Validasi Data Jamkesmas Merjosari 2014

PISAT Tanggal Lahir Jenis Kelamin Status Kawin
No No. KK NIK/KITAS/KITAP Nama Lengkap

P/I/S/A1.3/T1.n Tempat Lahir dd/mm/yyyy 1=L 2=P 1=K 2=B 3=J 4=D
1 2 3 4 5 6 7 8 9
1 3573055011540001 NI ATI P MALANG 11/10/1954 2 3
2 3573057004810010 INDAR DWI ASTUTI A1 MALANG 4/30/1981 2 2
3 3573052903680002 SUJIANTO P MALANG 3/29/1968 1 1
4 3573055604780003 PUJI ASTUTIK I MALANG 4/16/1978 2 1
5 3573050310010002 NAUFAL ABIYYU H A1 MALANG 10/3/2001 1 2
6 3573057110590003 SUJIATI I MALANG 10/31/1959 2 3
7 3573052003840002 HADI WAHONO A1 MALANG 3/20/1984 1 2
9 3573054705860006 ENDAH WIJAYATI P.I MALANG 5/7/1986 2 1
10 3573051612090001 ARIS SULAIMAN A MALANG 12/16/2006 1 2
11 3573055604510004 SUTRI SULASTRI P MALANG 4/16/1951 2 1
12 3573056200470010 SRI WAHYU A MALANG 4/20/1974 2 2
13 3573052908590003 RIDWAN P.S MALANG 8/29/1959 1 1
14 3573054403650002 SURIAMI P.I MALANG 3/4/1965 2 1
15 3573052206880003 BENI PRASETYO A1 MALANG 6/22/1988 1 2
16 3573051212950003 BAYU AGUNG W A2 MALANG 12/12/1995 1 2
17 3573052808010002 BAGUS ADI NURCAHYO A3 MALANG 8/28/2001 1 2
18 ### SAKIYAH P.T MALANG 2/19/1933 2 3
NIHIL
DATA JAMKESMAS RW 1 KELURAHAN MERJOSARI KOTA MALANG
Kode Kode Kode Kode Nama Kode Faskes Nama Faskes
Alamat Tempat Tinggal RT RW Kecamatan Nama Desa No. Telp
Pos Kecamatan Desa Faskes Tk.1 Faskes Tk.1 Dokter Gigi Dokter Gigi
10 11 12 13 14 15 16 17 18 19 20 21 22
JL JOYO TAMBAKSARI 60- A 2 1 Lowokwaru Merjosari Puskesmas

JL JOYO TAMBAKSARI 60- A 2 1 Lowokwaru Merjosari Puskesmas
JL JOYO TAMBAKSARI 60 2 1 Lowokwaru Merjosari Puskesmas
JL JOYO TAMBAKSARI NO 38 3 1 Lowokwaru Merjosari Puskesmas
JL JOYO TAMBAKSARI NO 38 3 1 Lowokwaru Merjosari Puskesmas
JL JOYO TAMBAKSARI 3 1 Lowokwaru Merjosari Puskesmas
DATA JAMKESDA DAN SPM RW 1 KELURAHAN MERJOSARI KOTA MALANG

Status Kelas Rawat 1=Kelas 1 Gapok/ Kewarganegaraan Asuransi Lain
E-mail NPP Jabatan TMT Kerja No. NPWP No. Pasport
1=Tetap, 2=Kontrak 2=kelas 2, 3=kelas 3 Penslunan 1=WNI, 2=WNA No. Polis Nama Asuransi
23 24 25 26 27 28 29 30 31 32 33 34
3 1
3 1
3 1
3 1
3 1
3 1
3 1
3 1
3 1
3 1
3 1
3 1
3 1
3 1
3 1
3 1
3 1
1 2 3 4 5 6 7 8 9
1 3573052901730001 SANURI P.S MALANG 1/29/1973 1 1
2 3573057001750001 SANITI I MALANG 1/30/1975 2 1
3 3573052107960001 M SARIFUDIN A1 MALANG 7/21/1996 1 2
4 3573055103030004 FASTACHO AYU R A2 MALANG 3/11/2003 2 2
5 3573050101390023 KAUDI PAINUN P.S MALANG 1/1/1935 1 1
6 3573054101440009 SATI I MALANG 1/1/1940 2 1
7 3573050509740004 MOCH SOLEH P.S MALANG 9/5/1974 1 1
8 3573055506800012 SRIWAHYUNI I MALANG 6/15/1980 2 1
9 3573055410060002 RAHMA ROMA R A1 MALANG 10/14/2006 2 2
10 3573054606090001 MILA SILFIA A2 MALANG 6/6/2009 2 2
1 3573051001100005 M. FARID ZAMZANI A MALANG 1/10/2010 1 2

2 3573055004680009 SULIYAH P.I MALANG 4/10/1968 2 1
3 3573050912840001 ANDIS KUSWANTO A1 MALANG 09/12/1984 1 2
4 3573050107430011 SUWANDI P.S MALANG 01/01/1943 1 1
5 3573056403540001 JUMANAH I SAMARINDA 24/03/1954 2 1
6 3573050101430005 JAMAL P.T MALANG 01/01/1943 1 1
7 3573052009530001 FX. M. SOERADJI S. P PONTIANAK 20/09/1953 1 1
8 3573055701610002 TUTIK HARIATI P MALANG 17/01/1961 2 3
9 3573055606740001 SULIKAH A1 MALANG 16/06/1974 2 2
10 3573055705080001 NOFIATUL AZIZAH A1 MALANG 17/05/2008 2 2
11 3573054210850003 SANDI OKTA FARE SAR A2 MALANG 02/10/1985 2 2
12 3573053112610008 AMIR P.S MALANG 31/12/1961 1 1
13 3573054812890001 KHOIRIYAH A2 MALANG 12/6/1989 2 2
14 3573055309990001 AIDA FIRIAH A3 MALANG 9/13/1999 2 2
10 11 12 13 14 15 16 17 18 19 20 21 22
JOYO RAHARJO 169 A 2 2 Lowokwaru Merjosari Puskesmas

JOYO RAHARJO II /257 B 5 2 Lowokwaru Merjosari Puskesmas
JOYO RAHARJO II /257 B 5 2 Lowokwaru Merjosari Puskesmas
JOYO RAHARJO 2 2 Lowokwaru Merjosari Puskesmas

JL. JOYO RAHARJO III/191 B 3 2 Lowokwaru Merjosari Puskesmas
JL. JOYO RAHARJO II / 269 5 2 Lowokwaru Merjosari Puskesmas
JL. JOYO RAHARJO I / 235 4 2 Lowokwaru Merjosari Puskesmas
JL. JOYO RAHARJO I / 232-B 4 2 Lowokwaru Merjosari Puskesmas
Jl. JOYO RAHARJO I-B/17 1 2 Lowokwaru Merjosari Puskesmas
JL. JOYO RAHARJO III / 16-C 3 2 Lowokwaru Merjosari Puskesmas
JL. JOYO RAHARJO 192 3 2 Lowokwaru Merjosari Puskesmas
JL. JOYO RAHARJO IV / 209 3 2 Lowokwaru Merjosari Puskesmas
JL. JOYO RAHARJO IV / 126 3 2 Lowokwaru Merjosari Puskesmas
JL. JOYO RAHARJO 138-B 6 2 Lowokwaru Merjosari Puskesmas
23 24 25 26 27 28 29 30 31 32 33 34
3 1
3 1
3 1
3 1
3 1
3 1
3 1
3 1
3 1
3 1
3 1
3 1
3 1
3 1
3 1
3 1
3 1
3 1
3 1
3 1
3 1
3 1
3 1
3 1
1 2 3 4 5 6 7 8 9
1 3573050101710022 PAITO P.S MALANG 1/1/1971 1 1
2 3573054507740005 KUSTINAH YULIATI I MALANG 7/5/1973 2 1
3 3573050101200002 PAIJO P.T MALANG 1/1/1920 1 4
4 3573050901980005 YOGA NABILA. R A1 MALANG 1/9/1998 2 2
5 3573051604000003 RESSA AFFIRLIANTO A2 MALANG 4/16/2000 1 2
6 3573053011020006 RIAN ANDREAS A3 MALANG 11/30/2002 1 2
7 3573054804090001 YOLANDA PUSPITA .S A4 MALANG 4/8/2009 2 2
1 3573055208990002 FITRIA AGUSTIN RAH A1 MALANG 22/08/1999 2 2

2 3573050205630006 H. M.SUKARNO P.S MALANG 02/05/1963 1 1
3 3573051206640002 SUNARDI P.S MALANG 12/06/1964 1 1
4 3573055111610001 MASRUROH P.I MALANG 11/11/1961 2 1
5 3573051709540001 ROESTIYO P MALANG 17/09/1954 1 1
10 11 12 13 14 15 16 17 18 19 20 21 22
JL JOYO MULYO 19 1 3 Lowokwaru Merjosari Puskesmas


JL. JOYO MULYO 317 3 3 Lowokwaru Merjosari Puskesmas
JL. JOYO MULYO NO. 332-C 1 3 Lowokwaru Merjosari Puskesmas
23 24 25 26 27 28 29 30 31 32 33 34
3 1
3 1
3 1
3 1
3 1
3 1
3 1
3 1
1 2 3 4 5 6 7 8 9
1 3573050104700002 JONO P.S MALANG 4/1/1970 1 1
2 3573056607710002 RESEKIYANTI I MALANG 7/26/1971 2 1
3 3573050704930001 ANGGA DANIYANTO A1 MALANG 4/7/1993 1 2
4 3573056510980001 NIA PURWATI A2 MALANG 10/25/1998 2 2
5 3573052504040001 YULIANTO A3 MALANG 4/25/2004 2 2
6 3573051705810006 MUSLIMIN P.S MALANG 5/17/1981 1 1
7 3573055704880003 ATIM PRILIANTINI I MALANG 4/17/1988 2 1
8 3573050807060001 AHMAD MUSTOFA A1 MALANG 7/8/2006 1 2
1 3573051212540002 SUGENG HARIYANTO P MALANG 12/12/1954 1 1

2 3573051401110003 AHMAD FATUR A1 MALANG 14/11/2011 1 2
3 3573050710800001 ARIF SANTOSO A1 MALANG 07/10/1980 1 2
4 3573050307120001 IMAMUL HABIBUR R A2 MALANG 03/07/2012 1 2
5 3573056508850008 DELIA A2 MALANG 25/08/1985 2 2
6 35730 SUPRIANTO P.S MALANG 8/19/1980 1
7 35730 YUNI ISTRILIYAH MALANG 6/22/1981 2
8 35730 SHIFA MAULIDIA A. MALANG 7/27/2008 2
9 35730 MAS’UDI P.S MALANG 10/31/1982 1
10 11 12 13 14 15 16 17 18 19 20 21 22
JL JOYO UTOMO 25 5 4 Lowokwaru Merjosari Puskesmas


JL. JOYO UTOMO NO. 24 4 4 Lowokwaru Merjosari Puskesmas
JL. JOYO UTOMO V / 477-B 3 4 Lowokwaru Merjosari Puskesmas
JL. JOYO UTOMO 34 4 4 Lowokwaru Merjosari Puskesmas
JL. JOYO UTOMO II / 24 2 4 Lowokwaru Merjosari Puskesmas
JL. JOYO UTOMO VII / 516-B 4 4 Lowokwaru Merjosari Puskesmas
JL. JOYO UTOMO IV/34 2 4 Lowokwaru Merjosari Puskesmas
23 24 25 26 27 28 29 30 31 32 33 34
3 1
3 1
3 1
3 1
3 1
3 1
3 1
3 1
3 1
3 1
3 1
3 1
3 1
3 1
3 1
3 1
3 1
1 2 3 4 5 6 7 8 9
NIHIL
1 3573053107810002 YUANIS EFENDI P.S PONOROGO 31/07/1981 1 1

2 3573055180390001 ADINDA SILVIANI PUTRI P.I MALANG 18/03/1990 2 1
3 3573055607100003 SASKIA HUSAENI A1 MALANG 7/16/2010 2 2
4 3573057310813003 AMIRA ASKANA SAKY A2 MALANG 8/31/2013 2 2
5 3573050109660001 MISDI P MALANG 09/01/1966 1 1
6 3573054707690001 SUNARIYAH P.S MALANG 07/07/1969 2 1
7 3573051505320004 SAPU'AN P MALANG 15/05/1932 1 1
8 3573056200340004 SAYU P.I MALANG 20/03/1940 2 1
9 3573056203830013 SULASTRI A1 MALANG 22/02/1983 2 1
10 3573052511830002 ENDRA SUPRAYOGA P MALANG 25/11/1983 1 1
11 3573051504080003 REVINO RAKITA DEWA A1 MALANG 15/05/2008 1 2
10 11 12 13 14 15 16 17 18 19 20 21 22

JL. JOYOSARI NO.56 6 5 Lowokwaru Merjosari Puskesmas
JL. JOYOSARI NO.56 6 5 Lowokwaru Merjosari Puskesmas
JL. JOYO SARI 56 6 5 Lowokwaru Merjosari Puskesmas
JL. JOYO SARI 56 6 5 Lowokwaru Merjosari Puskesmas
JL. JOYOSARI NO.561-B 6 5 Lowokwaru Merjosari Puskesmas
JL. JOYOSARI NO.561-B 6 5 Lowokwaru Merjosari Puskesmas
JL. JOYOSARI 564 6 5 Lowokwaru Merjosari Puskesmas
23 24 25 26 27 28 29 30 31 32 33 34
3 1
3 1
3 1
3 1
3 1
3 1
3 1
3 1
3 1
3 1
3 1
1 2 3 4 5 6 7 8 9
1 kartu jamkesmas ada 3573055012490001 ETIK SUPINAH P KEBUMEN 12/10/1949 2 3
2 kartu jamkesmas ada 3573056705910001 DWI PUTRI KRISTA A MALANG 5/27/1991 2 2
3 kartu jamkesmas ada 3573054106850002 NINING SUPRIHATIN I MALANG 6/1/1985 2 1
4 kartu jamkesmas ada 3573011103800001 UKI ANDREAS P.S MALANG 3/11/1980 1 1
5 3573050509850005 SUMARMIN P.S MALANG 9/19/1965 1 1
6 3573056412630004 NGATEMI I MALANG 12/24/1963 2 1
7 3573050000970003 SRIPUJIATI A MALANG 12/20/1997 2 2
1 3573056009650001 SUNITI P.I MALANG 20/09/1965 2 1

2 3573052505830001 CHOIRUL ANWAR A1 MALANG 25/05/1983 1 2
3 3573051105940001 M.ZAINAL ABIDIN A2 MALANG 05/11/1994 1 2
4 3573041005830007 EKA SUYADI P.S MALANG 05/10/1983 1 1
5 3573054211870001 NENI NUR FAULINGGA I MALANG 11/02/1987 2 1
6 3573055003040005 ANIS KUMALA SARI A1 MALANG 03/10/2004 2 2
7 3573056004450003 RUBI'AH P MALANG 20/04/1945 2 3
8 3573055505700001 SUGIATI P MALANG 15/05/1970 2 3
9 3573055803720002 KASIYANI P MALANG 16/03/1972 2 1
10 3573054908740001 PAITI P MALANG 09/08/0974 2 1
11 3573051412910004 SUGIANTO A MALANG 14/12/1991 1 2
12 3573050712990004 GUNTUR HERMAWAN A MALANG 12/07/1999 1 2
13 3573051811590001 PAIMAN P MALANG 18/11/1959 1 1
14 357305521160001 SUKEMI I MALANG 11/12/1962 2 1
15 3573052106910001 M. SOLEH A1 MALANG 21/06/1991 1 2
16 3573052802630003 RIPA'I P MALANG 28/02/1963 1 1
17 3573050205880004 AGUS PRASETYO HADI A1 MALANG 05/02/1988 1 2
18 3573050603920003 SUMARTONO A2 MALANG 03/06/1992 1 2
19 3573050605400001 DASAM P MALANG 05/06/1940 1 1
20 3573055108570001 WARINI I MALANG 08/11/1957 2 1
21 3573056606970001 AISYAH HARMALENI A MALANG 26/06/1997 2 2
22 3573050707660002 SUGITO P MALANG 07/07/1966 1 1
23 3573054707700008 SITI AMINAH I MADURA 07/07/1970 2 1
24 3573051509960002 ZAINUL ROJIKIN A MALANG 15/09/1996 1 2
25 3573053001770004 SUYITNO P BLITAR 30/01/1977 1 1
26 3573055008860003 WIWIK SUGIARTI I MALANG 08/10/1986 2 1
27 3573052104040007 ARIS TEGUH PRASETYO A MALANG 21/04/2004 1 2
28 3573052410570001 JUNARI P MALANG 24/10/1957 1 1
29 3573055111790001 JUMAATIN I MALANG 11/11/1979 2 1
30 3573051003000001 AHMAD ZUBHAN A1 MALANG 03/10/2002 1 2
31 3573052708050005 MUHAMAD JUMADI A2 MALANG 27/08/2005 1 2
32 3573051607830013 ADI KUSUMO P MALANG 15/07/1983 1 1
33 3573056507830011 NIKMATURROFIAH P.I MALANG 25/07/1983 2 1
34 3573055608710005 WIWIK SETYOWATI P.I MALANG 16/08/1971 2 1
35 3573051710580001 TAWAR P MALANG 17/10/1959 1 1
36 3573050105580001 MULYONO P.S MALANG 01/05/1958 1 1
37 3573055011650002 PONITI I MALANG 10/11/1965 2 1
38 3573051508930002 SUGIANTO A1 MALANG 15/08/1993 1 2
39 3573055105950002 NOVITA SARI A2 MALANG 11/05/1995 2 2
40 3573054708970004 SUSI SUSANTI A3 MALANG 07/08/1997 2 2
41 3573050908990004 M. NURKHOLIK A4 MALANG 09/08/1999 1 2
42 3573050806520001 KASIONO P MALANG 08/06/1952 1 1
43 3573051705820004 SLAMET WAHYUDI A MALANG 17/12/1982 1 2
44 3573055706020002 AMEILYA RAHMA A1 MALANG 17/05/2002 2 2
10 11 12 13 14 15 16 17 18 19 20 21 22
JOYO TAMAN SARI 59 5 6 Lowokwaru Merjosari Puskesmas

JOYO TAMAN SARI 5 6 Lowokwaru Merjosari Puskesmas
JOYO TAMANSARI 5 6 Lowokwaru Merjosari Puskesmas
JOYO TAMANSARI 5 6 Lowokwaru Merjosari Puskesmas

Jl. JOYO TAMAN SARI N0 22 1 6 Lowokwaru Merjosari Puskesmas
Jl. JOYO TAMAN SARI No.23 1 6 Lowokwaru Merjosari Puskesmas
Jl. JOYO TAMANSARI No.24 1 6 Lowokwaru Merjosari Puskesmas
Jl. JOYO TAMANSARI I No.2 1 6 Lowokwaru Merjosari Puskesmas
Jl. JOYO TAMANSARI I No.2 1 6 Lowokwaru Merjosari Puskesmas
Jl. JOYO TAMANSARI I/ 23 1 6 Lowokwaru Merjosari Puskesmas
Jl. JOYO TAMANSARI INo.42 1 6 Lowokwaru Merjosari Puskesmas
Jl. JOYO TAMANSARI I/42 1 6 Lowokwaru Merjosari Puskesmas
JL. JOYOTAMANSARI I/50 1 6 Lowokwaru Merjosari Puskesmas
JL. JOYO TAMANSARI 2 6 Lowokwaru Merjosari Puskesmas
JL. JOYOTAMANSARI I/ 13 2 6 Lowokwaru Merjosari Puskesmas
JL. JOYOTAMANSARI I/ 14 2 6 Lowokwaru Merjosari Puskesmas
JL. JOYOTAMANSARI I / 15 2 6 Lowokwaru Merjosari Puskesmas
JL. JOYOTAMNSARI I /23 2 6 Lowokwaru Merjosari Puskesmas
JL.JOYOTAMANSARI NO.23 2 6 Lowokwaru Merjosari Puskesmas
JL.JOYOTAMANSARI NO.23 2 6 Lowokwaru Merjosari Puskesmas
JL. JOYOTAMANSARI I /32 2 6 Lowokwaru Merjosari Puskesmas
JL. JOYOTAMANSARI I /33 2 6 Lowokwaru Merjosari Puskesmas
JL. JOYOTAMANSARI I GG 1 2 6 Lowokwaru Merjosari Puskesmas
JL. JOYOTAMANSARI I GG 1 2 6 Lowokwaru Merjosari Puskesmas
JL. JOYO TAMANSARI I / 60 1 6 Lowokwaru Merjosari Puskesmas
JL. JOYO TAMAN SARI 6 6 Lowokwaru Merjosari Puskesmas
JL.JOYOTAMANSARI I/15 5 6 Lowokwaru Merjosari Puskesmas
JL.JOYOTAMANSARI I/15 5 6 Lowokwaru Merjosari Puskesmas
JL.JOYOTAMANSARI I /15 5 6 Lowokwaru Merjosari Puskesmas
23 24 25 26 27 28 29 30 31 32 33 34
3 1
3 1
3 1
3 1
3 1
3 1
3 1
3 1
3 1
3 1
3 1
3 1
3 1
3 1
3 1
3 1
3 1
3 1
3 1
3 1
3 1
3 1
3 1
3 1
3 1
3 1
3 1
3 1
3 1
3 1
3 1
3 1
3 1
3 1
3 1
3 1
3 1
3 1
3 1
3 1
3 1
3 1
3 1
3 1
3 1
3 1
3 1
3 1
3 1
3 1
3 1
1 2 3 4 5 6 7 8 9
1 3573051708480001 HARTONO P.S MALANG 8/17/1948 1 1
2 3573055212660001 SUNINGSRI I MALANG 12/12/1966 2 1
3 3573052306090003 BAYU CANDRA A MALANG 6/23/2009 1 2
4 3573050101670001 MOLIYONO P.S MALANG 1/1/1967 1 1
5 3573054305770001 SUWATIK I MALANG 5/3/1977 2 1
6 3573053110950002 ANDRIAWAN A1 MALANG 10/31/1995 1 2
7 3573051007020008 NURHIDAYAT A2 MALANG 7/10/2002 1 2
8 3573050408110002 TRIO RAMADANI A3 MALANG 8/4/2011 1 2
1 3573050504730001 RACHMAD P.S MALANG 4/5/1973 1 1

2 3573056702770001 NUR JANAH I MALANG 2/27/1977 2 1
3 3573055008020001 FANTI AGUSTINA A MALANG 10/08/2002 2 2
4 3573050108670012 AGUS JASMITO P.S MALANG 01/08/1967 1 1
5 5373054801720002 KUSMIATI I MALANG 08/01/1972 2 1
6 3573050410970002 FIKO DEDY P A1 MALANG 04/10/1997 1 2
7 3573052402030004 FITO BAGUS SAPUTRO A2 MALANG 24/02/2004 1 2
8 3573051305730004 EKO PRASETYO P.S MALANG 13/05/1973 1 1
9 3573054110790010 RUSMIATI I MALANG 01/10/1979 3 1
10 3573050404020005 YOHAN DIAN ADITYA A1 MALANG 04/04/2002 1 2
11 3573056705110003 NAZWZDYA RESTA VIANI A2 MALANG 27/05/2011 3 2
12 3573050305840001 SUTRISNO P.S MALANG 03/05/1984 1 1
13 3573055603880003 NANIK TRISNAWATI I MALANG 16/03/1988 2 1
14 3573051402060005 ILHAM DINAN PRATAMA A1 MALANG 14/02/2006 1 2
15 3573055104130005 ALIKA ZULFZ NUR TSAB A2 MALANG 11/04/2013 1 2
16 5373051004300001 HARIANTO P.S MALANG 10/04/1930 1 1
17 3573054207600002 GINI I MALANG 02/07/1960 2 1
18 3573054610880004 PURWITIN A1 MALANG 06/10/1988 2 2
19 3573050505900004 MUHAMMAD SAMSUL A2 MALANG 05/05/1990 1 2
20 3573054710910001 NURFATIMAH A3 MALANG 07/10/1991 2 2
21 3573056410930002 SUKARNI A4 MALANG 24/10/1993 2 2
22 3573052808950001 EDI SUSANTO A5 MALANG 28/08/1995 1 2
23 3573055502990003 LILIS MARINA A6 MALANG 15/02/1999 2 2
24 3573054102770001 SITI AMINAH P MALANG 01/02/1977 2 3
25 3573051212960001 VIKI ARDIYANTO A1 MALANG 12/12/1996 1 2
26 5373056509050003 ELSA DWI SEPTIANI A2 MALANG 25/09/2005 2 2
27 3573050407850004 UDIN P.S MALANG 04/07/1985 1 1
28 3573054605870010 HERMANTI I MALANG 06/05/1987 2 1
29 3573053003060006 FA'IZ MAULUDIN K A1 MALANG 30/03/2006 1 2
30 3573053003050005 FADHIL KHAIRUDIN K A2 MALANG 30/03/2006 1 2
31 3573050506120001 RAFA KIAN ADITYA A3 MALANG 05/06/2012 1 2
32 3573051809670003 SUBA'I P.S MALANG 18/09/1967 1 4
33 3573054510450006 PAITI P.T MALANG 05/10/1945 2 3
34 3573055710750006 SUWATIK P.T MALANG 17-10-1075 2 3
35 3573056209950005 IKA MEI KURNIA A1 MALANG 22/09/1995 2 2
36 3573054312970002 DWUI LESTARI A2 MALANG 03/12/1997 2 2
37 3573050306540007 PAIRIN P.S MALANG 03/06/1954 1 1
38 3573054109590005 MARLIYAH I MALANG 9/1/1959 2 1
39 3573050902850003 SUNARI A1 MALANG 09/02/1985 1 2
40 3573052306900005 SUTAJI A2 MALANG 23/06/1990 1 2
41 3573050106650001 TASERI P.S MALANG 01/06/1965 1 1
42 3573054106700001 RIYATI I MALANG 01/06/1970 2 1
43 3573051407060001 RINO ADI SETIAWAN A2 MALANG 29/09/1987 1 2
44 3573052909970002 RIKO ADI CANDRA A1 MALANG 14/07/2006 1 2
45 3573050108300001 LIMUN P.S MALANG 01/08/1930 1 1
46 3573054102420004 TIARAH I MALANG 01/02/1942 2 1
47 3573051006750003 SUTIKNO A1 MALANG 10-06-1075 1 1
48 3573056401790004 NURIDAYATI P.T MALANG 42-01-1979 2 1
49 3573051001080001 REHAN SAVA ZASAL B A1 MALANG 10/01/2006 2 2
50 3573091311880001 SUHARIANTO P.S MALANG 13/11/1988 1 1
51 3573055406900003 SUWANTI I MALANG 14/06/1990 2 1
52 3573056001130002 ICHA AULIA MAULIDIA A MALANG 20/01/2013 2 2
53 3573050609780011 YUSUF CATUR RAHMAN P.S MALANG 06/09/1978 1 1
55 3573051002040006 FANDI FERDIANSYAH A MALANG 10/02/2004 1 2
56 3573054307360001 SRIAH P.T MALANG 03/07/1936 2 3
57 3573050102700009 SUGIAT P.S MALANG 01/02/1970 1 1
58 3573054101750023 SUMIATI I MALANG 01/01/1976 2 1
59 3573056301980006 LISA ANDRIANTI A1 MALANG 23/01/1996 2 2
60 3573054212040004 LYA RATNA SANDRA A2 MALANG 02/12/2004 2 2
61 3573051606480001 KUSNANTO P.S MALANG 16/06/1948 1 1
62 3573055401500001 ASMI SUPRAPTI I MALANG 14/01/1940 2 1
63 3573050708720003 NGATUJI P.S MALANG 07/08/1972 1 1
64 3573056704800021 PURWITI I MALANG 27/04/1980 2 1
65 3573050611990009 CHOIRUN NUR R A1 MALANG 06/11/1999 1 2
66 3573054104520004 RAMINAH P.T MALANG 01/04/1952 2 3
67 3573052304050002 IMAN MAULIDANI A2 MALANG 23/04/2005 1 2
68 357350801550002 JIARI P.S MALANG 08/01/1955 1 1
69 3573054805640003 SURIP I MALANG 08/05/1964 2 1
70 3573056802500002 SIPON P.T PONOROGO 28/02/1950 2 3
71 3573050308530005 NGATURI P.S MALANG 03/08/1953 1 1
72 3573054107620011 SUNARIYAH I MALANG 01/07/1962 2 1
73 3573056502970002 EVITA A MALANG 25/02/1997 2 2
74 3573051210480004 LASMIDI P.S MALANG 12/10/1948 1 1
75 3573054907540005 TURI I MALANG 09/07/1954 2 1
76 3573040305910004 JUPRI SUJIANTO P.S MALANG 03/05/1991 1 1
78 3573051211040002 AHMAD FADLI . K A1 MALANG 12/11/2004 1 2
79 3573055712050002 NIKMATUL .S A2 MALANG 17/12/2006 2 2
80 3573052105700002 PUJIONO P.S MALANG 21/05/1970 1 1
81 3573057112690001 SUTIANA I MALANG 31/12/1969 2 1
82 3573053107000005 RIZAL ADE CANDRA A1 MALANG 31/07/2000 1 2
83 3573056010090003 REZITZ ADE SELA A2 MALANG 21/10/2009 2 2
84 3573050602740002 SUNOTO P.S MALANG 06/02/1974 1 1
85 3573055508760002 RUBA'YAH I MALANG 05/08/1976 2 1
86 3573053003970001 INDRA SETIAWAN A1 MALANG 30/03/1997 1 2
87 3573052308000003 ADI CANDRA A2 MALANG 23-08-200 1 2
88 3573054709620001 SANITI P MALANG 07/09/1962 2 3
89 3573055406770004 MURSANI I MALANG 14/06/1977 2 2
90 3573051203780007 MESERI P.S MALANG 12/03/1978 1 1
91 3573056503840010 ANIS ROSIDA I MALANG 25/03/1984 2 1
92 3573054405080001 DEVI NAJMATUL . A A MALANG 04/05/2008 2 2
10 11 12 13 14 15 16 17 18 19 20 21 22
JL.TIRTOJOYO 2 7 Lowokwaru Merjosari Puskesmas

JL. TIRTO JOYO GENTING 2 7 Lowokwaru Merjosari Puskesmas
JL. TIRTO JOYO GENTING NO 3 7 Lowokwaru Merjosari Puskesmas
JL. TIRTOJOYO GENTING NO 3 3 7 Lowokwaru Merjosari Puskesmas
JL.TIRTOJOYO GENTING NO 3 3 7 Lowokwaru Merjosari Puskesmas
JL.TIRTOJOYO GENTING NO 3 3 7 Lowokwaru Merjosari Puskesmas
JL. TIRTOSARI 1 7 Lowokwaru Merjosari Puskesmas
JL.TIRTOSARI 1 7 Lowokwaru Merjosari Puskesmas
JL. TIRTOJOYON GENTING 2 7 Lowokwaru Merjosari Puskesmas
JL. TIRTOJOYO GENTING 2 7 Lowokwaru Merjosari Puskesmas
TL. TIRTOJOYO GENTING 2 7 Lowokwaru Merjosari Puskesmas
JL.TIRTOJOYO GENTING 2 7 Lowokwaru Merjosari Puskesmas
JL. TIRTO JOYO 1 7 Lowokwaru Merjosari Puskesmas
JL. TIRTOJOYO 1 7 Lowokwaru Merjosari Puskesmas
JL. TIRTOJOYO NO 18 3 7 Lowokwaru Merjosari Puskesmas
23 24 25 26 27 28 29 30 31 32 33 34
3 1
3 1
3 1
3 1
3 1
3 1
3 1
3 1
3 1
3 1
3 1
3 1
3 1
3 1
3 1
3 1
3 1
3 1
3 1
3 1
3 1
3 1
3 1
3 1
3 1
3 1
3 1
3 1
3 1
3 1
3 1
3 1
3 1
3 1
3 1
3 1
3 1
3 1
3 1
3 1
3 1
3 1
3 1
3 1
3 1
3 1
3 1
3 1
3 1
3 1
3 1
3 1
3 1
3 1
3 1
3 1
3 1
3 1
3 1
3 1
3 1
3 1
3 1
3 1
3 1
3 1
3 1
3 1
3 1
3 1
3 1
3 1
3 1
3 1
3 1
3 1
3 1
3 1
3 1
3 1
3 1
3 1
3 1
3 1
3 1
3 1
3 1
3 1
3 1
3 1
3 1
3 1
3 1
3 1
3 1
3 1
3 1
3 1
3 1
3 1
1 2 3 4 5 6 7 8 9
NIHIL
1 3515181007750007 SAIFUL ZAMAN P.T SURABAYA 10/07/1975 1 1

2 3573051508330001 ASMANU P BANYUWANGI 15/08/1933 1 1
3 357305560490001 ANITA YENI I MALANG 4/16/1990 2 1
10 11 12 13 14 15 16 17 18 19 20 21 22
PERUM JOYO GRAND BLOK S/1-A 9 8 Lowokwaru Merjosari Puskesmas

PERUM JOYO GRAND BLOK L 145 6 8 Lowokwaru Merjosari Puskesmas
PERUM JOYO GRAND BLOK S1/01 6 8 Lowokwaru Merjosari Puskesmas
23 24 25 26 27 28 29 30 31 32 33 34
3 1
3 1
3 1
1 2 3 4 5 6 7 8 9
1 3573051606530006 RIYONO P.S SIDOARJO 6/16/1953 1 1
2 3573055608550008 KASIANI I MALANG 8/16/1955 2 1
3 3573050101780025 DANI ISWANTO A MALANG 1/1/1978 1 2
1 357305540660005 CHATARINA ROESTINI P.I MALANG 6/14/1960 2 1

2 3573066506630007 ENDANG SINDAWATI P MALANG 8/25/1963 2 3
3 3573055109580001 ENDANG TYASMININGSIH P PASURUAN 9/11/1958 2 3
4 3573052303560003 Z VINCENSIUS MARUTO P MALANG 23/03/1956 1 1
5 3573056306850001 VIVIANA YUNI MARTINA A1 MALANG 23/06/1985 2 2
6 3573052705890001 DICKY MEILANO A2 MALANG 27/05/1989 1 2
7 3573050301600002 SUKOYO P MALANG 01/03/1960 1 1
8 3573054407690001 JIKEM P.I KARANGANYAR 07/04/1969 2 1
9 3573056102970006 APRISIA SARI NUR AZIZAH A1 MALANG 20/04/1997 2 2
10 3573056503340001 PONITI P.T MALANG 25/03/1938 2 3
11 3573050307470001 ABU HASAN P MALANG 03/07/1947 1 1
12 3573050501950006 MOCH. HASAN FAJAR P A MALANG 05/01/1995 1 2
10 11 12 13 14 15 16 17 18 19 20 21 22
PERUM UNIGA 22 JOYOGRAND 8 9 Lowokwaru Merjosari Puskesmas

PERUM JOYO GRAND BLOK C-40 5 9 Lowokwaru Merjosari Puskesmas

Jl.JOYO ASRI BLOKA 2 / 9 7 9 Lowokwaru Merjosari Puskesmas
JI.JOYOGRAND BLOK FF / 12 6 9 Lowokwaru Merjosari Puskesmas
JL. JOYO GRAND FF. NO.17 6 9 Lowokwaru Merjosari Puskesmas
PERUM JOYO GRAND BLOK A2-8 7 9 Lowokwaru Merjosari Puskesmas
PERUM JOYO GRAND BLOK A2-8 7 9 Lowokwaru Merjosari Puskesmas
23 24 25 26 27 28 29 30 31 32 33 34
3 1
3 1
3 1
3 1
3 1
3 1
3 1
3 1
3 1
3 1
3 1
3 1
3 1
3 1
3 1
1 2 3 4 5 6 7 8 9
1 3573055012650011 BIANTI POESPANDARI P MALANG 12/10/1965 2 3
2 3573052205910002 ANDHIKA CAHYA P A1 MALANG 5/22/1991 1 2
3 3573052601930004 EKKY AKADHITA P A2 MALANG 1/16/1993 1 2
4 3573056901970004 AMANDA CITRA R A3 MALANG 1/29/1997 2 2
5 3573053003030003 TAUFIK ALHAKIM A4 MALANG 3/30/2003 1 2
6 3573053003030004 TAUFIK ARRAHMAN A5 MALANG 3/30/2003 1 2
1 3573050409940003 BAGUS MOHAMAD ARIF P.A3 MALANG 9/4/1994 1 2

2 3573052702060006 FEBRIAN ANNURDIN P.A5 MALANG 2/27/2006 1 2
3 3573050404910003 KARSANDI WIBISONO P.A2 MALANG 4/4/1991 1 2
4 3573054710700004 MISTI YULIANI P.I MALANG 10/7/1970 2 1
5 3573052311020001 NUR RAMADANI P.A3 MALANG 11/23/2002 1 2
6 3573050801580002 S U LTO N I P MALANG 1/8/1958 1 1
7 3573050402470001 NGATEMAN P.S MALANG 04/02/1947 1 1
8 3573054806530002 HARTINI I MALANG 08/06/1953 2 1
9 3573051405000003 EKO FAISAL A1 MALANG 19/04/2000 1 2
10 3573051904720002 YONI DWI ISKANDAR A2 MALANG 19/04/1972 1 2
11 3573055004600001 WARSIAH WINARTI P KERTOSONO 10/04/1960 2 3
12 3573055002810004 LINDA SETYO RINI A KERTOSONO 10/02/1981 2 1
13 3573051108030001 GUSTI NUR CIPTIONO P.T MALANG 11/08/2003 1 2
14 3573054312490001 GUNAWAN KUSNO P.S MALANG 03/11/1943 1 1
15 3573054312490001 HIENDRAWATI I MALANG 03/12/1949 2 1
16 3573050507700006 INDRA JAYA P.S MALANG 05/07/1970 1 1
17 3573056104680011 RINI FARAWIDIANA I MALANG 21/04/1968 2 1
18 3573050705970001 REGGY FARENDRA .J A1 MALANG 07/05/1997 1 2
19 3573050507020011 REIVANSYAH SYAFENDRA A2 MALANG 05/07/2002 1 2
10 11 12 13 14 15 16 17 18 19 20 21 22
VILLA BUKIT TIDAR A-4/ 311 6 11 Lowokwaru Merjosari Puskesmas

VILLA BUKIT TIDAR A2 / 80 10 11 Lowokwaru Merjosari Puskesmas

VILLA BUKIT TIDAR A-1/66 2 11 Lowokwaru Merjosari Puskesmas
23 24 25 26 27 28 29 30 31 32 33 34
3 1
3 1
3 1
3 1
3 1
3 1
3 1
3 1
3 1
3 1
3 1
3 1
3 1
3 1
3 1
3 1
3 1
3 1
3 1
3 1
3 1
3 1
3 1
3 1
3 1
1 2 3 4 5 6 7 8 9
1 3573051109560001 MISENO P.S MALANG 9/11/1956 1 1
2 3573055210610001 PAITI I MALANG 10/12/1961 2 1
3 3573051910840001 SUJONO A1 MALANG 10/19/1984 1 2
4 3573052106880001 SUTOPO A2 MALANG 6/21/1988 1 2
1 3573050305660001 ACHMAD QOLYUBI P MALANG 5/3/1966 2 1

2 3573050902720001 ACHMAD TAUFIQ P.T MALANG 2/9/1972 1 2
3 JAMKESMAS 3573051301020008 AINUN NAJAH A3 MALANG 1/13/2002 1 2
4 3573050701830002 CHAMIM P.S MALANG 1/7/1983 1 1
5 JAMKESMAS 3573055804040003 DEWI EKA SARI A1 MALANG 4/18/2004 2 2
6 3573056412650006 FATIMAH HARIYATI I MALANG 12/24/1965 2 1
7 3573081506660011 HADI SUNARKO A MALANG 6/15/1966 1 4
8 357305225010001 HASYIM ASY'ARI A1 MALANG 5/22/1991 1 2
9 3573056906050001 JOVITA NALA NISMARA P.T MALANG 6/29/2005 2 2
10 3573054101590056 JUMIATI I MALANG 1/1/1959 2 1
11 3573054403380001 KAYAT I N P.T MALANG 3/4/1938 2 3
12 3573050108350012 K E MAT P MALANG 8/1/1935 1 1
13 3573054108470013 KATIMAH P.I MALANG 8/1/1947 2 1
14 3573051510000001 MAWAN WAHYU PRASETYO A5 MALANG 10/15/2000 1 2
15 3573052401940001 MUCHAMMAD SUYONO A4 MALANG 1/24/1994 1 2
16 3573050610940001 MOCHAMMAD ALHABIBI A1 MALANG 10/6/1994 1 1
17 357305041000001 MOCHAMMAD TABAKHURIL UL A2 MALANG 12/4/2000 2 3
18 3573052811660005 MOHAMAD KHUDORI P.S KEDIRI 11/28/1966 1 1
19 3573051206570005 MUHAMMAD SHODIQ P.S MALANG 6/12/1963 1 1
20 3573050306810002 NANANG IRFIAN A1 MALANG 6/3/1981 1 2
21 3573050311960001 NICHO ARDIANSJAH A2 MALANG 11/3/1996 1 2
22 3573055702870001 NINA IRFIANA I MALANG 2/17/1987 2 1
23 3573052201800001 PAIDI P MALANG 1/22/1980 1 1
24 3573054104010009 PINA AZIZAH A2 MALANG 4/1/2001 2 2
25 Jamkesmas 3573054601980007 PURWANING ROHMAH A1 KEDIRI 1/6/1998 2 2
26 3573054101400033 R UM A Y A H P.T MALANG 1/1/1940 2 3
27 3573054108460001 RINI P MALANG 8/1/1946 2 3
28 3573052205880005 ROHADI A1 MALANG 5/22/1988 1 2
29 3573056811840001 RINI MULYA ASIH I MALANG 11/28/1984 2 1
30 3573054109410001 SAI N I P MALANG 9/1/1941 2 3
31 3573050107560004 SAR TAN I P MALANG 7/1/1956 1 1
32 Jamkesmas 3573057010680005 SITI KHOMARIAH I MALANG 10/30/1969 2 1
33 3573054503660010 SITI MARLIYA P MALANG 3/5/1966 2 3
34 3573050303660005 SUDARSONO P MALANG 3/3/1966 1 1
35 3573050108480003 SUPARMAN PRASOJO P MALANG 8/1/1948 1 2
36 3573084101410092 YAT I MAH P MALANG 1/1/1948 2 3
37 3573052607910001 YOYOK INDRAWANTO A3 MALANG 7/26/1991 1 2
38 3573051101750004 YUDI INDRIANTO A2 MALANG 1/11/1975 1 1
39 3573056308740002 UMIYATI P.I LUMAJANG 23/08/1974 2 1
40 357305211210001 DESTA RAFA EKA SAPUTRA A1 MALANG 21/12/2011 1 2
41 3573055912110002 MESYA PUTRI ANANDA A1 MALANG 19/12/2011 2 1
10 11 12 13 14 15 16 17 18 19 20 21 22
JL JOYO SUKO 26 4 12 Lowokwaru Merjosari Puskesmas


JOYO SUKO 1 12 Lowokwaru Merjosari Puskesmas
JOYO SUKO 64 B 5 12 Lowokwaru Merjosari Puskesmas
JOYO SUKO 1 1 12 Lowokwaru Merjosari Puskesmas
JOYO SUKO 30 A 1 12 Lowokwaru Merjosari Puskesmas
JOYO SUKO 23 D 1 12 Lowokwaru Merjosari Puskesmas
JL. JOYO SUKO NO. 57 5 12 Lowokwaru Merjosari Puskesmas
JL. JOYO SUKO 4 1 12 Lowokwaru Merjosari Puskesmas
JL. JOYO SUKO 1 12 Lowokwaru Merjosari Puskesmas
23 24 25 26 27 28 29 30 31 32 33 34
3 1
3 1
3 1
3 1
3 1
3 1
3 1
3 1
3 1
3 1
3 1
3 1
3 1
3 1
3 1
3 1
3 1
3 1
3 1
3 1
3 1
3 1
3 1
3 1
3 1
3 1
3 1
3 1
3 1
3 1
3 1
3 1
3 1
3 1
3 1
3 1
3 1
3 1
3 1
3 1
3 1
3 1
3 1
3 1
3 1

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PISAT Tanggal Lahir Jenis Kelamin Status Kawin

No No. KK NIK/KITAS/KITAP Nama Lengkap

JL JOYO TAMBAKSARI 60- A 2 1 Lowokwaru Merjosari Puskesmas

DATA JAMKESDA DAN SPM RW 1 KELURAHAN MERJOSARI KOTA MALANG

1 3573051001100005 M. FARID ZAMZANI A MALANG 1/10/2010 1 2

JOYO RAHARJO 169 A 2 2 Lowokwaru Merjosari Puskesmas

DATA JAMKESDA DAN SPM RW 2 KELURAHAN MERJOSARI KOTA MALANG

1 3573055208990002 FITRIA AGUSTIN RAH A1 MALANG 22/08/1999 2 2

JL JOYO MULYO 19 1 3 Lowokwaru Merjosari Puskesmas

DATA JAMKESDA DAN SPM RW 3 KELURAHAN MERJOSARI KOTA MALANG

1 3573051212540002 SUGENG HARIYANTO P MALANG 12/12/1954 1 1

JL JOYO UTOMO 25 5 4 Lowokwaru Merjosari Puskesmas

DATA JAMKESDA DAN SPM RW 4 KELURAHAN MERJOSARI KOTA MALANG

1 3573053107810002 YUANIS EFENDI P.S PONOROGO 31/07/1981 1 1

DATA JAMKESDA DAN SPM RW 5 KELURAHAN MERJOSARI KOTA MALANG

1 3573056009650001 SUNITI P.I MALANG 20/09/1965 2 1

JOYO TAMAN SARI 59 5 6 Lowokwaru Merjosari Puskesmas

DATA JAMKESDA DAN SPM RW 6 KELURAHAN MERJOSARI KOTA MALANG

1 3573050504730001 RACHMAD P.S MALANG 4/5/1973 1 1

DATA JAMKESDA DAN SPM RW 7 KELURAHAN MERJOSARI KOTA MALANG

1 3515181007750007 SAIFUL ZAMAN P.T SURABAYA 10/07/1975 1 1

DATA JAMKESDA DAN SPM RW 8 KELURAHAN MERJOSARI KOTA MALANG

PERUM JOYO GRAND BLOK S/1-A 9 8 Lowokwaru Merjosari Puskesmas

1 357305540660005 CHATARINA ROESTINI P.I MALANG 6/14/1960 2 1

PERUM UNIGA 22 JOYOGRAND 8 9 Lowokwaru Merjosari Puskesmas

DATA JAMKESDA DAN SPM RW 9 KELURAHAN MERJOSARI KOTA MALANG

PERUM JOYO GRAND BLOK C-40 5 9 Lowokwaru Merjosari Puskesmas

1 3573050409940003 BAGUS MOHAMAD ARIF P.A3 MALANG 9/4/1994 1 2

VILLA BUKIT TIDAR A-4/ 311 6 11 Lowokwaru Merjosari Puskesmas

DATA JAMKESDA DAN SPM RW 11 KELURAHAN MERJOSARI KOTA MALANG

VILLA BUKIT TIDAR A2 / 80 10 11 Lowokwaru Merjosari Puskesmas

1 3573050305660001 ACHMAD QOLYUBI P MALANG 5/3/1966 2 1

JL JOYO SUKO 26 4 12 Lowokwaru Merjosari Puskesmas

DATA JAMKESDA DAN SPM RW 71 KELURAHAN MERJOSARI KOTA MALANG

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