003 PEPEN FATHUROCHMAN 32 9,500 - 15,000 - WULAN WIDYAWATI - -
05.03.16 T000590 TAUFIK HIDAYAT 34 27,000 - 11,000 4,000 WULAN WIDYAWATI - -
05.03.16 R005231 RANI NURANI 40 18,000 - 15,000 - WULAN WIDYAWATI - -
05.03.16 N002971 NENENG ROHAYATI 42 32,500 - 15,000 - WULAN WIDYAWATI - -
05.03.16 W001164 WILDAN SAWALUDIN 45 53,000 - 15,000 - WULAN WIDYAWATI - -
05.03.16 O000704 OMAN ROHMAN 46 20,000 - 15,000 - WULAN WIDYAWATI - -
05.03.16 S004841 SITI JENAB 47 23,500 - 15,000 - PERIKSA KEBIDANAN - -
05.03.16 A009427 AGUS SALIH 48 50,600 - 15,000 - WULAN WIDYAWATI - -
05.03.16 N002785 NURUL AIDA INDAH S 51 15,200 - 15,000 - WULAN WIDYAWATI - -
05.03.16 L001137 LINDAWATI 53 25,000 - 15,000 - WULAN WIDYAWATI 80,000 -
05.03.16 A004837 ADITYA SANA FUTRA 55 8,500 - 15,000 - WULAN WIDYAWATI - -
05.03.16 F001926 FAYADH AL AZIZ IHSAN 57 20,900 - 15,000 - WULAN WIDYAWATI - -
05.03.16 S002386 SRI MULYANI 58 - - 15,000 - WULAN WIDYAWATI - -
05.03.16 A002459 ABAY NURJAMIL 59 28,000 - 15,000 - WULAN WIDYAWATI - -
05.03.16 A009294 ASEP WAWAN S 61 16,000 - 15,000 - WULAN WIDYAWATI - -
05.03.16 S001597 SYIFA FAUZIAH MUTMAINNAH 63 16,500 - 5,000 - WULAN WIDYAWATI - -
05.03.16 E003245 ECIN 64 35,000 - 15,000 - WULAN WIDYAWATI - -
05.03.16 K000891 KIKI KUSTIAWAN 70 14,200 - 15,000 - WULAN WIDYAWATI - -
05.03.16 A006997 ADI RISWANTO 71 20,200 - 15,000 - WULAN WIDYAWATI - -
05.03.16 D003082 DAVINA ASRIANI 75 36,200 - 15,000 - WULAN WIDYAWATI - -
05.03.16 N002670 NANDI RAINAN MAULUDI 76 19,800 - 15,000 - WULAN WIDYAWATI - -
05.03.16 N001647 NABILA FITRIANI 78 39,500 - 15,000 - WULAN WIDYAWATI - -
05.03.16 Y000537 YOGA PURNAMA SOFYAN 79 19,400 - 5,000 - WULAN WIDYAWATI - -
05.03.16 N000980 NUNIK MAHMUDAH NOORILAH 81 27,000 - 15,000 - TENI S. RIFA’I - -
05.03.16 S002959 SINDI SEPTIANI 83 20,900 - 15,000 - TENI S. RIFA’I - -
05.03.16 H001853 HERAWANTI 88 12,000 - 15,000 - TENI S. RIFA’I - -
05.03.16 R004446 RINA SETIAWATI 90 20,000 - 15,000 - TENI S. RIFA’I - -
05.03.16 W000016 WIDIA ARDININGRUM 92 16,700 - 15,000 - TENI S. RIFA’I - -
05.03.16 Z000643 ZETA SANGGI PAMELA PAMUNGKAS 96 17,000 - 15,000 - TENI S. RIFA’I - -
05.03.16 A001685 ALI AKBAR NAWAWI 98 17,000 - 5,000 - TENI S. RIFA’I - -
05.03.16 E002872 ERNI YULIANSYAH 104 25,600 - 15,000 - TENI S. RIFA’I - -
05.03.16 A008317 ALLYA ALFIRA DWIPUTRI 105 7,300 - 15,000 - TENI S. RIFA’I - -
06.03.16 I001238 IWAN SETIAWAN 8 15,900 - 5,000 - DETY NUR RACHMAWATI - -
06.03.16 A008148 ALVIN MOCHAMAD ERSYAH 12 63,200 - 5,000 - DETY NUR RACHMAWATI - -
06.03.16 R002682 RAMANDA FAUJAN 29 46,900 - 5,000 - DETY NUR RACHMAWATI - -
06.03.16 S002041 SUPARDI 42 - - 11,000 4,000 H. ASEP SANI SULAEMAN - -
07.03.16 R001606 ROFFY IDHAM RAMADHAN 1 21,400 - 15,000 - NOVI YULIANTI - -
07.03.16 A008612 AGUS SALIM KUSMANA 2 19,600 - 15,000 - NOVI YULIANTI - -
07.03.16 D003842 DENI HERMAWAN 3 - - 15,000 - NOVI YULIANTI 80,000 -
07.03.16 A006778 AA SURYANA 6 - - 15,000 - NOVI YULIANTI - -
07.03.16 A004895 ADIT RAKA MULYANA 7 35,800 - 15,000 - NOVI YULIANTI - -
07.03.16 Y000589 YUPI ROSYANA 8 5,000 - 15,000 - NOVI YULIANTI - -
07.03.16 S005310 SITI WAHYUNI 12 32,000 - 15,000 - NOVI YULIANTI - -
07.03.16 M004145 MUHAMMAD WAAFI FAWWAZ 13 52,900 - 15,000 - NOVI YULIANTI - -
07.03.16 A001685 ALI AKBAR NAWAWI 15 41,000 - 5,000 - NOVI YULIANTI - -
07.03.16 A002324 ALEN AMELIA 19 48,000 - 15,000 - NOVI YULIANTI 80,000 -
07.03.16 A008379 AURA NOVIA ARIANTI 20 16,100 - 15,000 - NOVI YULIANTI - -
07.03.16 R002682 RAMANDA FAUJAN 21 - - 15,000 - NOVI YULIANTI 80,000 -
07.03.16 H001184 HAFID RAMLAN, S.PD 28 16,000 - 15,000 - NOVI YULIANTI - -
07.03.16 E003255 ELSA INDRIANTI 31 24,400 - 15,000 - NOVI YULIANTI - -
07.03.16 I003461 ITA ROSITA 34 19,500 - 15,000 - NOVI YULIANTI - -
07.03.16 B000705 BASAR SURYANA 35 66,300 - 15,000 - NOVI YULIANTI 86,000 -
07.03.16 O000627 OYOK SUGANDA 36 37,000 - 15,000 - NOVI YULIANTI - -
07.03.16 D001305 DANI HAMDANI 38 - - 15,000 - NOVI YULIANTI - -
07.03.16 I003301 ICI MARIADI 43 21,600 - 15,000 - NOVI YULIANTI - -
07.03.16 N002888 NAYSHELLA PUTRI WARDANI 48 35,800 - 15,000 - NOVI YULIANTI - -
07.03.16 A009444 ASRI AFRIDA JUNIAR 51 23,350 - 15,000 - NOVI YULIANTI - -
07.03.16 R004332 RIFQI MAISSAN BAIHAQI 52 22,200 - 15,000 - NOVI YULIANTI - -
07.03.16 N003445 NADHIFAH AL JAUZIYAH H 56 20,700 - 15,000 - NOVI YULIANTI - -
07.03.16 L000899 LINA MARLINA 57 17,500 - 15,000 - NOVI YULIANTI - -
07.03.16 J000865 JUWITA PURNAMASARI 61 62,600 - 15,000 - NOVI YULIANTI - -
07.03.16 N003452 NAMIYA MUJAB 63 27,800 - 15,000 - NOVI YULIANTI - -
07.03.16 F001875 FAIKARA GARSIKA 64 27,400 - 15,000 - NOVI YULIANTI - -
07.03.16 E003621 ELNUHA AUFIA 65 23,000 - 15,000 - NOVI YULIANTI - -
07.03.16 F002116 FADYA FAUZIAH 66 30,200 - 15,000 - NOVI YULIANTI - -
07.03.16 A009169 ANI MULYANI 67 18,000 - 15,000 - PERIKSA KEBIDANAN - -
07.03.16 R005238 ROSI ROSITA 69 8,500 - 15,000 - PERIKSA KEBIDANAN - -
07.03.16 E002850 ERGA SUGARA 75 22,200 - 15,000 - NOVI YULIANTI - -
07.03.16 H000987 HENDRA MULYANA 78 28,600 - 15,000 - NOVI YULIANTI - -
07.03.16 M004769 MUHAMMAD ABYAN DZULQARNAIN 79 - - 15,000 - NOVI YULIANTI - -
07.03.16 W000899 WIWIN MARYANA,HJ 81 23,500 - 15,000 - NOVI YULIANTI 48,000 -
07.03.16 M004686 MELYASA YUSRIYYA 83 26,000 - 15,000 - NOVI YULIANTI - -
07.03.16 G000650 GIA GEMILINA 84 26,500 - 15,000 - NOVI YULIANTI - -
07.03.16 K001356 KAYLEEN ANGGELA 85 - 40,000 31,000 4,000 NOVI YULIANTI - -
07.03.16 M003282 MUHAMMAD SIDIQ MEIDIANSYAH 88 38,600 - 15,000 - NOVI YULIANTI - -
07.03.16 A009351 ATIKAH 92 20,000 - 15,000 - NOVI YULIANTI - -
07.03.16 D003099 DENI SUDARMAN 96 19,500 - 15,000 - H. THIA SILVANA - -
07.03.16 M004125 MARDIANI HAFSHARRY 97 9,500 - 15,000 - PERIKSA KEBIDANAN - -
07.03.16 M002943 MAKMUN, H 98 22,500 - 15,000 - H. THIA SILVANA 66,000 -
07.03.16 N002156 NASYA TAZKIYA 101 25,000 - 15,000 - H. THIA SILVANA - -
07.03.16 M002993 M. AIRALD R.A 104 27,200 - 5,000 - NOVI YULIANTI - -
07.03.16 A007990 A.SAEPUDIN 107 28,700 - 15,000 - H. THIA SILVANA - -
07.03.16 Z000517 ZIHAN MEINA 108 23,000 - 15,000 - H. THIA SILVANA - -
07.03.16 M003247 MASRURI 113 31,500 - 5,000 - H. THIA SILVANA - -
07.03.16 B000240 BALQIS IL RINALDI 115 25,000 - 15,000 - H. THIA SILVANA - -
07.03.16 R001062 ROMI DIANA 116 25,000 - 15,000 - H. THIA SILVANA - -
07.03.16 J000262 JOHAN TAMSIR 117 27,000 - 15,000 H. THIA SILVANA - -
07.03.16 E001134 ERVAN RINALDI 121 19,200 - 15,000 - H. THIA SILVANA - -
07.03.16 I002605 IIS HARYATI, S, PD, I 123 35,000 - 15,000 - H. THIA SILVANA - -
07.03.16 I003594 IMAN BANYUSETIA 124 31,000 - 15,000 - H. THIA SILVANA - -
07.03.16 U000843 UUM MULYANA 127 24,000 - 11,000 4,000 H. THIA SILVANA - -
07.03.16 I003178 IKHLAS HANIFAH 128 25,000 - 15,000 - H. THIA SILVANA - -
07.03.16 S004938 SOPIAN NURHAKIM 129 21,000 - 15,000 - H. THIA SILVANA - -
07.03.16 T001237 TITIN SUPRIATIN RACHMAT 130 - - 15,000 - H. THIA SILVANA - -
07.03.16 E000447 ENGKUS KUSWARA 131 26,800 - 11,000 4,000 H. THIA SILVANA - -
07.03.16 B000780 BAGJA REZA NURZAMAN 132 26,000 - 15,000 - H. THIA SILVANA - -
07.03.16 Y002212 YENI 134 21,000 - 15,000 - H. THIA SILVANA - -
07.03.16 W000850 WINA AGUSTIANI 135 29,000 - 15,000 - H. THIA SILVANA - -
07.03.16 R004666 RAHMAT HIDAYAT 136 30,000 - 15,000 - H. THIA SILVANA - -
07.03.16 M004458 MUHAMMAD RIFKY SETIAWAN 137 24,000 - 15,000 - H. THIA SILVANA - -
07.03.16 D000081 DADANG SUDIANA 138 22,000 - 15,000 - H. THIA SILVANA - -
07.03.16 R003204 RISA FATIMAH ADITYA 139 31,000 - 15,000 - H. THIA SILVANA - -
07.03.16 A003302 AA MULYANA 140 34,000 - 15,000 - H. THIA SILVANA - -
07.03.16 E001114 ENENG AAY SURTIKA 143 17,000 - 5,000 - H. THIA SILVANA - -
07.03.16 A007283 AMIR JAELANI 146 18,000 - 15,000 - H. THIA SILVANA - -
07.03.16 Z000496 ZAM ZAM MAULID 147 27,000 - 15,000 - H. THIA SILVANA - -
07.03.16 A003667 AMAS MASDAR 152 20,000 - 15,000 - H. THIA SILVANA - -
07.03.16 E003626 ENENG ROSITA 153 53,000 - 15,000 - H. THIA SILVANA - -
07.03.16 N001713 NABILLA AZZAHRA PUTRI 157 29,000 - 15,000 - H. THIA SILVANA - -
07.03.16 D002918 DEDE DELISDA 159 29,000 - 15,000 - H. THIA SILVANA - -
07.03.16 I000664 IPIT WIDIAWATI 160 21,000 - 15,000 - H. THIA SILVANA - -
07.03.16 A001445 ARFA GLADISYA KHUMAIRA 161 27,000 - 15,000 - H. THIA SILVANA - -
07.03.16 M004894 MILASARI 162 22,000 - 15,000 - H. THIA SILVANA - -
07.03.16 Z000644 ZIKRIE YAZIED BARRA KISWANTO 163 19,000 - 15,000 - H. THIA SILVANA - -
07.03.16 E003227 ERNAWATI 169 37,000 - 15,000 - H. THIA SILVANA - -
07.03.16 R004683 RAIS ARYAPUTRA 171 19,000 - 15,000 - H. THIA SILVANA - -
07.03.16 R002206 RIZKY MAULANA ROMDANI 172 29,000 - 15,000 - H. THIA SILVANA - -
07.03.16 Z000527 ZIDDAN HIKARI AL RASHID 173 29,000 - 15,000 - H. THIA SILVANA - -
07.03.16 A001646 AJENG DANUR FAIDAH R 174 20,000 - 15,000 - H. THIA SILVANA - -
08.03.16 A009043 ADE KOMARUDIN 1 10,600 - 15,000 - WULAN WIDYAWATI 18,000 -
08.03.16 S004220 SASA SARIPUDIN 4 94,000 - 15,000 - WULAN WIDYAWATI - -
08.03.16 R005208 RISKA MURNIAYATI 6 10,600 - 15,000 - WULAN WIDYAWATI - -
08.03.16 Y002123 YANTI ROSMAYANTI 7 22,400 - 15,000 - WULAN WIDYAWATI - -
08.03.16 R002682 RAMANDA FAUJAN 9 11,200 - 15,000 - WULAN WIDYAWATI - -
08.03.16 A004932 ADELLA PRATHAMA 11 21,500 - 15,000 - WULAN WIDYAWATI 80,000 -
08.03.16 Q000086 QISAN KUSUMA PUTRA 14 28,200 - 15,000 - WULAN WIDYAWATI - -
08.03.16 M005013 MUHAMMAD SYATIBI 16 26,600 - 15,000 - WULAN WIDYAWATI - -
08.03.16 N003746 NURBAENI 19 14,500 - 15,000 - WULAN WIDYAWATI - -
08.03.16 S003599 SALWA AURELIA RAHMAH 22 41,700 - 15,000 - WULAN WIDYAWATI - -
08.03.16 D001804 DEDE NURYATI,HJ 23 16,600 - 15,000 - WULAN WIDYAWATI 25,000 -
08.03.16 D002908 DINDA NIKEN KINANTI 24 19,400 - 15,000 - WULAN WIDYAWATI - -
08.03.16 A007905 ANDRI HIDAYAT 27 19,900 - 15,000 - WULAN WIDYAWATI - -
08.03.16 Z000289 ZAHRA AZARIA AZHAR 30 30,500 - 15,000 - WULAN WIDYAWATI - -
08.03.16 A008030 ASEP SUPARDI 32 16,500 - 15,000 - WULAN WIDYAWATI - -
08.03.16 M004689 MIA SONDARI 33 24,400 - 15,000 - WULAN WIDYAWATI - -
08.03.16 F002007 FAKHIRA KAILA KHANSA 37 18,400 - 15,000 - WULAN WIDYAWATI - -
08.03.16 Y000179 YAYU YULIANA 39 30,000 - 31,000 4,000 WULAN WIDYAWATI - -
08.03.16 M000220 MELI ROSA MARIA 40 15,200 - 15,000 - WULAN WIDYAWATI - -
08.03.16 Y002213 YUSEP SUSANTO 42 16,000 - 15,000 - WULAN WIDYAWATI - -
08.03.16 R005244 RINA RAHMAWATI DEWI 45 27,800 - 15,000 - WULAN WIDYAWATI - -
08.03.16 S001369 SITI FAUZIAH 46 14,600 - 15,000 - WULAN WIDYAWATI - -
08.03.16 S005178 SANDI NUGRAHA S.PD 47 12,800 - 15,000 - WULAN WIDYAWATI - -
08.03.16 M003722 MUHAMMAD FATHIR KHAFIDULLOH 50 18,400 - 15,000 - WULAN WIDYAWATI - -
08.03.16 U000919 UPI RIYANI 54 - - 15,000 - WULAN WIDYAWATI - -
08.03.16 W001142 WAWAT RUSWATI 55 13,900 - 15,000 - WULAN WIDYAWATI - -
08.03.16 N003695 NUR ANALIS 56 14,000 - 15,000 - WULAN WIDYAWATI - -
08.03.16 M004731 MUHAMMAD AMZAR RAQILLA 57 33,200 - 15,000 - WULAN WIDYAWATI - -
08.03.16 A008921 ASKANA SAKHI 58 38,200 - 15,000 - WULAN WIDYAWATI - -
08.03.16 I002350 IYAM SITI MARIAM 59 29,500 - 15,000 - WULAN WIDYAWATI - -
08.03.16 Y001237 YAYA SUNARYA 60 29,500 - 15,000 - WULAN WIDYAWATI 66,000 -
08.03.16 H002069 HAIKAL AKBAR AGUSTIAN KISWANTO 63 28,800 - 15,000 - WULAN WIDYAWATI 80,000 -
08.03.16 A006306 ALGHIFARY ARAFAH REZA 66 - - 15,000 - WULAN WIDYAWATI - -
08.03.16 N003754 NIDA ROHIMAH AGUSTIN 67 30,800 45,000 - - WULAN WIDYAWATI - -
08.03.16 E003484 ENTIN FATIMAH 70 20,400 - 15,000 - WULAN WIDYAWATI 43,000 -
08.03.16 D003240 DANI RAMADHAN 74 23,500 - 15,000 - WULAN WIDYAWATI - -
08.03.16 H000226 HARRY WIRAWAN 75 119,600 - 15,000 - WULAN WIDYAWATI 18,000 -
08.03.16 N002949 NISPI SYA’BANI 77 - - - - CEK LAB SAJA 18,000 -
08.03.16 S004740 SARAH RAFAHAZAHRAH FATHINASALMA 78 14,000 - 15,000 - WULAN WIDYAWATI - -
08.03.16 L000896 LAYLIA NABILAJAUZA 79 14,000 - 15,000 - WULAN WIDYAWATI - -
08.03.16 T000772 TRIZTA PUTUEKAWATI 83 9,000 - 15,000 - WULAN WIDYAWATI - -
08.03.16 A008091 ARIANTO 87 27,000 - 15,000 - WULAN WIDYAWATI - -
08.03.16 H000520 HERI HERAWAN 91 36,400 - 15,000 - NOVI YULIANTI - -
08.03.16 N003301 NANANG SUHENDRA 97 23,200 - 15,000 - NOVI YULIANTI 25,000 -
08.03.16 T001854 TEDI KURNIAWAN 98 20,400 - 15,000 - NOVI YULIANTI - -
08.03.16 I002699 IDA SA’ADAH 99 21,200 - 15,000 - NOVI YULIANTI - -
08.03.16 U000024 UZWA SITI KAMILA 100 17,200 - 15,000 - NOVI YULIANTI - -
08.03.16 Y000616 YUYUN YUNINGSIH 101 23,400 - 15,000 - NOVI YULIANTI - -
08.03.16 D000421 DEDE SUHANDA 103 40,000 - 35,000 - NOVI YULIANTI - -
08.03.16 N003571 N ENUNG RUGOYAH 104 34,900 - 15,000 - NOVI YULIANTI - -
08.03.16 A006997 ADI RISWANTO 107 - - 15,000 - NOVI YULIANTI - -
08.03.16 O000127 OMIN BUNYAMIN 115 33,200 - 15,000 - NOVI YULIANTI - -
08.03.16 K001079 KARTIKA WATI 119 15,000 - 15,000 - NOVI YULIANTI - -
08.03.16 D003007 DZAKIR HAFADHI 121 34,600 - 15,000 - NOVI YULIANTI - -
08.03.16 L000497 LINGGA NUR’ALFAYADI 122 20,200 - 15,000 - NOVI YULIANTI - -
08.03.16 S001597 SYIFA FAUZIAH MUTMAINNAH 124 38,500 - 5,000 - NOVI YULIANTI - -
08.03.16 P000536 PIPIH SRI HANIPAH 125 22,800 - 15,000 - NOVI YULIANTI - -
08.03.16 A006645 ASEP LUKMAN 126 28,400 - 15,000 - NOVI YULIANTI - -
08.03.16 R005247 REZQY IMAN PUTRA 129 26,300 - 15,000 - NOVI YULIANTI - -
08.03.16 D002922 DEVIANA NUR UTAMI 131 43,900 - 15,000 - NOVI YULIANTI - -
08.03.16 A003000 ARNI SULANI 141 23,000 - 5,000 - ENCEP SUDARYANA - -
09.03.16 S001808 SATRIA KRISHNAWIJAYASHAKTI 35 25,700 - 5,000 - WULAN WIDYAWATI - -
09.03.16 J000669 JOSEPH CHRISTIAN AKAWA 58 32,000 - 15,000 - WULAN WIDYAWATI - -
09.03.16 Y001492 YULIARTI ANTIKA 60 27,200 - 5,000 - WULAN WIDYAWATI - -
09.03.16 A003289 AGUS TATANG SOLIHIN 66 23,500 - 5,000 - H. THIA SILVANA - -
10.03.16 I003599 IMAM HASAN A 2 24,000 - 15,000 - NOVI YULIANTI 80,000 -
10.03.16 N002413 NENI SURYANI 5 - - - - - 66,000 -
10.03.16 D003638 DADANG DARSANA 6 91,100 - 15,000 - NOVI YULIANTI 66,000 -
10.03.16 A009456 ADE KOMARIAH 7 - - 15,000 - NOVI YULIANTI - -
10.03.16 A004895 ADIT RAKA MULYANA 11 26,400 - 15,000 - NOVI YULIANTI 80,000 -
10.03.16 S005078 SURACHMAN 12 22,400 - 15,000 - NOVI YULIANTI - -
10.03.16 B000398 BUNGA INTAN SUCIANI 14 29,000 - 15,000 - NOVI YULIANTI - -
10.03.16 H001091 HELSA BULAN J 15 37,000 - 15,000 - NOVI YULIANTI - -
10.03.16 N002898 NENENG SUPRIATI 16 9,500 - 15,000 - NOVI YULIANTI - -
10.03.16 E002492 EEM MARYATI 17 - - 15,000 - NOVI YULIANTI - -
10.03.16 A009115 AI SARININGSIH 20 21,400 - 15,000 - NOVI YULIANTI - -
10.03.16 A003495 AZMI ATOILLAH 24 21,750 - 15,000 - NOVI YULIANTI 80,000 -
10.03.16 H002072 HARISUDIN 25 27,600 - 15,000 - NOVI YULIANTI - -
10.03.16 N002888 NAYSHELLA PUTRI WARDANI 27 - - 15,000 - NOVI YULIANTI 80,000 -
10.03.16 A002286 AHMAD SOLEH 28 31,200 - 15,000 - NOVI YULIANTI - -
10.03.16 N003427 NADHIRA THAFANA 30 29,000 - 15,000 - NOVI YULIANTI - -
10.03.16 A002364 ASEP DUDI 32 13,350 - 15,000 - NOVI YULIANTI - -
10.03.16 P000535 PRATIWI DWI KIRANI 33 14,500 - 15,000 - NOVI YULIANTI - -
10.03.16 R004822 RISCA THIA HANDAYANI 37 16,600 - 15,000 - NOVI YULIANTI - -
10.03.16 R004990 RISA ROSITA 38 17,800 - 15,000 - NOVI YULIANTI - -
10.03.16 E003630 ENIH YUNINGSIH 40 29,300 - 15,000 - NOVI YULIANTI - -
10.03.16 R003620 RIZKY FIRMANSYAH 41 20,800 - 15,000 - NOVI YULIANTI - -
10.03.16 T001804 TARYADI 43 - - 15,000 - NOVI YULIANTI - -
10.03.16 C000359 CHOERUNNAS CAKRAPRAJA 44 25,400 - 15,000 - NOVI YULIANTI - -
10.03.16 F001967 FAHMI FAHRUROZI 45 26,400 - 15,000 - NOVI YULIANTI - -
10.03.16 H001472 HENI NURAENI 46 31,400 - 15,000 - NOVI YULIANTI - -
10.03.16 Y001902 YAYAH ROKAYAH 47 31,400 - 15,000 - NOVI YULIANTI - -
10.03.16 M004731 MUHAMMAD AMZAR RAQILLA 48 9,000 - 15,000 - NOVI YULIANTI 100,000 -
10.03.16 N003695 NUR ANALIS 49 17,400 - 15,000 - NOVI YULIANTI - -
10.03.16 M000112 MAMAH 50 18,000 - 15,000 - NOVI YULIANTI - -
10.03.16 O000227 OMANAH 51 99,500 - 15,000 - NOVI YULIANTI 25,000 -
10.03.16 N001973 NINA MARLINA 52 40,000 - 15,000 - NOVI YULIANTI - -
10.03.16 A006681 ASEP SAEPUDIN 53 14,100 - 15,000 - NOVI YULIANTI - -
10.03.16 A009458 ABDURROHMAN 54 26,400 - 15,000 - NOVI YULIANTI - -
10.03.16 S005105 SHAHILA PUTRI AYUNI 55 14,500 - 15,000 - NOVI YULIANTI - -
10.03.16 I001770 IDAH, HJ 58 47,000 - 35,000 - NOVI YULIANTI - -
10.03.16 S004303 SOFYAN, DRS 59 16,800 - 15,000 - NOVI YULIANTI - -
10.03.16 D001505 DARSONO 63 33,000 - 15,000 - H. ASEP MARYAMAN 43,000 -
10.03.16 S002060 SURYA HAMIZAN 64 28,700 - 15,000 - NOVI YULIANTI - -
10.03.16 A007323 ANISA YURI INTAN CAGATA 65 - - 15,000 - NOVI YULIANTI - -
10.03.16 H001109 HERI RUSLI 66 26,000 - 15,000 - NOVI YULIANTI - -
10.03.16 A009459 ATAR RAMDHANI 67 66,400 - 15,000 - NOVI YULIANTI - -
10.03.16 M005019 MUHAMMAD ARKEN ALKAHFI 68 20,900 - 15,000 - NOVI YULIANTI - -
10.03.16 E002692 EVA HERMIATI 69 26,800 - 15,000 - NOVI YULIANTI - -
10.03.16 U000515 UUM SUMINAR 73 24,700 - 15,000 - NOVI YULIANTI - -
10.03.16 M004166 MUHAMMAD LUTHFI AL IKHWANI 75 27,800 - 15,000 - NOVI YULIANTI - -
10.03.16 N003240 NAURA HASNA ANNINDAA 76 11,000 - 15,000 - NOVI YULIANTI - -
10.03.16 D001324 DEWI KURNIATI 83 22,400 - 15,000 - NOVI YULIANTI - -
10.03.16 T001389 TATI ROHAYATI 85 14,800 - 15,000 - NOVI YULIANTI - -
10.03.16 E002057 EKA KUSDIANA 86 22,750 - 15,000 - NOVI YULIANTI - -
10.03.16 S004899 SYAHIRA PUTRI 89 15,000 - 15,000 - NOVI YULIANTI - -
10.03.16 A004803 ASEP ROHMAN 92 26,000 - 15,000 - H. ASEP MARYAMAN - -
10.03.16 H001788 HAURA AL KAUTSAR 93 28,000 - 15,000 - H. ASEP MARYAMAN - -
10.03.16 A008876 AI SOLIHAT 94 21,000 - 15,000 - H. ASEP MARYAMAN - -
10.03.16 I001722 IIS KARTINI NURAENI 95 36,700 - 15,000 - H. ASEP MARYAMAN - -
10.03.16 M001867 MARTINA PATRIASARI 102 20,200 - 15,000 - H. ASEP MARYAMAN - -
10.03.16 H001004 HANGGA HAMDILLAH 105 23,000 - 15,000 - H. ASEP MARYAMAN - -
10.03.16 N003782 NAJLA NAFIZA ULFAH 106 22,300 - 15,000 - H. ASEP MARYAMAN - -
10.03.16 A002094 AI SRI RAHAYU 107 19,400 - 15,000 - H. ASEP MARYAMAN - -
10.03.16 A009244 AGUS TURKAWAN 108 16,300 - 15,000 - H. ASEP MARYAMAN - -
10.03.16 A006917 AGUS MULYADI 110 18,500 - 15,000 - H. ASEP MARYAMAN - -
10.03.16 D003491 DINAR KARTINI 111 16,000 - 15,000 - PERIKSA KEBIDANAN - -
10.03.16 S003475 SYAKILA ZANZABILLA PARAMADINA 112 16,600 - 15,000 - H. ASEP MARYAMAN - -
10.03.16 U000047 UUS RUSTANDI 113 18,500 - 15,000 - H. ASEP MARYAMAN - -
10.03.16 E003477 EGI DEWI SEPTIANA 114 17,500 - 15,000 - H. ASEP MARYAMAN - -
10.03.16 Y002184 YULIA AGUSTINA 116 17,500 - 15,000 - PERIKSA KEBIDANAN 12,000 -
10.03.16 E003595 EVA FARIDA TRESNA 121 - - 15,000 - H. ASEP MARYAMAN - -
10.03.16 A009462 ADE DEDI SANJAYA 122 23,000 - 15,000 - H. ASEP MARYAMAN 80,000 -
10.03.16 O000468 OO SANTONI 123 21,600 - 15,000 - H. ASEP MARYAMAN 48,000 -
10.03.16 Z000289 ZAHRA AZARIA AZHAR 124 15,500 - 15,000 - H. ASEP MARYAMAN - -
10.03.16 E002850 ERGA SUGARA 125 20,000 - 15,000 - H. ASEP MARYAMAN 80,000 -
10.03.16 P000692 PUTRI SUFY 128 27,400 - 15,000 - H. ASEP MARYAMAN - -
10.03.16 M005022 MUH DZALFIQRI SA’BANI 129 - - 15,000 - H. ASEP MARYAMAN - -
10.03.16 A009054 ATSIILAH JANISSARY RAHAYU 130 18,000 - 15,000 - H. ASEP MARYAMAN - -
10.03.16 Q000042 QUINTA KHANZILA DINIA AISYAH 132 29,700 - 15,000 - H. ASEP MARYAMAN - -
10.03.16 A009220 AGUS ROHMAN 133 21,400 - 15,000 - H. ASEP MARYAMAN - -
10.03.16 R005137 RAISYA AZZAHRA NUROHMAN 134 28,100 - 15,000 - H. ASEP MARYAMAN - -
10.03.16 A006852 AHMAD SOLIHIN 140 21,000 - - - H. ASEP MARYAMAN - -
10.03.16 A002035 ADE RODIAH 141 15,600 - 15,000 - H. ASEP MARYAMAN - -
10.03.16 R000155 RIKO FAIZAL 143 21,400 - 15,000 - H. ASEP MARYAMAN - -
10.03.16 S005472 SRI SETIANI 146 21,000 - 15,000 - H. ASEP MARYAMAN - -
10.03.16 H000882 HAIDAR AUFA AMANULLAH 148 63,300 - 15,000 - H. ASEP MARYAMAN - -
10.03.16 D001625 DIDI SUPRIADI 153 22,300 - 15,000 - H. ASEP MARYAMAN - -
10.03.16 D001199 DIAN SYEKH RADIANA 154 41,100 - - - H. ASEP MARYAMAN - -
10.03.16 D003255 DENIA NUR RAHMAWATI 160 27,700 - 15,000 - H. ASEP MARYAMAN - -
11.03.16 A002324 ALEN AMELIA 2 13,000 - 5,000 - PERIKSA KEBIDANAN - -
11.03.16 S004220 SASA SARIPUDIN 3 80,000 - 15,000 - WULAN WIDYAWATI - -
11.03.16 N003555 NENENG SUMARNI 4 - - 15,000 - WULAN WIDYAWATI - -
11.03.16 H002074 HENDI ROHENDI 6 20,400 - 15,000 - WULAN WIDYAWATI - -
11.03.16 A008639 AI HENI 10 22,200 - 15,000 - WULAN WIDYAWATI - -
11.03.16 Y001643 YAN SURYANA 11 22,500 - 15,000 - WULAN WIDYAWATI 23,000 -
11.03.16 D001804 DEDE NURYATI,HJ 12 18,900 - 15,000 - WULAN WIDYAWATI - -
11.03.16 D003856 DEDE KURNIA 14 20,400 - 15,000 - WULAN WIDYAWATI - -
11.03.16 N003842 NUR SUPRIATININGSIH 15 17,800 - 15,000 - WULAN WIDYAWATI - -
11.03.16 M004974 MIRA KUSTINA 16 18,400 - 15,000 - WULAN WIDYAWATI - -
11.03.16 E003029 ENUNG SEMI HANDAYANI 17 12,500 - 15,000 - WULAN WIDYAWATI - -
11.03.16 A001681 ANDZAL GAMAL NUGRAHA 18 46,700 - 15,000 - WULAN WIDYAWATI - -
11.03.16 N003169 NABILA OKTAVIANI 22 26,100 - 15,000 - WULAN WIDYAWATI - -
11.03.16 M004672 MUHAMMAD AQILA MUSYAFFA 24 16,000 - 15,000 - WULAN WIDYAWATI - -
11.03.16 I003605 INA MARLINA 25 23,000 - 15,000 - WULAN WIDYAWATI - -
11.03.16 M002839 MARSHA SAFA AL-ZENA 26 28,100 - 15,000 - WULAN WIDYAWATI - -
11.03.16 A008718 ANISA NURUL AYUNI 27 17,600 - 15,000 - WULAN WIDYAWATI - -
11.03.16 T001698 TATAN SOPIAN 28 9,700 - 15,000 - WULAN WIDYAWATI - -
11.03.16 A003619 AI KOMARA 31 17,500 - 15,000 - WULAN WIDYAWATI - -
11.03.16 J000262 JOHAN TAMSIR 32 19,300 - 15,000 - WULAN WIDYAWATI - -
11.03.16 A009020 ASTI APRILIANI 33 48,000 - 15,000 - WULAN WIDYAWATI - -
11.03.16 D002928 DINAR SARININGRUM 35 17,900 - 15,000 - WULAN WIDYAWATI - -
11.03.16 C000487 CUCU 37 22,200 - 15,000 - WULAN WIDYAWATI - -
11.03.16 R005056 RINI NURBAYANTI 40 10,000 - 15,000 - WULAN WIDYAWATI - -
11.03.16 A008375 AULIA OKTAVIONA AZZAHRA 41 35,600 - 15,000 - WULAN WIDYAWATI - -
11.03.16 G000623 G SITI UMMU KULSUM 44 - - 15,000 - WULAN WIDYAWATI - -
11.03.16 S004716 SETO DANUASMORO 45 10,150 - 15,000 - WULAN WIDYAWATI - -
11.03.16 D003316 DEDEH KURNIASIH 46 79,700 - 15,000 - WULAN WIDYAWATI - -
11.03.16 M000261 MITA LESTARI 49 16,300 - 15,000 - WULAN WIDYAWATI - -
11.03.16 H000655 HARISA ATMAJA 50 39,000 - 5,000 - WULAN WIDYAWATI - -
11.03.16 R002096 RAMA PUTRA LAKSANA 52 24,000 - 15,000 - WULAN WIDYAWATI - -
11.03.16 S003301 SITI JULAEHA 53 23,300 - 15,000 - WULAN WIDYAWATI - -
11.03.16 A009465 ANNISA NUR AZIZAH 54 36,100 - 15,000 - WULAN WIDYAWATI - -
11.03.16 G000276 GEN GEN SYAMSIAH, S.PD 55 11,200 - 15,000 - WULAN WIDYAWATI - -
11.03.16 N001353 NENG LINA APRILIA 56 30,000 - 15,000 - WULAN WIDYAWATI - -
11.03.16 M004686 MELYASA YUSRIYYA 57 25,400 - 15,000 - WULAN WIDYAWATI 80,000 -
11.03.16 L001234W LIA LIANI 60 14,900 - 15,000 - WULAN WIDYAWATI - -
11.03.16 A006066 ASEP NURJAMAN 61 14,800 - 15,000 - WULAN WIDYAWATI - -
11.03.16 M003238 M RIZKI SUBAGJA 67 20,600 - 15,000 - WULAN WIDYAWATI - -
11.03.16 E000975 ELIS RUSTENI 69 24,600 - 15,000 - WULAN WIDYAWATI - -
11.03.16 A001212 ANDHITA JUWITA SARI 70 36,000 - 15,000 - WULAN WIDYAWATI - -
11.03.16 E002650 EKA SEPTIANA 71 22,000 - 15,000 - WULAN WIDYAWATI - -
11.03.16 R001101 RONI FIRMANSYAH 74 36,700 - 5,000 - WULAN WIDYAWATI - -
11.03.16 A009466 ADELIA DESTTARI 76 27,400 - 15,000 - WULAN WIDYAWATI - -
11.03.16 A000656 ALIF ABDUL HAKIM 77 - - 15,000 - WULAN WIDYAWATI - -
11.03.16 N002694 NISA AROMANTIKA HIDAYAH 78 - - 15,000 - WULAN WIDYAWATI - -
11.03.16 A009114 ANDRI PRIYAMBADA DARUSMAN 79 20,400 - 15,000 - WULAN WIDYAWATI - -
11.03.16 A001536 AI RAHMAWATI 80 27,200 - 15,000 - WULAN WIDYAWATI - -
11.03.16 E003463 ERYANTO 82 19,200 - 15,000 - ANDI HERMANSYAH - -
11.03.16 R000897 RIDAN HARDIANSYAH 83 22,400 - 15,000 - ANDI HERMANSYAH - -
11.03.16 W000899 WIWIN MARYANA,HJ 88 15,800 - 15,000 - ANDI HERMANSYAH - -
11.03.16 I001759 IIM MASITOH 89 23,300 - 15,000 - ANDI HERMANSYAH - -
11.03.16 E000238 EDI RUSWANDI 94 32,900 - 15,000 - ANDI HERMANSYAH - -
11.03.16 F001897 FATIH IHSAN AL-FARUQ 103 22,400 - 15,000 - ANDI HERMANSYAH - -
11.03.16 A000638 AIDAH PURNAMA 114 33,900 - 5,000 - H. THIA SILVANA - -
12.03.16 N001766 NAJLA NADA SALSABILA 4 23,000 - 15,000 - WULAN WIDYAWATI - -
12.03.16 R003218 RENI PUSPITA DEWI 5 18,200 - 15,000 - WULAN WIDYAWATI - -
12.03.16 B000782 BURHAN NURDIN 7 20,400 - 15,000 - WULAN WIDYAWATI - -
12.03.16 S002000 SHINTA SYLVIA 10 18,000 - 15,000 - WULAN WIDYAWATI - -
12.03.16 I001884 IRNAMASARI 11 14,500 - 15,000 - WULAN WIDYAWATI - -
12.03.16 K001080 KISTO 13 22,400 - 15,000 - WULAN WIDYAWATI - -
12.03.16 B000661 BATRISYA SYAKILA SUNTONO 14 20,400 - 15,000 - WULAN WIDYAWATI - -
12.03.16 W001002 WIWIN PURNIAWATI 15 14,000 - 15,000 - WULAN WIDYAWATI - -
12.03.16 F001373 FANI DINISHWARI 16 9,400 - 15,000 - WULAN WIDYAWATI - -
12.03.16 F000957 FARDAN KHALLILURAHMAN . M 17 30,350 - 15,000 - WULAN WIDYAWATI - -
12.03.16 L001029 LIA KARTIKA 19 15,600 - 15,000 - WULAN WIDYAWATI - -
12.03.16 S004841 SITI JENAB 22 27,000 - 15,000 - PERIKSA KEBIDANAN - -
12.03.16 M003565 MUHAMAD YUDA PRATAMA 27 33,000 - 15,000 - WULAN WIDYAWATI - -
12.03.16 N000100 NUGRAHA ARKA SETIAWAN 28 30,100 - 15,000 - WULAN WIDYAWATI - -
12.03.16 L001198 LIA YULIANINGSIH 29 18,000 - 15,000 - PERIKSA KEBIDANAN - -
12.03.16 A007156 AISHA ZULEIKA 30 22,500 - 31,000 4,000 WULAN WIDYAWATI - -
12.03.16 I003606 IIS KHODIJAH 32 20,400 - 15,000 - WULAN WIDYAWATI - -
12.03.16 K000595 KUSUMAWARDHANI AFANDI 33 26,500 - 15,000 - PERIKSA KEBIDANAN - -
12.03.16 J000400 JULFAN MUHTADA ALFAD S 34 18,200 - 15,000 - WULAN WIDYAWATI - -
12.03.16 W001167 WATIN LISTRIANI 35 19,200 - 15,000 - WULAN WIDYAWATI - -
12.03.16 H001349 HAIKAL RIZARIYADI 36 25,250 - 15,000 - WULAN WIDYAWATI - -
12.03.16 R004353 RUKHYANTI SUMANTIKA 40 24,700 - 15,000 - WULAN WIDYAWATI - -
12.03.16 B000632 BUNGA NURROHMAH ADINITA S S 41 17,500 - 15,000 - WULAN WIDYAWATI - -
12.03.16 N003509 N. KUSMARA 42 14,200 - 15,000 - WULAN WIDYAWATI - -
12.03.16 E003324 ERNA HERMAWATI 44 11,200 - 15,000 - WULAN WIDYAWATI - -
12.03.16 N003313 NINA YUNIAWATI 47 11,000 - 15,000 - PERIKSA KEBIDANAN - -
12.03.16 R005139 RAYYAN ATTHARIQ 48 29,500 - 15,000 - WULAN WIDYAWATI - -
12.03.16 C000667 CHEISYA CLARA PUTRI 49 32,700 - 15,000 - WULAN WIDYAWATI - -
12.03.16 E003634 ELA 50 14,600 - 15,000 - WULAN WIDYAWATI - -
12.03.16 A001687 ARI SUGIARTI 52 23,900 - 15,000 - WULAN WIDYAWATI - -
12.03.16 S002053 SYAHIRA OKTAVIA SALSABILA 55 28,000 - 15,000 - WULAN WIDYAWATI - -
12.03.16 W000412 WAWANG NAWANGSIH 56 16,600 - 15,000 - WULAN WIDYAWATI 43,000 -
12.03.16 O000589 OHAR.H 58 - - 15,000 - WULAN WIDYAWATI - -
12.03.16 R003174 RIA SATRIANA 60 33,600 - 15,000 - WULAN WIDYAWATI - -
12.03.16 I001457 IIN KURNIATIN 61 29,000 - 15,000 - WULAN WIDYAWATI - -
12.03.16 C000604 CECEP SAEPUDIN 62 28,000 - 15,000 - WULAN WIDYAWATI - -
12.03.16 P000774 PUTRI ZAHRA AULIA 64 21,000 - 15,000 - WULAN WIDYAWATI - -
12.03.16 N002689 NINDYA FARANISA AZNI 65 20,250 - 15,000 - WULAN WIDYAWATI - -
12.03.16 Y002221 YANAH YULIYANTI 67 13,000 - 15,000 - TENI S. RIFA’I - -
12.03.16 W001117 WIRANTIWI AGUSTINA 68 27,000 - 15,000 - PERIKSA KEBIDANAN - -
12.03.16 S005500 SITI NURLAELA SARI 69 13,900 - 15,000 - TENI S. RIFA’I - -
12.03.16 R004889 RIDWAN 71 - 40,000 15,000 - TENI S. RIFA’I - -
12.03.16 A000309 ALVIN NUGRAHA 77 17,000 - 15,000 - TENI S. RIFA’I - -
12.03.16 J000185 JAJANG SUNJANA 78 17,500 - 15,000 - TENI S. RIFA’I - -
12.03.16 A006013 AGUS SUWARMAN 80 18,000 - 15,000 - TENI S. RIFA’I - -
12.03.16 P000792 PIPIT NURDIANA 81 17,000 - 15,000 - TENI S. RIFA’I - -
12.03.16 N003912 NURFITRIANI 82 13,400 - 15,000 - TENI S. RIFA’I - -
12.03.16 R003669 REFAN RAMADAN HAMDANI 84 6,000 - 15,000 - TENI S. RIFA’I - -
12.03.16 A006858 ASTRIANTIKA NUR OCTARESA 85 12,000 - 15,000 - PERIKSA KEBIDANAN - -
12.03.16 S004159 SANDI HAMDANI 86 16,000 - 15,000 - TENI S. RIFA’I - -
13.03.16 R002843 RESTU NOER OKTAVIANI 55 20,000 - 5,000 - H. ASEP SANI SULAEMAN 25,000 -
14.03.16 R001191 RIZQYLILLAH ABDUROCHIM 1 16,800 - 4,000 1,000 H. WINARDI KAHDAR - -
14.03.16 B000705 BASAR SURYANA 4 62,900 - 11,000 4,000 NOVI YULIANTI 51,000 -
14.03.16 H001889 HARIS SETIAWAN 8 - - 11,000 4,000 NOVI YULIANTI 51,000 -
14.03.16 H001184 HAFID RAMLAN, S.PD 9 17,000 - 11,000 4,000 NOVI YULIANTI 20,000 -
14.03.16 W000550 WATI ROHATI 10 18,700 - 11,000 4,000 NOVI YULIANTI - -
14.03.16 A001067 AGUS SUTIAWAN 14 33,400 - 11,000 4,000 NOVI YULIANTI - -
14.03.16 A004895 ADIT RAKA MULYANA 17 29,100 - 11,000 4,000 NOVI YULIANTI - -
14.03.16 N003920 NURHAYATI 18 16,500 - 11,000 4,000 NOVI YULIANTI - -
14.03.16 N003359 NAILA PUTERI A 19 21,000 - 11,000 4,000 NOVI YULIANTI - -
14.03.16 N002175 NUNUNG ROSDIANA 20 35,000 - 11,000 4,000 NOVI YULIANTI - -
14.03.16 O000006 OOM KOMARIAH 21 34,200 - 11,000 4,000 NOVI YULIANTI 18,000 -
14.03.16 A009214 ABIZAR RIZQIA PRATAMA 22 26,100 - 11,000 4,000 NOVI YULIANTI - -
14.03.16 A002061 ANNISA NUFAH RAMADHANI 23 26,000 - 11,000 4,000 NOVI YULIANTI - -
14.03.16 E002692 EVA HERMIATI 26 48,400 - 11,000 4,000 NOVI YULIANTI - -
14.03.16 P000701 POPI HERAWATI 27 16,200 - 11,000 4,000 NOVI YULIANTI - -
14.03.16 Y000035 YENI 28 22,600 - 11,000 4,000 NOVI YULIANTI - -
14.03.16 M003487 M ALFATIH IBRAHIM 29 18,000 - 11,000 4,000 NOVI YULIANTI - -
14.03.16 R000835 REFAL FIRMANSYAH 32 33,100 - 11,000 4,000 NOVI YULIANTI - -
14.03.16 P000819 PYAN SOPYAN 33 25,400 - 11,000 4,000 NOVI YULIANTI - -
14.03.16 E000574 EKSA ALYA PUTRI 35 29,000 - 11,000 4,000 NOVI YULIANTI - -
14.03.16 M004425 MUHAMMAD ALKHA ASHOURA 36 27,800 - 11,000 4,000 NOVI YULIANTI - -
14.03.16 R003376 RAHMANIA PUTRI C 38 24,200 - 11,000 4,000 NOVI YULIANTI - -
14.03.16 Y002224 YULIANTI 39 21,600 - 11,000 4,000 NOVI YULIANTI - -
14.03.16 A003617 ALMIRA REGINA PUTRI 40 31,600 - 11,000 4,000 NOVI YULIANTI - -
14.03.16 A004875 ANGGIA SITI AL JANIRA 41 22,100 - 11,000 4,000 NOVI YULIANTI - -
14.03.16 M003933 MUJAHID ALFARIZI 42 23,000 - 11,000 4,000 NOVI YULIANTI 55,000 -
14.03.16 T001904 TORIQ ABDURRAUF HAIDAR 43 40,400 - 11,000 4,000 NOVI YULIANTI - -
14.03.16 A007644 ANITA FAUZIAH ADISTI SEPTIYANTI 44 10,000 - 11,000 4,000 NOVI YULIANTI - -
14.03.16 A007943 AGUS SUKANDAR 46 21,300 - 11,000 4,000 NOVI YULIANTI - -
14.03.16 T000311 TINA AGUSTINA 48 23,800 - 11,000 4,000 NOVI YULIANTI - -
14.03.16 R000799 RIZKY ALFARIZI 49 25,700 - 11,000 4,000 NOVI YULIANTI - -
14.03.16 T001731 TIN SURTINI 50 15,000 - 11,000 4,000 NOVI YULIANTI - -
14.03.16 K001234 KANIA ALIYA ZAHIRA 51 43,100 - 11,000 4,000 NOVI YULIANTI - -
14.03.16 S005151 SABKY HAMZAH MAOLANA 52 54,200 - 11,000 4,000 NOVI YULIANTI - -
14.03.16 K000877 KARINA APRIANTI 59 28,100 - 11,000 4,000 NOVI YULIANTI - -
14.03.16 A000553 AGISTA PUTRI AGIRA 60 - - 11,000 4,000 NOVI YULIANTI - -
14.03.16 P000820 PRAMUDIA HAIKAL ISKANDAR PRATAMA 61 89,800 - 11,000 4,000 NOVI YULIANTI - -
14.03.16 R004499 RATIH MELASARI 68 19,600 - 11,000 4,000 NOVI YULIANTI - -
14.03.16 I002875 IDA FARIDA 69 19,600 - 11,000 4,000 NOVI YULIANTI - -
14.03.16 N003835 NOPI HERLINA 72 13,000 35,000 11,000 4,000 PERIKSA KEBIDANAN - -
14.03.16 Q000071 QOISAR MALIK IBRAHIM 74 21,400 - 11,000 4,000 NOVI YULIANTI - -
14.03.16 R004571 RENI SUSANTI 75 27,200 - 11,000 4,000 NOVI YULIANTI - -
14.03.16 A009283 AKUN 76 36,800 - 11,000 4,000 NOVI YULIANTI - -
14.03.16 W001102 WIRACHMAN SURYANTO 77 22,600 - 11,000 4,000 NOVI YULIANTI - -
14.03.16 K001327 KAFFA NADIF HAMDANI 79 87,200 45,000 11,000 4,000 NOVI YULIANTI - -
14.03.16 E002469 EKA KURNIAWAN 82 - - 11,000 4,000 NOVI YULIANTI - -
14.03.16 N001839 NENG NURJANAH 83 - - 11,000 4,000 NOVI YULIANTI - -
14.03.16 K001042 KIREINA MEINA HILMAN 85 - - 11,000 4,000 NOVI YULIANTI - -
14.03.16 A004843 ADILA ADI FEBI 86 78,900 45,000 11,000 4,000 NOVI YULIANTI - -
14.03.16 N003782 NAJLA NAFIZA ULFAH 93 44,200 - 11,000 4,000 NOVI YULIANTI - -
14.03.16 N001572 NUNUNG NURHAYATI 94 13,700 - 11,000 4,000 NOVI YULIANTI 25,000 -
14.03.16 R004826 RAHMA AGUSTINA NURYADI 100 21,000 - 11,000 4,000 NOVI YULIANTI - -
14.03.16 A008510 ANDI FIRMANSYAH 102 30,000 - 11,000 4,000 NOVI YULIANTI - -
14.03.16 Z000645 ZULFAN AHMAD KAMIL 103 21,000 - 11,000 4,000 NOVI YULIANTI - -
14.03.16 V000258 VIANISA LAUDZA BULDANI 104 29,000 - 11,000 4,000 NOVI YULIANTI - -
14.03.16 T000400 TUTI HERAWATI 106 26,000 - 11,000 4,000 NOVI YULIANTI 18,000 -
14.03.16 C000538 CECEP A SUMPENA 107 29,400 - 11,000 4,000 NOVI YULIANTI 18,000 -
14.03.16 S000862 SALSA FARIDA 110 28,000 - 11,000 4,000 H. THIA SILVANA - -
14.03.16 U000229 UTARI AINUN SUJANA 114 34,000 - 11,000 4,000 H. THIA SILVANA - -
14.03.16 A008179 AI NURFITRI HERAWATI 115 16,000 - 11,000 4,000 H. THIA SILVANA - -
14.03.16 W001116 WULAN WAHYUNI 118 32,000 - 11,000 4,000 H. THIA SILVANA - -
14.03.16 S005170 SRI RAHAYU 121 14,000 - 11,000 4,000 H. THIA SILVANA - -
14.03.16 V000208 VIVIE NOVIA GRAVIA 123 27,000 - 11,000 4,000 H. THIA SILVANA - -
14.03.16 M002366 MUHAMAD SAMI DHIA 124 29,000 - 11,000 4,000 H. THIA SILVANA - -
14.03.16 W000976 WINA N 125 32,000 - 11,000 4,000 H. THIA SILVANA - -
14.03.16 R001549 RIZKY AHDIANA 127 21,000 - 11,000 4,000 H. THIA SILVANA - -
14.03.16 L001126 LITA APRIANTI 128 25,000 - 11,000 4,000 H. THIA SILVANA - -
14.03.16 M004700 M FAHIM SYUKRILLAH 129 28,000 - 11,000 4,000 H. THIA SILVANA - -
14.03.16 E003302 ECHA MAULIDINA AL MUGHNI 130 16,000 - 11,000 4,000 H.THIA SILVANA - -
14.03.16 L001205 LIA AMELIA 133 22,000 - 11,000 4,000 H. THIA SILVANA - -
14.03.16 E003096 EUIS ATIK MULYATI 134 30,000 - 11,000 4,000 H. THIA SILVANA - -
14.03.16 A005403 ANDI GALATAMA 137 25,000 - 11,000 4,000 H. THIA SILVANA - -
14.03.16 S004649 SUJANA 140 25,000 - 11,000 4,000 H. THIA SILVANA - -
14.03.16 A009215 ASEP DEDI 143 45,000 - 11,000 4,000 H. THIA SILVANA - -
14.03.16 A008317 ALLYA ALFIRA DWIPUTRI 144 17,000 - 11,000 4,000 H. THIA SILVANA - -
14.03.16 M002248 MUTIARA RAMAYANTI 146 19,000 - 11,000 4,000 H. THIA SILVANA - -
14.03.16 G000593 GHAZIYA KHAIRA LUBNA 148 25,000 - 11,000 4,000 H. THIA SILVANA - -
14.03.16 N000657 NURMALIA RAHAYU,SPD 149 23,000 - 11,000 4,000 H. THIA SILVANA - -
14.03.16 M004686 MELYASA YUSRIYYA 151 31,000 - 11,000 4,000 H. THIA SILVANA - -
14.03.16 E001191 ERNA MARLINA 152 16,000 - 11,000 4,000 H. THIA SILVANA - -
14.03.16 A009382 AMANDA RAHAYU 156 20,000 - 11,000 4,000 H. THIA SILVANA - -
14.03.16 S003826 SADIAH 159 23,000 - 11,000 4,000 H. THIA SILVANA - -
14.03.16 R003884 RAMDANI 164 28,700 - 11,000 4,000 H. THIA SILVANA - -
14.03.16 A000111 AJI PRAYOGA 168 17,000 - 11,000 4,000 H.ASEP MARYAMAN - -
14.03.16 I001457 IIN KURNIATIN 173 29,000 - 11,000 4,000 H. ASEP MARYAMAN - -
14.03.16 N000933 NESYA YULISTIAN DINI 175 21,000 - 4,000 1,000 H. ASEP MARYAMAN 25,000 -
14.03.16 N002689 NINDYA FARANISA AZNI 176 45,100 - 4,000 1,000 H. ASEP MARYAMAN - -
15.03.16 S004260 SANTI SINTAWATI 2 11,000 - 15,000 - WULAN WIDYAWATI - -
15.03.16 E002774 E. SUMINAR 3 16,000 - 15,000 - WULAN WIDYAWATI - -
15.03.16 L001088 LINA MARLINA 6 14,000 - 15,000 - H. ASEP MARYAMAN - -
15.03.16 R002494 RISMAN NUGRAHA 8 18,000 - 15,000 - WULAN WIDYAWATI - -
15.03.16 E002382 ENDANG KUSTIAMAN 12 14,000 - 15,000 - WULAN WIDYAWATI - -
15.03.16 S003729 SAMSUDIN, H 14 22,000 - 15,000 - WULAN WIDYAWATI - -
15.03.16 L000709 LIA NURYANI 15 27,000 - 15,000 - WULAN WIDYAWATI - -
15.03.16 I003513 IRWAN SETIAWAN. SE 18 112,000 45,000 15,000 - WULAN WIDYAWATI 80,000 -
15.03.16 O000173 OMOD 19 21,000 - 15,000 - WULAN WIDYAWATI - -
15.03.16 Y001851 YANA SETIAWAN 20 32,000 - 15,000 - WULAN WIDYAWATI - -
15.03.16 H001932 HAYLA ASKANAH SISWANTO 21 23,000 - 15,000 - WULAN WIDYAWATI - -
15.03.16 N003782 NAJLA NAFIZA ULFAH 22 - - 15,000 - WULAN WIDYAWATI - -
15.03.16 A009209 ADITYA SATRIA PRATAMA 23 48,000 45,000 15,000 - WULAN WIDYAWATI - -
15.03.16 I001884 IRNAMASARI 24 18,000 - 15,000 - WULAN WIDYAWATI 83,000 -
15.03.16 N002971 NENENG ROHAYATI 26 - - 15,000 - WULAN WIDYAWATI - -
15.03.16 A004658 ANINDITA DWI SETIAWAN 27 64,000 45,000 15,000 - WULAN WIDYAWATI - -
15.03.16 M004572 MILA RAHMAWATI 28 23,000 - 15,000 - WULAN WIDYAWATI - -
15.03.16 R004611 RIDWAN FIRMANSYAH 32 16,000 - 15,000 - WULAN WIDYAWATI - -
15.03.16 A006709 AAS NURASIAH 34 18,000 - 15,000 - WULAN WIDYAWATI - -
15.03.16 T001203 TUTI SULASTRI 37 24,000 - 15,000 - WULAN WIDYAWATI - -
15.03.16 T001679 TSAYILA APRILIA PUTRI 38 37,000 - 15,000 - WULAN WIDYAWATI - -
15.03.16 A009482 ANDI YANI YULIANI 39 27,000 - 15,000 - WULAN WIDYAWATI - -
15.03.16 H001917 HERNI HASTUTI 40 - - 15,000 - WULAN WIDYAWATI - -
15.03.16 D000096 DANI ILHAM 42 35,000 - 15,000 - WULAN WIDYAWATI - -
15.03.16 W000768 WAHYU SUPRIATNA 44 27,000 - 15,000 - WULAN WIDYAWATI - -
15.03.16 E002890 ENCUM KULSUM 45 39,000 - 15,000 - WULAN WIDYAWATI - -
15.03.16 K000921 KEYLA APRILIA 47 18,000 - 15,000 - WULAN WIDYAWATI - -
15.03.16 J000797 JELITA ALYA KHOIRUNNISA 51 22,000 - 15,000 - WULAN WIDYAWATI - -
15.03.16 M002711 MARYATI 52 13,000 - 15,000 - WULAN WIDYAWATI - -
15.03.16 U000999 UJANG SUPRIATNA 53 23,000 - 15,000 - WULAN WIDYAWATI - -
15.03.16 A006788 AHMAD SULAEMAN SAPUTRA 55 27,000 40,000 15,000 - WULAN WIDYAWATI - -
15.03.16 D003739 DEWI YULIANTI 57 16,000 - 15,000 - WULAN WIDYAWATI - -
15.03.16 K000988 KEYSHA AUDICHA 60 17,000 - 15,000 - WULAN WIDYAWATI - -
15.03.16 S005505 SULASTRI 61 17,000 - 15,000 - WULAN WIDYAWATI - -
15.03.16 T000224 TOHA UMULUDIN, SE 64 30,000 - 15,000 - WULAN WIDYAWATI - -
15.03.16 S005506 SANTI SRI ANGGRAENI 65 15,000 - 15,000 - PERIKSA KEBIDANAN - -
15.03.16 D001666 DEDI WIHARJA 68 25,000 - 5,000 - WULAN WIDYAWATI - -
15.03.16 R001549 RIZKY AHDIANA 70 13,000 - 15,000 - WULAN WIDYAWATI - -
15.03.16 M001164 MIMA YULIA 71 16,000 - 5,000 - WULAN WIDYAWATI 25,000 -
15.03.16 R003370 RUHIYATI 72 19,000 - 15,000 - WULAN WIDYAWATI - -
15.03.16 Y001708 YAYAT RANA HERDIANA 73 24,000 - 15,000 - WULAN WIDYAWATI - -
15.03.16 R004259 RAHIMA NUR HAMIDAH 74 28,000 - 15,000 - WULAN WIDYAWATI - -
15.03.16 M001489 MAMAN SUPARMAN 77 114,500 - 15,000 - WULAN WIDYAWATI - -
15.03.16 M004488 MARSARINA PUNIKA WIDIYANTI 82 41,400 - 15,000 - NOVI YULIANTI 80,000 -
15.03.16 N003012 NURODIN 83 27,600 - 15,000 - NOVI YULIANTI - -
15.03.16 L001236 LILIS SRI JAYANTI 84 10,000 - 15,000 - NOVI YULIANTI - -
15.03.16 D003717 DINI DAMAYANTI 85 39,750 - 15,000 - NOVI YULIANTI - -
15.03.16 L001237 LUTHFI PRATAMA PUTERA SETIA 87 21,400 - 15,000 - NOVI YULIANTI - -
15.03.16 E000238 EDI RUSWANDI 90 40,000 - 15,000 - NOVI YULIANTI - -
15.03.16 N002171 NONAH MARYONAH 91 33,000 - 15,000 - NOVI YULIANTI - -
15.03.16 B000661 BATRISYA SYAKILA SUNTONO 93 26,300 - 15,000 - NOVI YULIANTI - -
15.03.16 S005354 SETYOWATI 96 22,000 - 15,000 - NOVI YULIANTI - -
15.03.16 R002275 RAZKA SURYA IVANDA 98 19,500 - 15,000 - NOVI YULIANTI - -
15.03.16 E003410 EJAH 102 33,000 - 15,000 - NOVI YULIANTI - -
15.03.16 M005036 MUHAMMAD NAZRIL ALFATIH 103 21,000 - 15,000 - NOVI YULIANTI - -
15.03.16 S000838 SRI RAHAYU PEBRIANI 104 9,500 - 15,000 - NOVI YULIANTI - -
15.03.16 R000588 RADITYA AHMAD PRATAMA 109 28,850 - 15,000 - NOVI YULIANTI - -
15.03.16 R002755 RIZWAN AHMAD A 110 18,400 - 15,000 - NOVI YULIANTI - -
15.03.16 M002993 M. AIRALD R.A 112 20,000 - 5,000 - NOVI YULIANTI - -
15.03.16 Y001944 YANTI SITI JULAEHA 116 51,700 - 15,000 - NOVI YULIANTI - -
15.03.16 R005101 RYAN TRYANDANI 117 16,000 - 15,000 - NOVI YULIANTI - -
15.03.16 A009178 ATI NURDIANTI 118 17,000 - 15,000 - NOVI YULIANTI - -
15.03.16 E002741 ERIK MUBARIK 119 22,700 - 15,000 - NOVI YULIANTI - -
15.03.16 S004878 SHYFA KHOLIFAH FUTRI 121 28,100 - 15,000 - NOVI YULIANTI - -
15.03.16 R004535 RISMAYANTI 122 35,000 - 15,000 - NOVI YULIANTI - -
15.03.16 A009486 ANEU DEVIANSYAH 131 18,000 - 15,000 - NOVI YULIANTI - -
15.03.16 M003409 MOCH RIDWAN K 138 28,100 - 15,000 - NOVI YULIANTI - -
15.03.16 A002682 ARTI JUARTI 139 22,000 - 15,000 - NOVI YULIANTI - -
15.03.16 I000356 ILHAM ISMAIL 142 21,700 - 15,000 - NOVI YULIANTI - -
15.03.16 Y000589 YUPI ROSYANA 145 - - 15,000 - ENCEP SUDARYANA - -
16.03.16 S005090 SALMAN ROI APRILIANA 4 26,000 - 15,000 - NOVI YULIANTI - -
16.03.16 T000162 TINI SUMARTINI 5 - - 15,000 - NOVI YULIANTI - -
16.03.16 S004220 SASA SARIPUDIN 6 31,000 - 15,000 - NOVI YULIANTI - -
16.03.16 J000333 JUARSIH 7 22,000 - 15,000 - NOVI YULIANTI - -
16.03.16 O000658 OLEH 8 25,000 - 15,000 - NOVI YULIANTI - -
16.03.16 E003641 ENDAH ASTRI NIA 10 24,000 - 15,000 - NOVI YULIANTI - -
16.03.16 T001571 TATI HARTATI 15 14,000 - 15,000 - NOVI YULIANTI - -
16.03.16 A006946 ADNEY ATHAYA APRIESSA 16 8,000 - 5,000 - NOVI YULIANTI - -
16.03.16 J000875 JUHANA 17 20,000 - 15,000 - NOVI YULIANTI - -
16.03.16 R003879 RIAN BAELAWI 18 30,000 - 15,000 - NOVI YULIANTI - -
16.03.16 I002948 IRA SUSILAWATI 19 31,000 - 15,000 - NOVI YULIANTI - -
16.03.16 R004162 RONNI RUSDIANA 20 27,000 - 15,000 - NOVI YULIANTI 18,000 -
16.03.16 E003621 ELNUHA AUFIA 21 - - 15,000 - NOVI YULIANTI 80,000 -
16.03.16 A000037 ATIN SUPRIATIN 22 33,000 - 15,000 - NOVI YULIANTI - -
16.03.16 A007338 ADE ANWAR JANUAR 23 20,000 - 15,000 - NOVI YULIANTI - -
16.03.16 W001167 WATIN LISTRIANI 26 - - 15,000 - NOVI YULIANTI - -
16.03.16 R005263 RISNAWATI 27 18,000 - 15,000 - NOVI YULIANTI - -
16.03.16 P000535 PRATIWI DWI KIRANI 28 33,000 75,000 15,000 - NOVI YULIANTI - -
16.03.16 R004483 RINA MARLINA 30 42,000 - 15,000 - NOVI YULIANTI - -
16.03.16 R004608 RIZKI APRILIANA 31 38,000 - 15,000 - NOVI YULIANTI - -
16.03.16 I003202 IWAN DARMAWAN 33 26,000 - 15,000 - NOVI YULIANTI - -
16.03.16 D003869 DEULIS S 36 20,000 - 15,000 - NOVI YULIANTI 25,000 -
16.03.16 S001101 SHOPA MARWAH 41 37,000 - 15,000 - NOVI YULIANTI - -
16.03.16 N003928 NELI RUBIABNTI DEWI 42 5,000 - 15,000 - NOVI YULIANTI - -
16.03.16 A007503 ACAH 43 19,000 - 15,000 - NOVI YULIANTI - -
16.03.16 N002275 NENGSIH 44 21,000 - 15,000 - NOVI YULIANTI - -
16.03.16 L000460 LENI ANDRIANI 45 24,000 - 15,000 - NOVI YULIANTI - -
16.03.16 S003301 SITI JULAEHA 46 36,000 - 15,000 - NOVI YULIANTI - -
16.03.16 D002275 DEDE SUHERMAN 49 24,000 - 15,000 - NOVI YULIANTI 25,000 -
16.03.16 Q000006 QORI KARLINA 50 12,000 - 15,000 - NOVI YULIANTI - -
16.03.16 E001235 ERI HEDIANA 51 23,000 - 15,000 - NOVI YULIANTI - -
16.03.16 E001234 ENI YULIASIH 52 31,000 - 15,000 - NOVI YULIANTI - -
16.03.16 A003358 ALYA NURAINI 53 35,000 - 15,000 - NOVI YULIANTI - -
16.03.16 E001335 EROS ROSITA 54 19,000 - 15,000 - NOVI YULIANTI - -
16.03.16 K000918 KOMARUDIN 55 35,000 - 15,000 - NOVI YULIANTI - -
16.03.16 Z000645 ZULFAN AHMAD KAMIL 56 28,000 45,000 15,000 - NOVI YULIANTI - -
16.03.16 U000304 UUS KUSNADI 59 23,000 - 15,000 - NOVI YULIANTI - -
16.03.16 K001331 KARTINI 60 22,400 - 15,000 - NOVI YULIANTI - -
16.03.16 M005042 MUHAMMAD ARGA FIRDAUSA 61 26,000 75,000 15,000 - WULAN WIDYAWATI - -
16.03.16 M004044 MOCH IQBAL IKLASHUL AMIL 62 27,800 - 15,000 - WULAN WIDYAWATI - -
16.03.16 E003273 EGI BAKTI PAMUGI 68 40,700 - 15,000 - WULAN WIDYAWATI 83,000 -
16.03.16 N000576 NENDEN SITI AZZAHRA 69 - - 15,000 - WULAN WIDYAWATI 80,000 -
16.03.16 Y001492 YULIARTI ANTIKA 70 22,700 - 5,000 - WULAN WIDYAWATI - -
16.03.16 S005510 SULI 72 16,500 - 15,000 - WULAN WIDYAWATI - -
16.03.16 S005511 SYAHDAN AINUR HAKIM 75 18,100 - 15,000 - WULAN WIDYAWATI - -
16.03.16 A003308 ALFINO NUR FEBRIANSYAH 76 26,200 - 15,000 - WULAN WIDYAWATI 80,000 -
16.03.16 Y000586 YENI NURAENI 81 22,200 - 15,000 - WULAN WIDYAWATI - -
16.03.16 S002060 SURYA HAMIZAN 86 28,000 - 15,000 - WULAN WIDYAWATI - -
16.03.16 A009221 ALMAIRA ZAHRATUNNIDA 87 21,100 - 15,000 - WULAN WIDYAWATI - -
16.03.16 T000772 TRIZTA PUTUEKAWATI 88 10,000 - 15,000 - PERIKSA KEBIDANAN - -
16.03.16 A003080 ACENG ROHMAN 91 23,600 - 15,000 - WULAN WIDYAWATI - -
16.03.16 L001227 LAELA NURLAELA 93 5,000 - 15,000 - PERIKSA KEBIDANAN - -
16.03.16 H002082 HIBBAN RIZKY FIRDAUS 94 24,400 - 15,000 - WULAN WIDYAWATI - -
16.03.16 D002912 DADAY JUBAEDAH 95 18,400 - 15,000 - WULAN WIDYAWATI - -
16.03.16 D001123 DENY IBRAHIM 96 28,000 - 15,000 - WULAN WIDYAWATI 18,000 -
16.03.16 S002506 SHALSA DESGHIA RIANTO 98 26,800 - 15,000 - WULAN WIDYAWATI - -
16.03.16 S004658 SANTI AJINAWATI 100 18,000 - 15,000 - WULAN WIDYAWATI - -
16.03.16 D003356 DEVISKA JANUAR ASTUTI 101 24,000 - 15,000 - WULAN WIDYAWATI - -
16.03.16 R000513 RAHMI FADLILLAH 102 58,900 - 15,000 - WULAN WIDYAWATI - -
16.03.16 V000136 VITA NOVIANTI 103 18,000 - 15,000 - WULAN WIDYAWATI - -
16.03.16 F002015 FAKHIRA SALWA NURFAUZYAH 104 21,000 - 15,000 - WULAN WIDYAWATI - -
16.03.16 M001428 M.AHZA FAIDLURRAHMAN 105 28,100 - 15,000 - WULAN WIDYAWATI - -
16.03.16 A001989 AI SUHARTINI 108 22,100 - 15,000 - WULAN WIDYAWATI - -
16.03.16 S005062 SALSABILA AZZAHRA 109 17,500 - 15,000 - WULAN WIDYAWATI - -
16.03.16 E001114 ENENG AAY SURTIKA 110 17,500 - 5,000 - WULAN WIDYAWATI - -
16.03.16 Y001790 YUDI PURNAMA 113 31,400 - 15,000 - WULAN WIDYAWATI - -
16.03.16 N003931 NAZWA AULIYA H.D 114 18,100 - 15,000 - WULAN WIDYAWATI - -
17.03.16 F002151 FITRI WULAN A 3 26,750 - 15,000 - NOVI YULIANTI - -
17.03.16 E000160 EDI JUBAEDI 7 36,200 - 15,000 - NOVI YULIANTI 66,000 -
17.03.16 M000897 M. RAMDANI HIDAYAT 9 17,400 - 15,000 - NOVI YULIANTI - -
17.03.16 U000963 UNAH 11 25,400 - 15,000 - NOVI YULIANTI - -
17.03.16 N003012 NURODIN 15 74,900 - 15,000 - NOVI YULIANTI 100,000 -
17.03.16 A004843 ADILA ADI FEBI 16 20,000 30,000 15,000 - NOVI YULIANTI - -
17.03.16 R004127 RINI 17 - - - - PERIKSA KEBIDANAN - -
17.03.16 A008108 AJO SUTARJO 19 29,800 - 15,000 - NOVI YULIANTI - -
17.03.16 A005623 ADE ROKAYAH 24 42,300 - 15,000 - NOVI YULIANTI 158,000 -
17.03.16 A009489 ANISA 25 26,800 - 15,000 - NOVI YULIANTI - -
17.03.16 O000006 OOM KOMARIAH 29 25,000 - 15,000 - NOVI YULIANTI - -
17.03.16 D003667 DESTRIANTI 31 23,400 - 15,000 - NOVI YULIANTI - -
17.03.16 S003531 SANTI NUGRAHA 33 16,400 - 15,000 - NOVI YULIANTI - -
17.03.16 E002692 EVA HERMIATI 35 - - 15,000 - NOVI YULIANTI - -
17.03.16 O000227 OMANAH 36 34,000 - 15,000 - NOVI YULIANTI 25,000 -
17.03.16 M004764 MUHAMMAD REYHAN ALFAN 42 24,000 - 15,000 - NOVI YULIANTI - -
17.03.16 E001145 ENENG KURNIATI 44 26,300 - 15,000 - NOVI YULIANTI - -
17.03.16 J000325 JANUARI ATHAILLAH 45 15,400 - 15,000 - NOVI YULIANTI - -
17.03.16 R005137 RAISYA AZZAHRA NUROHMAN 49 - - 15,000 - NOVI YULIANTI - -
17.03.16 S004768 SANTI SAELVIANY 50 28,400 - 15,000 - NOVI YULIANTI - -
17.03.16 N003489 NURI HANDAYANI 55 26,800 - 15,000 - NOVI YULIANTI - -
17.03.16 R004636 RIZQI SAPUTRA 56 21,000 - 15,000 - NOVI YULIANTI - -
17.03.16 N003469 NAUFAL SATRIA LUTHFI NURAHMAN 59 26,500 - 15,000 - NOVI YULIANTI - -
17.03.16 C000601 CICI OCTAVIANI 60 27,600 - 15,000 - NOVI YULIANTI - -
17.03.16 T000139 TITI SURYATI 62 14,800 - 15,000 - NOVI YULIANTI - -
17.03.16 R002504 RIZKI RAMDANI 64 25,400 - 15,000 - NOVI YULIANTI - -
17.03.16 M003318 MUHAMAD FAREL ARDIANSYAH 65 18,400 - 15,000 - NOVI YULIANTI - -
17.03.16 N001716 NINA WAHIDAH ROSTIAWATI 66 - - 15,000 - NOVI YULIANTI - -
17.03.16 S005513 SELI APRILIANI 67 - - 15,000 - NOVI YULIANTI 80,000 -
17.03.16 S004771 SANTI NOVIANTI 69 33,300 - 15,000 - NOVI YULIANTI - -
17.03.16 A008211 AZKA ZAYYINUSH SHOLIHIN 71 26,100 - 15,000 - NOVI YULIANTI - -
17.03.16 I002378 IRMA MULYANI 73 20,200 - 15,000 - NOVI YULIANTI - -
17.03.16 E003644 ERIN FEBRIANA 74 26,800 - 15,000 - NOVI YULIANTI - -
17.03.16 O000591 OTAS MARYANI 75 28,400 - 15,000 - NOVI YULIANTI - -
17.03.16 N003877 NOVIA MARIANA YUNAN 76 20,200 - 15,000 - NOVI YULIANTI - -
17.03.16 F002153 FAJILA SAHIRA AULIA 77 21,000 - 15,000 - NOVI YULIANTI - -
17.03.16 F002154 FAJRIN MAULANA 78 32,400 - 15,000 - NOVI YULIANTI - -
17.03.16 F001594 FAIZ HAUZAN 80 22,600 - 15,000 - H. ASEP MARYAMAN - -
17.03.16 E003209 ELLA RAHMI FATAH 81 26,000 - 15,000 - H. ASEP MARYAMAN - -
17.03.16 R004571 RENI SUSANTI 85 23,000 - 15,000 - H. ASEP MARYAMAN - -
17.03.16 Z000289 ZAHRA AZARIA AZHAR 86 - - 15,000 - H. ASEP MARYAMAN - -
17.03.16 C000453 CAHYONO 95 15,000 - 15,000 - H. ASEP MARYAMAN - -
17.03.16 L001240 LENA YULIANA 97 196,100 - - - H. ASEP MARYAMAN - -
17.03.16 R005270 REZA YAYANG APRILIANTI 98 28,000 - 15,000 - H. ASEP MARYAMAN - -
17.03.16 A008069 ALYA PUTRIA RAMADHANI 99 28,000 - 15,000 - H. ASEP MARYAMAN - -
17.03.16 H000597 HERNI SURYANI 100 15,800 - 15,000 - H. ASEP MARYAMAN 18,000 -
17.03.16 M004458 MUHAMMAD RIFKY SETIAWAN 101 21,000 - 15,000 - H. ASEP MARYAMAN - -
17.03.16 R004666 RAHMAT HIDAYAT 102 19,200 - 15,000 - H. ASEP MARYAMAN - -
17.03.16 S005096 SITI MARIAM,BA 103 20,600 - 15,000 - H. ASEP MARYAMAN - -
17.03.16 S005467 SITI NURHASANAH 105 23,000 - 15,000 - PERIKSA KEBIDANAN - -
17.03.16 N001165 NAVISA SAFITRI 107 24,100 - 15,000 - H. ASEP MARYAMAN 80,000 -
17.03.16 I003188 ILHAM WIRAYUDA 108 28,000 - 15,000 - H. ASEP MARYAMAN - -
17.03.16 R004591 RUSNANDI 110 17,600 - 15,000 - H. ASEP MARYAMAN - -
17.03.16 D003872 DINI RISMAWATI 111 11,200 - 15,000 - H. ASEP MARYAMAN - -
17.03.16 S004649 SUJANA 112 22,400 - 15,000 - H. ASEP MARYAMAN - -
17.03.16 A009492 ALMAIRA SHIDQIA PUTRI 115 30,000 - 15,000 - H. ASEP MARYAMAN - -
17.03.16 D003873 DEWI APRILYANI 116 22,000 - 15,000 - H. ASEP MARYAMAN 103,000 -
17.03.16 A000912 ALAN JALALUDIN 118 21,000 - 15,000 - H. ASEP MARYAMAN - -
17.03.16 I002859 IMAS MASLIAH 120 9,600 - 15,000 - H. ASEP MARYAMAN - -
17.03.16 F000092 FADLI FADLILLAH 121 30,900 - 15,000 - H. ASEP MARYAMAN - -
17.03.16 H002083 HUSNAINI AGUSTIN 123 14,500 - 15,000 - H. ASEP MARYAMAN - -
17.03.16 A009462 ADE DEDI SANJAYA 124 11,500 - 15,000 - H. ASEP MARYAMAN - -
17.03.16 N003843 NURYANTI APRIANI 126 15,200 - 15,000 - H. ASEP MARYAMAN - -
17.03.16 A006106 ABI BIMA ARYA TIRTAMADENDA 129 29,000 - 15,000 - H. ASEP MARYAMAN - -
17.03.16 D001826 DIAN FERAYANI 130 16,500 - 15,000 - H. ASEP MARYAMAN - -
18.03.16 S004760 SHAKTI IQDHIAR KUSTIAWADI 8 20,000 - 15,000 - WULAN WIDYAWATI 55,000 -
18.03.16 W000966 WILDAN MUHAMAD RIZKI 14 29,600 - 15,000 - WULAN WIDYAWATI - -
18.03.16 D003874 DEDE NERTI 15 20,200 - 15,000 - WULAN WIDYAWATI - -
18.03.16 R005225 RISKA HAYATI 16 15,000 - 15,000 - WULAN WIDYAWATI - -
18.03.16 Y000589 YUPI ROSYANA 19 - - 15,000 - WULAN WIDYAWATI - -
18.03.16 R004965 RANI NUR’AENI 20 9,200 - 15,000 - WULAN WIDYAWATI - -
18.03.16 N003933 NENENG NOVIYANTI 21 16,600 - 15,000 - WULAN WIDYAWATI - -
18.03.16 A005710 AGUS SUDARMAN 23 - - 15,000 - WULAN WIDYAWATI - -
18.03.16 K001232 KURNIA, S.HUT 24 26,200 - 15,000 - WULAN WIDYAWATI - -
18.03.16 I003605 INA MARLINA 25 23,000 - 15,000 - WULAN WIDYAWATI - -
18.03.16 A009314 AULIA RIZKY LAURANDRA 27 16,400 - 15,000 - WULAN WIDYAWATI - -
18.03.16 N003793 NIA DAMAYANTI 28 - - 15,000 - WULAN WIDYAWATI - -
18.03.16 I000123 IMAS SURTINI PERMASIH 29 28,600 - 15,000 - WULAN WIDYAWATI - -
18.03.16 N000265 NANANG SURYATNA 30 47,000 - 15,000 - WULAN WIDYAWATI - -
18.03.16 I003618 IMAS MUSMIATI 31 15,000 - 15,000 - WULAN WIDYAWATI - -
18.03.16 A009375 AJAT ACENG KURNIA 32 19,950 - 15,000 - WULAN WIDYAWATI - -
18.03.16 A009214 ABIZAR RIZQIA PRATAMA 33 9,950 - 15,000 - WULAN WIDYAWATI - -
18.03.16 P000535 PRATIWI DWI KIRANI 34 - - 15,000 - WULAN WIDYAWATI - -
18.03.16 H002002 HAMIDAH 36 16,600 - 15,000 - WULAN WIDYAWATI - -
18.03.16 E003630 ENIH YUNINGSIH 38 23,900 - 15,000 - WULAN WIDYAWATI - -
18.03.16 O000557 OPAH 42 17,000 - 15,000 - WULAN WIDYAWATI - -
18.03.16 A006946 ADNEY ATHAYA APRIESSA 43 47,400 - 5,000 - WULAN WIDYAWATI - -
18.03.16 A006251 ATHFAH SAKHA ANGGARA 44 16,200 - 15,000 - WULAN WIDYAWATI - -
18.03.16 S003467 SYAFIYA MAULA KHANSA 45 - - 15,000 - WULAN WIDYAWATI - -
18.03.16 I002058 ILHAM BURHANUDIN 50 45,300 - 15,000 - WULAN WIDYAWATI - -
18.03.16 J000693 JUJU 51 19,800 - 15,000 - WULAN WIDYAWATI 66,000 -
18.03.16 B000572 BONANSYA GATEN ASWARANI 52 19,200 - 15,000 - WULAN WIDYAWATI - -
18.03.16 E003647 ENDANG MASHUDI,DRS 59 16,000 - 15,000 - WULAN WIDYAWATI - -
18.03.16 S003628 SOPIAN HAMZAH 60 21,200 - 15,000 - WULAN WIDYAWATI - -
18.03.16 A008825 ADIVA HASNA AFFANDI 61 20,000 - 15,000 - WULAN WIDYAWATI - -
18.03.16 I003620 IIN MULYANI 62 19,200 - 15,000 - WULAN WIDYAWATI - -
18.03.16 M004568 MEVIRA HUSNI SOPANDI 63 22,000 - 15,000 - WULAN WIDYAWATI - -
18.03.16 H001109 HERI RUSLI 67 16,000 - 15,000 - WULAN WIDYAWATI - -
18.03.16 A008930 ASEP HIDAYAT 68 19,600 - - - WULAN WIDYAWATI - -
18.03.16 N002948 NHINDO KUSDIANA 71 22,900 - 15,000 - WULAN WIDYAWATI - -
18.03.16 E000238 EDI RUSWANDI 76 48,000 - 15,000 - ANDI HERMANSYAH 55,000 -
18.03.16 L001204 LENI NURAENI 85 11,000 - 15,000 - ANDI HERMANSYAH - -
18.03.16 A007332 ASILA PRATIWI HIDAYAT 93 16,100 - 15,000 - ANDI HERMANSYAH - -
18.03.16 R003833 RUMINA JD NANA SUJANA 94 32,900 - 15,000 - ANDI HERMANSYAH - -
18.03.16 U000247 UTANG SAJIDIN 107 27,500 - 15,000 - ANDI HERMANSYAH - -
18.03.16 A001204 ASEP RIVAN NUGRAHA 108 25,100 - 15,000 - ANDI HERMANSYAH - -
18.03.16 I000664 IPIT WIDIAWATI 109 29,500 - 15,000 - ANDI HERMANSYAH - -
18.03.16 W000063 WAWAN RACHMAWAN, H 110 25,000 - 15,000 - ANDI HERMANSYAH 18,000 -
18.03.16 W000940 WAFA AKMALUDDIN AL-QODIRI 113 20,000 - 15,000 - ANDI HERMANSYAH - -
18.03.16 S002710 SATRIA FEBRIAN SABHARA 114 25,800 - 15,000 - ANDI HERMANSYAH - -
18.03.16 M003867 MUHAMAD AKMILUDDIN ANNAQSYABANDI 115 14,600 - 15,000 - ANDI HERMANSYAH - -
18.03.16 H001472 HENI NURAENI 117 34,900 - 15,000 - ANDI HERMANSYAH - -
18.03.16 D003425 DETI RAHMAWATI 118 31,400 - 15,000 - ANDI HERMANSYAH - -
19.03.16 Z000452 ZAHRA SALSABILA RACHMAWAN 7 35,500 - 15,000 - WULAN WIDYAWATI - -
19.03.16 R000155 RIKO FAIZAL 8 30,000 - 15,000 - WULAN WIDYAWATI - -
19.03.16 R002682 RAMANDA FAUJAN 9 28,200 - 5,000 - WULAN WIDYAWATI - -
19.03.16 S000862 SALSA FARIDA 12 21,350 - 15,000 - WULAN WIDYAWATI 80,000 -
19.03.16 A008915 AURELLIA ZETARI P.S 14 26,500 - 15,000 - WULAN WIDYAWATI - -
19.03.16 V000251 VIKRI NURRAMADHAN 16 23,100 - 15,000 - WULAN WIDYAWATI - -
19.03.16 R005276 RIDWAN RISWANTO 17 23,200 - 15,000 - WULAN WIDYAWATI - -
19.03.16 A006306 ALGHIFARY ARAFAH REZA 18 21,800 - 15,000 - WULAN WIDYAWATI - -
19.03.16 P000825 PIPIN ERVINA 20 12,200 - 15,000 - WULAN WIDYAWATI - -
19.03.16 S004841 SITI JENAB 23 25,000 - 15,000 - WULAN WIDYAWATI - -
19.03.16 A009427 AGUS SALIH 24 45,000 45,000 15,000 - WULAN WIDYAWATI - -
19.03.16 E002793 ERNA ERNAWATI ROCHAMA 25 15,000 - 15,000 - WULAN WIDYAWATI - -
19.03.16 S002621 SOPINAH 27 - - 15,000 - WULAN WIDYAWATI - -
19.03.16 M002188 MUSLIHAT 28 25,400 - 15,000 - WULAN WIDYAWATI - -
19.03.16 S002260 SITI NURHAYATI 33 18,900 - 15,000 - WULAN WIDYAWATI - -
19.03.16 W000412 WAWANG NAWANGSIH 35 24,300 - 15,000 - WULAN WIDYAWATI 25,000 -
19.03.16 E003648 ERIEN NOVIANSYAH 37 20,500 - 15,000 - WULAN WIDYAWATI 101,000 -
19.03.16 T001445 TUTI HERAWATI 38 16,600 - 15,000 - WULAN WIDYAWATI - -
19.03.16 S001668 SYAVINA TRI W 42 29,500 - 15,000 - WULAN WIDYAWATI - -
19.03.16 Z000579 ZAIN NATHAN PUTRANTO 47 40,000 45,000 15,000 - WULAN WIDYAWATI - -
19.03.16 R005238 ROSI ROSITA 49 - - - - PERIKSA KEBIDANAN - -
19.03.16 M004878 MOCHAMAD ALE 51 21,400 - 15,000 - WULAN WIDYAWATI - -
19.03.16 A009221 ALMAIRA ZAHRATUNNIDA 52 85,100 - 15,000 - WULAN WIDYAWATI 95,000 -
19.03.16 J000262 JOHAN TAMSIR 53 - - 15,000 - WULAN WIDYAWATI - -
19.03.16 A004843 ADILA ADI FEBI 55 83,000 45,000 15,000 - WULAN WIDYAWATI - -
19.03.16 R005278 RIA SITI BADRIAH 57 - - 15,000 - WULAN WIDYAWATI - -
19.03.16 A007619 ASRI AMALIAH 61 11,700 - 15,000 - PERIKSA KEBIDANAN - -
19.03.16 A005863 APSARINI 63 69,400 - 15,000 - WULAN WIDYAWATI - -
19.03.16 S004983 SRI MULYANI 66 - - 15,000 - WULAN WIDYAWATI - -
19.03.16 R003370 RUHIYATI 67 43,000 - 15,000 - WULAN WIDYAWATI - -
19.03.16 M004885 MUHAMAD MUNIF RABBANI 69 28,100 - 15,000 - WULAN WIDYAWATI - -
19.03.16 A003308 ALFINO NUR FEBRIANSYAH 70 35,800 - 15,000 - WULAN WIDYAWATI - -
19.03.16 S002626 SUHAENI 72 24,000 - 15,000 - WULAN WIDYAWATI - -
19.03.16 M002280 M RIZAL SYARIPATULLOH R 73 17,000 - 15,000 - WULAN WIDYAWATI - -
19.03.16 R002193 RANI ANUR R 74 22,000 - 15,000 - WULAN WIDYAWATI - -
19.03.16 D001618 DESI BHUDIARTI 75 26,000 - 5,000 - WULAN WIDYAWATI - -
19.03.16 A003000 ARNI SULANI 76 - - - - PERIKSA KEBIDANAN - -
19.03.16 R001465 RAHMAWATI 77 - - - - PERIKSA KEBIDANAN - -
19.03.16 A008754 ADITYA DIVA PUTRA PRATAMA 80 26,000 - 15,000 - WULAN WIDYAWATI - -
19.03.16 H001965 HENHEN ROHINA 81 22,000 - 15,000 - TENI S. RIFA’I - -
19.03.16 S002386 SRI MULYANI 83 20,000 45,000 15,000 - TENI S. RIFA’I - -
19.03.16 A009502 ARIS SUHENDAR 85 24,000 - 15,000 - TENI S. RIFA’I - -
19.03.16 A008317 ALLYA ALFIRA DWIPUTRI 87 18,000 - 15,000 - TENI S. RIFA’I - -
19.03.16 O000708 ONENG ROHIMAH 88 22,000 - 15,000 - TENI S. RIFA’I - -
19.03.16 N003937 NOOR FITRIYANI 91 13,000 - 15,000 - TENI S. RIFA’I - -
19.03.16 H000360 HABIBI WAROSATU AL-ANBIYA 92 17,000 - 15,000 - TENI S. RIFA’I - -
19.03.16 S005437 SATRIA MALKA FIRDAUS 93 9,000 - 15,000 - TENI S. RIFA’I - -
19.03.16 M005042 MUHAMMAD ARGA FIRDAUSA 95 - 45,000 15,000 - TENI S. RIFA’I - -
19.03.16 A006827 ASEP SAEPUDIN MUSADDAD 97 21,000 - 15,000 - TENI S. RIFA’I - -
19.03.16 F001995 FITHRIA AZZAHRA 98 14,000 - 15,000 - TENI S. RIFA’I - -
19.03.16 T001857 TIEN PRIKASIH 100 - - 15,000 - TENI S. RIFA’I - -
19.03.16 M004458 MUHAMMAD RIFKY SETIAWAN 102 9,000 - 15,000 - TENI S. RIFA’I - -
19.03.16 E001028 EVAN RIFQY FATHURAHMAN 115 22,000 - 15,000 - TENI S. RIFA’I - -
19.03.16 E001234 ENI YULIASIH 116 24,000 - 15,000 - TENI S. RIFA’I - -
19.03.16 A007253 AGUS SOFYAN 118 70,000 - 15,000 - TENI S. RIFA’I - -
19.03.16 S004189 SYAFKA ABIZA SOFYAN 119 17,000 - 15,000 - TENI S. RIFA’I - -
19.03.16 A008769 AGISSTA WIDI NUTAMI 120 18,000 - 15,000 - TENI S. RIFA’I - -
19.03.16 Y002068 YATI MARYATI 121 26,000 - 15,000 - TENI S. RIFA’I - -
19.03.16 Z000329 ZAHIRA HANA HUMAIRA 128 14,000 - 15,000 - TENI S. RIFA’I - -
19.03.16 D000385 DIFA NAZHIF ALANI 129 18,000 - 15,000 - TENI S. RIFA’I - -
20.03.16 N000070 NANDA DAVINA HILYATULBAETI 39 20,000 - 5,000 - H. WINARDI KAHDAR - -
20.03.16 A001646 AJENG DANUR FAIDAH R 41 20,000 - 5,000 - H. WINARDI KAHDAR - -
20.03.16 A002389 AGUS SUTISNA 43 32,700 - 5,000 - H. WINARDI KAHDAR - -
21.03.16 A003289 AGUS TATANG SOLIHIN 2 34,000 - 5,000 - H. WINARDI KAHDAR - -
21.03.16 A009512 AZKA ADITYA 4 25,000 - 15,000 - NOVI YULIANTI 80,000 -
21.03.16 A001687 ARI SUGIARTI 6 21,000 - 15,000 - NOVI YULIANTI - -
21.03.16 D000971 DADANG NURJAMAN 8 26,000 - 15,000 - NOVI YULIANTI - -
21.03.16 F000669 FAZIL FAUZI HIDAYAT 10 19,000 70,000 15,000 - NOVI YULIANTI - -
21.03.16 Q000039 QUTHBIE ZAHIN NUGRAHA 11 21,000 - 15,000 - NOVI YULIANTI - -
21.03.16 L001242 LIA NURUL HIDAYAH 12 27,000 - 15,000 - NOVI YULIANTI - -
21.03.16 B000726 BILQIS MAHARANI 13 - - 15,000 - NOVI YULIANTI - -
21.03.16 S004221 SELMA 14 29,000 - 15,000 - NOVI YULIANTI - -
21.03.16 R005284 RAKA MAULANA AHYARULOH 15 37,000 - 15,000 - NOVI YULIANTI - -
21.03.16 A003224 ALDI PANCA MAULANA 16 48,000 - 15,000 - NOVI YULIANTI - -
21.03.16 A006608 ALYA FATMA ASIDAH 17 25,000 - 15,000 - NOVI YULIANTI - -
21.03.16 A008379 AURA NOVIA ARIANTI 18 24,000 - 15,000 - NOVI YULIANTI - -
21.03.16 A009514 AULIA RAHMAN MUZAKKI 19 35,000 - 15,000 - NOVI YULIANTI - -
21.03.16 E003651 EDI SUTISNA 20 36,000 - 15,000 - NOVI YULIANTI - -
21.03.16 P000708 PIRMAN NURHASBY MAULANA 21 19,000 - 15,000 - NOVI YULIANTI - -
21.03.16 F001926 FAYADH AL AZIZ IHSAN 22 40,000 - 15,000 - NOVI YULIANTI 80,000 -
21.03.16 N000991 NURHAYATI 23 39,000 - 15,000 - NOVI YULIANTI - -
21.03.16 A009515 AGISNI NOVITASARI 25 20,000 - 15,000 - NOVI YULIANTI - -
21.03.16 A009348 ACU SUMIATI 26 28,000 - 15,000 - NOVI YULIANTI - -
21.03.16 P000806 PAREL MUHAMAD 28 29,000 - 15,000 - NOVI YULIANTI - -
21.03.16 P000826 PUTRI AULIA RIZQI ANANDA 30 33,000 - 15,000 - NOVI YULIANTI - -
21.03.16 F002158 FATHIR DWI PUTRA AULIA 31 46,000 - 15,000 - NOVI YULIANTI - -
21.03.16 M004685 M ALFARRA RISFI JUNIOR 33 21,000 - 15,000 - NOVI YULIANTI - -
21.03.16 D000751 DWI INTANI PUTRIA 35 32,000 - 15,000 - NOVI YULIANTI - -
21.03.16 N002971 NENENG ROHAYATI 36 - - - - NOVI YULIANTI - -
21.03.16 M001103 M ABDUL QODIR JAHRO 38 28,000 - 15,000 - NOVI YULIANTI - -
21.03.16 D000385 DIFA NAZHIF ALANI 40 29,000 - 15,000 - NOVI YULIANTI - -
21.03.16 N003813 NENDEN SUSI MULYANI 42 33,000 - 15,000 - NOVI YULIANTI - -
21.03.16 N003814 NEISYA FEBY MELODY FAUZIAH 43 28,000 - 15,000 - NOVI YULIANTI - -
21.03.16 A008065 ANAYA ELVIANA AZALIA 45 20,000 - 15,000 - NOVI YULIANTI - -
21.03.16 S001829 SUHERMAN, H 46 34,000 - 15,000 - NOVI YULIANTI - -
21.03.16 M004831 M.ALFIN ALAMSYAH 47 20,000 - 15,000 - NOVI YULIANTI - -
21.03.16 E003268 ENDANG ISKANDAR 48 34,000 - 15,000 - NOVI YULIANTI - -
21.03.16 E003496 ELIS HERYANI 50 8,000 - 15,000 - NOVI YULIANTI - -
21.03.16 A006681 ASEP SAEPUDIN 51 38,000 - 15,000 - NOVI YULIANTI 23,000 -
21.03.16 H001921 HERI HERMALA 55 33,000 - 15,000 - NOVI YULIANTI - -
21.03.16 U000999 UJANG SUPRIATNA 57 - - 15,000 - NOVI YULIANTI - -
21.03.16 R003924 RINI SARININGSIH 59 22,000 - 15,000 - NOVI YULIANTI - -
21.03.16 M004377 MUHAMMAD RAFIE ASY’ARI 61 9,000 - 15,000 - NOVI YULIANTI - -
21.03.16 F000799 FACHIRA FAUZIAH MAHARANI 62 28,000 - 15,000 - NOVI YULIANTI - -
21.03.16 S002260 SITI NURHAYATI 64 35,000 - 15,000 - NOVI YULIANTI - -
21.03.16 A006334 AOS 65 22,000 - 15,000 - NOVI YULIANTI - -
21.03.16 E001191 ERNA MARLINA 66 32,000 - 15,000 - NOVI YULIANTI - -
21.03.16 F002094 FITRI SUSANTI 67 20,000 - 15,000 - NOVI YULIANTI - -
21.03.16 R005285 RODIAH 68 30,000 - 15,000 - NOVI YULIANTI - -
21.03.16 B000642 BINTANG MALIK AS SHIDIQ 69 36,000 - 15,000 - NOVI YULIANTI - -
21.03.16 A009516 ACOEM MASOEM 70 - - 15,000 - NOVI YULIANTI - -
21.03.16 T001203 TUTI SULASTRI 75 37,000 - 15,000 - NOVI YULIANTI - -
21.03.16 H001859 HILMI KAMIL HAIDAR 77 46,000 - 15,000 - NOVI YULIANTI - -
21.03.16 K000921 KEYLA APRILIA 78 15,000 - 15,000 - NOVI YULIANTI - -
21.03.16 R005287 RETI RESTIAWATI 80 31,000 - 15,000 - NOVI YULIANTI - -
21.03.16 S000496 SUHAEBAH 84 17,000 - 15,000 - NOVI YULIANTI 66,000 -
21.03.16 D003636 DAFFA PRAJA ISMAIL ALFARIZKI 86 35,000 - 5,000 - NOVI YULIANTI - -
21.03.16 M004877 MUHAMMMAD AKRAM 87 30,900 - 15,000 - NOVI YULIANTI - -
21.03.16 N003877 NOVIA MARIANA YUNAN 88 19,200 - 15,000 - NOVI YULIANTI - -
21.03.16 L000447 LILIES SALAMAH 89 40,000 - 15,000 - NOVI YULIANTI - -
21.03.16 S005521 SITI RODIAH 91 35,000 - 15,000 - NOVI YULIANTI 80,000 -
21.03.16 A008155 AI NURHAYATI 92 35,000 - 15,000 - NOVI YULIANTI - -
21.03.16 D003883 DASEP MUTAKIN 95 115,000 - 15,000 - NOVI YULIANTI 43,000 -
21.03.16 D002908 DINDA NIKEN KINANTI 98 31,600 - 15,000 - NOVI YULIANTI - -
21.03.16 A008921 ASKANA SAKHI 99 18,000 - 15,000 - NOVI YULIANTI - -
21.03.16 A002324 ALEN AMELIA 100 25,000 - 5,000 - NOVI YULIANTI - -
21.03.16 F001400 FAIDZ AKBAR F 101 - - 15,000 - NOVI YULIANTI - -
21.03.16 S005437 SATRIA MALKA FIRDAUS 102 76,000 45,000 15,000 - NOVI YULIANTI - -
21.03.16 Y002009 YETI SURYATI 104 16,200 - 15,000 - NOVI YULIANTI - -
21.03.16 S004193 SRI RAHAYU KUSMINATI 108 - - - - PERIKSA KEBIDANAN - -
21.03.16 N003439 NOVIYANTI 111 23,700 - 15,000 - H. THIA SILVANA - -
21.03.16 K000587 KEYSHA NOVELLIA PUTRI 117 111,000 - 15,000 - H. THIA SILVANA - -
21.03.16 E000238 EDI RUSWANDI 120 - - 15,000 - H. THIA SILVANA - -
21.03.16 A009206 ADE SUKMARA 123 17,300 - 15,000 - H. THIA SILVANA - -
21.03.16 A004393 ANI JUNIAWATI 124 - - 15,000 - H. THIA SILVANA - -
21.03.16 S001862 SABRINA FEBRIANTI 125 18,500 - 15,000 - H. THIA SILVANA - -
21.03.16 R004611 RIDWAN FIRMANSYAH 126 23,500 - 15,000 - H. THIA SILVANA - -
21.03.16 A006184 AQILA ZAHRA YULIA HERAWAN 127 16,500 - 15,000 - H. THIA SILVANA - -
21.03.16 Y001492 YULIARTI ANTIKA 129 - - - - PERIKSA KEBIDANAN - -
21.03.16 W000144 WINWIN ADWINA 131 21,500 - 15,000 - H. THIA SILVANA - -
21.03.16 A003062 ALZENA ZAHRA 133 28,500 - 15,000 - H. THIA SILVANA - -
21.03.16 D001199 DIAN SYEKH RADIANA 135 24,500 - 15,000 - H. THIA SILVANA - -
21.03.16 N003877 NOVIA MARIANA YUNAN 137 19,200 - 15,000 - H. THIA SILVANA - -
21.03.16 D003885 DEVIRZHA CHAIRIL AFKAR 140 23,300 - 15,000 - H. THIA SILVANA - -
21.03.16 S005522 SONYA SILVIA DEWI 142 18,200 - 15,000 - H. THIA SILVANA - -
21.03.16 R005213 ROSA DESNIAWATI 143 19,000 - 15,000 - H. THIA SILVANA - -
21.03.16 H000764 HIKMAT MULYANA 144 29,250 - 15,000 - H. THIA SILVANA - -
21.03.16 R001809 RIA NINGSIH 145 20,200 - 15,000 - H. THIA SILVANA - -
21.03.16 S003939 SINTA CAHYA DEWI 146 36,000 - 15,000 - H. THIA SILVANA - -
21.03.16 M005059 MUHAMMAD GHATHAFAAN ALNANTA 150 16,900 - 15,000 - H. THIA SILVANA - -
21.03.16 R005288 ROSSALINA KUSUMADEWI 151 48,500 - 15,000 - H. THIA SILVANA - -
21.03.16 Z000452 ZAHRA SALSABILA RACHMAWAN 152 17,500 - 15,000 - H. THIA SILVANA - -
21.03.16 W001050 WINEU OKTAVIANI 153 28,700 - 15,000 - H. THIA SILVANA - -
21.03.16 M004502 MISBAHUL MUNIR ARRIDZAL 154 15,700 - 15,000 - H. THIA SILVANA - -
21.03.16 I003514 IDA FARIDA 155 25,500 - 15,000 - H. THIA SILVANA - -
21.03.16 E001239 EKO SUSANTO 156 17,500 - 15,000 - H. THIA SILVANA - -
21.03.16 I002294 ISMI HENDRAMAWATY 159 30,500 - 15,000 - H. THIA SILVANA - -
21.03.16 F001047 FEBRIAN MUHAMMAD ISMAIL 161 19,200 - 15,000 - H. THIA SILVANA - -
21.03.16 H000865 HOPSOH 163 25,200 - 15,000 - H. THIA SILVANA - -
21.03.16 N002818 NISRINA IMARA PUTRI 165 14,300 - 15,000 - H. ASEP MARYAMAN - -
21.03.16 A001212 ANDHITA JUWITA SARI 167 29,000 - 15,000 - H. ASEP MARYAMAN - -
21.03.16 E001723 ELIS KURNIATI 170 - - - - PERIKSA KEBIDANAN - -
22.03.16 Z000548 ZAHWAN ZAHID ALGHIFARI SAAD 5 21,000 - 15,000 - WULAN WIDYAWATI - -
22.03.16 N003197 NANDYRA MALIKA IRAWAN 6 10,000 - 5,000 - WULAN WIDYAWATI - -
22.03.16 A007905 ANDRI HIDAYAT 7 14,000 - 15,000 - WULAN WIDYAWATI - -
22.03.16 E003315 EMA RISMAWATI 9 16,000 - 15,000 - WULAN WIDYAWATI - -
22.03.16 A008016 ANI ROHAETI 10 16,000 - 15,000 - WULAN WIDYAWATI - -
22.03.16 S004737 SUSI REGISTIANI 11 26,000 - 15,000 - WULAN WIDYAWATI - -
22.03.16 D003869 DEULIS S 14 20,000 - 15,000 - WULAN WIDYAWATI 75,000 -
22.03.16 S004537 SEVANA KEVIN 21 34,000 - 15,000 - WULAN WIDYAWATI - -
22.03.16 A008032 AZIKRA ANBIYA MAULANA 24 15,000 - 15,000 - WULAN WIDYAWATI - -
22.03.16 A002158 AZFA KHAIRI ZULFIKAR 27 29,000 - 15,000 - WULAN WIDYAWATI - -
22.03.16 A007299 ATO SUKIRMAN 31 13,000 - 15,000 - WULAN WIDYAWATI - -
22.03.16 E002719 EMUD SOBANA 32 23,000 - 15,000 - WULAN WIDYAWATI - -
22.03.16 R000799 RIZKY ALFARIZI 33 30,000 - 15,000 - WULAN WIDYAWATI - -
22.03.16 M002954 MOCHAMAD ARDYANSYAH 35 16,000 - 15,000 - WULAN WIDYAWATI - -
22.03.16 A003305 AYU RIZZAH 38 19,000 - 15,000 - WULAN WIDYAWATI - -
22.03.16 T000826 TONI SANTOSO 39 21,000 - 15,000 - WULAN WIDYAWATI - -
22.03.16 A003638 AHMAD IMAN KHOIRI 41 28,000 - 15,000 - WULAN WIDYAWATI - -
22.03.16 N003205 NELI RUBIANTI DEWI 43 - - 15,000 - WULAN WIDYAWATI - -
22.03.16 Y000457 YENI HERYANI 44 7,000 - 15,000 - WULAN WIDYAWATI - -
22.03.16 V000175 VINO RIZQI 45 25,000 - 15,000 - WULAN WIDYAWATI - -
22.03.16 H000478 HANIFAH 46 19,100 - 15,000 - WULAN WIDYAWATI - -
22.03.16 E000088 ELLEN NUR JAMILAH 48 17,000 - 15,000 - WULAN WIDYAWATI 60,000 -
22.03.16 D000951 DINI FARAH FARDIANI 49 22,000 - 5,000 - WULAN WIDYAWATI - -
22.03.16 H001525 HAJA RIDWAN 50 25,000 - 15,000 - WULAN WIDYAWATI - -
22.03.16 M003247 MASRURI 51 38,000 - 15,000 - WULAN WIDYAWATI - -
22.03.16 M002993 M. AIRALD R.A 52 18,500 - 15,000 - WULAN WIDYAWATI - -
22.03.16 E003653 ENENG SRI MULYATI 55 28,600 - 15,000 - NOVI YULIANTI - -
22.03.16 L001076 LARA NUR INTAN 59 20,200 - 15,000 - NOVI YULIANTI - -
22.03.16 M003476 MOCHAMMAD RAFA ADITYA 60 29,200 - 15,000 - NOVI YULIANTI - -
22.03.16 I003456 INEU SOPIYANTI 61 22,000 - 15,000 - NOVI YULIANTI - -
22.03.16 D001756 DEA KHALIFAH PUTRI 62 10,800 - 15,000 - NOVI YULIANTI - -
22.03.16 D002469 DEDEH HODIJAH 63 41,200 - 15,000 - NOVI YULIANTI - -
22.03.16 A006174 ATANG 64 18,100 - 15,000 - NOVI YULIANTI - -
22.03.16 R001838 RUSTANDI 65 29,500 - 5,000 - NOVI YULIANTI - -
22.03.16 Y000589 YUPI ROSYANA 68 - - 15,000 - NOVI YULIANTI - -
22.03.16 I002605 IIS HARYATI, S, PD, I 69 31,600 - 15,000 - NOVI YULIANTI - -
22.03.16 S004940 SRIYANTI 70 25,600 - 15,000 - NOVI YULIANTI - -
22.03.16 N003940 NUNUNG 72 24,500 - 15,000 - NOVI YULIANTI - -
22.03.16 G000073 GHAISAN AZZAM N 73 32,600 - 15,000 - NOVI YULIANTI - -
22.03.16 A001204 ASEP RIVAN NUGRAHA 74 27,800 - 15,000 - NOVI YULIANTI 80,000 -
22.03.16 N002324 NUNUNG 75 24,500 - 15,000 - NOVI YULIANTI - -
22.03.16 E002125 ETI ROHAETI 76 16,500 - 15,000 - NOVI YULIANTI 25,000 -
22.03.16 D002589 DHIVANIA NOVIAN RAMADHANI 77 99,800 - 15,000 - NOVI YULIANTI - -
22.03.16 A007826 AULIA SEPTIANI E 78 15,400 - 15,000 - NOVI YULIANTI - -
22.03.16 A000292 ANGGIA CHANDRA WIGUNA 80 37,800 - 15,000 - NOVI YULIANTI - -
22.03.16 Y002049 YENI HANDIYANI 83 32,400 - 15,000 - NOVI YULIANTI - -
22.03.16 N002471 NAZIL MUFTI MUBAROK 86 30,900 - 15,000 - NOVI YULIANTI - -
22.03.16 D003007 DZAKIR HAFADHI 87 20,000 - 15,000 - NOVI YULIANTI - -
22.03.16 L000320 LINTANG MAHARANI R 90 32,900 - 15,000 - NOVI YULIANTI - -
22.03.16 A003820 ASEP RUSMANA 91 26,900 - 15,000 - NOVI YULIANTI - -
22.03.16 T001838 TAMAM GRAHA 93 37,400 - 15,000 - NOVI YULIANTI - -
22.03.16 M004259 MUHAMMAD DZAKY AL GHIFARY 95 32,400 - 15,000 - NOVI YULIANTI - -
22.03.16 D002112 DARA ISTIQOMAH 97 27,600 - 15,000 - NOVI YULIANTI - -
23.03.16 A009043 ADE KOMARUDIN 2 16,000 - 15,000 - NOVI YULIANTI 18,000 -
23.03.16 R000835 REFAL FIRMANSYAH 3 17,000 - 15,000 - NOVI YULIANTI - -
23.03.16 I002350 IYAM SITI MARIAM 4 24,000 - 15,000 - NOVI YULIANTI - -
23.03.16 R005292 RIFKI SOLEHUDIN 8 - - 15,000 - NOVI YULIANTI 80,000 -
23.03.16 E002685 EKA RAHMAWATI 9 - - 15,000 - NOVI YULIANTI - -
23.03.16 K000024 KINARA AL MAIDAH 10 35,600 - 15,000 - NOVI YULIANTI - -
23.03.16 L001135 LUTHFIA PUTRI FAHIRA 11 - - 15,000 - NOVI YULIANTI - -
23.03.16 R001576 RIKI TAUFIK AKBAR 13 18,000 - 15,000 - NOVI YULIANTI - -
23.03.16 N002175 NUNUNG ROSDIANA 17 33,900 - 15,000 - NOVI YULIANTI - -
23.03.16 I003426 IRMA SUSANTI 19 - - - - PERIKSA KEBIDANAN - -
23.03.16 T000016 TIKA SURTIKANTI 20 27,400 - 15,000 - NOVI YULIANTI - -
23.03.16 C000487 CUCU 21 - - 15,000 - NOVI YULIANTI - -
23.03.16 E002890 ENCUM KULSUM 22 40,650 - 15,000 - NOVI YULIANTI - -
23.03.16 K001297 KIANDRA ANAIA NUR FATHIYYA 29 37,600 - 15,000 - NOVI YULIANTI - -
23.03.16 R005244 RINA RAHMAWATI DEWI 30 17,700 - 15,000 - NOVI YULIANTI - -
23.03.16 M005065 MUMU 32 - - 15,000 - NOVI YULIANTI - -
23.03.16 L001063 LUKMAN SYARIF 33 25,900 - 15,000 - NOVI YULIANTI - -
23.03.16 N003571 N ENUNG RUGOYAH 34 31,200 - 15,000 - NOVI YULIANTI - -
23.03.16 A003283 ASRI HENDRA MAWATY 36 44,900 - 15,000 - NOVI YULIANTI - -
23.03.16 M001808 MULYADIN 37 21,600 - 15,000 - NOVI YULIANTI - -
23.03.16 S004643 SITI NURAENI 38 12,700 - 15,000 - NOVI YULIANTI - -
23.03.16 D002970 DANI MARDIANI 44 21,700 - 15,000 - NOVI YULIANTI - -
23.03.16 R005294 RULLY FATWA ALAMSYAH 47 13,000 - 15,000 - NOVI YULIANTI - -
23.03.16 M005067 MOCH SABQI HAMZAH 48 - - 15,000 - NOVI YULIANTI - -
23.03.16 N003313 NINA YUNIAWATI 49 28,600 - 15,000 - NOVI YULIANTI - -
23.03.16 J000797 JELITA ALYA KHOIRUNNISA 50 22,000 - 15,000 - NOVI YULIANTI - -
23.03.16 M004907 MUHAMMAD FAUZI NUGRAHA 52 17,750 - 15,000 - NOVI YULIANTI - -
23.03.16 H001851 HENI NURHAENI 54 - - 15,000 - NOVI YULIANTI 80,000 -
23.03.16 A009521 ASRI SRI LESTARI 55 28,000 - 15,000 - NOVI YULIANTI - -
23.03.16 A000907 ALGIA PUTRI 57 38,300 - 15,000 - NOVI YULIANTI - -
23.03.16 D001026 DIDI SUNANDI 65 85,400 - 15,000 - NOVI YULIANTI - -
23.03.16 M004565 MOGATA UMAR MAULANA 70 - - 15,000 - NOVI YULIANTI 80,000 -
23.03.16 I003396 IIS LIAWATI 71 19,600 - 15,000 - NOVI YULIANTI - -
23.03.16 S003939 SINTA CAHYA DEWI 74 - - 15,000 - NOVI YULIANTI 80,000 -
23.03.16 L001227 LAELA NURLAELA 75 - - - - PERIKSA KEBIDANAN - -
23.03.16 G000418 GUGUN GUNADI 77 27,400 - 15,000 - NOVI YULIANTI - -
23.03.16 N003426 NANA MULYANA 79 18,000 - 15,000 - NOVI YULIANTI - -
23.03.16 A000018 AMELIA LESTARI 81 7,000 - 15,000 - NOVI YULIANTI - -
23.03.16 R000832 REGA ALDIRA GUNAWAN 84 15,400 - 15,000 - WULAN WIDYAWATI - -
23.03.16 R004719 REHAN ANDIRA GUNAWAN 85 34,200 - 15,000 - WULAN WIDYAWATI - -
23.03.16 A008921 ASKANA SAKHI 86 43,500 - 15,000 - WULAN WIDYAWATI 25,000 -
23.03.16 L000315 LINDA PERMANA PUTRI 87 22,000 - 5,000 - WULAN WIDYAWATI - -
23.03.16 K000281 KUSMIATI 89 18,200 - 15,000 - WULAN WIDYAWATI - -
23.03.16 M003487 M ALFATIH IBRAHIM 91 27,200 - 15,000 - WULAN WIDYAWATI - -
23.03.16 N000197 NANDANG SUHERMAN 92 30,200 - 15,000 - WULAN WIDYAWATI - -
23.03.16 M004707 MUHAMAD NURHADY ARIZKI 94 38,100 - 15,000 - WULAN WIDYAWATI - -
23.03.16 P000663 PIAN GUSTIANA 95 19,550 - 15,000 - WULAN WIDYAWATI - -
23.03.16 I001643 IYA BAHTIAR 99 29,700 - 15,000 - WULAN WIDYAWATI - -
23.03.16 Y001296 YAYAT HIDAYAT 101 29,500 - 15,000 - WULAN WIDYAWATI - -
23.03.16 A007146 ARYA APRIADI NAZMI 108 27,600 - 15,000 - WULAN WIDYAWATI - -
23.03.16 S002359 SINTA PURBASARI 110 31,200 - 15,000 - WULAN WIDYAWATI - -
23.03.16 A004125 ARLEXA ANNASTASYA T 111 30,400 - 15,000 - WULAN WIDYAWATI - -
23.03.16 A004249 ATHALA GIBRAN KAL 116 29,000 - 15,000 - WULAN WIDYAWATI - -
23.03.16 S005522 SONYA SILVIA DEWI 118 31,400 - 15,000 - WULAN WIDYAWATI - -
24.03.16 M004966 MUHAMMAD HAFIDZ AL-KHOERUL 5 35,800 - 15,000 - NOVI YULIANTI - -
24.03.16 Y001851 YANA SETIAWAN 6 - - 15,000 - NOVI YULIANTI - -
24.03.16 R004890 RATNA SITI ANDRIANI 7 19,000 - 15,000 - NOVI YULIANTI - -
24.03.16 A009525 ANASYA AINUN HIKMAH 9 36,800 - 15,000 - NOVI YULIANTI - -
24.03.16 K001007 KIRANA AZKADINA RAMADHANY 10 32,800 - 15,000 - NOVI YULIANTI - -
24.03.16 A007903 AULIA HAFIDZAH HERMAWAN 11 31,000 - 15,000 - NOVI YULIANTI - -
24.03.16 M004258 MIRA KARMILA 12 9,000 - 15,000 - NOVI YULIANTI - -
24.03.16 L000848 LISNI NURAFIFAH 17 31,000 - 15,000 - NOVI YULIANTI - -
24.03.16 E001663 ELZIE RACHMA FAUZIAH 20 62,100 - 15,000 - NOVI YULIANTI - -
24.03.16 K001105 KHAIRIN HANINDA AULIA 22 - - 15,000 - NOVI YULIANTI 10,000 -
24.03.16 D001354 DAIVA JULIANO KHAIRA 23 10,300 - 15,000 - NOVI YULIANTI - -
24.03.16 M004956 MUHAMAD RIZAL AGUSTIAN 25 51,000 45,000 15,000 - NOVI YULIANTI - -
24.03.16 H001938 HANA YULIANTI 26 21,000 - 15,000 - NOVI YULIANTI - -
24.03.16 L001029 LIA KARTIKA 29 19,600 - 15,000 - NOVI YULIANTI - -
24.03.16 D003732 DANISH NAQA SADAT 30 28,100 - 15,000 - NOVI YULIANTI - -
24.03.16 T001839 TARJA 31 13,700 - 15,000 - NOVI YULIANTI - -
24.03.16 M000916 MEILA SA. SUMITRA 39 30,000 - 15,000 - NOVI YULIANTI - -
24.03.16 Y002240 YUSUF RAMDANI 41 36,800 - 15,000 - NOVI YULIANTI - -
24.03.16 K000988 KEYSHA AUDICHA 44 29,000 - 15,000 - NOVI YULIANTI - -
24.03.16 L001244 LILIS MUSTIKAWATI 47 34,900 - 15,000 - NOVI YULIANTI - -
24.03.16 I003269 IMAM MUTAQIN 48 21,400 - 15,000 - NOVI YULIANTI - -
24.03.16 A003224 ALDI PANCA MAULANA 53 28,700 - 15,000 - NOVI YULIANTI - -
24.03.16 T000731 TONI RIYANTO 55 25,500 - 15,000 - NOVI YULIANTI - -
24.03.16 E002176 ETI ROHMAT 56 25,600 - 15,000 - NOVI YULIANTI - -
24.03.16 M003479 MILA MELIANA S 59 27,400 - 15,000 - NOVI YULIANTI - -
24.03.16 D003645 DESY SUSANTY 62 - - - - PERIKSA KEBIDANAN - -
24.03.16 M005069 MUHAMMAD FAKHRI DZULFIKAR 64 24,000 - 15,000 - H. ASEP MARYAMAN - -
24.03.16 I002859 IMAS MASLIAH 67 19,500 - 15,000 - H. ASEP MARYAMAN - -
24.03.16 Y001908 YUKE LILIAN NATALIA 70 25,000 - 15,000 - PERIKSA KEBIDANAN - -
24.03.16 L001095 LILIS LISNAWATI 72 26,000 - 5,000 - H. ASEP MARYAMAN - -
24.03.16 A007650 AMIN HIDAYAT 73 25,000 - 15,000 - H. ASEP MARYAMAN - -
24.03.16 F000206 FAHMI ISLAM 74 25,000 - 15,000 - H. ASEP MARYAMAN - -
24.03.16 M004910 MUHAMMAD AL RASYID 75 28,000 - 15,000 - H. ASEP MARYAMAN - -
24.03.16 M004458 MUHAMMAD RIFKY SETIAWAN 76 15,000 - 15,000 - H. ASEP MARYAMAN - -
24.03.16 R004666 RAHMAT HIDAYAT 77 22,000 - 15,000 - H. ASEP MARYAMAN - -
24.03.16 K000270 KANDA 78 27,500 - 15,000 - H. ASEP MARYAMAN - -
24.03.16 T000038 TATANG HIDAYAT 80 25,000 - 15,000 - H. ASEP MARYAMAN - -
24.03.16 H002083 HUSNAINI AGUSTIN 86 24,000 - 15,000 - H. ASEP MARYAMAN - -
24.03.16 S002635 SALSABIILA AZ ZAHRA 89 18,000 - 15,000 - H. ASEP MARYAMAN - -
25.03.16 A003000 ARNI SULANI 11 44,000 - 5,000 - WULAN WIDYAWATI - -
25.03.16 M003247 MASRURI 21 51,000 - 5,000 - WULAN WIDYAWATI 158,000 -
25.03.16 H000655 HARISA ATMAJA 41 20,000 - 5,000 - WULAN WIDYAWATI - -
25.03.16 D003240 DANI RAMADHAN 66 20,000 - 5,000 - ANDI HERMANSYAH - -
25.03.16 N000933 NESYA YULISTIAN DINI 67 20,000 - 5,000 - H. THIA SILVANA - -
25.03.16 M004103 MOCHAMAD RIJAL SUMIARSA 69 33,500 - 5,000 - H. THIA SILVANA - -
25.03.16 W000940 WAFA AKMALUDDIN AL-QODIRI 70 16,200 - 5,000 - H. THIA SILVANA - -
26.03.16 S004220 SASA SARIPUDIN 8 - - 15,000 - WULAN WIDYAWATI - -
26.03.16 S005023 SUDENG IBRACHIM 12 25,200 - 15,000 - WULAN WIDYAWATI - -
26.03.16 N003302 NENTI RISYANTI 13 9,000 - 15,000 - WULAN WIDYAWATI - -
26.03.16 R003501 RUROUNI ARKAAN LESMANA 14 22,900 - 15,000 - WULAN WIDYAWATI - -
26.03.16 N000980 NUNIK MAHMUDAH NOORILAH 15 10,600 - 15,000 - WULAN WIDYAWATI - -
26.03.16 O000006 OOM KOMARIAH 17 20,900 - 15,000 - WULAN WIDYAWATI - -
26.03.16 A008686 ATO SUKIRMAN 18 - - 15,000 - WULAN WIDYAWATI - -
26.03.16 E002850 ERGA SUGARA 19 13,550 - 15,000 - WULAN WIDYAWATI - -
26.03.16 A004584 ALFIANSYAH MIROJ FATAHILLAH 20 18,700 - 15,000 - WULAN WIDYAWATI - -
26.03.16 H001154 HEDI RUFYADI 21 9,350 - 15,000 - WULAN WIDYAWATI - -
26.03.16 K000024 KINARA AL MAIDAH 22 31,100 - 15,000 - WULAN WIDYAWATI 80,000 -
26.03.16 M004054 MUHAMAD SADAM MULYADI 23 27,400 - 15,000 - WULAN WIDYAWATI - -
26.03.16 P000826 PUTRI AULIA RIZQI ANANDA 24 24,400 - 15,000 - WULAN WIDYAWATI - -
26.03.16 L000866 LILIH KOMARIAH 25 29,700 - 15,000 - WULAN WIDYAWATI - -
26.03.16 D000452 DIMYATI 26 19,300 - 15,000 - WULAN WIDYAWATI 23,000 -
26.03.16 D002505 DADANG SETIAWAN 28 15,000 - 15,000 - WULAN WIDYAWATI - -
26.03.16 S005479 SITI JENAB 33 - - - - PERIKSA KEBIDANAN - -
26.03.16 L000874 LISNA NOVI DARYANI 34 24,600 - 15,000 - WULAN WIDYAWATI - -
26.03.16 L000887 LARAS MUTIARA PUTRI 35 28,200 - 15,000 - WULAN WIDYAWATI - -
26.03.16 E003268 ENDANG ISKANDAR 38 28,600 - 15,000 - WULAN WIDYAWATI - -
26.03.16 K001375 KURNIA 39 19,400 - 15,000 - WULAN WIDYAWATI - -
26.03.16 Z000514 ZHIHAN TALITA PUTRI S 40 29,500 - 15,000 - WULAN WIDYAWATI - -
26.03.16 M003922 MELLY STIAWATI 41 14,000 - 15,000 - WULAN WIDYAWATI - -
26.03.16 A009539 ASRIHENRAMAWATY 46 83,000 45,000 15,000 - WULAN WIDYAWATI - -
26.03.16 R003924 RINI SARININGSIH 47 19,600 - 15,000 - WULAN WIDYAWATI - -
26.03.16 F001706 FAIREL TWINDRA ATHARIZ 48 25,300 - 15,000 - WULAN WIDYAWATI - -
26.03.16 R000799 RIZKY ALFARIZI 51 29,200 - 15,000 - WULAN WIDYAWATI - -
26.03.16 C000667 CHEISYA CLARA PUTRI 52 24,200 - 15,000 - WULAN WIDYAWATI - -
26.03.16 N003944 NADHIFA ELZALORA 53 23,000 35,000 15,000 - WULAN WIDYAWATI - -
26.03.16 B000790 BUNYAMIN 57 18,950 - 15,000 - WULAN WIDYAWATI - -
26.03.16 A009541 ALFIAN 58 8,300 - 15,000 - WULAN WIDYAWATI - -
26.03.16 M004330 MIMIN NURJANAH 59 14,700 - 15,000 - WULAN WIDYAWATI - -
26.03.16 W001117 WIRANTIWI AGUSTINA 60 - - 15,000 - WULAN WIDYAWATI - -
26.03.16 A004249 ATHALA GIBRAN KAL 61 28,800 - 15,000 - WULAN WIDYAWATI 80,000 -
26.03.16 S004220 SASA SARIPUDIN 62 12,500 - 15,000 - WULAN WIDYAWATI - -
26.03.16 D002928 DINAR SARININGRUM 66 17,600 - 15,000 - WULAN WIDYAWATI - -
26.03.16 C000371 CUCU NURHAYATI 67 12,100 - 15,000 - WULAN WIDYAWATI - -
26.03.16 R004537 RAZKA MUHAMMAD HISHAM 68 22,600 - 15,000 - WULAN WIDYAWATI - -
26.03.16 A003927 ALLIKA OKTAVIA PAHLEVI 70 18,400 - 15,000 - WULAN WIDYAWATI - -
26.03.16 A009544 AGUS YUSUP 71 15,900 - 15,000 - WULAN WIDYAWATI - -
26.03.16 S004221 SELMA 72 30,100 - 15,000 - WULAN WIDYAWATI - -
26.03.16 H002053 HAIKAL PUTRA GUNAWAN 73 15,200 - 15,000 - WULAN WIDYAWATI - -
26.03.16 J000234 JAJANG RUSMANA 76 13,600 - 15,000 - WULAN WIDYAWATI - -
26.03.16 N003386 NAZWA SRI AMELIA 77 36,500 - 15,000 - WULAN WIDYAWATI - -
26.03.16 I002859 IMAS MASLIAH 79 14,700 - 15,000 - WULAN WIDYAWATI 23,000 -
26.03.16 F000092 FADLI FADLILLAH 80 35,500 - 15,000 - WULAN WIDYAWATI - -
26.03.16 R000550 RIA NINGSIH 81 86,600 - 15,000 - WULAN WIDYAWATI - -
26.03.16 Y002083 YATI SUMIYATI 88 20,200 - 15,000 - WULAN WIDYAWATI - -
26.03.16 S003826 SADIAH 90 21,500 - 15,000 - WULAN WIDYAWATI - -
26.03.16 S003803 SYAHRUL HAMDANI 91 22,400 - 15,000 - WULAN WIDYAWATI - -
26.03.16 D002858 DODI ARISTANDI 93 24,000 - 15,000 - WULAN WIDYAWATI - -
26.03.16 A008877 AGUS SUWARA 94 22,000 - 15,000 - ENCEP SUDARYANA - -
26.03.16 Y002242 YOLA NURLIKA 95 23,000 - 15,000 - ENCEP SUDARYANA - -
26.03.16 A008168 ANGGRA SURYA RIZQIA 96 28,000 - 15,000 - ENCEP SUDARYANA - -
26.03.16 F002167 FITRI 99 18,000 - 15,000 - ENCEP SUDARYANA - -
26.03.16 I002408 IMEL AMELIA 100 28,000 - 15,000 - ENCEP SUDARYANA - -
26.03.16 A003549 ATIKAH 102 27,000 - 15,000 - ENCEP SUDARYANA - -
26.03.16 D003545 DAWAM SHAFANA RHADIQ 103 17,000 - 15,000 - ENCEP SUDARYANA - -
26.03.16 R002585 RIVALDY NAUFAL 108 22,000 - 15,000 - ENCEP SUDARYANA - -
26.03.16 T000926 TRIYANI HERIYANTI 109 22,000 - 15,000 - ENCEP SUDARYANA - -
26.03.16 R001846 RAHMI NURKAMILAH 110 21,000 - 15,000 - ENCEP SUDARYANA - -
26.03.16 R001325 RAHMA NURHAMIDAH 111 22,000 - 15,000 - ENCEP SUDARYANA - -
26.03.16 A009548 AMANDA NAZWA RAMADHANI 114 22,000 - 15,000 - ENCEP SUDARYANA - -
26.03.16 S003301 SITI JULAEHA 117 19,000 - 15,000 - ENCEP SUDARYANA - -
26.03.16 N003327 NURAENI 120 28,000 - 15,000 - ENCEP SUDARYANA - -
26.03.16 I003627 IWAN GUNAWAN 125 30,000 - 15,000 - ENCEP SUDARYANA - -
26.03.16 A009495 AHMAD NAWAWI 127 17,000 - 15,000 - ENCEP SUDARYANA - -
26.03.16 A002436 AI ANITA 128 - - 15,000 - ENCEP SUDARYANA - -
26.03.16 F000562 FAUZAN ABQARI SYAUQI 129 16,000 - 15,000 - ENCEP SUDARYANA - -
26.03.16 N003653 NITA TAZKIAH 130 - - 15,000 - ENCEP SUDARYANA - -
26.03.16 N003947 NAZWA KHAERANI ZAKARIA 131 18,000 - 15,000 - ENCEP SUDARYANA - -
26.03.16 D001472 DENDI AHMAD DANI 132 26,000 - 15,000 - ENCEP SUDARYANA - -
26.03.16 A009549 AISYAH SARTIKA 133 12,000 - 15,000 - ENCEP SUDARYANA - -
26.03.16 P000789 PAUZI JANUAR 134 17,000 - 15,000 - ENCEP SUDARYANA - -
26.03.16 L001248 LELA NURLELA 137 27,000 - 15,000 - ENCEP SUDARYANA - -
26.03.16 N002245 NAZIL MUHAMMAD ARIF 139 28,000 - 15,000 - ENCEP SUDARYANA - -
26.03.16 R004806 RESTU AYU LESTARI 140 16,000 - 15,000 - ENCEP SUDARYANA - -
26.03.16 R002206 RIZKY MAULANA ROMDANI 146 20,000 - 15,000 - ENCEP SUDARYANA - -
26.03.16 R002205 RADEN TIA ARISTUTIA 147 21,000 - 15,000 - ENCEP SUDARYANA - -
26.03.16 P000369 PUTRI SARI INTAN 148 20,000 - 15,000 - ENCEP SUDARYANA - -
26.03.16 A006013 AGUS SUWARMAN 150 34,000 - 5,000 - ENCEP SUDARYANA - -
27.03.16 R002843 RESTU NOER OKTAVIANI 28 39,000 - 5,000 - NOVI YULIANTI - -
27.03.16 M002993 M. AIRALD R.A 38 21,000 - 15,000 - H. ASEP SANI SULAEMAN - -
27.03.16 A006532 ASEP TAHYANUDIN 39 21,400 - 15,000 - H. ASEP SANI SULAEMAN 77,500 -
28.03.16 T001608 TITIN SUARTINI 13 15,000 - 15,000 - WULAN WIDYAWATI - -
28.03.16 I002207 IYANG SAEPUDIN 15 25,000 - 15,000 - WULAN WIDYAWATI - -
28.03.16 Y001471 YETI SUMIATI 16 17,000 - 15,000 - WULAN WIDYAWATI - -
28.03.16 D003890 DENY SURUR BULDANI 21 24,000 - 15,000 - WULAN WIDYAWATI - -
28.03.16 M005081 MUHAMMAD FARHAN MUBAROK 22 17,000 - 15,000 - WULAN WIDYAWATI - -
28.03.16 L000066 LINA KURNIAWATI 24 20,000 - 15,000 - WULAN WIDYAWATI - -
28.03.16 D000998 DADAN SOBANDI 25 16,000 - 15,000 - WULAN WIDYAWATI - -
28.03.16 S005273 SOPIAN 26 14,000 - 15,000 - WULAN WIDYAWATI - -
28.03.16 A009556 ANNISA SRI MULYANI 27 26,000 - 15,000 - WULAN WIDYAWATI - -
28.03.16 A007533 AJANG SUMPENA 28 16,000 - 15,000 - WULAN WIDYAWATI - -
28.03.16 R002585 RIVALDY NAUFAL 29 104,000 - 15,000 - WULAN WIDYAWATI 80,000 -
28.03.16 B000619 BUDI MARTIN BUDIMAN 30 28,000 - 15,000 - WULAN WIDYAWATI - -
28.03.16 I001771 IJANG NASUTION 31 29,000 - 15,000 - WULAN WIDYAWATI - -
28.03.16 G000656 GUN GUN NURHUDA 32 15,000 - 15,000 - WULAN WIDYAWATI - -
28.03.16 K000013 KUSTILAH 34 61,000 - 15,000 - WULAN WIDYAWATI - -
28.03.16 D002714 DEDEN DARWAN 35 17,000 - 15,000 - WULAN WIDYAWATI - -
28.03.16 D001828 DADANG PERMANA 38 26,000 - 15,000 - WULAN WIDYAWATI - -
28.03.16 A008030 ASEP SUPARDI 39 32,000 - 15,000 - WULAN WIDYAWATI - -
28.03.16 K001190 KANA RAHMAN 41 24,000 - 15,000 - WULAN WIDYAWATI - -
28.03.16 M002943 MAKMUN, H 43 28,000 - 15,000 - WULAN WIDYAWATI - -
28.03.16 N000469 NINA ROSTIANA 44 39,000 - 15,000 - WULAN WIDYAWATI - -
28.03.16 C000597 CUCUM SUMARYATI 51 25,000 - 15,000 - WULAN WIDYAWATI - -
28.03.16 R001606 ROFFY IDHAM RAMADHAN 54 22,000 - 15,000 - WULAN WIDYAWATI - -
28.03.16 K000024 KINARA AL MAIDAH 56 41,000 - 15,000 - WULAN WIDYAWATI - -
28.03.16 E003321 ERPIN MUHIDIN 57 15,000 - 15,000 - WULAN WIDYAWATI - -
28.03.16 I001931 IMAS HERAWATI HJ 58 - - 15,000 - WULAN WIDYAWATI - -
28.03.16 I003184 IQLIMA AULIYA PURNAMA 60 19,000 - 15,000 - WULAN WIDYAWATI - -
28.03.16 K001376 KUSMIRA 61 24,000 - 15,000 - WULAN WIDYAWATI - -
28.03.16 M004318 MUHAMAD IKBAL TAWAKAL 62 16,000 - 15,000 - WULAN WIDYAWATI - -
28.03.16 I003641 IMAS SUHANA 65 30,000 - 15,000 - WULAN WIDYAWATI - -
28.03.16 H000658 HALIL HANDA 66 34,000 - 15,000 - WULAN WIDYAWATI - -
28.03.16 S003896 SYAHID ALI RIDHO 69 28,000 - 15,000 - WULAN WIDYAWATI - -
28.03.16 F001766 FIRDHAN ERDIANSYAH PUTRA 71 19,000 - 15,000 - WULAN WIDYAWATI - -
28.03.16 N003585 NONENG SOLIHAT 73 29,000 - 15,000 - WULAN WIDYAWATI - -
28.03.16 W000351 WITA PUSPITASARI 75 27,000 - 15,000 - WULAN WIDYAWATI - -
28.03.16 D003190 DUDI NURDIYANSYAH, ST 76 25,000 - 15,000 - WULAN WIDYAWATI - -
28.03.16 Y002123 YANTI ROSMAYANTI 79 - - 15,000 - WULAN WIDYAWATI - -
28.03.16 A009559 ADE SUDARWAN 80 - - 15,000 - WULAN WIDYAWATI - -
28.03.16 U000976 UNDANG PERMANA 83 - 40,000 15,000 - WULAN WIDYAWATI - -
28.03.16 C000701 CUCU 84 28,000 - 15,000 - WULAN WIDYAWATI - -
28.03.16 O000589 OHAR.H 85 16,000 - 15,000 - WULAN WIDYAWATI - -
28.03.16 T001743 TITING SUMINARSIH 87 9,000 - 15,000 - WULAN WIDYAWATI 25,000 -
28.03.16 F000309 FERI PURNAMA 89 36,000 - 15,000 - WULAN WIDYAWATI - -
28.03.16 A009560 AQILA NURSHOFA AZZAHRA 90 24,000 - 15,000 - WULAN WIDYAWATI - -
28.03.16 K000587 KEYSHA NOVELLIA PUTRI 94 - - 15,000 - WULAN WIDYAWATI - -
28.03.16 S002959 SINDI SEPTIANI 100 20,000 - 15,000 - WULAN WIDYAWATI - -
28.03.16 M001189 MARIA FITRI 101 10,100 - 15,000 - WULAN WIDYAWATI - -
28.03.16 S005096 SITI MARIAM,BA 103 20,000 - 15,000 - WULAN WIDYAWATI 23,000 -
28.03.16 F002170 FALQI A FIRDAUS 104 31,000 - 15,000 - WULAN WIDYAWATI - -
28.03.16 N003535 NAHARA NURUL MAULIDDINA 106 9,000 - 15,000 - WULAN WIDYAWATI - -
28.03.16 S004073 SITI NUROCHMAH 107 22,400 - 15,000 - WULAN WIDYAWATI - -
28.03.16 A009561 ATENG SUTISNA 108 24,400 - 15,000 - WULAN WIDYAWATI - -
28.03.16 F001799 FATHURACHMAN ZIMAN FADHIL SUTISNA 109 19,400 - 15,000 - WULAN WIDYAWATI - -
28.03.16 U000786 USUP YUSUP 110 - - 15,000 - WULAN WIDYAWATI - -
28.03.16 M004730 MUHAMAD IQBAL MAULANA 112 23,000 - 15,000 - H. THIA SILVANA - -
28.03.16 R005307 RATNA NURBAINAH 113 18,000 - 15,000 - H. THIA SILVANA - -
28.03.16 A009562 ALIFAH LAYINATUL SYIFA 117 41,000 - 15,000 - H. THIA SILVANA - -
28.03.16 N002726 NURWAHIDAH 118 32,000 75,000 15,000 - H. THIA SILVANA - -
28.03.16 A009348 ACU SUMIATI 120 24,500 - 15,000 - H. THIA SILVANA - -
28.03.16 D000452 DIMYATI 125 19,300 - 15,000 - H. THIA SILVANA - -
28.03.16 I000818 IMAS NURHAEDAROH 126 - - 15,000 - H. THIA SILVANA - -
28.03.16 C000359 CHOERUNNAS CAKRAPRAJA 128 25,800 - 15,000 - H. THIA SILVANA - -
28.03.16 N002738 NURMARINI 129 30,500 - 15,000 - H. THIA SILVANA - -
28.03.16 L000524 LISTIAWATI 133 17,300 - 15,000 - H. THIA SILVANA - -
28.03.16 K000966 KANDA 135 27,000 - 15,000 - H. THIA SILVANA - -
28.03.16 W000063 WAWAN RACHMAWAN, H 138 - - 15,000 - H. THIA SILVANA 18,000 -
28.03.16 S005531 SABAR GARNIDA 141 23,000 - 15,000 - H. THIA SILVANA - -
28.03.16 L000814 LUCKY FADILLA RAMADHANI 145 61,000 - 15,000 - H. THIA SILVANA - -
28.03.16 R005247 REZQY IMAN PUTRA 149 49,800 - 15,000 - H. THIA SILVANA - -
28.03.16 I003642 IMAN FATURAHMAN 150 24,500 - 15,000 - H. THIA SILVANA - -
28.03.16 G000599 GHIRY LEO LESMANA 152 24,500 - 15,000 - H. THIA SILVANA - -
28.03.16 N003444 NINING SRI YUNINGSIH 155 42,000 - 15,000 - H. THIA SILVANA - -
28.03.16 S005472 SRI SETIANI 159 16,500 - 15,000 - H. THIA SILVANA - -
28.03.16 A009564 AHMAD SOLEH 163 10,300 - 15,000 - H. THIA SILVANA - -
28.03.16 R005310 REVIANA SALSABILA PUTRI 166 21,100 - 15,000 - H. THIA SILVANA - -
28.03.16 K001042 KIREINA MEINA HILMAN 169 20,000 - 15,000 - H. THIA SILVANA - -
28.03.16 I003382 IBNU KAHFI HILMAN 170 14,000 - 15,000 - H. THIA SILVANA - -
29.03.16 M003123 M. RENALDI FIRMANSYAH 3 22,000 - 5,000 - H. ASEP MARYAMAN - -
29.03.16 N003775 NOVIANA 7 23,000 - 15,000 - WULAN WIDYAWATI - -
29.03.16 A009516 ACOEM MASOEM 8 - - 15,000 - WULAN WIDYAWATI - -
29.03.16 Y001332 YAYAT ROHAYATI 10 - - 15,000 - WULAN WIDYAWATI - -
29.03.16 M002946 M FAIZ HEKMATIAR 11 10,400 - 15,000 - WULAN WIDYAWATI - -
29.03.16 A001065 AGUNG SUDIRMAN 13 27,200 - 15,000 - WULAN WIDYAWATI - -
29.03.16 S000711 SALMA FALSA SAKIRA 14 16,800 - 15,000 - WULAN WIDYAWATI - -
29.03.16 A006484 ABDILLAH DAFFAH ANDHIKA 15 17,400 - 15,000 - WULAN WIDYAWATI - -
29.03.16 D002785 DEDE 16 19,600 - 15,000 - WULAN WIDYAWATI - -
29.03.16 D003139 DEVI IRAWATI 17 15,000 - 15,000 - WULAN WIDYAWATI - -
29.03.16 A009567 AI ENDEN 25 27,400 - 15,000 - WULAN WIDYAWATI - -
29.03.16 F002171 FAHRIZA AKHDAN 26 13,000 - 15,000 - WULAN WIDYAWATI - -
29.03.16 M004054 MUHAMAD SADAM MULYADI 27 25,700 - 15,000 - WULAN WIDYAWATI 80,000 -
29.03.16 S001101 SHOPA MARWAH 28 30,000 - 15,000 - WULAN WIDYAWATI - -
29.03.16 E003167 ENTUT KARTUTI 30 36,200 - 15,000 - WULAN WIDYAWATI 66,000 -
29.03.16 D003892 DEDI SUDRAJAT 32 30,000 - 15,000 - WULAN WIDYAWATI - -
29.03.16 Y002244 YENI KAMILASARI 33 21,200 - 15,000 - WULAN WIDYAWATI - -
29.03.16 N001716 NINA WAHIDAH ROSTIAWATI 34 - - 15,000 - WULAN WIDYAWATI - -
29.03.16 S004702 SYAFIQ ASSYAUQIEQ 35 8,500 - 15,000 - WULAN WIDYAWATI - -
29.03.16 S004703 SABIQ EL FATHIN 36 39,000 45,000 15,000 - WULAN WIDYAWATI - -
29.03.16 A008457 AGUS PURWANTO, SH 38 32,300 - 15,000 - WULAN WIDYAWATI 60,000 -
29.03.16 D003893 DIKY PURNAMA 39 23,000 - 14,000 - WULAN WIDYAWATI - -
29.03.16 P000774 PUTRI ZAHRA AULIA 40 17,500 - 15,000 - WULAN WIDYAWATI - -
29.03.16 M003168 MERI KUSTIANI 42 19,000 - 15,000 - WULAN WIDYAWATI - -
29.03.16 F000554 FIRDA TRI OKTAVIANI 44 18,700 - 15,000 - WULAN WIDYAWATI - -
29.03.16 W001102 WIRACHMAN SURYANTO 46 28,650 - 15,000 - WULAN WIDYAWATI - -
29.03.16 B000619 BUDI MARTIN BUDIMAN 47 42,500 - 15,000 - WULAN WIDYAWATI 105,000 -
29.03.16 R004308 RD FEBRINA KARTIKA A AK 48 14,200 - 15,000 - WULAN WIDYAWATI - -
29.03.16 D000977 DINAR AGUSDINA AL GHIFARI 49 23,500 - 15,000 - WULAN WIDYAWATI - -
29.03.16 A001698 AHMAD MULYADI 50 13,200 - 15,000 - WULAN WIDYAWATI - -
29.03.16 S004057 SUDARWANTO 53 24,400 - 15,000 - WULAN WIDYAWATI - -
29.03.16 D000971 DADANG NURJAMAN 57 - - - - WULAN WIDYAWATI 70,000 -
29.03.16 I000921 INES NAISHA GAYATRI 58 28,500 - 5,000 - WULAN WIDYAWATI - -
29.03.16 B000572 BONANSYA GATEN ASWARANI 59 31,200 - 15,000 - WULAN WIDYAWATI - -
29.03.16 M001164 MIMA YULIA 63 25,000 - 5,000 - WULAN WIDYAWATI - -
29.03.16 D002659 DEDEN RIAN MUKLIS 65 29,000 65,000 15,000 - NOVI YULIANTI - -
29.03.16 S003810 SYAHNAZ NAHL CHAERUNISA 66 28,600 - 15,000 - NOVI YULIANTI - -
29.03.16 A002164 ACHMAD DJUHANA 69 12,700 - 15,000 - NOVI YULIANTI - -
29.03.16 Z000058 ZEZEN ZAELANI 70 21,100 - 15,000 - NOVI YULIANTI - -
29.03.16 R003370 RUHIYATI 75 22,900 - 15,000 - NOVI YULIANTI - -
29.03.16 A006238 AI MULYANI 76 28,700 - 15,000 - NOVI YULIANTI - -
29.03.16 R004666 RAHMAT HIDAYAT 77 32,800 - 15,000 - NOVI YULIANTI - -
29.03.16 D003281 DEDE ROHANAH 78 21,600 - 15,000 - NOVI YULIANTI - -
29.03.16 S004809 SANTI ZUNIAWATI 80 22,600 - 15,000 - NOVI YULIANTI - -
29.03.16 E002125 ETI ROHAETI 81 20,600 - 15,000 - NOVI YULIANTI - -
29.03.16 A007826 AULIA SEPTIANI E 82 26,800 - 15,000 - NOVI YULIANTI - -
29.03.16 N003928 NELI RUBIABNTI DEWI 84 8,000 - 15,000 - NOVI YULIANTI - -
29.03.16 I000890 ISABELA JILAN MARWAH 85 28,000 - 15,000 - NOVI YULIANTI - -
29.03.16 M005086 MUHAMAD RIVAN PRATAMA 86 40,600 - 15,000 - NOVI YULIANTI - -
29.03.16 I003246 IFFATUL AZIZA 88 22,400 - 15,000 - NOVI YULIANTI - -
29.03.16 D000081 DADANG SUDIANA 89 22,200 - 15,000 - NOVI YULIANTI - -
29.03.16 S005304 SRI TUTI MULYATI 90 15,800 - 15,000 - NOVI YULIANTI - -
29.03.16 Z000184 ZIDAN AKRAM Z 93 24,000 - 15,000 - NOVI YULIANTI 80,000 -
29.03.16 I002443 IRWAN KURNIAWAN 94 27,600 - 15,000 - NOVI YULIANTI - -
30.03.16 M003363 MUHAMMAD RAFA FAIZULLAH 4 40,700 - 15,000 - NOVI YULIANTI - -
30.03.16 W001063 WAHYU KURNIA 6 18,500 - 15,000 - NOVI YULIANTI - -
30.03.16 V000099 VIORA KUSUMA PUTRI 7 39,300 - 15,000 - NOVI YULIANTI - -
30.03.16 Y002126 YENI SUMARNI 8 29,800 - 15,000 - NOVI YULIANTI - -
30.03.16 Z000116 ZIVANA AYATUL HUSNA 9 41,000 - 15,000 - NOVI YULIANTI - -
30.03.16 Y002246 YASIN RIYADIN 15 31,400 - 15,000 - NOVI YULIANTI - -
30.03.16 N002175 NUNUNG ROSDIANA 17 42,800 - 15,000 - NOVI YULIANTI - -
30.03.16 M003495 MELY YULIANA 20 28,800 - 15,000 - NOVI YULIANTI - -
30.03.16 W000899 WIWIN MARYANA,HJ 22 35,300 - 15,000 - NOVI YULIANTI 48,000 -
30.03.16 A004875 ANGGIA SITI AL JANIRA 23 20,200 - 15,000 - NOVI YULIANTI - -
30.03.16 N003627 NAJWA APRILIA PRIADI 30 19,000 - 15,000 - NOVI YULIANTI - -
30.03.16 S003400 SANI PERMADI 35 - - 15,000 - NOVI YULIANTI - -
30.03.16 R000792 RISA YUNIANTI 37 31,000 - 15,000 - NOVI YULIANTI - -
30.03.16 M004649 MUHAMMAD FARIS ABBAD 38 72,000 45,000 15,000 - NOVI YULIANTI - -
30.03.16 S001829 SUHERMAN, H 40 - 40,000 15,000 - NOVI YULIANTI - -
30.03.16 W000550 WATI ROHATI 41 37,000 - 15,000 - NOVI YULIANTI - -
30.03.16 R002418 RUSMINI 44 85,500 - 15,000 - NOVI YULIANTI 43,000 -
30.03.16 T000016 TIKA SURTIKANTI 47 75,500 - 15,000 - NOVI YULIANTI - -
30.03.16 R000204 RERA NURBAETI 48 36,000 - 15,000 - NOVI YULIANTI - -
30.03.16 J000881 JENAB GARNINGSIH 50 23,500 - 15,000 - NOVI YULIANTI - -
30.03.16 R004162 RONNI RUSDIANA 57 24,500 - 15,000 - NOVI YULIANTI 18,000 -
30.03.16 D001615 DEDE GUNAWAN 61 16,500 - 15,000 - NOVI YULIANTI - -
30.03.16 R005056 RINI NURBAYANTI 62 23,300 - 15,000 - NOVI YULIANTI - -
30.03.16 Y001092 YANTI NURDIANTI 63 32,000 - 15,000 - NOVI YULIANTI - -
30.03.16 J000765 JENJEN ABDUL MUIZ 67 - - 15,000 - WULAN WIDYAWATI - -
30.03.16 D003897 DIANTI 69 - - 15,000 - WULAN WIDYAWATI - -
30.03.16 E000975 ELIS RUSTENI 70 27,800 - 15,000 - WULAN WIDYAWATI - -
30.03.16 W001058 WIWI 71 22,600 - 15,000 - WULAN WIDYAWATI - -
30.03.16 N002726 NURWAHIDAH 74 - 40,000 15,000 - WULAN WIDYAWATI - -
30.03.16 S002315 SUHERMAN 77 21,600 - 15,000 - WULAN WIDYAWATI - -
30.03.16 T001237 TITIN SUPRIATIN RACHMAT 78 - - 15,000 - WULAN WIDYAWATI - -
30.03.16 R005314 REGA JANWAR ABDILAH 83 42,000 - 15,000 - WULAN WIDYAWATI - -
30.03.16 A003000 ARNI SULANI 84 28,500 - 15,000 - WULAN WIDYAWATI - -
30.03.16 S005531 SABAR GARINDA ODANG 86 - 40,000 15,000 - WULAN WIDYAWATI - -
30.03.16 S004893 SHAKI DANIEL ABBAD 87 9,000 - 15,000 - WULAN WIDYAWATI - -
30.03.16 A008362 ADE DANIS 88 42,800 - 15,000 - WULAN WIDYAWATI - -
30.03.16 I002408 IMEL AMELIA 89 11,000 - 15,000 - WULAN WIDYAWATI - -
30.03.16 S004189 SYAFKA ABIZA SOFYAN 91 21,000 - 15,000 - WULAN WIDYAWATI - -
30.03.16 N003427 NADHIRA THAFANA 93 22,600 - 15,000 - WULAN WIDYAWATI - -
30.03.16 A003893 ANDRI TRISNADI 94 18,400 - 15,000 - WULAN WIDYAWATI - -
30.03.16 M002238 MUHAMMAD ALAWI FAQIHUDDIN 95 14,600 - 15,000 - WULAN WIDYAWATI - -
30.03.16 T001752 TIARA AMELIA 97 15,000 - 15,000 - WULAN WIDYAWATI - -
30.03.16 M005091 MASWATI 100 24,400 - 15,000 - WULAN WIDYAWATI - -
30.03.16 D003425 DETI RAHMAWATI 101 21,200 - 15,000 - WULAN WIDYAWATI - -
30.03.16 K000966 KANDA 104 - - 15,000 - WULAN WIDYAWATI - -
30.03.16 M001291 MIZAM PUTRA NS 108 30,000 - 15,000 - WULAN WIDYAWATI - -
30.03.16 R005315 RISWANDI 109 13,700 - 15,000 - WULAN WIDYAWATI - -
30.03.16 N003952 NETA NURLIYANISARI 110 30,500 - 15,000 - WULAN WIDYAWATI - -
30.03.16 T000794 TUTI NURHAYATI 112 20,200 - 15,000 - WULAN WIDYAWATI - -
30.03.16 M002416 MUFTI MUHAMMAD 115 15,000 - 15,000 - WULAN WIDYAWATI - -
30.03.16 E003174 ELIS ROSDIANAWATI 116 17,200 - 15,000 - WULAN WIDYAWATI - -
30.03.16 T001820 TITI RUKMINI 119 20,500 - 15,000 - WULAN WIDYAWATI - -
30.03.16 R001465 RAHMAWATI 121 17,200 - 15,000 - WULAN WIDYAWATI - -
31.03.16 T001850 TAZRIAN AL JANNATAN 4 24,900 - 15,000 - NOVI YULIANTI - -
31.03.16 M003570 MUHAMAD FAJAR SIDIQ 9 29,100 - 15,000 - NOVI YULIANTI - -
31.03.16 M004669 M HAIKAL AKBAR 10 23,700 - 15,000 - NOVI YULIANTI - -
31.03.16 A009544 AGUS YUSUP 12 24,200 - 15,000 - NOVI YULIANTI 66,000 -
31.03.16 Q000004 QAISARA JANEETA 13 26,800 - 15,000 - NOVI YULIANTI - -
31.03.16 M004769 MUHAMMAD ABYAN DZULQARNAIN 15 40,100 - 15,000 - NOVI YULIANTI - -
31.03.16 R004604 RINDI FITRIYANI 17 35,600 - 15,000 - NOVI YULIANTI - -
31.03.16 R002585 RIVALDY NAUFAL 19 55,100 - 15,000 - NOVI YULIANTI - -
31.03.16 I002496 ICIH SUKARSIH 21 23,700 - 15,000 - NOVI YULIANTI 18,000 -
31.03.16 R003914 RIKY SAPUTRA 22 21,600 - 15,000 - NOVI YULIANTI - -
31.03.16 F002031 FAZILLA SEPTIANI BONISA 23 22,600 - 15,000 - NOVI YULIANTI - -
31.03.16 S004735 SITI NURHAYATI 25 22,000 - 15,000 - NOVI YULIANTI - -
31.03.16 V000230 VINA 27 33,400 - 15,000 - NOVI YULIANTI - -
31.03.16 A008191 ALLWY ADHITYA JULIO 29 21,600 - 15,000 - NOVI YULIANTI - -
31.03.16 R002169 ROHANAH 32 33,400 - 15,000 - NOVI YULIANTI - -
31.03.16 H001833 HENI YULIANI 36 35,900 - 15,000 - NOVI YULIANTI - -
31.03.16 F001954 FETTIE FATIMAH 37 - - 15,000 - NOVI YULIANTI - -
31.03.16 K001204 KARTIKA NUR FAIZAH 38 - - 15,000 - NOVI YULIANTI - -
31.03.16 A009574 AENI DEWI ASTARI 39 - - 15,000 - NOVI YULIANTI - -
31.03.16 A002459 ABAY NURJAMIL 40 21,150 - 15,000 - NOVI YULIANTI - -
31.03.16 I003644 IBRAHIM MUFIQ 41 35,100 - 15,000 - NOVI YULIANTI - -
31.03.16 R004540 RANI DIANA 42 - - - - PERIKSA KEBIDANAN - -
31.03.16 M002980 MARIAM NITA ARIYANTI 48 26,000 - 15,000 - NOVI YULIANTI - -
31.03.16 N003289 NOPIYAN NURDIANSYAH 50 18,200 - 15,000 - NOVI YULIANTI - -
31.03.16 R004225 ROSA LISMA KUSMINAR 52 34,300 - 15,000 - NOVI YULIANTI - -
31.03.16 A008828 ALBY AZZAKY IGUSTI 56 25,100 - 15,000 - NOVI YULIANTI - -
31.03.16 A006390 AGUS SANDI 58 22,400 - 15,000 - NOVI YULIANTI - -
31.03.16 H001375 HENDAR WIJAYA 59 10,600 - 15,000 - NOVI YULIANTI - -
31.03.16 A002337 ANNY MULJATININGRUM 60 24,400 - 15,000 - NOVI YULIANTI - -
31.03.16 A001741 ANTON KOSWARA 63 12,700 - 15,000 - NOVI YULIANTI - -
31.03.16 A008168 ANGGRA SURYA RIZQIA 71 29,000 - 15,000 - NOVI YULIANTI - -
31.03.16 F001901 FEBRINA 73 - - - - PERIKSA KEBIDANAN - -
31.03.16 D003240 DANI RAMADHAN 75 16,000 - 15,000 - NOVI YULIANTI - -
31.03.16 Y001902 YAYAH ROKAYAH 77 17,000 - 15,000 - NOVI YULIANTI - -
31.03.16 T000288 TEGUH SURYA HADI 78 22,000 - 15,000 - NOVI YULIANTI - -
31.03.16 N002899 NAESA AULIA SYAHLA 86 21,000 - 15,000 - H. ASEP MARYAMAN - -
31.03.16 D003455 DERI DWI LESMANA 87 21,000 - 15,000 - H. ASEP MARYAMAN - -
31.03.16 A009564 AHMAD SOLEH 93 17,000 - 15,000 - H. ASEP MARYAMAN - -
31.03.16 R002662 RENI NUR APRIANI 96 23,000 - 15,000 - H. ASEP MARYAMAN - -
31.03.16 M000373 MADRUDIN PRAYOGA 101 27,000 - 15,000 - H. ASEP MARYAMAN - -
31.03.16 D003382 DEWI NURUL FAUZIAH 102 28,000 - 15,000 - H. ASEP MARYAMAN - -
31.03.16 F001876 FIRMAN JAELANI 104 20,000 - 15,000 - H. ASEP MARYAMAN - -
31.03.16 A009054 ATSIILAH JANISSARY RAHAYU 105 16,000 - 15,000 - H. ASEP MARYAMAN - -
31.03.16 F002176 FITRIA KHOERUNNISA 106 21,000 - 15,000 - H. ASEP MARYAMAN - -
31.03.16 E000975 ELIS RUSTENI 107 12,000 - 15,000 - H. ASEP MARYAMAN - -
31.03.16 A001212 ANDHITA JUWITA SARI 108 22,000 - 15,000 - H. ASEP MARYAMAN - -
31.03.16 A006184 AQILA ZAHRA YULIA HERAWAN 109 20,000 - 15,000 - H. ASEP MARYAMAN - -
31.03.16 A009178 ATI NURDIANTI 112 - - - - PERIKSA KEBIDANAN - -
31.03.16 D003676 DENI RAMDANI 114 63,000 45,000 15,000 - H. ASEP MARYAMAN - -
31.03.16 S001597 SYIFA FAUZIAH MUTMAINNAH 117 16,000 - 5,000 - H. ASEP MARYAMAN - -
31.03.16 R004137 RAHMAT SUKMANA 120 22,000 - 15,000 - H. ASEP MARYAMAN - -
31.03.16 A009400 ARGGA VELY 121 25,000 - 15,000 - H. ASEP MARYAMAN - -
31.03.16 G000694 GINA SONYA 122 18,000 - 15,000 - H. ASEP MARYAMAN - -
31.03.16 N002785 NURUL AIDA INDAH S 126 34,000 - 15,000 - H. ASEP MARYAMAN - -
31.03.16 M003867 MUHAMAD AKMILUDDIN ANNAQSYABANDI 128 28,000 - 5,000 - H. ASEP MARYAMAN - -
31.03.16 W000940 WAFA AKMALUDDIN AL-QODIRI 129 16,000 - 5,000 - H. ASEP MARYAMAN - -
31.03.16 S005219 SYIFA SYAFITRI 130 23,000 - 15,000 - H. ASEP MARYAMAN - -
31.03.16 D003900 DADAN 131 37,000 - 15,000 - H. ASEP MARYAMAN - -
31.03.16 D003842 DENI HERMAWAN 132 27,000 - 15,000 - H. ASEP MARYAMAN - -
31.03.16 K001123 KIKI MULYANA 134 32,000 - 15,000 - H. ASEP MARYAMAN - -
Oxygen kia Jumlah Jenis Pasien Keterangan APOTEK LAB
- - 36,000 BPJS SUDAH DILAYANI
- - 33,000 BPJS SUDAH DILAYANI
- - 137,000 BPJS SUDAH DILAYANI 83,000
- - 38,000 BPJS SUDAH DILAYANI
- - 30,000 BPJS SUDAH DILAYANI
- - 25,000 ASKES SUDAH DILAYANI
- - 34,000 BPJS SUDAH DILAYANI
- - 34,000 BPJS SUDAH DILAYANI
- - 44,000 BPJS SUDAH DILAYANI
- - 40,000 BPJS SUDAH DILAYANI
- - 44,000 BPJS SUDAH DILAYANI
- - 31,000 BPJS SUDAH DILAYANI
- - 34,000 BPJS SUDAH DILAYANI
- - 29,000 BPJS SUDAH DILAYANI
- - 45,000 BPJS SUDAH DILAYANI
- - 42,000 ASKES SUDAH DILAYANI
- - 42,000 BPJS SUDAH DILAYANI
- - 31,000 BPJS SUDAH DILAYANI
- - 48,000 BPJS SUDAH DILAYANI
- - 36,000 BPJS SUDAH DILAYANI
- - 30,000 BPJS SUDAH DILAYANI
- - 35,000 BPJS SUDAH DILAYANI
- - 41,000 BPJS SUDAH DILAYANI
- - 43,000 BPJS SUDAH DILAYANI
- - 55,000 BPJS SUDAH DILAYANI
- - 142,000 BPJS SUDAH DILAYANI 28,000 25,000
- - 47,000 BPJS SUDAH DILAYANI
- - 31,000 BPJS SUDAH DILAYANI
- - 47,000 ASKES SUDAH DILAYANI
- - 22,000 ASKES SUDAH DILAYANI
- - 50,000 BPJS SUDAH DILAYANI
- - 41,000 UMUM/BPJS SUDAH DILAYANI
- - 29,000 BPJS SUDAH DILAYANI
- - 119,000 BPJS SUDAH DILAYANI 20,000 60,000
- - 42,000 BPJS SUDAH DILAYANI
- - 35,000 BPJS SUDAH DILAYANI
- - 52,000 BPJS SUDAH DILAYANI
- - 54,000 BPJS SUDAH DILAYANI
- - 33,000 BPJS SUDAH DILAYANI
- - 33,000 BPJS SUDAH DILAYANI
- - 40,000 BPJS SUDAH DILAYANI
- - 40,200 BPJS SUDAH DILAYANI
- - 105,000 BPJS RESERVASI 44,000
- - 47,000 BPJS RESERVASI
- - 15,000 BPJS RESERVASI
- - 32,000 BPJS SUDAH DILAYANI
- - 45,000 BPJS SUDAH DILAYANI
- - 121,000 UMUM/BPJS SUDAH DILAYANI
- - 15,000 BPJS SUDAH DILAYANI 25000
- - 41,400 BPJS SUDAH DILAYANI
- - 43,700 BPJS SUDAH DILAYANI
- - 74,700 BPJS SUDAH DILAYANI 39,000
- - 45,600 BPJS SUDAH DILAYANI
- - 122,100 BPJS SUDAH DILAYANI 25000
- - 35,600 ASKES SUDAH DILAYANI
- - 36,000 BPJS SUDAH DILAYANI
- - 43,100 BPJS SUDAH DILAYANI
- - 37,000 BPJS SUDAH DILAYANI
- - 36,200 BPJS SUDAH DILAYANI
- - 32,200 BPJS SUDAH DILAYANI 12,000
- - 126,000 BPJS SUDAH DILAYANI 35,000 48000
- - 42,200 BPJS SUDAH DILAYANI
- - 20,800 BPJS SUDAH DILAYANI
- - 34,000 BPJS SUDAH DILAYANI
- - 32,000 BPJS SUDAH DILAYANI
- - 36,000 BPJS SUDAH DILAYANI
- - 43,700 BPJS SUDAH DILAYANI
- - 36,000 BPJS SUDAH DILAYANI
- - 43,000 BPJS SUDAH DILAYANI
- - 36,000 BPJS SUDAH DILAYANI
- - 24,000 BPJS SUDAH DILAYANI
- - 43,000 ASKES SUDAH DILAYANI 43,000
- - 55,000 BPJS SUDAH DILAYANI
- - 70,000 BPJS SUDAH DILAYANI
- - 33,000 BPJS SUDAH DILAYANI
- - 15,000 BPJS SUDAH DILAYANI
- - 34,000 BPJS SUDAH DILAYANI
- - 34,000 ASKES SUDAH DILAYANI
- - 61,000 BPJS SUDAH DILAYANI
- - 15,000 BPJS SUDAH DILAYANI
- - 85,000 BPJS SUDAH DILAYANI 35,000 25,000
- - 33,000 ASKES SUDAH DILAYANI
- - 85,000 BPJS SUDAH DILAYANI 10,000 25,000
- - 40,000 BPJS SUDAH DILAYANI
- - 35,000 BPJS SUDAH DILAYANI
- - 44,000 BPJS SUDAH DILAYANI
- - 40,000 BPJS SUDAH DILAYANI
- - 15,000 BPJS SUDAH DILAYANI
- - 33,000 BPJS SUDAH DILAYANI
- - 36,000 BPJS SUDAH DILAYANI
- - 88,000 BPJS SUDAH DILAYANI 48,000
- - 15,000 BPJS SUDAH DILAYANI
- - 41,000 BPJS SUDAH DILAYANI
- - 21,000 BPJS SUDAH DILAYANI
- - 93,000 BPJS SUDAH DILAYANI 20,000 48,000
- - 49,000 BPJS SUDAH DILAYANI
- - 46,000 BPJS SUDAH DILAYANI
- - 42,000 BPJS SUDAH DILAYANI
- - 36,900 BPJS SUDAH DILAYANI
- - 30,700 BPJS SUDAH DILAYANI
- - 34,300 BPJS SUDAH DILAYANI
- - 37,000 BPJS SUDAH DILAYANI
- - 31,000 BPJS SUDAH DILAYANI
- - 37,400 BPJS SUDAH DILAYANI
- - 43,100 BPJS SUDAH DILAYANI
- - 15,000 BPJS SUDAH DILAYANI
- - 50,500 BPJS SUDAH DILAYANI
- - 39,500 BPJS SUDAH DILAYANI
- - 33,900 BPJS SUDAH DILAYANI 11,000
- - 44,100 BPJS SUDAH DILAYANI
- - 117,750 BPJS SUDAH DILAYANI 25,000
39,900 BPJS SUDAH DILAYANI
- - 30,200 BPJS SUDAH DILAYANI
- - 41,900 BPJS SUDAH DILAYANI
- - 36,300 BPJS SUDAH DILAYANI
- - 25,000 BPJS SUDAH DILAYANI
- - 41,700 BPJS SUDAH DILAYANI
- - 35,000 BPJS SUDAH DILAYANI
- - 43,100 BPJS SUDAH DILAYANI
- - 43,200 BPJS SUDAH DILAYANI
- - 56,700 BPJS SUDAH DILAYANI
- - 45,700 BPJS SUDAH DILAYANI
- - 43,200 BPJS SUDAH DILAYANI
- - 15,000 BPJS SUDAH DILAYANI
- - 26,000 BPJS SUDAH DILAYANI
- - 37,000 BPJS SUDAH DILAYANI
- - 36,000 BPJS SUDAH DILAYANI
- - 39,400 BPJS SUDAH DILAYANI
- - 34,900 BPJS SUDAH DILAYANI
- - 68,300 BPJS SUDAH DILAYANI
- - 27,000 BPJS SUDAH DILAYANI
- - 39,000 UMUM/BPJS SUDAH DILAYANI
- - 35,000 BPJS SUDAH DILAYANI
- - 40,600 BPJS SUDAH DILAYANI
- - 29,000 BPJS SUDAH DILAYANI
- - 31,400 BPJS SUDAH DILAYANI
- - 15,000 BPJS SUDAH DILAYANI
- - 40,200 BPJS SUDAH DILAYANI
- - 35,000 BPJS SUDAH DILAYANI
- - 141,900 BPJS SUDAH DILAYANI 19,000 25,000
- - 45,500 BPJS SUDAH DILAYANI
- - 36,000 BPJS SUDAH DILAYANI
- - 22,000 BPJS SUDAH DILAYANI
- - 39,000 ASKES SUDAH DILAYANI
- - 33,000 BPJS SUDAH DILAYANI
- - 36,000 BPJS SUDAH DILAYANI
- - 15,000 BPJS SUDAH DILAYANI
- - 42,000 BPJS SUDAH DILAYANI
- - 37,000 BPJS SUDAH DILAYANI
- - 47,000 BPJS SUDAH DILAYANI
- - 117,600 BPJS SUDAH DILAYANI
- - 33,400 BPJS SUDAH DILAYANI 25,000
- - 42,000 BPJS SUDAH DILAYANI
- - 15,000 BPJS SUDAH DILAYANI
- - 66,000 BPJS SUDAH DILAYANI
- - 49,000 BPJS SUDAH DILAYANI 24,000
- - 36,500 BPJS SUDAH DILAYANI
- - 35,000 BPJS SUDAH DILAYANI
- - 22,000 BPJS SUDAH DILAYANI
- - 32,000 BPJS SUDAH DILAYANI
- - 118,500 BPJS SUDAH DILAYANI 25000
- - 47,100 BPJS SUDAH DILAYANI
- - 15,000 BPJS SUDAH DILAYANI
- - 16,000 BPJS SUDAH DILAYANI
- - 39,200 BPJS SUDAH DILAYANI
- - 38,200 BPJS SUDAH DILAYANI
- - 30,400 BPJS SUDAH DILAYANI
- - 61,400 BPJS SUDAH DILAYANI
- - 95,000 BPJS SUDAH DILAYANI 25000
- - 36,000 ASKES SUDAH DILAYANI
- - 24,000 ASKES SUDAH DILAYANI
- - 62,000 BPJS SUDAH DILAYANI 36000
- - 41,000 BPJS SUDAH DILAYANI
- - 55,700 BPJS SUDAH DILAYANI
- - 15,000 ASKES SUDAH DILAYANI 32000
- - 69,000 BPJS SUDAH DILAYANI
- - 27,000 BPJS SUDAH DILAYANI
- - 36,400 BPJS SUDAH DILAYANI
- - 49,000 BPJS SUDAH DILAYANI 25000
- - 15,000 ASKES SUDAH DILAYANI
- - 91,200 BPJS SUDAH DILAYANI
- - 27,000 BPJS SUDAH DILAYANI 25000
- - 36,600 BPJS SUDAH DILAYANI
- - - BPJS BATAL
- - 82,000 BPJS SUDAH DILAYANI
- - 39,600 BPJS SUDAH DILAYANI
- - 43,400 BPJS SUDAH DILAYANI
- - 34,500 BPJS SUDAH DILAYANI
- - 31,600 BPJS SUDAH DILAYANI
- - 27,000 BPJS SUDAH DILAYANI
- - 44,500 BPJS SUDAH DILAYANI
- - 39,000 BPJS SUDAH DILAYANI
- - 43,000 BPJS SUDAH DILAYANI
- - 44,000 BPJS SUDAH DILAYANI
- - 42,000 BPJS SUDAH DILAYANI
- - 119,000 BPJS SUDAH DILAYANI
- - 37,000 BPJS SUDAH DILAYANI
- - 121,000 BPJS SUDAH DILAYANI
- - 15,000 BPJS RESERVASI
- - 52,000 ASKES SUDAH DILAYANI
- - 35,000 ASKES SUDAH DILAYANI
- - 43,000 BPJS SUDAH DILAYANI
- - 20,000 BPJS RESERVASI
- - 37,000 BPJS SUDAH DILAYANI
- - 39,000 BPJS SUDAH DILAYANI
- - 30,000 BPJS SUDAH DILAYANI
- - 51,000 BPJS SUDAH DILAYANI
- - 50,000 BPJS SUDAH DILAYANI
- - 41,000 BPJS SUDAH DILAYANI
- - 40,000 BPJS SUDAH DILAYANI
- - 61,000 BPJS SUDAH DILAYANI
- - 34,000 BPJS SUDAH DILAYANI
- - 15,000 BPJS SUDAH DILAYANI
- - 15,000 BPJS SUDAH DILAYANI
- - 33,000 BPJS RESERVASI
- - 15,000 BPJS SUDAH DILAYANI
- - 92,000 BPJS SUDAH DILAYANI
- - 31,000 BPJS SUDAH DILAYANI
- - 116,000 BPJS SUDAH DILAYANI
- - 37,000 BPJS SUDAH DILAYANI
- - 44,000 BPJS SUDAH DILAYANI
- - 97,000 BPJS SUDAH DILAYANI
- - 66,000 BPJS SUDAH DILAYANI
- - 49,000 BPJS SUDAH DILAYANI
- - 65,500 BPJS SUDAH DILAYANI
- - 34,950 BPJS SUDAH DILAYANI
- - 39,400 BPJS SUDAH DILAYANI
- - 52,700 BPJS SUDAH DILAYANI
- - 133,000 BPJS SUDAH DILAYANI
- - 35,700 BPJS SUDAH DILAYANI
- - 15,000 BPJS SUDAH DILAYANI
- - 64,400 BPJS SUDAH DILAYANI 54000
- - 96,000 ASKES SUDAH DILAYANI
- - 46,200 BPJS SUDAH DILAYANI
- - 21,700 BPJS SUDAH DILAYANI
- - 40,700 BPJS SUDAH DILAYANI 51000
- - 56,700 BPJS SUDAH DILAYANI
- - 37,000 BPJS SUDAH DILAYANI
- - 34,500 BPJS SUDAH DILAYANI
- - 42,000 BPJS SUDAH DILAYANI
- - 36,200 BPJS SUDAH DILAYANI
- - 24,500 ASKES SUDAH DILAYANI
- - 42,000 JAMSOSTEK SUDAH DILAYANI
- - 33,000 BPJS SUDAH DILAYANI
- - 47,500 BPJS SUDAH DILAYANI
- - 68,000 BPJS SUDAH DILAYANI
- - 35,000 BPJS SUDAH DILAYANI
- - 38,500 BPJS SUDAH DILAYANI
- - 65,600 BPJS SUDAH DILAYANI 33000
- - 30,200 BPJS SUDAH DILAYANI
- - 120,000 BPJS SUDAH DILAYANI
- - 23,500 BPJS SUDAH DILAYANI 33000
- - 35,900 BPJS SUDAH DILAYANI
- - 15,000 BPJS SUDAH DILAYANI 25000
- - 43,000 BPJS SUDAH DILAYANI
- - 31,000 BPJS SUDAH DILAYANI
- - 21,500 BPJS SUDAH DILAYANI
- - 50,000 BPJS SUDAH DILAYANI
- - 29,200 BPJS SUDAH DILAYANI
- - 35,200 BPJS SUDAH DILAYANI
- - 51,200 BPJS SUDAH DILAYANI 19000
- - 34,800 BPJS SUDAH DILAYANI
- - 54,500 BPJS SUDAH DILAYANI
- - 24,400 BPJS SUDAH DILAYANI
- - 42,000 BPJS SUDAH DILAYANI
- - 35,900 BPJS SUDAH DILAYANI
- - 27,000 BPJS SUDAH DILAYANI
- - 35,000 BPJS SUDAH DILAYANI 11000
- - 31,700 BPJS SUDAH DILAYANI
- - 32,000 BPJS SUDAH DILAYANI
- - 22,000 BPJS SUDAH DILAYANI
- - 40,600 BPJS SUDAH DILAYANI
- - 22,300 BPJS SUDAH DILAYANI
- - 20,900 BPJS SUDAH DILAYANI
- - 68,200 BPJS SUDAH DILAYANI
- - 51,900 BPJS SUDAH DILAYANI
- - 15,000 JAMSOSTEK SUDAH DILAYANI
- - 36,400 BPJS SUDAH DILAYANI
- - 34,600 BPJS SUDAH DILAYANI
- - 95,000 BPJS SUDAH DILAYANI
- - 15,000 BPJS SUDAH DILAYANI
- - 50,800 BPJS SUDAH DILAYANI
- - 20,000 BPJS SUDAH DILAYANI 25000
- - 47,000 BPJS SUDAH DILAYANI
- - 67,900 BPJS SUDAH DILAYANI
- - 46,000 BPJS SUDAH DILAYANI
- - 143,000 BPJS SUDAH DILAYANI
- - 31,100 BPJS SUDAH DILAYANI
- - 95,000 BPJS SUDAH DILAYANI
- - 31,000 ASKES SUDAH DILAYANI
- - 39,400 BPJS SUDAH DILAYANI
- - 34,500 BPJS SUDAH DILAYANI
- - 167,300 BPJS SUDAH DILAYANI
- - 52,000 BPJS SUDAH DILAYANI
- - 15,000 BPJS SUDAH DILAYANI
- - 36,600 BPJS SUDAH DILAYANI
- - 50,800 BPJS SUDAH DILAYANI
- - 38,350 BPJS SUDAH DILAYANI
- - 37,200 BPJS SUDAH DILAYANI 12500
- - 35,700 ASKES SUDAH DILAYANI
- - 32,500 BPJS SUDAH DILAYANI 25000
- - 77,600 BPJS SUDAH DILAYANI
- - 42,800 BPJS SUDAH DILAYANI
- - 42,400 BPJS SUDAH DILAYANI
- - 38,000 BPJS SUDAH DILAYANI
- - 45,200 BPJS SUDAH DILAYANI
- - 33,000 BPJS SUDAH DILAYANI
- - 23,500 BPJS SUDAH DILAYANI
- - 37,200 BPJS SUDAH DILAYANI
- - 43,600 BPJS SUDAH DILAYANI
- - 15,000 BPJS SUDAH DILAYANI
- - 86,500 BPJS SUDAH DILAYANI
- - 41,000 BPJS SUDAH DILAYANI
- - 41,500 BPJS SUDAH DILAYANI
- - 75,000 UMUM/BPJS SUDAH DILAYANI 33,000 48000
- - 53,600 BPJS SUDAH DILAYANI
- - 35,000 BPJS SUDAH DILAYANI
- - 34,500 BPJS SUDAH DILAYANI
- - 24,500 BPJS SUDAH DILAYANI
- - 103,500 BPJS SUDAH DILAYANI
- - 40,000 BPJS SUDAH DILAYANI
- - 32,200 BPJS SUDAH DILAYANI
- - 43,700 BPJS SUDAH DILAYANI
- - 38,000 BPJS SUDAH DILAYANI
- - 36,500 BPJS SUDAH DILAYANI
- - 40,000 BPJS SUDAH DILAYANI
- - 40,000 BPJS SUDAH DILAYANI
- - 42,000 BPJS SUDAH DILAYANI
- - 34,200 BPJS SUDAH DILAYANI
- - 50,000 BPJS SUDAH DILAYANI
- - 46,000 BPJS SUDAH DILAYANI
- - 39,000 UMUM/BPJS SUDAH DILAYANI
- - 40,000 BPJS SUDAH DILAYANI
- - 36,000 BPJS SUDAH DILAYANI
- - 15,000 BPJS SUDAH DILAYANI
- - 41,800 BPJS SUDAH DILAYANI
- - 41,000 BPJS SUDAH DILAYANI
- - 36,000 BPJS SUDAH DILAYANI
- - 44,000 BPJS SUDAH DILAYANI
- - 45,000 BPJS SUDAH DILAYANI
- - 39,000 BPJS SUDAH DILAYANI
- - 37,000 BPJS SUDAH DILAYANI
- - 46,000 BPJS SUDAH DILAYANI
- - 49,000 BPJS SUDAH DILAYANI
- - 22,000 BPJS SUDAH DILAYANI
- - 33,000 BPJS SUDAH DILAYANI
- - 42,000 BPJS SUDAH DILAYANI
- - 35,000 BPJS SUDAH DILAYANI
- - 68,000 BPJS SUDAH DILAYANI
- - 44,000 ASKES SUDAH DILAYANI
- - 44,000 BPJS SUDAH DILAYANI
- - 36,000 BPJS SUDAH DILAYANI
- - 42,000 BPJS SUDAH DILAYANI
- - 37,000 BPJS SUDAH DILAYANI
- - 34,000 BPJS SUDAH DILAYANI
- - 52,000 BPJS SUDAH DILAYANI
- - 34,000 BPJS SUDAH DILAYANI
- - 44,000 BPJS SUDAH DILAYANI
- - 44,000 BPJS SUDAH DILAYANI
- - 35,000 BPJS SUDAH DILAYANI
- - 43,600 BPJS SUDAH DILAYANI 48000
- - 109,000 BPJS SUDAH DILAYANI
- - 25,600 BPJS SUDAH DILAYANI
- - 37,400 BPJS SUDAH DILAYANI
- - 26,200 BPJS SUDAH DILAYANI
- - 116,500 BPJS SUDAH DILAYANI
- - 43,200 BPJS SUDAH DILAYANI 83000
- - 41,600 BPJS SUDAH DILAYANI
- - 29,500 BPJS SUDAH DILAYANI
- - 56,700 BPJS SUDAH DILAYANI 12000
- - 56,600 BPJS SUDAH DILAYANI
- - 34,400 BPJS SUDAH DILAYANI
- - 34,900 BPJS SUDAH DILAYANI
- - 45,500 BPJS SUDAH DILAYANI 25000
- - 31,500 BPJS SUDAH DILAYANI
- - 39,400 BPJS SUDAH DILAYANI
- - 33,400 BPJS SUDAH DILAYANI
- - 65,000 BPJS SUDAH DILAYANI
- - 30,200 BPJS SUDAH DILAYANI
- - 31,000 BPJS SUDAH DILAYANI
- - 42,800 BPJS SUDAH DILAYANI
- - 29,600 BPJS SUDAH DILAYANI
- - 27,800 BPJS SUDAH DILAYANI
- - 33,400 BPJS SUDAH DILAYANI
- - 15,000 BPJS SUDAH DILAYANI
- - 28,900 BPJS SUDAH DILAYANI 25000
- - 29,000 BPJS SUDAH DILAYANI
- - 48,200 BPJS SUDAH DILAYANI
- - 53,200 BPJS SUDAH DILAYANI
- - 44,500 BPJS SUDAH DILAYANI
- - 110,500 BPJS SUDAH DILAYANI
- - 123,800 BPJS SUDAH DILAYANI
- - 15,000 BPJS SUDAH DILAYANI
- - 75,800 BPJS SUDAH DILAYANI
- - 78,400 BPJS SUDAH DILAYANI
- - 38,500 BPJS SUDAH DILAYANI
- - 152,600 BPJS SUDAH DILAYANI
- - 18,000 BPJS SUDAH DILAYANI
- - 29,000 BPJS SUDAH DILAYANI
- - 29,000 BPJS SUDAH DILAYANI
- - 24,000 BPJS SUDAH DILAYANI
- - 42,000 BPJS SUDAH DILAYANI
- - 51,400 BPJS SUDAH DILAYANI
- - 63,200 BPJS SUDAH DILAYANI
- - 35,400 BPJS SUDAH DILAYANI
- - 36,200 BPJS SUDAH DILAYANI 15000
- - 32,200 BPJS SUDAH DILAYANI
- - 38,400 BPJS SUDAH DILAYANI
- - 75,000 BPJS SUDAH DILAYANI
- - 49,900 BPJS SUDAH DILAYANI
- - 15,000 BPJS SUDAH DILAYANI
- - 48,200 BPJS SUDAH DILAYANI
- - 30,000 BPJS SUDAH DILAYANI
- - 49,600 BPJS SUDAH DILAYANI
- - 35,200 BPJS SUDAH DILAYANI
- - 43,500 BPJS SUDAH DILAYANI
- - 37,800 BPJS SUDAH DILAYANI
- - 43,400 BPJS SUDAH DILAYANI 12000
- - 41,300 BPJS SUDAH DILAYANI 66000
- - 58,900 BPJS SUDAH DILAYANI
- - 28,000 BPJS SUDAH DILAYANI
- - 30,700 BPJS SUDAH DILAYANI 25000
- - 47,000 BPJS RESERVASI
- - 32,200 BPJS RESERVASI 18000
- - 28,500 BPJS SUDAH DILAYANI
- - 119,000 BPJS SUDAH DILAYANI
- - 66,000 BPJS SUDAH DILAYANI
- - 172,100 BPJS SUDAH DILAYANI
- - 15,000 BPJS SUDAH DILAYANI 25000
- - 121,400 BPJS SUDAH DILAYANI
- - 37,400 BPJS SUDAH DILAYANI
- - 44,000 BPJS SUDAH DILAYANI
- - 52,000 BPJS SUDAH DILAYANI
- - 24,500 BPJS SUDAH DILAYANI
- - 15,000 ASKES SUDAH DILAYANI
- - 36,400 BPJS SUDAH DILAYANI
- - 116,750 BPJS SUDAH DILAYANI
- - 42,600 BPJS SUDAH DILAYANI
- - 95,000 BPJS SUDAH DILAYANI
- - 46,200 BPJS SUDAH DILAYANI
- - 44,000 BPJS SUDAH DILAYANI
- - 28,350 BPJS SUDAH DILAYANI 25000
- - 29,500 BPJS SUDAH DILAYANI
- - 31,600 BPJS SUDAH DILAYANI
- - 32,800 BPJS SUDAH DILAYANI 25000
- - 44,300 BPJS SUDAH DILAYANI
- - 35,800 BPJS SUDAH DILAYANI
- - 15,000 BPJS SUDAH DILAYANI
- - 40,400 BPJS SUDAH DILAYANI
- - 41,400 BPJS SUDAH DILAYANI
- - 46,400 BPJS SUDAH DILAYANI
- - 46,400 BPJS SUDAH DILAYANI
- - 124,000 BPJS SUDAH DILAYANI
- - 32,400 BPJS SUDAH DILAYANI
- - 33,000 ASKES SUDAH DILAYANI
- - 139,500 BPJS SUDAH DILAYANI
- - 55,000 ASKES SUDAH DILAYANI
- - 29,100 BPJS SUDAH DILAYANI
- - 41,400 BPJS SUDAH DILAYANI
- - 29,500 BPJS SUDAH DILAYANI
- - 82,000 BPJS SUDAH DILAYANI
- - 31,800 BPJS SUDAH DILAYANI
- - 76,000 ASKES SUDAH DILAYANI
- - 43,700 BPJS SUDAH DILAYANI 16000
- - 15,000 BPJS SUDAH DILAYANI 16000
- - 41,000 BPJS SUDAH DILAYANI 25000
- - 81,400 BPJS SUDAH DILAYANI
- - 35,900 BPJS SUDAH DILAYANI
- - 41,800 BPJS SUDAH DILAYANI 84000 25000
- - 39,700 ASKES SUDAH DILAYANI
- - 42,800 BPJS RESERVASI
- - 26,000 BPJS RESERVASI
- - 37,400 BPJS SUDAH DILAYANI
- - 29,800 BPJS SUDAH DILAYANI
- - 37,750 BPJS SUDAH DILAYANI
- - 30,000 BPJS SUDAH DILAYANI
- - 41,000 BPJS SUDAH DILAYANI
- - 43,000 BPJS SUDAH DILAYANI
- - 36,000 BPJS SUDAH DILAYANI
- - 51,700 ASKES SUDAH DILAYANI
- - 35,200 BPJS SUDAH DILAYANI 25000
- - 38,000 BPJS SUDAH DILAYANI
- - 37,300 BPJS SUDAH DILAYANI
- - 34,400 BPJS SUDAH DILAYANI
- - 31,300 BPJS SUDAH DILAYANI 50400
- - 33,500 BPJS SUDAH DILAYANI
- - 31,000 BPJS RESERVASI
- - 31,600 BPJS SUDAH DILAYANI
- - 33,500 BPJS SUDAH DILAYANI
- - 32,500 BPJS SUDAH DILAYANI
- - 44,500 BPJS SUDAH DILAYANI
- - 15,000 BPJS SUDAH DILAYANI
- - 118,000 BPJS SUDAH DILAYANI
- - 84,600 BPJS SUDAH DILAYANI
- - 30,500 BPJS SUDAH DILAYANI
- - 115,000 BPJS SUDAH DILAYANI
- - 42,400 BPJS SUDAH DILAYANI
- - 15,000 BPJS SUDAH DILAYANI
- - 33,000 BPJS SUDAH DILAYANI
- - 44,700 BPJS SUDAH DILAYANI
- - 36,400 ASKES SUDAH DILAYANI
- - 43,100 ASKES SUDAH DILAYANI
- - 21,000 BPJS SUDAH DILAYANI
- - 30,600 BPJS SUDAH DILAYANI
- - 36,400 BPJS SUDAH DILAYANI
- - 36,000 BPJS SUDAH DILAYANI
- - 78,300 BPJS SUDAH DILAYANI
- - 37,300 BPJS SUDAH DILAYANI
- - 41,100 BPJS SUDAH DILAYANI
- - 42,700 BPJS SUDAH DILAYANI
- - 18,000 BPJS SUDAH DILAYANI
- - 95,000 BPJS SUDAH DILAYANI
- - 15,000 BPJS SUDAH DILAYANI
- - 35,400 BPJS SUDAH DILAYANI
- - 37,200 BPJS SUDAH DILAYANI 80000
- - 60,500 BPJS SUDAH DILAYANI
- - 33,900 BPJS SUDAH DILAYANI
- - 35,400 BPJS SUDAH DILAYANI 8000
- - 32,800 BPJS SUDAH DILAYANI 23000
- - 33,400 BPJS SUDAH DILAYANI
- - 27,500 BPJS SUDAH DILAYANI
- - 61,700 BPJS SUDAH DILAYANI
- - 41,100 BPJS SUDAH DILAYANI
- - 31,000 BPJS SUDAH DILAYANI
- - 38,000 BPJS SUDAH DILAYANI
- - 43,100 BPJS SUDAH DILAYANI
- - 32,600 BPJS SUDAH DILAYANI
- - 24,700 BPJS SUDAH DILAYANI
- - 32,500 UMUM/BPJS SUDAH DILAYANI
- - 34,300 BPJS SUDAH DILAYANI
- - 63,000 BPJS SUDAH DILAYANI
- - 32,900 BPJS SUDAH DILAYANI
- - 37,200 BPJS SUDAH DILAYANI
- - 25,000 BPJS SUDAH DILAYANI
- - 50,600 BPJS SUDAH DILAYANI
- - 15,000 BPJS SUDAH DILAYANI
- - 25,150 ASKES SUDAH DILAYANI
- - 94,700 ASKES SUDAH DILAYANI
- - 31,300 BPJS SUDAH DILAYANI
- - 44,000 BPJS SUDAH DILAYANI
- - 39,000 BPJS SUDAH DILAYANI 58000
- - 38,300 BPJS SUDAH DILAYANI
- - 51,100 BPJS SUDAH DILAYANI 16000
- - 26,200 ASKES SUDAH DILAYANI
- - 45,000 BPJS SUDAH DILAYANI
- - 120,400 BPJS SUDAH DILAYANI
- - 29,900 BPJS SUDAH DILAYANI
- - 29,800 BPJS SUDAH DILAYANI
- - 35,600 BPJS SUDAH DILAYANI 25000
- - 39,600 BPJS SUDAH DILAYANI
- - 51,000 UMUM/BPJS SUDAH DILAYANI
- - 37,000 BPJS SUDAH DILAYANI
- - 41,700 BPJS SUDAH DILAYANI
- - 42,400 BPJS SUDAH DILAYANI
- - 15,000 UMUM/BPJS SUDAH DILAYANI
- - 15,000 BPJS SUDAH DILAYANI 8000
- - 35,400 BPJS SUDAH DILAYANI
- - 42,200 BPJS SUDAH DILAYANI
- - 34,200 BPJS SUDAH DILAYANI
- - 37,400 BPJS SUDAH DILAYANI
- - 30,800 BPJS SUDAH DILAYANI
- - 38,300 BPJS SUDAH DILAYANI
- - 47,900 BPJS SUDAH DILAYANI
- - 37,400 BPJS SUDAH DILAYANI
- - 38,900 BPJS SUDAH DILAYANI
- - 38,000 BPJS SUDAH DILAYANI
- - 33,200 BPJS SUDAH DILAYANI
- - 35,400 BPJS SUDAH DILAYANI
- - 33,000 BPJS SUDAH DILAYANI
- - 29,500 BPJS SUDAH DILAYANI
- - 37,400 BPJS SUDAH DILAYANI
- - 35,400 BPJS SUDAH DILAYANI
- - 29,000 BPJS SUDAH DILAYANI
- - 24,400 BPJS SUDAH DILAYANI
- - 45,350 BPJS SUDAH DILAYANI
- - 30,600 BPJS SUDAH DILAYANI
- - 42,000 BPJS SUDAH DILAYANI
- - 48,000 BPJS SUDAH DILAYANI
- - 45,100 BPJS SUDAH DILAYANI 9000
- - 33,000 BPJS SUDAH DILAYANI
- - 57,500 UMUM/BPJS SUDAH DILAYANI
- - 35,400 BPJS SUDAH DILAYANI
- - 41,500 BPJS SUDAH DILAYANI
- - 33,200 BPJS SUDAH DILAYANI
- - 34,200 BPJS SUDAH DILAYANI
- - 40,250 BPJS SUDAH DILAYANI
- - 39,700 BPJS SUDAH DILAYANI
- - 32,500 BPJS SUDAH DILAYANI
- - 29,200 BPJS SUDAH DILAYANI
- - 26,200 BPJS SUDAH DILAYANI
- - 26,000 BPJS SUDAH DILAYANI
- - 44,500 BPJS SUDAH DILAYANI
- - 47,700 BPJS SUDAH DILAYANI
- - 29,600 BPJS SUDAH DILAYANI
- - 38,900 BPJS SUDAH DILAYANI
- - 43,000 BPJS SUDAH DILAYANI
- - 74,600 ASKES SUDAH DILAYANI
- - 15,000 ASKES SUDAH DILAYANI
- - 48,600 BPJS SUDAH DILAYANI
- - 44,000 BPJS SUDAH DILAYANI 25000
- - 43,000 BPJS SUDAH DILAYANI
- - 36,000 BPJS SUDAH DILAYANI
- - 35,250 BPJS SUDAH DILAYANI
- - 28,000 BPJS SUDAH DILAYANI 8000
- - 42,000 BPJS SUDAH DILAYANI
- - 28,900 BPJS SUDAH DILAYANI
- - 55,000 BPJS SUDAH DILAYANI
- - 32,000 BPJS SUDAH DILAYANI
- - 32,500 BPJS SUDAH DILAYANI
- - 33,000 BPJS SUDAH DILAYANI
- - 32,000 BPJS SUDAH DILAYANI
- - 28,400 BPJS SUDAH DILAYANI
- - 21,000 BPJS SUDAH DILAYANI
- - 27,000 BPJS SUDAH DILAYANI
- - 31,000 BPJS SUDAH DILAYANI
- - 50,000 BPJS SUDAH DILAYANI
- - 21,800 BPJS SUDAH DILAYANI
- - 128,900 BPJS SUDAH DILAYANI
- - 66,000 BPJS SUDAH DILAYANI
- - 52,000 ASKES SUDAH DILAYANI
- - 33,700 BPJS SUDAH DILAYANI Rp 48,000 25000
- - 48,400 BPJS SUDAH DILAYANI 28000
- - 44,100 BPJS SUDAH DILAYANI
- - 31,500 BPJS SUDAH DILAYANI 25000
- - 36,000 BPJS SUDAH DILAYANI
- - 50,000 BPJS SUDAH DILAYANI
- - 67,200 BPJS SUDAH DILAYANI
- - 41,100 BPJS SUDAH DILAYANI
- - 41,000 BPJS SUDAH DILAYANI
- - 63,400 BPJS SUDAH DILAYANI
- - 31,200 UMUM/BPJS SUDAH DILAYANI
- - 37,600 ASKES SUDAH DILAYANI
- - 33,000 BPJS SUDAH DILAYANI Rp 20,000
- - 48,100 BPJS SUDAH DILAYANI Rp -
- - 40,400 BPJS SUDAH DILAYANI
- - 44,000 BPJS SUDAH DILAYANI
- - 42,800 BPJS SUDAH DILAYANI
- - 39,200 BPJS SUDAH DILAYANI
- - 36,600 BPJS SUDAH DILAYANI
- - 46,600 UMUM/BPJS SUDAH DILAYANI
- - 37,100 BPJS SUDAH DILAYANI
- - 93,000 BPJS SUDAH DILAYANI
- - 55,400 BPJS SUDAH DILAYANI
- - 25,000 BPJS SUDAH DILAYANI
- - 36,300 BPJS SUDAH DILAYANI
- - 38,800 BPJS SUDAH DILAYANI
- - 40,700 BPJS SUDAH DILAYANI
- - 30,000 BPJS SUDAH DILAYANI
- - 58,100 BPJS SUDAH DILAYANI
- - 69,200 BPJS SUDAH DILAYANI
- - 43,100 BPJS SUDAH DILAYANI
- - 15,000 BPJS SUDAH DILAYANI
- - 104,800 BPJS SUDAH DILAYANI
- - 34,600 BPJS SUDAH DILAYANI
- - 34,600 BPJS SUDAH DILAYANI
- - 63,000 BPJS SUDAH DILAYANI Rp 57,000
- - 36,400 BPJS SUDAH DILAYANI
- - 42,200 BPJS SUDAH DILAYANI
- - 51,800 BPJS SUDAH DILAYANI
- - 37,600 BPJS SUDAH DILAYANI
- - 147,200 BPJS SUDAH DILAYANI
- - 15,000 BPJS SUDAH DILAYANI
- - 15,000 ASKES SUDAH DILAYANI
- - 15,000 BPJS SUDAH DILAYANI 43,000
- - 138,900 BPJS SUDAH DILAYANI
- - 59,200 BPJS SUDAH DILAYANI
- - 53,700 BPJS SUDAH DILAYANI
- - 36,000 BPJS SUDAH DILAYANI 51000
- - 45,000 UMUM/BPJS SUDAH DILAYANI
- - 36,000 BPJS SUDAH DILAYANI 25000
- - 44,000 BPJS SUDAH DILAYANI
- - 59,000 BPJS SUDAH DILAYANI
- - 62,400 ASKES SUDAH DILAYANI
- - 43,000 BPJS SUDAH DILAYANI
- - 49,000 BPJS SUDAH DILAYANI
- - 31,000 BPJS SUDAH DILAYANI
- - 47,000 BPJS SUDAH DILAYANI
- - 29,000 BPJS SUDAH DILAYANI
- - 42,000 BPJS SUDAH DILAYANI
- - 44,000 BPJS SUDAH DILAYANI
- - 47,000 BPJS SUDAH DILAYANI
- - 36,000 BPJS SUDAH DILAYANI
- - 40,000 BPJS SUDAH DILAYANI
- - 43,000 BPJS SUDAH DILAYANI
- - 31,000 BPJS SUDAH DILAYANI
- - 37,000 BPJS SUDAH DILAYANI
- - 45,000 BPJS SUDAH DILAYANI
- - 40,000 BPJS SUDAH DILAYANI
- - 40,000 BPJS SUDAH DILAYANI
- - 60,000 BPJS SUDAH DILAYANI
- - 32,000 BPJS SUDAH DILAYANI
- - 34,000 BPJS SUDAH DILAYANI
- - 40,000 BPJS SUDAH DILAYANI
- - 38,000 BPJS SUDAH DILAYANI
- - 46,000 BPJS SUDAH DILAYANI
- - 31,000 JAMSOSTEK SUDAH DILAYANI
- - 35,000 BPJS SUDAH DILAYANI
- - 38,000 BPJS SUDAH DILAYANI
- - 43,700 BPJS SUDAH DILAYANI
- - 32,000 BPJS SUDAH DILAYANI
- - 44,000 BPJS SUDAH DILAYANI
- - 51,000 BPJS SUDAH DILAYANI
- - 50,100 BPJS SUDAH DILAYANI
- - 26,000 BPJS SUDAH DILAYANI
- - 31,000 BPJS SUDAH DILAYANI - 12,500
- - 29,000 ASKES SUDAH DILAYANI 10,000
- - 33,000 BPJS SUDAH DILAYANI
- - 29,000 BPJS SUDAH DILAYANI
- - 37,000 BPJS SUDAH DILAYANI
- - 42,000 BPJS SUDAH DILAYANI
- - 252,000 UMUM/BPJS SUDAH DILAYANI/RI
- - 36,000 BPJS SUDAH DILAYANI
- - 47,000 BPJS SUDAH DILAYANI
- - 38,000 BPJS SUDAH DILAYANI 93,000
- - 15,000 BPJS SUDAH DILAYANI
- - 108,000 BPJS SUDAH DILAYANI
- - 116,000 BPJS SUDAH DILAYANI
- - 15,000 BPJS SUDAH DILAYANI
- - 124,000 BPJS SUDAH DILAYANI 20,000
- - 38,000 BPJS SUDAH DILAYANI 83,000
- - 31,000 BPJS SUDAH DILAYANI
- - 33,000 BPJS SUDAH DILAYANI 46,000
- - 39,000 BPJS SUDAH DILAYANI
- - 52,000 BPJS SUDAH DILAYANI
- - 42,000 BPJS SUDAH DILAYANI
- - 15,000 BPJS SUDAH DILAYANI
- - 50,000 BPJS SUDAH DILAYANI
- - 42,000 BPJS SUDAH DILAYANI
- - 54,000 BPJS SUDAH DILAYANI
- - 33,000 BPJS SUDAH DILAYANI
- - 37,000 BPJS SUDAH DILAYANI
- - 28,000 ASKES SUDAH DILAYANI
- - 38,000 BPJS SUDAH DILAYANI
- - 82,000 BPJS SUDAH DILAYANI
- - 31,000 BPJS SUDAH DILAYANI
- - 32,000 BPJS SUDAH DILAYANI
- - 32,000 BPJS SUDAH DILAYANI
- - 45,000 BPJS SUDAH DILAYANI
- - 30,000 BPJS SUDAH DILAYANI
- - 30,000 BPJS SUDAH DILAYANI
- - 28,000 BPJS SUDAH DILAYANI
- - 46,000 BPJS SUDAH DILAYANI
- - 34,000 BPJS SUDAH DILAYANI
- - 39,000 BPJS SUDAH DILAYANI
- - 43,000 BPJS SUDAH DILAYANI 12,500
- - 129,500 UMUM/BPJS SUDAH DILAYANI
- - 136,400 BPJS SUDAH DILAYANI
- - 42,600 BPJS SUDAH DILAYANI
- - 25,000 BPJS SUDAH DILAYANI 92,000
- - 54,750 BPJS SUDAH DILAYANI 25000
- - 36,400 UMUM/BPJS SUDAH DILAYANI
- - 55,000 BPJS SUDAH DILAYANI
- - 48,000 BPJS SUDAH DILAYANI
- - 41,300 BPJS SUDAH DILAYANI
- - 37,000 BPJS SUDAH DILAYANI
- - 34,500 BPJS SUDAH DILAYANI
- - 48,000 BPJS SUDAH DILAYANI
- - 36,000 BPJS SUDAH DILAYANI
- - 24,500 BPJS SUDAH DILAYANI
- - 43,850 BPJS SUDAH DILAYANI
- - 33,400 BPJS SUDAH DILAYANI
- - 25,000 BPJS SUDAH DILAYANI
- - 66,700 BPJS SUDAH DILAYANI
- - 31,000 BPJS SUDAH DILAYANI
- - 32,000 BPJS SUDAH DILAYANI
- - 37,700 BPJS SUDAH DILAYANI 19,000
- - 43,100 BPJS SUDAH DILAYANI
- - 50,000 BPJS SUDAH DILAYANI
- - 33,000 BPJS SUDAH DILAYANI
- - 43,100 BPJS SUDAH DILAYANI
- - 37,000 BPJS SUDAH DILAYANI
- - 36,700 JAMSOSTEK SUDAH DILAYANI
- - 15,000 BPJS SUDAH DILAYANI
- - 41,000 BPJS SUDAH DILAYANI
- - 15,000 BPJS SUDAH DILAYANI
- - 46,000 BPJS SUDAH DILAYANI
- - 37,000 BPJS SUDAH DILAYANI
- - 40,000 BPJS SUDAH DILAYANI
- - 39,000 BPJS SUDAH DILAYANI 15,000
- - 29,000 ASKES SUDAH DILAYANI
- - 13,000 BPJS SUDAH DILAYANI
- - 35,000 BPJS SUDAH DILAYANI
- - 45,000 BPJS SUDAH DILAYANI
- - 46,000 BPJS SUDAH DILAYANI
- - 60,000 BPJS SUDAH DILAYANI
- - 95,000 BPJS SUDAH DILAYANI
- - 48,000 BPJS SUDAH DILAYANI
- - 35,000 BPJS SUDAH DILAYANI 5,000
- - 15,000 BPJS SUDAH DILAYANI 25,000
- - 33,000 BPJS SUDAH DILAYANI
- - 123,000 BPJS SUDAH DILAYANI
- - 57,000 BPJS SUDAH DILAYANI
- - 53,000 BPJS SUDAH DILAYANI
- - 41,000 BPJS SUDAH DILAYANI
- - 60,000 BPJS SUDAH DILAYANI 14,000
- - 52,000 BPJS SUDAH DILAYANI
- - 20,000 BPJS SUDAH DILAYANI
- - 34,000 BPJS SUDAH DILAYANI 25,000
- - 36,000 UMUM/BPJS SUDAH DILAYANI
- - 39,000 BPJS SUDAH DILAYANI
- - 51,000 BPJS SUDAH DILAYANI
- - 64,000 BPJS SUDAH DILAYANI
- - 27,000 BPJS SUDAH DILAYANI
- - 38,000 BPJS SUDAH DILAYANI
- - 46,000 BPJS SUDAH DILAYANI 25,000
- - 50,000 BPJS SUDAH DILAYANI
- - 34,000 BPJS SUDAH DILAYANI
- - 50,000 BPJS SUDAH DILAYANI
- - 88,000 BPJS SUDAH DILAYANI
- - 38,000 BPJS SUDAH DILAYANI
- - 37,400 ASKES SUDAH DILAYANI
- - 116,000 BPJS SUDAH DILAYANI 20,000
- - 42,800 BPJS SUDAH DILAYANI
- - 138,700 BPJS SUDAH DILAYANI
- - 95,000 BPJS SUDAH DILAYANI 5,000
- - 27,700 BPJS SUDAH DILAYANI
- - 31,500 BPJS SUDAH DILAYANI 28,000 83,000
- - 33,100 ASKES SUDAH DILAYANI 25,000
- - 121,200 BPJS SUDAH DILAYANI
- - 37,200 BPJS SUDAH DILAYANI
- - 43,000 BPJS SUDAH DILAYANI
- - 36,100 ASKES SUDAH DILAYANI 25000
- - 25,000 BPJS SUDAH DILAYANI
- - 38,600 BPJS SUDAH DILAYANI
- - 20,000 BPJS SUDAH DILAYANI
- - 39,400 BPJS SUDAH DILAYANI
- - 33,400 BPJS SUDAH DILAYANI
- - 61,000 BPJS SUDAH DILAYANI
- - 41,800 BPJS SUDAH DILAYANI
- - 33,000 BPJS SUDAH DILAYANI
- - 39,000 BPJS SUDAH DILAYANI
- - 73,900 BPJS SUDAH DILAYANI
- - 33,000 BPJS SUDAH DILAYANI
- - 36,000 BPJS SUDAH DILAYANI
- - 43,100 BPJS SUDAH DILAYANI 31,000
- - 37,100 BPJS SUDAH DILAYANI
- - 32,500 BPJS SUDAH DILAYANI
- - 22,500 BPJS SUDAH DILAYANI
- - 46,400 BPJS SUDAH DILAYANI
- - 33,100 BPJS SUDAH DILAYANI
- - 41,750 BPJS SUDAH DILAYANI
- - 117,200 ASKES SUDAH DILAYANI
- - 32,400 ASKES SUDAH DILAYANI
- - 40,400 BPJS SUDAH DILAYANI
- - 189,900 BPJS SUDAH DILAYANI 48,000
- - 65,000 BPJS SUDAH DILAYANI
- 15,000 15,000 BPJS SUDAH DILAYANI
- - 44,800 BPJS SUDAH DILAYANI 67,000 25,000
- - 215,300 BPJS SUDAH DILAYANI 20,000
- - 41,800 BPJS SUDAH DILAYANI
- - 40,000 BPJS SUDAH DILAYANI
- - 38,400 BPJS SUDAH DILAYANI 18,000 85,000
- - 31,400 BPJS SUDAH DILAYANI
- - 15,000 BPJS SUDAH DILAYANI 20,000
- - 74,000 BPJS SUDAH DILAYANI
- - 39,000 BPJS SUDAH DILAYANI
- - 41,300 BPJS SUDAH DILAYANI
- - 30,400 BPJS SUDAH DILAYANI 25,000
- - 15,000 ASKES SUDAH DILAYANI
- - 43,400 BPJS SUDAH DILAYANI
- - 41,800 BPJS SUDAH DILAYANI
- - 36,000 BPJS SUDAH DILAYANI
- - 41,500 BPJS SUDAH DILAYANI
- - 42,600 BPJS SUDAH DILAYANI
- - 29,800 BPJS SUDAH DILAYANI
- - 40,400 BPJS SUDAH DILAYANI
- - 33,400 BPJS SUDAH DILAYANI
- - 15,000 BPJS SUDAH DILAYANI
- - 95,000 BPJS SUDAH DILAYANI
- - 48,300 BPJS SUDAH DILAYANI
- - 41,100 BPJS SUDAH DILAYANI
- - 35,200 BPJS SUDAH DILAYANI
- - 41,800 BPJS SUDAH DILAYANI
- - 43,400 BPJS SUDAH DILAYANI
- - 35,200 BPJS SUDAH DILAYANI
- - 36,000 BPJS SUDAH DILAYANI
- - 47,400 BPJS SUDAH DILAYANI
- - 37,600 ASKES SUDAH DILAYANI
- - 41,000 ASKES SUDAH DILAYANI
- - 38,000 BPJS SUDAH DILAYANI
- - 15,000 BPJS SUDAH DILAYANI
- - 30,000 BPJS SUDAH DILAYANI
- - 196,100 BPJS SUDAH DILAYANI
- - 43,000 BPJS SUDAH DILAYANI
- - 43,000 BPJS SUDAH DILAYANI
- - 48,800 UMUM/BPJS SUDAH DILAYANI 178,000
- - 36,000 BPJS SUDAH DILAYANI
- - 34,200 BPJS SUDAH DILAYANI
- - 35,600 ASKES SUDAH DILAYANI
- - 38,000 BPJS SUDAH DILAYANI
- - 119,100 ASKES SUDAH DILAYANI
- - 43,000 BPJS SUDAH DILAYANI
- - 32,600 BPJS SUDAH DILAYANI
- - 26,200 ASKES SUDAH DILAYANI 25,000
- - 37,400 BPJS SUDAH DILAYANI
- - 45,000 BPJS SUDAH DILAYANI
- - 140,000 BPJS SUDAH DILAYANI
- - 36,000 ASKES SUDAH DILAYANI
- - 24,600 BPJS SUDAH DILAYANI
- - 45,900 BPJS SUDAH DILAYANI 48,000
- - 29,500 BPJS SUDAH DILAYANI
- - 26,500 BPJS SUDAH DILAYANI
- - 30,200 BPJS SUDAH DILAYANI
- - 44,000 BPJS SUDAH DILAYANI
- - 31,500 BPJS SUDAH DILAYANI
- - 90,000 BPJS SUDAH DILAYANI
- - 44,600 BPJS SUDAH DILAYANI
- - 35,200 BPJS SUDAH DILAYANI
- - 30,000 BPJS SUDAH DILAYANI
- - 15,000 BPJS SUDAH DILAYANI
- - 24,200 BPJS SUDAH DILAYANI
- - 31,600 BPJS SUDAH DILAYANI
- - 15,000 BPJS SUDAH DILAYANI
- - 41,200 BPJS SUDAH DILAYANI
- - 38,000 BPJS SUDAH DILAYANI
- - 31,400 BPJS SUDAH DILAYANI
- - 15,000 BPJS SUDAH DILAYANI
- - 43,600 ASKES SUDAH DILAYANI
- - 62,000 BPJS SUDAH DILAYANI
- - 30,000 BPJS SUDAH DILAYANI
- - 34,950 BPJS SUDAH DILAYANI
- - 24,950 BPJS SUDAH DILAYANI 40,000
- - 15,000 BPJS SUDAH DILAYANI
- - 31,600 BPJS SUDAH DILAYANI
- - 38,900 BPJS SUDAH DILAYANI
- - 32,000 BPJS SUDAH DILAYANI
- - 52,400 BPJS SUDAH DILAYANI
- - 31,200 BPJS SUDAH DILAYANI
- - 15,000 BPJS SUDAH DILAYANI
- - 60,300 UMUM/BPJS SUDAH DILAYANI 14,000
- - 100,800 ASKES SUDAH DILAYANI
- - 34,200 ASKES SUDAH DILAYANI
- - 31,000 ASKES SUDAH DILAYANI
- - 36,200 BPJS SUDAH DILAYANI 23,000 48,000
- - 35,000 BPJS SUDAH DILAYANI
- - 34,200 BPJS SUDAH DILAYANI
- - 37,000 BPJS SUDAH DILAYANI
- - 31,000 BPJS SUDAH DILAYANI
- - 19,600 BPJS SUDAH DILAYANI
- - 37,900 BPJS SUDAH DILAYANI
- - 118,000 BPJS SUDAH DILAYANI
- - 26,000 ASKES SUDAH DILAYANI
- - 31,100 BPJS SUDAH DILAYANI 12,000
- - 47,900 ASKES SUDAH DILAYANI 20,000
- - 42,500 BPJS SUDAH DILAYANI
- - 40,100 BPJS SUDAH DILAYANI
- - 44,500 BPJS SUDAH DILAYANI
- - 58,000 BPJS SUDAH DILAYANI
- - 35,000 BPJS SUDAH DILAYANI
- - 40,800 BPJS SUDAH DILAYANI
- - 29,600 BPJS SUDAH DILAYANI
- - 49,900 BPJS SUDAH DILAYANI
- - 46,400 BPJS SUDAH DILAYANI
- - 50,500 BPJS SUDAH DILAYANI
- - 45,000 BPJS SUDAH DILAYANI
- - 33,200 BPJS SUDAH DILAYANI
- - 116,350 BPJS SUDAH DILAYANI
- - 41,500 BPJS SUDAH DILAYANI
- - 38,100 BPJS SUDAH DILAYANI
- - 38,200 BPJS SUDAH DILAYANI 25,000
- - 36,800 BPJS SUDAH DILAYANI
- - 27,200 BPJS SUDAH DILAYANI
- - 40,000 BPJS SUDAH DILAYANI
- - 105,000 BPJS SUDAH DILAYANI
- - 30,000 BPJS SUDAH DILAYANI
- - 15,000 BPJS SUDAH DILAYANI
- - 40,400 BPJS SUDAH DILAYANI 18,000
- - 33,900 BPJS SUDAH DILAYANI
- - 64,300 ASKES SUDAH DILAYANI
- - 136,500 BPJS SUDAH DILAYANI 9,000
- - 31,600 BPJS SUDAH DILAYANI
- - 44,500 BPJS SUDAH DILAYANI 25,000
- - 100,000 BPJS SUDAH DILAYANI 83,000
33,000 - 33,000 BPJS SUDAH DILAYANI
- - 36,400 BPJS SUDAH DILAYANI
- - 195,100 ASKES SUDAH DILAYANI 14,000
- - 15,000 BPJS SUDAH DILAYANI
- - 143,000 BPJS SUDAH DILAYANI
- - 15,000 BPJS SUDAH DILAYANI 85,000 45,000
- 26,700 53,400 BPJS SUDAH DILAYANI
- - 84,400 BPJS SUDAH DILAYANI 43,000
- - 15,000 BPJS SUDAH DILAYANI
- - 58,000 BPJS SUDAH DILAYANI
- - 43,100 BPJS SUDAH DILAYANI 51,000
- - 50,800 BPJS SUDAH DILAYANI
- - 39,000 BPJS SUDAH DILAYANI 35,000
- - 32,000 BPJS SUDAH DILAYANI
- - 37,000 BPJS SUDAH DILAYANI
- - 31,000 BPJS SUDAH DILAYANI
- 27,000 27,000 BPJS SUDAH DILAYANI 3,000
- 27,000 27,000 BPJS SUDAH DILAYANI
- - 41,000 BPJS SUDAH DILAYANI
- - 37,000 ASKES SUDAH DILAYANI
- - 80,000 BPJS SUDAH DILAYANI
- - 39,000 BPJS SUDAH DILAYANI 18,000
- - 33,000 BPJS SUDAH DILAYANI
- - 37,000 BPJS SUDAH DILAYANI 20,000
- - 28,000 BPJS SUDAH DILAYANI
- - 32,000 BPJS SUDAH DILAYANI
- - 24,000 BPJS SUDAH DILAYANI
- - 60,000 BPJS SUDAH DILAYANI
- - 36,000 BPJS SUDAH DILAYANI
- - 29,000 BPJS SUDAH DILAYANI
- - 15,000 ASKES SUDAH DILAYANI
- - 24,000 BPJS SUDAH DILAYANI
- - 37,000 BPJS SUDAH DILAYANI
- - 39,000 BPJS SUDAH DILAYANI
- - 85,000 BPJS SUDAH DILAYANI
- - 32,000 BPJS SUDAH DILAYANI
- - 33,000 ASKES SUDAH DILAYANI
- - 41,000 ASKES SUDAH DILAYANI 51,000
- - 29,000 BPJS SUDAH DILAYANI
- - 33,000 BPJS SUDAH DILAYANI
- - 25,000 BPJS SUDAH DILAYANI
- - 25,000 BPJS SUDAH DILAYANI
- - 37,700 BPJS SUDAH DILAYANI
- - 39,000 BPJS SUDAH DILAYANI
- - 120,000 BPJS SUDAH DILAYANI 20,000
- - 36,000 BPJS SUDAH DILAYANI
- - 41,000 BPJS SUDAH DILAYANI
- - 104,000 BPJS SUDAH DILAYANI 25,000
- - 36,000 BPJS SUDAH DILAYANI
- - 42,000 BPJS SUDAH DILAYANI
- - 15,000 BPJS SUDAH DILAYANI
- - 44,000 BPJS SUDAH DILAYANI
- - 52,000 BPJS SUDAH DILAYANI
- - 63,000 BPJS SUDAH DILAYANI
- - 40,000 BPJS SUDAH DILAYANI
- - 39,000 BPJS SUDAH DILAYANI
- - 50,000 BPJS SUDAH DILAYANI
- - 51,000 BPJS SUDAH DILAYANI
- - 34,000 BPJS SUDAH DILAYANI
- - 135,000 BPJS SUDAH DILAYANI
- - 54,000 BPJS SUDAH DILAYANI
- - 35,000 BPJS SUDAH DILAYANI
- - 43,000 BPJS SUDAH DILAYANI 23,000 25,000
- - 44,000 BPJS SUDAH DILAYANI
- - 48,000 BPJS SUDAH DILAYANI
- - 61,000 BPJS SUDAH DILAYANI
- - 36,000 BPJS SUDAH DILAYANI
- - 47,000 BPJS SUDAH DILAYANI
- - - BPJS BATAL
- - 43,000 BPJS SUDAH DILAYANI
- - 44,000 BPJS SUDAH DILAYANI
- - 48,000 BPJS SUDAH DILAYANI
- - 43,000 BPJS SUDAH DILAYANI
- - 35,000 BPJS SUDAH DILAYANI
- - 49,000 ASKES SUDAH DILAYANI
- - 35,000 BPJS SUDAH DILAYANI
- - 49,000 BPJS SUDAH DILAYANI
- - 23,000 BPJS SUDAH DILAYANI 17,000
- - 76,000 BPJS SUDAH DILAYANI
- - 48,000 BPJS SUDAH DILAYANI
- - 15,000 BPJS SUDAH DILAYANI
- - 37,000 BPJS SUDAH DILAYANI 25,000 23,000
- - 24,000 BPJS SUDAH DILAYANI
- - 43,000 BPJS SUDAH DILAYANI
- - 50,000 BPJS SUDAH DILAYANI
- - 37,000 BPJS SUDAH DILAYANI
- - 47,000 JAMSOSTEK SUDAH DILAYANI
- - 35,000 BPJS SUDAH DILAYANI
- - 45,000 BPJS SUDAH DILAYANI 15,000
- - 51,000 BPJS SUDAH DILAYANI
- - 15,000 BPJS SUDAH DILAYANI
- - 52,000 BPJS SUDAH DILAYANI
- - 61,000 BPJS SUDAH DILAYANI
- - 30,000 BPJS SUDAH DILAYANI
- - 46,000 BPJS SUDAH DILAYANI
- - 98,000 BPJS SUDAH DILAYANI
- - 40,000 BPJS SUDAH DILAYANI
- - 45,900 BPJS SUDAH DILAYANI
- - 34,200 BPJS SUDAH DILAYANI 48,000
- - 55,000 ASKES SUDAH DILAYANI 24,000
- - 130,000 BPJS SUDAH DILAYANI
- - 50,000 BPJS SUDAH DILAYANI
- - 173,000 BPJS SUDAH DILAYANI 6,000
- - 46,600 BPJS SUDAH DILAYANI 25,000
- - 33,000 BPJS SUDAH DILAYANI
- - 30,000 BPJS SUDAH DILAYANI 90,000 25,000
- - 15,000 BPJS SUDAH DILAYANI
- - 136,000 BPJS SUDAH DILAYANI
- - 31,200 BPJS SUDAH DILAYANI
- 34,500 34,500 BPJS SUDAH DILAYANI
- - 38,700 BPJS SUDAH DILAYANI 54,000
- - 126,000 BPJS SUDAH DILAYANI
- - 15,000 BPJS SUDAH DILAYANI
- - 32,300 ASKES SUDAH DILAYANI
- - 15,000 BPJS SUDAH DILAYANI
- - 33,500 BPJS SUDAH DILAYANI
- - 38,500 BPJS SUDAH DILAYANI
- - 31,500 BPJS SUDAH DILAYANI
- 16,700 16,700 BPJS SUDAH DILAYANI
- - 36,500 BPJS SUDAH DILAYANI
- - 43,500 BPJS SUDAH DILAYANI
- - 39,500 BPJS SUDAH DILAYANI
- - 34,200 BPJS SUDAH DILAYANI
- - 38,300 BPJS SUDAH DILAYANI
- - 33,200 BPJS SUDAH DILAYANI
- - 34,000 BPJS SUDAH DILAYANI
- - 44,250 BPJS SUDAH DILAYANI
- - 35,200 BPJS SUDAH DILAYANI
- - 51,000 BPJS SUDAH DILAYANI
- - 31,900 BPJS SUDAH DILAYANI
- - 63,500 UMUM/BPJS SUDAH DILAYANI
- - 32,500 BPJS SUDAH DILAYANI
- - 43,700 BPJS SUDAH DILAYANI
- - 30,700 BPJS SUDAH DILAYANI 14,000
- - 40,500 BPJS SUDAH DILAYANI
- - 32,500 BPJS SUDAH DILAYANI
- - 45,500 BPJS SUDAH DILAYANI
- - 34,200 BPJS SUDAH DILAYANI
- - 40,200 ASKES SUDAH DILAYANI
- - 29,300 BPJS SUDAH DILAYANI
- - 44,000 BPJS SUDAH DILAYANI
- 17,700 17,700 BPJS SUDAH DILAYANI
- - 36,000 BPJS SUDAH DILAYANI
- - 15,000 BPJS SUDAH DILAYANI
- - 29,000 BPJS SUDAH DILAYANI
- - 31,000 BPJS SUDAH DILAYANI
- - 31,000 BPJS SUDAH DILAYANI
- - 41,000 BPJS SUDAH DILAYANI
- - 110,000 BPJS SUDAH DILAYANI
- - 49,000 BPJS SUDAH DILAYANI
- - 30,000 BPJS SUDAH DILAYANI
- - 44,000 BPJS SUDAH DILAYANI 75,000
- - 28,000 BPJS SUDAH DILAYANI
- - 38,000 ASKES SUDAH DILAYANI
- - 45,000 BPJS SUDAH DILAYANI
- - 31,000 BPJS SUDAH DILAYANI
- - 34,000 BPJS SUDAH DILAYANI
- - 36,000 BPJS SUDAH DILAYANI
- - 43,000 BPJS SUDAH DILAYANI
- - 15,000 BPJS SUDAH DILAYANI
- - 22,000 BPJS SUDAH DILAYANI
- - 40,000 BPJS SUDAH DILAYANI
- - 34,100 UMUM/BPJS SUDAH DILAYANI
- - 92,000 BPJS SUDAH DILAYANI
- - 27,000 BPJS SUDAH DILAYANI
- - 40,000 BPJS SUDAH DILAYANI 11,000
- - 53,000 BPJS SUDAH DILAYANI 60,000
- - 33,500 BPJS SUDAH DILAYANI
- - 43,600 BPJS SUDAH DILAYANI
- - 35,200 BPJS SUDAH DILAYANI
- - 44,200 BPJS SUDAH DILAYANI
- - 37,000 BPJS SUDAH DILAYANI
- - 25,800 BPJS SUDAH DILAYANI
- - 56,200 BPJS SUDAH DILAYANI
- - 33,100 BPJS SUDAH DILAYANI
- - 34,500 BPJS SUDAH DILAYANI
- - 15,000 BPJS SUDAH DILAYANI
- - 46,600 ASKES SUDAH DILAYANI
- - 40,600 BPJS SUDAH DILAYANI
- - 39,500 BPJS SUDAH DILAYANI
- - 47,600 BPJS SUDAH DILAYANI
- - 122,800 BPJS SUDAH DILAYANI
- - 39,500 BPJS SUDAH DILAYANI
- - 56,500 BPJS SUDAH DILAYANI
- - 114,800 BPJS SUDAH DILAYANI 25,000
- - 30,400 BPJS SUDAH DILAYANI
- - 52,800 BPJS SUDAH DILAYANI 25000
- - 47,400 BPJS SUDAH DILAYANI 70,000
- - 45,900 BPJS SUDAH DILAYANI
- - 35,000 BPJS SUDAH DILAYANI
- - 47,900 BPJS SUDAH DILAYANI
- - 41,900 BPJS SUDAH DILAYANI
- - 52,400 BPJS SUDAH DILAYANI
- - 47,400 BPJS SUDAH DILAYANI
- - 42,600 BPJS SUDAH DILAYANI
- - 49,000 BPJS SUDAH DILAYANI
- - 32,000 BPJS SUDAH DILAYANI
- - 39,000 BPJS SUDAH DILAYANI
- - 95,000 BPJS SUDAH DILAYANI
- - 15,000 BPJS SUDAH DILAYANI
- - 50,600 BPJS SUDAH DILAYANI
- - 15,000 ASKES SUDAH DILAYANI 25,000
- - 33,000 BPJS SUDAH DILAYANI
- - 48,900 BPJS SUDAH DILAYANI
- 26,700 26,700 BPJS SUDAH DILAYANI
- - 42,400 BPJS SUDAH DILAYANI
- - 15,000 BPJS SUDAH DILAYANI
- - 55,650 BPJS SUDAH DILAYANI
- - 52,600 BPJS SUDAH DILAYANI
- - 32,700 BPJS SUDAH DILAYANI
- - 15,000 BPJS SUDAH DILAYANI 10,000
- - 40,900 BPJS SUDAH DILAYANI
- - 46,200 BPJS SUDAH DILAYANI
- - 59,900 BPJS SUDAH DILAYANI
- - 36,600 BPJS SUDAH DILAYANI
- - 27,700 BPJS SUDAH DILAYANI 48,000
- - 36,700 BPJS SUDAH DILAYANI 22,000
- - 28,000 BPJS SUDAH DILAYANI
- - 15,000 BPJS SUDAH DILAYANI
- - 43,600 BPJS SUDAH DILAYANI
- - 37,000 BPJS SUDAH DILAYANI
- - 32,750 BPJS SUDAH DILAYANI
- - 95,000 BPJS SUDAH DILAYANI
- - 43,000 BPJS SUDAH DILAYANI
- - 53,300 BPJS SUDAH DILAYANI
- - 100,400 BPJS SUDAH DILAYANI 25,000
- - 95,000 BPJS SUDAH DILAYANI
- - 34,600 BPJS SUDAH DILAYANI
- - 95,000 BPJS SUDAH DILAYANI 85,000
- 24,500 24,500 BPJS SUDAH DILAYANI 25,000
- - 42,400 BPJS SUDAH DILAYANI
- - 33,000 BPJS SUDAH DILAYANI 25,000
- - 22,000 UMUM/BPJS SUDAH DILAYANI
- - 30,400 BPJS SUDAH DILAYANI
- - 49,200 BPJS SUDAH DILAYANI
- - 83,500 BPJS SUDAH DILAYANI
- - 27,000 BPJS SUDAH DILAYANI
- - 33,200 BPJS SUDAH DILAYANI
- - 42,200 BPJS SUDAH DILAYANI 42,000
- - 45,200 UMUM/BPJS SUDAH DILAYANI
- - 53,100 BPJS SUDAH DILAYANI
- - 34,550 BPJS SUDAH DILAYANI
- - 44,700 BPJS SUDAH DILAYANI
- - 44,500 BPJS SUDAH DILAYANI
- - 42,600 UMUM/BPJS SUDAH DILAYANI
- - 46,200 BPJS SUDAH DILAYANI
- - 45,400 BPJS SUDAH DILAYANI
- - 44,000 BPJS SUDAH DILAYANI
- - 46,400 BPJS SUDAH DILAYANI
- - 50,800 BPJS SUDAH DILAYANI
- - 15,000 BPJS SUDAH DILAYANI
- - 34,000 BPJS SUDAH DILAYANI
- - 51,800 BPJS SUDAH DILAYANI
- - 47,800 BPJS SUDAH DILAYANI
- - 46,000 BPJS SUDAH DILAYANI
- - 24,000 BPJS SUDAH DILAYANI
- - 46,000 BPJS SUDAH DILAYANI
- - 77,100 BPJS SUDAH DILAYANI
- - 25,000 BPJS SUDAH DILAYANI
- - 25,300 UMUM/BPJS SUDAH DILAYANI
- - 111,000 BPJS SUDAH DILAYANI 34,000
- - 36,000 BPJS SUDAH DILAYANI 10,000
- - 34,600 BPJS SUDAH DILAYANI
- - 43,100 BPJS SUDAH DILAYANI 20,000
- - 28,700 BPJS SUDAH DILAYANI
- - 45,000 BPJS SUDAH DILAYANI
- - 51,800 BPJS SUDAH DILAYANI
- - 44,000 BPJS SUDAH DILAYANI
- - 49,900 BPJS SUDAH DILAYANI
- - 36,400 BPJS SUDAH DILAYANI
- - 43,700 BPJS SUDAH DILAYANI
- - 40,500 UMUM/BPJS SUDAH DILAYANI
- - 40,600 BPJS SUDAH DILAYANI
- - 42,400 BPJS SUDAH DILAYANI
- 53,900 53,900 BPJS SUDAH DILAYANI
- - 39,000 BPJS SUDAH DILAYANI
- - 34,500 BPJS SUDAH DILAYANI
- - 40,000 BPJS SUDAH DILAYANI
- - 31,000 BPJS SUDAH DILAYANI
- - 40,000 BPJS SUDAH DILAYANI
- - 40,000 ASKES SUDAH DILAYANI
- - 43,000 BPJS SUDAH DILAYANI
- - 30,000 BPJS SUDAH DILAYANI
- - 37,000 BPJS SUDAH DILAYANI
- - 42,500 BPJS SUDAH DILAYANI
- - 40,000 BPJS SUDAH DILAYANI
- - 39,000 BPJS SUDAH DILAYANI
- - 33,000 BPJS SUDAH DILAYANI
- - 49,000 BPJS SUDAH DILAYANI
- - 214,000 BPJS SUDAH DILAYANI
- - 25,000 BPJS SUDAH DILAYANI
- - 25,000 BPJS SUDAH DILAYANI 12,000
- - 25,000 BPJS SUDAH DILAYANI 11,000 94,000
- - 38,500 BPJS SUDAH DILAYANI
- - 21,200 BPJS SUDAH DILAYANI
- - 15,000 BPJS SUDAH DILAYANI
- - 40,200 BPJS SUDAH DILAYANI
- - 24,000 BPJS SUDAH DILAYANI
- - 37,900 BPJS SUDAH DILAYANI
- - 25,600 BPJS SUDAH DILAYANI
- - 35,900 BPJS SUDAH DILAYANI
- - 15,000 UMUM/BPJS SUDAH DILAYANI
- - 28,550 BPJS SUDAH DILAYANI
- - 33,700 BPJS SUDAH DILAYANI
- - 24,350 BPJS SUDAH DILAYANI
- - 126,100 BPJS SUDAH DILAYANI
- - 42,400 BPJS SUDAH DILAYANI
- - 39,400 BPJS SUDAH DILAYANI
- - 44,700 BPJS SUDAH DILAYANI 25,000
- - 57,300 ASKES SUDAH DILAYANI
- - 30,000 BPJS SUDAH DILAYANI
- 32,000 32,000 BPJS SUDAH DILAYANI
- - 39,600 BPJS SUDAH DILAYANI 23,000
- - 43,200 BPJS SUDAH DILAYANI
- - 43,600 BPJS SUDAH DILAYANI
- - 34,400 BPJS SUDAH DILAYANI
- - 44,500 BPJS SUDAH DILAYANI
- - 29,000 BPJS SUDAH DILAYANI 10,000
- - 143,000 BPJS SUDAH DILAYANI
- - 34,600 BPJS SUDAH DILAYANI
- - 40,300 BPJS SUDAH DILAYANI
- - 44,200 BPJS SUDAH DILAYANI 54,000
- - 39,200 BPJS SUDAH DILAYANI
- - 73,000 BPJS SUDAH DILAYANI
- - 33,950 BPJS SUDAH DILAYANI
- - 23,300 BPJS SUDAH DILAYANI
- - 29,700 BPJS SUDAH DILAYANI
- - 15,000 BPJS SUDAH DILAYANI
- - 123,800 BPJS SUDAH DILAYANI
- - 27,500 BPJS SUDAH DILAYANI
- - 32,600 BPJS SUDAH DILAYANI
- - 27,100 BPJS SUDAH DILAYANI 25,000
- - 37,600 BPJS SUDAH DILAYANI
- - 33,400 BPJS SUDAH DILAYANI
- - 30,900 ASKES SUDAH DILAYANI
- - 45,100 BPJS SUDAH DILAYANI
- - 30,200 BPJS SUDAH DILAYANI
- - 28,600 BPJS SUDAH DILAYANI
- - 51,500 BPJS SUDAH DILAYANI
- - 52,700 BPJS SUDAH DILAYANI
- - 50,500 BPJS SUDAH DILAYANI
- - 101,600 BPJS SUDAH DILAYANI
- - 35,200 BPJS SUDAH DILAYANI 23,000
- - 36,500 BPJS SUDAH DILAYANI
- - 37,400 BPJS SUDAH DILAYANI 57,000
- - 39,000 BPJS SUDAH DILAYANI
- - 37,000 BPJS SUDAH DILAYANI
- - 38,000 BPJS SUDAH DILAYANI
- - 43,000 BPJS SUDAH DILAYANI
- - 33,000 BPJS SUDAH DILAYANI
- - 43,000 BPJS SUDAH DILAYANI
- - 42,000 BPJS SUDAH DILAYANI
- - 32,000 BPJS SUDAH DILAYANI
- - 37,000 BPJS SUDAH DILAYANI
- - 37,000 BPJS SUDAH DILAYANI
- - 36,000 BPJS SUDAH DILAYANI
- - 37,000 BPJS SUDAH DILAYANI
- - 37,000 BPJS SUDAH DILAYANI
- - 34,000 BPJS SUDAH DILAYANI
- - 43,000 UMUM/BPJS SUDAH DILAYANI
- - 45,000 BPJS SUDAH DILAYANI
- - 32,000 BPJS SUDAH DILAYANI
- - 15,000 BPJS SUDAH DILAYANI
- - 31,000 UMUM/BPJS SUDAH DILAYANI
- - 15,000 BPJS SUDAH DILAYANI
- - 33,000 BPJS SUDAH DILAYANI
- - 41,000 BPJS SUDAH DILAYANI
- - 27,000 BPJS SUDAH DILAYANI
- - 32,000 BPJS SUDAH DILAYANI
- - 42,000 BPJS SUDAH DILAYANI
- - 43,000 BPJS SUDAH DILAYANI
- - 31,000 BPJS SUDAH DILAYANI
- - 35,000 BPJS SUDAH DILAYANI
- - 36,000 BPJS SUDAH DILAYANI
- - 35,000 UMUM/BPJS SUDAH DILAYANI
- - 39,000 BPJS SUDAH DILAYANI
- - 44,000 BPJS SUDAH DILAYANI
- - 36,000 BPJS SUDAH DILAYANI
- - 113,900 BPJS SUDAH DILAYANI
- - 30,000 BPJS SUDAH DILAYANI
- - 40,000 BPJS SUDAH DILAYANI
- - 32,000 BPJS SUDAH DILAYANI
- - 39,000 BPJS SUDAH DILAYANI
- - 32,000 BPJS SUDAH DILAYANI 13,000
- - 35,000 BPJS SUDAH DILAYANI
- - 31,000 BPJS SUDAH DILAYANI
- - 29,000 BPJS SUDAH DILAYANI
- - 41,000 BPJS SUDAH DILAYANI
- - 31,000 UMUM/BPJS SUDAH DILAYANI
- - 199,000 BPJS SUDAH DILAYANI
- - 43,000 BPJS SUDAH DILAYANI
- - 44,000 BPJS SUDAH DILAYANI
- - 30,000 BPJS SUDAH DILAYANI 87,000 25,000
- - 76,000 BPJS SUDAH DILAYANI
- - 32,000 BPJS SUDAH DILAYANI
- - 41,000 BPJS SUDAH DILAYANI
- - 47,000 BPJS SUDAH DILAYANI 52,000
- - 39,000 BPJS SUDAH DILAYANI
- - 43,000 BPJS SUDAH DILAYANI
- - 54,000 BPJS SUDAH DILAYANI
- - 40,000 BPJS SUDAH DILAYANI
- - 37,000 BPJS SUDAH DILAYANI
- - 56,000 BPJS SUDAH DILAYANI 21,000
- - 30,000 BPJS SUDAH DILAYANI
- - 15,000 BPJS SUDAH DILAYANI
- - 34,000 BPJS SUDAH DILAYANI
- - 39,000 BPJS SUDAH DILAYANI
- - 31,000 BPJS SUDAH DILAYANI
- - 45,000 BPJS SUDAH DILAYANI
- - 49,000 BPJS SUDAH DILAYANI
- - 43,000 BPJS SUDAH DILAYANI
- - 34,000 BPJS SUDAH DILAYANI
- - 44,000 BPJS SUDAH DILAYANI
- - 42,000 BPJS SUDAH DILAYANI
- - 40,000 BPJS SUDAH DILAYANI
- - 15,000 BPJS SUDAH DILAYANI
- - 15,000 BPJS SUDAH DILAYANI 13,000
- - 55,000 BPJS SUDAH DILAYANI
- - 43,000 BPJS SUDAH DILAYANI
- - 31,000 ASKES SUDAH DILAYANI
- - 49,000 ASKES SUDAH DILAYANI
- - 51,000 BPJS SUDAH DILAYANI
- - 39,000 BPJS SUDAH DILAYANI
- - 15,000 BPJS SUDAH DILAYANI 25,000
- - 35,000 BPJS SUDAH DILAYANI
- - 25,100 BPJS SUDAH DILAYANI
- - 58,000 ASKES SUDAH DILAYANI
- - 46,000 BPJS SUDAH DILAYANI
- - 24,000 BPJS SUDAH DILAYANI
- - 37,400 BPJS SUDAH DILAYANI 23,000
- - 39,400 ASKES SUDAH DILAYANI
- - 34,400 BPJS SUDAH DILAYANI
- - 15,000 BPJS SUDAH DILAYANI
- - 38,000 ASKES SUDAH DILAYANI
- - 33,000 BPJS SUDAH DILAYANI
- - 56,000 BPJS SUDAH DILAYANI
- - 122,000 BPJS SUDAH DILAYANI
- - 39,500 BPJS SUDAH DILAYANI
- - 34,300 ASKES SUDAH DILAYANI 24,000
- - 15,000 BPJS SUDAH DILAYANI
- - 40,800 BPJS SUDAH DILAYANI
- - 45,500 BPJS SUDAH DILAYANI
- - 32,300 BPJS SUDAH DILAYANI
- - 42,000 BPJS SUDAH DILAYANI
- - 33,000 BPJS SUDAH DILAYANI
- - 38,000 BPJS SUDAH DILAYANI
- - 76,000 BPJS SUDAH DILAYANI
- - 64,800 BPJS SUDAH DILAYANI
- - 39,500 BPJS SUDAH DILAYANI
- - 39,500 BPJS SUDAH DILAYANI 36,000
- - 57,000 BPJS SUDAH DILAYANI 24,000
- - 31,500 BPJS SUDAH DILAYANI
- - 25,300 BPJS SUDAH DILAYANI
- - 36,100 BPJS SUDAH DILAYANI
- - 35,000 BPJS SUDAH DILAYANI
- - 29,000 BPJS SUDAH DILAYANI
- - 27,000 BPJS SUDAH DILAYANI
- - 38,000 BPJS SUDAH DILAYANI
- - 15,000 BPJS SUDAH DILAYANI
- - 15,000 ASKES SUDAH DILAYANI
- - 25,400 BPJS SUDAH DILAYANI
- - 42,200 BPJS SUDAH DILAYANI
- - 31,800 JAMSOSTEK SUDAH DILAYANI
- - 32,400 BPJS SUDAH DILAYANI
- - 34,600 BPJS SUDAH DILAYANI
- - 30,000 BPJS SUDAH DILAYANI
- - 42,400 BPJS SUDAH DILAYANI
- - 28,000 BPJS SUDAH DILAYANI
- - 120,700 BPJS SUDAH DILAYANI
- - 45,000 BPJS SUDAH DILAYANI
- - 117,200 ASKES SUDAH DILAYANI
- - 45,000 BPJS SUDAH DILAYANI 25,000
- - 36,200 BPJS SUDAH DILAYANI 13,000
- - 15,000 BPJS SUDAH DILAYANI 48,000
- - 23,500 BPJS SUDAH DILAYANI
- - 99,000 BPJS SUDAH DILAYANI
- - 107,300 ASKES SUDAH DILAYANI
- - 37,000 ASKES SUDAH DILAYANI
- - 32,500 BPJS SUDAH DILAYANI 14,000
- - 34,000 BPJS SUDAH DILAYANI 17,000 60,000
- - 33,700 BPJS SUDAH DILAYANI
- - 43,650 BPJS SUDAH DILAYANI
- - 162,500 BPJS SUDAH DILAYANI
- - 29,200 BPJS SUDAH DILAYANI
- - 38,500 BPJS SUDAH DILAYANI
- - 28,200 BPJS SUDAH DILAYANI 50,000
- - 39,400 BPJS SUDAH DILAYANI
- - 70,000 BPJS SUDAH DILAYANI
- - 33,500 BPJS SUDAH DILAYANI
- - 46,200 ASKES SUDAH DILAYANI
- - 30,000 BPJS SUDAH DILAYANI 70,000
- - 109,000 BPJS SUDAH DILAYANI
- - 43,600 BPJS SUDAH DILAYANI
- - 27,700 BPJS SUDAH DILAYANI
- - 36,100 BPJS SUDAH DILAYANI
- - 37,900 BPJS SUDAH DILAYANI
- - 43,700 BPJS SUDAH DILAYANI
- - 47,800 BPJS SUDAH DILAYANI
- - 36,600 BPJS SUDAH DILAYANI
- - 37,600 BPJS SUDAH DILAYANI
- - 35,600 BPJS SUDAH DILAYANI
- - 41,800 BPJS SUDAH DILAYANI
- - 23,000 BPJS SUDAH DILAYANI
- - 43,000 BPJS SUDAH DILAYANI 16,000
- - 55,600 BPJS SUDAH DILAYANI 11,000
- - 37,400 BPJS SUDAH DILAYANI
- - 37,200 BPJS SUDAH DILAYANI
- - 30,800 BPJS SUDAH DILAYANI
- - 119,000 BPJS SUDAH DILAYANI
- - 42,600 BPJS SUDAH DILAYANI
- - 55,700 BPJS SUDAH DILAYANI
- - 33,500 BPJS SUDAH DILAYANI 25,000
- - 54,300 BPJS SUDAH DILAYANI
- - 44,800 BPJS SUDAH DILAYANI
- - 56,000 BPJS SUDAH DILAYANI
- - 46,400 BPJS SUDAH DILAYANI 39,000
- - 57,800 BPJS SUDAH DILAYANI
- - 43,800 BPJS SUDAH DILAYANI 19,000
- - 98,300 BPJS SUDAH DILAYANI
- - 35,200 BPJS SUDAH DILAYANI
- - 34,000 BPJS SUDAH DILAYANI 16,000
- - 15,000 BPJS SUDAH DILAYANI 12,000 48,000
- - 46,000 UMUM/BPJS SUDAH DILAYANI
- - 132,000 BPJS SUDAH DILAYANI
- - 55,000 ASKES SUDAH DILAYANI
- - 52,000 BPJS SUDAH DILAYANI
- - 143,500 BPJS SUDAH DILAYANI 51,000
- - 90,500 BPJS SUDAH DILAYANI
- - 51,000 BPJS SUDAH DILAYANI
- - 38,500 BPJS SUDAH DILAYANI 42,000 25,000
- - 57,500 BPJS SUDAH DILAYANI 60,000
- - 31,500 BPJS SUDAH DILAYANI
- - 38,300 BPJS SUDAH DILAYANI
- - 47,000 BPJS SUDAH DILAYANI
- - 15,000 BPJS SUDAH DILAYANI
- - 15,000 BPJS SUDAH DILAYANI
- - 42,800 BPJS SUDAH DILAYANI 16,000
- - 37,600 BPJS SUDAH DILAYANI
- - 55,000 BPJS SUDAH DILAYANI
- - 36,600 BPJS SUDAH DILAYANI
- - 15,000 BPJS SUDAH DILAYANI
- - 57,000 BPJS SUDAH DILAYANI
- - 43,500 BPJS SUDAH DILAYANI
- - 55,000 BPJS SUDAH DILAYANI
- - 24,000 BPJS SUDAH DILAYANI
- - 57,800 BPJS SUDAH DILAYANI
- - 26,000 BPJS SUDAH DILAYANI
- - 36,000 BPJS SUDAH DILAYANI
- - 37,600 BPJS SUDAH DILAYANI 30,000
- - 33,400 BPJS SUDAH DILAYANI
- - 29,600 BPJS SUDAH DILAYANI
- - 30,000 BPJS SUDAH DILAYANI
- - 39,400 BPJS SUDAH DILAYANI
- - 36,200 BPJS SUDAH DILAYANI
- - 15,000 BPJS SUDAH DILAYANI
- - 45,000 BPJS SUDAH DILAYANI
- - 28,700 BPJS SUDAH DILAYANI
- - 45,500 BPJS SUDAH DILAYANI
- - 35,200 ASKES SUDAH DILAYANI
- - 30,000 BPJS SUDAH DILAYANI
- - 32,200 BPJS SUDAH DILAYANI
- - 35,500 ASKES SUDAH DILAYANI
- - 32,200 BPJS SUDAH DILAYANI
- - 39,900 BPJS SUDAH DILAYANI
- - 44,100 BPJS SUDAH DILAYANI
- - 38,700 BPJS SUDAH DILAYANI
- - 105,200 ASKES SUDAH DILAYANI 159,000 48,000
- - 41,800 BPJS SUDAH DILAYANI
- - 55,100 BPJS SUDAH DILAYANI
- - 50,600 BPJS SUDAH DILAYANI
- - 70,100 BPJS SUDAH DILAYANI
- - 56,700 BPJS SUDAH DILAYANI LAB
- - 36,600 BPJS SUDAH DILAYANI
- - 37,600 BPJS SUDAH DILAYANI
- - 37,000 BPJS SUDAH DILAYANI
- - 48,400 UMUM/BPJS SUDAH DILAYANI 48,000
- - 36,600 BPJS SUDAH DILAYANI
- - 48,400 BPJS SUDAH DILAYANI
- - 50,900 BPJS SUDAH DILAYANI
- - 15,000 BPJS SUDAH DILAYANI
- - 15,000 BPJS SUDAH DILAYANI
- - 15,000 BPJS SUDAH DILAYANI
- - 36,150 BPJS SUDAH DILAYANI
- - 50,100 BPJS SUDAH DILAYANI
- - 34,500 BPJS SUDAH DILAYANI
- - 41,000 UMUM/BPJS SUDAH DILAYANI
- - 33,200 BPJS SUDAH DILAYANI
- - 49,300 BPJS SUDAH DILAYANI
- - 40,100 BPJS SUDAH DILAYANI
- - 37,400 BPJS SUDAH DILAYANI
- - 25,600 BPJS SUDAH DILAYANI
- - 39,400 ASKES SUDAH DILAYANI
- - 27,700 BPJS SUDAH DILAYANI
- - 44,000 BPJS SUDAH DILAYANI
- - 31,000 BPJS SUDAH DILAYANI
- - 31,000 BPJS SUDAH DILAYANI
- - 32,000 BPJS SUDAH DILAYANI
- - 37,000 BPJS SUDAH DILAYANI
- - 36,000 BPJS SUDAH DILAYANI
- - 36,000 BPJS SUDAH DILAYANI
- - 32,000 BPJS SUDAH DILAYANI
- - 38,000 BPJS SUDAH DILAYANI
- - 42,000 BPJS SUDAH DILAYANI
- - 43,000 BPJS SUDAH DILAYANI
- - 35,000 BPJS SUDAH DILAYANI
- - 31,000 BPJS SUDAH DILAYANI
- - 36,000 BPJS SUDAH DILAYANI
- - 27,000 BPJS SUDAH DILAYANI
- - 37,000 BPJS SUDAH DILAYANI
- - 35,000 BPJS SUDAH DILAYANI
- - 29,000 BPJS SUDAH DILAYANI
- - 123,000 BPJS SUDAH DILAYANI
- - 21,000 BPJS SUDAH DILAYANI
- - 37,000 BPJS SUDAH DILAYANI
- - 40,000 BPJS SUDAH DILAYANI
- - 33,000 BPJS SUDAH DILAYANI
- - 49,000 BPJS SUDAH DILAYANI
- - 33,000 BPJS SUDAH DILAYANI
- - 21,000 BPJS SUDAH DILAYANI
- - 38,000 BPJS SUDAH DILAYANI
- - 52,000 BPJS SUDAH DILAYANI
- - 42,000 BPJS SUDAH DILAYANI
- - 47,000 BPJS SUDAH DILAYANI

48,000
- -
LAPORAN PERINCIAN BPJS-MARET 2016

No Tanggal No. RM Nama Pasien No. Apotek IGD Rawat Jalan Jasa Dokter Dokter Lab Kartu Oxygen KIA

1 01.03.16 F000228 FAHIRA RAISA 7 21,000 - 11,000 4,000 WULAN WIDYAWATI - - - -


2 01.03.16 S005349 SYALLIQUE AFFAN IHSAN 9 18,000 - 11,000 4,000 WULAN WIDYAWATI - - - -
3 01.03.16 R005225 RISKA HAYATI 12 21,000 - 11,000 4,000 WULAN WIDYAWATI 101,000 - - -
4 01.03.16 M004993 MUTIA ZAHARANIE PUTRI 14 23,000 - 11,000 4,000 WULAN WIDYAWATI - - - -
5 01.03.16 T000660 TIA DESTIANA 15 15,000 - 11,000 4,000 WULAN WIDYAWATI - - - -
6 01.03.16 T001151 TETIN RIZKIATIN 16 10,000 - 11,000 4,000 WULAN WIDYAWATI - - - -
7 01.03.16 H000460 HAZKIA YUNAIRA W 18 19,000 - 11,000 4,000 WULAN WIDYAWATI - - - -
8 01.03.16 H000199 HADZIQ ABDUSY WIGUNA 19 19,000 - 11,000 4,000 WULAN WIDYAWATI - - - -
9 01.03.16 I003582 IDA FARIDAWATI 22 29,000 - 11,000 4,000 WULAN WIDYAWATI - - - -
10 01.03.16 R004636 RIZQI SAPUTRA 23 25,000 - 11,000 4,000 WULAN WIDYAWATI - - - -
11 01.03.16 Y000457 YENI HERYANI 24 29,000 - 11,000 4,000 WULAN WIDYAWATI - - - -
12 01.03.16 A005710 AGUS SUDARMAN 25 16,000 - 11,000 4,000 WULAN WIDYAWATI - - - -
13 01.03.16 E003346 ENUR LATIFAH SUPARDI 27 19,000 - 11,000 4,000 WULAN WIDYAWATI - - - -
14 01.03.16 I001558 IRI AMAS 28 14,000 - 11,000 4,000 WULAN WIDYAWATI - - - -
15 01.03.16 E003607 ERNI WIDIASARI 29 30,000 - 11,000 4,000 WULAN WIDYAWATI - - - -
16 01.03.16 S004952 SUSUM SUMIATI 32 27,000 - 11,000 4,000 WULAN WIDYAWATI - - - -
17 01.03.16 A008155 AI NURHAYATI 33 27,000 - 11,000 4,000 WULAN WIDYAWATI - - - -
18 01.03.16 E003001 ETI SUSANTI 36 16,000 - 11,000 4,000 WULAN WIDYAWATI - - - -
19 01.03.16 S000676 SURYATI 41 33,000 - 11,000 4,000 WULAN WIDYAWATI - - - -
20 01.03.16 U000304 UUS KUSNADI 42 21,000 - 11,000 4,000 WULAN WIDYAWATI - - - -
21 01.03.16 K001207 KIKI PUSPITASARI 44 15,000 - 11,000 4,000 WULAN WIDYAWATI - - - -
22 01.03.16 K001202 KHALIFA LULU HUWAIDA 45 20,000 - 11,000 4,000 WULAN WIDYAWATI - - - -
23 01.03.16 A009406 ALMA AURIELLA MAOLANI 47 26,000 - 11,000 4,000 WULAN WIDYAWATI - - - -
24 01.03.16 A004843 ADILA ADI FEBI 49 28,000 - 11,000 4,000 WULAN WIDYAWATI - - - -
25 01.03.16 S005219 SYIFA SYAFITRI 52 40,000 - 11,000 4,000 WULAN WIDYAWATI - - - -
26 01.03.16 S003644 SULTAN ALI MUBAROK 55 47,000 - 11,000 4,000 WULAN WIDYAWATI 80,000 - - -
27 01.03.16 W001163 WAWA ABDUL WAHAB 56 32,000 - 11,000 4,000 WULAN WIDYAWATI - - - -
28 01.03.16 A008126 ABIDIN 57 16,000 - 11,000 4,000 WULAN WIDYAWATI - - - -
29 01.03.16 D002574 DENI IBRAHIM 60 14,000 - 11,000 4,000 WULAN WIDYAWATI 18,000 - - -
30 01.03.16 P000003 PEPEN FATHUROCHMAN 63 7,000 - 11,000 4,000 WULAN WIDYAWATI - - - -
31 01.03.16 R002682 RAMANDA FAUJAN 64 35,000 - 11,000 4,000 WULAN WIDYAWATI - - - -
32 01.03.16 T001887 TRIANGGA 65 26,000 - 11,000 4,000 WULAN WIDYAWATI - - - -
33 01.03.16 N001458 NINO LESMANA 66 14,000 - 11,000 4,000 WULAN WIDYAWATI - - - -
34 01.03.16 O000227 OMANAH 67 44,000 - 11,000 4,000 WULAN WIDYAWATI 60,000 - - -
35 01.03.16 F002137 FELISA RHAMADANI 69 27,000 - 11,000 4,000 WULAN WIDYAWATI - - - -
36 01.03.16 I002685 IRA RAHMAWULAN 71 20,000 - 11,000 4,000 WULAN WIDYAWATI - - - -
37 01.03.16 A009407 ASEP LILI 74 37,000 - 11,000 4,000 WULAN WIDYAWATI - - - -
38 01.03.16 S003142 SURYANA 75 21,000 - 11,000 4,000 WULAN WIDYAWATI 18,000 - - -
39 01.03.16 R000369 RIA FITRIANI 76 28,000 - 11,000 4,000 WULAN WIDYAWATI - - - -
40 01.03.16 A009409 ABDUL AZIS 78 18,000 - 11,000 4,000 WULAN WIDYAWATI - - - -
41 01.03.16 A007495 ASEP RUSYANDI 79 7,000 - 11,000 4,000 WULAN WIDYAWATI 18,000 - - -
42 01.03.16 W000940 WAFA AKMALUDDIN AL-QODIRI 80 25,200 - 11,000 4,000 WULAN WIDYAWATI - - - -
45 01.03.16 A008709 ANISA ISNA MUTIA 83 - - 11,000 4,000 NOVI YULIANTI - - - -
46 01.03.16 Y002098 YASARA RAHMA HIJRIA 84 17,000 - 11,000 4,000 NOVI YULIANTI - - - -
47 01.03.16 Y001661 YAFI RASYIQ H 85 30,000 - 11,000 4,000 NOVI YULIANTI - - - -
48 01.03.16 D000082 DIAR MOCHAMMAD SYAFRIZAL 86 26,000 - 11,000 4,000 NOVI YULIANTI 80,000 - - -
49 01.03.16 F002138 FITRIA ENDAH HARYANI 87 - - 11,000 4,000 NOVI YULIANTI - - - -
50 01.03.16 A007560 ARIS AGUSTIAWAN 88 26,400 - 11,000 4,000 NOVI YULIANTI - - - -
51 01.03.16 M004669 M HAIKAL AKBAR 89 28,700 - 11,000 4,000 NOVI YULIANTI - - - -
52 01.03.16 M004638 MUHAMAD RAMY AL RASYID 90 59,700 - 11,000 4,000 NOVI YULIANTI - - - -
53 01.03.16 A008583 ANI ROHANI 91 30,600 - 11,000 4,000 NOVI YULIANTI - - - -
54 01.03.16 M004571 MUHAMMAD RAYHAN PRATAMA 93 27,100 - 11,000 4,000 NOVI YULIANTI 80,000 - - -
55 01.03.16 G000412 GITA FLORENCIA 95 20,600 - 11,000 4,000 NOVI YULIANTI - - - -
56 01.03.16 Y002184 YULIA AGUSTINA 97 21,000 - 11,000 4,000 NOVI YULIANTI - - - -
57 01.03.16 R001367 RIANI PUTRI NINGTIAS 100 28,100 - 11,000 4,000 NOVI YULIANTI - - - -
58 01.03.16 L000568 LORENZA FEBRIAN 102 22,000 - 11,000 4,000 NOVI YULIANTI - - - -
59 01.03.16 A001585 AEP KUSMAN 103 21,200 - 11,000 4,000 NOVI YULIANTI - - - -
60 01.03.16 W001055 WATI RATNAWATI, HJ 104 17,200 - 11,000 4,000 NOVI YULIANTI - - - -
61 01.03.16 J000262 JOHAN TAMSIR 105 63,000 - 11,000 4,000 NOVI YULIANTI 48,000 - - -
62 01.03.16 M004240 MENIK PURWANDARI ASTUTI 110 27,200 - 11,000 4,000 NOVI YULIANTI - - - -
63 01.03.16 R004986 RAILA NOVIA SRI RAHMI 113 5,800 - 11,000 4,000 NOVI YULIANTI - - - -
64 01.03.16 N000933 NESYA YULISTIAN DINI 116 19,000 - 11,000 4,000 NOVI YULIANTI - - - -
65 01.03.16 F001706 FAIREL TWINDRA ATHARIZ 117 17,000 - 11,000 4,000 NOVI YULIANTI - - - -
66 01.03.16 L000993 LUKMAN HIELMI 119 21,000 - 11,000 4,000 NOVI YULIANTI - - - -
67 02.03.16 Z000516 ZIAN ZAHRANI APRILIA HANDRIY 2 28,700 - 11,000 4,000 NOVI YULIANTI - - - -
68 02.03.16 Z000639 ZIRAN PATRIYASA RAMDHAN 3 21,000 - 11,000 4,000 NOVI YULIANTI - - - -
69 02.03.16 A003169 AULIA NUR MAYANTI 10 28,000 - 11,000 4,000 NOVI YULIANTI - - - -
70 02.03.16 S004901 SAKRIM 12 21,000 - 11,000 4,000 NOVI YULIANTI - - - -
71 02.03.16 R004537 RAZKA MUHAMMAD HISHAM 13 9,000 - 11,000 4,000 NOVI YULIANTI - - - -
72 02.03.16 O000589 OHAR.H 14 - - - - CEK LAB SAJA 43,000 - - -
73 02.03.16 U000662 USAM SAMSUDIN 17 40,000 - 11,000 4,000 NOVI YULIANTI - - - -
74 02.03.16 M004571 MUHAMMAD RAYHAN PRATAMA 18 - - 11,000 4,000 NOVI YULIANTI 55,000 - - -
75 02.03.16 N003585 NONENG SOLIHAT 22 18,000 - 11,000 4,000 NOVI YULIANTI - - - -
76 02.03.16 R004839 RUDI SUHERLI 23 - - 11,000 4,000 NOVI YULIANTI - - - -
77 02.03.16 N000265 NANANG SURYATNA 24 19,000 - 11,000 4,000 NOVI YULIANTI - - - -
78 02.03.16 I000123 IMAS SURTINI PERMASIH 25 19,000 - 11,000 4,000 NOVI YULIANTI - - - -
79 02.03.16 A009414 AGHARR AL-GHIFARI 27 46,000 - 11,000 4,000 NOVI YULIANTI - - - -
80 02.03.16 H002002 HAMIDAH 31 - - 11,000 4,000 NOVI YULIANTI - - - -
81 02.03.16 D001804 DEDE NURYATI,HJ 33 45,000 - 11,000 4,000 NOVI YULIANTI 25,000 - - -
82 02.03.16 S002334 SAEFULLOH 34 18,000 - 11,000 4,000 NOVI YULIANTI - - - -
83 02.03.16 E003484 ENTIN FATIMAH 36 35,000 - 11,000 4,000 NOVI YULIANTI 35,000 - - -
84 02.03.16 E002490 ERSAN ALI HILMAN 38 25,000 - 11,000 4,000 NOVI YULIANTI - - - -
85 02.03.16 A008437 ADIBA MUSYAFFA ASLAM 43 20,000 - 11,000 4,000 NOVI YULIANTI - - - -
86 02.03.16 R005097 RAPI RAMADAN 44 29,000 - 11,000 4,000 NOVI YULIANTI - - - -
87 02.03.16 A008393 ASEP ROHMAN 46 25,000 - 11,000 4,000 NOVI YULIANTI - - - -
88 02.03.16 N003835 NOPI HERLINA 52 - - - - PERIKSA KEBIDANAN - - - 15,000
89 02.03.16 Y002206 YOPI GUNAWAN 56 18,000 - 11,000 4,000 NOVI YULIANTI - - - -
90 02.03.16 N003880 NURLIAWATI 57 21,000 - 11,000 4,000 NOVI YULIANTI - - - -
91 02.03.16 E001197 EMPON 58 25,000 - 11,000 4,000 NOVI YULIANTI 48,000 - - -
92 02.03.16 F001854 FAZILLA SEPTIANI BONISA (F 2031 60 - - 11,000 4,000 NOVI YULIANTI - - - -
93 02.03.16 L000887 LARAS MUTIARA PUTRI 61 26,000 - 11,000 4,000 NOVI YULIANTI - - - -
94 02.03.16 A008656 ANDRI YANA 62 6,000 - 11,000 4,000 NOVI YULIANTI - - - -
95 02.03.16 W000787 WAHYU 66 30,000 - 11,000 4,000 NOVI YULIANTI 48,000 - - -
96 02.03.16 T001517 TJATJIH 67 34,000 - 11,000 4,000 NOVI YULIANTI - - - -
97 02.03.16 D001472 DENDI AHMAD DANI 68 31,000 11,000 4,000 NOVI YULIANTI - - - -
98 02.03.16 R005119 REPI NURDIANTI 70 27,000 - 11,000 4,000 NOVI YULIANTI - - - -
99 02.03.16 K001105 KHAIRIN HANINDA AULIA 71 21,900 - 11,000 4,000 NOVI YULIANTI - - - -
100 02.03.16 T001746 TITA SETIAWATI 77 15,700 - 11,000 4,000 WULAN WIDYAWATI - - - -
101 02.03.16 N002932 NENGSIH 79 19,300 - 11,000 4,000 WULAN WIDYAWATI - - - -
102 02.03.16 D002391 DIKA MUHAMAD NUGRAHA 80 22,000 - 11,000 4,000 WULAN WIDYAWATI - - - -
103 02.03.16 H001830 HANA WULANDARI 81 16,000 - 11,000 4,000 WULAN WIDYAWATI - - - -
104 02.03.16 L001137 LINDAWATI 83 22,400 - 11,000 4,000 WULAN WIDYAWATI - - - -
105 02.03.16 M003238 M RIZKI SUBAGJA 87 28,100 - 11,000 4,000 WULAN WIDYAWATI - - - -
106 02.03.16 Y002166 YAKIN SETIAHARSA 90 - - 11,000 4,000 WULAN WIDYAWATI - - - -
107 02.03.16 A001843 ALZA SHABRINA ADZAM 91 35,500 - 11,000 4,000 WULAN WIDYAWATI - - - -
108 02.03.16 F001329 FAIZ AHMAD FIRDAUS 93 24,500 - 11,000 4,000 WULAN WIDYAWATI - - - -
109 02.03.16 N003472 NIJMA FIRDAUSI RIDWAN 105 18,900 - 11,000 4,000 WULAN WIDYAWATI - - - -
110 02.03.16 M003514 MUHAMMAD TSAQIF NASHRUDI 106 29,100 - 11,000 4,000 WULAN WIDYAWATI - - - -
111 02.03.16 D002983 DINA HANIPAH 109 22,750 - 11,000 4,000 WULAN WIDYAWATI 80,000 - - -
112 02.03.16 M004658 MAMAT RAHMAT 115 24,900 - 11,000 4,000 WULAN WIDYAWATI
113 02.03.16 E003595 EVA FARIDA TRESNA 116 15,200 - 11,000 4,000 WULAN WIDYAWATI - - - -
114 02.03.16 A009418 ANGGA TRESNA SANJAYA 117 26,900 - 11,000 4,000 WULAN WIDYAWATI - - - -
115 02.03.16 I002443 IRWAN KURNIAWAN 118 21,300 - 11,000 4,000 WULAN WIDYAWATI - - - -
116 02.03.16 A006681 ASEP SAEPUDIN 119 10,000 - 11,000 4,000 WULAN WIDYAWATI - - - -
117 02.03.16 S005472 SRI SETIANI 120 26,700 - 11,000 4,000 WULAN WIDYAWATI - - - -
118 02.03.16 A005273 AQILA DEVANA GUNAWAN 121 20,000 - 11,000 4,000 WULAN WIDYAWATI - - - -
119 02.03.16 R004777 RAYYANDRA ILYAS SEFA 123 28,100 - 11,000 4,000 WULAN WIDYAWATI - - - -
120 02.03.16 D000032 DINI ILMI 125 28,200 - 11,000 4,000 WULAN WIDYAWATI - - - -
121 02.03.16 T000931 TATSBITA FAHNA SAKINAH 127 41,700 - 11,000 4,000 WULAN WIDYAWATI - - - -
122 03.03.16 A007990 A.SAEPUDIN 4 30,700 - 11,000 4,000 NOVI YULIANTI - - - -
123 03.03.16 A001536 AI RAHMAWATI 5 28,200 - 11,000 4,000 NOVI YULIANTI - - - -
124 03.03.16 B000544 BUNGAINTANSUCIANI 15 - - 11,000 4,000 NOVI YULIANTI - - - -
125 03.03.16 D000104 DELIA AGUSTIN 16 11,000 - 11,000 4,000 NOVI YULIANTI - - - -
126 03.03.16 O000684 OPAN SOPANDI 17 22,000 - 11,000 4,000 NOVI YULIANTI - - - -
127 03.03.16 A008657 ALMAGHAVIRA KEYSHA PUTRI 20 21,000 - 11,000 4,000 NOVI YULIANTI - - - -
128 03.03.16 T000789 TITIN SUPRIATIN 21 24,400 - 11,000 4,000 NOVI YULIANTI - - - -
129 03.03.16 F002125 FATIMAH 22 19,900 - 11,000 4,000 NOVI YULIANTI - - - -
130 03.03.16 P000293 PUTRI SALWA NUR JANAH 23 53,300 - 11,000 4,000 NOVI YULIANTI - - - -
131 03.03.16 R004078 RENY RAHAYU SOFIANINGSIH 25 12,000 - 11,000 4,000 NOVI YULIANTI - - - -
132 03.03.16 S003589 SANI NARULITA 27 24,000 - 11,000 4,000 NOVI YULIANTI - - - -
133 03.03.16 D003636 DAFFA PRAJA ISMAIL ALFARIZKI 29 20,000 - 11,000 4,000 NOVI YULIANTI - - - -
134 03.03.16 N003881 NURHAYANI 32 25,600 - 11,000 4,000 NOVI YULIANTI - - - -
135 03.03.16 S005062 SALSABILA AZZAHRA 34 14,000 - 11,000 4,000 NOVI YULIANTI - - - -
136 03.03.16 A008126 ABIDIN 40 16,400 - 11,000 4,000 NOVI YULIANTI - - - -
137 03.03.16 N003882 NURRIS BAYANTI RUHIYANTINA 41 - - 11,000 4,000 NOVI YULIANTI - - - -
138 03.03.16 S005475 SOFI SOFWANTI 43 25,200 - 11,000 4,000 NOVI YULIANTI - - - -
139 03.03.16 F001892 FIAN SOFYAN ANSORI 44 20,000 - 11,000 4,000 NOVI YULIANTI - - - -
140 03.03.16 G000650 GIA GEMILINA 54 46,900 - 11,000 4,000 NOVI YULIANTI 80,000 - - -
141 03.03.16 O000591 OTAS MARYANI 66 30,500 - 11,000 4,000 NOVI YULIANTI - - - -
142 03.03.16 N001458 NINO LESMANA 68 21,000 - 11,000 4,000 H. ASEP MARYAMAN - - - -
143 03.03.16 A002469 ASTI RISMAWATI 69 7,000 - 11,000 4,000 NOVI YULIANTI - - - -
144 03.03.16 R000255 RIDWAN SOFYAN 70 24,000 - 11,000 4,000 H. ASEP MARYAMAN - - - -
145 03.03.16 D003455 DERI DWI LESMANA 73 18,000 - 11,000 4,000 H. ASEP MARYAMAN - - - -
146 03.03.16 R002692 REVAN DAIS PRATAMA 74 21,000 - 11,000 4,000 H. ASEP MARYAMAN - - - -
147 03.03.16 N003883 NOPI HERLIANA 75 - - 11,000 4,000 H. ASEP MARYAMAN - - - -
148 03.03.16 N003884 NAURAJASMINER 76 27,000 - 11,000 4,000 H. ASEP MARYAMAN - - - -
149 03.03.16 M005003 MUHAMMADDANISH 77 22,000 - 11,000 4,000 H. ASEP MARYAMAN - - - -
150 03.03.16 L001219 LUSIANA 83 32,000 - 11,000 4,000 H. ASEP MARYAMAN - - - -
151 03.03.16 U000676 UNAISAH 85 22,600 - 11,000 4,000 H. ASEP MARYAMAN 80,000 - - -
152 03.03.16 U000847 UMAR FAUZAN ABDUSALAM 86 18,400 - 11,000 4,000 H. ASEP MARYAMAN - - - -
153 03.03.16 M004798 MOCH. IBNU AZZQA AL FARIZQI 88 27,000 - 11,000 4,000 H. ASEP MARYAMAN - - - -
154 03.03.16 T001889 TEGUH AKBAR FIRMANSYAH 89 - - 11,000 4,000 H. ASEP MARYAMAN - - - -
155 03.03.16 Y000708 YUNI NURAENI M 90 - - 1,000 4,000 H. ASEP MARYAMAN 66,000 - - -
156 03.03.16 R002761 RUDI PARMATO 91 34,000 - 11,000 4,000 H. ASEP MARYAMAN - - - -
157 03.03.16 E002299 ENTIN KARTINI 92 21,500 - 11,000 4,000 H. ASEP MARYAMAN - - - -
158 03.03.16 K001191 KHASYI FARZANA PUTRA 95 20,000 - 11,000 4,000 H. ASEP MARYAMAN - - - -
159 03.03.16 M004015 MUH FAIRUZ QUTHHAZ APIP 99 7,000 - 11,000 4,000 H. ASEP MARYAMAN - - - -
160 03.03.16 H000848 HARI HILMANSYAH 102 27,000 - 1,000 4,000 DETY NUR RACHMAWAT - - - -
161 04.03.16 A009407 ASEP LILI 2 23,500 - 11,000 4,000 WULAN WIDYAWATI 80,000 - - -
162 04.03.16 R001191 RIZQYLILLAH ABDUROCHIM 3 32,100 - 11,000 4,000 WULAN WIDYAWATI - - - -
163 04.03.16 I003590 IHKAM ZIKRA NURPIKRI 9 - - 11,000 4,000 WULAN WIDYAWATI - - - -
164 04.03.16 D000951 DINI FARAH FARDIANI 10 11,000 - 1,000 4,000 WULAN WIDYAWATI - - - -
165 04.03.16 M002074 MUHAMMAD AKMAL 11 24,200 - 11,000 4,000 WULAN WIDYAWATI - - - -
166 04.03.16 K000426 KINTAN AMALIA FEBRIANI 16 23,200 - 11,000 4,000 WULAN WIDYAWATI - - - -
167 04.03.16 S005478 SINDANITA RISKA ARUM MARES 17 15,400 - 11,000 4,000 WULAN WIDYAWATI - - - -
168 04.03.16 A001175 ADE JUHANAH 21 28,400 - 11,000 4,000 WULAN WIDYAWATI 18,000 - - -
169 04.03.16 C000019 CARRISA AURORA M 22 - - 11,000 4,000 WULAN WIDYAWATI 80,000 - - -
170 04.03.16 S005156 SITI UMU HANIFAH 23 21,000 - 11,000 4,000 WULAN WIDYAWATI - - - -
171 04.03.16 M004730 MUHAMAD IQBAL MAULANA 24 9,000 - 11,000 4,000 WULAN WIDYAWATI - - - -
172 04.03.16 R005025 ROHIM 26 47,000 - 11,000 4,000 WULAN WIDYAWATI - - - -
173 04.03.16 M003168 MERI KUSTIANI 28 - - - - PERIKSA KEBIDANAN - - - 41,000
174 04.03.16 N003082 NUFAIL 30 40,700 - 11,000 4,000 WULAN WIDYAWATI - - - -
175 04.03.16 A009220 AGUS ROHMAN 31 - - 11,000 4,000 WULAN WIDYAWATI - - - -
176 04.03.16 H002035 HANI NURAFIANTI 32 54,000 - 11,000 4,000 WULAN WIDYAWATI - - - -
177 04.03.16 A006574 AJENG PUTERI ANRIANI 33 - - - - PERIKSA KEBIDANAN - - - 27,000
178 04.03.16 M005004 MUHAMAD SPFWAN NUROHMAN 34 21,400 - 11,000 4,000 WULAN WIDYAWATI - - - -
179 04.03.16 A005753W ANDRIS NOVIAN 35 34,000 - 11,000 4,000 WULAN WIDYAWATI - - - -
180 04.03.16 L001135 LUTHFIA PUTRI FAHIRA 38 - - 11,000 4,000 WULAN WIDYAWATI - - - -
181 04.03.16 A003283 ASRI HENDRA MAWATY 40 46,200 45,000 11,000 4,000 WULAN WIDYAWATI - - - -
182 04.03.16 H000999 HERA HERAWATI 41 12,000 - 11,000 4,000 WULAN WIDYAWATI - - - -
183 04.03.16 P000814 POPON 46 21,600 11,000 4,000 WULAN WIDYAWATI - - - -
185 04.03.16 C000701 CUCU 51 24,000 - 11,000 4,000 WULAN WIDYAWATI 43,000 - - -
186 04.03.16 K001042 KIREINA MEINA HILMAN 55 24,600 - 11,000 4,000 WULAN WIDYAWATI - - - -
187 04.03.16 W000756 WAWANG SUWANGSIH 56 28,400 - 11,000 4,000 WULAN WIDYAWATI - - - -
188 04.03.16 S003939 SINTA CAHYA DEWI 58 19,500 - 11,000 4,000 WULAN WIDYAWATI - - - -
189 04.03.16 E003102 EMA KRISMAWATI 61 16,600 - 11,000 4,000 WULAN WIDYAWATI - - - -
190 04.03.16 A008876 AI SOLIHAT 63 12,000 - 11,000 4,000 WULAN WIDYAWATI - - - -
191 04.03.16 Y001708 YAYAT RANA HERDIANA 64 29,500 - 11,000 4,000 WULAN WIDYAWATI - - - -
192 04.03.16 R003648 RINRIN APRIANI 66 24,000 - 11,000 4,000 WULAN WIDYAWATI - - - -
193 04.03.16 I001721 INDRI MARYANI 67 28,000 - 11,000 4,000 WULAN WIDYAWATI - - - -
194 04.03.16 R003174 RIA SATRIANA 68 29,000 - 11,000 4,000 WULAN WIDYAWATI - - - -
195 04.03.16 R004909 RAYA OKTAVIANI 69 27,000 - 11,000 4,000 WULAN WIDYAWATI - - - -
196 04.03.16 H000226 HARRY WIRAWAN 71 29,000 75,000 11,000 4,000 ANDI HERMANSYAH - - - -
197 04.03.16 I001457 IIN KURNIATIN 72 22,000 - 11,000 4,000 WULAN WIDYAWATI - - - -
198 04.03.16 N003793 NIA DAMAYANTI 74 26,000 - 11,000 4,000 ANDI HERMANSYAH 80,000 - - -
199 04.03.16 N003289 NOPIYAN NURDIANSYAH 75 - - 11,000 4,000 ANDI HERMANSYAH - - - -
200 04.03.16 A009221 ALMAIRA ZAHRATUNNIDA 76 37,000 - 11,000 4,000 ANDI HERMANSYAH - - - -
201 04.03.16 R005137 RAISYA AZZAHRA NUROHMAN 77 20,000 - 11,000 4,000 ANDI HERMANSYAH - - - -
202 04.03.16 B000736 BASTIAN EKA SANJAYA 78 28,000 - 11,000 4,000 ANDI HERMANSYAH - - - -
203 04.03.16 L001095 LILIS LISNAWATI 84 15,000 - 1,000 4,000 ANDI HERMANSYAH - - - -
204 04.03.16 W000351 WITA PUSPITASARI 85 - - - - PERIKSA KEBIDANAN - - - 37,000
205 04.03.16 T001890 TITING SUMARTINI 86 24,000 - 11,000 4,000 ANDI HERMANSYAH - - - -
206 04.03.16 S005479 SITI JENAB 87 - - - - PERIKSA KEBIDANAN - - - 30,000
207 04.03.16 T001149 TASBIH NUROHMAN 88 36,000 - 11,000 4,000 ANDI HERMANSYAH - - - -
208 04.03.16 I000820 IWAN RIDWAN 89 35,000 - 11,000 4,000 ANDI HERMANSYAH - - - -
209 04.03.16 I002524 IWAN SOPYAN 90 26,000 - 11,000 4,000 ANDI HERMANSYAH - - - -
210 04.03.16 A009423 AI TUTI ATIKAH 92 25,000 - 11,000 4,000 ANDI HERMANSYAH - - - -
211 04.03.16 I002602 INDRA GUNAWAN 93 46,000 - 11,000 4,000 ANDI HERMANSYAH - - - -
212 04.03.16 D001324 DEWI KURNIATI 94 19,000 - 11,000 4,000 ANDI HERMANSYAH - - - -
213 04.03.16 M003049 M. NASIR NURROHIM 95 - - 11,000 4,000 ANDI HERMANSYAH - - - -
214 04.03.16 C000512 CINTARSIH 96 - - 11,000 4,000 ANDI HERMANSYAH - - - -
215 04.03.16 S002630 SYAMSIR MUHAMMAD ROFIQI 98 18,000 - 11,000 4,000 ANDI HERMANSYAH - - - -
216 04.03.16 K001313 KURNIATIN 99 - - 11,000 4,000 ANDI HERMANSYAH - - - -
217 04.03.16 E003612 ETI ROHAETI 101 77,000 - 11,000 4,000 ANDI HERMANSYAH - - - -
218 04.03.16 A007826 AULIA SEPTIANI E 102 16,000 - 11,000 4,000 ANDI HERMANSYAH - - - -
219 04.03.16 M004061 M MALEEK S 103 101,000 - 11,000 4,000 ANDI HERMANSYAH - - - -
220 04.03.16 S004658 SANTI AJINAWATI 109 22,000 - 11,000 4,000 ANDI HERMANSYAH - - - -
221 04.03.16 I003026 IMAS NURLATIFAH 110 29,000 - 11,000 4,000 ANDI HERMANSYAH - - - -
222 04.03.16 D002848 DEDE ROSMAWATI 111 82,000 - 11,000 4,000 ANDI HERMANSYAH - - - -
223 04.03.16 D003356 DEVISKA JANUAR ASTUTI 112 51,000 - 11,000 4,000 ANDI HERMANSYAH - - - -
224 04.03.16 N002471 NAZIL MUFTI MUBAROK 113 34,000 - 11,000 4,000 ANDI HERMANSYAH - - - -
225 04.03.16 G000593 GHAZIYA KHAIRA LUBNA 115 50,500 - 11,000 4,000 ANDI HERMANSYAH - - - -
226 04.03.16 N000657 NURMALIA RAHAYU,SPD 116 19,950 - 11,000 4,000 ANDI HERMANSYAH - - - -
227 04.03.16 R000550 RIA NINGSIH 118 24,400 - 11,000 4,000 ANDI HERMANSYAH - - - -
228 04.03.16 K001307 KAHLA AUFA ARIBAH 121 37,700 - 11,000 4,000 ANDI HERMANSYAH - - - -
229 05.03.16 P000708 PIRMAN NURHASBY MAULANA 3 73,000 45,000 11,000 4,000 WULAN WIDYAWATI - - - -
230 05.03.16 A001646 AJENG DANUR FAIDAH R 9 20,700 - 11,000 4,000 H. THIA SILVANA - - - -
231 05.03.16 Y002207 YANTI SOBARIAH JD SUSANTO 12 - - 11,000 4,000 WULAN WIDYAWATI - - - -
232 05.03.16 M002993 M. AIRALD R.A 13 49,400 - 11,000 4,000 WULAN WIDYAWATI - - - -
233 05.03.16 E000325 ENDANG SUHERMAN, H 14 81,000 - 11,000 4,000 WULAN WIDYAWATI - - - -
234 05.03.16 F002141 FUTIHAT 15 31,200 - 11,000 4,000 WULAN WIDYAWATI - - - -
235 05.03.16 A008657 ALMAGHAVIRA KEYSHA PUTRI 18 6,700 - 11,000 4,000 WULAN WIDYAWATI - - - -
236 05.03.16 M004731 MUHAMMAD AMZAR RAQILLA 22 25,700 - 11,000 4,000 WULAN WIDYAWATI - - - -
237 05.03.16 A008921 ASKANA SAKHI 23 41,700 - 11,000 4,000 WULAN WIDYAWATI - - - -
238 05.03.16 M004051 M. FAISHAL FIRDAUS 24 22,000 - 11,000 4,000 WULAN WIDYAWATI - - - -
239 05.03.16 R004127 RINI 25 19,500 - 11,000 4,000 WULAN WIDYAWATI - - - -
240 05.03.16 N003891 NUFAIL LUZMAN SATRIA PUTRA 29 27,000 - 11,000 4,000 WULAN WIDYAWATI - - - -
241 05.03.16 N002981 NADIRA FATIA KHOERUNISA 31 21,200 - 11,000 4,000 WULAN WIDYAWATI - - - -
242 05.03.16 P000003 PEPEN FATHUROCHMAN 32 9,500 - 11,000 4,000 WULAN WIDYAWATI - - - -
243 05.03.16 T000590 TAUFIK HIDAYAT 34 27,000 - 11,000 4,000 WULAN WIDYAWATI - - - -
244 05.03.16 R005231 RANI NURANI 40 18,000 - 11,000 4,000 WULAN WIDYAWATI - - - -
245 05.03.16 N002971 NENENG ROHAYATI 42 32,500 - 11,000 4,000 WULAN WIDYAWATI - - - -
246 05.03.16 W001164 WILDAN SAWALUDIN 45 53,000 - 11,000 4,000 WULAN WIDYAWATI - - - -
247 05.03.16 O000704 OMAN ROHMAN 46 20,000 - 11,000 4,000 WULAN WIDYAWATI - - - -
248 05.03.16 S004841 SITI JENAB 47 - - - - PERIKSA KEBIDANAN - - - 38,500
249 05.03.16 A009427 AGUS SALIH 48 50,600 - 11,000 4,000 WULAN WIDYAWATI - - - -
250 05.03.16 N002785 NURUL AIDA INDAH S 51 15,200 - 11,000 4,000 WULAN WIDYAWATI - - - -
251 05.03.16 L001137 LINDAWATI 53 25,000 - 11,000 4,000 WULAN WIDYAWATI 80,000 - - -
252 05.03.16 A004837 ADITYA SANA FUTRA 55 8,500 - 11,000 4,000 WULAN WIDYAWATI - - - -
253 05.03.16 F001926 FAYADH AL AZIZ IHSAN 57 20,900 - 11,000 4,000 WULAN WIDYAWATI - - - -
254 05.03.16 S002386 SRI MULYANI 58 - - 11,000 4,000 WULAN WIDYAWATI - - - -
255 05.03.16 A002459 ABAY NURJAMIL 59 28,000 - 11,000 4,000 WULAN WIDYAWATI - - - -
256 05.03.16 A009294 ASEP WAWAN S 61 16,000 - 11,000 4,000 WULAN WIDYAWATI - - - -
257 05.03.16 S001597 SYIFA FAUZIAH MUTMAINNAH 63 16,500 - 1,000 4,000 WULAN WIDYAWATI - - - -
258 05.03.16 E003245 ECIN 64 35,000 - 11,000 4,000 WULAN WIDYAWATI - - - -
259 05.03.16 K000891 KIKI KUSTIAWAN 70 14,200 - 11,000 4,000 WULAN WIDYAWATI - - - -
260 05.03.16 A006997 ADI RISWANTO 71 20,200 - 11,000 4,000 WULAN WIDYAWATI - - - -
261 05.03.16 D003082 DAVINA ASRIANI 75 36,200 - 11,000 4,000 WULAN WIDYAWATI - - - -
262 05.03.16 N002670 NANDI RAINAN MAULUDI 76 19,800 - 11,000 4,000 WULAN WIDYAWATI - - - -
263 05.03.16 N001647 NABILA FITRIANI 78 39,500 - 11,000 4,000 WULAN WIDYAWATI - - - -
264 05.03.16 Y000537 YOGA PURNAMA SOFYAN 79 19,400 - 1,000 4,000 WULAN WIDYAWATI - - - -
265 05.03.16 N000980 NUNIK MAHMUDAH NOORILAH 81 27,000 - 11,000 4,000 TENI S. RIFA’I - - - -
266 05.03.16 S002959 SINDI SEPTIANI 83 20,900 - 11,000 4,000 TENI S. RIFA’I - - - -
267 05.03.16 H001853 HERAWANTI 88 12,000 - 11,000 4,000 TENI S. RIFA’I - - - -
268 05.03.16 R004446 RINA SETIAWATI 90 20,000 - 11,000 4,000 TENI S. RIFA’I - - - -
269 05.03.16 W000016 WIDIA ARDININGRUM 92 16,700 - 11,000 4,000 TENI S. RIFA’I - - - -
270 05.03.16 Z000643 ZETA SANGGI PAMELA PAMUNGK 96 17,000 - 11,000 4,000 TENI S. RIFA’I - - - -
271 05.03.16 A001685 ALI AKBAR NAWAWI 98 17,000 - 1,000 4,000 TENI S. RIFA’I - - - -
272 05.03.16 E002872 ERNI YULIANSYAH 104 25,600 - 11,000 4,000 TENI S. RIFA’I - - - -
273 05.03.16 A008317 ALLYA ALFIRA DWIPUTRI 105 7,300 - 11,000 4,000 TENI S. RIFA’I - - - -
274 06.03.16 I001238 IWAN SETIAWAN 8 15,900 - 1,000 4,000 DETY NUR RACHMAWAT - - - -
275 06.03.16 A008148 ALVIN MOCHAMAD ERSYAH 12 63,200 - 1,000 4,000 DETY NUR RACHMAWAT - - - -
276 06.03.16 R002682 RAMANDA FAUJAN 29 46,900 - 1,000 4,000 DETY NUR RACHMAWAT - - - -
277 06.03.16 S002041 SUPARDI 42 - - 11,000 4,000 H. ASEP SANI SULAEMA - - - -
278 07.03.16 R001606 ROFFY IDHAM RAMADHAN 1 21,400 - 11,000 4,000 NOVI YULIANTI - - - -
279 07.03.16 A008612 AGUS SALIM KUSMANA 2 19,600 - 11,000 4,000 NOVI YULIANTI - - - -
280 07.03.16 D003842 DENI HERMAWAN 3 - - 11,000 4,000 NOVI YULIANTI 80,000 - - -
281 07.03.16 A006778 AA SURYANA 6 - - 11,000 4,000 NOVI YULIANTI - - - -
282 07.03.16 A004895 ADIT RAKA MULYANA 7 35,800 - 11,000 4,000 NOVI YULIANTI - - - -
283 07.03.16 Y000589 YUPI ROSYANA 8 5,000 - 11,000 4,000 NOVI YULIANTI - - - -
284 07.03.16 S005310 SITI WAHYUNI 12 32,000 - 11,000 4,000 NOVI YULIANTI - - - -
285 07.03.16 M004145 MUHAMMAD WAAFI FAWWAZ 13 52,900 - 11,000 4,000 NOVI YULIANTI - - - -
286 07.03.16 A001685 ALI AKBAR NAWAWI 15 41,000 - 1,000 4,000 NOVI YULIANTI - - - -
287 07.03.16 A002324 ALEN AMELIA 19 48,000 - 11,000 4,000 NOVI YULIANTI 80,000 - - -
288 07.03.16 A008379 AURA NOVIA ARIANTI 20 16,100 - 11,000 4,000 NOVI YULIANTI - - - -
289 07.03.16 R002682 RAMANDA FAUJAN 21 - - 11,000 4,000 NOVI YULIANTI 80,000 - - -
290 07.03.16 H001184 HAFID RAMLAN, S.PD 28 16,000 - 11,000 4,000 NOVI YULIANTI - - - -
291 07.03.16 E003255 ELSA INDRIANTI 31 24,400 - 11,000 4,000 NOVI YULIANTI - - - -
292 07.03.16 I003461 ITA ROSITA 34 19,500 - 11,000 4,000 NOVI YULIANTI - - - -
293 07.03.16 B000705 BASAR SURYANA 35 66,300 - 11,000 4,000 NOVI YULIANTI 86,000 - - -
294 07.03.16 O000627 OYOK SUGANDA 36 37,000 - 11,000 4,000 NOVI YULIANTI - - - -
295 07.03.16 D001305 DANI HAMDANI 38 - - 11,000 4,000 NOVI YULIANTI - - - -
296 07.03.16 I003301 ICI MARIADI 43 21,600 - 11,000 4,000 NOVI YULIANTI - - - -
297 07.03.16 N002888 NAYSHELLA PUTRI WARDANI 48 35,800 - 11,000 4,000 NOVI YULIANTI - - - -
298 07.03.16 A009444 ASRI AFRIDA JUNIAR 51 23,350 - 11,000 4,000 NOVI YULIANTI - - - -
299 07.03.16 R004332 RIFQI MAISSAN BAIHAQI 52 22,200 - 11,000 4,000 NOVI YULIANTI - - - -
300 07.03.16 N003445 NADHIFAH AL JAUZIYAH H 56 20,700 - 11,000 4,000 NOVI YULIANTI - - - -
301 07.03.16 L000899 LINA MARLINA 57 17,500 - 11,000 4,000 NOVI YULIANTI - - - -
302 07.03.16 J000865 JUWITA PURNAMASARI 61 62,600 - 11,000 4,000 NOVI YULIANTI - - - -
303 07.03.16 N003452 NAMIYA MUJAB 63 27,800 - 11,000 4,000 NOVI YULIANTI - - - -
304 07.03.16 F001875 FAIKARA GARSIKA 64 27,400 - 11,000 4,000 NOVI YULIANTI - - - -
305 07.03.16 E003621 ELNUHA AUFIA 65 23,000 - 11,000 4,000 NOVI YULIANTI - - - -
306 07.03.16 F002116 FADYA FAUZIAH 66 30,200 - 11,000 4,000 NOVI YULIANTI - - - -
307 07.03.16 A009169 ANI MULYANI 67 - - - - PERIKSA KEBIDANAN - - - 33,000
308 07.03.16 R005238 ROSI ROSITA 69 - - - - PERIKSA KEBIDANAN - - - 23,500
309 07.03.16 E002850 ERGA SUGARA 75 22,200 - 11,000 4,000 NOVI YULIANTI - - - -
310 07.03.16 H000987 HENDRA MULYANA 78 28,600 - 11,000 4,000 NOVI YULIANTI - - - -
311 07.03.16 M004769 MUHAMMAD ABYAN DZULQARNA 79 - - 11,000 4,000 NOVI YULIANTI - - - -
312 07.03.16 W000899 WIWIN MARYANA,HJ 81 23,500 - 11,000 4,000 NOVI YULIANTI 48,000 - - -
313 07.03.16 M004686 MELYASA YUSRIYYA 83 26,000 - 11,000 4,000 NOVI YULIANTI - - - -
314 07.03.16 G000650 GIA GEMILINA 84 26,500 - 11,000 4,000 NOVI YULIANTI - - - -
315 07.03.16 K001356 KAYLEEN ANGGELA 85 - 40,000 11,000 4,000 NOVI YULIANTI - - - -
316 07.03.16 M003282 MUHAMMAD SIDIQ MEIDIANSYA 88 38,600 - 11,000 4,000 NOVI YULIANTI - - - -
317 07.03.16 A009351 ATIKAH 92 20,000 - 11,000 4,000 NOVI YULIANTI - - - -
318 07.03.16 D003099 DENI SUDARMAN 96 19,500 - 11,000 4,000 H. THIA SILVANA - - - -
319 07.03.16 M004125 MARDIANI HAFSHARRY 97 - - - - PERIKSA KEBIDANAN - - - 24,500
320 07.03.16 M002943 MAKMUN, H 98 22,500 - 11,000 4,000 H. THIA SILVANA 66,000 - - -
321 07.03.16 N002156 NASYA TAZKIYA 101 25,000 - 11,000 4,000 H. THIA SILVANA - - - -
322 07.03.16 M002993 M. AIRALD R.A 104 27,200 - 1,000 4,000 NOVI YULIANTI - - - -
323 07.03.16 A007990 A.SAEPUDIN 107 28,700 - 11,000 4,000 H. THIA SILVANA - - - -
324 07.03.16 Z000517 ZIHAN MEINA 108 23,000 - 11,000 4,000 H. THIA SILVANA - - - -
325 07.03.16 M003247 MASRURI 113 31,500 - 1,000 4,000 H. THIA SILVANA - - - -
326 07.03.16 B000240 BALQIS IL RINALDI 115 25,000 - 11,000 4,000 H. THIA SILVANA - - - -
327 07.03.16 R001062 ROMI DIANA 116 25,000 - 11,000 4,000 H. THIA SILVANA - - - -
328 07.03.16 J000262 JOHAN TAMSIR 117 27,000 - 11,000 4,000 H. THIA SILVANA - - - -
329 07.03.16 E001134 ERVAN RINALDI 121 19,200 - 11,000 4,000 H. THIA SILVANA - - - -
330 07.03.16 I002605 IIS HARYATI, S, PD, I 123 35,000 - 11,000 4,000 H. THIA SILVANA - - - -
331 07.03.16 I003594 IMAN BANYUSETIA 124 31,000 - 11,000 4,000 H. THIA SILVANA - - - -
332 07.03.16 U000843 UUM MULYANA 127 24,000 - 11,000 4,000 H. THIA SILVANA - - - -
333 07.03.16 I003178 IKHLAS HANIFAH 128 25,000 - 11,000 4,000 H. THIA SILVANA - - - -
334 07.03.16 S004938 SOPIAN NURHAKIM 129 21,000 - 11,000 4,000 H. THIA SILVANA - - - -
335 07.03.16 T001237 TITIN SUPRIATIN RACHMAT 130 - - 11,000 4,000 H. THIA SILVANA - - - -
336 07.03.16 E000447 ENGKUS KUSWARA 131 26,800 - 11,000 4,000 H. THIA SILVANA - - - -
337 07.03.16 B000780 BAGJA REZA NURZAMAN 132 26,000 - 11,000 4,000 H. THIA SILVANA - - - -
338 07.03.16 Y002212 YENI 134 21,000 - 11,000 4,000 H. THIA SILVANA - - - -
339 07.03.16 W000850 WINA AGUSTIANI 135 29,000 - 11,000 4,000 H. THIA SILVANA - - - -
340 07.03.16 R004666 RAHMAT HIDAYAT 136 30,000 - 11,000 4,000 H. THIA SILVANA - - - -
341 07.03.16 M004458 MUHAMMAD RIFKY SETIAWAN 137 24,000 - 11,000 4,000 H. THIA SILVANA - - - -
342 07.03.16 D000081 DADANG SUDIANA 138 22,000 - 11,000 4,000 H. THIA SILVANA - - - -
343 07.03.16 R003204 RISA FATIMAH ADITYA 139 31,000 - 11,000 4,000 H. THIA SILVANA - - - -
344 07.03.16 A003302 AA MULYANA 140 34,000 - 11,000 4,000 H. THIA SILVANA - - - -
345 07.03.16 E001114 ENENG AAY SURTIKA 143 17,000 - 1,000 4,000 H. THIA SILVANA - - - -
346 07.03.16 A007283 AMIR JAELANI 146 18,000 - 11,000 4,000 H. THIA SILVANA - - - -
347 07.03.16 Z000496 ZAM ZAM MAULID 147 27,000 - 11,000 4,000 H. THIA SILVANA - - - -
348 07.03.16 A003667 AMAS MASDAR 152 20,000 - 11,000 4,000 H. THIA SILVANA - - - -
349 07.03.16 E003626 ENENG ROSITA 153 53,000 - 11,000 4,000 H. THIA SILVANA - - - -
350 07.03.16 N001713 NABILLA AZZAHRA PUTRI 157 29,000 - 11,000 4,000 H. THIA SILVANA - - - -
351 07.03.16 D002918 DEDE DELISDA 159 29,000 - 11,000 4,000 H. THIA SILVANA - - - -
352 07.03.16 I000664 IPIT WIDIAWATI 160 21,000 - 11,000 4,000 H. THIA SILVANA - - - -
353 07.03.16 A001445 ARFA GLADISYA KHUMAIRA 161 27,000 - 11,000 4,000 H. THIA SILVANA - - - -
354 07.03.16 M004894 MILASARI 162 22,000 - 11,000 4,000 H. THIA SILVANA - - - -
355 07.03.16 Z000644 ZIKRIE YAZIED BARRA KISWANTO 163 19,000 - 11,000 4,000 H. THIA SILVANA - - - -
356 07.03.16 E003227 ERNAWATI 169 37,000 - 11,000 4,000 H. THIA SILVANA - - - -
357 07.03.16 R004683 RAIS ARYAPUTRA 171 19,000 - 11,000 4,000 H. THIA SILVANA - - - -
358 07.03.16 R002206 RIZKY MAULANA ROMDANI 172 29,000 - 11,000 4,000 H. THIA SILVANA - - - -
359 07.03.16 Z000527 ZIDDAN HIKARI AL RASHID 173 29,000 - 11,000 4,000 H. THIA SILVANA - - - -
360 07.03.16 A001646 AJENG DANUR FAIDAH R 174 20,000 - 11,000 4,000 H. THIA SILVANA - - - -
361 08.03.16 A009043 ADE KOMARUDIN 1 10,600 - 11,000 4,000 WULAN WIDYAWATI 18,000 - - -
362 08.03.16 S004220 SASA SARIPUDIN 4 94,000 - 11,000 4,000 WULAN WIDYAWATI - - - -
363 08.03.16 R005208 RISKA MURNIAYATI 6 10,600 - 11,000 4,000 WULAN WIDYAWATI - - - -
364 08.03.16 Y002123 YANTI ROSMAYANTI 7 22,400 - 11,000 4,000 WULAN WIDYAWATI - - - -
365 08.03.16 R002682 RAMANDA FAUJAN 9 11,200 - 11,000 4,000 WULAN WIDYAWATI - - - -
366 08.03.16 A004932 ADELLA PRATHAMA 11 21,500 - 11,000 4,000 WULAN WIDYAWATI 80,000 - - -
367 08.03.16 Q000086 QISAN KUSUMA PUTRA 14 28,200 - 11,000 4,000 WULAN WIDYAWATI - - - -
368 08.03.16 M005013 MUHAMMAD SYATIBI 16 26,600 - 11,000 4,000 WULAN WIDYAWATI - - - -
369 08.03.16 N003746 NURBAENI 19 14,500 - 11,000 4,000 WULAN WIDYAWATI - - - -
370 08.03.16 S003599 SALWA AURELIA RAHMAH 22 41,700 - 11,000 4,000 WULAN WIDYAWATI - - - -
371 08.03.16 D001804 DEDE NURYATI,HJ 23 16,600 - 11,000 4,000 WULAN WIDYAWATI 25,000 - - -
372 08.03.16 D002908 DINDA NIKEN KINANTI 24 19,400 - 11,000 4,000 WULAN WIDYAWATI - - - -
373 08.03.16 A007905 ANDRI HIDAYAT 27 19,900 - 11,000 4,000 WULAN WIDYAWATI - - - -
374 08.03.16 Z000289 ZAHRA AZARIA AZHAR 30 30,500 - 11,000 4,000 WULAN WIDYAWATI - - - -
375 08.03.16 A008030 ASEP SUPARDI 32 16,500 - 11,000 4,000 WULAN WIDYAWATI - - - -
376 08.03.16 M004689 MIA SONDARI 33 24,400 - 11,000 4,000 WULAN WIDYAWATI - - - -
377 08.03.16 F002007 FAKHIRA KAILA KHANSA 37 18,400 - 11,000 4,000 WULAN WIDYAWATI - - - -
378 08.03.16 Y000179 YAYU YULIANA 39 30,000 - 11,000 4,000 WULAN WIDYAWATI - - - -
379 08.03.16 M000220 MELI ROSA MARIA 40 15,200 - 11,000 4,000 WULAN WIDYAWATI - - - -
380 08.03.16 Y002213 YUSEP SUSANTO 42 16,000 - 11,000 4,000 WULAN WIDYAWATI - - - -
381 08.03.16 R005244 RINA RAHMAWATI DEWI 45 27,800 - 11,000 4,000 WULAN WIDYAWATI - - - -
382 08.03.16 S001369 SITI FAUZIAH 46 14,600 - 11,000 4,000 WULAN WIDYAWATI - - - -
383 08.03.16 S005178 SANDI NUGRAHA S.PD 47 12,800 - 11,000 4,000 WULAN WIDYAWATI - - - -
384 08.03.16 M003722 MUHAMMAD FATHIR KHAFIDULL 50 18,400 - 11,000 4,000 WULAN WIDYAWATI - - - -
385 08.03.16 U000919 UPI RIYANI 54 - - 11,000 4,000 WULAN WIDYAWATI - - - -
386 08.03.16 W001142 WAWAT RUSWATI 55 13,900 - 11,000 4,000 WULAN WIDYAWATI - - - -
387 08.03.16 N003695 NUR ANALIS 56 14,000 - 11,000 4,000 WULAN WIDYAWATI - - - -
388 08.03.16 M004731 MUHAMMAD AMZAR RAQILLA 57 33,200 - 11,000 4,000 WULAN WIDYAWATI - - - -
389 08.03.16 A008921 ASKANA SAKHI 58 38,200 - 11,000 4,000 WULAN WIDYAWATI - - - -
390 08.03.16 I002350 IYAM SITI MARIAM 59 29,500 - 11,000 4,000 WULAN WIDYAWATI - - - -
391 08.03.16 Y001237 YAYA SUNARYA 60 29,500 - 11,000 4,000 WULAN WIDYAWATI 66,000 - - -
392 08.03.16 H002069 HAIKAL AKBAR AGUSTIAN KISWA 63 28,800 - 11,000 4,000 WULAN WIDYAWATI 80,000 - - -
393 08.03.16 A006306 ALGHIFARY ARAFAH REZA 66 - - 11,000 4,000 WULAN WIDYAWATI - - - -
394 08.03.16 N003754 NIDA ROHIMAH AGUSTIN 67 30,800 45,000 11,000 4,000 WULAN WIDYAWATI - - - -
395 08.03.16 E003484 ENTIN FATIMAH 70 20,400 - 11,000 4,000 WULAN WIDYAWATI 43,000 - - -
396 08.03.16 D003240 DANI RAMADHAN 74 23,500 - 11,000 4,000 WULAN WIDYAWATI - - - -
397 08.03.16 H000226 HARRY WIRAWAN 75 119,600 - 11,000 4,000 WULAN WIDYAWATI 18,000 - - -
398 08.03.16 N002949 NISPI SYA’BANI 77 - - - - CEK LAB SAJA 18,000 - - -
399 08.03.16 S004740 SARAH RAFAHAZAHRAH FATHINA 78 14,000 - 11,000 4,000 WULAN WIDYAWATI - - - -
400 08.03.16 L000896 LAYLIA NABILAJAUZA 79 14,000 - 11,000 4,000 WULAN WIDYAWATI - - - -
401 08.03.16 T000772 TRIZTA PUTUEKAWATI 83 9,000 - 11,000 4,000 WULAN WIDYAWATI - - - -
402 08.03.16 A008091 ARIANTO 87 27,000 - 11,000 4,000 WULAN WIDYAWATI - - - -
403 08.03.16 H000520 HERI HERAWAN 91 36,400 - 11,000 4,000 NOVI YULIANTI - - - -
404 08.03.16 N003301 NANANG SUHENDRA 97 23,200 - 11,000 4,000 NOVI YULIANTI 25,000 - - -
405 08.03.16 T001854 TEDI KURNIAWAN 98 20,400 - 11,000 4,000 NOVI YULIANTI - - - -
406 08.03.16 I002699 IDA SA’ADAH 99 21,200 - 11,000 4,000 NOVI YULIANTI - - - -
407 08.03.16 U000024 UZWA SITI KAMILA 100 17,200 - 11,000 4,000 NOVI YULIANTI - - - -
408 08.03.16 Y000616 YUYUN YUNINGSIH 101 23,400 - 11,000 4,000 NOVI YULIANTI - - - -
409 08.03.16 D000421 DEDE SUHANDA 103 40,000 - 11,000 4,000 NOVI YULIANTI - - - -
410 08.03.16 N003571 N ENUNG RUGOYAH 104 34,900 - 11,000 4,000 NOVI YULIANTI - - - -
411 08.03.16 A006997 ADI RISWANTO 107 - - 11,000 4,000 NOVI YULIANTI - - - -
412 08.03.16 O000127 OMIN BUNYAMIN 115 33,200 - 11,000 4,000 NOVI YULIANTI - - - -
413 08.03.16 K001079 KARTIKA WATI 119 15,000 - 11,000 4,000 NOVI YULIANTI - - - -
414 08.03.16 D003007 DZAKIR HAFADHI 121 34,600 - 11,000 4,000 NOVI YULIANTI - - - -
415 08.03.16 L000497 LINGGA NUR’ALFAYADI 122 20,200 - 11,000 4,000 NOVI YULIANTI - - - -
416 08.03.16 S001597 SYIFA FAUZIAH MUTMAINNAH 124 38,500 - 1,000 4,000 NOVI YULIANTI - - - -
417 08.03.16 P000536 PIPIH SRI HANIPAH 125 22,800 - 11,000 4,000 NOVI YULIANTI - - - -
418 08.03.16 A006645 ASEP LUKMAN 126 28,400 - 11,000 4,000 NOVI YULIANTI - - - -
419 08.03.16 R005247 REZQY IMAN PUTRA 129 26,300 - 11,000 4,000 NOVI YULIANTI - - - -
420 08.03.16 D002922 DEVIANA NUR UTAMI 131 43,900 - 11,000 4,000 NOVI YULIANTI - - - -
421 08.03.16 A003000 ARNI SULANI 141 23,000 - 1,000 4,000 ENCEP SUDARYANA - - - -
422 09.03.16 S001808 SATRIA KRISHNAWIJAYASHAKTI 35 25,700 - 1,000 4,000 WULAN WIDYAWATI - - - -
423 09.03.16 J000669 JOSEPH CHRISTIAN AKAWA 58 32,000 - 11,000 4,000 WULAN WIDYAWATI - - - -
425 09.03.16 A003289 AGUS TATANG SOLIHIN 66 23,500 - 1,000 4,000 H. THIA SILVANA - - - -
426 10.03.16 I003599 IMAM HASAN A 2 24,000 - 11,000 4,000 NOVI YULIANTI 80,000 - - -
427 10.03.16 N002413 NENI SURYANI 5 - - - - CEK LAB SAJA 66,000 - - -
428 10.03.16 D003638 DADANG DARSANA 6 91,100 - 11,000 4,000 NOVI YULIANTI 66,000 - - -
429 10.03.16 A009456 ADE KOMARIAH 7 - - 11,000 4,000 NOVI YULIANTI - - - -
430 10.03.16 A004895 ADIT RAKA MULYANA 11 26,400 - 11,000 4,000 NOVI YULIANTI 80,000 - - -
431 10.03.16 S005078 SURACHMAN 12 22,400 - 11,000 4,000 NOVI YULIANTI - - - -
432 10.03.16 B000398 BUNGA INTAN SUCIANI 14 29,000 - 11,000 4,000 NOVI YULIANTI - - - -
433 10.03.16 H001091 HELSA BULAN J 15 37,000 - 11,000 4,000 NOVI YULIANTI - - - -
434 10.03.16 N002898 NENENG SUPRIATI 16 9,500 - 11,000 4,000 NOVI YULIANTI - - - -
435 10.03.16 E002492 EEM MARYATI 17 - - 11,000 4,000 NOVI YULIANTI - - - -
436 10.03.16 A009115 AI SARININGSIH 20 21,400 - 11,000 4,000 NOVI YULIANTI - - - -
437 10.03.16 A003495 AZMI ATOILLAH 24 21,750 - 11,000 4,000 NOVI YULIANTI 80,000 - - -
438 10.03.16 H002072 HARISUDIN 25 27,600 - 11,000 4,000 NOVI YULIANTI - - - -
439 10.03.16 N002888 NAYSHELLA PUTRI WARDANI 27 - - 11,000 4,000 NOVI YULIANTI 80,000 - - -
440 10.03.16 A002286 AHMAD SOLEH 28 31,200 - 11,000 4,000 NOVI YULIANTI - - - -
441 10.03.16 N003427 NADHIRA THAFANA 30 29,000 - 11,000 4,000 NOVI YULIANTI - - - -
442 10.03.16 A002364 ASEP DUDI 32 13,350 - 11,000 4,000 NOVI YULIANTI - - - -
443 10.03.16 P000535 PRATIWI DWI KIRANI 33 14,500 - 11,000 4,000 NOVI YULIANTI - - - -
444 10.03.16 R004822 RISCA THIA HANDAYANI 37 16,600 - 11,000 4,000 NOVI YULIANTI - - - -
445 10.03.16 R004990 RISA ROSITA 38 17,800 - 11,000 4,000 NOVI YULIANTI - - - -
446 10.03.16 E003630 ENIH YUNINGSIH 40 29,300 - 11,000 4,000 NOVI YULIANTI - - - -
447 10.03.16 R003620 RIZKY FIRMANSYAH 41 20,800 - 11,000 4,000 NOVI YULIANTI - - - -
448 10.03.16 T001804 TARYADI 43 - - 11,000 4,000 NOVI YULIANTI - - - -
449 10.03.16 C000359 CHOERUNNAS CAKRAPRAJA 44 25,400 - 11,000 4,000 NOVI YULIANTI - - - -
450 10.03.16 F001967 FAHMI FAHRUROZI 45 26,400 - 11,000 4,000 NOVI YULIANTI - - - -
451 10.03.16 H001472 HENI NURAENI 46 31,400 - 11,000 4,000 NOVI YULIANTI - - - -
452 10.03.16 Y001902 YAYAH ROKAYAH 47 31,400 - 11,000 4,000 NOVI YULIANTI - - - -
453 10.03.16 M004731 MUHAMMAD AMZAR RAQILLA 48 9,000 - 11,000 4,000 NOVI YULIANTI 100,000 - - -
454 10.03.16 N003695 NUR ANALIS 49 17,400 - 11,000 4,000 NOVI YULIANTI - - - -
455 10.03.16 M000112 MAMAH 50 18,000 - 11,000 4,000 NOVI YULIANTI - - - -
456 10.03.16 O000227 OMANAH 51 99,500 - 11,000 4,000 NOVI YULIANTI 25,000 - - -
457 10.03.16 N001973 NINA MARLINA 52 40,000 - 11,000 4,000 NOVI YULIANTI - - - -
458 10.03.16 A006681 ASEP SAEPUDIN 53 14,100 - 11,000 4,000 NOVI YULIANTI - - - -
459 10.03.16 A009458 ABDURROHMAN 54 26,400 - 11,000 4,000 NOVI YULIANTI - - - -
460 10.03.16 S005105 SHAHILA PUTRI AYUNI 55 14,500 - 11,000 4,000 NOVI YULIANTI - - - -
461 10.03.16 I001770 IDAH, HJ 58 47,000 - 11,000 4,000 NOVI YULIANTI - - - -
462 10.03.16 S004303 SOFYAN, DRS 59 16,800 - 11,000 4,000 NOVI YULIANTI - - - -
463 10.03.16 D001505 DARSONO 63 33,000 - 11,000 4,000 H. ASEP MARYAMAN 43,000 - - -
464 10.03.16 S002060 SURYA HAMIZAN 64 28,700 - 11,000 4,000 NOVI YULIANTI - - - -
465 10.03.16 A007323 ANISA YURI INTAN CAGATA 65 - - 11,000 4,000 NOVI YULIANTI - - - -
466 10.03.16 H001109 HERI RUSLI 66 26,000 - 11,000 4,000 NOVI YULIANTI - - - -
467 10.03.16 A009459 ATAR RAMDHANI 67 66,400 - 11,000 4,000 NOVI YULIANTI - - - -
468 10.03.16 M005019 MUHAMMAD ARKEN ALKAHFI 68 20,900 - 11,000 4,000 NOVI YULIANTI - - - -
469 10.03.16 E002692 EVA HERMIATI 69 26,800 - 11,000 4,000 NOVI YULIANTI - - - -
470 10.03.16 U000515 UUM SUMINAR 73 24,700 - 11,000 4,000 NOVI YULIANTI - - - -
471 10.03.16 M004166 MUHAMMAD LUTHFI AL IKHWAN 75 27,800 - 11,000 4,000 NOVI YULIANTI - - - -
472 10.03.16 N003240 NAURA HASNA ANNINDAA 76 11,000 - 11,000 4,000 NOVI YULIANTI - - - -
473 10.03.16 D001324 DEWI KURNIATI 83 22,400 - 11,000 4,000 NOVI YULIANTI - - - -
474 10.03.16 T001389 TATI ROHAYATI 85 14,800 - 11,000 4,000 NOVI YULIANTI - - - -
475 10.03.16 E002057 EKA KUSDIANA 86 22,750 - 11,000 4,000 NOVI YULIANTI - - - -
476 10.03.16 S004899 SYAHIRA PUTRI 89 15,000 - 11,000 4,000 NOVI YULIANTI - - - -
477 10.03.16 A004803 ASEP ROHMAN 92 26,000 - 11,000 4,000 H. ASEP MARYAMAN - - - -
478 10.03.16 H001788 HAURA AL KAUTSAR 93 28,000 - 11,000 4,000 H. ASEP MARYAMAN - - - -
479 10.03.16 A008876 AI SOLIHAT 94 21,000 - 11,000 4,000 H. ASEP MARYAMAN - - - -
480 10.03.16 I001722 IIS KARTINI NURAENI 95 36,700 - 11,000 4,000 H. ASEP MARYAMAN - - - -
481 10.03.16 M001867 MARTINA PATRIASARI 102 20,200 - 11,000 4,000 H. ASEP MARYAMAN - - - -
482 10.03.16 H001004 HANGGA HAMDILLAH 105 23,000 - 11,000 4,000 H. ASEP MARYAMAN - - - -
483 10.03.16 N003782 NAJLA NAFIZA ULFAH 106 22,300 - 11,000 4,000 H. ASEP MARYAMAN - - - -
484 10.03.16 A002094 AI SRI RAHAYU 107 19,400 - 11,000 4,000 H. ASEP MARYAMAN - - - -
485 10.03.16 A009244 AGUS TURKAWAN 108 16,300 - 11,000 4,000 H. ASEP MARYAMAN - - - -
486 10.03.16 A006917 AGUS MULYADI 110 18,500 - 11,000 4,000 H. ASEP MARYAMAN - - - -
487 10.03.16 D003491 DINAR KARTINI 111 - - - - PERIKSA KEBIDANAN - - - 31,000
488 10.03.16 S003475 SYAKILA ZANZABILLA PARAMADI 112 16,600 - 11,000 4,000 H. ASEP MARYAMAN - - - -
489 10.03.16 U000047 UUS RUSTANDI 113 18,500 - 11,000 4,000 H. ASEP MARYAMAN - - - -
490 10.03.16 E003477 EGI DEWI SEPTIANA 114 17,500 - 11,000 4,000 H. ASEP MARYAMAN - - - -
491 10.03.16 Y002184 YULIA AGUSTINA 116 - - - - PERIKSA KEBIDANAN - - - 44,500
492 10.03.16 E003595 EVA FARIDA TRESNA 121 - - 11,000 4,000 H. ASEP MARYAMAN - - - -
493 10.03.16 A009462 ADE DEDI SANJAYA 122 23,000 - 11,000 4,000 H. ASEP MARYAMAN 80,000 - - -
494 10.03.16 O000468 OO SANTONI 123 21,600 - 11,000 4,000 H. ASEP MARYAMAN 48,000 - - -
495 10.03.16 Z000289 ZAHRA AZARIA AZHAR 124 15,500 - 11,000 4,000 H. ASEP MARYAMAN - - - -
496 10.03.16 E002850 ERGA SUGARA 125 20,000 - 11,000 4,000 H. ASEP MARYAMAN 80,000 - - -
497 10.03.16 P000692 PUTRI SUFY 128 27,400 - 11,000 4,000 H. ASEP MARYAMAN - - - -
498 10.03.16 M005022 MUH DZALFIQRI SA’BANI 129 - - 11,000 4,000 H. ASEP MARYAMAN - - - -
499 10.03.16 A009054 ATSIILAH JANISSARY RAHAYU 130 18,000 - 11,000 4,000 H. ASEP MARYAMAN - - - -
500 10.03.16 Q000042 QUINTA KHANZILA DINIA AISYAH 132 29,700 - 11,000 4,000 H. ASEP MARYAMAN - - - -
501 10.03.16 A009220 AGUS ROHMAN 133 21,400 - 11,000 4,000 H. ASEP MARYAMAN - - - -
502 10.03.16 R005137 RAISYA AZZAHRA NUROHMAN 134 28,100 - 11,000 4,000 H. ASEP MARYAMAN - - - -
503 10.03.16 A006852 AHMAD SOLIHIN 140 21,000 - 11,000 4,000 H. ASEP MARYAMAN - - - -
504 10.03.16 A002035 ADE RODIAH 141 15,600 - 11,000 4,000 H. ASEP MARYAMAN - - - -
505 10.03.16 R000155 RIKO FAIZAL 143 21,400 - 11,000 4,000 H. ASEP MARYAMAN - - - -
506 10.03.16 S005472 SRI SETIANI 146 21,000 - 11,000 4,000 H. ASEP MARYAMAN - - - -
507 10.03.16 H000882 HAIDAR AUFA AMANULLAH 148 63,300 - 11,000 4,000 H. ASEP MARYAMAN - - - -
508 10.03.16 D001625 DIDI SUPRIADI 153 22,300 - 11,000 4,000 H. ASEP MARYAMAN - - - -
509 10.03.16 D001199 DIAN SYEKH RADIANA 154 41,100 - 11,000 4,000 H. ASEP MARYAMAN - - - -
510 10.03.16 D003255 DENIA NUR RAHMAWATI 160 27,700 - 11,000 4,000 H. ASEP MARYAMAN - - - -
511 11.03.16 A002324 ALEN AMELIA 2 - - - - PERIKSA KEBIDANAN - - - 18,000
512 11.03.16 S004220 SASA SARIPUDIN 3 80,000 - 11,000 4,000 WULAN WIDYAWATI - - - -
513 11.03.16 N003555 NENENG SUMARNI 4 - - 11,000 4,000 WULAN WIDYAWATI - - - -
514 11.03.16 H002074 HENDI ROHENDI 6 20,400 - 11,000 4,000 WULAN WIDYAWATI - - - -
515 11.03.16 A008639 AI HENI 10 22,200 - 11,000 4,000 WULAN WIDYAWATI - - - -
516 11.03.16 Y001643 YAN SURYANA 11 22,500 - 11,000 4,000 WULAN WIDYAWATI 23,000 - - -
517 11.03.16 D001804 DEDE NURYATI,HJ 12 18,900 - 11,000 4,000 WULAN WIDYAWATI - - - -
518 11.03.16 D003856 DEDE KURNIA 14 20,400 - 11,000 4,000 WULAN WIDYAWATI - - - -
519 11.03.16 N003842 NUR SUPRIATININGSIH 15 17,800 - 11,000 4,000 WULAN WIDYAWATI - - - -
520 11.03.16 M004974 MIRA KUSTINA 16 18,400 - 11,000 4,000 WULAN WIDYAWATI - - - -
521 11.03.16 E003029 ENUNG SEMI HANDAYANI 17 12,500 - 11,000 4,000 WULAN WIDYAWATI - - - -
522 11.03.16 A001681 ANDZAL GAMAL NUGRAHA 18 46,700 - 11,000 4,000 WULAN WIDYAWATI - - - -
523 11.03.16 N003169 NABILA OKTAVIANI 22 26,100 - 11,000 4,000 WULAN WIDYAWATI - - - -
524 11.03.16 M004672 MUHAMMAD AQILA MUSYAFFA 24 16,000 - 11,000 4,000 WULAN WIDYAWATI - - - -
525 11.03.16 I003605 INA MARLINA 25 23,000 - 11,000 4,000 WULAN WIDYAWATI - - - -
526 11.03.16 M002839 MARSHA SAFA AL-ZENA 26 28,100 - 11,000 4,000 WULAN WIDYAWATI - - - -
527 11.03.16 A008718 ANISA NURUL AYUNI 27 17,600 - 11,000 4,000 WULAN WIDYAWATI - - - -
528 11.03.16 T001698 TATAN SOPIAN 28 9,700 - 11,000 4,000 WULAN WIDYAWATI - - - -
529 11.03.16 A003619 AI KOMARA 31 17,500 - 11,000 4,000 WULAN WIDYAWATI - - - -
530 11.03.16 J000262 JOHAN TAMSIR 32 19,300 - 11,000 4,000 WULAN WIDYAWATI - - - -
531 11.03.16 A009020 ASTI APRILIANI 33 48,000 - 11,000 4,000 WULAN WIDYAWATI - - - -
532 11.03.16 D002928 DINAR SARININGRUM 35 17,900 - 11,000 4,000 WULAN WIDYAWATI - - - -
533 11.03.16 C000487 CUCU 37 22,200 - 11,000 4,000 WULAN WIDYAWATI - - - -
534 11.03.16 R005056 RINI NURBAYANTI 40 10,000 - 11,000 4,000 WULAN WIDYAWATI - - - -
535 11.03.16 A008375 AULIA OKTAVIONA AZZAHRA 41 35,600 - 11,000 4,000 WULAN WIDYAWATI - - - -
536 11.03.16 G000623 G SITI UMMU KULSUM 44 - - 11,000 4,000 WULAN WIDYAWATI - - - -
537 11.03.16 S004716 SETO DANUASMORO 45 10,150 - 11,000 4,000 WULAN WIDYAWATI - - - -
538 11.03.16 D003316 DEDEH KURNIASIH 46 79,700 - 11,000 4,000 WULAN WIDYAWATI - - - -
539 11.03.16 M000261 MITA LESTARI 49 16,300 - 11,000 4,000 WULAN WIDYAWATI - - - -
540 11.03.16 H000655 HARISA ATMAJA 50 39,000 - 1,000 4,000 WULAN WIDYAWATI - - - -
541 11.03.16 R002096 RAMA PUTRA LAKSANA 52 24,000 - 11,000 4,000 WULAN WIDYAWATI - - - -
542 11.03.16 S003301 SITI JULAEHA 53 23,300 - 11,000 4,000 WULAN WIDYAWATI - - - -
543 11.03.16 A009465 ANNISA NUR AZIZAH 54 36,100 - 11,000 4,000 WULAN WIDYAWATI - - - -
544 11.03.16 G000276 GEN GEN SYAMSIAH, S.PD 55 11,200 - 11,000 4,000 WULAN WIDYAWATI - - - -
545 11.03.16 N001353 NENG LINA APRILIA 56 30,000 - 11,000 4,000 WULAN WIDYAWATI - - - -
546 11.03.16 M004686 MELYASA YUSRIYYA 57 25,400 - 11,000 4,000 WULAN WIDYAWATI 80,000 - - -
547 11.03.16 L001234W LIA LIANI 60 14,900 - 11,000 4,000 WULAN WIDYAWATI - - - -
548 11.03.16 A006066 ASEP NURJAMAN 61 14,800 - 11,000 4,000 WULAN WIDYAWATI - - - -
549 11.03.16 M003238 M RIZKI SUBAGJA 67 20,600 - 11,000 4,000 WULAN WIDYAWATI - - - -
550 11.03.16 E000975 ELIS RUSTENI 69 24,600 - 11,000 4,000 WULAN WIDYAWATI - - - -
551 11.03.16 A001212 ANDHITA JUWITA SARI 70 36,000 - 11,000 4,000 WULAN WIDYAWATI - - - -
552 11.03.16 E002650 EKA SEPTIANA 71 22,000 - 11,000 4,000 WULAN WIDYAWATI - - - -
553 11.03.16 R001101 RONI FIRMANSYAH 74 36,700 - 1,000 4,000 WULAN WIDYAWATI - - - -
554 11.03.16 A009466 ADELIA DESTTARI 76 27,400 - 11,000 4,000 WULAN WIDYAWATI - - - -
555 11.03.16 A000656 ALIF ABDUL HAKIM 77 - - 11,000 4,000 WULAN WIDYAWATI - - - -
556 11.03.16 N002694 NISA AROMANTIKA HIDAYAH 78 - - 11,000 4,000 WULAN WIDYAWATI - - - -
557 11.03.16 A009114 ANDRI PRIYAMBADA DARUSMAN 79 20,400 - 11,000 4,000 WULAN WIDYAWATI - - - -
558 11.03.16 A001536 AI RAHMAWATI 80 27,200 - 11,000 4,000 WULAN WIDYAWATI - - - -
559 11.03.16 E003463 ERYANTO 82 19,200 - 11,000 4,000 ANDI HERMANSYAH - - - -
560 11.03.16 R000897 RIDAN HARDIANSYAH 83 22,400 - 11,000 4,000 ANDI HERMANSYAH - - - -
561 11.03.16 W000899 WIWIN MARYANA,HJ 88 15,800 - 11,000 4,000 ANDI HERMANSYAH - - - -
562 11.03.16 I001759 IIM MASITOH 89 23,300 - 11,000 4,000 ANDI HERMANSYAH - - - -
563 11.03.16 E000238 EDI RUSWANDI 94 32,900 - 11,000 4,000 ANDI HERMANSYAH - - - -
564 11.03.16 F001897 FATIH IHSAN AL-FARUQ 103 22,400 - 11,000 4,000 ANDI HERMANSYAH - - - -
565 11.03.16 A000638 AIDAH PURNAMA 114 33,900 - 1,000 4,000 H. THIA SILVANA - - - -
566 12.03.16 N001766 NAJLA NADA SALSABILA 4 23,000 - 11,000 4,000 WULAN WIDYAWATI - - - -
567 12.03.16 R003218 RENI PUSPITA DEWI 5 18,200 - 11,000 4,000 WULAN WIDYAWATI - - - -
568 12.03.16 B000782 BURHAN NURDIN 7 20,400 - 11,000 4,000 WULAN WIDYAWATI - - - -
569 12.03.16 S002000 SHINTA SYLVIA 10 18,000 - 11,000 4,000 WULAN WIDYAWATI - - - -
570 12.03.16 I001884 IRNAMASARI 11 14,500 - 11,000 4,000 WULAN WIDYAWATI - - - -
571 12.03.16 K001080 KISTO 13 22,400 - 11,000 4,000 WULAN WIDYAWATI - - - -
572 12.03.16 B000661 BATRISYA SYAKILA SUNTONO 14 20,400 - 11,000 4,000 WULAN WIDYAWATI - - - -
573 12.03.16 W001002 WIWIN PURNIAWATI 15 14,000 - 11,000 4,000 WULAN WIDYAWATI - - - -
574 12.03.16 F001373 FANI DINISHWARI 16 9,400 - 11,000 4,000 WULAN WIDYAWATI - - - -
575 12.03.16 F000957 FARDAN KHALLILURAHMAN . M 17 30,350 - 11,000 4,000 WULAN WIDYAWATI - - - -
576 12.03.16 L001029 LIA KARTIKA 19 15,600 - 11,000 4,000 WULAN WIDYAWATI - - - -
577 12.03.16 S004841 SITI JENAB 22 - - - - PERIKSA KEBIDANAN - - - 42,000
578 12.03.16 M003565 MUHAMAD YUDA PRATAMA 27 33,000 - 11,000 4,000 WULAN WIDYAWATI - - - -
579 12.03.16 N000100 NUGRAHA ARKA SETIAWAN 28 30,100 - 11,000 4,000 WULAN WIDYAWATI - - - -
580 12.03.16 L001198 LIA YULIANINGSIH 29 - - - - PERIKSA KEBIDANAN - - - 33,000
581 12.03.16 A007156 AISHA ZULEIKA 30 22,500 - 11,000 4,000 WULAN WIDYAWATI - - - -
582 12.03.16 I003606 IIS KHODIJAH 32 20,400 - 11,000 4,000 WULAN WIDYAWATI - - - -
583 12.03.16 K000595 KUSUMAWARDHANI AFANDI 33 - - - - PERIKSA KEBIDANAN - - - 41,500
584 12.03.16 J000400 JULFAN MUHTADA ALFAD S 34 18,200 - 11,000 4,000 WULAN WIDYAWATI - - - -
585 12.03.16 W001167 WATIN LISTRIANI 35 19,200 - 11,000 4,000 WULAN WIDYAWATI - - - -
586 12.03.16 H001349 HAIKAL RIZARIYADI 36 25,250 - 11,000 4,000 WULAN WIDYAWATI - - - -
587 12.03.16 R004353 RUKHYANTI SUMANTIKA 40 24,700 - 11,000 4,000 WULAN WIDYAWATI - - - -
588 12.03.16 B000632 BUNGA NURROHMAH ADINITA S 41 17,500 - 11,000 4,000 WULAN WIDYAWATI - - - -
589 12.03.16 N003509 N. KUSMARA 42 14,200 - 11,000 4,000 WULAN WIDYAWATI - - - -
590 12.03.16 E003324 ERNA HERMAWATI 44 11,200 - 11,000 4,000 WULAN WIDYAWATI - - - -
591 12.03.16 N003313 NINA YUNIAWATI 47 - - - - PERIKSA KEBIDANAN - - - 26,000
592 12.03.16 R005139 RAYYAN ATTHARIQ 48 29,500 - 11,000 4,000 WULAN WIDYAWATI - - - -
593 12.03.16 C000667 CHEISYA CLARA PUTRI 49 32,700 - 11,000 4,000 WULAN WIDYAWATI - - - -
594 12.03.16 E003634 ELA 50 14,600 - 11,000 4,000 WULAN WIDYAWATI - - - -
595 12.03.16 A001687 ARI SUGIARTI 52 23,900 - 11,000 4,000 WULAN WIDYAWATI - - - -
596 12.03.16 S002053 SYAHIRA OKTAVIA SALSABILA 55 28,000 - 11,000 4,000 WULAN WIDYAWATI - - - -
597 12.03.16 W000412 WAWANG NAWANGSIH 56 16,600 - 11,000 4,000 WULAN WIDYAWATI 43,000 - - -
598 12.03.16 O000589 OHAR.H 58 - - 11,000 4,000 WULAN WIDYAWATI - - - -
599 12.03.16 R003174 RIA SATRIANA 60 33,600 - 11,000 4,000 WULAN WIDYAWATI - - - -
600 12.03.16 I001457 IIN KURNIATIN 61 29,000 - 11,000 4,000 WULAN WIDYAWATI - - - -
601 12.03.16 C000604 CECEP SAEPUDIN 62 28,000 - 11,000 4,000 WULAN WIDYAWATI - - - -
602 12.03.16 P000774 PUTRI ZAHRA AULIA 64 21,000 - 11,000 4,000 WULAN WIDYAWATI - - - -
603 12.03.16 N002689 NINDYA FARANISA AZNI 65 20,250 - 11,000 4,000 WULAN WIDYAWATI - - - -
604 12.03.16 Y002221 YANAH YULIYANTI 67 13,000 - 11,000 4,000 TENI S. RIFA’I - - - -
605 12.03.16 W001117 WIRANTIWI AGUSTINA 68 - - - - PERIKSA KEBIDANAN - - - 42,000
606 12.03.16 S005500 SITI NURLAELA SARI 69 13,900 - 11,000 4,000 TENI S. RIFA’I - - - -
607 12.03.16 R004889 RIDWAN 71 - 40,000 11,000 4,000 TENI S. RIFA’I - - - -
608 12.03.16 A000309 ALVIN NUGRAHA 77 17,000 - 11,000 4,000 TENI S. RIFA’I - - - -
609 12.03.16 J000185 JAJANG SUNJANA 78 17,500 - 11,000 4,000 TENI S. RIFA’I - - - -
610 12.03.16 A006013 AGUS SUWARMAN 80 18,000 - 11,000 4,000 TENI S. RIFA’I - - - -
611 12.03.16 P000792 PIPIT NURDIANA 81 17,000 - 11,000 4,000 TENI S. RIFA’I - - - -
612 12.03.16 N003912 NURFITRIANI 82 13,400 - 11,000 4,000 TENI S. RIFA’I - - - -
613 12.03.16 R003669 REFAN RAMADAN HAMDANI 84 6,000 - 11,000 4,000 TENI S. RIFA’I - - - -
614 12.03.16 A006858 ASTRIANTIKA NUR OCTARESA 85 - - - - PERIKSA KEBIDANAN - - - 27,000
615 12.03.16 S004159 SANDI HAMDANI 86 16,000 - 11,000 4,000 TENI S. RIFA’I - - - -
616 13.03.16 R002843 RESTU NOER OKTAVIANI 55 20,000 - 1,000 4,000 H. ASEP SANI SULAEMA 25,000 - - -
617 14.03.16 R001191 RIZQYLILLAH ABDUROCHIM 1 16,800 - 1,000 4,000 H. WINARDI KAHDAR - - - -
618 14.03.16 B000705 BASAR SURYANA 4 62,900 - 11,000 4,000 NOVI YULIANTI 51,000 - - -
619 14.03.16 H001889 HARIS SETIAWAN 8 - - 11,000 4,000 NOVI YULIANTI 51,000 - - -
620 14.03.16 H001184 HAFID RAMLAN, S.PD 9 17,000 - 11,000 4,000 NOVI YULIANTI 20,000 - - -
621 14.03.16 W000550 WATI ROHATI 10 18,700 - 11,000 4,000 NOVI YULIANTI - - - -
622 14.03.16 A001067 AGUS SUTIAWAN 14 33,400 - 11,000 4,000 NOVI YULIANTI - - - -
623 14.03.16 A004895 ADIT RAKA MULYANA 17 29,100 - 11,000 4,000 NOVI YULIANTI - - - -
624 14.03.16 N003920 NURHAYATI 18 16,500 - 11,000 4,000 NOVI YULIANTI - - - -
625 14.03.16 N003359 NAILA PUTERI A 19 21,000 - 11,000 4,000 NOVI YULIANTI - - - -
626 14.03.16 N002175 NUNUNG ROSDIANA 20 35,000 - 11,000 4,000 NOVI YULIANTI - - - -
627 14.03.16 O000006 OOM KOMARIAH 21 34,200 - 11,000 4,000 NOVI YULIANTI 18,000 - - -
628 14.03.16 A009214 ABIZAR RIZQIA PRATAMA 22 26,100 - 11,000 4,000 NOVI YULIANTI - - - -
629 14.03.16 A002061 ANNISA NUFAH RAMADHANI 23 26,000 - 11,000 4,000 NOVI YULIANTI - - - -
630 14.03.16 E002692 EVA HERMIATI 26 48,400 - 11,000 4,000 NOVI YULIANTI - - - -
631 14.03.16 P000701 POPI HERAWATI 27 16,200 - 11,000 4,000 NOVI YULIANTI - - - -
632 14.03.16 Y000035 YENI 28 22,600 - 11,000 4,000 NOVI YULIANTI - - - -
633 14.03.16 M003487 M ALFATIH IBRAHIM 29 18,000 - 11,000 4,000 NOVI YULIANTI - - - -
634 14.03.16 R000835 REFAL FIRMANSYAH 32 33,100 - 11,000 4,000 NOVI YULIANTI - - - -
635 14.03.16 P000819 PYAN SOPYAN 33 25,400 - 11,000 4,000 NOVI YULIANTI - - - -
636 14.03.16 E000574 EKSA ALYA PUTRI 35 29,000 - 11,000 4,000 NOVI YULIANTI - - - -
637 14.03.16 M004425 MUHAMMAD ALKHA ASHOURA 36 27,800 - 11,000 4,000 NOVI YULIANTI - - - -
638 14.03.16 R003376 RAHMANIA PUTRI C 38 24,200 - 11,000 4,000 NOVI YULIANTI - - - -
639 14.03.16 Y002224 YULIANTI 39 21,600 - 11,000 4,000 NOVI YULIANTI - - - -
640 14.03.16 A003617 ALMIRA REGINA PUTRI 40 31,600 - 11,000 4,000 NOVI YULIANTI - - - -
641 14.03.16 A004875 ANGGIA SITI AL JANIRA 41 22,100 - 11,000 4,000 NOVI YULIANTI - - - -
642 14.03.16 M003933 MUJAHID ALFARIZI 42 23,000 - 11,000 4,000 NOVI YULIANTI 55,000 - - -
643 14.03.16 T001904 TORIQ ABDURRAUF HAIDAR 43 40,400 - 11,000 4,000 NOVI YULIANTI - - - -
644 14.03.16 A007644 ANITA FAUZIAH ADISTI SEPTIYANT 44 10,000 - 11,000 4,000 NOVI YULIANTI - - - -
645 14.03.16 A007943 AGUS SUKANDAR 46 21,300 - 11,000 4,000 NOVI YULIANTI - - - -
646 14.03.16 T000311 TINA AGUSTINA 48 23,800 - 11,000 4,000 NOVI YULIANTI - - - -
647 14.03.16 R000799 RIZKY ALFARIZI 49 25,700 - 11,000 4,000 NOVI YULIANTI - - - -
648 14.03.16 T001731 TIN SURTINI 50 15,000 - 11,000 4,000 NOVI YULIANTI - - - -
649 14.03.16 K001234 KANIA ALIYA ZAHIRA 51 43,100 - 11,000 4,000 NOVI YULIANTI - - - -
650 14.03.16 S005151 SABKY HAMZAH MAOLANA 52 54,200 - 11,000 4,000 NOVI YULIANTI - - - -
651 14.03.16 K000877 KARINA APRIANTI 59 28,100 - 11,000 4,000 NOVI YULIANTI - - - -
652 14.03.16 A000553 AGISTA PUTRI AGIRA 60 - - 11,000 4,000 NOVI YULIANTI - - - -
653 14.03.16 P000820 PRAMUDIA HAIKAL ISKANDAR P 61 89,800 - 11,000 4,000 NOVI YULIANTI - - - -
654 14.03.16 R004499 RATIH MELASARI 68 19,600 - 11,000 4,000 NOVI YULIANTI - - - -
655 14.03.16 I002875 IDA FARIDA 69 19,600 - 11,000 4,000 NOVI YULIANTI - - - -
656 14.03.16 N003835 NOPI HERLINA 72 - - - - PERIKSA KEBIDANAN - - - 63,000
657 14.03.16 Q000071 QOISAR MALIK IBRAHIM 74 21,400 - 11,000 4,000 NOVI YULIANTI - - - -
658 14.03.16 R004571 RENI SUSANTI 75 27,200 - 11,000 4,000 NOVI YULIANTI - - - -
659 14.03.16 A009283 AKUN 76 36,800 - 11,000 4,000 NOVI YULIANTI - - - -
660 14.03.16 W001102 WIRACHMAN SURYANTO 77 22,600 - 11,000 4,000 NOVI YULIANTI - - - -
661 14.03.16 K001327 KAFFA NADIF HAMDANI 79 87,200 45,000 11,000 4,000 NOVI YULIANTI - - - -
662 14.03.16 E002469 EKA KURNIAWAN 82 - - 11,000 4,000 NOVI YULIANTI - - - -
663 14.03.16 N001839 NENG NURJANAH 83 - - 11,000 4,000 NOVI YULIANTI - - - -
664 14.03.16 K001042 KIREINA MEINA HILMAN 85 - - 11,000 4,000 NOVI YULIANTI - - - -
665 14.03.16 A004843 ADILA ADI FEBI 86 78,900 45,000 11,000 4,000 NOVI YULIANTI - - - -
666 14.03.16 N003782 NAJLA NAFIZA ULFAH 93 44,200 - 11,000 4,000 NOVI YULIANTI - - - -
667 14.03.16 N001572 NUNUNG NURHAYATI 94 13,700 - 11,000 4,000 NOVI YULIANTI 25,000 - - -
668 14.03.16 R004826 RAHMA AGUSTINA NURYADI 100 21,000 - 11,000 4,000 NOVI YULIANTI - - - -
669 14.03.16 A008510 ANDI FIRMANSYAH 102 30,000 - 11,000 4,000 NOVI YULIANTI - - - -
670 14.03.16 Z000645 ZULFAN AHMAD KAMIL 103 21,000 - 11,000 4,000 NOVI YULIANTI - - - -
671 14.03.16 V000258 VIANISA LAUDZA BULDANI 104 29,000 - 11,000 4,000 NOVI YULIANTI - - - -
672 14.03.16 T000400 TUTI HERAWATI 106 26,000 - 11,000 4,000 NOVI YULIANTI 18,000 - - -
673 14.03.16 C000538 CECEP A SUMPENA 107 29,400 - 11,000 4,000 NOVI YULIANTI 18,000 - - -
674 14.03.16 S000862 SALSA FARIDA 110 28,000 - 11,000 4,000 H. THIA SILVANA - - - -
675 14.03.16 U000229 UTARI AINUN SUJANA 114 34,000 - 11,000 4,000 H. THIA SILVANA - - - -
676 14.03.16 A008179 AI NURFITRI HERAWATI 115 16,000 - 11,000 4,000 H. THIA SILVANA - - - -
677 14.03.16 W001116 WULAN WAHYUNI 118 32,000 - 11,000 4,000 H. THIA SILVANA - - - -
678 14.03.16 S005170 SRI RAHAYU 121 14,000 - 11,000 4,000 H. THIA SILVANA - - - -
679 14.03.16 V000208 VIVIE NOVIA GRAVIA 123 27,000 - 11,000 4,000 H. THIA SILVANA - - - -
680 14.03.16 M002366 MUHAMAD SAMI DHIA 124 29,000 - 11,000 4,000 H. THIA SILVANA - - - -
681 14.03.16 W000976 WINA N 125 32,000 - 11,000 4,000 H. THIA SILVANA - - - -
682 14.03.16 R001549 RIZKY AHDIANA 127 21,000 - 11,000 4,000 H. THIA SILVANA - - - -
683 14.03.16 L001126 LITA APRIANTI 128 25,000 - 11,000 4,000 H. THIA SILVANA - - - -
684 14.03.16 M004700 M FAHIM SYUKRILLAH 129 28,000 - 11,000 4,000 H. THIA SILVANA - - - -
685 14.03.16 E003302 ECHA MAULIDINA AL MUGHNI 130 16,000 - 11,000 4,000 H. THIA SILVANA - - - -
686 14.03.16 L001205 LIA AMELIA 133 22,000 - 11,000 4,000 H. THIA SILVANA - - - -
687 14.03.16 E003096 EUIS ATIK MULYATI 134 30,000 - 11,000 4,000 H. THIA SILVANA - - - -
688 14.03.16 A005403 ANDI GALATAMA 137 25,000 - 11,000 4,000 H. THIA SILVANA - - - -
689 14.03.16 S004649 SUJANA 140 25,000 - 11,000 4,000 H. THIA SILVANA - - - -
690 14.03.16 A009215 ASEP DEDI 143 45,000 - 11,000 4,000 H. THIA SILVANA - - - -
691 14.03.16 A008317 ALLYA ALFIRA DWIPUTRI 144 17,000 - 11,000 4,000 H. THIA SILVANA - - - -
692 14.03.16 M002248 MUTIARA RAMAYANTI 146 19,000 - 11,000 4,000 H. THIA SILVANA - - - -
693 14.03.16 G000593 GHAZIYA KHAIRA LUBNA 148 25,000 - 11,000 4,000 H. THIA SILVANA - - - -
694 14.03.16 N000657 NURMALIA RAHAYU,SPD 149 23,000 - 11,000 4,000 H. THIA SILVANA - - - -
695 14.03.16 M004686 MELYASA YUSRIYYA 151 31,000 - 11,000 4,000 H. THIA SILVANA - - - -
696 14.03.16 E001191 ERNA MARLINA 152 16,000 - 11,000 4,000 H. THIA SILVANA - - - -
697 14.03.16 A009382 AMANDA RAHAYU 156 20,000 - 11,000 4,000 H. THIA SILVANA - - - -
698 14.03.16 S003826 SADIAH 159 23,000 - 11,000 4,000 H. THIA SILVANA - - - -
699 14.03.16 R003884 RAMDANI 164 28,700 - 11,000 4,000 H. THIA SILVANA - - - -
700 14.03.16 A000111 AJI PRAYOGA 168 17,000 - 11,000 4,000 H. ASEP MARYAMAN - - - -
701 14.03.16 I001457 IIN KURNIATIN 173 29,000 - 11,000 4,000 H. ASEP MARYAMAN - - - -
702 14.03.16 N000933 NESYA YULISTIAN DINI 175 21,000 - 1,000 4,000 H. ASEP MARYAMAN 25,000 - - -
703 14.03.16 N002689 NINDYA FARANISA AZNI 176 45,100 - 1,000 4,000 H. ASEP MARYAMAN - - - -
704 15.03.16 S004260 SANTI SINTAWATI 2 11,000 - 11,000 4,000 WULAN WIDYAWATI - - - -
705 15.03.16 E002774 E. SUMINAR 3 16,000 - 11,000 4,000 WULAN WIDYAWATI - - - -
706 15.03.16 L001088 LINA MARLINA 6 14,000 - 11,000 4,000 H. ASEP MARYAMAN - - - -
707 15.03.16 R002494 RISMAN NUGRAHA 8 18,000 - 11,000 4,000 WULAN WIDYAWATI - - - -
708 15.03.16 E002382 ENDANG KUSTIAMAN 12 14,000 - 11,000 4,000 WULAN WIDYAWATI - - - -
709 15.03.16 S003729 SAMSUDIN, H 14 22,000 - 11,000 4,000 WULAN WIDYAWATI - - - -
710 15.03.16 L000709 LIA NURYANI 15 27,000 - 11,000 4,000 WULAN WIDYAWATI - - - -
712 15.03.16 O000173 OMOD 19 21,000 - 11,000 4,000 WULAN WIDYAWATI - - - -
713 15.03.16 Y001851 YANA SETIAWAN 20 32,000 - 11,000 4,000 WULAN WIDYAWATI - - - -
714 15.03.16 H001932 HAYLA ASKANAH SISWANTO 21 23,000 - 11,000 4,000 WULAN WIDYAWATI - - - -
715 15.03.16 N003782 NAJLA NAFIZA ULFAH 22 - - 11,000 4,000 WULAN WIDYAWATI - - - -
716 15.03.16 A009209 ADITYA SATRIA PRATAMA 23 48,000 45,000 11,000 4,000 WULAN WIDYAWATI - - - -
717 15.03.16 I001884 IRNAMASARI 24 18,000 - 11,000 4,000 WULAN WIDYAWATI 83,000 - - -
718 15.03.16 N002971 NENENG ROHAYATI 26 - - 11,000 4,000 WULAN WIDYAWATI - - - -
719 15.03.16 A004658 ANINDITA DWI SETIAWAN 27 64,000 45,000 11,000 4,000 WULAN WIDYAWATI - - - -
720 15.03.16 M004572 MILA RAHMAWATI 28 23,000 - 11,000 4,000 WULAN WIDYAWATI - - - -
721 15.03.16 R004611 RIDWAN FIRMANSYAH 32 16,000 - 11,000 4,000 WULAN WIDYAWATI - - - -
722 15.03.16 A006709 AAS NURASIAH 34 18,000 - 11,000 4,000 WULAN WIDYAWATI - - - -
723 15.03.16 T001203 TUTI SULASTRI 37 24,000 - 11,000 4,000 WULAN WIDYAWATI - - - -
724 15.03.16 T001679 TSAYILA APRILIA PUTRI 38 37,000 - 11,000 4,000 WULAN WIDYAWATI - - - -
725 15.03.16 A009482 ANDI YANI YULIANI 39 27,000 - 11,000 4,000 WULAN WIDYAWATI - - - -
726 15.03.16 H001917 HERNI HASTUTI 40 - - 11,000 4,000 WULAN WIDYAWATI - - - -
727 15.03.16 D000096 DANI ILHAM 42 35,000 - 11,000 4,000 WULAN WIDYAWATI - - - -
728 15.03.16 W000768 WAHYU SUPRIATNA 44 27,000 - 11,000 4,000 WULAN WIDYAWATI - - - -
729 15.03.16 E002890 ENCUM KULSUM 45 39,000 - 11,000 4,000 WULAN WIDYAWATI - - - -
730 15.03.16 K000921 KEYLA APRILIA 47 18,000 - 11,000 4,000 WULAN WIDYAWATI - - - -
731 15.03.16 J000797 JELITA ALYA KHOIRUNNISA 51 22,000 - 11,000 4,000 WULAN WIDYAWATI - - - -
732 15.03.16 M002711 MARYATI 52 13,000 - 11,000 4,000 WULAN WIDYAWATI - - - -
733 15.03.16 U000999 UJANG SUPRIATNA 53 23,000 - 11,000 4,000 WULAN WIDYAWATI - - - -
734 15.03.16 A006788 AHMAD SULAEMAN SAPUTRA 55 27,000 40,000 11,000 4,000 WULAN WIDYAWATI - - - -
735 15.03.16 D003739 DEWI YULIANTI 57 16,000 - 11,000 4,000 WULAN WIDYAWATI - - - -
736 15.03.16 K000988 KEYSHA AUDICHA 60 17,000 - 11,000 4,000 WULAN WIDYAWATI - - - -
737 15.03.16 S005505 SULASTRI 61 17,000 - 11,000 4,000 WULAN WIDYAWATI - - - -
738 15.03.16 T000224 TOHA UMULUDIN, SE 64 30,000 - 11,000 4,000 WULAN WIDYAWATI - - - -
739 15.03.16 S005506 SANTI SRI ANGGRAENI 65 - - - - PERIKSA KEBIDANAN - - - 30,000
740 15.03.16 D001666 DEDI WIHARJA 68 25,000 - 1,000 4,000 WULAN WIDYAWATI - - - -
741 15.03.16 R001549 RIZKY AHDIANA 70 13,000 - 11,000 4,000 WULAN WIDYAWATI - - - -
742 15.03.16 M001164 MIMA YULIA 71 16,000 - 1,000 4,000 WULAN WIDYAWATI 25,000 - - -
743 15.03.16 R003370 RUHIYATI 72 19,000 - 11,000 4,000 WULAN WIDYAWATI - - - -
744 15.03.16 Y001708 YAYAT RANA HERDIANA 73 24,000 - 11,000 4,000 WULAN WIDYAWATI - - - -
745 15.03.16 R004259 RAHIMA NUR HAMIDAH 74 28,000 - 11,000 4,000 WULAN WIDYAWATI - - - -
746 15.03.16 M001489 MAMAN SUPARMAN 77 114,500 - 11,000 4,000 WULAN WIDYAWATI - - - -
747 15.03.16 M004488 MARSARINA PUNIKA WIDIYANTI 82 41,400 - 11,000 4,000 NOVI YULIANTI 80,000 - - -
748 15.03.16 N003012 NURODIN 83 27,600 - 11,000 4,000 NOVI YULIANTI - - - -
749 15.03.16 L001236 LILIS SRI JAYANTI 84 10,000 - 11,000 4,000 NOVI YULIANTI - - - -
750 15.03.16 D003717 DINI DAMAYANTI 85 39,750 - 11,000 4,000 NOVI YULIANTI - - - -
751 15.03.16 L001237 LUTHFI PRATAMA PUTERA SETIA 87 21,400 - 11,000 4,000 NOVI YULIANTI - - - -
752 15.03.16 E000238 EDI RUSWANDI 90 40,000 - 11,000 4,000 NOVI YULIANTI - - - -
753 15.03.16 N002171 NONAH MARYONAH 91 33,000 - 11,000 4,000 NOVI YULIANTI - - - -
754 15.03.16 B000661 BATRISYA SYAKILA SUNTONO 93 26,300 - 11,000 4,000 NOVI YULIANTI - - - -
755 15.03.16 S005354 SETYOWATI 96 22,000 - 11,000 4,000 NOVI YULIANTI - - - -
756 15.03.16 R002275 RAZKA SURYA IVANDA 98 19,500 - 11,000 4,000 NOVI YULIANTI - - - -
757 15.03.16 E003410 EJAH 102 33,000 - 11,000 4,000 NOVI YULIANTI - - - -
758 15.03.16 M005036 MUHAMMAD NAZRIL ALFATIH 103 21,000 - 11,000 4,000 NOVI YULIANTI - - - -
759 15.03.16 S000838 SRI RAHAYU PEBRIANI 104 9,500 - 11,000 4,000 NOVI YULIANTI - - - -
760 15.03.16 R000588 RADITYA AHMAD PRATAMA 109 28,850 - 11,000 4,000 NOVI YULIANTI - - - -
761 15.03.16 R002755 RIZWAN AHMAD A 110 18,400 - 11,000 4,000 NOVI YULIANTI - - - -
762 15.03.16 M002993 M. AIRALD R.A 112 20,000 - 1,000 4,000 NOVI YULIANTI - - - -
763 15.03.16 Y001944 YANTI SITI JULAEHA 116 51,700 - 11,000 4,000 NOVI YULIANTI - - - -
764 15.03.16 R005101 RYAN TRYANDANI 117 16,000 - 11,000 4,000 NOVI YULIANTI - - - -
765 15.03.16 A009178 ATI NURDIANTI 118 17,000 - 11,000 4,000 NOVI YULIANTI - - - -
766 15.03.16 E002741 ERIK MUBARIK 119 22,700 - 11,000 4,000 NOVI YULIANTI - - - -
767 15.03.16 S004878 SHYFA KHOLIFAH FUTRI 121 28,100 - 11,000 4,000 NOVI YULIANTI - - - -
768 15.03.16 R004535 RISMAYANTI 122 35,000 - 11,000 4,000 NOVI YULIANTI - - - -
769 15.03.16 A009486 ANEU DEVIANSYAH 131 18,000 - 11,000 4,000 NOVI YULIANTI - - - -
770 15.03.16 M003409 MOCH RIDWAN K 138 28,100 - 11,000 4,000 NOVI YULIANTI - - - -
771 15.03.16 A002682 ARTI JUARTI 139 22,000 - 11,000 4,000 NOVI YULIANTI - - - -
772 15.03.16 I000356 ILHAM ISMAIL 142 21,700 - 11,000 4,000 NOVI YULIANTI - - - -
773 15.03.16 Y000589 YUPI ROSYANA 145 - - 11,000 4,000 ENCEP SUDARYANA - - - -
774 16.03.16 S005090 SALMAN ROI APRILIANA 4 26,000 - 11,000 4,000 NOVI YULIANTI - - - -
775 16.03.16 T000162 TINI SUMARTINI 5 - - 11,000 4,000 NOVI YULIANTI - - - -
776 16.03.16 S004220 SASA SARIPUDIN 6 31,000 - 11,000 4,000 NOVI YULIANTI - - - -
777 16.03.16 J000333 JUARSIH 7 22,000 - 11,000 4,000 NOVI YULIANTI - - - -
778 16.03.16 O000658 OLEH 8 25,000 - 11,000 4,000 NOVI YULIANTI - - - -
779 16.03.16 E003641 ENDAH ASTRI NIA 10 24,000 - 11,000 4,000 NOVI YULIANTI - - - -
780 16.03.16 T001571 TATI HARTATI 15 14,000 - 11,000 4,000 NOVI YULIANTI - - - -
781 16.03.16 A006946 ADNEY ATHAYA APRIESSA 16 8,000 - 1,000 4,000 NOVI YULIANTI - - - -
782 16.03.16 J000875 JUHANA 17 20,000 - 11,000 4,000 NOVI YULIANTI - - - -
783 16.03.16 R003879 RIAN BAELAWI 18 30,000 - 11,000 4,000 NOVI YULIANTI - - - -
784 16.03.16 I002948 IRA SUSILAWATI 19 31,000 - 11,000 4,000 NOVI YULIANTI - - - -
785 16.03.16 R004162 RONNI RUSDIANA 20 27,000 - 11,000 4,000 NOVI YULIANTI 18,000 - - -
786 16.03.16 E003621 ELNUHA AUFIA 21 - - 11,000 4,000 NOVI YULIANTI 80,000 - - -
787 16.03.16 A000037 ATIN SUPRIATIN 22 33,000 - 11,000 4,000 NOVI YULIANTI - - - -
788 16.03.16 A007338 ADE ANWAR JANUAR 23 20,000 - 11,000 4,000 NOVI YULIANTI - - - -
789 16.03.16 W001167 WATIN LISTRIANI 26 - - 11,000 4,000 NOVI YULIANTI - - - -
790 16.03.16 R005263 RISNAWATI 27 18,000 - 11,000 4,000 NOVI YULIANTI - - - -
791 16.03.16 P000535 PRATIWI DWI KIRANI 28 33,000 75,000 11,000 4,000 NOVI YULIANTI - - - -
792 16.03.16 R004483 RINA MARLINA 30 42,000 - 11,000 4,000 NOVI YULIANTI - - - -
793 16.03.16 R004608 RIZKI APRILIANA 31 38,000 - 11,000 4,000 NOVI YULIANTI - - - -
794 16.03.16 I003202 IWAN DARMAWAN 33 26,000 - 11,000 4,000 NOVI YULIANTI - - - -
795 16.03.16 D003869 DEULIS S 36 20,000 - 11,000 4,000 NOVI YULIANTI 25,000 - - -
796 16.03.16 S001101 SHOPA MARWAH 41 37,000 - 11,000 4,000 NOVI YULIANTI - - - -
797 16.03.16 N003928 NELI RUBIABNTI DEWI 42 5,000 - 11,000 4,000 NOVI YULIANTI - - - -
798 16.03.16 A007503 ACAH 43 19,000 - 11,000 4,000 NOVI YULIANTI - - - -
799 16.03.16 N002275 NENGSIH 44 21,000 - 11,000 4,000 NOVI YULIANTI - - - -
800 16.03.16 L000460 LENI ANDRIANI 45 24,000 - 11,000 4,000 NOVI YULIANTI - - - -
801 16.03.16 S003301 SITI JULAEHA 46 36,000 - 11,000 4,000 NOVI YULIANTI - - - -
802 16.03.16 D002275 DEDE SUHERMAN 49 24,000 - 11,000 4,000 NOVI YULIANTI 25,000 - - -
803 16.03.16 Q000006 QORI KARLINA 50 12,000 - 11,000 4,000 NOVI YULIANTI - - - -
804 16.03.16 E001235 ERI HEDIANA 51 23,000 - 11,000 4,000 NOVI YULIANTI - - - -
805 16.03.16 E001234 ENI YULIASIH 52 31,000 - 11,000 4,000 NOVI YULIANTI - - - -
806 16.03.16 A003358 ALYA NURAINI 53 35,000 - 11,000 4,000 NOVI YULIANTI - - - -
807 16.03.16 E001335 EROS ROSITA 54 19,000 - 11,000 4,000 NOVI YULIANTI - - - -
808 16.03.16 K000918 KOMARUDIN 55 35,000 - 11,000 4,000 NOVI YULIANTI - - - -
809 16.03.16 Z000645 ZULFAN AHMAD KAMIL 56 28,000 45,000 11,000 4,000 NOVI YULIANTI - - - -
810 16.03.16 U000304 UUS KUSNADI 59 23,000 - 11,000 4,000 NOVI YULIANTI - - - -
811 16.03.16 K001331 KARTINI 60 22,400 - 11,000 4,000 NOVI YULIANTI - - - -
812 16.03.16 M005042 MUHAMMAD ARGA FIRDAUSA 61 26,000 75,000 11,000 4,000 WULAN WIDYAWATI - - - -
813 16.03.16 M004044 MOCH IQBAL IKLASHUL AMIL 62 27,800 - 11,000 4,000 WULAN WIDYAWATI - - - -
814 16.03.16 E003273 EGI BAKTI PAMUGI 68 40,700 - 11,000 4,000 WULAN WIDYAWATI 83,000 - - -
815 16.03.16 N000576 NENDEN SITI AZZAHRA 69 - - 11,000 4,000 WULAN WIDYAWATI 80,000 - - -
816 16.03.16 Y001492 YULIARTI ANTIKA 70 22,700 - 1,000 4,000 WULAN WIDYAWATI - - - -
817 16.03.16 S005510 SULI 72 16,500 - 11,000 4,000 WULAN WIDYAWATI - - - -
818 16.03.16 S005511 SYAHDAN AINUR HAKIM 75 18,100 - 11,000 4,000 WULAN WIDYAWATI - - - -
819 16.03.16 A003308 ALFINO NUR FEBRIANSYAH 76 26,200 - 11,000 4,000 WULAN WIDYAWATI 80,000 - - -
820 16.03.16 Y000586 YENI NURAENI 81 22,200 - 11,000 4,000 WULAN WIDYAWATI - - - -
821 16.03.16 S002060 SURYA HAMIZAN 86 28,000 - 11,000 4,000 WULAN WIDYAWATI - - - -
822 16.03.16 A009221 ALMAIRA ZAHRATUNNIDA 87 21,100 - 11,000 4,000 WULAN WIDYAWATI - - - -
823 16.03.16 T000772 TRIZTA PUTUEKAWATI 88 - - - - PERIKSA KEBIDANAN - - - 25,000
824 16.03.16 A003080 ACENG ROHMAN 91 23,600 - 11,000 4,000 WULAN WIDYAWATI - - - -
825 16.03.16 L001227 LAELA NURLAELA 93 - - - - PERIKSA KEBIDANAN - - - 20,000
826 16.03.16 H002082 HIBBAN RIZKY FIRDAUS 94 24,400 - 11,000 4,000 WULAN WIDYAWATI - - - -
827 16.03.16 D002912 DADAY JUBAEDAH 95 18,400 - 11,000 4,000 WULAN WIDYAWATI - - - -
828 16.03.16 D001123 DENY IBRAHIM 96 28,000 - 11,000 4,000 WULAN WIDYAWATI 18,000 - - -
829 16.03.16 S002506 SHALSA DESGHIA RIANTO 98 26,800 - 11,000 4,000 WULAN WIDYAWATI - - - -
830 16.03.16 S004658 SANTI AJINAWATI 100 18,000 - 11,000 4,000 WULAN WIDYAWATI - - - -
831 16.03.16 D003356 DEVISKA JANUAR ASTUTI 101 24,000 - 11,000 4,000 WULAN WIDYAWATI - - - -
832 16.03.16 R000513 RAHMI FADLILLAH 102 58,900 - 11,000 4,000 WULAN WIDYAWATI - - - -
833 16.03.16 V000136 VITA NOVIANTI 103 18,000 - 11,000 4,000 WULAN WIDYAWATI - - - -
834 16.03.16 F002015 FAKHIRA SALWA NURFAUZYAH 104 21,000 - 11,000 4,000 WULAN WIDYAWATI - - - -
835 16.03.16 M001428 M.AHZA FAIDLURRAHMAN 105 28,100 - 11,000 4,000 WULAN WIDYAWATI - - - -
836 16.03.16 A001989 AI SUHARTINI 108 22,100 - 11,000 4,000 WULAN WIDYAWATI - - - -
837 16.03.16 S005062 SALSABILA AZZAHRA 109 17,500 - 11,000 4,000 WULAN WIDYAWATI - - - -
838 16.03.16 E001114 ENENG AAY SURTIKA 110 17,500 - 1,000 4,000 WULAN WIDYAWATI - - - -
839 16.03.16 Y001790 YUDI PURNAMA 113 31,400 - 11,000 4,000 WULAN WIDYAWATI - - - -
840 16.03.16 N003931 NAZWA AULIYA H.D 114 18,100 - 11,000 4,000 WULAN WIDYAWATI - - - -
841 17.03.16 F002151 FITRI WULAN A 3 26,750 - 11,000 4,000 NOVI YULIANTI - - - -
842 17.03.16 E000160 EDI JUBAEDI 7 36,200 - 11,000 4,000 NOVI YULIANTI 66,000 - - -
843 17.03.16 M000897 M. RAMDANI HIDAYAT 9 17,400 - 11,000 4,000 NOVI YULIANTI - - - -
844 17.03.16 U000963 UNAH 11 25,400 - 11,000 4,000 NOVI YULIANTI - - - -
845 17.03.16 N003012 NURODIN 15 74,900 - 11,000 4,000 NOVI YULIANTI 100,000 - - -
846 17.03.16 A004843 ADILA ADI FEBI 16 20,000 30,000 11,000 4,000 NOVI YULIANTI - - - -
847 17.03.16 R004127 RINI 17 - - - - PERIKSA KEBIDANAN - - - 15,000
848 17.03.16 A008108 AJO SUTARJO 19 29,800 - 11,000 4,000 NOVI YULIANTI - - - -
849 17.03.16 A005623 ADE ROKAYAH 24 42,300 - 11,000 4,000 NOVI YULIANTI 158,000 - - -
850 17.03.16 A009489 ANISA 25 26,800 - 11,000 4,000 NOVI YULIANTI - - - -
851 17.03.16 O000006 OOM KOMARIAH 29 25,000 - 11,000 4,000 NOVI YULIANTI - - - -
852 17.03.16 D003667 DESTRIANTI 31 23,400 - 11,000 4,000 NOVI YULIANTI - - - -
853 17.03.16 S003531 SANTI NUGRAHA 33 16,400 - 11,000 4,000 NOVI YULIANTI - - - -
854 17.03.16 E002692 EVA HERMIATI 35 - - 11,000 4,000 NOVI YULIANTI - - - -
855 17.03.16 O000227 OMANAH 36 34,000 - 11,000 4,000 NOVI YULIANTI 25,000 - - -
856 17.03.16 M004764 MUHAMMAD REYHAN ALFAN 42 24,000 - 11,000 4,000 NOVI YULIANTI - - - -
857 17.03.16 E001145 ENENG KURNIATI 44 26,300 - 11,000 4,000 NOVI YULIANTI - - - -
858 17.03.16 J000325 JANUARI ATHAILLAH 45 15,400 - 11,000 4,000 NOVI YULIANTI - - - -
859 17.03.16 R005137 RAISYA AZZAHRA NUROHMAN 49 - - 11,000 4,000 NOVI YULIANTI - - - -
860 17.03.16 S004768 SANTI SAELVIANY 50 28,400 - 11,000 4,000 NOVI YULIANTI - - - -
861 17.03.16 N003489 NURI HANDAYANI 55 26,800 - 11,000 4,000 NOVI YULIANTI - - - -
862 17.03.16 R004636 RIZQI SAPUTRA 56 21,000 - 11,000 4,000 NOVI YULIANTI - - - -
863 17.03.16 N003469 NAUFAL SATRIA LUTHFI NURAHM 59 26,500 - 11,000 4,000 NOVI YULIANTI - - - -
864 17.03.16 C000601 CICI OCTAVIANI 60 27,600 - 11,000 4,000 NOVI YULIANTI - - - -
865 17.03.16 T000139 TITI SURYATI 62 14,800 - 11,000 4,000 NOVI YULIANTI - - - -
866 17.03.16 R002504 RIZKI RAMDANI 64 25,400 - 11,000 4,000 NOVI YULIANTI - - - -
867 17.03.16 M003318 MUHAMAD FAREL ARDIANSYAH 65 18,400 - 11,000 4,000 NOVI YULIANTI - - - -
868 17.03.16 N001716 NINA WAHIDAH ROSTIAWATI 66 - - 11,000 4,000 NOVI YULIANTI - - - -
869 17.03.16 S005513 SELI APRILIANI 67 - - 11,000 4,000 NOVI YULIANTI 80,000 - - -
870 17.03.16 S004771 SANTI NOVIANTI 69 33,300 - 11,000 4,000 NOVI YULIANTI - - - -
871 17.03.16 A008211 AZKA ZAYYINUSH SHOLIHIN 71 26,100 - 11,000 4,000 NOVI YULIANTI - - - -
872 17.03.16 I002378 IRMA MULYANI 73 20,200 - 11,000 4,000 NOVI YULIANTI - - - -
873 17.03.16 E003644 ERIN FEBRIANA 74 26,800 - 11,000 4,000 NOVI YULIANTI - - - -
874 17.03.16 O000591 OTAS MARYANI 75 28,400 - 11,000 4,000 NOVI YULIANTI - - - -
875 17.03.16 N003877 NOVIA MARIANA YUNAN 76 20,200 - 11,000 4,000 NOVI YULIANTI - - - -
876 17.03.16 F002153 FAJILA SAHIRA AULIA 77 21,000 - 11,000 4,000 NOVI YULIANTI - - - -
877 17.03.16 F002154 FAJRIN MAULANA 78 32,400 - 11,000 4,000 NOVI YULIANTI - - - -
878 17.03.16 F001594 FAIZ HAUZAN 80 22,600 - 11,000 4,000 H. ASEP MARYAMAN - - - -
879 17.03.16 E003209 ELLA RAHMI FATAH 81 26,000 - 11,000 4,000 H. ASEP MARYAMAN - - - -
880 17.03.16 R004571 RENI SUSANTI 85 23,000 - 11,000 4,000 H. ASEP MARYAMAN - - - -
881 17.03.16 Z000289 ZAHRA AZARIA AZHAR 86 - - 11,000 4,000 H. ASEP MARYAMAN - - - -
882 17.03.16 C000453 CAHYONO 95 15,000 - 11,000 4,000 H. ASEP MARYAMAN - - - -
883 17.03.16 L001240 LENA YULIANA 97 196,100 - 11,000 4,000 H. ASEP MARYAMAN - - - -
884 17.03.16 R005270 REZA YAYANG APRILIANTI 98 28,000 - 11,000 4,000 H. ASEP MARYAMAN - - - -
885 17.03.16 A008069 ALYA PUTRIA RAMADHANI 99 28,000 - 11,000 4,000 H. ASEP MARYAMAN - - - -
886 17.03.16 H000597 HERNI SURYANI 100 15,800 - 11,000 4,000 H. ASEP MARYAMAN 18,000 - - -
887 17.03.16 M004458 MUHAMMAD RIFKY SETIAWAN 101 21,000 - 11,000 4,000 H. ASEP MARYAMAN - - - -
888 17.03.16 R004666 RAHMAT HIDAYAT 102 19,200 - 11,000 4,000 H. ASEP MARYAMAN - - - -
889 17.03.16 S005096 SITI MARIAM,BA 103 20,600 - 11,000 4,000 H. ASEP MARYAMAN - - - -
890 17.03.16 S005467 SITI NURHASANAH 105 - - - - PERIKSA KEBIDANAN - - - 38,000
891 17.03.16 N001165 NAVISA SAFITRI 107 24,100 - 11,000 4,000 H. ASEP MARYAMAN 80,000 - - -
892 17.03.16 I003188 ILHAM WIRAYUDA 108 28,000 - 11,000 4,000 H. ASEP MARYAMAN - - - -
893 17.03.16 R004591 RUSNANDI 110 17,600 - 11,000 4,000 H. ASEP MARYAMAN - - - -
894 17.03.16 D003872 DINI RISMAWATI 111 11,200 - 11,000 4,000 H. ASEP MARYAMAN - - - -
895 17.03.16 S004649 SUJANA 112 22,400 - 11,000 4,000 H. ASEP MARYAMAN - - - -
896 17.03.16 A009492 ALMAIRA SHIDQIA PUTRI 115 30,000 - 11,000 4,000 H. ASEP MARYAMAN - - - -
897 17.03.16 D003873 DEWI APRILYANI 116 22,000 - 11,000 4,000 H. ASEP MARYAMAN 103,000 - - -
898 17.03.16 A000912 ALAN JALALUDIN 118 21,000 - 11,000 4,000 H. ASEP MARYAMAN - - - -
899 17.03.16 I002859 IMAS MASLIAH 120 9,600 - 11,000 4,000 H. ASEP MARYAMAN - - - -
900 17.03.16 F000092 FADLI FADLILLAH 121 30,900 - 11,000 4,000 H. ASEP MARYAMAN - - - -
901 17.03.16 H002083 HUSNAINI AGUSTIN 123 14,500 - 11,000 4,000 H. ASEP MARYAMAN - - - -
902 17.03.16 A009462 ADE DEDI SANJAYA 124 11,500 - 11,000 4,000 H. ASEP MARYAMAN - - - -
903 17.03.16 N003843 NURYANTI APRIANI 126 15,200 - 11,000 4,000 H. ASEP MARYAMAN - - - -
904 17.03.16 A006106 ABI BIMA ARYA TIRTAMADENDA 129 29,000 - 11,000 4,000 H. ASEP MARYAMAN - - - -
905 17.03.16 D001826 DIAN FERAYANI 130 16,500 - 11,000 4,000 H. ASEP MARYAMAN - - - -
906 18.03.16 S004760 SHAKTI IQDHIAR KUSTIAWADI 8 20,000 - 11,000 4,000 WULAN WIDYAWATI 55,000 - - -
907 18.03.16 W000966 WILDAN MUHAMAD RIZKI 14 29,600 - 11,000 4,000 WULAN WIDYAWATI - - - -
908 18.03.16 D003874 DEDE NERTI 15 20,200 - 11,000 4,000 WULAN WIDYAWATI - - - -
909 18.03.16 R005225 RISKA HAYATI 16 15,000 - 11,000 4,000 WULAN WIDYAWATI - - - -
910 18.03.16 Y000589 YUPI ROSYANA 19 - - 11,000 4,000 WULAN WIDYAWATI - - - -
911 18.03.16 R004965 RANI NUR’AENI 20 9,200 - 11,000 4,000 WULAN WIDYAWATI - - - -
912 18.03.16 N003933 NENENG NOVIYANTI 21 16,600 - 11,000 4,000 WULAN WIDYAWATI - - - -
913 18.03.16 A005710 AGUS SUDARMAN 23 - - 11,000 4,000 WULAN WIDYAWATI - - - -
914 18.03.16 K001232 KURNIA, S.HUT 24 26,200 - 11,000 4,000 WULAN WIDYAWATI - - - -
915 18.03.16 I003605 INA MARLINA 25 23,000 - 11,000 4,000 WULAN WIDYAWATI - - - -
916 18.03.16 A009314 AULIA RIZKY LAURANDRA 27 16,400 - 11,000 4,000 WULAN WIDYAWATI - - - -
917 18.03.16 N003793 NIA DAMAYANTI 28 - - 11,000 4,000 WULAN WIDYAWATI - - - -
918 18.03.16 I000123 IMAS SURTINI PERMASIH 29 28,600 - 11,000 4,000 WULAN WIDYAWATI - - - -
919 18.03.16 N000265 NANANG SURYATNA 30 47,000 - 11,000 4,000 WULAN WIDYAWATI - - - -
920 18.03.16 I003618 IMAS MUSMIATI 31 15,000 - 11,000 4,000 WULAN WIDYAWATI - - - -
921 18.03.16 A009375 AJAT ACENG KURNIA 32 19,950 - 11,000 4,000 WULAN WIDYAWATI - - - -
922 18.03.16 A009214 ABIZAR RIZQIA PRATAMA 33 9,950 - 11,000 4,000 WULAN WIDYAWATI - - - -
923 18.03.16 P000535 PRATIWI DWI KIRANI 34 - - 11,000 4,000 WULAN WIDYAWATI - - - -
924 18.03.16 H002002 HAMIDAH 36 16,600 - 11,000 4,000 WULAN WIDYAWATI - - - -
925 18.03.16 E003630 ENIH YUNINGSIH 38 23,900 - 11,000 4,000 WULAN WIDYAWATI - - - -
926 18.03.16 O000557 OPAH 42 17,000 - 11,000 4,000 WULAN WIDYAWATI - - - -
927 18.03.16 A006946 ADNEY ATHAYA APRIESSA 43 47,400 - 1,000 4,000 WULAN WIDYAWATI - - - -
928 18.03.16 A006251 ATHFAH SAKHA ANGGARA 44 16,200 - 11,000 4,000 WULAN WIDYAWATI - - - -
929 18.03.16 S003467 SYAFIYA MAULA KHANSA 45 - - 11,000 4,000 WULAN WIDYAWATI - - - -
930 18.03.16 I002058 ILHAM BURHANUDIN 50 45,300 - 11,000 4,000 WULAN WIDYAWATI - - - -
931 18.03.16 J000693 JUJU 51 19,800 - 11,000 4,000 WULAN WIDYAWATI 66,000 - - -
932 18.03.16 B000572 BONANSYA GATEN ASWARANI 52 19,200 - 11,000 4,000 WULAN WIDYAWATI - - - -
933 18.03.16 E003647 ENDANG MASHUDI,DRS 59 16,000 - 11,000 4,000 WULAN WIDYAWATI - - - -
934 18.03.16 S003628 SOPIAN HAMZAH 60 21,200 - 11,000 4,000 WULAN WIDYAWATI - - - -
935 18.03.16 A008825 ADIVA HASNA AFFANDI 61 20,000 - 11,000 4,000 WULAN WIDYAWATI - - - -
936 18.03.16 I003620 IIN MULYANI 62 19,200 - 11,000 4,000 WULAN WIDYAWATI - - - -
937 18.03.16 M004568 MEVIRA HUSNI SOPANDI 63 22,000 - 11,000 4,000 WULAN WIDYAWATI - - - -
938 18.03.16 H001109 HERI RUSLI 67 16,000 - 11,000 4,000 WULAN WIDYAWATI - - - -
939 18.03.16 A008930 ASEP HIDAYAT 68 19,600 - 11,000 4,000 WULAN WIDYAWATI - - - -
940 18.03.16 N002948 NHINDO KUSDIANA 71 22,900 - 11,000 4,000 WULAN WIDYAWATI - - - -
941 18.03.16 E000238 EDI RUSWANDI 76 48,000 - 11,000 4,000 ANDI HERMANSYAH 55,000 - - -
942 18.03.16 L001204 LENI NURAENI 85 11,000 - 11,000 4,000 ANDI HERMANSYAH - - - -
943 18.03.16 A007332 ASILA PRATIWI HIDAYAT 93 16,100 - 11,000 4,000 ANDI HERMANSYAH - - - -
944 18.03.16 R003833 RUMINA JD NANA SUJANA 94 32,900 - 11,000 4,000 ANDI HERMANSYAH - - - -
945 18.03.16 U000247 UTANG SAJIDIN 107 27,500 - 11,000 4,000 ANDI HERMANSYAH - - - -
946 18.03.16 A001204 ASEP RIVAN NUGRAHA 108 25,100 - 11,000 4,000 ANDI HERMANSYAH - - - -
947 18.03.16 I000664 IPIT WIDIAWATI 109 29,500 - 11,000 4,000 ANDI HERMANSYAH - - - -
948 18.03.16 W000063 WAWAN RACHMAWAN, H 110 25,000 - 11,000 4,000 ANDI HERMANSYAH 18,000 - - -
949 18.03.16 W000940 WAFA AKMALUDDIN AL-QODIRI 113 20,000 - 11,000 4,000 ANDI HERMANSYAH - - - -
950 18.03.16 S002710 SATRIA FEBRIAN SABHARA 114 25,800 - 11,000 4,000 ANDI HERMANSYAH - - - -
951 18.03.16 M003867 MUHAMAD AKMILUDDIN ANNAQ 115 14,600 - 11,000 4,000 ANDI HERMANSYAH - - - -
952 18.03.16 H001472 HENI NURAENI 117 34,900 - 11,000 4,000 ANDI HERMANSYAH - - - -
953 18.03.16 D003425 DETI RAHMAWATI 118 31,400 - 11,000 4,000 ANDI HERMANSYAH - - - -
954 19.03.16 Z000452 ZAHRA SALSABILA RACHMAWAN 7 35,500 - 11,000 4,000 WULAN WIDYAWATI - - - -
955 19.03.16 R000155 RIKO FAIZAL 8 30,000 - 11,000 4,000 WULAN WIDYAWATI - - - -
956 19.03.16 R002682 RAMANDA FAUJAN 9 28,200 - 1,000 4,000 WULAN WIDYAWATI - - - -
957 19.03.16 S000862 SALSA FARIDA 12 21,350 - 11,000 4,000 WULAN WIDYAWATI 80,000 - - -
958 19.03.16 A008915 AURELLIA ZETARI P.S 14 26,500 - 11,000 4,000 WULAN WIDYAWATI - - - -
959 19.03.16 V000251 VIKRI NURRAMADHAN 16 23,100 - 11,000 4,000 WULAN WIDYAWATI - - - -
960 19.03.16 R005276 RIDWAN RISWANTO 17 23,200 - 11,000 4,000 WULAN WIDYAWATI - - - -
961 19.03.16 A006306 ALGHIFARY ARAFAH REZA 18 21,800 - 11,000 4,000 WULAN WIDYAWATI - - - -
962 19.03.16 P000825 PIPIN ERVINA 20 12,200 - 11,000 4,000 WULAN WIDYAWATI - - - -
963 19.03.16 S004841 SITI JENAB 23 25,000 - 11,000 4,000 WULAN WIDYAWATI - - - -
964 19.03.16 A009427 AGUS SALIH 24 45,000 45,000 11,000 4,000 WULAN WIDYAWATI - - - -
965 19.03.16 E002793 ERNA ERNAWATI ROCHAMA 25 15,000 - 11,000 4,000 WULAN WIDYAWATI - - - -
966 19.03.16 S002621 SOPINAH 27 - - 11,000 4,000 WULAN WIDYAWATI - - - -
967 19.03.16 M002188 MUSLIHAT 28 25,400 - 11,000 4,000 WULAN WIDYAWATI - - - -
968 19.03.16 S002260 SITI NURHAYATI 33 18,900 - 11,000 4,000 WULAN WIDYAWATI - - - -
969 19.03.16 W000412 WAWANG NAWANGSIH 35 24,300 - 11,000 4,000 WULAN WIDYAWATI 25,000 - - -
970 19.03.16 E003648 ERIEN NOVIANSYAH 37 20,500 - 11,000 4,000 WULAN WIDYAWATI 101,000 - - -
971 19.03.16 T001445 TUTI HERAWATI 38 16,600 - 11,000 4,000 WULAN WIDYAWATI - - - -
972 19.03.16 S001668 SYAVINA TRI W 42 29,500 - 11,000 4,000 WULAN WIDYAWATI - - - -
973 19.03.16 Z000579 ZAIN NATHAN PUTRANTO 47 40,000 45,000 11,000 4,000 WULAN WIDYAWATI - - - -
974 19.03.16 R005238 ROSI ROSITA 49 - - - - PERIKSA KEBIDANAN - - - 33,000
975 19.03.16 M004878 MOCHAMAD ALE 51 21,400 - 11,000 4,000 WULAN WIDYAWATI - - - -
976 19.03.16 A009221 ALMAIRA ZAHRATUNNIDA 52 85,100 - 11,000 4,000 WULAN WIDYAWATI 95,000 - - -
977 19.03.16 J000262 JOHAN TAMSIR 53 - - 11,000 4,000 WULAN WIDYAWATI - - - -
978 19.03.16 A004843 ADILA ADI FEBI 55 83,000 45,000 11,000 4,000 WULAN WIDYAWATI - - - -
979 19.03.16 R005278 RIA SITI BADRIAH 57 - - 11,000 4,000 WULAN WIDYAWATI - - - -
980 19.03.16 A007619 ASRI AMALIAH 61 - - - - PERIKSA KEBIDANAN - - - 26,700
981 19.03.16 A005863 APSARINI 63 69,400 - 11,000 4,000 WULAN WIDYAWATI - - - -
982 19.03.16 S004983 SRI MULYANI 66 - - 11,000 4,000 WULAN WIDYAWATI - - - -
983 19.03.16 R003370 RUHIYATI 67 43,000 - 11,000 4,000 WULAN WIDYAWATI - - - -
984 19.03.16 M004885 MUHAMAD MUNIF RABBANI 69 28,100 - 11,000 4,000 WULAN WIDYAWATI - - - -
985 19.03.16 A003308 ALFINO NUR FEBRIANSYAH 70 35,800 - 11,000 4,000 WULAN WIDYAWATI - - - -
986 19.03.16 S002626 SUHAENI 72 24,000 - 11,000 4,000 WULAN WIDYAWATI - - - -
987 19.03.16 M002280 M RIZAL SYARIPATULLOH R 73 17,000 - 11,000 4,000 WULAN WIDYAWATI - - - -
988 19.03.16 R002193 RANI ANUR R 74 22,000 - 11,000 4,000 WULAN WIDYAWATI - - - -
989 19.03.16 D001618 DESI BHUDIARTI 75 26,000 - 1,000 4,000 WULAN WIDYAWATI - - - -
990 19.03.16 A003000 ARNI SULANI 76 - - - - PERIKSA KEBIDANAN - - - 27,000
991 19.03.16 R001465 RAHMAWATI 77 - - - - PERIKSA KEBIDANAN - - - 27,000
992 19.03.16 A008754 ADITYA DIVA PUTRA PRATAMA 80 26,000 - 11,000 4,000 WULAN WIDYAWATI - - - -
993 19.03.16 H001965 HENHEN ROHINA 81 22,000 - 11,000 4,000 TENI S. RIFA’I - - - -
994 19.03.16 S002386 SRI MULYANI 83 20,000 45,000 11,000 4,000 TENI S. RIFA’I - - - -
995 19.03.16 A009502 ARIS SUHENDAR 85 24,000 - 11,000 4,000 TENI S. RIFA’I - - - -
996 19.03.16 A008317 ALLYA ALFIRA DWIPUTRI 87 18,000 - 11,000 4,000 TENI S. RIFA’I - - - -
997 19.03.16 O000708 ONENG ROHIMAH 88 22,000 - 11,000 4,000 TENI S. RIFA’I - - - -
998 19.03.16 N003937 NOOR FITRIYANI 91 13,000 - 11,000 4,000 TENI S. RIFA’I - - - -
999 19.03.16 H000360 HABIBI WAROSATU AL-ANBIYA 92 17,000 - 11,000 4,000 TENI S. RIFA’I - - - -
1000 19.03.16 S005437 SATRIA MALKA FIRDAUS 93 9,000 - 11,000 4,000 TENI S. RIFA’I - - - -
1001 19.03.16 M005042 MUHAMMAD ARGA FIRDAUSA 95 - 45,000 11,000 4,000 TENI S. RIFA’I - - - -
1002 19.03.16 A006827 ASEP SAEPUDIN MUSADDAD 97 21,000 - 11,000 4,000 TENI S. RIFA’I - - - -
1003 19.03.16 F001995 FITHRIA AZZAHRA 98 14,000 - 11,000 4,000 TENI S. RIFA’I - - - -
1004 19.03.16 T001857 TIEN PRIKASIH 100 - - 11,000 4,000 TENI S. RIFA’I - - - -
1005 19.03.16 M004458 MUHAMMAD RIFKY SETIAWAN 102 9,000 - 11,000 4,000 TENI S. RIFA’I - - - -
1006 19.03.16 E001028 EVAN RIFQY FATHURAHMAN 115 22,000 - 11,000 4,000 TENI S. RIFA’I - - - -
1007 19.03.16 E001234 ENI YULIASIH 116 24,000 - 11,000 4,000 TENI S. RIFA’I - - - -
1008 19.03.16 A007253 AGUS SOFYAN 118 70,000 - 11,000 4,000 TENI S. RIFA’I - - - -
1009 19.03.16 S004189 SYAFKA ABIZA SOFYAN 119 17,000 - 11,000 4,000 TENI S. RIFA’I - - - -
1010 19.03.16 A008769 AGISSTA WIDI NUTAMI 120 18,000 - 11,000 4,000 TENI S. RIFA’I - - - -
1011 19.03.16 Y002068 YATI MARYATI 121 26,000 - 11,000 4,000 TENI S. RIFA’I - - - -
1012 19.03.16 Z000329 ZAHIRA HANA HUMAIRA 128 14,000 - 11,000 4,000 TENI S. RIFA’I - - - -
1013 19.03.16 D000385 DIFA NAZHIF ALANI 129 18,000 - 11,000 4,000 TENI S. RIFA’I - - - -
1014 20.03.16 N000070 NANDA DAVINA HILYATULBAETI 39 20,000 - 1,000 - H. WINARDI KAHDAR - - - -
1015 20.03.16 A001646 AJENG DANUR FAIDAH R 41 20,000 - 1,000 - H. WINARDI KAHDAR - - - -
1016 20.03.16 A002389 AGUS SUTISNA 43 32,700 - 1,000 - H. WINARDI KAHDAR - - - -
1017 21.03.16 A003289 AGUS TATANG SOLIHIN 2 34,000 - 1,000 - H. WINARDI KAHDAR - - - -
1018 21.03.16 A009512 AZKA ADITYA 4 25,000 - 11,000 4,000 NOVI YULIANTI 80,000 - - -
1019 21.03.16 A001687 ARI SUGIARTI 6 21,000 - 11,000 4,000 NOVI YULIANTI - - - -
1020 21.03.16 D000971 DADANG NURJAMAN 8 26,000 - 11,000 4,000 NOVI YULIANTI - - - -
1021 21.03.16 F000669 FAZIL FAUZI HIDAYAT 10 19,000 70,000 11,000 4,000 NOVI YULIANTI - - - -
1022 21.03.16 Q000039 QUTHBIE ZAHIN NUGRAHA 11 21,000 - 11,000 4,000 NOVI YULIANTI - - - -
1023 21.03.16 L001242 LIA NURUL HIDAYAH 12 27,000 - 11,000 4,000 NOVI YULIANTI - - - -
1024 21.03.16 B000726 BILQIS MAHARANI 13 - - 11,000 4,000 NOVI YULIANTI - - - -
1025 21.03.16 S004221 SELMA 14 29,000 - 11,000 4,000 NOVI YULIANTI - - - -
1026 21.03.16 R005284 RAKA MAULANA AHYARULOH 15 37,000 - 11,000 4,000 NOVI YULIANTI - - - -
1027 21.03.16 A003224 ALDI PANCA MAULANA 16 48,000 - 11,000 4,000 NOVI YULIANTI - - - -
1028 21.03.16 A006608 ALYA FATMA ASIDAH 17 25,000 - 11,000 4,000 NOVI YULIANTI - - - -
1029 21.03.16 A008379 AURA NOVIA ARIANTI 18 24,000 - 11,000 4,000 NOVI YULIANTI - - - -
1030 21.03.16 A009514 AULIA RAHMAN MUZAKKI 19 35,000 - 11,000 4,000 NOVI YULIANTI - - - -
1031 21.03.16 E003651 EDI SUTISNA 20 36,000 - 11,000 4,000 NOVI YULIANTI - - - -
1032 21.03.16 P000708 PIRMAN NURHASBY MAULANA 21 19,000 - 11,000 4,000 NOVI YULIANTI - - - -
1033 21.03.16 F001926 FAYADH AL AZIZ IHSAN 22 40,000 - 11,000 4,000 NOVI YULIANTI 80,000 - - -
1034 21.03.16 N000991 NURHAYATI 23 39,000 - 11,000 4,000 NOVI YULIANTI - - - -
1035 21.03.16 A009515 AGISNI NOVITASARI 25 20,000 - 11,000 4,000 NOVI YULIANTI - - - -
1036 21.03.16 A009348 ACU SUMIATI 26 28,000 - 11,000 4,000 NOVI YULIANTI - - - -
1037 21.03.16 P000806 PAREL MUHAMAD 28 29,000 - 11,000 4,000 NOVI YULIANTI - - - -
1038 21.03.16 P000826 PUTRI AULIA RIZQI ANANDA 30 33,000 - 11,000 4,000 NOVI YULIANTI - - - -
1039 21.03.16 F002158 FATHIR DWI PUTRA AULIA 31 46,000 - 11,000 4,000 NOVI YULIANTI - - - -
1040 21.03.16 M004685 M ALFARRA RISFI JUNIOR 33 21,000 - 11,000 4,000 NOVI YULIANTI - - - -
1041 21.03.16 D000751 DWI INTANI PUTRIA 35 32,000 - 11,000 4,000 NOVI YULIANTI - - - -
1043 21.03.16 M001103 M ABDUL QODIR JAHRO 38 28,000 - 11,000 4,000 NOVI YULIANTI - - - -
1044 21.03.16 D000385 DIFA NAZHIF ALANI 40 29,000 - 11,000 4,000 NOVI YULIANTI - - - -
1045 21.03.16 N003813 NENDEN SUSI MULYANI 42 33,000 - 11,000 4,000 NOVI YULIANTI - - - -
1046 21.03.16 N003814 NEISYA FEBY MELODY FAUZIAH 43 28,000 - 11,000 4,000 NOVI YULIANTI - - - -
1047 21.03.16 A008065 ANAYA ELVIANA AZALIA 45 20,000 - 11,000 4,000 NOVI YULIANTI - - - -
1048 21.03.16 S001829 SUHERMAN, H 46 34,000 - 11,000 4,000 NOVI YULIANTI - - - -
1049 21.03.16 M004831 M.ALFIN ALAMSYAH 47 20,000 - 11,000 4,000 NOVI YULIANTI - - - -
1050 21.03.16 E003268 ENDANG ISKANDAR 48 34,000 - 11,000 4,000 NOVI YULIANTI - - - -
1051 21.03.16 E003496 ELIS HERYANI 50 8,000 - 11,000 4,000 NOVI YULIANTI - - - -
1052 21.03.16 A006681 ASEP SAEPUDIN 51 38,000 - 11,000 4,000 NOVI YULIANTI 23,000 - - -
1053 21.03.16 H001921 HERI HERMALA 55 33,000 - 11,000 4,000 NOVI YULIANTI - - - -
1054 21.03.16 U000999 UJANG SUPRIATNA 57 - - 11,000 4,000 NOVI YULIANTI - - - -
1055 21.03.16 R003924 RINI SARININGSIH 59 22,000 - 11,000 4,000 NOVI YULIANTI - - - -
1056 21.03.16 M004377 MUHAMMAD RAFIE ASY’ARI 61 9,000 - 11,000 4,000 NOVI YULIANTI - - - -
1057 21.03.16 F000799 FACHIRA FAUZIAH MAHARANI 62 28,000 - 11,000 4,000 NOVI YULIANTI - - - -
1058 21.03.16 S002260 SITI NURHAYATI 64 35,000 - 11,000 4,000 NOVI YULIANTI - - - -
1059 21.03.16 A006334 AOS 65 22,000 - 11,000 4,000 NOVI YULIANTI - - - -
1060 21.03.16 E001191 ERNA MARLINA 66 32,000 - 11,000 4,000 NOVI YULIANTI - - - -
1061 21.03.16 F002094 FITRI SUSANTI 67 20,000 - 11,000 4,000 NOVI YULIANTI - - - -
1062 21.03.16 R005285 RODIAH 68 30,000 - 11,000 4,000 NOVI YULIANTI - - - -
1063 21.03.16 B000642 BINTANG MALIK AS SHIDIQ 69 36,000 - 11,000 4,000 NOVI YULIANTI - - - -
1064 21.03.16 A009516 ACOEM MASOEM 70 - - 11,000 4,000 NOVI YULIANTI - - - -
1065 21.03.16 T001203 TUTI SULASTRI 75 37,000 - 11,000 4,000 NOVI YULIANTI - - - -
1066 21.03.16 H001859 HILMI KAMIL HAIDAR 77 46,000 - 11,000 4,000 NOVI YULIANTI - - - -
1067 21.03.16 K000921 KEYLA APRILIA 78 15,000 - 11,000 4,000 NOVI YULIANTI - - - -
1068 21.03.16 R005287 RETI RESTIAWATI 80 31,000 - 11,000 4,000 NOVI YULIANTI - - - -
1069 21.03.16 S000496 SUHAEBAH 84 17,000 - 11,000 4,000 NOVI YULIANTI 66,000 - - -
1070 21.03.16 D003636 DAFFA PRAJA ISMAIL ALFARIZKI 86 35,000 - 1,000 4,000 NOVI YULIANTI - - - -
1071 21.03.16 M004877 MUHAMMMAD AKRAM 87 30,900 - 11,000 4,000 NOVI YULIANTI - - - -
1072 21.03.16 N003877 NOVIA MARIANA YUNAN 88 19,200 - 11,000 4,000 NOVI YULIANTI - - - -
1073 21.03.16 L000447 LILIES SALAMAH 89 40,000 - 11,000 4,000 NOVI YULIANTI - - - -
1074 21.03.16 S005521 SITI RODIAH 91 35,000 - 11,000 4,000 NOVI YULIANTI 80,000 - - -
1075 21.03.16 A008155 AI NURHAYATI 92 35,000 - 11,000 4,000 NOVI YULIANTI - - - -
1076 21.03.16 D003883 DASEP MUTAKIN 95 115,000 - 11,000 4,000 NOVI YULIANTI 43,000 - - -
1077 21.03.16 D002908 DINDA NIKEN KINANTI 98 31,600 - 11,000 4,000 NOVI YULIANTI - - - -
1078 21.03.16 A008921 ASKANA SAKHI 99 18,000 - 11,000 4,000 NOVI YULIANTI - - - -
1079 21.03.16 A002324 ALEN AMELIA 100 25,000 - 1,000 4,000 NOVI YULIANTI - - - -
1080 21.03.16 F001400 FAIDZ AKBAR F 101 - - 11,000 4,000 NOVI YULIANTI - - - -
1081 21.03.16 S005437 SATRIA MALKA FIRDAUS 102 76,000 45,000 11,000 4,000 NOVI YULIANTI - - - -
1082 21.03.16 Y002009 YETI SURYATI 104 16,200 - 11,000 4,000 NOVI YULIANTI - - - -
1083 21.03.16 S004193 SRI RAHAYU KUSMINATI 108 - - - - PERIKSA KEBIDANAN - - - 34,500
1084 21.03.16 N003439 NOVIYANTI 111 23,700 - 11,000 4,000 H. THIA SILVANA - - - -
1085 21.03.16 K000587 KEYSHA NOVELLIA PUTRI 117 111,000 - 11,000 4,000 H. THIA SILVANA - - - -
1086 21.03.16 E000238 EDI RUSWANDI 120 - - 11,000 4,000 H. THIA SILVANA - - - -
1087 21.03.16 A009206 ADE SUKMARA 123 17,300 - 11,000 4,000 H. THIA SILVANA - - - -
1088 21.03.16 A004393 ANI JUNIAWATI 124 - - 11,000 4,000 H. THIA SILVANA - - - -
1089 21.03.16 S001862 SABRINA FEBRIANTI 125 18,500 - 11,000 4,000 H. THIA SILVANA - - - -
1090 21.03.16 R004611 RIDWAN FIRMANSYAH 126 23,500 - 11,000 4,000 H. THIA SILVANA - - - -
1091 21.03.16 A006184 AQILA ZAHRA YULIA HERAWAN 127 16,500 - 11,000 4,000 H. THIA SILVANA - - - -
1092 21.03.16 Y001492 YULIARTI ANTIKA 129 - - - - PERIKSA KEBIDANAN - - - 16,700
1093 21.03.16 W000144 WINWIN ADWINA 131 21,500 - 11,000 4,000 H. THIA SILVANA - - - -
1094 21.03.16 A003062 ALZENA ZAHRA 133 28,500 - 11,000 4,000 H. THIA SILVANA - - - -
1095 21.03.16 D001199 DIAN SYEKH RADIANA 135 24,500 - 11,000 4,000 H. THIA SILVANA - - - -
1096 21.03.16 N003877 NOVIA MARIANA YUNAN 137 19,200 - 11,000 4,000 H. THIA SILVANA - - - -
1097 21.03.16 D003885 DEVIRZHA CHAIRIL AFKAR 140 23,300 - 11,000 4,000 H. THIA SILVANA - - - -
1098 21.03.16 S005522 SONYA SILVIA DEWI 142 18,200 - 11,000 4,000 H. THIA SILVANA - - - -
1099 21.03.16 R005213 ROSA DESNIAWATI 143 19,000 - 11,000 4,000 H. THIA SILVANA - - - -
1100 21.03.16 H000764 HIKMAT MULYANA 144 29,250 - 11,000 4,000 H. THIA SILVANA - - - -
1101 21.03.16 R001809 RIA NINGSIH 145 20,200 - 11,000 4,000 H. THIA SILVANA - - - -
1102 21.03.16 S003939 SINTA CAHYA DEWI 146 36,000 - 11,000 4,000 H. THIA SILVANA - - - -
1103 21.03.16 M005059 MUHAMMAD GHATHAFAAN ALN 150 16,900 - 11,000 4,000 H. THIA SILVANA - - - -
1104 21.03.16 R005288 ROSSALINA KUSUMADEWI 151 48,500 - 11,000 4,000 H. THIA SILVANA - - - -
1105 21.03.16 Z000452 ZAHRA SALSABILA RACHMAWAN 152 17,500 - 11,000 4,000 H. THIA SILVANA - - - -
1106 21.03.16 W001050 WINEU OKTAVIANI 153 28,700 - 11,000 4,000 H. THIA SILVANA - - - -
1107 21.03.16 M004502 MISBAHUL MUNIR ARRIDZAL 154 15,700 - 11,000 4,000 H. THIA SILVANA - - - -
1108 21.03.16 I003514 IDA FARIDA 155 25,500 - 11,000 4,000 H. THIA SILVANA - - - -
1109 21.03.16 E001239 EKO SUSANTO 156 17,500 - 11,000 4,000 H. THIA SILVANA - - - -
1110 21.03.16 I002294 ISMI HENDRAMAWATY 159 30,500 - 11,000 4,000 H. THIA SILVANA - - - -
1111 21.03.16 F001047 FEBRIAN MUHAMMAD ISMAIL 161 19,200 - 11,000 4,000 H. THIA SILVANA - - - -
1112 21.03.16 H000865 HOPSOH 163 25,200 - 11,000 4,000 H. THIA SILVANA - - - -
1113 21.03.16 N002818 NISRINA IMARA PUTRI 165 14,300 - 11,000 4,000 H. ASEP MARYAMAN - - - -
1114 21.03.16 A001212 ANDHITA JUWITA SARI 167 29,000 - 11,000 4,000 H. ASEP MARYAMAN - - - -
1115 21.03.16 E001723 ELIS KURNIATI 170 - - - - PERIKSA KEBIDANAN - - - 17,700
1116 22.03.16 Z000548 ZAHWAN ZAHID ALGHIFARI SAAD 5 21,000 - 11,000 4,000 WULAN WIDYAWATI - - - -
1117 22.03.16 N003197 NANDYRA MALIKA IRAWAN 6 10,000 - 1,000 4,000 WULAN WIDYAWATI - - - -
1118 22.03.16 A007905 ANDRI HIDAYAT 7 14,000 - 11,000 4,000 WULAN WIDYAWATI - - - -
1119 22.03.16 E003315 EMA RISMAWATI 9 16,000 - 11,000 4,000 WULAN WIDYAWATI - - - -
1120 22.03.16 A008016 ANI ROHAETI 10 16,000 - 11,000 4,000 WULAN WIDYAWATI - - - -
1121 22.03.16 S004737 SUSI REGISTIANI 11 26,000 - 11,000 4,000 WULAN WIDYAWATI - - - -
1122 22.03.16 D003869 DEULIS S 14 20,000 - 11,000 4,000 WULAN WIDYAWATI 75,000 - - -
1123 22.03.16 S004537 SEVANA KEVIN 21 34,000 - 11,000 4,000 WULAN WIDYAWATI - - - -
1124 22.03.16 A008032 AZIKRA ANBIYA MAULANA 24 15,000 - 11,000 4,000 WULAN WIDYAWATI - - - -
1125 22.03.16 A002158 AZFA KHAIRI ZULFIKAR 27 29,000 - 11,000 4,000 WULAN WIDYAWATI - - - -
1126 22.03.16 A007299 ATO SUKIRMAN 31 13,000 - 11,000 4,000 WULAN WIDYAWATI - - - -
1127 22.03.16 E002719 EMUD SOBANA 32 23,000 - 11,000 4,000 WULAN WIDYAWATI - - - -
1128 22.03.16 R000799 RIZKY ALFARIZI 33 30,000 - 11,000 4,000 WULAN WIDYAWATI - - - -
1129 22.03.16 M002954 MOCHAMAD ARDYANSYAH 35 16,000 - 11,000 4,000 WULAN WIDYAWATI - - - -
1130 22.03.16 A003305 AYU RIZZAH 38 19,000 - 11,000 4,000 WULAN WIDYAWATI - - - -
1131 22.03.16 T000826 TONI SANTOSO 39 21,000 - 11,000 4,000 WULAN WIDYAWATI - - - -
1132 22.03.16 A003638 AHMAD IMAN KHOIRI 41 28,000 - 11,000 4,000 WULAN WIDYAWATI - - - -
1133 22.03.16 N003205 NELI RUBIANTI DEWI 43 - - 11,000 4,000 WULAN WIDYAWATI - - - -
1134 22.03.16 Y000457 YENI HERYANI 44 7,000 - 11,000 4,000 WULAN WIDYAWATI - - - -
1135 22.03.16 V000175 VINO RIZQI 45 25,000 - 11,000 4,000 WULAN WIDYAWATI - - - -
1136 22.03.16 H000478 HANIFAH 46 19,100 - 11,000 4,000 WULAN WIDYAWATI - - - -
1137 22.03.16 E000088 ELLEN NUR JAMILAH 48 17,000 - 11,000 4,000 WULAN WIDYAWATI 60,000 - - -
1138 22.03.16 D000951 DINI FARAH FARDIANI 49 22,000 - 1,000 4,000 WULAN WIDYAWATI - - - -
1139 22.03.16 H001525 HAJA RIDWAN 50 25,000 - 11,000 4,000 WULAN WIDYAWATI - - - -
1140 22.03.16 M003247 MASRURI 51 38,000 - 11,000 4,000 WULAN WIDYAWATI - - - -
1141 22.03.16 M002993 M. AIRALD R.A 52 18,500 - 11,000 4,000 WULAN WIDYAWATI - - - -
1142 22.03.16 E003653 ENENG SRI MULYATI 55 28,600 - 11,000 4,000 NOVI YULIANTI - - - -
1143 22.03.16 L001076 LARA NUR INTAN 59 20,200 - 11,000 4,000 NOVI YULIANTI - - - -
1144 22.03.16 M003476 MOCHAMMAD RAFA ADITYA 60 29,200 - 11,000 4,000 NOVI YULIANTI - - - -
1145 22.03.16 I003456 INEU SOPIYANTI 61 22,000 - 11,000 4,000 NOVI YULIANTI - - - -
1146 22.03.16 D001756 DEA KHALIFAH PUTRI 62 10,800 - 11,000 4,000 NOVI YULIANTI - - - -
1147 22.03.16 D002469 DEDEH HODIJAH 63 41,200 - 11,000 4,000 NOVI YULIANTI - - - -
1148 22.03.16 A006174 ATANG 64 18,100 - 11,000 4,000 NOVI YULIANTI - - - -
1149 22.03.16 R001838 RUSTANDI 65 29,500 - 1,000 4,000 NOVI YULIANTI - - - -
1150 22.03.16 Y000589 YUPI ROSYANA 68 - - 11,000 4,000 NOVI YULIANTI - - - -
1151 22.03.16 I002605 IIS HARYATI, S, PD, I 69 31,600 - 11,000 4,000 NOVI YULIANTI - - - -
1152 22.03.16 S004940 SRIYANTI 70 25,600 - 11,000 4,000 NOVI YULIANTI - - - -
1153 22.03.16 N003940 NUNUNG 72 24,500 - 11,000 4,000 NOVI YULIANTI - - - -
1154 22.03.16 G000073 GHAISAN AZZAM N 73 32,600 - 11,000 4,000 NOVI YULIANTI - - - -
1155 22.03.16 A001204 ASEP RIVAN NUGRAHA 74 27,800 - 11,000 4,000 NOVI YULIANTI 80,000 - - -
1156 22.03.16 N002324 NUNUNG 75 24,500 - 11,000 4,000 NOVI YULIANTI - - - -
1157 22.03.16 E002125 ETI ROHAETI 76 16,500 - 11,000 4,000 NOVI YULIANTI 25,000 - - -
1158 22.03.16 D002589 DHIVANIA NOVIAN RAMADHANI 77 99,800 - 11,000 4,000 NOVI YULIANTI - - - -
1159 22.03.16 A007826 AULIA SEPTIANI E 78 15,400 - 11,000 4,000 NOVI YULIANTI - - - -
1160 22.03.16 A000292 ANGGIA CHANDRA WIGUNA 80 37,800 - 11,000 4,000 NOVI YULIANTI - - - -
1161 22.03.16 Y002049 YENI HANDIYANI 83 32,400 - 11,000 4,000 NOVI YULIANTI - - - -
1162 22.03.16 N002471 NAZIL MUFTI MUBAROK 86 30,900 - 11,000 4,000 NOVI YULIANTI - - - -
1163 22.03.16 D003007 DZAKIR HAFADHI 87 20,000 - 11,000 4,000 NOVI YULIANTI - - - -
1164 22.03.16 L000320 LINTANG MAHARANI R 90 32,900 - 11,000 4,000 NOVI YULIANTI - - - -
1165 22.03.16 A003820 ASEP RUSMANA 91 26,900 - 11,000 4,000 NOVI YULIANTI - - - -
1166 22.03.16 T001838 TAMAM GRAHA 93 37,400 - 11,000 4,000 NOVI YULIANTI - - - -
1167 22.03.16 M004259 MUHAMMAD DZAKY AL GHIFARY 95 32,400 - 11,000 4,000 NOVI YULIANTI - - - -
1168 22.03.16 D002112 DARA ISTIQOMAH 97 27,600 - 11,000 4,000 NOVI YULIANTI - - - -
1169 23.03.16 A009043 ADE KOMARUDIN 2 16,000 - 11,000 4,000 NOVI YULIANTI 18,000 - - -
1170 23.03.16 R000835 REFAL FIRMANSYAH 3 17,000 - 11,000 4,000 NOVI YULIANTI - - - -
1171 23.03.16 I002350 IYAM SITI MARIAM 4 24,000 - 11,000 4,000 NOVI YULIANTI - - - -
1172 23.03.16 R005292 RIFKI SOLEHUDIN 8 - - 11,000 4,000 NOVI YULIANTI 80,000 - - -
1173 23.03.16 E002685 EKA RAHMAWATI 9 - - 11,000 4,000 NOVI YULIANTI - - - -
1174 23.03.16 K000024 KINARA AL MAIDAH 10 35,600 - 11,000 4,000 NOVI YULIANTI - - - -
1175 23.03.16 L001135 LUTHFIA PUTRI FAHIRA 11 - - 11,000 4,000 NOVI YULIANTI - - - -
1176 23.03.16 R001576 RIKI TAUFIK AKBAR 13 18,000 - 11,000 4,000 NOVI YULIANTI - - - -
1177 23.03.16 N002175 NUNUNG ROSDIANA 17 33,900 - 11,000 4,000 NOVI YULIANTI - - - -
1178 23.03.16 I003426 IRMA SUSANTI 19 - - - - PERIKSA KEBIDANAN - - - 26,700
1179 23.03.16 T000016 TIKA SURTIKANTI 20 27,400 - 11,000 4,000 NOVI YULIANTI - - - -
1180 23.03.16 C000487 CUCU 21 - - 11,000 4,000 NOVI YULIANTI - - - -
1181 23.03.16 E002890 ENCUM KULSUM 22 40,650 - 11,000 4,000 NOVI YULIANTI - - - -
1182 23.03.16 K001297 KIANDRA ANAIA NUR FATHIYYA 29 37,600 - 11,000 4,000 NOVI YULIANTI - - - -
1183 23.03.16 R005244 RINA RAHMAWATI DEWI 30 17,700 - 11,000 4,000 NOVI YULIANTI - - - -
1184 23.03.16 M005065 MUMU 32 - - 11,000 4,000 NOVI YULIANTI - - - -
1185 23.03.16 L001063 LUKMAN SYARIF 33 25,900 - 11,000 4,000 NOVI YULIANTI - - - -
1186 23.03.16 N003571 N ENUNG RUGOYAH 34 31,200 - 11,000 4,000 NOVI YULIANTI - - - -
1187 23.03.16 A003283 ASRI HENDRA MAWATY 36 44,900 - 11,000 4,000 NOVI YULIANTI - - - -
1188 23.03.16 M001808 MULYADIN 37 21,600 - 11,000 4,000 NOVI YULIANTI - - - -
1189 23.03.16 S004643 SITI NURAENI 38 12,700 - 11,000 4,000 NOVI YULIANTI - - - -
1190 23.03.16 D002970 DANI MARDIANI 44 21,700 - 11,000 4,000 NOVI YULIANTI - - - -
1191 23.03.16 R005294 RULLY FATWA ALAMSYAH 47 13,000 - 11,000 4,000 NOVI YULIANTI - - - -
1192 23.03.16 M005067 MOCH SABQI HAMZAH 48 - - 11,000 4,000 NOVI YULIANTI - - - -
1193 23.03.16 N003313 NINA YUNIAWATI 49 28,600 - 11,000 4,000 NOVI YULIANTI - - - -
1194 23.03.16 J000797 JELITA ALYA KHOIRUNNISA 50 22,000 - 11,000 4,000 NOVI YULIANTI - - - -
1195 23.03.16 M004907 MUHAMMAD FAUZI NUGRAHA 52 17,750 - 11,000 4,000 NOVI YULIANTI - - - -
1196 23.03.16 H001851 HENI NURHAENI 54 - - 11,000 4,000 NOVI YULIANTI 80,000 - - -
1197 23.03.16 A009521 ASRI SRI LESTARI 55 28,000 - 11,000 4,000 NOVI YULIANTI - - - -
1198 23.03.16 A000907 ALGIA PUTRI 57 38,300 - 11,000 4,000 NOVI YULIANTI - - - -
1199 23.03.16 D001026 DIDI SUNANDI 65 85,400 - 11,000 4,000 NOVI YULIANTI - - - -
1200 23.03.16 M004565 MOGATA UMAR MAULANA 70 - - 11,000 4,000 NOVI YULIANTI 80,000 - - -
1201 23.03.16 I003396 IIS LIAWATI 71 19,600 - 11,000 4,000 NOVI YULIANTI - - - -
1202 23.03.16 S003939 SINTA CAHYA DEWI 74 - - 11,000 4,000 NOVI YULIANTI 80,000 - - -
1203 23.03.16 L001227 LAELA NURLAELA 75 - - - - PERIKSA KEBIDANAN - - - 24,500
1204 23.03.16 G000418 GUGUN GUNADI 77 27,400 - 11,000 4,000 NOVI YULIANTI - - - -
1205 23.03.16 N003426 NANA MULYANA 79 18,000 - 11,000 4,000 NOVI YULIANTI - - - -
1206 23.03.16 A000018 AMELIA LESTARI 81 7,000 - 11,000 4,000 NOVI YULIANTI - - - -
1207 23.03.16 R000832 REGA ALDIRA GUNAWAN 84 15,400 - 11,000 4,000 WULAN WIDYAWATI - - - -
1208 23.03.16 R004719 REHAN ANDIRA GUNAWAN 85 34,200 - 11,000 4,000 WULAN WIDYAWATI - - - -
1209 23.03.16 A008921 ASKANA SAKHI 86 43,500 - 11,000 4,000 WULAN WIDYAWATI 25,000 - - -
1210 23.03.16 L000315 LINDA PERMANA PUTRI 87 22,000 - 1,000 4,000 WULAN WIDYAWATI - - - -
1211 23.03.16 K000281 KUSMIATI 89 18,200 - 11,000 4,000 WULAN WIDYAWATI - - - -
1212 23.03.16 M003487 M ALFATIH IBRAHIM 91 27,200 - 11,000 4,000 WULAN WIDYAWATI - - - -
1213 23.03.16 N000197 NANDANG SUHERMAN 92 30,200 - 11,000 4,000 WULAN WIDYAWATI - - - -
1214 23.03.16 M004707 MUHAMAD NURHADY ARIZKI 94 38,100 - 11,000 4,000 WULAN WIDYAWATI - - - -
1215 23.03.16 P000663 PIAN GUSTIANA 95 19,550 - 11,000 4,000 WULAN WIDYAWATI - - - -
1216 23.03.16 I001643 IYA BAHTIAR 99 29,700 - 11,000 4,000 WULAN WIDYAWATI - - - -
1217 23.03.16 Y001296 YAYAT HIDAYAT 101 29,500 - 11,000 4,000 WULAN WIDYAWATI - - - -
1218 23.03.16 A007146 ARYA APRIADI NAZMI 108 27,600 - 11,000 4,000 WULAN WIDYAWATI - - - -
1219 23.03.16 S002359 SINTA PURBASARI 110 31,200 - 11,000 4,000 WULAN WIDYAWATI - - - -
1220 23.03.16 A004125 ARLEXA ANNASTASYA T 111 30,400 - 11,000 4,000 WULAN WIDYAWATI - - - -
1221 23.03.16 A004249 ATHALA GIBRAN KAL 116 29,000 - 11,000 4,000 WULAN WIDYAWATI - - - -
1222 23.03.16 S005522 SONYA SILVIA DEWI 118 31,400 - 11,000 4,000 WULAN WIDYAWATI - - - -
1223 24.03.16 M004966 MUHAMMAD HAFIDZ AL-KHOERU 5 35,800 - 11,000 4,000 NOVI YULIANTI - - - -
1224 24.03.16 Y001851 YANA SETIAWAN 6 - - 11,000 4,000 NOVI YULIANTI - - - -
1225 24.03.16 R004890 RATNA SITI ANDRIANI 7 19,000 - 11,000 4,000 NOVI YULIANTI - - - -
1226 24.03.16 A009525 ANASYA AINUN HIKMAH 9 36,800 - 11,000 4,000 NOVI YULIANTI - - - -
1227 24.03.16 K001007 KIRANA AZKADINA RAMADHANY 10 32,800 - 11,000 4,000 NOVI YULIANTI - - - -
1228 24.03.16 A007903 AULIA HAFIDZAH HERMAWAN 11 31,000 - 11,000 4,000 NOVI YULIANTI - - - -
1229 24.03.16 M004258 MIRA KARMILA 12 9,000 - 11,000 4,000 NOVI YULIANTI - - - -
1230 24.03.16 L000848 LISNI NURAFIFAH 17 31,000 - 11,000 4,000 NOVI YULIANTI - - - -
1231 24.03.16 E001663 ELZIE RACHMA FAUZIAH 20 62,100 - 11,000 4,000 NOVI YULIANTI - - - -
1232 24.03.16 K001105 KHAIRIN HANINDA AULIA 22 - - 11,000 4,000 NOVI YULIANTI 10,000 - - -
1233 24.03.16 D001354 DAIVA JULIANO KHAIRA 23 10,300 - 11,000 4,000 NOVI YULIANTI - - - -
1234 24.03.16 M004956 MUHAMAD RIZAL AGUSTIAN 25 51,000 45,000 11,000 4,000 NOVI YULIANTI - - - -
1235 24.03.16 H001938 HANA YULIANTI 26 21,000 - 11,000 4,000 NOVI YULIANTI - - - -
1236 24.03.16 L001029 LIA KARTIKA 29 19,600 - 11,000 4,000 NOVI YULIANTI - - - -
1237 24.03.16 D003732 DANISH NAQA SADAT 30 28,100 - 11,000 4,000 NOVI YULIANTI - - - -
1238 24.03.16 T001839 TARJA 31 13,700 - 11,000 4,000 NOVI YULIANTI - - - -
1239 24.03.16 M000916 MEILA SA. SUMITRA 39 30,000 - 11,000 4,000 NOVI YULIANTI - - - -
1240 24.03.16 Y002240 YUSUF RAMDANI 41 36,800 - 11,000 4,000 NOVI YULIANTI - - - -
1241 24.03.16 K000988 KEYSHA AUDICHA 44 29,000 - 11,000 4,000 NOVI YULIANTI - - - -
1242 24.03.16 L001244 LILIS MUSTIKAWATI 47 34,900 - 11,000 4,000 NOVI YULIANTI - - - -
1243 24.03.16 I003269 IMAM MUTAQIN 48 21,400 - 11,000 4,000 NOVI YULIANTI - - - -
1244 24.03.16 A003224 ALDI PANCA MAULANA 53 28,700 - 11,000 4,000 NOVI YULIANTI - - - -
1245 24.03.16 T000731 TONI RIYANTO 55 25,500 - 11,000 4,000 NOVI YULIANTI - - - -
1246 24.03.16 E002176 ETI ROHMAT 56 25,600 - 11,000 4,000 NOVI YULIANTI - - - -
1247 24.03.16 M003479 MILA MELIANA S 59 27,400 - 11,000 4,000 NOVI YULIANTI - - - -
1248 24.03.16 D003645 DESY SUSANTY 62 - - - - PERIKSA KEBIDANAN - - - 53,900
1249 24.03.16 M005069 MUHAMMAD FAKHRI DZULFIKAR 64 24,000 - 11,000 4,000 H. ASEP MARYAMAN - - - -
1250 24.03.16 I002859 IMAS MASLIAH 67 19,500 - 11,000 4,000 H. ASEP MARYAMAN - - - -
1251 24.03.16 Y001908 YUKE LILIAN NATALIA 70 - - - - PERIKSA KEBIDANAN - - - 40,000
1252 24.03.16 L001095 LILIS LISNAWATI 72 26,000 - 1,000 4,000 H. ASEP MARYAMAN - - - -
1253 24.03.16 A007650 AMIN HIDAYAT 73 25,000 - 11,000 4,000 H. ASEP MARYAMAN - - - -
1254 24.03.16 F000206 FAHMI ISLAM 74 25,000 - 11,000 4,000 H. ASEP MARYAMAN - - - -
1255 24.03.16 M004910 MUHAMMAD AL RASYID 75 28,000 - 11,000 4,000 H. ASEP MARYAMAN - - - -
1256 24.03.16 M004458 MUHAMMAD RIFKY SETIAWAN 76 15,000 - 11,000 4,000 H. ASEP MARYAMAN - - - -
1257 24.03.16 R004666 RAHMAT HIDAYAT 77 22,000 - 11,000 4,000 H. ASEP MARYAMAN - - - -
1258 24.03.16 K000270 KANDA 78 27,500 - 11,000 4,000 H. ASEP MARYAMAN - - - -
1259 24.03.16 T000038 TATANG HIDAYAT 80 25,000 - 11,000 4,000 H. ASEP MARYAMAN - - - -
1260 24.03.16 H002083 HUSNAINI AGUSTIN 86 24,000 - 11,000 4,000 H. ASEP MARYAMAN - - - -
1261 24.03.16 S002635 SALSABIILA AZ ZAHRA 89 18,000 - 11,000 4,000 H. ASEP MARYAMAN - - - -
1262 25.03.16 A003000 ARNI SULANI 11 44,000 - 1,000 4,000 WULAN WIDYAWATI - - - -
1263 25.03.16 M003247 MASRURI 21 51,000 - 1,000 4,000 WULAN WIDYAWATI 158,000 - - -
1264 25.03.16 H000655 HARISA ATMAJA 41 20,000 - 1,000 4,000 WULAN WIDYAWATI - - - -
1265 25.03.16 D003240 DANI RAMADHAN 66 20,000 - 1,000 4,000 ANDI HERMANSYAH - - - -
1266 25.03.16 N000933 NESYA YULISTIAN DINI 67 20,000 - 1,000 4,000 H. THIA SILVANA - - - -
1267 25.03.16 M004103 MOCHAMAD RIJAL SUMIARSA 69 33,500 - 1,000 4,000 H. THIA SILVANA - - - -
1268 25.03.16 W000940 WAFA AKMALUDDIN AL-QODIRI 70 16,200 - 1,000 4,000 H. THIA SILVANA - - - -
1269 26.03.16 S004220 SASA SARIPUDIN 8 - - 11,000 4,000 WULAN WIDYAWATI - - - -
1270 26.03.16 S005023 SUDENG IBRACHIM 12 25,200 - 11,000 4,000 WULAN WIDYAWATI - - - -
1271 26.03.16 N003302 NENTI RISYANTI 13 9,000 - 11,000 4,000 WULAN WIDYAWATI - - - -
1272 26.03.16 R003501 RUROUNI ARKAAN LESMANA 14 22,900 - 11,000 4,000 WULAN WIDYAWATI - - - -
1273 26.03.16 N000980 NUNIK MAHMUDAH NOORILAH 15 10,600 - 11,000 4,000 WULAN WIDYAWATI - - - -
1274 26.03.16 O000006 OOM KOMARIAH 17 20,900 - 11,000 4,000 WULAN WIDYAWATI - - - -
1275 26.03.16 A008686 ATO SUKIRMAN 18 - - 11,000 4,000 WULAN WIDYAWATI - - - -
1276 26.03.16 E002850 ERGA SUGARA 19 13,550 - 11,000 4,000 WULAN WIDYAWATI - - - -
1277 26.03.16 A004584 ALFIANSYAH MIROJ FATAHILLAH 20 18,700 - 11,000 4,000 WULAN WIDYAWATI - - - -
1278 26.03.16 H001154 HEDI RUFYADI 21 9,350 - 11,000 4,000 WULAN WIDYAWATI - - - -
1279 26.03.16 K000024 KINARA AL MAIDAH 22 31,100 - 11,000 4,000 WULAN WIDYAWATI 80,000 - - -
1280 26.03.16 M004054 MUHAMAD SADAM MULYADI 23 27,400 - 11,000 4,000 WULAN WIDYAWATI - - - -
1281 26.03.16 P000826 PUTRI AULIA RIZQI ANANDA 24 24,400 - 11,000 4,000 WULAN WIDYAWATI - - - -
1282 26.03.16 L000866 LILIH KOMARIAH 25 29,700 - 11,000 4,000 WULAN WIDYAWATI - - - -
1283 26.03.16 D000452 DIMYATI 26 19,300 - 11,000 4,000 WULAN WIDYAWATI 23,000 - - -
1284 26.03.16 D002505 DADANG SETIAWAN 28 15,000 - 11,000 4,000 WULAN WIDYAWATI - - - -
1285 26.03.16 S005479 SITI JENAB 33 - - - - PERIKSA KEBIDANAN - - - 32,000
1286 26.03.16 L000874 LISNA NOVI DARYANI 34 24,600 - 11,000 4,000 WULAN WIDYAWATI - - - -
1287 26.03.16 L000887 LARAS MUTIARA PUTRI 35 28,200 - 11,000 4,000 WULAN WIDYAWATI - - - -
1288 26.03.16 E003268 ENDANG ISKANDAR 38 28,600 - 11,000 4,000 WULAN WIDYAWATI - - - -
1289 26.03.16 K001375 KURNIA 39 19,400 - 11,000 4,000 WULAN WIDYAWATI - - - -
1290 26.03.16 Z000514 ZHIHAN TALITA PUTRI S 40 29,500 - 11,000 4,000 WULAN WIDYAWATI - - - -
1291 26.03.16 M003922 MELLY STIAWATI 41 14,000 - 11,000 4,000 WULAN WIDYAWATI - - - -
1292 26.03.16 A009539 ASRIHENRAMAWATY 46 83,000 45,000 11,000 4,000 WULAN WIDYAWATI - - - -
1293 26.03.16 R003924 RINI SARININGSIH 47 19,600 - 11,000 4,000 WULAN WIDYAWATI - - - -
1294 26.03.16 F001706 FAIREL TWINDRA ATHARIZ 48 25,300 - 11,000 4,000 WULAN WIDYAWATI - - - -
1295 26.03.16 R000799 RIZKY ALFARIZI 51 29,200 - 11,000 4,000 WULAN WIDYAWATI - - - -
1296 26.03.16 C000667 CHEISYA CLARA PUTRI 52 24,200 - 11,000 4,000 WULAN WIDYAWATI - - - -
1297 26.03.16 N003944 NADHIFA ELZALORA 53 23,000 35,000 11,000 4,000 WULAN WIDYAWATI - - - -
1298 26.03.16 B000790 BUNYAMIN 57 18,950 - 11,000 4,000 WULAN WIDYAWATI - - - -
1299 26.03.16 A009541 ALFIAN 58 8,300 - 11,000 4,000 WULAN WIDYAWATI - - - -
1300 26.03.16 M004330 MIMIN NURJANAH 59 14,700 - 11,000 4,000 WULAN WIDYAWATI - - - -
1301 26.03.16 W001117 WIRANTIWI AGUSTINA 60 - - 11,000 4,000 WULAN WIDYAWATI - - - -
1302 26.03.16 A004249 ATHALA GIBRAN KAL 61 28,800 - 11,000 4,000 WULAN WIDYAWATI 80,000 - - -
1303 26.03.16 S004220 SASA SARIPUDIN 62 12,500 - 11,000 4,000 WULAN WIDYAWATI - - - -
1304 26.03.16 D002928 DINAR SARININGRUM 66 17,600 - 11,000 4,000 WULAN WIDYAWATI - - - -
1305 26.03.16 C000371 CUCU NURHAYATI 67 12,100 - 11,000 4,000 WULAN WIDYAWATI - - - -
1306 26.03.16 R004537 RAZKA MUHAMMAD HISHAM 68 22,600 - 11,000 4,000 WULAN WIDYAWATI - - - -
1307 26.03.16 A003927 ALLIKA OKTAVIA PAHLEVI 70 18,400 - 11,000 4,000 WULAN WIDYAWATI - - - -
1308 26.03.16 A009544 AGUS YUSUP 71 15,900 - 11,000 4,000 WULAN WIDYAWATI - - - -
1309 26.03.16 S004221 SELMA 72 30,100 - 11,000 4,000 WULAN WIDYAWATI - - - -
1310 26.03.16 H002053 HAIKAL PUTRA GUNAWAN 73 15,200 - 11,000 4,000 WULAN WIDYAWATI - - - -
1311 26.03.16 J000234 JAJANG RUSMANA 76 13,600 - 11,000 4,000 WULAN WIDYAWATI - - - -
1312 26.03.16 N003386 NAZWA SRI AMELIA 77 36,500 - 11,000 4,000 WULAN WIDYAWATI - - - -
1313 26.03.16 I002859 IMAS MASLIAH 79 14,700 - 11,000 4,000 WULAN WIDYAWATI 23,000 - - -
1314 26.03.16 F000092 FADLI FADLILLAH 80 35,500 - 11,000 4,000 WULAN WIDYAWATI - - - -
1315 26.03.16 R000550 RIA NINGSIH 81 86,600 - 11,000 4,000 WULAN WIDYAWATI - - - -
1316 26.03.16 Y002083 YATI SUMIYATI 88 20,200 - 11,000 4,000 WULAN WIDYAWATI - - - -
1317 26.03.16 S003826 SADIAH 90 21,500 - 11,000 4,000 WULAN WIDYAWATI - - - -
1318 26.03.16 S003803 SYAHRUL HAMDANI 91 22,400 - 11,000 4,000 WULAN WIDYAWATI - - - -
1319 26.03.16 D002858 DODI ARISTANDI 93 24,000 - 11,000 4,000 WULAN WIDYAWATI - - - -
1320 26.03.16 A008877 AGUS SUWARA 94 22,000 - 11,000 4,000 ENCEP SUDARYANA - - - -
1321 26.03.16 Y002242 YOLA NURLIKA 95 23,000 - 11,000 4,000 ENCEP SUDARYANA - - - -
1322 26.03.16 A008168 ANGGRA SURYA RIZQIA 96 28,000 - 11,000 4,000 ENCEP SUDARYANA - - - -
1323 26.03.16 F002167 FITRI 99 18,000 - 11,000 4,000 ENCEP SUDARYANA - - - -
1324 26.03.16 I002408 IMEL AMELIA 100 28,000 - 11,000 4,000 ENCEP SUDARYANA - - - -
1325 26.03.16 A003549 ATIKAH 102 27,000 - 11,000 4,000 ENCEP SUDARYANA - - - -
1326 26.03.16 D003545 DAWAM SHAFANA RHADIQ 103 17,000 - 11,000 4,000 ENCEP SUDARYANA - - - -
1327 26.03.16 R002585 RIVALDY NAUFAL 108 22,000 - 11,000 4,000 ENCEP SUDARYANA - - - -
1328 26.03.16 T000926 TRIYANI HERIYANTI 109 22,000 - 11,000 4,000 ENCEP SUDARYANA - - - -
1329 26.03.16 R001846 RAHMI NURKAMILAH 110 21,000 - 11,000 4,000 ENCEP SUDARYANA - - - -
1330 26.03.16 R001325 RAHMA NURHAMIDAH 111 22,000 - 11,000 4,000 ENCEP SUDARYANA - - - -
1331 26.03.16 A009548 AMANDA NAZWA RAMADHANI 114 22,000 - 11,000 4,000 ENCEP SUDARYANA - - - -
1332 26.03.16 S003301 SITI JULAEHA 117 19,000 - 11,000 4,000 ENCEP SUDARYANA - - - -
1333 26.03.16 N003327 NURAENI 120 28,000 - 11,000 4,000 ENCEP SUDARYANA - - - -
1334 26.03.16 I003627 IWAN GUNAWAN 125 30,000 - 11,000 4,000 ENCEP SUDARYANA - - - -
1335 26.03.16 A009495 AHMAD NAWAWI 127 17,000 - 11,000 4,000 ENCEP SUDARYANA - - - -
1336 26.03.16 A002436 AI ANITA 128 - - 11,000 4,000 ENCEP SUDARYANA - - - -
1337 26.03.16 F000562 FAUZAN ABQARI SYAUQI 129 16,000 - 11,000 4,000 ENCEP SUDARYANA - - - -
1338 26.03.16 N003653 NITA TAZKIAH 130 - - 11,000 4,000 ENCEP SUDARYANA - - - -
1339 26.03.16 N003947 NAZWA KHAERANI ZAKARIA 131 18,000 - 11,000 4,000 ENCEP SUDARYANA - - - -
1340 26.03.16 D001472 DENDI AHMAD DANI 132 26,000 - 11,000 4,000 ENCEP SUDARYANA - - - -
1341 26.03.16 A009549 AISYAH SARTIKA 133 12,000 - 11,000 4,000 ENCEP SUDARYANA - - - -
1342 26.03.16 P000789 PAUZI JANUAR 134 17,000 - 11,000 4,000 ENCEP SUDARYANA - - - -
1343 26.03.16 L001248 LELA NURLELA 137 27,000 - 11,000 4,000 ENCEP SUDARYANA - - - -
1344 26.03.16 N002245 NAZIL MUHAMMAD ARIF 139 28,000 - 11,000 4,000 ENCEP SUDARYANA - - - -
1345 26.03.16 R004806 RESTU AYU LESTARI 140 16,000 - 11,000 4,000 ENCEP SUDARYANA - - - -
1346 26.03.16 R002206 RIZKY MAULANA ROMDANI 146 20,000 - 11,000 4,000 ENCEP SUDARYANA - - - -
1347 26.03.16 R002205 RADEN TIA ARISTUTIA 147 21,000 - 11,000 4,000 ENCEP SUDARYANA - - - -
1348 26.03.16 P000369 PUTRI SARI INTAN 148 20,000 - 11,000 4,000 ENCEP SUDARYANA - - - -
1349 26.03.16 A006013 AGUS SUWARMAN 150 34,000 - 1,000 4,000 ENCEP SUDARYANA - - - -
1350 27.03.16 R002843 RESTU NOER OKTAVIANI 28 39,000 - 1,000 4,000 NOVI YULIANTI - - - -
1351 27.03.16 M002993 M. AIRALD R.A 38 21,000 - 11,000 4,000 H. ASEP SANI SULAEMA - - - -
1352 27.03.16 A006532 ASEP TAHYANUDIN 39 21,400 - 11,000 4,000 H. ASEP SANI SULAEMA 77,500 - - -
1353 28.03.16 T001608 TITIN SUARTINI 13 15,000 - 11,000 4,000 WULAN WIDYAWATI - - - -
1354 28.03.16 I002207 IYANG SAEPUDIN 15 25,000 - 11,000 4,000 WULAN WIDYAWATI - - - -
1355 28.03.16 Y001471 YETI SUMIATI 16 17,000 - 11,000 4,000 WULAN WIDYAWATI - - - -
1356 28.03.16 D003890 DENY SURUR BULDANI 21 24,000 - 11,000 4,000 WULAN WIDYAWATI - - - -
1357 28.03.16 M005081 MUHAMMAD FARHAN MUBAROK 22 17,000 - 11,000 4,000 WULAN WIDYAWATI - - - -
1358 28.03.16 L000066 LINA KURNIAWATI 24 20,000 - 11,000 4,000 WULAN WIDYAWATI - - - -
1359 28.03.16 D000998 DADAN SOBANDI 25 16,000 - 11,000 4,000 WULAN WIDYAWATI - - - -
1360 28.03.16 S005273 SOPIAN 26 14,000 - 11,000 4,000 WULAN WIDYAWATI - - - -
1361 28.03.16 A009556 ANNISA SRI MULYANI 27 26,000 - 11,000 4,000 WULAN WIDYAWATI - - - -
1362 28.03.16 A007533 AJANG SUMPENA 28 16,000 - 11,000 4,000 WULAN WIDYAWATI - - - -
1363 28.03.16 R002585 RIVALDY NAUFAL 29 104,000 - 11,000 4,000 WULAN WIDYAWATI 80,000 - - -
1364 28.03.16 B000619 BUDI MARTIN BUDIMAN 30 28,000 - 11,000 4,000 WULAN WIDYAWATI - - - -
1365 28.03.16 I001771 IJANG NASUTION 31 29,000 - 11,000 4,000 WULAN WIDYAWATI - - - -
1366 28.03.16 G000656 GUN GUN NURHUDA 32 15,000 - 11,000 4,000 WULAN WIDYAWATI - - - -
1367 28.03.16 K000013 KUSTILAH 34 61,000 - 11,000 4,000 WULAN WIDYAWATI - - - -
1368 28.03.16 D002714 DEDEN DARWAN 35 17,000 - 11,000 4,000 WULAN WIDYAWATI - - - -
1369 28.03.16 D001828 DADANG PERMANA 38 26,000 - 11,000 4,000 WULAN WIDYAWATI - - - -
1370 28.03.16 A008030 ASEP SUPARDI 39 32,000 - 11,000 4,000 WULAN WIDYAWATI - - - -
1371 28.03.16 K001190 KANA RAHMAN 41 24,000 - 11,000 4,000 WULAN WIDYAWATI - - - -
1372 28.03.16 M002943 MAKMUN, H 43 28,000 - 11,000 4,000 WULAN WIDYAWATI - - - -
1373 28.03.16 N000469 NINA ROSTIANA 44 39,000 - 11,000 4,000 WULAN WIDYAWATI - - - -
1374 28.03.16 C000597 CUCUM SUMARYATI 51 25,000 - 11,000 4,000 WULAN WIDYAWATI - - - -
1375 28.03.16 R001606 ROFFY IDHAM RAMADHAN 54 22,000 - 11,000 4,000 WULAN WIDYAWATI - - - -
1376 28.03.16 K000024 KINARA AL MAIDAH 56 41,000 - 11,000 4,000 WULAN WIDYAWATI - - - -
1377 28.03.16 E003321 ERPIN MUHIDIN 57 15,000 - 11,000 4,000 WULAN WIDYAWATI - - - -
1378 28.03.16 I001931 IMAS HERAWATI HJ 58 - - 11,000 4,000 WULAN WIDYAWATI - - - -
1379 28.03.16 I003184 IQLIMA AULIYA PURNAMA 60 19,000 - 11,000 4,000 WULAN WIDYAWATI - - - -
1380 28.03.16 K001376 KUSMIRA 61 24,000 - 11,000 4,000 WULAN WIDYAWATI - - - -
1381 28.03.16 M004318 MUHAMAD IKBAL TAWAKAL 62 16,000 - 11,000 4,000 WULAN WIDYAWATI - - - -
1382 28.03.16 I003641 IMAS SUHANA 65 30,000 - 11,000 4,000 WULAN WIDYAWATI - - - -
1383 28.03.16 H000658 HALIL HANDA 66 34,000 - 11,000 4,000 WULAN WIDYAWATI - - - -
1384 28.03.16 S003896 SYAHID ALI RIDHO 69 28,000 - 11,000 4,000 WULAN WIDYAWATI - - - -
1385 28.03.16 F001766 FIRDHAN ERDIANSYAH PUTRA 71 19,000 - 11,000 4,000 WULAN WIDYAWATI - - - -
1386 28.03.16 N003585 NONENG SOLIHAT 73 29,000 - 11,000 4,000 WULAN WIDYAWATI - - - -
1387 28.03.16 W000351 WITA PUSPITASARI 75 27,000 - 11,000 4,000 WULAN WIDYAWATI - - - -
1388 28.03.16 D003190 DUDI NURDIYANSYAH, ST 76 25,000 - 11,000 4,000 WULAN WIDYAWATI - - - -
1389 28.03.16 Y002123 YANTI ROSMAYANTI 79 - - 11,000 4,000 WULAN WIDYAWATI - - - -
1390 28.03.16 A009559 ADE SUDARWAN 80 - - 11,000 4,000 WULAN WIDYAWATI - - - -
1391 28.03.16 U000976 UNDANG PERMANA 83 - 40,000 11,000 4,000 WULAN WIDYAWATI - - - -
1392 28.03.16 C000701 CUCU 84 28,000 - 11,000 4,000 WULAN WIDYAWATI - - - -
1393 28.03.16 O000589 OHAR.H 85 16,000 - 11,000 4,000 WULAN WIDYAWATI - - - -
1394 28.03.16 T001743 TITING SUMINARSIH 87 9,000 - 11,000 4,000 WULAN WIDYAWATI 25,000 - - -
1395 28.03.16 F000309 FERI PURNAMA 89 36,000 - 11,000 4,000 WULAN WIDYAWATI - - - -
1396 28.03.16 A009560 AQILA NURSHOFA AZZAHRA 90 24,000 - 11,000 4,000 WULAN WIDYAWATI - - - -
1397 28.03.16 K000587 KEYSHA NOVELLIA PUTRI 94 - - 11,000 4,000 WULAN WIDYAWATI - - - -
1398 28.03.16 S002959 SINDI SEPTIANI 100 20,000 - 11,000 4,000 WULAN WIDYAWATI - - - -
1399 28.03.16 M001189 MARIA FITRI 101 10,100 - 11,000 4,000 WULAN WIDYAWATI - - - -
1400 28.03.16 S005096 SITI MARIAM,BA 103 20,000 - 11,000 4,000 WULAN WIDYAWATI 23,000 - - -
1401 28.03.16 F002170 FALQI A FIRDAUS 104 31,000 - 11,000 4,000 WULAN WIDYAWATI - - - -
1402 28.03.16 N003535 NAHARA NURUL MAULIDDINA 106 9,000 - 11,000 4,000 WULAN WIDYAWATI - - - -
1403 28.03.16 S004073 SITI NUROCHMAH 107 22,400 - 11,000 4,000 WULAN WIDYAWATI - - - -
1404 28.03.16 A009561 ATENG SUTISNA 108 24,400 - 11,000 4,000 WULAN WIDYAWATI - - - -
1405 28.03.16 F001799 FATHURACHMAN ZIMAN FADHIL 109 19,400 - 11,000 4,000 WULAN WIDYAWATI - - - -
1406 28.03.16 U000786 USUP YUSUP 110 - - 11,000 4,000 WULAN WIDYAWATI - - - -
1407 28.03.16 M004730 MUHAMAD IQBAL MAULANA 112 23,000 - 11,000 4,000 H. THIA SILVANA - - - -
1408 28.03.16 R005307 RATNA NURBAINAH 113 18,000 - 11,000 4,000 H. THIA SILVANA - - - -
1409 28.03.16 A009562 ALIFAH LAYINATUL SYIFA 117 41,000 - 11,000 4,000 H. THIA SILVANA - - - -
1410 28.03.16 N002726 NURWAHIDAH 118 32,000 75,000 11,000 4,000 H. THIA SILVANA - - - -
1411 28.03.16 A009348 ACU SUMIATI 120 24,500 - 11,000 4,000 H. THIA SILVANA - - - -
1412 28.03.16 D000452 DIMYATI 125 19,300 - 11,000 4,000 H. THIA SILVANA - - - -
1413 28.03.16 I000818 IMAS NURHAEDAROH 126 - - 11,000 4,000 H. THIA SILVANA - - - -
1414 28.03.16 C000359 CHOERUNNAS CAKRAPRAJA 128 25,800 - 11,000 4,000 H. THIA SILVANA - - - -
1415 28.03.16 N002738 NURMARINI 129 30,500 - 11,000 4,000 H. THIA SILVANA - - - -
1416 28.03.16 L000524 LISTIAWATI 133 17,300 - 11,000 4,000 H. THIA SILVANA - - - -
1417 28.03.16 K000966 KANDA 135 27,000 - 11,000 4,000 H. THIA SILVANA - - - -
1418 28.03.16 W000063 WAWAN RACHMAWAN, H 138 - - 11,000 4,000 H. THIA SILVANA 18,000 - - -
1419 28.03.16 S005531 SABAR GARNIDA 141 23,000 - 11,000 4,000 H. THIA SILVANA - - - -
1420 28.03.16 L000814 LUCKY FADILLA RAMADHANI 145 61,000 - 11,000 4,000 H. THIA SILVANA - - - -
1421 28.03.16 R005247 REZQY IMAN PUTRA 149 49,800 - 11,000 4,000 H. THIA SILVANA - - - -
1422 28.03.16 I003642 IMAN FATURAHMAN 150 24,500 - 11,000 4,000 H. THIA SILVANA - - - -
1423 28.03.16 G000599 GHIRY LEO LESMANA 152 24,500 - 11,000 4,000 H. THIA SILVANA - - - -
1424 28.03.16 N003444 NINING SRI YUNINGSIH 155 42,000 - 11,000 4,000 H. THIA SILVANA - - - -
1425 28.03.16 S005472 SRI SETIANI 159 16,500 - 11,000 4,000 H. THIA SILVANA - - - -
1426 28.03.16 A009564 AHMAD SOLEH 163 10,300 - 11,000 4,000 H. THIA SILVANA - - - -
1427 28.03.16 R005310 REVIANA SALSABILA PUTRI 166 21,100 - 11,000 4,000 H. THIA SILVANA - - - -
1428 28.03.16 K001042 KIREINA MEINA HILMAN 169 20,000 - 11,000 4,000 H. THIA SILVANA - - - -
1429 28.03.16 I003382 IBNU KAHFI HILMAN 170 14,000 - 11,000 4,000 H. THIA SILVANA - - - -
1430 29.03.16 M003123 M. RENALDI FIRMANSYAH 3 22,000 - 1,000 4,000 H. ASEP MARYAMAN - - - -
1431 29.03.16 N003775 NOVIANA 7 23,000 - 11,000 4,000 WULAN WIDYAWATI - - - -
1432 29.03.16 A009516 ACOEM MASOEM 8 - - 11,000 4,000 WULAN WIDYAWATI - - - -
1433 29.03.16 Y001332 YAYAT ROHAYATI 10 - - 11,000 4,000 WULAN WIDYAWATI - - - -
1434 29.03.16 M002946 M FAIZ HEKMATIAR 11 10,400 - 11,000 4,000 WULAN WIDYAWATI - - - -
1435 29.03.16 A001065 AGUNG SUDIRMAN 13 27,200 - 11,000 4,000 WULAN WIDYAWATI - - - -
1436 29.03.16 S000711 SALMA FALSA SAKIRA 14 16,800 - 11,000 4,000 WULAN WIDYAWATI - - - -
1437 29.03.16 A006484 ABDILLAH DAFFAH ANDHIKA 15 17,400 - 11,000 4,000 WULAN WIDYAWATI - - - -
1438 29.03.16 D002785 DEDE 16 19,600 - 11,000 4,000 WULAN WIDYAWATI - - - -
1439 29.03.16 D003139 DEVI IRAWATI 17 15,000 - 11,000 4,000 WULAN WIDYAWATI - - - -
1440 29.03.16 A009567 AI ENDEN 25 27,400 - 11,000 4,000 WULAN WIDYAWATI - - - -
1441 29.03.16 F002171 FAHRIZA AKHDAN 26 13,000 - 11,000 4,000 WULAN WIDYAWATI - - - -
1442 29.03.16 M004054 MUHAMAD SADAM MULYADI 27 25,700 - 11,000 4,000 WULAN WIDYAWATI 80,000 - - -
1443 29.03.16 S001101 SHOPA MARWAH 28 30,000 - 11,000 4,000 WULAN WIDYAWATI - - - -
1444 29.03.16 E003167 ENTUT KARTUTI 30 36,200 - 11,000 4,000 WULAN WIDYAWATI 66,000 - - -
1445 29.03.16 D003892 DEDI SUDRAJAT 32 30,000 - 11,000 4,000 WULAN WIDYAWATI - - - -
1446 29.03.16 Y002244 YENI KAMILASARI 33 21,200 - 11,000 4,000 WULAN WIDYAWATI - - - -
1447 29.03.16 N001716 NINA WAHIDAH ROSTIAWATI 34 - - 11,000 4,000 WULAN WIDYAWATI - - - -
1448 29.03.16 S004702 SYAFIQ ASSYAUQIEQ 35 8,500 - 11,000 4,000 WULAN WIDYAWATI - - - -
1449 29.03.16 S004703 SABIQ EL FATHIN 36 39,000 45,000 11,000 4,000 WULAN WIDYAWATI - - - -
1450 29.03.16 A008457 AGUS PURWANTO, SH 38 32,300 - 11,000 4,000 WULAN WIDYAWATI 60,000 - - -
1451 29.03.16 D003893 DIKY PURNAMA 39 23,000 - 11,000 4,000 WULAN WIDYAWATI - - - -
1452 29.03.16 P000774 PUTRI ZAHRA AULIA 40 17,500 - 11,000 4,000 WULAN WIDYAWATI - - - -
1453 29.03.16 M003168 MERI KUSTIANI 42 19,000 - 11,000 4,000 WULAN WIDYAWATI - - - -
1454 29.03.16 F000554 FIRDA TRI OKTAVIANI 44 18,700 - 11,000 4,000 WULAN WIDYAWATI - - - -
1455 29.03.16 W001102 WIRACHMAN SURYANTO 46 28,650 - 11,000 4,000 WULAN WIDYAWATI - - - -
1456 29.03.16 B000619 BUDI MARTIN BUDIMAN 47 42,500 - 11,000 4,000 WULAN WIDYAWATI 105,000 - - -
1457 29.03.16 R004308 RD FEBRINA KARTIKA A AK 48 14,200 - 11,000 4,000 WULAN WIDYAWATI - - - -
1458 29.03.16 D000977 DINAR AGUSDINA AL GHIFARI 49 23,500 - 11,000 4,000 WULAN WIDYAWATI - - - -
1459 29.03.16 A001698 AHMAD MULYADI 50 13,200 - 11,000 4,000 WULAN WIDYAWATI - - - -
1460 29.03.16 S004057 SUDARWANTO 53 24,400 - 11,000 4,000 WULAN WIDYAWATI - - - -
1461 29.03.16 D000971 DADANG NURJAMAN 57 - - 11,000 4,000 WULAN WIDYAWATI 70,000 - - -
1462 29.03.16 I000921 INES NAISHA GAYATRI 58 28,500 - 1,000 4,000 WULAN WIDYAWATI - - - -
1463 29.03.16 B000572 BONANSYA GATEN ASWARANI 59 31,200 - 11,000 4,000 WULAN WIDYAWATI - - - -
1464 29.03.16 M001164 MIMA YULIA 63 25,000 - 1,000 4,000 WULAN WIDYAWATI - - - -
1465 29.03.16 D002659 DEDEN RIAN MUKLIS 65 29,000 65,000 11,000 4,000 NOVI YULIANTI - - - -
1466 29.03.16 S003810 SYAHNAZ NAHL CHAERUNISA 66 28,600 - 11,000 4,000 NOVI YULIANTI - - - -
1467 29.03.16 A002164 ACHMAD DJUHANA 69 12,700 - 11,000 4,000 NOVI YULIANTI - - - -
1468 29.03.16 Z000058 ZEZEN ZAELANI 70 21,100 - 11,000 4,000 NOVI YULIANTI - - - -
1469 29.03.16 R003370 RUHIYATI 75 22,900 - 11,000 4,000 NOVI YULIANTI - - - -
1470 29.03.16 A006238 AI MULYANI 76 28,700 - 11,000 4,000 NOVI YULIANTI - - - -
1471 29.03.16 R004666 RAHMAT HIDAYAT 77 32,800 - 11,000 4,000 NOVI YULIANTI - - - -
1472 29.03.16 D003281 DEDE ROHANAH 78 21,600 - 11,000 4,000 NOVI YULIANTI - - - -
1473 29.03.16 S004809 SANTI ZUNIAWATI 80 22,600 - 11,000 4,000 NOVI YULIANTI - - - -
1474 29.03.16 E002125 ETI ROHAETI 81 20,600 - 11,000 4,000 NOVI YULIANTI - - - -
1475 29.03.16 A007826 AULIA SEPTIANI E 82 26,800 - 11,000 4,000 NOVI YULIANTI - - - -
1476 29.03.16 N003928 NELI RUBIABNTI DEWI 84 8,000 - 11,000 4,000 NOVI YULIANTI - - - -
1477 29.03.16 I000890 ISABELA JILAN MARWAH 85 28,000 - 11,000 4,000 NOVI YULIANTI - - - -
1478 29.03.16 M005086 MUHAMAD RIVAN PRATAMA 86 40,600 - 11,000 4,000 NOVI YULIANTI - - - -
1479 29.03.16 I003246 IFFATUL AZIZA 88 22,400 - 11,000 4,000 NOVI YULIANTI - - - -
1480 29.03.16 D000081 DADANG SUDIANA 89 22,200 - 11,000 4,000 NOVI YULIANTI - - - -
1481 29.03.16 S005304 SRI TUTI MULYATI 90 15,800 - 11,000 4,000 NOVI YULIANTI - - - -
1482 29.03.16 Z000184 ZIDAN AKRAM Z 93 24,000 - 11,000 4,000 NOVI YULIANTI 80,000 - - -
1483 29.03.16 I002443 IRWAN KURNIAWAN 94 27,600 - 11,000 4,000 NOVI YULIANTI - - - -
1484 30.03.16 M003363 MUHAMMAD RAFA FAIZULLAH 4 40,700 - 11,000 4,000 NOVI YULIANTI - - - -
1485 30.03.16 W001063 WAHYU KURNIA 6 18,500 - 11,000 4,000 NOVI YULIANTI - - - -
1486 30.03.16 V000099 VIORA KUSUMA PUTRI 7 39,300 - 11,000 4,000 NOVI YULIANTI - - - -
1487 30.03.16 Y002126 YENI SUMARNI 8 29,800 - 11,000 4,000 NOVI YULIANTI - - - -
1488 30.03.16 Z000116 ZIVANA AYATUL HUSNA 9 41,000 - 11,000 4,000 NOVI YULIANTI - - - -
1489 30.03.16 Y002246 YASIN RIYADIN 15 31,400 - 11,000 4,000 NOVI YULIANTI - - - -
1490 30.03.16 N002175 NUNUNG ROSDIANA 17 42,800 - 11,000 4,000 NOVI YULIANTI - - - -
1491 30.03.16 M003495 MELY YULIANA 20 28,800 - 11,000 4,000 NOVI YULIANTI - - - -
1492 30.03.16 W000899 WIWIN MARYANA,HJ 22 35,300 - 11,000 4,000 NOVI YULIANTI 48,000 - - -
1493 30.03.16 A004875 ANGGIA SITI AL JANIRA 23 20,200 - 11,000 4,000 NOVI YULIANTI - - - -
1494 30.03.16 N003627 NAJWA APRILIA PRIADI 30 19,000 - 11,000 4,000 NOVI YULIANTI - - - -
1495 30.03.16 S003400 SANI PERMADI 35 - - 11,000 4,000 NOVI YULIANTI - - - -
1496 30.03.16 R000792 RISA YUNIANTI 37 31,000 - 11,000 4,000 NOVI YULIANTI - - - -
1497 30.03.16 M004649 MUHAMMAD FARIS ABBAD 38 72,000 45,000 11,000 4,000 NOVI YULIANTI - - - -
1498 30.03.16 S001829 SUHERMAN, H 40 - 40,000 11,000 4,000 NOVI YULIANTI - - - -
1499 30.03.16 W000550 WATI ROHATI 41 37,000 - 11,000 4,000 NOVI YULIANTI - - - -
1500 30.03.16 R002418 RUSMINI 44 85,500 - 11,000 4,000 NOVI YULIANTI 43,000 - - -
1501 30.03.16 T000016 TIKA SURTIKANTI 47 75,500 - 11,000 4,000 NOVI YULIANTI - - - -
1502 30.03.16 R000204 RERA NURBAETI 48 36,000 - 11,000 4,000 NOVI YULIANTI - - - -
1503 30.03.16 J000881 JENAB GARNINGSIH 50 23,500 - 11,000 4,000 NOVI YULIANTI - - - -
1504 30.03.16 R004162 RONNI RUSDIANA 57 24,500 - 11,000 4,000 NOVI YULIANTI 18,000 - - -
1505 30.03.16 D001615 DEDE GUNAWAN 61 16,500 - 11,000 4,000 NOVI YULIANTI - - - -
1506 30.03.16 R005056 RINI NURBAYANTI 62 23,300 - 11,000 4,000 NOVI YULIANTI - - - -
1507 30.03.16 Y001092 YANTI NURDIANTI 63 32,000 - 11,000 4,000 NOVI YULIANTI - - - -
1508 30.03.16 J000765 JENJEN ABDUL MUIZ 67 - - 11,000 4,000 WULAN WIDYAWATI - - - -
1509 30.03.16 D003897 DIANTI 69 - - 11,000 4,000 WULAN WIDYAWATI - - - -
1510 30.03.16 E000975 ELIS RUSTENI 70 27,800 - 11,000 4,000 WULAN WIDYAWATI - - - -
1511 30.03.16 W001058 WIWI 71 22,600 - 11,000 4,000 WULAN WIDYAWATI - - - -
1512 30.03.16 N002726 NURWAHIDAH 74 - 40,000 11,000 4,000 WULAN WIDYAWATI - - - -
1513 30.03.16 S002315 SUHERMAN 77 21,600 - 11,000 4,000 WULAN WIDYAWATI - - - -
1514 30.03.16 T001237 TITIN SUPRIATIN RACHMAT 78 - - 11,000 4,000 WULAN WIDYAWATI - - - -
1515 30.03.16 R005314 REGA JANWAR ABDILAH 83 42,000 - 11,000 4,000 WULAN WIDYAWATI - - - -
1516 30.03.16 A003000 ARNI SULANI 84 28,500 - 11,000 4,000 WULAN WIDYAWATI - - - -
1517 30.03.16 S005531 SABAR GARINDA ODANG 86 - 40,000 11,000 4,000 WULAN WIDYAWATI - - - -
1518 30.03.16 S004893 SHAKI DANIEL ABBAD 87 9,000 - 11,000 4,000 WULAN WIDYAWATI - - - -
1519 30.03.16 A008362 ADE DANIS 88 42,800 - 11,000 4,000 WULAN WIDYAWATI - - - -
1520 30.03.16 I002408 IMEL AMELIA 89 11,000 - 11,000 4,000 WULAN WIDYAWATI - - - -
1521 30.03.16 S004189 SYAFKA ABIZA SOFYAN 91 21,000 - 11,000 4,000 WULAN WIDYAWATI - - - -
1522 30.03.16 N003427 NADHIRA THAFANA 93 22,600 - 11,000 4,000 WULAN WIDYAWATI - - - -
1523 30.03.16 A003893 ANDRI TRISNADI 94 18,400 - 11,000 4,000 WULAN WIDYAWATI - - - -
1524 30.03.16 M002238 MUHAMMAD ALAWI FAQIHUDDI 95 14,600 - 11,000 4,000 WULAN WIDYAWATI - - - -
1525 30.03.16 T001752 TIARA AMELIA 97 15,000 - 11,000 4,000 WULAN WIDYAWATI - - - -
1526 30.03.16 M005091 MASWATI 100 24,400 - 11,000 4,000 WULAN WIDYAWATI - - - -
1527 30.03.16 D003425 DETI RAHMAWATI 101 21,200 - 11,000 4,000 WULAN WIDYAWATI - - - -
1528 30.03.16 K000966 KANDA 104 - - 11,000 4,000 WULAN WIDYAWATI - - - -
1529 30.03.16 M001291 MIZAM PUTRA NS 108 30,000 - 11,000 4,000 WULAN WIDYAWATI - - - -
1530 30.03.16 R005315 RISWANDI 109 13,700 - 11,000 4,000 WULAN WIDYAWATI - - - -
1531 30.03.16 N003952 NETA NURLIYANISARI 110 30,500 - 11,000 4,000 WULAN WIDYAWATI - - - -
1532 30.03.16 T000794 TUTI NURHAYATI 112 20,200 - 11,000 4,000 WULAN WIDYAWATI - - - -
1533 30.03.16 M002416 MUFTI MUHAMMAD 115 15,000 - 11,000 4,000 WULAN WIDYAWATI - - - -
1534 30.03.16 E003174 ELIS ROSDIANAWATI 116 17,200 - 11,000 4,000 WULAN WIDYAWATI - - - -
1535 30.03.16 T001820 TITI RUKMINI 119 20,500 - 11,000 4,000 WULAN WIDYAWATI - - - -
1536 30.03.16 R001465 RAHMAWATI 121 17,200 - 11,000 4,000 WULAN WIDYAWATI - - - -
1537 31.03.16 T001850 TAZRIAN AL JANNATAN 4 24,900 - 11,000 4,000 NOVI YULIANTI - - - -
1538 31.03.16 M003570 MUHAMAD FAJAR SIDIQ 9 29,100 - 11,000 4,000 NOVI YULIANTI - - - -
1539 31.03.16 M004669 M HAIKAL AKBAR 10 23,700 - 11,000 4,000 NOVI YULIANTI - - - -
1540 31.03.16 A009544 AGUS YUSUP 12 24,200 - 11,000 4,000 NOVI YULIANTI 66,000 - - -
1541 31.03.16 Q000004 QAISARA JANEETA 13 26,800 - 11,000 4,000 NOVI YULIANTI - - - -
1542 31.03.16 M004769 MUHAMMAD ABYAN DZULQARNA 15 40,100 - 11,000 4,000 NOVI YULIANTI - - - -
1543 31.03.16 R004604 RINDI FITRIYANI 17 35,600 - 11,000 4,000 NOVI YULIANTI - - - -
1544 31.03.16 R002585 RIVALDY NAUFAL 19 55,100 - 11,000 4,000 NOVI YULIANTI - - - -
1545 31.03.16 I002496 ICIH SUKARSIH 21 23,700 - 11,000 4,000 NOVI YULIANTI 18,000 - - -
1546 31.03.16 R003914 RIKY SAPUTRA 22 21,600 - 11,000 4,000 NOVI YULIANTI - - - -
1547 31.03.16 F002031 FAZILLA SEPTIANI BONISA 23 22,600 - 11,000 4,000 NOVI YULIANTI - - - -
1548 31.03.16 S004735 SITI NURHAYATI 25 22,000 - 11,000 4,000 NOVI YULIANTI - - - -
1549 31.03.16 V000230 VINA 27 33,400 - 11,000 4,000 NOVI YULIANTI - - - -
1550 31.03.16 A008191 ALLWY ADHITYA JULIO 29 21,600 - 11,000 4,000 NOVI YULIANTI - - - -
1551 31.03.16 R002169 ROHANAH 32 33,400 - 11,000 4,000 NOVI YULIANTI - - - -
1552 31.03.16 H001833 HENI YULIANI 36 35,900 - 11,000 4,000 NOVI YULIANTI - - - -
1553 31.03.16 F001954 FETTIE FATIMAH 37 - - 11,000 4,000 NOVI YULIANTI - - - -
1554 31.03.16 K001204 KARTIKA NUR FAIZAH 38 - - 11,000 4,000 NOVI YULIANTI - - - -
1555 31.03.16 A009574 AENI DEWI ASTARI 39 - - 11,000 4,000 NOVI YULIANTI - - - -
1556 31.03.16 A002459 ABAY NURJAMIL 40 21,150 - 11,000 4,000 NOVI YULIANTI - - - -
1557 31.03.16 I003644 IBRAHIM MUFIQ 41 35,100 - 11,000 4,000 NOVI YULIANTI - - - -
1558 31.03.16 R004540 RANI DIANA 42 - - - - PERIKSA KEBIDANAN - - - 34,500
1559 31.03.16 M002980 MARIAM NITA ARIYANTI 48 26,000 - 11,000 4,000 NOVI YULIANTI - - - -
1560 31.03.16 N003289 NOPIYAN NURDIANSYAH 50 18,200 - 11,000 4,000 NOVI YULIANTI - - - -
1561 31.03.16 R004225 ROSA LISMA KUSMINAR 52 34,300 - 11,000 4,000 NOVI YULIANTI - - - -
1562 31.03.16 A008828 ALBY AZZAKY IGUSTI 56 25,100 - 11,000 4,000 NOVI YULIANTI - - - -
1563 31.03.16 A006390 AGUS SANDI 58 22,400 - 11,000 4,000 NOVI YULIANTI - - - -
1564 31.03.16 H001375 HENDAR WIJAYA 59 10,600 - 11,000 4,000 NOVI YULIANTI - - - -
1565 31.03.16 A002337 ANNY MULJATININGRUM 60 24,400 - 11,000 4,000 NOVI YULIANTI - - - -
1566 31.03.16 A001741 ANTON KOSWARA 63 12,700 - 11,000 4,000 NOVI YULIANTI - - - -
1567 31.03.16 A008168 ANGGRA SURYA RIZQIA 71 29,000 - 11,000 4,000 NOVI YULIANTI - - - -
1568 31.03.16 F001901 FEBRINA 73 - - - - PERIKSA KEBIDANAN - - - 31,000
1569 31.03.16 D003240 DANI RAMADHAN 75 16,000 - 11,000 4,000 NOVI YULIANTI - - - -
1570 31.03.16 Y001902 YAYAH ROKAYAH 77 17,000 - 11,000 4,000 NOVI YULIANTI - - - -
1571 31.03.16 T000288 TEGUH SURYA HADI 78 22,000 - 11,000 4,000 NOVI YULIANTI - - - -
1572 31.03.16 N002899 NAESA AULIA SYAHLA 86 21,000 - 11,000 4,000 H. ASEP MARYAMAN - - - -
1573 31.03.16 D003455 DERI DWI LESMANA 87 21,000 - 11,000 4,000 H. ASEP MARYAMAN - - - -
1574 31.03.16 A009564 AHMAD SOLEH 93 17,000 - 11,000 4,000 H. ASEP MARYAMAN - - - -
1575 31.03.16 R002662 RENI NUR APRIANI 96 23,000 - 11,000 4,000 H. ASEP MARYAMAN - - - -
1576 31.03.16 M000373 MADRUDIN PRAYOGA 101 27,000 - 11,000 4,000 H. ASEP MARYAMAN - - - -
1577 31.03.16 D003382 DEWI NURUL FAUZIAH 102 28,000 - 11,000 4,000 H. ASEP MARYAMAN - - - -
1578 31.03.16 F001876 FIRMAN JAELANI 104 20,000 - 11,000 4,000 H. ASEP MARYAMAN - - - -
1579 31.03.16 A009054 ATSIILAH JANISSARY RAHAYU 105 16,000 - 11,000 4,000 H. ASEP MARYAMAN - - - -
1580 31.03.16 F002176 FITRIA KHOERUNNISA 106 21,000 - 11,000 4,000 H. ASEP MARYAMAN - - - -
1581 31.03.16 E000975 ELIS RUSTENI 107 12,000 - 11,000 4,000 H. ASEP MARYAMAN - - - -
1582 31.03.16 A001212 ANDHITA JUWITA SARI 108 22,000 - 11,000 4,000 H. ASEP MARYAMAN - - - -
1583 31.03.16 A006184 AQILA ZAHRA YULIA HERAWAN 109 20,000 - 11,000 4,000 H. ASEP MARYAMAN - - - -
1584 31.03.16 A009178 ATI NURDIANTI 112 - - - - PERIKSA KEBIDANAN - - - 29,000
1585 31.03.16 D003676 DENI RAMDANI 114 63,000 45,000 11,000 4,000 H. ASEP MARYAMAN - - - -
1586 31.03.16 S001597 SYIFA FAUZIAH MUTMAINNAH 117 16,000 - 1,000 4,000 H. ASEP MARYAMAN - - - -
1587 31.03.16 R004137 RAHMAT SUKMANA 120 22,000 - 11,000 4,000 H. ASEP MARYAMAN - - - -
1588 31.03.16 A009400 ARGGA VELY 121 25,000 - 11,000 4,000 H. ASEP MARYAMAN - - - -
1589 31.03.16 G000694 GINA SONYA 122 18,000 - 11,000 4,000 H. ASEP MARYAMAN - - - -
1590 31.03.16 N002785 NURUL AIDA INDAH S 126 34,000 - 11,000 4,000 H. ASEP MARYAMAN - - - -
1591 31.03.16 M003867 MUHAMAD AKMILUDDIN ANNAQ 128 28,000 - 1,000 4,000 H. ASEP MARYAMAN - - - -
1592 31.03.16 W000940 WAFA AKMALUDDIN AL-QODIRI 129 16,000 - 1,000 4,000 H. ASEP MARYAMAN - - - -
1593 31.03.16 S005219 SYIFA SYAFITRI 130 23,000 - 11,000 4,000 H. ASEP MARYAMAN - - - -
1594 31.03.16 D003900 DADAN 131 37,000 - 11,000 4,000 H. ASEP MARYAMAN - - - -
1595 31.03.16 D003842 DENI HERMAWAN 132 27,000 - 11,000 4,000 H. ASEP MARYAMAN - - - -
1596 31.03.16 K001123 KIKI MULYANA 134 32,000 - 11,000 4,000 H. ASEP MARYAMAN - - - -
37,350,250 1,635,000 16,428,000 6,176,000 7,485,500 - - 1,219,700
-

Mengetahui Disetujui
Kepala Klinik Kepala Keuangan

BPJS= 1.596 pasien,ttd: BPJS = 1.544 pasien, tdd : 1,255


RUJUK=115 RUJUK = 116 -
CEK LAB=3 CEK LAB 6 - 6
KIA=39
PAS.BPJS= 1554 pasein
NOVI YULIANTI=567
H. THIA SILVANA=124
H. ASEP SANI SULAEMAN=4
H. WINARDI KAHDAR=5
ENCEP SUDARYANA=33
H. ASEP MARYAMAN=120
TENI S. RIFA’I=40
WULAN WIDYAWATI=607
DETY NUR RACHMAWATI=3
ANDI HERMANSYAH=51
Jumlah Jenis Pasien Keterangan Kelebihan
Apotek Lab Jumlah
36,000 BPJS SUDAH DILAYANI -
33,000 BPJS SUDAH DILAYANI -
137,000 BPJS SUDAH DILAYANI 83,000 83,000
38,000 BPJS SUDAH DILAYANI 83,000
30,000 BPJS SUDAH DILAYANI 83,000
25,000 ASKES SUDAH DILAYANI 83,000
34,000 BPJS SUDAH DILAYANI 83,000
34,000 BPJS SUDAH DILAYANI 83,000
44,000 BPJS SUDAH DILAYANI 83,000
40,000 BPJS SUDAH DILAYANI 83,000
44,000 BPJS SUDAH DILAYANI 83,000
31,000 BPJS SUDAH DILAYANI 83,000
34,000 BPJS SUDAH DILAYANI 83,000
29,000 BPJS SUDAH DILAYANI 83,000
45,000 BPJS SUDAH DILAYANI 83,000
42,000 ASKES SUDAH DILAYANI 83,000
42,000 BPJS SUDAH DILAYANI 83,000
31,000 BPJS SUDAH DILAYANI 83,000
48,000 BPJS SUDAH DILAYANI 83,000
36,000 BPJS SUDAH DILAYANI 83,000
30,000 BPJS SUDAH DILAYANI 83,000
35,000 BPJS SUDAH DILAYANI 83,000
41,000 BPJS SUDAH DILAYANI 83,000
43,000 BPJS SUDAH DILAYANI 83,000
55,000 BPJS SUDAH DILAYANI 83,000 - -
142,000 BPJS SUDAH DILAYANI 28,000 25,000 136,000
47,000 BPJS SUDAH DILAYANI 136,000
31,000 BPJS SUDAH DILAYANI 136,000
47,000 ASKES SUDAH DILAYANI 136,000
22,000 ASKES SUDAH DILAYANI 136,000
50,000 BPJS SUDAH DILAYANI 136,000
41,000 UMUM/BPJS SUDAH DILAYANI 136,000
29,000 BPJS SUDAH DILAYANI 136,000
119,000 BPJS SUDAH DILAYANI 20,000 60,000 216,000
42,000 BPJS SUDAH DILAYANI 216,000
35,000 BPJS SUDAH DILAYANI 216,000
52,000 BPJS SUDAH DILAYANI 216,000
54,000 BPJS SUDAH DILAYANI 216,000
43,000 BPJS SUDAH DILAYANI 216,000
33,000 BPJS SUDAH DILAYANI 216,000
40,000 BPJS SUDAH DILAYANI 216,000
40,200 BPJS SUDAH DILAYANI 216,000
15,000 BPJS SUDAH DILAYANI 260,000
32,000 BPJS SUDAH DILAYANI 260,000
45,000 BPJS SUDAH DILAYANI 260,000
121,000 UMUM/BPJS SUDAH DILAYANI 25000 285,000
15,000 BPJS SUDAH DILAYANI 25000 310,000
41,400 BPJS SUDAH DILAYANI 310,000
43,700 BPJS SUDAH DILAYANI 310,000
74,700 BPJS SUDAH DILAYANI 39,000 349,000
45,600 BPJS SUDAH DILAYANI 349,000
122,100 BPJS SUDAH DILAYANI 25000 374,000
35,600 ASKES SUDAH DILAYANI 374,000
36,000 BPJS SUDAH DILAYANI 374,000
43,100 BPJS SUDAH DILAYANI 374,000
37,000 BPJS SUDAH DILAYANI 374,000
36,200 BPJS SUDAH DILAYANI 374,000
32,200 BPJS SUDAH DILAYANI 12,000 386,000
126,000 BPJS SUDAH DILAYANI 35,000 48000 469,000
42,200 BPJS SUDAH DILAYANI 469,000
20,800 BPJS SUDAH DILAYANI 469,000
34,000 BPJS SUDAH DILAYANI 469,000
32,000 BPJS SUDAH DILAYANI 469,000
36,000 BPJS SUDAH DILAYANI 469,000
43,700 BPJS SUDAH DILAYANI 469,000
36,000 BPJS SUDAH DILAYANI 469,000
43,000 BPJS SUDAH DILAYANI 469,000
36,000 BPJS SUDAH DILAYANI 469,000
24,000 BPJS SUDAH DILAYANI 469,000
43,000 ASKES SUDAH DILAYANI 43,000 512,000
55,000 BPJS SUDAH DILAYANI 512,000
70,000 BPJS SUDAH DILAYANI 512,000
33,000 BPJS SUDAH DILAYANI 512,000
15,000 BPJS SUDAH DILAYANI 512,000
34,000 BPJS SUDAH DILAYANI 512,000
34,000 ASKES SUDAH DILAYANI 512,000
61,000 BPJS SUDAH DILAYANI 512,000
15,000 BPJS SUDAH DILAYANI 512,000
85,000 BPJS SUDAH DILAYANI 35,000 25,000 572,000
33,000 ASKES SUDAH DILAYANI 572,000
85,000 BPJS SUDAH DILAYANI 10,000 25,000 607,000
40,000 BPJS SUDAH DILAYANI 607,000
35,000 BPJS SUDAH DILAYANI 607,000
44,000 BPJS SUDAH DILAYANI 607,000
40,000 BPJS SUDAH DILAYANI 607,000
15,000 BPJS SUDAH DILAYANI 607,000
33,000 BPJS SUDAH DILAYANI 607,000
36,000 BPJS SUDAH DILAYANI 607,000
88,000 BPJS SUDAH DILAYANI 42,000 649,000
15,000 BPJS SUDAH DILAYANI 649,000
41,000 BPJS SUDAH DILAYANI 649,000
21,000 BPJS SUDAH DILAYANI 649,000
93,000 BPJS SUDAH DILAYANI 20,000 48,000 717,000
49,000 BPJS SUDAH DILAYANI 717,000
46,000 BPJS SUDAH DILAYANI 717,000
42,000 BPJS SUDAH DILAYANI 717,000
36,900 BPJS SUDAH DILAYANI 717,000
30,700 BPJS SUDAH DILAYANI 717,000
34,300 BPJS SUDAH DILAYANI 717,000
37,000 BPJS SUDAH DILAYANI 717,000
31,000 BPJS SUDAH DILAYANI 717,000
37,400 BPJS SUDAH DILAYANI 717,000
43,100 BPJS SUDAH DILAYANI 717,000
15,000 BPJS SUDAH DILAYANI 717,000
50,500 BPJS SUDAH DILAYANI 717,000
39,500 BPJS SUDAH DILAYANI 717,000
33,900 BPJS SUDAH DILAYANI 11,000 728,000
44,100 BPJS SUDAH DILAYANI 728,000
117,750 BPJS SUDAH DILAYANI 25,000 753,000
39,900 BPJS SUDAH DILAYANI 753,000
30,200 BPJS SUDAH DILAYANI 753,000
41,900 BPJS SUDAH DILAYANI 753,000
36,300 BPJS SUDAH DILAYANI 753,000
25,000 BPJS SUDAH DILAYANI 753,000
41,700 BPJS SUDAH DILAYANI 753,000
35,000 BPJS SUDAH DILAYANI 753,000
43,100 BPJS SUDAH DILAYANI 753,000
43,200 BPJS SUDAH DILAYANI 753,000
56,700 BPJS SUDAH DILAYANI 753,000
45,700 BPJS SUDAH DILAYANI 753,000
43,200 BPJS SUDAH DILAYANI 753,000
15,000 BPJS SUDAH DILAYANI 753,000
26,000 BPJS SUDAH DILAYANI 753,000
37,000 BPJS SUDAH DILAYANI 753,000
36,000 BPJS SUDAH DILAYANI 753,000
39,400 BPJS SUDAH DILAYANI 753,000
34,900 BPJS SUDAH DILAYANI 753,000
68,300 BPJS SUDAH DILAYANI 753,000
27,000 BPJS SUDAH DILAYANI 753,000
39,000 UMUM/BPJS SUDAH DILAYANI 753,000
35,000 BPJS SUDAH DILAYANI 753,000
40,600 BPJS SUDAH DILAYANI 753,000
29,000 BPJS SUDAH DILAYANI 753,000
31,400 BPJS SUDAH DILAYANI 753,000
15,000 BPJS SUDAH DILAYANI 753,000
40,200 BPJS SUDAH DILAYANI 753,000
35,000 BPJS SUDAH DILAYANI 753,000
141,900 BPJS SUDAH DILAYANI 19,000 25,000 797,000
45,500 BPJS SUDAH DILAYANI 797,000
36,000 BPJS SUDAH DILAYANI 797,000
22,000 BPJS SUDAH DILAYANI 797,000
39,000 ASKES SUDAH DILAYANI 797,000
33,000 BPJS SUDAH DILAYANI 797,000
36,000 BPJS SUDAH DILAYANI 797,000
15,000 BPJS SUDAH DILAYANI 797,000
42,000 BPJS SUDAH DILAYANI 797,000
37,000 BPJS SUDAH DILAYANI 797,000
47,000 BPJS SUDAH DILAYANI 797,000
117,600 BPJS SUDAH DILAYANI 25,000 822,000
33,400 BPJS SUDAH DILAYANI 25,000 847,000
42,000 BPJS SUDAH DILAYANI 847,000
15,000 BPJS SUDAH DILAYANI 847,000
71,000 BPJS SUDAH DILAYANI 847,000
49,000 BPJS SUDAH DILAYANI 24,000 871,000
36,500 BPJS SUDAH DILAYANI 871,000
35,000 BPJS SUDAH DILAYANI 871,000
22,000 BPJS SUDAH DILAYANI 871,000
32,000 BPJS SUDAH DILAYANI 871,000
118,500 BPJS SUDAH DILAYANI 25000 896,000
47,100 BPJS SUDAH DILAYANI 896,000
15,000 BPJS SUDAH DILAYANI 896,000
16,000 BPJS SUDAH DILAYANI 896,000
39,200 BPJS SUDAH DILAYANI 896,000
38,200 BPJS SUDAH DILAYANI 896,000
30,400 BPJS SUDAH DILAYANI 896,000
61,400 BPJS SUDAH DILAYANI 896,000
95,000 BPJS SUDAH DILAYANI 25000 921,000
36,000 ASKES SUDAH DILAYANI 921,000
24,000 ASKES SUDAH DILAYANI 921,000
62,000 BPJS SUDAH DILAYANI 36000 957,000
41,000 BPJS SUDAH DILAYANI 957,000
55,700 BPJS SUDAH DILAYANI 957,000
15,000 ASKES SUDAH DILAYANI 32000 989,000
69,000 BPJS SUDAH DILAYANI 989,000
27,000 BPJS SUDAH DILAYANI 989,000
36,400 BPJS SUDAH DILAYANI 989,000
49,000 BPJS SUDAH DILAYANI 25000 1,014,000
15,000 ASKES SUDAH DILAYANI 1,014,000
106,200 BPJS SUDAH DILAYANI 1,014,000
27,000 BPJS SUDAH DILAYANI 25000 1,039,000
36,600 BPJS SUDAH DILAYANI 1,039,000
82,000 BPJS SUDAH DILAYANI 43000 1,082,000
39,600 BPJS SUDAH DILAYANI 1,082,000
43,400 BPJS SUDAH DILAYANI 1,082,000
34,500 BPJS SUDAH DILAYANI 1,082,000
31,600 BPJS SUDAH DILAYANI 1,082,000
27,000 BPJS SUDAH DILAYANI 1,082,000
44,500 BPJS SUDAH DILAYANI 1,082,000
39,000 BPJS SUDAH DILAYANI 1,082,000
43,000 BPJS SUDAH DILAYANI 1,082,000
44,000 BPJS SUDAH DILAYANI 1,082,000
42,000 BPJS SUDAH DILAYANI 1,082,000
119,000 BPJS SUDAH DILAYANI 1,082,000
37,000 BPJS SUDAH DILAYANI 1,082,000
121,000 BPJS SUDAH DILAYANI 25000 1,107,000
15,000 BPJS SUDAH DILAYANI 1,107,000
52,000 ASKES SUDAH DILAYANI 1,107,000
35,000 ASKES SUDAH DILAYANI 1,107,000
43,000 BPJS SUDAH DILAYANI 1,107,000
20,000 BPJS SUDAH DILAYANI 1,107,000
37,000 BPJS SUDAH DILAYANI 1,107,000
39,000 BPJS SUDAH DILAYANI 1,107,000
30,000 BPJS SUDAH DILAYANI 1,107,000
51,000 BPJS SUDAH DILAYANI 1,107,000
50,000 BPJS SUDAH DILAYANI 1,107,000
41,000 BPJS SUDAH DILAYANI 1,107,000
40,000 BPJS SUDAH DILAYANI 1,107,000
61,000 BPJS SUDAH DILAYANI 1,107,000
34,000 BPJS SUDAH DILAYANI 1,107,000
15,000 BPJS SUDAH DILAYANI 1,107,000
15,000 BPJS SUDAH DILAYANI 1,107,000
33,000 BPJS SUDAH DILAYANI 1,107,000
15,000 BPJS SUDAH DILAYANI 1,107,000
92,000 BPJS SUDAH DILAYANI 1,107,000
31,000 BPJS SUDAH DILAYANI 1,107,000
116,000 BPJS SUDAH DILAYANI 1,107,000
37,000 BPJS SUDAH DILAYANI 1,107,000
44,000 BPJS SUDAH DILAYANI 1,107,000
97,000 BPJS SUDAH DILAYANI 1,107,000
66,000 BPJS SUDAH DILAYANI 1,107,000
49,000 BPJS SUDAH DILAYANI 1,107,000
65,500 BPJS SUDAH DILAYANI 1,107,000
34,950 BPJS SUDAH DILAYANI 1,107,000
39,400 BPJS SUDAH DILAYANI 1,107,000
52,700 BPJS SUDAH DILAYANI 1,107,000
133,000 BPJS SUDAH DILAYANI 1,107,000
35,700 BPJS SUDAH DILAYANI 1,107,000
15,000 BPJS SUDAH DILAYANI 1,107,000
64,400 BPJS SUDAH DILAYANI 54000 1,161,000
96,000 ASKES SUDAH DILAYANI 1,161,000
46,200 BPJS SUDAH DILAYANI 1,161,000
21,700 BPJS SUDAH DILAYANI 1,161,000
40,700 BPJS SUDAH DILAYANI 51000 1,212,000
56,700 BPJS SUDAH DILAYANI 1,212,000
37,000 BPJS SUDAH DILAYANI 1,212,000
34,500 BPJS SUDAH DILAYANI 1,212,000
42,000 BPJS SUDAH DILAYANI 1,212,000
36,200 BPJS SUDAH DILAYANI 1,212,000
24,500 ASKES SUDAH DILAYANI 1,212,000
42,000 JAMSOSTEK SUDAH DILAYANI 1,212,000
33,000 BPJS SUDAH DILAYANI 1,212,000
47,500 BPJS SUDAH DILAYANI 1,212,000
68,000 BPJS SUDAH DILAYANI 1,212,000
35,000 BPJS SUDAH DILAYANI 1,212,000
38,500 BPJS SUDAH DILAYANI 1,212,000
65,600 BPJS SUDAH DILAYANI 33000 1,245,000
30,200 BPJS SUDAH DILAYANI 1,245,000
120,000 BPJS SUDAH DILAYANI 25000 1,270,000
23,500 BPJS SUDAH DILAYANI 33000 1,303,000
35,900 BPJS SUDAH DILAYANI 1,303,000
15,000 BPJS SUDAH DILAYANI 25000 1,328,000
43,000 BPJS SUDAH DILAYANI 1,328,000
31,000 BPJS SUDAH DILAYANI 1,328,000
21,500 BPJS SUDAH DILAYANI 1,328,000
50,000 BPJS SUDAH DILAYANI 1,328,000
29,200 BPJS SUDAH DILAYANI 1,328,000
35,200 BPJS SUDAH DILAYANI 1,328,000
51,200 BPJS SUDAH DILAYANI 19000 1,347,000
34,800 BPJS SUDAH DILAYANI 1,347,000
54,500 BPJS SUDAH DILAYANI 1,347,000
24,400 BPJS SUDAH DILAYANI 1,347,000
42,000 BPJS SUDAH DILAYANI 1,347,000
35,900 BPJS SUDAH DILAYANI 1,347,000
27,000 BPJS SUDAH DILAYANI 1,347,000
35,000 BPJS SUDAH DILAYANI 11000 1,358,000
31,700 BPJS SUDAH DILAYANI 1,358,000
32,000 BPJS SUDAH DILAYANI 1,358,000
22,000 BPJS SUDAH DILAYANI 1,358,000
40,600 BPJS SUDAH DILAYANI 1,358,000
22,300 BPJS SUDAH DILAYANI 1,358,000
20,900 BPJS SUDAH DILAYANI 1,358,000
68,200 BPJS SUDAH DILAYANI 1,358,000
51,900 BPJS SUDAH DILAYANI 1,358,000
15,000 JAMSOSTEK SUDAH DILAYANI 1,358,000
36,400 BPJS SUDAH DILAYANI 1,358,000
34,600 BPJS SUDAH DILAYANI 1,358,000
95,000 BPJS SUDAH DILAYANI 25,000 1,383,000
15,000 BPJS SUDAH DILAYANI 1,383,000
50,800 BPJS SUDAH DILAYANI 1,383,000
20,000 BPJS SUDAH DILAYANI 25000 1,408,000
47,000 BPJS SUDAH DILAYANI 1,408,000
67,900 BPJS SUDAH DILAYANI 1,408,000
46,000 BPJS SUDAH DILAYANI 1,408,000
143,000 BPJS SUDAH DILAYANI 25000 1,433,000
31,100 BPJS SUDAH DILAYANI 1,433,000
95,000 BPJS SUDAH DILAYANI 25000 1,458,000
31,000 ASKES SUDAH DILAYANI 1,458,000
39,400 BPJS SUDAH DILAYANI 1,458,000
34,500 BPJS SUDAH DILAYANI 1,458,000
167,300 BPJS SUDAH DILAYANI 25000 1,483,000
52,000 BPJS SUDAH DILAYANI 1,483,000
15,000 BPJS SUDAH DILAYANI 1,483,000
36,600 BPJS SUDAH DILAYANI 1,483,000
50,800 BPJS SUDAH DILAYANI 1,483,000
38,350 BPJS SUDAH DILAYANI 1,483,000
37,200 BPJS SUDAH DILAYANI 12500 1,495,500
35,700 ASKES SUDAH DILAYANI 1,495,500
32,500 BPJS SUDAH DILAYANI 25000 1,520,500
77,600 BPJS SUDAH DILAYANI 1,520,500
42,800 BPJS SUDAH DILAYANI 1,520,500
42,400 BPJS SUDAH DILAYANI 1,520,500
38,000 BPJS SUDAH DILAYANI 1,520,500
45,200 BPJS SUDAH DILAYANI 1,520,500
33,000 BPJS SUDAH DILAYANI 1,520,500
23,500 BPJS SUDAH DILAYANI 1,520,500
37,200 BPJS SUDAH DILAYANI 1,520,500
43,600 BPJS SUDAH DILAYANI 1,520,500
15,000 BPJS SUDAH DILAYANI 1,520,500
86,500 BPJS SUDAH DILAYANI 48000 1,568,500
41,000 BPJS SUDAH DILAYANI 1,568,500
41,500 BPJS SUDAH DILAYANI 1,568,500
55,000 UMUM/BPJS SUDAH DILAYANI 33,000 48000 1,649,500
53,600 BPJS SUDAH DILAYANI 1,649,500
35,000 BPJS SUDAH DILAYANI 1,649,500
34,500 BPJS SUDAH DILAYANI 1,649,500
24,500 BPJS SUDAH DILAYANI 1,649,500
103,500 BPJS SUDAH DILAYANI 48000 1,697,500
40,000 BPJS SUDAH DILAYANI 1,697,500
32,200 BPJS SUDAH DILAYANI 1,697,500
43,700 BPJS SUDAH DILAYANI 1,697,500
38,000 BPJS SUDAH DILAYANI 1,697,500
36,500 BPJS SUDAH DILAYANI 1,697,500
40,000 BPJS SUDAH DILAYANI 1,697,500
40,000 BPJS SUDAH DILAYANI 1,697,500
42,000 BPJS SUDAH DILAYANI 1,697,500
34,200 BPJS SUDAH DILAYANI 1,697,500
50,000 BPJS SUDAH DILAYANI 1,697,500
46,000 BPJS SUDAH DILAYANI 1,697,500
39,000 UMUM/BPJS SUDAH DILAYANI 1,697,500
40,000 BPJS SUDAH DILAYANI 1,697,500
36,000 BPJS SUDAH DILAYANI 1,697,500
15,000 BPJS SUDAH DILAYANI 1,697,500
41,800 BPJS SUDAH DILAYANI 1,697,500
41,000 BPJS SUDAH DILAYANI 1,697,500
36,000 BPJS SUDAH DILAYANI 1,697,500
44,000 BPJS SUDAH DILAYANI 1,697,500
45,000 BPJS SUDAH DILAYANI 1,697,500
39,000 BPJS SUDAH DILAYANI 1,697,500
37,000 BPJS SUDAH DILAYANI 1,697,500
46,000 BPJS SUDAH DILAYANI 1,697,500
49,000 BPJS SUDAH DILAYANI 1,697,500
22,000 BPJS SUDAH DILAYANI 1,697,500
33,000 BPJS SUDAH DILAYANI 1,697,500
42,000 BPJS SUDAH DILAYANI 1,697,500
35,000 BPJS SUDAH DILAYANI 1,697,500
68,000 BPJS SUDAH DILAYANI 1,697,500
44,000 ASKES SUDAH DILAYANI 1,697,500
44,000 BPJS SUDAH DILAYANI 1,697,500
36,000 BPJS SUDAH DILAYANI 1,697,500
42,000 BPJS SUDAH DILAYANI 1,697,500
37,000 BPJS SUDAH DILAYANI 1,697,500
34,000 BPJS SUDAH DILAYANI 1,697,500
52,000 BPJS SUDAH DILAYANI 1,697,500
34,000 BPJS SUDAH DILAYANI 1,697,500
44,000 BPJS SUDAH DILAYANI 1,697,500
44,000 BPJS SUDAH DILAYANI 1,697,500
35,000 BPJS SUDAH DILAYANI 1,697,500
43,600 BPJS SUDAH DILAYANI 1,697,500
109,000 BPJS SUDAH DILAYANI 1,697,500
25,600 BPJS SUDAH DILAYANI 1,697,500
37,400 BPJS SUDAH DILAYANI 1,697,500
26,200 BPJS SUDAH DILAYANI 1,697,500
116,500 BPJS SUDAH DILAYANI 25000 1,722,500
43,200 BPJS SUDAH DILAYANI 83000 1,805,500
41,600 BPJS SUDAH DILAYANI 1,805,500
29,500 BPJS SUDAH DILAYANI 1,805,500
56,700 BPJS SUDAH DILAYANI 12000 1,817,500
56,600 BPJS SUDAH DILAYANI 25000 1,842,500
34,400 BPJS SUDAH DILAYANI 1,842,500
34,900 BPJS SUDAH DILAYANI 1,842,500
45,500 BPJS SUDAH DILAYANI 25000 1,867,500
31,500 BPJS SUDAH DILAYANI 1,867,500
39,400 BPJS SUDAH DILAYANI 1,867,500
33,400 BPJS SUDAH DILAYANI 1,867,500
45,000 BPJS SUDAH DILAYANI 1,867,500
30,200 BPJS SUDAH DILAYANI 1,867,500
31,000 BPJS SUDAH DILAYANI 1,867,500
42,800 BPJS SUDAH DILAYANI 1,867,500
29,600 BPJS SUDAH DILAYANI 1,867,500
27,800 BPJS SUDAH DILAYANI 1,867,500
33,400 BPJS SUDAH DILAYANI 1,867,500
15,000 BPJS SUDAH DILAYANI 1,867,500
28,900 BPJS SUDAH DILAYANI 25000 1,892,500
29,000 BPJS SUDAH DILAYANI 1,892,500
48,200 BPJS SUDAH DILAYANI 1,892,500
53,200 BPJS SUDAH DILAYANI 1,892,500
44,500 BPJS SUDAH DILAYANI 1,892,500
110,500 BPJS SUDAH DILAYANI 1,892,500
123,800 BPJS SUDAH DILAYANI 25000 1,917,500
15,000 BPJS SUDAH DILAYANI 1,917,500
90,800 BPJS SUDAH DILAYANI 1,917,500
78,400 BPJS SUDAH DILAYANI 43000 1,960,500
38,500 BPJS SUDAH DILAYANI 1,960,500
152,600 BPJS SUDAH DILAYANI 1,960,500
18,000 BPJS SUDAH DILAYANI 1,960,500
29,000 BPJS SUDAH DILAYANI 1,960,500
29,000 BPJS SUDAH DILAYANI 1,960,500
24,000 BPJS SUDAH DILAYANI 1,960,500
42,000 BPJS SUDAH DILAYANI 1,960,500
51,400 BPJS SUDAH DILAYANI 1,960,500
63,200 BPJS SUDAH DILAYANI 25000 1,985,500
35,400 BPJS SUDAH DILAYANI 1,985,500
36,200 BPJS SUDAH DILAYANI 15000 2,000,500
32,200 BPJS SUDAH DILAYANI 2,000,500
38,400 BPJS SUDAH DILAYANI 2,000,500
55,000 BPJS SUDAH DILAYANI 2,000,500
49,900 BPJS SUDAH DILAYANI 2,000,500
15,000 BPJS SUDAH DILAYANI 2,000,500
48,200 BPJS SUDAH DILAYANI 2,000,500
30,000 BPJS SUDAH DILAYANI 2,000,500
49,600 BPJS SUDAH DILAYANI 2,000,500
35,200 BPJS SUDAH DILAYANI 2,000,500
43,500 BPJS SUDAH DILAYANI 2,000,500
37,800 BPJS SUDAH DILAYANI 2,000,500
43,400 BPJS SUDAH DILAYANI 12000 2,012,500
41,300 BPJS SUDAH DILAYANI 66000 2,078,500
58,900 BPJS SUDAH DILAYANI 2,078,500
28,000 BPJS SUDAH DILAYANI 2,078,500
30,700 BPJS SUDAH DILAYANI 25000 2,103,500
47,000 BPJS sUDAH DILAYANI 2,103,500
28,500 BPJS SUDAH DILAYANI 2,121,500
119,000 BPJS SUDAH DILAYANI 25,000 2,146,500
66,000 BPJS SUDAH DILAYANI 48,000 2,194,500
172,100 BPJS SUDAH DILAYANI 48,000 2,242,500
15,000 BPJS SUDAH DILAYANI 25000 2,267,500
121,400 BPJS SUDAH DILAYANI 25000 2,292,500
37,400 BPJS SUDAH DILAYANI 2,292,500
44,000 BPJS SUDAH DILAYANI 2,292,500
52,000 BPJS SUDAH DILAYANI 2,292,500
24,500 BPJS SUDAH DILAYANI 2,292,500
15,000 ASKES SUDAH DILAYANI 2,292,500
36,400 BPJS SUDAH DILAYANI 2,292,500
116,750 BPJS SUDAH DILAYANI 25000 2,317,500
42,600 BPJS SUDAH DILAYANI 2,317,500
95,000 BPJS SUDAH DILAYANI 25000 2,342,500
46,200 BPJS SUDAH DILAYANI 2,342,500
44,000 BPJS SUDAH DILAYANI 2,342,500
28,350 BPJS SUDAH DILAYANI 25000 2,367,500
29,500 BPJS SUDAH DILAYANI 2,367,500
31,600 BPJS SUDAH DILAYANI 2,367,500
32,800 BPJS SUDAH DILAYANI 25000 2,392,500
44,300 BPJS SUDAH DILAYANI 2,392,500
35,800 BPJS SUDAH DILAYANI 2,392,500
15,000 BPJS SUDAH DILAYANI 2,392,500
40,400 BPJS SUDAH DILAYANI 2,392,500
41,400 BPJS SUDAH DILAYANI 2,392,500
46,400 BPJS SUDAH DILAYANI 2,392,500
46,400 BPJS SUDAH DILAYANI 2,392,500
124,000 BPJS SUDAH DILAYANI 2,392,500
32,400 BPJS SUDAH DILAYANI 2,392,500
33,000 ASKES SUDAH DILAYANI 2,392,500
139,500 BPJS SUDAH DILAYANI 2,392,500
55,000 ASKES SUDAH DILAYANI 2,392,500
29,100 BPJS SUDAH DILAYANI 2,392,500
41,400 BPJS SUDAH DILAYANI 2,392,500
29,500 BPJS SUDAH DILAYANI 2,392,500
62,000 BPJS SUDAH DILAYANI 2,392,500
31,800 BPJS SUDAH DILAYANI 2,392,500
91,000 ASKES SUDAH DILAYANI 43000 2,435,500
43,700 BPJS SUDAH DILAYANI 16000 2,451,500
15,000 BPJS SUDAH DILAYANI 16000 2,467,500
41,000 BPJS SUDAH DILAYANI 25000 2,492,500
81,400 BPJS SUDAH DILAYANI 2,492,500
35,900 BPJS SUDAH DILAYANI 2,492,500
41,800 BPJS SUDAH DILAYANI 84000 25000 2,601,500
39,700 ASKES SUDAH DILAYANI 2,601,500
42,800 BPJS sUDAH DILAYANI 2,601,500
26,000 BPJS sUDAH DILAYANI 2,601,500
37,400 BPJS SUDAH DILAYANI 2,601,500
29,800 BPJS SUDAH DILAYANI 2,601,500
37,750 BPJS SUDAH DILAYANI 2,601,500
30,000 BPJS SUDAH DILAYANI 2,601,500
41,000 BPJS SUDAH DILAYANI 2,601,500
43,000 BPJS SUDAH DILAYANI 2,601,500
36,000 BPJS SUDAH DILAYANI 2,601,500
51,700 ASKES SUDAH DILAYANI 2,601,500
35,200 BPJS SUDAH DILAYANI 25000 2,626,500
38,000 BPJS SUDAH DILAYANI 2,626,500
37,300 BPJS SUDAH DILAYANI 2,626,500
34,400 BPJS SUDAH DILAYANI 2,626,500
31,300 BPJS SUDAH DILAYANI 50400 2,676,900
33,500 BPJS SUDAH DILAYANI 2,676,900
31,000 BPJS sUDAH DILAYANI 2,676,900
31,600 BPJS SUDAH DILAYANI 2,676,900
33,500 BPJS SUDAH DILAYANI 2,676,900
32,500 BPJS SUDAH DILAYANI 2,676,900
44,500 BPJS SUDAH DILAYANI 2,676,900
15,000 BPJS SUDAH DILAYANI 2,676,900
118,000 BPJS SUDAH DILAYANI 25000 2,701,900
84,600 BPJS SUDAH DILAYANI 2,701,900
30,500 BPJS SUDAH DILAYANI 2,701,900
115,000 BPJS SUDAH DILAYANI 25000 2,726,900
42,400 BPJS SUDAH DILAYANI 2,726,900
15,000 BPJS SUDAH DILAYANI 2,726,900
33,000 BPJS SUDAH DILAYANI 2,726,900
44,700 BPJS SUDAH DILAYANI 2,726,900
36,400 ASKES SUDAH DILAYANI 2,726,900
43,100 ASKES SUDAH DILAYANI 2,726,900
36,000 BPJS SUDAH DILAYANI 2,726,900
30,600 BPJS SUDAH DILAYANI 2,726,900
36,400 BPJS SUDAH DILAYANI 2,726,900
36,000 BPJS SUDAH DILAYANI 2,726,900
78,300 BPJS SUDAH DILAYANI 2,726,900
37,300 BPJS SUDAH DILAYANI 2,726,900
56,100 BPJS SUDAH DILAYANI 2,726,900
42,700 BPJS SUDAH DILAYANI 2,726,900
18,000 BPJS SUDAH DILAYANI 2,726,900
95,000 BPJS SUDAH DILAYANI 2,726,900
15,000 BPJS SUDAH DILAYANI 2,726,900
35,400 BPJS SUDAH DILAYANI 2,726,900
37,200 BPJS SUDAH DILAYANI 80000 2,806,900
60,500 BPJS SUDAH DILAYANI 23000 2,829,900
33,900 BPJS SUDAH DILAYANI 2,829,900
35,400 BPJS SUDAH DILAYANI 8000 2,837,900
32,800 BPJS SUDAH DILAYANI 23000 2,860,900
33,400 BPJS SUDAH DILAYANI 2,860,900
27,500 BPJS SUDAH DILAYANI 2,860,900
61,700 BPJS SUDAH DILAYANI 2,860,900
41,100 BPJS SUDAH DILAYANI 2,860,900
31,000 BPJS SUDAH DILAYANI 2,860,900
38,000 BPJS SUDAH DILAYANI 2,860,900
43,100 BPJS SUDAH DILAYANI 2,860,900
32,600 BPJS SUDAH DILAYANI 2,860,900
24,700 BPJS SUDAH DILAYANI 2,860,900
32,500 UMUM/BPJS SUDAH DILAYANI 2,860,900
34,300 BPJS SUDAH DILAYANI 2,860,900
63,000 BPJS SUDAH DILAYANI 2,860,900
32,900 BPJS SUDAH DILAYANI 2,860,900
37,200 BPJS SUDAH DILAYANI 2,860,900
25,000 BPJS SUDAH DILAYANI 2,860,900
50,600 BPJS SUDAH DILAYANI 2,860,900
15,000 BPJS SUDAH DILAYANI 2,860,900
25,150 ASKES SUDAH DILAYANI 2,860,900
94,700 ASKES SUDAH DILAYANI 2,860,900
31,300 BPJS SUDAH DILAYANI 2,860,900
44,000 BPJS SUDAH DILAYANI 2,860,900
39,000 BPJS SUDAH DILAYANI 58000 2,918,900
38,300 BPJS SUDAH DILAYANI 2,918,900
51,100 BPJS SUDAH DILAYANI 16000 2,934,900
26,200 ASKES SUDAH DILAYANI 2,934,900
45,000 BPJS SUDAH DILAYANI 2,934,900
120,400 BPJS SUDAH DILAYANI 25000 2,959,900
29,900 BPJS SUDAH DILAYANI 2,959,900
29,800 BPJS SUDAH DILAYANI 2,959,900
35,600 BPJS SUDAH DILAYANI 25000 2,984,900
39,600 BPJS SUDAH DILAYANI 2,984,900
51,000 UMUM/BPJS SUDAH DILAYANI 2,984,900
37,000 BPJS SUDAH DILAYANI 2,984,900
41,700 BPJS SUDAH DILAYANI 2,984,900
42,400 BPJS SUDAH DILAYANI 2,984,900
15,000 UMUM/BPJS SUDAH DILAYANI 2,984,900
15,000 BPJS SUDAH DILAYANI 8000 2,992,900
35,400 BPJS SUDAH DILAYANI 2,992,900
42,200 BPJS SUDAH DILAYANI 2,992,900
34,200 BPJS SUDAH DILAYANI 2,992,900
37,400 BPJS SUDAH DILAYANI 2,992,900
30,800 BPJS SUDAH DILAYANI 2,992,900
38,300 BPJS SUDAH DILAYANI 2,992,900
47,900 BPJS SUDAH DILAYANI 2,992,900
37,400 BPJS SUDAH DILAYANI 2,992,900
38,900 BPJS SUDAH DILAYANI 2,992,900
38,000 BPJS SUDAH DILAYANI 2,992,900
33,200 BPJS SUDAH DILAYANI 2,992,900
35,400 BPJS SUDAH DILAYANI 2,992,900
33,000 BPJS SUDAH DILAYANI 2,992,900
29,500 BPJS SUDAH DILAYANI 2,992,900
37,400 BPJS SUDAH DILAYANI 2,992,900
35,400 BPJS SUDAH DILAYANI 2,992,900
29,000 BPJS SUDAH DILAYANI 2,992,900
24,400 BPJS SUDAH DILAYANI 2,992,900
45,350 BPJS SUDAH DILAYANI 2,992,900
30,600 BPJS SUDAH DILAYANI 2,992,900
42,000 BPJS SUDAH DILAYANI 2,992,900
48,000 BPJS SUDAH DILAYANI 2,992,900
45,100 BPJS SUDAH DILAYANI 9000 3,001,900
33,000 BPJS SUDAH DILAYANI 3,001,900
37,500 UMUM/BPJS SUDAH DILAYANI 3,001,900
35,400 BPJS SUDAH DILAYANI 3,001,900
41,500 BPJS SUDAH DILAYANI 3,001,900
33,200 BPJS SUDAH DILAYANI 3,001,900
34,200 BPJS SUDAH DILAYANI 3,001,900
40,250 BPJS SUDAH DILAYANI 3,001,900
39,700 BPJS SUDAH DILAYANI 3,001,900
32,500 BPJS SUDAH DILAYANI 3,001,900
29,200 BPJS SUDAH DILAYANI 3,001,900
26,200 BPJS SUDAH DILAYANI 3,001,900
26,000 BPJS SUDAH DILAYANI 3,001,900
44,500 BPJS SUDAH DILAYANI 3,001,900
47,700 BPJS SUDAH DILAYANI 3,001,900
29,600 BPJS SUDAH DILAYANI 3,001,900
38,900 BPJS SUDAH DILAYANI 3,001,900
43,000 BPJS SUDAH DILAYANI 3,001,900
74,600 ASKES SUDAH DILAYANI 3,001,900
15,000 ASKES SUDAH DILAYANI 3,001,900
48,600 BPJS SUDAH DILAYANI 3,001,900
44,000 BPJS SUDAH DILAYANI 25000 3,026,900
43,000 BPJS SUDAH DILAYANI 3,026,900
36,000 BPJS SUDAH DILAYANI 3,026,900
35,250 BPJS SUDAH DILAYANI 3,026,900
28,000 BPJS SUDAH DILAYANI 8000 3,034,900
42,000 BPJS SUDAH DILAYANI 3,034,900
28,900 BPJS SUDAH DILAYANI 3,034,900
55,000 BPJS SUDAH DILAYANI 3,034,900
32,000 BPJS SUDAH DILAYANI 3,034,900
32,500 BPJS SUDAH DILAYANI 3,034,900
33,000 BPJS SUDAH DILAYANI 3,034,900
32,000 BPJS SUDAH DILAYANI 3,034,900
28,400 BPJS SUDAH DILAYANI 3,034,900
21,000 BPJS SUDAH DILAYANI 3,034,900
27,000 BPJS SUDAH DILAYANI 3,034,900
31,000 BPJS SUDAH DILAYANI 3,034,900
50,000 BPJS SUDAH DILAYANI 25000 3,059,900
21,800 BPJS SUDAH DILAYANI 3,059,900
128,900 BPJS SUDAH DILAYANI 3,059,900
66,000 BPJS SUDAH DILAYANI 3,059,900
52,000 ASKES SUDAH DILAYANI 20000 3,079,900
33,700 BPJS SUDAH DILAYANI Rp 48,000 25000 3,152,900
48,400 BPJS SUDAH DILAYANI 28000 3,180,900
44,100 BPJS SUDAH DILAYANI 3,180,900
31,500 BPJS SUDAH DILAYANI 25000 3,205,900
36,000 BPJS SUDAH DILAYANI 3,205,900
50,000 BPJS SUDAH DILAYANI 3,205,900
67,200 BPJS SUDAH DILAYANI 3,205,900
41,100 BPJS SUDAH DILAYANI 3,205,900
41,000 BPJS SUDAH DILAYANI 3,205,900
63,400 BPJS SUDAH DILAYANI 3,205,900
31,200 UMUM/BPJS SUDAH DILAYANI 3,205,900
37,600 ASKES SUDAH DILAYANI 3,205,900
33,000 BPJS SUDAH DILAYANI Rp 20,000 3,225,900
48,100 BPJS SUDAH DILAYANI Rp - 3,225,900
40,400 BPJS SUDAH DILAYANI 3,225,900
44,000 BPJS SUDAH DILAYANI 3,225,900
42,800 BPJS SUDAH DILAYANI 3,225,900
39,200 BPJS SUDAH DILAYANI 3,225,900
36,600 BPJS SUDAH DILAYANI 3,225,900
46,600 UMUM/BPJS SUDAH DILAYANI 3,225,900
37,100 BPJS SUDAH DILAYANI 3,225,900
93,000 BPJS SUDAH DILAYANI 3,225,900
55,400 BPJS SUDAH DILAYANI 3,225,900
25,000 BPJS SUDAH DILAYANI 3,225,900
36,300 BPJS SUDAH DILAYANI 3,225,900
38,800 BPJS SUDAH DILAYANI 3,225,900
40,700 BPJS SUDAH DILAYANI 3,225,900
30,000 BPJS SUDAH DILAYANI 3,225,900
58,100 BPJS SUDAH DILAYANI 3,225,900
69,200 BPJS SUDAH DILAYANI 3,225,900
43,100 BPJS SUDAH DILAYANI 3,225,900
15,000 BPJS SUDAH DILAYANI 3,225,900
104,800 BPJS SUDAH DILAYANI 3,225,900
34,600 BPJS SUDAH DILAYANI 3,225,900
34,600 BPJS SUDAH DILAYANI 3,225,900
63,000 BPJS SUDAH DILAYANI Rp 57,000 3,282,900
36,400 BPJS SUDAH DILAYANI 3,282,900
42,200 BPJS SUDAH DILAYANI 3,282,900
51,800 BPJS SUDAH DILAYANI 3,282,900
37,600 BPJS SUDAH DILAYANI 3,282,900
147,200 BPJS SUDAH DILAYANI 3,282,900
15,000 BPJS SUDAH DILAYANI 3,282,900
15,000 ASKES SUDAH DILAYANI 3,282,900
15,000 BPJS SUDAH DILAYANI 43,000 3,325,900
138,900 BPJS SUDAH DILAYANI 3,325,900
59,200 BPJS SUDAH DILAYANI 3,325,900
53,700 BPJS SUDAH DILAYANI 3,325,900
36,000 BPJS SUDAH DILAYANI 51000 3,376,900
45,000 UMUM/BPJS SUDAH DILAYANI 3,376,900
36,000 BPJS SUDAH DILAYANI 25000 3,401,900
44,000 BPJS SUDAH DILAYANI 3,401,900
59,000 BPJS SUDAH DILAYANI 3,401,900
62,400 ASKES SUDAH DILAYANI 3,401,900
43,000 BPJS SUDAH DILAYANI 3,401,900
49,000 BPJS SUDAH DILAYANI 3,401,900
31,000 BPJS SUDAH DILAYANI 3,401,900
47,000 BPJS SUDAH DILAYANI 3,401,900
29,000 BPJS SUDAH DILAYANI 3,401,900
42,000 BPJS SUDAH DILAYANI 3,401,900
44,000 BPJS SUDAH DILAYANI 3,401,900
47,000 BPJS SUDAH DILAYANI 3,401,900
36,000 BPJS SUDAH DILAYANI 3,401,900
40,000 BPJS SUDAH DILAYANI 3,401,900
43,000 BPJS SUDAH DILAYANI 3,401,900
31,000 BPJS SUDAH DILAYANI 3,401,900
37,000 BPJS SUDAH DILAYANI 3,401,900
45,000 BPJS SUDAH DILAYANI 3,401,900
40,000 BPJS SUDAH DILAYANI 3,401,900
40,000 BPJS SUDAH DILAYANI 3,401,900
60,000 BPJS SUDAH DILAYANI 3,401,900
32,000 BPJS SUDAH DILAYANI 3,401,900
34,000 BPJS SUDAH DILAYANI 3,401,900
40,000 BPJS SUDAH DILAYANI 3,401,900
38,000 BPJS SUDAH DILAYANI 3,401,900
46,000 BPJS SUDAH DILAYANI 3,401,900
31,000 JAMSOSTEK SUDAH DILAYANI 3,401,900
35,000 BPJS SUDAH DILAYANI 3,401,900
38,000 BPJS SUDAH DILAYANI 3,401,900
43,700 BPJS SUDAH DILAYANI 3,401,900
32,000 BPJS SUDAH DILAYANI 3,401,900
44,000 BPJS SUDAH DILAYANI 3,401,900
51,000 BPJS SUDAH DILAYANI 3,401,900
50,100 BPJS SUDAH DILAYANI 3,401,900
26,000 BPJS SUDAH DILAYANI 3,401,900
31,000 BPJS SUDAH DILAYANI - 12,500 3,414,400
29,000 ASKES SUDAH DILAYANI 10,000 3,424,400
33,000 BPJS SUDAH DILAYANI 3,424,400
29,000 BPJS SUDAH DILAYANI 3,424,400
37,000 BPJS SUDAH DILAYANI 3,424,400
42,000 BPJS SUDAH DILAYANI 3,424,400
36,000 BPJS SUDAH DILAYANI 3,424,400
47,000 BPJS SUDAH DILAYANI 3,424,400
38,000 BPJS SUDAH DILAYANI 93,000 3,517,400
15,000 BPJS SUDAH DILAYANI 3,517,400
108,000 BPJS SUDAH DILAYANI 3,517,400
116,000 BPJS SUDAH DILAYANI 3,517,400
15,000 BPJS SUDAH DILAYANI 3,517,400
124,000 BPJS SUDAH DILAYANI 20,000 3,537,400
38,000 BPJS SUDAH DILAYANI 83,000 3,620,400
31,000 BPJS SUDAH DILAYANI 3,620,400
33,000 BPJS SUDAH DILAYANI 46,000 3,666,400
39,000 BPJS SUDAH DILAYANI 3,666,400
52,000 BPJS SUDAH DILAYANI 3,666,400
42,000 BPJS SUDAH DILAYANI 3,666,400
15,000 BPJS SUDAH DILAYANI 3,666,400
50,000 BPJS SUDAH DILAYANI 3,666,400
42,000 BPJS SUDAH DILAYANI 3,666,400
54,000 BPJS SUDAH DILAYANI 3,666,400
33,000 BPJS SUDAH DILAYANI 3,666,400
37,000 BPJS SUDAH DILAYANI 3,666,400
28,000 ASKES SUDAH DILAYANI 3,666,400
38,000 BPJS SUDAH DILAYANI 3,666,400
82,000 BPJS SUDAH DILAYANI 3,666,400
31,000 BPJS SUDAH DILAYANI 3,666,400
32,000 BPJS SUDAH DILAYANI 3,666,400
32,000 BPJS SUDAH DILAYANI 3,666,400
45,000 BPJS SUDAH DILAYANI 3,666,400
30,000 BPJS SUDAH DILAYANI 3,666,400
30,000 BPJS SUDAH DILAYANI 3,666,400
28,000 BPJS SUDAH DILAYANI 3,666,400
46,000 BPJS SUDAH DILAYANI 3,666,400
34,000 BPJS SUDAH DILAYANI 3,666,400
39,000 BPJS SUDAH DILAYANI 3,666,400
43,000 BPJS SUDAH DILAYANI 12,500 3,678,900
129,500 UMUM/BPJS SUDAH DILAYANI 3,678,900
136,400 BPJS SUDAH DILAYANI 3,678,900
42,600 BPJS SUDAH DILAYANI 3,678,900
25,000 BPJS SUDAH DILAYANI 92,000 3,770,900
54,750 BPJS SUDAH DILAYANI 25000 3,795,900
36,400 UMUM/BPJS SUDAH DILAYANI 3,795,900
55,000 BPJS SUDAH DILAYANI 3,795,900
48,000 BPJS SUDAH DILAYANI 3,795,900
41,300 BPJS SUDAH DILAYANI 3,795,900
37,000 BPJS SUDAH DILAYANI 3,795,900
34,500 BPJS SUDAH DILAYANI 3,795,900
48,000 BPJS SUDAH DILAYANI 3,795,900
36,000 BPJS SUDAH DILAYANI 3,795,900
24,500 BPJS SUDAH DILAYANI 3,795,900
43,850 BPJS SUDAH DILAYANI 3,795,900
33,400 BPJS SUDAH DILAYANI 3,795,900
25,000 BPJS SUDAH DILAYANI 3,795,900
66,700 BPJS SUDAH DILAYANI 3,795,900
31,000 BPJS SUDAH DILAYANI 3,795,900
32,000 BPJS SUDAH DILAYANI 3,795,900
37,700 BPJS SUDAH DILAYANI 19,000 3,814,900
43,100 BPJS SUDAH DILAYANI 3,814,900
50,000 BPJS SUDAH DILAYANI 3,814,900
33,000 BPJS SUDAH DILAYANI 3,814,900
43,100 BPJS SUDAH DILAYANI 3,814,900
37,000 BPJS SUDAH DILAYANI 3,814,900
36,700 JAMSOSTEK SUDAH DILAYANI 3,814,900
15,000 BPJS SUDAH DILAYANI 3,814,900
41,000 BPJS SUDAH DILAYANI 3,814,900
15,000 BPJS SUDAH DILAYANI 3,814,900
46,000 BPJS SUDAH DILAYANI 3,814,900
37,000 BPJS SUDAH DILAYANI 3,814,900
40,000 BPJS SUDAH DILAYANI 3,814,900
39,000 BPJS SUDAH DILAYANI 15,000 3,829,900
29,000 ASKES SUDAH DILAYANI 3,829,900
13,000 BPJS SUDAH DILAYANI 3,829,900
35,000 BPJS SUDAH DILAYANI 3,829,900
45,000 BPJS SUDAH DILAYANI 3,829,900
46,000 BPJS SUDAH DILAYANI 3,829,900
60,000 BPJS SUDAH DILAYANI 3,829,900
95,000 BPJS SUDAH DILAYANI 25,000 3,854,900
48,000 BPJS SUDAH DILAYANI 3,854,900
35,000 BPJS SUDAH DILAYANI 5,000 3,859,900
15,000 BPJS SUDAH DILAYANI 25,000 3,884,900
33,000 BPJS SUDAH DILAYANI 3,884,900
123,000 BPJS SUDAH DILAYANI 3,884,900
57,000 BPJS SUDAH DILAYANI 3,884,900
53,000 BPJS SUDAH DILAYANI 3,884,900
41,000 BPJS SUDAH DILAYANI 3,884,900
60,000 BPJS SUDAH DILAYANI 14,000 25,000 3,923,900
52,000 BPJS SUDAH DILAYANI 3,923,900
20,000 BPJS SUDAH DILAYANI 3,923,900
34,000 BPJS SUDAH DILAYANI 25,000 3,948,900
36,000 UMUM/BPJS SUDAH DILAYANI 3,948,900
39,000 BPJS SUDAH DILAYANI 3,948,900
51,000 BPJS SUDAH DILAYANI 3,948,900
64,000 BPJS SUDAH DILAYANI 3,948,900
27,000 BPJS SUDAH DILAYANI 3,948,900
38,000 BPJS SUDAH DILAYANI 3,948,900
46,000 BPJS SUDAH DILAYANI 25,000 3,973,900
50,000 BPJS SUDAH DILAYANI 3,973,900
34,000 BPJS SUDAH DILAYANI 3,973,900
50,000 BPJS SUDAH DILAYANI 3,973,900
88,000 BPJS SUDAH DILAYANI 3,973,900
38,000 BPJS SUDAH DILAYANI 3,973,900
37,400 ASKES SUDAH DILAYANI 3,973,900
116,000 BPJS SUDAH DILAYANI 20,000 3,993,900
42,800 BPJS SUDAH DILAYANI 3,993,900
138,700 BPJS SUDAH DILAYANI 25,000 4,018,900
95,000 BPJS SUDAH DILAYANI 5,000 25,000 4,048,900
27,700 BPJS SUDAH DILAYANI 4,048,900
31,500 BPJS SUDAH DILAYANI 28,000 83,000 4,159,900
33,100 ASKES SUDAH DILAYANI 25,000 4,184,900
121,200 BPJS SUDAH DILAYANI 25,000 4,209,900
37,200 BPJS SUDAH DILAYANI 4,209,900
43,000 BPJS SUDAH DILAYANI 4,209,900
36,100 ASKES SUDAH DILAYANI 25000 4,234,900
25,000 BPJS SUDAH DILAYANI 4,234,900
38,600 BPJS SUDAH DILAYANI 4,234,900
20,000 BPJS SUDAH DILAYANI 4,234,900
39,400 BPJS SUDAH DILAYANI 4,234,900
33,400 BPJS SUDAH DILAYANI 4,234,900
61,000 BPJS SUDAH DILAYANI 4,234,900
41,800 BPJS SUDAH DILAYANI 4,234,900
33,000 BPJS SUDAH DILAYANI 4,234,900
39,000 BPJS SUDAH DILAYANI 4,234,900
73,900 BPJS SUDAH DILAYANI 4,234,900
33,000 BPJS SUDAH DILAYANI 4,234,900
36,000 BPJS SUDAH DILAYANI 4,234,900
43,100 BPJS SUDAH DILAYANI 31,000 4,265,900
37,100 BPJS SUDAH DILAYANI 4,265,900
32,500 BPJS SUDAH DILAYANI 4,265,900
22,500 BPJS SUDAH DILAYANI 4,265,900
46,400 BPJS SUDAH DILAYANI 4,265,900
33,100 BPJS SUDAH DILAYANI 4,265,900
41,750 BPJS SUDAH DILAYANI 4,265,900
117,200 ASKES SUDAH DILAYANI 4,265,900
32,400 ASKES SUDAH DILAYANI 4,265,900
40,400 BPJS SUDAH DILAYANI 4,265,900
189,900 BPJS SUDAH DILAYANI 48,000 4,313,900
65,000 BPJS SUDAH DILAYANI 4,313,900
15,000 BPJS SUDAH DILAYANI 4,313,900
44,800 BPJS SUDAH DILAYANI 67,000 25,000 4,405,900
215,300 BPJS SUDAH DILAYANI 20,000 4,425,900
41,800 BPJS SUDAH DILAYANI 4,425,900
40,000 BPJS SUDAH DILAYANI 4,425,900
38,400 BPJS SUDAH DILAYANI 18,000 85,000 4,528,900
31,400 BPJS SUDAH DILAYANI 4,528,900
15,000 BPJS SUDAH DILAYANI 20,000 4,548,900
74,000 BPJS SUDAH DILAYANI 25,000 4,573,900
39,000 BPJS SUDAH DILAYANI 4,573,900
41,300 BPJS SUDAH DILAYANI 4,573,900
30,400 BPJS SUDAH DILAYANI 25,000 4,598,900
15,000 ASKES SUDAH DILAYANI 4,598,900
43,400 BPJS SUDAH DILAYANI 4,598,900
41,800 BPJS SUDAH DILAYANI 4,598,900
36,000 BPJS SUDAH DILAYANI 4,598,900
41,500 BPJS SUDAH DILAYANI 4,598,900
42,600 BPJS SUDAH DILAYANI 4,598,900
29,800 BPJS SUDAH DILAYANI 4,598,900
40,400 BPJS SUDAH DILAYANI 4,598,900
33,400 BPJS SUDAH DILAYANI 4,598,900
15,000 BPJS SUDAH DILAYANI 4,598,900
95,000 BPJS SUDAH DILAYANI 25,000 4,623,900
48,300 BPJS SUDAH DILAYANI 4,623,900
41,100 BPJS SUDAH DILAYANI 4,623,900
35,200 BPJS SUDAH DILAYANI 4,623,900
41,800 BPJS SUDAH DILAYANI 4,623,900
43,400 BPJS SUDAH DILAYANI 4,623,900
35,200 BPJS SUDAH DILAYANI 4,623,900
36,000 BPJS SUDAH DILAYANI 4,623,900
47,400 BPJS SUDAH DILAYANI 4,623,900
37,600 ASKES SUDAH DILAYANI 4,623,900
41,000 ASKES SUDAH DILAYANI 4,623,900
38,000 BPJS SUDAH DILAYANI 4,623,900
15,000 BPJS SUDAH DILAYANI 4,623,900
30,000 BPJS SUDAH DILAYANI 4,623,900
211,100 BPJS SUDAH DILAYANI 4,623,900
43,000 BPJS SUDAH DILAYANI 4,623,900
43,000 BPJS SUDAH DILAYANI 4,623,900
48,800 UMUM/BPJS SUDAH DILAYANI 178,000 4,801,900
36,000 BPJS SUDAH DILAYANI 4,801,900
34,200 BPJS SUDAH DILAYANI 4,801,900
35,600 ASKES SUDAH DILAYANI 4,801,900
38,000 BPJS SUDAH DILAYANI 4,801,900
119,100 ASKES SUDAH DILAYANI 25,000 4,826,900
43,000 BPJS SUDAH DILAYANI 4,826,900
32,600 BPJS SUDAH DILAYANI 4,826,900
26,200 ASKES SUDAH DILAYANI 25,000 4,851,900
37,400 BPJS SUDAH DILAYANI 4,851,900
45,000 BPJS SUDAH DILAYANI 4,851,900
140,000 BPJS SUDAH DILAYANI 4,851,900
36,000 ASKES SUDAH DILAYANI 4,851,900
24,600 BPJS SUDAH DILAYANI 4,851,900
45,900 BPJS SUDAH DILAYANI 48,000 4,899,900
29,500 BPJS SUDAH DILAYANI 4,899,900
26,500 BPJS SUDAH DILAYANI 4,899,900
30,200 BPJS SUDAH DILAYANI 4,899,900
44,000 BPJS SUDAH DILAYANI 4,899,900
31,500 BPJS SUDAH DILAYANI 4,899,900
90,000 BPJS SUDAH DILAYANI 4,899,900
44,600 BPJS SUDAH DILAYANI 4,899,900
35,200 BPJS SUDAH DILAYANI 4,899,900
30,000 BPJS SUDAH DILAYANI 4,899,900
15,000 BPJS SUDAH DILAYANI 4,899,900
24,200 BPJS SUDAH DILAYANI 4,899,900
31,600 BPJS SUDAH DILAYANI 4,899,900
15,000 BPJS SUDAH DILAYANI 4,899,900
41,200 BPJS SUDAH DILAYANI 4,899,900
38,000 BPJS SUDAH DILAYANI 4,899,900
31,400 BPJS SUDAH DILAYANI 4,899,900
15,000 BPJS SUDAH DILAYANI 4,899,900
43,600 ASKES SUDAH DILAYANI 4,899,900
62,000 BPJS SUDAH DILAYANI 4,899,900
30,000 BPJS SUDAH DILAYANI 4,899,900
34,950 BPJS SUDAH DILAYANI 4,899,900
24,950 BPJS SUDAH DILAYANI 40,000 4,939,900
15,000 BPJS SUDAH DILAYANI 4,939,900
31,600 BPJS SUDAH DILAYANI 4,939,900
38,900 BPJS SUDAH DILAYANI 4,939,900
32,000 BPJS SUDAH DILAYANI 4,939,900
52,400 BPJS SUDAH DILAYANI 4,939,900
31,200 BPJS SUDAH DILAYANI 4,939,900
15,000 BPJS SUDAH DILAYANI 4,939,900
60,300 UMUM/BPJS SUDAH DILAYANI 14,000 4,953,900
100,800 ASKES SUDAH DILAYANI 4,953,900
34,200 ASKES SUDAH DILAYANI 4,953,900
31,000 ASKES SUDAH DILAYANI 4,953,900
36,200 BPJS SUDAH DILAYANI 23,000 48,000 5,024,900
35,000 BPJS SUDAH DILAYANI 5,024,900
34,200 BPJS SUDAH DILAYANI 5,024,900
37,000 BPJS SUDAH DILAYANI 5,024,900
31,000 BPJS SUDAH DILAYANI 5,024,900
34,600 BPJS SUDAH DILAYANI 5,024,900
37,900 BPJS SUDAH DILAYANI 5,024,900
118,000 BPJS SUDAH DILAYANI 5,024,900
26,000 ASKES SUDAH DILAYANI 5,024,900
31,100 BPJS SUDAH DILAYANI 12,000 5,036,900
47,900 ASKES SUDAH DILAYANI 20,000 5,056,900
42,500 BPJS SUDAH DILAYANI 5,056,900
40,100 BPJS SUDAH DILAYANI 5,056,900
44,500 BPJS SUDAH DILAYANI 5,056,900
58,000 BPJS SUDAH DILAYANI 5,056,900
35,000 BPJS SUDAH DILAYANI 5,056,900
40,800 BPJS SUDAH DILAYANI 5,056,900
29,600 BPJS SUDAH DILAYANI 5,056,900
49,900 BPJS SUDAH DILAYANI 5,056,900
46,400 BPJS SUDAH DILAYANI 5,056,900
50,500 BPJS SUDAH DILAYANI 5,056,900
45,000 BPJS SUDAH DILAYANI 5,056,900
33,200 BPJS SUDAH DILAYANI 5,056,900
116,350 BPJS SUDAH DILAYANI 25,000 5,081,900
41,500 BPJS SUDAH DILAYANI 5,081,900
38,100 BPJS SUDAH DILAYANI 5,081,900
38,200 BPJS SUDAH DILAYANI 25,000 5,106,900
36,800 BPJS SUDAH DILAYANI 5,106,900
27,200 BPJS SUDAH DILAYANI 5,106,900
40,000 BPJS SUDAH DILAYANI 5,106,900
105,000 BPJS SUDAH DILAYANI 5,106,900
30,000 BPJS SUDAH DILAYANI 5,106,900
15,000 BPJS SUDAH DILAYANI 5,106,900
40,400 BPJS SUDAH DILAYANI 18,000 5,124,900
33,900 BPJS SUDAH DILAYANI 5,124,900
64,300 ASKES SUDAH DILAYANI 25,000 5,149,900
136,500 BPJS SUDAH DILAYANI 9,000 5,158,900
31,600 BPJS SUDAH DILAYANI 5,158,900
44,500 BPJS SUDAH DILAYANI 25,000 5,183,900
100,000 BPJS SUDAH DILAYANI 83,000 5,266,900
33,000 BPJS SUDAH DILAYANI 5,266,900
36,400 BPJS SUDAH DILAYANI 5,266,900
195,100 ASKES SUDAH DILAYANI 14,000 5,280,900
15,000 BPJS SUDAH DILAYANI 5,280,900
143,000 BPJS SUDAH DILAYANI 5,280,900
15,000 BPJS SUDAH DILAYANI 85,000 45,000 5,410,900
26,700 BPJS SUDAH DILAYANI 5,410,900
84,400 BPJS SUDAH DILAYANI 43,000 5,453,900
15,000 BPJS SUDAH DILAYANI 5,453,900
58,000 BPJS SUDAH DILAYANI 5,453,900
43,100 BPJS SUDAH DILAYANI 51,000 5,504,900
50,800 BPJS SUDAH DILAYANI 5,504,900
39,000 BPJS SUDAH DILAYANI 35,000 5,539,900
32,000 BPJS SUDAH DILAYANI 5,539,900
37,000 BPJS SUDAH DILAYANI 5,539,900
31,000 BPJS SUDAH DILAYANI 5,539,900
27,000 BPJS SUDAH DILAYANI 3,000 5,542,900
27,000 BPJS SUDAH DILAYANI 5,542,900
41,000 BPJS SUDAH DILAYANI 5,542,900
37,000 ASKES SUDAH DILAYANI 5,542,900
80,000 BPJS SUDAH DILAYANI 5,542,900
39,000 BPJS SUDAH DILAYANI 18,000 5,560,900
33,000 BPJS SUDAH DILAYANI 5,560,900
37,000 BPJS SUDAH DILAYANI 20,000 5,580,900
28,000 BPJS SUDAH DILAYANI 5,580,900
32,000 BPJS SUDAH DILAYANI 5,580,900
24,000 BPJS SUDAH DILAYANI 5,580,900
60,000 BPJS SUDAH DILAYANI 5,580,900
36,000 BPJS SUDAH DILAYANI 5,580,900
29,000 BPJS SUDAH DILAYANI 5,580,900
15,000 ASKES SUDAH DILAYANI 5,580,900
24,000 BPJS SUDAH DILAYANI 5,580,900
37,000 BPJS SUDAH DILAYANI 5,580,900
39,000 BPJS SUDAH DILAYANI 5,580,900
85,000 BPJS SUDAH DILAYANI 5,580,900
32,000 BPJS SUDAH DILAYANI 5,580,900
33,000 ASKES SUDAH DILAYANI 5,580,900
41,000 ASKES SUDAH DILAYANI 51,000 5,631,900
29,000 BPJS SUDAH DILAYANI 5,631,900
33,000 BPJS SUDAH DILAYANI 5,631,900
21,000 BPJS SUDAH DILAYANI 5,631,900
21,000 BPJS SUDAH DILAYANI 5,631,900
33,700 BPJS SUDAH DILAYANI 5,631,900
35,000 BPJS SUDAH DILAYANI 5,631,900
120,000 BPJS SUDAH DILAYANI 20,000 25,000 5,676,900
36,000 BPJS SUDAH DILAYANI 5,676,900
41,000 BPJS SUDAH DILAYANI 5,676,900
104,000 BPJS SUDAH DILAYANI 25,000 5,701,900
36,000 BPJS SUDAH DILAYANI 5,701,900
42,000 BPJS SUDAH DILAYANI 5,701,900
15,000 BPJS SUDAH DILAYANI 5,701,900
44,000 BPJS SUDAH DILAYANI 5,701,900
52,000 BPJS SUDAH DILAYANI 5,701,900
63,000 BPJS SUDAH DILAYANI 5,701,900
40,000 BPJS SUDAH DILAYANI 5,701,900
39,000 BPJS SUDAH DILAYANI 5,701,900
50,000 BPJS SUDAH DILAYANI 5,701,900
51,000 BPJS SUDAH DILAYANI 5,701,900
34,000 BPJS SUDAH DILAYANI 5,701,900
135,000 BPJS SUDAH DILAYANI 5,701,900
54,000 BPJS SUDAH DILAYANI 5,701,900
35,000 BPJS SUDAH DILAYANI 5,701,900
43,000 BPJS SUDAH DILAYANI 23,000 25,000 5,749,900
44,000 BPJS SUDAH DILAYANI 5,749,900
48,000 BPJS SUDAH DILAYANI 5,749,900
61,000 BPJS SUDAH DILAYANI 5,749,900
36,000 BPJS SUDAH DILAYANI 5,749,900
47,000 BPJS SUDAH DILAYANI 5,749,900
43,000 BPJS SUDAH DILAYANI 5,749,900
44,000 BPJS SUDAH DILAYANI 5,749,900
48,000 BPJS SUDAH DILAYANI 5,749,900
43,000 BPJS SUDAH DILAYANI 5,749,900
35,000 BPJS SUDAH DILAYANI 5,749,900
49,000 ASKES SUDAH DILAYANI 5,749,900
35,000 BPJS SUDAH DILAYANI 5,749,900
49,000 BPJS SUDAH DILAYANI 5,749,900
23,000 BPJS SUDAH DILAYANI 17,000 5,766,900
76,000 BPJS SUDAH DILAYANI 23,000 5,789,900
48,000 BPJS SUDAH DILAYANI 5,789,900
15,000 BPJS SUDAH DILAYANI 5,789,900
37,000 BPJS SUDAH DILAYANI 25,000 23,000 5,837,900
24,000 BPJS SUDAH DILAYANI 5,837,900
43,000 BPJS SUDAH DILAYANI 5,837,900
50,000 BPJS SUDAH DILAYANI 5,837,900
37,000 BPJS SUDAH DILAYANI 5,837,900
47,000 JAMSOSTEK SUDAH DILAYANI 5,837,900
35,000 BPJS SUDAH DILAYANI 5,837,900
45,000 BPJS SUDAH DILAYANI 15,000 5,852,900
51,000 BPJS SUDAH DILAYANI 5,852,900
15,000 BPJS SUDAH DILAYANI 5,852,900
52,000 BPJS SUDAH DILAYANI 5,852,900
61,000 BPJS SUDAH DILAYANI 5,852,900
30,000 BPJS SUDAH DILAYANI 5,852,900
46,000 BPJS SUDAH DILAYANI 5,852,900
98,000 BPJS SUDAH DILAYANI 5,852,900
40,000 BPJS SUDAH DILAYANI 5,852,900
45,900 BPJS SUDAH DILAYANI 5,852,900
34,200 BPJS SUDAH DILAYANI 48,000 5,900,900
55,000 ASKES SUDAH DILAYANI 24,000 5,924,900
130,000 BPJS SUDAH DILAYANI 25000 5,949,900
50,000 BPJS SUDAH DILAYANI 5,949,900
173,000 BPJS SUDAH DILAYANI 6,000 43,000 5,998,900
46,600 BPJS SUDAH DILAYANI 25,000 6,023,900
33,000 BPJS SUDAH DILAYANI 6,023,900
30,000 BPJS SUDAH DILAYANI 90,000 25,000 6,138,900
15,000 BPJS SUDAH DILAYANI 6,138,900
136,000 BPJS SUDAH DILAYANI 6,138,900
31,200 BPJS SUDAH DILAYANI 6,138,900
34,500 BPJS SUDAH DILAYANI 6,138,900
38,700 BPJS SUDAH DILAYANI 54,000 6,192,900
126,000 BPJS SUDAH DILAYANI 6,192,900
15,000 BPJS SUDAH DILAYANI 6,192,900
32,300 ASKES SUDAH DILAYANI 6,192,900
15,000 BPJS SUDAH DILAYANI 6,192,900
33,500 BPJS SUDAH DILAYANI 6,192,900
38,500 BPJS SUDAH DILAYANI 6,192,900
31,500 BPJS SUDAH DILAYANI 6,192,900
16,700 BPJS SUDAH DILAYANI 6,192,900
36,500 BPJS SUDAH DILAYANI 6,192,900
43,500 BPJS SUDAH DILAYANI 6,192,900
39,500 BPJS SUDAH DILAYANI 6,192,900
34,200 BPJS SUDAH DILAYANI 6,192,900
38,300 BPJS SUDAH DILAYANI 6,192,900
33,200 BPJS SUDAH DILAYANI 6,192,900
34,000 BPJS SUDAH DILAYANI 6,192,900
44,250 BPJS SUDAH DILAYANI 6,192,900
35,200 BPJS SUDAH DILAYANI 6,192,900
51,000 BPJS SUDAH DILAYANI 6,192,900
31,900 BPJS SUDAH DILAYANI 6,192,900
63,500 UMUM/BPJS SUDAH DILAYANI 6,192,900
32,500 BPJS SUDAH DILAYANI 6,192,900
43,700 BPJS SUDAH DILAYANI 6,192,900
30,700 BPJS SUDAH DILAYANI 14,000 6,206,900
40,500 BPJS SUDAH DILAYANI 6,206,900
32,500 BPJS SUDAH DILAYANI 6,206,900
45,500 BPJS SUDAH DILAYANI 6,206,900
34,200 BPJS SUDAH DILAYANI 6,206,900
40,200 ASKES SUDAH DILAYANI 6,206,900
29,300 BPJS SUDAH DILAYANI 6,206,900
44,000 BPJS SUDAH DILAYANI 6,206,900
17,700 BPJS SUDAH DILAYANI 6,206,900
36,000 BPJS SUDAH DILAYANI 6,206,900
15,000 BPJS SUDAH DILAYANI 6,206,900
29,000 BPJS SUDAH DILAYANI 6,206,900
31,000 BPJS SUDAH DILAYANI 6,206,900
31,000 BPJS SUDAH DILAYANI 6,206,900
41,000 BPJS SUDAH DILAYANI 6,206,900
110,000 BPJS SUDAH DILAYANI 6,206,900
49,000 BPJS SUDAH DILAYANI 6,206,900
30,000 BPJS SUDAH DILAYANI 6,206,900
44,000 BPJS SUDAH DILAYANI 75,000 6,281,900
28,000 BPJS SUDAH DILAYANI 6,281,900
38,000 ASKES SUDAH DILAYANI 6,281,900
45,000 BPJS SUDAH DILAYANI 6,281,900
31,000 BPJS SUDAH DILAYANI 6,281,900
34,000 BPJS SUDAH DILAYANI 6,281,900
36,000 BPJS SUDAH DILAYANI 6,281,900
43,000 BPJS SUDAH DILAYANI 6,281,900
15,000 BPJS SUDAH DILAYANI 6,281,900
22,000 BPJS SUDAH DILAYANI 6,281,900
40,000 BPJS SUDAH DILAYANI 6,281,900
34,100 UMUM/BPJS SUDAH DILAYANI 6,281,900
92,000 BPJS SUDAH DILAYANI 6,281,900
27,000 BPJS SUDAH DILAYANI 6,281,900
40,000 BPJS SUDAH DILAYANI 11,000 6,292,900
53,000 BPJS SUDAH DILAYANI 60,000 6,352,900
33,500 BPJS SUDAH DILAYANI 6,352,900
43,600 BPJS SUDAH DILAYANI 6,352,900
35,200 BPJS SUDAH DILAYANI 6,352,900
44,200 BPJS SUDAH DILAYANI 6,352,900
37,000 BPJS SUDAH DILAYANI 6,352,900
25,800 BPJS SUDAH DILAYANI 6,352,900
56,200 BPJS SUDAH DILAYANI 6,352,900
33,100 BPJS SUDAH DILAYANI 6,352,900
34,500 BPJS SUDAH DILAYANI 6,352,900
15,000 BPJS SUDAH DILAYANI 6,352,900
46,600 ASKES SUDAH DILAYANI 6,352,900
40,600 BPJS SUDAH DILAYANI 6,352,900
39,500 BPJS SUDAH DILAYANI 6,352,900
47,600 BPJS SUDAH DILAYANI 6,352,900
122,800 BPJS SUDAH DILAYANI 25,000 6,377,900
39,500 BPJS SUDAH DILAYANI 6,377,900
56,500 BPJS SUDAH DILAYANI 25,000 6,402,900
114,800 BPJS SUDAH DILAYANI 25,000 6,427,900
30,400 BPJS SUDAH DILAYANI 6,427,900
52,800 BPJS SUDAH DILAYANI 25000 6,452,900
47,400 BPJS SUDAH DILAYANI 70,000 6,522,900
45,900 BPJS SUDAH DILAYANI 6,522,900
35,000 BPJS SUDAH DILAYANI 6,522,900
47,900 BPJS SUDAH DILAYANI 6,522,900
41,900 BPJS SUDAH DILAYANI 6,522,900
52,400 BPJS SUDAH DILAYANI 6,522,900
47,400 BPJS SUDAH DILAYANI 6,522,900
42,600 BPJS SUDAH DILAYANI 6,522,900
49,000 BPJS SUDAH DILAYANI 6,522,900
32,000 BPJS SUDAH DILAYANI 6,522,900
39,000 BPJS SUDAH DILAYANI 6,522,900
95,000 BPJS SUDAH DILAYANI 25,000 6,547,900
15,000 BPJS SUDAH DILAYANI 6,547,900
50,600 BPJS SUDAH DILAYANI 6,547,900
15,000 ASKES SUDAH DILAYANI 25,000 6,572,900
33,000 BPJS SUDAH DILAYANI 6,572,900
48,900 BPJS SUDAH DILAYANI 6,572,900
26,700 BPJS SUDAH DILAYANI 6,572,900
42,400 BPJS SUDAH DILAYANI 6,572,900
15,000 BPJS SUDAH DILAYANI 6,572,900
55,650 BPJS SUDAH DILAYANI 6,572,900
52,600 BPJS SUDAH DILAYANI 6,572,900
32,700 BPJS SUDAH DILAYANI 6,572,900
15,000 BPJS SUDAH DILAYANI 10,000 6,582,900
40,900 BPJS SUDAH DILAYANI 6,582,900
46,200 BPJS SUDAH DILAYANI 6,582,900
59,900 BPJS SUDAH DILAYANI 6,582,900
36,600 BPJS SUDAH DILAYANI 6,582,900
27,700 BPJS SUDAH DILAYANI 6,582,900
36,700 BPJS SUDAH DILAYANI 22,000 6,604,900
28,000 BPJS SUDAH DILAYANI 6,604,900
15,000 BPJS SUDAH DILAYANI 6,604,900
43,600 BPJS SUDAH DILAYANI 6,604,900
37,000 BPJS SUDAH DILAYANI 6,604,900
32,750 BPJS SUDAH DILAYANI 6,604,900
95,000 BPJS SUDAH DILAYANI 25,000 6,629,900
43,000 BPJS SUDAH DILAYANI 6,629,900
53,300 BPJS SUDAH DILAYANI 6,629,900
100,400 BPJS SUDAH DILAYANI 25,000 6,654,900
95,000 BPJS SUDAH DILAYANI 25,000 6,679,900
34,600 BPJS SUDAH DILAYANI 6,679,900
95,000 BPJS SUDAH DILAYANI 85,000 25,000 6,789,900
24,500 BPJS SUDAH DILAYANI 25,000 6,814,900
42,400 BPJS SUDAH DILAYANI 6,814,900
33,000 BPJS SUDAH DILAYANI 25,000 6,839,900
22,000 UMUM/BPJS SUDAH DILAYANI 6,839,900
30,400 BPJS SUDAH DILAYANI 6,839,900
49,200 BPJS SUDAH DILAYANI 6,839,900
83,500 BPJS SUDAH DILAYANI 25000 6,864,900
27,000 BPJS SUDAH DILAYANI 6,864,900
33,200 BPJS SUDAH DILAYANI 6,864,900
42,200 BPJS SUDAH DILAYANI 6,864,900
45,200 UMUM/BPJS SUDAH DILAYANI 6,864,900
53,100 BPJS SUDAH DILAYANI 6,864,900
34,550 BPJS SUDAH DILAYANI 6,864,900
44,700 BPJS SUDAH DILAYANI 6,864,900
44,500 BPJS SUDAH DILAYANI 6,864,900
42,600 UMUM/BPJS SUDAH DILAYANI 6,864,900
46,200 BPJS SUDAH DILAYANI 6,864,900
45,400 BPJS SUDAH DILAYANI 6,864,900
44,000 BPJS SUDAH DILAYANI 6,864,900
46,400 BPJS SUDAH DILAYANI 6,864,900
50,800 BPJS SUDAH DILAYANI 6,864,900
15,000 BPJS SUDAH DILAYANI 6,864,900
34,000 BPJS SUDAH DILAYANI 6,864,900
51,800 BPJS SUDAH DILAYANI 6,864,900
47,800 BPJS SUDAH DILAYANI 6,864,900
46,000 BPJS SUDAH DILAYANI 6,864,900
24,000 BPJS SUDAH DILAYANI 6,864,900
46,000 BPJS SUDAH DILAYANI 6,864,900
77,100 BPJS SUDAH DILAYANI 6,864,900
25,000 BPJS SUDAH DILAYANI 6,864,900
25,300 UMUM/BPJS SUDAH DILAYANI 6,864,900
111,000 BPJS SUDAH DILAYANI 34,000 6,898,900
36,000 BPJS SUDAH DILAYANI 10,000 6,908,900
34,600 BPJS SUDAH DILAYANI 6,908,900
43,100 BPJS SUDAH DILAYANI 20,000 6,928,900
28,700 BPJS SUDAH DILAYANI 6,928,900
45,000 BPJS SUDAH DILAYANI 6,928,900
51,800 BPJS SUDAH DILAYANI 6,928,900
44,000 BPJS SUDAH DILAYANI 6,928,900
49,900 BPJS SUDAH DILAYANI 6,928,900
36,400 BPJS SUDAH DILAYANI 6,928,900
43,700 BPJS SUDAH DILAYANI 6,928,900
40,500 UMUM/BPJS SUDAH DILAYANI 6,928,900
40,600 BPJS SUDAH DILAYANI 6,928,900
42,400 BPJS SUDAH DILAYANI 6,928,900
53,900 BPJS SUDAH DILAYANI 6,928,900
39,000 BPJS SUDAH DILAYANI 6,928,900
34,500 BPJS SUDAH DILAYANI 6,928,900
40,000 BPJS SUDAH DILAYANI 6,928,900
31,000 BPJS SUDAH DILAYANI 6,928,900
40,000 BPJS SUDAH DILAYANI 6,928,900
40,000 ASKES SUDAH DILAYANI 6,928,900
43,000 BPJS SUDAH DILAYANI 6,928,900
30,000 BPJS SUDAH DILAYANI 6,928,900
37,000 BPJS SUDAH DILAYANI 6,928,900
42,500 BPJS SUDAH DILAYANI 6,928,900
40,000 BPJS SUDAH DILAYANI 6,928,900
39,000 BPJS SUDAH DILAYANI 6,928,900
33,000 BPJS SUDAH DILAYANI 6,928,900
49,000 BPJS SUDAH DILAYANI 6,928,900
214,000 BPJS SUDAH DILAYANI 158000 7,086,900
25,000 BPJS SUDAH DILAYANI 7,086,900
25,000 BPJS SUDAH DILAYANI 12,000 7,098,900
25,000 BPJS SUDAH DILAYANI 11,000 7,109,900
38,500 BPJS SUDAH DILAYANI 7,109,900
21,200 BPJS SUDAH DILAYANI 7,109,900
15,000 BPJS SUDAH DILAYANI 7,109,900
40,200 BPJS SUDAH DILAYANI 7,109,900
24,000 BPJS SUDAH DILAYANI 7,109,900
37,900 BPJS SUDAH DILAYANI 7,109,900
25,600 BPJS SUDAH DILAYANI 7,109,900
35,900 BPJS SUDAH DILAYANI 7,109,900
15,000 UMUM/BPJS SUDAH DILAYANI 7,109,900
28,550 BPJS SUDAH DILAYANI 7,109,900
33,700 BPJS SUDAH DILAYANI 7,109,900
24,350 BPJS SUDAH DILAYANI 7,109,900
126,100 BPJS SUDAH DILAYANI 7,109,900
42,400 BPJS SUDAH DILAYANI 7,109,900
39,400 BPJS SUDAH DILAYANI 7,109,900
44,700 BPJS SUDAH DILAYANI 7,109,900
57,300 ASKES SUDAH DILAYANI 23,000 7,132,900
30,000 BPJS SUDAH DILAYANI 7,132,900
32,000 BPJS SUDAH DILAYANI 7,132,900
39,600 BPJS SUDAH DILAYANI 7,132,900
43,200 BPJS SUDAH DILAYANI 7,132,900
43,600 BPJS SUDAH DILAYANI 7,132,900
34,400 BPJS SUDAH DILAYANI 7,132,900
44,500 BPJS SUDAH DILAYANI 7,132,900
29,000 BPJS SUDAH DILAYANI 10,000 7,142,900
143,000 BPJS SUDAH DILAYANI 7,142,900
34,600 BPJS SUDAH DILAYANI 7,142,900
40,300 BPJS SUDAH DILAYANI 7,142,900
44,200 BPJS SUDAH DILAYANI 54,000 7,196,900
39,200 BPJS SUDAH DILAYANI 7,196,900
73,000 BPJS SUDAH DILAYANI 7,196,900
33,950 BPJS SUDAH DILAYANI 7,196,900
23,300 BPJS SUDAH DILAYANI 7,196,900
29,700 BPJS SUDAH DILAYANI 7,196,900
15,000 BPJS SUDAH DILAYANI 7,196,900
123,800 BPJS SUDAH DILAYANI 25,000 7,221,900
27,500 BPJS SUDAH DILAYANI 7,221,900
32,600 BPJS SUDAH DILAYANI 7,221,900
27,100 BPJS SUDAH DILAYANI 7,221,900
37,600 BPJS SUDAH DILAYANI 7,221,900
33,400 BPJS SUDAH DILAYANI 7,221,900
30,900 ASKES SUDAH DILAYANI 7,221,900
45,100 BPJS SUDAH DILAYANI 7,221,900
30,200 BPJS SUDAH DILAYANI 7,221,900
28,600 BPJS SUDAH DILAYANI 7,221,900
51,500 BPJS SUDAH DILAYANI 7,221,900
52,700 BPJS SUDAH DILAYANI 23000 7,244,900
50,500 BPJS SUDAH DILAYANI 7,244,900
101,600 BPJS SUDAH DILAYANI 7,244,900
35,200 BPJS SUDAH DILAYANI 7,244,900
36,500 BPJS SUDAH DILAYANI 7,244,900
37,400 BPJS SUDAH DILAYANI 57,000 7,301,900
39,000 BPJS SUDAH DILAYANI 7,301,900
37,000 BPJS SUDAH DILAYANI 7,301,900
38,000 BPJS SUDAH DILAYANI 7,301,900
43,000 BPJS SUDAH DILAYANI 7,301,900
33,000 BPJS SUDAH DILAYANI 7,301,900
43,000 BPJS SUDAH DILAYANI 7,301,900
42,000 BPJS SUDAH DILAYANI 7,301,900
32,000 BPJS SUDAH DILAYANI 7,301,900
37,000 BPJS SUDAH DILAYANI 7,301,900
37,000 BPJS SUDAH DILAYANI 7,301,900
36,000 BPJS SUDAH DILAYANI 7,301,900
37,000 BPJS SUDAH DILAYANI 7,301,900
37,000 BPJS SUDAH DILAYANI 7,301,900
34,000 BPJS SUDAH DILAYANI 7,301,900
43,000 UMUM/BPJS SUDAH DILAYANI 7,301,900
45,000 BPJS SUDAH DILAYANI 7,301,900
32,000 BPJS SUDAH DILAYANI 7,301,900
15,000 BPJS SUDAH DILAYANI 7,301,900
31,000 UMUM/BPJS SUDAH DILAYANI 7,301,900
15,000 BPJS SUDAH DILAYANI 7,301,900
33,000 BPJS SUDAH DILAYANI 7,301,900
41,000 BPJS SUDAH DILAYANI 7,301,900
27,000 BPJS SUDAH DILAYANI 7,301,900
32,000 BPJS SUDAH DILAYANI 7,301,900
42,000 BPJS SUDAH DILAYANI 7,301,900
43,000 BPJS SUDAH DILAYANI 7,301,900
31,000 BPJS SUDAH DILAYANI 7,301,900
35,000 BPJS SUDAH DILAYANI 7,301,900
36,000 BPJS SUDAH DILAYANI 7,301,900
35,000 UMUM/BPJS SUDAH DILAYANI 7,301,900
39,000 BPJS SUDAH DILAYANI 7,301,900
44,000 BPJS SUDAH DILAYANI 7,301,900
36,000 BPJS SUDAH DILAYANI 7,301,900
113,900 BPJS SUDAH DILAYANI 7,301,900
30,000 BPJS SUDAH DILAYANI 7,301,900
40,000 BPJS SUDAH DILAYANI 7,301,900
32,000 BPJS SUDAH DILAYANI 7,301,900
39,000 BPJS SUDAH DILAYANI 7,301,900
32,000 BPJS SUDAH DILAYANI 13,000 7,314,900
35,000 BPJS SUDAH DILAYANI 7,314,900
31,000 BPJS SUDAH DILAYANI 7,314,900
29,000 BPJS SUDAH DILAYANI 7,314,900
41,000 BPJS SUDAH DILAYANI 7,314,900
31,000 UMUM/BPJS SUDAH DILAYANI 7,314,900
199,000 BPJS SUDAH DILAYANI 7,314,900
43,000 BPJS SUDAH DILAYANI 7,314,900
44,000 BPJS SUDAH DILAYANI 7,314,900
30,000 BPJS SUDAH DILAYANI 87,000 7,401,900
76,000 BPJS SUDAH DILAYANI 7,401,900
32,000 BPJS SUDAH DILAYANI 7,401,900
41,000 BPJS SUDAH DILAYANI 7,401,900
47,000 BPJS SUDAH DILAYANI 52,000 7,453,900
39,000 BPJS SUDAH DILAYANI 7,453,900
43,000 BPJS SUDAH DILAYANI 7,453,900
54,000 BPJS SUDAH DILAYANI 7,453,900
40,000 BPJS SUDAH DILAYANI 7,453,900
37,000 BPJS SUDAH DILAYANI 7,453,900
56,000 BPJS SUDAH DILAYANI 21,000 7,474,900
30,000 BPJS SUDAH DILAYANI 7,474,900
15,000 BPJS SUDAH DILAYANI 7,474,900
34,000 BPJS SUDAH DILAYANI 7,474,900
39,000 BPJS SUDAH DILAYANI 7,474,900
31,000 BPJS SUDAH DILAYANI 7,474,900
45,000 BPJS SUDAH DILAYANI 7,474,900
49,000 BPJS SUDAH DILAYANI 7,474,900
43,000 BPJS SUDAH DILAYANI 7,474,900
34,000 BPJS SUDAH DILAYANI 7,474,900
44,000 BPJS SUDAH DILAYANI 7,474,900
42,000 BPJS SUDAH DILAYANI 7,474,900
40,000 BPJS SUDAH DILAYANI 7,474,900
15,000 BPJS SUDAH DILAYANI 7,474,900
15,000 BPJS SUDAH DILAYANI 13,000 7,487,900
55,000 BPJS SUDAH DILAYANI 7,487,900
43,000 BPJS SUDAH DILAYANI 7,487,900
31,000 ASKES SUDAH DILAYANI 7,487,900
49,000 ASKES SUDAH DILAYANI 7,487,900
51,000 BPJS SUDAH DILAYANI 7,487,900
39,000 BPJS SUDAH DILAYANI 7,487,900
15,000 BPJS SUDAH DILAYANI 7,487,900
35,000 BPJS SUDAH DILAYANI 7,487,900
25,100 BPJS SUDAH DILAYANI 7,487,900
58,000 ASKES SUDAH DILAYANI 23,000 7,510,900
46,000 BPJS SUDAH DILAYANI 7,510,900
24,000 BPJS SUDAH DILAYANI 7,510,900
37,400 BPJS SUDAH DILAYANI 7,510,900
39,400 ASKES SUDAH DILAYANI 7,510,900
34,400 BPJS SUDAH DILAYANI 7,510,900
15,000 BPJS SUDAH DILAYANI 7,510,900
38,000 ASKES SUDAH DILAYANI 7,510,900
33,000 BPJS SUDAH DILAYANI 7,510,900
56,000 BPJS SUDAH DILAYANI 7,510,900
122,000 BPJS SUDAH DILAYANI 7,510,900
39,500 BPJS SUDAH DILAYANI 7,510,900
34,300 ASKES SUDAH DILAYANI 24,000 7,534,900
15,000 BPJS SUDAH DILAYANI 7,534,900
40,800 BPJS SUDAH DILAYANI 7,534,900
45,500 BPJS SUDAH DILAYANI 7,534,900
32,300 BPJS SUDAH DILAYANI 7,534,900
42,000 BPJS SUDAH DILAYANI 7,534,900
33,000 BPJS SUDAH DILAYANI 7,534,900
38,000 BPJS SUDAH DILAYANI 7,534,900
76,000 BPJS SUDAH DILAYANI 7,534,900
64,800 BPJS SUDAH DILAYANI 7,534,900
39,500 BPJS SUDAH DILAYANI 7,534,900
39,500 BPJS SUDAH DILAYANI 36,000 7,570,900
57,000 BPJS SUDAH DILAYANI 24,000 7,594,900
31,500 BPJS SUDAH DILAYANI 7,594,900
25,300 BPJS SUDAH DILAYANI 7,594,900
36,100 BPJS SUDAH DILAYANI 7,594,900
35,000 BPJS SUDAH DILAYANI 7,594,900
29,000 BPJS SUDAH DILAYANI 7,594,900
27,000 BPJS SUDAH DILAYANI 7,594,900
38,000 BPJS SUDAH DILAYANI 7,594,900
15,000 BPJS SUDAH DILAYANI 7,594,900
15,000 ASKES SUDAH DILAYANI 7,594,900
25,400 BPJS SUDAH DILAYANI 7,594,900
42,200 BPJS SUDAH DILAYANI 7,594,900
31,800 JAMSOSTEK SUDAH DILAYANI 7,594,900
32,400 BPJS SUDAH DILAYANI 7,594,900
34,600 BPJS SUDAH DILAYANI 7,594,900
30,000 BPJS SUDAH DILAYANI 7,594,900
42,400 BPJS SUDAH DILAYANI 7,594,900
28,000 BPJS SUDAH DILAYANI 7,594,900
120,700 BPJS SUDAH DILAYANI 25,000 7,619,900
45,000 BPJS SUDAH DILAYANI 7,619,900
117,200 ASKES SUDAH DILAYANI 7,619,900
45,000 BPJS SUDAH DILAYANI 7,619,900
36,200 BPJS SUDAH DILAYANI 13,000 7,632,900
15,000 BPJS SUDAH DILAYANI 7,632,900
23,500 BPJS SUDAH DILAYANI 7,632,900
99,000 BPJS SUDAH DILAYANI 7,632,900
107,300 ASKES SUDAH DILAYANI 7,632,900
38,000 ASKES SUDAH DILAYANI 7,632,900
32,500 BPJS SUDAH DILAYANI 14,000 7,646,900
34,000 BPJS SUDAH DILAYANI 17,000 60,000 7,723,900
33,700 BPJS SUDAH DILAYANI 7,723,900
43,650 BPJS SUDAH DILAYANI 7,723,900
162,500 BPJS SUDAH DILAYANI 7,723,900
29,200 BPJS SUDAH DILAYANI 7,723,900
38,500 BPJS SUDAH DILAYANI 7,723,900
28,200 BPJS SUDAH DILAYANI 50,000 7,773,900
39,400 BPJS SUDAH DILAYANI 7,773,900
85,000 BPJS SUDAH DILAYANI 42,000 7,815,900
33,500 BPJS SUDAH DILAYANI 7,815,900
46,200 ASKES SUDAH DILAYANI 7,815,900
30,000 BPJS SUDAH DILAYANI 70,000 7,885,900
109,000 BPJS SUDAH DILAYANI 7,885,900
43,600 BPJS SUDAH DILAYANI 7,885,900
27,700 BPJS SUDAH DILAYANI 7,885,900
36,100 BPJS SUDAH DILAYANI 7,885,900
37,900 BPJS SUDAH DILAYANI 7,885,900
43,700 BPJS SUDAH DILAYANI 7,885,900
47,800 BPJS SUDAH DILAYANI 7,885,900
36,600 BPJS SUDAH DILAYANI 7,885,900
37,600 BPJS SUDAH DILAYANI 7,885,900
35,600 BPJS SUDAH DILAYANI 7,885,900
41,800 BPJS SUDAH DILAYANI 7,885,900
23,000 BPJS SUDAH DILAYANI 7,885,900
43,000 BPJS SUDAH DILAYANI 16,000 7,901,900
55,600 BPJS SUDAH DILAYANI 11,000 7,912,900
37,400 BPJS SUDAH DILAYANI 7,912,900
37,200 BPJS SUDAH DILAYANI 7,912,900
30,800 BPJS SUDAH DILAYANI 7,912,900
119,000 BPJS SUDAH DILAYANI 25,000 7,937,900
42,600 BPJS SUDAH DILAYANI 7,937,900
55,700 BPJS SUDAH DILAYANI 7,937,900
33,500 BPJS SUDAH DILAYANI 25,000 7,962,900
54,300 BPJS SUDAH DILAYANI 7,962,900
44,800 BPJS SUDAH DILAYANI 7,962,900
56,000 BPJS SUDAH DILAYANI 7,962,900
46,400 BPJS SUDAH DILAYANI 39,000 8,001,900
57,800 BPJS SUDAH DILAYANI 8,001,900
43,800 BPJS SUDAH DILAYANI 19,000 8,020,900
98,300 BPJS SUDAH DILAYANI 8,020,900
35,200 BPJS SUDAH DILAYANI 8,020,900
34,000 BPJS SUDAH DILAYANI 16,000 8,036,900
15,000 BPJS SUDAH DILAYANI 12,000 48,000 8,096,900
46,000 UMUM/BPJS SUDAH DILAYANI 8,096,900
132,000 BPJS SUDAH DILAYANI 8,096,900
55,000 ASKES SUDAH DILAYANI 8,096,900
52,000 BPJS SUDAH DILAYANI 8,096,900
143,500 BPJS SUDAH DILAYANI 51,000 43,000 8,190,900
90,500 BPJS SUDAH DILAYANI 8,190,900
51,000 BPJS SUDAH DILAYANI 8,190,900
38,500 BPJS SUDAH DILAYANI 42,000 25,000 8,257,900
57,500 BPJS SUDAH DILAYANI 60,000 8,317,900
31,500 BPJS SUDAH DILAYANI 8,317,900
38,300 BPJS SUDAH DILAYANI 8,317,900
47,000 BPJS SUDAH DILAYANI 8,317,900
15,000 BPJS SUDAH DILAYANI 8,317,900
15,000 BPJS SUDAH DILAYANI 8,317,900
42,800 BPJS SUDAH DILAYANI 16,000 8,333,900
37,600 BPJS SUDAH DILAYANI 8,333,900
55,000 BPJS SUDAH DILAYANI 8,333,900
36,600 BPJS SUDAH DILAYANI 8,333,900
15,000 BPJS SUDAH DILAYANI 8,333,900
57,000 BPJS SUDAH DILAYANI 8,333,900
43,500 BPJS SUDAH DILAYANI 8,333,900
55,000 BPJS SUDAH DILAYANI 8,333,900
24,000 BPJS SUDAH DILAYANI 8,333,900
57,800 BPJS SUDAH DILAYANI 8,333,900
26,000 BPJS SUDAH DILAYANI 8,333,900
36,000 BPJS SUDAH DILAYANI 8,333,900
37,600 BPJS SUDAH DILAYANI 30,000 8,363,900
33,400 BPJS SUDAH DILAYANI 8,363,900
29,600 BPJS SUDAH DILAYANI 8,363,900
30,000 BPJS SUDAH DILAYANI 8,363,900
39,400 BPJS SUDAH DILAYANI 8,363,900
36,200 BPJS SUDAH DILAYANI 8,363,900
15,000 BPJS SUDAH DILAYANI 8,363,900
45,000 BPJS SUDAH DILAYANI 8,363,900
28,700 BPJS SUDAH DILAYANI 8,363,900
45,500 BPJS SUDAH DILAYANI 8,363,900
35,200 ASKES SUDAH DILAYANI 8,363,900
30,000 BPJS SUDAH DILAYANI 8,363,900
32,200 BPJS SUDAH DILAYANI 8,363,900
35,500 ASKES SUDAH DILAYANI 8,363,900
32,200 BPJS SUDAH DILAYANI 8,363,900
39,900 BPJS SUDAH DILAYANI 8,363,900
44,100 BPJS SUDAH DILAYANI 8,363,900
38,700 BPJS SUDAH DILAYANI 8,363,900
105,200 ASKES SUDAH DILAYANI 159,000 8,522,900
41,800 BPJS SUDAH DILAYANI 8,522,900
55,100 BPJS SUDAH DILAYANI 8,522,900
50,600 BPJS SUDAH DILAYANI 8,522,900
70,100 BPJS SUDAH DILAYANI 8,522,900
56,700 BPJS SUDAH DILAYANI 8,522,900
36,600 BPJS SUDAH DILAYANI 8,522,900
37,600 BPJS SUDAH DILAYANI 8,522,900
37,000 BPJS SUDAH DILAYANI 8,522,900
48,400 UMUM/BPJS SUDAH DILAYANI 48,000 8,570,900
36,600 BPJS SUDAH DILAYANI 8,570,900
48,400 BPJS SUDAH DILAYANI 8,570,900
50,900 BPJS SUDAH DILAYANI 8,570,900
15,000 BPJS SUDAH DILAYANI 8,570,900
15,000 BPJS SUDAH DILAYANI 8,570,900
15,000 BPJS SUDAH DILAYANI 8,570,900
36,150 BPJS SUDAH DILAYANI 8,570,900
50,100 BPJS SUDAH DILAYANI 8,570,900
34,500 BPJS SUDAH DILAYANI 8,570,900
41,000 UMUM/BPJS SUDAH DILAYANI 8,570,900
33,200 BPJS SUDAH DILAYANI 8,570,900
49,300 BPJS SUDAH DILAYANI 8,570,900
40,100 BPJS SUDAH DILAYANI 8,570,900
37,400 BPJS SUDAH DILAYANI 8,570,900
25,600 BPJS SUDAH DILAYANI 8,570,900
39,400 ASKES SUDAH DILAYANI 8,570,900
27,700 BPJS SUDAH DILAYANI 8,570,900
44,000 BPJS SUDAH DILAYANI 8,570,900
31,000 BPJS SUDAH DILAYANI 8,570,900
31,000 BPJS SUDAH DILAYANI 8,570,900
32,000 BPJS SUDAH DILAYANI 8,570,900
37,000 BPJS SUDAH DILAYANI 8,570,900
36,000 BPJS SUDAH DILAYANI 8,570,900
36,000 BPJS SUDAH DILAYANI 8,570,900
32,000 BPJS SUDAH DILAYANI 8,570,900
38,000 BPJS SUDAH DILAYANI 8,570,900
42,000 BPJS SUDAH DILAYANI 8,570,900
43,000 BPJS SUDAH DILAYANI 8,570,900
35,000 BPJS SUDAH DILAYANI 8,570,900
31,000 BPJS SUDAH DILAYANI 8,570,900
36,000 BPJS SUDAH DILAYANI 8,570,900
27,000 BPJS SUDAH DILAYANI 8,570,900
37,000 BPJS SUDAH DILAYANI 8,570,900
35,000 BPJS SUDAH DILAYANI 8,570,900
29,000 BPJS SUDAH DILAYANI 8,570,900
123,000 BPJS SUDAH DILAYANI 8,570,900
21,000 BPJS SUDAH DILAYANI 8,570,900
37,000 BPJS SUDAH DILAYANI 8,570,900
40,000 BPJS SUDAH DILAYANI 8,570,900
33,000 BPJS SUDAH DILAYANI 8,570,900
49,000 BPJS SUDAH DILAYANI 8,570,900
33,000 BPJS SUDAH DILAYANI 8,570,900
21,000 BPJS SUDAH DILAYANI 8,570,900
38,000 BPJS SUDAH DILAYANI 8,570,900
52,000 BPJS SUDAH DILAYANI 8,570,900
42,000 BPJS SUDAH DILAYANI 8,570,900
47,000 BPJS SUDAH DILAYANI 8,570,900
70,294,450 4,065,400 4,443,500
70,294,450 8,508,900

Garut, 31 Maret 2016


Yang Membuat Laporan 48,000
LA

NO Tanggal No. RM Nama Pasien No. Apotek IGD


1 01.04.16 I000963 IKIN TAPIATUDIN SH 9 28,200 -
2 01.04.17 A007560 ARIS AGUSTIAWAN 11 24,200 -
3 01.04.18 U001006 UDO 12 15,000 -
4 01.04.19 B000792 BETTY NAINGGOLAN 21 - -
5 01.04.20 I000664 IPIT WIDIAWATI 23 - -
6 01.04.21 M003060 MOCH. FAZRI AL-AWALI 25 20,200 -
7 01.04.22 P000806 PAREL MUHAMAD 26 50,000 30,000
8 01.04.23 L001254 LISNA DANIATI 28 32,300 -
9 01.04.24 N003955 NADHIRA RAMDHINI 31 34,500 -
10 01.04.25 D002595 DANI RAMDANI 32 11,000 -
11 01.04.26 R000948 RICKI NURSYARIFUDIN 34 25,000 -
12 01.04.27 A000370 ARSYA ADITYA NURWANSYAH 37 37,600 -
13 01.04.28 N000894 NONOH HARYATI 38 15,950 -
14 01.04.29 E002719 EMUD SOBANA 39 - -
15 01.04.30 E003466 ELIS YULIANA SRIWULANDARI 40 25,200 -
16 01.04.31 N003956 NAZWA SAFIRA 41 29,400 -
17 01.04.32 D002073 DESTA HARYANTO 42 21,000 -
18 01.04.33 E002516 ENIH YUNINGSIH 43 22,900 -
19 01.04.34 D002912 DADAY JUBAEDAH 45 24,900 -
20 01.04.35 M005013 MUHAMMAD SYATIBI 48 32,500 -
21 01.04.36 B000706 BAGUS TRI PRASETYO 53 12,200 -
22 01.04.37 T001779 TUTI MULYATI 55 15,200 -
23 01.04.38 E003651 EDI SUTISNA 57 14,000 -
24 01.04.39 S005557 SYAHLA NURFADILAH MP 58 29,100 -
25 01.04.40 T001820 TITI RUKMINI 59 - -
26 01.04.41 L000288 LASIDI 62 43,000 45,000
27 01.04.42 A009581 ASEP ARYADI 63 22,400 -
28 01.04.43 N003695 NUR ANALIS 64 - -
29 01.04.44 R005318 RIJKI MOHAMAD NURDIN 65 21,300 -
30 01.04.45 I003605 INA MARLINA 69 - -
31 01.04.46 S005531 SABAR GARINDA ODANG 71 16,000 35,000
32 01.04.47 Y000711 YOPI KUSTIAWAN 74 34,000 45,000
33 01.04.48 F001906 FATIH MUHAMMAD NURHAKIM 75 20,400 -
34 01.04.49 S003391 SUTARNI 76 13,200 -
35 01.04.50 Y001122 YAYAN SOPYAN 78 32,000 -
36 01.04.51 S004603 SITI LINAWATI 87 25,000 -
37 01.04.52 H001855 HOLIS 88 50,000 -
38 01.04.53 S005312 SAHRUL AKBAR 91 - -
39 01.04.54 E000932 ELEN MARY R 92 32,000 -
40 01.04.55 S005559 SHUHAIL KAUTHAR 93 21,000 -
41 01.04.56 A004932 ADELLA PRATHAMA 94 35,000 -
42 01.04.57 D000818 DARISYANDI 95 71,000 -
43 01.04.58 W001069 WINDA LAELASARI 98 38,000 -
44 01.04.59 E003647 ENDANG MASHUDI,DRS 100 26,000 -
45 01.04.60 H000233 HENDRA GUNARAH S 103 89,000 -
46 01.04.61 A009007 AIN WAHYATIN 112 44,000 -
47 01.04.62 F001389 FIRLA WAFALI JANEETA JINAN 113 41,000 -
48 01.04.63 F001897 FATIH IHSAN AL-FARUQ 121 15,000 -
49 01.04.64 D001666 DEDI WIHARJA 131 25,500 -
50 02.04.16 I003537 IRMA RISMIYANTI 5 26,000 -
51 02.04.17 Z000639 ZIRAN PATRIYASA RAMDHAN 6 19,000 -
52 02.04.18 H001730 HILAL MAKARIM 8 24,000 -
53 02.04.19 A009584 ANANDA ATHAR YUDISTIRA 9 21,000 -
54 02.04.20 A004584 ALFIANSYAH MIROJ FATAHILLAH 11 24,000 -
55 02.04.21 T000162 TINI SUMARTINI 12 - -
56 02.04.22 M001801 MULYANA 14 20,000 -
57 02.04.23 E003686 ENOK 15 87,000 -
58 02.04.24 M003948 MUHAMMAD SIDIK KAMALUDIN 16 23,000 -
59 02.04.25 A008828 ALBY AZZAKY IGUSTI 17 104,000 -
60 02.04.26 N003469 NAUFAL SATRIA LUTHFI NURAHMAN 18 72,000 35,000
61 02.04.27 S003729 SAMSUDIN, H 19 10,000 -
62 02.04.28 H001527 HAEROJI 21 36,000 -
63 02.04.29 S004841 SITI JENAB 29 - -
64 02.04.30 I002809 IIS AISYAH 31 33,000 -
65 02.04.31 S003939 SINTA CAHYA DEWI 42 21,000 -
66 02.04.32 I000818 IMAS NURHAEDAROH 44 15,000 -
67 02.04.33 S003255 SARI NUR AZIZI 45 21,000 -
68 02.04.34 A008897 ASTRI LESTARI 48 - -
69 02.04.35 A002459 ABAY NURJAMIL 49 - -
70 02.04.36 D002714 DEDEN DARWAN 50 35,000 -
71 02.04.37 N003634 NUR KAAFA RAFIANA 52 23,000 -
72 02.04.38 K000595 KUSUMAWARDHANI AFANDI 53 - -
73 02.04.39 H001320 HAMZAH ALIYUMAR 55 17,000 -
74 02.04.40 S004702 SYAFIQ ASSYAUQIEQ 58 27,000 -
75 02.04.41 S004703 SABIQ EL FATHIN 59 19,000 -
76 02.04.42 S000330 SRI NURBAETI 64 31,000 -
77 02.04.43 N002456 NUNUNG LATIPAH 67 22,000 -
78 02.04.44 K001182 KHASYI FARZANA PUTRA 70 80,000 -
79 02.04.45 D003902 DIKY SODIKIN ISKANDAR 71 19,000 -
80 02.04.46 M003030 M FAHMI KAYZAN RAMDHANI 74 9,000 -
81 02.04.47 T001203 TUTI SULASTRI 75 15,000 -
82 02.04.48 P000656 PAJAR CAHYADI 79 8,000 -
83 02.04.49 Y000878 YULI NURWANTO, SE 81 20,000 -
84 02.04.50 W000351 WITA PUSPITASARI 84 14,000 -
85 02.04.51 M000049 M AKHZAB AGUNG PAMUNGKAS 87 58,000 -
86 02.04.52 Y000479 YATI ROHMAYATI 89 26,000 -
87 02.04.53 A006017 ALFATH NATHAN AKAWA 91 17,100 -
88 02.04.54 E003402 ERUM RUMYATI 92 15,000 -
89 02.04.55 O000684 OPAN SOPANDI 93 22,000 -
90 02.04.56 S002072 SRIYANI 96 16,000 -
91 02.04.57 S005461 SRI KOMARA WATI 97 23,600 -
92 02.04.58 K001207 KIKI PUSPITASARI 98 30,900 -
93 02.04.59 D003636 DAFFA PRAJA ISMAIL ALFARIZKI 99 26,600 -
94 02.04.60 J000881 JENAB GARNINGSIH 105 46,100 -
95 02.04.61 A006013 AGUS SUWARMAN 108 37,500 -
96 02.04.62 Z000644 ZIKRIE YAZIED BARRA KISWANTO 109 44,600 -
97 02.04.63 B000780 BAGJA REZA NURZAMAN 116 34,100 -
98 02.04.64 H001243 HAWINA 120 41,800 -
99 02.04.65 H001830 HANA WULANDARI 124 - -
100 02.04.66 S001829 SUHERMAN, H 127 38,000 40,000
101 02.04.67 N002726 NURWAHIDAH 130 18,000 40,000
102 02.04.68 A007605 AHMAD SHOHIB 131 17,400 -
103 03.04.16 A006666 ATI RIDOWATI 42 16,400 -
104 03.04.17 A008148 ALVIN MOCHAMAD ERSYAH 53 16,500 -
105 03.04.18 D003240 DANI RAMADHAN 55 19,400 -
106 03.04.19 A001646 AJENG DANUR FAIDAH R 66 20,000 -
107 04.04.16 T000753 TAPIP APIPI 5 30,400 -
108 04.04.17 I002350 IYAM SITI MARIAM 6 41,900 -
109 04.04.18 R002585 RIVALDY NAUFAL 8 - -
110 04.04.19 S005379 SITI FATIMAH PUTRI PERMANA 10 22,800 -
111 04.04.20 W000787 WAHYU 12 18,000 -
112 04.04.21 D000368 DENA SUTISNA 13 40,000 -
113 04.04.22 T001571 TATI HARTATI 15 34,700 -
114 04.04.23 S003946 SITI FATIMAH AZAHRA 17 29,000 -
115 04.04.24 S002875 SAEPUL UYUN 21 - -
116 04.04.25 R005329 RESTI APRILIYANTI 22 23,000 -
117 04.04.26 A001741 ANTON RAKA KUSWARA 23 37,500 -
118 04.04.27 E003577 ENDAH GARULITA 24 30,000 -
119 04.04.28 A003426 AZIZAH MAULADIFA RAHAYU 26 33,000 -
120 04.04.29 E002574 EMIRAH 27 16,500 -
121 04.04.30 R005225 RISKA HAYATI 28 36,000 -
122 04.04.31 R003683 RAISA SAKILA H 29 28,100 -
123 04.04.32 F001735 FAJAR RADITYA FIRMANSYAH 30 28,100 -
124 04.04.33 A007572 ANEUKEU ANDRIANI 31 28,100 -
125 04.04.34 F001876 FIRMAN JAELANI 32 39,500 -
126 04.04.35 N002815 NAJILAH 33 29,200 -
127 04.04.36 A009335 ALINDA NUR AGNIA SALAM 38 28,000 -
128 04.04.37 R004728 ROROY ROHAYATI 39 24,400 -
129 04.04.38 T001517 TJATJIH 40 30,500 -
130 04.04.39 M000112 MAMAH 42 29,000 -
131 04.04.40 S005457 SITI HALIMAH MARYATI 43 23,500 -
132 04.04.41 S004063 SYIFA NURSAFITRI 44 4,500 -
133 04.04.42 S004079 SITI SOLIHAH 45 12,200 -
134 04.04.43 R000137 RABNI TSANIA MAULIDNA 47 36,500 -
135 04.04.44 T001936 TONI SANTONI 48 12,200 -
136 04.04.45 A002603 ANGGA DESIANTO 49 33,000 -
137 04.04.46 H001243 HAWINA 50 15,000 -
138 04.04.47 U000716 UU SUYUD 51 16,000 -
139 04.04.48 A007495 ASEP RUSYANDI 59 23,000 -
140 04.04.49 T001858 TITA HARYATI 60 21,500 -
141 04.04.50 I001771 IJANG NASUTION 68 32,000 -
142 04.04.51 E002730 EKA WISNU 69 30,000 -
143 04.04.52 L000999 LILIS 70 33,400 -
144 04.04.53 D001472 DENDI AHMAD DANI 71 7,000 -
145 04.04.54 S004186 SITI MAEMUNAH 74 40,400 -
146 04.04.55 F001857 FITRI WULANSARI 77 20,000 -
147 04.04.56 H001320 HAMZAH ALIYUMAR 79 41,000 -
148 04.04.57 I003246 IFFATUL AZIZA 80 28,000 -
149 04.04.58 E003154 ECIN 85 - -
150 04.04.59 D000634 DANI HAMDANI 86 17,000 -
151 04.04.60 D003636 DAFFA PRAJA ISMAIL ALFARIZKI 93 7,300 -
152 04.04.61 M004717 MUHAMMAD ABDUL AZIZ PERMADI 94 23,400 -
153 04.04.62 I003147 ISAH 96 17,800 -
154 04.04.63 A008080 ADI MUSLIM 98 35,000 -
155 04.04.64 N001537 NASYATH MA 99 34,500 -
156 04.04.65 A009598 ASEP IQMAN BUDIMAN 103 20,600 -
157 04.04.66 A009581 ASEP ARYADI 105 - -
158 04.04.67 Y002039A YANGYANG EGA SEMILAM 108 27,600 -
159 04.04.68 R004826 RAHMA AGUSTINA NURYADI 109 8,700 -
160 04.04.69 M003860 MOCH FAHRIZAL RISWANDI 110 35,300 -
161 04.04.70 E002774 E. SUMINAR 111 36,500 -
162 04.04.71 S004260 SANTI SINTAWATI 112 19,900 -
163 04.04.72 Z000579 ZAIN NATHAN PUTRANTO 118 29,000 -
164 04.04.73 F002167 FITRI 119 12,900 -
165 04.04.74 A009599 ANGGI AGUSTIAN 126 37,000 -
166 04.04.75 R000513 RAHMI FADLILLAH 127 40,000 -
167 04.04.76 D003739 DEWI YULIANTI 128 18,000 -
168 04.04.77 A008876 AI SOLIHAT 129 27,000 -
169 04.04.78 H001853 HERAWANTI 130 57,000 -
170 04.04.79 R005155 RAYHAN MUHAMAD IQBAL 133 16,000 -
171 04.04.80 A009239 ANI SURYANI 134 16,000 -
172 04.04.81 H002112 HILMAN ARIFIN 135 64,000 -
173 04.04.82 M004473 MIA KUSMIATI 136 - -
174 04.04.83 M005105 MOCH ARIL HASBI 137 26,000 -
175 04.04.84 E003695 ETI KARWATI 139 14,000 -
176 04.04.85 S004652 SITI ROHMAH 141 17,000 -
177 04.04.86 S004220 SASA SARIPUDIN 142 25,000 -
178 04.04.87 S004595 SHOFI APRILIAN SARIPUDIN 143 35,000 -
179 04.04.88 M003495 MELY YULIANA 148 22,000 -
180 04.04.89 D000895 DUDI MULYADI 152 21,000 -
181 05.04.16 R003788 RINA SETIANI 1 30,000 -
182 05.04.17 I002378 IRMA MULYANI 3 15,100 -
183 05.04.18 C000277 CUCU LAKSANA 5 - -
184 05.04.19 A003811 AHMAD NASIR 7 16,500 -
185 05.04.20 M005108 M. FARHAN FADHILAH 8 20,900 -
186 05.04.21 O000006 OOM KOMARIAH 11 21,000 -
187 05.04.22 M005109 MUGNI MASMITA 16 23,750 -
188 05.04.23 S000800 SARAH HAPSARI 18 23,200 -
189 05.04.24 N002331 NONENG 21 20,000 -
190 05.04.25 G000650 GIA GEMILINA 22 31,400 -
191 05.04.26 R003657 RIDWAN NURHIDAYAT 24 27,000 -
192 05.04.27 N003246 NENDI 25 28,600 -
193 05.04.28 K001105 KHAIRIN HANINDA AULIA 28 21,450 -
194 05.04.29 D002912 DADAY JUBAEDAH 29 23,400 -
195 05.04.30 S005573 SANTI HARDIANTI 32 16,950 -
196 05.04.31 A009169 ANI MULYANI 33 - -
197 05.04.32 I002948 IRA SUSILAWATI 34 12,250 -
198 05.04.33 M004896 MUHAMMAD KHAIZURAN 35 21,000 -
199 05.04.34 E003536 EUIS NURJANAH 36 12,750 -
200 05.04.35 M004465 MARYATI 38 24,400 -
201 05.04.36 A009417 ARIA RAHMAN 39 14,700 -
202 05.04.37 D003046 DETTY SUMIATI,HJ,IR 40 24,500 -
203 05.04.38 F000562 FAUZAN ABQARI SYAUQI 44 20,100 -
204 05.04.39 Z000184 ZIDAN AKRAM Z 45 16,000 -
205 05.04.40 Y002251 YOLANDA MEGA YUNIAR 46 17,600 -
206 05.04.41 A009601 ASEP MIFTAHUL HAYAT 48 24,000 -
207 05.04.42 N003240 NAURA HASNA ANNINDAA 50 34,000 -
208 05.04.43 N001760 NOLIS HARYANI, S.PD 58 26,250 -
209 05.04.44 S005329 SUHERMAN 59 17,950 -
210 05.04.45 A008807 AI PURNAMA SARI 60 19,600 -
211 05.04.46 W000899 WIWIN MARYANA,HJ 62 19,600 -
212 05.04.47 A007961 ATANG FATAH, H. DRS 63 20,700 -
213 05.04.48 A004837 ADITYA SANA FUTRA 67 16,400 -
214 05.04.49 N001759 NISA SAHARA 73 15,000 -
215 05.04.50 M004956 MUHAMAD RIZAL AGUSTIAN 75 43,000 -
216 05.04.51 F002099 FAZA FAUZAN FAQIHUDDIN 76 35,600 -
217 05.04.52 C000148 CECEP YUDI BUDIMAN 79 25,000 -
218 05.04.53 A008754 ADITYA DIVA PUTRA PRATAMA 80 25,000 40,000
219 05.04.54 A004500 AMINAH 85 23,100 -
220 05.04.55 N003609 N OTIH SUMIATI,S.AG 86 34,900 -
221 05.04.56 O000589 OHAR.H 87 26,600 -
222 05.04.57 S005392 SARI YULIANTI 88 33,400 -
223 05.04.58 C000597 CUCUM SUMARYATI 90 19,700 -
224 05.04.59 N003944 NADHIFA ELZALORA 92 16,000 65,000
225 05.04.60 D003491 DINAR KARTINI 93 - -
226 05.04.61 M003074 MUHAMMAD NAFIS JATNIKA 95 30,900 -
227 05.04.62 N000696 NURI ARIPIN 96 8,200 -
228 05.04.63 M004280 MOHAMAD SUNGKAWA 100 25,600 -
229 05.04.64 M004910 MUHAMMAD AL RASYID 104 33,300 -
230 05.04.65 W000827 WIDANINGSIH 105 23,400 -
231 05.04.66 S001829 SUHERMAN, H 106 6,700 -
232 05.04.67 A006681 ASEP SAEPUDIN 108 44,000 -
233 05.04.68 K001207 KIKI PUSPITASARI 111 21,600 -
234 05.04.69 T000727 TUTRI HANDAYANI 114 29,600 -
235 05.04.70 I003660 IMAM FAJAR RAMADHAN 115 28,600 -
236 05.04.71 A001212 ANDHITA JUWITA SARI 116 28,100 -
237 05.04.72 P000681 PADRIKA AHMAD ALANSYAH 117 16,000 -
238 05.04.73 R001301 RINEU TUSANTI 118 27,100 -
239 05.04.74 W000845 WAWAN 119 18,200 -
240 05.04.75 D003909 DEDI NURJAMAN 121 34,800 -
241 05.04.76 C000613 CICAH CAHYATI 122 25,400 -
242 05.04.77 R005140 RISA RISMAWANTI 125 19,600 -
243 05.04.78 M005110 MUHAMMAD SYAHRUL MAUDI 126 37,100 -
244 05.04.79 I000724 IKEU NURJANAH 127 25,700 -
245 05.04.80 L000568 LORENZA FEBRIAN 129 21,900 -
246 05.04.81 Y001492 YULIARTI ANTIKA 131 38,000 -
247 05.04.82 N000933 NESYA YULISTIAN DINI 137 13,500 -
248 06.04.16 S003348 SRI HARTATI 3 25,600 -
249 06.04.17 D003240 DANI RAMADHAN 4 15,900 -
250 06.04.18 D001350 DIAN NURDIANA 6 16,150 -
251 06.04.19 V000247 VIRLA FIRSILIA AFRIANTI 7 29,900 -
252 06.04.20 N003944 NADHIFA ELZALORA 12 7,000 40,000
253 06.04.21 R003683 RAISA SAKILA H 14 35,100 -
254 06.04.22 I003381 IMAS SITI HINDUN 17 11,000 -
255 06.04.23 Y000477 YOYO SAEPUDIN 18 17,500 -
256 06.04.24 F001228 FIKRI ABRAR ABDURRASYID 19 26,800 -
257 06.04.25 H001349 HAIKAL RIZARIYADI 23 34,600 -
258 06.04.26 A002364 ASEP DUDI 24 15,000 -
259 06.04.27 H000657 HARIS ISKANDAR 25 18,000 -
260 06.04.28 D003024 DEA KARYAWATI 27 24,000 -
261 06.04.29 O000468 OO SANTONI 28 27,500 -
262 06.04.30 Y000797 YETI NURHAYATI 29 34,000 -
263 06.04.31 W000412 WAWANG NAWANGSIH 30 23,000 -
264 06.04.32 E003647 ENDANG MASHUDI,DRS 33 29,900 -
265 06.04.33 I002527 IDRIS ILHAM 36 33,100 -
266 06.04.34 W001090 WIWIT SARTIKA 37 - -
267 06.04.35 L000672 LINDA DEWI 40 35,800 -
268 06.04.36 L000130 LILIS SURYANI 41 35,200 -
269 06.04.37 A007557 AFIFAH YUMNA KOESTOMI 47 27,000 -
270 06.04.38 D003902 DIKY SODIKIN ISKANDAR 48 11,750 -
271 06.04.39 S004193 SRI RAHAYU KUSMINATI 49 27,000 -
272 06.04.40 E003463 ERYANTO 52 31,000 -
273 06.04.41 K001347 KAYLA LUTHFIYYAH 55 24,000 -
274 06.04.42 M005113 MUSLIM FAUZI S 56 20,000 155,000
275 06.04.43 H001435 HERDY AULIA SYAKIB 57 72,900 -
276 06.04.44 A002324 ALEN AMELIA 58 11,800 -
277 06.04.45 N003913 NATHAN NIYAS SABQIE 65 19,000 -
278 06.04.46 U000436 UUS RUSLI 66 19,000 -
279 06.04.47 E000752 ESA MEILANI SUNDARI 67 15,000 -
280 06.04.48 A000525 AI SAIDAH 68 15,000 -
281 06.04.49 N003313 NINA YUNIAWATI 69 23,000 -
282 06.04.50 K001384 KHOIRUL NIZAM GHAIZAAL GHIFARI 73 34,000 -
283 06.04.51 D002880 DZIKRA TANZIL SYIFA 74 34,000 -
284 06.04.52 R003822 RUSTIAWATI KUSUMAH 77 42,000 -
285 06.04.53 I003606 IIS KHODIJAH 79 16,000 -
286 06.04.54 A009564 AHMAD SOLEH 80 12,000 -
287 06.04.55 R003788 RINA SETIANI 82 28,000 -
288 06.04.56 D003739 DEWI YULIANTI 85 21,000 -
289 06.04.57 N003555 NENENG SUMARNI 86 14,000 -
290 06.04.58 E001723 ELIS KURNIATI 87 33,000 -
291 06.04.59 S002030 SENO MULYA WIJAYA, RD 89 27,000 -
292 06.04.60 S001103 SURYANI PANCAWATI 90 17,000 -
293 06.04.61 N002726 NURWAHIDAH 91 8,000 40,000
294 06.04.62 W000850 WINA AGUSTIANI 92 37,000 -
295 06.04.63 W000287 WINI LESTARI 94 16,000 -
296 06.04.64 W001117 WIRANTIWI AGUSTINA 95 - -
297 06.04.65 W000214 WIWIN W 96 24,000 -
298 06.04.66 S004891 SHIFA UMMU SALAMAH 100 28,000 -
299 06.04.67 R003879 RIAN BAELAWI 102 22,000 -
300 06.04.68 E003068 ENDE YENI 104 - -
301 06.04.69 R005168 RIPAL RIJALUL WAHID 106 30,000 -
302 06.04.70 I002537 IYAY RAHAYU 107 17,000 -
303 06.04.71 A008917 AIDIL PUTRA 108 24,000 -
304 06.04.72 R005334 RIMA FEBRIANI 109 31,000 -
305 06.04.73 A009611 ASEP SUHENDAR 110 6,000 -
306 06.04.74 C000349 CECEP DIDIN 111 14,000 -
307 06.04.75 Y001351 YOSI DAMAYANTI 112 15,000 -
308 06.04.76 D003636 DAFFA PRAJA ISMAIL ALFARIZKI 117 9,000 -
309 06.04.77 S005170 SRI RAHAYU 118 - -
310 06.04.78 A008457 AGUS PURWANTO, SH 120 7,000 -
311 06.04.79 S003826 SADIAH 121 24,000 -
312 06.04.80 C000697 CECEP SAEPUL HUDA 122 18,000 -
313 06.04.81 S000624 SITI ROHIMAH 123 25,000 -
314 06.04.82 K001182 KHASYI FARZANA PUTRA 125 66,000 -
315 06.04.83 T001785 TASEM 126 29,000 -
316 06.04.84 D003911 DENISHA LUTFIYAH HERMAWAN 127 22,000 -
317 07.04.16 Z000428 ZEIN AFKAR WIRANATA 3 31,800 -
318 07.04.17 F001939 FENY FEBRIANY R,S.PD 4 30,000 -
319 07.04.18 W000613 WAWA SUSILAWATI 5 17,200 -
320 07.04.19 R004137 RAHMAT SUKMANA 9 - -
321 07.04.20 D003913 DEDE HARYATI 10 38,200 -
322 07.04.21 Y001708 YAYAT RANA HERDIANA 12 9,000 -
323 07.04.22 I000520 IJAH KHADIJAH, HJ 14 28,500 -
324 07.04.23 A008148 ALVIN MOCHAMAD ERSYAH 16 32,000 -
325 07.04.24 D001022 DUDUNG MAULUDIN 17 15,200 -
326 07.04.25 A003224 ALDI PANCA MAULANA 18 28,100 -
327 07.04.26 K000024 KINARA AL MAIDAH 20 28,100 -
328 07.04.27 R003671 RIZKA SITI RAHMAWATI 21 38,200 -
329 07.04.28 S000676 SURYATI 22 34,100 -
330 07.04.29 F002183 FITRI AYU MILASARI 23 34,400 -
331 07.04.30 S002334 SAEFULLOH 24 20,500 -
332 07.04.31 S001612 SUPARDI 25 10,000 -
333 07.04.32 S004703 SABIQ EL FATHIN 30 36,000 -
334 07.04.33 S004702 SYAFIQ ASSYAUQIEQ 31 46,600 -
335 07.04.34 A006083 ADE SUHERMAN 34 25,600 -
336 07.04.35 S002581 SONYA GARTIKA 35 19,600 -
337 07.04.36 M004975 MOH GALIH GHIFARI 38 35,100 -
338 07.04.37 M005116 MOCH GILANG NURZAMAN 39 31,400 -
339 07.04.38 N003428 NOVI HODIJAH 40 10,600 -
340 07.04.39 S004075 SITI AMINAH 41 16,000 -
341 07.04.40 I002733 INTAN BELINA 42 12,750 -
342 07.04.41 D001027 DJUNAEDI 49 29,500 -
343 07.04.42 W001101 WENI ASRINI AULIA 54 27,150 -
344 07.04.43 F000756 FITRI APRIANI 55 16,500 -
345 07.04.44 N003234 NELI IBRAHIM, S.PD 56 22,550 -
346 07.04.45 G000336 GEA NURHIDAYAH 59 28,100 -
347 07.04.46 I003661 IMAN MUNANDAR 63 - -
348 07.04.47 M003933 MUJAHID ALFARIZI 67 28,000 -
349 07.04.48 A003358 ALYA NURAINI 68 20,000 -
350 07.04.49 S001101 SHOPA MARWAH 71 31,000 -
351 07.04.50 E003696 EVI AAM MARLINA 72 14,000 -
352 07.04.51 A006858 ASTRIANTIKA NUR OCTARESA 73 - -
353 07.04.52 Q000053 QIRENA JULIA HAFIZ 75 32,000 -
354 07.04.53 S004832 SUKIRMAN TOHA SENJAYA 76 33,000 -
355 07.04.54 N002689 NINDYA FARANISA AZNI 77 20,000 -
356 07.04.55 B000782 BURHAN NURDIN 78 24,000 -
357 07.04.56 S004220 SASA SARIPUDIN 88 34,000 -
358 07.04.57 S004595 SHOFI APRILIAN SARIPUDIN 89 24,000 -
359 07.04.58 H001990 HANA NUR PAJRIAH 90 24,000 -
360 07.04.59 N003947 NAZWA KHAERANI ZAKARIA 92 22,000 -
361 07.04.60 D003097 DIMAS PERMADI 93 35,000 -
362 07.04.61 R003370 RUHIYATI 94 23,000 -
363 07.04.62 S005044 SELOMITAH NURFIDIANTI 95 28,000 -
364 07.04.63 N000928 NURAENI 96 19,000 -
365 07.04.64 I003382 IBNU KAHFI HILMAN 97 26,000 -
366 07.04.65 N003188 NURHAYATI 98 23,000 -
367 07.04.66 N003406 NURHAYATI 100 23,000 -
368 07.04.67 Z000651 ZAIDAN HUSNI MUZAQI 102 24,000 -
369 07.04.68 H001320 HAMZAH ALIYUMAR 103 23,000 -
370 07.04.69 M002990 MIMIK WATIMAH 105 42,000 -
371 07.04.70 Y001642 YUSUP HENDI 106 22,000 -
372 07.04.71 R000587 RESI RUSTIANI 107 - -
373 07.04.72 A003080 ACENG ROHMAN 112 24,000 55,000
374 07.04.73 G000694 GINA SONYA 114 23,000 -
375 07.04.74 R005315 RISWANDI 117 31,000 -
376 07.04.75 N003970 NURLINA 118 24,000 -
377 07.04.76 D002112 DARA ISTIQOMAH 119 25,000 -
378 07.04.77 H001548 HERAWATI 120 20,000 -
379 07.04.78 A009621 ANGGUN NATA UTAMI RAHMAN 121 20,000 -
380 07.04.79 I002064 ITANG SUDRAJAT 123 29,000 -
381 07.04.80 F001735 FAJAR RADITYA FIRMANSYAH 125 28,000 -
382 07.04.81 N001759 NISA SAHARA 128 - -
383 08.04.16 A009043 ADE KOMARUDIN 2 38,000 -
384 08.04.17 R004537 RAZKA MUHAMMAD HISHAM 6 23,000 -
385 08.04.18 L000709 LIA NURYANI 7 25,000 -
386 08.04.19 M004044 MOCH IQBAL IKLASHUL AMIL 11 42,000 -
387 08.04.20 N003535 NAHARA NURUL MAULIDDINA 12 32,000 -
388 08.04.21 S005023 SUDENG IBRACHIM 13 15,000 -
389 08.04.22 T001863 TINI SURTINI 15 13,000 -
390 08.04.23 R001191 RIZQYLILLAH ABDUROCHIM 16 16,000 -
391 08.04.24 P000792 PIPIT NURDIANA 17 26,000 -
392 08.04.25 P000708 PIRMAN NURHASBY MAULANA 19 29,000 -
393 08.04.26 A002324 ALEN AMELIA 20 38,000 -
394 08.04.27 K000091 KULSUM RAHMI HAFID, S.PD 22 13,000 -
395 08.04.28 H001462 HAYKAL RIZKI 23 19,000 -
396 08.04.29 M004214 MARYANI 24 28,000 -
397 08.04.30 T001803 TITA LISNAWATI 25 31,000 -
398 08.04.31 R004353 RUKHYANTI SUMANTIKA 27 26,000 -
399 08.04.32 A007645 ASEP RIYADHUDDIN 28 - -
400 08.04.33 S005580 SITI NURHAYATI 30 18,000 -
401 08.04.34 N003568 NABILA INDAH ODELIA 32 27,000 -
402 08.04.35 A003326 ASEP SUPRIATNA 33 25,000 -
403 08.04.36 F002184 FITRIANI 34 17,000 -
404 08.04.37 Y001591 YADI SUPRIADI 35 25,000 -
405 08.04.38 D001472 DENDI AHMAD DANI 36 27,000 65,000
406 08.04.39 E003320 EUIS ROSIDA 37 20,000 -
407 08.04.40 O000557 OPAH 38 28,000 -
408 08.04.41 D003425 DETI RAHMAWATI 40 - -
409 08.04.42 L001050 LILIS APRIANI 48 29,000 -
410 08.04.43 I002675 IYEP RUSMAN SAEPUDIN 49 17,000 -
411 08.04.44 N001353 NENG LINA APRILIA 50 11,000 -
412 08.04.45 M000573 MIA MINARNI 51 21,000 -
413 08.04.46 M001489 MAMAN SUPARMAN 53 26,000 -
414 08.04.47 I002205 IIS ISMAYANTI 54 - -
415 08.04.48 F001804 FAHRI HARDIANSYAH 55 32,000 -
416 08.04.49 N002949 NISPI SYA’BANI 57 10,000 -
417 08.04.50 S004983 SRI MULYANI 58 - -
418 08.04.51 R001297 RIKA SRI KARTIWI 62 - -
419 08.04.52 D002391 DIKA MUHAMAD NUGRAHA 64 22,000 -
420 08.04.53 A006532 ASEP TAHYANUDIN 65 20,000 -
421 08.04.54 A007249 ADAM BERLIANDI 67 28,400 -
422 08.04.55 D003915 DITA HANDAYANI 68 19,200 -
423 08.04.56 A000009 AAM AMALIA 70 28,000 -
424 08.04.57 R004078 RENY RAHAYU SOFIANINGSIH 73 18,750 -
425 08.04.58 M001436 MEILANI NURUL SUCI 74 18,500 -
426 08.04.59 P000814 POPON 75 21,500 -
427 08.04.60 N003205 NELI RUBIANTI DEWI 78 27,750 -
428 08.04.61 Z000496 ZAM ZAM MAULID 81 38,000 100,000
429 08.04.62 W001180 WINDA AGUSTIN 82 37,500 -
430 08.04.63 S002031 SILMI D.S 83 27,000 -
431 08.04.64 P000734 PUTRI DIESY FITRIANI 85 98,500 -
432 08.04.65 W000911 WIWIN WINTARSIH 87 35,000 75,000
433 08.04.66 H000910 HAMIZAN MI’RAJ 89 21,600 -
434 08.04.67 A006899 ADE RUSMANA 95 30,000 -
435 08.04.68 T000926 TRIYANI HERIYANTI 96 30,000 -
436 08.04.69 D001089 DINY ANDIANY 98 27,000 -
437 08.04.70 M005120 MUHAMAD KEMAL MAULANA 100 21,000 -
438 08.04.71 M004888 MUHAMMAD KAVI PUTRA DENISWA 101 26,700 -
439 08.04.72 T001944 TRIAN ERVIANI 102 21,000 -
440 08.04.73 E003041 ENTAT TATI 107 18,600 -
441 08.04.74 D003300 DARSONO 108 15,000 -
442 08.04.75 A009624 ALIKHA SALSABILA 110 30,300 -
443 08.04.76 R005339 R.ANY TRININDANY 112 40,000 -
444 08.04.77 A001646 AJENG DANUR FAIDAH R 115 17,000 -
445 08.04.78 A003000 ARNI SULANI 118 26,000 -
446 09.04.16 H001730 HILAL MAKARIM 5 78,000 -
447 09.04.17 T001203 TUTI SULASTRI 7 28,000 -
448 09.04.18 A007738 AGUS SAEPUL HAYAT 8 37,000 -
449 09.04.19 U000889 UTAMI MAELANI 9 25,000 -
450 09.04.20 S005585 SUTISNA 11 21,000 -
451 09.04.21 V000251 VIKRI NURRAMADHAN 12 24,000 -
452 09.04.22 M004672 MUHAMMAD AQILA MUSYAFFA 14 27,000 -
453 09.04.23 D003385 DEWI SARTIKA 15 11,000 -
454 09.04.24 T001284 TITIN SUPRIATIN 20 23,000 -
455 09.04.25 F002171 FAHRIZA AKHDAN 25 - -
456 09.04.26 W000351 WITA PUSPITASARI 27 26,000 -
457 09.04.27 M000879 MOCH. FACHRI AZIS 28 33,000 -
458 09.04.28 D002405 DZAKIRA SAKHI KRISNAYADI 30 - -
459 09.04.29 N003873 NUR SARAH 38 8,000 -
460 09.04.30 A001445 ARFA GLADISYA KHUMAIRA 39 24,000 -
461 09.04.31 H001964 HADA SUHADA, H. 43 - -
462 09.04.32 N002898 NENENG SUPRIATI 44 35,000 -
463 09.04.33 A007618 ADINDA RAIFA FIRMANSYAH 45 9,000 -
464 09.04.34 A009626 AJAN, S.HUT 46 25,000 -
465 09.04.35 I003663 IMAN MUNAJAT 47 12,000 -
466 09.04.36 D003240 DANI RAMADHAN 49 27,000 -
467 09.04.37 Z000652 ZILAN MAHARANI DEWI 53 22,000 -
468 09.04.38 M003867 MUHAMAD AKMILUDDIN ANNAQSYA 55 14,600 -
469 09.04.39 S005464 SANTI KURNIAWATI 56 22,500 -
470 09.04.40 E000825 ELDESSA VAVA RILLA 57 26,000 -
471 10.04.16 F001897 FATIH IHSAN AL-FARUQ 2 8,300 -
472 10.04.17 M000361 M ZULFI FAUZAN 3 33,000 -
473 10.04.18 M003871 MUHAMMAD ARRASYID ARGANI 35 28,100 -
474 10.04.19 N003478 NOVI LESTARI 36 17,000 -
475 10.04.20 D003636 DAFFA PRAJA ISMAIL ALFARIZKI 64 16,500 -
476 11.04.16 A008457 AGUS PURWANTO, SH 3 - -
477 11.04.17 M003527 MOCHAMAD ARDYANSAH 4 31,400 -
478 11.04.18 M000361 M ZULFI FAUZAN 6 - -
479 11.04.19 N003386 NAZWA SRI AMELIA 7 75,200 -
480 11.04.20 E002643 ERNI KUSRIANI 8 26,600 -
481 11.04.21 A006660 ARDIANSYAH PUTRA 9 28,700 -
482 11.04.22 M004025 MIRA MARDIANTI 10 - -
483 11.04.23 A006666 ATI RIDOWATI 11 16,500 -
484 11.04.24 H001730 HILAL MAKARIM 12 - -
485 11.04.25 T001571 TATI HARTATI 15 43,000 -
486 11.04.26 B000632 BUNGA NURROHMAH ADINITA S S 16 24,000 -
487 11.04.27 S001849 SARAH NURFAUZIAH 18 31,400 -
488 11.04.28 N003695 NUR ANALIS 19 - -
489 11.04.29 M004731 MUHAMMAD AMZAR RAQILLA 20 28,900 -
490 11.04.30 W001142 WAWAT RUSWATI 21 23,400 -
491 11.04.31 A008627 AI TETI MULYANI 24 17,500 -
492 11.04.32 Y002258 YANA SURYANA 25 32,200 -
493 11.04.33 E003029 ENUNG SEMI HANDAYANI 27 17,200 -
494 11.04.34 E003034 EULIS ROHAYATI 29 24,300 -
495 11.04.35 S005458 SUMPENA ABDUL ROHMAT 30 16,000 -
496 11.04.36 E003704 ENGK0N 35 15,000 -
497 11.04.37 N003978 NURDIN 36 24,900 -
498 11.04.38 U000736 UTI YULIANTI 38 29,600 -
499 11.04.39 F001239 FIKRI ALFI MAULANA 40 - -
500 11.04.40 W000550 WATI ROHATI 42 29,000 -
501 11.04.41 M003479 MILA MELIANA S 44 28,200 -
502 11.04.42 I003665 IIM RUHIMAT 46 21,700 -
503 11.04.43 S004985 SITI NUR INDAH 47 15,000 -
504 11.04.44 A009224 ALI ABDILLAH 48 23,600 -
505 11.04.45 P000792 PIPIT NURDIANA 50 - -
506 11.04.46 I003666 IING SOLIHIN 51 18,500 -
507 11.04.47 E002890 ENCUM KULSUM 52 47,050 -
508 11.04.48 D003913 DEDE HARYATI 53 30,900 -
509 11.04.49 T001947 TRESNA HANDAYANI 54 8,000 -
510 11.04.50 N003979 NUGRAHA ANGGA K 55 61,800 -
511 11.04.51 E003068 ENDE YENI 57 - -
512 11.04.52 A009636 ANGGI AYUDIA 58 24,400 -
513 11.04.53 S005590 SUHAETI 59 - -
514 11.04.54 N002833 NUNUNG ROSYANTI 62 26,000 -
515 11.04.55 A009282 ADZKA SYAM PRATAMA 63 24,000 -
516 11.04.56 L001259 LINDA LESTARI 73 - -
517 11.04.57 A001280 AYUNI DWI ASMARANI 77 26,400 -
518 11.04.58 R004537 RAZKA MUHAMMAD HISHAM 78 41,000 45,000
519 11.04.59 D003029 DARLIANI 79 32,400 -
520 11.04.60 S003874 SUBHAN 80 23,000 -
521 11.04.61 D003918 DIJAN AGRIJANA 82 31,200 -
522 11.04.62 Z000654 ZAENUDIN SOLEH 84 - -
523 11.04.63 R004932 REYKA ASYIFA MAULIDDIYA 86 24,000 -
524 11.04.64 W001186 WIWIN WINANGSH 87 14,500 -
525 11.04.65 N003197 NANDYRA MALIKA IRAWAN 88 - -
526 11.04.66 M003961 MOCH U JUHANA 89 32,000 -
527 11.04.67 D003919 DZALIKA KHAIRUNNISA 93 37,100 -
528 11.04.68 D003915 DITA HANDAYANI 95 - -
529 11.04.69 S004073 SITI NUROCHMAH 96 19,300 -
530 11.04.70 S003301 SITI JULAEHA 107 29,000 -
531 11.04.71 S004938 SOPIAN NURHAKIM 108 27,000 -
532 11.04.72 M002001 M. NAUFAL AL-MAROGHI 109 31,000 -
533 11.04.73 D001716 DEDE RUSTANDI 110 - -
534 11.04.74 B000782 BURHAN NURDIN 112 31,400 -
535 11.04.75 D003814 DADAN RAMDANI 115 26,500 -
536 11.04.76 N003981 NENDEN LIS SINARYA 116 27,800 -
537 11.04.77 N002894 NURMAYANTI 117 72,700 -
538 11.04.78 M005127 MUSTIKA UTAMI 118 18,200 -
539 11.04.79 W000214 WIWIN W 119 31,000 -
540 11.04.80 I000820 IWAN RIDWAN 120 32,000 -
541 11.04.81 Z000496 ZAM ZAM MAULID 121 25,000 40,000
542 11.04.82 S004946 SAMSUL RIZAL 124 23,700 -
543 11.04.83 M000573 MIA MINARNI 128 31,400 -
544 11.04.84 H000233 HENDRA GUNARAH S 129 35,500 -
545 11.04.85 N000933 NESYA YULISTIAN DINI 131 26,700 -
546 11.04.86 S001808 SATRIA KRISHNAWIJAYASHAKTI 132 28,500 -
547 11.04.87 Y001643 YAN SURYANA 134 8,800 -
548 11.04.88 D000081 DADANG SUDIANA 135 51,000 -
549 11.04.89 R005347 RADITYA PRADIPA PUTRA 138 34,500 -
550 11.04.90 T000038 TATANG HIDAYAT 139 - -
551 11.04.91 K000703 KALSUM INAYAH KAUSAR 140 23,750 -
552 11.04.92 N002471 NAZIL MUFTI MUBAROK 142 22,000 -
553 11.04.93 R004777 RAYYANDRA ILYAS SEFA 144 28,400 -
554 11.04.94 K001307 KAHLA AUFA ARIBAH 147 48,000 -
555 11.04.95 M004420 MUHAMAD FASIL DZAKWAN AZHAR 148 30,100 -
556 11.04.96 N003982 NAUFAL TAQIYUDIN SP 149 23,400 -
557 11.04.97 ASEP 18,000 -
558 11.04.98 M. AIRALD 22,000 -
559 12.04.16 N000991 NURHAYATI 1 27,600 -
560 12.04.17 S001597 SYIFA FAUZIAH MUTMAINNAH 3 24,500 -
561 12.04.18 D000951 DINI FARAH FARDIANI 6 31,800 -
562 12.04.19 M005128 MOCH RAKA FAUZAN 8 - -
563 12.04.20 W001090 WIWIT SARTIKA 9 - -
564 12.04.21 I003298 IYANG SAEPUDIN 10 32,500 -
565 12.04.22 N000922 NAZMY SYAFRIL ALYSA 11 26,200 -
566 12.04.23 P000708 PIRMAN NURHASBY MAULANA 14 - -
567 12.04.24 I000252 ILIS 15 23,500 -
568 12.04.25 I003461 ITA ROSITA 16 - -
569 12.04.26 C000651 CITRA DIANAWATI 19 18,000 -
570 12.04.27 W001063 WAHYU KURNIA 20 22,000 -
571 12.04.28 O000589 OHAR.H 22 - -
572 12.04.29 R004636 RIZQI SAPUTRA 23 23,300 -
573 12.04.30 A001175 ADE JUHANAH 25 32,800 -
574 12.04.31 Y001661 YAFI RASYIQ H 26 22,800 -
575 12.04.32 M004571 MUHAMMAD RAYHAN PRATAMA 28 30,000 -
576 12.04.33 D002405 DZAKIRA SAKHI KRISNAYADI 33 - -
577 12.04.34 H001680 HJ AI AMAR K 35 - -
578 12.04.35 M005129 MUHAMMAD REZA FAHRIZAL 36 24,000 -
579 12.04.36 F002184 FITRIANI 37 - -
580 12.04.37 A005695 APRILIA AGUSTIN 41 28,100 -
581 12.04.38 D002517 DEWI AGUSTINA 42 16,600 -
582 12.04.39 S002748 SIVA NOPIANTI 43 22,400 -
583 12.04.40 M004888 MUHAMMAD KAVI PUTRA DENISWA 48 53,000 -
584 12.04.41 D001123 DENY IBRAHIM 49 22,900 -
585 12.04.42 N003571 N ENUNG RUGOYAH 50 22,700 -
586 12.04.43 D002989 DEDE KUSMAWAN 51 28,400 -
587 12.04.44 M000383 MULKI HIDAYAT 52 - -
588 12.04.45 S003266 SITI NURHAYATI 53 30,200 -
589 12.04.46 A004693 ANIDA TRI HAPSARI 54 29,500 -
590 12.04.47 A007248 ARIEF RAHMAN 60 24,400 -
591 12.04.48 S004186 SITI MAEMUNAH 61 31,600 -
592 12.04.49 A004843 ADILA ADI FEBI 62 33,200 -
593 12.04.50 T000016 TIKA SURTIKANTI 63 - -
594 12.04.51 E002490 ERSAN ALI HILMAN 66 19,000 -
595 12.04.52 A004803 ASEP ROHMAN 67 - -
596 12.04.53 I001931 IMAS HERAWATI HJ 68 29,000 -
597 12.04.54 I002496 ICIH SUKARSIH 71 27,000 -
598 12.04.55 R005119 REPI NURDIANTI 72 22,000 -
599 12.04.56 A008876 AI SOLIHAT 74 - -
600 12.04.57 A007967 ASEP ZAENUDIN 77 22,000 -
601 12.04.58 T001061 TARYONO 78 38,000 -
602 12.04.59 R005223 RIO SATRIA RAMDHANI 83 22,000 -
603 12.04.60 N003842 NUR SUPRIATININGSIH 84 38,000 -
604 12.04.61 F002192 FIQQI SYUMAYA HAKIM 86 40,000 -
605 12.04.62 M004700 M FAHIM SYUKRILLAH 91 36,000 -
606 12.04.63 M002677 MUHAMAD MARHAM SIDIK 92 17,000 -
607 12.04.64 M003832 MILA LIS SUNARYA 93 20,000 -
608 12.04.65 S004309 SINTA APRIANTI 94 20,000 -
609 12.04.66 A005427 ABIRA SHAZIA DIAN 95 34,000 -
610 12.04.67 A002469 ASTI RISMAWATI 96 15,000 -
611 12.04.68 A004420 ANDRI RIANTO 97 20,000 -
612 13.04.16 R005350 RIFAN GINANJAR 1 19,200 -
613 13.04.17 M002954 MOCHAMAD ARDYANSYAH 5 26,400 -
614 13.04.18 M004717 MUHAMMAD ABDUL AZIZ PERMADI 8 39,800 -
615 13.04.19 D002880 DZIKRA TANZIL SYIFA 9 26,400 -
616 13.04.20 T001863 TINI SUMARTINI 10 - -
617 13.04.21 S004946 SAMSUL RIZAL 12 - -
618 13.04.22 N003364 NURUL ILMI 14 17,800 -
619 13.04.23 A009415 ARA SUHARA 18 44,200 -
620 13.04.24 N002279 NABILA FEBRIYANI 20 25,800 -
621 13.04.25 I003367 IMAS ROHANAH 24 16,350 -
622 13.04.26 W001102 WIRACHMAN SURYANTO 25 27,500 -
623 13.04.27 T001890 TITING SUMARTINI 26 29,500 -
624 13.04.28 A009641 AZALEA KIANDRA PUTRI 27 21,000 -
625 13.04.29 N001062 NENIH 29 16,800 -
626 13.04.30 S004221 SELMA 31 32,000 -
627 13.04.31 M004425 MUHAMMAD ALKHA ASHOURA 32 29,500 -
628 13.04.32 I002825 IIM SRIMAYANTI 36 24,400 -
629 13.04.33 T001431 TATANG SURYANA 37 28,600 -
630 13.04.34 N002898 NENENG SUPRIATI 38 27,100 -
631 13.04.35 I000724 IKEU NURJANAH 39 18,000 -
632 13.04.36 M004831 M.ALFIN ALAMSYAH 42 39,300 -
633 13.04.37 I003444 IRMA ANGRAENI 43 22,500 -
634 13.04.38 A009642 AN NU,MAN SYARIF 46 27,800 -
635 13.04.39 Y002244 YENI KAMILASARI 47 19,200 -
636 13.04.40 N003205 NELI RUBIANTI DEWI 48 26,600 -
637 13.04.41 M003014 MUHAMMAD REZQY RAMADHANI 50 23,000 -
638 13.04.42 L001260 LINA ROSDIANI 51 22,900 -
639 13.04.43 I001771 IJANG NASUTION 52 27,800 -
640 13.04.44 D002992 DEDE SAMSUDIN 53 33,500 -
641 13.04.45 R005307 RATNA NURBAINAH 54 - -
642 13.04.46 M004895 MARCEL FOR GENI ISYANTO 56 28,900 -
643 13.04.47 D000780 DIVA FEBRIA FIRMANSYAH 61 28,000 -
644 13.04.48 S004742 SANTI SUSILAWATI 63 27,400 -
645 13.04.49 N001766 NAJLA NADA SALSABILA 64 34,600 -
646 13.04.50 C000716 CUCU CAHYATI 69 27,000 -
647 13.04.51 R005285 RODIAH 70 23,000 -
648 13.04.52 N000157 NENI RUSTIANI 72 14,000 -
649 13.04.53 T001149 TASBIH NUROHMAN 73 29,000 -
650 13.04.54 W000351 WITA PUSPITASARI 76 30,000 -
651 13.04.55 M000879 MOCH. FACHRI AZIS 77 27,200 -
652 13.04.56 A002928 AKBAR PUTRA PRATAMA 78 28,000 -
653 13.04.57 W001062 WILDA ROBIANTI 79 9,000 -
654 13.04.58 Y002251 YOLANDA MEGA YUNIAR 80 23,000 -
655 13.04.59 A003617 ALMIRA REGINA PUTRI 84 20,000 -
656 13.04.60 R001838 RUSTANDI 90 3,000 -
657 13.04.61 M004758 MUHAMAD RIZAL FIRMANSYAH 92 35,000 40,000
658 13.04.62 A001663 AZKA JARWALTAISIR 94 14,000 -
659 13.04.63 I002058 ILHAM BURHANUDIN 95 24,000 -
660 13.04.64 M003871 MUHAMMAD ARRASYID ARGANI 98 9,000 -
661 13.04.65 E003545 EGI TRIONO 99 16,000 -
662 13.04.66 R000587 RESI RUSTIANI 102 17,000 -
663 13.04.67 D002922 DEVIANA NUR UTAMI 103 17,000 -
664 13.04.68 L001095 LILIS LISNAWATI 104 15,000 -
665 13.04.69 A003289 AGUS TATANG SOLIHIN 110 28,500 -
666 14.04.16 P000139 PUJI TRI RAHAYU 5 - -
667 14.04.17 M000361 M ZULFI FAUZAN 8 25,000 -
668 14.04.18 A005273 AQILA DEVANA GUNAWAN 9 45,000 45,000
669 14.04.19 R000658 RESI RESNAWATI 10 22,000 -
670 14.04.20 I002782 IDAH SAIDAH 11 27,000 -
671 14.04.21 I002956 INDRI TRI NURTANTI 12 7,000 -
672 14.04.22 H001243 HAWINA 14 28,000 -
673 14.04.23 S005595 SIDIQ HAIKAL MAULANA 16 18,000 -
674 14.04.24 N003313 NINA YUNIAWATI 17 30,000 -
675 14.04.25 R005351 RIZAEKAM 18 43,000 -
676 14.04.26 H001833 HENI YULIANI 19 17,000 -
677 14.04.27 S005349 SYALLIQUE AFFAN IHSAN 20 29,000 -
678 14.04.28 N003746 NURBAENI 21 25,000 -
679 14.04.29 T001654 TONO JULIO 25 24,800 -
680 14.04.30 N003793 NIA DAMAYANTI 26 13,000 -
681 14.04.31 A009643 ANNISA NUR FITRIWAL 27 29,000 -
682 14.04.32 D003925 DIDIS SUHERMAN 29 23,000 -
683 14.04.33 S005596 SUSI HERMAYANI 32 15,000 -
684 14.04.34 I003161 IKIN ASIKIN 33 28,000 -
685 14.04.35 E003496 ELIS HERYANI 35 8,000 -
686 14.04.36 N002738 NURMARINI 36 14,000 -
687 14.04.37 A009645 AI SUMIATI 37 13,000 -
688 14.04.38 K000921 KEYLA APRILIA 38 78,000 45,000
689 14.04.39 A009581 ASEP ARYADI 39 37,000 -
690 14.04.40 E003707 ELIN HERLINA 40 24,000 -
691 14.04.41 I003670 IMAS 41 28,000 -
692 14.04.42 O000589 OHAR.H 42 - -
693 14.04.43 S001612 SUPARDI 43 15,000 -
694 14.04.44 D003926 DEDIH SANJAYA 44 - -
695 14.04.45 D003927 DIEVA RESMI RAINA 48 20,000 -
696 14.04.46 W000388 WIWIN 51 9,000 -
697 14.04.47 S005597 SADIAH 55 25,000 -
698 14.04.48 D001950 DONI RIYADI 56 22,950 -
699 14.04.49 W000940 WAFA AKMALUDDIN AL-QODIRI 58 18,000 -
700 14.04.50 F000206 FAHMI ISLAM 59 20,250 -
701 14.04.51 A009354 ALIMUDIN 61 19,700 -
702 14.04.52 Y001802 YENI HERYANI 62 23,400 -
703 14.04.53 M004708 MUHAMMAD ARZIKI PRATAMA 64 25,700 -
704 14.04.54 Y002089 YENI KURNIAWATI 65 23,400 -
705 14.04.55 I001238 IWAN SETIAWAN 66 31,000 -
706 14.04.56 P000792 PIPIT NURDIANA 69 19,400 -
707 14.04.57 E003708 ELI NURHANIFAH 72 24,400 -
708 14.04.58 N002171 NONAH MARYONAH 73 24,100 -
709 14.04.59 Z000496 ZAM ZAM MAULID 75 15,000 70,000
710 14.04.60 A005354 ANDI HALILINTAR 76 21,700 -
711 14.04.61 T001949 TRISTAN HAAQ AQEEL ALTEZZA PUT 78 21,000 -
712 14.04.62 S001808 SATRIA KRISHNAWIJAYASHAKTI 79 21,000 -
713 14.04.63 I002901 IPIT 84 30,200 -
714 14.04.64 N002410 NURUL AZIZA 85 - -
715 14.04.65 N003987 NAZWA RAFA 86 21,500 -
716 14.04.66 S005467 SITI NURHASANAH 87 - -
717 14.04.67 T001342 TASLIYA BILQISTH SHOLIHA 88 21,500 -
718 14.04.68 P000542 POPON PATIMAH 89 21,300 -
719 14.04.69 A008166 ANNISA SOLIHAH 90 24,400 -
720 14.04.70 D003928 DEBBY RATNA PURI 91 25,600 -
721 14.04.71 M005136 M RAFFA SYABAN SOFIAN 92 16,300 -
722 14.04.72 H000865 HOPSOH 94 21,400 -
723 14.04.73 P000682 PUJI PRADINA 97 20,000 -
724 14.04.74 K001108 KARISA SYAKIRA ANGGRAENI 98 9,000 -
725 14.04.75 A007709 ALIFVIA SYAKIRA AULIA 99 22,000 -
726 14.04.76 T000003 TITIN MARTINAH 104 23,500 -
727 14.04.77 H001592 HAIFA AISHY N. K 105 24,600 -
728 14.04.78 I002064 ITANG SUDRAJAT 106 16,300 -
729 14.04.79 R004259 RAHIMA NUR HAMIDAH 107 27,300 -
730 14.04.80 I000523 IMAS SUKAESIH 108 18,000 -
731 14.04.81 D000452 DIMYATI 110 26,000 -
732 15.04.16 A009043 ADE KOMARUDIN 3 59,000 -
733 15.04.17 I000520 IJAH KHADIJAH, HJ 7 65,000 -
734 15.04.18 M001164 MIMA YULIA 8 26,000 -
735 15.04.19 I002937 IFQINI HAULA HAQ HERMAWAN 12 25,000 -
736 15.04.20 S005598 SITI ROHMAH 15 15,000 -
737 15.04.21 W001142 WAWAT RUSWATI 17 20,000 -
738 15.04.22 N003695 NUR ANALIS 18 9,000 -
739 15.04.23 M004731 MUHAMMAD AMZAR RAQILLA 19 18,000 -
740 15.04.24 A008921 ASKANA SAKHI 20 32,000 -
741 15.04.25 J000889 JIKO NURALAM 25 13,000 -
742 15.04.26 I003298 IYANG SAEPUDIN 26 20,000 -
743 15.04.27 F002061 FAIDA AZMI KAMILA 28 80,000 45,000
744 15.04.28 R004944 RAKA DWI NOVALLINO HIDAYAT 29 21,000 -
745 15.04.29 A009169 ANI MULYANI 30 - -
746 15.04.30 I003035 INNE INDAH PRATIWI 34 27,000 -
747 15.04.31 N000813 NABILA NURUL SOPIAN 37 29,000 -
748 15.04.32 H001770 HANA HILDIANA 38 27,000 -
749 15.04.33 G000336 GEA NURHIDAYAH 39 15,000 -
750 15.04.34 E001532 ENONG 42 13,000 -
751 15.04.35 N001481 NENG ALIA 43 15,000 -
752 15.04.36 P000651 PETTY PURNAMAWATI, SH 44 24,000 -
753 15.04.37 R002948 RENI SAPARINGGA 46 17,000 -
754 15.04.38 I003674 IMAS MARYANI 48 13,000 -
755 15.04.39 J000647 JIHAN SAFIRA BALQIS 50 22,000 -
756 15.04.40 I003013 IRENA MEGANTARI 52 31,000 -
757 15.04.41 E003167 ENTUT KARTUTI 53 27,000 -
758 15.04.42 N001537 NASYATH MA 57 31,000 -
759 15.04.43 N002710 NADIRAH AL KOMARIAH 59 32,000 -
760 15.04.44 Y002261 YENI RISTIAWATI 66 44,000 -
761 15.04.45 I003440 IRSYAD FAHRUROZI 70 22,400 -
762 15.04.46 C000717 CHEPY RACHMANSYAH 71 14,000 -
763 15.04.47 T001731 TIN SURTINI 73 20,200 -
764 15.04.48 S005151 SABKY HAMZAH MAOLANA 74 21,600 -
765 15.04.49 T001441 TRI SUDARTI 77 22,800 -
766 15.04.50 E002879 EEN ATIT 79 28,800 -
767 15.04.51 S000496 SUHAEBAH 80 81,000 -
768 15.04.52 S003714 SYAHLAA ADIBA R A 82 28,000 -
769 15.04.53 W001075 WULAN WIDTANTI 85 26,100 -
770 15.04.54 S004342 SOPIAN 87 21,400 -
771 15.04.55 U000736 UTI YULIANTI 88 38,000 -
772 15.04.56 A002324 ALEN AMELIA 89 - -
773 15.04.57 S000227 SITI KOMARIAH 90 26,150 -
774 15.04.58 Y002184 YULIA AGUSTINA 91 - -
775 15.04.59 M002993 M. AIRALD R.A 92 17,000 -
776 15.04.60 F002007 FAKHIRA KAILA KHANSA 95 41,600 -
777 15.04.61 Y000938 YUDI J RAMLI 96 25,900 -
778 15.04.62 S005599 SITI HANIFAH 98 - -
779 15.04.63 Y001260 YANI SURYANI 99 28,500 -
780 15.04.64 A008148 ALVIN MOCHAMAD ERSYAH 101 52,000 -
781 15.04.65 R004162 RONNI RUSDIANA 102 21,750 -
782 15.04.66 R003767 RIA MARIANA FEBRIANTI 103 26,250 -
783 15.04.67 F000669 FAZIL FAUZI HIDAYAT 104 82,300 -
784 15.04.68 H002126 HINDUN HARUNNISA 105 29,400 -
785 15.04.69 W000076 WILI WIGUNA 107 25,400 -
786 15.04.70 S005096 SITI MARIAM,BA 109 32,000 -
787 15.04.71 D003411 DIDIT MULYANA 110 47,000 -
788 15.04.72 I003320 ITA JUWITA 114 46,000 -
789 15.04.73 D003562 DESTA KARUNIA PUTRA 115 29,000 -
790 16.04.16 E002321 ENCEP NURDIN 2 27,400 -
791 16.04.17 D000392 DENI MUHAMAD RAMDAN 3 23,000 -
792 16.04.18 O000698 OJO SUHARJO 4 21,000 -
793 16.04.19 R001191 RIZQYLILLAH ABDUROCHIM 6 39,000 -
794 16.04.20 I001328 ICEU DEWI SARAH 7 45,100 -
795 16.04.21 S003946 SITI FATIMAH AZAHRA 11 21,000 -
796 16.04.22 U001014 UJANG TARNA 14 - -
797 16.04.23 K001172 KANNAYA TUNGGA DEWI 15 11,700 -
798 16.04.24 M004240 MENIK PURWANDARI ASTUTI 16 17,350 -
799 16.04.25 D003110 DIVA 19 27,800 -
800 16.04.26 A007364 AAN ROKAYAH 24 11,200 -
801 16.04.27 T001490 TIARA INDAH LAELASARI 25 21,700 -
802 16.04.28 E003245 ECIN 26 23,200 -
803 16.04.29 D003900 DADAN 28 23,100 -
804 16.04.30 T001445 TUTI HERAWATI 30 23,200 -
805 16.04.31 N000935 NANANG RUSTANDI 31 24,000 -
806 16.04.32 H001527 HAEROJI 42 28,200 -
807 16.04.33 R000897 RIDAN HARDIANSYAH 49 23,400 -
808 16.04.34 O000468 OO SANTONI 50 26,100 -
809 16.04.35 A007619 ASRI AMALIAH 51 - -
810 16.04.36 Y001492 YULIARTI ANTIKA 54 13,200 -
811 16.04.37 G000300 GEMA AKBAR RAMADHAN 58 34,900 -
812 16.04.38 N000928 NURAENI 59 24,600 -
813 16.04.39 Z000496 ZAM ZAM MAULID 64 7,000 40,000
814 16.04.40 A003358 ALYA NURAINI 71 43,600 -
815 16.04.41 M003933 MUJAHID ALFARIZI 72 31,600 -
816 16.04.42 R002081 R ANY TRINIDANY 75 32,750 -
817 16.04.43 M000573 MIA MINARNI 76 35,200 -
818 16.04.44 S000569 SHAFIRA MEDINA VEGA 77 16,800 -
819 16.04.45 H000680 HIRMAN 79 28,200 -
820 16.04.46 D003067 DINA KHAIRUNISA 81 34,600 -
821 16.04.47 A008317 ALLYA ALFIRA DWIPUTRI 83 39,400 -
822 16.04.48 E002872 ERNI YULIANSYAH 84 31,500 -
823 16.04.49 I003677 IRA FARDILA 88 25,800 -
824 16.04.50 R003833 RUMINA JD NANA SUJANA 89 27,550 -
825 16.04.51 E002553 ELIS SUPRIATIN 90 10,600 -
826 16.04.52 M002248 MUTIARA RAMAYANTI 91 7,000 -
827 16.04.53 I002350 IYAM SITI MARIAM 92 24,900 -
828 16.04.54 M004373 MINA 93 22,800 -
829 16.04.55 R002327 RULI HIDAYAT 96 17,400 -
830 16.04.56 M004118 MUHAMMAD RAIN RAMADAN 97 30,000 -
831 16.04.57 S003128 SOVA SOBARIAH 100 29,900 -
832 16.04.58 Z000394 ZALFA OKTAVIA 101 31,700 -
833 16.04.59 Z000643 ZETA SANGGI PAMELA PAMUNGKAS 105 18,000 -
834 16.04.60 W001117 WIRANTIWI AGUSTINA 110 - -
835 16.04.61 A007332 ASILA PRATIWI HIDAYAT 112 21,600 -
836 16.04.62 R002275 RAZKA SURYA IVANDA 114 16,800 -
837 16.04.63 R004249 ROSYATI 118 16,000 -
838 16.04.64 D000811 DENI SUTISNA 119 28,800 -
839 16.04.65 A004932 ADELLA PRATHAMA 120 28,700 -
840 16.04.66 P000835 PENTI HADIANTI 122 29,000 -
841 16.04.67 A001646 AJENG DANUR FAIDAH R 124 21,000 -
842 16.04.68 M003867 MUHAMAD AKMILUDDIN ANNAQSYA 125 18,200 -
843 16.04.69 S004044 SAODAH 132 37,500 -
844 16.04.70 N003974 NIA KUSMIATI 134 34,000 -
845 16.04.71 I002709 INDRIYANI PUTRI BUDIMAN 135 33,700 -
846 17.04.16 Y000708 YUNI NURAENI M 17 11,500 -
847 17.04.17 W000940 WAFA AKMALUDDIN AL-QODIRI 38 30,000 -
848 17.04.18 W000940 WAFA AKMALUDDIN AL-QODIRI 38 38,000 -
849 18.04.16 I000252 ILIS 3 - -
850 18.04.17 A004903 ADE OMAN HIDAYAT 4 27,100 -
851 18.04.18 F001375 FIRAS MAULANA LASIDI 7 27,600 -
852 18.04.19 K001042 KIREINA MEINA HILMAN 8 37,100 -
853 18.04.20 I003382 IBNU KAHFI HILMAN 9 31,500 -
854 18.04.21 D000923 DEDE RUSTANDI 10 - -
855 18.04.22 M004465 MARYATI 14 - -
856 18.04.23 Y002212 YENI 16 30,000 -
857 18.04.24 E002841 ENTIN KARTINI 17 20,500 -
858 18.04.25 S003394 SYIFA NADIYA 18 35,100 -
859 18.04.26 D003935 DINI INDRIANI 19 32,000 -
860 18.04.27 Z000654 ZAENUDIN SOLEH 20 25,500 -
861 18.04.28 N003746 NURBAENI 22 - -
862 18.04.29 Y002126 YENI SUMARNI 23 16,800 -
863 18.04.30 D003936 DASIYO 24 36,500 -
864 18.04.31 R003568 RINA GUNAWAN 25 30,000 -
865 18.04.32 C000495 CARBAELI 26 40,500 -
866 18.04.33 Z000289 ZAHRA AZARIA AZHAR 27 - -
867 18.04.34 A004025 ALEXA PUTRI ROSALINA H 28 35,100 -
868 18.04.35 C000630 CUNCUN CAHYADI 30 - -
869 18.04.36 R004127 RINI 31 - -
870 18.04.37 A000023 ADE SUHARTI, HJ 32 - -
871 18.04.38 T001389 TATI ROHAYATI 36 15,200 -
872 18.04.39 F001613 FAIQ ISAM FARSA 37 20,700 -
873 18.04.40 B000804 BASTIAN GHAZALI SEHABUDIN 38 72,800 -
874 18.04.41 H000277 HERVY HERPIANSYAH 39 22,400 -
875 18.04.42 S004057 SUDARWANTO 41 38,400 -
876 18.04.43 C000214 CEPI ABDAL HALIK 42 24,400 -
877 18.04.44 F001634 FAISAL HAMDANI 44 16,000 -
878 18.04.45 E003716 EUTIK JUAEDAH 48 37,500 -
879 18.04.46 T001697 TATI HARTATI 49 13,500 -
880 18.04.47 S005151 SABKY HAMZAH MAOLANA 50 31,600 -
881 18.04.48 T001731 TIN SURTINI 51 12,400 -
882 18.04.49 M004858 MAMAH SALAMAH 54 32,400 -
883 18.04.50 M004799 MULYANA HERMAWAN 55 28,700 -
884 18.04.51 S003826 SADIAH 56 28,500 -
885 18.04.52 Y001643 YAN SURYANA 57 25,500 -
886 18.04.53 S005252 SUSI RATNASARI 58 33,800 -
887 18.04.54 Y001911 YENI HERYANI 59 30,400 -
888 18.04.55 W000899 WIWIN MARYANA,HJ 61 27,400 -
889 18.04.56 S001369 SITI FAUZIAH 63 36,600 -
890 18.04.57 T001736 TETEH DESI 65 31,000 -
891 18.04.58 I000921 INES NAISHA GAYATRI 68 29,000 -
892 18.04.59 N003807 NIA KURNIAWATI 70 9,000 -
893 18.04.60 R002427 RAHMAWATI 71 - -
894 18.04.61 N003928 NELI RUBIABNTI DEWI 76 15,500 -
895 18.04.62 Z000058 ZEZEN ZAELANI 78 27,200 -
896 18.04.63 U000976 UNDANG PERMANA 79 - -
897 18.04.64 T000009 TINI SURTINI 83 38,000 -
898 18.04.65 M003149 M. JALALUDIN 84 32,000 -
899 18.04.66 D003913 DEDE HARYATI 86 27,000 -
900 18.04.67 A009661 ATHA RASYIID RAMADHAN 92 51,000 -
901 18.04.68 Y001513 YUNI SUKMANINGTIAS 93 40,000 -
902 18.04.69 I002669 IIS SURYANI 96 59,000 -
903 18.04.70 M002626 MOMON DURAHMAN 97 22,000 -
904 18.04.71 S001480 SUTARSIH 98 23,000 -
905 18.04.72 R000927 RAFLI AHMAD FAUZI 99 28,000 -
906 18.04.73 M001104 M GALANG AGUNG M 103 33,000 -
907 18.04.74 I003178 IKHLAS HANIFAH 104 30,000 -
908 18.04.75 W001002 WIWIN PURNIAWATI 105 - -
909 18.04.76 E002692 EVA HERMIATI 107 30,000 -
910 18.04.77 Q000071 QOISAR MALIK IBRAHIM 110 30,000 -
911 18.04.78 A009054 ATSIILAH JANISSARY RAHAYU 111 25,000 -
912 18.04.79 H000698 HARI WIBOWO 112 23,000 -
913 18.04.80 R005154 RIKAH NURHAYATI 114 - -
914 18.04.81 I003026 IMAS NURLATIFAH 116 27,000 -
915 18.04.82 S000781 SANTANA MUHARROM 117 28,000 -
916 18.04.83 N003359 NAILA PUTERI A 119 29,000 -
917 18.04.84 L001219 LUSIANA 120 34,000 -
918 18.04.85 N001775 NADYA ALYSSA A 121 29,000 -
919 18.04.86 D003202 DINI ANGGRAENI 122 22,000 -
920 18.04.87 R001101 RONI FIRMANSYAH 123 26,000 -
921 18.04.88 R004571 RENI SUSANTI 124 10,000 -
922 18.04.89 N003996 NOVAL LUTHFIA N 130 11,000 -
923 18.04.90 A002383 ARLIN MARLINA 132 43,000 -
924 18.04.91 T001869 TEDI TAOPIK 133 15,000 -
925 18.04.92 S001808 SATRIA KRISHNAWIJAYASHAKTI 143 21,750 -
926 19.04.16 U000933 UPA MASTUPA 11 28,200 -
927 19.04.17 S005573 SANTI HARDIANTI 12 20,400 -
928 19.04.18 A007961 ATANG FATAH, H. DRS 13 20,750 -
929 19.04.19 F002163 FADHILAH YAQDAN MULYA 15 17,000 -
930 19.04.20 A002389 AGUS SUTISNA 16 36,000 -
931 19.04.21 N003813 NENDEN SUSI MULYANI 19 22,400 -
932 19.04.22 Y001708 YAYAT RANA HERDIANA 20 19,600 -
933 19.04.23 M004118 MUHAMMAD RAIN RAMADAN 22 - -
934 19.04.24 Y000357 YUSTI DINA 23 14,350 -
935 19.04.25 A000764 ANI SURYANI 24 19,200 -
936 19.04.26 S004746 SENI ROHAENI 25 13,200 -
937 19.04.27 A009173 ARIF CAHYADI 27 28,000 -
938 19.04.28 Z000552 ZAHRA AULIA RAHMI 29 29,500 -
939 19.04.29 Z000659 ZULAIKHA YUMNA PUTRI KURNIA 32 9,000 -
940 19.04.30 D003938 DETI RAHAYU 33 18,200 -
941 19.04.31 I001722 IIS KARTINI NURAENI 34 26,700 -
942 19.04.32 J000137 JUHAENI 36 13,000 -
943 19.04.33 N001759 NISA SAHARA 37 - -
944 19.04.34 S004200 SARAH WATI 39 28,300 -
945 19.04.35 P000838 PEPEN EPENDI 40 13,750 -
946 19.04.36 F000756 FITRI APRIANI 42 26,700 -
947 19.04.37 E002890 ENCUM KULSUM 43 31,800 -
948 19.04.38 N003657 NAZWA ALKEJORA 44 33,000 45,000
949 19.04.39 A008755 ASEP FIRMAN NURJAMAN 47 14,500 -
950 19.04.40 A002011 AINUN ALIFIA HAPSAH 50 19,700 -
951 19.04.41 S005467 SITI NURHASANAH 51 - -
952 19.04.42 G000276 GEN GEN SYAMSIAH, S.PD 54 27,800 -
953 19.04.43 C000597 CUCUM SUMARYATI 56 130,500 -
954 19.04.44 T001953 TUTIH 57 17,200 -
955 19.04.45 R004869 RAMDANI 62 23,400 -
956 19.04.46 F001375 FIRAS MAULANA LASIDI 63 31,600 -
957 19.04.47 E001186 ELVIN FATHIYAH 64 6,700 -
958 19.04.48 M001164 MIMA YULIA 67 33,400 -
959 19.04.49 T000199 TATI SUPRIATI 68 18,500 -
960 19.04.50 M003177 MUHAMMAD HAGIAL MUSLIM 69 24,750 -
961 19.04.51 Y000203 YATNA TRESYANA 71 17,800 -
962 19.04.52 P000792 PIPIT NURDIANA 74 23,000 -
963 19.04.53 R004004 RINRIN DAMAYANTI 75 19,000 -
964 19.04.54 D002375 DEVI RAMDHANI 76 25,000 -
965 19.04.55 M004708 MUHAMMAD ARZIKI PRATAMA 77 24,000 -
966 19.04.56 K000546 KHANSA TSABITAH 81 55,000 -
967 19.04.57 G000593 GHAZIYA KHAIRA LUBNA 83 11,000 -
968 19.04.58 M001104 M GALANG AGUNG M 84 38,000 45,000
969 19.04.59 A007338 ADE ANWAR JANUAR 89 36,000 -
970 19.04.60 M000177 MUHAMMAD FATIR ARRAFI 91 38,000 -
971 19.04.61 M004678 MUHAMAD RYAN HENDARSYAH 92 32,600 -
972 19.04.62 Z000496 ZAM ZAM MAULID 93 6,000 40,000
973 19.04.63 S005219 SYIFA SYAFITRI 101 28,000 -
974 19.04.64 O000717 OPIK RUSTANDI 106 16,000 -
975 20.04.16 N003627 NAJWA APRILIA PRIADI 5 32,000 -
976 20.04.17 A007929 ADUNG 6 23,000 -
977 20.04.18 T001850 TAZRIAN AL JANNATAN 7 32,000 -
978 20.04.19 N002156 NASYA TAZKIYA 8 28,000 -
979 20.04.20 M003572 MARIANA OKTARINA SUTISNA 9 26,000 -
980 20.04.21 E002100 EKA RANA WIJAYA 10 - -
981 20.04.22 N003797 NAUFAL IJLALUL RAMADHAN 11 9,000 -
982 20.04.23 M003948 MUHAMMAD SIDIK KAMALUDIN 12 99,000 45,000
983 20.04.24 S004698 SONIANSIH 15 - -
984 20.04.25 I001025 ITA NURHAYATI 16 11,000 -
985 20.04.26 A009581 ASEP ARYADI 20 38,000 -
986 20.04.27 G000630 GIANDA PRASTA AR RASYID 21 21,000 -
987 20.04.28 N003313 NINA YUNIAWATI 23 27,000 -
988 20.04.29 R003376 RAHMANIA PUTRI C 24 37,000 -
989 20.04.30 E003630 ENIH YUNINGSIH 25 35,000 -
990 20.04.31 S005608 SYPA FAUZIAH 27 20,000 -
991 20.04.32 M005147 MUHAMAD RIZKI 30 24,000 -
992 20.04.33 Y001756 YAYAN NURMULYANI 31 24,000 -
993 20.04.34 M003596 MAULIDA FEBRIYANTI 32 15,000 -
994 20.04.35 A002213 ALGI FERDIANSYAH 34 26,000 -
995 20.04.36 A003195 AISYAH 36 20,500
996 20.04.37 A003195 AISYAH 36 - -
997 20.04.38 S000927 SARAH 38 25,000 -
998 20.04.39 Y001492 YULIARTI ANTIKA 39 - -
999 20.04.40 S003391 SUTARNI 40 18,000 -
1000 20.04.41 M004983 MICKAEL TRI GENI ISYANTO 41 36,000 -
1001 20.04.42 E003722 ELA NURLELA 42 23,000 -
1002 20.04.43 Y002261 YENI RISTIAWATI 44 20,000 -
1003 20.04.44 R004234 ROMANSYAH 47 27,000 -
1004 20.04.45 A006590 ADHY PUTRA JUNJUNAN 48 22,000 -
1005 20.04.46 Y002264 YAYAT HIDAYAT 49 33,000 -
1006 20.04.47 K001198 KHAIDIR ALI FACHREZA 51 - -
1007 20.04.48 D000368 DENA SUTISNA 55 23,700 -
1008 20.04.49 A009668 ARAY NANDA FIRMANSYAH 56 14,600 -
1009 20.04.50 S000048 SITI JUARIAH 57 24,400 -
1010 20.04.51 N002689 NINDYA FARANISA AZNI 59 20,700 -
1011 20.04.52 A003000 ARNI SULANI 60 21,500 -
1012 20.04.53 J000566 JULAEHA 64 28,800 -
1013 20.04.54 A003811 AHMAD NASIR 66 8,000 -
1014 20.04.55 D001699 DEWI SRI ANJANI 69 14,200 -
1015 20.04.56 T000519 TIARA SYIFA 70 30,200 -
1016 20.04.57 Y000179 YAYU YULIANA 76 36,000 -
1017 20.04.58 A004499 APIPUDIN 78 26,800 -
1018 20.04.59 M005148 MUHAMMAD RIVANT DESTANDY 81 18,700 -
1019 20.04.60 M003813 MOCH RIVQY ATTALLA 84 28,100 -
1020 20.04.61 M003761 MOCHAMMAD RAFALLAH F A 85 26,800 -
1021 20.04.62 Y001374 YADI JANUARI 89 61,600 -
1022 20.04.63 A002209 AHMAD SOBARI 90 31,700 -
1023 20.04.64 H001748 HETI SULASTRI (DISATUKAN H-1677) 91 22,200 -
1024 20.04.65 A007581 AA RUSDIANA 92 23,000 -
1025 20.04.66 Y001914 YULI YULIANTI 93 24,200 -
1026 20.04.67 E001145 ENENG KURNIATI 95 16,500 -
1027 20.04.68 R003669 REFAN RAMADAN HAMDANI 97 37,900 -
1028 20.04.69 A006858 ASTRIANTIKA NUR OCTARESA 98 30,000 -
1029 20.04.70 A008199 ANISA NAZWA 99 16,200 -
1030 20.04.71 D003274 DIKDIK PRIATNA 104 30,000 -
1031 20.04.72 A002324 ALEN AMELIA 108 19,300 -
1032 20.04.73 W000212 WAHYU GUNAWAN 111 15,700 -
1033 20.04.74 T000655 TAUFIK ISMAIL 113 25,200 -
1034 20.04.75 A003377 AI SOLIHAT 114 32,000 -
1035 20.04.76 T001785 TASEM 115 22,800 -
1036 20.04.77 N003795 NABILLA MAULIDYA 116 - -
1037 20.04.78 S001808 SATRIA KRISHNAWIJAYASHAKTI 121 28,000 -
1038 20.04.79 M004103 MOCHAMAD RIJAL SUMIARSA 122 16,500 -
1039 20.04.80 R001191 RIZQYLILLAH ABDUROCHIM 123 19,800 -
1040 21.04.16 J000650 JUJU JUARIAH 3 46,000 40,000
1041 21.04.17 Y002265 YENI ROHAENI 12 13,000 -
1042 21.04.18 A008035 ASEP SAPUDIN 13 25,000 -
1043 21.04.19 F001375 FIRAS MAULANA LASIDI 15 6,000 -
1044 21.04.20 S005437 SATRIA MALKA FIRDAUS 20 32,000 -
1045 21.04.21 M000368 M.ILHAN 21 15,000 -
1046 21.04.22 S002621 SOPI SOPINAH 22 9,000 -
1047 21.04.23 N003071 NIKEN AYU CAHYA SUMIRAT 28 20,000 -
1048 21.04.24 N000704 NURMAYANTI 29 23,000 -
1049 21.04.25 N003081 NOLA MAULANI 30 31,000 -
1050 21.04.26 N002455 NOVAL ARIANTO PUTRA 32 35,000 -
1051 21.04.27 N003982 NAUFAL TAQIYUDIN SP 35 23,000 -
1052 21.04.28 D001615 DEDE GUNAWAN 44 11,000 -
1053 21.04.29 L001095 LILIS LISNAWATI 46 9,000 -
1054 21.04.30 S004694 SAEPUDIN 47 43,000 -
1055 21.04.31 T001891 TOTO HATORI 48 77,000 -
1056 21.04.32 E003484 ENTIN FATIMAH 49 28,000 -
1057 21.04.33 M005019 MUHAMMAD ARKEN ALKAHFI 51 18,000 -
1058 21.04.34 R004571 RENI SUSANTI 52 - -
1059 21.04.35 T001697 TATI HARTATI 53 - -
1060 21.04.36 S005611 SYIFA NUR QAMILLAH 54 17,000 -
1061 21.04.37 D003029 DARLIANI 56 16,500 -
1062 21.04.38 S003874 SUBHAN 57 29,600 -
1063 21.04.39 S004226 SABILA PUTRI ALDIANI 63 39,700 -
1064 21.04.40 A007826 AULIA SEPTIANI E 64 30,000 -
1065 21.04.41 S004189 SYAFKA ABIZA SOFYAN 65 20,000 -
1066 21.04.42 E003695 ETI KARWATI 66 19,000 -
1067 21.04.43 M004641 MAMAN ARISMAN 69 32,700 -
1068 21.04.44 E003728 EMUN MA’MUN 74 25,500 -
1069 21.04.45 I003013 IRENA MEGANTARI 75 - -
1070 21.04.46 Y002212 YENI 76 30,000 -
1071 21.04.47 N002324 NUNUNG 77 30,000 -
1072 21.04.48 S004203 SANDY KUSWANDY 79 26,000 -
1073 21.04.49 M000879 MOCH. FACHRI AZIS 81 - -
1074 21.04.50 S002030 SENO MULYA WIJAYA, RD 83 18,000 -
1075 21.04.51 M004829 MUHAMMAD FAQIH 84 9,000 -
1076 21.04.52 A004393 ANI JUNIAWATI 86 18,250 -
1077 21.04.53 N000980 NUNIK MAHMUDAH NOORILAH 88 25,000 -
1078 21.04.54 N001458 NINO LESMANA 89 14,000 -
1079 21.04.55 N002932 NENGSIH 90 25,900 -
1080 21.04.56 P000840 PUTRA PRATAMA 96 22,800 -
1081 21.04.57 E003707 ELIN HERLINA 97 31,000 -
1082 21.04.58 P000369 PUTRI SARI INTAN 99 22,400 -
1083 21.04.59 R005370 REHAN MAULANA FEBRIANSYAH 100 24,000 -
1084 21.04.60 N000137 NAZWA AZZAHRA GINANJAR 101 31,500 -
1085 21.04.61 N000415 NAZRIEL WILIAM GINANJAR 102 22,000 -
1086 21.04.62 S005240 SANIM RUDIE SYOLEH 103 24,400 -
1087 21.04.63 R004218 RINA AGUSTINA 105 26,300 -
1088 21.04.64 A009204 ADAM AL AZIS 106 24,400 -
1089 21.04.65 Y002266 YUPI AMALIA 107 24,400 -
1090 21.04.66 I001513 ISMAYANTI 108 24,400 -
1091 21.04.67 R003015 RELA SARI 109 23,400 -
1092 21.04.68 I002605 IIS HARYATI, S, PD, I 110 28,200 -
1093 21.04.69 E002078 ENANG SURYANA 113 33,000 -
1094 21.04.70 T000038 TATANG HIDAYAT 115 29,000 -
1095 22.04.16 T000656 TINTIN SETIANI 3 23,000 -
1096 22.04.17 I000520 IJAH KHADIJAH, HJ 4 17,950 -
1097 22.04.18 I000664 IPIT WIDIAWATI 7 30,000 -
1098 22.04.19 R003326 REYHAN RIZKY F 8 28,100 -
1099 22.04.20 Y001851 YANA SETIAWAN 9 12,600 -
1100 22.04.21 A004895 ADIT RAKA MULYANA 10 20,200 -
1101 22.04.22 R004636 RIZQI SAPUTRA 13 22,900 -
1102 22.04.23 S004044 SAODAH 14 23,000 -
1103 22.04.24 I003644 IBRAHIM MUFIQ 16 64,600 -
1104 22.04.25 M003065 MIMIN MINTARSIH 18 - -
1105 22.04.26 F001892 FIAN SOFYAN ANSORI 19 11,350 -
1106 22.04.27 W001102 WIRACHMAN SURYANTO 20 86,500 -
1107 22.04.28 A009283 AKUN 21 12,600 -
1108 22.04.29 A007067 ASEP YUDI WISNU WARDANI 23 23,000 -
1109 22.04.30 Y000436 YANTI HERLIANTINI 24 20,900 -
1110 22.04.31 A008376 ALIEF JANUAR FIRMANSYAH 27 27,000 -
1111 22.04.32 M000368 M.ILHAN 29 28,800 -
1112 22.04.33 S003384 SANA HERMANSYAH 30 9,350 -
1113 22.04.34 I001447 ILTSAR RAMADHAN 31 18,100 -
1114 22.04.35 S004760 SHAKTI IQDHIAR KUSTIAWADI 32 32,600 -
1115 22.04.36 A004875 ANGGIA SITI AL JANIRA 35 23,700 -
1116 22.04.37 S004841 SITI JENAB 43 - -
1117 22.04.38 R004822 RISCA THIA HANDAYANI 44 11,000 -
1118 22.04.39 I003572 IRWAN IRWANSYACH 45 17,000 -
1119 22.04.40 A005695 APRILIA AGUSTIN 48 28,000 -
1120 22.04.41 I003390 IMAM HAMDANI 50 25,000 -
1121 22.04.42 S000330 SRI NURBAETI 52 30,000 -
1122 22.04.43 R002481 RANA 53 20,500 -
1123 22.04.44 C000019 CARRISA AURORA M 55 14,000 -
1124 22.04.45 I000724 IKEU NURJANAH 56 20,600 -
1125 22.04.46 E002685 EKA RAHMAWATI 60 17,000 -
1126 22.04.47 A008811 ATIKA SYAHIDAH 61 46,000 -
1127 22.04.48 S005145 SUHENDAR 65 39,700 -
1128 22.04.49 N003470 NONENG MASPUAH 66 20,000 -
1129 22.04.50 A003289 AGUS TATANG SOLIHIN 68 52,100 -
1130 22.04.51 S004901 SAKRIM 69 30,500 -
1131 22.04.52 P000792 PIPIT NURDIANA 70 27,800 -
1132 22.04.53 W001193 WAHYU 71 24,900 -
1133 22.04.54 S002060 SURYA HAMIZAN 72 34,600 -
1134 22.04.55 T000009 TINI SURTINI 73 47,000 45,000
1135 22.04.56 B000492 BAMBANG ARIANTO 77 21,500 -
1136 22.04.57 Y000924 YAYU RAHAYU 79 33,000 -
1137 22.04.58 A004738 ADE HERWANDI 80 25,000 -
1138 22.04.59 Q000065 QIRAN ISNAENI ZULFAHMI 83 26,900 -
1139 22.04.60 H002129 HENI SOPIANI 85 26,700 -
1140 22.04.61 H002130 HAIKAL AKBAR 86 29,100 -
1141 22.04.62 N003970 NURLINA 87 24,500 -
1142 22.04.63 N003952 NETA NURLIYANISARI 88 15,700 -
1143 22.04.64 E003730 EVA NURPADILA 90 25,500 -
1144 22.04.65 I002058 ILHAM BURHANUDIN 91 27,500 -
1145 22.04.66 R004499 RATIH MELASARI 92 25,500 -
1146 22.04.67 N003172 NASYA SYAFA AZAHRA 96 33,000 -
1147 22.04.68 RINI 26,000 -
1148 22.04.69 SIFA FAUZIAH M 26,000 -
1149 22.04.70 WULAN 6,000 -
1150 22.04.71 MULYADIN 29,000 -
1151 22.04.72 FATIH IHSAN 21,000 -
1152 22.04.73 NANDA 32,000 -
1153 22.04.74 RUHIYATI 14,000 -
1154 22.04.75 MUHAMMAD NASIR 16,000 -
1155 22.04.76 RIAN 36,000 -
1156 22.04.77 TUTI HERAWATI 27,000 -
1157 22.04.78 IIN KURNIATIN 21,000 -
1158 22.04.79 CECEP 29,000 -
1159 23.04.16 O000589 OHAR.H 2 - -
1160 23.04.17 M003570 MUHAMAD FAJAR SIDIQ 3 14,750 -
1161 23.04.18 Y002213 YUSEP SUSANTO 4 25,800 -
1162 23.04.19 C000604 CECEP SAEPUDIN 5 31,800 -
1163 23.04.20 S005559 SHUHAIL KAUTHAR 6 21,500 -
1164 23.04.21 I002451 INDRIATI SITI PRATIWI 8 20,500 -
1165 23.04.22 A004249 ATHALA GIBRAN KAL 12 55,000 -
1166 23.04.23 Y001643 YAN SURYANA 15 18,700 -
1167 23.04.24 S003826 SADIAH 16 11,500 -
1168 23.04.25 T001295 TINI APRIANI 18 24,400 -
1169 23.04.26 R001052 RESGI ZULFIA MAUDI 20 14,800 -
1170 23.04.27 N003250 NABILA KAMIL RAHMANI 21 23,900 -
1171 23.04.28 L000139 LUTFI M. RAMDAN 25 18,200 -
1172 23.04.29 F000309 FERI PURNAMA 28 23,000 -
1173 23.04.30 D002375 DEVI RAMDHANI 29 32,800 -
1174 23.04.31 E001019 ENING 32 22,200 -
1175 23.04.32 A009244 AGUS TURKAWAN 35 30,000 -
1176 23.04.33 T001957 TIKA SARTIKA 37 23,000 -
1177 23.04.34 E003686 ENOK 39 5,500 -
1178 23.04.35 I003426 IRMA SUSANTI 40 - -
1179 23.04.36 A006143 ARYA 42 28,800 -
1180 23.04.37 Z000229 ZAYDAN AL RAFI FAIZAL 43 16,800 -
1181 23.04.38 Y001874 YUDA HIDAYAT 44 24,200 -
1182 23.04.39 S005557 SYAHLA NURFADILAH MP 45 25,200 -
1183 23.04.40 R005375 RICKY PRAWIRAYUDA PUTRA KELAN 46 19,200 -
1184 23.04.41 M005150 MARNI SUMARNI 49 23,200 -
1185 23.04.42 H000003 HENDRA HEPIANA 51 24,400 -
1186 23.04.43 A007982 AZMI’UL WAHDI M 54 21,300 -
1187 23.04.44 L001144 LUSI OKTAVIANI 57 14,600 -
1188 23.04.45 A008897 ASTRI LESTARI 58 - -
1189 23.04.46 M003662 MERI JUMANTARA RACHMAT 59 15,700 -
1190 23.04.47 R000370 RADITYA HAIDAR DZKIA 61 16,800 -
1191 23.04.48 D003636 DAFFA PRAJA ISMAIL ALFARIZKI 64 16,000 -
1192 23.04.49 F001906 FATIH MUHAMMAD NURHAKIM 65 29,000 40,000
1193 23.04.50 S001229 SYAHLA ISTI’ADAH 68 22,000 -
1194 23.04.51 N003444 NINING SRI YUNINGSIH 69 23,600 -
1195 23.04.52 H001349 HAIKAL RIZARIYADI 71 20,600 -
1196 23.04.53 A009115 AI SARININGSIH 72 - -
1197 23.04.54 A008362 ADE DANIS 73 14,600 -
1198 23.04.55 Y001728 YULI HERLINA 74 - -
1199 23.04.56 T001949 TRISTAN HAAQ AQEEL ALTEZZA PUT 78 9,000 -
1200 23.04.57 N000978 NENDA RIZKI NURINDAH 79 38,000 -
1201 23.04.58 U000932 UTENG R 81 16,000 -
1202 23.04.59 S003493 SILMY KOMALADEWI 82 - -
1203 23.04.60 S004089 SULTAN AL GIFARI 86 35,900 -
1204 23.04.61 S001612 SUPARDI 92 18,200 -
1205 23.04.62 R000927 RAFLI AHMAD FAUZI 93 - -
1206 23.04.63 L001267 LALA ASILAH 95 23,000 -
1207 23.04.64 D003545 DAWAM SHAFANA RHADIQ 103 19,000 -
1208 23.04.65 I003696 INTAN RAHMA WULAN, A.MD 104 14,600 -
1209 23.04.66 R005154 RIKAH NURHAYATI 105 17,600 -
1210 23.04.67 W001108 WIWIN WINANGSIH 109 - -
1211 23.04.68 P000835 PENTI HADIANTI 113 21,200 -
1212 24.04.16 N001353 NENG LINA APRILIA 30 26,000 -
1213 24.04.17 A002469 ASTI RISMAWATI 63 16,500 -
1214 25.04.16 V000235 VIRA AGUSTIN 2 16,400 -
1215 25.04.17 T001571 TATI HARTATI 3 - -
1216 25.04.18 L000504 LINA KARTUTI 4 27,500 -
1217 25.04.19 H000773 HILMAN MUHAMAD S 8 20,700 -
1218 25.04.20 A000656 ALIF ABDUL HAKIM 9 28,750 -
1219 25.04.21 N002694 NISA AROMANTIKA HIDAYAH 10 - -
1220 25.04.22 M004769 MUHAMMAD ABYAN DZULQARNAIN 11 25,500 -
1221 25.04.23 A006382 ASEP SETIAWAN 12 28,000 -
1222 25.04.24 R002682 RAMANDA FAUJAN 14 9,000 -
1223 25.04.25 I003416 IDAH SAIDAH 15 20,900 -
1224 25.04.26 S005622 SYAHLA AZHAR QURRATUL’AIHI 17 28,000 -
1225 25.04.27 S005623 SYIFA ALIKA RAHMAN 18 32,000 -
1226 25.04.28 H001195 HENDRA LESMANA 19 21,600 -
1227 25.04.29 T001891 TOTO HATORI 20 - -
1228 25.04.30 E002492 EEM MARYATI 22 24,400 -
1229 25.04.31 M002943 MAKMUN, H 29 21,700 -
1230 25.04.32 H002132 HABIB SALLAHUDIN 36 34,800 -
1231 25.04.33 O000554 OKKY SANJAYA 39 27,400 -
1232 25.04.34 A009353 AI ROSITAWATI 40 13,550 -
1233 25.04.35 R005154 RIKAH NURHAYATI 43 20,600 -
1234 25.04.36 M005155 MOCH CRISH FIRDAUS 46 13,200 -
1235 25.04.37 M000112 MAMAH 47 9,000 35,000
1236 25.04.38 D001188 DEDE AISYAH 49 21,600 -
1237 25.04.39 R003568 RINA GUNAWAN 52 24,200 -
1238 25.04.40 M004900 MUHAMAD AKHDAN ZAHID RABBAN 53 19,500 -
1239 25.04.41 L001269 LILI SAHLIA 54 - -
1240 25.04.42 H002133 HERA HERAWATI 55 28,100 -
1241 25.04.43 S004953 SALWA NAWAAL PUTRI PERMANA 57 31,400 -
1242 25.04.44 D000237 DIAN FERDIANSYAH 59 17,000 -
1243 25.04.45 N000945 NINA MARDIANA 60 24,400 -
1244 25.04.46 Z000575 ZAHRA AULIA RAHMI 62 36,200 -
1245 25.04.47 L000572 LISKA RAHMAWATI 63 12,750 -
1246 25.04.48 D001999 DIAH RATNASARI 67 9,950 -
1247 25.04.49 R000490 RINA MARLINA 68 - -
1248 25.04.50 N003367 NOVI MEILANI 69 30,200 -
1249 25.04.51 B000790 BUNYAMIN 70 24,400 -
1250 25.04.52 Y002264 YAYAT HIDAYAT 72 32,200 -
1251 25.04.53 N002281 NANI HARYANI 74 18,800 -
1252 25.04.54 A009692 ANDIKA MAOLANA 77 19,000 -
1253 25.04.55 S005625 SITI FATIMAH 78 32,000 -
1254 25.04.56 E001065 ELA AMELIA 79 10,300 -
1255 25.04.57 Y002261 YENI RISTIAWATI 81 8,000 -
1256 25.04.58 G000599 GHIRY LEO LESMANA 83 29,000 -
1257 25.04.59 C000359 CHOERUNNAS CAKRAPRAJA 85 16,900 -
1258 25.04.60 K001191 KHASYI FARZANA PUTRA 86 - -
1259 25.04.61 H002134 HADI ISMAL 87 30,000 -
1260 25.04.62 R000137 RABNI TSANIA MAULIDNA 88 8,000 -
1261 25.04.63 K000846 KAISYA ALYA 89 16,000 -
1262 25.04.64 R004752 ROSSA ROSMAYANTI 90 24,800 -
1263 25.04.65 I001685 INTAN NOVITA SARI 92 13,150 -
1264 25.04.66 R003720 RIKA KARTIKA SARI 94 5,800 -
1265 25.04.67 E003346 ENUR LATIFAH SUPARDI 95 18,000 -
1266 25.04.68 M004331 MOCHAMMAD RAKHA AGUSTIAN RO 96 30,000 -
1267 25.04.69 A009564 AHMAD SOLEH 97 - -
1268 25.04.70 E003738 ENGKUS 99 26,000 -
1269 25.04.71 L001270 LILIS KURNIA 100 21,000 -
1270 25.04.72 G000701 GENI SUPARTINI 101 17,000 -
1271 25.04.73 V000261 VIONA RENI NURFAUZIAH 102 16,000 -
1272 25.04.74 Y001117 YANTI YULIANTI 103 25,000 -
1273 25.04.75 H001884 HENI JOHARUDIN 106 25,000 -
1274 25.04.76 I003701 IWA GUNAWAN 107 28,000 -
1275 25.04.77 M004377 MUHAMMAD RAFIE ASY’ARI 108 44,000 -
1276 25.04.78 N003555 NENENG SUMARNI 109 32,000 -
1277 25.04.79 T000656 TINTIN SETIANI 112 35,000 -
1278 25.04.80 H000901 HENI NURMAYANTI INAYAH 113 34,000 -
1279 25.04.81 Y001930 YUS AHMAD YUSUF 117 45,000 -
1280 25.04.82 H000586 HANDAYANI SAFITRI 118 39,000 -
1281 25.04.83 A009693 ARKAN SAID RAMADHAN 122 17,000 -
1282 25.04.84 D001224 DEWI ANGGRAENI 124 15,000 -
1283 25.04.85 M000261 MITA LESTARI 127 36,000 -
1284 25.04.86 F000309 FERI PURNAMA 129 - -
1285 25.04.87 H001689 HERLINA 130 33,000 -
1286 25.04.88 D000032 DINI ILMI 131 32,000 -
1287 25.04.89 R005056 RINI NURBAYANTI 132 24,000 -
1288 25.04.90 N003560 NAURA LIA ANGGRAENI 136 21,000 -
1289 25.04.91 B018263 BINDA LAELASARI 146 23,000 -
1290 25.04.92 A008583 ANI ROHANI 148 19,000 -
1291 25.04.93 S005170 SRI RAHAYU 149 - -
1292 26.04.16 N00413 NURWITA DAINI FATAH,S.PD 6 25,000 -
1293 26.04.17 A009516 ACOEM MASOEM 9 22,000 -
1294 26.04.18 A008682 ADZRA AQILA QANITA 11 17,000 -
1295 26.04.19 D003949 DEDI SUPARDI 12 34,000 -
1296 26.04.20 H001598 HENI HERYANI HJ 16 - -
1297 26.04.21 T000291 TUTI KARTINI 18 19,000 -
1298 26.04.22 M003806 MUHAMMAD AKMAL ZAIMURIZAL 19 - -
1299 26.04.23 A006878 AGEUNG MELINA 20 30,000 -
1300 26.04.24 F001875 FAIKARA GARSIKA 21 - -
1301 26.04.25 N003452 NAMIYA MUJAB 22 - -
1302 26.04.26 P000842 PUJI APRIANI 23 25,000 -
1303 26.04.27 A002412 ADITHYA RAIHAN MULYADI 24 191,000 40,000
1304 26.04.28 N003807 NIA KURNIAWATI 27 - -
1305 26.04.29 I000963 IKIN TAPIATUDIN SH 30 31,000 -
1306 26.04.30 S004193 SRI RAHAYU KUSMINATI 36 - -
1307 26.04.31 F001745 FIRYAL THUFAILAH NAJLA 41 19,000 -
1308 26.04.32 R004571 RENI SUSANTI 43 23,000 -
1309 26.04.33 N000704 NURMAYANTI 44 - -
1310 26.04.34 A009115 AI SARININGSIH 45 30,000 -
1311 26.04.35 Y001399 YATI SUMIATI 46 29,000 -
1312 26.04.36 A009169 ANI MULYANI 47 - -
1313 26.04.37 A006903 AGNIA AFIATUL JANAH 48 23,000 -
1314 26.04.38 P000843 PANJI PRATAMA WIDANI 50 30,000 -
1315 26.04.39 Y001969 YAYAT RUHIYAT 51 19,000 -
1316 26.04.40 Y002268 YANA MULYANA 52 23,000 -
1317 26.04.41 A003377 AI SOLIHAT 54 21,000 -
1318 26.04.42 H002138 HIRAJUDIN 55 17,000 -
1319 26.04.43 T001960 TIRA AKBAR 56 12,000 -
1320 26.04.44 F001318 FERLY ARVISYAH 57 16,000 -
1321 26.04.45 E003484 ENTIN FATIMAH 60 40,000 -
1322 26.04.46 A009200 ANI NURHAYATI ABDUL GANI 62 18,000 -
1323 26.04.47 I002365 IDING JAMALUDIN 65 19,000 -
1324 26.04.48 Q000039 QUTHBIE ZAHIN NUGRAHA 66 - -
1325 26.04.49 I000818 IMAS NURHAEDAROH 70 16,500 -
1326 26.04.50 S001849 SARAH NURFAUZIAH 71 - -
1327 26.04.51 W000287 WINI LESTARI 72 32,000 45,000
1328 26.04.52 A008752 ARIFIN RAZAK 73 27,000 -
1329 26.04.53 O000591 OTAS MARYANI 74 21,000 -
1330 26.04.54 S003811 SONARA SARI 75 20,000 -
1331 26.04.55 S003810 SYAHNAZ NAHL CHAERUNISA 76 22,600 -
1332 26.04.56 M004669 M HAIKAL AKBAR 77 - -
1333 26.04.57 C000651 CITRA DIANAWATI 78 40,500 -
1334 26.04.58 Y019290 YADI MULYADI 80 18,500 -
1335 26.04.59 A008982 AI ROHAENI 83 31,600 -
1336 26.04.60 M004922 MULYATI 84 32,800 -
1337 26.04.61 U000932 UTENG R 85 31,000 -
1338 26.04.62 S003720 SHELI AMANDA 86 30,000 -
1339 26.04.63 F004751 FEBY KRISYANDI 87 12,250 -
1340 26.04.64 A005706 AMIRA HASNA LUTHFIYAH 88 22,400 -
1341 26.04.65 I003259 IRNA ROSMAWATI 89 19,000 -
1342 26.04.66 P000517 PINK MEYLANI IDRUS 90 35,100 -
1343 26.04.67 E002793 ERNA ERNAWATI ROCHAMA 92 42,500 -
1344 26.04.68 S004516 SALWA NUR ISTIFAHARANI R 93 - -
1345 26.04.69 Z000452 ZAHRA SALSABILA RACHMAWAN 94 - -
1346 26.04.70 M004910 MUHAMMAD AL RASYID 95 22,800 -
1347 26.04.71 T000416 TIFFANNY ALAYYAH 96 32,000 -
1348 26.04.72 A019005 AMANG YUDI 100 31,000 -
1349 26.04.73 Y002184 YULIA AGUSTINA 105 28,000 -
1350 26.04.74 H002130 HAIKAL AKBAR 106 57,800 -
1351 26.04.75 M003871 MUHAMMAD ARRASYID ARGANI 107 26,800 -
1352 26.04.76 S005381 SYAMSIR MUHAMMAD 115 28,400 -
1353 26.04.77 A019007 ALMA ZACKIAH FITRIANI 117 35,100 -
1354 26.04.78 N001521 NOVI YULIANTI 118 18,200 -
1355 27.04.16 A007363 AULIA SALSABILA 4 29,000 -
1356 27.04.17 B000545 BILQIS ALIFAH SYAFANA 5 17,000 -
1357 27.04.18 Y019291 YULI SRI RAHAYU 6 25,000 -
1358 27.04.19 D003720 DESI LESTARI 7 17,000 -
1359 27.04.20 O017456 OOM KOMARIAH 10 38,000 -
1360 27.04.21 N002175 NUNUNG ROSDIANA 11 28,000 -
1361 27.04.22 L001271 LINA GANTINA 12 38,000 -
1362 27.04.23 S004821 SITI AMINARTI 14 28,000 -
1363 27.04.24 D003240 DANI RAMADHAN 15 - -
1364 27.04.25 F001862 FADYA LESTARI PUTRI 16 17,000 -
1365 27.04.26 Y001098 YENI FEBRIANI 17 23,000 -
1366 27.04.27 N015897 NURHAYATI 21 18,000 -
1367 27.04.28 B000792 BETTY NAINGGOLAN 22 - -
1368 27.04.29 K000013 KUSTILAH 25 21,000 -
1369 27.04.30 A008902 AI SONIANGSIH 26 45,000 -
1370 27.04.31 M004745 MUHAMAD YUSEP PURNAMA 27 30,000 -
1371 27.04.32 R017257 ROBI MUIZANI 28 24,000 -
1372 27.04.33 E002057 EKA KUSDIANA 29 27,000 -
1373 27.04.34 H000782 HAIKAL TRI FADLI 30 31,000 -
1374 27.04.35 M004022 MELINDA INDRIANI 31 32,000 -
1375 27.04.36 A008581 ALVARO ADHYATSA 33 21,000 -
1376 27.04.37 K000587 KEYSHA NOVELLIA PUTRI 34 26,000 -
1377 27.04.38 D002908 DINDA NIKEN KINANTI 35 28,000 -
1378 27.04.39 A001459 ATAT SULASTRI 36 25,000 -
1379 27.04.40 S019328 SONY HERMANSYAH 37 24,000 -
1380 27.04.41 I003496 IYUS SUGARA 38 31,000 -
1381 27.04.42 E003571 EUIS ANDRIANI 41 28,000 -
1382 27.04.43 N002331 NONENG 43 31,000 -
1383 27.04.44 A008718 ANISA NURUL AYUNI 44 28,000 -
1384 27.04.45 U000732 UUN KURNIASIH 45 22,000 -
1385 27.04.46 R017259 RIKI ZULKARNAEN 51 34,000 -
1386 27.04.47 R005101 RYAN TRYANDANI 52 17,000 -
1387 27.04.48 S001597 SYIFA FAUZIAH MUTMAINNAH 53 26,000 -
1388 27.04.49 K001204 KARTIKA NUR FAIZAH 56 - -
1389 27.04.50 A000525 AI SAIDAH 57 22,000 40,000
1390 27.04.51 Z000289 ZAHRA AZARIA AZHAR 62 35,000 -
1391 27.04.52 A019015 ACENG HOLIS 63 22,000 -
1392 27.04.53 E006034 ECEP RUDI MUHARAM 64 21,600 -
1393 27.04.54 R004530 RATNA SARI DEWI 66 13,400 -
1394 27.04.55 N000895 NIZAM MUHAMMAD DAFI 67 44,800 -
1395 27.04.56 Y001492 YULIARTI ANTIKA 70 39,000 -
1396 27.04.57 A008744 AYESHA HUMAIRA DINAYA 72 21,000 -
1397 27.04.58 W001117 WIRANTIWI AGUSTINA 74 - -
1398 27.04.59 B000702 BETI PATMAWATI 84 20,200 -
1399 27.04.60 N003439 NOVIYANTI 85 23,000 -
1400 27.04.61 M001189 MARIA FITRI 87 22,000 -
1401 27.04.62 S004005 SOPIAN 89 13,200 -
1402 27.04.63 R000658 RESI RESNAWATI 94 23,000 -
1403 27.04.64 R001191 RIZQYLILLAH ABDUROCHIM 95 34,800 -
1404 27.04.65 H001851 HENI NURHAENI 96 19,000 -
1405 27.04.66 R003302 RIDWAN, H 98 21,500 -
1406 27.04.67 F001817 FAISAL HAMDANI 100 17,600 -
1407 27.04.68 S005275 SITI FADILAH 101 35,000 -
1408 27.04.69 T001785 TASEM 102 16,800 -
1409 27.04.70 R004777 RAYYANDRA ILYAS SEFA 103 53,300 -
1410 27.04.71 A008894 ASSYIFA RIZKADIANI 104 - -
1411 27.04.72 E006037 ETI KUSWATI 105 22,000 -
1412 27.04.73 S004946 SAMSUL RIZAL 106 26,300 -
1413 27.04.74 H001109 HERI RUSLI 107 17,600 -
1414 28.04.16 L010564 LUSI AGUSTIN 2 22,000 -
1415 28.04.17 H001184 HAFID RAMLAN, S.PD 4 27,200 -
1416 28.04.18 M004425 MUHAMMAD ALKHA ASHOURA 7 - -
1417 28.04.19 N000100 NUGRAHA ARKA SETIAWAN 8 28,100 -
1418 28.04.20 S001857 SURYATI 10 32,500 -
1419 28.04.21 L001088 LINA MARLINA 11 19,750 -
1420 28.04.22 S002060 SURYA HAMIZAN 12 32,600 -
1421 28.04.23 J000779 JAWAD MOCHTAR JAWAD 13 26,400 -
1422 28.04.24 P000507 POPON CAHYATI 15 40,500 -
1423 28.04.25 T000772 TRIZTA PUTUEKAWATI 19 - -
1424 28.04.26 M000112 MAMAH 20 - -
1425 28.04.27 S019331 SHELOMITHA ANNISA PUTRI 21 34,000 -
1426 28.04.28 S019332 SHAKIRA BILQIS HUMAIRA 22 24,000 -
1427 28.04.29 Y000797 YETI NURHAYATI 24 14,600 -
1428 28.04.30 S004412 SAEPULLOH 35 40,500 -
1429 28.04.31 E003092 ENGKUS NADIN 36 23,400 -
1430 28.04.32 A009636 ANGGI AYUDIA 39 32,000 -
1431 28.04.33 A008752 ARIFIN RAZAK 44 37,600 -
1432 28.04.34 A009314 AULIA RIZKY LAURANDRA 45 30,000 -
1433 28.04.35 N001105 NURYANTI 47 30,000 -
1434 28.04.36 I003259 IRNA ROSMAWATI 50 22,000 -
1435 28.04.37 M004837 MIGAS WIRAYUDA 52 37,500 -
1436 28.04.38 J000717 JENISITI ANGGRAENI 55 32,000 -
1437 28.04.39 M003660 MUHAMMAD ALVI AL FARIZI 56 - -
1438 28.04.40 R002130 RATNA RAHAYU 59 24,400 -
1439 28.04.41 R004983 RIDWAN RUSTANDI 60 22,000 -
1440 28.04.42 A005990 AULIA IZZATUNNISA 61 28,200 -
1441 28.04.43 R002481 RANA 63 33,000 -
1442 28.04.44 N003234 NELI IBRAHIM, S.PD 69 26,000 -
1443 28.04.45 K009836 KHAIRIN HANINDA AULIA 70 - -
1444 28.04.46 A006899 ADE RUSMANA 71 29,000 -
1445 28.04.47 R017260 RINI NOVIANI 72 - -
1446 28.04.48 N003567 NURUL BADRIAH 81 33,000 -
1447 28.04.49 S004096 SALMA PUTRI SAPARI 84 24,000 -
1448 28.04.50 A000656 ALIF ABDUL HAKIM 86 26,000 -
1449 29.04.16 H007264 HILDA DESTRIANI 2 13,200 -
1450 29.04.17 S005189 SIPA MARWAH 6 38,000 45,000
1451 29.04.18 A008296 AISHA LIYANA KEJORA 7 26,800 -
1452 29.04.19 S003301 SITI JULAEHA 8 14,500 -
1453 29.04.20 I001801 ILHAM NURZAMAN 10 13,400 -
1454 29.04.21 I001637 ISMAYA NUR ARAFAH 11 22,000 -
1455 29.04.22 A004174 APIT SAMSUDIN 12 19,200 -
1456 29.04.23 M003168 MERI KUSTIANI 14 13,000 -
1457 29.04.24 M004798 MOCH. IBNU AZZQA AL FARIZQI 16 17,200 -
1458 29.04.25 F002183 FITRI AYU MILASARI 17 23,200 -
1459 29.04.26 D001027 DJUNAEDI 20 36,700 -
1460 29.04.27 N003695 NUR ANALIS 21 19,200 -
1461 29.04.28 M004731 MUHAMMAD AMZAR RAQILLA 22 17,500 -
1462 29.04.29 R004848 RIZKI AKBAR JULIAN 24 25,500 -
1463 29.04.30 E003167 ENTUT KARTUTI 28 35,200 -
1464 29.04.31 T001799 TANTI TRISTIANTI 30 88,000 -
1465 29.04.32 E003324 ERNA HERMAWATI 32 17,500 -
1466 29.04.33 E002863 EUIS PATIMAH 33 24,400 -
1467 29.04.34 N001800 NOVA KUSTIAWADI 41 17,500 -
1468 29.04.35 D003676 DENI RAMDANI 42 52,000 45,000
1469 29.04.36 W001108 WIWIN WINANGSIH 43 - -
1470 29.04.37 S004649 SUJANA 46 29,000 -
1471 29.04.38 M000824 MUHAMMAD KEVIN RADITYA 50 24,000 -
1472 29.04.39 A008029 ANISA 57 16,400 -
1473 29.04.40 R004234 ROMANSYAH 58 30,000 -
1474 29.04.41 E002701 EGIS PURWANTO 59 21,900 -
1475 29.04.42 R017265 RIZKY FATHURAHMAN S 63 37,500 -
1476 29.04.43 T000199 TATI SUPRIATI 67 22,500 -
1477 29.04.44 F002007 FAKHIRA KAILA KHANSA 72 36,500 -
1478 29.04.45 D003676 DENI RAMDANI 73 29,000 50,000
1479 29.04.46 D003382 DEWI NURUL FAUZIAH 75 23,000 -
1480 29.04.47 M004166 MUHAMMAD LUTHFI AL IKHWANI 77 42,700 -
1481 29.04.48 R005225 RISKA HAYATI 80 29,500 -
1482 29.04.49 A003426 AZIZA MAULADIFA RAHAYU 81 22,700 -
1483 29.04.50 M014529 MILDA SYAHAILA DESTIANTI 85 14,000 -
1484 29.04.51 S003705 SAEPUDIN 86 24,000 -
1485 29.04.52 D002918 DEDE DELISDA 87 21,000 -
1486 29.04.53 T001790 TJUTJU SURJADI DRS. H 90 35,000 -
1487 29.04.54 R005213 ROSA DESNIAWATI 91 40,700 -
1488 29.04.55 I007349 ISAM SAMSUDIN 92 28,000 -
1489 29.04.56 A001772 ALFAN DESVIAN ISKANDAR 95 40,700 -
1490 29.04.57 A004932 ADELLA PRATHAMA 97 72,300 -
1491 29.04.58 R004571 RENI SUSANTI 99 - -
1492 29.04.59 A005403 ANDI GALATAMA 102 30,500 -
1493 29.04.60 S002617 SUSANTI 103 40,000 -
1494 29.04.61 I001771 IJANG NASUTION 104 30,000 -
1495 29.04.62 D000988 DZIKRI ADZANI AL K.W.D 105 28,700 -
1496 29.04.63 D003592 DADANG YANTO 106 25,000 -
1497 29.04.64 I003570 INAYA TULMILAH 108 40,000 -
1498 29.04.65 D002392 DESI SUSANTI 109 24,400 -
1499 29.04.66 S000096 SHAFA SAFINA 110 24,400 -
1500 29.04.67 S003929 SHANTI HASANAH 111 - -
1501 29.04.68 A000707 ACHMAD HAIKAL 112 21,150 -
1502 29.04.69 Y000436 YANTI HERLIANTINI 116 21,750 -
1503 29.04.70 E000825 ELDESSA VAVA RILLA 117 7,000 -
1504 30.04.16 M003871 MUHAMMAD ARRASYID ARGANI 1 52,400 -
1505 30.04.17 A009043 ADE KOMARUDIN 9 37,000 -
1506 30.04.18 L001271 LINA GANTINA 11 32,400 -
1507 30.04.19 M001295 MUFTI MUHAMMAD 13 24,200 -
1508 30.04.20 N002281 NANI HARYANI 15 114,500 -
1509 30.04.21 A019025 ASEP SUPRIADIN 16 22,400 -
1510 30.04.22 I007350 IDA NURLAELA 18 - -
1511 30.04.23 S003627 SITI ANISA NURFADILA 20 29,200 -
1512 30.04.24 F000957 FARDAN KHALLILURAHMAN . M 21 19,400 -
1513 30.04.25 M004022 MELINDA INDRIANI 24 25,100 -
1514 30.04.26 F002052 FITRI PURNAMA AMIN 29 18,800 -
1515 30.04.27 M014532 MOCH. DADE AA 31 31,700 -
1516 30.04.28 M004896 MUHAMMAD KHAIZURAN 32 19,200 -
1517 30.04.29 R001606 ROFFY IDHAM RAMADHAN 36 21,000 -
1518 30.04.30 M014533 MUHAMMAD ELLVAN BAIHAQI 37 32,000 -
1519 30.04.31 A003803 AREL OKTAVIAN 39 28,100 -
1520 30.04.32 M001200 M. AUDRIC RAJENDRA 41 17,500 -
1521 30.04.33 A009178 ATI NURDIANTI 47 - -
1522 30.04.34 S005441 SRI MULYATI 48 18,000 -
1523 30.04.35 R003370 RUHIYATI 49 21,100 -
1524 30.04.36 N003813 NENDEN SUSI MULYANI 50 24,500 -
1525 30.04.37 Y002099 YUDI FIRMANSYAH 51 12,200 -
1526 30.04.38 I001685 INTAN NOVITA SARI 54 14,500 -
1527 30.04.39 H000597 HERNI SURYANI 55 23,200 -
1528 30.04.40 H000360 HABIBI WAROSATU AL-ANBIYA 56 28,100 -
1529 30.04.41 M001133 M. GALANG ANUGRAH 57 28,100 -
1530 30.04.42 E002866 ETI ROHAETI 58 24,000 -
1531 30.04.43 S004946 SAMSUL RIZAL 61 18,100 -
1532 30.04.44 D001683 DEDEN SOMANTRI 62 20,800 -
1533 30.04.45 R000251 RIHANDI ALFARIZA WIJAYA 64 33,000 75,000
1534 30.04.46 A000111 AJI PRAYOGA 65 - -
1535 30.04.47 R004211 RAISHA HAMIDAH DWI F 66 36,000 -
1536 30.04.48 W000351 WITA PUSPITASARI 68 31,000 -
1537 30.04.49 I003677 IRA FARDILA 71 21,000 -
1538 30.04.50 S005599 SITI HANIFAH 77 - -
1539 30.04.51 S005500 SITI NURLAELA SARI 78 45,000 -
1540 30.04.52 J008239 JULITA ANGGOMAN 84 21,000 -
1541 30.04.53 A004597 ANWAR GUMILAR 89 22,000 -
1542 30.04.54 N002245 NAZIL MUHAMMAD ARIF 92 28,000 -
1543 30.04.55 T001342 TASLIYA BILQISTH SHOLIHA 95 32,000 -
1544 30.04.56 W001058 WIWI 100 44,000 -
1545 30.04.57 S004954 SENI HERMALIYA SOLIHAH 101 36,000 -
1546 30.04.58 R005314 REGA JANWAR ABDILAH 102 42,000 -
1547 30.04.59 E002813 ERITA PUSPITASARI 103 29,000 -
1548 30.04.60 N003151 NAIMA SENIYYAH FEBRIANDINI 104 9,000 -
1549 30.04.61 F000092 FADLI FADLILLAH 105 14,000 -
1550 30.04.62 M000039 M NANDANG PRAHARA 106 38,000 -
1551 30.04.63 A007618 ADINDA RAIFA FIRMANSYAH 108 64,000 -
1552 30.04.64 A008148 ALVIN MOCHAMAD ERSYAH 109 20,000 -
1553 30.04.65 A007503 ACAH 117 33,000 -

36,853,250 1,950,000
LAPORAN PERINCIAN BPJS-APRIL 2016
Periode: 01-04-2016 s/d 30-04-2016

Rawat Jalan Jasa Dokter Dokter Lab Kartu Oxygen KIA


11,000 4,000 WULAN WIDYAWATI 18,000 - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
- - PERIKSA KEBIDANAN - - - 31,000
- - PERIKSA KEBIDANAN 12,000 - - 40,200
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI 23,000 - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
- - PERIKSA KEBIDANAN - - - 15,000
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 ANDI HERMANSYAH - - - -
11,000 4,000 ANDI HERMANSYAH - - - -
11,000 4,000 ANDI HERMANSYAH - - - -
11,000 4,000 ANDI HERMANSYAH - - - -
11,000 4,000 ANDI HERMANSYAH - - - -
11,000 4,000 ANDI HERMANSYAH - - - -
11,000 4,000 ANDI HERMANSYAH - - - -
11,000 4,000 ANDI HERMANSYAH - - - -
11,000 4,000 ANDI HERMANSYAH - - - -
11,000 4,000 ANDI HERMANSYAH - - - -
11,000 4,000 ANDI HERMANSYAH - - - -
11,000 4,000 ANDI HERMANSYAH - - - -
1,000 4,000 ANDI HERMANSYAH - - - -
1,000 4,000 H. THIA SILVANA - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI 55,000 - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
- - PERIKSA KEBIDANAN - - - 30,000
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
- - PERIKSA KEBIDANAN - - - 30,000
11,000 4,000 WULAN WIDYAWATI 105,000 - - -
11,000 4,000 WULAN WIDYAWATI 140,000 - - -
11,000 4,000 WULAN WIDYAWATI - - - -
- - PERIKSA KEBIDANAN - - - 30,000
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
1,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
- - CEK LAB SAJA 80,000 - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI 55,000 - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 NOVI YULIANTI - - - -
11,000 4,000 NOVI YULIANTI - - - -
11,000 4,000 NOVI YULIANTI - - - -
11,000 4,000 NOVI YULIANTI - - - -
11,000 4,000 NOVI YULIANTI - - - -
- - PERIKSA KEBIDANAN - - - 30,000
11,000 4,000 NOVI YULIANTI - - - -
11,000 4,000 NOVI YULIANTI - - - -
11,000 4,000 NOVI YULIANTI - - - -
11,000 4,000 H. ASEP SANI SULAEMAN - - - -
1,000 4,000 H. ASEP SANI SULAEMAN - - - -
1,000 4,000 H. ASEP SANI SULAEMAN - - - -
5,000 - DETY NUR RACHMAWATI - - - -
11,000 4,000 NOVI YULIANTI - - - -
11,000 4,000 NOVI YULIANTI 25,000 - - -
11,000 4,000 NOVI YULIANTI 84,000 - - -
11,000 4,000 NOVI YULIANTI - - - -
11,000 4,000 NOVI YULIANTI - - - -
11,000 4,000 NOVI YULIANTI - - - -
11,000 4,000 NOVI YULIANTI 25,000 - - -
11,000 4,000 NOVI YULIANTI - - - -
- - CEK LAB SAJA 66,000 - - -
11,000 4,000 NOVI YULIANTI - - - -
11,000 4,000 NOVI YULIANTI 66,000 - - -
11,000 4,000 NOVI YULIANTI - - - -
11,000 4,000 NOVI YULIANTI - - - -
11,000 4,000 NOVI YULIANTI - - - -
11,000 4,000 NOVI YULIANTI - - - -
11,000 4,000 NOVI YULIANTI - - - -
11,000 4,000 NOVI YULIANTI - - - -
11,000 4,000 NOVI YULIANTI - - - -
11,000 4,000 NOVI YULIANTI - - - -
11,000 4,000 NOVI YULIANTI 18,000 - - -
11,000 4,000 NOVI YULIANTI - - - -
11,000 4,000 NOVI YULIANTI - - - -
11,000 4,000 NOVI YULIANTI - - - -
11,000 4,000 NOVI YULIANTI - - - -
11,000 4,000 NOVI YULIANTI - - - -
11,000 4,000 NOVI YULIANTI - - - -
11,000 4,000 NOVI YULIANTI - - - -
11,000 4,000 NOVI YULIANTI - - - -
11,000 4,000 NOVI YULIANTI - - - -
11,000 4,000 NOVI YULIANTI - - - -
11,000 4,000 NOVI YULIANTI - - - -
11,000 4,000 NOVI YULIANTI - - - -
11,000 4,000 NOVI YULIANTI - - - -
11,000 4,000 NOVI YULIANTI - - - -
11,000 4,000 NOVI YULIANTI - - - -
11,000 4,000 NOVI YULIANTI - - - -
11,000 4,000 NOVI YULIANTI - - - -
11,000 4,000 NOVI YULIANTI - - - -
11,000 4,000 NOVI YULIANTI - - - -
11,000 4,000 NOVI YULIANTI - - - -
11,000 4,000 NOVI YULIANTI 80,000 - - -
11,000 4,000 NOVI YULIANTI - - - -
11,000 4,000 NOVI YULIANTI - - - -
11,000 4,000 NOVI YULIANTI 66,000 - - -
1,000 4,000 NOVI YULIANTI - - - -
11,000 4,000 H. THIA SILVANA - - - -
11,000 4,000 H. THIA SILVANA - - - -
11,000 4,000 H. THIA SILVANA - - - -
11,000 4,000 H. THIA SILVANA - - - -
11,000 4,000 ANDI HERMANSYAH - - - -
11,000 4,000 ANDI HERMANSYAH - - - -
11,000 4,000 ANDI HERMANSYAH - - - -
11,000 4,000 ANDI HERMANSYAH - - - -
11,000 4,000 ANDI HERMANSYAH - - - -
11,000 4,000 ANDI HERMANSYAH - - - -
11,000 4,000 ANDI HERMANSYAH - - - -
11,000 4,000 ANDI HERMANSYAH - - - -
11,000 4,000 ANDI HERMANSYAH - - - -
11,000 4,000 ANDI HERMANSYAH - - - -
11,000 4,000 ANDI HERMANSYAH - - - -
11,000 4,000 ANDI HERMANSYAH - - - -
11,000 4,000 ANDI HERMANSYAH - - - -
11,000 4,000 ANDI HERMANSYAH - - - -
11,000 4,000 ANDI HERMANSYAH - - - -
11,000 4,000 ANDI HERMANSYAH - - - -
11,000 4,000 ANDI HERMANSYAH - - - -
11,000 4,000 ANDI HERMANSYAH - - - -
11,000 4,000 ANDI HERMANSYAH - - - -
11,000 4,000 ANDI HERMANSYAH - - - -
11,000 4,000 ANDI HERMANSYAH - - - -
11,000 4,000 ANDI HERMANSYAH - - - -
11,000 4,000 ANDI HERMANSYAH - - - -
11,000 4,000 ANDI HERMANSYAH - - - -
11,000 4,000 ANDI HERMANSYAH - - - -
11,000 4,000 H. ASEP MARYAMAN - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 H. ASEP MARYAMAN - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI 18,000 - - -
11,000 4,000 WULAN WIDYAWATI 80,000 - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
- - PERIKSA KEBIDANAN - - - 30,000
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI 66,000 - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI 18,000 - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 NOVI YULIANTI - - - -
11,000 4,000 NOVI YULIANTI - - - -
- - PERIKSA KEBIDANAN - - - 32,500
11,000 4,000 NOVI YULIANTI - - - -
11,000 4,000 NOVI YULIANTI - - - -
11,000 4,000 NOVI YULIANTI - - - -
11,000 4,000 NOVI YULIANTI 80,000 - - -
11,000 4,000 NOVI YULIANTI - - - -
11,000 4,000 NOVI YULIANTI - - - -
11,000 4,000 NOVI YULIANTI 23,000 - - -
11,000 4,000 NOVI YULIANTI - - - -
11,000 4,000 NOVI YULIANTI - - - -
11,000 4,000 NOVI YULIANTI - - - -
11,000 4,000 NOVI YULIANTI - - - -
11,000 4,000 NOVI YULIANTI - - - -
11,000 4,000 NOVI YULIANTI - - - -
11,000 4,000 NOVI YULIANTI - - - -
11,000 4,000 NOVI YULIANTI - - - -
11,000 4,000 NOVI YULIANTI - - - -
11,000 4,000 NOVI YULIANTI - - - -
11,000 4,000 NOVI YULIANTI - - - -
11,000 4,000 NOVI YULIANTI - - - -
11,000 4,000 NOVI YULIANTI - - - -
1,000 4,000 ENCEP SUDARYANA - - - -
1,000 4,000 ENCEP SUDARYANA - - - -
11,000 4,000 ENCEP SUDARYANA - - - -
11,000 4,000 ENCEP SUDARYANA - - - -
11,000 4,000 NOVI YULIANTI - - - -
11,000 4,000 NOVI YULIANTI - - - -
11,000 4,000 NOVI YULIANTI - - - -
11,000 4,000 NOVI YULIANTI 80,000 - - -
11,000 4,000 NOVI YULIANTI - - - -
11,000 4,000 NOVI YULIANTI - - - -
11,000 4,000 NOVI YULIANTI - - - -
11,000 4,000 NOVI YULIANTI - - - -
11,000 4,000 NOVI YULIANTI - - - -
11,000 4,000 NOVI YULIANTI - - - -
11,000 4,000 NOVI YULIANTI - - - -
11,000 4,000 NOVI YULIANTI - - - -
11,000 4,000 NOVI YULIANTI - - - -
11,000 4,000 NOVI YULIANTI - - - -
11,000 4,000 NOVI YULIANTI - - - -
11,000 4,000 NOVI YULIANTI - - - -
11,000 4,000 NOVI YULIANTI - - - -
11,000 4,000 NOVI YULIANTI - - - -
11,000 4,000 NOVI YULIANTI - - - -
11,000 4,000 NOVI YULIANTI - - - -
11,000 4,000 NOVI YULIANTI 55,000 - - -
15,000 - PERIKSA KEBIDANAN - - - -
11,000 4,000 NOVI YULIANTI - - - -
11,000 4,000 NOVI YULIANTI - - - -
11,000 4,000 NOVI YULIANTI - - - -
11,000 4,000 NOVI YULIANTI - - - -
1,000 4,000 NOVI YULIANTI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
1,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI 60,000 - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
1,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
- - PERIKSA KEBIDANAN - - - 34,000
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
1,000 4,000 WULAN WIDYAWATI - - - -
- - PERIKSA KEBIDANAN - - - 38,000
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI 55,000 - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 NOVI YULIANTI - - - -
11,000 4,000 NOVI YULIANTI - - - -
11,000 4,000 NOVI YULIANTI - - - -
11,000 4,000 NOVI YULIANTI - - - -
11,000 4,000 NOVI YULIANTI - - - -
11,000 4,000 NOVI YULIANTI - - - -
11,000 4,000 NOVI YULIANTI - - - -
1,000 4,000 NOVI YULIANTI - - - -
11,000 4,000 NOVI YULIANTI - - - -
11,000 4,000 NOVI YULIANTI - - - -
11,000 4,000 NOVI YULIANTI - - - -
11,000 4,000 NOVI YULIANTI - - - -
11,000 4,000 NOVI YULIANTI - - - -
11,000 4,000 NOVI YULIANTI - - - -
11,000 4,000 NOVI YULIANTI - - - -
11,000 4,000 NOVI YULIANTI - - - -
11,000 4,000 NOVI YULIANTI - - - -
11,000 4,000 NOVI YULIANTI - - - -
11,000 4,000 NOVI YULIANTI - - - -
11,000 4,000 NOVI YULIANTI - - - -
11,000 4,000 NOVI YULIANTI - - - -
11,000 4,000 NOVI YULIANTI - - - -
11,000 4,000 NOVI YULIANTI - - - -
11,000 4,000 NOVI YULIANTI - - - -
11,000 4,000 NOVI YULIANTI - - - -
11,000 4,000 NOVI YULIANTI - - - -
11,000 4,000 NOVI YULIANTI - - - -
11,000 4,000 NOVI YULIANTI - - - -
11,000 4,000 NOVI YULIANTI - - - -
11,000 4,000 NOVI YULIANTI - - - -
11,000 4,000 NOVI YULIANTI - - - -
11,000 4,000 H. ASEP MARYAMAN - - - -
11,000 4,000 H. ASEP MARYAMAN - - - -
11,000 4,000 H. ASEP MARYAMAN - - - -
11,000 4,000 H. ASEP MARYAMAN - - - -
- - PERIKSA KEBIDANAN - - - 38,000
11,000 4,000 H. ASEP MARYAMAN - - - -
11,000 4,000 H. ASEP MARYAMAN - - - -
11,000 4,000 H. ASEP MARYAMAN - - - -
11,000 4,000 H. ASEP MARYAMAN - - - -
11,000 4,000 H. ASEP MARYAMAN - - - -
11,000 4,000 H. ASEP MARYAMAN - - - -
11,000 4,000 H. ASEP MARYAMAN - - - -
11,000 4,000 H. ASEP MARYAMAN - - - -
11,000 4,000 H. ASEP MARYAMAN 80,000 - - -
11,000 4,000 H. ASEP MARYAMAN - - - -
11,000 4,000 H. ASEP MARYAMAN - - - -
11,000 4,000 H. ASEP MARYAMAN 48,000 - - -
11,000 4,000 H. ASEP MARYAMAN - - - -
11,000 4,000 H. ASEP MARYAMAN - - - -
11,000 4,000 H. ASEP MARYAMAN - - - -
11,000 4,000 H. ASEP MARYAMAN - - - -
11,000 4,000 H. ASEP MARYAMAN 80,000 - - -
11,000 4,000 H. ASEP MARYAMAN - - - -
11,000 4,000 H. ASEP MARYAMAN - - - -
11,000 4,000 H. ASEP MARYAMAN - - - -
11,000 4,000 H. ASEP MARYAMAN - - - -
11,000 4,000 H. ASEP MARYAMAN - - - -
11,000 4,000 H. ASEP MARYAMAN - - - -
11,000 4,000 H. ASEP MARYAMAN - - - -
11,000 4,000 H. ASEP MARYAMAN - - - -
11,000 4,000 H. ASEP MARYAMAN - - - -
11,000 4,000 H. ASEP MARYAMAN - - - -
11,000 4,000 H. ASEP MARYAMAN - - - -
11,000 4,000 H. ASEP MARYAMAN - - - -
11,000 4,000 H. ASEP MARYAMAN - - - -
11,000 4,000 WULAN WIDYAWATI 73,000 - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI 146,000 - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI 23,000 - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI 80,000 - - -
11,000 4,000 WULAN WIDYAWATI - - - -
1,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI 48,000 - - -
- - PERIKSA KEBIDANAN - - - 27,000
11,000 4,000 WULAN WIDYAWATI - - - -
1,000 4,000 WULAN WIDYAWATI 18,000 - - -
- - PERIKSA KEBIDANAN - - - 25,000
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 ANDI HERMANSYAH - - - -
11,000 4,000 ANDI HERMANSYAH - - - -
11,000 4,000 ANDI HERMANSYAH - - - -
11,000 4,000 ANDI HERMANSYAH 18,000 - - -
11,000 4,000 ANDI HERMANSYAH - - - -
11,000 4,000 ANDI HERMANSYAH - - - -
11,000 4,000 ANDI HERMANSYAH - - - -
11,000 4,000 ANDI HERMANSYAH - - - -
11,000 4,000 ANDI HERMANSYAH - - - -
11,000 4,000 ANDI HERMANSYAH - - - -
11,000 4,000 ANDI HERMANSYAH - - - -
11,000 4,000 ANDI HERMANSYAH - - - -
11,000 4,000 ANDI HERMANSYAH - - - -
11,000 4,000 ANDI HERMANSYAH - - - -
11,000 4,000 ANDI HERMANSYAH - - - -
11,000 4,000 ANDI HERMANSYAH - - - -
11,000 4,000 ANDI HERMANSYAH - - - -
11,000 4,000 ANDI HERMANSYAH - - - -
11,000 4,000 ANDI HERMANSYAH - - - -
11,000 4,000 ANDI HERMANSYAH - - - -
11,000 4,000 ANDI HERMANSYAH - - - -
5,000 - DETY NUR RACHMAWATI - - - -
5,000 - DETY NUR RACHMAWATI - - - -
11,000 4,000 WULAN WIDYAWATI 80,000 - - -
11,000 4,000 WULAN WIDYAWATI 101,000 - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
1,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
1,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
1,000 4,000 NOVI YULIANTI - - - -
1,000 4,000 NOVI YULIANTI - - - -
1,000 4,000 NOVI YULIANTI - - - -
1,000 4,000 NOVI YULIANTI - - - -
1,000 4,000 H. ASEP SANI SULAEMAN - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI 84,000 - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
- - PERIKSA KEBIDANAN - - - 37,000
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI 66,000 - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI 60,000 - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI 55,000 - - -
11,000 4,000 WULAN WIDYAWATI 43,000 - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI 100,000 - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 ANDI HERMANSYAH - - - -
11,000 4,000 ANDI HERMANSYAH - - - -
11,000 4,000 ANDI HERMANSYAH - - - -
11,000 4,000 ANDI HERMANSYAH 121,000 - - -
11,000 4,000 ANDI HERMANSYAH - - - -
11,000 4,000 H. ASEP SANI SULAEMAN - - - -
11,000 4,000 H. ASEP SANI SULAEMAN - - - -
11,000 4,000 H. ASEP SANI SULAEMAN - - - -
11,000 4,000 H. ASEP SANI SULAEMAN - - - -
11,000 4,000 H. ASEP SANI SULAEMAN - - - -
11,000 4,000 H. ASEP SANI SULAEMAN - - - -
11,000 4,000 ANDI HERMANSYAH - - - -
11,000 4,000 ANDI HERMANSYAH - - - -
11,000 4,000 ANDI HERMANSYAH - - - -
11,000 4,000 ANDI HERMANSYAH - - - -
1,000 4,000 ANDI HERMANSYAH - - - -
1,000 4,000 ANDI HERMANSYAH - - - -
11,000 4,000 ANDI HERMANSYAH - - - -
11,000 4,000 ANDI HERMANSYAH - - - -
11,000 4,000 ANDI HERMANSYAH - - - -
11,000 4,000 ANDI HERMANSYAH - - - -
11,000 4,000 ANDI HERMANSYAH - - - -
11,000 4,000 ANDI HERMANSYAH - - - -
11,000 4,000 ANDI HERMANSYAH - - - -
11,000 4,000 ANDI HERMANSYAH - - - -
11,000 4,000 ANDI HERMANSYAH - - - -
11,000 4,000 ANDI HERMANSYAH - - - -
1,000 4,000 H. ASEP MARYAMAN - - - -
1,000 4,000 H. ASEP MARYAMAN - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
1,000 4,000 H. ASEP MARYAMAN - - - -
1,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI 48,000 - - -
- - PERIKSA KEBIDANAN - - - 34,000
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI 18,000 - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
- - PERIKSA KEBIDANAN - - - 36,000
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI 80,000 - - -
11,000 4,000 WULAN WIDYAWATI 18,000 - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 NOVI YULIANTI - - - -
11,000 4,000 NOVI YULIANTI - - - -
11,000 4,000 NOVI YULIANTI - - - -
11,000 4,000 NOVI YULIANTI - - - -
11,000 4,000 NOVI YULIANTI - - - -
11,000 4,000 NOVI YULIANTI - - - -
11,000 4,000 NOVI YULIANTI - - - -
11,000 4,000 NOVI YULIANTI - - - -
11,000 4,000 NOVI YULIANTI - - - -
11,000 4,000 NOVI YULIANTI - - - -
11,000 4,000 NOVI YULIANTI - - - -
11,000 4,000 NOVI YULIANTI 55,000 - - -
11,000 4,000 NOVI YULIANTI - - - -
11,000 4,000 NOVI YULIANTI - - - -
11,000 4,000 NOVI YULIANTI - - - -
11,000 4,000 NOVI YULIANTI - - - -
1,000 4,000 NOVI YULIANTI 160,000 - - -
11,000 4,000 NOVI YULIANTI - - - -
11,000 4,000 NOVI YULIANTI - - - -
11,000 4,000 NOVI YULIANTI - - - -
11,000 4,000 NOVI YULIANTI - - - -
11,000 4,000 NOVI YULIANTI - - - -
11,000 4,000 NOVI YULIANTI - - - -
11,000 4,000 NOVI YULIANTI - - - -
11,000 4,000 NOVI YULIANTI - - - -
11,000 4,000 NOVI YULIANTI - - - -
11,000 4,000 NOVI YULIANTI - - - -
11,000 4,000 NOVI YULIANTI - - - -
11,000 4,000 NOVI YULIANTI - - - -
11,000 4,000 NOVI YULIANTI - - - -
11,000 4,000 NOVI YULIANTI - - - -
11,000 4,000 NOVI YULIANTI - - - -
11,000 4,000 NOVI YULIANTI - - - -
11,000 4,000 NOVI YULIANTI - - - -
11,000 4,000 NOVI YULIANTI - - - -
11,000 4,000 NOVI YULIANTI - - - -
11,000 4,000 NOVI YULIANTI - - - -
11,000 4,000 NOVI YULIANTI - - - -
11,000 4,000 NOVI YULIANTI - - - -
11,000 4,000 NOVI YULIANTI - - - -
11,000 4,000 NOVI YULIANTI - - - -
11,000 4,000 NOVI YULIANTI - - - -
11,000 4,000 NOVI YULIANTI - - - -
11,000 4,000 NOVI YULIANTI 18,000 - - -
- - PERIKSA KEBIDANAN - - - 34,000
11,000 4,000 NOVI YULIANTI - - - -
1,000 4,000 NOVI YULIANTI - - - -
11,000 4,000 NOVI YULIANTI - - - -
11,000 4,000 NOVI YULIANTI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
1,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
1,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
1,000 4,000 ENCEP SUDARYANA - - - -
11,000 4,000 NOVI YULIANTI 80,000 - - -
1,000 4,000 NOVI YULIANTI - - - -
11,000 4,000 NOVI YULIANTI - - - -
11,000 4,000 NOVI YULIANTI - - - -
11,000 4,000 NOVI YULIANTI - - - -
11,000 4,000 NOVI YULIANTI - - - -
11,000 4,000 NOVI YULIANTI - - - -
11,000 4,000 NOVI YULIANTI - - - -
11,000 4,000 NOVI YULIANTI - - - -
11,000 4,000 NOVI YULIANTI - - - -
11,000 4,000 NOVI YULIANTI 78,000 - - -
11,000 4,000 NOVI YULIANTI - - - -
11,000 4,000 NOVI YULIANTI - - - -
11,000 4,000 H. ASEP MARYAMAN - - - -
11,000 4,000 NOVI YULIANTI - - - -
11,000 4,000 NOVI YULIANTI - - - -
11,000 4,000 NOVI YULIANTI - - - -
11,000 4,000 NOVI YULIANTI - - - -
11,000 4,000 NOVI YULIANTI - - - -
11,000 4,000 NOVI YULIANTI - - - -
11,000 4,000 NOVI YULIANTI - - - -
11,000 4,000 NOVI YULIANTI - - - -
11,000 4,000 NOVI YULIANTI - - - -
11,000 4,000 NOVI YULIANTI - - - -
11,000 4,000 NOVI YULIANTI - - - -
11,000 4,000 NOVI YULIANTI - - - -
11,000 4,000 NOVI YULIANTI - - - -
11,000 4,000 NOVI YULIANTI 23,000 - - -
11,000 4,000 NOVI YULIANTI - - - -
11,000 4,000 NOVI YULIANTI - - - -
1,000 4,000 NOVI YULIANTI - - - -
11,000 4,000 NOVI YULIANTI - - - -
11,000 4,000 NOVI YULIANTI - - - -
11,000 4,000 NOVI YULIANTI - - - -
11,000 4,000 NOVI YULIANTI - - - -
11,000 4,000 H. ASEP MARYAMAN - - - -
11,000 4,000 H. ASEP MARYAMAN - - - -
11,000 4,000 H. ASEP MARYAMAN - - - -
11,000 4,000 H. ASEP MARYAMAN - - - -
1,000 4,000 H. ASEP MARYAMAN - - - -
11,000 4,000 H. ASEP MARYAMAN - - - -
11,000 4,000 H. ASEP MARYAMAN - - - -
11,000 4,000 H. ASEP MARYAMAN - - - -
11,000 4,000 H. ASEP MARYAMAN - - - -
11,000 4,000 H. ASEP MARYAMAN - - - -
11,000 4,000 H. ASEP MARYAMAN - - - -
11,000 4,000 H. ASEP MARYAMAN - - - -
11,000 4,000 H. ASEP MARYAMAN - - - -
- - PERIKSA KEBIDANAN - - - 32,500
11,000 4,000 H. ASEP MARYAMAN - - - -
- - PERIKSA KEBIDANAN - - - 32,500
11,000 4,000 H. ASEP MARYAMAN - - - -
11,000 4,000 H. ASEP MARYAMAN - - - -
11,000 4,000 H. ASEP MARYAMAN - - - -
11,000 4,000 H. ASEP MARYAMAN - - - -
11,000 4,000 H. ASEP MARYAMAN - - - -
11,000 4,000 H. ASEP MARYAMAN - - - -
11,000 4,000 H. ASEP MARYAMAN - - - -
11,000 4,000 H. ASEP MARYAMAN - - - -
11,000 4,000 H. ASEP MARYAMAN - - - -
11,000 4,000 H. ASEP MARYAMAN - - - -
11,000 4,000 H. ASEP MARYAMAN - - - -
11,000 4,000 H. ASEP MARYAMAN 66,000 - - -
11,000 4,000 H. ASEP MARYAMAN - - - -
11,000 4,000 H. ASEP MARYAMAN - - - -
11,000 4,000 H. ASEP MARYAMAN - - - -
11,000 4,000 WULAN WIDYAWATI 18,000 - - -
11,000 4,000 WULAN WIDYAWATI - - - -
1,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
- - PERIKSA KEBIDANAN - - - 35,000
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI 18,000 - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 ANDI HERMANSYAH - - - -
11,000 4,000 ANDI HERMANSYAH - - - -
11,000 4,000 ANDI HERMANSYAH - - - -
11,000 4,000 ANDI HERMANSYAH - - - -
11,000 4,000 ANDI HERMANSYAH - - - -
11,000 4,000 ANDI HERMANSYAH - - - -
11,000 4,000 ANDI HERMANSYAH - - - -
- - CEK LAB SAJA 115,000 - - -
11,000 4,000 ANDI HERMANSYAH - - -
- - PERIKSA KEBIDANAN - - - 42,500
1,000 4,000 ANDI HERMANSYAH - - - -
11,000 4,000 ANDI HERMANSYAH - - - -
11,000 4,000 ANDI HERMANSYAH - - - -
- - PERIKSA KEBIDANAN - - - 35,000
11,000 4,000 ANDI HERMANSYAH 25,000 - - -
11,000 4,000 ANDI HERMANSYAH 55,000 - - -
11,000 4,000 ANDI HERMANSYAH 18,000 - - -
11,000 4,000 ANDI HERMANSYAH - - - -
11,000 4,000 ANDI HERMANSYAH - - - -
11,000 4,000 ANDI HERMANSYAH - - - -
11,000 4,000 ANDI HERMANSYAH - - - -
11,000 4,000 ANDI HERMANSYAH - - - -
11,000 4,000 ANDI HERMANSYAH - - - -
11,000 4,000 ANDI HERMANSYAH - - - -
11,000 4,000 ANDI HERMANSYAH - - - -
11,000 4,000 WULAN WIDYAWATI 18,000 - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
1,000 4,000 ENCEP SUDARYANA - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI 80,000 - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI 43,000 - - -
- - PERIKSA KEBIDANAN - - - 26,700
1,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 NOVI YULIANTI 80,000 - - -
11,000 4,000 NOVI YULIANTI - - - -
11,000 4,000 NOVI YULIANTI - - - -
11,000 4,000 NOVI YULIANTI - - - -
11,000 4,000 NOVI YULIANTI - - - -
11,000 4,000 NOVI YULIANTI - - - -
11,000 4,000 NOVI YULIANTI - - - -
11,000 4,000 NOVI YULIANTI - - - -
11,000 4,000 NOVI YULIANTI - - - -
11,000 4,000 NOVI YULIANTI 25,000 - - -
11,000 4,000 NOVI YULIANTI - - - -
11,000 4,000 NOVI YULIANTI - - - -
11,000 4,000 NOVI YULIANTI - - - -
11,000 4,000 NOVI YULIANTI - - - -
11,000 4,000 NOVI YULIANTI - - - -
11,000 4,000 NOVI YULIANTI - - - -
11,000 4,000 NOVI YULIANTI - - - -
11,000 4,000 NOVI YULIANTI - - - -
- - PERIKSA KEBIDANAN - - - 30,000
11,000 4,000 NOVI YULIANTI - - - -
11,000 4,000 NOVI YULIANTI - - - -
11,000 4,000 NOVI YULIANTI - - - -
11,000 4,000 NOVI YULIANTI - - - -
11,000 4,000 NOVI YULIANTI - - - -
11,000 4,000 NOVI YULIANTI - - - -
1,000 4,000 NOVI YULIANTI - - - -
1,000 4,000 NOVI YULIANTI - - - -
11,000 4,000 NOVI YULIANTI - - - -
11,000 4,000 NOVI YULIANTI - - - -
11,000 4,000 NOVI YULIANTI - - - -
1,000 4,000 H. ASEP SANI SULAEMAN 84,000 - - -
5,000 - DETY NUR RACHMAWATI - - - -
1,000 4,000 H. ASEP SANI SULAEMAN - - - -
11,000 4,000 NOVI YULIANTI - - - -
11,000 4,000 NOVI YULIANTI 18,000 - - -
11,000 4,000 NOVI YULIANTI - - - -
11,000 4,000 NOVI YULIANTI - - - -
11,000 4,000 NOVI YULIANTI - - - -
11,000 4,000 NOVI YULIANTI - - - -
11,000 4,000 NOVI YULIANTI - - - -
11,000 4,000 NOVI YULIANTI - - - -
11,000 4,000 NOVI YULIANTI - - - -
11,000 4,000 NOVI YULIANTI - - - -
11,000 4,000 NOVI YULIANTI - - - -
11,000 4,000 NOVI YULIANTI 43,000 - - -
11,000 4,000 NOVI YULIANTI - - - -
11,000 4,000 NOVI YULIANTI - - - -
11,000 4,000 NOVI YULIANTI 35,000 - - -
11,000 4,000 NOVI YULIANTI - - - -
11,000 4,000 NOVI YULIANTI - - - -
11,000 4,000 NOVI YULIANTI - - - -
11,000 4,000 NOVI YULIANTI - - - -
11,000 4,000 NOVI YULIANTI - - - -
- - PERIKSA KEBIDANAN - - - 29,100
11,000 4,000 NOVI YULIANTI - - - -
11,000 4,000 NOVI YULIANTI - - - -
11,000 4,000 NOVI YULIANTI - - - -
11,000 4,000 NOVI YULIANTI - - - -
11,000 4,000 NOVI YULIANTI - - - -
11,000 4,000 NOVI YULIANTI - - - -
11,000 4,000 NOVI YULIANTI - - - -
11,000 4,000 NOVI YULIANTI - - - -
11,000 4,000 NOVI YULIANTI - - - -
11,000 4,000 NOVI YULIANTI - - - -
11,000 4,000 NOVI YULIANTI - - - -
15,000 - PERIKSA KEBIDANAN - - - -
11,000 4,000 NOVI YULIANTI - - - -
11,000 4,000 NOVI YULIANTI - - - -
11,000 4,000 NOVI YULIANTI - - - -
11,000 4,000 NOVI YULIANTI - - - -
11,000 4,000 NOVI YULIANTI - - - -
11,000 4,000 NOVI YULIANTI - - - -
11,000 4,000 NOVI YULIANTI 66,000 - - -
11,000 4,000 NOVI YULIANTI 48,000 - - -
11,000 4,000 NOVI YULIANTI - - - -
1,000 4,000 NOVI YULIANTI - - - -
11,000 4,000 NOVI YULIANTI - - - -
- - PERIKSA KEBIDANAN - - - 49,000
11,000 4,000 NOVI YULIANTI - - - -
11,000 4,000 NOVI YULIANTI - - - -
11,000 4,000 NOVI YULIANTI - - - -
11,000 4,000 IWAN SUWARSA - - - -
11,000 4,000 IWAN SUWARSA - - - -
11,000 4,000 IWAN SUWARSA - - - -
11,000 4,000 IWAN SUWARSA - - - -
11,000 4,000 IWAN SUWARSA - - - -
11,000 4,000 IWAN SUWARSA - - - -
11,000 4,000 IWAN SUWARSA - - - -
11,000 4,000 IWAN SUWARSA - - - -
11,000 4,000 IWAN SUWARSA - - - -
11,000 4,000 IWAN SUWARSA - - - -
11,000 4,000 IWAN SUWARSA - - - -
11,000 4,000 IWAN SUWARSA - - - -
11,000 4,000 IWAN SUWARSA - - - -
11,000 4,000 IWAN SUWARSA - - - -
11,000 4,000 IWAN SUWARSA - - - -
11,000 4,000 IWAN SUWARSA - - - -
- - PERIKSA KEBIDANAN - - - 28,000
11,000 4,000 IWAN SUWARSA - - - -
11,000 4,000 IWAN SUWARSA - - - -
11,000 4,000 IWAN SUWARSA - - - -
11,000 4,000 IWAN SUWARSA - - - -
11,000 4,000 IWAN SUWARSA - - - -
11,000 4,000 IWAN SUWARSA - - - -
1,000 4,000 IWAN SUWARSA - - - -
11,000 4,000 IWAN SUWARSA 12,000 - - -
11,000 4,000 IWAN SUWARSA - - - -
11,000 4,000 IWAN SUWARSA 48,000 - - -
11,000 4,000 IWAN SUWARSA 25,000 - - -
1,000 4,000 H. ASEP MARYAMAN - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI 43,000 - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
- - PERIKSA KEBIDANAN - - - 43,600
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI 78,000 - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
1,000 4,000 WULAN WIDYAWATI - - - -
1,000 4,000 WULAN WIDYAWATI 60,000 - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 NOVI YULIANTI - - - -
11,000 4,000 NOVI YULIANTI - - - -
11,000 4,000 NOVI YULIANTI - - - -
11,000 4,000 NOVI YULIANTI - - - -
11,000 4,000 NOVI YULIANTI - - - -
11,000 4,000 NOVI YULIANTI - - - -
11,000 4,000 NOVI YULIANTI - - - -
11,000 4,000 NOVI YULIANTI - - - -
11,000 4,000 NOVI YULIANTI - - - -
11,000 4,000 NOVI YULIANTI - - - -
11,000 4,000 NOVI YULIANTI - - - -
11,000 4,000 NOVI YULIANTI - - - -
11,000 4,000 NOVI YULIANTI - - - -
11,000 4,000 NOVI YULIANTI - - - -
11,000 4,000 NOVI YULIANTI - - - -
11,000 4,000 NOVI YULIANTI - - - -
11,000 4,000 NOVI YULIANTI - - - -
11,000 4,000 NOVI YULIANTI - - - -
11,000 4,000 NOVI YULIANTI - - - -
11,000 4,000 NOVI YULIANTI - - - -
11,000 4,000 NOVI YULIANTI - - - -
11,000 4,000 NOVI YULIANTI 80,000 - - -
11,000 4,000 NOVI YULIANTI - - - -
11,000 4,000 NOVI YULIANTI - - - -
11,000 4,000 NOVI YULIANTI - - - -
11,000 4,000 NOVI YULIANTI - - - -
11,000 4,000 NOVI YULIANTI - - - -
11,000 4,000 NOVI YULIANTI - - - -
11,000 4,000 NOVI YULIANTI - - - -
11,000 4,000 NOVI YULIANTI - - - -
11,000 4,000 NOVI YULIANTI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
- - PERIKSA KEBIDANAN - - - 33,000
11,000 4,000 NOVI YULIANTI - - - -
- - PERIKSA KEBIDANAN - - - 18,800
11,000 4,000 NOVI YULIANTI 25,000 - - -
11,000 4,000 NOVI YULIANTI - - - -
11,000 4,000 NOVI YULIANTI - - - -
11,000 4,000 NOVI YULIANTI - - - -
11,000 4,000 NOVI YULIANTI - - - -
1,000 4,000 NOVI YULIANTI - - - -
11,000 4,000 NOVI YULIANTI - - - -
11,000 4,000 NOVI YULIANTI - - - -
11,000 4,000 NOVI YULIANTI - - - -
11,000 4,000 NOVI YULIANTI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
1,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI 25,000 - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
1,000 4,000 WULAN WIDYAWATI 158,000 - - -
11,000 4,000 WULAN WIDYAWATI - - - -
1,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
1,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
1,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 NOVI YULIANTI - - - -
11,000 4,000 NOVI YULIANTI - - - -
11,000 4,000 NOVI YULIANTI - - - -
11,000 4,000 NOVI YULIANTI - - - -
11,000 4,000 NOVI YULIANTI - - - -
11,000 4,000 NOVI YULIANTI - - - -
11,000 4,000 NOVI YULIANTI - - - -
11,000 4,000 NOVI YULIANTI - - - -
11,000 4,000 NOVI YULIANTI - - - -
11,000 4,000 NOVI YULIANTI - - - -
11,000 4,000 NOVI YULIANTI - - - -
11,000 4,000 NOVI YULIANTI 80,000 - - -
11,000 4,000 NOVI YULIANTI 66,000 - - -
1,000 4,000 NOVI YULIANTI - - - -
11,000 4,000 NOVI YULIANTI - - - -
11,000 4,000 NOVI YULIANTI - - - -
11,000 4,000 NOVI YULIANTI - - - -
11,000 4,000 NOVI YULIANTI 80,000 - - -
- - PERIKSA KEBIDANAN - - - 40,000
11,000 4,000 NOVI YULIANTI - - - -
11,000 4,000 NOVI YULIANTI - - - -
11,000 4,000 NOVI YULIANTI - - - -
11,000 4,000 NOVI YULIANTI - - - -
11,000 4,000 H. ASEP MARYAMAN - - - -
11,000 4,000 H. ASEP MARYAMAN - - - -
11,000 4,000 H. ASEP MARYAMAN - - - -
11,000 4,000 H. ASEP MARYAMAN - - - -
11,000 4,000 H. ASEP MARYAMAN - - - -
11,000 4,000 H. ASEP MARYAMAN - - - -
11,000 4,000 H. ASEP MARYAMAN 80,000 - - -
11,000 4,000 H. ASEP MARYAMAN - - - -
11,000 4,000 H. ASEP MARYAMAN - - - -
11,000 4,000 H. ASEP MARYAMAN 48,000 - - -
11,000 4,000 H. ASEP MARYAMAN - - - -
11,000 4,000 H. ASEP MARYAMAN - - - -
11,000 4,000 H. ASEP MARYAMAN 55,000 - - -
11,000 4,000 H. ASEP MARYAMAN - - - -
11,000 4,000 H. ASEP MARYAMAN - - - -
11,000 4,000 H. ASEP MARYAMAN - - - -
11,000 4,000 H. ASEP MARYAMAN - - - -
11,000 4,000 H. ASEP MARYAMAN - - - -
11,000 4,000 H. ASEP MARYAMAN - - - -
11,000 4,000 H. ASEP MARYAMAN - - - -
11,000 4,000 H. ASEP MARYAMAN - - - -
11,000 4,000 H. ASEP MARYAMAN - - - -
11,000 4,000 H. ASEP MARYAMAN - - - -
11,000 4,000 H. ASEP MARYAMAN - - - -
11,000 4,000 H. ASEP MARYAMAN - - - -
11,000 4,000 H. ASEP MARYAMAN - - - -
11,000 4,000 H. ASEP MARYAMAN - - - -
11,000 4,000 H. ASEP MARYAMAN - - - -
11,000 4,000 H. ASEP MARYAMAN - - - -
11,000 4,000 H. ASEP MARYAMAN - - - -
11,000 4,000 H. ASEP MARYAMAN - - - -
11,000 4,000 H. ASEP MARYAMAN - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI 18,000 - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI 75,000 - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
- - PERIKSA KEBIDANAN - - - 29,000
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
- - PERIKSA KEBIDANAN - - - 25,000
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
1,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 IWAN SUWARSA - - - -
11,000 4,000 IWAN SUWARSA - - - -
11,000 4,000 IWAN SUWARSA 41,000 - - -
11,000 4,000 IWAN SUWARSA 25,000 - - -
1,000 4,000 IWAN SUWARSA - - - -
11,000 4,000 IWAN SUWARSA - - - -
11,000 4,000 IWAN SUWARSA - - - -
11,000 4,000 IWAN SUWARSA - - - -
11,000 4,000 IWAN SUWARSA - - - -
11,000 4,000 IWAN SUWARSA - - - -
11,000 4,000 IWAN SUWARSA 25,000 - - -
11,000 4,000 IWAN SUWARSA 48,000 - - -
11,000 4,000 IWAN SUWARSA 96,000 - - -
11,000 4,000 IWAN SUWARSA - - - -
11,000 4,000 IWAN SUWARSA - - - -
11,000 4,000 IWAN SUWARSA - - - -
11,000 4,000 IWAN SUWARSA - - - -
11,000 4,000 IWAN SUWARSA - - - -
11,000 4,000 IWAN SUWARSA - - - -
11,000 4,000 IWAN SUWARSA - - - -
11,000 4,000 IWAN SUWARSA - - - -
11,000 4,000 H. THIA SILVANA - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
1,000 4,000 WULAN WIDYAWATI - - - -
1,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
1,000 4,000 WULAN WIDYAWATI - - - -
1,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI 18,000 - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI 18,000 - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI 66,000 - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
- - PERIKSA KEBIDANAN - - - 26,700
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI 60,000 - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
- - PERIKSA KEBIDANAN - - - 39,500
1,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI 23,000 - - -
11,000 4,000 WULAN WIDYAWATI - - - -
- - PERIKSA KEBIDANAN - - - 34,500
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI 80,000 - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
1,000 4,000 NOVI YULIANTI - - - -
5,000 - DETY NUR RACHMAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI 20,000 - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
1,000 4,000 WULAN WIDYAWATI 84,000 - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI 140,000 - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 H. THIA SILVANA - - - -
11,000 4,000 H. THIA SILVANA - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 H. THIA SILVANA - - - -
11,000 4,000 H. THIA SILVANA - - - -
11,000 4,000 H. THIA SILVANA - - - -
11,000 4,000 H. THIA SILVANA - - - -
11,000 4,000 H. THIA SILVANA - - - -
11,000 4,000 H. THIA SILVANA - - - -
11,000 4,000 H. THIA SILVANA 80,000 - - -
11,000 4,000 H. THIA SILVANA - - - -
11,000 4,000 H. THIA SILVANA - - - -
11,000 4,000 H. THIA SILVANA - - - -
11,000 4,000 H. THIA SILVANA - - - -
11,000 4,000 H. THIA SILVANA - - - -
11,000 4,000 H. THIA SILVANA - - - -
11,000 4,000 H. THIA SILVANA - - - -
11,000 4,000 H. THIA SILVANA - - - -
11,000 4,000 H. THIA SILVANA - - - -
11,000 4,000 H. THIA SILVANA 80,000 - - -
11,000 4,000 H. THIA SILVANA - - - -
11,000 4,000 H. THIA SILVANA - - - -
11,000 4,000 H. THIA SILVANA - - - -
11,000 4,000 H. THIA SILVANA - - - -
11,000 4,000 H. THIA SILVANA - - - -
11,000 4,000 H. THIA SILVANA - - - -
11,000 4,000 H. THIA SILVANA - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
- - PERIKSA KEBIDANAN - - - 52,000
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
- - PERIKSA KEBIDANAN - - - 26,000
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI 43,000 - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 NOVI YULIANTI - - - -
11,000 4,000 NOVI YULIANTI - - - -
11,000 4,000 NOVI YULIANTI - - - -
11,000 4,000 NOVI YULIANTI 80,000 - - -
11,000 4,000 NOVI YULIANTI - - - -
11,000 4,000 NOVI YULIANTI - - - -
11,000 4,000 NOVI YULIANTI - - - -
11,000 4,000 NOVI YULIANTI - - - -
11,000 4,000 NOVI YULIANTI - - - -
11,000 4,000 NOVI YULIANTI - - - -
11,000 4,000 NOVI YULIANTI - - - -
11,000 4,000 NOVI YULIANTI - - - -
11,000 4,000 NOVI YULIANTI 25,000 - - -
11,000 4,000 NOVI YULIANTI - - - -
11,000 4,000 NOVI YULIANTI - - - -
11,000 4,000 NOVI YULIANTI - - - -
11,000 4,000 NOVI YULIANTI - - - -
11,000 4,000 NOVI YULIANTI - - - -
11,000 4,000 NOVI YULIANTI - - - -
11,000 4,000 NOVI YULIANTI - - - -
11,000 4,000 NOVI YULIANTI - - - -
11,000 4,000 NOVI YULIANTI - - - -
1,000 4,000 NOVI YULIANTI - - - -
11,000 4,000 NOVI YULIANTI - - - -
11,000 4,000 NOVI YULIANTI - - - -
1,000 4,000 NOVI YULIANTI - - - -
11,000 4,000 NOVI YULIANTI - - - -
11,000 4,000 NOVI YULIANTI - - - -
11,000 4,000 NOVI YULIANTI - - - -
11,000 4,000 NOVI YULIANTI - - - -
11,000 4,000 NOVI YULIANTI - - - -
11,000 4,000 NOVI YULIANTI - - - -
11,000 4,000 NOVI YULIANTI 80,000 - - -
11,000 4,000 NOVI YULIANTI - - - -
1,000 4,000 NOVI YULIANTI 43,000 - - -
11,000 4,000 NOVI YULIANTI - - - -
11,000 4,000 NOVI YULIANTI - - - -
11,000 4,000 NOVI YULIANTI - - - -
- - PERIKSAKEBIDANAN - - - 33,000
11,000 4,000 NOVI YULIANTI - - - -
11,000 4,000 NOVI YULIANTI - - - -
11,000 4,000 NOVI YULIANTI - - - -
11,000 4,000 NOVI YULIANTI - - - -
11,000 4,000 NOVI YULIANTI - - - -
11,000 4,000 NOVI YULIANTI - - - -
11,000 4,000 NOVI YULIANTI - - - -
11,000 4,000 NOVI YULIANTI - - - -
11,000 4,000 NOVI YULIANTI - - - -
11,000 4,000 NOVI YULIANTI - - - -
11,000 4,000 NOVI YULIANTI - - - -
11,000 4,000 NOVI YULIANTI - - - -
11,000 4,000 NOVI YULIANTI - - - -
11,000 4,000 NOVI YULIANTI - - - -
11,000 4,000 NOVI YULIANTI 66,000 - - -
11,000 4,000 NOVI YULIANTI - - - -
11,000 4,000 NOVI YULIANTI - - - -
11,000 4,000 NOVI YULIANTI - - - -
11,000 4,000 NOVI YULIANTI - - - -
1,000 4,000 NOVI YULIANTI - - - -
11,000 4,000 NOVI YULIANTI - - - -
11,000 4,000 NOVI YULIANTI - - - -
11,000 4,000 NOVI YULIANTI - - - -
11,000 4,000 NOVI YULIANTI - - - -
11,000 4,000 NOVI YULIANTI - - - -
11,000 4,000 NOVI YULIANTI - - - -
11,000 4,000 NOVI YULIANTI 80,000 - - -
1,000 4,000 NOVI YULIANTI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
- - PERIKSAKEBIDANAN - - - 33,000
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
1,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 H. THIA SILVANA - - - -
11,000 4,000 H. THIA SILVANA - - - -
11,000 4,000 NOVI YULIANTI - - - -
11,000 4,000 NOVI YULIANTI - - - -
11,000 4,000 NOVI YULIANTI - - - -
11,000 4,000 NOVI YULIANTI - - - -
11,000 4,000 NOVI YULIANTI - - - -
11,000 4,000 NOVI YULIANTI - - - -
11,000 4,000 NOVI YULIANTI 25,000 - - -
- - PERIKSA KEBIDANAN - - - 32,500
11,000 4,000 NOVI YULIANTI - - - -
11,000 4,000 NOVI YULIANTI - - - -
11,000 4,000 NOVI YULIANTI - - - -
11,000 4,000 NOVI YULIANTI - - - -
11,000 4,000 NOVI YULIANTI - - - -
11,000 4,000 NOVI YULIANTI - - - -
11,000 4,000 NOVI YULIANTI - - - -
11,000 4,000 NOVI YULIANTI 80,000 - - -
11,000 4,000 NOVI YULIANTI - - - -
11,000 4,000 NOVI YULIANTI - - - -
11,000 4,000 NOVI YULIANTI - - - -
11,000 4,000 NOVI YULIANTI - - - -
11,000 4,000 NOVI YULIANTI - - - -
11,000 4,000 NOVI YULIANTI - - - -
11,000 4,000 NOVI YULIANTI - - - -
11,000 4,000 NOVI YULIANTI - - - -
11,000 4,000 NOVI YULIANTI - - - -
1,000 4,000 NOVI YULIANTI - - - -
11,000 4,000 H. ASEP MARYAMAN - - - -
11,000 4,000 H. ASEP MARYAMAN - - - -
11,000 4,000 H. ASEP MARYAMAN - - - -
- - PERIKSA KEBIDANAN - - - 29,000
11,000 4,000 H. ASEP MARYAMAN - - - -
11,000 4,000 H. ASEP MARYAMAN - - - -
11,000 4,000 H. ASEP MARYAMAN - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI 48,000 - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI 30,000 - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI 18,000 - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 ANDI HERMANSYAH - - - -
11,000 4,000 ANDI HERMANSYAH - - - -
11,000 4,000 ANDI HERMANSYAH - - - -
11,000 4,000 ANDI HERMANSYAH - - - -
11,000 4,000 ANDI HERMANSYAH - - - -
11,000 4,000 ANDI HERMANSYAH - - - -
11,000 4,000 ANDI HERMANSYAH - - - -
11,000 4,000 ANDI HERMANSYAH - - - -
11,000 4,000 ANDI HERMANSYAH - - - -
11,000 4,000 ANDI HERMANSYAH - - - -
11,000 4,000 ANDI HERMANSYAH - - - -
11,000 4,000 ANDI HERMANSYAH - - - -
11,000 4,000 ANDI HERMANSYAH - - - -
11,000 4,000 ANDI HERMANSYAH - - - -
11,000 4,000 ANDI HERMANSYAH - - - -
11,000 4,000 ANDI HERMANSYAH - - - -
11,000 4,000 ANDI HERMANSYAH - - - -
- - PERIKSA KEBIDANAN - - - 30,500
11,000 4,000 ANDI HERMANSYAH - - - -
11,000 4,000 ANDI HERMANSYAH - - - -
11,000 4,000 ANDI HERMANSYAH - - - -
11,000 4,000 ANDI HERMANSYAH - - - -
11,000 4,000 ANDI HERMANSYAH - - - -
11,000 4,000 ANDI HERMANSYAH - - - -
11,000 4,000 ANDI HERMANSYAH - - - -
11,000 4,000 ANDI HERMANSYAH - - - -
11,000 4,000 ANDI HERMANSYAH - - - -
11,000 4,000 ANDI HERMANSYAH - - - -
11,000 4,000 ANDI HERMANSYAH - - - -
11,000 4,000 ANDI HERMANSYAH - - - -
1,000 4,000 H. THIA SILVANA - - - -
11,000 4,000 WULAN WIDYAWATI 18,000 - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI 80,000 - - -
11,000 4,000 WULAN WIDYAWATI - - - -
- - PERIKSA KEBIDANAN - - - 30,000
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
- - PERIKSA KEBIDANAN - - - 36,000
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
11,000 4,000 WULAN WIDYAWATI - - - -
- - PERIKSA KEBIDANAN - - - 33,000
11,000 4,000 NOVI YULIANTI - - - -
11,000 4,000 NOVI YULIANTI - - - -
11,000 4,000 NOVI YULIANTI - - - -
11,000 4,000 NOVI YULIANTI - - - -
11,000 4,000 NOVI YULIANTI - - - -
11,000 4,000 NOVI YULIANTI - - - -
11,000 4,000 NOVI YULIANTI - - - -
11,000 4,000 NOVI YULIANTI 100,000 - - -
11,000 4,000 NOVI YULIANTI - - - -
11,000 4,000 NOVI YULIANTI - - - -
11,000 4,000 NOVI YULIANTI - - - -
11,000 4,000 NOVI YULIANTI - - - -
1,000 4,000 NOVI YULIANTI - - - -
11,000 4,000 NOVI YULIANTI - - - -
11,000 4,000 NOVI YULIANTI - - - -

15,771,000 5,984,000 - 6,986,000 - - 1,537,100


21,755,000
Jumlah Jenis Pasien Keterangan APOTEK LAB IGD
61,200 BPJS SUDAH DILAYANI
39,200 BPJS SUDAH DILAYANI
30,000 BPJS SUDAH DILAYANI
31,000 BPJS SUDAH DILAYANI
52,200 BPJS SUDAH DILAYANI 12,000
35,200 BPJS SUDAH DILAYANI
95,000 BPJS SUDAH DILAYANI
47,300 BPJS SUDAH DILAYANI
49,500 BPJS SUDAH DILAYANI
26,000 BPJS SUDAH DILAYANI
40,000 BPJS SUDAH DILAYANI
52,600 BPJS SUDAH DILAYANI
30,950 JAMSOSTEK SUDAH DILAYANI
15,000 ASKES SUDAH DILAYANI
40,200 BPJS SUDAH DILAYANI
44,400 BPJS SUDAH DILAYANI
36,000 BPJS SUDAH DILAYANI
37,900 UMUM/BPJS SUDAH DILAYANI
39,900 BPJS SUDAH DILAYANI
47,500 BPJS SUDAH DILAYANI
27,200 BPJS SUDAH DILAYANI
30,200 BPJS SUDAH DILAYANI
52,000 BPJS SUDAH DILAYANI 23,000
44,100 BPJS SUDAH DILAYANI
15,000 ASKES SUDAH DILAYANI
103,000 BPJS SUDAH DILAYANI 19,000
37,400 BPJS SUDAH DILAYANI
15,000 BPJS SUDAH DILAYANI
36,300 BPJS SUDAH DILAYANI
15,000 BPJS SUDAH DILAYANI
66,000 BPJS SUDAH DILAYANI
94,000 BPJS SUDAH DILAYANI 14,000
35,400 BPJS SUDAH DILAYANI
28,200 BPJS SUDAH DILAYANI
47,000 BPJS SUDAH DILAYANI
40,000 BPJS SUDAH DILAYANI
65,000 ASKES SUDAH DILAYANI 21,000
15,000 ASKES SUDAH DILAYANI
47,000 ASKES SUDAH DILAYANI
36,000 BPJS SUDAH DILAYANI
50,000 BPJS SUDAH DILAYANI
86,000 BPJS SUDAH DILAYANI 42,000
53,000 BPJS SUDAH DILAYANI
41,000 ASKES SUDAH DILAYANI
104,000 BPJS SUDAH DILAYANI 74,000
59,000 BPJS SUDAH DILAYANI
56,000 BPJS SUDAH DILAYANI
20,000 BPJS SUDAH DILAYANI
30,500 BPJS SUDAH DILAYANI
41,000 BPJS SUDAH DILAYANI
34,000 BPJS SUDAH DILAYANI
39,000 BPJS SUDAH DILAYANI
36,000 BPJS SUDAH DILAYANI
39,000 BPJS SUDAH DILAYANI
15,000 BPJS SUDAH DILAYANI
35,000 BPJS SUDAH DILAYANI 9,000
102,000 BPJS SUDAH DILAYANI 60,000
38,000 BPJS SUDAH DILAYANI
174,000 BPJS SUDAH DILAYANI 104,000
122,000 BPJS SUDAH DILAYANI 51,000
25,000 BPJS SUDAH DILAYANI
51,000 BPJS SUDAH DILAYANI
30,000 BPJS SUDAH DILAYANI
48,000 BPJS SUDAH DILAYANI
36,000 BPJS SUDAH DILAYANI
30,000 BPJS SUDAH DILAYANI
36,000 BPJS SUDAH DILAYANI
30,000 BPJS SUDAH DILAYANI
120,000 BPJS SUDAH DILAYANI 50,000
190,000 BPJS SUDAH DILAYANI 85,000
38,000 BPJS SUDAH DILAYANI
30,000 BPJS SUDAH DILAYANI
32,000 BPJS SUDAH DILAYANI
42,000 BPJS SUDAH DILAYANI
34,000 BPJS SUDAH DILAYANI
36,000 BPJS SUDAH DILAYANI
37,000 BPJS SUDAH DILAYANI
95,000 BPJS SUDAH DILAYANI 69,000
99,000 BPJS SUDAH DILAYANI 25,000
24,000 BPJS SUDAH DILAYANI
30,000 BPJS SUDAH DILAYANI
23,000 BPJS SUDAH DILAYANI
90,000 UMUM/BPJS SUDAH DILAYANI
29,000 BPJS SUDAH DILAYANI
73,000 BPJS SUDAH DILAYANI 34,000
41,000 BPJS SUDAH DILAYANI
32,100 BPJS SUDAH DILAYANI
30,000 BPJS SUDAH DILAYANI
37,000 BPJS SUDAH DILAYANI
31,000 BPJS SUDAH DILAYANI
38,600 BPJS SUDAH DILAYANI
45,900 BPJS SUDAH DILAYANI
41,600 BPJS SUDAH DILAYANI 23,000
61,100 BPJS SUDAH DILAYANI 23,000
52,500 BPJS SUDAH DILAYANI
59,600 BPJS SUDAH DILAYANI
49,100 BPJS SUDAH DILAYANI
56,800 BPJS SUDAH DILAYANI 23,000
30,000 BPJS SUDAH DILAYANI
93,000 ASKES SUDAH DILAYANI
73,000 BPJS SUDAH DILAYANI
32,400 BPJS SUDAH DILAYANI
31,400 BPJS SUDAH DILAYANI
21,500 BPJS SUDAH DILAYANI
24,400 BPJS SUDAH DILAYANI
25,000 BPJS SUDAH DILAYANI
45,400 BPJS SUDAH DILAYANI
81,900 BPJS SUDAH DILAYANI 25,000
99,000 BPJS SUDAH DILAYANI 25,000
37,800 BPJS SUDAH DILAYANI
33,000 BPJS SUDAH DILAYANI
55,000 BPJS SUDAH DILAYANI
74,700 ASKES SUDAH DILAYANI 25,000
44,000 BPJS SUDAH DILAYANI
66,000 BPJS SUDAH DILAYANI 48,000
38,000 BPJS SUDAH DILAYANI
118,500 BPJS SUDAH DILAYANI 48,000
45,000 BPJS SUDAH DILAYANI
48,000 BPJS SUDAH DILAYANI
31,500 BPJS SUDAH DILAYANI
51,000 BPJS SUDAH DILAYANI
43,100 BPJS SUDAH DILAYANI
43,100 BPJS SUDAH DILAYANI
43,100 BPJS SUDAH DILAYANI
54,500 BPJS SUDAH DILAYANI
62,200 BPJS SUDAH DILAYANI 15,000
43,000 BPJS SUDAH DILAYANI
39,400 BPJS SUDAH DILAYANI
45,500 BPJS SUDAH DILAYANI
44,000 ASKES SUDAH DILAYANI
38,500 BPJS SUDAH DILAYANI
19,500 BPJS SUDAH DILAYANI
27,200 BPJS SUDAH DILAYANI
51,500 BPJS SUDAH DILAYANI
27,200 BPJS SUDAH DILAYANI
48,000 BPJS SUDAH DILAYANI
30,000 BPJS SUDAH DILAYANI
31,000 BPJS SUDAH DILAYANI
38,000 BPJS SUDAH DILAYANI
36,500 BPJS SUDAH DILAYANI
47,000 BPJS SUDAH DILAYANI
45,000 BPJS SUDAH DILAYANI
48,400 BPJS SUDAH DILAYANI
22,000 BPJS SUDAH DILAYANI
55,400 BPJS SUDAH DILAYANI
35,000 BPJS SUDAH DILAYANI
136,000 BPJS SUDAH DILAYANI 25,000
43,000 BPJS SUDAH DILAYANI
15,000 BPJS SUDAH DILAYANI
98,000 BPJS SUDAH DILAYANI 48,000
12,300 BPJS SUDAH DILAYANI
38,400 BPJS SUDAH DILAYANI 18,000
32,800 BPJS SUDAH DILAYANI
50,000 BPJS SUDAH DILAYANI
49,500 BPJS SUDAH DILAYANI
35,600 BPJS SUDAH DILAYANI
15,000 BPJS SUDAH DILAYANI
42,600 BPJS SUDAH DILAYANI 16,000
23,700 BPJS SUDAH DILAYANI
50,300 BPJS SUDAH DILAYANI 19,000
51,500 BPJS SUDAH DILAYANI 21,000
34,900 BPJS SUDAH DILAYANI
44,000 BPJS SUDAH DILAYANI
27,900 BPJS SUDAH DILAYANI
52,000 BPJS SUDAH DILAYANI 21,000
55,000 BPJS SUDAH DILAYANI 11,000
33,000 BPJS SUDAH DILAYANI
42,000 BPJS SUDAH DILAYANI
72,000 BPJS SUDAH DILAYANI 57,000
31,000 BPJS SUDAH DILAYANI
31,000 BPJS SUDAH DILAYANI
79,000 BPJS SUDAH DILAYANI 52,000
15,000 BPJS SUDAH DILAYANI
41,000 BPJS SUDAH DILAYANI
29,000 BPJS SUDAH DILAYANI
32,000 BPJS SUDAH DILAYANI
40,000 BPJS SUDAH DILAYANI
50,000 BPJS SUDAH DILAYANI
37,000 BPJS SUDAH DILAYANI
36,000 BPJS SUDAH DILAYANI
45,000 BPJS SUDAH DILAYANI
30,100 BPJS SUDAH DILAYANI
15,000 BPJS SUDAH DILAYANI
31,500 BPJS SUDAH DILAYANI
35,900 BPJS SUDAH DILAYANI
54,000 BPJS SUDAH DILAYANI
118,750 ASKES SUDAH DILAYANI 25,000
38,200 BPJS SUDAH DILAYANI
35,000 ASKES SUDAH DILAYANI -
46,400 BPJS SUDAH DILAYANI
42,000 BPJS SUDAH DILAYANI
43,600 BPJS SUDAH DILAYANI
36,450 BPJS SUDAH DILAYANI
38,400 BPJS SUDAH DILAYANI
31,950 BPJS SUDAH DILAYANI
30,000 BPJS SUDAH DILAYANI
27,250 BPJS SUDAH DILAYANI
36,000 BPJS SUDAH DILAYANI
27,750 BPJS SUDAH DILAYANI
39,400 ASKES SUDAH DILAYANI
29,700 UMUM/BPJS SUDAH DILAYANI
39,500 BPJS SUDAH DILAYANI
35,100 BPJS SUDAH DILAYANI
31,000 BPJS SUDAH DILAYANI
32,600 BPJS SUDAH DILAYANI
39,000 BPJS SUDAH DILAYANI
49,000 BPJS SUDAH DILAYANI
41,250 BPJS SUDAH DILAYANI
32,950 BPJS SUDAH DILAYANI
34,600 BPJS SUDAH DILAYANI
34,600 BPJS SUDAH DILAYANI
101,700 BPJS SUDAH DILAYANI 48,000
31,400 BPJS SUDAH DILAYANI
30,000 BPJS SUDAH DILAYANI
58,000 BPJS SUDAH DILAYANI 34,000
50,600 BPJS SUDAH DILAYANI
40,000 BPJS SUDAH DILAYANI
80,000 BPJS SUDAH DILAYANI
38,100 UMUM/BPJS SUDAH DILAYANI - 73,000
49,900 BPJS SUDAH DILAYANI
59,600 ASKES SUDAH DILAYANI
48,400 BPJS SUDAH DILAYANI
34,700 BPJS SUDAH DILAYANI
96,000 BPJS SUDAH DILAYANI
32,500 BPJS SUDAH DILAYANI
45,900 BPJS SUDAH DILAYANI
23,200 UMUM/BPJS SUDAH DILAYANI
40,600 BPJS SUDAH DILAYANI
128,300 BPJS SUDAH DILAYANI 23,000 25,000
38,400 BPJS SUDAH DILAYANI
21,700 ASKES SUDAH DILAYANI
82,000 BPJS SUDAH DILAYANI 23,000 23,000
36,600 BPJS SUDAH DILAYANI
44,600 BPJS SUDAH DILAYANI
43,600 BPJS SUDAH DILAYANI
43,100 BPJS SUDAH DILAYANI
31,000 BPJS SUDAH DILAYANI
42,100 BPJS SUDAH DILAYANI
33,200 BPJS SUDAH DILAYANI
49,800 BPJS SUDAH DILAYANI
40,400 BPJS SUDAH DILAYANI
34,600 BPJS SUDAH DILAYANI
52,100 BPJS SUDAH DILAYANI 15,000
40,700 UMUM/BPJS SUDAH DILAYANI
36,900 BPJS SUDAH DILAYANI
43,000 BPJS SUDAH DILAYANI
18,500 BPJS SUDAH DILAYANI
40,600 BPJS SUDAH DILAYANI
30,900 BPJS SUDAH DILAYANI
31,150 BPJS SUDAH DILAYANI
44,900 BPJS SUDAH DILAYANI
62,000 BPJS SUDAH DILAYANI
130,100 BPJS SUDAH DILAYANI 23,000 25,000
26,000 BPJS SUDAH DILAYANI
32,500 BPJS SUDAH DILAYANI
41,800 BPJS SUDAH DILAYANI
49,600 BPJS SUDAH DILAYANI
30,000 BPJS SUDAH DILAYANI
33,000 BPJS SUDAH DILAYANI
39,000 BPJS SUDAH DILAYANI
42,500 BPJS SUDAH DILAYANI
49,000 BPJS SUDAH DILAYANI
38,000 ASKES SUDAH DILAYANI
44,900 ASKES SUDAH DILAYANI
48,100 BPJS SUDAH DILAYANI
15,000 BPJS SUDAH DILAYANI
50,800 BPJS SUDAH DILAYANI 21,000
50,200 BPJS SUDAH DILAYANI
42,000 BPJS SUDAH DILAYANI
81,750 BPJS SUDAH DILAYANI
42,000 BPJS SUDAH DILAYANI
46,000 BPJS SUDAH DILAYANI
39,000 BPJS SUDAH DILAYANI
190,000 BPJS SUDAH DILAYANI
87,900 BPJS SUDAH DILAYANI 51,000
16,800 BPJS SUDAH DILAYANI
34,000 BPJS SUDAH DILAYANI
34,000 BPJS SUDAH DILAYANI
20,000 BPJS SUDAH DILAYANI
30,000 BPJS SUDAH DILAYANI
38,000 BPJS SUDAH DILAYANI
49,000 BPJS SUDAH DILAYANI
49,000 BPJS SUDAH DILAYANI
117,000 BPJS SUDAH DILAYANI 21,000 60,000
31,000 BPJS SUDAH DILAYANI
27,000 BPJS SUDAH DILAYANI
43,000 BPJS SUDAH DILAYANI
36,000 BPJS SUDAH DILAYANI
29,000 BPJS SUDAH DILAYANI
38,000 BPJS SUDAH DILAYANI
42,000 BPJS SUDAH DILAYANI
32,000 BPJS SUDAH DILAYANI
63,000 BPJS SUDAH DILAYANI
52,000 BPJS SUDAH DILAYANI
31,000 BPJS SUDAH DILAYANI
34,000 BPJS SUDAH DILAYANI
39,000 UMUM/BPJS SUDAH DILAYANI
43,000 BPJS SUDAH DILAYANI 18,000
37,000 BPJS SUDAH DILAYANI
15,000 BPJS SUDAH DILAYANI
45,000 UMUM/BPJS SUDAH DILAYANI
32,000 BPJS SUDAH DILAYANI
39,000 UMUM/BPJS SUDAH DILAYANI
46,000 BPJS SUDAH DILAYANI
21,000 BPJS SUDAH DILAYANI
29,000 BPJS SUDAH DILAYANI
30,000 BPJS SUDAH DILAYANI
14,000 BPJS SUDAH DILAYANI
38,000 BPJS SUDAH DILAYANI
22,000 ASKES SUDAH DILAYANI
39,000 BPJS SUDAH DILAYANI 18,000
33,000 BPJS SUDAH DILAYANI
40,000 BPJS SUDAH DILAYANI
136,000 BPJS SUDAH DILAYANI 57,000
44,000 BPJS SUDAH DILAYANI 12,000
37,000 BPJS SUDAH DILAYANI
46,800 BPJS SUDAH DILAYANI
45,000 BPJS SUDAH DILAYANI
32,200 JAMSOSTEK SUDAH DILAYANI
15,000 BPJS SUDAH DILAYANI
53,200 BPJS SUDAH DILAYANI
24,000 BPJS SUDAH DILAYANI
43,500 BPJS SUDAH DILAYANI
37,000 BPJS SUDAH DILAYANI
30,200 ASKES SUDAH DILAYANI
43,100 BPJS SUDAH DILAYANI
43,100 BPJS SUDAH DILAYANI
53,200 BPJS SUDAH DILAYANI
49,100 BPJS SUDAH DILAYANI
49,400 BPJS SUDAH DILAYANI
35,500 ASKES SUDAH DILAYANI
25,000 BPJS SUDAH DILAYANI
51,000 BPJS SUDAH DILAYANI 23,000
61,600 BPJS SUDAH DILAYANI
40,600 BPJS SUDAH DILAYANI
34,600 BPJS SUDAH DILAYANI
50,100 BPJS SUDAH DILAYANI
46,400 BPJS SUDAH DILAYANI
25,600 BPJS SUDAH DILAYANI
31,000 BPJS SUDAH DILAYANI
27,750 BPJS SUDAH DILAYANI
44,500 ASKES SUDAH DILAYANI
42,150 BPJS SUDAH DILAYANI
31,500 BPJS SUDAH DILAYANI
37,550 BPJS SUDAH DILAYANI
43,100 JAMSOSTEK SUDAH DILAYANI
15,000 BPJS SUDAH DILAYANI
43,000 BPJS SUDAH DILAYANI
35,000 BPJS SUDAH DILAYANI
46,000 BPJS SUDAH DILAYANI
29,000 BPJS SUDAH DILAYANI
38,000 BPJS SUDAH DILAYANI
47,000 BPJS SUDAH DILAYANI
48,000 ASKES SUDAH DILAYANI
35,000 BPJS SUDAH DILAYANI
39,000 BPJS SUDAH DILAYANI
49,000 BPJS SUDAH DILAYANI
39,000 BPJS SUDAH DILAYANI
39,000 BPJS SUDAH DILAYANI
37,000 BPJS SUDAH DILAYANI
130,000 BPJS SUDAH DILAYANI 25,000
38,000 BPJS SUDAH DILAYANI
43,000 BPJS SUDAH DILAYANI
82,000 BPJS SUDAH DILAYANI 48,000
41,000 BPJS SUDAH DILAYANI
38,000 BPJS SUDAH DILAYANI
38,000 BPJS SUDAH DILAYANI
39,000 BPJS SUDAH DILAYANI
118,000 BPJS SUDAH DILAYANI 25,000
57,000 ASKES SUDAH DILAYANI
37,000 BPJS SUDAH DILAYANI
15,000 BPJS SUDAH DILAYANI
94,000 BPJS SUDAH DILAYANI
38,000 BPJS SUDAH DILAYANI
46,000 BPJS SUDAH DILAYANI
39,000 BPJS SUDAH DILAYANI
40,000 BPJS SUDAH DILAYANI
35,000 BPJS SUDAH DILAYANI
35,000 BPJS SUDAH DILAYANI
44,000 BPJS SUDAH DILAYANI
43,000 BPJS SUDAH DILAYANI
15,000 BPJS SUDAH DILAYANI 23,000 98,000
126,000 BPJS SUDAH DILAYANI
38,000 BPJS SUDAH DILAYANI
40,000 BPJS SUDAH DILAYANI
57,000 BPJS SUDAH DILAYANI 33,000
47,000 BPJS SUDAH DILAYANI
30,000 BPJS SUDAH DILAYANI
28,000 BPJS SUDAH DILAYANI
31,000 BPJS SUDAH DILAYANI
41,000 BPJS SUDAH DILAYANI
44,000 BPJS SUDAH DILAYANI
53,000 BPJS SUDAH DILAYANI
174,000 ASKES SUDAH DILAYANI 136,000
34,000 BPJS SUDAH DILAYANI
43,000 BPJS SUDAH DILAYANI
46,000 BPJS SUDAH DILAYANI
64,000 BPJS SUDAH DILAYANI 23,000
15,000 BPJS SUDAH DILAYANI
33,000 BPJS SUDAH DILAYANI
42,000 BPJS SUDAH DILAYANI
40,000 BPJS SUDAH DILAYANI
32,000 BPJS SUDAH DILAYANI
40,000 BPJS SUDAH DILAYANI
107,000 BPJS SUDAH DILAYANI 40,000
35,000 ASKES SUDAH DILAYANI
43,000 BPJS SUDAH DILAYANI
15,000 BPJS SUDAH DILAYANI
124,000 BPJS SUDAH DILAYANI 25,000
32,000 BPJS SUDAH DILAYANI
16,000 BPJS SUDAH DILAYANI
36,000 BPJS SUDAH DILAYANI
89,000 BPJS SUDAH DILAYANI 16,000 48,000
27,000 BPJS SUDAH DILAYANI
47,000 BPJS SUDAH DILAYANI
33,000 BPJS SUDAH DILAYANI
25,000 BPJS SUDAH DILAYANI
15,000 BPJS SUDAH DILAYANI
37,000 BPJS SUDAH DILAYANI
35,000 BPJS SUDAH DILAYANI
43,400 BPJS SUDAH DILAYANI
34,200 BPJS SUDAH DILAYANI
43,000 ASKES SUDAH DILAYANI
33,750 BPJS SUDAH DILAYANI
33,500 BPJS SUDAH DILAYANI
54,500 BPJS SUDAH DILAYANI
42,750 BPJS SUDAH DILAYANI
153,000 BPJS SUDAH DILAYANI 23,000
52,500 BPJS SUDAH DILAYANI
42,000 BPJS SUDAH DILAYANI
113,500 BPJS SUDAH DILAYANI 55,000
125,000 BPJS SUDAH DILAYANI - 70,000
36,600 BPJS SUDAH DILAYANI
45,000 BPJS SUDAH DILAYANI
45,000 BPJS SUDAH DILAYANI
42,000 BPJS SUDAH DILAYANI
36,000 BPJS SUDAH DILAYANI
41,700 BPJS SUDAH DILAYANI
36,000 BPJS SUDAH DILAYANI
33,600 BPJS SUDAH DILAYANI
30,000 BPJS SUDAH DILAYANI
45,300 BPJS SUDAH DILAYANI
55,000 BPJS SUDAH DILAYANI 21,000
22,000 BPJS SUDAH DILAYANI
31,000 BPJS SUDAH DILAYANI
173,000 BPJS SUDAH DILAYANI 71,000 25,000
144,000 BPJS SUDAH DILAYANI 17,000 83,000
52,000 BPJS SUDAH DILAYANI
40,000 UMUM/BPJS SUDAH DILAYANI 9,000
36,000 BPJS SUDAH DILAYANI
39,000 BPJS SUDAH DILAYANI
42,000 BPJS SUDAH DILAYANI
26,000 BPJS SUDAH DILAYANI
38,000 BPJS SUDAH DILAYANI
15,000 BPJS SUDAH DILAYANI
41,000 BPJS SUDAH DILAYANI
48,000 BPJS SUDAH DILAYANI
15,000 BPJS SUDAH DILAYANI
23,000 BPJS SUDAH DILAYANI
39,000 BPJS SUDAH DILAYANI
15,000 BPJS SUDAH DILAYANI
50,000 BPJS SUDAH DILAYANI 13,000
14,000 BPJS SUDAH DILAYANI
40,000 BPJS SUDAH DILAYANI
27,000 BPJS SUDAH DILAYANI
32,000 BPJS SUDAH DILAYANI
37,000 BPJS SUDAH DILAYANI
29,600 BPJS SUDAH DILAYANI
37,500 BPJS SUDAH DILAYANI
41,000 BPJS SUDAH DILAYANI
13,300 BPJS SUDAH DILAYANI
38,000 BPJS SUDAH DILAYANI
33,100 BPJS SUDAH DILAYANI
22,000 BPJS SUDAH DILAYANI
21,500 BPJS SUDAH DILAYANI
15,000 ASKES SUDAH DILAYANI
46,400 BPJS SUDAH DILAYANI
99,000 BPJS SUDAH DILAYANI 25,000
90,200 BPJS SUDAH DILAYANI 47,000
41,600 BPJS SUDAH DILAYANI
43,700 BPJS SUDAH DILAYANI
37,000 BPJS SUDAH DILAYANI
31,500 BPJS SUDAH DILAYANI
15,000 BPJS SUDAH DILAYANI
124,000 ASKES SUDAH DILAYANI 48,000
39,000 BPJS SUDAH DILAYANI
46,400 ASKES SUDAH DILAYANI
15,000 BPJS SUDAH DILAYANI
43,900 BPJS SUDAH DILAYANI
38,400 BPJS SUDAH DILAYANI
32,500 BPJS SUDAH DILAYANI
47,200 BPJS SUDAH DILAYANI
32,200 BPJS SUDAH DILAYANI
39,300 ASKES SUDAH DILAYANI 2,000
91,000 BPJS SUDAH DILAYANI 60,000
30,000 UMUM/BPJS SUDAH DILAYANI
39,900 UMUM/BPJS SUDAH DILAYANI 17,000
44,600 ASKES SUDAH DILAYANI
70,000 UMUM/BPJS SUDAH DILAYANI
87,000 BPJS SUDAH DILAYANI 25,000
43,200 BPJS SUDAH DILAYANI
36,700 BPJS SUDAH DILAYANI
30,000 BPJS SUDAH DILAYANI
38,600 BPJS SUDAH DILAYANI
115,000 BPJS SUDAH DILAYANI 25,000
33,500 BPJS SUDAH DILAYANI
62,050 BPJS SUDAH DILAYANI 28,000
45,900 BPJS SUDAH DILAYANI
23,000 BPJS SUDAH DILAYANI
76,800 BPJS SUDAH DILAYANI 47,000
15,000 BPJS SUDAH DILAYANI
39,400 BPJS SUDAH DILAYANI
15,000 BPJS SUDAH DILAYANI
41,000 ASKES SUDAH DILAYANI
39,000 BPJS SUDAH DILAYANI
15,000 BPJS SUDAH DILAYANI
41,400 BPJS SUDAH DILAYANI
101,000 BPJS SUDAH DILAYANI 22,000
47,400 BPJS SUDAH DILAYANI
38,000 BPJS SUDAH DILAYANI
46,200 BPJS SUDAH DILAYANI
15,000 BPJS SUDAH DILAYANI
39,000 BPJS SUDAH DILAYANI
29,500 BPJS SUDAH DILAYANI
15,000 BPJS SUDAH DILAYANI
47,000 BPJS SUDAH DILAYANI
52,100 BPJS SUDAH DILAYANI
15,000 BPJS SUDAH DILAYANI
34,300 BPJS SUDAH DILAYANI 13,000
44,000 BPJS SUDAH DILAYANI
42,000 BPJS SUDAH DILAYANI
46,000 UMUM/BPJS SUDAH DILAYANI
136,000 BPJS SUDAH DILAYANI 66,000
46,400 BPJS SUDAH DILAYANI
41,500 BPJS SUDAH DILAYANI
42,800 BPJS SUDAH DILAYANI
87,700 BPJS SUDAH DILAYANI 57,000
33,200 BPJS SUDAH DILAYANI
46,000 UMUM/BPJS SUDAH DILAYANI 24,000
47,000 BPJS SUDAH DILAYANI 21,000
80,000 BPJS SUDAH DILAYANI
38,700 BPJS SUDAH DILAYANI
46,400 BPJS SUDAH DILAYANI
50,500 BPJS SUDAH DILAYANI 20,000
31,700 BPJS SUDAH DILAYANI
33,500 BPJS SUDAH DILAYANI
23,800 BPJS SUDAH DILAYANI
66,000 BPJS SUDAH DILAYANI
49,500 BPJS SUDAH DILAYANI
15,000 BPJS SUDAH DILAYANI
38,750 BPJS SUDAH DILAYANI
37,000 BPJS SUDAH DILAYANI
43,400 BPJS SUDAH DILAYANI
63,000 BPJS SUDAH DILAYANI
45,100 BPJS SUDAH DILAYANI
38,400 ASKES SUDAH DILAYANI
23,000 BPJS SUDAH DILAYANI
27,000 BPJS SUDAH DILAYANI
42,600 BPJS SUDAH DILAYANI 5,000
29,500 BPJS SUDAH DILAYANI
36,800 BPJS SUDAH DILAYANI
15,000 BPJS SUDAH DILAYANI ,
15,000 BPJS SUDAH DILAYANI
47,500 BPJS SUDAH DILAYANI
41,200 BPJS SUDAH DILAYANI
15,000 BPJS SUDAH DILAYANI
86,500 BPJS SUDAH DILAYANI 13,000 48,000
34,000 BPJS SUDAH DILAYANI
33,000 BPJS SUDAH DILAYANI
37,000 BPJS SUDAH DILAYANI
15,000 ASKES SUDAH DILAYANI
38,300 BPJS SUDAH DILAYANI
65,800 BPJS SUDAH DILAYANI
37,800 BPJS SUDAH DILAYANI
45,000 BPJS SUDAH DILAYANI
15,000 BPJS SUDAH DILAYANI
15,000 BPJS SUDAH DILAYANI
39,000 BPJS SUDAH DILAYANI
36,000 BPJS SUDAH DILAYANI
43,100 BPJS SUDAH DILAYANI
31,600 BPJS SUDAH DILAYANI
37,400 BPJS SUDAH DILAYANI
148,000 BPJS SUDAH DILAYANI 31,000 25,000
55,900 BPJS SUDAH DILAYANI
37,700 BPJS SUDAH DILAYANI
43,400 BPJS SUDAH DILAYANI
15,000 BPJS SUDAH DILAYANI
45,200 UMUM/BPJS SUDAH DILAYANI
44,500 BPJS SUDAH DILAYANI
39,400 BPJS SUDAH DILAYANI
46,600 BPJS SUDAH DILAYANI
48,200 BPJS SUDAH DILAYANI
15,000 BPJS SUDAH DILAYANI
34,000 BPJS SUDAH DILAYANI
15,000 BPJS SUDAH DILAYANI
44,000 BPJS SUDAH DILAYANI
42,000 BPJS SUDAH DILAYANI
37,000 BPJS SUDAH DILAYANI
15,000 BPJS SUDAH DILAYANI
37,000 BPJS SUDAH DILAYANI
53,000 BPJS SUDAH DILAYANI 28,000
37,000 BPJS SUDAH DILAYANI
53,000 BPJS SUDAH DILAYANI
55,000 BPJS SUDAH DILAYANI 19,000
51,000 BPJS SUDAH DILAYANI
32,000 BPJS SUDAH DILAYANI
35,000 BPJS SUDAH DILAYANI
90,000 BPJS SUDAH DILAYANI
49,000 UMUM/BPJS SUDAH DILAYANI
30,000 BPJS SUDAH DILAYANI
35,000 BPJS SUDAH DILAYANI
34,200 BPJS SUDAH DILAYANI
191,400 BPJS SUDAH DILAYANI 19,000
54,800 BPJS SUDAH DILAYANI 25,000
41,400 BPJS SUDAH DILAYANI
15,000 BPJS SUDAH DILAYANI
15,000 BPJS SUDAH DILAYANI
32,800 BPJS SUDAH DILAYANI
59,200 BPJS SUDAH DILAYANI 21,000
40,800 BPJS SUDAH DILAYANI
31,350 BPJS SUDAH DILAYANI
42,500 BPJS SUDAH DILAYANI
44,500 BPJS SUDAH DILAYANI
36,000 BPJS SUDAH DILAYANI
31,800 BPJS SUDAH DILAYANI
47,000 BPJS SUDAH DILAYANI
44,500 BPJS SUDAH DILAYANI
39,400 BPJS SUDAH DILAYANI
43,600 BPJS SUDAH DILAYANI
42,100 BPJS SUDAH DILAYANI
33,000 BPJS SUDAH DILAYANI
54,300 BPJS SUDAH DILAYANI
37,500 BPJS SUDAH DILAYANI
42,800 BPJS SUDAH DILAYANI
34,200 BPJS SUDAH DILAYANI
41,600 BPJS SUDAH DILAYANI
38,000 BPJS SUDAH DILAYANI
37,900 BPJS SUDAH DILAYANI
42,800 BPJS SUDAH DILAYANI
66,500 BPJS SUDAH DILAYANI
34,000 BPJS SUDAH DILAYANI
43,900 BPJS SUDAH DILAYANI
33,000 BPJS SUDAH DILAYANI
42,400 BPJS SUDAH DILAYANI
49,600 BPJS SUDAH DILAYANI
42,000 BPJS SUDAH DILAYANI
38,000 BPJS SUDAH DILAYANI
29,000 BPJS SUDAH DILAYANI
44,000 BPJS SUDAH DILAYANI
45,000 BPJS SUDAH DILAYANI 8,000
42,200 BPJS SUDAH DILAYANI 8,000
43,000 UMUM/BPJS SUDAH DILAYANI -
24,000 BPJS SUDAH DILAYANI
38,000 BPJS SUDAH DILAYANI
35,000 BPJS SUDAH DILAYANI
8,000 BPJS SUDAH DILAYANI
90,000 BPJS SUDAH DILAYANI
29,000 BPJS SUDAH DILAYANI
39,000 BPJS SUDAH DILAYANI 25,000
14,000 BPJS SUDAH DILAYANI
31,000 BPJS SUDAH DILAYANI
32,000 BPJS SUDAH DILAYANI
32,000 BPJS SUDAH DILAYANI
30,000 BPJS SUDAH DILAYANI
33,500 BPJS SUDAH DILAYANI
95,000 UMUM/BPJS SUDAH DILAYANI 25,000
30,000 BPJS SUDAH DILAYANI
105,000 BPJS SUDAH DILAYANI 20,000
37,000 BPJS SUDAH DILAYANI
42,000 BPJS SUDAH DILAYANI
22,000 BPJS SUDAH DILAYANI
43,000 BPJS SUDAH DILAYANI
33,000 BPJS SUDAH DILAYANI
45,000 BPJS SUDAH DILAYANI
58,000 BPJS SUDAH DILAYANI 19,000
110,000 BPJS SUDAH DILAYANI 60,000
44,000 BPJS SUDAH DILAYANI
40,000 BPJS SUDAH DILAYANI
39,800 BPJS SUDAH DILAYANI
28,000 BPJS SUDAH DILAYANI
44,000 BPJS SUDAH DILAYANI
38,000 BPJS SUDAH DILAYANI
30,000 BPJS SUDAH DILAYANI
43,000 BPJS SUDAH DILAYANI
23,000 BPJS SUDAH DILAYANI
29,000 BPJS SUDAH DILAYANI
28,000 BPJS SUDAH DILAYANI
138,000 BPJS SUDAH DILAYANI 54,000
52,000 BPJS SUDAH DILAYANI
39,000 BPJS SUDAH DILAYANI
43,000 BPJS SUDAH DILAYANI
15,000 ASKES SUDAH DILAYANI
53,000 BPJS SUDAH DILAYANI 23,000
15,000 BPJS SUDAH DILAYANI
35,000 BPJS SUDAH DILAYANI
14,000 BPJS SUDAH DILAYANI
40,000 ASKES SUDAH DILAYANI
37,950 BPJS SUDAH DILAYANI
33,000 BPJS SUDAH DILAYANI
35,250 ASKES SUDAH DILAYANI
34,700 BPJS SUDAH DILAYANI
38,400 BPJS SUDAH DILAYANI
40,700 BPJS SUDAH DILAYANI 8,000
38,400 BPJS SUDAH DILAYANI
36,000 BPJS SUDAH DILAYANI
34,400 BPJS SUDAH DILAYANI
39,400 BPJS SUDAH DILAYANI
39,100 BPJS SUDAH DILAYANI
100,000 BPJS SUDAH DILAYANI
36,700 BPJS SUDAH DILAYANI
36,000 BPJS SUDAH DILAYANI
36,000 BPJS SUDAH DILAYANI
45,200 BPJS SUDAH DILAYANI
32,500 BPJS SUDAH DILAYANI
36,500 BPJS SUDAH DILAYANI
32,500 BPJS SUDAH DILAYANI
36,500 BPJS SUDAH DILAYANI
36,300 BPJS SUDAH DILAYANI 17,000
39,400 BPJS SUDAH DILAYANI
40,600 BPJS SUDAH DILAYANI
31,300 BPJS SUDAH DILAYANI
36,400 ASKES SUDAH DILAYANI
35,000 BPJS SUDAH DILAYANI
24,000 BPJS SUDAH DILAYANI
37,000 BPJS SUDAH DILAYANI
38,500 BPJS SUDAH DILAYANI
39,600 BPJS SUDAH DILAYANI
97,300 BPJS SUDAH DILAYANI 48,000
42,300 BPJS SUDAH DILAYANI
33,000 BPJS SUDAH DILAYANI
41,000 ASKES SUDAH DILAYANI
92,000 BPJS SUDAH DILAYANI 42,000
80,000 BPJS SUDAH DILAYANI 39,000
31,000 BPJS SUDAH DILAYANI
40,000 BPJS SUDAH DILAYANI
30,000 BPJS SUDAH DILAYANI
35,000 BPJS SUDAH DILAYANI
24,000 BPJS SUDAH DILAYANI
33,000 BPJS SUDAH DILAYANI
47,000 BPJS SUDAH DILAYANI
28,000 BPJS SUDAH DILAYANI
35,000 BPJS SUDAH DILAYANI
140,000 BPJS SUDAH DILAYANI 45,000
36,000 BPJS SUDAH DILAYANI
35,000 BPJS SUDAH DILAYANI
42,000 BPJS SUDAH DILAYANI
44,000 BPJS SUDAH DILAYANI
42,000 BPJS SUDAH DILAYANI
30,000 JAMSOSTEK SUDAH DILAYANI
28,000 BPJS SUDAH DILAYANI
30,000 BPJS SUDAH DILAYANI
39,000 BPJS SUDAH DILAYANI
32,000 BPJS SUDAH DILAYANI
28,000 BPJS SUDAH DILAYANI
37,000 BPJS SUDAH DILAYANI
46,000 BPJS SUDAH DILAYANI
60,000 ASKES SUDAH DILAYANI
46,000 BPJS SUDAH DILAYANI
47,000 BPJS SUDAH DILAYANI
59,000 BPJS SUDAH DILAYANI
37,400 BPJS SUDAH DILAYANI
29,000 BPJS SUDAH DILAYANI
35,200 BPJS SUDAH DILAYANI
36,600 BPJS SUDAH DILAYANI
37,800 BPJS SUDAH DILAYANI
43,800 BPJS SUDAH DILAYANI
96,000 ASKES SUDAH DILAYANI 62,000
43,000 BPJS SUDAH DILAYANI
41,100 BPJS SUDAH DILAYANI
36,400 BPJS SUDAH DILAYANI
53,000 ASKES SUDAH DILAYANI
115,000 BPJS SUDAH DILAYANI 30000
41,150 BPJS SUDAH DILAYANI
42,500 BPJS SUDAH DILAYANI
22,000 BPJS SUDAH DILAYANI
56,600 BPJS SUDAH DILAYANI
40,900 BPJS SUDAH DILAYANI
35,000 BPJS SUDAH DILAYANI
68,500 BPJS SUDAH DILAYANI 25,000
122,000 BPJS SUDAH DILAYANI 21,000
54,750 BPJS SUDAH DILAYANI
41,250 BPJS SUDAH DILAYANI
97,300 BPJS SUDAH DILAYANI 57,000
44,400 BPJS SUDAH DILAYANI
40,400 BPJS SUDAH DILAYANI
47,000 ASKES SUDAH DILAYANI
62,000 BPJS SUDAH DILAYANI 21,000
61,000 BPJS SUDAH DILAYANI
44,000 BPJS SUDAH DILAYANI
60,400 ASKES SUDAH DILAYANI
38,000 BPJS SUDAH DILAYANI
36,000 BPJS SUDAH DILAYANI
44,000 BPJS SUDAH DILAYANI
60,100 BPJS SUDAH DILAYANI 16,000
36,000 BPJS SUDAH DILAYANI
15,000 BPJS SUDAH DILAYANI
26,700 BPJS SUDAH DILAYANI
32,350 BPJS SUDAH DILAYANI
42,800 BPJS SUDAH DILAYANI
26,200 BPJS SUDAH DILAYANI
36,700 BPJS SUDAH DILAYANI
38,200 BPJS SUDAH DILAYANI
38,100 BPJS SUDAH DILAYANI
38,200 BPJS SUDAH DILAYANI 9,000
39,000 JAMSOSTEK SUDAH DILAYANI
123,200 BPJS SUDAH DILAYANI 25,000
38,400 BPJS SUDAH DILAYANI
84,100 BPJS SUDAH DILAYANI 25,000
26,700 BPJS SUDAH DILAYANI
18,200 BPJS SUDAH DILAYANI
49,900 BPJS SUDAH DILAYANI
39,600 BPJS SUDAH DILAYANI
62,000 BPJS SUDAH DILAYANI
58,600 BPJS SUDAH DILAYANI
46,600 BPJS SUDAH DILAYANI
127,750 BPJS SUDAH DILAYANI 21,000 25,000
50,200 BPJS SUDAH DILAYANI 15,000
31,800 BPJS SUDAH DILAYANI
43,200 BPJS SUDAH DILAYANI
49,600 BPJS SUDAH DILAYANI
54,400 BPJS SUDAH DILAYANI
46,500 BPJS SUDAH DILAYANI
40,800 BPJS SUDAH DILAYANI
42,550 ASKES SUDAH DILAYANI 13,000
50,600 BPJS SUDAH DILAYANI 25,000
22,000 BPJS SUDAH DILAYANI
39,900 BPJS SUDAH DILAYANI
37,800 BPJS SUDAH DILAYANI
32,400 BPJS SUDAH DILAYANI
45,000 BPJS SUDAH DILAYANI
44,900 BPJS SUDAH DILAYANI
46,700 ASKES SUDAH DILAYANI
33,000 BPJS SUDAH DILAYANI
30,000 BPJS SUDAH DILAYANI
36,600 BPJS SUDAH DILAYANI
31,800 BPJS SUDAH DILAYANI
31,000 BPJS SUDAH DILAYANI
43,800 BPJS SUDAH DILAYANI
43,700 BPJS SUDAH DILAYANI
44,000 BPJS SUDAH DILAYANI
26,000 BPJS SUDAH DILAYANI
23,200 BPJS SUDAH DILAYANI
52,500 BPJS SUDAH DILAYANI
49,000 ASKES SUDAH DILAYANI
48,700 BPJS SUDAH DILAYANI
100,500 BPJS SUDAH DILAYANI 13,500
35,000 BPJS SUDAH DILAYANI
43,000 BPJS SUDAH DILAYANI
15,000 BPJS SUDAH DILAYANI
60,100 BPJS SUDAH DILAYANI
42,600 UMUM/BPJS SUDAH DILAYANI
52,100 BPJS SUDAH DILAYANI
46,500 BPJS SUDAH DILAYANI
15,000 UMUM/BPJS SUDAH DILAYANI
15,000 ASKES SUDAH DILAYANI
45,000 BPJS SUDAH DILAYANI
35,500 BPJS SUDAH DILAYANI
50,100 BPJS SUDAH DILAYANI
47,000 BPJS SUDAH DILAYANI
83,500 BPJS SUDAH DILAYANI 25,000
15,000 BPJS RI/SUDAH DILAYANI
31,800 BPJS SUDAH DILAYANI
86,500 BPJS SUDAH DILAYANI 28,000 35,000
45,000 BPJS SUDAH DILAYANI
55,500 BPJS SUDAH DILAYANI
15,000 BPJS SUDAH DILAYANI
50,100 BPJS SUDAH DILAYANI
15,000 BPJS SUDAH DILAYANI
29,100 BPJS SUDAH DILAYANI
15,000 ASKES SUDAH DILAYANI
30,200 BPJS SUDAH DILAYANI
35,700 BPJS SUDAH DILAYANI
87,800 BPJS SUDAH DILAYANI 65,000
37,400 BPJS SUDAH DILAYANI
53,400 BPJS SUDAH DILAYANI
39,400 BPJS SUDAH DILAYANI
31,000 BPJS SUDAH DILAYANI
52,500 BPJS SUDAH DILAYANI 21,000
28,500 BPJS SUDAH DILAYANI
46,600 BPJS SUDAH DILAYANI
27,400 BPJS SUDAH DILAYANI
47,400 BPJS SUDAH DILAYANI
43,700 BPJS SUDAH DILAYANI
43,500 BPJS SUDAH DILAYANI
40,500 BPJS SUDAH DILAYANI
48,800 BPJS SUDAH DILAYANI
45,400 BPJS SUDAH DILAYANI
108,400 BPJS SUDAH DILAYANI 48,000
99,600 BPJS SUDAH DILAYANI 19,000 48,000
46,000 BPJS SUDAH DILAYANI
34,000 BPJS SUDAH DILAYANI
24,000 BPJS SUDAH DILAYANI
49,000 BPJS SUDAH DILAYANI
30,500 BPJS SUDAH DILAYANI
42,200 BPJS SUDAH DILAYANI
15,000 BPJS SUDAH DILAYANI
53,000 BPJS SUDAH DILAYANI 18,000
47,000 BPJS SUDAH DILAYANI 18,000
42,000 BPJS SUDAH DILAYANI
66,000 BPJS SUDAH DILAYANI 19,000
55,000 BPJS SUDAH DILAYANI 18,000
74,000 BPJS SUDAH DILAYANI 44,000
37,000 BPJS SUDAH DILAYANI
38,000 BPJS SUDAH DILAYANI
43,000 BPJS SUDAH DILAYANI
48,000 BPJS SUDAH DILAYANI
45,000 BPJS SUDAH DILAYANI
15,000 BPJS SUDAH DILAYANI
45,000 BPJS SUDAH DILAYANI
45,000 BPJS SUDAH DILAYANI
40,000 BPJS SUDAH DILAYANI
38,000 UMUM/BPJS SUDAH DILAYANI
28,000 BPJS SUDAH DILAYANI
42,000 BPJS SUDAH DILAYANI
43,000 BPJS SUDAH DILAYANI
44,000 BPJS SUDAH DILAYANI
49,000 BPJS SUDAH DILAYANI 19,000
44,000 BPJS SUDAH DILAYANI
37,000 BPJS SUDAH DILAYANI
31,000 BPJS SUDAH DILAYANI
37,000 BPJS SUDAH DILAYANI
26,000 BPJS SUDAH DILAYANI
106,000 BPJS SUDAH DILAYANI 19,000 48,000
55,000 BPJS SUDAH DILAYANI 25,000
26,750 BPJS SUDAH DILAYANI
43,200 BPJS SUDAH DILAYANI
35,400 BPJS SUDAH DILAYANI
35,750 BPJS SUDAH DILAYANI
32,000 BPJS SUDAH DILAYANI
51,000 BPJS SUDAH DILAYANI
37,400 BPJS SUDAH DILAYANI
34,600 BPJS SUDAH DILAYANI
15,000 BPJS SUDAH DILAYANI
29,350 BPJS SUDAH DILAYANI
34,200 BPJS SUDAH DILAYANI
28,200 BPJS SUDAH DILAYANI
43,000 BPJS SUDAH DILAYANI
44,500 BPJS SUDAH DILAYANI
24,000 BPJS SUDAH DILAYANI
33,200 BPJS SUDAH DILAYANI
84,700 ASKES SUDAH DILAYANI 25,000
28,000 BPJS SUDAH DILAYANI
15,000 BPJS SUDAH DILAYANI
43,300 BPJS SUDAH DILAYANI
28,750 BPJS SUDAH DILAYANI
41,700 BPJS SUDAH DILAYANI
46,800 BPJS SUDAH DILAYANI
93,000 BPJS SUDAH DILAYANI 14,000
29,500 BPJS SUDAH DILAYANI
34,700 BPJS SUDAH DILAYANI
43,600 BPJS SUDAH DILAYANI
42,800 ASKES SUDAH DILAYANI
223,500 BPJS SUDAH DILAYANI 101,000 60,000
32,200 BPJS SUDAH DILAYANI
38,400 BPJS SUDAH DILAYANI
46,600 BPJS SUDAH DILAYANI
11,700 BPJS SUDAH DILAYANI
98,400 BPJS SUDAH DILAYANI 9,000 30,000
33,500 BPJS SUDAH DILAYANI
39,750 BPJS SUDAH DILAYANI
32,800 BPJS SUDAH DILAYANI
38,000 BPJS SUDAH DILAYANI
34,000 BPJS SUDAH DILAYANI
40,000 BPJS SUDAH DILAYANI
39,000 BPJS SUDAH DILAYANI
70,000 BPJS SUDAH DILAYANI 31,000
26,000 BPJS SUDAH DILAYANI
98,000 BPJS SUDAH DILAYANI 20,000
51,000 BPJS SUDAH DILAYANI 21,000
53,000 BPJS SUDAH DILAYANI
47,600 BPJS SUDAH DILAYANI
61,000 BPJS SUDAH DILAYANI
43,000 BPJS SUDAH DILAYANI
31,000 BPJS SUDAH DILAYANI
47,000 BPJS SUDAH DILAYANI
38,000 ASKES SUDAH DILAYANI
47,000 BPJS SUDAH DILAYANI
43,000 BPJS SUDAH DILAYANI
41,000 BPJS SUDAH DILAYANI
15,000 BPJS SUDAH DILAYANI
24,000 BPJS SUDAH DILAYANI
159,000 BPJS SUDAH DILAYANI 71,000
15,000 BPJS SUDAH DILAYANI
26,000 BPJS SUDAH DILAYANI
133,000 BPJS SUDAH DILAYANI 21,000 25,000
36,000 BPJS SUDAH DILAYANI
42,000 BPJS SUDAH DILAYANI
52,000 BPJS SUDAH DILAYANI
50,000 BPJS SUDAH DILAYANI
35,000 BPJS SUDAH DILAYANI
39,000 BPJS SUDAH DILAYANI
39,000 BPJS SUDAH DILAYANI
30,000 BPJS SUDAH DILAYANI
41,000 BPJS SUDAH DILAYANI
35,500 BPJS SUDAH DILAYANI
33,000 BPJS SUDAH DILAYANI
40,000 BPJS SUDAH DILAYANI
18,800 BPJS SUDAH DILAYANI
58,000 BPJS SUDAH DILAYANI 25,000
51,000 BPJS SUDAH DILAYANI
38,000 BPJS SUDAH DILAYANI
35,000 BPJS SUDAH DILAYANI
42,000 BPJS SUDAH DILAYANI 8,000
27,000 BPJS SUDAH DILAYANI 21,000
48,000 BPJS SUDAH DILAYANI
15,000 BPJS SUDAH DILAYANI
38,700 BPJS SUDAH DILAYANI
29,600 BPJS SUDAH DILAYANI
39,400 BPJS SUDAH DILAYANI
35,700 BPJS SUDAH DILAYANI
26,500 BPJS SUDAH DILAYANI
43,800 BPJS SUDAH DILAYANI
48,000 BPJS SUDAH DILAYANI 25,000
29,200 UMUM/BPJS SUDAH DILAYANI
45,200 BPJS SUDAH DILAYANI
51,000 BPJS SUDAH DILAYANI 25000
41,800 BPJS SUDAH DILAYANI
33,700 BPJS SUDAH DILAYANI
43,100 BPJS SUDAH DILAYANI
41,800 BPJS SUDAH DILAYANI
76,600 BPJS SUDAH DILAYANI 39,000
46,700 BPJS SUDAH DILAYANI
37,200 BPJS SUDAH DILAYANI
38,000 BPJS SUDAH DILAYANI
39,200 BPJS SUDAH DILAYANI
31,500 BPJS SUDAH DILAYANI
52,900 BPJS SUDAH DILAYANI
45,000 BPJS SUDAH DILAYANI
31,200 BPJS SUDAH DILAYANI
45,000 BPJS SUDAH DILAYANI
182,300 BPJS SUDAH DILAYANI 42,500
30,700 BPJS SUDAH DILAYANI
30,200 BPJS SUDAH DILAYANI
47,000 ASKES SUDAH DILAYANI
37,800 BPJS SUDAH DILAYANI
15,000 ASKES SUDAH DILAYANI
33,000 BPJS SUDAH DILAYANI
31,500 BPJS SUDAH DILAYANI
24,800 BPJS SUDAH DILAYANI
101,000 BPJS SUDAH DILAYANI
28,000 BPJS SUDAH DILAYANI
40,000 BPJS SUDAH DILAYANI
21,000 BPJS SUDAH DILAYANI
47,000 BPJS SUDAH DILAYANI
30,000 BPJS SUDAH DILAYANI
24,000 BPJS SUDAH DILAYANI
35,000 BPJS SUDAH DILAYANI
38,000 BPJS SUDAH DILAYANI
46,000 BPJS SUDAH DILAYANI
50,000 BPJS SUDAH DILAYANI
118,000 ASKES SUDAH DILAYANI 25,000
92,000 BPJS SUDAH DILAYANI 48,000
14,000 BPJS SUDAH DILAYANI
58,000 BPJS SUDAH DILAYANI 21,000
92,000 BPJS SUDAH DILAYANI 36,000
43,000 BPJS SUDAH DILAYANI
113,000 BPJS SUDAH DILAYANI 25,000
40,000 BPJS SUDAH DILAYANI
15,000 BPJS SUDAH DILAYANI
32,000 BPJS SUDAH DILAYANI
31,500 BPJS SUDAH DILAYANI
44,600 BPJS SUDAH DILAYANI
54,700 BPJS SUDAH DILAYANI
45,000 BPJS SUDAH DILAYANI
35,000 BPJS SUDAH DILAYANI
34,000 BPJS SUDAH DILAYANI
47,700 BPJS SUDAH DILAYANI
40,500 BPJS SUDAH DILAYANI
95,000 BPJS SUDAH DILAYANI 25000
45,000 BPJS SUDAH DILAYANI 16,000
45,000 BPJS SUDAH DILAYANI 10,000
89,000 BPJS SUDAH DILAYANI 48000
15,000 BPJS SUDAH DILAYANI
33,000 BPJS SUDAH DILAYANI
79,000 BPJS SUDAH DILAYANI
33,250 BPJS SUDAH DILAYANI
40,000 BPJS SUDAH DILAYANI
29,000 BPJS SUDAH DILAYANI
40,900 BPJS SUDAH DILAYANI
37,800 BPJS SUDAH DILAYANI
46,000 BPJS SUDAH DILAYANI
37,400 BPJS SUDAH DILAYANI
39,000 BPJS SUDAH DILAYANI
46,500 BPJS SUDAH DILAYANI
37,000 BPJS SUDAH DILAYANI
39,400 BPJS SUDAH DILAYANI
41,300 BPJS SUDAH DILAYANI
39,400 BPJS SUDAH DILAYANI
39,400 BPJS SUDAH DILAYANI
39,400 BPJS SUDAH DILAYANI
38,400 BPJS SUDAH DILAYANI
43,200 ASKES SUDAH DILAYANI
48,000 BPJS SUDAH DILAYANI
44,000 BPJS SUDAH DILAYANI
38,000 BPJS SUDAH DILAYANI
50,950 BPJS SUDAH DILAYANI
45,000 BPJS SUDAH DILAYANI
118,100 BPJS SUDAH DILAYANI
27,600 BPJS SUDAH DILAYANI
35,200 BPJS SUDAH DILAYANI
37,900 BPJS SUDAH DILAYANI
38,000 BPJS SUDAH DILAYANI 8,000
79,600 BPJS SUDAH DILAYANI 52,000
29,000 BPJS SUDAH DILAYANI
26,350 BPJS SUDAH DILAYANI
101,500 BPJS SUDAH DILAYANI 11,000
27,600 BPJS SUDAH DILAYANI
38,000 BPJS SUDAH DILAYANI
35,900 ASKES SUDAH DILAYANI
42,000 BPJS SUDAH DILAYANI
43,800 BPJS SUDAH DILAYANI
24,350 BPJS SUDAH DILAYANI
33,100 BPJS SUDAH DILAYANI
47,600 BPJS SUDAH DILAYANI
38,700 BPJS SUDAH DILAYANI
25,000 BPJS SUDAH DILAYANI
26,000 BPJS SUDAH DILAYANI
32,000 BPJS SUDAH DILAYANI
43,000 BPJS SUDAH DILAYANI
40,000 ASKES SUDAH DILAYANI
45,000 BPJS SUDAH DILAYANI
25,500 BPJS SUDAH DILAYANI
29,000 BPJS SUDAH DILAYANI
35,600 BPJS SUDAH DILAYANI
32,000 BPJS SUDAH DILAYANI
61,000 ASKES SUDAH DILAYANI
95,700 BPJS SUDAH DILAYANI 23,000
60,000 BPJS SUDAH DILAYANI 25,000
57,100 BPJS SUDAH DILAYANI
45,500 BPJS SUDAH DILAYANI
42,800 BPJS SUDAH DILAYANI
39,900 BPJS SUDAH DILAYANI
49,600 BPJS SUDAH DILAYANI
107,000 BPJS SUDAH DILAYANI 20,000
61,500 BPJS SUDAH DILAYANI 25000
96,000 BPJS SUDAH DILAYANI 48000
136,000 BPJS SUDAH DILAYANI 25000
41,900 BPJS SUDAH DILAYANI
41,700 BPJS SUDAH DILAYANI
44,100 BPJS SUDAH DILAYANI 8,000
39,500 BPJS SUDAH DILAYANI
30,700 BPJS SUDAH DILAYANI
40,500 BPJS SUDAH DILAYANI
42,500 BPJS SUDAH DILAYANI
40,500 BPJS SUDAH DILAYANI
48,000 BPJS SUDAH DILAYANI
41,000 BPJS SUDAH DILAYANI
31,000 BPJS SUDAH DILAYANI
11,000 BPJS SUDAH DILAYANI
44,000 BPJS SUDAH DILAYANI
26,000 BPJS SUDAH DILAYANI
37,000 BPJS SUDAH DILAYANI
29,000 BPJS SUDAH DILAYANI
31,000 BPJS SUDAH DILAYANI
51,000 BPJS SUDAH DILAYANI 15,000
60,000 BPJS SUDAH DILAYANI
36,000 BPJS SUDAH DILAYANI
62,000 BPJS SUDAH DILAYANI
15,000 ASKES SUDAH DILAYANI
29,750 BPJS SUDAH DILAYANI
40,800 BPJS SUDAH DILAYANI 14,000
112,800 BPJS SUDAH DILAYANI 13,000 48,000
36,500 BPJS SUDAH DILAYANI
35,500 BPJS SUDAH DILAYANI
70,000 BPJS SUDAH DILAYANI 34,000
33,700 BPJS SUDAH DILAYANI
26,500 BPJS SUDAH DILAYANI
39,400 BPJS SUDAH DILAYANI
29,800 BPJS SUDAH DILAYANI
38,900 BPJS SUDAH DILAYANI
33,200 BPJS SUDAH DILAYANI
38,000 BPJS SUDAH DILAYANI
47,800 BPJS SUDAH DILAYANI 18,000
37,200 BPJS SUDAH DILAYANI
45,000 BPJS SUDAH DILAYANI
38,000 BPJS SUDAH DILAYANI
20,500 BPJS SUDAH DILAYANI
26,700 BPJS SUDAH DILAYANI
43,800 BPJS SUDAH DILAYANI
31,800 BPJS SUDAH DILAYANI
39,200 BPJS SUDAH DILAYANI
40,200 BPJS SUDAH DILAYANI
34,200 BPJS SUDAH DILAYANI 19,000
38,200 BPJS SUDAH DILAYANI
39,400 BPJS SUDAH DILAYANI
36,300 BPJS SUDAH DILAYANI
29,600 BPJS SUDAH DILAYANI
15,000 BPJS SUDAH DILAYANI
90,700 BPJS SUDAH DILAYANI 60,000
31,800 BPJS SUDAH DILAYANI
31,000 BPJS SUDAH DILAYANI
84,000 BPJS SUDAH DILAYANI
37,000 BPJS SUDAH DILAYANI
38,600 BPJS SUDAH DILAYANI
35,600 BPJS SUDAH DILAYANI
15,000 BPJS SUDAH DILAYANI
29,600 BPJS SUDAH DILAYANI
39,500 UMUM/BPJS SUDAH DILAYANI
14,000 BPJS SUDAH DILAYANI
76,000 BPJS SUDAH DILAYANI 17000
31,000 BPJS SUDAH DILAYANI
34,500 BPJS SUDAH DILAYANI
50,900 UMUM/BPJS SUDAH DILAYANI 21,000
33,200 BPJS SUDAH DILAYANI
95,000 BPJS SUDAH DILAYANI 25,000
38,000 BPJS SUDAH DILAYANI
34,000 BPJS SUDAH DILAYANI
29,600 ASKES SUDAH DILAYANI
32,600 BPJS SUDAH DILAYANI
15,000 BPJS SUDAH DILAYANI
36,200 BPJS SUDAH DILAYANI
31,000 BPJS SUDAH DILAYANI
21,500 BPJS SUDAH DILAYANI
31,400 BPJS SUDAH DILAYANI
15,000 ASKES SUDAH DILAYANI
62,500 BPJS SUDAH DILAYANI
35,700 BPJS SUDAH DILAYANI
43,750 BPJS SUDAH DILAYANI
15,000 BPJS SUDAH DILAYANI
40,500 BPJS SUDAH DILAYANI
43,000 BPJS SUDAH DILAYANI
98,000 BPJS SUDAH DILAYANI 19,000
35,900 BPJS SUDAH DILAYANI
43,000 BPJS SUDAH DILAYANI
47,000 BPJS SUDAH DILAYANI
36,600 UMUM/BPJS SUDAH DILAYANI
15,000 BPJS SUDAH DILAYANI
39,400 ASKES SUDAH DILAYANI 8,000
36,700 BPJS SUDAH DILAYANI
49,800 BPJS SUDAH DILAYANI
42,400 BPJS SUDAH DILAYANI
28,550 BPJS SUDAH DILAYANI
175,600 BPJS SUDAH DILAYANI 85,000
28,200 BPJS SUDAH DILAYANI
59,000 ASKES SUDAH DILAYANI
36,600 BPJS SUDAH DILAYANI
39,200 BPJS SUDAH DILAYANI
34,500 BPJS SUDAH DILAYANI
15,000 UMUM/BPJS SUDAH DILAYANI
43,100 BPJS SUDAH DILAYANI
46,400 BPJS SUDAH DILAYANI
32,000 BPJS SUDAH DILAYANI
39,400 BPJS SUDAH DILAYANI
51,200 BPJS SUDAH DILAYANI
27,750 BPJS SUDAH DILAYANI
24,950 BPJS SUDAH DILAYANI
15,000 BPJS SUDAH DILAYANI
45,200 BPJS SUDAH DILAYANI
39,400 BPJS SUDAH DILAYANI
47,200 BPJS SUDAH DILAYANI
33,800 BPJS SUDAH DILAYANI
34,000 BPJS SUDAH DILAYANI
47,000 BPJS SUDAH DILAYANI
25,300 BPJS SUDAH DILAYANI
23,000 BPJS SUDAH DILAYANI
44,000 BPJS SUDAH DILAYANI
31,900 BPJS SUDAH DILAYANI
15,000 BPJS SUDAH DILAYANI
45,000 BPJS SUDAH DILAYANI
23,000 BPJS SUDAH DILAYANI
31,000 ASKES SUDAH DILAYANI
39,800 BPJS SUDAH DILAYANI
28,150 BPJS SUDAH DILAYANI
20,800 BPJS SUDAH DILAYANI
33,000 BPJS SUDAH DILAYANI
45,000 BPJS SUDAH DILAYANI
15,000 BPJS SUDAH DILAYANI
41,000 BPJS SUDAH DILAYANI
36,000 BPJS SUDAH DILAYANI
32,000 BPJS SUDAH DILAYANI
31,000 BPJS SUDAH DILAYANI
40,000 BPJS SUDAH DILAYANI
40,000 BPJS SUDAH DILAYANI
123,000 BPJS SUDAH DILAYANI 25,000
59,000 BPJS SUDAH DILAYANI 24,000
47,000 BPJS SUDAH DILAYANI
50,000 BPJS SUDAH DILAYANI
49,000 BPJS SUDAH DILAYANI
60,000 BPJS SUDAH DILAYANI
54,000 BPJS SUDAH DILAYANI
32,000 BPJS SUDAH DILAYANI
30,000 BPJS SUDAH DILAYANI
51,000 BPJS SUDAH DILAYANI
95,000 BPJS SUDAH DILAYANI 25,000
48,000 BPJS SUDAH DILAYANI
47,000 BPJS SUDAH DILAYANI
39,000 BPJS SUDAH DILAYANI
36,000 BPJS SUDAH DILAYANI
38,000 BPJS SUDAH DILAYANI
34,000 BPJS SUDAH DILAYANI
15,000 BPJS SUDAH DILAYANI
40,000 BPJS SUDAH DILAYANI
37,000 BPJS SUDAH DILAYANI
32,000 BPJS SUDAH DILAYANI
49,000 BPJS SUDAH DILAYANI
15,000 BPJS SUDAH DILAYANI
34,000 BPJS SUDAH DILAYANI
15,000 BPJS SUDAH DILAYANI
45,000 BPJS SUDAH DILAYANI
15,000 BPJS SUDAH DILAYANI
15,000 BPJS SUDAH DILAYANI
40,000 BPJS SUDAH DILAYANI
246,000 BPJS SUDAH DILAYANI 167,000
15,000 BPJS SUDAH DILAYANI
46,000 BPJS SUDAH DILAYANI
52,000 BPJS SUDAH DILAYANI
34,000 BPJS SUDAH DILAYANI
38,000 BPJS SUDAH DILAYANI
15,000 BPJS SUDAH DILAYANI
45,000 BPJS SUDAH DILAYANI
44,000 UMUM/BPJS SUDAH DILAYANI 17,000
26,000 BPJS SUDAH DILAYANI
38,000 BPJS SUDAH DILAYANI
45,000 BPJS SUDAH DILAYANI
34,000 BPJS SUDAH DILAYANI
38,000 BPJS SUDAH DILAYANI
36,000 ASKES SUDAH DILAYANI
32,000 BPJS SUDAH DILAYANI
27,000 BPJS SUDAH DILAYANI
31,000 BPJS SUDAH DILAYANI
98,000 BPJS SUDAH DILAYANI 25,000
33,000 BPJS SUDAH DILAYANI 9,000
34,000 BPJS SUDAH DILAYANI
15,000 BPJS SUDAH DILAYANI
31,500 BPJS SUDAH DILAYANI
15,000 ASKES SUDAH DILAYANI
92,000 BPJS SUDAH DILAYANI 16,000
42,000 BPJS SUDAH DILAYANI
36,000 BPJS SUDAH DILAYANI
35,000 BPJS SUDAH DILAYANI
37,600 BPJS SUDAH DILAYANI
95,000 BPJS SUDAH DILAYANI 25000
55,500 BPJS SUDAH DILAYANI 15,000
33,500 BPJS SUDAH DILAYANI
46,600 BPJS SUDAH DILAYANI
47,800 BPJS SUDAH DILAYANI 20,000
46,000 BPJS SUDAH DILAYANI
45,000 UMUM/BPJS SUDAH DILAYANI
27,250 BPJS SUDAH DILAYANI
37,400 BPJS SUDAH DILAYANI
59,000 BPJS SUDAH DILAYANI 25000
50,100 BPJS SUDAH DILAYANI
57,500 BPJS SUDAH DILAYANI
15,000 BPJS SUDAH DILAYANI
15,000 BPJS SUDAH DILAYANI
37,800 BPJS SUDAH DILAYANI
47,000 BPJS SUDAH DILAYANI
46,000 BPJS SUDAH DILAYANI
43,000 BPJS SUDAH DILAYANI
72,800 BPJS SUDAH DILAYANI 35,000
31,800 BPJS SUDAH DILAYANI
43,400 BPJS SUDAH DILAYANI 12,000
50,100 BPJS SUDAH DILAYANI
23,200 BPJS SUDAH DILAYANI
44,000 BPJS SUDAH DILAYANI
32,000 BPJS SUDAH DILAYANI
40,000 BPJS SUDAH DILAYANI
32,000 BPJS SUDAH DILAYANI
53,000 BPJS SUDAH DILAYANI
43,000 BPJS SUDAH DILAYANI
133,000 BPJS SUDAH DILAYANI 25,000
43,000 BPJS SUDAH DILAYANI
48,000 BPJS SUDAH DILAYANI 12,500
32,000 BPJS SUDAH DILAYANI
38,000 UMUM/BPJS SUDAH DILAYANI
33,000 BPJS SUDAH DILAYANI
33,000 BPJS SUDAH DILAYANI
36,000 BPJS SUDAH DILAYANI
60,000 BPJS SUDAH DILAYANI 16,000
45,000 BPJS SUDAH DILAYANI
39,000 BPJS SUDAH DILAYANI
42,000 BPJS SUDAH DILAYANI
46,000 BPJS SUDAH DILAYANI
47,000 BPJS SUDAH DILAYANI
36,000 BPJS SUDAH DILAYANI
41,000 BPJS SUDAH DILAYANI
43,000 BPJS SUDAH DILAYANI
40,000 BPJS SUDAH DILAYANI
39,000 BPJS SUDAH DILAYANI
46,000 BPJS SUDAH DILAYANI
43,000 BPJS SUDAH DILAYANI
112,000 BPJS SUDAH DILAYANI 48,000
43,000 BPJS SUDAH DILAYANI
37,000 UMUM/BPJS SUDAH DILAYANI
49,000 BPJS SUDAH DILAYANI
32,000 BPJS SUDAH DILAYANI
31,000 BPJS SUDAH DILAYANI
15,000 BPJS SUDAH DILAYANI
77,000 BPJS SUDAH DILAYANI
50,000 BPJS SUDAH DILAYANI
37,000 BPJS SUDAH DILAYANI
36,600 BPJS SUDAH DILAYANI
28,400 BPJS SUDAH DILAYANI
139,800 BPJS SUDAH DILAYANI 25,000
44,000 BPJS SUDAH DILAYANI
36,000 BPJS SUDAH DILAYANI
33,000 BPJS SUDAH DILAYANI
35,200 BPJS SUDAH DILAYANI
38,000 BPJS SUDAH DILAYANI
27,000 BPJS SUDAH DILAYANI
28,200 BPJS SUDAH DILAYANI
38,000 BPJS SUDAH DILAYANI
49,800 BPJS SUDAH DILAYANI
34,000 BPJS SUDAH DILAYANI
36,500 BPJS SUDAH DILAYANI
32,600 BPJS SUDAH DILAYANI
50,000 BPJS SUDAH DILAYANI
31,800 BPJS SUDAH DILAYANI
68,300 BPJS SUDAH DILAYANI 24,000
15,000 ASKES SUDAH DILAYANI
37,000 BPJS SUDAH DILAYANI
41,300 BPJS SUDAH DILAYANI
32,600 BPJS SUDAH DILAYANI
37,000 BPJS SUDAH DILAYANI
42,200 ASKES SUDAH DILAYANI
15,000 BPJS SUDAH DILAYANI
43,100 BPJS SUDAH DILAYANI
47,500 BPJS SUDAH DILAYANI
34,750 ASKES SUDAH DILAYANI
47,600 BPJS SUDAH DILAYANI
41,400 BPJS SUDAH DILAYANI
80,500 UMUM/BPJS SUDAH DILAYANI 33,000 25,000
32,500 BPJS SUDAH DILAYANI
15,000 ASKES SUDAH DILAYANI
49,000 BPJS SUDAH DILAYANI 33,000
39,000 BPJS SUDAH DILAYANI
29,600 BPJS SUDAH DILAYANI
55,500 BPJS SUDAH DILAYANI
38,400 UMUM/BPJS SUDAH DILAYANI
47,000 BPJS SUDAH DILAYANI
132,600 BPJS SUDAH DILAYANI 25,000
45,000 BPJS SUDAH DILAYANI
45,000 BPJS SUDAH DILAYANI
37,000 BPJS SUDAH DILAYANI 21,000
52,500 BPJS SUDAH DILAYANI
47,000 BPJS SUDAH DILAYANI
15,000 BPJS SUDAH DILAYANI
39,400 BPJS SUDAH DILAYANI
37,000 BPJS SUDAH DILAYANI
43,200 BPJS SUDAH DILAYANI
38,000 BPJS SUDAH DILAYANI 15,000
41,000 BPJS SUDAH DILAYANI
15,000 BPJS SUDAH DILAYANI
44,000 BPJS SUDAH DILAYANI
29,000 BPJS SUDAH DILAYANI
48,000 BPJS SUDAH DILAYANI
39,000 BPJS SUDAH DILAYANI
41,000 BPJS SUDAH DILAYANI
28,200 BPJS SUDAH DILAYANI
98,000 BPJS SUDAH DILAYANI
41,800 BPJS SUDAH DILAYANI
77,500 BPJS SUDAH DILAYANI 48,000
28,400 JAMSOSTEK SUDAH DILAYANI
37,000 BPJS SUDAH DILAYANI
34,200 BPJS SUDAH DILAYANI
58,000 BPJS SUDAH DILAYANI 19,000
32,200 BPJS SUDAH DILAYANI
38,200 BPJS SUDAH DILAYANI
51,700 ASKES SUDAH DILAYANI
34,200 BPJS SUDAH DILAYANI
32,500 BPJS SUDAH DILAYANI
40,500 BPJS SUDAH DILAYANI
68,200 ASKES SUDAH DILAYANI
103,000 BPJS SUDAH DILAYANI 43,000
32,500 BPJS SUDAH DILAYANI
39,400 BPJS SUDAH DILAYANI
32,500 BPJS SUDAH DILAYANI
112,000 BPJS SUDAH DILAYANI 19,000
15,000 BPJS SUDAH DILAYANI
44,000 BPJS SUDAH DILAYANI
39,000 BPJS SUDAH DILAYANI
31,400 BPJS SUDAH DILAYANI
45,000 BPJS SUDAH DILAYANI
36,900 BPJS SUDAH DILAYANI
52,500 ASKES SUDAH DILAYANI
37,500 BPJS SUDAH DILAYANI
51,500 BPJS SUDAH DILAYANI
94,000 BPJS SUDAH DILAYANI 40,000
38,000 BPJS SUDAH DILAYANI
57,700 BPJS SUDAH DILAYANI
44,500 BPJS SUDAH DILAYANI
37,700 BPJS SUDAH DILAYANI 8,000
29,000 BPJS SUDAH DILAYANI
39,000 BPJS SUDAH DILAYANI
36,000 BPJS SUDAH DILAYANI
50,000 ASKES SUDAH DILAYANI
55,700 BPJS SUDAH DILAYANI
43,000 BPJS SUDAH DILAYANI
55,700 BPJS SUDAH DILAYANI
87,300 BPJS SUDAH DILAYANI 60,000
30,500 BPJS SUDAH DILAYANI
45,500 BPJS SUDAH DILAYANI
55,000 BPJS SUDAH DILAYANI
45,000 BPJS SUDAH DILAYANI
43,700 BPJS SUDAH DILAYANI
40,000 UMUM/BPJS SUDAH DILAYANI
55,000 BPJS SUDAH DILAYANI
39,400 BPJS SUDAH DILAYANI
39,400 BPJS SUDAH DILAYANI 12,000
15,000 BPJS SUDAH DILAYANI
36,150 BPJS SUDAH DILAYANI
36,750 ASKES SUDAH DILAYANI
22,000 BPJS SUDAH DILAYANI
57,400 BPJS SUDAH DILAYANI 30,000
70,000 BPJS SUDAH DILAYANI
47,400 BPJS SUDAH DILAYANI
39,200 BPJS SUDAH DILAYANI
209,500 BPJS SUDAH DILAYANI 91,000 25,000
37,400 BPJS SUDAH DILAYANI
30,000 BPJS SUDAH DILAYANI
44,200 BPJS SUDAH DILAYANI
34,400 BPJS SUDAH DILAYANI
40,100 BPJS SUDAH DILAYANI
33,800 BPJS SUDAH DILAYANI 6,000
46,700 BPJS SUDAH DILAYANI
34,200 BPJS SUDAH DILAYANI
36,000 BPJS SUDAH DILAYANI
47,000 BPJS SUDAH DILAYANI
43,100 BPJS SUDAH DILAYANI
32,500 ASKES SUDAH DILAYANI
36,000 BPJS SUDAH DILAYANI
33,000 BPJS SUDAH DILAYANI
36,100 BPJS SUDAH DILAYANI
39,500 BPJS SUDAH DILAYANI 6,000
27,200 BPJS SUDAH DILAYANI
29,500 BPJS SUDAH DILAYANI
38,200 BPJS SUDAH DILAYANI
43,100 BPJS SUDAH DILAYANI
43,100 BPJS SUDAH DILAYANI
39,000 BPJS SUDAH DILAYANI
33,100 BPJS SUDAH DILAYANI 10,000
35,800 BPJS SUDAH DILAYANI
123,000 BPJS SUDAH DILAYANI
15,000 BPJS SUDAH DILAYANI
51,000 BPJS SUDAH DILAYANI
46,000 BPJS SUDAH DILAYANI
36,000 BPJS SUDAH DILAYANI
33,000 BPJS SUDAH DILAYANI
60,000 BPJS SUDAH DILAYANI
36,000 ASKES SUDAH DILAYANI
37,000 BPJS SUDAH DILAYANI
43,000 BPJS SUDAH DILAYANI
47,000 BPJS SUDAH DILAYANI
59,000 BPJS SUDAH DILAYANI
51,000 BPJS SUDAH DILAYANI
157,000 BPJS SUDAH DILAYANI 23,000 25,000
44,000 BPJS SUDAH DILAYANI
24,000 BPJS SUDAH DILAYANI
29,000 BPJS SUDAH DILAYANI
53,000 BPJS SUDAH DILAYANI 15,000
69,000 BPJS SUDAH DILAYANI 34,000
35,000 BPJS SUDAH DILAYANI
48,000 BPJS SUDAH DILAYANI

69,081,350 - - 4,171,000 3,476,500 40,000


69,081,350 7,687,500
- 7,687,500
-
IGD=1

33
54
47
LAPORAN PENDAPATAN RAWAT JALAN
Periode: 01-06-2016 s/d 01-06-2016

No. RM Nama PasiNo. Apotek IGD Rawat JalaJasa DokteDokter Lab


.000063 .YUDA SAF 5 20,600 - 15,000 - NOVI YULIANTI -
N999994 NANANG 8 - - 15,000 - NOVI YULIANTI -
A001747 ADE NOORI 9 26,600 - 15,000 - NOVI YULIANTI -
R002494 RISMAN N 10 21,800 - 15,000 - NOVI YULIANTI -
T001863 TINI SUMA 11 - - 15,000 - NOVI YULIANTI -
E002326 ENCENG B 14 28,600 - 15,000 - NOVI YULIANTI -
N001537 NASYATH 15 29,300 - 15,000 - NOVI YULIANTI -
P000838 PEPEN EPE 18 19,000 - 15,000 - NOVI YULIANTI -
Y002123 YANTI ROS 19 26,300 - 15,000 - NOVI YULIANTI -
F000206 FAHMI ISL 20 24,400 - 15,000 - NOVI YULIANTI -
T001289 TATI ROHAY 21 24,400 - 15,000 - NOVI YULIANTI -
D003645 DESY SUSA 22 23,000 - 15,000 - NOVI YULIANTI -
A001663 AZKA JARW 23 28,100 - 15,000 - NOVI YULIANTI -
A006181 ANIS ANIYA 25 27,500 - 15,000 - NOVI YULIANTI -
A008035 ASEP SAPU 27 25,300 - 15,000 - NOVI YULIANTI -
T001517 TJATJIH 28 30,000 - 15,000 - NOVI YULIANTI -
N999995 NELLY HEL 30 - - 15,000 - NOVI YULIANTI -
S004449 SHAH RIZ 33 14,000 - 15,000 - NOVI YULIANTI -
A008581 ALVARO AD 34 18,100 - 15,000 - NOVI YULIANTI -
K999895 KHAIRI GI 38 27,000 - 15,000 - NOVI YULIANTI -
L999899 LUTHPI AR 40 29,300 - 15,000 - NOVI YULIANTI -
.000067 .YOSI YOL 42 29,000 - 15,000 - NOVI YULIANTI -
J000693 JUJU 44 22,500 - 15,000 - NOVI YULIANTI -
L001095 LILIS LISN 45 17,400 - 15,000 - NOVI YULIANTI -
D007081 D AHMAD 46 24,500 - 15,000 - NOVI YULIANTI -
D003424 D.SUBAGIO 52 - - 15,000 - NOVI YULIANTI -
S005458 SUMPENA 54 33,700 - 15,000 - NOVI YULIANTI 48,000
A007929 ADUNG 56 24,900 - 15,000 - NOVI YULIANTI -
M004571 MUHAMMAD 57 29,300 - 15,000 - NOVI YULIANTI -
R001838 RUSTANDI 58 37,500 - 15,000 - NOVI YULIANTI -

LAPORAN PENDAPATAN RAWAT JALAN


Periode: 02-06-2016 s/d 02-06-2016
No. RM Nama PasiNo. Apotek IGD Rawat JalaJasa DokteDokter Lab
N000978 NENDA RIZ 5 14,000 - 5,000 - ENCEP SUDARYANA -
R003370 RUHIYATI 6 18,200 - 15,000 - NOVI YULIANTI -
N002971 NENENG R 8 17,000 - 15,000 - NOVI YULIANTI -
E003167 ENTUT KAR 10 38,100 - 15,000 - NOVI YULIANTI 18,000
A007470 ATIN SUPR 11 22,600 - 15,000 - NOVI YULIANTI -
S004220 SASA SARI 12 - - 15,000 - NOVI YULIANTI -
A005696 ADIN 13 38,800 - 15,000 - NOVI YULIANTI -
I000771 ILIN 14 36,100 - 15,000 - NOVI YULIANTI -
N001714 NURHASA 15 19,900 - 15,000 - NOVI YULIANTI 43,000
D001671 DEANDRA F 16 30,900 - 15,000 - NOVI YULIANTI -
N003843 NURYANTI 17 12,200 - 15,000 - NOVI YULIANTI -
F002065 FAREZ AR 18 31,700 - 15,000 - NOVI YULIANTI -
F002183 FITRI AYU 19 12,200 - 15,000 - NOVI YULIANTI -
C000490 CUCU HER 25 24,400 - 15,000 - NOVI YULIANTI -
N002735 NONO SIT 26 29,700 - 15,000 - NOVI YULIANTI -
Y000703 YULI SUSA 27 18,200 - 15,000 - NOVI YULIANTI -
M004521 MIA HERLI 29 20,200 - 15,000 - NOVI YULIANTI -
S005461 SRI KOMAR 30 34,500 - 15,000 - NOVI YULIANTI 25,000
P000767 PENTI SHO 32 22,000 - 15,000 - NOVI YULIANTI -
M001696 MOCH U K 35 19,750 - 15,000 - NOVI YULIANTI -
A002364 ASEP DUDI 38 11,700 - 15,000 - NOVI YULIANTI -
A004230 AGUS MUL 41 171,600 - 15,000 - NOVI YULIANTI -
S005151 SABKY HA 43 25,000 - 15,000 - NOVI YULIANTI -
T001731 TIN SURTIN 44 19,600 - 15,000 - NOVI YULIANTI -
E000342 ENTIT NURY 46 41,700 - 15,000 - NOVI YULIANTI -
E000325 ENDANG S 47 15,700 - 15,000 - NOVI YULIANTI -
F001560 FITRIANI 49 15,500 - 15,000 - NOVI YULIANTI -
A999963 ARSLAN N 50 46,200 - 15,000 - NOVI YULIANTI -
N003782 NAJLA NAF 51 29,500 - 15,000 - NOVI YULIANTI 80,000
F002192 FIQQI SYU 52 17,400 - 15,000 - NOVI YULIANTI -
A002324 ALEN AMEL 54 13,700 - 15,000 - NOVI YULIANTI -
E002646 ENING 55 16,200 - 15,000 - NOVI YULIANTI -
D003425 DETI RAH 56 32,500 - 15,000 - H. ASEP MARYAMAN -
N003444 NINING SR 57 20,000 - 15,000 - H. ASEP MARYAMAN -
A006997 ADI RISWA 58 29,500 - 15,000 - H. ASEP MARYAMAN -
T000038 TATANG HI 60 23,400 - 15,000 - H. ASEP MARYAMAN -
T001532 TANTI SUS 61 23,000 - 15,000 - H. ASEP MARYAMAN -
N001980 NASIA NEG 62 21,200 - 15,000 - H. ASEP MARYAMAN -
I003072 IIS NURSAN 63 21,000 - 15,000 - H. ASEP MARYAMAN -
K000546 KHANSA TS 65 16,000 - 15,000 - H. ASEP MARYAMAN -
A008132 ARIEF RAH 66 - - 15,000 - H. ASEP MARYAMAN -
.000002 .MASITOH 67 23,900 - 15,000 - H. ASEP MARYAMAN -
F001787 FABIAN NU 68 - - 15,000 - H. ASEP MARYAMAN 80,000
C000359 CHOERUNN 69 - - 15,000 - H. ASEP MARYAMAN -
R005030 RATNA WU 71 15,400 - 15,000 - H. ASEP MARYAMAN -
A000932 ALYA NURA 74 28,000 - 15,000 - H. ASEP MARYAMAN -
R001191 RIZQYLILL 78 20,000 - 15,000 - H. ASEP MARYAMAN -
A019119 AKBAR SAL 79 - - 15,000 - H. ASEP MARYAMAN -
D003667 DESTRIANT 81 - - 15,000 - H. ASEP MARYAMAN -
SYAMIL 23,000 - 15,000 - NOVI YULIANTI -
DESTRIANI 19,000 - 15,000 - H. ASEP MARYAMAN -
RISHA 19,000 - 15,000 - NOVI YULIANTI -
ARNI 21,000 - 15,000 - H. ASEP MARYAMAN -
NABILA - - 15,000 - H. ASEP MARYAMAN -
SAHRUL AKBAR 25,000 - 15,000 - H. ASEP MARYAMAN -
NIA MUNIHARTIN - - 15,000 - H. ASEP MARYAMAN -

LAPORAN PENDAPATAN RAWAT JALAN


Periode: 03-06-2016 s/d 03-06-2016

No. RM Nama PasiNo. Apotek IGD Rawat JalaJasa DokteDokter Lab


K000846 KAISYA ALY 3 - - 15,000 - WULAN WIDYAWATI -
A005457 ASEP SUDR 4 - - 15,000 - WULAN WIDYAWATI -
S003793 SUHERMA 6 24,400 - 15,000 - WULAN WIDYAWATI -
S005599 SITI HANIF 7 - - 15,000 - WULAN WIDYAWATI -
A008572 AGUS 14 14,000 - 15,000 - WULAN WIDYAWATI -
Z000643 ZETA SAN 17 9,100 - 15,000 - WULAN WIDYAWATI -
R004078 RENY RAHA 19 - - 15,000 - WULAN WIDYAWATI -
I999907 IKHSAN NU 21 32,200 - 15,000 - WULAN WIDYAWATI -
T001531 TATI SUPAR 22 14,000 - 15,000 - WULAN WIDYAWATI -
S004303 SOFYAN, D 23 14,000 - 15,000 - WULAN WIDYAWATI -
R002981 RUSLIYANA 28 14,500 - 10,000 5,000 WULAN WIDYAWATI -
R002661 ROSIPAH 29 31,700 - 15,000 - WULAN WIDYAWATI -
M004571 MUHAMMAD 31 15,200 - 15,000 - WULAN WIDYAWATI -
E002863 EUIS PATI 33 24,700 - 15,000 - WULAN WIDYAWATI -
M003933 MUJAHID A 34 34,700 - 15,000 - WULAN WIDYAWATI -
A003584 ANDRE H 35 - - 15,000 - WULAN WIDYAWATI -
M003867 MUHAMAD 36 13,400 - 15,000 - WULAN WIDYAWATI -
W000940 WAFA AKM 37 13,400 - 15,000 - WULAN WIDYAWATI -
M003527 MOCHAMAD 40 30,100 - 15,000 - WULAN WIDYAWATI -
E002701 EGIS PUR 41 16,950 - 15,000 - WULAN WIDYAWATI -
A004597 ANWAR GU 42 27,000 - 15,000 - WULAN WIDYAWATI -
D003712 DAFFA PUT 43 76,100 - 15,000 - ANDI HERMANSYAH -
A006584 AGUS AWAL 44 28,400 - 15,000 - ANDI HERMANSYAH -
Z999899 ZAHRA AZA 46 - - 15,000 - ANDI HERMANSYAH -
H001475 HASTUTI 48 31,500 - 15,000 - ANDI HERMANSYAH -
P000027 PUPUT GUS 53 42,800 - 15,000 - ANDI HERMANSYAH -
A008191 ALLWY ADH 55 32,100 - 15,000 - ANDI HERMANSYAH -
R004530 RATNA SAR 56 19,000 - 15,000 - ANDI HERMANSYAH -
R004571 RENI SUSA 57 22,000 - 15,000 - ANDI HERMANSYAH -
E003537 ELPIN RUD 59 19,600 - 15,000 - ANDI HERMANSYAH -
N003349 NELIS SUR 60 26,100 - 15,000 - ANDI HERMANSYAH -
E003644 ERIN FEBR 61 36,000 75,000 15,000 - ANDI HERMANSYAH -
R004786 RIDWAN S. 63 21,150 - 15,000 - ANDI HERMANSYAH -
A007144 ARIS BUDI 65 21,000 - 15,000 - ANDI HERMANSYAH -
E003347 ELIN MARL 67 29,750 - 15,000 - ANDI HERMANSYAH -
E003102 EMA KRIS 68 20,150 - 15,000 - ANDI HERMANSYAH -
A004265 AZMIA NU 70 18,000 - 15,000 - ANDI HERMANSYAH -
DZIKRI 32,000 - 15,000 - ANDI HERMANSYAH -
RENI SUSANTI - - 15,000 - WULAN WIDYAWATI 80,000
HAFIF - - 15,000 - WULAN WIDYAWATI -

LAPORAN PENDAPATAN RAWAT JALAN


Periode: 04-06-2016 s/d 04-06-2016

No. RM Nama PasiNo. Apotek IGD Rawat JalaJasa DokteDokter Lab


W000388 WIWIN 3 - - 15,000 - ENCEP SUDARYANA -
I002350 IYAM SITI 6 31,200 - 15,000 - WULAN WIDYAWATI 43,000
I000520 IJAH KHADI 7 29,000 - 15,000 - WULAN WIDYAWATI 43,000
A009043 ADE KOMA 8 18,700 - 15,000 - WULAN WIDYAWATI 18,000
T001863 TINI SUMA 9 21,800 - 15,000 - WULAN WIDYAWATI -
N003351 NOVARYAN 10 38,000 - 15,000 - WULAN WIDYAWATI -
M004125 MARDIANI 11 - - - - PERIKSA KEBIDANAN -
D003099 DENI SUD 12 23,000 - 15,000 - WULAN WIDYAWATI -
E003001 ETI SUSANT 14 20,600 - 15,000 - WULAN WIDYAWATI -
G000650 GIA GEMIL 15 29,200 - 15,000 - WULAN WIDYAWATI -
A001065 AGUNG SU 16 95,500 - 15,000 - WULAN WIDYAWATI -
M002188 MUSLIHAT 17 30,400 - 15,000 - WULAN WIDYAWATI -
U000047 UUS RUSTA 19 24,400 - 15,000 - WULAN WIDYAWATI -
S000103 SUTARMA 21 28,600 - 15,000 - WULAN WIDYAWATI -
S005053 SALMA FA 22 25,000 - 15,000 - WULAN WIDYAWATI -
P000838 PEPEN EPE 23 - - 15,000 - WULAN WIDYAWATI 105,000
I007350 IDA NURLA 24 - - - - PERIKSA KEBIDANAN -
U000247 UTANG SAJ 25 30,600 - 15,000 - WULAN WIDYAWATI -
R004540 RANI DIAN 26 - - - - PERIKSA KEBIDANAN -
C000580 CICI KADA 28 20,900 - 15,000 - WULAN WIDYAWATI -
M001104 M GALANG 29 17,600 - 15,000 - WULAN WIDYAWATI -
N000377 NENENG RO 30 21,200 - 15,000 - WULAN WIDYAWATI -
K001384 KHOIRUL N 31 21,100 - 15,000 - WULAN WIDYAWATI -
F001648 FEBRY MAF 32 31,900 - 15,000 - WULAN WIDYAWATI -
A006608 ALYA FATM 34 80,900 - 15,000 - WULAN WIDYAWATI -
E002890 ENCUM KU 35 18,600 - 15,000 - WULAN WIDYAWATI -
O000227 OMANAH 36 16,800 - 15,000 - WULAN WIDYAWATI -
H002130 HAIKAL AK 41 50,000 45,000 15,000 - WULAN WIDYAWATI -
Y000703 YULI SUSA 42 - - 15,000 - WULAN WIDYAWATI -
M004404 MOCH PAD 44 23,000 - 15,000 - WULAN WIDYAWATI -
I003670 IMAS 46 10,300 - 15,000 - WULAN WIDYAWATI -
D002505 DADANG S 48 19,200 - 15,000 - WULAN WIDYAWATI -
N002469 NIA KURNI 49 18,000 - 15,000 - WULAN WIDYAWATI -
A009174 AHIRA DEW 51 49,400 45,000 15,000 - NOVI YULIANTI -
F000177 FASYA GEO 52 23,000 - 15,000 - NOVI YULIANTI -
L001205 LIA AMELI 59 9,200 - 15,000 - NOVI YULIANTI -
P000517 PINK MEYL 61 15,000 - 15,000 - NOVI YULIANTI -
W000433 WATI HARW 62 35,000 - 15,000 - NOVI YULIANTI -
A003495 AZMI ATOI 64 22,400 - 15,000 - NOVI YULIANTI -
E003592 EDO KRIDA 65 26,400 - 15,000 - NOVI YULIANTI -
S001480 SUTARSIH 68 37,850 - 15,000 - NOVI YULIANTI -
M002618 MAKMUN 69 29,350 - 15,000 - NOVI YULIANTI -
A003811 AHMAD NA 71 37,000 - 15,000 - NOVI YULIANTI 25,000
S002626 SUHAENI 72 - - - - PERIKSA KEBIDANAN -
N003955 NADHIRA 74 39,000 - 15,000 - NOVI YULIANTI -
M004417 MUHAMMAD 75 18,400 - 15,000 - NOVI YULIANTI -
A009595 ARSYAD 76 18,200 - 15,000 - NOVI YULIANTI -
K001307 KAHLA AUF 83 81,000 45,000 15,000 - NOVI YULIANTI -
R004784 RESTU RAH 84 13,000 - 15,000 - NOVI YULIANTI -
R004530 RATNA SAR 85 130,000 - 15,000 - NOVI YULIANTI -
H999911 HADIMIN 87 41,600 - 15,000 - NOVI YULIANTI -
WILDAN 23,000 - 15,000 - NOVI YULIANTI -
M HANIFAH 32,000 - 15,000 - NOVI YULIANTI -
HERI 31,000 - 15,000 - NOVI YULIANTI -
YANI 19,000 - 15,000 - NOVI YULIANTI -
SARIPUDIN 25,000 - 15,000 - WULAN WIDYAWATI -
LAPORAN PENDAPATAN RAWAT JALAN
Periode: 05-06-2016 s/d 05-06-2016

No. RM Nama PasiNo. Apotek IGD Rawat JalaJasa DokteDokter Lab


T001949 TRISTAN H 3 93,072 - 5,000 - ANDI HERMANSYAH -
N002670 NANDI RA 14 40,500 - 5,000 - ANDI HERMANSYAH -
A003289 AGUS TATA 34 15,000 - 5,000 - H.ASEP SANI SULAE -

LAPORAN PENDAPATAN RAWAT JALAN


Periode: 06-06-2016 s/d 06-06-2016

No. RM Nama PasiNo. Apotek IGD Rawat JalaJasa DokteDokter Lab


Y000165 YANI NURYA 1 44,700 - 15,000 - NOVI YULIANTI -
M005127 MUSTIKA 2 - - 15,000 - NOVI YULIANTI 84,000
M001862 MOCH FARE 4 25,600 - 15,000 - NOVI YULIANTI -
D003676 DENI RAM 5 48,000 - 15,000 - NOVI YULIANTI -
D003791 DUDE CHA 6 18,900 - 15,000 - NOVI YULIANTI -
M003681 MUHAMMAD 7 33,800 - 15,000 - NOVI YULIANTI -
R002308 RUDI SETIA 10 21,000 - 15,000 - NOVI YULIANTI -
K000595 KUSUMAWA 11 - - - - Yuni Nuraeni Munaw -
A003285 ATIKAH 12 28,500 - 15,000 - NOVI YULIANTI -
M002618 MAKMUN 14 - - 15,000 - NOVI YULIANTI 80,000
N002536 NANDANG 15 53,900 - 15,000 - NOVI YULIANTI -
D003844 DESI HERL 16 20,200 - 15,000 - NOVI YULIANTI -
R005119 REPI NURD 21 30,600 - 15,000 - NOVI YULIANTI -
H001855 HOLIS 22 - - 15,000 - NOVI YULIANTI -
A004658 ANINDITA 23 17,800 - 15,000 - NOVI YULIANTI -
E003382 EDAH HUT 24 35,700 - 15,000 - NOVI YULIANTI -
A009723 AZIZAH PU 25 - - 15,000 - NOVI YULIANTI -
I003750 IKHSAN TA 26 - - 15,000 - NOVI YULIANTI -
S004841 SITI JENAB 27 - - - - Yuni Nuraeni Munaw -
W000395 WAN KUST 29 17,700 - 15,000 - NOVI YULIANTI -
S005349 SYALLIQUE 31 33,800 - 15,000 - NOVI YULIANTI -
A008497 ANDRI RIA 32 37,400 - 15,000 - NOVI YULIANTI -
R004353 RUKHYANT 34 - 45,000 15,000 - NOVI YULIANTI -
E000494 ERNA AND 38 28,600 - 15,000 - NOVI YULIANTI -
K000587 KEYSHA NO 39 43,100 - 15,000 - NOVI YULIANTI -
A003549 ATIKAH 43 11,200 - 15,000 - NOVI YULIANTI -
A009178 ATI NURDI 44 - - - - Yuni Nuraeni Munaw -
Y001480 YUYUN YU 46 21,600 - 15,000 - NOVI YULIANTI -
H002161 HUSNA LUL 48 24,000 - 15,000 - NOVI YULIANTI -
D003645 DESY SUSA 51 - - - - Yuni Nuraeni Munaw -
B000189 BILQIS KA 52 - - 10,000 5,000 NOVI YULIANTI 80,000
A005155 ACAH 55 40,500 - 15,000 - NOVI YULIANTI -
N002932 NENGSIH 56 45,000 - 15,000 - NOVI YULIANTI -
D004014 DEPI KUSP 60 - - 15,000 - NOVI YULIANTI -
B000771 BUDI HER 64 - - 15,000 - NOVI YULIANTI -
H000460 HAZKIA YU 65 27,000 - 15,000 - H. THIA SILVANA -
A000292 ANGGIA C 66 28,500 - 15,000 - H. THIA SILVANA -
K001232 KURNIA, S 68 35,000 - 15,000 - H. THIA SILVANA -
R005030 RATNA WU 71 35,000 - 15,000 - H. THIA SILVANA -
T001237 TITIN SUP 73 19,000 - 15,000 - H. THIA SILVANA -
S004220 SASA SARI 74 11,750 - 15,000 - H. THIA SILVANA -
M005220 M FAHMI 79 28,000 - 15,000 - H. THIA SILVANA -
R001801 RINI SEPTI 84 20,000 - 10,000 5,000 H. THIA SILVANA -
D003915 DITA HAND 86 25,000 - 15,000 - H. THIA SILVANA -
H001573 HADI HAR 87 12,000 - 15,000 - H. THIA SILVANA -
A001280 AYUNI DW 88 16,000 - 15,000 - H. THIA SILVANA -
E003744 ELSAMALA 89 - - - - PERIKSA KEBIDANAN -
O000677 OKTAVIANI 92 23,000 - 15,000 - H. THIA SILVANA -
E002078 ENANG SU 94 16,000 - 15,000 - H. THIA SILVANA -
A009053 ALZENA A 101 22,000 - 15,000 - H. THIA SILVANA -
F002015 FAKHIRA S 103 13,000 - 15,000 - H. THIA SILVANA -
M001428 M.AHZA F 105 22,000 - 15,000 - H. THIA SILVANA -
E003347 ELIN MARL 108 - - 15,000 - H. THIA SILVANA 80,000
SRINTA - - 15,000 - NOVI YULIANTI 80,000
NOPRINDA 28,000 - 15,000 - NOVI YULIANTI -
RIDWAN 23,000 - 15,000 - NOVI YULIANTI -
AI MIA 30,000 - 15,000 - NOVI YULIANTI -
- - - - Yuni Nuraeni Munaw -

LAPORAN PENDAPATAN RAWAT JALAN


Periode: 07-06-2016 s/d 07-06-2016
No. RM Nama PasiNo. Apotek IGD Rawat JalaJasa DokteDokter Lab
R004353 RUKHYANT 3 - 70,000 15,000 - WULAN WIDYAWATI -
P000701 POPI HERA 4 13,550 - 15,000 - WULAN WIDYAWATI -
M005221 M HABSI 5 17,700 - 15,000 - WULAN WIDYAWATI -
E002774 E. SUMINA 6 28,800 - 15,000 - WULAN WIDYAWATI -
S004260 SANTI SIN 7 13,200 - 15,000 - WULAN WIDYAWATI -
J000803 JIMI KURN 8 22,400 - 15,000 - WULAN WIDYAWATI -
A001843 ALZA SHA 9 45,000 70,000 15,000 - WULAN WIDYAWATI -
I001513 ISMAYANTI 11 14,800 - 15,000 - WULAN WIDYAWATI -
A002609 AFINA YUR 13 - - 10,000 5,000 WULAN WIDYAWATI -
S004695 SUPARMA 17 15,700 - 15,000 - WULAN WIDYAWATI -
R005439 RIZKY 18 22,600 - 15,000 - WULAN WIDYAWATI -
A009850 ANEU EKRA 19 20,200 - 15,000 - WULAN WIDYAWATI -
S003729 SAMSUDIN, 20 29,800 - 15,000 - WULAN WIDYAWATI -
K000005 KHAIRIN H 21 - - 15,000 - WULAN WIDYAWATI -
D002957 DIKI PUR 22 15,100 - 15,000 - WULAN WIDYAWATI -
A008457 AGUS PUR 23 19,200 - 15,000 - WULAN WIDYAWATI -
K000013 KUSTILAH 24 26,200 - 15,000 - WULAN WIDYAWATI -
R002275 RAZKA SUR 27 39,000 - 15,000 - WULAN WIDYAWATI -
B000827 BURHAN H 28 16,500 - 15,000 - WULAN WIDYAWATI -
E003102 EMA KRIS 30 29,800 - 15,000 - WULAN WIDYAWATI -
W000388 WIWIN 31 32,000 - 5,000 - WULAN WIDYAWATI -
C000601 CICI OCTAV 38 31,200 - 15,000 - WULAN WIDYAWATI 80,000
F000309 FERI PUR 40 38,600 - 15,000 - WULAN WIDYAWATI -
A003000 ARNI SULA 41 38,000 - 15,000 - WULAN WIDYAWATI -
N002689 NINDYA FA 43 27,600 - 15,000 - WULAN WIDYAWATI -
A009731 ANNE INAY 44 - - 15,000 - WULAN WIDYAWATI -
E002764 EUIS HANI 45 20,600 - 15,000 - WULAN WIDYAWATI -
R004264 RESA REST 49 21,800 - 15,000 - WULAN WIDYAWATI -
P000814 POPON 50 113,000 145,000 15,000 - WULAN WIDYAWATI 18,000
A007747 ASEP SUN 51 34,400 - 15,000 - WULAN WIDYAWATI -
M001463 MIA KURNI 56 22,000 - 11,000 4,000 WULAN WIDYAWATI -
R003438 RITHA YUL 58 32,200 - 15,000 - WULAN WIDYAWATI -
M004155 MAJID SA 59 23,700 - 15,000 - WULAN WIDYAWATI -
P000663 PIAN GUST 60 16,900 - 15,000 - WULAN WIDYAWATI -
S004270 SOFIA NUR 61 32,500 - 15,000 - WULAN WIDYAWATI -
V000246 VITA ROS 62 11,000 - 15,000 - WULAN WIDYAWATI -
M004689 MIA SOND 63 15,500 - 15,000 - WULAN WIDYAWATI -
A008894 ASSYIFA RI 65 30,200 - 15,000 - WULAN WIDYAWATI -
R004673 RIA ARIANI 73 19,600 - 15,000 - NOVI YULIANTI -
E002888 EUIS SULA 74 - - - - Yuni Nuraeni Munaw -
R005440 RESTU IND 77 29,000 - 15,000 - NOVI YULIANTI -
E003708 ELI NURHA 81 22,400 - 15,000 - NOVI YULIANTI -
Y001827 YUSUP RU 85 28,800 - 15,000 - NOVI YULIANTI -
L001117 LINDASAH 87 24,400 - 15,000 - NOVI YULIANTI -
D003814 DADAN RA 90 89,200 - 15,000 - NOVI YULIANTI -
D003738 DIAN SUGI 93 20,800 - 15,000 - NOVI YULIANTI -
A006899 ADE RUSM 94 27,600 - 15,000 - NOVI YULIANTI -
R001101 RONI FIR 96 37,500 - 15,000 - NOVI YULIANTI -
D001616 DONI KUS 99 - - 15,000 - NOVI YULIANTI -
S004738 SAFIRA ZA 101 28,550 - 15,000 - NOVI YULIANTI -
S004897 SUSILAWAT 102 36,400 - 15,000 - NOVI YULIANTI -
N001521 NOVI YULI 103 27,400 - 15,000 - NOVI YULIANTI -
R005025 ROHIM 108 39,000 - 15,000 - ENCEP SUDARYANA -

LAPORAN PENDAPATAN RAWAT JALAN


Periode: 08-06-2016 s/d 08-06-2016

No. RM Nama PasiNo. Apotek IGD Rawat JalaJasa DokteDokter Lab


A009713 AHMAD SI 4 - - 15,000 - NOVI YULIANTI -
R000940 RAHMAT S 5 24,800 - 15,000 - NOVI YULIANTI -
D003885 DEVIRZHA 6 23,200 - 15,000 - NOVI YULIANTI -
A001687 ARI SUGIAR 7 24,000 - 15,000 - NOVI YULIANTI -
S005625 SITI FATIM 8 28,000 - 15,000 - NOVI YULIANTI -
D003676 DENI RAM 11 - - 15,000 - NOVI YULIANTI -
I002365 IDING JAM 14 8,000 - 15,000 - NOVI YULIANTI -
N000719 NAJLA AGI 16 41,700 - 15,000 - NOVI YULIANTI -
M000112 MAMAH 17 29,500 - 15,000 - NOVI YULIANTI -
S005672 SRI RUKMI 18 - - 15,000 - NOVI YULIANTI -
I003416 IDAH SAID 19 35,000 - 15,000 - NOVI YULIANTI -
E002890 ENCUM KU 21 39,000 - 15,000 - NOVI YULIANTI -
N000980 NUNIK MA 22 26,500 - 15,000 - NOVI YULIANTI -
S001531 SALSA NUR 23 39,900 - 15,000 - NOVI YULIANTI -
S005673 SITI MAUL 25 22,800 - 15,000 - NOVI YULIANTI -
M003723 MAGFIRA 26 28,000 - 15,000 - NOVI YULIANTI -
D003667 DESTRIANT 27 - - 15,000 - NOVI YULIANTI -
S004220 SASA SARI 30 - - 15,000 - NOVI YULIANTI -
A008612 AGUS SAL 31 22,800 - 15,000 - NOVI YULIANTI -
H000773 HILMAN M 32 36,100 - 15,000 - NOVI YULIANTI -
A002335 ANDUN OT 33 32,500 - 15,000 - NOVI YULIANTI -
A009562 ALIFAH LAY 36 28,100 - 15,000 - NOVI YULIANTI -
K001234 KANIA ALI 39 36,100 - 15,000 - NOVI YULIANTI -
G000669 GIANDIRA 40 36,100 - 15,000 - NOVI YULIANTI -
S004121 SAEPUL UY 43 31,400 - 15,000 - NOVI YULIANTI -
M000690 MOCH. DA 44 33,850 - 15,000 - NOVI YULIANTI -
B000782 BURHAM N 45 41,000 - 15,000 - NOVI YULIANTI -
M004974 MIRA KUST 52 19,600 - 15,000 - NOVI YULIANTI -
M005238 MUHAMMAD 53 36,100 - - - NOVI YULIANTI -
M005100 MUHAMMA 54 51,600 - 15,000 - NOVI YULIANTI -
W001142 WAWAT RU 56 26,000 - 15,000 - NOVI YULIANTI -
N003695 NUR ANALI 57 12,500 - 15,000 - NOVI YULIANTI -
G000673 GILDAN M 59 35,100 - 15,000 - NOVI YULIANTI -
M004837 MIGAS WI 60 25,500 - 15,000 - NOVI YULIANTI -
N002156 NASYA TAZ 63 29,100 - 15,000 - NOVI YULIANTI -
M003961 MOCH U J 64 15,650 - 15,000 - NOVI YULIANTI -
L001088 LINA MARL 71 - - 15,000 - WULAN WIDYAWATI -
S005392 SARI YULIA 81 18,000 - 15,000 - WULAN WIDYAWATI -
D004027 DEWAN SA 83 32,000 - 15,000 - WULAN WIDYAWATI -
J000255 JAUZA NUJ 84 - - 15,000 - WULAN WIDYAWATI -
E002692 EVA HERMI 85 19,700 - 15,000 - WULAN WIDYAWATI -
R003132 RIRIN SANT 87 25,000 - 15,000 - WULAN WIDYAWATI -
E003455 ENENG RO 89 - - - - PERIKSA KEBIDANAN -
Y002117 YENI RAH 90 44,000 45,000 15,000 - WULAN WIDYAWATI -
Y002298 YELI SAVIT 91 - - - - PERIKSA KEBIDANAN -
A003283 ASRI HEN 92 48,500 - 15,000 - WULAN WIDYAWATI -
L001095 LILIS LISN 93 29,000 - 15,000 - WULAN WIDYAWATI -
A006532 ASEP TAHY 94 17,000 - 15,000 - WULAN WIDYAWATI -
M002993 M. AIRALD 95 25,400 - 15,000 - WULAN WIDYAWATI -
A002233 APRIANDIN 102 27,400 - 15,000 - WULAN WIDYAWATI -
P000853 PIAN PRIM 105 18,600 - 15,000 - WULAN WIDYAWATI -
W000939 WANDA KH 108 29,000 - 15,000 - WULAN WIDYAWATI -
Y002184 YULIA AGU 110 - - - - PERIKSA KEBIDANAN -
S004864 SRI RAHAY 112 10,600 - 15,000 - WULAN WIDYAWATI -
Z000579 ZAIN NAT 113 31,000 - 15,000 - WULAN WIDYAWATI -
A002466 ANISA FEB 114 16,700 - 15,000 - WULAN WIDYAWATI -
E003359 ENUR NUR 115 16,600 - 15,000 - WULAN WIDYAWATI -
A009115 AI SARINI 116 22,600 - 15,000 - WULAN WIDYAWATI -
M003165 MUHAMMAD 118 24,500 - 15,000 - WULAN WIDYAWATI -
S005254 SITI JUARI 119 20,400 - 15,000 - WULAN WIDYAWATI -
S000606 SURYAMA 120 23,200 - 15,000 - WULAN WIDYAWATI -
A009829 AZKIA RIN 123 33,700 - 15,000 - WULAN WIDYAWATI 80,000
R005315 RISWANDI 125 15,400 - 15,000 - WULAN WIDYAWATI -
M003495 MELY YULI 126 21,200 - 15,000 - WULAN WIDYAWATI -
H001109 HERI RUSLI 130 17,600 - 15,000 - WULAN WIDYAWATI -
E003701 ETRIS NUR 131 21,000 - 15,000 - WULAN WIDYAWATI -
Z000260 ZENAL MU 137 29,000 - 5,000 - H. THIA SILVANA -
LAPORAN PENDAPATAN RAWAT JALAN
Periode: 09-06-2016 s/d 09-06-2016

No. RM Nama PasiNo. Apotek IGD Rawat JalaJasa DokteDokter Lab


N002175 NUNUNG R 5 28,700 - 15,000 - NOVI YULIANTI -
O000006 OOM KOMA 6 33,550 - 15,000 - NOVI YULIANTI 18,000
M002626 MOMON D 7 23,200 - 15,000 - NOVI YULIANTI 18,000
D002981 DUDIH HE 9 40,000 15,000 - NOVI YULIANTI -
A007470 ATIN SUPR 10 32,900 - 15,000 - NOVI YULIANTI -
O000717 OPIK RUST 12 35,800 - 15,000 - NOVI YULIANTI -
A005961 ADITYA HA 13 21,600 - 15,000 - NOVI YULIANTI -
R005223 RIO SATRI 18 24,000 - 15,000 - NOVI YULIANTI -
D002319 DZIKRA AL 20 35,600 - 15,000 - NOVI YULIANTI -
R005462 RODIAH 21 24,600 - 15,000 - NOVI YULIANTI -
E002863 EUIS PATI 22 12,200 - 15,000 - NOVI YULIANTI -
F001400 FAIDZ AKB 23 19,200 - 15,000 - NOVI YULIANTI -
R005463 RANGGA J 24 29,000 - 15,000 - NOVI YULIANTI -
W001117 WIRANTIW 26 18,000 40,000 15,000 - NOVI YULIANTI -
T001389 TATI ROHAY 27 - - 15,000 - NOVI YULIANTI -
D004028 DINI SITI 28 31,750 - 15,000 - NOVI YULIANTI -
M002618 MAKMUN 29 - - 15,000 - NOVI YULIANTI 80,000
S004649 SUJANA 30 21,700 - 15,000 - NOVI YULIANTI -
N004083 NAJMA PUT 32 21,100 - 15,000 - NOVI YULIANTI -
D001339 DINI ERNA 33 - - - - PERIKSAKEBIDANAN -
A007302 ATIN SUPR 35 25,200 - 15,000 - NOVI YULIANTI -
G000577 GANJAR KU 36 - - 15,000 - NOVI YULIANTI 80,000
S005318 SOFIA SUR 41 23,800 - 15,000 - NOVI YULIANTI -
T001220 TANTI SUS 43 31,600 - 15,000 - NOVI YULIANTI -
N003469 NAUFAL SA 44 78,000 45,000 15,000 - NOVI YULIANTI -
R001297 RIKA SRI K 46 64,000 - 15,000 - NOVI YULIANTI -
A007573 ANE REVA 49 32,200 - 15,000 - NOVI YULIANTI -
A002766 ASYANTI 51 34,500 - 15,000 - NOVI YULIANTI -
A009204 ADAM AL A 56 34,400 - 15,000 - NOVI YULIANTI -
A003549 ATIKAH 61 - - 15,000 - NOVI YULIANTI -
M004550 MIA KUSMI 63 25,000 - 15,000 - NOVI YULIANTI -
R002436 REGA SET 64 48,800 - 15,000 - NOVI YULIANTI -
Y000955 YUDI RIYAD 65 25,000 - 15,000 - NOVI YULIANTI -
R004601 REYZA PAD 66 33,800 - 15,000 - H. ASEP MARYAMAN -
M005159 M. RAMDAN 68 30,000 - 15,000 - H. ASEP MARYAMAN -
I000396 IMAS NURH 72 32,500 - 15,000 - H. ASEP MARYAMAN -
K000684 KEVIN NUR 74 28,100 - 15,000 - H. ASEP MARYAMAN -
R005201 RANI NUR 76 28,400 - 15,000 - H. ASEP MARYAMAN -
F000177 FASYA GEO 78 23,500 - 15,000 - H. ASEP MARYAMAN -
V000235 VIRA AGUS 80 24,400 - 15,000 - H. ASEP MARYAMAN -
M004492 MUHAMAD 83 29,400 - 15,000 - H. ASEP MARYAMAN 55,000
S003810 SYAHNAZ 84 29,100 - 15,000 - H. ASEP MARYAMAN -
S005437 SATRIA MA 85 31,200 - 15,000 - H. ASEP MARYAMAN -
C000613 CICAH CAH 86 30,000 - 15,000 - H. ASEP MARYAMAN -
M000031 MAYA RUK 87 27,500 - 15,000 - H. ASEP MARYAMAN -
A009164 ADLI FADH 88 24,000 - 15,000 - H. ASEP MARYAMAN -
N003836 NAJMI AD 93 23,200 - 15,000 - H. ASEP MARYAMAN -
B000240 BALQIS IL 100 105,000 - 15,000 - H. ASEP MARYAMAN -
Y002089 YENI KURN 101 24,400 - 15,000 - H. ASEP MARYAMAN -
R005084 RESHAL F 103 17,200 - 15,000 - H. ASEP MARYAMAN -
F002065 FAREZ AR 104 17,200 - 15,000 - H. ASEP MARYAMAN -
N002833 NUNUNG R 105 18,900 - 15,000 - H. ASEP MARYAMAN -
U001028 UDIN SAM 106 42,400 - 15,000 - H. ASEP MARYAMAN -
S005312 SAHRUL A 108 25,000 - 15,000 - H. ASEP MARYAMAN -
T001785 TASEM 109 18,000 - 15,000 - H. ASEP MARYAMAN -
NASYATH 27,000 - 15,000 - NOVI YULIANTI -

LAPORAN PENDAPATAN RAWAT JALAN


Periode: 10-06-2016 s/d 10-06-2016

No. RM Nama PasiNo. Apotek IGD Rawat JalaJasa DokteDokter Lab


U000377 UNAH 2 24,000 - 15,000 - WULAN WIDYAWATI -
M004672 MUHAMMAD 4 25,200 - 15,000 - WULAN WIDYAWATI -
D003385 DEWI SART 5 13,550 - 15,000 - WULAN WIDYAWATI -
M005264 MUHAMMAD 6 27,000 - 10,000 5,000 WULAN WIDYAWATI -
R001838 RUSTANDI 7 41,200 - 15,000 - WULAN WIDYAWATI -
D000751 DWI INTAN 8 34,400 - 15,000 - WULAN WIDYAWATI -
M003527 MOCHAMAD 9 30,600 - 15,000 - WULAN WIDYAWATI -
I003764 IIM IMAS 10 19,500 - 10,000 5,000 WULAN WIDYAWATI 18,000
A009877 ADAH YULI 14 15,400 - 15,000 - WULAN WIDYAWATI -
I000771 ILIN 16 32,150 - 15,000 - WULAN WIDYAWATI -
A005696 ADIN 17 30,000 - 15,000 - WULAN WIDYAWATI -
S005150 SAJIDIN 21 16,400 - 15,000 - WULAN WIDYAWATI -
T001203 TUTI SULA 25 19,000 - 15,000 - WULAN WIDYAWATI -
K000598 KENZA JUL 27 22,200 - 15,000 - WULAN WIDYAWATI -
R002628 RINA MARL 28 14,200 - 15,000 - WULAN WIDYAWATI -
Y002261 YENI RISTI 30 34,200 - 15,000 - WULAN WIDYAWATI -
J000333 JUARSIH 33 22,600 - 15,000 - WULAN WIDYAWATI -
T000842 TEGUH ESA 43 22,800 - 11,000 4,000 WULAN WIDYAWATI -
N003835 NOPI HERL 47 22,400 - 15,000 - WULAN WIDYAWATI -
N002471 NAZIL MU 48 20,800 - 15,000 - WULAN WIDYAWATI -
L000497 LINGGA NU 49 - - 15,000 - WULAN WIDYAWATI -
F001329 FAIZ AHMA 50 16,700 - 15,000 - WULAN WIDYAWATI -
D003411 DIDIT MUL 51 31,400 - 15,000 - WULAN WIDYAWATI -
N003240 NAURA HA 53 19,800 - 15,000 - WULAN WIDYAWATI -
D000977 DINAR AGU 54 36,200 - 15,000 - WULAN WIDYAWATI -
C000597 CUCUM SU 55 14,000 - 15,000 - WULAN WIDYAWATI -
H000094 HAMIMAH 56 11,700 - 15,000 - WULAN WIDYAWATI -
S001597 SYIFA FA 57 31,000 - 15,000 - WULAN WIDYAWATI -
A008825 ADIVA HAS 61 21,100 - 15,000 - WULAN WIDYAWATI -
M004568 MEVIRA HU 62 24,000 - 15,000 - WULAN WIDYAWATI -
P000290 PUTRI NUR 64 20,500 - 15,000 - WULAN WIDYAWATI -
M000142 MUHLIS 65 24,600 - 15,000 - WULAN WIDYAWATI -
H000655 HARISA AT 66 22,000 - 15,000 - WULAN WIDYAWATI -
D004014 DEPI KUSP 71 - - 15,000 - WULAN WIDYAWATI -
T000172 TATI SUPIA 75 - - - - PERIKSA KEBIDANAN -
Y001260 YANI SURY 78 32,000 - 15,000 - H. THIA SILVANA -
M003635 MOCHAMAD 82 26,400 - 15,000 - H. THIA SILVANA -
N002647 NENENG S 85 - - 15,000 - ANDI HERMANSYAH -
E003704 ENGKON 90 25,000 - 15,000 - ANDI HERMANSYAH -
R003370 RUHIYATI 93 12,500 - 15,000 - ANDI HERMANSYAH -
D003814 DADAN RA 94 29,800 - 15,000 - ANDI HERMANSYAH -
A002233 APRIANDIN 95 12,900 - 15,000 - ANDI HERMANSYAH 80,000
A002232 ASTI JAYAN 96 - - - - PERIKSA KEBIDANAN -
I000818 IMAS NUR 98 22,900 - 15,000 - ANDI HERMANSYAH -
A006576 ACEP NAH 106 27,600 - 15,000 - ANDI HERMANSYAH -
D004033 DHIKA RAH 108 - - 15,000 - ANDI HERMANSYAH 80,000
S005472 SRI SETIAN 110 21,500 - 15,000 - ANDI HERMANSYAH -
N004039 NAILA AZZ 111 34,800 - 15,000 - ANDI HERMANSYAH -
E000825 ELDESSA V 121 24,500 - 15,000 - ENCEP SUDARYANA -
LAPORAN PENDAPATAN RAWAT JALAN
Periode: 11-06-2016 s/d 11-06-2016

No. RM Nama PasiNo. Apotek IGD Rawat JalaJasa DokteDokter Lab


H000848 HARI HILM 2 26,000 - 15,000 - ENCEP SUDARYANA -
F000957 FARDAN KH 3 20,700 - 15,000 - WULAN WIDYAWATI -
J000669 JOSEPH CH 4 37,000 - 15,000 - ENCEP SUDARYANA -
B000814 BAMBANG 7 27,000 - 15,000 - WULAN WIDYAWATI -
E001186 ELVIN FAT 8 18,000 - 5,000 - WULAN WIDYAWATI -
N000070 NANDA DAV 9 17,000 - 15,000 - WULAN WIDYAWATI -
D002981 DUDIH HE 10 8,000 40,000 10,000 5,000 WULAN WIDYAWATI -
A009043 ADE KOMA 12 32,100 - 15,000 - WULAN WIDYAWATI 18,000
F002158 FATHIR DW 16 28,100 - 15,000 - WULAN WIDYAWATI -
H001064 HERMAN N 18 27,400 - 15,000 - WULAN WIDYAWATI -
S003348 SRI HARTAT 21 16,000 - 15,000 - WULAN WIDYAWATI -
N002853 NOVA NUR 23 11,200 - 15,000 - WULAN WIDYAWATI -
A009321 ADE RUKA 24 14,000 - 15,000 - WULAN WIDYAWATI -
I002207 IYANG SAE 25 - - 15,000 - WULAN WIDYAWATI -
E001597 EUIS HANI 27 22,700 - 15,000 - WULAN WIDYAWATI -
N003347 NURUL HI 30 31,700 - 15,000 - WULAN WIDYAWATI -
C000371 CUCU NUR 31 22,800 - 15,000 - WULAN WIDYAWATI -
M003355 MUHAMMA 32 10,500 - 15,000 - WULAN WIDYAWATI -
A009886 ANISA 34 24,900 - 15,000 - WULAN WIDYAWATI -
O000227 OMANAH 35 - - 15,000 - WULAN WIDYAWATI -
F001080 FATHIMAH 37 16,500 - 15,000 - WULAN WIDYAWATI -
Y002310 YULI NURJ 40 32,500 - 15,000 - WULAN WIDYAWATI -
E003463 ERYANTO 44 18,750 - 15,000 - WULAN WIDYAWATI -
G000714 GINA AULI 49 22,000 - 15,000 - WULAN WIDYAWATI -
S001597 SYIFA FA 51 - 45,000 15,000 - WULAN WIDYAWATI -
I001457 IIN KURNIA 53 29,200 - 15,000 - WULAN WIDYAWATI -
S004261 SABIT DAI 56 39,700 - 15,000 - WULAN WIDYAWATI -
N003426 NANA MUL 57 16,400 - 15,000 - WULAN WIDYAWATI -
M000916 MEILA SA. 58 19,750 - 15,000 - WULAN WIDYAWATI -
N003834 NING WATI 59 34,700 - 15,000 - WULAN WIDYAWATI -
L001095 LILIS LISN 60 15,000 - 15,000 - WULAN WIDYAWATI -
I002842 IMNI SALI 61 24,400 - 15,000 - WULAN WIDYAWATI -
Y001802 YENI HERY 62 11,700 - 15,000 - WULAN WIDYAWATI -
D001390 DEDI SAED 63 24,400 - 15,000 - WULAN WIDYAWATI -
K000016 KANDI 64 31,400 - 15,000 - WULAN WIDYAWATI -
R003833 RUMINA J 66 23,000 - 15,000 - WULAN WIDYAWATI -
H001999 HOERUNIS 67 16,000 - 15,000 - WULAN WIDYAWATI -
W001180 WINDA AG 68 34,000 - 15,000 - WULAN WIDYAWATI -
M003165 MUHAMMAD 69 26,000 - 15,000 - WULAN WIDYAWATI 80,000
D003885 DEVIRZHA 78 45,000 - 15,000 - WULAN WIDYAWATI 80,000
E003798 ELWAN AU 79 36,000 - 15,000 - WULAN WIDYAWATI -
R005318 RIJKI MO 83 17,000 - 15,000 - WULAN WIDYAWATI -
A007253 AGUS SOF 85 23,000 - 15,000 - WULAN WIDYAWATI -
M005270 MILDA SYH 86 32,000 - 15,000 - WULAN WIDYAWATI -
N003535 NAHARA N 90 19,000 - 15,000 - WULAN WIDYAWATI -
A009829 AZKIA RIN 91 19,000 - 15,000 - WULAN WIDYAWATI -
R005478 RIKA RAH 92 15,000 - 15,000 - WULAN WIDYAWATI -
A009204 ADAM AL A 96 30,000 - 15,000 - WULAN WIDYAWATI -

LAPORAN PENDAPATAN RAWAT JALAN


Periode: 12-06-2016 s/d 12-06-2016

No. RM Nama PasiNo. Apotek IGD Rawat JalaJasa DokteDokter Lab


A002324 ALEN AMEL 60 11,000 - 5,000 - H. ASEP SANI SULAE -

LAPORAN PENDAPATAN RAWAT JALAN


Periode: 13-06-2016 s/d 13-06-2016

No. RM Nama PasiNo. Apotek IGD Rawat JalaJasa DokteDokter Lab


Y001998 YOGI FIRMA 5 61,400 - 15,000 - NOVI YULIANTI -
E002774 E. SUMINA 8 - - 15,000 - NOVI YULIANTI -
R002481 RANA 9 16,500 - 5,000 - NOVI YULIANTI -
S000403 SITI WAHY 10 31,000 - 10,000 5,000 NOVI YULIANTI -
E001490 ELIS MARY 12 29,400 - 15,000 - NOVI YULIANTI -
H000586 HANDAYANI 13 - - 15,000 - NOVI YULIANTI -
A009516 ACOEM M 16 - - 15,000 - NOVI YULIANTI -
U000662 USAM SAM 18 12,700 - 15,000 - NOVI YULIANTI -
R005482 RISMAWAT 19 19,000 - 15,000 - NOVI YULIANTI -
R005462 RODIAH 20 55,000 - 15,000 - NOVI YULIANTI -
V000270 VERA NUR 26 42,600 - 15,000 - NOVI YULIANTI -
R001465 RAHMAWAT 27 - - 5,000 - NOVI YULIANTI 55,000
S001918 SURYAMA 30 22,800 - 15,000 - NOVI YULIANTI -
D003963 DZAKIRA A 33 21,550 - 15,000 - NOVI YULIANTI -
F002184 FITRIANI 34 - - - - PERIKSA KEBIDANAN -
R001044 RIFKI HID 37 28,100 - 15,000 - NOVI YULIANTI -
N003795 NABILLA M 39 29,200 - 15,000 - NOVI YULIANTI 80,000
N001973 NINA MAR 45 27,200 - 15,000 - NOVI YULIANTI -
S005151 SABKY HA 47 21,100 - 15,000 - NOVI YULIANTI -
T001731 TIN SURTIN 48 27,200 - 15,000 - NOVI YULIANTI -
G000063 GUNA SUK 49 18,000 - 15,000 - NOVI YULIANTI -
R004822 RISCA THI 50 25,200 - 15,000 - NOVI YULIANTI -
M000838 M. DHEVAN 51 28,100 - 15,000 - NOVI YULIANTI -
M003565 MUHAMAD 54 28,100 - 15,000 - NOVI YULIANTI -
N000991 NURHAYATI 55 33,400 - 15,000 - NOVI YULIANTI -
E000707 ELKA WINA 56 36,600 - 15,000 - NOVI YULIANTI 80,000
A006679 ADZKIA A 58 20,000 - 15,000 - NOVI YULIANTI -
N000329 NURJAMA 59 - - 15,000 - NOVI YULIANTI -
F001364 FIDEYA GA 60 19,300 - 15,000 - NOVI YULIANTI -
U000746 UUM SUMI 62 50,000 - 15,000 - NOVI YULIANTI 41,000
A005222 ANISA CA 63 - - 15,000 - NOVI YULIANTI 41,000
M004603 MIRA TANI 64 16,900 - 15,000 - NOVI YULIANTI -
P000774 PUTRI ZAH 65 18,900 - 15,000 - NOVI YULIANTI -
N003509 N. KUSMA 67 32,500 - 15,000 - NOVI YULIANTI -
K001135 KUNDANG 69 - 75,000 15,000 - NOVI YULIANTI -
A008512 ADAM MA 70 30,200 - 15,000 - NOVI YULIANTI -
W001117 WIRANTIW 71 16,000 70,000 15,000 - NOVI YULIANTI -
A008191 ALLWY ADH 73 - - 15,000 - NOVI YULIANTI -
A008581 ALVARO AD 75 21,100 - 15,000 - NOVI YULIANTI -
S000899 SUNARYAT 76 22,800 - 15,000 - NOVI YULIANTI -
I001931 IMAS HERA 77 25,200 - 15,000 - NOVI YULIANTI -
B000736 BASTIAN E 78 32,000 - 15,000 - NOVI YULIANTI -
A006066 ASEP NUR 82 31,000 - 15,000 - H. THIA SILVANA -
E000825 ELDESSA V 85 27,000 - 15,000 - H. THIA SILVANA -
A007518 AMUS SUR 89 27,600 - 15,000 - H. THIA SILVANA -
S004602 SETIAWATI 90 19,700 - 15,000 - H. THIA SILVANA -
S004742 SANTI SUS 94 23,000 - 15,000 - H. THIA SILVANA -
A003305 AYU RIZZA 96 34,000 - 34,000 - H. THIA SILVANA -
M002617 MUNIR IS 97 25,000 - 15,000 - H. THIA SILVANA -
F001122 FADHIL A 101 25,000 - 15,000 - H. THIA SILVANA -
M001133 M. GALAN 102 15,600 - 15,000 - H. THIA SILVANA -
C000161 CIKA GHAN 103 16,900 - 15,000 - H. THIA SILVANA -
Y000857 YANTI KUS 104 25,000 - 15,000 - H. THIA SILVANA -
E003484 ENTIN FAT 105 22,000 - 15,000 - H. THIA SILVANA -
I000724 IKEU NUR 108 25,000 - 15,000 - H. THIA SILVANA -
F001946 FADIL AID 110 21,900 - 15,000 - H. THIA SILVANA -
Z000236 ZIA MUHA 111 28,500 - 15,000 - H. THIA SILVANA -
T000656 TINTIN SET 112 25,000 - 15,000 - H. THIA SILVANA -
M004776 MUHAMAD 113 24,700 - 15,000 - H. THIA SILVANA -
D003293 DEDE SUMI 114 27,200 - 15,000 - H. THIA SILVANA -
Y002244 YENI KAMI 115 - - - - PERIKSA KEBIDANAN -
A003811 AHMAD NA 116 23,000 - 15,000 - H. THIA SILVANA -
I003476 IMAN ABDU 117 19,200 - 15,000 - H. THIA SILVANA -
E003408 EULIS NUR 118 22,000 - 15,000 - H. THIA SILVANA -
F001194 FAJAR FAH 119 14,200 - 11,000 4,000 H. THIA SILVANA -
S005170 SRI RAHAY 121 - - - - PERIKSA KEBIDANAN -
B000339 BUDHI RO 122 27,200 - 15,000 - H. THIA SILVANA -
I000687 INDRA SAE 123 28,000 - 15,000 - H. THIA SILVANA -
M003497 M. AZKA H 124 21,500 - 15,000 - H. THIA SILVANA -
N000084 NENG SITI 127 21,000 - 15,000 - H. THIA SILVANA -
R002497 RAFLI AHM 128 27,500 - 10,000 5,000 H. THIA SILVANA -
S001084 SITI SA’AD 130 27,000 - 15,000 - H. THIA SILVANA -
A007618 ADINDA RA 131 26,200 - 15,000 - H. THIA SILVANA -
A002324 ALEN AMEL 133 20,000 - 15,000 - H. THIA SILVANA -
R001191 RIZQYLILL 136 36,150 - 5,000 - H. THIA SILVANA -

LAPORAN PENDAPATAN RAWAT JALAN


Periode: 15-06-2016 s/d 15-06-2016

No. RM Nama PasiNo. Apotek IGD Rawat JalaJasa DokteDokter Lab


Z000587 ZIHAN MEL 5 17,100 - 15,000 - WULAN WIDYAWATI -
E002774 E. SUMINA 6 - - 15,000 - WULAN WIDYAWATI -
F002233 FATAN M.R 8 - - 15,000 - WULAN WIDYAWATI 80,000
E003641 ENDAH AST 10 20,200 - 15,000 - WULAN WIDYAWATI -
E000238 EDI RUSW 13 - - 15,000 - WULAN WIDYAWATI -
M002626 MOMON D 14 28,700 - 15,000 - WULAN WIDYAWATI 18,000
M000879 MOCH. FAC 16 - - 15,000 - WULAN WIDYAWATI -
I003188 ILHAM WI 21 31,800 - 15,000 - WULAN WIDYAWATI -
N003813 NENDEN SU 22 32,000 - 15,000 - WULAN WIDYAWATI -
M001164 MIMA YUL 24 28,200 - 15,000 - WULAN WIDYAWATI -
Y000797 YETI NURH 25 26,300 - 15,000 - WULAN WIDYAWATI -
Y002126 YENI SUMA 26 32,500 - 15,000 - WULAN WIDYAWATI -
A007324 ASEP AGA 27 - - - - CEK LAB SAJA 23,000
W000861 WINI APRI 28 23,800 - 15,000 - WULAN WIDYAWATI -
M002248 MUTIARA 29 20,900 - 15,000 - WULAN WIDYAWATI -
R003655 RAIHAN KE 30 17,100 - 15,000 - WULAN WIDYAWATI -
R002948 RENI SAPA 31 17,200 - 15,000 - WULAN WIDYAWATI -
F001610 FABIAN S 32 27,000 - 15,000 - WULAN WIDYAWATI -
R001549 RIZKY AHD 33 30,600 - 15,000 - WULAN WIDYAWATI -
M001200 M. AUDRIC 34 29,800 - 15,000 - WULAN WIDYAWATI -
H000657 HARIS ISK 35 15,950 - 15,000 - WULAN WIDYAWATI -
A002122 ASEP SUPR 36 27,100 - 15,000 - WULAN WIDYAWATI -
G000276 GEN GEN S 38 23,400 - 15,000 - WULAN WIDYAWATI -
R003501 RUROUNI 39 17,700 - 15,000 - WULAN WIDYAWATI -
N000980 NUNIK MA 40 14,800 - 15,000 - WULAN WIDYAWATI -
L001240 LENA YULI 42 26,400 - 15,000 - WULAN WIDYAWATI -
S005457 SITI HALI 44 16,400 - 15,000 - WULAN WIDYAWATI -
A008058 A. SAEPUL 45 18,200 - 15,000 - WULAN WIDYAWATI -
S000927 SARAH 46 22,000 - 15,000 - WULAN WIDYAWATI -
I003773 IYA RUHIYA 47 31,600 - 15,000 - WULAN WIDYAWATI -
S004768 SANTI SAE 49 23,400 - 15,000 - WULAN WIDYAWATI -
O000668 OHAN SUR 50 24,400 - 15,000 - WULAN WIDYAWATI -
W000412 WAWANG 54 14,950 - 15,000 - WULAN WIDYAWATI -
A009895 ANI A SET 55 15,400 - 15,000 - WULAN WIDYAWATI -
F002051 FAQIH HA 60 25,400 - 15,000 - WULAN WIDYAWATI -
S005458 SUMPENA 64 15,000 - 15,000 - NOVI YULIANTI -
H001425 HUMAIRA 65 31,000 - 15,000 - NOVI YULIANTI -
E003801 ENDAR BUD 66 51,000 45,000 15,000 - NOVI YULIANTI -
H001830 HANA WUL 67 - - - - PERIKSAKEBIDANAN -
S000195 SUKIRMAN 69 14,000 - 15,000 - NOVI YULIANTI -
E003607 ERNI WIDI 70 16,000 - 15,000 - NOVI YULIANTI -
P000713 POPI NOVI 72 13,700 - 15,000 - NOVI YULIANTI -
D003717 DINI DAMA 74 - - 15,000 - NOVI YULIANTI -
R004530 RATNA SAR 75 - - 15,000 - NOVI YULIANTI 80,000
R004909 RAYA OKTA 77 26,500 - 15,000 - NOVI YULIANTI -
R003174 RIA SATRI 78 27,100 - 15,000 - NOVI YULIANTI -
E003402 ERUM RUM 81 19,150 - 15,000 - NOVI YULIANTI -
O000684 OPAN SOP 82 15,000 - 15,000 - NOVI YULIANTI -
P000743 PUTRI YUL 85 34,000 - 15,000 - NOVI YULIANTI -
R005201 RANI NUR 86 34,000 - 15,000 - NOVI YULIANTI -
I001446 IMAS MAS 87 29,700 - 15,000 - NOVI YULIANTI -
E000975 ELIS RUSTE 88 19,200 - 15,000 - NOVI YULIANTI -
A001212 ANDHITA J 89 47,900 - 15,000 - NOVI YULIANTI -
A008058 A SAEPUL 90 18,200 - 15,000 - NOVI YULIANTI -
M005067 MOCH SAB 91 31,100 - 15,000 - NOVI YULIANTI -
S000200 SANI YANU 93 45,400 - 15,000 - NOVI YULIANTI -
G000107 GAITSA SY 94 73,200 - 15,000 - NOVI YULIANTI -
S005337 SUSANTI 97 51,000 - 15,000 - NOVI YULIANTI -
N000596 NAUFAL M 99 23,000 - 15,000 - NOVI YULIANTI -
S000781 SANTANA 100 16,500 - 15,000 - NOVI YULIANTI -
Y000391 YUDA LES 104 20,600 - 15,000 - NOVI YULIANTI -
A000965 ALIF ALANI 105 33,500 - 15,000 - NOVI YULIANTI -
W001206 WILDAN A 106 36,500 - 15,000 - NOVI YULIANTI -
LAPORAN PENDAPATAN RAWAT JALAN
Periode: 15-06-2016 s/d 15-06-2016

No. RM Nama PasiNo. Apotek IGD Rawat JalaJasa DokteDokter Lab


A002061 ANNISA N 3 23,000 - 15,000 - NOVI YULIANTI -
U000824 UNANG HI 4 31,000 - 15,000 - NOVI YULIANTI -
D003667 DESTRIANT 6 24,000 - 15,000 - NOVI YULIANTI -
T001571 TATI HARTA 7 32,000 - 15,000 - NOVI YULIANTI -
E003463 ERYANTO 8 38,000 - 15,000 - NOVI YULIANTI -
R004591 RUSNANDI 11 15,000 - 15,000 - NOVI YULIANTI -
S000902 SRI RAHAY 15 - - - - PERIKSA KEBIDANAN -
A008497 ANDRI RIA 17 30,000 - 15,000 - NOVI YULIANTI -
M005214 MUHAMMAD 19 27,000 - 10,000 5,000 NOVI YULIANTI -
Y002265 YENI ROHA 20 30,000 - 15,000 - NOVI YULIANTI -
N002738 NURMARIN 22 37,000 - 15,000 - NOVI YULIANTI -
A006788 AHMAD SU 23 37,000 - 15,000 - NOVI YULIANTI -
C000613 CICAH CAH 25 39,000 - 15,000 - NOVI YULIANTI -
A008356 ASEP DEDI 26 26,000 - 15,000 - NOVI YULIANTI -
A005675 ASIAH 27 30,000 - 15,000 - NOVI YULIANTI -
A007470 ATIN SUPR 28 58,000 - 15,000 - NOVI YULIANTI -
T001863 TINI SUMA 30 - - 15,000 - NOVI YULIANTI -
M002618 MAKMUN 33 18,000 - 15,000 - NOVI YULIANTI 55,000
E003647 ENDANG M 38 16,000 - 15,000 - NOVI YULIANTI 18,000
M004898 MUHAMAD 41 41,000 - 15,000 - NOVI YULIANTI -
M004496 MOCHMAMM 46 27,000 - 15,000 - NOVI YULIANTI -
M005279 MARWAH A 47 35,000 - 15,000 - NOVI YULIANTI -
H001154 HEDI RUFY 54 26,000 - 15,000 - NOVI YULIANTI -
U000079 UDJANG S 56 38,000 - 15,000 - NOVI YULIANTI -
A006458 AIDIL FADI 58 43,000 - 15,000 - NOVI YULIANTI -
V000250 VALERIE V 61 25,000 - 15,000 - NOVI YULIANTI -
A003000 ARNI SULA 64 35,500 - 15,000 - WULAN WIDYAWATI -
Y000586 YENI NURA 65 28,700 - 15,000 - WULAN WIDYAWATI -
R004571 RENI SUSA 68 - - - - PERIKSA KEBIDANAN -
M001839 MUHAMAD R 70 40,000 - 15,000 - WULAN WIDYAWATI -
R004127 RINI 72 - - - - PERIKSA KEBIDANAN -
I003301 ICI MARIAD 74 24,400 - 15,000 - WULAN WIDYAWATI -
N000671 NABILA KH 76 34,300 - 15,000 - WULAN WIDYAWATI -
L001219 LUSIANA 80 5,000 - 15,000 - WULAN WIDYAWATI -
S005467 SITI NURH 81 - - - - PERIKSA KEBIDANAN -
D003915 DITA HAND 85 34,200 - 15,000 - WULAN WIDYAWATI -
M000261 MITA LESTA 90 23,200 - 15,000 - WULAN WIDYAWATI -
L000315 LINDA PER 92 29,400 - 15,000 - WULAN WIDYAWATI -
G000320 GINA AULI 93 40,800 - 15,000 - WULAN WIDYAWATI -
S000103 SUTARMA 94 37,000 - 15,000 - WULAN WIDYAWATI -
Dani Ramadhan Rp 21,000 15,000 - ENCEP SUDARYANA
Imas Ismahayat Rp - 15,000 - NOVI YULIANTI

LAPORAN PENDAPATAN RAWAT JALAN


Periode: 16-06-2016 s/d 16-06-2016

No. RM Nama PasiNo. Apotek IGD Rawat JalaJasa DokteDokter Lab


M003878 MUHAMMAD 3 25,000 - 15,000 - NOVI YULIANTI -
A006681 ASEP SAEP 4 35,000 - 15,000 - NOVI YULIANTI -
S000712 SITI ANIS 8 27,000 - 15,000 - NOVI YULIANTI -
P000691 PURNAMA 9 27,700 - 15,000 - NOVI YULIANTI -
E002890 ENCUM KU 10 - - 15,000 - NOVI YULIANTI -
P000317 PUJA FACH 11 24,400 - 15,000 - NOVI YULIANTI -
M000879 MOCH. FAC 13 - - 15,000 - NOVI YULIANTI 80,000
N000243 NANANG A 14 24,400 - 15,000 - NOVI YULIANTI -
M000400 MARYATI 15 31,200 - 15,000 - NOVI YULIANTI -
R005201 RANI NUR 16 - - 15,000 - NOVI YULIANTI 80,000
A009414 AGHARR AL 17 29,100 - 15,000 - NOVI YULIANTI -
R003824 ROSDIANA 19 29,500 - 15,000 - NOVI YULIANTI -
R005486 RIZKY AR 20 17,700 - 15,000 - NOVI YULIANTI -
A009900 AI HADINA 21 26,200 - 15,000 - NOVI YULIANTI -
N001198 NURCE FA 23 - - 15,000 - NOVI YULIANTI -
H001498 HERZHA NA 24 20,000 - 15,000 - NOVI YULIANTI -
M000642 MUHAMMAD 26 28,100 - 15,000 - NOVI YULIANTI -
A007768 ANTI SEPTI 27 18,200 - 15,000 - NOVI YULIANTI -
A001741 ANTON RA 28 14,700 - 15,000 - NOVI YULIANTI -
M003500 MELISA AN 29 22,800 - 15,000 - NOVI YULIANTI -
C000697 CECEP SAE 30 51,200 - 15,000 - NOVI YULIANTI -
S003826 SADIAH 31 28,200 - 15,000 - NOVI YULIANTI -
Y001590 YULI TAJUL 32 - - 15,000 - NOVI YULIANTI -
N001713 NABILLA A 33 16,500 - 15,000 - NOVI YULIANTI -
D001390 DEDI SAED 34 27,400 - 15,000 - NOVI YULIANTI -
I003764 IIM IMAS 35 32,000 - 10,000 5,000 NOVI YULIANTI -
H000987 HENDRA M 36 32,000 - 15,000 - NOVI YULIANTI -
R001052 RESGI ZUL 40 37,000 75,000 15,000 - NOVI YULIANTI -
T000655 TAUFIK ISM 41 - - 15,000 - NOVI YULIANTI 55,000
S004079 SITI SOLIH 44 26,400 - 15,000 - NOVI YULIANTI -
S003729 SAMSUDIN, 45 22,200 - 15,000 - NOVI YULIANTI -
N003695 NUR ANALI 47 17,500 - 15,000 - NOVI YULIANTI -
N003843 NURYANTI 49 29,000 - 15,000 - NOVI YULIANTI -
A008378 AUFAR ALM 50 18,100 - 15,000 - NOVI YULIANTI -
W001117 WIRANTIW 52 22,000 70,000 15,000 - NOVI YULIANTI -
R005178 RATNA NOV 53 22,200 - 15,000 - NOVI YULIANTI -
C000601 CICI OCTAV 57 36,000 - 15,000 - H. ASEP MARYAMAN -
A009841 ARSLAN N 58 62,300 - 15,000 - H. ASEP MARYAMAN -
L001254 LISNA DANI 59 30,000 - 15,000 - H. ASEP MARYAMAN -
Y001492 YULIARTI 60 30,400 - 5,000 - H. ASEP MARYAMAN -
O000591 OTAS MAR 62 35,000 - 15,000 - H. ASEP MARYAMAN -
D000368 DENA SUTI 66 19,500 - 15,000 - H. ASEP MARYAMAN -
N003426 NANA MUL 69 22,000 - 15,000 - H. ASEP MARYAMAN -
N003535 NAHARA N 70 21,600 - 15,000 - H. ASEP MARYAMAN -
A004932 ADELLA P 72 28,000 - 15,000 - H. ASEP MARYAMAN -
N002948 NHINDO K 73 29,000 - 15,000 - H. ASEP MARYAMAN -
B000426 BAGUS BA 77 18,500 - 15,000 - H. ASEP MARYAMAN -
E002911 ELI KUSTI 79 17,600 - 15,000 - H. ASEP MARYAMAN -
M003609 M TAUFIK 80 24,000 - 15,000 - H. ASEP MARYAMAN -
T001679 TSAYILA AP 84 24,700 - 15,000 - H. ASEP MARYAMAN -
E003728 EMUN MA 86 21,500 - 15,000 - H. ASEP MARYAMAN -
J000035 JAJAT SUD 92 22,000 - 15,000 - H. ASEP MARYAMAN -
A009367 AISYAHHE 93 30,000 - 15,000 - H. ASEP MARYAMAN -
N001353 NENG LINA 94 47,500 - 15,000 - H. ASEP MARYAMAN -
A006660 ARDIANSY 97 27,500 - 15,000 - H. ASEP MARYAMAN -
A003289 AGUS TATA 98 30,000 - 5,000 - H. ASEP MARYAMAN -
L001095 LILIS LISNAWATI 52,000 - 5,000 - NOVI YULIANTI -
N RAWAT JALAN
s/d 01-06-2016

Kartu Oksigen Kia Jumlah Jenis PaseiKeterangan APOTEK/U LAB


- - - 35,600 BPJS SUDAH DILAYANI
- - - 15,000 BPJS SUDAH DILAYANI
- - - 41,600 ASKES SUDAH DILAYANI
- - - 36,800 BPJS SUDAH DILAYANI
- - - 15,000 BPJS SUDAH DILAYANI
- - - 43,600 ASKES SUDAH DILAYANI
- - - 44,300 BPJS SUDAH DILAYANI
- - - 34,000 BPJS SUDAH DILAYANI
- - - 41,300 BPJS SUDAH DILAYANI
- - - 39,400 ASKES SUDAH DILAYANI
- - - 39,400 ASKES SUDAH DILAYANI
- - - 38,000 BPJS SUDAH DILAYANI
- - - 43,100 BPJS SUDAH DILAYANI
- - - 42,500 BPJS SUDAH DILAYANI
- - - 40,300 BPJS SUDAH DILAYANI
- - - 45,000 BPJS SUDAH DILAYANI
- - - 15,000 BPJS SUDAH DILAYANI
- - - 29,000 BPJS SUDAH DILAYANI
- - - 33,100 BPJS SUDAH DILAYANI
- - - 42,000 BPJS SUDAH DILAYANI
- - - 44,300 BPJS SUDAH DILAYANI
- - - 44,000 BPJS SUDAH DILAYANI
- - - 37,500 ASKES SUDAH DILAYANI
- - - 32,400 BPJS SUDAH DILAYANI
- - - 39,500 BPJS SUDAH DILAYANI
- - - 15,000 ASKES SUDAH DILAYANI
- - - 96,700 BPJS SUDAH DILAYANI 21,000 48,000
- - - 39,900 ASKES SUDAH DILAYANI
- - - 44,300 BPJS SUDAH DILAYANI
- - - 52,500 BPJS SUDAH DILAYANI
21,000 48,000
69,000
NOVI YULIANTI=30
WULAN WIDYAWATI=15
PERIKSAKEBIDANAN=2
IGD=1
RUJUK=4

N RAWAT JALAN
s/d 02-06-2016
Oksigen Ambulans Kia Jumlah Jenis PaseiKeterangan APOTEK/U LAB
- - - 19,000 BPJS SUDAH DILAYANI 5,000
- - - 33,200 BPJS SUDAH DILAYANI
- - - 32,000 BPJS SUDAH DILAYANI
- - - 71,100 ASKES SUDAH DILAYANI 7,000
- - - 37,600 BPJS SUDAH DILAYANI
- - - 15,000 BPJS SUDAH DILAYANI
- - - 53,800 BPJS SUDAH DILAYANI
- - - 51,100 BPJS SUDAH DILAYANI
- - - 77,900 BPJS SUDAH DILAYANI 25,000
- - - 45,900 BPJS SUDAH DILAYANI
- - - 27,200 BPJS SUDAH DILAYANI
- - - 46,700 BPJS SUDAH DILAYANI
- - - 27,200 BPJS SUDAH DILAYANI
- - - 39,400 BPJS SUDAH DILAYANI
- - - 44,700 BPJS SUDAH DILAYANI
- - - 33,200 BPJS SUDAH DILAYANI
- - - 35,200 BPJS SUDAH DILAYANI
- - - 74,500 BPJS SUDAH DILAYANI 25,000
- - - 37,000 BPJS SUDAH DILAYANI
- - - 34,750 BPJS SUDAH DILAYANI
- - - 26,700 BPJS SUDAH DILAYANI
- - - 186,600 BPJS SUDAH DILAYANI 149,000
- - - 40,000 BPJS SUDAH DILAYANI
- - - 34,600 BPJS SUDAH DILAYANI
- - - 56,700 BPJS SUDAH DILAYANI
- - - 30,700 ASKES SUDAH DILAYANI
- - - 30,500 BPJS SUDAH DILAYANI
- - - 61,200 BPJS SUDAH DILAYANI
- - - 124,500 BPJS SUDAH DILAYANI 25,000 25,000
- - - 32,400 BPJS SUDAH DILAYANI
- - - 28,700 BPJS SUDAH DILAYANI
- - - 31,200 BPJS SUDAH DILAYANI
- - - 47,500 BPJS SUDAH DILAYANI
- - - 35,000 BPJS SUDAH DILAYANI
- - - 44,500 BPJS SUDAH DILAYANI
- - - 38,400 BPJS SUDAH DILAYANI
- - - 38,000 BPJS SUDAH DILAYANI
- - - 36,200 BPJS SUDAH DILAYANI
- - - 36,000 BPJS SUDAH DILAYANI
- - - 31,000 BPJS SUDAH DILAYANI
- - - 15,000 BPJS SUDAH DILAYANI
- - - 38,900 BPJS SUDAH DILAYANI
- - - 95,000 BPJS SUDAH DILAYANI 25,000
- - - 15,000 BPJS SUDAH DILAYANI
- - - 30,400 BPJS SUDAH DILAYANI
- - - 43,000 BPJS SUDAH DILAYANI
- - - 35,000 BPJS SUDAH DILAYANI
- - - 15,000 BPJS SUDAH DILAYANI
- - - 15,000 BPJS SUDAH DILAYANI
- - - 38,000 BPJS SUDAH DILAYANI
- - - 34,000 BPJS SUDAH DILAYANI
- - - 34,000 BPJS SUDAH DILAYANI
25,000 - - 61,000 BPJS SUDAH DILAYANI 25000
80,000 - - 95,000 BPJS SUDAH DILAYANI 25000
- - - 40,000 BPJS SUDAH DILAYANI
- - - 15,000 BPJS SUDAH DILAYANI
186,000 150,000
336,000
ENCEP SUDARYANA=1
H. ASEP MARYAMAN=22
NOVI YULIANTI=33
RUJUK=8

N RAWAT JALAN
s/d 03-06-2016

Oksigen Ambulans Kia Jumlah Jenis PaseiKeterangan APOTEK/U LAB


- - - 15,000 ASKES SUDAH DILAYANI
- - - 15,000 ASKES SUDAH DILAYANI
- - - 39,400 BPJS SUDAH DILAYANI
- - - 15,000 BPJS SUDAH DILAYANI
- - - 29,000 BPJS SUDAH DILAYANI
- - - 24,100 BPJS SUDAH DILAYANI
- - - 15,000 BPJS SUDAH DILAYANI
- - - 47,200 BPJS SUDAH DILAYANI
- - - 29,000 BPJS SUDAH DILAYANI
- - - 29,000 BPJS SUDAH DILAYANI
- - - 29,500 UMUM/BPSUDAH DILAYANI
- - - 46,700 BPJS SUDAH DILAYANI
- - - 30,200 BPJS SUDAH DILAYANI
- - - 39,700 BPJS SUDAH DILAYANI
- - - 49,700 BPJS SUDAH DILAYANI
- - - 15,000 BPJS SUDAH DILAYANI
- - - 28,400 BPJS SUDAH DILAYANI
- - - 28,400 BPJS SUDAH DILAYANI
- - - 45,100 BPJS SUDAH DILAYANI
- - - 31,950 BPJS SUDAH DILAYANI
- - - 42,000 BPJS SUDAH DILAYANI
- - - 91,100 BPJS SUDAH DILAYANI
- - - 43,400 BPJS SUDAH DILAYANI 57,000
- - - 15,000 BPJS SUDAH DILAYANI
- - - 46,500 BPJS SUDAH DILAYANI
- - - 57,800 BPJS SUDAH DILAYANI
- - - 47,100 BPJS SUDAH DILAYANI
- - - 34,000 BPJS SUDAH DILAYANI
- - - 37,000 BPJS SUDAH DILAYANI
- - - 34,600 BPJS SUDAH DILAYANI
- - - 41,100 BPJS SUDAH DILAYANI
- - - 126,000 BPJS SUDAH DILAYANI 30,000
- - - 36,150 BPJS SUDAH DILAYANI
- - - 36,000 BPJS SUDAH DILAYANI
- - - 44,750 BPJS SUDAH DILAYANI
- - - 35,150 BPJS SUDAH DILAYANI
- - - 33,000 BPJS SUDAH DILAYANI
- - - 47,000 BPJS SUDAH DILAYANI
- - - 95,000 BPJS SUDAH DILAYANI 25000
- - - 15,000 BPJS SUDAH DILAYANI
87,000 25,000
112,000
ANDI HERMANSYAH=17
WULAN WIDYAWATI=23
RUJUK=8
IGD=1

N RAWAT JALAN
s/d 04-06-2016

Oksigen Ambulans Kia Jumlah Jenis PaseiKeterangan APOTEK/U LAB


- - - 15,000 BPJS SUDAH DILAYANI
- - - 89,200 BPJS SUDAH DILAYANI 25,000
- - - 87,000 BPJS SUDAH DILAYANI 25,000
- - - 51,700 BPJS SUDAH DILAYANI
- - - 36,800 BPJS SUDAH DILAYANI
- - - 53,000 ASKES SUDAH DILAYANI
- - 38,100 38,100 BPJS SUDAH DILAYANI
- - - 38,000 BPJS SUDAH DILAYANI
- - - 35,600 BPJS SUDAH DILAYANI
- - - 44,200 BPJS SUDAH DILAYANI
- - - 110,500 BPJS SUDAH DILAYANI 33,000
- - - 45,400 BPJS SUDAH DILAYANI
- - - 39,400 BPJS SUDAH DILAYANI
- - - 43,600 BPJS SUDAH DILAYANI
- - - 40,000 BPJS SUDAH DILAYANI
- - - 120,000 BPJS SUDAH DILAYANI 50,000
- - 25,000 25,000 BPJS SUDAH DILAYANI
- - - 45,600 BPJS SUDAH DILAYANI
- - 35,500 35,500 BPJS SUDAH DILAYANI
- - - 35,900 BPJS SUDAH DILAYANI
- - - 32,600 BPJS SUDAH DILAYANI
- - - 36,200 BPJS SUDAH DILAYANI
- - - 36,100 BPJS SUDAH DILAYANI 12,000
- - - 46,900 BPJS SUDAH DILAYANI
- - - 95,900 BPJS SUDAH DILAYANI 65,000
- - - 33,600 BPJS SUDAH DILAYANI
- - - 31,800 BPJS SUDAH DILAYANI
- - - 110,000 BPJS SUDAH DILAYANI 20,000
- - - 15,000 BPJS SUDAH DILAYANI
- - - 38,000 ASKES SUDAH DILAYANI
- - - 25,300 BPJS SUDAH DILAYANI
- - - 34,200 BPJS SUDAH DILAYANI
- - - 33,000 BPJS SUDAH DILAYANI
- - - 109,400 BPJS SUDAH DILAYANI 20,000
- - - 38,000 ASKES SUDAH DILAYANI
- - - 24,200 BPJS SUDAH DILAYANI
- - - 30,000 BPJS SUDAH DILAYANI
- - - 50,000 BPJS SUDAH DILAYANI
- - - 37,400 BPJS SUDAH DILAYANI
- - - 41,400 BPJS SUDAH DILAYANI
- - - 52,850 BPJS SUDAH DILAYANI
- - - 44,350 BPJS SUDAH DILAYANI
- - - 77,000 BPJS SUDAH DILAYANI 25,000
- - 26,700 26,700 BPJS SUDAH DILAYANI
- - - 54,000 BPJS SUDAH DILAYANI
- - - 33,400 BPJS SUDAH DILAYANI
- - - 33,200 UMUM/BPSUDAH DILAYANI
- - - 141,000 BPJS SUDAH DILAYANI 54,000
- - - 28,000 BPJS SUDAH DILAYANI
- - - 145,000 BPJS SUDAH DILAYANI 120,000
- - - 56,600 BPJS SUDAH DILAYANI 15,000
- - - 38,000 BPJS SUDAH DILAYANI
- - - 47,000 BPJS SUDAH DILAYANI
- - - 46,000 BPJS SUDAH DILAYANI
- - - 34,000 BPJS SUDAH DILAYANI
- - - 40,000 BPJS SUDAH DILAYANI
339,000 125,000
464,000
ENCEP SUDARYANA=1
NOVI YULIANTI=21
WULAN WIDYAWATI=30
PERIKSA KEBIDANAN=4
RUJUK=3
IGD=3

N RAWAT JALAN
s/d 05-06-2016

Oksigen Ambulans Kia Jumlah Jenis PaseiKeterangan APOTEK/U LAB


- - - 98,072 BPJS SUDAH DILAYANI 75,000
- - - 45,500 BPJS SUDAH DILAYANI
- - - 20,000 BPJS SUDAH DILAYANI
75,000
ANDI HERMANSYAH=2
H.ASEP SANI SULAEMAN=1

N RAWAT JALAN
s/d 06-06-2016

Oksigen Ambulans Kia Jumlah Jenis PaseiKeterangan APOTEK/U LAB


- - - 59,700 BPJS SUDAH DILAYANI 16,000
- - - 99,000 BPJS SUDAH DILAYANI 25,000
- - - 40,600 BPJS SUDAH DILAYANI
- - - 63,000 BPJS SUDAH DILAYANI 20,000
- - - 33,900 BPJS SUDAH DILAYANI
- - - 48,800 BPJS SUDAH DILAYANI 16,000
- - - 36,000 BPJS SUDAH DILAYANI
- - 97,500 97,500 BPJS SUDAH DILAYANI
- - - 43,500 BPJS SUDAH DILAYANI
- - - 95,000 BPJS SUDAH DILAYANI 25,000
- - - 68,900 BPJS SUDAH DILAYANI 39,000
- - - 35,200 BPJS SUDAH DILAYANI
- - - 45,600 BPJS SUDAH DILAYANI
- - - 15,000 ASKES SUDAH DILAYANI
- - - 32,800 BPJS SUDAH DILAYANI
- - - 50,700 ASKES SUDAH DILAYANI
- - - 15,000 BPJS SUDAH DILAYANI
- - - 15,000 BPJS SUDAH DILAYANI
- - 31,000 31,000 BPJS SUDAH DILAYANI
- - - 32,700 BPJS SUDAH DILAYANI
- - - 48,800 BPJS SUDAH DILAYANI
- - - 52,400 BPJS SUDAH DILAYANI
- - - 60,000 BPJS SUDAH DILAYANI
- - - 43,600 BPJS SUDAH DILAYANI
- - - 58,100 BPJS SUDAH DILAYANI
- - - 26,200 BPJS SUDAH DILAYANI
- - 36,000 36,000 BPJS SUDAH DILAYANI
- - - 36,600 ASKES SUDAH DILAYANI
- - - 39,000 BPJS SUDAH DILAYANI
- - 36,000 36,000 BPJS SUDAH DILAYANI
- - - 95,000 UMUM/BPSUDAH DILAYANI 25,000
- - - 55,500 BPJS SUDAH DILAYANI
- - - 60,000 BPJS SUDAH DILAYANI
- - - 15,000 BPJS SUDAH DILAYANI
- - - 15,000 BPJS SUDAH DILAYANI
- - - 42,000 BPJS SUDAH DILAYANI
- - - 43,500 BPJS SUDAH DILAYANI
- - - 50,000 BPJS SUDAH DILAYANI
- - - 50,000 BPJS SUDAH DILAYANI
- - - 34,000 BPJS SUDAH DILAYANI
- - - 26,750 BPJS SUDAH DILAYANI
- - - 43,000 BPJS SUDAH DILAYANI
- - - 35,000 UMUM/BPSUDAH DILAYANI
- - - 40,000 BPJS SUDAH DILAYANI
- - - 27,000 BPJS SUDAH DILAYANI
- - - 31,000 BPJS SUDAH DILAYANI
- - 34,000 34,000 BPJS SUDAH DILAYANI
- - - 38,000 ASKES SUDAH DILAYANI
- - - 31,000 BPJS SUDAH DILAYANI
- - - 37,000 BPJS SUDAH DILAYANI
- - - 28,000 BPJS SUDAH DILAYANI
- - - 37,000 BPJS SUDAH DILAYANI
- - - 95,000 BPJS SUDAH DILAYANI 25000
- - - 95,000 BPJS SUDAH DILAYANI 25000
- - - 43,000 BPJS SUDAH DILAYANI
- - - 38,000 BPJS SUDAH DILAYANI
- - - 45,000 BPJS SUDAH DILAYANI
- - 36,000 36,000 BPJS SUDAH DILAYANI
91,000 125,000
216,000
H. THIA SILVANA=17
NOVI YULIANTI=35
PERIKSA KEBIDANAN=6
igd=2
rujuk=6

N RAWAT JALAN
s/d 07-06-2016
Cetak KartOksigen Kia Jumlah Jenis PaseiKeterangan APOTEK/U LAB
- - - 85,000 BPJS SUDAH DILAYANI
- - - 28,550 BPJS SUDAH DILAYANI
- - - 32,700 BPJS SUDAH DILAYANI
- - - 43,800 BPJS SUDAH DILAYANI
- - - 28,200 BPJS SUDAH DILAYANI
- - - 37,400 BPJS SUDAH DILAYANI
- - - 130,000 BPJS SUDAH DILAYANI 20,000
- - - 29,800 BPJS SUDAH DILAYANI
- - - 15,000 UMUM/BPSUDAH DILAYANI
- - - 30,700 BPJS SUDAH DILAYANI
- - - 37,600 BPJS SUDAH DILAYANI
- - - 35,200 BPJS SUDAH DILAYANI
- - - 44,800 BPJS SUDAH DILAYANI
- - - 15,000 BPJS SUDAH DILAYANI
- - - 30,100 BPJS SUDAH DILAYANI
- - - 34,200 ASKES SUDAH DILAYANI 19,000
- - - 41,200 BPJS SUDAH DILAYANI
- - - 54,000 BPJS SUDAH DILAYANI
- - - 31,500 ASKES SUDAH DILAYANI
- - - 44,800 BPJS SUDAH DILAYANI
- - - 37,000 BPJS SUDAH DILAYANI
- - - 126,200 BPJS SUDAH DILAYANI 25,000
- - - 53,600 BPJS SUDAH DILAYANI
- - - 53,000 BPJS SUDAH DILAYANI
- - - 42,600 BPJS SUDAH DILAYANI
- - - 15,000 BPJS SUDAH DILAYANI
- - - 35,600 ASKES SUDAH DILAYANI
- - - 36,800 BPJS SUDAH DILAYANI
- - - 291,000 BPJS SUDAH DILAYANI 221,000
- - - 49,400 BPJS SUDAH DILAYANI
- - - 37,000 JAMSOSTESUDAH DILAYANI
- - - 47,200 BPJS SUDAH DILAYANI
- - - 38,700 ASKES SUDAH DILAYANI
- - - 31,900 BPJS SUDAH DILAYANI
- - - 47,500 BPJS SUDAH DILAYANI
- - - 26,000 BPJS SUDAH DILAYANI
- - - 30,500 BPJS SUDAH DILAYANI
- - - 45,200 ASKES SUDAH DILAYANI
- - - 34,600 BPJS SUDAH DILAYANI
- - 25,000 25,000 BPJS SUDAH DILAYANI
- - - 44,000 BPJS SUDAH DILAYANI
- - - 37,400 BPJS SUDAH DILAYANI
- - - 43,800 BPJS SUDAH DILAYANI
- - - 39,400 BPJS SUDAH DILAYANI
- - - 104,200 BPJS SUDAH DILAYANI 78,000
- - - 35,800 ASKES SUDAH DILAYANI
- - - 42,600 BPJS SUDAH DILAYANI
- - - 52,500 BPJS SUDAH DILAYANI
- - - 15,000 BPJS SUDAH DILAYANI
- - - 43,550 BPJS SUDAH DILAYANI
- - - 51,400 BPJS SUDAH DILAYANI
- - - 42,400 BPJS SUDAH DILAYANI
- - - 54,000 BPJS SUDAH DILAYANI
338,000 25,000
363,000
ENCEP SUDARYANA=1
NOVI YULIANTI=13
WULAN WIDYAWATI=38
Yuni Nuraeni Munawaroh=1
RUJUK=5
IGD=3

N RAWAT JALAN
s/d 08-06-2016

Cetak KartOksigen Kia Jumlah Jenis PaseiKeterangan APOTEK/U LAB


- - - 15,000 BPJS SUDAH DILAYANI
- - - 39,800 BPJS SUDAH DILAYANI
- - - 38,200 BPJS SUDAH DILAYANI
- - - 39,000 BPJS SUDAH DILAYANI
- - - 43,000 BPJS SUDAH DILAYANI
- - - 15,000 BPJS SUDAH DILAYANI
- - - 23,000 BPJS SUDAH DILAYANI
- - - 56,700 BPJS SUDAH DILAYANI
- - - 44,500 ASKES SUDAH DILAYANI
- - - 15,000 ASKES SUDAH DILAYANI
- - - 50,000 BPJS SUDAH DILAYANI
- - - 54,000 BPJS SUDAH DILAYANI 10,000
- - - 41,500 BPJS SUDAH DILAYANI
- - - 54,900 BPJS SUDAH DILAYANI
- - - 37,800 BPJS SUDAH DILAYANI
- - - 43,000 BPJS SUDAH DILAYANI
- - - 15,000 BPJS SUDAH DILAYANI
- - - 15,000 BPJS SUDAH DILAYANI
- - - 37,800 BPJS SUDAH DILAYANI
- - - 51,100 BPJS SUDAH DILAYANI
- - - 47,500 BPJS SUDAH DILAYANI
- - - 43,100 BPJS SUDAH DILAYANI
- - - 51,100 BPJS SUDAH DILAYANI
- - - 51,100 BPJS SUDAH DILAYANI
- - - 46,400 BPJS SUDAH DILAYANI
- - - 48,850 BPJS SUDAH DILAYANI
- - - 56,000 BPJS SUDAH DILAYANI
- - - 34,600 BPJS SUDAH DILAYANI
- - - 36,100 BPJS SUDAH DILAYANI
- - - 66,600 UMUM/BPSUDAH DILAYANI 32,000
- - - 41,000 BPJS SUDAH DILAYANI
- - - 27,500 BPJS SUDAH DILAYANI
- - - 50,100 BPJS SUDAH DILAYANI
- - - 40,500 BPJS SUDAH DILAYANI
- - - 44,100 BPJS SUDAH DILAYANI
- - - 30,650 BPJS SUDAH DILAYANI
- - - 15,000 ASKES SUDAH DILAYANI
- - - 33,000 BPJS SUDAH DILAYANI
- - - 47,000 BPJS SUDAH DILAYANI
- - - 15,000 BPJS SUDAH DILAYANI
- - - 34,700 BPJS SUDAH DILAYANI
- - - 40,000 BPJS SUDAH DILAYANI
- - 37,000 37,000 BPJS SUDAH DILAYANI
- - - 104,000 BPJS SUDAH DILAYANI 20,000
- - 40,000 40,000 BPJS SUDAH DILAYANI
- - - 63,500 BPJS SUDAH DILAYANI 31,000
- - - 44,000 BPJS SUDAH DILAYANI 21,000
- - - 32,000 BPJS SUDAH DILAYANI
- - - 40,400 BPJS SUDAH DILAYANI
- - - 42,400 BPJS SUDAH DILAYANI
- - - 33,600 BPJS SUDAH DILAYANI
- - - 44,000 BPJS SUDAH DILAYANI 15,000
- - 32,000 32,000 BPJS SUDAH DILAYANI
- - - 25,600 BPJS SUDAH DILAYANI
- - - 46,000 BPJS SUDAH DILAYANI
- - - 31,700 BPJS SUDAH DILAYANI
- - - 31,600 BPJS SUDAH DILAYANI
- - - 37,600 BPJS SUDAH DILAYANI
- - - 39,500 BPJS SUDAH DILAYANI
- - - 35,400 BPJS SUDAH DILAYANI
- - - 38,200 ASKES SUDAH DILAYANI
- - - 128,700 BPJS SUDAH DILAYANI 25000
- - - 30,400 BPJS SUDAH DILAYANI
- - - 36,200 BPJS SUDAH DILAYANI
- - - 32,600 BPJS SUDAH DILAYANI
- - - 36,000 BPJS SUDAH DILAYANI
- - - 34,000 BPJS SUDAH DILAYANI
129,000 25,000
154,000
NOVI YULIANTI=36
WULAN WIDYAWATI=27
H. THIA SILVANA=1
PERIKSA KEBIDANAN=3
IGD=1
RUJUK=7

N RAWAT JALAN
s/d 09-06-2016

Cetak KartOksigen Kia Jumlah Jenis PaseiKeterangan APOTEK/U LAB


- - - 43,700 BPJS SUDAH DILAYANI
- - - 66,550 BPJS SUDAH DILAYANI
- - - 56,200 BPJS SUDAH DILAYANI
- - - 55,000 UMUM/BPSUDAH DILAYANI
- - - 47,900 BPJS SUDAH DILAYANI
- - - 50,800 BPJS SUDAH DILAYANI
- - - 36,600 BPJS SUDAH DILAYANI
- - - 39,000 BPJS SUDAH DILAYANI
- - - 50,600 BPJS SUDAH DILAYANI
- - - 39,600 BPJS SUDAH DILAYANI
- - - 27,200 BPJS SUDAH DILAYANI
- - - 34,200 BPJS SUDAH DILAYANI 19,000
- - - 44,000 BPJS SUDAH DILAYANI
- - - 73,000 BPJS SUDAH DILAYANI
- - - 15,000 BPJS SUDAH DILAYANI
- - - 46,750 BPJS SUDAH DILAYANI
- - - 95,000 BPJS SUDAH DILAYANI 25,000
- - - 36,700 BPJS SUDAH DILAYANI
- - - 36,100 BPJS SUDAH DILAYANI
- - 27,400 27,400 BPJS SUDAH DILAYANI
- - - 40,200 BPJS SUDAH DILAYANI
- - - 95,000 BPJS SUDAH DILAYANI 25,000
- - - 38,800 BPJS SUDAH DILAYANI
- - - 46,600 BPJS SUDAH DILAYANI 9,000
- - - 138,000 BPJS SUDAH DILAYANI 54,000
- - - 79,000 BPJS SUDAH DILAYANI 54,000
- - - 47,200 BPJS SUDAH DILAYANI
- - - 49,500 BPJS SUDAH DILAYANI
- - - 49,400 BPJS SUDAH DILAYANI
- - - 15,000 BPJS SUDAH DILAYANI
- - - 40,000 BPJS SUDAH DILAYANI
- - - 63,800 ASKES SUDAH DILAYANI 24,000
- - - 40,000 BPJS SUDAH DILAYANI
- - - 48,800 BPJS SUDAH DILAYANI
- - - 45,000 ASKES SUDAH DILAYANI
- - - 47,500 BPJS SUDAH DILAYANI
- - - 43,100 BPJS SUDAH DILAYANI
- - - 43,400 BPJS SUDAH DILAYANI
- - - 38,500 ASKES SUDAH DILAYANI
- - - 39,400 BPJS SUDAH DILAYANI
- - - 99,400 BPJS SUDAH DILAYANI
- - - 44,100 BPJS SUDAH DILAYANI
- - - 46,200 BPJS SUDAH DILAYANI
- - - 45,000 BPJS SUDAH DILAYANI
- - - 42,500 BPJS SUDAH DILAYANI
- - - 39,000 BPJS SUDAH DILAYANI
- - - 38,200 BPJS SUDAH DILAYANI
- - - 120,000 BPJS SUDAH DILAYANI
- - - 39,400 BPJS SUDAH DILAYANI
- - - 32,200 BPJS SUDAH DILAYANI
- - - 32,200 BPJS SUDAH DILAYANI
- - - 33,900 ASKES SUDAH DILAYANI
- - - 57,400 BPJS SUDAH DILAYANI
- - - 40,000 ASKES SUDAH DILAYANI
- - - 33,000 BPJS SUDAH DILAYANI
- - - 42,000 BPJS SUDAH DILAYANI
160,000 50,000
210,000
H. ASEP MARYAMAN=22
NOVI YULIANTI=33
PERIKSAKEBIDANAN=1
RUJUK=4
IGD=3

N RAWAT JALAN
s/d 10-06-2016

Cetak KartOksigen Kia Jumlah Jenis PaseiKeterangan APOTEK/U LAB


- - - 39,000 BPJS SUDAH DILAYANI
- - - 40,200 BPJS SUDAH DILAYANI
- - - 28,550 BPJS SUDAH DILAYANI
- - - 42,000 UMUM/BPSUDAH DILAYANI
- - - 56,200 BPJS SUDAH DILAYANI 21,000
- - - 49,400 BPJS SUDAH DILAYANI 12,000
- - - 45,600 BPJS SUDAH DILAYANI
- - - 52,500 UMUM/BPSUDAH DILAYANI
- - - 30,400 BPJS SUDAH DILAYANI
- - - 47,150 BPJS SUDAH DILAYANI
- - - 45,000 BPJS SUDAH DILAYANI
- - - 31,400 BPJS SUDAH DILAYANI
- - - 34,000 BPJS SUDAH DILAYANI
- - - 37,200 BPJS SUDAH DILAYANI
- - - 29,200 BPJS SUDAH DILAYANI
- - - 49,200 BPJS SUDAH DILAYANI
- - - 37,600 BPJS SUDAH DILAYANI
- - - 37,800 JAMSOSTESUDAH DILAYANI
- - - 37,400 BPJS SUDAH DILAYANI
- - - 35,800 BPJS SUDAH DILAYANI
- - - 15,000 BPJS SUDAH DILAYANI
- - - 31,700 BPJS SUDAH DILAYANI
- - - 46,400 BPJS SUDAH DILAYANI
- - - 34,800 BPJS SUDAH DILAYANI
- - - 51,200 BPJS SUDAH DILAYANI
- - - 29,000 BPJS SUDAH DILAYANI
- - - 26,700 BPJS SUDAH DILAYANI
- - - 46,000 BPJS SUDAH DILAYANI
- - - 36,100 BPJS SUDAH DILAYANI
- - - 39,000 BPJS SUDAH DILAYANI
- - - 35,500 BPJS SUDAH DILAYANI
- - - 39,600 BPJS SUDAH DILAYANI
- - - 37,000 BPJS SUDAH DILAYANI
- - - 15,000 BPJS SUDAH DILAYANI
- - 37,000 37,000 BPJS SUDAH DILAYANI
- - - 47,000 BPJS SUDAH DILAYANI
- - - 41,400 BPJS SUDAH DILAYANI
- - - 15,000 BPJS SUDAH DILAYANI
- - - 40,000 BPJS SUDAH DILAYANI
- - - 27,500 BPJS SUDAH DILAYANI
- - - 44,800 BPJS SUDAH DILAYANI
- - - 107,900 BPJS SUDAH DILAYANI 25000
- - 15,000 15,000 UMUM/BPSUDAH DILAYANI
- - - 37,900 BPJS SUDAH DILAYANI
- - - 42,600 BPJS SUDAH DILAYANI
- - - 95,000 BPJS SUDAH DILAYANI 25000
- - - 36,500 BPJS SUDAH DILAYANI
- - - 49,800 BPJS SUDAH DILAYANI
- - - 39,500 BPJS SUDAH DILAYANI
33,000 50,000
83,000
ANDI HERMANSYAH=10
ENCEP SUDARYANA=1
H. THIA SILVANA=2
WULAN WIDYAWATI=34
PERIKSA KEBIDANAN=2
RUJUK=4

N RAWAT JALAN
s/d 11-06-2016

Cetak KartOksigen Kia Jumlah Jenis PaseiKeterangan APOTEK/U LAB


- - - 41,000 BPJS SUDAH DILAYANI
- - - 35,700 BPJS SUDAH DILAYANI
- - - 52,000 BPJS SUDAH DILAYANI
- - - 42,000 BPJS SUDAH DILAYANI 16,000
- - - 23,000 BPJS SUDAH DILAYANI
- - - 32,000 BPJS SUDAH DILAYANI
- - - 63,000 UMUM/BPSUDAH DILAYANI
- - - 65,100 BPJS SUDAH DILAYANI
- - - 43,100 BPJS SUDAH DILAYANI
- - - 42,400 BPJS SUDAH DILAYANI
- - - 31,000 BPJS SUDAH DILAYANI
- - - 26,200 BPJS SUDAH DILAYANI
- - - 29,000 BPJS SUDAH DILAYANI
- - - 15,000 BPJS SUDAH DILAYANI
- - - 37,700 ASKES SUDAH DILAYANI
- - - 46,700 BPJS SUDAH DILAYANI
- - - 37,800 BPJS SUDAH DILAYANI
- - - 25,500 BPJS SUDAH DILAYANI
- - - 39,900 BPJS SUDAH DILAYANI
- - - 15,000 BPJS SUDAH DILAYANI
- - - 31,500 ASKES SUDAH DILAYANI
- - - 47,500 BPJS SUDAH DILAYANI
- - - 33,750 BPJS SUDAH DILAYANI
- - - 37,000 BPJS SUDAH DILAYANI
- - - 60,000 BPJS SUDAH DILAYANI
- - - 44,200 BPJS SUDAH DILAYANI 12,000
- - - 54,700 BPJS SUDAH DILAYANI
- - - 31,400 BPJS SUDAH DILAYANI
- - - 34,750 BPJS SUDAH DILAYANI
- - - 49,700 BPJS SUDAH DILAYANI
- - - 30,000 BPJS SUDAH DILAYANI
- - - 39,400 BPJS SUDAH DILAYANI
- - - 26,700 BPJS SUDAH DILAYANI
- - - 39,400 BPJS SUDAH DILAYANI
- - - 46,400 BPJS SUDAH DILAYANI
- - - 38,000 ASKES SUDAH DILAYANI
- - - 31,000 BPJS SUDAH DILAYANI
- - - 49,000 BPJS SUDAH DILAYANI 12,000
- - - 121,000 BPJS SUDAH DILAYANI 25,000
- - - 140,000 BPJS SUDAH DILAYANI 24,000 25,000
- - - 51,000 BPJS SUDAH DILAYANI
- - - 32,000 BPJS SUDAH DILAYANI
- - - 38,000 BPJS SUDAH DILAYANI
- - - 47,000 BPJS SUDAH DILAYANI 23000
- - - 34,000 BPJS SUDAH DILAYANI
- - - 34,000 BPJS SUDAH DILAYANI
- - - 30,000 BPJS SUDAH DILAYANI
- - - 45,000 BPJS SUDAH DILAYANI
64,000 73,000
137,000
ENCEP SUDARYANA=2
WULAN WIDYAWATI=46
RUJUK=2
IGD=2

N RAWAT JALAN
s/d 12-06-2016

Cetak KartOksigen Kia Jumlah Jenis PaseiKeterangan APOTEK/U LAB


- - - 16,000 BPJS SUDAH DILAYANI
- -
-
H. ASEP SANI SULAEMAN=1

N RAWAT JALAN
s/d 13-06-2016

Cetak KartOksigen Kia Jumlah Jenis PaseiKeterangan APOTEK/U LAB


- - - 76,400 BPJS SUDAH DILAYANI 30,000
- - - 15,000 ASKES SUDAH DILAYANI
- - - 21,500 BPJS SUDAH DILAYANI
- - - 46,000 UMUM/BPSUDAH DILAYANI
- - - 44,400 BPJS SUDAH DILAYANI
- - - 15,000 BPJS SUDAH DILAYANI
- - - 15,000 BPJS SUDAH DILAYANI
- - - 27,700 BPJS SUDAH DILAYANI
- - - 34,000 BPJS SUDAH DILAYANI
- - - 70,000 BPJS SUDAH DILAYANI
- - - 57,600 BPJS SUDAH DILAYANI
- - - 60,000 BPJS SUDAH DILAYANI
- - - 37,800 ASKES SUDAH DILAYANI
- - - 36,550 BPJS SUDAH DILAYANI
- - 36,000 36,000 BPJS SUDAH DILAYANI
- - - 43,100 BPJS SUDAH DILAYANI
- - - 124,200 ASKES SUDAH DILAYANI 25,000
- - - 42,200 ASKES SUDAH DILAYANI
- - - 36,100 BPJS SUDAH DILAYANI
- - - 42,200 BPJS SUDAH DILAYANI
- - - 33,000 BPJS SUDAH DILAYANI 15,000
- - - 40,200 BPJS SUDAH DILAYANI
- - - 43,100 BPJS SUDAH DILAYANI
- - - 43,100 BPJS SUDAH DILAYANI
- - - 48,400 ASKES SUDAH DILAYANI
- - - 131,600 BPJS SUDAH DILAYANI 25,000
- - - 35,000 BPJS SUDAH DILAYANI
- - - 15,000 BPJS SUDAH DILAYANI
- - - 34,300 BPJS SUDAH DILAYANI
- - - 106,000 BPJS SUDAH DILAYANI 15,000 23,000
- - - 56,000 BPJS SUDAH DILAYANI 23,000
- - - 31,900 BPJS SUDAH DILAYANI
- - - 33,900 BPJS SUDAH DILAYANI
- - - 47,500 BPJS SUDAH DILAYANI
- - - 90,000 BPJS SUDAH DILAYANI
- - - 45,200 BPJS SUDAH DILAYANI
- - - 101,000 BPJS SUDAH DILAYANI
- - - 15,000 BPJS SUDAH DILAYANI
- - - 36,100 BPJS SUDAH DILAYANI
- - - 37,800 BPJS SUDAH DILAYANI
- - - 40,200 BPJS SUDAH DILAYANI
- - - 47,000 BPJS SUDAH DILAYANI
- - - 46,000 BPJS SUDAH DILAYANI
- - - 42,000 BPJS SUDAH DILAYANI
- - - 42,600 BPJS SUDAH DILAYANI
- - - 34,700 BPJS SUDAH DILAYANI
- - - 38,000 BPJS SUDAH DILAYANI
- - - 68,000 BPJS SUDAH DILAYANI
- - - 40,000 BPJS SUDAH DILAYANI
- - - 40,000 BPJS SUDAH DILAYANI
- - - 30,600 BPJS SUDAH DILAYANI
- - - 31,900 BPJS SUDAH DILAYANI
- - - 40,000 BPJS SUDAH DILAYANI
- - - 37,000 BPJS SUDAH DILAYANI
- - - 40,000 BPJS SUDAH DILAYANI
- - - 36,900 ASKES SUDAH DILAYANI
- - - 43,500 ASKES SUDAH DILAYANI
- - - 40,000 BPJS SUDAH DILAYANI
- - - 39,700 BPJS SUDAH DILAYANI
- - - 42,200 BPJS SUDAH DILAYANI
- - 32,000 32,000 BPJS SUDAH DILAYANI
- - - 38,000 BPJS SUDAH DILAYANI
- - - 34,200 BPJS SUDAH DILAYANI
- - - 37,000 BPJS SUDAH DILAYANI
- - - 29,200 JAMSOSTESUDAH DILAYANI
- - 52,000 52,000 BPJS SUDAH DILAYANI 24,000
- - - 42,200 BPJS SUDAH DILAYANI
- - - 43,000 BPJS SUDAH DILAYANI
- - - 36,500 BPJS SUDAH DILAYANI
- - - 36,000 BPJS SUDAH DILAYANI
- - - 42,500 UMUM/BPSUDAH DILAYANI
- - - 42,000 BPJS SUDAH DILAYANI
- - - 41,200 BPJS SUDAH DILAYANI
- - - 35,000 BPJS SUDAH DILAYANI
- - - 41,150 BPJS SUDAH DILAYANI
84,000 96,000
180,000
H. THIA SILVANA=31
NOVI YULIANTI=41
PERIKSA KEBIDANAN=3
RUJUK=7
IGD=2

N RAWAT JALAN
s/d 15-06-2016

Cetak KartOksigen Kia Jumlah Jenis PaseiKeterangan APOTEK/U LAB


- - - 32,100 BPJS SUDAH DILAYANI
- - - 15,000 ASKES SUDAH DILAYANI
- - - 95,000 BPJS SUDAH DILAYANI 25,000
- - - 35,200 BPJS SUDAH DILAYANI
- - - 15,000 BPJS SUDAH DILAYANI
- - - 61,700 BPJS SUDAH DILAYANI 14,000
- - - 15,000 BPJS SUDAH DILAYANI
- - - 46,800 BPJS SUDAH DILAYANI
- - - 47,000 BPJS SUDAH DILAYANI
- - - 43,200 BPJS SUDAH DILAYANI 6,000
- - - 41,300 BPJS SUDAH DILAYANI
- - - 47,500 BPJS SUDAH DILAYANI 17,000
- - - 23,000 BPJS SUDAH DILAYANI 23,000
- - - 38,800 BPJS SUDAH DILAYANI
- - - 35,900 BPJS SUDAH DILAYANI
- - - 32,100 BPJS SUDAH DILAYANI
- - - 32,200 BPJS SUDAH DILAYANI
- - - 42,000 BPJS SUDAH DILAYANI
- - - 45,600 BPJS SUDAH DILAYANI
- - - 44,800 ASKES SUDAH DILAYANI
- - - 30,950 BPJS SUDAH DILAYANI
- - - 42,100 BPJS SUDAH DILAYANI
- - - 38,400 ASKES SUDAH DILAYANI
- - - 32,700 BPJS SUDAH DILAYANI
- - - 29,800 BPJS SUDAH DILAYANI
- - - 41,400 BPJS SUDAH DILAYANI
- - - 31,400 BPJS SUDAH DILAYANI
- - - 33,200 BPJS SUDAH DILAYANI
- - - 37,000 BPJS SUDAH DILAYANI
- - - 46,600 BPJS SUDAH DILAYANI 11,000
- - - 38,400 BPJS SUDAH DILAYANI
- - - 39,400 ASKES SUDAH DILAYANI
- - - 29,950 ASKES SUDAH DILAYANI
- - - 30,400 BPJS SUDAH DILAYANI
- - - 40,400 BPJS SUDAH DILAYANI
- - - 30,000 BPJS SUDAH DILAYANI
- - - 46,000 BPJS SUDAH DILAYANI
- - - 111,000 BPJS SUDAH DILAYANI 20,000
- - 30,000 30,000 BPJS SUDAH DILAYANI
- - - 29,000 BPJS SUDAH DILAYANI
- - - 31,000 BPJS SUDAH DILAYANI
- - - 28,700 BPJS SUDAH DILAYANI
- - - 15,000 BPJS SUDAH DILAYANI
- - - 95,000 BPJS SUDAH DILAYANI 80,000
- - - 41,500 BPJS SUDAH DILAYANI
- - - 42,100 BPJS SUDAH DILAYANI
- - - 34,150 BPJS SUDAH DILAYANI
- - - 30,000 BPJS SUDAH DILAYANI
- - - 49,000 BPJS SUDAH DILAYANI
- - - 49,000 BPJS SUDAH DILAYANI
- - - 44,700 BPJS SUDAH DILAYANI
- - - 34,200 BPJS SUDAH DILAYANI
- - - 62,900 BPJS SUDAH DILAYANI 20,000
- - - 33,200 BPJS SUDAH DILAYANI
- - - 46,100 BPJS SUDAH DILAYANI
- - - 60,400 BPJS SUDAH DILAYANI
- - - 88,200 BPJS SUDAH DILAYANI 68,000
- - - 66,000 BPJS SUDAH DILAYANI
- - - 38,000 BPJS SUDAH DILAYANI
- - - 31,500 BPJS SUDAH DILAYANI
- - - 35,600 BPJS SUDAH DILAYANI
- - - 48,500 BPJS SUDAH DILAYANI
- - - 51,500 BPJS SUDAH DILAYANI
156,000 128,000
284,000
NOVI YULIANTI=27
WULAN WIDYAWATI=34
PERIKSAKEBIDANAN=1
CEK LAB SAJA=1
RUJUK=6
IGD=1

N RAWAT JALAN
s/d 15-06-2016

Cetak KartOksigen Kia Jumlah Jenis PaseiKeterangan APOTEK/U LAB


- - - 38,000 BPJS SUDAH DILAYANI
- - - 46,000 BPJS SUDAH DILAYANI
- - - 39,000 BPJS SUDAH DILAYANI
- - - 47,000 ASKES SUDAH DILAYANI
- - - 53,000 BPJS SUDAH DILAYANI
- - - 30,000 BPJS SUDAH DILAYANI
- - 15,000 15,000 BPJS SUDAH DILAYANI
- - - 45,000 BPJS SUDAH DILAYANI
- - - 42,000 UMUM/BPSUDAH DILAYANI
- - - 45,000 BPJS SUDAH DILAYANI
- - - 52,000 BPJS SUDAH DILAYANI
- - - 52,000 BPJS SUDAH DILAYANI
- - - 54,000 BPJS SUDAH DILAYANI
- - - 41,000 BPJS SUDAH DILAYANI
- - - 45,000 BPJS SUDAH DILAYANI
- - - 73,000 BPJS SUDAH DILAYANI 24,000
- - - 15,000 BPJS SUDAH DILAYANI
- - - 88,000 BPJS SUDAH DILAYANI
- - - 49,000 ASKES SUDAH DILAYANI
- - - 56,000 BPJS SUDAH DILAYANI
- - - 42,000 BPJS SUDAH DILAYANI
- - - 50,000 BPJS SUDAH DILAYANI
- - - 41,000 BPJS SUDAH DILAYANI
- - - 53,000 ASKES SUDAH DILAYANI
- - - 58,000 BPJS SUDAH DILAYANI 19,000
- - - 40,000 BPJS SUDAH DILAYANI
- - - 50,500 BPJS SUDAH DILAYANI
- - - 43,700 BPJS SUDAH DILAYANI
- - 37,000 37,000 BPJS SUDAH DILAYANI
- - - 55,000 ASKES SUDAH DILAYANI
- - 27,700 27,700 BPJS SUDAH DILAYANI
- - - 39,400 BPJS SUDAH DILAYANI
- - - 49,300 BPJS SUDAH DILAYANI
- - - 20,000 BPJS SUDAH DILAYANI
- - 25,000 25,000 BPJS SUDAH DILAYANI
- - - 49,200 BPJS SUDAH DILAYANI
- - - 38,200 BPJS SUDAH DILAYANI
- - - 44,400 BPJS SUDAH DILAYANI
- - - 55,800 BPJS SUDAH DILAYANI
- - - 52,000 BPJS SUDAH DILAYANI 13,000
Rp36,000 BPJS SUDAH DILAYANI
Rp15,000 BPJS SUDAH DILAYANI
56,000 -
56,000
NOVI YULIANTI=26
ENCEP SUDARYANA=1
WULAN WIDYAWATI=1
PERIKSA KEBIDANAN=4
RUJUK=1

N RAWAT JALAN
s/d 16-06-2016

Cetak KartOksigen Kia Jumlah Jenis PaseiKeterangan APOTEK/U LAB


- - - 40,000 BPJS SUDAH DILAYANI
- - - 50,000 BPJS SUDAH DILAYANI
- - - 42,000 BPJS SUDAH DILAYANI
- - - 42,700 BPJS SUDAH DILAYANI
- - - 15,000 BPJS SUDAH DILAYANI
- - - 39,400 BPJS SUDAH DILAYANI
- - - 95,000 BPJS SUDAH DILAYANI 25,000
- - - 39,400 BPJS SUDAH DILAYANI
- - - 46,200 BPJS SUDAH DILAYANI
- - - 95,000 BPJS SUDAH DILAYANI 25,000
- - - 44,100 BPJS SUDAH DILAYANI
- - - 44,500 BPJS SUDAH DILAYANI
- - - 32,700 BPJS SUDAH DILAYANI
- - - 41,200 BPJS SUDAH DILAYANI
- - - 15,000 BPJS SUDAH DILAYANI
- - - 35,000 BPJS SUDAH DILAYANI
- - - 43,100 BPJS SUDAH DILAYANI
- - - 33,200 BPJS SUDAH DILAYANI
- - - 29,700 BPJS SUDAH DILAYANI
- - - 37,800 BPJS SUDAH DILAYANI
- - - 66,200 BPJS SUDAH DILAYANI 26,000
- - - 43,200 BPJS SUDAH DILAYANI
- - - 15,000 BPJS SUDAH DILAYANI
- - - 31,500 ASKES SUDAH DILAYANI
- - - 42,400 BPJS SUDAH DILAYANI
- - - 47,000 UMUM/BPSUDAH DILAYANI
- - - 47,000 BPJS SUDAH DILAYANI
- - - 127,000 BPJS SUDAH DILAYANI
- - - 70,000 BPJS SUDAH DILAYANI
- - - 41,400 BPJS SUDAH DILAYANI
- - - 37,200 BPJS SUDAH DILAYANI
- - - 32,500 BPJS SUDAH DILAYANI
- - - 44,000 BPJS SUDAH DILAYANI
- - - 33,100 BPJS SUDAH DILAYANI
- - - 107,000 BPJS SUDAH DILAYANI
- - - 37,200 BPJS SUDAH DILAYANI 10,000
- - - 51,000 BPJS SUDAH DILAYANI
- - - 77,300 BPJS SUDAH DILAYANI 57,000
- - - 45,000 BPJS SUDAH DILAYANI
- - - 35,400 BPJS SUDAH DILAYANI
- - - 50,000 BPJS SUDAH DILAYANI
- - - 34,500 BPJS SUDAH DILAYANI
- - - 37,000 BPJS SUDAH DILAYANI
- - - 36,600 BPJS SUDAH DILAYANI
- - - 43,000 BPJS SUDAH DILAYANI
- - - 44,000 BPJS SUDAH DILAYANI
- - - 33,500 BPJS SUDAH DILAYANI
- - - 32,600 BPJS SUDAH DILAYANI
- - - 39,000 BPJS SUDAH DILAYANI
- - - 39,700 BPJS SUDAH DILAYANI
- - - 36,500 BPJS SUDAH DILAYANI
- - - 37,000 BPJS SUDAH DILAYANI
- - - 45,000 BPJS SUDAH DILAYANI
- - - 62,500 BPJS SUDAH DILAYANI
- - - 42,500 BPJS SUDAH DILAYANI 21,000
- - - 35,000 BPJS SUDAH DILAYANI
- - - 57,000 BPJS SUDAH DILAYANI 35,000
149,000 50,000
199,000
H. ASEP MARYAMAN=20
NOVI YULIANTI=37
RUJUK=6
IGD=2

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