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Laporan Kunjungan - 2018
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Laporan Kunjungan - 2018
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LAPORAN JUMLAH KUNJUNGAN LOKET BL : JANUARI 2018
R U BPJS GR TOTAL R
NO TGL NO TGL
L P L P L P L P
1 1/2/2018 BP 3 6 14 1 7 17 1 1/19/2018 BP
2 IMUN 0 0 2 IMUN
3 KIA 20 2 0 22 3 KIA
4 LAB 0 0 4 LAB
5 GIGI 0 0 5 GIGI
6 FIS 0 0 6 FIS
7 SK 1 0 1 7 SK
8 CATEN 0 0 8 CATEN
0 24 6 16 1 0 7 40
R U BPJS GR TOTAL R
NO TGL NO TGL
L P L P L P L P
1 1/3/2018 BP 1 3 4 14 1 5 18 1 1/20/2018 BP
2 IMUN 4 10 1 4 11 2 IMUN
3 KIA 1 0 1 3 KIA
4 LAB 0 0 4 LAB
5 GIGI 1 0 1 5 GIGI
6 FIS 1 0 1 6 FIS
7 SK 0 0 7 SK
8 CATEN 1 1 1 1 8 CATEN
6 15 4 17 0 1 10 33
R U BPJS GR TOTAL R
NO TGL NO TGL
L P L P L P L P
1 1/4/2018 BP 5 4 2 6 7 10 1 1/22/2018 BP
2 IMUN 0 0 2 IMUN
3 KIA 1 1 0 2 3 KIA
4 LAB 0 0 4 LAB
5 GIGI 2 0 2 5 GIGI
6 FIS 1 2 1 2 6 FIS
7 SK 2 0 2 7 SK
8 CATEN 1 0 1 8 CATEN
5 10 3 9 0 0 8 19
R U BPJS GR TOTAL R
NO TGL NO TGL
L P L P L P L P
1 1/5/2018 BP 4 4 3 3 7 7 1 1/23/2018 BP
2 IMUN 0 0 2 IMUN
3 KIA 2 1 0 3 3 KIA
4 LAB 0 0 4 LAB
5 GIGI 0 0 5 GIGI
6 FIS 0 0 6 FIS
7 SK 1 1 0 7 SK
8 CATEN 1 0 1 8 CATEN
5 7 3 4 0 0 8 11
R U BPJS GR TOTAL R
NO TGL NO TGL
L P L P L P L P
1 1/6/2018 BP 2 2 8 2 10 1 1/24/2018 BP
2 IMUN 0 0 2 IMUN
3 KIA 2 1 0 3 3 KIA
4 LAB 0 0 4 LAB
5 GIGI 1 0 1 5 GIGI
6 FIS 1 3 1 3 6 FIS
7 SK 1 0 1 7 SK
8 CATEN 0 0 8 CATEN
0 6 3 12 0 0 3 18
R U BPJS GR TOTAL R
NO TGL NO TGL
L P L P L P L P
1 1/8/2018 BP 4 9 9 12 13 21 1 1/25/2017 BP
2 IMUN 0 0 2 IMUN
3 KIA 3 0 3 3 KIA
4 LAB 1 0 1 4 LAB
5 GIGI 1 0 1 5 GIGI
6 FIS 1 0 1 6 FIS
7 SK 1 1 1 1 7 SK
8 CATEN 0 0 8 CATEN
5 14 9 14 0 0 14 28
R U BPJS GR TOTAL R
NO TGL NO TGL
L P L P L P L P
1 1/9/2018 BP 1 5 6 7 1 7 13 1 1/26/2017 BP
2 IMUN 1 0 1 2 IMUN
3 KIA 19 5 1 0 25 3 KIA
4 LAB 0 0 4 LAB
5 GIGI 1 2 1 1 3 5 GIGI
6 FIS 1 0 1 6 FIS
7 SK 1 1 1 1 7 SK
8 CATEN 2 0 2 8 CATEN
2 30 6 14 1 2 9 46
R U BPJS GR TOTAL R
NO TGL NO TGL
L P L P L P L P
1 1/10/2018 BP 6 5 4 12 1 10 18 1 1/27/2018 BP
2 IMUN 9 6 1 10 6 2 IMUN
3 KIA 2 0 2 3 KIA
4 LAB 0 0 4 LAB
5 GIGI 0 0 5 GIGI
6 FIS 1 1 0 2 6 FIS
7 SK 1 1 1 1 7 SK
8 CATEN 2 3 2 3 8 CATEN
18 18 5 13 0 1 23 32
R U BPJS GR TOTAL R
NO TGL NO TGL
L P L P L P L P
1 1/11/2018 BP 5 1 1 5 1 1/29/2018 BP
2 IMUN 0 0 2 IMUN
3 KIA 2 0 2 3 KIA
4 LAB 0 0 4 LAB
5 GIGI 1 0 1 5 GIGI
6 FIS 1 0 1 6 FIS
7 SK 2 0 2 7 SK
8 CATEN 0 0 8 CATEN
0 8 0 3 1 0 1 11
R U BPJS GR TOTAL R
NO TGL NO TGL
L P L P L P L P
1 1/12/2018 BP 3 8 3 4 6 12 1 1/30/2018 BP
2 IMUN 0 0 2 IMUN
3 KIA 1 0 1 3 KIA
4 LAB 0 0 4 LAB
5 GIGI 1 0 1 5 GIGI
6 FIS 1 1 6 1 1 8 6 FIS
7 SK 2 2 0 7 SK
8 CATEN 1 0 1 8 CATEN
5 12 4 10 0 1 9 23
R U BPJS GR TOTAL R
NO TGL NO TGL
L P L P L P L P
1 1/13/2018 BP 3 4 7 4 10 1 BP
2 IMUN 0 0 2 IMUN
3 KIA 0 0 3 KIA
4 LAB 0 0 4 LAB
5 GIGI 0 0 5 GIGI
6 FIS 1 1 0 2 6 FIS
7 SK 0 0 7 SK
8 CATEN 0 0 8 CATEN
0 4 4 8 0 0 4 12
R U BPJS GR TOTAL R
NO TGL NO TGL
L P L P L P L P
1 1/15/2018 BP 4 7 6 12 10 19 1 BP
2 IMUN 1 0 1 2 IMUN
3 KIA 2 2 0 4 3 KIA
4 LAB 0 0 4 LAB
5 GIGI 1 3 0 4 5 GIGI
6 FIS 1 1 0 2 6 FIS
7 SK 2 1 2 1 7 SK
8 CATEN 0 0 8 CATEN
6 12 6 19 0 0 12 31
R U BPJS GR TOTAL R
NO TGL NO TGL
L P L P L P L P
1 1/16/2018 BP 2 9 4 5 1 7 14 1 BP
2 IMUN 0 0 2 IMUN
3 KIA 7 4 1 0 12 3 KIA
4 LAB 0 0 4 LAB
5 GIGI 0 0 5 GIGI
6 FIS 1 2 1 1 2 3 6 FIS
7 SK 3 1 3 1 7 SK
8 CATEN 0 0 8 CATEN
6 19 5 10 1 1 12 30
R U BPJS GR TOTAL R
NO TGL NO TGL
L P L P L P L P
1 1/17/2018 BP 2 9 7 9 9 18 1 BP
2 IMUN 6 7 6 7 2 IMUN
3 KIA 4 0 4 3 KIA
4 LAB 0 0 4 LAB
5 GIGI 1 1 1 1 5 GIGI
6 FIS 0 0 6 FIS
7 SK 1 1 0 7 SK
8 CATEN 0 0 8 CATEN
10 20 7 10 0 0 17 30
R U BPJS GR TOTAL R
NO TGL NO TGL
L P L P L P L P
1 1/18/2018 BP 4 5 2 10 6 15 1 BP
2 IMUN 0 0 2 IMUN
3 KIA 2 2 0 4 3 KIA
4 LAB 0 0 4 LAB
5 GIGI 1 0 1 5 GIGI
6 FIS 2 2 1 0 5 6 FIS
7 SK 1 2 1 2 7 SK
8 CATEN 1 1 1 1 8 CATEN
6 12 2 15 0 1 8 28
Laporan Jumlah Kunjungan Bulan
R U BPJS GR TOTAL
NO TGL
L P L P L P L P
1 BP 66 136 100 215 5 3 171 354
2 IMUN 25 35 2 4 0 0 27 39
3 KIA 0 85 0 49 0 3 0 137
4 LAB 0 3 1 5 0 0 1 8
5 GIGI 5 13 3 16 1 1 9 30
6 FIS 6 20 10 27 0 2 16 49
7 SK 18 26 0 0 0 0 18 26
8 CATEN 6 13 0 0 0 0 6 13
126 331 116 316 6 9 248 656
U BPJS GR TOTAL
L P L P L P L P
1 7 1 7 2
0 0
0 0
0 0
1 0 1
2 1 1 1 3
1 0 1
0 0
0 4 8 3 0 0 8 7
U BPJS GR TOTAL
L P L P L P L P
2 4 9 2 13
0 0
1 0 1
0 0
0 0
0 0
1 0 1
0 0
2 5 0 10 0 0 2 15
U BPJS GR TOTAL
L P L P L P L P
5 10 8 15 1 14 25
0 0
4 1 0 5
0 0
1 2 0 3
1 2 1 1 2 3
1 0 1
0 0
6 14 9 22 1 1 16 37
U BPJS GR TOTAL
L P L P L P L P
3 6 4 9 7 15
0 0
6 7 0 13
1 2 0 3
1 1 0 2
2 2 1 2 3
2 4 2 4
0 0
5 20 6 20 0 0 11 40
U BPJS GR TOTAL
L P L P L P L P
1 11 2 9 3 20
6 11 1 2 7 13
1 4 0 5
1 0 1
2 2 1 1 3 3
0 0
3 0 3
1 1 1 1
10 30 4 16 0 0 14 46
U BPJS GR TOTAL
L P L P L P L P
3 2 1 10 4 12
0 0
2 5 0 7
1 0 1
1 1 1 1
1 2 0 3
1 0 1
0 0
4 6 1 18 0 1 5 25
U BPJS GR TOTAL
L P L P L P L P
4 5 4 7 8 12
0 0
1 0 1
0 0
1 1 1 1
2 1 2 1
2 2 0
0 0
9 7 4 8 0 0 13 15
U BPJS GR TOTAL
L P L P L P L P
3 4 3 12 6 16
0 0
2 0 2
0 0
0 0
1 1 1 2 1
0 0
0 0
4 4 4 15 0 0 8 19
U BPJS GR TOTAL
L P L P L P L P
4 6 5 14 1 10 20
0 0
1 3 0 4
1 1 1 1 2
1 1 1 1 2
1 0 1
1 0 1
1 2 1 2
5 12 7 20 1 0 13 32
U BPJS GR TOTAL
L P L P L P L P
5 6 4 6 9 12
0 0
9 2 0 11
0 0
1 1 1 1
1 2 1 1 2 3
1 1 1 1
0 0
7 18 6 10 0 0 13 28
U BPJS GR TOTAL
L P L P L P L P
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0 0 0 0 0 0 0
U BPJS GR TOTAL
L P L P L P L P
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0 0 0 0 0 0 0
U BPJS GR TOTAL
L P L P L P L P
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0 0 0 0 0 0 0
U BPJS GR TOTAL
L P L P L P L P
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0 0 0 0 0 0 0
U BPJS GR TOTAL
L P L P L P L P
0
0
0
0
0
0
0
0
0 0 0 0 0 0 0 0
LAPORAN JUMLAH KUNJUNGAN HENDRIK
R U A JMAS/KIS BPJS
NO TGL
L P L P L P L
1 BP
2 IMUN
3 KIA
4 LAB
5 GIGI
6 FIS
7 SK
8 CPW
0 0 0 0 0 0 0
R U A JMAS/KIS BPJS
NO TGL
L P L P L P L
1 BP
2 IMUN
3 KIA
4 LAB
5 GIGI
6 FIS
7 SK
8 CPW
0 0 0 0 0 0 0
R U A JMAS/KIS BPJS
NO TGL
L P L P L P L
1 BP
2 IMUN
3 KIA
4 LAB
5 GIGI
6 FIS
7 SK
8 CPW
0 0 0 0 0 0 0
R U A JMAS/KIS BPJS
NO TGL
L P L P L P L
1 BP
2 IMUN
3 KIA
4 LAB
5 GIGI
6 FIS
7 SK
8 CPW
0 0 0 0 0 0 0
R U A JMAS/KIS BPJS
NO TGL
L P L P L P L
1 BP
2 IMUN
3 KIA
4 LAB
5 GIGI
6 FIS
7 SK
8 CPW
0 0 0 0 0 0 0
R U A JMAS/KIS BPJS
NO TGL
L P L P L P L
1 BP
2 IMUN
3 KIA
4 LAB
5 GIGI
6 FIS
7 SK
8 CPW
0 0 0 0 0 0 0
R U A JMAS/KIS BPJS
NO TGL
L P L P L P L
1 BP
2 IMUN
3 KIA
4 LAB
5 GIGI
6 FIS
7 SK
8 CPW
0 0 0 0 0 0 0
R U A JMAS/KIS BPJS
NO TGL
NO TGL
L P L P L P L
1 BP
2 IMUN
3 KIA
4 LAB
5 GIGI
6 FIS
7 SK
8 CPW
0 0 0 0 0 0 0
R U A JMAS/KIS BPJS
NO TGL
L P L P L P L
1 BP
2 IMUN
3 KIA
4 LAB
5 GIGI
6 FIS
7 SK
8 CPW
0 0 0 0 0 0 0
R U A JMAS/KIS BPJS
NO TGL
L P L P L P L
1 BP
2 IMUN
3 KIA
4 LAB
5 GIGI
6 FIS
7 SK
8 CPW
0 0 0 0 0 0 0
R U A JMAS/KIS BPJS
NO TGL
L P L P L P L
1 BP
2 IMUN
3 KIA
4 LAB
5 GIGI
6 FIS
7 SK
8 CPW
0 0 0 0 0 0 0
R U A JMAS/KIS BPJS
NO TGL
L P L P L P L
1 BP
2 IMUN
3 KIA
4 LAB
5 GIGI
6 FIS
7 SK
8 CPW
0 0 0 0 0 0 0
R U A JMAS/KIS BPJS
NO TGL
L P L P L P L
1 BP
2 IMUN
3 KIA
4 LAB
5 GIGI
6 FIS
7 SK
8 CPW
0 0 0 0 0 0 0
R U A JMAS/KIS BPJS
NO TGL
L P L P L P L
1 BP
2 IMUN
3 KIA
4 LAB
5 GIGI
6 FIS
7 SK
8 CPW
0 0 0 0 0 0 0
R U A JMAS/KIS BPJS
NO TGL
L P L P L P L
1 BP
2 IMUN
3 KIA
4 LAB
5 GIGI
6 FIS
7 SK
8 CPW
0 0 0 0 0 0 0
Laporan Jumlah Kunjungan Bulan : PEBUARI 2018
R U A JMAS/KIS BPJS
NO TGL
L P L P L P L
1 BP 0 0 0 0 0 0 0
2 IMUN 0 0 0 0 0 0 0
3 KIA 0 0 0 0 0 0 0
4 LAB 0 0 0 0 0 0 0
5 GIGI 0 0 0 0 0 0 0
6 FIS 0 0 0 0 0 0 0
7 SK 0 0 0 0 0 0 0
8 CPW 0 0 0 0 0 0 0
0 0 0 0 0 0 0
AN HENDRIK
BPJS GR TOTAL R U
NO TGL
P L P L P L
0 0 1 BP
0 0 2 IMUN
0 0 3 KIA
0 0 4 LAB
0 0 5 GIGI
0 0 6 FIS
0 0 7 SK
0 0 8 CPW
0 0 0 0 0 0
BPJS GR TOTAL R U
NO TGL
P L P L P L
0 0 1 BP
0 0 2 IMUN
0 0 3 KIA
0 0 4 LAB
0 0 5 GIGI
0 0 6 FIS
0 0 7 SK
0 0 8 CPW
0 0 0 0 0 0
BPJS GR TOTAL R U
NO TGL
P L P L P L
0 0 1 BP
0 0 2 IMUN
0 0 3 KIA
0 0 4 LAB
0 0 5 GIGI
0 0 6 FIS
0 0 7 SK
0 0 8 CPW
0 0 0 0 0 0
BPJS GR TOTAL R U
NO TGL
P L P L P L
0 0 1 BP
0 0 2 IMUN
0 0 3 KIA
0 0 4 LAB
0 0 5 GIGI
0 0 6 FIS
0 0 7 SK
0 0 8 CPW
0 0 0 0 0 0
BPJS GR TOTAL R U
NO TGL
P L P L P L
0 0 1 BP
0 0 2 IMUN
0 0 3 KIA
0 0 4 LAB
0 0 5 GIGI
0 0 6 FIS
0 0 7 SK
0 0 8 CPW
0 0 0 0 0 0
BPJS GR TOTAL R U
NO TGL
P L P L P L
0 0 1 BP
0 0 2 IMUN
0 0 3 KIA
0 0 4 LAB
0 0 5 GIGI
0 0 6 FIS
0 0 7 SK
0 0 8 CPW
0 0 0 0 0 0
BPJS GR TOTAL R U
NO TGL
P L P L P L
0 0 1 BP
0 0 2 IMUN
0 0 3 KIA
0 0 4 LAB
0 0 5 GIGI
0 0 6 FIS
0 0 7 SK
0 0 8 CPW
0 0 0 0 0 0
BPJS GR TOTAL R U
NO TGL
NO TGL
P L P L P L
0 0 1 BP
0 0 2 IMUN
0 0 3 KIA
0 0 4 LAB
0 0 5 GIGI
0 0 6 FIS
0 0 7 SK
0 0 8 CPW
0 0 0 0 0 0
BPJS GR TOTAL R U
NO TGL
P L P L P L
0 0 1 BP
0 0 2 IMUN
0 0 3 KIA
0 0 4 LAB
0 0 5 GIGI
0 0 6 FIS
0 0 7 SK
0 0 8 CPW
0 0 0 0 0 0
BPJS GR TOTAL R U
NO TGL
P L P L P L
0 0 1 BP
0 0 2 IMUN
0 0 3 KIA
0 0 4 LAB
0 0 5 GIGI
0 0 6 FIS
0 0 7 SK
0 0 8 CPW
0 0 0 0 0 0
BPJS GR TOTAL R U
NO TGL
P L P L P L
0 0 1 BP
0 0 2 IMUN
0 0 3 KIA
0 0 4 LAB
0 0 5 GIGI
0 0 6 FIS
0 0 7 SK
0 0 8 CPW
0 0 0 0 0 0
BPJS GR TOTAL R U
NO TGL
P L P L P L
0 0 1 BP
0 0 2 IMUN
0 0 3 KIA
0 0 4 LAB
0 0 5 GIGI
0 0 6 FIS
0 0 7 SK
0 0 8 CPW
0 0 0 0 0 0
BPJS GR TOTAL R U
NO TGL
P L P L P L
0 0 1 BP
0 0 2 IMUN
0 0 3 KIA
0 0 4 LAB
0 0 5 GIGI
0 0 6 FIS
0 0 7 SK
0 0 8 CPW
0 0 0 0 0 0
BPJS GR TOTAL R U
NO TGL
P L P L P L
0 0 1 BP
0 0 2 IMUN
0 0 3 KIA
0 0 4 LAB
0 0 5 GIGI
0 0 6 FIS
0 0 7 SK
0 0 8 CPW
0 0 0 0 0 0
BPJS GR TOTAL R U
NO TGL
P L P L P L
0 0 1 BP
0 0 2 IMUN
0 0 3 KIA
0 0 4 LAB
0 0 5 GIGI
0 0 6 FIS
0 0 7 SK
0 0 8 CPW
0 0 0 0 0 0
BPJS GR TOTAL
P L P L P
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
U A JMAS/KIS BPJS GR TOTAL
P L P L P L P L P L
0
0
0
0
0
0
0
0
0 0 0 0 0 0 0 0 0 0
U A JMAS/KIS BPJS GR TOTAL
P L P L P L P L P L
0
0
0
0
0
0
0
0
0 0 0 0 0 0 0 0 0 0
U A JMAS/KIS BPJS GR TOTAL
P L P L P L P L P L
0
0
0
0
0
0
0
0
0 0 0 0 0 0 0 0 0 0
U A JMAS/KIS BPJS GR TOTAL
P L P L P L P L P L
0
0
0
0
0
0
0
0
0 0 0 0 0 0 0 0 0 0
U A JMAS/KIS BPJS GR TOTAL
P L P L P L P L P L
0
0
0
0
0
0
0
0
0 0 0 0 0 0 0 0 0 0
U A JMAS/KIS BPJS GR TOTAL
P L P L P L P L P L
0
0
0
0
0
0
0
0
0 0 0 0 0 0 0 0 0 0
U A JMAS/KIS BPJS GR TOTAL
P L P L P L P L P L
0
0
0
0
0
0
0
0
0 0 0 0 0 0 0 0 0 0
U A JMAS/KIS BPJS GR TOTAL
P L P L P L P L P L
0
0
0
0
0
0
0
0
0 0 0 0 0 0 0 0 0 0
U A JMAS/KIS BPJS GR TOTAL
P L P L P L P L P L
0
0
0
0
0
0
0
0
0 0 0 0 0 0 0 0 0 0
U A JMAS/KIS BPJS GR TOTAL
P L P L P L P L P L
0
0
0
0
0
0
0
0
0 0 0 0 0 0 0 0 0 0
U A JMAS/KIS BPJS GR TOTAL
P L P L P L P L P L
0
0
0
0
0
0
0
0
0 0 0 0 0 0 0 0 0 0
U A JMAS/KIS BPJS GR TOTAL
P L P L P L P L P L
0
0
0
0
0
0
0
0
0 0 0 0 0 0 0 0 0 0
U A JMAS/KIS BPJS GR TOTAL
P L P L P L P L P L
0
0
0
0
0
0
0
0
0 0 0 0 0 0 0 0 0 0
U A JMAS/KIS BPJS GR TOTAL
P L P L P L P L P L
0
0
0
0
0
0
0
0
0 0 0 0 0 0 0 0 0 0
U A JMAS/KIS BPJS GR TOTAL
P L P L P L P L P L
0 0 0 0 0 0 0 0 0 0
TOTAL
P
0
0
0
0
0
0
0
0
0
TOTAL
P
0
0
0
0
0
0
0
0
0
TOTAL
P
0
0
0
0
0
0
0
0
0
TOTAL
P
0
0
0
0
0
0
0
0
0
TOTAL
P
0
0
0
0
0
0
0
0
0
TOTAL
P
0
0
0
0
0
0
0
0
0
TOTAL
P
0
0
0
0
0
0
0
0
0
TOTAL
P
0
0
0
0
0
0
0
0
0
TOTAL
P
0
0
0
0
0
0
0
0
0
TOTAL
P
0
0
0
0
0
0
0
0
0
TOTAL
P
0
0
0
0
0
0
0
0
0
TOTAL
P
0
0
0
0
0
0
0
0
0
TOTAL
P
0
0
0
0
0
0
0
0
0
TOTAL
P
0
0
0
0
0
0
0
0
0
TOTAL
P
0
0
0
0
0
0
0
0
0
LAPORAN JUMLAH KUNJUNGAN HENDRIK
R U A JMAS/KIS BPJS
NO TGL
L P L P L P L
1 BP
2 IMUN
3 KIA
4 LAB
5 GIGI
6 FIS
7 SK
8 CPW
0 0 0 0 0 0 0
R U A JMAS/KIS BPJS
NO TGL
L P L P L P L
1 BP
2 IMUN
3 KIA
4 LAB
5 GIGI
6 FIS
7 SK
8 CPW
0 0 0 0 0 0 0
R U A JMAS/KIS BPJS
NO TGL
L P L P L P L
1 BP
2 IMUN
3 KIA
4 LAB
5 GIGI
6 FIS
7 SK
8 CPW
0 0 0 0 0 0 0
R U A JMAS/KIS BPJS
NO TGL
L P L P L P L
1 BP
2 IMUN
3 KIA
4 LAB
5 GIGI
6 FIS
7 SK
8 CPW
0 0 0 0 0 0 0
R U A JMAS/KIS BPJS
NO TGL
L P L P L P L
1 BP
2 IMUN
3 KIA
4 LAB
5 GIGI
6 FIS
7 SK
8 CPW
0 0 0 0 0 0 0
R U A JMAS/KIS BPJS
NO TGL
L P L P L P L
1 BP
2 IMUN
3 KIA
4 LAB
5 GIGI
6 FIS
7 SK
8 CPW
0 0 0 0 0 0 0
R U A JMAS/KIS BPJS
NO TGL
L P L P L P L
1 BP
2 IMUN
3 KIA
4 LAB
5 GIGI
6 FIS
7 SK
8 CPW
0 0 0 0 0 0 0
R U A JMAS/KIS BPJS
NO TGL
NO TGL
L P L P L P L
1 BP
2 IMUN
3 KIA
4 LAB
5 GIGI
6 FIS
7 SK
8 CPW
0 0 0 0 0 0 0
R U A JMAS/KIS BPJS
NO TGL
L P L P L P L
1 BP
2 IMUN
3 KIA
4 LAB
5 GIGI
6 FIS
7 SK
8 CPW
0 0 0 0 0 0 0
R U A JMAS/KIS BPJS
NO TGL
L P L P L P L
1 BP
2 IMUN
3 KIA
4 LAB
5 GIGI
6 FIS
7 SK
8 CPW
0 0 0 0 0 0 0
R U A JMAS/KIS BPJS
NO TGL
L P L P L P L
1 BP
2 IMUN
3 KIA
4 LAB
5 GIGI
6 FIS
7 SK
8 CPW
0 0 0 0 0 0 0
R U A JMAS/KIS BPJS
NO TGL
L P L P L P L
1 BP
2 IMUN
3 KIA
4 LAB
5 GIGI
6 FIS
7 SK
8 CPW
0 0 0 0 0 0 0
R U A JMAS/KIS BPJS
NO TGL
L P L P L P L
1 BP
2 IMUN
3 KIA
4 LAB
5 GIGI
6 FIS
7 SK
8 CPW
0 0 0 0 0 0 0
R U A JMAS/KIS BPJS
NO TGL
L P L P L P L
1 BP
2 IMUN
3 KIA
4 LAB
5 GIGI
6 FIS
7 SK
8 CPW
0 0 0 0 0 0 0
R U A JMAS/KIS BPJS
NO TGL
L P L P L P L
1 BP
2 IMUN
3 KIA
4 LAB
5 GIGI
6 FIS
7 SK
8 CPW
0 0 0 0 0 0 0
Laporan Jumlah Kunjungan Bulan : ………………………………
R U A JMAS/KIS BPJS
NO TGL
L P L P L P L
1 BP 0 0 0 0 0 0 0
2 IMUN 0 0 0 0 0 0 0
3 KIA 0 0 0 0 0 0 0
4 LAB 0 0 0 0 0 0 0
5 GIGI 0 0 0 0 0 0 0
6 FIS 0 0 0 0 0 0 0
7 SK 0 0 0 0 0 0 0
8 CPW 0 0 0 0 0 0 0
0 0 0 0 0 0 0
AN HENDRIK
BPJS GR TOTAL R U
NO TGL
P L P L P L
0 0 1 BP
0 0 2 IMUN
0 0 3 KIA
0 0 4 LAB
0 0 5 GIGI
0 0 6 FIS
0 0 7 SK
0 0 8 CPW
0 0 0 0 0 0
BPJS GR TOTAL R U
NO TGL
P L P L P L
0 0 1 BP
0 0 2 IMUN
0 0 3 KIA
0 0 4 LAB
0 0 5 GIGI
0 0 6 FIS
0 0 7 SK
0 0 8 CPW
0 0 0 0 0 0
BPJS GR TOTAL R U
NO TGL
P L P L P L
0 0 1 BP
0 0 2 IMUN
0 0 3 KIA
0 0 4 LAB
0 0 5 GIGI
0 0 6 FIS
0 0 7 SK
0 0 8 CPW
0 0 0 0 0 0
BPJS GR TOTAL R U
NO TGL
P L P L P L
0 0 1 BP
0 0 2 IMUN
0 0 3 KIA
0 0 4 LAB
0 0 5 GIGI
0 0 6 FIS
0 0 7 SK
0 0 8 CPW
0 0 0 0 0 0
BPJS GR TOTAL R U
NO TGL
P L P L P L
0 0 1 BP
0 0 2 IMUN
0 0 3 KIA
0 0 4 LAB
0 0 5 GIGI
0 0 6 FIS
0 0 7 SK
0 0 8 CPW
0 0 0 0 0 0
BPJS GR TOTAL R U
NO TGL
P L P L P L
0 0 1 BP
0 0 2 IMUN
0 0 3 KIA
0 0 4 LAB
0 0 5 GIGI
0 0 6 FIS
0 0 7 SK
0 0 8 CPW
0 0 0 0 0 0
BPJS GR TOTAL R U
NO TGL
P L P L P L
0 0 1 BP
0 0 2 IMUN
0 0 3 KIA
0 0 4 LAB
0 0 5 GIGI
0 0 6 FIS
0 0 7 SK
0 0 8 CPW
0 0 0 0 0 0
BPJS GR TOTAL R U
NO TGL
NO TGL
P L P L P L
0 0 1 BP
0 0 2 IMUN
0 0 3 KIA
0 0 4 LAB
0 0 5 GIGI
0 0 6 FIS
0 0 7 SK
0 0 8 CPW
0 0 0 0 0 0
BPJS GR TOTAL R U
NO TGL
P L P L P L
0 0 1 BP
0 0 2 IMUN
0 0 3 KIA
0 0 4 LAB
0 0 5 GIGI
0 0 6 FIS
0 0 7 SK
0 0 8 CPW
0 0 0 0 0 0
BPJS GR TOTAL R U
NO TGL
P L P L P L
0 0 1 BP
0 0 2 IMUN
0 0 3 KIA
0 0 4 LAB
0 0 5 GIGI
0 0 6 FIS
0 0 7 SK
0 0 8 CPW
0 0 0 0 0 0
BPJS GR TOTAL R U
NO TGL
P L P L P L
0 0 1 BP
0 0 2 IMUN
0 0 3 KIA
0 0 4 LAB
0 0 5 GIGI
0 0 6 FIS
0 0 7 SK
0 0 8 CPW
0 0 0 0 0 0
BPJS GR TOTAL R U
NO TGL
P L P L P L
0 0 1 BP
0 0 2 IMUN
0 0 3 KIA
0 0 4 LAB
0 0 5 GIGI
0 0 6 FIS
0 0 7 SK
0 0 8 CPW
0 0 0 0 0 0
BPJS GR TOTAL R U
NO TGL
P L P L P L
0 0 1 BP
0 0 2 IMUN
0 0 3 KIA
0 0 4 LAB
0 0 5 GIGI
0 0 6 FIS
0 0 7 SK
0 0 8 CPW
0 0 0 0 0 0
BPJS GR TOTAL R U
NO TGL
P L P L P L
0 0 1 BP
0 0 2 IMUN
0 0 3 KIA
0 0 4 LAB
0 0 5 GIGI
0 0 6 FIS
0 0 7 SK
0 0 8 CPW
0 0 0 0 0 0
BPJS GR TOTAL R U
NO TGL
P L P L P L
0 0 1 BP
0 0 2 IMUN
0 0 3 KIA
0 0 4 LAB
0 0 5 GIGI
0 0 6 FIS
0 0 7 SK
0 0 8 CPW
0 0 0 0 0 0
BPJS GR TOTAL
P L P L P
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
U A JMAS/KIS BPJS GR TOTAL
P L P L P L P L P L
0
0
0
0
0
0
0
0
0 0 0 0 0 0 0 0 0 0
U A JMAS/KIS BPJS GR TOTAL
P L P L P L P L P L
0
0
0
0
0
0
0
0
0 0 0 0 0 0 0 0 0 0
U A JMAS/KIS BPJS GR TOTAL
P L P L P L P L P L
0
0
0
0
0
0
0
0
0 0 0 0 0 0 0 0 0 0
U A JMAS/KIS BPJS GR TOTAL
P L P L P L P L P L
0
0
0
0
0
0
0
0
0 0 0 0 0 0 0 0 0 0
U A JMAS/KIS BPJS GR TOTAL
P L P L P L P L P L
0
0
0
0
0
0
0
0
0 0 0 0 0 0 0 0 0 0
U A JMAS/KIS BPJS GR TOTAL
P L P L P L P L P L
0
0
0
0
0
0
0
0
0 0 0 0 0 0 0 0 0 0
U A JMAS/KIS BPJS GR TOTAL
P L P L P L P L P L
0
0
0
0
0
0
0
0
0 0 0 0 0 0 0 0 0 0
U A JMAS/KIS BPJS GR TOTAL
P L P L P L P L P L
0
0
0
0
0
0
0
0
0 0 0 0 0 0 0 0 0 0
U A JMAS/KIS BPJS GR TOTAL
P L P L P L P L P L
0
0
0
0
0
0
0
0
0 0 0 0 0 0 0 0 0 0
U A JMAS/KIS BPJS GR TOTAL
P L P L P L P L P L
0
0
0
0
0
0
0
0
0 0 0 0 0 0 0 0 0 0
U A JMAS/KIS BPJS GR TOTAL
P L P L P L P L P L
0
0
0
0
0
0
0
0
0 0 0 0 0 0 0 0 0 0
U A JMAS/KIS BPJS GR TOTAL
P L P L P L P L P L
0
0
0
0
0
0
0
0
0 0 0 0 0 0 0 0 0 0
U A JMAS/KIS BPJS GR TOTAL
P L P L P L P L P L
0
0
0
0
0
0
0
0
0 0 0 0 0 0 0 0 0 0
U A JMAS/KIS BPJS GR TOTAL
P L P L P L P L P L
0
0
0
0
0
0
0
0
0 0 0 0 0 0 0 0 0 0
U A JMAS/KIS BPJS GR TOTAL
P L P L P L P L P L
0 0 0 0 0 0 0 0 0 0
TOTAL
P
0
0
0
0
0
0
0
0
0
TOTAL
P
0
0
0
0
0
0
0
0
0
TOTAL
P
0
0
0
0
0
0
0
0
0
TOTAL
P
0
0
0
0
0
0
0
0
0
TOTAL
P
0
0
0
0
0
0
0
0
0
TOTAL
P
0
0
0
0
0
0
0
0
0
TOTAL
P
0
0
0
0
0
0
0
0
0
TOTAL
P
0
0
0
0
0
0
0
0
0
TOTAL
P
0
0
0
0
0
0
0
0
0
TOTAL
P
0
0
0
0
0
0
0
0
0
TOTAL
P
0
0
0
0
0
0
0
0
0
TOTAL
P
0
0
0
0
0
0
0
0
0
TOTAL
P
0
0
0
0
0
0
0
0
0
TOTAL
P
0
0
0
0
0
0
0
0
0
TOTAL
P
0
0
0
0
0
0
0
0
0
LAPORAN JUMLAH KUNJUNGAN HENDRIK
R U A JMAS/KIS BPJS
NO TGL
L P L P L P L
1 BP
2 IMUN
3 KIA
4 LAB
5 GIGI
6 FIS
7 SK
8 CPW
0 0 0 0 0 0 0
R U A JMAS/KIS BPJS
NO TGL
L P L P L P L
1 BP
2 IMUN
3 KIA
4 LAB
5 GIGI
6 FIS
7 SK
8 CPW
0 0 0 0 0 0 0
R U A JMAS/KIS BPJS
NO TGL
L P L P L P L
1 BP
2 IMUN
3 KIA
4 LAB
5 GIGI
6 FIS
7 SK
8 CPW
0 0 0 0 0 0 0
R U A JMAS/KIS BPJS
NO TGL
L P L P L P L
1 BP
2 IMUN
3 KIA
4 LAB
5 GIGI
6 FIS
7 SK
8 CPW
0 0 0 0 0 0 0
R U A JMAS/KIS BPJS
NO TGL
L P L P L P L
1 BP
2 IMUN
3 KIA
4 LAB
5 GIGI
6 FIS
7 SK
8 CPW
0 0 0 0 0 0 0
R U A JMAS/KIS BPJS
NO TGL
L P L P L P L
1 BP
2 IMUN
3 KIA
4 LAB
5 GIGI
6 FIS
7 SK
8 CPW
0 0 0 0 0 0 0
R U A JMAS/KIS BPJS
NO TGL
L P L P L P L
1 BP
2 IMUN
3 KIA
4 LAB
5 GIGI
6 FIS
7 SK
8 CPW
0 0 0 0 0 0 0
R U A JMAS/KIS BPJS
NO TGL
NO TGL
L P L P L P L
1 BP
2 IMUN
3 KIA
4 LAB
5 GIGI
6 FIS
7 SK
8 CPW
0 0 0 0 0 0 0
R U A JMAS/KIS BPJS
NO TGL
L P L P L P L
1 BP
2 IMUN
3 KIA
4 LAB
5 GIGI
6 FIS
7 SK
8 CPW
0 0 0 0 0 0 0
R U A JMAS/KIS BPJS
NO TGL
L P L P L P L
1 BP
2 IMUN
3 KIA
4 LAB
5 GIGI
6 FIS
7 SK
8 CPW
0 0 0 0 0 0 0
R U A JMAS/KIS BPJS
NO TGL
L P L P L P L
1 BP
2 IMUN
3 KIA
4 LAB
5 GIGI
6 FIS
7 SK
8 CPW
0 0 0 0 0 0 0
R U A JMAS/KIS BPJS
NO TGL
L P L P L P L
1 BP
2 IMUN
3 KIA
4 LAB
5 GIGI
6 FIS
7 SK
8 CPW
0 0 0 0 0 0 0
R U A JMAS/KIS BPJS
NO TGL
L P L P L P L
1 BP
2 IMUN
3 KIA
4 LAB
5 GIGI
6 FIS
7 SK
8 CPW
0 0 0 0 0 0 0
R U A JMAS/KIS BPJS
NO TGL
L P L P L P L
1 BP
2 IMUN
3 KIA
4 LAB
5 GIGI
6 FIS
7 SK
8 CPW
0 0 0 0 0 0 0
R U A JMAS/KIS BPJS
NO TGL
L P L P L P L
1 BP
2 IMUN
3 KIA
4 LAB
5 GIGI
6 FIS
7 SK
8 CPW
0 0 0 0 0 0 0
Laporan Jumlah Kunjungan Bulan : ………………………………
R U A JMAS/KIS BPJS
NO TGL
L P L P L P L
1 BP 0 0 0 0 0 0 0
2 IMUN 0 0 0 0 0 0 0
3 KIA 0 0 0 0 0 0 0
4 LAB 0 0 0 0 0 0 0
5 GIGI 0 0 0 0 0 0 0
6 FIS 0 0 0 0 0 0 0
7 SK 0 0 0 0 0 0 0
8 CPW 0 0 0 0 0 0 0
0 0 0 0 0 0 0
AN HENDRIK
BPJS GR TOTAL R U
NO TGL
P L P L P L
0 0 1 BP
0 0 2 IMUN
0 0 3 KIA
0 0 4 LAB
0 0 5 GIGI
0 0 6 FIS
0 0 7 SK
0 0 8 CPW
0 0 0 0 0 0
BPJS GR TOTAL R U
NO TGL
P L P L P L
0 0 1 BP
0 0 2 IMUN
0 0 3 KIA
0 0 4 LAB
0 0 5 GIGI
0 0 6 FIS
0 0 7 SK
0 0 8 CPW
0 0 0 0 0 0
BPJS GR TOTAL R U
NO TGL
P L P L P L
0 0 1 BP
0 0 2 IMUN
0 0 3 KIA
0 0 4 LAB
0 0 5 GIGI
0 0 6 FIS
0 0 7 SK
0 0 8 CPW
0 0 0 0 0 0
BPJS GR TOTAL R U
NO TGL
P L P L P L
0 0 1 BP
0 0 2 IMUN
0 0 3 KIA
0 0 4 LAB
0 0 5 GIGI
0 0 6 FIS
0 0 7 SK
0 0 8 CPW
0 0 0 0 0 0
BPJS GR TOTAL R U
NO TGL
P L P L P L
0 0 1 BP
0 0 2 IMUN
0 0 3 KIA
0 0 4 LAB
0 0 5 GIGI
0 0 6 FIS
0 0 7 SK
0 0 8 CPW
0 0 0 0 0 0
BPJS GR TOTAL R U
NO TGL
P L P L P L
0 0 1 BP
0 0 2 IMUN
0 0 3 KIA
0 0 4 LAB
0 0 5 GIGI
0 0 6 FIS
0 0 7 SK
0 0 8 CPW
0 0 0 0 0 0
BPJS GR TOTAL R U
NO TGL
P L P L P L
0 0 1 BP
0 0 2 IMUN
0 0 3 KIA
0 0 4 LAB
0 0 5 GIGI
0 0 6 FIS
0 0 7 SK
0 0 8 CPW
0 0 0 0 0 0
BPJS GR TOTAL R U
NO TGL
NO TGL
P L P L P L
0 0 1 BP
0 0 2 IMUN
0 0 3 KIA
0 0 4 LAB
0 0 5 GIGI
0 0 6 FIS
0 0 7 SK
0 0 8 CPW
0 0 0 0 0 0
BPJS GR TOTAL R U
NO TGL
P L P L P L
0 0 1 BP
0 0 2 IMUN
0 0 3 KIA
0 0 4 LAB
0 0 5 GIGI
0 0 6 FIS
0 0 7 SK
0 0 8 CPW
0 0 0 0 0 0
BPJS GR TOTAL R U
NO TGL
P L P L P L
0 0 1 BP
0 0 2 IMUN
0 0 3 KIA
0 0 4 LAB
0 0 5 GIGI
0 0 6 FIS
0 0 7 SK
0 0 8 CPW
0 0 0 0 0 0
BPJS GR TOTAL R U
NO TGL
P L P L P L
0 0 1 BP
0 0 2 IMUN
0 0 3 KIA
0 0 4 LAB
0 0 5 GIGI
0 0 6 FIS
0 0 7 SK
0 0 8 CPW
0 0 0 0 0 0
BPJS GR TOTAL R U
NO TGL
P L P L P L
0 0 1 BP
0 0 2 IMUN
0 0 3 KIA
0 0 4 LAB
0 0 5 GIGI
0 0 6 FIS
0 0 7 SK
0 0 8 CPW
0 0 0 0 0 0
BPJS GR TOTAL R U
NO TGL
P L P L P L
0 0 1 BP
0 0 2 IMUN
0 0 3 KIA
0 0 4 LAB
0 0 5 GIGI
0 0 6 FIS
0 0 7 SK
0 0 8 CPW
0 0 0 0 0 0
BPJS GR TOTAL R U
NO TGL
P L P L P L
0 0 1 BP
0 0 2 IMUN
0 0 3 KIA
0 0 4 LAB
0 0 5 GIGI
0 0 6 FIS
0 0 7 SK
0 0 8 CPW
0 0 0 0 0 0
BPJS GR TOTAL R U
NO TGL
P L P L P L
0 0 1 BP
0 0 2 IMUN
0 0 3 KIA
0 0 4 LAB
0 0 5 GIGI
0 0 6 FIS
0 0 7 SK
0 0 8 CPW
0 0 0 0 0 0
BPJS GR TOTAL
P L P L P
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
U A JMAS/KIS BPJS GR TOTAL
P L P L P L P L P L
0
0
0
0
0
0
0
0
0 0 0 0 0 0 0 0 0 0
U A JMAS/KIS BPJS GR TOTAL
P L P L P L P L P L
0
0
0
0
0
0
0
0
0 0 0 0 0 0 0 0 0 0
U A JMAS/KIS BPJS GR TOTAL
P L P L P L P L P L
0
0
0
0
0
0
0
0
0 0 0 0 0 0 0 0 0 0
U A JMAS/KIS BPJS GR TOTAL
P L P L P L P L P L
0
0
0
0
0
0
0
0
0 0 0 0 0 0 0 0 0 0
U A JMAS/KIS BPJS GR TOTAL
P L P L P L P L P L
0
0
0
0
0
0
0
0
0 0 0 0 0 0 0 0 0 0
U A JMAS/KIS BPJS GR TOTAL
P L P L P L P L P L
0
0
0
0
0
0
0
0
0 0 0 0 0 0 0 0 0 0
U A JMAS/KIS BPJS GR TOTAL
P L P L P L P L P L
0
0
0
0
0
0
0
0
0 0 0 0 0 0 0 0 0 0
U A JMAS/KIS BPJS GR TOTAL
P L P L P L P L P L
0
0
0
0
0
0
0
0
0 0 0 0 0 0 0 0 0 0
U A JMAS/KIS BPJS GR TOTAL
P L P L P L P L P L
0
0
0
0
0
0
0
0
0 0 0 0 0 0 0 0 0 0
U A JMAS/KIS BPJS GR TOTAL
P L P L P L P L P L
0
0
0
0
0
0
0
0
0 0 0 0 0 0 0 0 0 0
U A JMAS/KIS BPJS GR TOTAL
P L P L P L P L P L
0
0
0
0
0
0
0
0
0 0 0 0 0 0 0 0 0 0
U A JMAS/KIS BPJS GR TOTAL
P L P L P L P L P L
0
0
0
0
0
0
0
0
0 0 0 0 0 0 0 0 0 0
U A JMAS/KIS BPJS GR TOTAL
P L P L P L P L P L
0
0
0
0
0
0
0
0
0 0 0 0 0 0 0 0 0 0
U A JMAS/KIS BPJS GR TOTAL
P L P L P L P L P L
0
0
0
0
0
0
0
0
0 0 0 0 0 0 0 0 0 0
U A JMAS/KIS BPJS GR TOTAL
P L P L P L P L P L
0 0 0 0 0 0 0 0 0 0
TOTAL
P
0
0
0
0
0
0
0
0
0
TOTAL
P
0
0
0
0
0
0
0
0
0
TOTAL
P
0
0
0
0
0
0
0
0
0
TOTAL
P
0
0
0
0
0
0
0
0
0
TOTAL
P
0
0
0
0
0
0
0
0
0
TOTAL
P
0
0
0
0
0
0
0
0
0
TOTAL
P
0
0
0
0
0
0
0
0
0
TOTAL
P
0
0
0
0
0
0
0
0
0
TOTAL
P
0
0
0
0
0
0
0
0
0
TOTAL
P
0
0
0
0
0
0
0
0
0
TOTAL
P
0
0
0
0
0
0
0
0
0
TOTAL
P
0
0
0
0
0
0
0
0
0
TOTAL
P
0
0
0
0
0
0
0
0
0
TOTAL
P
0
0
0
0
0
0
0
0
0
TOTAL
P
0
0
0
0
0
0
0
0
0
LAPORAN JUMLAH KUNJUNGAN HENDRIK
R U A JMAS/KIS BPJS
NO TGL
L P L P L P L
1 BP
2 IMUN
3 KIA
4 LAB
5 GIGI
6 FIS
7 SK
8 CPW
0 0 0 0 0 0 0
R U A JMAS/KIS BPJS
NO TGL
L P L P L P L
1 BP
2 IMUN
3 KIA
4 LAB
5 GIGI
6 FIS
7 SK
8 CPW
0 0 0 0 0 0 0
R U A JMAS/KIS BPJS
NO TGL
L P L P L P L
1 BP
2 IMUN
3 KIA
4 LAB
5 GIGI
6 FIS
7 SK
8 CPW
0 0 0 0 0 0 0
R U A JMAS/KIS BPJS
NO TGL
L P L P L P L
1 BP
2 IMUN
3 KIA
4 LAB
5 GIGI
6 FIS
7 SK
8 CPW
0 0 0 0 0 0 0
R U A JMAS/KIS BPJS
NO TGL
L P L P L P L
1 BP
2 IMUN
3 KIA
4 LAB
5 GIGI
6 FIS
7 SK
8 CPW
0 0 0 0 0 0 0
R U A JMAS/KIS BPJS
NO TGL
L P L P L P L
1 BP
2 IMUN
3 KIA
4 LAB
5 GIGI
6 FIS
7 SK
8 CPW
0 0 0 0 0 0 0
R U A JMAS/KIS BPJS
NO TGL
L P L P L P L
1 BP
2 IMUN
3 KIA
4 LAB
5 GIGI
6 FIS
7 SK
8 CPW
0 0 0 0 0 0 0
R U A JMAS/KIS BPJS
NO TGL
NO TGL
L P L P L P L
1 BP
2 IMUN
3 KIA
4 LAB
5 GIGI
6 FIS
7 SK
8 CPW
0 0 0 0 0 0 0
R U A JMAS/KIS BPJS
NO TGL
L P L P L P L
1 BP
2 IMUN
3 KIA
4 LAB
5 GIGI
6 FIS
7 SK
8 CPW
0 0 0 0 0 0 0
R U A JMAS/KIS BPJS
NO TGL
L P L P L P L
1 BP
2 IMUN
3 KIA
4 LAB
5 GIGI
6 FIS
7 SK
8 CPW
0 0 0 0 0 0 0
R U A JMAS/KIS BPJS
NO TGL
L P L P L P L
1 BP
2 IMUN
3 KIA
4 LAB
5 GIGI
6 FIS
7 SK
8 CPW
0 0 0 0 0 0 0
R U A JMAS/KIS BPJS
NO TGL
L P L P L P L
1 BP
2 IMUN
3 KIA
4 LAB
5 GIGI
6 FIS
7 SK
8 CPW
0 0 0 0 0 0 0
R U A JMAS/KIS BPJS
NO TGL
L P L P L P L
1 BP
2 IMUN
3 KIA
4 LAB
5 GIGI
6 FIS
7 SK
8 CPW
0 0 0 0 0 0 0
R U A JMAS/KIS BPJS
NO TGL
L P L P L P L
1 BP
2 IMUN
3 KIA
4 LAB
5 GIGI
6 FIS
7 SK
8 CPW
0 0 0 0 0 0 0
R U A JMAS/KIS BPJS
NO TGL
L P L P L P L
1 BP
2 IMUN
3 KIA
4 LAB
5 GIGI
6 FIS
7 SK
8 CPW
0 0 0 0 0 0 0
Laporan Jumlah Kunjungan Bulan : ………………………………
R U A JMAS/KIS BPJS
NO TGL
L P L P L P L
1 BP 0 0 0 0 0 0 0
2 IMUN 0 0 0 0 0 0 0
3 KIA 0 0 0 0 0 0 0
4 LAB 0 0 0 0 0 0 0
5 GIGI 0 0 0 0 0 0 0
6 FIS 0 0 0 0 0 0 0
7 SK 0 0 0 0 0 0 0
8 CPW 0 0 0 0 0 0 0
0 0 0 0 0 0 0
AN HENDRIK
BPJS GR TOTAL R U
NO TGL
P L P L P L
0 0 1 BP
0 0 2 IMUN
0 0 3 KIA
0 0 4 LAB
0 0 5 GIGI
0 0 6 FIS
0 0 7 SK
0 0 8 CPW
0 0 0 0 0 0
BPJS GR TOTAL R U
NO TGL
P L P L P L
0 0 1 BP
0 0 2 IMUN
0 0 3 KIA
0 0 4 LAB
0 0 5 GIGI
0 0 6 FIS
0 0 7 SK
0 0 8 CPW
0 0 0 0 0 0
BPJS GR TOTAL R U
NO TGL
P L P L P L
0 0 1 BP
0 0 2 IMUN
0 0 3 KIA
0 0 4 LAB
0 0 5 GIGI
0 0 6 FIS
0 0 7 SK
0 0 8 CPW
0 0 0 0 0 0
BPJS GR TOTAL R U
NO TGL
P L P L P L
0 0 1 BP
0 0 2 IMUN
0 0 3 KIA
0 0 4 LAB
0 0 5 GIGI
0 0 6 FIS
0 0 7 SK
0 0 8 CPW
0 0 0 0 0 0
BPJS GR TOTAL R U
NO TGL
P L P L P L
0 0 1 BP
0 0 2 IMUN
0 0 3 KIA
0 0 4 LAB
0 0 5 GIGI
0 0 6 FIS
0 0 7 SK
0 0 8 CPW
0 0 0 0 0 0
BPJS GR TOTAL R U
NO TGL
P L P L P L
0 0 1 BP
0 0 2 IMUN
0 0 3 KIA
0 0 4 LAB
0 0 5 GIGI
0 0 6 FIS
0 0 7 SK
0 0 8 CPW
0 0 0 0 0 0
BPJS GR TOTAL R U
NO TGL
P L P L P L
0 0 1 BP
0 0 2 IMUN
0 0 3 KIA
0 0 4 LAB
0 0 5 GIGI
0 0 6 FIS
0 0 7 SK
0 0 8 CPW
0 0 0 0 0 0
BPJS GR TOTAL R U
NO TGL
NO TGL
P L P L P L
0 0 1 BP
0 0 2 IMUN
0 0 3 KIA
0 0 4 LAB
0 0 5 GIGI
0 0 6 FIS
0 0 7 SK
0 0 8 CPW
0 0 0 0 0 0
BPJS GR TOTAL R U
NO TGL
P L P L P L
0 0 1 BP
0 0 2 IMUN
0 0 3 KIA
0 0 4 LAB
0 0 5 GIGI
0 0 6 FIS
0 0 7 SK
0 0 8 CPW
0 0 0 0 0 0
BPJS GR TOTAL R U
NO TGL
P L P L P L
0 0 1 BP
0 0 2 IMUN
0 0 3 KIA
0 0 4 LAB
0 0 5 GIGI
0 0 6 FIS
0 0 7 SK
0 0 8 CPW
0 0 0 0 0 0
BPJS GR TOTAL R U
NO TGL
P L P L P L
0 0 1 BP
0 0 2 IMUN
0 0 3 KIA
0 0 4 LAB
0 0 5 GIGI
0 0 6 FIS
0 0 7 SK
0 0 8 CPW
0 0 0 0 0 0
BPJS GR TOTAL R U
NO TGL
P L P L P L
0 0 1 BP
0 0 2 IMUN
0 0 3 KIA
0 0 4 LAB
0 0 5 GIGI
0 0 6 FIS
0 0 7 SK
0 0 8 CPW
0 0 0 0 0 0
BPJS GR TOTAL R U
NO TGL
P L P L P L
0 0 1 BP
0 0 2 IMUN
0 0 3 KIA
0 0 4 LAB
0 0 5 GIGI
0 0 6 FIS
0 0 7 SK
0 0 8 CPW
0 0 0 0 0 0
BPJS GR TOTAL R U
NO TGL
P L P L P L
0 0 1 BP
0 0 2 IMUN
0 0 3 KIA
0 0 4 LAB
0 0 5 GIGI
0 0 6 FIS
0 0 7 SK
0 0 8 CPW
0 0 0 0 0 0
BPJS GR TOTAL R U
NO TGL
P L P L P L
0 0 1 BP
0 0 2 IMUN
0 0 3 KIA
0 0 4 LAB
0 0 5 GIGI
0 0 6 FIS
0 0 7 SK
0 0 8 CPW
0 0 0 0 0 0
BPJS GR TOTAL
P L P L P
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
U A JMAS/KIS BPJS GR TOTAL
P L P L P L P L P L
0
0
0
0
0
0
0
0
0 0 0 0 0 0 0 0 0 0
U A JMAS/KIS BPJS GR TOTAL
P L P L P L P L P L
0
0
0
0
0
0
0
0
0 0 0 0 0 0 0 0 0 0
U A JMAS/KIS BPJS GR TOTAL
P L P L P L P L P L
0
0
0
0
0
0
0
0
0 0 0 0 0 0 0 0 0 0
U A JMAS/KIS BPJS GR TOTAL
P L P L P L P L P L
0
0
0
0
0
0
0
0
0 0 0 0 0 0 0 0 0 0
U A JMAS/KIS BPJS GR TOTAL
P L P L P L P L P L
0
0
0
0
0
0
0
0
0 0 0 0 0 0 0 0 0 0
U A JMAS/KIS BPJS GR TOTAL
P L P L P L P L P L
0
0
0
0
0
0
0
0
0 0 0 0 0 0 0 0 0 0
U A JMAS/KIS BPJS GR TOTAL
P L P L P L P L P L
0
0
0
0
0
0
0
0
0 0 0 0 0 0 0 0 0 0
U A JMAS/KIS BPJS GR TOTAL
P L P L P L P L P L
0
0
0
0
0
0
0
0
0 0 0 0 0 0 0 0 0 0
U A JMAS/KIS BPJS GR TOTAL
P L P L P L P L P L
0
0
0
0
0
0
0
0
0 0 0 0 0 0 0 0 0 0
U A JMAS/KIS BPJS GR TOTAL
P L P L P L P L P L
0
0
0
0
0
0
0
0
0 0 0 0 0 0 0 0 0 0
U A JMAS/KIS BPJS GR TOTAL
P L P L P L P L P L
0
0
0
0
0
0
0
0
0 0 0 0 0 0 0 0 0 0
U A JMAS/KIS BPJS GR TOTAL
P L P L P L P L P L
0
0
0
0
0
0
0
0
0 0 0 0 0 0 0 0 0 0
U A JMAS/KIS BPJS GR TOTAL
P L P L P L P L P L
0
0
0
0
0
0
0
0
0 0 0 0 0 0 0 0 0 0
U A JMAS/KIS BPJS GR TOTAL
P L P L P L P L P L
0
0
0
0
0
0
0
0
0 0 0 0 0 0 0 0 0 0
U A JMAS/KIS BPJS GR TOTAL
P L P L P L P L P L
0 0 0 0 0 0 0 0 0 0
TOTAL
P
0
0
0
0
0
0
0
0
0
TOTAL
P
0
0
0
0
0
0
0
0
0
TOTAL
P
0
0
0
0
0
0
0
0
0
TOTAL
P
0
0
0
0
0
0
0
0
0
TOTAL
P
0
0
0
0
0
0
0
0
0
TOTAL
P
0
0
0
0
0
0
0
0
0
TOTAL
P
0
0
0
0
0
0
0
0
0
TOTAL
P
0
0
0
0
0
0
0
0
0
TOTAL
P
0
0
0
0
0
0
0
0
0
TOTAL
P
0
0
0
0
0
0
0
0
0
TOTAL
P
0
0
0
0
0
0
0
0
0
TOTAL
P
0
0
0
0
0
0
0
0
0
TOTAL
P
0
0
0
0
0
0
0
0
0
TOTAL
P
0
0
0
0
0
0
0
0
0
TOTAL
P
0
0
0
0
0
0
0
0
0
LAPORAN JUMLAH KUNJUNGAN HENDRIK
R U A JMAS/KIS BPJS
NO TGL
L P L P L P L
1 BP
2 IMUN
3 KIA
4 LAB
5 GIGI
6 FIS
7 SK
8 CPW
0 0 0 0 0 0 0
R U A JMAS/KIS BPJS
NO TGL
L P L P L P L
1 BP
2 IMUN
3 KIA
4 LAB
5 GIGI
6 FIS
7 SK
8 CPW
0 0 0 0 0 0 0
R U A JMAS/KIS BPJS
NO TGL
L P L P L P L
1 BP
2 IMUN
3 KIA
4 LAB
5 GIGI
6 FIS
7 SK
8 CPW
0 0 0 0 0 0 0
R U A JMAS/KIS BPJS
NO TGL
L P L P L P L
1 BP
2 IMUN
3 KIA
4 LAB
5 GIGI
6 FIS
7 SK
8 CPW
0 0 0 0 0 0 0
R U A JMAS/KIS BPJS
NO TGL
L P L P L P L
1 BP
2 IMUN
3 KIA
4 LAB
5 GIGI
6 FIS
7 SK
8 CPW
0 0 0 0 0 0 0
R U A JMAS/KIS BPJS
NO TGL
L P L P L P L
1 BP
2 IMUN
3 KIA
4 LAB
5 GIGI
6 FIS
7 SK
8 CPW
0 0 0 0 0 0 0
R U A JMAS/KIS BPJS
NO TGL
L P L P L P L
1 BP
2 IMUN
3 KIA
4 LAB
5 GIGI
6 FIS
7 SK
8 CPW
0 0 0 0 0 0 0
R U A JMAS/KIS BPJS
NO TGL
NO TGL
L P L P L P L
1 BP
2 IMUN
3 KIA
4 LAB
5 GIGI
6 FIS
7 SK
8 CPW
0 0 0 0 0 0 0
R U A JMAS/KIS BPJS
NO TGL
L P L P L P L
1 BP
2 IMUN
3 KIA
4 LAB
5 GIGI
6 FIS
7 SK
8 CPW
0 0 0 0 0 0 0
R U A JMAS/KIS BPJS
NO TGL
L P L P L P L
1 BP
2 IMUN
3 KIA
4 LAB
5 GIGI
6 FIS
7 SK
8 CPW
0 0 0 0 0 0 0
R U A JMAS/KIS BPJS
NO TGL
L P L P L P L
1 BP
2 IMUN
3 KIA
4 LAB
5 GIGI
6 FIS
7 SK
8 CPW
0 0 0 0 0 0 0
R U A JMAS/KIS BPJS
NO TGL
L P L P L P L
1 BP
2 IMUN
3 KIA
4 LAB
5 GIGI
6 FIS
7 SK
8 CPW
0 0 0 0 0 0 0
R U A JMAS/KIS BPJS
NO TGL
L P L P L P L
1 BP
2 IMUN
3 KIA
4 LAB
5 GIGI
6 FIS
7 SK
8 CPW
0 0 0 0 0 0 0
R U A JMAS/KIS BPJS
NO TGL
L P L P L P L
1 BP
2 IMUN
3 KIA
4 LAB
5 GIGI
6 FIS
7 SK
8 CPW
0 0 0 0 0 0 0
R U A JMAS/KIS BPJS
NO TGL
L P L P L P L
1 BP
2 IMUN
3 KIA
4 LAB
5 GIGI
6 FIS
7 SK
8 CPW
0 0 0 0 0 0 0
Laporan Jumlah Kunjungan Bulan : ………………………………
R U A JMAS/KIS BPJS
NO TGL
L P L P L P L
1 BP 0 0 0 0 0 0 0
2 IMUN 0 0 0 0 0 0 0
3 KIA 0 0 0 0 0 0 0
4 LAB 0 0 0 0 0 0 0
5 GIGI 0 0 0 0 0 0 0
6 FIS 0 0 0 0 0 0 0
7 SK 0 0 0 0 0 0 0
8 CPW 0 0 0 0 0 0 0
0 0 0 0 0 0 0
N HENDRIK
BPJS GR TOTAL R U
NO TGL
P L P L P L
0 0 1 BP
0 0 2 IMUN
0 0 3 KIA
0 0 4 LAB
0 0 5 GIGI
0 0 6 FIS
0 0 7 SK
0 0 8 CPW
0 0 0 0 0 0
BPJS GR TOTAL R U
NO TGL
P L P L P L
0 0 1 BP
0 0 2 IMUN
0 0 3 KIA
0 0 4 LAB
0 0 5 GIGI
0 0 6 FIS
0 0 7 SK
0 0 8 CPW
0 0 0 0 0 0
BPJS GR TOTAL R U
NO TGL
P L P L P L
0 0 1 BP
0 0 2 IMUN
0 0 3 KIA
0 0 4 LAB
0 0 5 GIGI
0 0 6 FIS
0 0 7 SK
0 0 8 CPW
0 0 0 0 0 0
BPJS GR TOTAL R U
NO TGL
P L P L P L
0 0 1 BP
0 0 2 IMUN
0 0 3 KIA
0 0 4 LAB
0 0 5 GIGI
0 0 6 FIS
0 0 7 SK
0 0 8 CPW
0 0 0 0 0 0
BPJS GR TOTAL R U
NO TGL
P L P L P L
0 0 1 BP
0 0 2 IMUN
0 0 3 KIA
0 0 4 LAB
0 0 5 GIGI
0 0 6 FIS
0 0 7 SK
0 0 8 CPW
0 0 0 0 0 0
BPJS GR TOTAL R U
NO TGL
P L P L P L
0 0 1 BP
0 0 2 IMUN
0 0 3 KIA
0 0 4 LAB
0 0 5 GIGI
0 0 6 FIS
0 0 7 SK
0 0 8 CPW
0 0 0 0 0 0
BPJS GR TOTAL R U
NO TGL
P L P L P L
0 0 1 BP
0 0 2 IMUN
0 0 3 KIA
0 0 4 LAB
0 0 5 GIGI
0 0 6 FIS
0 0 7 SK
0 0 8 CPW
0 0 0 0 0 0
BPJS GR TOTAL R U
NO TGL
NO TGL
P L P L P L
0 0 1 BP
0 0 2 IMUN
0 0 3 KIA
0 0 4 LAB
0 0 5 GIGI
0 0 6 FIS
0 0 7 SK
0 0 8 CPW
0 0 0 0 0 0
BPJS GR TOTAL R U
NO TGL
P L P L P L
0 0 1 BP
0 0 2 IMUN
0 0 3 KIA
0 0 4 LAB
0 0 5 GIGI
0 0 6 FIS
0 0 7 SK
0 0 8 CPW
0 0 0 0 0 0
BPJS GR TOTAL R U
NO TGL
P L P L P L
0 0 1 BP
0 0 2 IMUN
0 0 3 KIA
0 0 4 LAB
0 0 5 GIGI
0 0 6 FIS
0 0 7 SK
0 0 8 CPW
0 0 0 0 0 0
BPJS GR TOTAL R U
NO TGL
P L P L P L
0 0 1 BP
0 0 2 IMUN
0 0 3 KIA
0 0 4 LAB
0 0 5 GIGI
0 0 6 FIS
0 0 7 SK
0 0 8 CPW
0 0 0 0 0 0
BPJS GR TOTAL R U
NO TGL
P L P L P L
0 0 1 BP
0 0 2 IMUN
0 0 3 KIA
0 0 4 LAB
0 0 5 GIGI
0 0 6 FIS
0 0 7 SK
0 0 8 CPW
0 0 0 0 0 0
BPJS GR TOTAL R U
NO TGL
P L P L P L
0 0 1 BP
0 0 2 IMUN
0 0 3 KIA
0 0 4 LAB
0 0 5 GIGI
0 0 6 FIS
0 0 7 SK
0 0 8 CPW
0 0 0 0 0 0
BPJS GR TOTAL R U
NO TGL
P L P L P L
0 0 1 BP
0 0 2 IMUN
0 0 3 KIA
0 0 4 LAB
0 0 5 GIGI
0 0 6 FIS
0 0 7 SK
0 0 8 CPW
0 0 0 0 0 0
BPJS GR TOTAL R U
NO TGL
P L P L P L
0 0 1 BP
0 0 2 IMUN
0 0 3 KIA
0 0 4 LAB
0 0 5 GIGI
0 0 6 FIS
0 0 7 SK
0 0 8 CPW
0 0 0 0 0 0
BPJS GR TOTAL
P L P L P
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
U A JMAS/KIS BPJS GR TOTAL
P L P L P L P L P L
0
0
0
0
0
0
0
0
0 0 0 0 0 0 0 0 0 0
U A JMAS/KIS BPJS GR TOTAL
P L P L P L P L P L
0
0
0
0
0
0
0
0
0 0 0 0 0 0 0 0 0 0
U A JMAS/KIS BPJS GR TOTAL
P L P L P L P L P L
0
0
0
0
0
0
0
0
0 0 0 0 0 0 0 0 0 0
U A JMAS/KIS BPJS GR TOTAL
P L P L P L P L P L
0
0
0
0
0
0
0
0
0 0 0 0 0 0 0 0 0 0
U A JMAS/KIS BPJS GR TOTAL
P L P L P L P L P L
0
0
0
0
0
0
0
0
0 0 0 0 0 0 0 0 0 0
U A JMAS/KIS BPJS GR TOTAL
P L P L P L P L P L
0
0
0
0
0
0
0
0
0 0 0 0 0 0 0 0 0 0
U A JMAS/KIS BPJS GR TOTAL
P L P L P L P L P L
0
0
0
0
0
0
0
0
0 0 0 0 0 0 0 0 0 0
U A JMAS/KIS BPJS GR TOTAL
P L P L P L P L P L
0
0
0
0
0
0
0
0
0 0 0 0 0 0 0 0 0 0
U A JMAS/KIS BPJS GR TOTAL
P L P L P L P L P L
0
0
0
0
0
0
0
0
0 0 0 0 0 0 0 0 0 0
U A JMAS/KIS BPJS GR TOTAL
P L P L P L P L P L
0
0
0
0
0
0
0
0
0 0 0 0 0 0 0 0 0 0
U A JMAS/KIS BPJS GR TOTAL
P L P L P L P L P L
0
0
0
0
0
0
0
0
0 0 0 0 0 0 0 0 0 0
U A JMAS/KIS BPJS GR TOTAL
P L P L P L P L P L
0
0
0
0
0
0
0
0
0 0 0 0 0 0 0 0 0 0
U A JMAS/KIS BPJS GR TOTAL
P L P L P L P L P L
0
0
0
0
0
0
0
0
0 0 0 0 0 0 0 0 0 0
U A JMAS/KIS BPJS GR TOTAL
P L P L P L P L P L
0
0
0
0
0
0
0
0
0 0 0 0 0 0 0 0 0 0
U A JMAS/KIS BPJS GR TOTAL
P L P L P L P L P L
0 0 0 0 0 0 0 0 0 0
TOTAL
P
0
0
0
0
0
0
0
0
0
TOTAL
P
0
0
0
0
0
0
0
0
0
TOTAL
P
0
0
0
0
0
0
0
0
0
TOTAL
P
0
0
0
0
0
0
0
0
0
TOTAL
P
0
0
0
0
0
0
0
0
0
TOTAL
P
0
0
0
0
0
0
0
0
0
TOTAL
P
0
0
0
0
0
0
0
0
0
TOTAL
P
0
0
0
0
0
0
0
0
0
TOTAL
P
0
0
0
0
0
0
0
0
0
TOTAL
P
0
0
0
0
0
0
0
0
0
TOTAL
P
0
0
0
0
0
0
0
0
0
TOTAL
P
0
0
0
0
0
0
0
0
0
TOTAL
P
0
0
0
0
0
0
0
0
0
TOTAL
P
0
0
0
0
0
0
0
0
0
TOTAL
P
0
0
0
0
0
0
0
0
0
LAPORAN JUMLAH KUNJUNGAN HENDRIK
R U A JMAS/KIS BPJS
NO TGL
L P L P L P L
1 BP
2 IMUN
3 KIA
4 LAB
5 GIGI
6 FIS
7 SK
8 CPW
0 0 0 0 0 0 0
R U A JMAS/KIS BPJS
NO TGL
L P L P L P L
1 BP
2 IMUN
3 KIA
4 LAB
5 GIGI
6 FIS
7 SK
8 CPW
0 0 0 0 0 0 0
R U A JMAS/KIS BPJS
NO TGL
L P L P L P L
1 BP
2 IMUN
3 KIA
4 LAB
5 GIGI
6 FIS
7 SK
8 CPW
0 0 0 0 0 0 0
R U A JMAS/KIS BPJS
NO TGL
L P L P L P L
1 BP
2 IMUN
3 KIA
4 LAB
5 GIGI
6 FIS
7 SK
8 CPW
0 0 0 0 0 0 0
R U A JMAS/KIS BPJS
NO TGL
L P L P L P L
1 BP
2 IMUN
3 KIA
4 LAB
5 GIGI
6 FIS
7 SK
8 CPW
0 0 0 0 0 0 0
R U A JMAS/KIS BPJS
NO TGL
L P L P L P L
1 BP
2 IMUN
3 KIA
4 LAB
5 GIGI
6 FIS
7 SK
8 CPW
0 0 0 0 0 0 0
R U A JMAS/KIS BPJS
NO TGL
L P L P L P L
1 BP
2 IMUN
3 KIA
4 LAB
5 GIGI
6 FIS
7 SK
8 CPW
0 0 0 0 0 0 0
R U A JMAS/KIS BPJS
NO TGL
NO TGL
L P L P L P L
1 BP
2 IMUN
3 KIA
4 LAB
5 GIGI
6 FIS
7 SK
8 CPW
0 0 0 0 0 0 0
R U A JMAS/KIS BPJS
NO TGL
L P L P L P L
1 BP
2 IMUN
3 KIA
4 LAB
5 GIGI
6 FIS
7 SK
8 CPW
0 0 0 0 0 0 0
R U A JMAS/KIS BPJS
NO TGL
L P L P L P L
1 BP
2 IMUN
3 KIA
4 LAB
5 GIGI
6 FIS
7 SK
8 CPW
0 0 0 0 0 0 0
R U A JMAS/KIS BPJS
NO TGL
L P L P L P L
1 BP
2 IMUN
3 KIA
4 LAB
5 GIGI
6 FIS
7 SK
8 CPW
0 0 0 0 0 0 0
R U A JMAS/KIS BPJS
NO TGL
L P L P L P L
1 BP
2 IMUN
3 KIA
4 LAB
5 GIGI
6 FIS
7 SK
8 CPW
0 0 0 0 0 0 0
R U A JMAS/KIS BPJS
NO TGL
L P L P L P L
1 BP
2 IMUN
3 KIA
4 LAB
5 GIGI
6 FIS
7 SK
8 CPW
0 0 0 0 0 0 0
R U A JMAS/KIS BPJS
NO TGL
L P L P L P L
1 BP
2 IMUN
3 KIA
4 LAB
5 GIGI
6 FIS
7 SK
8 CPW
0 0 0 0 0 0 0
R U A JMAS/KIS BPJS
NO TGL
L P L P L P L
1 BP
2 IMUN
3 KIA
4 LAB
5 GIGI
6 FIS
7 SK
8 CPW
0 0 0 0 0 0 0
Laporan Jumlah Kunjungan Bulan : ………………………………
R U A JMAS/KIS BPJS
NO TGL
L P L P L P L
1 BP 0 0 0 0 0 0 0
2 IMUN 0 0 0 0 0 0 0
3 KIA 0 0 0 0 0 0 0
4 LAB 0 0 0 0 0 0 0
5 GIGI 0 0 0 0 0 0 0
6 FIS 0 0 0 0 0 0 0
7 SK 0 0 0 0 0 0 0
8 CPW 0 0 0 0 0 0 0
0 0 0 0 0 0 0
AN HENDRIK
BPJS GR TOTAL R U
NO TGL
P L P L P L
0 0 1 BP
0 0 2 IMUN
0 0 3 KIA
0 0 4 LAB
0 0 5 GIGI
0 0 6 FIS
0 0 7 SK
0 0 8 CPW
0 0 0 0 0 0
BPJS GR TOTAL R U
NO TGL
P L P L P L
0 0 1 BP
0 0 2 IMUN
0 0 3 KIA
0 0 4 LAB
0 0 5 GIGI
0 0 6 FIS
0 0 7 SK
0 0 8 CPW
0 0 0 0 0 0
BPJS GR TOTAL R U
NO TGL
P L P L P L
0 0 1 BP
0 0 2 IMUN
0 0 3 KIA
0 0 4 LAB
0 0 5 GIGI
0 0 6 FIS
0 0 7 SK
0 0 8 CPW
0 0 0 0 0 0
BPJS GR TOTAL R U
NO TGL
P L P L P L
0 0 1 BP
0 0 2 IMUN
0 0 3 KIA
0 0 4 LAB
0 0 5 GIGI
0 0 6 FIS
0 0 7 SK
0 0 8 CPW
0 0 0 0 0 0
BPJS GR TOTAL R U
NO TGL
P L P L P L
0 0 1 BP
0 0 2 IMUN
0 0 3 KIA
0 0 4 LAB
0 0 5 GIGI
0 0 6 FIS
0 0 7 SK
0 0 8 CPW
0 0 0 0 0 0
BPJS GR TOTAL R U
NO TGL
P L P L P L
0 0 1 BP
0 0 2 IMUN
0 0 3 KIA
0 0 4 LAB
0 0 5 GIGI
0 0 6 FIS
0 0 7 SK
0 0 8 CPW
0 0 0 0 0 0
BPJS GR TOTAL R U
NO TGL
P L P L P L
0 0 1 BP
0 0 2 IMUN
0 0 3 KIA
0 0 4 LAB
0 0 5 GIGI
0 0 6 FIS
0 0 7 SK
0 0 8 CPW
0 0 0 0 0 0
BPJS GR TOTAL R U
NO TGL
NO TGL
P L P L P L
0 0 1 BP
0 0 2 IMUN
0 0 3 KIA
0 0 4 LAB
0 0 5 GIGI
0 0 6 FIS
0 0 7 SK
0 0 8 CPW
0 0 0 0 0 0
BPJS GR TOTAL R U
NO TGL
P L P L P L
0 0 1 BP
0 0 2 IMUN
0 0 3 KIA
0 0 4 LAB
0 0 5 GIGI
0 0 6 FIS
0 0 7 SK
0 0 8 CPW
0 0 0 0 0 0
BPJS GR TOTAL R U
NO TGL
P L P L P L
0 0 1 BP
0 0 2 IMUN
0 0 3 KIA
0 0 4 LAB
0 0 5 GIGI
0 0 6 FIS
0 0 7 SK
0 0 8 CPW
0 0 0 0 0 0
BPJS GR TOTAL R U
NO TGL
P L P L P L
0 0 1 BP
0 0 2 IMUN
0 0 3 KIA
0 0 4 LAB
0 0 5 GIGI
0 0 6 FIS
0 0 7 SK
0 0 8 CPW
0 0 0 0 0 0
BPJS GR TOTAL R U
NO TGL
P L P L P L
0 0 1 BP
0 0 2 IMUN
0 0 3 KIA
0 0 4 LAB
0 0 5 GIGI
0 0 6 FIS
0 0 7 SK
0 0 8 CPW
0 0 0 0 0 0
BPJS GR TOTAL R U
NO TGL
P L P L P L
0 0 1 BP
0 0 2 IMUN
0 0 3 KIA
0 0 4 LAB
0 0 5 GIGI
0 0 6 FIS
0 0 7 SK
0 0 8 CPW
0 0 0 0 0 0
BPJS GR TOTAL R U
NO TGL
P L P L P L
0 0 1 BP
0 0 2 IMUN
0 0 3 KIA
0 0 4 LAB
0 0 5 GIGI
0 0 6 FIS
0 0 7 SK
0 0 8 CPW
0 0 0 0 0 0
BPJS GR TOTAL R U
NO TGL
P L P L P L
0 0 1 BP
0 0 2 IMUN
0 0 3 KIA
0 0 4 LAB
0 0 5 GIGI
0 0 6 FIS
0 0 7 SK
0 0 8 CPW
0 0 0 0 0 0
BPJS GR TOTAL
P L P L P
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
U A JMAS/KIS BPJS GR TOTAL
P L P L P L P L P L
0
0
0
0
0
0
0
0
0 0 0 0 0 0 0 0 0 0
U A JMAS/KIS BPJS GR TOTAL
P L P L P L P L P L
0
0
0
0
0
0
0
0
0 0 0 0 0 0 0 0 0 0
U A JMAS/KIS BPJS GR TOTAL
P L P L P L P L P L
0
0
0
0
0
0
0
0
0 0 0 0 0 0 0 0 0 0
U A JMAS/KIS BPJS GR TOTAL
P L P L P L P L P L
0
0
0
0
0
0
0
0
0 0 0 0 0 0 0 0 0 0
U A JMAS/KIS BPJS GR TOTAL
P L P L P L P L P L
0
0
0
0
0
0
0
0
0 0 0 0 0 0 0 0 0 0
U A JMAS/KIS BPJS GR TOTAL
P L P L P L P L P L
0
0
0
0
0
0
0
0
0 0 0 0 0 0 0 0 0 0
U A JMAS/KIS BPJS GR TOTAL
P L P L P L P L P L
0
0
0
0
0
0
0
0
0 0 0 0 0 0 0 0 0 0
U A JMAS/KIS BPJS GR TOTAL
P L P L P L P L P L
0
0
0
0
0
0
0
0
0 0 0 0 0 0 0 0 0 0
U A JMAS/KIS BPJS GR TOTAL
P L P L P L P L P L
0
0
0
0
0
0
0
0
0 0 0 0 0 0 0 0 0 0
U A JMAS/KIS BPJS GR TOTAL
P L P L P L P L P L
0
0
0
0
0
0
0
0
0 0 0 0 0 0 0 0 0 0
U A JMAS/KIS BPJS GR TOTAL
P L P L P L P L P L
0
0
0
0
0
0
0
0
0 0 0 0 0 0 0 0 0 0
U A JMAS/KIS BPJS GR TOTAL
P L P L P L P L P L
0
0
0
0
0
0
0
0
0 0 0 0 0 0 0 0 0 0
U A JMAS/KIS BPJS GR TOTAL
P L P L P L P L P L
0
0
0
0
0
0
0
0
0 0 0 0 0 0 0 0 0 0
U A JMAS/KIS BPJS GR TOTAL
P L P L P L P L P L
0
0
0
0
0
0
0
0
0 0 0 0 0 0 0 0 0 0
U A JMAS/KIS BPJS GR TOTAL
P L P L P L P L P L
0 0 0 0 0 0 0 0 0 0
TOTAL
P
0
0
0
0
0
0
0
0
0
TOTAL
P
0
0
0
0
0
0
0
0
0
TOTAL
P
0
0
0
0
0
0
0
0
0
TOTAL
P
0
0
0
0
0
0
0
0
0
TOTAL
P
0
0
0
0
0
0
0
0
0
TOTAL
P
0
0
0
0
0
0
0
0
0
TOTAL
P
0
0
0
0
0
0
0
0
0
TOTAL
P
0
0
0
0
0
0
0
0
0
TOTAL
P
0
0
0
0
0
0
0
0
0
TOTAL
P
0
0
0
0
0
0
0
0
0
TOTAL
P
0
0
0
0
0
0
0
0
0
TOTAL
P
0
0
0
0
0
0
0
0
0
TOTAL
P
0
0
0
0
0
0
0
0
0
TOTAL
P
0
0
0
0
0
0
0
0
0
TOTAL
P
0
0
0
0
0
0
0
0
0
LAPORAN JUMLAH KUNJUNGAN HENDRIK
R U A JMAS/KIS BPJS
NO TGL
L P L P L P L
1 BP
2 IMUN
3 KIA
4 LAB
5 GIGI
6 FIS
7 SK
8 CPW
0 0 0 0 0 0 0
R U A JMAS/KIS BPJS
NO TGL
L P L P L P L
1 BP
2 IMUN
3 KIA
4 LAB
5 GIGI
6 FIS
7 SK
8 CPW
0 0 0 0 0 0 0
R U A JMAS/KIS BPJS
NO TGL
L P L P L P L
1 BP
2 IMUN
3 KIA
4 LAB
5 GIGI
6 FIS
7 SK
8 CPW
0 0 0 0 0 0 0
R U A JMAS/KIS BPJS
NO TGL
L P L P L P L
1 BP
2 IMUN
3 KIA
4 LAB
5 GIGI
6 FIS
7 SK
8 CPW
0 0 0 0 0 0 0
R U A JMAS/KIS BPJS
NO TGL
L P L P L P L
1 BP
2 IMUN
3 KIA
4 LAB
5 GIGI
6 FIS
7 SK
8 CPW
0 0 0 0 0 0 0
R U A JMAS/KIS BPJS
NO TGL
L P L P L P L
1 BP
2 IMUN
3 KIA
4 LAB
5 GIGI
6 FIS
7 SK
8 CPW
0 0 0 0 0 0 0
R U A JMAS/KIS BPJS
NO TGL
L P L P L P L
1 BP
2 IMUN
3 KIA
4 LAB
5 GIGI
6 FIS
7 SK
8 CPW
0 0 0 0 0 0 0
R U A JMAS/KIS BPJS
NO TGL
NO TGL
L P L P L P L
1 BP
2 IMUN
3 KIA
4 LAB
5 GIGI
6 FIS
7 SK
8 CPW
0 0 0 0 0 0 0
R U A JMAS/KIS BPJS
NO TGL
L P L P L P L
1 BP
2 IMUN
3 KIA
4 LAB
5 GIGI
6 FIS
7 SK
8 CPW
0 0 0 0 0 0 0
R U A JMAS/KIS BPJS
NO TGL
L P L P L P L
1 BP
2 IMUN
3 KIA
4 LAB
5 GIGI
6 FIS
7 SK
8 CPW
0 0 0 0 0 0 0
R U A JMAS/KIS BPJS
NO TGL
L P L P L P L
1 BP
2 IMUN
3 KIA
4 LAB
5 GIGI
6 FIS
7 SK
8 CPW
0 0 0 0 0 0 0
R U A JMAS/KIS BPJS
NO TGL
L P L P L P L
1 BP
2 IMUN
3 KIA
4 LAB
5 GIGI
6 FIS
7 SK
8 CPW
0 0 0 0 0 0 0
R U A JMAS/KIS BPJS
NO TGL
L P L P L P L
1 BP
2 IMUN
3 KIA
4 LAB
5 GIGI
6 FIS
7 SK
8 CPW
0 0 0 0 0 0 0
R U A JMAS/KIS BPJS
NO TGL
L P L P L P L
1 BP
2 IMUN
3 KIA
4 LAB
5 GIGI
6 FIS
7 SK
8 CPW
0 0 0 0 0 0 0
R U A JMAS/KIS BPJS
NO TGL
L P L P L P L
1 BP
2 IMUN
3 KIA
4 LAB
5 GIGI
6 FIS
7 SK
8 CPW
0 0 0 0 0 0 0
Laporan Jumlah Kunjungan Bulan : ………………………………
R U A JMAS/KIS BPJS
NO TGL
L P L P L P L
1 BP 0 0 0 0 0 0 0
2 IMUN 0 0 0 0 0 0 0
3 KIA 0 0 0 0 0 0 0
4 LAB 0 0 0 0 0 0 0
5 GIGI 0 0 0 0 0 0 0
6 FIS 0 0 0 0 0 0 0
7 SK 0 0 0 0 0 0 0
8 CPW 0 0 0 0 0 0 0
0 0 0 0 0 0 0
AN HENDRIK
BPJS GR TOTAL R U
NO TGL
P L P L P L
0 0 1 BP
0 0 2 IMUN
0 0 3 KIA
0 0 4 LAB
0 0 5 GIGI
0 0 6 FIS
0 0 7 SK
0 0 8 CPW
0 0 0 0 0 0
BPJS GR TOTAL R U
NO TGL
P L P L P L
0 0 1 BP
0 0 2 IMUN
0 0 3 KIA
0 0 4 LAB
0 0 5 GIGI
0 0 6 FIS
0 0 7 SK
0 0 8 CPW
0 0 0 0 0 0
BPJS GR TOTAL R U
NO TGL
P L P L P L
0 0 1 BP
0 0 2 IMUN
0 0 3 KIA
0 0 4 LAB
0 0 5 GIGI
0 0 6 FIS
0 0 7 SK
0 0 8 CPW
0 0 0 0 0 0
BPJS GR TOTAL R U
NO TGL
P L P L P L
0 0 1 BP
0 0 2 IMUN
0 0 3 KIA
0 0 4 LAB
0 0 5 GIGI
0 0 6 FIS
0 0 7 SK
0 0 8 CPW
0 0 0 0 0 0
BPJS GR TOTAL R U
NO TGL
P L P L P L
0 0 1 BP
0 0 2 IMUN
0 0 3 KIA
0 0 4 LAB
0 0 5 GIGI
0 0 6 FIS
0 0 7 SK
0 0 8 CPW
0 0 0 0 0 0
BPJS GR TOTAL R U
NO TGL
P L P L P L
0 0 1 BP
0 0 2 IMUN
0 0 3 KIA
0 0 4 LAB
0 0 5 GIGI
0 0 6 FIS
0 0 7 SK
0 0 8 CPW
0 0 0 0 0 0
BPJS GR TOTAL R U
NO TGL
P L P L P L
0 0 1 BP
0 0 2 IMUN
0 0 3 KIA
0 0 4 LAB
0 0 5 GIGI
0 0 6 FIS
0 0 7 SK
0 0 8 CPW
0 0 0 0 0 0
BPJS GR TOTAL R U
NO TGL
NO TGL
P L P L P L
0 0 1 BP
0 0 2 IMUN
0 0 3 KIA
0 0 4 LAB
0 0 5 GIGI
0 0 6 FIS
0 0 7 SK
0 0 8 CPW
0 0 0 0 0 0
BPJS GR TOTAL R U
NO TGL
P L P L P L
0 0 1 BP
0 0 2 IMUN
0 0 3 KIA
0 0 4 LAB
0 0 5 GIGI
0 0 6 FIS
0 0 7 SK
0 0 8 CPW
0 0 0 0 0 0
BPJS GR TOTAL R U
NO TGL
P L P L P L
0 0 1 BP
0 0 2 IMUN
0 0 3 KIA
0 0 4 LAB
0 0 5 GIGI
0 0 6 FIS
0 0 7 SK
0 0 8 CPW
0 0 0 0 0 0
BPJS GR TOTAL R U
NO TGL
P L P L P L
0 0 1 BP
0 0 2 IMUN
0 0 3 KIA
0 0 4 LAB
0 0 5 GIGI
0 0 6 FIS
0 0 7 SK
0 0 8 CPW
0 0 0 0 0 0
BPJS GR TOTAL R U
NO TGL
P L P L P L
0 0 1 BP
0 0 2 IMUN
0 0 3 KIA
0 0 4 LAB
0 0 5 GIGI
0 0 6 FIS
0 0 7 SK
0 0 8 CPW
0 0 0 0 0 0
BPJS GR TOTAL R U
NO TGL
P L P L P L
0 0 1 BP
0 0 2 IMUN
0 0 3 KIA
0 0 4 LAB
0 0 5 GIGI
0 0 6 FIS
0 0 7 SK
0 0 8 CPW
0 0 0 0 0 0
BPJS GR TOTAL R U
NO TGL
P L P L P L
0 0 1 BP
0 0 2 IMUN
0 0 3 KIA
0 0 4 LAB
0 0 5 GIGI
0 0 6 FIS
0 0 7 SK
0 0 8 CPW
0 0 0 0 0 0
BPJS GR TOTAL R U
NO TGL
P L P L P L
0 0 1 BP
0 0 2 IMUN
0 0 3 KIA
0 0 4 LAB
0 0 5 GIGI