Data Rujukan Penderita PKM 2014

DATA RUJUKAN PENDERITA KE RUMAH SAKIT
PUSKESMAS JATIRAHAYU
BULAN JANUARI 2014
TANGGAL TEMPAT
NO NAMA PENDERITA UMUR L P NO. ASKES ALAMAT DIAGNOSA POLI KET
RUJUKAN RUJUKAN
1 Tn. Adjit 73 L Jatirahayu, 2/22 Diabetes 2/1/2014 Rs. Polri Dalam No. tidak terdaftar
2 Tn.saeitno 80 L 2/1/2014 Rs. Pasar Rebo Dalam No. tidak terdaftar
3 Tn. Endang 61 L 2/1/2014 Rs. Halim Paru No. tidak terdaftar
4 Tn. Lilick 72 L 2/1/2014 Rs. Halim THT No. tidak terdaftar
5 Nn. Chaerunia 22 P Diabetes 2/1/2014 Rs. halim Dalam No. tidak terdaftar
6 Tn. Almun 50 L 2/1/2014 Rs. Polri Paru No. tidak terdaftar
7 Tn. Rinol 50 L Hipertensi 2/1/2014 No. tidak terdaftar
8 Ny. Chodijah P Kolesterol 2/1/2014 RSBK Dalam No. tidak terdaftar
9 Ny. Maemunah 48 P Asma 2/1/2014 Rs. Halim Paru No. tidak terdaftar
10 Tn. Sukarman 70 L Jantung 2/1/2014 Rs. Halim Jantung No. tidak terdaftar
11 Tn. Achmad 65 L Hipertensi 2/1/2014 Rs. halim Dalam No. tidak terdaftar
12 Ny. Sukarsih 57 P 2/1/2014 No. tidak terdaftar
13 Tn. Karellon 60 L Paru 2/1/2014 No. tidak terdaftar
14 Ny. Soewarsih 82 L Hipertensi 2/1/2014 Rs. Halim Jantung No. tidak terdaftar
15 Ny. Juminih 43 P 0000073436681 Jatirahayu, 1/7 Myopi 2/1/2014 Rs. Haji Mata
16 Tn. Chasanudin 60 L 0000073362666 Jatirahayu, 3/10 Prednison 2/1/2014 Rs. Budi Asih Syaraf
17 Tn. Anis 71 L 0000073362396 2/1/2014 RSUD Bekasi Dalam
18 Tn Suminan 58 L 0000172144541 pasca Strook 2/1/2014
19 Tn. Indra 21 L 2/1/2014 No. tidak terdaftar
20 Tn. Swite 61 L 2/1/2014 No. tidak terdaftar
21 Tn. Richan 61 COD 2/1/2014 No. tidak terdaftar
22 Cilolon 61 2/1/2014 No. tidak terdaftar
23 Ny. Sutanti 61 P 2/1/2014 No. tidak terdaftar
24 Tn . Cangkoy 81 L 3/1/2014 No. tidak terdaftar
25 Tn. Sanjoadi 70 L 3/1/2014 Rs. polri No. tidak terdaftar
26 Ny. Munarti 86 P Post Ops 3/1/2014 Rs. halim No. tidak terdaftar
27 Tn. David 65 L Hipertensi 3/1/2014 Rs. Pasar Rebo No. tidak terdaftar
28 Ny. Hj. Ratna 60 L 0000172894724 DM 3/1/2014 Rs. Haji Dalam
29 Tn. Joko 64 L 0000073362881 DM 3/1/2014 Rs. Halim
30 Ny. Farielin 58 P 0000073362892 CAD 3/1/2014 Rs. Halim Jantung
31 Tn. Soejadi 72 L CAD 3/1/2014 Rs. Budi Asih Jantung No. tidak terdaftar
32 Tn. Sonny 67 L CAD 3/1/2014 Rs. Halim Jantung No. tidak terdaftar
33 Ny. Setianingsih 55 P 0000073106818 Hipertensi 3/1/2014 Rs. Ridwan Syaraf
34 Ny. Nuriah 52 P 0000393360385 Hipercholesterol 3/1/2014 Rs. Uki Dalam
35 Ny. Yuliana 33 P 0000037326756 G2PIA0 3/1/2014 Rs. Bekasi Kandungan
36 Tn. Ridwan 55 L 0000041038176 COD 3/1/2014 Rs. Jantung Jantung
37 Ny. Panji Rahayu 58 P DM 3/1/2014 Rs. Ridwan Dalam No. tidak terdaftar
38 Tn. Jan Fandina 73 L DM 3/1/2014 Rs. Budi Asih Dalam No. tidak terdaftar
39 Tn. Bismen 62 L 0000073351304 KP 3/1/2014 Rs. Polri Paru
40 Tn. Taufik Agus 60 L DM 3/1/2014 Rs. Budi Asih Dalam No. tidak terdaftar
41 Tn. Abdul Aziz 73 L Refraksi 3/1/2014 Rs. Haji Dalam No. tidak terdaftar
42 Ny. Pareni P 000073108326 3/1/2014
43 Tn. Tugiono L 000073108315 COD 3/1/2014
44 Tn. I wayan 20 l Post Ops 3/1/2014
45 Ny. Kuleni P Chespent 3/1/2014 Jantung
46 Ny. C. Larindah P 3/1/2014
47 Tn. Jamhuri L 3/1/2014 Dalam
48 Tn. Syamsudin 66 L Hipertensi 3/1/2014 Rs. Halim Dalam
49 Tn. Syahrudin 3/1/2014
50 Ny. Nomi 60 P Hipertensi 3/1/2014 Rs. Bekasi Dalam
51 Ny. Juleha 35 P Hidrogen 3/1/2014 Rs. Bekasi
52 Tn. Manin 52 L 3/1/2014 Rs. Bekasi Paru
53 Tn. Rohadi 3/1/2014 Rs. Bekasi Dalam
54 Tn. Sanasan 20 L Epilepsi 3/1/2014 Rs. Bekasi Syaraf
55 .An.Nurmala 8 P Epilepsi 3/1/2014 Rs. Bekasi Anak
56 Ny. Juwita 30 P Cynucitis 3/1/2014 Rs. Bekasi Kebidanan
57 Ny. Eka sutriaswati 25 P Pujicoheparins 3/1/2014 Rs. Bekasi Dalam
58 Ny. Noni 57 P Hidrovesikulo 3/1/2014 Rs. Bekasi Dalam
59 Ny. Nuriah 52 P Hiprercholesterol 3/1/2014 Rs. Bekasi Dalam
60 Yenny 57 Colic Abdomen 3/1/2014 Rs. Halim Dalam
61 Tn. Suparman 63 L Post Ops 3/1/2014 Rs. Pasarebo Jantung
62 Ny. Nina 56 P PJK 3/1/2014 Rs. Pasarebo Jantung
63 Ny. Jamhuri 51 P 00000173548495 4/1/2014 Rs. Halim Kebidanan
64 Ny. Kominsih 47 P DM 4/1/2014 Rs. Halim Dalam
65 Ny. Diah 27 P 000005193125 Hipertensi 4/1/2014 Rs. Haji Dalam
66 Ny. Sumarni 63 P 000073106188 COD 6/1/2014 Rs. halim Jantung
67 Tn. Muhamaad 67 L Hipertensi 6/1/2014 Rs. Halim Dalam
68 Ny. Nuryati 63 P Hipertensi 6/1/2014 Rs. Halim Dalam
69 Siregar 63 COD 6/1/2014 Rs. Halim Jantung
70 Tn. Iyak 61 L COD 6/1/2014 Rs. Halim Jantung
71 Charolin HHD 6/1/2014 Rs. Halim Jantung
72 Glecio 50 DM 6/1/2014 Rs. Halim Dalam
73 Wahyu 65 L DM 6/1/2014 Rs. Halim Dalam
74 Tn. Sukarman 61 L Prostat 6/1/2014 Rs. Halim Urologi
75 Tn. Ocim 6/1/2014
76 Ny. Yayah 000073103321 DM 6/1/2014 Rs. Pelni Dalam
77 Puyrien DM 6/1/2014
78 Tn. Haloman 61 L HT+DM 6/1/2014 Rs. Halim Dalam
79 Ny. Tiurmina 63 P HHD 6/1/2014 Rs. Ridwan Jantung
80 Ny. Nanik 69 P 0000073089224 Hipertensi+Asma 6/1/2014 Rs. Halim Jantung
81 Tn. Suwasito 66 L DM+HT 6/1/2014 Rs. Halim Dalam
82 Tn. M. Aswin 54 L 0000040292651 DM 6/1/2014 Rs. Haji Dalam
83 Tn. Harjono 75 L 0000073103567 CHF 7/1/2014 Rs. Halim Paru
84 Tn. H. Gulson 63 L 0000038745764 Hipercholesterol 7/1/2014 Rs. Haji Jantung
85 Tn. S. Sumitro 64 L 0000073355365 Hipertensi 7/1/2014 Rs. Halim Jantung
86 Ny. Dwimaryati 58 P Hipertensi 7/1/2014 Rs. Halim Jantung
87 Ny. Asmawati 57 P 0000041227435 Artritis 7/1/2014 RSUD Bekasi Dalam
88 Ny. Istiyan 73 P DM 7/1/2014 RSUD Bekasi Dalam
89 Ny. Umamah 71 P Katarak 7/1/2014 RSAL Mata
90 Ny. Sri Romlah 69 P Os. Art 7/1/2014 RSAL Dalam
91 Ny. Tini 64 P Hipertensi 7/1/2014 Rs. Halim Dalam
92 Tn. Juwono 66 L Dipepsia 7/1/2014 Rs. Pasarebo Paru
93 Tn. Ukar B 73 L Asma 7/1/2014
94 Ny. Rukmini 77 P DM+HHD 7/1/2014 Rs. Pasarebo Jantung
95 Ny. Rustina 54 0000036125739 Hipertensi 7/1/2014 Rs. Pasarebo Jantung
96 Tn. Supriyanto 61 L CRF 8/1/2014 Yayasan Ginjal Hemodialisa
97 Tn. Mishadi 70 L 00000730873789 Hiperplasia Prostat 8/1/2014 Rs. Pasarebo Urologi
98 Ny. Endahningsih 59 P 0000073087389 Vertigo 8/1/2014 Rs. Pasarebo Neurologi
99 Tn Tafih 73 L 0000073105907 Susp. KP 8/1/2014 Rs. Halim Paru
100 Tn. Djoko 62 L 0000073362879 DM 8/1/2014 Rs. Halim Dalam
101 Ny. Minah 59 P Hipertensi 8/1/2014 Uki Dalam
102 Ny. Suhartim 61 P 0000039438977 HT+DM 8/1/2014 Rs. Haji Dalam
103 Ny. Retno SW 55 P 0000041423185 HT 9/1/2014 Rs. Haji Dalam
104 Nanda 71 P 000073083216 DM 9/1/2014 Rs. Haji Dalam
105 Maman 57 L 0000073123266 Bronchitis 9/1/2014 Rs. Halim Dalam
106 Muncil 60 CRF 9/1/2014 Rs. Polri Jantung
107 Sumangan 60 0000045762838 CRF 9/1/2014 Rs. Halim Dalam
108 Ny. Kurniasih 57 P Hipercholesterol 9/1/2014 Rs. Halim Dalam
109 Ny. Yenny 71 P 00073103174 HHD 9/1/2014 Rs. Polri Jantung
110 Tn. Taufik Agus 67 L 0000045410297 CAD 9/1/2014 Rs. Halim Jantung
111 Ny. Herrini 61 P 0000045416308 Askoarteritis 9/1/2014 Rs. Halim Neurologi
112 Tn. Joko 72 L 0000194181647 Hipertensi 9/1/2014 Rs. Polri Jantung
113 Wawan 67 9/1/2014
114 warni 51 000036149591 DM+HT 9/1/2014 Rs. Halim Dalam
115 Prastian 71 000073102667 HT 9/1/2014 Rs. Halim Dalam
116 Soenariyan 000073082218 Gasteritis 9/1/2014 Rs. Haji Dalam
117 Husnul 56 P 000039903186 COD 10/1/2014 RSUD Bekasi Jantung
118 Ny. Eni 67 P DM+HHD 10/1/2014 Rs. Ridwan Jantung
119 Tn. Ogan T 71 L 00007305623 10/1/2014
120 Hendra 56 L Hipertensi 10/1/2014 Rs. Halim Dalam
121 Sulastri 55 P 0000041141979 Hipertensi 10/1/2014 Rs. Halim Dalam
122 Suarris 55 0000041791612 Costpain 10/1/2014 Rs. Haji Dalam
123 Tn. A. Hendarto 56 L 0000041791623 LBP 11/1/2014 Rs. Haji Neurologi
124 Tn. Subrata 75 L 000073100147 HHD 11/1/2014 Rs. Halim Jantung
125 Ny. Aisyah 71 P 11/1/2014
126 Hilman 71 L 0000073363307 HHD 11/1/2014 Rs. Polri Jantung
127 Deres Post Ops 11/1/2014 Rs. Polri Jantung
128 Marsih 56 P 0000073589337 HT 11/1/2014 Rs. Halim Paru
129 Margono 63 P 0000073511291 Katarak 11/1/2014 RSUD Bekasi Mata
130 Caroline 56 000041238999 Gasteritis 11/1/2014 Rs. Halim Dalam
131 Sani 59 P 000036623068 Post Ops 11/1/2014 RSUD Bekasi Jantung
132 Ardini 74 P 0000073364139 DM 11/1/2014 Rs. Halim Dalam
133 Emmy 0000043605336 HT 11/1/2014 Rs. Pasarebo Dalam
134 Ari Paramita L 0000046231529 11/1/2014 Rs. Suliah Bedah
135 Tn. Purnomo 70 L HNP 11/1/2014 Rs. Halim Dalam
136 Lestari 0000073104794 11/1/2014
137 Cikah Post Ops 11/1/2014 Rs. Haji Bedah
138 Sherly Septi 21 P 000036721348 Susp. Pulih 13/1/2014 Rs. Haji Gigi
139 Hasyiroh Herdiculum 13/1/2014 Rs. Halim
140 Nia Hipertensi 13/1/2014 Rs. Halim DM
141 Nini DM+HT 13/1/2014
142 Sunarto 000073091373 13/1/2014
143 Suenah 0001260925075 13/1/2014
144 Tarini 000073488969 CRF 13/1/2014 Rs. Pasarebo Jantung
145 fermun 000041818352 DM+HT 13/1/2014 Rs. Halim Dalam
146 Tjohdin 70 L DM+HT 13/1/2014 Rs. Halim Dalam
147 Ristiningalim DM 13/1/2014 Rs. Halim Dalam
148 Tenny DM 13/1/2014
149 Tn. Amin 000050836391 KP 13/1/2014 RSUD Bekasi Paru
150 Ny. Sanzanah 60 P HT 13/1/2014 Rs. Halim Dalam
151 Tn. Daeng Zaenudin 57 L 0000038060537 Ht+Prostat 15/1/2014 Rs. halim Dalam
152 Bunga 17 P 0000072810617 Faringitis 15/1/2014 Rs. Halim Dalam
153 Tito 000073099912 HT 15/1/2014 Rs. Cilandak Dalam
154 Umi CRT 15/1/2014 Rs. Polri Dalam
155 Susi 62 P 15/1/2014 Rs. Halim Jantung
156 Suwarto 63 L Otitis
157 Hany 61 P 0000194535696
158 Charlyn 29 P 000030634186
159 Ny. Asmin 65 P 00007310262 LBP
160 Ny. Sri Wahyuni 60 P 0000039946077 DM
161 Tn. Pujihardjono 78 L 0000073121681 CAD
162 Tn. Dedi Rahmat 67 L 0000073102691 CAD
163 Ny. Yulisman 62 L 0000073105863 HT
164 Nainggolan 60 L 000042768922 HT
165 Yuniar 60 P 0004093993
166 Ny. Itjih 60 P 0000039409584 HT Rs. Halim Jantung
167 Icce 62 P 0000073102926 HT Rs. Halim Dalam
168 Endun 74 L 00000731062915 Post Op Rs. Halim
169 Bett kustianty 62 P 000073118129 Sup. CRF Rs. Haji Urologi
170 Suryani 66 P 0000195783528 Rs. Halim Jantung
171 Ny. Awies 57 P 0000073334227 DM Rs. Halim Jantung
172 Tn. Eddy Pati 61 L 0000073334315 HT Rs. Halim Dalam
173 Cyntia 64 P 000073143123 Strook Rs. Halim
174 Rudi 65 L 00007316211 Dalam
175 Seka P 8 P 00004205064
176 Ocim 76 L 0000073103219 HT
177 Tn. Bambang 66 L 0000043370741 Nepralitiasis Urologi
178 Ny. Umiyati 66 P 0000073356445 CAD Rs. Pasarebo Jantung
179 Sukasdi 70 L 0000073356434 Brochos Rs. Pasarebo Paru
180 Tn. Spencer ML 58 L 0000036616048 HT Rs. Haji Jantung
181 Ny. Yuyun 59 P 0000073107854 TB+DM Rs. Halim Dalam
182 Ragihda Zhafi 17 P 0000041141992 Myma Uteri Rs. Haji Kebidanan
183 Dn. Lanci 72 L 00073102893 COD
184 Yuliwan 58 P 000261243934
185 Sugidarmawati 58 P 0000203051856 Enthritis Rs. Haji Ortopedi
186 Tn. R. Hardi 55 L 0000043459222 CAD Rs. Budi Asih Jantung
187 Ny. Ignasia 53 P 0000073362609 Hipertensi Rs. Halim Dalam
188 Ny. Zubaedah 62 P 0000039595702 HT Rs. Halim Jantung
189 Tn. Sukarmin 74 L 000073097403 HT Rs. Halim Dalam
190 Liyani 66 P 00026612804 HT ISPA Dalam
191 Lilik Pranawa L 0000104129919 Colic Abdomen Rs. Pasarebo Dalam
192 Yeti Maryati 57 P 0000073107404 PJK Rs. Halim Jantung
193 Sadwiarsih 51 P 0000036402208 Rs. Halim Neurologi
194 Maryoto 61 L 0000038082093 Tumor Tulik Rs. Haji Neurologi
195 Ny. Kartini 55 P 0000073085038 Kanker Nasofaring RSUD Bekasi THT Ongkologi
196 Tn. Hariyanto 64 L 0000057863999 Post Strook RSBK Neurologi
197 Ny. siti Khadijah 52 P 0000041297152 Dermatitis Rs. Haji Kulit
198 Tn. H. M Hermanto 75 L 0000073081574 DM Rs. Gatot Subroto Poli Endokrin
199 Ny. Hj. Yusna 67 P 0000073081585 HT Rs. Gatot Subroto Dalam
200 Wahyu 56 L 0000036106173
201 Tn. Zulehairi 63 L 0000039093074 CAD Rs. Harapan Kita Jantung
202 Ny. Umi Syam 65 P 0000073105461 HHD+CAD+DM Rs. Halim Jantung
203 Ami 58 P 0000036706182 Stomatitis RSUD Bekasi Gigi&Mulut
204 Tn. Papilaya 64 L 0000072105933 Asma Rs. Pasarebo Poli Paru
205 Jejen 71 L 0000073096064 CAD DM
206 Koesrahmadi 71 L 0000038567213 HT Rs. Haji Dalam
207 Sri Martinah 67 P 0000038547324 HT Rs. Haji Dalam
208 Ny. Sukarti 51 P 0000073362914 HHD Rs. Polri Jantung
209 Ny. Titik 78 P 00000109923354 HT Rs. Haji Dalam
210 Ny. Elis 46 P 00000202327689 HT Rs. Haji Dalam
211 Tn. Ahmad Gozali 63 L 0000073325865 Pos Op Katarak RSUD Bekasi Poli Mata
212 Ny. Nurhayati 60 P 0000073365581 Hipertensi Rs. Pasarebo Jantung
213 Edi Sukardi 60 L 0000041590495 HT+DM Rs. Haji Dalam
214 Dijah 20 P 00000731060853 DM Rs. Halim Jantung
215 Tn. Mishadi 70 L 0000073087378 Rs. Pasarebo THT
216 Tn. Bismen 63 L 0000073351304 LBP Rs. Halim Dalam
217 Ny. Untung Haryati 69 P 0000073101881 RSCM Dalam
218 Mauhan 71 L 00073105648 RSCM Neurologi
219 M. Riwaldi 65 L 00073105659 COD Jantung
220 Midarsih 67 P 000073096075
221 Rama 45 P 0001262835235
222 Ny. S. Astuti 68 P 0000044767631 Batuk Rs. Ridwan Radiologi
223 Tn. Bung Dawardi 64 L 0000073332887 Hiperplasia Prostat Rs. Budi Asih Urologi
224 Ismoyo 72 L 000023102364 DM Rs. Halim Dalam
225 Tn. Sugiyanto 75 L 0000073166942 HT Rs. Halim Dalam
226 Tn. Agus S 75 L 000007310925 Rs. Halim Dalam
227 Enserina 69 0000044719626 HT Rs. Halim Jantung
228 Paragih 69 L 0000066719626 Jantung
229 Tn. Suhardi 62 L 0000073364545 CAD+DM Rs. Haji Neurologi
230 Munika 62 P 000004462707
231 Sri Ningsih 55 P 00000722106818
232 Tn. Endang 51 L 0001261267154 Prostat Rs. Haji Neurologi
233 I Wayan 70 L 0001261267154 Prostat Rs. Halim Neurologi
234 Tn. Yusinus 55 000007359527 DM Rs. Pasarebo Dalam
235 Ny. Tri Panji 50 P 0000073539516 Rs. Pasarebo
236 Bunga 18 P 0000072810617 Batuk Rs. Halim Dalam
237 Ny. Adelina 54 P 0000042594751 DM Rs. Pasarebo Dalam
238 Aelyana 58 P 0000073362734 HT Dalam
239 Sumarni 60 P 00001575396 DM Rs. Pasarebo Dalam
240 Ny. Eni R 77 P 0000093103174 HHD Rs. Polri Jantung
241 Dalyasib 65 L 0000034383554 Dm Rs. Pasarebo Dalam
242 Mucholib 72 L 0000073142123 DM Rs. Pasarebo Dalam
243 Ratna 64 P 0000073142123 Osteorthitis Rs. Haji Laterna
244 Suhartati 60 P 000072102846 CAD+HT Rs. Halim Jantung
245 Tn. Jojo 67 L 000073083587 Hipertiroid Rs. Budi Asih Dalam
246 Ny. Maemunah 62 P 000073083587 DM+CAD Rs. Halim dalam
247 marwin 54 L 0000422021624 Post Strook Rs. halim Paru
248 Mutiara 54 P 000168062077
249 Itcih 43
250 Karto 48
251 Foliyo 65 L 0000073335936 Dalam
252 Sulestin 55 P 0000361578 Odip
253 Yunna 73 P 00073103027 Katarak Mata
254 Oedi Astuti 58 P 00007315141414 HT Rs. Halim Dalam
255 Tn. Sucpto 60 L 000073151405 Anemia Rs. Halim Jantung
256 Ninik 59 P 000073102645 HT Dalam
257 Darmawan 63 L 000072102634 Dalam
258 Erna 71 P 000073196
259 Ny. Cuk 57 P 0000073103196
260 Yanna 60 P 000073363948
261 Hariono 67 L 000073082687
262 Nini 58 P 000038623173
263 Pacnarni 60 P 00003796347
264 Hasanah 41 P 0001263491173
265 Kantoro 51 L 000042230114
266 Laupentus 60 L 0000205681642
267 Tjanja 52 P 0000205687213
268 Zulkafli 77 L 00037595713
269 Tn. Yanto 51 L 000036262592
270 Nemin 51 L
271 Clizkey 30 P
272 Sunaroh 58 P
273 Untung 62 L
274 Nurochmi 44 P
275 Ichsan L
276 Rina 28 P
277 Darmiyati 62 P
278 Sri Suryani 62 P
279 Wiwin 59 P
280 Muslihat 65 P
281 Suharini 55 P
282 Sumany 70 P
283 Purwati 52 P
284 Ny. Ani 53 P
285 Misliliek 64 P
286 Tn. Sutoyo 70 L 0000073098854
287 Jejeen S 66 P 0000073083609
288 Suprianto 61 L
289 Wahid 60 L
290 Suginawan 52 L
291 lilis 60 P
292 Nelli P
293 Ny. Rosnelly 51 P
294 Haryana 54 L
295 Titiw 62 P
296 Elisa P
297 Cliza 75 P
298 Tn. Saludin 71 L
299 Ny. A. hardiyanti 72 P 000073101824
300 Tn. Pandapatan 63 L 0000073364411
301 Nyamah 40 P
302 Maryati 23 P
303 Haryati 65 P
304 Ny. Sri Hartini 67 P
305 Tn. Mamat 70 L
306 An. Karta 5,5 L 0001263491706
307 Tn. N. Manurung 54 L
308 Ny. Jasmi 62 P
309 Ny. Warsem 63 P 0000073367976 Post Strook Rs. Pasarebo
310 Tn. Sukarno 71 L Rs. Halim
311 Ramida 16
312 Muhidi 60 L
313 Azilep 60 L
314 Toto L
315 Jeane 30 P 00001681110414 CAD Rs. Uki
316 Abista 4,5 L 0000168111167 Febris Rs. Uki
317 Antis 33 P
318 Junnah 58 P 0000073765467 Pjk Rs. Pasarebo Jantung
KUNJUNGAN PASIEN BPJS
PUSKESMAS UPTD JATIRAHAYU
PONDOK MELATI TAHUN 2014
BULAN : JANUARI
NO NAMA/KK UMUR L/P ALAMAT RUMAH SAKIT POLI
02/1/2014
1 Tn. Adjid 79 L Jatirahayu, 2/22

2 Tn. Suyitno 80 L Jatirahayu, 11/18
3 Tn. Lilik 71 L Jatirahayu, 2/9
4 Ny. Endang 60 P Jatiwarna, 2/9

5 Tn. Achmad 69 L Jatirahayu, 2/06
6 Ny. Junah 60 P Jatirahayu, 02/06

7 Ny. Siti Chodijah 55 P Jatirahayu, 1/16
8 Tn. Ahmad 69 L Jatirahayu, 2
9 Tn. Amad 69 L Jatirahayu, /22

10 Tn. Sukarno 71 L Jatirahayu, 8/12
11 Chaerunisa 22 P Jatirahayu, 6/17

12 Ny. Erna 54 P Jatirahayu, 06/13
13 Tn. Karel 55 L Jatirahayu, 5/5
14 Ny. Sri Suarsih 51 P Jatirahayu, 2/9

15 Ny. Ponirah 56 P Jatirahayu, 10/18
16 Ny. Mimi 50 Jatirahayu, 1/3

17 Ny. Suwarsih 80 P Jatirahayu, 7/5
18 Tn. Anis 71 L Jatirahayu, 1/9
19 Tn. Chusnudin 63 L Jatirahayu, 3/18

20 Ny. Sri wita 55 P Jatirahayu, 4
21 Tn. Indra 69 L Jatirahayu, /13

22 Tn. Wp Silalahi 65 L Jatirahayu, 03/
23 Ny. Siahaan 60 L Jatirahayu, /17
24 Ny. Suminar sari 59 P Jatirahayu, 1/5

25 Ny. Sutarti 62 P Jatirahayu, 3/19
26 Tn. Sugiono 71 L Jatirahayu, /19

27 Tn. Sanjjoadi 70 L Jatirahayu, 5/9
28 Tn. Rohadi 44 L Jatirahayu, 7/10
29 Ny,. Julaeha 33 P Jatirahayu, 5/15

30 Ny. Nomi 66 P Jatirahayu, 5/15
31 Tn. Manin 52 L Jatirahayu, 1/10

32 Nurmala 8 P Jatirahayu, 1/10
33 Sausan 20 P Jatirahayu, 5/3
03/01/2014
34 Ny. Munarti 50 P Jatirahayu, 3/6
35 Tn. David 50 L Jatirahayu, 1/16
36 Ny. Ratna 65 P Jatirahayu, 3/7

37 Ny. Eni 61 P Jatirahayu, 6/14
38 Ny. Farichin 37 P Jatirahayu, 8/

39 Tn. Joko 64 L Jatirahayu, /14
40 Tn. Masagus 61 L Jatirahayu, 4/12
41 Tn. Suryadi 72 L Jatirahayu, 3/9

42 Tn. Soni Warsono 70 L Jatirahayu, 7/18
43 Ny. Setianingsih 55 P Jatirahayu, 4/14

44 Ny. Nuriah 53 P Jatirahayu, 6/21
45 Ny. Yuliana 33 P Jatirahayu, 2/18
46 Ny. Ridhawati 55 P Jatirahayu, 06/13

47 Ny. Astuti 69 P Jatirahayu, 2/22
48 Ny. Puji Rahayu 58 P Jatirahayu, 2/18

49 Tn. Bismen 62 L Jatirahayu, 10/ 12
50 Tn. Bismen 62 L Jatirahayu, 10/12
51 Tn. Jan ferdinan 73 L Jatirahayu, 5/9

52 Tn. Taufik 60 L Jatirahayu, 8/18
53 Ny. Eka 25 P Jatirahayu, 10/5

54 Tn. Jelih 75 L Jatirahayu, 06/12
55 Ny. Ita 30 P Jatirahayu, 6/16
04/01/2014
56 Ny. Yeni 57 P Jatirahayu, 01/13
57 Tn. Suparman 63 L Jatirahayu, 12/12

58 Ny. Nina 56 P Jatirahayu, 12/12
59 Ny. Lamtaruli 51 P Jatirahayu, 1/9
60 Tn. Lilik 59 L Jatirahayu, 5/14

61 Ny. Diah 27 P Jatirahayu, 1/16
62 Nanda 15 L Jatirahayu, 3/7

06/01/2014
63 Ny. Sumarni 63 P Jatirahayu, 5/07
64 Tn. Prabowo 69 L Jatirahayu, 5/7

65 Tn. Supangat 64 L Jatirahayu, 05/07
66 Ny. Dalyasih 65 P Jatirahayu, 03/10

67 Ny. Nuryati 50 P Jatirahayu, 5/13
68 Tn. Iyak 61 L Jatirahayu, 2/7
69 Ny. Warni 28 P Jatirahayu, 4/16

70 Tn. Nawiyo 57 L Jatirahayu, /18
71 Tn. Nawiyo 57 L Jatirahayu, /18

72 Ny. Sriwahyuni 50 P Jatirahayu, 9/07
73 Ny. Charlota 79 P Jatirahayu, 3/7
74 Tn. Sukarman 67 L Jatirahayu, 4/14
75 Ny. Nuraini 64 P Jatirahayu, 2/13

76 Ny. erna 66 P Jatirahayu, 6/13
77 Ny. Siti 57 P Jatirahayu, 9/12

78 Tn. Thamrin 60 L Jatirahayu, 9/12
79 Tn. Darsini 56 L Jatirahayu, 1/09
80 Tn. Tugiyono 68 L Jatirahayu, 1/9

81 Ny. Lusaeni 70 P Jatirahayu, 2/09
82 Tn. I Wayan 70 L Jatirahayu,

83 Ny. Sulesti 44 P Jatirahayu, 8/16
84 Tn. Ocim 76 L Jatirahayu, 1/21
85 Ny. Yayah 74 P Jatirahayu, 1/21

86 Tn. Patiran 66 L Jatirahayu, 5/18
87 Ny. Tiurmina 63 P Jatirahayu, 1/7

88 Tn. Halomoan 65 L Jatirahayu, 11/12
89 Ny,. Nanik 70 P Jatirahayu, 6/13
90 Ny. Yulianah 62 P Jatirahayu, 1/18

91 Tn. Suwasito 66 L Jatirahayu, 1/7

93 sawal 15 bln L Jatirahayu, 4/6
94 Ny. Masriah 50 P Jatirahayu, 9/6
95 Maulana 3 L Jatirahayu, 4/7

96 Tn. Abri 27 L Jatirahayu, 1/6
97 Tn. Soleh 33 L Jatirahayu, 1/6

98 Robani 11 L Jatirahayu, 7/18
99 Ny. Rinah 57 P Jatirahayu, 5/12
07/01/2014
100 Ny. Sukamti 42 P Jatirahayu, 6/12
101 Tn. Asmin 54 L Jatirahayu, 02/16

102 Tn. Mirja 40 L Jatirahayu, 4/2
103 Tn. Harsono 75 L Jatirahayu, 3/09
104 Tn. Gultom 63 L Jatirahayu, 4/3

105 Tn. Subdiyanung 65 L Jatirahayu, 3/18
106 Ny. Dwi 53 P Jatirahayu, 3/18

107 Tn. Zuladi 59 L Jatirahayu, 4/12
108 Tn. Papilaya 63 L Jatirahayu, 6/18
109 Ny. Asmawati 57 P Jatirahayu, 1/6

110 Tn. Suwarno 68 L Jatirahayu, 1/10
111 Ny. Iim 65 P Jatirahayu, 1/10

112 ny. Umamah 70 P Jatirahayu, 5/17
113 Nuy. Istiyah 70 P Jatirahayu, 4/17
114 Tn. Umar 74 L Jatirahayu, 12/2

116 Ny. Sri 70 P Jatirahayu, 4/17
117 Ny. Rukmini 77 P Jatirahayu, 1/16

118 Ny. Rustiana 54 P Jatirahayu, 1/16
08/01/2014
119 Tn. Dominikus 70 L Jatirahayu, 01/09

120 Tn. Deris 71 L Jatirahayu, 01/09
121 Tn. Joko 62 L Jatirahayu, 9/12

122 Tn. Mishadi 70 L Jatirahayu, 4/18
123 Ny. Endah 59 P Jatirahayu, 4/18
124 Tn. Nugraha 16 L Jatirahayu, 1/8

125 Tn. Palih 73 L Jatirahayu, 4/09
126 Angel 18 P Jatirahayu, 6/8

127 Ny. Kustinah 67 P Jatirahayu, 7/13
128 Ny. Kustinah 67 P Jatirahayu, 07/13
129 Tn. Rustam 78 L Jatirahayu, 9/05

130 Tn. Waryono 61 L Jatirahayu, 7/11
131 Ny. Danisa 26 P Jatirahayu, 1/13

132 Ny. Danisa 26 P Jatirahayu, 1/13
09/01/2014
133 Tn. Suerling 58 L Jatirahayu, 4/15

134 Ny. Minah 59 P Jatirahayu, 10/16

136 Ny. Sumartini 61 P Jatirahayu, 3/7
137 Ny. Retno 60 P Jatirahayu, 3/7
138 Ny. Mariati 70 P Jatirahayu, 3/

139 Ny. Mariati 70 P Jatirahayu, 3/
140 Ny. Rita 51 P Jatirahayu, 7/10

141 Ny. Sri Mulyati 62 P Jatirahayu, 2/21
142 Ny. Maemunah 60 P Jatirahayu, 6/18
143 Ny. Awies 58 P Jatirahayu, 2/17

144 Tn. Sumanggar 53 L Jatirahayu, 7/16
145 Ny. Eni R 75 P Jatirahayu, 1/16

146 Ny. Ari Murniati 50 P Jatirahayu, 5/12
147 Tn. Taufik 67 L Jatirahayu, 7/1
148 Ny. Heriani 60 P Jatirahayu, 7/1

149 Ny. Batseba 58 L Jatirahayu, 7/16

152 Ny. Adati R 81 P Jatirahayu, 3/9
153 Tn. Isworo 38 L Jatirahayu, 7/11
154 Tn. Royani 82 L Jatirahayu, 03/09

155 Ny. Indiastuti 37 P Jatirahayu, 7/11
10/1/2014
156 Ny. Sunarya 70 P Jatirahayu, 4/15
157 Ny. Sunarya 70 P Jatirahayu, 4/15
158 Tn. Darisman 70 L Jatirahayu, 2/7

160 Tn. Bakri 69 L Jatirahayu, 6/13

162 Tn. Ogan 70 L Jatirahayu, 5/22
163 Tn. Husnal 55 L Jatirahayu, 6/15

164 Tn. Hendri 60 L Jatirahayu, 7/16
165 Ny. Sulastri 54 P Jatirahayu, 7/16

167 Tn. Tiomas 65 L Jatirahayu, 4/18
168 Tn.. Maryono 60 L Jatirahayu, 8/18

169 Ny. Marsih 67 P Jatirahayu, 4/17
170 Ny. Gayatri 57 P jatirahayu, 3/12

171 Mny. Emi 36 P Jatirahayu, 8/18
172 Ny. Ari Pramita 30 P Jatirahayu, 8/18
173 Ny. Ardini 75 p Jatirahayu, 2/15

174 Ny. Lestari 74 P Jatirahayu, 7/16
175 Tn. Purnomo 68 L Jatirahayu, 7/16

176 Ny. Ela Hayati 41 P Jatirahayu, 8/5
177 Ny. Kurnia 31 P Jatirahayu, 5/3
178 Ny. Endang 34 P Jatirahayu, 1/7

179 Ny. Titik 41 P Jatirahayu, 6/17
180 Tn. Mulya 21 L Jatirahayu, 6/11

181 Ny. Siti Aisyah 36 P Jatirahayu, 2./23
11/1/2014
182 Ny. Suwarni 55 P jatirahayu, 7/16

183 Tn. Hendarto 53 L Jatirahayu, 7/16
184 Ny. Sri Suwarni 67 P Jairahayu, 3/13

185 Ny.Paryati 54 P Jatirahayu, 7/18
186 Ny. Asai 35 P Jatirahayu, 9/12

188 Tn. Subrata 75 L Jatirahayu, 3/10
189 Ny. Ajidah 60 P jatirahayu, 3/10

13/01/2014
190 Ny. Atit 67 P Jatirahayu, 2/17
192 Ny. Sarah 21 P Jatirahayu, 4/19

193 Ny. Nini 60 P Jatirahayu, 2/13
194 Tn. Sumarto 72 L Jatirahayu, 2/13

195 Ny. Siti Basiroh 50 P Jatirahayu, 3/18
196 Ny. Siti Barkah 43 P Jjatirahayu, 3/23
197 Ny. Elia Tarni 45 P Jatirahayu, 1/13

198 Ny. Subardini 54 P Jatirahayu, 4/16
199 Tn. Dominikus 72 l Jatirahayu, 1/9

200 Ny. Cicih 70 P Jatirahayu, 1/15
201 Ny. Sarimanah 55 P Jatirahayu, 3/6
202 Ny. Ristiningrum 63 P Jatirahayu, 5/13

203 Ny. Toni 51 P Jatirahayu, 5/16
204 Ny. Sanzanah 60 P Jatirahayu, 4/2

205 ny. Nani 54 P Jatirahayu, 3/8
206 Tn. M. Yusuf 60 L Jatirahayu, 3/8
207 Tn. Hermansyah 35 L Jatirahayu, 3/8

208 Ny. Sukinah 45 P Jatirahayu, 3/7
15/01/2014
209 Tn. Daeng 57 L Jatirahayu, 4/15

212 Tn. Swasito 66 L Jatirahayu, 1/7
213 Ny. Yunarti 49 P Jatirahayu, 5/15

214 Ny. Euis 57 P Jatirahayu, 3/6
215 Tn. Dominikus 72 l Jjatirahayu, 1/9
216 Tn. Supit 72 L Jatirahayu, 1/13

217 Ny. Charlota 79 P Jatirahayu, 3/7
218 Ny. Tita 60 L Jatirahayu, 5/17

219 Ny. Triyani 60 P Jatirahayu, 2/14
220 Ny. Asmi 50 P Jatirahayu, 1/7
221 Ny. Sri Wahyuni 65 P Jatirahayu, 9/17

222 Tn. Johar Joni 78 L Jatirahayu, 6/14
223 Tn. Rahmat 68 L Jatirahayu, 6/18

224 Ny. Yulisma 69 P Jatirahayu, 6/4
225 Tn. Ngajian 60 L Jatirahayu, 3/18
226 Ny. Basinar 60 P Jatirahayu, 3/14

227 An. Irfan 9 L Jatirahayu, 1/18
228 Tn. Sudarman 28 L Jatirahayu, 5/15

229 Tn. Edy 39 L Jatirahayu, 4/6
230 Ny. Komariah 67 P Jatirahayu, 1/11
231 Tn. Dariman 65 L Jatirahayu, 3/5
232 Ny. Yuni 60 P Jatirahayu, 3/12

16/01/2014
233 Ny. Itjih 60 P Jatirahayu, 9/16

234 Ny. Ice 65 P jatirahayu, 5/7
235 Tn. Endin 73 L Jatirahayu, 5/7
236 Ny. Boti 62 P Jatirahayu, 3/8

237 An. Mulani 16 P Jatirahayu, 10/12
238 Ny. Warsiah 65 P Jatirahayu, 4/10

239 Tn. Edy 63 L Jatirahyu, 2/7
240 Ny. Awies 56 P Jatirahayu, 2/7
241 Ny. Surya 43 P Jatirahayu, 9/12

242 Ny. Selat 61 P Jatirahayu, 2/14
243 Ny. Selat 61 P Jatirahayu. 2/14

244 Ny. Wiwin 59 P Jatirahayu, 2/7
245 Tn. Rusli 65 L Jatirahayu, 1/7

248 Tn. Bambang 66 L Jatirahayu, 2/18

249 Tn. Suwasdi 69 L Jatirahayu, 2/11
250 Ny. Umiyati 65 P Jatirahayu, 2/11
251 Ny. Rohmah 31 P Jatirahayu, 1/16

252 Ny. Amik 75 P Jatirahayu, 1/19
253 An. Hanifah 3,5 P Jatirahayu, 7/03

17/01/2014
254 Tn. Spencer 57 L Jatirahayu, 2/19
255 An. Rahda 17 Bln P Jatirahayu, 7/16

256 Ny. Yuyun 59 P Jatirahayu, 4/2
257 Angga 14 L Jatirahayu, 1/18

258 Meiti 50 P Jatirahayu, 2/18
259 Tn. Hang Suharno 72 L Jatirahayu, 5/7
260 Ny. Yulinarti 58 P Jatirahayu, 2/18

261 Ny. Sugiandawati 53 P Jatirahayu, 2/13
18/01/2014
262 Tn. Hamdi 53 L Jatirahayu, 3/22
263 Ny. Ignasia 53 P Jatirahayu, 3/18

265 Ny. Zubaidah 63 P Jatirahayu, 6/4
266 Tn. Dominikus 70 L Jatrahayu, 1/09

267 Tn. Hendarto 55 L Jatirahayu, 7/16
268 Tn. Sumarman 74 L Jatirahayu, 2/3
269 Tn. lilik 59 L Jatirahayu, 5/14
270 Ny. Nurajiati 22 P Jatirahayu, 6/17

271 Ny. Uryani 65 P Jatirahayu, 6/17
272 Ny. Sadwiarsih 51 P Jatirahayu, 1/19

273 Tn. Adytia 22 L Jatirahayu, 1/15
274 Ny. Yeti 57 P Jatirahayu, 5/09
275 Tn. Edy 62 L Jatirahayu, 2/7

276 Tn. Maryoto 61 L Jatirahayu, 5/21
277 Ny. Nuriyem 59 P Jatirahayu, 3/18

278 My. Kartini 54 P Jatrahayu, 2/13
279 Ny. Kartini 54 P Jatirahayu, 2/13
280 Tn. Taufik 60 L jatirahayu, 8/18

281 Tn. Hariyanto 62 L Jatirahayu, 3/4
282 An. Akbar 4,5 L Jatirahayu, 6/12

20/01/2014
283 Ny. Siti sakdiyah 50 P Jatirahayu, 04/18
284 Tn. Hermanto 75 L Jatirahayu, 2/13

285 Ny. Yusna 67 P Jatirahayu, 2/13
286 Ny. Ani 58 P Jatirahayu, 6/17

287 Tn. Wahyu 57 L Jatirahayu, 6/17
288 Tn. Zulhairi 63 L Jatirahayu, 05/22
289 Ny. Sukamti 42 P Jatirahayu, 7/12

290 Ny. Usmi 65 P Jatirahayu, 4/7
291 Tn. papilaya 64 L jatirahayu, 6/8

292 Tn. Rusdi 65 L Jatirahayu, 9/12
293 Tn. Sofyan 71 L Jatirahayu, 2/13
294 Nn. Syifa 17 p Jatirahayu, 5/15

295 Ny. Supriyatun 61 P Jatirahayu, 3/10
296 Ny. Sukarti 53 P Jatirahayu, 5/7

297 Tn. Kusrahmadi 77 L Jatirahayu,2/7
298 Ny. Sri martina 67 P Jatirahayu, 2/7
299 Tn. Ahmad Ghojali 63 L Jatirahayu, 6/8

300 An. Devani 9 P Jatirahayu, 4/11
301 Ny. Titik 78 P Jatirahayu. 5/07

302 Ny. Euis 47 p Jatirahayu, 2/22
303 Ny. Mulyani 60 P Jatirahayu, 2/7
304 Tn. Juhardi 60 L Jatirahayu, 2/22

305 Ny. Yati 58 P Jatirahayu, 4/12
306 An. M Rian 10 L Jatirahayu, 5/15

307 Ny. Anis Rahayu 50 P Jatirahayu, 6/10
308 Ny. Siti Aisyah 40 P Jatirahayu, 1/7
21/01/2014
309 Tn. Miswardi 70 L Jatrahayu, 4/18

310 Ny. Rostina 62 P Jatirahayu, 10/12
311 Tn. Bisuni 63 L Jatirahayu, 10/12

312 Tn. Unceng 68 L Jatirahayu, 1/9

315 Tn. Ngubadi 71 L Jatirahayu, 2/12
316 Ny. Misdaris 63 P Jatirahayu, 2/13

317 Ny. Kiki 60 P Jatirahayu, 4/12
318 Ny. Suryani 60 P Jatirahayau, 6/13
319 Ny. Yohana 69 P Jatirahayu, 2/22

320 Tn. M. yusuf 70 L Jatirahayu, 1/18
321 Ny. Julaeha 33 P Jatirahayu, 5/15

322 Ny. Harina Tati 50 P Jatirahayu, 3/19
323 An. Rama 4 L Jatirahayu, 3/01
22/01/2014
324 Tn. Bung Danardi 64 L Jatirahayu, 1/14

327 Tn. Ismoyo 72 L Jatirahayu, 6/9
328 Tn. Rojali 82 L Jatirahayu, 3/09

329 Tn. Agus S 76 L Jatirahayu, 3/10
330 Tn. Sugianto 75 L Jatirahayu, 4/2

331 Ny. Sarungih 69 P Jatirahayu, 8/13
332 Ny. Enserina 69 P Jatirahayu, 8/13
333 Tn. Sunadri 62 L Jatirahayu, 12/2

334 Ny. Titik 48 P Jatirahayu, 5/15
335 Ny. Murtika 63 P Jatirahayu, 1/09

336 Ny. Murtika 63 P Jatirahayu, 1/09
338 Tn. Maryoto 61 L Jatirahayu, 5/21

339 Tn. Malino 73 L Jatirahayu, 1/17
340 Ny. Sinta 28 P jatirahayu, 5/18

341 Ny. Anik 75 P Jatirahayu, 05/19
342 Tn. Timblo 84 L Jatirahayu, 5/19
343 Tn. Imbar 65 L Jatirahayu, 1/6

23/01/2014
344 Tn. Syamsudin 40 L jatirahayu, 09/12

345 Tn. Syamsudin 40 L Jatirahayu, 09/12
346 Ny. Sumini 50 P Jatirahayu, 2/3
347 Tn. Syahrudin 24 L Jatirahayu, 1/2
348 Tn. I Wayan 70 L Jkatirahayu, 2/9

349 Tn. M. Asmin 54 L Jatirahayu, 1/16
350 Ny. Tri Panji 51 P jatirahayu, 2/18

351 Tn. Agustinus 55 L Jatirahayu, 2/18
352 Tn. Syahrudin 24 L Jatirahayu, 1/2
353 An. Gres 10 P Jatirahayu, 5/3

354 Tn. Jaenuidin 36 L Jatirahayu, 6/13
355 Ny. Sofiah 33 P Jatirahayu, 6/12

24/01/2014
356 Nn. Bunga 18 P Jatirahayu,6/16
357 Ny. Adelina 54 P Jatirahayu, 1/16

358 Tn. Umar 51 L Jatirahayu, 09/05
359 Ny. Alyana 59 P Jatirahayu, 3/18

360 Ny. Suwani 60 P Jatirahayu, 4/15
361 Ny. Eni Rohaeni 77 P Jatirahayu, 01/06
362 Ny. Atik Aisyah 60 P Jatirahayu, 05/11

363 Ny. Adyasih 61 P Jatirahyu, 3/10
364 Ny. Adyasih 61 P Jatirahyu, 3/10

365 Ny. Sulistianti 60 p jatirahayu, 3/5
366 Tn. Mudionfi 71 L Jatirahayu, 3/13

368 Ny. Nining 39 P Jatirahayu, 8/17
369 Ny. Eni Rohaeni 77 P Jatirahayu, 01/06

25/01/2014
370 Ny. Suhartati 69 P Jatirahayu, 2/3
371 Tn. Jojo Suryana 66 L Jatirahayu, 6/13

373 Tn. Marudin 77 L Jatirahayu, 7/10

374 Tn. Zarwan 58 L Jatirahayu, 3/8
375 Tn. Saniyo 60 L Jatirahayu, 9/10
376 Tn. A Hendarto 55 L Jatirahayu, 7/16

377 Tn. Safrizal 55 P Jatirahayu, 4/12

379 Ny. Anna 63 P Jatirahayu, 5/21
380 Tn. Warsono 56 L Jatirahayu, 4/22
381 Ny. Kartini 54 P Jatirahayu, 2/13

382 Ny. Dian 40 P Jatirahayu, 2/16
383 Tn. M. fahri 65 L Jatirahayu, 3/1

384 An. Arasim 14 Bln L Jatirahayu, 6/17
385 Ny. Nur Andiati 23 P Jatirahayu, 6/17
386 Ny. Titin 38 P Jatirahayu, 1/10
387 Ny. Ana S 73 P Jatirahayu, 5/21

27/01/2014
388 Tn. Darmawan 63 L Jatirahayu, 4/20

389 Ny. Ninik 59 P Jatirahayu, 4/20
390 An. Fitri 14 Bln P Jatirahayu, 1/16
391 Ny. Epon 71 P Jatirahayu, 2/22


395 Tn. Surtoyo 44 L Jatirahayu, 8/14
396 Ny. Sunarni 59 P Jatirahayu, 02/16

397 Ny. Gusti 74 L Jatirahayu, 5/17
398 Ny. Laurent 60 P Jatirahayu, 7/12

399 Tn. Darmawan 59 L Jatirahayu, 7/12
400 Ny. Nasuroh 72 P Jatirahayu, 2/9
401 Tn. Untung 63 L Jatirahayu, 8/12

402 Ny. Sunarsih 68 P Jatirahayu, 8/2
403 Ny. Nurochimi 44 P Jatirahayu, 9/14

404 Tn. Jinson 63 L Jatirahayu, 4/17
405 Tn. Sumanto 65 L Jatirahayu, 06/12
406 Ny. Sudarsini 53 P Jatirahayu, 06/12

407 Ny. Sri Suyati 63 P Jatirahayu, 1/7
408 Nn. Muslihat 65 P Jatirahayu, 2/7

409 Ny. wiwin 59 P Jatirahayu, 2/7
410 Ny. Anis Rahayu 50 P Jatirahayu, 6/10
411 ny. Fatmawati ningsih 52 P Jatirahayu, 4/3

412 Tn. Zulkifli 50 L Jatirahayu, 6/9
28/01/2014
413 Nn. Erika Tri 19 P Jatirahayu, 4/12
414 Nn. Erika Tri 19 P Jatirahayu, 4/12
415 Tn. Wahid 59 L Jatirahayu, 2/18

416 Ny. Sujimarwati 60 P Jatirahayu, 2/13
417 Ny. Sujimarwati 60 P Jatirahayu, 2/13

418 Ny. Lilis 60 P Jatirahayu, 2/22
419 Ny. Neli 50 P Jatirahayu, 5/7
420 Ny. Neli 50 P Jatirahayu, 5/7

421 An. Asa 15,5 P Jatirahayu, 10/12
422 Tn. Junaedi 51 L Jatirahayu, 10/12

423 Ny. Rosaleni 57 P Jatirahayu, 3/18
424 An. Aulia 6 P Jjatirahayu, 9/12
425 Tn. Azilof Azis 60 L Jatirahayu, 4/19
426 Ny. Gustina 65 P Jatirahayu, 4/12

427 An. Fauzan 17 Bln L Jatirahayu, 1/7
428 An. Khaerunisa 3,5 P Jatirahayu, 1/7

429 Tn. Darwin 60 L Jatirahayu, 8/12
430 Tn. Umar Johan 5,5 L Jatirahayu, 9/5
431 Ny. Elizabeth 50 P Jatirahayu, 6/8

432 An. Baby Anggel 18 Bln P Jatirahayu, 6/8
433 Tn. Madih 65 L Jatirahayu, 1/5

434 Ny. Eliza 75 P Jatirahayu, 5/6
435 Tn. Saaludin 71 L Jatirahayu, 3/12
436 Tn. Yasin 66 L Jatirahayu, 8/17


439 Tn. Panmdapotan 63 L Jatirahayu, 1/13
440 Ny. Yusni 42 P Jatirahayu, 6/15
441 Ny. Irzalul Erni 59 P Jatirahayu, 05/17

442 Ny. Irzalul Erni 59 P Jatirahayu, 05/17
443 Tn. Sadjianta 56 L Jatirahayu, 3/12

444 Ny. Suyati 64 P Jatirahayu, 3/12
445 Ny. Sri Sartini 67 P Jatirahayu, 7/3
446 Ny. Lea 54 P Jatirahayu, 4/12

447 Ny. I Nyoman 43 P Jatirahayu, 3/22
448 Tn. Kismantoro 44 L Jatirahayu, 3/22

449 Ny. Nurjanah 56 P Jatirahayu, 7/8
450 Tn. Mujiono 21 L Jatirahayu, 6/14
451 Ny. Ajiyati 23 P Jatyirahayu, 6/17

30/01/2014
452 Ny. Jasmi 62 P Jatirahayu, 6/17

453 Tn. Jena 74 L Jatirahayu, 3/13
455 Tn. Manurung 54 L Jatirahayu, 6/16

456 Tn. Saep Cholid 60 L Jatirahayu, 6/13
457 Tn. Sukarno 71 L Jatirahayu, 8/12

458 Tn. Ramdin 76 L Jatirahayu, 2/17
459 Tn. Muhidi 60 L Jatirahayu, 4/22
460 Tn. Azilof Azis 60 L Jatirahayu, 4/19

461 An. Abista 4,5 P Jatirahayu, 1/6
462 Ny. Jeane 30 P Jatirahayu, 1/6

463 An. Reshella 3,5 P Jatirahayu, 8/8
464 Ny. Ana S 56 P Jatirahayu, 2/7
465 An. Karla 5,5 P Jatirahayu, 2/22
466 Tn. Mamat 50 L Jatirahayu, 2/22

467 Ny. Mulyawati 37 P Jatirahayu, 10/18
468 Ny. Kadijah 52 P Jatirahayu, 5/09

469 Tn. Toto 53 L Jatirahayu, 1/11
470 Ny. Romlah 70 P Jatirahayu, 1/18
471 Tn. Hari 61 L Jatirahayu, 1/2

472 Ny. Rohaya 61 P Jatirahayu, 1/2
S
AYU
2014
NO. BPJS DIAGNOSA KET
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BULAN : FEBRUARI
NO NAMA/KK UMUR L/P ALAMAT RUMAH SAKIT POLI

02/1/2014
4 Ny. Rini Marni 68 P Jatirahayu, 5/18
5 Tn. Handi 59 L Jatirahayu, 8/14
6 Ny. Sujiatie 70 P Jatirahayu, 6/3
7 Tn. Tjetje Oedi 73 L Jatirahayu, 6/3
8 Ny. Sri Mulyani 50 P Jatirahayu, 1/9
9 Ny. Rahayu 54 P Jatirahayu, 6/10
11 Tn. Turino 61 L Jatirahayu, 4/9
13 Tn. Suparmanto 55 L Jatirahayu, 4/15
14 Ny. Tukiyem 69 P Jatirahayu, 3/18
15 Tn. Eka 39 L Jatirahayu, 2/8
16 Ny. Elis Setiawati P Jatirahayu, 6/12
17 Ny. Emi P Jatirahayu, 8/8
18 Tn. Wartono 49 L Jatirahayu, 2/13
19 Ny. Budiati 15 P Jatirahayu, 2/13
20 Ny. Autis 33 P Jatirahayu, 1/10
21 Igra 12 P Jatirahayu, 5/7
24 Ny. Rohani P Jatirahayu, 1/9
03/02/2014
26 Tn. Erman 61 L Jatirahayu, 05/17
28 Ny. Nemi 64 P Jatirahayu, 6/3
30 Tn. Achmad 68 L Jatirahayu, 2/22
31 Ny. Siti Hindun 61 P Jatirahayu, 2/22
32 Tn. Hasyim Karim L Jatirahayu, 8/17
33 Tn. Budiman 61 L Jatirahayu, 8/8
35 Tn. Sunardi L Jatirahayu, 1/21
36 Ny. Sulastri P Jatirahayu, 1/21
37 Tn. Nainggolan 59 L Jatirahayu, 5/17
39 Tn. Laurel 60 L Jatirahayu, 05/05
40 Ny. Yulastri 60 P Jatirahayu, 2/14
41 Ny. Puji Rahayu P Jatirahayu, 2/8
42 Ny. Sugiyah P Jatirahayu, 3/7
43 Ny. Muryati P Jatirahayu, 06/03
45 Ny. Fauziah P Jatirahayu, 2/13
46 Ny. Hardiyati 48 P Jatirahayu, 4/9
47 Ny. Sri Utami P Jatirahayu, 2/16
49 Tn. Dudung 63 L Jatirahayu, 01/06
50 Ny. Durdias 59 P Jatirahayu, 01/06
51 Tn. Tupon 57 L Jatirahayu, 1/9
53 Tn. Herlandi L Jatirahayu, 04/13
54 Tn. Supayat 54 L Jatirahayu, 5/7
55 Tn. Leonardo 16 L Jatirahayu, 9/17
56 Tn. Leonardo 16 L Jatirahayu, 9/17
57 Tn. Suwono 69 L Jatirahayu, 1/10
58 Ny. Sri Wita P Jatirahayu, 4/13
59 Tn. Indra 63 L Jatirahayu, 4/13
60 Ny. Senti 50 P Jatirahayu, 7/16
61 Tn. Karel 60 L Jatirahayu, 5/5
62 Ny. Teti 61 P Jjatirahayu, 04/12
63 Ny. Yulastri 60 P Jatirahayu, 2/14
64 Tn. Syarifudin 65 L Jatirahayu, 2/14
65 Tn. Toni Siahaan L Jatirahayu, 5/18
66 Ny. Vera Indiastuti P Jatirahayu, 2/22
67 Viki 17 L Jatirahayu, 8/16
04/02/2014
68 Tn. Kusno L Jatirahayu, 05/07
69 Tn. Lilik L Jatirahayu, 2/9
70 Endang P Jatirahayu, 2/9
71 Tn. David L Jatirahayu, 1/16
72 Tn. Edi L Jatirahayu, 2/7
73 Ny. Ade P Jatirahayu, 3/9
74 Tn. Suryadi L Jatirahayu, 3/9
75 Tn. Bismen L Jatirahayu, 10/12
76 Tn. Subagyo L Jatirahayu, 3/21
77 Tn. Iwayan Ngenteg L Jatirahayu, 2/9
78 Tn. Iwayan Ngenteg L Jatirahayu, 2/9
79 Ny. Sopyani P Jatirahayu, 6/15
80 Ny. Sopyani P Jatirahayu, 6/15
82 Ny. Aisyah P Jatirahayu, 8/16
83 Tn. Ukar L Jatirahayu, 12/12
84 Parsa L Jatirahayu, 06/01
85 Tn. Nurjaeni L Jatirahayu, 1/22
86 Ny. Mariam 56 P Jatirahayu, 10/14
87 Ny. Yanti 37 P Jatirahayu, 2/23
88 Kamal 13 L Jatirahayu, 2/23
89 Ny. Diana 37 P Jatirahayu, 8/16
90 Irpan 16 L Jatirahayu, 5/15
91 Ny. Olga 60 P Jatirahayu, 6/4
92 Meta 13 P Jatirahayu, 4/7
93 Ny. Titianih 48 P Jatirahayu, 6/10
05/02/2014
94 Tn. Idrus 48 L Jatirahayu, 05/15
95 Tn. Agus 61 L Jatirahayu, 1/15
99 Ny. Nurhayati 57 P Jatirahayu, 5/18
100 Ny. Meliana R 41 P Jatirahayu, 07/18
101 Tn. Syafrizal 54 L Jatirahayu, 4/12
102 Ny. Retno 55 P Jatirahayu, 05/14
103 Tn. Satibi 71 L Jatirahayu, 1/2
104 Tn. H. Kosim 66 L Jatirahayu, 3/10
105 Ny. Sugijiah 70 P Jatirahayu, 3/7
106 Tn. Muslim 70 L Jatirahayu, 7/9
107 Ny. Yuniarti 49 P Jatirahayu, 5/15
108 Ny. Sri 63 P Jatirahayu, /14
110 Ny. Kastiyah 78 P Jatirahayu, 3/17
111 Ny. Kastiyah 78 P Jatirahayu, 3/17
114 Tn. Supi'i 72 L Jatirahayu, 9/12
115 Tn. Sony karsono 67 L Jatirahayu, 7/18
116 Ny. Euis Kantini 56 P Jatirahayu, 3/06
117 Tn. Joko Mursid 69 L Jatirahayu, 6/07
118 Ny. Kamilah 33 P Jatirahayu, 7/13
119 Tn. Wiliam 52 L Jatirahayu, 6/4
120 Tn. Sanjoadi 70 L Jatirahayu, 5/09
121 Ny. Halimah 67 L Jatirahayu, 3/09
122 Tn. Zaenal 51 L Jatirahayu, 3/09
123 Tn. Sandiman 71 L Jatirahayu, 1/22
124 Ny. Ndaru Panggih 22 P Jatirahayu, 3/18
125 Ny. Regi 32 P Jatirahayu, 1/2
126 Piere 10 L Jatirahayu, 6/05
127 Tn. suryadi 48 L Jatirahayu, 6/05
128 Gilang 19 L Jatirahayu, 10/18
06/02/2014
129 Ny. Rokhimah P Jatirahayu, 3/15
130 Ny. Taruli P Jatirahayu, 07/16
134 Ny. Minohari L Jatirahayu, 3/17
135 Tn. Sandi L Jatirahayu, 1/13
136 Ny. Djuju 61 P Jatirahayu, 7/18
137 Tn. Darman L Jatirahayu, 8/12
138 Ny. Piah 60 P Jatirahayu, 1/10
139 Slamet Riyadi L Jatirahayu, 4/7
140 Tn. Sayadi L Jatirahayu, 2/05
141 Ny. Etia P Jatirahayu, 11/11
142 Kesya P Jatirahayu, 2/22
143 Kardimah 16 L Jatirahayu, 7/13
144 Ny. Riska 21 P Jatirahayu, 5/7
145 Ny. Emi Jubaedah P Jatirahayu, 2/11
07/02/2014
146 Tn. Beni 72 L Jatirahayu, 5/8
147 Ny. Andriastuti 68 P Jatirahayu, 5/8
149 Ny. Elfita 56 P Jatirahayu, 3/22
150 Ny. Lamtaruli P Jatirahayu, 1/9
151 Tn. M. Ichwan L jatirahayu, 1/6
152 Fitria 14 P Jatirahayu, 1/6
153 Ny. Siswati P Jatirahayu, 1/22
154 Ny. Sumiyati 67 P Jatirahayu, 5/8
155 Tn. Waryan L Jatirahayu, 3/9
156 Ny. Nuryani P Jatirahayu, 1/18
157 Tn. Chusnudin 65 L Jatirahayu, 3/18
158 Ny. Basniar P Jatirahayu, 3/14
159 Ny. Basniar P Jatirahayu, 3/14
08/02/2014
160 Ny. Yuliana P Jatirahayu, 2/18
161 Tiara P Jatirahayu, 4/19
162 Satrio 2,5 L Jatirahayu, 1/16
163 Ny. B.M Siahaan 68 L Jatirahayu, 4/17
164 Tn. W. P Siahaan 68 L Jatirahayu, 4/17
165 Tn. Suwarto 68 L Jatirahayu, 3/13
166 Tn. Suwarto 68 L Jatirahayu, 3/13
167 Tn. Tirus L Jatirahayu, 3/22
168 Satrio 2,2 L Jatirahayu, 1/16
10/02/2014
169 Ny. Tri Wijayanti P Jatirahayu, 8/16
170 Ny. Erina 67 P Jatirahayu., 6/13
173 Tn. suryadi 48 L Jatirahayu, 6/05
174 Ny. Siti Wariyah P Jatirahayu, 4/7
175 Tn. Bambang L Jatirahayu, 2/18
176 Ny. Erita P Jatirahayu, 1/20
177 Ny. Tiurmina P Jatirahayu, 1/7
178 Ny. Sri Rahayu P Jatirahayu, 1/18
179 Ny. Sri Rahayu P Jatirahayu, 1/18
180 Tn. Dj Rifai 72 L Jatirahayu, 5/18
181 Ny. Eti 63 P Jatirahayu, 3/8
182 Ny. Siti Sakdiyah P Jatirahayu, 4/18
183 Rahayu 16 P Jatirahayu, 6/12
184 Ny. Ermayanti P Jatierahayu, 3/8
185 Tn. Sugiono L Jatirahayu, 1/9
186 Ny. Darsini P Jatirahayu, 1/9
187 Ny. Eni Suparni P Jatirahayu, 5/22
188 Ny. Siti Aisyah P Jatirahayu, 5/15
189 Ny. Sukesti 44 P Jatirahayu, 8/16
190 Dwi Nur Aini 18 P Jatirahayu., 8/16
191 Ny. Janaah P Jatirahayu, 7/16
192 Tn. Sucipto L Jatirahayu, 7/16
193 Ny. Mujirah P Jatirahayu, 4/10
194 Tn. Sahrial L Jatirahayu, 4/12
195 Tn. Haloman L Jatirahayu, 11/12
196 Tn. Isyono L Jatirahayu, 7/15
197 Ny. Nurmiwati P Jatirahayu, 7/15
198 Nizam 12 bln L Jatirahayu, 1/5
199 Ny. Sri Ispini 31 P Jatirahayu, 2/22
200 Tn. Supriyadi 48 L Jatirahayu, 6/05
11/02/2014
201 Tn. Adjid Tajudin 73 L Jatirahayu, 2/22
202 Tn. Muzirwan 59 L Jatirahayu, 3/16
203 Tn. Ngajion 60 L Jatirahayu, 3/18
204 Tn. Dumadi 51 L Jatirahayu, 1/9
206 Ny. Elia Tarni 45 P Jatirahayu, 1/13
207 Ny. Agustin 52 P Jatirahayu, 4/15
208 Yerika Asdira 19 P Jatirahayu, 5/14
209 Ny. Suhartini 61 P Jatirahayu, 3/7
210 Ny. Retno Sri W 58 P Jatirahayu, 4/9
211 Ade Pratiwi 17 P Jatirahayu, 4/9
212 Ny. Tujum 54 P Jatirahayu, 1/18
215 Tn. Suwadji 71 L Jatirahayu, 2/22
216 Tn. Andi 31 L Jatirahayu, 1/22
217 Ny. Nurjaeni 34 P Jatirahayu, 1/22
218 Tn. Darusman 71 L Jatirahayu, 2/7
220 Tn. Suwono 68 L Jatirahayu, 1/10
225 Erika 20 P Jatirahayu, 4/12
226 ny. Kiki 61 P Jatirahayu, 4/12
227 Rismurniati 63 P Jatirahayu, 3/12
228 Tn. Yosep 32 L Jatirahayu, 4/4
229 Ny. Marni 35 P Jatirahayu, 4/4
230 Ny. Dinda 24 P Jatirahayu, 1/10
231 Budi A 12 Bln L Jatirahayu, 3/1
232 Tn. Zaenal 31 L Jatirahayu, 7/11
234 Tn. M. Yusuf 70 L Jatirahayu, 3/8
235 Ny. Noni 54 P Jatirahayu, 3/8
12/2/2014
237 Ny. Suwarni 63 P Jatirahayu, 5/17
239 Tn. Khaeransyah 69 L Jatirahayu, 3/15
240 Ny. Rokhimah 60 P Jatirahayu, 3/15
242 Tn. Sudarisman 64 L Jatirahayu, 9/17
243 Ny. suwarni 58 P Jatirahayu, 2/15
244 Tn. Husnal 55 L Jatirahayu, 6/15
245 Nurul 17 P Jatirahayu, 3/21
246 Tn. Iman Wahyudin 35 L Jatirahayu, 3/11
247 Pradewi Melani 20 P Jatirahayu, 03/11
248 Tn. Suhendar 52 L Jatirahayu, 1/7
249 Ny. Marice 54 P Jatirahayu, 8/12
251 Ytn. Sawidjo 58 L Jatirahayu, 9/17
252 Tn. Edi 62 L jatirahayu, 2/7
253 Ny. Matrsih Said 66 P Jatirahayu, 4/17
254 Ny. Eni Rohaeni P Jatirahayu, 1/6
257 Tn. Saludin 73 L Jatirahayu, 5/12
258 Ny. Toto Tarmini 76 P jatirahayu, 12/12
259 Ny. Khodijah 42 P Jatirahayu, 2/5
260 Tn. Jamhuri 72 L Jatirahayu, 5/3
262 Ny. Mani 34 P jatirahayu, 4/4
13/2/2014
263 Tn. Aldjufri Abdullah 65 L Jatirahayu, 2/8
264 Ny. Santi 54 P Jatirahayu, 7/15
266 Ny. Suketi 44 P Jatirahayu, 8/16
267 Ny. Hodiatun K 53 P Jatirahayu, 7/17
268 Ny. Martalina 68 P Jatirahayu, 4/7
269 Ny. Martalina 68 P Jatirahayu, 4/7
270 Ny. Rukmini 75 P Jatirahayu, 4/6
271 Ny. Ana 73 P Jatirahayu, 5/21
272 Zahra 56 Bln P Jatirahayu, 06/18
273 Irwan 22 L Jatirahayu, 2/22
274 Tn. Joko P L Jatirahayu, 1/21
275 Tn. Suryo 58 L Jatirahayu, 1/17
276 Tn. Andreas 62 L Jatirahayu, 05/13
277 Ny. Ristianingrima 62 P Jatirahayu, 05/13
278 Tn. Amad L Jatirahayu, 5/17
280 Tn. Andre 37 L Jatirahayu, 5/17
281 Khuzayfu Syahidi 4,5 L Jatirahayu, 6/16
14/2/2014
283 Ny. Triany 61 P Jatirahayu, 2/14
284 Ny. Heny P Jatirahayu, 1/9
285 Tn. Hadi Santoso L Jatirahayu, 10/12
286 Tn. Bakri 69 L Jatirahayu, 06/4
287 Ny. Rini Marni P Jatirahayu, 5/18
288 Ny. Cholijah 61 P Jatirahayu, 3/13
289 Ny. Cholijah 61 P Jatirahayu, 3/13
290 Ny. Widiastuti 30 P jatirahayu, 7/11
291 Ny. Linar 55 P Jatirahayu, 2/22
293 Ny. Nuriyanah 56 P Jatirahayu, 7/8
15/2/2014
295 Ny. Ardini 75 P Jatirahayu, 2/15
296 Ny. Tutik 48 P Jatirahayu, 5/15
297 Tn. Haryadi 56 L Jatirahayu, 4/15
298 Gilang 9 L Jatirahayu, 1/17
300 Tn. Junaedi 63 L Jatirahayu, 2/17
301 Ny. Yeti Muryati 57 P Jatirahayu, 5/09
302 Ny. Hepi 31 P Jatirahayu, 12/12
303 Tn. Sunarno 69 L Jatirahayu, 4/19
304 Tn. R. Hardi 55 L Jatirahayu, 3/22
306 Ny. Sri Wita 63 P Jatirahayu, 4/13
307 Ny. Zubaedah 63 P Jatirahayu, 6/4
308 Dini Prima 19 P Jatirahayu, 3/17
310 Ny. Suilah 69 P Jatirahayu, 4/18
311 Ny. Lea 54 P Jatirahyu, 4/12
312 Ny. Asih 44 P Jatirahayu, 10/18
17/2/2014
313 Ny. Marisi 68 P Jatirahayu, 5/13
314 Ny. Tjijin 70 P Jatirahayu, 11/15
315 Ny. Farichin 57 P Jatirahayu, 8/12
317 Ny. Meliana 41 P Jatirahayu, 7/18
318 Ny. Sri hartinah 63 P Jatirahayu, 2/9
319 Ny. Sri hartinah
320 Ny. Akis 53 P Jatirahayu, 6/10
321 Tn. Irwadi 63 L Jatirahayu, 5/18
322 Ny. Yulia 58 P Jatirahayu, 5/18
324 Tn. Sahreli 69 L Jatirahayu, 5/13
325 Ny. Esih 71 P Jatirahayu, 1/9
326 Ny. Eha Kamti 70 P Jatirahayu, 6/12
327 Nn. Kusandiyah 20 P Jatirahayu, 4/15
328 Ny. Iece 65 L Jatirahayu, 5/7
329 Ny. Endun 73 P Jatirahayu, 5/7
330 Ny. Nobmauli 50 P Jatirahayu, 1/13
331 Ny. B.M Siahaan 61 P Jatirahayu, 4/17
332 Ny. Emiliana 51 P Jatirahayu, 3/9
333 Ny. Aprilia 31 P Jatirahayu, 3/9
334 Tn. Dedi R 67 L Jatirahayu, 12/2
335 Ny. Sri Suyati 62 P Jatirahayu, 1/7
336 Tn. Hendri 75 L Jatirahayu, 3/18
337 Ny. Jakiah 74 P Jatirahayu, 12/12
338 Ny. Murniati P Jatirahayu, 3/17
339 Tn. Syamsul L Jatirahayu, 3/17
340 Ny. Sulastri P Jatirahayu, 1/7
341 Tn. Kismantoro 43 L Jatirahyu, 2/22
342 Mulya 21 L Jatirahayu, 6/11
343 Ny. Karina Tati 49 P Jatirahayu, 3/9
344 Ny. Bonih 58 P Jatirahayu, 2/10
345 Amanda 19 P Jatirahayu, 3/1
346 Ny. Maryamah 46 P Jatirahayu, 3/1
347 Ny. Emiliawati 51 P Jatirahayu, 3/9
349 Tn. Haryono 46 L Jatirahayu, 1/13
350 Ny. Sofiah 75 P Jatirahayu, 3/1
351 Ny. Magdalena P Jatirahayu, 7/5
352 Ny. Purnamawani 62 P Jatirahayu, 3/12
18/2/201
353 Tn. Yusuf 22 Bln L jatirahayu, 2/11
354 Ny. Wadah 42 P Jatirahayu, 2/11
355 Tn. Sawarni 71 L Jatirahayu, 1/18
356 Ny. Rita 57 P Jatirahayu, 12/12
357 Ny. Sri wahyuni 60 P Jatirahayu, 9/17
358 Ny. Rina S 40 P Jatirahayu, 8/16
359 Ny. Mulang 51 P Jatirahayu, 1/9
360 Tn. Fx Guntoyo 50 L Jatirahayu, 1/11
363 ny. Itjih 70 P Jatirahayu, 9/16
364 Tn. Seno 60 L Jatirahayu, 2/18
365 Ny. Asnun 65 P Jatirahayu, 1/7
366 Tn. Bahnizar 68 P Jatiwarna, 1/7
367 Ny. Gusti 72 P jatirahayu, 5/17
368 Tn. Zulchairi 63 L Jatirahayu, 5/22
370 Juheru 12 L Jatirahayu, 1/18
371 Tn. Yudi 48 L Jatirahayu, 1/18
373 Tn. Yudi 48 L Jatirahayu, 1/18
374 Ny. Rosnidin 59 P Jatirahayu, 3/12
375 Tn. Bambang 57 L Jatirahyu, 12/12
377 Ny. Saptarini 50 P Jatirahayu, 1/15
379 Ny. Safrini 50 P Jatirahayu, 1/15
380 Ny. Sanem 49 P Jatirahayu, 3/1
381 Tn. Jaenudin 36 L Jatirahayu, 6/13
382 An. Akbar Rizki 4,5 L Jatirahayu, 6/13
383 Tn. Guram 82 L Jatirahayu, 1/10
384 Ny. Manih 75 P Jatirahayu, 11/18
19/2/2014
386 Tn. Zainal 59 L Jatirahayu, 5/21
387 Ny. Rusmiati 54 P Jatirahayu, 5/21
388 Tn. Marjono 61 P Jatirahayu, 8/18
390 Tn. Nasroni 56 L Jatirahayu, 6/12
391 Ny. Utami Johon 58 P Jatirahayu, 5/19
392 Ny. Siti Wasiyah 67 P Jatirahayu, 9/18
393 Ny. Ridha 28 P Jatirahayu, 11/14
394 Ny. Asmin Tuti 67 P Jatirahayu, 11/18
396 Ny. Ajidah 71 P Jatirahayu, 3/9
397 Tn. Suhadri 62 L jatirahayu, 11/12
398 Tn. Masgus 61 L Jatirahayu, 4/12
399 Tn. Sabar 64 L Jatirahayu, 1/18
400 Tn. Sukasdi 69 L Jatirahayu, 2/11
402 Tn. Sufi'i 72 L Jatirahayu, 1/13
405 Ny. Kusaeni 70 P Jatirahayu, 2/9
406 Tn. Iwayan 70 L Jatirahayu, 2/9
407 Tn. Indra Yordan 70 L Jatirahayu, 4/13
408 Ny. Irnawati 53 P Jatirahayu, 4/12
409 Tn. Zul Adli 59 L jatirahayu, 4/12
410 Tn. Agus Supar 75 L Jatirahayu, 9/10
411 Tn. Siregar 71 L Jatirahayu, 2/15
412 Tn. Zainul 64 L Jatirahayu, 7/09
413 Ny. Antis 33 P Jatirahayu, 03/10
414 Ny. Antis 33 P Jatirahayu, 03/10
415 Adam 34 Bln L Jatirahayu, 8/11
20/2/2014
418 Tn. Aris 69 L jatirahayu, 4/18
420 Ny. Sukamti 53 P Jtairahayu, 5/7
421 Ny. Ni Made 67 P Jatirahayu, 1/9
423 Ny. Suwarni 66 P Jatirahayu, 2/3
424 Ny. Karsiyem 55 P Jatirahayu, 5/13
425 Ny. Chandotia 79 P Jatiwarna, 3/7
426 Ny. Sahersih 50 P Jatirahayu, 9/17
430 Ny. Teti s 63 P Jatirahayu, 10/14
432 Tn. Dafindo 61 L Jatiorahayu, 11/12
433 Tn. Iwan 62 L Jatirahayu, 7/8
434 Tn. M.Suratmi 66 P Jatirahayu, 1/9
435 Ny. Helena warbung 84 P Jatirahayu, 8/10
436 Ny. Mulyawati 46 P Jatirahayu, 1/10
438 Ny. Tati Sri MUkti 38 P Jatirahayu, 6/16
439 Ny. Lentina 60 P Jatirahayu, 6/13
440 Tn. Mustofa 38 L Jatirahayu, 6/13
441 Bagus Nizam 21 L Jatirahayu, 1/5
442 Ny. Halimah 55 P Jatirahayu, 6/13
444 Ny. Fifi 62 P Jatirahayu, 7/8
21/2/2014
447 Tn. Pantas 61 L Jatirahayu, 2/16
448 Ny. Mustika 62 P Jatirahayu, 1/9
449 Tn. Husen 55 L Jatirahayu, 9/14
452 Tn. Ngabudi 71 L Jatirahayu, 2/13
453 Ny. Luri 68 P Jatirahayu, 2/13
454 Tn. Abdul Manaf 74 L Jatirahayu, 2/4
455 Tn. Abdul Manaf 74 L Jatirahayu, 2/4
456 Ny. Ani Handayani 33 P jatirahayu, 6/13
457 Tn. Sari Rudin 39 P Jatirahayu, 2/18
458 Ny. Saini Rusmini 39 P Jatirahayu, 2/18
459 Ny. Indrawati 53 P Jatirahayu, 10/14
22/2/2014
460 Ny. Rina Pentasari 28 P Jatirahayu, 6/13
461 Ny. Eri Sugiyanti 52 P Jatirahayu, 6/12
462 Nn. Vitri Pancauli 29 P Jatirahayu, 5/14
464 Ny. Eni Yurmini 61 P Jatirahayu, 6/4
465 Ny. Erna 66 P Jatirahayu, 66/13
466 Tn. Sugianto 72 L Jatirahayu, 4/2
467 Ny. Yati M 59 P jatirahayu, 4/12
24/2/2014
468 Ny. Helena 60 p Jatirahayu, 2/16
469 Tn. Hulmon 53 L Jatirahayu, 5/13
470 Merio 24 L Jatirahayu, 1/6
472 Ny. Karneti 66 P Jatirahayu, 3/12
473 Ny. Ponirah 56 P Jatirahayu, 10/18
474 Ny. Sugiyah 60 P Jatirahayu, 03/7
476 Ny. Elizabeth 50 P Jatirahayu, 6/8
477 Ny. Murdiati 49 49 Jatirahayu, 1/3
478 Tn. Ismet 75 L jatirahayu, 2/15
479 Ny. Mas Alhadur 65 P Jatirahayu, 2/15
480 Ny. Mas Alhadur 65 P Jatirahayu, 2/15
483 Tn. Basuki 73 L Jatirahayu, 6/1
484 Ny. Eni R 77 P Jatirahayu, 1/6
485 Tn. Saridjo 59 L Jatirahayu, 3/18
486 Tn. Machnar Akbar 72 L Jatirahayu, 1/9
487 Tn. A. Risman 63 L Jatirahayu, 4/15
488 Tn. Uji 55 L Jatirahayu, 1/18
490 Serin 15 P Jatirahayu, 2/23
491 Ny. Mutia Ningsih 42 P Jatirahayu, 3/1
492 Ny. Maryati 45 P Jatirahayu, 9/16
493 Ny. Amenah 61 P Jatirahayu, 9/12
494 Raihan 11 L Jatirahayu, 1/18
495 Royana 13 P Jatirahayu, 1/18
25/2/2014
496 Tn. Sumadi 64 L Jatirahayu, 1/5
497 Tn. Tamrin 64 L Jatirahayu, 9/12
498 Ny. Siti H 61 P Jatirahayu, 9/12
499 Tn Ben-ben 54 L Jatirahayu, 5/3
500 Tn. Rukman 71 L Jatirahayu, 9/17
501 Tn. Suwarji 71 L Jatirahayu, 7/21
502 Tn. Hartono 64 L Jatirahayu, 10/16
503 Dinda 13 P Jatirahayu, 1/9
504 Ny. Ninik 59 P Jatirahayu, 1/20
505 Tn. Darman 63 L Jatirahayu, 1/20
506 Ny. Yaminah 61 P Jatirahayu, 1/18
507 Tn. Casman 72 L Jatirahayu, 1/18
508 Ny. Yaminah 61 P Jatirahayu, 1/18
509 Ny. Lina 59 P Jatirahayu, 5/17
510 Ny. Izatul Erni 55 P Jatirahayu, 5/17
513 Ny. Delyana 59 P Jatirahayu, 3/18
515 tn. Hang 72 L Jatirahayu, 5/7
516 Tn. Dediastuti 58 P Jatirahayu, 1/14
519 Ny. Oediastuti 58 P Jatirahayu, 1/14
520 Tn. Sucipto 60 L Jatirahayu, 1/14
521 Tn. Kukuh 39 L Jatirahayu, 1/15
522 Ny. Nikmah 71 P Jatirahayu, 2/10
523 Ny. Wororini 48 P Jatirahayu, 5/15
524 Popi 15 P Jatirahayu, 3/12
525 Nn. Miranda 18 P Jatirahayu, 3/1
26/2/2014
526 Tn. Azilof 60 L Jatirahayu, 4/19
527 Ny. Sugindawati 58 P Jatirahayu, 2/13
528 Ny. Hayati 72 P Jatirahayu, 5/17
530 Defina 11 P Jatirahayu, 4/6
531 Ny. Sriyati 47 P Jatirahayyu, 4/6
532 Nanda 16 P Jatirahayu, 5/7
533 Tn. Rusmani 60 L Jatirahayu, 1/22
535 Tn. Mursito 58 L Jatirahayu, 2/15
536 Ny. Sri K 58 P Jatirahayu, 2/15
537 Ny. Sri Kurniati 57 P Jatirahayu, 6/12
538 Ny. Eni Yurmini 61 P Jatirahayu, 6/4
539 Tn. Syahbali 75 L Jatirahayu, 06/1
540 Ny. Salfinan 75 P Jatirahayu, 6/1
542 Tn. Rukman 71 L Jatirahayu, 9/17
543 Ny. Ruchayah 66 P Jatirahayu, 9/17
544 Tn. Jan Ferinan 75 L Jatirahayu, 5/9
545 Ny. Siti Nuraini 19 P Jatirahayu, 3/6
546 Ny. Puji 41 P Jatirahayu, 9/17
547 Tn. Saauludin 75 L Jatirahayu, 3/12
548 Ny. Nunik 51 P Jatirahayu, 9/17
549 Ny. Warsiyah 65 P Jatirahayu, 4/10
550 Ny. Dorawati 59 P Jatirahayu, 4/06
27/02/2014
551 Tn. Jojo 67 L Jatirahayu, 6/13
552 Tn. Muzirwan 59 L Jatirahayu, 5/16
553 Ny. Vifien Eka 34 P Jatirahayu, 4/7
554 Tn. Zaenudin 36 L Jatirahayu, 6/15
555 Ny. Yuli 58 P Jatirahayu, 2/18
556 Ny. Wororini 48 P Jatirahayu, 5/13
557 Tn.Basuki Sumali 62 L Jatirahayu, 7/17
558 Tn. Iwayan Tigel 62 P Jatirahayu, 2/9
559 Parsa 6 L Jatirahayu, 6/1
560 Ny. Ani Yudiani 54 P Jatirahayu, 6/8
561 Tn. Heri Triansyah 27 P Jairahayu, 1/18
562 Ny. Eni Suparni 67 P Jatirahayu, 5/22
563 Ny. Eni Suparni 67 P Jatirahayu, 5/22
564 Tn. Ojon Tachjan 72 L Jatirahayu, 5/22
565 Ny. Sudarsini 62 P Jatirahayu, 9/4
566 Ny. Fitri 37 P Jatirahayu, 10/10
567 Ny. Acem 53 P Jatirahayu, 4/17
568 Tn. Dariman 61 L Jatirahayu, 6/3
569 tn. M. yusuf 69 L Jatirahayu, 6/11
570 Ny. Nuur Aisyah 61 P Jatirahayu, 6/11
28/2/2014
571 Ny. Hadijah 44 P Jatirahayu, 8/14
573 Tn. Karja 86 L jatirahayu, 6/12
574 Tn. Rusli 65 L jatirahayu, 7/1
576 Tn. Subagio 54 L Jatirahayu, 7/5
578 Tn. Nurjaeni 34 L Jatirahayu, 1/22
579 Tn. Julisman 61 L Jatirahayu, 3/17
580 Ny. Tenike Suharno 61 P Jatirahayu, 4/20
581 Tn. Indra Yudono 69 L Jatirahayu, 4/13
582 Ny. Sri Wita 63 P Jatirahayu, 4/13
583 Tn. Ngolu Manurung 67 L Jatirahayu, 6/16
584 Ny. Tiurma Sitorus 54 P jatirahayu, 6/16
585 Tn. Iwayan 71 L Jatiorahayu, 2/9
587 Tn. Umir 61 L Jatirahayu, 11/14
588 Ny. Rina 57 P Jatirahayu, 5/2
BPJS
RAHAYU
HUN 2014
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12012004126957
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0000073104129
0000073104131
000039594429
0000039594418
0000073085101
001013778134
0001267240915
0000507409119
BULAN : FEBRUARI
NO NAMA/KK UMUR L/P ALAMAT RUMAH SAKIT

1 Ny. Munath 67 P Jatiwarna, 3/6 Bekasi
2 Hendi 59 L Jatirahayu,
3 Sunjail 70 P Jatirahayu, 6/3
4 Mulyani 51 P Jatirahayu, 1/9
5 Waway 65 P Jatirahayu,
6 Anis 57 L
7 Wartiah 47 P
8 Tiurma
9 Eka 25 P
10 Emi 57 P Jatirahayu, 8/8
11 Ny. Elis Setiawati 36 P Jatirahayu, 4/16 Haji
12 Tn. Eya Nugraha 34 L Jatirahayu, 1/8 Bekasi
13 Ny. Rohani 61 P Jatirahayu, 1/09 Halim
14 Tn. Warsino 49 L Jatirahayu, 02/03 Ps. Rebo
15 Budiati 15 P Jatirahayu, 02/03 Ps. Rebo
16 Tn. Soejitno L Jatirahayu, 1/18 Rs. M. Ridwan
17 Achmad 68 L Jatirahayu, 2/22 Halim
18 Hasyim 71 L Jatirahayu, 8/17 Halim
19 Akem 56 P Jatirahayu, 3/6 Polri
20 Mudion 60 L Jatirahayu, 8/18
21 Nuryadi 60 L Jatirahayu, 8/13 Halim
22 Nurlea 60 L Jatirahayu, 5/13 Halim
23 Iyak 70 L Jatirahayu, 2/3 Halim
24 Punarin 65 L Jatirahayu, 1/13
25 Punarin 65 L Jatirahayu, 1/13
26 Puji 30 P Jatirahayu, 2/8 Rs. M. Ridwan
27 Fauzial 72 P Jatirahayu,2/11
28 Daneas 59 L Jatirahayu,
29 Dudum 61 L Jatirahayu,
30 Ny. Sri Utami 68 P
31 Tn. Tupon 57 L Jatirahayu, 1/9 Haji
32 Leonardi 16 L Jatirahayu, 1/9 Bekasi
33 Leonardi 16 L Jatirahayu, 1/9 Bekasi
34 Supangat 65 L Jatirahayu,
35 Ny. Sri Wita 61 P Jatirahayu, 2/13 RSPAD
36 Tn. Indra I 71 L Jatirahayu, 2/13 RSPAD
37 Tn. Kareloth 60 L Jatirahayu, 5/5 Ps. Rebo
38 Ny. Teti R 61 P Jatirahayu, 4/12 Ps. Rebo
39 Tn. Syarifudin 60 L Jatirahayu, 2/12 Halim
40 Ny. Sulastri 54 P Jatirahayu,2/14 Halim
41 Tn. Tomy 57 L Jatirahayu, Halim
42 Ny. Dera 37 P Jatirahayu, 2/22 Haji
43 Tn. Kusnoadi 66 L Jatirahayu, 5/7 Rs. M. Ridwan
44 Tn. Liliek 72 L Jatirahayu, 3/9 Halim
45 Ny. Endang 61 P Jatirahayu, 3/9 Halim
46 Tn. David 61 L Jatirahayu, 1/16 Ps. Rebo
47 Ny. Lilis 28 P Jatirahayu, 4/1 Bekasi
48 Ade Chaliyah 69 P Jatirahayu,3/9 Haji
49 Poriadi 71 L Jatirahayu, 5/9 RSPAD
50 Suhaika 71 L
51 Tn. Bismen 63 L Jatirahayu, 10/12 Halim
52 Tn. J Wayan 71 L Jatirahayu, 2/9 Halim
53 Ny. Saparijani 56 P Jatirahayu, 6/15 Polri
54 Ukar 73 L Jatirahayu, 12/12
55 Aisyah 51 P Jatirahayu,
56 Nurjaeni 34 L Jatirahayu, 1/22
57 Olga
58 Tn. Supriyanto 61 L Jatirahayu, Haji
59 Tihoni 48 P Jatirahayu, Bekasi
60 Tn. Idris 49 L Jatirahayu, 05/15 Ps. Rebo
61 Tn. Agus Murtado 61 L Jatirahayu, 01/15 Bekasi
62 Ny. Ridawati 54 P Jatirahayu, 6/13 Budi Asih
63 Ny. Nurhayati 57 P Jatirahayu, 5/18 Halim
64 Kasira 60 P Jatirahayu, Polri
65 Ruro 60 P Jatirahayu,
66 Muslim 20 L Jatiwarna, 7/9 Bekasi
67 Tn. Sukarman 67 L jatirahayu, 4/14 Ps. Rebo
68 Ny. Sri Purwanti 62 P Jatirahayu, 4/14 Ps. Rebo
69 Ny. Kastiyah 78 P Jatirahayu, 3/17 Rs. M. Ridwan
70 Djoko M 62 L Jatirahayu, 9/12 Halim
71 Wiliam 55 L Jatirahayu, 6/4 Bekasi
72 Tn. Sanjoadi 70 l jatirahayu, 5/9 Polri
73 Ny. Halimah 68 P Jatirahayu, 3/9 Halim
74 Tn. Zaenal Arifin 52 L Jatirahayu, 3/17 Haji
75 Tn. Sandiman 71 L jatirahayu, 1/22 Rs. M. Ridwan
76 Panggih Lelani 22 P Jatirahayu, 3/18 RSCM
77 Ny. Rokhimah 60 P Jatirahayu, 3/4 Islami Jkt
78 Tn. Mas Agus 64 L jatirahayu, 4/12 Ps. Rebo
79 Ny. Manah 71 P Jatirahayu, 3/22 Halim
80 Ny. Eka 43 P Jatirahayu, 1/11 Bekasi
81 Ny. Eni Jubaedah 53 P Jatirahayu, 8/11 Bekasi
82 Ny. Ri Aprilia 42 P Jatirahayu, 3/11 Bekasi
83 An. Keysha Belinda 10 P Jatirahayu, 2/22 Haji
84 Ny. Juju 64 P Jatirahayu, 7/18 Haji
85 Tn. Darman 61 L Jatirahayu, 8/12 Halim
86 Ny. Andriastuti 68 P Jatirahayu, 5/8 RSPAD
87 Viona 2 P Jatirahayu, 3/22 Bekasi
88 Ny. Lantaruli S 51 P Jtirahayu, 10/14 Bekasi
89 Ichwan 63 L Jatirahayu, 4/16 Halim
90 Iswati 55 P Jatirahayu, 4/18
91 Ny. Sumiyati 61 P Jatirahayu, 4/8
92 Harjono 70 L Jatirahayu, 3/9 Halim
93 Aprizal 41 L Jatirahayu, 9/14 Bekasi
94 Lania 23 P Jatirahayu, 9/14 Bekasi
95 Tn. Chusnudin 64 L Jatirahayu, 3/18 Budi Asih
96 Basniar 60 P Jatirahayu, 3/14 Rawa Lumbu
97 Derta C 67 L Jatirahayu, 4/18 Polri
98 Ny. Leonari 68 P Jatirahayu, 4/18
99 Yuliana 33 L Jatirahayu, 2/18
100 Eny 56 P Jatirahayu, 5/10 Halim
101 Pinhean 61 P Jatirahayu, 4/12
102 Cillelehu 70 L Jatirahayu, 6/11
103 Pelineo 2 L Jatirahayu, 1/16 Anak
104 Tn. Wp. Silalahi 72 L Jatirahayu, 4/17 RSBK
105 Suwarto 68 L Jatirahayu, 3/13
106 Tines 30 L Jatirahayu, 3/23 Haji
107 Jajang 41 L Jatirahayu, 6/5 Bekasi
108 Ny. Ika Sari 30 P Jatirahayu, 1/9 Haji
109 Ago Muhan 1Mg L Jatirahayu, 1/99 Haji
110 Komariah 60 P Jatirahayu, 4/7 Haji
111 Renedicus 76 L Jatirahayu, 6/13 Ps. Rebo
112 Erna 66 P Jatirahayu, 10/16
114 Ny. Tri Wijayanti 29 P Jatirahayu, 8/16 Haji
115 Ytn. Suryadi 48 L Jatirahayu, 6/5 Bekasi
116 Endang 33 P Jatirahayu, 5/7 Bekasi
117 Dr. bambang 66 L Jatirahayu, 2/18 RSBK
118 Ny. Emisa 42 P Jatirahayu, 1/20 Bekasi
119 Tn. A. jajali 72 L Jatirahayu, 1/18 Halim
120 Ny. Tiurmina 63 P Jatiwarna, 1/7 Haji
121 Wayan 61 L Jatirahayu, 1/18 Haji
122 Bagus 12 L Jatirahayu, 4/12 Haji
123 Darsini P Jatirahayu, 1/19 RSPAD
124 Region L Jatirahayu, 1/19 RSBK
125 Ny. Elic 36 P Jatirahayu, 4/16 Bekasi
126 Ny. Fatimah 29 P Jatirahayu, Polri
127 Ny. Janah 68 P Jatirahayu, 7/16 Halim
128 Tn. Sucipto 73 L Jatirahayu, 7/16 Halim
129 Kamaludin 45 L Jatirahayu, Bekasi
130 Muminah 60 P Jatirahayu, Polri
131 Suyono 64 L Jatirahayu, 2/16
132 Nurmiwati 57 P Jatirahayu, 2/16
133 Tn. Halomoan 61 L Jatirahayu, 10/12 Halim
134 Tn. Adjid Tajudin 73 L Jatirahayu, 2/22 Polri
135 Tn. Nelzirwan 59 L Jatirahayu, 5/16 Haji
136 Tn. Ngajian 60 L Jatirahayu, 3/18 Uki
137 Tn. Dumadi 42 L Jatirahayu, 1/9 Haji
138 Ny. Atit Sutarsih 67 P Jatirahayu, 2/17 Halim
139 Yosep 32 L Jatirahayu, 4/14
140 Suhartini 61 P Jatirahayu, 3/7 Haji
141 Runo 58 L Jatirahayu, 2/5 Haji
142 Ny. Ade 18 P Jatirahayu, 4/9 Rs. M. Ridwan
143 Ny. Toyin 55 P Jatirahayu, 1/18 Haji
144 Ny. Endah S 59 P Jatirahayu, 4/18 Ps. Rebo
145 Tn. Mishadi 70 L Jatirahayu, 4/18 Ps. Rebo
146 Nuraeni 37 P Jatirahayu,
147 Linda 29 P Jatirahayu, 1/10 Bekasi
148 Tn. Darman 71 L Jatirahayu, 2/7 Polri
149 Suwono L Jatirahayu, 1/10
150 Iim P Jatirahayu, 1/10
151 Nurianah 41 P Jatirahayu, 6/10 Bekasi
152 M. Robby 1 L Jatirahayu, 3/01 Ps. Rebo
153 Ny. Minohari S 61 P Jatirahayu, 3/17 Uki
154 Tn. Jaenal 31 L Jatirahayu, 7/11 Bekasi
155 Tn. Wargono 61 L Jatirahayu, 7/11 Bekasi
156 Tn. M. Yusuf 69 L Jatirahayu, 3/8 Bekasi
157 Ny. Nalim 54 P Jatirahayu, 3/8 Bekasi
158 Hermansyah 25 l Jatirahayu, 3/8 Bekasi
159 Siti Aisyah 70 P Jatirahayu, 1/7 Halim
160 Ny. Risrumintah 62 P Jatirahayu, 3/13 Budi Asih
161 Prabowo 67 L Jatirahayu, Halim
162 Sumanto 62 L Jatirahayu, Halim
163 Januri 35 L Jatirahayu, Bekasi
164 Rochimah 60 P Jatirahayu, 3/15
165 Khairansyah 69 L Jatirahayu, 3/15
166 erman 61 L Jatirahayu, 5/17 Polri
167 Husnul Bekasi
168 Ny. Khodijah 42 P Jatirahayu, 2/5 Bekasi
169 Imam 36 L Jatirahayu, 3/11 Polri
170 Pora Dwi 20 Jatirahayu, 3/11 Polri
171 Suhendar 59 L Jatirahayu, 1/7 Haji
172 Tn. Rustan 76 L Jatirahayu, 9/5 Bekasi
173 Marsih 67 P Jatirahayu, 4/17 Halim
174 Enni 73 P Jatirahayu, 1/16 Polri
175 Ny. Lestari 73 P Jatirahayu, 7/16 Halim
176 Tn. Purnomo 70 L Jatirahayu, 7/16 Halim
177 Ny. Komariah 67 P Jatirahayu, 1/10 Bekasi
178 Ny. Santi 57 P Jatirahayu, 7/15 Cikini
179 Elis 36 P Jatirahayu, 4/16 Bekasi
180 Ny. Marthalina 68 P Jatirahayu, 4/7 Halim
181 Surya 58 L Jatirahayu, 1/7 Polri
182 Ny. Ristiningrum 62 P Jatirahayu, 5/13 Halim
183 Tn. Andreas 62 L Jatirahayu, 5/13 Halim
184 Amad jasma 74 L Jatirahayu, 5/17 Ps. Rebo
185 Yuyun 58 P Jatirahayu, 4/2 Halim
186 Sriany 60 P Jatirahayu, 2/14 Uki
187 Heni 60 P Jatirahayu, 1/9 Polri
188 Faiz 46 L Jatirahayu, 1/18 Halim
189 Farhans 61 L Jatirahayu, 10/12 Halim
190 Indiastuti 38 P Jatirahayu, 7/11 Bekasi
191 Ncep 61 L Jatirahayu, 6/4 Bekasi
192 Ny. Cholijah 61 P Jatirahayu, 3/12 Haji
193 Ardani 75 P Jatirahayu, 2/15 Haji
194 Junaedi 72 L Jatirahayu, 2/12
195 Syahrir 65 L Jatirahayu, 8/18 Halim
196 Yeti P 57 P Jatirahayu, Halim
197 Lowriwin 32 L Jatirahayu, 8/12 Haji
198 Tn. Hendi 55 L Jatirahayu, 3/22 Bekasi
199 Criwite 64 P Jatirahayu, 4/13
200 Suharno 59 L Jatirahayu, 4/19
201 Uzhuhacdeh 67 P Jatirahayu, 6/4 Halim
202 Asih 44 P Jatirahayu, 10/18 Ps. Rebo
203 Suila 69 P Jatirahayu, 11/18 Haji
204 Are Jatirahayu, 8/18
205 Ny. Manisi 68 P Jatirahayu, 5/13 Polri
206 Ny. Tjitjih 70 P Jatirahayu, 1/15 Halim
207 Tn. Djoko 64 L Jatirahayu, 8/12 Halim
208 Ny. Farizhin 58 P Jatirahayu, 8/12 Halim
209 Ny. Siti hartinah 63 P Jatirahayu, 2/9 Halim
210 Mulia 2 P Jatirahayu, 6/11 Bekasi
211 Sartono 57 L Jatirahayu, 6/10 Polri
212 Ny. Harima Teti 49 P Jatirahayu, 49 Bekasi
213 Yulia 58 P Jatirahayu, 5/18 Rs. M. Ridwan
214 Esih 72 P Jatirahayu, 1/9 Rs. M. Ridwan
215 Tn. Sulaeman 28 L Jatirahayu, 5/15 Bekasi
216 Ny. Juleha 33 P Jatirahayu, 5/15 Bekasi
217 Ny. Eka Karti 70 P Jatirahayu, 6/12 Halim
218 Kasbandiah 20 P Jatirahayu, 4/15 Haji
219 Amalia 19 P Jatirahayu, 3/1
220 Ny. B. M. Siahaan 62 P Jatirahayu, 4/17 RSBK
221 Ny. Jecch 73 P Jatiwarna, 5/7 Halim
222 Tn. Endang 65 L Jatiwarna, 5/7 Halim
223 Ny. Aprilia 31 P Jatirahayu, 6/14 Rs. Pondok Kopi
224 Tn. Zedi R 67 L Jatirahayu, 6/18 Ps. Rebo
225 Ny. Emiliamin 51 P Jatirahayu, 3/9 RSCM
226 Tn. Amad 63 L Jatirahayu, 1/18 Bekasi
227 Ny. Sri Suryati 62
228 Ny. Hj. Zakiyah 74 P Jatirahayu, 12/12 Amanda
229 Ny. Nurmati 66 P Jatirahayu, 3/17 Rs. M. Ridwan
230 Ny. Purnama W 62 P Jatirahayu, 3/12 Haji
231 Ny. Sofiah 75 P Jatirahayu, 3/1 Polri
232 Yusuf M 22 L Jatirahayu, 2/11 Bekasi
233 Ny. Sri Wahyuni 60 P Jatirahayu, 9/17 Haji
234 Ny. Rita 57 P Jatirahayu, 8/12 Haji
235 Tn. Sarwani 71 L Jatirahayu, 1/18 Halim
236 Tn. Henrij 75 L Jatirahayu, 3/18 Halim
237 Ayrina 40 P Jatirahayu, 8/16 Halm
238 Endang 50 L Jatirahayu, 1/9 Polri
239 Chairani 31 P jatirahayu, 1/22
240 Tn. Utoyo 50 L Jatirahayu, 1/11 Halim
241 Tn. Seno 60 L Jatirahayu, 2/18 Halim
242 Ny. Manih 75 P Jatirahayu, 1/18
243 Tn. Sukarman 74 L Jatirahayu, 2/3 Halim
244 Asmun 65 P Jatirahayu, 01/7 Rs. M. Ridwan
245 Rndhizar 69 P Jatirahayu, Halim
246 Gusti 69 P Jatirahayu,
247 Zulchairi 63 L Jatirahayu., Halim
248 Yayat S 66 L
249 Nining 57 P Jatirahayu, 2/14 Halim
250 Yudi 48 L Jatirahayu, 2/18 Halim
251 Anton 44 L Jatirahayu, 3/17 Halim
252 Ny. Susi 50 P Jatirahayu, 1/15 Polri
253 Ny. Rosnidar 52 P Jatirahayu, 3/12 Halim
254 Tn. Goram 82 L Jatirahayu, 1/10
255 Ny. Setianingsih 55 P Jatirahayu, 4/14 Haji
256 Akbar Risky 4,5 L Jatirahayu, 6/15 Bekasi
257 Ny. Saptarini 50 P Jatirahayu, 1/15 Haji
258 Ny. Sanem 49 P Jatirahayu, Polri
259 Supangat 63 L Jatirahayu, 5/7 Halim
260 Siti Chodijah 55 P Jatirahayu, 1/16 Haji
261 Ny. Ai Rusmiati 54 P jatirahayu, 5/21 Persahabatan
262 Tn. Zainal Abidin 59 L Jatirahayu, 5/21 Persahabatan
263 Tn. Nasran 57 L Jatirahayu, 6/12 Ps. Rebo
264 Ny. Utami 58 P Jatirahayu, 5/19 Ps. Rebo
265 Siti Wasiyah 66 P Jati rahayu, 9/18 haji
266 Najijoh 71 p jati rahayu, 3/9 halim
267 suhroto 25 L Jati rahayu, Halim
268 Suhardi 62 L Jati rahayu,12/12 Halim
269 Sabar 62 L Jati rahayu, 1/8 Haji
270 Umiyati 60 P Jati rahayu, 2/11 Ps. Rebo
271 Sukasdi 70 L Jati rahayu,2/11 Ps. Rebo
272 Masrani P Jati rahayu,6/12 RSUD Bekasi
273 Nuryanah 41 P Jati rahayu, RSUD Bekasi
274 Kusaeni 71 P Jati rahayu, 2/9 Haji
275 Wayan 71 L Jati rahayu,2/9 Haji
276 Indra y L Jati rahayu RSCM
277 Irmawati 53 P Jati rahayu RSUD Bekasi
278 Agus supar 75 L Jati rahayu, 8/10 Halim
279 Siregar 72 L Jati rahayu,5/2 Halim
280 Mila diah 57 P Jati rahayu, 6/3 RSUD Bekasi
281 Zainul 64 L Jati rahayu,7/9 HAJI
282 Soleh 33 L Jati rahayu, 1/6 RSUD Bekasi
283 Abri 33 L Jati rahayu,1/6 RSUD Bekasi
284 Sukarti 53 P Jati rahayu 5/7 POLRI
285 Ni made 67 P Jati rahayu 1/9 RSUD Bekasi
286 Sumarni 70 P Jati rahayu, 2/3 Halim
287 Charlota 79 P Jati warna,3/7 Haji
288 Sahersih 52 P Jati rahayu,9/13 Halim
289 Ratna 64 P Jati warna ,2/7 Haji
290 Nurhayati 62 P Jati rahayi ,1/22 Ridwan
291 Kamilah 65 P Jati rahayu,4/4 RSUD bekasi
292 Helena 83 P Jati rahayu,8/10 Ps. rebo
293 Mulyo kanti 45 P Jati rahayu,1/10
294 Yulisma 70 P Jati rahayu, 6/4 Halim
295 Revindo 62 L Jati rahayu ,11/12 Haji
296 Iwan 62 L Jati rahayu 7/8 Haji
297 Halimatusadiyah 54 P Jati rahayu ,6/13 RSUD Bekasi
298 May malia 41 P Jati rahayu,2/7 RSUD Bekasi
299 Suratman 61 L Jati rahayu,1/9 Halim
300 Mustopo 38 L Jati rahayu,2/13 RSUD Bekasi
301 Tati srimukti 42 p jati rahayu 6/16 Halim
302 Pantas hasibuan 66 L Jati rahayu 2/16 Ps. Rebo
303 Muastika 63 p Jati rahayu,1/9 Persahabatan
304 Indra wati 53 P Jati rahayu,10/14 Rs budi asih
305 Amin 48 L Jati rahayu 1/18 RSUD Bekasi
306 Kiki,s 60 P Jati rahayu 4/12 Rs. Pasar rebo
307 Ngubadi 71 L Jati rahayu 2/13 RSGS
308 Sri riwajati 68 P Jati rahayu,2/13 RSGS
309 Amih 33 p Jati rahayu,6/13 RSUD Bekasi
PASIEN BPJS
TD JATIRAHAYU
ELATI TAHUN 2014
POLI NO. BPJS DIAGNOSA KET

Jantung 0000073108034 Kontrol Jantung
Jantung 000007348199 HHD
0000073337507 Sendi
0000019788623 CMF
000065310017
00010802053422 Mata Ikan
000073108383
000073103272 Bronchitis
0000043605226 Bronchitis
Dalam 001253492468 Colic Abdomen
Gigi 000006492567
Dalam 0000073095939 Hiper cholestreol
Dalam 0000020537344 Covetitiasis
Paru 0000200537335
Dalam 000073100989
Jantung 0000049008407 Hipertensi
Dalam 0000073103692 Hipertensi
Jantung 0000977921473
0000073348859 Katarak
Paru 0000073106304 Hipertensi
Jantung
000072236447 COD
Dalam 000072098033
Dalam 000072098033
000005791704
0000073364593
0000166694332
0000073103005
0001260858328
Syaraf 00003148596 Askes
Anak 0001261300932
Anak 0001261300932
00073107808
Jantung 000003699609 CAD
Ortophedi 00000733648941 Hipertensi Askes
Jantung 0000040273582 DM Askes
Jantung 0000040273371 Hipertensi Askes
Jantung 0000047475088 Chest Point Askes
Dalam 001263491359 Nyeri Dada BPJS
Jantung 0000097770136 CAD Askes
Jantung 0000073104862 Gasteritis Askes
Jantung 0000073362778 Ghipertensi Askes
Dalam 0000506658148 Chest Point
0000194638213
Dalam 0000673358305 DM Askes
Dalam 000007300370 Askes
Syaraf 00000415380 LBP Askes
000003266168
000073364989 Askes
000126465616
0001264635616
Hipertensi 0001261004545 CRF BPJS
Bedah 0001243528 Listoma
Orthopedi 0000203193426 Askes
Bedah 000042107219 Ca. Tiroid Askes
Paru 000073104568 Askes
Dalam 0000010409921 Hipertensi Askes
Dalam 00001651434 CAD Askes
Urologi 0000073367256 Hipertensi Prostat Askes
Orthopedi 0000039778649
000126462456 CAD BPJS
Neurologi 00000933928484 Post Strook Askes
Jantung 0001262388532 Kontrol Jantung BPJS
Paru 0000038581986 TB. Paru Askes
Kebidanan 0001268064909 G2PI BPJS
Jantung 0000073083216 ASHD+DM Askes
Kebidanan BPJS
Syaraf 0000507283119 Jamkesmas
Radiologi 0000507371229 Tumor Jamkesmas
Anak
Paru 0000073123345 Efusi Pleura Askes
Dalam 0000036754288 OA Askes
Onkologi 0000451596518 Ca. Pleura BPJS
Anak 0001261042964 Kista Dp BPJS
Kebidanan 0001235401495 Askes
Dalam 00020309597 Post Strook Askes
001260962243 CRF BPJS
000003342096 Katarak Askes
Paru 0000073183567 CRF Askes
Dalam 0001261249176 CAD BPJS
000126124854 BPJS
Neurologi 0000073362666 Askes
Paru 00073363296 Askes
Jantung 0000073363307 HHD Askes
Kebidanan 0000031336756 G26PD Askes
000036567327 Askes
Gigi 000107865064 Askes
00017865669 Colic Askes
Gigi 0000073108449 Askes
Dalam 000073344578 Prostat Askes
Dalam 000072868848 DM
Bedah 000050747284 Jamkesmas
Kebidanan 0000205061264 Kontrol BBl Askes
Anak 0000205061264 Kontrol BBl Askes
Mata 0000073328589 Katarak Askes
0000073328591 Hipertensi Askes
Gigi 0000199886725 Askes
Dalam 0000508708462 Hernia Jamkesmas
Syaraf 0000503704031 Epilepsi Jamkesmas
Bedah 000004337074 Colectiasis Askes
Bedah 0001268219981 Haemoroid BPJS
Syaraf 0000073075061 OA+LBP Askes
Jantung
Bedah 0001269249462 Hernia BPJS
000073108326 Dalam Askes
Jantung 0000073108315 Jantung Askes
0001213490468 Cholic BPJS
mata 000059305725 Katarak Askes
Dalam 0000044090932 HT+DM+CRF
Dalam 0000506949816 Cholic Askes
CAD Askes
Dalam 0000073363961 HT+DM
Dalam 0000073101914 HT+DM Askes
0001268424527 BPJS
Dalam 0001093003363 Ispa BPJS
Syaraf 0000073543419 HT+DM Askes
Neurologi 0000073087389 Vertigo Askes
Dalam 0000073087378 Hipoglikemia Askes
00004514664 Askes
0000507322467 Cholic Jamkesmas
Dalam 0000073102662 Jantung Askes
Anak 0001270153607 Paru BPJS
Dalam 0000036139228 Febris Askes
Dalam 0000506971991 Cholic Jamkesmas
Dalam 00000508860147 DM Jamkesmas
Jantung 00000508036252 CRF Jamkesmas
Mata 0000508036690 Posioterapi Jamkesmas
Jantung 0000073106853 CAD+HT Askes
Dalam 0000073345792 Hipertensi Prostat Askes
Jantung 0000075106177 Jantung Askes
Dalam 0001013780362 CRF Jamkesmas
Bedah 000041803727 Cantengan Askes
0007357568 Askes
000039903186 Askes
Dalam 0000509772780 Cotitis Jamkesmas
Paru 0001262891794 Post Kp BPJS
Bedah 001262392244 BPJS
mata 0000501991881 Post Op Katarak Jamkesmas
Jantung 000073103134 HHD Askes
Dalam Askes
Syaraf 0000073104805 HNP Askes
Paru 000106377275 Asma Bronchitis Jamkesmas
Jantung 0000036623068 Jantung BPJS
Dalam 0001263490468 Colik BPJS
Bedah 0000199598591 Osteofiting Askes
Dalam 00001716405603 HT+DM Askes
0000073101993 Askes
0000194535696 Urologi Askes
Anak 00001270444634 Bronchitis BPJS
0000073365884 BPJS
Kebidanan 0000508687596 Kista Jamkesmas
Jantung 000072331379 Kista Askes
Paru 0000197630155 Paru Askes
Dalam 000007336414 DM
Jantung 0000073107404 Askes
0000073104131
0000037595702 Askes
Paru 0001268539053 TB. Paru
Dalam 0000073081157 Frochur
000046271529
Syaraf 0000209018384 LBP Askes
Dalam 0000073367815 DM+HT Askes
Dalam 0000073362892 HT Askes
Dalam 00005037101769 Sindrom Hepatik Jamkesmas
Syaraf 0001080203365 Post Strook Askes
Obgyn 0000507661108 Pneumonopose Jamkesmas
THT 0000073103207 Sanititis Askes
Jantung 0000500695035 HHD Jamkesmas
Urologi 00000558674 Hidroneposis Jamkesmas
Dalam 0000073103286 DM+HT Askes
Kulit 0000036366153 Flu Singapura Askes
00001011377367 Jamkesmas
Dalam 0000073108451 Cholesterol Askes
Kebidanan 11038060460001 Post Sc Jamkesmas
Dalam 9610003702854001 Hipertensi Jamsostek
Dalam 0000028957419 Gastritis Kronis Askes

Dalam 0000073367021 HT+Gasterritis Askes
Jiwa 0001267301913 Depresi Askes
Jantung 0000073364042 HT Askes
0000169164371 Askes
0000255950303 BPJS
Mata 0000027651555 Post Op Katarak Askes
0001272231731 Askes
Dalam 0000073102612 LBP Askes
Dalam 0000073328595 HT Askes
0000072922173 Askes
Dalam 00000731068818
Anak 0000073106818 Jamkesmas
THT 0000041573395 Askes
Dalam 0001263674799 BPJS
Mata 0000073579702 Mata Askes
Bedah 0001272550432 BPJS
Dalam 0000073123465 HT+OA Askes
mata 0000061052793 MATA ASKES
dalam 0000073100138 HT ASKES
Syaraf 0000073100147 HNP ASKES
Jantung 0000073364545 CAD ASKES
THT 0000072093127 gg pendengaran ASKES
Jantung 0000073356434 CAD ASKES
Paru 0000077356434 Bronchitis ASKES
Bedah 0000272550432 Tumor BPJS
Dalam 0001272556432 Hipertensi Jamkesmas
Dalam 0000073104737 Osteoatritis ASKES
Dalam 0000073109276 Post stroke ASKES
Dalam 0000073104124 DM ASKES
Dalam 0000043705539 Hipertensi ASKES
Jantung 000122321489 chest paint BPJS
Dalam 0000507303033 chest paint Jamkesmas
JIWA 0001013775423 Skijoprenia Jamkesmas
JIWA 0001013775434 Skijoprenia Jamkesmas
Jantung 0000073362914 HHD ASKES
Jantung 0000073103883 Hipertensi ASKES
Neurologi 0000030634186 Parkinson ASKES
DALAM 00000172874724 DM Askes
Dalam 0000073105735 hipertensi Askes
mata 0001256015913 katarak BPJS
Kebidanan 0001269622539 kista ovarium BPJS
Jantung 0000073105867 Hipertensi ASKES
Mata 0000073350584 gg pengelihatan ASKES
Dalam 0001273145174 DM BPJS
Gigi 0001273558869 L2lanjutan BPJS
Kebidanan 0000507123235 G6, P5, A0, H35 mg Jamkesmas
Paru 0001269102205 Batuk kronis BPJS
Dalam 0000073349177 obs displeura Askes
GIgi 0000044637074 L6 Lanjutan Askes
Ortopedi 0001255864252 OA BPJS
Paru 0000508836391 KP Jamkesmas
Neurologi 0000168524886 servical spasme Askes
Neurologi 0000073105648 Parkinson Askes
Kebidanan 0001267235706 KISTA ovarium BPJS
BULAN :MARET
NO NAMA/KK UMUR L/P ALAMAT

1/3/2014
1 Ny. Sukartuti 69 P Jatirahayu, 2/3
2 Ny. Lis Setiati 57 P Jatirahayu, 3/22
3 Ny. Lis Setiati 57 P Jatirahayu, 3/22
4 Ny. Siti Yunariyah 56 P Jatirahayu, 4/15
5 Ny. Mulyani 69 P Jatirahayu, 7/18
6 Marta A 16 P Jatirahayu, 2/13
8 Ny. Suwani 58 P Jatirahayu, 2/13
10 Kastianingsih 70 P Jatirahayu, 1/15
11 Kastianingsih 70 P Jatirahayu, 1/15
12 Tn. Suwarno 66 L Jatirahayu, 1/10
13 Ny. Liusini Rachmah 54 P Jatirahayu, 3/17
14 Ny. Liusini Rachmah 54 P Jatirahayu, 3/17
15 Ny. Amit 56 P Jatirahayu, 3/17
16 Tn. Edi Pati 63 L Jatirahayu, 2/7
17 Ny. Nurmali 50 P Jatirahayu, 1/13
18 Ny. Yuli 22 P Jatirahayu, 7/8
19 Akbar 13 P Jatirahayu, 5/6
20 Dafa 10 P Jatirahayu, 5/6
21 Fauzal 20 L Jatirahayu, 3/1
22 Tn. Djuani Haribadi 66 L Jatirahayu. 11/16
23 Hermawan 21 L Jatirahayu, 6/16
24 ika 9 P Jatirahayu, 6/11
25 Ny. Nurmauli 50 P Jatirahayu, 1/3
26 3/3/2014
28 Tn. Sandiman 71 L Jatirahayu, 1/32
30 Ny. Siti R 70 P Jatirahayu, 3/22
31 Ny. Bana Firawati 53 P Jatirahayu, 5/5
33 Tn. Djusman Djoni 79 L Jatirahayu, 6/14
34 Ny. Hartini 49 P jatirahayu, 7/14
35 Ny. Saam 50 P jatirahayu, 3/1
36 Tn. Sumarsono 45 L Jatirahayu, 4/05
37 Tn. Basuki Sumali 62 L Jatirahayu, 7/17
38 Ny. Supriyatna 59 P Jatirahayu, 4/16
39 Ny. Supriyatna 59 P Jatirahayu, 4/16
40 Tn. Sudarisman 63 L Jatirahayu, 9/14
41 Tn. Edi J 60 L Jatirahayu, 2/22
42 Tn. Johan 65 L Jatirahayu, 6/12
43 Tn. Johan 65 L Jatirahayu, 6/12
44 Ny. Sirla Ika 28 P Jatirahayu, 5/18
45 Yusuf Habibi 8 L Jatirrahayu, 4/4
46 Ny. Surati 59 P Jatirahayu, 1/7
47 Ny. Seruti 50 P Jatirahayu, 7/16
49 Ny. Suwarsih 86 P Jatirahayu, 3/20
50 Ny. Itje F 66 P Jatirahayu, 1/7
51 Ny. Itje F 66 P Jatirahayu, 1/7
52 Ny. Dalyasih 65 P Jatirahayu, 3/10
53 Tn. Karil 61 L Jatirahayu, 5/5
54 Ny. Sebentina 61 P Jatirahayu, 3/2
55 Ny. Sebentina 61 P Jatirahayu, 3/2
56 Ny. Kurwati 38 P Jatirahayu, 1/3
57 Tn. Masgus 63 L Jatirahayu, 4/12
59 Ny. Anis R 53 P Jatirahayu, 6/10
60 Ny. Anis R 53 P Jatirahayu, 6/10
61 Ny. Herini 67 P Jatirahayu, 7/1
62 Ni Wayon 11 P Jatirahayu, 2/9
63 Tn. Sumanto 65 L Jatirahayu, 06/12
64 Ny. Subandini 53 P Jatirahayu, 6/12
66 Tn. Malindo 75 L Jatirahayu, 1/17
67 Tn. Malindo 75 L Jatirahayu, 1/17
68 Tn. Nurjaeni 34 L Jatirahayu, 1/22
69 Ny. Tenike S 61 P Jatirahayu, 4/20
70 Karla 5 P Jatirahayu, 2/22
71 Ny. Rumiyati 50 P Jatirahayu, 2/7
72 Ny. Riska 22 P Jatirahayu, 5/7
73 Rizka 22 P Jatirahayu, 5/7
74 Ny. Rumiyati 50 P Jatirahayu, 2/7
75 Ny. Suheni 50 P Jatirahayu, 3/1
76 Tn. Taufiq 36 L Jatirahayu, 5/9
77 Ny. Halimatusadiyah 55 P Jatirahayu, 6/13
78 Ny. Halimatusadiyah 55 P Jatirahayu, 6/13
4/3/2014
79 Ny. Tiyas 60 P Jatirahayu, 5/10
80 Ny. Lutfi 24 p Jatirahayu, 5/10
81 Tn. Pdopotan 62 L Jatirahayu, 1/13
82 Ny. Muryati 67 P Jatirahayu, 5/13
84 Tn. Sunarto 73 L Jatirahayu, 2/13
85 Ny. Nini S 63 P Jatirahayu, 2/13
86 Tn. Mucholifi 72 L Jatirahayu, 3/13
87 Ny. Sulistiyanti 60 P Jatirahayu, 3/13
88 Tn. Soni 68 L Jatirahayu, 7/18
93 Tn. Suprono 63 L Jatirahayu, 3/10
94 Tn. Daeng 57 L Jatirahayu, 4/15
95 Ny. Lilik 56 P Jatirahayu, 3/7
96 Ny. Sri Umi 70 P Jatirahayu, 2/16
97 Ny. Mulyakamti 46 P Jatirahayu, 1/10
98 Ny. Ita 39 P Jatirahayu, 7/18
99 Ny. Ungguk N 60 P Jatirahayu, 5/18
100 Ny. Masni 60 P Jatirahayu, 4/06
101 Ny. Puji Rahayu 50 P jatirahayu, 5/13
104 Anggel 18 L Jatirahayu, 6/8
105 Ny. Sausan 20 P Jatirahayu, 5/3
106 Nurmalawati 8 P Jatirahayu, 5/3
107 Grace 10 P Jatirahayu, 5/3
108 Tn. Haryono 60 L Jatirahayu, 6/14
110 Ny. Tenike 60 P Jatirahayu, 4/20
111 Ny. Donawali 55 P Jatirahayu, 4/4
112 Ny. Donawali 55 P Jatirahayu, 4/4
113 Ny. Ideastuti 63 P Jatirahayu, 5/8
114 Ny. Endang 34 P Jatirahayu, 5/7
5/3/2014
115 Tn. I Made 51 L Jatirahayu, 1/4
116 Tn. Lerdin 70 L Jatirahayu, 8/13
117 Enserina 70 P Jatirahayu, 8/13
118 Leonardo 16 L Jatirahayu, 9/17
119 Leonardi 16 L Jatirahayu, 9/17
122 Tn. Isworo 38 L Jatirahayu, 7/11
123 Tn. Sadjiyanta 57 L Jatirahayu, 3/12
124 Ny. Sumartini 59 P jatirahayu, 8/12
126 Ny. Istiyah 71 P Jatirahayu, 4/13
127 Ny. Umamah 71 P Jatirahayu, 5/17
128 Ny,. Noni 63 P Jatirahayu, 2/13
129 Tn. sunarto 75 L Jatirahayu,2/13
130 Ny. Siti Romlah 70 P Jatirahayu, 4/17
131 Ny. Dahlia 59 P Jatirahayu, 4/15
132 Ny. Lantaruli 51 P Jatirahayu, 1/9
133 Tn. Wiliam 53 L Jatirahayu, 1/9
134 Ny. Santi 33 P Jatirahayu, 3/11
135 Wapda 4 L Jatirahayu, 3/11
6/3/2014
136 Tn. Hasan 57 L Jatirahayu, 7/17
137 Tn. Joko Mendriko 61 L Jatirahayu,9/12
138 Tn. Wahid Hasim 59 L Jatirahayu, 2/18
140 Tn. H. Wayun 63 L Jatirahayu, 3/1
142 Ny. Anisa 32 P Jatirahayu, 3/14
143 Ny. Lipua Matini 59 P Jatirahayu, 4/16
144 Tn. D Yusuf 70 L Jatirahayu, 3/8
145 Ny. Fitriah 34 P Jatirahayu, 10/18
146 Nadisti 13 P Jatirahayu, 4/7
147 Ny. Rifa Sasmita 40 P Jatirahayu, 3/7
149 Ny. Marica 55 P Jatirahayu, 8/12
151 Azid 63 L Jatirahayu. 4/22
152 Enay 77 P Jatirahayu, 1/66
153 Ny. Siswati 55 P Jatirahayu, 1/22
7/3/2014
154 Ny. Erdiana 59 P Jatirahayu, 4/18
157 Tn. Arief S 64 L Jatirahayu, 2/17
158 Ny. Pegi 32 P Jatirahayu, 6/3
159 Tn. Sanjoadi 69 L Jatirahayu, 5/9
160 Tn. Husein 3 Mgu L Jatirahayu, 5/13
161 M. Hasan 3 Mgu L Jatirahayu, 5/13
162 Ny. Sebeantina 61 P Jatirahayu, 4/20
163 Ny. Sebeantina 61 P Jatirahayu, 4/20
164 Sarjono 79 L Jatirahayu, 2/22
165 Ny. Yati M 74 P Jjatirahayu, 2/22
166 Ny,. Nining 54 P Jatirahayu, 8/17
167 Tn. Hariyanto 63 L Jatirahayu, 3/4
168 Tn. Basuki L Jatirahayu, 7/17
169 Ny. Roidjah 63 P Jatirahayu, 4/12
170 Ny. Rina H 60 P Jatirahayu, 5/17
8/3/2014
171 Ny. Neliar 60 P Jatirahayu, 4/20
172 Tn. Hasan 57 L Jatirahayu, 7/17
173 Rihtilansyifa 17 L Jatirahayu, 5/15
176 Ny. BM Siahaan P Jatirahayu, 4/17
180 Tn. Sucipto 71 L Jatirahayu, 7/16
181 Tn. Eka 31 P Jatirahayu, 2/8
182 Ny. Yuliana 33 L Jatirahayu, 2/18
183 Ny. Nina 59 P Jatirahayu, 4/1
184 Aniwa 7 P Jatirahayu, 8/5
187 Ny. Mulya 28 P Jatirahayu, 6/11
189 Aditya 15 L Jatirahayu, 8/11
191 Tn. Guntur 53 L Jatirahayu, 7/3
192 Tn. Panca 51 L Jatirahayu, 7/3
193 Ny. Dahlia 30 P Jatirahayu, 7/3
194 Tn. Samiatur 40 P Jatirahayu, 5/7
195 Tn. Yusuf Usman 68 L Jatirahayu, 6/11
196 Ny. Nur Aisyah 62 P Jatirahayu, 6/11
10/3/2014
197 Tn. Manyun 63 L Jatirahayu, 3/1
198 Tn. Ngajian 60 L Jatirahayu, 3/18
199 Tn. suyadi 73 L Jatirahayu, 3/19
200 Tn. Sukarto 71 L jatirahayu, 8/12
202 Tn. Ponari Thamrin 64 L Jatirahayu, 4/18
203 Tn. Ponari Thamrin 64 L Jatirahayu, 4/18
204 Nanda 10 L Jatirahayu, 10/14
205 Tn. Sumino 68 L Jatirahayu, 2/7
206 Tn. Ahmad 69 L Jatirahayu, 2/22
207 Ny. Herleni 54 P Jatirahayu, 6/13
208 Tn. Syamsil 57 L Jatirahayu, 6/13
209 Ny. Utami 58 P Jatirahayu, 5/19
210 Ny. Hj. Maemunah 60 P Jatirahayu, 6/18
211 Tn. Tugiyono 68 L Jatirahayu, 1/9
212 Ny. Rohma 41 P Jatirahayu, 3/11
213 Tn. Sumanggar 60 L jatirahayu, 7/16
214 Ny. Mina 56 P Jatirahayu, 12/12
215 Tn. Suparman 63 L Jatirahyu, 12/12
216 Tn. Tani Sitanggang 50 L Jatirahayu, 5/18
217 Ny. Teni Suryani 51 P Jatirahayu, 5/16
218 Tn. Sutoyo 70 L Jatirahayu, 5/14
219 Ny. Mis lilik 64 P Jatirahayu, 5/14
220 Tn. Amin 48 P Jatirahayu, 1/18
222 Tn. Suhadi 62 L Jatirahayu, 4/12
224 Tn. Warsono 49 L Jatirahayu, 2/13
225 Budiati 14 P Jatirahayu, 2/13
226 Tn. Subarja 61 L Jatirahayu, 7/18
227 Ny. Juju 63 P Jatirahayu, 7/18
228 Ny. Lungguk N 50 P Jatirahayu, 5/18
11/3/2014
229 Gupita 20 P Jatirahayu, 5/5
232 Tn. Dumadi 51 L Jatirahayu, 1/9
233 Ny. Sri Mulyani 50 P Jatirahayu, 1/9
234 Ny. Hermawati 28 P Jatirahayu, 6/14
235 Ny. Rokhimah 62 P Jatirahayu, 3/15
236 Ny. Kustiyah 78 P Jatirahayu, 3/17
237 Ny. Kustiyah 78 P Jatirahayu, 3/17
238 Tn. Zarwan 58 P Jatirahayu, 3/18
239 Tn. Suparman 57 L Jatirahayu, 3/18
241 Ny. Pournamawani 62 P Jatirahayu, 3/12
242 Ny. Sani 58 P Jatirahayu, 6/3
243 Ny. Many Malia 41 P Jatirahayu, 2/7
244 Tn. Hardjono 75 L Jatirahayu, 3/09
245 Ny. Tati 57 P Jatirahayu, 1/7
246 Ny. Tati Mariati 57 P Jatirahayu, 1/13
247 Tn. Hidayat 59 L Jatirahayu, 1/13
248 Tn. Basuki 62 L Jatirahayu, 7/17
249 Tn. Jul Adli 69 L jatirahayu, 4/12
250 Ny. Juanah 58 P Jatirahayu, 2/06
251 Ny. Juanah 58 P Jatirahayu, 2/06
252 Ny. Tenike 61 P Jatirahayu, 4/20
253 Ny. Niki 63 P Jatirahayu, 2/13
254 Ny. Patricia Grace 34 P Jatirahayu, 3/10
255 Tn. Anas Suryanda 43 L Jatirahayu, 4/10
256 Aziatika 29 P Jatirahayu, 1/9
257 Ny. Yatih 40 P Jatirahayu, 8/16
258 Tn. Joni 31 L Jatirahayu, 2/7
259 Ny. Dina 29 P Jatirahayu, 2/7
260 Tn. Januri 28 L Jatirahayu, 06/16
12/03/2014
261 Ny. Siti Koesniati 82 P Jatirahayu, 5/19
262 Tn. Rochman 63 L Jatirahayu, 6/4
263 Ny. Nurhasanah 71 P Jatirahayu, 2/10
264 Ny. Rima 26 P Jatirahayu, 4/7
265 Ny. Hayati 64 P Jatirahayu, 5/18
266 Tn. Husnal M 56 L Jatirahayu, 6/15
268 Ny. Hermin P 58 P Jatirahayu, 1/12
269 Ny. Masani 50 P Jatirahayu, 4/12
270 Ny. Komara Sumiati 50 P Jatirahayu, 5/06
271 Tn. Sunardi 71 L jatirahayu, 1/21
273 Ny. Maria Tuti 62 P Jatirahayu, 3/18
274 Ny. Syanroningsih 58 P Jatirahayu, 3/17
275 Ny. Noimah 61 P Jatirahayu, 6/12
276 Ny. Ani Ardiani 58 P Jatirahayu, 6/17
277 Piere 10 P Jatirahayu, 8/05
278 Deisa 11 P Jatirahayu, 6/05
279 Jeriko 8 L jatirahayu, 6/05
280 Tn. Suparno 78 L Jatirahayu, 6/13
281 Ny. Erwati 63 P Jatirahayu, 6/13
282 Ny. Marice 54 P Jatirahayu, 8/12
286 Tn. Abidan Sianipar 51 L Jatirahayu, 7/12
287 Suti 51 P Jatirahayu, 06/05
288 Tn. Roby A 12 Bln L Jatirahayu, 3/1
289 Tn. Endang 70 L Jatirahayu, 3/1
290 Faiz 20 L Jatirahayu, 8/15
291 Tn. Edi Papulus 55 L Jatirahayu, 1/18
292 Tn. Suratno 57 L Jatirahayu, 9/16
13/03/2014
294 Tn. Purwanto 49 L Jatirahayu, 12/12
295 Yusuf 9 L Jatirahayu, 12/12
297 Raditya Adi 15 L Jatirahayu, 7/18
298 Ny. Usmi 66 P Jatirahayu, 4/7
299 Ny. Sundari 75 P Jatirahayu, 5/06
300 Ny. Elah Hayati 42 P Jatirahayu, 8/15
301 Tn. Miswadi 70 L Jatirahayu, 4/18
302 Tn. Oktavianus 23 L Jatirahayu, 6/13
304 Ny. Febmawati 58 P Jatirahayu, 8/18
305 Ny. Siti Nafiyah 59 P Jatirahayu, 5/14
306 Ny. Gusti Noer 74 P Jatirahayu, 5/17
307 Tn. Aspani 74 L Jatirahayu, 3/32
308 Raditya Adi 5 L Jatirahayu, 7/18
309 Ny. Wanah 41 P Jatirahayu, 6/13
310 Dini Parina 19 P Jatirahayu, 3/17
311 Ny. Rina 57 P Jatirahayu, 5/2
312 Ade H 22 P Jatirahayu, 5/1
313 Ny. Suminah 45 P Jatirahayu, 5/1
318 Tn. Slamet Rewel 67 L Jatirahayu, 6/16
319 Tn. Slamet Rewel 67 L Jatirahayu, 6/16
320 Fika taria 29 P Jatirahayu, 5/17
321 Fika taria 29 P Jatirahayu, 5/17
322 Ny. Yati P Jatirahayu, 4/12
14/3/2014
323 Ny. Helena 84 P Jatirahayu, 8/10
324 Ny. Muryati 67 P Jatirahayu, 5/13
325 Ny. Hartini 74 P Jatirahayu, 3/9
328 Ny. Hartini 74 P Jatirahayu, 3/9
329 Tn. Halomoan 61 L Jatirahayu, 1/12
330 Ny. Supini 52 P Jatirahayu, 5/7
331 Ny. Anik 42 P Jatirahayu, 4/11
332 Tn. Ayahrun 44 L Jatirahayu, 4/11
333 Ny. Erlusi 42 P Jatirahayu, 6/13
334 Ny. Risty Amirum 62 P Jatirahayu, 5/13
335 Pande L Jatirahayu, 5/12
336 Tn. Joni 31 L Jatirahayu, 2/7
337 Ny. Iit Honis 49 P Jatirahayu, 3/1
338 Ny. Iit Honis 49 P Jatirahayu, 3/1
339 Ny. Amsiyah 65 P Jatirahayu, 5/2
340 Ny. Asih 44 P Jatirahayu, 10/11
342 Tn. Samsudin 73 L Jatirahayu, 2/14
345 Ny. Durojain P Jatirahayu, 6/12
15/3/2014
348 Ny. Sarmani 63 P Jatirahayu, 5/2
349 Tn. halomoan 61 L Jatirahayu, 11/12
350 Ny. Lies 52 P Jatirahayu, 3/22
351 Tnn. Muhadi 73 L Jatirahayu, 2/21
352 Ny. Mariyam 68 P Jatirahayu, 2/21
353 An. Fais 5 Bln L Jatirahayu, 11/18
354 An. Fais 5 Bln L Jatirahayu, 11/18
355 Tn. Frans Adam 70 L Jatirahayu, 4/13
356 Tn. Frans Adam 70 L Jatirahayu, 4/13
357 Ny. Risri Yasni 64 P Jatirahayu, 1/18
358 Ny. Siti Fatimah 70 P Jatirahayu, 3/20
359 Ny. Siti Fatimah 70 P Jatirahayu, 3/20
361 Tn. Sumadi 64 L Jatirahayu, 1/5
362 Tn. Sunarmo 59 L Jatirahayu, 4/19
363 Maya 10 P Jatirahayu, 2/23
364 Maya 10 P Jatirahayu, 2/23
365 Anisa 14 P Jatirahayu, 8/16
17/3/2014
366 Ny. Sutanti 61 P Jatirahayu, 2/10
367 Ny. Hanipah 59 P Jatirahayu, 2/5
369 Tn. Robet Markus 68 L Jatirahayu, 6/4
370 Ny. Julaeha 28 L Jatirahayu, 5/15
371 Tn. Sulaeman 33 L jatirahayu, 5/15
373 Tn. Ganda 72 L Jatirahayu, 2/21
374 Tn. Nasruni 64 L Jatirahayu, 1/13
375 Ny. Yohana 68 P Jatirahayu, 2/22
376 Ny. Mariati 70 P Jatirahayu, 3/22
377 Tn. Custianudin 65 L Jatirahayu, 3/18
378 Ny. Rosidah 60 P Jatirahayu, 4/15
379 Ny. Rosidah 60 P Jatirahayu, 4/15
380 Ny. Rosida 62 P Jatirahayu, 4/15
381 Ny. Rostiati 65 P Jatirahayu, 8/5
383 Ny. Sarwani 71 L Jatirahayu, 7/18
384 Ny. Martheilina 69 P Jatirahayu, 1/19
385 Ny. Puji 44 P Jatitarahayu, 9/17
386 Tn. Situr 60 L Jatirahayu, 7/18
387 Ny. Kartika sari 41 P Jatirahayu, 1/19
390 Tn. Firmansyah 45 L Jatirahayu, 1/7
391 Tn. Haris 27 L Jatirahayu, 3/12
392 Ny. Sukanti 41 P Jatirahayu, 6/13
393 Ny. Lies Setiati 52 P Jatirahayu, 3/22
394 Tn. Putiran 65 L Jatirahayu, 5/18
395 Ny. Puji 44 P Jatirahayu, 9/17
396 Tn. Yosep 32 L Jatirahayu, 4/4
397 Sateria 5 L jatirahayu, 4/4
398 Maulanea 3 L jatirahayu, 4/7
399 Maulanea 3 L Jatirahayu, 4/7
400 Ny. Ari Shemarita 56 P Jatirahayu, 7/18
402 Tn. Suprapto 63 L Jatirahayu, 5/16
18/3/2015
406 Ny. Pepi Yulianti 35 P Jatirahayu, 6/3
407 Ny. Meliana 30 P Jatirahayu, 7/18
410 Tn. Ayang 52 L Jatirahayu, 1/2
411 Ny. Tjijih 70 P Jatirahayu, 1/15
412 Ny. Ardini 77 P Jatirahayu, 2/15
413 Ny. Siti Kusria 81 P Jatirahayu, 5/19
414 Tn. Saringgih 69 L Jatirahayu, 8/17
415 Ny. Enserina 69 p Jatirahayu, 8/17
416 Tn. Rusman 61 L Jatirahayu, 1/22
417 Tn. Rusli 70 L Jatirahayu, 6/1
419 Ny. Ana Asobah 61 P Jatirahayu, 3/18
420 Tn. Zulchairi 63 L Jatirahayu, 5/22
421 Tn. Jonson 54 L Jatirahayu, 4/17
422 Tn. Dedi 68 L Jatirahayu, 6/18
423 Tn. Didi R 68 L Jatirahayu, 6/18
424 Ny. Eni R P Jatirahayu, 1/6
425 Tn. Adi Rohman 56 L Jatirahayu, 2/16
426 Akbar P Jatirahayu, 6/13
427 Ny. Riasman 60 P Jatirahayu, 1/18
429 Ny. Paryati 56 P Jatirahayu, 7/8
430 Ny. Paryati 56 P Jatirahayu, 7/8
431 Ny. Munyerti 58 P jatirahayu, 6/13
433 Ny. Atik 38 P Jatiahayu, 4/10
434 Tn. Sudoyo 48 L Jatirahayu, 4/10
435 Ny. Atik 38 P Jatiahayu, 4/10
436 Ny. Siti 81 P Jatirahyu, 05/09
19/3/2014
438 Ny. Ignasia P Jatirahayu, 6/3
441 Ny. Imawati 58 P Jatirahayu, 3/18
442 Tn. Mahmudi 60 L Jatirahayu, 3/18
445 Ny. Amiah Ngesti 47 P Jatirahayu, 9/2
446 Ny. Sri S 69 P Jatirahayu, 1/21
447 Ny. Ade Suyati 54 P Jatirahayu, 9/16
448 Tn. Syafrizal 55 L Jatirahayu, 4/12
449 Tn. Kiki Rusmadi 31 L Jatirahayu, 3/1
450 NN. Utami 17 P Jatirahayu, 10/12
451 Ratih 14 P Jatitrahayu, 10/12
452 Ny. Siti Kurniasih 67 P Jatiwarna, 4/7
453 Ny. Eva Setia 57 P Jatirahayu, 6/18
454 Ny. Cardina 35 P Jatirahayu, 5/13
455 Ny. Ervina 35 P Jatirahayu, 2/18
456 Hasan 13 L Jatirahayu, 10/16
457 Ny. Rukijah 63 P Jatirahayu, 3/14
458 Tn. Suhardi S 62 L Jatirahayu, 11/12
459 Ny. Yayat Sumiyati 67 P Jatiwarna,1/7
460 Ny. Bahnizar 68 P Jatiwarna, 1/7
461 Ny. Emoh 61 P Jatirahayu, 9/14
462 Naufal 16 L Jatirahayu, 2/19
465 Nurul 15 P Jatirahayu, 8/15
466 Ny. Marsih Said 66 P Jatirahayu, 4/17
467 Tn. Slamet 80 P Jatirahayu, 1/5
468 Tn. Sunarto 68 L Jatirahayu, 7/8
469 Ny. Sarmini 50 P Jatirahayu, 6/15
470 Tn. Supi'i 72 L Jatirahayu, 1/13
471 Tn. Juhanas 51 P Jatirahayu, 5/9
20/3/2014
472 Tn. Syubagiyo 60 L Jatirahayu, 5/14
473 Adelina 54 P Jatirahayu, 1/16
474 Tn. Ali S 45 L Jatirahayu, 11/14
475 Tn. Irmen 69 L Jatirahayu, 3/21
476 Ny. Ocet 63 p Jatirahayu, 3/21
477 Tn. Irmen 69 L Jatirahayu, 3/21
478 Ny. Rahmah 64 P Jatirahayu, 5/21
479 Ny. Helena 61 P Jatirahayu, 2/16
480 Tn. Nedi Triadi 52 L Jatirahayu, 8/16
481 Ny. Fitriah 30 P Jatirahayu, 10/18
483 Tn. Sukasdi 70 L Jatirahyu, 2/11
484 Ny. Taruli 60 P Jatirahayu, 7/16
485 Ny. Kustiah 67 P Jatirahayu, 5/2
486 Ny. Saparyani 56 P Jatirahayu, 6/15
487 Tn. Jamaludin 64 L Jatirahayu, 1/16
488 Ny. Siti Chodijah 55 P Jatirahayu, 1/16
489 Tn. S. Sumitro 58 L Jatirahayu, 3/18
490 Ny. Endang Setianti 29 P Jatirahayu, 05/15
491 Ny. Andy Susilawaty 29 P Jatirahayu, 1/22
492 Ny. Endang Setianti 29 P Jatirahayu, 5/15
493 Ny. Oediastuti 58 P Jatirahayu, 1/14
494 Tn. Ngubadi 72 L Jatirahayu, 2/13
495 Ny. Sri Riwayati 68 P Jatirahayu, 2/13
496 Ny. Hasanah 46 P Jatirahayu, 1/6
497 Tn. Sugimin 64 L Jatirahayu, 6/1
21/3/2014
499 Yuli Pratama 20 L Jatirahayu, 1/5
501 Ny. Ajidah 75 P Jatirahayu, 3/9
502 Ny,. Ninieng 35 P Jatirahayu, 5/17
503 Ny. Suhardini 65 P Jatirahayu, 4/16
504 Tn. Tinis 51 L Jatirahayu, 3/13
505 Dede Setiawan 19 L Jatirahayu, 4/7
506 Ny. Indrawati 60 P Jatirahayu, 1/4
507 Ny. Karsem 63 P Jatirahayu, 9/5
508 Ny. Kurnia 48 P Jatirahayu, 5/5
510 Tn. Suroji 71 L Jatirahayu, 7/21
511 Arsim 17 Bln L Jatirahayu, 6/17
513 Ny. Sri Hidayat 55 P Jatirahayu, 7/18
514 Saipul 5,5 L Jatirahayu, 7/3
515 Tn. Jafar 53 L Jatirahayu, 2/11
516 Ny. Marlina 40 P Jatirahayu, 1/18
517 Ny. Yusmin 47 P Jatirahayu, 2/23
518 Tn. Suparta 59 L Jatirahayu, 4/18
22/3/2014
520 Tn. Hardi 60 L Jatirahayu, 3/22
521 Ny. Eri Suprianti P Jatirahayu, 6/13
522 Ny. Cahaya 55 P Jatirahayu, 3/12
523 Ny. Asnun 65 P Jatirahayu, 1/7
524 Tn. Suginto 75 L Jatirahayu, 4/2
525 Ny. Yeti 57 P Jatirahayu, 5/9
526 Ny. Tri 52 P Jatirahayu, 2/18
527 Tn. Agustias 56 L jatirahayu, 2/18
528 Ny. Tri 52 P Jatirahayu, 4/12
529 Tn. Andang 43 L Jatirahayu, 4/11
530 Ny. Bin Siahaan 61 P Jatirahayu, 4/17
531 Ny. Jubaedah 64 P Jatirahayu, 6/4
532 Tn. Malino 73 L Jatirahayu, 1/7
533 Arbim rasyid 17 Bln L Jatirahayu, 6/17
534 Tn. Manyun 63 L Jatirahayu, 3/1
535 Tn. Subagyo 73 l jatirahayu, 3/21
536 Ny. Reni setiyawati 27 P Jatirahayu, 1/13
537 Encep 30 L Jatirahayu, 1/13
538 Tn. Anang 43 L Jatirahayu, 4/11
24/3/2014
543 Ny. Rosalinda 29 P Jatirahayu, 7/14
544 Ny. Rini 70 P Jatirahayu,
545 Ny. Asiharti P Jatirahayu, 2/21
546 Agus Murtadi 65 L Jatirahayu, 01/15
547 Ny. Wiwi P Jatirahayu, 2/11
548 Ny. Chaerolina P Jatirahayu, 5/13
551 Tn. Dr bambang 66 L Jatirahayu, 2/18
553 Ny. Subandini 51 p Jatirahayu, 4/16
554 Tn. Turino 61 L Jatirahayu, 4/9
555 Ny. Halimah 68 P Jatirahayum, 3/9
556 Tn. Liliek 72 L Jatirahayu, 3/9
557 Tn. Tony Siahaan 57 L Jatirahayu, 5/18
558 Ny. Terike 61 P Jatirahayu, 4/20
559 Ny. Mas'ad Al Haidar 61 P Jatirahayu, 2/15
560 Ny. Mas'ad Al Haidar
561 Tn. Ismet 75 L Jatirahayu, 2/5
562 Pirata 2 L Jatirahayu, 6/18
564 Ny. Stin 50 P Jatirahayu, 3./05
565 Ny. Stin 50 P Jatirahayu, 03/05
566 Tn. Alamadin 72 L Jatirahayu, 3/05
567 Ny. Fariska 53 P Jatirahayu, 1/17
25/3/2014
569 Tn. Rito 71 L Jatirahayu, 5/17
570 Tn. Al Adli 59 L Jatirahayu, 4/12
571 Ny. Mismeri 55 P Jatirahayu, 4/12
572 Ny. Mismeri 55 P Jatirahayu, 4/12
576 Ny. Yati Herwati 50 P Jatirahayu, 6/1
577 Tn. Djasmono 35 L Jatirahayu., 3/10
578 Ny. Meli Hutapea 50 P Jatirahayu, 5/7
579 Tn. Sudarismon 62 L Jatirahayu, 3/18
580 Ny. Sawarni 58 P Jatirahayu, 2/15
581 Ny. Iit Holis 49 P Jatirahayu, 3/18
584 Ny. Nurhayati 64 P Jatirahayu,1/22
587 Tn. Frans Aldof 69 L Jatirahayu, 4/13
588 Ny. Mujirah 62 P Jatirahayu, 4/10
589 Tn. Sujianto 57 L Jatirahayu, 3/12
590 Ny. Andi Nurhayati 51 P Jatirahayu, 1/9
NGAN PASIEN BPJS
AS UPTD JATIRAHAYU
OK MELATI TAHUN 2014
RUMAH SAKIT POLI NO. BPJS DIAGNOSA KET
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KUNJUNGAN PASIEN RUJUKAN BPJS PUSKESMAS JA
NO. NAMA PENDERITA UMUR (THN) L/P ALAMAT TEMPAT RUJUKAN
1 SUHARTINI 68 P JATIRAHAYU 2/3 RS. HALIM

2 LIS SETIATI L JATIRAHAYU 3/22 RS. HALIM
3 WARTIAH 47 P JATIRAHAYU 4/9 RS. BEKASI
4 JUWARIAH P JATIRAHAYU 4/15 RS. HALIM
5 MAIMUNAH 63 P RS. HALIM
6 AWIES 57 P JATIRAHAYU 2/7 RS. HALIM
7 EDI PATI 61 L JATIRAHAYU 2/7 RS. HALIM
8 ENO CAMIN 76 P JATIRAHAYU 3/8 RS. BEKASI
9 DJUANI IKMAL L JATIRAHAYU 11/16 RS. UKI
10 NORMAULI 50 P RS. HALIM
11 HERMAWAN 21 L JATIRAHAYU 6/16 RS. PASAR REBO
12 SUYITNO 80 L JATIRAHAYU 11/18 RS. HALIM
13 SARDIMAN 12 L JATIRAHAYU 1/22 RS. HALIM
14 MUNARTI 67 P JATIWARNA 3/1 RS. HALIM
15 RISKA 22 P JATIRAHAYU 5/2 RS. BEKASI
16 DARA FIRAWATI 51 P JATIRAHAYU 5/5 RS. M. HARJO
17 IYAK 61 L JATIRAHAYU 2/7 RS. HALIM
18 SUNARNO 53 L JATIRAHAYU 4/19 RS. HALIM
19 HARTINI 49 P JATIRAHAYU 7/14 RS. TEBET
20 JUSHARJONI 79 L JATIRAHAYU 6/14 RS. HAJI
21 HARDIYATI 48 P JATIRAHAYU 4/9 RS. M. RIDWAN
22 SUPIYATUN 59 P JATIRAHAYU 4/16 RS. HAJI
23 YUSUF HABIBI 7 L JATIRAHAYU 4/4 RS. BUDI ASIH
24 TAUFIK ISMAIL 45 L JATIRAHAYU 5/9 RS. BEKASI
25 LAILATUL 19 P JATIRAHAYU 3/11 RS. PASAR REBO
26 JOHAN STEFANUS R. 65 L JATIRAHAYU 6/12 RS. BEKASI
27 SENTY 80 P JATIRAHAYU 7/16 RS. PASAR REBO
28 ANIK 71 P JATIRAHAYU 1/6 RS. BEKASI
29 TIMBLO 84 L JATIRAHAYU 1/6 RS. BEKASI
30 EDI JUKARDI 60 L JATIRAHAYU 2/22 RS. HAJI
31 SINTA 28 P JATIRAHAYU 5/18 RS. HAJI
32 SAEWERSIH 84 P JATIRAHAYU 7/5 RS. HAJI
33 DALYASIH 61 P JATIRAHAYU 6/11 RS. PASAR REBO
34 KAREL 60 L JATIRAHAYU 5/5 RS. PASAR REBO
35 ITJE T. 60 P JATIRAHAYU 1/7 RS. M. RIDWAN
36 SEBENTINA 60 P JATIMURNI 4/2 RS. HAJI
37 GULTOM L JATIMURNI 4/2 RS. HAJI
38 LALIMATUS 55 P JATIRAHAYU 6/13 RS. BEKASI
39 WIWIN 59 P JATIWARNA 2/7 RS. BEKASI
40 MUSLIHAT 65 P JATIWARNA 2/7 RS. HAJI
41 NEFIAH 57 P JATIWARNA 4/11 RS. HAJI
42 YATI 60 P JATIRAHAYU 1/19 RS. HALIM
43 SARAH 49 P RS. POLRI
44 TAUFIK 60 L JATIRAHAYU 7/1 RS. HALIM
45 JAENAB 51 L JATIRAHAYU 3/1 RS. HAJI
46 NI WAYAN 11 P JATIRAHAYU 2/9 RS .PASA REBO
47 ANIS 54 L JATIRAHAYU 6/10 RS .POLRI
48 SUMANTO 70 L JATIRAHAYU 6/12 RSCM
49 SUBANDINI 56 P JATIRAHAYU 6/12 RS. HALIM
50 KARLA 5 L JATIRAHAYU 2/2 RS. HAJI
51 RUMIATI 52 P JATIRAHAYU 2/7 RS. POLRI
52 ENDANG 34 P JATIRAHAYU 5/7 RS. BEKASI
53 BANDAPOTAN 63 L JATIRAHAYU 1/13 RS. PASAR REBO
54 NURYATI 67 P JATIRAHAYU 5/13 RS. HALIM
55 AISYAH 70 P JATIRAHAYU 1/7 RS. HALIM
56 SONI K. 68 L JATIRAHAYU 7/18 RS. HALIM
57 SUNARTO 73 L PATRIAJAYA RS. HALIM
58 NINI 63 P PATRIA JAYA RS. HALIM
59 SULISTIANTI 60 P PATRIA JAYA RS. M. RIDWAN
60 MUCHOLIPI 72 L PATRIA JAYA RS M. RIDWAN
61 SRI MULYANI 62 P JATIRAHAYU 3/10 RS. HALIM
62 PUJI RAHAYU P JATIRAHAYU RS. M. RIDWAN
63 SYAMSUDDIN 66 L JATIRAHAYU 1/18 RS. HALIM
64 ERI UMI 60 P JATIRAHAYU 2/16 RS. YGDI
65 DAENG 57 L JATIRAHAYU 4/15 RS. HALIM
66 LILIK 56 P JATIWARNA 3/7 RS. BEKASI
67 IHA 39 P JATIRAHAYU 7/18 RS. BEKASI
68 SUPARTI 32 P JATIRAHAYU RS. BEKASI
69 MULYA KARTI 46 P JATIRAHAYU 1/10 RS. JATISAMPURNA
70 PUJI RAHAYU 27 P JATIRAHAYU 5/13 RS. BEKASI
71 LUNGGUK 46 L JATIRAHAYU RS. PASAR REBO
72 NURMALAWATI 8 P JATIRAHAYU RS. BEKASI
73 FAUJAN 20 L RS. BEKASI
74 ENGEL 18 P JATIRAHAYU RS. PASAR REBO
75 GRACE 11 P JATIRAHAYU 5/3 RS. BEKASI
76 HARYONO 65 L JATIRAHAYU 6/14 RS. POLRI
78 AISYAH 84 P JATIRAHAYU 3/9 RS. HALIM
79 NORAWATY S. 58 P JATIRAHAYU 4/4 RS. HALIM
80 ANDRI ASTUTI 68 P JATIRAHAYU 6/8 RSPAD
81 D. SARAGIH 68 L JATIRAHAYU 8/13 RS. BUDI ASIH
82 EUSERINA 68 P JATIRAHAYU 8/13 RS. BUDI ASIH
83 LEONARDO F. 16 L JATIRAHAYU 9/17 RS. BEKASI
84 LEONARDI F. 16 L JATIRAHAYU 9/17 RS. BEKASI
85 RIDHA S. 28 P JATIRAHAYU 11/14 RS. PERSAHABATAN
86 I MADE 81 P JATIRAHAYU 1/4 RS. PASAR REBO
87 ISWORO 38 L RS. BEKASI
88 SADJIANTO 51 L JATIRAHAYU 3/12 RS. HALIM
89 TRIYANA 21 P JATIRAHAYU 1/6 RS. BEKASI
90 KAMILA 31 P JATIRAHAYU 7/3 RSCM
91 UMAMAH 71 P JATIRAHAYU 5/17 RS. HALIM
92 ISTIJAH 71 P JATIRAHAYU 4/17 RS. HALIM
93 SUMARTO 73 L JATIRAHAYU 2/13 RS. HAJI
94 NINI S. 63 P JATIRAHAYU 2/13 RS. HALIM
95 SRI ROMELAH 71 P JATIRAHAYU 4/ RS. HALIM
96 LANTURULI 51 P JATIRAHAYU 1/9 RS. HALIM
97 WILIAM 53 L JATIRAHAYU 6/4 RS. BEKASI
98 SANTI 33 P JATIRAHAYU 3/1 RS. HALIM
99 WAHID HASIM 60 L RS. HALIM
100 DJOKO M. 63 L JATIRAHAYU 9/12 RS. HALIM
101 BENI 78 L JATIRAHAYU 6/13 RS. PASAR REBO
102 H. MAYUN 63 L JATIRAHAYU 3/1 RS. HAJI
103 HANIFAH 3,5 P JATIRAHAYU 7/3 RS. BEKASI
104 ANISA SEPTIANI 32 P JATIRAHAYU 3/14 RS. PASAR REBO
105 YUSUF 70 L JATIRAHAYU 3/8 RS. BEKASI
106 SITI AISYAH 82 P JATIRAHAYU 3/9 RS. HAJI
107 EKA 25 P JATIRAHAYU 10/5 RS. BEKASI
108 AZRIL 63 L JATIRAHAYU 4/22 RS. PASAR REBO
109 ENI ROHAENIH 77 P JATIRAHAYU 1/6 RS. POLRI
110 SISWATI 55 P JATIRAHAYU 1/22 RS. HAJI
111 ERDIANA 59 L JATIRAHAYU 4/18 RS. HAJI
ARIF 64 L JATIRAHAYU 1/1 RS. HAJI
PEGGY YULIANTI 32 P JATIRAHAYU 6/3 RSCM
SAMJOADI 70 L JATIRAHAYU 5/9 RS. POLRI
R. SARJONO 80 L JATIRAHAYU 2/22 RS. MINTOHARJO
YATI 75 P JATIRAHAYU 2/22 RS. MINTOHARJO
HARIANTO 63 L JATIRAHAYU 3/4 RS. BAKTI KARTINI
SEBENTINA 61 P JATIMURNI 4/2 RS. UKI
ROIDJA 60 P JATIRAHAYU 4/13 RS GATOTS S.
LINA HERLINA 60 P JATIRAHAYU 5/17 RS. POLRI
NELIARTOHIR 60 P RAHAYU 4/20 RS. HALIM
HASANAH 42 P JATIRAHAYU 1/11 RS. BEKASI
SULASTRI 55 P JATIRAHAYU 7/16 RS. M. THAMRIN
MARLIANA 60 P JATIRAHAYU 3/16 RS. POLRI
BAKRY 65 L JATIRAHAYU 6/4 RS. PASAR REBO
SYAFUTRA 20 L JATIRAHAYU 9/24 RS. PASAR REBO
WP SILALAHI 64 L JATIRAHAYU 4/17 RS. GATOT SUBROTO
BM SIAHAAN 50 P JATIRAHAYU 4/17 RS. HARAPAN KITA
EKA NUGRAHA 39 L JATIRAHAYU 1/8 RS. BEKASI
NALLINA 54 P JATIRAHAYU 1/16 RS. FATMAWATI
YULIANA 32 P JATIRAHAYU 1/18 RS. EVASARI
SUCEPTO 73 L JATIRAHAYU 5/16
ADITIA 15 L JATIRAHAYU 8/11 RSCM
NINA 58 P JATIRAHAYU 1/4 RS. PASAR REBO
YUSUF USMAN 68 L JATIRAHAYU 6/11 RS. BEKASI
APRILIA WIDIYANTI 31 P JATIRAHAYU 6/14 RS. ISLAM
GUNTUR 51 L JATIRAHAYU 7/3 RS. BEKASI
PANCA 35 L JATIRAHAYU 7/3 RS. BEKASI
S PUSKESMAS JATIRAHAYU BULAN MARET TAHUN 2014
POLI TANGGAL RUJUKAN NO. ASKES DIAGNOSA KET
JANTUNG 1 MARET 2014 0000073102846' CAD ASKES

KULIT 1 MARET 2014 0000073105604' DERMATITIS ASKES
PARU 1 MARET 2014 0000073108383' BRONKHITIS ASKES
OBGIN 1 MARET 2014 0000046278808' SERVISTIS KRONIK ASKES
DALAM 1 MARET 2014 0000073083587' DM/CAD ASKES
DALAM 1 MARET 2014 0000072224227' DM ASKES
DALAM 1 MARET 2014 0000073334316' HT DM ASKES
JANTUNG 1 MARET 2014 0000506835685' CARDIOMEGALI JAMKESMAS
DALAM 1 MARET 2014 0000507284019' ISK JAMKESMAS
THT 1 MARET 2014 0000042459031' SINUSITIS ASKES
PARU 1 MARET 2014 0000508610531' TB PARU JAMKESMAS
NEUROLOGI 3 MARET 2014 0000072106987' NEUROPATI ASKES
PARU 3 MARET 2014 0000038581986' TB PARU ASKES
BEDAH 3 MARET 2014 0000072108034' POST OP. CERVIKS BPJS
OBGIN 3 MARET 2014 0000508251824' G2P1A0 H.A. JAMKESMAS
DALAM 3 MARET 2014 0000073075623' OSTEOARTHRITIS ASKES
GIGI 3 MARET 2014 0000036721326' CARIES ASKES
RM 3 MARET 2014 0000039705142' ARTHRITIS ASKES
ORTHOPEDI 3 MARET 2014 00010930003301' FRAKTUR ASKES
DALAM 3 MARET 2014 0000043560685' GA ASKES
GIGI 3 MARET 2014 0000211127365' GIGI BAWAH ASKES
JIWA 3 MARET 2014 0001273641079' SKIZOFRENIA BPJS
DALAM 3 MARET 2014 0000507734111' ANEMIA JAMKESMAS
DALAM 3 MARET 2014 0000045762849' HT ASKES
DALAM 3 MARET 2014 0001013777720' HHD JAMKESMAS
DALAM 3 MARET 2014 0001013777717' HT JAMKESMAS
SYARAF 3 MARET 2014 0000041590495' HT DM ASKES
OBGIN 3 MARET 2014 0000197627962' OLIGOHIDRAMNION ASKES
JANTUNG 3 MARET 2014 0000073325046' HHD ASKES
JANTUNG 3 MARET 2014 0000077083609' HHD ASKES
DALAM 3 MARET 2014 0000038745753' CAD ASKES
DALAM 3 MARET 2014 0000038245764' HIPERKOAGULASI ASKES
DALAM 3 MARET 2014 0001273558869' HT BPJS
DALAM 3 MARET 2014 0000072105558' DM BPJS
DALAM 3 MARET 2014 0000072105547' DM BPJS
PARU 3 MARET 2014 0001274705133' PARU ASKES
OBGIN 3 MARET 2014 0000073108157' CERVITIS ASKES
JANTUNG 3 MARET 2014 0001265567525' HT BPJS
JANTUNG 3 MARET 2014 0001262388532' CAD BPJS
BEDAH 3 MARET 2014 0000040489784' COLIC ASKES
KULIT 3 MARET 2014 00001080203422' ULKUS ASKES
MATA 3 MARET 2014 0000036714213' OD ASKES
ANAK 3 MARET 2014 0001263491706' TB PARU BPJS
SARAF 3 MARET 2014 0000503704031' EPILEPSI JAMKESMAS
JANTUNG 3 MARET 2014 0000073364411' HT ASKES
PARU 4 MARET 2014 0000073106504' ASMA BRONKHIAL ASKES
JANTUNG 4 MARET 2014 0000073106855' DM + CAD ASKES
MATA 4 MARET 2014 0000073091373' KATARAK ASKES
RM 4 MARET 2014 0000163575066' OA ASKES
PARU 4 MARET 2014 0000073105424' ASMA BRONKHIAL ASKES
GIGI 4 MARET 2014 0019026747303' PULPA ASKES
UROLOGI 4 MARET 2014 0002005791204' SISTOKEL ASKES
GINJAL 4 MARET 2014 0001260858328' CRP BPJS
DALAM 4 MARET 2014 0000038060537' KISTA BPJS
DALAM 4 MARET 2014 0001078363146' SIROSIS HEPATIS ASKES
OBGIN 4 MARET 2014 0001278017403' IUD BPJS
OBGIN 4 MARET 2014 000050840065' BARTOLINITIS JAMKESMAS
OBGIN 4 MARET 2014 0001269622539' POST KISTA BPJS
OBGIN 4 MARET 2014 0001272153104' POST SC BPJS
DALAM 4 MARET 2014 0001136576441' GASTRITIS BPJS
OBGIN 4 MARET 2014 000073105975' AMENORIA ASKES
ANAK 4 MARET 2014 0000509840906' STRUMA JAMKESMAS
MATA 4 MARET 2014 0000073084331' GGN PENGLIHATAN ASKES
GIGI 4 MARET 2014 000003680635' SUSUN PULP ASKES
ONKOLOGI 4 MARET 2014 0000045159658' CA. MAMMAE ASKES
ANAK 5 MARET 2014 0001261496485' HEMOFILIA BPJS
ANAK 5 MARET 2014 0001261300937' HEMOFILIA BPJS
OBGIN 5 MARET 2014 0000199268728' G1 8 MGG ASKES
GIGI 5 MARET 2014 0000072485246' ABSES ASKES
PSIKIATRI 5 MARET 2014 0001013774927' SKIZOFRENIA JAMKESMAS
GIGI 5 MARET 2014 0000045156464' PULPITIS ASKES
5 MARET 2014 0001276412728'
5 MARET 2014 0001261500827' BPJS
THT 5 MARET 2014 0000073100373' GGN PENDENGARAN ASKES
DALAM 5 MARET 2014 0000073091373' SIROSIS HEPATIS ASKES
DALAM 5 MARET 2014 0000073096356' GASTRITIS ASKES
OBGIN 5 MARET 2014 0000173568195' ASKES
DALAM 5 MARET 2014 0001264624176' BPJS
OBGIN 5 MARET 2014 0001274708867' HCG BPJS
MATA 5 MARET 2014 0000157956926' POST OP KATARAK ASKES
BEDAH 6 MARET 2014 0001265011108' HERNIA BPJS
ANAK 6 MARET 2014 000056093186' TALASEMIA JAMKESMAS
JANTUNG 6 MARET 2014 0000508036252' CHF JAMKESMAS
KULIT 6 MARET 2014 0000073084331' ULKUS DECUBITUS ASKES
FIELONEFRITIS 6 MARET 2014 0000507606513' DALAM ASKES
CHEST PAIN 6 MARET 2014 0001262594981' JANTUNG JAMKESMAS
HHD 6 MARET 2014 0000073103171' JANTUNG ASKES
CKD 6 MARET 2014 0001260962245' GINJAL ASKES
OA 7 MARET 2014 000007333' DALAM ASKES
HT 7 MARET 2014 0000041281053' DALAM ASKES
CKD 7 MARET 2014 0001261239838' HD BPJS
STROKE 7 MARET 2014 00000733392184' SARAF ASKES
HT 7 MARET 2014 0000073091296' DALAM ASKES
PARKINSON 7 MARET 2014 0000073091305' SARAF ASKES
DALAM 7 MARET 2014 000003763999' GASTRITIS ASKES
DALAM 7 MARET 2014 0000038745753' LBP ASKES
RADIONUKLIR 7 MARET 2014 0000049343178' HIPERTIROID ASKES
RADIOLOGI 7 MARET 2014 0000073085703' SUSP. FAM D ASKES
THT 8 MARET 2014 44097412 SINUSITIS ASKES
THT 8 MARET 2014 0001263491177' SINUSITIS BPJS
SARAF 8MARET 2014 0001280399828' STROKE ASKES
JANTUNG 8 MARET 2014 000007333319' HT ASKES
PARU 8 MARET 2014 00012798879198' TB PARU BPJS
OBGIN 8 MARET 2014 0000037326756' G2P1 33 MGG ASKES
DALAM 8 MARET 2014 0000044090932' HT+DM ASKES
MATA 8 MARET 2014 12012004126805' CONJUNGTIVITIS KARTU SEHAT
KULIT 8 MARET 2014 0000038623173' JAMUR KULIT ASKES
THT 8 MARET 2014 12012004126957' GGN PENDENGARAN KARTU SEHAT
OBGIN 8 MARET 2014 11038060460001' KONTROL POST SC JAMSOSTEK
MATA 8 MARET 2014 0000508454098' KATARAK JAMKESMAS
ORTHOPEDI 8 MARET 2014 0000507036025'FRAKTUR KLAVIKULA SINISTRAJAMKESMAS

Data Rujukan Penderita PKM 2014

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DATA RUJUKAN PENDERITA KE RUMAH SAKIT

NO NAMA/KK UMUR L/P ALAMAT RUMAH SAKIT POLI

1 Tn. Adjid 79 L Jatirahayu, 2/22

4 Ny. Endang 60 P Jatiwarna, 2/9

6 Ny. Junah 60 P Jatirahayu, 02/06

9 Tn. Amad 69 L Jatirahayu, /22

11 Chaerunisa 22 P Jatirahayu, 6/17

14 Ny. Sri Suarsih 51 P Jatirahayu, 2/9

16 Ny. Mimi 50 Jatirahayu, 1/3

19 Tn. Chusnudin 63 L Jatirahayu, 3/18

21 Tn. Indra 69 L Jatirahayu, /13

24 Ny. Suminar sari 59 P Jatirahayu, 1/5

26 Tn. Sugiono 71 L Jatirahayu, /19

29 Ny,. Julaeha 33 P Jatirahayu, 5/15

31 Tn. Manin 52 L Jatirahayu, 1/10

36 Ny. Ratna 65 P Jatirahayu, 3/7

38 Ny. Farichin 37 P Jatirahayu, 8/

41 Tn. Suryadi 72 L Jatirahayu, 3/9

43 Ny. Setianingsih 55 P Jatirahayu, 4/14

46 Ny. Ridhawati 55 P Jatirahayu, 06/13

48 Ny. Puji Rahayu 58 P Jatirahayu, 2/18

51 Tn. Jan ferdinan 73 L Jatirahayu, 5/9

53 Ny. Eka 25 P Jatirahayu, 10/5

57 Tn. Suparman 63 L Jatirahayu, 12/12

60 Tn. Lilik 59 L Jatirahayu, 5/14

62 Nanda 15 L Jatirahayu, 3/7

64 Tn. Prabowo 69 L Jatirahayu, 5/7

66 Ny. Dalyasih 65 P Jatirahayu, 03/10

69 Ny. Warni 28 P Jatirahayu, 4/16

71 Tn. Nawiyo 57 L Jatirahayu, /18

75 Ny. Nuraini 64 P Jatirahayu, 2/13

77 Ny. Siti 57 P Jatirahayu, 9/12

80 Tn. Tugiyono 68 L Jatirahayu, 1/9

82 Tn. I Wayan 70 L Jatirahayu,

85 Ny. Yayah 74 P Jatirahayu, 1/21

87 Ny. Tiurmina 63 P Jatirahayu, 1/7

90 Ny. Yulianah 62 P Jatirahayu, 1/18

92 Ny. Ridhawati 55 P Jatirahayu, 6/18

95 Maulana 3 L Jatirahayu, 4/7

97 Tn. Soleh 33 L Jatirahayu, 1/6

101 Tn. Asmin 54 L Jatirahayu, 02/16

104 Tn. Gultom 63 L Jatirahayu, 4/3

106 Ny. Dwi 53 P Jatirahayu, 3/18

109 Ny. Asmawati 57 P Jatirahayu, 1/6

111 Ny. Iim 65 P Jatirahayu, 1/10

115 Ny. Iim 65 P Jatirahayu, 1/10

117 Ny. Rukmini 77 P Jatirahayu, 1/16

119 Tn. Dominikus 70 L Jatirahayu, 01/09

121 Tn. Joko 62 L Jatirahayu, 9/12

124 Tn. Nugraha 16 L Jatirahayu, 1/8

126 Angel 18 P Jatirahayu, 6/8

129 Tn. Rustam 78 L Jatirahayu, 9/05

131 Ny. Danisa 26 P Jatirahayu, 1/13

133 Tn. Suerling 58 L Jatirahayu, 4/15

135 Ny. Setianingsih 55 P Jatirahayu, 4/14

138 Ny. Mariati 70 P Jatirahayu, 3/

140 Ny. Rita 51 P Jatirahayu, 7/10

143 Ny. Awies 58 P Jatirahayu, 2/17

145 Ny. Eni R 75 P Jatirahayu, 1/16

148 Ny. Heriani 60 P Jatirahayu, 7/1

150 Tn. Joko 72 L Jatirahayu, 1/21

154 Tn. Royani 82 L Jatirahayu, 03/09

158 Tn. Darisman 70 L Jatirahayu, 2/7

160 Tn. Bakri 69 L Jatirahayu, 6/13