DAFTAR NAMA PROGRAM JAMINAN SOSIAL KESEHATAN SUM-SEL SEMESTA

UPTD PUSKESMAS ............................................KEC. .....................................................

DI KABUPATEN OGAN KOMERING ULU TIMUR
TAHUN 2017

Jenis
No Nama NIK Kelamin Tanggal Lahir Alamat Lengkap
L P
1 Imam Asropi 1608151805790002 L 19-05-1679
2 Kasih 1608154103860001 P 01-03-1986.
3 Elim Riska Agustin 1608154208040002 P 02-08-2004
4 Risdianti 1608155412120001 P 14-12-2012
5 Imam Hanafi 1608160408890003 L 04-08-1969
6 Aster Kristanti 1608076604920002 P 26-04-1992
7 Sakha Arkan Wiratama 1608160202160001 L 02-02-2016
8 Sunyoto 1606152112760001 L 21-12-1976
9 Wahyu Listiyah 1608154411810001 P 04-11-1981
10 Novri Wijaya 1608151611010001 L 16-11-2001
11 Reza Wijaya 1608152503110001 L 25-03-2011
12 Andi Anto 1608150711890003 L 07-11-1989
13 Eva Ismi Azis 1602138305930007 P 23-05-1993
Kumalan Nisaul Khusna
14 1608156408130001 P 24-08-2013
Azzakiya
15 M Nur Kholis 1608150506620002 L 05-06-1s62
16 Yatmi 1608154511720002 P 05-11-1972
17 Sutarno 1608151506820691 L 15-06-1982
18 Sutrimah 1608155410940001 P 14-10-1994
19 Silvi Sintia Sari 1608116703130001 P 17-03-2013
20 Andri Yanto 1608160203670002 L 02-03-1987
21 Sulistiawati 1608154702900001 P 07-02-1990
22 Alif Ryan Aditya 1608182003100001 L 20-03-2010
23 Sumardi 1608152007880802 L 20-07-1888
24 Puji Astuti 1608154902940001 P 09-02-1994
25 Fandi Pratama 1608150605130003 L 06-05-2013
26 Sulasman 1608150805510001 L 08-05-1951
27 Watini 1608155112660001 P 11-12-1966
28 Umayah 1608155405910002 P 14-05-1991
29 Rido Ramadani 1608152903120002 L 28-03-2012
30 Sukardi 1608150505680001 L 05-05-1966
31 Suratun 1608155502690001 P 15-02-1969
32 Adi Yulianto 1608152404980001 L 24-04-1998
33 Suparno 1608081003830005 L 10-03-1983
34 Yuliani 1608156306880002 P 23-06-1988
35 Aida Naura Shakila 1608154303160003 P 03-03-2016
36 Susongko 1608150606740001 L 06-08-1874
37 Hartuti 1608154505780001 P 05-05-1978
38 Ana Nurjanah 1608155541298001 P 14-12-1998
39 Nurul Hidayah 1608155703070001 P 17-03-2007
40 Fariz Alhafizh Ramadhan 1608151806150001 L 18-06-2015
41 Imam Maliki 1808151511850004 L 15-11-1985
42 Saniah 1608135909860001 P 19-08-1986
43 Sukma Mareta Nengsih 1608158703060001 P 27-03-2006
44 Yakup 1600151707280002 L 17-07-1928
45 Rasiyono 1608151205630005 L 12-05-1963
46 Suprihatin 1808155200690006 P 12-06-1969
47 Suratman 1608151808320003 L 18-08-1682
48 Eva Lestari 1608035006920004 P 10-06-1992
49 Supardi 1608150605610001 L 06-05-1961
50 Mistun 1608154307750003 P 03-07-1975
51 Wahyu Handoko 1608150706990004 L 07-06-1999
52 Sutrisno 1808191604790002 L 18-04-1979
53 Suprapti 1608155103830002 P 11-03-1983
54 Iis Kurniati 1808155209020002 P 12-09-2002
55 Dava Fatkurohman 1808150406100001 L 04-06-2010
56 Basir 1808151201510001 L 12-01-1951
57 Sarijem 1608155911610001 P 19-11-1961
58 Sunardi 1608151903770001 L 19-03-1977
59 Sutartik 1608154610790001 P 06-10-1979
60 Marlina 1608155912010001 P 19-12-2001
61 Candra Irawan 1608151909100001 L 19-09-2010
62 Khoirul Muntasir 1608151806820001 L 18-06-1982
63 Siti Mujayanah 1602226505910005 P 25-05-1991
64 Farizal Alif Naufal 1608150607120001 L 06-07-2012
65 Nurhadi 1608152805790002 L 28-05-1979
66 Jariati 1608154302840002 P 03-02-1984
67 Ayu Anggi Sintiya 1608156704030002 P 27-04-2003
68 Zahra Amelia 1608155306130001 P 13-06-2013
69 Panut 1608151011560002 L 10-11-1956
70 Bati 1608155105600001 P 11-05-1960
71 Sucipto 1608151003830004 L 10-03-1983
72 Sudarno 1608152001840001 L 20-01-1884
73 Melinda 1608155308929002 P 12-05-1892
74 Cantika Sesa Meliyana 1608155004130001 P 10-04-2013
75 Sulaiman 1608150110710001 L 01-10-1971
76 Arma 1608155705720001 P 17-0s-1972
77 Desnita 1608155412950001 P 14-12-1995
78 Jani Riansah 1608151208980001 L 12-06-1998
79 Pauzan Ardiansah 1608151606090001 L 16-06-2009
80 Haryono 1608150506870003 L 05-06- 1987
81 Tri Wahyuni 1608155905950002 P 19-05-1995
82 Iren Arleta Putri 1608156805150001 P 28-05-2015
83 Subandi 1608150207520004 L 02 07-1962
84 Sujiati 1608154506670002 P 05 06-1967
85 Wahyu Purwanto 1608152301910003 L 23-01-1981
86 Heru Endarto 1608150205930004 L 02-05-1993
87 Suryadi 1608151108850004 L 11-08-1968
88 Kartik 1608155006710003 P 10-08-1971
89 Saipudin 1608150507870002 L 06-07-1987
90 Lia Yulismawati 1608154407970001 P 04-7-1987
91 Nopa Meliyanti 1608156605060001 P 20-08-3006
92 Aminudin 1608150807720001 L 08-07-1972
93 Sutini 1608155710760001 P 17-10-1976
94 Ahmad Muhsin 1608153003990002 L 03-03-1999
95 Rovik Aji Judin 1608150711070002 L 07-11-2007
 96 Sarwono 1608151409790001 L 14-09-1979
97 Helmi Mulyani 1608156812800001 P 28-12-1980
98 Rina Wati 1608154207030002 P 03-07-2003
99 Muhajir 1608153008b20001 L 30-08-1962
100 Suwarni 1608155007030002 P 10-07-1983
101 Menik Purwanti 1608155005960001 P 10-08-1998
102 Danda Saputra 1608152805040001 P 29-05-2004
103 Mustofa 1608151901790001 L 19-01-1979
104 Muntadiroh 1608155003800004 P 10-03-1980
105 Fatku Rohmatin 1608154812980001 P 08-12-1998
106 Dika Alfiano 1608151303120001 L 13-03-2012
107 Markilah 1608154409340001 P 04-09-1934
108 Salim 1608151207680004 L 12-07-1968
108 Yuyun 1608154907760001 P 09-07-1976
109 Rika Nurlaili 1608196009970002 P 20-09-2007
110 Warjik 1608152996300032 L 29-06-1980
111 Istikomah 1608154607620004 P 06-07-1982
112 Akmal Ardiansah 1608153007050001 L 30-07-2005
113 Kusno 1608151303410001 L 13-03-1941
114 Painem 1608155805300001 P 18-05-1950
115 Samto 1608151108670003 L 11-08-1967
116 Suminah 16081s4706700003 P 07-06-1970
117 Laelatul Mubarokah 1608155609020001 P 16-09-2002
118 Hermawan 1608150807930001 L 08-07-1993
119 Nur Hidayah 1608154309950001 P 03-09-1995
120 Indra Irawan 1608151509140001 P 16-09-2014
121 Mulyono 1608152711850002 L 27-11-1985
122 Sudarmini 1608154810880002 P 08-10-1988
123 Achmad Gofur Ali 1608150312080002 L 03-12-2008
124 Agus Firmansyah 1608150504800003 L 05-04-1980
125 Bibit 16m155205840002 P 12-05-1984
126 Yayan Ardiansyah 1608151008010001 L 10-08-2001
127 Novi Eka Hariyanti 1808154512080001 P 08 12-2008
128 Dawit 1608155910560001 P 19-10-1958
129 Suaprapto 1608151011770004 L 10-11-1977
130 Yusnia 1608154212890002 P 02-12-1989
131 Muhamad Ihwani 1608152501120001 L 25-01-2012
132 Barudin 1608152505730001 L 25-05-1973
133 Parti 1608156608740001 P 26-08-1974
134 Ririn Agustin 1608155708990001 P 17-08-1999
135 Samijem 1608154104350001 P 01-04-1935
136 Husin 1608150103370002 L 01-03-1937
137 Hayati 1608154203800001 P 02-03-1960
138 Lija Mayang Sari 1808154101990001 P 01-01-1999
139 Tatang Pangestu 1608150111010001 L 01-11-2001
140 Liyu Atmaja 1608150510040002 L 05-10-2004
141 Salman ' 1608151005870001 L 10-05-1b57
142 Musumah 1608155506671101 P 15-06-1s67
143 Mujiyati 1608155001870001 P 10-01-1887
144 M Salam 1608150003860001 L 04-03-1996
145 Abdul Azis 1606180809010082 L 08-03-2001
146 Amirudin 1608151510840003 L 16-10-1984
147 Siti Patimah 1608155507680003 P 15-07-1988
148 Dela Ayunda 1608155912060001 P 19-12-2006
149 Suyitno 1608153012679002 L 30-12-1867
150 Siti Kotijah 1605154605780010 P 05-05-1878
151 Rozali 1606150104020001 L 01-04-2002
152 Nugi Laksono 1608150811110002 L 08-11-2011
153 Muslimin 1608151804910001 L 18-04-1991
154 Luluk Puryanti 1608156011940001 P 20-11-1994
155 Alvian Arga Pratama 1608152201130002 L 22-01-2013
156 Jaenal Arifin 1608150106740001 L 01-06-1974
157 Kusmiati 1608154306770001 P 03-06-1977
158 Prasetiyo Wahono 1608151004810002 L 10-04-1981
159 Yuuanti 1608154907830001 P 09-07-1983
160 Riky Jian Saputra 1608191307020001 L 13-07-2002
161 Rayhan Setya Ardiansyah 1608150508120001 L 05-09-2012
162 Komarudln 1608152110760002 L 21-40-187S
163 Muntafiah 1608154812860002 P 08-12-1986
164 Zahrotul Khisna 1608156003080001 P 20-03-2008
165 Yahya 1808130409490001 L 04-09-1949
166 Tusinah 1608154609540001 P 06-09-1854
167 Khoirul Basarudin 1608160907820003 L 09-07-1982
168 Soleh Abidin 1608152106880001 L 21-06-1986
169 Imam Bukhori 1608150806760006 L 08-06-1978
170 Zulaikah 1608154306830006 P 03-06-1983
171 Ahmad Farhan Arridho 1608151205100004 L 12-05-2010
172 Ahmad Fadil Arridho 1608151205100005 L 12-05-2010
173 Kahono 1608151206510001 L 12-08-1951
174 Romelah 1608154603610001 P 0603-1961
175 Fatkhul Azis 1608150901880001 L 09-01-1968
176 Umi Sadiah 1608154507930002 P 05-07-1993
177 Imam Badari 1608152201900001 L 22-01-1990
178 Siti Mahmuoah 1608124210930001 P 02-10-1993
179 Maila Lutfia Rokhmah 1608154805150001 P 08-05-2015
180 M Khudori 1608152410600001 L 24-10-1860
181 Indayati Khasanah 1608154412680001 P 04-12-1968
182 Miftakul Khasanah 1608155510900004 P 15-10-1990
183 Yuana Nurhayati 1608155507940002 P 15-07-1934
184 M A Jalil Nasrullah 1608150108970001 L 01-09-1997
185 Andi Anto 1608150711890003 L 07-11-1989
186 Eva Ismi Azis 1602136305930007 P 23-03-1993
Kumalan Nisaul Khusna
187 1608156408130001 P 24-08-2013
Azzakiya
188 Joyo Sukidi 1608151008710001 L 10-08-1971
189 Triyanah 1608184505780004 P 05-05-1978
190 Wulan Nur Azizah 1608155010000001 P 10-10-2000
191 Muhammad Riszky Akbar 1608151004090001 L 10-04-2009
192 Eksan 1608151506650002 L 15-06-1965
193 Sutrimah 1608154s08720001 P 05-08-1972
194 Mahmudi 1608151608900004 L 16-08-1990
195 Ulfa Kusnia 1608154303050001 P 03-03-2005
196 Amirudin 1608151510640003 L 15-10-1984
197 Siti Patimah 1608155507380003 P 15-07-1988
198 Dela Ayunda 1808155912060001 P 19-12-2006
199 Sarif Mukti 1602221807930001 L 19-07-1893
200 Umi Ulpawati 1608154801960001 P 08-01-1696
 Muhammad Ramadian
201 1608150506150001 L 05-06-2015
Mukti
202 Khoirul Muntasir 1608151806820001 L 18-06-1982
203 Siti Mujayanah 1602228505910005 P 25-05-1991
204 FARIZAL AUF Naufal 1606150607120001 L 06-07-2012
205 Subadi 1608150708620001 L 07-06-1662
206 Nurhayati 1608154809720001 P 06-09-1672
207 Hermawan 1608150807930001 L 06-07-1993
208 Nur Hidayah 160815430s3s50001 P 03-09-1995
209 Indra Irawan 1608151506140001 L 15-09-2014
210 Domo 1608150604600001 L 06-04-1960
211 Sudarti 1608154803720001 P 08-03-1972
212 Arianto 1608152s12910002 L 28-12-1991
213 Dwi Anggraini 1608156901020003 P 29-01-2002
214 Aminudin 1608153807720001 L 08-07-1972
215 Sutimi 1608155710760001 P 17-10-1976
216 Ahmad Muhsin 1806153003990002 L 30-03-1999
217 Rovik Aji Judin 1806150711070002 L 07-11-2007
218 Siman 1608152812610001 L 28-12-1961
108 Kotik 1608155606620001 P 16-06-1962
109 Sukarman 1608150506500001 L 05-05-1950
110 Tiwi 1608154403650001 P 04-03-1965
111 Sri Lestari 1608154505610001 P 05-05-1981
112 Suratno 1608152309650001 L 23-09-1985
113 Basir 1608151201510001 L 12-01-1951
114 Sarijem 1608155911610001 P 19-11-1961
115 Salman 1608151005570001 L 10-05-1957
116 Muslimah 1608155506670001 P 15-06-1967
117 Mujiyati 1608155001670001 P 10-01-1987
118 M Salam 1608150403960001 L 04-03-1996
119 Abdul Azis 1608150809010002 L 03-09-2001
120 Prasetiyo Wahono 1606151004810002 L 10-04-1981
121 Yulianti 1608154907830001 P 03-07-1983
122 Riky Jian Saputra 1608151307020001 L 13-07-2002
123 Kayhan Setya Ardiansyah 1608150508120001 L 05-09-2012
124 Sutrisno 1608151604760002 L 16-04-1978
125 Suprapti 1606155103830002 P 11-03-1983
126 Iis Kurniati 1608156209020002 P 12-09-2002
127 Dava Fatkurohman 1608150406100001 L 04-06-2010
128 Suwonoo 1608151606680001 L 16-06-1968
129 Patml 1608156105700001 P 21-05-1970
130 Eko Suryadi 1608152107920002 L 21-07-1392
131 Eni Indriani 1608155204000001 P 12-04-2000
132 Slamet 1608151906540001 L 19-06-1954
133 N Yunani 1608155503600002 P 15-03-1960
134 Agus Triono 1608150606880002 L 06-06-1988
135 Adi Prasetyo 1608152410920002 L 24-10-1992
136 Wuri Handayani 1608155607890003 P 16-07-1989
137 Suyono 1608150510570001 L
138 Sitl AISAH 1608155206650001 P
139 Imam Hanafi 1608150408890003 L
140 Ikhwanu Farhan 1608152009100003 L
141 Sarijah 1608155210360001 L 12-10-1936
142 Sutrisno 1608150708930001 P 07-08-1993
143 Supangi 1608151107670001 L 11-07-1967
144 Sutarno 1608151506820001 L 15-06-1982
145 Sutrinah 1608155410940001 P 14-10-1994
146 Silvi Sintia Sari 1608155703130001 P 17-03-2013
147 Sulasman 1608150605510001 L 08-05-1951
148 Watini 1608155112660001 P 11-12-1966
149 Jumayah 1608155405910002 P 14-05-1991
150 Rido Ramadani 1608152903120002 L 29-03-2012
151 Boingan 1608151609550001 L 16-09-1955
152 Sutam1 1608155609690001 P 16-09-1969
153 Imam Afandi 1608152507800003 L Z5-07-1980
154 Alpiyah 1608155108840004 P 11-08-1981
155 Abu Sahma 1608151102030002 L 11-02-2003
156 Selvia Putri Alpandi 1608155906150001 P 19-06-2015
157 Marsandi 1608151409450001 L 14-09-1945
158 Kamsiah 1608155610470001 P 16-10-1947
159 Imam Maliki 1608151511850004 L 15-11-1985
160 Saniah 1608155909880001 P 19-09-1986
161 Sukma Mareta Nengsih 1608156703080001 P 27-03-2006
162 Yakuf 1608151707280002 L 17-07-1928
163 Sudarmo 1608152001840001 L 20-01-1984
164 Melinda 1608155205929002 P 12-05-1992
165 Cantika Sesa Meliyana 1608155004130001 P 10-04-2013
166 Rasiyono 1608151205630005 L 12-05-1963
167 Suprihatin 1608155206600006 P 12-06-1969
168 Kasiyono 1608151204780003 L 12-04-1978
169 Saminah 1608156711790001 P 27-11-1979
170 Kusnawati 1608155406060001 P 14-06-2006
171 Puji Ptri Lestari 1608154708130001 P 07-08-2013
172 Muhtadin 1608152805820001 L 28-08-1982
173 Nur Fitriani 1608154305890001 P 03-06-1989
174 Nabila Aulia Zahra 1608155304090002 P 13-04-2009
175 Victor Yudistira 1608152906820001 L 29-08-1982
176 Al Munawaroh 1608155105880001 P 11-05-1988
177 Mey Ralesia 1608154905070001 P 09-05-2007
178 Deska Pattma Yudistira 1608154412140001 P 04-12-2014
179 Parmo 1608152807750001 L 26-07-1975
180 Suharti 1608156006790004 P 20-06-1979
181 Andriyono 1608151206040002 L 12-06-2004
182 Khusaini 1608152603790002 L 26-03-1979
183 Surati 1608185203880002 P 12-03-1988
184 Olyvia Khustiani 1608154408100001 P 04-08-2010
185 Bunamin 1608152305510001 L 23-05-1951
186 Siti Rokayah 1608154208630002 P 02-08-1963
187 Imamturmudi 1608150504900001 L 05-04-1990
188 Imam Muksin 1608151303970003 L 13-03-1997
189 Sukur 1608151708500003 L 17-08-1950
190 Masroh 1808154702600001 P 07-02-1960
191 Candra Pradana 1606081206930001 L 12-05-1993
192 Shinta Arantika 1608166108s30001 P 21-08-1993
193 Supriono 1608153112870001 L 31-12-1967
194 Sukesi 1608154608730001 P 09-06-1973
195 Eka Dwi Purwanti 1608155705950004 P 17-06-1995
196 Duwi Maryanti 1608157004970002 P 30-04-1997
197 Budianto 1608150506760001 L 05-06-1976
198 Purwati 1608135111790001 P 11-11-1979
199 Elsa Surati 1608154903030001 P 09-03-2003
200 Mustika Yuliana 1608156307110001 P 23-07-2011
201 Rubangi 1608151004800003 L 10-04-1980
202 Kusmiyah 1608156104830001 P 21-04-1983
203 Oktameru Merinda 1608155212040004 P 12-12-2007
204 Sutarno 1608150808660001 L 08-08-1866
205 Maria Sumirahayu 1608155703650001 P 17-03-1965
206 Asek 1608152308600001 L 23-08-1960
207 Yayuk Sriwigati 1608155402740001 P 14-02-1974
208 Feri Andrianto 1608151402900001 L 14-02-1990
209 Teti Ariani 1608154203930002 P 02-03-1993
210 Miftakhul Huda 1608152011960002 P 20-11-1996
211 Dewi Erna Wituur 1608154212000001 P 02-12-2000
212 Kusni 1608101204830001 L 12-04-1993
213 Eka Dewi Purwanti 1608155705950004 P 17-05-1995
214 Afriza Icha Jelita 1608155503150001 P 15-03-2015
215 Sodik 1608152705880002 L 27-05-1988
216 Tutik Indrawati 1608085206930002 P 12-06-1993
217 Zidan Hafis Maulana 1608151803130002 L 18-09-2013
218 Suroyo 1608150810830002 L 06-10-1983
Momi Hartati 1608154411830001 P 04-11-1983
Septina Wahyu Ningrum 1608154811110002 P 08-11-2011
Slamet 1608151906540001 L 19-06-1954
In Yunani 1608155503600002 P 15-03-1960
Agus Triono 1608150506880062 L 06-06-1988
Adi Prasetyo 1608152410920002 L 24-10-1992
Wuri Handayani 1608155607890003 P 16-07-1989
M MUSARUDIN 1608153112650002 L 31-12-1965
JUMIAH 1608156710740031 P 27-10-1974
HERIYANTO 1608151312910001 L 13-12-1991
IKE NURYANTI 1608155503010001 P 15-03-2001
ATIM MARLINDO 1608150306770001 L 03-06-1977
SUPENI 1608154605600001 P 06-05-1980
ELSE WIDYA TAMA 1608156901010002 P 29-01-2001
UMM KULTHUM 1608155904130001 P 19-04-2013
BUDl KARTIKO 1808151911670001 L 19-11-1967
SUKINI 1608155303720001 P 13-03-1972
YUEL PRANATA 1608151802910001 L 18-02-1991
YUDI ANDRIAS 1608150407970001 L 04-07-1997
SUMARYANTO 3672021212770003 L 12-12-1977
SULASMI 1608154605860001 P 06-05-1986
KHOIRUL APRIYANTO 1608152704110002 L 27-04-2011
PONIDI 1608150512760001 L 05-12-1976
SITI MAHMUDAH 1608154804480005 P 08-04-1980
KANAVIA MAHFO 1608155703980002 P 17-03-1998
ALIFIKA PRAMANA 1608150504050001 L 05-04-2005
SURANI 1608151009550001 L 10-09-1955
SAROKAH 1608155509600001 P 15-09-1960
KHOIRUJAN 1608152604930001 L 26-04-1993
NUR SALIM 1608151306970001 L 13-06-1997
AHMAD MALIKI 1608152101010002 L 21-01-2001
ADI PURWANTO 1608150301730001 L 03-01-1973
SANGADAH 1608154806800005 P 08-06-1980
KUSWATUL KASANAH 1608155410980002 P 14-10-1998
KUSNAN NGABIDIN 1608151310080001 L 13-10-2008
MAKALI 1608150201360001 L 02-01-1936
SUMTINAH 1608155404510001 P 14-04-1951
MANSUR 1608150302830001 L 03-02-1983
MASNGUT 1608151504690001 L 15-04-1989
SUKANDAR 1608151407710001 L 14-07-1971
MINDARTI 1608155209790002 P 124J8-1878
MISWANTO 1608151504990001 L 15-04-1889
M AFRIZAL RIFA'I 1608152705080001 L 27-05-2008
DOMO 1608150909490001 L 09-09-1949
PARMINI 1608155104560001 P 11-04-1956
MULYONO 1608151003820002 L 10-03-1982
ELIYA 1608156804880001 P 28-04-1988
JAYA SATRIA 1608151604060001 L 18-04-2008
NOVA MELIYANTI 1608154811150001 P 08-11-2015
AWIN NANTO 1608150709850001 L 07-09-1985
NUR ASIH 1608194207900001 P 02-07-1990
MAYLIZA FIRDA SARI 1608154505120001 P 05-05-2012
M NUR KHOLIS 1808150506620002 L 05-06-1962
YATMI 1808154511720002 P 05-11-1972
M BAEDOWI 1608152411930001 L 24-11-1993
SUKIMIN 1608151806430001 L 16-06-1943
KASMI 1608154808610001 P 08-08-1961
PATIMAH 1608155012750004 P 10-12-1975
SUPARNO 1608199804650001 L 08-04-1985
SABAR 1608151512900002 L 15-12-1990
DEWI LESTARI 1608159012940002 P 10-12-1994
SLAMET RIADI 1608152005990002 L 20-05-1999
AHMAT JUMADI 1608151301010001 L 13-01-2001
SUPRIYANTO 1608150306690002 L 05-06-1969
NARSIH 1608154705720002 P 07-05-1972
HERI SETIO 1608152211940001 L 22-11-1994
VERI IRAWAN 1608152608010003 L 26-08-2001
SUGIYARTO 1608151706550001 L 17-06-1955
NURSILAH 1608155508610001 P 15-08-1961