Scribd Logo
Unggah

Selamat datang di Scribd!

  • Tindakan Igd Mei 2015

    Diunggah oleh

    annes
    317 tayangan503 halaman
    Dokumen tersebut berisi daftar pasien yang datang ke IGD RSUD. A. Wahab Sjahranie Samarinda pada bulan Januari 2015. Daftar tersebut mencakup nama pasien, umur, jenis kelamin, alamat, diagnosa, dan tindakan yang diterima.

    Deskripsi Asli:

    ttt

    Hak Cipta

    © © All Rights Reserved

    Format Tersedia

    XLSX, PDF, TXT atau baca online dari Scribd

    Apakah menurut Anda dokumen ini bermanfaat?

    Apakah konten ini tidak pantas?

    Laporkan Dokumen Ini
    Dokumen tersebut berisi daftar pasien yang datang ke IGD RSUD. A. Wahab Sjahranie Samarinda pada bulan Januari 2015. Daftar tersebut mencakup nama pasien, umur, jenis kelamin, alamat, diagnosa, dan tindakan yang diterima.

    Hak Cipta:

    © All Rights Reserved
    Unduh sebagai XLSX, PDF, TXT atau baca online dari Scribd
    Tandai sebagai konten tidak pantas
    317 tayangan503 halaman

    Tindakan Igd Mei 2015

    Diunggah oleh

    annes
    Dokumen tersebut berisi daftar pasien yang datang ke IGD RSUD. A. Wahab Sjahranie Samarinda pada bulan Januari 2015. Daftar tersebut mencakup nama pasien, umur, jenis kelamin, alamat, diagnosa, dan tindakan yang diterima.

    Hak Cipta:

    © All Rights Reserved
    Unduh sebagai XLSX, PDF, TXT atau baca online dari Scribd
    Tandai sebagai konten tidak pantas
    dari 503

    TAGIHAN PASIEN JAMKESDA DI IGD RSUD. A.

    WAHAB SJAHRANIE SAMARINDA BULAN JANUARI 2015

    Tangal No KIB/ RINCI


    No Nama Pasien Umur L/P Alamat No. Peserta Diagnosa Tindakan
    kunjungan No. REG Karcis IGD O2 Konsul dr.spesialis
    1 3 4 5 6 7 8 9 10 11 14
    1 1/1/2015 ARIEF RAHMAN 21 Th L ULIN RT 025 813187 FEBRIS PLEB 75,000 - -
    2 OKI PRASETYO 19 Th L RUMBIA RT 017 813939 DISPEPSYA INJEKSI 75,000 - -
    3 ALIYAH LESMANA 6 Th P ROTAN SERAMBUT NO 3 697984 CORPAL EXTRASI KORPAL 75,000 - -
    4 SUDIRMAN 35 Th L SUMBER BARU RT 015 814329 DISPEPSYA PLEB,INJEKSI 75,000 -
    5 SITI RAHMAH 32 Th P M.SAID RT 029 674232 ASMA NEBU,O2 75,000 3,200 -
    6 MASIATAH 35 Th P CENDANA GG 4 NO 31 A RT 004 754077 DISPEPSYA INJEKSI 75,000 - -
    7 NAYSA SABANIA 5 Th P HASAN BASRI GG 2 RT 024 602681 ISPA RESEP 75,000 - -
    8 LISA ERAWATI 53 Th P KH,A.DAHLAN RT 011 484585 COMMOND COLD RESEP 75,000 - -
    9 DWI NINGSIH 31 Th P KH.WAHID HASYIM RT 001 215146 FEBRIS PLEB 75,000 - -
    10 ANDI ARI WARDANA 15 Th P PERUM HANDIL KOPI RT 033 813926 DISPEPSYA INJEKSI 75,000 - -
    11 YULI NABABAN 21 Th P KH.W.HASYIM RT 039 813753 CKR WT,INJEKSI 75,000 - -
    12 NOR SILAWATI 51 Th P GN.LINGAI RT 010 791576 HT EKG,INJEKSI 75,000 - -
    13 M.AFIF MASRUR 21 Th L GIRI REJORT 024 813768 CF CLAVICULA RANSEL ELASTIS 75,000 - DR.DAVID
    14 M.HUSAIN FAIGUNNAJA 6 Th L H.MAKSUM RT 019 813932 VE WT,INJEKSI 75,000 - -
    15 LESTARI 32 Th P KS.TUBUN GG 5 RT 007 813934 FEBRIS PLEB 75,000 - -
    16 ANDI JULIAN PASHA 5 Th L JOYO MULYO RT 030 799859 GEA INJEKSI 75,000 - -
    17 SIAR 62 Th P SITI AISYAH RT 015 813958 DISPEPSYA PLEB,INJEKSI 75,000 - -
    18 LIYAH 63 Th P KEMUNING NO 8 RT 20 644059 DISPEPSYA INF,PLEB,EKG,INJEKSI 75,000 - -
    19 EVA ROSA LINA 25 Th P ST.SULAIMAN RT 010 813963 CARRIES DENTIS INJEKSI 75,000 - -
    20 DEVINA PUTRI FEBIOLA 11 Th P HASAN BASRI GG 2 RT 024 668082 ASMA O2 ,NEBU,INJEKSI 75,000 32,000 -
    21 SYAHRANI 52 Th P BUNG TOMO GG SWADAYA 1 RT 018 843756 DISPEPSYA INJEKSI 75,000 - -
    22 2/1/2015 AGATHA NGGUMBA M 29 Th P MAS MANSYUR GG KEGANANGAN RT 813988 GEA INJEKSI 75,000 - -
    23 NORHASANAH 22 Th P NUSA INDAH RT 001 801342 INPARTU VT,DOPPLER 75,000 - -
    24 RUSLI 33 Th L AWS GG 17 RT 011 813995 BSK INJEKSI 75,000 - -
    25 JOKO PURWANTO 40 Th L PROKLAMASI II BLOK O RT 057 813533 COLIC ABDOMEN SUPP 75,000 - -
    26 BINTANG 50 Th P MERDEKA II RT 092 704438 VL WTH II 75,000 - -
    27 DEWI KUSUMA WARDANI 35 Th P PAKIS 7 BLOK D/335 RT 082 814072 DISPEPSYA RESEP 75,000 - -
    28 NAURA AQILA HUDA 1 Th P SENTOSA GG HIDAYAH RT 072 814041 GEA RESEP 75,000 - -
    29 MARIANI 45 Th P KEMAKMURAN GG 1 RT 015 692335 VERTIGO EKG 75,000 - -
    30 TUTI WINARSIH 41 Th P KS.TUBUN GG WIRA TIRTA RT 048 813746 ISK INJEKSI 75,000 - -
    31 KARTIKA AYU DHARMAYANTI 25 Th P GERILYA GG FAMILY NO 51 RT 039 665155 GEA RESEP 75,000 - -
    32 M.FATIH FABRIZIO 3 Th L S.PARMAN RT 001 683453 MORBILI RESEP 75,000 - -
    33 DWI NOVIANTI 34 Th P KARYA BARU RT 010 813972 DISPEPSYA INJEKSI 75,000 - -
    34 REGA RAMADANI 8 Th P AM SANGAJI RT 014 612193 ISPA RESEP 75,000 - -
    35 MUSTAMIN 46 Th L BENGKURING BLOK A NO 424 RT 070 814067 VE WT 75,000 - -
    36 NABILA NUR ASSIFA 1 Th P REEL 10 RT 020 814022 GEA RESEP 75,000 - DR.GRACE
    37 SITI MARYAM 22 Th P P.SURYANATA RT 034 808604 INPARTU VT,DOPPLER 75,000 - -
    38 NUR HASANAH 30 Th P GELATIK BLOK D RT 013 814024 COLIK ABD RESEP 75,000 - -
    39 NUR PUSPA DEWI 21 Th P MT.HARIYONO RT 54 797271 COLIC ABDOMEN RESEP 75,000 - -
    40 SARPANI 64 Th L AHIM RT 052 814027 HEMATEMESIS EKG 75,000 - DR.CARTA
    41 INDRIYANTI WIGUNA 24 Th P SUTRA KEMBANG RT 011 814007 GEA INF,PLEB,INJEKSI 75,000 - -
    42 ARDIANSYAH 18 Th L MERDEKA 5 NO 115 RT 089 813752 HEMAPTOE PLEB,INJEKSI 75,000 - -
    43 WA ICARA 62 Th P OTISTA RT 018 632770 VERTIGO RESEP 75,000 - -
    44 WIDYAWATI 18 Th P ST.SULAIMAN RT 019 814003 FEBRIS RESEP 75,000 - -
    45 GUSTI ERLITA 40 Th P GN CERMAI RT 001 418668 ASMA NEBU,INJEKSI 75,000 - -
    46 SABIL ALFAHREZI 8 Th L P.ANTASARI GG 5 RT 010 814087 ISPA PLEB 75,000 - -
    47 3/1/2015 RAMA AL FAZDRI 11 Th L M.SAID RT 027 451278 VL UP HEATING 75,000 - -
    48 SALBIAH IDHAM 66 Th P ROTAN SERAMBUT RT 019 626938 VERTIGO INJEKSI 75,000 - -
    49 NUR HAYUAN 3 Th P MAS PENGHULU RT 009 775057 VOMITING RESEP 75,000 - -
    50 HERRY OSCAR 53 Th L MUSO SALIM GG 5 NO 85 RT 015 773624 DYSNUE EKG,O2,INJEKSI 75,000 32,000 -
    51 MUGNI 42 Th L P.SURYANATA RT 014 783660 TB PARU PLEB 75,000 - -
    52 DZAKA ARYA FAUFIQU R 3 Th L JAKARTA BLOK Z RT 45 169730 VOMITING INF,PLEB,INJEKSI 75,000 - -
    53 KHOIRUL MARON 41 Th L DI PANJAITAN RT 001 169730 COLIC RENAL RESEP 75,000 - -
    54 ABDUL KADIR RAKI 31 Th L T.UMAR RT 015 706736 DISPEPSYA INJEKSI 75,000 - -
    55 MASNUN 57 Th P SENYIUR 3 RT 041 814174 HT PLEBO,EKG 75,000 - -
    56 HERMAN 49 Th L P.BENDAHARA RT 02 814164 HT PLEB.GDS,INJEKSI 75,000 - -
    57 A.RACHMAYANA 23 Th P MT.HARIYONO RT 001 814121 INPARTU VT,DOPPLER 75,000 - -
    58 SUNARYO 24 Th L H.MARHUSIN RT 018 610786 HIL PLEB 75,000 - DR.SYAIFUL
    59 NUR YUNITA SP 26 Th P AGUS SALIM RT 018 600361 DISPEPSYA PLEB,INJEKSI 75,000 - -
    60 SATRIANI GD MAWARNA 38 Th L S.PARMAN RT 012 484588 RETENSIO URINE PASANG CHATETER 75,000 - -
    61 ALYA SALSABILA A 3 Th P KH.SAMANHUDI GG DIRGANTARA 2 R 814170 FEBRIS RESEP 75,000 - -
    62 ARTIYAH 71 Th P PROKLAMASI I RT 054 723716 ASMA NEBU,O2 75,000 32,000 -
    63 M.KHAFI WIRAKUSUMA 1 Th L AMINAH SYUKUR RT 029 814107 FEBRIS RESEP 75,000 - -
    64 INDAH RAMADIANI 6 Th P CENDANA GG 12 RT 029 498616 ASMA RESEP 75,000 - -
    65 ALIAYAH 80 Th P PAKIS HIJAU 4 BLOK D /292 RT 083 814186 DISPEPSYA EKG,INJEKSI 75,000 - -
    66 WANA ASTUTI 29 Th P RE.M.DINATA RT 001 814106 ASMA INF,PLEB,NEBU,INJEKSI,O2 75,000 - -
    67 MARIYA 25 Th P TELUK KEDONDONG RT 022 814158 ISK PLEB 75,000 - -
    68 NOERMA FITRIANI 21 Th P AWS GG SABRAN 2 RT 009 814124 HEMATURI PLEB 75,000 - -
    69 MASRIAH 67 Th P OTISTA RT 022 418743 ASMA NEBU,INJEKSI 75,000 - -
    70 NORRAIDAH 60 Th P BIAWAN NO 17 RT 007 503324 DISPEPSYA PLEB,EKG,INJEKSI 75,000 - -
    71 ADITIA SAPUTRA 6 Th L SUKOREJO RT 007 638973 FEBRIS PLEB 75,000 - -
    72 SYAQINA NUR MADINA 1 Th P JUNADA 8 JAMBU2 /104 796865 FEBRIS PLEB 75,000 - -
    73 SITI ROMLAH 29 Th P KEBAHAGIAN RT 042 435474 INPARTU VT,DOPPLER 75,000 - -
    74 RIZKY FEBRIAN R 20 Th L PAHLAWAN 2 RT 027 814122 FEBRIS PLEB 75,000 - -
    75 ASMURAN 53 Th L KEMAKMURAN GG 1 RT 015 724143 TB.PARU INJEKSI 75,000 - -
    76 HESTY WULAN DARYE 31 Th P OTISTA RT 030 814137 TB.PARU PLEB,INJEKSI 75,000 - -
    77 LA UNE 57 Th L PAHLAWAN RT 028 783462 DISPEPSYA PLEBO,EKG 75,000 - -
    78 elham herman 70 Th L PEMUDA 3 NO458 814135 ABSES MANUS INF,PLEB,EKG 75,000 - -
    79 SUMARJO 50 Th L SLAMET RIYADI GG VI RT 016 814138 VL WTH III,INJEKSI 75,000 - -
    80 4/1/2015 NURSIAH 35 Th P LEMPAKE TEPIAN RT 001 814283 ASMA NEBU 75,000 - -
    81 ARTIYAH 70 Th P PROKLAMASI I RT 054 723716 ASMA O2 ,NEBU,INJEKSI 75,000 3,200 -
    82 DANI SETIAWAN 26 Th L OTISTA GG AL WAQAF RT 023 814257 FEBRIS INF,PLEB 75,000 - -
    83 HASANAH 39 Th P KH.SAMANHUDI R T005 814271 DISPEPSYA PLEB 75,000 - -
    84 M.RACHMAN 7 Th L SENTOSA DALAM 2A RT 079 814252 VL WTH III,INJEKSI 75,000 - -
    85 SUMANTO 35 Th L M.YAMIN RT 017 752369 ISK INJEKSI 75,000 - -
    86 A.IRWANSAYH 7 Th L GN.PASIR RT 014 814285 PULPITIS RESEP 75,000 - -
    87 NOR ANISA HIDAYAH 6 Th P P.SURYANATA GG 1 RT 018 814237 VL WTH II,INJEKSI 75,000 - -
    88 M.SULKHAM 48 Th L JAKARTA GG IMAM KARTI RT 072 769297 TFA RESEP 75,000 - -
    89 HERRY OSCAR 53 Th L MUSO SALIM RT 015 773624 CAD EKG,PLEB,O2,INJEKSI 75,000 32,000 -
    90 M.SHULTON AR 6 Th L KURNIA MAKMUR RT 015 535424 THYPOID PLEB 75,000 - -
    91 SYARIFAH NASYWA 10 Th P KH.W.HASYIM RT 02 814309 FEBRIS PLEB 75,000 - -
    92 NASYA SABANIA 5 Th P HASAN BASRI GG 2 RT 024 602681 ISPA PLEB 75,000 - -
    93 REGA RAMADANI 8 Th L AM SANG AJI RT 014 612193 FEBRIS PLEB 75,000 - -
    94 DENIK KURNIAWATI 32 Th P P.SURYANATA GG MISNA RT 028 388155 DISPEPSYA INJEKSI 75,000 - -
    95 ASMURAN 53 Th L KEMAKMURAN GG 1 RT 015 724143 TB PARU INJEKSI 75,000 - -
    96 NURLIYANA 23 Th P KH.A.DAHLAN RT 039 814320 FEBRIS PLEB 75,000 - -
    97 SUMANTO 35 Th L M.YAMIN GG 1 RT 017 752369 BSK PLEB,INJEKSI 75,000 - -
    98 RIZKI MAULIDA YANI 12 Th P MUGIREJO GG MUKLIS RT 10 814296 FEBRIS PLEB 75,000 - -
    99 TAUFAN JIHAN 2 Th L PUSAKA RT 014 746652 ISPA RESEP 75,000 - -
    100 MELINDA 31 Th P LABU HIJAU 8 /377 RT 072 815057 CORPAL WT,INJEKSI 75,000 - -
    101 MISRAN 66 Th L DR.SOETOMO GG 1 RT 029 437963 HT RESEP 75,000 - -
    102 DWI ARIA ANANTA 1 Th P S.PARMAN 1 RT 01 757829 FEBRIS PLEB,SUPP 75,000 -
    103 YUDHA PURNAMA 15 Th L PAKIS HIJAU 6 RT 083 774838 FEBRIS PLEB 75,000 - -
    104 M.ZAILANI 8 Th L SAMANHUDI RT 001 814316 GEA RESEP 75,000 - -
    105 NADIYA MA RUPAH 4 Th P BUNG TOMO RT 005 814254 GEA RESEP 75,000 - DR.ANTHONY
    106 ARBANI 51 Th L ST.SULAIMAN RT 009 617714 MASA AXILLA PLEB 75,000 - -
    107 5/1/2015 RUSMAYATI 38 Th P AWS RT 025 500726 ASMA NEBU,INJEKSI 75,000 - -
    108 HUSUWARNI 47 Th P ABD SANIGAN RT 017 814352 CEPHALGIA INJEKSI 75,000 - -
    109 HENDRIKUS TOTONG 40 Th L DURIAN RT 004 BUKUAN 814534 VL WT,INJEKSI 75,000 - -
    110 MUJIONO 65 Th L KH.W.HASYIM RT 008 664974 UKUS PEDIS INFUS 75,000 - DR.ENY SALOLANG
    111 AURA YUMNA A 6 Th P PERUMTALANG SARI RT 030 814363 ISPA PLEB 75,000 - -
    112 AUEREL LUBNA C 6 Th P PERUM TALANG SARI RT 030 814364 ISPA RESEP 75,000 - -
    113 NATALITA 32 Th P PERUM TALANG SARI RT 030 814362 FEBRIS PLEB 75,000 - -
    114 ISA BELLA 20 Th P SLAMET RIADI GG BUDIMAN RT 011 814537 CORPAL RESEP 75,000 - -
    115 HERRY OSCAR 53 Th L MUSO SALIM NO 68 RT 015 773624 ASMA NEBU 75,000 - -
    116 NIZAR NUR IMANI 1 Th L DAAMNHURI RT065 814468 MORBILI PLEB 75,000 - -
    117 DICKY SAPUTRA 8 Th L MT.HARIYONO RT 001 814520 VL WTH II,INJEKSI 75,000 - -
    118 SITI RAHMAN 27 Th P M.SAID RT 029 674232 ASMA O2,NEBU,INJEKSI 75,000 32,000 -
    119 M.ILHAM 8 Th L MT.HARIYONO RT 054 814546 V.ICTHUM CROSS INSISIS,INJEKSI 75,000 - -
    120 SYALINA OKTAVIANI 11 Th P AWS RT 022 785791 FEBRIS RESEP 75,000 - -
    121 RANDI WAHYUDI 24 Th L PROKLAMASI 7 RT 053 436858 FEBRIS PLEB 75,000 - -
    122 M.JAMIL HASSAN 48 Th L PERUM GTL L/04 RT 013 681728 ISPA EKG 75,000 - -
    123 NOVITA NUR SAIDAH 19 Th P MERANTI RT 023 796453 GRAVID VT,DOPPLER 75,000 - -
    124 BUDI SUTRISNO 35 Th L P.ANTASARI RT 10 GG 5 814461 FARINGITIS RESEP 75,000 - -
    125 MAYA WIDIA YANTI 20 Th P PERJUANGAN RT 038 814340 GRAVID PLEB 75,000 - -
    126 6/1/2014 ELDAWATI 35 Th P MONAS RT 037 814717 INPARTU VT,DOPPLER 75,000 - DR.PRIMA
    127 DEWI ROSITA SARI 24 Th P BUKIT BARISAN RT 028 814589 COLIC ABDOMEN PLEB 75,000 - DR.ELVIS
    128 NUR HAYATI 68 Th P JELAWAT GG 7 RT 004 663606 CLOSE FRAKTUR WTH II,INJEKSI 75,000 - DR.GREG
    129 NAILA ANDINI SYAKIRA 8 Th P PM.NOOR RT 039 814699 FEBRIS PLEB 75,000 - -
    130 RATIMIN 47 Th L PASUNDAN RT 03 790953 BSK PLEB 75,000 - -
    131 FACHRULLAH 31 Th L RE.M.DINATA GG TUKANG RT 009 510532 ASMA O2,NEBU,INJEKSI 75,000 32,000 -
    132 SUNI APRIO SAPUTRA 14 Th L JELAWAT GG 10 RT 005 806432 FEBRIS PLEB 75,000 - -
    133 ALLEN PRATAMA PUTRA 29 Th L JELAWAT GG 8 RT 003 694037 ASMA O2,NEBU,INJEKSI 75,000 32,000 -
    134 MANIYAH 39 Th P GERILYA RT 033 814554 GEA INJEKSI 75,000 - -
    135 NICO MANGURU 75 Th L L.MANGKURAT NO 79 RT 020 784719 NECK PAIN RESEP 75,000 - -
    136 SASHIRA PRAMUDITA 4 Th P KESTELLA 2 RT 070 734243 FEBRIS SUPP 75,000 - -
    137 MELIZA EKA SAFIRA 9 Th P ANGGUR RT 056 656510 TONSILITIS RESEP 75,000 - -
    138 NINA INDRIANA 27 Th P ST.SULAIMAN GG H SALMAN RT 010 706022 DISPEPSYA INJEKSI 75,000 - -
    139 ANI MULYANI 33 Th P GN. TUNGGAL RT 007 814732 DISPEPSYA PLEB,EKG,INJEKSI 75,000 - -
    140 M.RAFFI PRATAMA 3 Th L KEMAKMURAN GG PLN RT 022 687118 FEBRIS PLEB 75,000 -
    141 SANTI DJUMAATI 30 Th P GIRI REJO RT 026 814131 DISPEPSYA INJEKSI 75,000 - -
    142 JUMADI 31 Th L P.BENDAHARA RT 03 814711 DISPEPSYA INJEKSI 75,000 - -
    143 M.TAUHID SIKRULAH 8 Th L P.ANTASARI RT 025 814708 VOMITING RESEP 75,000 - -
    144 NURRIDHA 4 Th P GN.PASIR RT 014 844692 ISPA PLEB 75,000 - -
    145 YULIANTI 27 Th P S.RIADI GG 2 RT 011 814107 MORBILI PLEB 75,000 - -
    146 ADB KADIR RAKI 31 Th L T.UMAR RT 015 766737 DISPEPSYA INJEKSI 75,000 - -
    147 HAMKANI 29 Th L PADAT KARYA RT 064 814602 MYALGIA RESEP 75,000 - -
    148 M.FADHIL FURQAN 5 Th L S.RIADI GG 3 RT 014 626880 ISPA RESEP 75,000 - -
    149 WIWIEK LESTARI 28 Th P MUSO SALIM RT 027 GG 7 814592 ISK PLEB 75,000 - -
    150 M.NAUFAL 7 Th L GERILAYA GG 4 NO 51A RT 098 814591 FEBRIS PLEB 75,000 - -
    151 DZIAN RATMADHANI USMAN 2 Th P AWS GG KEJAKSAAN RT 035 814686 MORBILI PLEB 75,000 -
    152 7/1/2015 ERNA SARI 29 Th P JL SUROBOUO RT 034 001716 INPARTU VT,DOPPLER 75,000 - -
    153 NORMI 29 Th P PASUNDAN GG 1 D NO 6 RT 29 814759 CEPALGIA INJEKSI 75,000 -
    154 HAMDI RIFANI 34 Th L P.BATUR GG 2 RT 010 814824 BSK PLEB 75,000 - -
    155 SURIATI 48 Th P P.ANTASARI GG PADAT KARYA R T03 814757 COLIC ABDOMEN PLEB,INJEKSI 75,000 -
    156 SELVI INDAH PURWATI 22 Th P EKONOMI RT 008 616963 FEBRIS PLEB 75,000 - -
    157 RERRY PERNANDO 2 Th L DELTA 4 HANDIL KOPI C 56 RT 33 814769 FEBRIS INF,PLEB 75,000 -
    158 KOMARIAH.HJ 86 Th P PELABUHAN PULAU ATAS RT 001 814803 GASTRITIS PLEB,EKG,INJEKSI 75,000 - -
    159 KASDU 59 Th L WIRATAMA RT 003 811799 COLIC RENAL PLEB 75,000 -
    160 M.RIFAI 23 Th L TARMIDI RT 012 711115 FEBRIS PLEB 75,000 - -
    161 ANNISA MAHFIRANTI A 13 Th P PELITA NO 59CRT 007 814806 FEBRIS RESEP 75,000 - -
    162 NIKKY TSIQOTUN HASANAH 2 Th L DI PANJAITAN GG BUGIS RT 002 814744 THYPOID PLEB 75,000 - -
    163 DAVINA FARADIVA 6 Th P KH.W.HASYIM 814807 FEBRIS PLEB 75,000 -
    164 SYIFA SAHIBUL M 17 Th P BUNG TOMO RT 011 740251 VOMITING INJEKSI 75,000 - -
    165 ANDI ZIDAN ALFACHRI 9 Th P BENGKURING BAYAR 3 384 RT 88 814764 TONSILITIS PLEB 75,000 -
    166 M.ROUFRROQIM 13 Th L KH.DAMANHURI 2 RT28 418743 ASMA NEBU,EKG,O2 75,000 32,000 -
    167 SUTARI 41 Th P KH.DAMANHURI 2 RT28 652266 ISPA RESEP 75,000 - -
    168 MARIA RENI R 35 Th P P.SURYANATA RT 038 814749 VL RESEP 75,000 - -
    169 SYAHBIRIN 32 Th L MT.HARIYONO RT 002 814773 ORCHITIS RESEP 75,000 - -
    170 GATOT SUGIONO 40 Th L ARJUNA RT 013 706675 VE WT,INJEKSI 75,000 - -
    171 SAHMADI 49 Th L P.SURYANATA GG TINGGIRAN RT 03 810196 V.ICTHUM GDS CITO,CROSS INSSI,INJ 75,000 - -
    172 RAHMA YANTI 51 Th P DI PANJAITAN RT 068 814779 DISPEPSYA PLEB,INJEKSI 75,000 - -
    173 JANNAH MASRUROH 32 Th P HASAN BASRI GG 1 RT 020 777527 ASMA NEBU,INJEKSI 75,000 - -
    174 M.SURYA DWI P PA M 10 Th L KEMAKMURAN GG PLN RT 022 795416 FEBRIS PLEB 75,000 - -
    175 HERMAN 69 Th L P.ANTASARI GG 1 RT 07 814782 MIALGIA PLEBO,EKG 75,000 - -
    176 SJAHRAH 55 Th P P.ANTASARI RT 004 429561 V.ICTHUM PLEB,CROSS,INSISI EKG,INJEKSI 75,000 - -
    177 ANA MA WIAH 44 Th P SOLONG DURIAN RT 024 813310 VOMITING INF,INJEKSI 75,000 - -
    178 ATMO SURAPI 73 Th L SUKEREJO RT 003 814737 ASMA O2,NEBU,INJEKSI 75,000 - -
    179 EVA NURHAYATI 13 Th P EKONOMI RT 008 376653 FEBRIS PLEB 75,000 - -
    180 KHOLIFAH 41 Th P GATSU RT 045 807224 CHES PAIN PLEB,EKG,INJEKSI 75,000 - -
    181 SUWARI 44 Th P KAGANANGAN RT 081 691348 HT EKG 75,000 - -
    182 8/1/2015 MAHMUD 55 Th L GAMELAN RT 039 814884 DISPEPSYA INF,PLEB,INJEKSI 75,000 - -
    183 H.MUHAMMAD 70 Th L M.SAID GG 6 RT 026 814871 CHF PLEBO,EKG 75,000 - -
    184 AFGAN 5 Th L IMAM BONJOL GG 79 RT 005 817908 GEA RESEP 75,000 - -
    185 EMI 50 Th P RE.M.DINATA GG WAHYU RT 004 394720 DISPEPSYA PLEB,EKG,INJEKSI 75,000 - -
    186 NOVITA NUR SAIDAH 19 Th P MERANTI RT 023 796453 INPARTU VT,DOPPLER 75,000 - -
    187 RIDWAN ERVANDY 56 Th L OTISTA RT 016 427143 HT EKG 75,000 - -
    188 KARTINI 45 Th P SUKOREJO RT 042 814902 DISPEPSYA PLEB,INJEKSI 75,000 - -
    189 HONDENG 44 Th L S.PARMAN RT 1 NO 75 810115 FEBRIS PLEB 75,000 - -
    190 ZAHIRA SAFFANA FEBRIANI 11 Th P BIAWAN NO 17 RT 012 814834 DISPEPSYA INJEKSI 75,000 - -
    191 DIAH ANGGRIANI 27 Th L SERAYU RT 022 814905 CLAVUS PEDIS INJEKSI 75,000 - -
    192 NUR HAIRANI 40 Th P BENGKURING RAYA 3 RT 78 814863 GEA DOPPLER,INJEKSI 75,000 - -
    193 LISMIYATI 50 Th P LABU SIAM 6 NO 303 588575 GASTRITIS EKG 75,000 - -
    194 SYACHRILOTADI 11 Th L KERUKUNAN RT 043 814891 ULKUS PEDIS CROSS INSISIS,INJEKSI 75,000 - -
    195 RATU MEY RIEFINA BALQIS 4 Th P ST.SULAIMAN RT 10 737566 MORBILI PLEB 75,000 - -
    196 SITI CHAIRIYAH 55 Th P DR.WAHIDIN S H RT 009 577371 CHF EKG 75,000 - -
    197 MELI SURIYATI 34 Th P AWS RT 024 532048 DISPEPSYA INJEKSI 75,000 - -
    198 9/1/2015 NUR SALSABILA 3 Th P PADAT KARYA GG KARAUTAN RT 73 812180 GEA INJEKSI 75,000 - -
    199 FADIL FIQI 19 Th L SOLONG DURIAN RT 027 433551 VL WT 75,000 - -
    200 IDIK 48 Th L BATU CERMIN RT 005 645568 ASMA O2,NEBU,INJEKSI 75,000 32,000 -
    201 SLAMAT SUPRIYADI 57 Th L OTISTA GGASPOL 2 RT 025 774511 HIPOGLIKEMI INF,PLEB,GDS,EKG,DC,CON 75,000 - DR.KUNCORO
    202 AHMAD MAULANA 5 Th L CM.KUSUMO RT 013 667921 ASMA NEBU 75,000 - -
    203 JAMAN 57 Th L JELAWAT GG 9 RT 0038 814989 HT EKG 75,000 - -
    204 WANDI HERMAWAN 24 Th L AM.SANG AJI RT 018 504471 DISPEPSYA RESEP 75,000 - -
    205 RAISA CANTIKA AMANDANI 2 Th P MUGIREJO RT 003 770468 ISPA RESEP 75,000 - -
    206 AISYAH 63 Th P SUWANDI BLOK A RT 022 358623 DM PLEBO,EKG 75,000 - -
    207 M.RAFI PRATAMA 3 Th L KEMAKMURAN GG PLN RT 022 687118 THYPOID PLEB 75,000 - DR.WILLIAM
    208 MARDIANA 34 Th P CM.KUSUMO RT 019 814973 CAT BITE WT,INJEKSI 75,000 - -
    209 ATHA NUR HAMSYAH 4 Th P JUANDA 8 RT 006 814938 FEBRIS RESEP 75,000 - -
    210 AZIZAH 2 Th P ANGGUR RT 055 737426 FEBRIS PLEB 75,000 - -
    211 AUREL 10 Th P MANUNGGAL GG 11 RT 077 814941 FEBRIS PLEB 75,000 - -
    212 M.PANDU PUTRA PRATAMA 1 Th L SITI ASIYAH NO 42 RT 006 802711 ISPA INJEKSI 75,000 - -
    213 YASIN 63 Th L OTISTA GG 12 RT 021 772216 V.MORSUM WT,INJEKSI 75,000 - -
    214 RIO FIRZA TRYANANDA 6 Th L DAMANHURI RT 022 PERUM BTI 752793 HEMATOME RESEP 75,000 - DR.GRACE
    215 PUTRI NABILA 3 Th P PEMUDA II GG PENDAWA BLOK A 11 765635 FEBRIS RESEP 75,000 - -
    216 MACHLAN 72 Th L PAKIS 2 D137 RT 082 641124 RINGITHIS AKUT EKG,INJEKSI 75,000 - -
    217 EDI SUHENDRIO 38 Th L KARYA BAKTI RT 007 814962 CONTOSIO MASKULAR RESEP 75,000 - DR.YASER
    218 INDAH PURNAMA SARI 32 Th P TONGKOL RT 004 815018 ISK PLEB 75,000 - -
    219 FARIDA HARIYANI 46 Th P PERUM SOLONG DURIAN RT 025 814986 GEA EKG,INJEKSI 75,000 - -
    220 DESI LESTARI 11 Th P W.MONGONSIDI RT 017 306689 ISK PLEB 75,000 - -
    221 ZAHRA MUKHRANI 11 Th P ST AISYAH RT 015 759373 COMMOND COLD RESEP 75,000 - -
    222 SITI NURAIDAH 18 Th P KH.MASMANSYUR RT 015 815029 INPARTU VT,DOPPLER 75,000 - -
    223 HERLIANSAYAH 32 Th L RE.M.DINATA GG MELATI RT 008 817129 GEA INJEKSI 75,000 - -
    224 INDAH PURNAMA SARI 32 Th P TONGKOL RT 004 815018 COLIC RENAL INJEKSI 75,000 - -
    225 CRISRIN NATALIS 45 Th L JAKARTA BLOK FG NO 43 RT 079 634732 ASMA O2,NEBU,INJEKSI 75,000 32,000 -
    226 ROHADI 61 Th L GERILYA RT 058 804846 RETENSIO URINE PLEB 75,000 - -
    227 INEMMA 41 Th P P.SURYANATA RT 015 814972 CEPALGIA RESEP 75,000 - -
    228 ERNAWATI 45 Th P MANUNGGAL GG 17 RT 077 795292 GASTRITIS PLEB,EKG,INJEKSI 75,000 - -
    229 ATMO SURADI 73 Th L SUKEREJO RT 003 814737 PPOK INF,PLEB,NEBU 75,000 - -
    230 M.SODIKIN 20 Th L PM.NOOR RT 039 817106 FEBRIS PLEB 75,000 - -
    231 EMMA 38 Th P MERBABU GG BDN RT 003 738613 HT EKG 75,000 - -
    232 SUKAJI 52 Th L TRISARI RT 020 817124 DISPEPSYA PLEB,EKG,INJEKSI 75,000 - -
    233 FARYZA SHAKIL 2 Th P KAKAP NO 76 RT 006 722891 VOMITING INF,PLEB 75,000 - -
    234 RASKIAN AMANDA PUTRI 3 Th P AWS RT 022 721986 GEA RESEP 75,000 - -
    235 KUMALA 57 Th P GERILYA GG KELUARGA RT 102 815045 HT PLEBO,EKG 75,000 - -
    236 ALFAYED RISQULLAH 11 Th L BATU CERMIN RT 003 815098 FEBRIS PLEB 75,000 - -
    237 ASMAWATI 46 Th P ADAM MALIK GG NIHAYAK 3 RT 02 817115 AB COMPLETE PLEB 75,000 -
    238 DIN FITRIani 30 Th P AM.SANGAJI RT 003 815041 AB IMINENS RESEP 75,000 -
    239 MAY WULAN DARI 11 Th P DI PANJAITAN RT 05 800420 VOMITING PLEB 75,000 - -
    240 NURIA MAHARANI AHSA 4 Th P REJO MULYO RT 033 759100 ISPA PLEB 75,000 - -
    241 MEIZA RAHMAN 9 Th L SENTOSA GG KENANGAN RT 075 815032 FEBRIS PLEB 75,000 -
    242 SALAHSIAH 41 Th P KERUKUNAN RT 043 781872 DISPEPSYA PLEB,INJEKSI 75,000 32,000 -
    243 HERMAN 67 Th L P.ANTASARI GG 1 RT 07 814782 DISPEPSYA RESEP 75,000 -
    244 JUMADI 28 Th L JELAWAT RT 020 815064 VL WTH III,INJEKSI 75,000 - -
    245 11/1/2015 ADELIA SAPUTRI 4 Th P GERILYA GG SEPAKAT RT 101 595383 FEBRIS PLEB 75,000 - -
    246 SYARIYUNI 38 Th P LUMBA LUMBA RT 017 723288 HT EKG,INJEKSI 75,000 -
    247 SUZAN AFRINA 35 Th P P.ANTASARI RT 004 693116 GEA INJEKSI 75,000 - -
    248 ADDE GURYA S 2 Th L KURNIA MAKMUR RT 023 742507 CONTOSIO MASKULAR RESEP 75,000 DR.SYAIFUL
    249 TARSIHI 59 Th P KH.SAMNHUDI DIRGANTARA 7 RT 02 499450 CEPALGIA RESEP 75,000 -
    250 HERRY OSCAR 53 Th L MUSO SALIM NO 68 RT 015 773624 CKD PLEBO,EKG 75,000 32,000 -
    251 A.IRWANTO 30 Th L SAMANHUDI RT 004 708974 ISPA RESEP 75,000 - -
    252 RABIATUL ADAWIYAH 41 Th P KH.MAS MANSYUR GG PELOPOR 3 RT 328354 HT EKG,INJEKSI 75,000 -
    253 NURUL AISYAH 5 Th P DAMANHURI PERUM BTI RT 023 817182 KDS PLEB 75,000 - -
    254 RUBIYANTI 40 Th P TRI SARI RT 022 687223 MIALGIA RESEP 75,000 - -
    255 UNDIYAN 51 Th L TRISARI RT 020 488156 BSK PLEB,SUPP 75,000 - -
    256 MISRAH 41 Th P GERILYA GG MESJID B/129 817187 ASMA O2,NEBU,INJEKSI 75,000 3,200 -
    257 JUMADI 31 Th L P.BENDAHARA RT 003 817221 DISPEPSYA INJEKSI 75,000 - -
    258 CLARA CLAUDIA TANGKA 17 Th P RAJAWALI DALAM II RT 011 817270 DISPEPSYA INJEKSI 75,000 - -
    259 SHAKILA NUR AINI 7 Th P PURWOSARI RT 014 544676 COMMOND COLD RESEP 75,000 - -
    260 WAQIF AZIZAH PUTRI 3 Th P PURWOSARI RT 014 718268 ISPA RESEP 75,000 - -
    261 BAKRI 55 Th L CM.KUSUMO RT 001 771626 DISPEPSYA EKG,INJEKSI 75,000 - -
    262 ARMIA HJ 65 Th P PERUM SMBTN ASRI K6 NO 4 RT 034 817226 DM RESEP 75,000 - -
    263 ADDE GURYA S 16 Th L KURNIA MAKMUR RT 023 742597 CORPAL CROSS INSISIS,INJEKSI 75,000 - -
    264 M.AYYUB RIFFANI 7 Th L KH.U.IBRAHIM RT 015 817235 VE WT,INJEKSI 75,000 - -
    265 HATI INDRAWATI 16 Th P WIRA GUNA RT 005 817433 DISPEPSYA INF,PLEB 75,000 - -
    266 SARI ERNAWATI DEWI 6 Th P EKONOMI RT 008 680903 FEBRIS RESEP 75,000 - -
    267 AJI AKBAR 1 Th L P.BENDAHARA RT 07 817174 FEBRIS PLEB 75,000 - -
    268 YULIANDITA ANDINA PUTRI 21 Th P LATSITARDA II BLOK C RT 028 817217 AB IMINENS PLEB 75,000 - -
    269 M.FERDI ADHITYA 7 Th L AGUS SALIM GG TANJUNG R T036 817184 FEBRIS RESEP 75,000 - -
    270 NAPSIAYAH 54 Th L SOEKARNO HATTA RT 015 817183 OF PEDIS WTH III,INJEKSI 75,000 - DR.GREG
    271 SYAFRIANA 3 Th P GATSU GG MESJID RT 046 687879 ISPA RESEP 75,000 - -
    272 ZULFADLI SYAHAB 46 Th L BUNG TOMO RT 019 817173 VL WTH IV,INJEKSI 75,000 - DR.FRITZ
    273 FATH HILLAH CAHYA RARAS 11 Th P JUANDA 7 RT 003 135350 GEA INF,PLEB,INJEKSI 75,000 - -
    274 SHEILA ARTIKA 26 Th P KEBON AGUNG RT 004 817228 AB IMINENS VT,DOPPLER 75,000 - -
    275 SURIANSA 28 Th L GERILYA GG RUKUN MAKMUR NO 72 817164 FEBRIS PLEB 75,000 - -
    276 APRIILLIANI SAPUTRA 19 Th P SLAMET RIADI GG ABDULLAH 2 RT 0 817168 GRAVID VT,DOPPLER 75,000 - -
    277 12/1/2015 ARTIYAH 70 Th P PROKLAMASI I RT 054 723716 ASMA O2,NEBU,INJEKSI 75,000 32,000 -
    278 SURIANSA 28 Th L GERILYA GG RUKUN MAKMUR NO 72 817164 DHF PLEB 75,000 - -
    279 DEWI SRI 5 Th P LEMPAKE JAYA RT 013 600195 GEA RESEP 75,000 - -
    280 RUSDIANA 40 Th P SENTOSA GG KEMBALI NO 27 RT 035 817278 DM EKG 75,000 - -
    281 MITHA ANDRIANI 11 Th P LEMPAKE JAYA RT 021 814573 VOMITING RESEP 75,000 - -
    282 M.RIZKY AL FAHRIZI 1 Th L AGUS SALIM GG TANJUNG RT 032 817271 BP NEBU 75,000 - -
    283 AMRAN 56 Th L PLAMBOYAN RT 10 791071 RETENSIO URINE PASANG CHATETER 75,000 - -
    284 M.RAKHA AZIZAN 6 Th L BAYAM 6 BLOK E NO 339 748430 VOMITING PLEB 75,000 - -
    285 INDAH PURNAMA SARI 32 Th P TONGKOL RT 004 815018 BSK PASANG CHATETER 75,000 - -
    286 SUTARMAN 67 Th L EMBOEN SURYANA RT 029 726941 SOPT PLEB,O2 75,000 32,000 DR.DONI
    287 NUR AINA 11 Th P LUMBA LUMBA R T007 817365 HEMATEMESIS PLEB,INJEKSI 75,000 - -
    288 FAKHRI ASWAD NUR A 8 Th L MERDEKA III RT 092 684113 FEBRIS PLEB 75,000 - -
    289 MIQDAM AL KATIRI 1 Th P DI PANJAITAN RT 038 806748 ISPA NEBU 75,000 - -
    290 NOVAN MULYANA 45 Th P L.MANGKURAT GG RIVAI NO 21 RT 0 700864 FEBRIS PLEB 75,000 - -
    291 NUR HASANAH 8 Th P RUMBIA GG 1 RT 018 810550 VE WT 75,000 - -
    292 MASLIAH 71 Th P S.RIADI GG 6 RT 030 461317 DISPEPSYA EKG 75,000 - -
    293 SUYONO 38 Th L CENDANA GG 4 RT 004 817253 CHES PAIN EKG 75,000 - -
    294 NUR FADILLAH 3 Th P BATU INDAH RT 041 817332 DISPEPSYA RESEP 75,000 - -
    295 HARDIANSYAH 35 Th L SUBULUS SALAM RT 036 817312 VL MULTIPLE V,INJEKSI 75,000 - -
    296 SURYADI RAKAYA 55 Th L SENTOSA GG RUSLAN RT 044 817265 GASTRITIS EKG,INJEKSI 75,000 - -
    297 M.ABIDZAR 1 Th L T.UMAR GG DURIAN TUNGGAL RT 03 787041 ISPA NEBU 75,000 - -
    298 ELSA DWI MORTIANA 6 Th P BATU CERMIN RT 002 713493 ASMA NEBU,INJEKSI 75,000 - -
    299 ARSINAH 73 Th P M.SAID RT 013 490668 DISPEPSYA PLEB,EKG,INJEKSI 75,000 - -
    300 WAHYUDIANSYAH 33 Th L TERONG PIPIT 3 NO 624 RT 79 783691 ASMA O2,NEBU,INJEKSI 75,000 32,000 -
    301 ANGGITA NOVIANTI 2 Th P TEUKU UMAR GG DURIAN TUNGGAL 817348 RHINITIS RESEP 75,000 - -
    302 JURIADI 35 Th L DAMANHURI RT 030 817205 TROUMA THORAX INF,PLEB,INJEKSI 75,000 - DR.FRITZ
    303 WANA ASTUTI 29 Th P RE.M.DINATA RT 001 814106 ASMA O2,NEBU,INJEKSI 75,000 32,000 -
    304 DJEFRI JOSEPH RANSUN 47 Th L GERILYA RT 046 810557 VL PLEB,WTH II,CROSS INSISI 75,000 - -
    305 13/1/2014 KHOLIFAH 42 Th P GATSU RT 045 772898 DISPEPSYA RESEP 75,000 - -
    306 AMELIA ASTRI PUSPITA 3 Th P SITI AISYAH RT 028 742857 ISPA PLEB 75,000 - -
    307 BAYU PURWANTO 29 Th L SUKOREJO RT 022 817403 VL INJEKSI 75,000 - -
    308 FEBRIANUS SERGIO A 14 Th L BUKIT BARISAN RT RTB 20 817414 FEBRIS RESEP 75,000 - -
    309 JUMADI 31 Th L P.BENDAHARA RT 003 810579 ISK PLEB,INJEKSI 75,000 -
    310 GALIH NOPYANI PUTRI 18 Th P M.YAMIN RT 027 788611 FEBRIS PLEB 75,000 - -
    311 ARYA LUTFI PRASETYA 7 Th L RAJAWALI DALAM RT 014 752717 V.ICTHUM CROSS INSISIS,INJEKSI 75,000 - -
    312 AMIN 30 Th L NUSANTARA V RT 032 481254 COMMOND COLD RESEP 75,000 -
    313 RUSDIANA SUPARNI 43 Th P RE.MARTADINATA RT 021 667120 DISPEPSYA EKG,INJEKSI 75,000 - -
    314 RENALDY T 15 Th L JOYO MULYO RT 031 817115 FEBRIS PLEB 75,000 - -
    315 HASAN 55 Th L KELAPA GADING RT 037 767656 GEA RESEP 75,000 - -
    316 JUNAIDAH 34 Th P CENDANA GG 16 RT 014 817401 INPARTU VT,DOPPLER 75,000 -
    317 EPIFANUS SYUKUR 9 Th L CENDANA GG 9 NO 45 RT028 495122 DYSPEPSIA PLEB,INJEKSI 75,000 - -
    318 M.SYUHADA 20 Th L JELAWAT RT 004 814183 CONTOSIO MASKULAR RESEP 75,000 - -
    319 MADA MASHUDINSYAH 27 Th L U.SUROPATI BLOK Y II RT 018 805054 ABD PAIN PLEB 75,000 -
    320 ARMIAH 65 Th P IMAM BONJOL GG 1O RT 010 584602 ASMA NEBU,INJEKSI 75,000 - -
    321 SEPTIAN EKA WULANDARI 27 Th P GERILYA GG MANIRI NO 48 RT 110 789286 FEBRIS PLEB 75,000 - -
    322 SITI HANIFAH 47 Th P PELITA 4 RT 013 499125 VL WT,WTH II, INJEKSI 75,000 - -
    323 SAFITRY LENGKAN 43 Th P PAMPANG RT 015 817442 ISK PLEB,INJEKSI 75,000 - -
    324 PUTRA SIHOL DAVID H 9 Th L SENTOSA RT 031 817422 FEBRIS RESEP 75,000 - -
    325 SUHADI 58 Th L ST.ALIMUDDIN GG BHAKTI RT 023 311114 DM PLEB,EKG,INJEKSI 75,000 - -
    326 14/1/2015 FINZZA AULIA AZZAHRA 2 Th P S.PARMAN GG 2 RT 036 817630 FEBRIS PLEB 75,000 - -
    327 GALIH NOPYANI PUTRI 18 Th P M.YAMIN RT 027 788611 THYPOID PLEB,INJEKSI 75,000 - -
    328 MASRIAH 67 Th P OTISTA RT 022 418743 ASMA EKG,NEBU,O2 INJEKSI 75,000 32,000 -
    329 MARJUDI 51 Th L KS.TUBUN GG 7 RT 002 817483 CHES PAIN PLEBO,EKG 75,000 - -
    330 SALMIAH 26 Th P KERUKUNAN RT 043 717484 GRAVID VT,DOPPLER 75,000 - -
    331 RICHARD J SONDAKH 35 Th L ANGGREK BULAN 1 RT 021 NO 41 817554 VT WT,WTH III,INJEKSI 75,000 - -
    332 SUTOPO 45 Th L M.SAID GG 6 BLOK D RT 032 817466 VERTIGO INJEKSI 75,000 - -
    333 SITI AMINAH 27 Th P P.ANTASARI GG 6 RT 045 717477 VE RESEP 75,000 -
    334 M.GRARVINDA 12 Th L JAKARTA BLOK BG RT 062 722413 FARINGITIS RESEP 75,000 - -
    335 DWI SARTIKA MONNANTUN 16 Th P PADAT KARYA GG IBNU RT 073 817582 DYSPEPSIA PLEB 75,000 -
    336 DAHRIANI 39 Th P GN CERMAI RT 001 636419 CKD PLEB 75,000 - -
    337 QULIYAH 35 Th P LEMPAKE JAYA RT 015 817645 DUB PLEB 75,000 - -
    338 SITI FARIDAH 35 Th P RAJAWALI DALAM RT 014 440867 GRAVID VT,DOPPLER 75,000 - -
    339 MERCHA SILVIANA NURUL AZE 2 Th P KEMAKMURAN DALAM RT 020 806783 ISPA PLEB 75,000 - -
    340 RUSITA ANWAR 32 Th P RAWASARI 5 RT 056 720329 FEBRIS PLEB 75,000 - -
    341 HALIAMH 55 Th P PEMUDA II RT 012 512679 ASMA NEBU 75,000 - -
    342 AULIA AMELIA 9 Th P LEMPAKE RT 011 817555 FEBRIS PLEB 75,000 - -
    343 M.RIHDO ILHAM 2 Th L PADAT KARYA RT 073 817301 FEBRIS RESEP 75,000 - -
    344 BY.NY LYLYS ANDRIANI 0 Th L LUMBA LUMBA RT 015 817646 NEONATUS INF,PLEB,KONSL,GDS 75,000 DR.SUKARTINI
    345 MUSTAPA KAMAL 29 Th L PASUNDAN GG 2C NO 43 RT 018 817632 VOMITING INJEKSI 75,000 - -
    346 SHEZA AQILLA K 2 Th P S.PARMAN GG 4 RT 028 797584 ISPA PLEB,INJEKSI 75,000 -
    347 RAMA MAHMUDIN 12 Th L IR JUANDA RT 059 817468 COLIC ABDOMEN PLEB 75,000 - -
    348 15/12015 PUTRI AINA RASHIFA 2 Th P MERANTI GG 1 805173 FEBRIS RESEP 75,000 - -
    349 NUR WAFIYAH 10 Th P JELAWAT GG IV RT 012 817843 FEBRIS RESEP 75,000 - -
    350 SYARIFAH FATIMAH 51 Th P DMANHURI GG BUNGA RT 062 818331 GEA RESEP 75,000 - -
    351 LAMADE 63 Th L KOMP PSR SEGIRI RT 028 817848 ASMA NEBU 75,000 - -
    352 INDRAWATI 29 Th P P.SURYANATA RT 017 NO 40 817974 INPARTU PLEB,VT,DOPPLER 75,000 - DR.MARIHOT
    353 SITI Fatimah hasanah 5 Th P KH.ABD MUTHALIB RT 9 817840 FEBRIS PLEB 75,000 - -
    354 PUTRA RAMADANI 2 Th L BATU BESANG RT 026 763110 FEBRIS PLEB 75,000 - -
    355 M.NUR ZAKI 5 Th L NUSA INDAH RT 002 552243 ASMA NEBU 75,000 - -
    356 ASTRIA 28 Th P IMAMBONJOL RT 043 817802 FEBRIS PLEB 75,000 - -
    357 SAMSUL ARIFIN 27 Th L P.SURYANATA GG 2 RT 008 817647 GASTRITIS PLEB,INJEKSI 75,000 - -
    358 IRFAN ALI MANSUR 2 Th L P.HIDAYATULLAH GG KARYA I RT 03 735051 GEA INJEKSI 75,000 - -
    359 M.DAVA PUTRA ADHY P 9 Th L S.RIADI RT 011 817640 OTALGIA INJEKSI 75,000 - -
    360 ADITYA PRAMANA S 10 Th L PERUM KOPRI SEMPAJA RT 63 817808 V.ICTHUM CROSS INSISIS,INJEKSI 75,000 - -
    361 M.PUTRA 4 Th L LEMPAKE JAYA RT 021 679366 EFILEFSI INF,PLEB 75,000 - -
    362 RIZAL 35 Th L P.HIDAYATULLAH GG AMAL RT 022 785470 V.ICTHUM CROSS INSISIS,INJEKSI 75,000 -
    363 SUMINI 47 Th P WIRASWASTA RT 015 817780 HT RESEP 75,000 -
    364 M.ALL YUSUF ARAFAH 6 Th L HASAn BASRI RT 023 682323 VL WT,WTH II 75,000 - -
    365 RAMZY AZZAM ZAM ZAM 8 Th L JELAWAT RT 011 455894 VL WT,WTH III,INJEKSI 75,000 - -
    366 LINGGAR GILANG PAMUNGKAS 19 Th L BATU BESAUNG RT 028 817787 VL WTH III,INJEKSI 75,000 - -
    367 PONIMAN 62 Th L SUWANDI BLOK A RT 022 488113 DM PLEB 75,000 - -
    368 RIZAL BUTU MANNA 18 Th L DR.W.S.HUSODO RT 10 803778 FEBRIS RESEP 75,000 - -
    369 FINZZA AULIA AZZAHRA 2 Th P S.PARMANA GG 2 RT036 NO 41 817630 FEBRIS PLEB 75,000 - -
    370 ANITA AULIA RAKHMAN 16 Th P KADRIE OENING GG REZEKI RT 032 817837 DISPEPSYA PLEB 75,000 - -
    371 AWANG ABDILLAH 26 Th L LUMBA LUMBA GG 13 RT 008 817646 DISPEPSYA RESEP 75,000 - -
    372 SITI AMAINAH 35 Th P GATSU GG 1 NO 35 RT 033 805734 GRAVID VT,DOPPLER 75,000 - -
    373 ROSA PALOBO KALATASIK 27 Th P ST.ALIMUDDIN RT 033 817850 GRAVID VT,DOPPLER 75,000 -
    374 YETI MAHDALENA 45 Th P JAKARTA RT 074 817963 CA MAMAE RESEP 75,000 -
    375 GNINA NAFISA TUL M 9 Th P SUMBER BARU RT 032 294444 KONVULSI INF,PLEB 75,000 - -
    376 16/1/2015 ROSIDAH 59 Th P U.SUROPATI RT 006 818014 HT PLEB,EKG,INJEKSI 75,000 -
    377 DEDDY SOEBARIYADI 35 Th L LATSITARDA 2 RT 28 324477 MIALGIA PLEB,INJEKSI 75,000 - -
    378 HARTATI TITAMARA 40 Th P S.RIADI GG G ROYONG RT 032 817986 HEMAPTOE INJEKSI 75,000 -
    379 ANDI AMALIA MUTIA AZZAHRA 14 Th P BAYAM 3 NO 384 RT 088 818030 COMMOND COLD RESEP 75,000 - -
    380 NURUL FITRIANI 35 Th P KS.TUBUN GG 9 RT 036 818063 CEPALGIA RESEP 75,000 -
    381 DARMAWAN 70 Th L RE.M.DINATA RT 021 818010 RETENSIO URINE PASANG CHATETER 75,000 -
    382 ANDI ASYAM ILHAM 2 Th L PERUM HANDIL KOPI RT 033 754474 VOMITING INF,INJEKSI 75,000 -
    383 NUR HIDAYAH 38 Th P HASAN BASRI GG FIDAUS R T024 817985 HEMATEMESIS PLEB 75,000 DR.MARIHOT
    384 LAMADE 63 Th L KOMP PSR SEGIRI RT 028 817848 PPOK NEBU,EKG,O2,INJEKSI 75,000 32,000 -
    385 darwin 46 Th L P.SURYANATA GG HIKMAH 1 RT 031 643338 GEA INJEKSI 75,000 - -
    386 M.RENALDI SAPUTRA 4 Th L RUMBIA 2 GG IRAMA RT 020 818076 FEBRIS PLEB 75,000 -
    387 SUKAJAD 57 Th L PEMUDA II RT 012 817983 KONVULSI INF,PLEB,EKG,DC,GDS CITO,O2 75,000 ANITA /LUTFI
    388 AMINATUN 32 Th P IRIGASI RT 014 469443 GRAVID VT,DOPPLER 75,000 -
    389 FAIZAL 5 Th L KEMAKMURAN G KNPI RT 020 818040 VOMITING RESEP 75,000 - -
    390 M.FERDI ADHITYA 7 Th L AGUS SALIM RT 036 817184 THYPOID PLEB 75,000 - -
    391 DESTA SAPUTRA 2 Th P DELIMA RT 51 746612 FEBRIS PLEB 75,000 -
    392 SABAR 22 Th L KOMP PSR SEGIRI RT 028 818078 DISPEPSYA INJEKSI 75,000 -
    393 RAHMADANI JUNAIDI 33 Th L CENDANA GG10 RT 036 818013 FEBRIS PLEB 75,000 - -
    394 AULIA RISKY DZAKIRA A 1 Th P AWS PERUM KEHUTANAN RT 022 818004 CKR WT,INJEKSI 75,000 - -
    395 AMIRUDIN 55 Th L PEMUDA RT 033 818070 FINGER TIF WTH III,INJEKSI 75,000 -
    396 M.ALFANDI GUSTIANASYAH 14 Th L SUTERA KEMBANG RT 09 601222 FEBRIS PLEB 75,000 -
    397 TIOMIN PURBA 51 Th L PERUM PKL D 288 RT 022 535071 HT PLEB 75,000 -
    398 17/1/2015 ALIKA ZELVIANI HERISTA 2 Th P BATU BARU NO 13 RT 024 818122 FEBRIS RESEP 75,000 -
    399 AL ZAHRA NEVA MAULIDA 1 Th P P.SUROPATI GG KBB RT 008 818152 FEBRIS PLEB 75,000 - -
    400 LILI NURLINDA 27 Th P OTISTA RT 019 818167 GRAVID VT,DOPPLER 75,000 -
    401 NANDA DIVYA AULIA 8 Th P BAYAM 5 RT 082 771683 FEBRIS PLEB 75,000 32,000 -
    402 IBRAMSYAH 64 Th L AM SANGAJI RT 006 521133 MUSCLE STRAIN PLEB,EKG,INJEKSI 75,000 - -
    403 IDRIS 58 Th L BAYUR RT 013 718717 FEBRIS PLEB 75,000 -
    404 MURJANI 47 Th L P.SURYANATA GG H RAHIM RT 030 818017 FEBRIS INJEKSI 75,000 -
    405 ISNA 31 Th P GELATIK RT 016 211945 DISPEPSYA INJEKSI 75,000 - -
    406 ANAS 24 Th L BERAMBAI RT 031 818006 GEA RESEP 75,000 -
    407 VITALIT LAMAT 36 Th L KH.W.HASYIM GG WAHYU RT 039 818082 VL WTH III,INJEKSI 75,000 -
    408 M.BILAL 7 Th L DR.SUTOMO RT 034 818111 FEBRIS RESEP 75,000 -
    409 M.NUR ZAKI 5 Th L P.ANTASARI RT 002 NUSA INDAH 552243 ASMA NEBU,INJEKSI 75,000 -
    410 ABD GANI H H 75 Th L S.PARMAN GG 1 RT 001 818139 DISPEPSYA PLEB,EKG,INJEKSI 75,000 -
    411 SHAQILA RANDA ARLIA 1 Th P ST.SULAIMAN RT 10 742360 FEBRIS RESEP 75,000 -
    412 BEALY RACHMAN 25 Th L GN.LINGAI RT 004 818140 HT PLEBO,EKG 75,000 -
    413 HASAN 52 Th L ABD MUTHALIB GG ANGGREK RT 006 782727 ASMA NEBU 75,000 -
    414 MUHAMMAD 19 Th L ANGGUR NO 13 RT056 818208 COMMOND COLD RESEP 75,000 - -
    415 18/1/2015 MURDIONO 25 Th L PERNIAGAAN RT 015 818349 DISPEPSYA INJEKSI 75,000 - -
    416 THERISIA YENI DAY 28 Th P PERUM PKL D/382 RT 011 818311 GERD INF,PLEB 75,000 -
    417 M.ALI 18 Th L KEMAKMURAN GG 1 RT 015 818289 ISK PLEB,INJEKSI 75,000 -
    418 ODA BONG 41 Th L PADAT KARYA RT 073 818293 MENOMETROLARGI PLEB 75,000 -
    419 YUKA AQILA PUTRI 1 Th P DAMAI RT 027 818261 FEBRIS PLEB 75,000 -
    420 RAMADHANI YUDOYONO 11 Th L BATU BESAUNG RT 026 295062 ASMA NEBU,INJEKSI 75,000 - -
    421 RAHMAN SURIANSYAH M 10 Th L BUNG TOMO RT 012 818229 VOMITING INF,PLEB,NGT,DC 75,000 DR.WAHAB
    422 MANDALA RISKY SYAPUTRA 6 Th L PESUT GG 3 NO 18 818264 VOMITING INJEKSI 75,000 - -
    423 A.FADIL SALBILI 7 Th L M.YAMIN RT 027 439829 COMMOND COLD RESEP 75,000 -
    424 AMALIA NUR AHAWA 9 Th P M.YAMIN RT 027 442316 COMMOND COLD RESEP 75,000 - -
    425 NURZI MAURIZA 33 Th P PRM SMPJ LESTARI INDAH H/12 RT 734515 CKD PLEB 75,000 -
    426 ISRANSYAH 43 Th L PEMUDA 1 BLOCK C RT 007 NO 80 704515 DISPEPSYA EKG,INJEKSI 75,000 -
    427 RAHMAD HIDAYAT 29 Th L OTISTA GG 12 RT 021 818249 COLIC RENAL PLEB 75,000 -
    428 ABD QODIR 27 Th L BIOLA GG NIKMAT RT 033 818245 FEBRIS RESEP 75,000 - -
    429 ABD RAHMAN RAMBE 57 Th P S.PARMAN RT 009 NO 129 507559 CEPALGIA EKG,INJEKSI 75,000 -
    430 KHOLIFAH 42 Th P GATSU RT 045 772898 DISPEPSYA PLEB,EKG,INJEKSI 75,000 -
    431 ANDI WITENDRIE UMUNG 40 Th L PRAMUKA RT 031 818318 HT RESEP 75,000 -
    432 SUKOHARTI 66 Th P RUMBIA 2 GG NADA RT 020 818322 BSK RESEP 75,000 -
    433 DELVI ANGGY SARI 19 Th P DAMANHURI 1 BLOK E RT 060 818333 BROCHITIS PLEB 75,000 -
    434 AIDA AMELIA 3 Th P DR.SOETOMO RT 033 818243 FEBRIS RESEP 75,000 -
    435 ARIDHA NURHANNAH 14 Th P ABD SANI GANI RT 017 818248 THYPOID RESEP 75,000 -
    436 RUSDIANA 20 Th P SIDOREJO RT 026 818173 GRAVID VT,DOPPLER 75,000 -
    437 ZASKIA NUR AZIZAH 7 Th P ULIN GG 3 RT030 818287 FEBRIS PLEB 75,000 -
    438 MIRA 47 Th P LUMBA LUMBA RT 004 818287 BSK PLEB 75,000 -
    439 DENIK KURNIAWATI 32 Th P P.SURYANATA GG MINSA RT 028 388155 COLIC ABDOMEN RESEP 75,000 -
    440 DASIH 60 Th P U.SURAPATI RT 031 750140 GRAVID PLEB,INJEKSI 75,000 -
    441 NOR HADI 33 Th L MUSO SALIM GG 10 RT 014 764147 CHES PAIN EKG,INJEKSI 75,000 -
    442 MAULANA WIJAYA 16 Th L CENDANA GG 3 RT 023 799927 ABSES PLEB 75,000 - -
    443 AHMAD 25 Th L AWS RT 026 818327 VL WT,WTH II, INJEKSI 75,000 -
    444 EVI INDAH DWI HASTUTI 26 Th P PADAT KARYA GG SALIKI RT 009 818447 DOG BITE INJEKSI 75,000 -
    445 WATINE 41 Th P KEMUNING RT 020 725569 FARINGITIS RESEP 75,000 -
    446 M.LUKMAN HAKIM 35 Th L OTISTA RT 022 818553 VL WTH IV,INJEKSI 75,000 -
    447 HADIJAH 59 Th P GN.LINGAI RT 004 818320 DISPEPSYA PLEB,EKG,INJEKSI 75,000 -
    448 ABD KASMAN 57 Th L TRI DARMA RT 013 772392 ASMA EKG,NEBU,O2 INJEKSI 75,000 32,000 -
    449 FITRAH RAMADANI S 3 Th P S.PARMAN GG 2 RT 030 774453 FEBRIS RESEP 75,000 -
    450 M.RAHMAD 61 Th L AM.SANG AJI GG 12 RT 10 /66A 270262 THYPOID PLEB,EKG,INJEKSI 75,000 - -
    451 19/1/2015 ZASKIA NUR AZIZAH 7 Th P ULIN GG 3 RT030 818281 FEBRIS INF,PLEB,KONSUL 75,000 DR.WILLIAN
    452 MARLISA MALIK 24 Th P PERUM PKL BD/107 RT 023 818359 GRAVID PLEB,VT,DOPPLER 75,000 DR.NOVIA
    453 KAPSAH 51 Th P MERANTI GG 1 RT 023 359164 COLIC ABDOMEN INF,PLEB,INJEKSI 75,000 DR.BOYKE
    454 MERRY ANNIKMAH 6 Th P L.MANGKURAT RT 031 567646 GEA RESEP 75,000 - -
    455 SAMIRAH 57 Th P DR.W.S.HUSODO RT 10 282605 DM PLEBO,EKG 75,000 - -
    456 NURPAH 27 Th P PEMUDA V RT 023 417538 GRAVID PLEB 75,000 -
    457 YULANTRI RIHI 20 Th P GERILYA GG LESTARI RT 103 805109 HEG PLEB,INJEKSI 75,000 -
    458 MISBAH 24 Th P GN PASIR RT 014 818276 GASTRITIS PLEB,INF,INJEKSI,RJP 75,000 - DR.ASTRID
    459 JUNIYATI 11 Th P PELITA 2 RT 005 818377 GEA RESEP 75,000 -
    460 AYU MEILANI PUTRI 4 Th P MUSO SALIM RT 016 656322 FEBRIS PLEB 75,000 -
    461 ALLEN PRATAMA PUTRA 29 Th L JELAWAT GG 8 RT 003 694037 ASMA O2,NEBU,INJEKSI 75,000 32,000 -
    462 SITI SRI WAHYUNI 27 Th P JELAWAT GG 9 RT 038 818402 GRAVID INF,PLEB 75,000 -
    463 SUGENG 58 Th L SEJATI GG KASAH 1 RT 021 818431 BSK PLEB 75,000 -
    464 MIKHAROM S 45 Th L SUKOREJO LEMPAKE RT 040 818381 DM INF,PLEB,RJP,DC O2,EKG,MONITOR 75,000 32,000 DR.LUTFI/ENY
    465 HAIDIR ALAZIZ 14 Th L KEDONDONG DALAM IV NO 72 RT 05 818366 VL WT,HT,INJEKSI 75,000 DR.DADIK
    466 HANY NURSYFA 3 Th P M.SAID GG 2 RT 009 818389 ISPA RESEP 75,000 -
    467 INDRA ROMADHAN 29 Th L PRAMUKA GG KASTURI RT 029 818354 CHES PAIN PLEB 75,000 -
    468 LUSIANA 21 Th P GIRIREJO RT 026 818426 GRAVID PLEB,VT,DOPPLER 75,000 -
    469 20/1/2015 RINA WAHYU NINGSIH 21 Th P MANUNGGAL GG 4 RT 011 818463 GRAVID VT,DOPPLER 75,000 -
    470 M.AL AZKA 3 Th L GN TUNGGAL RT 007 818503 ASMA PLEB,NEBU,O2,INJEKSI 75,000 -
    471 M.NUR ZAKI 5 Th L NUSA INDAH RT 002 552243 ASMA NEBU,O2 75,000 32,000 -
    472 DEWI YULIANTINI 13 Th P AWS GG KEJAKSAAN RT 035 641704 ASMA NEBU,O2 75,000 32,000 -
    473 QANI'AH NUR ZAHIRA S 2 Th P PAHLAWAN 2 RT 028 784409 GEA RESEP 75,000 -
    474 PUTRI AINA RASHIFA 2 Th P MERANTI GG 1 RT 017 805173 FEBRIS PLEB 75,000 -
    475 SITI MASITAH 30 Th P S.RIADI RT 014 818571 INPARTU VT,DOPPLER 75,000 -
    476 HADIJAH 57 Th P GN LINGAI RT 004 818508 DISPEPSYA INF,PLEB,O2,EKG,INJEKSI 75,000 32,000 -
    477 KASMAWATI 51 Th P KADRIE OENING RT 032 744670 NEUROPATIC DM INF,PLEB 75,000 -
    478 M.ALFANDI GUSTIANASYAH 15 Th L SUTERA KEMBANG RT 09 601222 ISPA RESEP 75,000 -
    479 NURUL PAHMI 35 Th P P.ANTASARI GG H MANSYUR RT 003 637937 DISPEPSYA INJEKSI 75,000 -
    480 ADAM JULIAN SAPUTRA 3 Th L KS.TUBUN RT 010 818458 GEA INF,PLEB 75,000 -
    481 MAWAR JAHRA 3 Th P PADAT KARYA RT 008 818497 KDS INFUS,PLEB 75,000 -
    482 HASAN 52 Th L ABD.MUTHALIB GG ANGGREK RT 006 782727 ASMA O2,NEBU,INJEKSI 75,000 32,000 -
    483 WINARNO 64 Th L DI PANJAITAN GG SAYUR R T020 813181 VERTIGO EKG,INJEKSI 75,000 - -
    484 AISHA DWI YULIA NINGSIH 7 Th P KADRIE OENING GG BERSAMA NO 48 018469 VL WTH III,INJEKSI 75,000 - -
    485 PADIRAN 74 Th L BUNG TOMO RT 013 804390 GOAT ARTHITITIS GENU PLEB,INJEKSI 75,000 -
    486 21/1/2014 AHMAD MAULANA 5 Th L CM.KUSUMO RT 013 667921 ASMA NEBU,O2 75,000 32,000 -
    487 ILHAM 14 Th L DAMAI RT 028 818627 FEBRIS PLEB 75,000 -
    488 HASTY RUSMALA 25 Th P CM.KUSUMO RT 035 694118 DISPEPSYA INF,PLEB,INJEKSI 75,000 -
    489 SONIA NINSY TERESYA 17 Th P WIRASWASTA 727308 MENOMETROLARGI RESEP 75,000 DR.YASMIN
    490 RASA ADITYA NOOR AULIA 8 Th L BATU BESAUNG NO 30 RT 028 818631 ISPA PLEB 75,000 -
    491 KAYLA AZ ZAHRA 3 Th P MUGIREJO RT 005 715164 ISPA RESEP 75,000 -
    492 HARI SIGIHARTO 41 Th L MERDEKA 1 RT 091 818626 BSK INJEKSI 75,000 -
    493 JUARINNA 49 Th P DI PANJAITAN RT 002 697426 ISK PLEB 75,000 - -
    494 RATU AISYIYAH 3 Th P MERDEKA II NO 19 RT 086 818634 ISPA PLEB 75,000 -
    495 H.M.KOSIM 68 Th L U.SUROPATI 750140 HERPES PLEB,EKG,INJEKSI 75,000 -
    496 ELMIRA PUTRI RAMADHANI 2 Th P P.SURYANATA RT 002 818638 FEBRIS RESEP 75,000 -
    497 M.DICKY PRASTETYO 3 Th L MUGIREJO GG MANUNGGAL RT 05 717260 ISPA RESEP 75,000 -
    498 BRAYEN 14 Th L RING ROAD RT 001 689648 ASMA NEBU,INJEKSI 75,000 -
    499 NUR RAHMAWATI 41 Th P ABUL HASAN RT 019 681312 DUB PLEB,INJEKSI 75,000 -
    500 CITRA WATI 52 Th P PESUT GG 2 NO 21 RT 12 320060 DISPEPSYA PLEB,EKG,INJEKSI 75,000 - -
    501 M.HAFIZ ZURAHMAN 2 Th L SAWI 3 RT 070 818636 FARINGITIS PLEB 75,000 -
    502 NOVAL 6 Th L GAMELAN RT 039 818642 ISPA PLEB 75,000 -
    503 EKA YANTI OKTAVIA 38 Th P KH.SAMANHUDI RT 003 818601 DISPEPSYA PLEB 75,000 -
    504 M.DONNY 18 Th L ST.SULAIMAN RT 028 818628 INSECT BITE INF,PLEB,INJEKSI 75,000 -
    505 ADB.GAFAR 65 Th L KEMUNING RT 010 620709 DM PLEB,EKG,INJEKSI 75,000 -
    506 NURHAYATI 31 Th P PADAT KARYA GG SAYUR RT 009 818592 GASTRITIS INJEKSI 75,000 -
    507 ADI SUCIPTO 43 Th L JELAWAT RT 006 818649 HT EKG 75,000 - -
    508 GIAN FAJRIN T 22 Th L JAKARTA AR/1 RT 063 818723 HEMATEMESIS PLEB 75,000 -
    509 ELDIANSYAH 45 Th L RE M.DINATA RT 008 741134 ISPA RESEP 75,000 -
    510 SUAJI 55 Th L MUSO SALIM RT 17 688908 DISPEPSYA EKG,INJEKSI 75,000 -
    511 RAYHAN RUKMANA 9 Th L DAMANHURI NO 52 RT 062 450256 CF HUMERUS INF,PLEB,SPALK,KONSUL 75,000 DR.DAVID
    512 DARWEN 48 Th L BAYAM 9 NO 534 RT 088 818586 VL WT,WTH V,INJEKSI 75,000 -
    513 FAIZAN NOOR RAHMAN 3 Th L S.APRMAN 1 RT 002 818609 FEBRIS PLEB 75,000 -
    514 NABILA JULIANTI 5 Th P DAMAI GG 4 NO 12 RT 026 709304 VARICELLA RESEP 75,000 - -
    515 22/1/2015 WAHIDAH 46 Th P S.RIADI GG PANCAR 12 RT 003 119261 DUB INF,PLEB,VT,DOPPLER 75,000 -
    516 IRFAN 10 Th L PANGKALAN RT 004 818688 ISPA PLEB 75,000 -
    517 MIA AGUSTINA 19 Th P KEMAKMURAN GG 45 RT 45 818534 FEBRIS PLEB 75,000 -
    518 WA DIA 55 Th P PAHLAWAN 2 RT 028 281130 DISPEPSYA RESEP 75,000 -
    519 NAYLA JAVIRA RAMADHANI 2 Th P KEMAKMURAN GG PLN RT 022 724950 ISPA PLEB 75,000 -
    520 GEMI SUDARMI 55 Th P WIRA SWASTA RT 015 667817 CKD INF,PLEB,EKG,O2,INJEKSI 75,000 32,000 -
    521 HERIZKA ANANDA DAMAYANTH 10 Th P L.MANGKURAT RT 085 818751 DISPEPSYA PLEB 75,000 - -
    522 FEBRIYANTI SAFARIAH 7 Th P S.RIADI RT 031 782116 HT PLEB 75,000 -
    523 ILHAM 14 Th L DAMAI RT 023 88627 VOMITING PLEB 75,000 -
    524 M.RIZKY FADILLAH 7B L SENTOSA SADAM RT 083 389883 ASMA NEBU 75,000 -
    525 ISMAL YATIM 30 Th L KH.MAS MASYUR RT 037 486668 AS O2,NEBU,INJEKSI 75,000 32,000 -
    526 KUENADI 56 Th L PERJUANGAN RT 037 818719 PPOK NEBU,EKG,O2,INJEKSI 75,000 - -
    527 YANA 53 Th P CENDANA GG 4 RT 04 818707 HT PLEB,EKG,INJEKSI 75,000 -
    528 KANIA PUTRI SALMA 7 Th P KH.AGUS SALIM GG 5D RT 031 737674 ASMA NEBU,O2 75,000 32,000 -
    529 MASRIAH 67 Th P OTISTA RT 022 418743 ASMA O2,NEBU,INJEKSI 75,000 32,000 -
    530 SITI FATIMAH 65 Th P P.ANTASARI RT 033 818446 VERTIGO INF,PLEB,EKG 75,000 -
    531 IRIANTA EKA SUJATMIKA 51 Th P WIRAGUNA RT 006 433276 CEPALGIA PLEB,INJEKSI 75,000 -
    532 ISNA URUS ISMAIL 55 Th P P.SURYANATA RT 033 818668 DISPEPSYA PLEB,EKG,INJEKSI 75,000 - -
    533 SUGIATI 19 Th P KEMAKMURAN GG 1 RT 015 819179 ASMA NEBU 75,000 -
    534 WA DIA 55 Th P PAHLAWAN 2 RT 028 281130 COLIC ABDOMEN PLEB,INJEKSI 75,000 -
    535 M.UBAYDILLA S 5 Th L OTISTA RT 018 713172 CKR KONSUL 75,000 DR.GRACE
    536 23/1/2015 A.SYAWAL SAID 4 Th L BUNG TOMO GG MANDIRI RT 027 818027 CKR RESEP 75,000 - -
    537 M.DENY SAPUTRA 2 Th L KH.W.HASYIM RT 014 808132 ISPA RESEP 75,000 -
    538 ADELIA SAPUTRI 4 Th P GERILYA GG SEPAKAT RT 101 595383 FEBRIS RESEP 75,000 - -
    539 RAYHAN ADRIAN M 4 Th L WANYI 1 NO 48 RT 069 818848 FEBRIS PLEB 75,000 -
    540 PANCARA 65 Th L KEMAKMURAN NO 113 RT 015 693610 HT EKG,INJEKSI 75,000 -
    541 AYNIA FAIDA AZMI 3 Th L JUANDA 8 RT 014 689880 FEBRIS RESEP 75,000 -
    542 ADIYA ERLANGGA 49 Th L DR.W.S.HUSODO RT 10 818797 FEBRIS PLEB 75,000 -
    543 IBNU SINA 3 Th L JELAWAT GG 8 RT 004 739042 FEBRIS PLEB 75,000 -
    544 ISMAL YATIM 30 Th L KH.MAS MASYUR RT 037 486668 ASMA NEBU,INJEKSI 75,000 - -
    545 NEYSA NAURA ZITA 4 Th P AM.SANG AJI RT 014 693424 FARINGITIS INJEKSI 75,000 -
    546 NAJWA AKAILLA 7 Th P PUSAKA RT 015 818851 VOMITING RESEP 75,000 -
    547 PUTRI YASMIN 4 Th P IR.JUANDA RT 059 818832 COMMOND COLD RESEP 75,000 -
    548 NURUL BADRIYYAH 17 Th P GOTONG ROYONG RT 04 466035 VOMITING PLEB,EKG,INJEKSI 75,000 -
    549 ARIFAH LAILATUSSAADAH 11 Th P MARSDA A SALEH RT 025 370307 ASMA PLEB,NEBU,O2,INJEKSI 75,000 -
    550 BOBBY TRIYUDA PRATAMA 15 Th L SULTAN SULAIMAN RT 010 730660 VOMITING RESEP 75,000 -
    551 RABIATUL FAHRIANI 19 Th P PADA ELO RT 006 810043 HEMAPTOE PLEB 75,000 -
    552 LILIH 50 Th P KEMANGGI GG SYUKUR RT 024 404547 CHF PLEB,EKG,INJEKSI 75,000 -
    553 TUGI YATI 35 Th P AMPERA RT 049 742200 CA PAROTITI INF,PLEB,CONSUL 75,000 - DR.RIDWAWAN
    554 BUSTANI 73 Th L ST.ALIMUDDIN RT 025 725315 PPOK NEBU 75,000 -
    555 DEVAN ADITYA RAMADHAN 6 Th L HASAN BASRI GG 1 RT 020 818823 COMMOND COLD RESEP 75,000 -
    556 HARTATI 48 Th P SUTRA KEMBANG RT 017 619739 HT RESEP 75,000 -
    557 24/1/2015 RABIATUL FAHRIANI 19 Th P PADA ELO RT 006 818843 HEMAPTOE INJEKSI 75,000 -
    558 SITI MARIANA 35 Th P KH.W.HASYIM BLOK SAWAO 114 RT 814327 GRAVID PLEB 75,000 - -
    559 BIMA NUGROHO 2 Th L HASAN BASRI GG 1 RT 020 819000 FEBRIS PLEB 75,000 -
    560 SYARININ NUR R 5 Th P MARSDA A SALEH GG 2 RT 023 721509 COMMON COLD PLEB 75,000 -
    561 NUR ASNI 36 Th P W.MONGONSIDI RT 017 818879 GOUT ARTHITIS PLEB,INJEKSI 75,000 -
    562 ABD SADAMI HUSEIN 9 Th L OTISTA RT 033 804789 ASKACERIASIS PLEB 75,000 - -
    563 DELVIANTI 15 Th P PM.NOOR RT 039 818885 ISPA PLEB 75,000 -
    564 NICO MANGURU 75 Th L L.MANGKURAT GG H USMAN BLOK A 784719 MYALGIA EKG,INJEKSI 75,000 -
    565 MASNIAH 52 Th P M.SAID GG 4 RT 011 712293 ISCHALGIA INJEKSI 75,000 -
    566 HIDINARDANI R 18 Th L GN PASIR RT 014 765605 FEBRIS PLEB 75,000 - -
    567 NABILAH NASWATUN RAHMAN 14 Th P AWS RT 029 453413 FEBRIS RESEP 75,000 -
    568 SITI RAHMAN NURDIN 42 Th P ARJUNA GG 2 RT 014 819046 INPARTU VT,DOPPLER 75,000 -
    569 ANDI AMALIA MUTIA AZZAHRA 14 Th P BAYAM 9 NO 534 RT 088 819047 FEBRIS PLEB 75,000 -
    570 AZ ZUBAIR 6 Th L AWS RT 029 698993 FEBRIS RESEP 75,000 -
    571 RASYID ARRAHMAN 2 Th L REVOLUSI RT 007 819028 VOMITING PLEB,INJEKSI 75,000 -
    572 DINAN MARLIANA 20 Th P PURWODADI RT 009 819048 COLIC ABDOMEN INF,PLEB 75,000 DR.ANTHONY
    573 RIZKA NUR AGUSTINA 11 Th P MUGIREJO RT 001 400913 FEBRIS PLEB 75,000 -
    574 IDAWATI 39 Th P CENDANA RT 029 819087 MUSCLE STRAIN INJEKSI 75,000 - -
    575 M.DHAFIN NURDY 12 Th L DELIMA RT 052 818897 FEBRIS PLEB 75,000 -
    576 NICO MANGURU 75 Th L L.MANGKURAT GG H USMAN BLOK A 784219 MYALGIA KONSUL 75,000 DR.GRACE
    577 SUSI HAYATI 36 Th P AWS RT 022 794054 VERTIGO INJEKSI 75,000 - -
    578 YULI FAJRIANI 22 Th P P.SURYANATA RT 002 819080 FARINGITIS RESEP 75,000 -
    579 RITA ARLINA 23 Th P BUKIT BARISAN RT 020 595415 ISPA PLEB 75,000 -
    580 AHMAD FADIL SABILI 7 Th L M.YAMIN RT 027 439829 VOMITING RESEP 75,000 -
    581 AKBAR FADHIL M 4 Th L M.YAMIN RT 027 818279 VOMITING RESEP 75,000 - -
    582 DAHRIANI 39 Th P GN CERMAI RT 001 636419 CKD INJEKSI 75,000 -
    583 RAYHAN ADRIAN M 4 Th L WANYI GG WANYI 1 NO 48 RT 69 818848 FEBRIS PLEB 75,000 -
    584 25/1/2015 MITFAHUL JANAH 16 Th P KH.MAS MANSYUR RT 017 819150 VERTIGO INJEKSI 75,000
    585 TAKDIR RAMADHIN 19 Th L T.UMAR RT 006 818817 CONTUSIO M RESEP 75,000 DR.ELVIS
    586 PATIMAH CIANJUR 37 Th P KURNIA JAYA R T017 SEI SIRING 819632 AS NEBU,PLEB,INJEKSI 75,000
    587 DIRMAN 38 Th L OTISTA RT 030 819358 FEBRIS PLEB 75,000
    588 SYARINI NUR R 5 Th P MARSDA A SALEH RT 23 GG 2 721509 ASMA NEBU 75,000 - -
    589 ZAITUN NURANI 15 Th P SENTOSA DALAM 4 RT 080 807268 ISPA RESEP 75,000
    590 SALMIAH 27 Th P MT.HARIYONO GG 1 RT 010 819293 TROUMA OCULI RESEP 75,000 -
    591 HALIMAH 43 Th P JUANDA 1 RT 007 NO 92 819107 DISPEPSYA INJEKSI 75,000
    592 M.NADIF RIZKI 12 Th L PM.NOOR PERUM GMS RT 006 576297 ASMA NEBU 75,000
    593 JUM AH 18 Th P SEKOLAHAN NO 154 819094 VOMITING PLEB 75,000
    594 DG TOMPO 67 Th L MANGKUPALAS RT 013 763716 DISPEPSYA PLEB,EKG,INJEKSI 75,000
    595 YANI SUSPINA 25 Th P AM SANGAJI RT 017 624994 VOMITING RESEP 75,000
    596 DICKY MARTHA ARI SANDY 19 Th L WIRATAMA RT 027 819138 VL WTH V,WT,INJEKSI 75,000 -
    597 FAUZAN AKHMAD AR RASYID 2 Th L KH.W.HASYIM GG UNGGUL RT 035 819149 VL WTH II 75,000
    598 AHMAD NAWI 12 Th L BATU CERMIN RT 005 819124 VL WT,WTH II 75,000 - -
    599 AMARA AMANDA 11 Th P TRIKORA RT 003 819177 FEBRIS PLEB 75,000
    600 MISNAH 35 Th P KEBON AGUNG RT 004 819148 SUSP APP PLEB 75,000
    601 RAYHAN ANDRIAN M 4 Th L WANYI GG WANYI 1 NO 48 RT 69 818848 FEBRIS PLEB 75,000
    602 MUCH FAHD KHAIRIY 6 Th L DR.SOETOMO GG 4A RT 040 819170 FEBRIS RESEP 75,000
    603 SULTAN WAHYU 8 Th L KEBUN AGUNG RT 03 819143 FARINGITIS RESEP 75,000 -
    604 RAFAEL RIZKY 2 Th L PM.NOOR RT 048 819126 FEBRIS PLEB 75,000
    605 M.ROUFUROQIM 13 Th L KH.DAMANURI RT 028 533363 ASMA O2,NEBU,INJEKSI 75,000 32,000
    606 NUR IHSAN 8 Th L DELIMA RT 051 792133 EPISTAXIS PLEB 75,000 - -
    607 UMAYAH 24 Th P ADI SUCIPTO RT 001 819299 ISK PLEB,INJEKSI 75,000
    608 ARISKA BASRI 15 Th P MT.HARIYONO RT 056 403511 CONVULSI OKSIGEN,INJEKSI 75,000 32,000
    609 BINTANG RAMADHAN 14 Th L AWS R T022 819155 OF RESEP 75,000
    610 MURRISKHAN KAMIL 12 Th L PERUM BP BATARA INDAH R T019 819146 FEBRIS PLEB 75,000
    611 JUNIOR ARJUN MAHESA 1 Th L MERANTI GG II NO 75 RT 016 779103 ASMA NEBU,O2 75,000 32,000
    612 NAYLA JAVIRA RAMADHANI 2 Th P KEMAKMURAN GG PLN RT 022 724950 ISPA PLEB 75,000
    613 RIKA FITRIANI 27 Th P PASUNDAN GG 2C NO 43 RT 018 574936 CEPALGIA RESEP 75,000
    614 NABILAH NASYWATUN RAHMA 12 Th P AWS RT 029 453413 FEBRIS PLEB 75,000 -
    615 MARLENI 28 Th P KOMP PASAR SEGIRI RT 027 819141 HEG INF,PLEB,INJEKSI 75,000 -
    616 LIS MAISYARAH 43 Th P M.SAID RT 013 670507 URTIKARIA O2,NEBU,INJEKSI 75,000 32,000 -
    617 ANDI AMALIA MUTIAH A 14 Th P BAYAM 3 NO 384 RT 088 819047 FEBRIS PLEB 75,000 -
    618 MARJUDI 51 Th L KS.TUBUN GG 7 RT 002 817483 GEA INF,PLEB,INJEKSI 75,000 -
    619 KUSNO EKO WIJAYA 35 Th L KEMAKMURAN DALAM RT 020 819136 CEPALGIA PLEB,INJEKSI 75,000 -
    620 MISNEM 30 Th P JELAWAT GG 9 RT 038 819108 DISPEPSYA RESEP 75,000 -
    621 SALASIAH 47 Th P REEL RT 020 463909 DM PLEB 75,000 -
    622 SYARIFAH NASYWA 10 Th P KH.W.HASYIM RT 02 814309 VARICELLA RESEP 75,000 -
    623 26/1/2015 ANISA ADITIA 60 Th P GN LINGAI RT 014 811694 V.ICTHUM CROSS INSISIS,INJEKSI 75,000 -
    624 HARLIA 35 Th P S.PARMAN 1 RT 01 819190 BSK PLEB,INJEKSI 75,000 -
    625 INTAN MOLEKA PUTERI 7 Th P PERUM SIP BLOK H1 RT 030 NO 93 762444 COLIC ABDOMEN RESEP 75,000 -
    626 MARLINA 35 Th P CM.KUSUMO RT 005 819201 FEBRIS PLEB,O2 75,000 32,000 -
    627 NURHIDAYAH 22 Th P MERDEKA TIMUR GG II RT 100 545645 FEBRIS PLEB 75,000 -
    628 MISNAWATI 38 Th P T.UMAR GG DUKA DAMAI RT 004 818894 BSK PLEB,INJEKSI 75,000 - -
    629 AL DAMSYAH REHAN 1 Th L AGUS SALIM GG 8D RT 037 NO 63 783112 ASMA NEBU 75,000 -
    630 M.RENALDY IMANI 12 Th L PELITA 3 RT 012 819304 ASMA O2,NEBU,INJEKSI 75,000 32,000 -
    631 LASINEM 50 Th P A.YANI GG CAHAYA BARU RT 017 412312 HT EKG 75,000 -
    632 LUSY ANNAWATIE 21 Th P JOYO MULYO RT 031 811035 DISPEPSYA PLEB 75,000 -
    633 M.RIZKY SEPTIANI A 7 Th P MUGIREJO GG BUGIS RT 002 819224 FARINGITIS PLEB 75,000 - -
    634 ANUGRAH 4 Th L AGUS SALIM GG 6D RT 032 734720 COMMOND COLD PLEB 75,000 -
    635 MISRAN 25 Th L KARYA BARU RT 010 819221 FEBRIS PLEB,INJEKSI 75,000 - -
    636 ZORICO PANDU SAPUTRA 7 Th L GN LINGAI RT 004 819254 FEBRIS PLEB 75,000 -
    637 SUGIANTI 19 Th P KEMAKMURAN GG 1 RT 015 819179 ASMA NEBU,EKG,O2,INJEKSI 75,000 -
    638 SUCI HERMANTO 7 Th P MARSDA A SALEH RT 040 700047 FEBRIS RESEP 75,000 -
    639 ANASTASYA SRI SUMARNI 54 Th P IR SUTAMI GG REZEKI RT 023 819258 GEA INJEKSI 75,000 -
    640 MASNAH 55 Th P ULIN GG 7 C NO 17 RT 027 819255 HT INJEKSI 75,000 -
    641 M.CHANDARA SAPUTRA 8 Th L P.SURYANATA GG 9 RT 027 433894 FEBRIS PLEB 75,000 -
    642 USMAN 49 Th P OTISTA RT 029 799868 BSK PLEB 75,000 -
    643 INDAH PURNAMA SARI 32 Th P TONGKOL RT 004 815018 RETENSIO URINE PLEB,DC 75,000 - -
    644 SUMARNO 49 Th L KS.TUBUN GG VII RT 002 689998 DM PLEBO,EKG 75,000 -
    645 FARIDAH 28 Th P GELATIK RT 016 819457 INPARTU PLEB,VT,DOPPLER 75,000 -
    646 SUKIPAH 51 Th P PRM BUMI SAMBUTAN ASRI RT 034 710642 VOMITING PLEB,INJEKSI 75,000 -
    647 DHITA RIZKI AMANDA 19 Th P U.SUROPATI GTL L/4 779747 ASMA NEBU,INJEKSI 75,000 -
    648 ZAHRA TALITA 6 Th P PERUM PKL BLOK D 516 RT 014 819321 VL WT 75,000 -
    649 WIDI RAHMAWATI 7 Th P GN.LINGAI RT 005 819317 MORBILI INF,PLEB 75,000 DR.TJAN KOK MING
    650 SYAMSUL HADI 18 Th L AGUS SALIM RT 037 698113 DERMATITIS RESEP 75,000 -
    651 27/1/2015 HUSUWARNI 48 Th P ABD SANI GANI RT 017 813329 CEPALGIA PLEB,EKG,INJEKSI 75,000 -
    652 KHOLIFAH 42 Th P GATSU RT 045 772898 GASTRITIS INF,PLEB 75,000 -
    653 HALIMATUS ZAHRO 28 Th P DR.SUTOMO GG 7 RT 039 819755 COLIC RENAL INF,PLEB,EKG,INJEKSI 75,000 -
    654 ZOELIAN FADJRI ABDI F 8 Th L T UMAR RT 034 819389 FEBRIS PLEB,INJEKSI 75,000 -
    655 ALLEN PRATAMA PUTRA 29 Th L JELAWAT GG 8 RT 03 694037 ASMA NEBU,INJEKSI 75,000 - -
    656 ILLAH 48 Th P S.PARMAN GG 4 RT 030 819404 INPARTU VT,DOPPLER 75,000 - -
    657 DHITA RIZKI AMANDA 19 Th P U.SUROPATI GTL L/4 779847 ASMA O2,NEBU,INJEKSI 75,000 32,000 -
    658 MUNAWARAH 14 Th P JAKARTA RT 081 819232 ISK PLEB,INJEKSI 75,000 -
    659 SUBARI 58 Th L KS.TUBUN RT 036 819230 THYPOID PLEBO,EKG 75,000 -
    660 AQILA AZ ZAHRA NASIR 1 Th P ST.ALIMUDDIN GG KETAPANG IA/62 818132 GEA INJEKSI 75,000 -
    661 A.NGISA 49 Th L KEMAKMURAN GG 1 RT 008 819233 SOPT TISUE KONSUL 75,000 DR,DAVID
    662 SULASIH 50 Th P KEBON AGUNG RT 005 819339 MELENA PLEB,EKG,INJEKSI 75,000 -
    663 IWAN SETIAWAN 38 Th L RE.M DINATA RT 009 644062 DISPEPSYA EKG 75,000 -
    664 YANTI 21 Th P SENTOSA KENANGAN VII RT 077 320886 GASTRITIS INJEKSI 75,000 -
    665 NENNY SUHARIYANTI 45 Th P MERDEKA III RT 088 819342 OPERRAKTUR WTH V,WT,INJEKSI 75,000 -
    666 RIFALDI YULI P 3 Th L SENTOSA DALAM II RT 079 771826 FEBRIS PLEB 75,000 -
    667 SUTRISNO 57 Th L AWS GG 4 RT 038 819357 CEPALGIA INJEKSI 75,000 -
    668 SUTILAH 27 Th P BENGKURING RT 007 819349 GRAVID DOPLER,INJEKSI,O2 75,000 32,000 -
    669 ANDI AMALIA MUTIAH A 14 Th P BAYAM 3 NO 384 RT 088 819047 FEBRIS PLEB 75,000 -
    670 28/1/2015 EDIET SURYATAMA 13 Th L BANGERIS GG 7 NO 62 RT 003 310683 FEBRIS PLEB 75,000 -
    671 NAUFAL ASQA FEBRIANI 1 Th P SULAIMAN GG H SALMAN RT 010 754471 GEA PLEB 75,000 -
    672 HERMAN 67 Th L ANTASARI GG 1 R T007 814982 HT EKG 75,000 -
    673 SAHIR 50 Th L TRI KORA RT 015 820075 VOMITING RESEP 75,000 -
    674 MARIA NOVITA SARI 21 Th P CM KUSUMO RT 007 820170 BBLR INF,INJEKSI 75,000 32,000 -
    675 M.RIZKY ALDIANSYAH 15 Th L TERATAI RT 005 819605 DISPEPSYA RESEP 75,000 -
    676 RUMASIH 49 Th P KEBON AGUNG RT 07 819438 COLIC ABDOMEN PLEB,INJEKSI 75,000 -
    677 USMAN 49 Th L OTISTA RT 029 799868 BSK PLEB 75,000 32,000 -
    678 INDO GAU 33 Th L KH.ABD MUTHALIB RT 10 819516 GASTRITIS RESEP 75,000 -
    679 ISMAIL ARYADINATA 1 Th L PM.NOOR RT 039 818473 GEA RESEP 75,000 -
    680 SAFTHA ARDHELIA PUTRI 2 Th P MANUNGGAL GG 3 RT 076 774955 ISPA RESEP 75,000 -
    681 MARINA TRI ASTUTI 16 Th P ABUL HASAN RT 019 819409 FEBRIS INF,PLEB 75,000 -
    682 NUR ANGGREANI 3 Th P RAUDAH R T019 784395 THYPOID PLEB 75,000 -
    683 M.RIZKY FADILA 8 Th L SAWI 2 RT 70 990479 ISPA PLEB 75,000 -
    684 DARMANSYAH 32 Th L A.YANI GG CAHAYA BARU RT 017 424458 VERTIGO RESEP 75,000 -
    685 DESI SUTARMI 25 Th P KH.ABD MUTHALIB RT 005 819618 ASMA NEBU,INJEKSI 75,000 -
    686 RUSDIANA 57 Th P KEMAKMURAN GG 1 RT 015 819469 HT EKG,INJEKSI 75,000 -
    687 JABAR ADWAN HAKIM 2 Th L KEMANGGI GG SYUKUR RT 024 819463 VOMITING INF,PLEB,INJEKSI 75,000 -
    688 FATMI 39 Th P W.MONGONSIDI RT 017 819432 V.ICTHUM CROSS INSISIS,INJEKSI 75,000 DR.ATOB
    689 IDEHAM HS 53 Th L KEMUNING RT 008 428172 GEA PLEB,EKG,INJEKSI 75,000 -
    690 M.FARHAN 10 Th L MERDEKA TIMUR III RT 100 819625 FARINGITIS RESEP 75,000 -
    691 AMA 61 Th P KH.MAS MANSYUR RT 027 819609 HERPER LABIALIS RESEP 75,000 -
    692 SYAKIRAH NAJIB 1 Th P SITI AISYAH RT 015 819614 FARINGITIS PLEB 75,000 -
    693 SLAMET 83 Th L GERILYA GG MASJID BLOK RT 47 819485 CF CLAVICULA WT,KONSUL 75,000 DR.DAVID
    694 M.ADAM FAHREZA 2 Th L LABU SIAM 3 NO B 411 RT 073 819489 FEBRIS PLEB 75,000 -
    695 M.ABIL IRFIANSYAH 5 Th L USMAN BERAHIM NO 70 BLOK G RT 807537 CORPUS ALIENIUM RESEP 75,000 -
    696 MILDA APRIANI 28 Th P LABU PUTIH 3 B617 RT 74 730189 GEA PLEB,INJEKSI 75,000 -
    697 29/1/2015 JAMILAH 52 Th P KH.MAS MASYUR RT 027 GG DEWI 574182 DISPEPSYA EKG,INJEKSI 75,000 -
    698 IRAJA 52 Th L KEMAKMURAN NO 113 RT 015 394950 GASTRITIS INJEKSI 75,000 -
    699 RIZKI WAHYU 16 BL L KH.SAMAN HUDI GG AL HIKMAH RT 819744 VL INJEKSI 75,000 DR.ANTHONY
    700 MUTIARA 73 Th P HASAN BASRI RT 026 819657 CHF PLEB,EKG,INJEKSI 75,000 -
    701 UBAYDILLAH HASBI Z AL NERU 10 Th L PERUM PUSPITA BLOK AI/6 576845 ISPA RESEP 75,000 -
    702 ABDULLAH SANI 61 Th L LETJEN SUPRARTO RT 009 819642 VL WTH,WT,INJEKSI 75,000 - -
    703 BAHARUDDIN 37 Th L S.PARMAN NO 75 RT 001 559111 CEPALGIA INJEKSI 75,000 -
    704 VIOLA PUTRI ANANDA 2 Th P L.MANGKURAT GG AL JAWAHIR RT 0 726655 FEBRIS PLEB 75,000 -
    705 MARE 17 Th P BERAMBAI R T030 401158 GASTRITIS INF,PLEB,INJEKSI 75,000 -
    706 ASMIRAWATI 27 Th P KEMAKMURAN GG KNPI RT 021 815123 SNNT PLEB,KONSUL 75,000 DR.ANTHONY
    707 SABAKRI 46 Th L LUMBA LUMBA RT 010 433045 DISPEPSYA PLEB,EKG,INJEKSI 75,000 -
    708 M.APRIANTO 14 Th L CM.KUSUMO RT 035 819715 COMMND COLD RESEP 75,000 -
    709 MASRIAH 67 Th P OTISTA RT 022 418743 ASMA NEBU,INJEKSI 75,000 -
    710 NORHASANAH 43 Th P PADAT KARYA RT 064 819867 SH INF,NGT,PLEB,EKG,O2 MONITOR 75,000 32,000 DR.GRACE
    711 IWAN SETIAWAN 38 Th L RE.M DINATA RT 009 644062 ASMA O2,NEBU,INJEKSI 75,000 32,000 -
    712 M.NUR ZAKI 5 Th L NUSA INDAH RT 002 552243 ISPA PLEB 75,000 -
    713 M.FIQRI HAMZAN 1 Th L MUGIREJO GG MANUNGGAL RT 05 819746 GEA RESEP 75,000 -
    714 M.LUTHFY UBAY DILLAH 3 Th L AM SANG AJI GG 23 RT 013 819670 ISPA PLEB 75,000 -
    715 NORSAM 72 Th L RAUDAH 5 RT 024 819665 ASMA INF,NEBU,PLEB,EKG 75,000 DR.FURKON.RIDMA,CARTA
    716 MAULANA FAHRIEANSYAH 2 Th L KEMUNING GG SUKA RAMAI NO 20 R 754043 ISPA PLEB,SUPP 75,000 -
    717 HARMINIWATI 53 Th P MERDEKA RAYA NO 5 RT 088 819698 THYPOID PLEB,EKG,INJEKSI 75,000 -
    718 M.NASIR 57 Th L AZIZ SAMAD RT 037 819656 VERTIGO PLEB,EKG,INJEKSI 75,000 -
    719 KHAIRUL NISA 41 Th P KH.HARUN NAFSI RT 14 819448 DHF INJEKSI 75,000 -
    720 NOVIRMAN SUDIRMAN 22 Th L KARYA BARU RT 10 819465 TONSILITIS PLEB 75,000 -
    721 30/1/2015 IDIK 38 Th L BATU CERMIN RT 005 645568 AS NEBU,INJEKSI 75,000 -
    722 RIFNUAL ZIFANNUR 2 Th P M.SAID RT 028 819803 VOMITING RESEP 75,000 -
    723 FAJRI 10 Th L ELANG GG KETAPI RT 106 819778 KONSTIPASI PLEB 75,000 -
    724 EVAN JANUAR ADHYARSA 11 Th L IMAM BONJOL GG 79 RT 005 622887 FEBRIS RESEP 75,000 -
    725 M.FIKRI FARHAN 5 Th P PERUM GTL L/04 RT 013 677527 FEBRIS PLEB 75,000 -
    726 ATAYA TRIA HUSNA 14 Th P CENDANA GG 16 RT 013 819824 FEBRIS PLEB 75,000 -
    727 MARNI 57 Th P BANGERIS RT 006 NO 63 641072 STRAIN MUSLE RESEP 75,000 -
    728 NOVAL EFFENDI 2 Th L LUBUK SAWAH R T015 819733 VOMITING INJEKSI 75,000 -
    729 RUNANI 61 Th P PRAMUKA GG KASTURI RT 029 642512 DISPEPSYA PLEB,EKG,INJEKSI 75,000 -
    730 HOMSIYAH 20 Th P KH.AGUS SALIM RT 031 819817 VOMITING RESEP 75,000 -
    731 REZA ADI JAYA 19 Th L AGUS SALIM G BAHAGIA RT 016 819922 ORCHITIS PLEB,KONSUL 75,000 DR,.BOYKE
    732 ART ASIAH 52 Th P KH.MAS MANSYUR GG HUSNA RT 17 601480 HT EKG,INJEKSI 75,000 -
    733 JEFRIANSYAH 29 Th L GAMELAN RT 039 819792 V.ICTHUM CROSS INSISIS,INJEKSI 75,000 DR.FRITZ
    734 RAMA WAHYUDDIN 12 Th L JUANDA RT 059 817468 THYPOID PLEB 75,000 -
    735 FERRY RERNANDO 2 Th L DELTA4 HANDIL KOPI CNO 56 RT 33 814769 URTIKARIA PLEB 75,000 -
    736 WATI SUPARMI 41 Th P ANGGUR RT 055 819810 GRAVID RESEP 75,000 -
    737 IRZA NANDYA M 10 Th L LEMPAKE RT 002 819761 VOMITING PLEB,INJEKSI 75,000 -
    738 ASKAN 30 Th L AM SANGAJI RT 017 819825 BSK PLEB,INJEKSI 75,000 -
    739 M.RIDHO 15 Th L PADAT KARYA RT 039 SEI KELEDANG 136133 DERMATITIS RESEP 75,000 -
    740 HALIMATUS ZAHRO 28 Th P DR.SOETOMO GG 7 RT 039 819755 VOMITING INF,PLEB,INJEKSI 75,000 DR.CARTA
    741 MAIMUNAH 56 Th P ERE.M.DINATA GG MADU RT 007 819808 DISPEPSYA PLEB,EKG,INJEKSI 75,000 -
    742 M.FARHAN 10 Th L MERDEKA TIMUR III RT 100 819625 EPISTAXIS PLEB 75,000 -
    743 HADRANI EFENDI 43 Th L SEI KAPIH GG INPRES RT 003 819775 V.MORSUM WT 75,000 DR.FRITZ
    744 HERRY OSCAR 53 Th L MUSO SALIM NO 68 RT 015 773624 CHF EKG,O2,INJEKSI 75,000 32,000 -
    745 RUSMINI 62 Th P BANGGERIS RT 021 607352 GERD INF,PLEB,EKG 75,000 -
    746 ANDII SUTITA SARI 19 Th P P.ANTASARI GG 8 BLOK A RT 046 736704 DISPEPSYA INJEKSI 75,000 -
    747 31/1/2015 FACHRULLAH 31 31 Th L RE.M DINATA RT 009 510532 TRAUMA MATA IRIGASI MATA 75,000 -
    748 M.NUR ZAKI 5 Th L NUSA INDAH RT 002 552243 ASMA NEBU,PLEB,INJEKSI 75,000 -
    749 M.ROSYAD 34 Th L PEMUDA RT 033 775198 MALAISE NEBU,EKG,INJEKSI 75,000 -
    750 MASDARIANSYAH 43 Th L PADAT KARYA RT 015 810833 DISPEPSYA PLEB,EKG,INJEKSI 75,000 -
    751 SITI LATIFAH 2 Th P W.MONGONSIDI RT 019 819915 FEBRIS RESEP 75,000 -
    752 HERLINA RAMADHANI 8 Th P KH.MAS MANSYUR RT 027 819923 FEBRIS PLEB,INJEKSI 75,000 -
    753 M.FIKRI FAKHAN 9 Th L PERUM BLOK L NO 04 RT 013 677527 FEBRIS RESEP 75,000 -
    754 ADI FATHURRAHMAN 21 Th L DAMANHURI PERUM BTI BU/22 RT 2 819937 DISPEPSYA INJEKSI 75,000 -
    755 MARNI 57 Th P BANGERIS NO 63 RT 06 641072 FROZEN SHOULDER RESEP 75,000 -
    756 DENIK KURNIAWATI 32 Th P P.SURYANATA GG HUSNA RT 028 388155 DISPEPSYA RESEP 75,000 -
    757 M.AL FAUZAN 3 Th L LAMBUNG MANGKURAT RT 034 771611 ISPA RESEP 75,000 -
    758 PONIMAN 62 Th L SUWANDI BLOK A RT 022 488113 BSK PLEB 75,000 -
    759 SUBARI 58 Th L KS.TUBUN RT 036 819230 CEPALGIA RESEP 75,000 -
    760 A.ADITIYA F 10 Th L PRAMUKA 1 RT 006 579816 VL WTHIII,WT,INJEKSI 75,000 -
    761 MEGA WATI 50 Th P BASUKI RAHMAT 2 NO 16 RT 004 637197 DISPEPSYA EKG,INJEKSI 75,000 -
    762 M.HASAN BARKAWI 2 Th L M.SAID GG ATHANIA RT 013 792556 ISPA RESEP 75,000 -
    763 JUMLAH TOTAL 57,150,000 1,417,600 -
    RINCIAN BIAYA
    JUMLAH
    jasa konsul Js rumah sakit BHP Js pelaynan
    12 13 14 15 16
    - - - - -
    - 44,800 7,000 35,200 87,000
    - 44,800 10,000 35,200 90,000
    - 89,600 17,000 70,400 177,000
    - 89,600 15,000 70,400 175,000
    - 44,800 7,000 35,200 87,000
    - - - - -
    - - - - -
    - 44,800 10,000 35,200 90,000
    - 44,800 10,000 35,200 90,000
    - 89,600 27,000 70,400 187,000
    - 134,400 23,500 105,600 263,500
    75,000 44,800 - 35,200 155,000
    - 89,600 27,000 70,400 187,000
    - 44,800 10,000 35,200 90,000
    - 44,800 7,000 35,200 87,000
    - 89,600 17,000 70,400 177,000
    - 179,200 33,500 140,800 353,500
    - 44,800 7,000 35,200 87,000
    - 134,400 22,000 105,600 262,000
    - 44,800 7,000 35,200 87,000
    - 44,800 7,000 35,200 87,000
    - 89,600 25,000 70,400 185,000
    - 44,800 7,000 35,200 87,000
    - 44,800 3,000 35,200 83,000
    - 44,800 30,000 35,200 110,000
    - - - - -
    - - - - -
    - 89,600 16,500 70,400 176,500
    - 44,800 7,000 35,200 87,000
    - - - - -
    - - - - -
    - 44,800 7,000 35,200 87,000
    - - - - -
    - 44,800 20,000 35,200 100,000
    75,000 - - - 75,000
    - 89,600 25,000 70,400 185,000
    - - - - -
    - - - - -
    75,000 89,600 16,500 70,400 251,500
    - 179,200 32,000 140,800 352,000
    - 89,600 17,000 70,400 177,000
    - - -
    - - - - -
    - 134,400 22,000 105,600 262,000
    - 44,800 10,000 35,200 90,000
    - 44,800 30,000 35,200 110,000
    - 44,800 7,000 35,200 87,000
    - - - - -
    - 134,400 23,500 105,600 263,500
    - 44,800 10,000 35,200 90,000
    - 179,200 32,000 140,800 352,000
    - - - - -
    - 44,800 7,000 35,200 87,000
    - 134,400 26,500 105,600 266,500
    - 179,200 42,000 140,800 362,000
    - 89,600 25,000 70,400 185,000
    75,000 44,800 10,000 35,200 165,000
    - 89,600 17,000 70,400 177,000
    - 89,600 20,000 70,400 180,000
    - - - - -
    - 89,600 15,000 70,400 175,000
    - - - - -
    - - - - -
    - 89,600 17,000 70,400 177,000
    - 268,800 47,000 211,200 527,000
    - 44,800 10,000 35,200 90,000
    - 44,800 10,000 35,200 90,000
    - 134,400 22,000 105,600 262,000
    - 179,200 33,500 140,800 353,500
    - 44,800 10,000 35,200 90,000
    - 44,800 10,000 35,200 90,000
    - 89,600 25,000 70,400 185,000
    - 44,800 10,000 35,200 90,000
    - 44,800 7,000 35,200 87,000
    - 89,600 17,000 70,400 177,000
    - 134,400 26,500 105,600 266,500
    - 224,000 41,500 176,000 441,500
    - 179,200 77,000 140,800 397,000
    - 89,600 15,000 70,400 175,000
    - 134,400 22,000 105,600 262,000
    - 134,400 25,000 105,600 265,000
    - 44,800 10,000 35,200 90,000
    - 89,600 50,000 70,400 210,000
    - 44,800 7,000 35,200 87,000
    - - - - -
    - 89,600 37,000 70,400 197,000
    - - - - -
    - 179,200 33,500 140,800 353,500
    - 44,800 10,000 35,200 90,000
    - 44,800 10,000 35,200 90,000
    - 44,800 10,000 35,200 90,000
    - 44,800 10,000 35,200 90,000
    - 44,800 7,000 35,200 87,000
    - 44,800 7,000 35,200 87,000
    - 44,800 10,000 35,200 90,000
    - 89,600 17,000 70,400 177,000
    - 44,800 10,000 35,200 90,000
    - - - - -
    - 89,600 27,000 70,400 187,000
    - - - - -
    - 89,600 13,000 70,400 173,000
    - 44,800 10,000 35,200 90,000
    - - - - -
    75,000 - - - 75,000
    - 44,800 10,000 35,200 90,000
    - 89,000 47,000 70,400 206,400
    - 44,800 7,000 35,200 87,000
    - 89,600 27,000 70,400 187,000
    75,000 89,600 15,000 70,400 250,000
    - 44,800 10,000 35,200 90,000
    - - - - -
    - 44,800 10,000 35,200 90,000
    - - - - -
    - 89,600 15,000 70,400 175,000
    - 44,800 10,000 35,200 90,000
    - 89,600 37,000 70,400 197,000
    - 134,400 22,000 105,600 262,000
    - 134,400 47,000 105,600 287,000
    - - - - -
    - 44,800 10,000 35,200 90,000
    - 89,600 16,500 70,400 176,500
    - 89,600 25,000 70,400 185,000
    - - - - -
    - 44,800 10,000 35,200 90,000
    75,000 89,600 25,000 70,400 260,000
    75,000 44,800 10,000 35,200 165,000
    75,000 134,400 57,000 105,600 372,000
    - 44,800 10,000 35,200 90,000
    - 44,800 10,000 35,200 90,000
    - 134,400 22,000 105,600 262,000
    - 44,800 10,000 35,200 90,000
    - 134,400 22,000 105,600 262,000
    - 44,800 7,000 35,200 87,000
    - - - - -
    - 44,800 3,000 35,200 83,000
    - - - - -
    - 44,800 7,000 35,200 87,000
    - 179,200 33,500 140,800 353,500
    - 44,800 10,000 35,200 90,000
    - 44,800 7,000 35,200 87,000
    - 44,800 7,000 35,200 87,000
    - - - - -
    - 44,800 10,000 35,200 90,000
    - 44,800 10,000 35,200 90,000
    - 44,800 7,000 35,200 87,000
    - - - - -
    - - - - -
    - 44,800 10,000 35,200 90,000
    - 44,800 10,000 35,200 90,000
    44,800 10,000 35,200 90,000
    - 89,600 25,000 70,400 185,000
    44,800 7,000 35,200 87,000
    - 44,800 10,000 35,200 90,000
    89,600 17,000 70,400 177,000
    - 44,800 10,000 35,200 90,000
    134,400 25,000 105,600 265,000
    - 134,400 23,500 105,600 263,500
    44,800 10,000 35,200 90,000
    - 44,800 10,000 35,200 90,000
    - - - - -
    - 44,800 10,000 35,200 90,000
    44,800 10,000 35,200 90,000
    - 44,800 7,000 35,200 87,000
    44,800 10,000 35,200 90,000
    - 179,200 31,500 140,800 351,500
    - - - - -
    - - - - -
    - - - - -
    - 89,600 27,000 70,400 187,000
    - 134,400 42,000 105,600 282,000
    - 89,600 17,000 70,400 177,000
    - 134,400 22,000 105,600 262,000
    - 44,800 10,000 35,200 90,000
    - 134,400 26,500 105,600 266,500
    - 224,000 53,500 176,000 453,500
    - 134,400 22,000 105,600 262,000
    - 134,400 22,000 105,600 262,000
    - 44,800 10,000 35,200 90,000
    - 134,400 33,500 105,600 273,500
    - 89,600 16,500 70,400 176,500
    - 179,200 33,500 140,800 353,500
    - 134,400 26,500 105,600 266,500
    - - - - -
    - 179,200 33,500 140,800 353,500
    - 89,600 25,000 70,400 185,000
    - 89,600 16,500 70,400 176,500
    - 89,600 16,500 70,400 176,500
    - 44,800 10,000 35,200 90,000
    - 44,800 7,000 35,200 87,000
    - 44,800 7,000 35,200 87,000
    - 89,600 25,000 70,400 185,000
    - 89,600 16,500 70,400 176,500
    - 44,800 20,000 35,200 100,000
    - 44,800 10,000 35,200 90,000
    - 89,600 16,500 70,400 176,500
    - 44,800 7,000 35,200 87,000
    - 44,800 7,000 35,200 87,000
    - 48,400 20,000 35,200 103,600
    - 134,400 22,000 105,600 262,000
    75,000 358,400 76,500 281,600 791,500
    - 89,600 15,000 70,400 175,000
    - 89,600 16,500 70,400 176,500
    - - - - -
    - - - - -
    - 134,400 26,500 105,600 266,500
    75,000 44,800 10,000 35,200 165,000
    - 89,600 27,000 70,400 187,000
    - - - - -
    - 44,800 10,000 35,200 90,000
    - 44,800 10,000 35,200 90,000
    - 44,800 7,000 35,200 87,000
    - 89,600 27,000 70,400 187,000
    75,000 - - - 75,000
    - - - - -
    - 134,400 23,500 105,600 263,500
    75,000 - - - 75,000
    - 44,800 10,000 35,200 90,000
    - 134,400 23,500 105,600 263,500
    - 44,800 10,000 35,200 90,000
    - - - - -
    - 89,600 25,000 70,400 185,000
    - 44,800 7,000 35,200 87,000
    - 44,800 7,000 35,200 87,000
    - 134,400 22,000 105,600 262,000
    - 44,800 10,000 35,200 90,000
    - - - - -
    - 268,800 51,500 176,000 496,300
    - 179,200 32,000 140,800 352,000
    - 44,800 10,000 35,200 90,000
    - 89,600 16,500 70,400 176,500
    - 179,200 33,500 140,800 353,500
    - 89,600 17,000 70,400 177,000
    - - - - -
    - 134,400 26,500 105,600 266,500
    - 44,800 10,000 35,200 90,000
    - 44,800 10,000 35,200 90,000
    - - - - -
    - 44,800 10,000 35,200 90,000
    - 44,800 10,000 35,200 90,000
    - 44,800 10,000 35,200 90,000
    - 89,600 17,000 70,400 177,000
    - - - - -
    - 89,600 30,000 70,400 190,000
    - 44,800 10,000 35,200 90,000
    - 134,400 23,500 105,600 263,500
    - 44,800 7,000 35,200 87,000
    - - - - -
    - - - - -
    - 134,400 26,500 105,600 266,500
    - - - - -
    - 89,600 16,500 70,400 176,500
    - 44,800 10,000 35,200 90,000
    - - - - -
    - 89,600 13,000 70,400 173,000
    - 134,400 22,000 105,600 262,000
    - 44,800 7,000 35,200 87,000
    - 44,800 7,000 35,200 87,000
    - - - - -
    - - - - -
    - 134,400 23,500 105,600 263,500
    - - - - -
    - 44,800 20,000 35,200 100,000
    - 89,600 27,000 70,400 187,000
    - 89,600 17,000 70,400 177,000
    - - - - -
    - 44,800 10,000 35,200 90,000
    - 44,800 10,000 35,200 90,000
    - - - - -
    75,000 89,600 27,000 70,400 262,000
    - - - - -
    75,000 291,200 95,000 70,400 531,600
    - 179,200 32,000 140,800 352,000
    - 89,600 25,000 70,400 185,000
    - 44,800 10,000 35,200 90,000
    - 89,600 25,000 70,400 185,000
    - 134,400 22,000 105,600 262,000
    - 44,800 10,000 35,200 90,000
    - - - - -
    - 89,600 16,500 70,400 176,500
    - - - - -
    - 89,600 15,000 70,400 175,000
    - 89,600 10,000 70,400 170,000
    - 44,800 10,000 35,200 90,000
    - 89,600 20,000 70,400 180,000
    75,000 44,800 10,000 35,200 165,000
    - 89,600 17,000 70,400 177,000
    - 44,800 10,000 35,200 90,000
    - 89,600 15,000 70,400 175,000
    - 44,800 10,000 35,200 90,000
    - 44,800 20,000 35,200 100,000
    - 89,600 16,500 70,400 176,500
    - 89,600 16,500 70,400 176,500
    - - - - -
    - 403,200 132,000 391,800 927,000
    - 134,400 23,500 105,600 263,500
    - 89,600 15,000 70,400 175,000
    - 134,400 22,000 105,600 262,000
    - 179,200 33,500 140,800 353,500
    - 134,400 22,000 105,600 262,000
    - - - - -
    75,000 179,200 32,000 140,800 427,000
    - 134,400 22,000 105,600 262,000
    - 134,400 70,000 105,600 310,000
    - - - - -
    - 44,800 10,000 35,200 90,000
    - 44,800 7,000 35,200 87,000
    - - - - -
    - 89,600 17,000 70,400 177,000
    - 44,800 10,000 35,200 90,000
    - 134,400 47,000 105,600 287,000
    - - - - -
    - 134,400 23,500 105,600 263,500
    - 44,800 10,000 35,200 90,000
    - - - - -
    - 89,600 25,000 70,400 185,000
    - 89,600 17,000 70,400 177,000
    - - - - -
    - 44,800 10,000 35,200 90,000
    - 134,400 22,000 105,600 262,000
    - 44,800 10,000 35,200 90,000
    - 179,200 77,000 104,800 361,000
    - 89,600 17,000 70,400 177,000
    - - - - -
    - 179,200 33,500 140,800 353,500
    - 44,800 10,000 35,200 90,000
    - 89,600 17,000 70,400 177,000
    - 224,000 41,500 176,000 441,500
    - 134,400 26,500 105,600 266,500
    - 89,600 25,000 70,400 185,000
    - 179,200 77,000 140,800 397,000
    - 44,800 7,000 35,200 87,000
    - - - - -
    - - - - -
    - 44,800 10,000 35,200 90,000
    - 44,800 10,000 35,200 90,000
    - 44,800 10,000 35,200 90,000
    - 89,600 25,000 70,400 185,000
    - 44,800 10,000 35,200 90,000
    - 44,800 10,000 35,200 90,000
    - 89,600 15,000 70,400 175,000
    - 44,800 10,000 35,200 90,000
    - - - - -
    75,000 179,200 72,000 140,800 467,000
    - 44,800 7,000 35,200 87,000
    - 89,600 17,000 70,400 177,000
    - 44,800 10,000 35,200 90,000
    - - - - -
    - -
    - - - - -
    - 89,600 15,000 70,400 175,000
    75,000 134,400 35,000 105,600 350,000
    - 44,800 10,000 35,200 90,000
    - 44,800 10,000 35,200 90,000
    - 89,600 15,000 70,400 175,000
    - 44,800 10,000 35,200 90,000
    - 89,600 17,000 70,400 177,000
    - 44,800 7,000 35,200 87,000
    - 44,800 7,000 35,200 87,000
    - 89,600 27,000 70,400 187,000
    - 134,400 25,000 105,600 265,000
    - 44,800 20,000 35,200 100,000
    - - - - -
    - 89,600 50,000 70,400 210,000
    - 134,400 70,000 105,600 310,000
    - 179,200 77,000 140,800 397,000
    - 44,800 10,000 35,200 90,000
    - - - - -
    - 44,800 10,000 35,200 90,000
    - 44,800 10,000 35,200 90,000
    - - - - -
    - 89,600 25,000 70,400 185,000
    - 89,600 25,000 70,400 185,000
    - - - - -
    - 134,400 25,000 105,600 265,000
    - 134,400 23,500 105,600 263,500
    - 89,600 17,000 70,400 177,000
    - 44,800 7,000 35,200 87,000
    - - - - -
    - - - - -
    - 89,600 20,000 70,400 180,000
    - 134,400 22,000 105,600 262,000
    75,000 44,800 10,000 35,200 165,000
    - 224,000 48,500 167,000 439,500
    - 44,800 7,000 35,200 87,000
    - 44,800 10,000 35,200 90,000
    150,000 358,400 63,500 365,600 937,500
    - 89,600 25,000 70,400 185,000
    - - - - -
    - 44,800 10,000 35,200 90,000
    - 44,800 10,000 35,200 90,000
    - 44,800 7,000 35,200 87,000
    - 44,800 10,000 35,200 90,000
    - 89,600 27,000 145,400 262,000
    - 134,400 57,000 105,600 297,000
    - 44,800 10,000 35,200 90,000
    - 44,800 10,000 35,200 90,000
    - - - - -
    - 44,800 10,000 35,200 90,000
    - 89,600 25,000 70,400 185,000
    - 44,800 15,000 35,200 95,000
    - 179,200 33,500 140,800 353,500
    - 44,800 10,000 35,200 90,000
    - 44,800 7,000 35,200 87,000
    - 44,800 7,000 35,200 87,000
    - - - - -
    - 89,600 37,000 70,400 197,000
    - - - - -
    - 134,400 22,000 105,600 262,000
    - 179,200 33,500 140,800 353,500
    - - - - -
    - 134,400 26,500 105,600 266,500
    - 89,600 15,000 70,400 175,000
    - - - - -
    - 44,800 7,000 35,200 87,000
    - 134,400 25,000 105,600 265,000
    - 89,600 17,000 70,400 177,000
    - 44,800 10,000 35,200 90,000
    - 44,800 10,000 35,200 90,000
    - 134,400 22,000 105,600 262,000
    75,000 313,600 55,000 246,400 690,000
    - 44,800 7,000 35,200 87,000
    - - - - -
    - - - - -
    - 44,800 10,000 35,200 90,000
    - 134,400 23,500 105,600 263,500
    - 44,800 10,000 35,200 90,000
    - - - - -
    - 134,400 23,500 105,600 263,500
    - 179,200 33,500 140,800 353,500
    - - - - -
    - - - - -
    - 44,800 10,000 35,200 90,000
    - - - - -
    - - - - -
    - 89,600 25,000 70,400 185,000
    - 44,800 10,000 35,200 90,000
    - 44,800 10,000 35,200 90,000
    - - - - -
    - 89,600 17,000 70,400 177,000
    - 134,400 23,500 105,600 263,500
    - 44,800 10,000 35,200 90,000
    - 134,400 37,000 105,600 277,000
    - 44,800 7,000 35,200 87,000
    - - - - -
    - 291,200 82,000 228,800 602,000
    - 179,200 33,500 140,800 353,500
    - 224,000 38,500 176,000 438,500
    - - - - -
    - 134,400 23,500 105,600 263,500
    75,000 134,400 25,000 105,600 340,000
    75,000 134,400 35,000 105,600 350,000
    75,000 179,200 32,000 140,800 427,000
    - - - - -
    - 134,400 20,500 105,600 260,500
    - 44,800 10,000 35,200 90,000
    - 89,600 17,000 70,400 177,000
    75,000 224,000 47,000 176,000 522,000
    - - - - -
    - - - - -
    - 134,400 22,000 105,600 262,000
    - 134,400 25,000 105,600 265,000
    - 44,800 10,000 35,200 90,000
    150,000 649,600 124,000 490,400 1,414,000
    75,000 134,400 57,000 105,600 372,000
    - - - - -
    - 44,800 10,000 35,200 90,000
    - 134,400 35,000 105,600 275,000
    - 89,600 25,000 70,400 185,000
    - 179,200 32,000 140,800 352,000
    - 89,600 15,000 70,400 175,000
    - 89,600 15,000 70,400 175,000
    - - - - -
    - 44,800 10,000 35,200 90,000
    - 89,600 25,000 70,400 185,000
    - 224,000 41,500 176,000 441,500
    - 134,400 25,000 105,600 265,000
    - - - - -
    - 44,800 7,000 35,200 87,000
    - 134,400 25,000 105,600 265,000
    - 134,400 25,000 105,600 265,000
    - 134,400 22,000 105,600 262,000
    - 134,400 23,500 105,600 263,500
    - 134,400 57,000 105,600 297,000
    - 89,600 17,000 70,400 177,000
    - 89,600 15,000 70,400 175,000
    - 44,800 10,000 35,200 90,000
    - 179,200 32,000 140,800 352,000
    75,000 - - - 75,000
    - 44,800 10,000 35,200 90,000
    - - - - -
    - 44,800 7,000 105,600 157,400
    - 44,800 10,000 35,200 90,000
    - 44,800 10,000 35,200 90,000
    - 179,200 33,500 140,800 353,500
    - 44,800 10,000 35,200 90,000
    - - - - -
    - 179,200 31,500 140,800 351,500
    - 89,600 17,000 70,400 177,000
    - 179,200 33,500 140,800 353,500
    - 44,800 10,000 35,200 90,000
    - 44,800 10,000 35,200 90,000
    - 44,800 10,000 35,200 90,000
    - 179,200 33,500 140,800 353,500
    - 179,200 33,500 140,800 353,500
    - 44,800 7,000 35,200 87,000
    - 89,600 16,500 70,400 176,500
    - 44,800 10,000 35,200 90,000
    - - - - -
    - 134,400 23,500 105,600 263,500
    75,000 179,200 25,000 140,800 420,000
    - 492,800 152,000 387,200 1,032,000
    - 44,800 10,000 35,200 90,000
    - - - - -
    - 224,000 50,000 176,000 450,000
    - 44,800 10,000 35,200 90,000
    - 44,800 10,000 35,200 90,000
    - - - - -
    - 44,800 10,000 35,200 90,000
    - 224,000 41,500 176,000 441,500
    - 44,800 10,000 35,200 90,000
    - 44,800 10,000 35,200 90,000
    - 44,800 10,000 35,200 90,000
    - 89,600 15,000 70,400 175,000
    - 134,400 22,000 105,600 262,000
    - 268,800 48,500 211,200 528,500
    - 179,200 33,500 140,800 353,500
    - 89,600 15,000 70,400 175,000
    - 134,400 22,000 105,600 262,000
    - 224,000 41,500 176,000 441,500
    - 89,600 17,000 70,400 177,000
    - 179,200 33,500 140,800 353,500
    - 89,600 15,000 70,400 175,000
    - 89,600 17,000 70,400 177,000
    75,000 - - - 75,000
    - - - - -
    - - - - -
    - - - - -
    - 44,800 10,000 35,200 90,000
    - 134,400 23,500 105,600 263,500
    - - - - -
    - 44,800 10,000 35,200 90,000
    - - - - -
    - 134,400 22,000 105,600 262,000
    - 44,800 7,000 35,200 87,000
    - - - - -
    - - - - -
    - 179,200 33,500 140,800 353,500
    - 134,400 25,000 105,600 265,000
    - - - - -
    - 44,800 10,000 35,200 90,000
    - 179,200 33,500 140,800 353,500
    75,000 134,400 25,000 105,600 340,000
    - 89,600 15,000 70,400 175,000
    - - - - -
    - - - - -
    - 44,800 7,000 35,200 87,000
    - 44,800 10,000 35,200 90,000
    - 44,800 10,000 35,200 90,000
    - 44,800 10,000 35,200 90,000
    - 44,800 10,000 35,200 90,000
    - 44,800 10,000 35,200 90,000
    - 44,800 10,000 35,200 90,000
    - 134,400 23,500 105,600 263,500
    - 44,800 7,000 35,200 87,000
    - 44,800 10,000 35,200 90,000
    - - - - -
    - 89,600 25,000 70,400 185,000
    - 44,800 10,000 35,200 90,000
    - - - - -
    - 89,600 17,000 70,400 177,000
    75,000 134,400 25,000 105,600 340,000
    - 44,800 10,000 35,200 90,000
    - 44,800 7,000 35,200 87,000
    - 44,800 10,000 35,200 90,000
    75,000 - - - 75,000
    - 44,800 7,000 35,200 87,000
    - - - - -
    - 44,800 10,000 35,200 90,000
    - - - - -
    - - - - -
    - 44,800 7,000 35,200 87,000
    - 44,800 10,000 35,200 90,000
    - 44,800 7,000 35,200 87,000
    75,000 - - - 75,000
    - 179,200 32,000 140,800 352,000
    - 44,800 10,000 35,200 90,000
    - 89,600 15,000 70,400 175,000
    - - - - -
    - - - - -
    - 44,800 7,000 35,200 87,000
    - 89,600 15,000 70,400 175,000
    - 44,800 10,000 35,200 90,000
    - 179,200 33,500 140,800 353,500
    - - - - -
    - 448,000 152,000 352,000 952,000
    - 89,600 20,000 70,400 180,000
    - 89,600 50,000 70,400 210,000
    - 44,800 10,000 35,200 90,000
    - 44,800 10,000 35,200 90,000
    - 44,800 10,000 35,200 90,000
    - - - - -
    - - - - -
    - 44,800 10,000 35,200 90,000
    - 134,400 22,000 105,600 262,000
    - 44,800 10,000 35,200 90,000
    - 89,600 17,000 70,400 177,000
    - 44,800 7,000 35,200 87,000
    - - - - -
    - 44,800 10,000 35,200 90,000
    - 89,600 15,000 70,400 175,000
    - 44,800 10,000 35,200 90,000
    - - - - -
    - 44,800 10,000 35,200 90,000
    - 179,200 32,000 140,800 352,000
    - 134,400 22,000 105,600 262,000
    - 44,800 10,000 35,200 90,000
    - 179,200 32,000 140,800 352,000
    - 89,600 17,000 70,400 177,000
    - - - - -
    - 44,800 10,000 35,200 90,000
    - - - - -
    - 89,600 27,000 70,400 187,000
    - 134,400 25,000 105,600 265,000
    - - - - -
    - 48,400 10,000 35,200 93,600
    - 44,800 10,000 35,200 90,000
    - 134,400 23,500 105,600 263,500
    - 89,600 15,000 70,400 175,000
    - 134,400 22,000 105,600 262,000
    - 89,600 16,500 70,400 176,500
    - 44,800 10,000 35,200 90,000
    - 44,800 10,000 35,200 90,000
    - 44,800 10,000 35,200 90,000
    - 89,600 17,000 70,400 177,000
    - 44,800 10,000 35,200 90,000
    - 268,800 48,500 211,200 528,500
    - - - - -
    - 44,800 7,000 35,200 87,000
    - 44,800 7,000 35,200 87,000
    - 44,800 10,000 35,200 90,000
    - 44,800 10,000 35,200 90,000
    - 134,400 30,000 105,600 270,000
    - 134,400 26,500 105,600 266,500
    - 89,600 25,000 70,400 185,000
    - 89,600 17,000 70,400 177,000
    - 134,400 22,000 105,600 262,000
    - 44,800 20,000 35,200 100,000
    75,000 89,600 17,000 70,400 252,000
    - - - - -
    - 179,200 33,500 140,800 353,500
    - 134,400 22,000 105,600 262,000
    - 268,800 48,500 211,200 528,500
    - 89,600 17,000 70,400 177,000
    - 134,400 22,000 105,600 262,000
    - 89,600 25,000 70,400 185,000
    - 134,400 22,000 105,600 262,000
    - 89,600 17,000 70,400 177,000
    - 134,400 26,500 105,600 266,500
    - 44,800 7,000 35,200 87,000
    75,000 - - - 75,000
    - 179,200 33,500 140,800 353,500
    - 89,600 16,500 70,400 176,500
    - 44,800 7,000 35,200 87,000
    - 403,200 132,000 316,800 852,000
    - 44,800 10,000 35,200 90,000
    - 44,800 7,000 35,200 87,000
    - 89,600 22,000 70,400 182,000
    - 44,800 10,000 35,200 90,000
    - 44,800 10,000 35,200 90,000
    - 44,800 10,000 35,200 90,000
    - 89,600 16,500 70,400 176,500
    - - - - -
    - 134,400 22,000 105,600 262,000
    - - - - -
    - 89,600 17,000 70,400 177,000
    - 44,800 10,000 35,200 90,000
    - - - - -
    - - - - -
    - - - - -
    - 134,400 25,000 105,600 265,000
    - 44,800 10,000 35,200 90,000
    - 44,800 10,000 35,200 90,000
    - - - - -
    - 134,400 22,000 105,600 262,000
    - 134,400 23,500 105,600 263,500
    - 179,200 32,000 140,800 352,000
    75,000 89,600 27,000 70,400 262,000
    - 179,200 33,500 140,800 353,500
    - - - - -
    - - - - -
    - 44,800 10,000 35,200 90,000
    75,000 44,800 20,000 35,200 175,000
    - 44,800 10,000 35,200 90,000
    - - - - -
    - 89,600 17,000 70,400 177,000
    - 134,400 23,500 105,600 263,500
    - 44,800 7,000 35,200 87,000
    75,000 44,800 7,000 35,200 162,000
    - 179,200 32,000 140,800 352,000
    - - - - -
    - 134,400 57,000 105,600 297,000
    - 44,800 7,000 35,200 87,000
    - 44,800 10,000 35,200 90,000
    - 179,200 320,000 140,500 639,700
    75,000 44,800 10,000 35,200 165,000
    - 179,200 33,500 140,800 353,500
    - - - - -
    - 134,400 22,000 105,600 262,000
    75,000 492,800 116,500 387,200 1,071,500
    - 134,400 22,000 105,600 262,000
    - 44,800 10,000 35,200 90,000
    - - - - -
    - 44,800 10,000 35,200 90,000
    225,000 403,200 73,000 241,800 943,000
    - 89,600 13,000 70,400 173,000
    - 179,200 33,500 140,800 353,500
    - 179,200 33,500 140,800 353,500
    - 44,800 7,000 35,200 87,000
    - 44,800 10,000 35,200 90,000
    - 134,400 22,000 105,600 262,000
    - - - - -
    - 44,800 10,000 35,200 90,000
    - - - - -
    - 44,800 10,000 35,200 90,000
    - 44,800 10,000 35,200 90,000
    - - - - -
    - 44,800 7,000 35,200 87,000
    - 179,200 33,500 140,800 353,500
    - - - - -
    75,000 44,800 10,000 35,200 165,000
    - 134,400 23,500 105,600 263,500
    75,000 98,600 27,000 70,400 271,000
    - 44,800 10,000 35,200 90,000
    - 44,800 10,000 35,200 90,000
    - - - - -
    - 89,600 17,000 70,400 177,000
    - 89,600 17,000 70,400 177,000
    - - - - -
    75,000 179,200 32,000 140,800 427,000
    - 179,200 33,500 140,800 353,500
    - 44,800 10,000 35,200 90,000
    75,000 44,800 20,000 35,200 175,000
    - 134,400 23,500 105,600 263,500
    - 224,000 41,500 176,000 441,500
    - 44,800 7,000 35,200 87,000
    - 44,800 10,000 35,200 90,000
    - 179,200 32,000 140,800 352,000
    - 179,200 32,500 140,800 352,500
    - 179,200 33,500 140,800 353,500
    - - - - -
    - 89,600 17,000 70,400 177,000
    - - - - -
    - 44,800 7,000 35,200 87,000
    - - - - -
    - - - - -
    - - - - -
    - 44,800 10,000 35,200 90,000
    - - - - -
    - 134,400 70,000 105,600 310,000
    - 134,400 23,500 105,600 263,500
    - - - - -
    3,825,000 57,561,200 12,698,500 45,184,900 177,837,200
    Tagihan Jamkeda Samarinda Di IGD RSUD A. Wahab Sjahranie bulan Febuari 2015

    Tanggal No KIB/ Karcis IGD RINCIAN BIAYA


    No Nama Pasien Umur L/P Alamat No. Peserta Diagnosa Tindakan
    Kunjungan No. REG Js RS Js Pel OKSIGEN/O2 doktre Jasa dokter
    1 2 3 4 5 6 7 8 9 10 11 14
    1 1/2/2014 A.SUFI BADAALI 4 TH L JELAWAT GG 4 RT 11 544430 FARINGITIS PLEB 42,000 33,000 - - -
    2 SALMAH 52 TH P MERANTI GG II RT 019 726375 CHF EKG,INJEKSI 42,000 33,000 - - -
    3 YULIANA NUR HALIMAH 24 TH P KARTINI SUKOREJO RT 041 774228 VOMITING INJEKSI 42,000 33,000 - - -
    4 MAULANA MALIK IBRAHIM 2 TH L RING ROAD RT 020 774864 ISPA PLEB 42,000 33,000 - - -
    5 LIYANA EGA WAHYUNI 3 TH P CENDANA GG 4 RT 004 792356 ASMA NEBU,O2 42,000 33,000 32,000 - -
    6 M.HENDRA MEGA NANDA 10 TH L SUKOREJO RT 043 820015 FEBRIS PLEB 42,000 33,000 - - -
    7 NUR AISYAH 3 TH P PERUM SIP BLOK F NO 96 RT 031 819968 FEBRIS PLEB 42,000 33,000 - - -
    8 NADYA SALSABILA PUTRI 15 TH P KEBON AGUNG RT 007 820054 VL WHT V 42,000 33,000 - - -
    9 HENNY FAIZAH RIANTI N 23 TH P DR.SOETOMO GG 8 BLOK A RT 035 614268 ISK PLEB 42,000 33,000 - - -
    10 HARIYANTO 37 TH L LUMBA LUMBA RT 013 820039 FEBRIS PLEB,INJEKSI 42,000 33,000 - - -
    11 JUHAIRIAH 38 TH P MT.HARIYONO RT 001 330990 CEPALGIA INJEKSI 42,000 33,000 - - -
    12 RUDANA 21 TH P ST.SULAIMAN RT 001 820047 GRAVID PLEB,VT,DOPLER 42,000 33,000 - DR.YASMIN 75,000
    13 SALASIAH 52 TH P ABD HASAN GG 9 RT 015 647706 HEMOROID PLEB 42,000 33,000 - - -
    14 ELFIANA 23 TH P EKONOMI RT 013 621518 GASTRITIS INJEKSI 42,000 33,000 - - -
    15 TSAWABL MUKMININ 5 TH L DANAU TOBA GG IV RT 21 NO 42 820042 THYPOID PLEB 42,000 33,000 - - -
    16 DIANA MURTI 46 TH P PERJUANGAN RT 032 767234 ASMA NEBU,INJEKSI 42,000 33,000 - - -
    17 ALMINI 37 TH P DAMAI KEL SIDODAMAI RT 025 820025 AB IMMINENS PLEB 42,000 33,000 - - -
    18 AUSYA 1 TH P SENTOSA DALAM GG 9 RT 078 774738 ISPA PLEB 42,000 33,000 - - -
    19 M.RIZAL 7 TH L P.SURYANATA GG TINGGIRAN RT 037 672130 FEBRIS INF,PLEB 42,000 33,000 - - -
    20 M.SULTHAN AA 2 TH L AWS RT 024 802249 ASMA NEBU 42,000 33,000 - - -
    21 DEWI RAHAYU 27 TH P ANGGUR RT 055 476738 DISPEPSYA RESEP 42,000 33,000 - - -
    22 AUREL SARIKA 6 TH P JAKARTA RT 041 820018 FEBRIS RESEP 42,000 33,000 - - -
    23 M.FIKRI FARHAN 9 TH L PERUM GTL L NO 04 677527 ISPA RESEP 42,000 33,000 - - -
    24 NICO MANGURU 75 TH L L.MANGKURAT GG H.USMAN NO 79 RT 02 784719 PJK EKG 42,000 33,000 - - -
    25 2/2/2015 MULYANTO 63 TH L BELIMBING 5 NO 22 RT 008 534116 CKD EKG,PLEB,O2,EKG 42,000 33,000 32,000 DR.NIRA 75,000
    26 YUNITA 34 TH P PAHLAWAN 3 RT 030 820151 MORBILI PLEB 42,000 33,000 - - -
    27 DIANA MURTI 45 TH P PERINTIS RT 032 767234 ASMA O2,NEBU,INJEKSI 42,000 33,000 32,000 - -
    28 JUMRIAH 27 TH P GERILYA GG MESJID RT 048 820101 INPARTU VT,DOPLER 42,000 33,000 - - -
    29 MTAUFIQUR RAHMAN 9 TH L RAUDAH 3 BLOK IV B RT 014 820114 CKR RESEP 42,000 33,000 - - -
    30 WIDARTI 18 TH P JELAWAT GG 9 RT 004 820139 VL WTH IV,INJEKSI 42,000 33,000 - DR.YASSER 75,000
    31 SYARIFUDDIN 35 TH P P.HIDAYATULLAH GG AMAL RT 018 820147 BSK PLEB 42,000 33,000 - - -
    32 UKAS 42 TH L SLADA 7 NO 128 RT 081 749435 CEPALGIA INJEKSI 42,000 33,000 - - -
    33 ANDIK FIRMANSYAH 4 TH L P.SURYANATA RT 060 660196 ASMA NEBU 42,000 33,000 - - -
    34 M.RAMA ADITYA M 8 TH L KH.W.HASYIM RT 030 646561 FEBRIS RESEP 42,000 33,000 - - -
    35 MAIMUNAH 55 TH P RE.M.DINATA GG MADU RT 007 819808 CEPALGIA PLEB,INJEKSI 42,000 33,000 - - -
    36 SALSA NABILA PUTRI 10 TH P TURI MERAH NO 16 RT 011 393744 FEBRIS PLEB 42,000 33,000 - - -
    37 HENNY YUNI YARKI 25 TH P HASANUDDIN RT 015 SEI SIRING 820117 BATU BULI PLEB,INJEKSI 42,000 33,000 - - -
    38 WINDA AGUSTINA 11 TH P TALANG SARI RT 001 820124 ISPA PLEB 42,000 33,000 - - -
    39 M.REZA SUPARDIANSYANO 15 TH L KESEHATAN RT 003 530287 ISPA PLEB 42,000 33,000 - - -
    40 MUGIARTI 49 TH P SEI SIRING RT 10 820130 BSK PLEB,INJEKSI 42,000 33,000 - - -
    41 SURYA LAHANG 49 TH L BATU CERMIN RT 003 620609 BOG BITE WT,INJEKSI 42,000 33,000 - - -
    42 CITRA MEILA CARISA 5 TH P DI PANJAITAN RT 017 819481 KONSTIPASI PLEB 42,000 33,000 - DR.DADIK 75,000
    43 KUSDI SUTIKNO 33 TH L KEMANGI GG TANI RT 027 823126 FEBRIS INF,PLEB,EKG,INJEKSI 42,000 33,000 - - -
    44 RULSAMIA 47 TH P TALANG SARI RT 001 800489 SOFT TISSUE ELASTIS PERBAN 42,000 33,000 - - -
    45 SYARIFUDIN 35 TH L P.HIDAYATULLAH GG AMAL RT 018 619545 DISPEPSYA PLEB,O2,EKG INJEKSI 42,000 33,000 32,000 - -
    46 RAHMAD ALI WIBOWO 32 TH L TANI AMAN RT 013 820110 VL WT,INJEKSI 42,000 33,000 - - -
    47 NAZWA ALIFIA 9 TH P M.SAID GG 6 RT 026 820149 FEBRIS PLEB 42,000 33,000 - - -
    48 M.PUTRA DWI ARJUNA 10 TH L KESEHATAN RT 003 468052 ISPA 0 42,000 33,000 - - -
    49 MARSITA APRILIANI 21 TH P KOMP. PASAR SEGIRI RT 028 611918 FEBRIS PLEB,INJEKSI 42,000 33,000 - - -
    50 3/2/2015 HAMISAH 57 TH P PLAMBOYAN RT 009 559566 HT EKG 42,000 33,000 - - -
    51 NUR HABIBAH 8 TH P ADAM MALIK GG JAMBU RT 004 446280 ISPA RESEP 42,000 33,000 - - -
    52 M.ZIDHAN RH 13 TH L MERBABU GG SEDAR RT 02 815529 ABSES RESEP 42,000 33,000 - DR.FRIZT 75,000
    53 SUHERMAN 45 TH L PERUM ASRI SMBTN BLOK I NO 05 820291 COLIC ABDOMEN PLEB,INJEKSI 42,000 33,000 - - -
    54 KISWATI 47 TH P AM.SANGAJI RT 003 820181 HEMAPTOE RESEP 42,000 33,000 - - -
    55 M.HAIDIR 15 TH L M.SAID GG 4 RT 011 194467 ISPA RESEP 42,000 33,000 - - -
    56 ANITA TORY 29 TH P PM.NOOR RT 039 814675 HT RESEP 42,000 33,000 - - -
    57 DIMAS RESKY ADITYA 3 TH L BIAWAN RT 011 756904 ISPA PLEB 42,000 33,000 - - -
    58 ESHMAD HAORANI 27 TH L AGUS SALIM RT 016 820192 VL INF,PLEB,HT,INJEKSI,O2 42,000 33,000 32,000 - -
    59 DWI FINO KURNIAWAN 3 TH L JELAWAT GG 9 RT 001 820312 CKR RESEP 42,000 33,000 - DR.GARCE 75,000
    60 SUBANDOYO 32 TH L KH.W.HASYIM RT 008 820225 FEBRIS PLEB 42,000 33,000 - - -
    61 AUREL SARIKA 6 TH P JAKARTA RT 041 820018 FEBRIS INF,PLEB 42,000 33,000 - - -
    62 M.RIFA'I 23 TH L TARMIJI NO 85 RT 012 820267 FEBRIS PLEB 42,000 33,000 - - -
    63 NARARYA WIRA DHARMA 9 TH L W.MONGONSIDI RT 022 820255 FEBRIS RESEP 42,000 33,000 - - -
    64 ERNAWATI 23 TH P TRISARI RT 022 820278 VL WTH II,INJEKSI 42,000 33,000 - - -
    65 M.ZULFIKAR 14 TH L M.SAID GG 4 RT 011 745300 FEBRIS RESEP 42,000 33,000 - - -
    66 M.HANAFIAH 77 TH L BUNG TOMO RT 020 820257 DISPEPSYA EKG,INJEKSI 42,000 33,000 - - -
    67 NOVA SUSANA 32 TH P S.RIADI RT 014 455449 GRAVID PLEB,VT,DOPLER 42,000 33,000 - - -
    68 CHAIRUL LINA 40 TH P BUNGA RT 001 BANTUAS 820299 CONTUSIO M DC,SPALAK 42,000 33,000 - DR.SYAIFUL 75,000
    69 SUPRAPTO 50 TH L EKONOMI RT 012 820185 VL WT,INJEKSI 42,000 33,000 - - -
    70 KARSIH 85 TH P PASUNDAN RT 003 SINDANG SARI 603646 ISK SUPP 42,000 33,000 - - -
    71 M.RAFFI A.M 3 TH L PAKIS RT 082 819815 MORBILI PLEB 42,000 33,000 - - -
    72 TUMINAH 61 TH P KEMAKMURAN GG PLN RT 022 555901 VERTIGO EKG 42,000 33,000 - - -
    73 RIZKY MAULANA 2 TH L W.MONGONSIDI RT 022 736831 ISPA RESEP 42,000 33,000 - - -
    74 M.IBRAHIM HASAN 2 TH L SITI AISYAH RT 006 820253 FEBRIS RESEP 42,000 33,000 - - -
    75 ABEL ZAKY 6 TH L KEMANGI GG REZEKI RT 023 819257 FEBRIS PLEB 42,000 33,000 - - -
    76 ROBIUL NAZHILATIL R 2 TH L LUMBA LUMBA RT 017 819967 ISPA PLEB,NEBU 42,000 33,000 - - -
    77 NURHAYATI 41 TH P S.RIADI RT 030 453949 SUSP BSK PLEB,INJEKSI 42,000 33,000 - - -
    78 4/2/2015 MASRANI 67 TH L MUSO SALIM GG 10 NO 82 746274 BRONCHITIS PLEB,NEBU,EKG,O2 42,000 33,000 32,000 - -
    79 EVI ARSIAH 21 TH P LUMBA LUMBA RT 010 627818 DISPEPSYA INJEKSI 42,000 33,000 - - -
    80 ABDUL KHASAN NOOR B 16 TH L BUGIS MUGIREJO RT 002 820546 VE WT 42,000 33,000 - - -
    81 PAINEM 76 TH P A.YANI GG MASYARAKAT NO 33 RT 025 819172 ASMA NEBU,INJEKSI 42,000 33,000 32,000 - -
    82 M.RAMA ADITYA M 8 TH L KH.W.HASYIM ASHARI RT 030 616561 FEBRIS PLEB 42,000 33,000 - - -
    83 M.FAUZAN 13 TH L S.SUROPATI RT 025 820378 FEBRIS PLEB 42,000 33,000 - - -
    84 M.TRI PUTRA APRILIANTO 1 TH L DR.SOETOMO GG 8 BLOK A RT 035 762055 ISPA PLEB 42,000 33,000 - - -
    85 A.SUKRIANI 35 TH L BATU BERSAUNG RT 028 820502 TROMBOTOPENI PLEB 42,000 33,000 - - -
    86 HASWA 49 TH P BAYUR RT 016 820385 ISCHALGIA PLEB,INJEKSI 42,000 33,000 - - -
    87 RAHMA AZZAHRA 5 TH P MT.HARIYONO GG 1 RT 009 820352 FEBRIS PLEB 42,000 33,000 - - -
    88 HAMSYAH 56 TH L TANJUNG SELATAN RT 013 686433 VERTIGO INF,PLEB,INJEKSI 42,000 33,000 - - -
    89 SUSIANI 46 TH P JAKARTA BLOK CB RT 063 NO 17 820356 V.ICHTUM CROSS,INJEKSI 42,000 33,000 - - -
    90 NUR SURAYUDI 45 TH L GATSU RT 044 820332 FEBRIS PLEB,INJEKSI 42,000 33,000 - - -
    91 SRI GUSTI MULYO 28 TH P DRS.HB SUPARNO RT 029 820511 MORBILI PLEB 42,000 33,000 - - -
    92 PUJI SULISTIANTO 39 TH P BUKIT BARISAN RT 024 804152 ASMA O2,NEBU,INJEKSI 42,000 33,000 32,000 - -
    93 ROBIATUL ADAWIYAH 37 TH P PERUM BORNEO BLOK L NO 7 RT 064 815482 INPARTU VT,DOPLER 42,000 33,000 - - -
    94 RONI ARIANTO 55 TH L JAKARTA RT 072 820330 VERTIGO EKG,INJEKSI 42,000 33,000 32,000 - -
    95 ARIFIN 52 TH L DR.SOETOMO RT 031 820351 CHF INF,PLEB,O2,EKG,INJEKSI 42,000 33,000 32,000 - -
    96 MUSINAH 74 TH P SEBULUS SALAM RT 032 770603 TUMOR EKG,INJEKSI 42,000 33,000 - - -
    97 NORSIAH 63 TH P OTISTA RT 008 640053 CEPALGIA PLEBO,EKG 42,000 33,000 - - -
    98 5/2/2015 MULYONO 54 TH L KS.TUBUN GG 7 RT 001 787453 DISPEPSYA PLEB,EKG,INJEKSI 42,000 33,000 - - -
    99 DONI RENDITA 11 TH L PERJUANGAN 5 NO 6A RT 002 819641 SNAKE BITE INJEKSI 42,000 33,000 - - -
    100 NASIFAH 68 TH P KH.USMAN BERAHIM RT 014 726356 DISPEPSYA PLEB,EKG,INJEKSI 42,000 33,000 - - -
    101 M.ROBI 1 TH L KH.HARUN NAFSI RT 009 820606 FEBRIS RESEP 42,000 33,000 - - -
    102 SILVA 2 TH P TEUKU UMAR 820630 TONSILITIS PLEB 42,000 33,000 - - -
    103 ASLAMIYAH 15 TH P S.PARMAN GG 3 RT 039 820632 GRAVID PLEB 42,000 33,000 - - -
    104 SRI GUSTI MULYO 28 TH P DRS.HB SUPARNO RT 029 820511 DEMAM DENGUE PLEB 42,000 33,000 - - -
    105 DIAN ANGGREINI 38 TH P SENTOSA GG KENANGAN V RT 76 806736 INPARTU VT,DOPLER 42,000 33,000 - - -
    106 MIRZA NUR HAFIDZAH 3 TH P AGUS SALIM GG TANJUNG 6D RT 037 666212 FEBRIS PLEB 42,000 33,000 - - -
    107 RUSNAH HASIM 59 TH P PROKLAMASI III RT 055 802347 ASMA EKG,NEBU,INJEKSI O2 42,000 33,000 32,000 - -
    108 RISYANDA SEPTIA R 9 TH P SUTERA KEMBANG RT 016 820608 FARINGITIS PLEB 42,000 33,000 - - -
    109 ARDIYAH 61 TH P ULIN RT 003 401220 VERTIGO INF,PLEB,EKG 42,000 33,000 - - -
    110 AWALUDIN RUSTAM 44 TH L DAYAK BAHAU 1 NO 6 RT 021 820618 DISLOKASI KONSUL 42,000 33,000 - DR.YASSER 75,000
    111 INTAN PRISELINA 22 TH P KEMAKMURAN GG 1 RT 015 820568 DISPEPSYA INJEKSI 42,000 33,000 - - -
    112 NUR AZIZAH AULIA ARSIH 9 TH P GERILYA SOLONG RT 031 820616 RAT BITE INF,PLEB,CROS INSISI 42,000 33,000 - - -
    113 M.IBRAHIM HASAN 2 TH L SITI AISYAH RT 006 820253 VOMITING PLEB 42,000 33,000 - - -
    114 IDO KUSNANTO 30 TH L ANGGUR GG VILLA 2 RT 54 767753 FEBRIS PLEB 42,000 33,000 - - -
    115 ARSINAH 73 TH P M.SAID RT 013 494640 CEPALGIA PLEBO,EKG 42,000 33,000 - - -
    116 SUNDARI 53 TH P KH.USMAN BERAHIM RT 016 782469 DISPEPSYA PLEB,EKG,INJEKSI 42,000 33,000 - - -
    117 M.FARHAN 3 TH L A.YANI GG CAHAYA BARU RT 016 618725 ISPA RESEP 42,000 33,000 - - -
    118 M.KADRI 80 TH L GERILYA RT 099 421245 GASTRITIS PLEBO,EKG 42,000 33,000 32,000 - -
    119 RESI ADE S 14 TH L PLAMBOYAN RT 008 820596 FEBRIS PLEB,INJEKSI 42,000 33,000 - - -
    120 MAULIANUR 23 TH L RE MARTADINATA GG SEDERHANA RT 02 647405 ISK PLEB,INJEKSI 42,000 33,000 - - -
    121 SALASIAH 55 TH P S.RIADI RT 031 820545 HT PLEBO,EKG 42,000 33,000 - DR.ASWAD 75,000
    122 RASKHY DAFFA AL FADILL 11 TH L REVOLUSI RT 044 820609 CKR INF,WT,ELASTIS VERB 42,000 33,000 - DR.ARI I 75,000
    123 6/2/2015 DIANA WATY 22 TH P BAYUR RT 017 820830 VL WTH,WT,INJEKSI 42,000 33,000 - - -
    124 MELINDA 6 TH P BATU CERMIN RT 005 820644 HEMAPTOE PLEB 42,000 33,000 - - -
    125 MOHDAR HAMID 51 TH L JAKARTA BLOK BG RT 62 NO 5 726321 HEMOROID RT 42,000 33,000 - - -
    126 SUYANI 45 TH P KH.SAMANHUDI GG ANNOOR 1 RT 013 720213 ISPA PLEBO,EKG 42,000 33,000 - - -
    127 RISKY ANANDA PUTRA 5 TH L PERUM SIP H7 NO 93 RT 030 820704 VL WTH,WT,INJEKSI 42,000 33,000 - - -
    128 NURMEGA APRILIA 4 TH P MULAWARMAN BAYUR RT 017 820828 VL WT 42,000 33,000 - - -
    129 DIAN ALFANI RAKMHMAN 8 TH L KADRI OENING GG REJEKI RT 032 820827 FEBRIS PLEB 42,000 33,000 - - -
    130 SANI 49 TH L SEI KAPIH GG SWARGA RT 004 591423 CARDIAC AREST RJP,EKG 42,000 33,000 - - -
    131 SUDIRMAN 53 TH L S.PARMAN I NO 46 RT 001 815811 GASTROPATI EKG,INJEKSI 42,000 33,000 - - -
    132 NUR AZIZ 40 TH L DAMANHURI PERUM BTI RT 023 820706 COLIC RENAL INF,PLEB 42,000 33,000 - - -
    133 SULASIH 35 TH P AM SANGAJI RT 012 621514 URTIKARIA PLEB 42,000 33,000 - - -
    134 M.SIDDIQ FAIZ ALWI INJA 2 TH L M.SAID GG 6 RT 032 820645 GEA RESEP 42,000 33,000 - - -
    135 KARNOTO ADI B 38 TH L MUGIREJO RT 018 820639 DISPEPSYA INF,PLEB,INJEKSI 42,000 33,000 - - -
    136 M.ANSHORI 8 TH L LATSITARDA IV H1 NO 71 RT 29 782603 ISPA PLEB 42,000 33,000 - - -
    137 M.ABDAN FAHREZA 6 TH L BANGERIS RT 021 755711 ASMA NEBU,O2 42,000 33,000 32,000 - -
    138 AVRIL YASMIN 2 TH P DI PANJAITAN RT 002 820705 GEA INF,PLEB,INJEKSI 42,000 33,000 - - -
    139 ANI ASPIATI 27 TH P JAKARTA RT 067 576084 TR TUMPUL THORAX OKSIGEN 42,000 33,000 32,000 DR.FRIZT 75,000
    140 HANIFAH VIOLAN HASANA 3 TH P LEMPAKE JAYA RT 013 820666 ISPA PLEB 42,000 33,000 - - -
    141 ADITYA PRATAMA 7 TH L OTISTA GG BUDIMAN RT 023 413538 FEBRIS PLEB 42,000 33,000 - - -
    142 RIZKYA HERMAYUMNI 18 TH P MERBABU GG BDN NO 28 814687 ISK RESEP 42,000 33,000 - - -
    143 ASLAN DARMA PUTRA 11 TH L S.PARMAN RT 01 792114 ISPA RESEP 42,000 33,000 - - -
    144 MEIDITA TRI AFIFAH 9 TH P LUMBA LUMBA RT 013 753751 VOMITING PLEB 42,000 33,000 - - -
    145 7/2/2015 M.FADLI 1 TH L MARSDA A SALEH GG HARD 819859 FEBRIS PLEB 42,000 33,000 - - -
    146 JANAINAH 45 TH P BELIMAU RT 024 820372 LBP PLEB,INJEKSI 42,000 33,000 - - -
    147 SANTI 25 TH P NUSA INDAH RT 002 646149 COMMOND COLD RESEP 42,000 33,000 - - -
    148 IMAM BASRI 20 TH L KENANGAN VIII RT 075 820508 SUSP APP INF,PLEB 42,000 33,000 - - -
    149 JAKSON BOAZ 41 TH L RING ROAD RT 001 820850 ISPA NEBU 42,000 33,000 - - -
    150 RUSDIANA 62 TH P ANTASARI GG 6 745347 COLIC RENAL PLEB,INJEKSI 42,000 33,000 - - -
    151 SALMA 52 TH P S.RIADI RT 033 820945 DISPEPSYA PLEB,EKG,INJEKSI 42,000 33,000 - - -
    152 SUTIKNO 23 TH P PEMUDA 2 RT 010 746702 THYPOID PLEB,INFUS 42,000 33,000 - - -
    153 RINA SUSANTI 23 TH P KEBAHAGIAN RT 042 659710 FEBRIS PLEB,INJEKSI 42,000 33,000 - - -
    154 SAFTONI HADI UTOMO 17 TH L KH.USMAN BERAHIM RT 014 807829 DISPEPSYA INJEKSI 42,000 33,000 - - -
    155 JELITA VIDMA WATY 3 TH P GN.LINGAI GG SYUKUR RT 009 728687 VOMITING RESEP 42,000 33,000 - - -
    156 MARJANI 62 TH L OTISTA RT 018 103899 MUSCLE SPASME INJEKSI 42,000 33,000 - - -
    157 JURMIAH 41 TH P KH.MAS MANSYUR RT 028 820880 DISPEPSYA PLEB,EKG,INJEKSI 42,000 33,000 - - -
    158 YENITA 31 TH P TEUKU UMAR GG SENYIUR RT 006 820855 DISPEPSYA PLEB,INJEKSI 42,000 33,000 - - -
    159 EDY PURWANTO 70 TH L ANGGUR RT 056 301086 CAD PLEB,EKG,INJEKSI 42,000 33,000 - - -
    160 RUSNIA FARAMITA 19 TH P P.PENDAHARA RT 023 820876 DISPEPSYA PLEB,INJEKSI 42,000 33,000 - - -
    161 M.D AGUNG K 3 TH L JATI 2 HARAPAN BARU RT 027 820949 FEBRIS RESEP 42,000 33,000 - - -
    162 KASNO 63 TH L ASAADAH MUGIREJO RT 018 820912 HNP INF,PLEB,EKG,INJEKSI 42,000 33,000 32,000 - -
    163 RIZKA FAUZIAH ANWAR 12 TH P SITI AISYAH RT 017 802169 FEBRIS PLEB 42,000 33,000 - - -
    164 ADAM SAPUTRA 5 TH L ANGGUR RT 055 712254 EPILEPSI RESEP 42,000 33,000 - - -
    165 DESI SUSSANTI 34 TH P P.ANTASARI GG 5 NO 27 RT 010 820948 URTIKARIA RESEP 42,000 33,000 - - -
    166 M.FAHREL ERDIANSYAH 5 TH L BIOLA GG MANUNGGAL RT 033 820937 ISPA PLEB 42,000 33,000 - - -
    167 DEWI DIAN PURNAWATI 25 TH P OTISTA GG 12 RT 020 820907 FEBRIS PLEB 42,000 33,000 - - -
    168 ADHI CANDRA S 18 TH P GOTONG ROYONG RT 024 780750 NPC PLEB,INJEKSI 42,000 33,000 - - -
    169 NOORHAYATI 45 TH P DAMANHURI PERUM BTI RT 023 732123 ASMA O2,NEBU,INJEKSI 42,000 33,000 32,000 - -
    170 ADE NAUFAL 3 TH L SITI AISYAH RT 016 820925 VOMITING RESEP 42,000 33,000 - - -
    171 8/2/2015 M.AMIR 62 TH L MANGKUPALAS RT 014 823164 GOUT ARTRITIS EKG 42,000 33,000 - - -
    172 RAISA ASSYFA JUNITA 3 TH P REVOLUSI RT 044 82332 VOMITING INFUS,PLEB 42,000 33,000 - DR.HENDRA 75,000
    173 KANIA PUTRI SALMAH 7 TH P AGUS SALIM GG 5D RT 031 737674 ASMA NEBU,O2 42,000 33,000 32,000 - -
    174 RUSMINI 32 TH P PATIMURRA RT 020 584228 ISK PLEB 42,000 33,000 - - -
    175 BOY ISHAK 50 TH L KARYA BARU RT 009 478341 CKR WT,INJEKSI 42,000 33,000 - DR.GRACE 75,000
    176 ASMARI 67 TH L SEJATI 2 RT 001 649687 CIROSIS HEPATITIS EKG 42,000 33,000 - - -
    177 M.ROUFURROQIM 13 TH L DAMANHURI RT 028 533363 ASMA NEBU 42,000 33,000 - - -
    178 AFGAN 5 TH L IMAM BONJOL GG 79 RT 005 787788 KONSTIPASI PLEB 42,000 33,000 -DR.HENDRA/SANTI 150,000
    179 M.ABDILLAH A 10 TH L P.SURYANATA RT 036 823179 FEBRIS RESEP 42,000 33,000 - - -
    180 MOETYA HANUM R 5 TH P T UMAR RT 034 823148 FEBRIS PLEB 42,000 33,000 - - -
    181 RAHAYU PUTRI CANTIKA S 24 TH P PADAT KARYA GG KETAPANG RT 048 823231 INPARTU VT,DOPLER 42,000 33,000 - - -
    182 ABIDIN 36 TH L RE.DINATA GG FAMILI RT 018 518390 FEBRIS RESEP 42,000 33,000 - - -
    183 MISAH 62 TH P RAMANIA 2 RT 47 558245 COLIC ABDOMEN PLEB 42,000 33,000 - - -
    184 YUSRIFAH AP 21 TH P ADAM MALIK RT 021 628919 BRONCHITIS RESEP 42,000 33,000 - - -
    185 AISYAH 62 TH P SUWANDI BLOK A RT 022 358623 DISPEPSYA EKG,INJEKSI 42,000 33,000 - - -
    186 SATRIA RASTA PRATAMA 4 TH L KAKAP RT 010 773707 FEBRIS RESEP 42,000 33,000 - - -
    187 DEWI SEPTI MERANTI 36 TH P JELAWAT GG 8 RT 004 316270 GOUT ARTRITIS INJEKSI 42,000 33,000 - - -
    188 ALLEN PRATAMA PUTRA 29 TH L JELAWAT GG 8 RT 003 694037 ASMA NEBU 42,000 33,000 - - -
    189 HEERY OSCAR 53 TH L MUSO SALIM NO 68 RT 016 731446 CKD OKSIGEN 42,000 33,000 32,000 - -
    190 SUHARTO 49 TH L JAKARTA GG HJ.JUNAID RT 072 823161 DISPEPSYA PLEB,EKG,INJEKSI 42,000 33,000 - - -
    191 PARMIATI 61 TH P DI PANJAITAN RT 037 408455 FEBRIS PLEB 42,000 33,000 - - -
    192 ALFINZA RAMADHANI 6 TH L JELAWAT GG 9 RT 001 609824 ISPA RESEP 42,000 33,000 - - -
    193 DINA PUTRIYANA 11 TH P KH.HARUN NAFSI RT 009 823193 VE RESEP 42,000 33,000 - - -
    194 NURHADIYANTI 35 TH P W.MONGONSIDI RT 022 320110 VERTIGO INJEKSI 42,000 33,000 - - -
    195 MARIO TEGUH HADIAHTUL 4 TH L CM KUSUMO RT 012 584842 FEBRIS RESEP 42,000 33,000 - - -
    196 M.ZIDANE 11 TH L ULIN GG 23 RT 006 823194 FEBRIS RESEP 42,000 33,000 - - -
    197 JUMRIAH H.SALAM 57 TH L U.SUROPATI RT 012 760551 VERTIGO PLEB,EKG,INJEKSI 42,000 33,000 - - -
    198 KANIA PUTRI SALMAH 7 TH P AGUS SALIM GG 5D RT 031 737674 ASMA NEBU 42,000 33,000 - - -
    199 WANDA SONIA NOVIYANA 9 TH P AWS RT 034 823205 ISPA RESEP 42,000 33,000 - - -
    200 DARMA YANTI 33 TH P U.SUROPATI RT 025 823195 DISPEPSYA INJEKSI 42,000 33,000 - - -
    201 M.ANNAIF HUSNI HIDAYAT 7 TH L AWS GG 1 RT 037 NO 16 808315 FEBRIS PLEB 42,000 33,000 - - -
    202 M.ZINADE UTOMO 1 TH L T.IMAR GG RIMBAWAN RT 033 823157 ISPA RESEP 42,000 33,000 - - -
    203 LUMADIYOADI 57 TH L ST.ALIMUDDIN RT 035 524164 VERTIGO RESEP 42,000 33,000 - - -
    204 NINA MONICA 18 TH P GATSU RT 044 824431 HEMOROID PLEB 42,000 33,000 DR.MANGALINDUNG
    - 75,000
    205 9/2/2015 IDA 54 TH P GELATIK 2 TITIAN RT 015 656082 HIPOKALEMI PLEBO,EKG 42,000 33,000 - DR.WAYAN 75,000
    206 HJ SITI SOLEHA 56 TH P AMINAH SYUKUR GG MULIA NO 16 RT 01 644539 ISPA PLEB 42,000 33,000 - - -
    207 CHICO 33 TH L BUNG TOMO RT 002 823290 DISPEPSYA PLEB,INJEKSI 42,000 33,000 - - -
    208 SITI NASRIAH 50 TH P TURI PUTIH 2 RT 089 348453 FEBRIS PLEB 42,000 33,000 - - -
    209 ERWAN ERVANDY 56 TH L OTISTA RT 016 427143 HT PLEBO,EKG 42,000 33,000 - - -
    210 M.RIDHO PUTRA NUGRAHA 9 TH L OTISTA RT 016 712088 ASMA NEBU 42,000 33,000 - - -
    211 HERIANSYAH 51 TH L LEMPAKE JAYA RT 013 823260 CHF DC,BGA,INF,PLEB,EKG,INJ O2 42,000 33,000 32,000 DR.WAYAN 75,000
    212 SYAKIRAH NAJIB 1 TH L SITI AISYAH RT 015 819614 ISPA PLEB 42,000 33,000 - - -
    213 ATMO SURADI 73 TH L SUKEREJO RT 008 814737 PPOK NEBU,EKG 42,000 33,000 - - -
    214 DEWI ANGGUN LESTARI 23 TH P PADAT KARYA RT 008 SMPJ 823170 FEBRIS RESEP 42,000 33,000 - - -
    215 EDDY MULIANSYAH 47 TH L PERUM MUTIARA INDAH RT 023 418242 ASMA O2,NEBU,INJEKSI 42,000 33,000 32,000 - -
    216 SITI SRI WAHYUNI 27 TH P JELAWAT GG 9 RT 038 823246 ISK PLEB,INJEKSI 42,000 33,000 - - -
    217 AMILA DINI ISTIQOMAH 18 TH P BENGKURING RAYA RT 076 823252 ISPA INJEKSI 42,000 33,000 - - -
    218 FAYZA CALYA A 6 TH P REJO MULYO RT 032 823296 VL WTH II,INJEKSI 42,000 33,000 - - -
    219 DJURIAH 59 TH P SUBULUS SALAM RT 033 813306 IRITASI MATA IRIGASI MATA 42,000 33,000 - - -
    220 SETIAWATI 58 TH P JOYO MULYO RT 029 823309 DM PLEB,EKG,INJEKSI 42,000 33,000 - - -
    221 SAMUEL SAMPE 51 TH L DAMANHURI PERUM BTI RT 025 823324 DISPEPSYA INJEKSI 42,000 33,000 - - -
    222 KARUNIAH SAPUTRI 23 TH P GN.LINGAI RT 013 823285 DISPEPSYA INF,PLEB 42,000 33,000 - - -
    223 JOKO PAMUNGKAS 10 TH L ADAM MALIK RT 026 823215 V.ICHTUM CROSS INSISI,INJEKSI 42,000 33,000 - - -
    224 SYAHRUNI 38 TH L LUMBA LUMBA RT 017 723288 DISPEPSYA INJEKSI 42,000 33,000 - - -
    225 SAHIRA AULIA SALSABILA 5 TH P DI PANJAITAN NO 53 RT 015 823295 FEBRIS PLEB 42,000 33,000 - - -
    226 M.IQBAL ANSHORI 15 TH L BATU CERMIN NO 57 RT 003 823342 KONSTIPASI SUPP 42,000 33,000 - - -
    227 KARENNU 61 TH L M.SAID RT 030 469319 GEA PLEB,EKG,INJEKSI 42,000 33,000 - - -
    228 NURHAYATI 41 TH P S.RIADI RT 030 453949 DISPEPSYA PLEB,EKG,INJEKSI 42,000 33,000 - - -
    229 M.RIDHO PUTRA NUGRAHA 9 TH L OTISTA RT 016 712088 ISPA NEBU,O2 42,000 33,000 32,000 - -
    230 RUAELAH 51 TH P BATU BESAUNG RT 026 823310 DISPEPSYA PLEBO,EKG 42,000 33,000 - - -
    231 NURHADIYANTI 35 TH P W.MONGONSIDI RT 022 320110 DISPEPSYA PLEB,EKG,INJEKSI 42,000 33,000 - - -
    232 MADJEDI 75 TH L ST.SULAIMAN GG MULIA RT 009 817167 RETENSIO URIEN PASANG CATETER 42,000 33,000 - - -
    233 10/2/2015 BOY ISHAK 50 TH L KARYA BARU RT 009 478341 POST VL GV 42,000 33,000 - - -
    234 NGASI PURWANTO 26 TH L REVOLUSI GG 15 RT 008 823441 INJURY NAIL EXTRASI KUKU 42,000 33,000 - - -
    235 HENDRIKUS DAVID TUKAN 12 TH L PONDOK SEMPAJA GG DAMAI RT 054 416285 INJURY NAIL EXTRASI KUKU 42,000 33,000 DR.MANGALINDUNG
    - 75,000
    236 RASBIANTO TANTO 29 TH L MARSDA A SALEH RT 23 823111 FEBRIS PLEB,INJEKSI 42,000 33,000 - - -
    237 M.NUR 2 TH L AWS RT 023 792908 ASMA NEBU 42,000 33,000 - - -
    238 MISRAH 41 TH P GERILYA GG MASJID B/129 BRT 49 817187 ASMA O2,NEBU,INJEKSI 42,000 33,000 32,000 - -
    239 RAYSYA KARTIKA PUTRI 2 TH P S.PARMAN I RT 002 771876 ASMA NEBU 42,000 33,000 - - -
    240 SYAET ALWI 10 TH L MUSO SALIM RT 016 823306 FEBRIS PLEB 42,000 33,000 - - -
    241 RUSNI 50 TH P PADAT KARYA RT 025 815465 DISPEPSYA INJEKSI 42,000 33,000 - - -
    242 SANIA 66 TH P BUKIT BARISAN RT 038 748218 HT PLEB,EKG,INJEKSI 42,000 33,000 - - -
    243 ALI ASIK 52 TH L KARYA BARU RT 009 790979 MUSCLE SPASME INF,PLEB,EKG 42,000 33,000 - - -
    244 SEPTIANA 28 TH P S.RIADI RT 005 GG MUJAHIDIN 823367 AB.IMMINENS PLEB 42,000 33,000 - - -
    245 M.RIZAL 6 TH L P.SURYANATA GG TINGGIRAN RT 037 672130 FEBRIS PLEB 42,000 33,000 - - -
    246 RAISHA RAMADANI 8 TH P KURNIA MAKMUR RT 020 823434 DISPEPSYA RESEP 42,000 33,000 - - -
    247 SARTINI 43 TH P TERONG PIPIT 3 624 RT 079 771733 DM PLEB,INJEKSI 42,000 33,000 - - -
    248 ABD LATIF 2 TH L KH.W.HASYIM GG H.DULLAH RT 052 742617 FEBRIS RESEP 42,000 33,000 - - -
    249 MASRUN MARHAT 54 TH L BAYUR RT 018 704608 ASMA O2,NEBU,INJEKSI 42,000 33,000 32,000 - -
    250 AMIR HASAN 62 TH L LAMBUNG MANGKURAT RT 41 773676 CHEST PAIN EKG 42,000 33,000 - - -
    251 PUTRI SARI 21 TH P RUKUN GG SEROJA RT 024 823406 HEMAPTOE PLEB 42,000 33,000 - - -
    252 SULTHAN AULIYA RAZQA 5 TH L TURI PUTIH 3 RT 89 824900 VL INF,INJEKSI 42,000 33,000 - - -
    253 ASMARI 53 TH L TRI SARI RT 025 665766 CF TIBULA KONSUL 42,000 33,000 - DR.YASSER 75,000
    254 NURUL ARBANIAH 5 TH P OTISTA RT 031 823380 FEBRIS PLEB 42,000 33,000 - - -
    255 BASTIAH 61 TH P BATU BESAUNG RT 028 342644 CKD PLEB,EKG,INJEKSI 42,000 33,000 - DR.NIRA 75,000
    256 ARSYIL MAJID BISSYAFAQI 8 TH L JUANDA JAMBU 5 NO 50 RT 06 823380 FEBRIS PLEB 42,000 33,000 - - -
    257 11/2/2015 A.PUTRA NADI 3 TH L ULIN GG 4 NO 58 RT 021 778701 VOMITING RESEP 42,000 33,000 - - -
    258 BOY ISHAK 50 TH L KARYA BARU RT 009 478341 VL WTH II,INJEKSI 42,000 33,000 - - -
    259 M.RAFI PRATAMA 3 TH L KEMAKMURAN GG PLN RT 022 687118 FEBRIS RESEP 42,000 33,000 - - -
    260 SUHARTONO 49 TH L JAKARTA GG HJ.JUNAID RT 072 823161 STOMATITIS PLEB 42,000 33,000 - - -
    261 ABDUL FARHAN 13 TH L AGUS SALIM RT 016 823530 FEBRIS PLEB 42,000 33,000 - - -
    262 INDAH PURNAWA 32 TH P TONGKOL NO 22 RT 004 815018 RETENSIO URIEN PASANG CATETER 42,000 33,000 - - -
    263 WIYADI 43 TH L TALANG SARI RT 002 823459 COLIC ABDOMEN PLEB,EKG,INJEKSI 42,000 33,000 - - -
    264 LINDA SUSANTI 37 TH L ANGGUR RT 056 686583 DISPEPSYA EKG,O2,INJEKSI 42,000 33,000 32,000 - -
    265 M.NOVAL 3 TH L IJABAH RT 005 810513 BRONCHITIS NEBU 42,000 33,000 - - -
    266 DHIAN ISMAYA 19 TH P CENDANA GG 12 RT 033 628428 MORBILI RESEP 42,000 33,000 - - -
    267 INDAH SITI RAHMAH 25 TH P TERATAI LOA BUAH RT 001 823538 COLIC ABDOMEN PLEB 42,000 33,000 - DR.ATOB 75,000
    268 SUNARTI 41 TH P BAYAM 3 E/545 RT 075 823507 V.AMPUTATAM WTH II,INJEKSI 42,000 33,000 - DR,GRACE 75,000
    269 A.ABDULLAH AI 18 TH L PINANG SERIBU R T040 785656 CKR WT 42,000 33,000 - - -
    270 LAETISIA DOROTHEA RUA 53 TH P MARSDA A SALEH RT 024 754384 VERTIGO INJEKSI 42,000 33,000 - - -
    271 KARINA OKTAVIA 16 TH P KH.W.HASYIM RT 002 820501 INPARTU VT,DOPLER 42,000 33,000 - - -
    272 12/2/2014 YULIANA KENDER 35 TH P BARITO PASIFIK RT 029 BUKUAN 823640 FEBRIS PLEB 42,000 33,000 - - -
    273 MARIYANI 35 TH P T.UMAR RT 035 823621 FEBRIS PLEB,INJEKSI 42,000 33,000 - - -
    274 KARTINI 63 TH P ANGGUR RT 055 625663 HT EKG 42,000 33,000 - - -
    275 M.REZA SAPUTRA 17 TH L TRIKORA RT 007 823578 CKR PLEB 42,000 33,000 - - -
    276 JUNIOR ARIUN MAHESA 1 TH L MERANTI GG II RT 016 779103 ISPA NEBU 42,000 33,000 - - -
    277 AQILA ZAHRA A 4 TH P SAWI 2 RT 070 589139 VOMITING PLEB,INJEKSI 42,000 33,000 - - -
    278 NUR SHOLIHA 28 TH P MUGIREJO RT 006 588705 ASMA O2,NEBU,INJEKSI 42,000 33,000 32,000 - -
    279 KAJIN 62 TH L BIAWAN GG 5 RT 002 759973 DISPEPSYA EKG,INJEKSI 42,000 33,000 - - -
    280 ADM SAPUTRA 5 TH L ANGGUR RT 055 712254 GEA INF,PLEB,INJEKSI 42,000 33,000 - - -
    281 HENDRI RAHMANTO 21 TH L LEMPAKE JAYA RT 011 689273 DISPEPSYA INJEKSI 42,000 33,000 - - -
    282 HADIYATI 43 TH P KURNIA MAKMUR RT 019 823636 VERTIGO PLEB,INJEKSI 42,000 33,000 - - -
    283 M.FIRZA ARDANA 1 TH L BUNG TOMO GG SELAMAT RT 027 823587 FEBRIS PLEB 42,000 33,000 - - -
    284 SITI NORMA 62 TH P BATU CERMIN RT 002 818744 ASMA EKG,NEBU,INJEKSI O2 42,000 33,000 32,000 - -
    285 M.ZULHAM 4 TH L PAHLAWAN GG 2 RT 028 823602 CORPAL EXTRAKSI CORPAL 42,000 33,000 - - -
    286 MASRIANES FEBRIANI K 20 TH P P.SURYANATA GG 10 RT 060 823574 GASTRITIS INJEKSI 42,000 33,000 - - -
    287 FITRIA HANDAYANI 29 TH P BIAWAN RT 011 765830 INPARTU EKG,DOPLER VT 42,000 33,000 - - -
    288 FITRI 29 TH P S.PARMAN GG 1 RT 1 789968 DISPEPSYA RESEP 42,000 33,000 - - -
    289 MAGDALENA NINA H 40 TH P DURIAN RT 004 BUKUAN 823577 ASMA EKG,NEBU,INJEKSI O2 42,000 33,000 32,000 - -
    290 ARSYIL MAJID BISSYAFAQI 8 TH L JAMBU 5 NO 50 RT 006 823380 FEBRIS PLEB 42,000 33,000 - - -
    291 JUMANSYAH 32 TH L ST.ALIMUDDIN RT 030 823625 GASTRITIS INJEKSI 42,000 33,000 - - -
    292 ALRIS SANCA PRATAMA PU 16 TH L SUDIRMAN RT 009 823417 GASTRITIS INJEKSI 42,000 33,000 - - -
    293 APRIL YANSYAH 5 TH P P.SURYANATA RT 015 815454 RABIES INF,PLEB,INJEKSI 42,000 33,000 - DR.WILIAM 75,000
    294 MILDAWATI 20 TH P TENGKAWANG RT 015 823631 MENOMETRORAGIA PLEB,INJEKSI 42,000 33,000 - - -
    295 M.KEVIN ANANDA PARUNT 4 TH L SUBULUS SALAM RT 033 823645 STOMATITIS RESEP 42,000 33,000 - - -
    296 13/2/2015 M.ARSYAN ZAHIR A 7 TH L AWS RT 024 584448 ALERGI RESEP 42,000 33,000 - - -
    297 ADITYA PRATAMA 2 TH L AGUS SALIM GG 5D RT 031 824160 FEBRIS RESEP 42,000 33,000 - - -
    298 ARIFAN LAILATUSSAADAH 11 TH L MARSDA A SALEH RT 025 370307 FEBRIS RESEP 42,000 33,000 - - -
    299 ASTI NOVIAN 34 TH P KAHOI RT 034 824189 VE WT 42,000 33,000 - DR.ELVIS 75,000
    300 M.YUNUS NAJIB RAHMAN 9 TH L DAYAK KALIAN NO 2 RT 018 707756 FEBRIS RESEP 42,000 33,000 - - -
    301 LINA YULIANA 25 TH P ABD MUTHALIB RT 004 801383 FARINGITIS PLEB 42,000 33,000 - - -
    302 ZAHRA MUKHRANI 10 TH P SITI AISYAH RT 015 759373 ISPA RESEP 42,000 33,000 - - -
    303 KAYLA AZ ZAHRA 3 TH P MUGIREJO RT 005 715164 ASMA NEBU,O2 42,000 33,000 32,000 - -
    304 ACHMAD TAUFIQ NUR HID 14 TH L RAPAK INDAH RT 036 802711 FEBRIS RESEP 42,000 33,000 - - -
    305 AMANDA AFRILIA 10 TH P BATU CERMIN RT 005 824183 FARINGITIS RESEP 42,000 33,000 - - -
    306 MARJANI 62 TH L OTISTA RT 018 103899 DISPEPSYA PLEB,EKG,INJEKSI 42,000 33,000 - - -
    307 MAREM 60 TH P HASAN BASRI GG 2 RT 022 452972 DISPEPSYA PLEB,EKG,INJEKSI 42,000 33,000 - - -
    308 NABILA NUR ASYIFA 1 TH P REEL 10 824171 ISPA PLEB 42,000 33,000 - - -
    309 ARI WIDIANTO 32 TH L P.ANTSARI GG 2 BLOK B RT 052 824136 FEBRIS PLEB 42,000 33,000 - - -
    310 H.HARYADI FITRI 74 TH P H.SUWANDI RT 024 632633 ASMA NEBU,INJEKSI 42,000 33,000 32,000 - -
    311 NUR FADILAH 3 TH TH BATU INDAH RT 041 817332 FEBRIS RESEP 42,000 33,000 - - -
    312 MI RAJIAH 35 TH P AWS GG H.SABRAN RT 009 825565 INPARTU VT,DOPLER 42,000 33,000 - - -
    313 SISWATI ROBIAH 20 TH P JELAWAT GG MOSI RT 022 782599 GRAVID PLEB 42,000 33,000 - - -
    314 NUR SALSABILA NAZLA T 4 TH P AWS RT 024 808395 PAROTITIS RESEP 42,000 33,000 - - -
    315 NITA ANGGREANI T 19 TH P BASUKI RAHMAT 2 RT 004 NO 16 763885 CEPALGIA INJEKSI 42,000 33,000 - - -
    316 JAMILAH 50 TH P RAJAWALI DALAM RT 011 825673 FEBRIS PLEB 42,000 33,000 - - -
    317 SITI NUR HALISAH 4 TH P ULIN GG 23 RT 006 707194 ISPA PELB 42,000 33,000 - - -
    318 SUTRIANTI BACHTIAR 29 TH P AMUNTAI RT 021 825602 GRAVID VT,DOPLER 42,000 33,000 - - -
    319 M.FEBRIAN NUR 4 TH L MASJI RAWA MAKMUR RT 030 824644 MORBILI PLEB 42,000 33,000 - DR.HENDRA -
    320 HARIYANTO 32 TH L W.MONGONSIDI RT 016 824524 ISK PLEB 42,000 33,000 - - -
    321 14/2/2015 SUDARSONO 47 TH L MANUNGGAL GG 13 RT 077 824407 EPITAKSIS INJEKSI 42,000 33,000 - - -
    322 SYAFA NUR HIJRAH 7 TH L MT.HARIYONO GG 4 RT 009 824424 ISPA PLEB 42,000 33,000 - - -
    323 RIA AGUS ALFIANI 22 TH P T.UMAR GG DURIAN TUNGGAL RT 035 824263 INPARTU DOPLER,VT,INJEKSI 42,000 33,000 - - -
    324 RUDI KADIR 46 TH P DI PANJAITAN RT 033 779527 HT PLEB,EKG,INJEKSI 42,000 33,000 - - -
    325 NIKITA NUR IRMANSYAH 11 TH P KARANG MULYA I RT 018 824240 FEBRIS PLEB 42,000 33,000 - - -
    326 HAFIDAH 46 TH P S.PARMAN GG IV RT 029 290796 VOMITING INJEKSI 42,000 33,000 - - -
    327 NAUFAL 2 TH L DAENG MANGKONA RT 019 824411 ISPA PLEB 42,000 33,000 - - -
    328 IRMA NUR HIDAYAH 9 TH P KURNIA MAKMUR RT 023 670695 BRONCHITIS RESEP 42,000 33,000 - - -
    329 WAHAB FAJAR SETIAWAN 2 TH L GIRI REJO RT 022 822486 VOMITING RESEP 42,000 33,000 - - -
    330 M.RIZKI RAMADHAN 7 TH L DAMAI RT 028 824260 KONSTIPASI PLEB,SUPP 42,000 33,000 - - -
    331 DEDY IRAWAN 29 TH L MERANTI GG II RT 019 824259 DISPEPSYA RESEP 42,000 33,000 - - -
    332 NABILA NUR ASYIFA 1 TH P REEL RT 10 RT 20 824171 FEBRIS PLEB 42,000 33,000 - - -
    333 M.TAHIR 45 TH L ST.ALIMUDDIN RT 021 824287 GERD RESEP 42,000 33,000 - - -
    334 SITI AULIA HALIMAH PUTR 2 TH P KS.TUBUN WIRATAMA RT 018 824282 BRONCHITIS PLEB 42,000 33,000 - - -
    335 YAKOP 70 TH P EKONOMI RT 012 824242 TB PARU PLEB,O2 42,000 33,000 32,000 - -
    336 ABDUL RAZAK 46 TH L PM.NOOR RT 039 682176 HNP INF,PLEB,EKG,INJEKSI 42,000 33,000 - - -
    337 ANGGUN TRISYAFA AZZAH 2 TH P SERAYU RT 022 824244 FEBRIS PLEB 42,000 33,000 - - -
    338 SARIPAH LAILA 30 TH P P.BENDAHARA RT 025 780129 AB IMMINENS PLEB 42,000 33,000 - - -
    339 HILDA WATI 20 TH P TENGKAWANG RT 015 823640 MENOMETRORAGIA PLEB,INJEKSI 42,000 33,000 - - -
    340 ERNI 31 TH P ST.ALINUDDIN RT 021 824288 GASTRITIS RESEP 42,000 33,000 - - -
    341 15/2/2015 SETIAWATI 58 TH P JOYO MULYO RT 029 823309 DISPEPSYA GDS,EKG,INJEKSI 42,000 33,000 - - -
    342 MEGA RUSMAWATY 27 TH P PERUM PKL BLOK D 670 RT 010 570074 ASMA O2,NEBU,INJEKSI 42,000 33,000 32,000 - -
    343 HUMAIRO 10 TH P S.PARMAN GG 4 RT 029 824500 ISPA PLEB 42,000 33,000 - - -
    344 RAFI PRATAMA 3 TH L KEMAKMURAN GG PLN RT 022 687118 MORBILI PLEB 42,000 33,000 - - -
    345 ZHAFIRAH MADANIAH 4 TH P GELATIK RT 016 817570 MYALGIA RESEP 42,000 33,000 - - -
    346 IRANKA YULIANTI 3 TH P P.ANTASARI GG WARGA RT 002 824460 CONTUSIO M PLEB,SUPP 42,000 33,000 - - -
    347 HENDARA SAPUTRA 22 TH L LUMBA LUMBA RT 006 824513 VL WTH IV,INJEKSI 42,000 33,000 - - -
    348 HERY OSCAR 53 TH L MUSO SALIM NO 68 RT 016 773624 CKD INJEKSI 42,000 33,000 - - -
    349 YULIANTI EKA AGUSTINA 10 TH P BATU CERMIN RT 005 369940 TONSILITIS RESEP 42,000 33,000 - - -
    350 NURI DINA SARI 21 TH P NUSA INDAH III NO 11 RT 02 824508 FEBRIS RESEP 42,000 33,000 - - -
    351 ANUGRAH SAPUTRA 1 TH L OTISTA GG H MASTURA RT 033 808305 ISPA PLEB,NEBU 42,000 33,000 - - -
    352 M.ANYA ALKADRI 14 TH L ST.SULAIMAN RT 008 657869 COMMOND COLD RESEP 42,000 33,000 - - -
    353 ERNI ASMAWATI 20 TH P SENTOSA GG KENANGAN IA NO 55 RT 07 787864 ASMA NEBU,INJEKSI 42,000 33,000 - - -
    354 HARIYANTO 22 TH L W.MONGONSIDI NO 21 RT 016 824524 DISPEPSYA INJEKSI 42,000 33,000 - - -
    355 DHAFITHA ANINDYA ISTA 1 TH P S.PARMAN RT 01 824497 VOMITING RESEP 42,000 33,000 - - -
    356 YEHUDA DUMA 7 TH P PERJUANGAN RT 002 824540 ISPA RESEP 42,000 33,000 - - -
    357 DAIMAWATI 36 TH P PARAMUKA 17 RT 004 NO 46 342357 CEPALGIA RESEP 42,000 33,000 - - -
    358 M.HENDRARSO 5 TH L PROPINSI RT 024 722438 ISPA RESEP 42,000 33,000 - - -
    359 SITI AISYAH 60 TH P OTISTA RT 015 741407 ASMA NEBU,INJEKSI 42,000 33,000 - - -
    360 M.NAZAR WILDAN 11 TH L BHAYANGKARA GG 1B RT 004 824548 DISPEPSYA PLEB,INJEKSI 42,000 33,000 - - -
    361 SURYA MUNTAHA 16 TH L HOS COKRO AMINOTO RT 030 824472 ISPA RESEP 42,000 33,000 - - -
    362 MANGAPUL HUTAPEA 40 TH L PERUM BUMI HIJAU ABADI EF NO 14 589533 GEA INF,INJEKSI 42,000 33,000 - - -
    363 LISA MARIANI 31 TH P GELATIK RT 016 388062 FEBRIS RESEP 42,000 33,000 - - -
    364 MACHKEL LEWI DUMA 8 TH L PERJUANGAN RT 02 SMPJ 824541 ISPA RESEP 42,000 33,000 - - -
    365 DZAKA ARYA TAUFIQUR R 3 TH L JAKARTA BLOK Z NO 08 RT 045 824517 ISPA PLEB 42,000 33,000 - - -
    366 ASPIANOOR 36 TH L PGRI BLOK E RT 006 824476 TB PARU INF,PLEB,EKG,INJEKSI 42,000 33,000 - - -
    367 DWI RAHAYU 24 TH L CENDANA GG XI RT 036 572991 DYSPESIA INJEKSI 42,000 33,000 - - -
    368 DAHRIANI 39 TH P GN CERMAI RT 001 636419 GASTRITIS EKG,INJEKSI 42,000 33,000 - - -
    369 16/2/2015 M.ZAHRI 2 TH L CIOLA GG NIKMAT RT 033 824658 ISK PLEB 42,000 33,000 - - -
    370 SUATUN 70 TH P KEMAKMURAN GG KNPI RT 013 824677 CONTUSIO M RESEP 42,000 33,000 - - -
    371 ADJI THORIK SAMIE A 19 TH L S.RIADI RT 013 824637 GEA INF,PLEB,INJEKSI 42,000 33,000 - - -
    372 SAPARI 65 TH L SENTOSA GG HIDAYAH RT 072 824674 VL WTH,INJEKSI 42,000 33,000 - - -
    373 NORMA ATIK 59 TH P KEMAKMURAN GG KNPI RT 021 427139 ISK PLEB,EKG,INJEKSI 42,000 33,000 - - -
    374 LILIK PUJI LESTARI 20 TH P AWS GG PANDAN MEKAR NO 67 RT 030 811654 MYALGIA INJEKSI 42,000 33,000 - - -
    375 HALIMAH 57 TH P KEMAKMURAN GG MANTRA RT 044 614267 DISPEPSYA PLEB,EKG,INJEKSI 42,000 33,000 32,000 - -
    376 ANDIKA AJI PRASTYO 15 TH L BAYAM 1 BLOK E 442 RT 090 824606 FEBRIS PLEB 42,000 33,000 - - -
    377 MELYSYA 25 TH P KOMP PASAR SERIGI RT 028 824634 CEPALGIA PLEB 42,000 33,000 - - -
    378 NURJANNAH OKTAVIA A 5 TH P MONAS RT 037 824638 FARINGITIS RESEP 42,000 33,000 - - -
    379 NUR HARIYANTI 32 TH P KEBON AGUNG RT 003 824639 DYSMENORHEA PLEB 42,000 33,000 - - -
    380 SUBADI 68 TH L WIRATAMA RT 027 734690 FEBRIS INF,PLEB,EKG,INJEKSI 42,000 33,000 - - -
    381 KASPUL ANWAR 50 TH L GN LINGAI RT 004 824640 INTOSIKASI MAKANAN PLEB,EKG,INJEKSI 42,000 33,000 - DR.ENY 75,000
    382 LIKAH HANDAYANI 35 TH P PASUNDAN NO 37 GG I D RT 029 791848 OBS PALPASI INF,O2 42,000 33,000 32,000 - -
    383 RISQI SYAQILA AISYAH 5 TH P DR.SOETOMO GG RT 032 623805 KONSTIPASI PLEB,KONSUL 42,000 33,000 - DR,.DADIK 75,000
    384 DAVA ARMADAN 8 TH L BUNG TOMO GG SELAMAT RT 027 824585 FEBRIS PLEB 42,000 33,000 - - -
    385 KHALIFAHTUL MADINAH 3 TH P SENTOSA RT 044 712958 ASMA NEBU,O2 42,000 33,000 32,000 - -
    386 NURSAIDAH 9 TH P PERUM HANDIL KOPI RT 033 824591 ABSES PEDIS WT,CROSS INSISI,INJEKSI 42,000 33,000 - - -
    387 MISLAN 55 TH L TURI RAYA NO 350 RT 075 514964 HYDRO CEPALUS INF.PLEB,KONSUL 42,000 33,000 - DR.LUTFI 75,000
    388 SYAFIQAH NUR ADHWA 2 TH P JAKARTA GG PGRI RT 061 808040 ABD DISCONFORT RESEP 42,000 33,000 - - -
    389 SALIM RAYA PALULLU 39 TH L PEMUDA 3 RT 009 824602 OBS KONVULSI INF,PLEB,INJEKSI 42,000 33,000 - DR.SUSILO 75,000
    390 NURHALIFAH 36 TH P KEBON AGUNG RT 002 535350 INPARTU VT,DOPLER 42,000 33,000 - - -
    391 17/2/2015 AURAORA PUTRI P 6 TH P MANUNGGAL GG VARIASI RT 030 533184 ISPA PLEB 42,000 33,000 - - -
    392 M.ZAKY NUR AZRI 3 TH L PEMUDA 3 BLOK B/44 RT 005 698286 FEBRIS RESEP 42,000 33,000 - - -
    393 RUSDI 77 TH L BELIMAU RT 024 765437 RETENSIO URIEN PASANG CATETER 42,000 33,000 - - -
    394 APRILIANI 1 TH P ULIN RUMBIA RT 007 824781 FEBRIS PLEB 42,000 33,000 - - -
    395 ZAHARA BALQIS 8 TH P ULIN GG 23 RT 006 824793 TONSILITIS RESEP 42,000 33,000 - - -
    396 SRI YUDHA HANDAYANI 37 TH P KH.USMAN BERAHIM RT 012 654510 ASMA NEBU,INJEKSI 42,000 33,000 - - -
    397 RIRI MAULIA PUTRI 42 TH P PATIMURRA RT 033 824736 BATUK KRONIS RESEP 42,000 33,000 - - -
    398 MACHLUFFI 48 TH L BUNG TOMO RT 011 776294 ISPA PLEB,INJEKSI 42,000 33,000 - - -
    399 HARTATI 38 TH P PEMUDA III BLOK E NO 115 RT 007 824756 HEPATOMA INF,PLEB,RJP,DC,MON,O2 42,000 33,000 32,000 DR.NIRA 75,000
    400 RINA WAHYUNI WAHYUNI 18 TH P KH.AGUS SALIM RT 017 824776 SUSP ISK PLEB,INJEKSI 42,000 33,000 - - -
    401 RUDI KADIR 45 TH L DI PANJAITAN RT 033 710172 DYSPESIA PLEB,EKG,INJEKSI 42,000 33,000 - - -
    402 HERLINA CHANDRA 37 TH P BANGERIS RT 021 824712 INPARTU PLEB,DOPPLER 42,000 33,000 - - -
    403 AIDA 42 TH P M.SAID RT 027 824755 GASTROPARISES PLEB,EKG,INJEKSI 42,000 33,000 - - -
    404 SELVI ANDRIANI 13 TH P BAYAM 14 NO 661 RT 090 824625 FEBRIS INF,PLEB,INJEKSI 42,000 33,000 - DR.NIRA 75,000
    405 M.SYARIFUDDIN 59 TH L GELATIK RT 016 132507 KRISIS HT INJEKSI 42,000 33,000 - - -
    406 SETH SETAI 75 TH L LEMPAKE JAYA RT 011 335646 ASMA INF,PLEEB,NEBU,INJEKSI,O2 42,000 33,000 32,000 DR.DONI 75,000
    407 PRIYONO 83 TH L KH.W.HASYIM RT 009 824702 COMMOND COLD RESEP 42,000 33,000 - - -
    408 EVI TAMALA SYARI JAITUN 20 TH P NURUDIN RT 016 824452 MORBILI RESEP 42,000 33,000 - - -
    409 HERMAN KISMAN 59 TH L LAMBUNG MANGKURAT RT 026 824700 BPH INJEKSI 42,000 33,000 - - -
    410 TRI UTAMI NINGSIH 50 TH P MILONO RT 014 823613 CKR INF,PLEB,WTH III, INJEKSI 42,000 33,000 - - -
    411 REFIYANA FADILAH 11 TH P NUSA INDAH 3 RT 002 824159 DYSMENORHEA INJEKSI 42,000 33,000 - - -
    412 DAVID HERU SUWARSONO 45 TH L PEMUDA III NO 5 RT 011 824744 BSK PLEB,EKG,INJEKSI 42,000 33,000 - - -
    413 ARIF DARMAWAN 19 TH L KS.TUBUN RT 011 824758 FEBRIS PLEB 42,000 33,000 - - -
    414 A.ZAJULI NUR RAMADHAN 1 TH L P.SURYANATA RT 015 824705 ASMA NEBU,O2 42,000 33,000 32,000 - -
    415 H.RONI B H 22 TH L P.SURYANATA RT 003 805735 DYSPESIA INJEKSI 42,000 33,000 - - -
    416 18/2/2015 MARDIAH 30 TH P KH.ABUL HASAN GG 7 RT 013 824889 ASMA O2,NEBU,INJEKSI 42,000 33,000 32,000 - -
    ALLEN PRATAMA PUTRA 29 TH L JELAWAT GG 8 NO 20 RT 003 694037 ASMA O2,NEBU,INJEKSI 42,000 33,000 32,000 - -
    AYU LESTARI 17 TH P H.JAHRA RT 012 790084 ISK PLEB 42,000 33,000 - - -
    RAMA ADI SAPUTRA 6 TH L KH.HARUN NAFSI RT 020 824301 DISPEPSYA PLEB 42,000 33,000 - - -
    WAWAN IBRAHIM 54 TH L PELITA3 SAMBUTAN RT 012 718201 ISPA RESEP 42,000 33,000 - - -
    TAWAKAL 61 TH L JELAWAT NO 39 RT 005 542542 HEMOROID RESEP 42,000 33,000 - - -
    LEHA 26 TH P KH.WAHID HASYIM RT 052 805738 FURUKEL RESEP 42,000 33,000 - - -
    BAHRI 39 TH L PADAT KARYA RT 009 802737 CAT BITE WT,INJEKSI 42,000 33,000 - - -
    PUTRI PURNAMA SARI 18 TH P AL HASNIE RT 005 824883 DEMAM DENGUE INF,PLEB 42,000 33,000 - - -
    NUIR KHAIRANI 21 TH P P.SURYANATA GG CEMPAKA RT 029 824879 VERTIGO RESEP 42,000 33,000 - - -
    AFIFAH ZHAFIRA 6 TH P ST.SULAIMAN RT 029 656120 FEBRIS RESEP 42,000 33,000 - - -
    HELY YANTI 29 TH P GIRI MUKTI RT 018 818393 INPARTU PLEB,VT,DOPLER 42,000 33,000 - - -
    M.IVAN ARIYANTO 13 TH L TARMIDI NO 17 RT 012 824837 ISPA RESEP 42,000 33,000 - - -
    SULASTRI 34 TH P T.UMAR GG DURIAN TUNGGAL RT 035 824841 VERTIGO INJEKSI 42,000 33,000 - - -
    WAHYUNI 30 TH P MUGIREJO RT 013 400555 CHEST PAIN PLEB,INJEKSI 42,000 33,000 - - -
    GUSTI ERLITA 40 TH P GN.CERMAI RT 001 418668 ASMA O2,NEBU,INJEKSI 42,000 33,000 32,000 - -
    WIWIN 22 TH P PADAT KARYA RT 008 SMPJ 824796 DISPEPSYA INJEKSI 42,000 33,000 - - -
    M.RADIT NOR F 7 TH L PERUM SAMBUTAN PERMAI E/93 RT 036 824860 FEBRIS PLEB 42,000 33,000 - - -
    M.ALIF NUR EFENDI 15 TH L JOYO MULYO RT 036 824826 VOMITING INJEKSI 42,000 33,000 - - -
    SUWARNO 57 TH L GAATSU 2 RT 022 824824 CEPALGIA INJEKSI 42,000 33,000 - - -
    EVI RISTIANY 19 TH P BIAWAN GG II RT 016 824857 TB PARU RESEP 42,000 33,000 - - -
    M.ALFIAN NUR 4 TH P REEL 10 RT 020 802465 FEBRIS RESEP 42,000 33,000 - - -
    M.BINTANG FAJAR 2 TH L AWS RT 09 824825 FEBRIS PLEB,NEBU 42,000 33,000 - - -
    CHAIRUNISA AZZAHRA IR 4 TH P S.PARMAN 1 RT 003 824873 FEBRIS PLEB,INJEKSI 42,000 33,000 - - -
    SUMARDI 60 TH L REVOLUSI RT 007 561513 GOUT ARTRITIS INJEKSI 42,000 33,000 - - -
    ASMURAN 51 TH L BELATUK RT 021 824876 DISNUE PLEB,O2 EKG 42,000 33,000 - - -
    RABITHAH AILA SURYOPUT 2 TH P PERUM PKLDLOK D RT 016 824878 FEBRIS PLEB 42,000 33,000 - - -
    19/2/2015 LISIANO LOMBOAN 10 TH L NAHKODA RT 015 BUKUAN 825029 CONTUSIO M RESEP 42,000 33,000 - - -
    NANIK ALFIANTUN 45 TH P WIRAGUNA RT 08 762723 FATIQUE RESEP 42,000 33,000 - - -
    SYAHRIL 42 TH L JELAWAT RT 008 762356 SEPSIS PLEB,DC,EKG,INF,O2 KONSUL 42,000 33,000 32,000 DR.DONY/NIRA 150,000
    KASTONO 61 TH L PATIMURA RT 025 806701 TB PARU PLEB 42,000 33,000 - - -
    M.ATHOILLAH 12 TH L AM.SANG AJI RT 003 656545 ASMA NEBU,O2 42,000 33,000 32,000 - -
    M.RIZKI RAMADHAN 7 TH L DAMAI RT 028 824260 KONSTIPASI SUPP 42,000 33,000 - - -
    BASUKI 58 TH L WIRASWASTA RT 013 748640 VERTIGO PLEBO,EKG 42,000 33,000 - - -
    NOVIANTI MANALU 26 TH P PERUM PKL D/288 RT 022 365786 RHINITIS RESEP 42,000 33,000 - - -
    DIANZ SEKAR TANJUNG 3 TH P S.PARMAN RT 002 770012 FEBRIS PLEB 42,000 33,000 - - -
    VIRAHAYU ABILDA SESYA 2 TH L KADRIE OENING ERLISA NO 25 RT 018 785864 ISPA PLEB,NEBU 42,000 33,000 - - -
    SUYANTI 50 TH P ST.ALIMUDDIN RT 035 825008 FEBRIS RESEP 42,000 33,000 - - -
    NOVAL 6 TH L GAMELAN RT 039 818642 VOMITING INF,INJEKSI 42,000 33,000 - - -
    M.ABDAN FAHREZA 6 TH L BANGERIS RT 021 755711 ASMA NEBU,O2 42,000 33,000 32,000 - -
    MARMINI 52 TH P GERILYA RT 058 824959 ISK PLEB 42,000 33,000 - - -
    TUMMI 62 TH P KH.AGUS SALIM GG 5D RT 031 745631 ISPA RESEP 42,000 33,000 - - -
    HERLINA CHANDRA 37 TH P BANGERIS RT 021 824712 INPARTU PLEB,VT,DOPLER 42,000 33,000 - - -
    M.ALIF NUR EFENDI 15 TH L JOYO MULYO RT 036 824826 FEBRIS PLEB 42,000 33,000 - - -
    M.FAHMI 6 TH L MERDEKA II NO 88 RT 092 789908 ASMA NEBU,O2 42,000 33,000 32,000 - -
    M.AMIRUDDIN 45 TH L KEMANGGI GG NUNUKAN RT 023 825042 GINGIVITIS INJEKSI 42,000 33,000 - - -
    SITI NASRIAH 50 TH P TURI PUTIH 2 RT 089 348453 DISPEPSYA EKG,INJEKSI 42,000 33,000 - - -
    M.ZAENAL ARIFIN SYAM 4 TH L M.YAMIN RT 015 692436 ISPA RESEP 42,000 33,000 - - -
    APRILAIA AISYAHWATI 21 TH P JAKARTA GG TUGU MONAS RT 081 825022 DUB PLEB 42,000 33,000 - - -
    ASMURAN 54 TH L BELATUK RT 021 824076 DYSPNUE PLEBO,EKG 42,000 33,000 - - -
    SYALU AGRIKA PUTRI 2 TH P JAKARTA GG PERJUANGAN RT 072 824992 FEBRIS RESEP 42,000 33,000 - - -
    ADELIA ROBBIYATUL M 6 TH P PADAELO RT 04 824993 DEMAM DENGUE PLEB 42,000 33,000 - - -
    ASELFI SENTIA DEWI 2 TH P SEI SIRING RT 001 824965 IMPETIGO KRUSTOSA KONSUL 42,000 33,000 - DR.AGNES 75,000
    RESTU ARTA FADITA 2 TH L KH.WAHID HASYIM RT 028 824929 ISPA PLEB 42,000 33,000 - - -
    M.AQIL RIFQI 5 TH L LEMPAKE RT 044 825049 VOMITING RESEP 42,000 33,000 - - -
    ABDUL RAZAK MUSTAFA 67 TH L DR.SOETOMO GG 2 NO 61 RT 030 189913 PPOK NEBU,EKG,O2,INJEKSI 42,000 33,000 32,000 - -
    RINI HAIRANI 32 TH P JELAWAT RT 006 734211 INPARTU VT,DOPLER 42,000 33,000 - - -
    MATNUR 67 TH L KH.SAMANHUDI GG DIGANTARA VII NO 4 816564 CHF PLEB,EKG,INJEKSI 42,000 33,000 - - -
    MALIKA FEBRIANA 2 TH P SEJATI RT 027 684175 ISPA RESEP 42,000 33,000 - - -
    HERY OSCAR 53 TH L MUSO SALIM NO 68 RT 016 773624 ASMA NEBU,EKG,O2,INJEKSI 42,000 33,000 32,000 - -
    RAMA KURNIAWAN 10 TH L H.MARHUSIN RT 017 824885 ISPA PLEB 42,000 33,000 - - -
    FERDIANSYAH 8 TH L AWS RT 014 825014 V.MORSUM INJEKSI 42,000 33,000 - - -
    20/2/2015 ANDI ALYA SALSABILA 11 TH P KADRIE OENING NO 33 RT 016 825353 FLUOR ALBUS RESEP 42,000 33,000 - - -
    M.HAFIZH EDIANSYAH 2 TH L ADB MUTHALIB RT 009 730539 ASMA NEBU 42,000 33,000 - - -
    NADA TALITA SALSABILA 2 TH P SULTAN SULAIAMAN RT 009 825089 FEBRIS PLEB 42,000 33,000 - - -
    SYARIFAH HENI K 26 TH P KH.AGUS SALIM GG TANJUNG RT 036 825093 ASMA INF,NEBU,O2,INJEKSI 42,000 33,000 32,000 - -
    RIZKI AZIS SAPUTRA 26 TH L PROKLAMASI RT 052 825343 SNAKE BITE WT,INJEKSI 42,000 33,000 - - -
    ROSLINDA 33 TH P S.PARMAN GG 3 RT 030 824955 CEPALGIA RESEP 42,000 33,000 - - -
    ALLEN PRATAMA PUTRA 29 TH L JELAWAT GG 8 NO 20 RT 003 694037 ASMA NEBU,INJEKSI 42,000 33,000 - - -
    HAYYA HAURA AZIZA 6 TH P JUANDA 8 MANGGA RAYA N2 RT014 825076 FEBRIS PLEB 42,000 33,000 - - -
    ANDI HAIRULLAH 19 TH L PELITA 6 RT 018 824820 DEMAM DENGUE PLEB 42,000 33,000 - - -
    SUGITO 58 TH L PERUM SBT IDAMAN RT 036 825345 DEMAM DENGUE PLEB,EKG,INJEKSI 42,000 33,000 - - -
    PUSPITA SARI 17 TH P AZIS SAMAD RT 033 825063 DISPEPSYA INJEKSI 42,000 33,000 - - -
    NIHAYATUL MULAWARMAN 22 TH P KH.W.HASYIM 825324 VL INJEKSI 42,000 33,000 - - -
    KARMUJI 52 TH L OTISTA GG 12 RT 020 825312 THYPOID PLEB 42,000 33,000 - - -
    ATMO SURADI 42 TH L SUKOREJO RT 003 814737 ASMA NEBU,EKG,O2,INJEKSI 42,000 33,000 32,000 - -
    ARKAS SAPUTRA 1 TH L BAYUR R 784430 FEBRIS PLEB 42,000 33,000 - - -
    NAURA HASNA NOOR A 1 TH P S.PARMAN RT 002 826074 ISPA PLEB 42,000 33,000 - - -
    M.ALIF NUR EFENDI 15 TH L JOYO MULYO RT 036 824826 FEBRIS PLEB 42,000 33,000 - - -
    SOFIA DIANA 30 TH P GERILYA GG MEJID C/30 RT 047 641025 BSK PLEB 42,000 33,000 - - -
    M.ALFIAN NUR 4 TH L REEL 10 RT 020 802465 FARINGITIS PLEB 42,000 33,000 - - -
    THOHIR 55 TH L L.MANGKURAT RT 011 815146 CEPALGIA PLEB,EKG,INJEKSI 42,000 33,000 - DR.DJOEN 75,000
    SALSABILA YUNITA S 2 TH P DAMAI RT 027 825077 GEA INF,PLEB,INJEKSI 42,000 33,000 - - -
    21/2/2015 ALIKA ADZANIA AZZAHRA 3 TH P P.SURYANATA RT 015 709586 ISPA PLEB 42,000 33,000 - - -
    ERGI ABDI WICAKSONO 10 TH L RAWASARI RT 011 825337 RHINITIS RESEP 42,000 33,000 - - -
    LIDIA WATI 34 TH P SULTAN SULAIMAN RT 010 720752 KONSTIPASI SUPP 42,000 33,000 - - -
    ALLEN PRATAMA PUTRA 29 TH L JELAWAT GG 8 NO 20 RT 003 694037 ASMA O2,NEBU,INJEKSI 42,000 33,000 32,000 - -
    ADEEVA MYESHA MAULANA 2 TH L DANAU TOBA GG 3 NO 59 RT 022 825433 ISPA PLEB 42,000 33,000 - - -
    PUSPITA SARI 17 TH P A.AZIS SAMAD RT 033 825063 DISPEPSYA OKSIGEN 42,000 33,000 32,000 - -
    HERMAN 54 TH L BELATUK 7 RT 021 825888 CEPALGIA INJEKSI 42,000 33,000 - - -
    WANTI 38 TH P MERAPI RT 012 816502 ABD DISCONFORT PLEB,INJEKSI 42,000 33,000 - - -
    SRI UTAMI FUJI ASTUTI 41 TH P PUSPITA BENGKURING RT 091 825403 DISPEPSYA PLEB,O2,EKG INJEKSI 42,000 33,000 32,000 - -
    SUPRIYANTO 49 TH L DELIMA RT 001 825407 TROUMA OCULI RESEP 42,000 33,000 - - -
    H.SURIANSYAH 62 TH L WONOSARI RT 024 825414 COLIC ABDOMEN INF,PLEB,EKG 42,000 33,000 - DR.FRIZT 75,000
    MISKAN 53 TH L KS.TUBUN RT 018 825412 ISK PLEB 42,000 33,000 - - -
    M.NUR RICCU SETIA RAMD 2 TH L PRAMUKA I NO 32 RT 006 756479 FEBRIS RESEP 42,000 33,000 - - -
    NADA TALITA SALSABILA 2 TH P SULTAN SALAIMAN RT 009 825084 DEMAM DENGUE PLEB 42,000 33,000 - - -
    SUNARDI 47 TH L MUSO SALIM RT 015 NO 26 825402 LBP INF,PLEB,KONSUL 42,000 33,000 - DR.DAVID 75,000
    SAUBAN AL MUZHOFFAR 10 TH L GATSU GG 7 RT 028 463431 VL WT,INJEKSI 42,000 33,000 - - -
    MALIKA FEBRIANA 2 TH P SEJATI RT 027 684175 ISPA NEBU,PLEB 42,000 33,000 - - -
    M.AL ZIDANSYAH 6 TH L SENTOSA RT 044 520580 FARINGITIS PLEB 42,000 33,000 - - -
    M.HISBULLAH ST 12 TH L ARGAMULIA DALAM RT 014 825410 FEBRIS PLEB 42,000 33,000 - - -
    M.ALWI SANTANG 2 TH L KEMAKMURAN DALA, RT 020 790054 FEBRIS PLEB 42,000 33,000 - - -
    ARDY NURCHOLID 18 TH L MT.HARIYONO GG 1 RT 009 825461 FEBRIS RESEP 42,000 33,000 - - -
    M.REZA PRATAMA 1 TH L ULIN GG VI NO 33 RT 021 756129 FEBRIS PLEB 42,000 33,000 - - -
    WINA ASTRI PUTRI 30 TH P KH.HARUN NAFSI RT 009 803121 FEBRIS RESEP 42,000 33,000 - - -
    SAHRUL 26 TH L PM.NOOR RT 039 825395 BROCHITIS RESEP 42,000 33,000 - - -
    M.FEBRIANI JAYA P 3 TH L PEMUDA 3 NO 42 RT 005 641899 FARINGITIS PLEB 42,000 33,000 - - -
    MARSITI JHONATAN 43 TH P RING ROAD RT 001 825365 PULPITIS RESEP 42,000 33,000 - - -
    AZLIA MERINDA AILSA 1 TH P REVOLUSI GG KENANGAN NO 79 RT 043 825471 ISPA PLEB 42,000 33,000 - - -
    SUTIYEM 52 TH P KARYA BAKTI RT 009 754287 ASMA NEBU,EKG,O2,INJEKSI 42,000 33,000 32,000 - -
    ALWI DJAKO 48 TH L PM.NOOR BENUANG RT 041 825474 VERTIGO EKG,INJEKSI 42,000 33,000 - - -
    22/2/2015 PANDY ACHMAD RIZANI 42 TH L CM.KUSUMO RT 009 779515 BSK PLEB 42,000 33,000 - - -
    NAZW SYABILLA AZ'ZAHRA 2 TH P P.SURYANATA GG CEMPAKA RT 029 825508 PULPITIS PLEB 42,000 33,000 - - -
    RAHMADANI 45 TH P S.RIADI RT 001 825516 DISPEPSYA EKG,INJEKSI 42,000 33,000 - - -
    MARJANI 62 TH L OTISTA RT 018 103899 DISPEPSYA EKG,INJEKSI 42,000 33,000 - - -
    MISRAN 52 TH L AM.SANGAJI GG PEUNJUNAN RT 008 823458 POST STROKE PLEB,EKG,INJEKSI 42,000 33,000 - - -
    SUYATIN 50 TH P ST.ALIMUDDIN RT 035 825008 DISPEPSYA PLEB,O2,EKG INJEKSI 42,000 33,000 - - -
    MURISA 53 TH P P.ANTASARI GG 1 RT 042 NO 110 572221 CAD PLEB,O2,EKG INJEKSI 42,000 33,000 - - -
    SULTAN S W 5 TH L BUNG TOMO RT 029 821095 FEBRIS SUPP 42,000 33,000 - - -
    ALIANSAYH 40 TH L M.YAMIN RT 027 000570 ISPA RESEP 42,000 33,000 - - -
    M.HATTA 69 TH L PIPIT RT 023 SMD 720268 ULKUS DM PLEBO,EKG 42,000 33,000 - - -
    SULASMI 57 TH P KEMAKMURAN GG KNPI RT 021 713510 GEA PLEB,EKG,INJEKSI 42,000 33,000 - - -
    NUR SYAM 48 TH L RAJAWALI DALAM RT 011 825577 MUSCLE SPASME RESEP 42,000 33,000 - - -
    M.NIZAM PRATAMA 2 TH L PADAELO RT 006 724241 ISPA RESEP 42,000 33,000 - - -
    DENIK KURNIAWAN 32 TH L P.SURYANATA GG MISNA RT 028 388155 LBP EKG,INJEKSI 42,000 33,000 - - -
    JAZMIN NAFA AYUNDA 3 TH P W.MONGONSIDI 817404 FEBRIS RESEP 42,000 33,000 - - -
    MARIA JANUNG 35 TH P KH.W.HASYIM GG WAHYU RT 039 825573 COLIC ABDOMEN PLEB 42,000 33,000 - - -
    DEWI ANGGUN LESTARI 23 TH P PADAT KARYA RT 008 SMPJ 730044 DISPEPSYA INJEKSI 42,000 33,000 - - -
    NAZWA ELMEERA I 5 TH P AGUS SALIM NO 35 RT 019 825539 FEBRIS PLEB 42,000 33,000 - - -
    SYAFI'I 53 TH L S.PARMAN GG 4 RT028 825596 SNH INF,PLEB,DC,MONTR,EKG,NGT 42,000 33,000 32,000 DR.SUSILO 75,000
    M.KHOIRUR ROZI 17 TH L DI PANJAITAN RT 033 725157 TONSILITIS RESEP 42,000 33,000 - - -
    SITI NASRIAH 50 TH P TURI PUTIH 2 RT 089 348453 ISPA RESEP 42,000 33,000 - - -
    WAHYUDI 28 TH L TEUKU UMAR RT 027 825546 TROMBOSITOPENIA PLEB 42,000 33,000 - - -
    AYU LESTARI 18 TH P HJ.ZAHRAH RT 012 790084 COLIC ABDOMEN RESEP 42,000 33,000 - - -
    SYAMSUDDIN 66 TH L DR.SUTOMO GG 6 RT 40 273841 HT EKG,INJEKSI 42,000 33,000 - - -
    S JIWANTO 61 TH L TURI PUTIH 2 RT 089 332814 FEBRIS RESEP 42,000 33,000 - - -
    MUKSIN 34 TH L MANUNGGAL RT 077 825510 VERTIGO RESEP 42,000 33,000 - - -
    HERI WIDIANTO 19 TH L REVOLUSI RT 008 639791 AGNE VULGARIS RESEP 42,000 33,000 - - -
    NIKHLATUN NAAFIAH 20 TH L PERJUANGAN GG SUKSES RT 038 825502 OA RESEP 42,000 33,000 - - -
    AFFAN MUALANA HABIBI 2 TH L KH.W.HASYIM GG SALIM RT 013 705583 ISPA PLEB,SUPP 42,000 33,000 - - -
    FACHRULLAH 31 TH L RE.M.DINATA GG TUKANG RT 009 510532 ASMA O2,NEBU,INJEKSI 42,000 33,000 32,000 - -
    23/2/2015 MACHLAN 72 TH L PAKIS 2 D/137 RT 082 707760 CAD INJEKSI 42,000 33,000 - - -
    M.MUNYAR REFALDI 3 TH L KH HARUN NAFSI RT 017 825638 GEA RESEP 42,000 33,000 - - -
    NUR ANGGRANI 3 TH P ST AISYAH RT 019 784395 FEBRIS PLEB 42,000 33,000 - - -
    FAHRU AL MUR JUDZ TUAH 7 TH L OTISTA RT 022 825574 ISPA PLEB 42,000 33,000 - - -
    A.ZHIEDAN 9 TH L S.RIADI GG 2 RT 012 825679 VL WTH III,INJEKSI 42,000 33,000 - - -
    SITI MANIYAH 39 TH P WIJAYA KUSUMA RT 019 825669 V.ICHTUM CROSS INSISI,INJEKSI 42,000 33,000 - - -
    LIYANA EGA WAHYUNI 3 TH P CENDANA GG 4 RT 004 792356 ASMA O2,NEBU,INJEKSI 42,000 33,000 32,000 - -
    SETH SETAI 75 TH L LEMPAKE JAYA RT 011 335646 ASMA NEBU,EKG,O2,INJEKSI 42,000 33,000 32,000 - -
    DIANA MURTI 46 TH P PERINTIS RT 032 767234 ASMA O2,NEBU,INJEKSI 42,000 33,000 32,000 - -
    NAOMI BELINLIKUTASIK 52 TH P MANUNGGAL GG RT 030 198514 VERTIGO PLEB,INJEKSI 42,000 33,000 - - -
    DWI BAMBANG PURNAMA 60 TH L DELIMA RT 51 195525 ASMA INF,PLEB,EKG 42,000 33,000 - - -
    SULIANTO 45 TH L KS.TUBUN RT 018 785884 ABSES PEDIS INJEKSI 42,000 33,000 - - -
    SITI NUR AZIZAH 2 TH P OTISTA RT 032 801338 VOMITING RESEP 42,000 33,000 - - -
    NURISNA AYULISINTA 28 TH P KEBUN AGUNG RT 001 433595 ASMA O2,NEBU,INJEKSI 42,000 33,000 32,000 - -
    A.SAHRI 52 TH L GERILYA GG BARU RT 050 824891 ASMA O2,NEBU,INJEKSI 42,000 33,000 32,000 - -
    ARA AZ ZAHRA 3 TH P S.RIADI RT 008 775059 FEBRIS PLEB 42,000 33,000 - - -
    MURNIATI NINGSIH 31 TH P SAMANHUDI GG AL HIKMAH RT 001 780585 ASMA O2,NEBU,INJEKSI 42,000 33,000 32,000 - -
    M.DEVEN IBRAHIM 4 TH L PRAMUKA 8 RT 028 777879 ISPA PLEB 42,000 33,000 - - -
    ERNI ASMAWATI 30 TH P SENTOSA KENANGAN IA NO 55 RT 072 787864 ASMA O2,NEBU,INJEKSI 42,000 33,000 32,000 - -
    M.FAHRIZAL 19 TH L PERUM SAMBUTAN RT 030 825639 CF RADIUS WT.ELASTIS VERBAN 42,000 33,000 - DR.DAVID 75,000
    24/2/2015 DARIYATI 39 TH P GURAMI GG BERSAMA RT 005 825782 INPARTU VT,DOPLER 42,000 33,000 - - -
    PUTRA RAMADANI 2 TH L BATU BESAUNG RT 026 763110 ISPA PLEB 42,000 33,000 - - -
    GAIMAH 57 TH L MERANTI GG 1 RT 023 825720 VERTIGO PLEB,EKG,INJEKSI 42,000 33,000 - DR.NIRA 75,000
    SITI AISYAH 11 TH P AWS RT 029 825716 KONSTIPASI SUPP 42,000 33,000 - - -
    VIANDRA CANTIKA 8 TH P KEBON AGUNG RT 008 825740 FEBRIS PLEB 42,000 33,000 - - -
    NURINDAH SUARA MILE 7 TH P P.SUROPATI 010592 FEBRIS PLEB 42,000 33,000 - - -
    A.RAMDHANI SHI 44 TH L DANAU MANINJAU NO 38 RT 014 282504 FEBRIS PLEB,EKG,INJEKSI 42,000 33,000 - - -
    SAHRUL 26 TH L PM.NOOR RT 039 825395 DISPEPSYA INJEKSI 42,000 33,000 - - -
    HARIYADI 30 TH L MERANTI GG 1 RT 022 813468 GEA PLEB,EKG,INJEKSI 42,000 33,000 - - -
    BASO RUSLI 56 TH L GATSU RT 045 824749 CEPALGIA PLEB,INJEKSI 42,000 33,000 - - -
    KANIA PUTRI SALMIAH 7 TH P AGUS SALIM GG 5D RT 031 737674 ASMA O2,NEBU,INJEKSI 42,000 33,000 32,000 - -
    M.ABDAN FAHREZA 6 TH L BANGERIS RT 021 755711 ASMA NEBU,O2 42,000 33,000 32,000 - -
    DIANA MURTI 45 TH P PERINTIS RT 032 767234 ASMA O2,NEBU,INJEKSI 42,000 33,000 32,000 - -
    ALDA AULIANY 16 TH P PADAT KARYA RT 015 825709 ASMA O2,NEBU,INJEKSI 42,000 33,000 32,000 - -
    ASTIANA 28 TH P DELIMA RT 051 825776 OE RESEP 42,000 33,000 - - -
    JAMALIAH 70 TH P S.RIADI GG PANCAR 12 RT 003 825664 ISCHALGIA INJEKSI 42,000 33,000 - - -
    JOHANSYAH 48 TH L P.ANTASARI RT 030 825764 CF RADIUS DEXTRA INF,PLEB 42,000 33,000 - DR.DAVID 75,000
    FATIMAH AHMAD 4 TH P S.RIYADI GG MANUNGGAL RT 039 824912 FEBRIS PLEB 42,000 33,000 - - -
    SUSILO 53 TH L SEJATI GG DURIAN RT 027 711424 COLIC ABDOMEN PLEB 42,000 33,000 - - -
    FATIMAH 40 TH P NUSA INDAH RT 004 825701 INPARTU VT,DOPLER 42,000 33,000 - - -
    CITRA ALIFIA FATHONAH 1 TH P PAHLAWAN 2 NO 23 RT 029 809853 ASMA NEBU,O2 42,000 33,000 32,000 - -
    MARLINA 27 TH P WONO SARI 4 RT 02 691518 INPARTU VT,DOPLER 42,000 33,000 - - -
    RIAN PRATAMA 8 TH L KH.W.HASYIM RT 008 474254 V.SCISSUM WTH III,INJEKSI 42,000 33,000 - - -
    ROKAYAH 28 TH L RAJAWALI DALM RT 013 825800 FEBRIS SUPP 42,000 33,000 - - -
    BUDI 55 TH L TENGKAWANG RT 015 825735 COLIC ABDOMEN INF,PLEB 42,000 33,000 - - -
    ALIYAH 80 TH P PAKIS HIJAU 4 D/292 814186 CAD EKG 42,000 33,000 - - -
    ERNI WATI 43 TH P SULTAN ALIMUDDIN 825794 GEA INJEKSI 42,000 33,000 - - -
    YENNI ALVIANA DEWI 5 TH P P.SURYANATA GG TINGGIRAN RT 037 825792 ISPA PLEB 42,000 33,000 - - -
    25/2/2015 RASYID VIJAY 19 TH L H.MARHUSIN RT 017 568359 VARICELLA RESEP 42,000 33,000 - - -
    NURZI MAURIZA 33 TH L PERUM SEMPAJA LESTARI INDAH H/12 RT 737057 CKD PLEBO,EKG 42,000 33,000 - - -
    SAINAH 53 TH P P.SURYANATA GG TINGGIRAN RT 037 324872 DISPEPSYA PLEBO,EKG 42,000 33,000 - - -
    HUSNA 74 TH P PADAT KARYA DURIAN 4 NO 142 RT 69 825842 DERMATITIS ALERGI PLEB,INJEKSI 42,000 33,000 - - -
    SRI HENDRIYATI 55 TH P URIP SUMOHARJO RT 021 825855 CA MAMAE INF,PLEB 42,000 33,000 - DR.RUDY T 75,000
    FAISAL MIRADHI W 14 TH L DANAU POSO NO 15 RT 026 825917 FEBRIS PLEB 42,000 33,000 - - -
    SUKINI 67 TH P GIRI REJO RT 025 825840 GASTRITIS PLEB,EKG,INJEKSI 42,000 33,000 - - -
    DESI RAHMASARI 26 TH P RAMBUTAN RT 045 BUKUAN 825837 GRAVID DOPLER 42,000 33,000 - - -
    YUDI ARDIAN NUGRAHA 39 TH L JAKARTA BLOK AG 35 RT 055 825820 FEBRIS PLEB,INJEKSI 42,000 33,000 - - -
    RUDI KADIR 45 TH L DI PANJAITAN RT 033 710172 FEBRIS PLEBO,EKG 42,000 33,000 - - -
    AGUSTINA 28 TH P DI PANJAITAN GG PULAU INDAH RT 03 813396 GEA+INFARTU INF,PLEB 42,000 33,000 - DR.ENY P 75,000
    M.RIDWAN SANGADJI 1 TH L AWS RT 032 803998 FEBRIS PLEB 42,000 33,000 - - -
    NABILLA FEBRIANDINI 10 TH P MERDEKA III NO 05 RT 086 734189 GEA RESEP 42,000 33,000 - - -
    NOVIA ARMAYANTI 16 TH P PERUM PKLBLOK D/47 RT 015 825874 PAROTITIS PLEB,INJEKSI 42,000 33,000 - - -
    NORSEHAN 47 TH P P.ANTASARI RT 030 522014 MYALGIA EKG 42,000 33,000 - - -
    DZAKIYYA THALITA ZAHRA 1 TH P JUANDA 7 E RT 003 768047 FEBRIS RESEP 42,000 33,000 - - -
    26/2/2015 ABD KHIROM 21 TH L DAMANHURI GG MANUNGGAL RT 023 825984 V.SCISSUM WTH II,INJEKSI 42,000 33,000 DR.ANTONY 75,000
    MIANTO 32 TH L DELIMA RT 051 825960 V.ICHTUM CROSS INSISI,INJEKSI 42,000 33,000 - - -
    ELANG RAYA DAFIAN KAN 1 TH L CENDANA GG 5B/6 RT 018 775743 FEBRIS PLEB 42,000 33,000 - - -
    DARNA 23 TH P MARSDA A SALEH NO 59 RT 0026 825972 VL WTH IV,INJEKSI 42,000 33,000 - DR.ANTONY 75,000
    MEGAWATI 56 TH P PERUM PUSPITA BLOK M/03 RT 066 500169 ASMA O2,NEBU,INJEKSI 42,000 33,000 32,000 - -
    BAKRI 56 TH L S.RIADI GG GOTONG ROYONG 1 RT 031 826011 DISPEPSYA PLEB,INJEKSI 42,000 33,000 - - -
    HERIYONO 39 TH L GN LINGAI RT 013 825932 GASTRITIS PLEB,INJEKSI 42,000 33,000 - - -
    M.FARHAN 3 TH L A.DAHLAN RT 013 647308 FEBRIS PLEB 42,000 33,000 - - -
    ANI KURNIA RINI 39 TH P W.MONGONSIDI RT 024 644416 V.MORSUM WT,INJEKSI 42,000 33,000 - - -
    M.RIFQY MUDZAKKIR 6 TH L ABUL HASAN GG 10 RT 023 675779 ISPA RESEP 42,000 33,000 - - -
    RIZKI ALAMSYAH 12 TH L KH.W.HASYIM 578851 ISPA PLEB 42,000 33,000 - - -
    AZLAN DARMA PUTRA 1 TH L S.PARMAN NO 03 RT 002 702114 ISPA NEBU 42,000 33,000 - - -
    RAISAY KARTIKA PUTRI 2 TH P S.PARMAN 1 RT 002 771876 FEBRIS PLEB 42,000 33,000 - - -
    SITI FATIMAH 30 TH P WIRA TAMA RT 004 825937 INPARTU PLEB,VT,DOPLER 42,000 33,000 - DR.MARIHOT 75,000
    AZHARI ANGGI PERNAWAN 2 TH L PERUM PURI H /20 RT 002 825959 GEA RESEP 42,000 33,000 - - -
    MARLIYANA 38 TH P L.MANGKURAT RT 017 292948 GEA INJEKSI 42,000 33,000 - - -
    RITA PUTRINI 35 TH P L.MANGKURAT GG 7 RT 019 740810 VE WT,INJEKSI 42,000 33,000 - - -
    TAMSIR INCE R 49 TH L SEJATI GG DURIAN RT 027 655050 UAP PLEBO,EKG 42,000 33,000 32,000 DR.FURQON 75,000
    PUJI SULISTIANTO 39 TH P BUKIT BARISAN RT 024 804152 ASMA O2,NEBU,INJEKSI 42,000 33,000 32,000 - -
    SYIFA AREGINA ENDI 6 TH P KS.TUBUN RT 031 632302 ASMA NEBU,O2 42,000 33,000 32,000 - -
    27/2/2015 ALFI SYAHRI RAMADANA 2 TH L ST.ALIMUDDIN RT 021 819630 FEBRIS RESEP 42,000 33,000 - - -
    MARIYANI 28 TH P TELUK BAYUR Y/04 RT 017 826041 INPARTU PLEB,VT,DOPLER 42,000 33,000 - DR.NOVIA 75,000
    BUDIONO 66 TH L MAKASAR RT 011 SEI SIRING 826043 VERTIGO PLEB,EKG,INJEKSI 42,000 33,000 - - -
    KRISHNA HERMAWAN 1 TH L BIAWAN GG 2 RT 016 826322 ISPA PLEB 42,000 33,000 - - -
    M.RIDWAN SANGADJI 1 TH L AWS RT 032 803998 ISPA INFUS 42,000 33,000 - - -
    RUSNIAH HASIM 59 TH P PROKLAMASI III RT 055 805247 ASMA O2,NEBU,INJEKSI 42,000 33,000 32,000 - -
    BAHARUDDIN M 45 TH L AISYAH GG IV BLOK 3B RT 013 825572 BSK SUPP,INJEKSI 42,000 33,000 - - -
    AYA WIFDA 2 TH P ANGGUR RT 055 826069 GEA INF,PLEB,INJEKSI 42,000 33,000 - - -
    IRAWAN SANTOSO 39 TH L MERBABU RT 010 826070 V.MORSUM INJEKSI 42,000 33,000 - - -
    NOVITA SARI 16 TH P AWS GG 3B RT 032 728678 GASTROPARISES PLEB,INJEKSI 42,000 33,000 - - -
    IRVAN ZUHDI 1 TH L KEMAKURAN GG KNPI RT 013 825800 ISPA PLEB 42,000 33,000 - - -
    SAHELA SOLEHA Y 15 TH P KH.W.HASYIM RT 027 434375 TRAUMA THORAX KONSUL 42,000 33,000 - DR.ATOB 75,000
    M.ROUFURROQIM 13 TH L DAMANHURI II RT 028 533363 ASMA NEBU,INJEKSI 42,000 33,000 - - -
    JUWAN VINO PRATAMA 2 TH L ERY SUPARJAN RT 012 826090 ISPA PLEB 42,000 33,000 - - -
    AZIZAH AZZAHRA 4 TH P RAUDAH RT 011 742195 ASMA NEBU,O2 42,000 33,000 32,000 - -
    MADI 35 TH L ULIN GG 7 RT 026 826027 BSK SUPP 42,000 33,000 - - -
    JUMIATI MARBON 41 TH P DI PANJAITAN GG 4 RT 037 727451 ASMA O2,NEBU,INJEKSI 42,000 33,000 32,000 - -
    WILDAN ROZYKIN 5 TH L RE.M.DINATA GG MADU RT 007 572239 ANGIOEDEMA INJEKSI 42,000 33,000 - - -
    MAULIDA SARI 1 TH P P.ANTASARI GG IJABAH RT 005 820087 ASMA NEBU,O2 42,000 33,000 32,000 - -
    ADUL BAHRI 35 TH L TARMIDI RT 013 826080 TRAUMA MATA IRIGASI MATA 42,000 33,000 - - -
    SUTIYEM 52 TH P KARYA BAKTI RT 009 811165 ASMA NEBU,EKG,O2,INJEKSI 42,000 33,000 32,000 - -
    NUR PUJI 50 TH P KS.TUBUN DALAM RT 016 675978 HT EKG,INJEKSI 42,000 33,000 - - -
    MAULINDA AURA 1 TH P S.RIADI GG 6 RT 038 625930 GEA PLEB,INJEKSI 42,000 33,000 - - -
    SITI RHOMADANIAH 34 TH P RAMANIA RT 047 323851 DISPEPSYA INJEKSI 42,000 33,000 - - -
    LA MUJIONO 23 TH L KARYA BARU RT 10 SEMPAJA 826031 ISK SUPP,INJEKSI 42,000 33,000 - - -
    IMAM NOOR HUMID 62 TH L PERUM PKL D/186 RT 023 714706 CKD PLEB,EKG,INJEKSI 42,000 33,000 32,000 - -
    AHSABANUR 28 TH L REJO MULYO RT 033 825980 ISPA RESEP 42,000 33,000 - - -
    28/2/2015 M.DZAKKI AL AMIN 8 TH L REJO MULYO RT 032 826669 FEBRIS PLEB 42,000 33,000 - - -
    M.ALI 42 TH L KEMAKMURAN DALAM RT 111 824639 VL WTH III,INJEKSI 42,000 33,000 - - -
    AMIR MALIK 60 TH L KADRIE OENING RT 018 826363 NYERI OKULAR S RESEP 42,000 33,000 - - -
    PIRZILIANTY AFLAH 8 TH L S.RIADI RT 012 473509 ASMA O2,NEBU,INJEKSI 42,000 33,000 32,000 - -
    SYAHRIZA 23 TH L AZIS SAMAD RT 028 826348 ISK PLEB 42,000 33,000 - - -
    LILIH 50 TH P KEMANGGI GG SYUKUR RT 024 804547 CHF EKG,O2,PLEB,INJEKSI 42,000 33,000 32,000 - -
    ISMU KUMAYANG JARI 18 TH L PROKLAMASI II BLOK O RT 055 787710 FEBRIS RESEP 42,000 33,000 - - -
    M.HADIST HADAIT 8 TH L P.HIDAYATULLAH GG BAKTI NO 14 RT 03 826415 FEBRIS PLEB 42,000 33,000 - - -
    NAOMI BELINLIKUTASIK 52 TH P MANUNGGAL GG VARIASI RT 030 198514 HT INJEKSI 42,000 33,000 - - -
    SITI KASWATI 45 TH P KEMANGGI 2 RT 026 826343 HIPOGLEKEMIA INF,PLEB,GDS,EKG,O2 42,000 33,000 32,000 - -
    MAULANA MALIK IBRAHIM 2 TH L RING ROAD NO 2 RT 001 778464 FEBRIS PLEB 42,000 33,000 - - -
    AKBAR FADHIL M 4 TH L M.YAMIN RT 027 818279 ISPA RESEP 42,000 33,000 - - -
    SYARUNI 48 TH L P.ANTASARI RT 025 656945 ISPA PLEB 42,000 33,000 - - -
    NORMALINA Z 43 TH P KH.W.HASYIM RT 054 826418 DISPEPSYA EKG,INJEKSI 42,000 33,000 - - -
    A.FADIL SABILI 7 TH L M.YAMIN RT 027 439829 ISPA RESEP 42,000 33,000 - - -
    KIKA ALIFA 13 TH P P.ANTASARI WIRA 1 RT 026 140903 FEBRIS RESEP 42,000 33,000 - - -
    AMALIA NUR HAWA 9 TH P M.YAMIN RT 027 442346 FARINGITIS RESEP 42,000 33,000 - - -
    SAFERA ANANDA PUTRI 12 TH P DI PANJAITAN RT 070 826325 FEBRIS PLEB 42,000 33,000 - - -
    SUKARJO 62 TH L SUKOREJO RT 007 689712 VL WT,INJEKSI 42,000 33,000 - - -
    NATASYA KHAIRUNNISA 9 TH P RUKUN RT 014 826346 CKR PLEB 42,000 33,000 - - -
    SEPTIAN CAHYONO 14 TH L SEJATI GG DURIAN RT 027 441497 ASMA O2,NEBU,INJEKSI 42,000 33,000 32,000 - -
    ALIMANSYAH 46 TH L ADAM MALIK RT 004 826342 DISPEPSYA PLEB,INJEKSI 42,000 33,000 - - -
    M.RIDHO ANSARI 13 TH L ADAM MALIK RT 004 826351 FEBRIS RESEP 42,000 33,000 - - -
    JUMIATI 34 TH P IMAM BONJOL GG DHARMA NO 22 RT 14 826421 KONSTIPASI PLEB 42,000 33,000 - - -
    DJURIAH 59 TH P SUBULUS SALAM RT 033 813306 KONSTIPASI SUPP 42,000 33,000 - - -
    FRANSIKUS S HAYON 35 TH L DI PANJAITAN RT 033 826422 DISPEPSYA EKG,INJEKSI 42,000 33,000 - - -
    SITI SALASIAH 42 TH P TANJUNG ARU RT 040 826388 ASMA EKG 42,000 33,000 - - -
    M.AL ZHIEQQRI 2 TH L DELIMA RT 051 802632 GEA INJEKSI 42,000 33,000 - - -
    BHELLY 9 TH L TERONG PIPIT 3 612 RT 079 826364 VL WTH II,INJEKSI 42,000 33,000 - - -
    WIWIK SURYATI 42 TH P GERILYA GG DAMANHURI 1 RT 060 826431 DISPEPSYA INJEKSI 42,000 33,000 - - -
    29,316,000 23,034,000 2,560,000 - 3,750,000
    AYA
    JUMLAH
    Jasa Rs BHP Tindakan IGD
    15 16
    44,800 10,000 35,200 165,000
    134,400 23,500 105,600 338,500
    44,800 7,000 35,200 162,000
    44,800 10,000 35,200 165,000
    89,600 15,000 70,400 282,000
    44,800 10,000 35,200 165,000
    44,800 10,000 35,200 165,000
    403,200 145,000 316,800 940,000
    44,800 10,000 35,200 165,000
    89,600 17,000 70,400 252,000
    44,800 10,000 35,200 165,000
    134,400 35,000 105,600 425,000
    35,200 10,000 35,200 155,400
    44,800 7,000 35,200 162,000
    44,800 10,000 35,200 165,000
    134,400 22,000 105,600 337,000
    44,800 10,000 35,200 165,000
    44,800 10,000 35,200 165,000
    134,400 25,000 105,600 340,000
    89,600 15,000 70,400 250,000
    - - - 75,000
    - - - 75,000
    44,800 10,000 35,200 165,000
    89,600 16,500 70,400 251,500
    179,200 33,500 140,800 535,500
    44,800 10,000 35,200 165,000
    134,400 22,000 105,600 369,000
    89,600 25,000 70,400 260,000
    - - - 75,000
    291,200 95,000 228,800 765,000
    44,800 10,000 35,200 165,000
    44,800 7,000 35,200 162,000
    89,600 15,000 70,400 250,000
    - - - 75,000
    89,600 17,000 70,400 252,000
    44,800 10,000 35,200 165,000
    89,600 17,000 70,400 252,000
    44,800 10,000 35,200 165,000
    44,800 10,000 35,200 165,000
    89,600 17,000 70,400 252,000
    89,600 27,000 70,400 262,000
    44,800 10,000 35,200 240,000
    268,800 48,500 211,200 603,500
    44,800 - 35,200 155,000
    224,000 38,500 176,000 545,500
    89,600 27,000 70,400 262,000
    44,800 10,000 35,200 165,000
    - - - 75,000
    89,600 17,000 70,400 252,000
    89,600 16,500 70,400 251,500
    - - - 75,000
    - - - 150,000
    89,600 17,000 70,400 252,000
    - - - 75,000
    - - - 75,000
    - - - 75,000
    44,800 10,000 35,200 165,000
    224,000 62,000 176,000 569,000
    - - - 150,000
    44,800 10,000 35,200 165,000
    134,400 25,000 105,600 340,000
    44,800 10,000 35,200 165,000
    - - - 75,000
    89,600 37,000 70,400 272,000
    - - - 75,000
    179,200 31,500 140,800 426,500
    134,400 35,000 105,600 350,000
    134,400 20,000 105,600 410,000
    89,600 27,000 70,400 262,000
    44,800 3,000 35,200 158,000
    44,800 10,000 35,200 165,000
    89,600 16,500 70,400 251,500
    - - - 75,000
    - - - 75,000
    44,800 10,000 35,200 165,000
    134,400 25,000 105,600 340,000
    89,600 17,000 70,400 252,000
    224,000 41,500 176,000 548,500
    44,800 7,000 35,200 162,000
    44,800 20,000 35,200 175,000
    134,400 22,000 105,600 369,000
    44,800 10,000 35,200 165,000
    44,800 10,000 35,200 165,000
    44,800 10,000 35,200 165,000
    44,800 10,000 35,200 165,000
    89,600 17,000 70,400 252,000
    44,800 10,000 35,200 165,000
    179,200 37,000 140,800 432,000
    134,400 27,000 105,600 342,000
    89,600 17,000 70,400 252,000
    44,800 10,000 35,200 165,000
    134,400 22,000 105,600 369,000
    89,600 25,000 70,400 260,000
    134,400 23,500 105,600 370,500
    268,800 50,000 211,200 637,000
    134,400 23,500 105,600 338,500
    134,400 26,500 105,600 341,500
    179,200 33,500 140,800 428,500
    44,800 7,000 35,200 162,000
    179,200 33,500 140,800 428,500
    - - - 75,000
    44,800 10,000 35,200 165,000
    44,800 10,000 35,200 165,000
    44,800 10,000 35,200 165,000
    89,600 25,000 70,400 260,000
    44,800 10,000 35,200 165,000
    224,000 38,500 176,000 545,500
    44,800 10,000 35,200 165,000
    179,200 32,000 140,800 427,000
    - - - 150,000
    44,800 7,000 35,200 162,000
    134,400 22,000 105,600 337,000
    44,800 10,000 35,200 165,000
    44,800 10,000 35,200 165,000
    134,400 26,500 105,600 341,500
    179,200 33,500 140,800 428,500
    44,800 10,000 35,200 165,000
    134,400 26,500 105,600 373,500
    89,600 17,000 70,400 252,000
    89,600 17,000 70,400 252,000
    134,400 26,500 105,600 416,500
    179,200 35,000 140,800 505,000
    179,200 77,000 140,800 472,000
    44,800 10,000 35,200 165,000
    44,800 3,000 35,200 158,000
    134,400 26,500 105,600 341,500
    134,400 57,000 105,600 372,000
    44,800 20,000 35,200 175,000
    44,800 10,000 35,200 165,000
    - - 90,000 165,000
    134,400 23,500 105,600 338,500
    134,400 25,000 105,600 340,000
    44,800 10,000 35,200 165,000
    - - - 75,000
    179,200 32,000 140,800 427,000
    44,800 10,000 35,200 165,000
    89,600 15,000 70,400 282,000
    179,200 32,000 140,800 427,000
    - - - 182,000
    44,800 10,000 35,200 165,000
    44,800 10,000 35,200 165,000
    - - - 75,000
    - - - 75,000
    44,800 10,000 35,200 165,000
    44,800 10,000 35,200 165,000
    89,600 17,000 70,400 252,000
    - - - 75,000
    134,400 25,000 105,600 340,000
    89,600 15,000 70,400 250,000
    89,600 17,000 70,400 252,000
    179,200 33,500 140,800 428,500
    - - 90,000 165,000
    89,600 17,000 70,400 252,000
    44,800 7,000 35,200 162,000
    - - - 75,000
    44,800 7,000 35,200 162,000
    89,600 17,000 70,400 252,000
    89,600 17,000 70,400 252,000
    179,200 33,500 140,800 428,500
    89,600 17,000 70,400 252,000
    - - - 75,000
    268,800 48,500 211,200 635,500
    44,800 10,000 35,200 165,000
    - - - 75,000
    - - - 75,000
    44,800 10,000 35,200 165,000
    44,800 10,000 35,200 165,000
    89,600 17,000 70,400 252,000
    134,400 22,000 105,600 369,000
    - - - 75,000
    89,600 16,500 70,400 251,500
    134,400 25,000 105,600 415,000
    89,600 15,000 70,400 282,000
    44,800 10,000 35,200 165,000
    89,600 50,000 70,400 360,000
    89,600 16,500 70,400 251,500
    89,600 15,000 70,400 250,000
    44,800 10,000 35,200 315,000
    - - - 75,000
    44,800 10,000 35,200 165,000
    89,600 25,000 70,400 260,000
    - - - 75,000
    44,800 10,000 35,200 165,000
    - - - 75,000
    134,400 23,500 105,600 338,500
    - - - 75,000
    44,800 7,000 35,200 162,000
    89,600 15,000 70,400 250,000
    - - - 107,000
    179,200 33,500 140,800 428,500
    44,800 10,000 35,200 165,000
    - - - 75,000
    - - - 75,000
    44,800 7,000 35,200 162,000
    - - - 75,000
    - - - 75,000
    224,000 48,500 176,000 523,500
    89,600 15,000 70,400 250,000
    - - - 75,000
    44,800 7,000 35,200 162,000
    44,800 10,000 35,200 165,000
    - - - 75,000
    - - - 75,000
    44,800 10,000 35,200 240,000
    134,400 26,500 105,600 416,500
    44,800 10,000 35,200 165,000
    89,600 17,000 70,400 252,000
    44,800 10,000 35,200 165,000
    134,400 26,500 105,600 341,500
    89,600 15,000 70,500 250,100
    604,800 111,000 475,200 1,373,000
    44,800 10,000 35,200 165,000
    179,200 31,500 140,800 426,500
    - - - 75,000
    134,400 22,000 105,600 369,000
    134,400 20,000 105,600 335,000
    44,800 7,000 35,200 162,000
    44,800 30,000 35,200 185,000
    44,800 10,000 35,200 165,000
    179,200 33,500 140,800 428,500
    44,800 7,000 35,200 162,000
    89,600 17,000 70,400 252,000
    89,600 27,000 70,400 262,000
    44,800 7,000 35,200 162,000
    44,800 10,000 35,200 165,000
    44,800 10,000 35,200 165,000
    179,200 33,500 140,800 428,500
    179,200 33,500 140,800 428,500
    89,600 15,000 70,400 282,000
    134,400 26,500 105,600 341,500
    179,200 33,500 140,800 428,500
    89,600 20,000 70,400 255,000
    - - - 75,000
    179,200 57,000 140,800 452,000
    179,200 57,000 140,800 527,000
    44,800 10,000 35,200 165,000
    89,600 15,000 70,400 250,000
    134,400 22,000 105,600 369,000
    89,600 15,000 70,400 250,000
    44,800 10,000 35,200 165,000
    44,800 7,000 35,200 162,000
    179,200 33,500 140,800 428,500
    224,000 41,500 176,000 516,500
    44,800 10,000 35,200 165,000
    44,800 10,000 35,200 165,000
    - - - 75,000
    89,600 17,000 70,400 252,000
    - - - 75,000
    134,400 22,000 105,600 369,000
    89,600 16,500 70,400 251,500
    44,800 10,000 35,200 165,000
    134,400 22,000 105,600 337,000
    - - - 150,000
    44,800 10,000 35,200 165,000
    179,200 33,500 140,800 503,500
    44,800 10,000 35,200 165,000
    - - - 75,000
    89,600 37,000 70,400 272,000
    - - - 75,000
    44,800 10,000 35,200 165,000
    44,800 10,000 35,200 165,000
    89,600 20,000 70,400 255,000
    179,200 33,500 140,800 428,500
    134,400 23,500 105,600 370,500
    89,600 15,000 70,400 250,000
    - - - 75,000
    44,800 10,000 35,200 240,000
    134,400 57,000 105,600 447,000
    44,800 20,000 35,200 175,000
    44,800 7,000 35,200 162,000
    89,600 25,000 70,400 260,000
    44,800 10,000 35,200 165,000
    89,600 17,000 70,400 252,000
    89,600 16,500 70,400 251,500
    44,800 10,000 35,200 165,000
    89,600 15,000 70,400 250,000
    44,800 10,000 35,200 165,000
    134,400 22,000 105,600 369,000
    134,400 26,500 105,600 341,500
    179,200 32,000 140,800 427,000
    44,800 7,000 35,200 162,000
    89,600 17,000 70,400 252,000
    44,800 10,000 35,200 165,000
    134,400 22,000 105,600 369,000
    44,800 10,000 35,200 165,000
    44,800 7,000 35,200 162,000
    179,200 41,500 140,800 436,500
    - - - 75,000
    179,200 31,500 140,800 458,500
    44,800 10,000 35,200 165,000
    44,800 10,000 35,200 165,000
    44,800 10,000 35,200 165,000
    179,200 32,000 140,800 502,000
    89,600 17,000 70,400 252,000
    - - - 75,000
    - - - 75,000
    - - - 75,000
    44,800 10,000 35,200 165,000
    44,800 20,000 35,200 250,000
    44,800 20,000 35,200 175,000
    44,800 10,000 35,200 165,000
    - - - 75,000
    89,600 15,000 70,400 282,000
    - - - 75,000
    - - 90,000 165,000
    179,200 33,500 140,800 428,500
    179,200 33,500 140,800 428,500
    44,800 10,000 35,200 165,000
    44,800 10,000 35,200 165,000
    89,600 15,000 70,400 282,000
    - - - 75,000
    89,600 25,000 70,400 260,000
    44,800 10,000 35,200 165,000
    - - - 75,000
    44,800 7,000 35,200 162,000
    44,800 10,000 35,200 165,000
    44,800 10,000 35,200 165,000
    89,600 25,000 70,400 260,000
    44,800 10,000 35,200 165,000
    44,800 10,000 35,200 165,000
    44,800 10,000 35,200 165,000
    44,800 10,000 35,200 165,000
    89,600 25,000 70,400 260,000
    179,200 33,500 140,800 428,500
    44,800 10,000 35,200 165,000
    44,800 7,000 35,200 162,000
    44,800 10,000 35,200 165,000
    44,800 10,000 35,200 165,000
    - - - 75,000
    89,600 13,000 70,400 248,000
    - - - 75,000
    44,800 10,000 35,200 165,000
    - - - 75,000
    44,800 10,000 35,200 165,000
    44,800 10,000 35,200 197,000
    268,800 48,500 211,200 603,500
    44,800 10,000 35,200 165,000
    44,800 10,000 35,200 165,000
    89,600 17,000 70,400 252,000
    - - - 75,000
    179,200 38,500 140,800 433,500
    134,400 22,000 105,600 369,000
    44,800 10,000 35,200 165,000
    44,800 10,000 35,200 165,000
    - - 90,000 165,000
    89,600 13,000 70,400 248,000
    291,200 82,000 228,800 677,000
    44,800 7,000 35,200 162,000
    - - - 75,000
    - - - 75,000
    134,400 25,000 105,600 340,000
    - - - 75,000
    134,400 22,000 105,600 337,000
    44,800 7,000 35,200 162,000
    - - - 75,000
    - - - 75,000
    - - - 75,000
    - - - 75,000
    134,400 22,000 105,600 337,000
    89,600 17,000 70,400 252,000
    - - - 75,000
    134,400 22,000 105,600 337,000
    - - - 75,000
    - - - 75,000
    44,800 10,000 35,200 165,000
    179,200 33,500 140,800 428,500
    44,800 7,000 35,200 162,000
    134,400 23,500 105,600 338,500
    44,800 10,000 35,200 165,000
    - - - 75,000
    179,200 32,000 140,800 427,000
    89,600 3,700 70,400 238,700
    179,200 33,500 140,800 428,500
    44,800 7,000 35,200 162,000
    179,200 33,500 140,800 460,500
    44,800 10,000 35,200 165,000
    44,800 10,000 35,200 165,000
    - - - 75,000
    44,800 10,000 35,200 165,000
    268,800 48,500 211,200 603,500
    179,200 33,500 140,800 503,500
    89,600 15,000 70,400 282,000
    44,800 10,000 35,200 240,000
    44,800 10,000 35,200 165,000
    89,600 15,000 70,400 282,000
    134,400 47,000 105,600 362,000
    134,400 25,000 105,600 415,000
    - - - 75,000
    179,200 32,000 140,800 502,000
    89,600 25,000 70,400 260,000
    44,800 10,000 35,200 165,000
    44,800 10,000 35,200 165,000
    89,600 20,000 70,400 255,000
    44,800 10,000 35,200 165,000
    - - - 75,000
    134,400 22,000 105,600 337,000
    - - - 75,000
    89,600 17,000 70,400 252,000
    560,000 107,500 440,000 1,289,500
    89,600 17,000 70,400 252,000
    179,200 33,500 140,800 428,500
    89,600 25,000 70,400 260,000
    179,200 33,500 140,800 428,500
    179,200 32,000 140,800 502,000
    44,800 7,000 35,200 162,000
    358,400 31,500 281,600 853,500
    - - - 75,000
    - - - 75,000
    44,800 7,000 35,200 162,000
    268,800 82,000 211,200 637,000
    44,800 7,000 35,200 162,000
    179,200 33,500 140,800 428,500
    44,800 10,000 35,200 165,000
    89,600 15,000 70,400 282,000
    44,800 7,000 35,200 162,000
    134,400 22,000 105,600 369,000
    134,400 22,000 105,600 369,000
    44,800 10,000 35,200 165,000
    44,800 10,000 35,200 165,000
    - - - 75,000
    - - - 75,000
    - - - 75,000
    89,600 27,000 70,400 262,000
    134,400 25,000 105,600 340,000
    - - - 75,000
    - - - 75,000
    134,400 35,000 105,600 350,000
    - - - 75,000
    44,800 7,000 35,200 162,000
    89,600 17,000 70,400 252,000
    134,400 22,000 105,600 369,000
    44,800 7,000 35,200 162,000
    - - - 75,000
    44,800 7,000 35,200 162,000
    44,800 7,000 35,200 162,000
    - - - 75,000
    - - - 75,000
    134,400 25,000 105,600 340,000
    89,600 17,000 70,400 252,000
    44,800 7,000 35,200 162,000
    44,800 7,000 35,200 162,000
    44,800 10,000 35,200 165,000
    - - - 75,000
    - - - 75,000
    313,600 61,500 246,400 878,500
    44,800 10,000 35,200 165,000
    89,600 15,000 70,400 282,000
    44,800 3,000 35,200 158,000
    134,400 26,500 105,600 341,500
    - - - 75,000
    44,800 10,000 35,200 165,000
    134,400 25,000 105,600 340,000
    - - - 75,000
    134,400 22,000 105,600 337,000
    89,600 15,000 70,400 282,000
    44,800 10,000 35,200 165,000
    - - - 75,000
    89,600 25,000 70,400 260,000
    44,800 10,000 35,200 165,000
    89,600 15,000 70,400 282,000
    44,800 7,000 35,200 162,000
    134,400 23,500 105,600 338,500
    - - - 75,000
    44,800 10,000 35,200 165,000
    134,400 26,500 105,600 341,500
    - - - 75,000
    44,800 10,000 35,200 165,000
    - - - 150,000
    44,800 10,000 35,200 165,000
    - - - 75,000
    244,000 38,500 156,000 545,500
    89,600 25,000 70,400 260,000
    179,200 33,500 140,800 428,500
    - - - 75,000
    179,200 31,500 140,800 458,500
    44,800 10,000 35,200 165,000
    44,800 7,000 35,200 162,000
    - - - 75,000
    89,600 15,000 70,400 250,000
    44,800 10,000 35,200 165,000
    224,000 37,000 176,000 544,000
    89,600 27,000 70,400 262,000
    - - - 75,000
    134,400 22,000 105,600 337,000
    44,800 10,000 35,200 165,000
    44,800 10,000 35,200 165,000
    179,200 33,500 140,800 428,500
    44,800 7,000 35,200 162,000
    44,800 7,000 35,200 162,000
    44,800 10,000 35,200 165,000
    224,000 38,500 176,000 545,500
    44,800 10,000 35,200 165,000
    44,800 10,000 35,200 165,000
    44,800 10,000 35,200 165,000
    44,800 7,000 35,200 162,000
    44,800 10,000 35,200 165,000
    179,200 33,500 140,800 503,500
    179,200 32,000 140,800 427,000
    44,800 10,000 35,200 165,000
    - - - 75,000
    44,800 3,000 35,200 158,000
    134,400 22,000 105,600 369,000
    44,800 10,000 35,200 165,000
    - - - 107,000
    44,800 7,000 35,200 162,000
    89,600 17,000 70,400 252,000
    179,200 33,500 140,800 460,500
    - - - 75,000
    224,000 41,500 251,000 666,500
    44,800 10,000 35,200 165,000
    - - - 75,000
    44,800 10,000 35,200 165,000
    134,400 25,000 105,600 415,000
    89,600 27,000 70,400 262,000
    134,400 25,000 105,600 340,000
    44,800 10,000 35,200 165,000
    44,800 10,000 35,200 165,000
    44,800 10,000 35,200 165,000
    - - - 75,000
    44,800 10,000 35,200 165,000
    - - - 75,000
    - - - 75,000
    44,800 10,000 35,200 165,000
    - - - 75,000
    44,800 10,000 35,200 165,000
    224,000 41,500 176,000 548,500
    134,400 23,500 105,600 338,500
    44,800 10,000 35,200 165,000
    44,800 10,000 35,200 165,000
    134,400 23,500 105,600 338,500
    134,400 23,500 105,600 338,500
    179,200 33,500 140,800 428,500
    179,200 33,500 140,800 428,500
    179,200 33,500 140,800 428,500
    44,800 30,000 35,200 185,000
    - - - 75,000
    134,400 26,500 105,600 341,500
    179,200 33,500 140,800 428,500
    - - - 75,000
    - - - 75,000
    134,400 23,500 105,600 338,500
    - - - 75,000
    44,800 10,000 35,200 165,000
    44,800 7,000 35,200 162,000
    44,800 10,000 35,200 165,000
    492,800 121,500 387,200 1,183,500
    - - - 75,000
    - - - 75,000
    44,800 10,000 35,200 165,000
    - - - 75,000
    89,600 16,500 70,400 251,500
    - - - 75,000
    - - - 75,000
    - - - 75,000
    - - - 75,000
    44,800 3,000 35,200 158,000
    134,400 22,000 105,600 369,000
    44,800 7,000 35,200 162,000
    - - - 75,000
    44,800 10,000 35,200 165,000
    44,800 10,000 35,200 165,000
    134,400 57,000 105,600 372,000
    89,600 27,000 70,400 262,000
    134,400 22,000 105,600 369,000
    224,000 38,500 176,000 545,500
    134,400 22,000 105,600 369,000
    89,600 17,000 70,400 252,000
    224,000 38,500 176,000 513,500
    44,800 7,000 35,200 162,000
    - - - 75,000
    134,400 22,000 105,600 369,000
    134,400 22,000 105,600 369,000
    44,800 10,000 35,200 165,000
    89,600 15,000 70,400 282,000
    44,800 10,000 35,200 165,000
    134,400 22,000 105,600 369,000
    89,600 20,000 70,400 330,000
    89,600 25,000 70,400 260,000
    44,800 10,000 35,200 165,000
    179,200 33,500 140,800 503,500
    44,800 3,000 35,200 158,000
    44,800 10,000 35,200 165,000
    44,800 10,000 35,200 165,000
    179,200 33,500 140,800 428,500
    44,800 7,000 35,200 162,000
    179,200 33,500 140,800 428,500
    89,600 17,000 70,400 252,000
    134,400 22,000 105,600 369,000
    89,600 15,000 70,400 282,000
    134,400 22,000 105,600 369,000
    134,400 22,000 105,600 369,000
    - - - 75,000
    44,800 10,000 35,200 165,000
    134,400 25,000 105,600 415,000
    44,800 10,000 35,200 165,000
    44,800 10,000 35,200 165,000
    89,600 25,000 70,400 260,000
    89,600 15,000 70,400 282,000
    89,600 25,000 70,400 260,000
    134,400 57,000 105,600 372,000
    44,800 3,000 35,200 158,000
    134,400 25,000 105,600 340,000
    89,600 16,500 70,400 251,500
    44,800 7,000 35,200 162,000
    44,800 10,000 35,200 165,000
    - - - 75,000
    134,400 26,500 105,600 341,500
    134,400 26,500 105,600 341,500
    89,600 17,000 70,400 252,000
    134,400 25,000 105,600 415,000
    44,800 10,000 35,200 165,000
    179,200 33,500 140,800 428,500
    44,800 15,000 35,200 170,000
    89,600 17,000 70,400 252,000
    134,400 26,500 105,600 341,500
    179,200 40,000 140,800 510,000
    44,800 10,000 35,200 165,000
    - - - 75,000
    89,600 17,000 70,400 252,000
    89,600 16,500 70,400 251,500
    - - - 75,000
    89,600 37,000 70,400 347,000
    89,600 27,000 70,400 262,000
    44,800 10,000 35,200 165,000
    291,200 95,000 228,800 765,000
    134,400 22,000 105,600 369,000
    89,600 17,000 70,400 252,000
    89,600 17,000 70,400 252,000
    44,800 10,000 35,200 165,000
    89,600 27,000 70,400 262,000
    - - - 75,000
    44,800 10,000 35,200 165,000
    89,600 15,000 70,400 250,000
    44,800 10,000 35,200 165,000
    134,400 35,200 105,600 425,200
    - - - 75,000
    44,800 7,000 35,200 162,000
    89,600 17,000 70,400 252,000
    134,400 26,500 105,600 448,500
    134,400 22,000 105,600 369,000
    89,600 15,000 70,400 282,000
    - - - 75,000
    134,400 35,000 105,600 425,000
    179,200 33,500 140,800 428,500
    44,800 10,000 35,200 165,000
    89,600 15,000 70,400 250,000
    134,400 22,000 105,600 369,000
    89,600 10,000 70,400 245,000
    179,200 32,000 140,800 427,000
    44,800 7,000 35,200 162,000
    89,600 17,000 70,400 252,000
    44,800 10,000 35,200 165,000
    - - - 150,000
    134,400 22,000 105,600 337,000
    44,800 10,000 35,200 165,000
    89,600 15,000 70,400 282,000
    134,400 20,000 105,600 335,000
    134,400 22,000 105,600 369,000
    44,800 7,000 35,200 162,000
    89,600 15,000 70,400 282,000
    44,800 10,000 35,200 165,000
    224,000 38,500 176,000 545,500
    134,400 23,500 105,600 338,500
    89,600 17,000 70,400 252,000
    44,800 10,000 35,200 165,000
    89,600 10,000 70,400 245,000
    179,200 33,500 140,800 460,500
    - - - 75,000
    44,800 10,000 35,200 165,000
    134,400 57,000 105,600 372,000
    - - - 75,000
    89,600 15,000 70,400 282,000
    44,800 10,000 35,200 165,000
    179,200 33,500 140,800 460,500
    - - - 75,000
    44,800 10,000 35,200 165,000
    44,800 10,000 35,200 165,000
    313,600 63,500 246,400 730,500
    44,800 10,000 35,200 165,000
    - - - 75,000
    44,800 10,000 35,200 165,000
    134,400 23,500 105,600 338,500
    - - - 75,000
    - - - 75,000
    - - - 75,000
    44,800 10,000 35,200 165,000
    89,600 27,000 70,400 262,000
    44,800 10,000 35,200 165,000
    134,400 22,000 105,600 369,000
    89,600 17,000 70,400 252,000
    - - - 75,000
    44,800 10,000 35,200 165,000
    44,800 3,000 35,200 158,000
    134,400 23,500 105,600 338,500
    89,600 16,500 70,400 251,500
    44,800 10,000 35,200 165,000
    89,600 37,000 70,400 272,000
    44,800 7,000 35,200 162,000
    55,226,400 11,266,900 43,799,100 168,952,400
    Tagihan Jamkeda Samarinda Di IGD RSUD A. Wahab Sjahranie bulan Maret 2015

    Tanggal No KIB/ RINCI


    Nama Pasien Umur L/P Alamat No. Peserta Diagnosa Tindakan
    NO Kunjungan No. REG Karcis IGD OKSIGEN/O2 konsul
    1 2 3 4 5 6 7 8 9 10 11 12 13 14
    1 1/3/2015 DELLA AGUS SELA 17 TH P KAKAP RT 017 826549 LBP RESEP 42,000 33,000 -
    2 ABRAHAM PRIE PRASOJO 29 TH L OTISTA GG KELUARGA RT 029 826533 ORCHITIS RESEP 42,000 33,000 - -
    3 VIDIA VIONA MAGDLENA 4 TH P L.MANGKURAT GG 3 RT 024 826531 FEBRIS RESEP 42,000 33,000 - -
    4 YUSUF 57 TH L MILONO RT 013 694840 PPOK NEBU,EKG,O2,INJEKSI 42,000 33,000 - -
    5 M.REIHAN PRASETYO 8 TH L JOYO MULYO RT 031 825599 ASMA NEBU,O2 42,000 33,000 32,000 -
    6 M.AL ZHIEQRI 2 TH L DELIMA RT 051 802632 GEA INJEKSI 42,000 33,000 - -
    7 NUR ALDIANSYAH 14 TH L LUMBA LUMBA RT 002 826522 FEBRIS PLEB 42,000 33,000 - -
    8 MISBANUS SURUR 34 TH L JUANDA RT 017 826478 FEBRIS PLEB 42,000 33,000 - -
    9 WAFDAN 31 TH L JELAWAT GG 9 RT 038 657787 ISK PLEB 42,000 33,000 - -
    10 ILHAM SEPTIAWAN 2 TH L P.SURYANATA RT 003 704391 FEBRIS RESEP 42,000 33,000 - -
    11 HARIMAN 70 TH L CENDANA GG 4 BLOK B RT 04 826519 DISPEPSYA EKG,INJEKSI 42,000 33,000 - -
    12 ABRAMSYAH 47 TH L DAMANHURI RT 062 826472 VERTIGO INJEKSI 42,000 33,000 - -
    13 FATIMAH 46 TH P GATSU GG 1 RT 043 826473 KONSTIPASI RESEP 42,000 33,000 - -
    14 SITI HUZAIMAH 43 TH P EMBOEN SURYANA RT 029 826505 ISK PLEB 42,000 33,000 - -
    15 KAYLA AZ ZAHRA 3 TH P MUGIREJO RT 005 715164 RHINITIS NEBU 42,000 33,000 - -
    16 ALIMANSYAH 47 TH L ADAM MALIK RT 004 826342 DISPEPSYA INJEKSI 42,000 33,000 - -
    17 SYAMSIAH 59 TH P PROKLAMASI RT 053 809711 ISK PLEB,INJEKSI 42,000 33,000 - -
    18 M.REISYA 4 TH L LUMBA LUMBA GG 6 RT 004 566405 THYPOID PLEB 42,000 33,000 - -
    19 SUCI PURWANTI 21 TH P M.SAID GG 10 RT 012 665266 DYSPESIA INJEKSI 42,000 33,000 - -
    20 FIZKA AULIA RAMADHANI 6 TH P MUGIREJO RT 006 588705 ASMA O2,NEBU,INJEKSI 42,000 33,000 32,000 -
    21 SRI HANDAYANI 30 TH P EKONOMI RT 014 826447 ISK PLEB 42,000 33,000 - -
    22 NORMALINA Z 43 TH P KH.W.HASYIM RT 054 826418 HT PLEB,INJEKSI 42,000 33,000 - -
    23 HERY OSCAR 53 TH L MUSO SALIM NO 68 RT 015 773624 CKD INJEKSI 42,000 33,000 - -
    24 MISRAN 59 TH L SLAMET RIYADI NO 08 RT 038 352140 HT EKG 42,000 33,000 - -
    25 M.NADIF RIZKI 12 TH L PM.NOOR PERUM GMS RT 006 826553 ASMA O2,NEBU,INJEKSI 42,000 33,000 32,000 -
    26 NORDIANA 30 TH P KAKAP RT 007 826473 GRAVID DOPLER 42,000 33,000 - -
    27 RAHMANSYAH 29 TH L PADAT KARYA RT 068 SMPJ 821512 FEBRIS PLEB,INJEKSI 42,000 33,000 - -
    28 2/3/2015 NUR JANNAH 35 TH P KH.W.HASYIM RT 024 754874 ASMA O2,NEBU,INJEKSI 42,000 33,000 32,000 -
    29 RIYAN WIRANDA 21 TH L RAJAWALI DALAM RT 1 RT 011 163610 DISPEPSYA INJEKSI 42,000 33,000 - -
    30 JUMARI 43 TH L L.MANGKURAT RT 006 734461 ASMA NEBU,INJEKSI 42,000 33,000 - -
    31 SUMARSIH 57 TH P RE.MARTADINATA GG VILLA RT 003 826635 CKR KONSUL 42,000 33,000 - DR.GRACE
    32 ARNOLD DWI PUTRA 19 TH L L.MANGKURAT RT 011 426226 CKR WT,INJEKSI 42,000 33,000 - -
    33 ACHMAD BASHORI 10 TH L REEL 10 RT 020 583590 FEBRIS RESEP 42,000 33,000 - -
    34 JUNIOR ARJUNI MAHESA 1 TH L MERANTI GG II RT 016 779103 ISPA NEBU 42,000 33,000 - -
    35 M.ZINADE ABDILLAH 11 TH L KH.SAMANHUDI GG RAJAWALI BLOK B RT 826661 ASMA NEBU 42,000 33,000 - -
    36 M.RIDHO PUTRA NUGRAHA 9 TH L OTISTA RT 016 712088 ISPA RESEP 42,000 33,000 - -
    37 RUSDIANA 60 TH P P.ANTASARI GG WARGA NO 25 RT 02 588045 HT PLEBO,EKG 42,000 33,000 - -
    38 NORMA TRISNAWATI 19 TH P AGUS SALIM GG 4 BLOK D RT 030 826609 TROUMA KAPITALIS KONSUL 42,000 33,000 - DR.BAMBANG
    39 M.ALDIO FAHREZI 4 TH L DR.SOETOMO RT 031 826588 ISPA PLEB 42,000 33,000 - -
    40 M.ALDIO FAHREZI 4 TH L DR.SOETOMO RT 031 826588 CF HUMERUS INF,PLEB,SPALK 42,000 33,000 - DR.YASSER
    41 KASNANTI 26 TH L M.SAID GG 5 RT 011 826642 ISK PLEB,INJEKSI 42,000 33,000 - -
    42 MUTHIA AULIA M 8 TH P KOMP PASAR PEGIRI RT 028 826597 FEBRIS PLEB 42,000 33,000 - -
    43 BASO RAYSA ADITYA PRATA 3 TH L GN LINGAI GG SYUKUR RT 009 737284 ISPA RESEP 42,000 33,000 - -
    44 RIZKY YOLANDA NS 17 TH P JELAWAT GG 4 NO 33 RT 033 826577 DISPEPSYA EKG,INJEKSI 42,000 33,000 - -
    45 MAHER EVAN PUTRAWANSYA 2 TH L SOLONG DURIAN RT 025 826633 FEBRIS PLEB 42,000 33,000 - -
    46 DENY DEVALIA 31 TH P DI PONOGORO GG LANGGAR RT 031 146169 INPARTU VT,DOPLER 42,000 33,000 - -
    47 JARNIAH 49 TH P AGUS SALIM GG 6 RT 032 278754 ISK PLEB,INJEKSI 42,000 33,000 - -
    48 M.MUNYAR REFALDI 3 TH L KH.HARUN NAFSI RT 017 825638 FEBRIS PLEB 42,000 33,000 - -
    49 MARJANI TOBING 47 TH L PERM SMBT ASRI RT 04 816767 KONSTIPASI PLEB 42,000 33,000 - -
    50 MAWAR ZACKYROH 9 TH P KETURUNAN RT 043 826514 VL WTH IV,INJEKSI 42,000 33,000 - -
    51 3/3/2015 MUTHOHAROH 1 TH P GERILYA GG MESJID BLOK D RT 105 826702 GEA RESEP 42,000 33,000 - -
    52 YULIANTI 20 TH P PERUM GERILYA LESTARI PERMAI RT 10 826711 CORPAL KONSUL 42,000 33,000 - DR.ATOB
    53 FATIMAH 49 TH P P.ANTASARI GG 8 RT 046 786013 CA MAMAE INF,PLEB 42,000 33,000 - -
    54 NICO MANGURU 75 TH P L.MANGKURAT GG H USMAN A/79 RT 20 784719 ATRIAL FIBRIASI INF,PLEB,EKG,KONSUL,O2 42,000 33,000 32,000 DR.WAYAN
    55 M.HAIRIL AJMI 1 TH L KAHOI NO 99 RT 032 826718 BRONCHITIS INF,PLEB,O2 42,000 33,000 32,000 -
    56 MARIYANI 28 TH P TELUK BAYUR BLOK Y 826041 INPARTU VT,DOPLER 42,000 33,000 - -
    57 DIANA MURTI 45 TH P PERINTIS RT 032 767234 ASMA O2,NEBU,INJEKSI 42,000 33,000 32,000 -
    58 YUSUF 57 TH L MILONO RT 013 694840 DISPEPSYA INJEKSI 42,000 33,000 - -
    59 M.GHIAS 7 TH L KH.MAS MANSYUR RT 024 826679 ISPA RESEP 42,000 33,000 - -
    60 NASIFA NAPSI 14 TH P JELAWAT GG 7 RT 005 826699 FEBRIS PLEB 42,000 33,000 - -
    61 KURNI 57 TH L BELIMAU RT 024 826757 GASTRITIS INJEKSI 42,000 33,000 - -
    62 AMI DAMIATI 43 TH P RAUDAH RT 019 826752 DISPEPSYA INF,PLEB,INJEKSI 42,000 33,000 - -
    63 RIYAN RIWANDA 21 TH L RAJAWALI DALAM 1 RT 11 163610 DISPEPSYA PLEB,INJEKSI 42,000 33,000 - -
    64 ANDIKA PRASETYA 26 TH L GN TUNGGAL GG 4 RT 007 826678 ISPA RESEP 42,000 33,000 - -
    65 M.RIDHO PUTRA NUGRAHA 9 TH L OTISTA RT 016 712080 ASMA NEBU 42,000 33,000 - -
    66 MURNI 53 TH P AM SANGAJI RT 016 826661 HT PLEB,EKG,INJEKSI 42,000 33,000 - -
    67 DARANITA OKTA V 14 TH p KEDONDONG DALAM 7 RT 032 827631 VL WTH III,INJEKSI 42,000 33,000 - -
    68 BAHRI 39 TH L PADAT KARYA RT 008 802737 RETENSIO URIEN PLEB,DC 42,000 33,000 - -
    69 RIDWAN ERVANDY 66 TH L OTISTA RT 016 427143 HT RESEP 42,000 33,000 - -
    70 SITI RAHMAH 26 TH P M.SAID RT 029 674232 ASMA NEBU,INJEKSI 42,000 33,000 - -
    71 GALEN ZIGGY KURNIAWAN 1 TH L W.MONGONSIDI RT 021 797769 FEBRIS RESEP 42,000 33,000 - -
    72 VITRIA PUTRI RAHAYU 25 TH P MUGIREJO RT 013 657981 ABD DISCONFORT RESEP 42,000 33,000 - -
    73 MANSYUR 56 TH L REJO MULYO RT 032 826476 BSK PLEB 42,000 33,000 - -
    74 M.ALGHANI 2 TH L PERUM SIP BLOK E NO 182 RT 036 826750 ISPA PLEB 42,000 33,000 - -
    75 4/3/2015 LA BANTO 73 TH L ANGGUR RT 055 826875 PPOK PLEB,EKG,INJEKSI 42,000 33,000 32,000 -
    76 ASMAH 64 TH P PASUNDAN RT 019 506149 HEMOROID RESEP 42,000 33,000 - -
    77 NABHAN FADHLURRAMAN 7 TH L PERUM SAMBUTAN ASRI D/3A NO 03 506149 ISPA RESEP 42,000 33,000 - -
    78 M.HAIRIL AJMI 1 TH L KAHOI NO 99 RT 032 820718 ISPA NEBU 42,000 33,000 - -
    79 NASLIM 41 TH L SERAYU RT 020 TNH MERAH 826853 CORPAL WTH II,INJEKSI 42,000 33,000 - -
    80 KHOIRUL UMAM 20 TH L ARGAMULIA RT 014 619395 FEBRIS PLEB 42,000 33,000 - -
    81 ABD LATIF 60 TH L KOMP PASAR PEGIRI RT 028 708956 RETENSIO URIEN PASANG CATETER 42,000 33,000 - -
    82 ARDIANSYAH EKA PUTRA 15 TH L SENYIUR INDAH 3 RT 041 808148 FEBRIS PLEB 42,000 33,000 - -
    83 ANA HADI WIJAYATI 39 TH P GERILYA GG MESJID BLOK D RT 105 739041 GEA RESEP 42,000 33,000 - -
    84 MUTHOHAROH 1 TH P GERILYA GG MESJID BLOK D RT 105 826702 GEA RESEP 42,000 33,000 - -
    85 AGUSTINUS M 28 TH L KEMANGGI GG SYUKUR RT 024 610586 SYNDRUM NEFROTIK PLEB 42,000 33,000 - -
    86 MISWAN 63 TH L KS TUBUN DALAM RT 018 648797 PPOK NEBU,EKG,O2,INJEKSI 42,000 33,000 32,000 -
    87 ARIES PUSPITA NINGSIH 23 TH P MARSDA A SALEH RT 025 816528 INPARTU VT,DOPLER 42,000 33,000 - -
    88 YUSUF 57 TH L MILONO RT 013 694840 DISPEPSYA INJEKSI 42,000 33,000 - -
    89 UNTUNG ARDANI 70 TH L L.MANGKURAT GG 3 RT 025 826877 ASMA O2,NEBU,INJEKSI 42,000 33,000 32,000 -
    90 MARIA USUN A 73 TH P PLAMBOYAN RT 10 428661 DISPEPSYA EKG,INJEKSI 42,000 33,000 - -
    91 NABILA FAKHIRA NAAZNEEN 7 TH P PERUM TEPIAN 1 NO 22 RT 048 826866 FEBRIS PLEB 42,000 33,000 - -
    92 ADB RASYID 57 TH L PGRI II C3 PERUM TALANG SARI RT 006 826862 HT PLEB 42,000 33,000 - -
    93 A.BASHORI 10 TH L REEL 10 RT 020 583590 DEMAM DENGUE PLEB 42,000 33,000 - -
    94 NABILA ABDURRAHMAN 4 TH P PERUM SAMBUTAN ASRI D/3A NO 03 563451 ISPA RESEP 42,000 33,000 - -
    95 ANDI UMPA 42 TH L KADRIE OENING RT 016 746487 BSK PLEB,INJEKSI 42,000 33,000 - -
    96 JAMILAH 41 TH P P.BENDAHARA GG PERTENUNAN RT 001 826320 INPARTU VT,DOPLER 42,000 33,000 - -
    97 NAZHUA PUTRA ALFARIZI 9 TH L ULIN GG 3 NO 45 RT 030 826829 V.ICHTUM INJEKSI 42,000 33,000 - -
    98 MUSDALIPA 36 TH P MARSDA A SALEH RT 025 NO 91 826809 VERTIGO WT,INJEKSI 42,000 33,000 - -
    99 5/3/2015 REIHAN DAVINDRA P 7 TH L BELIMAU RT 024 826888 ASMA O2,NEBU,INJEKSI 42,000 33,000 32,000 -
    100 KASIM 86 TH L JOYO MULYO RT 037 826861 CAD PLEB,INJEKSI 42,000 33,000 - -
    101 JOVITA RASDALIMA 45 TH P PINANG 18 NO 4 RT 006 826930 VERTIGO EKG,GDS 42,000 33,000 - -
    102 HERRY OSCAR 53 TH L MIUSO SALIM NO 68 RT 015 773624 CKD INJEKSI 42,000 33,000 32,000 -
    103 KIA SHELPIA 13 TH P PERUM TEMINDUNG INDAH RT 068 826959 ISPA PLEB 42,000 33,000 - -
    104 ABDURRAHMAN 45 TH L L.MANGKURAT GG 5 NO 166 826960 CEPALGIA EKG 42,000 33,000 - -
    105 SALIHAS 67 TH L MERANTI GG 2 RT 019 821851 PPOK O2,NEBU,INJEKSI 42,000 33,000 32,000 -
    106 SULEMAN MOKOAGOW 49 TH L CENDANA NO 11/12 RT 12 826968 VARICELLA PLEB 42,000 33,000 - -
    107 PUTUT DWI YANTO 62 TH L SUWANDI RT 026 826911 VL WTH III,INJEKSI 42,000 33,000 - -
    108 WAFDAN 31 TH L JELAWAT GG 9 RT 038 657787 ISK PLEB 42,000 33,000 - -
    109 SUKIMIN 64 TH L MAKROMAN RT 011 804800 RETENSIO URIEN PASANG CATETER 42,000 33,000 - -
    110 BACHRUN ALAM 52 TH L AWS RT 029 826949 HEMATEMESIS PLEB 42,000 33,000 - -
    111 M.ROUFURROQIM 13 TH L DAMAHURI RT 028 533363 ASMA NEBU 42,000 33,000 - -
    112 NINGSIH 33 TH P HASAN BASRI GG 2 RT 026 826941 INPARTU VT,DOPLER 42,000 33,000 - -
    113 LUMANSYAH 51 TH L GERILYA GG SETIA RT 039 630823 VERTIGO PLEB,INJEKSI 42,000 33,000 - -
    114 ARPIYAH 42 TH P RUKUN II RT 014 826906 GERD PLEB,EKG,INJEKSI 42,000 33,000 - -
    115 MASPIAH 59 TH P AWS RT 026 826909 GEA PLEB,EKG,INJEKSI 42,000 33,000 - -
    116 BACHRUN ALAM 52 TH L AWS RT 029 626949 GASTRITIS INF,PLEB,EKG 42,000 33,000 - -
    117 JOENAIDI SAPUTRA 12 TH L ST. ALIMUDDIN RT 035 826956 ASMA O2,NEBU,INJEKSI 42,000 33,000 32,000 -
    118 NURIDAH 31 TH P S.RIADI GG 6 RT 017 826915 DISPEPSYA PLEB,EKG,INJEKSI 42,000 33,000 - -
    119 JARMANI 52 TH L P.ANTASARI RT 033 809148 CAD INF,PLEB,EKG,O2,INJEKSI 42,000 33,000 32,000 -
    120 M.REHAN 13 TH L BAYUR RT 038 533181 THIPOID PLEB 42,000 33,000 - -
    121 SANI MAULANA 18 TH L KH.MAS MANSYUR GG PELOPOR 3 RT 075 493353 FEBRIS PLEB 42,000 33,000 - -
    122 DELIA SEPTIANI 15 TH P DAMAI GG 4 RT 026 826965 CEPALGIA RESEP 42,000 33,000 - -
    123 ZAINI 54 TH L KEBON AGUNG RT 001 826032 TB PARU PLEB 42,000 33,000 - -
    124 ACHMAD DEDDY 33 TH L GATSU RT 027 826933 GASTRITIS PLEB,INJEKSI 42,000 33,000 - -
    125 6/3/2015 AGUS SUMARTO 35 TH L KAHOI 7 BI RT 030 693191 VL WTH III,INJEKSI 42,000 33,000 - -
    126 NALDO FERDI IRAWAN 12 TH L PAHLAWAN 3 RT 031 827026 VE WT 42,000 33,000 - -
    127 RIZAL ANDAI PRASTIO 33 TH L MUGIREJO GG MANUNGGAL 3 RT 040 558144 FEBRIS INF,PLEB 42,000 33,000 - -
    128 JUMIYATI 38 TH P AM.SANG AJI RT 019 399415 DISLOKASI ELESTIS VERBAN 42,000 33,000 - -
    129 TITIK HARTINI 38 TH P P.ANTASARI GG H MANSYUR RT 003 610550 COLIC ABDOMEN PLEB 42,000 33,000 - DR.BOYKE
    130 SUROSO 58 TH L GUNTUNG LAI RT026 754252 DYSNUE NEBU,O2 42,000 33,000 32,000 -
    131 SYDIA SULANDARI 26 TH P KS.TUBUN GG VII RT 02 743805 MIGRAIN INJEKSI 42,000 33,000 - -
    132 SABRINA 7 TH P SEI KAPIH RT 005 804114 FEBRIS PLEB 42,000 33,000 - -
    133 ROSNENI 22 TH P BUNG TOMO RT 021 827020 INPARTU VT,DOPLER 42,000 33,000 - -
    134 A.SAHRI 52 TH L GERILYA GG BARU RT 50 821414 DYSNUE PLEB,O2,EKG 42,000 33,000 32,000 -
    135 SANDI MAHENDRA 28 TH L REVOLUSI GG 2000 RT 023 827021 HEMOROID RESEP 42,000 33,000 - DR.ELVIS
    136 SALAMAH 75 TH P DI PANJAITAN RT 038 588000 RETENSIO URIEN PASANG CATETER 42,000 33,000 - -
    137 HARIDAH 45 TH P KH.H.NAFSI RT 017 826994 HT INF,PLEB,EKG,INJEKSI 42,000 33,000 - -
    138 HERNI SUSANTI 39 TH P SAWI 4 RT 022 826996 VL WTH IV,INJEKSI 42,000 33,000 - -
    139 ALIYAH PURWATI 48 TH P PERINTIS RT 032 737784 VERTIGO INJEKSI 42,000 33,000 - -
    140 RENDA BAGUS SAPUTRA 8 TH L JOYO MULYO RT 037 641589 FEBRIS PLEB 42,000 33,000 - -
    141 ERNI 31 TH P ST.ALIMUDDIN RT 021 824288 ISK PLEB,INJEKSI 42,000 33,000 - -
    142 SAHRUNI 66 TH L PERINTIS RT 032 827003 ASMA O2,NEBU,INJEKSI 42,000 33,000 32,000 -
    148 LINDA SRI WARDANI 13 TH P JELAWAT GG 8 RT 004 381448 ISPA PLEB 42,000 33,000 - -
    149 AJI IDI SURIANTI 69 TH P P.ANTASARI RT 002 614468 GE INF,PLEB,EKG,INJEKSI 42,000 33,000 - -
    150 ARIYONO 65 TH L SUWANDI III RT 024 686430 RETENSIO URIEN PASANG CATETER 42,000 33,000 - -
    151 7/3/2015 RIFALDI YULI P 3 TH L SENTOSA DALAM II RT 079 771826 DERMATITIS RESEP 42,000 33,000 - -
    152 ERY NUR DANI 21 TH L RIMBAWAN RT 008 827110 FARINGITIS INJEKSI 42,000 33,000 - -
    153 M.ABDUH 23 TH L TURI PUTIH 4 BLOK E /282 RT 089 827160 VL WT,INJEKSI 42,000 33,000 - -
    154 NUR AINI 18 TH P TRIKORA RT 010 827106 DISPEPSYA PLEB,INJEKSI 42,000 33,000 - -
    155 ALLRIZKY PONKY P 2 TH L JUANDA I RT 020 684142 FEBRIS PLEB 42,000 33,000 - -
    156 SABRINA 7 TH P SEI KAPIH RT 005 804114 VOMITING PLEB 42,000 33,000 - -
    157 SITI SARAH 20 TH P BELATUK RT 032 327157 ABSES PEDIS WT,INJEKSI 42,000 33,000 - -
    158 SAPRIANSYAH 35 TH L GN.LINGAI RT 010 470690 DISPEPSYA INJEKSI 42,000 33,000 - -
    159 NANA 47 TH P PADAT KARYA RT 009 543723 CA MAMAE PLEBO,EKG 42,000 33,000 - DR.ATOB
    160 MERLINE MEGAWATI P 9 TH P REVOLUSI RT 007 827174 VOMITING RESEP 42,000 33,000 - -
    161 ARBAINAH 14 TH P RIMBAWAN RT 032 467356 ASMA NEBU,EKG,INJEKSI 42,000 33,000 - -
    162 FEBRINE NEYSA .N 2 TH P MERDEKA RT 088 754838 THIPOID PLEB 42,000 33,000 - -
    163 MARTIN 43 TH L BUNG TOMO RT 026 827104 ISPA EKG 42,000 33,000 - -
    164 SITI NASTATIK 43 TH P PAKIS HIJAU 6 RT 083 827172 OTALGIA RESEP 42,000 33,000 - -
    165 M.ARSYAAD ABIDIN 3 TH L KENANGAN VII DALAM RT 077 827120 FEBRIS PLEB 42,000 33,000 - -
    166 RINA SIANTURI 1 TH P LEMPAKE JAYA RT 019 827119 SELULITIS CRURIS RESEP 42,000 33,000 - -
    167 M.AL FARIZI 10 TH L M.SAID RT 013 788213 FEBRIS PLEB 42,000 33,000 - -
    168 TUNAH ISMAWATI 45 TH P TRISARI RT 022 432987 ABSES PLEB 42,000 33,000 - -
    169 SUWATI 46 TH P H.SUWANDI RT 023 827088 VL WTH IV,INJEKSI 42,000 33,000 - -
    170 ZAHRA HAPSARI 12 TH P SENTOSA DALAM IIA RT 079 827121 ISPA PLEB 42,000 33,000 - -
    171 SUGENG WICAHYO 28 TH L JOYOMULYO RT 028 827129 SUSP TB PARU PLEBO,EKG 42,000 33,000 - -
    172 NJAM 61 TH P PAMPANG RT 003 414233 HEPATITIS RESEP 42,000 33,000 - -
    173 KAYLA AZEEZA GIRASTA S 4 TH P PM.NOOR PERUM TEPIAN J/22 825802 VL UP HEATING 42,000 33,000 - -
    174 SITI NASRIAH 50 TH P TURI PUTIH 2 RT 089 348453 FEBRIS PLEB 42,000 33,000 - -
    175 JULI WAHIDAH 43 TH P S.PARMAN GG 3 RT 030 660783 COLIC ABDOMEN PLEB 42,000 33,000 - -
    176 NAYLA ANUGRAH CINTA P 3 TH P P.SURYANATA GG MINSA NO 87 RT 028 625001 VOMITING RESEP 42,000 33,000 - -
    177 EKO WAHYUDI 14 TH L LUMBA LUMBA RT 012 691450 FARINGITIS PLEB 42,000 33,000 - -
    178 MUNIR S 62 TH L SEI LANTUNG RT 004 819247 KONSTIPASI EKG,SUPP 42,000 33,000 - -
    179 SAHARUDDIN 34 TH L L.MANGKURAT RT 022 827073 ORCHITIS PLEB 42,000 33,000 - -
    180 8/3/2015 AMIR HASAN 62 TH L L.MANGKURAT GG 1 754638 FEBRIS RESEP 42,000 33,000 - -
    181 DHITA RIZKI AMANDA 19 TH P U.SUROPATI 779747 ASMA NEBU,INJEKSI 42,000 33,000 - -
    182 WATINI 41 TH P KEMUNING RT 020 725569 ISPA RESEP 42,000 33,000 - -
    183 HERRY OSCAR 53 TH L MUSO SALIM NO 68 RT 015 773624 CKD OKSIGEN 42,000 33,000 32,000 -
    184 KARTINI 27 TH P SAMRATULANGI RT 034 827238 COMMOND COLD PLEB 42,000 33,000 - -
    185 SUMANTO 35 TH L M.YAMIN GG 1 RT 017 752369 ASMA NEBU,INJEKSI 42,000 33,000 - -
    186 NOVALDI RIZKY PARATAMA 17 TH L L.MANGKURAT GG CEMPAKA RT 006 659493 DISPEPSYA EKG,INJEKSI 42,000 33,000 - -
    187 MERNAWATI 21 TH P P.ANTASARI BLOK D NO 7 RT 10 688503 DISPEPSYA INJEKSI 42,000 33,000 - -
    188 RIATIN 62 TH P KS.TUBUN DALAM RT 014 827220 ISPA RESEP 42,000 33,000 - -
    189 WA DELVI ANGGREINI 11 TH P ANGGUR RT 056 700983 ISPA RESEP 42,000 33,000 - -
    190 DIANZ SEKAR TANJUNG 3 TH P S.PARMAN RT 002 770012 THIPOID PLEB 42,000 33,000 - -
    191 M.RAFFA AFRIZIA 5 TH L PEMUDA III NO 26 RT 011 827274 FARINGITIS PLEB 42,000 33,000 - -
    192 ALIYAH 80 TH P PAKIS HIJAU 4 BLOK D NO 292 RT 83 814186 DISPEPSYA EKG,INJEKSI 42,000 33,000 - -
    193 SURYA SANJAYA SYAFITRA 27 TH L KEMAKMURAN DALAM RT 020 827229 CORPAL EXTRASI KORPAL 42,000 33,000 - -
    194 SYAFI'I 47 TH L KEDONDONG DALAM RT 032 827203 DISPEPSYA PLEB,EKG,INJEKSI 42,000 33,000 - -
    195 SLAMET SUPRIYADI 57 TH L OTISTA GG ASPOL 2 RT 025 774511 HEMAPTOE PLEB,O2 42,000 33,000 32,000 -
    196 M.REHAN 13 TH L BAYUR RT 038 533181 FARINGITIS RESEP 42,000 33,000 - -
    197 IBRAMSYAH AS 58 TH L SWADAYA RT 021 806742 DISPEPSYA EKG 42,000 33,000 - -
    198 M.FAHMI 7 TH L MERDEKA II NO 88 RT 092 789908 ASMA O2,NEBU,INJEKSI 42,000 33,000 32,000 -
    199 EMA DARMAYANTI 32 TH P PERUM BATARA INDAH C2/65 RT 13 729767 CLUSTER HEADACHE INJEKSI 42,000 33,000 - -
    200 EMI 50 TH P RE.M.DINATA GG WAHYU RT 004 394720 GASTRITIS PLEB,EKG,INJEKSI 42,000 33,000 - DR,DJOEN
    201 9/3/2015 A.ZHIEDAN 9 TH L SLA,ET RIYADI GG 2 RT 012 825679 TONSILITIS RESEP 42,000 33,000 - -
    202 TITIK WAHYUNI 48 TH P KH.W.HASYIM RT 051 515303 DUB PLEB 42,000 33,000 - -
    203 HUSNIL HADAWIYAH 31 TH P S.RIYADI GG 2 RT 012 827596 LBP RESEP 42,000 33,000 - -
    204 ROBIN RENALDY 13 TH L P.ANTASARI RT 002 827573 HEMATOME PLEB 42,000 33,000 - -
    205 HENNY YULIANTY 40 TH P PM.NOOR PERUM GMS RT 006 827239 DISPEPSYA EKG,INJEKSI 42,000 33,000 - -
    206 DHITA RIZKI AMANDA 19 TH P U.SURPPATI PERUM GTL L/4 779747 ASMA NEBU,INJEKSI 42,000 33,000 - -
    207 I MARETANG 28 TH L PERUM SAMBUTAN ASRI J/09 RT 032 827567 ISK RESEP 42,000 33,000 - -
    208 MARIATY 56 TH P AWS RT 022 710608 HT EKG 42,000 33,000 - -
    209 HAMSYAH 75 TH P PATIMMURA RT 002 827559 VERTIGO PLEB,INJEKSI 42,000 33,000 - -
    210 M.ROUFURROQIM 13 TH L DAMANHURI RT 028 833363 ASMA INJEKSI 42,000 33,000 - -
    211 HJ.CANDENG 82 TH P ADB MUTHALIB NO 29 RT 004 827603 HT EKG,INJEKSI 42,000 33,000 - -
    212 ANANDA ELYA RAMADHANI 8 TH P HIDAYATULLAH GG AMAL C/33 RT 022 827626 FEBRIS PLEB 42,000 33,000 - -
    213 SALASIAH 58 TH P CM.KUSUMO RT 002 827166 FEBRIS EKG,PLEB 42,000 33,000 - -
    214 ARDIANSYAH M 53 TH L DRS.HB.SUPARNO RT 031 827245 CHEST PAIN PLEB,EKG,INJEKSI 42,000 33,000 - -
    215 NORMA 72 TH P GELATIK RT 016 310426 V.ICHTUM CROSS INSISI,INJEKSI 42,000 33,000 - -
    216 MANG SHIROTUL HABIBAH 30 TH L DAMANHURI PERUM BTI RT 024 821553 INPARTU PLEB,VT,DOPLER 42,000 33,000 - -
    217 SITI MARIAMAH 31 TH P PELITA GG SEPAKAT RT 005 827617 VERTIGO INJEKSI 42,000 33,000 32,000 -
    218 NURZI MAURIZA 33 TH L PERUM SLI H/12 RT 57 737057 CKD PLEB,O2 42,000 33,000 32,000 -
    219 FAJAR EKO PURNOMO 5 TH L M.YAMIN GG PELAYARAN RT 019 609931 ASMA O2,NEBU,INJEKSI 42,000 33,000 32,000 -
    220 ZAINAB UTAMI 56 TH P P.SURYANATA GG BERKAH RT 030 765467 DM EKG 42,000 33,000 - -
    221 AZLAN DARMA PUTRA 1 TH L S.PARMAN NO 3 RT 002 792114 ISPA NEBU,O2 42,000 33,000 - -
    222 PADLI 30 TH L DI PANJAITAN RT 013 827521 DISPEPSYA INF,PLEB,INJEKSI 42,000 33,000 - -
    223 10/3/2015 M.ROUFURROQIM 13 TH L KH.DAMANHURI II RT 028 833363 ASMA O2,NEBU,INJEKSI 42,000 33,000 32,000 -
    224 RUSTAM RIADI 58 TH L PEMUDA III RT 011 786776 V.SCISSUM WT,INJEKSI 42,000 33,000 - -
    225 ERNI MARLIANA 25 TH P MAS PENGHULU RT 009 715209 VOMITING INJEKSI 42,000 33,000 - -
    226 SABRINA 7 TH P SEI KAPIH RT 005 804114 FEBRIS PLEB 42,000 33,000 - -
    227 M.DAFFA ARBY AL QURTUBY 3 TH L W.MONGONSIDI RT 020 804314 FEBRIS PLEB 42,000 33,000 - -
    228 SYERUN NUR IQBAL 5 TH L BAYUR RT 018 827710 FEBRIS PLEB 42,000 33,000 - -
    229 SITI NASRIAH 50 TH P TURI PUTIH 2 RT 089 348453 GOUT ARTRITIS RESEP 42,000 33,000 - -
    230 SAHAT FERWINALDO SIAHAA 25 TH L SULTAN SULAIMAN RT 008 607664 V.ICHTUM INJEKSI 42,000 33,000 - -
    231 M.DWI REZKY OCTAVIANO 4 TH L M.SAID NO 24 RT 003 661459 FEBRIS PLEB 42,000 33,000 - -
    232 INDAH NUR SYAFITRI 5 TH P JOYO MULYO RT 037 827711 FE PLEB PLEB,EKG,INJEKSI 42,000 33,000 - -
    233 NAJWA MAHARANI 9 TH P KH.W.HASYIM RT 014 726465 FEBRIS RESEP 42,000 33,000 - -
    234 DENI AGUSTIAWAN 9 TH L KEMAKMURAN NO 90 RT 044 827612 PULPITIS RESEP 42,000 33,000 - -
    235 RIZKY MAULANA 2 TH L W.MONGONSIDI GG 7 NO 17 RT 022 736831 KDS PLEB 42,000 33,000 - -
    236 M.AKHDAN RAFIF 4 TH L BELATUK RT 016 588794 FEBRIS PLEB 42,000 33,000 - -
    237 URIF HIDAYAT 50 TH L M.SAID RT 029 827611 FEBRIS PLEBO,EKG 42,000 33,000 - -
    238 SUPARMAN 44 TH L TALANG SARI RT 003 827567 CONTUSIO M RESEP 42,000 33,000 - -
    239 AYU DESTIANA 11 TH P KS.TUBUN RT 003 827566 FEBRIS PLEB 42,000 33,000 - -
    240 AGUSTINA 32 TH P BENGKURING RT 009 827688 FEBRIS PLEB,INJEKSI 42,000 33,000 - -
    241 DEVITANIA ERY FASYA 8 TH P P.SURYANATA RT 040 766599 V.ICHTUM CROSS INSISI,INJEKSI 42,000 33,000 - -
    242 ABD GAFAR 53 TH L P.SURYANATA RT 018 827662 VL WTH IV,INJEKSI 42,000 33,000 - -
    243 AGUS SOPIAN 41 TH L IMAM BONJOL GG 10 NO 44 577207 V.SCISSUM WTH II,INJEKSI 42,000 33,000 - -
    244 CITRA WATI 52 TH P PESUT GG 2 NO 21 320060 CAD PLEB,EKG,INJEKSI 42,000 33,000 - -
    245 PANUT RAHARJO 65 TH L PERUM ASRI SMBTN RT 026 486689 ABD DISCONFORT EKG,INJEKSI 42,000 33,000 - -
    246 NORSEHAN 68 TH P CM.KUSUMO RT 029 827654 DISPEPSYA EKG 42,000 33,000 - -
    247 ANANDA ELYA RAMADHANI 8 TH P P.HIDAYATULLAH GG AMAN C/33 RT 022 827626 FEBRIS PLEB 42,000 33,000 - -
    248 M.NAZZRIL RAHMAN 5 TH L JAYA MULYA RT 038 827661 FEBRIS PLEB 42,000 33,000 - -
    249 NAYLA MASYITHAN NANDAR 2 TH P L.MANGKURAT GG SYADAN RT 027 827679 GEA INF,PLEB 42,000 33,000 - -
    250 FAHIRA PARADISA 3 TH P GN.LINGAI GG BERKAT AANO 07 820813 FEBRIS PLEB 42,000 33,000 - -
    251 SARIP 51 TH L AGUS SALIM GG 6 RT 032 827551 DM PLEBO,EKG 42,000 33,000 - -
    252 REZA GILANG PRATAMA 9 TH L MT.HARRIYONO RT 011 811355 FEBRIS RESEP 42,000 33,000 - -
    253 M.REHAN 13 TH L BAYUR RT 038 533181 ISPA PLEB 42,000 33,000 - -
    254 KHALIFAHUL MADINAH 3 TH P SENTOSA RT 044 699878 ISPA PLEB 42,000 33,000 - -
    255 11/3/2015 DZAKI PUTRA SURYA F 10 TH L KEHEWANAN RT 008 827759 NAIL ALVUSI EKTRAKSI,WT,INJEKSI 42,000 33,000 - -
    256 M.ARSYAD 10 TH L S.RIADI RT 031 721404 FEBRIS PLEB 42,000 33,000 - -
    257 I MARETANG 28 TH P PERUM SMBTN ASRI J/09 RT 032 827567 FEBRIS INJEKSI 42,000 33,000 - -
    258 NUZRI MURIZA 33 TH L PERUM SLI H/12 RT 57 737057 CKD PLEB 42,000 33,000 - DR.ANITA
    259 KARSITI 63 TH P JOYO MULYO RT 031 728294 GEA INF,PLEB,EKG,INJEKSI 42,000 33,000 - -
    260 AGUSTINA 32 TH P BENGKURING BLOK E RT 089 827688 FEBRIS RESEP 42,000 33,000 - -
    261 YUSMAN 45 TH L PELITA 3 RT 012 SMBTN 745836 DISPEPSYA PLEB,EKG,INJEKSI 42,000 33,000 - -
    262 AULIA RAHMAH PRATIWI 13 TH P TATAKO RT 024 827814 ISK PLEB 42,000 33,000 - -
    263 ALMER RASYAD PRAMA H 3 TH L AWS GG AMANAH RT 014 787216 ASMA NEBU,O2 42,000 33,000 32,000 -
    264 SRI ASTUTI 25 TH P ABD MUTHALIB RT 005 708350 FEBRIS PLEB 42,000 33,000 - -
    265 SUHARSIH 53 TH P M.SAID GG POLEWALI RT 046 827086 CEPALGIA PLEB,EKG,INJEKSI 42,000 33,000 - -
    266 TRIANANDA SABILAH 4 TH P MARSDA ASALEH RT 024 642935 ISPA RESEP 42,000 33,000 - -
    267 ERNAWATI 42 TH P ST.SULAIMAN RT 011 169336 AB CONFLITE INJEKSI 42,000 33,000 - -
    268 ATMO SURADI 73 TH L SUKEREJO RT 003 814737 ABD PAIN PLEB,INJEKSI 42,000 33,000 - DR.SAIFUL
    269 ANNISA KHOIRUN AMALA 2 TH P LEMPAKE JAYA RT 018 828088 FEBRIS RESEP 42,000 33,000 - -
    270 KOERUDDIN 55 TH L KH.HARUN NAFSI RT 017 827780 CKB INF,ETT,DC,PLEB,INJ,KONSUL,O2 42,000 33,000 32,000 DR.GRACE
    271 TEMON 56 TH L JOYO MULYO RT 036 827784 DISPEPSYA PLEB,EKG,INJEKSI 42,000 33,000 - -
    272 TIUR SIMANJUNTAK 27 TH P LABU HIJAU 5 RT 072 707762 PJB PLEB,OE,EKG 42,000 33,000 32,000 -
    273 ILHAM SEPTIAWAN 2 TH L P.SURYANA RT 003 784391 FEBRIS PLEB 42,000 33,000 - -
    274 KUSTINI 57 TH P MARSDA A SALEH RT 041 827919 DISENTRI PLEB 42,000 33,000 - -
    275 SUMIATI 31 TH P L.MANGKURAT RT 027 827744 HEG INF,PLEB,INJEKSI 42,000 33,000 - -
    276 12/3/2015 ULY ARIANI 11 TH P CIRI REJO RT 022 827868 FEBRIS PLEB 42,000 33,000 - -
    277 AM.HUSADA 61 TH L NANGKA RT 12 BUKUAN 826180 RETENSIO URIEN PASANG CATETER 42,000 33,000 - DR.BOYKE
    278 ANNISA NOVITA SARI 23 TH P SLAMET RIYADI GG 2 RT 012 327938 BSK SUPP 42,000 33,000 - -
    279 FACHRULLAH 31 TH L RE.M.DINATA RT 009 510532 ASMA O2,NEBU,INJEKSI 42,000 33,000 32,000 -
    280 MISKAN 72 TH L AM SANG AJI GG AKAS RT 017 827923 LBP EKG,SUPP,INJEKSI 42,000 33,000 - -
    281 RINA SIANTURI 22 TH P A.AZIS SAMAD RT 038 690036 INPARTU VT,DOPLER 42,000 33,000 - -
    282 ALIYAH PURWATI 69 TH P PERINTIS RT 032 737784 VERTIGO PLEB,INJEKSI 42,000 33,000 - -
    283 HOLIAH 37 TH P JUANDA RT 016 760385 DISPEPSYA PLEB,INJEKSI 42,000 33,000 - -
    284 ELENA PUTRI RAHMAN 4 TH P KEMAKMURAN GG KNPI RT 014 661691 ASMA O2,NEBU,INJEKSI 42,000 33,000 32,000 -
    285 RUSDAWAYIH 58 TH P DAMAI RT 025 827854 GASTRITIS INF,PLEB,EKG,INJEKSI 42,000 33,000 - -
    286 MUTIARA KHUMAIROH 1 TH P PELITA 3 RT 012 SMBTN 773977 FEBRIS RESEP 42,000 33,000 - -
    287 HADI SUNOTO 42 TH L TRI SARI RT 22 827908 VL WTH II,INJEKSI 42,000 33,000 - -
    288 NOVELYN AURA KARENZA 2 TH P JOYO MULYO RT 037 703916 ISPA PLEB 42,000 33,000 - -
    289 EDY HERYANTO 52 TH L NUSA INDAH 3/62 RT 004 827914 GEA INJEKSI 42,000 33,000 - -
    290 SITI NASRIAH 50 TH P TURI PUTIH 2 RT 089 348453 FEBRIS PLEBO,EKG 42,000 33,000 - -
    291 M.FAJAR ASIDIQ 11 TH L AWS GG PANDAN MEKAR NO 13 RT 030 420690 TONSILITIS RESEP 42,000 33,000 - -
    292 JUMIRAN 48 TH P M.YAMIN RT 021 351029 PPOK NEBU,EKG 42,000 33,000 - -
    293 SRI ATIAK PUTRI 12 TH P CM.MANGUN KUSUMO 827926 CKR INF,PLEB,KONSUL 42,000 33,000 - DR.GRACE
    294 M.YANTO 43 TH L ADB SANI NO 78 RT 017 824175 ABSES ABD PLEB,INJEKSI 42,000 33,000 - -
    295 13/3/2015 JULIAH 66 TH P OLAH BEBAYA RT 003 828000 HHF GR 1 PLEB,EKG,INJEKSI 42,000 33,000 - -
    296 HELMI KHAIRURUDIN 17 TH L MUGIREJO LUBUK SAWAH RT 019 827974 SUSP EDH MON,INF,PLEB,EKG,DC,ETT,NGT 42,000 33,000 32,000 NININ/ATOB
    297 HELMAY 27 TH P SENTOSA GG KENANGAN RT 073 821527 GASTRITIS INJEKSI 42,000 33,000 - -
    298 IKA RAMADANTI 22 TH P KENANGA RT 009 BENTUAS 828046 INPARTU VT,DOPLER 42,000 33,000 - -
    299 ICHSAN WIJIANTO 11 TH L AWS RT 026 828019 VL WTH III,INJEKSI 42,000 33,000 - -
    300 KURDI 31 TH L P.ANTASARI II RT 030 828039 DISPEPSYA PLEB,INJEKSI 42,000 33,000 - -
    301 SARI FERIANTI 11 TH P JOYO MULYO RT 030 827884 FEBRIS PLEB 42,000 33,000 - -
    302 TIAMUN 43 TH L PRM PUSPITA BENGKURING AT/14 RT 67 828041 SNAKE BITE INF,PLEB 42,000 33,000 - -
    303 YULIANA UTAMI SARI 28 TH P BIAWAN RT 027 827964 VL WTH II,INJEKSI 42,000 33,000 - -
    304 DESI LESTARI 18 TH P MUGIREJO RT 004 667856 TROUMA THORAX RESEP 42,000 33,000 - -
    305 ARPIYAH 42 TH P RUKUN II RT 014 526906 GASTRITIS PLEB,EKG,INJEKSI 42,000 33,000 - DR.CARTA
    306 SYAKUR YUSUF AHMAD 3 TH L P.ANTASARI II RT 030 768974 FEBRIS PLEB 42,000 33,000 - -
    307 KADDARIA 80 TH P KOMP.PASAR SEGIRI RT 028 828014 GASTRITIS EKG,INJEKSI 42,000 33,000 - -
    308 NYOMAN BENNY 65 TH L PERJUANGAN GG SEDIKIT RT 103 826913 RETENSIO URIEN PASANG CATETER 42,000 33,000 - -
    309 14/3/2015 ERLIANA 34 TH P ABD MUTHALIB RT 004 828072 ISK PLEB 42,000 33,000 - -
    310 RUS ANITA 39 TH P CENDANA GG 5 RT 017 671155 VERTIGO EKG,INJEKSI 42,000 33,000 - -
    311 HERRY OSCAR 53 TH L MUSO SALIM NO 68 RT 015 773624 CKD EKG,O2,INJEKSI 42,000 33,000 - -
    312 NOVITA NUR RAHMA 15 TH P P.ANTASARI NO 1 RT 01 827883 ASMA O2,NEBU,INJEKSI 42,000 33,000 32,000 -
    313 M.NABIL 11 TH L BUNG TOMO RT 028 827935 ISPA INF,PLEB,INJEKSI 42,000 33,000 - -
    314 MARIYANA 35 TH P MERDEKA RT 088 827934 ASMA O2,NEBU,INJEKSI 42,000 33,000 32,000 -
    315 KEVIN ARVINO 4 TH L PERUM KELEDANG MAS RT 009 827932 FEBRIS RESEP 42,000 33,000 - -
    316 M.FAHRI ISRAHIM 4 TH L AGUS SALIM GG TANJUNG RT 032 729530 ASMA NEBU,O2 42,000 33,000 32,000 -
    317 HERLINA 24 TH P JUANDA SALAK 1 NO 118 779071 INPARTU VT,DOPLER 42,000 33,000 - -
    318 JAINAH 55 TH P BATU CERMIN RT 002 436878 ASMA O2,NEBU,INJEKSI 42,000 33,000 32,000 -
    319 FAHRI FAREL PRAMANA P 6 TH L ERY SUPARJAN RT 012 828065 DISPEPSYA INJEKSI 42,000 33,000 - -
    320 ROBIUL NAZHILATUL R 2 TH L LUMBA LUMBA RT 017 825968 KONSTIPASI SUPP 42,000 33,000 - -
    321 BABY KHANZA NEZTY WANAR 1 TH P TANJUNG LANGO RT 025 828064 COMMOND COLD PLEB 42,000 33,000 - -
    322 RUSMIAH 43 TH P ULIN GG 6 RT 024 830111 CEPALGIA PLEB,EKG,INJEKSI 42,000 33,000 - -
    323 RISKY RINDANI NATYAS 21 TH P BLOK A RT 029 TANAH MERAH 828067 VL INJEKSI 42,000 33,000 - -
    324 IMAM ROFI'I 39 TH L DAMANHURI RT 020 335956 DISPEPSYA RESEP 42,000 33,000 - -
    325 DESY KURNIA DEWI 20 TH P KH.HARUN NAFSI RT 010 830109 INPARTU PLEB,VT,DOPLER 42,000 33,000 - -
    326 SYAHRUNI 56 TH L PERINTIS RT 032 827003 SOPT INF,PLEB,NEBU 42,000 33,000 - -
    327 SURYA ABDANI RANDO 11 TH L PAHLAWAN 2 RT 028 828765 DISPEPSYA RESEP 42,000 33,000 - -
    328 PUJI ASTUTI 37 TH P NUSA INDAH RT 001 830115 CEPALGIA INJEKSI 42,000 33,000 - -
    329 MAULANA WIJAYA 16 TH L CENDANA GG 3 RT 023 79927 POST TONSILEKTOMI PLEB 42,000 33,000 - -
    330 NABILA NUR ASSYIFA 1 TH P REEL 10 RT 020 824171 RHINITIS RESEP 42,000 33,000 - -
    331 ABBULLAH LATIF 67 TH L MERANTI GG 1 RT 023 797757 HT PLEB,O2,EKG 42,000 33,000 32,000 -
    332 FADLI YADI MULIADI 25 TH L CENDANA RT 033 830133 DISPEPSYA INJEKSI 42,000 33,000 - -
    333 KEVIN BAGASKARA 2 TH L BUGIS RT 002 MUGIREJO 803670 ISPA PLEB 42,000 33,000 - -
    334 HERRY OSCAR 53 TH L MUSO SALIM NO 68 RT 015 773624 CHF OKSIGEN,INJEKSI 42,000 33,000 32,000 -
    335 DEVAN ADI SURYA SUKMANA 2 TH L MERDEKA TIMUR RT 100 830700 FEBRIS PLEB 42,000 33,000 - -
    336 15/3/2015 SITI AISYAH 40 TH P ULIN GG RUMBIA RT 007 645120 COLIC ABDOMEN PLEB,INJEKSI 42,000 33,000 - -
    337 RAHMADANI 52 TH L PELITA 3 RT 012 SMBTN 830425 BSK PLEB,EKG,INJEKSI 42,000 33,000 - -
    338 NURHAYATI 22 TH P OTISTA GG 12 RT 014 816188 INPARTU VT,DOPLER 42,000 33,000 - -
    339 NUR ASPIYACH 31 TH P GERILYA GG FAMILY RT 035 830450 INPARTU PLEB,VT,DOPLER 42,000 33,000 - -
    340 ANTON RAMADANI 7 TH L M.YAMIN RT 017 604705 ASMA O2,NEBU,INJEKSI 42,000 33,000 32,000 -
    341 JAINAH 55 TH P BATU CERMIN RT 002 436878 ASMA NEBU,EKG,INJEKSI 42,000 33,000 - -
    342 MASRIAMAH 26 TH P REJO MULYO RT 033 830470 FEBRIS RESEP 42,000 33,000 - -
    343 NORSIYAH 65 TH P BIAWAN RT 014 830461 GASTRITIS PLEB,EKG,INJEKSI 42,000 33,000 - -
    344 FAJRA NADA NABILA 2 TH P LUBUK SAWAH RT 016 830464 MORBILI PLEB 42,000 33,000 - -
    345 HESTI MAYSAH 17 TH P PELABUHAN RT 001 P.ATAS 615719 DISPEPSYA INJEKSI 42,000 33,000 - -
    346 HAFIDAH 46 TH P S.PARMAN GG IV RT 029 280796 FEBRIS PLEB 42,000 33,000 - -
    347 SITI RAHMAH 26 TH P M.SAID RT 029 674232 ASMA O2,NEBU,INJEKSI 42,000 33,000 32,000 -
    348 PERTI 53 TH P GIRI REJO RT 002 830444 DISPEPSYA PLEB,EKG,INJEKSI 42,000 33,000 - -
    349 CAHAYA RIZKY HAFISYAH 1 TH P GERILYA GG SEPAKAT RT 101 830419 GEA PLEB,INJEKSI 42,000 33,000 - -
    350 NOVRIANTI AIRA PUTRI 3 TH P ANGGUR RT 055 663734 GEA PLEB 42,000 33,000 - -
    351 SALMIAH 62 TH P SUBULUS SALAM RT 033 830192 ASMA NEBU,EKG,O2,INJEKSI 42,000 33,000 32,000 -
    352 DIAN ARIANSYAH 12 TH L M.SAID GG POLEWALI RT 046 830452 CF RADIUS DISTAL KONSUL 42,000 33,000 - DR.YASSER
    353 M.PUTRA 4 TH L LEMPAKE JAYA RT 021 679366 KONVULSI INF,PLEB,SUPP,O2 42,000 33,000 32,000 -
    354 A.HANAPIAH 55 TH L DAMAI GG 4 RT 026 595860 VL RESEP 42,000 33,000 - -
    355 HERRY OSCAR 53 TH L MUSO SALIM NO 68 RT 015 773624 CHF OKSIGEN,INJEKSI 42,000 33,000 32,000 -
    356 ANITA INDRI WAHYUNI 26 TH P SENTOSA KENANGAN 2 RT 074 309430 VARICELLA RESEP 42,000 33,000 - -
    357 SITI NUR JANAH 39 TH P P.HIDAYATULLAH GG BAKTI NO 11 B RT 0 622219 DISPEPSYA INJEKSI 42,000 33,000 - -
    358 ANTON RAMADANI 6 TH L M.YAMIN GG 1 RT 017 596895 ASMA O2,NEBU,INJEKSI 42,000 33,000 32,000 -
    359 LEDIA IRYANA 5 TH P S.RIADI RT 031 008188 ISPA PLEB 42,000 33,000 - -
    360 NUR BAINAH 31 TH P GN.LINGAI RT 005 763714 CEPALGIA INJEKSI 42,000 33,000 - -
    361 DWI BAMBANG PURNAMA 60 TH L DELIMA RT 51 195525 ASMA INJEKSI 42,000 33,000 - -
    362 ASNITA 85 TH P AGUS SALIIM RT 031 814903 CHF PLEB,O2,EKG,INJEKSI 42,000 33,000 32,000 -
    363 MULIYANTO WIJAYA 23 TH L KH.USMAN BERAHIM RT 016 808993 HIPOKALEMI INF,PLEB,INJEKSI 42,000 33,000 - -
    364 MAULIDA FITRIA 16 TH L MERDEKA TIMUR RT 100 821899 DISPEPSYA INJEKSI 42,000 33,000 - -
    365 DATU INDRA PRATAMA 12 TH L PERUM GRAHA INDAH RT 044 694917 DISPEPSYA INJEKSI 42,000 33,000 - -
    366 DEASY HARIYANTIE 26 TH P SITI AISYAH RT 015 830451 ASMA O2,NEBU,INJEKSI 42,000 33,000 32,000 -
    367 RIMONAQ DIMAS PRADAMA 2 TH L BENGKURING BLOK AZ NO 6 RT 067 765633 FEBRIS PLEB 42,000 33,000 - -
    368 16/3/2015 A.GATTHAN FASHA 10 TH L P.ANTASARI RT 004 830479 VARICELLA RESEP 42,000 33,000 - -
    369 ERLANGGA 18 TH L MUGIREJO RT 003 750701 FARINGITIS RESEP 42,000 33,000 - -
    370 ZEIN HUSNA FASHA 9 TH L P.ANTASARI RT 004 745962 FARINGITIS RESEP 42,000 33,000 - -
    371 M.FARHAN 3 TH L KH.A.DAHLAN RT 013 665753 ASMA PLEB,NEBU,O2,INJEKSI 42,000 33,000 32,000 -
    372 A.FARISI FASHA 3 TH L P.ANTASARI GG 12 NO 33 RT 004 708421 ISPA RESEP 42,000 33,000 - -
    373 MULYONO 55 TH L KS.TUBUN GG 7 RT 001 787453 CEPALGIA PLEBO,EKG 42,000 33,000 - -
    374 NAEVA SYAHLA DEVITA 5 TH P ABUL HASAN GG 10 RT 23 NO 12 830542 CKR KONSUL 42,000 33,000 - DR.GRACE
    375 IWAN WARDANI 13 TH L MUGIREJO RT 004 666982 FEBRIS PLEB 42,000 33,000 - -
    376 M.IRFAN SAPUTRA 7 TH L PEMUDA I BLOK C/80 RT 007 434286 ISPA PLEB 42,000 33,000 - -
    377 FAHRIZAL ANSORI 17 TH L L.MANGKURAT GG 1 RT 042 830570 GASTRITIS PLEB 42,000 33,000 - -
    378 NURIDAH 31 TH P S.RIADI GG 6 RT 017 826915 DISPEPSIA PLEB,EKG,INJEKSI 42,000 33,000 - -
    379 FATMAH 33 TH P REVOLUSI GG TURI RT 043 830585 HEG PLEB,INJEKSI 42,000 33,000 - -
    380 AWANG M.DERISH 8 TH L BUNG TOMO RT 002 830585 FARINGITIS RESEP 42,000 33,000 - -
    381 DIANA PUTRI 46 TH P PERINTIS RT 032 767234 ASMA O2,NEBU,INJEKSI 42,000 33,000 32,000 -
    382 NORSEHAN 47 TH P P.ANTASARI RT 030 522014 HT EKG 42,000 33,000 - -
    383 RIA INZELINA 30 TH P PERUM PUSPITA P/65 RT 009 752341 SNAKE BITE WT,KONSUL 42,000 33,000 - DR.FRITZ
    384 ABIDIN 62 TH P KEBAHAGIAAN RT 038 830550 VL WTH III,INJEKSI 42,000 33,000 - -
    385 AFIAK CWI ANGGRAINI 3 TH P S.RIADI GG MANUNGAL RT 039 801356 NAIL ALVUSI EXRTAKSI KUKU 42,000 33,000 - -
    386 M.FEBRIANTO FIRDAUS 6 TH L L.MANGKURAT GG CEMPAKA RT 006 447632 ASMA O2,NEBU,INJEKSI 42,000 33,000 32,000 -
    387 SAINAH 57 TH P GERILYA RT 049 830659 CEPALGIA INJEKSI 42,000 33,000 - -
    388 ARSAYD 82 TH L CM.KUSUMO RT 004 830599 PPOK NEBU,EKG,O2,INJEKSI 42,000 33,000 32,000 -
    389 MIFTAKHUL ULUM 44 TH P LEMPAKE JAYA RT 018 670896 HT PLEBO,EKG 42,000 33,000 - -
    390 AUREL QUEENA H 5 TH P JAKARTA RT 067 772697 FEBRIS RESEP 42,000 33,000 - -
    391 AGUS EISWANTO 30 TH L KS.TUBUN GG 5 RT 007 696000 HEMATEMESIS PLEB 42,000 33,000 - -
    392 17/3/2015 NISA AGUSTINA 18 TH P KH.W.HASYIM RT 036 830609 COLIC ABDOMEN PLEB,INJEKSI 42,000 33,000 - -
    393 SAIWA EMMA APRILIA 14 TH P PARAK INDAH RT 038 830649 GEA INJEKSI 42,000 33,000 - -
    394 NURDIN T 58 TH L SWADAYA RT 021 741359 RETENSIO URIEN PASANG CATETER 42,000 33,000 - -
    395 VERA PURNAMA S 16 TH P BELIMAU RT 024 830607 COLIC ABDOMEN PLEB 42,000 33,000 - -
    396 ANTON RAMADANI 7 TH L M.YAMIN GG 1 RT 017 596895 ASMA O2,NEBU,INJEKSI 42,000 33,000 32,000 -
    397 M.FAUZAN 48 TH L KOMP SOLONG DURIAN B1/24 716513 MORBILI RESEP 42,000 33,000 - -
    398 ANI SUMARNI 49 TH P S.PARMAN 1 RT 002 830113 FEBRIS PLEB 42,000 33,000 - -
    399 SARIMAN 50 TH L LUMBA LUMBA RT 012 836681 DISPEPSYA INJEKSI 42,000 33,000 - -
    400 TUMIRAH 54 TH P PESUT GG 3 RT 014 NO 17 830663 VL WTH III,INJEKSI 42,000 33,000 - -
    401 MULYADI 53 TH L PEMUDA IV RT 004 830694 SEROSIS HEPATITIS PLEB,KONSUL 42,000 33,000 - DR.NIRA
    402 M.VERLI ATHALILLAH 3 TH L KEBON AGUNG RT 006 639274 ASMA O2,NEBU,INJEKSI 42,000 33,000 32,000 -
    403 MULYADIE QAIDI 37 TH L HASAN BASRI NO 21 RT 024 830669 FEBRIS PLEB 42,000 33,000 - -
    404 JAINAH 60 TH P JELAWAT NO 40 RT 001 269561 HT EKG 42,000 33,000 - -
    405 LINDA WATI 59 TH P W.MONGONSIDI RT 023 830719 PERDARAHAHAN VERVAGINA PLEB,EKG,INJEKSI 42,000 33,000 - -
    406 LENI MARLINA 35 TH P KH.W.HASYIM RT 024 830610 RETENSIO URIEN PASANG CATETER 42,000 33,000 - -
    407 IRMA 25 TH P JELAWAT GG 7 RT 005 830663 FR MANDIBULA INF,PLEB,WT 42,000 33,000 -DR.MANGALINDUNG
    408 18/3/2015 SITI MUSITAH 34 TH P GERILYA NO 11 RT 037 830737 INPARTU INPARTU 42,000 33,000 - -
    409 RIKO PURNOMO 18 TH L M.YAMIN GG 1 RT 017 631572 DISPEPSYA INJEKSI 42,000 33,000 - -
    410 FADILLAH KHAYRU AKBAR 5 TH L KEMAKMURAN GG KNPI RT 021 830778 CORPAL ALIENIUM CORPAL 42,000 33,000 - -
    411 DEWI APRIL SUSANTI 38 TH P GUNUNG TUNGGAL RT 07 549422 DISPEPSYA PLEB,O2 INJEKSI 42,000 33,000 32,000 -
    412 ABD MUHID 71 TH L DI PANJAITAN RT 069 731942 PPOK O2,NEBU,INJEKSI 42,000 33,000 32,000 -
    413 M.FAUZAN 3 TH L TELUK KEDONDONG RT 038 830782 FEBRIS PLEB 42,000 33,000 - -
    414 WAHYU DWI SAPUTRA 13 TH L S.RIADI GG BUDIMAN RT 011 830800 VIRAL INFEKTION PLEB 42,000 33,000 - -
    415 ELNA 34 TH P KARTAK HANYAR RT 029 754164 ISK PLEB 42,000 33,000 - -
    416 M.BEDU 64 TH L KH.W.HASYIM RT 039 664910 VERTIGO PLEB,EKG,INJEKSI 42,000 33,000 - -
    417 SULASMI 34 TH P OTISTA RT 024 830531 GRAVID PLEB 42,000 33,000 - -
    418 NARTI 24 TH P ANGGUR RT 055 830796 OTALGIA RESEP 42,000 33,000 - -
    419 ULVIA 13 TH P W.MONGONSIDI RT 020 799150 GASTRITIS INJEKSI 42,000 33,000 - -
    420 SALMIA 23 TH P S.RIADI GG G.ROYONG RT 031 830755 INPARTU VT,DOPLER 42,000 33,000 - -
    421 ASRANI AS 57 TH L MT.HARIYONO GG 1 RT 009 830740 GEA INJEKSI 42,000 33,000 - -
    422 GILANG PRATAMA 2 TH L SEI KAPIH RT 001 830812 ASMA NEBU,O2 42,000 33,000 32,000 -
    423 SOPYAN 30 TH L BUNG TOMO RT 002 822599 FATIQUE INJEKSI 42,000 33,000 - -
    424 MAKIN 60 TH L P.SURYANATA GG JULAK GAFUR RT 004 633250 CHEST PAIN PLEB,EKG,INJEKSI 42,000 33,000 - -
    425 JUNAINAH 45 TH P MT.HARIYONO GG 1 RT 009 830739 GEA INJEKSI 42,000 33,000 - -
    426 ANNISA NUR AULIA 3 TH P BUDIMAN RT 011 830799 FEBRIS PLEB 42,000 33,000 - -
    427 19/3/2015 AFYA ZAHRA RAHMADANI 5 TH P M.SAID GG POLEWALI RT 030 830890 V.MORSUM CROSS INSISI,INJEKSI 42,000 33,000 - -
    428 NUR MALA 34 TH P L.MANGKURAT RT 022 830889 VL WTH II,INJEKSI 42,000 33,000 - -
    429 MA'AH LUTFI PUTRI 4 TH P SUKOREJO RT 041 678143 VE RESEP 42,000 33,000 - -
    430 SYAFIRA REVA AURELIA 4 TH P M.SAID PERUM PLN P/129 RT 025 830865 CONTUSIO M KONSUL 42,000 33,000 - DR.YASSER
    431 M.NABIL YAHYA 9 TH L P.SURYANATA GG BERKAH RT 030 830879 VL WT 42,000 33,000 - -
    432 ENDANG SETIOWATI 22 TH P HARUN NAFSI RT 020 830855 VE WT 42,000 33,000 - -
    433 SUKAMTI 50 TH P M.SAID GG POLEWALI RT 046 276504 FEBRIS PLEB,INJEKSI 42,000 33,000 - -
    434 DIMYATI 67 TH P KEDONDONG RT 014 BUKUAN 418156 RUFTUR URETER PLEBO,EKG 42,000 33,000 - DR.BOYKE
    435 BIMA BHAKTI ANANDA 13 TH L RUMBIA 2 GG NADA NO 1 RT 020 830784 FEBRIS PLEB 42,000 33,000 - -
    436 ABIL KAMAL 10 TH L KH.SAMANHUDI GG DIRGANTARA RT 002 830854 VL WTH II,INJEKSI 42,000 33,000 - -
    437 MARYAM 76 TH P BANGGERIS GG 6 RT 022 830900 CEPALGIA PLEB,INJEKSI 42,000 33,000 - -
    438 NATASHA DARA AULIA 4 TH P WIRATAMA 1 RT 001 783069 CORPAL ALIENIUM CORPAL 42,000 33,000 - -
    439 ARBAINAH 48 TH P LUMBA LUMBA RT 008 390668 DM PLEB 42,000 33,000 - -
    440 RAISSA TSABITHA NADHIR 2 TH P AZIS SAMAD BOLK C/104 RT 035 738609 ISPA PLEB 42,000 33,000 - -
    441 FACHRULLAH 31 TH L RE.M.DINATA RT 009 510532 ASMA O2,NEBU,INJEKSI 42,000 33,000 32,000 -
    442 USMAN 53 TH L DAMAI RT 026 709277 DISPEPSYA PLEB,EKG,INJEKSI 42,000 33,000 - -
    443 LUSIAH 58 TH P LUBUK SAWAH RT 016 830872 GEA EKG,INJEKSI 42,000 33,000 - -
    444 KUMALA 57 TH P GERILYA GG KELUARGA RT 102 815045 BROCHITIS PLEBO,EKG 42,000 33,000 - -
    445 M.BAGUS AINUL MAJID 12 TH L MERBABU RT 016 830894 FEBRIS PLEB 42,000 33,000 - -
    446 24 TH P P.SURYANATA GG 8 NO 51 RT 026 799784 DISPEPSYA INJEKSI 42,000 33,000 - -
    447 SAHARUDDIN 34 TH L L.MANGKURAT RT 002 827073 DISPEPSYA RESEP 42,000 33,000 - -
    448 ARBAIN 24 TH L S.RIADI RT 014 268541 COLIC ABDOMEN PLEB,INJEKSI 42,000 33,000 - -
    449 NURIA MAHARANI AHSA 4 TH P REJO MULYO RT 033 759100 ISPA PLEB 42,000 33,000 - -
    450 PANJI SETIAWAN 1 TH L KH HARUN NAFSI RT 010 830800 ISPA NEBU,PLEB 42,000 33,000 - -
    451 M.ASHHAABUL KAHFI 9 TH L MERDEKA II NO 19 RT 086 768848 FEBRIS PLEB 42,000 33,000 - -
    452 SUMIATI 53 TH P BIAWAN GG BIMA NO 60 RT 011 604678 LBP PLEB 42,000 33,000 - -
    453 RUBEN OWEN S 8 TH L OIR SUTAMI RT 008 705862 CONJUNGTIVAL BLEEDING RESEP 42,000 33,000 - -
    454 SUGIHARTUTIK 45 TH P KADRIE OENING BLOK D/85 RT 19 830832 VERTIGO EKG 42,000 33,000 - -
    455 MURWANI 40 TH P PEPAYA RT 001 BUKUAN 658613 ASMA NEBU,INJEKSI 42,000 33,000 - -
    456 PUJI SULISTIANTO 39 TH L BUKIT BARISAN RT 024 804152 ASMA O2,NEBU,INJEKSI 42,000 33,000 32,000 -
    457 20/3/2015 NITI RAHMAWATI 41 TH P S.PARMAN RT 032 431478 ASMA O2,NEBU,INJEKSI 42,000 33,000 32,000 -
    458 SUPIAN 32 TH L M.YAMIN GG KASTURI 1 RT 027 830936 GASTRITIS INF,PLEB,O2,INJEKSI 42,000 33,000 32,000 -
    459 RITA MARTINI 34 TH P AM SANG AJI RT 016 830965 HEG PLEB 42,000 33,000 - -
    460 CHIKA JULIANI 6 TH P DAMAI RT 027 831002 FARINGITIS PLEB 42,000 33,000 - -
    461 SULASTRI 34 TH P T.UMAR GG DURIAN TUNGGAL RT 035 824841 VERTIGO RESEP 42,000 33,000 - -
    462 HERMAN 50 TH L PESUT GG 2 RT 011 830997 CORPAL ALIENIUM IRIGASI MATA 42,000 33,000 - -
    463 M.RYO ICHI KENZI K 1 TH L PROKLAMASI V NO 25 RT 052 831133 GEA INF,PLEB 42,000 33,000 - -
    464 NOVA CATUR EKO W 19 TH L SEBULUS SALAM R T036 621541 FEBRIS PLEB 42,000 33,000 - -
    465 RATNA DEWI 25 TH P SOEKARNO HATTA RT 002 708590 COLIC URETER PLEB,INJEKSI 42,000 33,000 - -
    466 M.RIZKY MAULIDAN 11 TH L KH.ABUL HASAN GG 10 RT 023 574608 ISPA NEBU 42,000 33,000 - -
    467 WAHYUNI 40 TH P MANGKUPALAS RT 011 830987 INPARTU VT,DOPLER 42,000 33,000 - -
    468 SITI MUNAWAROH 36 TH P MT HARYONO GG RAWA JAYA RT 001 830942 INPARTU VT,DOPLER 42,000 33,000 - -
    469 IDIK 48 TH L BATU CERMIN RT 005 645568 ASMA O2,NEBU,INJEKSI 42,000 33,000 32,000 -
    470 ABDUL MUCHTI 75 TH L L.MANGKURAT RT 085 NO 66 723433 RETENSIO URIEN PASANG CATETER 42,000 33,000 - -
    471 IBNU MAJAH 26 TH L L.MANGKURAT RT 029 830946 VE WT,INJEKSI 42,000 33,000 - -
    472 ROKAYAH 28 TH P RAJAWALI DALAM III RT 013 830997 VERTIGO RESEP 42,000 33,000 - -
    473 M.FARHAN WIJAYANTO 2 TH L S.RIADI GG MANUNGGAL NO 22 RT 039 830957 CKR CKR 42,000 33,000 - -
    474 SAIFUL ANWAR 27 TH L AM.SANGAJI RT 007 830054 FEBRIS PLEB,INJEKSI 42,000 33,000 - -
    475 DHAYA AL FACHREZY 5 TH L PERUM SMBT ASRI RT 026 830983 ISPA RESEP 42,000 33,000 - -
    476 NITI RAHMAWATI 41 TH P S.PARMAN RT 032 431478 ASMA O2,NEBU,INJEKSI 42,000 33,000 32,000 -
    477 SITI MASITOH 45 TH P MERAPI RT 013 720842 DISPEPSYA INJEKSI 42,000 33,000 - -
    478 21/3/2015 BAHARUDDIN 37 TH L S.PARMAN NO 75 RT 001 559111 VERTIGO INJEKSI 42,000 33,000 - -
    479 JUFRI 46 TH L BUNG TOMO RT 020 831113 ISK PLEB,INJEKSI 42,000 33,000 - -
    480 ALIFA QURRATU AINI 10 TH P DAYAK BASAP II Q/11 RT 17 831112 FARINGITIS PLEB 42,000 33,000 - -
    481 MOHFAHRUL RAZI 12 TH L GN.TUNGGAL RT 006 528754 FEBRIS PLEB 42,000 33,000 - -
    482 NITA ERNAWATI 26 TH P CM.KUSUMO RT 010 641520 FARINGITIS PLEB 42,000 33,000 - -
    483 HERRY OSCAR 53 TH L MUSO SALIM NO 68 RT 015 773624 CKD INJEKSI 42,000 33,000 - -
    484 AGUSTINA M 28 TH P KEMANGGI GG SYUKUR RT 024 610580 BROCHITIS NEBU,O2 42,000 33,000 32,000 -
    485 AZLAN DARMA PUTRA 1 TH L S.PARMAN NO 3 RT 002 792114 BROCHITIS NEBU 42,000 33,000 - -
    486 DARWINSYAH 32 TH P A.YANI GG CAHAYA BARU RT 017 424458 GEA INJEKSI 42,000 33,000 - -
    487 SITI WAHYUNI 23 TH P JELAWAT GG 09 RT 006 811094 ISK PLEB 42,000 33,000 - -
    488 NOVA CATUR EKO W 18 TH L SEBULUS SALAM R T036 621514 FARINGITIS RESEP 42,000 33,000 - -
    489 FHATAN MAISAN Z 1 TH L AMPERA II RT 049 831130 ISPA RESEP 42,000 33,000 - -
    490 MILA NADIA P 5 TH P JAKARTA GG IMAM KARTI RT 072 831109 FARINGITIS PLEB 42,000 33,000 - -
    491 NUR RACHMAN NOVIANDRIY 21 TH P JAKARTA BLOK N RT 038 831092 AB IMINENS PLEB 42,000 33,000 - -
    492 LENI ANDRIANI 22 TH P JELAWAT GG V RT 008 775785 FEBRIS PLEB 42,000 33,000 - -
    493 WAHYUDI 34 TH L BANGGERIS RT 021 831048 ASMA NEBU,O2 42,000 33,000 32,000 -
    494 YULIUS PAULUS GINTING 40 TH L PIANO NO 17 RT 032 374412 CONJUTIVITIS RESEP 42,000 33,000 - -
    495 SUKAMTI 50 TH P M.SAID GG POLEWALI RT 046 276504 DM PLEB,EKG,INJEKSI 42,000 33,000 - -
    496 JELITA VIDMA WATY 3 TH P GN.LINGGAI RT 009 GG SYUKUR 728082 ISPA RESEP 42,000 33,000 - -
    497 EKA PURNAMA SARI 20 TH P PERJUANAGAN RT 037 750391 CARDIES DENTIS RESEP 42,000 33,000 - -
    498 KHAYLA SYAFIRA ISLAMIYAH 5 TH P SUETOMO GG 4A RT 032 831060 ISPA RESEP 42,000 33,000 - -
    499 SITI SATOMI 39 TH P GN,LINGGAI RT 003 831007 ISK PLEB 42,000 33,000 - -
    500 VICKY FEBRIANUR 3 TH L PERUM SIP BG/22 RT 030 831046 TROUMA THORAX KONSUL 42,000 33,000 - DR.DADIK
    501 NUZKI MAURIZA 32 TH L PERUM SLI H/12 RT 57 737057 CKD EKG 42,000 33,000 - -
    502 22/3/2015 JUMIATI 35 TH P GERILYA GG MASJID BLOK C RT 047 831160 VERTIGO PLEB,INJEKSI 42,000 33,000 - -
    503 HELDI 45 TH L ULIN GG RUMBIA RT 007 803545 KONSTIPASI INJEKSI 42,000 33,000 - -
    504 MARJANI 62 TH L OTISTA RT 018 103899 GASTRITIS EKG,INJEKSI 42,000 33,000 - -
    505 ASMINI 49 TH P L.MANGKURAT GG 4 NO 148 RT 023 818312 MYALGIA INFUS,INJEKSI 42,000 33,000 - -
    506 DEVI RATNA S 26 TH P JAKARTA RT 041 718763 CEPALGIA INJEKSI 42,000 33,000 - -
    507 JUNIATO SIHOMBING 52 TH L JAKARTA CY/16 RT 74 776049 KONSTIPASI SUPP 42,000 33,000 - -
    508 NUR FITRIANI AGUSTINA 12 TH P BATU CERMIN RT 006 831153 CHEST PAIN EKG 42,000 33,000 - -
    509 FATIMAH 53 TH P TRI SARI RT 021 372252 MYALGIA EKG,INJEKSI 42,000 33,000 - -
    510 RENDIYAWAN GANDI 4 TH L MUANG ILIR RT 027 831311 CORPAL ALIENIUM EKTRAKSI KORPAL 42,000 33,000 - -
    511 FACHRULLAH 31 TH L RE.M.DINATA RT 009 510532 ASMA NEBU,INJEKSI 42,000 33,000 - -
    512 YERMIA LIM 32 TH P PAMPANG RT 016 763369 ORTHITITIS PLEB 42,000 33,000 - DR.BOYKE
    513 DINI FATMAWATI SUHARI 9 TH P MARSDA A SALEH RT 041 831145 GEA RESEP 42,000 33,000 - -
    514 M.ADHE FAHRIZAL 19 TH L BELATUK RT 016 363697 ASMA NEBU 42,000 33,000 - -
    515 SYAHRUNI 26 TH P DELIMA RT 51 817125 INPARTU VT,DOPLER 42,000 33,000 - -
    516 IRA APRILIANI 16 TH P PERUM PKL B/559 RT 019 831134 ISPA RESEP 42,000 33,000 - -
    517 KANIA PUTRI SALMA 7 TH P AGUS SALIM GG 5D RT 031 737674 ASMA O2,NEBU,INJEKSI 42,000 33,000 32,000 -
    518 M.HALIM KURNIAWAN 9 TH L RAMANIA RT 046 831195 VL WTH II,INJEKSI 42,000 33,000 - -
    519 23/3/2015 YAUCEMANENGKENG 67 TH L BIAWAN NO 52 RT 009 768879 CHF PLEB,EKG,INJEKSI 42,000 33,000 32,000 -
    520 ABD GALIB 57 TH L PAMPANG RT 002 831397 INTOSIKASI RACUN RMPT INF,PLEB,INJEKSI 42,000 33,000 - -
    521 LILIH 50 TH P KEMANGI GG SYUKUR RT 024 831362 CHF PLEB,EKG,INJEKSI 42,000 33,000 - -
    522 NAFISAH AZ ZAHRA 1 TH P ST.HASANUDDIN RT 008 831353 GEA RESEP 42,000 33,000 - -
    523 EMI 50 TH L RE.M.DINATA GG WAHYU RT 004 394720 DISPEPSYA PLEBO,EKG 42,000 33,000 - -
    524 ZAINUDDIN 45 TH L MANGKUPALAS RT 011 831432 ISK PLEB,INJEKSI 42,000 33,000 - -
    525 HERRY OSCAR 53 TH L MUSO SALIM NO 68 RT 015 773624 DISPEPSYA INJEKSI 42,000 33,000 - -
    526 YULIANAH 2 TH P OTISTA RT 016 831403 ISPA RESEP 42,000 33,000 - -
    527 ERNAWATI 28 TH P LEMPAKE JAYA RT 013 837399 URTIKARIA RESEP 42,000 33,000 - -
    528 RENDY PRADIKYA 4 TH L LEMPAKE JAYA RT 013 831400 CLM RESEP 42,000 33,000 - -
    529 VIONA TRI WULAN DARI 1 TH P REEL RT 020 685111 V.ICHTUM INJEKSI 42,000 33,000 - -
    530 SITI JANARIAH 26 TH P M.SAID GG 1 NO 28 RT 02 831340 INPARTU VT,DOPLER 42,000 33,000 - -
    531 WATI 58 TH P PRM SAMBUTAN ASRI H6/06 RT 026 792690 TB PARU PLEB,EKG,INJEKSI 42,000 33,000 - -
    532 CITRA ALIFIA FATHONAH 1 TH P PAHLAWAN 2 NO 23 RT 029 809853 ISPA PLEB 42,000 33,000 - -
    533 SELVI ROSLIANTI 28 TH P PROKLAMASI 1 RT 054 831331 ISK PLEB 42,000 33,000 - -
    534 ABD RASYID 57 TH L PGRI C3 RT 006 831418 VARICELLA EKG 42,000 33,000 - -
    535 DAVIN PANDORA 6 TH L GATSU RT 045 533262 VOMITING INJEKSI 42,000 33,000 - -
    536 NABILA PUTRI SOPIAN 9 TH P GATSU RT 045 460743 FARINGITIS RESEP 42,000 33,000 - -
    537 KARIN RAMADHANI 3 TH 3 KH ABDUL MUTHALIB RT 038 831386 FEBRIS PLEB 42,000 33,000 - -
    538 SALATIFA 24 TH P GERILYA SOLONG RT 031 831229 ISK PLEB 42,000 33,000 - -
    539 MULYADI 53 TH L PEMUDA IV RT 004 830694 DISPEPSYA INJEKSI 42,000 33,000 - -
    540 WILA RUKMANA 20 TH P KH.W.HASYIM RT 036 721646 DISPEPSYA RESEP 42,000 33,000 - -
    541 IIN SULISTYOWATI 32 TH P KS.TUBUN GG 7 RT 002 831380 INPARTU VT,DOPLER 42,000 33,000 - -
    542 JAMILAH 43 TH P W.MONGONSIDI RT 017 831336 ISK PLEB,INJEKSI 42,000 33,000 - -
    543 24/3/2015 SUGIYEM 54 TH P PERINTIS GG SALAK 36 RT 032 831531 DM EKG,INJEKSI 42,000 33,000 - -
    544 ADITYA PAMUNGKAS 19 TH L MUGIREJO GG PERJUANAGAN RT 003 831435 VE WT 42,000 33,000 - -
    545 MUTIARA 47 TH P MAS PENGHULU RT 008 614069 LBP INJEKSI 42,000 33,000 - -
    546 KUSWANTO 59 TH L PROPENSI NO 43 RT 007 831443 BSK PLEB,SUPP 42,000 33,000 - -
    547 SIT AMINAH 47 TH P BUKIT BARISAN RT 020 NO 149 811608 FEBRIS PLEB,EKG,INJEKSI 42,000 33,000 - -
    548 WAHYUNI 26 TH P DELIMA RT 51 831479 HISTERIA PLEB 42,000 33,000 - -
    549 PARIYANI 26 TH P P.SURYANATA RT 059 689427 HEMAPTOE INF,PLEB,EKG,O2,INJEKSI 42,000 33,000 32,000 -
    550 WINARTI 40 TH P AM SANGAJI RT 004 831467 COLC ABD PLEB,INJEKSI 42,000 33,000 - -
    551 NUR HIDAYAH 39 TH P ST ALIMUDDIN GG SWADAYA RT 004 831484 COLIC URETER PLEB 42,000 33,000 - -
    552 MADIANSYAH 45 TH L RUMBIA GG 2 RT 018 831456 POLINEUROPATI PLEB,EKG,INJEKSI 42,000 33,000 - -
    553 ARINA 38 TH P GUNTUNG LAI RT 026 710327 VL WTH II,INJEKSI 42,000 33,000 - -
    554 RUSMINI 51 TH P TRISARI RT 020 831518 GEA RESEP 42,000 33,000 - -
    555 HERIAH 34 TH P SUBULUS SALAM RT 037 831480 TB PARU PLEB 42,000 33,000 - -
    556 RAMADHANI 32 TH L P.ANTASARI GG KARYA RT 006 398693 FEBRIS PLEB 42,000 33,000 - -
    557 SULASTRI 32 TH P GERILYA RT 099 831520 GASTRITIS PLEB,INJEKSI 42,000 33,000 - -
    558 ANGGITA NOVIANTI 2 TH P T.UMAR GG DURIAN TUNGGAL RT 036 817348 FEBRIS RESEP 42,000 33,000 - -
    559 RUSLI 59 TH L SENTOSA GG 3 RT 030 727499 COLIC ABDOMEN RESEP 42,000 33,000 - -
    560 KHAYLA SYAFIRA ISLAMIYAH 5 TH P DR.SOETOMO GG 4 A RT 032 831060 FEBRIS RESEP 42,000 33,000 - -
    561 SUKAMTI 50 TH P M.SAID GG POLEWALI RT 046 276504 DM PLEBO,EKG 42,000 33,000 - -
    562 LUCIA DWI HUMANIA 16 TH P WIRAGUNA DALAM RT 007 831507 COMBUSIO WT 42,000 33,000 - -
    563 RUSDIANA 41 TH P GERILYA RT 099 837520 DISPEPSYA INJEKSI 42,000 33,000 - -
    564 MARIYATI 45 TH P PRM LOA JANAN INDAH RT 002 831477 GASTRITIS PLEB,EKG,INJEKSI 42,000 33,000 - -
    565 M.HENDRA PRATAMA 1 TH L PERUM PKL D/156 RT 016 759153 GEA INF,PLEB,INJEKSI 42,000 33,000 - -
    566 NOOR LATIFAH 0 TH P FEBKH.HARUN NAFSI RT 022 831491 FEBRIS PLEB 42,000 33,000 - -
    567 EMI 22 TH P SUMBER BARU RT 007 734648 ISK RESEP 42,000 33,000 - -
    568 25/3/2015 A.SAHRI 52 TH L GERILYA G BARU RT 050 821414 ASMA O2,NEBU,INJEKSI 42,000 33,000 32,000 -
    569 KAPSAH 51 TH P PLAMBOYAN RT 009 831562 HT EKG,INJEKSI 42,000 33,000 - -
    570 AGUS YULIAWAN 25 TH L PERUM BLLP RT 053 831589 CKR INJEKSI 42,000 33,000 - DR.GRACE
    571 JULIYANTI 36 TH P PAHLAWAN 2 RT 028 831612 DISPEPSYA INJEKSI 42,000 33,000 - -
    572 PARDI 64 TH L SENTOSA GG KENANGAN 9 RT 075 822551 BPH PASANG CATETER 42,000 33,000 - -
    573 NAYLI SAHAA 3 TH P SUBULUS SALAM RT 037 831613 ISPA PLEB 42,000 33,000 - -
    574 A.SYAMSUL ANAM 51 TH L M.YAMIN GG 1 RT 017 831628 URTIKARIA INJEKSI 42,000 33,000 - -
    575 HERRY OSCAR 53 TH L MUSO SALIM NO 68 RT 015 773624 CKD OKSIGEN,INJEKSI 42,000 33,000 32,000 -
    576 M.JIDAN AL FADILLAH 2 TH L ABD MUTHALIB NO 54 R T 009 780606 ISPA NEBU,O2 42,000 33,000 32,000 -
    577 HERAWATY 34 TH P JUANDA 4 RT 001 NO A54 831572 INPARTU VT,DOPLER 42,000 33,000 - -
    578 NINING NUR AINI 44 TH P BATU CERMIN RT 004 397589 DM PLEB,INJEKSI 42,000 33,000 - -
    579 NOR HAYATI 52 TH P GN.LINGAI RT 012 820007 POST NEFROTOMI PASANG CATETER 42,000 33,000 - DR.BOYKE
    580 ALBERTINO 24 TH L STN.ALIMUDDIN RT 010 831578 OPEN FRAKTUR INF,PLEB,WT 42,000 33,000 - DR.DAVID
    581 26/3/2015 SURYADI 51 TH L BIAWAN GG 4 RT 015 831632 KONSTIPASI SUPP,INJEKSI 42,000 33,000 - -
    582 SRI WAHYUNI 42 TH P DANAU POSO NO 15 RT 026 549877 RAT BITE INJEKSI 42,000 33,000 - -
    583 YUSMI 57 TH L JELAWAT GG 9 RT 006 465190 DISPEPSYA RESEP 42,000 33,000 - -
    584 H.KARNI 67 TH L TENGKAWANG RT 015 831713 HIL RESEP 42,000 33,000 - -
    585 M.REISYA 4 TH L LUMBA LUMBA GG 6 RT 004 566405 FEBRIS INF,PLEB 42,000 33,000 - -
    586 ADEEVA MYESHA MAULANA 2 TH L DANAU TOBA GG 3 RT 022 835433 ISPA RESEP 42,000 33,000 - -
    587 DALENNA 55 TH P KADRIE OENING RT 020 344803 BROCHITIS PLEB 42,000 33,000 - -
    588 PATRIA RAMADIANI 18 TH P OTISTA GG INDAH RT 008 831696 GRAVID DOPLER 42,000 33,000 - -
    589 DARMAWI 30 TH L PEMUDA RT 031 831685 CHF PLEBO,EKG 42,000 33,000 - -
    590 SITI RAHMAH 30 TH P M.SAID RT 029 674232 ASMA O2,NEBU,INJEKSI 42,000 33,000 32,000 -
    591 HASAN PAMBUDI 49 TH L W.MONGONSIDI RT 040 448667 DERMATITIS RESEP 42,000 33,000 - -
    592 LIYA 50 TH P KH.SAMANHUDI RT 003 831677 ASMA O2,NEBU,INJEKSI 42,000 33,000 32,000 -
    593 SAHRAH 41 TH P ST.ALIMUDDIN RT 036 831637 ASMA O2,NEBU,INJEKSI 42,000 33,000 32,000 -
    594 ARDIYANTO 6 TH L S.RIADI GG GOTONG ROYONG RT 031 831680 ASMA O2,NEBU,INJEKSI 42,000 33,000 32,000 -
    595 ADAM SAPUTRA 5 TH L ANGGUR RT 055 712254 ISPA RESEP 42,000 33,000 - -
    596 SUMINEM 61 TH P JELAWAT GG 9 RT 001 831641 ASMA O2,NEBU,INJEKSI 42,000 33,000 32,000 -
    597 SUWANDI 40 TH L AWS 4 RT 025 831654 VL WTH III,INJEKSI 42,000 33,000 - -
    598 IDIK 48 TH L GN.CERMIN RT 005 645568 ASMA NEBU,INJEKSI 42,000 33,000 - -
    599 SA'BANIAH 32 TH P ASAM MALIK II RT 001 831633 BROCHITIS PLEB,NEBU,O2,INJEKSI 42,000 33,000 32,000 -
    600 ANI SUSIANI 22 TH P KH.W.HASYIM RT 031 831689 ISK INJEKSI 42,000 33,000 - -
    601 M.UNTUNG BENAR P 54 TH L IMAM BONJOL GG 10 NO 46 RT 10 826529 RETENSIO URIEN PASANG CATETER 42,000 33,000 - DR.BOYKE
    602 MAHDALENA 42 TH P MANGKUPALAS RT 014 535427 GASTRITIS PLEB,INJEKSI 42,000 33,000 - -
    603 M.DZAKKY ARISANDY 2 TH L L.MANGKURAT NO 144 RT 033 831684 DEMAM DENGUE PLEB 42,000 33,000 - -
    604 NURLIANI 31 TH P GATSU GG 7 RT 028 498188 GEA PLEB,INJEKSI 42,000 33,000 - -
    605 MISNADI 61 TH P JOYO MULYO RT 038 831660 PPOK O2,NEBU,INJEKSI 42,000 33,000 32,000 -
    606 27/3/2015 SUCI WIDYA PRATAMI 10 TH P KEMAKMURAN GG PLN RT 022 831815 ISPA RESEP 42,000 33,000 - -
    607 WAHYUDI 34 TH P BANGERRIS RT 021 831040 ISPA RESEP 42,000 33,000 - -
    608 AJI AKBAR 1 TH L P.BENDAHARA RT 007 817174 FEBRIS PLEB 42,000 33,000 - -
    609 TOMY TAJMAL 30 TH P PADAELO RT 005 831767 INPARTU VT,DOPLER 42,000 33,000 - -
    610 WIDYA PRATIWI 8 TH P ST.SULAIMAN RT 10 759089 MORBILI PLEB 42,000 33,000 - -
    611 RITA PURNAMA SARI 24 TH P AGUS SALIM GG ULIN RT 018 685009 GASTRITIS RESEP 42,000 33,000 - -
    612 SRI DEVI 18 TH P GERILYA RT 031 831831 GRAVID VT,DOPLER 42,000 33,000 - -
    613 FARIDAH 34 TH P LUMBA LUMBA RT 013 831832 DISPEPSYA INJEKSI 42,000 33,000 - -
    614 SURYANTI 33 TH P BERAMBAI RT 030 831771 BSK PLEB 42,000 33,000 - -
    615 WIWIK LESTARI 28 TH P MUSO SALIM GG 7 NO 19 814592 INPARTU VT,DOPLER 42,000 33,000 - -
    616 ABDUL AZIS 16 TH L ST.ALIMUDDIN RT 035 831817 FEBRIS RESEP 42,000 33,000 - -
    617 FACHRULLAH 31 TH L RE.M.DINATA GG TUKANG RT 009 510532 ASMA NEBU,O2 42,000 33,000 32,000 -
    618 JULIYANTI 36 TH P PAHLAWAN 2 RT 028 831612 FEBRIS PLEB 42,000 33,000 - -
    619 RISKA 26 TH P SENTOSA GG 3 RT 030 814519 MENOMETRORAGIA PLEB,INJEKSI 42,000 33,000 - -
    620 MUSTIKA HANUM 9 TH P GN PASIR RT 014 831816 VOMITING RESEP 42,000 33,000 - -
    621 HERRY OSCAR 52 TH L MUSO SALIM NO 68 RT 015 773024 CHF INJEKSI 42,000 33,000 - -
    622 NADYA SYAHRANI 9 TH P KH,USMAN BERAHIM RT 016 635771 BROCHITIS RESEP 42,000 33,000 - -
    623 IBNU AFFAN MAHESA PUTRA 27 TH L P.ANTASARI RT 030 831809 GEA RESEP 42,000 33,000 -
    624 NAFIK ATUL RIZKYANA 18 TH P MUGIREJO RT 005 831818 FEBRIS PLEB 42,000 33,000 - -
    625 SITI ZUBAIDAH 54 TH P HASAN BASRI GG 2 RT 027 796802 VERTIGO EKG,INJEKSI 42,000 33,000 - -
    626 AULIA 2 TH P T.UMAR RT 006 732595 VOMITING RESEP 42,000 33,000 - -
    627 AHWAN 41 TH L SOLONG DURIAN C/10 RT 025 831828 HEMATEMESIS EKG 42,000 33,000 - -
    628 MAHFUD 26 TH L P.SURYANATA NO 66 RT 017 831824 VL WTH III,INJEKSI 42,000 33,000 - -
    629 NAILA APRILIA DEVI 1 TH P S.PARMAN GG 4 RT 029 831814 FEBRIS RESEP 42,000 33,000 - -
    630 SLAMET ROHIMIN 16 TH L KS TUBUN WIRA TIRTA RT 018 773498 DISPEPSYA INJEKSI 42,000 33,000 - -
    631 M.BAKRIE 71 TH L H.USMAN BERAHIM NO 05 RT 016 831822 HEMAPTOE PLEB 42,000 33,000 - -
    632 NUR MINA ARROHMAH 2 TH P BATU BESAUNG RT 026 770465 ASMA O2,NEBU,INJEKSI 42,000 33,000 32,000 -
    633 DAHRIANI 39 TH P GN CERMAI RT 001 636419 CKD PLEB,EKG,INJEKSI 42,000 33,000 - -
    634 M.AMIRUDDIN 45 TH L KEMANGI GG NUNUKAN RT 023 661000 VL WTH III,INJEKSI 42,000 33,000 - -
    635 WAGINAH 68 TH P KENGKAWANG RT 015 423923 GEA INF,PLEB,EKG 42,000 33,000 - -
    636 WAHDANIAH 31 TH P RE.MARTADINATA GG MADU RT 007 752029 HEG INJEKSI 42,000 33,000 - -
    637 28/3/2015 NOVAL EFENDI 2 TH L LUNUK SAWAH RT 015 819733 FEBRIS PLEB 42,000 33,000 - -
    638 CORRINNA MARSHELLA 7 TH P PAKIS 7 D/335 RT 082 831958 GEA RESEP 42,000 33,000 - -
    639 BAHARUDDIN 37 TH L S.PARMAN NO 75 RT 001 559111 CEPALGIA PLEB 42,000 33,000 - -
    640 M.RAHMAD 61 TH P AM SANG AJI GG 12 RT 010 270262 HT EKG,INJEKSI 42,000 33,000 - -
    641 NURZI MAURIZA 33 TH l PERUM SLI H/12 RT 57 737057 CKD PLEB 42,000 33,000 - -
    642 M.ABDAN FAHERZA 6 TH L BANGGERIS RT 021 755711 ISPA PLEB 42,000 33,000 - -
    643 M.FAUZAN FAIZI 5 TH L GERILYA GG KELUARGA RT 102 772696 FEBRIS RESEP 42,000 33,000 - -
    644 DARISMAn 73 TH L URIF SUMOHARJO RT 009 831914 GASTRITIS PLEB,EKG,INJEKSI 42,000 33,000 - -
    645 M.NAUVAL AL FARIZQY 2 TH L KAHOI 2A RT 035 831904 ISPA NEBU,O2 42,000 33,000 32,000 -
    646 ROBIAH 32 TH P MAJENANG RT 005 831897 INPARTU RESEP 42,000 33,000 - -
    647 HUMAIRAH 2 TH P KS.TUBUN RT 011 831944 GEA PLEB 42,000 33,000 - -
    648 BUCIKA AGUSTINA SRIDEVI 19 TH P GN.LINGAI RT 004 831894 DISPEPSYA INJEKSI 42,000 33,000 - -
    649 SYARIDAYANTI 41 TH P KEMAKMURAN GG PLN RT 022 185518 KONSTIPASI PLEB,EKG,INJEKSI 42,000 33,000 - -
    650 MIRNAWATI 18 TH P MANGKUPALAS RT 032 831960 ISPA RESEP 42,000 33,000 - -
    651 SUNARJO 72 TH L SUKOREJO RT 008 831715 RETENSIO URIEN PASANG CATETER 42,000 33,000 - -
    652 ZAINI 54 TH L KEBUN AGUNG RT 001 826932 TB PARU NEBU 42,000 33,000 - -
    653 ACHMAD 73 TH L TURI RAYA NO 322 RT 075 705625 GASTRITIS INJEKSI 42,000 33,000 - -
    654 M.SULTAHAN AA 2 TH L AWS RT 024 820049 ASMA NEBU 42,000 33,000 - -
    655 SANAH 58 TH P GN.LINGAI RT 003 831845 HT EKG,INJEKSI 42,000 33,000 - -
    656 SUMARDI 60 TH L REVOLUSI RT 007 561513 COLIC ABDOMEN INJEKSI 42,000 33,000 - -
    657 DETI MULYANA 24 TH P MERDEKA GG OTOK RT 096 831846 DISPEPSYA INJEKSI 42,000 33,000 - -
    658 KIKI ALIFA 13 TH P P.ANTASARI WIRA 1 RT 026 249994 ASMA NEBU,O2 42,000 33,000 32,000 -
    659 BRAYEN 12 TH L RING ROAD RT 001 689648 ASMA NEBU,O2 42,000 33,000 32,000 -
    660 THEODORA VALENTINA L 81 TH P PERMUM SMPJ LESTARI RT 062 689832 HT PLEB,EKG,INJEKSI 42,000 33,000 - -
    661 YUYUM RIZKI AMALIA 18 TH P TELKOM RT 019 831884 ABSES LIBIA RESEP 42,000 33,000 - DR.NOVIA
    662 NEL TCE MATHILDA 43 TH P WIRATAMA RT 004 831870 CORPAL ALIENIUM EXTRASI,INJEKSI 42,000 33,000 - -
    663 NUNUNG SUGIARTI 35 TH P GATSU BROTO RT 023 831906 V.ICHTUM CROSS INSISI,INJEKSI 42,000 33,000 - -
    664 MEILINDA WULANDARI 18 TH P BARU CERMIN RT 003 831891 VE WT 42,000 33,000 - -
    665 SUPIYAN 61 TH L S.PARMAN RT 003 476520 DISPEPSYA PLEB,EKG,INJEKSI 42,000 33,000 - -
    666 RIFALDY YULI P 3 TH L SENTOSA DALAM RT 079 831951 FEBRIS RESEP 42,000 33,000 - -
    667 SHALLY TRIYANA 26 TH P S.RIADI GG 3 RT 014 891855 VL WTH IV,INJEKSI 42,000 33,000 - -
    668 29/3/2015 M.IDRIS 21 TH L PERUM HANDIL KOPI RT 033 832068 GASTRITIS RESEP 42,000 33,000 - -
    669 ELANG RAYA DAFIAN K 1 TH L CENDANA GG 5B/6 RT 018 775743 FEBRIS LEB 42,000 33,000 - -
    670 JAMILAH 52 TH P KH.MAS MANSYUR GG DEWI RT 027 574182 ASMA O2,NEBU,INJEKSI 42,000 33,000 32,000 -
    671 RAHMAH AZZAHRA 5 TH P MT.HARYONO GG 1 RT 009 820352 ISPA RESEP 42,000 33,000 - -
    672 SYARIDAYANTI 41 TH P KEMAKMURAN GG PLN RT 022 185518 CEPALGIA PLEB,INJEKSI 42,000 33,000 - -
    673 NUR ALYA MAHARANI 2 TH P TEUKU UMAR GG SENYIUR 825906 FEBRIS RESEP 42,000 33,000 - -
    674 MEDIFA NAILA MEISYA 1 TH P OTISTA GG BUDIMAN RT 029 831968 GEA PLEB 42,000 33,000 - -
    675 SALWA NURAZMI YUSTIAN 5 TH P P.BANDA GG 3 NO 97 RT 006 715493 GEA RESEP 42,000 33,000 - -
    676 NUNIK KISWANTI 35 TH P W.MONGOSIDI RT 024 832062 RETENSIO URIEN PLEB,DC,SUPP 42,000 33,000 - -
    677 LAETISTA DOROTHEA RUATA 53 TH P MARSDA A SALEH RT 024 754384 GEA EKG,INJEKSI 42,000 33,000 - -
    678 HERRY OSCAR 53 TH L MUSO SALIM NO 68 RT 015 773624 CKD OKSIGEN,INJEKSI 42,000 33,000 32,000 -
    679 RINITA 19 TH P RUKUN RT 005 780104 ENDOMETRIASIS RESEP 42,000 33,000 - -
    680 YAYUK SULISTANINGSIH 34 TH P P.ANTASRI GG MAWAR RT 041 832040 DISPEPSYA RESEP 42,000 33,000 - -
    681 MUSTIKA HANUM 9 TH P GN.PASIR RT 014 831816 FEBRIS RESEP 42,000 33,000 - -
    682 30/3/2015 HAMIAH 62 TH P P.SURYANATA NO 23 RT 037 832118 PPOK NEBU,EKG,INJEKSI 42,000 33,000 - -
    683 NOOR HIDAYAH 51 TH P DI PANJAITAN RT 016 832122 DISPEPSYA PLEB,O2,EKG,INJEKSI 42,000 33,000 32,000 -
    684 KHAIRA AKIRA LUBNA 1 TH P RE.M.DINATA GG MELATI RT 008 832132 ASMA NEBU,O2 42,000 33,000 32,000 -
    685 DELLISA VUARY 41 TH P ANGGUR NO 60 RT 056 832121 ISK PLEB 42,000 33,000 - -
    686 DEWI SURYATI 30 TH P PEMUDA II KOMP PENDAWA RT 012 832078 GEA INJEKSI 42,000 33,000 - -
    687 RUSNILAWATI 30 TH P KEDONDONG DALAM RT 032 872763 DM PLEB,EKG,INJEKSI 42,000 33,000 - -
    688 SRI UTAMI FUJI A 41 TH P BIOLA GG MANUNGGAL RT 033 825403 HT INF,PLEB,O2,INJEKSI 42,000 33,000 32,000 -
    689 SENDARI NISITA YULIANTO 1 TH P KH,ABD MUTHALIB NO 26 RT 10 832165 VOMITING INJEKSI 42,000 33,000 - -
    690 MEDIKA NAILA MEISYA 1 TH P OTISTA GG BUDIAMAN RT 029 831968 COLIC ABDOMEN PLEB,SUPP 42,000 33,000 - -
    691 NURDIANSYAH 40 TH L PERINTIS GG CAMPUR SARI NO 52 RT 032 142621 URTIKARIA GDS 42,000 33,000 - -
    692 HASAN 69 TH L ST.ALIMUDDIN RT 021 091429 ISK PLEB 42,000 33,000 - -
    693 DIDIDK SUPRIADI 45 TH L U.SUROPATI RT 025 790919 HT PLEB,EKG,INJEKSI 42,000 33,000 - -
    694 M.FAUZAN FAIZI 5 TH L GERILYA GG KELUARGA RT 102 772696 FEBRIS INJEKSI 42,000 33,000 - -
    695 SUDIRMAN 60 TH L C.AMINOTO RT 030 832092 ASMA O2,NEBU,INJEKSI 42,000 33,000 32,000 -
    696 NOOR UDZMA RAMADHANI 2 TH L S.RIADI RT 012 832129 GEA RESEP 42,000 33,000 - -
    697 LIDYA SULANDARI 26 TH P KS.TUBUN GG VII RT 002 743005 MIGRAN RESEP 42,000 33,000 - -
    698 MULYADI 52 TH L HJ.JAHRAH RT 012 832076 ASMA PLEB,NEBU,O2,INJEKSI 42,000 33,000 32,000 -
    699 MURNI 50 TH P MELATI RT 006 LOA BUAH 832123 VL WTH III,INJEKSI 42,000 33,000 - -
    700 AAM MUHARAM 49 TH L KADRIE OENING NO 3 RT 020 815153 DISPEPSYA EKG,INJEKSI 42,000 33,000 - -
    701 ERWIN EFRY WANDA 12 TH L ULIN GG 8 NO 57 RT 25 689658 ASMA NEBU,INJEKSI 42,000 33,000 - -
    702 M.BUKHORI MUSLIM 28 TH L GOTONG ROYONG RT 031 832885 COLIC URETER PLEB,INJEKSI 42,000 33,000 - -
    703 31/3/2015 SHERLY 15 TH P OTISTA RT 023 GG BUDIMAN 709407 DISPEPSYA INJEKSI 42,000 33,000 - -
    704 A.SALEH 32 TH L P.SURYANATA GG 99 BAROKAH 2 RT 042 776266 FEBRIS PLEB 42,000 33,000 - -
    705 IDA WAHYUNI 52 TH P ADAM MALIK GG JAMBU RT 004 683478 DISPEPSYA HT 42,000 33,000 - -
    706 SUWANTO 50 TH L REEL RT 020 533616 TB PARU PLEB 42,000 33,000 - -
    707 AGUS YULIAWAN 25 TH L PERUM BLPP RT 053 831589 VL WTH III,INJEKSI 42,000 33,000 - -
    708 EKA YULIANA 29 TH P OTISTA GG APEL RT 025 832208 VOMITING INJEKSI 42,000 33,000 - -
    709 HARTUTI 58 TH P PROPENSI RT 004 547009 DM PLEB 42,000 33,000 - -
    710 SUTINAH 60 TH P PADAT KARYA NO 10 RT 048 832114 H2F FACIAL INF,PLEB,EKG 42,000 33,000 - DR.DAULAT
    711 LINDA SUSANTI 27 TH P ANGGUR RT 056 686587 FEBRIS PLEB,INJEKSI 42,000 33,000 - -
    712 NOVIRA NURMALA PUTRI 4 TH P AWS RT 025 832201 VL WTH III,INJEKSI 42,000 33,000 - -
    713 SUNARI 51 TH P SEI SIRING RT 010 832213 VL WTH III,INJEKSI 42,000 33,000 - -
    714 ARVIL YASMIN 2 TH P DI PANJAITAN RT 002 820705 FEBRIS PLE,SUPP 42,000 33,000 - -
    715 YATMIN 65 TH L OTISTA RT 032 832195 STROKE PLEBO,EKG 42,000 33,000 - -
    716 ADELIA NUR FITRIANI 24 TH P ULIN GG RUMBIA RT 007 832235 GEA RESEP 42,000 33,000 - -
    717 NITI RAHMAWATI 41 TH P S.PARMAN RT 032 431478 BROCHITIS RESEP 42,000 33,000 - -
    718 EDRIA ADNA VICHA 11 TH P ST.SULAIMAN RT 009 832255 FARINGITIS RESEP 42,000 33,000 - -
    719 DIANA MURTI 46 TH P PERINTIS RT 032 767234 ASMA O2,NEBU,INJEKSI 42,000 33,000 32,000 -
    720 RIFKY PRIHANDANA 26 TH L GAMELAN RT 039 832270 DISPEPSYA EKG,INJEKSI 42,000 33,000 - -
    721 NOVALYN AURA KARENZA 2 TH P JOYO MULYO RT 037 783916 ISPA RESEP 42,000 33,000 - -
    722 SOERADI SULITYO 54 TH L ADAM MALIK GRIYA RT 022 701274 TB PARU PLEB 42,000 33,000 - -
    723 ATMO SURADI 73 TH L SUKOREJO RT 003 814737 PPOK PLEB,O2 42,000 33,000 32,000 -
    724 SITI SUPIYATI 37 TH P RUMBIA RT 020 832276 AB IMINENS PLEB 42,000 33,000 - -
    725 SAHID FEBRIANNUR 1 TH L JELAWAT GG MOSI RT 022 798725 VOMITING RESEP 42,000 33,000 - -
    726 RINITI 29 TH P RUKUN RT 005 832274 ISK PLEB,INJEKSI 42,000 33,000 - -
    727 JUMLAH 30,492,000 23,958,000 2,848,000 -
    RINCIAN BIAYA
    JUMLAH
    biaya jasa rs BHP Tindakan IGD
    15 16 17 18 19
    - - - - 75,000
    - - - - 75,000
    - - - - 75,000
    - 224,000 38,500 176,000 513,500
    - 89,600 15,000 70,400 282,000
    - 44,800 7,000 35,200 162,000
    - 44,800 10,000 35,200 165,000
    - 44,800 10,000 35,200 165,000
    - 44,800 10,000 35,200 165,000
    - - - - 75,000
    - 134,400 23,500 105,600 338,500
    - 44,800 7,000 35,200 162,000
    - - - - 75,000
    - 35,200 10,000 35,200 155,400
    - 89,600 15,000 70,400 250,000
    - 44,800 7,000 35,200 162,000
    - 89,600 17,000 70,400 252,000
    - 44,800 10,000 35,200 165,000
    - 44,800 7,000 35,200 162,000
    - 134,400 22,000 105,600 369,000
    - 44,800 10,000 35,200 165,000
    - 89,600 17,000 70,400 252,000
    - 44,800 7,000 35,200 162,000
    - 89,600 16,500 70,400 251,500
    - 89,600 15,000 70,400 282,000
    - 44,800 15,000 35,200 170,000
    - 89,600 17,000 70,400 252,000
    - 134,400 22,000 105,600 369,000
    - 44,800 7,000 35,200 162,000
    - 134,400 22,000 105,600 337,000
    75,000 - - - 150,000
    - 89,600 17,000 70,400 252,000
    - - - - 75,000
    - 89,600 15,000 70,400 250,000
    - 89,600 15,000 70,400 250,000
    - - - - 75,000
    - 134,400 26,500 105,600 341,500
    75,000 - - - 150,000
    - 44,800 10,000 35,200 165,000
    75,000 179,200 25,000 140,800 495,000
    - 89,600 17,000 70,400 252,000
    - 44,800 10,000 35,200 165,000
    - - - - 75,000
    - 134,400 23,500 105,600 338,500
    - 44,800 10,000 35,200 165,000
    - 89,600 25,000 70,400 260,000
    - 89,600 17,000 70,400 252,000
    - 44,800 10,000 35,200 165,000
    - 44,800 10,000 35,200 165,000
    - 336,000 102,000 264,000 777,000
    - - - - 75,000
    75,000 - - - 150,000
    - 89,600 17,000 70,400 252,000
    75,000 224,000 41,500 176,000 623,500
    - 134,400 25,000 105,600 372,000
    - 134,400 35,000 105,600 350,000
    - 224,000 38,500 176,000 545,500
    - 44,800 7,000 35,200 162,000
    - - - - 75,000
    - 44,800 10,000 35,200 165,000
    - 44,800 7,000 35,200 162,000
    - 179,200 32,000 140,800 427,000
    - 89,600 17,000 70,400 252,000
    - - - - 75,000
    - 89,600 15,000 70,400 250,000
    - 179,200 33,500 140,800 428,500
    - 179,200 77,000 140,800 472,000
    - 134,400 30,000 105,600 345,000
    - - - - 75,000
    - 134,400 22,000 105,600 337,000
    - - - - 75,000
    - - - - 75,000
    - 44,800 10,000 35,200 165,000
    - 44,800 10,000 35,200 165,000
    - 179,200 33,500 140,800 460,500
    - - - - 75,000
    - - - - 75,000
    - 89,600 15,000 70,400 250,000
    - 89,600 37,000 70,400 272,000
    - 44,800 10,000 35,200 165,000
    - 89,600 20,000 70,400 255,000
    - 44,800 10,000 35,200 165,000
    - - - - 75,000
    - - - - 75,000
    - 44,800 10,000 35,200 165,000
    - 224,000 38,500 176,000 545,500
    - 89,600 25,000 70,400 260,000
    - 44,800 7,000 35,200 162,000
    - 134,400 22,000 105,600 369,000
    - 134,400 23,500 105,600 338,500
    - 44,800 10,000 35,200 165,000
    - 44,800 10,000 35,200 165,000
    - 44,800 10,000 35,200 165,000
    - - - - 75,000
    - 89,600 17,000 70,400 252,000
    - 89,600 25,000 70,400 260,000
    - 44,800 7,000 35,200 162,000
    - 89,600 27,000 70,400 262,000
    - 134,400 22,000 105,600 369,000
    - 89,600 17,000 70,400 252,000
    - 134,400 31,500 105,600 346,500
    - 44,800 7,000 35,200 194,000
    - 44,800 10,000 35,200 165,000
    - 89,600 16,500 70,400 251,500
    - 134,400 22,000 105,600 369,000
    - 44,800 10,000 35,200 165,000
    - 134,400 57,000 105,600 372,000
    - 44,800 10,000 35,200 165,000
    - 89,600 20,000 70,400 255,000
    - 44,800 10,000 35,200 165,000
    - 89,600 15,000 70,400 250,000
    - 89,600 25,000 70,400 260,000
    - 89,600 17,000 70,400 252,000
    - 179,200 33,500 140,800 428,500
    - 179,200 33,500 140,800 428,500
    - 224,000 41,500 176,000 516,500
    - 134,400 22,000 105,600 369,000
    - 179,200 33,500 140,800 428,500
    - 268,800 48,500 211,500 635,800
    - 44,800 10,000 35,200 165,000
    - 44,800 10,000 35,200 165,000
    - - - - 75,000
    - 44,800 10,000 35,200 165,000
    - 89,600 17,000 70,400 252,000
    - 134,400 57,000 105,600 372,000
    - 44,800 10,000 35,200 165,000
    - 134,400 25,000 105,600 340,000
    - 448,000 - 35,200 558,200
    75,000 44,800 10,000 35,200 240,000
    - 89,600 15,000 70,400 282,000
    - 44,800 7,000 70,400 197,200
    - 44,800 10,000 35,200 165,000
    - 89,600 25,000 70,400 260,000
    - 134,400 26,500 105,600 373,500
    75,000 - - - 150,000
    - 89,600 20,000 70,400 255,000
    - 268,600 48,500 211,200 603,300
    - 246,400 75,000 189,600 586,000
    - 44,800 7,000 35,200 162,000
    - 44,800 10,000 35,200 165,000
    - 89,600 17,000 70,400 252,000
    - 134,400 22,000 105,600 369,000
    - 44,800 10,000 35,200 165,000
    - 268,800 48,500 211,200 603,500
    - 89,600 20,000 70,400 255,000
    - - - - 75,000
    - 44,800 7,000 35,200 162,000
    - 89,600 27,000 70,400 262,000
    - 89,600 17,000 70,400 252,000
    - 44,800 10,000 35,200 165,000
    - 44,800 10,000 35,200 165,000
    - 89,600 27,000 70,400 262,000
    - 44,800 7,000 35,200 162,000
    75,000 134,400 26,500 105,600 416,500
    - - - - 75,000
    - 224,000 38,500 176,000 513,500
    - 44,800 10,000 35,200 165,000
    - 89,600 16,500 70,400 251,500
    - - - - 75,000
    - 44,800 10,000 35,200 165,000
    - - - - 75,000
    - 44,800 10,000 35,200 165,000
    - 44,800 10,000 35,200 165,000
    - 380,800 98,500 374,200 928,500
    - 44,800 10,000 35,200 165,000
    - 134,400 26,500 105,600 341,500
    - - - - 75,000
    - 44,800 30,000 35,200 185,000
    - 44,800 10,000 35,200 165,000
    - 44,800 10,000 35,200 165,000
    - - - - 75,000
    - 44,800 10,000 35,200 165,000
    - 89,600 16,500 70,400 251,500
    - 44,800 10,000 35,200 165,000
    - - - - 75,000
    - 134,000 22,000 105,600 336,600
    - - - - 75,000
    - - - - 107,000
    - 44,800 10,000 35,200 165,000
    - 134,400 22,000 105,600 337,000
    - 134,400 23,500 105,600 338,500
    - 44,800 7,000 35,200 162,000
    - - - - 75,000
    - - - - 75,000
    - 44,800 10,000 35,200 165,000
    - 44,800 10,000 35,200 165,000
    - 134,400 23,500 105,600 338,500
    - 89,600 30,000 70,400 265,000
    - 179,200 33,500 140,800 428,500
    - 44,800 10,000 35,200 197,000
    - - - - 75,000
    - 89,600 16,500 70,400 251,500
    - 134,400 22,000 105,600 369,000
    - 44,800 7,000 35,200 162,000
    75,000 179,200 33,500 140,800 503,500
    - - - - 75,000
    - 44,800 10,000 35,200 165,000
    - - - - 75,000
    - 44,800 10,000 35,200 165,000
    - 134,400 23,500 105,600 338,500
    - 134,400 22,000 105,600 337,000
    - - - - 75,000
    - 89,600 16,500 70,400 251,500
    - 89,600 17,000 70,400 252,000
    - 44,800 7,000 35,200 162,000
    - 89,600 16,500 70,500 251,600
    - 44,800 10,000 35,200 165,000
    - 134,400 26,500 105,600 341,500
    - 179,200 33,500 140,800 428,500
    - 89,600 27,000 70,400 262,000
    - 134,400 35,000 105,600 350,000
    - 44,800 7,000 35,200 194,000
    - 44,800 10,000 35,200 197,000
    - 134,400 22,000 105,600 369,000
    - 89,600 16,500 70,400 251,500
    - 89,600 15,000 70,400 250,000
    - 179,200 32,000 140,800 427,000
    - 134,400 22,000 105,600 369,000
    - 89,600 27,000 70,400 262,000
    - 44,800 7,000 35,200 162,000
    - 44,800 10,000 35,200 165,000
    - - - - 75,000
    - 44,800 10,000 35,200 165,000
    - - - - 75,000
    - 44,800 7,000 35,200 162,000
    - 44,800 10,000 35,200 165,000
    - 44,800 10,000 35,200 165,000
    - - - - 75,000
    - - - - 75,000
    - 44,800 10,000 35,200 165,000
    - 44,800 10,000 35,200 165,000
    - 134,400 26,500 105,600 341,500
    - - - - 75,000
    - 44,800 10,000 35,200 165,000
    - 89,600 17,000 70,400 252,000
    - 89,600 27,000 70,400 262,000
    - 336,000 105,000 264,000 780,000
    - 89,600 37,000 70,400 272,000
    - 179,200 33,500 140,800 428,500
    - 134,400 23,500 105,600 338,500
    - 89,600 16,500 70,400 251,500
    - 44,800 10,000 35,200 165,000
    - 44,800 10,000 35,200 165,000
    - 134,400 25,000 105,600 340,000
    - 44,800 10,000 35,200 165,000
    - 134,400 26,500 105,600 341,500
    - - - - 75,000
    - 44,800 10,000 35,200 165,000
    - 44,800 10,000 35,200 165,000
    - 179,200 57,000 140,800 452,000
    - 44,800 10,000 35,200 165,000
    - 44,800 7,000 35,200 162,000
    75,000 44,800 10,000 35,200 240,000
    - 179,200 32,000 140,800 427,000
    - - - - 75,000
    - 179,200 33,500 140,800 428,500
    - 44,800 10,000 35,200 165,000
    - 89,600 15,000 70,400 282,000
    - 44,800 10,000 35,200 165,000
    - 179,200 33,500 140,800 428,500
    - - - - 75,000
    - 44,800 7,000 35,200 162,000
    75,000 89,600 17,000 70,400 327,000
    - - - - 75,000
    75,000 268,800 52,000 211,200 714,000
    - 179,200 33,500 140,800 428,500
    - 134,400 26,500 105,600 373,500
    - 44,800 10,000 35,200 165,000
    - 44,800 10,000 35,200 165,000
    - 179,200 32,000 140,800 427,000
    - 44,800 10,000 35,200 165,000
    75,000 89,600 20,000 70,400 330,000
    - 44,800 3,000 35,200 158,000
    - 134,400 22,000 105,600 369,000
    - 179,200 26,500 140,800 421,500
    - 89,600 25,000 70,400 260,000
    - 89,600 17,000 70,400 252,000
    - 89,600 17,000 70,400 252,000
    - 134,400 22,000 105,600 369,000
    - 224,000 38,500 176,000 513,500
    - - - - 75,000
    - 134,400 37,000 105,600 352,000
    - 44,800 10,000 35,200 165,000
    - 44,800 7,000 35,200 162,000
    - 134,400 26,500 105,600 341,500
    - - - - 75,000
    - 179,200 31,500 140,800 426,500
    75,000 134,400 25,000 105,600 415,000
    - 89,600 17,000 70,400 252,000
    - 179,200 33,500 140,800 428,500
    150,000 403,200 105,000 391,800 1,157,000
    - 44,800 7,000 35,200 162,000
    - 89,600 25,000 70,400 260,000
    - 134,400 57,000 105,600 372,000
    - 89,600 17,000 70,400 252,000
    - 44,800 20,000 35,200 175,000
    - 134,400 25,000 105,600 340,000
    - 134,400 57,000 105,600 372,000
    - - - - 75,000
    75,000 179,200 33,500 140,800 503,500
    - 44,800 10,000 35,200 165,000
    - 134,400 23,500 105,600 338,500
    - 89,600 20,000 70,400 255,000
    - 44,800 10,000 35,200 165,000
    - 134,400 23,500 105,600 338,500
    - 134,400 23,500 105,600 338,500
    - 134,400 22,000 105,600 369,000
    - 179,200 32,000 140,800 427,000
    - 134,400 22,000 105,600 369,000
    - - - - 75,000
    - 89,600 15,000 70,400 282,000
    - 89,600 25,000 70,400 260,000
    - 134,400 25,000 105,600 372,000
    - 44,800 70,000 35,200 225,000
    - 44,800 3,000 35,200 158,000
    - 44,800 10,000 35,200 165,000
    - 179,200 33,500 140,800 428,500
    - 44,800 7,000 35,200 162,000
    - - - - 75,000
    - 134,400 35,000 105,600 350,000
    - 224,000 37,000 176,000 512,000
    - - - - 75,000
    - 44,800 7,000 35,200 162,000
    - 44,800 10,000 35,200 165,000
    - - - - 75,000
    - 134,400 26,500 105,600 373,500
    - 44,800 7,000 35,200 162,000
    - 44,800 10,000 35,200 165,000
    - 44,800 7,000 35,200 194,000
    - 44,800 10,000 35,200 165,000
    - 89,600 17,000 70,400 252,000
    - 179,200 33,500 140,800 428,500
    - 89,600 25,000 70,400 260,000
    - 134,400 35,000 105,600 350,000
    - 89,600 15,000 70,400 282,000
    - 224,000 38,500 176,000 513,500
    - - - - 75,000
    - 179,200 33,500 140,800 428,500
    - 44,800 10,000 35,200 165,000
    - 44,800 7,000 35,200 162,000
    - 44,800 10,000 35,200 165,000
    - 134,400 22,000 105,600 369,000
    - 179,200 33,500 140,800 428,500
    - 89,600 17,000 70,400 252,000
    - 44,800 10,000 35,200 165,000
    - 268,800 48,500 211,200 635,500
    75,000 - - - 150,000
    - 179,200 27,000 140,800 454,000
    - - - - 75,000
    - 44,800 7,000 35,200 194,000
    - - - - 75,000
    - 44,800 7,000 35,200 162,000
    - 134,400 22,000 105,600 369,000
    - 44,800 10,000 35,200 165,000
    - 44,800 7,000 35,200 162,000
    - 44,800 7,000 35,200 162,000
    - 179,200 33,500 140,800 460,500
    - 179,200 32,000 140,800 427,000
    - 44,800 7,000 35,200 162,000
    - 44,800 7,000 35,200 162,000
    - 134,400 22,000 105,600 369,000
    - 44,800 10,000 35,200 165,000
    - - - - 75,000
    - - - - 75,000
    - - - - 75,000
    - 179,200 32,000 140,800 459,000
    - - - - 75,000
    - 134,400 26,500 105,600 341,500
    75,000 - - - 150,000
    - 44,800 10,000 35,200 165,000
    - 44,800 10,000 35,200 165,000
    - 44,800 10,000 35,200 165,000
    - 179,200 33,500 140,600 428,300
    - 89,600 17,000 70,400 252,000
    - - - - 75,000
    - 134,400 22,000 105,600 369,000
    - 89,600 16,500 70,400 251,500
    75,000 44,800 20,000 35,200 250,000
    - 134,400 57,000 105,600 372,000
    - 89,600 30,000 70,400 265,000
    - 134,400 22,000 105,600 369,000
    - 44,800 7,000 35,200 162,000
    - 224,000 38,500 176,000 545,500
    - 134,400 26,500 105,600 341,500
    - - - - 75,000
    - 44,800 10,000 35,200 165,000
    - 89,600 17,000 70,400 252,000
    - 44,800 7,000 35,200 162,000
    - 89,600 20,000 70,400 255,000
    - 44,800 10,000 35,200 165,000
    - 134,400 22,000 105,600 369,000
    - - - - 75,000
    - 44,800 10,000 35,200 165,000
    - 44,800 7,000 35,200 162,000
    - 89,600 37,000 70,400 272,000
    75,000 44,800 10,000 35,200 240,000
    - 134,400 22,000 105,600 369,000
    - 44,800 10,000 35,200 165,000
    - 89,600 16,500 70,400 251,500
    - 179,200 33,500 140,800 428,500
    - 89,600 20,000 70,400 255,000
    75,000 179,200 45,000 140,800 515,000
    - 89,600 25,000 70,400 260,000
    - 44,800 7,000 35,200 162,000
    - 89,600 30,000 70,400 265,000
    - 89,600 17,000 70,400 284,000
    - 134,400 22,000 105,600 369,000
    - 44,800 10,000 35,200 165,000
    - 44,800 10,000 35,200 165,000
    - 44,800 10,000 35,200 165,000
    - 179,200 33,500 140,800 428,500
    - 44,800 10,000 35,200 165,000
    - - - - 75,000
    - 44,800 7,000 35,200 162,000
    - 134,400 25,000 105,600 340,000
    - 44,800 10,000 35,200 165,000
    - 89,600 15,000 70,400 282,000
    - 44,800 7,000 35,200 162,000
    - 179,200 33,500 140,800 428,500
    - 44,800 7,000 35,200 162,000
    - 44,800 10,000 35,200 165,000
    - 89,600 27,000 70,400 262,000
    - 89,600 37,000 70,400 272,000
    - - - - 75,000
    75,000 - - - 150,000
    - 44,800 20,000 35,200 175,000
    - 44,800 20,000 35,200 175,000
    - 89,600 17,000 70,400 252,000
    75,000 134,400 26,500 105,600 416,500
    - 44,800 10,000 35,200 165,000
    - 134,400 57,000 105,600 372,000
    - 89,600 17,000 70,400 252,000
    - 44,800 10,000 35,200 165,000
    - 44,800 10,000 35,200 165,000
    - 44,800 10,000 35,200 165,000
    - 134,400 22,000 105,600 369,000
    - 179,200 33,500 140,800 428,500
    - 134,400 23,500 105,600 338,500
    - 134,400 26,500 105,600 341,500
    - 44,800 10,000 35,200 165,000
    - 44,800 7,000 35,200 162,000
    - - - - 75,000
    - 44,800 7,000 35,200 162,000
    - 44,800 10,000 35,200 165,000
    - 134,400 25,000 105,600 340,000
    - 44,800 10,000 35,200 165,000
    - 44,800 10,000 35,200 165,000
    - - - - 75,000
    - 89,600 16,500 70,400 251,500
    - 134,400 22,000 105,600 337,000
    - 134,400 22,000 105,600 369,000
    - 134,400 22,000 105,600 369,000
    - 179,200 31,500 140,800 458,500
    - 44,800 10,000 35,200 165,000
    - 44,800 10,000 35,200 165,000
    - - - - 75,000
    - 44,800 10,000 35,200 165,000
    - 134,400 25,000 105,600 340,000
    - 44,800 10,000 35,200 165,000
    - 89,600 17,000 70,400 252,000
    - 89,600 15,000 70,400 250,000
    - 89,600 25,000 70,400 260,000
    - 89,600 25,000 70,400 260,000
    - 134,400 22,000 105,600 369,000
    - 89,600 20,000 70,400 255,000
    - 89,600 27,000 70,400 262,000
    - - - - 75,000
    - - - - 75,000
    - 44,800 10,000 35,200 165,000
    - - - - 75,000
    - 134,400 22,000 105,600 369,000
    - 44,800 10,000 35,200 165,000
    - 44,800 7,000 35,200 162,000
    - 89,600 17,000 70,400 252,000
    - 44,800 10,000 35,200 165,000
    - 44,800 10,000 35,200 165,000
    - 44,800 10,000 35,200 165,000
    - 44,800 7,000 35,200 162,000
    - 89,600 15,000 70,400 282,000
    - 89,600 15,000 70,400 250,000
    - 44,800 7,000 35,200 162,000
    - 44,800 10,000 35,200 165,000
    - - - - 75,000
    - - - - 75,000
    - 44,800 10,000 35,200 165,000
    - 44,800 10,000 35,200 165,000
    - 44,800 10,000 35,200 165,000
    - 89,600 15,000 70,400 282,000
    - - - - 75,000
    - 179,200 33,500 140,800 428,500
    - - - - 75,000
    - - - - 75,000
    - - - - 75,000
    - 44,800 10,000 35,200 165,000
    75,000 - - - 150,000
    - 89,600 16,500 70,400 251,500
    - 89,600 17,000 70,400 252,000
    - 44,800 7,000 35,200 162,000
    - 134,400 23,500 105,600 338,500
    - 134,400 22,000 105,600 337,000
    - 44,800 7,000 35,200 162,000
    - 44,800 30,000 35,200 185,000
    - 89,600 16,500 70,400 251,500
    - 134,400 23,500 105,600 338,500
    - 89,600 30,000 70,400 265,000
    - 134,400 22,000 105,600 337,000
    75,000 44,800 10,000 35,200 240,000
    - - - - 75,000
    - 89,600 15,000 70,400 250,000
    - 89,600 25,000 70,400 260,000
    - - - - 75,000
    - 134,400 22,000 105,600 369,000
    - 134,400 57,000 105,600 372,000
    - 179,200 33,500 140,800 460,500
    - 268,800 48,500 211,200 603,500
    - 179,200 33,500 140,200 427,900
    - - - - 75,000
    - 134,400 26,500 105,600 341,500
    - 89,600 17,000 70,400 252,000
    - 44,800 7,000 35,200 162,000
    - - - - 75,000
    - - - - 75,000
    - - - - 75,000
    - 44,800 7,000 35,200 162,000
    - 89,600 25,000 70,400 260,000
    - 179,200 33,500 140,800 428,500
    - 44,800 10,000 35,200 165,000
    - 44,800 10,000 35,200 165,000
    - 89,600 16,500 70,400 251,500
    - 44,800 7,000 35,200 162,000
    - - - - 75,000
    - 44,800 10,000 35,200 165,000
    - 44,800 10,000 35,200 165,000
    - 44,800 7,000 35,200 162,000
    - - - - 75,000
    - 89,600 25,000 70,400 260,000
    - 89,600 17,000 70,400 252,000
    - 134,400 23,500 105,600 338,500
    - 44,800 20,000 35,200 175,000
    - 44,800 7,000 35,200 162,000
    - 89,600 13,000 70,400 248,000
    - 179,200 33,500 140,800 428,500
    - 44,800 10,000 35,200 165,000
    - 179,200 31,500 140,800 458,500
    - 89,600 17,000 70,400 252,000
    - 44,800 10,000 35,200 165,000
    - 179,200 33,500 140,800 428,500
    - 89,600 37,000 70,400 272,000
    - - - - 75,000
    - 44,800 10,000 35,200 165,000
    - 44,800 10,000 35,200 165,000
    - 89,600 17,000 70,400 252,000
    - - - - 75,000
    - - - - 75,000
    - - - - 75,000
    - 134,400 26,500 105,600 341,500
    - 44,800 20,000 35,200 175,000
    - 44,800 7,000 35,200 162,000
    - 179,200 33,500 140,800 428,500
    - 89,600 17,000 70,400 252,000
    - 44,800 10,000 35,200 165,000
    - - - - 75,000
    - 134,400 22,000 105,600 369,000
    - 134,400 23,500 105,600 338,500
    75,000 44,800 7,000 35,200 237,000
    - 44,800 7,000 35,200 162,000
    - 89,600 20,000 70,400 255,000
    - 44,800 10,000 35,200 165,000
    - 44,800 7,000 35,200 162,000
    - 44,800 7,000 35,200 194,000
    - 89,600 15,000 70,400 282,000
    - 89,600 25,000 70,400 260,000
    - 134,400 32,000 105,600 347,000
    75,000 89,600 20,000 70,400 330,000
    75,000 179,200 45,000 140,800 515,000
    - 89,600 10,000 70,400 245,000
    - 44,800 7,000 35,200 162,000
    - - - - 75,000
    - - - - 75,000
    - 134,400 25,000 105,600 340,000
    - - - - 75,000
    - 44,800 10,000 35,200 165,000
    - 44,800 15,000 35,200 170,000
    - 134,400 26,500 105,600 341,500
    - 134,400 22,000 105,600 369,000
    - - - - 75,000
    - 134,400 22,000 105,600 369,000
    - 134,400 22,000 105,600 369,000
    - 134,400 22,000 105,600 369,000
    - - - - 75,000
    - 134,400 22,000 105,600 369,000
    - 134,400 37,000 105,600 352,000
    - 134,400 22,000 105,600 337,000
    - 134,400 25,000 105,600 372,000
    - 44,800 7,000 35,200 162,000
    75,000 89,600 20,000 70,400 330,000
    - 89,600 17,000 70,400 252,000
    - 44,800 10,000 35,200 165,000
    - 89,600 17,000 70,400 252,000
    - 134,400 22,000 105,600 369,000
    - - - - 75,000
    - - - - 75,000
    - 44,800 10,000 35,200 165,000
    - 89,600 25,000 70,400 260,000
    - 44,800 10,000 35,200 165,000
    - - - - 75,000
    - 89,600 25,000 70,400 260,000
    - 44,800 7,000 35,200 162,000
    - 44,800 10,000 35,200 165,000
    - 89,600 25,000 70,400 260,000
    - - - - 75,000
    - 89,600 15,000 70,400 282,000
    - 44,800 10,000 35,200 165,000
    - 89,600 17,000 70,400 252,000
    - - - - 75,000
    - 44,800 7,000 35,200 162,000
    - - - - 75,000
    - - - - 75,000
    - 44,800 10,000 35,200 165,000
    - 134,400 23,500 105,600 338,500
    - - - - 75,000
    - 89,600 16,500 70,400 251,500
    - 179,200 77,000 140,800 472,000
    - - - - 75,000
    - 44,800 7,000 35,200 162,000
    - 44,800 10,000 35,200 165,000
    - 134,400 22,000 105,600 369,000
    - 179,200 33,500 140,800 428,500
    - 134,400 57,000 105,600 372,000
    - 224,000 41,500 176,000 516,500
    - 44,800 7,000 35,200 162,000
    - 44,800 10,000 35,200 165,000
    - - - - 75,000
    - 44,800 10,000 35,200 165,000
    - 134,400 23,500 105,600 338,500
    - 44,800 10,000 35,200 165,000
    - 44,800 10,000 35,200 165,000
    - - - - 75,000
    - 179,200 33,500 140,800 428,500
    - 89,600 15,000 70,400 282,000
    - - - - 75,000
    - 44,800 15,000 35,200 170,000
    - 44,800 7,000 35,200 162,000
    - 179,200 33,500 140,800 428,500
    - - - - 75,000
    - 89,600 20,000 70,400 255,000
    - 89,600 15,000 70,400 250,000
    - 44,800 7,000 35,200 162,000
    - 89,600 15,000 70,400 250,000
    - 134,400 23,500 105,600 338,500
    - 44,800 7,000 35,200 162,000
    - 44,800 7,000 35,200 162,000
    - 89,600 15,000 70,400 282,000
    - 89,600 15,000 70,400 282,000
    - 179,200 33,500 140,800 428,500
    75,000 - - - 150,000
    - 134,400 37,000 105,600 352,000
    - 89,600 27,000 70,400 262,000
    - 44,800 20,000 35,200 175,000
    - 179,200 33,500 140,800 428,500
    - - - - 75,000
    - 246,400 75,000 193,600 590,000
    - - - - 75,000
    - 44,800 10,000 35,200 165,000
    - 134,400 22,000 105,600 369,000
    - - - - 75,000
    - 89,600 17,000 70,400 252,000
    - - - - 75,000
    - 44,800 10,000 35,200 165,000
    - - - - 75,000
    - 179,200 40,000 140,800 435,000
    - 179,200 33,500 140,800 428,500
    - 44,800 7,000 35,200 194,000
    - - - - 75,000
    - - - - 75,000
    - - - - 75,000
    - 224,000 38,500 176,000 513,500
    - 179,200 33,500 140,800 460,500
    - 89,600 15,000 70,400 282,000
    - 44,800 10,000 35,200 165,000
    - 44,800 7,000 35,200 162,000
    - 179,200 33,500 140,800 428,500
    - 134,400 25,000 105,600 372,000
    - 44,800 7,000 35,200 162,000
    - 89,600 13,000 70,400 248,000
    - 44,800 15,000 35,200 170,000
    - 44,800 10,000 35,200 165,000
    - 179,200 33,500 140,800 428,500
    - 44,800 7,000 35,200 162,000
    - 134,400 22,000 105,600 369,000
    - - - - 75,000
    - - - - 75,000
    - 179,200 32,000 140,800 459,000
    - 134,400 37,000 105,600 352,000
    - 134,400 23,500 105,600 338,500
    - 134,400 22,000 105,600 337,000
    - 89,600 17,000 70,400 252,000
    - 44,800 7,000 35,200 162,000
    - 44,800 10,000 35,200 165,000
    - - - - 75,000
    - 44,800 10,000 35,200 165,000
    - 134,400 57,000 105,600 372,000
    - 44,800 7,000 35,200 162,000
    - 44,800 10,000 35,200 165,000
    75,000 224,000 41,500 176,000 591,500
    - 89,600 17,000 70,400 252,000
    - 134,400 57,000 105,600 372,000
    - 89,600 37,000 70,400 272,000
    - 89,600 13,000 70,400 248,000
    - 134,400 23,500 105,600 338,500
    - - - - 75,000
    - - - - 75,000
    - - - - 75,000
    - 134,400 22,000 105,600 369,000
    - 134,400 23,500 105,600 338,500
    - - - - 75,000
    - 44,800 10,000 35,200 165,000
    - 44,800 10,000 35,200 197,000
    - 44,800 10,000 35,200 165,000
    - - - - 75,000
    - 89,600 17,000 70,400 252,000
    2,400,000 57,490,600 11,933,500 45,043,200 174,165,300
    Tagihan Jamkeda Samarinda Di IGD RSUD A. Wahab Sjahranie bulan April 2015

    Tanggal Nama Pasien Umur L/P Alamat No KIB/ No. Peserta Diagnosa Tindakan RINCIAN BIAYA
    NO Kunjungan No. REG Karcis IGD
    1 2 3 4 5 6 7 8 9 10 11 12
    1 1/4/2015 ABD LATIF 60 TH L KERUKUNAN RT 043 832356 DISPEPSYA PLEB,INJEKSI 42,000 33,000
    2 HERMAN 49 TH L P.BENDAHARA RT 002 814164 V.ICHTUM CROSS INSISI,INJEKSI 42,000 33,000
    3 EMY SALMIAH 67 TH P GN.LINGAI RT 009 832329 TROUMA KAPITALIS PLEBO,EKG 42,000 33,000
    4 ALDA AULIAN 16 TH P PADAT KARYA SEMPAJA RT 015 825709 FEBRIS PLEB 42,000 33,000
    5 HERRY OSCAR 53 TH L MUSO SALIM NO 68 RT 015 773624 CKD INJEKSI,O2 42,000 33,000
    6 WANA ASTUTI 29 TH P RE.M.DINATA RT 001 814106 ASMA NEBU,O2 42,000 33,000
    7 AMANDHA YUDIZ QINARA 2 TH P TRISARI RT 022 734700 ISPA PLEB 42,000 33,000
    8 ASMIAH 35 TH P PADAT KLARYA LOA BAKUNG RT 73 617756 GEA PLEB,INJEKSI 42,000 33,000
    9 ENI TRISMINI 45 TH P BUKIT BARISAN RT 020 832358 ASMA O2,NEBU,INJEKSI 42,000 33,000
    10 FITRIA AULIA RAMADHAN 3 TH P CENDANA GG 7 RT 028 832369 FEBRIS PLEB 42,000 33,000
    11 JUNIOR ARJUN MAHESA 1 TH L MERANTI GG II NO 25 RT 16 779103 BRONCHITIS NEBU,O2 42,000 33,000
    12 SALWA NABILA N I 8 TH P GN.TUNGGAL GG 2 NO 38 RT 007 832306 FEBRIS PLEB 42,000 33,000
    13 NIA RAMADANI 9 TH P PROKLAMASI RT 015 553969 VL WTH III,INJEKSI 42,000 33,000
    14 MUHAMMAD 42 TH L GN.PASIR RT 014 832326 ISK PLEB 42,000 33,000
    15 MIA AGUS TINA 19 TH P KEMAKMUARAN GG 45 RT 44 818534 FEBRIS RESEP 42,000 33,000
    16 2/4/2015 DJOHANSYAH 60 TH L DI PANJAITAN RT 068 832446 DISPEPSYA INF,PLEB,EKG 42,000 33,000
    17 YAYUK SRI ASTUTIK 30 TH P PERUM SAMBUTAN J/06 RT 032 832427 INPARTU VT,DOPLER 42,000 33,000
    18 RITA AGUSTINAWATI 34 TH P JOYO MULYO RT 036 518629 CEPALGIA PLEB,INJEKSI 42,000 33,000
    19 ABD MALIK 45 TH L KEMAKMURAN GG KNPI 832462 CONTUSIO M RESEP 42,000 33,000
    20 AYU ROSSITA DEWI 6 TH P AWS RT 026 828593 FEBRIS INF,PLEB 42,000 33,000
    21 YULI SUSIANIWATI 31 TH P KEMAKMUARAN GG AMAN RT 043 727154 DISPEPSYA INJEKSI 42,000 33,000
    22 ALI AKMAL AHMADI 12 TH L DAMAI RT 027 482279 ASMA NEBU,O2 42,000 33,000
    23 ASMINAH 45 TH P ADAM MALIK GG RAHMAD 1 RT 005 356943 ASMA NEBU,O2 42,000 33,000
    24 AMAT 61 TH L KEMUNING RT 008 466348 CAD EKG 42,000 33,000
    25 SUNARTI 55 TH P JELAWAT RT 005 832452 HT PLEBO,EKG 42,000 33,000
    26 ROMIMA ATMUS 34 TH L BUGIS RT 004 MUGIREJO 832424 VL WTH II,INJEKSI 42,000 33,000
    27 FADLIANSYAH 31 TH L JAKARTA BLOK H RT 042 832436 HIV STAD II PLEB,INJEKSI 42,000 33,000
    28 JAYANTI ARFIANI 22 TH P M.SAID GG RASA RT 012 753851 GASTRITIS RESEP 42,000 33,000
    29 SALASIAH 60 TH P CENDANA RT 012 604207 ANOREXIA PLEB,EKG,INJEKSI 42,000 33,000
    30 LA SAIDI 35 TH L PAHLAWAN 2 RT 029 832447 GERD INJEKSI 42,000 33,000
    31 AULIA 2 TH P TEUKU UMAR RT 006 732595 STOMATITIS RESEP 42,000 33,000
    32 NURDIN T 58 TH L SWADAYA NO 61 RT 021 741359 RETENSIO URIEN PASANG CATETER 42,000 33,000
    33 HARMINAH 45 TH P BATU BESAUNG RT 028 747219 GASTRITIS INJEKSI 42,000 33,000
    34 JUAN DUFFA K 9 TH L KEBON AGUNG RT 008 832417 FEBRIS PLEB 42,000 33,000
    35 NURHAYATI SYOFIYANTI 24 TH P SEI LANTUNG RT 004 533033 ISK PLEB,INJEKSI 42,000 33,000
    36 3/4/2015 SITI NORBAYAH 61 TH P DI PANJAITAN GG H DUNDUP RT 70 754817 DISPEPSYA INJEKSI 42,000 33,000
    37 AMIRRUDIN 66 TH L GATSU RT 044 828239 RETENSIO URIEN PASANG CATETER 42,000 33,000
    38 NOVELYN AURA KARENZA 2 TH P JOYOMULYO RT 037 783916 FEBRIS RESEP 42,000 33,000
    39 FEBRYANUS SERGIO A 14 TH L BUKIT BARISAN RT 020 832501 GEA RESEP 42,000 33,000
    40 NAPSIAH 74 TH P LUMBA LUMBA GG 2 RT 003 467698 TROUMA THORAX RESEP 42,000 33,000
    41 RIAN PRATAMA 8 TH L KH.W.HASYIM RT 008 474354 FARINGITIS RESEP 42,000 33,000
    42 WIDYANTI 33 TH P M.YAMIN GG 1 RT 017 832515 VERTIGO RESEP 42,000 33,000
    43 SUWANDI 30 TH L GN.LINGAI RT 003 831664 ISPA RESEP 42,000 33,000
    44 RIFQI AUNUR R 5 TH L SEI KAPIH RT 006 832539 TROUMA MATA IRIGASI 42,000 33,000
    45 SURI YANA 31 TH P MERANTI GG 1 BLOK D NO 73 RT 023 82282 INPARTU VT,DOPLER 42,000 33,000
    46 JAYANTI AFRIANI 22 TH P M.SAID GG RASA RT 012 753851 COLIC ABDOMEN PLEB 42,000 33,000
    47 MARIYANA 51 TH P JUANDA GG TRIDAYA RT 007 675994 ISK PLEB 42,000 33,000
    48 SYAHRANI 34 TH L KH.W.HASYIM RT 027 832482 BSK PLEB,SUPP 42,000 33,000
    49 ULAN SARI 29 TH P ST.SULAIMAN RT 011 832546 INPARTU VT,DOPLER 42,000 33,000
    50 MARTINUS HANEYQ DING 52 TH L MERBAbu RT 006 832548 CEPALGIA RESEP 42,000 33,000
    51 DIONISIS LUNG DING 16 TH P MERBAbu RT 006 832547 TFA PLEB 42,000 33,000
    52 DARMIAH 57 TH P MULAWARMAN RT 030 445717 HT INF,PLEB,EKG,INJEKSI 42,000 33,000
    53 HERRY OSCAR 53 TH L MUSO SALIM NO 68 RT 015 773624 CKD OKSIGEN INJEKSI 42,000 33,000
    54 BAHTIAR 54 TH L KERUKUNAN RT 043 832842 LBP PLEB,SUPP,EKG 42,000 33,000
    55 4/4/2015 A.WILADAN 9 TH L GN TUNGGAL RT 006 556600 FEBRIS PLEB 42,000 33,000
    56 BUDI HARTONO 41 TH L BATU BESAUNG RT 026 359798 VERTIGO INJEKSI 42,000 33,000
    57 M.FEBROL AL AKBAR 17 TH L DI PANJAITAN RT 033 832583 T,TUMPUL ABDOMEN INF,PLEB,DC,INJ,WTH II 42,000 33,000
    58 YULIANA PALIMBONG 34 TH P P.DI PONOGORO RT 026 832824 DOG BITE WT,INJEKSI 42,000 33,000
    59 M.DENY SAPUTRA 2 TH L KH.W.HASYIM RT 014 808132 CONTUSIO M RESEP 42,000 33,000
    60 AYU AFRIANI JAMILAH 20 TH P JELAWAT GG 7 RT 005 826699 FEBRIS PLEB 42,000 33,000
    61 ADITYA DWI PRASTYO 18 TH L KH.W.HASYIM GG IMAN RT 014 832570 FEBRIS RESEP 42,000 33,000
    62 YASMIN KOI LAURA S 6 TH P MERDEKA V RT 089 790141 ABD DISCONFORT PLEB 42,000 33,000
    63 SUSNAWATI 42 TH P GUNTUNG LAI RT026 832585 ABD DISCONFORT PLEB 42,000 33,000
    64 SITI NORBAYAH 61 TH P DI PANJAITAN GG H DUNDUP RT 70 754817 DISPEPSYA INF,PLEB,INJEKSI 42,000 33,000
    65 NICO MANGURU 65 TH L L.MANGKURAT GG H.USMAN RT 020 784719 CHEST PAIN PLEBO,EKG 42,000 33,000
    66 RIFALDI 28 TH L AWS GG 6 RT 035 832827 CKR WT,INJEKSI 42,000 33,000
    67 HERRY OSCAR 53 TH L MUSO SALIM NO 68 RT 015 773624 CKD OKSIGEN INJEKSI 42,000 33,000
    68 FUJI SULISTIANTO 39 TH L BUKIT BARISAN RT 024 804152 ASMA O2,NEBU,INJEKSI 42,000 33,000
    69 LINA YUHANI 45 TH P RAUDAH RT 019 832821 DISPEPSYA PLEB,EKG,INJEKSI 42,000 33,000
    70 SOEGIYANTO 56 TH L P.ANTASARI GG 6 RT 011 830104 HIV STAD II RESEP 42,000 33,000
    71 PURNAMI 50 TH P KARTAK HANYAR RT 029 594552 GEA PLEBO,EKG 42,000 33,000
    72 FIRMANSYAH 30 TH L RAUDAH RT 024 832570 COLIC URETER PLEB,INJEKSI 42,000 33,000
    73 FELISIANA 17 TH P P.ANTASARI GG 7 NO 27 C 763770 FEBRIS PLEB,INJEKSI 42,000 33,000
    74 M.ALWIE 60 TH L SENTOSA DALAM 8 RT 083 832834 OA PEDIS PLEB,EKG,INJEKSI 42,000 33,000
    75 WA ICARA 62 TH P OTISTA RT 013 560111 HT PLEBO,EKG 42,000 33,000
    76 MARVEL DESTA AIRA S.P 8 TH L PUSPITA BENGKURING RT 066 832839 FEBRIS RESEP 42,000 33,000
    77 5/4/2015 RUKIAH 69 TH P CENDANA GG 12 RT 029 832918 ISK PLEB 42,000 33,000
    78 FARHAN ELMU 6 TH L PATIMURRA YUKA V 70 RT 027 832907 ISPA PLEB 42,000 33,000
    79 ISMUNINGSIH 49 TH P URIF SUMORHARDJO NO 14 RT 028 827802 ISPA RESEP 42,000 33,000
    80 RIFKY ALDIANO 4 TH L SITI AISYAH RT 015 832916 ISPA RESEP 42,000 33,000
    81 WA PASIRI 44 TH P KARYA BARU RT 010 SMPJ 790044 ASMA O2,NEBU,INJEKSI 42,000 33,000
    82 ANTON RAMADANI 6 TH L M.YAMIN GG 1 RT 017 604705 ASMA O2,NEBU,INJEKSI 42,000 33,000
    83 LA IRANO 45 TH L RUMBIA GG RT 017 837915 DISPEPSYA INF,PLEB,EKG,INJEKSI 42,000 33,000
    84 KANUTUS 48 TH L IR. SUTAMI GG PUSAKA RT 022 832928 RETENSIO URIEN PLEB,DC 42,000 33,000
    85 NASIAH 55 TH L KH.M.MANSYUR RT 029 832946 TB PARU RESEP 42,000 33,000
    86 SUIDARSONO 51 TH L PERJUANGAN RT 036 832950 HEMOROID PLEBO,EKG 42,000 33,000
    87 HERLINA 41 TH P H.SUAWANDI RT 024 716174 DISMINORENEA PLEB 42,000 33,000
    88 YASMI 44 TH L PURWOSARI RT 014 832954 ISK PLEB,INJEKSI 42,000 33,000
    89 YENTINA 38 TH P RAPAK INDAH RT 035 797763 DISPEPSYA INJEKSI 42,000 33,000
    90 SURYA HADINATA 24 TH L PEMUDA III KOMP TRANS RT 007 832930 RARINGITIS RESEP 42,000 33,000
    91 SITI RAIHANA 40 TH P AWS SYAHRANI RT 025 485227 ULKUS PETIKUM RESEP 42,000 33,000
    92 NORLIANA 42 TH P TURI PUTIH RT 089 521951 ISK PLEB 42,000 33,000
    93 VIONA TRI WULAN DARI 11 TH P REEL 10 RT 020 685111 VERTIGO RESEP 42,000 33,000
    94 RUSNANI 48 TH P P.BENDAHARA RT 007 679931 CEPALGIA PLEBO,EKG 42,000 33,000
    95 NORMALA SARI 30 TH P LUBUK SAWAH RT 015 794598 INPARTU VT,DOPLER 42,000 33,000
    96 TAFSIRRANI 17 TH L ABUL HASAN GG 7 NO 51 RT 013 832875 INPARTU VT,DOPLER 42,000 33,000
    97 HERRY OSCAR 53 TH L MUSO SALIM NO 68 RT 015 773624 CKD OKSIGEN INJEKSI 42,000 33,000
    98 FURQON AZ ZAINI ZAEN 22 TH L PERJUANGAN GG SUKSES RT 038 832862 BSK WT,INJEKSI 42,000 33,000
    99 SLAMET 48 TH L WIRASWASTA I RT 001 590257 DISPEPSYA RESEP 42,000 33,000
    100 RASYA PUTRI 1 TH P MERDEKA GG 3 RT 100 827764 KDS INF,PLEB 42,000 33,000
    101 ZANI AL AZIZ 8 TH L PINANG SERIBU RT 040 832919 TONSILITIS RESEP 42,000 33,000
    102 FAHMI HIDAYAT 23 TH L ULIN GG 6 RT 024 832955 DISPEPSYA RESEP 42,000 33,000
    103 VINNY AULIA 3 TH P KEMAKMURAN GG 1 RT 015 636026 ALVULSI DENTIS WT 42,000 33,000
    104 HERDIANTO 26 TH L GN.LINGAI GG MUFAKAT 832915 VL WTH III,INJEKSI 42,000 33,000
    105 6/4/2015 NINA INDRIANA 27 TH P ST.SULAIMAN GG H SALMAN RT 010 706022 GASTRITIS RESEP 42,000 33,000
    106 NURUL HIDYATI 45 TH P ST.ALIMUDDIN RT 028 811228 URTIKARIA RESEP 42,000 33,000
    107 HERRY OSCAR 53 TH L MUSO SALIM NO 68 RT 015 773624 CKD OKSIGEN 42,000 33,000
    108 SUPRIYONO 38 TH L MT.HARIYONO RT 015 622626 THIPOID PLEB,INJEKSI 42,000 33,000
    109 NUR ARAFAH 4 TH P PAHLAWAN GG 2 RT 029 832996 CKR PLEB 42,000 33,000
    110 NURDIN 39 TH L S.RIADI GG GOTONG ROYONG RT 031 833030 DISPEPSYA INJEKSI 42,000 33,000
    111 RUSTAM 57 TH L PAHLAWAN II RT 028 620859 DISPEPSYA PLEB,EKG,INJEKSI 42,000 33,000
    112 JUM'AH 41 TH P GATSU RT 001 714253 DISPEPSYA PLEB,EKG,INJEKSI 42,000 33,000
    113 ANDINI EVERLYN S 5 TH P PROKLAMASI RT 053 656472 FEBRIS PLEB 42,000 33,000
    114 SITI SYA ADAH 34 TH P CENDANA GG 7 RT 028 833014 VARICELLA PLEB 42,000 33,000
    115 CITRA AMEEPA N 5 TH P GN.LINGAI RT 007 802942 ASMA NEBU,O2 42,000 33,000
    116 JURAIDAH 29 TH P KH.W.HASYIM RT 027 617157 VERTIGO GDS CITO 42,000 33,000
    117 SITI RAHMAH 27 TH P M.SAID RT 029 674232 ASMA O2,NEBU,INJEKSI 42,000 33,000
    118 YUSUF 57 TH L MILONO RT 013 694840 ASMA O2,NEBU,INJEKSI 42,000 33,000
    119 A.SAHRI 52 TH L GERILYA GG BARU RT 50 821414 PPOK PLEB,NEBU,O2,INJEKSI 42,000 33,000
    120 TOHA 61 TH L AM.SANG AJI GG 2 RT 013 832995 GEA INF,PLEB 42,000 33,000
    121 SYARIFUDDIN 51 TH L SENTOSA GG KENANGAN RT 073 350828 GASTRITIS INJEKSI 42,000 33,000
    122 SITI HADIJAH 29 TH P KH.W.HASYIM GG WAHYU RT 039 832982 DISPEPSYA PLEB,INJEKSI 42,000 33,000
    123 ARI JUARI ADI 20 TH L RAPAK INDAH RT 035 832977 FEBRIS PLEB,INJEKSI 42,000 33,000
    124 SURIYANA 31 TH P MERANTI GG 1 D/73 832984 VE WT 42,000 33,000
    125 SUMIRNA 45 TH P AGUS SALIM RT 030 833039 CLUSTER HEADACHE INJEKSI 42,000 33,000
    126 7/4/2015 SUPRIYONO 38 TH L MT.HARYONO RT 015 622626 FEBRIS RESEP 42,000 33,000
    127 LESTARI 32 TH P KS.TUBUN GG 5 RT 007 813934 ISPA RESEP 42,000 33,000
    128 JOHAN RIANES PAEMBOAN 3 TH L AWS RT 028 704197 FEBRIS RESEP 42,000 33,000
    129 LISDA WATI 28 TH P SENYIUR INDAH 3 BLOK BA RT 042 480790 DEMAM DENGUE PLEB,INJEKSI 42,000 33,000
    130 RISKA YANTY 23 TH P DI PANJAITAN GG TUNGGAL RT 038 833128 GASTRITIS INJEKSI 42,000 33,000
    131 SHANDY ELVANDRI 22 TH L GELATIK NO 33 RT 015 623784 PULPITIS RESEP 42,000 33,000
    132 HERRY OSCAR 53 TH L MUSO SALIM NO 68 RT 015 773624 CKD PLEB,O2,INJEKSI 42,000 33,000
    133 RONAL 26 TH L L.MANGKURAT GG 1 RT 042 833112 CKR RESEP 42,000 33,000
    134 ZAHWA INTANIA HERU 1 TH L TRI SARI RT 20 833065 ISPA RESEP 42,000 33,000
    135 DAYANG SILVANA F 4 TH P P.SURYANATA RT 044 632659 ISPA RESEP 42,000 33,000
    136 ATHALLAH REZQY YUDHISTIRA 1 TH L KS.TUBUN DALAM RT 009 833063 ISPA PLEB 42,000 33,000
    137 KUSNARI 45 TH L KH.SAMANHUDI RT 004 833081 CEPALGIA PLEB,EKG,INJEKSI 42,000 33,000
    138 NAZWA AULIA 5 TH P JOYO MULYO RT 028 833118 ISK PLEB 42,000 33,000
    139 DESTAM SUGIANTO 43 TH L DAMAI RT 026 455899 CONTUSIO M RESEP 42,000 33,000
    140 FATMAWATI 41 TH P MERBABU GG BDN RT 03 593491 COLIC ABDOMEN PLEB 42,000 33,000
    141 NUR YASMIN 15 TH P MANGKUPALAS RT 011 833080 VL WTH ,,WT,INJEKSI 42,000 33,000
    142 DZIAN RATMADHANI USMAN 2 TH L AWS GG KEJAKSAAAN RT 035 824686 FEBRIS PLEB 42,000 33,000
    143 ERNA PRAMUDIAH 31 TH P PERUM KAYU MANIS L/26 RT 032 833074 EMESIS INJEKSI 42,000 33,000
    144 SERLI HANDAYANI 37 TH P ABUL HASAN GG 10 RT 23 832723 HEG PLEB 42,000 33,000
    145 TRI ARISNA SAPUTRA 18 TH L PERUM PKL B/791 833057 DISPEPSYA INJEKSI 42,000 33,000
    146 BASRI 60 TH L KARYA BARU RT 010 SMPJ 833107 COLIC ABDOMEN RESEP 42,000 33,000
    147 8/4/2015 ADY HASAN GUSMANTORO 1 TH L TRISARI RT 022 833185 VL WTH II,INJEKSI 42,000 33,000
    148 MUADZ MUSYAFFA 2 TH L PGRI B41/43 833172 THIPOID PLEB 42,000 33,000
    149 SUNARDI 59 TH L GIRI MUKTI RT 017 833162 COLIC RENAL PLEB,INJEKSI 42,000 33,000
    150 HERIYANTO 32 TH L SENTOSA GG KEMBALI RT 031 833241 FEBRIS PLEB 42,000 33,000
    151 SITI PATIMAH 22 TH P AWS GG 17 RT 011 833145 ASMA NEBU,O2 42,000 33,000
    152 DAMAR NURI 28 TH L PADA ELO RT 006 833258 BSK PLEB 42,000 33,000
    153 SITI HADIJAH 28 TH P KH.W.HASYIM GG WAHYU RT 039 832982 RETENSIO URIEN PASANG CATETER 42,000 33,000
    154 DAFFA SYAPUTRA 1 TH L SLAMET RIADI GG IKLAS RT 018 832166 FEBRIS RESEP 42,000 33,000
    155 HASNINDAR 41 TH L AMUNTAI RT 069 833170 DISPEPSYA PLEB,INJEKSI 42,000 33,000
    156 SUTRISNO 51 TH L JELAWAT GG IX RT 02 833203 AVULSI NAIL EKSTRASI KUKU 42,000 33,000
    157 NABILA TASYA 5 TH P GN LINGAI RT 009 747176 ISPA RESEP 42,000 33,000
    158 ALIYAS 35 TH L DI PANJAITAN GG 1 A RT 036 833452 VL WTH IV,INJEKSI 42,000 33,000
    159 WAFA MEISARA 5 TH P AWS RT 023 714142 FEBRIS PLEB 42,000 33,000
    160 M.KENZI AZRIEL ALGHIFARI 2 TH L ADAM MALIK 2 GG JAVA RT 003 679791 ISPA RESEP 42,000 33,000
    161 TRIPENA NINGSIH 39 TH P BATU BARA RT 024 666702 DISPEPSYA INJEKSI 42,000 33,000
    162 RISNA IRIANTI 25 TH P GAMELAN RT 039 833241 FEBRIS PLEB 42,000 33,000
    163 M.FAJAR RAMADHAN 19 TH L CENDAna GG 10 RT 036 751123 FEBRIS RESEP 42,000 33,000
    164 ABDILLAH RAZIQ M 3 TH L THOYIB HADI WIJAYA GG DAMAI RT 54 833224 FEBRIS PLEB 42,000 33,000
    165 M.LUTHFY NUR ZHAKY 1 TH L TRI SARI RT 022 833212 ISPA PLEB 42,000 33,000
    166 REYSA ANGGRAINI 1 TH P CM KUSUMO RT 003 833218 ISPA RESEP 42,000 33,000
    167 DEWI NAWANG SARI 10 TH P THOYIB HADI WIJAYA GG DAMAI RT 54 833225 FEBRIS PLEB 42,000 33,000
    168 RAIHAN AL HAFIS 8 TH L M.SAID GG SURYA RT 028 833228 ISPA RESEP 42,000 33,000
    169 HERRY OSCAR 53 TH L MUSO SALIM NO 68 RT 015 773624 CKD INJEKSI 42,000 33,000
    170 SRI WAHYUNINGSIH 42 TH P ARJUNA GG 2 RT 013 833217 BATUK KRONIS RESEP 42,000 33,000
    171 MARNI 21 TH P PATIMURRA RT 036 833219 FEBRIS PLEB,INJEKSI 42,000 33,000
    172 NOVI RUSPITASARI 33251 TH P PROPINSI RT 006 833251 ISK PLEB 42,000 33,000
    173 9/4/2015 M.ALFIAN NUR 4 TH P REEL 10 RT 020 802465 ISPA RESEP 42,000 33,000
    174 YULIANA 29 TH P GOTONG ROYONG GG 4 A RT 033 833266 GASTRITIS PLEBO,EKG 42,000 33,000
    175 NABILA NUR ASSYIFA 1 TH P REEL 10 RT 020 824171 COMMOND COLD RESEP 42,000 33,000
    176 PUTRI GEBRIAN 23 TH P RING ROAD RT 001 833302 ISK SUPP 42,000 33,000
    177 YAYAN ADI SAPUTRA 28 TH L HASAN BASRI RT 024 826316 DISPEPSYA INJEKSI 42,000 33,000
    178 ILENGE 47 TH P PERNIAGAAN RT 015 700177 ASMA O2,NEBU,INJEKSI 42,000 33,000
    179 ALISYA OCTAVIANI 11 TH P GN .LINGAI RT 010 246010 ISPA RESEP 42,000 33,000
    180 M.FAHMI 7 TH L MERDEKA II NO 88 RT 092 189908 ASMA NEBU,O2 42,000 33,000
    181 SALSABILA YUNITA S 2 TH P DAMAI RT 027 825077 ISPA PLEB 42,000 33,000
    182 TOYIBIN 71 TH L ADI SUCIPTO RT 02 811059 FEBRIS PLEB,INJEKSI 42,000 33,000
    183 BASTIAH AHMAD 53 TH L MERDEKA TIMUR RT 100 573584 HT EKG,INJEKSI 42,000 33,000
    184 MAHMUD 63 TH L HASAN BASRI GG 2 RT 024 833264 HT PLEB,EKG,INJEKSI 42,000 33,000
    185 NUR PUSPA DEWI 21 TH P MT.HARIYONO RT 054 636694 AB IMMENES PLEB 42,000 33,000
    186 HENI MULYAWATI 37 TH P SULTAN ALIMUDDDIN RT 022 478123 SNH PLEB,INJEKSI 42,000 33,000
    187 M.SYAHARANI ABDUL MUDAH 23 TH L JAMBU 4 NO RT 006 833341 VE WT 42,000 33,000
    188 MASNIAH 63 TH P CM KUSUMO RT 034 833498 CEPALGIA PLEB,INJEKSI 42,000 33,000
    189 RINA ASTUTI 9 TH P DI PANJAITAN RT 002 833502 OMA RESEP 42,000 33,000
    190 HERRY OSCAR 53 TH L MUSO SALIM NO 68 RT 015 773624 CKD OKSIGEN,INJEKSI 42,000 33,000
    191 MURNIATI NINGSIH 31 TH P KH.SAMANHUDI RT 001 780585 ASMA NEBU,02 42,000 33,000
    192 GUNTUR 53 TH L SEJATI GG KASAH 4 RT 021 833278 ISPA PLEB,EKG,INJEKSI 42,000 33,000
    193 10/4/2015 FARRAH ELYSIA MALIKA 1 TH P TURI MERAH II NO 41 RT 011 833421 DERMATITS RESEP 42,000 33,000
    194 MAS MADIH 42 TH L PASUNDAN RT 003 833382 CF META FARSAL KONSUL 42,000 33,000
    195 RIFALDI YULI P 3 TH P SENTOSA DALAM II RT 079 831951 GEA RESEP 42,000 33,000
    196 M.SULTAN 10 TH L KH.AGUS SALIM GG 5D RT 031 410854 V.ICHTUM CROSS INSISI,INJEKSI 42,000 33,000
    197 JUBAIDAH 43 TH P PAHLAWAN 2 RT 029 490593 HIPOKALEMI PLEB 42,000 33,000
    198 ZAIN DENIZ EFFENDY 14 TH L SENTOSA KENANGAN 2 RT 074 833458 GEA INF,PLEB 42,000 33,000
    199 SUMIATI 53 TH P KARTAK HANYAR GG DAMAI RT 026 816752 DISPEPSYA INJEKSI 42,000 33,000
    200 IMAM ROFI'I 39 TH L KH.DAMANHURI RT 020 335956 TB PARU INF,PLEB,O2 42,000 33,000
    201 NOR HALISYAH 45 TH L P.BATUR GG 2 NO 35 RT 010 833473 ISPA EKG 42,000 33,000
    202 MARTINI 69 TH P KS.TUBUN RT 005 833377 HT PLEB,EKG,INJEKSI 42,000 33,000
    203 FIDELA DEWINA 5 TH P P.ANTASARI GG IJABAH RT 005 568840 ISPA RESEP 42,000 33,000
    204 SHINTA BELLA 16 TH P L.MANGKURAT RT 085 734082 URTIKARIA RESEP 42,000 33,000
    205 PITRIANI GRESIA 21 TH P W.MONGONSIDI RT 020 774816 DISPEPSYA PLEB,INJEKSI 42,000 33,000
    206 ELI YANTI 43 TH P PERINTIS RT 032 501138 AB IMMENES PLEB 42,000 33,000
    207 ANDI RUSLI 51 TH L PM.NOOR RT 039 747511 CEPALGIA INJEKSI 42,000 33,000
    208 RITA FATMAWATI 34 TH P PERUM BUMI SNT RT 026 833407 INPARTU VT,DOPLER 42,000 33,000
    209 NURUL HIDAYAH 35 TH P P.SURYANATA GG 9 RT 027 833407 INPARTU PLEB,VT,DOPLER 42,000 33,000
    210 SUKMAWATI 21 TH P PERUM BUMI SEMPAJA RT 047 629434 VOMITING PLEB,EKG,INJEKSI 42,000 33,000
    211 MARSRUCHIN 55 TH L MERBABU GG BDN RT 03 833433 RETENSIO URIEN PLEB,DC,INJEKSI 42,000 33,000
    212 NOR HALISYAH 69 TH L P.BATUR GG 2 NO 35 RT 010 833473 ISPA EKG 42,000 33,000
    213 RUSTAM EFFENDIE 23 TH L LUMBA LUMBA RT 016 833427 TB PARU PLEB,INJEKSI 42,000 33,000
    214 SUPARTI 56 TH P PEMUDA II RT 008 502027 BSK PLEB 42,000 33,000
    215 RAHMUDIN 52 TH L SUKOREJO LEMPAKE RT 043 833446 DISPEPSYA EKG,INJEKSI 42,000 33,000
    216 SITI MUNAWAROH 52 TH P MT.HARYONO GG RAWA JAYA RT 001 830942 WOUND DEHICENCE WT 42,000 33,000
    217 PUJI PRIYONO 31 TH L NAKKODA RT 014 833443 DISPEPSYA INJEKSI 42,000 33,000
    218 11/4/2015 RISKA NURMALA 21 TH P P.SURYANATA RT 003 832555 GASTRITIS INJEKSI 42,000 33,000
    219 SALSABILA ANANDA 2 TH P SELAMAT RIYADI RT 031 833571 FEBRIS PLEB 42,000 33,000
    220 RUSLANI 65 TH L KAHOI RT 034 833547 TB.PARU INF,PLEB,EKG,INJEKSI 42,000 33,000
    221 CHERISH FELICIA M 3 TH P P.PUSPITA AO 10 RT 091 792114 FEBRIS PLEB 42,000 33,000
    222 SYAHRIN 58 TH L KH.MASMANSYUR GG MANGGIS RT 015 546131 CHF PLEB,EKG,INJEKSI 42,000 33,000
    223 SUJINAH 53 TH P WIRASWASTA I RT 001 833576 DISPEPSYA INJEKSI 42,000 33,000
    224 HERRY OSCAR 53 TH L MUSO SALIM NO 68 RT 015 773624 CKD OKSIGEN 42,000 33,000
    225 DEWI NAWANG SARI 10 TH P THOYIB HADI WIJAYA GG DAMAI RT 54 833225 FEBRIS PLEB 42,000 33,000
    226 MISRANSYAH 26 TH L SENTOSA GG KENANGAN 6 RT 076 833331 CEPALGIA PLEB,INJEKSI 42,000 33,000
    227 NURUL HUDA 26 TH P MERDEKA RT 088 833526 MIALGIA RESEP 42,000 33,000
    228 RIYANI 76 TH P DELIMA RT 050 669371 VL WTH II,INJEKSI 42,000 33,000
    229 SEPTIAN AULIA WARDANI 10 TH P DI PANJAITAN RT 001 833566 FEBRIS PLEB 42,000 33,000
    230 EKA MARDYA WATI 28 TH P ST.ALIMUDDIN RT 025 833564 DISPEPSYA PLEB 42,000 33,000
    231 M.FAJAR ADYTAMA 17 TH L AWS 4 RT 025 833506 FEBRIS PLEB 42,000 33,000
    232 RUDIANTO 36 TH L DI PANJAITAN RT 068 830014 VOMITING INJEKSI 42,000 33,000
    233 CHAYLA CANTIKA FARIDA 1 TH P GAYA BARU RT 006 775055 KISTA HEPAR RESEP 42,000 33,000
    234 ROBBY ANNNOUR 37 TH L ULIN GG 23 RT 006 833519 DISPEPSYA INJEKSI 42,000 33,000
    235 SYAKIRAH NAJIB 1 TH P SITI AISYAH RT 015 833556 FEBRIS PLEB 42,000 33,000
    236 VICKY ARDI KURNIAWAN 10 TH L M.YAMIN GG 1 RT 017 718338 COLIC RENAL PLEB 42,000 33,000
    237 TOMMY RAMADHAN 10 TH L ST.ALIMUDDIN GG KETAPANG RT 038 756898 ASMA NEBU,O2 42,000 33,000
    238 LESTY MEGA MUSTIKA 2 TH P JOYO MULYO RT 031 785981 FEBRIS PLEB 42,000 33,000
    239 SUNARSIH 50 TH P A.YANI GG MASYARAKAT RT 025 863486 EPISTAXIS INJEKSI 42,000 33,000
    240 AULELIA OCTAVIANI 4 TH P KEMAKMURAN GG AMAN RT 043 644812 FEBRIS PLEB 42,000 33,000
    241 SUHARTINAH 58 TH P CENDANA GG 12 RT 033 590732 CF TIBIA ELASTIS VERBAN 42,000 33,000
    242 ARBAINAH 14 TH P RIMBAWAN RT 032 833875 CONTUSIO M WT 42,000 33,000
    243 DAFFA SYAPUTRA 1 TH L S.RIADI GG IKHLAS RT 018 832166 FEBRIS PLEB 42,000 33,000
    244 SITI AISYAH 40 TH P AGUS SALIM NO 79A RT 037 833529 BSK PLEB 42,000 33,000
    245 SUGIHARTUTIK 45 TH P KADRIE OENING BLOK D/85 RT 19 833575 KONSTIPASI PLEB,EKG,INJEKSI 42,000 33,000
    246 JUMANSYAH 35 TH L PM.NOOR RT 039 833369 DISPEPSYA INJEKSI 42,000 33,000
    247 12/4/2015 LINDA SUSANTI 37 TH P ANGGUR RT 056 686587 HEG PLEB 42,000 33,000
    248 RUBAYA 70 TH P OTISTA GG 12 RT 014 433028 VERTIGO RESEP 42,000 33,000
    249 AGUS SRI RAHAYU 26 TH P M.YAMIN RT 016 GG 1 833886 GEA INF,PLEB,INJEKSI 42,000 33,000
    250 NOR SOEGIARTI 35 TH P KURNIA MAKMUR RT 021 833581 AB IMMENES PLEB 42,000 33,000
    251 MAR ATUL ADIEBAH 1 TH P P.ANTASARI RT 041 NO 038 833820 VL WTH II,INJEKSI 42,000 33,000
    252 SALSABILA YUNITA S 2 TH P DAMAI RT 027 825077 ISPA PLEB 42,000 33,000
    253 NUR RAMATIA 26 TH P RUMBIA GG 2 RT 017 833867 THIPOID PLEB 42,000 33,000
    254 ISNA 50 TH P ULIN GG 6 NO 33 RT 021 798060 URTIKARIA INJEKSI 42,000 33,000
    255 HERRY OSCAR 53 TH L MUSO SALIM NO 68 RT 015 773624 CKG OKSIGEN 42,000 33,000
    256 SERLINA 5 TH P KARYA BAKTI RT 010 833817 FEBRIS PLEB 42,000 33,000
    257 NUR FADILLAH 3 TH L BATU INDAH RT 041 817332 DISPEPSYA RESEP 42,000 33,000
    258 DESY LAJUBA 34 TH P DI PANJAITAN PERUM ALAYA RT 10 833825 ISK PLEB,INJEKSI 42,000 33,000
    259 PUTRI 50 TH P P.BENDAHARA RT 005 833840 VERTIGO INJEKSI 42,000 33,000
    260 CHERISH FELICIA M 3 TH P P.PUSPITA AO 10 RT 091 833525 FEBRIS SUPP 42,000 33,000
    261 M.KOIRUL ANAM 30 TH L PM.NOOR RT 039 833829 INTOSIKASI IKAN LAYANG INJEKSI 42,000 33,000
    262 NURUL HIDAYAH 35 TH P P.SURYANATA GG 9 RT 027 833843 INPARTU PLEB,DOPLER,VT,INJEKSI 42,000 33,000
    263 YANI MARIYANI 29 TH P SAWI 6 NO 149 RT 070 800026 DISPEPSYA PLEB,INJEKSI 42,000 33,000
    264 SYAMSURI 61 TH L S.RIADI RT 026 CITRA GRIYA 833833 HT PLEBO,EKG 42,000 33,000
    265 13/4/2015 SOFYANSYAH 43 TH L WIJAYA KUSUMO 1 NO 105 RT 019 731757 DISPEPSYA INJEKSI 42,000 33,000
    266 ASNAN GANI 66 TH L KEMUNING NO 3 RT 20 803729 HT PLEBO,EKG 42,000 33,000
    267 LILIH 50 TH P KEMANGGI GG SYUKUR RT 024 804547 CHF PLEB,EKG,INJEKSI 42,000 33,000
    268 M.UNTUNG BENER P 54 TH L IMAM BONJOL GG 10 NO 46 RT 10 826529 ISK PLEB,DC 42,000 33,000
    269 MEGAWATI 29 TH P PERUM GRIYA MUKTI D/17 RT 006 833936 DISPEPSYA INJEKSI 42,000 33,000
    270 YULIANI 44 TH P GERILYA GG RUKUN RT 058 487826 LBP PLEB,INJEKSI 42,000 33,000
    271 SARIYADI 43 TH L AMPERA RT 045 833934 RETENSIO URIEN PLEB,DC 42,000 33,000
    272 BADARIAH 41 TH P MAS PENGHULU RT 008 833915 ICHALGIA INJEKSI 42,000 33,000
    273 ALIANUR 57 TH L MUGIREJO GG MUFAKAT RT 003 660501 VERTIGO EKG,INJEKSI 42,000 33,000
    274 CITRA AMEEPA N 5 TH P GN LINGAI RT 007 802942 ASMA NEBU,O2 42,000 33,000
    275 BAHARUDIN TARO 53 TH L OTISTA GG 12 RT 014 609360 CEPALGIA PLEB,INJEKSI 42,000 33,000
    276 HERRY OSCAR 53 TH L MUSO SALIM NO 68 RT 015 773624 CKD OKSIGEN 42,000 33,000
    277 NORHAN 67 TH L RE.M.DINATA RT 010 423348 VERTIGO PLEBO,EKG 42,000 33,000
    278 YUSUF 27 TH L MILONO RT 013 694840 ASMA NEBU,O2 42,000 33,000
    279 MARKANAH 58 TH P TRISARI RT 022 786488 DISPEPSYA INJEKSI 42,000 33,000
    280 SITI FATIMAH 31 TH P DR.SOETOMO GG 2 RT 030 686539 FEBRIS PLEB,INJEKSI 42,000 33,000
    281 14/4/2015 M.ZAINI 5 TH L ULIN GANG 5 RT 007 834060 GEA RESEP 42,000 33,000
    282 SATRIA RASTA PRATAMA 4 TH L KAKAP RT 10 773707 ISPA RESEP 42,000 33,000
    283 SITI AISAYH 26 TH P TRI KORA RT 005 817206 CKD PLEB,INJEKSI 42,000 33,000
    284 APRIANA UMI KOIRUN 21 TH P SENTOSA DALAM NO 43 RT 83 833990 INPARTU VT,DOPLER 42,000 33,000
    285 M.HIBAAN AUFAN 3 TH L KH.W.HASYIM RT 008 660303 ISPA RESEP 42,000 33,000
    286 RIFQY FADILLAH 4 TH L M.SAID GG KASIH RT 028 782258 FEBRIS PLEB 42,000 33,000
    287 ABD RACHMAD 28 TH L SENYIUR INDAH 3 A/18 RT 42 479262 HEMAPTOE PLEB 42,000 33,000
    288 FAHREZA MAULANA 2 TH L SUBULUS SALAM RT 035 834030 ABSES PLANTAR PEDIS INJEKSI 42,000 33,000
    289 HAFIDAH 46 TH P S.PARMAN GG IV RT 029 280796 VERTIGO RESEP 42,000 33,000
    290 WERNOTO 50 TH L PERINTIS GG CAMPUR SARI RT 032 834026 BSK PLEB 42,000 33,000
    291 M.ANOAR 18 TH L TERONG PIPIT 8 RT 079 834024 VOMITING INJEKSI 42,000 33,000
    292 WAGINI 51 TH P KS.TUBUN GG 7 RT 001 720872 BRONCHITIS RESEP 42,000 33,000
    293 NADIA ARYANI 6 TH P PASUNDAN RT 018 612548 VOMITING RESEP 42,000 33,000
    294 UMI YANA 32 TH P KEMAKMURAN GG 1 RT 015 834053 DISPEPSYA INJEKSI 42,000 33,000
    295 HJ.MAEMUNAH 66 TH P KAHOI NO 9 RT 035 046894 CHF EKG,O2 42,000 33,000
    296 MISRAN 22 TH L BUNG TOMO RT 007 834011 VL WTH III,INJEKSI 42,000 33,000
    297 WINDA 18 TH P ULIN GG 6 NO 33 RT 021 834048 CEPALGIA RESEP 42,000 33,000
    298 M.DEDI 32 TH L P.SURYANATA RT 036 624572 ASMA RESEP 42,000 33,000
    299 DINA ASMIRANDA 3 TH P BATU CERMIN RT 005 717783 ASMA O2,NEBU,INJEKSI 42,000 33,000
    300 RENDI JUNISTIRA PRATAMA P 25 TH L PERUM SAMBUTAN KL/46 RT 034 834045 DISPEPSYA PLEB 42,000 33,000
    301 MEYLANI AULIA 6 TH P GN PASIR RT 014 658177 FEBRIS PLEB 42,000 33,000
    302 REVAN ADITYA FIRDAUS 7 TH L DI PANJAITAN RT 002 760837 DEMAM DENGUE PLEB 42,000 33,000
    303 ROSMINI 19 TH P CM.KUSUMO RT 010 664921 CAT BITE WT,INJEKSI 42,000 33,000
    304 NAPSIAH 74 TH P LUMBA LUMBA GG 2 RT 003 467698 CAD PLEB,EKG,INJEKSI 42,000 33,000
    305 15/4/2015 MANISA 58 TH P ADAM MALIK GG MANGGIS RT 004 836110 HEMAPTOE PLEB,EKG,INJEKSI 42,000 33,000
    306 SULTAN 35 TH L HASAN BASRI RT 023 730400 BSK PLEB,SUPP 42,000 33,000
    307 TONI TRIONO 22 TH L KEMAKMURAN GG AMAN RT 043 671866 FEBRIS PLEB 42,000 33,000
    308 SATRIA RASTA PRATAMA 4 TH L KAKAP RT 10 773707 ASMA O2,NEBU,INJEKSI 42,000 33,000
    309 WAHYUN 42 TH P P.ANTASARI GG 6 RT 045 834067 COLIK ABDOMEN PLEB,SUPP,INJEKSI 42,000 33,000
    310 SARIPAH 40 TH P KAKAP RT 006 836164 HEMAPTOE PLEB,INJEKSI 42,000 33,000
    311 MEINANDA CAHYANI SALSABIL 1 TH P BIOLA GG MANUNGGAL RT 033 836154 GEA INJEKSI 42,000 33,000
    312 TASYA KALILA ALTHAF 6 TH P TURI PUTIH 2 248 RT 89 836137 FEBRIS RESEP 42,000 33,000
    313 M.MIRZA 4 TH L MERBABU RT 016 616184 CKR RESEP 42,000 33,000
    314 HJ. RUSMALA 56 TH P JAKARTA RT 040 663447 DISPEPSYA EKG,INJEKSI 42,000 33,000
    315 ROSNANI 39 TH P RAJAWALI DALAM I RT 011 834082 COLIC ABDOMEN PLEB,INJEKSI 42,000 33,000
    316 SUNARKO 57 TH L GELATIK GG TITIAN RT 015 834095 DM PLEBO,EKG 42,000 33,000
    317 REVAN ADITYA FIRDAUS 8 TH L DI PANJAITAN RT 002 760837 FEBRIS PLEB 42,000 33,000
    318 IKUPE 54 TH L KOMP PASAR SEGIRI RT 028 836106 ANOREXIA PLEB 42,000 33,000
    319 SITI AISYAH 26 TH P TRIKORA RT 005 817206 CKD INJEKSI 42,000 33,000
    320 RIFALDO SIDABALOK 17 TH L PUSPITA AK RT 091 834081 V.ICHTUM INJEKSI 42,000 33,000
    321 MUSLI 18 TH L ANGGUR NO 91 RT 056 836158 CHEST PAIN PLEB,EKG,INJEKSI 42,000 33,000
    322 HARTONO 56 TH L REVOLUSI RT 031 342309 BSK PLEB,SUPP 42,000 33,000
    323 MUNAWIR 23 TH L PASAR SEGIRI RT 027 836157 OTALGIA RESEP 42,000 33,000
    324 NUR LAILA 32 TH P PERUM SIP F RT 035 594704 V.MORSUM PLEB,INJEKSI 42,000 33,000
    325 TENRI GAU 2 TH L GELATIK 724079 FEBRIS PLEB 42,000 33,000
    326 A.RAFLI 9 TH L KH.HARUN NAFSI RT 009 836146 FARINGITIS RESEP 42,000 33,000
    327 ARDIANSYAH 56 TH L LABU MERAH 1 RT 071 705123 KONSTIPASI EKG 42,000 33,000
    328 HERRY OSCAR 53 TH L MUSO SALIM NO 68 RT 015 773624 CKD OKSIGEN 42,000 33,000
    329 USMAN 67 TH L GATSU GG 3 BLOK H 13 RT 046 676619 COLIK ABDOMEN PLEB,SUPP,EKG 42,000 33,000
    330 INTAN NUR SA'DIAH 3 TH P AM SANG AJI RT 020 803648 GEA PLEB 42,000 33,000
    331 DESTA PERANGIN ANGIN 10 TH L KEBUN AGUNG RT 001 431621 FEBRIS PLEB 42,000 33,000
    332 DESSY FITRIANI 4 TH P SOEKARNO HATA RT 008 836108 FEBRIS SUPP 42,000 33,000
    333 13/4/2015 M.NUR ZAINI 10 TH L ULIN GG 4 NO 58 RT 021 760992 VL WTH II,INJEKSI 42,000 33,000
    334 ISNANIAH 39 TH P PUSAKA RT 015 784443 DISPEPSYA INJEKSI 42,000 33,000
    335 AJI PANGESTU 1 TH L GATSU GG 2 RT 001 832947 ISPA RESEP 42,000 33,000
    336 NUR KHOIRUL 40 TH L M.YAMIN RT 015 GG 1 836197 VL WTH III,INJEKSI 42,000 33,000
    337 LISA NUR HASANAH 26 TH P KH.USMAN BERAHIM RT 016 715623 VERTIGO INJEKSI 42,000 33,000
    338 DIANA MURTI 45 TH P PERJUANGAN RT 032 767234 ASMA NEBU,INJEKSI 42,000 33,000
    339 M.ANDIKA PRATAMA 6 TH L GATSU GG MESJID RT 045 652116 FEBRIS PLEB 42,000 33,000
    340 HANIFA AQILAH 2 TH P S.RIADI RT 012 836238 ISPA RESEP 42,000 33,000
    341 AMI 28 TH P PALIAMA NO 37 RT 019 836198 INPARTU VT,DOPLER 42,000 33,000
    342 SRI ASIYAH 45 TH P M.SAID RT 019 780200 ASMA O2,NEBU,INJEKSI 42,000 33,000
    343 EVI KRISTINAWATI 48 TH P RUKUN RT 014 825348 DISPEPSYA INF,INJEKSI 42,000 33,000
    344 ADEEVA RAHMAN F.H 2 TH L DI PANJAITAN LOKASI A RT 033 774727 VOMITING RESEP 42,000 33,000
    345 PADLI 30 TH L DI PANJAITAN RT 013 827521 COLIC GASTER INJEKSI 42,000 33,000
    346 EDDY MULIANSAYH 47 TH L PERUM MUTIARA INDAH RT 023 418242 ASMA NEBU,EKG,O2,INJEKSI 42,000 33,000
    347 M.GIBRAN ARRASYID 4 TH L ADAM MALIK RT 04 836195 TFA PLEB 42,000 33,000
    348 ANA MARIA FLONA B WERUIN 7 TH P BUKIT BARISAN GG1 RT 020 836202 FEBRIS RESEP 42,000 33,000
    349 MUGNI 42 TH L P.SURYANA RT 014 836226 TB RESEP 42,000 33,000
    350 M.RAYHAN 11 TH L TARMIDI NO 81 RT 012 436044 VL WT,INJEKSI 42,000 33,000
    351 M.ALIKHADAFI 3 TH L ULIN RT 026 836340 FEBRIS PLEB,SUPP 42,000 33,000
    352 MUSTARI MANAJONENG 56 TH L SELAT MAKASAR RT 034 836313 ANOREXIA PLEB,KONSUL 42,000 33,000
    353 MASLIANSYAH 37 TH L KEMUNING GG SUKA RAMAI NO 20 RT 00 836315 FEBRIS PLEB,INJEKSI 42,000 33,000
    354 CHUDRIANSYAH 53 TH L DI PANJAITAN RT 018 732030 DISPEPSYA EKG,INJEKSI 42,000 33,000
    355 SRI ASIYAH 45 TH P M.SAID RT 019 780222 ASMA NEBU,INJEKSI 42,000 33,000
    356 SUMARTINI 43 TH P BATU CERMIN RT 004 836278 HT EKG 42,000 33,000
    357 SUGIHARTUTIK 45 TH P KADRIE OENING BLOK D/85 RT 19 833575 VERTIGO INF,PLEB,EKG 42,000 33,000
    358 M.SYAFARUDDIN 20 TH L JELAWAT GG 7 RT 007 614116 THIPOID PLEB,INJEKSI 42,000 33,000
    359 SATYA BIMA ANTI NARCHIE 4 TH P PERUM PKL B RT 013 836293 ISPA RESEP 42,000 33,000
    360 RAMONA 20 TH P SENTOSA GG 3 RT 030 836342 FEBRIS PLEB 42,000 33,000
    361 RESTI DIAN PARASUDA 22 TH P MERAPI RT 016 426680 ASMA NEBU,O2 42,000 33,000
    362 ULFAH 23 TH P P.ANTASARI GG KENANGGAN RT 015 820067 ASMA O2,NEBU,INJEKSI 42,000 33,000
    363 AJI PANGESTU 1 TH L GATSU GG 2 RT 001 836328 ISPA RESEP 42,000 33,000
    364 HAIKAL WARDANA 1 TH L GUNUNG TUNGGAL RT 07 836325 PHYMOSIS RESEP 42,000 33,000
    365 RIYANI 77 TH P DELIMA RT 050 669371 GASTRITIS PLEBO,EKG 42,000 33,000
    366 SUKILAH 47 TH P KEMANGI GG TANI RT 027 669371 DISPEPSYA INF,PLEB,EKG,INJEKSI 42,000 33,000
    367 SULASIYAH 51 TH P OTISTA RT 032 836263 GEA INJEKSI 42,000 33,000
    368 ISMAIL 15 TH L KH.W.HASYIM RT 039 473748 CONTUSIO M RESEP 42,000 33,000
    369 HUSNI 32 TH L S.PARMAN GG 2 RT 036 779541 ISPA PLEB,INJEKSI 42,000 33,000
    370 IRMA SARI BASRUDDIN 12 TH P TANJUNG ARU RT 40 836275 APP CRONIC PLEB,KONSUL 42,000 33,000
    371 RIYANI 77 TH P DELIMA RT 050 669371 VL WTH II,INJEKSI 42,000 33,000
    372 SOFIAN HADI 37 TH L PADA ELO RT 004 836271 DISPEPSYA PLEB,INJEKSI 42,000 33,000
    373 ZAHROTI 59 TH P JOYO MULYO RT 038 699273 HERFES ZOOSTER PLEB,INJEKSI 42,000 33,000
    374 18/4/2015 MACHLAN 72 TH L PAKIS 2 173 RT 082 641124 BSK PLEB,SUPP 42,000 33,000
    375 NOVAN RIYANTO 4 TH L KH.SAMANHUDI RT 001 836443 BEE BITE RESEP 42,000 33,000
    376 MUNAWAROH 17 TH L M.SAID RT 012 836438 TONSILITIS PLEB 42,000 33,000
    377 RESTI DIAN PARASUDA 22 TH P MERAPI NO RT 016 426680 ASMA O2,NEBU,INJEKSI 42,000 33,000
    378 SEPIYA 20 TH P KAHOI RT 035 756447 GEA INF,EKG 42,000 33,000
    379 SUTINI 51 TH P PURWOSARI RT 012 836429 DM INF,PLEB,EKG,INJEKSI 42,000 33,000
    380 MAHMUDI 60 TH L CENDANA GG 12 RT 036 836466 DM INF,PLEB,EKG 42,000 33,000
    381 M.FAHMI 7 TH L MERDEKA II NO 88 RT 092 789908 ASMA NEBU,O2 42,000 33,000
    382 IRMA SARI BASRUDDIN 12 TH P TANJUNG ARU RT 40 836454 PLEB,KONSUL PLEB 42,000 33,000
    383 LILIH 50 TH P KEMANGI GG SYUKUR RT 024 804547 CHF EKG,INJEKSI 42,000 33,000
    384 KUSASI 63 TH L PADAT KARYA RT 008 SMPJ 492196 ASMA O2,NEBU,INJEKSI 42,000 33,000
    385 RUSTINAH 54 TH P TEMINDUNG INDAH B/10 RT 68 836364 ANEMIA PLEBO,EKG 42,000 33,000
    386 A.FAHRANI 35 TH L GERILYA GG TUNGGAL RT 098 836366 FEBRIS PLEB 42,000 33,000
    387 SUSWATI 40 TH P ULIN GG 8 RT 025 541350 KISTA OVARIUM PLEB 42,000 33,000
    388 YUPIDA SARI 21 TH P ST.ALIMUDDIN RT 024 836433 MORBILI PLEB 42,000 33,000
    389 IRA NOPIKA 32 TH P PUSAKA RT 014 836448 FEBRIS PLEB 42,000 33,000
    390 M.RAFLIANSYAH 8 TH L GN.LINGAI RT 010 475654 FEBRIS RESEP 42,000 33,000
    391 AGIS ARIANTI 8 TH P T.UMAR GG DURIAN TUNGGAL 669084 FEBRIS INJEKSI 42,000 33,000
    392 ADEEVA RAHMAN F.H 2 TH P DI PANJAITAN LOKASI A RT 033 774427 COLIC ABDOMEN PLEB,SUPP 42,000 33,000
    393 LASMIA SELVIYANTI J 6 TH P MANGGA 8 RT 013 732859 ISPA RESEP 42,000 33,000
    394 KURNIAH 51 TH P JOYO MULYO RT 028 836387 KONSTIPASI PLEB 42,000 33,000
    395 M.MAULANA MALIK 3 TH L LUMBA LUMBA RT 001 836382 GEA INF,PLEB 42,000 33,000
    396 MUKAMAR 60 TH L BUGIS MUGIREJO RT 004 836375 ASMA O2,NEBU,INJEKSI 42,000 33,000
    397 ANA FINA IFANA 5 TH P TURI MERAH II NO 69 RT 011 836386 ISPA PLEB 42,000 33,000
    398 ADAM SAPUTRA 5 TH L ANGGUR RT 055 712254 ANEMIA PLEB 42,000 33,000
    399 SARENGAH 53 TH L ST.ALIMUDDIN RT 034 836365 HT INF,PLEB,EKG,O2 42,000 33,000
    400 NONA DESTIANA AY 26 TH P PAHLAWAN GG 4 NO 5 RT 023 337477 INPARTU VT,DOPLER 42,000 33,000
    401 ROMIYAH 23 TH P RAJAWALI DALAM 1 RT 108 836256 VOMITING INJEKSI 42,000 33,000
    402 19/4/2015 AJI PANGESTU 1 TH L GATSU GG 2 RT 001 836328 ASMA NEBU 42,000 33,000
    403 ENI TRISMINI 45 TH P BUKIT BARISAN RT 020 832358 TB RESEP 42,000 33,000
    404 HERRY OSCAR 53 TH L MUSO SALIM NO 68 RT 015 773624 KONSTIPASI INJEKSI 42,000 33,000
    405 ARSIAH 60 TH P SUWANDI BLOK A RT 022 781481 DM PLEB 42,000 33,000
    406 M.ROUFURROQIM 13 TH L DAMANHURI RT 028 833363 ASMA NEBU,O2 42,000 33,000
    407 WINARSIH 50 TH P M.YAMIN GG 1 RT 015 836547 VL WTH III,INJEKSI 42,000 33,000
    408 SITI AISYAH 50 TH P PERUM SIP RT 025 836549 DISPEPSYA PLEB,EKG,INJEKSI 42,000 33,000
    409 ROBIUL NAZHILATUL R 2 TH L LUMBA LUMBA RT 017 810067 ISPA PLEB 42,000 33,000
    410 RIDWAN ADHI S 12 TH L GN TUNGGAL GG 4 RT 007 836515 VE WT 42,000 33,000
    411 IRMA YANTI 1 TH P SOEKARNO HATTA GG MAWAR RT 028 836484 GEA INF,PLEB,INJEKSI 42,000 33,000
    412 NURHAYADI 37 TH L HM.SALEH ARSYAD RT 007 836534 COLIC URETER INF,PLEB,INJEKSI 42,000 33,000
    413 NIKEN APRIYADANI KUSUMA 37 TH P SENYIUR INDAH 3 RT 041 836552 DISPEPSYA RESEP 42,000 33,000
    414 YULI FAJRIANI 22 TH P P.SURYANATA RT 002 819080 FARINGITIS RESEP 42,000 33,000
    415 HERRY OSCAR 53 TH L MUSO SALIM NO 68 RT 015 773624 CKD EKG,O2,INJEKSI 42,000 33,000
    416 ARISKA BASRI 15 TH P RAWASARI RT 056 554343 FARINGITIS RESEP 42,000 33,000
    417 BAHRI 55 TH L JUANDA 3 RT 002 756077 MIGRAN EKG 42,000 33,000
    418 LILIS AGUSTINA 9 TH P LUMBA LUMBA RT 005 767027 ISPA RESEP 42,000 33,000
    419 LILIK PURNA IRAWAN 25 TH P PURWODADI RT 009 836499 GEA RESEP 42,000 33,000
    420 AZLAN DARMA PUTRA 1 TH L S.PARMAN NO 33 RT 002 792114 GEA RESEP 42,000 33,000
    421 M.ARPAN SYAH 15 TH L M.YAMIN GG KASTURI RT 027 836781 VL WTH IV,INJEKSI 42,000 33,000
    422 M.OKTAN ALIANDRA 5 TH L IR.SUTAMI GG H.SALEH RT 009 714787 ISPA PLEB 42,000 33,000
    423 DEDI SAPUTRA 21 TH L DAMAN HURI 836548 DYSPEPSIA RESEP 42,000 33,000
    424 SARBINI 53 TH L PERUM PKL BLOK B NO 632 761000 FROZEN SHOULDER PLEB,EKG,INJEKSI 42,000 33,000
    425 M,FADILLAH 10 TH L JL AW SYAHRANIE 836519 CKR KONSUL SPESIALIS 42,000 33,000
    426 M.ALI FAUZI 24 TH P JL.THOYIB HADIWIJAYA RT 054 836507 TONSILITIS RESEP 42,000 33,000

    427 JURHAN 50 TH L JL.PURI INDAH GG SWARGA 2 NO 93 836162 DYSPEPSIA EKG 42,000 33,000

    428 AJI PANGESTU 1 TH L JL.GATOT SUBROTO GG 2 836328 ISPA NEBU,PHLEB 42,000 33,000
    429 TAMIRAN 51 TH P JL.M YAMIN GG1 RT 017 562557 VL INJ,GDS CYTO,KAT II 42,000 33,000
    430 M.SYARIFUDDIN 15 TH L JL.JELAWAT GG 7 RT 007 614116 OBS.FEBRIS INJ,PHLEB 42,000 33,000
    431 TRI AGUS AYUNINGTIAS 12 TH P JL.PASUNDAN RT 032 836524 VOMITING RESEP 42,000 33,000
    432 20/4/2015 SRI KANAH 64 TH P SEBULUS SALAM RT 037 836621 HIPERKOLESTEROLEMIA RESEP 42,000 33,000
    433 M.ZIDANE FEBRIANSYAH 10 TH L OTISTA RT 023 836632 GEA PLEB,INJEKSI 42,000 33,000
    434 GOVINDA DWI YP 11 TH L SEJATI 2 RT 001 598774 FEBRIS PLEB 42,000 33,000
    435 MASLIANSYAH 37 TH L KEMUNING GG SUKA RAMAI NO 20 RT 00 836315 FEBRIS PLEB 42,000 33,000
    436 M.RAYHAN 11 TH L TARMIDI NO 81 RT 012 436044 VL GV 42,000 33,000
    437 NICO MANGURU 71 TH L L.MANGKURAT GG H.USMAN RT 020 784719 CHF PLEBO,EKG 42,000 33,000
    438 M.ZULMI IKHWAN MA'RUFI 4 TH L GN.LINGAI RT 004 694132 FEBRIS SUPP 42,000 33,000
    439 MALI 75 TH L PURWADADI RT 044 823034 RETENSIO URIEN PASANG CATETER 42,000 33,000
    440 IRMA SUSANTI 29 TH P ADAM MALIK 2 GG CITRA BARU RT 002 649352 ASMA O2,NEBU,INJEKSI 42,000 33,000
    441 SITI RAHMAH 26 TH P M.SAID RT 029 674232 ASMA O2,NEBU,INJEKSI 42,000 33,000
    442 AULIA RAHIM 16 TH P S.PARMAN GG 2 RT 036 763727 DISPEPSYA INJEKSI 42,000 33,000
    443 AZIZAH AZZAHRA 4 TH P RAUDAH RT 011 742195 ASMA NEBU 42,000 33,000
    444 CHEVRILLIA AINURRROSYIFA 5 TH P KADRIE OENING GG HURMAN 2 RT 016 826648 FEBRIS PLEB 42,000 33,000
    445 HERRY OSCAR 53 TH L MUSO SALIM NO 68 RT 015 773624 CKD PLEB,O2.EKG 42,000 33,000
    446 DAMINEM 50 TH P JELAWAT GG 9 RT 003 820230 DM INF,PLEB,INJEKSI 42,000 33,000
    447 21/4/2015 ARBAYAH 63 TH P S.RIYADI RT 004 836676 HT PLEBO,EKG 42,000 33,000
    448 MARJANI 62 TH L OTISTA RT 018 103899 GASTRITIS EKG,INJEKSI 42,000 33,000
    449 KARMIATI 29 TH P ADI SUCIPTO RT 02 836705 CONTUSIO M KONSUL 42,000 33,000
    450 YUSRIANI 48 TH P JELAWAT GG MOSI NO 2 460219 GASTRITIS PLEB,EKG,INJEKSI 42,000 33,000
    451 DARNI 34 TH L KELAPA GADING RT 037 802316 ISCHALGIA RESEP 42,000 33,000
    452 RIZKA FAUZIAH ANWAR 12 TH P SITI AISYAH RT 017 802169 ASMA NEBU,O2 42,000 33,000
    453 DESKHA NURYADITA 22 TH P RING ROAD RT 001 822162 GASTRITIS OKSIGEN INJEKSI 42,000 33,000
    454 AJI PANGESTU 1 TH L GATSU GG 2 RT 001 836328 ASMA NEBU 42,000 33,000
    455 IKA AGUSTINA 26 TH P KH.SAMANHUDI RT 004 688947 GASTRITIS INF,PLEB 42,000 33,000
    456 NUR FATMA 25 TH L S.RIADI GG RUKUN RT 019 822554 INPARTU VT,DOPLER 42,000 33,000
    457 M.GIFFARY AL GHAZALI 1 TH L JOYO MULYO RT 037 833371 FEBRIS RESEP 42,000 33,000
    458 ALI BAHRUN 61 TH L ADAM MALIK NO 22 RT 020 836758 DM PLEBO,EKG 42,000 33,000
    459 HERTININGSIH 37 TH P MARSDA A SALEH RT 026 836677 DISPEPSYA PLEB,EKG,INJEKSI 42,000 33,000
    460 DWI CHUSNUL 32 TH P NUSANTARA II RT 032 836750 INPARTU PLEB,VT,DOPLER 42,000 33,000
    461 M.YAHYA 34 TH L RAUDAH 2 RT 012 836749 HIPOKALEMI PLEB 42,000 33,000
    462 JOHANES MALLAU 70 TH L PEMUDA 2 RT 010 561617 VERTIGO INJEKSI 42,000 33,000
    463 ARTINI 46 TH P PELITA 2 RT 006 836726 VERTIGO PLEB 42,000 33,000
    464 KHAIRUNISSA 8 TH P SITI AISYAH RT 006 836741 VE RESEP 42,000 33,000
    465 SYILA AVIKA RAHAYU 3 TH P JOYO MULYO RT 038 832567 ASMA NEBU,O2 42,000 33,000
    466 22/4/2015 FACHRULLAH 31 TH L RE.MARRADINATA GG TUKANG RT 009 810532 ASMA NEBU 42,000 33,000
    467 M.FAHRUL FADILLAH 3 TH L MERBABU RT 017 828529 STOMATITIS PLEB 42,000 33,000
    468 SYILA AVKA RAHAYU 3 TH P JOYO MULYO RT 038 832567 ASMA NEBU,O2 42,000 33,000
    469 LUKMAN 52 TH L DI PANJAITAN RT 070 836792 VL WTH III,INJEKSI 42,000 33,000
    470 TUMIYEM 54 TH P M.YAMIN GG 1 RT 017 836825 DISPEPSYA EKG,INJEKSI 42,000 33,000
    471 M.ALIEF HIDAYATULLAH 1 TH L M.YAMIN RT 15 RT GG 1 826937 ASMA PLEB,NEBU,O2,INJEKSI 42,000 33,000
    472 SALASIAH 40 TH P PRAMUKA II RT 028 617044 COLIC URETER PLEB,INJEKSI 42,000 33,000
    473 HERRY OSCAR 53 TH L MUSO SALIM NO 68 RT 015 773624 CKD OKSIGEN 42,000 33,000
    474 AMIRRUDDIN 66 TH L GATOT SUBROTO RT 044 828259 VERTIGO EKG,INJEKSI 42,000 33,000
    475 SALMA NUR KHOLIDAH 1 TH P KH.W.HASYIM GG UNGGUL RT 035 836802 LUKA TUSUK MATA WT 42,000 33,000
    476 ARBAINAH 14 TH P RIMBAWAN RT 032 833975 VERTIGO INJEKSI 42,000 33,000
    477 NITI RAHMAWATI 41 TH P S.PARMAN RT 032 431478 ASMA O2,NEBU,INJEKSI 42,000 33,000
    478 23/4/2015 SITI YAWANI 61 TH P SLADA 7 /128 RT RT081 836821 DISPEPSYA INJEKSI 42,000 33,000
    479 DAFFA SYAPUTRA 1 TH L S.SLAMET RIYADI GG IKLAS RT 018 832166 ISPA RESEP 42,000 33,000
    480 M.FIFGIAAWAN 15 TH L KH.USMAN BERAHIM RT 012 836395 INFECTION WOUND WT 42,000 33,000
    481 ENDANG RUKMINI 32 TH P M.YAMIN GG 1 RT 017 836859 DISPEPSYA PLEB,INJEKSI 42,000 33,000
    482 IDRIS 23 TH L L.MANGKURAT GG H.USMAN RT 020 741741 FEBRIS PLEB,INJEKSI 42,000 33,000
    483 YALPIN NOVRIYANDI PANDI 2 TH L MERBABU GG KARYA BATU RT 015 773947 GEA RESEP 42,000 33,000
    484 WARSINAH 54 TH P BIAWAN IC RT 55 769050 DISPEPSYA INJEKSI 42,000 33,000
    485 ERMAWATI 25 TH P KH.W.HASYIM RT 051 836853 DISPEPSYA PLEB,INJEKSI 42,000 33,000
    486 M.ZULMI IKHWAN MA'RUFI 4 TH L GN.LINGAI RT 004 694132 ISPA RESEP 42,000 33,000
    487 IMAM 44 TH L PELITA GG III RT 039 834566 MELENA PLEB,EKG,INJEKSI 42,000 33,000
    488 RATNA 67 TH P S.RIADI GG 5 RT 016 836897 DISPEPSYA PLEB,EKG,INJEKSI 42,000 33,000
    489 M.IQBAL 34 TH L KAKAP RT 007 566636 VERTIGO INJEKSI 42,000 33,000
    490 KARTINI 34 TH P S.PARMAN GG 1 RT 001 836891 DISPEPSYA INJEKSI 42,000 33,000
    491 SRI FATIMAH 29 TH P HASAN BASRI RT 023 425468 V.ICHTUM CROSS INSISI,INJEKSI 42,000 33,000
    492 DIANA MURTI 45 TH P PERINTIS RT 032 767234 ASMA O2,NEBU,INJEKSI 42,000 33,000
    493 AIWAN 56 TH L GATSU GG 1 RT 043 247220 CAT BITE WT,INJEKSI 42,000 33,000
    494 SELLA PUSPITASARI 20 TH P P.ANTASARI RT 001 NUSA INDAH 836932 INPARTU VT,DOPLER 42,000 33,000
    495 YUNITA VALSIA 18 TH P MAKASAR RT 011 836908 DISPEPSYA INJEKSI 42,000 33,000
    496 NITA LARASATI 17 TH P JELAWAT GG 8 NO 16 RT 005 425542 DM PLEBO,EKG 42,000 33,000
    497 ERMAWATI 25 TH P KH.W.HASYIM RT 051 836853 DISPEPSYA INJEKSI 42,000 33,000
    498 USMAN 53 TH L DAMAI RT 026 562267 DYPNUE EKG,O2 42,000 33,000
    499 RIYANI 77 TH P DELIMA RT 050 669374 VL WTH III,INJEKSI 42,000 33,000
    500 KHAIRA SAFIYA SANDRA 2 TH P TRISARI RT 020 836904 FARINGITIS RESEP 42,000 33,000
    501 RITA EVITA SARI 13 TH P TRISARI RT 020 836990 VL WT,INJEKSI 42,000 33,000
    502 FITRI HANDAYANI 22 TH P GN.LINGAI RT MUFAKAT RT 004 836856 INPARTU PLEB,DOPLER 42,000 33,000
    503 DENIS 39 TH L PERUM SIP E/137 RT 025 866723 DM PLEBO,EKG 42,000 33,000
    504 SYAH RANI 34 TH L KH.W.HASYIM RT 027 832492 CHEST PAIN EKG 42,000 33,000
    505 24/4/2015 MARDIANA 45 TH P KH.ABDUL HASAN GG 7 RT 013 608880 GEA PLEB,EKG,INJEKSI 42,000 33,000
    506 SHARINI OCTAVIANITA 2 TH P SENTOSA DALAM II/A RT 079 836964 GEA INF,PLEB,BGA,DC,EKG,DC.O2 42,000 33,000
    507 TIRTO ARISANDY P 13 TH L JEND.A YANI RT 017 720710 ABSES PEDIS II S INJEKSI 42,000 33,000
    508 M.UNTUNG BENAR P 54 TH L IMAM BONJOL GG 10 NO 46 RT 10 826529 RETENSIO URIEN PASANG CATETER 42,000 33,000
    509 DITA PURNAMA SARI 16 TH P S.SULAIMAN RT 010 837032 GASTRITIS PLEB,INJEKSI 42,000 33,000
    510 DEVI HENDRIK 34 TH P PERUM PKL B /6 RT 019 836979 FEBRIS PLEB 42,000 33,000
    511 ALENDRA DAFA ARIYADI 7 TH L SENTOSA GG KENANGAN IA NO 55 683298 VL WTH II.INF.PLEB,INJEKSI 42,000 33,000
    512 NUR SAKINAH 3 TH P MUSO SALIM GG 7 RT 025 831547 GEA INF,PLEB,INJEKSI 42,000 33,000
    513 CALVEN WARDANA 6 TH L KEMAKMURAN RT 014 568728 FEBRIS PLEB,SUPP 42,000 33,000
    514 GIYANTO 40 TH L W.MONGONSIDI RT 018 836952 V.PUCHTUM CROSS INSISI,INJEKSI 42,000 33,000
    515 ECHA AMELIA 14 TH P KEMAKMURAN GG 1 RT 008 837022 TONSILITIS INJEKSI 42,000 33,000
    516 NURDIAN 34 TH L P.ANTASARI II NO 18 RT 052 625597 FARINGITIS PLEB 42,000 33,000
    517 MASKUR HAMID 74 TH L KEMAKMURAN RT 044 836941 RETENSIO URIEN PASANG CATETER 42,000 33,000
    518 LILIK PURNA IRAWAN 32 TH P KS.TUBUN GG 9D NO 52 837010 ABD DYSCOMFORT PLEB,INJEKSI 42,000 33,000
    519 PRASTIAWAN 28 TH L PERUM TALANG SARI RT 004 836967 DISLOKASI RESEP 42,000 33,000
    520 HERRY OSCAR 53 TH L MUSO SALIM NO 68 RT 015 773624 CKD OKSIGEN INJEKSI 42,000 33,000
    521 RAMDANI 15 TH L P.BENDAHARA RT 002 814164 ISPA RESEP 42,000 33,000
    522 ALIKA ADZANIA AZZAHRA 3 TH P P.SURYANATA RT 015 635791 FARINGITIS PLEB 42,000 33,000
    523 ERWIN YULIAN R 34 TH L BUKU BARISAN RT 038 836988 CKR RESEP 42,000 33,000
    524 HERI 20 TH L BATU INDAH RT 041 837011 BSK INF,PLEB 42,000 33,000
    525 FAHRI IBNU WAHYUDA 7 TH L L.MANGKURAT GG 3 RT 024 837012 ISK PLEB 42,000 33,000
    526 25/4/2015 MIRATUL KHODIJAH 3 TH P KEMUNING RT 020 837039 VOMITING INF,PLEB 42,000 33,000
    527 RISWAN FIRMANTHO 18 TH L KH.MAS MANSYUR GG DAMAI RT 026 837124 CKR WTH II,INJEKSI 42,000 33,000
    528 HASIDAH 44 TH P DANAU TONDANO RT 026 730124 ASMA NEBU,O2 42,000 33,000
    529 M.KIKI 15 TH L CENDANA GG 12 NO 12 RT 034 837046 CLOSE CLAVICULA ELASTIS VERBAN 42,000 33,000
    530 DAFI ARKANA PRATAMA 4 TH L GN,LINGAI RT 003 837067 CLOSE FRAKTUR ELASTIS VERBAN 42,000 33,000
    531 DWI SRI CAHYONO 32 TH P DIPANJAITAN RT 018 837058 COLC ABD PLEB 42,000 33,000
    532 ANGGA RAMADINATA 4 TH L PADAT KARYA GG PADI RT 016 837071 CORPAL ALIENIUM EXTRASI HIDUNG 42,000 33,000
    533 LIYANA EGA WAHYUNI 3 TH P CENDANA GG 4 RT 004 792356 ASMA NEBU,O2 42,000 33,000
    534 MASTURI 50 TH L GERILYA NO 5 RT 051 837082 HNP PLEB 42,000 33,000
    535 BAYUDI 25 TH L HJ.JAHRA RT 012 837070 COLC ABD PLEB 42,000 33,000
    536 AULIA RAHIM 16 TH L S.PARMAN GG 2 RT 036 763727 DISPEPSYA PLEB,INJEKSI 42,000 33,000
    537 MARNI 51 TH P JOYO MULYO RT 028 837089 COMMOND COLD RESEP 42,000 33,000
    538 NAZIL 23 TH L OTISTA RT 032 837106 FEBRIS PLEB 42,000 33,000
    539 WAHYU SRI ASTUTI 18 TH P PROKLAMASI II BLOK O RT 057 750992 COMBUSIO WT 42,000 33,000
    540 26/4/2015 ISNA 50 TH P ULIN GG .6 NO 33 R T021 641060 HT EKG,INJEKSI 42,000 33,000
    541 JUMILAH 42 TH P DAMAI RT 028 837178 FEBRIS RESEP 42,000 33,000
    542 SONI 34 TH L OTISTA RT 032 791046 BSK RESEP 42,000 33,000
    543 A.LUTFI AZHAR 2 TH L AWS 4 BLOK B/4 RT 026 837144 ISPA RESEP 42,000 33,000
    544 EDY PURWAKA 47 TH L A.YANI GG 1 NO 27 RT 018 837139 ISK PLEB 42,000 33,000
    545 ROBIUL NAZHILATUL R 2 TH L LUMBA LUMBA RT 017 819967 ISPA RESEP 42,000 33,000
    546 MARJANI 52 TH L OTISTA RT 018 103899 GASTRITIS INJEKSI 42,000 33,000
    547 MINA 25 TH P ULIN GG 7 NO 97 RT 027 837145 INPARTU VT,DOPLER 42,000 33,000
    548 ALIF ABD AZIS 12 TH L BATU CERMIN RT 003 799484 FEBRIS PLEB 42,000 33,000
    549 SUCI 6 TH P KH.HARUN NAFSI RT 011 837179 DISPEPSYA INJEKSI 42,000 33,000
    550 WISNU ARIE S 11 TH L MERDEKA BARAT RT 088 837168 CONTUSIO M RESEP 42,000 33,000
    551 INDAH WIJIYANTI 24 TH P PERUM HANDIL KOPI RT 033 837154 INPARTU VT,DOPLER 42,000 33,000
    552 ELISABET SULU 28 TH P SMP 8 RT 007 SMD SEB 837177 ISK PLEB 42,000 33,000
    553 SUMIATI 33 TH P T.UMAR RT 001 822197 ASMA NEBU,EKG,O2,INJEKSI 42,000 33,000
    554 HERI SOFIANSYAH 25 TH L OTISTA GG BUDIMAN RT 024 837196 FEBRIS PLEB,INJEKSI 42,000 33,000
    555 ROBIUL NAZHILATUL R 2 TH L LUMBA LUMBA RT 017 819967 ISPA RESEP 42,000 33,000
    556 M.ZAIDAN BAIHAQI 1 TH L MERDEKA RT 088 837192 ISPA RESEP 42,000 33,000
    557 ZASKYA APRILYA 4 TH P BASUKI RAHMAT RT 015 799862 ISK PLEB 42,000 33,000
    558 M.SALEH 25 TH L DAMAI RT 025 837126 DISPEPSYA EKG,INJEKSI 42,000 33,000
    559 APRILIA KARTIKA SARI 8 TH P PLAMBOYAN RT 009 799756 ISPA RESEP 42,000 33,000
    560 INDAH NURTANTI 8 TH P PRAMUKA GG RANTAU RT 005 837136 DISPEPSYA INJEKSI 42,000 33,000
    561 MARKAMAH 40 TH P WIRA GUNA DALAM RT 007 837061 HT EKG 42,000 33,000
    562 SATRIANI 19 TH P KOMP PASAR SEGIRI RT 028 837066 HEMAPTOE RESEP 42,000 33,000
    563 DEDDY ROBBYANSYAH 28 TH L RAUDAH RT 011 837083 FEBRIS RESEP 42,000 33,000
    564 27/4/2015 JUMILAH 42 TH P DAMAI RT 028 837178 VERTIGO PLEBO,EKG 42,000 33,000
    565 ELLY GATOT S 61 TH L KARYA BARU 1 NO 28 RT 009 023637 VERTIGO RESEP 42,000 33,000
    566 HOMSIYAH 30 TH P AGUS SALIM RT 031 819817 DISPEPSYA RESEP 42,000 33,000
    567 RINA NORAENI 18 TH P JOYO MULYO RT 037 754095 THYPOID PLEB 42,000 33,000
    568 HUSNA 19 TH P KH.W.HASYIM GG WAHYU RT 039 837333 VASKULITIC PLEB 42,000 33,000
    569 BAHRIN 64 TH L REVOLUSI GG 3 RT 008 833847 FEBRIS INF,PLEB,EKG,INJEKSI 42,000 33,000
    570 SEPTIYANI 23 TH P NAKHODA NO 13 RT 013 BUKUAN 837255 CKR WTH I,WT,INJEKSI 42,000 33,000
    571 NANA LAKSANA 38 TH P GN.LINGAI RT 005 838319 VL WTH II,INJEKSI 42,000 33,000
    572 FACHRULLAH 31 TH L RE.M.DINATA RT 009 810532 ASMA NEBU,INJEKSI 42,000 33,000
    573 NUR ZAHRA AINUN 3 BL P KEMANGI NO 02 RT 030 837297 FEBRIS INF,PLEB 42,000 33,000
    574 MULYATIM 28 TH L PERUM KELEDANG MAS RT 009 656354 CLUSTER HEADACHE PLEB,INJEKSI 42,000 33,000
    575 BUDIONO 50 TH L KH.MAS MANSYUR RT 017 656123 BSK PLEB,SUPP 42,000 33,000
    576 ELVIRA RENATA ANANTA RANI 3 TH P NAKHODA NO 13 RT 013 BUKUAN 837257 VL KONSUL 42,000 33,000
    577 IRAWATI 21 TH P NUSA INADAH RT 002 837263 CKR INJEKSI 42,000 33,000
    578 NURSAN 21 TH L BUNG TOMO RT 010 837311 INPARTU VT,DOPLER 42,000 33,000
    579 MARIA USUN A 73 TH P PLAMBOYAN RT 010 428661 GASTRITIS PLEB,INJEKSI 42,000 33,000
    580 JUWITA SARI 32 TH P KH.SAMANHUDI RT 004 778522 BSK PLEB,INJEKSI 42,000 33,000
    581 NURHAEDA 43 TH P S.RIADI RT 005 837265 INPARTU VT,DOPLER 42,000 33,000
    582 KAYLA AZ ZAHRA 3 TH P MUGIREJO RT 005 715164 ASMA NEBU,O2 42,000 33,000
    583 ANWAR 62 TH L ST.ALIMUDDIN RT 035 703702 DISPEPSYA INJEKSI 42,000 33,000
    584 SITI FATIMAH 55 TH P LOA KUMBAR RT 019 821569 TB PARU EKG,O2,PLEB,INJEKSI 42,000 33,000
    585 HERRY OSCAR 53 TH L MUSO SALIM NO 68 RT 015 773624 CKD OKSIGEN,INJEKSI 42,000 33,000
    586 M.FERRI 1 TH L AGUS SALIM GG TANJUNG RT 036 837309 MORBILI PLEB 42,000 33,000
    587 WIWIK WIDIYATI 51 TH P MANGGA 1 NO 20 640073 FARINGITIS PLEB 42,000 33,000
    588 28/4/2015 WANA ASTUTI 49 TH P KEMAKMURAN GG 1 RT 015 782395 ASMA NEBU,O2 42,000 33,000
    589 M.HAMIDI TABRIE 47 TH L BAYUR RT 016 837439 SNAKE BITE KONSUL 42,000 33,000
    590 AZZAM HISBULLAH SAFI'I 3 TH L AGUS SALIM GG 4D RT 030 717859 FARINGITIS RESEP 42,000 33,000
    591 SAHID FEBRIANNUR 1 TH L JELAWAT GG MOSI RT 022 837341 ISPA PLEB 42,000 33,000
    592 M.ALDILA HIDAYAT 2 TH L PERJUANGAN RT 104 SPD 837407 DISPEPSYA RESEP 42,000 33,000
    593 RIZKY RAMADHAN 11 TH L KEBON AGUNG RT 003 803399 VL WTH II 42,000 33,000
    594 SRI WAHYUNINGSIH 42 TH P ARJUNA GG 2 RT 013 805178 HT RESEP 42,000 33,000
    595 ANJELINA JUNITA D.S 15 TH P PADAT KARYA RT 001 BAQA 837314 V.ICHTUM INF,PLEB,INJEKSI 42,000 33,000
    596 JIHAN AURELLIA IDRIS 7 TH P KS TUBUN DALAM RT 014 551059 FEBRIS RESEP 42,000 33,000
    597 SITI DJAHARA 69 TH P KH.W.HASYIM RT 037 819925 HT PLEB 42,000 33,000
    598 NIZAM KHAIRI R 3 TH L LEMPAKE JAYA RT 016 837418 FEBRIS RESEP 42,000 33,000
    599 M.FERRI 1 TH L AGUS SALIM GG TANJUNG RT 036 837309 MORBILI PLEB 42,000 33,000
    600 JUMBAR SUNARTI 21 TH P KEMANGI GG TANI RT 027 837365 INPARTU VT,DOPLER 42,000 33,000
    601 SADARIAH 42 TH P BELIMAU RT 024 837364 ASMA NEBU,EKG,PLEB,O2 42,000 33,000
    602 NARTI 24 TH P S.PARMAN RT 025 837354 CEPALGIA RESEP 42,000 33,000
    603 SUTIAH 70 TH P PROKLAMASI II BLOK O RT 056 837390 CHF PLEB,EKG,INJEKSI 42,000 33,000
    604 ARIF TYAS ASWIDIANTO 18 TH L IR.SUTAMI GG H.SALEH RT 009 837391 CORPAL ALIENIUM IRIGASI MATA 42,000 33,000
    605 MISERAN 53 TH L PM.NOOR RT 040 682279 VERTIGO INF,PLEB.EKG,INJEKSI 42,000 33,000
    606 29/4/2015 HERRY OSCAR 53 TH L MUSO SALIM NO 68 RT 015 773624 DYPNUE OKSIGEN,INJEKSI 42,000 33,000
    607 OKTAVIA DWI PRASTIWI 3 TH P WIRATAMA RT 004 742210 ISPA PLEB 42,000 33,000
    608 ZAINUDDIN 47 TH L KEMAKMURAN GG 1 RT 015 824164 DISPEPSYA INJEKSI 42,000 33,000
    609 AJI PANGESTU 1 TH L GATSU GG 2 RT 001 832947 FEBRIS RESEP 42,000 33,000
    610 ALISSYA CITRA KIRAN 6 TH P ST.ALIMUDDIN RT 031 837467 CKR RESEP 42,000 33,000
    611 MARIANI 47 TH P PERUM KELEDANG MAS BARU BLOK BM 837492 VERTIGO EKG 42,000 33,000
    612 RIZKY MAULANA 2 TH L W.MONGONSIDI GG 7 RT 022 736831 ISPA RESEP 42,000 33,000
    613 SUPRIYADI 39 TH L WIRATAMA RT 001 837509 DISPEPSYA PLEB 42,000 33,000
    614 SAFI' 30 TH L MERAPI LEMPAKE RT 016 837514 FEBRIS PLEB 42,000 33,000
    615 KHAIRUL IKHSAN 8 TH L P.NOOR GG KELUARGA RT 038 724341 ASMA NEBU,O2 42,000 33,000
    616 KHOTIMATUZ ZAHRAH 10 TH P MANUNGGAL NO 5 RT 013 830433 ISPA RESEP 42,000 33,000
    617 DAISYA AF ARDU 9 TH L DAMAI RT 009 837506 ISPA RESEP 42,000 33,000
    618 MASNAH 35 TH P S.RIADI GG 7 RT 035 828933 COLIC ABDOMEN PLEB 42,000 33,000
    619 ERYANI 31 TH P PRAMUKA 8 RT 029 606557 GEA RESEP 42,000 33,000
    620 REPOL PUJI HARTOYO 59 TH L W.MONGOSIDI RT 015 826858 ISPA RESEP 42,000 33,000
    621 RIAN PRATAMA 8 TH L KH.W.HASYIM RT 008 474354 KONVULSI INF,PLEB,O2,KONSUL 42,000 33,000
    622 HERRY OSCAR 53 TH L MUSO SALIM NO 68 RT 015 773624 CKD OKSIGEN INJEKSI 42,000 33,000
    623 ALLEN PRATAMA PUTRA 29 TH L JELAWAT GG 8 RT 003 694037 ASMA NEBU,INJEKSI 42,000 33,000
    624 DEWI ARUM SARI 19 TH P BUNG TOMO RT 024 831818 VERTIGO OKSIGEN INJEKSI 42,000 33,000
    625 RUKAYAH 42 TH P PERUM PINANG BAHARI RT 037 834537 EKTRAKSI KUKU CROSS INSISI,INJEKSI 42,000 33,000
    626 SUPINGI 34 TH P LUBUK SAWAH RT 017 837463 CKR WT 42,000 33,000
    627 HERLINA 41 TH P CM.KUSUMO RT 005 837511 HEG RESEP 42,000 33,000
    628 RUDENI SAPUTRA 28 TH L DI PANJAITAN GG 2 RT 036 837512 DISPEPSYA INJEKSI 42,000 33,000
    629 DAHLIANA 18 TH P DAMAI RT 027 831814 INPARTU VT,DOPLER 42,000 33,000
    630 NIORSIAH 41 TH P PESUT RT 016 837470 VERTIGO PLEB,EKG,INJEKSI 42,000 33,000
    631 ANSI VIONA JUNI AURAH 6 TH P GN.LINGAI RT 02 837449 GEA RESEP 42,000 33,000
    632 RIYATI 51 TH P MULAWARMAN RT 031 BUKUAN 837453 ISK PLEBO,EKG 42,000 33,000
    633 KHAIRUL IKHSAN 8 TH L PM.NOOR GG KELUARGA RT 038 724341 ASMA O2,NEBU,INJEKSI 42,000 33,000
    634 30/4/2015 LA SIWU 57 TH L KARYA BARU RT 010 SMPJ 636681 COLIC GASTER EKG,INJEKSI 42,000 33,000
    635 PARTON 61 TH L REVOLUSI RT 007 837552 ISK PLEB 42,000 33,000
    636 SHAFIRA LAIQA JANNETA 2 TH P P.SURYANATA RT 013 794759 ASMA NEBU 42,000 33,000
    637 IRSAN NABAWI 8 TH L DELIMA RT 051 648833 FEBRIS PLEB,KONSUL 42,000 33,000
    638 HERIYANTI 27 TH P NUSA INDAH RT 004 762670 ASMA PLEB.NEBU 42,000 33,000
    639 A.SUFFI BADAALI 4 TH L JELAWAT GG 4 RT 011 544430 FEBRIS RESEP 42,000 33,000
    640 WAHYUNI 42 TH P P.ANTASARI GG 6 RT 045 834067 DISPEPSYA PLEB,EKG,INJEKSI 42,000 33,000
    641 SUWANDI 51 TH L M.SAID GG POLEWALI RT 046 837559 VERTIGO EKG 42,000 33,000
    642 NABILA FARADYA 15 TH P JUANDA 7 RT 03 727912 DISPEPSYA INJEKSI 42,000 33,000
    643 LA AMPALA 72 TH L OTISTA RT 031 837545 DISPEPSYA PLEB,EKG,INJEKSI 42,000 33,000
    644 HAIRUNISA 4 TH P BIAWAN GG VI RT 015 629999 ISPA RESEP 42,000 33,000
    645 SUPIAH 15 TH P S.RIADI GG V RT 016 837523 DISPEPSYA INF,PLEB,EKG,INJEKSI 42,000 33,000
    646 M.MAULANA HIDALATULLAH 7 TH L L.MANGKURAT RT 010 799933 FEBRIS PLEB 42,000 33,000
    647 RAHAYU FITRIANINGSIH 16 TH P KAHOI 2B RT 035 837524 OE INJEKSI 42,000 33,000
    648 M.HAIKAL ABDILLAH 3 TH L PEMUDA II RT 008 692904 VOMITING RESEP 42,000 33,000
    649 DAFFA SYAPUTRA 1 TH L S.RIADI GG IKLAS RT 01 832166 ISPA RESEP 42,000 33,000
    650 ADAM SAPUTRA 5 TH L ANGGUR RT 055 712254 VOMITING RESEP 42,000 33,000
    651 M.HARRFENDI 19 TH L KEMAKMURAN GG 1 RT 015 837571 TONSILITIS RESEP 42,000 33,000
    652 BURHAN 59 TH L DR.SOETOMO GG 4A RT 040 503605 MYALGYA EKG 42,000 33,000
    653 M.FASYA FIRMANSYAH 8 TH L P.ANTASARI GG.GUDANG GARAM RT 009 737529 COLIC ABDOMEN RESEP 42,000 33,000
    654 SILVA PUTRI ANATA 12 TH P T.UMAR GG SENYIUR RT 006 830630 FEBRIS PLEB 42,000 33,000
    655 SUWARTO 57 TH L TALANG SARI RT 001 836816 DISPEPSYA INJEKSI 42,000 33,000
    656 ELLY ZORA 61 TH P PELITA 3 RT 012 641764 DISPEPSYA EKG,INJEKSI 42,000 33,000
    657 M.NOR HUDA 4 TH L PERUM TVRI RT 020 666097 FEBRIS PLEB 42,000 33,000
    658 FITRIYANI 22 TH P PUSAKA RT 015 793512 FEBRIS RESEP 42,000 33,000
    659 BHIQI ALDHIRO PUTRA 16 TH L CUT MUTIA NO 10 RT 027 656284 FEBRIS PLEB 42,000 33,000
    660 WAGINO 71 TH L REVOLUSI RT 007 653021 RETENSIO URIEN PLEB,DC 42,000 33,000
    661 SAHRIAH 50 TH P PERUM BORNEO MUKTI A/11 RT 064 681964 DISPEPSYA EKG,INJEKSI 42,000 33,000
    662 ABD.RAHMAN RAMADHANI 15 TH L DI PANJAITAN GG 2 RT 036 837574 VL WTH II,INJEKSI 42,000 33,000
    727 jumlah 27,804,000 21,846,000
    A JUMLAH
    OKSIGEN/O2 konsul biaya jasa rs BHP Tindakan IGD
    13 14 15 16 17 18 19
    - - 89,600 17,000 70,400 252,000
    - - - 89,600 27,000 70,400 262,000
    - - - 134,400 26,500 105,600 341,500
    - - - 44,800 10,000 35,200 165,000
    32,000 - - 44,800 7,000 35,200 194,000
    32,000 - - 89,600 15,000 70,400 282,000
    - - - 44,800 10,000 35,200 165,000
    - - - 89,600 17,000 70,400 252,000
    32,000 - - 134,400 22,000 105,600 369,000
    - - - 44,800 10,000 35,200 165,000
    32,000 - - 89,600 15,000 70,400 282,000
    - - - 44,800 10,000 35,200 165,000
    - - - 134,400 57,000 105,600 372,000
    - - - 35,200 10,000 35,200 155,400
    - - - - - - 75,000
    - - - 224,000 41,500 176,000 516,500
    - - - 89,600 25,000 70,400 260,000
    - - - 89,600 17,000 70,400 252,000
    - - - - - - 75,000
    - - - 134,400 25,000 105,600 340,000
    - - - 44,800 7,000 35,200 162,000
    32,000 - - 89,600 15,000 70,400 282,000
    32,000 - - 89,600 15,000 70,400 282,000
    - - - 89,600 16,500 70,400 251,500
    - - - 134,400 26,500 105,600 341,500
    - - - 89,600 37,000 70,400 272,000
    - - - 89,600 17,000 70,400 252,000
    - - - - - - 75,000
    - - - 179,200 33,500 140,800 428,500
    - - - 44,800 7,000 35,200 162,000
    - - - - - - 75,000
    - - - 89,600 20,000 70,400 255,000
    - - - 44,800 7,000 35,200 162,000
    - - - 44,800 10,000 35,200 165,000
    - - - 89,600 17,000 70,400 252,000
    - - - 44,800 7,000 35,200 162,000
    - - - 89,600 20,000 70,400 255,000
    - - - - - - 75,000
    - - - - - - 75,000
    - - - - - - 75,000
    - - - - - - 75,000
    - - - - - - 75,000
    - - - - - - 75,000
    - - - 44,800 10,000 35,200 165,000
    - - - 89,600 25,000 70,400 260,000
    - - - 44,800 10,000 35,200 165,000
    - - - 44,800 10,000 35,200 165,000
    - - - 89,600 30,000 70,400 265,000
    - - - 89,600 25,000 70,400 260,000
    - - - - - - 75,000
    - - - 44,800 10,000 35,200 165,000
    - - - 268,800 48,500 211,200 603,500
    32,000 - - 44,800 10,000 35,200 197,000
    - - - 179,200 29,500 140,800 424,500
    - - - 44,800 10,000 35,200 165,000
    - - - 44,800 7,000 35,200 162,000
    - - - 313,600 82,000 264,400 735,000
    - - - 89,600 27,000 70,400 262,000
    - - - - - - 75,000
    - - - 44,800 10,000 35,200 165,000
    - - - - - - 75,000
    - - - 44,800 10,000 35,200 165,000
    - - - 44,800 10,000 35,200 165,000
    - - - 179,200 32,000 140,800 427,000
    - - - 134,400 26,500 105,600 341,500
    - DR.GRACE 75,000 89,600 27,000 70,400 337,000
    32,000 - - 44,800 7,000 35,200 194,000
    32,000 - - 134,400 22,000 105,600 369,000
    - - - 179,600 33,500 140,800 428,900
    - - - - - - 75,000
    - - - 134,400 26,500 105,600 341,500
    - - - 89,600 17,000 70,400 252,000
    - - - 89,600 17,000 70,400 252,000
    - - - 179,200 33,500 140,800 428,500
    - - - 134,400 26,500 105,600 341,500
    - - - - - - 75,000
    - - - 44,800 10,000 35,200 165,000
    - - - 44,800 10,000 35,200 165,000
    - - - - - - 75,000
    - - - - - - 75,000
    32,000 - - 134,400 22,000 105,600 369,000
    32,000 - - 134,400 22,000 105,600 369,000
    - - - 268,800 48,500 211,200 603,500
    - - - 134,400 30,000 105,600 345,000
    - - - - - - 75,000
    - - - 134,400 26,500 105,600 341,500
    - - - 44,800 10,000 35,200 165,000
    - - - 89,600 17,000 70,400 252,000
    - - - 44,800 7,000 35,200 162,000
    - - - - - - 75,000
    - - - - - - 75,000
    - - - 44,800 10,000 35,200 165,000
    - - - - - - 75,000
    - - - 134,400 26,500 105,600 341,500
    - - - 89,600 25,000 70,400 260,000
    - - - 89,600 25,000 70,400 260,000
    32,000 - - 44,800 7,000 35,200 194,000
    - - - 89,600 27,000 70,400 262,000
    - - - - - - 75,000
    - - - 134,400 25,000 105,600 340,000
    - - - - - - 75,000
    - - - - - - 75,000
    - - - 44,800 20,000 35,200 175,000
    - - - 134,400 57,000 105,600 372,000
    - - - - - - 75,000
    - - - - - - 75,000
    32,000 - - - - - 107,000
    - - - 89,600 17,000 70,400 252,000
    - - - 44,800 10,000 35,200 165,000
    - - - 44,800 7,000 35,200 162,000
    - - - 179,200 33,500 140,800 428,500
    - - - 179,200 33,500 140,800 428,500
    - - - 44,800 10,000 35,200 165,000
    - - - 44,800 10,000 35,200 165,000
    32,000 - - 89,600 15,000 70,400 282,000
    - - - 44,800 15,000 35,200 170,000
    32,000 - - 134,400 22,000 105,600 369,000
    32,000 - - 134,400 22,000 105,600 369,000
    32,000 - - 358,400 63,500 281,600 810,500
    - - - 134,400 25,000 105,600 340,000
    - - - 44,800 7,000 35,200 162,000
    - - - 89,600 17,000 70,400 252,000
    - - - 89,600 17,000 70,400 252,000
    - - - 44,800 20,000 35,200 175,000
    - - - 44,800 7,000 35,200 162,000
    - - - - - - 75,000
    - - - - - - 75,000
    - - - - - - 75,000
    - - - 89,600 17,000 70,400 252,000
    - - - 44,800 7,000 35,200 162,000
    - - - - - - 75,000
    32,000 - - 89,600 17,000 70,400 284,000
    - - - - - - 75,000
    - - - - - - 75,000
    - DR.ELVIS 75,000 - - - 150,000
    - - - 44,800 10,000 35,200 165,000
    - - - 179,200 33,500 140,800 428,500
    - - - 44,800 10,000 35,200 165,000
    - - - - - - 75,000
    - DR.BAMBANG 75,000 44,800 10,000 35,200 240,000
    - - - 179,200 42,000 140,800 437,000
    - - - 44,800 10,000 35,200 165,000
    - - - 44,800 7,000 35,200 162,000
    - - - 44,800 7,000 35,200 162,000
    - - - 44,800 7,000 35,200 162,000
    - - - - - - 75,000
    - - - 134,400 57,000 105,600 372,000
    - - - 44,800 10,000 35,200 165,000
    - - - 89,600 17,000 70,400 252,000
    - - - 44,800 10,000 35,200 165,000
    32,000 - - 89,600 15,000 70,400 282,000
    - - - 44,800 10,000 35,200 165,000
    - DR.BOYKE 75,000 89,600 20,000 70,400 330,000
    - - - - - - 75,000
    - - - 89,600 17,000 70,400 252,000
    - - - 89,600 30,000 70,400 265,000
    - - - - - - 75,000
    - - - 291,200 82,000 228,800 677,000
    - - - 44,800 10,000 35,200 165,000
    - - - - - - 75,000
    - - - 44,800 7,000 35,200 162,000
    - DR,DJOEN 75,000 44,800 10,000 35,200 240,000
    - - - - - - 75,000
    - - - 44,800 10,000 35,200 165,000
    - - - 44,800 10,000 35,200 165,000
    - - - - - - 75,000
    - - - 44,800 10,000 35,200 165,000
    - - - - - - 75,000
    - - - 44,800 7,000 35,200 162,000
    - - - - - - 75,000
    - - - 89,600 17,000 70,400 252,000
    - - - 44,800 7,000 35,200 162,000
    - - - - - - 75,000
    - - - 134,400 26,500 105,600 341,500
    - - - - - - 75,000
    - - - 44,800 3,000 35,200 158,000
    - - - 44,800 7,000 35,200 162,000
    32,000 - - 134,400 22,000 105,600 369,000
    - - - - - - 75,000
    32,000 - - 89,600 15,000 70,400 282,000
    - - - 44,800 10,000 35,200 165,000
    - - - 89,600 17,000 70,400 252,000
    - - - 134,400 23,500 105,600 338,500
    - - - 179,200 33,500 104,800 392,500
    - - - 44,800 10,000 35,200 165,000
    - - - 89,600 17,000 105,600 287,200
    - - - 44,800 20,000 35,200 175,000
    - - - 89,600 17,000 70,400 252,000
    - - - - - - 75,000
    32,000 - - 44,800 7,000 35,200 194,000
    - - - 44,800 22,000 35,200 177,000
    - - - 179,200 33,500 140,800 428,500
    - - - - - - 75,000
    - DR.YASER 75,000 - - - 150,000
    - - - - - - 75,000
    - - - 89,600 27,000 70,400 262,000
    - - - 44,800 10,000 35,200 165,000
    - - - 134,400 25,000 105,600 340,000
    - - - 44,800 7,000 35,200 162,000
    32,000 - - 134,400 25,000 105,600 372,000
    - - - 89,600 16,500 70,400 251,500
    - - - 179,200 33,500 140,800 428,500
    - - - - - - 75,000
    - - - - - - 75,000
    - - - 89,600 17,000 70,400 252,000
    - - - 44,800 10,000 35,200 165,000
    - - - 44,800 7,000 35,200 162,000
    - - - 89,600 25,000 70,400 260,000
    - - - 89,600 25,000 70,400 260,000
    - DR.CARTA 75,000 179,200 32,000 140,800 502,000
    - - - 179,200 37,000 140,800 432,000
    - - - 89,600 16,500 70,400 251,500
    - - - 89,600 17,000 70,400 252,000
    - - - 44,800 10,000 35,200 165,000
    - - - 134,400 23,500 105,600 338,500
    - - - 44,800 20,000 35,200 175,000
    - - - 44,800 7,000 35,200 162,000
    - - - 44,800 7,000 35,200 162,000
    - - - 44,800 10,000 35,200 165,000
    32,000 - - 268,800 48,500 211,200 635,500
    - - - 44,800 10,000 35,200 165,000
    - - - 134,400 23,500 105,600 338,500
    - - - 44,800 7,000 35,200 162,000
    32,000 - - - - - 107,000
    - - - 44,800 10,000 35,200 165,000
    - - - 89,600 17,000 70,400 252,000
    - - - - - - 75,000
    - - - 89,600 37,000 70,400 272,000
    - - - 44,800 10,000 35,200 165,000
    - - - 44,800 10,000 35,200 165,000
    - - - 44,800 10,000 35,200 165,000
    - - - 44,800 7,000 35,200 162,000
    - - - - - - 75,000
    - - - 44,800 7,000 35,200 162,000
    - - - 44,800 10,000 35,200 165,000
    - - - - - - 75,000
    32,000 - - 89,600 15,000 70,400 282,000
    - - - 44,800 10,000 35,200 165,000
    - - - 44,800 7,000 35,200 162,000
    - - - 44,800 10,000 35,200 165,000
    - - - 44,800 - 35,200 155,000
    - - - 44,800 20,000 35,200 175,000
    - - - 44,800 10,000 35,200 165,000
    - - - 44,800 10,000 35,200 165,000
    - - - 179,200 33,500 140,800 428,500
    - - - 44,800 7,000 35,200 162,000
    - - - 44,800 10,000 35,200 165,000
    - - - - - - 75,000
    - - - 179,200 32,000 140,800 427,000
    - - - 44,800 10,000 35,200 165,000
    - - - 134,400 57,000 105,600 372,000
    - - - 44,800 10,000 35,200 165,000
    - - - 44,800 10,000 35,200 165,000
    - - - 44,800 7,000 35,200 162,000
    32,000 - - - - - 107,000
    - - - 44,800 10,000 35,200 165,000
    - - - - - - 75,000
    - - - 89,600 17,000 70,400 252,000
    - - - 44,800 7,000 35,200 162,000
    - - - 44,800 3,000 35,200 158,000
    - - - 44,800 7,000 35,200 162,000
    - - - 179,200 42,000 140,800 437,000
    - - - 89,600 17,000 70,400 252,000
    - - - 134,400 26,500 105,600 341,500
    - - - 44,800 7,000 35,200 162,000
    - - - 134,400 26,500 105,600 341,500
    - - - 179,200 33,500 140,800 428,500
    - - - 134,400 30,000 105,600 345,000
    - - - 44,800 7,000 35,200 162,000
    - - - 89,600 17,000 70,400 252,000
    - - - 134,400 30,000 105,600 345,000
    - - - 44,800 7,000 35,200 162,000
    - - - 134,400 23,500 105,600 338,500
    32,000 - - 89,600 15,000 70,400 282,000
    - - - 89,600 17,000 70,400 252,000
    32,000 - - - - - 107,000
    - - - 134,400 26,500 105,600 341,500
    32,000 - - 89,600 15,000 70,400 282,000
    - - - 44,800 7,000 35,200 162,000
    - - - 89,600 17,000 70,400 252,000
    - - - - - - 75,000
    - - - - - - 75,000
    - - - 89,600 17,000 70,400 252,000
    - - - 89,600 25,000 70,400 260,000
    - - - - - - 75,000
    - - - 44,800 10,000 35,200 165,000
    - - - 44,800 10,000 35,200 165,000
    - - - 44,800 7,000 35,200 162,000
    - - - - - - 75,000
    - - - 44,800 10,000 35,200 165,000
    - - - 44,800 7,000 35,200 162,000
    - - - - - - 75,000
    - - - - - - 75,000
    - - - 44,800 7,000 35,200 162,000
    32,000 - - 89,600 16,500 70,400 283,500
    - - - 89,600 37,000 70,400 272,000
    - - - - - - 75,000
    - - - - - - 75,000
    32,000 - - 134,400 22,000 105,600 369,000
    - - - 44,800 10,000 35,200 165,000
    - - - 44,800 20,000 35,200 175,000
    - - - 44,800 10,000 35,200 165,000
    - - - 44,800 20,000 35,200 175,000
    - - - 179,200 33,500 140,800 428,500
    - DR.CARTA 75,000 179,200 33,500 140,800 503,500
    - - - 44,800 10,000 35,200 165,000
    - - - 44,800 10,000 35,200 165,000
    32,000 - - 134,400 22,000 105,600 369,000
    - - - 134,400 20,000 105,600 335,000
    - DR.RIDMAWAN 75,000 89,600 17,000 70,400 327,000
    - - - 44,800 10,000 35,200 165,000
    - - - - - - 75,000
    - - - - - - 75,000
    - - - 134,400 23,500 105,600 338,500
    - - - 89,600 17,000 70,400 252,000
    - - - 89,600 17,000 70,400 252,000
    - - - 44,800 10,000 35,200 165,000
    - - - 44,800 10,000 35,200 165,000
    32,000 - - 44,800 70,000 35,200 257,000
    - - - 44,800 7,000 35,200 162,000
    - - - 179,200 33,500 140,800 428,500
    - - - 89,600 13,000 70,400 248,000
    - - - - - - 75,000
    - - - 89,600 17,000 70,400 252,000
    - - - 44,800 10,000 35,200 165,000
    - - - - - - 75,000
    - - - 89,600 16,500 70,400 251,500
    32,000 - - - - - 107,000
    - - - 179,200 29,500 140,800 424,500
    - - - 44,800 10,000 35,200 165,000
    - - - 44,800 10,000 35,200 165,000
    - - - 44,800 3,000 35,200 158,000
    - - - 89,600 50,000 70,400 285,000
    - - - 44,800 7,000 35,200 162,000
    - - - - - - 75,000
    - - - 89,600 37,000 70,400 272,000
    - - - 44,800 7,000 35,200 162,000
    - - - 134,400 22,000 105,600 337,000
    - - - 44,800 10,000 35,200 165,000
    - - - - - - 75,000
    - - - 89,600 25,000 70,400 260,000
    32,000 - - 134,400 22,000 105,600 369,000
    - - - 134,400 25,000 105,600 340,000
    - - - - - - 75,000
    - - - 44,800 7,000 35,200 162,000
    32,000 - - 224,000 38,500 176,000 545,500
    - - - 44,800 10,000 35,200 165,000
    - - - - - - 75,000
    - - - - - - 75,000
    - - - 89,600 27,000 70,400 262,000
    - - - 89,600 13,000 70,400 248,000
    - DR.CARTA 75,000 44,800 10,000 35,200 240,000
    - - - 89,600 17,000 70,400 252,000
    - - - 134,400 23,500 105,600 338,500
    - - - 134,400 22,000 105,600 337,000
    - - - 89,600 16,500 70,400 251,500
    - DR.ASWAD 75,000 224,000 41,500 176,000 591,500
    - - - 89,600 17,000 70,400 252,000
    - - - - - - 75,000
    - - - 44,800 10,000 35,200 165,000
    32,000 - - 89,600 15,000 70,400 282,000
    32,000 - - 134,400 22,000 105,600 369,000
    - - - - - - 75,000
    - - - - - - 75,000
    - - - 134,400 26,500 105,600 341,500
    - - - 268,800 48,500 211,200 603,500
    - - - 44,800 7,000 35,200 162,000
    - - - - - - 75,000
    - - - 89,600 17,000 70,400 252,000
    - DR.BAMBANG 75,000 44,800 10,000 35,200 240,000
    - - - 89,600 37,000 70,400 272,000
    - - - 89,600 17,000 70,400 252,000
    - - - 89,600 17,000 70,400 252,000
    - - - 89,600 13,000 70,400 248,000
    - - - - - - 75,000
    - - - 44,800 10,000 35,200 165,000
    32,000 - - 134,400 22,000 105,600 369,000
    - - - 134,400 23,500 105,600 338,500
    - - - 268,800 48,500 211,200 603,500
    - - - 224,000 41,500 176,000 516,500
    32,000 - - 89,600 15,000 70,400 282,000
    - DR.SYAIFUL 75,000 44,800 10,000 35,200 240,000
    - - - 134,400 23,500 105,600 338,500
    32,000 - - 134,400 22,000 105,600 369,000
    - - - 134,400 26,500 105,600 341,500
    - - - 44,800 10,000 35,200 165,000
    - - - 44,800 10,000 35,200 165,000
    - - - 44,800 10,000 35,200 165,000
    - - - 44,800 10,000 35,200 165,000
    - - - - - - 75,000
    - - - 44,800 7,000 35,200 162,000
    - - - 89,600 13,000 70,400 248,000
    - - - - - - 75,000
    - - - 44,800 10,000 35,200 165,000
    - - - 134,400 25,000 105,600 340,000
    32,000 - - 134,400 25,000 105,600 372,000
    - - - 44,800 10,000 35,200 165,000
    - - - 44,800 10,000 35,200 165,000
    32,000 - - 224,000 41,500 176,000 548,500
    - - - 89,600 25,000 70,400 260,000
    - - - 44,800 7,000 35,200 162,000
    - - - 89,600 15,000 70,400 250,000
    - - - - - - 75,000
    - - - 44,800 7,000 35,200 162,000
    - - - 44,800 10,000 35,200 165,000
    32,000 - - 89,600 15,000 70,400 282,000
    - - - 134,400 57,000 105,600 372,000
    - - - 179,200 33,500 140,800 428,500
    - - - 44,800 10,000 35,200 165,000
    - - - 44,800 20,000 35,200 175,000
    - - - 179,200 32,000 140,800 427,000
    - DR.BOYKE 75,000 179,200 32,000 140,800 502,000
    - - - - - - 75,000
    - - - - - - 75,000
    32,000 - - 134,400 23,500 105,600 370,500
    - - - - - - 75,000
    - - - 89,600 16,500 70,400 251,500
    - - - - - - 75,000
    - - - - - - 75,000
    - - - - - - 75,000
    - - - 291,200 82,000 228,800 677,000
    - - - 44,800 10,000 35,200 165,000
    - - - - - - 75,000
    - - - 179,200 33,500 140,800 428,500
    - DR.GRACE 75,000 - - - 150,000
    - - - - - - 75,000

    - - - 89,600 16,500 70,400 251,500

    - - - 134,400 25,000 105,600 340,000


    - - - 134,400 52,000 105,600 367,000
    - - - 89,600 17,000 70,400 252,000
    - - - - - - 75,000
    - - - - - - 75,000
    - - - 89,600 17,000 70,400 252,000
    - - - 44,800 10,000 35,200 165,000
    - - - 44,800 10,000 35,200 165,000
    - - - 44,800 10,000 35,200 165,000
    - - - 134,400 26,500 105,600 341,500
    - - - 44,800 3,000 35,200 158,000
    - - - 89,600 15,000 70,400 250,000
    32,000 - - 134,400 22,000 105,600 369,000
    32,000 - - 134,400 22,000 105,600 369,000
    - - - 44,800 7,000 35,200 162,000
    - - - 89,600 15,000 70,400 250,000
    - - - 44,800 10,000 35,200 165,000
    32,000 - - 134,400 26,500 105,600 373,500
    - - - 179,200 35,000 140,800 430,000
    - - - 134,400 26,500 105,600 341,500
    - - - 134,400 23,500 105,600 338,500
    - DR.HENDY 75,000 - - - 150,000
    - - - 179,200 33,500 105,600 393,300
    - - - - - - 75,000
    32,000 - - 89,600 15,000 70,400 282,000
    32,000 - - 44,800 15,000 35,200 202,000
    - - - 89,600 15,000 70,400 250,000
    - - - 134,400 25,000 105,600 340,000
    - - - 89,600 25,000 70,400 260,000
    - - - - - - 75,000
    - - - 134,400 26,500 105,600 341,500
    - - - 179,200 33,500 140,800 428,500
    - - - 89,600 25,000 70,400 260,000
    - - - 44,800 10,000 35,200 165,000
    - - - 44,800 7,000 35,200 162,000
    - - - 44,800 10,000 35,200 165,000
    - - - - - - 75,000
    32,000 - - 89,600 15,000 70,400 282,000
    32,000 - - 89,600 15,000 70,400 282,000
    - - - 44,800 10,000 35,200 165,000
    32,000 - - 89,600 15,000 70,400 282,000
    - - - 134,400 57,000 105,600 372,000
    - - - 134,400 23,500 105,600 338,500
    32,000 - - 134,400 25,000 105,600 372,000
    - - - 134,400 27,000 105,600 342,000
    32,000 - - - - - 107,000
    - - - 134,400 23,500 105,600 338,500
    - DR.BASARA.SPM 75,000 44,800 20,000 35,200 250,000
    - - - 44,800 7,000 35,200 162,000
    32,000 - - 134,400 22,000 105,600 369,000
    - - - 44,800 7,000 35,200 162,000
    - - - - - - 75,000
    - - - 44,800 20,000 35,200 175,000
    - - - 89,600 17,000 70,400 252,000
    - - - 89,600 17,000 70,400 252,000
    - - - - - - 75,000
    - - - 44,800 7,000 35,200 162,000
    - - - 89,600 17,000 70,400 252,000
    - - - - - - 75,000
    - - - 179,200 33,500 140,800 428,500
    - - - 179,200 33,500 140,800 428,500
    - - - 44,800 7,000 35,200 162,000
    - - - 44,800 7,000 35,200 162,000
    - - - 89,000 27,000 70,400 261,400
    32,000 - - 134,400 22,000 105,600 369,000
    - - - 89,600 27,000 70,400 262,000
    - - - 89,600 25,000 70,400 260,000
    - - - 44,800 7,000 35,200 162,000
    - - - 134,400 26,500 105,600 341,500
    - - - 44,800 7,000 35,200 162,000
    32,000 - - 89,600 16,500 70,400 283,500
    - - - 134,400 57,000 105,600 372,000
    - - - - - - 75,000
    - - - 89,600 27,000 70,400 262,000
    - - - 89,600 25,000 70,400 260,000
    - - - 134,400 26,500 105,600 341,500
    - - - 89,600 16,500 70,400 251,500
    - - - 179,200 33,500 140,800 428,500
    32,000 - - 448,000 75,500 352,000 982,500
    - - - 44,800 7,000 35,200 162,000
    - - - 89,600 20,000 70,400 255,000
    - - - 89,600 17,000 70,400 252,000
    - - - 44,800 10,000 35,200 165,000
    - - - 179,200 32,000 140,800 427,000
    - - - 179,200 32,000 140,800 427,000
    - - - 89,600 13,000 70,400 248,000
    - - - 89,600 27,000 70,400 262,000
    - - - 44,800 7,000 35,200 162,000
    - - - 44,800 10,000 35,200 165,000
    - - - 89,600 20,000 70,400 255,000
    - - - 89,600 17,000 70,400 252,000
    - - - - - - 75,000
    32,000 - - 44,800 7,000 35,200 194,000
    - - - - - - 75,000
    - - - 44,800 10,000 35,200 165,000
    - - - - - - 75,000
    - - - 134,400 25,000 105,600 340,000
    - - - 44,800 10,000 35,200 165,000
    - - - 134,400 25,000 105,600 340,000
    - - - 89,600 37,000 70,400 272,000
    32,000 - - 89,600 15,000 70,400 282,000
    - - - 44,800 - 35,200 155,000
    - DR.GRAG 75,000 44,800 - 35,200 230,000
    - - - 44,800 10,000 35,200 165,000
    - - - 44,800 30,000 35,200 185,000
    32,000 - - 89,600 15,000 70,400 282,000
    - - - 44,800 10,000 35,200 165,000
    - - - 44,800 10,000 35,200 165,000
    - - - 89,600 17,000 70,400 252,000
    - - - - - - 75,000
    - - - 44,800 10,000 35,200 165,000
    - - - 44,800 20,000 35,200 175,000
    - - - 134,400 23,500 105,600 338,500
    - - - - - - 75,000
    - - - - - - 75,000
    - - - - - - 75,000
    - - - 44,800 10,000 35,200 165,000
    - - - - - - 75,000
    - - - 44,800 7,000 35,200 162,000
    - - - 89,600 25,000 70,400 260,000
    - - - 44,800 10,000 35,200 165,000
    - - - 44,800 7,000 35,200 162,000
    - - - - - - 75,000
    - - - 89,600 25,000 70,400 260,000
    - - - 44,800 10,000 35,200 165,000
    32,000 - - 89,600 17,000 70,400 284,000
    - - - 89,600 17,000 70,400 252,000
    - - - - - - 75,000
    - - - - - - 75,000
    - - - 44,800 10,000 35,200 165,000
    - - - 134,400 23,500 105,600 338,500
    - - - - - - 75,000
    - - - 44,800 7,000 35,200 162,000
    - - - 89,600 16,500 70,400 251,500
    - - - - - - 75,000
    - - - - - - 75,000
    - - - 134,400 26,500 105,600 341,500
    - - - - - - 75,000
    - - - - - - 75,000
    - - - 44,800 10,000 35,200 165,000
    - - - 44,800 10,000 35,200 165,000
    - - - 224,000 41,500 176,000 516,500
    - DR,.ARIE I 75,000 89,600 37,000 70,400 347,000
    - DR.ANTHONY 75,000 134,400 57,000 105,600 447,000
    - - - 134,400 22,000 105,600 337,000
    - DR.TJAN KOK 75,000 134,400 25,000 105,600 415,000
    - - - 89,600 17,000 70,400 252,000
    - - - 89,600 13,000 70,400 248,000
    - DR.ARIE I 75,000 - - - 150,000
    - DR.ARIE I 75,000 44,800 7,000 35,200 237,000
    - - - 89,600 25,000 70,400 260,000
    - - - 89,600 17,000 70,400 252,000
    - - - 89,600 17,000 70,400 252,000
    - - - 89,600 25,000 70,400 260,000
    32,000 - - 89,600 15,000 70,400 282,000
    - - - 44,800 7,000 35,200 162,000
    32,000 - - 179,200 33,500 140,800 460,500
    32,000 - - 44,800 7,000 35,200 194,000
    - - - 44,800 10,000 35,200 165,000
    - - - 44,800 10,000 35,200 165,000
    32,000 - - 89,600 15,000 70,400 282,000
    - DR.ELVIS 75,000 - - - 150,000
    - - - 44,800 10,000 35,200 165,000
    - - - 44,800 10,000 35,200 165,000
    - - - - - - 75,000
    - DR.DADIK 75,000 44,800 30,000 35,200 260,000
    - - - - - - 75,000
    - DR.ANTHONY 75,000 179,200 32,000 140,800 502,000
    - - - - - - 75,000
    - - - 44,800 10,000 35,200 165,000
    - - - - - - 75,000
    - - - 44,800 10,000 35,200 165,000
    - - - 89,600 25,000 70,400 260,000
    32,000 - - 268,800 48,500 211,200 635,500
    - - - - - - 75,000
    - - - 179,200 33,500 140,800 428,500
    - - - 44,800 10,000 35,200 165,000
    - - - 268,800 48,500 211,200 603,500
    32,000 - - 44,800 7,000 35,200 194,000
    - - - 44,800 10,000 35,200 165,000
    - - - 44,800 7,000 35,200 162,000
    - - - - - - 75,000
    - - - - - - 75,000
    - - - 89,600 16,500 70,400 251,500
    - - - - - - 75,000
    - - - 44,800 10,000 35,200 165,000
    - - - 44,800 10,000 35,200 165,000
    32,000 - - 89,600 15,000 70,400 282,000
    - - - - - - 75,000
    - - - - - - 75,000
    - DR.ATOB 75,000 44,800 10,000 35,200 240,000
    - - - - - - 75,000
    - - - - - - 75,000
    32,000 DR.DIANE 75,000 134,400 25,000 105,600 447,000
    32,000 - - 44,800 7,000 35,200 194,000
    - - 134,400 22,000 105,600 337,000
    32,000 - - 44,800 7,000 35,200 194,000
    - - - 44,800 20,000 35,200 175,000
    - - - 44,800 20,000 35,200 175,000
    - - - - - - 75,000
    - - - 44,800 7,000 35,200 162,000
    - - - 134,400 25,000 105,600 340,000
    - - - 179,200 33,500 140,800 428,500
    - - - - - - 75,000
    - - - 134,400 26,500 105,600 341,500
    32,000 - - 134,400 22,000 105,600 369,000
    - - - 134,400 23,500 105,600 338,500
    - - - 44,800 10,000 35,200 165,000
    - - - 89,600 15,000 70,400 250,000
    - DR.WAHAB 75,000 44,800 10,000 35,200 240,000
    - - - 134,400 25,000 105,600 340,000
    - - - - - - 75,000
    - - - 179,200 33,500 140,800 428,500
    - - - 89,600 16,500 70,400 251,500
    - - - 44,800 7,000 35,200 162,000
    - - - 179,200 33,500 140,800 428,500
    - - - - - - 75,000
    - - - 268,800 48,500 211,200 603,500
    - - - 44,800 10,000 35,200 165,000
    - - - 44,800 7,000 35,200 162,000
    - - - - - - 75,000
    - - - - - - 75,000
    - - - - - - 75,000
    - - - - - - 75,000
    - - - 89,600 16,500 70,400 251,500
    - - - - - - 75,000
    - - - 44,800 10,000 35,200 165,000
    - - - 44,800 7,000 35,200 162,000
    - - - 134,400 23,500 105,600 338,500
    - - - 44,800 10,000 35,200 165,000
    - - - - - - 75,000
    - - - 44,800 10,000 35,200 165,000
    - - - 134,400 30,000 105,600 345,000
    - - - 134,400 23,500 105,600 338,500
    - - - 89,600 50,000 105,600 320,200
    2,400,000 - 2,175,000 47,433,400 9,931,000 37,294,000 148,883,400
    Tagihan Jamkeda Samarinda Di IGD RSUD A. Wahab Sjahranie bulan Mei 2015

    Tanggal No KIB/
    Nama Pasien Umur L/P Alamat No. Peserta Diagnosa Tindakan
    NO Kunjungan No. REG Karcis IGD OKSIGEN/O2
    1 2 3 4 5 6 7 8 9 10 11 12
    1 1/5/2015 YESSI PRATIWI 20 TH P P.ANTASARI WIRA 2 RT 026 731916 URTIKARIA RESEP 42,000 33,000
    2 AULIA ANGGARAINI 15 TH P S.PARMAN GG 4 RT 029 837648 ISPA PLEB 42,000 33,000
    3 NURHAYATI 38 TH P DAMANHURI RT 060 819406 DISPEPSYA PLEB,INJEKSI 42,000 33,000
    4 NURDIN T 58 TH L SWADAYA NO 61 RT 021 741359 RETENSIO URIEN PASANG CATETER 42,000 33,000
    5 M.MUNYAR REFALDI 3 TH L KH.HARUN NAFSI RT 017 825638 GEA PLEB 42,000 33,000
    6 AGUSTINA ARRUAN 21 TH P DAYA BESAR RT 024 BKUAN 837651 HEPATOMA PLEB 42,000 33,000
    7 ANGGI NIA RAMADHANI 8 TH P JELAWAT GG 4 RT 011 714954 VOMITING INJEKSI 42,000 33,000
    8 SYARANI 57 TH L PERUM PKL B NO 637 RT 09 794930 ISCHALGIA PLEB 42,000 33,000
    9 ALDY SAPUTRA 7 TH L T.UMAR GG DURIAN TUNGGAL 837643 FARINGITIS PLEB 42,000 33,000
    10 FENI SAGITA INDAH CAHYANI 24 TH P AZIS SAMAD RT 038 NO 24 559448 FEBRIS PLEB 42,000 33,000
    11 NEFI 20 TH L BUNG TOMO GG SERUMPUN RT 027 837680 DISPEPSYA PLEB,INJEKSI 42,000 33,000
    12 H.RIDUAN 75 TH L TENGKAWANG RT 015 650497 GAUT ARTHITIS EKG 42,000 33,000
    13 AYU WISTI RAHMAH 25 TH P KEDONDONG DALAM NO 89 RT 007 837674 GASTRITIS INJEKSI 42,000 33,000
    14 RION PUTRA RAMADHAN 6 TH L KAKAP RT 024 488122 V.ICHTUM CROSS INSISI,INJEKSI 42,000 33,000
    15 PUTRI CORDELLIA WIJAYA 5 TH P L.MANGKURAT GG AR RAHMAN RT 018 837667 CORPAL EXTRASI KUKU 42,000 33,000
    16 NASIR 62 TH L DAMAI RT 026 837639 BPH PASANG CATETER 42,000 33,000
    17 NUR HAEDA 43 TH L S.RIADI RT 005 837265 RETENSIO URIEN PASANG CATETER 42,000 33,000
    18 LUTSIA NADHIRA ANGGRAENI 6 TH P PEMUDA III RT 005 840106 FEBRIS PLEB 42,000 33,000
    19 RUSDIATI 52 TH P PERUM SMBTN ASRI BLOK H3 RT 26 840107 CAD PLEB,EKG,INJEKSI 42,000 33,000
    20 M.RAFI S 6 TH L P.SURYANATA GRAHA INDAH RT 013 499566 ISPA PLEB 42,000 33,000
    21 NURLIANA A 19 TH P PEMUDA III KOMP TRANS RT 007 837688 DISPEPSYA INJEKSI 42,000 33,000
    22 PATRICIA AYUNINGSIH 18 TH P BAQA RT 022 BKUAN 726742 CA KELENJAR INF,PLEB,BGA,DC,O2 42,000 33,000
    23 M.HABIBI 2 TH L PEMUDA V GG H.NUSU 1 RT 004 837628 FEBRIS PLEB 42,000 33,000
    24 AZLAN DARMAN PUTRA 1 TH L S.PARMAN NO 03 RT 002 792144 ISPA PLEB 42,000 33,000
    25 NOVIKA SARI NUR SAADAH 21 TH P KH.W.HASYIM GG H.USMAN NO 37 RT 051 686003 DISPEPSYA INJEKSI 42,000 33,000
    26 JUSNIAH 80 TH P P.ANTASARI RT 008 837670 VERTIGO PLEB,EKG,INJEKSI 42,000 33,000
    27 TOPAN 35 TH L SERAYU RT 021 837427 BSK PLEB,INJEKSI 42,000 33,000
    28 2/5/2015 NUR MUSRIFAH 36 TH P REJO MULYO RT 032 505035 HT RESEP 42,000 33,000
    29 TUMIYEM 55 TH P M.YAMIN GG 1 RT 017 836825 VERTIGO PLEB,EKG,INJEKSI 42,000 33,000
    30 SHINTA DEVIANI 23 TH P GATSU GG 1 RT 043 712072 HEG RESEP 42,000 33,000
    31 DEWI KUSUMA WARDANI 35 TH P PAKIR 7 BLOK D/335 RT 082 814077 VERTIGO EKG,INJEKSI 42,000 33,000
    32 NUR HALIMAH 66 TH P GAMELAN RT 039 840193 ASMA NEBU,EKG,O2,INJEKSI 42,000 33,000
    33 AULIA ANGGARAINI 15 TH P S.PARMAN GG 4 RT 029 837648 DISPEPSYA PLEB,INJEKSI 42,000 33,000
    34 MUPRIKA HANDAYANI 35 TH P URIF SUMOHARDJO GG LESTARI NO 11 RT 840132 OUT ARTHITIS RESEP 42,000 33,000
    35 HERRY OSCAR 53 TH L MUSO SALIM NO 68 RT 015 773624 DISPEPSYA O2,INJEKSI 42,000 33,000
    36 AMIR 41 TH L KH.WAHID HASYIM RT 002 268229 HEMATURIA RESEP 42,000 33,000
    37 YASMIN AWALIA HERMANSYAH 2 TH P W.MONGONSIDI RT 023 840159 VOMITING RESEP 42,000 33,000
    38 ISRANSYAH 43 TH L PEMUDA 1 BLOK C RT 007 704515 CAD RESEP 42,000 33,000
    39 RIZKY MAULANA 2 TH L W.MONGONSIDI RT 022 GG 7 736831 ISPA PLEB 42,000 33,000
    40 SRI NATUN 60 TH P IR SUTAMI GG PUSAKA RT 022 840175 URTIKARIA PLEB 42,000 33,000
    41 NORHAYATI 50 TH P CENDANA GG 4 RT 006 840172 VERTIGO INJEKSI 42,000 33,000
    42 SAMUEL MARSRSHALL 10 TH L JUANDA 8 RT 13 MANGGA 8 783814 VOMITING INJEKSI 42,000 33,000
    43 GILBERT 8 TH L SEI SIRING RT 004 488668 V.MORSUM INJEKSI 42,000 33,000
    44 HERLIN BULES 41 TH P GOTONG ROYONG RT 013 840136 VERTIGO RESEP 42,000 33,000
    45 WAFDAN 31 TH L JELAWAT GG 9 RT 038 657787 FEBRIS PLEB 42,000 33,000
    46 3/5/2015 NUR SOFFIYYAH 2 TH P BIAWAN GG 2 RT 016 826786 EFILEPSI RESEP 42,000 33,000
    47 MARSIBAH 45 TH P BUNG TOMO RT 007 678385 DISPEPSYA INJEKSI 42,000 33,000
    48 DIAH AYU MIMBAR WATI 1 TH P PERJUANGAN RT 103 832073 FEBRIS PLEB 42,000 33,000
    49 SAYYID MUHAMMAD ADY 38 TH L P.BENDAHARA RT 023 827473 HEPATITIS PLEB,INJEKSI 42,000 33,000
    50 RUSDI 40 TH L RAJAWALI DALAM 1 RT 011 840288 DISPEPSYA INJEKSI 42,000 33,000
    51 NABILLA KARINA CHANDRA 11 TH P KH.DAMANHURI II RT 029 840250 FEBRIS RESEP 42,000 33,000
    52 M.ARFAN SAPUTRA 4 TH L ANGGUR RT 055 840275 V.ICHTUM CROSS INSISI,INJEKSI 42,000 33,000
    53 HARYATI 53 TH P HARVA NO 46 RT 033 708157 FEBRIS PLEB 42,000 33,000
    54 M.RAFFA ANUGERAH 3 TH L KH.M.MANSYUR RT 028 812364 GEA INJEKSI 42,000 33,000
    55 ILHAM SEPTIAWAN 2 TH L P.SURYANATA RT 003 784396 ISPA RESEP 42,000 33,000
    56 M.RENDY AGUSTITA S 3 TH L S.RIADI RT 005 820267 VL WTH III,INJEKSI 42,000 33,000
    57 M.FAJAR AL FARIZI BALANY 6 TH L MERDEKA GG OTOK RT 096 767800 FEBRIS RESEP 42,000 33,000
    58 ISRANSYAH 43 TH L PEMUDA I BLOK C RT 007 704915 HT EKG,INJEKSI 42,000 33,000
    59 DWI REZA SAPUTRA 6 TH L BIAWAN GG 12 BLOK B RT 008 840265 V.ICHTUM CROSS INSISI,INJEKSI 42,000 33,000
    60 RAUDAH AZZAHRA 3 TH P REVOLUSI GG POKSAI RT 007 840231 GEA RESEP 42,000 33,000
    61 HERRY OSCAR 53 TH L MUSO SALIM NO 68 RT 015 773624 CKD O2,INJEKSI 42,000 33,000
    62 FIDIAH 15 TH P KEMUNING RT 020 846148 CONTUSIO M RESEP 42,000 33,000
    63 JOKO SUNARSO 44 TH L DAMAI GG 4 NO 12 RT 026 543776 DISPEPSYA EKG,INJEKSI 42,000 33,000
    64 CITRA AMEEPA N 5 TH P GN.LINGAI RT 007 802942 ISPA RESEP 42,000 33,000
    65 HAFIZH MAULANA 4 TH L RIMBAWAN III NO 42 RT 042 840279 ISPA RESEP 42,000 33,000
    66 ERWIN F 17 TH L MERDEKA GG OTOK RT 096 840290 VL WTH IV,INJEKSI 42,000 33,000
    67 DIAN FATMASARI 31 TH P W.MONGONSIDI RT 20 840237 VERTIGO LAB 42,000 33,000
    68 4/5/2015 ROHANA 74 TH P P.SURYNATA GG BERKAH RT 030 706266 MYALGIA PLEB,EKG,INJEKSI 42,000 33,000
    69 LINAWATI 22 TH P GERILYA GG MESJID NO 23 RT 047 840321 JELLY FISH BITE INJEKSI 42,000 33,000
    70 SURIANTI 8 TH P BERAMBAI 840366 FEBRIS INF,PLEB,INJEKSI 42,000 33,000
    71 ADITYATAMA 9 TH L CM.KUSUMO RT 012 335533 ISPA PLEB 42,000 33,000
    72 DAHLAN 61 TH L AM SANG AJI RT 019 659700 TB.PARU PLEB 42,000 33,000
    73 INDARTI 43 TH P MONAS RT 037 840318 GEA PLEB,INJEKSI 42,000 33,000
    74 LAMPARI 57 TH L DELIMA RT 050 840346 ISPA RESEP 42,000 33,000
    75 IQBAL IRFANSYAH 32 TH L AWS 4 RT 025 499512 ASMA NEBU 42,000 33,000
    76 TAUFIK ROKIMAH 47 TH L W.MONGONSIDI 671298 HT RESEP 42,000 33,000
    77 RANDY ATHALLAH RUSMANA 7 TH L TRISARI RT 023 840407 FEBRIS SUPP 42,000 33,000
    78 SRI WULAN DARI 18 TH P CENDANA GG 12 NO 43 RT 035 840409 DISPEPSYA PLEB,INJEKSI 42,000 33,000
    79 DIANA PUTRI 45 TH P PERINTIS RT 032 767234 ASMA O2,NEBU,INJEKSI 42,000 33,000
    80 YUNI MUSTIKA 24 TH P KH.M.MANSYUR RT 029 840379 INPARTU VT,DOPLER 42,000 33,000
    81 HERU KUNCORO 13 TH L AGUS SALIM GG 4 BLOK D RT 030 840322 COLC GASTER INJEKSI 42,000 33,000
    82 AMIR LAPAGU 66 TH L PELITA 2 RT 006 604705 ASMA O2,NEBU,INJEKSI 42,000 33,000
    83 M.HUDA ILHAMSYAH 4 TH L KESEHATAN DALAM RT 001 840329 VL WTH III,INJEKSI 42,000 33,000
    84 NINA INDRIANI 27 TH P ST.SULAIMAN GG H SALMAN RT 010 106022 DISPEPSYA INJEKSI 42,000 33,000
    85 INDAH 24 TH P SIRADJ SALAMAN RT 027 779970 DISPEPSYA INJEKSI 42,000 33,000
    86 RIKANI SURYA 34 TH L AZIS SAMAD RT 028 840371 CKR RESEP 42,000 33,000
    87 DAHNIAR 27 TH P GN LINGAI RT 004 840306 INPARTU VT,DOPLER 42,000 33,000
    88 HANIF ANWAR 38 TH L P.SURYANATA GG HIKMAH 840197 RETENSIO URIEN PASANG CATETER 42,000 33,000
    89 TESALONIKA SIMANGUNSONG 8 TH P DAYA BESAR RT 024 BKUAN 840343 DOG BITE WT,INJEKSI 42,000 33,000
    90 NOVIAN RAHMAT HIDAYAT 6 TH L SENTOSA GG 3 NO 66 RT 030 653142 VL WT 42,000 33,000
    91 5/5/2015 FITRAH PATIMAH 22 TH P AWS RT 11 GG 7 NO 13 833145 ISK PLEB,DOPLER 42,000 33,000
    92 M.AZIS FIKRI 20 TH L KERUKUNAN RT 043 840422 FEBRIS PLEB,INJEKSI 42,000 33,000
    93 ANDI AYRAH AULIA ZAKINAH 5 TH P SIRADJ SALAMAN RT 027 840563 VOMITING SUPP 42,000 33,000
    94 HENY 42 TH P S.KAYAN RT 022 NO 62 840463 KISTA UTERI PLEB 42,000 33,000
    95 REZKI 39 TH P JELAWAT GG 7 RT 007 840447 INPARTU VT,DOPLER 42,000 33,000
    96 FACHRULLAH 31 TH L RE.M.DINATA GG TUKANG RT 009 810532 ASMA NEBU,INJEKSI 42,000 33,000
    97 SITI NAIDA 9 TH P DR.SOETOMO RT 039 822934 ISPA INF,PLEB,NEBU 42,000 33,000
    98 WA AINITA 58 TH P OTISTA GG BUDIMAN RT 023 685885 CHF PLEB,EKG,INJ,DC,O2,RJP 42,000 33,000
    99 DWI PUSPITA SARI 31 TH P SENYIUR INDAH 3 B RT 041 637509 GRAVID+kista 0VARIUM DOPLER,SUPP,VT 42,000 33,000
    100 NUR SOFFIYAH R 2 TH P BIAWAN GG 2 RT 016 826786 EPILEPSI INF,PLEB 42,000 33,000
    101 KOESNADI 66 TH L P.BANDA NO 19 RT 005 840457 CAD EKG 42,000 33,000
    102 WANA ASTUTI 27 TH P KEMAKMURAN GG 1 RT 015 782306 ASMA NEBU,O2 42,000 33,000
    103 M.SHAHIH SALEH 66 TH L S.ALIMUDDIN RT 035 452410 ASMA NEBU,O2 42,000 33,000
    104 YUTTI ARIANI 35 TH P P.ANTASARI WIRA 3 NO 25 840440 VL WTH II,INJEKSI 42,000 33,000
    105 NASARUDDIN 32 TH L TANJUNG ARU RT 40 840470 CORPAL IRIGASI MATA 42,000 33,000
    106 MASE 37 TH L DR.SOETOMO GG 4A RT 032 840492 ABSES PERIANAL RESEP 42,000 33,000
    107 ARIEF RAHMAN N 34 TH L PERJUANGAN ALAM SEGAR II RT 003 840475 OBS MELENA INF,PLEB,INJEKSI 42,000 33,000
    108 LISNAWATI 41 TH P L.MANGKURAT RT 010 741859 ISPA RESEP 42,000 33,000
    109 MARIYAM 47 TH P SUBULUS SALAM RT 032 174178 HT INJEKSI 42,000 33,000
    110 M.AZIS FIKRI 20 TH L KERUKUNAN RT 043 840422 FEBRIS PLEB,INJEKSI 42,000 33,000
    111 WARDAH 41 TH P KEMAKMURAN RT 014 262093 GRAVID PLEB 42,000 33,000
    112 JANA ARISTA 22 TH P PADAT KARYA RT 008 SMPJ 830512 ASMA NEBU,O2 42,000 33,000
    113 RUSDIANA 62 TH P P.ANTASARI GG 6 RT 045 745347 FEBRIS EKG,INJEKSI 42,000 33,000
    114 WAHYU TRI ATMAJAYANTI 32 TH P KEBON AGUNG RT 048 840436 INPARTU VT,DOPLER 42,000 33,000
    115 6/5/2015 NAUFAL FAYYADH EFFENDI 4 TH L PEMUDA II RT 008 840601 INSERT BITE INJEKSI 42,000 33,000
    116 ABD SOMAD 58 TH L P.ANTASARI GG KURDI RT 007 762738 DISPEPSYA EKG,INJEKSI 42,000 33,000
    117 MADI 42 TH L PUSAKA RT 015 812118 ATHRALGIA RESEP 42,000 33,000
    118 MARDIANSYAH 54 TH L OTISTA RT 029 800448 HEMAPTOE PLEB 42,000 33,000
    119 ADITYA SAPUTRA 7 TH L GERILYA GG MANDIRI NO 29 840604 ASMA NEBU,O2 42,000 33,000
    120 M.AINI 65 TH L SENTOSA GG KENANGAN RT 073 840605 ASMA O2,NEBU,INJEKSI 42,000 33,000
    121 MISLIANA 28 TH P T.UMAR GG DURIAN TUNGGAL 840531 INPARTU VT,DOPLER 42,000 33,000
    122 M.RAMDHANI 17 TH L PUSAKA RT 015 840585 ISPA RESEP 42,000 33,000
    123 ASNUN ZAINAB 57 TH P CM.KUSUMO RT 035 002193 GLAUKOMA INFUS 42,000 33,000
    124 NIWANTIN 49 TH P P.ANTASARI WIRA 2 RT 026 840572 FEBRIS RESEP 42,000 33,000
    125 AJI PANGESTU 1 TH L GATSU GG 2 RT 001 832942 ISPA RESEP 42,000 33,000
    126 M.RAFFA ANUGERAH 3 TH L KH.MAS MANSYUR RT 028 742257 PAROTITIS RESEP 42,000 33,000
    127 SANIAH ARSYAD 47 TH P PROKMASI IV NO 16 RT 052 683933 DM PLEB,EKG,INJEKSI 42,000 33,000
    128 ANISA SAFIRA FARRAS ZAKIYA 8 TH L PERUM GTL BLOK L NO 04 RT 013 681727 FARINGITIS PLEB 42,000 33,000
    129 BIMA PRATAMA 7 TH L AM SANG AJI GG AKAS RT 017 737612 VL WTH II,INJEKSI 42,000 33,000
    130 INAYAH 33 TH P KEBON AGUNG RT 005 840582 INPARTU VT,DOPLER 42,000 33,000
    131 M.ADITYA PRATAMA 10 TH L S.RIADI GG 6 RT 017 823292 ISPA PLEB,INJEKSI 42,000 33,000
    132 RIFKI RAHMAWATI 30 TH P HASANUDDINRT 019 SEI SIRING 840593 GRAVID+ ISK INF,PLEB,VT,DOPLER ,O2 42,000 33,000
    133 MAREM 60 TH P HASAN BASRI GG 2 RT 022 452972 VERTIGO PLEBO,EKG 42,000 33,000
    134 HUMAIRO 1 TH P S.PARMAN GG 4 RT 029 824500 GEA RESEP 42,000 33,000
    135 KAYLA RISQI RAMADHANI S 2 TH P KEMAKMURAN GG KNPI RT 021 734402 ISPA RESEP 42,000 33,000
    136 M.NADIF RIZKI 12 TH L PM.NOOR PERUM GMS RT 006 576297 ASMA NEBU,O2 42,000 33,000
    137 7/5/2015 HAIRUL FADILLAH 8 TH L MELATI RT 006 840681 FEBRIS INF,PLEB,INJEKSI 42,000 33,000
    138 YUDHIS TIRA NUASA LASMANA 25 TH L DR.SOETOMO GG 7 BLOK B RT 034 840799 PULPITIS INJEKSI 42,000 33,000
    139 LA PIDU 52 TH L AWS RT 026 840668 TRAUMA TUMPUL THORAX PLEB,O2,EKG 42,000 33,000
    140 ARPIAH 81 TH P MELATI RT 006 793780 DISPEPSYA EKG 42,000 33,000
    141 SAMINI 58 TH P ARJUNA GG 2 RT 013 840547 SUSP CLOSE FRAKTUR INFUS 42,000 33,000
    142 LANURU 33 TH L OT ISTA GG BUDIMAN RT 023 840676 FEBRIS PLEB 42,000 33,000
    143 SUPIANI 31 TH P P.SURYANATA RT 017 840684 EMESIS PLEB,VT,DOPLER 42,000 33,000
    144 SUTRISNO 70 TH L PADAT KARYA GG MANDIRI RT 009 841217 DM PLEBO,EKG 42,000 33,000
    145 HIDAYAH 43 TH P WIRATAMA RT 003 009434 GEA INF,PLEB,INJEKSI 42,000 33,000
    146 KARLINA 34 TH P AGUS SALIM GG 5D RT 031 840698 THIPOID PLEB 42,000 33,000
    147 MASKIAH 58 TH P PERUM SIP H6 RT 30 083639 GASTRITIS INJEKSI 42,000 33,000
    148 DEWI NUR HIMMAH 7 TH P AGUS SALIM RT 031 781429 ISPA PLEB 42,000 33,000
    149 SANUSI 63 TH L KADRIE OENING RT 015 840621 ASMA NEBU,EKG,O2,INJEKSI 42,000 33,000
    150 YUYUN WAHYUNI 23 TH P BUNG TOMO RT 021 840638 INPARTU VT,DOPLER 42,000 33,000
    151 RIANA EFFENDY 21 TH P AGUS SALIM GG 5D RT 031 840626 AB COMPLETE PLEB 42,000 33,000
    152 M.AMIN ASSYIDIQI 11 TH L W.MONGONSIDI RT 022 571309 CF CLAVICULA KONSUL 42,000 33,000
    153 RAMADHANSYAH 61 TH L URIP SUMO HARJO RT 031 840214 STROKE HEMORAGIC INF,PLEB,EKG,NGT,MON,INJEKSI 42,000 33,000
    154 8/5/2015 RAPIDAH 48 TH P L.MANGKURAT GG II NO 2RT 039 684828 ISK PLEB 42,000 33,000
    155 JAMILAH 52 TH P KH.MAS MANSYUR GG DEWI RT 027 574182 ASMA NEBU,EKG,O2,INJEKSI 42,000 33,000
    156 RASINI 45 TH P REVOLUSI GG 16 RT 008 823134 DM PLEB,EKG,INJEKSI 42,000 33,000
    157 SANAH 59 TH P S.PARMAN GG 4 RT 028 840723 DISPEPSYA PLEB,INJEKSI 42,000 33,000
    158 FACHRULLAH 31 TH L RE.M.DAINATA GG TUKANG RT 009 510532 ASMA O2,NEBU,INJEKSI 42,000 33,000
    159 RADEN AKBAR 5 TH L BUGIS MUGIREJO RT 004 698421 CKR INF 42,000 33,000
    160 SANAH 59 TH P S.PARMAN GG 4 RT 028 436741 DISPEPSYA PLEBO,EKG 42,000 33,000
    161 NENI NURHASANAH 19 TH P ULIN RT 025 NO 7 840724 ISK PLEB,INJEKSI 42,000 33,000
    162 ROHANI HIKWAN 32 TH P CENDANA GG 15 RT 041 674915 ISPA RESEP 42,000 33,000
    163 M.RAFIL SABANA 2 TH L KEMAKMURAN FF AMAN RT 043 721585 FURUNKEL RESEP 42,000 33,000
    164 RUSMINI 56 TH P P.DI[PONOGORO GG LANGGAR RT 031 821169 DM PLEB,INJEKSI 42,000 33,000
    165 DIMAS TRESNA H 15 TH L BIAWAN GG 2D RT 021 430305 GEA RESEP 42,000 33,000
    166 MARIANI 47 TH P GELATIK 2 GG TITIAN ART 015 840769 DISPEPSYA EKG,INJEKSI 42,000 33,000
    167 SITI FATIMAH 37 TH P MANGGIS RT 044 346778 KONSTIPASI PLEB 42,000 33,000
    168 BASIAH 28 TH P H.MAKSUM BAYUR 019 841212 CARDIOMEGALI INF,PLEB,O2 42,000 33,000
    169 PUTRA RAMADHAN 1 TH L DELIMA RT 051 825951 FEBRIS SUPP 42,000 33,000
    170 SITI ULFA 32 TH P SUTOMO GG 8 BLOK A RT 035 840719 FEBRIS PLEB,INJEKSI 42,000 33,000
    171 DEWI NURIYANI 35 TH P LMANGKURAT GG AR RAHMAN RT 018 806794 INPARTU VT,DOPLER 42,000 33,000
    172 HELDA SUSANTI 24 TH P URIP SUMO HARJO RT 031 840763 BSK PLEB 42,000 33,000
    173 BASNIARTI 49 TH P KH.WAHID HASYIM RT 013 677022 VERTIGO EKG,INJEKSI 42,000 33,000
    174 ISMAL YATIM 30 TH L KH.MAS MANSYUR RT 037 186668 ASMA O2,NEBU,INJEKSI 42,000 33,000
    175 NINA INDRIANI 26 TH P S.SULAIMAN GG H SALMAN RT 010 706022 DISPEPSYA PLEB,O2,INJEKSI 42,000 33,000
    176 9/5/2015 M.REISYA 4 TH L LUMBA LUMBA GG 6 RT 004 566405 ISPA SUPP 42,000 33,000
    177 M.UNTUNG BENAR P 54 TH L IMAM BONJOL GG 10 NO 46 RT 10 826529 RETENSIO URIEN PASANG CATETER 42,000 33,000
    178 PRAHMAWATI 29 TH P DR.W.SUDIROHUSODO RT 014 841105 V.ICHTUM CROSS INSISI,INJEKSI 42,000 33,000
    179 HERRY OSCAR 53 TH L MUSO SALIM NO 68 RT 015 773624 CKD O2,INJEKSI 42,000 33,000
    180 SITI BAQIAH 57 TH P AGUS SALIM GG 40 RT 30 789843 ASMA O2,NEBU,INJEKSI 42,000 33,000
    181 FACHRI ANDRA WINATA 7 TH L DAMAI GG 1 RT 009 841179 FEBRIS PLEB 42,000 33,000
    182 IQBAL IRFANSYAH 32 TH L AWS 4 RT 025 499512 VOMITING PLEB,INJEKSI 42,000 33,000
    183 SITI AMINAH 44 TH P PROKLAMASI 1 BLOK O DLAM RT 055 723041 ASMA O2,NEBU,INJEKSI 42,000 33,000
    184 AMIR HASAN 62 TH L L.MANGKURAT GG 1 RT 41 705079 VERTIGO EKG 42,000 33,000
    185 SADAM 16 TH L OTISTA RT 029 586581 SCABIES RESEP 42,000 33,000
    186 BUDIONO 48 TH L M.A.SALEH RT 041 802300 CHEST PAIN EKG 42,000 33,000
    187 TRI HANDAYANI 35 TH P TALANG SARI RT 004 841122 GEA PLEB,INJEKSI 42,000 33,000
    188 RINDU SYAKHIANIQ RUSMANA 4 BL P TRI SARI RT 023 841154 ISPA RESEP 42,000 33,000
    189 KHERIRA KANAYA PUTRI 4 TH P SEJAHTERA IV NO 55 RT 001 695124 FEBRIS RESEP 42,000 33,000
    190 ADI PRATAMA 3 TH L S.PARMAN RT 001 779190 ISPA RESEP 42,000 33,000
    191 ANI 34 TH P KH.W.HASYIM RT 013 473894 ISK PLEB 42,000 33,000
    192 JELITA SABRINA ZETA 7 TH P PEMUDA III RT 011 841143 FEBRIS RESEP 42,000 33,000
    193 M.IRFAN 13 TH L LATSITARDA II GG MANUNGGAL RT 035 841138 FEBRIS PLEB 42,000 33,000
    194 SRI MURTI 31 TH P REFORMASI RT 015 477529 ISK PLEB 42,000 33,000
    195 FERY GUNAWAN 18 TH L GN LINGAI RT 003 841107 DISPEPSYA INJEKSI 42,000 33,000
    196 SAMILAH 63 TH P GELATIK GG TITIAN RT 015 841134 VL WT 42,000 33,000
    197 RAHMAWATI 34 TH P JELAWAT RT 004 662831 VL RESEP 42,000 33,000
    198 SEKAR WINRA PRABRAN N 7 TH P CM.KUSUMO RT 001 841133 DHF PLEB 42,000 33,000
    199 ABD RASYID AL ABRIZAM 1 TH L PADAT KARYA RT 008 SMPJ 823427 ISPA PLEB 42,000 33,000
    200 ALLEN PRATAMA PUTRA 27 TH L JELAWAT GG 8 NO 20 RT 003 694037 ASMA INF,PLEB,NEBU,O2,CONSUL 42,000 33,000
    201 10/5/2015 INDRA SUKRA YHUDA MS 28 TH L KEMAKMURAN GG KNPI RT 021 428796 ISPA RESEP 42,000 33,000
    202 MUSTAQIM ZALPIRO 15 TH L SUBULUS SALAM RT 036 841278 VL WTH III,INJEKSI 42,000 33,000
    203 DIANA MURTI 46 TH P PERINTIS RT 032 767234 PPOK NEBU,EKG,O2,INJEKSI 42,000 33,000
    204 HARLIMAN 70 TH L CENDANA GG 4 BLOK B RT 004 778609 ULKUS PEPTIKUM PLEB,EKG,INJEKSI 42,000 33,000
    205 USWA ONENSIS 8 TH L PRATAMA GG 4 841234 VOMITING INJEKSI 42,000 33,000
    206 JUMRIANA 25 TH P P.SURYANATA GG 1 RT 018 841208 ISPA RESEP 42,000 33,000
    207 ABDULLAH 73 TH L KAHOI B RT 031 841224 GEA INF,INJEKSI 42,000 33,000
    208 HENI MULYAWATI 37 TH P ST ALIMUDDIN RT 022 478123 OSTEOMELITIS PLEB,INJEKSI 42,000 33,000
    209 HERRY OSCAR 53 TH L MUSO SALIM NO 68 RT 015 773624 CKD O2 42,000 33,000
    210 GIMIN 67 TH L BUKIT BARISAN RT 034 841221 RETENSIO URIEN PLEB,DC 42,000 33,000
    211 RONA TALITHA SALSABILA 11 TH P RUIMBIA GG 2 NO 20 RT 018 841214 FARINGITIS PLEB 42,000 33,000
    212 MADIANSYAH 45 TH L RUIMBIA GG 2 NO 20 RT 018 841213 HT EKG 42,000 33,000
    213 S JIWANTO 61 TH L TURI PUTIH 2 248 RT 89 332814 FEBRIS PLEB,EKG,INJEKSI 42,000 33,000
    214 HANAFIAH 47 TH P S.PARMAN GG 3 RT 032 841280 GASTRITIS INJEKSI 42,000 33,000
    215 SA ANAH 34 TH P PERUM SIP F 323 RT 035 841203 INPARTU VT,DOPLER 42,000 33,000
    216 SANAWI 55 TH L KEDONDONG DALAM V RT 07 841195 RETENSIO URIEN PASANG CATETER 42,000 33,000
    217 NUR SYIFA NAFISAH DEWI 6 TH P MUGIREJO RT 013 627437 VOMITING INJEKSI 42,000 33,000
    218 NURUL HIDAYAH 1 TH P RE.M.DINATA GG MELATI RT 008 772058 ISPA PLEB 42,000 33,000
    219 MERRY ANNIKMAH 6 TH P L.MANGKURAT RT 031 567646 FEBRIS RESEP 42,000 33,000
    220 YUDIANSYAH 40 TH P L.MANGKURAT GG SELAMAT RT 007 211400 BSK PLEB 42,000 33,000
    221 ARIEF RAHMAN N 34 TH L PERJUANAGN ALAM SEGAR II RT 003 840475 GASTRITIS RESEP 42,000 33,000
    222 M.JUNAIDI 35 TH L LABU MERAH 1 RT 071 841279 GASTRITIS PLEB,INJEKSI 42,000 33,000
    223 TRI HANDAYANI 35 TH P TALANG SARI RT 004 841122 COLIC ABDOMEN PLEB,INJEKSI 42,000 33,000
    224 11/5/2015 SITI ULFA 32 TH P DR.SOETOMO GG 8 BLOK A RT 035 840719 VERTIGO PLEB,INJEKSI 42,000 33,000
    225 SUPARDI 25 TH L KH.W.HASYIM RT 002 822540 DISPEPSYA INJEKSI 42,000 33,000
    226 SITI AISYAH 60 TH P OTISTA RT 015 741407 ASMA NEBU,EKG,O2,INJEKSI 42,000 33,000
    227 MARIA NATASYA MAU REMA 6 TH P TRI DARMA RT 013 841352 GEA RESEP 42,000 33,000
    228 YULIANTI 35 TH P S.RIADI RT 008 841427 INPARTU PLEB,VT,DOPLER 42,000 33,000
    229 WADIANTO 29 TH L TRISARI RT 022 841394 CONTUSIO M RESEP 42,000 33,000
    230 MARJANI 62 TH L OTISTA RT 018 103899 DISPEPSYA EKG,INJEKSI 42,000 33,000
    231 ASMA 42 TH P MAKASAR RT 011 841425 HT PLEB,EKG,INJEKSI 42,000 33,000
    232 KETANG 55 TH L DR.SOETOMO RT 034 808378 GERD EKG,INJEKSI 42,000 33,000
    233 ANDRE 19 TH L TRISARI RT 022 841400 VL WTH IV,INJEKSI 42,000 33,000
    234 A.ZHAI'NI 1 TH L MY.HARIYONO RT 10 841414 VOMITING INF,PLEB 42,000 33,000
    235 M.AL SHAFA CHOIRULLAH 7 TH L ANGGUR GG SALON NONI RT 056 841411 VOMITING INF,PLEB,INJEKSI 42,000 33,000
    236 SAMSIDAR 28 TH L BLOK AL RT 029 TNH MERAH 573623 CORPAL INJEKSI 42,000 33,000
    237 M.RAMDHANI 2 TH L PADAT KARYA RT 073 LOA BAKUNG 841392 GEA PLEB 42,000 33,000
    238 FEBBY FITRI YANNI 19 TH P PROPENSI RT 004 715957 DUB PLEB 42,000 33,000
    239 IBRAHIM RAHMAN 5 TH L BIAWAN GG 1 RT 021 762013 FEBRIS RESEP 42,000 33,000
    240 RINNDRIANRI A 25 TH P DELIMA RT 051 843228 GEA INJEKSI 42,000 33,000
    241 ENIE AISYAH FITRI 4 TH P PADAT KARYA RT 008 SMPJ 841418 FEBRIS RESEP 42,000 33,000
    242 YURISNA OKTAVIANUR 24 TH P PERUM SMT F401 RT 035 841343 COLIC ABDOMEN PLEB,SUPP,INJEKSI 42,000 33,000
    243 FITRIYANI 26 TH P CM.KUSUMO RT 004 841307 INPARTU VT,DOPLER 42,000 33,000
    244 ROCKY SUHARLIANTO 15 TH L L.MANGKURAT RT 019 841369 DISPEPSYA INJEKSI 42,000 33,000
    245 FACHRULLAH 31 TH L RE.M.DINATA GG TUKANG RT 009 510332 ASMA O2,NEBU,INJEKSI 42,000 33,000
    246 12/5/2015 RIDHO AHMAD FIRMANSYAH 9 TH L MERDEKA I RT 091 841220 CORPAL EKTRASI CORPAL 42,000 33,000
    247 ASRORI 48 TH L SIRAJ SALMAN RT 027 841513 SOFT TISUE RESEP 42,000 33,000
    248 LUAT ALBI 70 TH L PAMPANG RT 003 841457 RETENSIO URIEN PASANG CATETER 42,000 33,000
    249 SA'LAN 57 TH L T.UMAR RT 034 841530 OF DIGIT II MANUS SINISTRA KONSUL 42,000 33,000
    250 RUSMAN 58 TH L TARMIDI RT 012 841531 HT INJEKSI 42,000 33,000
    251 SATIYAH 42 TH P IRIGASI RT 008 PALARAN 595492 CKD INJEKSI 42,000 33,000
    252 JUNIAH 26 TH P PROPINSI RT 017 841497 CEPALGIA RESEP 42,000 33,000
    253 SUPINAH 52 TH P OTISTA RT 019 769897 CEPALGIA PLEB 42,000 33,000
    254 BAMBANG 50 TH L SEI KAYAN RT 022 656902 HT EKG 42,000 33,000
    255 SANDI 26 TH L PROPINSI RT 017 646623 DISPEPSYA RESEP 42,000 33,000
    256 HARTINI 56 TH P SENTOSA GG KENANGAN RT 076 481503 URTIKARIA RESEP 42,000 33,000
    257 M.AJIANSYAH 14 TH L SLAMET RIADI GG 8 N0 83 RT 038 545441 DISPEPSYA RESEP 42,000 33,000
    258 JUARDIN 28 TH L MANUNGGAL NO 42 RT 011 841492 COMMOND COLD RESEP 42,000 33,000
    259 JUWITA SARI 32 TH P KH.SAMANHUDI RT 004 779552 BSK PLEB,INJEKSI 42,000 33,000
    260 SUMARNI 47 TH P KOMP PASAR SEGIRI RT 028 841502 VERTIGO EKG,INJEKSI 42,000 33,000
    261 ELVIA ZAHARA 17 TH L BENGKURING RAYA 1 NO 346 RT 084 833129 ASMA NEBU,INJEKSI 42,000 33,000
    262 JAMMI 44 TH L CENDANA GG 11 RT 11 841452 FEBRIS PLEB,INJEKSI 42,000 33,000
    263 BASRI 60 TH L KARYA BARU RT 010 SMPJ 841517 PPOK EKG,INJEKSI 42,000 33,000
    264 TRI RETNOWATI 33 TH P PERUM PUSPITA AI/6 RT 092 376844 VE RESEP 42,000 33,000
    265 M.ZIDANE FEBRIANSYAH 10 TH L OTISTA RT 023 836632 FEBRIS PLEB 42,000 33,000
    266 HJ.MUTIARA RT 008 57 TH P MAS PENGHULU RT 008 614069 MENOMETRORAGIA PLEB 42,000 33,000
    267 NAPSIAH 74 TH L LUMBA LUMBA GG 2 RT 003 467698 CAD PLEB,EKG,INJEKSI 42,000 33,000
    268 INAROH 34 TH P RAUDAH III RT 012 772629 GASTRITIS PLEB 42,000 33,000
    269 HARIANTO 45 TH L MERAPI RT 013 450501 TETANUS PLEB 42,000 33,000
    270 BOLKEM 80 TH P AWS RT 026 816041 V.MORSUM WTH III,INJEKSI 42,000 33,000
    271 LADI 54 TH P TURI RAYA E /364 755265 DISLOKASI INF,PLEB 42,000 33,000
    272 HANIF ANWAN 38 TH L P.SURYANATA GG HIKMAH RT 031 840197 RETENSIO URIEN PASANG CATETER 42,000 33,000
    273 INDAH RAMADIANI 6 TH P CENDANA GG 12 RT 029 498616 ASMA NEBU,O2 42,000 33,000
    274 PANGARA 65 TH L KEMAKMURAN NO 113 RT 015 693610 PPOK O2,NEBU,INJEKSI 42,000 33,000
    275 CHALIMATUSAKDIAH 13 TH P JAKARTA GG IMAH RT 072 840159 FEBRIS PLEB 42,000 33,000
    276 A.ADAM 1 TH L P.ANTASARI NUSA INDAH RT 004 841159 ISPA RESEP 42,000 33,000
    277 RIGENT HIKMAH HIDAYAT 35 TH L REVOLUSI RT 031 840041 HEMAKHTROSIS RESEP 42,000 33,000
    278 LUCKY NICO SANDIAGA 1 TH L TRI SARI RT 025 808317 ASMA NEBU,O2 42,000 33,000
    279 13/5/2015 QEISYA NUR ZAHRA 3 TH P MANUNGGAL NO 01 RT 013 841554 V.ICHTUM CROSS INSISI,INJEKSI 42,000 33,000
    280 UMMU KAAERI 44 TH P AGUS SALIM GG 7D RT 037 408891 ASMA NEBU,O2 42,000 33,000
    281 SAMUEL ARIWES F MANULANAG 2 TH L RAUDAH RT 019 841590 CF CLAVICULA RESEP 42,000 33,000
    282 JULIANSYAH YS 1 TH L BANGGERIS GG 3 NO 11 RT 21 836346 FEBRIS RESEP 42,000 33,000
    283 HERRY OSCAR 53 TH L MUSO SALIM NO 68 RT 015 773624 ASMA NEBU,O2 42,000 33,000
    284 YURISNA OKTAVIANNUR 24 TH P PERUM SIP F401 RT 035 841343 COLIC ABDOMEN PLEB,INJEKSI 42,000 33,000
    285 NOOR RAHMAN PANCA WARDANA 12 TH L AGUS SALIM GG BAHAGIA RT 016 841554 VL WTH III,INJEKSI 42,000 33,000
    286 RISKA SURAHMAN PUTRI 18 TH P BUNG TOMO RT 002 841619 GRAVID VT,DOPLER 42,000 33,000
    287 BAMBANG 50 TH L SEI KAYAN RT 022 656902 FT RESEP 42,000 33,000
    288 SAID MUTHAR AL QADRI 47 TH L P.ANTASARI RT 030 584663 GEA INF,PLEB,INJEKSI 42,000 33,000
    289 FARHAN 6 TH L PERUM GMS RT 007 841161 VL WTH IV,INJEKSI 42,000 33,000
    290 AJI PANGESTU 1 TH L GATSU GG 2 RT 001 836328 ISPA O2 42,000 33,000
    291 FAHRIZAL 16 TH L MERDEKA GG OTOK RT 096 841602 FEBRIS PLEB,INJEKSI 42,000 33,000
    292 MAHDALENA 57 TH P JAKARTA RT 067 458621 SELULITIS DM PLEBO,EKG 42,000 33,000
    293 ANGELIA CALISTA 2 TH P DURIAN NO 163 RT 069 841533 CLOSE FRAKTUR ELASTIS,SPALAK,INF,PLEB 42,000 33,000
    294 AMIR HASAN 62 TH L L.MANGKURAT RT 410 GG 1 705079 VERTIGO EKG 42,000 33,000
    295 M.RENDY 9 TH L SAWI RT 021 841566 VOMITING PLEB,INJEKSI 42,000 33,000
    296 ANI PRASTIANINGSIH 32 TH P OLAH BEBAYA RT 002 841608 PERDARAHAN PERVAGINA PLEB 42,000 33,000
    297 RAMADAN 34 TH L JKARTA RT 067 516240 HEMAPTOE RESEP 42,000 33,000
    298 BAKTIAR HASAN 16 TH L JELAWAT GG 8 NO 3 RT 006 841626 V.ICHTUM CROSS INSISI,INJEKSI 42,000 33,000
    299 ZAHWA PUTRI C 4 TH P SENTOSA GG KENANGAN VII RT 077 604491 VARICELLA RESEP 42,000 33,000
    300 ABDUL MUSA 36 TH L OTISTA GG 12 RT 021 841580 FEBRIS INF,PLEB,INJEKSI 42,000 33,000
    301 MULIATI 40 TH P T.UMAR GG DURIAN TUNGGAL 841572 ISPA RESEP 42,000 33,000
    302 SHELLA MELINDA 10 TH P MERAPI RT 013 TANAH MERAH 270194 CONTUSIO M RESEP 42,000 33,000
    303 SOPYAN NUR 30 TH L ANGGREK SIRENA RT 022 841600 DISPEPSYA INJEKSI 42,000 33,000
    304 14/5/2015 WANA ASTUTI 27 TH P KEMAKMURAN GG 1 RT 015 782395 ASMA PLEB,NEBU 42,000 33,000
    305 M.SADDDAM MUHZIN 24 TH L DR.SOETOMOM RT 039 836329 INF,PLEB PLEB,EKG,INJEKSI 42,000 33,000
    306 NUR HAYATI 54 TH P BELIMAU RT 024 841673 VL WTH III,INJEKSI 42,000 33,000
    307 DIAN PUSPITA SARI 31 TH P ST.SULAIMAN RT 011 797054 DISPEPSYA INJEKSI 42,000 33,000
    308 AMI 60 TH L TENGKAWANG RT 015 841725 VERTIGO PLEB,EKG,INJEKSI 42,000 33,000
    309 KEYLA RIDWAN 1 TH P P.SURYANATA GG 1 RT 018 841208 ASMA NEBU,O2 42,000 33,000
    310 AKBAR REZKY 4 TH L DAMANHURI BLOK E RT 60 841724 FEBRIS RESEP 42,000 33,000
    311 PUJI SULISTIANTO 39 TH P BUKIT BARISAN RT 024 804152 ASMA NEBU,O2 42,000 33,000
    312 MASURUNG 25 TH L P.ANTASARI RT 022 841672 THIPOID PLEB 42,000 33,000
    313 DIAH AYU MIMBAR WATI 1 TH P PERJUANGAN RT 013 832973 FEBRIS RESEP 42,000 33,000
    314 RISZKA FAUZIAH ANWAR 12 TH P SITI AISYAH RT 017 802169 ASMA O2,NEBU,INJEKSI 42,000 33,000
    315 SITI MASKORAH 31 TH P S.PARMAN GG AMAL RT 002 841661 INPARTU VT,DOPLER 42,000 33,000
    316 NAZWA NUR SYIFA 4 TH P P.ANTASARI RT 022 626382 FEBRIS RESEP 42,000 33,000
    317 SOPIAN HADI 65 TH L L.MANGKURAT GG CEMPAKA RT 006 487371 VERTIGO PLEBO,EKG 42,000 33,000
    318 MAS'UD RIZALY 71 TH L L.MANGKURAT GG AR RAHMAN RT 018 841702 ASMA NEBU,EKG,O2,INJEKSI 42,000 33,000
    319 A.GOZALI AL KHIFARI 9 TH L PERUM PKL D 157 RT 016 841678 GIGIVITIS RESEP 42,000 33,000
    320 MAULANA SARIF H 11 TH P BAYAM 3 E 388 RT 88 754929 ASMA NEBU,O2 42,000 33,000
    321 SITI MAYSARAH 30 TH P AZIS SAMAD RT 038 GG.P.ANTASRI 841686 DERMATITIS RESEP 42,000 33,000
    322 OKTAVIANA E TOI 21 TH P RAUDAH RT 019 841635 INPARTU VT,DOPLER 42,000 33,000
    323 KAYLA RISQI RAMADHANI S 2 TH P KEMKMURAN GG KNPI RT 021 734402 FEBRIS RESEP 42,000 33,000
    324 DINA ADINI 26 TH P M.SAID RT 022 840776 ISK PLEB 42,000 33,000
    325 SYARIFUDDIN 55 TH L BAYUR RT 019 841685 MIGRAIN PLEB 42,000 33,000
    326 15/5/2015 SITI NAIDA 9 TH P SOETOMO RT 039 822934 ISPA NEBU,PLEB 42,000 33,000
    327 NUGRAHA SURYA PUTRA 23 TH L PM.NOOR RT 038 808180 DISPEPSYA PLEB,INJEKSI 42,000 33,000
    328 ARUMI KUSUMA R 1 TH P ROTAN SERUMPUT SALAK 1 RT 014 792970 GEA INF,PLEB 42,000 33,000
    329 M.SA'ED EL GHOMIDI 2 BL L BAYAM BLOK 1 RT 096 841814 KONVULSI PLEB 42,000 33,000
    330 IDHAM 43 TH L CENDANA GG 5 RT 018 841878 HEPATITIS RESEP 42,000 33,000
    331 SANTI 26 TH P P.ANTASARI RT 002 646149 ASMA PLEB,NEBU,INJEKSI 42,000 33,000
    332 DEVY AGUSTINA 17 TH P PERUM PKL D 724 RT 020 841862 GEA RESEP 42,000 33,000
    333 REISYA CHYNTIA MAULIDA 7 TH P KH.MAS MANSYUR RT 001 807875 ASMA INF,PLEB,NEBU,INEKSI 42,000 33,000
    334 LELA PANDEWA 26 TH P PAHLAWAN 2 RT 028 841879 SINUSITIS RESEP 42,000 33,000
    335 SITI ROHMAH 38 TH P TERONG 1 RT 081 841807 FEBRIS PLEB 42,000 33,000
    336 ZAHRA PUTRI ATMAJI 12 TH P MASRSA A SALEH RT 024 816567 COLIC ABDOMEN EKG 42,000 33,000
    337 AGUSTINA 13 TH P P.BENDAHARA RT 002 841793 FEBRIS PLEB,INJEKSI 42,000 33,000
    338 EVY YUNIARTI ANSHAR 24 TH P RUKUN RT 013 841798 DISPEPSYA INJEKSI 42,000 33,000
    339 NABILLA NUR ASSYIFA 1 TH P REEL 10 RT 020 844171 FEBRIS INJEKSI 42,000 33,000
    340 MIMI RUSMITA 22 TH P JELAWAT RT 007 841883 ASMA NEBU,INJEKSI 42,000 33,000
    341 M.ALFIAN NUR 4 TH L REEL 10 RT 020 802461 FARINGITIS RESEP 42,000 33,000
    342 NADA SALSABILA 1 TH P PM.NOOR RT 007 841861 ISPA RESEP 42,000 33,000
    343 MURIYAH 48 TH P SERAYU RT 022 841804 ISK PLEB,INJEKSI 42,000 33,000
    344 M.ARYA WIGUNA 6 TH L KH.MAS MANSYUR RT 026 841825 ASMA O2,NEBU,INJEKSI 42,000 33,000
    345 JUMANSYAH 58 TH L SITI AISYAH RT 028 159732 CAD RESEP 42,000 33,000
    346 5/16/2015 MISTANIAH 26 TH P P.SURYANATA GG TINGGIRAN RT 037 635938 DISPEPSYA INJEKSI 42,000 33,000
    347 ADI SANTOSO 28 TH L ERY SUPARJAN RT 012 841975 FEBRIS PLEB 42,000 33,000
    348 BAMBANG SURYONO 59 TH P RAMANIA RT 046 631623 ISPA NEBU 42,000 33,000
    349 ZIHAN ANISA HUMAIRAH 2 TH P JELAWAT GG 7 RT 006 841993 GEA RESEP 42,000 33,000
    350 ASWANI 46 TH L AWS RT 026 841934 CORPAL IRIGASI 42,000 33,000
    351 SUAJI 55 TH L M.SALIM RT 017 841956 V.ICHTUM INJEKSI 42,000 33,000
    352 DJARIAH 61 TH P ULIN RT 003 841972 HT INJEKSI 42,000 33,000
    353 NAJWA ALFARIZI 10 TH P ANGGUR RT 057 750372 VOMITING RESEP 42,000 33,000
    354 SRI MONA 48 TH P KEMAKMURAN GG SYUKUR RT 024 804547 ASMA NEBU,EKG,O2,INJEKSI 42,000 33,000
    355 SABRINA AMINAH ADHA 3 TH P ROTAN SERUMPUT SALAK 1 RT 014 792977 VOMITING INF,PLEB,INJEKSI 42,000 33,000
    356 NUR HASANAH 35 TH P JELAWAT NO 40 RT 001 499160 FEBRIS PLEB 42,000 33,000
    357 5/17/2015 SARTIANI 30 TH P A.YANI GG CAHAYA BARU RT 017 841978 INBALANCE HORMONAL RESEP 42,000 33,000
    358 HERRY OSCAR 53 TH L MUSA SALIM NO 68 RT 15 773624 CKD O2,INJEKSI 42,000 33,000
    359 M.AGUNG K 3 TH L JATI 2 RT 027 820949 FEBRIS PLEB 42,000 33,000
    360 DHELLA JUNIAR ZHAGI 17 TH L PEMUDA 1 NO 126 RT 008 732502 DISPEPSYA INJEKSI 42,000 33,000
    361 NITA INDAH PERTIWI 15 TH P DAMAI RT 028 842006 SCABIES RESEP 42,000 33,000
    362 NUR ULIMA AZ Z 11 TH P PERUM GTS RT 007 842021 GEA RESEP 42,000 33,000
    363 NOVITA LESTARI 21 TH P P.BENDAHARA RT 003 841962 INPARTU VT,DOPLER 42,000 33,000
    364 ESSE SANUSI 44 TH L PROKLAMASI RT 051 568494 ASMA O2,NEBU,INJEKSI 42,000 33,000
    365 SITI ZUBAIDAH 22 TH P SALAK IV RT 014 841966 DISPEPSYA INJEKSI 42,000 33,000
    366 KASRIAH 47 TH P OTISTA RT 022 418743 ASMA O2,NEBU,INJEKSI 42,000 33,000
    367 SONIA PRATIWI 9 TH P MERDEKA V NO 52 RT 94 841987 COLIC ABDOMEN RESEP 42,000 33,000
    368 M.RAFFA ANUGRAH 3 TH L KH.MAS MANSYUR RT 028 812364 VARICELLA RESEP 42,000 33,000
    369 BASNIARTI 49 TH P KH.W.HASYIM RT 013 677022 DISPEPSYA INJEKSI 42,000 33,000
    370 YUSMAN 50 TH L REVOLUSI RT 016 RT 008 841944 DISPEPSYA EKG,INJEKSI 42,000 33,000
    371 MASANGANG 55 TH L ST.ALIMUDDIN RT 033 805427 STEMI INF,PLEB,EKG,O2 42,000 33,000
    372 ROSALIA LAMBOH 41 TH P KEMUNINGG NO 28 RT 020 658931 ISK PLEB 42,000 33,000
    373 SRINI 57 TH P KH.SAMANHUDI GG RAJAWALI RT 005 841916 ANEMIA PLEB 42,000 33,000
    374 5/18/2015 RUDIE 36 TH L M.YAMIN RT 027 NO 16 842150 VL INJEKSI 42,000 33,000
    375 RESTI AMALIA ULFAH 25 TH P CENDANA GG 5 RT 017 842126 GRAVID PLEB,DOPLER 42,000 33,000
    376 SUGENG RIYADI 24 TH L BATU CERMIN RT 05 842146 VE WT 42,000 33,000
    377 DIAN SAPUTRA 10 TH L PAHLAWAN 2 RT 029 842144 VL WTH III,INJEKSI 42,000 33,000
    378 IIN NUR INDAH SARI 24 TH P PESUT GG 2 RT 021 842147 LARRINGITIS PLEB 42,000 33,000
    379 SUPARMI 50 TH P AM SANGAJI RT 020 842123 HIPOGLIKEMI PLEB,EKG,INJEKSI 42,000 33,000
    380 KURNIAH 51 TH P JOYO MULYO RT 028 836387 DISPEPSYA PLEB,EKG,O2,INJEKSI 42,000 33,000
    381 AZIZAH DIANA PUTRI 2 TH P AGUS SALIM GG BAHAGIA RT 016 741532 VOMITING RESEP 42,000 33,000
    382 WA PANTI 27 TH P PURWODADI RT 009 842105 INPARTU VT,DOPLER 42,000 33,000
    383 ANTON RAMADANI 7 TH P M.YAMION GG 1 RT 017 604705 ASMA NEBU,O2 42,000 33,000
    384 ABD LATIF 60 TH L KOMP PASAR SEGIRI RT 028 709856 RETENSIO URIEN PASANG CATETER 42,000 33,000
    385 YUSUF 57 TH L MILONO RT 013 694840 PPOK NEBU,O2 42,000 33,000
    386 RAVAREL 2 TH L KH.W.HASYIM RT 011 842212 ISPA PLEB 42,000 33,000
    387 SITI FAHRIAH 47 TH P ADAM MALIK II RT 003 842135 CLOSE FRAKTUR INF,PLEB,KONSUL 42,000 33,000
    388 YULIANTI 40 TH P PERUM SMBT ASRI J 09 NO 15 RT 032 842155 DISPEPSYA INJEKSI 42,000 33,000
    389 M.YUNUS 25 TH L BAYUR RT 018 842132 DISPEPSYA INJEKSI 42,000 33,000
    390 BOYADI 53 TH L KS.TUBUN GG 7 RT 001 838390 VL INF,WTH IV,PLEB,EKG 42,000 33,000
    391 DIKA SUHARYANTI 21 TH P JELAWAT GG 9 RT 001 842177 INPARTU VT,DOPLER 42,000 33,000
    392 SITI ZUBAIDAH 32 TH P SALAK IV RT 014 841966 INPARTU VT,DOPLER 42,000 33,000
    393 WINTORO 38 TH L L.MANGKURAT GG H.USMAN RT 020 331627 ASMA O2,NEBU,INJEKSI 42,000 33,000
    394 5/19/2015 ABD LATIF 73 TH L P.SURYANATA GG KENARI RT 018 842174 ASMA NEBU,INJEKSI 42,000 33,000
    395 GIANTI WAHYUNI S 67 TH P SLADA 1 C NO 67 RT 080 716672 ASMA NEBU 42,000 33,000
    396 SUSILOWATI 32 TH P P.ANTASARI RT 030 837689 INPARTU VT,DOPLER 42,000 33,000
    397 SRI AMALIAYAH 34 TH P W.MONGONSIDI RT 021 711144 DISPEPSYA INJ 42,000 33,000
    398 LIDYAWATI 34 TH P NUSA INDAH RT 004 842224 INPARTU VT,DOPLER 42,000 33,000
    399 SANTI 26 TH P P.ANTASARI RT 02 NUSA INDAH 646149 DISPEPSYA INJEKSI 42,000 33,000
    400 SITI ROSAH 21 TH P BIOLA GG NIKMAH RT 033 693393 VOMITING PLEB,INJEKSI 42,000 33,000
    401 SYAKIRA FAADHILA T 10 TH P KEBAHAGIAN GG LANGGAR RT 040 842249 CAT BITE INJEKSI 42,000 33,000
    402 MUSLIHAT 61 TH L PEPAYA RT 001BUKUAN 842285 DISPEPSYA PLEB,EKG,INJEKSI 42,000 33,000
    403 KAIDIRI ALI 10 TH L PRAMUKA RT 031 669865 FEBRIS PLEB 42,000 33,000
    404 ABD RAHMAD KASMUN 45 TH L HASANUDDIN RT 005 842206 V.PUCHTUM WT,INJEKSI 42,000 33,000
    405 EKA YULIARNI 21 TH P KH.W.HASYIM GG WAHYU RT 039 842295 GASTRITIS INJEKSI 42,000 33,000
    406 DEVI PEBRIANTI DP 26 TH P PERUM RAPAK BENUANG RT 041 539786 COLIC ABDOMEN PLEB 42,000 33,000
    407 ASNAN 73 TH L P.ANTASARI RT 010 506111 PPOK O2,NEBU,INJEKSI 42,000 33,000
    408 ORLIN FARRASAH PUTRI 4 TH P PERJUANGAN RT 02 SMPJ 842246 CORPAL EXTRASI HIDUNG 42,000 33,000
    409 MEIIRAWATI 26 TH P RAMANIA RT 045 842211 COLIC ABDOMEN PLEB 42,000 33,000
    410 JUMARIYA 46 TH P RE.MARTADINATA RT 021 842298 ISK PLEB 42,000 33,000
    411 MULYANTO WIJAYA 23 TH L KH.USMAN BERAHIM RT 016 808993 COMMOND COLD PLEB 42,000 33,000
    412 DWI DEVI DELVIA 16 TH P SOEKARTO HATTA RT 023 438556 FEBRIS PLEB 42,000 33,000
    413 FARTYADILLAH YULIAN 30 TH P CERMAI GG II RT 001 713456 GRAVID VT,DOPLER 42,000 33,000
    414 ZAINUDDIN 45 TH L MERANTI GG MUFAKAT NO 20 842255 ISPA RESEP 42,000 33,000
    415 SUNYOTO 44 TH L GIRI REJO RT 023 842278 BSK RESEP 42,000 33,000
    416 20/5/2015 PUTRI AINI RASHIFA 2 TH P MERANTI GG 1 RT 017 805173 FEBRIS PLEB 42,000 33,000
    417 YULI ATMINI 37 TH P WIRATAMA GG KENALAN RT 004 627126 DISPEPSYA INJEKSI 42,000 33,000
    418 MAULIDA SIPA DINAR 19 TH P KH.ABD MUTHALIB RT 008 808017 KISTA RESEP 42,000 33,000
    419 SLAMET HARIANTO 36 TH L PADAT KARYA GG KETAPANG RT 048 842114 CEPALGIA RESEP 42,000 33,000
    420 MERLINA ANGNARNI 23 TH P DELIMA RT 051 727755 DISPEPSYA INJEKSI 42,000 33,000
    421 M.HAYKAL SAPUTRA 5 TH L PURWODADI RT 10 842381 CAT BITE WT,INJEKSI 42,000 33,000
    422 DELVIANA 20 TH P JELAWAT RT 005 842387 GRAVID VT,DOPLER 42,000 33,000
    423 SAFNAH 36 TH P ST.SULAIMAN RT 011 773707 ASMA NEBU,O2 42,000 33,000
    424 SITI BAQIAH 58 TH P AGUS SALIM GG 40 RT 30 789843 ASMA NEBU,INJEKSI 42,000 33,000
    425 EVIE MANSYUR 35 TH P SUMBER BARU RT 015 842356 GEA INF,INJEKSI 42,000 33,000
    426 HERRY OSCAR 53 TH L MUSO SALIM NO 68 RT 015 773624 CKD O2 42,000 33,000
    427 SARIFUDIN 53 TH L T.UMAR RT 035 827535 HHD PLEBO,EKG 42,000 33,000
    428 ERMAWATI 23 TH P GELATIK RT 016 693831 CEPALGIA RESEP 42,000 33,000
    429 HASAN HS 71 TH L S.RIADI GG GOTONG ROYONG RT 031 347874 FEBRIS INF,EKG,INJEKSI 42,000 33,000
    430 M.UNTUNG BENAR P 34 TH L IMAM BONJOL GG 10 NO 46 RT 10 826529 RETENSIO URIEN PASANG CATETER 42,000 33,000
    431 PRIDA DINATA 12 TH P MT.HARIYONO GG RAWA JAYA RT 001 842361 VL WT,INJEKSI 42,000 33,000
    432 HALIPAH 61 TH P DR.SOETOMO GG 2 NO 61 RT 030 842316 COLIC GASTER EKG,INJEKSI 42,000 33,000
    433 M.REHAN AKBAR RAMADHAN 16 TH L KEMANGI GTL U5 RT 018 531932 ISPA RESEP 42,000 33,000
    434 RUSDIANA 36 TH P SUMBER BARU RT 015 525751 OSTOARTITIS PLEB,EKG,INJ 42,000 33,000
    435 YUSUF 57 TH L MILONO RT 013 694840 ASMA NEBU,INJEKSI 42,000 33,000
    436 FACHRULLAH 31 TH L RE.M.DINATA RT 009 510532 ASMA O2,NEBU,INJEKSI 42,000 33,000
    437 SELVI ROSLIANTI 28 TH P PROKLAMASI 1 RT 054 831337 GEA INJEKSI 42,000 33,000
    438 21/5/2015 RINI ANGGREANI 18 TH P ST.ALIMUDDIN RT 020 842471 DISPEPSYA PLEB,INJEKSI 42,000 33,000
    439 MEGA 23 TH P DAMAI RT 027 795041 APP PLEB 42,000 33,000
    440 HASIDAH 44 TH P DANAU TONDANO RT 026 730124 ASMA EKG 42,000 33,000
    441 AGUS SUMARDI 32 TH L MUGIREJO RT 013 616395 DISPEPSYA INJEKSI 42,000 33,000
    442 NAURA HASNA NOOR ANNIDA 1 TH P S.PARMAN RT 002 825079 VOMITING INJEKSI 42,000 33,000
    443 M.NASIR PADLI 48 TH L CM.KUSUMOMRT 010 626522 CHF PLEB,EKG,INJEKSI 42,000 33,000
    444 SITI YULIAN KASMAN 23 TH P TRI DARMA RT 013 841267 DISPEPSYA INF,PLEB,NGT 42,000 33,000
    445 ADIYA GILANG MAHESTI 3 TH L JOYO MULYO RT 037 842403 FEBRIS PLEB 42,000 33,000
    446 AZALIA MERIDA AILSA 1 TH P REVOLUSI GG KENANGA RT 043 825471 GEA RESEP 42,000 33,000
    447 SANAH 59 TH P S.PARMAN GG 4 RT 023 842497 DISPEPSYA EKG,PLEB,INJEKSI 42,000 33,000
    448 APRIL LIYANTINI 41 TH P BENGKURING NO 532 RT 040 806447 VL WTH III,INJEKSI 42,000 33,000
    449 BUDIONO 34 TH L A.YANI GG MASYARAKAT RT 03 838716 VL WTH,WT,INJ 42,000 33,000
    450 ABD MUTHOLIP 54 TH L LUMBA-LUMBA VII RT 005 842415 V.ICHTUM CROSS INSISI,INJEKSI 42,000 33,000
    451 SITI MARDIAH 24 TH P SENTOSA GG KENANGAN RT 075 842469 INPARTU VT,DOPLER 42,000 33,000
    452 ALESYA 1 TH P SENTOSA DALAM GG 9 RT 078 753875 ASMA NEBU,O2 42,000 33,000
    453 YEVI SIMNJUNTAK 44 TH P MERDEKA GG PRIBADI RT 091 769150 AB ININEN RESEP 42,000 33,000
    454 UMI YANA 33 TH P KEMAKMURAN GG 1 RT 015 834083 PARTUM VT,DOPLER 42,000 33,000
    455 ASNIAH 40 TH P S.PARMAN GG 4 RT 028 842483 VOMITING INJEKSI 42,000 33,000
    456 AMANDA MUTRIARA HERU 3 TH P TRISARI NO 28A RT 020 756382 FEBRIS PLEB 42,000 33,000
    457 A.SANORI 10 TH L REEL 10 RT 020 583590 FARINGITIS RESEP 42,000 33,000
    458 NOVIA APRI YANI 9 TH P PERUM TEMINDUNG INDAH 843463 ISPA RESEP 42,000 33,000
    459 22/5/2015 FARIS SYADDIN SYAFA'AT 1 TH L BATU CERMIN RT 006 755097 GEA RESEP 42,000 33,000
    460 ARDELIA TALITHA ISTIADDZAH 10 TH P BUKIT BARISAN RT 024 842521 ALERGI RESEP 42,000 33,000
    461 JAMAL KAHAR 22 TH L TURI PUTIH 4 E/305 RT 089 8425554 THYPOID RESEP 42,000 33,000
    462 FHAISAL NAIL SUBAKTI 2 TH L P.ANATASRI GG KARYA 48 A RT 030 841207 VOMITING RESEP 42,000 33,000
    463 KARLINA EMELIA 22 TH P LUBUK SAWAH RT 016 702062 TB RESEP 42,000 33,000
    464 M.MIRZA ISFAHANI 13 TH L PM.NOOR PERUM GMS RT 006 842536 FEBRIS RESEP 42,000 33,000
    465 ESTI DWI JAYANTI 29 TH P KS.TUBUN GG 9 D RT 036 553479 DISPEPSYA GDS.INJEKSI 42,000 33,000
    466 ALDI WAHYU HIDAT 13 TH L MUGIREJO GG PERJUANGAN RT 003 842527 ISK PLEB 42,000 33,000
    467 DARMAN TATA 61 TH L JUANDA 8 BELIMBING 6 NO 76 842526 BSK PLEBO,EKG 42,000 33,000
    468 M.THAMBIRIN UQGAFFI 12 TH L P.ANTASARI RT 052 842548 GEA PLEB,INJEKSI 42,000 33,000
    469 YESSI PRATIWI 20 TH P P.ANTASARI WIRA 2 RT 026 731916 THYPOID PLEB 42,000 33,000
    470 FATMAWATI 35 TH P SENTOSA GG H RUSLAN RT 044 810152 FEBRIS PLEB,INJEKSI 42,000 33,000
    471 SHERLY 15 TH P OTISTA GG BUDIMAN RT 023 709011 COLIC GASTER INF,PLEB,EKG 42,000 33,000
    472 MURINI AGUSTINA 14 TH P BATU CERMIN RT 005 460098 DISPEPSYA RESEP 42,000 33,000
    473 M.ABDAN FAHREZA 6 TH L BANGGERIS RT 021 755711 ASMA NEBU,O2 42,000 33,000
    474 MEIRAWATI 26 TH P RAMANIA RT 046 842211 BSK PLEB,SUPP 42,000 33,000
    475 ERNAWATI 39 TH P CM.KUSUMO RT 001 842490 ANEMIA INF,PLEB 42,000 33,000
    476 HERRY OSCAR 53 TH L MUSO SALIM NO 68 RT 015 773624 CKD O2,INJEKSI 42,000 33,000
    477 DIAN SYAFIKH ASSADY 5 TH L M.SAID GG SURYA RT 028 842547 VOMITING RESEP 42,000 33,000
    478 SYARIFAH 58 TH P GERILYA SOLONG RT 031 842487 VERTIGO EKG,INJEKSI 42,000 33,000
    479 ELIS SUAISTIVA 27 TH P S.PARMAN GG 2 RT 036 842546 DISPEPSYA INJEKSI 42,000 33,000
    480 ALLEN PRATAMA PUTRA 29 TH L JELAWAT GG 8 NO 20 RT 003 694337 ASMA INF,PLEB 42,000 33,000
    481 DHEA AURELYA SARI 5 TH P BELIMBING V RT 008 842528 FEBRIS PLEB 42,000 33,000
    482 ANDI AMALIA MUTIAH A 14 TH P BAYAM 3 A 384 RT 088 819047 CAT BITE WT,WTH II,INJEKSI 42,000 33,000
    483 23/5/2015 LISNAWATI 44 TH P PERUM PUSPITA AC /6 RT 093 842678 BSK PLEB,SUPP 42,000 33,000
    484 ALMER RASYAD PRAMA H 3 TH L AWS GG AMANAH RT 014 787215 ASMA NEBU,O2 42,000 33,000
    485 PERDI PRATAMA PUTRA 10 TH L KAKAP RT 024 842648 FEBRIS INF,PLEB 42,000 33,000
    486 ASNAN 73 TH L P,ANTASARI RT 008 842600 PPOK NEBU,O2 42,000 33,000
    487 LAZARUS NARI 69 TH L PADAT KARYA RT 064 793181 VERTIGO EKG,INJEKSI 42,000 33,000
    488 KHAIRIL 52 TH L IMAM BONJOL GG SAAD KAMAR RT 045 842630 COLIC ABDOMEN EKG,INJEKSI 42,000 33,000
    489 NADYA SABHIRANA AZZAHRA 2 TH P GERILYA GG PATRIOT RT 051 842661 CAT BITE WT,INJEKSI 42,000 33,000
    490 BAYU SAPUTRA 28 TH L RAJAWALI DALAM IV RT 14 842577 CKS INF,PLEB,DC,KAT III 42,000 33,000
    491 M.FARHAN 3 TH L A.DAHLAN RT 013 647308 ASMA O2,NEBU,INJEKSI 42,000 33,000
    492 HERRY OSCAR 53 TH L MUSO SALIM NO 68 RT 015 773624 CKD O2,INJEKSI 42,000 33,000
    493 DEWI PUSPITA SARI 22 TH P PADAT KARYA RT 015 SMPJ 838393 ISK PLEB 42,000 33,000
    494 RUSDI 52 TH L SMP8 RT 006 SMD SEB 842665 VERTIGO EKG 42,000 33,000
    495 IDA HARIANI 32 TH P SRIKANDI RT 010 842601 AB.IMINEM PLEB 42,000 33,000
    496 EMMY SARTIKA 36 TH P SRIKAYA 7 NO 8 RT 011 730947 ISK PLEB,INJEKSI 42,000 33,000
    497 MASNI 49 TH P LEMPAKE JAYA RT 024 592555 DM PLEBO,EKG 42,000 33,000
    498 NANDA CARINA PUTRI 18 TH P OTISTA GG MONALISA RT 023 842652 DISPEPSYA INJEKSI 42,000 33,000
    499 REZA FAHMI 22 TH L HASAN BASRI GG 2 RT 022 842611 VL WTH IV,INJEKSI 42,000 33,000
    500 SUMARTO 49 TH L KEBUN AGUNG RT 005 842667 KORPAL EXTRASI CORPAL 42,000 33,000
    501 ABIZAR QAIREEN ALFARIZI 1 TH L P.HIDAYATULLAH GG BAKTI RT 032 812875 VOMITING RESEP 42,000 33,000
    502 DITA RAMADHANIA 18 TH P M.SAID GG POLEWALI RT 030 785998 ISK PLEB 42,000 33,000
    503 RAHMAD HIDAYAT 27 TH L KH.ABDUL MUTHALIB RT 008 772214 ABSES PEDIS II S RESEP 42,000 33,000
    504 IDA AULIYA F 22 TH P SOLONG DURIAN RT 027 736072 DISPEPSYA INJEKSI 42,000 33,000
    505 ABIDIN 61 TH L PERUM SAMBUTAN ASRI RT 025 725588 HT EKG 42,000 33,000
    506 UMAH 44 TH P KH WAHID HASYIM RT 008 842642 ISK PLEB 42,000 33,000
    507 RIFQI FAJAR 15 TH L JELAWAT GG VI RT 008 842657 DISPEPSYA INJEKSI 42,000 33,000
    508 ARDI YANTO 45 TH L KOMP RATINDO C 11 842655 DISPEPSYA PLEB,INJEKSI 42,000 33,000
    509 ALIYAH 80 TH P PAKIS HIJAU 4 D/292 RT 083 814186 DISPEPSYA PLEB,INJEKSI 42,000 33,000
    510 SATRIA P PRATAMA CH 6 TH L SR.SOETOMO RT 039 842625 VOMITING INJEKSI 42,000 33,000
    511 DEWI NUR HIKMAH 7 TH P KH.AGUS SALIM RT 031 781429 ISPA PLEB 42,000 33,000
    512 ANANG MURNI 59 TH L S.RIADI GG 3 RT 030 842676 ISPA RESEP 42,000 33,000
    513 DHITA RIZKI AMANDA 20 TH P U.SUROPATI RT 013 BLOK L 4 842622 ASMA NEBU,O2 42,000 33,000
    514 5/24/2015 EKA KURNIAWATI 15 TH P PELITA 3 RT 012 842542 ISK PLEB 42,000 33,000
    515 RAHMIATI 42 TH P SRIKAYA 4 NO 12 RT 014 842692 CONTUSIO M RESEP 42,000 33,000
    516 ELLY YULIANWATI 48 TH P PARAK INDAH BLOK A NO 1 RT 036 842740 ALVUSI GRIDER RESEP 42,000 33,000
    517 MEGA KARLINDA 24 TH P JAKARTA GG BHAKTI NO 2 RT 069 838728 INPARTU VT,DOPLER 42,000 33,000
    518 SEPTER HERYANUS ALIMBUTO 45 TH L P.ANTASARI GG 8 RT 046 842722 DISPEPSYA PLEB,EKG,INJEKSI 42,000 33,000
    519 M.FAHMI 6 TH L MERDEKA NO 88 RT 092 789908 ASMA O2,NEBU,INJEKSI 42,000 33,000
    520 YUSUF 57 TH L MILONO RT 013 694840 ASMA O2,NEBU,INJEKSI 42,000 33,000
    521 RIZKY ANUGRAHA 27 TH L GATSU RT 026 842684 PALPITASI EKG,PLEB,O2,INJEKSI 42,000 33,000
    522 M.SAMAKRODJI 52 TH L M.YAMIN GG 1 RT 015 842690 ASMA NEBU,PLEB,EKG,O2 INJEKSI 42,000 33,000
    523 NAUFHAL ASQA FEBRIAN 1 TH L ST.SULAIMAN RT 010 754471 ASMA NEBU,O2 42,000 33,000
    524 SAHID FEBRIANNUR 1 TH L JELAWAT GG MOSI RT 022 837341 ISPA PLEB 42,000 33,000
    525 M.FADILAH 3 TH L NUSA INDAH RT 022 842722 ISPA PLEB 42,000 33,000
    526 M.MIRZA ISFAHANI 13 TH L P.NOOR PERUM GMS RT 006 842536 FEBRIS PLEB 42,000 33,000
    527 SADDIAH 58 TH P RAJAWALI DALAM RT 011 285006 VERTIGO EKG 42,000 33,000
    528 NATSYA PUTRI 1 TH P SR.SOETOMO RT 034 809325 ISPA PLEB 42,000 33,000
    529 FADIL RAMADHAN 1 TH L SAWI 3 RT 070 842735 GEA RESEP 42,000 33,000
    530 M.RASYA RAMADHAN 1 TH L AM.SANGAJI RT 020 789371 ISPA RESEP 42,000 33,000
    531 SITI SUWARTININGSIH 40 TH P SAMANHUDI GG AN NOOR II RT 01 842715 BATU GINJAL INJEKSI 42,000 33,000
    532 M.ARSA JANUARTA 1 TH L ST.SULAIMAN GG SALMAN RT 010 831128 BRONCHITIS NEBU 42,000 33,000
    533 HAFIDAH 46 TH P S.PARMAN GG IV RT 029 280796 ISK PLEB,INJEKSI 42,000 33,000
    534 5/25/2015 ABD LATIF 68 TH L MERANTI GG 1 RT 023 797757 CHF EKG,INJEKSI 42,000 33,000
    535 SYARIFAH AZQIA ISTIQOMAH 4 TH P JUANDA 7 G NO 44 RT 04 842819 FEBRIS RESEP 42,000 33,000
    536 JOSEFINA 8 TH P KH.W.HASYIM GG WAHYU RT 039 842837 FEBRIS PLEB 42,000 33,000
    537 M.ASPIANNUR 33 TH L ST.ALIMUDDIN RT 021 842811 NEPROLETIASIS PLEB,INJEKSI 42,000 33,000
    538 ILHAM RAMADHAN 19 TH L PERUM ASRI SMBT H6 RT 026 830982 VERTIGO RESEP 42,000 33,000
    539 M.SAJALI 26 TH L DI PANJAITAN LOKASI A RT 033 842825 DISPEPSYA INJEKSI 42,000 33,000
    540 ANDI HENDRY KURNIAWAN 9 TH L ST.HASANUDDIN GG LANGGAR RT 008 842762 HEMETEMESIS PLEB 42,000 33,000
    541 SAKINAH NUR ALIFAH 4 TH P RUMBIA GG 2 RT 017 842726 FEBRIS PLEB 42,000 33,000
    542 ASFIAN 45 TH L PEMUDA IV RT 004 842848 CKR PLEB,INJEKSI 42,000 33,000
    543 INTAN KUMALA SARI 22 TH P KEBUN AGUNG RT 002 842828 CKR RESEP 42,000 33,000
    544 SRIKANAH 48 TH P DR.SOETOMO RT 034 842786 VERTIGO INJEKSI 42,000 33,000
    545 JULIANSUYAH YS 1 TH L BANGGERIS GG 3 NO 11 RT 21 836346 KDS PLEB 42,000 33,000
    546 SALSIAH 41 TH P JELAWAT GG 9 RT 006 842776 ISK PLEB 42,000 33,000
    547 NOVELYN AUREL KARENZA 2 TH P JOYO MULYO RT 037 783916 ISPA RESEP 42,000 33,000
    548 DITA RAMADHANIA 18 TH P M.SAID GG POLEWALI RT 030 785998 FEBRIS INJEKSI 42,000 33,000
    549 ANGGINA NURMALA SARI 14 TH P KEBUN AGUNG RT 002 842827 CKR WT 42,000 33,000
    550 SUTIK 38 TH P PADAT KARYA RT 008 SMPJ 842818 VL WTH III,INJEKSI 42,000 33,000
    551 FATIMAH 65 TH P AM.SANGAJI RT 017 815025 CAD INF,PLEB,EKG 42,000 33,000
    552 5/26/2015 BELLA NABILLA 3 TH P KH.W.HASYIM RT 050 842896 ISPA RESEP 42,000 33,000
    553 HASBULLAH 50 TH L ULIN GG 23 RT 06 842922 ISPA RESEP 42,000 33,000
    554 ROBI HERIYANTO 29 TH L BUNG TOMO RT 025 842887 WT VE 42,000 33,000
    555 AL GAZALI 10 TH L ST.ALIMUDDIN RT 028 842929 V.ICHTUM CROSS INSISI,INJEKSI 42,000 33,000
    556 FAYHA ZAKYKA NOUR 2 TH P KH.HARUN NAFSI RT 017 842913 CAT BITE WT,INJEKSI 42,000 33,000
    557 KEYLA RIDWAN 1 TH P P.SURYANATA GG 1 RT 018 841208 ISPA RESEP 42,000 33,000
    558 SASKIA ASSIYIFA AZZAHRA 4 TH P PADAT KARYA NO 1 LOA BAKUNBG RT 048 842881 VOMITING PLEB,INJEKSI 42,000 33,000
    559 NANDA CARINA PUTRI 18 TH P OTISTA GG MONALISA RT 023 842652 ISK PLEB,EKG,INJEKSI 42,000 33,000
    560 FITRA ANHARI 26 TH P SERAYU RT 020 842947 GRAVID PLEB 42,000 33,000
    561 FATIMAH AZZAHRA 2 TH P GELAYIK NO 6 RT 016 673026 DISPEPSYA EKG 42,000 33,000
    562 SUGIANTO 35 TH L PERUM BORNEO MUKTI RT 042 842908 TROUMA THORAX RESEP 42,000 33,000
    563 UPIK HANDAYANI 18 TH P OTISTA RT 024 611295 DISPEPSYA INJEKSI 42,000 33,000
    564 MARDIANA 47 TH P PRAMUKA GG RANTAU RT 005 781132 MENOMETRORAGIA PLEB 42,000 33,000
    565 MULYADI 57 TH L PELITA GG III RT 039 842909 ASMA NEBU,O2 42,000 33,000
    566 YUDHA MOGA TIMURA 31 TH L JUANDA 8 MANGGA III RT013 789350 FARINGITIS RESEP 42,000 33,000
    567 JIHAN MANIRA 3 TH P KH.W.HASYIM RT 035 759870 FEBRIS SUPP 42,000 33,000
    568 M.ABDAN FAHREZA 6 TH L BANGGERIS RT 021 755711 ASMA NEBU,O2 42,000 33,000
    569 SUMIATI 50 TH P IJABAH RT 005 842948 DISPEPSYA PLEB,EKG,INJEKSI 42,000 33,000
    570 TEDI MAHENDRA 16 TH L CENDANA NO 15 RT 035 842910 SUSP FRAKTUR RANSEL VERBAN 42,000 33,000
    571 GALEN ZIGGY KURNIAWAN 1 TH L W.MONGONSIDI RT 021 797764 ISPA RESEP 42,000 33,000
    572 M.BRIAN RAMADHANI 6 TH L TRISARI RT 022 842925 PLASTIC DEFOMITY ANTEBRAHII RESEP 42,000 33,000
    573 M.NUR 75 BL L S.RIADI GG 6 RT 030 565876 VERTIGO RESEP 42,000 33,000
    574 INDRA SUKMA YUDHA M.S 28 TH L KEMAKMURAN RT 021 GG KNPI 428796 BRONCHITIS RESEP 42,000 33,000
    575 27/5/2015 KEYLA ASYIFA 4 TH P KH.ABD MUTHALIB RT 005 756562 ISPA PLEB 42,000 33,000
    576 GIANTI WAHYUNI S 67 TH P SLADA 1 C NO 67 RT 080 716672 ASMA NEBU,EKG,O2,INJEKSI 42,000 33,000
    577 RIDWAN ERVANDY 56 TH L OTISTA RT 016 427143 HT EKG 42,000 33,000
    578 ALDA SAFIQAH 6 TH P MULAWARMAN BUKUAN RT 032 842102 POLIP NASI INF,PLEB 42,000 33,000
    579 PENNY KRISDIANA 45 TH P ANGGUR RT 056 445883 DISPEPSYA INJEKSI 42,000 33,000
    580 SHINTA DEVIANI 22 TH P GATSU GG 1 RT 043 712872 HEG PLEB,INJEKSI 42,000 33,000
    581 MAONGGALIKA 22 TH L KS.TUBUN DALAM RT 014 842067 CKR RESEP 42,000 33,000
    582 ALDO RAHMADAN 3 TH L T.UMAR RT 035 843040 TONSILITIS PLEB 42,000 33,000
    583 MELLISA PUTRI ENDRIAN 6 TH P BUDIMAN RT 009 662151 FEBRIS RESEP 42,000 33,000
    584 YESSI PRATIWI 20 TH P P.ANATASARI WIRA 2 RT 026 731916 FEBRIS PLEB 42,000 33,000
    585 DHITA RIZKI AMANDA 19 TH P U.SUROPATI RT 013 BLOK L 4 842622 ASMA O2,NEBU,INJEKSI 42,000 33,000
    586 M.SHAHIH SALEH 66 TH L ST.ALIMUDDIN RT 029 200194 ASMA O2,NEBU,INJEKSI 42,000 33,000
    587 SITI AMINAH 44 TH P PROKLAMASI B BLOK O RT 056 719049 ASMA O2,NEBU,INJEKSI 42,000 33,000
    588 M.YUSUF 17 TH L RIMBAWAM RT 033 842979 DISPEPSYA INJEKSI 42,000 33,000
    589 RABANU PUTRA SAHAMUR 3 TH L BIAWAN GG 2 RT 016 731658 VOMITING INF 42,000 33,000
    590 JAMILAH 38 TH P LEMPAKE JAYA RT 013 423510 VERTIGO RESEP 42,000 33,000
    591 DEVI YULIA SARI 24 TH P BETAPUS RT 014 843010 DISPEPSYA RESEP 42,000 33,000
    592 MARHAN 68 TH L HASANUDDIN RT 005 762252 GEA EKG,INJEKSI 42,000 33,000
    593 SRI NURHAYATI 43 TH P JELAWAT RT 001 581116 DISPEPSYA EKG,INJEKSI 42,000 33,000
    594 LA ODE SABADIA 53 TH L TELKOM RT 004 330583 PPOK O2,EKG 42,000 33,000
    595 NITA DESI 26 TH P PEMUDA III BLOK B NO 28 RT 005 843003 INPARTU VT,DOPLER 42,000 33,000
    596 LILIS MAISARAH 32 TH P DI PANJAITAN GG H DUPDUP RT 070 497797 ASMA NEBU,O2 42,000 33,000
    597 SUWANTORO 40 TH L SENYIUR RT 023 828208 HEMOROID SUPP 42,000 33,000
    598 LA SIRAKA 57 TH L GN LINGAI RT 013 511361 HEMATEMESIS PLEB,EKG,GDS,O2 42,000 33,000
    599 ARIANTO 38 TH L AIR TERJUN PINANG SERIBU 843028 FEBRIS PLEB 42,000 33,000
    600 YA'KUP 54 TH L GERILYA GG FAMILI RT 035 843025 CONTUSIO M RESEP 42,000 33,000
    601 28/5/2015 GIANTI WAHYUNI S 67 TH P SLADA 1 C NO 67 RT 080 716672 COLIC ABDOMEN PLEB,EKG,INJEKSI 42,000 33,000
    602 M.BAYU BAHRUL ILMI 4 TH L M.SAID GG 2C rt009 651663 THYPOID PLEB,SUPP 42,000 33,000
    603 M.RIDUANSYAH 51 TH L KH.W.HASYIM GG DULLAH NO 40 RT 052 779224 CAD EKG,O2,INJEKSI 42,000 33,000
    604 GUSTI PUTRA R 8 TH L NUSANTARA RT 032 471015 THYPOID RESEP 42,000 33,000
    605 BADARUDINSYAH 53 TH L S.RIADI GG 5 RT 016 843112 DERMATITIS EKG,INJEKSI 42,000 33,000
    606 FATIMAH 40 TH P LUMBA LUMBA RT 007 843102 DISPEPSYA INJEKSI 42,000 33,000
    607 DONIE 43 TH L MERANTI TALANG SARI RT 001 843096 TRUMA CERVICAL KONSUL 42,000 33,000
    608 ARIEF SUBROTO 45 TH L JUANDA 4 JALUR 3 RT 001 600809 FEBRIS PLEB 42,000 33,000
    609 YUSUF 57 TH L MILONO RT 013 694840 ASMA O2,NEBU,INJEKSI 42,000 33,000
    610 PUSINA 50 TH P MERDEKA RT 088 677559 GEA INJEKSI 42,000 33,000
    611 M.RIZAL 7 TH L P.SURYANATA GG TINGGIRAN RT 037 672130 ISPA RESEP 42,000 33,000
    612 NURDIN T 58 TH L SWADAYA RT 021 NO 61 LOA BAKUNG 741359 RETENSIO URIEN PASANG CATETER 42,000 33,000
    613 HERRY OSCAR 53 TH L MUSO SALIM NO 68 RT 015 773624 CKD O2,EKG 42,000 33,000
    614 A.MUFID 6 TH L KADRIE OENING RT 019 842087 COLIC ABDOMEN PLEB,INJEKSI 42,000 33,000
    615 29/5/2015 MUHYI 40 TH L KEMAKMURAN DALAM RT 020 843239 ASMA O2,NEBU,INJEKSI 42,000 33,000
    616 PATMURI 27 TH L P.SURYANATA GG 99 RT 042 836681 GOUT ARTITIS INJEKSI 42,000 33,000
    617 SURATMI 57 TH P SENTOSA RT 072 843210 V.ICHTUM INJEKSI 42,000 33,000
    618 SURYA AFANDI 10 TH L GERILYA GG PATRIOT RT 051 843188 VL WTH III,INJEKSI 42,000 33,000
    619 SAVKK ARDAS PALIMBAYAN 24 TH L SEI SIRING RT 001 843202 CKR RESEP 42,000 33,000
    620 MARDIANA 36 TH P A.YANI RT 010 843222 HEG INJEKSI 42,000 33,000
    621 RAFA ADI SAPUTRA 1 TH L JOYO MULYO RT 036 843169 KDS/KONVULSI INF,MON,PLEB,DC,NGT,O2,KON 42,000 33,000
    622 DAHLAN 48 TH L SERAYU RT 021 660174 ISK PLEB,INJEKSI 42,000 33,000
    623 SHERLY 15 TH P OTISTA RT 023 709011 DISPEPSYA O2,INJEKSI 42,000 33,000
    624 SULAIMAN 68 TH L JELAWAT RT 022 843256 DISPEPSYA INJEKSI 42,000 33,000
    625 INDAH WAHYUNINGSIH 25 TH P GIRI REJO RT 026 843170 BSK PLEB 42,000 33,000
    626 ZUBAIDAH 29 TH P KH.SAMANHUDI GG HIKMAH R T01 753380 ASMA O2,NEBU,INJEKSI 42,000 33,000
    627 SUJIWANTO 61 TH l turi putih 2 RT 089 332514 CHF INJEKSI 42,000 33,000
    628 SUNARSIH 33 TH P KH.ALBUL HASAN GG 9 NO 79 705630 CEPALGIA INJEKSI 42,000 33,000
    629 M.ALIF 11 TH L U.SUROPATI RT 006 843240 CORPAL EXTRASI KORPAL 42,000 33,000
    630 SELLY 44 TH P AMUNTAI GG III RT 069 782639 CKR KONSUL 42,000 33,000
    631 SURATMI 50 TH P AM SANG AJI RT 018 NO 409 432918 VOMITING INF,PLEB,GDS,EKG,INJEKSI 42,000 33,000
    632 ALIFIN TAMBAYONG 43 TH L JOYO MULYO RT 031 843219 HEMAPTOE INJEKSI 42,000 33,000
    633 SARI SUSIANA 17 TH P KARANG MUMUS RT 007 843141 GRAVID RESEP 42,000 33,000
    634 OKTAVIANI SETYAWATI 15 TH P PURWODADI 843234 VL WTH II,INJEKSI 42,000 33,000
    635 A.DIEGO RETHAN 2 TH L PAHLAWAN GG 4 RT 020 843253 WE WT 42,000 33,000
    636 30/5/2015 M.KAHAR SAPUTRA 2 TH L JUANDA 2 RT 002 843512 ISPA RESEP 42,000 33,000
    637 RAIHAN ALHAFIS 8 TH L M.SAID GG SURYA RT 028 843508 ISPA RESEP 42,000 33,000
    638 ABDUL RAUF 41 TH L S.PARMAN GG 1 RT 001 765270 DISPEPSYA PLEB 42,000 33,000
    639 SAIDINA ASROFIL ALIM 9 TH P KAHOI 2B RT 035 698510 FEBRIS INF,PLEB,INJEKSI 42,000 33,000
    640 HASBULLAH 50 TH L ULIN GG 23 RT 06 842922 HT RESEP 42,000 33,000
    641 ERNAWATI 59 TH P JUANDA 7 RT 009 224011 ASMA NEBU,EKG,O2,INJEKSI 42,000 33,000
    642 NURUL ATIKAH 32 TH P RE.M.DINATA GG MELATI RT 008 723134 VERTIGO INJEKSI 42,000 33,000
    643 KARMILA ORHANS 28 TH P A.YANI GG MASYARAKAT RT 026 793145 FARINGITIS RESEP 42,000 33,000
    644 HERRY OSCAR 53 TH L MUSO SALIM NO 68 RT 015 773624 CKD O2,EKG 42,000 33,000
    645 VIA AMANDA 17 TH P MERDEKA GG OTOK RT 096 843533 FARINGITIS PLEB 42,000 33,000
    646 ARDINI 1 TH P RUMBIA GG 2 RT 017 843501 FEBRIS PLEB 42,000 33,000
    647 SYAFIRA ANANDYA SALSABILA 7 TH P DR.SUTOMO GG 7 RT 039 666019 CLOSE FRAKTUR SPALK 42,000 33,000
    648 SAIFANA ALAUDIN 13 TH P M.SAID GG SURYA RT 028 843507 FARINGITIS RESEP 42,000 33,000
    649 ANANDA SYAFE'I 19 TH L AZIS SAMAD RT 035 E/45 843519 INSERT BITE INJEKSI 42,000 33,000
    650 ALBEN BUNJANGGA 9 TH L P.BENDAHARA RT 027 745146 ISPA RESEP 42,000 33,000
    651 ARZACHEL FIRAZ ATHARIZ 1 TH L P.ANTASARI GG 7 RT 051 843524 FEBRIS RESEP 42,000 33,000
    652 IBANON 57 TH L KERUKUNAN RT 045 662542 HT PLEB,EKG,INJEKSI 42,000 33,000
    653 SUMIRAH 56 TH P M.YAMIN GG 1 RT 016 843522 HEPATITIS PLEB 42,000 33,000
    654 SYURIAH 65 TH P P.HIDAYATULLAH GG BAKTI NO 27 RT 08 843521 DISPEPSYA RESEP 42,000 33,000
    655 KUSTANIAH 36 TH P P.SUROPATI GG KBB NO 16 RT 008 843270 VE WT 42,000 33,000
    656 SIROJUDDIN 10 TH L WIRATAMA RT 003 757499 VOMITING RESEP 42,000 33,000
    657 EVI SOPYAN 38 TH P PESUT RT 016 843269 GASTRITIS INJEKSI 42,000 33,000
    658 MASDAWIAH 55 TH L SENTOSA DALAM 2A RT 078 671254 OSTEOAR GENU PLEB,EKG,INJEKSI 42,000 33,000
    659 ARLAMUDDIN 35 TH L KAHOI 2A RT 035 843259 COLIC RENAL PLEB 42,000 33,000
    660 PATMURI 37 TH L P.SURYANATA GG 99 RT 042 836681 DISPEPSYA EKG,INJEKSI 42,000 33,000
    661 ALFAREZEL HARIYANTO P 1 TH L A.YANI GG MASYARAKAT RT 026 843288 ISPA RESEP 42,000 33,000
    662 AMBO KAKA 62 TH L KH.W.HASYIM GG MAWAR RT 050 768322 HHD PLEB,O2,EKG 42,000 33,000
    663 SAFRUDIN 55 TH L SERAYU RT 021 843263 URETEROLITHIASIS PLEB 42,000 33,000
    664 HERRY OSCAR 53 TH L MUSO SALIM NO 68 RT 015 773624 CKD O2 42,000 33,000
    665 ASHARIE 45 TH L TALANG SARI RT 005 843184 VL WTH II,INJEKSI 42,000 33,000
    666 31/5/2015 USWATUN HASANAH 14 TH P RT 014 MILONO 704697 HEMOTOSKIZIA RESEP 42,000 33,000
    667 HAIRUL FAHRUL 10 TH L P.SURYANATA NO 83 RT 016 843286 CEPALGIA RESEP 42,000 33,000
    668 SHOLIKHULBHUDA 9 TH L SENTOSA NO 34 RT 072 843592 KONVULSI PLEB.O2 42,000 33,000
    669 YULITA YUSTRIANA 34 TH P SUKOREJO RT 041 706795 ASMA NEBU,O2 42,000 33,000
    670 SHINTYA FARADILA 26 TH P GELATIK NO 33 RT 015 843821 FEBRIS PLEB 42,000 33,000
    671 HERRY OSCAR 53 TH L MUSO SALIM NO 68 RT 015 773624 CKD INJEKSI 42,000 33,000
    672 IBRAHIM 48 TH L SUWANDI V RT 024 843565 TRAUMA MATA IRIGASI MATA 42,000 33,000
    673 MIMI RUSMITA 22 TH L JELAWAT RT 007 841883 ASMA NEBU,INJEKSI 42,000 33,000
    674 M.SAMAKRODJI 52 TH L M.YAMIN GG 1RT 015 842690 PPOK NEBU,EKG,O2,INJEKSI 42,000 33,000
    675 GUSTI PUTRA R 8 TH L NUSANTARA RT 032 471015 THYPOID PLEB,INJEKSI 42,000 33,000
    676 SITI ROKAYAH 41 TH P URIP SUMOHARJO RT 031 853599 VL WT,INJEKSI 42,000 33,000
    677 SUDARMINTO 42 TH L PERUM PUSPITA KEHAKIMAN BB/1B RT 11 734806 FEBRIS PLEB 42,000 33,000
    678 HERMAN 49 TH L P.BENAHARA RT 002 814164 TRAUMA MATA IRIGASI MATA 42,000 33,000
    679 LUCKY RAMADHAN 5 TH L ST.ALIMUDDIN NO 8 RT 026 668510 TONSILITIS PLEB 42,000 33,000
    680 M.ILHMA NUR 12 TH L M.SAID GG LC NO 69 RT 009 604888 ISPA INF,PLEB 42,000 33,000
    681 YOGA SAPUTRA 13 TH L T.UMAR GG SENYIUR RT 022 843580 ASMA NEBU,O2 42,000 33,000
    682 SUKARDJI 54 TH L PRM BENGKURING NO 6 RT 06 701260 ALERGI OBAT INJEKSI 42,000 33,000
    683 MAS'UD RIZALY 71 TH L L.MANGKURAT GG ARAHMAN RT 018 841702 VERTIGO RESEP 42,000 33,000
    684 M.ARIFKY AFANDI 3 TH L W.MONGONSIDI RT 019 843574 FEBRIS PLEB 42,000 33,000
    685 RUSUN 35 TH L AMPERA RT 030 775270 HEMAPTOE PLEB 42,000 33,000
    686 SITI YULIANA 50 TH P IMAM BONJOL KOM ASMARA RT 034 776606 FARINGITIS RESEP 42,000 33,000
    28,812,000 22,638,000
    RINCIAN BIAYA
    JUMLAH
    OKSIGEN/O2 konsul biaya jasa rs BHP Tindakan IGD
    13 14 15 16 17 18 19
    - - - - - 75,000
    - - - 44,800 10,000 35,200 165,000
    - - - 89,600 17,000 70,400 252,000
    - - - 89,600 20,000 70,400 255,000
    - - - 44,800 10,000 35,200 165,000
    - - - 44,800 10,000 35,200 165,000
    - - - 44,800 7,000 35,200 162,000
    - - - 44,800 10,000 35,200 165,000
    - - - 44,800 10,000 35,200 165,000
    - - - 44,800 10,000 35,200 165,000
    - - - 89,600 17,000 70,400 252,000
    - - - 89,600 16,500 70,400 251,500
    - - - 44,800 10,000 35,200 165,000
    - - - 89,600 27,000 70,400 262,000
    - - - 89,600 30,000 70,400 265,000
    - - - 89,600 20,000 70,400 255,000
    - - - 89,600 20,000 70,400 255,000
    - - - 44,800 10,000 35,200 165,000
    - - - 179,200 33,500 140,800 428,500
    - - - 44,800 10,000 32,500 162,300
    - - - 44,800 7,000 35,200 162,000
    32,000 - - 224,000 45,000 176,000 552,000
    - - - 44,800 10,000 35,200 165,000
    - - - 44,800 10,000 35,200 165,000
    - - - 44,800 7,000 35,200 162,000
    - - - 179,200 33,500 140,800 428,500
    - - - 89,600 17,000 70,400 252,000
    - - - - - - 75,000
    - - - 179,200 33,500 140,800 428,500
    - - - - - - 75,000
    - - - 134,400 23,500 105,600 338,500
    32,000 - - 224,000 38,500 176,000 545,500
    - - - 89,600 17,000 70,400 252,000
    - - - - - - 75,000
    32,000 - - 44,800 7,000 35,200 194,000
    - - - - - - 75,000
    - - - - - - 75,000
    - - - - - - 75,000
    - - - 44,800 10,000 35,200 165,000
    - - - 44,800 10,000 35,200 165,000
    - - - 44,800 7,000 35,200 162,000
    - - - 44,800 7,000 35,200 162,000
    - - - 44,800 35,200 35,200 190,200
    - - - - - - 75,000
    - - - 44,800 10,000 35,200 165,000
    - - - - - - 75,000
    - - - 44,800 7,000 35,200 162,000
    - - - - - - 75,000
    - - - 89,600 17,000 70,400 252,000
    - - - 44,800 7,000 352,000 478,800
    - - - - - - 75,000
    - - - 89,600 27,000 70,400 262,000
    - - - - - - 75,000
    - - - 44,800 7,000 35,200 162,000
    - - - - - - 75,000
    - - - 89,600 27,000 70,400 262,000
    - - - - - - 75,000
    - - - 134,400 23,500 105,600 338,500
    - - - 89,600 27,000 70,400 262,000
    - - - - - - 75,000
    32,000 - - 44,800 7,000 35,200 194,000
    - - - - - - 75,000
    - - - 134,400 23,500 105,600 338,500
    - - - - - - 75,000
    - - - - - - 75,000
    - - - 291,200 82,000 303,000 751,200
    - - - 44,800 10,000 35,200 165,000
    - - - 179,200 33,500 140,800 428,500
    - - - 44,800 7,000 35,200 162,000
    - - - 179,200 32,000 140,800 427,000
    - - - 44,800 10,000 35,200 165,000
    - - - 44,800 10,000 35,200 165,000
    - - - 89,600 17,000 70,400 252,000
    - - - - - - 75,000
    - - - 89,600 15,000 70,400 250,000
    - - - - - - 75,000
    - - - 44,800 3,000 35,200 158,000
    - - - 89,600 17,000 70,400 252,000
    32,000 - - 134,400 22,000 105,600 369,000
    - - - 89,600 25,000 70,400 260,000
    - - - 44,800 7,000 35,200 162,000
    32,000 - - 134,400 22,000 105,600 369,000
    - - - 179,200 77,000 140,800 472,000
    - - - 44,800 7,000 35,200 162,000
    - - - 44,800 7,000 35,200 162,000
    - - - - - - 75,000
    - - - 89,600 25,000 70,400 260,000
    - - - 89,600 20,000 70,400 255,000
    - - - 89,600 27,000 70,400 262,000
    - - - 44,800 20,000 35,200 175,000
    - - - 89,600 25,000 70,400 260,000
    - - - 89,600 17,000 70,400 252,000
    - - - 44,800 3,000 35,200 158,000
    - - - 44,800 10,000 35,200 165,000
    - - - 89,600 25,000 70,400 260,000
    - - - 134,400 22,000 105,600 337,000
    - - - 224,000 40,000 176,000 515,000
    32,000 - - 268,800 53,000 211,200 640,000
    - DR.MARIHOT 75,000 134,400 28,000 105,600 418,000
    - DR.TJAN KOK 75,000 134,400 25,000 105,600 415,000
    - - - 89,600 16,500 70,400 251,500
    32,000 - - 89,600 15,000 70,400 282,000
    32,000 - - 89,600 15,000 70,400 282,000
    - - - 89,600 37,000 70,400 272,000
    - - - 44,800 10,000 35,200 165,000
    - - - - - - 75,000
    - - - 179,200 32,000 140,800 427,000
    - - - - - - 75,000
    - - - 44,800 7,000 35,200 162,000
    - - - 89,600 17,000 70,400 252,000
    - - - 44,800 10,000 35,200 165,000
    32,000 - - 89,600 15,000 70,400 282,000
    - - - 134,400 23,500 105,600 338,500
    - - - 89,600 25,000 70,400 260,000
    - - - 44,800 7,000 35,200 162,000
    - - - 134,400 23,500 105,600 338,500
    - - - - - - 75,000
    - - - 44,800 10,000 35,200 165,000
    32,000 - - 89,600 15,000 70,400 282,000
    32,000 - - 134,400 22,000 105,600 369,000
    - - - 89,600 25,000 70,400 260,000
    - - - - - - 75,000
    - - - 89,600 15,000 70,400 250,000
    - - - - - - 75,000
    - - - - - - 75,000
    - - - - - - 75,000
    - - - 179,200 33,500 140,800 428,500
    - - - 44,800 10,000 35,200 165,000
    - - - 134,400 57,000 105,600 372,000
    - - - 89,600 25,000 70,400 260,000
    - - - 89,600 17,000 70,400 252,000
    32,000 - - 224,000 50,000 176,000 557,000
    - - - 134,400 26,500 105,600 341,500
    - - - - - - 75,000
    - DR.ELVIS 75,000 - - - 150,000
    32,000 - - 89,600 15,000 70,400 282,000
    - - - 179,200 32,000 140,800 427,000
    - - - 44,800 7,000 35,200 162,000
    32,000 DR.MANGALINDUNG 75,000 134,400 26,500 105,600 448,500
    - - - 89,600 16,500 70,400 251,500
    - - - 89,600 15,000 70,400 250,000
    - - - 44,800 10,000 35,200 165,000
    - - - 179,200 33,500 140,800 428,500
    - - - 134,400 26,500 105,600 341,500
    - - - 89,600 17,000 70,400 252,000
    - - - 44,800 10,000 35,200 165,000
    - - - 44,800 7,000 35,200 162,000
    - - - 44,800 10,000 35,200 165,000
    32,000 - - 179,200 31,500 140,800 458,500
    - - - 89,600 25,000 70,400 260,000
    - - - 44,800 10,000 35,200 165,000
    - DR.YASSER 75,000 - - - 150,000
    32,000 - - 448,000 108,500 352,000 1,015,500
    - - - 44,800 10,000 35,200 165,000
    - - - 244,000 38,500 176,000 533,500
    - - - 179,200 33,500 140,800 428,500
    - - - 89,600 17,000 35,200 216,800
    32,000 - - 134,400 22,000 105,600 369,000
    - DR.GRACE 75,000 89,600 15,000 70,400 325,000
    - - - 134,400 26,500 105,600 341,500
    - - - 89,600 17,000 70,400 252,000
    - - - - - - 75,000
    - - - - - - 75,000
    - - - 89,600 17,000 70,400 252,000
    - - - - - - 75,000
    - - - 134,400 23,500 105,600 338,500
    - - - 44,800 10,000 35,200 165,000
    32,000 DR.HENDRA 75,000 134,400 25,000 105,600 447,000
    - - - 44,800 3,000 35,200 158,000
    - - - 89,600 17,000 70,400 252,000
    - - - 89,600 25,000 70,400 260,000
    - - - 44,800 7,000 35,200 162,000
    - - - 134,400 23,500 105,600 338,500
    32,000 - - 134,400 22,000 105,600 369,000
    32,000 - - 89,600 17,000 70,400 284,000
    - - - 44,800 3,000 35,200 158,000
    - - - 89,600 20,000 704,000 888,600
    - - - 89,600 27,000 70,400 262,000
    32,000 - - 44,800 7,000 35,200 194,000
    32,000 - - 134,400 22,000 105,600 369,000
    - - - 44,800 10,000 35,200 165,000
    - - - 89,600 17,000 70,400 252,000
    32,000 - - 134,400 22,000 105,600 369,000
    - - - 89,600 16,500 70,400 251,500
    - - - - - - 75,000
    - - - 89,600 16,500 105,600 286,700
    - - - 89,600 17,000 70,400 252,000
    - - - - - - 75,000
    - - - - - - 75,000
    - - - - - - 75,000
    - - - 44,800 10,000 35,200 165,000
    - - - - - - 75,000
    - - - 44,800 10,000 35,200 165,000
    - - - 44,800 10,000 35,200 165,000
    - - - 44,800 7,000 35,200 162,000
    - - - 44,800 20,000 35,200 175,000
    - - - - - - 75,000
    - - - 44,800 10,000 35,200 165,000
    - - - 44,800 10,000 35,200 165,000
    32,000 DR.DONI 75,000 224,000 40,000 176,000 622,000
    - - - - - - 75,000
    - - - 134,400 57,000 105,600 372,000
    - - - 224,000 38,500 176,000 513,500
    - - - 179,200 33,500 140,800 428,500
    - - - 44,800 7,000 35,200 162,000
    - - - - - - 75,000
    - - - 134,400 22,000 105,600 337,000
    - - - 89,600 17,000 70,400 252,000
    32,000 - - - - - 107,000
    - - - 134,400 30,000 105,600 345,000
    - - - 44,800 10,000 35,200 165,000
    - - - 89,600 16,500 70,400 251,500
    32,000 - - 179,200 33,500 140,800 460,500
    - - - 44,800 7,000 35,200 162,000
    - - - 89,600 25,000 70,400 260,000
    - - - 89,600 20,000 70,400 255,000
    - - - 44,800 7,000 35,200 162,000
    - - - 44,800 10,000 35,200 165,000
    - - - - - - 75,000
    - - - 44,800 10,000 35,200 165,000
    - - - - - - 75,000
    - - - 89,600 17,000 70,400 252,000
    - - - 89,600 17,000 70,400 252,000
    - - - 89,600 17,000 70,400 252,000
    - - - 44,800 7,000 35,200 162,000
    32,000 - - 179,200 31,500 140,800 458,500
    - - - - - - 75,000
    - - - 134,400 35,000 105,600 350,000
    - - - - - - 75,000
    - - - 134,400 23,500 105,600 338,500
    - - - 179,200 33,500 140,800 428,500
    - - - 134,400 23,500 105,600 338,500
    - - - 336,000 102,000 264,000 777,000
    - - - 134,400 25,000 105,600 340,000
    - - - 179,200 32,000 140,800 427,000
    - - - 44,800 7,000 35,200 162,000
    - - - 44,800 10,000 35,200 165,000
    - - - 44,800 10,000 35,200 165,000
    - - - - - - 75,000
    - - - 44,800 7,000 35,200 162,000
    - - - - - - 75,000
    - - - 134,400 20,000 105,600 335,000
    - - - 89,600 25,000 70,400 260,000
    - - - 44,800 7,000 35,200 162,000
    32,000 - - 134,400 22,000 105,600 369,000
    - - - 89,600 30,000 70,400 265,000
    - - - - - - 75,000
    - DR.BOYKE 75,000 89,600 20,000 70,400 330,000
    - DR.GREG 75,000 - - - 150,000
    - - - 44,800 7,000 35,200 162,000
    - - - 44,800 7,000 35,200 162,000
    - - - - - - 75,000
    - - - 44,800 10,000 35,200 165,000
    - - - 89,600 16,500 70,400 251,500
    - - - - - - 75,000
    - - - - - - 75,000
    - - - - - - 75,000
    - - - - - - 75,000
    - - - 89,600 17,000 70,400 252,000
    - - - 134,400 23,500 105,600 338,500
    - - - 134,400 22,000 105,600 337,000
    - - - 89,600 17,000 70,400 252,000
    - - - 134,400 23,500 105,600 338,500
    - - - - - - 75,000
    - - - 44,800 10,000 35,200 165,000
    - - - 44,800 10,000 35,200 165,000
    32,000 - - 179,200 33,500 140,800 460,500
    - - - 44,800 10,000 35,200 165,000
    - DR.MANGALINDUNG 75,000 44,800 10,000 35,200 240,000
    - - - 179,200 77,000 140,800 472,000
    - DR.YASSER 75,000 134,400 22,000 105,600 412,000
    - - - 89,600 20,000 35,200 219,800
    - - - 89,600 47,000 70,400 282,000
    32,000 - - 134,400 22,000 105,600 369,000
    - - - 44,800 10,000 35,200 165,000
    - - - - - - 75,000
    - - - - - - 75,000
    32,000 - - 89,600 15,000 70,400 282,000
    - - - 89,900 27,000 70,400 262,300
    32,000 - - 89,600 15,000 70,400 282,000
    - - - - - - 75,000
    - - - - - - 75,000
    32,000 - - 89,600 15,000 70,400 282,000
    - DR.WAHYU 75,000 89,600 17,000 70,400 327,000
    - - - 134,400 57,000 105,600 372,000
    - - - 89,600 25,000 70,400 260,000
    - - - - - - 75,000
    - - - 179,200 32,000 140,800 427,000
    - - - 291,200 82,000 228,800 677,000
    32,000 - - - - - 107,000
    - - - 89,600 17,000 70,400 252,000
    - - - 134,400 26,500 105,600 341,500
    - DR.GREG 75,000 224,000 25,000 176,000 575,000
    - - - 89,600 16,500 70,400 251,500
    - - - 89,600 17,000 70,400 252,000
    - - - 44,800 10,000 35,200 165,000
    - - - - - - 75,000
    - - - 89,600 27,000 70,400 262,000
    - - - - - - 75,000
    - - - 179,200 32,000 140,800 427,000
    - - - - - - 75,000
    - - - - - - 75,000
    - - - 44,800 7,000 35,200 162,000
    - - - 134,400 25,000 105,600 340,000
    - DR.BAMBANG 75,000 134,400 25,000 105,600 415,000
    - - - 134,400 57,000 105,600 372,000
    - - - 44,800 7,000 35,200 162,000
    - - - 179,200 33,500 140,800 428,500
    - - - 89,600 15,000 70,400 250,000
    - - - - - - 75,000
    32,000 - - 89,600 15,000 70,400 282,000
    - - - 44,800 10,000 35,200 165,000
    - - - - - - 75,000
    32,000 - - 134,400 22,000 105,600 369,000
    - - - 89,600 25,000 70,400 260,000
    - - - - - - 75,000
    - - - 134,400 26,500 105,600 341,500
    32,000 - - 179,200 31,500 140,800 458,500
    - - - - - - 75,000
    32,000 - - 89,600 15,000 70,400 282,000
    - - - - - - 75,000
    - - - 89,600 25,000 70,400 260,000
    - - - - - - 75,000
    - - - 44,800 10,000 35,200 165,000
    - - - 44,800 10,000 35,200 165,000
    - - - 134,400 25,000 105,600 340,000
    - - - 89,600 17,000 70,400 252,000
    - - - 134,400 25,000 105,600 340,000
    - - - 44,800 10,000 35,200 165,000
    - - - - - - 75,000
    - - - 179,200 32,000 140,800 427,000
    - - - - - - 75,000
    - - - 268,800 47,000 211,200 602,000
    - - - - - - 75,000
    - - - 44,800 10,000 35,200 165,000
    - - - 89,600 16,500 70,400 251,500
    - - - 89,600 17,000 70,400 252,000
    - - - 44,800 7,000 35,200 162,000
    - - - 44,800 7,000 35,200 162,000
    - - - 134,400 22,000 105,600 337,000
    - - - - - - 75,000
    - - - - - - 75,000
    - - - 89,600 17,000 70,400 252,000
    32,000 - - 134,400 22,000 105,600 369,000
    - - - - - - 75,000
    - - - 44,800 7,000 35,200 162,000
    - - - 44,800 10,000 35,200 165,000
    - - - 89,600 15,000 70,400 250,000
    - - - - - - 75,000
    - - - 44,800 10,000 35,200 165,000
    - - - 44,800 7,000 35,200 162,000
    - - - 44,800 7,000 35,200 162,000
    - - - - - - 75,000
    32,000 - - 224,000 41,500 176,000 548,500
    - - - 179,200 32,000 140,800 427,000
    - - - 44,800 10,000 35,200 165,000
    - - - - - - 75,000
    32,000 - - 44,800 7,000 35,200 194,000
    - - - 44,800 10,000 35,200 165,000
    - - - 44,800 7,000 35,200 162,000
    - - - - - - 75,000
    - - - - - - 75,000
    - - - 89,600 25,000 70,400 260,000
    32,000 - - 134,400 22,000 105,600 369,000
    - - - 44,800 7,000 35,200 162,000
    32,000 - - 134,400 22,000 105,600 369,000
    - - - - - - 75,000
    - - - - - - 75,000
    - - - 44,800 7,000 35,200 162,000
    - - - 44,800 7,000 35,200 162,000
    32,000 CARTA/FURQON 150,000 224,000 41,500 176,000 698,500
    - - - 44,800 10,000 35,200 165,000
    - - - 44,800 10,000 35,200 165,000
    - - - 44,800 7,000 35,200 162,000
    - - - 89,600 25,000 70,400 260,000
    - - - 44,800 20,000 35,200 175,000
    - - - 134,400 57,000 105,600 372,000
    - - - 44,800 10,000 35,200 165,000
    - - - 179,200 33,500 140,800 428,500
    32,000 - - 179,200 33,500 140,800 460,500
    - - - - - - 75,000
    - - - 89,600 25,000 70,400 260,000
    - - - 89,600 15,000 70,400 250,000
    - - - 89,600 20,000 70,400 255,000
    32,000 - - 89,600 15,000 70,400 282,000
    - - - 44,800 10,000 35,200 165,000
    - DR.GREG 75,000 134,400 25,000 105,600 415,000
    - - - 44,800 7,000 35,200 162,000
    - - - 44,800 7,000 35,200 162,000
    - - - 470,400 116,500 369,600 1,031,500
    - - - 89,600 25,000 70,400 260,000
    - - - 89,600 25,000 70,400 260,000
    32,000 - - 134,400 22,000 105,600 369,000
    - - - 134,400 22,000 105,600 337,000
    32,000 - - 89,600 15,000 70,400 282,000
    - - - 89,600 25,000 70,400 260,000
    - - - 44,800 7,000 35,200 162,000
    - - - 89,600 25,000 70,400 260,000
    - - - 44,800 7,000 35,200 162,000
    - - - 89,600 17,000 70,400 252,000
    - - - 44,800 7,000 35,200 162,000
    - - - 179,200 33,500 140,800 428,500
    - - - 44,800 10,000 35,200 165,000
    - DR.WAHYU 75,000 89,600 27,000 70,400 337,000
    - - - 44,800 7,000 35,200 162,000
    - - - 44,800 10,000 35,200 165,000
    32,000 - - 134,400 22,000 105,600 369,000
    - - - 44,800 10,000 35,200 165,000
    - DR.BAMBANG 75,000 44,800 10,000 35,200 240,000
    - - - 44,800 10,000 35,200 165,000
    - - - 44,800 10,000 35,200 165,000
    - - - 44,800 10,000 35,200 165,000
    32,000 - - 89,600 25,000 70,400 292,000
    - - - - - - 75,000
    - - - - - - 75,000
    - - - 44,800 10,000 35,200 165,000
    - - - 44,800 7,000 35,200 162,000
    - - - - - - 75,000
    - - - - - - 75,000
    - - - 44,800 7,000 35,200 162,000
    - - - 89,600 27,000 70,400 262,000
    - - - 89,600 25,000 70,400 260,000
    32,000 - - 89,600 15,000 70,400 282,000
    - - - 134,400 22,000 105,600 337,000
    - - - 134,400 22,000 105,600 337,000
    32,000 - - - - - 107,000
    32,000 - - 134,400 26,500 105,600 373,500
    - - - - - - 75,000
    - - - 224,000 38,500 176,000 513,500
    - - - 89,600 20,000 70,400 255,000
    - - - 89,600 27,000 70,400 262,000
    - - - 134,400 23,500 105,600 338,500
    - - - - - - 75,000
    - - - 179,200 33,500 140,800 428,500
    - - - 134,400 22,000 105,600 337,000
    32,000 - - 134,400 22,000 105,600 369,000
    - - - 44,800 7,000 35,200 162,000
    - - - 89,600 17,000 70,400 252,000
    - - - 44,800 10,000 35,200 165,000
    - - - 89,600 16,500 70,400 251,500
    - - - 44,800 7,000 35,200 162,000
    - - - 44,800 7,000 35,200 162,000
    - - - 179,200 33,500 140,800 428,500
    - DR.KUNCORO 75,000 224,000 35,000 176,000 585,000
    - - - 44,800 10,000 35,200 165,000
    - - - - - - 75,000
    - - - 179,200 33,500 140,800 428,500
    - - - 134,400 57,000 105,600 372,000
    - - - 134,400 57,000 105,600 372,000
    - - - 89,600 27,000 70,400 262,000
    - - - 89,600 25,000 70,400 260,000
    32,000 - - 89,600 15,000 70,400 282,000
    - - - - - - 75,000
    - DR.MARIHOT 75,000 134,400 35,000 105,600 425,000
    - - - 44,800 7,000 35,200 162,000
    - - - 44,800 10,000 35,200 165,000
    - - - - - - 75,000
    - - - - - - 75,000
    - - - - - - 75,000
    - - - - - - 75,000
    - - - - - - 75,000
    - - - - - - 75,000
    - - - 44,800 10,000 35,200 165,000
    - - - - - - 75,000
    - - - 89,600 22,000 70,400 257,000
    - - - 44,800 10,000 35,200 165,000
    - - - 134,400 26,500 105,600 341,500
    - - - 89,600 17,000 70,400 252,000
    - - - 44,800 10,000 35,200 165,000
    - - - 89,600 17,000 70,400 252,000
    - - - 224,000 41,500 176,000 516,500
    - - - - - - 75,000
    32,000 - - 89,600 15,000 70,400 282,000
    - - - 89,600 13,000 70,400 248,000
    - DR.YASMIN 75,000 134,400 25,000 105,600 415,000
    32,000 - - 44,800 7,000 35,200 194,000
    - - - - - - 75,000
    - - - 89,600 16,500 70,400 251,500
    - - - 44,800 7,000 35,200 162,000
    - - - 179,200 30,000 140,800 425,000
    - - - 44,800 1,000 35,200 156,000
    - - - 134,400 57,000 105,600 372,000
    - - - 89,600 13,000 70,400 248,000
    32,000 - - 89,600 15,000 70,400 282,000
    - - - 134,400 25,000 105,600 340,000
    32,000 - - 89,600 15,000 70,400 282,000
    - - - 134,400 23,500 105,600 338,500
    - - - 134,400 23,500 105,600 338,500
    - - - 89,600 27,000 70,400 262,000
    - DR.GRACE 75,000 470,400 120,000 444,600 1,185,000
    - - - 134,400 22,000 105,600 337,000
    32,000 - - 44,800 7,000 35,200 194,000
    - - - 44,800 10,000 35,200 165,000
    - - - 89,600 16,500 70,400 251,500
    - - - 44,800 10,000 35,200 165,000
    - - - 89,600 17,000 70,400 252,000
    - - - 134,400 26,500 105,600 341,500
    - - - 44,800 7,000 35,200 162,000
    - - - 291,200 82,000 228,800 677,000
    - - - 44,800 10,000 35,200 165,000
    - - - - - - 75,000
    - - - 44,800 10,000 35,200 165,000
    - - - - - - 75,000
    - - - 44,800 7,000 35,200 162,000
    - - - 89,600 16,500 70,400 251,500
    - - - 44,800 10,000 35,200 165,000
    - - - 44,800 7,000 35,200 162,000
    - - - 89,600 17,000 70,400 252,000
    - - - 89,600 17,000 70,400 252,000
    - - - 44,800 7,000 35,200 162,000
    - - - 44,800 10,000 35,200 165,000
    - - - - - - 75,000
    32,000 - - 89,600 15,000 70,400 282,000
    - - - 44,800 10,000 35,200 165,000
    - - - - - - 75,000
    - - - - - - 75,000
    - - - 89,600 25,000 70,400 260,000
    - - - 179,200 33,500 140,800 428,500
    32,000 - - 134,400 22,000 105,600 369,000
    32,000 - - 134,400 22,000 105,600 369,000
    32,000 - - 224,000 33,500 176,000 540,500
    32,000 - - 268,800 48,500 211,200 635,500
    32,000 - - 89,600 15,000 70,400 282,000
    - - - 44,800 10,000 35,200 165,000
    - - - 44,800 10,000 35,200 165,000
    - - - 44,800 10,000 35,200 165,000
    - - - 89,600 16,500 70,400 251,500
    - - - 44,800 10,000 35,200 165,000
    - - - - - - 75,000
    - - - - - - 75,000
    - - - 44,800 7,000 35,200 162,000
    - - - 89,600 15,000 70,400 250,000
    - - - 89,600 17,000 70,400 252,000
    32,000 - - 134,400 23,500 105,600 370,500
    - - - - - - 75,000
    - - - 44,800 10,000 35,200 165,000
    - - - 89,600 17,000 70,400 252,000
    - - - - - - 75,000
    - - - 44,800 7,000 35,200 162,000
    - - - 44,800 10,000 35,200 165,000
    - - - 44,800 10,000 35,200 165,000
    - DR.GRACE 75,000 134,400 2,200 105,600 392,200
    - - - - - - 75,000
    - - - 44,800 7,000 35,200 162,000
    - - - 44,800 10,000 35,200 165,000
    - - - 44,800 10,000 35,200 165,000
    - - - - - - 75,000
    - - - 44,800 7,000 35,200 162,000
    - - - 44,800 20,000 35,200 175,000
    - - - 134,400 57,000 105,600 372,000
    - - - 224,000 41,500 176,000 516,500
    - - - - - - 75,000
    - - - - - - 75,000
    - - - 44,800 20,000 35,200 175,000
    - - - 89,600 27,000 70,400 262,000
    - - - 89,600 17,000 70,400 252,000
    - - - - - - 75,000
    - - - 89,600 17,000 70,400 252,000
    - - - 179,200 33,500 140,800 428,500
    - - - 44,800 10,000 35,200 165,000
    - - - 89,600 16,500 70,400 251,500
    - - - - - - 75,000
    - - - 44,800 7,000 35,200 162,000
    - - - 44,800 10,000 35,200 165,000
    32,000 - - 134,400 25,000 105,600 372,000
    - - - - - - 75,000
    - - - 44,800 70,000 35,200 225,000
    32,000 - - 89,600 15,000 70,400 282,000
    - - - 134,400 26,500 105,600 341,500
    - - - 44,800 - 35,200 155,000
    - - - - - - 75,000
    - DR.HENDRI 75,000 - - - 150,000
    - - - - - - 75,000
    - - - - - - 75,000
    - - - 44,800 10,000 35,200 165,000
    32,000 - - 179,200 31,500 140,800 458,500
    - - - 89,600 16,500 70,400 251,500
    - - - 134,400 25,000 105,600 340,000
    - - - 44,800 7,000 35,200 162,000
    - - - 89,600 17,000 70,400 252,000
    - - - - - - 75,000
    - - - 44,800 10,000 35,200 165,000
    - - - - - - 75,000
    - - - 44,800 10,000 35,200 165,000
    32,000 - - 134,400 22,000 105,600 369,000
    32,000 - - 134,400 22,000 105,600 369,000
    32,000 - - 134,400 22,000 105,600 369,000
    - - - 44,800 7,000 35,200 162,000
    - - - 89,600 15,000 70,400 250,000
    - - - 44,800 10,000 35,200 165,000
    - - - - - - 75,000
    - - - 134,400 23,500 105,600 338,500
    - - - 134,400 23,500 105,600 338,500
    32,000 - - 89,600 16,500 70,400 283,500
    - - - 89,600 25,000 70,400 260,000
    32,000 - - 89,600 15,000 70,400 282,000
    - - - 44,800 3,000 35,200 158,000
    32,000 - - 179,200 41,500 140,800 468,500
    - - - 44,800 10,000 35,200 165,000
    - - - - - - 75,000
    - - - 179,200 33,500 140,800 428,500
    - - - 89,600 13,000 70,400 248,000
    32,000 - - 134,400 23,500 105,600 370,500
    - - - - - - 75,000
    - - - 134,400 23,500 105,600 338,500
    - - - 44,800 7,000 35,200 162,000
    - DR.HENDRI 75,000 - - - 150,000
    - - - 44,800 10,000 35,200 165,000
    32,000 - - 134,400 22,000 105,600 369,000
    - - - 44,800 7,000 35,200 162,000
    - - - - - - 75,000
    - - - 89,600 20,000 70,400 255,000
    32,000 - - 89,600 16,500 70,400 283,500
    - DR.DADIK 75,000 89,600 17,000 70,400 327,000
    32,000 - - 134,400 22,000 105,600 369,000
    - - - 44,800 7,000 35,200 162,000
    - - - 44,800 7,000 35,200 162,000
    - - - 134,400 57,000 105,600 372,000
    - - - - - - 75,000
    - - - 44,800 7,000 35,200 162,000
    32,000 DR.SHERLY 75,000 448,000 112,000 352,000 1,094,000
    - - - 89,600 17,000 70,400 252,000
    32,000 - - 44,800 7,000 35,200 194,000
    - - - 44,800 7,000 35,200 162,000
    - - - 44,800 10,000 35,200 165,000
    32,000 - - 134,400 22,000 105,600 369,000
    - - - 44,800 7,000 35,200 162,000
    - - - 44,800 7,000 35,200 162,000
    - - - 89,600 30,000 70,400 265,000
    - DR.GRACE 75,000 - - - 150,000
    - - - 313,600 63,500 246,400 698,500
    - - - 44,800 7,000 35,200 162,000
    - - - - - - 75,000
    - - - 89,600 37,000 70,400 272,000
    - - - 44,800 20,000 35,200 175,000
    - - - - - - 75,000
    - - - - - - 75,000
    - - - 44,800 10,000 35,200 165,000
    - - - 179,200 32,000 140,800 427,000
    - - - - - - 75,000
    32,000 - - 224,000 38,500 176,000 545,500
    - - - 44,800 7,000 35,200 162,000
    - - - - - - 75,000
    32,000 - - 89,600 16,500 70,400 283,500
    32,000 - - 89,600 16,500 70,400 283,500
    - - - 44,800 10,000 35,200 165,000
    - DR.HENDRI 75,000 44,800 - 35,200 230,000
    - - - - - - 75,000
    - - - 44,800 7,000 35,200 162,000
    - - - - - - 75,000
    - - - - - - 75,000
    - - - 179,200 33,500 140,200 427,900
    - - - 44,800 10,000 35,200 165,000
    - - - - - - 75,000
    - - - 44,800 20,000 35,200 175,000
    - - - - - - 75,000
    - - - 44,800 7,000 35,200 162,000
    - - - 179,200 33,500 140,800 428,500
    - - - 44,800 10,000 35,200 165,000
    - - - 134,400 23,500 105,600 338,500
    - - - - - - 75,000
    32,000 - - 134,400 26,500 105,600 373,500
    - - - 44,800 10,000 35,200 165,000
    32,000 - - - - - 107,000
    - - - 89,600 37,000 70,400 272,000
    - - - - - - 75,000
    - - - - - - 75,000
    32,000 DR.WILLIAM 75,000 44,800 10,000 35,200 272,000
    32,000 - - 89,600 15,000 70,400 282,000
    - - - 44,800 10,000 35,200 165,000
    - - - 44,800 10,000 35,200 165,000
    - - - 44,800 10,000 35,200 165,000
    - - - 134,400 22,000 105,600 337,000
    32,000 - - 179,200 31,500 140,800 458,500
    - DR.HENDRA 75,000 89,600 17,000 70,400 327,000
    - - - 89,600 27,000 70,400 262,000
    - - - 44,800 10,000 35,200 165,000
    - - - 44,800 10,000 35,200 165,000
    - - - 44,800 10,000 35,200 165,000
    - - - 134,400 25,000 105,600 340,000
    32,000 - - 89,600 15,000 70,400 282,000
    - - - 44,800 7,000 35,200 162,000
    - - - - - - 75,000
    - - - 44,800 10,000 35,200 165,000
    - - - 44,800 10,000 35,200 165,000
    - - - - - - 75,000
    2,976,000 - 2,475,000 51,719,500 10,783,400 41,681,900 161,085,800
    Tagihan Jamkeda Samarinda Di IGD RSUD A. Wahab Sjahranie bulan Juni 2015

    Tanggal No KIB/ RINCIAN


    Nama Pasien Umur L/P Alamat No. Peserta Diagnosa Tindakan
    NO Kunjungan No. REG Karcis IGD OKSIGEN/O2 konsul
    1 2 3 4 5 6 7 8 9 10 11 12 13 14
    1 1/6/2015 ADJI THORIK SAMIE A 4 TH L S.RIYADI RT 013 824637 ISK RESEP 42,000 33,000 - DR.DADIK
    2 SUGIHARTUTIK 45 TH P KADRIE OENING BLOK D NO 85 RT 19 843860 VERTIGO PLEB,O2,EKG,INJEKSI 42,000 33,000 32,000 -
    3 HURHA 53 TH P RUKUN RT 014 843831 VERTIGO INJEKSI 42,000 33,000 - -
    4 INAPI 75 TH L PERNIAGAAN RT 028 604640 DISPEPSYA PLEB,INJEKSI 42,000 33,000 - -
    5 RANDI WAHYUDI 48 TH L ULIN RT 004 647886 MIGRAN RESEP 42,000 33,000 - -
    6 ACHAMAD ADAM 1 TH L NUSA INDAH RT 004 841159 ISPA RESEP 42,000 33,000 - -
    7 RAMADHAN PRATAMA PUTR 4 TH L JELAWAT GG 8 RT 03 NO 20 843858 ASMA NEBU,O2 42,000 33,000 32,000 -
    8 HAFIER JUNIARTA 6 TH L A.YANI GG CAHAYA BARU RT 018 843854 VOMITING INF,PLEB,INJEKSI 42,000 33,000 - -
    9 DARMAWANSYA 43 TH L DI PANJAITAN GG 3 RT 036 843913 COMMOND COLD RESEP 42,000 33,000 - -
    10 JAMILAH 52 TH P KH.MAS MANSYUR GG DEWI RT 027 574182 ASMA O2,NEBU,INJEKSI 42,000 33,000 32,000 -
    11 DEPI PERMATA SARI 16 TH P RUKUN RT 005 843830 HEMAPTOE INF,PLEB,O2 42,000 33,000 32,000 -
    12 YUSUF 57 TH L MILONO RT 013 694840 ASMA O2,NEBU,INJEKSI 42,000 33,000 32,000 -
    13 USWATUN HASANAH 14 TH P RT 014 MILONO 704697 DISPEPSYA PLEB,INJEKSI 42,000 33,000 - -
    14 MIMI RUSMITA 22 TH P JELAWAT RT 007 841883 ASMA O2,NEBU,INJEKSI 42,000 33,000 32,000 -
    15 TASYA NABILA 9 TH P P.SURYANATA RT 040 843899 ASMA NEBU,O2 42,000 33,000 32,000 -
    16 MARIKEM 73 TH P ST.ALIMUDDIN RT 036 NO 23 384957 COLIC RENAL INJEKSI 42,000 33,000 - -
    17 LIDIA WIDIASTUTI 20 TH P SEJATI 2 RT 001 843901 DISPEPSYA INJEKSI 42,000 33,000 - -
    18 ANANTHA SEPTA WARDANA 11 TH L IJABAH NO 62 RT 005 843912 DISPEPSYA INJEKSI 42,000 33,000 - -
    19 IQRIMA OKTAVIA 17 TH P KH.MAS MANSYUR RT 028 843877 VARICELLA RESEP 42,000 33,000 - -
    20 2/6/2015 M RIZAL 7 TH L P.SURYANATA GG TINGGIRAN RT 037 672130 GEA RESEP 42,000 33,000 - -
    21 FAHRI IHSAN 2 TH L BIAWAN NO 02 RT 021 843744 ISPA RESEP 42,000 33,000 - -
    22 WULAN SARI 9 TH P ANGGUR RT 055 843942 FEBRIS PLEB 42,000 33,000 - -
    23 ATIKA ZAHRA 1 TH P HASANUDDIN RT 009 812710 VOMITING INJEKSI 42,000 33,000 - -
    24 MUSDALIFAH 40 TH P MERDEKA III RT 092 623738 FEBRIS RESEP 42,000 33,000 - -
    25 RAHMALINA 33 TH P KH.MASMANSYUR RT 026 843967 OKLUSI RESEP 42,000 33,000 - -
    26 RISKI VIVI KUSUMA 22 TH P KH.W.HASYIM RT 051 843833 COLIC RENAL PLEB,SUPP,INJEKSI 42,000 33,000 - -
    27 WAHYU PRIMA ABDI 18 TH L PERUM SIP H7 RT 030 843919 ORCHITIS PLEB,KONSUL 42,000 33,000 - DR.BOYKE
    28 HALIA 35 TH P RAJAWALI DALAM 1 RT 011 843930 DISPEPSYA INJEKSI 42,000 33,000 - -
    29 ZAMAL MEIDY EFENDI 20 TH L HASN BASRI RT 023 693169 GASTRITIS PLEB,INJEKSI 42,000 33,000 - -
    30 HERRY OSCAR 53 TH L MUSO SALIM NO 68 RT 015 773624 CKD O2,INJEKSI 42,000 33,000 - -
    31 DARMAN 62 TH L REVOLUSI RT 008 327865 BRONCHITIS NEBU,EKG,O2,INJEKSI 42,000 33,000 - -
    32 M.IDRUS 79 TH L P.BENDARAHA RT 023 843941 HEMATEMESIS PLEB,EKG,INJEKSI 42,000 33,000 - -
    33 MACHFUROTIN 37 TH L SUKSES 1 PGI RT 039 843932 DISPEPSYA PLEB,INJEKSI 42,000 33,000 - -
    34 RUBAYA 70 TH P OTISTA GG 12 RT 014 433028 HT RESEP 42,000 33,000 - -
    35 SUWITO 43 TH L TURI MERAH II RT 011 666613 HT EKG 42,000 33,000 - -
    36 ATIKA ZAHRA 1 TH P S.HASANUDDIN GG MAWAR RT 09 812710 GEA RESEP 42,000 33,000 - -
    37 FERA YUNITA 16 TH P GN.LINGAI RT 003 843974 FEBRIS PLEB 42,000 33,000 - -
    38 MASHURAH 45 TH P ST.ALIMUDDIN RT 031 579425 DISPEPSYA INJEKSI 42,000 33,000 - -
    39 JUNAEDI 69 TH L TRISARI RT 020 556279 V.ICHTUM CROSS INSISI,INJEKSI 42,000 33,000 - -
    40 ZELDA CLEOFATHIA ZARINE 4 TH P AWS 4 RT 025 804050 ASMA NEBU,O2 42,000 33,000 32,000 -
    41 M.NOOR 62 TH L DI PANJAITAN BLOK C RT 016 843972 NOSE CONTUSIO RESEP 42,000 33,000 - -
    42 SRI MARYANTO 45 TH P ST.ALIMUDDIN RT 021 816167 DISPEPSYA PLEB,INJEKSI 42,000 33,000 - -
    43 SRI ASIYAH 45 TH P M.SAID RT 019 780200 ASMA O2,NEBU,INJEKSI 42,000 33,000 - -
    44 MALLA 86 TH P A.YANI GG CAHAYA RT 017 583057 GEA INF,PLEB,EKG,INJEKSI 42,000 33,000 - -
    45 M.RAFI 10 TH L ANGGREK MERPATI 8 RT 023 843959 VL WTH I,INJEKSI 42,000 33,000 - -
    46 3/6/2015 LITHASYA AULIA PUTRI NAR 2 TH P PERUM TVRI RT 029 844015 VOMITING PLEB,INJEKSI 42,000 33,000 - -
    47 SITI SARAH 42 TH P CM.KUSUMO RT 035 685764 DISPEPSYA EKG,INJEKSI 42,000 33,000 - -
    48 WA INDUDI 50 TH P DAMAI NO 22 RT 027 844079 MASSA ABD PLEB 42,000 33,000 - -
    49 M.RIZKY SEPTIAN A 7 TH L MUGIREJO GG BUGIS RT 002 819224 VL WTH II,INJEKSI 42,000 33,000 - -
    50 SRI ASIYAH 45 TH P M.SAID KARANG MULYA RT 019 782529 ASMA NEBU,INJEKSI 42,000 33,000 - -
    51 NUR HASANAH 37 TH P WIJAYA KESUMA V C RT 017 794758 HHF PLEB,EKG,INJEKSI 42,000 33,000 - -
    52 SATRIA 35 TH L PERUM PKL BLOK D RT 011 844016 DISPEPSYA INJEKSI 42,000 33,000 - -
    53 M.IRWAN 41 TH L SLADA 1CRT 080 843982 DISPEPSYA INJEKSI 42,000 33,000 - -
    54 M.SAMOKRODJI 52 TH L M.YAMIN GG 1 RT 015 842690 ASMA NEBU,EKG,O2,INJEKSI 42,000 33,000 32,000 -
    55 SITI ZOULFORROHMAH 16 TH P MT.HARIYONO RT 001 773278 TROUMA TUMPUL ABD USG 42,000 33,000 - -
    56 NICO MANGURU 75 TH L L.MANGKURAT GG USMAN A NO 79 784719 FEBRIS EKG 42,000 33,000 - -
    57 AZIS ANDI CAMAMBA 29 TH L P.BENDAHARA RT 007 744699 CA PARU INF,PLEB,RJP,O2 42,000 33,000 32,000 DR.DONI
    58 HASBULLAH 50 TH L ULIN GG 23 RT 06 842922 DISPEPSYA INJEKSI 42,000 33,000 - -
    59 HADI SISWANTO 36 TH L ST.ALIMUDDIN RT 002 844055 ABSES PALATUM INJEKSI 42,000 33,000 - -
    60 RAHMAD A 16 TH L GIRI REJO RT 025 460829 IKTERIK PLEB,INJEKSI 42,000 33,000 - -
    61 NOORMAN SY 63 TH L PERJUANGAN RT 103 846686 VL WTH II,INJEKSI 42,000 33,000 - -
    62 WAHYUNI 40 TH P BUNG TOMO RT 020 537846 DISPEPSYA INJEKSI 42,000 33,000 - -
    63 M.FEBRIANO FIRDAUS 6 TH L L.MANGURAT GG CEMPAKA RT 006 447632 ASMA NEBU,O2 42,000 33,000 32,000 -
    64 M.TOHA 50 TH L RAPAK INDAH PERUM PLN NO 15 642445 CHF O2 42,000 33,000 32,000 -
    65 HERRY OSCAR 53 TH L MUSO SALIM NO 68 RT 015 773624 CKD O2,INJEKSI 42,000 33,000 32,000 -
    66 NURDALIA 42 TH P JELAWAT GG IV RT 012 531958 CEPALGIA RESEP 42,000 33,000 - -
    67 ARYA 6 TH L KH DAMANHURI RT 065 844075 FEBRIS LAB 42,000 33,000 - -
    68 YUKA AQILA PUTRI 1 TH P DAMAI RT 027 818261 FARINGITIS RESEP 42,000 33,000 - -
    69 M.AQMAL RAMADHAN 9 TH L L.MANGKURAT GG SYADAN RT 027 844054 VOMITING INF,PLEB 42,000 33,000 - -
    70 MAT NASUN 53 TH L PERUM TEPIAN RT 048 844095 TB.PARU PLEB,O2 42,000 33,000 32,000 -
    71 NUR PURNAMANINGSIH 28 TH P RAWASARI GG BAITURRAHMAN RT 01 844051 ASMA NEBU,O2 42,000 33,000 32,000 -
    72 SURYADI 57 TH L PM.NOOR RT 038 766844 MELENA INF,PLEB,EKG 42,000 33,000 - -
    73 KHAIRUL IKHSAN 8 TH L PM.NOOR RT 038 724341 ASMA NEBU,O2 42,000 33,000 32,000 -
    74 M.SLAMET 63 TH L M.SAID GG 5/78 RT 011 423796 CAD EKG 42,000 33,000 - -
    75 NURTASYA AULIA RAHMA 2 TH P JAKARTA CV NO 23 RT 071 844093 VOMITING RESEP 42,000 33,000 - -
    76 4/6/2015 BAHARUDDIN 37 TH L S.PARMAN NO 75 RT 001 559111 FEBRIS PLEB 42,000 33,000 - -
    77 FATIMAH 49 TH P CEMPAKA RT 038 825320 DISPEPSYA INF,PLEB 42,000 33,000 - -
    78 JUPRI 33 TH L KADRIE OENING GG HURMAN 2 RT 01 846192 COMMOND COLD RESEP 42,000 33,000 - -
    79 KASIH LAURA NOOR Z 1 TH P REVOLUSI RT 031 846157 FARINGITIS PLEB 42,000 33,000 - -
    80 WA INDUDI 60 TH P DAMAI RT 027 839280 DISPEPSYA PLEB,INJEKSI 42,000 33,000 - -
    81 NUR JANAH 24 TH P SLAMET RIADI RT 005 846145 PERDARAHAN PERVAGINA PLEB 42,000 33,000 - -
    82 ABD RAHMAN 6 TH L PELITA 2 RT 006 604705 ASMA O2,NEBU,INJEKSI 42,000 33,000 32,000 -
    83 IIN ISBANDIAH 30 TH P WIRATAMA RT 001 846177 FEBRIS RESEP 42,000 33,000 - -
    84 M.ISHAK DJ 53 TH L JELAWAT GG 4 NO 38 RT 010 628589 DISPEPSYA PLEB,EKG,INJEKSI 42,000 33,000 - -
    85 DJUMATI 52 TH P M.YAMIN RT 027 725601 GASTRITIS INF,PLEB,EKG,INJEKSI 42,000 33,000 - -
    86 FATMAH 33 TH P REVOLUSI GG TURI RT 043 846108 DISPEPSYA INJEKSI 42,000 33,000 - -
    87 TARMUJI 47 TH L TRISARI RT 023 843957 TB.PARU PLEB 42,000 33,000 - -
    88 KHAESTA MAHARANI 4 TH P PERUM SAMBUTAN RT 024 745310 CKR RESEP 42,000 33,000 - -
    89 DAHRI AHMAD 75 TH L PARIKESIT GG BUNTU RT 009 838959 DISPEPSYA INF,PLEB,EKG,INJEKSI 42,000 33,000 - -
    90 M.NAIKO NARASAKI 7 TH L PERUM SAMBUTAN RT 024 846129 CF ELASTIS VERBAN 42,000 33,000 - DR.YASSER
    91 ARDI SETIAWAN 20 TH L ERY SUPARJAN RT 012 351834 FEBRIS PLEB 42,000 33,000 - -
    92 DIANA MURTI 46 TH P PERINTIS RT 032 737234 ASMA NEBU,EKG,O2,INJEKSI 42,000 33,000 - -
    93 DESMIATI 34 TH P PERUM SAMBUTAN RT 024 846126 VE WT 42,000 33,000 - -
    94 SUPATRAH 62 TH L KEMUNING RT 009 447679 RETENSIO URIEN PASANG CATETER 42,000 33,000 - -
    95 ANDI AISYAH ALMIRA ZAHR 1 TH P SIRAD SALMAN RT 027 842854 VOMITING INF,PLEB,INJEKSI 42,000 33,000 - -
    96 NADYA ANABELLA 7 TH P KH.A.MUTHALIB RT 005 846187 FEBRIS RESEP 42,000 33,000 - -
    97 NUR PUSPA DEWI 21 TH P MT.HARIYONO RT 054 844066 ASMA NEBU,O2 42,000 33,000 32,000 -
    98 SITI NASRIAH 50 TH P TURI PUTIH RT 089 348453 DISPEPSYA RESEP 42,000 33,000 - -
    99 RAHMAN 46 TH L KEBUN AGUNG RT 005 846102 FR.COMPESI PLEB 42,000 33,000 - -
    100 JELITA VIDMA WATY 3 TH P GN LINGAI RT 009 738682 FEBRIS RESEP 42,000 33,000 - -
    101 RATINAH 57 TH P KH.DAMANHURI II RT 029 846106 GRAVID PLEB 42,000 33,000 - -
    102 LITHASYA AULIA PUTRI NAR 2 TH P PERUM TVRI RT 029 844015 GEA RESEP 42,000 33,000 - -
    103 SOPIAN NOOR 16 TH L TENGKAWANG RT 015 846175 VOMITING INJEKSI 42,000 33,000 - -
    104 SUWARNO 48 TH L PUSPITA BENGKURING RT 067 649799 VL INJEKSI 42,000 33,000 - -
    105 5/6/2015 SRI ANDINI 7 TH P RAJAWALI DALAM RT 014 846262 ISPA RESEP 42,000 33,000 - -
    106 KASIAH GUNASTUTIK 44 TH P M.YAMIN GG KASTURI RT 027 843822 DISPEPSYA RESEP 42,000 33,000 - -
    107 YUSUF 57 TH L MILONO RT 013 694840 ASMA O2,NEBU,INJEKSI 42,000 33,000 32,000 -
    108 M.RAFLI FAHRANI 8 TH L MUGIREJO GG MANUNGGAL 3 RT 040 803653 FEBRIS PLEB 42,000 33,000 - -
    109 MARIANA 40 TH P CENDANA GG 11 RT 10 640562 VERTIGO EKG,INJEKSI 42,000 33,000 - -
    110 SITI BAQIAH 58 TH P AGUS SALIM GG 40 RT 30 789843 ASMA NEBU,EKG,O2,INJEKSI 42,000 33,000 - -
    111 M.ASBIYALLAH 2 TH L L.MANGKURAT GG 10 RT 10 818535 CORPAL RESEP 42,000 33,000 - -
    112 MAIDAR 47 TH L KH.SAMANHUDI RT 007 659068 VERTIGO EKG,INJEKSI 42,000 33,000 - -
    113 JAMHARI 20 TH L PADAT KARYA RT 019 846208 ISK PLEB 42,000 33,000 - -
    114 ERNI 31 TH P ST.ALIMUDDIN RT 021 824288 ABD PAIN PLEB 42,000 33,000 - -
    115 NURUL WINDA 37 TH P JELAWAT GG 10 RT 001 846730 ISK PLEB 42,000 33,000 - -
    116 AULIA AZ ZAHRA 2 TH P L.MANGKURAT GG 10 RT 10 846270 ABD PAIN PLEB 42,000 33,000 - -
    117 M.FADEL 1 TH L BIAWAN GG 2 RT 016 843035 ORTHITIS PLEB 42,000 33,000 - -
    118 6/6/2015 M.SHODIKUL ANAM 2 TH L P.ANTASARI GG H.MANSYUR R T003 846283 ASMA NEBU,O2 42,000 33,000 32,000 -
    119 BIMA PUTRA 5 TH L S.PARMAN RT 032 759393 HERPES RESEP 42,000 33,000 - -
    120 RISKA AYUNI 14 TH P AMUNTAI GG III RT 069 782639 V.ICHTUM GDS,CROSS,INJEKSI 42,000 33,000 - -
    121 HANANY FAHZIAH 38 TH P ANGGUR RT 057 131895 AB IMMINEM PLEB 42,000 33,000 - -
    122 MEGA OKTAVANI 30 TH P KH.W.HASYIM RT 031 846357 GASTRITIS INJEKSI 42,000 33,000 - -
    123 SATRIA PRATAMA 1 TH L KH.USMAN BERAHIM RT 014 802782 GEA RESEP 42,000 33,000 - -
    124 DESWITA MAHARANI 12 TH P KEDONDONG DALAM V RT 07 688095 DISPEPSYA INJEKSI 42,000 33,000 - -
    125 THAMRIN 60 TH L GERILYA SOLONG RT 033 846298 ASMA NEBU,O2 42,000 33,000 32,000 -
    126 LINDA KISS MARIA 42 TH P PROKLAMASI III BLOK C NO 21 RT 05 846334 GASTRITIS INJEKSI 42,000 33,000 - -
    127 ZUBAIDAH 29 TH P KH.SAMANHUDI GG AL HIKMAH RT 00 753389 BRONCHITIS RESEP 42,000 33,000 - -
    128 ARDIANTO PANDA BUNGA 13 TH L TRI DARMA RT 013 846300 FEBRIS RESEP 42,000 33,000 - -
    129 HERRY OSCAR 53 TH L MUSO SALIM NO 68 RT 015 773624 CKD O2,INJEKSI 42,000 33,000 32,000 -
    130 ALFINZA RAMADHAN 6 TH L JELAWAT GG 9 RT 001 846294 ISPA PLEB 42,000 33,000 - -
    131 ALVIAN REZKY SANTOSO 2 TH L SUKOREJO RT 042 846310 ISPA RESEP 42,000 33,000 - -
    132 BUDIONO 48 TH L MARSDA A SALEH RT 041 802380 URTIKARIA INJEKSI 42,000 33,000 - -
    133 ANDI IKBAL 8 TH L PADAT KARYA RT 068 846295 FARINGITIS INJEKSI 42,000 33,000 - -
    134 M.DENIANSYAH 9 TH L U.SUROPATI GTL HHH 12 RT 020 846320 OTITIS WT 42,000 33,000 - -
    135 M.FATIH FABRIO 3 TH L RUHUI RAHAYU NO 75 RT 001 846283 ASMA NEBU,O2 42,000 33,000 32,000 -
    136 7/6/2015 AMI UTAMI 33 TH P JELAWAT GG 5 NO 30 RT 012 551045 GRAVID PLEB,VT,DOPLER 42,000 33,000 - -
    137 YULLY YANA PURNAMA S 16 TH P PEMUDA II KOMP PENDAWA RT 012 773514 PULPITIS INJEKSI 42,000 33,000 - -
    138 NURIANI 30 TH P DI PANJATAN RT 034 463609 ASMA NEBU,O2 42,000 33,000 32,000 -
    139 ROBIYAH 32 TH P PERNIAGAAN GG RAHMAT RT 037 834541 HIPOKALEMI INF,PLEB,EKG 42,000 33,000 - -
    140 SAPARUDDIN 28 TH L KH.H.NAFSI RT 012 804624 DISPEPSYA INJEKSI 42,000 33,000 - -
    141 M.FATIH FABRIO 3 TH L RUHUI RAHAYU NO 75 RT 001 683453 ISPA RESEP 42,000 33,000 - -
    142 DEDY PRAMONO 37 TH L PERUM TALANG SARI RT 005 846398 VL WTH III,INJEKSI 42,000 33,000 - -
    143 ARMAIN 52 TH L GN LINGAI RT 005 846437 BRONCHITIS RESEP 42,000 33,000 - -
    144 EKA HERSY FITRIANINGSIH 24 TH P GIRI MUKTI RT 017 846440 KONSTIPASI RESEP 42,000 33,000 - -
    145 FATIMAH 34 TH P PERUM HANDIL KOPI RT 033 706655 DISPEPSYA INJEKSI 42,000 33,000 - -
    146 M.SAMAKRODJI 52 TH L M.YAMIN GG 1 RT 015 842690 VERTIGO EKG,INJEKSI 42,000 33,000 - -
    147 JASNAH 55 TH P MUANG ILIR RT 027 846415 ISK PLEB 42,000 33,000 - -
    148 ARIF RAMANSYAH 4 TH L GUNUNG SARI GG EDY NO 21 RT 014 603999 FEBRIS RESEP 42,000 33,000 - -
    149 SUAJI 55 TH L RT 17 MUSO SALIM 841956 HT PLEB,EKG,INJEKSI 42,000 33,000 - -
    150 HEERY OSCAR 53 TH L MUSO SALIM NO 68 RT 015 841956 CKD O2,INJEKSI 42,000 33,000 - -
    151 FAHRONI 37 TH L DI PANJAITAN RT 030 846407 KONSTIPASI INJEKSI 42,000 33,000 - -
    152 CANTIKA ALYA SYIFA 6 TH P KERUKUNAN RT 045 846388 FEBRIS PLEB 42,000 33,000 - -
    153 ARIYU AZKA CHALIBIE 1 TH P BELATUK NO 45 RT 032 846405 FARINGITIS PLEB 42,000 33,000 - -
    154 ADE SETIAWAN 35 TH L ST.ALIMUDDIN RT 023 812930 CAD EKG,INJEKSI 42,000 33,000 32,000 -
    155 AULIA MAWAHDAH 4 TH P P.SURYANATA RT 014 846384 FEBRIS PLEB 42,000 33,000 - -
    156 RUDY ANANTA RIDWAN 63 TH L L.MANGKURAT RT 029 837429 GASTRITIS INJEKSI 42,000 33,000 - -
    157 RIDHO MANGGALA 6 TH L ADAM MALIK RT 022 846431 VL WTH III,INJEKSI 42,000 33,000 - -
    158 TAUFIK 38 TH L KH.W.HASYIM GG MAWAR RT 051 846439 ASMA O2,NEBU,INJEKSI 42,000 33,000 32,000 -
    159 MASRIAH 67 TH P OTISTA RT 022 552905 ASMA O2,NEBU,INJEKSI 42,000 33,000 - -
    160 M.TEGUH PRIBADI 36 TH L HASAN BASRI GG 2 RT 022 846442 VE WT,INJEKSI 42,000 33,000 - -
    161 8/6/2015 SULIHATI 55 TH P GERILYA SOLONG RT 033 846557 DISPEPSYA INF,PLEB,EKG,INJEKSI 42,000 33,000 - -
    162 PUJI ASTUTI 37 TH P NUSA INDAH RT 001 830115 DISPEPSYA INJEKSI 42,000 33,000 - -
    163 RIAN PRATAMA 8 TH L KH.W.HASYIM RT 008 474354 FARINGITIS RESEP 42,000 33,000 - -
    164 SITI FATIMAH 57 TH P SITI AISYAH RT 015 806720 CEPALGIA PLEB,INJEKSI 42,000 33,000 - -
    165 ILA KRISNAWATI 26 TH P DELIMA DALAM RT 052 846465 ISPA RESEP 42,000 33,000 - -
    166 SYARIANI HUMAIRAH 6 TH P CIPTO KUSUMO RT 008 740623 CKR KONSUL 42,000 33,000 - DR.GRACE
    167 NOOR FITRIYAH 28 TH P S.PARMAN RT 025 846518 GEA PLEB 42,000 33,000 - -
    168 M.ALI MUSTAFA 36 TH L PADAT KARYA GG PELANGI RT 008 567216 COLIC ABDOMEN PLEB,KONSUL 42,000 33,000 - DR.ATOB
    169 AJIE SETYABUDI 8 TH L KEBUN AGUNG RT 046 846504 DEMAM DENGUE INF,PLEB 42,000 33,000 - -
    170 BAKRI 55 TH L CM.KUSUMO RT 001 771620 VL WTH II,INJEKSI 42,000 33,000 - -
    171 YUDHA PRATAMA 4 TH L KEDONDONG DALAM RT 007 846485 CKR PLEB 42,000 33,000 - -
    172 ABD KAHAR ABDI 65 TH L PROKLAMASI B RT 053 319773 CHF PLEB,O2,EKG,INJEKSI 42,000 33,000 32,000 -
    173 MURNIATI 20 TH P PERNIAGAAN RT 026 846535 COLIC URETER RESEP 42,000 33,000 - -
    174 ANNUR HADI MUNANDAR 6 TH L A.YANI GG CAHAYA BARU RT 017 659891 FEBRIS RESEP 42,000 33,000 - -
    175 UMMUL KHAERI 44 TH L AGUS SALIM GG 7D RT 037 408891 ASMA O2,NEBU,INJEKSI 42,000 33,000 32,000 -
    176 M.RIDWAN AL FARISI 8 TH L CENDANA GG MANUNGGAL RT 012 400440 GEA RESEP 42,000 33,000 - -
    177 NURRADITA 21 TH P JAKARTA BN NO 36B RT 57 846519 ISK PLEB 42,000 33,000 - -
    178 SUNAH 59 TH P MAKSUM BAYUR RT 019 7999700 KONSTIPASI PLEB,INJEKSI 42,000 33,000 - -
    179 KRISTINA RIA HAGANG 23 TH P AWS RT 009 846555 ASMA O2,NEBU,INJEKSI 42,000 33,000 32,000 -
    180 SYAQINA NUR MADINA 1 TH P JUANDA 8 GG JAMBU 2 NO 102 RT 006 846538 VE RESEP 42,000 33,000 - -
    181 YAKUB 52 TH L PADAT KARYA NO 85 RT 073 846466 BPH RESEP 42,000 33,000 - -
    182 SUMIASIH 32 TH P P.SURYANATA GG HIKMAH RT 031 846464 LBP PLEB 42,000 33,000 - -
    183 ARSINAH YAHYA 44 TH P U.SUROPATI RT 005 497870 AB IMMINEM PLEB 42,000 33,000 - -
    184 ZAINAL ABIDIN 67 TH L ARJUNA RT 014 846493 HT EKG 42,000 33,000 - -
    185 M.ALIANSYAH 19 TH L GERILYA NO 123 RT 009 846546 VL WTH III,INJEKSI 42,000 33,000 - -
    186 SITI LIZA 1 TH P P.SURYANATA RT 015 846315 ISPA PLEB 42,000 33,000 - -
    187 KATMIASIH 38 TH P KESEHATAN RT 003 846472 DISPEPSYA INJEKSI 42,000 33,000 - -
    188 9/6/2015 SUYATNO 49 TH L H.MARHUSIN GG MANDRI RT 018 838907 DISPEPSYA INJEKSI 42,000 33,000 - -
    189 FEBY 12 TH P RUKUN RT 005 846648 FARINGITIS PLEB 42,000 33,000 - -
    190 BELLA ELINA D 18 TH P SENTOSA GG 3 RT 030 808691 DISPEPSYA INJEKSI 42,000 33,000 - -
    191 AFIKA DWI ANGGRAINI 3 TH P S.RIADI GG MANUNGGAL RT 039 801355 ISPA NEBU 42,000 33,000 - -
    192 IBRAHIM RAHMAN 5 TH L BIAWAN GG 1 RT 021 762013 ASMA O2,NEBU,INJEKSI 42,000 33,000 32,000 -
    193 RUSMINI RIBUT 62 TH P KH.ABD MUTHALIB RT 010 NO 09 494646 CAD PLEBO,EKG 42,000 33,000 - -
    194 SANDI 26 TH L PROPINSI RT 017 616623 WOULD INFETION WT 42,000 33,000 - -
    195 ELI YANTI 43 TH P PERINTIS GG CAMPUR SARI RT 032 501138 URTIKARIA EKG,INJEKSI 42,000 33,000 - -
    196 INDIYANI 35 TH P KH.SAMANHUDI RT 003 846595 KUNJUTIVITIS PLEB 42,000 33,000 - -
    197 MERLINA ANGNARNI 23 TH P DELIMA RT 051 727755 HISTERIA 2 42,000 33,000 32,000 -
    198 IBRAHIM RAHMAN 5 TH L BIAWAN GG 1 RT 021 762013 ASMA NEBU,O2 42,000 33,000 32,000 -
    199 PUJI SULISTIANTO 39 TH P BUKIT BARISAN RT 024 804152 ASMA NEBU,O2 42,000 33,000 32,000 -
    200 ANNUR HADI MUNADAR 6 TH L A.YANI GG CAHAYA BARU RT 017 659891 COLIC ABDOMEN PLEB 42,000 33,000 - -
    201 ADITYA PUTRA READIANNU 17 TH L TEKUKUR 2 NO 6 R T019 787049 NEUROPAIK PLEB 42,000 33,000 - -
    202 SYADINA NUR MADINA 1 TH P JUANDA 8 JAMBU 2 NO 104 846538 VOMITING INJEKSI 42,000 33,000 - -
    203 VALERINA ARDILA 2 TH P KH.MANSYUR RT 030 646044 VL WTH III,INJEKSI 42,000 33,000 - -
    204 HERLEN DANIEL 55 TH L BATU CERMIN RT 004 846640 FEBRIS INF,PLEB,INJEKSI 42,000 33,000 - -
    205 NAZWA AULIA 4 TH P MANGUKUPALAS RT 010 657031 VL WTH III,INJEKSI 42,000 33,000 - -
    206 NURSAM 30 TH L PERUM PINANG BAHARI CB RT 037 846635 EDEMA ANASIKA PLEB,EKG,INJEKSI 42,000 33,000 - -
    207 DIKY PURWANTO 32 TH L RAPAK MAHANG RT 025 846623 V.ICHTUM CROSS INSISI,INJEKSI 42,000 33,000 - -
    208 FRANSISKA BANE PALOBO 37 TH P KS.TUBUN DALAM RT 014 846592 V.ICHTUM CROSS INSISI,INJEKSI 42,000 33,000 - -
    209 TUTIK INRIANI 29 TH P CENDANA GG 11 RT 011 846534 THYPOID INF,PLEB 42,000 33,000 - -
    210 10/6/2015 WA ILU 60 TH P ANGGUR RT 055 846712 VL WTH III,INJEKSI 42,000 33,000 - -
    211 ARUM APRILIA 1 TH P AWS RT 032 846775 ISPA RESEP 42,000 33,000 - -
    212 M.AIDIL AKBAR 6 TH L TELUK BATU RT 020 846735 ISPA RESEP 42,000 33,000 - -
    213 ERHAMSYAH 16 TH L SEI LANTUNG RT 014 846724 CF SPALK 42,000 33,000 - -
    214 HERRY OSCAR 53 TH L MUSO SALIM NO 68 RT 015 773624 CKD O2,INJEKSI 42,000 33,000 32,000 -
    215 M.AKBAR RAMDHAN 4 TH L PERUM SAMBUTAN L1 /17 RT 034 787555 ASMA NEBU,O2 42,000 33,000 32,000 -
    216 LILA ISABELLA 15 TH P KH.SAMANHUDI RT 001 487779 V.ICHTUM CROSS INSISI,INJEKSI 42,000 33,000 - -
    217 BERNA RITA IKA NOVARINI 34 TH P TURI MERAH II RT 011 846700 V.ICHTUM INJEKSI 42,000 33,000 - -
    218 ABDUL RAUF 41 TH L RUHUI RAHAYU NO 75 RT 001 765270 GERD EKG,INJEKSI 42,000 33,000 - -
    219 RAFIQAH ABIBAH 2 TH P AWS GG BAROKAH RT 024 840236 ASMA O2,NEBU,INJEKSI 42,000 33,000 32,000 -
    220 KHEIDIRA KANAYA PUTRI 4 TH P KESEJAHTRAA IV RT 001 695124 VL WTH II,INJEKSI 42,000 33,000 - -
    221 EMI RABIATUL SADIAH 27 TH P OTISTA RT 022 846733 ISK RESEP 42,000 33,000 - -
    222 LILIK SUSWANTINI 46 TH P BATU BESAUNG RT 026 436188 KISTA PLEB,EKG,INJEKSI 42,000 33,000 - -
    223 BURHANUDDIN 32 TH L KEBON AGUNG RT 006 846751 GERD INJEKSI 42,000 33,000 - -
    224 NAHWA HATIKA 7 TH P A.YANI GG CAHAYA BARU RT 017 846748 ISPA RESEP 42,000 33,000 - -
    225 SITI MUNDIROH 32 TH P JOYO MULYO RT 030 501803 FEBRIS PLEB 42,000 33,000 - -
    226 SUKMADI ARYA F 9 TH L PERUM SIP E/273 RT 036 746350 DISPEPSYA RESEP 42,000 33,000 - -
    227 ROMIYAH 23 TH P RAJAWALI DALAM 1 RT 108 846729 ISPA RESEP 42,000 33,000 - -
    228 FACHRULLAH 35 TH L RE.M.DINATA GG TUKANG RT 009 510532 ASMA O2,NEBU,INJEKSI 42,000 33,000 32,000 -
    229 11/6/2015 SOLEKAH 65 TH P WIRAGUNA DALAM RT 006 NO 28 846780 GEA INF,PLEB,EKG,O2 42,000 33,000 32,000 -
    230 MACHLAN 82 TH L PAKIS 2 BLOK D NO 137 RT 082 707760 DISPEPSYA EKG,INJEKSI 42,000 33,000 - -
    231 JUMRAH 48 TH P M.YAMIN RT 021 793608 DYSPNUE NEBU,PLEB,INJEKSI 42,000 33,000 - -
    232 ADITYA PUTRA READIANNU 17 TH L TEKUKUR 2 NO 6 R T019 784450 GASTRITIS PLEB,INJEKSI 42,000 33,000 - -
    233 LIA ASMARANI 28 TH P JUANDA 8 RT 006 846743 MENOMETRORAGIA INJEKSI 42,000 33,000 - -
    234 JUMIOKTAVIANI 24 TH P KEMAKMURAN GG 1 RT 015 721090 ISPA RESEP 42,000 33,000 - -
    235 SUNARKO 57 TH L GELATIK GG TITIAN RT 015 656272 HT EKG 42,000 33,000 - -
    236 SUSI SUSANTI 19 TH P OTISTA RT 029 846845 BSK PLEB 42,000 33,000 - -
    237 AWANG ABDULLAH 28 TH L L.MANGKURAT RT 041 774548 DISPEPSYA INJEKSI 42,000 33,000 - -
    238 FITRI YANI 18 TH P S.PARMAN GG 3 RT 039 846839 KONJUNGTIVITIS RESEP 42,000 33,000 - -
    239 RATNA KAUPANI 23 TH P OTISTA GG BUDIMAN RT 023 846875 ISK PLEB 42,000 33,000 - -
    240 RUSDIANA 54 TH P AHIM RT 052 846812 CEPALGIA PLEB,EKG,INJEKSI 42,000 33,000 - -
    241 UDIN 46 TH L KAKAP GG 3 RT 011 705780 SOPT O2,NEBU,INJEKSI 42,000 33,000 32,000 -
    242 ARBAYAH 48 TH P S.RIADI GG 6 RT 030 687221 ASMA O2,NEBU,INJEKSI 42,000 33,000 32,000 -
    243 REHANA FATIMAH K 7 TH P GN.LINGAI RT 011 846847 FEBRIS PLEB,INJEKSI 42,000 33,000 - -
    244 M.SULTHON AR 6 TH L KURNIA MAKMUR RT 015 535424 FEBRIS PLEB 42,000 33,000 - -
    245 M.FAIDANI AL FARO 3 TH L P.BENDAHARA RT 007 846841 THYPOID INFUS,PLEB,INJEKSI 42,000 33,000 - -
    246 PUTRI AYU LESTARI 44 TH P SEJATI NO 59 RT 034 828247 DUB PLEB 42,000 33,000 - -
    247 M.RAFLYANSYAH 8 TH L GN.LINGAI 475654 ISPA PLEB 42,000 33,000 - -
    248 HALIMAH 66 TH P P.ANTASARI RT 027 846833 MYOMA UTERI RESEP 42,000 33,000 - -
    249 SHINTA MATINA 28 TH P BUNG TOMO RT 009 846844 HEMOTOID RESEP 42,000 33,000 - -
    250 KARTASIYAH 50 TH P KEMUNING RT 020 576091 DISPEPSYA PLEB,EKG,INJEKSI 42,000 33,000 - -
    251 12/6/2015 RUSMEGAWATI 47 TH P KEMUNING GG MANGGIS RT 015 841857 DISPEPSYA PLEBO,EKG 42,000 33,000 - -
    252 DHITA RIZKI AMANDA 19 TH P U.SUROPATI PERUM GTL L/4 RT 013 842622 ASMA O2,NEBU,INJEKSI 42,000 33,000 32,000 -
    253 KUBE 74 TH P SUNGAI KAPIH RT 008 683226 CAD PLEBO,EKG 42,000 33,000 - -
    254 HERRY OSCAR 53 TH L MUSO SALIM NO 68 RT 015 773624 CKD O2,INJEKSI 42,000 33,000 32,000 -
    255 SRI WAHYUNUNGSIH 42 TH P ARJUNA GG 2 RT 013 805178 DISPEPSYA EKG 42,000 33,000 - -
    256 LA JUMA 65 TH L OTISTA RT 021 113108 DISPEPSYA PLEB,INJEKSI 42,000 33,000 - -
    257 ANDRIAN 11 TH L TRI SARI RT 025 846902 V.ICHTUM WT,CROSS INSISI 42,000 33,000 - -
    258 IRMA KARMINA 45 TH L AWS 4 RT 025 351477 VE WT 42,000 33,000 - -
    259 AHMAT ROYCHAN 42 TH P DI PANJAITAN RT 002 784653 CF SPALK 42,000 33,000 - -
    260 AKHMADIE 50 TH L SENTOSA GG KENANGAN RT 076 846975 ISPA RESEP 42,000 33,000 - -
    261 SUNARTI 53 TH P MAKSUM BAYUR RT 019 586901 BSK EKG 42,000 33,000 - -
    262 VINA AZ ZAHRA 26 TH P PADAT KARYA RT 008 SMPJ 846934 FEBRIS PLEB,INJEKSI 42,000 33,000 - -
    263 SUHARTONO 49 TH L CENDANA GG 10 RT 037 846909 ASMA NEBU,O2 42,000 33,000 32,000 -
    264 ARBAYAH 47 TH P S.RIADI GG 6 RT 030 687921 ASMA O2,NEBU,INJEKSI 42,000 33,000 32,000 -
    265 SUWANTO 61 TH L turi putih 2 RT 089 332814 GEA EKG 42,000 33,000 - -
    266 ADE WARSA 49 TH L S.RIANDI RT 032 797909 V.ICHTUM WT,INJEKSI 42,000 33,000 - -
    267 AULIA RAHMAN 23 TH L KERUKUNAN RT 031 846549 CEPALGIA PLEB,INJEKSI 42,000 33,000 - -
    268 13/6/2015 INTAN NUR SA'DIAH 3 TH P AM SANG AJI RT 020 803684 ISPA RESEP 42,000 33,000 - -
    269 SRI WAHYUNINGSIH 42 TH P ARJUNA GG 2 RT 013 805178 DISPEPSYA INJEKSI 42,000 33,000 - -
    270 HERRY OSCAR 53 TH L MUSO SALIM NO 68 RT 015 773624 CKD INJEKSI 42,000 33,000 - -
    271 BUNISA 26 TH P P.SURYANATA GG DANA RT 034 841045 ISPA INF,PLEB,O2 42,000 33,000 32,000 -
    272 KEIRA HANDOYONO 2 TH L SEMPAJA LESTARI INDAH RT 058 798972 DIARE AKUT INF,PLEB 42,000 33,000 - -
    273 M.FAHMI 7 TH L MERDEKA II NO 88 RT 092 789908 ASMA NEBU,O2 42,000 33,000 - -
    274 LUTHFI GIFARI 8 TH L JAKARTA BLOK CK/10 RT 066 847044 VE WT 42,000 33,000 - -
    275 MEYLISYA JUWITA S 30 TH P JAKARTA GG SWADAYA RT 021 NO 62 847005 FEBRIS PLEB 42,000 33,000 - -
    276 SALASIAH 46 TH P U.SUROPATI RT 031 003358 CONTUSIO M ELASTIS VERBAN 42,000 33,000 - -
    277 FITRIYANTI 40 TH P DI PANJAITAN RT 69 NO 24 847012 CEPALGIA PLEB,INJEKSI 42,000 33,000 - -
    278 HAMRIN 18 TH L OTISTA RT 033 347022 CKR RESEP 42,000 33,000 - -
    279 HERRY OSCAR 53 TH L MUSO SALIM NO 68 RT 015 773624 CKD O2 42,000 33,000 32,000 -
    280 RIFALDY YULI 3 TH L SENTOSA DALAM II RT 079 771826 CORPAL EKSTRASI CORPAL 42,000 33,000 - -
    281 SUMIATI 53 TH P BIAWAN GG BIMA RT 011 604678 NEUREGENIG BLADER PLEB 42,000 33,000 - DR.BOYKE
    282 RATNA KAPUANI 22 TH P OTISTA GG BUDIMAN RT 023 846875 ABD PAIN PLEB 42,000 33,000 - -
    283 JUMIRAN 48 TH L M.YAMIN RT 021 793608 ASMA NEBU,EKG,O2,INJEKSI 42,000 33,000 - -
    284 RANI SUTIANA 18 TH P REVOLUSI RT 005 847030 VERTIGO INJEKSI 42,000 33,000 - -
    285 IWAN HARYAWAN 49 TH L GERILYA GG MANDIRI NO 72 RT 110 675528 ASMA O2,NEBU,INJEKSI 42,000 33,000 32,000 -
    286 SULIMAH 50 TH P PADAT KARYA LOA BAKUNG RT 073 846989 HT PLEB,EKG,INJEKSI 42,000 33,000 - -
    287 AGUSTRIANI 23 TH P DR.SOETOMO RT 035 843814 ISPA PLEB 42,000 33,000 - -
    288 MUHYI 40 TH L KEMAKMURAN DALAM RT 020 843239 ASMA O2,NEBU,INJEKSI 42,000 33,000 32,000 -
    289 MURTININGSIH 48 TH P BELATUK RT 032 515906 CHEST PAIN PLEBO,EKG 42,000 33,000 - -
    290 PUJI SULISTIANTO 39 TH L BUKIT BARISAN RT 024 804152 ASMA NEBU,INJEKSI 42,000 33,000 - -
    291 14/6/2015 SRI ERLINA MILIYANI 40 TH P MT.HARYONO GG 1 NO 82 RT 10 802387 ASMA O2,NEBU,INJEKSI 42,000 33,000 32,000 -
    292 MELA SALSABILA 4 TH P KH.USMAN BERAHIM RT 016 778984 ISPA PLEB 42,000 33,000 - -
    293 M.RANGGI 6 TH L OTISTA RT 023 847157 VL WTH II WT,INJEKSI 42,000 33,000 - -
    294 KONSTANSI VINDANA 21 TH P KEMUNING RT 013 804706 ISK PLEB 42,000 33,000 - -
    295 SITI PIYANTI 31 TH P SUBULUS SALAM RT 036 671989 DISPEPSYA INJEKSI 42,000 33,000 - -
    296 M.AL-VILLA RAHMAN 6 TH L OTISTA GG 1 RT 043 453747 ISPA PLEB 42,000 33,000 - -
    297 SITI RUSMIATI 59 TH P PERUM RATINDO GRIYA RT 037 638661 GEA RESEP 42,000 33,000 - -
    298 DIAN WAHYUNI 25 TH P SEBULU SALAM RT 037 788261 GEA INJEKSI 42,000 33,000 - -
    299 DIANA MURTI 46 TH P PERINTIS GG CAMPUR SARI RT 032 767234 ASMA NEBU,INJEKSI 42,000 33,000 - -
    300 SUKARTI 31 TH P BIAWAN GG 12 RT 008 847169 INPARTU VT,DOPLER 42,000 33,000 - -
    301 HERRY OSCAR 53 TH L MUSO SALIM NO 68 RT 015 773624 CKD EKG,INJEKSI 42,000 33,000 - -
    302 SUPARNI 63 TH P IMAM BONJOLO GG 79 NO 44 RT 005 138040 DISPEPSYA PLEB,EKG,INJEKSI 42,000 33,000 - -
    303 IRMA 29 TH P S.RIADI GG BUDIMAN RT 011 476084 INPARTU VT,DOPLER 42,000 33,000 - -
    304 15/6/2015 JIHAN MANIRA 3 TH P KH.W.HASYIM RT 035 729870 THYPOID PLEB 42,000 33,000 - -
    305 RAAZZAQI HAFIIZ SHOLIKIN 1 TH L RAWASARI 4 RT 047 427232 FEBRIS PLEB 42,000 33,000 - -
    306 ALLEN PRATAMA PUTRA 29 TH L JELAWAT GG 8 RT 03 NO 20 694037 ASMA NEBU,O2 42,000 33,000 32,000 -
    307 AHMAD ALDI 10 TH L ST.SULAIMAN RT 009 847226 VL WTH II,INJEKSI 42,000 33,000 - -
    308 LUTFI SUSILOWATI 28 TH P KEMUNING RT 010 847228 SUSP CPD VT,DOPLER 42,000 33,000 - -
    309 LILIS SURYANI A 40 TH P P.BENDAHARA RT 007 803925 CEPALGIA INJEKSI 42,000 33,000 - -
    310 ABD MAJID 55 TH L KAKAP RT 006 847247 VL WTH III,INJEKSI 42,000 33,000 - -
    311 ASIAN 45 TH P S.RIADI GG 7 RT 038 574182 VE+ASMA NEBU,WT,INJEKSI,O2,EKG,INF 42,000 33,000 32,000 -
    312 SARMIAH 47 TH L KH.ABD MUTHALIB RT 005 727520 ABSES FEMUR RESEP 42,000 33,000 - -
    313 BAYU RISKY SAPUTRA 5 TH L GERILYA GG MANDIRI RT 110 847199 FEBRIS PLEB,SUPP 42,000 33,000 - -
    314 HASAN BASRI 59 TH L KH.MAS MANSYUR RT 027 847189 TRAUMA TUMPUL THORAX RESEP 42,000 33,000 - -
    315 MASRIAH 76 TH P OTISTA RT 022 552905 ASMA NEBU,O2 42,000 33,000 32,000 -
    316 SYAIFUDIN 52 TH L TANTINA 4 NO 107 RT 022 847203 CHF PLEB,EKG,INJEKSI 42,000 33,000 - -
    317 ISKANDAR 61 TH L P.ANTASARI GG 2 RT 052 847252 VERTIGO PLEBO,EKG 42,000 33,000 - -
    318 WA TAMU 48 TH P DELIMA RT 051 683458 PPOK INF,PLEB,O2,INJEKSI 42,000 33,000 32,000 DR.ENY/DONY
    319 MARINI 12 TH P GATSU RT 029 847256 FEBRIS INF,PLEB,INJEKSI 42,000 33,000 - -
    320 TRIMAH 61 TH P NAKHODA RT 014 847187 DISPEPSYA INF,PLEB,EKG,O2 42,000 33,000 32,000 DR.ANITA
    321 WINARKO 32 TH L KEMAKMURAN RT 042 847269 ISPA RESEP 42,000 33,000 - -
    322 NURUL LIANA 29 TH P JUANDA 8 RT 014 847275 CKR PLEB 42,000 33,000 - -
    323 DEVI AMIRULLAH 23 TH P SENTOSA DALAM 2 RT 082 847258 GEA INJEKSI 42,000 33,000 - -
    324 CHRISNA CHANDRADEWI 21 TH P PASUNDAN GG 5C RT 026 847224 DISLOKASI SOULDER+VL WTH II,INJEKSI 42,000 33,000 - DR.GREG
    325 16/6/2015 M.RONY 35 TH L M.SAID GG KASIH RT 028 847323 VERTIGO INJEKSI 42,000 33,000 - -
    326 SITI APRILIA KIRANA 7 TH P HASAN BASRI RT 019 736779 FARINGITIS RESEP 42,000 33,000 - -
    327 SITAH 49 TH P PERJUANGAN RT 27 MUGIREJO 847146 GEA PLEB,INJEKSI 42,000 33,000 - -
    328 SIMING 63 TH L CM KUSUMO RT 004 847328 DISPEPSYA PLEB,INJEKSI 42,000 33,000 - -
    329 HUSNI THAMRIN 45 TH L PERUM SIP G RT 030 847359 TB PLEB 42,000 33,000 - -
    330 RESMA OKTA R 18 TH P BENGKURING 847331 INTOSIKASI OBAT PLEB,INJEKSI 42,000 33,000 - -
    331 SUMIARSIH 56 TH P M.YAMIN GG 1 RT 017 677525 CA MAMAE PLEB,EKG,INJEKSI 42,000 33,000 - DR.ATOB
    332 NARTO WIDODO 30 TH L PRAMUKA 16 RT 031 847305 VERTIGO RESEP 42,000 33,000 - -
    333 MASNA 45 TH P PATTIMURA RT 043 847356 HEMOROID PLEBO,EKG 42,000 33,000 - -
    334 M.RAIHAN AKBAR 2 TH L KAHOI B RT 034 673047 THYPOID PLEB 42,000 33,000 - -
    335 AZMIR 77 TH L L.MANGKURAT RT 012 847349 LBP PLEB 42,000 33,000 - -
    336 TUBIYANTO 62 TH L MAJENANG RT 019 MAKROMAN 847307 VOMITING INJEKSI 42,000 33,000 - -
    337 M.FAUZAN 2 TH L AM.SANGAJI RT 014 847327 VOMITING INF,PLEB,INJEKSI 42,000 33,000 - -
    338 RIANTO TONY 20 TH L DR.WAHIDIN S GG 5 RT 10 847288 COLIC GASTER PLEB,INJEKSI 42,000 33,000 - -
    339 FAHRULLAH 31 TH L RE.MDINATA GG TUKANG RT 009 510532 ASMA O2,NEBU,INJEKSI 42,000 33,000 32,000 -
    340 WAHYUNA 34 TH P S.RIADI GG V RT 016 284797 DISPEPSYA INJEKSI 42,000 33,000 - -
    341 SALEM ABDULLAH 50 TH L ST.ALIMUDDIN RT 021 847318 OA PLEBO,EKG 42,000 33,000 - -
    342 KAMSUDIN 36 TH L AWS RT 023 847314 AVULSI KUKU EKTRASI KUKU,INJEKSI 42,000 33,000 - -
    343 INDRI PERDANA PUTRA 19 TH L BUKIT BARISAN RT 015 594578 VL WTH III,INJEKSI 42,000 33,000 - -
    344 VENIA ANDRIANISARI 21 TH P DAMAI GG 4 NO 171 RT 026 847555 DISPEPSYA INJEKSI 42,000 33,000 - -
    345 NIR KARLINA 20 TH P KOMP PASAR SEGIRI RT 027 847159 ISK PLEB 42,000 33,000 - -
    346 17/6/2015 SALAMAH 64 TH P A.YANI RT 017 847385 VL INJEKSI 42,000 33,000 - -
    347 SUHARTO 49 TH L CENDANA GG 10 RT 037 846909 ASMA O2,NEBU,INJEKSI 42,000 33,000 32,000 -
    348 AHYA SUNAN ALATIF 9 TH L DI PANJAITAN RT 002 678468 ISPA RESEP 42,000 33,000 - -
    349 M.ANDYLIYANI 14 TH L ST.ALIMUDDIN RT 037 847372 VE RESEP 42,000 33,000 - -
    350 ARIANI 37 TH P P.ANTASARI RT 005 847401 VL WT,WTH II,INJEKSI 42,000 33,000 - -
    351 AJENG RATMAWATI 19 TH P TRISARI RT 020 847442 FEBRIS PLEB 42,000 33,000 - -
    352 SARIFAH NIEKMAH 36 TH P PERUM SMBTN F31 RT 031 812392 HEMOROID RESEP 42,000 33,000 - -
    353 HANDI SETIAWAN 53 TH L PRAMUKA 3 RT 006 455475 HT EKG 42,000 33,000 - -
    354 SUDIBYO 58 TH L MT.HARIYONO RT 054 847377 RETENSIO URIEN PLEB,DC 42,000 33,000 - -
    355 BAHARUDDIN 37 TH L RUHUI RAHAYU NO 75 RT 001 559111 ISPA RESEP 42,000 33,000 - -
    356 HERRY OSCAR 53 TH L MUSO SALIM NO 68 RT 015 773624 CKD O2,INJEKSI 42,000 33,000 32,000 -
    357 MARCHELINA BANNE ARRUA 22 TH P KH.M.MANSYUR RT 037 847421 VOMITING PLEB,INJEKSI 42,000 33,000 - -
    358 RATNA WATY 38 TH P A.YANI GG CAHAYA BARU RT 017 700972 DISPEPSYA PLEB 42,000 33,000 - -
    359 ROMANSYAH 25 TH L JELAWAT RT 021 847443 VL WTH II,INJEKSI 42,000 33,000 - -
    360 M.REZA NOVA ADITYA 4 TH L S.PARMAN GG 1 RT 001 802924 FARINGITIS RESEP 42,000 33,000 - -
    361 18/6/2015 M.ALFATIH 2 TH L PEMUDA RT 030 RAWA MAKMUR 847492 FEBRIS PLEB 42,000 33,000 - -
    362 RISKI TONI 16 TH L DR.WAHIDIN S GG 5 RT 10 847467 DISPEPSYA INF,PLEB,INJEKSI 42,000 33,000 - -
    363 AMANDHA YUDIZ QINARA 2 TH P TRISARI RT 022 734700 ISPA RESEP 42,000 33,000 - -
    364 ANIS KATIRAH 34 TH P SEI KAPIH GG MANGGIS RT 007 785045 ISK PLEB 42,000 33,000 - -
    365 MARJANI 62 TH L OTISTA RT 018 103899 CHEST PAIN EKG 42,000 33,000 - -
    366 MIMI RUSMITA 22 TH P JELAWAT RT 007 841883 ISPA NEBU 42,000 33,000 - -
    367 MASRITA 47 TH P KH.W.HASYIM RT 052 847464 VL PLEB 42,000 33,000 - -
    368 SUPIAAN NOOR 35 TH L DAMANHURI BLOK E RT 060 847463 DISPEPSYA PLEB,EKG,INJEKSI 42,000 33,000 - -
    369 SUMIATI 46 TH P KADRIE OENING GG HURMAN 1 RT 01 395988 VERTIGO PLEB,INJEKSI 42,000 33,000 - -
    370 M.YUSUF 65 TH L BUNG TOMOM RT 013 652213 VERTIGO EKG,INJEKSI 42,000 33,000 - -
    371 M.ISHAK 13 TH L LUMBA LUMBA RT 005 847486 FEBRIS PLEB 42,000 33,000 - -
    372 NIWATI 28 TH P RAJAWALI DALAM I RT 011 847815 COLIC ABDOMEN PLEB 42,000 33,000 - -
    373 BINTANG RAMADINI T L 5 TH P ST.ALIMUDDIN RT 020 728843 ISPA PLEB 42,000 33,000 - -
    374 19/6/2015 ARDHA KHUAIRUNNISA 3 TH P RE.M.DINTA RT 018 679309 ISPA PLEB 42,000 33,000 - -
    375 SUHENDRO 24 TH L CENDANA GG 12 RT 029 847576 BRONCHITIS INJEKSI 42,000 33,000 - -
    376 SLAMET 46 TH L TRISARI RT 020 847582 BSK PLEB,INJEKSI 42,000 33,000 - -
    377 IDEHAM 64 TH L H.JAHRAH RT 014 698275 NEFROLIHIASIS INJEKSI 42,000 33,000 - -
    378 ALLEN PRATAMA PUTRA 29 TH L JELAWAT GG 8 NO 20 RT 003 694037 ASMA NEBU,INJEKSI 42,000 33,000 - -
    379 REIMAL KALDHANI 38 TH L P.SURYANATANA PINANG RT 017 847537 BSK PLEB 42,000 33,000 - -
    380 KHOLIFAH 7 TH P PERUM BORNEO RT 064 847568 VL WT,WTH II,INJEKSI 42,000 33,000 - -
    381 M.UNTUNG BENER P 54 TH L IMAM BONJOL GG 10 NO 46 RT 10 826529 RETENSIO URIEN PASANG CATETER 42,000 33,000 - -
    382 RASINI 45 TH P REVOLUSI GG 16 732374 BSK PLEB,EKG,INJ 42,000 33,000 - -
    383 AHYA SUNAN ALATIF 9 TH L DI PANJAITAN RT 002 678468 ISPA PLEB 42,000 33,000 - -
    384 BASO PASYA ADITYA P 3 TH L GN LINGAI RT SUKUR 48 RT 009 737284 ISPA PLEB 42,000 33,000 - -
    385 AZRIA 27 TH P MUGIREJO RT 005 837143 DISPEPSYA INJEKSI 42,000 33,000 - -
    386 IKKE YULIANTI 17 TH P M.YAMIN GG 1 RT 017 847566 FARINGITIS RESEP 42,000 33,000 - -
    387 DIARTO 33 TH L BUNG TOMOM RT 022 847603 ISK PLEB 42,000 33,000 - -
    388 PERIE 50 TH L CM.KUSUMO RT 009 656478 ENCEPHALOPATI INF,NGT,PLEB,EKG,INJEKSI,CON 42,000 33,000 - DR.CARTA
    389 M.TEDDY FIRMANSYAH 15 TH L S.RIADI GG 7 RT 038 733274 FEBRIS RESEP 42,000 33,000 - -
    390 FADLY ADRIANTO 40 TH L PERUM SMBTN ASRI J 8 RT 032 839918 KONSTIPASI PLEB,EKG,INJEKSI 42,000 33,000 - -
    391 SUSANAH 18 TH P PADAT KARYA RT 068 SMPJ 847587 PERDARAHAN PLEB 42,000 33,000 - -
    392 HERRY OSCAR 53 TH L MUSO SALIM NO 68 RT 015 773624 CKD O2,INJEKSI 42,000 33,000 32,000 -
    393 MERINA SAFITRI 25 TH P T.UMAR RT 034 725578 BSK PLEB 42,000 33,000 - -
    394 SYARIFAH LINDA 35 TH P RAJAWALI DALAM RT 014 601225 GRAVID+PER DOPLER,KONSUL 42,000 33,000 - DR.HANDY
    395 20/6/2015 M.SAKTI JAMIL 2 TH L GERILYA GG SEPAKAT RT 101 847627 FEBRIS PLEB 42,000 33,000 - -
    396 HERRY OSCAR 53 TH L MUSO SALIM NO 68 RT 015 773624 CKD O2,INJEKSI 42,000 33,000 32,000 -
    397 YULIANA 37 TH P LUMBA LUMBA RT 009 847610 ISK PLEB 42,000 33,000 - -
    398 WERIANI 46 TH P SITI AISYAH RT 015 847686 BSK PLEB,INJEKSI 42,000 33,000 - -
    399 AS SAHIL MANSHURI 4 TH L ST.ALIMUDDIN RT 033 799505 DHF PLEB 42,000 33,000 - -
    400 DWI ASTUTI 26 TH P OTISTA RT 028 847662 INPARTU PLEB 42,000 33,000 - -
    401 RANI IMANIA 25 TH P S.RIADI GG 8 RT 038 847635 ISK PLEB 42,000 33,000 - -
    402 FAISAL NANGYU 50 TH L PERUM BUMI SEMPAJA RT 046 847620 TRAUMA THORAK EKG 42,000 33,000 - -
    403 YUYUN FATMA WATI 19 TH P BIOLA GG REFANTA RT 033 612121 AB ININEN PLEB 42,000 33,000 - -
    404 DWI PURWANTI 30 TH P PRAMUKA 5B NO 20 RT 005 847285 ISK PLEB,INJEKSI 42,000 33,000 - -
    405 SUTOYO 49 TH L PADAT KARYA RT 064 847653 DISPEPSYA EKG,INJEKSI 42,000 33,000 - -
    406 KAMELIA 37 TH P ROTAN SEMPURUT SALAK 1 RT 014 646893 ISK PLEB 42,000 33,000 - -
    407 WA YUMNA FAHIRA 2 TH P KARUYA BARU RT 10 847612 ISPA NEBU 42,000 33,000 - -
    408 HABIBAH TRI WULANDARI 7 TH P PURWODADI RT 10 847656 URTIKARIA RESEP 42,000 33,000 - -
    409 NAWAL AISYAH 4 TH P DR.SOETOMO GG 1 RT 029 597144 FEBRIS PLEB 42,000 33,000 - DR.BAMBANG
    410 DEWI SERI YANI 37 TH P P.SURYANATA RT 034 748341 FEBRIS PLEB 42,000 33,000 - -
    411 SALMAH FAUZAH 18 TH P MUTIARA GG 1 NO 23 RT 007 847663 V.MORSUM WT,INJEKSI 42,000 33,000 - -
    412 ASTUNI 38 TH P LEMPAKE TEPIAN RT 002 782862 DISPEPSYA PLEB,EKG,INJEKSI 42,000 33,000 - -
    413 FACHRULLAH 31 TH L RE.M.DINATA GG TUKANG RT 009 510532 ASMA O2,NEBU,INJEKSI 42,000 33,000 32,000 -
    414 FARDIANSYAH 14 TH L KEMANGI GG REZEKI RT 023 847645 FEBRIS RESEP 42,000 33,000 - -
    415 MASPAH 65 TH P M.SAID RT 012 847626 FEBRIS PLEBO,EKG 42,000 33,000 - -
    416 21/6/2015 ERNAWATI 44 TH P GATSU RT 045 533263 POST EKTRASI KUKU RESEP 42,000 33,000 - -
    417 M.RYZATH DHIKA S 17 TH L BUKIT BARISAN GG 1A NO 12A RT 020 847431 CKR RESEP 42,000 33,000 - -
    418 JOKO SUNARSO 44 TH L DAMAI GG 4 NO 12 RT 026 543776 V.ICHTUM CROSS INSISI,INJEKSI 42,000 33,000 - -
    419 RASINI 45 TH P REVOLUSI GG 16 RT 008 732374 DM PLEBO,EKG 42,000 33,000 - -
    420 INTAN PADAULENG 29 TH P ST ALIMUDDIN GG SWADAYA RT 004 499903 DISPEPSYA INJEKSI 42,000 33,000 - -
    421 HERRY OSCAR 53 TH L MUSO SALIM NO 68 RT 015 773624 CKD O2,INJEKSI 42,000 33,000 32,000 -
    422 SRI MARYANTO 46 TH L ST.ALIMUDDIN RT 021 816167 DISPEPSYA PLEB,EKG,INJEKSI 42,000 33,000 - -
    423 DHIYA ZAYN JAYA 5 TH P A.YANI GG CHAYA BARU RT 017 721546 ISPA RESEP 42,000 33,000 - -
    424 MUHYAR 62 TH L GERILYA GG FAMILY RT 039 847728 DISPEPSYA PLEB,EKG,INJ 42,000 33,000 - -
    425 HAIRIYAH 64 TH P ADAM MALIK RT 001 847742 VERTIGO INJEKSI 42,000 33,000 - -
    426 m.alby af gary a 1 TH L MERATUS 43 RT 022 847749 GEA INF,PLEB 42,000 33,000 - -
    427 SUPRIYATUN 59 TH P DI PANJAITAN RT 020 847746 ISK PLEBO,EKG 42,000 33,000 32,000 -
    428 DASWANTO PRIYO SUWOTO 31 TH L GERILA GG RUKUIN RT 058 847734 FEBRIS RESEP 42,000 33,000 - -
    429 JUMIRAN 48 TH L M.YAMIN RT 021 351029 ASMA NEBU,O2 42,000 33,000 32,000 -
    430 TARMUJI 53 TH L BENGKURING RAYA RT 070 429436 VERTIGO PLEB,EKG,INJEKSI 42,000 33,000 - -
    431 M.RIZAL 7 TH L P.SURYANATA GG TINGGIRAN RT 037 672130 PULPITIS RESEP 42,000 33,000 - -
    432 DIANZ SEKAR TANJUNG 3 TH P S.PARMAN RT 002 770012 KONSTIPASI PLEB,SUPP 42,000 33,000 - -
    433 AJI DECY ALVONITA 26 TH P P.SURYANATA GG TINGGIRAN RT 037 602689 TB PLEB 42,000 33,000 - -
    434 A.SUDARNO 61 TH L KOMP. PASAR SEGIRI RT 028 581234 CEPALGIA EKG,INJEKSI 42,000 33,000 - -
    435 RAFA AZKA PUTRA 1 TH L REVOLUSI GG DERMAWAN RT 008 830715 ISPA RESEP 42,000 33,000 - -
    436 M.REFANDI 1 TH L L.MANGKUKRAT GG 6 RT 021 847715 PAROTITIS RESEP 42,000 33,000 - -
    437 SYAMSUDDIN 52 TH L TANTINA 4 NO 107 RT 022 847203 CAD PLEB,O2,INJEKSI,EKG 42,000 33,000 32,000 -
    438 RENO FEBRIAN 9 TH L ST.ALIMUDDIN RT 033 847659 DISPEPSYA PLEB,INJEKSI 42,000 33,000 - -
    439 NORSIAH 46 TH P P.SURYANATA GG 1 RT 018 778087 DISPEPSYA INJEKSI 42,000 33,000 - -
    440 ALIF ASHAR PRATAMA 1 TH L MARSDA A SALEH RT 040 847762 FEBRIS RESEP 42,000 33,000 - -
    441 M.SAHIB 46 TH L PROKLAMASI II BLOK O RT 056 397747 ABSES PERIANAL RESEP 42,000 33,000 - -
    442 LA KETI 60 TH L OTISTA RT 018 847706 GASTRITIS PLEB,EKG,INJEKSI 42,000 33,000 - -
    443 SELA SEPTIANI 18 TH P PERUM RAPAK BENUANG RT 041 262561 CORPAL IRIGASI MATA 42,000 33,000 - -
    444 EKA SANJAYA 36 TH P PLAMBOYAN RT 009 847717 VE WT 42,000 33,000 - -
    445 NORMA YULIANA 28 TH L PERJUANGAN MUGIREJO RT 037 702294 INPARTU VT,DOPLER 42,000 33,000 - -
    446 RIKO PURNOMO 18 TH P M.YAMIN GG 1 RT 017 631572 GASTRITIS PLEB,O2,INJEKSI 42,000 33,000 32,000 -
    447 22/6/2015 SEMI WS MIANTO 62 TH L GIRI MULYO RT 016 847830 CKR RESEP 42,000 33,000 - DR.WAHYU SP.B
    448 AJI SETIAWAN 17 TH L CM.KUSUMO RT 040 818942 ASMA NEBU,O2 42,000 33,000 32,000 -
    449 SODIK 63 TH L DR.SOETOMO GG 8 A RT 035 847826 CHEST PAIN EKG 42,000 33,000 - -
    450 VORGORIUS OKI 18 TH L MAS PENGHULU RT 009 847909 HEMATOME RESEP 42,000 33,000 - -
    451 SUTOYO 48 TH L PADAT KARYA RT 064 847653 DISPEPSYA INJEKSI 42,000 33,000 - -
    452 M.HAFIZ RAMADHAN 1 TH L DAMAI RT 027 832936 ISPA RESEP 42,000 33,000 - -
    453 ANISA AULIA 14 TH P P.SURYANATA PUSPITA U NO 16+ 657243 CONTUSIO M RESEP 42,000 33,000 - -
    454 FAISHAL NAIL SUBAKTI 2 TH L P.ANTASARI GG KARYA 48 A RT 030 841207 ISK PLEB 42,000 33,000 - -
    455 AHSIYAH 37 TH P PEMUDA 4 RT 006 742261 CEPALGIA RESEP 42,000 33,000 - -
    456 HELMI 46 TH L KH.W.HASYIM 847854 CKR PLEB 42,000 33,000 - -
    457 NURSEHAT 60 TH L KAHOI B RT 031 847828 HNP PLEB,EKG,INJEKSI 42,000 33,000 - -
    458 EKO PURNOMO 38 TH L KS.TUBUN DALAM RT 015 847813 V.ICHTUM GDS,CROSS,INJEKSI 42,000 33,000 - -
    459 SUKARMAN 67 TH L RAMANIA DALAM RT 048 847827 V.ICHTUM CROSS INSISI,INJEKSI 42,000 33,000 - -
    460 NURHALISYAH 4 TH L MAS PENGHULU GG SYUKUR RT 042 847865 FARINGITIS PLEB 42,000 33,000 - -
    461 AZKA RAMA PRANAJA 1 TH L PARMAN GG 3 RT 039 802379 ISPA RESEP 42,000 33,000 - -
    462 QONITA MUFIDAH 5B P S.PARMAN GG 4 RT 025 847846 GEA INF,PLEB 42,000 33,000 - -
    463 M.AK 50 TH L MANUNGGAL RT 008 847841 SINUSITIS RESEP 42,000 33,000 - -
    464 23/6/2015 ALIF ASHAR PRATAMA 1 TH L MARSDA A SALEH RT 040 847762 VOMITING PLEB 42,000 33,000 - -
    465 SYAFRIADI 42 TH L RAJAWALI DALAM RT 014 847956 DISPEPSYA INJEKSI 42,000 33,000 - -
    466 JAMIR 72 TH L LEMPAKE TEPIAN RT 002 739337 DISPEPSYA EKG,INJEKSI 42,000 33,000 - -
    467 ROSITA NUR HASANAH 37 TH P PEMBANGUNAN RT 052 847933 V.ICHTUM WTH II,INJEKSI 42,000 33,000 - -
    468 YUSUF 57 TH L MILONO RT 013 694840 CEPALGIA RESEP 42,000 33,000 - -
    469 EKO SUWANTO S 42 TH P SENTOSA GG KENANGAN RT 076 625340 BSK PLEB 42,000 33,000 - -
    470 SOFIYAH 42 TH P KESEJAHTRAAN GG PULAU INDAH RT 847940 CF METAFARSAL EKG,KONSUL 42,000 33,000 - DR.HENDRI
    471 ATIN 52 TH P S.PARMAN GG 4 RT 025 808300 GASTRITIS PLEB,EKG,INJEKSI 42,000 33,000 - -
    472 DIANZ SEKAR TANJUNG 3 TH P S.PARMAN RT 025 770012 DISPEPSYA INF,PLEB 42,000 33,000 - -
    473 SUMIYAH 52 TH P DAMAI GG 4 RT 009 847932 ASMA NEBU,EKG,O2,INJEKSI 42,000 33,000 32,000 -
    474 nu'man muzani 38 TH L CM.KUSUMO RT 014 559236 ISPA PLEB,EKG,INJEKSI 42,000 33,000 - -
    475 M.FIKRI FARHAN 9 TH L PERUM GTL L/4 RT 013 802681 ISK RESEP 42,000 33,000 - -
    476 MACHLAN 72 TH L PAKIS2 D/137 RT 082 707760 DISPEPSYA PLEB,EKG,INJEKSI 42,000 33,000 - -
    477 MARIA ASUNTA DATEN S 29 TH P ST.SULAIMAN GG ANTARA RT 020 825055 DISPEPSYA PLEB,INJEKSI 42,000 33,000 - -
    478 M.ALIF 1 TH L S.PARMAN RT 030 847942 ISPA RESEP 42,000 33,000 - -
    479 ABDILLAH EFENDI 4 TH L KEDONDONG DALAM 7 RT 032 NO 30 748380 FEBRIS PLEB 42,000 33,000 - -
    480 FANNY SULAIMAN 22 TH L MAWAR RT 020 MAKROMAN 847891 MULTIPLE VL WTH V 42,000 33,000 - -
    481 SUGIANTO G 40 TH L SENTOSA GG KENANGAN RT 075 847900 CAT BITE WT,INJEKSI 42,000 33,000 - -
    482 MUTMAINNAH 22 TH P AGUS SALAIM GG BAHAGIA RT 016 847906 ISPA PLEB,INJEKSI 42,000 33,000 - -
    483 24/6/2015 A.FAUZAN SAPUTRA 6 TH L DAMANHURI RT 062 847970 VOMITING INF,PLEB,INJEKSI 42,000 33,000 - -
    484 MARDALIYA H 22 TH P NUSANTARA RT 033 707514 AUB RESEP 42,000 33,000 - -
    485 DARHANI 51 TH P A.DAHLAN RT 011 606719 CKD EKG 42,000 33,000 - -
    486 ALFIN JULIANUR AHSANI 5 TH L AMPERA RT 036 847971 DM PLEB 42,000 33,000 - -
    487 RUSDIANA 48 TH P LABU SIAM 3 B/411 RT 073 372137 CAD PLEB,EKG,O2,INJEKSI 42,000 33,000 - -
    488 SITI AMINAH 58 TH P TEKUKUR II NO 17 RT 019 792577 DM INJEKSI 42,000 33,000 - -
    489 HALIMAH 55 TH P PEMUDA II RT 012 512679 ASMA O2,INJEKSI 42,000 33,000 32,000 -
    490 YEMIMA KRISTIAN N 4 TH P P.SURYANATA RT 007 754703 ASMA NEBU,O2 42,000 33,000 32,000 -
    491 SUHARTO 49 TH L CENDANA GG 10 RT 037 847973 ASMA NEBU,INJEKSI 42,000 33,000 - -
    492 PIADIN 26 TH 26 KARYA BARU RT 009 848009 CL FRAKTUR GITF,KONSUL 42,000 33,000 - DR.DAVID
    493 JELITA VIDMA WATY 3 TH P GN.LINGAI GG SYUKUR RT 009 728682 ISPA RESEP 42,000 33,000 - -
    494 DIAN INDAH P 25 TH P PAKIS 1 NO 151 RT 082 848032 HEG PLEB 42,000 33,000 - -
    495 HENDRY MARISON TAMBUN 34 TH L SENTOSA RT 030 818097 DISPEPSYA RESEP 42,000 33,000 - -
    496 ENNIKE DWI ELIYASA P 1 TH P GAYA BARU RT 009 848006 CKR KONSUL 42,000 33,000 - DR.GRACE
    497 ALLEN PRATAMA PUTRA 29 TH L JELAWAT GG 8 NO 20 RT 003 694037 ASMA O2,NEBU,INJEKSI 42,000 33,000 32,000 -
    498 HADIONO 28 TH L KARYA BARU RT 10 SMPJ 848047 CEPALGIA INJEKSI 42,000 33,000 - -
    499 ZAHWA ZS 4 TH P KEBUN AGUNG RT 001 848039 CL FRAKTUR WTH III,INJEKSI 42,000 33,000 - -
    500 EVI KRISTINAWATI 48 TH P RUKUN RT 014 842196 VERTIGO INJEKSI 42,000 33,000 - -
    501 25/6/2015 RAIFANA ALAUDI 13 TH L M.SAID GG SURYA RT 028 843507 FARINGITIS RESEP 42,000 33,000 - -
    502 DIAN SYAFIKH ASSADY 5 TH L M.SAID GG SURYA RT 028 842547 FARINGITIS RESEP 42,000 33,000 - -
    503 NUR SALSABILLA 3 TH P PADAT KARYA GG KARAUTAN RT 073 812180 BRONCHITIS NEBU 42,000 33,000 - -
    504 SUNIANSYAH 51 TH L PERJUANGAN RT 037 MUGIREJO 582097 STANBLE ANGINA PLEB,O2,EKG 42,000 33,000 32,000 DR.FURQON
    505 HALIMAH 55 TH P PEMUDA II RT 012 512679 ASMA O2,NEBU,INJEKSI 42,000 33,000 32,000 -
    506 KAMSIAH 50 TH P RAUDAH 1 RT 011 489399 FEBRIS INF,PLEB,EKG 42,000 33,000 - -
    507 YUSUF MASYYAH 2 TH L SOETOMO RT 029 485865 ISPA PLEB 42,000 33,000 - -
    508 MANDU ABDUL MUBAROK 56 TH L TERONG PIPIT 1 NO 633 RT 079 664444 VESACOLITHIASIS PLEB,EKG,SUPP 42,000 33,000 - -
    509 SITI MARYAM 21 TH P GERILYA GG FAMILY RT 035 848073 DISPEPSYA INJEKSI 42,000 33,000 - -
    510 JULIANSYAH 1 TH L BANGGERIS GG 3 NO 11 RT 21 836346 DISPNUE NEBU 42,000 33,000 - -
    511 NUR AHMAD RICKY 13 TH L TRI SARI RT 022 465217 DISPEPSYA PLEB 42,000 33,000 - -
    512 ADAM SAPUTRA 15 TH L ANGGUR RT 055 712254 FARINGITIS RESEP 42,000 33,000 - -
    513 NINING SULIASTUTI 35 TH P S.RIADI RT 014 848022 DISPEPSYA IJEKSI 42,000 33,000 - -
    514 RAIHAN ALHAFIS 8 TH L M.SAID GG SURYA RT 028 833228 FARINGITIS RESEP 42,000 33,000 - -
    515 A.FATHAR 31 TH L REFORMASI RT 009 BKUAN 848131 SPAIN MUSCLE RESEP 42,000 33,000 - -
    516 JAMILAH 44 TH P PESUT RT 016 631848 DUB PLEB 42,000 33,000 - -
    517 RIADI CANDRA 27 TH L JELAWAT GG 9 NO 35 789562 DISPEPSYA EKG,INJEKSI 42,000 33,000 - -
    518 INA PRATIWI 24 TH P L.MANGKURAT RT 041 GG 1 779411 DUB PLEB 42,000 33,000 - -
    519 WENDI SEPTIAN S 5 TH L DAMAI RT 027 848121 ISPA RESEP 42,000 33,000 - -
    520 M.HAFIZ RAMADHAN 1 TH L DAMAI RT 027 832936 ISPA RESEP 42,000 33,000 - -
    521 HERLINA 41 TH L CM.KUSUMO RT 005 837511 ASMA O2,NEBU,INJEKSI 42,000 33,000 32,000 -
    522 26/6/2015 MAS MADIR 42 TH L PASUNDAN RT 003 833382 BSK PLEB,INJEKSI 42,000 33,000 - -
    523 SY. NIEKMAH 36 TH P PERUM SMBTN RT 031 812392 DISPEPSYA EKG,INJEKSI 42,000 33,000 - -
    524 ELFIANA 23 TH P EKONOMI RT 018 621518 HEG PLEB,INJEKSI 42,000 33,000 - DR.YASMIN
    525 SUWANDI 25 TH L ANGGUR DALAM RT 054 848434 DISPEPSYA INJEKSI 42,000 33,000 - -
    526 AIDI NOOR 41 TH L P.KARYA GG CINTA DAMAI RT 001 848154 BSK PLEB,INJEKSI 42,000 33,000 - -
    527 HERLINA 41 TH P CM.KUSUMO RT 005 837511 HEG RESEP PLEB 33,000 - -
    528 SUKMAWATI 21 TH P PERUM BUMI SEMPAJA RT 047 809325 ISPA PLEB 42,000 33,000 - -
    529 HERLINA 41 TH P SUKMAWATI 842735 GEA RESEP 42,000 33,000 - -
    530 SUKMAWATI 21 TH P PERUM SAMBUTAN SEMPAJA RT 047 629434 DISPEPSYA INF,PLEB,INJEKSI 42,000 33,000 - -
    531 LAILA KIRANA NURAINI 1 TH P MERDEKA V RT 089 848189 FEBRIS PLEB 42,000 33,000 - -
    532 ANI MONICA 17 TH P PERUM PKL H/19 RT 030 848929 VERTIGO INJEKSI 42,000 33,000 - -
    533 WAHINI 37 TH P OTISTA ISKANDAR RT 033 848188 AB ININEN PLEB 42,000 33,000 - -
    534 ASMAIL 41 TH L H.SUWANDI 21 RT 024 511470 BRONCHITIS EKG,O2 42,000 33,000 32,000 -
    535 DENI IRAWAN R 13 TH L RAJAWALI DALAM RT 108 848150 CARRIES DENTIS RESEP 42,000 33,000 - -
    536 ANISA AZZAHRA AL BASIT 2 TH P PERJUANGAN ALAM SEGAR 4/16 787052 ISK RESEP 42,000 33,000 - -
    537 M.APRI SUKMA NANTA 10 TH L DI PANJAITAN RT 068 848173 EPILEPSI PLEB 42,000 33,000 - -
    538 OCTAVIA MITFAHUL JANNA 27 TH P KURNIA MAKMUR RT 015 654811 ASMA NEBU,INJEKSI 42,000 33,000 - -
    539 HENI RAKHEL LUKAS 16 TH P KEMAKMURAN GG 45 RT 44 821800 DISPEPSYA RESEP 42,000 33,000 - -
    540 AKIFA NAILA 1 TH P GATSU RT 001 789617 VOMITING INJEKSI 42,000 33,000 - -
    541 SUKINI 68 TH P GIRIREJO RT 025 848418 DM PLEB,EKG,INJEKSI 42,000 33,000 - DR.CARTA
    542 AJI PANGESTU 1 TH L GATSU GG 2 RT 001 842947 ISPA RESEP 42,000 33,000 - -
    543 M.ALI YUSUF ARAFAH 6 TH L HASAN BASRI RT 0123 848406 VOMITING PLEB,INJEKSI 42,000 33,000 - -
    544 ANDI NUR HALIMAH 23 TH P KESEHATAN DALAM NO 68 RT 002 795236 VERTIGO INJEKSI 42,000 33,000 - -
    545 SUNARSI 49 TH P BUKIT BARISAN GG SADAR NO 32 RT 848177 COLIC ABDOMEN PLEB,INJEKSI 42,000 33,000 - -
    546 27/6/2015 ANA MARIANA 21 TH P P.SURYANATA GG 4 RT 031 848531 DISPEPSYA PLEB,INJEKSI 42,000 33,000 - -
    547 ASMIRANSYAH 49 TH P CM.KUSUMO RT 001 848437 KONSTIPASI PLEB,EKG 42,000 33,000 - -
    548 YUNI JOHAN 40 TH P DAMAI RT 025 796059 DISPEPSYA PLEB,EKG,INJEKSI 42,000 33,000 - -
    549 M.ADRIAN DWI S 3 TH L DAMAI GG 4 RT 026 848422 ISPA PLEB 42,000 33,000 - -
    550 MARTINAH 56 TH P PADAT KARYA RT 083 848414 VL GDS CITO 42,000 33,000 - -
    551 SANNY ADE FEBRIAN 7 TH L GERILYA GG SEPAKAT RT 101 848488 VE WT 42,000 33,000 - -
    552 RENI HAIRANI 27 TH P RIMBAWAN RT 008 575586 VE RESEP 42,000 33,000 - -
    553 LIA APRILIANI 19 TH P GATSU GG 2 RT 001 848533 SNAKE INJEKSI 42,000 33,000 - -
    554 DWI ARIA ANANTA 1 TH P S.PARMAN 1 RT 001 757829 ISPA SUPP 42,000 33,000 - -
    555 MASRIAH 67 TH P OTISTA RT 022 552965 ASMA NEBU,INJEKSI 42,000 33,000 - -
    556 ALLEN PRATAMA PUTRA 29 TH L JELAWAT GG 8 NO 20 RT 003 694037 ASMA INF,NEBU,INJEKSI 42,000 33,000 - -
    557 MISBAH 25 TH P SENTOSA DALAM II RT 079 750618 ABD PAIN PLEB,KONSUL 42,000 33,000 - DR.BAMBANG
    558 NOOR HASANAH 46 TH P L.MANGKURAT RT 041 848535 DISPEPSYA EKG,INJEKSI 42,000 33,000 - -
    559 SURYANI 18 TH P PELITA 4 RT 013 848493 CETANUS LARVA MIGRAN RESEP 42,000 33,000 - -
    560 SUDARTI 48 TH P M.YAMIN GG 1 RT 017 675105 BATUK KRONIK NEBU 42,000 33,000 - -
    561 YUDI CATUR PRASETYO 31 TH L JELAWAT GG 7 RT 004 561690 HEMOROID PLEB 42,000 33,000 - DR.BAMBANG
    562 NOR JENAB 40 TH P GERILYA GG SEPAKAT RT 101 848490 DISLOKASI SOULDER+VL ELASTIS VERBAN 42,000 33,000 - DR.HENDY SP.OT
    563 HENY PATODO 49 TH P DI PANJAITAN RT 033 080624 VOMITING INF,PLEB,INJEKSI 42,000 33,000 - -
    564 WIDODO 46 TH L PERUM KELEDANG MAS RT 009 848413 CEPALGIA RESEP 42,000 33,000 - -
    565 28/6/2015 USMIWATI 52 TH P GERILYA GG AL JAWAHIR RT 046 784360 HISTERIA INF,PLEB,EKG,INJEKSI 42,000 33,000 - -
    566 SUSANTI 24 TH P ANGGUR RT 055 848551 GRAVID VT,DOPLER 42,000 33,000 - -
    567 DWI ARIA ANANTA 1 TH P S.PARMAN RT 001 757829 ASMA NEBU,O2 42,000 33,000 - -
    568 SUYANTO 47 TH L L.MANGKURAT GG 8 RT 019 522849 TRAUMA ELEKTRIC EKG 42,000 33,000 - -
    569 NASA MAHARANI 7 TH P RIMBAWAN RT 008 401845 FEBRIS PLEB 42,000 33,000 - -
    570 RIZKI NUR MAULIDA 17 TH P IJABAH RT 005 790081 HEMOROID RESEP 42,000 33,000 - -
    571 AZIZAH AZZAHRA 4 TH P RAUDAH 1 RT 011 742195 FEBRIS PLEB 42,000 33,000 - -
    572 RUSNANI 48 TH P P.BENDAHARA 679931 VERTIGO VERTIGO 42,000 33,000 - -
    573 M.NUR ZAKI 5 BL L NUSA INDAH RT 002 552243 GEA RESEP 42,000 33,000 - -
    574 ADAM SAPUTRA 5 TH L ANGGUR RT 055 712254 FEBRIS PLEB 42,000 33,000 - -
    575 DWI ZULIANI 51 TH P PINANG SERIBU RT 013 615624 VOMITING INF,PLEB,INJEKSI 42,000 33,000 - -
    576 WINDA RIFAI 16 TH P KEMAKMURAN RT 043 488565 CKR RESEP 42,000 33,000 - -
    577 NAILA RAUDTHATUL 9 TH P KH.W.HASYIM GG AHIM III RT 028 848554 URTIKARIA RESEP 42,000 33,000 - -
    578 HENDRA OFTA SYARANI 22 TH P REEL RT 019 848587 VL WTH II,INJEKSI 42,000 33,000 - -
    579 MARIONO 62 TH L MT.HARIYONO GG RAWA JAYA RT 001 836640 GOUT ARTITIS RESEP 42,000 33,000 - -
    580 ACIL 71 TH P M.SAID RT 029 848566 ASMA NEBU,EKG 42,000 33,000 - -
    581 MARJANI 62 TH L OTISTA RT 018 103899 PPOK PLEB 42,000 33,000 - -
    582 SONIA INDRIANI 3 TH L T.UMAR RT 035 843040 TONSILITIS PLEB 42,000 33,000 - -
    583 29/6/2015 MUSLIHAH JUNIASIH 19 TH P PERJUNAGAN 2 RT 002 846575 INPARTU VT,DOPLER 42,000 33,000 - -
    584 ISMAIL YAMIN 30 TH L KH.M.MANSYUR RT 037 846668 ASMA O2,NEBU,INJEKSI 42,000 33,000 32,000 -
    585 EVA YULIANSIH 19 TH P MERANTI GG II RT 019 848676 ISK PLEB,INJEKSI 42,000 33,000 - -
    586 SUNDARI 26 TH P LUMBA LUMBA RT 011 848665 FEBRIS PLEB 42,000 33,000 - -
    587 SA'DAH 58 TH P OTISTA RT 022 848710 DISPEPSYA INJEKSI 42,000 33,000 - -
    588 MIKHAYLA ZARA S 2 TH P DR.SUTOMO GG 7 RT 039 848710 DISPEPSYA PLEB 42,000 33,000 - -
    589 JURAIDA SUROSO 62 TH L PERUM SIP F/28 RT 031 644017 HT INF,PLEB,EKG 42,000 33,000 - -
    590 RIKI PURNAMA 38 TH L M.YAMIN GG 1 RT 017 748976 ISK PLEB 42,000 33,000 - -
    591 ALDY NUR SYAH ALAM 7 TH L KH.H.NAFSI RT 008 848654 VOMITING INF,PLEB,INJEKSI 42,000 33,000 - -
    592 ROSIDAH 39 TH P LABU MERAH 3 /167 RT 071 848664 CAD EKG,INJEKSI 42,000 33,000 - -
    593 INDARTI 43 TH P MONAS RT 037 840318 DISPEPSYA PLEB,INJEKSI 42,000 33,000 - -
    594 MARIANI 39 TH P BUNG TOMO GG ANTASARI RT 021 848634 BSK PLEB,INJEKSI 42,000 33,000 - -
    595 ISKANDAR 43 TH L HOS COKRO A RT 030 848686 COLIC URETER PLEB 42,000 33,000 - -
    596 YUSUF 57 TH L MILONO RT 013 694840 ASMA O2,NEBU,INJEKSI 42,000 33,000 32,000 -
    597 SUSI NURWATI 32 TH P P.HIDAYATULLAH GG BATU RT 016 848713 ISPA RESEP 42,000 33,000 - -
    598 JIHAN AURELLIA IDRIS 7 TH P KS.TUBUN DALAM RT 014 551059 FEBRIS RESEP 42,000 33,000 - -
    599 SUDARTI 48 TH P M.YAMIN GG 1 RT 017 675105 ISPA RESEP 42,000 33,000 - -
    600 ANI LISTIANI 20 TH P SERAYU RT 020 848722 ABSES MAMAE RESEP 42,000 33,000 - -
    601 SARKANI 63 TH L BUKIT BARISAN RT 038 848703 DISPEPSYA PLEB,EKG,INJEKSI 42,000 33,000 - -
    602 30/6/2015 HERLIANSARI 39 TH L HASAN BASRI RT 019 760641 FARINGITIS RESEP 42,000 33,000 - -
    603 ARMIYAH 34 TH P RAPAK INDAH RT 036 776045 INPARTU VT,DOPLER 42,000 33,000 - -
    604 MUHYI 40 TH L KEMAKMURAN DALAM RT 020 843239 ASMA O2,NEBU,INJEKSI 42,000 33,000 32,000 -
    605 UNTUNG BENER P 54 TH L IMAM BONJOL GG 10 NO 46 RT 10 826529 RETENSIO URIEN PASANG CATETER 42,000 33,000 - -
    606 GIUS SEPENA BT 16 TH L PLAMBOYAN RT 010 848789 VL WTH IV,INJEKSI 42,000 33,000 - DR.ATOB
    607 YEHUDA DUMA 7 TH L PERJUNANGNA RT 02 SMPJ 491082 VE WT 42,000 33,000 - -
    608 NUR MAWAN 33 TH L TRISARI RT 022 848805 TRAUMA OCULI RESEP 42,000 33,000 - -
    609 M.SIRAJUDDIN 42 TH L TENGKAWANG KELAPA GADING RT 01 848746 ABD PAIN PLEB,EKG,INJEKSI 42,000 33,000 - DR.NIRAPAMBUDI
    610 HASANUDDIN 44 TH L IR.SUTAMI GG H. SALEH RT 009 559467 URTIKARIA RESEP 42,000 33,000 - -
    611 ATALITHA SARI SALMA 4 TH P PANGKALAN RT 006 709040 FARINGITIS PLEB 42,000 33,000 - -
    612 BANDUNG 55 TH L RAJAWALI DALAM RT 014 848595 FARINGITIS RESEP 42,000 33,000 - -
    613 ADITIYATAMA YUDA H 9 TH L CM.KUSUMO RT 012 335533 DISPEPSYA PLEB,INJEKSI 42,000 33,000 - -
    614 HALIMAH 55 TH P PEMUDA II RT 012 512679 ASMA NEBU,EKG,O2,INJEKSI 42,000 33,000 32,000 -
    615 PRIYO SANTOSO 36 TH L ANGGUR RT 055 412767 CORPAL IRIGASI 42,000 33,000 - -
    616 SUTOYO 49 TH L PADAT KARYA RT 64 SMPJ 847653 DISPEPSYA EKG,INJEKSI 42,000 33,000 - -
    617 KRISTIAN LUBIS 60 TH L BIAWAN GG 1 RT 014 NO 02 402802 VERTIGO PLEB,O2,EKG 42,000 33,000 32,000 -
    618 FITRIAH 45 TH P DI PANJAITAN GG 4 NO 26 RT 037 848744 HEMAPTOE PLEB,EKG,INJEKSI 42,000 33,000 - -
    619 MISBAH 25 TH P SENTOSA DLM II RT 79 750618 GRAVID PLEB 42,000 33,000 - -
    620 ISKANDAR 42 TH L HOS COKRO A RT 030 848686 COLIC ABDOMEN PLEBO,EKG 42,000 33,000 - DR.ATOB
    621 ROSYITHA PURNAMASARI 37 TH P SITI AISYAH RT 015 847870 GRAVID PLEB 42,000 33,000 - -
    622 MISRAN 24 TH L TATAKO RT 008 848764 VL WT 42,000 33,000 - -
    623 DZAKIRA TALITA SAKHI 2 TH P turi putih 2 RT 089 848795 FEBRIS RESEP 42,000 33,000 - -
    624 ANISA AULIYA PUTRI 11 TH P WIJAYA KUSUMA VC RT 017 848734 DISPEPSYA INJEKSI 42,000 33,000 - -
    625 SUMIATI 38 TH P SULTAN ALIMUDDIN RT 004 384475 PJK INF,PLEB,O2,EKG 42,000 33,000 32,000 -
    686 26,208,000 20,625,000 2,560,000 -
    RINCIAN BIAYA
    JUMLAH
    biaya jasa rs BHP Tindakan IGD
    15 16 17 18 19
    75,000 - - - 150,000
    - 179,200 33,500 140,800 460,500
    - 44,800 7,000 35,200 162,000
    - 89,600 17,000 70,400 252,000
    - - - - 75,000
    - - - - 75,000
    - 89,600 15,000 70,400 282,000
    - 179,200 32,000 140,800 427,000
    - - - - 75,000
    - 134,400 22,000 105,600 369,000
    - 134,400 25,000 105,600 372,000
    - 134,400 22,000 105,600 369,000
    - 89,600 17,000 70,400 252,000
    - 134,400 22,000 105,600 369,000
    - 89,600 15,000 70,400 282,000
    - 44,800 7,000 35,200 162,000
    - 44,800 7,000 35,200 162,000
    - 44,800 7,000 35,200 162,000
    - - - - 75,000
    - - - - 75,000
    - - - - 75,000
    - 44,800 1,000 35,200 156,000
    - 44,800 7,000 35,200 162,000
    - - - - 75,000
    - - - - 75,000
    - 134,400 20,000 105,600 335,000
    75,000 44,800 10,000 35,200 240,000
    - 44,800 7,000 35,200 162,000
    - 89,600 17,000 70,400 252,000
    - 44,800 39,000 35,200 194,000
    - 224,000 38,500 176,000 513,500
    - 179,200 33,500 140,800 428,500
    - 89,600 17,000 70,400 252,000
    - - - - 75,000
    - 89,600 16,500 70,400 251,500
    - - - - 75,000
    - 44,800 10,000 35,200 165,000
    - 44,800 7,000 35,200 162,000
    - 89,600 27,000 70,400 262,000
    - 89,600 15,000 70,400 282,000
    - - - - 75,000
    - 89,600 17,000 70,400 252,000
    - 134,400 22,000 105,600 337,000
    - 268,800 48,500 211,200 603,500
    - 89,600 37,000 70,400 272,000
    - 89,600 17,000 70,400 252,000
    - 134,400 23,500 105,600 338,500
    - - - - 75,000
    - 89,600 37,000 70,400 272,000
    - 134,400 22,000 105,600 337,000
    - 179,200 33,500 140,800 428,500
    - 44,800 7,000 35,200 162,000
    - 44,800 7,000 35,200 162,000
    - 244,000 38,500 176,000 565,500
    - 89,600 16,500 70,400 251,500
    - 89,600 16,500 70,400 251,500
    75,000 134,400 22,000 105,600 444,000
    - 44,800 7,000 35,200 162,000
    - 44,800 7,000 35,200 162,000
    - 89,600 17,000 70,400 252,000
    - 89,600 37,000 70,400 272,000
    - 44,800 7,000 35,200 162,000
    - 89,600 15,000 70,400 282,000
    - - - - 107,000
    - 44,800 7,000 35,200 194,000
    - - - - 75,000
    - 44,800 10,000 35,200 165,000
    - - - - 75,000
    - 134,400 25,000 105,600 340,000
    - 44,800 10,000 35,200 197,000
    - 89,600 15,000 70,400 282,000
    - 224,000 41,500 176,000 516,500
    - 89,600 15,000 70,400 282,000
    - 89,600 16,500 70,400 251,500
    - - - - 75,000
    - 44,800 10,000 35,200 165,000
    - 134,400 25,000 105,600 340,000
    - - - - 75,000
    - 44,800 10,000 35,200 165,000
    - 89,600 17,000 70,400 252,000
    - 44,800 10,000 35,200 165,000
    - 134,400 22,000 105,600 369,000
    - - - - 75,000
    - 179,200 33,500 140,800 428,500
    - 268,800 48,500 176,000 568,300
    - 44,800 7,000 35,200 162,000
    - 44,800 10,000 35,200 165,000
    - - - - 75,000
    - 179,200 33,500 140,800 428,500
    75,000 44,800 - 35,200 230,000
    - 44,800 10,000 35,200 165,000
    - 224,000 38,500 176,000 513,500
    - 44,800 20,000 35,200 175,000
    - 89,600 20,000 70,400 255,000
    - 179,200 32,000 140,800 427,000
    - - - - 75,000
    - 89,600 15,000 70,400 282,000
    - - - - 75,000
    - 448,000 10,000 35,200 568,200
    - - - - 75,000
    - 44,800 10,000 35,200 165,000
    - - - - 75,000
    - 44,800 7,000 35,200 162,000
    - 44,800 7,000 35,200 162,000
    - - - - 75,000
    - - - - 75,000
    - 134,400 22,000 105,600 369,000
    - 44,800 10,000 35,200 165,000
    - 134,400 23,500 105,600 338,500
    - 179,200 33,500 140,800 428,500
    - - - - 75,000
    - 179,200 23,500 140,800 418,500
    - 44,800 10,000 35,200 165,000
    - 44,800 10,000 35,200 165,000
    - 44,800 10,000 35,200 165,000
    - 44,800 10,000 35,200 165,000
    - 44,800 10,000 35,200 165,000
    - 89,600 15,000 70,400 282,000
    - - - - 75,000
    - 134,400 42,000 105,600 357,000
    - 44,800 10,000 35,200 165,000
    - 44,800 7,000 35,200 162,000
    - - - - 75,000
    - 44,800 7,000 35,200 162,000
    - 89,600 15,000 70,400 282,000
    - 44,800 7,000 35,200 162,000
    - - - - 75,000
    - - - - 75,000
    - 44,800 7,000 35,200 194,000
    - 44,800 10,000 35,200 165,000
    - - - - 75,000
    - 44,800 7,000 35,200 162,000
    - 44,800 7,000 35,200 162,000
    - 44,800 20,000 35,200 175,000
    - 89,600 15,000 70,400 282,000
    - 134,400 35,000 105,600 350,000
    - 44,800 7,000 35,200 162,000
    - 89,600 15,000 70,400 282,000
    - 224,000 41,500 176,000 516,500
    - 44,800 7,000 35,200 162,000
    - - - - 75,000
    - 134,400 57,000 105,600 372,000
    - - - - 75,000
    - - - - 75,000
    - 44,800 7,000 35,200 162,000
    - 134,400 23,500 105,600 338,500
    - 44,800 10,000 35,200 165,000
    - - - - 75,000
    - 179,200 33,500 140,800 428,500
    - 44,800 7,000 35,200 162,000
    - 44,800 7,000 35,200 162,000
    - 44,800 10,000 35,200 165,000
    - 44,800 10,000 35,200 165,000
    - 134,400 23,500 105,600 370,500
    - 44,800 10,000 35,200 165,000
    - 44,800 10,000 35,200 165,000
    - 134,400 57,000 105,600 372,000
    - 134,400 22,000 105,600 369,000
    - 134,400 22,000 105,600 337,000
    - 89,600 27,000 70,400 262,000
    - 268,800 48,500 211,200 603,500
    - 44,800 7,000 35,200 162,000
    - - - - 75,000
    - 89,600 17,000 70,400 252,000
    - - - - 75,000
    75,000 - - - 150,000
    - 44,800 10,000 35,200 165,000
    75,000 44,800 10,000 35,200 240,000
    - 134,400 25,000 105,600 340,000
    - 134,400 37,000 105,600 352,000
    - 44,800 10,000 35,200 165,000
    - 179,200 33,500 140,800 460,500
    - - - - 75,000
    - - - - 75,000
    - 134,400 22,000 105,600 369,000
    - - - - 75,000
    - 44,800 10,000 35,200 165,000
    - 89,600 17,000 70,400 252,000
    - 134,400 22,000 105,600 369,000
    - - - - 75,000
    - - - - 75,000
    - 44,800 10,000 35,200 165,000
    - - - - 75,000
    - 89,600 16,500 70,400 251,500
    - 134,400 57,000 105,600 372,000
    - 44,800 10,000 35,200 165,000
    - 44,800 7,000 35,200 162,000
    - 44,800 7,000 35,200 162,000
    - 44,800 10,000 35,200 165,000
    - 44,800 7,000 35,200 162,000
    - 89,600 15,000 70,400 250,000
    - 134,400 22,000 105,600 369,000
    - 134,400 26,500 105,600 341,500
    - 44,800 20,000 35,200 175,000
    - 134,400 23,500 105,600 338,500
    - 44,800 10,000 35,200 165,000
    - - - - 107,000
    - 89,600 15,000 70,400 282,000
    - 89,600 15,000 70,400 282,000
    - 44,800 10,000 35,200 165,000
    - 44,800 10,000 35,200 165,000
    - 44,800 10,000 35,200 165,000
    - 134,400 57,000 105,600 372,000
    - 179,200 32,000 140,800 427,000
    - 134,400 57,000 105,600 372,000
    - 179,200 33,500 140,800 428,500
    - 89,600 27,000 70,400 262,000
    - 89,600 27,000 70,400 262,000
    - 134,400 22,000 105,600 337,000
    - 134,400 57,000 105,600 372,000
    - - - - 75,000
    - - - - 75,000
    - 44,800 - 35,200 155,000
    - 44,800 7,000 35,200 194,000
    - 89,600 15,000 70,400 282,000
    - 89,600 27,000 70,400 262,000
    - 44,800 7,000 35,200 162,000
    - 134,400 23,500 105,600 338,500
    - 134,400 22,000 105,600 369,000
    - 89,600 37,000 70,400 272,000
    - - - - 75,000
    - 179,200 33,500 140,800 428,500
    - 44,800 7,000 35,200 162,000
    - - - - 75,000
    - 44,800 10,000 35,200 165,000
    - - - - 75,000
    - - - - 75,000
    - 134,400 22,000 105,600 369,000
    - 224,000 41,500 176,000 548,500
    - 134,400 23,500 105,600 338,500
    - 134,400 22,000 105,600 337,000
    - 89,600 17,000 70,400 252,000
    - 44,800 7,000 35,200 162,000
    - - - - 75,000
    - 89,600 16,500 70,400 251,500
    - 44,800 10,000 35,200 165,000
    - 44,800 7,000 35,200 162,000
    - - - - 75,000
    - 44,800 7,000 35,200 162,000
    - 179,200 33,500 140,700 428,400
    - 134,400 22,000 105,600 369,000
    - 134,400 22,000 105,600 369,000
    - 89,600 17,000 70,400 252,000
    - 44,800 10,000 35,200 165,000
    - 134,400 24,000 105,600 339,000
    - 44,800 10,000 35,200 165,000
    - 44,800 10,000 35,200 165,000
    - - - - 75,000
    - - - - 75,000
    - 179,200 33,500 140,800 428,500
    - 134,400 26,500 105,600 341,500
    - 134,400 22,000 105,600 369,000
    - 134,400 26,500 105,600 341,500
    - 44,800 7,000 35,200 194,000
    - 89,600 16,500 70,400 251,500
    - 89,600 17,000 70,400 252,000
    - 89,600 40,000 70,400 275,000
    - 44,800 20,000 35,200 175,000
    - 44,800 - 35,200 155,000
    - - - - 75,000
    - 89,600 16,500 70,400 251,500
    - 89,600 17,000 70,400 252,000
    - 89,600 15,000 70,400 282,000
    - 134,400 22,000 105,600 369,000
    - 89,600 16,500 70,400 251,500
    - 89,600 27,000 70,400 262,000
    - 89,600 17,000 70,400 252,000
    - - - - 75,000
    - 44,800 7,000 35,200 162,000
    - 44,800 10,000 35,200 165,000
    - 134,400 25,000 105,600 372,000
    - 134,400 25,000 105,600 340,000
    - 89,600 47,000 70,400 282,000
    - 44,800 20,000 35,200 175,000
    - 44,800 10,000 35,200 165,000
    - 44,800 - 35,200 155,000
    - 89,600 17,000 70,400 252,000
    - - - - 75,000
    - - - - 107,000
    - 44,800 10,000 35,200 165,000
    75,000 44,800 10,000 35,200 240,000
    - 44,800 10,000 35,200 165,000
    - 224,000 38,500 176,000 513,500
    - 44,800 7,000 35,200 162,000
    - 134,400 22,000 105,600 369,000
    - 179,200 33,500 140,800 428,500
    - 44,800 10,000 35,200 165,000
    - 134,400 22,000 105,600 369,000
    - 134,400 26,500 105,600 341,500
    - 134,400 22,000 105,600 337,000
    - 134,400 22,000 105,600 369,000
    - 44,800 10,000 35,200 165,000
    - 134,400 57,000 105,600 372,000
    - 44,800 10,000 35,200 165,000
    - 44,800 7,000 35,200 162,000
    - 44,800 10,000 35,200 165,000
    - - - - 75,000
    - 44,800 7,000 35,200 162,000
    - 134,400 22,000 105,600 337,000
    - 89,600 25,000 70,400 260,000
    - 134,400 23,500 105,600 338,500
    - 179,200 33,500 140,800 428,500
    - 89,600 25,000 70,400 260,000
    - 44,800 10,000 35,200 165,000
    - 44,800 10,000 35,200 165,000
    - 89,600 15,000 70,400 282,000
    - 89,600 37,000 70,400 272,000
    - 89,600 25,000 70,400 260,000
    - 44,800 7,000 35,200 162,000
    - 134,400 57,000 105,600 372,000
    - 448,000 88,500 352,000 995,500
    - - - - 75,000
    - 89,600 13,000 70,400 248,000
    - - - - 75,000
    - 89,600 15,000 70,400 282,000
    - 179,200 33,500 140,800 428,500
    - 134,400 26,500 105,600 341,500
    150,000 179,200 32,500 140,800 609,500
    - 179,200 32,000 140,800 427,000
    75,000 224,000 41,500 176,000 623,500
    - - - - 75,000
    - 44,800 10,000 35,200 165,000
    - 44,800 7,000 35,200 162,000
    75,000 89,600 37,000 70,400 347,000
    - 44,800 7,000 35,200 162,000
    - - - - 75,000
    - 89,600 17,000 70,400 252,000
    - 89,600 17,000 70,400 252,000
    - 44,800 10,000 35,200 165,000
    - 89,600 17,000 70,400 252,000
    75,000 179,200 32,500 140,800 502,500
    - - - - 75,000
    - 134,400 26,500 105,600 341,500
    - 44,800 10,000 35,200 165,000
    - 44,800 10,000 35,200 165,000
    - 44,800 7,000 35,200 162,000
    - 179,200 32,000 140,800 427,000
    - 89,600 17,000 70,400 252,000
    - 134,400 22,000 105,600 369,000
    - 44,800 10,000 35,200 165,000
    - 134,400 26,500 105,600 341,500
    - 89,600 27,000 70,400 262,000
    - 134,400 57,000 105,600 372,000
    - 44,800 7,000 35,200 162,000
    - 44,800 7,000 35,200 162,000
    - 44,800 7,000 35,200 162,000
    - 134,400 22,000 105,600 369,000
    - - - - 75,000
    - - - - 75,000
    - 89,600 37,000 70,400 272,000
    - 44,800 10,000 35,200 165,000
    - - - - 75,000
    - 89,600 16,500 70,400 251,500
    - 134,400 30,000 105,600 345,000
    - - - - 75,000
    - 44,800 7,000 35,200 194,000
    - 89,600 17,000 70,400 252,000
    - 44,800 10,000 35,200 165,000
    - 89,600 37,000 70,400 272,000
    - - - - 75,000
    - 44,800 10,000 35,200 165,000
    - 179,200 32,000 140,800 427,000
    - - - - 75,000
    - 44,800 10,000 35,200 165,000
    - 89,600 16,500 70,400 251,500
    - 89,600 15,000 70,400 250,000
    - 44,800 10,000 35,200 165,000
    - 179,200 33,500 140,800 428,500
    - 89,600 17,000 70,400 252,000
    - 44,800 7,000 35,200 162,000
    - 44,800 10,000 35,200 165,000
    - 44,800 10,000 35,200 165,000
    - 44,800 10,000 35,200 165,000
    - 44,800 10,000 35,200 165,000
    - 44,800 7,000 35,200 162,000
    - 89,600 17,000 70,400 252,000
    - 44,800 7,000 35,200 162,000
    - 134,400 22,000 105,600 337,000
    - 44,800 10,000 35,200 165,000
    - 134,400 57,000 105,600 372,000
    - 89,600 20,000 70,400 255,000
    - 179,200 33,500 140,800 428,500
    - 44,800 10,000 35,200 165,000
    - 44,800 10,000 35,200 165,000
    - 44,800 7,000 35,200 162,000
    - - - - 75,000
    - 44,800 10,000 35,200 165,000
    75,000 268,800 43,500 211,200 673,500
    - - - - 75,000
    - 179,200 33,500 140,800 428,500
    - 44,800 10,000 35,200 165,000
    - 44,800 7,000 35,200 194,000
    - 44,800 10,000 35,200 165,000
    75,000 44,800 10,000 35,200 240,000
    - 44,800 10,000 35,200 165,000
    - 44,800 7,000 35,200 194,000
    - 44,800 10,000 35,200 165,000
    - 89,600 17,000 70,400 252,000
    - 44,800 10,000 35,200 165,000
    - 44,800 10,000 35,200 165,000
    - 44,800 10,000 35,200 165,000
    - 89,600 16,500 70,400 251,500
    - 44,800 10,000 35,200 165,000
    - 89,600 17,000 70,400 252,000
    - 134,400 23,500 105,600 338,500
    - 44,800 10,000 35,200 165,000
    - 89,600 15,000 70,400 250,000
    - - - - 75,000
    75,000 44,800 10,000 35,200 240,000
    - 44,800 10,000 35,200 165,000
    - 89,600 27,000 70,400 262,000
    - 179,200 33,500 140,800 428,500
    - 89,600 22,000 70,400 289,000
    - - - - 75,000
    - 134,400 26,500 105,600 341,500
    - - - - 75,000
    - - - - 75,000
    - 89,600 27,000 70,400 262,000
    - 134,400 26,500 105,600 341,500
    - 44,800 7,000 35,200 162,000
    - 44,800 7,000 35,200 194,000
    - 179,200 33,500 140,800 428,500
    - - - - 75,000
    - 179,200 33,500 140,800 428,500
    - 44,800 10,000 35,200 165,000
    - 134,400 25,000 105,600 340,000
    - 134,400 26,500 105,600 373,500
    - - - - 75,000
    - 89,600 15,000 70,400 282,000
    - 179,200 33,500 140,800 428,500
    - - - - 75,000
    - 89,600 13,000 70,400 248,000
    - 44,800 10,000 35,200 165,000
    - 134,400 23,500 105,600 338,500
    - - - - 75,000
    - - - - 75,000
    - 179,200 33,500 140,800 460,500
    - 89,600 17,000 70,400 252,000
    - 44,800 7,000 35,200 162,000
    - - - - 75,000
    - - - - 75,000
    - 179,200 33,500 140,800 428,500
    - 44,800 10,000 35,200 165,000
    - 44,800 20,000 35,200 175,000
    - 89,600 25,000 70,400 260,000
    - 89,600 17,000 70,400 284,000
    75,000 - - - 150,000
    - 89,600 15,000 70,400 282,000
    - 89,600 16,500 70,400 251,500
    - - - - 75,000
    - 44,800 7,000 35,200 162,000
    - - - - 75,000
    - - - - 75,000
    - 44,800 10,000 35,200 165,000
    - - - - 75,000
    - 44,800 10,000 35,200 165,000
    - 179,200 33,500 140,800 428,500
    - 134,400 42,000 105,600 357,000
    - 134,400 27,000 105,600 342,000
    - 44,800 10,000 35,200 165,000
    - - - - 75,000
    - 134,400 25,000 105,600 340,000
    - 44,800 10,000 35,200 165,000
    - 44,800 10,000 35,200 165,000
    - 44,800 7,000 35,200 162,000
    - 134,400 23,500 105,600 338,500
    - 134,400 57,000 105,600 372,000
    - - - - 75,000
    - 44,800 10,000 35,200 165,000
    75,000 89,600 16,500 70,400 326,500
    - 179,200 33,500 140,800 428,500
    - 134,400 25,000 105,600 340,000
    - 268,800 48,500 211,200 635,500
    - 179,200 33,500 140,800 428,500
    - - - - 75,000
    - 179,200 33,500 140,800 428,500
    - 89,600 17,000 70,400 252,000
    - - - - 75,000
    - 44,800 10,000 35,200 165,000
    - 358,400 125,000 356,600 915,000
    - 134,400 25,000 105,600 340,000
    - 134,400 57,000 105,600 372,000
    - 179,200 32,000 140,800 427,000
    - - - - 75,000
    - 89,600 16,500 70,400 251,500
    - 44,800 10,000 35,200 165,000
    - 179,200 33,500 140,800 428,500
    - 44,800 7,000 35,200 162,000
    - 44,800 7,000 35,200 194,000
    - 89,600 15,000 70,400 282,000
    - 134,400 22,000 105,600 337,000
    75,000 358,400 50,000 281,600 840,000
    - - - - 75,000
    - 44,800 10,000 35,200 165,000
    - - - - 75,000
    75,000 - - - 150,000
    - 134,400 22,000 105,600 369,000
    - 44,800 7,000 35,200 162,000
    - 134,400 57,000 105,600 372,000
    - 44,800 7,000 35,200 162,000
    - - - - 75,000
    - - - - 75,000
    - 89,600 15,000 70,400 250,000
    75,000 134,400 26,500 105,600 448,500
    - 134,400 22,000 105,600 369,000
    - 179,200 33,500 140,800 428,500
    - 44,800 10,000 35,200 165,000
    - 179,200 29,500 140,800 424,500
    - 44,800 7,000 35,200 162,000
    - 89,600 15,000 70,400 250,000
    - 44,800 10,000 35,200 165,000
    - - - - 75,000
    - 44,800 7,000 35,200 162,000
    - - - - 75,000
    - - - - 75,000
    - 44,800 10,000 35,200 165,000
    - 89,600 17,000 70,400 252,000
    - 44,800 10,000 35,200 165,000
    - - - - 75,000
    - - - - 75,000
    - 134,400 22,000 105,600 369,000
    - 89,600 17,000 70,400 252,000
    - 134,400 23,500 105,600 338,500
    75,000 89,600 17,000 70,400 327,000
    - 44,800 7,000 35,200 162,000
    - 89,600 17,000 70,400 252,000
    - 44,800 10,000 35,200 123,000
    - 44,800 10,000 35,200 165,000
    - - - - 75,000
    - 268,800 48,500 211,200 603,500
    - 44,800 10,000 35,200 165,000
    - 44,800 7,000 35,200 162,000
    - 44,800 7,000 35,200 162,000
    - 89,600 16,500 70,400 283,500
    - - - - 75,000
    - - - - 75,000
    - 44,800 10,000 35,200 165,000
    - 14,400 22,000 105,600 217,000
    - - - - 75,000
    - 44,800 7,000 35,200 162,000
    75,000 179,200 33,500 140,800 503,500
    - - - - 75,000
    - 89,600 17,000 70,400 252,000
    - 44,800 7,000 35,200 162,000
    - 89,600 17,000 70,400 252,000
    - 89,600 17,000 70,400 252,000
    - 134,400 26,500 105,600 341,500
    - 179,200 33,500 140,800 428,500
    - 44,800 10,000 35,200 165,000
    - 44,800 15,000 35,200 170,000
    - 44,800 20,000 35,200 175,000
    - - - - 75,000
    - 44,800 7,000 35,200 162,000
    - 44,800 3,000 35,200 158,000
    - 134,400 22,000 105,600 337,000
    - 224,000 37,000 176,000 512,000
    75,000 44,800 10,000 35,200 240,000
    - 134,400 23,500 105,600 338,500
    - - - - 75,000
    - 89,600 15,000 70,400 250,000
    75,000 44,800 10,000 35,200 240,000
    75,000 - - - 150,000
    179,200 32,000 140,800 35,200 462,200
    - - - - 75,000
    - 268,800 48,500 211,200 603,500
    - 89,600 25,000 70,400 260,000
    - 89,600 47,000 70,400 282,000
    - 89,600 16,500 70,400 251,500
    - 44,800 10,000 35,200 165,000
    - - - - 75,000
    - 44,800 10,000 35,200 165,000
    - 44,800 10,000 35,200 165,000
    - - - - 75,000
    - 44,800 10,000 35,200 165,000
    - 179,200 32,000 140,800 427,000
    - - - - 75,000
    - - - - 75,000
    - 134,400 57,000 105,600 372,000
    - - - - 75,000
    - 179,200 31,500 140,800 426,500
    - 44,800 10,000 35,200 165,000
    - 44,800 10,000 35,200 165,000
    - 89,600 25,000 70,400 260,000
    - 134,400 22,000 105,600 369,000
    - 89,600 17,000 70,400 252,000
    - 44,800 10,000 35,200 165,000
    - 44,800 7,000 35,200 162,000
    - 44,800 10,000 35,200 165,000
    - 224,000 41,500 176,000 516,500
    - 44,800 10,000 35,200 165,000
    - 179,200 32,000 140,800 427,000
    - 134,400 23,500 105,600 338,500
    - 89,600 17,000 70,400 252,000
    - 89,600 17,000 70,400 252,000
    - 44,800 10,000 35,200 165,000
    - 134,400 22,000 105,600 369,000
    - - - - 75,000
    - - - - 75,000
    - - - 35,200 110,200
    - - - - 75,000
    - 179,200 33,500 140,800 428,500
    - - - - 75,000
    - 89,600 25,000 70,400 260,000
    - 134,400 22,000 105,600 369,000
    - 89,600 20,000 70,400 255,000
    75,000 291,200 82,000 228,800 752,000
    - 44,800 20,000 35,200 175,000
    - - - - 75,000
    75,000 268,800 48,500 211,200 678,500
    - - - - 75,000
    - 44,800 10,000 35,200 165,000
    - - - - 75,000
    - 89,600 17,000 70,400 252,000
    - 179,200 31,500 140,800 458,500
    - 44,800 10,000 35,200 165,000
    - 134,400 23,500 105,600 338,500
    - 134,400 26,500 105,600 373,500
    - 179,200 33,500 140,800 428,500
    - 44,800 10,000 35,200 165,000
    75,000 179,200 29,500 140,800 499,500
    - 44,800 10,000 35,200 165,000
    - 44,800 20,000 35,200 175,000
    - - - - 75,000
    - 44,800 7,000 35,200 162,000
    - 224,000 41,500 176,000 548,500
    2,279,200 48,248,800 10,017,300 37,756,500 147,694,800
    Tagihan Jamkeda Samarinda Di IGD RSUD A. Wahab Sjahranie bulan Juli 2015

    Tanggal No KIB/
    Nama Pasien Umur L/P Alamat No. Peserta Diagnosa Tindakan
    NO Kunjungan No. REG Karcis IGD OKSIGEN/O2
    1 2 3 4 5 6 7 8 9 10 11 12 13
    1 1/7/2015 NOVIA 25 TH P GAMELAN RT 039 740026 INPARTU VT,DOPLER 42,000 33,000 -
    2 HERLIANSARI 39 TH P HASAN BASRI RT 019 760641 FEBRIS PLEB 42,000 33,000 -
    3 MASHULA 43 TH L MERBABU RT 016 848854 CEPALGIA PLEB,EKG,INJEKSI 42,000 33,000 -
    4 MISTAR 33 TH L AGUS SALIM RT 031 848868 FEBRIS PLEB 42,000 33,000 -
    5 NUR MUSPIAH 36 TH P REJO MULYO RT 032 505035 CHEST PAIN PLEBO,EKG 42,000 33,000 -
    6 A.HUSRI 14 TH L KH.HARUN NAFSI RT 019 848808 CKB INJEKSI,KONSUL 42,000 33,000 -
    7 ANGGUN PERMATA ILMA 17 TH P DI PANJAITAN RT 002 848869 FARINGITIS RESEP 42,000 33,000 -
    8 ANDIKA RIZKY PRATAMA 10 TH L PM.NOOR RT 038 470212 CEPALGIA RESEP 42,000 33,000 -
    9 POPPY ULAN MAULIDA 22 TH P DI PANJAITAN RT 017 848811 GASTRITIS INJEKSI 42,000 33,000 -
    10 MUJIONO 59 TH L JELAWAT GG 8 RT 003 421947 CAD PLEB,EKG,INJEKSI 42,000 33,000 -
    11 SUPINI 61 TH P ULIN GG 17 RT 014 848810 KONSTIPASI PLEB,INJEKSI 42,000 33,000 -
    12 EVA ANDRIANI 29 TH P KEDONDONG DALAM RT 007 771744 DISPEPSYA PLEB,INJEKSI 42,000 33,000 -
    13 AULIA RAMADHANTY 15 TH P ADAM MALIK RT 022 848863 TONSILITIS RESEP 42,000 33,000 -
    14 WIRIATI 56 TH P DI PANJAITAN RT 067 607652 PENURUNAN KESADARAN INF,NGT,EKG,DC,MON,INJEKSI 42,000 33,000 -
    15 2/7/2015 fakhrul rochman 42 TH L JOYO MULYO RT 037 785004 DISPEPSYA INJEKSI 42,000 33,000 -
    16 WIDODO 16 TH L PERUM KELEDANG MAS RT 009 848413 HT RESEP 42,000 33,000 -
    17 LA MPALA 72 TH L OTISTA RT 031 837543 GEA PLEB,EKG,INJEKSI 42,000 33,000 -
    18 RONY 35 TH L L.MANGKURAT GG ANDIKA RT 005 848950 DISPEPSYA PLEB,EKG,INJEKSI 42,000 33,000 -
    19 FATIMAH 46 TH P MARSDA A SALEH RT 041 733145 VERTIGO PLEB,EKG,INJEKSI 42,000 33,000 -
    20 ERNAWATI 39 TH P RIMBAWAN 1 RT 033 848930 TB PARU LAB 42,000 33,000 -
    21 IBRAHIM RAHMAN 5 TH L BIAWAN GG 1 RT 021 762013 ASMA O2,NEBU,INJEKSI 42,000 33,000 32,000
    22 ASNAN GANI 66 TH L KEMUNING NO 3 RT 020 803729 DISPEPSYA PLEBO,EKG 42,000 33,000 -
    23 SUPARMAN 56 TH P BIAWAN RT 08 848903 V.ICHTUM CROSS INSISI,INJEKSI 42,000 33,000 -
    24 M.ARZACKY 1 TH L RAMANIA RT 046 848953 FEBRIS PLEB,SUPP 42,000 33,000 -
    25 YUSUF 57 TH L MILONO RT 013 694840 ASMA O2,NEBU,INJEKSI 42,000 33,000 32,000
    26 AZIZAH DIANA PUTRI 2 TH P AGUS SALIM G BAHAGIA NO 57 RT 016 741332 GEA PLEB 42,000 33,000 -
    27 JUDHIKA AGUSRY PRAMANA 4 TH L KS TUBUN GG 7 RT 001 572369 VL WT,INJEKSI 42,000 33,000 -
    28 M.RAFFI FIRDAUS 3 TH L P.ANTASARI NO 39 RT 03 688409 FARINGITIS RESEP 42,000 33,000 -
    29 PUTRI NUR R 5 TH P RAMANIA RT 047 605915 VE WT 42,000 33,000 -
    30 3/7/2015 M.NOOR ROFFIQ 5 TH L RAPAK INDAH RT 036 850101 VOMITING INFUS PLEB 42,000 33,000 -
    31 ASDI NOPIAN 39 TH L HASAN BASRI RT 023 848969 VL WTH IV,INJEKSI 42,000 33,000 -
    32 SITI BAQIAH 58 TH P AGUS SALIM GG 40 RT 30 789843 ASMA NEBU,INJEKSI 42,000 33,000 -
    33 MARGARITA DAHAI 30 TH P KARANG MULYA 2 RT 019 850123 DISPEPSYA INJEKSI 42,000 33,000 -
    34 TARRA DAENG ERANG 55 TH L PAREKESIT RT 040 835950 BUKALIS PLEB,INJEKSI 42,000 33,000 -
    35 HERRY OSCAR 53 TH L MUSO SALIM NO 68 RT 015 583750 CKD PLEB,O2,INJEKSI 42,000 33,000 32,000
    36 SUKARDI 54 TH L BENGKURING RT 06 NO 06 701260 COMMOND COLD RESEP 42,000 33,000 -
    37 SUPRAYITNO 48 TH L P.ANTASARI 2 RT 09 850111 V.ICHTUM CROSS INSISI,INJEKSI 42,000 33,000 -
    38 A.MUROBI 33 TH L BATU BESAUNG RT 026 848976 KONSTIPASI SUPP 42,000 33,000 -
    39 FATMAH 70 TH P REVOLUSI RT 031 850118 KAD INF,PLEB,RJP,O2,MON,EKG,DC 42,000 33,000 32,000
    40 M.PASYA FIRMANSYAH 8 TH L P.ANTASARI GG GUDANG GARAM RT09 737529 CONJUNGTIVITIS RESEP 42,000 33,000 -
    41 EKANAWATI 35 TH P PERUM TALANG SART RT 003 782637 DISPEPSYA PLEB,INJEKSI 42,000 33,000 -
    42 FEBBY FITRI YANNI 19 TH P PROPENSI RT 004 715957 SUSP PJB INF,PLEB,EKG 42,000 33,000 -
    43 SULIMAH 50 TH P PADAT KARYA RT 073 LOA BAKUNG 701268 CHF PLEB,EKG,INJEKSI 42,000 33,000 -
    44 4/7/2015 MARCELLO ANANDA P 3 TH L S.RIADI GG PANCAR INDAH RT 01 850197 RETENSIO URIEN PASANG CATETER 42,000 33,000 -
    45 KAYLA AINUR 7 TH P LUMBA LUMBA RT 010 850137 OTITIS RESEP 42,000 33,000 -
    46 API YANTO 33 TH L SAMANHUDI GG AL HIKMAH RT 001 850188 FEBRIS RESEP 42,000 33,000 -
    47 JAINUN 54 TH P RIMBAWAN RT 032 467356 ASMA EKG,NEBU,O2,INJEKSI 42,000 33,000 32,000
    48 AWALYYA FASHA 26 TH L TERONG 2 BLOK C RT 078 519001 DISPEPSYA PLEB,INJEKSI 42,000 33,000 -
    49 JUNAIDI 27 TH L BATU BESAUNG RT 028 850187 DISLOKASI ELASTIS VERBAN 42,000 33,000 -
    50 MUHYI 40 TH L KEMAKMURAN DALAM RT 020 843239 ASMA NEBU 42,000 33,000 -
    51 ERYANI 31 TH P PRAMUKA 8 RT 029 606557 DISPEPSYA INJEKSI 42,000 33,000 -
    52 RISKA 27 TH P SENTOSA GG 3 RT 030 814519 DISPEPSYA PLEB,INJEKSI 42,000 33,000 -
    53 SUDIRMAN 36 TH L PAKIS HIJAU 8 /36 RT 083 850190 PURUNKEL MULTIPLE RESEP 42,000 33,000 -
    54 ALMA 20 TH P GERILYA RT 059 850124 VL PLEB,INJEKSI 42,000 33,000 -
    55 RUSNAH HASIM 59 TH P PROKLAMASI III RT 55 802347 VERTIGO INJEKSI 42,000 33,000 -
    56 TONI SUGIARTO 21 TH L KEDONDONGAN DALAM RT V RT 007 788475 TONSILITIS RESEP 42,000 33,000 -
    57 SUDARSONO 59 TH L PASUNDAN NO 35 RT 037 850191 V.ICHTUM CROSS INSISI,INJEKSI 42,000 33,000 -
    58 MASHUD 49 TH L AM SANGAJI RT 002 850158 VE WT 42,000 33,000 -
    59 NUR KASAN 36 TH L JELAWAT RT 005 850177 FEBRIS PLEB 42,000 33,000 -
    60 ROSNA 42 TH P RE.MARTA DINATA RT 10 734944 ASMA O2,NEBU,INJEKSI 42,000 33,000 32,000
    61 ARDIAN EFENDI 16 TH L HASANUDDIN RT 005 850185 VL WTH II,INJEKSI 42,000 33,000 -
    62 ALIFA APRILIA ARYANI R 1 TH P L.MANGKURAT GG KEMBALI RT 023 850144 GEA PLEB 42,000 33,000 -
    63 JUNAIDI 35 TH L PROKLAMASI V RT 052 850204 CEPALGIA PLEBO,EKG 42,000 33,000 -
    64 ACHMAD 73 TH L TURI RAYA E/322 RT 075 785625 DISPEPSYA PLEB,EKG,INJEKSI 42,000 33,000 -
    65 5/7/2015 MANISAH 21 TH P SEKOLAHAN RT 021 850266 LETSU VT,DOPLER 42,000 33,000 -
    66 NURLAELAH SYARIF 23 TH P KADRIE OENING RT 032 567801 MAMERIXIA PLEB 42,000 33,000 -
    67 YUSUF 57 TH L MILONO RT 013 694840 ASMA NEBU 42,000 33,000 32,000
    68 MOH RONALDO PRATAMA 8 TH L TRI SARI RT 022 850284 PULPITIS RESEP 42,000 33,000 -
    69 HERRY OSCAR 53 TH L MUSO SALIM NO 68 RT 015 583750 CKD INJEKSI,O2 42,000 33,000 32,000
    70 RUSLI R 72 TH L P.BENDAHARA RT 007 850279 VL WTH III,INJEKSI 42,000 33,000 -
    71 RIAN PRUSNADI 35 TH L KH.ABD MUTHALIB RT 004 850243 FARINGITIS RESEP 42,000 33,000 -
    72 ALIF MAULANA IBROHIM 2 TH L PADAT KARYA GG RAMANIA RT 083 850248 VOMITING INFUS,PLEB 42,000 33,000 -
    73 AIRA RISKI 2 TH P PAKIS 1 /104 RT 082 840235 BRONCHITIS NEBU 42,000 33,000 -
    74 ADI PRAYITNO 41 TH L A.YANI GG MASYARAKAT RT 025 850264 ISPA RESEP 42,000 33,000 -
    75 JESSIKA RASTY AURA 6 TH P TALANG SARI RT 030 850184 VL WTH II,INJEKSI 42,000 33,000 -
    76 FATHON AQILA A 3 TH L CIPTO KUSUMO RT 014 759010 FEBRIS RESEP 42,000 33,000 -
    77 AULIA PUTRI 6 TH P P.ANTASARI GG KARYA RT 046 850289 ISPA RESEP 42,000 33,000 -
    78 SYARIFUDDIN 39 TH L L.MANGKURAT GG PERMAI RT 084 850250 BSK PLEB,INJEKSI 42,000 33,000 -
    79 MIMI RUSMITA 22 TH P JELAWAT RT 07 841883 ASMA NEBU,PLEB,INJEKSI 42,000 33,000 -
    80 RISKA 26 TH P SENTOSA GG 3 RT 030 814519 ISK RESEP 42,000 33,000 -
    81 ASSADUR PONO 12 TH L PADAT KARYA RT 083 LBK 633052 VARICELLA PLEB 42,000 33,000 -
    82 ABDULLAH 35 TH L PAHLAWAH GG 2 RT 028 711540 GASTRITIS INJEKSI 42,000 33,000 -
    83 6/7/2015 m.rizky alfatqaher 3 TH L KESTELA 7 NO 188 850303 ASMA NEBU,O2 42,000 33,000 -
    84 SASMITA PRABAJAYA - TH L PAKIS MERAH 9 /529 RT 085 850316 VL WTH III,INJEKSI 42,000 33,000 -
    85 RATNAWATY 38 TH P A.YANI GG CAHAYA BARU RT 017 790972 DISMINORIA PLEB 42,000 33,000 -
    86 DIANA APRILIA 19 TH P GRIYA MUKTI V/1O RT 006 746230 VOMITING INJEKSI 42,000 33,000 -
    87 SRI MARYANTO 46 TH L ST.ALIMUDDIN RT 021 816167 DYSPNUE PLEB,O2,EKG 42,000 33,000 32,000
    88 ALMER RASYAD PRAMA H 3 TH L AWS GG AMANAH RT 014 787215 FOLIKULITIS RESEP 42,000 33,000 -
    89 YUSUF 57 TH L MILONO RT 013 694840 ASMA NEBU,O2 42,000 33,000 32,000
    90 FERRY SOFYAN 45 TH L DANAU JEMPANG NO 62 RT 023 850368 PNEUMONIA PLEB 42,000 33,000 -
    91 NAILA FAIRUS KHALIASA P 3 TH P P.ANTASARI RT 005 850580 VL WTH III,INJEKSI 42,000 33,000 -
    92 MIRNAWATI 18 TH P MANGKUPALAS RT 032 850376 CEPALGIA RESEP 42,000 33,000 -
    93 INDRA GUNAWAN 40 TH L KEBON AGUNG RT 012 850325 LBP PLEB 42,000 33,000 -
    94 NABILA NUR ASSYIFA 1 TH P REEL 10 RT 020 824171 FEBRIS PLEB 42,000 33,000 -
    95 WAGINAH 51 TH P JAKARTA RT 064 850337 GEA RESEP 42,000 33,000 -
    96 PADLI PARDIAN 40 TH P KESTELA 7 NO 188 850357 ASMA NEBU,O2 42,000 33,000 32,000
    97 M.ALASTRAIR ALANA 6 TH L CM.KUSUMO RT 011 850379 FEBRIS PLEB 42,000 33,000 -
    98 BAHARUDDIN 39 TH L DI PANJAITAN GG 1A RT 036 850333 VERTIGO RESEP 42,000 33,000 -
    99 RUSDIYAH 45 TH P GN.TUNGGAL RT 006 806198 VERTIGO INJEKSI 42,000 33,000 -
    100 M.FADHIL RIDHO 6 TH L P.SURYANATA GG BERKAH RT 030 850343 FEBRIS PLEB 42,000 33,000 -
    101 SAMRI 56 TH L GURAMI RT 005 659100 HEMAPTOE PLEB 42,000 33,000 -
    102 WINDA ASNAWATI 27 TH P L.MANGKURAT GG SEMENTARA RT 008 850335 VOMITING PLEB,INJEKSI 42,000 33,000 -
    103 HANFIAH 73 TH P MAS PENGHULU RT 008 724245 CEPALGIA PLEB,EKG,INJEKSI 42,000 33,000 -
    104 ABDUL GANI 44 TH L KOMPK ADPEL MANGKUPALAS RT 010 701131 BSK PLEB,SUPP 42,000 33,000 -
    105 7/7/2015 RISKA 27 TH P SENTOSA GG 3 RT 030 414519 ISK PLEB,INJEKSI 42,000 33,000 -
    106 MERRY ANDINI 13 TH P M.SAID RT 003 778114 FARINGITIS RESEP 42,000 33,000 -
    107 M.SURYA DWI P 10 TH L KEMAKMURAN GG PLN RT 022 795416 FEBRIS RESEP 42,000 33,000 -
    108 M.KHOLIL AMIN 18 TH L PAMPANG RT 012 850956 RUPTUR URETER PLEB 42,000 33,000 -
    109 DEASY HARIYANTIE 26 TH P SITI AISYAH RT 015 830451 ISPA RESEP 42,000 33,000 -
    110 AMALIA NUR HAWA 9 TH P M.YAMIN RT 027 442346 ISAP RESEP 42,000 33,000 -
    111 A.FADIL SABILI 7 TH L M.YAMIN RT 027 439829 ISPA RESEP 42,000 33,000 -
    112 IKATU 73 TH L PM.NOOR RT 041 853194 GASTRITIS INF,PLEB,EKG,INJEKSI 42,000 33,000 -
    113 AKBAR PADIL M 4 TH L M.YAMIN RT 027 818279 ISPA RESEP 42,000 33,000 -
    114 BUSTANUL JANNAH 37 TH P M.YAMIN RT 027 181275 FEBRIS RESEP 42,000 33,000 -
    115 HALIJAH 71 TH P M.SAID GG 4 RT 010 853666 HT PLEBO,EKG 42,000 33,000 -
    116 ARIF SETIAWAN 16 TH L WIRAGUNA RT 008 529865 ISPA RESEP 42,000 33,000 -
    117 ANITA SYAHRANI 26 TH P P.SURYANATA RT 029 796826 FEBRIS RESEP 42,000 33,000 -
    118 M.RAYHAN 11 TH L TARMIDI RT 012 436044 VOMITING RESEP 42,000 33,000 -
    119 M.DANISH MIRZA 2 TH L MARSDA A SALEH RT 041 851022 COMMOND COLD RESEP 42,000 33,000 -
    120 SUSMIATI 39 TH P PADAT KARYA RT 064 851023 COMMOND COLD RESEP 42,000 33,000 -
    121 AKHLAK FADHIL SALIKIN 6 TH L M.YAMIN GG KASTURI 1 RT 027 442306 ISPA RESEP 42,000 33,000 -
    122 8/7/2015 HARIS 44 TH L DI PANJAITAN RT 05 814018 ASMA NEBU 42,000 33,000 -
    123 HATIMAH 32 TH P S.PARMAN RT 036 850468 FEBRIS PLEB 42,000 33,000 -
    124 SUNBANDI 62 TH L MARSDA A SALEH R T025 579423 HT PLEBO,EKG 42,000 33,000 -
    125 MARYANTO 44 TH L SERAYU RT 020 850534 COLIC ABDOMEN PLEB,INJEKSI 42,000 33,000 -
    126 RUSMAYATI 39 TH P AWS RT 025 500726 ASMA NEBU,O2 42,000 33,000 32,000
    127 GUSTI ARDIANSYAH 56 TH L P.ANTASARI GG IJABAH RT 005 627694 DISPEPSYA EKG,O2 42,000 33,000 32,000
    128 M.ATAKAH YS 75 TH L LUMBA LUMBA RT 010 850495 VERTIGO PLEB,EKG,INJEKSI 42,000 33,000 -
    129 NOVIA INDRIANI 19 TH P SERAYU RT 022 850541 HEMOROID SUPP 42,000 33,000 -
    130 REVANNO VOXGA GIBRAN 2 TH L OTISTA rt 024 750437 FEBRIS RESEP 42,000 33,000 -
    131 HERLINA 41 TH P CM KUSUMO RT 005 837511 CARIES DENTIS RESEP 42,000 33,000 -
    132 NUR ARISKA 30 TH P LUMBA LUMBA RT 010 782004 INPARTU VT,DOPLER 42,000 33,000 -
    133 DELLASTRI 20 TH P RE MARDINAATA RT 001 850504 FEBRIS PLEB 42,000 33,000 -
    134 ROHAENI 31 TH P GRILYA GG SEPAKAT RT 101 850539 AB IMINEN PLEB 42,000 33,000 -
    135 AINUN JARIAH 50 TH P KH.KHALID GG 2 RT 016 635926 HT EKG,O2 42,000 33,000 32,000
    136 AIRA RISKI 2 TH P PAKIS 1 /104 RT 082 848235 ASMA NEBU 42,000 33,000 -
    137 9/7/2015 ALBERTINO F R 25 TH L ST ALIMUDDIN RT 019 839103 PPOK PLEB,O2 42,000 33,000 32,000
    138 WANA ASTUTI 29 TH P KEMAKMURAB GG 1 RT 15 782395 ASMA NEBU,O2 42,000 33,000 32,000
    139 JUMIATI 31 TH P DR SUTOMO RT 033 850604 COLIC ABDOMEN RESEP 42,000 33,000 -
    140 MULIATI 31 TH P HASAN BASRI GG 2 RT 024 850607 FEBRIS PLEB,INJEKSI 42,000 33,000 -
    141 NUR SANDI 33 TH L REM.DINATA GG MADU RT 007 844658 ULKUS PETIKUM INJEKSI 42,000 33,000 -
    142 JULIAWATI 37 TH P AZIS SAMAD RT 037 850995 AB IMINEN INJEKSI 42,000 33,000 -
    143 CLARA CLAUDIA TANGKA 27 TH P RAJAWALI DALAM II RT 59 550959 COLIC GASTER INJEKSI 42,000 33,000 -
    144 MASRAH 80 TH P HJ JAHRAH RT 014 850535 COLIC ABDOMEN PLEBO,EKG 42,000 33,000 -
    145 NORMAN 27 TH L P.ANTASARI 2 RT 025 850585 LETSU VT,DOPLER 42,000 33,000 -
    146 RUDI FIKA 34 TH L LUMBA LUMBA RT 007 850566 V.ICHTUM CROSS INSISI,INJEKSI 42,000 33,000 -
    147 akhmad agil 17 TH L KH.MAS MANSYUR RT 001 850619 VE WT 42,000 33,000 -
    148 M.ALFIANTO 3 TH L P.ANTASARI GG PADAT KARYA RT 030 824450 ISPA RESEP 42,000 33,000 -
    149 M.RIFQIE 1 TH L AZIS SAMAD GG KENARI 1 RT 028 850596 VL RESEP 42,000 33,000 -
    150 PARHUSORAN 47 TH L GUNUNG LINGAI RT 012 835999 VL WTH III,INJEKSI 42,000 33,000 -
    151 EKO WAHYUDI 31 TH L DR SOETOMO RT 035 788303 DISPEPSYA PLEB,EKG,INJEKSI 42,000 33,000 -
    152 NUR SANDI 33 TH L REM.DINATA GG MADU RT 007 844658 COLIC GASTER INJEKSI 42,000 33,000 -
    153 SUTIYEM 52 TH P KARYA BAKTI RT 009 850613 ASMA O2,NEBU,INJEKSI 42,000 33,000 32,000
    154 YUSRIANA 35 TH P PERJUANGAN RT 001 378532 ASMA O2,NEBU,INJEKSI 42,000 33,000 32,000
    155 RADITYA HERMAWAN SAPUTRA 7 TH L JUANDA 3 RT 091 850616 ISPA RESEP 42,000 33,000 -
    156 LILIS MAISARAH 33 TH P DI PANJAITAN GG H DUNDUP 497797 ASMA O2,NEBU,INJEKSI 42,000 33,000 32,000
    157 10/7/2015 NURUL FITRIANI 36 TH P KS.TUBUN GG 9 D RT 036 818063 DERMATITIS RESEP 42,000 33,000 -
    158 DENNY KOKALI 36 TH L SOEKARNO HATTA RT 003 850661 CONTOSIO+HT PLEB,EKG,INJEKSI 42,000 33,000 -
    159 YAMIAH 17 TH P CENDANA RT 012 850702 DISPEPSYA RESEP 42,000 33,000 -
    160 ERYANI 31 TH P PRAMUKA RT 029 606557 URETEROLIASIS PLEB 42,000 33,000 -
    161 SYIFA AISHA E 3 TH P DURIAN RT 068 850641 FEBRIS PLEB 42,000 33,000 -
    162 NGATINAH 55 TH P PADAT KARYA RT 064 850668 VERTIGO PLEB,EKG,INJEKSI 42,000 33,000 -
    163 KHAIRUL IKHSAN 8 TH L PM.NOOR GG KELUARGA RT 038 724341 ASMA O2,NEBU,INJEKSI 42,000 33,000 32,000
    164 RATNA 56 TH P HASAN BASRI GG 2 RT 026 850685 INSECT BITE INJEKSI 42,000 33,000 -
    165 HADI 47 TH L PAKIS HIJAU 5 RT 083 850675 DISPEPSYA PLEB,EKG,INJEKSI 42,000 33,000 -
    166 M.RAIHAN PASHA 6 TH L C.AMINOTO RT 011 850660 MONGKEY BITE WT,INJEKSI 42,000 33,000 -
    167 M.FIDAUS ASWAD 24 TH L P.SURYANATA RT 031 850681 FEBRIS PLEB,INF,INJ 42,000 33,000 -
    168 HUNAINAH 36 TH P KAHOI B7 RT 034 544645 SNH INF,DC,EKG,PLEB NGT,KONSUL 42,000 33,000 32,000
    169 SATRIA P PARATAMA CH 6 TH L DR.SOETOMO RT 039 842625 PHYMOSIS RESEP 42,000 33,000 -
    170 AISAH 55 TH P KAHOI B RT 034 844677 ABSES CAPITIS PLEBO,EKG 42,000 33,000 -
    171 YUSUF 57 TH L MILONO RT 013 694840 ASMA O2,NEBU,INJEKSI 42,000 33,000 32,000
    172 ANDHIRANSAYHA 41 TH L BAYAM 3 RT 088 653076 HT EKG 42,000 33,000 32,000
    173 FATIMAH SHOLIKAH 23 TH P P.SURYANATA RT 018 850635 GRAVID+PER VT,DOPLER 42,000 33,000 -
    174 11/7/2015 ARINI PUTRI LARASATI 3 TH P SANTOSA GG 7 RT 850718 VOMITING INJEKSI.PLEB 42,000 33,000
    175 SUTIYEM 52 TH P KARYA BAKTI RT 009 850613 ASMA NEBU,O2 42,000 33,000 32,000
    176 KARNANIK NURYATIE 29 TH P WIRASWASTA RT 015 850728 CHEST PAIN EKG 42,000 33,000 -
    177 WARTIKAH 51 TH P KH.ABDUL MUTHALIB RT 008 634361 URETEROLIASIS PHLEB,EKG 42,000 33,000 -
    178 SUSANTI 42 TH P MUGIREJO LUBUK SAWAH RT 017 853173 BSK INJEKSI.PLEB.EKG 42,000 33,000 -
    179 RAHAYU 35 TH P SWADAYA RT 022 847490 INPARTU VT,DOPLER 42,000 33,000 -
    180 JUMIATI 24 TH P RAJAWALI DALAM RT 011 850706 VE WT,O2 42,000 33,000 32,000
    181 HELDA AGUSTINA 33 TH P JUANDA GG TRI DAYA RT 007 745323 ASMA O2,NEBU,INJEKSI 42,000 33,000 32,000
    182 AHMAD MAULANA 6 TH L RAJAWALI DALAM RT 011 850704 CKR WTH II,WT 42,000 33,000 -
    183 JAINI JAELANI 59 TH L KH ACHMAD DAHLAN RT 039 731986 PPOK PLEB,EKG,INJEKSI 42,000 33,000 32,000
    184 JULIANTO 16 TH L OTISTA RT 030 850715 TIFOID PLEB 42,000 33,000 -
    185 MUSLIMIN 49 TH L ADAM MALIK GG HINAYAH RT 020 850712 BSK PLEB,SUPP 42,000 33,000 -
    186 AYU KARMILA 26 TH P AM SANG AJI RT 011 850770 VOMITING INF,PLEB,INJEKSI 42,000 33,000 -
    187 NUR SOLICHA 28 TH P JOYO MULYO RT 037 588705 ASMA O2,NEBU,INJEKSI 42,000 33,000 32,000
    188 HASAN 40 TH L KH.DEWANTARA RT 027 460881 CORPAL KONSUL 42,000 33,000 -
    189 REVAN NANDA BONADI 7 TH L SUKOREJO RT 043 850731 VE WT,IRIGASI MATA 42,000 33,000 -
    190 TENY ARISTA SUKMA D 34 TH P BIAWAN RT 009 850721 INPARTU VT,DOPLER 42,000 33,000 -
    191 12/7/2015 HERRY OSCAR 53 TH L MUSO SALIM NO 68 RT 015 773624 CKD O2 42,000 33,000 32,000
    192 ABDUSSALAM 49 TH L SEJATI GG KASIH 4 RT 021 802983 CAD EKG 42,000 33,000 -
    193 FAJAR MUHAMMAD 6 TH L S.RIADI GG 7 RT 038 850875 FEBRIS PLEB 42,000 33,000 -
    194 RIKI PURNAMA 18 TH L M.YAMIN GG 1 RT 017 748976 ISK PLEB 42,000 33,000 -
    195 ABROR HAWARY 8 TH L KURANJI NO 58 RT 004 850837 FEBRIS PLEB 42,000 33,000 -
    196 SULAIHA 36 TH P KH.SAMANHUDI RT 002 595252 MIGRAN RESEP 42,000 33,000 -
    197 NAILA RAUDATUL J 9 TH P KH.W.HASYIM GG AHIM III RT 028 848554 URTIKARIA RESEP 42,000 33,000 -
    198 SRI HINDRIANI 36 TH P HKH.W.HASYIM GG DULLAH RT 052 371696 GASTRITIS RESEP 42,000 33,000 -
    199 RUBIYANTI 40 TH P TRISARI RT 022 667223 ISPA RESEP 42,000 33,000 32,000
    200 NOVITA ANGRAINI 12 TH P AGUS SALIM GG A RT 019 850817 FEBRIS PLEB,INJEKSI 42,000 33,000 -
    201 NUR KUSMALITA 26 TH P PADAT KARYA RT 016 787049 GASTRITIS INJEKSI 42,000 33,000 -
    202 RAISYA KARTIKA PUTRI 2 TH P S.PARMAN 1 RT 02 771876 ASMA NEBU,INJEKSI 42,000 33,000 -
    203 EFFENDI 58 TH L KEMAKMURAN GG PLN RT 022 850812 HT EKG 42,000 33,000 -
    204 RUMLAH 53 TH P BIAWAN RT 009 468542 GEA PLEB,EKG,INJEKSI 42,000 33,000 -
    205 NORHALIMAH 25 TH P REVOLUSI GG SUKARAMAI RT 033 805411 HEG PLEB,INJEKSI 42,000 33,000 -
    206 RENO 9 TH L DAMANHURI GG MESJID RT 063 850811 ASMA NEBU,WTH II ,PLEB,INJEKSI 42,000 33,000 -
    207 YUSUF 51 TH L P.SURYANATA RT 015 850871 GASTRITIS EKG,INJEKSI 42,000 33,000 -
    208 NUR JANAH 35 TH P KH.W HASYIM RT 024 754874 ASMA O2,NEBU,INJEKSI 42,000 33,000 32,000
    209 SITI NASRIAH 50 TH P turi putih 2 RT 089 348453 KONJUNGTIVITIS RESEP 42,000 33,000 -
    210 SLAMET SUSANTO 57 TH L P.SURYANATA GG BERKAH RT 030 394915 CAD EKG,INJEKSI 42,000 33,000 -
    211 ANNUR HADI MUNANDAR 8 TH L A.YANI GG CAHAYA BARU RT 017 659891 URTIKARIA INJEKSI 42,000 33,000 -
    212 SISKA YUNITA DEWI 24 TH P MARSDA A SALEH RT 042 844644 COLIC ABDOMEN PLEB,INJEKSI 42,000 33,000 32,000
    213 TRESIA SITAM 57 TH P OTISTA RT 017 664369 CEPALGIA EKG 42,000 33,000 -
    214 CHERLIN NOVITA 39 TH P DAMAI GG 4 NO 12 RT 026 321306 ISPA RESEP 42,000 33,000 -
    215 NUR SOLICHA 28 TH P JOYO MULYO RT 030 588705 ASMA O2,NEBU,INJEKSI 42,000 33,000 32,000
    216 SITI SATITI 49 TH P MUGIREJO GG MANUNGGAL 1 RT 005 850878 TB PARU PLEBO,EKG 42,000 33,000 -
    217 13/7/2015 EFRASIA TOKAN 4 TH P PASUNDAN RT 025 854137 FEBRIS PLEB 42,000 33,000 -
    218 LUSIA TALIA BENGE 18 TH P PADAT KARRYA SMPJ RT 008 850402 DISPEPSYA PLEB,INJEKSI 42,000 33,000 -
    219 M.ABDURROSYID 23 TH L GERILYA GG SEPAKAT RT 101 850212 ISPA RESEP 42,000 33,000 -
    220 JULITA DARA 41 TH P CM KUSUMO RT 030 850912 DISPEPSYA INJEKSI 42,000 33,000 -
    221 JAMITUN 66 TH P P.SURYANATA RT 14 830722 CHF PLEB,EKG,INJEKSI 42,000 33,000 -
    222 SITI AMIANH 53 TH P P.SURYANATA GG SAKA RT 016 850901 DISPEPSYA INJEKSI 42,000 33,000 -
    223 A.SUPIANI 38 TH L PM.NOOR RT 039 850896 CHF PLEB,EKG,INJEKSI 42,000 33,000 -
    224 DHITA RIZKI AMANDA 19 TH L U.SUROPATI PERUM GTL L/4 RT 013 779747 DYSPNUE NEBU,O2 42,000 33,000 32,000
    225 KASMOLAN 40 TH L PERHIASAN RT 014 850906 CAD PLEB,EKG,INJEKSI 42,000 33,000 -
    226 ASMAWATI 59 TH P AW.SYARANI RT 009 280282 DM GDS,INJEKSI 42,000 33,000 -
    227 DENIK KURNIAWAN 32 TH L P.SURYANATA GG MISNA RT 028 388153 LBP RESEP 42,000 33,000 -
    228 CITRA ALIFA FATHONAH 1 TH P PAHLAWAN 2 RT 023 RT 029 809853 VOMITING LAB 42,000 33,000 -
    229 NUR FARIDAYANI 41 TH P GERILYA GG SEPAKAT RT 101 850947 ABSTIPAN INF,PLEB 42,000 33,000 -
    230 M.FIRDAUS ASWAD 24 TH L P.SURYANATA RT 031 805781 SINCOPE INFUS,PLEB 42,000 33,000 -
    231 ABDUL HAMID 61 TH L SITI AISYAH RT 015 776504 VERTIGO INJEKSI 42,000 33,000 -
    232 MURTI 47 TH P REVOLUSI RT 007 850442 HEMOROID SUPP 42,000 33,000 -
    233 IMA SURYANI 23 TH P SERAYU RT 022 850411 CKR INF,PLEB 42,000 33,000 -
    234 M.QIANU 2 TH L CENDANA GG 4 RT 004 850405 V.ICHTUM CROSS INSISI,INJEKSI 42,000 33,000 -
    235 ALIANSYAH 40 TH L M.YAMIN RT 027 265177 DISPEPSYA RESEP 42,000 33,000 -
    236 14/7/2015 MARSIAH 40 TH P P.SURYANATA RT 009 730605 INPARTU PLEB,VT,DOPLER 42,000 33,000 -
    237 MUSLIMIN 49 TH L DAMA MALIK GG HINAYAH RT 020 850712 ISK PLEB,SUPP 42,000 33,000 -
    238 BAHARUDDIN 37 TH L S.PARMAN RT 001 559111 LBP SUPP 42,000 33,000 -
    239 ZULFA AZZAHRA 6 BL P LUMBA LUMBA RT 010 581052 ISPA RESEP 42,000 33,000 -
    240 RISKA 26 TH P SENTOSA GG 3 RT 030 814519 BSK SUPP 42,000 33,000 -
    241 SAMPURNA 71 TH L S.PARMAN GG 4 RT 025 851033 ASMA NEBU,EKG,O2,INJEKSI 42,000 33,000 32,000
    242 MUTHAR 47 TH L CM.KUSUMO RT 013 599332 CKD PLEB,EKG,INJEKSI 42,000 33,000 -
    243 nabila abdurahman 4 TH p EMBON SURYANA D3A/3 563451 VOMITING INJEKSI 42,000 33,000 -
    244 SUDARTI 48 TH P M.YAMIN GG 1 RT 017 675105 INSONIA RESEP 42,000 33,000 -
    245 SEPTIANA 28 TH P S.RIADI GG MUJAHIDIN RT 005 823367 GEA RESEP 42,000 33,000 -
    246 ALIANSYAH 40 TH L M.YAMIN GN KELUA RT 027 205177 DISPEPSYA INJEKSI 42,000 33,000 -
    247 NAYANG 63 TH L KEMAKMURAN GG PLN RT 023 851528 RATE BITE WT,INJEKSI 42,000 33,000 -
    248 NURUL FITRIAH 35 TH P PERUM HANDIL KOPI RT 033 758058 INPARTU VT,DOPLER 42,000 33,000 -
    249 SYIFA REGINA ENDI 6 TH P KS TUBUN RT 031 632302 ASMA O2,NEBU,INJEKSI 42,000 33,000 32,000
    250 M.RIFQIY 6 TH L ABD HASAN GG 10 RT 023 675779 ISPA RESEP 42,000 33,000 -
    251 DOVAN ADELINO 5 TH L ST SULAIMAN GG MULIA RT 009 851003 DERMATITIS RESEP 42,000 33,000 -
    252 DIAH AYU MIMBAR WATI 1 TH P PERJUANGAN RT 103 832973 FEBRIS SUPP 42,000 33,000 -
    253 SINI 62 TH P P.ANTASARI RT 028 851050 TSTEMI INF,PLEB,EKG,RJP,MONITOR,KONSUL 42,000 33,000 32,000
    254 MARIATY 61 TH P AWS RT 022 710608 HT EKG 42,000 33,000 -
    255 ADLI FAUZAN 4 TH L SAMANHUDI RT 011 851057 FEBRIS INF,PLEB 42,000 33,000 -
    256 ANDIAKA PRATAMA 7 TH L PM.NOOR RT 049 799922 V.ICHTUM PLEB 42,000 33,000 -
    257 RUDOLVUSISAHRONI 11 TH L SAWI RT 024 LEMPAKE JAYA 851049 FEBRIS PLEB 42,000 33,000 -
    258 A.FARIS 5 TH L H.SUWANDI 21 RT 024 850894 V.ICHTUM CROSS INSISI,INJEKSI 42,000 33,000 -
    259 15/7/2015 ABD RAUF 41 TH L S.PARMAN GG 1 RT 001 765270 GASTRITIS INJEKSI 42,000 33,000 -
    260 KARMIN 50 TH L JELAWAT GG 9 RT 006 646718 ASMA O2,NEBU,INJEKSI 42,000 33,000 32,000
    261 FAHRIL 11 TH L REFORMASI RT 015 486733 CKR RESEP 42,000 33,000 -
    262 ARLINGGA AFARIANDO 16 TH L PERUM PUSPITA AM/09 RT 091 851070 VE WT 42,000 33,000 -
    263 PUJI ERMAYANTI 34 TH P PERUM PUSPITA AM/09 RT 091 851078 VE WT,INJEKSI 42,000 33,000 -
    264 ARI TAMBARU 39 TH P CM.KUSUMO RT 004 851093 CF SCAFULA PLEB,INJEKSI 42,000 33,000 -
    265 EDY SURYANA 30 TH L SEJATIRT 021 851087 MONGKEY BITE WTH III,INJEKSI 42,000 33,000 -
    266 JAMHURI HASYIM 68 TH L KH SAMANHUDI GG ANNOOR 1 RT 013 851071 DM PLEB,EKG,INJEKSI 42,000 33,000 -
    267 HENDRA SARI PUTRA 13 TH L SUWANDI RT 025 851058 FRAKTUR CRURIS INFUS PLEB 42,000 33,000 -
    268 RITA SARI 30 TH P TERONG PIPIT 3 /624 RT 079 853119 ASMA NEBU,INJEKSI 42,000 33,000 32,000
    269 M.ATAKAH YS 75 TH L LUMBA2 RT 009 850495 DYSPNUE EKG 42,000 33,000 -
    270 TAROM 51 TH L SEJATI RT 021 821893 MONGKEY BITE WTH III,INJEKSI 42,000 33,000 -
    271 MEIRI ANNISA 25 TH P GERILYA GG MESJID BLOK D RT 105 779177 V.ICHTUM CROSS INSISI,INJEKSI 42,000 33,000 -
    272 DINA FITRIANI 30 TH P AM SANG AJI RT 003 815041 INPARTU VT,DOPLER 42,000 33,000 -
    273 YUSUF 57 TH L MILONO RT 013 694840 ASMA NEBU,O2 42,000 33,000 32,000
    274 H.M. SYAMSUDDIN 61 TH L GERILAYA RT 110 729482 NEUROPATI DM INF,PLEB,EKG,GDS,INJEKSI,BGA 42,000 33,000 -
    275 ALI BADRUN 52 TH P OTISTA RT 030 853150 DISPEPSYA PLEB,EKG,INJEKSI 42,000 33,000 -
    276 MULTAZZAM 37 TH L KEMAKMURAN GG 1 BLOK B RT 015 853120 VERTIGO INJEKSI 42,000 33,000 -
    277 KASWANI 62 TH L BARITO KM 1 RT 019 641921 DISPEPSYA PLEB,EKG,INJEKSI 42,000 33,000 -
    278 DARNI 34 TH L KELAPA GADING RT 037 832316 PAIN POST APP SUPP 42,000 33,000 -
    279 16/7/2015 LIYANA EGA WAHYUNI 3 TH P CENDANA GG 4 RT 004 792350 ASMA O2,NEBU,INJEKSI 42,000 33,000 32,000
    280 MASNIYAH 47 TH P ULIN RT 025 853190 DISPEPSYA RESEP 42,000 33,000 -
    281 SAMIRAN 46 TH L HASAN BASRI GG 3 RT 021 853205 OTITIS INTERNA RESEP 42,000 33,000 -
    282 FRENKI SIMANJUNTAK 34 TH L CM.KUSUMO RT 008 851019 VL INFUS,PLEB,WTH IV,INJEKSI 42,000 33,000 -
    283 CLARA AYU KATRINA 20 TH P GERILYA RT 059 853237 INPARTU VT,DOPLER 42,000 33,000 -
    284 DIRMAN 3 BL L KARYA BARU GG MULYA RT 10 SMPJ 853226 FEBRIS PLEB 42,000 33,000 -
    285 M.RIFAI 14 TH L AM SANG AJI GG 17 RT 011 772442 OF CRURIS INJEKSI 42,000 33,000 -
    286 AMINOTO 43 TH L DAMAI RT 023 754053 BRONCHITIS RESEP 42,000 33,000 -
    287 KRISTINA ENDAH CAHYANI 36 TH P SOLONG DURIAN C/10 RT 025 853229 DM RESEP 42,000 33,000 -
    288 RUSMAN SUMARNA 48 TH L KH.SAMANHUDI GG ANNOOR RT 013 NO 32 853215 VL PLEB,EKG,INJEKSI 42,000 33,000 -
    289 PIPIT WIDYA AGUSTINA 21 TH P AM SANGAJI RT 004 492110 V.ICHTUM CROSS INSISI,INJEKSI 42,000 33,000 -
    290 SUPYATIN 49 TH P SEJATI RT 027 853219 FARINGITIS RESEP 42,000 33,000 -
    291 RIFKI GABRIEL 6 TH L H.MARHUSEN GG MANDIRI II RT 003 853176 DOG BITE INJEKSI 42,000 33,000 -
    292 AFIQAH 12 TH P ANTASARI GG KARYA NO 13 RT 006 756451 ISPA PLEB 42,000 33,000 -
    293 MARKUS 34 TH L LEMPAKE JAYA RT 013 853227 VL WTH III,INJEKSI 42,000 33,000 -
    294 17/7/2015 HERZANATUL AMANAH 12 TH P BATU CERMIN RT 013 853289 ASMA NEBU,O2 42,000 33,000 32,000
    295 ZAHRA NUR AZIZAH 8 TH P P.ANTASARI G NUSA INDAH RT 022 717752 FEBRIS RESEP 42,000 33,000 -
    296 NUR AFIFAH 30 TH P TRISARI RT 022 841035 DISPEPSYA RESEP 42,000 33,000 -
    297 YUSUF 57 TH L MILONO RT 013 694840 ASMA O2,NEBU,INJEKSI 42,000 33,000 32,000
    298 JAMILAH 19 TH P A.YANI GG CAHAYA BARU RT 018 853278 FEBRIS PLEB,INJEKSI 42,000 33,000 -
    299 AFRIZAL MAULANI 6 TH L AMPERA RT 049 694626 ABD PAIN PLEB,KONSUL 42,000 33,000 -
    300 MUHAMMAD RAIHAN PASHA 6 TH L HOS COKRO AMINOTO 850660 V.MARSUM INJEKSI 42,000 33,000 -
    301 SANDI PRABOWO 8 TH L MAGELANG IV RT 019 853298 VL WTH II,INJEKSI 42,000 33,000 -
    302 RUSLAN 71 TH L S.RIADI GG GOTONG ROYONG RT 03 445405 SH INF,PLEB,EKG,RJP,MONITOR,KONSUL 42,000 33,000 32,000
    303 SITI AISYAH 55 TH P PATIMMURA RT 033 596464 ASTEOARTITIS RESEP 42,000 33,000 -
    304 Lasmia selviyanti j 6 TH P MANGGA 1 RT 013 732859 ISPA RESEP 42,000 33,000 -
    305 MUTHAR 60 TH L KH.M.MANSYUR RT 001 853329 GERIATRI RESEP 42,000 33,000 -
    306 RUBIYANTI 40 TH P TRISARI RT 022 667223 ISPA RESEP 42,000 33,000 -
    307 RENY 49 TH P KH.W.HASYIM RT 008 853331 ASMA NEBU,EKG,O2,INJEKSI 42,000 33,000 32,000
    308 LUTHIE SAKSI ZAIDAN 1 TH L PADAT KARYA RT 073 LOA BAKUNG 819773 ASMA NEBU,O2 42,000 33,000 32,000
    309 SYAHILAL IBNU 14 TH L KH.SAMANHUDI RT 002 853250 DISPEPSYA RESEP 42,000 33,000 -
    310 SEPTIANA 27 TH P S.RIADI GG MUJAHIDIN RT 005 823367 ASMA O2,NEBU,INJEKSI 42,000 33,000 32,000
    311 LEGIMAN 60 TH L A.YANI GG MASYARAKAT RT 025 853337 ROOTHACHE RESEP 42,000 33,000 -
    312 WARDAH 41 TH P KEMAKMURAN RT 014 262093 DISPEPSYA RESEP 42,000 33,000 -
    313 M.HIDAYAT 40 TH L AWS GG 1 RT 037 853260 URTIKARIA INJEKSI 42,000 33,000 -
    314 ADITYA TRI PANGESTU 12 TH L S.RIADI GG RUKUN RT 019 853328 TRAUMA TUMPUL THORAX O2 42,000 33,000 32,000
    315 LISA ERAWATI 53 TH P KH.A.DAHLAN RT 011 484585 GEA INJEKSI 42,000 33,000 -
    316 JAINAH 50 TH P KAHOI B 7 RT 001 853163 BRONCHITIS NEBU,O2 42,000 33,000 32,000
    317 ARDIANSYAH ISKANDAR 20 TH L KH.A.MUTHALIB RT 009 853275 BRONCHITIS INF,PLEB,INJEKSI 42,000 33,000 -
    318 ANDI RUSLI 51 TH L PM.NOOR RT 039 747511 GEA INJEKSI 42,000 33,000 -
    319 18/7/2015 YASIN 66 TH L KH.W.HASYIM RT 027 853389 RETENSIO URIEN PLEB,DC 42,000 33,000 -
    320 MARJANY 62 TH L OTISTA RT 018 103899 CAD EKG,INJEKSI 42,000 33,000 -
    321 ARIS ADITYA 19 TH L MARSDA A SALEH RT 024 853453 APP INF,PLEB,DC,KONSUL 42,000 33,000 -
    322 PUTRI SHEYRA AZAHWA 5 TH P PGRI BLOK A NO 64 853384 FARINGITIS RESEP 42,000 33,000 -
    323 KEYLA KHALIFAH H 3 TH P PGRI BLOK A NO 64 853385 FARINGITIS RESEP 42,000 33,000 -
    324 RAFA ADITYA P 5 TH L KH.M.MANSYUR RT 014 853426 MONGKEY BITE WT,INJEKSI 42,000 33,000 -
    325 ALAMSYAH 32 TH L SENTOSA DALAM II RT 079 853379 ASMA O2,NEBU,INJEKSI 42,000 33,000 32,000
    326 LILIK NURJANAH 14 TH P PERUM PKL B RT 012 853368 ISK PLEB,INJEKSI 42,000 33,000 -
    327 MISTANIAH 27 TH P P.SURYANATA GG TINGGIRAN RT 037 635938 DISPEPSYA RESEP 42,000 33,000 -
    328 SUMARSIH 50 TH P BELATUK RT 032 853442 HHF PLEB,INJEKSI 42,000 33,000 -
    329 LILIS SURYANI A 40 TH P P.BENDAHARA RT 007 653555 ISK PLEB,SUPP 42,000 33,000 -
    330 M.FAJAR A 6 TH L MERDEKA GG OTOK RT 090 797890 FARINGITIS RESEP 42,000 33,000 -
    331 HAMIYAH 37 TH P BATU INDAH RT 041 850775 AB ININEN RESEP 42,000 33,000 -
    332 RAHMAT YUDA 10 TH L KH.HARUN NAFSI RT 026 853395 VOMITING PLEB 42,000 33,000 -
    333 RIAMAN 49 TH L WIRATAMA RT 003 853460 GEA RESEP 42,000 33,000 -
    334 DESY WULAN DARI 21 TH P AGUS SALIM GG BENAWA RT 019 097793 URTIKARIA INJEKSI 42,000 33,000 -
    335 SITI PATIMAH 47 TH P BANGGERIS RT 023 853447 DISPEPSYA RESEP 42,000 33,000 -
    336 FEBY ALISYA 2 TH P KATAMSO RT 004 766682 FARINGITIS PLEB 42,000 33,000 -
    337 MASRONI FUAD 30 TH L KULINTANG GG CIPARI RT 038 649166 ASMA NEBU,O2 42,000 33,000 32,000
    338 SISKA YUANITA DEWI 24 TH P M.A SALEH RT 011 844644 GASTRITIS INJEKSI 42,000 33,000 -
    339 19/7/2015 WA ANGI 75 TH P KARYA BARU RT 010 445298 ASMA NEBU,EKG,O2,INJEKSI 42,000 33,000 32,000
    340 KANIA PUTRI SALMAH 6 TH P KH.AGUS SALIM GG 5D RT 031 737674 ASMA NEBU,O2 42,000 33,000 32,000
    341 VENO PRADANA 2 TH L M.YAMIN GG 1 RT 017 853499 VOMITING RESEP 42,000 33,000 -
    342 M.FAJAR ALFARIZI 6 TH L MERDEKA GG OTOK RT 096 797890 FEBRIS PLEB 42,000 33,000 -
    343 RUSBIYANTI 33 TH P SUWANDI RT 025 853522 VL WTH II,INJEKSI 42,000 33,000 -
    344 M.HATTA 49 TH L PIPIT RT 023 720268 ISK RESEP 42,000 33,000 -
    345 NAYSILLA AZ ZAHRA 6 TH P PROKLAMASI RT 053 853514 ABD PAIN PLEB,SUPP 42,000 33,000 -
    346 YASIN 56 TH P KH.W.HASYIM RT 027 853529 HEMATURI PLEBO,EKG 42,000 33,000 -
    347 BAYU SETIAWAN 12 TH L ERY SUPARJAN RT 012 853545 FEBRIS PLEB 42,000 33,000 -
    348 MULYANA 34 TH P RAUDAH RT 019 853490 DISPEPSYA INJEKSI 42,000 33,000 -
    349 JAPARUDDIN 50 TH L JAKARTA GG PERJUANGAN RT 072 853508 CEPALGIA PLEB,EKG,INJEKSI 42,000 33,000 -
    350 HANDI SETIAWAN 53 TH L PRAMUKA 3A RT 006 455475 HT EKG,INJEKSI 42,000 33,000 -
    351 ANDI WITENDRIE UMUNG 40 TH L PRAMUKA RT 031 646097 DISPEPSYA INJEKSI 42,000 33,000 -
    352 20/7/2015 SIRAJUDDIN 46 TH L GERILYA GG MASJID RT 049 853614 HEMOROID RESEP 42,000 33,000 -
    353 JUMANSYAH 35 TH L KS.TUBUN GG VII RT 035 853602 BSK PLEB,INJEKSI 42,000 33,000 -
    354 AISYA 26 TH P TRI DHARMA GG AYU RT 012 583607 GEA INJEKSI 42,000 33,000 -
    355 AHMAD 63 TH L BENDAHARA RT 001 850167 PPOK EKG,NEBU,INJEKSI 42,000 33,000 -
    356 LAETISIA DOROTHEA RUATA 53 TH P MARSDA A SALEH RT 024 754384 HT PLEB 42,000 33,000 -
    357 AINUN JARIAH 38 TH P L.MANGKURAT GG II RT 039 850908 ASMA INFUS,PLEB.NEBU,PLEB,INJEKSI,O2 42,000 33,000 32,000
    358 M.RIDWAN SANGADJI 1 TH L AWS RT 032 803998 ISPA PLEB 42,000 33,000 -
    359 FELISHA SHABYYAN 4 TH P DR.SOETOMO GG 6 RT 040 853552 KDK RESEP 42,000 33,000 -
    360 AMINAH 48 TH P S.RIADI GG 5 RT 016 853623 DISPEPSYA PLEB,INJEKSI 42,000 33,000 -
    361 IMAM KASMADI 58 TH L CENDANA GG 16 RT 013 853625 FEBRIS RESEP 42,000 33,000 -
    362 SYAQINA NUR 1 TH P JAMBU 2 NO 104 RT 006 846538 VOMITING RESEP 42,000 33,000 -
    363 LINDA EKA JULIANA 25 TH P P.SURYANATA GG SAKA RT 016 853677 CKD PLEB 42,000 33,000 -
    364 SASMO WIYONO 92 TH L MUGIREJO RT 067 838426 RETENSIO URIEN PASANG CATETER 42,000 33,000 -
    365 NURHAMA 53 TH P MANUNGGAL RT 013 383690 DISPEPSYA PLEBO,EKG 42,000 33,000 -
    366 APRILIA ISNAINI R 15 TH P S.PARMAN I RT 002 716547 GEA PLEB 42,000 33,000 -
    367 ARBAIN 63 TH L RUMBIA GG 2 RT 030 853686 HERPES ZOOTER PLEB 42,000 33,000 -
    368 NENI NURSANTI 62 TH P DAMANHURI PERUM BTI BU/22 RT 24 769174 DISPEPSYA EKG 42,000 33,000 -
    369 LA IRANO 45 TH L RUMBIA GG 2 RT 017 831915 FEBRIS PLEB,EKG,INJEKSI 42,000 33,000 -
    370 DZAKIYYA THALITA ZAHRA 1 TH P JUANDA 7 E RT 007 768047 VOMITING RESEP 42,000 33,000 -
    371 NURHANI 42 TH P ST.ALIMUDDIN RT 026 657289 TONSILITIS RESEP 42,000 33,000 -
    372 MAIMUNAH 57 TH P AGUS SALIM GG 5D RT 031 853676 URTIKARIA RESEP 42,000 33,000 -
    373 ARPIAH 62 TH L S.RIADI GG HIKMAH RT 005 787727 HT INF,PLEB,EKG 42,000 33,000 -
    374 MEGA DANA YANTI 33 TH P BAYAM NO 546 RT 088 558019 HT RESEP 42,000 33,000 -
    375 M.NURHIDAYAT 27 TH L IR SUTAMI BLOK J 05 RT 011 853645 GEA INF,PLEB 42,000 33,000 -
    376 LINA PUSMAWATI 29 TH P KH. DAMANHURI II RT 028 853629 ISPA PLEB 42,000 33,000 -
    377 SAFITRI 24 TH P JAKARTA RT 040 853589 DISPEPSYA INF,PLEB,INJEKSI 42,000 33,000 -
    378 NINDYA PRAMUDHITA 5 TH P DI PANJAITAN RT 017 646099 ASMA NEBU,O2 42,000 33,000 32,000
    379 ARBAIN AHMAD 47 TH L SENYIUR 3 RT 041 848720 DISPEPSYA INJEKSI 42,000 33,000 -
    380 SYARIFAH LINDA 35 TH P RAJAWALI DALAM RT 014 847568 POST SC GV 42,000 33,000 -
    381 AISYAH RABIYATUL JANNAH 7B P LUMBA LUMBA RT 007 830591 ISPA RESEP 42,000 33,000 -
    382 NURDIANA 37 TH P BUNG TOMO RT 021 853600 DISPEPSYA INJEKSI 42,000 33,000 -
    383 H.LAMU DAENG M 68 TH L L.MANGKURAT RT 033 574780 CHF PLEBO,EKG 42,000 33,000 -
    384 21/7/2015 ABD MALIK 49 TH L DI PANJAITAN RT 002 756765 PAROTITIS RESEP 42,000 33,000 -
    385 RUBAYA 70 TH P OTISTA GG 12 RT 014 433028 CEPALGIA RESEP 42,000 33,000 -
    386 ISMAIL 57 TH L H.JAHRAH RT 012 853742 ABD PAIN PLEB 42,000 33,000 -
    387 FATIMAH 21 TH P BAYUR RT 019 792358 FEBRIS PLEB 42,000 33,000 -
    388 WA SANE 58 TH P PAHLAWAN 2 RT 027 712290 HT UREENCY PLEB,EKG,INJEKSI 42,000 33,000 -
    389 RAMADHANI YUDOYONO 11 TH L BATU BESAUNG RT 026 675256 ASMA NEBU,O2 42,000 33,000 32,000
    390 ALIANSYAH MUSTAPA 17 TH L TALANG SARI RT 002 853780 CKR WT 42,000 33,000 -
    391 YUSUF 57 TH L MILONO RT 013 694840 ASMA O2,NEBU,INJEKSI 42,000 33,000 32,000
    392 ALFIANSYAH 8 TH L RE.M.DINATA GG MELATI RT 008 779660 ALERGI RESEP 42,000 33,000 -
    393 NUR KURNIADI ROBI 31 TH L DAMANHURI GG KAWAN RT 061 771218 DISPEPSYA INJEKSI 42,000 33,000 -
    394 BINTANG FARIMAN R 3 TH L PASUNDAN GG 2C RT 018 853791 CORPAL EKTRASI KORPAL 42,000 33,000 -
    395 NORMI 29 TH P PASUNDAN GG 1D RT 029 814759 GEA INJEKSI 42,000 33,000 -
    396 ARINI MAYA APRILIA T 16 TH P M.YAMIN RT 027 853786 FARINGITIS RESEP 42,000 33,000 -
    397 FEBRIAN NUR RAHMAN 1 TH L AWS RT 009 853779 ASMA NEBU 42,000 33,000 -
    398 DAHLIA 19 TH P PERJUANGAN RT 037 MUGIREJO 853739 GEA RESEP 42,000 33,000 -
    399 NICO MANGURU 75 TH L H.USMAN BLOK A NO 79 784719 ASMA PLEBO,EKG 42,000 33,000 32,000
    400 SUHARTO 49 TH L CENDANA GG 10 RT 037 846909 PPOK NEBU,O2 42,000 33,000 32,000
    401 DEDI WAHYUDI 30 TH L KH.USMAN BERAHIM RT 014 853725 ASMA NEBU,O2 42,000 33,000 32,000
    402 PUJI SULITIANTO 39 TH L BUKIT BARISAN RT 024 804152 ASMA O2,NEBU,INJEKSI 42,000 33,000 32,000
    403 SUHELMI ANGRAENI 12 TH P KAKAP RT 006 853743 WT WTH II,INJEKSI 42,000 33,000 -
    404 ADELIA APRIANTI 8 TH P MT.HARIYONO RT 001 853706 FEBRIS PLEB 42,000 33,000 -
    405 FEBBY FITRI YANNI 19 TH P PROPENSI 853737 LBP RESEP 42,000 33,000 -
    406 37 TH P ROTAN SEMPURUT SALAK 1 RT 014 646893 ISK PLEB 42,000 33,000 -
    407 2 TH P KARUYA BARU RT 10 847612 ISPA NEBU 42,000 33,000 -
    408 7 TH P PURWODADI RT 10 847656 URTIKARIA RESEP 42,000 33,000 -
    409 4 TH P DR.SOETOMO GG 1 RT 029 597144 FEBRIS PLEB 42,000 33,000 -
    410 37 TH P P.SURYANATA RT 034 748341 FEBRIS PLEB 42,000 33,000 -
    411 18 TH P MUTIARA GG 1 NO 23 RT 007 847663 V.MORSUM WT,INJEKSI 42,000 33,000 -
    412 38 TH P LEMPAKE TEPIAN RT 002 782862 DISPEPSYA PLEB,EKG,INJEKSI 42,000 33,000 -
    413 31 TH L RE.M.DINATA GG TUKANG RT 009 510532 ASMA O2,NEBU,INJEKSI 42,000 33,000 32,000
    414 14 TH L KEMANGI GG REZEKI RT 023 847645 FEBRIS RESEP 42,000 33,000 -
    415 65 TH P M.SAID RT 012 847626 FEBRIS PLEBO,EKG 42,000 33,000 -
    416 21/6/2015 44 TH P GATSU RT 045 533263 POST EKTRASI KUKU RESEP 42,000 33,000 -
    417 17 TH L BUKIT BARISAN GG 1A NO 12A RT 020 847431 CKR RESEP 42,000 33,000 -
    418 44 TH L DAMAI GG 4 NO 12 RT 026 543776 V.ICHTUM CROSS INSISI,INJEKSI 42,000 33,000 -
    419 45 TH P REVOLUSI GG 16 RT 008 732374 DM PLEBO,EKG 42,000 33,000 -
    420 29 TH P ST ALIMUDDIN GG SWADAYA RT 004 499903 DISPEPSYA INJEKSI 42,000 33,000 -
    421 53 TH L MUSO SALIM NO 68 RT 015 773624 CKD O2,INJEKSI 42,000 33,000 32,000
    422 46 TH L ST.ALIMUDDIN RT 021 816167 DISPEPSYA PLEB,EKG,INJEKSI 42,000 33,000 -
    423 5 TH P A.YANI GG CHAYA BARU RT 017 721546 ISPA RESEP 42,000 33,000 -
    424 62 TH L GERILYA GG FAMILY RT 039 847728 DISPEPSYA PLEB,EKG,INJ 42,000 33,000 -
    425 64 TH P ADAM MALIK RT 001 847742 VERTIGO INJEKSI 42,000 33,000 -
    426 1 TH L MERATUS 43 RT 022 847749 GEA INF,PLEB 42,000 33,000 -
    427 59 TH P DI PANJAITAN RT 020 847746 ISK PLEBO,EKG 42,000 33,000 32,000
    428 31 TH L GERILA GG RUKUIN RT 058 847734 FEBRIS RESEP 42,000 33,000 -
    429 48 TH L M.YAMIN RT 021 351029 ASMA NEBU,O2 42,000 33,000 32,000
    430 53 TH L BENGKURING RAYA RT 070 429436 VERTIGO PLEB,EKG,INJEKSI 42,000 33,000 -
    431 M.RIZAL 7 TH L P.SURYANATA GG TINGGIRAN RT 037 672130 PULPITIS RESEP 42,000 33,000 -
    432 DIANZ SEKAR TANJUNG 3 TH P S.PARMAN RT 002 770012 KONSTIPASI PLEB,SUPP 42,000 33,000 -
    433 AJI DECY ALVONITA 26 TH P P.SURYANATA GG TINGGIRAN RT 037 602689 TB PLEB 42,000 33,000 -
    434 A.SUDARNO 61 TH L KOMP. PASAR SEGIRI RT 028 581234 CEPALGIA EKG,INJEKSI 42,000 33,000 -
    435 RAFA AZKA PUTRA 1 TH L REVOLUSI GG DERMAWAN RT 008 830715 ISPA RESEP 42,000 33,000 -
    436 M.REFANDI 1 TH L L.MANGKUKRAT GG 6 RT 021 847715 PAROTITIS RESEP 42,000 33,000 -
    437 SYAMSUDDIN 52 TH L TANTINA 4 NO 107 RT 022 847203 CAD PLEB,O2,INJEKSI,EKG 42,000 33,000 32,000
    438 RENO FEBRIAN 9 TH L ST.ALIMUDDIN RT 033 847659 DISPEPSYA PLEB,INJEKSI 42,000 33,000 -
    439 NORSIAH 46 TH P P.SURYANATA GG 1 RT 018 778087 DISPEPSYA INJEKSI 42,000 33,000 -
    440 ALIF ASHAR PRATAMA 1 TH L MARSDA A SALEH RT 040 847762 FEBRIS RESEP 42,000 33,000 -
    441 M.SAHIB 46 TH L PROKLAMASI II BLOK O RT 056 397747 ABSES PERIANAL RESEP 42,000 33,000 -
    442 LA KETI 60 TH L OTISTA RT 018 847706 GASTRITIS PLEB,EKG,INJEKSI 42,000 33,000 -
    443 SELA SEPTIANI 18 TH P PERUM RAPAK BENUANG RT 041 262561 CORPAL IRIGASI MATA 42,000 33,000 -
    444 EKA SANJAYA 36 TH P PLAMBOYAN RT 009 847717 VE WT 42,000 33,000 -
    445 NORMA YULIANA 28 TH L PERJUANGAN MUGIREJO RT 037 702294 INPARTU VT,DOPLER 42,000 33,000 -
    446 RIKO PURNOMO 18 TH P M.YAMIN GG 1 RT 017 631572 GASTRITIS PLEB,O2,INJEKSI 42,000 33,000 32,000
    447 22/6/2015 SEMI WS MIANTO 62 TH L GIRI MULYO RT 016 847830 CKR RESEP 42,000 33,000 -
    448 AJI SETIAWAN 17 TH L CM.KUSUMO RT 040 818942 ASMA NEBU,O2 42,000 33,000 32,000
    449 SODIK 63 TH L DR.SOETOMO GG 8 A RT 035 847826 CHEST PAIN EKG 42,000 33,000 -
    450 VORGORIUS OKI 18 TH L MAS PENGHULU RT 009 847909 HEMATOME RESEP 42,000 33,000 -
    451 SUTOYO 48 TH L PADAT KARYA RT 064 847653 DISPEPSYA INJEKSI 42,000 33,000 -
    452 M.HAFIZ RAMADHAN 1 TH L DAMAI RT 027 832936 ISPA RESEP 42,000 33,000 -
    453 ANISA AULIA 14 TH P P.SURYANATA PUSPITA U NO 16+ 657243 CONTUSIO M RESEP 42,000 33,000 -
    454 FAISHAL NAIL SUBAKTI 2 TH L P.ANTASARI GG KARYA 48 A RT 030 841207 ISK PLEB 42,000 33,000 -
    455 AHSIYAH 37 TH P PEMUDA 4 RT 006 742261 CEPALGIA RESEP 42,000 33,000 -
    456 HELMI 46 TH L KH.W.HASYIM 847854 CKR PLEB 42,000 33,000 -
    457 NURSEHAT 60 TH L KAHOI B RT 031 847828 HNP PLEB,EKG,INJEKSI 42,000 33,000 -
    458 EKO PURNOMO 38 TH L KS.TUBUN DALAM RT 015 847813 V.ICHTUM GDS,CROSS,INJEKSI 42,000 33,000 -
    459 SUKARMAN 67 TH L RAMANIA DALAM RT 048 847827 V.ICHTUM CROSS INSISI,INJEKSI 42,000 33,000 -
    460 NURHALISYAH 4 TH L MAS PENGHULU GG SYUKUR RT 042 847865 FARINGITIS PLEB 42,000 33,000 -
    461 AZKA RAMA PRANAJA 1 TH L PARMAN GG 3 RT 039 802379 ISPA RESEP 42,000 33,000 -
    462 QONITA MUFIDAH 5B P S.PARMAN GG 4 RT 025 847846 GEA INF,PLEB 42,000 33,000 -
    463 M.AK 50 TH L MANUNGGAL RT 008 847841 SINUSITIS RESEP 42,000 33,000 -
    464 23/6/2015 ALIF ASHAR PRATAMA 1 TH L MARSDA A SALEH RT 040 847762 VOMITING PLEB 42,000 33,000 -
    465 SYAFRIADI 42 TH L RAJAWALI DALAM RT 014 847956 DISPEPSYA INJEKSI 42,000 33,000 -
    466 JAMIR 72 TH L LEMPAKE TEPIAN RT 002 739337 DISPEPSYA EKG,INJEKSI 42,000 33,000 -
    467 ROSITA NUR HASANAH 37 TH P PEMBANGUNAN RT 052 847933 V.ICHTUM WTH II,INJEKSI 42,000 33,000 -
    468 YUSUF 57 TH L MILONO RT 013 694840 CEPALGIA RESEP 42,000 33,000 -
    469 EKO SUWANTO S 42 TH P SENTOSA GG KENANGAN RT 076 625340 BSK PLEB 42,000 33,000 -
    470 SOFIYAH 42 TH P KESEJAHTRAAN GG PULAU INDAH RT 034 847940 CF METAFARSAL EKG,KONSUL 42,000 33,000 -
    471 ATIN 52 TH P S.PARMAN GG 4 RT 025 808300 GASTRITIS PLEB,EKG,INJEKSI 42,000 33,000 -
    472 DIANZ SEKAR TANJUNG 3 TH P S.PARMAN RT 025 770012 DISPEPSYA INF,PLEB 42,000 33,000 -
    473 SUMIYAH 52 TH P DAMAI GG 4 RT 009 847932 ASMA NEBU,EKG,O2,INJEKSI 42,000 33,000 32,000
    474 nu'man muzani 38 TH L CM.KUSUMO RT 014 559236 ISPA PLEB,EKG,INJEKSI 42,000 33,000 -
    475 M.FIKRI FARHAN 9 TH L PERUM GTL L/4 RT 013 802681 ISK RESEP 42,000 33,000 -
    476 MACHLAN 72 TH L PAKIS2 D/137 RT 082 707760 DISPEPSYA PLEB,EKG,INJEKSI 42,000 33,000 -
    477 MARIA ASUNTA DATEN S 29 TH P ST.SULAIMAN GG ANTARA RT 020 825055 DISPEPSYA PLEB,INJEKSI 42,000 33,000 -
    478 M.ALIF 1 TH L S.PARMAN RT 030 847942 ISPA RESEP 42,000 33,000 -
    479 ABDILLAH EFENDI 4 TH L KEDONDONG DALAM 7 RT 032 NO 30 748380 FEBRIS PLEB 42,000 33,000 -
    480 FANNY SULAIMAN 22 TH L MAWAR RT 020 MAKROMAN 847891 MULTIPLE VL WTH V 42,000 33,000 -
    481 SUGIANTO G 40 TH L SENTOSA GG KENANGAN RT 075 847900 CAT BITE WT,INJEKSI 42,000 33,000 -
    482 MUTMAINNAH 22 TH P AGUS SALAIM GG BAHAGIA RT 016 847906 ISPA PLEB,INJEKSI 42,000 33,000 -
    483 24/6/2015 A.FAUZAN SAPUTRA 6 TH L DAMANHURI RT 062 847970 VOMITING INF,PLEB,INJEKSI 42,000 33,000 -
    484 MARDALIYA H 22 TH P NUSANTARA RT 033 707514 AUB RESEP 42,000 33,000 -
    485 DARHANI 51 TH P A.DAHLAN RT 011 606719 CKD EKG 42,000 33,000 -
    486 ALFIN JULIANUR AHSANI 5 TH L AMPERA RT 036 847971 DM PLEB 42,000 33,000 -
    487 RUSDIANA 48 TH P LABU SIAM 3 B/411 RT 073 372137 CAD PLEB,EKG,O2,INJEKSI 42,000 33,000 -
    488 SITI AMINAH 58 TH P TEKUKUR II NO 17 RT 019 792577 DM INJEKSI 42,000 33,000 -
    489 HALIMAH 55 TH P PEMUDA II RT 012 512679 ASMA O2,INJEKSI 42,000 33,000 32,000
    490 YEMIMA KRISTIAN N 4 TH P P.SURYANATA RT 007 754703 ASMA NEBU,O2 42,000 33,000 32,000
    491 SUHARTO 49 TH L CENDANA GG 10 RT 037 847973 ASMA NEBU,INJEKSI 42,000 33,000 -
    492 PIADIN 26 TH 26 KARYA BARU RT 009 848009 CL FRAKTUR GITF,KONSUL 42,000 33,000 -
    493 JELITA VIDMA WATY 3 TH P GN.LINGAI GG SYUKUR RT 009 728682 ISPA RESEP 42,000 33,000 -
    494 DIAN INDAH P 25 TH P PAKIS 1 NO 151 RT 082 848032 HEG PLEB 42,000 33,000 -
    495 HENDRY MARISON TAMBUNAN 34 TH L SENTOSA RT 030 818097 DISPEPSYA RESEP 42,000 33,000 -
    496 ENNIKE DWI ELIYASA P 1 TH P GAYA BARU RT 009 848006 CKR KONSUL 42,000 33,000 -
    497 ALLEN PRATAMA PUTRA 29 TH L JELAWAT GG 8 NO 20 RT 003 694037 ASMA O2,NEBU,INJEKSI 42,000 33,000 32,000
    498 HADIONO 28 TH L KARYA BARU RT 10 SMPJ 848047 CEPALGIA INJEKSI 42,000 33,000 -
    499 ZAHWA ZS 4 TH P KEBUN AGUNG RT 001 848039 CL FRAKTUR WTH III,INJEKSI 42,000 33,000 -
    500 EVI KRISTINAWATI 48 TH P RUKUN RT 014 842196 VERTIGO INJEKSI 42,000 33,000 -
    501 25/6/2015 RAIFANA ALAUDI 13 TH L M.SAID GG SURYA RT 028 843507 FARINGITIS RESEP 42,000 33,000 -
    502 DIAN SYAFIKH ASSADY 5 TH L M.SAID GG SURYA RT 028 842547 FARINGITIS RESEP 42,000 33,000 -
    503 NUR SALSABILLA 3 TH P PADAT KARYA GG KARAUTAN RT 073 812180 BRONCHITIS NEBU 42,000 33,000 -
    504 SUNIANSYAH 51 TH L PERJUANGAN RT 037 MUGIREJO 582097 STANBLE ANGINA PLEB,O2,EKG 42,000 33,000 32,000
    505 HALIMAH 55 TH P PEMUDA II RT 012 512679 ASMA O2,NEBU,INJEKSI 42,000 33,000 32,000
    506 KAMSIAH 50 TH P RAUDAH 1 RT 011 489399 FEBRIS INF,PLEB,EKG 42,000 33,000 -
    507 YUSUF MASYYAH 2 TH L SOETOMO RT 029 485865 ISPA PLEB 42,000 33,000 -
    508 MANDU ABDUL MUBAROK 56 TH L TERONG PIPIT 1 NO 633 RT 079 664444 VESACOLITHIASIS PLEB,EKG,SUPP 42,000 33,000 -
    509 SITI MARYAM 21 TH P GERILYA GG FAMILY RT 035 848073 DISPEPSYA INJEKSI 42,000 33,000 -
    510 JULIANSYAH 1 TH L BANGGERIS GG 3 NO 11 RT 21 836346 DISPNUE NEBU 42,000 33,000 -
    511 NUR AHMAD RICKY 13 TH L TRI SARI RT 022 465217 DISPEPSYA PLEB 42,000 33,000 -
    512 ADAM SAPUTRA 15 TH L ANGGUR RT 055 712254 FARINGITIS RESEP 42,000 33,000 -
    513 NINING SULIASTUTI 35 TH P S.RIADI RT 014 848022 DISPEPSYA IJEKSI 42,000 33,000 -
    514 RAIHAN ALHAFIS 8 TH L M.SAID GG SURYA RT 028 833228 FARINGITIS RESEP 42,000 33,000 -
    515 A.FATHAR 31 TH L REFORMASI RT 009 BKUAN 848131 SPAIN MUSCLE RESEP 42,000 33,000 -
    516 JAMILAH 44 TH P PESUT RT 016 631848 DUB PLEB 42,000 33,000 -
    517 RIADI CANDRA 27 TH L JELAWAT GG 9 NO 35 789562 DISPEPSYA EKG,INJEKSI 42,000 33,000 -
    518 INA PRATIWI 24 TH P L.MANGKURAT RT 041 GG 1 779411 DUB PLEB 42,000 33,000 -
    519 WENDI SEPTIAN S 5 TH L DAMAI RT 027 848121 ISPA RESEP 42,000 33,000 -
    520 M.HAFIZ RAMADHAN 1 TH L DAMAI RT 027 832936 ISPA RESEP 42,000 33,000 -
    521 HERLINA 41 TH L CM.KUSUMO RT 005 837511 ASMA O2,NEBU,INJEKSI 42,000 33,000 32,000
    522 26/6/2015 MAS MADIR 42 TH L PASUNDAN RT 003 833382 BSK PLEB,INJEKSI 42,000 33,000 -
    523 SY. NIEKMAH 36 TH P PERUM SMBTN RT 031 812392 DISPEPSYA EKG,INJEKSI 42,000 33,000 -
    524 ELFIANA 23 TH P EKONOMI RT 018 621518 HEG PLEB,INJEKSI 42,000 33,000 -
    525 SUWANDI 25 TH L ANGGUR DALAM RT 054 848434 DISPEPSYA INJEKSI 42,000 33,000 -
    526 AIDI NOOR 41 TH L P.KARYA GG CINTA DAMAI RT 001 848154 BSK PLEB,INJEKSI 42,000 33,000 -
    527 HERLINA 41 TH P CM.KUSUMO RT 005 837511 HEG RESEP PLEB 33,000 -
    528 SUKMAWATI 21 TH P PERUM BUMI SEMPAJA RT 047 809325 ISPA PLEB 42,000 33,000 -
    529 HERLINA 41 TH P SUKMAWATI 842735 GEA RESEP 42,000 33,000 -
    530 SUKMAWATI 21 TH P PERUM SAMBUTAN SEMPAJA RT 047 629434 DISPEPSYA INF,PLEB,INJEKSI 42,000 33,000 -
    531 LAILA KIRANA NURAINI 1 TH P MERDEKA V RT 089 848189 FEBRIS PLEB 42,000 33,000 -
    532 ANI MONICA 17 TH P PERUM PKL H/19 RT 030 848929 VERTIGO INJEKSI 42,000 33,000 -
    533 WAHINI 37 TH P OTISTA ISKANDAR RT 033 848188 AB ININEN PLEB 42,000 33,000 -
    534 ASMAIL 41 TH L H.SUWANDI 21 RT 024 511470 BRONCHITIS EKG,O2 42,000 33,000 32,000
    535 DENI IRAWAN R 13 TH L RAJAWALI DALAM RT 108 848150 CARRIES DENTIS RESEP 42,000 33,000 -
    536 ANISA AZZAHRA AL BASIT 2 TH P PERJUANGAN ALAM SEGAR 4/16 787052 ISK RESEP 42,000 33,000 -
    537 M.APRI SUKMA NANTA 10 TH L DI PANJAITAN RT 068 848173 EPILEPSI PLEB 42,000 33,000 -
    538 OCTAVIA MITFAHUL JANNAH 27 TH P KURNIA MAKMUR RT 015 654811 ASMA NEBU,INJEKSI 42,000 33,000 -
    539 HENI RAKHEL LUKAS 16 TH P KEMAKMURAN GG 45 RT 44 821800 DISPEPSYA RESEP 42,000 33,000 -
    540 AKIFA NAILA 1 TH P GATSU RT 001 789617 VOMITING INJEKSI 42,000 33,000 -
    541 SUKINI 68 TH P GIRIREJO RT 025 848418 DM PLEB,EKG,INJEKSI 42,000 33,000 -
    542 AJI PANGESTU 1 TH L GATSU GG 2 RT 001 842947 ISPA RESEP 42,000 33,000 -
    543 M.ALI YUSUF ARAFAH 6 TH L HASAN BASRI RT 0123 848406 VOMITING PLEB,INJEKSI 42,000 33,000 -
    544 ANDI NUR HALIMAH 23 TH P KESEHATAN DALAM NO 68 RT 002 795236 VERTIGO INJEKSI 42,000 33,000 -
    545 SUNARSI 49 TH P BUKIT BARISAN GG SADAR NO 32 RT 022 848177 COLIC ABDOMEN PLEB,INJEKSI 42,000 33,000 -
    546 27/6/2015 ANA MARIANA 21 TH P P.SURYANATA GG 4 RT 031 848531 DISPEPSYA PLEB,INJEKSI 42,000 33,000 -
    547 ASMIRANSYAH 49 TH P CM.KUSUMO RT 001 848437 KONSTIPASI PLEB,EKG 42,000 33,000 -
    548 YUNI JOHAN 40 TH P DAMAI RT 025 796059 DISPEPSYA PLEB,EKG,INJEKSI 42,000 33,000 -
    549 M.ADRIAN DWI S 3 TH L DAMAI GG 4 RT 026 848422 ISPA PLEB 42,000 33,000 -
    550 MARTINAH 56 TH P PADAT KARYA RT 083 848414 VL GDS CITO 42,000 33,000 -
    551 SANNY ADE FEBRIAN 7 TH L GERILYA GG SEPAKAT RT 101 848488 VE WT 42,000 33,000 -
    552 RENI HAIRANI 27 TH P RIMBAWAN RT 008 575586 VE RESEP 42,000 33,000 -
    553 LIA APRILIANI 19 TH P GATSU GG 2 RT 001 848533 SNAKE INJEKSI 42,000 33,000 -
    554 DWI ARIA ANANTA 1 TH P S.PARMAN 1 RT 001 757829 ISPA SUPP 42,000 33,000 -
    555 MASRIAH 67 TH P OTISTA RT 022 552965 ASMA NEBU,INJEKSI 42,000 33,000 -
    556 ALLEN PRATAMA PUTRA 29 TH L JELAWAT GG 8 NO 20 RT 003 694037 ASMA INF,NEBU,INJEKSI 42,000 33,000 -
    557 MISBAH 25 TH P SENTOSA DALAM II RT 079 750618 ABD PAIN PLEB,KONSUL 42,000 33,000 -
    558 NOOR HASANAH 46 TH P L.MANGKURAT RT 041 848535 DISPEPSYA EKG,INJEKSI 42,000 33,000 -
    559 SURYANI 18 TH P PELITA 4 RT 013 848493 CETANUS LARVA MIGRAN RESEP 42,000 33,000 -
    560 SUDARTI 48 TH P M.YAMIN GG 1 RT 017 675105 BATUK KRONIK NEBU 42,000 33,000 -
    561 YUDI CATUR PRASETYO 31 TH L JELAWAT GG 7 RT 004 561690 HEMOROID PLEB 42,000 33,000 -
    562 NOR JENAB 40 TH P GERILYA GG SEPAKAT RT 101 848490 DISLOKASI SOULDER+VL ELASTIS VERBAN 42,000 33,000 -
    563 HENY PATODO 49 TH P DI PANJAITAN RT 033 080624 VOMITING INF,PLEB,INJEKSI 42,000 33,000 -
    564 WIDODO 46 TH L PERUM KELEDANG MAS RT 009 848413 CEPALGIA RESEP 42,000 33,000 -
    565 28/6/2015 USMIWATI 52 TH P GERILYA GG AL JAWAHIR RT 046 784360 HISTERIA INF,PLEB,EKG,INJEKSI 42,000 33,000 -
    566 SUSANTI 24 TH P ANGGUR RT 055 848551 GRAVID VT,DOPLER 42,000 33,000 -
    567 DWI ARIA ANANTA 1 TH P S.PARMAN RT 001 757829 ASMA NEBU,O2 42,000 33,000 -
    568 SUYANTO 47 TH L L.MANGKURAT GG 8 RT 019 522849 TRAUMA ELEKTRIC EKG 42,000 33,000 -
    569 NASA MAHARANI 7 TH P RIMBAWAN RT 008 401845 FEBRIS PLEB 42,000 33,000 -
    570 RIZKI NUR MAULIDA 17 TH P IJABAH RT 005 790081 HEMOROID RESEP 42,000 33,000 -
    571 AZIZAH AZZAHRA 4 TH P RAUDAH 1 RT 011 742195 FEBRIS PLEB 42,000 33,000 -
    572 RUSNANI 48 TH P P.BENDAHARA 679931 VERTIGO VERTIGO 42,000 33,000 -
    573 M.NUR ZAKI 5 BL L NUSA INDAH RT 002 552243 GEA RESEP 42,000 33,000 -
    574 ADAM SAPUTRA 5 TH L ANGGUR RT 055 712254 FEBRIS PLEB 42,000 33,000 -
    575 DWI ZULIANI 51 TH P PINANG SERIBU RT 013 615624 VOMITING INF,PLEB,INJEKSI 42,000 33,000 -
    576 WINDA RIFAI 16 TH P KEMAKMURAN RT 043 488565 CKR RESEP 42,000 33,000 -
    577 NAILA RAUDTHATUL 9 TH P KH.W.HASYIM GG AHIM III RT 028 848554 URTIKARIA RESEP 42,000 33,000 -
    578 HENDRA OFTA SYARANI 22 TH P REEL RT 019 848587 VL WTH II,INJEKSI 42,000 33,000 -
    579 MARIONO 62 TH L MT.HARIYONO GG RAWA JAYA RT 001 836640 GOUT ARTITIS RESEP 42,000 33,000 -
    580 ACIL 71 TH P M.SAID RT 029 848566 ASMA NEBU,EKG 42,000 33,000 -
    581 MARJANI 62 TH L OTISTA RT 018 103899 PPOK PLEB 42,000 33,000 -
    582 SONIA INDRIANI 3 TH L T.UMAR RT 035 843040 TONSILITIS PLEB 42,000 33,000 -
    583 29/6/2015 MUSLIHAH JUNIASIH 19 TH P PERJUNAGAN 2 RT 002 846575 INPARTU VT,DOPLER 42,000 33,000 -
    584 ISMAIL YAMIN 30 TH L KH.M.MANSYUR RT 037 846668 ASMA O2,NEBU,INJEKSI 42,000 33,000 32,000
    585 EVA YULIANSIH 19 TH P MERANTI GG II RT 019 848676 ISK PLEB,INJEKSI 42,000 33,000 -
    586 SUNDARI 26 TH P LUMBA LUMBA RT 011 848665 FEBRIS PLEB 42,000 33,000 -
    587 SA'DAH 58 TH P OTISTA RT 022 848710 DISPEPSYA INJEKSI 42,000 33,000 -
    588 MIKHAYLA ZARA S 2 TH P DR.SUTOMO GG 7 RT 039 848710 DISPEPSYA PLEB 42,000 33,000 -
    589 JURAIDA SUROSO 62 TH L PERUM SIP F/28 RT 031 644017 HT INF,PLEB,EKG 42,000 33,000 -
    590 RIKI PURNAMA 38 TH L M.YAMIN GG 1 RT 017 748976 ISK PLEB 42,000 33,000 -
    591 ALDY NUR SYAH ALAM 7 TH L KH.H.NAFSI RT 008 848654 VOMITING INF,PLEB,INJEKSI 42,000 33,000 -
    592 ROSIDAH 39 TH P LABU MERAH 3 /167 RT 071 848664 CAD EKG,INJEKSI 42,000 33,000 -
    593 INDARTI 43 TH P MONAS RT 037 840318 DISPEPSYA PLEB,INJEKSI 42,000 33,000 -
    594 MARIANI 39 TH P BUNG TOMO GG ANTASARI RT 021 848634 BSK PLEB,INJEKSI 42,000 33,000 -
    595 ISKANDAR 43 TH L HOS COKRO A RT 030 848686 COLIC URETER PLEB 42,000 33,000 -
    596 YUSUF 57 TH L MILONO RT 013 694840 ASMA O2,NEBU,INJEKSI 42,000 33,000 32,000
    597 SUSI NURWATI 32 TH P P.HIDAYATULLAH GG BATU RT 016 848713 ISPA RESEP 42,000 33,000 -
    598 JIHAN AURELLIA IDRIS 7 TH P KS.TUBUN DALAM RT 014 551059 FEBRIS RESEP 42,000 33,000 -
    599 SUDARTI 48 TH P M.YAMIN GG 1 RT 017 675105 ISPA RESEP 42,000 33,000 -
    600 ANI LISTIANI 20 TH P SERAYU RT 020 848722 ABSES MAMAE RESEP 42,000 33,000 -
    601 SARKANI 63 TH L BUKIT BARISAN RT 038 848703 DISPEPSYA PLEB,EKG,INJEKSI 42,000 33,000 -
    602 30/6/2015 HERLIANSARI 39 TH L HASAN BASRI RT 019 760641 FARINGITIS RESEP 42,000 33,000 -
    603 ARMIYAH 34 TH P RAPAK INDAH RT 036 776045 INPARTU VT,DOPLER 42,000 33,000 -
    604 MUHYI 40 TH L KEMAKMURAN DALAM RT 020 843239 ASMA O2,NEBU,INJEKSI 42,000 33,000 32,000
    605 UNTUNG BENER P 54 TH L IMAM BONJOL GG 10 NO 46 RT 10 826529 RETENSIO URIEN PASANG CATETER 42,000 33,000 -
    606 GIUS SEPENA BT 16 TH L PLAMBOYAN RT 010 848789 VL WTH IV,INJEKSI 42,000 33,000 -
    607 YEHUDA DUMA 7 TH L PERJUNANGNA RT 02 SMPJ 491082 VE WT 42,000 33,000 -
    608 NUR MAWAN 33 TH L TRISARI RT 022 848805 TRAUMA OCULI RESEP 42,000 33,000 -
    609 M.SIRAJUDDIN 42 TH L TENGKAWANG KELAPA GADING RT 015 848746 ABD PAIN PLEB,EKG,INJEKSI 42,000 33,000 -
    610 HASANUDDIN 44 TH L IR.SUTAMI GG H. SALEH RT 009 559467 URTIKARIA RESEP 42,000 33,000 -
    611 ATALITHA SARI SALMA 4 TH P PANGKALAN RT 006 709040 FARINGITIS PLEB 42,000 33,000 -
    612 BANDUNG 55 TH L RAJAWALI DALAM RT 014 848595 FARINGITIS RESEP 42,000 33,000 -
    613 ADITIYATAMA YUDA H 9 TH L CM.KUSUMO RT 012 335533 DISPEPSYA PLEB,INJEKSI 42,000 33,000 -
    614 HALIMAH 55 TH P PEMUDA II RT 012 512679 ASMA NEBU,EKG,O2,INJEKSI 42,000 33,000 32,000
    615 PRIYO SANTOSO 36 TH L ANGGUR RT 055 412767 CORPAL IRIGASI 42,000 33,000 -
    616 SUTOYO 49 TH L PADAT KARYA RT 64 SMPJ 847653 DISPEPSYA EKG,INJEKSI 42,000 33,000 -
    617 KRISTIAN LUBIS 60 TH L BIAWAN GG 1 RT 014 NO 02 402802 VERTIGO PLEB,O2,EKG 42,000 33,000 32,000
    618 FITRIAH 45 TH P DI PANJAITAN GG 4 NO 26 RT 037 848744 HEMAPTOE PLEB,EKG,INJEKSI 42,000 33,000 -
    619 MISBAH 25 TH P SENTOSA DLM II RT 79 750618 GRAVID PLEB 42,000 33,000 -
    620 ISKANDAR 42 TH L HOS COKRO A RT 030 848686 COLIC ABDOMEN PLEBO,EKG 42,000 33,000 -
    621 ROSYITHA PURNAMASARI 37 TH P SITI AISYAH RT 015 847870 GRAVID PLEB 42,000 33,000 -
    622 MISRAN 24 TH L TATAKO RT 008 848764 VL WT 42,000 33,000 -
    623 DZAKIRA TALITA SAKHI 2 TH P turi putih 2 RT 089 848795 FEBRIS RESEP 42,000 33,000 -
    624 ANISA AULIYA PUTRI 11 TH P WIJAYA KUSUMA VC RT 017 848734 DISPEPSYA INJEKSI 42,000 33,000 -
    625 SUMIATI 38 TH P SULTAN ALIMUDDIN RT 004 384475 PJK INF,PLEB,O2,EKG 42,000 33,000 32,000
    686 26,208,000 20,625,000 2,624,000
    RINCIAN BIAYA
    JUMLAH
    konsul biaya jasa rs BHP Tindakan IGD
    14 15 16 17 18 19
    - - 89,600 25,000 70,400 260,000
    - - 44,800 10,000 35,200 165,000
    - - 179,200 33,500 140,800 428,500
    - - 44,800 10,000 35,200 165,000
    - - 134,400 26,500 105,600 341,500
    DR.GRACE/STRIA 150,000 44,800 7,000 35,200 312,000
    - - - - - 75,000
    DR.GRACE 75,000 - - - 150,000
    - - 44,800 7,000 35,200 162,000
    - - 179,200 33,500 140,800 428,500
    DR.ATOB 75,000 89,600 17,000 70,400 327,000
    - - 89,600 17,000 70,400 252,000
    - - - - - 75,000
    STRIa.lutfi,astrid 225,000 537,600 128,500 422,400 1,388,500
    - - 44,800 7,000 35,200 162,000
    - - - - - 75,000
    - - 179,200 33,500 140,800 428,500
    - - 179,200 33,500 140,800 428,500
    - - 179,200 33,500 140,800 428,500
    - - 44,800 10,000 35,200 165,000
    - - 134,400 22,000 105,600 369,000
    - - 134,400 26,500 105,600 341,500
    - - 89,600 27,000 70,400 262,000
    - - 89,600 13,000 70,400 248,000
    - - 134,400 22,000 105,600 369,000
    - - 44,800 10,000 35,200 165,000
    - - 89,600 27,000 70,400 262,000
    - - - - - 75,000
    - - 44,800 20,000 35,200 175,000
    - - 134,400 25,000 105,600 340,000
    - - 336,000 102,000 264,000 777,000
    - - 134,400 22,000 105,600 337,000
    - - 44,800 7,000 35,200 162,000
    - - 89,600 17,000 70,400 252,000
    - - 89,600 17,000 70,400 284,000
    - - - - - 75,000
    - - 89,600 27,000 70,400 262,000
    - - 44,800 3,000 35,200 158,000
    - - 694,400 131,000 545,600 1,478,000
    - - - - - 75,000
    - - 89,600 17,000 70,400 252,000
    - - 224,000 41,500 176,000 516,500
    - - 179,200 33,500 140,800 428,500
    DR.SANTI 75,000 89,600 20,000 70,400 330,000
    - - - - - 75,000
    - - - - - 75,000
    - - 224,000 38,500 176,000 545,500
    - - 89,600 17,000 70,400 252,000
    - - 44,800 - 35,200 155,000
    - - 89,600 15,000 70,400 250,000
    - - 44,800 7,000 35,200 162,000
    - - 89,600 17,000 70,400 252,000
    - - - - - 75,000
    - - 89,600 17,000 70,400 252,000
    - - 44,800 7,000 35,200 162,000
    - - - - - 75,000
    - - 89,600 27,000 70,400 262,000
    - - 44,800 20,000 35,200 175,000
    - - 44,800 10,000 35,200 165,000
    - - 134,400 22,000 105,600 369,000
    - - 89,600 37,000 70,400 272,000
    - - 44,800 10,000 35,200 165,000
    - - 134,400 26,500 105,600 341,500
    - - 179,200 33,500 140,800 428,500
    - - 89,600 25,000 70,400 260,000
    - - 44,800 10,000 35,200 165,000
    - - 89,600 15,000 70,400 282,000
    - - - - - 75,000
    - - 44,800 7,000 35,200 194,000
    - - 134,400 57,000 105,600 372,000
    - - - - - 75,000
    - - 134,400 25,000 105,600 340,000
    - - 89,600 15,000 70,400 250,000
    - - - - - 75,000
    - - 89,600 37,000 70,400 272,000
    - - - - - 75,000
    - - - - - 75,000
    - - 89,600 17,000 70,400 252,000
    - - 134,400 25,000 105,600 340,000
    - - - - - 75,000
    - - 44,800 10,000 35,200 165,000
    - - 44,800 7,000 35,200 162,000
    - - 89,600 15,000 70,400 250,000
    - - 134,400 57,000 105,600 372,000
    - - 44,800 10,000 35,200 165,000
    - - 44,800 7,000 35,200 162,000
    MORIKO,SHTONO 150,000 134,400 26,500 105,600 523,500
    - - - - - 75,000
    - - 89,600 15,000 70,400 282,000
    - - 44,800 10,000 35,200 165,000
    - - 134,400 57,000 105,600 372,000
    - - - - - 75,000
    - - 44,800 10,000 35,200 165,000
    - - 44,800 10,000 35,200 165,000
    - - - - - 75,000
    - - 89,600 22,000 70,400 289,000
    - - 44,800 10,000 35,200 165,000
    - - - - - 75,000
    - - 44,800 7,000 35,200 162,000
    - - 44,800 10,000 35,200 165,000
    - - 44,800 10,000 35,200 165,000
    - - 89,600 17,000 70,400 252,000
    - - 179,200 33,500 140,800 428,500
    - - 89,600 13,000 70,400 248,000
    - - 89,600 17,000 70,400 252,000
    - - - - - 75,000
    - - - - - 75,000
    DR.BOYKE 75,000 44,800 10,000 35,200 240,000
    - - - - - 75,000
    - - - - - 75,000
    - - - - - 75,000
    - - 268,800 48,500 211,200 603,500
    - - - - - 75,000
    - - - - - 75,000
    - - 134,400 26,500 105,600 341,500
    - - - - - 75,000
    - - - - - 75,000
    - - - - - 75,000
    - - - - - 75,000
    - - - - - 75,000
    - - - - - 75,000
    - - 89,600 15,000 70,400 250,000
    - - 44,800 10,000 35,200 165,000
    - - 134,400 26,500 105,600 341,500
    - - 89,600 17,000 70,400 252,000
    - - 89,600 15,000 70,400 282,000
    - - 89,600 16,500 70,400 283,500
    - - 179,200 33,500 140,800 428,500
    - - 44,800 3,000 35,200 158,000
    - - - - - 75,000
    - - - - - 75,000
    - - 89,600 25,000 70,400 260,000
    - - 44,800 10,000 35,200 165,000
    - - 44,800 10,000 35,200 165,000
    - - 89,600 16,500 70,400 283,500
    - - 89,600 15,000 70,400 250,000
    - - 44,800 10,000 35,200 197,000
    - - 89,600 15,000 70,400 282,000
    - - - - - 75,000
    - - 89,600 17,000 70,400 252,000
    - - 44,800 7,000 35,200 162,000
    - - 44,800 7,000 35,200 162,000
    - - 44,800 7,000 35,200 162,000
    - - 134,400 26,500 105,600 341,500
    - - 89,600 25,000 70,400 260,000
    - - 89,600 27,000 70,400 262,000
    - - 44,800 20,000 35,200 175,000
    - - - - - 75,000
    - - - - - 75,000
    - - 134,400 57,000 105,600 372,000
    - - 179,200 33,500 140,800 428,500
    - - 44,800 7,000 35,200 162,000
    - - 134,400 22,000 105,600 369,000
    - - 134,400 22,000 105,600 369,000
    - - - - - 75,000
    - - 134,400 22,000 105,600 369,000
    - - 134,400 57,000 105,600 372,000
    DR.YASER 75,000 179,200 33,500 105,600 468,300
    - - - - - 75,000
    - - 44,800 10,000 35,200 165,000
    - - 44,800 10,000 35,200 165,000
    - - 179,200 33,500 140,800 428,500
    - - 179,200 22,000 140,800 449,000
    - - 44,800 7,000 35,200 162,000
    - - 179,200 33,500 140,800 428,500
    - - 89,600 27,000 70,400 262,000
    - - 179,200 32,000 140,800 427,000
    DJON,CARTA,ASWAD 225,000 403,200 71,500 316,800 1,123,500
    - - - - - 75,000
    - - 134,400 26,500 105,600 341,500
    - - 134,400 22,000 105,600 369,000
    - - 89,600 16,500 70,400 283,500
    - - 89,600 25,000 70,400 260,000
    - 89,000 17,000 70,400 251,400
    - - 89,600 47,000 70,400 314,000
    - - 89,600 16,500 70,400 251,500
    - - 134,400 26,500 105,600 341,500
    - - 179,200 33,500 140,800 428,500
    - - 89,600 25,000 70,400 260,000
    - - 44,800 20,000 35,200 207,000
    - - 134,400 22,000 105,600 369,000
    DR.DADIK 75,000 89,600 50,000 70,400 360,000
    - - 179,200 33,500 140,800 460,500
    - - 44,800 10,000 35,200 165,000
    - - 89,600 13,000 70,400 248,000
    - - 179,200 32,000 140,800 427,000
    - - 134,400 22,000 105,600 369,000
    DR.SYAIFUL 75,000 - - - 150,000
    - - 89,600 30,000 70,400 265,000
    - - 89,600 25,000 70,400 260,000
    - - - - - 107,000
    - - 89,600 16,500 70,400 251,500
    - - 44,800 10,000 35,200 165,000
    - - 44,800 10,000 35,200 165,000
    - - 44,800 10,000 35,200 165,000
    - - - - - 75,000
    - - - - - 75,000
    - - - - - 75,000
    - - - - - 107,000
    - - 89,600 17,000 70,400 252,000
    - - 44,800 7,000 35,200 162,000
    - - 134,400 22,000 105,600 337,000
    - - 89,600 16,500 70,400 251,500
    - - 179,200 33,500 140,800 428,500
    - - 89,600 17,000 70,400 252,000
    - - 224,000 62,000 176,000 537,000
    - - 134,400 26,500 105,600 341,500
    - - 134,400 22,000 105,600 369,000
    - - - - - 75,000
    - - 134,400 23,500 105,600 338,500
    - - 44,800 7,000 35,200 162,000
    - - 89,600 17,000 70,400 284,000
    - - 89,600 16,500 70,400 251,500
    - - - - - 75,000
    - - 134,400 22,000 105,600 369,000
    - - 134,400 26,500 105,600 341,500
    - - 44,800 10,000 35,200 165,000
    - - 89,600 17,000 70,400 252,000
    - - - - - 75,000
    - - 44,800 7,000 35,200 162,000
    - - 179,200 33,500 140,800 428,500
    - - 44,800 7,000 35,200 162,000
    - - 179,600 33,500 140,800 428,900
    - - 89,600 32,000 70,400 299,000
    - - 179,200 33,500 140,800 428,500
    - - 89,600 22,000 70,400 257,000
    - - - - - 75,000
    - - 44,800 10,000 35,200 165,000
    - - 134,400 25,000 105,600 340,000
    - - 134,400 25,000 105,600 340,000
    - - 44,800 7,000 35,200 162,000
    - - 44,800 3,000 35,200 158,000
    - - 134,400 25,000 105,600 340,000
    - - 89,600 27,000 70,400 262,000
    - - - - - 75,000
    - - 134,400 35,000 105,600 350,000
    - - 89,600 13,000 70,400 248,000
    - - 44,800 3,000 35,200 158,000
    - - - - - 75,000
    - - 44,800 3,000 35,200 158,000
    - - 134,400 23,500 105,600 370,500
    - - 179,200 33,500 140,800 428,500
    - - 44,800 7,000 35,200 162,000
    - - - - - 75,000
    - - - - - 75,000
    - - 44,800 7,000 35,200 162,000
    - - 89,600 27,000 70,400 262,000
    - - 89,600 25,000 70,400 260,000
    - - 134,400 22,000 105,600 369,000
    - - - - - 75,000
    - - - - - 75,000
    - - - - - 75,000
    DR DJOEN 75,000 515,200 64,000 404,800 1,166,000
    - - 89,600 16,500 70,400 251,500
    - - 134,400 25,000 105,600 340,000
    DR.FRITZ 75,000 44,800 10,000 35,200 240,000
    - - 44,800 10,000 35,200 165,000
    - - 89,600 27,000 70,400 262,000
    - - 44,800 7,000 35,200 162,000
    - - 134,400 22,000 105,600 369,000
    - - - - - 75,000
    - - 44,800 20,000 35,200 175,000
    - - 89,600 27,000 70,400 262,000
    DR.YASER 75,000 89,600 17,000 70,400 327,000
    - - 134,400 57,000 105,600 372,000
    - - 179,200 33,500 140,800 428,500
    DR.YASER 75,000 134,400 25,000 105,600 415,000
    - - 89,600 15,000 70,400 282,000
    - - 89,600 16,500 70,400 251,500
    - - 134,400 57,000 105,600 372,000
    - - 89,600 27,000 70,400 262,000
    - - 89,600 25,000 70,400 260,000
    - - 89,600 15,000 70,400 282,000
    - - 313,600 63,500 246,400 698,500
    - - 179,200 33,500 140,800 428,500
    - - 44,800 7,000 35,200 162,000
    - - 179,200 33,500 140,800 428,500
    - - 44,800 3,000 35,200 158,000
    - - 134,400 22,000 105,600 369,000
    - - - - - 75,000
    - - - - - 75,000
    DR.GRACE 75,000 425,000 107,000 409,400 1,091,400
    - - 89,600 25,000 70,400 260,000
    - - 44,800 10,000 35,200 165,000
    DR.YASER 75,000 44,800 7,000 35,200 237,000
    - - - - - 75,000
    - - - - - 75,000
    DR.PURQON 75,000 179,200 33,500 140,800 503,500
    - - 89,600 27,000 70,400 262,000
    - - - - - 75,000
    - - 44,800 7,000 35,200 162,000
    - - 44,800 10,000 35,200 165,000
    - - 134,400 57,000 105,600 372,000
    - - 89,600 15,000 70,400 282,000
    - - - - - 75,000
    - - - - - 75,000
    - - 134,400 22,000 105,600 369,000
    - - 89,600 17,000 70,400 252,000
    DR.DADIK 75,000 44,800 10,000 35,200 240,000
    - - 44,800 7,000 35,200 162,000
    - - 89,600 37,000 70,400 272,000
    SUSILO/FIRQON 150,000 784,000 141,000 616,000 1,798,000
    - - - - - 75,000
    - - - - - 75,000
    - - - - - 75,000
    - - - - - 75,000
    - - 224,000 38,500 176,000 545,500
    - - 89,600 15,000 70,400 282,000
    - - - - - 75,000
    - - 134,400 22,000 105,600 369,000
    - - - - - 75,000
    - - - - - 75,000
    - - 44,800 7,000 35,200 162,000
    - - - - - 107,000
    - - 44,800 7,000 35,200 162,000
    - - 89,600 15,000 70,400 282,000
    - - 179,200 32,000 140,800 427,000
    - - 44,800 7,000 35,200 162,000
    - - 134,400 30,000 105,600 345,000
    - - 134,400 23,500 105,600 338,500
    DR.BAMBANG 75,000 224,000 45,000 176,000 595,000
    - - - - - 75,000
    - - - - - 75,000
    - - 89,600 37,000 70,400 272,000
    - - 134,400 22,000 105,600 369,000
    - - 89,600 17,000 70,400 252,000
    - - - - - 75,000
    - - 89,600 17,000 70,400 252,000
    - - 89,600 13,000 70,400 248,000
    - - - - - 75,000
    - - - - - 75,000
    - - 44,800 10,000 35,200 165,000
    - - - - - 75,000
    - - 44,800 7,000 35,200 162,000
    - - - - - 75,000
    - - 44,800 10,000 35,200 165,000
    - - 89,600 15,000 70,400 282,000
    - - 44,800 7,000 35,200 162,000
    - - 268,800 80,500 211,200 667,500
    - - 89,600 15,000 70,400 282,000
    - - - - 105,600 180,600
    - - 44,800 10,000 35,200 165,000
    - - 89,600 37,000 70,400 272,000
    - - - - - 75,000
    - - 89,600 13,000 70,400 248,000
    - - 134,400 26,500 105,600 341,500
    - - 44,800 10,000 35,200 165,000
    - - 44,800 7,000 35,200 162,000
    - - 179,200 33,500 140,800 428,500
    - - 134,400 23,500 105,600 338,500
    - - 44,800 7,000 35,200 162,000
    - - 44,800 10,000 35,200 165,000
    - - 89,600 17,000 70,400 252,000
    - - 44,800 7,000 35,200 162,000
    - - 224,000 38,500 176,000 513,500
    - - 44,800 10,000 35,200 165,000
    - - 268,800 47,000 211,200 634,000
    - - 44,800 10,000 35,200 165,000
    - - - - - 75,000
    - - 89,600 17,000 70,400 252,000
    - - - - - 75,000
    - - - - - 75,000
    - - 44,800 10,000 35,200 165,000
    - - 89,600 20,000 70,400 255,000
    - - 134,400 26,500 105,600 341,500
    - - 44,800 10,000 35,200 165,000
    .DR.NUR KAHDIM 75,000 44,800 10,000 35,200 240,000
    - - 89,600 16,500 70,400 251,500
    - - 179,200 33,500 140,800 428,500
    - - - - - 75,000
    - - - - - 75,000
    - - - - - 75,000
    - - 224,000 41,500 176,000 516,500
    - - - - - 75,000
    - - 134,400 25,000 105,600 340,000
    - - 44,800 10,000 35,200 165,000
    - - 179,200 32,000 140,800 427,000
    - - 89,600 15,000 70,400 282,000
    - - 44,800 7,000 35,200 162,000
    - - 44,800 - 35,200 155,000
    - - - - - 75,000
    - - 44,800 7,000 35,200 162,000
    - - 134,400 26,500 105,600 341,500
    - - - - - 75,000
    - - - - - 75,000
    DR.BOYKE 75,000 44,800 10,000 35,200 240,000
    - - 44,800 10,000 35,200 165,000
    - - 179,200 33,500 140,800 428,500
    - - 89,600 15,000 70,400 282,000
    - - 44,800 20,000 35,200 175,000
    - - 134,400 22,000 105,600 369,000
    - - - - - 75,000
    - - 44,800 10,000 35,200 165,000
    - - 44,800 10,000 35,200 165,000
    - - 44,800 7,000 35,200 162,000
    - - - - - 75,000
    - - 89,600 15,000 70,500 250,100
    - - - - - 75,000
    - - 179,200 33,500 140,800 460,500
    - - 89,600 15,000 70,400 282,000
    - - 89,600 15,000 70,400 282,000
    - - 134,400 22,000 105,000 368,400
    - - 134,400 57,000 105,600 372,000
    - - 44,800 10,000 35,200 165,000
    - - - - - 75,000
    - - 44,800 10,000 35,200 165,000
    - - 89,600 15,000 70,400 250,000
    - - - - - 75,000
    DR.BAMBANG 75,000 44,800 10,000 35,200 240,000
    - - 44,800 10,000 35,200 165,000
    - - 89,600 27,000 70,400 262,000
    - - 179,200 33,500 140,800 428,500
    - - 89,600 22,000 70,400 289,000
    - - - - - 75,000
    - - 134,400 26,500 105,600 341,500
    - - - - - 75,000
    - - - - - 75,000
    - - 89,600 27,000 70,400 262,000
    - - 134,400 26,500 105,600 341,500
    - - 44,800 7,000 35,200 162,000
    - - 44,800 7,000 35,200 194,000
    - - 179,200 33,500 140,800 428,500
    - - - - - 75,000
    - - 179,200 33,500 140,800 428,500
    - - 44,800 10,000 35,200 165,000
    - - 134,400 25,000 105,600 340,000
    - - 134,400 26,500 105,600 373,500
    - - - - - 75,000
    - - 89,600 15,000 70,400 282,000
    - - 179,200 33,500 140,800 428,500
    - - - - - 75,000
    - - 89,600 13,000 70,400 248,000
    - - 44,800 10,000 35,200 165,000
    - - 134,400 23,500 105,600 338,500
    - - - - - 75,000
    - - - - - 75,000
    - - 179,200 33,500 140,800 460,500
    - - 89,600 17,000 70,400 252,000
    - - 44,800 7,000 35,200 162,000
    - - - - - 75,000
    - - - - - 75,000
    - - 179,200 33,500 140,800 428,500
    - - 44,800 10,000 35,200 165,000
    - - 44,800 20,000 35,200 175,000
    - - 89,600 25,000 70,400 260,000
    - - 89,600 17,000 70,400 284,000
    DR.WAHYU SP.B 75,000 - - - 150,000
    - - 89,600 15,000 70,400 282,000
    - - 89,600 16,500 70,400 251,500
    - - - - - 75,000
    - - 44,800 7,000 35,200 162,000
    - - - - - 75,000
    - - - - - 75,000
    - - 44,800 10,000 35,200 165,000
    - - - - - 75,000
    - - 44,800 10,000 35,200 165,000
    - - 179,200 33,500 140,800 428,500
    - - 134,400 42,000 105,600 357,000
    - - 134,400 27,000 105,600 342,000
    - - 44,800 10,000 35,200 165,000
    - - - - - 75,000
    - - 134,400 25,000 105,600 340,000
    - - 44,800 10,000 35,200 165,000
    - - 44,800 10,000 35,200 165,000
    - - 44,800 7,000 35,200 162,000
    - - 134,400 23,500 105,600 338,500
    - - 134,400 57,000 105,600 372,000
    - - - - - 75,000
    - - 44,800 10,000 35,200 165,000
    DR.HENDRI 75,000 89,600 16,500 70,400 326,500
    - - 179,200 33,500 140,800 428,500
    - - 134,400 25,000 105,600 340,000
    - - 268,800 48,500 211,200 635,500
    - - 179,200 33,500 140,800 428,500
    - - - - - 75,000
    - - 179,200 33,500 140,800 428,500
    - - 89,600 17,000 70,400 252,000
    - - - - - 75,000
    - - 44,800 10,000 35,200 165,000
    - - 358,400 125,000 356,600 915,000
    - - 134,400 25,000 105,600 340,000
    - - 134,400 57,000 105,600 372,000
    - - 179,200 32,000 140,800 427,000
    - - - - - 75,000
    - - 89,600 16,500 70,400 251,500
    - - 44,800 10,000 35,200 165,000
    - - 179,200 33,500 140,800 428,500
    - - 44,800 7,000 35,200 162,000
    - - 44,800 7,000 35,200 194,000
    - - 89,600 15,000 70,400 282,000
    - - 134,400 22,000 105,600 337,000
    DR.DAVID 75,000 358,400 50,000 281,600 840,000
    - - - - - 75,000
    - - 44,800 10,000 35,200 165,000
    - - - - - 75,000
    DR.GRACE 75,000 - - - 150,000
    - - 134,400 22,000 105,600 369,000
    - - 44,800 7,000 35,200 162,000
    - - 134,400 57,000 105,600 372,000
    - - 44,800 7,000 35,200 162,000
    - - - - - 75,000
    - - - - - 75,000
    - - 89,600 15,000 70,400 250,000
    DR.FURQON 75,000 134,400 26,500 105,600 448,500
    - - 134,400 22,000 105,600 369,000
    - - 179,200 33,500 140,800 428,500
    - - 44,800 10,000 35,200 165,000
    - - 179,200 29,500 140,800 424,500
    - - 44,800 7,000 35,200 162,000
    - - 89,600 15,000 70,400 250,000
    - - 44,800 10,000 35,200 165,000
    - - - - - 75,000
    - - 44,800 7,000 35,200 162,000
    - - - - - 75,000
    - - - - - 75,000
    - - 44,800 10,000 35,200 165,000
    - - 89,600 17,000 70,400 252,000
    - - 44,800 10,000 35,200 165,000
    - - - - - 75,000
    - - - - - 75,000
    - - 134,400 22,000 105,600 369,000
    - - 89,600 17,000 70,400 252,000
    - - 134,400 23,500 105,600 338,500
    DR.YASMIN 75,000 89,600 17,000 70,400 327,000
    - - 44,800 7,000 35,200 162,000
    - - 89,600 17,000 70,400 252,000
    - - 44,800 10,000 35,200 123,000
    - - 44,800 10,000 35,200 165,000
    - - - - - 75,000
    - - 268,800 48,500 211,200 603,500
    - - 44,800 10,000 35,200 165,000
    - - 44,800 7,000 35,200 162,000
    - - 44,800 7,000 35,200 162,000
    - - 89,600 16,500 70,400 283,500
    - - - - - 75,000
    - - - - - 75,000
    - - 44,800 10,000 35,200 165,000
    - - 14,400 22,000 105,600 217,000
    - - - - - 75,000
    - - 44,800 7,000 35,200 162,000
    DR.CARTA 75,000 179,200 33,500 140,800 503,500
    - - - - - 75,000
    - - 89,600 17,000 70,400 252,000
    - - 44,800 7,000 35,200 162,000
    - - 89,600 17,000 70,400 252,000
    - - 89,600 17,000 70,400 252,000
    - - 134,400 26,500 105,600 341,500
    - - 179,200 33,500 140,800 428,500
    - - 44,800 10,000 35,200 165,000
    - - 44,800 15,000 35,200 170,000
    - - 44,800 20,000 35,200 175,000
    - - - - - 75,000
    - - 44,800 7,000 35,200 162,000
    - - 44,800 3,000 35,200 158,000
    - - 134,400 22,000 105,600 337,000
    - - 224,000 37,000 176,000 512,000
    DR.BAMBANG 75,000 44,800 10,000 35,200 240,000
    - - 134,400 23,500 105,600 338,500
    - - - - - 75,000
    - - 89,600 15,000 70,400 250,000
    DR.BAMBANG 75,000 44,800 10,000 35,200 240,000
    DR.HENDY SP.OT 75,000 - - - 150,000
    - 179,200 32,000 140,800 35,200 462,200
    - - - - - 75,000
    - - 268,800 48,500 211,200 603,500
    - - 89,600 25,000 70,400 260,000
    - - 89,600 47,000 70,400 282,000
    - - 89,600 16,500 70,400 251,500
    - - 44,800 10,000 35,200 165,000
    - - - - - 75,000
    - - 44,800 10,000 35,200 165,000
    - - 44,800 10,000 35,200 165,000
    - - - - - 75,000
    - - 44,800 10,000 35,200 165,000
    - - 179,200 32,000 140,800 427,000
    - - - - - 75,000
    - - - - - 75,000
    - - 134,400 57,000 105,600 372,000
    - - - - - 75,000
    - - 179,200 31,500 140,800 426,500
    - - 44,800 10,000 35,200 165,000
    - - 44,800 10,000 35,200 165,000
    - - 89,600 25,000 70,400 260,000
    - - 134,400 22,000 105,600 369,000
    - - 89,600 17,000 70,400 252,000
    - - 44,800 10,000 35,200 165,000
    - - 44,800 7,000 35,200 162,000
    - - 44,800 10,000 35,200 165,000
    - - 224,000 41,500 176,000 516,500
    - - 44,800 10,000 35,200 165,000
    - - 179,200 32,000 140,800 427,000
    - - 134,400 23,500 105,600 338,500
    - - 89,600 17,000 70,400 252,000
    - - 89,600 17,000 70,400 252,000
    - - 44,800 10,000 35,200 165,000
    - - 134,400 22,000 105,600 369,000
    - - - - - 75,000
    - - - - - 75,000
    - - - - 35,200 110,200
    - - - - - 75,000
    - - 179,200 33,500 140,800 428,500
    - - - - - 75,000
    - - 89,600 25,000 70,400 260,000
    - - 134,400 22,000 105,600 369,000
    - - 89,600 20,000 70,400 255,000
    DR.ATOB 75,000 291,200 82,000 228,800 752,000
    - - 44,800 20,000 35,200 175,000
    - - - - - 75,000
    DR.NIRAPAMBUDI 75,000 268,800 48,500 211,200 678,500
    - - - - - 75,000
    - - 44,800 10,000 35,200 165,000
    - - - - - 75,000
    - - 89,600 17,000 70,400 252,000
    - - 179,200 31,500 140,800 458,500
    - - 44,800 10,000 35,200 165,000
    - - 134,400 23,500 105,600 338,500
    - - 134,400 26,500 105,600 373,500
    - - 179,200 33,500 140,800 428,500
    - - 44,800 10,000 35,200 165,000
    DR.ATOB 75,000 179,200 29,500 140,800 499,500
    - - 44,800 10,000 35,200 165,000
    - - 44,800 20,000 35,200 175,000
    - - - - - 75,000
    - - 44,800 7,000 35,200 162,000
    - - 224,000 41,500 176,000 548,500
    - 3,479,200 50,445,600 10,643,300 39,995,900 ###
    TAGIHAN PASIEN JAMKESDA SAMARINDA DI IGD RSUD. A. WAHAB SJAHRANIE SAMARINDA BULAN AGUSTUS 2014

    Tanggal No KIB/ RINCIAN BIAY


    No Nama Pasien Umur L/P Alamat No. Peserta Diagnosa Tindakan
    Kunjungan No. REG Karcis IGD O2
    1 2 3 4 5 6 7 8 9 10 11
    1 1/8/2014 M.MARSYAH 56 TH L SOEKARNO HATTA RT 010 777704 RETENSIO URIEN PASANG CATETER 75,000 -
    2 LIDYAWATI 23 TH P AWS GG 4 RT 10 778479 COLIC ABDOMEN PLEB 75,000 -
    3 H.USMAN 65 TH L KEMANGGI RT 021 378593 CHF EKG, O2 75,000 32,000
    4 IMRON 18 TH L KH.W.HASYIM RT 054 779694 DISPEPSYA EKG 75,000 -
    5 RATIH SEPTIANIE 15 TH P KAKAP RT 006 775064 ASMA NEBU,O2 75,000 32,000
    6 SAMIRIN 59 TH L M.YAMIN GG 1 RT 017 779684 CHF INF,PLEB,EGK,INJEKSI 75,000 -
    7 JAMILAH 48 TH P RAJAWALI DALAM 1 RT 011 765864 CHF EKG,INJEKSI 75,000 -
    8 WA DIA 54 TH P PAHLAWAN 2 RT 028 777912 KRISIS HT INF,PLEB,EKG 75,000 -
    9 NOVAN MULYADI 74 TH L L.MANGKURAT GG RIVAI NO 21 RT 34 700864 HORTIOLUM RESEP 75,000
    10 DENNY SANJAYA DALENA 2 TH L S.RIADI GG 4 NO 29 767541 BRONCHITIS PLEB 75,000 -
    11 ANDRIANSYAH MAULANA P 6 TH L CM.KUSUMO RT 011 578459 TONSILITIS RESEP 75,000 -
    12 LUTHER - TH L SUNGAI LANTUNG RT 004 778965 V.MORSUM WT,INJEKSI 75,000
    13 DINARA SAFIRA 3 TH P JELAWAT RT 004 779638 CONTUSIO RESEP 75,000 -
    14 SIFRON 51 TH P PERUM SEMPAJA RT 047 779230 V.ICTHUM CROSS INSISI,INJEKSI 75,000 -
    15 MARSA'I 58 TH L REJO MULYO RT 032 509979 TUMOR COLI RESEP 75,000 -
    16 FEBBY DWI INDARTA 6 TH P AWS RT 022 434696 VL WTH I,INJEKSI 75,000 -
    17 AHMAD LUTFI 11 TH L CENDANA GG 15 RT 032 779681 VE WT 75,000 -
    18 ARUMI DWI SEPTIANI 2 TH P M.YAMIN GG AMAL RT 003 779606 ASMA NEBU,O2 75,000 32,000
    19 SUMINI 63 TH P MILONO RT 013 453077 VERTIGO INJEKSI 75,000 -
    20 RUBIYANTI 39 TH P TRISARI RT 022 667232 DERMATITIS ALERGI RESEP 75,000
    21 AZIZAH 4 BLN P PERUM PKL BLOK D 179 RT 023 779651 ISPA RESEP 75,000
    22 IRNAWATI 26 TH P S.RIADAI G KODESU NO 87 RT 008 779601 DISPEPSYA INF,PLEB 75,000 -
    23 IIN RINANDA 19 TH P KH.H.NAFSI RT 009 777632 FEBRIS PLEB 75,000 -
    24 SYAHRINI NUR R 4 TH P MARSDA A SALEH GG 2 RT 023 779636 ISPA RESEP 75,000 -
    25 PUTRA ADITYA 2 TH L MARSDA A SALEH GG 2 RT 023 778391 ASMA NEBU,O2 75,000 32,000
    26 2/8/2014 EVA PUTRI KIRANA 2 TH P CM.KUSUMO RT 10 779833 DOG BITE WT,INJEKSI 75,000 -
    27 MASITAH 57 TH P GELATIK GG AMAN RT 015 779820 KRISIS HT INF,PLEB,PLEB 75,000 -
    28 SARJANA BUDI MARTANA 24 TH L M.SAID GG POLEWALI RT 030 761479 COMMON COLD RESEP 75,000 -
    29 MASTINAH 51 TH P AM.SANG AJI GG 19 RT 011 769102 DERMATITIS ALERGI EKG,INJEKSI 75,000 -
    30 SULATIN 36 TH P JELAWAT GG 9 RT 006 779801 VL INF,WTH,PLEB,INJ 75,000 -
    31 M.HIDAYAT AZ ZUHRI P 4 TH L BUNG TOMO GG KARYA RT 003 779781 ABD DISCONFORT PLEB 75,000 -
    32 HERLIANSARI 38 TH L HASAN BASRI RT 019 760641 DISPEPSYA INJEKSI 75,000 -
    33 SABRI 57 TH L REVOLUSI GG POKSAI RT 44 743846 KRISIS HT PLEBO,EKG 75,000 -
    34 M.KHAIRUL ALAM 2 TH L M.SAID RT 029 713675 ISPA RESEP 75,000 -
    35 ELDIANSYAH 44 TH L RE.M.DINATA GG MELATI RT 08 741134 URTIKARIA INJEKSI 75,000 -
    36 ALAMIN 6 TH L M.SAID RT 029 714486 ASMA PLEB,O2,NEBU 75,000 32,000
    37 M.FIRMAN ADHA 4 TH L TERONG 6 /05 RT 078 689517 ISPA RESEP 75,000 -
    38 ARBAYAH 44 TH P JELAWAT GG 7 RT 007 670520 GEA INJEKSI 75,000 -
    39 SITI RAHMAH 26 TH P M.SAID RT 029 624232 ISK RESEP 75,000 -
    40 DHITA RIZKI AMANDA 18 TH P U.SUROPATI PERUM GTL L/4 779747 ASMA INJEKSI 75,000 -
    41 SURATMI 48 TH P AM.SANG AJI RT 018 462918 CEPALGIA INF,PLEB 75,000 -
    42 ERNIDAWATI 27 TH P JELAWAT GG4 RT 011 774218 URTIKARIA EKG,INJEKSI 75,000 -
    43 SAVIRA NUR RAHMADYA 3 TH P DI PANJAITAN GG BUGIS RT 004 727417 ASMA NEBU,O2 75,000 32,000
    44 INDRA DIPUTRA 3 TH L SENTOSA GG KENANAGAN RT 074 638559 ISPA PLEB 75,000 -
    45 HUSNI 32 TH L S.PARMAN GG 2 RT 036 779540 FEBRIS PLEB 75,000 -
    46 SUPRIYATI 42 TH P JAKARTA RT 049 734875 ISK INF,PLEB,INJEKSI 75,000 -
    47 3/8/2014 SANIYAH 26 TH P KH.SAMANHUDI GG ALHIKAM RT 001 484187 CEPALGIA INJEKSI 75,000 -
    48 AJI JURAHAN 43 TH L DAMAI RT 026 625056 MIALGIA INJEKSI 75,000 -
    49 HADRI AL 39 TH L LEMPAKAE JAYA RT 017 779889 GEA PLEB,INJEKSI 75,000 -
    50 SALMAN AL PARISI 3 TH L PM.NOOR RT 048 PERUM TEPIAN 736229 ISK RESEP 75,000 -
    51 DESI NUR HAYATI 6 TH p M.SAID GG POLEWALI RT 046 603555 FEBRIS PLEB 75,000 -
    52 HJ.JUMRAH 61 TH P KAGANANGAN RT 031 371352 DM INF,PLEB.EKG 75,000 -
    53 SALBIAH DHAM 65 TH P JUANDA 8 ROTAN SEMAMBU RT 013 626938 ASMA NEBU,O2 75,000 32,000
    54 YIEZREEL GRACE IMANUAL 8 TH L LUMBA LUMBA RT 002 653771 ISPA SUPP 75,000 -
    55 MAULIDA MAYANG SARI 17 TH P AZIS SAMAD NO 47 RT 038 779869 DISPEPSYA INJEKSI 75,000 -
    56 MUSDALIFA 43 TH P PADA ELO RT 002 779948 ISK PLEB 75,000 -
    57 HAMSYIAH 49 TH KAHOI B7 D3 RT 034 525310 DISPEPSYA INF,PLEB,INJEKSI 75,000 -
    58 NURDHIANA SAPUTRI 3 BLN P S.PARMAN GG 3 RT 030 766985 ISPA INF,PLEB 75,000 -
    59 METTY FAUZIAH 58 TH P JUANDA MANGGA 1 NO 12 RT 013 542657 ASMA O2,NEBU,INJEKSI 75,000 32,000
    60 M.KIDIN JUHRI 5 TH L JOYO MULYO RT 038 779976 ISPA RESEP 75,000 -
    61 LENDI IRAWAN 10 TH L PERUMBUKIT PINANG BLOK AL NO 4 779925 DISPEPSYA INJEKSI 75,000 -
    62 SITI JUMROH 29 TH P BATU CERMIN RT 005 779934 DISPEPSYA PLEBO,EKG 75,000 -
    63 M.NUR ARIF 14 TH L M.YAMIN GG 01 RT 017 779927 VE WT 75,000 -
    64 NUR AISAH RAHMA 4 TH P HASAN BASRI GG 1 RT 20 979929 ISPA PLEB 75,000 -
    65 SUJILAH 51 TH P M.YAMIN GG 1 RT 017 664442 VOMITING INF,PLEB,EKG,INJEKSI 75,000 -
    66 ANI 42 TH P MANGKUPALAS RT 009 779271 KRISIS HT PLEB,EKG,INJEKSI 75,000 -
    67 NAYLA MAYLANI 3 TH P DAMAI GG 5 NO 91 RT 025 588418 ISPA RESEP 75,000 -
    68 M.AKBAR 3 TH L PATTIMURART 026 779970 FEBRIS PLEB 75,000 -
    69 LENDI IRAWAN 10 TH L PERUM BUMI SEMPAJA RT 047 779925 GE RESEP 75,000 -
    70 HARIS FADILLAH ARIEF 53 TH L GUNUNG LINGAI RT 013 604204 KRISIS HT EKG 75,000 -
    71 4/8/2014 SULTAN 46 TH L DI PANJAITAN GG 4 RT 037 778908 TB PARU INF,PLEB 75,000 -
    72 ARMIYAH 40 TH P PADAT KARYA GG MAWAR NO37 LBK 759715 DISPEPSYA INF,PLEB,INJEKSI 75,000 -
    73 ILENGE 46 TH P PERNIAGAAN RT 015 700177 ASMA NEBU,O2 75,000 32,000
    74 DEMI DENIS SETIYO 17 TH L GERILYA GG KARYA II RT 058 780000 VL WTH V,INJEKSI 75,000 -
    75 HELMI 42 TH L DAMAI RT 025 759232 VERTIGO RESEP 75,000 -
    76 AHMADI 55 TH L IR.SUTAMI GG H SALEH 780043 DISPEPSYA PLEB,EKG,INJEKSI 75,000 -
    77 DAVID SULTON AL HALIM 7 TH L PERINTIS RT 029 780024 VOMITING INF,PLEB 75,000 -
    78 SRI SUMARYATI 50 TH P GUNTUNG LAI RT 027 780035 CHEST PAIN EKG 75,000 -
    79 SYIFA ADELIA 5 TH P KH.W.HASYIM RT 027 738849 GE RESEP 75,000 -
    80 YUNI ANDRIANI 19 TH P PEMUDA III RT 011 774757 ASMA NEBU,O2 75,000 32,000
    81 RAMADAHAN SAPUTRA 3 TH L PM.NOOR RT 046 774382 FARINGITIS RESEP 75,000 -
    82 RAFIKA MULANI 24 TH P PROKLAMASI RT 052 780075 DISPEPSYA INF,PLEB,INJEKSI 75,000 -
    83 EVA ISTIANI 20 TH P DI PANJAITAN RT 067 751545 DISPEPSYA PLEB,INJEKSI 75,000 -
    84 RUSLIN 34 TH L AMPERA GG 1 RT 036 775270 SOPT PLEB 75,000 -
    85 RUSLI 62 TH L SENTOSA RT 072 780068 PPOK INF,PLEB,EKG,INJEKSI 75,000 -
    86 ELFRIALDI FARSHA 7 TH L RIMBAWAN GG BACHRIE NO 116 RT 3 352636 MORBILI PLEB 75,000 -
    87 YUSRAN 48 TH L MT.HARYONO GG 1 RT 009 594196 BSK PLEB,SUPP 75,000 -
    88 JUMADI 66 TH L MAS PENGHULU RT 08 436311 HEMAPTOE INF,PLEB,EKG,INJEKSI 75,000 -
    89 AHMAD NUR SIDIK 13 TH L W.MONGONSIDI RT 017 320844 DISPEPSYA INJEKSI 75,000 -
    90 5/8/2014 LENY ANDRIANI 18 TH P MANUNGGAL RT 030 780080 INFARTU PLEB,VT,DOPLER 75,000 -
    91 LUTHFINA LESTARI 19 TH P P.ANTASARI RT 030 482195 ISPA RESEP 75,000 -
    92 MIRNA FEBRIANTI 16 TH P ST.ALIMUDDIN NO 46 RT 020 780096 VL WTH III,INJEKSI 75,000 -
    93 DWI HARI WICAKSONO 38 TH L RE.MARTADINATA RT 008 590213 DISPEPSYA EKG,INJEKSI 75,000 -
    94 NI NYOMAN MIRNAWATI 49 TH P MUSO SALIM NO 88 RT 015 773624 CKD INF,PLEB,EKG,INJEKSI 75,000
    95 ADIAKA KURNIAWAN 19 TH L AM.SANGAJI GG 1 RT 002 782109 COLIC ABDOMEN INF,PLEB,INJEKSI 75,000 -
    96 ERYANI 30 TH P PRAMUKA RT 029 606557 ULKUS EKG,INJEKSI 75,000 -
    97 LISA NUR HASANAH 26 TH P KH.USMAN BERAHIM RT 016 782193 DISPEPSYA INJEKSI 75,000 -
    98 SUNARSEH 46 TH P P.ANTASARI RT 007 679429 DISPEPSYA INJEKSI 75,000 -
    99 IDA WATI RAHMI 36 TH P GERILYA GG MAWAR RT 037 782196 DISPEPSYA INF,INJEKSI 75,000 -
    100 ALKHAFI LINGGO G 2 TH L PERUM SMBT J 10 RT 032 782173 THYPOID PLEB 75,000
    101 MITHATUL JANNAH 26 TH P IR.JUANDA RT 010 584513 HEG INF,PLEB,INJEKSI 75,000 -
    102 AULIA NUR HASANAH 5 TH P PERUM DTI BORNEO B1/07 753197 THYPOID INF,PLEB 75,000 -
    103 ANANDA VIRLO ADISTIRA 4 TH L BIAWAN GG 1 RT 021 722777 FEBRIS PLEB 75,000 -
    104 NIRWANA 16 TH P A.AZIS SAMAD RT 028 671467 INFARTU DOPLER,VT 75,000 -
    105 GILANG PRADITA 6 TH L RUMBIA 2 NO 26 RT 020 762166 VL WTH II,INJEKSI 75,000 -
    106 6/8/2014 USMAN 75 TH L PEMUDA III RT 011 782281 CKR WT,INJEKSI 75,000 -
    107 SUPIATIN 52 TH P OTISTA RT 025 782223 CEPALGIA PLEB,EKG,INJEKSI 75,000 -
    108 M.ALI 6 TH L KH.ABUL HASAN GG 7 RT 013 782224 ASMA O2,NEBU,INJEKSI 75,000 32,000
    109 RAYHAN ABDULLAH AZZAM 2 TH L SENTOSA DALAM RT 079 782270 ASMA NEBU,O2 75,000 32,000
    110 RUSDIANTI 28 TH P KH.USMAN BERAHIM RT 016 620932 ASMA O2,NEBU,INJEKSI 75,000 32,000
    111 SUGIANTO 53 TH L CENDANA GG 16 RT 14 707560 COLIC ABDOMEN INF,PLEB 75,000
    112 M.GUSTI RANDY 19 TH L S.RIADI GG GOTONG ROYANG RT 32 782277 VL INF,PLEB,WTH IV 75,000 -
    113 SURIAN 34 TH L CM.KUSUMO RT 056 766003 SUPP APP INF,PLEB 75,000
    114 YUNANIK 40 TH P AWS RT 030 771972 DISPEPSYA EKG,INJEKSI 75,000 -
    115 ANITA TODDING 29 TH P MUGIREJO RT 039 782275 ISPA PLEB,INJEKSI 75,000 -
    116 SAEFUDIN ZUHRI 52 TH L S.RIADI RT 017 775677 TUMOR ABDOMEN SUPP 75,000 -
    117 GUSTI FADLY SETIAWAN 37 TH L KH.ABD MUTHALIB RT 006 712808 VERTIGO INJEKSI 75,000
    118 NUR AGUSTINA 15 TH P GERILYA RT 050 782265 ISK PLEB 75,000 -
    119 SARIF 48 TH L M.YAMIN GG 1 RT 017 782253 TRAUMA MATA IRIGASI MATA 75,000
    120 RAFQY FADILLAH 3 TH L M.SAID GG KASIH RT 028 782258 ISPA RESEP 75,000 -
    121 KARTINI 57 TH P PERUM GTL RR 10 RT 014 675156 DISPEPSYA INF,PLEB,EKG,INJEKSI 75,000 -
    122 WANDY 23 TH L DR.SOETOMO RT 030 734193 ASMA O2,NEBU,INJEKSI 75,000 32,000
    123 NURSIAH 46 TH P MT.HARYONO GG 1 RT 009 782237 ISPA PLEB 75,000 -
    124 FLEGON ISHAK 3 TH L KH.AGUS SALIM RT 016 642497 VOMITING SUPP 75,000
    125 AJI YUDHA PRATAMA S 5 TH L KEMAKMURAN RT 021 444878 VL WTH III,INJEKSI 75,000
    126 7/8/2014 RULIANSAYAH 34 TH L TALANG SARI RT 002 782312 DISLOKASI RESEP 75,000 -
    127 MELKA SARI 26 TH P KH.HARUN NAFSI RT 008 782295 INFARTU DOPLER,VT 75,000 -
    128 HALIMATUS SADIAH 41 TH P PERUM SMT E NO 39 RT 036 785588 PLEB ISK 75,000
    129 RUSLI 62 TH L SENTOSA DALAM RT 072 780068 COLIC ABDOMEN INF,PLEB,INJEKSI 75,000 -
    130 FREDRICH SAVIANO H 68 TH L PERUM GRAHA INDAH F 13 RT 13 667248 RETENSIO URIEN PASANG CATETER 75,000 -
    131 DAMAS 65 TH L GERILYA RT 37 472859 TRAUMA THORAX RESEP 75,000
    132 ALKHAFI LINGGO G 2 TH L PERUM SMBTN J 1O RT 032 782173 MORBILI PLEB 75,000
    133 AWANG NABIL SAPUTRA 2 TH L L.MANGKURAT RT 041 782379 ASMA O2,NEBU,INJEKSI 75,000 32,000
    134 HARTONO 62 TH L LABU HIJAU 7 NO 333 564160 ABSES PEDIS PLEB 75,000
    135 DWI ADHANIA F 11 TH P KH.HASYIM ASHARI RT 030 702338 FEBRIS PLEB 75,000 -
    136 ROMMY ROMANSAYAH 39 TH L PERUM SOLONG DURIAN B7 NO 6 782343 VERTIGO INJEKSI 75,000 -
    137 THOMAS PARE TODING D 65 TH P MERDEKA GG OTOK RT 096 531527 TRAUMA MATA IRIGASI MATA 75,000 -
    138 ZULFA RAMADHAN 4 TH L RAUDAH RT 029 NO 14 782356 ISPA PLEB 75,000 -
    139 JIHAN RISKI AMANDA 12 TH P SUWANDI RT 025 782376 GEA RESEP 75,000 -
    140 SUMARI 40 TH L KENANGAN VII RT 077 773604 PPOK O2,NEBU,INJEKSI 75,000 32,000
    141 WANA ASTUTI 28 TH P RE.M.DINATA RT 001 782395 TB PARU PLEB,INJEKSI 75,000 -
    142 SAYID HAFIDZ USMAN 9 TH L MERDEKA III RT 092 485087 VOMITING INF,PLEB,INJEKSI 75,000 -
    143 MASLIAN 71 TH L P.SURYANATA RT 030 668270 ASMA O2,NEBU,INJEKSI 75,000 32,000
    144 SUDARMADJI 57 TH L CENDANA GG 6 NO 16 RT 008 782368 TUMOR MAXILLA PLEB 75,000 -
    145 IRAN 71 TH L S.RIADI GG MANUNGGAL RT 039 776576 GE EKG,INJEKSI 75,000
    146 DEVITA LIVISARI 19 TH P DI PANJAITAN GG BUGIS RT 002 782298 ASMA NEBU,O2 75,000 32,000
    147 A.SYAMSUL ANAM 50 TH L M.YAMIN GG 1 RT 017 775068 CARIES DENTIES INJEKSI 75,000 -
    148 RASIMIN 41 TH L BAYAM II NO 607 RT 090 307276 ASMA NEBU,O2 75,000 32,000
    149 MAT RASIT 62 TH L PADAT KARYA RT 083 782392 NEPOLITIASIS PLEB,SUPP 75,000 -
    150 JUMIATI 34 TH P OTISTA RT 029 782319 GEA INJEKSI 75,000 -
    151 PAULA CINTHIA TAMBARIKI 36 TH P TATAKO RT 008 314291 DISPEPSYA INJEKSI 75,000 -
    152 8/8/2014 BAKHTANI 7 TH L A.YANI GG MASYARAKAT RT 018 782475 VOMITING PLEB 75,000 -
    153 SYADIDI MUSTAFA 8 TH L AWS RT 013 639943 DHF PLEB 75,000
    154 YASMINE CAHAYANI SHAFA Z 7 TH P TRISARI RT 022 782471 FEBRIS RESEP 75,000 -
    155 AISYAH AZZAHRA 6 TH P S.RIADI GG KELUARGA RT 019 782503 VOMITING RESEP 75,000 -
    156 RINCE YUNIARTI 32 TH P KEMANGI GG TANI 782438 INFARTU PLEB,VT,DOPLER 75,000 -
    157 EDWIN EFRYANDA 11 TH L ULIN GG 8 NO 57 RT 025 689658 ASMA NEBU,O2 75,000 32,000
    158 NURDAHLIAH 43 TH P LUMBA LUMBA RT 007 730029 KRISIS HT EKG 75,000 -
    159 ADINDA OCTAVIA PUTRI 6 TH P S.PARMAN GG 1 RT 02 727313 OMA RESEP 75,000 -
    160 NAFSIAH 54 TH P TATAKO RT 008 665375 OA RESEP 75,000 -
    161 MAYA MARINDA 26 TH P PADAT KARAYA GG BUKIT LESTARI 630343 GEA INF,PLEB,INJEKSI 75,000 -
    162 MARIAYTI 22 TH P ST.ALIMUDDIN RT 032 782809 DISPEPSYA PLEB,INJEKSI 75,000 -
    163 MAYA MARINDA 26 TH P PADAT KARYA GG.BKT LESTARI RT 073 630343 GEA INF,PLEB,INJEKSI 75,000 -
    164 DATU INDRA PRATAMA 11 TH L PERUM GRAHA INDAH RT 044 694917 DISPEPSYA INJEKSI 75,000 -
    165 M.YUSUF 60 TH L TATAKO RT 008 628774 DISPEPSYA INJEKSI 75,000 -
    166 M.RIFANSYAH 2 TH L PERINTIS GG CMPR SARI RT 032 742102 ISPA PLEB 75,000 -
    167 M.DENY SAPUTRA 1 TH L KH.W.HASYIM RT 014 750545 GEA RESEP 75,000 -
    168 YUDHA WIRANDI R 15 TH L MANGKUPALAS RT 023 782454 TROUMA THORAX SUPP 75,000
    169 ASNIAH 57 TH P PERUM SBT BLOK F NO 235 RT 035 517940 CF FIBULA ELASTIS VERBAN 75,000 -
    170 SUGIANTO 25 TH L KARANG MUMUS RT 007 782390 CKB INF,PLEB,MONITOR,DC 75,000 -
    171 9/8/2014 FAHRULLAH 30 TH L RE.MARTADINATA GG TUKANAG RT 00 520532 ASMA O2,NEBU,INJEKSI 75,000 32,000
    172 HASIM 44 TH L DI PANJAITAN GG PULAU INDAH RT 03 782564 GEA INJEKSI 75,000 -
    173 INTAN PERMATASARI 18 TH P DI PANJAITAN RT 035 782612 COLIC ABDOMEN PLEB,INJEKSI 75,000 -
    174 RINARTI 44 TH P ERY SUPARJAN RT 012 782541 DISPEPSYA INF,PLEB,EKG 75,000
    175 SRI DARYATNI 46 TH P PERUM PKL B RT 012 782536 GASTRITIS RESEP 75,000 -
    176 SUMARDI 59 TH L DR.SOETOMO RT 039 782521 GERD INF,PLEB,EKG,INJEKSI 75,000 -
    177 ABDUR RAHMAN 39 TH L SEI KAPIH RT 005 782619 GEA INJEKSI 75,000 -
    178 YUDIANTO 62 TH L OTISTA RT 025 782539 KRISIS HT INJEKSI 75,000 -
    179 EVA PUTRI KIRANA 2 TH P CM.KUSUMO RT 10 779833 DOG BITE INJEKSI 75,000 -
    180 ANIK ROHMAWTI 35 TH P ST.SULAIMAN RT 10 782592 CKR INJEKSI 75,000 -
    181 M.ANSHORI 8 TH L LATSITARDA IV BLOK H1 NO 71 RT 29 782603 CKR INJEKSI 75,000 -
    182 M.NUR ZAKI 4 TH L P.ANTASARI RT 002 552243 CF RESEP 75,000 -
    183 DESI MIWATI 54 TH P BIAWAN GG 5 RT 012 662706 COLIC ABDOMEN INF,PLEB,INJEKSI 75,000 -
    184 ARIANSYAH 23 TH L PAHLAWAN II RT 28 472525 VL WTH I,INJEKSI 75,000 -
    185 IDAWATI 37 TH L MUGIREJO RT 004 780891 CEPALGIA RESEP 75,000 -
    186 SAKTI PUTRA ANUGRAH 2 TH L SOEKARNO HATTA RT 015 782597 CATE BITE INJEKSI 75,000
    187 KAYLA AZZAHRA 2 TH P MUGIREJO RT 005 715164 FEBRIS RESEP 75,000 -
    188 ANDRIAN ARUNG BUA 11 TH L GELATIK GG TITIAN RT 015 780600 FEBRIS PLEB 75,000 -
    189 BACRUNSYAH 55 TH L SRIKAYA 4 RT 015 782596 KRISIS HT RESEP 75,000 -
    190 YUNITA INDRIA SARI 35 TH P SALAK G NO 100 RT 14 775288 CEPALGIA RESEP 75,000 -
    191 SUYOTO 55 TH L GUNUNG LINGAI RT 022 782590 DISPEPSYA INJEKSI 75,000 -
    192 FAHRIAZAL 12 TH L PEMUDA II RT 012 787892 GASTRITIS RESEP 75,000
    193 M.ZAINI ALI 2 TH P P.SURAYANATA RT 003 782546 GEA RESEP 75,000
    194 YULIANA M HASAN 42 TH P TERONG 6 /05 RT 078 782543 CEPALGIA RESEP 75,000 -
    195 SAIDATUN 42 TH P KARTINI RT 014 592236 DISPEPSYA EKG,INJEKSI 75,000 -
    196 HELMI SUBHAN 48 TH L P.SURYANATA NO 3 RT 035 761919 CHF INF,PLEB,EKG,INJEKSI 75,000 -
    197 10/8/2014 KESY NARULITA PUTRI 2 TH P ARJUNA RT 013 GG 2 684988 GE RESEP 75,000 -
    198 SITI ROSAH 20 TH P BIOLA GG NIKMAT RT 033 693393 DIARE INF,PLEB,INJEKSI 75,000 -
    199 DAHLIA 25 TH P RAJAWALI DALAM RT 014 782634 DERMATITIS ALERGI INJEKSI 75,000 -
    200 KADIKUN 57 TH L BUGIS MUGIREJO RT 002 683449 CEPALGIA PLEBO,EKG 75,000 -
    201 FATMAH 32 TH P REVOLUSI GG TURI RT 043 782645 INFARTU DOPLER,VT 75,000 -
    202 MASLIAH 71 TH P P.SURYANATA RT 030 NO 16 668270 ASMA O2,NEBU,INJEKSI 75,000 32,000
    203 NUR SALSABILA 2 TH P PASAT KARYA GG KARAUTAN RT 037 782625 ASMA PLEB,NEBU,O2,INJEKSI 75,000 32,000
    204 NUR YUNITA SARI PRATIWI S 16 TH P KH AGUS SALIM RT 018 600361 GASTRITIS PLEB,INJEKSI 75,000 32,000
    205 NUR LAILA 55 TH P PURI INDAH GG SWARGAII RT 004 782627 COLIC ABDOMEN PLEBO,EKG 75,000 -
    206 HENI RAKHEL LUKAS 15 TH P KEMAKMURAN GG 45 RT 44 769121 THYPOID INF,PLEB 75,000 -
    207 WAHYU GOA PUTRA 17 TH L RAJAWALI DALAM RT 014 782648 DHF PLEB 75,000 -
    208 M.RAFFA ANUGERAH 2 TH L KH.M.MANSYUR RT 028 614541 ISPA RESEP 75,000 -
    209 MARDALENA 48 TH P JAMRUD RT 006 782642 DISPEPSYA EKG,O2,INJEKSI 75,000 -
    210 HAMKA 27 TH L BELATUK 2 RT 032 782650 HEMAPTOE INF,PLEB,INJEKSI 75,000 -
    211 M.FATIH FABRIZIO 2 TH L S.PARMAN NO 75 RT 001 683453 FARINGITIS PLEB 75,000 -
    212 NOVIAR HIDAYAT 22 TH L PAHLAWAN 3 RT 030 782711 KRISIS HT PLEB 75,000 -
    213 SUMARDI 59 TH L DR.SOETOMO RT 039 633653 CEPALGIA EKG 75,000 -
    214 SELLY 43 TH P AMUNTAI GG III RT 069 782639 DISPEPSYA INF,PLEB,EKG,INJEKSI 75,000 -
    215 DWI RACHMAYANTY 35 TH P SUBULUS SALAM RT 034 782643 DISPEPSYA EKG,INJEKSI 75,000 -
    216 SULASEH 45 TH P PERUM PUSPITA BP D 16 RT 005 730188 ISK PLEB 75,000 -
    217 DIYAH HAIRUN NISA 18 TH P SUBULUS SALAM RT 029 782668 DISPEPSYA INJEKSI 75,000 -
    218 HAMNAH SUDIRMAN 65 TH P KH.W.HASYIM RT 014 681390 DISPEPSYA INF,PLEB,INJEKSI 75,000 -
    219 M.RICKY PRAMANA 3 TH L PADAT KARYA GG KARYA MANDIRI NO 782675 VE WT,INJEKSI 75,000 -
    220 ISMAIL 52 TH L MUGIREJO RT 005 782695 DHF PLEB 75,000 -
    221 EMI 43 TH P PADAT KARYA RT 048 782676 KRISIS HT PLEB,EKG,INJEKSI 75,000 -
    222 H.USMAN 64 TH L KEMANGI RT 021 378593 CHF PLEB,EKG,INJEKSI 75,000 -
    223 HERAWATI 40 TH P KH.ADB MUTHALIB GG 83 NO 56 784736 KRISIS HT RESEP 75,000 -
    224 WILA PUKMANA 19 TH P KH.HASYIM ASHARI RT 036 760016 GASTRITIS INJEKSI 75,000 -
    225 11/8/2014 WA MARE 51 TH P PEMUDA II RT 008 489033 KRISIS HT EKG,PLEB,INJEKSI 75,000 -
    226 TARMAD 59 TH L KALAN LUAS RT 013 649285 KRISIS HT EKG,INJEKSI 75,000 -
    227 LIBANON 56 TH L KERUKUNAN RT 045 662542 GASTROPATI DM INF,PLEB,EKG,INJEKSI 75,000 -
    228 IDIK 47 TH L BATU CERMIN RT 006 645568 ASMA O2,NEBU,INJEKSI 75,000 32,000
    229 BAHARUDDIN 56 TH L MT.HARIYONO RT 009 778988 PPOK INF,NEBU,O2,INJ 75,000 32,000
    230 SEPTI ANDIANSYAH 21 TH P JELAWAT GG 9 RT 006 754161 ASMA O2,NEBU,INJEKSI 75,000 32,000
    231 M.RIFANI 19 TH L JAUNDA GG TRIDAYA RT 007 782738 GASTRITIS SUPP,INJEKSI 75,000 -
    232 RULY FIRDAUS 30 TH L MUGIREJO RT 006 NO 38 782739 INTOSIKASI INF,NGT,INJEKSI KUMBAH LAMBUNG 75,000 -
    233 HARYATI 56 TH P KH.SAMANHUDI GG ALHIKAM RT 001 782845 BRONCHITIS EKG,NEBU,INJ,O2 75,000 32,000
    234 ANWAR AHMI 10 TH L LOA KEMBAR RT 019 782763 VOMITING PLEB,SUPP 75,000 -
    235 NOVITA ANGGRAINI 22 TH P GURAMI RT 005 633870 DISPEPSYA INJEKSI 75,000 -
    236 WAHYU GOA PUTRA 17 TH L RAJAWALI DALAM RT 014 782648 DHF PLEB 75,000 -
    237 KAMARUDDIN 64 TH L PADAT KARYA GG DAHLIA RT 073 BLK 348292 DISPEPSYA INF,PLEB,EKG,INJEKSI 75,000 -
    238 NGARI 48 TH L KEMAKMURAN GG PLN RT 022 522191 CEPALGIA INJEKSI 75,000 -
    239 NURUL LITA 31 TH P PELITA 3 RT 012 511829 GASTRITIS INJEKSI 75,000 -
    240 NONI 40 TH P MERDEKA TIMUR GG III RT 100 315352 CKR RESEP 75,000 -
    241 ADITYA ARYA SAPUTRA 8 TH L EKONOMI RT 013 782819 GRANULOMA RESEP 75,000 -
    242 AANG NASUHA 32 TH L KESEHATAN DALAM NO 32 RT 02 782794 VL WTH IV,INJEKSI 75,000 -
    243 ISTIQOMAH WULAN SARI 20 TH P MARSDA A SALEG GG 1 RT 023 626618 DISPEPSYA INF,PLEB,INJEKSI 75,000 -
    244 TUNEM SUBAGIO 53 TH L KENANGA RT 024 RAWA MAKMUR 782812 FINGER TIF WTH V,INJEKSI 75,000 -
    245 NILAM CAHAYA 13 TH P PERUM SMBT ASRI RT 034 375199 FEBRIS RESEP 75,000 -
    246 ASRI 51 TH L KH.USMAN BERAHIM RT 014 782823 GASTRITIS INF,PLEB,EKG,INJEKSI 75,000 -
    247 DWI ALI MUNIR 16 TH L A,YANI GG MASYARAKAT RT 025 778641 CLOFE FRAKTUR INF,GIFT 75,000 -
    248 12/8/2014 ZAHRA AULIA T 1 TH P S.PARMAN RT 002 746460 GEA INJEKSI 75,000 -
    249 NUR HABIBIE 1 TH L SAMARINDA -BONTANG R T007 783102 ASMA NEBU,O2 75,000 32,000
    250 M.ROURURROQIM 12 TH L KH.DAMANHURI RT 028 533363 ASMA O2,NEBU,INJEKSI 75,000 32,000
    251 ASIAH 40 TH P S.RIADI GG 7 RT 038 770401 DISPEPSYA INF,PLEB,EKG,INJEKSI 75,000 -
    252 IRMAYULITA 21 TH P PROKMASI VII RT 053 783114 INFARTU DOPLER,VT 75,000 -
    253 ROHANA 56 TH P GUNUNG LINGAI RT 022 549682 DISPEPSYA INF,PLEB,EKG,INJEKSI 75,000 -
    254 HAIRUNISA 3 TH P BIAWAN GG IV RT 015 629999 ISPA SUPP 75,000 -
    255 HAMKA 27 TH L BELATUK 2 RT 032 782650 DISPEPSYA PLEB 75,000 -
    256 TALITA NUR AZWHA 6 TH P S.RIADI RT 005 755072 FEBRIS PLEB 75,000 -
    257 EILIYAH PUTRI LIANA 4 TH P PATIMURRA RT 035 750028 VOMITING RESEP 75,000 -
    258 SULTHONAH 44 TH L DIPONOGORO RT 021 782053 BSK PLEB 75,000 -
    259 RATNA TRI ROSITA 37 TH P GERILYA GG 2 NO 38 783123 VE RESEP 75,000 -
    260 MUAFIAH 57 TH P IMAM BONJOL NO 29 RT 026 782854 ASMA EKG,NEBU,INJ,O2 75,000 32,000
    261 SUWANDI 37 TH L JOYO MULYO RT 037 783079 VL WTH IV,INJEKSI 75,000 -
    262 FEBRIYANTI SAFARIAH 6 TH P S.RIADI RT 031 783116 MORBILI RESEP 75,000 -
    263 SYARIFAH MELIA YANTI 23 TH P BAYAM 15 NO 681 783059 ASMA NEBU,O2 75,000 32,000
    264 13/8/2014 OLCAVIANI 18 TH P BATU CERMIN RT 003 783167 ISK PLEB,INJEKSI 75,000 -
    265 ONI WATI NINGSIH 41 TH P PADAT KARYA RT 048 783194 INFARTU DOPLER,VT 75,000 -
    266 SERIANI 54 TH P LUBUK SAWAH RT 016 783175 VERTIGO INF,PLEB,EKG,INJEKSI 75,000 -
    267 PUTRI ANDINI 13 TH P M.SAID GG KASIH RT 028 780120 ISK PLEB 75,000 -
    268 FREDDY ANGGA P 21 TH L GUNUNG LINGAI RT 003 783245 BSK PLEB 75,000 -
    269 SENDY ALYA ISTIQOMAH 10 TH P ADAM MALIK RT 004 475956 ASMA EKG,NEBU,INJ,O2 75,000 32,000
    270 FAUZIAH 51 TH P AM.SANG AJI GG 17 RT 011 368083 DISPEPSYA EKG,INJEKSI 75,000 -
    271 HENDRA SAPUTRA 19 TH L S.RIADI RT 014 783188 DHF PLEB 75,000 -
    272 AISYAH NUR AINI 2 TH P ANGGUR DALAM RT 054 783158 GEA RESEP 75,000 -
    273 RAHMAT NAUFAL 1 TH L P.ANTASARI RT 042 773008 ASMA NEBU,O2 75,000 32,000
    274 NUR JANNAH 41 TH P ULIN GG UNTUNG RAYA 783171 VL PLEB,WTH III,INJ,INF 75,000 -
    275 SUHARMA 92 TH L W.MONGONSIDI RT 020 086621 RETENSIO URIEN PASANG CATETER 75,000 -
    276 ROSIANA 47 TH P JELAWAT GG 5 RT 008 780112 CF INF,PLEB,EKG 75,000 -
    277 KEVIN ADITYA 3 TH L BIAWAN GG II RT 011 725056 GEA RESEP 75,000 -
    278 MARWOTO 73 TH L AM.SANGAJI RT 007 783221 COMBOSIO WT 75,000 -
    279 HELDA AGUSTIN 10 TH P M.SAID GG POLEWALI RT 046 783197 TONSILITIS PLEB 75,000 -
    280 MARDAIH - TH P KH.ABD HASAN GG 7 RT 013 783141 ASMA PLEB,EKG,INJEKSI 75,000 -
    281 ERNAWATI 41 TH P ST.ALIMUDDIN NO 46 RT 020 760994 DISPEPSYA PLEB,INJEKSI 75,000 -
    282 LUSIANA 41 TH P KH.ABUL HASAN GG 5 RT 019 783226 DM INF,PLEB,EKG,INJEKSI 75,000 -
    283 ZAHRA NUR AZIZAH 7 TH P P.ANTASARI GG NUSA INDAH RT 022 717752 DISPEPSYA RESEP 75,000 -
    284 HARTATI 32 TH P AGUS SALIM GG TANJUNG RT 036 783200 DISPEPSYA INJEKSI 75,000 -
    285 DAFFA SAPUTRA 1 TH L MANUNGGAL RT 032 783151 FEBRIS PLEB 75,000 -
    286 14/4/2014 SRI WINARTI 43 TH P KS.TUBUN RT 018 783306 FEBRIS INF,PLEB,INJEKSI 75,000 -
    287 M.SYAHRANI HB 60 TH L P.BENDAHARA RT 024 487337 KRISIS HT PLEBO,EKG 75,000 -
    288 M.TANG 40 TH L L.MANGKURAT RT 085 575279 DISPEPSYA EKG,INJEKSI 75,000 -
    289 WAMARE 51 TH P PEMUDA II RT 008 489033 CAD INF,PLEB,EKG,INJEKSI 75,000 -
    290 AJI YUDHA PRATAMA S 5 TH L KEMAKMURAN RT 021 444878 PRO VL GV 75,000 -
    291 HELDAWATY 42 TH P KH,HASYIM ASHARI RT 029 783358 VERTIGO INF,PLEB,INJEKSI 75,000 -
    292 M.UNTUNG 42 TH L L.MANGKURAT RT 034 783275 VL WTH III,INJEKSI 75,000 -
    293 ANDARIAS P 54 TH L ST.ALIMUDDIN RT 037 703198 SINDRUM NEUROPATIK INF,PLEB,EKG,INJEKSI 75,000 -
    294 ABDUL SALAM 44 TH L GERILYA GG 87 RT 059 783326 HT EKG 75,000 -
    295 ACHED SYAIDFUL 48 TH L AGUS SALIM RT 018 463339 PPOK RESEP 75,000 -
    296 GUSTI PUTRA R 7 TH L NUSANTARA II RT 032 471015 ` EPISTAKSIS PLEB 75,000 -
    297 REYVANNO VOXGA GIBRAN 1 TH L OTISTA RT 024 750437 FARINGITIS RESEP 75,000 -
    298 WIWIK ASTUTI 32 TH P JUANDA 3 RT 002 370133 HEG PLEB 75,000 -
    299 AHMAD CHAIDIR 30 TH L JAKARTA BLOK BN 15 RT 057 777860 VL WTH IV,INJEKSI 75,000 -
    300 SULTON AULIA P 7 TH L W.MONGONSIDI RT 022 783347 ISPA PLEB 75,000 -
    301 ANDI WITENDRIE UMUM 39 TH L PRAMUKA RT 031 646098 GEA INF,PLEB,INJEKSI 75,000 -
    302 RESKY FERDIANSYAH 2 TH L DR.SUTOMO RT 033 691404 ISPA PLEB 75,000 -
    303 15/8/2014 ANTON 54 TH L JELAWAT RT 005 783451 ABSES PEDIS INF,PLEB 75,000 -
    304 ZAHRA NUR AZIZAH 7 TH P NUSA INDAH RT 022 717752 FEBRIS PLEB 75,000 -
    305 M.RIDWAN 8 TH L S.RIADI RT 002 783384 HEMATOM RESEP 75,000 -
    306 SITI BAQIAH 58 TH P AGUS SALIM GG 40 RT 030 358525 ASMA EKG,NEBU,INJ,O2 75,000 32,000
    307 M.AFIF 1 TH L T.UMAR RT 022 777213 ISPA RESEP 75,000 -
    308 A.LUTHFI 11 TH L CENDANA GG 15 RT 032 779881 DHF PLEB 75,000 -
    309 HAIRUNISA 3 TH P BIAWAN GG VI RT 015 629999 ISPA PLEB 75,000 -
    310 TRISNA SAPUTRA 13 TH L SERAYU RT 022 783450 CKR RESEP 75,000 -
    311 SITI KHOIRI DAYANTI 34 TH P PURWOSARI RT 014 572793 DISPEPSYA RESEP 75,000 -
    312 SUPIYAH 54 TH P ARJUANA NO 63 RT 014 207618 TB PARU EKG 75,000 -
    313 ARYA ARDHIKA 8 TH L RAMANIA RT 046 723872 URTIKARIA RESEP 75,000 -
    314 HELDA AGUSTIN 10 TH P M.SAID GG POLEWALI RT 046 783197 FEBRIS PLEB 75,000 -
    315 WAFIQ AZIZAH PUTRI 2 TH P PURWOSARI RT 014 718268 GEA PLEB 75,000 -
    316 NODIA MAGDELENA 5 TH P L.MANGKURAT GG 3/A NO 36 RT 024 756609 FEBRIS PLEB 75,000 -
    317 YUDHA MOGA TIMURA 30 TH L JUANDA MANGGA 3 NO 56 RT 013 783423 FEBRIS PLEB 75,000 -
    318 DANIK PRAYOGA 20 TH L WIRATAMA RT 002 506267 BSK INJEKSI 75,000 -
    319 KHAIRUL IKHSAN 7 TH L PM.NOOR GG KELUARGA RT 038 724341 ASMA NEBU,O2 75,000 32,000
    320 MUSTARI 43 TH L DR.SOETOMO GG 4A RT 032 768826 COLIC RENAL PLEB,INJEKSI 75,000 -
    325 16/8/2014 SITI AISYAH 57 TH P PADAELO RT 002 605421 GERD INF,PLEB,EKG,INJEKSI 75,000 -
    326 SUKRI 25 TH L PAHLAWAN RT 029 783574 DISPEPSYA INJEKSI 75,000 -
    327 JUNIOR ARJUN MAHESA 3 BL L MERANTI GG II NO 57 RT 016 601226 ISPA RESEP 75,000 -
    328 M.ABDAN FAHREZA 5 TH L BANGGERIS RT021 755711 ASMA NEBU,O2 75,000 32,000
    329 AGUS NILAWATI M 26 TH P KH.ADB.MUTHALIB NO 37 RT 008 783580 DISPEPSYA INJEKSI 75,000 -
    330 AZKA DZULFADLI AKBAR 2 TH L SOLONG DURIAN C1 NO 08 RT 25 702184 VOMITING RESEP 75,000 -
    331 AZIIZ AL HAFIZ 4 TH L DR.SOETOMO GG 2 RT 030 770289 VOMITING INJEKSI 75,000 -
    332 MULANI 48 TH P JOYO MULYO RT 031 783527 ISK PLEB 75,000 -
    333 NORUL ANNISA 19 TH P SITI AISYAH GG 20 NO 99 783543 FEBRIS PLEB 75,000 -
    334 RINDU AFNI HAFIZAH 3 TH P MARKISA RT 008 745762 FARINGITIS RESEP 75,000 -
    335 DESSY AULIA EKA P 20 TH P PEMUDA I NO 126 RT 008 783544 HT INJEKSI 75,000 -
    336 ASNIAH 37 TH P ULIN NO 55 RT 026 596260 VERTIGO INJEKSI 75,000 -
    337 SUKAEMI 35 TH P KH.WAHID HASYIM RT 001 591089 KRISIS HT EKG 75,000 -
    338 BASRI 59 TH L KARYA BARU RT 10 783464 PPOK NEBU,O2 75,000 32,000
    339 NORMAWATI 35 TH P PATIMURRA RT 036 783465 INFARTU PLEB,DOPPLER,VT 75,000 -
    340 ERNIWATI 33 TH P JAKARTA RT 057 783478 INFARTU PLEB,DOPPLER,VT 75,000 -
    341 SAHRI PANI 14 TH P AWS RT 022 783481 V.ICTHUM CROSS INSISI,INJEKSI 75,000 -
    342 ASNA ADELIASALSA 9 TH P PROKLAMASI V NO 16 RT 052 609766 ASMA NEBU,O2 75,000 32,000
    343 RIDWAN ERVANDY 55 TH L OTISTA RT 016 427143 DISPEPSYA RESEP 75,000 -
    344 ZAHRA NUR AZIZAH 7 TH P NUSA INDAH RT 022 717752 FEBRIS PLEB 75,000 -
    345 NUR IPANSYAH 42 TH L M.SALEH RT 007 192256 TRAUMA TUMPUL EKG 75,000 -
    346 NARENDARA HAFIZD L 5 TH L NUSA INDAH RT 022 783468 FARINGITIS PLEB 75,000 -
    347 17/8/2014 WAHYUDIANSYAH 32 TH P TERONG PIPIT 3 NO 624 RT 079 783691 ASMA O2,NEBU,INJEKSI 75,000 32,000
    348 IDRUS RAMADAN 24 TH L PERUM SMBT J/05 RT032 783678 VARICELLA RESEP 75,000 -
    349 YUNITA PALASTARI 30 TH P BIAWAN GG 2 RT 016 783592 ASMA O2,NEBU,INJEKSI 75,000 32,000
    350 SIDA 65 TH L MERDEKA GG OTOK RT 096 277360 DM PLEB,EKG,INJEKSI 75,000 -
    351 MASNAH 46 TH P TELUK KEDONDONG RT 038 783823 DISPEPSYA INF,PLEB,EKG,INJEKSI 75,000 -
    352 RAMATULLAH 8 TH L BUNG TOMO RT 025 783600 COMMON COLD PLEB 75,000 -
    353 REYVANNO VOXGA GIBRAN 1 TH L OTISTA RT 024 716324 GEA PLEB 75,000 -
    354 KAYLA NUR ANDARESTA 8 TH P MERDEKA III RT 092 783672 FEBRIS PLEB,SUPP 75,000 -
    355 M.ABDAN FAHREZA 5 TH L BANGGERIS RT021 755711 ASMA NEBU,O2 75,000 32,000
    356 DANANG PRASTYO BUDI 35 TH L T.UMAR RT 027 767982 DISPEPSYA INJEKSI 75,000 -
    357 RAISYA KARTINI PUTRI 1 TH P S.PARMAN 1 RT 002 771876 ASMA NEBU,O2 75,000 32,000
    358 MAISAROH 24 TH P MERDEKA RT 088 783655 DISPEPSYA INJEKSI 75,000 -
    359 AFRIZAL MAULANI 5 TH L AMPERA RT 049 694626 FEBRIS RESEP 75,000 -
    360 DICKY FAJAR KURNIAWAN 1 TH L DELIMA RT051 292907 BSK INF,PLEB 75,000 -
    361 NORA 34 TH P PADAT KARYA RT 069 783625 COLIC RENAL SUPP 75,000 -
    362 AZIIZ AL HAFIZ 4 TH L DR.SOETOMO GG 2 RT 030 770289 VOMITING INJEKSI 75,000 -
    363 SUDADI 33 TH L ANGGUR RT 055 565350 V.ICTHUM CROSS INSISI,INJEKSI 75,000 -
    364 JUMRAM ALPACI 45 TH L PERUM SMBT BLOK F RT 026 716855 CKD PLEBO,EKG 75,000 -
    365 SUMINAH 29 TH P DI PANJAITAN 783335 CLOSE FRAKTUR WT,INJEKSI 75,000 -
    366 SUKADI 58 TH L BIAWAN GG 9 RT 005 759587 CAD INF,PLEB,EKG,INJEKSI 75,000 -
    367 ANISSA FITRI 11 TH P KARANG MUMUS RT 007 783438 SNAKE BITE INF,PLEB,INJEKSI 75,000 -
    368 RIZKI INDAR WAHIDAH 14 TH P WANYI GG WANYI 1 NO 48 RT 069 783609 ISK PLEB 75,000 -
    369 A.NOOR ICHWANUDDIN 20 TH L REVOLUSI RT 031 783683 CKR PLEB,INJEKSI 75,000 -
    370 NURYONO 66 TH L LEMPAKE JAYA RT 010 783668 DISPEPSYA INF,PLEB,INJEKSI 75,000 -
    371 KASMAWATI 39 TH P AZIS SAMAD RT 038 783698 CA MAMAE INF,PLEB,INJEKSI 75,000 -
    372 SITI NUR AZIZAH 1 TH P OTISTA RT 032 783589 GEA RESEP 75,000 -
    373 SYAHRIN 57 TH L KH.M.MANSYUR GG MANGGIS RT 015 546131 GERD EKG,INJEKSI 75,000 -
    374 HALIMAH 54 TH P PEMUDA II RT 012 512679 ASMA O2,NEBU,INJEKSI 75,000 32,000
    375 18/8/2014 M.ABDAN FAHREZA 5 TH L BANGGERIS RT021 755711 ASMA O2,NEBU,INJEKSI 75,000 32,000
    376 M.MANSYUR 48 TH L PADA ELO RT 006 783722 IVH INF,PLEB,DC,NGT,EKG,INJ,O2,KONSUL 75,000 32,000
    377 FACHRULLAH 30 TH L RE.MARTADINATA GG TUKANAG RT 00 510532 ASMA O2,NEBU,INJEKSI 75,000 32,000
    378 M.IRIANSAYAH 19 TH L KH.ABD HASAN GG 10 RT 023 783704 DISPEPSYA PLEB 75,000 -
    379 DARLIN AS 47 TH P L.MANGKURAT GG 3 RT 024 783540 VL WTH III,INJEKSI 75,000 -
    380 ADITYA ARYA SAPUTRA 8 TH L EKONOMI RT 013 782819 POST VL INJEKSI 75,000 -
    381 MITFACHUL JANNAH 17 TH P KEMAKMURAN GG PLN RT 023 776210 VE WT,INJEKSI 75,000 -
    382 MEGA MARDIANI SYARI 32 TH P GELATIK RT 016 258078 KONSTIPASI INJEKSI 75,000 -
    383 BASUKI 57 TH L WIRASWASTA RT 013 788340 VL WTH II,INJEKSI 75,000 -
    384 RAHMAN 44 TH L OTISTA RT 024 783770 GEA INJEKSI 75,000 -
    385 IDIK 47 TH L BATU CERMIN RT 005 645568 ASMA O2,NEBU,INJEKSI 75,000 32,000
    386 SLAMET SANTOSO 28 TH L P.SURYANATA RT 040 NO 57 788782 VERTIGO PLEB,INJEKSI 75,000 -
    387 SITI RAHMAH 26 TH P M.SAID RT 029 674232 ASMA O2,NEBU,INJEKSI 75,000 32,000
    388 M.ROURURROQIM 12 TH L KH.DAMANHURI RT 028 533363 ASMA NEBU,O2 75,000 32,000
    389 PATMA SARI 26 TH P KH.SAMAHUDI RT 007 783725 INFARTU DOPPLER,VT 75,000 -
    390 ALIAH 68 TH P KH.M.MANSYUR GG PELOPOR RT 017 783726 GEA PLEB,INJEKSI 75,000 -
    391 ELENA PUTRI RAHMAN 3 TH P KEMAKMURAN GG KNPI RT 14 661619 KONSTIPASI PLEB,SUPP 75,000 -
    392 LEHA 45 TH P KH.W.HASYIM RT 052 759475 FROZEN SHOULDER RESEP 75,000 -
    393 BASO RASYA ADITYA PRATAM 2 TH L GN.LINGAI GG SYUKUR 48 RT 009 737284 COMMON COLD RESEP 75,000
    394 RHISYA ADELLIA 1 TH P DELIMA RT 051 701171 GEA RESEP 75,000 -
    395 WIJI 51 TH L GUNUNG TUNGGAL RT 006 677509 DM PLEB,BGA,INF,INJ,DC O2 75,000
    396 DARWIN 45 TH L P.SURYANATA GG HIKMAH 1 RT 031 643338 DISPEPSYA EKG,INJEKSI 75,000 -
    397 NORMAINA 29 TH P RE.M.DINATA GG TUKANG RT 009 783724 INFARTU DOPPLER,VT 75,000
    398 NORYA YUNITA 28 TH P S.PARMAN GG 4 RT 028 581048 DISPEPSYA INJEKSI 75,000 -
    399 LINA 51 TH P YOS SUDARSO NO 334 RT 41 783806 HT 2 75,000 32,000
    400 SULIS SETIOWATI 42 TH P WIRAGUNA RT 006 776821 DM EKG,INJEKSI 75,000
    401 AJI NURHIDAYAH 28 TH P DAMAI RT 025 783782 DISPEPSYA INF,PLEB,INJEKSI 75,000 -
    402 LA BANTO 72 TH L ANGGUR RT 055 662902 KRISIS HT PLEB,EKG,INJEKSI 75,000 -
    403 KAYLA RISQI RS 1 TH P KEMAKMURAN GG KNPI RT 14 734402 ASMA NEBU,O2 75,000 32,000
    404 AMIN ZAINUDDIN 22 TH L PERUM SMBTN RT 034 783820 DISPEPSYA INJEKSI 75,000
    405 SAMUAEL MASRSHAL M 9 TH L JUANDA 8 MANGGA 1 NO 5 RT 013 783814 VOMITING INF,INJEKSI 75,000 -
    406 ESSE SANUSI 43 TH L PROKLAMASI RT 051 568494 ASMA O2,NEBU,INJEKSI 75,000 32,000
    407 ZAHIRA NUR AULIA R 4 TH P BIAWAN RT 027 783791 GEA INJEKSI 75,000 -
    408 SULTAAN KHAELAHAN HUSAE 1 TH L ROTAN SEGAH BLOK IV H-5 725702 VOMITING RESEP 75,000
    409 DESSY AULIA EKA P 20 TH P PEMUDA 1 NO 126 RT 008 783544 SINCOPE INJEKSI 75,000
    410 MARIAH ULFAH 31 TH P P.SURYANATA GG JULAK RT 004 756000 COMMON COLD INF,PLEB 75,000
    411 19/8/2014 M.IBRAHIM 4 TH L GELATIK RT 016 492821 GEA RESEP 75,000
    412 SITI MASYITAH 27 TH P DAMANHURI NO 34 RT 065 783837 INFARTU DOPPLER,VT 75,000 -
    413 DWI LESTARI PUJI 45 TH P PGRI BLOK E RT 006 783841 ACITES INF,PLEB,EKG,INJEKSI 75,000
    414 ILENGE 48 TH P PERNIAGAAN RT 015 700177 ASMA O2,NEBU,INJEKSI 75,000 32,000
    415 MUSDALIFAH 43 TH P PADA ELO RT 002 779948 BSK INF,PLEB,EKG 75,000
    416 RAMADHANIAR ASIZ 26 TH L P.SURYANATA GG 5 647232 DISPEPSYA INJEKSI 75,000
    417 WINDA WARAS TUTY 39 TH P KEMUNING RT 020 783866 INFARTU DOPPLER,VT 75,000 -
    418 SUGIANTO 45 TH L RAMANIA RT 048 783909 DISPEPSYA EKG,INJEKSI 75,000 -
    419 DZAKYYA NUR AISYAH 1 TH P OTISTA ISKANDAR DINATA RT 022 733041 GEA PLEB 75,000
    420 TRI HARYANTO 12 TH L JOYO MULYO RT 036 783852 DHF INF,PLEB 75,000 -
    421 SITI SARAH 58 TH P USMAN BERAHIM RT 015 783872 KRISIS HT INF,PLEB,EKG,INJEKSI 75,000
    422 ABDUL NASIB 35 TH L PADAT KARYA GG NAVIGASI 783855 TRAUMA KAPITALIS WTH III,INJEKSI 75,000 -
    423 DIAN FATMASARI 30 TH P W.MONGONSIDI RT 020 758274 ASMA O2,NEBU,INJEKSI 75,000 32,000
    424 ABDURAHMAN ANNAJIB 2 TH L PERUM PUSPITA BLOK AA / 19 RT 093 783874 VL WT 75,000
    425 RAMADHAN SAPUTRA 12 TH L M.YAMIN GG 1 RT 15 718366 TONSILITIS RESEP 75,000 -
    426 MUSDALIFAH 43 TH P PADA ELO RT 002 779948 CYSTITIS RESEP 75,000 -
    427 MUJIONO 63 TH L ARJUNA RT 013 728935 PPOK PLEB,EKG,INJEKSI 75,000
    428 MUJIANTO SIHOMBING 51 TH L JAKARTA BLOK CY NO 16 RT 74 776049 DM INF,SUPP,PLEB 75,000
    429 SITI KALSUM 43 TH P JAYA MULYA RT 038 783907 INFARTU PLEB,VT,DOPLER 75,000 -
    430 JUNITA ANGGRAENI 35 TH P BENGKURING RAYA 374 RT 083 755882 ISPA RESEP 75,000 -
    431 JUMARI 26 TH L PLAMBOYAN RT 009 681185 RHINITIS RESEP 75,000 -
    432 AGUS HELDI YANTI 31 TH P L.MANGKURAT RT 009 783886 ISK PLEB,INJEKSI 75,000 -
    433 M.CAHYA R 13 TH L S.RIADI GG KUDESO RT 003 783904 DHF PLEB 75,000 -
    434 DINDA ADELIA 12 TH P SEJATI GG DURIAN RT 027 712222 VL WTH II,INJEKSI 75,000
    435 ZAHRA SHAHIBAH K 8 TH P AGUS SALIM RT 016 524394 VE WT,INJEKSI 75,000
    436 ANGGUR OKTAVIA ANGGANA 5 TH P SULTAN ALIMUDDIN RT 004 708737 DISPEPSYA PLEB,INJEKSI 75,000 -
    437 SANIYAH 26 TH P KH.SAMANHUDI GG ALHIKAM RT 001 484167 DISPEPSYA INF,PLEB,INJEKSI 75,000
    438 NGATEMAN 42 TH L SLAMET RIYADI 783895 ISK PLEB 75,000
    439 SELVIA HAMDANI 14 TH P LUMBA-LUMBA RT 005 759402 CONTUSIO ELASTIS VERBAN 75,000
    440 BIMO PANGESTU 15 TH L CENDANA GG 7 NO 28 783893 VOMITING RESEP 75,000
    441 THOMAS TATO 65 TH L WIRAGUNA RT 011 783880 OPEN FRAKTUR WTH V,INJEKSI 75,000 -
    442 IKWAN FADHILI 15 TH L POROS LEMPAKE RT 11 783878 OPEN FRAKTUR SPLAK,WTH II,INJEKSI 75,000 -
    443 20/8/2014 GALANG LUDFIA SAKTI 6 TH L REVOLUSI RT 044 784021 TFA SUPP 75,000 -
    444 ZAHRATUSYITAH A 7 TH P M.SAID RT 012 783878 TFA SUPP 75,000 -
    445 MUSWAHIDAH 48 TH P AIR TERJUN RT 037 705782 DISPEPSYA INF,PLEB,EKG,INJEKSI 75,000 -
    446 SISILIA NOVIANTI 9 TH P GIRI MUKTI RT 018 783946 VE WT,INJEKSI 75,000 -
    447 DEVITA LIVISARI 19 TH P DI PANJAITAN GG BUGIS RT 002 783923 VE WT,INJEKSI 75,000 -
    448 SUMAYA FADILAH 6 TH P TERONG PIPIT 1 NO 633 RT 079 783930 ASMA O2,NEBU,INJEKSI 75,000 32,000
    449 TARMO 63 TH L NUSA INDAH 3 NO 8 342596 ISCHALGIA INF,PLEB,EKG,INJEKSI 75,000 -
    450 MARIYATI 37 TH P LEMPAKE JAYA RT 013 783927 DISPEPSYA INJEKSI 75,000 -
    451 DEDI DEVI D 21 TH L KAGANANGAN RT 031 733947 INFARTU VT,DOPLER 75,000 -
    452 SITI MUNIK ASIH 31 TH P PERUM SMBTN RT 034 783918 DISPEPSYA PLEB,INJEKSI 75,000 -
    453 YENNY VIOLETA 25 TH P BATU CERMIN RT 005 783986 GEA INJEKSI 75,000 -
    454 LALITA NANDINI 8 TH P BENGKURING RAYA II NO 14 783999 COMMON COLD PLEB 75,000 -
    455 NURLINA WATI 39 TH P GERILYA GG 87 RT 059 582682 ABSES GLUTEA RESEP 75,000 -
    456 FAJAR EKO PURNOMO A 4 TH L M.YAMIN GG PELAYARAN RT 019 609931 ISPA NEBU,O2 75,000 -
    457 SITI AMINAH 36 TH P OTISTA RT 020 769010 KRISIS HT PLEBO,EKG 75,000 -
    458 WIWIK WAHYU NINGSIH 29 TH P A.YANI GG 1 NO 33 RT 018 784016 GEA PLEB,INJEKSI 75,000 -
    459 MASITAH 54 TH P MERDEKA V RT 089 783990 DISPEPSYA INF,PLEB,EKG 75,000 -
    460 PERNANDO SIHITE 6 TH P PERUM PKL D 288 741497 ISPA PLEB 75,000 -
    461 RUSMY 26 TH P OTISTA RT 031 784008 THYPOD RESEP 75,000 -
    462 ASTRID CAROLINA 18 TH P DELIMA RT 050 783952 FEBRIS PLEB 75,000 -
    463 21/8/2014 AZHAR 30 TH L ULIN GG 4 NO 58 747365 BSK PLEB 75,000 -
    464 M.BEDU 63 TH L KH.W.HASYIM RT 039 664910 KRISIS HT INF,PLEB.EKG,INJEKSI 75,000 -
    465 MANSYURI 44 TH L L.MANGKURAT GG 6 NO 33 RT 021 784077 VL WTH III,INJEKSI 75,000 -
    466 DENIK KURNIAWATI 31 TH P P.SURYANATA GG MISNA RT 028 388155 VL WTH III,INJEKSI 75,000 -
    467 FACHRULLAH 30 TH L RE.MARTADINATA GG TUKANAG RT 00 510532 ASMA NEBU,O2 75,000 32,000
    468 YEMIMA KRISTINA NABABAN 3 TH P P.SURYANATA RT 007 754703 ASMA NEBU,O2 75,000 32,000
    469 SUMARNI 64 TH P PIPIT NO 43 RT 023 784130 V.ICTHUM CROSS INSISI,INJEKSI 75,000 -
    470 ALIKA ADZANIA AZZAHRA 2 TH P P.SURYANATA RT 015 709586 ISPA PLEB,SUPP 75,000 -
    471 PURWITO 37 TH L PRAMUKA 2 RT 028 784092 ICH INF,MON,PLEB,EKG,RJP,O2,DC,NGT 75,000 32,000
    472 SHABRINA NUR A 12 TH P LEMPAKE TEPIAN RT 002 784100 FEBRIS PLEB 75,000 -
    473 RIFKY NABIL OKTAVIAN 7 TH L M.YAMIN GG 1 RT 015 609640 TFA RESEP 75,000 -
    474 MASUARA 71 TH L KOMP.PASAR SEGIRI RT 027 708465 ABDOMEN DISCOMFORT PLEBO,EKG 75,000 -
    475 PETRUS JUK ABEH 32 TH L PASUNDAN NO 117A RT 019 784126 DIARE INJEKSI 75,000 -
    476 RAMA DEWA PAMUNGKAS 2 TH L PERUM SIP E/116 784049 DHF PLEB 75,000 -
    477 DEVI JUNI PERMATA SARI 18 TH P CENDANA GG 5 RT 018 676755 DISMINORE INJEKSI 75,000 -
    478 ERIKANSYAH 46 TH L PERUM SMBT KO 1-16 784184 SNAKE BITE INF,PLEB,WTH III,INJ 75,000 -
    479 22/8/2014 ARDI ROHMAN SYAHWALI 17 TH L M.SAID GG 6 BLOK G RT 026 784206 CLOSE FRAKTUR INF,PLAK,PLEB 75,000 -
    480 RAGALI 22 TH L CENDANA RT 029 782210 VL WTH II,INJEKSI 75,000 -
    481 SUNARTI 46 TH P M.YAMIN GG 1 RT 017 760148 CKD PLEB 75,000 -
    482 AZMIA NUR FADHILAH 3 TH P KH.M.MANSYUR RT 028 784220 FEBRIS PLEB 75,000 -
    483 ANTON RAMADANI 6 TH L M.YAMIN GG 1 RT 017 596895 ASMA O2,NEBU,INJEKSI 75,000 32,000
    484 GUSTIANA 23 TH P P.ANTASARI GG 6 NO 46 RT 045 694821 THYPOD PLEB,INJEKSI 75,000 -
    485 HAPSAH 25 TH P S.RIADI GG ABDULLAH RT 033 784185 DISPEPSYA INJEKSI 75,000 -
    486 M.AKMAL 1 TH L S.RIADI GG.MANIK MANIK RT 002 767041 VOMITING RESEP 75,000 -
    487 HADI SURYANTO S 23 TH L S.PARMAN GG 3 RT 030 784173 FEBRIS PLEB,INJEKSI 75,000 -
    488 M.RAIHAN SAPUTRA 10 TH L MERDEKA GG OTOK RT 096 497699 VE WT 75,000 -
    489 M.HABIBURAHMAN ALUWAN 26 TH L BIOLA GG NIKMAT RT 033 784201 VOMITING INF,PLEB,INJEKSI 75,000 -
    490 M.NIZAM PRATAMA 1 TH L PADA ELO RT 006 784143 FEBRIS PLEB 75,000 -
    491 JURAIDAH 54 TH P LEMPAKE JAYA R T013 461046 KRISIS HT PLEBO,EKG 75,000 -
    492 HARMINAH 45 TH P BATU BESAUNG RT 028 747219 KRISIS HT PLEB,INJEKSI 75,000 32,000
    493 23/8/2014 DINDA AYU SEPTI 8 TH P BATU BESAUNG RT 026 479984 FEBRIS PLEB 75,000 -
    494 RINCE YUNIARTI 52 TH P KEMANGI GG TANI RT 027 782438 INFARTU PLEB,DOPPLER,VT 75,000 -
    495 LYDIA YULIANTI 31 TH P P.ANTASARI RT 026 460424 SUSP APP PLEB 75,000 -
    496 ESYAH 61 TH P AGUS SALIM GG 5D RT 31 614834 KRISIS HT PLEB,EKG,INJEKSI 75,000 -
    497 ANA PRIHATIN 29 TH P KSTUBUN GG JABAL NOOR RT 10 784305 DM PLEB,INJEKSI 75,000 -
    498 SYAIFULLAH 37 TH L PINANG SERIBU RT 013 784302 MORBILI INF,PLEB 75,000 -
    499 DOLAH 45 TH L CENDANA RT 012 508083 DHF INF,INJ 75,000 -
    500 MARLINA 22 TH P P.HIDAYATULLAH RT 004 784284 INFARTU VT,DOPLER 75,000 -
    501 SARTI 53 TH P JELAWAT GG 9 RT 038 784289 ISK PLEB 75,000 -
    502 GUSTI PUTRA R 7 TH L NUSANTARA II RT 032 471015 GEA INJEKSI 75,000 -
    503 MUTIA NADINE 7 TH P KH.HARUN NAFSI RT 014 784260 VOMITING INJEKSI 75,000 -
    504 SUMIATY 55 TH P AM.SANGAJI RT 003 773674 MYALGIA INF,PLEB,EKG 75,000 -
    505 RISNAN IDRIS 43 TH L OTISTA GG KELUARGA RT 019 784272 DISPEPSYA EKG.O2,INJEKSI 75,000 32,000
    506 DAVA ADITYA SAPUTARA 1 TH L KERTAK HANYAR RT 029 784203 FARINGITIS PLEB 75,000 -
    507 SULISTYO 54 TH L JAKARTA GG IRSAF RT 061 732490 V.ICTHUM CROSS INSISI,INJEKSI 75,000 -
    508 IWAN SYAHRAINIE 66 TH L ARGAMULYA DALAM RT 014 784280 MOUSE BITE WT,INJEKSI 75,000 -
    509 KHALIHAH MARIAH 4 TH P W.SUDIROHUSODO RT 012 739376 V.ICTHUM CROSS INSISI,INJEKSI 75,000 -
    510 SANI 48 TH L SEI KAPIH RT 004 591423 RETENSIO URIEN PASANG CATETER 75,000 -
    511 HANAPIAH 41 TH P PROKLAMASI II NO 12A RT 055 784293 VL WTH III,INJEKSI 75,000 -
    512 M.AMIN 37 TH L WIRAGUNA RT 006 784290 V.ICTHUM CROSS INSISI,INJEKSI 75,000 -
    513 MASRIANTUN 35 TH P KEBON AGUNG R T007 784268 VE WT,SUPP,PLEB 75,000 -
    514 REYNALDY ATMADJA 5 TH L KEBON AGUNG R T007 784269 VE WT,INJEKSI 75,000 -
    515 BASO RASYA ADITYA PRATAM 2 TH L GN.LINGi gg SYUKUR 48 RT 009 737284 COMMON COLD RESEP 75,000 -
    516 M.FARHAN 2 TH L KH.A.DAHLAN RT 013 647308 ASMA NEBU,O2 75,000 32,000
    517 WONG TULUS 30 TH L JAKARTA BLOK Z 1O RT 045 535121 BSK PLEB 75,000 -
    518 AKBAR SANJAYA 22 TH L GOTONG ROYONG RT 032 784286 ABSES PEDIS WT,PLEB 75,000 -
    519 24/8/2014 SUPARMI 54 TH P P.ANTASARI GG 1 RT 001 784388 DM INF,PLEB,EKG 75,000 -
    520 M.RADITYA 5 TH L P.DIPONOGORO GG LANGGAR 23 RT 0 672897 ASMA NEBU,O2 75,000 32,000
    521 AMELIA EBITRIANI 7 TH P PERUM TVRI GRAHA ASRI 501591 ISPA RESEP 75,000 -
    522 FANDY SAPUTRA 19 TH L MERDEKA III RT 092 617086 TONSILITIS RESEP 75,000 -
    523 HERLINA WATI 50 TH P SLAMET RIADI GG 6 RT 030 784353 HEMOROID PLEB,INJEKSI 75,000 -
    524 MELINA SYURO 5 TH P PM.NOOR RT 039 772581 ASMA O2,NEBU,INJEKSI 75,000 32,000
    525 M.HABIBURAHMAN ALUWAN 26 TH L BIOLA GG NIKMAT RT 033 784201 VOMITING INF,PLEB,INJEKSI 75,000 -
    526 DINNI PRATIWI 21 TH P PEMUDA II KOMP PENDAWA RT 012 784438 DISPEPSYA INJEKSI 75,000 -
    SAHER 74 TH L LUMBA LUMBA RT 012 784444 CHF INF,PLEB,BGA,EKG,DC,O2 75,000 32,000
    527 M.AMIN 54 TH L KERUKUNAN RT 045 784426 DISPEPSYA PLEB,INJEKSI 75,000 -
    A.KAIRUL ILMI 26 TH L HASAN BASRI GG 2 BLOK C RT 23 474408 COLIC ABDOMEN INF,PLEB,INJEKSI 75,000 -
    LISDAWATI 27 TH P SENYIUR INDAH 3 BLOK BB 25 RT 42 480790 DISPEPSYA PLEB,INJEKSI 75,000 -
    528 M.RIDWAN TAAT 4 TH P PURWODADI RT 044 738599 KONSTIPASI SUPP 75,000 -
    529 RUBIYANTI 39 TH P TRISARI RT 022 667223 GIGIRIVITIS INJEKSI 75,000 -
    530 MAY WULANDARI 10 TH P DI PANJAITAN RT 015 776211 DISPEPSYA RESEP 75,000 -
    531 MUNIR 30 TH L LEMPAKE TEPIAN RT 001 784460 DISPEPSYA INJEKSI 75,000 -
    532 ROSPIN PAIRI 46 TH P KH.HASYIM ASYARI RT 030 784461 DISPEPSYA INF,PLEB,INJEKSI 75,000 -
    533 SITI MANIYAH 38 TH P WIJAYA KUSUMA RT 019 784445 CORPUS ALIENIUM IRIGASI TELINGA 75,000 -
    534 25/8/2014 NADIRAH 27 TH P SULTAN ALIMUDDINRT 036 784660 COUSH INJURY WTH IV,INJEKSI 75,000 -
    535 RIZKY AGUSTINA 9 TH P ANGGUR RT 055 784670 ISK PLEB 75,000 -
    536 NOVITA SARI 22 TH P BENGKURING BLOK C 385 RT 77 692840 ISPA RESEP 75,000 -
    537 MEIVIRA PUTRI SALMA 7 TH P BELIMBING 1 NO 17 RT 009 784695 FARINGITIS PLEB 75,000 -
    538 SUKIRIN 55 TH L ADAM MALIK RT 021 417453 HEMATEMISIS PLEB,INJEKSI 75,000 -
    539 KHANZA HABIBAH ASMA 6 BL P KARYA BARU RT 10 784703 ISPA RESEP 75,000 -
    540 FITRIANI 21 TH P S.RIADI GG 5 RT 016 784685 CEPALGIA RESEP 75,000 -
    541 NURUL HUDA 31 TH P ST.ALIMUDDIN RT 035 784732 DISPEPSYA INJEKSI 75,000 32,000
    542 HALIAFAH 39 TH P BATU BESAUNG RT 026 784731 INFARTU DOPLER,VT 75,000 -
    543 RAISYA KARTIKA PUTRI 1 TH P S.PARMAN 1 RT 002 771876 GEA INF,PLEB 75,000 -
    544 RAGIL SANJAAYA 6 TH L P.ANTASARI GG IJABAH RT 005 717862 GEA RESEP 75,000 -
    545 ARSIYATI 55 TH P KEMAKMURAN KOMP BPD RT 043 645752 ASMA PLEB,NEBU,EKG,INJEKSI ,O2 75,000 32,000
    546 YULIANTI 46 TH P SLAMET RIYADI RT 033 784686 ASMA EKG,NEBU,INJ,O2 75,000 32,000
    547 DESI MUSTIKA 5 TH P BELIMAU RT 024 784787 VOMITING INF,PLEB,INJEKSI 75,000 -
    548 PRAMUNI 44 TH L JOYO MULYO RT 036 104097 ASMA O2,NEBU,INJEKSI 75,000 32,000
    549 ZAID ZAILANI 7 TH L GN.LINGAI GG RIZKI NO 49 RT 015 726379 VE RESEP 75,000 -
    550 KARYONO 63 TH L ERY SUPARJAN RT 012 717621 GASTRITIS INJEKSI 75,000 -
    551 INE SINTYA 14 TH P RIMBAWAN RT 008 784699 CORPUS ALIENIUM RESEP 75,000 -
    552 M.AVRIE RAHMAN 6 TH L BUNG TOMO RT 021 784649 FEBRIS PLEB 75,000 -
    553 M.AZIZ 15 TH L PERUM LOA JANAN INDAH II BI/08 741134 VL WTH III,INJEKSI 75,000 -
    554 SRIMAN 50 TH L S.PARMAN GG 4 RT 029 784640 VL WT,INJEKSI 75,000 -
    555 NICO MANGURU 74 TH L L.MANGKURAT RT 020 784719 CHF PLEBO,EKG 75,000 -
    556 DWI HANDAYANI 25 TH P GAYA BARU RT 009 784489 DISPEPSYA PLEB,EKG,INJEKSI 75,000 -
    557 SUHALMI 42 TH L AWS RT 014 784650 V.ICTHUM CROSS INSISI,INJEKSI 75,000 -
    558 A.SETIAWAN 12 TH L AWS RT 014 695737 FEBRIS PLEB 75,000 -
    559 SUMINI 63 TH P MILONO RT 013 453077 VERTIGO INJEKSI 75,000 -
    560 AMIN YUNAEDI 49 TH L JELAWAT GG 7 RT 007 784662 VL WTH II,INJEKSI 75,000 -
    561 CRISTIAN YAKOBUS FS 8 TH L BAYAN 14 BLOK E NO 659 RT 090 784665 VE WT,INJEKSI 75,000 -
    562 26/8/2014 M.DANAR GUMILANG 7 TH L LEMPAKE RT 011 781737 DISPEPSYA RESEP 75,000 -
    563 ANGGA APRIAWARMAN 20 TH L PERJUANGAN 3 RT 002 784945 FEBRIS PLEB 75,000 -
    564 NURUL PAHNI 35 TH L P.ANTASARI GG H.MANSYUR RT 003 637937 ASMA O2,NEBU,INJEKSI 75,000 32,000
    565 M.DIANSAYH 1 TH L PRAMUKA RT 029 785015 MORBILI INF,PLEB 75,000 -
    566 SURIANI MARSUKI 31 TH L BELATUK 1 RT 031 784995 V.ICTHUM CROSS INSISI,INJEKSI 75,000 -
    567 M.IRVANDI 13 TH L M.YAMIN RT 015 784739 VE WT 75,000 -
    568 ISNAWATI 30 TH P PERINTIS GG CMPR SARI RT 032 648323 VL WT,INJEKSI 75,000 -
    569 DEA RAHMANISA 26 TH P GATOT SUBROTO GG 7 RT 028 554044 CKR RESEP 75,000 -
    570 M.FADIL AKBAR 2 TH L P.BENDAHARA RT 002 661052 ASMA O2,NEBU,INJEKSI 75,000 32,000
    571 ARI HARIYANTI 27 TH L LEMPAKE JAYA RT 010 432961 INFARTU DOPLER,VT 75,000 -
    572 ANIS RAHMAWATI 34 TH P W.MONGONSIDI RT 021 784967 COLIC ABDOMEN INF,PLEB,INJEKSI 75,000 -
    573 RISMAN IDRIS 43 TH L OTISTA GG KELUARGA RT 019 784272 DHF INF,PLEB,INJEKSI 75,000 -
    574 THALITA MAUDY 5 TH P ARJUNA GG 2 RT 013 501828 GEA INF,PLEB,INJEKSI 75,000 -
    575 MAULIDYA FAHITA 5 TH P P.BENDAHARA RT 006 785021 FARINGITIS SUPP 75,000 -
    576 GUSTI ERLITA 39 TH P GN.CERMIN RT 001 418668 ASMA O2,NEBU,INJEKSI 75,000 32,000
    577 DEWI NUR ISTIQOMAH 27 TH P KH.SAMANHUDI GG DIRGANTARA RT 0 755412 ASMA O2,NEBU,INJEKSI 75,000 32,000
    578 HERY HERTANTO 30 TH L REVOLUSI GG KANING RT 038 680723 ISK PLEB,INJEKSI 75,000 -
    579 ANGGA RIZWAN 9 TH L M.YAMIN GG 1 RT 015 784956 DISPEPSYA RESEP 75,000 -
    580 WIDYA PRATIWI 7 TH P ST.ALIMUDDIN RT 010 759089 ISPA PLEB 75,000 -
    581 SRI WULANDARI 28 TH P CENDAAN GG 11 RT 011 784959 INFARTU DOPLER,VT 75,000 -
    582 27/8/2014 SOLEHA 41 TH P BATU BESAUNG RT 026 785034 ISK INF,PLEB,INJEKSI 75,000 -
    583 HATIPAH 51 TH P DI PONOGORO RT 012 GG SELAMET 785184 HEPATITIS INF,INJEKSI 75,000 -
    584 JAPARUDDIN 49 TH L JAKARTA GG PERJUANGAN RT 027 784922 CHEST PAIN EKG 75,000 -
    585 HAFIZ SYAMSUL HADI 2 TH L W.MONGONSIDI RT 016 724014 VARICELLA RESEP 75,000 -
    586 M.SYAHRIZAL 30 TH L KADRIE OENING RT 016 646147 FARINGITIS RESEP 75,000 -
    587 SUGIATI 38 TH P BERAMBAI RT 032 610600 SUSP APP INF,PLEB,INJEKSI 75,000 -
    588 DEVI REGINA PUTRI 3 TH P GERILYA RT 050 656429 FEBRIS RESEP 75,000 -
    589 MASRAN 58 TH L HM.SALEH ARSYAD RT 024 785092 LBP PLEB 75,000 -
    590 RISMAN IDRIS 43 TH L OTISTA GG KELUARGA RT 019 784272 DHF PLEB 75,000 -
    591 LETTISIA DOROTHEA RUATA 52 TH P MARSDA A SALEH RT 024 754384 VE WT,INJEKSI 75,000 -
    592 SEPTIAWAN 26 TH L OTISTA RT 021 785048 VL WTH III,INJEKSI 75,000 -
    593 DESY SUTIYANA 22 TH P MESJID RT 030 785121 INFARTU DOPLER,VT 75,000 -
    594 SEPTI ANDRIANSYAH 21 TH P JELAWAT GG 9 RT 006 754161 ASMA O2,NEBU,INJEKSI 75,000 32,000
    595 YUANDHITARA NADYA A 25 TH P RE MARTADIANATA GG MELATI RT 008 650647 ISK PLEB 75,000 -
    596 ABDULLAH 49 TH L PRIKLAMASI IV RT 053 783311 RETENSIO URIEN PASANG CATETER 75,000 -
    597 SYAHRIL HIDAYAT 14 TH L TRISARI RT 020 785089 VL WTH III,INJEKSI 75,000 -
    598 SOPIAH 33 TH P CENDANA 5B/6 RT 018 655365 GEA PLEB,INJEKSI 75,000 -
    599 YULIANTI HANAFIAH 33 TH P DAMAI RT 026 784724 DISPEPSYA INF,INJEKSI 75,000 -
    600 INDRA SAPUTRA PRATAMA 5 TH L RAUDAH RT 019 784960 GEA INF,PLEB,INJEKSI 75,000 -
    601 GALIH RISKI RAHMAWAN 4 TH L P.SURYANATA RT 003 785058 VL WTH III,INJEKSI 75,000 -
    602 EKA DESI NATALIA 23 TH 23 PURWOBINANGUN RT 013 736692 FEBRIS INF,PLEB 75,000 -
    603 28/8/2014 RIRIN BUDI ASTUTI 33 TH P AGUS SALIM RT 016 785158 VL WTH III,INJEKSI 75,000 -
    604 MIKHAILA HANUM NUR R 1 TH L REVOLUSI GG 1O RT 008 785172 GEA PLEB 75,000 -
    605 HELDA 33 TH P MUSA SALIM RT 020 491043 ASMA O2,NEBU,INJEKSI 75,000 32,000
    606 WA HAMARIA 44 TH P KAKAP RT 007 785114 VE WT,INJEKSI 75,000 -
    607 M.TAMSHIR 51 TH L MUGIREJO GG MULIA RT 011 785204 VL WTH V,INJEKSI 75,000 -
    608 SITI NASRIAH 49 TH P TURI PUTIH 2 RT 089 348453 GERD PLEB,EKG,INJEKSI 75,000 -
    609 RENZA ATALIA PUTRI 3 TH P SENTOSA GG KENANGAN RT 075 702812 VL WTH II,INJEKSI 75,000 -
    610 HAFIZ SYAMSUL HADI 2 TH L W.MONGONSIDI RT 016 724014 VARICELLA INF,PLEB,O2 75,000 32,000
    611 MASYIRAH 46 TH P SITI AISYAH RT 013 785182 OA PLEB,INJEKSI 75,000 -
    612 WAHYUNI 39 TH P BUNG TOMO RT 020 537846 ASMA O2,NEBU,INJEKSI 75,000 32,000
    613 NICO MANGURU 74 TH L L.MANGKURAT GG H.USMAN BLOKA NO 784719 CHF EKG,INJEKSI 75,000 -
    614 HERMANSYAH AS 62 TH L P.ANTASARI WIRA I RT 026 641234 ISPA EKG 75,000 -
    615 TANIA PUTRI VERONIKA 15 TH P JELAWAT RT 005 785180 DISPEPSYA INJEKSI 75,000 -
    616 FATICHA ZAQYA NUR 9 TH P SEI KAPIH GG MANGGIS RT 007 785213 DISPEPSYA PLEB 75,000 -
    617 H.SURYA 77 TH L SITI AISYAH RT 028 785220 PPOK INF,PLEB,EKG 75,000 -
    618 ALDI IRVAN NOR 12 TH L GERILYA GG SETIA RT 039 785167 ASMA O2,NEBU,INJEKSI 75,000 32,000
    619 RIANI AFLIANA SURYADI 6 TH P GERILYA GG 2 NO 38 785148 ISPA INJEKSI 75,000 -
    620 SITI RAHMAH 26 TH P M.SAID RT 029 674332 ASMA O2,NEBU,INJEKSI 75,000 32,000
    621 ZASKIA NUR 1 TH P AL HASNIE RT 006 785023 GEA PLEB,SUPP 75,000 -
    622 SITI MUNTIAH 40 TH P KEMANGI GG TANI RT026 785175 DHF INF,PLEB,EKG 75,000 -
    623 MINANG 64 TH L KOMP.PASAR SEGIRI RT 028 762006 DISPEPSYA EKG,INJEKSI 75,000 -
    624 MUSDALIAFAH 28 TH P KARAY ABKTI RT 006 785137 INFARTU DOPLER,VT 75,000 -
    625 29/8/2014 ANGELICA APRILIANI A 1 TH P PONDOK SEMPAJA RT 054 768011 GEA RESEP 75,000 -
    626 NOR ILLIYYINA 25 TH P P.ANTASARI NO 52 RT 006 782708 ISK RESEP 75,000 -
    627 ARIFAN 17 TH L L.MANGKURAT RT 017 785260 CLOSE FRAKTUR RESEP 75,000 -
    628 M.IBRAHIM 22 TH L ARJUNA NO 7 RT 013 785250 MOUSE BITE CROSS INSISI,INJEKSI 75,000 -
    629 AURA GEULIS TIARA 1 TH P KESTELA 3A/182 RT 076 785234 FEBRIS RESEP 75,000 -
    630 ASIAH 64 TH P BIAWAN RT 002 746663 KRISIS HT PLEBO,EKG 75,000 32,000
    631 RIRZHA DEWI PUTRI WAYAN 1 TH L JELAWAT GG 9 RT 038 761272 THYPOD PLEB,INJEKSI 75,000 -
    632 RINI EVIYANTI 26 TH P AM SANG AJI GG 1 RT 002 785235 TB PARU PLEB,INJEKSI 75,000 -
    633 JAMILAH 51 TH P KH.MAS MANSYUR 574182 ASMA PLEB,NEBU,EKG,INJEKSI ,O2 75,000 32,000
    634 DEWI NUR HIMMAH 6 TH P AGUS SALIM RT 032 742602 ISPA PLEB,INJEKSI 75,000 -
    635 30/8/2014 SUPRAPNO 51 TH L NAHKODA RT 013 BUKUAN 785419 KRISIS HT PLEBO,EKG 75,000 -
    636 FITRIANI HANDAYANI 28 TH P BIAWAN RT 011 765830 ASMA O2,NEBU,INJEKSI 75,000 32,000
    637 GRASYELA MELODIA P 8 TH P PATIMURA RT 035 664949 FARINGITIS PLEB,SUPP 75,000 -
    638 RINDA 32 TH P SEJATI RT 001 436757 ASMA O2,NEBU,INJEKSI 75,000 32,000
    639 MASYITA 21 TH P KAHOI B7 NO 13 780669 BELL PALSY PLEB 75,000 -
    640 YULIDA 11 TH P CIPTO M.KUSUMO GG 5 RT 11 345534 THYPOID PLEB 75,000 -
    641 AYU SAPITRI 11 TH P BATU CERMIN RT 006 785298 HEMIPARISE PLEB 75,000 -
    642 M.YUDHA 15 TH L KH.W.HASYIM 779846 DIARE INJEKSI 75,000 -
    643 SARMI 53 TH P AWS RT 026 616318 DISPEPSYA INJEKSI 75,000 -
    644 NICO MANGURU 74 TH L L.MANGKURAT GG H.USMAN BLOKA NO 784719 GERD PLEB,EKG,INJEKSI 75,000 -
    645 SIGIT PRAYITNO 47 TH L BOJONEGORO RT 10 SMPNG PASIR 785330 RETENSIO URIEN PASANG CATETER 75,000 -
    646 ADELIA KHAIRUNISA 4 TH P SOLONG DURIAN RT 027 738858 TONSILITIS SUPP 75,000 -
    647 MASRIAH 66 TH P OTISTA RT 022 552905 ASMA O2,NEBU,INJEKSI 75,000 32,000
    648 WAHYUNI 39 TH P BUNG TOMO RT 020 537846 GERD INJEKSI 75,000 -
    649 ARTIYAH 69 TH P PROKLAMASI 1 RT 054 783930 DISPEPSYA EKG,INJEKSI 75,000 -
    650 NURUL HUDA 31 TH L SULTAN ALIMUDDIN RT 035 784732 DISPEPSYA INF,PLEB,INJEKSI 75,000 -
    651 SUJILAH 51 TH P M.YAMIN GG 1 664442 KRISIS HT INF,PLEB,EKG 75,000 -
    652 FRANSISCA GENOVEVA P - TH P DI PANJAITAN RT 033 785428 VE WT 75,000 -
    653 31/8/2014 SAFI'I 33 TH L PADAT KARAYA RT 048 LBK 771860 BSK PLEB,SUPP 75,000 -
    654 PUTRY SINDY ALIZKA 4 TH P MT.HARYONO RT 002 785483 CONTOSIO RESEP 75,000 -
    655 SUTI 32 TH P GOTONG ROYONG RT 012 784402 CKR RESEP 75,000 -
    656 LA DEBI ATTHOBA 27 TH L KH.W.HASYIM TVRI NO 89 RT 029 681386 CEPALGIA EKG,INJEKSI 75,000 -
    657 M.QIBRAN ARRASYID 3 TH L ADAM MALIK RT 004 655889 ASMA NEBU,O2 75,000 32,000
    658 RIZAL 34 TH L P.HIDAYATULLAH RT 022 785470 GERD INJEKSI 75,000 -
    659 ULFAN 32 TH L P.ANTASARI GG KENANGA RT 005 762041 ASMA O2,NEBU,INJEKSI 75,000 32,000
    660 AMINUDIN 17 TH L OTISTA GG BUDIMAN RT 029 785404 FEBRIS PLEB 75,000 -
    661 PUTRI NURIANSYAH 9 TH P RE.M.DINATA GG SEDERHANA RT 021 306563 ISPA PLEB 75,000 -
    662 M.ALIF ALI AKBAR 4 TH L KH.A.DAHLAN RT 011 785460 VL WTH III,INJEKSI 75,000 -
    663 YULIDA 11 TH P CM.KUSUMO GG 5 RT 011 345534 DHF PLEB 75,000 -
    664 HASNAH 48 TH P PERJUANGAN NO 6 RT 037 MGRJ 785463 GEA INF,PLEB,EKG,INJEKSI 75,000 -
    665 NUR HABIBAH 7 TH P ADAM MALIK GG JAMBU RT 004 785514 TONSILITIS PLEB 75,000 -
    666 DANA APRILIA 20 TH P KH.DAMANHURI RT 062 598971 FEBRIS PLEB 75,000 -
    667 M.SYARIFUDDIN 58 TH L GELATIK RT 016 122507 GEA INJEKSI 75,000 -
    668 RABIATUL ADAWIYAH 3 TH P BIAWAN GG 10 RT 009 602837 THYPOID PLEB 75,000 -
    669 SISWANTO 37 TH L JELAWAT GG 9 RT 038 783469 NEUROPATI INJEKSI 75,000 -
    670 JUANDI DANIEL SAHALA S 21 TH L JAKARTA BLOK CY NO 16 RT 74 777436 ORCHITIS RESEP 75,000 -
    671 M.ZIDAN RIFANDANA 4 TH L P.SURYANATA RT 002 NO 3 785402 ABD DISCONFORT RESEP 75,000 -
    672 RACHMAD EFFENDY 25 TH L P.SURYANATA RT 038 785533 MORBILI INF,PLEB 75,000 -
    673 HERLINDA ADELIA SEPIANA 12 TH P JUANDA GG TRIDAYA RT 007 785529 ASMA NEBU,O2 75,000 32,000
    674 DEWI PUTRI KURNIAWAN 13 TH P H.MARHUSIN R T017 705527 ABD DISCONFORT RESEP 75,000 -
    675 RIEZA HUWAIDY WIBOWO 5 TH L P.ANTASARI GG 5 RT 10 760062 ISPA RESEP 75,000 -
    676 M.RIRZA 3 TH L MERBABU RT 016 616184 SCABIES RESEP 75,000 -
    677 HARIYATI 18 TH P HAT.UMAR RT 035 360676 DISPEPSYA INF,PLEB,EKG,INJEKSI 75,000 -
    678 MARKATIN 43 TH P M.YAMIN GG BAUR BAHARU 1 RT 15 785513 ISK PLEB,SUPP 75,000 -
    679 AINA SOFA AULIANTORO 7 TH P KS.TUBUN GG 9 D RT 036 678237 VL WTH II,INJEKSI 75,000 -
    680 NASIRAH 45 TH P PELITA 3 RT 012 602108 CHF PLEBO,EKG 75,000 -
    681 ANGGARANIA YUDIA PUTRI 21 TH P AWS GG AMANAH RT 014 785516 DISPEPSYA INJEKSI 75,000 -
    682 ANDRIANO PUTRA 8 TH L PERINTIS GG CMPR SARI RT 032 505402 V.ICTHUM CROSS INSISI,INJEKSI 75,000 -
    683 LARENTA 62 TH L MAS PENGHULU RT 009 755515 RETENSIO URIEN PASANG CATETER 75,000 -
    684 ZAHRA AULIA 2 TH P GAJAH MADA RT 002 785417 TRAUMA CAPITALIS RESEP 75,000 -
    685 M.RIFANSYAH 2 TH L PERINTIS GG CMPR SARI RT 032 742102 ISPA RESEP 75,000 -
    686 AJIE SAMSUL SIGIT 25 TH L GIRI MUKTI RT 017 784371 FEBRIS INF,PLEB,INJEKSI 75,000 -
    687 WA EMANI 27 TH P BENGKURING RT 066 725936 INFARTU PLEB,DOPPLER,VT 75,000 32,000
    688 TH 23 51,450,000 2,848,000
    689 TH 23
    690 TH 23
    691 TH 23
    692 TH 23
    693 TH 23
    694 TH 23
    695 TH 23
    696 TH 23
    697 TH 23
    698 TH 23
    699 TH 23
    700 TH 23
    701 TH 23
    702 TH 23
    703 TH 23
    704 TH 23
    705 TH 23
    706 TH 23
    707 TH 23
    708 TH 23 413091393
    709 293227 TH 23 413369260
    710 293227 TH 23 413205348
    711 293227 TH 23 412975811
    712 293227 TH 23 412987700
    713 293227 TH 23 412883828
    714 293227 TH 23 412879379
    715 293227 TH 23 412882702
    716 293227 TH 23 412708675
    717 293227 TH 23 412681994
    718 293227 TH 23 412685238
    719 293227 TH 23 0 412842827
    720 293227 TH 23 0 412874001
    721 293227 TH 23 0 412877160
    722 293227 TH 46 0 412205693
    723 293227 0 0 TH 69 0 411443527
    724 251429 0 0 TH 92 0 410661246
    RSUD. A. WAHAB SJAHRANIE SAMARINDA BULAN AGUSTUS 2014

    RINCIAN BIAYA
    TINDAKAN JUMLAH
    KONSUL DOKTER SP
    14 15 16 16
    - - 180,000 255,000
    - 90,000 165,000
    - 176,500 283,500
    - 176,500 251,500
    175,000 282,000
    - 528,500 603,500
    - 263,500 338,500
    - 441,500 516,500
    - 75,000
    - 90,000 165,000
    - - - 75,000
    - - 187,000 262,000
    - - - 75,000
    - - 177,000 252,000
    - - 75,000
    187,000 262,000
    - 100,000 175,000
    - 175,000 282,000
    - 87,000 162,000
    - - 75,000
    - - 75,000
    - 265,000 340,000
    - 90,000 165,000
    - - 75,000
    - - 175,000 282,000
    - 187,000 262,000
    - 352,000 427,000
    - - - 75,000
    - 263,500 338,500
    - - 692,000 767,000
    90,000 165,000
    87,000 162,000
    - 266,500 341,500
    - 75,000
    - 87,000 162,000
    - 265,000 372,000
    - - 75,000
    - - 87,000 162,000
    - - - 75,000
    - - 87,000 162,000
    75,000 DR.ANITA SPD 265,000 415,000
    - 263,500 338,500
    - 175,000 282,000
    - 90,000 165,000
    - - 90,000 165,000
    - - 352,000 427,000
    - - 87,000 162,000
    - 87,000 162,000
    - 87,000 162,000
    - - 75,000
    - - 90,000 165,000
    - 441,500 516,500
    - 175,000 282,000
    - 83,000 158,000
    - 87,000 162,000
    - - 90,000 165,000
    - 352,000 427,000
    - 265,000 340,000
    - - 262,000 369,000
    - - 75,000
    - 87,000 162,000
    - 266,500 341,500
    - - 100,000 175,000
    - 90,000 165,000
    - - 528,500 603,500
    - - 353,500 428,500
    - - - 75,000
    - - 90,000 165,000
    - - 75,000
    - 176,500 251,500
    - 265,000 340,000
    - 352,000 427,000
    - 175,000 282,000
    - 825,000 900,000
    - - 75,000
    - 266,500 341,500
    75,000 DR.SUKARTINI 265,000 415,000
    - 176,500 251,500
    - - 75,000
    - 175,000 282,000
    - - 75,000
    - 352,000 427,000
    - 177,000 252,000
    - 90,000 165,000
    - - 528,500 603,500
    - 90,000 165,000
    - 173,000 248,000
    - 528,500 603,500
    - 87,000 162,000
    272,000 347,000
    - - - 75,000
    - - 297,000 372,000
    - 263,500 338,500
    75,000 DR.ENI P. SPD 528,500 678,500
    - - 263,500 338,500
    - 263,500 338,500
    - 87,000 162,000
    - - 87,000 162,000
    - 265,000 340,000
    - 90,000 165,000
    - 352,000 427,000
    - 265,000 340,000
    - 90,000 165,000
    - - 183,000 258,000
    - 197,000 272,000
    75,000 DR.ANTHONY 177,000 327,000
    - 263,500 338,500
    - 262,000 369,000
    - - 175,000 282,000
    - - 262,000 369,000
    75,000 DR.ANTHONY 265,000 415,000
    75,000 DR.ANTHONY 780,000 930,000
    75,000 DR.ANTHONY 265,000 415,000
    - 263,500 338,500
    - 177,000 252,000
    75,000 DR.ANTHONY 83,000 233,000
    - - 87,000 162,000
    90,000 165,000
    - 90,000 165,000
    - - 75,000
    - 528,500 603,500
    - 262,000 369,000
    - 90,000 165,000
    - 83,000 158,000
    - 297,000 372,000
    - - 75,000
    - 183,000 258,000
    - 90,000 165,000
    - 352,000 427,000
    - 180,000 255,000
    - - 75,000
    - 90,000 165,000
    - 262,000 369,000
    - 9,000 84,000
    - 90,000 165,000
    - 87,000 162,000
    - 90,000 165,000
    - 90,000 165,000
    - - 75,000
    - - 262,000 369,000
    - - 177,000 252,000
    - 352,000 427,000
    - 262,000 369,000
    - 90,000 165,000
    - 263,500 338,500
    - 175,000 282,000
    - 87,000 162,000
    - 175,000 282,000
    - 260,000 335,000
    - 87,000 162,000
    - - 87,000 162,000
    - 90,000 165,000
    - - 90,000 165,000
    - - - 75,000
    - - - 75,000
    - - 272,000 347,000
    - - 175,000 282,000
    - 176,500 251,500
    - - 75,000
    - - 75,000
    - 352,000 427,000
    - 177,000 252,000
    - 352,000 427,000
    - 87,000 162,000
    - - 90,000 165,000
    - 90,000 165,000
    - - 75,000
    75,000 DR.GREG 83,000 233,000
    75,000 DR.GREG 80,000 230,000
    75,000 DR.GREG 665,000 815,000
    - - 262,000 369,000
    - - 87,000 162,000
    - - 177,000 252,000
    - 441,500 516,500
    - - 75,000
    - 528,500 603,500
    - 87,000 162,000
    - 87,000 162,000
    - 87,000 162,000
    75,000 DR.GRACE 87,000 237,000
    75,000 DR.GRACE 87,000 237,000
    - - - 75,000
    - - 352,000 427,000
    - 187,000 262,000
    - - 75,000
    DR.SANTI DR.SANTI 87,000 162,000
    - - - 75,000
    - - 90,000 165,000
    - - - 75,000
    - - 75,000
    - - 87,000 162,000
    - - - 75,000
    - - - 75,000
    - - 75,000
    - - 263,500 338,500
    - 528,500 603,500
    - - 75,000
    - 262,000 337,000
    - 87,000 162,000
    - 266,500 341,500
    - 182,000 257,000
    - 262,000 369,000
    - 352,000 459,000
    - 177,000 284,000
    75,000 DR.BOYKE 266,500 416,500
    - - 265,000 340,000
    - 90,000 165,000
    - - - 75,000
    - - 263,500 338,500
    - 352,000 427,000
    - 90,000 165,000
    - 90,000 165,000
    - 176,500 251,500
    - 528,500 603,500
    - 263500 338,500
    - 90,000 165,000
    - 87,000 162,000
    - 352,000 427,000
    - 187,000 262,000
    - 90,000 165,000
    - 353,500 428,500
    - 353,500 428,500
    - - 75,000
    - 87,000 162,000
    - - 353,500 428,500
    - - 263,500 338,500
    - - 528,500 603,500
    - 262,000 369,000
    - 437,000 544,000
    - 262,000 369,000
    - - 170,000 245,000
    - 4,333,500 4,408,500
    - 438,500 545,500
    75,000 DR.DADIK 173,000 323,000
    - 87,000 162,000
    - 90,000 165,000
    - 528,500 603,500
    - 87,000 162,000
    - 87,000 162,000
    - - 75,000
    - - 75,000
    - 602,000 677,000
    - 352,000 427,000
    - 852,000 927,000
    - - - 75,000
    - 528,500 603,500
    - 865,000 940,000
    - - 87,000 162,000
    - 175,000 282,000
    - 262,000 369,000
    - 528,500 603,500
    - 183,000 258,000
    - 528,500 603,500
    - 83,000 158,000
    - 90,000 165,000
    - 90,000 165,000
    - - - 75,000
    - 90,000 165,000
    - - - 75,000
    - - 351,500 458,500
    - - 602,000 677,000
    - - 75,000
    - 175,000 282,000
    - 177,000 252,000
    - - 183,000 258,000
    - 528,500 603,500
    - - 90,000 165,000
    - 353,500 428,500
    - 262,000 369,000
    - 263,500 338,500
    - - 90,000 165,000
    - - 75,000
    - - 175,000 282,000
    75,000 DR.GREG 562,000 712,000
    - - 180,000 255,000
    - - 441,500 516,500
    - - 75,000
    - - 100,000 175,000
    - - 90,000 165,000
    - - 353,500 428,500
    - - 177,000 252,000
    75,000 DR.ASWAD 528,500 678,500
    - - 75,000
    - - 87,000 162,000
    - 90,000 165,000
    - - 352,000 427,000
    - - 266,500 341,500
    - 263,500 338,500
    150,000 KUNJORO,DR.DJOEN 528,500 753,500
    - - 90,000 165,000
    - - 352,000 427,000
    - 297,000 372,000
    75,000 DR.WAYAN 528,500 678,500
    - 176,500 251,500
    - - 75,000
    - 90,000 165,000
    - - 352,000 427,000
    - - 90,000 165,000
    - 602,000 677,000
    - 90,000 165,000
    - 352,000 427,000
    - 90,000 165,000
    - 265,000 340,000
    - - 90,000 165,000
    - - 75,000
    - 262,000 369,000
    - - 75,000
    - 90,000 165,000
    - 90,000 165,000
    - - 75,000
    - - 75,000
    - 176,500 251,500
    - - 75,000
    - 90,000 165,000
    - 90,000 165,000
    - 90,000 165,000
    - 90,000 165,000
    - 87,000 162,000
    - 175,000 282,000
    - 177,000 252,000
    - - 528,500 603,500
    - 87,000 162,000
    - - 75,000
    - - 175,000 282,000
    - 87,000 162,000
    - - 75,000
    - 87,000 162,000
    - 90,000 165,000
    - 90,000 165,000
    - - 75,000
    - 87,000 162,000
    - 87,000 162,000
    - - 176,500 251,500
    - 175,000 282,000
    - 272,000 347,000
    - 272,000 347,000
    - 100,000 175,000
    - - 175,000 282,000
    - - 75,000
    - 90,000 165,000
    - - 176,500 251,500
    - 90,000 165,000
    - 262,000 369,000
    - - 75,000
    - 262,000 369,000
    - 353,500 428,500
    - 528,500 603,500
    - 90,000 165,000
    - 90,000 165,000
    - 173,000 248,000
    - 175,000 282,000
    - 87,000 162,000
    - 175,000 282,000
    - - 87,000 162,000
    - - 75,000
    - 265,000 340,000
    - 83,000 158,000
    - 83,000 158,000
    - 100,000 175,000
    - - 266,500 341,500
    75,000 DR.GREG 180,000 330,000
    - - 528,500 603,500
    - 352,000 427,000
    - 90,000 165,000
    75,000 DR.GREG 177,000 327,000
    - 353,500 428,500
    75,000 DR.RUDI T 352,000 502,000
    - - 75,000
    - 263,500 338,500
    - 262,000 369,000
    - - 262,000 369,000
    75,000 DR.SUSILO 878,500 1,060,500
    - 262,000 369,000
    - 90,000 165,000
    - 297,000 372,000
    - 87,000 162,000
    - 187,000 262,000
    - 87,000 162,000
    - 197,000 272,000
    - 87,000 162,000
    262,000 369,000
    - 177,000 252,000
    - 262,000 369,000
    - 175,000 282,000
    - - 183,000 258,000
    - 177,000 252,000
    - 173,000 248,000
    - - - 75,000
    - - 75,000
    - - 75,000
    - - 187,000 262,000
    - 263,500 338,500
    - 183,000 258,000
    - 87,000 162,000
    - - - 107,000
    - 263,500 338,500
    - 352,000 427,000
    - 353,500 428,500
    - - 175,000 282,000
    - - 87,000 162,000
    - 262,000 337,000
    - 262,000 369,000
    - 87,000 162,000
    - - - 75,000
    - 87,000 162,000
    - 265,000 340,000
    - - 75,000
    - 183,000 258,000
    - 528,500 603,500
    - 262,000 369,000
    - 177,000 252,000
    - 87,000 162,000
    - - 183,000 258,000
    - 263,500 338,500
    - 90,000 165,000
    - 265,000 340,000
    - 528,500 603,500
    - - 297,000 372,000
    - - 262,000 369,000
    - 100,000 175,000
    - - - 75,000
    75,000 DR.SYAIFUL - 150,000
    - - 353,500 428,500
    - - 348,000 423,000
    - 272,000 347,000
    - - 75,000
    - - 75,000
    - 177,000 252,000
    - 90,000 165,000
    - 297,000 372,000
    - - 187,000 262,000
    - 177,000 252,000
    - 352,000 427,000
    - 90,000 165,000
    - 80,000 155,000
    - - 75,000
    - 852,000 927,000
    - 377,000 452,000
    - 83,000 158,000
    - 83,000 158,000
    - 528,500 603,500
    - 187,000 262,000
    - 187,000 262,000
    - 262,000 369,000
    - - 528,500 603,500
    - - 87,000 162,000
    - 183,000 258,000
    - 177,000 252,000
    - 87,000 162,000
    - 90,000 165,000
    - - 75,000
    - 175,000 250,000
    - 266,500 341,500
    - 177,000 252,000
    - 428,500 503,500
    - 90,000 165,000
    - - 75,000
    - 90,000 165,000
    - 90,000 165,000
    - 528,500 603,500
    - 297,000 372,000
    - 297,000 372,000
    - 175,000 282,000
    - 175,000 282,000
    - 187,000 262,000
    - 173,000 248,000
    75,000 DR.SUSILO 1,541,500 1,723,500
    - 90,000 165,000
    - - 75,000
    - 266,500 341,500
    - - 87,000 162,000
    - 90,000 165,000
    - 87,000 162,000
    75,000 DR.FRITZ 475,000 625,000
    75,000 DR.DAVID 345,000 495,000
    - 197,000 272,000
    75,000 DR.CARTA 177,000 327,000
    - 90,000 165,000
    - 262,000 369,000
    - 177,000 252,000
    - 87,000 162,000
    - - 75,000
    - 177,000 252,000
    75,000 DR.FRITZ 100,000 250,000
    - 352,000 427,000
    - 90,000 165,000
    - - 266,500 341,500
    - - 177,000 284,000
    - 90,000 165,000
    - - 272,000 347,000
    90,000 165,000
    - 353,500 428,500
    - 177,000 252,000
    - 265,000 340,000
    - - 263,500 338,500
    - 183,000 258,000
    - 90,000 165,000
    - 87,000 162,000
    - 87,000 162,000
    - 441,500 516,500
    - 263,500 370,500
    - 90,000 165,000
    - - 187,000 262,000
    - 190,000 265,000
    - 187,000 262,000
    - 180,000 255,000
    - 297,000 372,000
    - 187,000 262,000
    - 273,000 348,000
    - 173,000 248,000
    - - 75,000
    - 175,000 282,000
    - 90,000 165,000
    - 190,000 265,000
    75,000 DR.KUNCJORO 441,500 591,500
    - 175,000 282,000
    - - 75,000
    - - 75,000
    - 177,000 252,000
    - 262,000 369,000
    - 352,000 427,000
    - 87,000 162,000
    75,000 DR.FURQON 803,500 985,500
    - 177,000 252,000
    75,000 DR.KUNCJORO 352,000 502,000
    - - 177,000 252,000
    - - 173,000 248,000
    - 87,000 162,000
    - - - 75,000
    87,000 162,000
    - 352,000 427,000
    - 100,000 175,000
    75,000 DR GREG 602,000 752,000
    - - 90,000 165,000
    - - 75,000
    - 90,000 165,000
    - 177,000 252,000
    - - 75,000
    - - 75,000
    - 87,000 194,000
    - 183,000 258,000
    - 265,000 340,000
    - - 75,000
    - 528,500 635,500
    - 438,500 545,500
    - 352,000 427,000
    - 262,000 369,000
    - 183,000 258,000
    - 87,000 162,000
    75,000 DR.FRITZ - 150,000
    - 90,000 165,000
    - 297,000 372,000
    - 187,000 262,000
    - 266,500 341,500
    - 353,500 428,500
    - 187,000 262,000
    - 90,000 165,000
    - 87,000 162,000
    75,000 DR,GREG 197,000 347,000
    75,000 DR.DADIK 187,000 337,000
    - - 75,000
    - 90,000 165,000
    - - 262,000 369,000
    - 265,000 340,000
    - 187,000 262,000
    - 100,000 175,000
    - 187,000 262,000
    - - 75,000
    - 262,000 369,000
    75,000 DR.PRIMA 183,000 333,000
    - 352,000 427,000
    - 352,000 427,000
    - 352,000 427,000
    - 83,000 158,000
    - 262,000 369,000
    - 262,000 369,000
    - 177,000 252,000
    - - 75,000
    - 90,000 165,000
    - 183,000 258,000
    - 352,000 427,000
    - 262,000 337,000
    - 176,500 251,500
    - - 75,000
    - - 75,000
    - 352,000 427,000
    - - 75,000
    - 90,000 165,000
    - 90,000 165,000
    - 187,000 262,000
    - 297,000 372,000
    - 183,000 258,000
    - 262,000 369,000
    - 90,000 165,000
    - 180,000 255,000
    - 297,000 372,000
    - 177,000 252,000
    - 262,000 337,000
    - 352,000 427,000
    - 297,000 372,000
    - 265,000 340,000
    - 297,000 372,000
    - 90,000 165,000
    - 262,000 369,000
    75,000 DR.MANGALIDUNG 187,000 337,000
    - 852,000 927,000
    - 353,500 428,500
    - 197,000 272,000
    75,000 DR.WAHAB 265,000 447,000
    - 177,000 252,000
    - 262,000 369,000
    - 263,500 338,500
    - 176,500 251,500
    - 87,000 162,000
    - 90,000 165,000
    - 441,500 516,500
    - 262,000 369,000
    - 87,000 162,000
    - 262,000 369,000
    75,000 DR.WILIAM 173,000 323,000
    - 441,500 516,500
    - 263,500 338,500
    - 183,000 258,000
    - - 75,000
    - - 75,000
    75,000 DR.DAVID - 150,000
    - 187,000 262,000
    - - 75,000
    - 266,500 373,500
    - 177,000 252,000
    - 177,000 252,000
    352,000 459,000
    - 177,000 252,000
    - 266,500 341,500
    - 262,000 369,000
    - 173,000 248,000
    - 262,000 369,000
    - 90,000 165,000
    - 90,000 165,000
    - 90,000 165,000
    - 87,000 162,000
    - 87,000 162,000
    - 353,500 428,500
    - 180,000 255,000
    - 83,000 158,000
    - 262,000 369,000
    - 87,000 162,000
    - 263,500 338,500
    - 352,000 427,000
    - 441,500 516,500
    - 100,000 175,000
    - 173,000 248,000
    - - 75,000
    - - 75,000
    - 263,500 338,500
    - 175,000 282,000
    - 87,000 162,000
    - 262,000 369,000
    - 90,000 165,000
    - 90,000 165,000
    75,000 DR.ATOB 297,000 447,000
    - 90,000 165,000
    - 528,500 603,500
    - 90,000 165,000
    - 90,000 165,000
    - 87,000 162,000
    - 90,000 165,000
    - 87,000 162,000
    - - 75,000
    - - 75,000
    - 265,000 340,000
    - 175,000 282,000
    - - 75,000
    - - 75,000
    - - 75,000
    - 528,500 603,500
    - 173,000 248,000
    75,000 DR.ATOB 197,000 347,000
    - 266,500 341,500
    - 87,000 162,000
    - 187,000 262,000
    75,000 DR.BOYKE 180,000 330,000
    - - 75,000
    - - 75,000
    - 352,000 427,000
    - 183,000 290,000
    3,375,000 - 134,895,000 192,831,500
    TAGIHAN PASIEN JAMKESDA SAMARINDA DI IG

    Tanggal No KIB/
    No Nama Pasien Umur L/P Alamat
    Kunjungan No. REG
    1 2 3 4 5 6 7
    1 1/9/2014 AGUS 34 TH L P.ANTASARI GG KARYA NO 13 RT 006 785654
    2 PURNOMO YP SP 38 TH L MERDEKA 3 RT 088 785610
    3 RULI EKO WORO SANDI 35 TH L MULAWARMAN RT 015 PAlARAN 785620
    4 ANDRIAN MAULANA 8 TH L KAKAP GG 2 NO 44 RT 010 785556
    5 AHMED ABDULLAH 17 TH L PINANG SERIBU RT 040 785656
    6 RAISYA NURHUDNAH F 8 TH P ADAM MALIK RT 022 648088
    7 ARKA SAPUTRA 7 BL L BAYUR RT 018 784430
    8 HASNITA 39 TH P BAYUR RT 018 785612
    9 WA MARE 51 TH P PEMUDA II RT 008 789033
    10 SESI SAHAMUR 19 TH P BIAWAN GG II RT 016 742983
    11 M.HIBAAN AUFAN 2 TH L KH.W.HASYIM RT 008 660303
    12 ACHMAD 72 TH L TURI RAYA BLOK E NO 322 RT 075 785625
    13 NOVA SURYANINGSIH 13 TH P DI PANJAITAN RT 034 785634
    14 ILENGE 46 TH P PERNIAGAAN RT 015 700177
    15 LIR ANTONI 33 TH L KAHOI B7 D3 RT 034 785663
    16 JIHAN NUR AULIA 3 TH P ST.ALIMUDDIN RT 031 785629
    17 MARWAN MARZUKI 59 TH L PANGKALAN RT 004 752319
    18 NUR HIDAYAH 18 TH P DAMAI RT 028 785665
    19 GEMA NABIL RAHMATULLAH 7 TH L BENGKURING RT 077 785664
    20 A.TIJAN DARURI 1 TH L AM.SANGAJI GG 3 RT 003 785668
    21 JUSMAWATI 31 TH P REVOLUSI GG DERMAWAN RT 008 785667
    22 FATIMAH AZZAHRA 6 TH P TRI SARI NO 28 RT 020 785525
    23 SYOFI 2 TH P RUMBIA 2 RT 017 785550
    24 KHUSNUL KHOTIMAH 24 TH P RE.MARTA DINATA RT 004 785552
    25 LARAS DWI NURANI 5 TH P KH.DHAMANHURI RT 028 785561
    26 M.FAUZAN AL FATIH 7 BL L KERUKUNAN RT 043 785555
    27 SULIS SETIOWATI 42 TH P WIRA GUNA RT 006 776821
    28 AHMAD 29 TH L LOA KEMBAR RT 019 785624
    29 2/9/2014 ANTON RAMADANI 6 TH L M.YAMIN GG 1 RT 017 596895
    30 JURAIDAH 26 TH P KH.W.HASYIM RT 027 617157
    31 M.SAIDI 57 TH L REVOLUSI III NO 153 RT 020 785640
    32 M.RAFI FIRDAUS 2 TH L P.ANTASARI NO 39 RT 003 688409
    33 DESSY MAYA SARI 25 TH P DR.SUTOMO NO 2 RT 025 781100
    34 SITI NURUL OLIFAH 20 TH P TENGKAWANG RT 015 785722
    35 NUR AFIFAH 29 TH P TRISARI RT 022 779650
    36 M.RAYHAND FERDYANSYAH 1 TH L TRISARI RT 022 782365
    37 HERRY OSCAR 52 TH L MUSO SALIM NO 68 RT 015 694906
    38 ADELIA SAPUTRI 3 TH P GERILYA GG SEPAKAT RT 101 668425
    39 FADIL ABDILLAH RAHMAN 6 TH L MERDEKA III RT 093 785678
    40 FREDY FIKTOR 35 TH L KESEHATAN DALAM RT 003 785648
    41 ANIS KATIRAH 33 TH P SEI KAPIH GG MANGGIS RT 007 785645
    42 RINDA SAFTRI 26 TH P OTISTA GG 12 RT 020 706612
    43 REYHAN ZAQQI 7 TH L SEI KAPIH GG MANGGIS RT 007 785644
    44 A.HABIBI 6 TH L CENDAAN GG 12 NO 8 RT 029 386995
    45 OCTAVIA RAHMADANI 8 TH P SULTAN ALIMUDDIN RT 028 785705
    46 SHINTA DWI M 3 TH P L.MANGKURAT RT 022 751877
    47 SRI SUSANTI 38 TH P GERILYA RT 049 785719
    48 ASYIM 47 TH L PEMUDA RT 032 785677
    49 SEPTIA ASMARIANI 25 TH P H.MARHUSIN R T018 702195
    50 WALDUNAS DION 35 TH L PERUM TALANG SARI RT 005 728220
    51 3/9/2014 SYALIA OKTAVIANI 10 TH p AWS RT 022 785791
    52 PATHOLA 25 TH L M.YAMIN GG AMAL RT 003 785788
    53 RATNA MAYA SARI 31 TH P DR.SOETOMO RT 040 355824
    54 AQSHA ALFHARIZI 2 TH L PADAT KARYA RT 032 658947
    55 MARKATIN 43 TH P M.YAMIN GG BAUR BAHARU 1 RT 15 785513
    56 HERRY OSCAR 52 TH L MUSO SALIM RT 015 694906
    57 ANDIKA 7 TH L ST.ALIMUDDIN RT 031 785862
    58 NAWAL AISYAH 3 TH P DR.SUTOMO GG 1 NO 51 RT 029 785862
    59 EVI HERTININGSIH 44 TH P JUANDA 8 BELIMBING 1 NO 27 RT 009 781864
    60 IDRA SETIAWAN 25 TH L MT.HARYONO RAWA SARI 4 NO 95 785839
    61 FENNI 23 TH P DI PANJAITAN GG 4 RT 037 686903
    62 SABRINA 8 TH P LABU HIJAU 3 BLOK B NO 270 RT 027 785857
    63 UMI KALSUM 31 TH P HJ.JAHRAH GG DATU UMAR RT 012 734768
    64 JAMILAH MASDAR 50 TH P JUANDA 7 NO 56 RT 003 570114
    65 VIRA APVALIA BASIR 14 TH P OTISTA RT 024 584066
    66 NURFARIDAHYANI 40 TH P GERILYA GG SEPAKAT RT 101 632904
    67 M.RAMZANI ANSYARI 12 TH L M.SAID RT 013 785793
    68 NADA NUR ARDILAH 12 TH P P.ANTASARI GG IJABAH RT 007 785795
    69 EMMA 37 TH P MERBABU GG BDN NO 27 RT 003 491794
    70 HAJRAH 18 TH L S.RIADI 1 RT 033 743943
    71 DHELFIRA RIZQI AGHNIA 3 TH P REVOLUSI GG PESANTREN RT 031 785771
    72 ISKANDAR 55 TH L MANGUPALAS RT 014 658375
    73 JUANDI DANIEL SAHALA S 21 TH L KAKAP BLOK CY NO 16 777439
    74 IDA WAHYUNI 51 TH P ADAM MALIK GG JAMBU RT 004 683478
    75 RAYHANA MILLA 26 TH P S.RIADI GG PANCAR INDAH RT 001 785757
    76 SUKESI 51 TH P P.HIDAYATULLAH GG AMAL RT 018 785764
    77 D.SIMAMORA 75 TH L TRISARI RT 023 711587
    78 UMU 58 TH P KH.DAMANHURI RT 020 785790
    79 KEMAL HASAN 5 TH L PERUM KOPRI BLOK A NO 4 RT 063 555318
    80 ANDI LALYA 34 TH P REVOLUSI GG HIKMAH RT 020 769035
    81 EVI 43 TH P P.BENDAHARA RT 002 785765
    82 4/9/2014 ANDI SEKAR MELATI A 5 TH P KH.SAMANHUDI GG ANNOOR 1 RT 013 785912
    83 REYFAN TEGUH SABRYAN 6 TH L KH.AGUS SALIM NO 10 RT 016 698301
    84 RIDWAN ERVANDY 55 TH L OTISTA RT 016 427143
    85 ALI AKAML AHMADI 11 TH L DAMAI RT 027 482279
    86 M.FERDY 7 TH L DI PANJAITAN RT 034 705967
    87 M.IKSHAN MAULANA 1 TH L TRISARI RT 022 785941
    88 SUTIAH 44 TH P PUSAKA RT 014 681127
    89 JUSNI 37 TH L MT.HARIYONO RT 009 785935
    90 DITA RAMADHANIA 17 TH P M.SAID GG POLEWALI RT 030 785998
    91 DHELLA JUNIAR ZHAGI 25 TH P PEMUDA 1 NO 126 RT 008 732502
    92 AQSHA ALFHARIZI 2 TH L PADAT KARYA RT 032 361964
    93 RINDA 32 TH P SEJATI RT 001 436757
    94 FITRIYANI 41 TH P S.PARMAN 1 RT 003 510869
    95 MUSTIKA SARI 17 TH P GATSU SUBROTO RT 045 762970
    96 ANUGRAH 3 TH L AGUS SALIM GG 6D RT 032 785911
    97 VALERIE INTAN PUJA P 8 TH P PERUM PKL BLOK B RT 013 794914
    98 SUWANDI 32 TH L DI PANJAITAN RT 068 785882
    99 NUR RAHMAN 9 TH L L.MANGKURAT GG TANJUNG RT 031 785886
    100 SULIANTO 44 TH L KS.TUBUN RT 018 785884
    101 ASMURANSYAH 53 TH L KADRIE OENING RT 17 GG BERSAMA 785851
    102 ADRAIN ANAM 7 TH L MERANTI GG 1 RT 023 443975
    103 NYAMAN 61 TH L BIAWAN RT 008 785916
    104 LARAS DWI NURANI 5 TH P KH.DAMANHURI II RT 028 785561
    105 KOLIK 45 TH L BIAWAN GG II NO 18 RT 011 785990
    106 ANTON RAMADANI 6 TH L M.YAMIN GG 1 RT 017 604705
    107 YUSUF MASSYAH D A 1 TH L DR.SOETOMO RT 029 785865
    108 M.HIBAAN AUFAN 2 TH L KH.W.HASYIM RT 008 660303
    109 GAMA NABIL RAMHMATULLAH 7 TH L PERUM BENGKURING RT 077 436040
    110 KATIMIN 42 TH L AWS RT 025 785876
    111 RABIATUL ADAWIYAH 42 TH P PM.NOOR RT 041 PRM RAPAK BENUANG 786022
    112 5/9/2014 QISTI SABRINA 7 TH P DR.W.SUDIRO HUSODO RT 009 600468
    113 YADI ARIF PRATAMA 27 TH L KS.TUBUN RT 011 788137
    114 RENGGANI 46 TH P P.SURYANATA GG 10 RT 060 712291
    115 ASTIANA 40 TH P PERUM SIP E/144 RT 025 786073
    116 SUMINAH 38 TH P MUGIREJO RT 004 786075
    117 NURDIN 64 TH L MASPENGHULU RT 005 788134
    118 JOHAN WOFSI SAMOSIR 17 TH L KURNIA MAKMUR RT 020 788110
    119 RAHMAT KAMIL 13 TH L S.PARMAN GG 4 RT 028 787150
    120 INDRA SUBRATA 13 TH L BATU CERMIN RT 004 541652
    121 BELLA OKTAVIA 19 TH P HASNA BASRI GG I RT 020 538883
    122 SITI FATIMAH 48 TH P TURI RAYA BLOK E NO 340 RT 075 788106
    123 ABD MANAF 63 TH L MERDEKA 1 NO 20 RT 086 534408
    124 DARRA HAFEZA SALSABILA 1.5 TH P RIMBAWAN 1 RT 033 742135
    125 M.BIMA NUR RIZANI 13 TH L KH.ABD MUTHALIB RT 010 788113
    126 DESSY LILIANA 40 TH P PADAT KARYA GG KARYA MANDIRI RT 008 786080
    127 MARIYAH 43 TH P ARIF RAHMAN HAKIN NO 57 RT 002 786077
    128 JUMINAH 47 TH P CENDANA GG 3 RT 020 786079
    129 HALIMATUS SAKDIYAH 18 TH P KH.HARUN NAFSI RT 016 788117
    130 LIA ASMARANI 37 TH P JUANDA 8 RT 006 786999
    131 MAULANA MALIK IBRAHIM 1 TH L RING ROAD NO 20 RT 001 774864
    132 NUR ANGREANI 2 TH P RAUDAH RT 019 784395
    133 6/9/2014 SUGIYATI 33 TH P M.SAID GG POLEWALI RT 030 781861
    134 AL FARIZI 9 TH L M.SAID RT 013 788213
    135 FATMA ERNAWATI 50 TH P AGUS SALIM NO 70 RT 017 233365
    136 SITI FATIMAH ZAHRA 11 TH P P.ANTASARI GG SWARGA INDAH NO 44 RT 0 788163
    137 ANDIAKA 7 TH L ST.ALIMUDDIN RT 031 785862
    138 ANITA ASHARI 12 TH P BUNG TOMO RT 002 788136
    139 YUDHI ASWAN 31 TH L L.MANGKURAT RT 034 755863
    140 LOLYTA SILVANA RAHMANA 19 TH P JAKARTA BLOK CV NO 23 RT 017 788211
    141 JOHNASAYH 60 TH L MUSO SALIM GG 8 NO 42 RT 023 507168
    142 RANU 10 TH L JAKARTA RT 061 788221
    143 AGUS RIYANTO 34 TH L WIRATAMA RT 005 788207
    144 DIVA RAMONA PUTRI 8 TH P BAYUR RT 038 786055
    145 INDAR SAPUTRA 5 TH L RAUDAH RT 019 784960
    146 AYU MAYA LESTARI 25 TH P GATSU RT 026 788121
    147 PARAWANSYAH 58 TH L P.ANTARASI RT 002 702072
    148 EDWIN EFRYWANDA 11 TH L ULIN GG 8 NO 57 RT 025 689658
    149 YUDHI ASWAN 31 TH L L.MANGKURAT RT 034 755863
    150 7/9/2014 ANDIKA 7 TH L ST.ALIMUDDIN RT 031 785862
    151 RUSNO PAMBUDI 40 TH L PERJUANGAN RT 001 788312
    152 ARIASYAH 26 TH L PERJUANAGAN RT 037 788393
    153 M.ARIF RAHMAN HAKIM E 6 TH L PADA ELO RT 004 788335
    154 NAVIDA CAROLINA 7 TH P SENYIUR INDAH 3 RT 041 727060
    155 BADRUN 32 TH L KH.M.MANSYUR RT 031 788260
    156 SAIKAH SUHROH 19 TH P JUANDA NO 92 RT 007 788407
    157 RAFI RADITYA PUTRA P 2 TH L GUNUNG LINGAI RT 004 596169
    158 RAISYA KARTIKA PUTRI 1.5 TH P S.PARMAN 1 RT 002 781876
    159 M.DHAFA HAIKAL AKBAR 3 TH L AGUS SALIM RT 031 788415
    160 SITI MAJIDAR 38 TH P KENANGA RT 025 RAWA MAKMUR 788372
    161 ANITA TOURISIA 44 TH P M.SAID RT 003 263096
    162 REFI AL MIZHA 5 TH L A.YANI GG MASYARAKAT RT 025 788363
    163 NABILA FAEYZA HAWWARI 1 TH P KEMAKMURAN NO 06 RT 076 719101
    164 LEALATUL FATMANARIDA 25 TH P RING ROAD RT 037 554225
    165 SITI BAQIAH 58 TH P AGUS SALIIM GG 40 RT 30 358525
    166 RISMA YULIANA 13 TH P AGUS SALIM RT 016 775820
    167 SUHARNI 54 TH P MUGIREJO RT 012 438148
    168 M.CHARLY ALAFA RIZKY 2 TH L RAMANIA II NO 64 RT 046 753849
    169 EKO WAHYUDI 30 TH L B.TOMO RT 035 788303
    170 SUTYATI 36 TH P KH.DAMANHURI II RT 028 637081
    171 SRI ANI 49 TH P M.YAMIN RT 021 788379
    172 ALUNA NUR OKTAVIANTI 1 TH P TRISARI RT 022 749741
    173 SUGIYATI 33 TH P M.SAID GG POLEWALI RT 030 784722
    174 DESTIANA AZHAR 23 TH P OTISTA RT 028 378335
    175 PUTRI AULIA 4 TH P KH.MAS MANSYUR RT 025 531210
    176 SYAHKANI 54 TH L S.PARMAN GG 3 RT 030 788253
    177 DESY HERIDA YURISNA DEVI 38 TH P GATSU GG 7 RT 028 700351
    178 IDIK 47 TH L BATU CERMIN RT 005 645568
    179 MAHRIN SAFWANA R 6 TH L BIAWAN RT 027 760036
    180 ARZUNO GALBI ALBANI 8 TH L JALARTA BLOK B NO 7 RT 054 768540
    181 RUSDA 33 TH P ULIN GG 7 RT 026 705490
    182 GUSTI ELSEISANARAYA K 6 TH P JAKARTA II PERUM DAKSA C2/18 RT 039 740874
    183 8/9/2014 SUSAN 31 TH P KH.W.HASYIM GG WAHYU RT 039 641330
    184 TRI TURIYATI 57 TH P PEMUDA II RT 012 698891
    185 AFRIZAL M.ABRAR 3 TH L MUGIREJO RT 004 788461
    186 M.RIZKY ANZHARIE 17 TH L MARKISA NO 35 RT 008 784259
    187 SITI SALMUHARIAH 50 TH P T.UMAR GG DURIAN TUNGGAL RT 001 757485
    188 NUR HANIFA 6 BL P GATSU RT 014 788466
    189 DESSY AULIA EKA P 20 TH P PEMUDA I NO 126 RT 008 783544
    190 ICHSAN WIJIANTO 11 TH L AWS RT 026 788450
    191 RINI SETIAWATI 31 TH P T.UMAR GG DURIAN TUNGGAL RT 035 781841
    192 SINDI DEBBI FEBIOLA 11 TH P ST.SULAIMAN RT 021 686928
    193 ABDUL HAFIZH AL AMMAR 6 TH L P.ANTASARI GG 3 PAJAK RT 001 788449
    194 M.FIRDAUS 15 TH L AWS RT 025 709951
    195 SAIPUL ANWAR 57 TH L P.SURYANATA RT 030 716244
    196 NOR HIDAYAT 17 TH L ANGGUR NO 41 RT 056 788199
    197 YUSUF 56 TH L MILONO RT 013 694840
    198 9/9/2014 ANDINI ALVIONIVA 7 TH P LUMBA LUMMBA RT 012 647758
    199 ZHAKY FAHREZI FEBRIAN 3 TH L GAMELAN RT 039 788417
    200 MAULANA SARIF H 10 TH L BAYAM 3 BLOK E NO 388 RT 086 754929
    201 IRIANSYAH 60 TH L IMAM BONJOL GG SAAD KAMAR RT 043 788605
    202 M.FADHIL FURQON 4 TH L S.RIADI GG 3 RT 013 626800
    203 MELINAWATI 20 TH P YOS SUDARSO NO 334 RT 41 785602
    204 AL DAMSYAH REHAN 8 BLN L AGUS SALIM GG 8D NO 63 RT 037 783112
    205 WAHIDAH 19 TH P MT.HARIYONO RT 011 788616
    206 HISABILAMRI 8 TH L P.ANTASARI PONDOK WIRA 1 NO 7A RT 026 614125
    207 GALIH NOPYANI PUTRI 17 TH P M.YAMIN RT 027 788611
    208 MAULANA SARIF H 10 TH L BAYAM 3 BLOK E NO 388 RT 086 754929
    209 SATI 45 TH P JELAWAT RT 007 788680
    210 SUTARMI 48 TH P AM SANG AJI NO 409 RT 018 462918
    211 MUHADI 56 TH L MERBABU RT 017 744630
    212 RAFI NARAYA PUTRA PERMANA 6 TH L AZIS SMAD RT 037 566701
    213 SAUBAN AL MUZHOFFAR 9 TH L GATSU GG 7 RT 028 463431
    214 MUTIA HANY ANGGARA 8 BL P M.SAID GG 2 RT 009 762952
    215 NOR AINI 19 TH P RIMBA NO 23 RT 014 788675
    216 HERRY OSCAR 52 TH L MUSO SALIM NO 68 RT 015 694900
    217 M.MASRI 49 TH L L.MANGKURAT GG AL JAWAHIR RT 029 444513
    218 NAWIYA 45 TH P KOMPLEK PASAR SEGIRI RT 027 788244
    219 FAHREL Maulana 6 TH P HASAN BASRI RT 023 788662
    220 MELIYANI 34 TH P PADAELO RT 004 788707
    221 YULIANA ANDAYANI RINDIDNG 41 TH P LEMPAKE JAYA RT 001 538062
    222 SUDARMAN 52 TH L REVOLUSI RT 008 788700
    223 10/9/2014 MARIA GIRSANG 26 TH P KH.W.HASYIM RT 024 781428
    224 MERRY7 CHISTINE LEONARDI 14 TH P KENANGAN NO 16 RT 021 784441
    225 SAVIRA RAMADYA 3 TH P DI PAINJAITAN GG BUGIS RT 004 727417
    226 ROYHONISAH 19 TH P BATU CERMIN RT 006 788814
    227 ADE ROSITA 25 TH P PERUM SIP RT 031 788849
    228 GARI 84 TH L JELAWAT GG 9 NO 79 RT 006 788778
    229 ABD RASYID 58 TH L KESEHATAN DALAM NO 68 R T 002 787867
    230 MASRAH 60 TH P P.BENDAHARA RT 004 788773
    231 DJUNAIDI 38 TH L ULIN GG 8 RT 025 788761
    232 HARNI 30 34 L REVOLUSI RT 008 788776
    233 ROYHAN MALIKI 4 TH L SEI KAPIH RT 005 NO 38 788844
    234 NURDIANSYAH 8 TH L MANGKUPALAS RT 014 788809
    235 LATUKANG 58 TH L PERNIAGAAN RT 015 788830
    236 ILENGE 46 TH P PERNIAGAAN RT 015 700177
    237 AZIS 39 TH L W.MONGONSIDI RT 025 788818
    238 M.SALEH 60 TH L PM.NOOR RT 039 788798
    239 ALYA SALSABILLA A 2 TH P KH.SAMANHUDI GG DIRGANTARA RT 001 788865
    240 M.MANSYUR CENNANG 61 TH L RAJAWALI DALAM RT 010 788764
    241 SUPIANI 65 TH P MT.HARIYONO GG 1 RT 009 770612
    242 DARSIAH 58 TH P KH.MANSYUR GG PELOPOR RT 075 402979
    243 AMBO DAI 66 TH L KH DAMANHURI RT 031 536519
    244 REVA ALIFAH ANANTA 2 TH P KH.DAMANHURI RT 065 616780
    245 SHELFINA RARA 18 TH P P.ANTASARI NO 50 RT 010 788736
    246 MASTINAH 56 TH P AM.SANGAJI GG VIRGO RT 009 675027
    247 11/9/2014 FANY FUTRA ILMI 12 TH L PELABUHAN LAMA RT 003 788910
    248 WAHYUDI 42 TH L L.MANGKURAT GG H.USMAN RT 020 788904
    249 SULASMI 65 TH P MUGIREJO RT 011 788907
    250 KUSWANDI 25 TH L GN.LINGAI RT 012 78879
    251 LINA 24 TH P CM.KUSUMO RT 04 788915
    252 M.ISHAK 41 TH L KS.TUBUN RT 031 788895
    253 ALIF ABID Z 3 TH L L.MANGKURAT RT 034 588192
    254 TAMSYUR HIDAYAH 52 TH L MAJENANG RT 003 708914
    255 M.MIRZA 3 TH L MERBABU RT 017 SMD 616184
    256 12/9/2014 RAFI 7 TH L RAJAWALI DALAM RT 014 788735
    257 SULFAHMI 30 TH L KH.HARUN NAFSI RT 015 788743
    258 BAYU RIZKY A 3 TH L ANGGUR RT 055 531157
    259 ROSIDA 30 TH P KH.ABD MUTHALIB RT 009 788732
    260 REXYLANO ANINDRA PUTRA 4 TH L A.YANI GG MASYARAKAT RT 026 608170
    261 NURIA MAHARANI AHSA 3 TH P REJO MULYO RT 033 759100
    262 ANA SULITTIYAWATI 28 TH P OTISTA GG 12 RT 014 785325
    263 RISKA FITRI Y 18 TH P KH.MAS MANSYUR RT 028 789065
    264 RENDY BAGUS SETIAWAN 10 TH L MUGIREJO RT 009 788749
    265 NACITA FITRIANNI SHABIYYA 1 TH P KH.W.HASYIM RT 028 786478
    266 M.TOHIR 24 TH L TRISARI RT 025 789082
    267 RISMA AULIA ARDANA 6 TH P KH,.W.HASYIM RT 052 717519
    268 HERLIANSARI 38 TH P HASAN BASRI RT 019 760641
    269 SRI ASTUTI 30 TH P P.SURYANATA RT 044 252000
    270 HANA RAYHANI 38 TH P PERUM SOLONG DURIAN BLOK B7 NO 6 788963
    271 MANISA 57 TH P TRISARI RT 022 789093
    272 SARIANAH 50 TH P L.MANGURAT RT 023 GG 4 742704
    273 SYARIFAH OLGA AISYAH 48 TH P PERUM PKL BLOK B NO 628 RT 019 621835
    274 JANIAH 82 TH P JELAWAT RT 020 789084
    275 NOR ROKHMAN 26 TH L M.YAMIN RT 015 777315
    276 YUSUF 56 TH L MILONO RT 013 694840
    277 RAMLI BARDAH 46 TH L GERILYA RT 089 786740
    278 FADILAH UMAIRAH 6 TH L ERY SUPARJAN RT 012 789097
    279 AMIR 58 TH L MUGIREJO RT 001 789103
    280 M.TIRTA HASAN RIFA'I 1 TH L KS.TUBUN GG 5 RT 007 789071
    281 M.RAMADHAN 6 TH L AM SANG AJI GG 7 RT 005 760994
    282 13/9/2014 M.RIDHO 5 TH L KH.HASIM ASHARI RT 035 789245
    283 ROKAYAH 33 TH P JAKARTA GG TUGU RT 081 789248
    284 SYAMSIAH 48 TH P S.RIADI GG 4 RT 033 789169
    285 ANDI RISMAWANTI MAWA 15 TH P BENGKURING RAYA BLOK A NO 124 RT 70 789478
    286 FANIANTI MISI 26 TH P BUNG TOMO RT 02 789186
    287 HAMIDAH 51 TH P ADAM MALIK RT 001 789167
    288 ANUGERAH 30 TH L PERUM TALANG SARI BLOK AD 8 RT 030 789052
    289 RIANTO 21 TH L LEMPAKE JAYA RT 020 789171
    290 YAHYA SONDANG S 42 TH L BAYANGKARA GG I B RT 004 789188
    291 ALDAMSYAH REHAN 7 BL L AGUS SALIM GG 8D NO 63 RT 037 783112
    292 NUR AISYAH 4 TH P OTISTA ISKANDAR DINATA RT 032 457513
    293 MASTUR 54 TH L AGUS SALIM NO 60 RT 037 576728
    294 ABD SOMAD 57 TH L P.ANTASARI GG HKURDI RT 007 762730
    295 ISMIATI 36 TH P CENDANA GG 4 BLOK B NO 05 RT 004 789147
    296 KHAIRUL IKSHAN 7 TH L DI PAINJAITAN RT 034 789151
    297 A.FADHILLAH WAHYUDI 5 TH L P.SURYANATA RT 042 450819
    298 GUSTI ERLITA 39 TH P GN,CERMAI RT 001 418668
    299 REGA FADILLAH SEPTIADI 3 TH L T.UMAR RT 035 789106
    300 MEGA LESTARI 21 TH P HOS COKRO AMINOTO RT 030 786787
    301 NOVAL MULYANA 44 TH L L.MANGKURAT GG RIVAI NO 21 RT 034 700864
    302 HERIANSYAH 38 TH L HASAN BASRI RT 019 760641
    303 EDI MARLIANSAYH 52 TH L KH.SAMANHUDI RT 003 789138
    304 ARTININGSIH 38 TH P KEBAHAGIAN RT 040 789105
    305 ADE RAHAYU 25 TH P PERUM SAMBUTAN ASRI K 04 777277
    306 M.AL DZAKIY 1 TH L M.YAMIN 756010
    307 14/3/2014 UDIN 63 TH L DI PANJAITAN RT 034 789347
    308 M.IKSAN KAMIL 8 BL L PADAT KARYA RT 001 SE KLDNG 741322
    309 HASBI 58 TH L PEMUDA II RT 012 789281
    310 MEIRIZKA PUTRI N 9 TH P TURI PUTIH RT 089 790604
    311 AMELIA ASTRI PUSPITA 3 TH P SITI AISYAH NO 27 R T028 742857
    312 SARMI ASA DATU BUA 20 TH P SEJATI GG KASAH 1 RT 021 789290
    313 SITI LARIFAH 46 TH P LUMBA LUMBA RT 016 789302
    314 DESI RAHMAYANTI 30 TH L M.SAID RT 029 789300
    315 KAYLA RISQI RS 1.5 TH P KEMAKMURAN GG KNPI RT 021 718268
    316 JENEETA JAURA RHAMADHANI 3 TH P ST .SULAIMAN GG H SALMAN RT 10 738700
    317 SUSIANI 40 TH P LEMPAKE RT 007 783369
    318 SATRIA PRATAMA CH 5 TH L DR.SOETOMO RT 039 523563
    319 M.ZAINI ABDUL G 7 TH L PM.NOOR GG KELUARGA RT 038 724341
    320 REIHAN RAUL SETIANTO 5 TH L P.ANTASARI GG H.MANSYUR RT 002 765129
    325 SAFTHA ARDHELIA PUTRI 1 TH P MANUNGGAL GG 3 RT 076 774955
    326 MASRIAH 66 TH P OTISTA RT 022 552905
    327 REHAL RICKY NUREYNARD 2 BL L MERANTI GG II NO 57 RT 016 789204
    328 ALAMSYAH 31 TH L SENTOSA DALAM II RT 079 731998
    329 M.RIDHO MALIK 1 TH L JAKARTA BLOK 1 BLOK C5 NO 19 RT 039 789372
    330 AMELIA ASTRI PUSPITA 3 TH P SITI AISYAH NO 27 R T028 742057
    331 MARHAYYAH 32 TH P WIJAYA KESUMA V C RT 017 789229
    332 MARYUNI 37 TH P OTISTA RT 030 569540
    333 M.YUNUS 74 TH L GN.PASIR RT 014 789357
    334 TAJUDDIN 34 TH L WIJAYA KESUMA 5 NO 51 RT 019 770298
    335 IDA ARIAYANI 54 TH P KAHOI 2 A NO 85 RT 035 549754
    336 VEMMY NUUR JUNITA 3 TH P JELAWAT NO 40 RT 001 789254
    337 SYAHRANI 62 TH L SENTOSA GG KENANGAN RT 076 789231
    338 NUR DAUD 2 TH L OTISTA RT 032 768329
    339 ANITA TOURISIA 44 TH P M.SAID RT 003 263096
    340 M.AL DZAKIY 1 TH L M.YAMIN RT 021 756010
    341 CHICO ERVI 19 TH L PADA ELO RT 004 789246
    342 KORI ALDI 19 TH L CIPTO MANGUN KUSUMO RT 018 789311
    343 NORMA YANI 30 TH P MT.HARIYONO GG 55 RT 054 789304
    344 SEPTIAN EKA WULANDARI 26 TH P GERILYA GG MANDIRI NO 48 RT 110 789286
    345 SITI APRILIA KIRANA 5 TH P HASAN BASRI RT 019 760641
    346 15/9/2014 TRI BAGUS SETIAWAN 26 TH L KS.TUBUN GG 7 RT 001 789412
    347 HASAN BASRI 57 TH L ST.ALIMUDDIN RT 025 789416
    348 SUDARWATI 60 TH P W.MONGONSIDI RT 017 712952
    349 MAT HERI 27 TH L DR.SUTOMO GG 1 RT 029 525942
    350 SUHARPAN 20 TH L BATU CERMIN RT 005 789406
    351 FACHRULLAH 30 TH L RE.M.DINATA GG TUKANG RT 009 510532
    352 SITI RANIAH 3 TH P DI PANJAITAN GG 3 RT 036 779697
    353 KALEA RAIKA ZITANANDHIKA R 1 TH P JAKARTA BLOK B NO 7 RT 054 748213
    354 DAFFA MAULANA HAKIM 1 TH L MARSDA A SALEH RT 025 789431
    355 NUR HANIFAH 6 BL P GATSU RT 044 789466
    356 RAMADHAN PUTRA FRATAMA 2 TH L AM.SANGAJI GG 9 RT 007 721518
    357 M.ALDO SAPUTRA 5 TH L GERILYA GG RUKUN RT 109 785307
    358 ANDRIAN ANAM 7 TH L MERANTI GG 1 RT 023 443975
    359 LISNAWATI 40 TH P L.MANGKURAT RT 010 781859
    360 M.SAID 55 TH L L.MANGKURAT RT 034 789454
    361 LENI MARLITA 39 TH P PROKLAMASI III BLOK C NO 20 RT 055 789396
    362 NICO MANGURU 74 TH L L.MANGKURAT GG H.USMAN RT 020 784719
    363 MASEUWERA 84 TH P AGUS SSALIM GG 8D NO 73 RT 037 789363
    364 PRAYITNO 48 TH L KEMAKMURAN GG PLN RT 022 789375
    365 M.AZHARI NOOR 42 TH L DANAU JEMPANG RT 025 738041
    366 M.RAOUFURROQIM 12 TH L KH.DAMANHURI II RT 028 533363
    367 SUNIAH 60 TH P M.YAMIN GG 1 RT 015 789343
    368 NAZWA LATHIFA RAMADANIA 2 TH P PERNIAGAAN RT 037 789344
    369 YUDHA MOGA TIMURA 30 TH L MANGGA II NO 56 RT 013 789350
    370 M.FADHIL FATAHILLAH 5 TH L GATSU RT 012 789332
    371 SUDARWATI 60 TH P W.MONGONSIDI RT 017 712952
    372 M.YUSUF 22 TH L LAPAS KLAS II A SAMARINDA 789441
    373 16/9/2014 RIDWAN ATID SULAIMAN 2 TH L DELIMA RT 050 767757
    374 MAUDY NURLITA SARI 23 TH P AWS RT 012 731257
    375 IBRAMSYAH 63 TH L AM.SANGAJI RT 006 521133
    376 ADE IRMA SURYANI 35 TH P PELITA 3 SMBTAN RT 012 743925
    377 JANIAH 82 TH P JELAWAT RT 020 789084
    378 RIADI CANDRA 27 TH L JELAWAT GG 9 NO35 RT 003 789562
    379 ERNIVA 51 TH P RE.M.DINATA GG MELATI RT 008 787002
    380 JASON SINAGA 32 TH L TURI PUTIH RT 089 789502
    381 DINDA INDAH R 16 TH P PM.NOOR RT 049 789544
    382 NABILA SABRINA 7 TH P KEMAKMURAN GG KNPI NO 65 RT 021 789498
    383 M.FIRMAN FERDIANSYAH 1 TH L BIOLA GG NIKMAT RT 033 716238
    384 NAUFAL ATHILLAH WAFI DIAH 6 TH L KEDONDONG DALAM V RT 007 789486
    385 ERNI 34 TH P KAHOI B RT 031 751978
    386 MARSELA DWI ARANTI 3 TH P BAYAM 1 RT 090 789517
    387 YULIANA ANDAYANI RINDIDNG 41 TH P PERUM TEPIAN RT 001 528062
    388 NANANG NURAHDI 48 TH L CENDANA GG 6 NO 40 RT 08 789535
    389 ASMIRAN 63 TH L ULIN GG 23 RT 006 427148
    390 EKO PRASETYO 20 TH L RE.M.DINATA RT 010 789552
    391 ANDI LAIYA 34 TH P REVOLUSI GG HIKMAH RT 020 769035
    392 SUYATI 31 TH P DIPONOGORO RT 023 BUKUAN 789448
    393 SAUR HELMINA SIAGIAN 39 TH P KEBON AGUNG RT 007 789445
    394 M.AL ZIDANSYAH 5 TH L SENTOSA RT 044 520600
    395 IRMA SAVITRI 23 TH P KEBON AGUNG RT 008 789563
    396 17/9/2014 NAILAH 51 TH P GELATIK RT 016 221260
    397 ANIK YULIANTI 35 TH P W.M.SIDI RT 021 789581
    398 SURIANSYAH HD 58 TH L RAUDAH 3 BLOK IV B RT 014 789622
    399 SUDARTIKA 54 TH P PASUNDAN GG 3 RT 19 789595
    400 TRI UTAMI 31 TH P P.SURYANATA RT 030 583644
    401 ABI GURDI 48 TH L P.BENDAHARA GG KARYA AMAL RT 005 789587
    402 SITI ASIAH 53 TH P EKONOMI GG MAHAKAM 1 RT 011 631418
    403 YULIANA SARI 33 TH P ADAM MALIK GG JAMBU RT 004 710963
    404 RIAT 73 TH L AWS 4 RT 25 789628
    405 MARIA ULFAH 38 TH P HASANUDDIN RT 019 584739
    406 RIADI CANDRA 27 TH L JELAWAT GG 9 RT 003 789562
    407 RUSMINI 51 TH P A,YABI NO 22 RT 010 623413
    408 SANI 48 TH L SEI KAPIH RT 004 591423
    409 ANWAR S 44 TH L PERUM TALANG SARI CL LILY NO 102 RT 03 789190
    410 DENNY SANJAYA DALEDA 2 TH L S.RIADI GG 4 RT 014 767541
    411 M.NOOR 8 TH L SAMANHUDI GG BERSAMA RT 001 789678
    412 RAHMAH 51 TH P KH.HARUN NAFSI RT 009 789901
    413 DASIRAN 72 TH L PURI INDAH GG ABADI 3 RT 003 706999
    414 BASMAWATI 42 TH P KH.HARUN NAFSI RT 020 789569
    415 ALIF INDRAWAN 6 TH L KARYA BAKTI RT 010 789529
    416 M.AFDHALUDZ DZIKRI 2 TH L KARYA BAKTI RT 010 789530
    417 SENDY ALYA ISTIQOMAH 10 TH P ADAM MALIK RT 004 475956
    418 ARDIANSYAH 30 TH L GN.LINGAI RT 010 789841
    419 ENDANG MISTRI YANINGSIH 24 TH P MALANG SIMPANG PASIR RT 005 789467
    420 18/9/2014 M.FAREL HABY 1 TH L KOMP.PASAR SEGIRI RT 028 721958
    421 SITI RAMLAH 25 TH P DELIMA RT 051 789652
    422 M.JUNUAR S 7 TH L KH.AGUS SALIM GG BENAWA NO 66 RT 19 787226
    423 NUR KASAN SARIMAN 63 TH L SENTOSA DALAM 2A RT 078 671901
    424 IRLIN HADIJAH 28 TH P S.RIADI GG GOTONG ROYONG RT 031 789700
    425 NAYLA SANTIKA 5 TH P ADAM MALIK II GG H NASRI RT 002 789743
    426 RINI 42 TH P KH.W.HASYIM RT 054 663529
    427 YUSNIANSYAH 24 TH L RE.M.DINATA GG MELATI RT 008 508602
    428 NUR BAYAH 21 TH P PADAT KARYA RT 073 LBK 789725
    429 FIRMAN IBNU AURUM 24 TH L GATSU GG 7 NO 54 RT 028 534873
    430 ZHAAFIRAH 4 TH P JAKARTA BLOK Z 1O RT 045 789742
    431 YAHYA SONDANG S 42 TH L BHAYANGKARA GG IB RT 004 789779
    432 DEWI AGUS PUJIYANTI 34 TH P ULIN GG 17 NO 27 RT 014 714207
    433 MEIRIZKA PUTRI N 6 TH P TURI PUTIH RT 089 490604
    434 RIZKY RAMADHAN 5 TH P IR SUTAMI GG AL MUJAHIDIN RT 009 789655
    435 MANIYAH 38 TH P GERILYA RT 033 789635
    436 M.KURSIYANTO 26 TH L SUBULUS SALAM RT 035 789600
    437 HALIMAH 48 TH P TRISARI RT 022 747025
    438 HELDA 34 TH P MUSO SALIM RT 020 479793
    439 NAZWA LATHIFA RAMADAN 2 TH P PERNIAGAAN RT 037 789344
    440 DZIAN RATMADHANI USMAN 1 TH L AWS GG RT 035 718764
    441 LAELATUL FATMANARIDA 25 TH P RING ROAD RT 037 538425
    442 ANNISA AZIZAH A 9 TH P RAUDAH NO 32 RT 020 709646
    443 19/9/2014 BASRAN 21 TH L KEMAKMURAN GG KNPI RT 021 789780
    444 SUKARTA 47 TH L RAUDAH III RT 012 461149
    445 SILTA TODING DATU 31 TH P CM.KUSUMO RT 04 789770
    446 M.MASRI 49 TH L L.MANGKURAT GG AL JAWAHIR RT 029 444513
    447 M.ILHAM DAWUUD 8 TH L SENTOSA GG 3 NO 66 RT 030 763043
    448 ROSITA 23 TH P BELATUK VII RT 021 789767
    449 YENI NINGTYAS SARI 24 TH P DI PANJAITAN RT 016 764156
    450 SABARIAYAH 72 TH P P.ANTASARI RT 022 505714
    451 RIZKY AMELIA 22 TH P KULINTANG GG CIPARI RT 038 733947
    452 20/9/2014 FEBRI DIANA ASTUTI 23 TH P KARANG MUMUS RT 007 789931
    453 HAENUDDIN 45 TH L PEMUDA 2 RT 10 636925
    454 M.AGUS 45 TH L S.PARMAN GG 1 NO 22 RT 001 789898
    455 ISMI PORANDA 26 TH P HJ.HIJRAH RT 10 789896
    456 ADRIAN 21 TH L S.PARMAN GG 3 RT 030 789886
    457 TABINA TSANY NR LATHIFAH 3 BL P P.SURYANATA GG AL BAROKAH RT 042 785097
    458 BENEDIKUS TIWA 50 TH L PERUM PURI BLOK G RT 002 681177
    459 NOVA YUDIZ TIARA 4 TH P TRISARI RT 022 646922
    460 HENDRO 23 TH L SENYIUR INDAH BLOK AA RT 042 789892
    461 USMAN 36 TH L KH.HARUN NAFSI RT 011 NO 83 789833
    462 ADE FERDIANSYAH 4 TH L P.ANTASARI NO 13 RT 006 689507
    463 IBNU PANSAH 34 TH L T.UMAR GG DURIAN TUNGGAL RT 035 709897
    464 HERI WAHYUDI 29 TH L GN.LINGAI GG RAHMAN RT 022 738497
    465 ASIH HAMALAFIQHIN 14 TH P DI PANJAITAN RT 002 789984
    466 M.RIFQI 1 TH L REVOLUSI RT 038 730649
    467 RINITA 18 TH P RUKUN RT 005 782614
    468 M.FAHMI 6 TH L MERDEKA II RT 92 NO 88 789908
    469 ZEIN NURPASHA PRASETYA 1 TH L SENTOSA GG KENANGAN RT 075 717575
    470 21/9/2014 M.ALWI SANTANG 1 TH L KEMAKMURAN DALAM RT 020 790054
    471 WA PASIRI 40 TH P KARYA BARU RT 10 790044
    472 M.FIQRI ANANDA 8 BL L DAMAI RT 025 738740
    473 NUR LATHIFAH 9 BL P CENDANA GG 3 NO 33 RT 19 758295
    474 KAYLA AZ ZZAHRA 2 TH P MUGIREJO RT 005 715164
    475 M.ZIO NUR YADI 4 TH L BATU CERMIN RT 003 351283
    476 YULIANA 3 TH P BIAWAN GG 6 RT 014 790011
    477 ULFAH 32 TH P P.ANTASARI GG RT 005 762041
    478 ANDI PEPI ANDRIANI 18 TH P MARSDA A SALEH RT 041 790002
    479 RUSMANIAH 58 TH P MT.HARYONO E4 NO 16 RT 002 739257
    480 ENDANAG SUBEKTI 64 TH P TALANG SARI RT 008 789998
    481 RUSDA 31 TH P ULIN GG 7 RT 026 785490
    482 NOVIA MOELINTHA 21 TH P P.BENDAHARA RT 002 600005
    483 LASMINI 43 TH P AM.SANGAJI RT 016 790031
    484 DIANA 41 TH P BATU BEASAUNG RT 026 790050
    485 YUANITA RATU A 4 TH P AM SANGAJI GG 4 RT 006 675265
    486 ILENGE 46 TH P PERNIAGAAN RT 015 700177
    487 M.RENALDY IMANI 11 TH L PELITA 3 SMBTAN RT 012 785025
    488 A.IBRAHIM B 27 TH L KH.W.HASYIM 790073
    489 RITA SUSANTI 26 TH P KECAPI NO 25 RT 035 789972
    490 SULISTIYO 21 TH L PURWODADI RT 009 789959
    491 EKA ERNAWATI 16 TH P SUKO REJO RT 041 790082
    492 MARSELINA NUR AZUZAH 6 BL P GERILYA GG KELUARGA RT 112 790038
    493 RINI JUMIATI 21 TH P CENDANA GG 11 NO 14 RT 09 790070
    494 AYU LESTARI 17 TH P HJ.JAHRAH RT 012 790084
    495 AYU LESTARI 17 TH P HJ.JAHRAH RT 012 790084
    496 FITRIANI 32 TH P PERUM TEPIAN RT 049 790074
    497 HERRY OSCAR 52 TH L MUSO SALIM NO 68 RT 015 694906
    498 M.LUTHFI 10 TH L W.MONGONSIDI RT 040 622162
    499 21/9/2014 NORHASANAH 17 TH P PERJUANGAN RT 003 SMPJ 790079
    500 MUCHLIS 15 TH L AZIS SAMAD RT 033 650055
    501 DENNY SANJAYA DALEDA 2 TH L S.RIADI GG 4 NO 29 RT 014 767541
    502 RIZKI NUR MAULIDA 16 TH P P.ANTASARI GG IJABAH RT 005 790001
    503 M.HAMDI 16 TH L BATU CERMIN RT 005 790098
    504 DIANA 16 TH P KOMP PASAR SEGIRI RT 027 790086
    505 AISYAH INSANI KAMILA 2 TH P KH.ABUL MUTHALIB RT 004 645305
    506 SUCI RAHMAWATI 6 TH P GERILYA SOLONG RT 059 792180
    507 SABARIAH 39 TH P RE.MARTADINATA GG VILLA TARUNA 2 RT 0 792116
    508 RASINAH 66 TH P AM.SANGAJI RT 019 792109
    509 ADLI ABU SULAIMAN 3 TH L KULINTANG GG CIPARI RT 038 792202
    510 MARIANI 51 TH P OTISTA RT 014 792200
    511 DIANA 41 TH P BATU BESAUNG RT 026 790050
    512 IBRAHIM KADRIE 61 TH L PRAMUKA RT 028 530700
    513 AZLAN DARMA PUTRA 6 BL L S.PARMAN NO 3 RT 002 792114
    514 M.FAUZY RAMMADHANI 8 TH L OTISTA RT 032 792183
    515 EKA OKTAFIAN 17 TH L A.DAHLAN GG 1 NO 133 RT 011 792134
    516 MEGA LESTARI 21 TH P HOS.COKRO AMINOTO RT 030 796787
    517 ASMIYAH 17 TH P AWS RT 014 790060
    518 M.AGUS PRADANA 25 TH L CENDANA GG 12 NO 1 RT 034 718518
    519 ELMIATI 34 TH P DR.SOETOMO GG 4 A RT 032 790062
    520 JUNIOR ARJUN MAHESA 3 BL P MERANTI GG II RT 075 RT 016 779103
    521 23/9/2014 ISTIQOMAH 48 TH P P.ANTASARI RT 004 792297
    522 NAZLIA AZZAHRA 7 TH P ARIF RAHMAN HAKIM RT 027 785711
    523 SITI MASITOH 44 TH P MERAPI RT 013 TNH MERAH 720842
    524 HELDAYANI 21 TH P P.SURYANATA RT 017 792192
    525 TYA FEBRITA SARI 20 TH P BAYAM 3 NO 388 RT 088 459973
    526 AQILLA NUR HALIMAH 1 TH P ST.ALIMUDDIN RT 035 792367
    HALIMATUSADIAH 25 TH P PELITA 4 RT 013 792303
    527 JUHARI VANA P.K 11 TH L MERDEKA GG OTOK RT 097 792163
    SUWARDI 50 TH L LUMBA-LUMBA NO 53 RT 015 792175
    SITI AMINAH 25 TH P MERBABU RT 009 TNH MERAH 792108
    528 RIYAN NAUFAL HAFIDZ 6 TH L KH.SAMANHUDI RT 004 792101
    529 WILDA PUSPITA IRAWAN 3 TH P BUNGTOMO RT 013 567055
    530 ABI GURDI 48 TH L P.BENDAHARA GG KARYA AMAL RT 005 789587
    531 MISLAWATI 24 TH P RUKUN GG MAWAR RT 005 792187
    532 MELA SALSABILA 3 TH P KH.USMAN BERAHIM RT 016 778984
    533 MARSUDI 61 TH L MT.HARIYONO RT 001 790042
    534 24/9/2014 SURYANA 38 TH P BSTU CERMIN RT 006 689538
    535 HENI MAULANI 25 TH P KH.SAMANHUDI RT 006 792531
    536 ROY RAMADANI 4 TH L LEMPAKE RT 020 792496
    537 NAZWA AISYAH NUR RIADI 1 TH P BATU CERMIN RT 003 792529
    538 NORSIAH 48 TH P S.PARMAN RT 032 792533
    539 AFFRIZAL 6 TH L PERUM PKL BLOK D RT O11 792500
    540 TRINEIL PUTRA BIDKAR G 4 TH L MERDEKA RT 088 762582
    541 WIJI ASTUTIK 37 TH P M.YAMIN GG 1 RT 015 773785
    542 JONI 44 TH L KELAPA GADING RT 037 792346
    543 MUSTAPA 52 TH L L.MANGKURAT RT 040 350362
    544 NUR AFDILA DINATA 4 TH L KAHOI B RT 034 792389
    545 JAMINAH 62 TH P BAYUR RT 018 782552
    546 SUMIATI 52 TH P BIAWAN GG BIMA NO 60 RT 011 604678
    547 HENI WINARTI 20 TH P PADAT KARYA RT 069 792537
    548 FATCHUR RAHMAN 57 TH L GERILYA GG FAMILY RT 039 428768
    549 RIDHO ABDUL HAFIZ 5 TH L M.YAMIN GG 1 RT 015 792349
    550 BARA TONI ERLANGGA 4 TH L KEMAKMURAN GG AMAN RT 043 525485
    551 JUMIATI 38 TH P LABU SIAM 4 NO 292 RT 073 792350
    552 KARTINI H 51 TH P DI PANJAITAN RT 033 716421
    553 LIYANA EGA WAHYUNI 2 TH P CENDANA GG 4 RT 04 702356
    554 HAMISYAH 44 TH P KH.HARUN NAFSI NO 17 RT 20 792372
    555 M.RIDHO AL FARIZI 10 TH L M.SAID GG 4 RT 10 792357
    556 ENDANG 41 TH P CM.KUSUMO RT 008 792371
    557 NARHA 32 TH P P.SURYANATA GG CEMPAKA NO 42 RT 029 792342
    558 MARDALENA 48 TH P JAMRUD RT 006 782642
    559 SHINTA DWI M 3 TH P L.MANGKURAT GG 5 RT 022 751877
    560 AGUS TRIANI 22 TH P DR.SOETOMO RT 035 792361
    561 FATIMAH 20 TH P BAYUR RT 019 792358
    562 25/9/2014 REZA ARYASAT YA RAMADHANI 1 TH L KEDONDONG DALAM V RT 007 792581
    563 SETIYO MAHANANI 40 TH L JOYO MULYO RT 037 792543
    564 DEVI HYFOBIA ADHASARI 7 TH P P.ANTASARI GG NUSA INDAH RT 004 792553
    565 JAMILAH 51 TH P KH.MAS MANSYUR GG DEWI RT 027 790505
    566 JAINI JAELANI 58 TH L KH.A.DAHLAM RT 039 731936
    567 LUKAS BA'RU 57 TH L BERAMBAI RT 037 792335
    568 ABDULLAH 58 TH L PADA ELO RT 006 428706
    569 MU'AYAH 52 TH P BUGIS MUGIREJO RT 002 792682
    570 SITI YULIANA 58 TH P IMAM BONJOL KOM ASRAMA KODIM RT 034 770605
    571 AQRA NUR BIYAN 1 TH L TENGKAWANG NO 43 RT 015 792679
    572 JUNIAH 38 TH P RE.M.DINARA RT 021 792038
    573 26/9/2014 NINA INDRIANI 26 TH P ST.SULAIMAN RT 010 706022
    574 NARDI 38 TH L CENDANA GG 16 RT 014 792622
    575 M.HAFIDZ HABIBUL W 6 TH L KEBUN AGUNG RT 001 792852
    576 ELSA DWI MORTIANA 5 TH P BATU CERMIN RT 002 713493
    577 AWALIYAH SAFARYANI 27 TH P JAKARTA BLOK EL 14 RT 74 792868
    578 HARIYATI 18 TH P TEUKU UMAR RT 035 360676
    579 INTAN MOLEKA PUTERI 6 TH P PERUM SIP RT 031 H7 NO 093 762444
    580 AYU RETNO SAWITRI 16 TH P SUKO REJO RT 039 792643
    581 NAFSIAH 73 TH P LUMBA2 GG 2 RT 003 467698
    582 EDI SUPARNO 33 TH P W.MONGONSIDI RT 017 792894
    583 TAMSIR 48 TH L KH.M.MANSYUR RT 017 714897
    584 DANTI 24 TH P KALAN LUAS RT 017 793940
    585 M.NUR 1 TH L AWS RT 023 792908
    586 M.AFKAR A 3 TH L PERUM SAMBUTAN RT 034 792917
    587 DARMA PUTRA 5 TH L DR.SOETOMO RT 034 505911
    588 SAMSIANAR 71 TH P ABUL HASAN GG 7 RT 013 792906
    589 LIU INGAN 67 TH L DI PANJAITAN NO 98 RT 033 501866
    590 NUR IHSAN 7 TH L DELIMA RT 051 792133
    591 PETRA ALEXANDER W 11 TH L KH.W.HASYIM GG PAPADAN RT 024 754384
    592 RAHMAWATI DAFID 27 TH P SUTRA KEMABANG RT 009 792914
    593 ALIANSYAH 76 TH L KALAN LUAS RT 017 792875
    594 REZA ARYASAT YA RAMADHANI 1 TH L KEDONDONG DALAM V RT 007 792584
    595 EDDY MULIANSAYH 46 TH L PERUM MUTIARA INDAH RT 023 418242
    596 ZULAN AZRIL NURBASAH 2 TH L PAHLAWAN 2 RT 028 671911
    597 SITI RAHMAH 21 TH P AWS GG PANDAN MEKAR RT 030 792717
    598 AISYAH HUMAROH 4 TH P HASAN BASRI GG 2 NIBUNG RT 027 792722
    599 KHAIRUL IKSHAN 7 TH L DI PANJAITAN RT 034 789151
    600 NURHAYATI 40 TH P SLAMET RIADI RT 030 453949
    601 ALDI RIAN FIRMANSYAH 17 TH L L.MANGKURAT RT 084 792845
    602 HENDRO 23 TH L SENYIUR INDAH BLOK AA RT 042 789892
    603 27/9/2014 INTAN MOLEKA PUTERI 6 TH P PERUM SIP RT 031 H7 NO 093 762444
    604 SUWADI 50 TH L P.ANTASARI G IJABAH RT 005 406531
    605 NINA INDRIANI 26 TH P ST.SULAIMAN RT 010 706022
    606 TUKIYAH 50 TH P W.MONGONSIDI RT 017 793035
    607 SITI AMINAH 58 TH P TEKUKUR II NO 17 RT 019 792577
    608 ADELIA SAPUTRI 3 TH P GERILYA GG SEPAKAT RT 101 595383
    609 RAHMAT 31 TH L AWS H.SABRAN 2 RT 089 793001
    610 JOHANES MALLUA 49 TH L PEMUDA 2 RT 10 561617
    611 ANDINI KHAIRULNNSA 4 TH P MANGGIS NO 6B RT 044 793041
    612 M.AZRIL HUSAIN 2 TH L KEMANGGI GG NUNUKAN RT 023 721551
    613 HADIJAH 30 TH P GIRIREJO RT 023 793022
    614 AYU RETNO SAWITRI 16 TH P SUKO REJO RT 039 793643
    615 RABASIAH 42 TH P REVOLUSI RT 038 793012
    616 HENDRA SETIAWAN 32 TH L CENDANA GG 15 NO 29 RT 032 793991
    617 M.FAHMI 6 TH L MERDEKA II RT 92 NO 88 789908
    618 ALLIF ARYA JUNIOR 1 TH L LEMPAKE RT 042 756761
    619 M.NAZRIEL MUSYAFFA 4 TH L P.SURYANATA RT 029 480359
    620 JONI 44 TH L KELAPA GADING RT 037 792346
    621 WARDAH 40 TH P KEMAKMURAN RT 014 792953
    622 ARDI APRILLIAN P 18 TH L MARSDA A SALEH NO 3 RT 025 677576
    623 SABRINA AMINAH ADHA 2 TH P ROTAN SERUMPUN SALAK RT 014 792977
    624 ASYILA ALUNA BALQIS 6 TH P GN.LINGAI RT 004 761661
    625 IDIK 47 TH L BATU CERMIN RT 005 645568
    626 JUMRAN ALPACI 45 TH L PERUM SMBTN ASRI BLOK F RT 026 716855
    627 NARU AKHMAL AL MUJIDAN 9 BL L ULIN GG 7 RT 026 792979
    628 28/9/2014 ANNISA 20 TH P TRI SARI RT 025 739093
    629 SHIFA SALSABILA 6 TH P KH.HASYIM ASHARI RT 030 793109
    630 EVAN JANUAR ADHYARSA 10 TH L IMAM BONJOL GG 79 NO 23 RT 005 622887
    631 FITRA QIRANNA 1 TH P ST.SULAIMAN RT 031 790485
    632 MUTIARA KHUMAIROH 9 TH P PELITA 3 RT 012 793088
    633 NURYANI 60 TH P PERUM TALANG SARI RT 004 745600
    634 ERNA NINGSIH 52 TH P P.ANTASARI NUSA INDAH 3 RT 002 793061
    635 A.FADILAH 1 TH L P.SURYANATA GG JULAK RT 004 793165
    636 AJI KARTINI 83 TH P KH.W.HASYIM RT 052 759668
    637 SITI BAQIAH 58 TH P AGUS SALIM GG 40 RT 030 358525
    638 KARMILA ORHANS 26 TH P A.YANI GG MASYARAKAT RT 026 793145
    639 DINI INDAH PURNAMA SARI 25 TH P KH.USMAN BERAHIM C 14 RT 014 785228
    640 M.AZRIL HUSAIN 2 TH L KEMANGGI GG NUNUKAN RT 023 721551
    641 NUR ASYAROH 32 TH P P.SURYANATA RT 002 NO 3 793139
    642 MASRIAH 66 TH P OTISTA RT 022 793132
    643 RISMA YULIANA 13 TH P AGUS SALIM RT 016 775728
    644 SRIYATI 47 TH P PERUM TEPIAN RT 048 793130
    645 29/9/2014 FEBRIYANI RAHAYU 6 TH P HASANUDDIN RT 019 793254
    646 SUSI HENIK DESIANI 30 TH P RAWA SARI RT 011 793217
    647 SULEMAN 38 TH L CM.KUSUMO RT 006 793224
    648 SYAWALUDIN 1 TH L ST.ALIMUDDIN GG CUMI CUMI RT 026 766769
    649 FARIDAH NOOR HIDAYAH 6 TH P KH.A.DAHLAN RT 011 793214
    650 CHANDRA IRAWAN 27 TH L GELATIK NO 12 RT 016 793196
    651 LA UNE 56 TH L PAHLAWAN GG 2 RT 028 783462
    652 M.IBRAHIM 6 TH L OTISTA RT 013 786421
    653 LAZARUS NARI 48 TH L PADAT KARYA RT 084 793181
    654 SUWARNI 53 TH P A.YANI GG MASYARAKAT RT 019 578578
    655 DASUKI SANTOSA 41 TH L TERONG PIPIT 4/592 RT 079 791776
    656 A.HAMID IHSAN 6 TH L TERONG PIPIT 4/592 RT 079 793178
    657 HAFIDH MAHMUD 10 TH L TERONG PIPIT 4/592 RT 079 793177
    658 HABIBAH NAILA SYAKIRA 7 TH P MT.HARIYONO GG 1 RT 009 793299
    659 ERMA AMELLIA 10 TH P REVOLUSI RT 007 793282
    660 RAHMAWATI 29 TH P REEL RT 019 793246
    661 SAMUEL 36 TH L A.YANI RT 018 759143
    662 TYA FEBRITA SARI 20 TH P BAYAM 3 NO 388 RT 088 459973
    663 RIFALDY YULI P 2 TH L SENTOSA DALAM II RT 079 771826
    664 KAMALIA 36 TH P ROTAN SERUMPUN SALAK RT 014 793287
    665 BUNGSU 63 TH P KH.M.MANSYUR GG PELOPOR NO 64 RT 075 793279
    666 RENOHADY 54 TH L LEMPAKE TEPIAN RT 001 664365
    667 PERA 23 TH P KH.USMAN BERAHIM NO 16 RT 012 793255
    668 30/9/2014 ALFIN DEWA PRATAMA 10 TH L JELAWAT GG 9 RT 038 793264
    669 ABD SOMAD 57 TH L P.ANTASARI GG H.KURDI RT 007 762738
    670 AGUS RUSTONO 51 TH L H.ABD SANI GANI 672898
    671 DARMAIZAR ARIF 29 TH L ANGGERK MERPATI 10/70 RT 023 762968
    672 YULIANA 14 TH P ADAM MALIK 2 GG CIRTA BARU RT 002 742149
    673 RHAKA AJI RIYANTO 3 TH L M.YAMIN GG 1 RT 015 793349
    674 BARA TONI ERLANGGA 4 TH L KEMAKMURAN GG AMAN RT 043 525485
    675 BUDI SANTOSO 34 TH L P.SURYANATA GG 9 RT 027 639351
    676 NOVI HARIYANTO 24 TH P KH.M.MANSYUR RT 025 793389
    677 ALVIRA PRASASTRI 2 TH P A.YANI GG MASYARAKAT RT 025 793315
    678 NINA INDRIANI 26 TH P ST.SULAIMAN GG H SALMAN RT 10 706022
    679 KARJITO 40 TH L KH.SAMANHUDI RT 006 793382
    680 ULFAH 32 TH P P.ANTASARI GG KENANGA RT 005 793381
    681 JUMLAH
    682
    683
    684
    685
    686
    687
    688
    689
    690
    691
    692
    693
    694
    695
    696
    697
    698
    699
    700
    701
    702
    703
    704
    705
    706
    707
    708
    709
    710
    711
    712
    713
    714
    715
    716
    717
    718
    719
    720
    A SAMARINDA DI IGD RSUD. A. WAHAB SJAHRANIE SAMARINDA BULAN SEPTEMBER 2014

    RINCIAN BIAYA
    No. Peserta Diagnosa Tindakan
    Karcis IGD O2
    8 9 10 11
    FINGER TIP WTH V,INJEKSI 75,000 -
    VL WTH II,INJEKSI 75,000 -
    TB PARU RESEP 75,000 -
    DISPEPSYA PLEB 75,000 -
    VL WTH IV,INJEKSI 75,000 -
    ASMA O2,NEBU,INJEKSI 75,000 32,000
    GEA RESEP 75,000 -
    ANEMIA PLEB 75,000 -
    DISPEPSYA EKG,INJEKSI 75,000
    FEBRIS INF,PLEB,INJEKSI 75,000 -
    KONSTIPASI SUPP 75,000 -
    DISPEPSYA EKG,INJEKSI 75,000
    DISPEPSYA INF,PLEB,INJEKSI 75,000 -
    ASMA O2,NEBU,INJEKSI 75,000 32,000
    DISPEPSYA PLEB,EKG,INJEKSI 75,000 32,000
    BRONCHITIS PLEB 75,000 -
    CEPALGIA WT,INJEKSI 75,000 -
    BSK PLEB 75,000 -
    MORBILI PLEB 75,000 -
    ISPA PLEB,SUPP 75,000
    RETENSIO URIEN PASANG CATETER 75,000
    FEBRIS PLEB 75,000 -
    ISPA PLEB,NEBU 75,000
    URTIKARIA INJEKSI 75,000 -
    FEBRIS RESEP 75,000 -
    GEA INF,PLEB 75,000 -
    PPOK O2,NEBU,INJEKSI 75,000 32,000
    VL WTH V,INJEKSI 75,000 -
    GEA RESEP 75,000 -
    KRISIS HT INJEKSI 75,000 -
    KRISIS HT INF,PLEB,EKG 75,000 -
    ISPA RESEP 75,000 -
    DISPEPSYA PLEB 75,000 -
    ADNEKSITIS PLEB 75,000 -
    SCABIES RESEP 75,000 -
    ISPA RESEP 75,000 -
    ASMA NEBU,O2 75,000 32,000
    ISPA RESEP 75,000 -
    FEBRIS RESEP 75,000 -
    GERD INF,PLEB,EKG,INJEKSI 75,000 -
    DISPEPSYA RESEP 75,000 -
    INFARTU DOPLER,VT 75,000 -
    VARICELLA RESEP 75,000 -
    ISPA PLEB 75,000 -
    TONSILITIS PLEB 75,000 -
    FEBRIS RESEP 75,000 -
    INFARTU PLEB,DOPPLER,VT 75,000 -
    TB PARU INF,PLEB,INJEKSI 75,000 -
    INFARTU DOPLER,VT 75,000 -
    BSK PLEB 75,000 -
    ISPA PLEB,SUPP 75,000 -
    VL WTH II,INJEKSI 75,000 -
    INFARTU DOPLER,VT 75,000 -
    VOMITING INF,PLEB 75,000 -
    COLIC RENAL EKG,INJEKSI 75,000 -
    CKD EKG,O2 75,000 32,000
    TFA RESEP 75,000 -
    TFA RESEP 75,000 -
    VL WTH V,INJEKSI 75,000 -
    VL WTH III,INJEKSI 75,000 -
    CKR RESEP 75,000 -
    VL WTH III,INJEKSI 75,000 -
    HEMAPTOE PLEB,INJEKSI 75,000 -
    V.ICTHUM INJEKSI 75,000 -
    COMMON COLD INJEKSI 75,000 -
    DISPEPSYA INJEKSI 75,000 -
    FEBRIS RESEP 75,000 -
    FEBRIS PLEB 75,000 -
    KRISIS HT INJEKSI 75,000 -
    SINUSITIS RESEP 75,000 -
    ISK PLEB 75,000 -
    DISPEPSYA PLEB 75,000 -
    HERNIA RESEP 75,000 -
    KRISIS HT EKG 75,000 -
    INFARTU PLEB,DOPPLER,VT 75,000 -
    CHF PLEBO,EKG 75,000 -
    EDEMA TUNGAKAI PLEB,EKG,INJEKSI 75,000 -
    DISPEPSYA PLEB 75,000 -
    VOMITING RESEP 75,000 -
    CHF PLEB,EKG,INJEKSI 75,000 -
    ISK PLEB,INJEKSI 75,000 -
    GASTRITIS PLEB,INJEKSI 75,000 -
    CKR RESEP 75,000 -
    GEA INJEKSI 75,000 -
    ASMA O2,NEBU,INJEKSI 75,000 32,000
    ISPA PLEB 75,000 -
    GEA PLEB 75,000 -
    CEPALGIA PLEB,EKG,INJEKSI 75,000 -
    VL WTH IV,INJEKSI 75,000 -
    TONSILITIS RESEP 75,000 -
    DISPEPSYA INJEKSI 75,000 -
    FEBRIS RESEP 75,000 -
    ISPA EKG 75,000 -
    ISK PLEB 75,000
    ISPA RESEP 75,000 -
    GINGIVITIS RESEP 75,000 -
    ISK PLEB,SUPP 75,000 -
    VL WTH V,INJEKSI 75,000 -
    VL WTH II,INJEKSI 75,000 -
    V.ICTHUM CROSS INSISI,INJEKSI 75,000
    CF RESEP 75,000 -
    GEA RESEP 75,000 -
    NEUROLGIA INF,PLEB,EKG,INJEKSI 75,000 -
    THYPOID PLEB 75,000 -
    KRISIS HT PLEBO,EKG 75,000 -
    VOMITING INF,PLEB,INJEKSI 75,000 -
    FEBRIS RESEP 75,000 -
    KONSTIPASI PLEB 75,000 -
    FEBRIS PLEB 75,000 -
    COLIC ABDOMEN PLEB,EKG,INJEKSI 75,000 -
    ISK PLEB 75,000
    FEBRIS PLEB 75,000 -
    ORELITIS RESEP 75,000
    GEA INJEKSI 75,000 -
    CEPALGIA INJEKSI 75,000 -
    ISPA RESEP 75,000 -
    COLIC RENAL INF,PLEB,INJEKSI 75,000
    FEBRIS PLEB 75,000 -
    CEPALGIA INJEKSI 75,000
    ISPA INF,PLEB,INJEKSI 75,000 -
    INFARTU DOPLER,VT 75,000 -
    URTIKARIA INJEKSI 75,000 -
    DISPEPSYA INJEKSI 75,000 -
    ISPA RESEP 75,000
    VL WTH III,INJEKSI 75,000
    BSK PLEB,SUPP 75,000 -
    ABSES PEDIS CROSS INSISI,INJEKSI 75,000 -
    MOUSE BITE INJEKSI 75,000
    DISPEPSYA INJEKSI 75,000 -
    CORPUS ALIENIUM RESEP 75,000 -
    RHINITIS RESEP 75,000
    VOMITING PLEB 75,000
    INFARTU INF,PLEB,VT,DOPPLER 75,000 -
    FARINGITIS PLEB 75,000
    CARDIAC STABLE PLEBO,EKG 75,000 -
    FEBRIS PLEB 75,000 -
    ISPA RESEP 75,000 -
    DISPEPSYA INF,PLEB,INJEKSI 75,000 -
    GEA PLEB 75,000 -
    TONSILITIS RESEP 75,000 -
    ARTHITITIS PLEB,EKG,INJEKSI 75,000 -
    V.ICTHUM CROSS INSISI,INJEKSI 75,000 -
    V MARSUM WT,INJEKSI 75,000 -
    TONSILITIS SUPP 75,000 -
    ISPA PLEB 75,000
    HEMATOCHEZIA INF,PLEB,INJEKSI 75,000 -
    KONSTIPASI SUPP 75,000 -
    ASMA NEBU,O2 75,000 32,000
    DHF INF,PLEB,INJEKSI 75,000 -
    ISPA PLEB 75,000 -
    CKR,VL WTH II,INJEKSI 75,000 -
    VOMITING INF,PLEB,INJEKSI 75,000 -
    VL WTH II,INJEKSI 75,000
    FEBRIS PLEB 75,000 -
    FEBRIS PLEB 75,000 -
    VOMITING INF,PLEB 75,000 -
    ASMA NEBU,O2 75,000 32,000
    TONSILITIS SUPP 75,000 -
    FEBRIS PLEB,SUPP 75,000 -
    DISPEPSYA PLEB 75,000 -
    KISTA OVARIUM PLEB,INJEKSI 75,000 -
    FEBRIS PLEB 75,000 -
    ISPA RESEP 75,000 -
    COLIC ABDOMEN PLEB,INJEKSI 75,000 -
    ASMA O2,NEBU,INJEKSI 75,000 32,000
    DISPEPSYA INF,PLEB,INJEKSI 75,000 -
    FEBRIS RESEP 75,000 -
    FEBRIS PLEB 75,000
    COLIC ABDOMEN PLEB,INJEKSI 75,000 -
    DISPEPSYA INJEKSI 75,000 -
    KRISIS HT EKG,O2 75,000 32,000
    ISPA RESEP 75,000 -
    INFARTU DOPLER,VT 75,000 -
    GRAVID RESEP 75,000
    INKONTNEANSIA PASANG CATETER 75,000 -
    CORPUS ALIENIUM IRIGASI 75,000 -
    BSK PLEB 75,000 -
    ASMA O2,NEBU,INJEKSI 75,000 32,000
    TFA RESEP 75,000 -
    FARINGITIS RESEP 75,000 -
    HEG INJEKSI 75,000 -
    FEBRIS RESEP 75,000 -
    INFARTU DOPLER,VT 75,000 -
    FEBRIS INF,PLEB,EKG 75,000 -
    ASMA O2,NEBU,INJEKSI 75,000 32,000
    CLOFE FRAKTUR RESEP 75,000
    CKD INF,PLEB,GDS,EKG,,INJEKSI 75,000 -
    ISPA NEBU,O2 75,000 32,000
    ASMA NEBU,O2 75,000 32,000
    FEBRIS INF,PLEB,INJEKSI 75,000 -
    DISPEPSYA INJEKSI 75,000 -
    VL WTH II,INJEKSI 75,000
    V.ICTHUM CROSS INSISI,INJEKSI 75,000
    TRAUMA THORAX RESEP 75,000 -
    V.ICTHUM CROSS INSISI,INJEKSI 75,000 -
    COLIC ABDOMEN RESEP 75,000 -
    ASMA INJEKSI 75,000 32,000
    ISPA PLEB 75,000 -
    FEBRIS PLEB 75,000 -
    ASMA NEBU,O2 75,000 32,000
    PULPITIS PLEBO,EKG 75,000 -
    HEMAPTOE RESEP 75,000 -
    FEBRIS INF,PLEB,INJEKSI 75,000 -
    VOMITING RESEP 75,000 -
    ADNEKSITIS PLEB 75,000 -
    ISPA RESEP 75,000 -
    FEBRIS PLEB 75,000 -
    ASMA O2,NEBU,INJEKSI 75,000 32,000
    DISPEPSYA PLEB,EKG,INJEKSI 75,000 -
    V.ICTHUM CROSS INSISI,INJEKSI 75,000 -
    HIPOTENSI EKG 75,000 -
    FARINGITIS PLEB 75,000 -
    ISPA RESEP 75,000 -
    ASMA NEBU,O2 75,000 32,000
    DISPEPSYA EKG,INJEKSI 75,000 32,000
    CKD INF,PLEB,EKG,INJEKSI 75,000 -
    GASTRITIS INF,PLEB,EKG,INJEKSI 75,000 32,000
    TB PARU INF,PLEB 75,000 -
    GEA INF,PLEB 75,000 -
    COMMON COLD RESEP 75,000 -
    CONJUTIVITIS RESEP 75,000 -
    BSK PLEB 75,000 -
    ABD DISCONFORT INJEKSI 75,000 -
    CKR INF,PLEB,INJEKSI 75,000 -
    VL WTH III,INJEKSI 75,000 -
    CEPALGIA PLEB,INJEKSI 75,000 -
    INFARTU VT,DOPLER 75,000 -
    GASTRITIS RESEP 75,000 -
    HIPOKALEMI RESEP 75,000 -
    KRISIS HT EKG,INJEKSI 75,000 -
    GEA RESEP 75,000 -
    CLOSE FRAKTUR SPALK 75,000 -
    VE WT 75,000 -
    ISPA PLEB 75,000 -
    DISPEPSYA PLEB 75,000 -
    ASMA RESEP 75,000 -
    GEA INJEKSI 75,000 -
    MYALGIA EKG,INJEKSI 75,000 -
    VOMITING RESEP 75,000 -
    DM INF,PLEB,EKG,INJEKSI 75,000 -
    KONSTIPASI PLEBO,EKG 75,000 -
    GASTRITIS PLEB,INJEKSI 75,000 -
    DISPEPSYA PLEB,EKG,INJEKSI 75,000 -
    GEA INF,PLEB 75,000 -
    SOFT TISSUE RESEP 75,000 -
    CHEST PAIN PLEBO,EKG 75,000 -
    VE WT,INJEKSI 75,000 -
    TIA INF,PLEB,EKG 75,000 -
    CEPALGIA PLEB,EKG,INJEKSI 75,000 -
    BRONCHITIS INF 75,000 -
    FEBRIS INF,PLEB,INJEKSI 75,000 -
    MUSCLE SPASME INJEKSI 75,000 -
    GEA PLEB 75,000 -
    DM PLEB 75,000 -
    FEBRIS PLEB 75,000 -
    FEBRIS RESEP 75,000 -
    INFARTU VT,DOPLER 75,000 -
    FEBRIS RESEP 75,000 -
    ASMA NEBU,O2 75,000 32,000
    ISPA PLEB,SUPP 75,000 -
    GEA PLEB 75,000 -
    FEBRIS PLEB 75,000 -
    INFARTU PLEB,DOPPLER,VT 75,000 -
    ISPA PLEB 75,000 -
    CEPALGIA SUPP 75,000 -
    ISK PLEB 75,000 -
    ISPA SUPP 75,000 -
    GEA INF,PLEB,INJEKSI 75,000 -
    GEA INJEKSI 75,000 -
    ISPA INJEKSI 75,000 -
    KRISIS HT INF,PLEB,EKG,INJEKSI 75,000 -
    LBP INF,PLEB,EKG,INJEKSI 75,000 -
    ISK PLEB,INJEKSI 75,000 -
    ISK PLEB 75,000 -
    BSK SUPP 75,000 -
    ASMA INJEKSI 75,000 -
    KRISIS HT PLEB 75,000 -
    VOMITING INF,PLEB,INJEKSI 75,000 -
    GERD EKG,INJEKSI 75,000 -
    ISPA PLEB 75,000 -
    ASMA NEBU,O2 75,000 32,000
    ISPA RESEP 75,000 -
    BSK RESEP 75,000 -
    FEBRIS INF,PLEB,EKG,INJEKSI 75,000 -
    TB PARU RESEP 75,000 -
    DISPEPSYA PLEB,INJEKSI 75,000 -
    GEA INF,PLEB,EKG,INJEKSI 75,000 -
    VL WTH II,INJEKSI 75,000 -
    DHF INF,PLEB 75,000 -
    MELENA INF,PLEB,EKG,INJEKSI 75,000 -
    BP RESEP 75,000 -
    ISPA RESEP 75,000 -
    CHF INF,PLEB,EKG,INJEKSI 75,000 -
    DISPEPSYA INJEKSI 75,000 -
    DISPEPSYA EKG,INJEKSI 75,000 -
    ` TONSILITIS PLEB 75,000 -
    MORBILI PLEB 75,000 -
    ASMA NEBU,O2 75,000 32,000
    ISPA PLEB 75,000 -
    ISK PLEB 75,000 -
    COMMON COLD EKG,O2 75,000 32,000
    GEA INJEKSI 75,000 -
    DM TIPE II PLEBO,EKG 75,000 -
    VE RESEP 75,000 -
    DISPEPSYA PLEB 75,000 -
    FEBRIS PLEB 75,000 -
    ISK INF,PLEB,INJEKSI 75,000 -
    CONJUTIVITIS RESEP 75,000 -
    ASMA EKG,NEBU O2 75,000 32,000
    ISPA RESEP 75,000 -
    GEA INF,PLEB,INJEKSI 75,000 -
    GEA INJEKSI 75,000 -
    SINKOPE INF,PLEB,EKG 75,000 -
    INFARTU VT,DOPLER 75,000 -
    FEBRIS PLEB 75,000 -
    ISPA RESEP 75,000 -
    INFARTU INF.PLEB 75,000 -
    GEA RESEP 75,000 -
    ASMA NEBU,O2 75,000 32,000
    TONSILITIS RESEP 75,000 -
    ASMA NEBU,O2 75,000 32,000
    ASMA O2,NEBU,INJEKSI 75,000 32,000
    GEA INF.,PLEB 75,000 -
    ASMA O2,NEBU,INJEKSI 75,000 32,000
    FEBRIS PLEB 75,000 -
    VOMITING INJEKSI 75,000 -
    ASMA O2,NEBU,INJEKSI 75,000 32,000
    DISPEPSYA INJEKSI 75,000 -
    GEA PLEBO,EKG 75,000 -
    TROUMA OCULI IRIGASI MATA 75,000 -
    GEA EKG,INJEKSI 75,000 -
    MOUSE BITE INJEKSI 75,000 -
    VL WTH II,INJEKSI 75,000 -
    ISPA SUPP 75,000 -
    COLIC ABDOMEN PLEB,INJEKSI 75,000 -
    TONSILITIS RESEP 75,000 -
    VL WTH V,INJEKSI 75,000 -
    V.ICTHUM CROSS INSISI,INJEKSI 75,000 -
    HEMOROID PLEB 75,000 -
    CYSTITIS PLEB 75,000 -
    GE INJEKSI 75,000 -
    BSK RESEP 75,000 -
    VL WTH III,INJEKSI 75,000 -
    ASMA NEBU,O2 75,000 32,000
    CEPALGIA INJEKSI 75,000 -
    COLIC RENAL PLEB,INJEKSI 75,000 -
    ASMA O2,NEBU,INJEKSI 75,000 32,000
    ISK PLEB 75,000 -
    GEA PLEB 75,000 -
    GE RESEP 75,000 -
    ISP NEBU,O2 75,000 32,000
    VOMITING RESEP 75,000 -
    ISPA PLEB 75,000 -
    ISPA RESEP 75,000 -
    DISPEPSYA EKG,INJEKSI 75,000 -
    PLIERITIS EKG 75,000 -
    GASTRITIS PLEB,INJEKSI 75,000 -
    CEPALGIA PLEB,EKG,INJEKSI 75,000 -
    DISPEPSYA INF,PLEB,EKG,INJEKSI 75,000 -
    CEPALGIA EKG,INJEKSI 75,000 -
    GASTRITIS RESEP 75,000 -
    ASMA NEBU,O2 75,000 32,000
    GEA INJEKSI 75,000 -
    GEA RESEP 75,000 -
    CEPALGIA RESEP 75,000 -
    VL INJEKSI 75,000 -
    ASMA INF,INJEKSI 75,000 -
    CORPAL IRIGASI CORPAL 75,000 -
    VOMITING RESEP 75,000 -
    DISPEPSYA PLEB,INJEKSI 75,000 -
    VERTIGO INJEKSI 75,000 -
    GEA INJEKSI 75,000 -
    ISK INF,PLEB,EKG 75,000 -
    DISPEPSYA INJEKSI 75,000 -
    BRONCHITIS SUPP 75,000 -
    CLOSE FRAKTUR RESEP 75,000 -
    CONTUSIO WT 75,000 -
    VOMITING RESEP 75,000 -
    GEA RESEP 75,000 -
    ASMA O2,NEBU,INJEKSI 75,000 32,000
    ASMA O2,NEBU,INJEKSI 75,000 32,000
    GEA RESEP 75,000 -
    DISPEPSYA INJEKSI 75,000 -
    VL WTH III,INJEKSI 75,000 -
    DISPEPSYA EKG,INJEKSI 75,000 -
    VL WTH III,INJEKSI 75,000 -
    CHF PLEB,INJEKSI 75,000 -
    ISK PLEB 75,000 -
    CONTOSIO WT 75,000
    VOMITING RESEP 75,000 -
    CAT BITE INJEKSI 75,000
    DISMINORE PLEB,INJEKSI 75,000 -
    ISK RESEP 75,000
    CEPALGIA INF,PLEB,EKG,INJEKSI 75,000 -
    HT INF,PLEB,EKG,INJEKSI 75,000 -
    GASTRITIS INJEKSI 75,000
    ASMA EKG,NEBU,INJ,O2 75,000 32,000
    CAD INF,PLEB,EKG,INJEKSI 75,000 -
    DISPEPSYA INJEKSI 75,000 -
    HIL EKG 75,000
    INFARTU VT,DOPLER 75,000 -
    DISPEPSYA INF,INJEKSI 75,000 -
    VL WTH II,INJEKSI 75,000 -
    DISPEPSYA INF,PLEB,EKG,INJEKSI 75,000
    CLOSE FRAKTUR GIFT DEWASA 75,000
    GEA INF,PLEB,INJEKSI 75,000
    FEBRIS RESEP 75,000
    ISK INF,PLEB,EKG,INJEKSI 75,000 -
    RETENSIO URIEN PASANG CATETER 75,000
    INFARTU VT,DOPLER 75,000 -
    ISPA PLEB 75,000
    ISPA RESEP 75,000
    ASMA O2,NEBU,INJEKSI 75,000 32,000
    DISPEPSYA PLEB,INJEKSI 75,000 -
    CEPALGIA RESEP 75,000
    ISPA RESEP 75,000 -
    DISPEPSYA PLEB,INJEKSI 75,000
    V.ICTHUM CROSS INSISI,INJEKSI 75,000 -
    STROKE HEMORAGIC INF,PLEB,DC,NGT,MON,EKG,RJP,O2 75,000 32,000
    INFARTU PLEB,DOPPLER,VT 75,000
    FEBRIS PLEB 75,000 -
    CHEST PAIN EKG,INJEKSI 75,000 32,000
    FEBRIS INJEKSI 75,000
    COMMON COLD PLEB 75,000
    TONSILITIS RESEP 75,000 -
    MORBILI RESEP 75,000 -
    TB PARU INF,EKG,INJ,O2 75,000 32,000
    ISK PLEB 75,000 -
    FEBRIS PLEB 75,000 -
    VOMITING INJEKSI 75,000
    ISCHALGIA PLEB,SUPP 75,000
    COMMON COLD RESEP 75,000 -
    KRISIS HT PLEBO,EKG 75,000
    ASMA O2,NEBU,INJEKSI 75,000 32,000
    VOMITING INJEKSI 75,000
    FEBRIS RESEP 75,000
    DISPEPSYA INJEKSI 75,000 -
    V.ICTHUM CROSS INSISI,INJEKSI 75,000 -
    DISPEPSYA INF,INJEKSI 75,000 -
    BSK SUPP 75,000 -
    FEBRIS PLEB 75,000 -
    CHF INF,PLEB,EKG,INJEKSI 75,000 -
    VOMITING PLEB,SUPP 75,000 -
    INFARTU VT,DOPLER 75,000 -
    INFARTU VT,DOPLER 75,000 -
    DISPEPSYA INF,PLEB,EKG,INJEKSI 75,000 -
    AB IMINEMS PLEB 75,000 -
    ASMA PLEB 75,000 -
    HT EKG,INJEKSI 75,000 -
    TB PARU INF,PLEB,INJEKSI 75,000 -
    DISPEPSYA INJEKSI 75,000 -
    ISK PLEB 75,000 -
    FEBRIS RESEP 75,000 -
    DISPEPSYA RESEP 75,000 -
    ISPA PLEB,O2,NEBU 75,000 32,000
    BSK PLEB,INJEKSI 75,000 -
    ANEMIA INF,PLEB,EKG 75,000 -
    GEA PLEB 75,000 -
    FEBRIS PLEB 75,000 -
    ASMA O2,NEBU,INJEKSI 75,000 32,000
    VARICELLA RESEP 75,000 -
    FEBRIS SUPP 75,000 -
    CEPALGIA INF,PLEB,INJEKSI 75,000 -
    ASMA NEBU,O2 75,000 32,000
    GEA RESEP 75,000 -
    GEA INJEKSI 75,000 -
    DISPEPSYA INJEKSI 75,000 -
    GEA RESEP 75,000 -
    FARINGITIS RESEP 75,000 -
    - FEBRIS PLEB 75,000 -
    ISPA PLEB,SUPP 75,000 -
    ASMA NEBU,O2 75,000 32,000
    ASMA O2,NEBU,INJEKSI 75,000 32,000
    INFARTU PLEB,DOPPLER,VT 75,000 -
    HIPOGLIKEMI INF,PLEB,EKG 75,000 -
    VERTIGO PLEB,EKG,INJEKSI 75,000 -
    HEG INF,PLEB 75,000 -
    ISK PLEB,SUPP 75,000 -
    BSK PLEB,INJEKSI 75,000 -
    FEBRIS PLEBO,EKG 75,000 -
    MORBILI INF,PLEB 75,000 -
    ASMA O2,NEBU,INJEKSI 75,000 32,000
    ASMA O2,NEBU,INJEKSI 75,000 32,000
    FEBRIS PLEB 75,000 -
    ISPA RESEP 75,000 -
    ISK PLEB,INJEKSI 75,000 -
    COLIC ABDOMEN PLEB 75,000 -
    MORBILI INF,PLEB,INJEKSI 75,000 -
    MORBILI PLEB 75,000 -
    ISK PLEB 75,000 -
    ISK PLEB 75,000 -
    VERTIGO INJEKSI 75,000 -
    CKD INF,PLEB,EKG 75,000 -
    HEMATOME RESEP 75,000 -
    DISPEPSYA INJEKSI 75,000 -
    RETENSIO URIEN PASANG CATETER 75,000 -
    ISPA RESEP 75,000 -
    VE WT 75,000 -
    ASMA NEBU,O2 75,000 32,000
    INFARTU VT,DOPLER 75,000 -
    VOMITING INJEKSI 75,000 -
    MORBILI PLEB 75,000 -
    ASMA NEBU,O2 75,000 32,000
    GEA INJEKSI 75,000 -
    FEBRIS INF,O2,PLEB 75,000 32,000
    KRISIS HT PLEB,EKG,INJEKSI 75,000 -
    FEBRIS RESEP 75,000 -
    VERTIGO INJEKSI 75,000 -
    FEBRIS INF,PLEB 75,000 -
    CKR RESEP 75,000 -
    FEBRIS PLEB 75,000 -
    COLIC ABDOMEN PLEB 75,000 -
    DM INF,PLEB,PLEB 75,000 -
    DISPEPSYA INF,PLEB,INJEKSI 75,000 -
    ISK RESEP 75,000 -
    FEBRIS PLEB 75,000 -
    KISTA RESEP 75,000 -
    GEA RESEP 75,000 -
    BSK RESEP 75,000 -
    INFARTU PLEB,DOPPLER,VT 75,000 -
    DISPEPSYA PLEB,INJEKSI 75,000 -
    GEA RESEP 75,000 -
    VIRAL INFECTION PLEB 75,000 -
    V.ICTHUM CROSS INSISI,INJEKSI 75,000 -
    V.ICTHUM CROSS INSISI,INJEKSI 75,000 -
    ISPA PLEB 75,000 -
    GEA RESEP 75,000 -
    MORBILI PLEB 75,000 -
    MASA COLLI PLEB,NEBU,EKG,INJEKSI ,O2 75,000 32,000
    INFARTU VT,DOPLER 75,000 -
    PRO CT SCAN INJEKSI 75,000 -
    VL WTH II,INJEKSI 75,000 -
    DISMINORE PLEB 75,000 -
    ISK PLEB 75,000 -
    CARRIES DENTIES PLEB,INJEKSI 75,000 -
    FEBRIS RESEP 75,000 -
    GEA PLEB,EKG,INJEKSI 75,000 -
    ISPA PLEB 75,000 -
    TONSILITIS PLEB 75,000 -
    FARINGITIS RESEP 75,000 -
    THYPOID RESEP 75,000 -
    DISPEPSYA INJEKSI 75,000 -
    CONTOSIO PLEB,WT,INJEKSI 75,000 -
    CHF PLEBO,EKG 75,000 -
    DISPEPSYA PLEB,EKG,INJEKSI 75,000 -
    FEBRIS INF,PLEB 75,000 -
    GERD INF,PLEB,EKG,INJEKSI 75,000 -
    FARINGITIS RESEP 75,000 -
    KEJANG DEMAM SUPP 75,000 -
    GERD INJEKSI 75,000 32,000
    CORPAL RESEP 75,000 -
    ASMA NEBU,O2 75,000 32,000
    HEMAPTOE PLEB,INJEKSI 75,000 -
    VL WTH II,INJEKSI 75,000 -
    TROUMA TUMPUL RESEP 75,000 -
    COLIC ABDOMEN SUPP 75,000 -
    BSK SUPP 75,000 -
    KDS RESEP 75,000 -
    INFARTU DOPLER,VT 75,000 -
    ISK PLEB,INJEKSI 75,000 -
    COMMON COLD RESEP 75,000 -
    FEBRIS INF,PLEB 75,000 -
    DHF PLEB 75,000 -
    DISPEPSYA INJEKSI 75,000 -
    SVT EKG,O2 75,000 32,000
    THYPOID INF,PLEB,O2,EKG 75,000 32,000
    ISK PLEB,SUPP 75,000 -
    COLIC ABDOMEN PLEB,EKG,INJEKSI 75,000 -
    COLIC URETER SUPP 75,000 -
    GEA INJEKSI 75,000 -
    VL WTH II,INJEKSI 75,000 -
    BSK INJEKSI 75,000 -
    COLIC ABDOMEN PLEB,INJEKSI 75,000 -
    DHF PLEB 75,000 -
    FEBRIS PLEB 75,000 -
    BSK RESEP 75,000 -
    ASMA EKG,NEBU,INJ,O2 75,000 32,000
    MORBILI PLEB 75,000 -
    DHF PLEB 75,000 -
    DISPEPSYA INF,PLEB,EKG,INJEKSI 75,000 32,000
    GEA INF,PLEB,INJEKSI 75,000 -
    GASTRITIS EKG,INJEKSI 75,000 -
    BSK PLEB 75,000 -
    ASMA NEBU,O2 75,000 32,000
    GEA INJEKSI 75,000 -
    FEBRIS PLEB 75,000 -
    DISPEPSYA PLEB,INJEKSI 75,000 -
    AMOREXIA INF,PLEB,EKG,INJEKSI 75,000 -
    ABSES RESEP 75,000 -
    TONSILITIS RESEP 75,000 -
    APP PLEB,INJEKSI 75,000 -
    DM RESEP 75,000 -
    FEBRIS PLEB,SUPP 75,000 -
    ASMA NEBU,O2 75,000 32,000
    FEBRIS PLEB,SUPP 75,000 -
    ISPA RESEP 75,000 -
    ISPA RESEP 75,000 -
    V.ICTHUM CROSS INSISI,INJEKSI 75,000 -
    CEPALGIA INF,PLEB,INJEKSI 75,000 -
    ORCHITIS PLEB 75,000 -
    COLIC ABDOMEN PLEB 75,000 -
    MORBILI PLEB 75,000 -
    CHF INF,PLEB,EKG,O2 75,000 32,000
    RETENSIO URIEN PLEB,CHATETER 75,000 -
    CONTOSIO RESEP 75,000 -
    KRISIS HT PLEBO,EKG 75,000 -
    ISPA PLEB 75,000 -
    COLIC ABDOMEN PLEB,RT 75,000 -
    DM INF,PLEB,EKG,INJEKSI 75,000 -
    FEBRIS PLEB 75,000 -
    GEA RESEP 75,000 -
    HEMAPTOE RESEP 75,000 -
    DHF PLEB 75,000 -
    ABSES PEDIS RESEP 75,000 -
    DISPEPSYA INJEKSI 75,000 -
    ASMA NEBU,O2 75,000 32,000
    KSD PLEB 75,000 -
    VOMITING RESEP 75,000 -
    ISPA PLEB 75,000 -
    ISK PLEB 75,000 -
    ASMA O2,NEBU,INJEKSI 75,000 32,000
    GEA PLEB 75,000 -
    FEBRIS PLEB,INJEKSI 75,000 -
    ASMA O2,NEBU,INJEKSI 75,000 32,000
    CKD INF,PLEB 75,000 -
    RAT BITE WT,INJEKSI 75,000 -
    MORBILI INF,PLEB,INJEKSI 75,000 -
    MORBILI RESEP 75,000 -
    ASMA NEBU,O2 75,000 32,000
    GEA RESEP 75,000 -
    ISPA PLEB 75,000 -
    DISPEPSYA INF,PLEB,EKG,INJEKSI 75,000 -
    VERTIGO INF,PLEB,EKG,INJEKSI 75,000 -
    VOMITING RESEP 75,000 -
    KRISIS HT INF,PLEB,EKG,INJEKSI 75,000 -
    ASMA O2,NEBU,INJEKSI 75,000 32,000
    ASMA NEBU,O2 75,000 32,000
    INFARTU VT,DOPLER 75,000 -
    GEA RESEP 75,000 -
    INFARTU VT,DOPLER 75,000 -
    ISPA RESEP 75,000 -
    SINCOPE OKSIGEN 75,000 32,000
    TUMOR ABD PLEB 75,000 -
    FEBRIS PLEB 75,000 -
    DISPEPSYA INJEKSI 75,000 -
    FEBRIS INF,PLEB 75,000 -
    BRONCHITIS RESEP 75,000 -
    FEBRIS PLEB 75,000 -
    DERMATITIS INJEKSI 75,000 -
    PPOK NEBU,O2 75,000 32,000
    DISPEPSYA RESEP 75,000 -
    GEA INJEKSI 75,000 -
    ASMA NEBU,O2 75,000 32,000
    CONTOSIO RESEP 75,000 -
    CONTOSIO RESEP 75,000 -
    CONTOSIO RESEP 75,000 -
    GEA RESEP 75,000 -
    TRAUMA CAPITALIS RESEP 75,000 -
    CLOSE FRAKTUR INF,INJEKSI 75,000 -
    VE WT,INJEKSI 75,000 -
    SINCOPE RESEP 75,000 -
    ISPA RESEP 75,000 -
    DISPEPSYA PLEB 75,000 -
    CERVICAL ROOT SYNDRM PLEB 75,000 -
    KONSTIPASI SUPP 75,000 -
    INFARTU VT,DOPLER 75,000 -
    FEBRIS INF,PLEB 75,000 -
    GASTRITIS INJEKSI 75,000 -
    PAROTITIS RESEP 75,000 -
    GEA INJEKSI 75,000 -
    DISPEPSYA INJEKSI 75,000 -
    FEBRIS PLEB 75,000 -
    FEBRIS RESEP 75,000 -
    ASMA NEBU,O2 75,000 32,000
    FEBRIS PLEB 75,000 -
    LEUKOSITOSIS RESEP 75,000 -
    VOMITING INF,PLEB 75,000 -
    VERTIGO RESEP 75,000 -
    ASMA O2,NEBU,INJEKSI 75,000 32,000
    50,925,000 2,368,000
    MBER 2014

    RINCIAN BIAYA
    TINDAKAN JUMLAH
    KONSUL DOKTER SP
    14 15 16 16
    - - 852,000 927,000
    - 197,000 272,000
    - - 75,000
    - 90,000 165,000
    602,000 677,000
    - 262,000 369,000
    - - 75,000
    - 90,000 165,000
    263,500 338,500
    - 352,000 427,000
    - - 83,000 158,000
    - - 263,500 338,500
    - - 352,000 427,000
    - - 262,000 369,000
    - 353,500 460,500
    90,000 165,000
    - 263,500 338,500
    - 90,000 165,000
    - 90,000 165,000
    - 173,000 248,000
    - 180,000 255,000
    - 90,000 165,000
    - 265,000 340,000
    - 87,000 162,000
    - - - 75,000
    - 265,000 340,000
    - 262,000 369,000
    75,000 DR.ATOB 825,000 975,000
    - - 75,000
    - - 87,000 162,000
    441,500 516,500
    - 75,000
    - 90,000 165,000
    90,000 165,000
    - - 75,000
    - - 75,000
    - 175,000 282,000
    - - - 75,000
    - - - 75,000
    - - 528,500 603,500
    - - - 75,000
    - 183,000 258,000
    - - 75,000
    - 90,000 165,000
    - - 90,000 165,000
    - - - 75,000
    - - 272,000 347,000
    - 352,000 427,000
    - 183,000 258,000
    - 90,000 165,000
    - - 173,000 248,000
    - 197,000 272,000
    - 183,000 258,000
    - 265,000 340,000
    - 263,500 338,500
    - - 176,500 283,500
    - - 75,000
    - - 75,000
    - - 852,000 927,000
    - 297,000 372,000
    75,000 DR.GRACE - 150,000
    - 297,000 372,000
    75,000 DR.FRITZ 177,000 327,000
    - 87,000 162,000
    - - 87,000 162,000
    - - 87,000 162,000
    - - - 75,000
    - - 90,000 165,000
    - 87,000 162,000
    - - 75,000
    - 90,000 165,000
    - 90,000 165,000
    - - 75,000
    - 176,500 251,500
    - 272,000 347,000
    - 353,500 428,500
    - - 353,500 428,500
    - 90,000 165,000
    - - 75,000
    - 441,500 516,500
    - 177,000 252,000
    - 177,000 252,000
    - - 75,000
    - 87,000 162,000
    - - 262,000 369,000
    - 90,000 165,000
    - - 75,000
    - 353,500 428,500
    - 602,000 677,000
    - 75,000
    - - 87,000 162,000
    - - - 75,000
    - 176,500 251,500
    - - 90,000 165,000
    - - - 75,000
    - - 75,000
    - 173,000 248,000
    - - 852,000 927,000
    - 197,000 272,000
    - 187,000 262,000
    - - 75,000
    - - 75,000
    - 528,500 603,500
    - - 90,000 165,000
    - 266,500 341,500
    - - 352,000 427,000
    - - 75,000
    - 90,000 165,000
    - - 90,000 165,000
    - - 353,500 428,500
    - - 90,000 165,000
    - - 90,000 165,000
    - - - 75,000
    - 87,000 162,000
    - 87,000 162,000
    - - - 75,000
    - - 352,000 427,000
    90,000 165,000
    - 87,000 162,000
    - 352,000 427,000
    - 183,000 258,000
    - 87,000 162,000
    - 87,000 162,000
    - - 75,000
    - 297,000 372,000
    - 173,000 248,000
    - 187,000 262,000
    - 87,000 162,000
    - 87,000 162,000
    - - 75,000
    - - 75,000
    - 90,000 165,000
    - 447,000 522,000
    - 9,000 84,000
    - 266,500 341,500
    - 90,000 165,000
    - - 75,000
    - 352,000 427,000
    - 90,000 165,000
    - - - 75,000
    - - 353,500 428,500
    - 187,000 262,000
    - 187,000 262,000
    - 83,000 158,000
    - 90,000 165,000
    - 352,000 427,000
    - 83,000 158,000
    - 175,000 282,000
    - 352,000 427,000
    - 90,000 165,000
    75,000 DR.ANTHONY 197,000 347,000
    - 352,000 427,000
    75,000 DR.ANTHONY 197,000 347,000
    - - 90,000 165,000
    - - 90,000 165,000
    - - 265,000 340,000
    - - 175,000 282,000
    - 83,000 158,000
    - 173,000 248,000
    - 90,000 165,000
    - 177,000 252,000
    - 90,000 165,000
    - - 75,000
    75,000 DR.ANTHONY 177,000 327,000
    - - 262,000 369,000
    - 352,000 427,000
    - - 75,000
    - - 90,000 165,000
    - - 177,000 252,000
    - - 87,000 162,000
    - - 176,500 283,500
    - - - 75,000
    - - 183,000 258,000
    - - 75,000
    - 180,000 255,000
    - 90,000 165,000
    - 90,000 165,000
    - 262,000 369,000
    - - 75,000
    - - - 75,000
    75,000 DR.GRACE 87,000 237,000
    - - - 75,000
    - - 183,000 258,000
    - 441,500 516,500
    - 262,000 369,000
    - - - 75,000
    - - 623,500 698,500
    - - 175,000 282,000
    - - 175,000 282,000
    - 352,000 427,000
    - - 87,000 162,000
    - - 197,000 272,000
    - - 187,000 262,000
    - - 75,000
    - - 187,000 262,000
    75,000 DR.ANTHONY - 150,000
    - 87,000 194,000
    - 90,000 165,000
    - 90,000 165,000
    - 175,000 282,000
    75,000 DR.WAYAN 266,500 416,500
    - - 75,000
    - 352,000 427,000
    - - 75,000
    - - 90,000 165,000
    - - - 75,000
    - 90,000 165,000
    - - 440,000 547,000
    - - 353,500 428,500
    - 187,000 262,000
    - 176,500 251,500
    - 90,000 165,000
    - - 75,000
    - 175,000 282,000
    - 263500 370,500
    - 528,500 603,500
    - 528,500 635,500
    - 265,000 340,000
    - 265,000 340,000
    - - 75,000
    - - 75,000
    - 90,000 165,000
    - 87,000 162,000
    - 352,000 427,000
    - - 297,000 372,000
    - - 187,000 262,000
    - - 183,000 258,000
    - - 75,000
    - - 75,000
    - 263,500 338,500
    - - - 75,000
    75,000 DR.GREG 80,000 230,000
    - 100,000 175,000
    - - 90,000 165,000
    - 90,000 165,000
    - - 75,000
    - 87,000 162,000
    - 263,500 338,500
    - - 75,000
    - 352,000 427,000
    - 266,500 341,500
    - 177,000 252,000
    - 353,500 428,500
    - 265,000 340,000
    - - - 75,000
    - 266,500 341,500
    - 187,000 262,000
    - - 353,500 428,500
    - 353,500 428,500
    - 175,000 250,000
    - 352,000 427,000
    - 87,000 162,000
    - 90,000 165,000
    - 90,000 165,000
    - 90,000 165,000
    - - 75,000
    - - 183,000 258,000
    - - 75,000
    - - 175,000 282,000
    - - 173,000 248,000
    - - 90,000 165,000
    - 90,000 165,000
    75,000 DR.YASMIN 272,000 422,000
    - 90,000 165,000
    - - 83,000 158,000
    - 90,000 165,000
    - - 83,000 158,000
    - 352,000 427,000
    - 87,000 162,000
    - 83,000 158,000
    - - 528,500 603,500
    - 528,500 603,500
    - - 177,000 252,000
    - - 90,000 165,000
    - - 83,000 158,000
    - - 87,000 162,000
    - 90,000 165,000
    - - 352,000 427,000
    - - 263,500 338,500
    - - 90,000 165,000
    - - 175,000 282,000
    - - - 75,000
    - - 75,000
    - - 528,500 603,500
    - - 75,000
    - - 177,000 252,000
    - - 528,500 603,500
    - 197,000 272,000
    - - 265,000 340,000
    - - 528,500 603,500
    - - - 75,000
    - - 75,000
    75,000 DR.WAYAN 528,500 678,500
    - 87,000 162,000
    - 263,500 338,500
    - 90,000 165,000
    - - 90,000 165,000
    - - 175,000 282,000
    - 90,000 165,000
    - 90,000 165,000
    - 176,500 283,500
    - 87,000 162,000
    - 353,500 428,500
    - - - 75,000
    - 90,000 165,000
    - 173,000 248,000
    - 352,000 427,000
    - - 75,000
    - 351,500 458,500
    - - 75,000
    - 352,000 427,000
    - 87,000 162,000
    - 353,500 428,500
    - 183,000 258,000
    - 90,000 165,000
    - - 75,000
    - 265,000 340,000
    - - 75,000
    - 175,000 282,000
    - - 75,000
    - - 175,000 282,000
    - 262,000 369,000
    - 265,000 340,000
    - - 262,000 369,000
    - 90,000 165,000
    - 87,000 162,000
    - 262,000 369,000
    - 87,000 162,000
    - 266,500 341,500
    - 90,000 165,000
    - 263,500 338,500
    - 87,000 162,000
    - - 197,000 272,000
    - 83,000 158,000
    - 177,000 252,000
    - - 75,000
    - 602,000 677,000
    - - 187,000 262,000
    - 90,000 165,000
    - 90,000 165,000
    - - 87,000 162,000
    75,000 DR.ISHAQ - 150,000
    - 297,000 372,000
    - 175,000 282,000
    - 87,000 162,000
    177,000 252,000
    - 262,000 369,000
    - 90,000 165,000
    - 90,000 165,000
    - - 75,000
    - 175,000 282,000
    - - 75,000
    - 90,000 165,000
    - - - 75,000
    - 263,500 338,500
    - 176,500 251,500
    - 177,000 252,000
    - 353,500 428,500
    - 528,500 603,500
    - - 263,500 338,500
    - - - 75,000
    - - 175,000 282,000
    - 87,000 162,000
    - - 75,000
    - - - 75,000
    - 87,000 162,000
    - - 262,000 337,000
    - 90,000 165,000
    - - 75,000
    - 177,000 252,000
    - - 87,000 162,000
    - - 87,000 162,000
    - 441,500 516,500
    - 87,000 162,000
    - 83,000 158,000
    - - 75,000
    75,000 DR.DAVID 100,000 250,000
    - - 75,000
    - - 75,000
    - 262,000 369,000
    262,000 369,000
    - - 75,000
    - 87,000 162,000
    - 297,000 372,000
    - - 263,500 338,500
    - 297,000 372,000
    - 177,000 252,000
    - - 90,000 165,000
    75,000 DR.DAVID 100,000 250,000
    - - 75,000
    - - 87,000 162,000
    - 177,000 252,000
    - - 75,000
    - 528,500 603,500
    - - 528,500 603,500
    - 87,000 162,000
    - 438,500 545,500
    - 528,500 603,500
    - - 87,000 162,000
    - - 176,500 251,500
    - 183,000 258,000
    - 262,000 337,000
    - 197,000 272,000
    - - 528,500 603,500
    75,000 DR.GREG 690,000 840,000
    - 352,000 427,000
    - - 75,000
    - 528,500 603,500
    - 180,000 255,000
    - 183,000 258,000
    - 90,000 165,000
    - - 75,000
    - - 262,000 369,000
    - 177,000 252,000
    - - 75,000
    - - 75,000
    - 263,500 338,500
    - - 187,000 262,000
    - - 1,331,000 1,438,000
    - 272,000 347,000
    - - 90,000 165,000
    - - 263,500 370,500
    - - 90,000 165,000
    - - 90,000 165,000
    - - 75,000
    - - 75,000
    - 352,000 459,000
    - 90,000 165,000
    - 90,000 165,000
    - 87,000 162,000
    - - 173,000 248,000
    - - 75,000
    75,000 DR.ATOB 266,500 416,500
    - 262,000 369,000
    - 87,000 162,000
    - - 75,000
    - 87,000 162,000
    - 197,000 272,000
    - 262,000 337,000
    - 83,000 158,000
    - - 75,000
    - 528,500 603,500
    - 173,000 248,000
    - 183,000 258,000
    - - 183,000 258,000
    - - 528,500 603,500
    - 90,000 165,000
    - 90,000 165,000
    - 263,500 338,500
    - 352,000 427,000
    - 87,000 162,000
    - 90,000 165,000
    - - 75,000
    - - 75,000
    - 265,000 372,000
    - 177,000 252,000
    - 352,000 427,000
    - 90,000 165,000
    - 90,000 165,000
    - 175,000 282,000
    - - 75,000
    - 83,000 158,000
    - 352,000 427,000
    - 175,000 282,000
    - - 75,000
    - 87,000 162,000
    - - 87,000 162,000
    - - 75,000
    - - 75,000
    - 90,000 165,000
    - - 173,000 248,000
    - 175,000 282,000
    - 175,000 282,000
    - - 272,000 347,000
    - - 441,500 516,500
    \ - 353,500 428,500
    - - 265,000 340,000
    - 183,000 258,000
    - 177,000 252,000
    - 266,500 341,500
    - 265,000 340,000
    - 262,000 369,000
    - 262,000 369,000
    - - 90,000 165,000
    - - 75,000
    - 177,000 252,000
    - - 90,000 165,000
    75,000 DR.WILIAM 352,000 502,000
    - 90,000 165,000
    - - 90,000 165,000
    90,000 165,000
    - 87,000 162,000
    - 441,500 516,500
    - - 75,000
    - - 87,000 162,000
    - 180,000 255,000
    - - 75,000
    - 100,000 175,000
    - 175,000 282,000
    - 183,000 258,000
    - 87,000 162,000
    - 90,000 165,000
    - - 175,000 282,000
    - 87,000 162,000
    75,000 DR.HENDRA 265,000 447,000
    - 353,500 428,500
    - - 75,000
    - 87,000 162,000
    - 265,000 340,000
    - - 75,000
    - 90,000 165,000
    - 90,000 165,000
    - 352,000 427,000
    - 352,000 427,000
    - - - 75,000
    - 90,000 165,000
    - - 75,000
    - - 75,000
    - - 75,000
    - 272,000 347,000
    - 177,000 252,000
    - - 75,000
    - - 90,000 165,000
    - 187,000 262,000
    - - 187,000 262,000
    - - 90,000 165,000
    - - - 75,000
    - 90,000 165,000
    - - 441,500 548,500
    183,000 258,000
    - 87,000 162,000
    75,000 DR.MANGALIDUNG 197,000 347,000
    - - 90,000 165,000
    - - 90,000 165,000
    - 177,000 252,000
    - - 75,000
    - 353,500 428,500
    - 90,000 165,000
    - 90,000 165,000
    - - 75,000
    - - 75,000
    - 87,000 162,000
    - 277,000 352,000
    - 266,500 341,500
    - 353,500 428,500
    - 265,000 340,000
    - 528,500 603,500
    - 183,000 258,000
    - 83,000 158,000
    - - 87,000 194,000
    - - 75,000
    - 175,000 282,000
    - 177,000 252,000
    - 197,000 272,000
    - - 75,000
    - 83,000 158,000
    - 83,000 158,000
    - - 75,000
    - - 183,000 258,000
    - - 177,000 252,000
    - - 75,000
    - 265,000 340,000
    - - 90,000 165,000
    - 87,000 162,000
    - 176,500 283,500
    - 441,500 548,500
    - 173,000 248,000
    - 353,500 428,500
    75,000 DR.ISHAQ 83,000 233,000
    - - 87,000 162,000
    - 197,000 272,000
    - 87,000 162,000
    - 177,000 252,000
    75,000 DR.HENDRA 90,000 240,000
    - 90,000 165,000
    - - 75,000
    - 351,500 458,500
    - 90,000 165,000
    - 90,000 165,000
    - 528,500 635,500
    - 352,000 427,000
    - 263,500 338,500
    - 90,000 165,000
    - 175,000 282,000
    - 87,000 162,000
    - 90,000 165,000
    - 177,000 252,000
    - 528,500 603,500
    - - 75,000
    - - 75,000
    75,000 DR.ATOB 177,000 327,000
    - - 75,000
    - 173,000 248,000
    - 175,000 282,000
    - 173,000 248,000
    - - 75,000
    - - 75,000
    - 187,000 262,000
    - 352,000 427,000
    - 90,000 165,000
    75,000 DR.ATOB N 150,000
    - 90,000 165,000
    37,500 DR.ANITA 441,500 586,000
    - 270,000 345,000
    - - - 75,000
    - 266,500 341,500
    - 90,000 165,000
    - 180,000 255,000
    - - 528,500 603,500
    - 90,000 165,000
    - - 75,000
    - - 75,000
    - 90,000 165,000
    - - 75,000
    - 87,000 162,000
    - 175,000 282,000
    - 90,000 165,000
    - - 75,000
    - 90,000 165,000
    - - 90,000 165,000
    - 266,500 373,500
    - 90,000 165,000
    - 177,000 252,000
    - 262,000 369,000
    75,000 DR.ANITA 265,000 415,000
    - - 187,000 262,000
    75,000 DR.KUNCJORO 352,000 502,000
    - - 75,000
    - 175,000 282,000
    - - 75,000
    - 90,000 165,000
    528,500 603,500
    - 528,500 603,500
    - - 75,000
    - 528,500 603,500
    - 262,000 369,000
    - 175,000 282,000
    - 183,000 258,000
    - - 75,000
    - 183,000 258,000
    - - 75,000
    - - 107,000
    75,000 DR.ATOB 90,000 240,000
    - 90,000 165,000
    - 87,000 162,000
    - 265,000 340,000
    - - 75,000
    - 90,000 165,000
    - 87,000 162,000
    - 175,000 282,000
    - - 75,000
    - 87,000 162,000
    - 175,000 282,000
    75,000 DR.SANTY - 150,000
    75,000 DR.SANTY - 150,000
    75,000 DR.SANTY - 150,000
    - - 75,000
    - - 75,000
    75,000 DR.DAVID 262,000 412,000
    - 187,000 262,000
    - - - 75,000
    - - 75,000
    - 90,000 165,000
    - 90,000 165,000
    - 83,000 158,000
    - 183,000 258,000
    - 265,000 340,000
    - 87,000 162,000
    - - 75,000
    - 87,000 162,000
    - 87,000 162,000
    - 90,000 165,000
    - - 75,000
    - 175,000 282,000
    - 90,000 165,000
    - - 75,000
    150,000 DR,NIRA,BOYKE 265,000 490,000
    - - - 75,000
    - 262,000 369,000
    2,512,500 - 110,359,000 166,428,000
    TAGIHAN PASIEN JAMKESDA

    Tanggal No KIB/
    No Nama Pasien Umur L/P Alamat
    Kunjungan No. REG
    1 2 3 4 5 6 7
    1 1/10/2014 ASDIANOOR 60 Th L LUBUK SAWA RT 015 793472
    2 ROSANTI 32 Th P AM.SANG AJI GG VIRGO RT 009 793405
    3 ROHANI 31 Th P P.SURYANATA GG 99 RT 042 611615
    4 SUNARTO 58 Th L KH.W.HASYIM RT 054 793471
    5 FEBRINE NEYSYA NELSAR G 1 Th P MERDEKA RT 088 754838
    6 TABRANI 39 Th L A.YANI GG CAHAYA BARU RT 018 793447
    7 M.RIWAN 16 Th L PEMUDA 2 RT 10 793496
    8 RAMADHAN TRI PURWANTO 8 Th L RAPAK MAHANG RT 025 793453
    9 CHERLIN NOVITA 38 Th P DAMAI GG 4 RT 026 321306
    10 NOVI HARIYANTO 24 Th L KH.M.MANSYUR RT 025 793389
    11 ERWIM FAZARUDDIN 40 Th L KEMUNING RT 020 793427
    12 A.SUDARNO 60 Th L KOMP.SEGIRI RT 028 581234
    13 LA UNE 56 Th L PAHLAWAN GG 2 RT 028 783462
    14 RUSLI BIN MASRI 52 Th L S.RIADI RT 011 793412
    15 NOOR FITRIANI 3 Th P BATU BESAUNG RT 026 783169
    16 RAUDATUL JANNAH 21 Th P ADAM MALIK NO 04 RT 020 793459
    17 SUNDARI 26 Th P LEMPAKE RT 003 745917
    18 BESSE DIAN SASTRA UTARI 10 Th P RAJAWALI DALAM III RT 014 793485
    19 NUR'PAI 50 Th L TRI SARI RT 022 793475
    20 KASMIDI 51 Th L SUBULUS SALAM RT 032 793315
    21 2/10/2014 M.PUTRA DWI ARJUNA 8 Th L KESEHATAN RT 003 741227
    22 SABARIYAH 72 Th P P.ANTASARI RT 022 505714
    23 DEWI SARTIKA 37 Th P ARIF RAHMAN HAKIN NO 67 RT 002 793586
    24 DEMES SULASTRI 42 Th P KURNIA MAKMUR RT 023 717001
    25 M.SBAHUL JANNAH 25 Th P MERDEKA GG OTOK RT 096 606357
    26 YUSFITA SARI 12 Th P AL HASNI BANTUAS RT 005 793518
    27 KARTIKA AYU DHARMAYANTI 25 Th P GERILYA GG FAMILY RT 039 665155
    28 H.M.JAFAR 77 Th L PURWODADI RT 044 743810
    29 FATKTUR ROZY ZAKARIYA 5 Th L REVOLUSI RT 034 793585
    30 PARAMITHA SETYA NINGSIH 6 Th P KH.WAHID HASYIM RT 001 486267
    31 M.RONALD AZIE 4 Th L GERILYA GG FAMILY RT 039 675043
    32 SANATANG 25 Th L S.RIADAI RT 032 793557
    33 BASO RASYA ADITYA P 2 Th L GN.LINGAI GG SYUKUR RT 009 737284
    34 RASYA ISLAMY FASYA 7 Th L DI PANJAITAN RT 038 793567
    35 FITRIYANI 21 Th P PUSAKA RT 015 793512
    36 HARMIATI 43 Th P L.MANGKURAT GG ANDIKA RT 005 722515
    37 FLENRICSONE F ERIPUTRA 11 Th L PERUM BATU PUTIH RT 034 786778
    38 ADAM SAPUTRA 4 Th L ANGGUR RT 55 712254
    39 SITI AULIA NOUMIRA 8 Th P LUMBA LUMBA RT 013 731456
    40 3/10/2014 OBRIN HUTAGALUNG 53 Th L GOTONG ROYONG 015 793607
    41 M.AKIL 35 Th L CM.KUSUMO RT 002 793605
    42 AULIA NUR AZKA 10 Th L P.ANTASARI GG 5 RT 010 401415
    43 CYKA AULYA 6 Th P RE.MARTADINA RT 004 638113
    44 JUMIRAH 47 Th P M.YAMIN RT 021 793608
    45 DEDE SAFITRI 16 Th P KULINTANG NO 23 RT036 793689
    46 DAUD 43 Th L L.MANGKURAT GG KEMBALI RT 023 793692
    47 KEMAL HASAN 5 Th L PERUM KOPRI BLOK A/4 RT 063 793666
    48 IRMA DWI RAHMAYANI 19 Th P AM.SANGAJI RT 007 793677
    49 WA RUSULINA 33 Th P OTITAS RT 018 793626
    50 RUSDI 76 Th L BELIMAU RT 024 795437
    51 ABIDIN 63 Th L BENDUNGAN RT 015 793637
    52 SUNIAH 31 Th P LEMPAKE RT 020 793655
    53 AHMAT SOLIHIN 40 Th P PERJUANAGAN RT 002 SMPJ 793703
    54 ALUH 48 Th P AM.SANG AJI RT 013 793701
    55 WABIL TAMAM ASSADIQ I 6 BL L BUNG TOMO RT 013 761574
    56 BUNGSU 63 Th P KH.M.MANSYUR RT 75 GG PELOPOR 793279
    57 BERA 57 Th L BETAPUS RT 014 583089
    58 WA ABE 76 Th P KAKAP RT 007 518834
    59 HELENA ELOKAHA 26 Th P DAMANHURI PERUM BTI BP 26 RT 025 793640
    60 SAIKAH SUHRON 19 Th P JUANDA NO 92 RT 007 788407
    61 APRILIA SUWANNAWATI S 25 Th P CENDANA NO 11 RT 10 793671
    62 AYOMI ARUM DALU 19 Th P PEMBANGUNAN RT 018 MAKROMAN RT 018 785396
    63 ASNAH 71 Th P SEI KAPIH RT 005 793690
    64 M.UBAIDIRROHMAN 1 Th L REJO MULYO RT 032 793664
    65 4/10/2014 THABRIE DAHRI 49 Th L KH.H.NAFSI RT 021 739359
    66 KHEYSYA MUSDALIFAH ARSY 2 Th P ADAM MALIK II GG H BASRI RT 002 751904
    67 M.AGUS PRADANA 25 Th L CENDANA GG 12 RT 034 713599
    68 ARLA SYAIRA 10 Th P SLADA 1 BLOK C NO 67 RT 80 793722
    69 TRIYONO 65 Th L JUANDA GG TRIDAYA RT 007 793755
    70 SITI BAQIAH 56 Th P AGUS SALIM GG 40 RT 030 358525
    71 A. HABIBI 6 Th L CENDANA GG 12 RT 29 386995
    72 JUMIRAN 47 Th L M.YAMIN RT 021 793608
    73 FATIMAH 58 Th P NUSANTARA V/06 RT 032 793713
    74 KARYONO 63 Th L ERY SUPARJAN RT 012 717621
    75 RASYID RIDHO 12 Th L LEMPAKE RT 011 793752
    76 MEIDITA TRI AFIFAH 8 Th P LUMBA LUMBA RT 006 793751
    77 M.RAMADAHAN 6 Th L PAHLAWAN GG 2 RT 028 793760
    78 ARIFIN YAB 57 Th L ST.ALIMUDDIN RT 006 793716
    79 SRI JUMIATI 33 Th P S.RIADI RT 030 793735
    80 HASISAH 26 Th P P.BENDAHARA RT 001 667930
    81 ARPIAH 80 Th P MELATI RT 006 LOA BUAH 793780
    82 SAIDINA ASROFIL ALIM 8 Th L KAHOI 2B RT 035 698510
    83 A,REVANDY A 1 Th L RE.MARTADINATA RT 018 734541
    84 M.FAKHRI THORIQ 6 Th L BASUKI RAHMAT NO 25 RT 015 765130
    85 ADDISMA RISKY FAUZIAN 7 Th L REVOLUSI RT 031 793772
    86 HENDRY FERDIANSYAH 17 Th L DAMAI GG 4 RT 009 793769
    87 ARBAYAH 47 Th P S.RIADI GG 6 RT 030 687921
    88 HARTATI 53 Th P CM.KUSUMO RT 005 701162
    89 MISDIANTO 39 Th L RAJAWALI DALAM RT 010 793710
    90 DHEA LILIA PUTRI PILIANG 12 Th P AGUS SALIM GG 4 BLOK D RT 030 730074
    91 AKIFA NAILA 9 Th P GATSU RT 001 789617
    92 5/10/2014 M.RAFI FIRDAUS 2 Th L P.ANTASARI NO 39 RT 03 688409
    93 NUR ASIA 39 Th P DAMANHURI RT 062 793826
    94 HENDRA SAPUTRA 21 Th L JELAWAT GG VII NO 13 RT 006 793858
    95 SADILAH 44 Th P PELITA 2 RT 005 SMBT 307923
    96 M.ADITYA SYARANI 3 Th L BENGKURING RAYA III BLOK B 525 695348
    97 M.AIDIL 5 Th L WIJAYA KESUMA RT 019 533076
    98 RIAN ROSADI 3 Th L CM.KUSUMO RT 005 793863
    99 HUMAIRAH MAHEZWARI 2 Th L L.MANGKURAT RT 020 747058
    100 SUMINI 63 Th P MILONO RT 013 453077
    101 ULFAH 22 Th P P.ANTASARI GG KENANGAN RT 005 793381
    102 SANTANG 25 Th L S.RIADI RT 032 793557
    103 NURHASANAH 3 Th P CENDANA GG 3 NO 33 RT 019 583563
    104 RENI SOFIA 43 Th P RING ROAD RT 037 571534
    105 DONI MELSTAIN 35 Th L PORWABINAGUN RT 014 387703
    106 SYAHRANI 56 Th L PERUM PKL B 637 RT 009 413289
    107 SITI RAHMAH 26 Th P M.SAID RT 029 674232
    108 NUR SOLICHA 27 Th P MUGIREJO RT 008 588705
    109 NILA NOVITA SALIAMAN 18 Th P DI PANJAITAN RT 067 793851
    110 6/10/2014 SUWANTO 42 Th L KH.W.HASYIM GG MAWAR RT 051 793898
    111 FUAD WAHYUDIANSYAH 37 Th L PERUM SAMBUTAN ASRI H6/16 RT 026 597076
    112 RADO BADRUN 7 Th L PERUM SIP H7 RT 050 794077
    113 RANO VERI 27 Th L RAMANIA RT 046 747668
    114 SANUSI 63 Th L AGUS SALIM GG 5D RT 031 793807
    115 RUSLI 39 Th L ANGGUR RT 055 793837
    116 ABDUL FATTA 50 Th L MANGKUPALAS RT 010 793860
    117 MAULIDAH HASANAH 6 Th P L.MANGKURAT RT 041 674140
    118 IDIK 47 Th L BATU CERMIN RT 005 517636
    119 ANIS 51 Th P GELATIK RT 016 792983
    120 SUSI HAYATI 35 Th P AWS RT 022 794054
    121 RATNA JUMILAH 19 Th P MUGIREJO GG MUKLIS RT 010 638778
    122 EDWIN ERFYWANDA 11 Th L ULIN GG 8 NO 57 RT 025 689658
    123 FAUZAN 38 Th L BATU CERMIN RT 003 794042
    124 KARNI 79 Th L PERUM BATARA INDAH C1/1 RT 013 772413
    125 HARIYANTO 45 Th L MERAPI RT 013 TNH MERAH 681590
    126 SITI ASNUAH 41 Th P P.SURYANATA GG 10 RT 060 794084
    127 ABEL SASKIA 7 Th P JELAWAT RT 020 669590
    128 7/10/2014 ASKANI 52 Th L KEMUNING RT 020 696694
    129 NORVIRNA LAURA 31 Th P RAUDAH 3 BLOK I C RT 014 786784
    130 M.RIZKY ADITIA 3 Th L S.RIADI GG GOTONG ROYONG RT 032 794128
    131 SITI AULIA NOUMIRA 8 Th P P.ANTASARI GG PADAT KARYA RT 030 731456
    132 LIDYA SAPUTRI 19 Th P AWS RT 024 719347
    133 DEVITA LIVISARI 19 Th P DI PANJIATAN RT 002 759963
    134 NOR JANAH 57 Th P S.RIADI RT 005 794158
    135 NORLIS CAHYATI 9 Th P CENDANA GG 12 RT 29 794254
    136 SAMSUL ARIFIN 37 Th L KENANGA RT 025 794152
    137 M.ABD FAKHRI AL FAAKHIR 6 Th L DI PANJAITAN GG IA NO 42 RT 036 493954
    138 KANIA PUTRI SALMAN 6 Th P AGUS SALIM GG 5D RT 031 737674
    139 M.RAIHAN FAHREZA 11 Th L KH.USMAN BERAHIM RT 015 470536
    140 WAFIQ AZIZAH PUTRI 2 Th P PURWOSARI RT 014 718268
    141 AGUS MU'LIN 45 Th L LUMBA LUMBA RT 008 794232
    142 ITA SURYA NITTY 35 Th P CM.KUSUMO RT 002 678475
    143 DEWI ANNISA A 7 Th P KEBON AGUNG RT 003 794172
    144 SYAIANAH 39 Th P BAYAM I NO 453 RT 090 452710
    145 M.DIRMANSYAH 4 Th L KARTAK HANYAR RT 029 LOA BAKUNG 794185
    146 8/10/2014 SULASMI 51 Th P KURNIA MAKMUR RT 020 613471
    147 RENI RAHAYU 25 Th P RE.M.DINATA GG MAWAR RT 003 794316
    148 FAIZ SYADDAD ABASAH 2 Th L DI PANJAITAN RT 022 794285
    149 RABIATUL ADAWIAH 42 Th P PM.NOOR RAPAK BENUANG RT 041 786022
    150 MASRIAH 66 Th P OTISTA RT 022 552905
    151 NAFSAH 26 Th P P.ANTASARI NO 39 RT 003 645481
    152 MARYAM 60 Th P TARIDI NO 02 RT 012 750698
    153 SARIP 45 Th L IR.SUTAMI GG PUSAKA RT 022 794307
    154 SAPDILAH 62 Th P MUSO SALIM GG 8 RT 023 461356
    155 GHINA ADELIA PUTRI 1 Th P PADAT KARYA PINANG SERIBU RT 012 794275
    156 SULASTRI 34 Th P S.RIADI GG GOTONG ROYONG RT 031 794328
    157 RIZKY ALAWIYAH 22 Th P DR.SOETOMO RT 038 794276
    158 JUMRAN ALPACI 45 Th L PERUM SAMBUTAN BLOK F RT 026 716855
    159 SAMSUL HIDAYA 29 Th L S.PARMAN 1 RT 003 794292
    160 YUNI PUTRIANI 17 Th P KESEHATAN DALAM RT 001 364387
    161 9/10/2014 WIWIK SUGINI 43 Th P MILONO GG 1 NO A/45 794541
    162 ABD LATIF 50 Th L MANGKUPALAS RT 041 445993
    163 ANDI MERTINA 25 Th P P.BENDAHARA RT 004 794591
    164 JULAEKA 19 Th P ST.ALIMUDDIN RT 026 667289
    165 M.RIYADI 22 Th L CM.KUSUMO RT 006 794381
    166 RESMA OKTARIMA 18 Th P ENGKURING TERONG PIPIT 6 794586
    167 NUR RIKA 22 Th P MUGIREJO RT 040 794542
    168 FAHMI ARYA JULIANSYAH 5 Th L PAHLAWAN GG 2 RT 028 794359
    169 HERIYANTO 32 Th L M.SAID GG 4 RT 011 283329
    170 HERRY OSCAR 52 Th L MUSO SALIM NO 68 RT 015 694906
    171 GOLAMTORO 35 Th L NUSANTARA VII NO 20 RT 033 794577
    172 SAFTHA ARDHELIA PUTRI 1 Th P MANUNGGAL GG 3 RT 076 774955
    173 PURNOMO 52 Th L DI PANJAITAN RT 001 778897
    174 HERMAN B 35 Th L OTISTA RT 017 794368
    175 SITI NURJANAH 23 Th P CM.KUSOMO RT 012 794357
    176 HUSNI 39 Th L P.HIDAYATULLAH GG AMAL RT 018 794580
    177 RINA SALEHA 24 Th P SOEKARNO HATTA RT 016 794584
    178 TURIBIUS TING ANG 17 Th L AGUS SALIM GG 4 D RT 030 794562
    179 SUMBALLATIN 34 Th P KOPI RT 016 BUKUAN 787767
    180 TAILAH 52 Th P KH.M.MANSYUR RT 028 573979
    10/10/2014 AQILA ZAHRA A 3 Th P PERUM BENGKURING SAWI 2 RT 70 589129
    181 DENIS DEVITA N 9 Th P L.MANGKURAT GG 8 RT 019 534034
    182 SARDI 55 Th L TALANG SARI RT 003 794645
    183 SUJOTO 58 Th L KS.TUBUN RT 018 794729
    184 HILDA OKTAVIANUR 5 Th P JOYO MULYO RT 036 794610
    185 HOLIDAH 36 Th P JUANDA RT 016 760389
    186 LA BASE 64 Th L OTISTA GG BUDIAMAN RT 029 794675
    187 ARISKA BASRI 14 Th L MT.HARIYONO GG RAWA SARI 5 403511
    188 M.RANGGA SYAPUTRA 7 Th L ST.ALIMUDDIN RT 037 790902
    189 YUSUF 56 Th P MILONO RT 013 694840
    190 LIM DJALUNG 73 Th L PAMPANG RT 016 495307
    191 PEBRIANA 25 Th P TALANG SARI RT 002 794921
    192 SUDIRMAN 66 Th L SENTOSA RT 031 763380
    193 AM MITIA RINGKAI 49 Th P SEI LANTUNG RT 004 782792
    194 RIZKI AULIA RAMADHANI 5 Th L MUGIREJO RT 006 465682
    195 ERNAWATI 35 Th P KH.DAMANRI II RT 028 794711
    196 RAKA RADISTIYA 1 Th L PAHLAWAN GG 2 RT 028 798480
    197 SITI AMINAH 43 Th P PROKLAMASI 1 RT 056 723041
    198 SUSANAH 19 Th P MANUNGGAL GG 13 794620
    199 GUSTI ERLITA 39 Th P CERMAI RT 01 418668
    181 11/10/2014 SHAPIRA LAIQA JANNETA 1 Th P P.SURYANATA RT 018 794759
    182 SALASIAH 39 Th P PRAMUKA II RT 028 771561
    183 ALFILKY TAUVICYTHA S 6 Th L BAYAM 18 NO 694 RT 90 413470
    184 HALIJAH 26 Th P KH.SAMAHUDI RT 002 794760
    185 YUDHA PURNAMA 14 Th L PAKIT HIJAU 6 RT 083 774838
    186 KUSNUL KOTIMAH 14 Th P PAKIS HIJAU 6 RT 083 788421
    187 ZUBAIR ABDUR RASSYD 6 Th L GN LINGAI RT 003 512258
    188 MUHAMAMAD PAJAR 1 Th L AWS RT 029 794742
    189 RUSMITI 64 Th P KH.DAMANHURI II GG 4 RT 028 577655
    190 HUSNIAH RAMADHANI 2 Th P BELATUK 7 RT 032 693462
    191 ROSNA 38 Th P RE.M.DINATA RT 010 734994
    192 NADIA ARYANI 5 Th P PASUNDAN RT 018 612548
    193 ASPUL ANWAR 56 Th L SMPJ LESTARI INDAH BLOK G RT 058 733690
    194 FIJAY SAPUTRA 19 Th L PADAT KARYA DURIAN 4 NO 142 SMPJ 488305
    195 NINDI FANNYA DEWI 25 Th P BELATUK RT 082 754156
    196 RUSLI 42 Th L KAHOI 2A RT 035 798435
    197 BUNGA ASKA SEA 1 Th P OTISTA RT 023 793259
    198 DARMANTO 42 Th L ULIN GG 3 RT 030 585410
    199 ISMI PORANDA 26 Th P HJ JAHRAH RT 010 712297
    200 ANGGUR OKTAVIA ANGGAN 5 Th P ST.ALIMUDDIN RT 004 793601
    201 MAYA LITA 44 Th P KH.W.HASYIM RT 054 794773
    202 ALMER RASYID PRAMA H 2 Th L AWS GG AMANAH RT 014 787215
    203 SOPIAN NOR 19 Th L KH.W.HASYIM RT 024 794050
    204 SUBHAN IRAWAN 30 Th L LAMBUNG MANGKURAT RT 031 794041
    205 WIYANTO 43 Th P KADRIE OENING RT 017 794058
    206 MELIZA EKA SAFIRA 8 Th P ANGGUR R T056 656610
    207 KAPBILLA IQBAL AFANDI 3 Th L KH DAMANHURI RT 062 794076
    208 BENEDIKUS TIWA 50 Th L PERUM PURI BLOK G RT 02 681177
    209 12/10/2014 KUSNADI 31 Th L ULIN GG 7A NO 45 RT 026 794824
    210 SITI BAQIAH 58 Th P AGUS SALIM GG 40 RT 030 358525
    211 SUPRIADI 13 Th L PERUM SIP F/11 RT 031 794866
    212 HABIBAH NAILA SYAKIRA 7 BL P MT.HARIYONO GG 1 RT 009 793299
    213 M.RAISAN 6 Th L GERILYA GG MESJID RT 049 794935
    214 YULVA NUR AULIA P 6 Th P AM SANG AJI RT 012 788249
    215 MEGAWATI 19 Th P BIAWAN RT 011 479785
    216 SANTI 25 Th P NUSA INDAH RT 002 646149
    217 DEWI UTARSIH 36 Th P S.RIADI RT 008 315968
    255 SITI KHADUA 22 Th P DAMAI RT 028 794897
    256 SRIATI 45 Th P PERUM TALANG SARI RT 04 344692
    257 UMI HANIK 24 Th P OTISTA RT 027 794879
    258 HERY OSCAR 52 Th L MUSO SALIM NO 68 RT 015 694906
    259 AZIZAH DIANA PUTRI 1 Th P AGUS SALIM GG BAHAGIA NO 57 RT 16 741232
    260 FIRMAN 26 Th L L.MANGKURAT RT 034 794905
    261 13/10/2014 SRI NURHAYATI 42 Th P JELAWAT RT 001 681116
    262 NAFISAH 2 Th P M.SAID GG BERSAMA RT 027 794986
    263 LISMIYATI 48 Th P LABU SIAM 6 NO 303 RT 073 588575
    264 SITI FATIMAH 5 BL P DWI KORA RT 036 795007
    265 LAURA ANNISA HATTA 8 Th P LABU MERAH 3 NO 167 RT 071 795008
    266 SRIATI 45 Th P PERUM TALANG SARI RT 04 344692
    267 MARIATUL 29 Th P ULIN GG RUMBIA RT 007 793372
    268 NICO MANGURU 74 Th L L.MANGKURAT GG H USMAN BLOK A 79 RT 02 784719
    269 LELY TRI UTAMI 22 Th P P.HIDAYTULLAH GG KARYA II RT 029 794968
    270 CANTIKA TEREZA ERVIN 3 Th P PADA ELO RT 004 795029
    271 A.AMULANA 4 Th L CM,KUSUMO RT 013 667921
    272 WAHYUNI 39 Th P BUNG TOMO RT 020 537846
    273 ADELIA 6 Th P CM.KUSUMO 702026
    274 HELDA 21 Th P AWS GG 1 RT 037 656280
    275 SURIP MARGONO 53 Th L ERY SUPARJAN RT 012 651337
    276 KHAIRIL ANWAR 6 Th L MARSDA A SALEH RT 025 795004
    277 FITRI AULIA 1 Th P LEMPAKE JAYA RT 017 745453
    278 ARJUNA NOR AKBAR 5 Th L KS.TUBUN RT 38 GG 8 NO 32 795005
    279 AMELIATUS SHOLEHAH 7 Th P P.SURYANATA GG 99 ALBAROKAH 1 RT 042 794948
    280 FACHRULLAH 30 Th L RE.M.DINATA GG TUKANG RT 009 510532
    281 AGUS KURNIAWAN 13 Th L L.MANGKURAT RT 020 795002
    282 USWANTUN HASANAH 42 Th P KULINTANG GG CIPARI RT 038 794955
    283 14/10/2014 IDA 38 Th P DAMAI GG 4 GG 009 616342
    284 DARMANTO 42 Th L ULIN GG 3 RT 030 585410
    285 DINA HIRIANI 19 Th P LEMPAKE RT 011 794749
    286 RATNA MAYA SARI 31 Th P DR.SOETOMO RT 040 749341
    287 SYARIL 41 Th L JELAWAT RT 008 762356
    288 MULIANA 32 Th P TANJUNG ARU RT 022 797298
    289 SUDUNG ARITONANG 49 Th L KEBON AGUNG RT 003 795099
    290 BUNGSU 63 Th P KH.MAS MANSYUR GG PELOBOR NO 64 793279
    291 A.RIDANI 20 Th L P.SURYANATA RING ROAD III RT 01 795094
    292 AYU DERIATI 10 Th P DELIMA RT 051 797291
    293 HARLENI 34 Th P P.SURYANATA RT 026 795075
    294 M.ROUFURROQIM 12 Th L KH.DAMANHURI II RT 028 533363
    295 TRI WIDODO 37 Th L PROKLAMASI 3 NO 6 RT 053 797282
    296 ENCIK M.BAHTIAR K 71 Th L RE.M.DINATA GG MELATI RT 008 794849
    297 ITA SURYA NITTY 35 Th P CM.KUSUMO RT 002 678475
    298 ADE RAHMANSYAH 20 Th L DI PANJAITAN RT 035 610745
    299 EVA MAHARANI 16 Th P MASJID RT 021 MAKROMAN 797283
    300 NURUL AHADIAH E 22 Th P KEMAKMURAN GG AMAN RT 043 539021
    301 NUR PUSPA DEWI 20 Th P MT.HARIYONO RT 054 797271
    302 AMELIATUS SHOLEHAH 7 Th P P.SURYANATA GG 99 ALBAROKAH 1 RT 042 794948
    303 DELISHA NUR AZIZAH 7 BL P PURWADADI RT 010 797242
    304 HOTIMAH 42 Th P DI PANJAITAN RT 033 797273
    305 KAYLA AZ ZAHRA 2 Th P MUGIREJO RT 005 715164
    306 SHAKILA NUR AINI 6 Th P PURWOSARI RT 014 544676
    307 15/10/2014 LISMA SALIFA SIMANJUTAK 34 Th P OTISTA GG KELUARGA RT 029 797407
    308 ANUGRAH NUR A 12 Th L P.BENDAHARA RT 007 797347
    309 NAYLA JAVIRA RAMADHANI 1 Th P KEMAKMURAN GG PLN RT 022 724950
    310 ENIE AISYAH FITRI 3 Th P PADAT KARYA GG PELANGI RT 008 797308
    311 RABIATUL ADAWIAH 43 Th P BARITO RT 018 797335
    312 SITI SANAWIYAH 2 Th P PAHLAWAN GG 2 RT 028 717389
    313 HELDA 21 Th P AWS GG 1 RT 037 656280
    314 BY.NY DINA RUSMITA 0 Th P RAUDAH RT 023 797387
    315 ABDUL 34 Th L RUKUN RT 013 797371
    316 RIZKY RIYANDI PUTRI 14 Th P A.YANI GG CAHAYA BARU RT 018 797423
    317 NUR HALIAMH 24 Th P CENDANA GG 12 RT 29 797358
    318 SUPRIHATIN 44 Th P MARKISA RT 008 464167
    319 ARSAF 11 Th L OTISTA GG BUDIMAN RT 023 797396
    320 SYARIL 41 Th L JELAWAT RT 008 762356
    321 AHSABANI 23 Th P GERILYA GG KELUARGA RT 102 797355
    322 TRY CHANDARA PUTRA N 2 Th L CM.KUSUMO RT 011 686665
    323 RUMANIAH 65 Th P A.YANI GG CAHAYA BARU RT 018 331359
    324 FAIZA NUR RAMADANIA 2 Th P KARYA BARU RT 009 SMPJ 797359
    325 MARIA ULFAH 25 Th P CM KUSUMO RT 014 797364
    326 EKA HANALIN SURYANA 32 Th P KH.USMAN BERAHIM RT 016 629370
    327 MAPPE 60 Th L KEMANGGI RT 023 797381
    328 SUMARSEH 46 Th P P.ANTASARI RT 007 679429
    329 IDIK 47 Th L BATU CERMIN RT 005 645568
    330 USSA 45 Th P LUMBA-LUMBA RT 005 446871
    331 16/10/2014 LUMIAH 60 Th P KH.M.MANSYUR GG AMAN RT 001 797489
    332 SUMARSEH 46 Th P P.ANTASARI RT 007 679429
    333 FIRMAN SETIWAN 25 Th L MANGKUPALAS RT 014 797509
    334 AFIQA HUMAIRA 2 Th P OTISTA RT 015 797515
    335 NOR SILAWATI 51 Th P GN.LINGAI RT 010 797507
    336 ABDULMUIS A 51 Th L S.RIADI RT 004 797488
    337 SURAHMAN 34 Th L MERBABU RT 011 797461
    338 RUSDIANTI 26 Th P KH.USMAN BERAHIM RT 016 620932
    339 YUNASRON AZIM 48 Th L M.YAMIN GG KASTURI RT 027 797500
    340 M.FADLI 10 Th L RE.DINATA GG MELATI RT 008 511390
    341 A.JAUHANNUR 6 Th L SITI AISYAH BLOK B 4 RT 013 797390
    342 PUTRI MARSANDA 12 Th P RAJAWALI DALAM III RT 013 797485
    343 ANITA SUJI RAHMAWATI 37 Th P PADAT KARYA RT 010 SMPJ 797447
    344 SITI FATIMAH 5 BL P DWI KORA RT 036 795007
    345 ULFAH 22 Th P P.ANTASARI GG KENANGAN RT 005 793381
    346 HERY OSCAR 52 Th L P.SURYANATA NO 68 RT 015 974906
    347 LINDA FITRIANI 6 Th P SENTOSA DALAM II RT 079 797458
    348 ASPIANI NOR OES 43 Th P JAKARTA PERUM DAKSA D 16 RT 037 797439
    349 M.SYAHRI RAMADHAN 25 Th L RE.M.DINATA GG MELATI RT 008 797495
    350 EKA ANGGI AMELIA 20 Th P MERBABU RT 016 588792
    351 SYIFA REGINA ENDI 5 Th P KS.TUBUN RT 031 632302
    352 SOROSO GATOT 50 Th L GOTONG ROYONG RT 031 683016
    353 BIMA DWI SASTRA PUTRA 14 Th L GUNTUNG LAI RT 027 434339
    354 NUR HAFIZAH 7 Th P DAMANHURI RT 061 732517
    355 AULIA ARINDHA JULIETHA 15 Th P PAKIS HIJAU 5 RT 83 797444
    356 17/10/2014 NUR LATIFAH 9 Bln P JL.CENDANA GG 3 884791
    357 CHOIRUL AZZAM 1 Th L JL M.SAID 647640
    358 MULIYANA 30 Th L JL.MULYANA 797585
    359 KAYLA AZ ZAHRA 2 Th P JL.MUGIREJO RT 5 715164
    360 APRIL YANI PATI 1 Th P JL.SENTOSA GG H RUSLAN 686426
    361 JUDHIKA AGUSTY 3 Th L JL.KS TUBUN GG 7 572369
    362 DIANA 15 Th P JL.SULTAN ALIMUDDIN RT.25 689070
    363 MELLY FITRIANI 2 Th P JL.SULTAN AMUDDIN RT 004 682509
    364 AULIA AMANDA 10 Th P JL.CENDAN GG 12 RT 034 797598
    365 FERII FERDIANTO 13 Th L JL.H MAKSUM 797619
    366 M.YAHYA ISMAIL 50 Th L JL,P BENDAHARA RT 7 797684
    367 SRIATI 67 Th P JL.SENTOSA RT 045 707594
    368 HARSINENG 28 Th L JL.GUNUNG LINGAI 797605
    369 SUPARDIN 56 Th L JL.HASIM ASHARI 797618
    370 18/10/2014 KURNIAWAN 27 Th L KOMP.PASAR SEGIRI RT 28 797644
    371 HERRY OSCAR 52 Th L JL.MUSO SALIM RT.015 778624
    372 DEWI ANGGRAINI 21 Th P JL.P SURYANATA RT.034 766245
    373 ABDUL KAHAR ABDI 64 Th L JL.PROKLAMASI B TY 53 374778
    374 M.RAEHAN 6 Th L JL.LAMBUNG MANGKURAT RT 010 794666
    375 PUTRI MARSANDA 12 Th P JL.RAJAWALI RT 013 797485
    376 FAUZY ALFAR HIRA 1 Th L JL.PAHLAWAN GG 2 RT 023 761485
    377 KADRI 65 Th L JL.RE MARTADINATA 694840
    378 ANDI RIAN 29 Th L JL.RIMBAWAN RT 033 779441
    379 RINDA SAFITRI 26 Th P JL RIDA SAFITRI 706618
    380 MERINA SAFITRI 24 Th P JL TEKU UMAR 725278
    381 NURUL AISYAH 4 Th P JL.DAMANHURI RT 023 797748
    382 NELTHA MARCICI FEDORA 9 Th P JL.MERDEKA RT 88 797714
    383 RUDI SUHARTONO 34 Th L JL.KURNIA MAKMUR RT 026 797761
    384 BASRI 43 Th L JL.MERANTI GG2 RT 018 797721
    385 YENTINA 37 Th P JL.RAPAK INDAH RT.035 797758
    386 TUKIYO 58 Th L JL.PADAT KARYA RT 048 714068
    387 MASRIAH 66 Th P JL.OTTO ISKANDARDINATA RT 022 792856
    388 JIHAN FADILAH 12 Th P JL.P ANTASARI RT 033 576783
    389 JAIDUN 62 Th P JL.KELAPA GADING RT 014 662824
    390 HUSNI 63 Th L JL.GERIYA RT.031 880725
    391 BASONUNTUNG 52 Th L JL P.SURYANATA GG CEMPAKA RT 029 667840
    392 TIURMA SIMANJUNTAK 27 Th L JL.LABU HIJAU RT 072 707762
    393 IDIK 67 Th L JL.BATU CERMIN 645568
    394 19/10/2014 RINDA FATMAWATI 8 Th P JL.ADAM MALIK RT 022 797810
    395 ANASYA NUR PRITIKA PUTRI 14 Th P JL.TARMIDI RT 13 797817
    396 KEVIN NATHANAEL 1 Th L JL.NIAGA II RT 007 797824
    397 IDA PURWANTI 35 Th P JL.KEMAKMURAN RT 023 728089
    398 ARDI 25 Th L JL.BUNG TOMO RT 002 797778
    399 FAISAL 21 Th L JL.HOS COKROAMINOTO RT 029 797772
    400 MUH.JUFRI 50 Th L JL AM SANGAJI RT 012 577507
    401 RAKA RADISTIYA 1 Th L JL PAHLAWAN GG 2 RT 028 768480
    402 ASYA PINGKAN ANGGRAENI 9 Th P JL.ADAM MALIK GG HINAYAH 3 RT 020 797890
    403 M.MASRI 69 Th L JL.LAMBUNG MANGKURAT GG ALWAHIR RT 29 444518
    404 YANTY SUYATMI 48 Th P JL.P ANTASARI RT 026 797795
    405 RINA ANDRIANI 48 Th P JL.AM SANGAJI GG AKAS RT 017 707874
    406 GALEN ZIGGY KURNIAWAN 7 Bln L JL.WOLTER MONGONSIDI RT 021 797764
    407 HERRY OSCAR 52 Th L JL.MUSO SALIM RT.015 778624
    408 JAMAL KHOIRUL ANAM 12 Th L JL.M YAMIN RT 015 797787
    409 NUR SALSABILA 2 Th P JL.PADAT KARYA RT 073 782625
    410 ACHMAD SUFI 2 Th P JL.JELAWAT RT 011 554480
    411 RETNO ARYANI 20 Th P JL.RAUDAH RT 019 574698
    412 ENCIK MUHAMAS BAHTIAR 71 Th L JL.RE MARTADINATA GG MELATI RT 008 794849
    413 SITI JAMA 79 Th L JL.TRISARI RW 06 RT 020 797814
    324 FANI WIDIASTUTI 1 Th P JL.M SAID GG POLEWALI RT 046 797790
    324 SUJIRAH 42 Th P JL.DR SUTOMO RT 036 288944
    324 ZAINAB 31 Th P JL.PAHLAWAN 2 RT 029 797771
    324 ALMSUDIN 34 Th L JL.KH AGUS SALIM GG 4 RT 030 559906
    324 MANHUD 29 Th L JL.RIMBAWAN RT 032 786691
    324 SUPRIYANTO 33 Th L JOYO MULYO RT 038 797829
    324 KIRANAN ADINDA YANTI 13 Th P JL.PAHLAWAN GG 2 RT 027 797848
    324 MUCHLIS MUHDAR 31 Th L JL.DI PANJAITAN RT 033 797821
    324 FACHRIANOOR 12 Th L JL ULIN RT 025 797801
    324 AISYAH INSANI KAMILAQ 2 Th P JL.KH ABDUL MUTALIB RT004 645885
    324 NURUL AISYAH 4 Th L JL.DAMANHURI RT 023 797748
    324 MUH DENY SAPUTRA 1 Th L JL.KH WAHID HASYIM RT 014 750546
    324 M.TIRTA HASAN 1 Th L JL.KS TUBUN GG 5 RT 007 736881
    324 NANANG KASIM 44 Th L JL.ULIN GG 09 RT 026 797836
    324 20/10/2014 ASEINUR 22 Th L PAKIS 1 BLOK D NO 118 RT 082 797899
    324 AISYAH INSANI KAMILAQ 2 Th P KH.ABDULAH MUTHALIB RT 004 645385
    324 NOR HALIFAH 63 Th P HASAN BASRI NO 31 RT 025 757288
    324 M.ARSAD 36 Th L KEMUNING RT 015 797948
    324 RADITYO BUDI SETIAWAN S 4 Th L P.SURYANATA GG 9 RT 027 550057
    324 SITI DACHNIAR 45 Th P BUNG TOMO RT 022 797941
    324 MASSE 50 Th L KH.W.HASYIM RT 039 797901
    324 ERVINAH 23 Th P OTISTA RT 032 797906
    324 WARI ARUNG 23 Th P PAMPANG RT 003 797943
    324 ATMIYAH 57 Th P KEMUNING RT 008 797923
    324 ABD RAZAK MUSTAFA 67 Th L DR.SOETOMO GG 2 RT 030 189913
    324 MIFTA KRURAISAH 24 Th P SIDOREJO RT 011 797917
    324 ADE SWARA 48 Th L S.RIADI RT 032 797909
    324 M.NOVAL PRATAMA 10 Th L MARSDA A SALEH RT 040 797937
    324 RAMLI 26 Th L KH.W.HASYIM GG KARYA BARU RT 009 797946
    324 A.MADUN 2 Th P OTISTA GG BUDIMAN RT 029 797939
    324 INEM 60 Th P S.PARMAN 1 RT 003 606379
    324 RIFKA LUKITA WULANDARI 16 Th P PERUM PKL BLOK D NO 185 RT 023 797882
    324 RISMA AULIA ARDANA 6 Th P KH.W.HASYIM RT 052 717519
    324 NOVITA SARI 10 Th P H.MARHUSEN RT018 797885
    324 HERY OSCAR 52 Th L MUSO SALIM NO 68 RT 015 773624
    324 IYANSYAH 26 Th L GIRI REJO RT 024 765404
    324 21/10/2014 SUMAJI 46 Th L JL ULIN GG 2 RT 020 791080
    324 SAPNAULI LAMBOK S 34 Th L BENGKURING BLOK F RT 089 696462
    324 MUSLIHUN 49 Th L WIJAYA KUSUMA 1 NO 94 A 798006
    324 YULIANA 25 Th P S.RIADI GG KELUARGA RT 018 798004
    324 SURAIRIAH 28 Th L KH.ABD MUTHALIB RT 038 787589
    324 NUR LAITUL JANAH 28 Th P SERAYU RT 022 798058
    324 A.FAHRY SOPIAN 2 Th L AWS RT 022 798023
    324 RAFEAH 41 Th L DI PANJAITAN RT 018 740118
    324 M.FADILAH 4 Th L ULIN GG 6 NO 33 RT 021 798066
    324 MISTIN 44 Th P KH.W.HASYIM RT 054 798056
    324 SANI 48 Th L SUNGAI KAPIH GG SWARGA RT 004 591423
    324 KESY NARULITA PUTRI 2 Th P ARJUNA GG 2 RT 013 510582
    324 FACHRULLAH 30 Th L RE.M.DINATA GG TUKANG RT 009 684988
    324 NELA TRI AULIA 8 Th P P.DIPONOGORO RT 023 BUKUAN 798044
    324 SITI MARIYAM 55 Th P KH.M.MANSYUR RT 016 798086
    324 YOS VALENTINUS POTO 44 Th P ST.ALIMUDDIN RT 019 797999
    324 ISTI QHOMAH 36 Th P L.MANGKURAT RT 012 652671
    324 INEM 60 Th P S.PARMAN 1 RT 002 685157
    324 22/10/2014 EMIRIANSYAH 17 Th L MERBABU GG BDN RT 003 798294
    324 ULFAAH 22 Th P P.ANTASARI GG KENANGA RT 005 798184
    324 MAIMUNAH 25 Th P KH.W.HASYIM RT 006 798116
    324 ARMA YANA 36 Th P MT.HARIYONO RAWASARI 5 RT 050 798121
    324 SALAMI NOVA DEWI 63 Th P KEMAKMURAN DALAM RT 020 798310
    324 LENY NUR DIANTI 26 Th P AWS RT 029 798806
    324 IWAN SYAHRANIE 66 Th L ARGAMULYA DALAM RT 014 798818
    324 HERRY OSCAR 52 Th L MUSO SALIM NO 68 RT 015 793624
    324 REJATI 29 Th L GATOT SUBROTO GG 1 RT 043 659663
    324 M.VERLIN ATHAILLAH 2 Th L KEBUN AGUNG RT 006 721248
    324 MELIZA EKA SAFIRA 8 Th P ANGGUR RT 056 656610
    324 DIANTHA PRAMESTI 12 Th P DWI KORA RT 022 798141
    324 SYARANI 45 Th L JUANDA TRI DAYA RT 007 798174
    324 M.FADIL AKBAR 2 Th L P.BENDAHARA RT 002 661052
    324 SYARIFUDDIN 54 Th L PERUM BUKIT PINANG BAHARI RT 036 798169
    324 FITRIYANI 29 Th P DURIAN RT 003 747064
    324 ISMAL PUTRA RAMADHANI 9 BLN L BIAWAN RT 008 798172
    324 MARIA ULFAH 42 Th P KH.MAS MANSYUR RT 001 798124
    324 23/10/2014 M.REGZA SAILLENDRA 6 Th L KH.M.MANSYUR GG KAGANANGAN RT 026 728824
    324 SITI AULIA NOUMIRA 8 Th P P.ANTASARI GG PADAT KARYA RT 030 731456
    324 NOR FITRIA SARI 26 Th P LABU PUTIH 3 B/617 RT 74 668330
    324 LA PITIHA 54 Th L PAHLAWAN 2 RT 027 655213
    324 ALYSSA RIZKI ANANDA 3 Th P P.SURYANATA RT 015 798401
    324 YULIANA 28 Th P A.YANI GG MASYARAKAT RT 026 798344
    324 M.NAUFAL 8 Th L P.SURYANATA RT 015 798402
    324 NORLIANA 41 Th P TURI PUTIH RT 009 531951
    324 SASHIRA PRAMUDITA P Th P KESTELA 2 RT 070 734243
    324 DZAKIYYA THALITA ZAHRA 6 BLN P JUANDA 7 E RT 003 768047
    324 ERNAWATI 41 Th P ST.ALIMUDDIN NO 46 RT 020 760994
    324 RADIA 57 Th P KH.W.HASYIM GG WAHYU RT 039 394037
    324 TRI SARTIKA 29 Th P DR.SOETOMO RT 031 350427
    324 NURVITA AZZAHRA SAFITRI 2 Th P BIAWAN GG 6 RT 014 694469
    324 EKA SUSILAWATI K 31 Th P DI PANJAITAN GG BUGIS RT 004 798332
    324 M.ILHAM SAPUTRA - Th L L.MANGKURAT RT 029 475123
    324 ALAMSYAH 31 Th L SENTOSA DALAM II RT 079 731998
    324 HALIJAH 46 Th P KH.SAMANHUDI RT 002 794760
    324 APRILIA ISNANI RAHMAN 14 Th L S.PARMAN GG 1 RT 002 716547
    324 M.FAUZAN IRAWAN 9 BLN L L.MANGKURAT GG H USMAN RT 020 788679
    324 24/10/2014 APRILIA ISNANI RAHMAN 14 Th P S.PARMAN 1 RT 002 716547
    324 ANDI FERA LISA 17 Th P SAMARINDA -BONTONG RT 028 766515
    324 M.FAREL FAUZAN 4 Th L KH.SAMANHUDI RT 004 531937
    324 ARBAINAH 13 Th P RIMBAWAN RT 032 736519
    324 M.FEBRIAN 4 Th L RAJAWALI DALAM RT 014 798714
    324 ABD HAYAT 71 Th L GATSU RT 046 798422
    324 WIWIN AGUSTI 8 Th P AGUS SALIM GG A RT 19 798714
    324 RIFAI 59 Th L BATU BERSAUNG RT 026 798669
    324 M.DIMAS ZAIDAN K 2 Th L TRISARI RT 020 702940
    324 M.AKBAR AL RASYID 4 Th L L.MANGKURAT GG SELAMAT NO 61 RT 007 798647
    324 SAPIAH 70 Th P CM.KUSUMO RT 011 798635
    324 SRI ANI 49 Th P M.YAMIN RT 021 788279
    324 PARYATI 50 Th P GN.LINGAI GG RAHMAN RT 022 591235
    324 RENATA RADITYA SAPUTRI 6 Th P MUGIREJO RT 013 798688
    324 SELLY 43 Th P AMUNTAI GG III RT 069 782639
    324 SATIYEH 26 Th P MUGIREJO RT 004 788430
    324 ARI DWI PRAMANA 5 Th P MAHAKAM RT 001 636830
    324 DWI BAMBANG PURNAMA 58 Th L DELIMA RT 051 195525
    324 PARTINI 42 Th P RING ROAD GG 3 RT 037 NO 102 798634
    324 SUDIRMAN 66 Th L SENTOSA RT 031 763380
    324 25/10/2014 JUMYATI 50 Th P MANUNGGAL RT 077 634436
    324 RASMIATI 31 Th P GUNUNG TARAP RT 015 769217
    324 FIRDA FITRIANI 14 Th P P.SURYANATA GG 10 RT 060 100942
    324 ALFIN ATTTRIO A 3 Th L KS.TUBUN RT 014 798788
    324 M.AR.RAFFA ABIMANYU 3 Th L MERBABU RT 10 T.MERAH 798754
    324 TRI TURIYATI 57 Th L PEMUDA II RT 012 698891
    324 REZA PUTRA DWI PERMANA 5 Th L L.MANGKURAT RT 032 798741
    324 A.YUNUS 2 Th L OTISTA RT 015 788757
    324 SANTI 25 Th P NUSA INDAH RT 002 646149
    324 FIKRI FAUZAN 11 Th L MANUNGGAL RT 082 580648
    324 MARLINA 33 Th P S.RIADI GG GOTONG ROYONG RT 032 798756
    324 M.IRFAN 12 Th L LATSITARDA II GG MANUNGGAL II RT 030 798774
    324 A.FAHRIAJI 14 Th L KH.W.HASYIM RT 014 788779
    324 WINDY CHINTYA FATIKASARI 8 Th P M.SAID GG 2 NO 23 RT 09 798772
    324 MANISA 57 Th P TRISARI RT 022 799093
    324 PAULUS KRISDIANTO 45 Th L PASUNDAN GG CEMPAKA RT 030 639626
    324 RITA WAHYUDI 29 Th P PGRI BLOK E RT 006 744333
    324 NAILA RIZKY NUR TSARY 1 Th P L.MANGKURAT RT 027 798800
    324 EKA ANGGI AMELIA 20 Th P MERBABU RT 016 588792
    324 EDWIN ERFY WANDA 11 Th L ULIN GG 8 NO 57 RT 025 689658
    324 MULKAM 57 Th L YOS SUDARSO NO 344 RT 041 798804
    324 ASPRIANTO 27 Th L KESATUAN RT 011 HANDIL BAKTI 798761
    324 YOSE OLA 25 Th P KH.W.HASYIM GG SALAM RT 013 798798
    324 EKA WATI 35 Th P M.SAID RT 028 798740
    324 VERONICA YULIANCE 38 Th P WIRASWASTA RT 015 598961
    324 REVAN SAPUTRA 2 Th L JOYO MULYO RT 031 779850
    324 RICKY PRATAMA 24 Th L RIMBAWAN RT 033 798802
    324 26/10/2014 JOHANSYAH 46 Th L ARJUNA GG 1 RT 011 408449
    324 SURIPNI SETIAWATI 51 Th P DI PANJAITAN RT 033 799837
    324 M.ALI USNI 38 Th L MERDEKA II RT 092 798927
    324 ANGGA RIZWAN 9 Th L M.YAMIN GG 1 RT 015 784956
    324 HAMISAH 43 Th P KH.ABDUL MUTHALIB RT 010 773020
    324 FIRDA NURUL HIDAYAH 13 Th P ST.ALIMUDDIN RT 036 798831
    324 ADI SULAIMAN NUR 34 Th L MARSDA A SALEH GG 2 RT 023 798904
    324 KEISYA NURSYABANI 4 Th P SENTOSA KENANGAN VII RT 075 798902
    324 FAJAR BINTANG P 2 Th L GN LINGAI NO 23 RT 09 798905
    324 MIRNA OKTAVIANI 21 Th P KURNIA JAYA RT 017 798852
    324 TAWAKAL 63 Th L JELAWAT NO 39 RT 009 542542
    324 INDRIYANI 32 Th P GN.LINGAI NO 32 RT 009 515862
    324 RUSDIAH 54 Th P M.SAID GG 2 NO 56 RT 005 858755
    324 RESHYA PUTRI TARISA 4 Th P GERILYA GG MESJID BLOK D RT 105 788864
    324 JAIDUN 62 Th L KELAPA GADING RT 014 662824
    324 M.FARHAN 2 Th L KH.A.DAHLAN RT 013 647308
    324 M.FAZRIL ILHAM 2 Th L KH.M.MANSYUR RT 014 794799
    324 KHENDIRA KANAYA PUTRI 3 Th P KESEJAHTRAAN 1 V NO 55 RT 001 695124
    324 HERIANSYAH 42 Th L P.SURYANATA RT 002 798924
    324 M.RARID HUSEIN AL FREDO 8 BLN L JAKARTA BLOK FG 33 RT 079 779999
    324 MEMA 42 Th P RE.MARTADINATA RT 021 798869
    324 WA SIMUNA 57 Th P PAHLAWAN 2 RT 028 798919
    324 RIZKY CHANDARA IRAWAN 24 Th L KARYA BAKTI RT 048 798856
    324 MAULIDA HASANAH 5 Th P PUSAKA RT 016 798894
    324 ADITIA PUTRA PRATAMA 4 Th L T.UMAR RT 034 798881
    324 AL DAMSYAH REHAN 8 BLN L AGUS SALIM GG 8D NO 63 RT 037 783112
    324 ADB HAFID 53 Th L HASAN BASRI R T023 715991
    324 RAMELAN 49 Th L GN.LINGAI RT 013 798887
    324 27/10/2014 KASMIATI 54 Th P JAKARTA RT 064 798995
    324 WITA PUSPITA SARI 15 Th P ST,SULAIAMN GG AMALIA RT 007 798941
    324 ALPAH 54 Th P U.SUROPATI GG KGB RT 008 798982
    324 SELLA YANTI 21 Th P CENDANA GG 4 NO 28 RT 004 797683
    324 HERRY OSCAR 52 Th P MUSO SALIM NO 68 RT 015 775624
    324 SRI WAHYUNI 50 Th P M.SAID GG POLEWALI RT 030 799040
    324 JUL HAMDANI 31 Th L ULIN RT 014 7999052
    324 SANTI 46 Th P DURIAN RT 068 799006
    324 INDRIYANI 32 Th P GN.LINGAI NO 32 RT 009 590534
    324 RUDI EFFENDI 56 Th L P.ANTASARI RT 035 795026
    324 TIUR SIMANJUNTAK 27 Th L LABU HIJAU 5 RT 072 707762
    324 MARIYANI 35 Th P LUMBA-LUMBA R T007 799020
    324 FATIMAH 32 Th P KH SAMANHUDI RT 004 535519
    324 MUSDALIFAH 34 Th P P.SURYANATA RT 029 792880
    324 28//2014 LA GISA 60 Th L DAMAI GG 4 RT 009 775865
    324 FERDIANSYAH 30 Th L KS.TUBUN GG WIRATIRTA RT 017 799009
    324 EVLINA 52 Th P MERDEKA TIMUR RT 100 799168
    324 M.MAULANA 2 Th L PERINTIS GG CMPR SARI NO 55 RT 032 799104
    324 RAHMADINAH 15 Th P M.SAID GG IRSYADIYAH RT 027 799103
    324 SUKMAWATI 20 Th P PERUM BUMI SEMPAJA RT 047 629434
    324 M.FADILAH 2 Th L NUSA INDAH RT 022 420952
    324 CITRA DEWI 3 Th P IMAM BONJOL GG 79 RT 005 NO 28 799056
    324 WARTINEM 71 Th P M.YAMIN GG 01 RT 015 068961
    324 HAESOH 1 Th P GERILYA RT 058 718451
    324 DESI ROSAYANTI 19 Th P GN,TUNGGAL LOA BAKUNG RT 007 686685
    324 HELSA NURJANAH 15 Th P HM.SALEH ARSYAD RT 024 737037
    324 SITI FATIMAH 17 Th P A.AZIZ SAMAD GG HASANUDDIN RT 037 799100
    324 ASMA ZUHDIYYAH 3 Th L GERILYA RT 058 563490
    324 IRFAN 15 Th L S.PARMAN GG 4 RT 029 799059
    324 MASRIFUDDIN 50 Th L MERDEKA III RT 088 686452
    324 FITRIANA 14 Th P S.PARMAN GG 1 RT 001 799077
    324 29/10/2014 ASPUL ANWAR 56 Th L SEMPAJA LESTARI INDAH BLOK G RT 058 733690
    324 NURUL MAGHIRA 5 Th P BUNG TOMO RT 016 799213
    324 GUSTIANA 23 Th P P.ANTASARI GG 6 NO 46 RT 045 694821
    324 MAYDIRA AZZAHRA 5 BL P BUNG TOMO RT 019 799203
    324 ASIAN SYAHRUL 6 Th L GATOT SUBROTO GG 16 RT 025 799261
    324 NAVIATUL ISTIQOMAH 7 Th P PM.NOOR RT 039 799296
    324 SITI NOR DJENAH 50 Th P GATSU RT 046 799212
    324 FENDY BAYU PRATAMA 8 Th L WIRATAMA RT 004 799222
    324 EDWIS SIMON 65 Th L P.ANTASARI RT 041 498641
    324 HERRY OSCAR 52 Th P MUSO SALIM NO 68 RT 015 773628
    324 MARIYANA 50 Th P JUANDA TRI DAYA RT 007 675994
    324 AINANOOR YANA 45 Th P GATSU RT 044 405509
    324 LAGAU 73 Th L M.SAID RT 026 455069
    324 SITI NURUL L 20 Th P BATU CERMIN RT 003 799249
    324 JUPRI BERUTU 22 Th L PERUM RAPAK BENUANG RT 041 799131
    324 YANTY SUYATMI 48 Th P PERUM PERMATA HIJAU AA NO 2 RT 026 797828
    324 SUWARNI 53 Th P A.YANI GG MASYARAKAT RT 019 578578
    324 YULIANI 53 Th P TENGKAWANG RT 015 393961
    324 SITI SUBEHIATI 26 Th P PERUM TEPIAN RT 048 799251
    324 A.RANDI 5 Th L GN.LINGAI RT 001 799260
    324 AULIA NUR AZKA 10 Th P P.ANTASARI GG 5 RT 010 401415
    324 30/10/2014 SUSANTO 26 Th L PAHLAWAN 2 RT 028 799482
    324 MARVINO SULISTIO 5 Th L HASAN BASRI GG 2 RT 022 582048
    324 ISENNANG 50 Th P KERUKUNAN RT 043 799520
    324 SUNARTI 37 Th P TANAH MERAH RT 012 799478
    324 ANI SUMIATI 52 Th P P.PARMAN GG 2 RT 036 799472
    324 LUKMAN 36 Th L TANJUNG ARU RT 022 799502
    324 YULIANI 53 Th P TENGKAWANG RT 015 393961
    324 MASRIHAT 39 Th L JAKARTA GG IMAN RT 072 487785
    324 MISRIDHA 23 Th P CM.KUSUMO RT 009 799467
    324 REYVANNO VOXGA GIBRAN 1 Th L OTISTA RT 024 750437
    324 MULYA ALIZAH PUTRI 14 Th P NUSA INDAH RT 004 761416
    324 ALIF ABDUL AZIS 11 Th L BATU CERMIN RT 005 799484
    324 AS SAHIL MANSHURI 3 Th L ST,ALIMUDDIN RT 035 799605
    324 31/10/2014 INDA LATUL A 17 Th P W.MONGOSIDI RT 021 799537
    324 PITA SUSANTI 40 Th P GAMELAN RT 039 457348
    324 RENDY RAHMAN 15 Th L PERUM SEPAJA INDAH BLOK G /52 799601
    324 ALFA RIKI 10 Th L KH.W.HASYIM RT 051 799596
    324 NUR LAELAH GP 26 Th P DI PANJAITAN LOKASI A RT 033 795203
    324 NURLINA 32 Th P KOMP.PASAR SEGIRI RT 28 799587
    324 ARDIAMAN MUHDAR 76 Th L KH.M.MANSYUR RT 023 440233
    324 ANISA AZZAHRA AL BASIT 1 Th P PERJUANGAN ALAM SEGAR 4 RT 003 787052
    324 ZULQFLI RAMDANI 15 Th L PERUM SOLONG DURIAN RT 025 799548
    324 SHELLA TRESIA 20 Th P S.RIADI GG MUJAHIDIN RT 005 700600
    324 DEWI NUR HIMMAH 6 Th P AGUS SALIM RT 031 781429
    324 KEJA 47 Th L KH.HARUN NAFSI RT 015 747853
    324 DHELLA JUNIAR ZHAGI 16 Th P PEMUDA I NO 126 RT 008 732502
    324 DZAKI AHZA 7 Th L PERUM KOPRI SEMPAJA RT 63 795925
    324 ATHA THIRZAN APRILIA 3 Th P DAMAI RT 025 799528
    324 RUDIANSYAH 35 Th L PARAK INDAH RT 035 799584
    324 A.AMRULLAH 6 Th L OTISTA RT 018 792628
    324 Th
    AN PASIEN JAMKESDA DI IGD RSUD. A. WAHAB SJAHRANIE SAMARINDA BULAN OKTOBER 2014

    RINCIAN B
    No. Peserta Diagnosa Tindakan
    Karcis IGD O2
    8 9 10 11
    DISPEPSYA INF,PLEB,PLEB,INJEKSI 75,000 -
    INPARTU VT,DOPPLER 75,000 -
    CARRIES DENTIES INJEKSI 75,000 -
    VL WTH III,INJEKSI 75,000
    ISPA PLEB 75,000 -
    TB PARU INF,PLEB 75,000 -
    HEMATOM RESEP 75,000 -
    V.ICTHUM CROSS INSISI,INJEKSI 75,000 -
    KOLIC URETER PLEB,INJEKSI 75,000 -
    FEBRIS PLEB 75,000 -
    DISPEPSYA INJEKSI 75,000 -
    DM TYPE 2 INF,PLEB,EKG,INJEKSI 75,000 -
    ASMA O2 ,NEBU,INJEKSI 75,000 32,000
    HEMAPTOE INF,PLEB,EKG 75,000 -
    DHF PLEB 75,000 -
    ASMA NEBU,O2 75,000 32,000
    ISK PLEB,INJEKSI 75,000 -
    COLIC ABDOMEN INF,PLEB 75,000 -
    HORDEOULIS RESEP 75,000 -
    ARTHITIS INJEKSI 75,000 -
    THYPPOID INF,PLEB 75,000 -
    CAD INF,PLEB,EKG,INJEKSI 75,000 -
    BSK PLEB,SUPP 75,000 -
    DISPEPSYA EKG 75,000 -
    DISPEPSYA INJEKSI 75,000 -
    DISPEPSYA PLEB,INJEKSI 75,000 -
    ISK PLEB 75,000 -
    GEA INF,PLEB,EKG,INJEKSI 75,000 -
    DHF PLEB 75,000 -
    ISPA PLEB 75,000 -
    ASMA NEBU,O2 75,000 32,000
    DISPEPSYA INJEKSI 75,000 -
    VOMITUS PLEB 75,000 -
    VL WTH II,INJEKSI 75,000 -
    DISPEPSYA INF,PLEB 75,000 -
    HEMATOM RESEP 75,000 -
    VL WTH III,INJEKSI 75,000 -
    GEA SUPP 75,000 -
    FARINGITIS RESEP 75,000 -
    MBO INF.INTUBASI,PLEB EKG,INJ,O2 75,000 32,000
    DISPEPSYA EKG,INJEKSI 75,000 -
    GEA RESEP 75,000 -
    TONSILITIS RESEP 75,000 -
    AS O2 ,NEBU,INJEKSI 75,000 32,000
    SUSP APP RESEP 75,000 -
    COLIC ABDOMEN DC,PLEB,EKG 75,000 -
    CORPAL RESEP 75,000 -
    SUSP APP PLEB 75,000 -
    DOG BITE WT,INJEKSI 75,000 -
    RETENSIO URINE PASANG CHATETER 75,000 -
    VL WTH III,INJEKSI 75,000 -
    DHF PLEB,INJEKSI 75,000 -
    ISK PLEB 75,000 -
    GEA EKG,INJEKSI 75,000 -
    ISPA PLEB 75,000 -
    CAD INF,PLEB,O2 EKG 75,000 32,000
    ARTHITITIS INF,INJEKSI 75,000 -
    CA CERVIX PLEB,INJEKSI 75,000 -
    GEA INJEKSI 75,000 -
    GEA INJEKSI 75,000 -
    INPARTU VT,DOPPLER 75,000 -
    DISPEPSYA INF,INJEKSI 75,000 -
    URTIKARIA EKG,INJEKSI 75,000 -
    ISPA PLEB 75,000 -
    KRISIS HT PLEB,INJEKSI 75,000 -
    MORBILI INF,PLEB,KONSUL 75,000 -
    DISPEPSYA INF,PLEB,INJEKSI 75,000 -
    CONTOSIO MASKULAR RESEP 75,000 -
    CHF INF,PLEB,O2EKG,INJEKSI 75,000 32,000
    ASMA O2 ,NEBU,INJEKSI 75,000 32,000
    FEBRIS PLEB 75,000 -
    ASMA O2 ,NEBU,INJEKSI 75,000 32,000
    HEMAPTOE PLEB 75,000 -
    DISPEPSYA PLEB,INJEKSI 75,000 -
    FEBRIS PLEB 75,000 -
    GEA RESEP 75,000 -
    FEBRIS RESEP 75,000 -
    VERTIGO INF,PLEB,INJEKSI 75,000 -
    INFARTU VT,DOPPLER 75,000 -
    INPARTU VT,DOPPLER 75,000 -
    DISPEPSYA INF,PLEB,EKG,INJEKSI 75,000 -
    FEBRIS PLEB 75,000 -
    CKR INJEKSI 75,000 -
    ISPA PLEB 75,000 -
    VL WTH IV,INJEKSI 75,000 -
    CKR RESEP 75,000 -
    ASMA NEBU,O2 75,000 32,000
    RHINITIS RESEP 75,000 -
    VOMITUS INJEKSI 75,000 -
    ISK PLEB 75,000 -
    ISPA RESEP 75,000 -
    MORBILI RESEP 75,000 -
    INPARTU VT,DOPPLER 75,000 -
    DISPEPSYA INJEKSI 75,000 -
    GERD EKG,INJEKSI 75,000 -
    GEA INJEKSI 75,000 -
    VOMITUS RESEP 75,000 -
    GEA RESEP 75,000 -
    ISPA RESEP 75,000 -
    CEPALGIA PLEB,INJEKSI 75,000 -
    ASMA O2 ,NEBU,INJEKSI 75,000 32,000
    DISPEPSYA EKG,INJEKSI 75,000 32,000
    ISPA RESEP 75,000 -
    ISPA INF,PLEB,INJEKSI 75,000 -
    STOMATITIS INF,PLEB,INJEKSI 75,000 -
    COLIC ABDOMEN SUPP 75,000 -
    ASMA NEBU,O2 75,000 32,000
    ASMA NEBU,O2 75,000 32,000
    DISPEPSYA INJEKSI 75,000 -
    BSK PLEB,INJEKSI 75,000 -
    GASTRITIS PLEB,INJEKSI 75,000 -
    FEBRIS PLEB 75,000 -
    VL WTH III,INJEKSI 75,000 -
    DISPEPSYA PLEB,INJEKSI 75,000 -
    AVULSI NAIL WT 75,000 -
    DISPEPSYA PLEB,EKG,INJEKSI 75,000 -
    SUSP APP SUPP 75,000 -
    ASMA O2 ,NEBU,INJEKSI 75,000 32,000
    CKD PLEB 75,000 -
    GASTRITIS PLEB,INJEKSI 75,000 -
    FEBRIS PLEB 75,000 -
    ASMA O2 ,NEBU,INJEKSI 75,000 32,000
    VL WTH IV,INJEKSI 75,000 -
    CHF PLEBO,EKG 75,000 -
    KONJUNTIVITIS RESEP 75,000 -
    LBP INJEKSI 75,000 -
    ASMA O2 ,NEBU,INJEKSI 75,000 32,000
    SUSP OA PLEB 75,000 -
    INPARTU DOPPLER,VT,INJEKSI 75,000 -
    GEA PLEB 75,000 -
    VOMITUS RESEP 75,000 -
    INPARTU VT,DOPPLER 75,000 -
    CKR CKR 75,000 -
    DM PLEB 75,000 -
    VOMITUS INJEKSI 75,000 -
    FARINGITIS PLEB 75,000 -
    ISK PLEB 75,000 -
    ASMA NEBU,O2 75,000 32,000
    FEBRIS INF,PLEB 75,000 -
    COMMON COLD RESEP 75,000 -
    DISPEPSYA PLEB,EKG,INJEKSI 75,000 -
    HEMAPTOE PLEB 75,000 -
    FEBRIS PLEB 75,000 -
    DISPEPSYA INJEKSI 75,000 -
    ISPA PLEB 75,000 -
    DISPEPSYA PLEB,INJEKSI 75,000 -
    DISPEPSYA PLEB,INJEKSI 75,000 -
    ISPA PLEB 75,000 -
    DISPEPSYA PLEB,INJEKSI 75,000 -
    ASMA O2 ,NEBU,INJEKSI 75,000 32,000
    MIGRAN INJEKSI 75,000 -
    DM INF,PLEB,EKG,INJEKSI 75,000 -
    DISPEPSYA INF,PLEB,EKG 75,000 -
    DISPEPSYA PLEBO,EKG 75,000 -
    GEA RESEP 75,000 -
    DISPEPSYA PLEB,INJEKSI 75,000 -
    ISK SUPP 75,000 -
    CKD INF,PLEB,EKG,O2 75,000 32,000
    VL WTH III,INJEKSI 75,000 -
    SUPP APP PLEB 75,000 -
    SINCOPE PLEB,O2 75,000 32,000
    PPOK NEBU,O2 75,000 32,000
    ISK PLEB,INJEKSI 75,000 -
    ISK INF,PLEB 75,000 -
    VL WTH III,INJEKSI 75,000 -
    CKR WT 75,000 -
    INPARTU VT,DOPPLER 75,000 -
    ISPA LAB 75,000 -
    GEA INJEKSI 75,000 -
    CKD INF,PLEB,EKG,O2,INJEKSI 75,000 32,000
    PALPITASI INF,PLEB,EKG 75,000 -
    BROCHITIS NEBU,O2 75,000 32,000
    GASTRITIS EKG,INJEKSI 75,000 -
    DISPEPSYA INF,PLEB,INJEKSI 75,000 -
    VL WTH IV,INJEKSI 75,000 -
    GEA INJEKSI 75,000 -
    FEBRIS INF,PLEB,INJEKSI 75,000 -
    FEBRIS SUPP 75,000 -
    GEA INF 75,000 -
    DISPEPSYA INF,PLEB,EKG,O2,INJEKSI 75,000 32,000
    TONSILITIS PLEB,SUPP 75,000 -
    FEBRIS RESEP 75,000 -
    TB PARU INF,PLEB,SUPP 75,000 -
    GERD INF,PLEB 75,000 -
    FEBRIS PLEB 75,000 -
    DISPEPSYA PLEB,INJEKSI 75,000 -
    DISPEPSYA PLEB,INJEKSI 75,000 -
    DISPEPSYA PLEB,INJEKSI 75,000 -
    CA COLLI INF,PLEB,SUPP 75,000 -
    ISPA PLEB 75,000 -
    HT PLEB,INJEKSI 75,000 -
    INPARTU VT,DOPPLER 75,000 -
    ASMA O2 ,NEBU,INJEKSI 75,000 32,000
    SINCOPE PLEB 75,000 -
    KONSTIPASI INJEKSI 75,000 -
    DISPEPSYA PLEB,EKG,INJEKSI 75,000 -
    GEA RESEP 75,000 -
    ASMA NEBU,O2 75,000 32,000
    INPARTU VT,DOPPLER 75,000 -
    ASMA O2 ,NEBU,INJEKSI 75,000 32,000
    BROCHITIS NEBU,O2 75,000 -
    CEFALGIA PLEB,INJEKSI 75,000 -
    HIDRO CEPALUS PLEB 75,000 -
    VERTIGO INJEKSI 75,000 -
    ISPA RESEP 75,000 -
    URTIKARIA RESEP 75,000 -
    TONSILITIS RESEP 75,000 -
    ISPA RESEP 75,000 -
    DISPEPSYA INF,PLEB,EKG 75,000 -
    ISPA INF,PLEB,INJEKSI 75,000 -
    HT EKG,O2 75,000 32,000
    ISPA PLEB 75,000 -
    DISPEPSYA EKG,INJEKSI 75,000 32,000
    ASMA NEBU,O2 75,000 32,000
    GE RESEP 75,000 -
    ISK PLEB 75,000 -
    GE PLEB 75,000 -
    ISPA PLEB 75,000 32,000
    GERD INF,PLEB,INJEKSI 75,000 -
    CKR PLEB 75,000 -
    SUSP APP PLEBO,EKG 75,000 -
    DERMATITIS ALERGI RESEP 75,000 -
    VE WT 75,000 -
    CLOSE FRAKTUR RESEP 75,000 -
    CHES PAIN PLEBO,EKG 75,000 32,000
    FARINGITIS RESEP 75,000 -
    AVULSI DENTIS RESEP 75,000 -
    MIALGYA RESEP 75,000 -
    bsk INJEKSI 75,000 -
    ASMA O2 ,NEBU,INJEKSI 75,000 32,000
    CLOSE FRAKTUR WT,SPALK 75,000 -
    VOMITUS RESEP 75,000 -
    DISPEPSYA INJEKSI 75,000 -
    SUSP BSK RESEP 75,000 -
    DISPEPSYA INJEKSI 75,000 -
    TONSILITIS RESEP 75,000 -
    ISK PLEB 75,000 -
    INPARTU VT,DOPPLER 75,000 -
    VERTIGO INJEKSI 75,000 -
    DISPEPSYA INJEKSI 75,000 -
    CKD RESEP 75,000 -
    VOMITUS RESEP 75,000 -
    DISPEPSYA PLEB,INJEKSI 75,000 -
    HEMOROID RESEP 75,000 -
    FEBRIS INF 75,000 -
    KRISIS HT EKG 75,000 -
    FEBRIS RESEP 75,000 -
    DISPEPSYA INF,INJEKSI 75,000 -
    VERTIGO INF,PLEB,EKG 75,000 -
    INPARTU VT,DOPPLER 75,000 -
    DISPEPSYA INF,EKG,INJEKSI 75,000 -
    INPARTU VT,DOPPLER 75,000 -
    FEBRIS RESEP 75,000 -
    ASMA NEBU,O2 75,000 32,000
    ASMA NEBU,O2 75,000 32,000
    FEBRIS RESEP 75,000 -
    ASMA PLEB,NEBU,INF,INJEKSI 75,000 -
    ASMA O2 ,NEBU,INJEKSI 75,000 32,000
    VL WTH III 75,000 -
    ASMA NEBU,O2 75,000 -
    FEBRIS RESEP 75,000 -
    DHF PLEB 75,000 -
    ASMA NEBU,O2 75,000 32,000
    VL WTH II,INJEKSI 75,000 -
    MIOMA UTERI INJEKSI 75,000 -
    ASMA NEBU,O2 75,000 32,000
    ISPA RESEP 75,000
    FEBRIS RESEP 75,000
    INPARTU VT,DOPPLER 75,000 -
    HEMAPTOE INF,PLEB,INJEKSI 75,000 32,000
    AB IMINENS PLEB 75,000
    V.MORSUM WT,INJ 75,000
    ISPA PLEBO,EKG 75,000
    ASMA O2 ,NEBU,INJEKSI 75,000 32,000
    VOMITUS RESEP 75,000
    INPARTU VT,DOPPLER 75,000
    ISPA RESEP 75,000
    DISTENDED PLEB,INJEKSI 75,000
    GASTRITIS PLEB,EKG,INJEKSI 75,000
    ASMA NEBU,O2 75,000 32,000
    CKR INJEKSI 75,000
    COLIC ABDOMEN COLIC ABDOMEN 75,000
    ISPA RESEP 75,000 -
    ASMA NEBU,O2 75,000 32,000
    THYPOID PLEB 75,000 -
    FEBRIS PLEB 75,000 -
    ISPA RESEP 75,000 -
    ISPA RESEP 75,000 -
    ISPA RESEP 75,000 -
    DISPEPSYA INJEKSI 75,000 -
    CKR PLEB,INJEKSI 75,000 -
    VOMITUS RESEP 75,000 -
    FEBRIS RESEP 75,000 -
    ISK PLEB 75,000 -
    GEA RESEP 75,000 -
    FEBRIS RESEP 75,000 -
    BBLR INF,O2 75,000 32,000
    FEBRIS INF,PLEB 75,000 -
    SUSP ILIUS RESEP 75,000 -
    INPARTU VT,DOPPLER 75,000 -
    ISK PLEB 75,000 -
    FEBRIS PLEB,INJEKSI 75,000 -
    PPOK PLEB,O2 75,000 32,000
    GEA INF.PLEB 75,000 -
    BRONCHITIS NEBU,O2 75,000 -
    BSK INF,PLEB,EKG 75,000 -
    MORBILI RESEP 75,000 -
    INPARTU VT,DOPPLER 75,000 -
    INPARTU VT,DOPPLER 75,000 -
    TB PARU PLEBO,EKG 75,000 -
    DISPEPSYA PLEB,EKG,INJEKSI 75,000 -
    ASMA O2 ,NEBU,INJEKSI 75,000 32,000
    DISPEPSYA PLEB,INJEKSI 75,000 -
    LBP PLEB,EKG,INJEKSI 75,000 -
    DISPEPSYA INF,INJEKSI 75,000 -
    COLIC RENAL PLEB,SUPP 75,000 -
    ASPIRASI PEUNOMONIA INF,PLEB,O2,RJP,ETT 75,000 32,000
    DISPEPSYA EKG,INJEKSI 75,000 -
    BSK PLEB,DC,SUP 75,000 -
    COLIC URETER PASANG CHATETER 75,000 -
    COLIC ABDOMEN PLEB 75,000 -
    COLIC RENAL PLEB,SUPP,EKG 75,000 -
    TONSILITIS PLEB 75,000 -
    FARINGITIS PLEB,INJEKSI 75,000 -
    FEBRIS RESEP 75,000 -
    GEA INJEKSI 75,000 -
    ISPA RESEP 75,000 -
    ASMA O2 ,NEBU,INJEKSI 75,000 32,000
    CKD PLEB,EKG,INJEKSI 75,000 -
    CKR RESEP 75,000 -
    DISPEPSYA PLEB,INJEKSI 75,000 -
    ABSES REGIO FEMUR PLEB 75,000 -
    GRAVID INF,PLEB,INJEKSI 75,000 -
    ASMA NEBU,O2 75,000 32,000
    CKD INF,PLEB,EKG.O2 75,000 32,000
    ISPA PLEB 75,000 -
    ISPA INF,PLEB,INJEKSI 75,000 -
    VL WTH III,INJEKSI 75,000 -
    DYSPEPSIA INJEKSI 75,000 -
    DYSPEPSIA RESEP 75,000 -
    INPARTU DOPLER,VT 75,000 -
    ISPA NEBU,PHLEB 75,000
    ISPA NEBULIZER 75,000 -
    FEBRIS RESEP 75,000 -
    DISPEPSYA INJ,PHLEB 75,000 -
    OBS,VOMITUS INJEKSI 75,000
    GASTRITIS INJEKSI 75,000 -
    CKR O2 75,000 32,000
    HT PHLEB,INJ,EKG 75,000
    V.CHTUM INJEKSI 75,000 -
    OBS.HEMAPTOE RESEP 75,000 -
    SUSP.TB RESEP 75,000 -
    TRAUMA TUMPUL THORAX KONSUL SPESIALIS 75,000 -
    GERD INF,INJEKSI 75,000 -
    DISPEPSYA INJEKSI 75,000 -
    EKSTRAKSI KUKU KORPAL TELINGA/HIDUNG 75,000 -
    CKR KONSUL SPESIALIS 75,000 -
    FEBRIS PHLEB 75,000 -
    FEBRIS PHLEB 75,000 -
    CEPHALGIA RESEP 75,000 -
    DYSPEPSIA INJEKSI 75,000 -
    INPARTU KONSUL SPESIALIS 75,000 -
    ISK PHLEB 75,000
    GEA INJEKSI 75,000 -
    DYSPEPSIA INJEKSI 75,000
    HEMAPTOE INF,PHLEB,INJ,O2 75,000 32,000
    CKR PHLEB,KONSUL SPESIALIS 75,000 -
    HERMOROID INF,PHLEB,INJ 75,000 -
    ASMA NEBU,O2 75,000 32,000
    ASMA NEBULIZER 75,000 -
    FARINGITIS EKG 75,000 -
    GEA PHLEB,EKG 75,000 -
    HERMOID RESEP 75,000 -
    DM INF,PHLEB,EKG 75,000
    VARICELLA INJEKSI 75,000 -
    PJB INJEKSI 75,000
    VL WT 75,000 -
    MORBILI INJEKSI 75,000 -
    MORBILI RESEP 75,000 -
    INPARTU DOPLER,VT 75,000 -
    CKR INJEKSI 75,000 -
    CKR WT 75,000 -
    DOG BIT INJEKSI 75,000 -
    VOMITING RESEP 75,000 -
    DYSPEPSIA INJEKSI 75,000 -
    CEPHALGIA INJ,EKG 75,000 -
    DM PHLEB,EKG 75,000 -
    ABD.PAIN INF,PHLEB,INJ,KONSUL SPESIALIS 75,000 -
    ISPA NEBULIZER 75,000 -
    CKD INJ,O2 75,000 32,000
    FEBRIS PHLEB 75,000 -
    ASMA NEBU 75,000
    ASMA NEBULIZER 75,000
    ISK INJEKSI 75,000 -
    HT INJ,PHLEB,EKG,O2 75,000 32,000
    PNEUMANIA NEBU,INF,PHLEB,O2 75,000 32,000
    GEA RESEP 75,000 -
    ISK PHLEB 75,000 -
    ANEMIA PHLEB,EKG,O2,KONSUL SPESILIS 75,000 32,000
    FEBRIS RESEP 75,000 -
    ASMA NEBU,PHLEB,O2 75,000 32,000
    CHES PAIN INJ,PHLEB,EKG 75,000 -
    DYSPEPSIA INJEKSI 75,000
    VERTIGO INJEKSI 75,000
    CKR KONSUL SPESIALIS 75,000 -
    DEMEN DUNGUE PHLEB 75,000
    GEA INF,KONSUL SPESIALIS 75,000
    FEBRIS RESEP 75,000
    VOMITING KONSUL SPESIALIS 75,000 -
    ISK PHLEB,KONSUL SPESIALIS 75,000
    DERMATITIS ALERGI RESEP 75,000
    ISPA RESEP 75,000
    CKD PLEBO,EKG 75,000
    HEMOROID PLEB 75,000
    ASMA NEBU,O2 75,000 32,000
    ISPA RESEP 75,000
    DISPEPSYA INF,PLEB,EKG,INJEKSI 75,000
    INPARTU VT,DOPPLER 75,000
    DISPEPSYA PLEB,EKG,INJEKSI 75,000 -
    BSK PLEB,INJEKSI 75,000 -
    PPOK INJEKSI 75,000
    INPARTU VT,DOPPLER 75,000
    ISCHALGIA INJEKSI 75,000 -
    FEBRIS INJEKSI 75,000
    CEPHALGIA INJEKSI 75,000
    GEA PLEB,INJEKSI 75,000
    DM INF,PLEB,INJEKSI 75,000
    FEBRIS INJEKSI 75,000
    ASMA O2,NEBU,INJEKSI 75,000 32,000
    ISPA NEBU 75,000
    CKD PLEB,EKG,INJEKSI 75,000 32,000
    ASMA O2,NEBU,INJEKSI 75,000 32,000
    POST OP APP PLEB,INJEKSI 75,000
    DISPEPSYA PLEB,INJEKSI 75,000
    ANEMIA PLEB,EKG,INJEKSI 75,000
    CEPHALGIA INJEKSI 75,000
    SUSP DHF INF,PLEB,INJEKSI 75,000
    DISPEPSYA PLEB,INJEKSI 75,000
    THYPOID PLEB 75,000
    DISPEPSYA INF,PLEB,INJEKSI 75,000
    FARINGITIS PLEB 75,000
    HT INF,PLEB,EKG,INJEKSI 75,000
    DISPEPSYA INJ,DC,EKG 75,000
    ASMA NEBU,O2 75,000 32,000
    KONJUNTIVITIS RESEP 75,000 -
    SUSP EPELEPSI INF,PLEB 75,000
    V.CHTUM CROSS INSISIS,INJEKSI 75,000
    VL WTH III,INJEKSI 75,000
    ISK PLEBO,EKG 75,000
    DM PLEB,EKG,INJEKSI 75,000
    ISK RESEP 75,000
    ASMA NEBU,O2 75,000 32,000
    DISPEPSYA INF,PLEB,INJEKSI 75,000
    GEA PLEB,INJEKSI 75,000
    DISPEPSYA INJEKSI 75,000
    DISPEPSYA INJEKSI 75,000
    CF INF,PLEB 75,000
    CKD EKG,INJEKSI 75,000 32,000
    DISPEPSYA INF,PLEB,INJEKSI 75,000
    FEBRIS RESEP 75,000
    ISPA RESEP 75,000
    GEA INF,PLEB,INJEKSI 75,000
    VL PLEB,WT,INJEKSI 75,000
    ASMA NEBU 75,000
    SINCOPE PLEBO,EKG 75,000
    GRAVID PLEB 75,000
    GEA INF,PLEB 75,000
    DIARE INF,PLEB,INJEKSI 75,000
    GEA INF,PLEB 75,000
    GEA RESEP 75,000
    GEA INJEKSI 75,000
    PPOK INF,PLEB,NEBU ,EKG ,O2 75,000 32,000
    VOMITING INJEKSI 75,000
    VL WTH III,INJEKSI 75,000
    ISPA INJEKSI 75,000
    DISPEPSYA INF,INJEKSI 75,000
    RHINITIS RESEP 75,000
    VOMITING RESEP 75,000
    DISPEPSYA PLEB,INJEKSI 75,000
    ASMA O2,NEBU,INJEKSI 75,000 32,000
    SOFT TISSUE RESEP 75,000
    CONTOSIO MASKULAR RESEP 75,000
    DISPEPSYA INJEKSI 75,000
    ASMA NEBU,O2 75,000 32,000
    ASMA NEBU,O2 75,000 32,000
    GASTRITIS PLEB,INJEKSI 75,000
    DISPEPSYA INJEKSI 75,000
    FEBRIS PLEB 75,000 -
    DISPEPSYA INJEKSI 75,000
    DISPEPSYA INJEKSI 75,000
    VOMITING RESEP 75,000
    DISPEPSYA PLEB,INJEKSI 75,000
    ISPA PLEB 75,000
    HEMAPTOE PLEB,EKG,INJEKSI 75,000
    FEBRIS PLEB 75,000
    RETENSIO URINE PASANG CHATETER 75,000
    VL INJEKSI 75,000
    FEBRIS PLEB 75,000
    LBP INJEKSI 75,000
    VERTIGO INJEKSI 75,000
    KISTA PLEB 75,000
    GEA PLEB,INJEKSI 75,000
    DISPEPSYA INF,PLEB,EKG,INJEKSI 75,000
    DOA - 75,000
    FEBRIS RESEP 75,000
    VL WTH II,INJEKSI 75,000
    CEPALGIA RESEP 75,000
    DISPEPSYA INF,PLEB,EKG,INJEKSI 75,000
    URTIKARIA EKG,INJEKSI 75,000
    ISK PLEB 75,000
    ISPA PLEB 75,000
    VL INJEKSI 75,000
    FEBRIS PLEB 75,000
    CKD EKG,INJEKSI 75,000 32,000
    THYPOID RESEP 75,000
    FEBRIS PLEB 75,000
    BSK PLEB 75,000
    V.CHTUM INJEKSI 75,000
    DISPEPSYA PLEB,INJEKSI 75,000
    MORBILI PLEB 75,000
    VL INJEKSI 75,000
    TONSILITIS PLEB 75,000
    HT EKG,INJEKSI 75,000
    VERTIGO INJEKSI 75,000
    INPARTU VT,DOPPLER 75,000
    GEA RESEP 75,000
    ABORTUS IMINENS RESEP 75,000
    ASMA NEBU,INJEKSI 75,000
    ISPA RESEP 75,000
    COMBOSIO GR II WT 75,000
    VL WTH II,INJEKSI 75,000
    HEMOROID PLEB,SUPP 75,000
    CHEST PAINT INF,EKG,INJEKSI 75,000
    VL WTH II,INJEKSI 75,000
    VL WTH IV,INJEKSI 75,000
    BELLS PALSY INJEKSI 75,000
    DISPEPSYA EKG,INJEKSI 75,000 32,000
    VERTIGO INF,PLEB,INJEKSI 75,000
    GASTRITIS PLEB,INJEKSI 75,000
    DISPEPSYA INF,PLEB,EKG,INJEKSI 75,000
    DISPEPSYA INJEKSI 75,000
    FEBRIS RESEP 75,000
    VOMITING RESEP 75,000
    GEA RESEP 75,000
    GEA RESEP 75,000
    URTIKARIA INJEKSI 75,000
    FEBRIS RESEP 75,000
    ISPA RESEP 75,000
    GEA RESEP 75,000
    GASTRITIS EKG,INJEKSI 75,000
    ASMA NEBU,O2 75,000 32,000
    ASMA NEBU 75,000
    ISPA RESEP 75,000
    GEA INF,PLEB,EKG,INJEKSI 75,000
    VOMITING PLEB,INJEKSI 75,000
    TROUMA THORAX INJEKSI 75,000
    CONTOSIO MASKULAR INF,PLEB,EKG 75,000
    CLOSE FRAKTUR RESEP 75,000
    CONTOSIO MASKULAR RESEP 75,000
    VE WT 75,000
    ISPA RESEP 75,000
    RETENSIO URINE PASANG CHATETER 75,000
    VL WTH III,INJEKSI 75,000
    ISK PLEBO,EKG 75,000
    ISK PLEB 75,000
    DISENTRI PLEBO,EKG 75,000
    GASTRITIS RESEP 75,000
    CKD RESEP 75,000
    GEA INF,PLEB,INJEKSI 75,000
    KONSTIPASI PLEB 75,000
    BSK PLEB 75,000
    GEA RESEP 75,000
    VL WTH V 75,000
    ASMA PLEB,EKG,INJEKSI 75,000 32,000
    DISPEPSYA INF,INJEKSI 75,000
    GERD INF,PLEB 75,000
    GEA INJEKSI 75,000
    ISK PLEB 75,000
    VL WTH II,INJEKSI 75,000
    BSK PLEB,SUPP 75,000
    ISPA PLEB 75,000
    FARINGITIS PLEB 75,000
    VOMITING INF,PLEB,INJEKSI 75,000 32,000
    FEBRIS PLEB 75,000
    GEA INF,PLEB 75,000
    CHF PLEBO,EKG 75,000
    MORBILI PLEB 75,000
    DISPEPSYA INF,PLEB,INJEKSI 75,000 32,000
    DISPEPSYA INJEKSI 75,000
    ISK RESEP 75,000
    ISPA PLEB 75,000
    DISPEPSYA INJEKSI 75,000 32,000
    DISPEPSYA PLEB,EKG,INJEKSI 75,000
    COLIC ABDOMEN PLEB 75,000
    CAD INF.PLEB 75,000
    VOMITING INF,PLEB 75,000
    ANEMIA INFUS,PLEB 75,000
    GEA INF,PLEB 75,000
    VL WTH II,INJEKSI 75,000
    VL WTH III,INJEKSI 75,000
    VL WT,INJEKSI 75,000
    FARINGITIS PLEB 75,000
    V.ICTHUM CROSS INSISIS,INJEKSI 75,000
    CKD OKSIGEN,INJEKSI 75,000 32,000
    DM PLEB 75,000
    ISK PLEB 75,000
    VL WTH IV,INJEKSI 75,000
    CKR WTH II 75,000
    CKR INF,PLEB 75,000
    CEPALGIA INJEKSI 75,000
    ASMA NEBU,O2 75,000 32,000
    DISPEPSYA RESEP 75,000
    ISCHALGIA INJEKSI 75,000
    FEBRIS PLEB 75,000
    DISPEPSYA RESEP 75,000
    GEA PLEB,INJEKSI 75,000
    FEBRIS RESEP 75,000
    AOREKSIA INF,DC,PLEB,GDS,O2,EKG 75,000 32,000
    GRAVID+CONTUSIO M PLED,DOPLER EKG 75,000
    GASTROPATI PLEB,EKG,INJEKSI 75,000
    ISCHALGIA INF,INJEKSI 75,000
    GLIKOMA INF 75,000
    INFARTU VT,DOPPLER 75,000
    KONSTIPASI RESEP 75,000
    FEBRIS PLEB 75,000
    DERMATITIS ALERGI RESEP 75,000
    VE WT 75,000
    GEA RESEP 75,000
    CONTOSIO MASKULAR RESEP 75,000
    INFARTU INF,PLEB,INJEKSI 75,000
    V.ICTHUM CROSS INSISIS,INJEKSI 75,000
    VL WTH III,INJEKSI 75,000
    INPARTU PLEB,DOPPLER 75,000
    EPISTAXIS WT 75,000
    CONTOSIO MASKULAR EKG,INJEKSI 75,000
    FOOD DISEASE RESEP 75,000
    FEBRIS PLEB 75,000
    HEMAPTOE RESEP 75,000
    FEBRIS PLEB 75,000
    DISPEPSYA PLEB,INJEKSI 75,000
    DISPEPSYA INJEKSI 75,000
    FARINGITIS RESEP 75,000
    GEA INJEKSI 75,000
    VE WT 75,000
    VOMITING INF,PLEB,INJEKSI 75,000
    48,375,000 2,528,000
    KTOBER 2014

    RINCIAN BIAYA
    JUMLAH
    Konsul dr.spesialis jasa konsul Js rumah sakit BHP Js pelaynan
    14 12 13 14 15 16
    - - 224,000 41,500 176,000 516,500
    - - 89,000 25,000 67,700 256,700
    - - 44,800 7,000 35,200 162,000
    - - 134,400 57,000 105,600 372,000
    - - 44,800 10,000 35,200 165,000
    - - 134,400 25,000 105,600 340,000
    DR.ATOB 75,000 - - - 150,000
    - - 89,600 27,000 70,400 262,000
    - - 89,600 17,000 70,400 252,000
    - - 44,800 10,000 35,200 165,000
    - - 44,800 7,000 35,200 162,000
    - - 268,800 48,500 211,200 603,500
    - - 134,400 22,000 105,600 369,000
    - - 224,000 41,500 176,000 516,500
    - - 44,800 10,000 35,200 165,000
    - - 89,600 15,000 70,400 282,000
    - - 89,600 17,000 70,400 252,000
    - - 134,400 25,000 105,600 340,000
    - - - - - 75,000
    - - 44,800 7,000 35,200 162,000
    - - 134,400 25,000 105,600 340,000
    - - 268,800 48,500 211,200 603,500
    - - 44,800 10,000 35,200 165,000
    - - 89,600 16,500 70,400 251,500
    - - 44,800 7,000 35,200 162,000
    - - 89,600 17,000 70,400 252,000
    - - 44,800 10,000 35,200 165,000
    - - 268,800 48,500 211,200 603,500
    - - 44,800 10,000 35,200 165,000
    - - 44,800 10,000 35,200 165,000
    - - 89,600 22,000 70,400 289,000
    - - 44,800 7,000 35,200 162,000
    - - 44,800 10,000 35,200 165,000
    - - 89,600 37,000 70,400 272,000
    - - 134,400 25,000 105,600 340,000
    DR.GRACE 75,000 - - - 150,000
    - - 134,400 57,000 105,600 372,000
    - - 44,800 3,000 35,200 158,000
    - - - 75,000
    - 75,000 739,200 93,500 580,200 1,594,900
    - - 134,400 23,500 105,600 338,500
    - - - 75,000
    - - - 75,000
    - - 134,400 22,000 105,600 369,000
    - - - 75,000
    - - 224,000 46,500 176,000 521,500
    - - - 75,000
    - - 44,800 10,000 35,200 165,000
    - - 89,600 27,000 70,400 262,000
    - - 89,600 20,000 70,400 255,000
    - - 134,400 57,000 105,600 372,000
    - - 89,600 17,000 70,400 252,000
    - - 44,800 10,000 35,200 165,000
    - - 134,400 23,500 105,400 338,300
    - - 44,800 10,000 35,200 165,000
    - - 224,000 41,500 176,000 548,500
    - - 134,400 22,000 105,600 337,000
    - - 89,600 17,000 70,400 252,000
    - - 44,800 7,000 35,200 162,000
    - - 44,800 7,000 35,200 162,000
    - - 89,600 25,000 70,400 260,000
    - - 134,400 22,000 105,600 337,000
    - - 134,400 23,500 105,600 338,500
    - - 448,000 10,000 35,200 568,200
    - - 89,600 17,000 70,400 252,000
    DR.WILIAM 75,000 134,400 25,000 105,600 415,000
    - - 179,200 32,000 140,800 427,000
    - - - 75,000
    - - 268,800 48,500 211,200 635,500
    - - 134,400 22,000 105,600 369,000
    - - 44,800 10,000 35,200 165,000
    - - 134,400 22,000 105,600 369,000
    - - 44,800 10,000 35,200 165,000
    - - 89,600 17,000 70,400 252,000
    - - 44,800 10,000 35,200 165,000
    - - - 75,000
    - - - 75,000
    DR,ASWAD,ANITA 150,000 179,200 32,000 140,800 577,000
    - - 89,600 25,000 70,400 260,000
    - - 89,600 25,000 70,400 260,000
    - - 268,800 48,500 211,200 603,500
    - - 44,800 10,000 35,200 165,000
    - - - 75,000
    - - 44,800 10,000 35,200 165,000
    - - 134,400 57,000 105,600 372,000
    DR.GRACE 75,000 - - - 150,000
    - - 89,600 15,000 70,400 282,000
    - - - 75,000
    - - 44,800 7,000 35,200 162,000
    - - 44,800 10,000 35,200 165,000
    - - - 75,000
    - - - 75,000
    - - 89,600 25,000 70,400 260,000
    - - 44,800 7,000 35,200 162,000
    - - 44,800 7,000 35,200 162,000
    - - 44,800 7,000 35,200 162,000
    - - - 75,000
    - - - 75,000
    - - - 75,000
    - - 89,600 17,000 70,400 252,000
    - - 134,400 22,000 105,600 369,000
    - - 134,400 23,500 105,600 370,500
    - - -
    - - 179,200 32,000 140,800 427,000
    - - 179,200 32,000 140,800 427,000
    - - 44,800 3,000 35,200 158,000
    - - 89,600 15,000 70,400 282,000
    - - 89,600 15,000 70,400 282,000
    - - 44,800 7,000 35,200 162,000
    - - 89,600 17,000 70,400 252,000
    - - 89,600 17,000 70,400 252,000
    - - 44,800 10,000 35,200 165,000
    - - 134,400 70,000 105,600 385,000
    - 89,600 17,000 70,400 252,000
    - - 44,800 20,000 35,200 175,000
    - - 197,200 33,500 140,800 446,500
    - - 44,800 3,000 35,200 158,000
    - - 134,400 22,000 105,600 369,000
    DR,NIRA PAMBUDI 75,000 44,800 10,000 35,200 240,000
    - - 89,600 17,000 70,400 252,000
    - - 44,800 10,000 35,200 165,000
    - - 134,400 22,000 105,600 369,000
    - - 291,200 82,000 228,800 677,000
    - - 134,400 26,500 105,600 341,500
    - - - 75,000
    - - 44,800 7,000 35,200 162,000
    - - 89,600 15,000 70,400 282,000
    - - 89,600 17,000 70,400 252,000
    - - 134,400 32,000 102,900 344,300
    - - 44,800 10,000 35,200 165,000
    - - - 75,000
    - - 89,600 25,000 70,400 260,000
    - - 44,800 7,000 35,200 162,000
    - - 44,800 10,000 35,200 165,000
    - - 44,800 7,000 35,200 162,000
    DR.ATOB 75,000 44,800 10,000 35,200 240,000
    - - 44,800 10,000 35,200 165,000
    - - 89,600 15,000 70,400 282,000
    - - 134,400 25,000 105,600 340,000
    - - - 75,000
    - - 179,200 33,500 140,800 428,500
    - - 44,800 10,000 35,200 165,000
    - - 44,800 10,000 35,200 165,000
    - - 44,800 10,000 35,200 165,000
    - - 44,800 10,000 35,200 165,000
    - - 89,600 17,000 70,400 252,000
    - - 89,600 17,000 70,400 252,000
    - - 44,800 10,000 35,200 165,000
    - - 89,600 17,000 70,400 252,000
    - - 134,400 22,000 105,600 369,000
    - - 44,800 7,000 35,200 162,000
    - - 268,800 48,500 211,200 603,500
    - - 224,000 41,500 176,000 516,500
    - - 134,400 26,500 105,600 341,500
    - - - 75,000
    - - 89,600 17,000 70,400 252,000
    - - 44,800 3,000 35,200 158,000
    - - 224,000 41,500 176,000 548,500
    - - 134,400 57,000 105,600 372,000
    DR.MANGGANLINDUNG 75,000 44,800 10,000 35,200 240,000
    - - 44,800 10,000 35,200 197,000
    - - 89,600 15,000 70,400 282,000
    - - 89,600 17,000 70,400 252,000
    - - 179,200 32,000 140,800 427,000
    - - 134,400 57,000 105,600 372,000
    - - 44,800 20,000 35,200 175,000
    - - 89,600 25,000 70,400 260,000
    - - 44,800 10,000 35,200 165,000
    - - 44,800 7,000 35,200 162,000
    - - 179,200 33,500 140,800 460,500
    - - 224,000 41,500 176,000 516,500
    - - 89,600 15,000 70,400 282,000
    - - 134,400 26,500 105,600 341,500
    - - 44,800 7,000 35,200 162,000
    - - 291,200 82,000 228,800 677,000
    - - 44,800 7,000 35,200 162,000
    - - 179,200 32,000 140,800 427,000
    - - 44,800 3,000 35,200 158,000
    - - 89,600 15,000 70,400 250,000
    - - 268,800 48,500 211,200 635,500
    89,600 13,000 70,400 248,000
    - - - - - 75,000
    179,200 28,000 140,800 423,000
    - - 134,400 25,000 105,600 340,000
    44,800 10,000 35,200 165,000
    - - 89,600 17,000 70,400 252,000
    89,600 17,000 70,400 252,000
    - - 89,600 17,000 70,400 252,000
    179,200 28,000 140,800 423,000
    - - 44,800 10,000 35,200 165,000
    89,600 17,000 70,400 252,000
    - - 89,600 25,000 70,400 260,000
    134,400 22,000 105,600 369,000
    - - 44,800 10,000 35,200 165,000
    44,800 7,000 35,200 162,000
    - - 179,200 33,500 140,800 428,500
    - - - - - 75,000
    - - 89,600 15,000 70,400 282,000
    - - 89,600 25,000 70,400 260,000
    - - 134,400 22,000 105,600 369,000
    - - 89,600 15,000 70,400 250,000
    - - 89,600 17,000 70,400 252,000
    - - 44,800 10,000 35,200 165,000
    - - 44,800 7,000 35,200 162,000
    - - - 75,000
    - - - 75,000
    - - - 75,000
    - - - 75,000
    - - 224,000 41,500 176,000 516,500
    - - 179,200 32,000 140,800 427,000
    - - 89,600 16,500 70,400 283,500
    - - 44,800 10,000 35,200 165,000
    - - 134,400 23,500 105,600 370,500
    - - 89,600 15,000 70,400 282,000
    - - - 75,000
    - - 44,800 10,000 35,200 165,000
    - - 44,800 10,000 35,200 165,000
    - - 44,800 10,000 35,200 197,000
    - - 179,200 32,000 140,800 427,000
    - - 44,800 10,000 35,200 165,000
    DR.ANTHONY 75,000 134,400 26,500 105,600 416,500
    - - - 75,000
    - - 44,800 20,000 35,200 175,000
    DR.GREG 75,000 - - - 150,000
    - - 134,400 26,500 105,600 373,500
    - - - 75,000
    - - - 75,000
    - - - 75,000
    - - 44,800 7,000 35,200 162,000
    - - 134,400 22,000 105,600 369,000
    DR.GREG 75,000 89,600 20,000 70,400 330,000
    - - - 75,000
    - - 44,800 7,000 35,200 162,000
    - - - - - 75,000
    - - 44,800 7,000 35,200 162,000
    - - - 75,000
    - - 48,800 10,000 35,200 169,000
    - - 89,600 25,000 70,400 260,000
    - - 44,800 7,000 35,200 162,000
    - - 44,800 7,000 35,200 162,000
    - - - 75,000
    - - - 75,000
    - - 89,600 17,000 70,400 252,000
    DR.MANGGANLINDUNG 75,000 - - - 150,000
    - - 89,600 15,000 70,400 250,000
    - - 89,600 16,500 70,400 251,500
    - - - - - 75,000
    - - 134,400 22,000 105,600 337,000
    - - 224,000 38,500 251,000 588,500
    - - 89,600 25,000 142,700 332,300
    - - 224,000 38,500 251,000 588,500
    - - 89,600 25,000 142,700 332,300
    - - - 75,000
    - - 89,600 15,000 70,400 282,000
    - - 89,600 15,000 70,400 282,000
    - - - 75,000
    - - 288,800 47,000 191,200 602,000
    - - 134,400 22,000 105,600 369,000
    - - 89,600 50,000 70,400 285,000
    - - 89,600 15,000 70,400 250,000
    - - - 75,000
    - - 44,800 10,000 35,200 165,000
    - - 89,600 15,000 70,400 282,000
    - - 134,400 57,000 105,600 372,000
    - - 44,800 7,000 35,200 162,000
    - - 89,600 15,000 70,400 282,000
    - - - 75,000
    - - - 75,000
    - - 89,600 25,000 70,400 260,000
    - - 179,200 32,000 140,800 459,000
    - - 44,800 10,000 35,200 165,000
    - - 89,600 27,000 70,400 262,000
    - - 134,400 26,500 105,600 341,500
    - - 134,400 22,000 105,600 369,000
    - - - 75,000
    - - 89,600 25,000 70,400 260,000
    - - - 75,000
    DR.SAIFUL 75,000 89,600 17,000 70,400 327,000
    - - 224,000 48,500 176,000 523,500
    - - 89,600 15,000 70,400 282,000
    DR.GRACE 75,000 44,800 7,000 35,200 237,000
    DR.SAIFUL 75,000 44,800 7,000 35,200 237,000
    - - - 75,000
    - - 89,600 15,000 70,400 282,000
    - - 44,600 10,000 35,200 164,800
    - - 89,600 15,000 70,400 250,000
    - - - 75,000
    - - - 75,000
    - - - 75,000
    - - 44,800 7,000 35,200 162,000
    DR.GRACE 75,000 89,600 17,000 70,400 327,000
    - - - 75,000
    - - - 75,000
    - - 44,800 10,000 35,200 165,000
    - - - 75,000
    - - - 75,000
    - - 89,600 15,000 70,400 282,000
    - - 134,400 25,000 105,600 340,000
    DR.FRITZ 75,000 - - - 150,000
    - - 89,600 25,000 70,400 260,000
    - - 44,800 10,000 35,200 165,000
    - - 89,600 17,000 70,400 252,000
    - - 44,800 10,000 35,200 197,000
    - - 134,400 25,000 105,600 340,000
    - - 89,600 15,000 70,400 250,000
    - - 134,400 26,500 105,600 341,500
    - - - 75,000
    - - 89,600 25,000 70,400 260,000
    - - 89,600 25,000 70,400 260,000
    - - 134,400 26,500 105,600 341,500
    - - 179,200 33,500 140,800 428,500
    - - 134,400 22,000 105,600 369,000
    - - 89,600 17,000 70,400 252,000
    - - 179,200 33,500 140,800 428,500
    - - 134,400 22,000 105,600 337,000
    - - 89,600 13,000 70,400 248,000
    DR/WILI,BENIDA 150,000 336,000 29,500 264,000 886,500
    - - 134,400 23,500 105,600 338,500
    - - 179,200 33,000 140,800 428,000
    DR.BOYKE 75,000 89,600 20,000 70,400 330,000
    - - 44,800 10,000 35,200 165,000
    - - 179,200 29,500 140,800 424,500
    - - 44,800 10,000 35,200 165,000
    - - 89,600 17,000 70,400 252,000
    - - - 75,000
    - - 44,800 7,000 35,200 162,000
    - - - 75,000
    - - 134,400 22,000 105,600 369,000
    - - 179,200 33,500 140,800 428,500
    DR.GRACE 75,000 - - - 150,000
    - - 89,600 17,000 70,400 252,000
    - - 44,800 10,000 35,200 165,000
    - - 179,200 32,000 140,800 427,000
    - - 89,600 15,000 70,400 282,000
    - - 224,000 41,500 176,000 548,500
    - - 44,800 10,000 35,200 165,000
    - - 179,200 32,000 140,800 427,000
    - - 134,400 57,000 105,600 372,000
    - 44,800 7,000 35,200 162,000
    - - - 75,000
    - - 89,600 25,000 67,700 257,300
    - - 134,400 25,000 105,600 340,000
    - - 89,600 15,000 70,400 250,000
    - - 75,000
    - - 89,600 17,000 70,400 252,000
    - - 44,800 7,000 35,200 162,000
    - - 44,800 7,000 35,200 162,000
    - - 107,000
    - - 179,200 33,500 140,800 428,500
    - - 44,800 7,000 35,200 162,000
    - - 75,000
    - - 75,000
    DR.AHMAD 75,000 150,000
    - - 134,400 22,000 105,600 337,000
    - - 44,800 7,000 35,200 162,000
    - - 44,800 10,000 35,200 165,000
    DR.GREG 75,000 150,000
    - - 44,800 10,000 35,200 165,000
    - - 44,800 10,000 35,200 165,000
    - - 75,000
    - - 44,800 7,000 35,200 162,000
    DR.HANDY 75,000 150,000
    - - 44,800 10,000 35,200 165,000
    - - 44,800 7,000 35,200 162,000
    - - 44,800 7,000 35,200 162,000
    - - 179,200 32,000 140,800 459,000
    - 75,000 44,800 10,000 35,200 240,000
    - - 179,200 32,000 140,800 427,000
    - - 89,600 15,000 70,400 282,000
    - - 89,600 15,000 70,400 250,000
    - - 89,600 16,500 70,400 251,500
    - - 134,400 26,500 105,600 341,500
    - - 75,000
    - - 224,000 41,500 176,000 516,500
    - - 44,800 7,000 35,200 162,000
    - - 44,800 7,000 35,200 162,000
    - - 44,800 20,000 87,500 227,300
    - - 44,800 7,000 35,200 162,000
    - - 75,000
    - - 89,600 25,000 67,700 257,300
    - - 44,800 7,000 35,200 162,000
    - - 44,800 20,000 35,200 175,000
    - - 44,800 7,000 35,200 162,000
    - - 75,000
    - - 44,800 7,000 35,200 162,000
    - - 134,400 23,500 105,600 338,500
    - - 134,400 26,500 105,600 341,500
    DR.FRITZ 75,000 179,200 32,000 140,800 502,000
    - - 89,600 15,000 70,400 250,000
    - - 44,800 7,000 35,200 194,000
    - - 44,800 10,000 35,200 165,000
    - - 89,600 15,000 70,400 250,000
    - - 89,600 15,000 70,400 250,000
    - - 44,800 7,000 35,200 162,000
    - - 179,200 33,500 140,800 460,500
    - - 224,000 40,000 176,000 547,000
    - - 75,000
    - - 44,800 10,000 35,200 165,000
    DR ANITA 75,000 134,400 26,500 105,600 448,500
    - - 75,000
    - - 134,400 25,000 105,600 372,000
    - - 179,200 33,500 140,800 428,500
    - - 44,800 7,000 35,200 162,000
    - - 44,800 7,000 35,200 162,000
    DR.GREG 75,000 150,000
    - - 44,800 10,000 35,200 165,000
    - - 89,600 15,000 145,400 325,000
    - - 75,000
    DR.WAHAB 75,000 150,000
    DR.FRITZ 75,000 44,800 10,000 35,200 240,000
    - - - - - 75,000
    - - - - - 75,000
    - - 134,400 26,500 105,600 341,500
    - - 44,800 10,000 35,200 165,000
    - - 89,600 15,000 70,400 282,000
    - - - - - 75,000
    - - 268,800 48,500 211,200 603,500
    - - 89,600 25,000 70,400 260,000
    - - 179,200 33,500 140,800 428,500
    - - 89,600 17,000 70,400 252,000
    - - 44,800 7,000 35,200 162,000
    - - 89,600 25,000 70,400 260,000
    - - 44,800 7,000 35,200 162,000
    - - 44,800 7,000 35,200 162,000
    - - 44,800 7,000 35,200 162,000
    DR.WILIAM 75,000 89,600 17,000 70,400 327,000
    - - 224,000 41,500 176,000 516,500
    - - 44,800 7,000 35,200 162,000
    - - 134,400 22,000 105,600 369,000
    - - 89,600 15,000 70,400 250,000
    - - 179,200 33,500 140,800 460,500
    - - 134,400 22,000 105,600 369,000
    - - 89,600 17,000 70,400 252,000
    - - 89,600 17,000 70,400 252,000
    - - 179,200 33,500 140,800 428,500
    - - 44,800 7,000 35,200 162,000
    - - 179,200 32,000 140,800 427,000
    - - 89,600 17,000 70,400 252,000
    - - 44,800 10,000 35,200 165,000
    - - 179,200 32,000 140,800 427,000
    - - 44,800 10,000 35,200 165,000
    - - 268,800 48,500 211,200 603,500
    - - 224,000 43,500 176,000 518,500
    - - 89,600 15,000 70,400 282,000
    - - - - - 75,000
    DR.WILIAM 75,000 134,400 25,000 105,600 415,000
    - - 89,600 22,000 70,400 257,000
    - - 134,400 57,000 105,600 372,000
    - - 134,400 26,500 105,600 341,500
    - - 179,200 33,500 140,800 428,500
    - - - - - 75,000
    - - 89,600 15,000 70,400 282,000
    - - 179,200 32,000 140,800 427,000
    - - 89,600 17,000 70,400 252,000
    - - 44,800 7,000 35,200 162,000
    - - 44,800 7,000 35,200 162,000
    DR.ELVIS 75,000 134,400 25,000 105,600 415,000
    - - 134,400 23,500 105,600 370,500
    - - 179,200 32,000 140,800 427,000
    - - - - - 75,000
    - - - - - 75,000
    - - 179,200 32,000 140,800 427,000
    DR.ELVIS 75,000 134,400 37,000 105,600 427,000
    - - 89,600 15,000 70,400 250,000
    - - 134,400 26,500 105,600 341,500
    - - 44,800 10,000 35,200 165,000
    - - 134,400 25,000 105,600 340,000
    - - 179,200 32,000 140,800 427,000
    - - 134,400 25,000 105,600 340,000
    - - - - - 75,000
    - - 44,800 7,000 35,200 162,000
    - - 313,600 56,500 246,400 723,500
    - - 44,800 7,000 35,200 162,000
    - - 134,400 57,000 105,600 372,000
    - - 44,800 7,000 35,200 162,000
    - - 134,400 22,000 105,600 337,000
    - - - - - 75,000
    DR.DADIK 75,000 - - - 150,000
    - - 89,600 17,000 70,400 252,000
    - - 89,600 15,000 70,400 282,000
    DR.ELVIS 75,000 - - - 150,000
    - - - - - 75,000
    - - 44,800 7,000 35,200 162,000
    - - 89,600 15,000 70,400 282,000
    - - 89,600 15,000 70,400 282,000
    - - 89,600 17,000 70,400 252,000
    - - 44,800 7,000 35,200 162,000
    - - 44,800 10,000 35,200 165,000
    - - 44,800 7,000 35,200 162,000
    - - 44,800 7,000 35,200 162,000
    - - - - - 75,000
    - - 89,600 17,000 70,400 252,000
    - - 44,800 10,000 35,200 165,000
    - - 179,200 33,500 140,800 428,500
    - - 44,800 10,000 35,200 165,000
    - - 89,600 20,000 70,400 255,000
    DR.DADKI 75,000 44,800 7,000 35,200 237,000
    - - 44,800 10,000 35,200 165,000
    - - 44,800 7,000 35,200 162,000
    - - 44,800 7,000 35,200 162,000
    DR.MARIHOT 75,000 44,800 10,000 35,200 240,000
    - - 89,600 17,000 70,400 252,000
    - - 268,800 48,500 211,200 603,500
    - - - - - 75,000
    - - - - - 75,000
    - - 89,600 37,000 70,400 272,000
    - - - - - 75,000
    - - 268,800 48,500 211,500 603,800
    - - 134,400 23,500 105,600 338,500
    - - 44,800 10,000 35,200 165,000
    - - 44,800 10,000 35,200 165,000
    - - 44,800 7,000 35,200 162,000
    - - 44,800 10,000 35,200 165,000
    - - 134,400 23,500 105,600 370,500
    - - - - - 75,000
    - - 44,800 10,000 35,200 165,000
    - - 44,800 10,000 35,200 165,000
    - - 44,800 7,000 35,200 162,000
    - - 89,600 17,000 70,400 252,000
    - - 44,800 10,000 35,200 165,000
    - - 44,800 7,000 35,200 162,000
    - - 44,800 10,000 35,200 165,000
    - - 134,400 23,500 105,600 338,500
    - - 44,800 7,000 35,200 162,000
    - - 89,600 25,000 70,400 260,000
    - - - - - 75,000
    DR.YASMIN 75,000 - - - 150,000
    - - 134,400 22,000 105,600 337,000
    - - - - - 75,000
    - - 44,800 20,000 35,200 175,000
    - - 89,600 37,000 70,400 272,000
    - - 89,600 13,000 70,400 248,000
    - - 224,000 41,500 211,000 551,500
    - - 89,600 50,000 70,400 285,000
    DR.ELVIS 75,000 246,400 75,000 193,600 665,000
    - - 44,800 7,000 35,200 162,000
    - - 134,400 17,000 105,600 364,000
    - - 179,200 32,000 140,800 427,000
    - - 89,600 17,000 70,400 252,000
    - - 268,800 48,500 211,200 603,500
    - - 44,800 7,000 35,200 162,000
    - - - - - 75,000
    - - - - - 75,000
    - - - - - 75,000
    - - - - - 75,000
    - - 44,800 7,000 35,200 162,000
    - - - - - 75,000
    - - - - - 75,000
    - - - - - 75,000
    - - 134,400 23,500 105,600 338,500
    - - 89,600 15,000 70,400 282,000
    - - 89,600 15,000 70,400 250,000
    - - - - - 75,000
    - - 268,800 48,500 211,200 603,500
    - - 89,600 17,000 70,400 252,000
    - - 44,800 7,000 35,200 162,000
    DR.ELVIS 75,000 224,000 41,500 176,000 591,500
    - - - - - 75,000
    - - - - - 75,000
    DR.ELVIS 75,000 44,800 20,000 35,200 250,000
    - - - - - 75,000
    - - 89,600 20,000 70,400 255,000
    - - 134,400 57,000 105,600 372,000
    - - 134,400 26,500 105,600 341,500
    - - 44,800 10,000 35,200 165,000
    - - 134,400 26,500 105,600 341,500
    DR.ATOB 75,000 - - - 150,000
    - - - - - 75,000
    - - 179,200 32,000 140,800 427,000
    DR.ATOB 75,000 44,800 10,000 35,200 240,000
    - - 44,800 10,000 35,200 165,000
    - - - - - 75,000
    - - 358,400 125,000 283,600 842,000
    - - 197,200 33,500 140,800 478,500
    - - 134,400 22,000 105,600 337,000
    - - 134,400 25,000 105,600 340,000
    - - - - - 75,000
    - - 44,800 10,000 35,200 165,000
    - - 134,400 70,000 105,600 385,000
    - - 89,600 13,000 70,400 248,000
    - - 44,800 10,000 35,200 165,000
    - - 44,800 10,000 35,200 165,000
    - - 179,200 32,000 140,800 459,000
    - - 44,800 10,000 35,200 165,000
    - - 134,400 25,000 105,600 340,000
    - - 134,400 26,500 105,600 341,500
    - - 44,800 10,000 35,200 165,000
    - - 179,200 32,000 140,800 459,000
    - - 44,800 7,000 35,200 162,000
    - - - - - 75,000
    - - 44,800 10,000 35,200 165,000
    - - 44,800 7,000 35,200 194,000
    - - 179,200 33,500 140,800 428,500
    - - 10,000 35,200 120,200
    - - 134,400 25,000 105,600 340,000
    - - 134,400 25,000 105,600 340,000
    DR.ASTRIED 75,000 134,400 25,000 105,600 415,000
    DR.WILIAM 75,000 134,400 25,000 105,600 415,000
    DR.DADIK 75,000 134,400 57,000 105,600 447,000
    - - 134,400 57,000 105,600 372,000
    - - 89,600 27,000 70,400 262,000
    - - 44,800 10,000 35,200 165,000
    - - 89,600 27,000 70,400 262,000
    - - 44,800 7,000 35,200 194,000
    - - 44,800 10,000 35,200 165,000
    - - 44,800 10,000 35,200 165,000
    - - 291,200 82,000 228,800 677,000
    - - 44,800 30,000 35,200 185,000
    DR.ANTHONY 75,000 134,400 25,000 105,600 415,000
    - - 44,800 7,000 35,200 162,000
    - - 89,600 15,000 70,400 282,000
    - - - - - 75,000
    - - 44,800 7,000 35,200 162,000
    - 44,800 10,000 35,200 165,000
    - - - - 75,000
    - 89,600 17,000 70,400 252,000
    - - - - 75,000
    DR.KUNCJORO 75,000 313,600 63,500 246,400 805,500
    - 134,400 26,500 105,600 341,500
    DR.KUNCJORO 75,000 179,200 33,500 140,800 503,500
    - 134,400 22,000 105,600 337,000
    - 89,600 15,000 70,400 250,000
    - 89,600 25,000 70,400 260,000
    - - - - 75,000
    - 44,800 10,000 35,200 165,000
    - - - - 75,000
    - 44,800 20,000 35,200 175,000
    - 44,800 7,000 35,200 162,000
    - - - - 75,000
    - 179,200 32,000 140,800 427,000
    - 89,600 27,000 70,400 262,000
    - 179,200 77,000 140,800 472,000
    DR.PRIMA - 134,400 35,000 140,600 385,000
    - 44,800 20,000 35,200 175,000
    - 89,600 16,500 70,400 251,500
    - - - - 75,000
    - 44,800 10,000 35,200 165,000
    - - - - 75,000
    - 44,800 10,000 35,200 165,000
    - 89,600 17,000 70,400 252,000
    - 44,800 7,000 35,200 162,000
    - - - - 75,000
    - 44,800 7,000 35,200 162,000
    - 44,800 20,000 35,200 175,000
    DR.WAHAB 75,000 179,200 32,000 140,800 502,000
    - 3,975,000 54,356,800 11,063,000 42,843,400 163,066,200
    TAGIHAN PASIEN JAMKESDA

    Tanggal
    No Nama Pasien Umur L/P Alamat
    Kunjungan
    1 2 3 4 5 6
    1 1/11/2014 ARDIANSYAH 36 Th L RE.M.DINATA RT 018
    2 SATIYAH 41 Th P IRIGASI RT 008
    3 DARMAWAN 40 Th L S.PARMAN GG IV RT 029
    4 WARI ARUNG 33 Th L PAMPANG RT 003
    5 ERNA 30 Th P T.UMAR RT 015
    6 ERNAWATI 44 Th P MANUNGGAL GG 17 RT 077
    7 M.RIFAI 47 Th L MULAWARMAN RT 031
    8 M.IBNU SYAROFI 2 Th L BUKIT BARISAN RT 020
    9 SOLIKAH 47 Th P DAENG MANGKONA GG CITRA RT 018
    10 HERRY OSCAR 52 Th L MUSO SALIM NO 68 RT 015
    11 M.IRFAN 6 Th L KS.TUBUN GG 5 RT 007
    12 KHAIRIL ANWAR 51 Th L IMAM BONJOL GG SAAD KAMAR RT 043
    13 MASTIAH 66 Th P MERDEKA IV NO 44 RT 094
    14 RIZAL 34 Th L P.HIDATULLAH RT 022
    15 HALIMAH 54 Th P PEMUDA II RT 012
    16 SASKIA FEBRIANI 2 Th P PERUM SMBTN ASRI BLOK K2 NO 21 ER 34
    17 M.SUPRIYANTO 50 Th L MERDEKA V RT 089
    18 ASMAH HS 53 Th P MERDEKA II NO 46 RT 087
    19 RISMA RULIYANA 18 Th P RAJAWALI DALAM RT 014
    20 M.RAISAN ARRAFI 6 Th L GERILYA GG MESJID RT 049
    21 2/11/2014 NURUL AULIA 3 Th P MONAS R T037
    22 SITI JULEHA 39 Th P ADAM MALIK RT 023 BLOK B6
    23 JOSE RIZAL AZMIRA 41 Th P PAKIS HIJAU 4 NO 292 RT 083
    24 IRNAWIJAYANTI 27 Th P PELITA GG 3 RT 039
    25 HELINA AGUSTINA 5 Th P JUANDA GG TRIDAYA RT 007
    26 M.RAFFA ANUGERAH 2 Th L KH.M.MANSYUR RT 028
    27 TIKA RAMADANI 3 Th P KAHOI 2A RT 035
    28 M.SYAHREZA 19 Th L L.MANGKURAT GG H SABRI NO 77 RT 08
    29 EGA SALSA BILLA 8 Th P BATU CERMIN RT 003
    30 AYUMI SYAFA MAULIDA 2 Th P ANGGREK PANDA II RT 024
    31 MURTAHDO SYUKRI SYAZALI 30 Th L A.SYUKUR MEKAR MULIA 1/A 55 RT 029
    32 M.RIKO PRAMAYUDI 30 Th L DANAU POSO NO 27 RT 026
    33 JAIDAH 39 Th P P.SURYANATA GG TINA NO 31 RT048
    34 LEVIA KEISHA SYAHIRA 5 Th P A.YANI GG MASYARAKAT RT 026
    35 JUMRAN ALPACI 45 Th L PERUM SMBT ASRI BLOK F RT 026
    36 SITI RAHMAWATI 15 Th P BELATUK RT 032
    37 EKO SAMUEL SANTOSO 56 Th L IR SUTAMI GG PUSAKA RT 022
    38 INA ERNITA 23 Th P P.SURYANATA GG 8 NO 54 RT 026
    39 IDIK 47 Th L BATU CERMIN RT 005
    40 NANA 47 Th P PADAT KARYA RT 009 SMPJ
    41 SITI KOMARIAH 34 Th P JELAWAT GG 9 RT 038
    42 3/11/2014 ZASKYA APRILYA 3 Th P BASUKI RAHMAT RT 015
    43 SITI NURBAYA 26 Th P RAJAAWTI DALAM 1 RT 011
    44 M.RIVAN 22 Th L P.SURYANATA GG CENDANA NO 42 RT 029
    45 M.MAULANA HIDAYATULLAH 6 Th L L.MANGKURAT RT 10
    46 RUSDIANA 25 Th P KH.W.HASYIM RT 028
    47 RUSPAN 34 Th L AMPERA GG 1 RT 035
    48 IWAN SUTARMAN DIAR 54 Th L CM.KUSUMO RT 001
    49 REVANDYA CHINTYA ARTAHAKIM 7 Th P SRIKAYA VI NO 2 RT 011
    50 M.RIZKY PRATAMA 7 Th L S.RIADI RT 005
    51 NURHAYATI 60 Th P W.MONGONSIDI GG 2 RT 025
    52 FARIDAH 51 Th P AM.SANG AJI RT 009
    53 YUSUF 56 Th L MILONO RT 013
    54 ALVIN PUTRA PRATAMA S 9 Th L ST.ALIMUDDIN RT 002
    55 ASMAH 36 Th P CM.KUSUMO RT 001
    56 HARIYATI 44 Th P RING ROAD RT 037
    57 M.ILHAM A 5 Th L PELITA 2 GG ASRI RT 005
    58 SITI FATIMAH 56 Th P PERUM SAMBUTAN H1 02
    59 USMAN 48 Th L OTISTA RT 029
    60 M.FAUZAN ERLANGGA 1 Th L PM.NOOR RT 039
    61 ADELIA MUTIA 20 Th P KH.A.MUTHALIB RT 005
    62 ANDI JULIAN PASHA 4 Th L JOYO MULYO RT 036
    63 HERMAWATI RUDINI 31 Th P DI PANJAITAN RT 033
    64 ANGELICA AZAHRA 2 Th P M.SAID RT 002
    65 NAILA RUZUIYYAH ALFIANA 4 Th P U.SUROPATI KOMP GTL S 13
    66 SAHARA NABILA 10 Th P PGRI II BLOK C/60
    67 HUDAYA 44 Th L EKONOMI RT 008
    68 YULIAH 45 Th P SUWANDI V RT 024
    69 MUTIARA KHUMAIROH 8 BL P PELITA 3 RT 012
    70 NURUL PAHMI 35 Th 35 P.ANTASARI GG H MANSYUR RT 003
    71 4/11/2014 WARSITO 48 Th L JOYO MULYO RT 038
    72 HENING WISNUWARDANI 26 Th P GERILYA GG FAMILY NO 6 1 RT 035
    73 ADI SISWANTO 26 Th L TELUK BAYUR RT 018
    74 RAIS 48 Th L A.YANI GG CAHAYA BARU RT 018
    75 SAMUEL MASRSSHALL M 9 Th L JUANDA 8 MANGGA 1 RT 013 NO 5
    76 NAJWA MAHARANI 8 Th P KH.W.HASYIM RT 014
    77 BASUNI 44 Th L KESEHATAN DALAM BLOK B RT 002
    78 RAHMAH SUDIRMAN 65 Th L KH.W,HASYIM RT 014
    79 SABRINA NOER IRAWAN 2 Th P S.RIADI RT 018
    80 SYADIAH 58 Th P AM.SANG AJI GG VIRGO RT 009
    81 NORSAM 47 Th L CENDANA GG 5 RT 018
    82 DARSIAH 59 Th P KH.M.MANSYUR GG PELOPOR RT 075
    83 SUPIYAN NOOR 33 Th L BERAMBAI RT 030
    84 ALI NUR SAFIK 51 Th L TRI SARI RT 022
    85 JOHANES MALLUA 69 Th L PEMUDA II RT 010
    86 ANGELICA AZZAHRA 2 Th P M.SAID R T002
    87 AIDIL FITRISYAHPUTRA 5 Th L L.MANGURAT GG ANDIKA RT 005
    88 YANI MARYAM 26 Th P SAWI 6 NO 149 RT 070
    89 SYAURA QUINN AINAYYA 1 Th P AZIS SAMAD NO 98 A RT 33
    90 HERLINDA 34 Th P DANAU MANINJAU NO 33 RT 014
    91 HARIYANTO 45 Th L MERAPI RT 013 TNH MERAH
    92 NORSEHAN 64 Th P KEMANGI RT 021
    93 LA ODE SARIYANTO 23 Th L KAKAP RT 007
    94 KRISDANTI 26 Th P PERJUANGAN RT 001 SMPJ
    95 EVI KURNIASIH 27 Th P KEDONDONG DALAM V RT 007
    96 RIVAN SAPUTRI 6 Th P KEMAKMURAN GG PLN RT 022
    97 M.ZAINI ABDUL GANI 3 Th L MERDEKA III RT 093
    98 NASWA AQILA FITRI 1.5 Th P LATSITARDA II GG MANUNGGAL II RT 030
    99 5/11/2014 LA SUMAILA 61 Th L GURAMI GG BERSAMA RT 005
    100 MEGA NOVITA SARI 15 Th P S.RIADI RT 005
    101 RAHMAD FIMANSYAH 3 Th L MUSO SALIM GG 5 NO 85 RT 015
    102 KEVIN APRIA 2 Th L GOTONG ROYONG GG 2 RT 031
    103 M.AL ZHIEQQRI 1 Th L DELIMA RT 51
    104 SUMINDAR 52 Th P AM.SANGAJI RT 019
    105 TUTI INDRAWATI 31 Th P SERAYU RT 022
    106 SUMARDI 49 Th L ST.ALIMUDDIN RT 028
    107 M.NASIR 23 Th L RUHUI RAHAYU GG 1 RT 01
    108 ABD GANI 48 Th L PERUM HANDIL KOPI RT 033
    109 KOES HELIYANTO 42 Th L OTISTA RT 013
    110 AGUSTINA 20 Th P PUSAKA RT 014
    111 KARTINI 40 Th P DI PANJAITAN GG TUNGGAL RT 038
    112 TRI ASPAH 24 Th P PM.NOOR RT 039
    113 M.SYABAN DHIYANS 2 Th L S.PARMAN GG 3
    114 SUSILAWATI 42 Th P NUSA INDAH RT 002
    115 MAULID 26 Th L LUMBA LUMBA RT 011
    116 SUMARNI 53 Th P MERDEKA RT 091
    117 WIDARWATI 48 Th P A.YANI RT 013
    118 M.FAREL FAUZAN 4 Th L KH.SAMAHUDI RT 004
    119 6/11/2014 M.IBRAHIM ARSYI 6 Th L PELITA 3 RT 012
    120 SANUSI 62 Th L KADRIE OENING RT 015
    121 M.SYAHRIL SAPURMAN 2 Th L TELKOM RT 006
    122 MUTMAINAH 21 Th P OTISTA GG 12 RT 15
    123 M.TAJUDDIN 54 Th L ANTASARI 2 GG 1 NO 99 RT 09
    124 MARIAM 77 Th P ST.ALIMUDDIN RT 021
    125 NUR LAILAH 44 Th P AWS GG 3B RT 032
    126 SYARIFAH 23 Th P AGUS SALIM GG TANJUNG RT 036
    127 SADIMIN 51 Th L M.SAID GG POLEWALI RT 046
    128 MAHRIN SAFWANA R 6 Th L BIAWAN RT 011
    129 SRI ERLINA MILIYANI 39 Th P MT.HARIYONO GG 1 RT 082
    130 M.ILHAM SYAFIQI 16 Th L SOETOMO GG 8 RT 035
    131 ROSITA 32 Th P P ANTASARI 2 RT 031
    132 AZKA RAMA PRANAJA 1 Th L S.PARMAN GG3 RT 039
    133 BUDIONO 47 Th L MARSDA A.SALEH RT 041
    134 SEVIA TUTI 13 Th P SLAMET RIYADI RT 009
    135 ANDINI EVERLYN SOLIKHAN 4 Th P PROKLAMASI RT 053
    136 SRI RAHAYU 52 Th P MT. HARIYONO RT 011
    137 MAULANA 10 Th L BAYAM 3 RT.088
    138 M.RAFAEL IRAWAN 2 Th L LUBUK SAWA RT 015
    139 EVA HARAYANTI 18 Th P IMAMBONJOL GG 79 RT 005
    140 SRI WAHYUNI 25 Th P TRI SART RT 20
    141 RUSNIAH HASIM 58 Th P PROKLAMASI III RT 055
    142 ADIHTIYA NUR LIDAN 3 Th L TENGKAWANG RT 015
    143 M.SURIANSYAH 39 Th L P.SURYANATA GRAHA INDAH RT 013
    144 HERRY OSCAR 52 Th L MUSO SALIM NO 68 RT 015
    145 MONISYAH JULIANA 17 Th L PADAT KARYA RT 083 LBK
    146 SITI BAQIAH 58 Th P AGUS SALIM GG 40 RT 030
    147 HERLINDA 34 Th P DANAU MANINJAU NO 33 RT 014
    148 ANDHINI RIZATANTRI 25 Th P PERUM PKL BLOK B NO 76 RT 12
    149 SYA DIAH 58 Th P AM.SANG AJI GG VIRGO RT 009
    150 NGATIKAH 53 Th P JOYO MULYO RT 036
    151 7/11/2014 ARSIDAH 50 Th P ULIN GG 6 NO 33 RT 021
    152 ANDI SAID ANDI D 58 Th L L.MANGKURAT RT H SETIA RT 011
    153 JOSHIA KUTJAME 2 Th L SAMARINDA BONTANG RT 028
    154 ABD MUTHALIB 72 Th L GATSU GG 1 RT 045
    155 NOVAL ALFAR SYAMSUDIN 2 Th L RAUDAH RT 019
    156 NUR JANNAH 36 Th P AGUS SALIM GG 5D RT 031
    157 M.ALIFAIN NUR 3 Th L REL 10 RT 020
    158 TAZYIKA 8 Th P SEI KAPIH RT 001
    159 EVI KUMALARASI 23 Th P ROTAN SERUMPUN RT 014
    160 M.RAFLYANSYAH 7 Th L GN.LINGAI RT 010
    161 EMI 49 Th P M.MARTADINATA GG WAHYU RT 004
    162 YAQUB 5 Th L DELIMA RT 051
    163 NURMIAH 55 Th P MANGKUPALAS RT 012
    164 GALIH NOPYANI PUTRI 17 Th P M.YAMIN RT 027
    165 SUMIATI 57 Th P M.SAID GG 10 RT 012
    166 MASRIAH 66 Th P OTISTA RT 022
    167 DEVITA LIVISARI 19 Th P PANJAITAN GG BUGIS RT 002
    168 SUDIBYANTO 42 Th L GN.LINGAI GG BARU III NO 83 A
    169 SITI FATIMAH 32 Th P S.RIADI GG KELUARGA RT 019
    170 M.SALEH 42 Th L S.RIADI RT 014
    171 RUBIYANTI 39 Th P TRISARI RT 022
    172 ANDI ALDA SISILIA 4 Th P KADRIE OENING NO 33 RT 016
    173 SAIKAH SUHROH 19 Th P JUANDA NO 92 RT 007
    174 BUNGA RIZKY ARIANI 24 Th P DR.SUTOMO GG 4A RT 033
    175 ZAINAL ABIDIN 34 Th L GERILYA SOLONG RT 034
    176 DESTI AGGRAINI 25 Th P PADAT KARYA RT 008
    177 PUTRI FIFI W 20 Th P T.UMAR RT 002
    178 8/11/2014 M.SYAHRIL SAPARMAN 2 Th L TELKOM RT 006
    179 SITI MARIYATI 26 Th P S.PARMAN GG 1 R T001
    180 HALIMAH 54 Th P PEMUDA II RT 012
    181 PENDI 38 Th P BENGKURING RAYA 2 RT 080
    182 RASYID KHADILAH 5 Th L CENDANA GG 5 RT 017
    183 DELI ATO 17 Th L SEJATI RT 027
    184 MARLI 39 Th P PURWASARI RT 014
    185 WAHDANIAH 30 Th P RE.M.DIMATA GG MADU RT 007
    186 AZKA RAMA PRANAJA 8 BL P S.PARMAN GG 3 RT 039
    187 MURISA 52 Th P P.ANTASARI GG 1 NO 110 RT 042
    188 RIZKI PARISA M 22 Th P GN.LINGAI GG SALAM RT 10
    189 M.ALFIAN NUR 3 Th L REEL 10 RT 020
    190 NINDYA PRAMUDHITA 4 Th P DI PANJAITAN RT 017
    191 ABD RAZAK MUSTAFA 67 Th L DR.SUETOMO GG 2 NO 61 RT 030
    192 ANDI MUHAMMAD MARCEL 5 Th L SEI SIRING RT 001
    193 IDIK 47 Th L BATU CERMIN RT 005
    194 M.DAFFA ARBY AL QURITUBY 2 Th L W.MONGONSIDI RT 020
    195 BABY KHANZA NEZTYWANATA 8 BL P TANJUNG LANGO RT 025 SMD SEB
    196 EKO MARYONO 20 Th L BIAWAN GG 12 BLOK B RT 008
    197 9/10/2014 NUR HASANAH 22 Th P AM.SANG AJI RT 005
    198 M.DAFFA ARBY AL QURITUBY 2 Th L W.MONGONSIDI RT 020
    199 HARUM MADANO 23 Th P KH ABD MUTHALIB
    200 WAHYUDI 53 Th L PERUM BATARA INDAH RT 012
    201 RADEN INGE PERMANA 22 Th P PERJUANAGAN 4 RT 002
    202 BAHRI 37 Th L PADAT KARYA RT 008
    203 ANDI SERSANA 12 Th L PERJUANGAN RT 037 MUGIREJO
    204 NISRINA 12 Th P SRIKAYA 7 NO 3 RT 011
    205 M.SOLIHIN 31 Th L W.MONGONSIDI RT 022
    206 M.PUTRA 3 Th L LEMPAKE AJYA RT 021
    207 RANGGA DEWANTARA 4 Th L AWS GG 3B RT 032
    208 A,BILAL MAULANA 2 Th L MANGKUPALAS RT 009
    209 FERIYANA SAPUTRI K 4 Th P GERILYA GG SEPAKAT RT 101
    210 NANA 47 Th P PADAT KARYA RT 009 SMPJ
    211 AMIR 48 Th L RAUDAH RT 029
    212 A.TAUFIK NUR HIDAYAT 13 Th L RAPAK INDAH RT 036
    213 RITA ARVIANY 24 Th P P.ANTASARI RT 026
    214 MARIYANA 44 Th P JUANDA 8 SALAK 1 NO 125 RT 014
    215 ERNAWATI 27 Th P AZIS SAMAD RT 035
    216 M.FARID ADETA 3 Th L S.PARMAN GG 3 RT 030
    217 SAIDILLAH 48 Th P BELIMAU RT 024
    218 DZAKIYYA THALITA ZAHRA 5 BL P JUANDA 7 E RT 003
    219 PUTRI ADELIA 4 Th P AZIS SAMAD RT 035
    220 MEGAWATI 45 Th P DI PANJAITAN RT 068
    221 OLIVIA OCTARIANA E 17 Th P BATU CERMIN RT 004
    222 MIA ANGGRAINI 17 Th P M.YAMIN GG KARTURI IV RT 027
    223 AAN SEPTIANTO 26 Th L M.YAMIN GG KASTURI RT 027
    224 ELI YANTI 42 Th P PERINTIS GG CMPR SARI RT 032
    225 AQRA NUR BIYAN 1 Th L TENGKAWANG RT 015
    226 10/11/2014 SITI AGUSTINA 27 Th P ABUL HASAN GG 4 NO 30
    227 ADHTYIYA NUR LIDAN 3 Th L TENGKAWANG RT 015
    228 SUMARTINI 41 Th P DI PANJAITAN RT 036
    229 AMIQO JAUHAR F 2 Th L KADRIE OENING RT 031
    230 M.RIDHO MALIK 1 Th L JAKARTA BLOK CS 19 RT 039
    231 KHOIRUL MAULA PEBRILIAN 1 Th L DANAU POSO GG 1 RT 013 NO 45
    232 CHANDARA NUR PRATAMA 22 Th L BARU LESTARI NO 9 SEI KAPIH RT 007
    233 ULFAH 22 Th P P.ANTASARI GG KENANGGA RT 015
    234 SISILIA UNUT 30 Th P RAMANIA LUAR RT 042
    235 ASNIAH 58 Th P AM.SANG AJI GG 9 RT 007
    236 M.REZA NOVA ADITYA 3 Th L S.PARMAN GG 1 R T001
    237 HJ.MARIAM 77 Th P ST.ALIMUDDIN RT 037
    238 BUYUNG RAHMAD F 12 Th L L.MANGURAT RT 011
    239 SUDARTIK 37 Th P AM.SANGAJI RT 020
    240 LAILA MASRANI 26 Th P PATTIMURA RT 029
    241 FITRI QIRANNA 1 Th P ST.ALIMUDDIN RT 031
    242 MAULANA SARIF H 10 Th L BAYAM 3 NO 388 RT 088
    243 ASDALIAH 58 Th P H.JAHRAH RT 10
    244 DEWI NOVITA SARI 20 Th P AGUS SALIM NO RT 17
    245 HERRY OSCAR 52 Th L MUSO SALIM NO 68 RT 015
    246 ERIN 40 Th P KAHOI B RT 031
    247 YUNI JOHAN 39 Th P DAMAI RT 025
    248 KHANSA AURA TSABITAH 2 Th P M.YAMIN GG 1 RT 018
    249 SALBIAH 53 Th P GERILYA GG FAMILY RT 035
    250 YULIANA NUR HALIMAH 23 Th P SUKOREJO RT 041
    251 11/11/2014 ABDUL HASAN 51 Th L PRAMUKA RT 005 GG KELUARGA
    252 DZAKIYYA THALITA ZAHRA 5 Th P JUANDA 7 E RT 003
    253 REJO MUHAMMAD 64 Th L SUKOREJO RT 008
    254 M.BASRI YS 66 Th L PERUM HANDIL KOPI RT 033
    255 KEYZA SYAFIRA 2 Th L KH.ABUL HASAN RT 021
    256 ALYA NAVISA 1 Th P PATIMMURA NO 28 RT 043
    257 DARMANTO 42 Th L ULIN GG 3 RT030
    258 IDIK 47 Th L BATU CERMIN RT 005
    259 M.ISHAQ 2 Th L PATIMURRA RT 004
    260 FARIDAH 51 Th P AM.SANGAJI RT 009 GG VIRGO
    261 PENDI 38 Th L BENGKURING RAYA 2 RT 080
    262 RENI WAHYUNI 37 Th P T.UMAR GG DUKA DAMAI RT 004
    263 KEVIN ADITYA 3 Th L BIAWAN GG II RT 011
    264 CITRA AMEEPA N 4 Th P GN.LINGAI RT 007
    265 ERNI 30 Th P KAHOI B RT 031
    266 TONI 43 Th P PADAT KARYA GG RAMANIA RT 083
    267 WIWIK ASTUTI 32 Th P JUANDA 3 RT 002
    268 KOSTER HASIBUAN 39 Th L PERUMBUMI HIJAU ABADI RT 042
    269 REYNANNO VOXGA GIBRAN 1 Th L OTISTA RT 024
    270 MURNI 37 Th P KARPOTEK BLOK CCC 1RT 19
    271 ERNAWATI 47 Th P AMUNTAI RT 009
    272 M.RAIHAN RAMADHAN 4 Th L JAKARTA GG PGRI NO 3 RT 061
    273 UMNIYATI 51 Th P SITI AISYAH RT 016
    274 INEM 60 Th P S.PARMAN 1 RT 002
    275 RABIATUL ADAWIAH 42 Th P PERUM RAPAK BENUANG RT 041
    276 ANDI MUHAMMAD AKBAR 22 Th L REVOLUSI RT 038
    277 ANDHIKA PERMANA 4 Th L JAKARTA GG SWADAYA RT 021
    278 NURHAYATI 35 Th P L.MANGKURAT GG II BLOK C 78 RT 040
    279 BAHRI 38 Th L PADAT KARYA RT 008 SMPJ
    280 12/11/2014 ANI YULIANTI 28 Th P BAYAM 7 NO 489 RT 088
    281 EMI 49 Th P RE,M.DINATA GG WAHYU RT 004
    282 NADA ANGELIA PIRI 25 Th P JOYO MULYO RT 031
    283 MUJIATI 58 Th P BATU CERMIN RT 003
    284 BUDI ADMA SUGANDHI TANRO 17 Th L KEMANGGI GG NUNUKAN RT 023
    285 TUMBU 67 Th L TALANG SARI RT 002
    286 YUNITA NURAENI 27 Th P DR.SOETOMO GG 1 RT 029
    287 RUSDIANA 61 Th P MANGKUPALAS RT 012
    288 ABD GANI 57 Th L SLADA 6 RT 080
    289 SATRI RASTA PRATAMA 3 Th L KAKAP RT 10
    290 SUTOPO 44 Th L PERUM PKL BLOK D NO 408 RT 11
    291 MUTHIA AFIQAH 1 Th P KH.MAS MANSYUR RT 031
    292 ANDHIKA PERMANA 4 Th L JAKARTA GG SWADAYA RT 021
    293 WINA ASTUTI PUTRI 29 Th P KH HARUN NAFSI R T009
    294 ARISKA BASRI 14 Th P MT.HARIYONO RT 056
    295 SANTI MURNI 33 Th P TANJUNG JONE RT 025
    296 YANTO RISWANTO 30 37 Th L ADAM MALIK RT 022
    297 MASRIAH 66 Th P OTISTA RT 022
    298 RAMADHAN SYAPUTRA 3 Th L KH.A.MUTHALIB RT 007
    299 JARSIAH 34 Th L TALANG SARI RT 002
    300 GALEN ZIGGY KURNIAWAN 7 Bln L W.MONGONSIDI RT 021
    301 M.ZIA RABBANI 10 Th L JAKARTA BLOK AG RT 055
    302 13/11/2014 SRIWATI R 77 Th P IMAM BONJOL GG 79 RT 008
    303 IRMA YANTI 19 Th P ULIN GG 3 RT030
    304 M.DWI REZKY OCTAVIANO 3 Th L M.SAID RT 003
    305 AINUR ROSIDAH 3 Th P HASAN BASRI GG 2 RT 022
    306 LA LIPIHA 54 Th L PAHLAWAN 2 RT 027
    307 MARHIRA HASNA KAMILA 1 Th P SUKOREJO RT 042
    308 SURIANSYAH 39 Th L PERUM GRAHA INDAH RT 013
    309 ARWANY REZA 23 Th L P.SURYANATA RT 032
    310 BAHRUDIN 53 Th L MUANG ILIR RT 027
    311 FITRIANI 2 Th P P.SURYANATA RT 030
    312 LUFFIA MEYLANI PUTRI 7 Th P GN,ARJUNA NO 25 RT 013
    313 WA AYSI 28 Th P BATU CERMIN RT 006
    314 YUSRI 45 Th L ADAM MALIK II GG 2 RT 004
    315 M.HAIRUN NUGRAHA 2 Th L A.AZIS SAMAD RT 038
    316 RIZKY AGUSTINA 9 Th L ANGGUR RT 055
    317 BASRAN 68 Th L IMAM BONJOL GG 10 NO40
    318 IDRIS ANTUTA 40 Th L S.RIADI RT 038
    319 YUDI CALUR PRASETYO 30 Th L JELAWAT GG 7 RT 004
    320 YUSUF 56 Th L MILONO RT 013
    321 A.HEPLIN Z 2 Th L HOS COKROAMINOTO RT 031
    322 SAODAH 82 Th P KEMAKMURAN DALAM RT 020
    323 EDY RONI 50 Th P CM.KUSUMO RT 003
    324 SAHIR 49 Th L TRIKORA RT 015
    325 M.RIDHO SAPUTRA 8 Th L DAMAI NO 57 RT 025
    326 NUR JANNAH 34 Th P KH.W.HASYIM RT 024
    327 HJ.MARIAM 77 Th P ST.ALIMUDDIN RT 021
    328 14/11/2014 HELDI 45 Th P ULIN GG RUMBIA NO 55 RT 007
    329 DIANA ASTUTI 33 Th P S.PARMAN GG 2 RT 036
    330 FARIKA SABILA AZZAHRA 8 Th P TARMIDI NO 44 RT 012
    331 BAHRUDIN 51 Th L MUANG ILIR RT 027
    332 ANUGRAH SAPUTRA 66 Th L RAUDAH RT 020 NO 39
    333 YULI NAILUFAR 35 Th L HASAN BASRI GG 7/24 RT 12
    334 SAHIR 49 Th L TRIKORA RT 015
    335 WA HARI 58 Th P PAHLAWAN II RT 028
    336 AWANG ABDILLAH 25 Th L LUMBALUMBA GG 13 RT 008
    337 ASSADUR SONO 11 Th L PADAT KARYA RT 083 LBK
    338 SALSABILA 1 Th P KH.W.HASYIM RT 051
    339 FIRANTI PUTRI 21 Th L OTISTA RT 020
    340 MAULIDA DWI PERTIWI 3 Th P RAUDAH RT 029
    341 15/11/2014 NICO MANGURU 74 Th L L.MANGKURAT GG USMAN RT 20
    342 WAHYU WIDYO P 42 Th L PRAMUKA 17 NO46 RT 004
    343 FRANGKY MANAPAR L 41 Th L SEMPAJA LESTARI INDAH RT 062
    344 KEVIN BAGASKARA 1 Th L BUGIS MUGIREJO RT 002
    345 A.HIJADIE CAESARIO 8 Th L PADAT KARYA RT 039
    346 DINAR FITHRI A 4 Th P WIRA SWASTA RT 013
    347 GITA VIDI MAULIDYAH 26 Th P RUKUN GG MELATI RT 024
    348 ARISKA BASRI 14 Th P MT.HARYONO GG RAWA SARI 5 RT 056
    349 M.SULTAN 8 Th L AGUS SALIM GG 5D RT 031
    350 MURNI 57 Th P NUSA INDAH RT 002
    351 RUSNILAWATI 29 Th P KEDONDONG DALAM VII RT 032
    352 ACHMAD U 56 Th L AWS RT 028
    353 INDAH FAJRIANI 30 Th P KH.W.HASYIM RT 028
    354 A.MARISI FASHA 2 Th L P.ANTASARI GG 12 NO 33 RT 04
    355 RAMITA APRILIA 22 Th P AM.SANGAJI RT 018
    356 TINA 25 Th P PEMUDA 3 NO 53 RT 008
    357 BAHRUDDIN 58 Th L RAUDAH 1 RT 011
    358 JIHAN FADILAH 12 Th P P.ANTASARI GG H.MANSYUR RT 03
    359 NOVITA SARI 28 Th P SRIKAYA IV NO 3 RT 015
    360 ANUGRAH 3 Th L AGUS SALIM GG 6D RT 032
    361 16/11/2014 RHEYHAN SAKHA PRASETYA 2 Th L SUBULUS SALAM RT 029
    362 BASUKI 57 Th L WIRA SWASTA RT 013
    363 ASAN 73 Th L KH.W.HASYIM RT 052
    364 FARIDAH 19 Th P KAHOI B RT 031
    365 JOST HANS GILBERDPATTINAJA 11 Th L A.MUTHALIB RT 006
    366 A.FADHILAH YASIN 1 Th L P.ANTASARI GG 9 RT 005
    367 HASNAWATI 26 Th P P.BENDAHARA RT 025
    368 FATMAWATI 52 Th P P.BENDAHARA RT 023
    369 A.SUFFI BADAALI 3 Th L JELAWAT GG 4 RT 011
    370 AYESIA DWI P 23 Th P PERUM PKL RT 10
    371 AHMAT 54 Th L KARANG MULYA 2 RT 019
    372 DEWI DAMAYANTI 31 Th P TRISARI RT 025
    373 ATHALLAH NUR RAHMAN E 3 Th L RING ROAD GG 2 RT 037
    374 PATIR 93 Th L OTISTA ISKANDAR GG 12 RT 015
    375 ANDINI EVERLYN SOLIKHAN 4 Th P PROKLAMASI RT 053
    376 AFLUS 64 Th L SEMPAJA LESTARI INDAH R T062
    377 EDWIN EFRY WANDA 11 Th L ULIN GG 8 NO 57 RT 025
    378 IDA NURSANTI - Th P MANGKUPALAS NO 3 RT 10
    379 CHAIRUL NIZAM 2 Th P PADAT KARYA G PELANGI RT 008
    380 SYAMSIAH 58 Th P PROKLAMASI B RT 053
    381 M.FAJRIANUR R 2 Th L P.ANTASARI RT 045
    382 INDAH TIARANI NUR FITRIAH 22 Th P PERJUANGAN ALAM SEGAR 3 RT 003
    383 M.RIDHO PUTRA NUGRAHA 8 Th L OTISTA RT 016
    384 BAMBANG SUDARMANTO 22 Th L SEI LANTUNG RT 014
    385 FATIMAH AZ HAZRA 6 Th P PEMUDA II RT 012
    386 KHAILILIA RAHMA S 30 Th P W.MONGONSIDI RT 020
    387 KEVIN BAGASKARA 1 Th L BUGIS MUGIREJO RT 002
    388 YULIANA NUR HALIMAH 23 Th P SUKOREJO RT 041
    389 SHANDY ASMARBSA 19 Th L DIPONOGORO RT 023 BUKUAN
    390 YATIK 71 Th P OTISTA GG 12 RT 15
    391 JAMILAH 34 Th P WIRA SWASTA RT 015
    392 M.FERI RAHMANSYAH 10 Th L TALANG SARI RT 002
    393 IRMA YANTI 19 Th P ULIN GG 3 RT030
    394 FACHRULLAH 30 Th L RE.M.DINATA GG TUKANG RT 009
    395 RIZQI KURNIAWAN 6 Th L RING ROAD GG H KUNCI RT 001
    396 KAMAL 41 Th L AZIS SAMAD RT 035
    397 17/11/2014 ABDULLAH 58 Th L PADAELO RT 006
    398 MASTIAH 54 Th P MANUNGGAL RT 022
    399 MAISYARAH 28 Th P MUGIREJO RT 014
    400 RISKI TAFIQURRAHMAN 4 Th L REEL GG 11 RT 020
    401 GUSTI ERLITA 39 Th P GN CERMAI RT 001
    402 HERRY OSCAR 52 Th L MUSO SALIM NO 68 RT 015
    403 SUTATIK 41 Th P TRISARI RT 020
    404 ASAN 73 Th L KH.W.HASYIM RT 052
    405 BENEDIKUS TIWA 50 Th L PERUM PURI BLOK G RT 002
    406 RIDWAN ERVANDY 55 Th L OTISTA RT 016
    407 SANI 68 Th L KH.W.HASYIM RT 039
    408 MATRIAN 49 Th L TRISARI NO 26 RT 20
    409 LESAU LUSAT 57 Th L MERDEKA RT 090
    410 FAHRUNINISA KHOTIFAH 16 Th P TALANG SARI RT 002
    411 M.AFDAL ARFANDI 10 BLN L ST.HASANUDDIN RT 003
    412 JUNIOR ARJUN MAHESA 5 BLN L MERANTI GG II NO 75 RT 016
    413 DIMAS TRESNA H 14 Th L BIAWAN GG 2D RT 021
    414 MEDIANA 30 Th P DI. PANJAITAN RT 034
    415 JAMILAH 38 Th P PADAT KARYA GG KETAPANG
    416 SUNARTO 59 Th L MUGIREJO GG PERJUANAGAN RT 003
    417 WALSONO 28 Th L KH.A.HASAN RT 019
    418 SUKARTI 56 Th P RE.M.DINATA GG MELATI RT 008
    419 AQILA SAFITRI 1 Th P U.SUROPATI RT 031
    420 18/11/2014 LA PITIHA 54 Th P PAHLAWAN GG 2 RT 027
    421 M.RAFA WAHYU RAMADHANI 5 Th L THOYIB HADIWIJAYA RT 054
    422 M.ADITIA RAHMADANI 21 Th L JELAWAT GG 7 RT 007
    423 M.RHAFI MA RUPS 6 Th L PERUM TALANG SARI RT 004
    424 SUKATMI 42 Th P DR.SOTOMO GG 4A RT 032
    425 M.HAIRUN NUGAHA 2 Th L AZIS SAMAD RT 038
    426 NORSIAH 45 Th P P.SURYANATA GG 1 RT 018
    427 NOOR AGUSTINA R 41 Th P KEBAHAGIAAN RT 040
    428 SAFTHA ARDHELIA PUTRI 1 Th P MANUNGGAL GG 3 RT 076
    429 SRI PURWATI 41 Th P SOEKARNO HATTA RT 010
    430 FABRI 17 Th L PERUM PKL BLOK B RT 009
    431 SUPRATI 38 Th P KELAPA BUKUAN RT 008
    432 SUPRATO 56 Th L AM SANG AJI GG AKAS RT 017
    433 GABRIEL BOTA SIRUPA 1 Th L AIR TERJUN RT 037
    434 WARI 84 Th L GIRIMULYO RT 015
    435 YUANANDA NICKY W P 16 Th L PERUM SOLONG DURIAN RT 025
    436 MARIAM 77 Th P SULTAN ALAIMUDIN RT 021
    437 SURATMI 42 Th P PASUKAN RT 032
    438 EKA PURNAMASARI 20 Th P JELAWAT GG 9 RT 004
    439 19/11/2014 SABRINA 6 Th P SEI KAPIH RT 005
    440 VONITA ARDILLA 18 Th P ULIN NO 55 RT 026
    441 SHALSABILA 9 Th P ARJUNA RT 11
    442 KASIM 85 Th L JOYO MULYO RT 037
    443 BAHRAN 58 Th L SEJATI PKL BLOK B NO 235 RT 012
    444 ZELDA CLEOFATHIA ZARINE 3 Th P P.ANTASARI GG 1 NO 53 RT 031
    445 GABRIEL BOTA SIRUPA 1 Th L AIR TERJUN RT 037
    446 SASKIA SALSABILA 1 Th P SEI KAPIH RT 001
    447 YULI YANTI 32 Th P KERUKUNAN RT 043
    448 M.ASHAR 37 Th L AZIS SAMAD RT 038
    449 PUTRI APRILIA ANANTA 7 Th P WIRAGUNA DALAM NO 25 B RT 006
    450 NAJLA NUR ASYIFA 2 Th P PAKIT 4 D/175 RT 82
    451 JURAIDAH 28 Th P KH.W.HASYIM RT 027
    452 M.ZAINI 56 Th L GERILYA GG KARYA 2 RT 059
    453 ERZA NUR DWI PUTRI 7 Th P PAHLAWAN 2 RT 029
    454 YOGA ARBI NUGROHO 13 Th L LEMPAKE JAYA RT 013
    455 20/11/2014 SURIYANI 28 Th P PERNIAGAAN RT 026
    456 A.NURLI RINALDY 16 Th L PAKIS HIJAU 2 D/301 RT 083
    457 ANAH 46 Th P PERUM PKL RT 023
    458 SANIA KHOIRUN NISA 3 Th P KH.DAMANHURI 2 RT 043
    459 AULIA FITRIYANI 6 Th P ULIN GG 8 RT 025
    460 SHAFIRA LAIQA JANNETA 1 Th P P.SURYANATA RT 008
    461 NATHANIA ALDA FAUDIYAH R 14 Th P KECAPI RT 035
    462 MUTMAINAH 31 Th P BELATUK RT 032
    463 DEWI MUSDALIFAH S 2 Th P AGUS SALIM RT 019
    464 DIAN YAHYA 62 Th L KEMAKMURAN KOMP PELITA RT 041
    465 SA'DIAH 85 Th P PERUM SAMBUTAN RT 036
    466 LULUK DINAR AFIFI 21 Th P PM.NOOR RT 039
    467 ABDUL KADIR 63 Th L MERDEKA 1 NO 38 RT 090
    468 WARTINI 26 Th P M.SAID GG POEWALI RT030
    469 ARMAYANA 36 Th P MT.HARYONO GG RAWA SARI 5 RT 056
    470 HAMSIAH 56 Th P PLAMBOYAN RT 009
    471 BAKRI 54 Th L CM KUSUMO RT 001
    472 FAKHRI ASWAD NUR A 7 Th L MERDEKA III RT 092
    473 TRI MANDALA PUTRA 6 Th L BIAWAN GG VI RT 015
    474 M.DAFFA ARBY AL QURITUBY 2 Th L W.MONGONSIDI RT 020
    475 NOFA KIRANA AZZAHRA 6 Th P AWS GG 17 RT 011
    476 M.NUR HIDAYATULLAH 2 Th L MUANG ILIR RT 027
    477 RIDWAN S 54 Th L KOMP PASAR SEGIRI RT 027
    478 SITI ZARA ZETTIRA 17 Th P BASUKI RAHMAT RT 015
    479 M.FIQRI ANANDA 10 BLN L DAMAI RT 025
    480 NETTY HERWATI 60 Th P GERILYA RT 099
    481 DEASY RENALDY CHRISNA 30 Th P JAMBU RAYA NO 15 F RT 006
    482 21/11/2014 DHINI PUTRI ADIRARMA 5 Th P GN.PASIR RT 014
    483 ABD RASYID 65 Th L L.MANGKURAT RT 020
    484 HERRY OSCAR 52 Th L MUSO SALIM NO 68 RT 015
    485 ADAMA 44 Th L BUNG TOMO RT 013
    486 HENDRI YANTO 32 Th L GERILYA GG SETIA NO 37 RT 039
    487 BAHARUDDIN TARO 52 Th L OTISTA GG 12 RT 014
    488 ATIKA FAIRUZ KHALISA 2 Th P PURWODADI RT 010
    489 TUMINI 64 Th P KOMP PASAR SEGIRI RT 028
    490 NUUR ADINDA BUT SAINAH 10 Th P P.ANTASARI GG WARGA RT 02
    491 M.ARIYAD PAHDIL 2 Th L AISYAH RT 019
    492 SAIPUL 42 Th L PERUM KOPRI SEMPAJA RT 63
    493 MASRANI SALMAN 66 Th L MUSO SALIM RT 014
    494 HARIANTO 45 Th L MERAPI TANAH MERAH RT 013
    495 ARIFIN DJADE 53 Th L AZIS SAMAD RT 035
    496 SUWANDI 52 Th L BUGIS MUGIREJO RT 004
    497 NUR KHAIRUN NISA 9 Th P IR.SUTAMI RT 009
    498 TYA FEBRITA SARI 20 Th P BAYAM 3 NO 388 RT 088
    499 22/11/2014 SURYANA ANGGERINI 6 Th P PERUM PKL BLOK B NO 703 RT 009
    500 SYIFA REGINA ENDI 5 Th P KS.TUBUN RT 031
    501 SUPRIHATIN 54 Th P CM KUSUMO RT 002
    502 AGUS RIYANTO 41 Th L WANYI E RT 089
    503 M.NUR 1 Th L AWS RT 023
    504 M.NURAINI 31 Th L PERUM SMT H6 NO 04
    505 ASMUNI 52 Th L KH W.HASYIM RT 013
    506 BASNIARTI 48 Th P W.HASYIM RT 013
    507 AYU NOVITA SURYA WATI 51 Th 25 BIAWAN GG 6 RT 014
    508 NOVIANA ANGGRAINI 6 Th P P.SURYANATA RT 038
    509 AMINAH 36 Th P RAUDAH UJUNG RT 023
    510 RAISYA DAMAYANTI 3 Th P P.SURYANATA RT 038
    511 AGUSTIAWAN AJI SYAH PUTRA 9 Th L PASUNDAN GG 3C RT 019
    512 SISTIO FEBRIYANA 25 Th P AWS RT 036
    513 HETTY NUR HANDAYANI 30 Th P SEJATI 3 RT 001
    514 ABD KADIR 63 Th L MERDEKA 1 NO 38 RT 090
    515 WA ODE NURSIA 30 Th P KARYA BARU RT 010
    516 ELLYWATI 44 Th P ABUL HASAN GG 7 RT 013
    517 JURAIDAH 54 Th P LEMPAKE JAYA RT 013
    518 CORY AINA RAHMAH 16 Th P PRAMUKA NO 176 RT 004
    519 ABDUL MUKRIM 30 Th L RAUDAH 3 NO 42 RT 012
    520 ARGAN SAID RAMADHAN 4 Th L L.MANGKURAT RT 018
    521 KASWARI 53 Th L ST ALIMUDDIN RT 004
    522 DESTRY ANA KARLINA 2 Th P TRI DARMA GG LESTARI RT 013
    523 23/11/2014 ABDULLAH 58 Th L PADA ELO RT 006
    524 FAIZ AIDAN RABBANI 7B L WIRATAMA RT 003
    525 SITI HAJAR AFRIANTI 29 Th P MUSO SALIM RT 016
    526 M.NUR 74 Th L S.RIADI GG 6 RT 030
    527 RAHMATIAH 38 Th P PERUM GTS RT 032
    528 SESVA YUDA BUANA 7 Th L DWIKORA RT 022
    529 YULIANI 46 Th P S.RIADI RT 033
    530 FACHRULLAH 30 Th L RE.M.DINATA GG TUKANG RT 009
    531 ABU MANSYUR 47 Th L PERUM BP BATARA B2/36 RT 013
    532 M.NUR 1 Th L AWS RT 023
    533 KUSWONGSO SENO 49 Th L ST.ALIMUDDIN RT 004
    534 MARTAWIYAH 42 Th P ST.SULAIMAN RT 010
    535 JONHY TANG WONG 50 Th L P.HIDAYATULLAH GG BAKTI RT 032
    536 HERRY OSCAR 52 Th L MUSO SALIM NO 68 RT 015
    537 ARPIANI 48 Th P OTISTA RT 024
    538 GUSTI ERLITA 39 Th P GN.CERMAI RT 001
    539 NINA INDRIANA 26 Th P ST.SULAIMAN GG H SALMAN RT 010
    540 ENNY MULIATY 53 Th P MERBABU RT 016
    541 AURA GEULIS TIAR 1 Th P KESTELA 3 A /182 RT 076
    542 ARTIYAH 49 Th P PROKLAMASI RT 054
    543 RINI ANGGERAENI 11 Th P MUGIREJO RT 008
    544 ABDUL MUKRIM 20 Th L RAUDAH 3 NO 42 RT 012
    545 FITRI 28 Th P S.PARMAN GG 1 RT 001
    546 INNU HOJI AR RAWI 1 Th L PROKLAMASI TR 052
    547 M.FAZEN 5 Th L PADAT KARYA GG MAWAR NO 79 RT073
    548 SAPARUDDIN 27 Th L KH.HARUN NAFSI RT 012
    549 24/11/2014 AMANAT M UMAR FACHRI 3 Th L RAUDAH RT 011
    550 ZARKANI 49 Th L KH.HARUN NAFSI RT 017
    551 IMAH 68 Th P P.SURYANATA RT 018
    552 DINA 31 Th P PELITA 3 SMBTN RT 012
    553 MAYA SHINTA MURJAYANI 38 Th P RAWA SARI RT 012
    554 YULIANI 53 Th P TENGKAWANG RT 015
    555 ALIF AL AMINULLAH 5 Th L NUSANTARA IV RT 032
    556 NGARSI ISTIANI 48 Th L S.RIADI RT 014
    557 RINA ANDRIANI 40 Th P BUNG TOMO RT 020
    558 NINA INDRIANA 26 Th P ST.SULAIMAN GG H SALMAN RT 010
    559 SRI PARTINI 35 Th P AM.SANG AJI GG 19 RT 011
    560 ADB RACHIM SANADHA 13 Th L ST.ALIMUDDIN RT 021
    561 SUWANDI 52 Th L BUGIS MUGIREJO RT 004
    562 SITI HAJRAH 34 Th P JUANDA 8 BELIMBING 88 RT 007
    563 M.FATIH FABRIZIO 2 Th L S.PARMAN GG 1 RT 001
    564 M.JUHRI 53 Th L HJ.JAHRAH RT 015
    565 HARTINI 19 Th P OTISTA RT 032
    566 NIKA SITI QOMAH 27 Th P S.RIADI R T010
    567 SITI JUBAIDAH 81 Th P ST.ALIMUDDIN RT 021
    568 25/11/2014 BASTIAH 50 Th P MERANTI GG 2 RT 019
    569 ABD SANI 66 Th L PRAMUKA VI KOMP PK RT 030
    570 TASYA 3 Th P TAKLANG SARI CL NO 102 RT 030
    571 M.SULTAN SYAHID 4 Th L BIAWAN GG 4 RT 013
    572 NOOR JENNAH 36 Th P PAKIS 7 BLOK D/335 RT 082
    573 SALAWATI DHAHLIANA 45 Th P ANGGUR RT 057
    574 SAPERIAH 46 Th P JELAWAT G 8 RT 005
    575 MARIA USUN A 72 Th P PLAMBOYAN RT 010
    576 ZARKANI 49 Th L KH.HARUN NAFSI RT 017
    577 DIANA MURTI 45 Th P PERINTIS RT 032
    578 ADE REHANSYAH 9 Th L P.ANTASARI RT 006 NO 13
    579 SUKIRAH 35 Th P JAYA KARTA RT 019
    580 DARA FARADINA 21 Th P PADAT KARYA GG KARYA MANDIRI RT 008
    581 ANISA NASBY BARKAH 3 Th P L.MANGKURAT RT 005
    582 REIHAN RAUF SETIANTO 5 Th L P.ANTASARI GG H. MANSYUR RT 002
    583 USMAN 56 Th L PERUM BORNEO MUKTI A/11 RT 64
    584 DIRMAN 37 Th L OTISTA RT 030
    585 DERMANTO 42 Th L ULIN GG 3 RT030
    586 WA UNCU 47 Th P BIAWAN GG II RT 016
    587 SRI ASTUTI 16 Th P ABD MUTHALIB RT 06
    588 NUR ASIRAH 12 Th P HJAKARTA GG PERJUANAGAN RT 072
    589 HUSUNATI 22 Th P DELIMA RT 050
    590 SUKIMIN 64 Th L MARKROMAN RT 011
    591 SRI WAHYUNI 16 Th P KARYA BARU RT 010
    592 ROHADI 60 Th L GERILYA RT 058
    593 DEN WINATA H 7 Th L KS.TUBUN RT 013
    594 HAMDAN PRIYANA 16 Th L PRM TALANG SARI RT 030
    595 ZUBAEDAH 45 Th P PRM TALANG SARI RT 030
    596 MATALI 69 Th L PADAT KARYA PNG SERIBU RT 012
    597 A.HAMBALI 12 Th L PERUM PUSPITA BLOK QQ RT 007
    598 NGARSI ISTIANI 70 Th L S.RIADI RT 014
    599 26/11/2014 HARMINAH 45 Th P BATU BESAUNG RT 028
    600 SAMSUDDIN 15 Th L P.SURYANATA RT 017
    601 NANDA SAPUTRA 20 Th L P.SURYANATA GG SAKA RT 16
    602 M.RELNALDI ZAMROTA 6 Th L DR.SOETOMO GG 4 A RT 032
    603 SRI RATNA 45 Th P ANGGREK PANDA 1 NO 21 RT 024
    604 RUSDIANA 61 Th P P.ANTASARI GG 6 RT 045
    605 DARLINA 23 Th P KEMAKMURAN GG 1 RT 015
    606 HERRY OSCAR 52 Th L MUSO SALIM RT 015
    607 FILDA CHANDRA M R 16 Th P GN LINGAI GG SEPAKAT RT 004
    608 SAUMI 58 Th P WIRATAMA RT 027
    609 FATIMAH 38 Th P MERANTI RT 01 TNH MERAH
    610 RIZKIANA 11 Th P SERAYU RT 022
    611 AJI SETIAWAN 16 Th L CM.KUSUMO RT 040
    612 KARTINIKA 48 Th P T.UMAR RT 035
    613 HADANA 59 Th P KOMP PASAR SEGIRI RT 027
    614 HAMISAH 56 Th P PLAMBOYAN RT 009
    615 ANNISA NASBY BARKAH 3 Th P L.MANGKURAT RT 005
    616 ASTRI HARIYANA WATI 17 Th P JELAWAT GG 7 NO 13 RT 006
    617 ABD GANI 58 Th L KOMP PASAR SEGIRI RT 027
    618 MUSTAMMIAH 73 Th P SUKOREJO RT 039
    619 JUMAIYAH 48 Th P RUKUN RT 013
    620 RABIATUL ADAWIYAH 1 Th P HJ.JAHRAH RT 001
    621 AUREL OKTAVIAN 5 Th P KARYA BAKTI RT 006
    622 NASYA RAMADHANI 2 Th P PERNIAGAAN RT 015
    623 CALLISTA TSAMARA AZRRIA H 7 BL P AWS GG AMANAH RT 014
    624 MARZIN QALZARED M 19 Th L KARYA BARU RT 010
    625 EVI ARSIAH 20 Th P LUMBA LUMBA RT 010
    626 RHISYA ADELLIA 1 Th P DELIMA RT 051
    627 MADA MASHUDINSYAH 26 Th L U.SUROPATI BLOK KY 11 RT 018
    628 TURKIYEH 42 Th P RAJAWALI DALAM 1 RT 108
    629 PUTRA ADITYA 2 Th L LUMBA LUMBA RT 005
    630 27/11/2014 ARDIANSYAH 26 Th L KH.HARUN NAFSI RT 009
    631 DEVI ESTRIANA 25 Th P TRI SARI GG SINAR SARI RT 021
    632 MAYA RAHMAH 40 Th P PAMPANG RT 002
    633 EDI PURWANTO 49 Th L ANGGUR NO 47 RT 56
    634 BASUKI 57 Th L WIRASWASTA RT 013
    635 TIURMA SIMANJUNTAK 27 Th P LABU HIJAU 5 RT 72
    636 SUMARDI 58 Th L DR.SUTOMO RT 039
    637 AISYAH INGANI KAMILA 2 Th P ABD MUTHALIB RT 006
    638 SUTIAH 37 Th P KEMANGGI GG TANI RT 026
    639 TAUFIK 54 Th L GATSU GG 1 RT 042
    640 ARIANGGRAENI 40 Th P GN.LINGAI RT 009
    641 M.SURIANSYAH 39 Th L P.SURYANATA GRAHA INDAH RT 013
    642 KHOLIFAH 41 Th L GATSU RT 045
    643 MUALIFA LESTARI 46 Th P TRISARI RT 020
    644 SITI RAMLAH 26 Th P DELIMA RT 051
    645 TARMINI 89 Th P KEMAKMURAN DALAM RT 020
    646 ASMAH 37 Th P TELUK KEDONDONG RT 022
    647 ISTIROHATI 44 Th P KH.HARUN NAFSI RT 016
    648 ARDIANSYAH 76 Th L PATTIMURA RT 006
    649 28/11/2014 AISYAH INSANI KAMILA 2 Th P KH.ABBUL MUTHALIB RT 004
    650 M.REVAEL RIZQY 8 Th L RE.MARTA DINATA GG WAHYU RT 004
    651 SANTI 25 Th P NUSA INDAH RT 002
    652 SULAIMAN AL GHANNY B 3 Th L GERILYA GG SEPAKAT RT 101
    653 DINNA NURHANIFA 1 Th L MT.HARYONO RAWA SARI RT 047
    654 ANDIYAN 20 Th P BENGKURING RAYA 1 RT 084
    655 MASRANI SALMAN 66 Th P MUSO SALIM RT 014
    656 ULFAH 22 Th P P.ANTASARI GG KENANGA RT 005
    657 RESTY MEITINI R 23 Th P SOEKARNO HATTA RT 013
    658 A.PASHA ALFAHREZI 7 Th L PURWODADI RT 010
    659 ROHADI 60 Th L GERILYA RT 058
    660 SUCI HERMANTO 6 Th P MARSDA A SALEH RT 040
    661 DINDA CAHYA ERLIKA 7 Th P SERAYU RT 022
    662 WARNA WATI 41 Th P P.BENDAHARA GG KARYA AMAL RT 005
    663 SITI HAJAR 40 Th P GERILYA NO 05 RT 051
    664 GHAIZA ZAHFIRA NABILA 5 Th P CENDANA GG 7 NO 5 RT 037
    665 SYAHWATI 42 Th P LUMBA LUMBA RT 003
    666 SURYANI 45 Th P RAJAWALI DALAM III RT 014
    667 ARIF RAHMAN HAKIM 35 Th L BELIMBING RT 008
    668 FITRIANI 19 Th P JELAWAT GG 9 RT 009
    669 RABIATUL ASLAMIAH 24 Th P DAMANHURI BTI RT 026
    670 ZAITUN NURAINI 14 Th P SENTOSA DALAM 4 RT 080
    671 29/11/2014 INTAN RAIS 20 Th P KH.W.HASYIM GG KARYA BARU RT 009
    672 ARISKA BASRI 14 Th P MT.HARIYONO RAWASARI 5 RT 56
    673 RULI FIRDAY PASARIBU 17 Th L SEI LANTUNG RT 014
    674 SANTI 25 Th 25 NUSA INDAH RT 002
    675 SAMSUDDIN 15 Th L P.SURYANATA RT 017
    676 ZHAKY FAHREZI FEBRIAN 3 Th L GAMELAN RT 039
    677 ASFAH 3 Th P DI PANJAITAN RT 001
    678 HERRY OSCAR 52 Th P MUSO SALIM NO 68 RT 015
    679 AJI ZALFA PUTRI YULISKA 6 Th P DR.SOETOMO GG 4A RT 040
    680 BUSTAR 37 Th L AM SANG AJI GG 2 RT 001
    681 BERA 57 Th P BETAPUS R T014
    682 KASBUN 56 Th L SAWI 3 A/76 RT 070
    683 ARBAIN 30 Th P SENTOSA KENANGAN VII RT 077
    684 LA ODE BALUBI 80 Th L BIAWAN NO 43 RT 008
    685 ELISABETH MARIANA 22 Th P ADAM MALIK RT 09
    686 VITA RIAN CAHYANI 21 Th P TRI SARI GG SINAR SARI RT 021
    687 SAIDAH 18 Th P MUANG ILIR RT 027
    688 ANADA ADITYA MAHADIKA 1 Th L P.SURYANATA RT 014
    689 WAHYU NINGSIH 41 Th P HASAN BASRI GG 2 RT 022
    690 ARMANSYAH PAI 45 Th L GATSU GG 1 RT 043
    691 SITI JULEHA 39 Th P ADAM MALIK RT 023 BLOK B6
    692 ULAN 17 Th P S.RIADAI RT 030
    693 ANDI RIANI 29 Th P RIMBAWAN RT 033
    694 SITI ZOULFAFOHMAH 15 Th P MT.HARIYONO RT 001
    695 DENNY AFRIANSYAH 22 Th L ANGGREK MERAH RT 025
    696 PRATAMA GILANG PAMADHAN 4 Th L DR.SOETOMO GG 2 NO 32
    697 A.PASHA ALFAHREZI 7 Th L PURWODADI RT 010
    698 RIZKIANA 11 Th P SERAYU RT 022
    699 OLIVIA FIDAUSVA HASANAH 6 BL P A.DAHLAN GG 3 RT 013
    700 SAHUDI 56 Th L PM.NOOR RT 039
    701 MUHAIRANTI 24 Th P PERUM PINANG BAHARI RT 037
    702 KHALIFATUL MADINAH 2 Th P SENTOSA RT 044
    703 AGUS PRIYANTO 48 Th L LUMBA LUMBA RT 013
    704 LINTANG AKBAR SANJAYA 3 Th L MUGIREJO R T040
    705 ADE PUTRA SUPRIADI 25 Th L ABUL HASAN GG 11 NO 21
    706 FARIMAH HUMAIRAH REA 5 Th P KS TUBUN DALAM RT 014 NO 29
    707 30/11/2014 M.ZIDAN 5 Th L KOMP PASAR SEGIRI
    708 M.MALIK 47 Th L AWS GG 3 B RT 032
    709 JURAIDAH 26 Th P KH.W.HASYIM RT 027
    710 SITI ZAHRA AMALIA 6 BL P BATU INDAH RT 041
    711 NURUL AINI 25 Th P P.UNTUNG SUPATI RT 007
    712 RUBIYANTI 39 Th P TRI SARI RT 022
    713 ANDI RIANI 29 Th P RIMBAWAN RT 033
    714 LA GALI 50 Th L RAUDAH RT 024
    715 TURSIYAH 40 Th P TRIKORA RT 008
    716 ALFINZA RAMADHANI 5 Th L JELAWAT GG 9 RT 001
    717 SHIREEN ADINDA NUR F 5 Th P PROKLAMASI III RT 055
    718 RAHMAD RENALDI 3 Th L WIRAGUNA RT 008
    719 AMILUDDIN H MATTI 41 Th L A.YANI GG CAHAYA BARU RT 018
    720 M.NIZAM AL FARIZ 1 Th L JELAWAT GG 9 RT 002
    721 MAULANA ARIFIN 10 BL L BUNG TOMO RT 027
    722 WA DELVI ANGGEINI 1 Th P ANGGUR RT 056 NO 15
    778
    IHAN PASIEN JAMKESDA DI IGD RSUD. A. WAHAB SJAHRANIE SAMARINDA BULAN NOVEMBER 2014

    No KIB/ R
    No. Peserta Diagnosa Tindakan
    No. REG Karcis IGD O2
    7 8 9 10 11
    726433 GEA INF,PLEB 75,000 -
    595492 CKD PLEBO,EKG 75,000 -
    519489 HEMAPTOE INF,PLEB 75,000 -
    797943 DISPEPSYA PLEB,EKG,INJEKSI 75,000
    797924 DISPEPSYA INJEKSI 75,000 -
    795292 GERD INJEKSI 75,000 -
    799678 GEA INF.PLEB 75,000 -
    595496 GEA RESEP 75,000 -
    799760 CKR RESEP 75,000 -
    773624 CKD INF,PLEB,EKG 75,000 -
    797962 GEA INJEKSI 75,000 -
    616897 GEA INF,PLEB 75,000 -
    706123 DISPEPSYA INJEKSI 75,000 -
    799449 BSK PLEBO,EKG 75,000 -
    512679 ASMA EKG,NEBU,EKG,O2,INJEKSI 75,000 32,000
    643168 FEBRIS PLEB 75,000 -
    799649 COLIC ABDOMEN PLEB,SUPP 75,000 -
    799679 DISPEPSYA INF,PLEB,EKG,INJEKSI 75,000 -
    691368 ALERGI INJEKSI 75,000 -
    794935 FEBRIS RESEP 75,000 -
    799770 FARINGITIS RESEP 75,000 -
    643432 HHF PLEBO,EKG 75,000 32,000
    799787 GEA EKG 75,000 -
    799799 INFARTU VT,DOPPLER 75,000 -
    799818 TONSILITIS RESEP 75,000 -
    614541 GEA RESEP 75,000 -
    731689 FEBRIS PLEB 75,000 -
    577246 GEA INJEKSI 75,000 -
    523698 FEBRIS PLEB 75,000 -
    756718 FEBRIS RESEP 75,000 -
    799788 SUSP APP PLEB 75,000 -
    799289 CAD PLEB,INJEKSI 75,000 -
    799836 MENOMETROLARGI RESEP 75,000 -
    799857 FEBRIS PLEB,SUPP,INJEKSI 75,000 -
    716855 DISPEPSYA EKG,INJEKSI 75,000 -
    706127 ISPA RESEP 75,000 -
    689414 DISPEPSYA INF,PLEB,EKG,INJEKSI 75,000 -
    799784 GASTRITIS INJEKSI 75,000 -
    645568 ASMA INF,PLEB,O2,NEBU 75,000 32,000
    543723 CHEST PAINT PLEB,EKG,INJEKSI 75,000 -
    761294 GEA INJEKSI 75,000 -
    799862 ISPA PLEB 75,000 -
    708712 ISPA RESEP 75,000 -
    770254 FEBRIS PLEB 75,000 -
    799933 VOMITUS INJEKSI 75,000 -
    799869 VERTIGO INJEKSI 75,000 -
    799981 HEMAPTOE PLEB 75,000 -
    799897 BSK PLEB,INJEKSI 75,000 -
    759059 VL WTH III,INJEKSI 75,000 -
    706611 FEBRIS PLEB 75,000 -
    777738 VERTIGO WT 75,000 -
    799912 VERTIGO PLEBO,EKG 75,000 -
    694840 CEPALGIA RESEP 75,000 -
    799954 VARICELLA RESEP 75,000 -
    761574 INPARTU VT,DOPPLER 75,000 -
    799964 OA PLEB 75,000 -
    799875 FARINGITIS INF,PLEB 75,000 -
    799983 VERTIGO PLEB,EKG,INJEKSI 75,000 -
    799860 COLIC RENAL SUPP 75,000 -
    799874 FEBRIS RESEP 75,000 -
    762802 GEA INJEKSI 75,000 -
    799859 PROLAP RESEP 75,000 -
    715397 GIGIVITIS RESEP 75,000 -
    781846 GE SUPP 75,000 -
    799939 FARINGITIS RESEP 75,000 -
    799872 GEA INJEKSI 75,000 -
    440787 VERTIGO EKG,INJEKSI 75,000 -
    799977 ISK PLEB,INJEKSI 75,000 -
    793088 FEBRIS RESEP 75,000 -
    637937 ASMA O2 ,NEBU,INJEKSI 75,000 32,000
    474218 SNH PLEBO,EKG 75,000 -
    800075 SUSP APP RESEP 75,000 -
    708936 DISPEPSYA INJEKSI 75,000 -
    800076 SELULITIS INF 75,000 -
    783814 DISPEPSYA INJEKSI 75,000 -
    726465 VE RESEP 75,000 -
    800083 DISPEPSYA PLEBO,EKG 75,000 -
    681390 DISPEPSYA INJEKSI 75,000 -
    763866 FEBRIS RESEP 75,000 -
    434539 VERTIGO PLEB,INJEKSI 75,000 -
    452574 GASTRITIS INJEKSI 75,000 -
    402979 GEA PLEB,EKG,INJEKSI 75,000 -
    799884 COLIC URETER INJEKSI 75,000 -
    800088 DISPEPSYA EKG,INJEKSI 75,000 -
    561617 GEA PLEB,EKG,INJEKSI 75,000 -
    781846 FEBRIS PLEB 75,000 -
    800041 VL WTH II,INJEKSI 75,000 -
    800026 GASTRITIS INJEKSI 75,000 -
    756996 GEA RESEP 75,000 -
    799877 MYOMA UTERI PLEB 75,000 -
    646248 PULPITIS INJEKSI 75,000 -
    768533 CAD PLEB,EKG,INJEKSI 75,000 -
    675210 V.ICHTUM CROSS INSISIS,INJEKSI 75,000 -
    571689 ISK PLEB,INJEKSI 75,000 -
    659709 V.MORSUM INJEKSI 75,000 -
    800011 VOMITING PLEB,INJEKSI 75,000 -
    629697 BP NEBU,O2 75,000 -
    800087 MORBILI PLEB,SUPP 75,000 -
    467752 DISENTRI PLEB 75,000 -
    800095 CKR WT 75,000 -
    802164 VL WTH IV,INJEKSI 75,000 -
    688914 ASMA NEBU,O2 75,000
    802146 MORBILI SUPP 75,000 -
    802144 DISPEPSYA PLEB,EKG,INJEKSI 75,000 -
    802111 TROUMA THORAX RESEP 75,000 -
    802123 FEBRIS INF,PLEB,EKG 75,000 -
    802125 CORPAL RESEP 75,000 -
    802198 GEA PLEB,INJEKSI 75,000 -
    802147 VL INJEKSI 75,000 -
    765265 DISPEPSYA INJEKSI 75,000 -
    335293 CHF PLEB,EKG,INJEKSI 75,000 32,000
    802166 THYPPOID PLEB,INJEKSI 75,000 -
    668884 FEBRIS SUPP 75,000 -
    721402 ABORTUS PLEB 75,000 -
    802172 DISPEPSYA INJEKSI 75,000 -
    539255 KISTA OVARIUM PLEB,INJEKSI 75,000 -
    802113 CHES PAIN EKG 75,000 -
    531937 V.ICHTUM INJEKSI 75,000 -
    686418 ISPA RESEP 75,000 -
    600455 VL WTH IV,INJEKSI 75,000 -
    002371 GEA RESEP 75,000 -
    002408 INPARTU PLEB,VT,DOPPLER 75,000 -
    802360 TB PARU EKG 75,000 -
    802218 RETENSIO URINE PLEB,DC,EKG 75,000 -
    802391 HT PLEBO,EKG 75,000 -
    616163 ASMA NEBU,O2 75,000 -
    685134 GASTRITIS INJEKSI 75,000 -
    700836 DERMATITIS ALERGI RESEP 75,000 -
    802387 ABD.PAIN PLEB,INJEKSI 75,000 -
    802328 VL WT,INJEKSI,KATEGORI II 75,000 -
    802363 ISK RESEP 75,000 -
    802379 COMBUSIO WT 75,000 -
    802380 CEPHALGIA INJEKSI,EKG 75,000 -
    802385 FARINGITIS RESEP 75,000 -
    056472 TONSILITIS RESEP 75,000 -
    802355 COMMOND COLD EKG 75,000 -
    754929 ASMA NEBU 75,000 -
    635289 CKR RESEP 75,000 -
    755829 DYSPEPSIA PHLEB 75,000 -
    800002 DISPEPSYA RESEP 75,000
    802347 ASMA NEBU,O2 75,000 32,000
    802365 GEA RESEP 75,000 -
    751172 GASTRITIS SUPP 75,000 -
    773624 CKD INF,PLEB,EKG,O2,INJEKSI 75,000 32,000
    527981 DILOKASI ELASTIS VERBAN 75,000 -
    799843 ASMA O2 ,NEBU,INJEKSI 75,000 32,000
    796413 MYOMA UTERI PLEB 75,000 -
    802336 HEG PLEB 75,000 -
    439539 VERTIGO INF,PLEB,EKG,INJEKSI 75,000 -
    767511 GEA INJEKSI 75,000 -
    802493 DISPEPSYA PLEB,EKG,INJEKSI 75,000 -
    802467 VL WTH III,INJEKSI 75,000 -
    802450 DOG BITE WT 75,000 -
    802476 VL WTH III,INJEKSI 75,000 -
    802428 ALERGI RESEP 75,000 -
    802415 VARICELLA PLEB,INJEKSI 75,000 -
    802965 GEA RESEP 75,000 -
    802480 VOMITING INJEKSI 75,000 -
    586815 INPARTU VT,DOPPLER 75,000 -
    475654 GEA RESEP 75,000 -
    394720 CHES PAIN PLEB,EKG,INJEKSI 75,000 -
    469800 URTIKARIA INJEKSI 75,000 -
    802519 HT INF,PLEB,EKG,INJEKSI 75,000 -
    788611 DISPEPSYA PLEB 75,000 -
    802466 DISPEPSYA PLEB,EKG,INJEKSI 75,000 -
    418743 ASMA NEBU,EKG,O2 75,000 32,000
    759963 MENOMETROLARGI PLEB,INJEKSI 75,000 -
    802417 COLIC URETER PLEB 75,000 -
    796774 CEPALGIA PLEB,EKG,INJEKSI 75,000 -
    802472 HT PLEB,EKG,INJEKSI 75,000 -
    667223 BSK PLEB,INJEKSI 75,000 -
    776591 ISK PLEB 75,000 -
    788407 GEA INJEKSI 75,000 -
    728760 ASMA NEBU,O2 75,000 32,000
    802490 GEA INF,PLEB,INJEKSI 75,000 -
    797463 VERTIGO INJEKSI 75,000 -
    802517 FLOUR ALBUS SUPP 75,000 -
    802371 GEA RESEP 75,000 -
    802537 GEA INJEKSI 75,000 -
    512679 ASMA O2 ,NEBU,INJEKSI 75,000 32,000
    802603 DISPEPSYA EKG,INJEKSI 75,000 -
    802619 GEA INF,PLEB,INJEKSI 75,000 -
    529530 HEMATEMESIS PLEB,INJEKSI 75,000 -
    586677 GEA RESEP 75,000 -
    752029 GASTRITIS INJEKSI 75,000 -
    802379 GEA INF,PLEB 75,000 -
    572221 CHES PAIN PLEBO,EKG 75,000 -
    665976 FEBRIS PLEB 75,000 -
    802465 GEA INF,PLEB,INJEKSI 75,000 -
    646099 FEBRIS PLEB 75,000 -
    189913 PPOK RESEP 75,000 -
    802703 VL WTH II,INJEKSI 75,000 -
    645568 ASMA NEBU,INJEKSI 75,000 -
    652551 VOMITING INJEKSI 75,000 -
    802523 VOMITING INJEKSI 75,000 -
    802579 FEBRIS PLEB 75,000 -
    75868 ISK PLEB 75,000 -
    645236 COMMOND COLD SUPP 75,000 -
    802752 INPARTU PLEB,VT,DOPPLER 75,000 -
    269097 PNEUMONIA RESEP 75,000 -
    802771 COLIC ABDOMEN PLEB,INJEKSI 75,000 -
    802737 ISK PLEB 75,000 -
    802691 VL WTH II,INJEKSI 75,000 -
    802731 URTIKARIA INJEKSI 75,000 -
    802664 DISPEPSYA PLEB,INJEKSI 75,000 -
    679366 STATUS ELPLEPTIKUS INF,PLEB,INJEKSI 75,000 32,000
    657418 ISPA RESEP 75,000 -
    695155 GEA RESEP 75,000 -
    596059 ISPA RESEP 75,000 -
    543723 DISPEPSYA PLEB,EKG,INJEKSI 75,000 -
    802709 FEBRIS PLEB 75,000 -
    802711 FEBRIS PLEB,INJEKSI 75,000 -
    802764 GASTRITIS PLEB 75,000 -
    802645 DISPEPSYA EKG,INJEKSI 75,000 -
    802753 VERTIGO WT 75,000 -
    784342 ASMA RESEP 75,000 -
    802654 ASMA NEBU,O2 75,000 32,000
    768047 FEBRIS PLEB 75,000 -
    802754 VERTIGO WT 75,000 -
    802755 VE WT 75,000 -
    464582 DISPEPSYA INJEKSI 75,000 -
    802679 FARINGITIS PLEB 75,000 -
    802682 GEA INJEKSI 75,000 -
    501138 BSK PLEB,INJEKSI 75,000 -
    802725 VOMITING RESEP 75,000 -
    802008 DISPEPSYA INJEKSI 75,000 -
    802365 GEA RESEP 75,000 -
    627130 GEA INJEKSI 75,000 -
    716885 FEBRIS RESEP 75,000 -
    709372 MORBILI PLEB 75,000 -
    802667 GEA RESEP 75,000 -
    802868 VOMITING INJEKSI 75,000 -
    798184 ASMA PLEB,NEBU,O2 75,000 32,000
    802865 INPARTU VT,DOPPLER 75,000 -
    482228 HT INJEKSI 75,000 -
    802924 FEBRIS PLEB 75,000 -
    802218 RETENSIO URINE PASANG CHATETER 75,000
    802873 MORBILI PLEB 75,000
    802798 DYSMENOREA INJEKSI 75,000 -
    802877 COLIC ABDOMEN PLEB 75,000 -
    802831 AB IMINENS PLEB 75,000
    754929 ASMA NEBU,O2 75,000 32,000
    802870 GEA INF,PLEB 75,000
    793815 ISK SUPP 75,000 -
    773621 CKD PLEB,EKG,INJEKSI 75,000 32,000
    751978 GEA INF,PLEB,INJEKSI 75,000
    796059 HHF PLEBO,EKG 75,000 32,000
    802808 GEA INF,PLEB 75,000
    802879 SOFT TISSUE RESEP 75,000
    774228 ISK PLEB,INJEKSI 75,000 -
    802950 HEMAPTOE PLEBO,EKG 75,000 32,000
    768047 MORBILI INF,PLEB 75,000
    744333 VERTIGO INF,PLEB,EKG,O2,INJEKSI 75,000 32,000
    672557 BSK INF,PLEB,EKG,SUPP 75,000 -
    803040 GEA RESEP 75,000 -
    802955 VOMITING INF,INJEKSI 75,000 -
    585410 URTIKARIA RESEP 75,000 -
    645568 ASMA O2 ,NEBU,INJEKSI 75,000 32,000
    644521 GEA INF,PLEB,O2 75,000 32,000
    799912 CEPALGIA PLEB,EKG,INJEKSI 75,000 -
    802603 DISPEPSYA PLEB,INJEKSI 75,000 -
    802960 INPARTU VT,DOPPLER 75,000 -
    725056 FEBRIS PLEB 75,000 -
    802942 FEBRIS RESEP 75,000 -
    751978 INPARTU VT,DOPPLER 75,000 -
    662834 MENOMETROLARGI PLEBO,EKG 75,000 -
    552412 INPARTU VT,DOPPLER 75,000 -
    802944 CORPAL IRIGASI 75,000 -
    716324 FEBRIS SUPP 75,000 -
    802970 ASMA O2,NEBU,INJEKSI 75,000 32,000
    803043 HT EKG,INJEKSI 75,000 -
    802984 VL WTH II,INJEKSI 75,000 -
    661457 GEA INF,PLEB,EKG,INJEKSI 75,000 -
    685157 LBP PLEB 75,000 -
    786022 GEA INF,PLEB,INJEKSI 75,000 -
    803041 FEBRIS PLEB,INJEKSI 75,000 -
    803042 VOMITING RESEP 75,000 -
    753365 V.CHTUM INJEKSI 75,000 -
    802737 RETENSIO URINE PASANG CHATETER 75,000 -
    803097 BRONCHITIS INF,NEBU,PLEB,INJEKSI 75,000 32,000
    394720 DISPEPSYA PLEB,EKG,INJEKSI 75,000 -
    803137 CKR WT,INJEKSI,KATEGORI II 75,000 -
    803158 DISPEPSYA PLEB,EKG,INJEKSI 75,000 -
    803159 VE WT,INJEKSI 75,000 -
    317346 CF RAMUS PUBIS DX INF 75,000 -
    803144 CEPALGIA RESEP 75,000 -
    778454 DISPEPSYA PLEB,O2,PLEB,INJEKSI 75,000 32,000
    538392 DISPEPSYA INF,PLEB,EKG,INJEKSI 75,000 -
    773707 ASMA NEBU 75,000 -
    803104 VL WT,INJEKSI,KATEGORI II 75,000 -
    803072 GEA INJEKSI 75,000 -
    803042 VOMITING INJEKSI 75,000 -
    803121 ISK PLEB 75,000 -
    403511 DISPEPSYA INJEKSI 75,000 -
    783832 COLIC ABDOMEN PLEB 75,000 -
    803106 SPAIN ANGLE WT,ELASTIS 75,000 -
    418743 ASMA O2,NEBU,INJEKSI 75,000 32,000
    780072 ASMA NEBU O2 75,000 32,000
    803090 CKR INJEKSI 75,000 -
    797764 ISPA RESEP 75,000 -
    803122 FEBRIS ISPA 75,000 -
    802661 VL WTH III,INJEKSI 75,000 -
    492157 DISPEPSYA INF,PLEB,INJEKSI 75,000 -
    661459 GEA RESEP 75,000 -
    649020 GEA RESEP 75,000 -
    655213 DISPEPSYA INF,PLEB,EKG,INJEKSI 75,000 -
    803428 VOMITING INJEKSI 75,000 -
    751172 DISPEPSYA INJEKSI 75,000 -
    803311 FEBRIS PLEB,INJEKSI 75,000 -
    684045 MELENA PLEBO,EKG 75,000 -
    803342 VL WT,INJEKSI 75,000 -
    803392 VL WTH II,INJEKSI 75,000
    797671 DISPEPSYA INF,PLEB,EKG,INJEKSI 75,000 -
    803320 EPISTAKSIS INJEKSI 75,000 -
    800048 FEBRIS RESEP 75,000 -
    784670 FARINGITIS PLEB 75,000
    795444 DYSPEPSIA PLEB,INJEKSI 75,000 -
    803322 VERTIGO INJEKSI 75,000 -
    561690 FEBRIS PLEB,INJEKSI 75,000
    694840 CEPALGIA RESEP 75,000 -
    803347 FEBRIS PLEB 75,000 -
    443475 ISK PLEB,EKG,INJEKSI 75,000 -
    803338 SUSP HEPATITIS PLEB,INJEKSI 75,000 -
    803381 KONSTIPASI SUPP 75,000 -
    803351 GEA INF,PLEB 75,000 -
    754874 ASMA NEBU,INJEKSI 75,000 -
    802218 RETENSIO URINE PASANG CHATETER 75,000 -
    803545 FEBRIS INF,PLEB,EKG 75,000 -
    732528 CONTOSIO MASKULAR RESEP 75,000 -
    803517 CKR RESEP 75,000 -
    684045 KONSTIPASI EKG,SUPP 75,000 -
    706618 BSK RESEP 75,000 -
    803547 FEBRIS PLEB,INJEKSI 75,000
    803381 BSK PLEB 75,000 -
    527548 DYSPEPSIA INJEKSI 75,000
    663074 ISPA RESEP 75,000 -
    835052 ISPA RESEP 75,000 -
    803469 GEA RESEP 75,000 -
    803460 FEBRIS PLEB,INJEKSI 75,000 -
    777194 GEA INF,PLEB 75,000 -
    784719 CAD PLEBO,EKG 75,000 -
    685824 V.CHTUM WT,CROSS INSISI,INJEKSI 75,000 -
    803666 GERD EKG,INJEKSI 75,000 -
    803670 GEA RESEP 75,000
    803574 VOMITING INJEKSI 75,000 -
    803668 ISK PLEB 75,000
    803633 GASTRITIS EKG,INJEKSI 75,000 -
    403511 GASTRITIS INF,PLEB,INJEKSI 75,000 -
    410854 DISPEPSYA RESEP 75,000 -
    733575 DISPEPSYA INJEKSI 75,000 -
    425337 DM INF,PLEB,EKG,INJEKSI 75,000 -
    799844 KONSTIPASI INF,PLEB,EKG,O2,INJEKSI 75,000 32,000
    803629 INPARTU PLEB,VT,DOPPLER 75,000 -
    708421 ISPA RESEP 75,000 -
    457362 DYSPEPSIA INJEKSI 75,000 -
    787217 DISPEPSYA PLEB,INJEKSI 75,000 -
    190765 GEA PLEB,EKG,INJEKSI 75,000 -
    576783 ISK PLEB 75,000 -
    772523 FEBRIS RESEP 75,000 -
    734720 VOMITING RESEP 75,000 -
    803586 WOUND INFECTED HT,CROSS,INJEKSI 75,000 -
    748340 HT PLEBO,EKG 75,000
    781807 DISPEPSYA PLEB,INJEKSI 75,000
    803791 FEBRIS PLEB,INJEKSI 75,000 -
    803771 GEA INJEKSI 75,000 -
    803767 VOMITING INJEKSI 75,000 -
    792583 INPARTU PLEB 75,000 -
    803778 KONSTIPASI SUPP 75,000 -
    544430 FEBRIS RESEP 75,000 -
    713639 CKD PLEB,INF,INEKSI,O2 75,000 32,000
    803725 VL WT,INJ 75,000 -
    770066 COLIC ABDOMEN INF,PLEB,INJEKSI 75,000 -
    803737 FEBRIS PLEB 75,000
    803715 ISPA RESEP 75,000
    656472 GEA PLEB 75,000 -
    803780 V.ICTHUM CROSS INSISIS,INJEKSI 75,000
    689658 ASMA O2,NEBU,INJEKSI 75,000 32,000
    803695 INPARTU VT,DOPPLER 75,000
    771994 FARINGITIS PLEB 75,000 -
    803711 DERMATITIS ALERGI INJEKSI 75,000
    771353 FEBRIS RESEP 75,000
    798955 HEG PLEB,INJEKSI 75,000
    712088 ASMA NEBU 75,000
    803799 SUSP DHF PLEB,INJEKSI 75,000
    582993 TONSILITIS RESEP 75,000 -
    803751 FEBRIS PLEB 75,000
    803670 GEA INJEKSI 75,000
    774228 DISPEPSYA INJEKSI 75,000
    803717 GEA INJEKSI 75,000 -
    803714 FEBRIS INF,PLEB,EKG,INJEKSI 75,000 -
    442908 BATU BULI PLEB 75,000
    803716 ISPA PLEB,INJEKSI 75,000
    492157 MORBILI PLEB 75,000 -
    510532 ASMA O2,NEBU,INJEKSI 75,000 32,000
    694911 TONSILITIS RESEP 75,000
    803730 VL WTH II,INJEKSI 75,000
    428706 BPH PASANG CHATETER 75,000
    763832 CKD PLEBO,EKG 75,000
    803919 HEG INF,PLEB 75,000 -
    808839 VL WTH II 75,000
    418668 ASMA NEBU,O2 75,000 32,000
    773624 CKR INJEKSI 75,000 32,000
    622268 LBP INJEKSI 75,000
    781807 DISPEPSYA PLEB,INJEKSI 75,000
    681177 PPOK O2,NEBU,INJEKSI 75,000 32,000
    427143 HT EKG 75,000
    803858 HEMAPTOE RESEP 75,000
    803827 DIARE PLEB,INJEKSI 75,000
    803840 VL WTH III,INJEKSI 75,000
    803815 DISPEPSYA INJEKSI 75,000
    803090 ISPA RESEP 75,000
    779103 BROCHITIS RESEP 75,000
    203903 DISPEPSYA INF,PLEB,INJEKSI 75,000
    803823 EXKLAMSIA RJP,INJEKSI,O2 75,000 32,000
    803703 INPARTU VT,DOPPLER 75,000 -
    517386 GERD EKG,INJEKSI 75,000
    803828 GEA INJEKSI 75,000
    601914 DISPEPSYA EKG,INJEKSI 75,000
    803907 GEA PLEB 75,000
    655213 TB PARU INF,PLEB,INJEKSI 75,000 32,000
    803938 FEBRIS PLEB 75,000
    511144 ABD PAIN PLEB 75,000 -
    530672 VOMITING RESEP 75,000
    771872 ASMA O2,NEBU,INJEKSI 75,000 32,000
    800048 FEBRIS PLEB 75,000
    778087 DISPEPSYA EKG,INJEKSI 75,000
    803942 FROZEN SHOULDER INJEKSI 75,000
    774955 FEBRIS RESEP 75,000 -
    654655 DISPEPSYA EKG,INJEKSI 75,000
    782855 EPILEPTIKUS INF,PLEB,INJEKSI 75,000
    803990 INPARTU VT,DOPPLER 75,000
    668053 V.ICTHUM WT,CROSS INSISI,INJEKSI 75,000
    803960 GEA RESEP 75,000
    803937 RETENSIO URINE PLEB 75,000
    804030 DISPEPSYA PLEB,INJEKSI 75,000
    803950 BSK PASANG CHATETER 75,000
    670610 DISPEPSYA EKG,INJEKSI 75,000
    803981 INPARTU VT,DOPPLER 75,000
    804114 FEBRIS PLEB 75,000
    804122 DISPEPSYA PLEB 75,000
    804093 FEBRIS PLEB 75,000
    597114 CAD PLEBO,EKG 75,000 -
    551870 BSK EKG,INJEKSI 75,000
    804050 ASMA NEBU 75,000
    804055 GEA INF,PLEB,INJEKSI 75,000
    803804 DISPEPSYA PLEB 75,000
    804059 AB IMINENS PLEB 75,000
    609950 CEPALGIA INJEKSI 75,000
    804036 CKR INF,INJEKSI 75,000
    804136 FEBRIS INJEKSI 75,000 -
    617157 DISPEPSYA PLEB,EKG,INJEKSI 75,000
    804075 VL WT,INJEKSI 75,000
    804088 CKR RESEP 75,000
    804086 VL WTH II,INJEKSI 75,000 -
    804303 DISPEPSYA INJEKSI 75,000 -
    804249 CKR RESEP 75,000
    804161 DISPEPSYA INF,PLEB,EKG,INJEKSI 75,000
    804289 FEBRIS PLEB 75,000 -
    463440 ISK PLEB 75,000
    794759 ASMA NEBU,INJEKSI 75,000
    804235 DISPEPSYA INF,PLEB,INJEKSI 75,000
    795559 INPARTU VT,DOPPLER 75,000
    732035 GEA INF,PLEB 75,000
    633946 DISPEPSYA RESEP 75,000
    804318 HT PLEBO,EKG 75,000
    727340 DISPEPSYA PLEB,INJEKSI 75,000
    392616 ASMA INF,PLEB,EKG,INJEKSI 75,000
    804269 VERTIGO RESEP 75,000
    604294 CONTOSIO MASKULAR RESEP 75,000
    559566 CL RADIUS INJEKSI 75,000
    771626 VL WTH II,INJEKSI 75,000
    684116 DEMATITIS RESEP 75,000
    804307 DERMATITIS ALERGI RESEP 75,000
    804314 VE RESEP 75,000
    804252 CKR RESEP 75,000
    804316 ISPA PLEB 75,000
    802107 POST AMPUTATUM HEATING 75,000
    804261 INPARTU VT,DOPPLER 75,000
    804280 GEA INF,PLEB,INJEKSI 75,000
    732511 ISK PLEB,DC,INJEKSI 75,000
    804300 INPARTU VT,DOPPLER 75,000
    577163 VOMITING INF,PLEB,INJEKSI 75,000
    804327 SH INF,PLEB,EKG,DC,GDS CITO,O2 75,000 32,000
    773624 CKD OKSIGEN,INJEKSI 75,000 32,000
    804390 GOAT ARTHITITIS GENU PLEB,INJEKSI 75,000
    804380 COLIC ABDOMEN INF,PLEB 75,000
    609360 GASTRITIS PLEB 75,000
    804384 VOMITING RESEP 75,000
    610772 HT EKG,INJEKSI 75,000
    795000 GEA RESEP 75,000
    687884 ISPA PLEB 75,000
    804409 ASMA NEBU,INJEKSI 75,000
    746274 ASMA O2,NEBU,INJEKSI 75,000 32,000
    646248 FEBRIS RESEP 75,000
    804331 VERTIGO INF,PLEB,EKG,INJEKSI 75,000
    804391 GEA INF,PLEB,EKG 75,000
    467350 FEBRIS PLEB 75,000
    459973 DISPEPSYA INJEKSI 75,000
    804464 VL INJEKSI 75,000
    632302 ASMA NEBU,O2 75,000 32,000
    804492 OEDIEM ANTHEBRAHII PLEBO,EKG 75,000
    757198 V.ICTHUM CROSS INSISIS,INJEKSI 75,000
    792908 BROCHITIS NEBU 75,000
    804479 BSK PLEB,SUPP 75,000
    671789 ISPA RESEP 75,000
    677022 HT EKG 75,000
    694479 TROUMA CAPITALIS RESEP 75,000 -
    804505 GEA INF,PLEB,INJEKSI 75,000
    804555 INPARTU PLEB 75,000
    804504 GEA INF,PLEB,INJEKSI 75,000
    347988 VOMITING PLEB,INJEKSI 75,000
    553445 INFARTU INF,PLEB,INJEKSI 75,000
    702238 CORPUS ALIENIUM WTH III,INJEKSI 75,000
    392616 ASMA INF,PLEB,NEBU,INJEKSI,O2 75,000 32,000
    804445 INFARTU VT,DOPPLER 75,000
    804477 VL INJEKSI 75,000
    804493 LBP PLEB,EKG,INJEKSI 75,000
    462529 GEA INJEKSI 75,000
    793845 CKD INF,PLEB,EKG,INJEKSI 75,000
    804463 COMMON COLD PLEB 75,000
    804444 SNH INF,DC,INEKSI 75,000 -
    804562 GEA INJEKSI 75,000
    428706 RETENSIO URINE SUPP 75,000
    804641 ISPA PLEB 75,000
    804623 INPARTU PLEB 75,000
    565876 AMOREXIA EKG,O2,PLEB 75,000 32,000
    804627 INPARTU VT,DOPPLER 75,000
    804587 THYPOID PLEB 75,000
    784686 ASMA NEBU,INJEKSI 75,000 32,000
    510532 ASMA NEBU 75,000
    804588 DISPEPSYA EKG,INJEKSI 75,000
    792908 ASMA O2,NEBU,INJEKSI 75,000 32,000
    804610 SOFT TISSUE RESEP 75,000
    804647 DISPEPSYA EKG,INJEKSI 75,000
    769604 DOG BITE WT,INJEKSI 75,000
    773624 CKD OKSIGEN,INJEKSI 75,000 32,000
    774614 CARRIES DENTIES PLEB 75,000
    410668 ASMA O2,NEBU,INJEKSI 75,000 32,000
    706022 SUSP APP PLEB,INJEKSI 75,000
    662143 RETENSIO URINE PLEB,DC 75,000
    785234 GEA RESEP 75,000
    703930 ASMA NEBU,INJEKSI 75,000
    804645 ISK INF,PLEB,INJEKSI 75,000
    793845 CKD INF,PLEB,EKG,O2,INJEKSI 75,000 32,000
    804593 DISPEPSYA INJEKSI 75,000
    804625 GEA RESEP 75,000
    804620 FEBRIS PLEB 75,000
    804624 UTERUS GO PLEB,INJEKSI 75,000
    804788 FARINGITIS RESEP 75,000
    804727 DISPEPSYA PLEB,EKG,INJEKSI 75,000
    797059 HEMAPTOE INJEKSI 75,000
    804778 HEG PLEB,INJEKSI 75,000
    804651 INPARTU VT,DOPPLER 75,000 -
    393961 HT PLEBO,EKG 75,000
    476007 ISPA RESEP 75,000
    804754 ISK PLEB,INJEKSI 75,000
    763020 GASTRITIS INJEKSI 75,000
    706022 GEA INJEKSI 75,000 -
    800401 INPARTU PLEB,VT,DOPPLER 75,000
    804786 DISPEPSYA INF,PLEB,INJEKSI 75,000
    804391 GEA INF,PLEB 75,000
    804789 BSK PLEB 75,000 -
    683453 FEBRIS SUPP 75,000
    795259 RETENSIO URINE PLEB,DC,EKG 75,000
    804687 GEA PLEB,INJEKSI 75,000
    804747 ASPEKSIA BERAT PLEB,GDS,INJEKSI,O2 75,000 32,000
    804703 GEA PLEB,EKG,INJEKSI 75,000
    804825 FEBRIS PLEBO,EKG 75,000
    804055 VL WTH II,INJEKSI 75,000
    772325 GEA INF,PLEB 75,000
    804864 COMMON COLD RESEP 75,000
    754735 MENOMETROLARGI PLEB 75,000
    804004 GEA INF,PLEB,EKG 75,000
    425007 ASMA O2,NEBU,INJEKSI 75,000 32,000
    420661 DISPEPSYA EKG,INJEKSI 75,000
    804227 FEBRIS PLEBO,EKG 75,000
    767234 GASTRITIS EKG,INJEKSI 75,000 32,000
    255614 FARINGITIS RESEP 75,000
    804816 DISPEPSYA INJEKSI 75,000
    804801 FEBRIS INJEKSI 75,000
    802856 FEBRIS PLEB 75,000 -
    765129 VOMITING INJEKSI 75,000
    804872 URTIKARIA INJEKSI 75,000
    804869 GASTRITIS PLEB,INJEKSI 75,000
    585410 DERMATITIS ALERGI RESEP 75,000
    804859 PHEUMONIA PLEBO,EKG 75,000
    741399 AB COMPLETE PLEB,INJEKSI 75,000
    804887 DISPEPSYA INJEKSI 75,000 -
    804882 INPARTU VT,DOPPLER 75,000
    804800 RETENSIO URINE PASANG CHATETER 75,000
    610668 PUD RESEP 75,000
    804846 BSK EKG,SUPP,PLEB 75,000
    804845 FEBRIS PLEB 75,000
    804840 FEBRIS PLEB 75,000
    799754 SINCOPE PLEB 75,000
    632511 ASMA O2,NEBU,INJEKSI 75,000 32,000
    804806 CKR RESEP 75,000
    804754 CHF INF,O2,PLEB,EKG 75,000 32,000
    747219 AS NEBU,INJEKSI 75,000
    805004 CEPALGIA INJEKSI 75,000
    805049 GEA INF,PLEB,INJEKSI 75,000
    805034 GEA RESEP 75,000
    804916 MIOMA UTERI INJEKSI 75,000
    745347 GOUT ARTHITIS PLEB,EKG,INJEKSI 75,000
    583431 DISPEPSYA INJEKSI 75,000
    710511 CKD INF,PLEB,O2,EKG,INJEKSI 75,000 32,000
    749725 URTIKARIA INJEKSI 75,000
    589412 GEA PLEB,EKG,INJEKSI 75,000
    804903 INPARTU VT,DOPPLER 75,000
    804993 FEBRIS PLEB 75,000
    620497 ASMA NEBU 75,000
    710072 DISPEPSYA EKG 75,000
    805041 DISPEPSYA RESEP 75,000
    559566 DISPEPSYA PLEB,EKG,INJEKSI 75,000
    802856 MORBILLI INF,PLEB 75,000
    805042 HEMOROID RT 75,000
    544662 HEMOROID RESEP 75,000
    625442 OSTEOPOROSIS INF,PLEB,EKG,INJEKSI 75,000 DR.FURQON/DAVID
    761330 ASMA EKG,NEBU,PLEB,INJEKSI 75,000
    803058 KEJANG DEMAM PLEB 75,000
    804900 URTIKARIA RESEP 75,000
    805016 GEA RESEP 75,000
    798424 FEBRIS PLEB 75,000
    805020 FEBRIS PLEB 75,000
    627218 FEBRIS PLEB,INJEKSI 75,000
    701171 ISPA NEBU 75,000
    805054 ISPA PLEB 75,000
    767787 DISPEPSYA PLEB,INJEKSI 75,000 32,000
    780114 ISPA PLEB,SUPP 75,000
    807205 FEBRIS PLEB 75,000
    805079 INPARTU VT,DOPPLER 75,000
    807217 DISPEPSYA PLEB,INJEKSI 75,000
    301086 GERD INF,PLEB,EKG,INJEKSI 75,000 32,000
    748340 VERTIGO RESEP 75,000
    707762 PJB EKG,O2 75,000 32,000
    340242 GEA INJEKSI 75,000
    645386 VOMITING INJEKSI 75,000
    807170 INPARTU VT,DOPPLER 75,000
    754114 DISPEPSYA PLEB,EKG,INJEKSI 75,000
    805086 GEA INF,PLEB,EKG,INJEKSI 75,000
    751172 GASTRITIS EKG,INJEKSI 75,000
    807224 DISPEPSYA INJEKSI 75,000
    797960 DISPEPSYA EKG,O2,INJEKSI 75,000 32,000
    789652 GEA INJEKSI 75,000
    429383 ANOREXIA INF,PLEB,EKG,DC,GDS CITO,O2 75,000
    807159 ASMA INF,LEB,NEBU,INJEKSI,O2 75,000 32,000
    807157 DISMINORE PLEB,EKG,INJEKSI 75,000
    807161 ABSES SUB MANDIBULA PLEB 75,000
    645385 GEA RESEP 75,000
    353220 GEA RESEP 75,000
    646149 KONSTIPASI PLEB 75,000
    807282 GEA INJEKSI 75,000
    695354 V.MORSUM WTH II,INJEKSI 75,000
    395857 FEBRIS PLEB 75,000
    746274 ASMA NEBU,EKG,O2,INJEKSI 75,000 32,000
    762041 ASMA O2,NEBU,INJEKSI 75,000 32,000
    647623 INPARTU VT,DOPPLER 75,000
    807264 FEBRIS PLEB 75,000
    804845 RETENSIO URINE DC 75,000
    807258 VOMITING INF,PLEB,INJEKSI 75,000
    807265 FEBRIS PLEB 75,000
    807324 DISPEPSYA INJEKSI 75,000
    807237 DISPEPSYA PLEB,EKG,INJEKSI 75,000
    807252 FEBRIS PLEB 75,000
    807254 DYSMENOREA INF,PLEB,EKG,INJEKSI 75,000
    807276 BSK PLEB 75,000
    807233 GEA PLEB,INJEKSI 75,000
    807271 MENOMETROLARGI PLEB,INJEKSI 75,000
    807262 DISPEPSYA INJEKSI 75,000
    807268 DISPEPSYA INJEKSI 75,000
    772670 INPARTU VT,DOPPLER 75,000
    403411 DISPEPSYA INJEKSI 75,000
    807358 ULKUS PEDIS INJEKSI 75,000
    646149 DISPEPSYA INJEKSI 75,000
    805604 VERTIGO RESEP 75,000
    788417 FEBRIS RESEP 75,000
    607353 BROCHITIS NEBU,O2 75,000 32,000
    773624 CKD INJEKSI 75,000
    464611 GEA INF,PLEB 75,000
    807338 FEBRIS RESEP 75,000
    807335 GOUT ARTHITIS INJEKSI 75,000
    649877 V.ICTHUM CROSS INSISIS,INJEKSI 75,000
    807369 V.ICTHUM CROSS INSISIS,INJEKSI 75,000
    559021 CEPALGIA INJEKSI 75,000
    792663 INPARTU VT,DOPPLER 75,000
    807416 FEBRIS PLEB 75,000
    807404 GEA INF,PLEB 75,000
    807384 GEA INF,PLEB 75,000
    807374 CKR WT,INJEKSI 75,000
    740887 HEMATURIE PLEB 75,000
    643432 DISPEPSYA INJEKSI 75,000
    807386 INPARTU VT,DOPPLER 75,000
    779444 DISPEPSYA INJEKSI 75,000
    793525 DISPEPSYA PLEB,INJEKSI 75,000
    807367 FEBRIS PLEB 75,000
    744930 FEBRIS PLEB 75,000
    807264 TONSILITIS PLEB 75,000
    804993 FEBRIS PLEB 75,000
    807332 FEBRIS RESEP 75,000
    702495 DEMATITIS RESEP 75,000
    807356 VARICELLA RESEP 75,000
    699878 ASMA O2,NEBU,INJEKSI 75,000 32,000
    807420 CKR RESEP 75,000
    807360 ISPA RESEP 75,000
    807421 V.ICTHUM CROSS INSISIS,INJEKSI 75,000
    804765 V.MORSUM INJEKSI 75,000
    473451 FEBRIS PLEB,SUPP 75,000
    645242 ABSES PLANTAR MANUS WTH III,INJEKSI 75,000
    617157 GASTOPATI PLEB,INJEKSI 75,000
    801122 ISPA RESEP 75,000
    754835 ISK PLEB 75,000
    667223 ISK PLEB,INJEKSI 75,000
    779441 DISPEPSYA PLEB,INJEKSI 75,000
    807281 CF EKG 75,000
    807511 INPARTU PLEB,VT,DOPPLER 75,000
    609824 COMMON COLD RESEP 75,000
    807505 GEA RESEP 75,000
    807494 VL WTH III 75,000
    807469 FEBRIS PLEB,INJEKSI 75,000
    770292 FEBRIS PLEB 75,000
    807463 FEBRIS PLEB 75,000
    700983 FEBRIS PLEB 75,000
    42,000,000 1,728,000
    VEMBER 2014

    RINCIAN BIAYA
    JUMLAH
    Konsul dr.spesialis jasa konsul Js rumah sakit BHP Js pelaynan
    14 12 13 14 15 16
    - - 134,400 25,000 105,600 340,000
    - - 134,400 26,500 105,600 341,500
    - - 134,400 25,000 105,600 340,000
    - - 179,200 33,500 140,800 428,500
    - - 44,800 7,000 35,200 162,000
    - - 44,800 7,000 35,200 162,000
    - - 134,400 25,000 105,600 340,000
    - - - - - 75,000
    - - - - - 75,000
    - - 224,000 41,500 176,000 516,500
    - - 44,800 7,000 35,200 162,000
    - - 134,400 25,000 105,600 340,000
    - - 44,800 7,000 35,200 162,000
    - - 134,400 26,500 105,600 341,500
    - - 224,000 38,500 176,000 545,500
    - - 44,800 10,000 35,200 165,000
    - - 89,600 13,000 70,400 248,000
    - - 268,800 48,500 211,200 603,500
    - - 44,800 7,000 35,200 162,000
    - - - - - 75,000
    - - - - - 75,000
    DR.WAYAN 75,000 134,400 26,500 105,600 448,500
    - - 89,600 16,500 70,400 251,500
    - - 89,600 25,000 70,400 260,000
    - - - - - 75,000
    - - - - - 75,000
    - - 44,800 10,000 35,200 165,000
    - - 44,800 7,000 35,200 162,000
    - - 44,800 10,000 35,200 165,000
    - - - - - 75,000
    - - 44,800 10,000 32,500 162,300
    DR.FURQON 75,000 89,600 17,000 70,400 327,000
    DR.HANDY 75,000 - - - 150,000
    - - 134,400 20,000 105,600 335,000
    - - 134,400 23,500 105,600 338,500
    DR.GRACE 75,000 - - - 150,000
    - - 268,800 48,500 211,200 603,500
    - - 44,800 7,000 35,200 162,000
    - - 224,000 40,000 176,000 547,000
    - - 179,200 33,500 140,800 428,500
    - - 44,800 7,000 35,200 162,000
    - - 44,800 10,000 35,200 165,000
    - - - 75,000
    - - 44,800 10,000 35,200 165,000
    - - 44,800 7,000 35,200 162,000
    - - 44,800 7,000 35,200 162,000
    DR.RIDMAWAN 75,000 44,800 10,000 35,200 240,000
    - - 134,400 20,000 105,600 335,000
    - - 134,400 57,000 105,600 372,000
    - - 44,800 10,000 35,200 165,000
    - - 44,800 20,000 35,200 175,000
    - - 134,400 26,500 105,600 341,500
    - - - - - 75,000
    - - - - - 75,000
    - - 89,600 25,000 70,400 260,000
    - - 44,800 10,000 35,200 165,000
    - - 134,400 25,000 105,600 340,000
    - - 179,200 33,500 140,800 428,500
    - - 44,800 3,000 35,200 158,000
    - - - - - 75,000
    - - 44,800 7,000 35,200 162,000
    - - - - - 75,000
    - - - - - 75,000
    - - 448,000 3,000 35,200 561,200
    - - - - - 75,000
    - - 44,800 7,000 35,200 162,000
    - - 134,400 23,500 105,600 338,500
    - - 89,600 17,000 70,400 252,000
    - - - - - 75,000
    - - 134,400 22,000 105,600 369,000
    - - 134,400 26,500 105,600 341,500
    DR.MANGGANLINDUNG 75,000 - - - 150,000
    - - 44,800 7,000 35,200 162,000
    DR.MANGGANLINDUNG 75,000 89,600 15,000 70,400 325,000
    - - 44,800 7,000 35,200 162,000
    - - - 75,000
    - - 134,400 26,500 105,600 341,500
    - - 44,800 7,000 35,200 162,000
    - - - - - 75,000
    - - 89,600 17,000 70,400 252,000
    - - 44,800 7,000 35,200 162,000
    - - 179,000 33,500 140,800 428,300
    - - - 75,000
    - - 134,400 23,500 104,600 337,500
    - - 179,200 33,500 140,800 428,500
    - - 44,800 10,000 35,200 165,000
    DR.DADIK 75,000 89,600 37,000 70,400 347,000
    - - 44,800 7,000 35,200 162,000
    - - - - - 75,000
    DR.HANDY 75,000 44,800 10,000 35,200 240,000
    - - 44,800 7,000 35,200 162,000
    - - 224,000 36,500 176,000 511,500
    - - 89,600 27,000 70,400 262,000
    - - 89,600 17,000 70,400 252,000
    - - 44,800 7,000 35,200 162,000
    - - 89,600 17,000 70,400 252,000
    - - 89,600 15,000 70,400 250,000
    - - 89,600 13,000 70,400 248,000
    - - 44,800 10,000 35,200 165,000
    - - 44,800 20,000 35,200 175,000
    DR.DADIK 75,000 291,200 82,000 228,800 752,000
    - - 89,600 15,000 70,400 250,000
    - - 44,800 3,000 35,200 158,000
    - - 179,200 33,500 140,800 428,500
    DR.ANTHONY 75,000 - - - 150,000
    - - 224,000 41,500 176,000 516,500
    - - - - - 75,000
    - - 89,600 17,000 70,400 252,000
    - - 44,800 7,000 35,200 162,000
    - - 44,800 7,000 35,200 162,000
    DR.WAYAN 75,000 179,200 33,500 140,800 535,500
    - - 89,600 17,000 70,400 252,000
    - - 44,800 3,000 35,200 158,000
    - - 44,800 10,000 35,200 165,000
    - - 44,800 7,000 35,200 162,000
    DR.HANDY 75,000 89,600 17,000 70,400 327,000
    - - 89,600 16,500 70,400 251,500
    DR.DADIK 75,000 44,800 7,000 35,200 237,000
    - - 44,800 10,000 35,200 165,000
    - - 246,400 75,000 193,600 590,000
    - - - - - 75,000
    - - 134,400 35,000 105,600 350,000
    - - 89,600 16,500 70,400 251,500
    - - 224,000 46,500 176,000 521,500
    - - 134,400 26,500 105,600 341,500
    - - 134,400 22,000 105,600 337,000
    - - 44,800 7,000 35,200 162,000
    - - - - - 75,000
    DR.ATOB 75,000 89,600 17,000 70,400 327,000
    - - 134,400 57,000 105,600 372,000
    - - - - - 75,000
    - - 44,800 20,000 35,200 175,000
    - - 134,400 23,500 105,600 338,500
    - - - - - 75,000
    - - - - - 75,000
    - - 89,600 16,500 70,400 251,500
    - - 89,600 15,000 70,400 250,000
    - - - - - 75,000
    - - 44,800 10,000 35,200 165,000
    - - - - - 75,000
    - - 89,600 15,000 70,400 282,000
    - - - - - 75,000
    - - 44,800 3,000 35,200 158,000
    - - 268,800 48,500 211,200 635,500
    - - 44,800 10,000 35,200 165,000
    - - 134,400 22,000 105,600 369,000
    - - 44,800 10,000 35,200 165,000
    - - 44,800 10,000 35,200 165,000
    DR.ASWAD - 268,800 48,500 211,200 603,500
    - - 44,800 7,000 35,200 162,000
    179,200 33,500 140,800 428,500
    DR.SYAIFUL 75,000 134,400 57,000 105,600 447,000
    44,800 20,000 35,200 175,000
    - - 134,400 57,000 105,600 372,000
    - - - 75,000
    - - 89,600 17,000 70,400 252,000
    - - - 75,000
    - - 44,800 7,000 35,200 162,000
    89,600 25,000 70,400 260,000
    - - - - - 75,000
    DR.WAYAN 75,000 179,200 33,500 140,800 503,500
    - - 44,800 7,000 35,200 162,000
    268,800 48,500 211,200 603,500
    - - 44,800 10,000 35,200 165,000
    179,200 33,500 140,800 428,500
    - - 179,200 31,500 140,800 458,500
    - - 89,600 17,000 70,400 252,000
    - - 89,600 13,000 70,400 248,000
    - - 179,200 33,500 140,800 428,500
    - - 179,200 33,500 140,800 428,500
    - - 89,600 17,000 70,400 252,000
    - - 44,800 10,000 35,200 165,000
    - - 44,800 7,000 35,200 162,000
    - - 89,600 15,000 70,400 282,000
    - - 179,200 32,000 140,800 427,000
    - - 44,800 7,000 35,200 162,000
    - - 44,800 3,000 35,200 158,000
    - - - - - 75,000
    - - 44,800 7,000 35,200 162,000
    - - 134,400 22,000 105,600 369,000
    - - 134,400 23,500 105,600 338,500
    - - 179,200 32,000 140,800 427,000
    - - 89,600 17,000 70,400 252,000
    - - - - - 75,000
    - - 44,800 7,000 35,200 162,000
    - - 134,400 25,000 105,600 340,000
    - - 134,400 26,500 105,600 341,500
    - - 44,800 10,000 35,200 165,000
    - - 179,200 32,000 140,800 427,000
    - - 44,800 10,000 35,200 165,000
    - - - - - 75,000
    DR.DADIK 75,000 89,600 37,000 70,400 347,000
    - - 134,400 22,000 105,600 337,000
    - - 44,800 7,000 35,200 162,000
    - - 44,800 7,000 35,200 162,000
    - - 44,800 10,000 35,200 165,000
    - - 44,800 10,000 35,200 165,000
    - - 77,800 3,000 35,200 191,000
    - - 89,600 25,000 70,400 260,000
    - - - - - 75,000
    DR.FRITZ 75,000 89,600 17,000 70,400 327,000
    - - 44,800 10,000 35,200 165,000
    DR.FRITZ 75,000 134,400 57,000 105,600 447,000
    - - 44,800 7,000 35,200 162,000
    DR.ANITA 75,000 89,600 17,000 70,400 327,000
    - - 179,200 32,000 140,800 459,000
    - - - - - 75,000
    - - - - - 75,000
    - - - - - 75,000
    - - 179,200 33,500 140,800 428,500
    - - 44,800 10,000 35,200 165,000
    - - 89,600 17,000 70,400 252,000
    - - 44,800 10,000 35,200 165,000
    - - 134,400 23,500 105,600 338,500
    - - 44,800 20,000 35,200 175,000
    - - - - - 75,000
    - - 89,600 15,000 70,400 282,000
    - - 44,800 10,000 35,200 165,000
    - - 44,800 20,000 35,200 175,000
    - - 44,800 20,000 35,200 175,000
    DR.YASER 75,000 44,800 7,000 35,200 237,000
    - - 44,800 10,000 35,200 165,000
    - - 44,800 7,000 35,200 162,000
    - - 89,600 17,000 70,400 252,000
    - - - - - 75,000
    - - 44,800 7,000 35,200 162,000
    - - - - - 75,000
    - - 44,800 7,000 35,200 162,000
    - - - - - 75,000
    - - 44,800 10,000 35,200 165,000
    - - - 75,000
    - - 44,800 7,000 35,200 162,000
    DR.RIDMAWAN 75,000 134,400 25,000 105,600 447,000
    - - 89,600 25,000 70,400 260,000
    - - 44,800 7,000 35,200 162,000
    - - 44,800 10,000 35,200 165,000
    - - 89,600 20,000 70,400 255,000
    - - 44,800 10,000 35,200 165,000
    - - 44,800 7,000 35,200 162,000
    - - 44,800 10,000 35,200 165,000
    - - 44,800 10,000 35,200 165,000
    - - 89,600 15,000 70,400 282,000
    - - 134,400 25,000 105,600 340,000
    - - 44,800 3,000 35,200 158,000
    - - 179,200 33,500 140,800 460,500
    - - 179,200 32,000 140,800 427,000
    DR.ENY P/WAYAN 150,000 134,400 26,500 105,600 523,500
    - - 134,400 25,000 105,600 340,000
    - - - - - 75,000
    - - 89,600 17,000 70,400 252,000
    - - 134,400 26,500 105,600 373,500
    - - 134,400 25,000 105,600 340,000
    - - 224,000 41,500 176,000 548,500
    - - 268,800 44,500 211,200 599,500
    - - - - - 75,000
    - - 134,400 22,000 105,600 337,000
    - - - 75,000
    - - 134,400 22,000 105,600 369,000
    DR.SATRIA/WILLIAN 150,000 134,400 25,000 105,600 522,000
    - - 179,200 33,500 140,800 428,500
    - - 89,600 17,000 70,400 252,000
    - - 89,600 25,000 70,400 260,000
    - - 44,800 10,000 35,200 165,000
    - - - - - 75,000
    - - 89,600 25,000 70,400 260,000
    - - 134,400 26,500 105,600 341,500
    - - 89,600 25,000 70,400 260,000
    - - 44,800 7,000 35,200 162,000
    - - 44,800 3,000 35,200 158,000
    - - 134,400 22,000 105,600 369,000
    - - 134,400 23,500 105,600 338,500
    - - 89,600 50,000 70,400 285,000
    - - 268,800 48,500 211,200 603,500
    - - 44,800 10,000 35,200 165,000
    - - 179,200 32,000 140,800 427,000
    - - 89,600 17,000 70,400 252,000
    - - - 75,000
    - - 44,800 7,000 35,200 162,000
    DR.BOYKE 75,000 134,400 30,000 105,600 420,000
    - - 268,800 47,000 211,200 634,000
    - - 134,400 23,500 105,600 338,500
    DR.FRITZ 75,000 89,600 27,000 70,400 337,000
    - - 179,200 33,500 140,800 428,500
    - - 89,600 27,000 70,400 262,000
    - - 89,600 15,000 70,400 250,000
    - - - - - 75,000
    DR.DJOEN 15,000 134,400 26,500 105,600 388,500
    - - 268,600 48,500 211,200 603,300
    - - 89,600 15,000 70,400 250,000
    DR.GRECE 75,000 44,800 20,000 35,200 250,000
    - - 44,800 7,000 35,200 162,000
    - - 44,800 7,000 35,200 162,000
    - - 44,800 10,000 35,200 165,000
    - - 44,800 7,000 35,200 162,000
    DR.FRITZ 75,000 44,800 10,000 35,200 240,000
    DR.GREG 75,000 89,600 20,000 70,400 330,000
    - - 134,400 22,000 105,600 369,000
    - - 89,600 15,000 70,400 282,000
    DR.GRACE 75,000 44,800 7,000 35,200 237,000
    DR.GRACE 75,000 - - - 150,000
    - - - - - 75,000
    DR.FRITZ 75,000 134,400 57,000 105,600 447,000
    - - 179,200 32,000 140,800 427,000
    - - - - - 75,000
    - - - - - 75,000
    - - 268,800 48,500 211,200 603,500
    - - 44,800 7,000 35,200 162,000
    - - 44,800 7,000 35,200 162,000
    - 89,600 17,000 70,400 252,000
    DR.ATOB 75,000 134,400 26,500 105,600 416,500
    - 75,000 89,600 27,000 70,400 337,000
    - - 89,600 37,000 70,400 272,000
    - - 268,800 48,500 211,200 603,500
    - - 44,800 7,000 35,200 162,000
    - - - - - 75,000
    - - 44,800 10,000 35,200 165,000
    - - 89,600 17,000 70,400 252,000
    - - 44,800 7,000 35,200 162,000
    - - 89,600 17,000 70,400 252,000
    - - - - - 75,000
    - - 44,800 10,000 35,200 165,000
    - - 134,400 26,500 105,600 341,500
    - - 89,600 17,000 70,400 252,000
    - - 44,800 3,000 35,200 158,000
    - - 134,400 25,000 105,600 340,000
    - - 89,600 47,000 70,400 282,000
    - - 89,600 20,000 70,400 255,000
    - - 224,000 41,500 176,000 516,500
    - - - - - 75,000
    - - 75,000
    - - 134,400 19,500 105,600 334,500
    - - - - 75,000
    - - 89,600 17,000 70,400 252,000
    - - 44,800 10,000 35,200 165,000
    - - 44,800 7,000 35,200 162,000
    - - - - - 75,000
    - - - - - 75,000
    - - - - - 75,000
    - - 89,600 17,000 70,400 252,000
    - - 134,400 25,000 105,600 340,000
    DR.DJOEN 75,000 134,400 26,500 105,600 416,500
    - - 134,400 47,000 105,600 362,000
    - - 134,400 23,500 105,600 338,500
    - - - - - 75,000
    - - 44,800 7,000 35,200 162,000
    - - 44,800 10,000 35,200 165,000
    - - 134,400 23,500 105,600 338,500
    - - 179,200 32,000 140,800 427,000
    - - 75,000
    - - 44,800 7,000 35,200 162,000
    - - 268,800 48,500 211,200 603,500
    - - 268,800 48,500 211,200 635,500
    DR.PRIMA 75,000 134,400 35,000 105,600 425,000
    - - 75,000
    - - 44,800 7,000 35,200 162,000
    - - 89,600 17,000 70,400 252,000
    - - 179,200 33,500 140,600 428,300
    - - 44,800 10,000 35,200 165,000
    - - - - - 75,000
    - - - - - 75,000
    - - 134,400 57,000 105,600 372,000
    - - 134,400 26,500 105,600 341,500
    - - 89,600 17,000 70,400 252,000
    - - 89,600 17,000 70,400 252,000
    - - 44,800 7,000 35,200 162,000
    - - 44,800 7,000 35,200 162,000
    - - 44,800 10,000 35,200 165,000
    - - 44,800 3,000 35,200 158,000
    - - - - - 75,000
    DR.CARTA 75,000 89,800 17,000 70,400 359,200
    - - 89,600 27,000 70,400 262,000
    - - 268,800 48,500 211,200 603,500
    - - 44,800 10,000 35,200 165,000
    - - - - - 75,000
    - - 44,800 10,000 35,200 165,000
    - - 89,600 27,000 70,400 262,000
    - - 134,400 22,000 105,600 369,000
    - - 134,400 35,000 105,600 350,000
    - - 44,800 10,000 35,200 165,000
    - - 44,800 7,000 35,200 162,000
    - - - - - 75,000
    - - 89,600 17,000 70,400 252,000
    - - 89,600 15,000 70,400 250,000
    - - 89,600 17,000 70,400 252,000
    - - - - - 75,000
    - - 44,800 10,000 35,200 165,000
    - - 44,800 7,000 35,200 162,000
    - - 44,800 7,000 35,200 162,000
    - - 44,800 7,000 35,200 162,000
    - - 268,800 48,500 211,200 603,500
    - - 44,800 10,000 35,200 165,000
    - - 89,600 17,000 70,400 252,000
    - - 44,800 10,000 35,200 165,000
    - - 134,400 22,000 105,600 369,000
    - - - - - 75,000
    - - 89,600 37,000 70,400 272,000
    - - 89,600 20,000 70,400 255,000
    - - 134,400 26,500 105,600 341,500
    - - 134,400 25,000 105,600 340,000
    - - 44,800 30,000 35,200 185,000
    - - 89,600 15,000 70,400 282,000
    - - 44,800 7,000 35,200 194,000
    - - 44,800 7,000 35,200 162,000
    - - 89,600 17,000 70,400 252,000
    - - 134,400 22,000 105,600 369,000
    - - 89,600 16,500 70,400 251,500
    - - - - - 75,000
    - - 89,600 17,000 70,400 252,000
    - - 134,400 57,000 105,600 372,000
    - - 44,800 7,000 35,200 162,000
    - - - - - 75,000
    - - - - - 75,000
    - - 224,000 41,500 176,000 516,500
    DR.MARIHOT 75,000 89,600 48,500 70,400 390,500
    - - 89,600 25,000 70,400 260,000
    - - 134,400 23,500 105,600 338,500
    - - 44,800 7,000 35,200 162,000
    - - 134,400 23,500 105,600 338,500
    - - 44,800 10,000 35,200 165,000
    - - 179,200 32,000 140,800 459,000
    - - 44,800 10,000 35,200 165,000
    DR.ATOB 75,000 44,800 10,000 35,200 240,000
    - - - - - 75,000
    - - 134,400 22,000 105,600 369,000
    - - 44,800 10,000 35,200 165,000
    - - 134,400 23,500 105,600 338,500
    - - 44,800 7,000 35,200 162,000
    - - - - - 75,000
    - - 134,400 23,500 105,600 338,500
    DR.LUTFI 75,000 179,200 32,000 140,800 502,000
    - - 89,600 25,000 70,400 260,000
    - - 134,400 47,000 105,600 362,000
    - - - - - 75,000
    - - 44,800 10,000 35,200 165,000
    - - 89,600 17,000 70,400 252,000
    - - 89,600 20,000 70,400 255,000
    - - 134,400 23,500 105,600 338,500
    - - 89,600 25,000 70,400 260,000
    - - 44,800 10,000 35,200 165,000
    - - 44,800 10,000 35,200 165,000
    - - 44,800 10,000 35,200 165,000
    - - 134,400 26,500 105,600 341,500
    - - 134,400 23,500 105,600 338,500
    - - 89,600 15,000 70,400 250,000
    - - 179,200 32,000 140,800 427,000
    - - 44,800 10,000 35,200 165,000
    - - 44,800 10,000 35,200 165,000
    - - 44,800 7,000 35,200 162,000
    DR.GRACE 75,000 134,400 25,000 105,600 415,000
    - - 44,800 7,000 35,200 162,000
    - - 179,200 33,500 140,800 428,500
    DR.ELVIS 75,000 89,600 27,000 70,400 337,000
    DR.GRACE 75,000 - - - 150,000
    DR.ELVIS 75,000 89,600 37,000 70,400 347,000
    - - 44,800 7,000 35,200 162,000
    - - - - - 75,000
    - - 268,800 48,500 211,500 603,800
    - - 44,800 10,000 35,200 165,000
    - - 44,800 10,000 35,200 165,000
    - - 134,400 22,000 105,600 337,000
    - - 179,200 32,000 140,800 427,000
    - - 89,600 25,000 70,400 260,000
    - - 134,400 25,000 105,600 340,000
    - - - - - 75,000
    - - 134,400 26,500 105,600 341,500
    - - 89,600 17,000 70,400 252,000
    - - 268,800 48,500 211,200 603,500
    - - - - - 75,000
    - - - - - 75,000
    DR.DONNY 75,000 44,800 7,000 35,200 237,000
    - - 89,600 37,000 70,400 272,000
    - - - - - 75,000
    - - - - - 75,000
    - - - - - 75,000
    - - - - - 75,000
    - - 44,800 10,000 35,200 165,000
    - - 44,800 30,000 35,200 185,000
    - - 89,800 25,000 70,400 260,200
    - - 268,800 48,500 211,200 603,500
    - - 134,400 30,000 105,600 345,000
    - - 89,600 25,000 70,400 260,000
    - - 179,200 32,000 140,800 427,000
    DR.NIRA 75,000 358,400 76,500 281,600 898,500
    - - - - - 107,000
    - - 89,600 17,000 70,400 252,000
    DR.ATOB 75,000 134,400 25,000 105,600 415,000
    - - 44,800 10,000 35,200 165,000
    - - - - - 75,000
    - - 134,400 23,500 105,600 338,500
    - - - - - 75,000
    - - 44,800 10,000 35,200 165,000
    - - 134,400 22,000 105,600 337,000
    - - 134,400 22,000 105,600 369,000
    - - - - - 75,000
    - - 268,800 48,500 211,200 603,500
    - - 179,200 33,500 140,800 428,500
    - - 44,800 10,000 35,200 165,000
    - - 44,800 7,000 35,200 162,000
    - - 44,800 7,000 35,200 162,000
    - - 89,600 15,000 70,400 282,000
    - - 134,400 26,500 105,600 341,500
    - - 134,400 47,000 105,600 362,000
    - - 89,600 15,000 70,400 250,000
    - - 89,600 13,000 70,400 248,000
    - - - - - 75,000
    - - 89,600 16,500 70,400 251,500
    - - - - - 75,000
    - - 179,200 32,000 140,800 427,000
    - - 44,800 10,000 35,200 165,000
    - - 179,200 32,000 140,800 427,000
    - - 89,600 17,000 70,400 252,000
    - - 179,200 32,000 140,800 427,000
    - - 134,400 57,000 105,600 372,000
    - - 268,800 47,000 211,200 634,000
    - - 89,600 25,000 70,400 260,000
    - - 44,800 7,000 35,200 162,000
    - - 179,200 33,500 140,800 428,500
    - - 44,800 7,000 35,200 162,000
    - - 268,800 48,500 211,200 603,500
    - - 44,800 10,000 35,200 165,000
    DR.SUSILO/NIRA 75,000 224,000 42,000 212,000 628,000
    - - 44,800 7,000 35,200 162,000
    - - 44,800 3,000 35,200 158,000
    - - 44,800 10,000 35,200 165,000
    - - 44,800 10,000 35,200 165,000
    - - 134,400 26,500 105,600 373,500
    - - 89,600 25,000 70,400 260,000
    - - 44,800 10,000 35,200 165,000
    - - 134,400 22,000 105,600 369,000
    - - 89,600 15,000 70,400 250,000
    - - 134,400 23,500 105,600 338,500
    - - 134,400 22,000 105,600 369,000
    DR.DAVID 75,000 - - - 150,000
    - - 134,400 23,500 105,600 338,500
    - - 89,600 27,000 70,400 262,000
    - - 44,800 7,000 35,200 194,000
    - - 44,800 10,000 35,200 165,000
    - - 134,400 22,000 105,600 369,000
    - - 89,600 17,000 70,400 252,000
    - - 179,200 37,000 140,800 432,000
    - - - - - 75,000
    - - 134,400 22,000 105,600 337,000
    - - 179,200 32,000 140,800 427,000
    DR.KUNCJORO 75,000 224,000 73,500 176,000 655,500
    - - 44,800 7,000 35,200 162,000
    - - - - - 75,000
    - - 44,800 10,000 35,200 165,000
    - - 89,600 17,000 70,400 252,000
    - - - - - 75,000
    - - 179,200 33,500 140,800 428,500
    - - 44,800 7,000 35,200 162,000
    - - 89,600 17,000 70,400 252,000
    - - 89,600 17,000 70,400 252,000
    - - 134,400 26,500 105,600 341,500
    - - - - - 75,000
    - - 89,600 17,000 70,400 252,000
    - - 44,800 7,000 35,200 162,000
    - - 44,800 7,000 35,200 162,000
    DR.PRIMA 75,000 134,400 35,000 105,600 425,000
    - - 179,200 32,000 140,800 427,000
    - - 134,400 25,000 105,600 340,000
    - - 44,800 10,000 35,200 165,000
    - - 44,800 3,000 35,200 158,000
    DR.BOYKE 75,000 224,000 48,500 176,000 598,500
    - - 89,600 17,000 70,400 252,000
    DR.WILLIAN 75,000 224,000 52,000 176,000 634,000
    - - 179,200 33,500 140,800 428,500
    - - 134,400 26,500 105,600 341,500
    - - 89,600 37,000 70,400 272,000
    - - 134,400 25,000 105,600 340,000
    - - - - - 75,000
    - - 44,800 10,000 35,200 165,000
    - - 179,200 33,500 140,800 428,500
    - - 134,400 22,000 105,600 369,000
    - - 134,400 23,500 105,800 338,700
    - - 134,400 26,500 105,600 341,500
    - - 134,400 23,500 105,600 370,500
    - - - - - 75,000
    - - 44,800 7,000 35,200 162,000
    - - 44,800 7,000 35,200 162,000
    - - 44,800 10,000 35,200 165,000
    - - 44,800 7,000 35,200 162,000
    - - 44,800 7,000 35,200 162,000
    - 89,600 17,000 70,400 252,000
    - - - - 75,000
    - 134,400 26,500 105,600 341,500
    - 89,600 17,000 70,400 252,000
    DR.KUNCJORO 75,000 44,800 7,000 35,200 237,000
    - 89,600 25,000 70,400 260,000
    - - 89,600 20,000 70,400 255,000
    - - - - 75,000
    - 179,200 29,500 140,800 424,500
    - 44,800 10,000 35,200 165,000
    - 44,800 10,000 35,200 165,000
    - 44,800 10,000 35,200 165,000
    - 179,200 32,000 104,800 423,000
    - - - - 75,000
    DR.FURQON 75,000 224,000 41,500 176,000 623,500
    - 134,400 22,000 105,600 337,000
    - 44,800 7,000 35,200 162,000
    - 179,200 32,000 140,800 427,000
    - - - - 75,000
    - - 44,800 7,000 35,200 162,000
    - 179,200 33,500 140,800 428,500
    - 44,800 7,000 35,200 162,000
    DR.ASTRID 75,000 179,200 41,500 140,800 543,500
    - 44,800 7,000 35,200 162,000
    - 179,200 33,500 140,800 428,500
    - 89,600 25,000 70,400 260,000
    - 44,800 10,000 35,200 165,000
    - 89,600 15,000 70,400 250,000
    - 89,600 16,500 70,400 251,500
    - - - - 75,000
    DR.FRIZT 75,000 179,200 33,500 140,800 503,500
    - - 134,400 25,000 105,600 340,000
    DR.FRIZT 75,000 - - - 150,000
    DR.FRIZT 75,000 - - - 150,000
    DR.FURQON/DAVID 150,000 268,800 48,500 211,200 753,500
    - - 268,800 48,500 211,200 603,500
    - - 44,800 10,000 35,200 165,000
    - - - - - 75,000
    - - - - - 75,000
    - - 44,800 10,000 35,200 165,000
    - - 44,800 10,000 35,200 165,000
    - - 89,600 17,000 70,400 252,000
    - - 89,600 15,000 70,400 250,000
    - - 44,800 10,000 35,200 165,000
    - - 89,600 17,000 70,400 284,000
    - - 89,600 13,000 70,400 248,000
    - - 44,800 10,000 35,200 165,000
    - - 89,600 25,000 70,400 260,000
    - - 89,600 17,000 70,400 252,000
    - - 179,200 33,500 140,800 460,500
    - - - - - 75,000
    - - 89,600 16,500 70,400 283,500
    - - 44,800 7,000 35,200 162,000
    - - 44,800 7,000 35,200 162,000
    - - 89,600 25,000 70,400 260,000
    - - 179,200 33,500 140,800 428,500
    - - 268,800 48,500 211,200 603,500
    - - 134,400 23,500 105,600 338,500
    - - 44,800 7,000 35,200 162,000
    - - 134,400 23,500 105,600 370,500
    - - 44,800 7,000 35,200 162,000
    - - 224,000 48,500 176,000 523,500
    - 268,800 48,500 211,200 635,500
    - - 179,200 33,500 140,600 428,300
    - - 44,800 10,000 35,200 165,000
    - - - - - 75,000
    - - - - - 75,000
    DR.ELVIS 75,000 44,800 10,000 35,200 240,000
    - - 44,800 7,000 35,200 162,000
    - - 44,800 7,000 35,200 162,000
    - - 44,800 10,000 35,200 165,000
    - - 224,000 38,500 176,000 545,500
    - - 134,400 22,000 105,600 369,000
    - - 89,600 25,000 70,400 260,000
    - - 44,800 10,000 35,200 165,000
    - - 89,600 20,000 70,400 255,000
    - - 179,200 32,000 140,800 427,000
    - - 44,800 10,000 35,200 165,000
    - - 44,800 7,000 35,200 162,000
    - - 179,200 33,500 140,800 428,500
    - - 44,800 10,000 35,200 165,000
    - - 268,800 48,500 211,200 603,500
    - - 44,800 10,000 35,200 165,000
    - - 89,600 17,000 70,400 252,000
    - - 89,600 17,000 70,400 252,000
    - - 44,800 7,000 35,200 162,000
    - - 44,800 7,000 35,200 162,000
    - - 89,600 25,000 70,400 260,000
    - - 44,800 7,000 35,200 162,000
    DR.ELVIS 75,000 44,800 7,000 35,200 237,000
    - - 44,800 7,000 35,200 162,000
    - - - - - 75,000
    - - - - - 75,000
    - - 89,600 15,000 70,400 282,000
    - - 44,800 7,000 35,200 162,000
    - - 134,400 25,000 105,600 340,000
    - - - - - 75,000
    - - 44,800 7,000 35,200 162,000
    - - 89,600 27,000 70,400 262,000
    DR.ELVIS 75,000 89,600 27,000 70,400 337,000
    - - 44,800 7,000 35,200 162,000
    - - 89,600 25,000 70,400 260,000
    - - 44,800 7,000 35,200 162,000
    - - 134,400 25,000 105,600 340,000
    - - 134,400 25,000 105,600 340,000
    DR.GRACE 75,000 89,600 27,000 70,400 337,000
    DR.BOYKE 75,000 44,800 10,000 35,200 240,000
    - - 44,800 10,000 35,200 165,000
    - - 89,600 25,000 70,400 260,000
    - - 44,800 7,000 35,200 162,000
    - - 89,600 17,000 70,400 252,000
    - - 44,800 10,000 35,200 165,000
    - - 44,800 10,000 35,200 165,000
    - - 44,800 10,000 35,200 165,000
    - - 44,800 10,000 35,200 165,000
    - - - - - 75,000
    - - - - - 75,000
    - - - - - 75,000
    - - 134,400 22,000 105,600 369,000
    - - - - - 75,000
    - - - - - 75,000
    - - 89,600 27,000 70,400 262,000
    - - 44,800 7,000 35,200 162,000
    - - 89,600 13,000 70,400 248,000
    DR.SAIPUL - 179,200 77,000 140,800 472,000
    - - 89,600 17,000 70,400 252,000
    - - - - - 75,000
    - - 44,800 10,000 35,200 165,000
    - - 89,600 17,000 70,400 252,000
    - - 89,600 17,000 70,400 252,000
    - - 89,600 16,500 70,400 251,500
    - - 134,400 35,000 105,600 350,000
    - - - - - 75,000
    - - - - - 75,000
    - - 89,600 50,000 70,400 285,000
    - - 89,600 17,000 70,400 252,000
    - - 44,800 10,000 35,200 165,000
    - - 44,800 10,000 35,200 165,000
    - - - - - 75,000
    - 3,915,000 47,879,600 9,770,500 37,593,700 142,886,800
    TAGIHAN PASIEN JAMKESDA DI IGD

    Tanggal No KIB/
    No Nama Pasien Umur L/P Alamat
    Kunjungan No. REG
    1 2 3 4 5 6 7
    1 1/12/2014 WAHDA ROSA 21 Th P MANGKUPALAS RT 013 807552
    2 LILI SETYOWATI 44 Th P L.MANGKURAT RT 019 728645
    3 M.CHARLY ALFA RIZKY 2 Th L RAMANIA II NO 64 RT 046 649921
    4 SITI KHOIRUN NISA 6 Th P KH.DAMANHURI II RT 028 807558
    5 ANDRIANI S 26 Th P PATIMURRA RT 006 807161
    6 SUMANTO 34 Th L M.YAMIN GG 01 RT 017 756637
    7 AYU PUSPA DEWI 30 Th P KH.HARUN NAFSI RT 015 807561
    8 BUSTA 37 Th L AM.SANG AJI GG 2 RT 001 807338
    9 FATIMAH 86 Th P S.HASANUDDIN GG LANGGAR RT 008 807586
    10 M.SHEVA PRATAMA S 9 Th L PATTIMURA RT 034 807638
    11 MEISYA AMELIA 2 Th P MAY UTOYO RT 029 807562
    12 ABDUL BASYITH 43 Th L KH.ABD MUTHALIB RT 006 807564
    13 DHIVA INDAH PERMATA SARI 11 Th P PEMUDA III BLOK B NO 53 807318
    14 SALSA ZAHWA ISLAMI 3 Th P P.SURYANATA GG CEMPAKA NO 39 704239
    15 MAULANA MALIK IBRAHIM 1 Th L RING ROAD RT 001 BKT PINANG 778464
    16 RIFKA AMELIA 6 Th P PURWABINANGUN RT 015 807595
    17 NORHASNI 51 Th P LUBUK SAWAH GG BAHARI RT 015 807680
    18 EKA JUNIATI 26 Th P ST HASANUDDIN GG LANGGAR RT 08 803898
    19 M.AFHDAL ARFANDI 11 Th L ST.HASANUDDIN RT 003 571288
    20 2/12/2014 SAMSI 36 Th L ANGGUR RT 057 417199
    21 M.MALIK 47 Th L AWS GG 3B RT 032 355242
    22 M REFFY SAPUTRA 2 BL L HASAN BASRI GG 2 RT 026 807776
    23 HUSNI NAPARIN 57 Th L PERUM PKL B/787 RT 009 807658
    24 ELFIANA 22 Th P EKONOMI RT 013 611518
    25 DWI HILDAYNATI 18 Th P ST.SULAIMAN RT 010 807844
    26 WA ROL 47 Th P OTISTA RT 029 807847
    27 MUSLIKAH 54 Th P OTISTA RT 029 807815
    28 NASAR DWIFILLAH PRAYOGA 7 BL L PRAMUKA 1B NO 29 807782
    29 FAHMI LAJUARDI 21 Th L KH.ABUL HASAN RT 013 807666
    30 SUYATI 62 Th P A.YANI GG CAHAYA BARU RT 017 213400
    31 NURUL AINI 25 Th P U.SUROPATI RT 007 754835
    32 SANTI 25 Th P NUSA INDAH RT 002 646149
    33 SAHARUDDIN 30 Th L KAHOI 2 A RT 035 807828
    34 SALBIAH 58 Th P KAHOI GG NOVA RT 035 525394
    35 HADI WIBOWO 58 Th L W.MONGONSIDI GG 7 RT 022 598959
    36 GUSTINANA 23 Th P P.ANTASARI G 6 NO 46 RT 045 694821
    37 3/12/2014 EMMY KALAU 36 Th P MERDEKA GG OTOK RT 097 807901
    38 M.ALFIN NUR 3 Th L REEL 10 RT 020 802465
    39 MARSINAH 59 Th P SUKO REJO RT 039 410267
    40 HAMIDAH 31 Th P MERDEKA RT 089 807902
    41 RIDHA APRIANI 19 Th P RAMANIA RT 047 807898
    42 HAMISAH 23 Th P KOMP SPP SEMPAJA B/4 RT 053 004510
    43 DINA ASMIRANDA 2 Th P BATU CERMIN RT 005 717783
    44 NI YOMAN MIRNAWATI 49 Th P MUSO SALIM NO 68 RT 015 773629
    45 DINA MARYANA 29 Th P CENDANA GG 5B/6 RT 018 807889
    46 NURLINDA 24 Th P GERILYA GG MESJID C/57 RT 047 768942
    47 MARIAM 77 Th P ST.ALIMUDDIN RT 021 802218
    48 MIRZA DEWI PUTRI WAYAN 1 Th L JELAWAT GG 9 RT 036 807941
    49 AZLAN DARMA PUTRA 10 BL L S.PARMAN RT 001 792114
    50 RINA NORAENI 17 Th P JOYO MULYO RT 037 807899
    51 RAMADHAN PUTRA PRATAMA 2 Th L AM SANG AJI GG 9 RT 007 721518
    52 RIHHADATUL AISYAH 3 Th P HJ.JAHRAH RT 016 807929
    53 HERRY OSCAR 52 Th L MUSO SALIM NO 68 RT 015 773624
    54 ANA TRIANA 42 Th P DI PANJAITAN RT 68 807663
    55 MIRTAL JANDINI 5 Th P PAHLAWAN 2 RT 028 673003
    56 PUTRI DEVITA SARI 7 Th P RAJAWALI ALAM RT 011 807934
    57 FAUZAN 38 Th L BATU CERMIN RT 003 807940
    58 4/12/2014 M.AQSO ILHAM N 2 Th L GATSU RT 046 749914
    59 M.DWI REZKY OCTAVIANO 3 Th L M.SAID NO 24 RT 003 661459
    60 ANA PRIHATIN 29 Th P KS.TUBUN GG JANBAL NOOR RT 010 807981
    61 SAQILA NUR ASYIFA 1 Th P TRISARI RT 022 808035
    62 HERAWATI RUDINI 31 Th P DI PANJAITAN RT 033 715397
    63 KARMIN 49 Th L JELAWAT GG 9 RT 006 646718
    64 HAFIZH 2 BL L BUNG TOMO RT 002 805046
    65 LUGAS MAHENDARA L Y 12 Th L DELIMA RT 052 808020
    66 BAHRI 38 Th L PADAT KARYA RT 008 802737
    67 JUMRIE 67 Th L PELITA 6 RT 018 803120
    68 M.MUNIR BRILLIANSAYAH 22 Th L PM.NOOR RT 039 807973
    69 SYAFIQAH NUR ADHWA 1 BL P JAKARTA GG PGRI RT 061 808040
    70 GUSTI ARDIANSYAH 65 Th L IJABAH NO 62 RT 005 627694
    71 A.FAUZAN 8 Th L MT.HARIYONO GG 1 RT 056 8088051
    72 ISNANIAH 41 Th P JELAWAT GG 6 RT 08 808036
    73 EVI KURNIASIH 27 Th P KEDONDONG RT 007 659709
    74 NICO MANGURU 74 Th L L.MANGKURAT GG H USMAN BLOK A 784719
    75 SANTI 25 Th P NUSA INDAH RT 002 646149
    76 BELLA ADITIA Q 12 Th P DMAI GG 4 RT 026 807985
    77 SURYANA ANGGERINI 6 Th P PERUM PKL B/703 RT 09 525832
    78 SARNI 66 Th P SEBULUS SALAM RT 032 424170
    79 MAULIDA SIPA DINAR 18 Th P ABD MUTHALIB RT 008 808017
    80 SAIWA EMMA APRILIA 13 Th P PRAPAK INDAH RT 033 381112
    81 HADI WIBOWO 58 Th L W.MONGONSIDI GG 7 RT 022 598959
    82 SUMARTI 48 Th P PURWODADI RT 044 808033
    83 YULIANA 3 Th P BIAWAN GG 6 RT 014 790011
    84 JUNIA SARAH 2 Th P JELAWAT GG 9 RT 038 808049
    85 5/12/25014 NOVA RAHAYU 20 Th P KS TUBUN GG 7 RT 001 805159
    86 NAILA SAUYOIA 2 Th P KAHOI B7 BLOK D3 NO 19 RT 034 808107
    87 ANDHIKA PRATAMA 6 Th L MERBABU RT 011 T MERAH 800106
    88 YUASDINI SAPUTRI 1 Th P S.RIADI GG RUKUN RT 019 808096
    89 IDIK 47 Th L BATU CERMIN RT 005 645568
    90 LISMA WATI 50 Th P KAKAP RT 019 808188
    91 SARMI 53 Th P AWS RT 026 616318
    92 ARDIANSYAH EKA PUTRA A 14 Th L SENYIUR INDAH 3 RT 041 808148
    93 BURNA AZZAHRA 6 Th P KH.W.HASYIM RT 036 590332
    94 M.DENY SAPUTRA 1 Th L KH.W.HASYIM RT 014 808132
    95 SITI NUR AZIZAH 9 Th P HM.KADRIE OENING RT 020 808112
    96 RHISYA ADELLIA 1 Th P DELIMS RT 051 701171
    97 MAHRITA 35 Th P KADRIE OENING RT 017 808126
    98 TIURMA SIMANJUNTAK 27 Th P LABU HIJAU 5 RT 72 707762
    99 YOGA ADI P 18 Th L JAKARTA GG PERJUANAGAN RT 072 797064
    100 MASRIAH 66 Th P OTISTA RT 022 552005
    101 RINA 46 Th P DMANHURI RT 027 807190
    102 HASNAH 60 Th P KH.A.HASAN RT 019 438648
    103 NUGRAHA SURYA PUTRA 22 Th L PM.NOOR RT 038 808180
    104 PURWANTINI 49 Th P PROKLAMASI II BLOK O RT 057 750037
    105 GUSTI ERLITA 39 Th P GN CERMAI RT 001 418668
    106 RABIATUL ADAWIAH 40 Th P KH.MAS MANSYUR GG POLOPOR RT 7 320354
    107 ARTIKAH 69 Th P PROKLAMASI 1 RT 054 783930
    108 SITI NUR QOMARIAH 28 Th P M,.SAID RT 028 761524
    109 AULIA FITRI RAMADADINA 11 Th P DAMAHURI PERUM BTI RT 024 808170
    110 HASAN BASRI 67 Th L SOEKARNO HATTA RT 012 808143
    111 EKA SATRIANI 28 Th P GELATIK RT 013 808146
    112 ABDUL RAUF 35 Th L KH.HARUN NAFSI RT 011 808164
    113 RAFI 7 Th L RAJAWALI DALAM RT 014 808175
    114 YUNI PURIANI 97 Th P KESEHATAN DALAM RT 001 364387
    115 6/12/2014 SUNARTO 59 Th L MUGIREJO GG PERJUANAGAN RT 003 517386
    116 FARTIYADILLAH YULIAN 26 Th P CERMAI GG II RT 01 713456
    117 EKA SATRIANI 26 Th P GELATIK RT 013 808146
    118 FITRIA ASTUTI 18 Th P M.SAID GG POLEWALI RT 046 780111
    119 MIRNAWATI 17 Th P MANGKUPALAS RT 032 808314
    120 M.RIZAL 15 Th L MSNGKUPALAS RT 032 808312
    121 LISTINA 26 Th P AWS GG 10 RT 26 808320
    122 HASANAH 18 Th P JUANDA GG TRIDAYA RT 007 808289
    123 HALIMAH 29 Th P PROPINSI RT 024 808304
    124 MIRNA WATI 17 Th P MANGKUPALAS RT 032 808324
    125 HERRY OSCAR 52 Th L MUSO SALIM NO 68 RT 015 773624
    126 JULIANA HANDIKA 19 Th L PERUM PUSPITA RT 056 788805
    127 ARSIAH 41 Th P PADAT KARYA RT 009 SMPJ 808291
    128 DESWITA SALSA NABILA 6 Th P OTISTA GG BUDIMAN RT 026 449716
    129 ATUN 51 Th P S.PARMAN GG 4 RT 029 808300
    130 FATIMAH HUMAIRAH REA 5 Th P KS.TUBUN DALAM RT 014 604765
    131 M.ILHAM ALFARIZI 4 Th L P.SURYANATA GG CEMPAKA RT 029 808277
    132 AURA MEDINASWARI 6 Th P PROKLAMASI A NO 32 RT 52 696501
    133 M.ANNAIF HUSNI HIDAYAT 6 Th L AWS GG 1 RT 037 808315
    134 M.NABIL SYA'BAN 4 Th L HASAN BASRI NO 21 RT 024 732988
    135 RIFAI 58 Th L BATU BESAUNG RT 026 798669
    136 RUSDIANAWATI KARWUR 34 Th P KAPAS RT 019 808239
    137 MELIZA EKA SAFIRA 8 Th P ANGGUR RT 056 656600
    138 KAYLA KEZIA RAE 8 Th P KS.TUBUN DALAM RT 014 567853
    139 FHATAN MAISAN 5 BL L AMPERA II RT 049 808259
    140 NURHAYATI 29 Th P DAMANHURI 2 RT 042 808200
    141 KATNO 26 Th L TRI SARI RT 020 808231
    142 7/12/2014 A.MAULANA 4 Th L CM.KUSUMO RT 013 667921
    143 BUDIONO 4 Th L CM.KUSUMO RT 013 808394
    144 VANESA FAJRI PORTUNELLA 1 Th P PERUM PKL BLOK B RT 013 808420
    145 ELENA PUTRI RAHMAN 3 Th P KEMAKMURAN GG KNPI RT 014 661691
    146 NUR SALSABILLA NAZLA T 3 Th P AWS RT 024 808395
    147 HERRY OSCAR 52 Th L MUSO SALIM NO 68 RT 015 773624
    148 RAIHANA 49 Th P DAMANHURI RT 020 808418
    149 FAUZI RAMADHANI 20 Th L CENDANA GG 11 RT 011 773614
    150 SABRINA PUTRI OKTARIA 1 Th P BANGGERIS RT 021 808398
    151 MAYA RANA SARI 31 Th P LEMPAKA JAYA RT 016 808440
    152 YUNIDAR ROZALI 32 Th P P.SURYANATA RT 030 808425
    153 DINI SATYA PRATIWI 19 Th P TALANG SARI RT 002 808391
    154 IRAYANTI 20 Th P MERDEKA TIMUR RT 100 586237
    155 DESI AZ ZAHRA P 12 Th P PRAMUKA 17 NO46 RT 004 808405
    156 HENY PATODO 48 Th P DI PANJAITAN RT 033 878624
    157 KORNELIUS 26 Th L P.SURYANATA RT 003 808332
    158 ALFA ARIS HABIBULLAH 8 Th L PROKLAMASI RT 017 808402
    159 ENDANG SEKARWATI 37 Th P GERILYA GG SEPAKAT RT 101 766221
    160 RIZA DARMAYANTI 26 Th P MUGIREJO RT 006 808333
    161 I NYOMAN SUDIANA 52 Th P PM,NOOR RT 039 808415
    162 SITI APRLIA KIRANA 8 Th P HASAN BASRI RT 019 736779
    163 ADELIA 6 Th P CM.KUSUMO RT 013 808383
    164 M.BILAL PUTRA WAHYU 1 Th L ABD MUTHALIB GG KUTAI RT 004 808397
    165 NASA MAHARANI 6 Th P RIMBAWAN TANAH MERAH RT 008 401845
    166 PUTU ROHANIA KOMALAWATI 21 Th P DAYAK PUNAN K/4 RT 018 775125
    167 8/12/2014 FAIJUNE ILHAM RIHAN H 2 Th L DR.SOETOMO RT 040 808556
    168 JAIL 66 Th L TRISARI RT 021 871214
    169 PUTRI HANDAYANI 11 Th P P BENDAHARA RT 003 808501
    170 NORITA 28 Th P WIRATAMA GG NANAS RT 027 415008
    171 M.ASHHABUL KAHFI 8 Th L MERDEKA II RT 86 768848
    172 FAUZI RAMADHANI 20 Th L CENDANA GG 11 RT 011 773614
    173 HARNIATY 26 Th P TARMIDI NO 35 RT 015 614104
    174 NURUL HIDAYAH 26 Th P REVOLUSI GG 10 RT 008 808507
    175 M.AZKA ALFATIH 1 Th L AZIS SAMAD RT 028 808498
    176 GILANG HADI K 3 Th L P.SURYANATA GG TINGGIRAN RT 038 808448
    177 M.FIKRI 11 BL L SAMANHUDI RT 005 808527
    178 ANGGRAIN SETYOWATI 17 Th L BENGKURING RAYA I RT 084 808481
    179 HADIJAH 56 Th P PELITA 4 RT 011 808536
    180 RIDWAN ERVANDY 55 Th L OTISTA RT 016 427143
    181 IDA 38 Th P DAMAI GG 4 RT 009 611856
    182 NOVITA SARI 2 Th P BUGIS MUGIREJO RT 002 680335
    183 SALSABILA NABILA 6 Th 6 OTISTA GG BUDIMAN RT 026 449716
    184 MUSNINGSIH 47 Th P S.PARMAN GG 4 RT 029 549641
    185 M.RIZKY 5 Th L KH.A.HASAN RT 013 808555
    186 FACHRULLAH 30 Th L RE.Marta dinata gg TUKANG RT 009 510532
    187 ASNI 47 Th P SITI AISYAH RT 015 808479
    188 JUMANTONG PARDOMAN 36 Th P BAYAM 11 RT 090 801350
    189 ARDIANSYAH YUSUF 59 Th L MERANTI 1 RT 017 808486
    190 RUGIATI 72 Th P PELITA 3 RT 012 808485
    191 DARNI 30 Th P KELAPA GADING RT 037 802316
    192 9/12/2014 M.FATIR FAHREZI 1 Th L ABD RASYID RT 011 791981
    193 ARTIYAH 69 Th P PROKLAMASI RT 054 783930
    194 RIZKY AGUSTINA 8 Th P ANGGUR RT 055 784670
    195 KARTINI 25 Th P RE.M.DINATA GG SEDERHANA 808636
    196 ZULKARNAIN 19 Th L DI PANJAITAN RT 001 808606
    197 NONGKO 31 Th L JUANDA RT 007 NO 86 808365
    198 THERESA BALEIN 6 Th P SEI LANTUNG RT 014 808672
    199 HERLIAN SARI 37 Th P HASAN BASRI RT 019 760641
    200 M.ARIFIN RAMADHANI 5 BL L KARYA BARU RT 009 808609
    201 NUR HALILAH 2 Th P IR JUANDA KMP BEA CUKAI RT 020 808643
    202 ADE FERDIANSYAH 4 Th L P.ANTASARI NO RT 006 689507
    203 M.ASHHABUL KAHFI 6 Th L MERDEKA NO 23 RT 86 768848
    204 SUTARI 40 Th L DAMANHURI RT 028 020505
    205 MASRIAH 66 Th P OTISTA RT 022 552905
    206 RIKARNUS JANGGUR 25 Th L ST.ALIMUDDIN RT 020 808652
    207 ADELIA SARAH NAFISA 4 Th P CENDANA GG 12 RT 034 488270
    208 HAMIDAH 23 Th P U.SUROPATI RT 025 808584
    209 NOOR HAYAH 56 Th P SUKO REJO RT 022 808607
    210 MAULANA SARIF H 10 Th L BAYAM 3 NO 388 RT 088 754929
    211 M.BASRI YS 38 Th L M.HARYONO GG RAWA SARI 5 RT 05 750687
    212 JENI 2 Th P MANUNGGAL RT 007 673526
    213 NOVAL USIDA TAMPUBOLON 25 Th L PERUM PGRI RT 007 808580
    214 10/12/2014 AYU MELYDA 26 Th P GERILYA GG RUKUN MAKMUR RT 109 379249
    215 A.LASIA 35 Th L WIRAGUNA RT 011 808752
    216 SAINAL 34 Th L BUNG TOMO RT 022 808790
    217 MULIA 41 Th P OTISTA RT 024 678719
    218 M.RIFKY FAHLEVI 11 Th L SENTOSA GG KENANGAN RT 076 808711
    219 RESKY FERDIANSYAH 2 Th L DR.SOETOMO RT 033 691404
    220 SITI RUMI 47 Th P ST.ALIMUDDIN RT 038 797795
    221 JURIATI 34 Th P PM.NOOR RT 010 745470
    222 RINDA 31 Th P OTISTA RT 023 808778
    223 M.ARIFIN ARIS 57 Th L ST.ALIMUDDIN RT 038 808765
    224 THERESIA BALEIN 6 Th P SEI LANTUNG RT 014 808704
    225 PERANSISKA ALESIA 25 Th P WIRATAMA RT 004 730020
    226 BELLA ELINA D 17 Th P SENTOSA GG 3 RT 030 808691
    227 ROHANI 63 Th P RE.M.DINATA GG SWARGA RT 011 808736
    228 SUKIMIN 64 Th L MAKROMAN RT 011 804800
    229 ARBAYAH 37 Th P MULAWARMAN RT 017 RAWA MAKMU 808789
    230 SYAHRONI 35 Th L P.ANTASARI WIRA 3 510044
    231 11/121/2014 DIDIK ANTON SUPRIANTO 23 Th L ST.SULAIMAN RT 009 808802
    232 SITI KAROMAH 40 Th P MANGKUJENANG RT 023 808986
    233 SADIRAN 57 Th P M.YAMIN RT 021 808968
    234 RUSLI 57 Th L P.SURYANATA RT 030 600496
    235 DEWI NUR HIMMAH 6 Th P AGUS SALIM RT 031 781429
    236 RINI 32 Th P AGUS SALIM GG BANAWA NO 66 RT 0 777907
    237 FITRIANI 48 Th P H.MARHUSEIN RT 018 808805
    238 PUSPAWATI 25 Th P ABD RASYID RT 011 772956
    239 ELLY GATOT S 60 Th P KARYA BARU 1 NO 28 RT 009 023637
    240 ASE 62 Th L P.SUROPATI RT 025 453492
    241 ICHWAN BAITUL AZZA LUBIS 9 Th L DIPANJAITAN RT 02 713772
    242 SITI KAROMAH 40 Th P SIMPANG PASIR RT023 808986
    243 GUSTI ERLITA 39 Th P GN CERMAI RT 001 418668
    244 BASIMAN 41 Th L BAYAM II NO 607 RT 090 307276
    245 SUNARTI 23 Th P DAMAI RT 009 808989
    246 AMELIATUS SHOLEHAH 7 Th P P.SURYANTA GG 99 RT042 794948
    247 SYARIFAH ZAINAB A 31 Th P KH.DAMAhurI RT 062 673435
    248 NIZAM SAHIM AIZAH 2 Th P S.PARMAN RT 001 799768
    249 MASMUR 64 Th L SLAMET RIYADI RT 001 808953
    250 RIFKY NABIL OKTAVIAN 7 Th L M.YAMIN GG 01 RT 015 609640
    251 DWI FITRIANTO AJI 8 Th L JL.CITADUY RT 023 560522
    252 12/12/2014 HERNAWATI 28 Th p KAHOI 2A RT 035 809115
    253 SITI HAMIDAH 45 Th P PEMUDA 2 RT 010 588292
    254 SRIATI 43 Th P KH.W.HASYIM RT 008 344692
    255 SUBARDI 21 Th L KEBUN AGUNG RT 003 908008
    256 M.SETO WALUYO 8 Th L KH.W.HASYIM RT 028 809012
    257 WATI 40 Th P P.SURYANATA GG JULAK GAFUR RT 0 809108
    258 AWANG SARNI IRWAN 48 Th L OTISTA RT 018 809121
    259 M.FATIH FABRIZIO 2 Th L S.PARMAN RT 001 683453
    260 KARMIDI 63 Th P MERANTI GG 2 RT 016 619224
    261 JOHNY E NDDIALAPATTI 53 Th L KEWBAHAGIAAN GG LANGGAR RT 04 809013
    262 SUHERMAN 58 Th L PADAT KARYA RT 073 809118
    263 FIKRI 12 Th L PAKIS MERAH 5 RT 085 809122
    264 HETI KARLINA 29 Th P T.UMAR GG DUKA DAMAI II RT 004 803581
    265 SYAIDILLAH 54 Th P PERUM PKL NO 198 RT 012 808970
    266 SLAMET RIYADI 26 Th L KH.WAHID HASYIM RT 011 809022
    267 ERNI MARLINA 24 Th P MAS PENGHULU RT 009 715200
    268 DIAS AINURRAHMAN 1 Th P JL CITADUY RT 024 809044
    269 JUHARSYAH 52 Th L MUGIREJO RT 001 809070
    270 WIWIK ASTUTI 32 Th P JUANDA 3 RT 002 809114
    271 SHIFA NUR ADIFA 3 Th P PIPIT 3 NO 332 RT 035 635639
    272 LA ODE SARDIANTO 23 Th L KAKAP RT 007 802984
    273 ASE 62 Th P P.SUROPATI RT 025 453492
    274 REZIA KHANZA 1 Th P BIALO GG MANUNGAL RT 033 694059
    275 ROSMINI 34 Th P AGUS SALIM RT 018 779931
    276 FEBRIYANA SAPUTRI K 4 Th P GERILYA GG SEPAKAT RT 101 596059
    277 MINA MAYASYAROH 29 Th P PERJUANGAN RT 001 809096
    278 PONIYEM 46 Th P S.RIADI RT 031 809046
    279 THERESIA DESY OKTAVIANI 7 Th P BUKIT BARISAN RT 020 809094
    280 TETRUS ROMBE TABELONG 31 Th L MANUNGGAL RT 038 809031
    281 SAIDAH 47 Th P S.RIADI GG 5 RT 015 809081
    282 AQILA OKTAVIA DHEVIANI 1 Th P DAMANHURI II RT 043 809111
    283 13/12/2014 HANNY S MISSNY 43 Th P PATIMURRA BLOK V 92 RT 027 809327
    284 RAHMAD HIDAYAT 28 Th L KH.ABD MUTHALIB RT 003 775514
    285 RAFI RADITYA PUTRA 2 Th L GUNUNG LINGAI RT 004 596169
    286 SALSABILA PUTRIA H 9 Th P KH.ABD MUTHALIB RT 008 809219
    287 ZAEN ALIF 54 Th L KH.ADB MUTHALIB RT 005 084348
    288 LILIS 56 Th P LUMBA LUMBA RT 008 537857
    289 NOVA SARKY 4 Th L OTISTA ggSTELING NO 3 RT 032 809133
    290 YUSUF 56 Th L MUILONO RT 013 694840
    291 TUTI TURIYATI 57 Th P PEMUDA II RT 012 698891
    292 VIRZA ABDILLAH A 13 Th L AZIS SAMAD RT 036 909346
    293 FITROINI ESDIANTO 21 Th L JELAWAT RT 005 809179
    294 SYIFA AZZAHRAH 3 Th P P.ANTASARI RT 030 809150
    295 SIMAH 59 Th P S.PARMAN RT 025 808324
    296 JAMALUDDIN 46 Th L A.YANI NO 30 RT 017 752700
    297 MUSEI 30 Th L DR.SOETOMO RT 038 752700
    298 ARTIYAH 69 Th P PROKLAMASI 1 RT 054 783930
    299 HILMA OKTAVIANUR 5 Th L JOYO MULYO RT 036 809170
    300 SRI WAHYUNI 34 Th P P.SURYANATA GG 9 RT 027 505708
    301 SUWARSI 50 Th P TRI SARI RT 020 809350
    302 RAHMAD HIDAYAT 28 Th L KH.ABD MUTHALIB R T008 772214
    303 NUR LAILA ADB LATIF 11 Th P RAPAK DALAM RT 038 POMPES 809166
    304 14/12/2014 SYARIFUDDIN 42 Th L MANUNGGAL RT 011 809222
    305 WAHYU INDAH LESTARI 8 Th P GN.LINGAI RT 009 778490
    306 CHAIRUL NISA 13 Th P AWS RT 017 RT 001 807214
    307 RINITA 18 Th P RUKUN RT 005 809212
    308 ICHAWAN BAITUL IZZA LUBIS 9 Th L DI PANJAITAN RT 002 717372
    309 FADLI FAHRIZAL 23 Th L ABUL HASAN RT 014 799766
    310 NELLY 52 Th P SEMPAJA LESTARI INDAH 590921
    311 M.RIFANSYAH 2 Th P PERINTIS GG CAMPUR SARI RT 032 742102
    312 FERIZAL 35 Th L KH.W.HASYIM NO 8 RT 011 809221
    313 RELI SITUMORANG 47 Th L PURWODADI RT 009 371923
    314 NAZWA AULIA 3 Th P MANGKUPALAS RT 010 657031
    315 ELSA DWI MORTIANA 5 Th P BATU CERMIN RT 002 713493
    316 M.FATIH FABRIZIO 2 Th L S.PARMAN RT 01 NO 75 683453
    317 AFIFUDIN 25 Th L LEMPAKE JAYA RT 013 808404
    318 ENIE AISYAH FITRI 3 Th P PADAT KARYA GG PELANGI RT 008 797308
    319 JURAIDAH 34 Th P DAMANHURI 1 BLOK E RT 60 671860
    320 NAPIA 47 Th L KADRIE OENING RT 017 809304
    321 IKA OKTAVIA SARI 27 Th P PIPIT NO 23 RT023 809236
    322 ATINAH HASANAH 18 Th P SLAMET RIYADI RT 016 809203
    323 LINA MARTINI 44 Th P PERUM KELEDANG MAS RT 009 809251
    324 M.MISRUL KHABY 1 Th L GURAMI GG BERSAMA RT 05 809286
    325 HILMA OKTAVIANUR 5 Th P JOYO MULYO RT 036 809170
    326 LAHMUDDIN 59 Th L SOEKARNO HATTA RT 008 809274
    327 15/12/2014 FIRMANSYAH 10 Th L ST.ALIMUDDIN GG BAMBU INDAH RT 466927
    328 NAUFAL RADHITYA 2 Th L DAMANHURI II RT 028 669503
    329 YOGI 21 Th L TRISARI GG SINAR TANI RT 021 809589
    330 AGIS ARIANTI 7 Th P T.UMAR GG DURIAN TUNGGAL RT 03 669084
    331 WAHYUDI 11 Th L GN.LINGAI RT 009 809586
    332 M.FATIH FABRIZIO 2 Th L S.PARMAN RT 01 NO 75 683553
    333 HENY LESTARI 27 Th P PRM SAMBUTAN BLOK J RT 032 809598
    334 WA IKAMBAH 46 Th P BIAWAN RT 008 NO 43 809520
    335 MUKAYAH KOMSYIAH 59 Th P CM.KUSUMO RT 001 809569
    336 ALLEN PRATAMA PUTRA 26 Th L JELAWAT GG 08 RT 003 694037
    337 DWI SHALBILA APRILIA 14 Th P PESUT GG 1 RT 10 809552
    338 SITI FATIAMH 19 Th P CM.KUSUMO RT 007 809560
    339 AMIQO JAUHAR F 2 Th L KADRIE ONIENG RT 031 809509
    340 NANANG SAHID MZ 68 Th L DAMAI RT 027 593421
    341 RITA AGUSTINAWATI 33 Th P JOYO MULYO RT 035 518629
    342 INDO TANG 43 Th L BUNG TOMO RT 020 809530
    343 YUSUF 56 Th L MILONO RT 013 694840
    344 HASANUDDIN 69 Th L SMBTAN PERMAI RT 035 600321
    345 GUSTI ERLITA 39 Th P GN.PERMAI RT 001 418668
    346 M.NUGRAHA PRATAMA 6 Th L RAJAWALI DALAM RT 014 809445
    347 16/12/2014 SLAMET MULYONO 39 Th L ERY SUPARJAN RT 012 674983
    348 RATNA SARI 28 Th P PESUT GG 3 NO 18 RT 014 809859
    349 SUYATI 36 Th P KH.DAMANHURI II RT 028 637081
    350 SUSILOWATI 46 Th P BATU CERMIN RT 004 809836
    351 M.CANDRA GUNAWAN 11 Th L KAHOI 10 NO 84 809848
    352 MARLIANA PATABANG 28 Th P GERILYA GG RUKUN MAKMUR RT 109 809623
    353 YULIANA 28 Th P DR.SOETOMO GG 4 A RT 033 770260
    354 M.IRFAN 6 Th L KS.TUBUN GG 5 RT 007 799762
    355 SELAMAT M 34 Th L SENTOSA GG III RT 030 809837
    356 PRAWATI 51 Th P KAMBOJA RT 035 809818
    357 M.AMIN EFENDY 47 Th L IR SUTAMI GG PUSAKA RT 22 747300
    358 DAMARIS RIA B 59 Th P KEMAKMUARAN RT 024 809827
    359 AWANG RISKI RAMADHAN 5 Th L L.MANGKURAT GG 1 RT 041 809812
    360 WIDYA NINGRUM 20 Th P KEBON AGUNG RT 003 650689
    361 ADI SAPUTRO 25 Th L PURWOSARI RT 014 809862
    362 NAWAWI 42 Th L KEMAKMURAN DALAM RT 020 470348
    363 ERNA YULIANI 36 Th P JELAWAT GG 9 NO 12 RT 03 526796
    364 BARA TONI ERLANGGA 4 Th L KEMAKMURAN GG AMAN RT 043 525485
    365 JUNICO DWI KARSA 9 Th L BELATUK RT 016 809625
    366 KARMIN 48 Th L JELAWAT GG 9 RT 006 646717
    367 DELLA MAULIDA HANDAYANI 12 Th P DI PANJAITAN RT 038 809849
    368 ROSALIA RELIYA JANGUNG 28 Th P DURIAN 4 /163 RT 069 SMPJ 809610
    369 DINAR ANGGRAINI 1 Th P RUMBIA RT 017 GG 2 809851
    370 SITI HUMAIRAH YAZID 3 Th P KOMP PASAR SEGIRI RT 028 809817
    371 HUSNA MAULIDA 4 Th P P.SURYANATA RT 018 683809
    372 FITRIYANI RESKI I 25 Th P MT.HARIYONO RT 001 380759
    373 17/12/2014 EDWIN EFRY NANDA 11 Th L ULIN GG 8 NO 57 RT 025 689658
    374 KRISTINA CHISTY E 23 Th P PONDOK RT 54 465480
    375 HERRY OSCAR 52 Th L MUSO SALIM NO 68 RT 015 773624
    376 ARBAYAH 23 Th P T.MERAH RT 025 809882
    377 SAFIAH 80 Th P SUKSES GIRI INDAH RT 014 809962
    378 MARCELINA KULING 24 Th P PAMPANG RT 015 809822
    379 FITRIYAH 18 Th P KERUKUNAN RT 043 809968
    380 SUMINAH 45 Th P TALANG SARI RT 003 809975
    381 NOVI YUNITA 29 Th P T.UMAR RT 001 809904
    382 SITI LESTARI 25 Th P S.PARMAN RT 003 545158
    383 RADO BANGUN 7 Th L PERUM SIP H7 RT 030 794077
    384 ERNA WATI 22 Th P AM.SANGAJI GG 1 RT 002 809902
    385 SUMINI 63 Th P MILONO RT 013 453077
    386 IDIK 47 Th L BATU CERMIN RT 005 645568
    387 ARZUNO GALBI 8 Th L JAKARTA BLOK E NO 7 RT 54 768540
    388 QANITAH HANIN NAFIAH 9 BLN P GERILYA GG RUKUN MAKMUR RT 058 809983
    389 THAMRIN 18 Th L HJ JAHRAH RT 010 809987
    390 HERRY OSCAR 52 Th L MUSO SALIM NO 68 RT 015 773624
    391 FAINUJUNE ILZAM RIHAN H 2 Th L DR.SUTOMO RT 039 808546
    392 AGUSTAN 34 Th P PURWODADI RT 044 809909
    393 M.HAPNI 62 Th L LEMPAKE TEPIAN RT 002 809989
    394 MEI RINDA NOOR 20 Th P P.SURYANATA GG TINGGIRAN RT 039 805459
    395 RINI ARIYANI 27 Th P M.YAMIN RT 027 809908
    396 HERI SETIAWAN 20 Th L SRIKAYA VII NO 18 RT 011 476074
    397 18/12/2014 FATIMAH 40 Th P WIRASWASTA RT 015 810031
    398 YENI WARNI SARI 10 Th P JELAWAT GG MOSI NO 2 812107
    399 MARIA YOVINIANAS 31 Th P GERILYA RT 102 810076
    400 SYAMSIANAR 54 Th P S.PARMAN 1 RT 001 810065
    401 ZASKIA NAVIDA EFFENDY PUTR 8 Th P CENDANA GG 10 RT 037 810084
    402 NUR AFIFAH 29 Th P TRI SARI RT 022 669170
    403 A.FAARAAS 5 Th P MUGIREJO GG MANUNGGAL RT 040 809985
    404 M.ILHMA DAWUD 8 Th L SENTOSA GG 3 NO 66 RT 030 763043
    405 DAMIN 54 Th P JELAWAT GG 9 RT 038 810012
    406 M.AL ZIDANSYAH 5 Th L SENTOSA RT 044 520580
    407 ROSSALINA 29 Th P P.SURYANTA RT 032 010094
    408 GUSTI FADLY SETIAWAN 37 Th L KH.ABD.MUTHALIB RT 006 712808
    409 SARI WIDIARTI 28 Th P OTISTA RT 023 810092
    410 NAURA AMIRA H 3 Th P PERUM PINANG BAHARI RT 037 810053
    411 IMAM FURMUDZI 52 Th L PADAT KARYA RT 008 653655
    412 MASRIAH 66 Th P OTISTA RT 022 552905
    413 PUTRI AMELIA 11 Th P JELAWAT GG 6 RT 008 810024
    414 RAMLAH 25 Th P DAMANHURI RT 023 810011
    415 RITA AGUSTINAWATI 32 Th P JOYO MULYO RT 036 510629
    416 NURHADIYANTI 34 Th P WORTER MONGONSIDI RT 022 320110
    417 SUKARDJI 53 Th L P.BENGKURING NO 6 RT 06 701360
    418 MARCELINA KULING 24 Th P PAMPANG RT 015 809822
    419 RANNU 55 Th L LUMBA LUMBA GG 1 RT 001 812108
    420 SUWARNI 53 Th P JEND.A.YANI GG MASYARAKAT RT 01 578578
    421 ZAFRULLAH A.MAULIDHAN 2 Th L JAKARTA BLOK DB NO 1 RT 071 800814
    422 ABD KHOLIK BAHRUL U 4 Th L TELAGA SARIRT 046 810086
    423 YULIANA INDAH P 19 Th P MUGIREJO RT 004 300010
    424 DONI ASPIANOOR 5 Th L PEMUDA III BLOK C NO 112 RT 007 810046
    425 MIRTAL JANDINI 5 Th L PAHLAWAN RT 028 673903
    426 HALIMATUS SA'DIAH 34 Th P NIAGA 1 RT 009 740613
    427 JUL PADLI 41 Th L DAENG MANGKONA RT 017 777232
    428 HESTI APRILLYANA 1 Th P HM.SALEH ARSYAD R T007 812115
    429 19/12/2014 JAIDUN 62 Th L KELAPA GADING RT 014 662824
    430 IWAN 34 Th L RUKUN GG MAWAR RT 005 812179
    431 KHANSA AURA TSABITAH 2 Th P A.YANI GG 1 RT 018 802808
    432 M.RIDHO PUTRA NUGRAHA 8 Th L OTISTA RT 016 712088
    433 AIRA 5 Th P PAHLAWAN GG 2 RT 028 773000
    434 LAE LATUL FATMANRIDA 25 Th P RING ROAD RT 037 558425
    435 RUBEN SONDA 42 Th L ST.ALIMUDDIN RT 037 812165
    436 M.MAS'UD 36 Th L SITI AISYAH RT 028 812135
    437 M.SASI 58 Th L KAHOI 2B RT 035 812204
    438 AISYAH 64 Th P GELATIK GG TEPIAN RT 016 812181
    439 TIURMA SIMANJUNTAK 27 Th P LABU HIJAU 5 RT 72 707762
    440 RELI SITUMORANG 47 Th P PURWODADI RT 009 371923
    441 IBRAHIM RAHMAN 4 Th L BIAWAN GG 1 RT 021 762013
    442 AMRAN 53 Th L KAHOI B RT 031 814120
    443 IRIYANTI 51 Th P KH.SAMANHUDI RT 004 468538
    444 IBTISSAMATUS SA DIYYAH 2 Th P AM.SANG AJI GG 3 RT 003 773270
    445 SALWAA DELIMA SARI 3 Th P ST.ALIMUDDIN RT 035 805792
    446 RAISSHA SHASIKIRANA 2 Th P PERUM SMBTN RT 034 812178
    447 SUPIAN NOOR 31 Th L PUSAKA RT 014 812125
    448 M.ASBAR 28 Th L P.BENDAHARA RT 001 812139
    449 ACCE 21 Th P MAWAR RT 020 812162
    450 NUR SALSABILLA 2 Th P PADAT KARYA GG KARUUTAN R T073 812180
    451 M.MULYONO 36 Th L SALAK 1 NO 63 RT 014 812186
    452 20/12/2014 ABIYYU KHAKIM 1 Th L WIRATAMA RT 004 791053
    453 M.TRI RAMA 12 Th L URIP SUMOHARJO GG 2 RT 09 812244
    454 KHOLIFAH 41 Th P GATSU RT 045 807224
    455 SUGIANTI 39 Th P KEBUN AGUNG RT 007 812312
    456 SUHAIRU FAJAR S 24 Th L AMPERA II RT 049 812215
    457 PANGARA 54 Th L KEMAKMURAN NO 113 RT 015 693610
    458 QANITAH HANIN NAFIAH 7 BLN P GERILYA GG RUKUN RT 058 809983
    459 M.GRARVINA 11 Th L JAKARTA BLOK BG 722413
    460 HERRY OSCAR 52 Th L MUSO SALIM NO 68 RT 015 773624
    461 NORMUNA 16 Th P TARMIDI RT 012 812282
    462 M.KHAIRANI 20 Th L BUNG TOMO RT 029 812811
    463 M.ZAKI RAMADHAN 3 Th L AWS RT 029 712088
    464 TITITN PRIHATINI 33 Th L PERUM PKL B/758 RT 009 812310
    465 FITRIANI 31 Th P LABU HIJAU 8 B/348 RT 072 621502
    466 MASITA 64 Th P SOLONG DURIAN RT 025 552190
    467 HERIATI 27 Th P SENJAHTERA GG P.INDAH 812266
    468 FARDIAH 34 Th P PAHLAWAN GG 2 RT 027 599590
    469 FADHIL NUR FAHMAN 3 Th L AIR TERJUN RT 013 812207
    470 MIRTAL JANDINI 5 Th L PAHLAWAN GG 2 RT 028 673903
    471 M.RAIHAN 6 BLN L JOYO MULYO RT 028 783209
    472 M.ZAKI RAMADHAN 3 Th L AWS RT 029 812316
    473 NUR SALSABILLA 2 Th P PADAT KARYA RT 073 812180
    474 SASKIA KALILA PUTRI 2 Th P JELAWAT GG 5 RT 008 812239
    475 WINA ASTRI PUTRI 29 Th P KH.HARUN NAFSI RT 009 803121
    476 21/12/2014 M.ABDAN FAHREZA 5 Th L BANGGERIS RT 021 755711
    477 M.RYAN IRWANDI 6 Th L L.MANGKURAT GG AL JAWAHIR RT 02 619709
    478 YUSTIA NUR AMALINA 21 Th P MERAH DELIMA NO 6 RT 01 708197
    479 M.RAFFA ANUGRAH 2 Th L KH.MASMANSYUR RT 028 812364
    480 AL KALA ZULFI GHAISAN AL NE 4 Th L PERUM PUSPITA AI/6 RT 92 773829
    481 MARWAN 47 Th L KH.W.HASYIM RT 008 812383
    482 IBRAHIM RAHMAN 4 Th L BIAWAN GG 1 RT 021 762013
    483 M.AGHA ALKHALIFI 2 Th L PERJUANGAN RT 037 812353
    484 FEBRIANSYAH PUTRA MAJID 3 Th L KH.W.HASYIM GG WARGA RT 024 812358
    485 ARSIYATI 55 Th P KEMAKMURAN RT 043 KOMP BPD 645752
    486 KEYLA FRISKA R 5 Th P PADA ELO RT 005 812349
    487 JENG SEKAR HAYYU 4 Th P KH.W.HASYIM GG WARGA RT 024 812359
    488 M.FATIH FABRIZIO 2 Th L S.PARMAN NO 75 RT 01 683453
    489 FARIZ M.NUR H 5 Th L URIP SUMOHARJO RT 031 812350
    490 GUSTI NAJLA MUTIA FAIZA 4 Th P ABD MUTHALIB RT 06 812346
    491 ELISA MARSI LEBANG 22 Th P CM.KUSUMO RT 017 812333
    492 RAHMAD FIRMANSYAH 43 Th L DANAU POSO NO 3 RT 026 745597
    493 SARIFAH NIEKMAH 34 Th P PERUM SMBTN IDMAN PERMAI 812392
    494 HASDIANA 38 Th P P.HIDAYATULLAH GG AMAL RT 022 708016
    495 ATHIFAH ADZRA 3 Th P TENGKAWANG RT 015 812336
    496 SABARIAH 46 Th P RAUDAH RT 019 872417
    497 FAHRI RADITYA 2 Th L A.YANI GG CAHAYA BARU RT 018 670393
    498 RARA AL FIKAR 3 Th P KS.TUBUN DALAM RT 091 587094
    499 SAID 65 Th L BELATUK RT 032 607938
    500 22/12/2014 LINDA 48 Th P H.SUWANDI RT 026 812535
    501 M.ZAYZAR PUTRA MAJID 10 Th L KH.W.HASYIM GG WARGA RT 024 812357
    502 YULIANA INDAH P 19 Th P MUGIREJO RT 004 789981
    503 WA SERE 84 Th P OTISTA RT 029 812544
    504 MASDIANA 34 Th P M.SAID RT 013 785846
    505 M.HUSEIN ARRAHMAN 5 Th L RE.M.DINATA RT 003 812388
    506 GERY GEGENTEA 23 Th L S.RIADI RT 033 731241
    507 HERLIN NANDA 27 Th P L.MANGKURAT GG AL JAWAHIR RT 02 516535
    508 M.MUHDANUR ZEAN 1 Th L PADAT KARYA RT 64 SMPJ 715823
    509 RAHMAN AKBAR 18 Th L S.RIADI RT 018 812447
    510 ERNAWATI 36 Th P DR.SOETOMO RT 039 812433
    511 ISNANIAH 38 Th P PUSAKA RT 015 784443
    512 SUKARTATI 48 Th P JAYA KARTA RT 019 378110
    513 NUR BALQI 19 Th L OTISTA RT 018 812498
    514 PUTRI AMELIA 3 Th P ANGGUR NO 2 RT 056 564164
    515 MEILISA MAYA SARI 25 Th P ULIN RT 026 812482
    516 RIFALDI 27 Th L AWS GG 2 RT 035 812507
    517 23/12/2014 YAYUK ASNIAH 34 Th P BATU BESAUNG RT 026 441475
    518 M.RISKY RIZANI 20 Th L AZIS SAMAD RT 035 812668
    519 DEWI AULIA NUR ARHAMNI 5 Th P PRAMUKA 16 RT 031 812618
    520 M.AQIL AL FARABI 1 Th L KEMAKMURAN GG 1 RT 015 812648
    521 ASNAH 37 Th P GERILYA SOLONG RT 034 812616
    522 SANIAH 16 Th P DANAU POSO GG 2 NO 1 RT 013 740841
    523 A.MARISI FASHA 2 Th L P.ANTASARI GG 12 NO 33 RT 004 708421
    524 JARNIAH 48 Th P AGUS SALIM GG 6D RT 032 777309
    525 SALIM 47 Th L RAMANIA GG 1 RT 45 812613
    526 M.HAFIZH 3 Th L KEDONDONG DALAM 3 RT 07 812597
    527 M.HAIRULLAH 24 Th L SEJAHTRAAN GG PULAU INDAH RT 03 812570
    528 NUR HAYATI 56 Th P KEMUNING NO 39 RT 008 812263
    529 VIKRY NOVAL PRATAMA 3 Th L DANAU POSO GG 1 RT 13 802867
    530 SUNARSIH 32 Th P ABUL HASAN GG 9 RT 015 699571
    531 HERIYANTO 32 Th L M.SAID GG 4 RT 011 283329
    532 M.RIFQIY MUDZAKKIR 3 Th L ABUL HASAN GG 10 RT 023 675779
    533 DAVID HAZAEL JOSEPH 6 BL L PERUM PUSPITA SS 12 772490
    534 EKA ANGGRIANI 24 Th P SOEKARNO HATTA RT 021 812543
    535 ABUL HASAN 44 Th L GATSU GG III BLOK F NO 36 812677
    536 SUSANTI 32 Th P KELAPA GADING R T037 872602
    537 MEYLANI AULIA 5 Th P GN.PASIR RT 014 658177
    538 RISMAWATI 24 Th P IR.SUTAMI GG AL MUJAHIDIN RT 009 726308
    539 ZAINI ABD HAMID 1 Th L GELATIK GG TEPIAN RT 017 812596
    540 DENIK KURNIAWATI 31 31 Th P PSURYANATA GG MISNA RT 028 388155
    541 M.FAHMI 6 Th L MERDEKA II NO 88 RT 088 789908
    542 SURYA DARMA HB 52 Th L AWS RT 026 258575
    543 JOHANSAYH 22 Th L S.RIADI GG MANIK MANIK RT 02 812652
    544 KASDIANTO 41 Th L LEMPAKE JAYA R T013 812672
    545 MUSLIHAH 32 Th P PURI INDAH GG SWARGA 2 RT 004 812600
    546 PRIANA 34 Th P ABD.MUTHALIB R T005 812591
    547 M.NAFIS SUSYAFFA 3 Th L CENDANA RT 012 724829
    548 24/12/2014 ANDRI SOPIANI 40 Th P KEMANGI GG KAMBOJA RT 027 812716
    549 NUR ANNIASA MAHARANI 7 Th P NMERBABU GG BDN NO 27 RT 03 770050
    550 NIDIN 42 Th L REVOLUSI RT 031 812766
    551 KHAIRUL IKSAN 7 Th L PM.NOOR GG KELUARGA RT 038 724241
    552 RAKHA YUSUF ANUGERAH 2 Th L OTISTA GG BUDIMAN RT 029 812484
    553 ESTI DWI JAYANTI 28 Th P KS.TUBUN GG 9D RT 036 553479
    554 DENIK KURNIAWATI 31 Th P P.SURYANATA RT 028 388153
    555 SARTI 48 Th P BIAWAN RT 011 481452
    556 JHONI TUAPATTINAYA 47 Th L PINANG 18 NO O4 RT 006 776278
    557 ATHIFAH ADZRA 3 Th P TENGKAWANG RT 015 812336
    558 SITI ROWIYAH 50 Th P DR.WAHIDIN S RT 010 754239
    559 M.RYAN IRWANDI 6 Th L L.MANGKURAT GG AL JAWAHIR RT 02 619709
    560 ISNANIAH 38 Th P PUSAKA RT 015 784443
    561 FAHRI RADITYA R 2 Th L A.YANI GG CAHAYA BARU RT 018 670393
    562 RATNA TRI SUMINAR 84 Th P SULTAN ALIMUDDIN RT 022 812758
    563 JOHANSYAH 22 Th L S.RIADI GG MANIK MANIK RT 02 812697
    564 AURA AYU ARMADANI 4 Th P DAMAI RT 025 812697
    565 HAMNAH 59 Th P DR.SOETOMO GG 7 RT 039 809428
    566 25/12/2014 MARIANI 39 Th P KEMANGI GG REZEKI RT 023 842901
    567 ANDIRA RIZKY NATASYA 3 Th P RE.M.DINATA RT 002 812904
    568 M.NASRUL 4 Th L OTISTA GG BUDIMAN RT 026 771198
    569 RIMONO DIMAS PRADANA 1 Th L BENGKURING BLOK AZ NO 6 PUSPITA 765633
    570 ERNI SUSILAWATY 32 Th P GERILYA GG SEPAKAT RT 101 812791
    571 SITI FATIMAH 39 Th P RE.M.DINATA GG TUKANG RT 011 812818
    572 PIRDA 25 Th P RUKUN GG MULIA RT 024 812831
    573 HALIMAH 54 Th P PEMUDA II RT 012 512670
    574 MAHANI 52 Th P TENGKAWANG RT 015 812827
    575 NOR SILAWATI 51 Th P GN.LINGAI RT 010 797507
    576 M.NOOR LALANG P 6 Th L HASAN BASRI RT 021 812824
    577 WARDANIAH 30 Th P RE.M.DINATA GG MADU RT 007 752029
    578 AZIZAH DIANA PUTRI 1 Th P ASUS SALIM GG BAHAGIA NO 57 RT 0 741232
    579 FRAUZI RAMADHANUR 16 Th P M.YAMIN RT 028 812868
    580 ABIZAR QAIRIREEN ALFARIZI 9 BL L P.HIDAYATULLAH GG BAKTI RT 032 812875
    581 MARJANI L TOBING 46 Th L PRM SAMBUTAN RT 034 812833
    582 FAINUJUNE ILZAM RIHAN H 2 Th L DR.SOETOMO RT 040 808546
    583 AZKA SYABIB BATULLAH 2 Th L SENTOSA GG KENANGAN RT 073 606451
    584 M.YUSNI HAMZAH 51 Th L MERANTI GG 1 NO 67 RT022 812713
    585 FAUZAN NUR RAHMAN A 3 Th L DAMAI RT 025 812867
    586 ASMURAN 52 Th P KEMAKMURAN GG 1 RT 015 724143
    587 M.HAIRULLAH 24 Th L KESEJAHTRAAN GG PULAU INDAH RT 812570
    588 AGIS ARIANTI 7 Th P T.UMAR GG DURIAN TUNGGAL RT 03 669084
    589 26/12/2014 ALIFAH SALSABILLA 6 Th P P.SURYANTA RT 034 813028
    590 ALIKA ADZANIA AZZAHRA 2 Th P P.SURYANATA RT 015 709586
    591 SENDY PUJIANTO 8 Th L JOYO MULYO RT 036 693440
    592 MEYLANI AULIA 5 Th P GN.PASIR RT 014 658177
    593 KASEMI 52 Th P MARSDA A SALEH RT 023 811303
    594 NYR MINA ARROHMAH 1 Th P BATU BESAUNG RT 026 770465
    595 ADAM SAPUTRA 5 Th L ANGGUR RT 055 712254
    596 JULI RAHMAN 12 Th L KH.HARUN NAFSI RT 018 706197
    597 KRITIAN LUBIS 60 Th L BIAWAN GG 1 RT 014 702802
    598 ALLEN PRATAMA PUTRA 29 Th L JELAWAT GG 8 RT 003 694037
    599 26/12/2014 M.FAJAR NOVIAN P Q 8 Th L JUANDA 8 DRIKAYA 4 NO 80 666869
    600 M.AJI GUSTI DARULAFWAAN 4 Th L BAYAM 1 NO 441 812909
    601 ADE SETIAWAN 79 Th L ST.ALIMUDDIN RT 023 812930
    602 SYARIFAH ZAINAB A 32 Th P DAMANHURI RT 062 673735
    603 RUMSITI 65 Th P DAMANHURI II GG 4 RT 028 577655
    604 ELFINA 23 Th P EKONOMI RT 013 621518
    605 FANDY REZA RIFANDY 17 Th L LEMPAKE TEPIAN RT 001 575189
    606 SARINAH 40 Th P AGUS SALIM RT 030 760607
    607 AGUS SETYO D 41 Th L KH.HASYIM ASYARI RT 030 809570
    608 DENDI ZULARFI 7 Th L GIRI MUKTI RT 017 813041
    609 VERANDITA UTAMI NINGRUM 17 Th P KH.SAMANHUDI RT 005 813016
    610 CINDY MEVLIANA 1 Th P TERONG PIPIT 3 624 RT 079 813001
    611 PRIYATNO EFENDI 44 Th L BUKIT BARISAN RT 024 813004
    612 ADELLIA 2 Th P KARYA BARU R T010 812998
    613 YEMIMA KRISTINA NABABAN 4 Th P P.SURYANATA RT 007 754703
    614 ANDI M AKBAR 23 Th L REVOLUSI RT 038 813015
    615 DINA DAMAYANTI 18 Th P L.MANGKURAT RT 002 813039
    616 27/12/2014 SELVIANA PRADITA 11 Th P GERILYA GG MASJID BLOK B2 RT 48 807432
    617 KAYLA AZ ZAHRA 2 Th P MUGIREJO RT 005 715164
    618 ASTI 18 Th P PELITA 6 RT 017 SMBTN 813129
    619 NURMAWATI 40 Th P AM.SANG AJI GG ANDIKA 813140
    620 MASRIAH 67 Th P OTISTA RT 022 552905
    621 HADIJAH 31 Th P GIRI REJO RT 023 813191
    622 GUSTI M NAJERIL 5 Th L ADAM MALIK GG MANGGIS RT 004 812942
    623 KHOLIFAH 42 Th P GATSU RT 045 807224
    624 HERRY OSCAR 53 Th L MUSO SALIM NO 68 RT 015 773624
    625 RISKI ADITYA 7 Th P PRAMUKA GG KASTURI RT 029 813099
    626 SAIBANI 26 Th L PROKLAMASI II BLOK O RT 057 813138
    627 ULFAH 23 Th P P.ANTASARI GG KENANGA RT 005 798184
    628 ISMI PORANDA 27 Th P HJ.JAHRAH RT 010 712297
    629 NURDAHLIAH 37 Th P JELAWAT GG 4 RT 12 531958
    630 ADITIA SAPUTRA 6 Th L SUKO REJO RT 007 MAKROMAN 807205
    631 28/12/2014 MASNIAH 52 Th P M.SAID RT 011 712293
    632 ELISABETH MARIANA 23 Th P ADAM MALIK RT 009 881300
    633 SISTIO FEBRIANYANA 26 Th P AWS GG 45 RT 036 553445
    634 ASMURAN 53 Th L KEMAKMURAN GG 1 RT 015 724143
    635 PRASTYA TEGAR TRISNAWAN 6 Th L PADAT KARYA RT 008 813203
    636 LA UPE 48 Th L DELIMA DALAM NO 40 RT 052 813270
    637 SITI RAHMAH 37 Th P REVOLUSI GG POKSAI RT 007 635133
    638 M.IKSAN 7 Th L ANGGUR RT 055 793928
    639 INTAN NUR HANISAH 6 Th P PADAT KARYA DURIAN 4 RT 142 813212
    640 YULI 27 Th P TENGKAWANG RT 015 813210
    641 A.FAUZAN S 41 Th L PM.NOOR RT 039 813221
    642 HERRY OSCAR 53 Th L MUSO SALIM NO 68 RT 015 773624
    643 FITRIANA 21 Th P AGUS SALIM GG 6D RT 032 774334
    644 SUMIANAH 39 Th P MUGIREJO RT 004 632341
    645 DJURIAH 59 Th P SEBULUS SALAM RT 033 813306
    646 DESI ARISANDI 32 Th P SENTOSA GG KENANGAN 9 RT 075 531270
    647 29/12/2014 MARTINI 58 Th P PM.NOOR RT 049 813347
    648 NORMAH AMBO DALLE 76 Th P GERILYA GG SEPAKAT RT 101 544635
    649 HJ .SUWARNI 58 Th P ABD SANI RT 017 813329
    650 ZIQRI ADIYAT PUTRA PRATAM 2 Th L SUKOREJO JL KARTINI RT 041 813357
    651 HALIDA 36 Th P OTISTA RT 032 813352
    652 M.IMAM MU MIN 9 Th L P.ANTASARI GG 9 813409
    653 SYARIFUDDIN S 66 Th L S.RIADI RT 039 460923
    654 SAMINEM 49 Th P M.SAID RT 028 813360
    655 RAZZAQ ADHAR JAILANI 15 Th L S.PARMAN GG 1 RT 002 813346
    656 SITUMBUL 55 Th L LASITTARDA IV BLOK I RT 029 813341
    657 HAFIZ SYAMSUL HADI 3 Th L W.MONGONSIDI RT 016 724014
    658 SITI AZIZAH 11 Th P M.SAID RT 012 403471
    659 ALI DARWIN 83 Th L PELABUHAN RT 001 PULAU ATAS 813369
    660 JESI DWI HERMAWATI 9 Th P AMPERA RT 045 722299
    661 NINOG 67 Th P BIAWAN GG 13 BLOK B RT 009 813326
    662 SUWANTO 44 Th L PURI INDAH GG SWARGA 2 RT 004 813349
    663 VIRDA YULIAN 16 Th P SENTOSA GG KENANGAN RT 075 813337
    664 ALYA SAFITRI 8 Th P PADAT KARYA RT 068 SMPJ 813322
    665 DIWA ASTRIYULIANTI 28 Th P GATSU BROTO 3 BLOK H RT 046 813309
    666 ANA MAWIAH 44 Th P SOLONG DURIAN RT 024 813318
    667 DEVI RATNA S 27 Th P JAKARTA RT 041 710763
    668 HERRY OSCAR 53 Th L MUSO SALIM NO 68 RT 015 773624
    669 AMNISSA NUR S 10 Th P AGUS SALIM GG 8D RT 037 813408
    670 MARIANA PALIMBONG 20 Th P BUNG TOMO RT 023 718351
    671 REFI RIDUAN ACHMAD 20 Th L BUNG TOMO 813373
    672 ISNA 53 Th P AWS R T023 748610
    673 M.AJI ZULFAQAR Z 3 Th L A.DAHLAN RT 011 NO 15 665585
    674 30/12/2014 WILDA 6 Th P SITI AISYAH RT 015 813521
    675 RUSTAM EFENDI 25 Th L P.BENDAHARA RT 023 813430
    676 FLEGON ISHAK 4 Th L AGUS SALIM RT 016 642497
    677 DZAKY ZISKID ADMAJA 4 Th L PEMUDA 3 RT 008 813530
    678 AISYAH INSANI KAMILA 3 Th P ABD MUTHALIB RT 004 645385
    679 MASTUR 42 Th L BANGERRIS RT 028 669930
    680 AYUNINGTIAS AGUSTINA 15 Th P MERBABU RT 013 813513
    681 ANDI ALAUDDIN 42 Th L PIPIT 1 RT 035 SMBTN 659093
    682 MARWIYAH 65 Th P S.RIAYADI GG 5 NO 15 RT 015 813458
    683 FANDI AL RASYID 10 Th L AWS RT 020 813484
    684 SYAHRUDIN 32 Th L MAS MANSYUR RT 029 648419
    685 ASMIRA 38 Th P DR.SOETOMO GG 4 RT 033 813492
    686 SURYONO 35 Th L SEKOLAHAN RT 021 MAKROMAN 813436
    687 MUSRIPAH 53 Th P BUNGA RT 1 BANTUAS 843451
    688 AGUSTINA 29 Th P LEMPAKE JAYA RT 020 813456
    689 CIKA AULYA 7 Th P RE.M.DINATA RT 004 638113
    690 HENI HANDAYANI 43 Th P SENTOSA KENANGA 8 RT 075 813503
    691 LILIK FARIKATIN 33 Th P AWS GG 4 RT 025 812494
    692 ISMI PORANDA 27 Th P HJ.JAHRAH RT 010 712297
    693 AGUS TANG 48 Th L P.BENDAHARA RT 023 813437
    694 ABD RALIF 70 Th L ST HASANUDDIN RT 017 813484
    695 INDRA SAPUTRA PRATAMA 6 Th L RAUDAH RT 019 784960
    696 A.ALMADANI 4 Th L OTISTA 813510
    697 NURMAWATI 37 Th P AM SANGAJI GG ANDIKA RT 017 813140
    698 31/12/2014 SALSABILA F AZ ZAHRAH 7 Th P P.SURAYANATA GG BERKAH RT 030 813664
    699 M.RIZKY SYAREVAL 9 Th L W.MONGONSIDI RT 020 843664
    700 A.MARISI FASHA 3 Th L P.ANTASARI GG 12 NO 33 RT 004 708421
    701 HERRY OSCAR 53 Th L MUSO SALIM NO 68 RT 015 773624
    702 WA TAMU 48 Th P DELIMA RT 051 843544
    703 HERANI 34 Th L KANOI 2 A NO 37 RT 035 813557
    704 DEA SELFIANA 19 Th P RE,M.DINATA GG SEDERHANA RT 021 813690
    705 NURUL ATIKA 32 Th P RE M.DINATA GG MELATI RT 008 723134
    706 ERNI 38 Th P SENTOSA GG 3 NO 66 RT 030 777760
    707 TUTI WINARSIH 41 Th P KS TUBUN GG WIRATIRTA RT 018 813746
    708 SINDRANG 56 Th L AZIS SAMAD RT 035 010909
    709 SITI ROHANI 55 Th P ERY SUPARJAN RT 012 813660
    710 ADI RAHMAN GAZALI 10 Th L GN,LINGAI GG BERKAT RT 005 813754
    711 M.NOOR 29 Th L DR.SOETOMO GG 5 RT 040 813715
    712 UMAR EFENDI 43 Th L DAMANHURI II RT 028 813686
    778
    PASIEN JAMKESDA DI IGD RSUD. A. WAHAB SJAHRANIE SAMARINDA BULAN DESEMBER 2014

    RINCIAN BIA
    No. Peserta Diagnosa Tindakan
    Karcis IGD O2
    8 9 10 11
    DISPEPSYA INJE 75,000 -
    DISPEPSYA EKG,INJEKSI 75,000 -
    GEA RESEP 75,000 -
    FEBRIS PLEB 75,000
    INPARTU VT,DOPPLER 75,000 -
    ASMA NEBU,INJEKSI 75,000 -
    AB.IMMINENS INF.PLEB 75,000 -
    CEPALGIA PLEB 75,000 -
    MOUSE BITE INJEKSI 75,000 -
    SUSP APP INF,PLEB.SUPP 75,000 -
    CONTUSIO MASKULAR RESEP 75,000 -
    GEA PLEB,EKG,INJEKSI 75,000 -
    FEBRIS PLEB,INJEKSI 75,000 -
    FEBRIS RESEP 75,000 -
    FEBRIS PLEB 75,000 -
    FEBRIS PLEB 75,000 -
    DM INF,PLEB,EKG,INJEKSI 75,000 -
    MOUSE BITE INJEKSI 75,000 -
    MOUSE BITE INJEKSI 75,000 -
    DISPEPSYA PLEB 75,000 -
    HT PLEB 75,000 -
    BROCHITIS NEBU 75,000 -
    BSK PLEB,INJEKSI 75,000 -
    DISPEPSYA PLEB,INJEKSI 75,000 -
    BSK PLEB,INJEKSI 75,000 -
    DISPEPSYA INJEKSI 75,000 -
    ASMA NEBU,PLEB 75,000 -
    FEBRIS INF,PLEB 75,000 -
    GASTRITIS INJEKSI 75,000 -
    PULPITIS RESEP 75,000 -
    FEBRIS PLEB 75,000 -
    GASTRITIS INJEKSI 75,000 -
    HEMOROID PLEB 75,000 -
    ASMA NEBU,O2 75,000 32,000
    FEBRIS PLEB 75,000 -
    PJB INF,PLEB,EKG,MONITOR,DC SYOK NGT,KONSUL 75,000 -
    CAT BITE INJEKSI 75,000 -
    FEBRIS PLEB 75,000 -
    ISK RESEP 75,000 -
    VE RESEP 75,000 -
    VL WTH II,INJEKSI 75,000 -
    BLIGHTED OVUM PLEB 75,000 -
    GEA RESEP 75,000 -
    CKD INF,PLEB,O2 75,000 32,000
    INPARTU PLEB,VT,DOPPLER 75,000 -
    DISPEPSYA RESEP 75,000 -
    RETENSIO URINE PASANG CHATETER 75,000 -
    FEBRIS PLEB 75,000 -
    BP NEBU,O2 75,000 32,000
    FEBRIS PLEB 75,000 -
    GEA RESEP 75,000 -
    DISPEPSYA RESEP 75,000 -
    CKD EKG,INJEKSI 75,000 32,000
    ASMA EKG,O2 75,000 32,000
    COLIC PAIN RESEP 75,000 -
    FEBRIS PLEB 75,000 -
    CORPAL IRIGASI MATA 75,000 -
    FEBRIS PLEB 75,000 -
    FEBRIS PLEB 75,000 -
    SUSP APP INF,PLEB,INJEKSI 75,000 -
    COMMOND COLD PLEB 75,000 -
    INPARTU VT,DOPPLER 75,000 -
    ASMA O2 ,NEBU,INJEKSI 75,000 32,000
    VOMITING INF,PLEB,INJEKSI 75,000 -
    VL WTH III,INJEKSI 75,000 -
    HT EKG 75,000 -
    CHF PLEB,O2 EKG 75,000 32,000
    DISPEPSYA PLEB 75,000 -
    ISPA PLEB 75,000 -
    HT INJEKSI 75,000 -
    CORPAL EKSTRASI CORPAL 75,000 -
    DISPEPSYA EKG,INJEKSI 75,000 -
    DERMATITIS ALERGI INJEKSI 75,000 -
    GERD EKG 75,000 -
    ASMA O2 ,NEBU,INJEKSI 75,000 32,000
    ABSES SUB MANDIBULA INF,INJEKSI 75,000 -
    ABSES PLANTAR PEDIS PLEB,INJEKSI 75,000 -
    HT PLEBO,EKG 75,000 -
    DISPEPSYA INJEKSI 75,000 32,000
    GASTRITIS INJEKSI 75,000 -
    FEBRIS INF,PLEB 75,000 -
    OA PLEB,EKG,INJEKSI 75,000 -
    FEBRIS RESEP 75,000 -
    VOMITING INJEKSI 75,000 -
    GEA RESEP 75,000 -
    ISPA NEBU 75,000 -
    FEBRIS INF,PLEB 75,000 -
    ASMA NEBU ,O2 75,000 32,000
    ASMA NEBU,INJEKSI 75,000 -
    BSK PLEBO,EKG 75,000 -
    DISPEPSYA INJEKSI 75,000 -
    URETERITIS RESEP 75,000 -
    MORBILI INF,PLEB 75,000 -
    PAROTITIS RESEP 75,000 -
    SUSP APP INF,PLEB 75,000 -
    BROCHITIS PLEB 75,000 -
    RETENSIO URINE PASANG CHATETER 75,000 -
    ASMA O2 ,NEBU,INJEKSI 75,000 32,000
    DISPEPSYA INJEKSI 75,000 -
    ASMA NEBU 75,000 -
    HT INF,NEBU,EKG,GDS,O2 DC ,O2 75,000 32,000
    GE RESEP 75,000
    DISPEPSYA INJEKSI 75,000 -
    MENOMETROLARGI INJEKSI 75,000 -
    ASMA NEBU,INJEKSI 75,000 -
    TROUMA OCULI RESEP 75,000 -
    ASMA NEBU,INJEKSI 75,000 -
    ISK PLEB 75,000 -
    FEBRIS PLEB 75,000 -
    DISPEPSYA INF,PLEB,INJEKSI 75,000 -
    FEBRIS PLEB 75,000 -
    COLIC URETER PLEB 75,000 -
    FEBRIS RESEP 75,000 -
    CKR KONSUL 75,000 -
    CHF PLEB,EKG,INJEKSI 75,000 -
    HEG PLEB,INJEKSI 75,000 -
    FEBRIS PLEB 75,000 -
    VERTIGO PLEB 75,000 -
    GEA INJEKSI 75,000 -
    GEA INJEKSI 75,000 -
    ISK PLEB 75,000 -
    OED RESEP 75,000 -
    GRAVID PLEB 75,000 -
    DISPEPSYA INJEKSI 75,000 -
    CKD INJEKSI,O2 75,000 32,000
    FEBRIS PLEB 75,000 -
    SUSP KISTA PLEB,INJEKSI 75,000 -
    TONSILITIS PLEB 75,000 -
    DISPEPSYA EKG,INJEKSI 75,000 -
    DOG BITE INJEKSI 75,000 -
    VL WT 75,000 -
    VL WTH II,INJEKSI 75,000 -
    VL WTH II,INJEKSI 75,000 -
    ISPA RESEP 75,000 -
    RETENSIO URINE PASANG CHATETER 75,000 -
    SUSP APP PLEB 75,000 -
    ISK RESEP 75,000 -
    FEBRIS PLEB 75,000 -
    ISPA PHLEB 75,000 -
    TROUMA TROUMA RESEP 75,000
    ASMA NEBU,O2 75,000 32,000
    FEBRIS PLEB 75,000 -
    FR PATELLA PLEB,ELASTIS VERBAN 75,000 -
    COMBOSIO WT 75,000 -
    ASMA NEBU 75,000 -
    VOMITING RESEP 75,000 -
    CKD EKG,INJEKSI 75,000 32,000
    DISPEPSYA EKG,INJEKSI 75,000 -
    ISPA RESEP 75,000 -
    FEBRIS RESEP 75,000 -
    ISK PLEB 75,000 -
    PPOK INJEKSI 75,000 -
    VE WT 75,000 -
    CKR RESEP 75,000 -
    VARICELLA RESEP 75,000 -
    GEA INJEKSI 75,000 -
    CHES PAIN PLEB,EKG,INJEKSI 75,000 -
    KONSTIPASI SUPP 75,000 -
    DISPEPSYA PLEB,INJEKSI 75,000 -
    INPARTU DOPPLER,VT 75,000 -
    VE WT 75,000 -
    GEA RESEP 75,000 -
    FEBRIS PLEB 75,000 -
    GEA INF,PLEB 75,000 -
    DISPEPSYA RESEP 75,000 -
    FEBRIS PLEB 75,000 -
    CKR RESEP 75,000 -
    FEBRIS PLEB,INJEKSI 75,000 -
    FEBRIS INJEKSI 75,000 -
    INPARTU VT,DOPPLER 75,000 -
    BRONCHITIS PLEB,INJEKSI 75,000 -
    BSK PLEB 75,000 -
    HEMAPTOE PLEB,INJEKSI 75,000 -
    INPARTU VT,DOPPLER 75,000 -
    GEA INF,PLEB 75,000 -
    GEA RESEP 75,000 -
    FEBRIS PLEB 75,000 -
    VL WTH III,INJEKSI 75,000 -
    DISPEPSYA EKG,INJEKSI 75,000 -
    HT EKG 75,000 -
    DISPEPSYA EKG,INJEKSI 75,000 32,000
    ISPA RESEP 75,000 -
    FEBRIS PLEB 75,000 -
    HT EKG,INJEKSI 75,000 -
    ISPA RESEP 75,000 -
    ASMA NEBU,O2 75,000 32,000
    HT EKG 75,000 -
    DOG BITE INJEKSI 75,000 -
    VOMITING PLEB,INJEKSI 75,000 -
    GERIATRI INF,PLEB,EKG,INJEKSI 75,000 -
    ISK PLEB 75,000 -
    ASMA NEBU 75,000 -
    ASMA NEBU.O2 EKG,INJEKSI 75,000 32,000
    FARINGITIS INJEKSI 75,000 -
    DISPEPSYA INJEKSI 75,000 -
    VL MULTIPLE HT,INJEKSI 75,000 -
    TB PARU NEBU.O2 EKG,INJEKSI 75,000 32,000
    THYPOID PLEB 75,000 -
    GEA INJEKSI 75,000 -
    GEA RESEP 75,000 -
    GEA PLEB,INJEKSI 75,000 -
    ISPA RESEP 75,000 -
    ALERGI PLEB,INJEKSI 75,000 -
    DISPEPSYA INJEKSI 75,000 -
    ASMA O2,NEBU,INJEKSI 75,000 32,000
    SPAIN SOLDER INF,PLEB,INJEKSI 75,000 -
    FEBRIS PLEB 75,000 -
    GEA INJEKSI 75,000 -
    CORPAL INJEKSI 75,000 -
    ASMA INF,PLEB,NEBU,O2,INJEKSI 75,000 32,000
    VL WTH III,INJEKSI 75,000 -
    ISPA RESEP 75,000 -
    HEMOROID PLEB 75,000 -
    DISPEPSYA INJEKSI 75,000 -
    CLOSE FRAKTUR RESEP 75,000 -
    BSK PLEB,INJEKSI 75,000 -
    DISPEPSYA INJEKSI 75,000 -
    VL WT,INJEKSI 75,000 -
    GEA RESEP 75,000 -
    GASTROPATI PLEB,EKG,INJEKSI 75,000 -
    DISMENORIA PLEB,SUPP 75,000 -
    GEA PLEB,INJEKSI 75,000 -
    VL WTH III,INJEKSI 75,000 -
    FEBRIS PLEB 75,000 -
    DISPEPSYA INJEKSI 75,000 -
    DISPEPSYA INJEKSI 75,000 -
    DISPEPSYA EKG 75,000 -
    RETENSIO URINE PLEB 75,000 -
    MENOMETROLARGI PLEB,INJEKSI 75,000 -
    FEBRIS PLEB,INJEKSI 75,000 -
    BSK SUPP,PLEB,INJEKSI 75,000 -
    INPARTU VT,DOPPLER 75,000 -
    DISPEPSIA EKG,INJEKSI 75,000 -
    TUMOR TESTIS RESEP 75,000 -
    FARINGITIS PLEB 75,000 -
    ABSES PEDIT PLEB,WT,INJEKSI 75,000 -
    COLIC ABDOMEN INJEKSI 75,000
    SINUSITIS INJEKSI 75,000
    CEPALGIA INJEKSI 75,000 -
    GASTRITIS EKG,PLEB,INJEKSI 75,000 -
    DYSPEPSIA PLEB,INJEKSI 75,000
    INPARTU NEBU,O2 75,000 -
    ASMA NEBU,INJEKSI 75,000
    ASMA NEBU,EKG,INJEKSI 75,000 -
    FEBRIS PLEB,INF.SUPP 75,000 -
    ISPA PLEB 75,000
    INPARTU VT,DOPPLER 75,000 -
    ISPA PLEB 75,000
    MUSCLE STRAIN INF,INJ,PLEB,EKG 75,000
    PAROTITIS RESEP 75,000 -
    ISPA PLEB,INJEKSI 75,000 -
    HEG PLEB,INJEKSI 75,000
    FEBRIS INF,PLEB,EKG,INJEKSI 75,000 -
    BSK PLEB,SUPP,EKG 75,000 -
    VE WT 75,000 -
    EPISTAKSIS PLEB 75,000 -
    ISK INF PLEB,INJEKSI 75,000 -
    VERTIGO EKG,INJEKSI 75,000 -
    ASMA O2,NEBU,INJEKSI 75,000 32,000
    VOMITING INF,PLEB,EKG,INJEKSI 75,000 -
    COLC ABD INF,PLEB,EKG,INJEKSI 75,000 -
    SYOK KARDIOGENIK RJP,INF,PLEB,EKG,O2 75,000 32,000
    TROUMA IRIGASI 75,000 -
    INPARTU VT,PLEB,PLEB 75,000 -
    SELULITIS INF,PLEB,EKG 75,000 -
    V.CHTUM WTH II,INJEKSI 75,000 -
    GERD PLEB,EKG,INJEKSI 75,000 -
    FEBRIS PLEB,INJEKSI 75,000 -
    ASMA NEBU,EKG,O2 75,000 -
    VOMITING PLEB,INJEKSI 75,000 -
    VOMITING RESEP 75,000 -
    V.CHTUM CROSS INSISIS,INJEKSI 75,000 -
    DHF PLEB 75,000 -
    ISPA PLEB 75,000 -
    ISPA NEBU 75,000 -
    ISPA PLEB 75,000 -
    CONTOSIO MASKULAR RESEP 75,000 -
    VERTIGO EKG,INJEKSI 75,000 -
    FARINGITIS RESEP 75,000 -
    V.CHTUM CROSS INSISIS,INJEKSI 75,000 -
    HNP PLEB,EKG,INJEKSI 75,000 -
    DERMATITIS ALERGI RESEP 75,000 -
    LBP PLEB,INJEKSI 75,000 -
    MYALGIA INJEKSI 75,000 -
    ASMA NEBU 75,000 -
    VOMITING RESEP 75,000 -
    GEA EKG,PLEB,INJEKSI 75,000 -
    VERTIGO EKG,PLEB,INJEKSI 75,000 -
    ASMA NEBU,INJEKSI 75,000 -
    ASMA NEBU,EKG,INJEKSI 75,000 -
    ISK PLEB,INJEKSI 75,000 -
    GEA RESEP 75,000 -
    V.CHTUM CROSS INSISIS,INJEKSI 75,000 -
    VOMITING INJEKSI 75,000 -
    CEPALGIA EKG,PLEB,INJEKSI 75,000 -
    VERTIGO EKG,PLEB,INJEKSI 75,000 -
    FEBRIS INJEKSI 75,000 -
    ASMA O2,NEBU,INJEKSI 75,000 32,000
    FEBRIS RESEP 75,000 -
    ISPA RESEP 75,000 -
    GASTROPATI EKG,PLEB,INJEKSI 75,000 -
    SUSP OA INJEKSI 75,000 -
    FEBRIS PLEB 75,000 -
    CORPAL IRIGASI MATA 75,000 -
    V.ICTHUM WT,CROSS INSISI,INJEKSI 75,000 -
    SCABIES RESEP 75,000 -
    SUSP ISK PLEB 75,000 -
    FEBRIS PLEB 75,000 -
    ORCHITIS RESEP 75,000 -
    OA PLEBO,EKG 75,000 -
    ISPA PLEB 75,000 -
    TROUMA RESEP 75,000
    DISPEPSYA RESEP 75,000 -
    CORPAL EXTRASI CORPAL 75,000 -
    FEBRIS NEBU 75,000 -
    ASMA NEBU 75,000
    DYSPEPSIA INJEKSI 75,000 -
    FEBRIS PLEB 75,000 -
    DYSPEPSIA EKG,PLEB,INJEKSI 75,000
    DISPEPSIA EKG,PLEB,INJEKSI 75,000 -
    CKR RESEP 75,000 -
    FEBRIS RESEP 75,000 -
    ISK PLEB 75,000 -
    FEBRIS RESEP 75,000 -
    FEBRIS RESEP 75,000 -
    TUMOR COLI RESEP 75,000 -
    ASMA NEBU 75,000 -
    ISPA PLEB,SUPP 75,000 -
    FEBRIS PLEB 75,000 -
    GEA INJEKSI 75,000 -
    FEBRIS INJEKSI 75,000 -
    ASMA NEBU,INJEKSI 75,000 -
    INPARTU VT,DOPPLER 75,000
    LBP INF,INJEKSI 75,000 -
    HT PLEBO,EKG 75,000
    ASMA O2,NEBU,INJEKSI 75,000 32,000
    FEBRIS PLEB,INJEKSI 75,000 -
    GEA PLEB 75,000 -
    TONSILITIS PLEB 75,000 -
    DISPEPSIA EKG,PLEB,INJEKSI 75,000 -
    ISCHALGIA INJEKSI 75,000 -
    HEMAPTOE INF,PLEB,EKG,INJEKSI 75,000 -
    DYSPEPSIA EKG,PLEB,INJEKSI 75,000 -
    GAUT ARTHITIS EKG 75,000
    ASMA O2,NEBU,INJEKSI 75,000 32,000
    V.ICTHUM WT,CROSS INSISI,INJEKSI 75,000
    COLIC RENALA PLEB,EKG,INJEKSI 75,000 -
    DYSPEPSIA SUPP,INJEKSI 75,000 -
    ISK PLEB 75,000 -
    LBP INF,INJEKSI 75,000 -
    ASMA NEBU 75,000 -
    DYSPEPSIA INJEKSI 75,000 -
    FEBRIS INF,PLEB 75,000 -
    ISPA RESEP 75,000 -
    MYALGIA PLEBO,EKG 75,000 -
    DM EKG,PLEB,INJEKSI 75,000 -
    PPOK NEBU,NEBU,O2,INJEKSI 75,000 32,000
    BSK PLEB 75,000 -
    VL INJEKSI 75,000 -
    PLEB PLEB 75,000 -
    COMMON COLD RESEP 75,000 -
    BSK PLEB 75,000
    DYSPEPSIA INJEKSI 75,000
    ISPA ISPA 75,000 -
    FEBRIS RESEP 75,000 -
    ASMA NEBU,INJEKSI 75,000 -
    RETENSIO URINE PLEB,DC 75,000 -
    INPARTU VT,DOPPLER 75,000 32,000
    GEA INJEKSI 75,000 -
    VL WT,HT,INJEKSI 75,000 -
    GEA INF.PLRB,INJEKSI 75,000 -
    CKR INJEKSI 75,000 -
    ASMA NEBU 75,000
    GEA RESEP 75,000
    CKD EKG,PLEB,INJEKSI 75,000 32,000
    INPARTU VT,DOPPLER 75,000
    DYSPEPSIA INJEKSI 75,000 -
    HIPASPADIA PLEB,DC 75,000
    BSK PLEB 75,000 -
    DYSPEPSIA EKG,INJEKSI 75,000
    VOMITING PLEB,INJEKSI 75,000
    BSK PLEB,INJEKSI 75,000
    TRAUMA KAPITIS RESEP 75,000
    INPARTU VT,DOPPLER 75,000
    DYSPEPSIA EKG,INJEKSI 75,000 -
    ASMA O2,NEBU,INJEKSI 75,000 32,000
    DYSPEPSIA PLEB 75,000
    DYSPEPSIA PLEB 75,000
    PENURUNAN KESADARAN INF,PLEB,MONITOR,EKG,O2 75,000 32,000
    CKD OKSIGEN,INJEKSI 75,000 32,000
    CKR RESEP 75,000
    CLOSE FRAKTUR INF,PLEB,SPALK,KONSUL 75,000
    PEUMONIA INF,PLEB,EKG,RJP ,O2 75,000 32,000
    INPARTU VT,DOPPLER 75,000 -
    VOMITING INF,PLEB 75,000
    CORPUS ALIENIUM IRIGASI MATA 75,000
    DYSPEPSIA PLEB,INJEKSI 75,000
    FEBRIS RESEP 75,000
    GASTRITIS INJEKSI 75,000 -
    SNH INF,PLEB 75,000
    COLIC ABDOMEN PLEB 75,000 -
    ISK PLEB 75,000 -
    FEBRIS PLEB,INJEKSI 75,000
    VOMITING RESEP 75,000
    VERTIGO EKG,PLEB,INJEKSI 75,000 -
    COMMON COLD RESEP 75,000
    CEPALGIA RESEP 75,000
    BSK INJEKSI 75,000
    KONVULSI INJEKSI 75,000
    VARICELLA RESEP 75,000
    HT EKG 75,000
    ASMA NEBU,INJEKSI 75,000
    ISPA PLEB 75,000
    GASTRITIS INJEKSI 75,000 -
    LBP INJEKSI 75,000 -
    CEPALGIA RESEP 75,000
    MYALGIA PLEB 75,000
    RETENSIO URINE PASANG CHATETER 75,000
    VL WTH III,INJEKSI 75,000
    ASMA NEBU,INJEKSI 75,000 -
    ABSES REG COLI RESEP 75,000
    VL WTH III,INJEKSI 75,000 -
    ISPA PLEB 75,000
    VL WTH ,WT,INJEKSI 75,000 -
    TONSILITIS PLEB 75,000
    HEG PLEB 75,000
    ASMA NEBU,O2 75,000 32,000
    FEBRIS RESEP 75,000 -
    ISPA RESEP 75,000
    CEPALGIA PLEB,INJEKSI 75,000
    FEBRIS PLEB 75,000
    ISPA RESEP 75,000
    TONSILITIS PLEB 75,000
    COLIC ABDOMEN PLEB,INJEKSI 75,000
    DSK INF,PLEB,EKG 75,000
    BSK RESEP 75,000
    ISK SUPP,EKG,PLEB 75,000
    ISK EKG,PLEB,INJEKSI 75,000
    PJB EKG,O2,PLEB 75,000 32,000
    HT EKG,PLEB,INJEKSI 75,000
    FEBRIS PLEB,SUPP 75,000
    GEA EKG,PLEB,INJEKSI 75,000 -
    DYSPEPSIA INJEKSI 75,000
    KONVULSI PLEB 75,000
    MORBILI PLEB,INJEKSI 75,000
    DERMATITIS ALERGI PLEB 75,000
    GINGGIVITIS RESEP 75,000
    V.ICTHUM INJEKSI 75,000
    INPARTU PLEB 75,000
    ASMA NEBU 75,000 -
    V.ICTHUM CROSS INSISIS,INJEKSI 75,000
    FARINGITIS RESEP 75,000
    CAT BITE INJEKSI 75,000
    GASTRITIS PLEB,EKG,INJEKSI 75,000 -
    BSK INF,PLEB,EKG 75,000 -
    FEBRIS INF,PLEB 75,000
    PPOK EKG,NEBU,PLEB,INJEKSI 75,000
    ISPA NEBU 75,000 -
    ASMA PLEB,NEBU 75,000
    CKD EKG,O2,INJ,PLEB 75,000 32,000
    GEA RESEP 75,000
    CEPALGIA RESEP 75,000
    FEBRIS PLEB 75,000
    ISK PLEB 75,000
    ASMA NEBU,O2 75,000 32,000
    SNH RJP,MONITOR,GDS INF,INJEKSI,O2 75,000 32,000
    ISK PLEB 75,000
    INPARTU PLEB 75,000
    OTALGIA RESEP 75,000
    DYSPEPSIA PLEB 75,000
    ISPA PLEB 75,000
    VE WT,INJEKSI 75,000
    ASMA NEBU 75,000
    SUSP FISTEL KONSUL 75,000
    COLIC ABDOMEN PLEB 75,000
    ASMA NEBU 75,000
    ISPA RESEP 75,000
    URTIKARIA INJEKSI 75,000
    MORBILI INF,PLEB 75,000
    FEBRIS RESEP 75,000
    DYSPEPSIA INJEKSI 75,000
    MORBILI PLEB 75,000
    GEA RESEP 75,000 -
    FEBRIS RESEP 75,000 -
    ASMA EKG,NEBU,PLEB,INJEKSI 75,000
    FEBRIS PLEB 75,000
    FEBRIS RESEP 75,000
    KONSTIPASI SUPP 75,000
    OTITIS EKTRA RESEP 75,000
    TONSILITIS RESEP 75,000
    DYSPEPSIA EKG,INJEKSI 75,000
    TONSILITIS PLEB,EKG,INJEKSI 75,000
    ISK PLEB 75,000 -
    INPARTU VT,DOPPLER 75,000
    KDS RESEP 75,000
    PENURUNAN KESADARAN INF,PLEB,EKG,INJEKSI 75,000
    FEBRIS RESEP 75,000
    URTIKARIA INJEKSI 75,000
    FEBRIS PLEB 75,000
    VE RESEP 75,000 -
    FEBRIS RESEP 75,000
    MORBILI PLEB 75,000
    BROCHITIS PLEB 75,000
    DYSPEPSIA INJEKSI 75,000
    ASMA NEBU 75,000
    BSK PLEB,INJEKSI 75,000
    TONSILITIS PLEB 75,000 -
    KDS PLEB 75,000
    FEBRIS PLEB 75,000
    VERTIGO INJEKSI 75,000
    GASTRITIS INJEKSI 75,000
    DISLOKASI RESEP 75,000
    FEBRIS PLEB,INJEKSI 75,000
    HEMAPTOE PLEB 75,000 -
    MYALGIA EKG 75,000
    HEMAPTOE PLEB,INJEKSI 75,000
    ISK PLEB 75,000
    HEMAPTOE PLEB 75,000
    TONSILITIS INJEKSI 75,000
    FEBRIS RESEP 75,000
    CEPALGIA RESEP 75,000 -
    VL WTH II,INJEKSI 75,000
    FARINGITIS RESEP 75,000
    DYSPEPSIA RESEP 75,000
    VL WTH II,INJEKSI 75,000
    OFEN FRAKTUR WTH III,INJEKSI 75,000 -
    HEMAPTOE PLEB,INJEKSI 75,000
    ASMA EKG,NEBU,PLEB,INJEKSI 75,000
    VOMITING INF,PLEB 75,000 -
    DYSPEPSIA PLEB,INJEKSI 75,000
    DISPEPSYA PLEB,INJEKSI 75,000
    EPITAKSIS RESEP 75,000 -
    GEA PLEB 75,000
    SINCOPE RESEP 75,000
    EPITAKSIS EKG 75,000
    FEBRIS RESEP 75,000 -
    FEBRIS RESEP 75,000
    INPARTU VT,DOPPLER 75,000 -
    GEA RESEP 75,000
    DYSPEPSIA INJEKSI 75,000
    ASMA NEBU RESEP 75,000
    VERTIGO INJEKSI 75,000
    ISPA RESEP 75,000
    BSK PLEB,INJEKSI 75,000 -
    HEG PLEB 75,000
    CKR RESEP 75,000
    COMMON COLD PLEB 75,000
    DISPEPSYA PLEB,INJEKSI 75,000
    CORPUS ALIENIUM IRIGASI MATA 75,000
    HEMATEMESIS INF,PLEB,EKG,INJEKSI 75,000
    ASMA NEBU,O2 75,000 32,000
    VOMITING INF,PLEB,INJEKSI 75,000
    FEBRIS PLEB 75,000 -
    DYSPEPSIA INJEKSI 75,000
    ISCHALGIA RESEP 75,000
    COLIC ABDOMEN PLEB,INJEKSI 75,000
    ISPA PLEB 75,000
    GERD EKG,INJEKSI 75,000 -
    FEBRIS PLEB 75,000
    MELENA INF,PLEB,EKG,INJEKSI 75,000
    ISPA PLEB 75,000
    ISK PLEB 75,000 -
    ISPA PLEB 75,000
    ISPA RESEP 75,000
    BSK PLEB,INJEKSI 75,000
    ISK PLEB 75,000 -
    ISPA PLEB 75,000
    FEBRIS SUPP 75,000
    KDS INF,PLEB,SUPP 75,000
    ISK PLEB,SUPP 75,000
    DISPEPSYA INJEKSI 75,000
    HEG RESEP 75,000
    ASMA O2,NEBU,INJEKSI 75,000 32,000
    GASTRITIS EKG,PLEB,INJEKSI 75,000 -
    BSK PLEB,EKG,INJEKSI 75,000
    VL WTH IV,INJEKSI 75,000
    CEPALGIA INJEKSI 75,000 -
    ISPA RESEP 75,000
    ASMA NEBU 75,000 32,000
    FEBRIS SUPP 75,000
    GEA INJEKSI 75,000 -
    FEBRIS RESEP 75,000
    GEA RESEP 75,000
    FEBRIS PLEB 75,000
    FEBRIS PLEB 75,000
    DISPEPSYA INJEKSI 75,000
    TB.PARU PLEB 75,000
    VOMITING RESEP 75,000 -
    VOMITING INJEKSI 75,000
    VOMITING INJEKSI 75,000
    FEBRIS PLEB 75,000
    FEBRIS PLEB 75,000
    HT EKG,INJEKSI 75,000
    ASMA NEBU,O2 75,000 32,000
    KDS RESEP 75,000
    COLIC ABDOMEN INJEKSI 75,000 -
    FEBRIS INF,PLEB,EKG 75,000
    ASMA O2,NEBU,INJEKSI 75,000 32,000
    CONTUSIO RESEP 75,000
    VOMITING INF,PLEB,INJEKSI 75,000
    CHF INF,INJEKSI 75,000
    INPARTU VT,DOPPLER 75,000
    GEA EKG,PLEB,INJEKSI 75,000
    DYSPEPSIA INF,PLEB 75,000
    CKR RESEP 75,000
    CEPALGIA INJEKSI 75,000 -
    RETENSIO URINE PASANG CHATETER 75,000
    DYSPEPSIA INF,INJEKSI 75,000
    GERD INJEKSI 75,000
    TONSILITIS PLEB 75,000
    BSK RESEP 75,000
    VOMITING INJEKSI 75,000
    ASMA NEBU,O2 75,000 32,000
    FEBRIS PLEB,EKG,INJEKSI 75,000
    DISPEPSYA INF,PLEB 75,000
    FEBRIS PLEB 75,000
    ISPA RESEP 75,000
    CEPALGIA RESEP 75,000
    INPARTU PLEB,VT,DOPPLER 75,000
    ASMA O2,NEBU,INJEKSI 75,000 32,000
    HEMAPTOE PLEB 75,000
    V.ICTHUM CROSS INSISIS,INJEKSI 75,000
    DISPEPSYA INJEKSI 75,000
    CKD 2 75,000 32,000
    VL WTH III,INJEKSI 75,000
    CHEST PAIN PLEB 75,000
    ASMA O2,NEBU,INJEKSI 75,000 32,000
    DISPEPSYA INJEKSI 75,000 -
    GASTRITIS INJEKSI 75,000
    FEBRIS PLEB 75,000
    ISCHALGIA INF,PLEB,EKG,INJEKSI 75,000
    POST SC GV 75,000
    HEG INJEKSI 75,000 -
    TB.PARU INJEKSI 75,000
    SUSP APP INF,PLEB,INJEKSI 75,000 -
    HT EKG 75,000
    ISK PLEB 75,000
    FEBRIS PLEB 75,000
    VOMITING RESEP 75,000
    INPARTU VT,DOPPLER 75,000
    OPEN FRAKTUR WTH II,INJEKSI 75,000
    CKD 2 75,000 32,000
    PULPITIS RESEP 75,000 -
    DYSPEPSIA INJEKSI 75,000
    DISPEPSYA EKG,INJEKSI 75,000
    INPARTU PLEB,VT,DOPPLER 75,000 -
    GEA INJEKSI 75,000
    VERTIGO PLEB,EKG,INJEKSI 75,000
    CEPALGIA INJEKSI 75,000
    COLIC ABDOMEN PLEB,SUPP 75,000
    BITE DOG WT,INJEKSI 75,000
    VL WTH IV,INJEKSI 75,000
    BSK PLEB,SUPP 75,000
    ASMA O2,NEBU,INJEKSI 75,000 32,000
    DISPEPSIA INJEKSI 75,000 -
    VERTIGO INJEKSI 75,000 -
    KDS PLEB,O2 75,000 32,000
    FEBRIS RESEP 75,000
    PPOK INF,NEBU,EKG,PLEB 75,000
    FARINGITIS RESEP 75,000
    DYSPEPSIA PLEB,EKG,INJEKSI 75,000
    BSK PLEB 75,000
    COLIC ABDOMEN PLEB 75,000
    GEA RESEP 75,000
    GEA INJEKSI 75,000
    DYSPEPSIA EKG,PLEB,INJEKSI 75,000
    EFILEFSI RESEP 75,000
    CKD 02,INJEKSI 75,000 32,000
    COLIC ABDOMEN PLEB 75,000
    ISK PLEB 75,000
    HEMAPTOE RESEP 75,000
    HERPES INJEKSI 75,000
    FEBRIS PLEB,INJEKSI 75,000
    BSK PLEB 75,000
    BSK PLEB 75,000
    GEA RESEP 75,000
    BROCHITIS O2,NEBU,INJEKSI 75,000 32,000
    FARINGITIS RESEP 75,000
    HT PLEBO,EKG 75,000
    INPARTU VT,DOPPLER 75,000
    VL WTH III,INJEKSI 75,000
    HT EKG,INJEKSI 75,000
    CORPAL INJEKSI 75,000
    DISPEPSIA INJEKSI 75,000
    INPARTU VT,DOPPLER 75,000
    BSK PLEB,INJEKSI 75,000
    HHF INF,PLEB,EKG,INJEKSI 75,000 32,000
    INPARTU VT,DOPPLER 75,000
    FEBRIS RESEP 75,000
    DYSPEPSIA EKG,INJEKSI 75,000 32,000
    DISPEPSYA INJEKSI 75,000
    DYSPEPSIA INJEKSI 75,000
    FEBRIS PLEBO,EKG 75,000
    HT PLEBO,EKG 75,000
    VL WTH II,INJEKSI 75,000
    TENEA CAPITIS RESEP 75,000
    INPARTU VT,DOPPLER 75,000
    VOMITING RESEP 75,000
    VES RESEP 75,000
    ISPA PLEB 75,000
    CAD PLEBO,EKG 75,000
    TB.PARU PLEB,EKG,INJEKSI 75,000 -
    BP RESEP 75,000
    CEPALGIA PLEB 75,000
    DYSPEPSIA EKG 75,000
    GEA INJEKSI 75,000
    ISK PLEB 75,000
    ASMA NEBU,O2 75,000 32,000
    DYSPEPSIA PLEB,INJEKSI 75,000
    CEPALGIA PLEB 75,000
    DYSPEPSIA PLEB,INJEKSI 75,000
    GEA RESEP 75,000
    41,250,000 1,280,000
    MBER 2014

    RINCIAN BIAYA
    JUMLAH
    Konsul dr.spesialis jasa konsul Js rumah sakit BHP Js pelaynan
    14 12 13 14 15 16
    - - 44,800 7,000 35,200 162,000
    - - 134,400 23,500 105,600 338,500
    - - - - - 75,000
    - - 44,800 10,000 35,200 165,000
    - - 89,600 25,000 70,400 260,000
    - - 134,400 22,000 105,600 337,000
    - - 134,400 25,000 105,600 340,000
    - - 44,800 10,000 35,200 165,000
    - - 44,800 7,000 35,200 162,000
    - - 179,200 28,000 140,800 423,000
    - - - - - 75,000
    - - 179,200 33,500 140,800 428,500
    - - 89,600 17,000 70,400 252,000
    - - - - - 75,000
    - - 44,800 10,000 35,200 165,000
    - - 44,800 10,000 35,200 165,000
    - - 179,200 32,000 140,800 427,000
    - - 44,800 7,000 35,200 162,000
    - - 44,800 7,000 35,200 162,000
    - - 44,800 10,000 35,200 165,000
    - - 44,800 10,000 35,200 165,000
    - - 89,600 15,000 70,400 250,000
    - - 89,600 17,500 70,400 252,500
    - - 89,600 17,000 70,400 252,000
    - - 89,600 17,000 70,400 252,000
    - - 44,800 7,000 35,200 162,000
    - - 134,400 25,000 105,600 340,000
    DR.TJAN KOK MING 75,000 134,400 25,000 105,600 415,000
    - - 44,800 7,000 35,200 162,000
    - - - - - 75,000
    - - 44,800 10,000 32,500 162,300
    - - 44,800 7,000 35,200 162,000
    - - 44,800 10,000 35,200 165,000
    - - 89,600 15,000 70,400 282,000
    - - 44,800 10,000 35,200 165,000
    DR.ENNY 75,000 739,200 134,000 580,800 1,604,000
    - - 44,800 7,000 35,200 162,000
    - - - - - 75,000
    - - - - - 75,000
    DR.ATOB 75,000 - - - 150,000
    - - 134,400 37,000 105,600 352,000
    - - 44,800 10,000 35,200 165,000
    - - - 75,000
    - - 134,400 25,000 105,600 372,000
    - - 134,400 35,000 105,600 350,000
    - - - - - 75,000
    - - 89,600 20,000 70,400 255,000
    - - 44,800 10,000 35,200 165,000
    - - 89,600 15,000 70,400 282,000
    - - 44,800 10,000 35,200 165,000
    - - - - - 75,000
    - - - - - 75,000
    - - 134,400 23,500 105,600 370,500
    - - 89,600 16,500 70,400 283,500
    - - - - - 75,000
    - - 44,800 10,000 35,200 165,000
    - - 44,800 10,000 35,200 165,000
    - - 44,800 10,000 35,200 165,000
    - - 44,800 10,000 35,200 165,000
    DR.FRITZ 75,000 179,200 32,000 140,800 502,000
    - - 44,800 10,000 35,200 165,000
    - - 89,600 25,000 70,400 260,000
    - - 134,400 22,000 105,600 369,000
    - - 179,200 32,000 140,800 427,000
    - - 134,400 57,000 105,600 372,000
    - - 89,600 16,500 70,400 251,500
    - - 134,400 26,500 105,600 373,500
    DR.FRITZ 75,000 44,800 10,000 35,200 240,000
    - - 44,800 10,000 35,200 165,000
    - - 44,800 7,000 35,200 162,000
    - - 44,800 7,000 35,200 162,000
    - - 134,400 23,500 105,600 338,500
    - - 44,800 7,000 35,200 162,000
    - - 89,600 16,500 70,400 251,500
    - - 134,400 22,000 105,600 369,000
    DR.FRITZ 75,000 134,400 22,000 105,600 412,000
    - - 89,600 17,000 70,400 252,000
    - - 134,400 26,500 105,600 341,500
    - - 44,800 7,000 35,200 194,000
    - - 44,800 7,000 35,200 162,000
    - - 134,400 25,000 105,600 340,000
    - - 179,000 33,500 140,800 428,300
    - - - 75,000
    - - 44,800 7,000 35,200 162,000
    - - - - - 75,000
    - - 89,600 15,000 70,400 250,000
    - - 134,400 25,000 105,600 340,000
    - - 89,600 22,000 105,600 324,200
    - - 134,400 22,000 105,600 337,000
    - - 134,400 26,500 105,600 341,500
    - - 44,800 7,000 35,200 162,000
    DR.BOYKE 75,000 - - - 150,000
    DR.TJAN KOK MING 75,000 134,400 25,000 105,600 415,000
    - - - - - 75,000
    - - 134,400 25,000 105,600 340,000
    - - 44,800 10,000 35,200 165,000
    - - 89,600 20,000 70,400 255,000
    - - 134,400 22,000 105,600 369,000
    - - 44,800 7,000 35,200 162,000
    - - 89,600 15,000 70,400 250,000
    - - 448,000 86,500 427,000 1,068,500
    - - - - - 75,000
    - - 44,800 7,000 35,200 162,000
    - - 44,800 7,000 35,200 162,000
    - - 134,400 22,000 105,600 337,000
    - - - - - 75,000
    - - 134,400 22,000 105,600 337,000
    - - 44,800 10,000 35,200 165,000
    - - 44,800 10,000 35,200 165,000
    - - 224,000 38,500 251,000 588,500
    - - 44,800 10,000 35,200 165,000
    DR.BOYKE 75,000 44,800 10,000 35,200 240,000
    - - - - - 75,000
    DR.GRACE 75,000 - - - 150,000
    - - 179,200 33,500 140,800 428,500
    - - 89,600 17,000 70,400 252,000
    - - 44,800 10,000 35,200 165,000
    - - 44,800 10,000 35,200 165,000
    - - 44,800 7,000 35,200 162,000
    - - 44,800 7,000 35,200 162,000
    - - 44,800 10,000 35,200 165,000
    - - - - - 75,000
    - - 44,800 10,000 35,200 165,000
    - - 44,800 7,000 35,200 162,000
    - - 44,800 7,000 35,200 194,000
    - - 44,800 10,000 35,200 165,000
    - - 89,600 17,000 70,400 252,000
    - - 44,800 10,000 35,200 165,000
    - - 134,400 23,500 105,600 338,500
    - - 44,800 7,000 35,200 162,000
    - - 44,800 20,000 35,200 175,000
    DR.DADIK 75,000 89,600 37,000 70,400 347,000
    DR.YASSER 75,000 89,600 37,000 70,400 347,000
    - - - - - 75,000
    - - 89,600 20,000 70,400 255,000
    DR.MANGALINDUNG 75,000 44,800 10,000 35,200 240,000
    - - - - - 75,000
    - - 44,800 10,000 35,200 165,000
    - - 44,800 10,000 35,200 165,000
    - - - - - 75,000
    - - 89,600 15,000 70,400 282,000
    - - 44,800 10,000 35,200 165,000
    DR.YASER 75,000 89,600 10,000 70,400 320,000
    DR.DADIK 75,000 44,800 20,000 35,200 250,000
    - - 89,600 15,000 70,400 250,000
    - - - - - 75,000
    - - 134,400 23,500 105,600 370,500
    - - 134,400 23,500 105,600 338,500
    - - - - - 75,000
    - - - - - 75,000
    44,800 10,000 35,200 165,000
    - - 44,800 10,000 35,200 165,000
    44,800 20,000 35,200 175,000
    - - - - - 75,000
    - - - 75,000
    - - 44,800 7,000 35,200 162,000
    179,200 33,500 140,800 428,500
    - - 44,800 3,000 35,200 158,000
    89,600 17,000 70,400 252,000
    - - 89,600 25,000 70,400 260,000
    - - 44,800 20,000 35,200 175,000
    - - - - - 75,000
    44,800 10,000 35,200 165,000
    - - 134,400 25,000 105,600 340,000
    - - - 75,000
    - - 89,600 20,000 70,400 255,000
    - - - - - 75,000
    - - 89,600 17,000 70,400 252,000
    - - 44,800 7,000 35,200 162,000
    - - 89,600 25,000 70,400 260,000
    - - 89,600 17,000 70,400 252,000
    - - 44,800 10,000 35,200 165,000
    - - 89,600 17,000 70,400 252,000
    - - 89,600 25,000 70,400 260,000
    - - 134,400 25,000 105,600 340,000
    - - - - - 75,000
    - - 44,800 10,000 35,200 165,000
    - - 134,400 57,000 105,600 372,000
    - - 134,400 23,500 105,600 338,500
    - - 89,600 16,500 70,400 251,500
    - - 134,400 23,500 105,600 370,500
    - - - - - 75,000
    - - 44,800 10,000 35,200 165,000
    - - 134,400 23,500 105,600 338,500
    - - - - - 75,000
    - - 89,600 15,000 70,400 282,000
    - - 89,600 16,500 70,400 251,500
    - - 44,800 7,000 35,200 162,000
    - - 89,600 17,000 70,400 252,000
    - - 268,800 48,500 211,200 603,500
    - - 44,800 10,000 35,200 165,000
    - - 89,600 15,000 70,400 250,000
    - - 224,000 38,500 176,000 545,500
    - - 44,800 7,000 35,200 162,000
    - - 44,800 7,000 35,200 162,000
    DR.ATOB 75,000 403,200 13,200 466,800 1,033,200
    - - 224,000 38,500 176,000 545,500
    - - 44,800 10,000 35,200 165,000
    - - 44,800 70,000 35,200 225,000
    - - - - - 75,000
    - - 89,600 17,000 70,400 252,000
    - - - - - 75,000
    DR.DARWIN 75,000 89,600 17,000 70,400 327,000
    - - 44,800 7,000 35,200 162,000
    - - 134,400 22,000 105,600 369,000
    DR.YASSER 75,000 179,200 32,000 140,800 502,000
    - - 44,800 10,000 35,200 165,000
    - - 44,800 7,000 35,200 162,000
    - - 44,800 7,000 35,200 162,000
    - - 268,800 42,000 211,200 629,000
    - - 134,400 57,000 105,600 372,000
    - - - - - 75,000
    - - 44,800 10,000 35,200 165,000
    - - 44,800 7,000 35,200 162,000
    - - - - - 75,000
    - - 89,600 17,000 70,400 252,000
    - - 44,800 7,000 35,200 162,000
    - - 89,600 27,000 70,400 262,000
    - - - - - 75,000
    - - 179,200 33,500 140,800 428,500
    - - 89,600 13,000 70,400 248,000
    - - 89,600 17,000 70,400 252,000
    DR.YASSER 75,000 134,400 57,000 105,600 447,000
    - - 44,800 10,000 35,200 165,000
    - - 44,800 70,000 35,200 225,000
    - - 44,800 7,000 35,200 162,000
    - - 89,600 16,500 70,400 251,500
    - - 44,800 10,000 35,200 165,000
    - - 89,600 17,000 70,400 252,000
    - - 89,600 17,000 70,400 252,000
    - - 134,400 20,000 105,600 335,000
    - - 89,600 25,000 70,500 260,100
    - - 44,800 10,000 35,200 165,000
    - - - - - 75,000
    - - 44,800 10,000 35,200 165,000
    DR.ATOB 75,000 134,400 37,000 105,600 427,000
    - - 48,000 7,000 35,200 165,200
    - - 44,800 7,000 35,200 162,000
    - - 44,800 7,000 35,200 162,000
    - - 179,200 33,500 140,800 428,500
    - - 89,600 17,000 70,400 252,000
    - - 89,600 25,000 70,400 260,000
    - - 134,400 22,000 105,600 337,000
    - - 224,000 38,500 176,000 513,500
    - - 179,200 28,000 140,800 423,000
    - - 44,800 10,000 35,200 165,000
    - - 89,600 25,000 70,400 260,000
    - - 44,800 10,000 35,200 165,000
    - - 268,800 48,500 211,200 603,500
    - - - - - 75,000
    - - 89,600 17,000 70,400 252,000
    - - 89,600 17,000 70,400 252,000
    - - 268,800 48,500 211,200 603,500
    - - 134,400 26,500 105,600 341,500
    - - 44,800 20,000 35,200 175,000
    - - 44,800 10,000 35,200 165,000
    - - 179,200 32,000 140,800 427,000
    - - 134,400 23,500 105,600 338,500
    - - 134,400 22,000 105,600 369,000
    - - 268,800 48,500 211,200 603,500
    - - 268,800 48,500 211,200 603,500
    DR.SATRIA/DJOEN 150,000 268,800 48,500 211,200 785,500
    - - - - - 75,000
    - - 134,400 35,000 105,600 350,000
    - - 224,000 41,500 211,500 552,000
    - - 134,400 57,000 105,600 372,000
    - - 179,200 33,500 140,800 428,500
    - - 179,200 33,500 140,800 428,500
    - - 179,200 32,500 140,800 427,500
    - - 89,600 17,000 70,400 252,000
    - - - - - 75,000
    - - 44,800 20,000 35,200 175,000
    - - 44,800 10,000 35,200 165,000
    - - 44,800 10,000 35,200 165,000
    - - 89,600 32,000 140,800 337,400
    - - 44,800 10,000 352,000 481,800
    DR.GREG 75,000 - 150,000
    - - 134,400 23,500 105,600 338,500
    - - - - - 75,000
    - - 89,600 27,000 70,400 262,000
    - - 179,200 33,500 140,800 428,500
    - - - - - 75,000
    - - 89,600 17,000 70,400 252,000
    - - 44,800 7,000 35,200 162,000
    - - 89,600 15,000 70,400 250,000
    - - - - - 75,000
    - - 179,200 33,500 140,800 428,500
    - - 179,200 33,500 140,800 428,500
    - - 134,400 22,000 105,600 337,000
    - - 224,000 38,500 176,000 513,500
    - - 89,600 17,000 70,400 252,000
    - - - - - 75,000
    - - 89,600 27,000 70,400 262,000
    - - 44,800 7,000 35,200 162,000
    - - 179,200 33,500 140,800 428,500
    - - 179,200 33,500 140,800 428,500
    - - 44,800 7,000 35,200 162,000
    - - 89,600 22,000 70,400 289,000
    - - - - - 75,000
    DR.GRACE 75,000 - - - 150,000
    - - 179,200 33,500 140,800 428,500
    - - 44,800 7,000 35,200 162,000
    - - 44,800 10,000 35,200 165,000
    DR.MANFRED 75,000 48,000 10,000 35,200 243,200
    - - 134,400 47,000 105,600 362,000
    - - - - - 75,000
    - - 44,800 10,000 35,200 165,000
    - - 44,800 10,000 35,200 165,000
    - - - - 75,000
    DR.ATOB 75,000 134,400 26,500 105,600 416,500
    - - 44,800 10,000 35,200 165,000
    - - - - - 75,000
    - - - - - 75,000
    - - 48,800 20,000 35,200 179,000
    - - 89,600 15,000 70,400 250,000
    - - 89,600 15,000 70,400 250,000
    - - 44,800 7,000 35,200 162,000
    - - 44,800 10,000 35,200 165,000
    - - 179,200 33,500 140,800 428,500
    - - 179,200 33,500 140,800 428,500
    - - - - - 75,000
    - - - - - 75,000
    - - 44,800 10,000 35,200 165,000
    - - - - - 75,000
    - - - - - 75,000
    - - - - - 75,000
    - - 89,600 15,000 70,400 250,000
    - - 89,600 13,000 70,400 248,000
    - - 44,800 10,000 35,200 165,000
    - - 44,800 7,000 35,200 162,000
    - - 44,800 7,000 35,200 162,000
    - - 134,400 22,000 105,600 337,000
    - - 89,600 25,000 70,400 260,000
    DR.GREG 75,000 134,400 22,000 105,600 412,000
    - - 134,400 26,500 105,600 341,500
    - - 134,400 22,000 105,600 369,000
    - - 89,600 17,000 70,400 252,000
    - - 44,800 10,000 35,200 165,000
    - - 44,800 10,000 35,200 165,000
    - - 179,200 33,500 140,800 428,500
    - - 44,800 7,000 35,200 162,000
    - - 268,800 48,500 211,200 603,500
    - - 179,200 33,500 140,800 428,500
    - - 89,800 16,500 70,400 251,700
    - - 134,400 22,000 105,600 369,000
    - - 89,600 40,000 70,400 275,000
    - - 179,200 33,500 140,800 428,500
    - - 89,600 10,000 70,400 245,000
    - - 44,800 10,000 35,200 165,000
    DR.NIRA 75,000 134,400 22,000 105,600 412,000
    - - 44,800 7,000 35,200 162,000
    - - 44,800 7,000 35,200 162,000
    - - 134,400 25,000 105,600 340,000
    - - 75,000
    - - 134,400 26,500 105,600 341,500
    - - 179,200 33,500 140,800 428,500
    - - 224,000 38,500 176,000 545,500
    - - 44,800 10,000 35,200 165,000
    - - 44,800 7,000 35,200 162,000
    - - 44,800 10,000 35,200 165,000
    - - - - - 75,000
    - - 44,800 10,000 35,200 165,000
    - - 44,800 7,000 35,200 162,000
    - - - - - 75,000
    - - - - - 75,000
    - - 134,400 22,000 105,600 337,000
    - - 134,400 30,000 105,600 345,000
    - - 89,600 57,000 70,400 324,000
    - - 44,800 7,000 35,200 162,000
    - - 179,200 77,000 140,800 472,000
    - - 179,200 32,000 140,800 427,000
    DR.GRACE 75,000 44,800 7,000 35,200 237,000
    - - 89,600 15,000 70,400 250,000
    - - - - - 75,000
    - - 179,200 33,500 104,800 424,500
    - - 89,600 25,000 70,400 260,000
    - - 44,800 7,000 35,200 162,000
    DR.DADIK 75,000 134,400 30,000 105,600 420,000
    - - 44,800 10,000 35,200 165,000
    - - 134,400 23,500 105,600 338,500
    - - 89,600 17,000 70,400 252,000
    - - 89,600 17,000 70,400 252,000
    - - - - - 75,000
    - - 89,600 25,000 70,400 260,000
    - - 134,400 23,500 105,600 338,500
    - - 134,400 22,000 105,600 369,000
    - - 44,800 10,000 35,200 165,000
    - - 44,800 10,000 35,200 165,000
    - - 313,600 91,500 246,400 758,500
    - - 44,800 7,000 35,200 194,000
    - - - - - 75,000
    DR.GREG 75,000 224,000 30,000 176,000 580,000
    - - 470,400 54,000 369,600 1,001,000
    - - 89,600 25,000 70,400 260,000
    - - 134,400 25,000 105,600 340,000
    - - 44,800 10,000 35,200 165,000
    - - 89,600 17,000 70,400 252,000
    - - - - - 75,000
    - - 44,800 7,000 35,200 162,000
    - - 134,400 25,000 105,600 340,000
    - - 44,800 10,000 35,200 165,000
    - - 44,800 10,000 35,200 165,000
    - - 89,600 17,000 70,400 252,000
    - - - - - 75,000
    - - 179,200 33,500 140,800 428,500
    - - - - - 75,000
    - - - - - 75,000
    - - 44,800 7,000 35,200 162,000
    - - 44,800 7,000 35,200 162,000
    - - - - - 75,000
    - - 89,600 16,500 70,400 251,500
    - - 134,400 22,000 105,600 337,000
    - - 44,800 10,000 35,200 165,000
    - - 44,800 7,000 35,200 162,000
    - - 44,800 7,000 35,200 162,000
    - - - - - 75,000
    - - 44,800 10,000 35,200 165,000
    - - 89,600 20,000 70,400 255,000
    - - 179,200 77,000 140,800 472,000
    - - 134,400 22,000 105,600 337,000
    DR.DADIK 75,000 44,800 10,000 35,200 240,000
    - - 134,400 57,000 105,600 372,000
    - - 44,800 10,000 35,200 165,000
    - - 179,200 77,000 140,800 472,000
    - - 44,800 10,000 35,200 165,000
    - - 44,800 10,000 35,200 165,000
    - - 89,600 15,000 70,400 282,000
    - - - - - 75,000
    - - - - - 75,000
    - - 89,600 17,000 70,400 252,000
    - - 44,800 10,000 35,200 165,000
    - - - - - 75,000
    - - 44,800 10,000 35,200 165,000
    - - 89,600 17,000 70,400 252,000
    DR.ISHAQ 75,000 224,000 41,500 176,000 591,500
    - - - - - 75,000
    - - 179,200 29,000 140,800 424,000
    - - 179,200 33,500 140,800 428,500
    - - 134,400 26,500 105,600 373,500
    - - 179,200 33,500 140,800 428,500
    - - 44,800 10,000 35,200 165,000
    - - 179,200 33,500 140,800 428,500
    - - 44,800 7,000 35,200 162,000
    DR.WILLIAN 75,000 44,800 10,000 35,200 240,000
    - - 134,400 25,000 105,600 340,000
    - - - - - 75,000
    - - - - - 75,000
    - - 44,800 7,000 35,200 162,000
    - - 89,600 25,000 70,400 260,000
    - - 89,600 15,000 70,400 250,000
    - - 89,600 27,000 70,400 262,000
    - - - - - 75,000
    - - 44,800 7,000 35,200 162,000
    - - 179,200 33,500 140,800 428,500
    - - 224,000 41,500 176,000 516,500
    - - 134,400 25,000 105,600 340,000
    - - 358,400 63,500 281,600 778,500
    - - 89,600 15,000 70,400 250,000
    - - 134,400 25,000 105,600 340,000
    - - 179,200 33,500 105,600 425,300
    - - - - 75,000
    - - - - - 75,000
    - - - - - 75,000
    - - 44,800 10,000 35,200 165,000
    - - 89,600 15,000 70,400 282,000
    DR.LUTFI 75,000 224,000 112,000 176,000 694,000
    - - 44,800 10,000 35,200 165,000
    DR.NOVIA 75,000 179,200 40,000 140,800 510,000
    - - - - - 75,000
    - - 44,800 7,000 35,200 162,000
    - - 44,800 10,000 35,200 165,000
    - - 89,600 27,000 70,400 262,000
    - - 89,600 15,000 70,400 250,000
    DR.SANTY 75,000 - - - 150,000
    - - 44,800 10,000 35,200 165,000
    - - 98,600 15,000 70,400 259,000
    - - - - - 75,000
    - - 44,800 7,000 35,200 162,000
    - - 134,400 25,000 105,600 340,000
    - - - - - 75,000
    - - 44,800 7,000 35,200 162,000
    - - 44,800 10,000 35,200 165,000
    - - - - - 75,000
    - - - - - 75,000
    - - 224,000 38,500 176,000 513,500
    - - 44,800 10,000 35,200 165,000
    - - - - - 75,000
    - - 44,800 3,000 35,200 158,000
    - - - - - 75,000
    - - - - - 75,000
    - - 134,400 23,500 105,600 338,500
    - - 179,200 33,500 140,800 428,500
    - - - - - 75,000
    - - 89,600 25,000 70,400 260,000
    - - - - - 75,000
    - - 268,800 48,500 211,200 603,500
    - - - - - 75,000
    - - 44,800 7,000 35,200 162,000
    - - 44,800 10,000 35,200 165,000
    - - - - - 75,000
    - - - - - 75,000
    - - 44,800 10,000 35,200 165,000
    - - 44,800 10,000 35,200 165,000
    - - 44,800 7,000 35,200 162,000
    - - 89,600 15,000 70,400 250,000
    - - 89,600 17,000 70,400 252,000
    - - 44,800 10,000 35,200 165,000
    - - 44,800 10,000 35,200 165,000
    - - 44,800 10,000 35,200 165,000
    - - 44,800 7,000 35,200 162,000
    - - 44,800 7,000 35,200 162,000
    DR.DAVID 75,000 - - - 150,000
    - - 89,600 17,000 70,400 252,000
    - - 44,800 10,000 35,200 165,000
    - - 89,600 16,500 70,400 251,500
    - - 89,600 17,000 70,400 252,000
    - - 44,800 10,000 35,200 165,000
    - - 44,800 10,000 35,200 165,000
    - - 44,800 7,000 35,200 162,000
    - - - - - 75,000
    - - - - - 75,000
    - - 89,600 37,000 70,400 272,000
    - - - - - 75,000
    - - - - - 75,000
    - - 134,400 57,000 105,600 372,000
    DR.DAVID 75,000 179,200 32,000 140,800 502,000
    - - 89,600 17,000 70,400 252,000
    - - 224,000 38,500 176,000 513,500
    - - 89,600 17,000 70,400 252,000
    - - 89,600 17,000 70,400 252,000
    - - 89,600 17,000 70,400 252,000
    - - - - - 75,000
    - - 44,800 10,000 35,200 165,000
    - - - - - 75,000
    - - 89,600 16,500 70,400 251,500
    - - - - - 75,000
    - - - - - 75,000
    - - 89,600 25,000 70,400 260,000
    - - - - - 75,000
    - - 44,800 7,000 35,200 162,000
    - - 89,600 15,000 70,400 250,000
    - - 44,800 7,000 35,200 162,000
    - - - - - 75,000
    - - 89,600 17,000 70,400 252,000
    - - 44,800 10,000 35,200 165,000
    DR.GRACE 75,000 - - - 150,000
    - - 44,800 10,000 35,200 165,000
    - - 89,600 17,000 70,400 252,000
    - - 44,800 10,000 35,200 165,000
    - - 179,200 32,000 140,800 427,000
    - - 89,600 15,000 70,400 282,000
    - - 179,200 32,000 140,800 427,000
    - - 44,800 10,000 35,200 165,000
    - - 44,800 10,000 35,200 165,000
    - - - - - 75,000
    - - 89,600 17,000 70,400 252,000
    - - 44,800 10,000 35,200 165,000
    - - 44,800 7,000 35,200 162,000
    - - 44,800 10,000 35,200 165,000
    - - 268,800 48,500 211,200 603,500
    - - 44,800 10,000 35,200 165,000
    - - 44,800 10,000 35,200 165,000
    - - 44,800 10,000 35,200 165,000
    - - - - - 75,000
    - - 89,600 17,000 70,400 252,000
    - - 44,800 10,000 35,200 165,000
    - - 44,800 10,000 35,200 165,000
    - - 44,800 3,000 35,200 158,000
    - - 44,800 10,000 35,200 165,000
    - - 89,600 13,000 70,400 248,000
    - - 44,800 7,000 35,200 162,000
    - - - - - 75,000
    - - 134,400 22,000 105,600 369,000
    - - 179,200 33,500 140,800 428,500
    - - 179,200 33,500 140,800 428,500
    - - 291,200 82,000 228,800 677,000
    - - 44,800 7,000 35,200 162,000
    - - - - - 75,000
    - - 89,600 15,000 70,400 282,000
    - - 44,800 3,000 35,200 158,000
    - - 44,800 7,000 35,200 162,000
    - - - - - 75,000
    - - - - - 75,000
    - 44,800 10,000 35,200 165,000
    - 44,800 10,000 35,200 165,000
    - 44,800 7,000 35,200 162,000
    - 44,800 10,000 35,200 165,000
    - - - - - 75,000
    - 44,800 7,000 35,200 162,000
    - - 44,800 7,000 35,200 162,000
    - 44,800 10,000 35,200 165,000
    - 44,800 10,000 35,200 165,000
    - 134,400 23,500 105,600 338,500
    - 89,600 15,000 70,400 282,000
    - - - - 75,000
    - 44,800 7,000 35,200 162,000
    - 224,000 41,500 176,000 516,500
    - - 134,400 22,000 105,600 369,000
    - - - - 75,000
    - 179,200 32,000 140,800 427,000
    - 134,400 22,000 105,600 337,000
    - 89,600 25,000 70,400 260,000
    - - 179,200 33,500 140,800 428,500
    - 134,400 25,000 105,600 340,000
    - - - - 75,000
    - - 44,800 7,000 35,200 162,000
    - 89,600 20,000 70,400 255,000
    - 134,400 22,000 105,600 337,000
    - 44,800 7,000 35,200 162,000
    - 44,800 10,000 35,200 165,000
    - - - - 75,000
    - 44,800 7,000 35,200 162,000
    - 89,600 15,000 70,400 282,000
    DR.FRIZT 75,000 179,200 33,500 140,800 503,500
    - - 134,400 25,000 105,600 340,000
    - - 44,800 10,000 35,200 165,000
    DR.FRIZT 75,000 - - - 150,000
    - - - - - 75,000
    DR.YASMIN 75,000 134,400 35,000 105,600 425,000
    - - 179,200 32,000 140,800 459,000
    - - 44,800 10,000 35,200 165,000
    - - 89,600 27,000 70,400 262,000
    - - 44,800 7,000 35,200 162,000
    - - - - - 107,000
    - - 134,400 57,000 105,600 372,000
    - - 44,800 10,000 35,200 165,000
    - - 134,400 22,000 105,600 369,000
    - - 44,800 7,000 35,200 162,000
    - - 44,800 7,000 35,200 162,000
    - - 44,800 10,000 35,200 165,000
    - - 268,800 48,500 211,200 603,500
    - - 44,800 - 35,200 155,000
    - - 44,800 7,000 35,200 162,000
    - - 44,800 7,000 35,200 162,000
    DR.DADIK 75,000 179,200 32,000 140,800 502,000
    - - 89,600 16,500 70,400 251,500
    - - 44,800 10,000 35,200 165,000
    - - 44,800 10,000 35,200 165,000
    - - - - - 75,000
    - - 89,600 25,000 70,400 260,000
    DR.DAVID 75,000 89,600 50,000 70,400 360,000
    - - - - - 107,000
    - - - - - 75,000
    - - 44,800 7,000 35,200 162,000
    - - 134,400 23,500 105,600 338,500
    - 134,400 35,000 105,600 350,000
    - - 44,800 7,000 35,200 162,000
    - - 179,200 33,500 140,800 428,500
    - - 44,800 7,000 35,200 162,000
    - - 89,600 13,000 70,400 248,000
    - - 89,600 27,000 70,400 262,000
    - - 291,200 82,000 228,800 677,000
    DR.ATOB/BOYKE 150,000 89,600 13,000 70,400 398,000
    - - 134,400 22,000 105,600 369,000
    - - 44,800 7,000 35,200 162,000
    - - 44,800 7,000 35,200 162,000
    - - 44,800 10,000 35,200 197,000
    - - - - - 75,000
    - - 313,600 56,500 246,400 691,500
    - - - - - 75,000
    - - 179,200 33,500 140,800 428,500
    - - 44,800 10,000 35,200 165,000
    DR.ATOB 75,000 44,800 10,000 35,200 240,000
    - - - - - 75,000
    - - 44,800 7,000 35,200 162,000
    - - 179,200 33,500 140,800 428,500
    - - - - - 75,000
    - - 44,800 7,000 35,200 194,000
    - - 44,800 10,000 35,200 165,000
    - - 44,800 10,000 35,200 165,000
    - - - - - 75,000
    - - 44,800 7,000 35,200 162,000
    - - 89,600 17,000 70,400 252,000
    - - 44,800 10,000 35,200 165,000
    - - 44,800 10,000 35,200 165,000
    - - - - - 75,000
    - - 134,400 22,000 105,600 369,000
    - - - - - 75,000
    - - 134,400 26,500 105,600 341,500
    - - 89,600 25,000 70,400 260,000
    - - 134,400 57,000 105,600 372,000
    - - 134,400 23,500 105,600 338,500
    - - 44,800 7,000 35,200 162,000
    - - 44,800 7,000 35,200 162,000
    - - 89,600 25,000 70,400 260,000
    - - 89,600 17,000 70,400 252,000
    - - 224,000 48,500 176,000 555,500
    - - 89,600 25,000 70,400 260,000
    - - - - - 75,000
    - - 134,400 23,500 105,600 370,500
    - - 44,800 10,000 35,200 165,000
    - - 44,800 7,000 35,200 162,000
    - - 134,400 26,500 105,600 341,500
    - - 134,400 26,500 105,600 341,500
    - - 89,600 37,000 70,400 272,000
    - - - - - 75,000
    - - 89,600 25,000 70,400 260,000
    - - - - - 75,000
    - - - - - 75,000
    - - 44,800 10,000 35,200 165,000
    - - 134,400 26,500 105,600 341,500
    - - 179,200 33,500 140,800 428,500
    - - - - - 75,000
    - - 44,800 10,000 35,200 165,000
    - - 89,600 16,500 70,400 251,500
    - - 44,800 7,000 35,200 162,000
    - - 44,800 10,000 35,200 165,000
    - - 89,600 15,000 70,400 282,000
    - - 89,600 17,000 70,400 252,000
    - - 44,800 10,000 35,200 165,000
    - - 89,600 17,000 70,400 252,000
    - - - - - -
    - 2,475,000 44,259,600 9,164,200 35,261,600 133,615,400

    Anda mungkin juga menyukai