USULAN NAMA PESERTA JAMKESDA KABUPATEN TAPANULI UTARA

UPT-PUSKESMAS SARULLA
KECAMATAN PAHAE JAE

Jeni Statu
s s
PISAT Tanggal Lahir
Kela kawi
min n Alamat Tempat Nama
No No KK NIK/KITAS/KITAP Nama Lengkap Nama Desa Nama Faskes Tk.I
Tinggal Kecamatan
1=K,
2=B,
P/I/S/ P=1
Tempat Lahir dd/mm/yyyy
A1....3 L=2
3=J,
1 2 3 4 4 7 8 4=D
9 10 17 19 20
1 1202060508090002 1202065707850002 ELDAWATY MANURUNG 1 SARULLA 17/07/1985 1 1 JLN GEREJA PAHAE JAE KELURAHAN SARULLA PUSKESMAS SARULLA
2 1202060508090002 1202065909070001 ELSA AGNESIA ARITONANG 4 SARULLA 19/09/2007 1 2 JLN GEREJA PAHAE JAE KELURAHAN SARULLA PUSKESMAS SARULLA
3 1202060508090002 1202064907090001 JUDIKA ARITONANG 4 SARULLA 09/07/2009 1 2 JLN GEREJA PAHAE JAE KELURAHAN SARULLA PUSKESMAS SARULLA
4 1202060508090002 1202062009140001 LORENZO EBENEZER ARITONANG 4 SARULLA 20/09/2014 2 2 JLN GEREJA PAHAE JAE KELURAHAN SARULLA PUSKESMAS SARULLA
5 1202062403140003 1202066007160001 YULIANA NAINGGOLAN 5 TARUTUNG 20/07/2016 1 JL MESJID PAHAE JAE KELURAHAN SARULLA PUSKESMAS SARULLA
6 1202060601160002 1202065206650001 MEGAWATI SIANTURI 1 SARULLA 12/06/1965 1 1 JL PEMBANGUNAN PAHAE JAE KELURAHAN SARULLA PUSKESMAS SARULLA
7 1202060601160002 1202066109910001 DESI RATNASARI PANGGABEAN 4 SARULLA 21/09/1991 1 2 JL PEMBANGUNAN PAHAE JAE KELURAHAN SARULLA PUSKESMAS SARULLA
8 1202060601160002 1202066206940001 PIPIN APRIANI PANGGABEAN 4 SARULLA 22/06/1994 1 2 JL PEMBANGUNAN PAHAE JAE KELURAHAN SARULLA PUSKESMAS SARULLA
9 1202060602120003 1202063012790001 JERRI PANJAITAN 1 SARULLA 30/12/1979 2 1 JL PATUAN ANGGI PAHAE JAE KELURAHAN SARULLA PUSKESMAS SARULLA
10 1202060602120003 1202065610840002 ELLI RINA MARGARETA GULTOM 3 SARULLA 16/10/1984 1 1 JL PATUAN ANGGI PAHAE JAE KELURAHAN SARULLA PUSKESMAS SARULLA
11 1202060602120003 1202064704100001 RIBKA MINOLA PANJAITAN 4 SARULLA 07/04/2010 1 2 JL PATUAN ANGGI PAHAE JAE KELURAHAN SARULLA PUSKESMAS SARULLA
12 1202060602120003 1202060305110001 GABRIEL JHASEN PANJAITAN 4 SARULLA 12/12/2011 2 2 JL PATUAN ANGGI PAHAE JAE KELURAHAN SARULLA PUSKESMAS SARULLA
13 1202060602120003 1202066106140001 DENADA CHECILYA PANJAITAN 4 SARULLA 21/06/2014 1 2 JL PATUAN ANGGI PAHAE JAE KELURAHAN SARULLA PUSKESMAS SARULLA
14 1202061807081459 1202061905800001 PARLUHUTAN SITOMPUL 1 SARULLA 19/05/1980 2 1 JL PATUAN ANGGI PAHAE JAE KELURAHAN SARULLA PUSKESMAS SARULLA
15 1202061807081459 1202064301820001 TIURMA PAKPAHAN 3 PASAR SARULLA 03/01/1982 1 1 JL PATUAN ANGGI PAHAE JAE KELURAHAN SARULLA PUSKESMAS SARULLA
16 1202061807081459 1202065501070001 SALTIO JENNI SITOMPUL 4 BELAWAN 16/01/2007 1 2 JL PATUAN ANGGI PAHAE JAE KELURAHAN SARULLA PUSKESMAS SARULLA
17 1202061807081459 1202061508080001 NANDA ROMIDUK SITOMPUL 4 SARULLA 15/08/2008 2 2 JL PATUAN ANGGI PAHAE JAE KELURAHAN SARULLA PUSKESMAS SARULLA
18 1202061807081459 1202061702120001 YOSEVEN SITOMPUL 4 PASAR SARULLA 17/02/2012 2 2 JL PATUAN ANGGI PAHAE JAE KELURAHAN SARULLA PUSKESMAS SARULLA
19 1202061401110006 1202064810480001 RUMIAN BR NAINGGOLAN 1 JANJI MARIA 08/10/1948 1 1 JL PEMBANGUNAN PAHAE JAE KELURAHAN SARULLA PUSKESMAS SARULLA
20 1202061401110006 1202063001900001 RONY SANTO GULTOM 4 SARULLA 30/01/1990 2 2 JL PEMBANGUNAN PAHAE JAE KELURAHAN SARULLA PUSKESMAS SARULLA
21 1202062611100004 1202063001610001 ROBINSON SINAGA 1 SARULLA 30/01/1961 2 1 JL SM RAJA PAHAE JAE KELURAHAN SARULLA PUSKESMAS SARULLA
22 1202062611100004 1202065505680003 RATINAH SIMATUPANG 3 CILACAP 15/05/1968 1 1 JL SM RAJA PAHAE JAE KELURAHAN SARULLA PUSKESMAS SARULLA
23 1202062611100004 1202064906000001 YUNNI TRISNAWATI 4 JAKARTA 09/06/2000 1 2 JL SM RAJA PAHAE JAE KELURAHAN SARULLA PUSKESMAS SARULLA
24 1202062611100004 120206011030002 ARNOLV CRYSTOVEL SINAGA 4 SARULLA 01/11/2003 2 2 JL SM RAJA PAHAE JAE KELURAHAN SARULLA PUSKESMAS SARULLA
25 1202062611100004 1202066304060002 CRISTIN VITRIANES SINAGA 4 SARULLA 23/04/2006 1 2 JL SM RAJA PAHAE JAE KELURAHAN SARULLA PUSKESMAS SARULLA
26 1202062901110004 1202061012780001 HALASHON PAKPAHAN 1 PAKPAHAN 10/12/1978 2 1 RANTO PANJANG PAHAE JAE PARDAMEAN PUSKESMAS SARULLA
27 1202062901110004 1202065909790001 SEERIMARDIANA SIMATUPANG 3 HUTABUNTUL 18/09/1979 1 1 RANTO PANJANG PAHAE JAE PARDAMEAN PUSKESMAS SARULLA
28 1202062901110004 1202065303080001 DANIATRI PAKPAHAN 4 RANTO PANJANG 13/03/2008 1 2 RANTO PANJANG PAHAE JAE PARDAMEAN PUSKESMAS SARULLA
29 1202062502120002 1202062906840001 JUNIOR PANGGABEAN 1 ONAN JORO 29/06/1983 2 1 HUNIK BURLE PAHAE JAE PARDAMEAN PUSKESMAS SARULLA
30 1202062502120002 1202065301850001 ELFINAR HUTABARAT 3 SIALANG 13/01/1985 1 1 HUNIK BURLE PAHAE JAE PARDAMEAN PUSKESMAS SARULLA
31 1202062502120002 1202066204100001 PUTRI OLIVIA PANGGABEAN 4 HUNIK BURLE 22/04/2010 1 2 HUNIK BURLE PAHAE JAE PARDAMEAN PUSKESMAS SARULLA
32 1202062502120002 1202060801120001 JEFFRY ADITYA PANGGABEAN 4 HUNIK BURLE 08/01/2012 2 2 HUNIK BURLE PAHAE JAE PARDAMEAN PUSKESMAS SARULLA
33 1202061807080451 1202066112570001 MASNAIDA SIHOMBING 1 SUNGGAS 21/12/1957 1 3 PARDAMEAN PAHAE JAE PARDAMEAN PUSKESMAS SARULLA
34 1202062506100002 1202062612560001 MARUDUT SIMATUPANG 1 RANTO PANJANG 26/12/1956 1 3 GODUNG PAHAE JAE PARDAMEAN PUSKESMAS SARULLA
35 1202062506100002 1202066012590002 TIURMINA SITOMPUL 3 SIGURUNG GURUNG 20/12/1959 2 1 GODUNG PAHAE JAE PARDAMEAN PUSKESMAS SARULLA
36 1202062506100002 1202061604860002 DAVID SIMATUPANG 4 RANTO PANJANG 16/04/1986 2 2 GODUNG PAHAE JAE PARDAMEAN PUSKESMAS SARULLA
37 1202061101120001 1202060808800001 SURIADY SIMATUPANG 1 RANTO PANJANG 08/08/1980 2 1 GODUNG PAHAE JAE PARDAMEAN PUSKESMAS SARULLA
38 1202061101120001 1202067006880002 RINA PAKPAHAN 3 GUNUNG TUA 30/06/1988 1 3 GODUNG PAHAE JAE PARDAMEAN PUSKESMAS SARULLA
39 1202061101120001 1202065704120001 SERI APRILIA SIMATUPANG 4 GODUNG 17/04/2012 1 2 GODUNG PAHAE JAE PARDAMEAN PUSKESMAS SARULLA
40 1202061101120001 1202066311130001 RENOVA SIMATUPANG 4 GODUNG 13/11/1013 1 2 GODUNG PAHAE JAE PARDAMEAN PUSKESMAS SARULLA
41 1202061101120001 1202066302150001 PUTRI AYU SIMATUPANG 4 RANTO PANJANG 23/02/2015 1 2 GODUNG PAHAE JAE PARDAMEAN PUSKESMAS SARULLA
42 1202061205170004 1202062405860001 JIMMI SIMAMORA 1 RANTO PANJANG 24/05/1986 2 1 RANTO PANJANG PAHAE JAE PARDAMEAN PUSKESMAS SARULLA
43 1202061205170004 1202074507960001 RAUNE SIMANJUNTAK 3 LOBUSIHIM 05/07/1996 1 1 RANTO PANJANG PAHAE JAE PARDAMEAN PUSKESMAS SARULLA
44 1202061205170004 1202065901170002 JIRA BELVANIA SIMANJUNTAK 4 RANTO PANJANG 19/01/2017 1 2 RANTO PANJANG PAHAE JAE PARDAMEAN PUSKESMAS SARULLA
45 1202061807080480 1202061407570002 SAHAT SIMAMORA 1 GUNUNG TUA 14/07/1957 2 1 RANTO PANJANG PAHAE JAE PARDAMEAN PUSKESMAS SARULLA
46 1202061807080480 1202065404570002 HOTLAN SITOMPUL 3 SILANGKKITANG 14/04/1957 1 1 RANTO PANJANG PAHAE JAE PARDAMEAN PUSKESMAS SARULLA
47 1202061807080480 1202065010270001 NURBAYA SITOMPUL 5 TANO BATO 10/10/1927 1 3 RANTO PANJANG PAHAE JAE PARDAMEAN PUSKESMAS SARULLA
48 1202062005160004 1202061902840002 ANTONI LAMSIHAR SIMATUPANG 1 RANTO PANJANG 19/02/1984 2 1 GODUNG PAHAE JAE PARDAMEAN PUSKESMAS SARULLA
49 1202062005160004 1202045603880003 DINA RUMENDANG SITUMEANG 3 HUTARAJA 16/03/1988 1 1 GODUNG PAHAE JAE PARDAMEAN PUSKESMAS SARULLA
50 1202061807080467 1202060703880002 GIRSANG SIMATUPANG 4 LUMBAN TONGA 07/03/1988 2 2 LUMBAN TONGA PAHAE JAE PARDAMEAN PUSKESMAS SARULLA
51 1202062110100004 1202062903120001 RADOT JOSUA PASKAH NAINGGOL 4 SIHOBUK 29/03/2012 2 2 SIHOBUK PAHAE JAE PARDOMUAN NAINGGOLAN PUSKESMAS SARULLA
52 1202061807080635 1202066603720001 DIANA PANJAITAN 1 SIGURUNG-GURUNG 28/03/1972 1 1 JL SIPIROK-TARUT PAHAE JAE PARDOMUAN NAINGGOLAN PUSKESMAS SARULLA
53 1202061807080635 1202062409010003 JHON KURNIAWAN ARITONANG 4 SIHOBUK 24/09/2001 2 2 JL SIPIROK-TARUT PAHAE JAE PARDOMUAN NAINGGOLAN PUSKESMAS SARULLA
54 1202061807080635 1202065807060001 DEBORA ROULINA ARITONANG 4 SIHOBUK 18/07/2006 1 2 JL SIPIROK-TARUT PAHAE JAE PARDOMUAN NAINGGOLAN PUSKESMAS SARULLA
55 1202061807080635 1202066303090002 SARA YOHANA ARITONANG 4 SIHOBUK 23/03/2009 1 2 JL SIPIROK-TARUT PAHAE JAE PARDOMUAN NAINGGOLAN PUSKESMAS SARULLA
56 1202061807080702 1202066909000002 LASTRI NAINGGOLAN 4 KOTO KAMPAR 29/09/2000 1 2 ONAN JORO PAHAE JAE PARDOMUAN NAINGGOLAN PUSKESMAS SARULLA
57 1202061807080702 1202066305020001 YUNI NINGSIH NAINGGOLAN 4 KOTO KAMPAR 23/05/2002 1 2 ONAN JORO PAHAE JAE PARDOMUAN NAINGGOLAN PUSKESMAS SARULLA
58 1202061807080698 1202061212760001 TAMBOK NAINGGOLAN 1 BANJAR DOLOK 12/12/1976 2 1 PARDOMUAN NAIN PAHAE JAE PARDOMUAN NAINGGOLAN PUSKESMAS SARULLA
59 1202061807080698 1202064405880002 MURNIA SITOMPUL 3 SIUNGGAS 04/05/1988 1 1 PARDOMUAN NAIN PAHAE JAE PARDOMUAN NAINGGOLAN PUSKESMAS SARULLA
60 1202062809110009 1202064510670001 HOTMA MANALU 1 ONAN JORO 05/10/1967 1 3 ONAN JORO PAHAE JAE PARDOMUAN NAINGGOLAN PUSKESMAS SARULLA
61 1202061807080542 3674066607880004 EMASLIA GULTOM 4 SUMUT 26/07/1988 1 2 JL SIPIROK-TARUT PAHAE JAE PARDOMUAN NAINGGOLAN PUSKESMAS SARULLA
62 1202061807080651 1202062605680001 TUMPAK SORMIN 1 TAPANULI UTARA 26/05/1968 2 1 LIANG SINGA PAHAE JAE PARDOMUAN NAINGGOLAN PUSKESMAS SARULLA
63 1202061807080651 1202065502730001 VERONIKA GULTOM 3 ONAN JORO 15/02/1973 1 1 LIANG SINGA PAHAE JAE PARDOMUAN NAINGGOLAN PUSKESMAS SARULLA
64 1202061807080563 1202065911620001 RUMENDA PANJAITAN 1 SIGURUNG-GURUNG 19/11/1962 1 3 SIHOBUK PAHAE JAE PARDOMUAN NAINGGOLAN PUSKESMAS SARULLA
65 1202061807080539 1202061611610001 LINDUNG SAMOSIR 1 ONAN JORO 26/02/1961 2 1 ONAN JORO PAHAE JAE PARDOMUAN NAINGGOLAN PUSKESMAS SARULLA
66 1202061807080539 1202065011620001 JERMINA ARITONANG 3 LOBU PANGALOAN 16/08/1962 1 1 ONAN JORO PAHAE JAE PARDOMUAN NAINGGOLAN PUSKESMAS SARULLA
67 1202061807080540 1202066407010001 NASTASYA PURBA 4 SITAREALAMAN 24/07/2001 1 2 JL SIPIROK-TARUT PAHAE JAE PARDOMUAN NAINGGOLAN PUSKESMAS SARULLA
68 1202061807080540 1202061603040001 DICKI MARTIN PURBA 4 ONAN JORO 16/03/2004 2 2 JL SIPIROK-TARUT PAHAE JAE PARDOMUAN NAINGGOLAN PUSKESMAS SARULLA
69 1202061210120002 1202066510570002 NESES SITOMPUL 1 SILANGKITANG DOLO 25/10/1957 1 3 BANJAR DOLOK PAHAE JAE PARDOMUAN NAINGGOLAN PUSKESMAS SARULLA
70 1202062901140001 1207054710680006 MINDO NAINGGOLAN 3 PANCURBATU 09/10/1968 1 1 ONAN JORO PAHAE JAE PARDOMUAN NAINGGOLAN PUSKESMAS SARULLA
71 1202060602170001 1202064804590001 RISTE TAMPUBOLON 1 ONAN JORO 08/04/1959 1 3 ONAN JORO PAHAE JAE PARDOMUAN NAINGGOLAN PUSKESMAS SARULLA
72 1202062806100002 1202066509130001 CHELSE SILVIA NAINGGOLAN 4 ONAN JORO 25/09/2013 1 2 ONAN JORO PAHAE JAE PARDOMUAN NAINGGOLAN PUSKESMAS SARULLA
73 1202061611130008 1202061411740001 SUDUNG PAKPAHAN 1 LOBU PANGALOAN 14/11/1974 2 1 TORDOLOK NAULI PAHAE JAE TORDOLOK NAULI PUSKESMAS SARULLA
74 1202061611130008 1202066705740001 NISRAWATY MANALU 3 LOBU PANGALOAN 27/05/1974 1 1 TORDOLOK NAULI PAHAE JAE TORDOLOK NAULI PUSKESMAS SARULLA
75 1202061611130008 1202061505990001 ELISHA E.M PAKPAHAN 4 LOBU PANGALOAN 15/05/1999 2 2 TORDOLOK NAULI PAHAE JAE TORDOLOK NAULI PUSKESMAS SARULLA
76 1202061611130008 1202065805020001 PENZA ANJANI PAKPAHAN 4 LOBU PANGALOAN 18/05/2002 1 2 TORDOLOK NAULI PAHAE JAE TORDOLOK NAULI PUSKESMAS SARULLA
77 1202061611130008 1202066710040001 CHRISTIAN PAKPAHAN 4 LOBU PANGALOAN 27/10/2004 1 2 TORDOLOK NAULI PAHAE JAE TORDOLOK NAULI PUSKESMAS SARULLA
78 1202061611130008 1202064706070001 TRI PUTRI PAKPAHAN 4 LOBU PANGALOAN 07/06/2007 1 2 TORDOLOK NAULI PAHAE JAE TORDOLOK NAULI PUSKESMAS SARULLA
79 1202061611130008 1202065206420001 TIORIM PASARIBU 5 SIBURIAN 12/06/1942 1 3 TORDOLOK NAULI PAHAE JAE TORDOLOK NAULI PUSKESMAS SARULLA
80 1202061807082977 1202062807620001 BARINGIN SILITONGA 1 RAMBA SIPULGUK 28/07/1962 2 1 RAMBA SIPULGUK PAHAE JAE TORDOLOK NAULI PUSKESMAS SARULLA
81 1202061807082977 1202065210590001 TIURIDA NAINGGOLAN 3 RAMBA SIPULGUK 12/10/1959 1 1 RAMBA SIPULGUK PAHAE JAE TORDOLOK NAULI PUSKESMAS SARULLA
82 1202061807082977 1202060310950001 DEDDY SILITONGA 4 LOBUTOLONG 05/10/1995 2 2 RAMBA SIPULGUK PAHAE JAE TORDOLOK NAULI PUSKESMAS SARULLA
83 1202061807082977 1202064610970001 IRAWATI SILITONGA 4 LOBUTOLONG 02/10/1997 1 2 RAMBA SIPULGUK PAHAE JAE TORDOLOK NAULI PUSKESMAS SARULLA
84 1202061807082974 1202060408620001 RANTO SILITONGA 1 RAMBA SIPULGUK 22/07/1963 2 1 TORDOLOK NAULI PAHAE JAE TORDOLOK NAULI PUSKESMAS SARULLA
85 1202061807082974 1202065006620001 TIORMIN SITOMPUL 3 TANO BATU 02/06/1960 1 1 TORDOLOK NAULI PAHAE JAE TORDOLOK NAULI PUSKESMAS SARULLA
86 1202061807082974 1202065907920001 RANI SILITONGA 4 RAMBA SIPULGUK 19/07/1992 1 2 TORDOLOK NAULI PAHAE JAE TORDOLOK NAULI PUSKESMAS SARULLA
87 1202061807082977 1202061010570001 PARINSAN PAKPAHAN 1 LOBU PANGALOAN 10/10/1957 2 1 SIANTAR NATIO PAHAE JAE TORDOLOK NAULI PUSKESMAS SARULLA
88 1202061807082977 1202066412580001 MARIATI SITOMPUL 3 SIRIA-RIA 24/15/1958 1 1 SIANTAR NATIO PAHAE JAE TORDOLOK NAULI PUSKESMAS SARULLA
89 1202061807082977 1202060711880001 ANGGIAT TULUS PAKPAHAN 4 LOBU PANGALOAN 07/11/1988 2 2 SIANTAR NATIO PAHAE JAE TORDOLOK NAULI PUSKESMAS SARULLA
 90 1202062106120003 1202060301140001 REYNOL NAINGGOLAN 4 TARDOLOK NAULI 03/01/2014 2 2 RAMBA SIPULGUK PAHAE JAE TORDOLOK NAULI PUSKESMAS SARULLA
91 1202061208160006 3201027112760009 MINCE SIANTURI 1 TAPANULI 31/12/1976 1 3 HUTA MAMUKKA PAHAE JAE TORDOLOK NAULI PUSKESMAS SARULLA
92 1202061208160006 3201026103060003 ESTHER GREISYA PAKPAHAN 4 BOGOR 21/03/2006 1 2 HUTA MAMUKKA PAHAE JAE TORDOLOK NAULI PUSKESMAS SARULLA
93 1202061208160006 3201021206150002 JUAN CHRISTIAN PAKPAHAN 4 BOGOR 12/06/2015 2 2 HUTA MAMUKKA PAHAE JAE TORDOLOK NAULI PUSKESMAS SARULLA
94 1202062009160001 1202060507910001 DIMPOS NAINGGOLAN 1 LOBU PANGALOAN 05/07/1991 2 1 TORDOLOK NAULI PAHAE JAE TORDOLOK NAULI PUSKESMAS SARULLA
95 1202062009160001 1219036703940001 RIFKA MARETTA SINAGA 3 LIMAU SUNDAI 27/03/1994 1 1 TORDOLOK NAULI PAHAE JAE TORDOLOK NAULI PUSKESMAS SARULLA
96 1202062009160001 1202064108170001 CHRISTINA NAINGGOLAN 4 PAHAE JAE 01/08/2017 1 2 TORDOLOK NAULI PAHAE JAE TORDOLOK NAULI PUSKESMAS SARULLA
97 1202062107170002 1213162403690001 POLADIA SIMAMORA 1 DANO JULU 09/04/1969 2 1 NAHORNOP MARSA PAHAE JAE NAHORNOP MARSADA PUSKESMAS SARULLA
98 1202062107170002 1213166304700001 SERTI NAINGGOLAN 3 PULAU SAMOSIR 03/03/1974 1 1 NAHORNOP MARSA PAHAE JAE NAHORNOP MARSADA PUSKESMAS SARULLA
99 1202061807080149 1202065711760001 DINAR MERILIN SIMATUPANG 1 BANJAR NAINGGOLA 17/11/1976 1 1 NAHORNOP MARSA PAHAE JAE NAHORNOP MARSADA PUSKESMAS SARULLA
100 1202061807080149 1202066709020001 ESRA MELIANA HARIANJA 4 SIPARENDEAN 27/09/2002 1 2 NAHORNOP MARSA PAHAE JAE NAHORNOP MARSADA PUSKESMAS SARULLA
101 1202061807080391 1202066802070001 RUTH THERESIA DAMANIK 4 SIRIA-RIA 28/02/2008 1 2 SARULLA PAHAE JAE NAHORNOP MARSADA PUSKESMAS SARULLA
102 1202061807080391 1202066106120001 GEBY PATRESYA DAMANIK 4 SARULLA 21/06/2012 1 2 SARULLA PAHAE JAE NAHORNOP MARSADA PUSKESMAS SARULLA
103 1202062809110004 1202060809530001 UMBAN LUMBAN GAOL 1 POLLUNG 08/09/1953 2 1 NAHORNOP MARSA PAHAE JAE NAHORNOP MARSADA PUSKESMAS SARULLA
104 1202062809110004 1202066505540001 RUSLIANA SITOMPUL 3 SARULLA 25/05/1954 1 1 NAHORNOP MARSA PAHAE JAE NAHORNOP MARSADA PUSKESMAS SARULLA
105 1202060307120001 1202061712820002 DARIUS JOHAN PITER MALAU 1 MEDAN 17/12/1982 2 1 AEK BOTIK JULU PAHAE JAE NAHORNOP MARSADA PUSKESMAS SARULLA
106 1202060307120001 1202064802880001 TIO IRFRI ANITRA TAMBUNAN 3 SIGOTOM 08/02/1988 1 1 LUMBAN HOLBUNG PAHAE JAE NAHORNOP MARSADA PUSKESMAS SARULLA
107 1202061106120001 1202061004850002 PAIMUN SIAHAAN 1 PULO SIBORNA 10/04/1985 2 1 LUMBAN HOLBUNG PAHAE JAE NAHORNOP MARSADA PUSKESMAS SARULLA
108 1202061106120001 1202064109850004 NURMAWATY GULTOM 3 SARULLA 01/09/1985 1 1 LUMBAN HOLBUNG PAHAE JAE NAHORNOP MARSADA PUSKESMAS SARULLA
109 1202061106120001 1202062310130002 EDOWARD PRASETIO SIAHAAN 4 TARUTUNG 23/10/2013 2 2 LUMBAN HOLBUNG PAHAE JAE NAHORNOP MARSADA PUSKESMAS SARULLA
110 1202061602170002 1202062801780001 MANGAPUL SIAHAAN 1 TARUTUNG 28/01/1978 2 1 AEK BOTIK JULU PAHAE JAE NAHORNOP MARSADA PUSKESMAS SARULLA
111 1202061602170002 1202085006880001 HONNI MARBUN 3 AEK SULUM 18/08/1988 1 1 AEK BOTIK JULU PAHAE JAE NAHORNOP MARSADA PUSKESMAS SARULLA
112 1202061602170002 1202064501140001 LEONA SARA SIAHAAN 4 SARULLA 05/01/2014 1 2 AEK BOTIK JULU PAHAE JAE NAHORNOP MARSADA PUSKESMAS SARULLA
113 1202062801110002 1202061106740003 MARDIN GULTOM 1 NAGATIMBUL 11/06/1974 2 1 SIPARENDEAN PAHAE JAE NAHORNOP MARSADA PUSKESMAS SARULLA
114 1202062801110002 1202064707770004 HOTNAULI BATUBARA 3 SARULLA 07/07/1977 1 1 SIPARENDEAN PAHAE JAE NAHORNOP MARSADA PUSKESMAS SARULLA
115 1202061210120008 1202064501780004 NELIS HARIANJA 1 SIRIA-RIA 07/01/1979 1 1 AEK BOTIK JULU PAHAE JAE NAHORNOP MARSADA PUSKESMAS SARULLA
116 1202062105150004 1409011801870002 SURYADI HASIHOLAN GULTOM 1 SARULLA 08/01/1987 2 1 NAHORNOP MARSA PAHAE JAE NAHORNOP MARSADA PUSKESMAS SARULLA
117 1202062105150004 1409015708890004 SUTIANTI HAREFA 3 SIGODUNG 17/08/1989 1 1 NAHORNOP MARSA PAHAE JAE NAHORNOP MARSADA PUSKESMAS SARULLA
118 1202061807080168 1202060110670001 ROBINHOT SIHOMBING 1 LUMBAN TORUAN SI 01/01/1967 2 1 SIRIA-RIA PAHAE JAE NAHORNOP MARSADA PUSKESMAS SARULLA
119 1202061807080168 1202066105690001 ROSMIN HUTABARAT 3 JAMBURNAULI 21/05/1969 1 1 SIRIA-RIA PAHAE JAE NAHORNOP MARSADA PUSKESMAS SARULLA
120 1202062910090002 1202061010780002 SARLI MANALU 1 LUMBAN SINAGA 16/10/1978 2 1 AEK BOTIK JULU PAHAE JAE NAHORNOP MARSADA PUSKESMAS SARULLA
121 1202062910090002 1202065702810002 LENNI HERLINA SIBURIAN 3 AEK BULU 17/02/1981 1 1 AEK BOTIK JULU PAHAE JAE NAHORNOP MARSADA PUSKESMAS SARULLA
122 1202062009130004 1202062705140001 STEVEN ANDREAS HUTAGALUNG 4 SARULLA 27/05/2014 2 2 SIPARENDEAN PAHAE JAE NAHORNOP MARSADA PUSKESMAS SARULLA
123 1202062009130004 1202065501170001 YESSI DAME HUTAGALUNG 4 SARULLA 15/01/2017 1 2 SIPARENDEAN PAHAE JAE NAHORNOP MARSADA PUSKESMAS SARULLA
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252 1202061807082152 1202060605060001 LOVENDRI DINATA NABABAN 4 BANUA LUHU 06/05/2006 2 2 BANUA LUHU PAHAE JAE SILANGKITANG PUSKESMAS SARULLA
253 1202061807082152 1202065912090001 LOVIANI LOUINTAN NABABAN 4 BANUA LUHU 19/12/2009 1 2 BANUA LUHU PAHAE JAE SILANGKITANG PUSKESMAS SARULLA
254 1202061807082205 1202063005780001 TONNY SIBARANI 1 SILANGKITANG 30/05/1978 2 1 HUTA SAPILPIL PAHAE JAE SILANGKITANG PUSKESMAS SARULLA
255 1202061807082205 1202064503780003 TIAJAR SIANTURI 3 RANTO PANJANG 05/03/1978 1 1 HUTA SAPILPIL PAHAE JAE SILANGKITANG PUSKESMAS SARULLA
256 1202061807082205 1202063005080002 EVAN ABSALOM SIBARANI 4 SILANGKITANG 30/05/2008 2 2 HUTA SAPILPIL PAHAE JAE SILANGKITANG PUSKESMAS SARULLA
257 1202061807082205 1202066402100001 GRACIA YOKEBED SIBARANI 4 SILANGKITANG 24/02/2010 1 2 HUTA SAPILPIL PAHAE JAE SILANGKITANG PUSKESMAS SARULLA
258 1202061807082164 1202060111980002 EDOWAR PASARIBU 4 HUTADANGIR 01/11/1998 2 2 HUTADANGIR PAHAE JAE SILANGKITANG PUSKESMAS SARULLA
259 1202061807082164 1202065811000002 RUTH WAHYUNI PASARIBU 4 HUTADANGIR 18/10/2000 1 2 HUTADANGIR PAHAE JAE SILANGKITANG PUSKESMAS SARULLA

Mengetahui: Ka.UPT-Puskesmas Sarulla

Camat Pahae Jae Kecamatan Pahae Jae

RIANTO LUMBAN TOBING,SE,MMA dr.Henry Sitompul

NIP.197308241994021001 NIP.197405042003121005
 USULAN NAMA -NAMA PESERTA JAMKESDA PROPINSI TAHUN 2018
UPT-PUSKESMAS SARULLA
KECAMATAN PAHAE JAE

Statu
Jenis
s
PISAT Tanggal Lahir Kela
1awi
min Alamat Tempat Nama
No No KK NIK/KITAS/KITAP Nama Lengkap n Nama Desa Nama Faskes Tk.I
Tinggal Kecamatan
1=K,
P/I/S/ 2=B,
P=1
A1.... Tempat Lahir dd/mm/yyyy
L=2
3 3=J,
1 2 3 4 4 7 8 4=D
9 10 17 19 20
1 1202061807081394 1202064307890002 ROMAITO NAINGGOLAN 4 SARULLA 03/07/1989 1 2 JL DI PANJAITAN PAHAE JAE KELURAHAN SARULLA PUSKESMAS SARULLA
2 1202061807081247 1202060305760001 PATAR BASA ARITONANG 1 SARULLA 03/05/1976 2 1 JL.PEMBANGUNAN PAHAE JAE KELURAHAN SARULLA PUSKESMAS SARULLA
3 1202061807081247 1202065811780001 SUSI MEGAWATI SITOMPUL 3 SARULLA 18/11/1978 1 1 JL PEMBANGUNAN PAHAE JAE KELURAHAN SARULLA PUSKESMAS SARULLA
4 1202061807081247 1202064502030001 KEZIA AIDA ARITONANG 4 SARULLA 05/02/2003 1 2 JL.PEMBANGUNAN PAHAE JAE KELURAHAN SARULLA PUSKESMAS SARULLA
5 1202061807081247 1202065807040001 DUMA ZINDY ARITONANG 4 SARULLA 18/07/2004 1 2 JL PEMBANGUNAN PAHAE JAE KELURAHAN SARULLA PUSKESMAS SARULLA
6 1202061807081247 1202064902060001 RAHEL GRACE NOVALIN ARIT 4 SARULLA 09/02/2004 1 2 JL.PEMBANGUNAN PAHAE JAE KELURAHAN SARULLA PUSKESMAS SARULLA
7 1202061807081247 1202062202090001 VALENTINO JECONIAH ARITON 4 SARULLA 22/02/2009 2 2 JL PEMBANGUNAN PAHAE JAE KELURAHAN SARULLA PUSKESMAS SARULLA
8 1202061807081247 1202061006130001 STEVANI AURORA ARITONANG 4 SARULLA 10/06/2013 1 2 JL PEMBANGUNAN PAHAE JAE KELURAHAN SARULLA PUSKESMAS SARULLA
9 1202061807080105 1202065604390002 SURTA MELIANA SIBURIAN 1 SIBURIAN 16/04/1939 1 3 PASAR SARULLA PAHAE JAE KELURAHAN SARULLA PUSKESMAS SARULLA
10 1202061807081371 1202062603610001 HAPOSAN TAMBUNAN 1 AEK BOTIK 26/03/1961 2 1 JL PENDIDIKAN PAHAE JAE KELURAHAN SARULLA PUSKESMAS SARULLA
11 1202061807081371 1202064603520001 TIODEMAK SILITONGA 3 SARULLA 06/03/1952 1 1 JL PENDIDIKAN PAHAE JAE KELURAHAN SARULLA PUSKESMAS SARULLA
12 1202062601090002 1202062004660001 SAHARATUA SIREGAR 1 SARULLA 20/04/1966 2 1 JL PENDIDIKAN PAHAE JAE KELURAHAN SARULLA PUSKESMAS SARULLA
13 1202061702140003 1202061505890001 LANJU PAKPAHAN 1 JAMBI 15/05/1989 2 1 JL SISINGAMANGAR PAHAE JAE KELURAHAN SARULLA PUSKESMAS SARULLA
14 1202061702140003 1202065011930001 RENNI SITOMPUL 3 BANJAR PEA 08/02/1994 1 1 JL SISINGAMANGAR PAHAE JAE KELURAHAN SARULLA PUSKESMAS SARULLA
15 1202061702140003 1202066009130001 AISYAH RISHELA PAKPAHAN 4 SARULLA 20/09/2013 1 2 JL SISINGAMANGAR PAHAE JAE KELURAHAN SARULLA PUSKESMAS SARULLA
16 1202061611110002 1202060107760001 TAHAN BARITA SIHOMBING 1 PARDOMUAN NAU 01/07/1976 2 1 JL.GKPI SARULLA PAHAE JAE KELURAHAN SARULLA PUSKESMAS SARULLA
17 1202061611110002 1202066106830002 LENNI MARLINA PURBA 3 SARULLA 21/06/1983 1 1 JL.GKPI SARULLA PAHAE JAE KELURAHAN SARULLA PUSKESMAS SARULLA
18 1202061611110002 1202064109100001 EKA PATRESIA SIHOMBING 4 SARULLA 01/09/2010 1 2 JL.GKPI SARULLA PAHAE JAE KELURAHAN SARULLA PUSKESMAS SARULLA
19 1202061611110002 1202064211120001 CELINE LUSYANA SIHOMBING 4 SARULLA 02/11/2012 1 2 JL.GKPI SARULLA PAHAE JAE KELURAHAN SARULLA PUSKESMAS SARULLA
20 1202062607100004 1202061601740001 MARIEL ZALUKHU 1 NIAS 16/01/1974 2 1 JL SM RAJA PAHAE JAE KELURAHAN SARULLA PUSKESMAS SARULLA
21 1202062607100004 1202064812750001 SRI PUJIATI 3 PEMATANG SIAN 08/12/1975 1 1 JL SM RAJA PAHAE JAE KELURAHAN SARULLA PUSKESMAS SARULLA
22 1202062607100004 1202060703950001 SAPRIZAL SAZISOKHI ZALUKH 4 SARULLA 07/03/1995 2 2 JL SM RAJA PAHAE JAE KELURAHAN SARULLA PUSKESMAS SARULLA
23 1202062607100004 1202066804960001 JELINA YANTI ZALUKHU 4 SARULLA 28/04/1996 1 2 JL SM RAJA PAHAE JAE KELURAHAN SARULLA PUSKESMAS SARULLA
24 1202062607100004 1202065006000001 TETTY JUNIASTI ZALUKHU 4 SARULLA 10/06/2000 1 2 JL SM RAJA PAHAE JAE KELURAHAN SARULLA PUSKESMAS SARULLA
25 1202062607100004 1202066812060001 DESY MULIANI ZALUKHU 4 SARULLA 28/12/2008 1 2 JL SM RAJA PAHAE JAE KELURAHAN SARULLA PUSKESMAS SARULLA
26 1202062403140003 1202066007160001 YULIANA NAINGGOLAN 5 TARUTUNG 20/07/2016 1 2 JL MESJID PAHAE JAE KELURAHAN SARULLA PUSKESMAS SARULLA
27 1202062906150001 1202062511880002 CRISTOVEL YOSUA P.GULTOM 1 PASAR SARULLA 25/11/1988 2 1 JL.PATUAN ANGGI PAHAE JAE KELURAHAN SARULLA PUSKESMAS SARULLA
28 1202062906150001 1202065505860001 MURNIATI SIHOMBING 3 AEK BOTIK JULU 15/05/1986 1 1 JL.PATUAN ANGGI PAHAE JAE KELURAHAN SARULLA PUSKESMAS SARULLA
29 1202061807081395 1202062103640001 MANUEL MARCELIO A.LUBIS 5 JAKARTA 21/03/2004 2 2 JL.DI PANJAITAN PAHAE JAE KELURAHAN SARULLA PUSKESMAS SARULLA
30 1202061807081395 1202066201090002 JOICE FRIMA ANGEL LUBIS 5 TARUTUNG 22/01/2009 1 2 JL.DI PANJAITAN PAHAE JAE KELURAHAN SARULLA PUSKESMAS SARULLA
31 1202061807080998 1202061207860001 JENNI VER FERNANDO MALAU 4 SARULLA 12/07/1986 2 2 SARULLA PAHAE JAE KELURAHAN SARULLA PUSKESMAS SARULLA
32 1202061807081415 1202061212760002 RONNY TAMBUN 1 JATI KARYA 12/12/1976 2 1 JL.PATUAN ANGGI PAHAE JAE KELURAHAN SARULLA PUSKESMAS SARULLA
33 1202061807081415 1202064105800004 SERI MEI ROMAULI SIANTURI 3 SARULLA 01/05/1980 1 1 JL.PATUAN ANGGI PAHAE JAE KELURAHAN SARULLA PUSKESMAS SARULLA
34 1202061807081415 1202060203020003 FRIACHER ZAKHARIA TAMBUN 4 JATI KARYA 02/03/2002 2 2 JL.PATUAN ANGGI PAHAE JAE KELURAHAN SARULLA PUSKESMAS SARULLA
35 1202061807081415 1202064610030003 PRISKA PUTRI TAMBUN 4 SARULLA 06/10/2003 1 2 JL.PATUAN ANGGI PAHAE JAE KELURAHAN SARULLA PUSKESMAS SARULLA
36 1202061807081415 1202060401060001 DAPIT TITO SAPUTRA TAMBUN 4 SARULLA 04/01/2005 2 2 JL.PATUAN ANGGI PAHAE JAE KELURAHAN SARULLA PUSKESMAS SARULLA
37 1202061807081415 1202060310110002 PANIEL JEREMIA TAMBUN 4 SARULLA 03/10/2011 2 2 JL.PATUAN ANGGI PAHAE JAE KELURAHAN SARULLA PUSKESMAS SARULLA
38 1202061807081415 1202061803140001 JASTIN DIEGO TAMBUN 4 SARULLA 18/03/2014 2 2 JL.PATUAN ANGGI PAHAE JAE KELURAHAN SARULLA PUSKESMAS SARULLA
39 1202061807081393 1202062511620001 HOTMAN SIBURIAN 1 SARULLA 25/11/1962 2 1 JL DI PANJAITAN PAHAE JAE KELURAHAN SARULLA PUSKESMAS SARULLA
40 1202061807081393 1202065505660001 HOTDERIA SIMANUNGKALIT 3 SIUNGGAS 15/05/1966 1 1 JL DI PANJAITAN PAHAE JAE KELURAHAN SARULLA PUSKESMAS SARULLA
41 1202061807081393 1202067108930002 JOY KRISTIAN SIMATUPANG 4 SARULLA 31/08/1993 2 2 JL DI PANJAITAN PAHAE JAE KELURAHAN SARULLA PUSKESMAS SARULLA
42 1202061807081393 1202061509960002 TOMMY ANDRE SIBURIAN 4 SARULLA 15/09/1996 2 2 JL DI PANJAITAN PAHAE JAE KELURAHAN SARULLA PUSKESMAS SARULLA
43 1202061807081393 1202060311970001 CANDRO TRYADI SIBURIAN 4 SARULLA 03/11/1997 2 2 JL DI PANJAITAN PAHAE JAE KELURAHAN SARULLA PUSKESMAS SARULLA
44 1202061807081393 1202065704030002 LILIS SURYANI SIBURIAN 4 SARULLA 17/04/2003 1 2 JL DI PANJAITAN PAHAE JAE KELURAHAN SARULLA PUSKESMAS SARULLA
45 1202060402150001 1202064112680001 MARSINTA GULTOM 1 SARULLA 01/12/1968 1 3 JL SM RAJA PAHAE JAE KELURAHAN SARULLA PUSKESMAS SARULLA
46 1202060402150001 1202061603910002 BOY MARTHIN SIREGAR 4 SARULLA 16/03/1991 2 2 JL SM RAJA PAHAE JAE KELURAHAN SARULLA PUSKESMAS SARULLA
47 1202060402150001 1202060106940001 JUNITO SIREGAR 4 SARULLA 01/06/1994 2 2 JL SM RAJA PAHAE JAE KELURAHAN SARULLA PUSKESMAS SARULLA
48 1202060402150001 1202066301020001 SHERINA SIREGAR 4 SARULLA 23/01/2002 1 2 JL SM RAJA PAHAE JAE KELURAHAN SARULLA PUSKESMAS SARULLA
49 1202063007120002 1202062204740001 RUDI IWANTO SIBURIAN 1 SARULLA 22/04/1974 2 1 JLN.PEMBANGUNANPAHAE JAE KELURAHAN SARULLA PUSKESMAS SARULLA
50 1202063007120002 1202065303750002 TETY MARTSENI PANDIANGAN 3 JAMBI 13/03/1975 1 1 JLN.PEMBANGUNANPAHAE JAE KELURAHAN SARULLA PUSKESMAS SARULLA
51 1202063007120002 1202064912980002 KHARISMA NATALYA SIBURIAN 4 JAMBI 09/12/1998 1 2 JLN.PEMBANGUNANPAHAE JAE KELURAHAN SARULLA PUSKESMAS SARULLA
52 1202063007120002 1202065609000001 SRI PUTRIANY SIBURIAN 4 JAMBI 16/09/2000 1 2 JLN.PEMBANGUNANPAHAE JAE KELURAHAN SARULLA PUSKESMAS SARULLA
53 1202063007120002 1202064906040002 RIBKA RAHEL SIBURIAN 4 SARULLA 09/06/2004 1 2 JLN.PEMBANGUNANPAHAE JAE KELURAHAN SARULLA PUSKESMAS SARULLA
54 1202063007120002 1202061402060001 VALENTINO FERNANDO SIBURI 4 SARULLA 14/02/2006 2 2 JLN.PEMBANGUNANPAHAE JAE KELURAHAN SARULLA PUSKESMAS SARULLA
55 1202063007120002 1202060307080002 RESKY TRI SAPTA SIBURIAN 4 SARULLA 03/07/2008 2 2 JLN.PEMBANGUNANPAHAE JAE KELURAHAN SARULLA PUSKESMAS SARULLA
56 1202063007120002 1202067101110001 ELISABETH SIBURIAN 4 SARULLA 31/01/2011 1 2 JLN.PEMBANGUNANPAHAE JAE KELURAHAN SARULLA PUSKESMAS SARULLA
57 1202061510150002 1202066806580001 MEILINDA SIMATUPANG 1 RANTO PANJANG 28/06/1958 2 1 ONAN JORO PAHAE JAE PARDAMEAN NAINGGOLAN PUSKESMAS SARULLA
58 1202061510150002 1202065209840002 FERAWATY SIHOMBING 3 ONAN JORO 12/09/1984 1 1 ONAN JORO PAHAE JAE PARDAMEAN NAINGGOLAN PUSKESMAS SARULLA
59 1202062302110024 1202060409730001 RAYO MARADA SIMATUPANG 1 RANTO PANJANG 04/09/1973 1 1 RANTO PANJANG PAHAE JAE PARDAMEAN NAINGGOLAN PUSKESMAS SARULLA
60 1202062302110024 1202064601880002 RATNA SIHOMBING 3 PEMATANG SIAN 06/01/1988 2 1 RANTO PANJANG PAHAE JAE PARDAMEAN NAINGGOLAN PUSKESMAS SARULLA
61 1202062302110055 1202061706650001 WALMAN PAKPAHAN 1 RANTO PANJANG 17/06/1965 2 1 PAKPAHAN PAHAE JAE PARDAMEAN NAINGGOLAN PUSKESMAS SARULLA
62 1202062302110055 1202067112650003 ROMSINE TAMPUBOLON 3 PAKKAT 31/12/1965 1 1 PAKPAHAN PAHAE JAE PARDAMEAN NAINGGOLAN PUSKESMAS SARULLA
63 1202062302110055 1202060202020001 INGOT BARITA PAKPAHAN 4 PAKPAHAN 03/02/2003 2 2 PAKPAHAN PAHAE JAE PARDAMEAN NAINGGOLAN PUSKESMAS SARULLA
64 1202061208150001 1202062303900001 SAHABAT PARUNTUNGAN PAK 1 RANTO PANJANG 23/03/1990 2 1 PAKPAHAN PAHAE JAE PARDAMEAN NAINGGOLAN PUSKESMAS SARULLA
65 1202061208150001 1202074806870001 PARAGOLINA NAINGGOLAN 3 AEK RAU 08/06/1987 1 1 PAKPAHAN PAHAE JAE PARDAMEAN NAINGGOLAN PUSKESMAS SARULLA
66 1202061208150001 1202060612120001 ANDI SAPUTRA PAKPAHAN 4 PAKPAHAN 06/12/2012 2 2 PAKPAHAN PAHAE JAE PARDAMEAN NAINGGOLAN PUSKESMAS SARULLA
67 1202061208150001 1202060402150001 ALEX PAKPAHAN 4 PAKPAHAN 04/02/2015 2 2 PAKPAHAN PAHAE JAE PARDAMEAN NAINGGOLAN PUSKESMAS SARULLA
68 1202062005090002 1202060112580001 WILSON SIMATUPANG 1 HUNIK BURLE 01/12/1958 2 4 HUNIK BURLE PAHAE JAE PARDAMEAN NAINGGOLAN PUSKESMAS SARULLA
69 1202062005090002 1472022603840021 HUSOR MARULI 4 PULAU HALANG 26/03/1984 2 2 HUNIK BURLE PAHAE JAE PARDAMEAN NAINGGOLAN PUSKESMAS SARULLA
70 1202062005090002 1202061110900003 BENGET ANTON SIMATUPANG 4 PULAU HALANG 21/10/1989 2 2 HUNIK BURLE PAHAE JAE PARDAMEAN NAINGGOLAN PUSKESMAS SARULLA
71 1202062005090002 1472026108970041 INAOMI NURFITRI SIMATUPANG 4 PULAU HALANG 12/08/1997 1 2 HUNIK BURLE PAHAE JAE PARDAMEAN NAINGGOLAN PUSKESMAS SARULLA
72 1202061307150005 3217092303820016 FREEZER SIMATUPANG 1 LUMBAN MUARA 23/03/1982 2 1 LUMBAN MUARA PAHAE JAE PARDAMEAN NAINGGOLAN PUSKESMAS SARULLA
73 1202061307150005 3217094903860006 DONNA RINA SIJABAT 3 SIDABALOK 09/03/1986 1 1 LUMBAN MUARA PAHAE JAE PARDAMEAN NAINGGOLAN PUSKESMAS SARULLA
74 1202061307150005 3217096704110003 TANIA APRILLIA MAGDALENA 4 BANDUNG 27/04/2011 1 2 LUMBAN MUARA PAHAE JAE PARDAMEAN NAINGGOLAN PUSKESMAS SARULLA
75 1202062302110028 1202060510830002 SWANDI IDRIS SIMATUPANG 1 RANTO PANJANG I05/10/1983 2 1 PARDAMEAN NAING PAHAE JAE PARDAMEAN NAINGGOLAN PUSKESMAS SARULLA
76 1202062302110028 1202064205890004 FITRI SISKA NAINGGOLAN 3 ONAN JORO 23/05/1989 1 1 PARDAMEAN NAING PAHAE JAE PARDAMEAN NAINGGOLAN PUSKESMAS SARULLA
77 1202062302110028 1202061705080001 ABIGAEL SIMATUPANG 4 LUMBAN TONGA 17/05/2008 2 2 PARDAMEAN NAING PAHAE JAE PARDAMEAN NAINGGOLAN PUSKESMAS SARULLA
78 1202062302110028 1202061107130001 AURELLIO SIMATUPANG 4 LUMBAN TONGA 11/07/2013 2 2 PARDAMEAN NAING PAHAE JAE PARDAMEAN NAINGGOLAN PUSKESMAS SARULLA
79 1202062302110028 1202065811150002 CHRIS ALGIERI SIMATUPANG 4 LUMBAN TONGA 18/11/2015 1 2 PARDAMEAN NAING PAHAE JAE PARDAMEAN NAINGGOLAN PUSKESMAS SARULLA
80 1202061310150002 1902022810780005 ROLAND SIMATUPANG 1 ONAN JORO 28/10/1978 2 1 PARDAMEAN NAING PAHAE JAE PARDAMEAN NAINGGOLAN PUSKESMAS SARULLA
81 1202061310150002 1902024508770003 TIRAMA SIANIPAR 3 SITARATUA 05/08/1977 1 1 PARDAMEAN NAING PAHAE JAE PARDAMEAN NAINGGOLAN PUSKESMAS SARULLA
82 1202061310150002 1902022709050001 HARLAND SAPUTRA SIMATUPA 4 KEMBIRI 27/09/2005 2 2 PARDAMEAN NAING PAHAE JAE PARDAMEAN NAINGGOLAN PUSKESMAS SARULLA
83 1202061310150002 1902024801100001 PRHISHILIA SIMATUPANG 4 TANJUNG PANDA 08/01/2010 1 2 PARDAMEAN NAING PAHAE JAE PARDAMEAN NAINGGOLAN PUSKESMAS SARULLA
84 1202061310150002 1202066711150001 NOVELICHA SIMATUPANG 4 GODUNG 27/11/2015 1 2 PARDAMEAN NAING PAHAE JAE PARDAMEAN NAINGGOLAN PUSKESMAS SARULLA
85 1202066010610001 1202061504850001 PARDA LAMSIHAR PAKPAHAN 1 PAKPAHAN 15/04/1985 2 1 PARDAMEAN NAING PAHAE JAE PARDAMEAN NAINGGOLAN PUSKESMAS SARULLA
86 1202066010610001 1202066409880001 IMELDA MULIATI SIANIPAR 3 PORSEA 24/09/1988 1 1 PARDAMEAN NAING PAHAE JAE PARDAMEAN NAINGGOLAN PUSKESMAS SARULLA
87 1202066010610001 1202065206080002 LASRIA ARTALITHA PAKPAHAN 4 PAKPAHAN 12/06/2008 1 2 PARDAMEAN NAING PAHAE JAE PARDAMEAN NAINGGOLAN PUSKESMAS SARULLA
88 1202066010610001 1202062209110001 SALOMO AMADEUS PAKPAHAN 4 PAKPAHAN 22/09/2011 2 2 PARDAMEAN NAING PAHAE JAE PARDAMEAN NAINGGOLAN PUSKESMAS SARULLA
89 1202066010610001 1202065009150001 MICEL AURELIA PAKPAHAN 4 ONAN JORO 10/09/2015 1 2 PARDAMEAN NAING PAHAE JAE PARDAMEAN NAINGGOLAN PUSKESMAS SARULLA
90 1202062302110041 1202061010760001 ELPIS SIMATUPANG 1 RANTO PANJANG 13/10/1975 2 1 GODUNG PAHAE JAE PARDAMEAN NAINGGOLAN PUSKESMAS SARULLA
91 1202062302110041 1202066105760001 SETIA SITOMPUL 3 SILANGKITANG 21/05/1976 1 1 GODUNG PAHAE JAE PARDAMEAN NAINGGOLAN PUSKESMAS SARULLA
92 1202062302110041 1202064707070003 ISABELLA SIMATUPANG 4 RANTO PANJANG 07/07/2007 1 2 GODUNG PAHAE JAE PARDAMEAN NAINGGOLAN PUSKESMAS SARULLA
93 1202062302110041 1202066505090001 MARITO SIMATUPANG 4 RANTO PANJANG 25/05/2009 1 2 GODUNG PAHAE JAE PARDAMEAN NAINGGOLAN PUSKESMAS SARULLA
94 1202062302110041 1202062107120001 EFRAIM SIMATUPANG 4 RANTO PANJANG 21/07/2012 2 2 GODUNG PAHAE JAE PARDAMEAN NAINGGOLAN PUSKESMAS SARULLA
95 1202062302110041 1202066501150001 REFALINA SIMATUPANG 4 RANTO PANJANG 25/01/2016 1 2 GODUNG PAHAE JAE PARDAMEAN NAINGGOLAN PUSKESMAS SARULLA
96 1202061807080450 1202066512450001 MAGDA NAINGGOLAN 1 PAKKAT 25/12/1945 1 3 PARDAMEAN PAHAE JAE PARDAMEAN NAINGGOLAN PUSKESMAS SARULLA
97 1202061111110003 1202061708830002 HRMOKO SIMATUPANG 1 LUMBAN MUARA 17/08/1983 2 1 LUMBAN MUARA PAHAE JAE PARDAMEAN NAINGGOLAN PUSKESMAS SARULLA
98 1202061111110003 1202065204900002 RITA NATALIA SIPAHUTAR 3 SIRIA RIA 12/04/1990 1 1 LUMBAN MUARA PAHAE JAE PARDAMEAN NAINGGOLAN PUSKESMAS SARULLA
99 1202061111110003 1202066503100001 VALENTINA SIMATUPANG 4 LUMBAN MUARA 25/03/2010 1 2 LUMBAN MUARA PAHAE JAE PARDAMEAN NAINGGOLAN PUSKESMAS SARULLA
100 1202061111110003 1202064111110001 RASTI SIMATUPANG 4 LUMBAN MUARA 01/11/2011 1 2 LUMBAN MUARA PAHAE JAE PARDAMEAN NAINGGOLAN PUSKESMAS SARULLA
101 1202061111110003 1202066410130001 INDAH TRYPUTRI SIMATUPANG 4 LUMBAN MUARA 24/10/2013 1 2 LUMBAN MUARA PAHAE JAE PARDAMEAN NAINGGOLAN PUSKESMAS SARULLA
102 1202061111110003 1202065503160001 ROMAITO SIMATUPANG 4 LUMBAN MUARA 15/03/2016 1 2 LUMBAN MUARA PAHAE JAE PARDAMEAN NAINGGOLAN PUSKESMAS SARULLA
103 1202061111110003 1202065308420001 FLORA GULTOM 5 SARULLA 13/08/1942 1 3 LUMBAN MUARA PAHAE JAE PARDAMEAN NAINGGOLAN PUSKESMAS SARULLA
104 1202061306160004 1211080412880001 MANEREP SIMAMORA 1 LAEGARUT 04/12/1988 2 1 RANTO PANJANG PAHAE JAE PARDAMEAN NAINGGOLAN PUSKESMAS SARULLA
105 1202061306160004 1202064911640002 MARTINA PAKPAHAN 3 RANTO PANJANG I02/12/1989 1 1 RANTO PANJANG PAHAE JAE PARDAMEAN NAINGGOLAN PUSKESMAS SARULLA
106 1202061306160004 1202065706120002 SAMSINAR SIMAMORA 4 LUBUK LINGGAU 17/06/2012 1 2 RANTO PANJANG PAHAE JAE PARDAMEAN NAINGGOLAN PUSKESMAS SARULLA
107 1202061306160004 1202065001150002 DEANDRA SIMAMORA 4 PARDAMEAN NAI 10/01/2015 1 2 RANTO PANJANG PAHAE JAE PARDAMEAN NAINGGOLAN PUSKESMAS SARULLA
108 1202061306160004 1202065101160001 MARITOSIMAMORA 4 PARDAMEAN NAI 11/01/2016 1 2 RANTO PANJANG PAHAE JAE PARDAMEAN NAINGGOLAN PUSKESMAS SARULLA
109 1202060911110006 1202064206680001 RUSTINA SIMANUNGKALIT 1 SIPOHOLON 02/06/1968 1 3 PAKPAHAN PAHAE JAE PARDAMEAN NAINGGOLAN PUSKESMAS SARULLA
110 1202060911110006 1202065303900002 DEBORA HERAWATI HASIBUAN 4 TARUTUNG 13/03/1990 1 2 PAKPAHAN PAHAE JAE PARDAMEAN NAINGGOLAN PUSKESMAS SARULLA
111 1202060911110006 1202060306910001 JOSUA PRIBADI HASIBUAN 4 TARUTUNG 03/06/1991 2 2 PAKPAHAN PAHAE JAE PARDAMEAN NAINGGOLAN PUSKESMAS SARULLA
112 1202060911110006 1202061006990001 JONATHAN HASIBUAN 4 TARUTUNG 10/06/1999 2 2 PAKPAHAN PAHAE JAE PARDAMEAN NAINGGOLAN PUSKESMAS SARULLA
113 1202062008140001 1202061105900001 LEONARDO PAKPAHAN 1 GUNUNG TUA 11/05/1990 2 1 RANTO PANJANG PAHAE JAE PARDAMEAN NAINGGOLAN PUSKESMAS SARULLA
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495 1202061807082206 1202064106010001 CHINDI SIHOMBING 4 PEKANBARU 01/06/2001 1 2 SILANGKITANG RUR PAHAE JAE SILANGKITANG PUSKESMAS SARULLA
496 1202061807082206 1202061009040002 RIFAN SIHOMBING 4 PEKANBARU 10/09/2004 2 2 SILANGKITANG RUR PAHAE JAE SILANGKITANG PUSKESMAS SARULLA
497 1202061807082206 1202067107090001 YELLA SIHOMBING 4 SILANGKITANG 31/07/2009 1 2 SILANGKITANG RUR PAHAE JAE SILANGKITANG PUSKESMAS SARULLA
498 1202061807082190 1202062402820002 JEPLIN SIHOMBING 1 SIGURUNG-GUR 24/02/1982 2 1 SILANGKITANG PAHAE JAE SILANGKITANG PUSKESMAS SARULLA
499 1202061807082190 1202064307820002 HOTMA ROTUA SITOMPUL 3 SIGURUNG-GUR 03/07/1982 1 1 SILANGKITANG PAHAE JAE SILANGKITANG PUSKESMAS SARULLA
500 1202061807082190 1202064804020003 KEZIA SIHOMBING 4 SIGURUNG-GUR 08/04/2002 1 2 SILANGKITANG PAHAE JAE SILANGKITANG PUSKESMAS SARULLA
501 1202061807082190 1202061907030001 ALBERTH SIHOMBING 4 SIGURUNG-GUR 19/07/2003 2 2 SILANGKITANG PAHAE JAE SILANGKITANG PUSKESMAS SARULLA
502 1202061807082190 1202061011060002 NOVENTRI UTOMO SIHOMBING 4 SIGURUNG-GUR 10/11/2006 2 2 SILANGKITANG PAHAE JAE SILANGKITANG PUSKESMAS SARULLA
503 1202061807082190 1202062811080001 RANDY SIHOMBING 4 SIGURUNG-GUR 28/11/2008 2 2 SILANGKITANG PAHAE JAE SILANGKITANG PUSKESMAS SARULLA
504 1202063007120001 1202062011900002 MARHOKKOM SITOMPUL 1 SARULLA 20/11/190 2 1 SILANGKITANG PAHAE JAE SILANGKITANG PUSKESMAS SARULLA
505 1202063007120001 1202066505860005 MEIDINA SINAMBELA 3 BELAWAN 25/05/1988 1 1 SILANGKITANG PAHAE JAE SILANGKITANG PUSKESMAS SARULLA
506 1202063007120001 1202064903120001 ARDELIA HOKDIN SITOMPUL 4 SILANGKITANG 09/03/2012 1 2 SILANGKITANG PAHAE JAE SILANGKITANG PUSKESMAS SARULLA
507 1202063007120001 1202060803150001 MICHAEL ORLADO SITOMPUL 4 SILANGKITANG 08/03/2015 2 2 SILANGKITANG PAHAE JAE SILANGKITANG PUSKESMAS SARULLA
508 1202061807082177 1202062002460001 SANGGAM SIHOMBING 1 TAPANULI UTARA 20/02/1946 2 1 PASAR BENGKOK PAHAE JAE SILANGKITANG PUSKESMAS SARULLA
509 1202061807082177 1202065304530001 RINGSE SIREGAR 3 SIBADOAR 13/04/1953 1 1 PASAR BENGKOK PAHAE JAE SILANGKITANG PUSKESMAS SARULLA
510 1202060509160002 1202065110750001 PARULIAN SITOMPUL 1 TELUK DALAM 11/10/1975 1 1 SILANGKITANG PAHAE JAE SILANGKITANG PUSKESMAS SARULLA
511 1202060509160002 1202061902010001 ANRYAN NABABAN 4 SILANGKITANG 19/02/2001 2 2 SILANGKITANG PAHAE JAE SILANGKITANG PUSKESMAS SARULLA
512 1202060509160002 1202066501030001 WULAN NABABAN 4 SILANGKITANG 25/01/2003 1 2 SILANGKITANG PAHAE JAE SILANGKITANG PUSKESMAS SARULLA
513 1202060509160002 1202065603050001 CHINTA NABABAN 4 SILANGKITANG 16/03/2005 1 2 SILANGKITANG PAHAE JAE SILANGKITANG PUSKESMAS SARULLA
514 1202060509160002 1202062001090001 DIKKI NABABAN 4 SILANGKITANG 20/01/2009 2 2 SILANGKITANG PAHAE JAE SILANGKITANG PUSKESMAS SARULLA
515 1202060509160002 1202060112100001 WIDI SANJAI NABABAN 4 SILANGKITANG 10/12/2010 2 2 SILANGKITANG PAHAE JAE SILANGKITANG PUSKESMAS SARULLA
516 1202062403160001 1202060112840003 TONGAM PARASI SIBARANI 1 SILANGKITANG D 01/12/1984 2 1 SILANGKITANG DOL PAHAE JAE SILANGKITANG PUSKESMAS SARULLA
517 1202062403160001 1202065103890002 MELDA SINAGA 3 AEK SANDUDUK 11/03/1989 1 1 SILANGKITANG DOL PAHAE JAE SILANGKITANG PUSKESMAS SARULLA
518 1202062403160001 1202062402130001 JHON STEVEN SIBARANI 4 SILANGKITANG D 24/02/2013 2 2 SILANGKITANG DOL PAHAE JAE SILANGKITANG PUSKESMAS SARULLA
519 1202062403160001 1202062111140001 MARCELINO SIBARANI 4 SILANGKITANG D 21/11/2014 2 2 SILANGKITANG DOL PAHAE JAE SILANGKITANG PUSKESMAS SARULLA

Mengetahui: Ka.UPT-Puskesmas Sarulla

Camat Pahae Jae Kecamatan Pahae Jae

RIANTO LUMBAN TOBING,SE,MMA dr.HENRY SITOMPUL

NIP.197308241994021001 NIP.197405042003121005