Anda di halaman 1dari 289

NO REKAM

NO NO URUT NO BPJS JENIS KARTU


MEDIS
1 A002 I286 0000510288974 KIS
2 A004 A622 0001744059857 KIS
3 A005 C20 0001287121997 BPJS
4 A006 T95 KB
5 A007 0001446159903 BPJS
6 A008 S39 KB
7 A009 J279 0000507847882 KIS
8 A010 32050054311650001 FKTP
9 A011 3275041611910007 FKTP
10 A013 S741 KB
11 A014 J298 KB
12 A018 R388 0002044344104 KIS
13 A019 D361 0001322170762 BPJS
14 A021 S1434 0001434584079 BPJS
15 A022 S1434 0001905032147 BPJS
16 A023 0001300185753 BPJS
17 A024 E383 KB
18 A026 Y259 KB
19 A027 B235 0000509708046 KIS
20 A028 3275041805870008 FKTP
21 A029 T360 0001659189881 BPJS
22 A030 S50 0001627057721 BPJS
23 A031 A1455 KB
24 A032 G45 0001460700178 BPJS
25 A034 S1729 32755046911120002 KS
26 A035 3216050709770001 FKTP
27 A036 D222 KB
28 A037 R739 KB
29 A039 0000072749081 KIS
30 A040 331306148960002 FKTP
31 A041 M971 KB
32 A042 D79 KB
33 A043 M951 0001013963174 KIS
34 A044 S451 KB
35 A047 T214 0001384057157 BPJS
36 A048 3275036711860028 FKTP
37 A050 3275041004790038 FKTP
38 A051 327506002470003 FKTP
39 A052 3275045002800018 FKTP
40 A053 B339 KB
41 A054 A809 KB
42 A057 P201 0001386240175 BPJS
43 A058 D567 0000154912195 KIS
44 A059 M615 KB
45 A060 S1560 0000509662012 KIS
46 A061 U30 KB
47 A062 3275045506000011 KS
48 A063 A042 KB
49 A064 0000296677822 KIS
50 B013 3501016512950001 FKTP
51 B014 H428 KB
52 B018 3275046803820027 FKTP
53 B024 H503 KB
54 b025 M514 KB
55 B026 3275047105960014 FKTP
56 B027 3275111209780009 FKTP
57 B028 Y30 KB
58 B029 327504066920017 FKTP
59 E001 D408 0001892832175 BPJS
60 E002 D408 KB
61 E003 R506 0000043690307 KIS
62 E004 A1456 KB
63 E006 B341 KB
64 E007 3275044509850022 FKTP
65 E008 E374 KB
66 E010 3209137009980000 FKTP
67 E011 W95 00018844953474 BPJS
68 E012 R268 KB
69 E013 H268 0001324736109 BPJS
70 E014 H508 KB
71 E015 3171036306980006 FKTP

Keterangan:
- Total kunjungan pada tanggal 2 Januari adalah sebanyak 71 pasien
- Pasien perempuan adalah sebanyak 37 orang dan pasien laki-laki sebanyak 34 orang
- Pasien dengan kategori usia 15-59 tahun yaitu: perempuan 25 orang dan laki-laki 20 orang
UMUR
NAMA PASIEN NAMA KK
L P
DWI ASTUTI IPAH 37
M NURFANDI ARIEF 10
GAZALI AHMAD CHISARO 39
TINA TONY 22
MEGA ALIN YUSLAN 37
LUSIANI SODIKIN 29
ERWIN ARIFIN JUNAIDI 23
SALWA TUTI 5.3
RONNY RAWU 27
DEBI SUDARYO 19
JONI YBS 28
BONATUA EDWIN ROSITA 40
FERA F DEDE ASEP 30
PUJIYANTI SULISTYO 40
SULISTYO YBS 44
RIZKI FARIDHO AGUS R 28
NURFADILAH EDY. Y 25
JESSICA YOHANNA 17
ROI MAULANA BANTUR 21
OLSEN WALI S 30
TONI A SATARI 10
ALIKA ZAHRA SUPRIYATNO 6
HAFITO AJI SANTOSO 38
GIAN S YBS 27
PUTRI NOVIYANTI SAMSI HIOLA 5.1
VICKY YBS 40
ZAHRA DARWIN 6.5
CUCUN RUSNAN 30
SISTA NURANDIKA SANTOSO 14
AGUNG N YBS 21
PUTRI MAULIDINA MUNTIH 17
CEISYA DIRMANTONO 7.5
MAYA KURNIA SARI YBS 37
CINDY S SUYOWO 6.5
NANI N TONY 44
NENY N AGUS S 30
M.HISYAM URIP ROSADI 6.5
PANJI ZULBAIDAR 7
IIS MANAH SYAMSU RIZAL 37
LUTFI BARNAS 9
ANNISA ABDUL LATIF 13
KEVIN BINSAR POLTAK 14
DONALD M YBS 63
M. ZIDAN M. HERI 5.5
ERNAWATI SUHERMAN 42
ADE KURNIAWAN USMAN 22
KENE STEFANNY BISA S 17
ELPI S.A YBS 42
PAUL DINAR RELLA N 21
HAFIZ ROY 2
M. RIDWAN HARYONO 1.5
TRIDA MARTHA ROBINSON 36
ALTARA HANRIADI 1
AFIKA M. YANI 4
AHMAD RIDHO TABRONI 9BLN
BANDHURA TRI SEPTI 4BLN
M. ARASYID YURINANG 5
AKSEL AYAT H 17BLN
FAREL DIAN HARYONO 4.5
CENDY DIAN HARYONO 27
RAMOT YBS 63
SUPARTI ALIBUN 42
FAUZI BAMBANG 21
SUTRISNA WATI ELI
EFENDI EFENDI 65
ZUMROTULLAILA ALIMUDIN 19
YESSY WAWAN 33
KURNIASIH RESTU 37
HISAR YBS 65
AVINA HADI G 8
GISDA ANDRIANA ABDUL MALIK 20

34 37

en
sebanyak 34 orang
ng dan laki-laki 20 orang
UMUM GIGI
ALAMAT DW LW
BARU LAMA BARU LAMA
5/23 X X
3/5 X X
3/8 X X
5/5 X
4/12 X X KIR
5/10 X X
3/1 X X
GARUT 6/1 X X
1/5 X X
7/12 X X
4/19 X X
2/6 X X
7/12 X X
6/16 X X
6/16 X X
2/19 X X
3/3 X X
10/22 X X
2/23 X X
2/14 X X
6/12 X X
10/5 X X
11/11 X X
4/15 X X
2/15 X X
1/13 X X
11/12 X X
7/12 X X
7/10 X X
KARANG ANYAR 1/1 X X
3/24 X X
1/6 X X
4/1 X X
5/1 X X
5/15 X X
4/5 X X
3/2 X X
PAYAKUMBUH 4/1 X X
6/19 X X
2/25 X X
3/5 X X
6/6 X X
3/14 X X
2/16 X X
3/12 X X
1/25 X X
4/3 X X
11/4 X X
7/12 X X
PACITAN 2/11 X
2/1 X
SORONG 3/1 X
4/24 X
4/25 X
11/12 X
7/19 X
5/16 X
1/12 X
7/10 X
7/10 X
7/3 X X
5/15 X X
6/11 X X
3/2 X X
6/11 X X
CIREBON 2/5.. TS(5000) X X
5/1 X X
3/5 X X
1/8 X X
2/1 X X
CEMPAKA BARU 5/8 X X
LANSIA KIA KB
BARU LAMA BARU LAMA BARU LAMA
X
X
X
X
X
X
X
X
X
NO NO REKAM MEDIS
NO NO BPJS JENIS KARTU
URUT
1 A001 J331 0000509412115 KIS
2 A002 R167 0000509486848 KIS
3 A003 F121 0000509706202 KIS
4 A004 3275047011770012 KS
5 A005 3570311901870004 FKTP
6 A006 S76 '0001744113802 KIS
7 A007 S76 0001744113824 KIS
8 A008 P227
9 A009 A773 0001518403037 KIS
10 A010 A773
11 A012 D209 000050509366496 KIS
12 A013 F188
13 A014 P227
14 A015 3275042210950007 FKTP
15 A016 330216600598001 FKTP
16 A017 3201303103970001 FKTP
17 A018 H473
18 A019 3207235905880002 FKTP
19 A020 T330
20 A021 R222
21 A022 3275014803830030 FKTP
22 A023 327545305760019 FKTP
23 A024 3275044211800010 FKTP
24 A025 A1360
25 A026 A1360
26 A027 3602130806880001 FKTP
27 A028 E225
28 A030 3275042911720015 FKTP
29 A031 M159 0000508354356 KIS
30 A032 I100
31 A033 I100
32 A034 3275020304810005 FKTP
33 A035 1223170400544 SIM
34 A036 3604275107770001 FKTP
35 B009 D209
36 B010 F188
37 B011 F188
38 B020 D298 0001850178971 BPJS
39 D023 S76 0001744113791 KIS
40 E001 P210 0002061457435 BPJS
41 E002 P210 0002061457841 BPJS
42 E003 C20 0001257704559 BPJS
43 E004 M751
44 E005 H219 0000037307531 ASKES
45 E006 A947 0001013957043 KIS
46 E007 J331 0000509411226 KIS
47 E008 R005
48 E009 A018
49 E010 327502490590027 FKTP
50 E011 327506609870010 FKTP
51 E012 S1562 0000207600401 ASKES
52 E013 A018
53 E014 W229
54 E015 S1635
55 E016 3275042010980015 FKTP

Keterangan:
- Total kunjungan pada tanggal 3 Januari adalah sebanyak 55 pasien
- Pasien perempuan adalah sebanyak 31 orang dan pasien laki-laki sebanyak 24 orang
- Pasien dengan kategori usia 15-59 tahun yaitu: perempuan 20 orang dan laki-laki 13 orang
UMUR
NAMA PASIEN NAMA KK
L P
JELITA JOKO S 6
RIO RONI 16
FRESTI YBS 26
NOVIRA YBS 40
AHMAD NAJIB YBS 31
TRIASIH SUYADI 37
ANDRIANDI SUYADI 9
ARYA PONIRAN 10
AGUS TRI YBS 38
INDAH AGUS TRI 30
SORAYA DADANG 8
RAMAULI 40
CASIYAH PONIRAN 44
OKKY ARYA ARRY W 22
ADLIA H TEGUH B 19
M. ALAN ADE 20
NIAN HENDRO 28
JUJU W YBS 30
TUGIYEM YBS 40
FEBRINA RISMARINI 23
SUSILAH IMAN 34
BERLIANA RIFIN H 41
SYAKILLA INDRA 16
YESSY AGUS H 42
SAFIRA 14
DADANG YBS 32
FAZRUL EDI S 6.5
BAYU SUDARYONO 12
SUNARTI MULYADI 35
ALI IMRON YBS 32
ATIKAH IMRON 34
AZAM SURATMIN 8
DENNY EGENTIUS YBS 24
SITI JAENAB YBS 40
HANUM DADANG 4
AMOR 4
FERO 9BL
FAIZ YUSRON DWI AGUS 4.3
SUYADI YBS 46
P.NABABAN YBS 44
JULIA ESTER P. NABABAN 6
CHISWAR POHAN YBS 72
MOCHTAR YBS 62
ANTONIUS H YBS 59
PURWANINGSIH ARYANTO 32
IRSYAD JOKO S 10
RATIH RAHMAT 22
AGNI FAUZIAH AHMAD D 11
HOTMA YBS 24
LIKE SIGIT 7
SURAHMAN YBS 60
ABDUL JABAR AHMAD D 9
PANDU WINARTO 10
KUSHARDIARTI SURIANSYAH 51
BENEDICT BAMBANG 19

24 31

anyak 24 orang
dan laki-laki 13 orang
UMUM GIGI
ALAMAT DW LW
BARU LAMA BARU
2/23 X X
7/1 x X
2/23 X X
11/16 X X
MALANG BALEARJOSARI X X
2/1 X X
2/2 X X
5/24 X X
6/9 X X
6/9 X X
2/24 X X
2/1 X X
5/24 X X
6/14 X X
BANYUMAS CIKAWUNG X X
BOGOR PURWASARI X X
JK MULYA 3/3 x X
7/14 X X
8/7 X X
10/05 X X
MARGAHAYU 2/8 X X
KEBAGUSAN 1/7 JAKSEL X X
4/8 X X
1/6 X X
1/6 X X
LEBAK MAJA X X
2/12 X X
12/12 X X
1/25 X X
4/24 X X
4/24 X X
4/1 X X
SUMBERJAYA 1/1 X X
SERANG CIOMAS X X
2/24 X
2/1 X
2/1 X
2/8 X
2/3 X
1/12 X
1/12 X
3/8 X
4/25 X
5/13 X
6/12 X
2/23 X
4/06 X
4/10 X
JK SAMPURNA x
5/9 x X
JK SAMPURNA 1/7 X
4/10 X
11/16 X
5/21 X
1/20 X
GIGI LANSIA KIA KB
LAMA BARU LAMA BARU LAMA BARU LAMA

X
X
X
X
X
X
X
X
X
X
X
X
X
X

X
X
X
X
X
NO NO REKAM MEDIS
NO NO BPJS JENIS KARTU
URUT
1 A001 S1448 0000509540141 KIS
2 A002 A958 000509508876 KIS
3 A003 3304036911880001 FKTP
4 A004 U12
5 A005 S377 0000507941998 KIS
6 A006
7 A007
8 A008 U12
9 A009 H338
10 A013 K225
11 A014 3275046709970012 FKTP
12 A015 0000073448886 KIS
13 A016 F153
14 A017
15 A018 D222
16 A021 M528 500500742419 KS
17 A023 0002204637761 BPJS
18 A024 G30
19 A025 1116117005890001 FKTP
20 A027 3275045903920012 FKTP
21 A028 3275045907990027 FKTP
22 B010
23 D010 A958 0000509506345 KIS
24 E001 R63 0001439545792 BPJS
25 E002 H520 0001424661197 BPJS
26 E003 S1009 0001273629025 BPJS
27 E004 320503660780001 FKTP
28 E005 S265 KB
29 E006 K11 KB
30 E007 M212 0000045174958 ASKES
31 E008 M420
32 E009 M37 0000041723111 ASKES
33 E010 W23 0001470337885 BPJS
34 E011 A1349 0001385172797 BPJS
35 E012 P210 0002061457762 BPJS
36 E013 P210 0002061457435 BPJS
37 E014 M197 0002202047932 KIS
38 E015 1055036311341001 FKTP
39 E016 S423 000073528986 ASKES
40 E017 0000073528964 ASKES
41 A030 000072960726 ASKES
42 A031 O14 0000041188454 KIS
43 A043 3275046304890012 FKTP
44 A045 S191 0001840950009 BPJS

Keterangan:
- Total kunjungan pada tanggal 4 Januari adalah sebanyak 44 pasien
- Pasien perempuan adalah sebanyak 25 orang dan pasien laki-laki sebanyak 19 orang
- Pasien dengan kategori usia 15-59 tahun yaitu: perempuan 21 orang dan laki-laki 15 orang
UMUR
NAMA PASIEN NAMA KK ALAMAT DW
L P
MUTIARA SARDIMAN 23 3/2 X
SYAIFUL ADI AMAL 27 4/1 X
WALYATI SARI 30 BANJARNEGARA 4/2
KAISA UNTUNG 6 11/12 X
SANDRA YBS 33 2/24 X
BAHRIAH SANDRA 31 2/24 X
ARYA SANDRA 6 2/24 X
SRI ROHMAH UNTUNG 38 11/12 X
HARI YBS 39 7/1 X
NENDEN KUSMAWAH 37 PEKAYON 5/21 X
AULIA IBRAHIM 8 7/1 X
ROBERTH SINAGA NEONARD SINAGA 17 4/8 X
MARCELINO FRANKI 8 6/8 X
LIONEL FRANKI 6 X
ZAHRA DARWIN 6.5 11/12 X
DINDA M.SUPRIYADI 14 4/2 X
CAHAYA INDAH IWAN 18 4/12 X
ERI GORDON 40 5/7 X
ARFIYANTI ROFIIN 28 ACEH TAMIANG
PUTI NABILA SUKIMAN 25 4/19 X
YULISTYANI SYARIF 18 7/12 X
KHAIRUL A IBRAHIM 4 7/1 X
AMAL Z YBS 55 4/1 X
RUKMINAH YBS 78 8/12 X
HADI LAKSANA YBS 70 5/18 X
SUTARDJO YBS 64 5/15 X
FUFU NANDAN 31 GARUT WANARAJA
SARWONO YBS 63 2/24 X
KEMIS A YBS 50 6/15 X
NURLEM M.MURNI 59 1/5 X
TATI NANA 23 4/25 X
LILY M MULYADI 63 2/10 X
MASINI WARSONO 56 8/5 X
ANASTASSYA YBS 29 7/7 X
RAGA RAYA P.NABABAN 38 1/12 X
P.NABABAN YBS 45 1/12 X
M.NASIR YBS 63 4/10 X
RAMLAH YBS 78 8/10 X
M. KAMIL SUBUR HADI 18 6/15 X
SUBUR HADI YBS 60 6/15 X
PRIYO P TASRIF 24 11/12 X
YOSAFAT OSMAR 23 3/5 X
ELLEN C YBS 28 2/14 X
DEBY WAHYUDI SYAHRIL 40 3/10 X

19 25

n
ebanyak 19 orang
g dan laki-laki 15 orang
UMUM GIGI LANSIA KIA KB
LW
BARU LAMA BARU LAMA BARU LAMA BARU LAMA BARU
X
X
X X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X X
X
X
X
X
X
X
X
X X
X
X
X
X X
X
X
X
X
X
X
X
X
X
X
X
X
X
KB
LAMA
NO
NO NO REKAM NO BPJS JENIS KARTU NAMA PASIEN NAMA KK
1 A002 MEDIS 3275040105810037 KS DENI M YBS
2 A003 A626 ALIF ABD ROJAK
3 A027 R553 RONALDY YBS
4 A028 0002298579388 BPJS M. ABDUL WAHAB ARIYANTO
5 A029 3275042302950013 FKTP WAHYU BAGUS YBS
6 A030 3275045312950010 FKTP DIAN P YBS
7 A031 3275040609730007 FKTP ENANG YBS
8 A033 A323 DINA ARIYANTO
9 A034 3209035803860003 FKTP SAMROH MUBARAK
10 B019 0001717467647 BPJS RIKA N SUNYOTO
11 E001 H520 HADI LAKSONO YBS
12 E002 S892 00000507783025 KIS Y SURYATI SUHERMAN
13 E003 R506 0000043690296 ASKES RISNAULIS YBS
14 E004 Y199 RAZIKA YULIANAH
15 E005 H242 ANGGITA HANDOYO
16 E006 H242 KHOLID HANDOYO
17 E007 N197 SUTRIMAH NURACHMAN
18 E008 N197 M.ZULFANSYAH NURACHMAN
19 E009 H449 HENDRO YBS
20 E010 A1322 TAUFIK ADI S
21 E011 R181 HENDRI R CECEP
22 E012 A461 VITA ANDRI
23 E013 A278 GUN G APOK
24 E014 F151 RISA O FARIS
UMUR UMUM GIGI
ALAMAT DW LW
L P BARU LAMA BARU LAMA
36 2/8 X X
10 7/5 X X
30 1/12 X X
10 2/24 X X
22 6/20 X X
22 4/11 X X
44 1/16 X X
25 11/12 X X
32 CIREBON 19/5 X X
30 BABELAN X X
70 5/8 X X
60 9/5 X X
62 5/19 X X
8 1/10 X X
LANSIA KIA KB
BARU LAMA BARU LAMA BARU LAMA
NO UMUR
NO REKAM NO BPJS JENIS KARTU NAMA PASIEN NAMA KK
L
A001 MEDIS 0000510288974 KIS
I286 DWI A IPAH
A002 T63 CHRISTIANO A TULUS SIAGIAN 9
A003 A992 SARAH ADI S
A007 S560 DAVID SUYATNO 16
A008 S776 0001744113802 KIS TRIASIH SUYADI
A009 0002217801036 KIS TIARA P SUHERMAN
A010 A295 SITI AUDINA Z ATMODIYANTO
A012 0000509410315 KIS GUSPUJI ARI TORANG
A011 S1448 000509540196 KIS INTAN PUTRI M SARDIMAN
E001 I97 0001013962904 KIS IRMA O IMAT
E002 U23 00005100511037 KIS UJANG S YBS 47
E003 C20 00012577704559 BPJS CHISWAR YBS 72
E004 E374 EFENDI YBS 66
E005 B338 000015696996 KIS TRIA BENI
E006 M976 ARSAKKA M.KHOJIM 10
E007 A278 0000509555755 KIS GUN G APOK 21
E008 CHRISTIANDRO H TULUS SIAGIAN 8
E009 R223 0000509400663 KIS INDAH RUSLAN
E010 A1264 0001159550605 BPJS DHAIFINA ADRIAN
E011 L009 0000073203625 ASKES LILIUM YBS
A013 Y256 000073514788 ASKES LALA YUSUF
A014 0000509475712 BPJS NENENG YBS
A015 ZANUAR YBS
A019 IRHAMDI YBS 31
A021 S741 GENTA SUDARYO 9
A020 HOTMA YBS 33
A023 M.ABDUL W YBS
A024 S61 NANI P SURYANTO
A025 M.KHOTIB YBS
A026 YANUAR B YBS 40
A027 PRIMA INDRA YBS 24
A028 N393 SAHRUL NASIN 16
A029 MELDA YBS
A031 LATIFATUNNISA YBS
A032 F121 FRESTI YBS
A033 F121 RAMADAN FRESTI 21
A034 TRIAS ERWIN
A036 CICIH ANDRIZAL
A039 SILVI ANDRIZAL
A037 MA26 YAPI W MAMAN 13
A035 A975 NURHASANAH ASEP
UMUR UMUM GIGI LANSIA
ALAMAT DW LW
P BARU LAMA BARU LAMA BARU
37 5/23 X X
6/9 X X
15 9/12 X X
1/25 X X
37 2/1 X X
16 9/20 X X
13 2/12 X X
31 4/25 X X
16 3-Feb X X
28 3/1 X X
1/24 X X
5/8 X X
6/11 X X
30 5/14 X X
3/24 X X
4/16 X X
6/9 X X
16 1/25 X X
14 JL GUNTUR X X
65 2/6 X X
44 7/12 X X
44 2/24 X X

2/16 X X
7/12
MEDAN X X

39 3/24 X X

PASURUAN X X
PURWOREJO X X
3/5 X X
27 BATAM X X

26 3/25 X X
3/25 X X
21 4/24 X X

6/2 X X
31 5/7 X X
LANSIA KIA KB
LAMA BARU LAMA BARU LAMA
NO REKAM
NO NO BPJS JENIS KARTU NAMA PASIEN NAMA KK
MEDIS

A001 L33 ANGEL LUKMAN


A002 3202044312970000 FKTP NENG EMA YBS
A003 3275044409780010 MENTARI TORIQ
A005 000506981542 ZANUAR EKA S
A006 B338 0001569666996 TRIYA BENI
A008 3275042707910020 SISTIADI YBS
A009 0001423226799 EVI Y KHADIJAH
A010 R560 TETI RAHMAT
A011 S1383 KOMALA SUWASIS
A012 T360 0001659189881 BPJS TONY SATARI
A015 E42 ELPI YBS
A016 3275041209700020 DESI SUTRISNO
A017 M159 00055083543356 SUNIARTI MULYADI
A018 A958 000509509855 KIS TRI RAMADANI AMAL
A019 A958 000509508876 KIS SYAIFUL AMAL
A022 3275044202770020 FKTP ENY S SISMAN
A023
D023 SUWASIS YBS
E001 R594 FONY RIZAL
E002 R005 RATIH RAHMAT
E003 G33 0001284579314 KIS ESTARIA GORDON
E004 N301 NANANG YBS
E005 R252 RISKI RATINAH
E006 R252 YANTO RATINAH
E007 R123 0000509095247 ELIYA ROYAN
E010 E359 000041194776 EVIE YBS
E011 S1696 ERNI W SUHERMAN
E012 A923 MIA A YUSUF
E013 L33 LUKMAN YBS
E014 W23 0001470337885 MASINI WARSONO
E016 0001727094172 SUHARTO YBS
E018 K255 ADRIANI KRIS K
A023 000507947049 KIS FAJAR F YUSUF
A035 000507946983 KIS RENALDI YUSUF
A025 S511 SARIPUDIN YBS
A026 R14
B022 R14 RASENDRIYA RUSBANDI
RUSBANDI YBS
A029 D100 FAREL DEDI
A030 D100 QALDA DEDI
A032 E347 TEGAR HAERUL A
A033 E347 SUMIATI HAERUL A
A031 D56 NENG YENI DICKY
A036 A1311 0001744059677 KIS ZIA AULIA ARLAM
A037 0001913163985 KIS ALIFAH N SYAH ALI
A038 H416 ARYA HENDRA
A039 3275025205980010 SHINTA P IRWAN
B035 3275025205980010 TAQI
B036 3275025205980010 AQILA
A040 32405520596005 GILANG YBS
A041 I156 IWAN YBS
B044 I156 HAMIZAN S IWAN
A042 B324 BUDI K YBS
A043 S1363 0001477354926 KENZIE SUDONO
A044 A693 WIDYANTI AHMADI
A046 M842 00073207798 YOSSY MARTAHI
A048 H483 RELI HELDER
A050 S1360 M.FARID SYAMSU RAHMAN
A051 3216026506870000 NARMIH YBS
B045 3216026506870000 RAHMAT NARMIH
A052 3275016105990020 AMELIA REFA EVA
A053 H15 SUENI HERI
A054 RIDHO HERI
A055 T24 0001384057157 NANI R TONY
A057 B300 AHMAD L BUSTOMI
A058 3275044811790010 KANIA SITI ZAHRIYAH
A059 R268 RAYEN RESTU
A060 3275044504980010 LULU YBS
A061 A438 FAHMI ABD MALIK
A063 I302 327504421180018 SUSANTI INDRA
A064 I302 INDRA YBS
A065 A712 SYAKIRA HASBULLAH
A062 J110 JHONI YBS
A066 S1320 0001473845859 SABRINA SOCRATESINDO
UMUR UMUM GIGI
ALAMAT DW LW
L P BARU LAMA BARU LAMA
7 10/12 X X
20 SUKABUMI X X
8 01/10 X X
8 03/03 X X
30 01/05 X X
26 10/12 X X
37 01/03 X X
30 2/6 X X
9 04/05 X X
10 06/12 X X
43 04/04 X X
16 01/04 X X
35 01/01 X X
17 04/01 X X
27 04/01 X
40 01/03 X X

47 04/05
49 09/12 X X
22 04/06 X X
60 09/12 X X
33 01/02 X X
9 01/02 X X
47 01/02 X X
38 08/05 X X
63 06/03 X X
21 04/04 X X
37 01/05 X X
58 10/12 X X
56 08/05 X X
57 03/05 X X
64 01/01 X X
8 06/12 X X
11 X X
43 01/12 X X
X
3 06/12 X X
42 06/12 X
9 03/06 X X
11 03/05 X X
6 05/12 X X
40 05/12 X X
32 06/03 X X
18 01/07 X X
6 03/01 X X
11 01/12 X X
22 01/01 X X
3 01/01 X
15BL 01/01 X
22 CIREBON-7/11 X X
30 05/11 X X
3.5 05/11 X
43 1-Mar X X
5.5 6-Feb X X
36 2-Jun X X
25 2-May X X
44 May-13 X X
17 Apr-15 X X
30 BABELAN-1/12 X X
4.11 BABELAN-1/12 X
18 01/03 X X
43 10/12 X X
6.8 10/12 X X
44 01/05 X X
25 03/11 X X
7 01/07 X X
7 03/05 X X
19 01/02 X X
33 06/07 X X
37 04/08 X X
38 04/08 X X
10 05/11 X X
41 11/05 X X
14 01/06 X X
LANSIA KIA KB

BARU LAMA BARU LAMA BARU LAMA

X
X
X

X
NO
REKA UMUR
NO NO BPJS JENIS KARTU
NAMA PASIEN NAMA KK
M
MEDIS L P
A003 K248 000977935353 KUSNADI YBS 39
A004 S1559 PUJI LESTARI SHAPRIJAL 39
A005 S1198 A.NURFAISAL SAIFUL 12
A007 U12 KAISA UNTUNG 6
A008 A14 ISNAINI ADE S 35
A009 A521 FANDIAN AGUNG B 11
A011 A14 HANSELIAN ADE S 11
A012 I256 0000509754508 KIS ADITYA IWAN 18
A013 A292 0000039901678 ASKES ATHIYYA AGUS S 21
A014 A1163 LIA A.DHANI 17
A015 3275046105750010 KS TRI W NISAN 38
A016 K202 0001811336095 BPJS LUCKY Y KAREL 32
A017
A018 3275044403740010 FKTP ELLY YBS 43
A019 II156 IWAN YBS 35
A020 3215175103920000 LILIS YBS 37
A021 3275044404740030 ATIK M M AMIN 43
A022 327504681009005 SAFIRA M AMIN 8
A023 0001818258221 KIS ANDRI G JONISMAN M 29
A024 E232 0001744064223 KIS ADZANI A ERFIN 9
A025 C95 ZAKI OASMIATI 12
A027 I292 AZZALIA IDRIS 9
A029 I292 FAZRA IDRIS 11
A030 0001848718449 BPJS PUTRI A YBS 33
A031 TINDAKAN 321605030589006 M.TIFANO ARIS P 7
A032 3327115105950000 SELLY YBS 22
A033 E383 SITI AISYAH EDY Y 22
A035 A1001 0001013961532 ADITYA ADE S 7
A036 P13 CHOIRUL PRIYO 6
A038 7271036907860000 JULIANA YBS 31
A039 3275045608850000 NURLELA YBS 32
A040 O37 NOMI OMI 44
A041 3275052804940010 FKTP M.RAHMAN YBS 23
A042 3201251202980000 FKTP LATIFUDIN YBS 20
A046 D328 0001608510914 BPJS MARIO W YBS 33
A048 3310145002970000 FKTP FITRI A YBS 20
A049 3275045138100020 FKTP RIRIS M YBS 36
A050 0002248317876 BPJS RICA MUSTIKA NURUL H 28
A055 B298 0002264140708 KIS DINA H BUDI 16
A056 B298 0002264140541 KIS WARNAINI BUDI 39
B040 3275045201680010 DILLAH 4.5
D029 3275045201680010 ROMLAH YBS 49
D030 T45 0000073127553 BPJS TITIN YBS 60
D031 L46 0001456979602 ASKES SRI S YBS 65
D032 0000509623705 KIS YANIH YBS 70
D033 S1756 SUMIATI YBS 55
D034 0001716479583 KIS HJ NENENG YBS 66
D035 0001744066596 KIS ROSADI YBS 48
E001 B341 FAUZI BAMBANG 21
E002 S1730 3275044109760020 SITI ROMDIANTI YBS 41
E003 D408 0001892832175 FAREL DIAN H 4.5
E004 D408 CENDY DIAN H 27
E005 S1009 0001273629025 SUTARDJO YBS 64
E006 H527 HERI S YBS 50
E007 B103 0000043800502 NINING H.BISRI 47
E008 B103 SHINTA H.BISRI 18
E009 R005 RATIH RAHMAT K 22
E010 F151 RINA FARIS 31
E011 H012 LUKMAN HOTIM A 11
E012 Y93 ELFIAN S YULI K 6
E013 R102 RIKA RUHUM B 28
E014 R102 RAUDHATUL RUHUM B 6
E015 3275945009920020 M ZAYAMIN MUHAYATI 11
E016 F64 0001466535249 BPJS FRIDA YBS 44
E017 W42 MAROH A WAWAN 38
UMUM GIGI LANSIA
ALAMAT DW LW
BARU LAMA BARU LAMA BARU
JL HARUMAN X X
03/12 X X
02/05 X X
11/12 X X
01/11 X X
11/06 X X
01/11 X X
05/01 X X
03/01 X X
05/12 X X
01/02 X X
05/04 X X

07/12 X X
05/11 X X
CARIUMULYA-2/9 X X
01/11 X X
01/11 X X
01/08 X X
01/01 X X
04/05 X X
01/05 X X
01/05 X X
03/10 X X
TAMBUN UTARA//SDN KJ V X X
PEMALANG-LETNAN ARSYAD X X
03/03 X X
2/26 X X
03/02 X X
PALU-LELE RAYA X X
03/12 X X
01/02 X X
RAWALUMBU X X
CISARUA-PADURENAN X X
05/2019 X X
JUWIRAN-BELUT RAYA X X
07/12 X X
05/11 X X
07/12 X X
7-Dec X X
03/24 X X
Mar-20 X X
05/07 X
04/07 X
02/01 X X
01/05 X
02/07 X X
Jan-15 X X
06/11 X X
11/18 X X
07/10 X X
10/20 X X
01/05 X X
01/09 X X
02/06 X X
02/06 X X
04/06 X X
07/05 X X
07/12 X X
01/11 X X
TANGERANG-KYR 2/25 X X
TANGERANG-KYR 2/25 X X
02/16 X X
04/14 X X
10-Dec X X
LANSIA KIA KB

LAMA BARU LAMA BARU LAMA


X
X

X
NO REKAM
NO NO BPJS JENIS KARTU
MEDIS

E001 3171036306980006 FKTP


E002 H219 0000037307531 ASKES
A001 Y228
E003
A002 0000441505631 KIS
E004 TS 3209137009980002 FKTP
E005 3212232610890003 FKTP
E006 U23 0000510511037 KIS
A005 L73 0001455693827 BPJS
E007 S1562
A006 ;332803161290002 FKTP
E008 A1352
A004 A312
E009 H424
A007 3142015 K.PELAJAR
E011 R418
E012 R418
A008 E275
E013 A1116
A009 I299
B010 I299
E014 3516035309970001 FKTP
A010 3303306002960001 FKTP
E015 Z046
A011 0000508365437 KIS
E016 A121 CABUT GIGI
A012 N346
A013 S377
A015 J248 0000509473776 KIS
A016 000206127002 BPJS
C001 3275045405890003 FKTP
E010 E398

A018 3275057007880006 FKTP


A020 M32 0000039504881 ASKES
A022
A023 0001631110746 BPJS
A024 A46 0000039566351 BPJS
C002 32750447018900023 FKTP
A025 3603121907700010 FKTP
A029 J80 0000509886742 ASKES
A025 R473 0001460040322 KIS
A032 0000159317673 ASKES
A033 K174 0001128797054 BPJS
C003 J28
A035 3201074503970008 FKTP
A036 R130
C004 32750448870026 FKTP
A041 32750448870026
A038 327504410890012 KS
A039 D532
A040 3202114704770007 FKTP
A043 0000509524626 KIS
A044 000509527078 KIS
C005 3275040509900017 FKTP
C006 M695
A046 M527 0001453071543 BPJS
D035 A295
D036 A295
D037 E44 0000508742504 KIS
D038 A1420
D039 S1357 0001459208182 BPJS
A051 3275104404840010 FKTP
A052 3374132806880001 FKTP
A053 H41 0001744063852 KIS
A055 S.SEHAT 3601161109850004 FKTP
A054 A7772
A056 L40
A057 L40
D041 3327054107610143 FKTP
D043 0001646989503 BPJS
D045 3601160107660019 FKTP
D048 0001899300701 BPJS
D050 M949 00000732595915 ASKES
D051 J140 0001836834131 BPJS
A059 3275046809770009 FKTP
A058 D236
A061 S.SEHAT 00001726870061 KIS
D053 S33
A062 H262
A063 H262
C007 H262
A064 3375011004840003
UMUR
NAMA PASIEN NAMA KK
L P
GISDA YBS 20
HERU S YBS 59
YATI YBS 36
RATNA W YBS 64
SYARAH YBS 23
ZUMROTULLAH YBS 19
SUKMANTA YBS 29
UJANG YBS 47
SYAHIRUL LAILATUL B 27
SURAHMAN YBS 60
M ZULFA YBS 25
ABDILLAH ABD AZIS 7
SALSA AGUS B 15
UMAR HANDOYO 4.5
LUTFIATUN YBS 17
NISA PANTI ASUHAN RATNA JAYA 14
NADIA PANTI ASUHAN RATNA JAYA 13
JOJO EDWIN 10
ASIATI ASMUNI 53
NIKEN IRWAN 28
FAKHRI P IRWAN 3.7
FACHTUR R YBS 20
PITRIYANI YBS 21
ZAENAL ARIFIN YBS 25
DONY YBS 21
IMAM A.SATURI 8.5
WILMAR NENEG 33
SANDRA YBS 33
IMAM G JUDIN 24
DIAN ZULFA ASEP S 26
ENDANG FEBRI 28
NIA EMAN 20

FITRI Y YBS 29
RUTNIAH YBS 63
M ILHAM IRWAN 6
NABILLA JONO 16
IMAM S ADITYA 25
ELI K KAIJINO 29
ALTAFH A SASMITO 5.5
YOYOH JUAN 38
RISON YBS 39
BATAAV YBS 40
KUSNAEDI YBS 41
ENI W JAMIL 36
KARTI P YBS 21
KIRANA R.A ATMADJI 18
HASNI K FARHAN 30
HAFIZ FARHAN 7
RISTA O YBS 28
ROS DONARDO 38
APRILLIANI YBS 20
ANGGITA MUJIANTO 23
HAIKAL MUJIANTO 7
LAURA SUPRIYANTO 24
RINI T M. ASKOR 39
IMAM N MARGONO 18
ATMODIYANTO YBS 51
SURYANI ATMODIYANTO 47
AL FINAFIAH ESTER 54
PAMUJI AMIR HUSIN 60
SYURYETTI SYHABDI 56
IRA T YBS 33
ILHAM N YBS 29
HERI YBS 44
UKIM YBS 31
NOVI ANWAR 32
GRACIA LEO 10
HESIEL LEO 7
RAHAYU YBS 57
PARTINI YBS 47
JUANEDI YBS 51
KONTAULI BR YBS 72
MAMAH S YBS 54
JHONNI M YBS 61
ROHAENI YBS 40
TATI DENI 35
ZENI SUMIYATI 19
SRI S YBS 51
SALMA HARRY 14
SAFWA HARRY 14
NUZUL HARRY 38
M. ILYAS YBS 34
UMUM GIGI
ALAMAT DW LW
BARU LAMA BARU LAMA
KEMAYORAN-GUNUNG GEDE 8 X X
5/13 X X
5/2 X X
KEMAYORAN-GUNUNG GEDE 8 X X
LETNAN ARSYAD X X
CIREBON-TANGKUBAN PERAHU 1 X X
CIREBON-KYR 7/12 X X
1/24 X X
;5/6 X X
1/7 X X
TEGAL-9/12 X X
11/16 X X
6/6 X X
7/4 X X
BREBES-LETNAN ARSYAD X X
PANTI ASUHAN RATNA JAYA X X
PANTI ASUHAN RATNA JAYA X X
UDANG 8 X X
11/16 X X
DKI JKT-ANNUR 2 X X
DKI JKT-ANNUR 2 X
MOJOKERTO-PATUHA 2 X X
CIANJUR-LELE 7 X X
5/1 X X
9/12 X X
BUARAN X X
5/8 X X
3/25 X X
2/12 X X
8/12 X X
1/24 X
2/6 X X

RAWALUMBU X X
4/8 X X
4/24 X X
8/8 X X
3/9 X X
4/1 X
JK SAMPURNA 2/15 X X
1/16 X X
6/9 X X
3/11 X X
5/24 X X
7/12 X
CILEUNGSIH-KEOMAS 2 X X
2/8 X X
2/25 X
2/25 X X
1/12 X X
5/9 X X
SUKABUMI-TAWES RAYA X X
10/16 X X
10/16 X X
1/16 X
3/15 X
2/8 X X
2/15 X
2/15 X
25/25 X
5/7 X
1/15 X
JT SAMPURNA X X
SEMARANG-TANGKUBAN PERAHU X X
2/1 X X
PANDEGLANG-KEONG MAS X
6/16 X X
1/8
1/8
PEMALANG-7KYR 7/19 X
7/12 X
PANDEGLANG-KEONG MAS X
1/13 X
6/8 X
1/5 X
5/7 X X
10/12 X X
2/24 X X
2/24 X
1/3 X X
1/3 X X
1/3 X
PEKALONGAN-LELE RAYA X X
LANSIA KIA KB

BARU LAMA BARU LAMA BARU LAMA

X
X

X
X

X
X
X
X
X

X
X
X
X
X
X

X
NO REKAM
NO NO BPJS JENIS KARTU NAMA PASIEN
MEDIS
A001 0002221792108 KIS AULIANA
A002 H138 0001155252058 BPJS HENDRIK
A003 H138 0001298234226 BPJS PORMAN
A004 H138 0001298240436 BPJS CHRISTIAN
A005 1804045211960007 FKTP PUTRI H
A006 3275024802980009 FKTP VARA F
A007 A312 TORIQ
A008 W57 000509118535 WIMBOYONO
A009 3275045508740014 FKTP NAZWA
A010 1810082009970004 FKTP RIZKY S
A011 3275045711750016 KS NUKE K
A011 B25 RAFLI
A013 A1246 LUSI
A014 3275042108530006 FKTP RAFI
A015 A971 FADIA R
A016 A658 0001192804986 BPJS MARIA
A018 3275042109870014 FKTP EKA S
A019 R418 SARAH
A021 K74 PANJI
A022 3304015111960001 FKTP TRI R
A023 32750409028550016 FKTP ANDRY
A024 I311 NAZWA R
A025 3206384107900096 FKTP AI SUNDARI
A027 3275096502970006 FKTP ARUM DARA
A028 S28 0000073232583 KIS MELANIA
A029 N97 MUANIH
B019 K74 SHINTA
E001 R594 FONI
E002 0001013961802 KIS RAHARDJO
E003 S892 0000507782992 KIS SUHERMAN
E004 S892 0000507783025 KIS Y SURYATI
E005 0001622129163 BPJS RUSTAM S
E006 3216055710950001 FKTP DEFI O
E007 D56 FAUREL
E008 N329 0001288353183 BPJS NORMAN
E009 S1863 SUWARNI
E010 151607081 K.PELAJAR A.ROHMADI
E011 3202265001980004 FKTP ITA
E012 B25 LIFIA
E013 3216063004890020 FKTP ANDRI
A030 O16 UUM
A031 3217947112940026 FKTP DEA FITRIYANI
A032 330406303980001 FKTP LULU AZHAR
A033 3275042712940012 FKTP HANGGARA
A034 C74 TIFANO
A036 P37 0000038235925 KIS PAIDI
A037 7271036907860005 FKTP JULIANA
A038 33229105406980003 FKTP HANIN
A039 3275046920980007 FKTP DEWI
A040 32750464860005 FKTP AVRIL
E015 3216096606670005 FKTP SUMARYANI
A041 0001724967055 BPJS SUSANTI H
A042 0001724967066 BPJS JOSHUA
A043 E344 0001744058529 KIS NAHAROH
A044 S76 0001744113802 KIS TRIASIH
A046 G76 ROSSA
UMUR
NAMA KK ALAMAT DW LW
L P
YBS 36 4/25 X
YBS 44 6/12 X
HENDRIK 43 6/12 X
HENDRIK 6 6/12 X
YBS 17 LAMPUNG-JEND SUDIRMAN X
YBS 19 3/12 X
AGUS 10 6/6 X
YBS 32 5/24 X
IDA R 10 7/16 X
YBS 20 PRINGSEWU-GURAME 4 X
ENDANG 42 9/12 X
BUDI S 13 7/12 X
ALI 34 3/1 X
ATMADJI 6.5 5/10 X
A.SUBHAN 6 1/1 X
AGUNG 37 4/13 X
YBS 29 5/13 X
RATNA JAYA 16 PANTI ASUHAN RATNA JAYA X
KRISROMANTO 6 11/12 X
YBS 21 TAMBUN-9/12 X
YBS 32 6/16 X
IMANSYAH 11 2/6 X
YBS 27 TASIMALAYA-GURAME 7 X
YBS 20 5/5 X
SUNARDI 18 2/12 X
NARTO 43 10/10 X
KRISROMANTO 2.5 11/12 X
RIZAL 49 9/12 X
YBS 51 3/2 X
YBS 72 9/5 X
SUHERMAN 60 9/5 X
YBS 39 6/21 X
YBS 22 5/8 X
DICKY 10 6/3 X
YBS 46 JAKA PERMAI X
YBS 65 2/9 X
SUHERMAN 15 1/1 X
YBS 20 SUKABUMI-BELUT 5 X
BUDI S 19 7/12 X
YBS 28 TAMBUN X
OKA 40 4/24 X
YBS 23 BOGOR-LELE 8 X
YBS 19 BANJARNEGERA-BELUT 5 X
YBS 23 1/7 X
CARYONO 6.5 6/12 X
YBS 39 3/4 X
YBS 31 PALU-LELE RAYA X
YBS 19 BREBES-LELE 1 X
SANTOSO 19 1/8 X
FERONIKA 7.5 7/8 X
YBS 49 5/22 X
YBS 37 4/8 X
SUSANTI 6 4/8 X
EDI 43 2/1 X
SUYADI 37 2/1 X
GATUT 24 6/5 X
UMUM GIGI LANSIA KIA KB
BARU LAMA BARU LAMA BARU LAMA BARU LAMA BARU LAMA
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
NO REKAM
NO NO BPJS JENIS KARTU NAMA PASIEN
MEDIS
A001 S1407 EPI
A002 3212615059970001 FKTP SODIKIN
A003 A521 NURUL H
A004 3275044566400024 FKTP RAMANDA
A005 S981 SALBIYAH
A007 T95 MARIA S
A008 A958 0000509508876 KIS SYAIFUL
A010 A1454 AGUS B
A011 L55 0001744056909 KIS SARMI
A012 D100 32750416071200002 KS RAKA AZRI
A013 S1349 0000509380997 JAMKESMAS DANNU
A014 T101 STEFANI
A015 T101 SUSAN
A016 T362 VIRA K
A017 P229 SITI F
A018 P151 FADILLAH
A019 3279020506930002 HERI Y
A021 A1456 AFRIZAL
A022 A1301 0001744060779 METTA
A023 F45 ERLINA
A024 K009 ILHAM
A025 P151 PUJI
A026 3275042607970012 ANDHIKA
A027 K248 000977935353 KIS KUSNADI
A028 A1311 0001744059666 KIS APONG
A029 U90 MAULIDA
A031 A982 RAFA
A033 O29 UBAIDILLAH
A034 S805 RINI
B007 O29 ISHAQ
E001 B304 MELKI
E003 M212 0000045174958 ASKES NURLEM
E004 B200 3275024312920022 FKTP AYU R
E005 R005 RAHMAT
E006 R005 RATIH
E007 S1714 WENTI
E008 O58 0000507012985 KIS JUBAEDAH
E010 Y199 tambal gigi REZIKA R
E011 3216096606670005 FKTP FADEL
E012 T278 KHAULA S
E013 H424 UMAR
E015 D393 0001447356249 D KUSUMAWARDANI
A037 327506480390015 WAHYU RIANA
A038 3275045109760013 M.ARDHANI
A039 A.DIMAS
A040 3275026307810036 TORIQ
UMUR
NAMA KK ALAMAT DW LW
L P
SUGENG 43 10/16 X
YBS 20 INDRAMAYU X
AGUNG 20 11/6 X
SUWARTI 15 3/3 X
YBS 44 1/16 X
TONY 30 5/5 X
AMAL 27 4/1 X
YBS 41 2/7 X
LUSMEGAJAYA 43 2/1 X
DEDY K 5.5 3/7 X
SUPRIYANTO 21 6/14 X
TONI 19 5/1 X
TONI 21 5/1 X
TEDY S 8 1/5 X
PANDU 31 3/15 X
PUJI 6 1/20 X
YBS 24 BANJAR-JL KEMAKMURAN X
YBS 25 4/20 X
ABDILLAH 28 3/23 X
FADILLAH 39 3/12 X
KHALIN 6 7/12 X
YBS 43 1/20 X
YBS 20 12/12 X
YBS 29 LAMPUNG//HARUMAN 2 X
ARLAM 36 7/26 X
UMI K 16 9/12 X
ABD RAHMAN 7 7/12 X
OCTA 5.5 3/4 X
SUHARTADI 37 2/15 X
OCTA 3.5 3/4 X
BAMBANG 10 2/1 X
MURNI 59 1/5 X
BEGUM M 25 3/11 X
YBS 51 4/6 X
RAHMAT 22 4/6 X
SUPRIYADI 28 4/25 X
OJAY 45 8/16 X
YULIYANAH 8 1/10 X
SUMARYANI 9.5 5/22 X
TOMI K 7 10/22 X
HANDOYO 4.5 7/4 X
YBS 53 6/6 X
YBS 24 4/2 X
SUPIANI 8 11/12 X
SUGITO 6.5 10/12 X
SITI MAESAROH 6 8/11 X
UMUM GIGI LANSIA KIA KB
BARU LAMA BARU LAMA BARU LAMA BARU LAMA BARU LAMA
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
NO UMUR
NO REKAM NO BPJS JENIS KARTU NAMA PASIEN NAMA KK
MEDIS L P
A001 B128 000126291108BPJS ARSY BAMBANG 17
A003 S1765 509539206 KIS NAPSIAH SUGINO 44
A004 S1765 509540139 KIS M.FIQIH SUGINO 15
A005 S1765 M AGUNG SUGINO 18
A006 S631 509283966 KIS SYACH FAUZI YBS 44
A007 N197 508383033 KIS SUTRIMAH NURAHMAN 37
A010 509394622 KIS ADELIA ALM.ROKI 10
A011 3.27509E+15 KTP CINDY A YBS 19
A012 18888663915 BPJS RONALD G YBS 37
A013 M23 MARYANI YBS 45
A015 T55 AZKA TUTI 6
A016 F205 1804115046 FERNANDO YBS 43
A017 F205 1804114776 LELIANA FERNANDO 43
A018 F205 18041154117 AMANDEA FERNANDO 13
A019 F205 18041159 FELISIA FERNANDO 8
A022 3.27505E+15 KTP FADIL A SANTY L 12
A023 R155 LARAS ROCHKIN 19
A024 R155 507000161 ASIH ROCHKIN 43
A026 3.27504E+15 KTP NUR AENI YBS 28
A027 S76 1744113813 KIS DIMAS P SUYADI 17
A028 1.70821E+14 KTP ZUALIAN A YBS 22
A030 R418 JABAR PANTI ASUHAN 17
A032 3.20307E+15 KTP ALFIA H YBS 26
A033 A1451 OKVIANTARI ALFERD 34
A034 M327 HAFSAH DIAN 7
A035 3.37409E+15 KTP KOSIBHA YBS 42
A036 3.27504E+15 KS RISTA O YBS 28
A037 S76 1744113802 KIS TRIASIH SUYADI 36
A038 3.32812E+16 KTP PUJI W YBS 20
A039 3.21007E+15 KTP ISMATUL YBS 21
E001 B128 1262911544 BPJS RASYA BAMBANG 6
E002 S377 3.27504E+15 KS BAHRIAH SANDRA 31
E003 J331 509411226 KIS IRSYAD JOKO S 10
E004 3.17104E+15 KTP GISDA YBS 20
E007 A947 1013957043 KIS PURWANINGSIH A.ARYANTO 31
E008 Y93 ELFIAN YULI K 6
E009 S631 509285136 KIS DERY A SYACH FAUZI 19
E010 D241 509454303 JAMKESMAS NURHAYATI DEDI 27
E011 2277910102 KIS TUTY A YBS 47
E012 2236197655 KIS TRISNI YBS 40
E013 S1562 SALHA D YBS 52
E014 S1562 TRI ANANDA SALHA D 19
E015 F151 RINA 0 FARIS 31
E016 A848 1454941416 BPJS S.ARRYS YBS 64
E017 T063 CHRISTIAN TULUS 9
E018 T063 CHRISTIANDRO TULUS 7
E019 M465 NILA MUGIONO 22
E021 H298 1013965277 KIS DZAKI HERWANTO 13
UMUM GIGI LANSIA
ALAMAT DW LW
BARU LAMA BARU LAMA BARU
3-Jul X X
7-Jan X X
7-Jan X X
7-Jan X X
3-Mar X X
Oct-16 X X
4-Dec X X
LELE 4 X X
9-Oct X X
Jan-15 X X
6-Jul X X
3/12 X X
X X
X X
X X
3-May X X X
6-Jul X X
6-Jul X X
11-Dec X X
2-Jan X X
BENGKULU-KYR 4/5 X X
PANTI ASUHAN RATNA JAYA X X
CIANJUR-9/12 X X
Jun-14 X X
2-May X X
SEMARANG-3/9 X X
1-Dec X X
2-Jan X X
TEGAL-TAWES RAYA X X
MAJALENGKA-13/5 X X
3-Jul X X
Feb-24 X X
Feb-23 X X
KEMAROYAN-JL. GN GEDE X X
May-24 X X
Nov-16 X X
3-Mar X X
Apr-24 X X
Mar-24 X X
09/12 X X
3-Apr X X
X X
7-May X X
JL LELE X X
Jun-19 X X
Jun-19 X X
1-Dec X X
5-Feb X X
LANSIA KIA KB
LAMA BARU LAMA BARU LAMA
NO UMUR
NO REKAM NO BPJSJENIS KARTU
NAMA PASIEN
NAMA KK ALAMAT DW
MEDIS L P
UMUM GIGI LANSIA KIA KB
LW
BARU LAMA BARU LAMA BARU LAMA BARU LAMA BARU
KB
LAMA
NO NO REKAM MEDIS NO BPJS JENIS KARTU NAMA PASIEN NAMA KK

A001 Y228 YATI YBS


A002 3275044506640020 KTP RAMANDA SUWARTI
A003 D408 CENDY DIAN
A004 KIR 3275040501670010 KTP AL GHIFARI AGUS S
A006 E387 0001640359653 BPJS RAECHIELL ERWIN
A007 R710 JEFRI RIO
A012 KIR 3275046405000010 KTP MAAIDAH YBS
A015 327504100888820000 KTP DWI AGUS YBS
A016 0002221792479 KIS KRESNO ALIF C
A017 D521 M AKBAR DEFRI
A018 F212 FERDINAN YBS
A019 E322 PUTRI ESROR
A020
A022 M308 0001336495623 BPJS ALIFIANDRA M YUNUS
A023 3275020210700010 KTP KANAYA ERWANDI
A024 E322 BETI ESROR
A025 D76 WATINI DODI
A026 A877 CHRISTIAN ALBERT
A027 A877 ESTER ALBERT
A028 0000509619093 KIS M DAFFI ALBERT
A029 3275040708810020 KS ANJAS ASMARA YBS
A031 D458 0001637848383 BPJS DADY S YBS
A033 3275064706910000 KTP ANIH O YBS
A034 3275044909770020 KTP SUPRIYATI KASNADI
A035 3275040405820010 KTP ADITYA KASNADI
A036 3275041307940000 KTP SETYAHADI YBS
A039 0001261824939 BPJS CINDY PUSPITASARI YBS
A040 SITI LAILA DADAY
A041 S1581 WARNI SUGITO
A042 C74 TIFANO CARYONO
A043 B128 0001262910227 BPJS BAMBANG YBS
A044 B55 ANDRA K BAYU
A045 G30 FLO GORDON
A046 011614936 K.PELAJAR SANTI YBS
A048 A1458 0002306787366 KIS ADI DAYA ARWIN
A050 327040910730012 KTP VINCENTIUS VERO
A051 KIR 3215032508980000 KTP ILHAM N YBS
A052 3324080410830000 KTP SLAMET S YBS
A053 3275044607810020 ktp AHMAD HUSAEIN SITI K
A054 D236 ZAIDAN DENI
B021 A703 AFIZA AWALUDIN
B024 B02 RAYA FIBRIYANTI/BAMBANG
B025 F70 ARFAN FARHAN
B026 F70 SYIFA FARHAN
B029 G30 MORA GORDON
D048 327040910730012 VERO YBS
E001 R594 FONY RIZAL
E002 H268 0001324736109 BPJS HISAR YBS
E003 TS 3216050407870000 KTP WAHYUDI YBS
E004 M77 JUNAETI MULYADI
E005 H527 HERRY S YBS
E006 B103 0000043800502 KIS NINING H BISRI
E007 A940 ADITYA SMA AL IHSAN
E008 S1714 WENTY SUPRIYADI
E009 3275045709750010 KTP SUNARTI YBS
E010 D408 0001892832175 BPJS FAREL DIAN
E011 3275036602910030 KTP ANA DIANA YBS
E013 S876 SUGIYARTO YBS
E015 S513 SURIP SUBUR YBS
E016 K41 KUSMIARTI YBS
E017 M197 0002202047932 KIS M NASIR YBS
E018 F005 0000072896185 ASKES SETIA R FACHRUDIN
E019 A65 0000510381505 KIS SYIFA AWING
UMUR UMUM GIGI
ALAMAT DW LW
L P BARU LAMA BARU
36 KYR 5/2 X X
15 JK SETIA 3/3 X X
27 KYR 7/10 X X
13 KYR 3/5 X X
6.4 KYR 5/11 X X
12 KYR 6/12 X X
17 KYR 4/21 X X
34 KYR 8/10 X X
10 KYR 4/25 X X
7.5 KYR 6/8 X X
33 KYE 1/10 X X
16 KYR 2/11 X X

6.5 KYR 5/13 X X


9 JK SAMPURNA 3/16 X X
45 KYR 2/11 X X
40 KYR 7/12 X X
7 KYR 2/11 X X
41 KYR 2/11 X X
15 KYR 3/12 X X
35 KYR 1/12 X X
30 KYR 2/6 X X
26 KYR 4/24 X X
45 KYR 6/1 X X
10 KYR 6/1 X X
22 KYR 3/6 X X
25 KAYURINGIN, GABUS RT1 RW7 X X
6 PELUS RAYA RT8 RW 9 X X
39 KYR 10/12 X X
6.5 KYR 6/12 X X
41 KYR 3/7 X X
6 KYR 1/10 X X
7 KYR 5/7 X X
16 BLORA-6/12 X X
26 JL MELATI 1/2 X X
7 KYR 5/13 X X
19 KARAWANG-LETNAN ARSYAD X X
34 KENDAL-7/12 X X
8 KYR 1/12 X X
6.5 KYR 10/12 X X
2.2 KYR 3/12 X
2 KYR 3/5 X
4BL KYR 2/5 X
6 KYR 2/5 X
4 KYR 5/7 X
45 KYR 5/13 X X
49 KYR 9/12 X
65 UDANG 1/8 X
30 TAMBUN-LETNAN ARSYAD 6 X
50 KYR 10/12 X
50 PONCOL 9/16 X
46 KYR 2/6 X
16 KYR 6/6 X
28 KYR 4/25 X
43 KYR 5/1 X
4.5 KYR 7/10 X
26 KYR 2/5 X
62 KYR 6/10 X
70 KYR X
72 KYR 1/6 X
63 KYR 4/10 X
57 KYR 1/25 X
9 KYR 10/12 X
GIGI LANSIA KIA KB
LAMA BARU LAMA BARU LAMA BARU LAMA

X
X
X
X
X

X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
NO REKAM JENIS NAMA
NO NO BPJS NAMA KK
MEDIS KARTU PASIEN

A001 3275045711750010 KS NUKE K ENDANG


A002 S294 YESSY T SUMARNI
A003 R567 0001085908735 KIS RIAN LIEN M
A004 N419 0000509241969 JAMKESMAS TEDY NURDIN
A005 B128 0001262910227 BPJS BAMBANG YBS
A006 M861 NATA NABABAN
A007 A847 FAHMI NURUL HUDA
A009 3275032205880020 KTP ADANG YBS
A010 A847 LABIB NURUL HUDA
A011 I283 ALDI IWANTO
A013 Y54 '0001290937893 BPJS SUCI R YEYEN
A015 S694 HERU P SUBAGIO
A017 3171066908680000 NANDU YATI
A018 0002042877609 BPJS LILIS N YBS
A019 3275047108850020 KTP SHAFA WITRI
A021 3207235905880000 KTP JUJU W YBS
B015 3275047108850020 KTP M.DHAFA WITRI
E001 S1562 0000207600401 ASKES SURAHMAN YBS
E002 H449 HENDRO YBS
E003 H449 KAMILA HENDRO
E004 B103 000438800502 KIS NINING H BISRI
E005 K41 0000073001182 KIS KUSNIARTI YBS
E006 N329 00012988353183 BPJS NORMAN YBS
E007 3275045304920000 KS DITA TITIEN
E008 A752 0000072720099 ASKES ALEXON YBS
E009 M111 0000202431813 BPJS MARISI YBS
E010 P96 00000038869481 ASKES FARIDA POLINDOS
E011 A1460 ARIYANTI ALBERT
E012 3209256108940000 KTP NURLEILA YBS
E013 F214 FATCHUR R YBS
E015 TS 320226500198004 KTP ITA YBS
E016 N79 0001744060059 KIS WINARSIH NASIKIN
E017 A931 0001791810145 BPJS ADE S YBS
E018 E341 ROSMIA ENCOM
A022 H415 TIARA HAERUDIN
A023 A1452 BERDIL ALEX
A024 0002196697825 KIS NURUL SHOLIHA YBS
A025 P194 ARAFAH PARMOHONAN
E020 3328166307930030 KTP ELMIYANI YBS
A028 S1055 0001256713457 BPJS INDRY SUGONO
D028 S1055 0001256713435 BPJS YETTI SUGONO
A029 3175034112830010 KTP SELOMITA DETTA
A030 B54 0002275647221 KIS CALISTA BISOMO
A031 S1563 DIMAS SRI R
A032 A1311 0001744059666 KIS APONG ARLAN T
A033 R739 RUSNAN YBS
A034 0002215629641 KIS MIFTAH YBS
A035 3275041704780010 KTP RONGGO YBS
A036 0001606765509 KIS FIRMAN YBS
A037 3175075301850010 KTP MISTA R YBS
E021 3205066612810000 KTP SANTI S YBS
A039 3275046009750010 KTP RAYHAN LILI S
A040 D116 00001013959754 JAMKESMAS ALI ISNAINI DAMIRI
A041 3275025103770020 KTP ROSIDAH YBS
A042 32120261505970000 KTP SODKIN YBS
A043 S76 0001744113802 KIS TRIASIH SUYADI
A044 N411 TRI NISAN
A046 N411 CHELSEA NISAN
A045 317201807950013 KTP RIFAI R YBS
UMUR UMUM GIGI
ALAMAT DW LW
L P BARU LAMA BARU
42 KYR 9/12 X X
22 KYR 10/5 X X
26 BELUT 4 X X
10 KYR 3/25 X X
42 KYR 3/7 X X
11 KYR 11/12 X X
6.5 KYR 4/12 X X
29 MARGA MULYA X X
8 KYR 4/12 X X
21 KYR 9/12 X X
35 KYR 2/10 X X
42 KYR 4/12 X X
6 MENTENG-MASKOKI 4 X X
22 KYR 3/12 X X
8 KYR 6/24 X X
29 PD GEDE 7/14 X X
2 KYR 6/24 X X
60 JK SAMPURNA 1/7 X
42 KYR 11/16 X
5 KYR 11/16 X
46 KYR 2/6 X
72 KYR 1/6 X
46 JK PERMAI X
26 KYR 4/25 X
62 KYR 4/6 X
75 JL GABUS X
63 KYR 2/9 X
30 KYR 5/24 X
23 CIREBON-UDANG 2 X X
20 PATUHA UTARA X
20 SUKABUMI-BELUT 5 X X
42 KYR 4/12 X
62 KYR 8/8 X
30 KYR 11/12 X
14 JK SAMPURNA X X
13 KYR 6/1 X X
21 JK SETIA X X
18 MASKOKI RAYA X X
24 SURADADI-JK SAMPURNA X X
28 KYR 4/8 X X
70 KYR 4/8 X
7 CIPINANG/PEKAYON X X
5 KYR 6/14 X X
9 KYR 10/5 X X
37 KYR 7/26 X X
40 KYR 7/12 X X
21 KYR 4/16 X X
38 KYR 10/5 X X
25 KYR 9/16 X X
33 DUREN SAWIT-1/24 X X
34 GARUT-TAWES RAYA X
11 KYR 3/12 X X
17 KYR 3/24 X X
40 JK SAMPURNA X X
20 INDRAMAYU-GURAME 3 X X
37 KYR 2/1 X X
42 KYR 2/25 X X
8 KYR 2/25 X X
22 CAWANG-TAWES RAYA X X
GIGI LANSIA KIA KB

LAMA BARU LAMA BARU LAMA BARU LAMA

X
X
X
X
X
X
X
X
X
X
X

X
X
X

X
X
NO UMUR
JENIS
NO REKAM NO BPJS NAMA PASIEN NAMA KK
KARTU
MEDIS
L
A001 360301481230006 KTP SRI NUR AENI SURATNA
A002 A216 WULANDARI SURATNA
A003 32750036709210000 KTP IKA INDRATMO
A004 E52 0000509649816 JAMKESMAS LILIS S YBS
A006 J198 RATIH RAHMAT
A007 I179 0001622129163 BPJS RUSTAM YBS 39
A008 H449 ISWA ABD AZIS
A009 H449 DEFI OKTAVIANDRA YBS
A010 3302181603940000 KTP LUDRIANA YBS
A011 M81 FAIZ ERWIN 8
A012 P193 FERNANDO GUSTAM 12
A013 2275026579 KIS ANGGI JOKO 16
A014 A940 ALEXON YBS 62
A015 I179 12811077777 BPJS NURAJIJAH ISAK
A016 A1322 1281108576 THALTHA ISAK
A017 J75 NIA EMAN
A018 R743 DEKO HENDRO 10
A021 E385 UCU S HENDRO
A022 A847 FAKIH S YBS 24
A023 T273 ROFIAH DJUAFRAH
A024 3304050911810000 KTP M NURHADI YBS 37
A025 S1440 UMI KULSUM PARDI
A026 S101 ARYA PARDI 2.5
A027 3301201601950000 KTP UMAR HANDOYO 4.5
A028 N080 M RAFNIWAZ YBS 33
A030 M276 ABD KARIM YBS 72
A033 A975 GADING DIAN SMA ALIHSAN
A034 S1724 KUSUMAHATI ADI
A037 T347 M RIDHA YBS 25
A039 U10 M FAHRI UMAR 5.1
A040 3175072906770000 ANDHIKA P IRAWAN 8.5
A041 3275042401980000 KTP ANWAR YBS 20
B013 P193 509063591 KIS ROLAND JUMI 37
B017 R743 ZYVA ROYKE
B018 R743 RENA ROYKE
B031 E385 NATASHA ROYKE
B035 A146 SURYA ENDANG 16
B036 A146 JASMIN ENDANG
B037 T273 PAHMI NURUL HUDA 6
B042 A975 TASLIM YBS 28
E001 S1763 DEA N TASLIM
E002 E317 AMIH DARKAM
E003 R005 ANSHORI YBS 64
E004 SELVI A SLAMET
E005 S1763 38244497 BPJS SANTY SURYADI
E006 D590 DARSINI ASMAWI
E007 G078 RASKA ASMAWI 5
E008 A752 SABILA ASMAWI
E009 E398 M ZAINUL YBS 23
E010 D162 NOVITA YBS 42
E011 1313256262 BPJS MELKI MAINAR 22
E012 A047 CHINTYA ASEP
E013 H424 ASSYIFA ASEP
E014 1171043103920000 SLAMET YBS 32
E016 A146 TAUFIQ YBS 38
E017 3275045102980000 KTP FITRIYANI YBS
A042 3275044601800020 KTP NURIA A YBS
UMUR UMUM GIGI
ALAMAT DW LW
P BARU LAMA BARU
16 GABUS RAYA X
12 GABUS RAYA X
33 KYR 4/25 X
35 TANGERANG-TAWES RAYA X X
22 KYR 4/6 X
KYR 6/21 X X
6.5 KYR 11/12 X X
22 KYR 5/8 X
26 JATIASIH-ANNUR RAYA X X
KYR 6/7 X X
KALIMALANG 11/12 X
KYR 7/1 X X
KYR 4/6 X
35 KYR 2/25 X X
8 KYR 2/25 X X
20 KYR 2/6 X
KYR 11/16 X X
32 KYR 11/16 X X
BANYUMAS-R.A KARTINI X X
37 KYR 6/9 X
KYR 5/7 X X
42 KYR 6/8 X X
KYR 6/8 X
KYR 3/5 X
KYR 4/24 X X
KYR 2/12 X
16 BELUT 1 X X
49 KYR 3/12 X X
KYR 5/19 X X
KYR 3/12 X X
DUREN SAWIT-KYR 2/25 X X
KYR 3/25 X X
KYR 5/7 X X
11 KYR 5/16 X X
38 KYR 5/16 X
9 KYR 5/16 X
KYR 6/16 X X
13 BL KYR 6/16 X
KYR 4/12 X X
KYR 6/16 X X
8BL KYR 6/16 X
17 BANJARNEGARA-BURANGRANG NO 024 X
KYR 4/4 X
29 KYR 2/1 X X
34 KYR 3/5 X X
58 KYR 1/1 X
KYR 1/1 X
21 BL KYR 1/1 X
CILACAP-KYR 5/12 X X
KYR 6/8 X X
KYR 4/5 X X
11 KYR 5/7 X X
5 KYR 5/7 X
KYR 3/19 X X
KYR 7/12 X X
20 KYR 1/24 X X
38 KYR 3/9 X X
GIGI LANSIA KIA KB

LAMA BARU LAMA BARU LAMA BARU LAMA


X
X
X

X
X

X
X

X
X

X
X
X

X
NO UMUR
JENIS
NO REKAM NO BPJS KARTU NAMA PASIEN NAMA KK
MEDIS
L
A001 3216074307910000 KTP NINA YBS
A002 31750449911011 KTP DINA ASI BR YBS
A003 0001658010374 BPJS APRIANTO RUMSIAH 32
A003 R686 0001744069274 KIS SALMI RODHI
A004 T21 5005000744520 KS WIDYA R TATI
A005 0001013957278 KIS KHAIRUNISA YOSEP A
A006 S598 M KHAFI SUDALIS 22
A007 3275044302040000 KS EKA SUKARMAN
A008 3208296602910000 KTP EVI YBS
A009 3208296602910000 KTP MARCELLO EVI 8
A010 J335 RIZKI JAHRUDIN 21
A011 A658 0001149221632 BPJS AGUNG YBS 39
A013 0001639456075 BPJS NURUL F SLAMET
A015 A104/KIR 2200249631 KIS IDA ALDERON
A016 3213164407890000 KTP NURHAYATI YBS
A017 D561 REGINA DJOHARI
A018 E290 3275041504740010 KS FAJAR ENY 43
A019 R744 RONALD YBS 37
A021 B125 BAGYO YBS 37
A023 C24 FARHAN CECEP 9
A024 E60 JONATHAN EDI 19
A025 327101240390006 KTP A.SARIPUDIN YBS 27
A026 0000509279523 KIS AGUSTIAN YBS 29
A027 3275040510920020 KTP ALFIZAR YBS 25
A028 3212010602970000 KTP IMAM M YBS 20
A029 A1230 VICKY RIANI A.IRFAN
A030 3275046005940010 KTP DINDA A YBS
A031 S1181 RIO SAHLAN 10
A032 3275044609940000 KTP DEVINA YBS
A034 S33 0000509466172 KIS NURLAILA EDI
A035 S1675 ERNI SAHRONI
A036 KIR 3275042909870010 KTP DEDI R YBS 30
A037 M263 DAFFA MAHYUDIN 7
A038 A1311 APONG ARLAM T
A039 A1311 IFTITAH ARLAM T
A040 A323 DINA NURUL ARIYANTO
B010 E60 DIANA EDI
D001 Y46 00000036757563 KIS ESTER YOHANES
D035 A1311 ARLAM T YBS 51
E001 Y46 0000036757552 KIS SUBARNO YOHANES 61
E002 E401 SITI YULIAH EDDY
E003 G078 FERNANDO GUSTAM 12
E004 O58 0000507012985 KIS JUBAEDAH OJAY
E005 TS 327504481150017 KTP DEVI YULIANTI YBS
E006 E317 IKA M INDRATMO
E007 J331 0000509411226 KIS IRSYAD JOKO 10
E008 R744 0001013961802 KIS RAHADRJO YBS 51
E009 F005 0000072896185 ASKES SETIA R FACHRUDIN
E010 3275045210870010 KTP AAL AMELIA 9
E011 S1306 0001464616978 KIS LULU ACHMAD
UMUR UMUM GIGI
ALAMAT DW LW
P BARU LAMA BARU
26 CIBITUNG-HARUMAN 2NO.46 X X
26 KRAMAT JATI-KYR 2/19 X X
KYR 3/12 X X
13 KYR 7/26 X X
42 KYR 1/11 X X
17 KYR 5/16 X X
KYR 9/12 X X
13 KYR 1/3 X X
26 KUNINGAN-KYR 6/24 X X
KUNINGAN-KYR 6/24 X X
KYR 6/24 X X
KYR 4/13 X X
25 KYR 6/6 X X
36 KYR 6/8 X X
27 RAWALUMBU-KYR 4/25 X X
7 KYR 7/12 X X
KYR 6/11 X X
KYR 7/10 X X
KYR 11/16 X X
KYR 4/12 X X
KYR 8/4 X X
BOGOR-KYR 1/12 X X
KYR 1/25 X X
KYR 4/13 X X
INDRAMAYU-KYR 1/5 X X
24 PEKAYON 6/3 X X
23 KYR 11/12 X X
KYR 2/2 X X
23 KYR 3/18 X X
31 KYR 1/12 X X
37 KYR 4/12 X X
KYR 2/24 X X
KYR 11/12 X X
37 KYR 7/26 X X
7 KYR 7/26 X X
25 KYR 3/3 X X
3.5 KYR 8/4 X
59 KYR 5/10 X
KYR 7/26 X
KYR 5/10 X
66 KYR 4/24 X
INSPEKSI KALIMALANG X
45 KYR 8/16 X
31 KYR 3/16 X X
33 KYR 4/25 X
KYR 2/23 X
KYR 3/2 X
57 KYR 1/25 X
KYR 3/24 X X
20 MARGA JAYA 4/1 X
GIGI LANSIA KIA KB

LAMA BARU LAMA BARU LAMA BARU LAMA

X
X
X
X
X
X
X

X
X
X
X

X
NO UMUR
JENIS NAMA
NO REKAM NO BPJS KARTU PASIENNAMA KK ALAMAT
MEDIS
L P
A001 M611 ‘0001446055694 BPJS M AHYAT M AHYAT 44 DEPOK 5/11
A002 ‘3275042210090000 KS M. ALFINO ARIEF ISKANDAR 9 KR 10/5
A003 T362 TEDY 39 KYR 1/5
A004 FIRA 8
A005 RERE 5
A007 “0000221792323 KIS ANNISA ALI C 15 KYR 4/25
A008 “0001456365363 IRSAYANTI YBS 28 KYR 6/6
A009 A110 AGUSTINA ABD RAHMAN 20 KYR 11/12
A010 3275045606950000 EKA S YBS 22 KYR 10/12
A012 S1323 SUNALI YBS 33 KYR 8/7
A014 E422 506980348 KIS NURHAYATI EKA 20 KYR 3/3
A015 510511972 KIS RAFLLY UJANG S 11 KYR 1/24
A016 73448875 KIS LENNY YBS 19 KYR 4/8
A017 T53 NAYLA TEDY 10 KYR 6/15
A018 3275041910020010 KS JORZY TAROMAR 16 KYR 8/7
A019 530461642 KIS DARMONO YBS 43 KYR 2/18
A020 S423 1274347056 BPJS SELLI YBS 32 KYR 3/14
A021 A958 509508876 KIS SYAIFUL AMAL 27 KYR 4/12
A022 B252 58715291 KIS SHANTI BRAMADA 38 GURAME 4
A023 3.27504651111E+016 KS FAHIRA M YUSUF 6 KYR 11/16
A024 B341 FAUZI BAMBANG 21 KYR 6/11
A025 S1730 SITI R SITI R 41 KYR 6/11
A026 S1730 DEVITA SITI R 5.5 KYR 6/11
A027 S1730 CINDY SITI R 18 KYR 6/11
A028 R14 NADIA RUSBANDI 42 KYR 6/12
A029 B273 509917419 KIS HESTY BAY 29 KYR 1/23
A031 S314 ROSMALA SUPARMANTO 31 KYR 5/1
A032 S1769 3275044812780010 KTP SURYANAH YBS 39 KYR 5/1
A033 Z046 ZAENAL YBS 25 KYR 8/7
A034 A1163 SOFIA A DHANI 11 KYR 5/12
A035 321315200488004 KTP SAEFUL A YBS 29 SUBANG-KYR 3/6
A036 S1635 HANIFAHSURYANSYAH 22 KYR 5/21
A037 W31 509401506 AULIA WALUYO 8.5 KYR 7/12
A038 A1053 DAHIRA AHMAD 40 KYR 6/10
A039 73447953 KIS NUR AZIZAH YBS 42 KYR 3/12
A040 Y236 ARI YANA S 12 KYR 1/12
A041 R315 RAYHAN RAMALAH 10 KYR 6/10
A042 3275044902740010 KTP ANDINI CATARIA 16 KYR 4/21
A043 A1130 1907913194 BPJS IDA ALI 37 KYR 3/10
B002 1788775492 DAFFA IBNU 3
B010 MAIKAILA 1
E001 S384 SUTARTI SYAFWAN 55 KR 9/16
E002 S174 38243081 ASKES SUJADI SUJADI 58 KYR 5/4
E003 C24 RAHMAT CECEP 19 KYR 4/12
E004 S174 38243079 ASKESAGUS SETIAWATISUJADI 52 KYR 5/4
E005 E406 167532107 ASKES EDELMAN YBS 63 KYR 9/22
E006 J331 509411226 KIS IRSYAD JOKO 10 KYR 2/23
E007 J350 ENDAH JAJANG 13 JK SAMPURNA
E008 J350 DWI 37 JK SAMPURNA
E009 H012 LUKMAN HOTIM 11 KYR 7/12
E010 1446055773 IPIT SUSILAWATI 33
E011 Y93 ELFIAN YULI K 6.5 KYR 11/16
E012 J226 JORHATA YBS 36 KYR 1/13
E013 S631 509285136 KIS DERY SYAH FAUZI 19 KYR 3/3
E014 S377 BAHRIAH SANDRA 31 KYR 3/25
E015 B341 BENADICTBAMBANG 19 KYR 1/20
E016 H104 509291379 KIS HAMDANI YBS 46 KYR 1/24
E017 H104 SALSABILAHAMDANI 6.5 KYR 1/24
E018 3275041808930010 KTP AGUS B YBS 24 KYR 1/25
E019 1721632601 KIS WINDI C EKO M 26 KYR 1/1
E022 C27 NAYLA CECEP 13 KYR 2/12
UMUM GIGI LANSIA KIA
DW LW
BARU LAMA BARU LAMA BARU LAMA BARU LAMA
DEPOK 5/11 V V
V V
X X
X X
X X
X X
X X
X X
X X
X X
X X
X X
X X
X X
X X
X X
X X
X X
X X
X X
X X
X X
X X
X X
X X
X X
X X
X X
X X
X X
UBANG-KYR 3/6 X X
X X
X X
X X
X X
X X
X X
X X
X X
V V
X X
V V
V V
X X
V V
X X
X X
X X
X X
X X
V V
X X
X X
X X
X X
X X
X X
X X
X X
X X
X X
KB

BARU LAMA
NO UMUR
JENIS
NO REKAM NO BPJS KARTU NAMA PASIEN NAMA KK
MEDIS
L
A002 KIR 3.314046E+15 KTP KURNIA YBS
A003 A73 IVANAWATI ARI
A004 S1750 M RIZKI SUGIRI 6
A005 J221 RIZKY R JAMAL 10
A006 3.275045E+15 KTP SALSABILLA TARI 10
A007 B252 58715291 KIS SHANTI BRAMADA
A008 B252 ARKA BRAMADA 10
A009 B252 ARSYA BRAMADA 6
A010 H371 YUNITA HERDIAN
A011 3.275046E+15 KS ADE LUTFIAH SAADIN
A012 R690 MAULIDA RAHARDIAN
A014 I250 IMAN S YBS 42
A015 3.275041E+15 KTP A.NASIR YBS 37
A016 3.674035E+15 KTP MEIRITA YBS
A017 M433 AYU MOMON
A018 P193 WINDA PARDI
A019 S1622 “0000508836914 KIS NUR BAITI SAEFUDIN
A020 3.275046E+14 KTP DEA ALIYA DANI
A021 KIR 3.329042E+16 KTP ADI P YBS 18
A022 S550 SALMAN YBS 30
A023 3.275044E+15 KS PUPUNG P YBS
A024 3.275045E+15 KTP NUR AENI YBS
A026 509373494 KIS AGUS YBS 37
A027 3.275046E+15 KTP JUDITYA YBS
A028 D003 SARAH DWI
A029 M276 THALITA MAINAR
A030 3.275046E+15 KTP RANGGA KARSIH 7
A031 J142 1013965187 KIS GUNATI JAMAL
A032 H415 NANDA HAERUDIN 9
A033 B269 POYERANGGA BASURUDIN 7.5
A034 F005 72896185 ASKES SETIA R FACHRUDIN
A035 F005 2101595354 KIS INDRA SUTAN FACHRUDIN 37
A036 N391 3.275045E+15 KS NURSIAH SUTAN
A037 3.275027E+15 KTP SUCI S YBS
A038 F39 SABIL FAHRUL 6
A040 KIR 3.275042E+15 KTP MAHARDIKA YBS
A041 3.275041E+15 KTP ANDRI S YBS 42
A043 3.275044E+14 KTP YUNINGSIH YBS
A044 Y120 1382916407 BPJS YULINDA YBS
A047 3.307043E+15 KTP RATMAN YBS 25
A049 3.30611E+14 KTP FITRIONO YBS 25
A050 Y223 1172498501 BPJS DAFFA YUSWORO 7
A051 1.70805E+15 KTP MIFTAH F YBS 21
A052 G74 GELAR YBS 23
A053 2283514784 BPJS ABIGAEL YBS 20
A054 TS 3.204524E+16 KTP DIDIN YBS 30
A056 P21 MERRY PASKALIS
A057 3.275041E+15 KTP GIDIN YBS 44
A058 3.302147E+15 KTP ISNIYATUN YBS
A059 A956 AIRLANGGA YBS 37
A060 A971 PANDI AHMAD A.SUBHAN 13
A061 A971 FADIA R A.SUBHAN
D020 3.275045E+15 TARI YBS
E001 H219 37307531 ASKES ANTONIUS YBS 59
E002 S384 YUS SAYFWAN
E003 R22 1878631086 BPJS ROLAND YBS 70
E004 E399 509570043 KIS FAIREL YBS
E005 1742749863 BPJS APRIANDI YBS 44
E006 508852855 KIS MARSANDRA YBS
E007 N213 509388985 KIS NURUL UMI NUROHIM
E008 L83 LINDA YBS
E009 D393 1447356249 BPJS KUSUMAWHARDANY YBS
E010 A1459 ARIF YBS 28
E011 A1459 KAISAR ARIF 5
E012 3.523053E+15 KTP A. BAIDOWI YBS 36
E013 R41 ASRI RISKY
E014 S1763 SRI N SURATNA
E015 S1763 WULANDARI SURATNA
E016 A1116 5094415129 KIS ASYATI ASMUNI
E017 F151 RINA FARIS
UMUR UMUM GIGI
ALAMAT DW LW
P BARU LAMA BARU LAMA
22 SRAGEN-KEPITING 3/9 X X
32 KYR 3/21 X X
KYR 9/10 X X
KYR 2/25 X X
KYR 5/1 X X
38 KYR 7/7 X X
KYR 7/7 X X
KYR 7/7 X X
10 KYR 1/24 X X
33 KYR 4/23 X X
7 MARGAHAYU X X
KYR 4/10 X X
KYR 4/23 X X
30 KYR 2/13 X X
20 KYR 7/12 X X
17 KYR 6/8 X X
17 KYR 2/24 X X
9.5 KYR 8/10 X X
BREBES-KYR 1/12 X X
KYR 5/8 X X
39 KYR 3/11 X X
29 KYR 11/12 X X
KYR 3/12 X X
21 KYR 2/19 X X
38 KYR 6/8 X X
13 KYR 4/5 X X
KYR 1/24 X X
33 KYR 2/25 X X
KYR 5/11 X X
KYR 2/16 X X
56 KYR 1/25 X X
KYR 1/25 X X
43 KYR 10/12 X X
37 KYR 7/12 X X
KYR 4/12 X X
19 KYR 4/24 X X
KYR 4/12 X X
22 LYR 5/16 X X
39 KYR 9/10 X X
WONOSOBO-6/7 X X
PURWOREJO-6/7 X X
KYR 4/13 X X
KEPAHIANG-BANDENG 119 X X
NGAWI-KY 9/12 X X
SANGGAU-LELE 340 X X
BANDUNG-KEONG MAS 2 X X
41 KYR 5/11 X X
KYR 5/24 X X
30 BANYUMAS-9/12 X X
KYR 6/8 X X
KYR 1/1 X X
6 KYR 1/1 X X
45 KYR 5/1 X
KYR 5/13 X X
46 KYR 6/12 X X
KYR 6/12 X X
52 KYR 7/26 X X
KYR 4/9 X X
14 KYR 24/3 X X
14 KYR 7/26 X X
34 DUREN JAYA X X
53 KYR 6/6 X X
KYR 5/23 X X
KYR 5/23 X X
TUBAN-LELE N0 34 X X
19 KYR 4/6 X X
16 CIREBON-GABUS NO170 X X
12 CIREBON-GABUS NO170 X X
54 KYR 11/16 X X
31 KYR 7/5 X X
LANSIA KIA KB

BARU LAMA BARU LAMA BARU LAMA


X
NO UMUR
JENIS
NO REKAM NO BPJS KARTU NAMA PASIEN NAMA KK
MEDIS
L
A001 KIR "32750401060014 KTP ASEP YBS 22
A002 S302 SYEHAN F SANIM
A003 "3275094204980032 CINDY DODY
A004 M81 M. NUR FAJRI M NURHADI 37
A005 R167 "0000509487153 KIS ZIDAN ROMI 9
A006 A971 PANDI A A.SUBHAN 13
A007 F214 FIKRI RIPA'I 9
A008 "000073462061 KIS RAUDHOTUNISA YBS
A009 "3175071606830012 KTP ASMAWIH YBS 34
A010 "0001256209222 BPJS DIVARD NORCEMARIA 16
A013 KIR "3275025211990021 KTP NAVYELA F YBS
A014 KIR "330518117950003 KTP NOFA YBS 22
A015 H019 HANIFFUDIN YBS 37
A016 D007 VIVI DIDI
A017 A323 DINA NURUL APRIYANTO
A018 H356 "0002285250153 KIS MARNI HASANUDIN
A019 "3275042603770008 KTP FIRMASYAH ALI YBS 44
A020 U92 MAYA USMAN
A021 "3327504411830023 WAHYU DJOHARI
A022 "3270517260980002 KTP RIZAL R YBS 19
A023 "3327504411830023 ALIFA DJOHARI
A024 A401 "0000509478456 JAMKESMAS SARNI ARIYANTO
A025 S1668 NAYLA SYAIFUL
A026 A401 "0000509479029 KIS ALDY ARIYANTO 12
A029 "3275035406740015 KTP SITI JUHAERIAH YBS
A031 R493 "0001385202306 BPJS RICHAT RICARDO 37
A032 R493 "0001385197424 BPJS RIONALDY 41
A034 "3275040669050006 KTP DAMARA IBNU YBS 22
A035 Y145 RIZKI FATIR YUSMAWAN 12
A042 A877 ESTER ALBERT
A043 A877 BRIAN 8
A044 A877 CHRISTIAN 7
A045 T406 "0001371492393 BPJS RAYNALDI TEDDY 9
A046 S1121 AMEL SOPIANTO
A047 D241 "0000509454303 JAMKESMAS NURHAYATI DEDI I
A048 D241 "0000510100154 JAMKESMAS DEDI I YBS 29
A049 W213 WAHYU YBS 40
A050 W213 ARYA GILANG WAHYU 15
A051 S458 "0000508936588 KIS COIRUL SLAMET 30
A053 U72 NUR KARIMAH UNER SIMBOLON
A054 F10 REVALINA FACHRUDIN
A055 "3275032410900014 KTP GIGIH P YBS 27
A057 A1460 RAFFI ATMADJI 6
A058 "32750410486008 KTP APRIANTO YBS 32
B013 U92 FAIZ USMAN 2
B019 S1668 M ROZAK SYAIFUL 1.3
B027 Y145 ALFARIQ YUSMAWAN 9BLN
D013 R182 ROSITA YBS
D040 R493 "0000073210871 ASKES RICARDO YBS 72
D041 R493 "0000073210882 ASKES MARINTAN RICARDO
E001 M111 "000202431813 BPJS MARISI YBS
E002 R510 AJENG ROMADHON
E003 "3275021610720016 HAURA MARJUKI
E004 K005 "0000040298534 BPJS KEMSERIA YBS
E005 A1116 "0000509415129 KIS ASYATI ASMUNI
E006 F55 SUSILAWATI FAUDJI
E007 D408 "0001892832175 BPJS FAREL DIAN 4.5
E008 D408 CENDY DIAN
E009 D590 DEFI YBS
E010 R182 VILIA ROSITA
E011 R210 "0002061457762 BPJS RAGA P NABABAN 38
E012 R210 "0002061457841 BPJS JULIA P NABABAN
E013 Y46 "0000036757552 KIS YOHANES S YBS 61
E014 B103 "00000043800502 KIS NINING H.BISRI
E015 Y93 ELFIAN YULI K 6
E016 "3275041808930010 KTP AGUS YBS 24
E017 A931 ADE S YBS 62
E018 R22 "0001878631086 BPJS ROLAND YBS 70
UMUR UMUM GIGI LANSIA
ALAMAT DW LW
P BARU LAMA BARU LAMA BARU
KYR 2/6 X X
12 KYR 12/12 X X
20 JATIASIH 4/8 X X
KYR 5/7 X X
KYR 7/1 X X
KYR 1/1 X X
KYR 3/25 X X
44 KYR 4/26 X X
DUREN SAWIT/RAJAWALI 4 X X
KYR 2/6 X X
17 JK SAMPURNA3/9 X X
KEBUMEN-LELE 7/8 X X
KYR 5/10 X X
23 KYR 1/6 X X
26 KYR 11/12 X X
22 KYR 3/15 X X
KYR 6/10 X X
37 KYR 7/12 X X
34 KYR 1/13 X X
GARUT-KYR 9/12 X X
11 KYR 1/13 X X
37 KYR 4/25 X X
26 KYR 4/14 X
KYR 4/25 X X
43 PERWIRA 3/1 X X
KYR 13/3 X X
KYR 13/3 X X
JK SETIA 3/3 X X
KYR 4/3 X X
42 KYR 2/1 X X
X X
X X
KYR 1/7 X X
6.5 KYR 5/8 X X
27 RAWA BEBEK 5/12 X X
RAWA BEBEK 5/12 X X
JK SAMPURNA 5/12 X X
JK SAMPURNA 5/12 X X
KYR 9/16 X X
43 KYR 4/16 X X
6 KYR 6/3 X X
SETU-PEKAYON 6/3 X X
KYR 5/10 X X
KYR 3/12 X X
KYR 7/12 X
KYR 4/14 X
KYR 4/3 X
66 KYR 2/6 X
KYR 13/3 X
70 X
75 JL GABUS X X
9.5 KYR 5/15 X X
6.5 JK SAMPURNA 5/15 X X
58 KYR 1/10 X X
54 KYR 11/16 X X
53 KYR 4/14 X X
KYR 7/10 X X
27 KYR 7/10 X X
22 KYR 5/8 X X
38 KYR 2/6 X X
KYR 1/12 X X
6 KYR 1/12 X X
KYR 5/10 X X
46 KYR 2/6 X X
KYR 11/16 X X
KYR 1/25 X X
KYR 8/8 X X
KYR 6/12 X X
LANSIA KIA KB

LAMA BARU LAMA BARU LAMA


X
X
X
X
X
X
NO UMUR
JENIS NAMANAMA KK
NO REKAM NO BPJS KARTU ALAMAT DW
PASIEN
MEDIS
L P
A003 B252 ARSYA BRAMADA 6 KYR GURAME 4 X
A004 D565 KAREN DIDI 11 CIBARUSA 9/12
A005 I179"0001281108137BPJS NUSRIL ISAK 18 KYR 2/25 X
A006 S76"0001744113802 KIS TRIASIH SUYADI 37 KYR 2/1 X
A007 M584"0001424458179BPJS FIERNA F MAYA 18 KYR 5/13 X
A008 KIR"3305054604890001KTP AAN APRILINA YBS 28MEDAN SATRIA 8/8 X
A009 "0000508365437 KIS DONY SUNARYO YBS 21 KYR 9/12 X
A010 R721"0001623453039 KIS DEVIE A ROFESA 27 KYR 5/6 X
A011 "3275045706690025KTP MARIYAH YBS 16 KYR 10/12 X
A012 O55 FITRIYAH ODAH 7 KYR 3/23 X
A013 M234 MUKTAR YBS 39 KYR 5/1 X
A014 "321322084900002KTP HAMIDIN A YBS 23 SUBANG CIKAUM
A015 D86"0001285015397 KIS ALDI R DEDE DAYAT 17 GUNUNG DEDE X
A016 I312 NURHAYATI IWAN 27 KYR 4/25 X
A017 S1512 FADILLAHSRI SUTINAH 17 KYR 2/15 X
A018 "3275045809800015KTP PUJI ASTUTI YBS 37 KYR 1/15 X
A019 S1559"0001767333846BPJS SHAPRIJAL YBS 38 KYR 3/12 X
A020 "3275026702800017KTP GATHAN NITA 15 JK SAMPURNA 2/2 X
A021 A1053 "0001636787261BPJSDANNY RAFIYANIAHMAD F 40 KYR 6/10 X
A022 R24"0001645482172BPJS RADITYA RINTO 12 KYR 1/12 X
A023 R24"0001645482183BPJS ALIVINO RINTO 10 KYR 1/12 X
A024 "3275040405820019KTP KASNADI YBS 35 KYR 6/1 X
A025 E60 JONATHAN EDI 19 KYR 8/10 X
A026 I05 RISTA YBS 28 KYR 1/12 X
A027 "3311015209740005KTP SRINI YBS 38 SUKOHARJO
A028 "3311015209740005KTP QIAN 4 SUKOHARJO
A029 M429 TETI ALMOAN 41 KYR 8/7 X
A030 TS"3502015107850005 FAUZAN ZAKIWAINAH 9 PONOROGO
A031 "3276035101900003KTP IKA PRADINI YBS 28 BANJAR
A032 "332205470690002KTP DWI P YBS 26 SEMARANG
A033 W86 WARDI YBS 29 KYR 7/12 X
A034 "35211851830002KTP SRI ASIH YBS 34 NGAWI
A035 "0001317691225BPJS ABID R YBS 22 KYR 12/12 X
B006 S76 DIFTERI ANDRIANI SUYADI 9 KYR 2/1 X
B010 J315 KALISTA JOKO 20BL KYR 4/5 X
B011 "3276056304860013KTP ALFARIL LILIS 18BL DEPOK SUKMAJAYA
B016 I312 NAUFAL IWAN 29BL KYR 4/25 X
B021 M429 MONICA ALMOAN 22BL KY 8/7 X
B024 "3276035101900003KTP INARA IKA P 19BL BANJAR
C001 I307 ROSTINI IMAN H 28 SERANG 2/9
C002 A267 PURYANTI ANTON 35 KYR 5/5 X
C003 "317055606810006KTP SANTI ARI 36 PADEMANGAN
C004 F190"0000509333231 KIS SELFIANI FERDI 29 KYR 2/1 X
E001 S491"0000509388682 KIS LAILA N SYAHRUDIN 17 KYR 2/25 X
E002 S1562"0000207600401ASKES SURAHMAN YBS 60 JKSAMPURNA 1/7 X
E003 S1765 SANTI YBS 34 GARUT/TAWES
E004 R005 RATIH RAHMAT 22 KYR 4/6 X
E005 R22"0001878631086BPJS ROLAND YBS 70 KYR 6/12 X
E006 H527 HERRY YBS 50 KYR 9/16 X
E007 A1152 AGUS BUDI YBS 48 KYR 1/25 X
E008 L83 LINDA J YBS 34 DUREN JAYA 2/7 X
E009 B103"0000043800502 KIS NINING HJ BISRI 46 KYR 2/6 X
E010 E188"0001257166877BPJS EDDY YBS 59 KYR 4/25 X
E011 T063 CHRISTIANDROTULUS 7 KYR 6/19 X
E012 S1770
"3275026307810036KTP TORIQ SITI M 6 JK SAMPURNA 8/11X
E013 A197"000509618081 KIS RINI ALBERT 19 KYR 3/12 X
E014 E341 RUSMIATI ENCON 30 KYR 2/4 X
E015 "0002273552739 KIS SITI ROBIAH YBS 58 CICARIU SUBANG
UMUM GIGI LANSIA KIA KB
LW
BARU LAMA BARU LAMA BARU LAMA BARU LAMA BARU
X
X X
X
X
X
X
X
X
X
X
X
X X
X
X
X
X
X
X
X
X
X
X
X
X
X X
X X
X
X X
X X
X X
X
X X
X
X
X
X X
X
X
X X
X

X
X
X X
X
X
X
X
X
X
X
X
X
X
X
X X
KB

LAMA
X
X
X
X
NO UMUR
JENIS NAMANAMA KK
NO REKAM NO BPJS KARTU ALAMAT DW
PASIEN
MEDIS
L P
A01 1.63E+09 BPJS SUKARSIM YBS 31 KAB.YOGYA 08/03
A02 N107 NURHENDRO YBS 33 KYR 3/12 X
A029 A1241 RULI A AHMAD YANI 6 KYR 6/12 X
A03 S1559"0001767333846BPJS SHAPRIJAL YBS 39 KYR 3/12 X
A04 U87 DESIUJANG RAHMAT 38 KYR 1/13 X
A06 A1422 "0000195385004BPJS AUDIYAH AHMAD Z 25 KYR 1/5 X
A08 I42 RISDI D INSANUL 14 KYR 6/11 X
A09 "320235190920001KTP TAUFIK A YBS 25 SUKABUMI
A10 B324 NADIN BUDI K 9 KYR 1/3 X
A11 B324 NAZIQ BUDI K 9 KYR 1/3 X
A13 E139"00000509125702KIS PRECIOASA MARIA INDRIATI 7 KYR 5/6 X
A14 "202027112940003KTP NUR HALIMAH YBS 24 SUKABUMI
A15 "0001225442788BPJS WIDDY S YBS 27 KYR 4/24 X
A16 C60 FEBBY CATUR 39 KYR6/8 X
A18 E408 SARAH ENDIANSYAH 7 KYR 2/23 X
A19 Y228 YATI YBS 36 KYR 5/2 X
A20 "0000509435346 KIS RUDI H YBS 30 KYR 6/24 X
A21 N190 SATRIO NURCAHYO 8 KYR 4/14 X
A22 S489 SATRIA SUHADA 8 KYR 2/24 X
A26 "3275044102980013KTP ANISA S YBS 19 KYR 7/19 X
A31 "317026106950005KTP INNEKE S YBS 22 GROGOL
A32 KIR
"3305115007930005KTP YULI HASTUTI YBS 24 KEBUMEN
A34 A877 CHRISTIAN ALBERT 7 KYR 2/1 X
A35 R633 FERONIKA ROBIN 31 KYR 7/8 X
A36 I257 INING YBS 44 KYR 1/10 X
A37 KIR
"3275045704900024 WAHYU P YBS 23 KYR 6/12 X
B059 A1241 ELMIRAAHMAD YANI 4.5 KYR 6/12 X
B060 A1241 ANISA AHMAD YANI 7BL KYR 6/12 X
B30 C60 KHOFIFAH CATUR 3 KYR 6/8 X
D15 B217"0001265277508BPJS BARDAN YBS 67 KYR 4/9 X
D16 G33"0001284579314BPJS ESTERIA GORDON 60 KYR 9/12 X
D17 M597 "00001318061902BPJS MARSONO YBS 68 KYR 2/10 X
D22 "32750450760007KTP ARNIYAH YBS 60 KYR 1/12 X
D23 A1350 "0001256033147BPJS SITI AISYAH YBS 63 KYR 1/9 X
D32 M215 "00000041082873
ASKESH M AYI IRAWAN YBS 61 KYR 5/10 X
D33 "3275046004680015KS SISWATI YBS 48 KYR 5/24 X
E01 B188 1.43E+10 BPJS SUMARNI BAMBANG 55 KRY 04/10 X
E02 B189"0001430492163BPJS EGA FITRIYANI BAMBANG 18 KRY 04/11 X
E03 M23"3275045505710021KTPAHMAD RIDWAN MARYANI 24 KYR 1/15 X
E04 S804 ZULAIKHASULAEMAN 10 KYR 11/16 X
E05 "1407056707950012KTP YULI RESI YBS 22
ROKAN HILIR-BELUT 4
E06 A1435"0000073197156 KIS NURBAITI ARIP M 59 KYR 6/7 X
E07 A1435 SYAIFI ARIP M 7.5 KYR 6/7 X
E08 I006"0000036281215ASKESSURYANINGSIH
INDRA W 53 KYR 4/19 X
E09 A111"0000073124965ASKES ENCUH ABD RAJAB 68 PEKAYON 3/23 X
E10 B63"0000036808942 KIS BARIMUN YBS 60 KYR 1/10 X
E11 K255 ADRIALMI KRIS K 64 KYR 1/22 X
E12 A197"000050918081 KIS RINI M ALBERT 20 KYR 3/12 X
E14 H424 UMAR HANDOYO 4.5 KYR 3/5 X
E15 R255"0000073446287ASKES ALPHONSA S YBS 63 KYR 9/12 X
E16 M982 M RIDHA YBS 25 KYR 5/19 X
UMUM GIGI LANSIA KIA KB
LW
BARU LAMA BARU LAMA BARU LAMA BARU LAMA BARU
X X
X
X
X
X
X
X
X X
X
X
X
X X
X
X
X
X
X
X
X
X
X X
X X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X X
X
X
X
X
X
X
X
X
X
X
KB

LAMA
NO UMUR
NAMA
NO REKAM NO BPJS JENIS KARTU NAMA KK
PASIEN
MEDIS
L
A001 "321206150970001 KTP SODIKIN YBS 19
A002 A1421 ADI YBS 29
A003 M982 M DAUD YBS 42
A004 M476 "0001744055403 KIS AIDAH MUHDIN
A005 "3301145209970003 KTP ANIS SABNGATUN YBS
A006 R744 "00016222129163 BPJS RUSTAM S YBS 39
A007 H374 SABRINA HADI
A008 S760 M ALI SAAT 10
A010 N080 RIZKI NOVITA 14
A011 H391 VIQI HERDIAN 8
A012 "0000509282853 KIS SRI MULYATI YBS
A013 P229 SITI FATIMAH PANDU
A014 "327504550002600036 PANDI SOPIYAH 10
A015 "0000509588583 JAMKESMAS ULPIAH YBS
A016 "327502460290001 KTP VENI RAHAYU YBS
A017 "0001643644438 BPJS RYANDA RESTU YBS 22
A018 A475 KIR SEPTIANI AMIN
A019 "0001441202499 BPJS MIFTAHUL JANAH YBS
A020 E60 CHRISTIN EDI N
A021 "3275044312950019 KTP RIFDAH N.R YBS
A022 "3329031306780004 KTP SUYITNO YBS 40
A023 "3275 0410020021 KS SANDI OKTA ANDRIZAL 15
A025 S451 CINDY SUGOWO
A026 K255 KOSHIBA YBS 42
A028 B235 "0000509708812 KIS ZFANIA BANTUR
B003 H391 MARSYA HERDIAN
B029 S451 M AZKA SUGOWO 10BL
D012 S760 ELI SAAT
E001 B200 KTP AYU RACHMAWATIBEGUM M
E002 KTP JULIANA BORA YBS
E003 1767 72800482 ASKES SUKIRAN YBS 59
E004 F005 "0000072896174 ASKES FACHRUDIN YBS 63
E005 "3275044410810006 KTP LYDIA YBS
E006 H497 ELVIA DWI HARI B
E007 M500 ATIKA Z M ASKUR
E008 S1183 SAHRUL R YBS 45
E009 O58 "0000507012985 KIS JUBAEDAH OJAY
E010 J357 Tt ELMIYANI JUNAEDI
E011 S1763 AYU SURATNA
E012 S1763 DELLA SURATNA
E013 G078 FERNANDO GUSTAM 12
E014 A26 AZKA ANDRI
E015 D241 "0000509454303 JAMKESMAS NURHAYATI DEDI
E016 R744 "0001013961802 KIS RAHADJO YBS 51
UMUR UMUM GIGI LANSIA
ALAMAT DW LW
P BARU LAMA BARU LAMA BARU
INDRAMAYU-GURAME 5 X X
JK SAMPURNA X X
KYR 1/21 X X
22 KYR 4/24 X X
20 CILACAP-LELE RAYA NO 23 X X
KYR 6/21 X X
13 KYR 8/7 X X
TAMBUN X X
KYR 6/8 X X
KYR 1/24 X X
20 KYR 4/25 X X
31 KYR 3/15 X X
KYR 5/1 X X
23 KYR 4/25 X X
27 KYR 5/24 X X
KYR 7/4 X X
21 KYR 3/12 X X
29 KYR 9/12 X X
8 KYR 8/10 X X
22 KYR 5/13 X X
BREBES X X
KYR 1/25 X X
6.5 JYR 5/1 X X
KYR 3/9 X X
7.5 KYR 2/23 X X
3 KYR 1/24 X
KYR 5/1 X
49 TAMBUN X
25 JAKA SAMPURNA 3/11 X X
36 KP SEPATAN 1/2 RAWALUMBU X X
KP ONCOL 3/16 X X
KYR 1/25 X X
36 KYR 1/20 X X
51 KYR 3/8 X X
8 KYR 3/15 X X
KYR 12/12 X X
45 KYR 8/16 X X
24 JK SAMPURNA X X
14 CIREBON X X
10 CIREBON X X
INSPEKSI KALIMALANG X X
20 KYR 3/25 X X
27 RW BEBEK 5/12 X X
KYR 3/25 X X
LANSIA KIA KB

LAMA BARU LAMA BARU LAMA

X
X
X
NO NAMA
NO REKAM NO BPJS JENIS KARTU NAMA KK
PASIEN
MEDIS

E001 E399 FAIREL A ENI RIANA


E002 S384 3275044506630015 KS SUTARTI SAPUAN DAUD
E003 J331 0000509411226 KIS IRSYAD JOKO S
E004 J350 3275026001040001 KS ENDAH SALSA JAJANG
A011 M81 5005000746310 KS M NUR FAJRI M NUR HADI
A002 T95 DAVITA TONY N
A003 M453 0001264945263 BPJS SULIASTUTI MUHIDIN
E005 F205 0001804114776 BPJS LELIANA P FERNANDO
E006 S631 0000509285136 KIS DERY A SYAH FAUZI
E007 S631 0000509284067 KIS TITU AGUSTUNI SYAH FAUZI
A005 J44 0000073462072 KIS MUAMMAR Q JUANEDI
A004 T063 CHRISTIAN TULUS
A006 KTP LOLY OATOMAND YBS
A007 B200 0001313722304 BPJS SARAH C BEGUM M
E008 E52 0000509650064 KIS KANAYA AISYAH ERWIN
E009 KTP YUSTINA F INDRA C
A009 S1668 0000509509833 KIS SYAIFUL AGUS YBS
A011 S1628 0000199619908 ASKES LOLA FLORA SAMSUL BAHRI
A012 KTP TENNY MATRAI
A013 KTP SOFI MATRAI
A017 B252 0000058715291 KIS SHANTI A BRAMADA
A018 B252 ARSYA BRAMADA
A019 M23 0000507951404 KIS SYAHLA SAFIRA MARYANI
E010 H012 BPJS LUKMAN HOTIM
E011 Y93 3275045208110001 KS ELFIAN S YULI K
E012 R35 0000073211398 ASKES ROSWITHA YBS
E013 T063 HOLAN TULUS
A020 KTP JOKO MAHFUD ,YBS
A021 M308 0001336495612 BPJS AFRIYANTI M YUNUS
A022 W145 SARI PARTINI WIYATNO
A023 A1383 KS NAZWA A ZAENUDIN
E014 A456 KTP AGUS ABDULLAH
A024 F10 REVALINA F FACHRUDIN
A026 S1730 KS DEVITA SITI ROMMDIATI
A027 B341 KTP M FAUZI BAMBANG
E017 I140 WARSINI ISHAK
E018 I140 SRI HARYATI ISHAK
E015 R39 ANGELINA RIANA
A030 A275 0000072826762 ASKES FARIKHA A ROHMANI
A035 J166 3275046808710021 KS SRI Y JAMALUDIN
A037 R90 MASLIHA RAMDANI
A039 E149 0000038223797 BPJS TAUFIK SATRIA EDY
A043 0000073448752 KIS FAJAR DWI YBS
A044 KTP BERLI SEPDIAN YBS
A047 C24 KIS NIA CECEP USMAN
A048 D232 SALSABILA DEDE S
A049 R493 0001385202306 BPJS RICHAT RICARDO
A050 R493 0001385197424 BPJS RIONALDY RICARDO
A051 KTP AGUS TON YBS
A052 KTP M NOVRIANSYAH YBS
A055 0001645093168 KIS LENY MARWATY MISMIDI I
A057 R315 0001872971392 BPJS RAFFA M RAMALAH
UMUR UMUM GIGI
ALAMAT DW LW
L P BARU LAMA BARU
4 KAV AGRARIA RT7 RW26 X X
55 KP PONCOL RT9 RW16 X
10 PARKIT RT2 RW23 X
13 JAKASAMPURNA RT5 RW15 X
37 GABUS RT5 RW7 X X
9 LELE RT5 RW5 X X
20 LETNAN ARSYAD RT1 RW12 X X
44 GN GEDE RT1 RW13 X
19 MURAI RT3 RW3 X
43 MURAI RT3 RW3 X
20 TAWES RT1 RW6 X X
9 GALUNGGUNG RT6 RW19 X
41 KYR BUKIT TUNGGUL RT4 RW11 X X
23 KYR RT3 RW11 X X
6 GURAME RT6 RW7 X
27 BOJONG ASRI RT5 RW13 RW LUMBU X X
25 KYR RT4 RW1 X X
35 JATIRAYA RT1 RW12 X X
57 LETJEN SARBINI RT4 RW1, MARGAJAYA X
12 LETJEN SARBINI RT4 RW1, MARGAJAYA X X
38 GURAME RT7 RW7 X
6 GURAME RT7 RW7 X X
10 PATUHA SELATAN RT1 RW15 X XA
11 KYR RT7 RW12 X
6 PATUHA UTARA RT11 RW16 X
80 GALUNGGUNG RAYA RT6 RW19 X X
7 GALUNGGUNGVRT6 RW19 X
39 PATUHA UTARART10 RW16 X X
41 BURANGRANG RT5 RW13 X X
39 BELUT 5 RT3 RW6 X X
12 KYR RT5 RW26 X X
24 LETNAN ARSYAD RT1 RW25 X
6 PEKAYON RT6 RW3 X X
5 BUKIT TUNGGUL RT6 RW11 X X
21 B TUNGGUL RT6 RW11 X X
63 KYR RT3 RW24 X X
40 KYR RT3 RW 24 X X
9 KYR RT5 RW 12 X
43 PEKAYON RT7 RW3 X X
42 KYR RT5 RW24 X X
34 HARUMAN RT6 RW14 X X
28 HARUMAN RT1 RW16 X X
20 UDANG 3 RT8 RW8 X X
31 TAMBUN UTARA (LETNAN ARSYAD RT7 RW12) X X
15 KYR RT4 RW 12 X X
6 RAWA AREN RT3 RW1 X X
37 KYR RT13 RW3 X X
41 KYR RT13 RW3 X X
27 BANJAR SARI (TAWES 2) X X
30 KYR RT1 RW11 X X
41 LELE 9 RT9 RW5 X X
5 PESUT RT6 RW10 X X
GIGI LANSIA KIA KB

LAMA BARU LAMA BARU LAMA BARU LAMA

X
X
X

X
X
X

X
X

X
NO UMUR
JENIS NAMA
NO REKAM NO BPJS NAMA KK
KARTU PASIEN
MEDIS
L P
A002 S1448 "00000509539015 KIS WIWIT L SARDIMAN 42
A003 "327509420498003KTP CINDY APRIYBS 20
A004 "327503481297001KTP RIDHA LAILYBS 20
A006 L55 HELENA LUSMEGA JAYA 22
A007 "330711600290000KTP SITI S YBS 27
A008 P81 SEFIA PADIO 17
A009 J110 WIDI JHONI 41
A010 J110 BULAN JHONI 12
A011 J110 ARSINA JHONI 8
A013 R510 AJENG K ROMADHON 9.5
A014 J279 "00000507847915 KIS FITRI K JUNAEDI 16
A015 M81 "5005000746310 M NUR FAJM NURHADI 37
A016 A143 "0000509085448 KIS DELLA ACUNG 22
A017 O17 "0000200279452 KIS RAFIZA OSWARZA 15
A018 R742 "0001744127458 KIS LASMA REDIMAN 44
A019 R742 "0001744127482 KIS IMMANUEREDIMAN 5.5
A024 D007 MAY AMA DIDI 6.5
A025 S1659 "0000509336651 KIS NAJIB SULAEMAN 8
A026 S1659 "00005093351065 KIS SULASTRIESULAEMAN 32
A027 A1120 RAMANDAARIFIN 9
A028 "1811030900001 KTP YUNI DIDI S 18
A029 R517 RAMADHARIDWAN 9
A030 K176 KISWAN YBS 37
A031 KIR "327504481193001KTP INDRIYA G YBS 24
A032 A703 ANAYA AWALUDIN 8
A034 "0001432425273 BPJS RONI AFFAYBS 37
A035 "327504101281001KTP TAUFIK HI YBS 35
A036 S1765 SANTI YBS 34
A037 A1407 NARENDRAAGUS 5.5
A038 A1348 KEZA ANDRIAN 6.5
A039 P164 "0002275898861 KIS M DAVI PUTRA RISKI 14
A040 P161 RAISA P SETIAWAN 10
A041 "0000038223786 KIS KHARISMAYBS 29
A042 W156 JIHAN WULIDA 5.5
A043 S1609 NUR EKO SAMSU HADI 40
A044 S1609 M AFFAN SAMSU HADI 17
A045 N158 ISTIQOMANURHADI 16
A046 T337 NELLA TRISULISTIANTO 31
A047 "32750847079726 KTP NANDA EKYBS 20
A049 S1519 RESTU SUDARI 10
A050 "332803620779000KTP KHOLIAH YBS 38
A051 U87 DESI UJANG 38
A052 J142 "0001013965187 KIS GUNATI JAMAL 32
A053 "320503490950005KTP NENG NISAYBS 22
A055 BIMA SUKATMI 5.5
A056 "0000325180708 KIS AYU LESTARYBS 21
A057 K120 ELI KAIJINO 29
A058 "327502145920015KTP ERLANGGAYBS 25
A059 "0000508555326 KIS REYZA SAPUTRA 10
A060 "0001649014198 BPJS RIKA RAIH YBS 25
A061 "330524030194000KTP MUSUM YBS 24
B011 A1120 LUTFI ARIFIN 14BL
D018 J279 "0000507847825 KIS SUPINI JUNAEDI 51
D047 N158 YATMINI NURHADI 45
E001 H219 "0000037307531 ASKES ANTONIUSYBS 59
E002 B255 "0001626234682 BPJS BUDI R YBS 36
E003 R506 RISNAULI RAMOT 62
E004 D393 "0001447356249 BPJS D.KUSUMAYBS 53
E005 "0000509698585 KIS KAMILA RAIS 7
E006 D28 "0000073200273 ASKES DEWI KISNYBS 71
E007 L83 LINDA JUWYBS 34
E008 F151 RINA OKTAFARIS 31
E009 B84 SYIFA BEJO 7
E010 TS "180220120785000KTP EFENDI YBS 30
E011 A47 "0000073166297 ASKES H ABD KARYBS 72
E012 "0001423226799 BPJS EVI YUSNI YBS 38
E013 D544 TS IIS DIDIK J 33
E014 R300 "0000073223392 ASKES RODJIKIN YBS 66
E015 K221 "00000509909242 KIS RISKO KISWOYO 10
UMUM GIGI LANSIA
ALAMAT DW LW
BARU LAMA BARU LAMA BARU
KYR 3/2 X X
JATIASIH 4/8 X X
PERWIRA 1/7 X X
KYR 6/12 X X
WONOSOBO-KYR 5/11 X X
KYR 10/12 X X
KYR 11/5 X X
KYR 11/ X X
KYR 11/5 X X
KYR 5/15 X X
KYR 3/1 X X
KYR 5/7 X X
KYR 2/1 X X
KYR 3/25 X X
KYR 7/26 X X
KYR 7/26 X X
KYR 1/6 X X
KYR 4/25 X X
KYR 4/25 X X
KYR 11/12 X X
LAMPUNG-BURANGRANG X X
KYR 4/5 X X
KYR 2/24 X X
KYR 3/9 X X
KYR 3/12 X X
KYR 1/7 X X
KYR 3/24 X X
GARUT/TAWES X X
KYR 4/12 X X
KYR 4/12 X X
KYR 9/12 X X
KYR 6/15 X X
KYR 1/14 X X
KYR 6/15 X X
KYR 11/16 X X
KYR 11/16 X X
KYR 2/12 X X
KYR 3/6 X X
LAMONGAN-KYR 7/2 X X
KYR 3/25 X X
TEGAL-KYR 2/1 X X
KYR 1/13 X X
KYR 2/25 X X
GARUT-KYR 10/12 X X
BOYOLALI-KYR 2/25 X X
KOTABARU 4/1 X X
KYR 1/4 X X
JK SAMPURNA6/1 X X
BUARAN 6/16 X X
PEKAYON 7/3 X X
KEBUMEN-LETNAN ARSYAD X X
KYR 11/12 X
KYR 3/1 X
KYR 2/12 X X
KYR 5/13 X X
KYR 4/11 X X
KYR 5/19 X X
KYR 6/6 X X
KYR 5/8 X X
KYR 2/5 X X
DUREN JAYA X X
KYR 7/5 X X
KYR 3/12 X X
LAMPUNG TENGAH-MASKOKI 2 X X
JK SAMPURNA 2/12 X X
KYR 3/21 X X
JAKBAR X X
KYR 5/9 X X
KYR 11/16 X X
LANSIA KIA KB

LAMA BARU LAMA BARU LAMA


X
X
NO
REKA JENIS NAMA UMUR
NO NO BPJS NAMA KK ALAMAT DW
M KARTU PASIEN
MEDIS L P
A001 S411 ARGA SORMIH 7.5 KYR 4/3 X
A002 A940 RESTU A SMA ALIH 16 BELUT 1 X
A003 A940 M SAID SMA ALIH 17 BELUT 1 X
A004 Y228 "00014224KIS YATI YBS 36 KYR 5/2 X
A006 A1086 RIKA SMP AL IHSAN 14 BELUT 1 X
A007 A622 "00017440KIS FAKHRUL RARIEF 11 KYR 3/3 X
A008 H66 FITRI HERDI 7 KYR 6/8 X
A009 H66 A PAMUJI HERDI 6 KYR 6/8 X
A010 H66 OMIH HERDI 32 KYR 6/8 X
A011 "32750429KTP A.RAMDANYBS 27 KYR 1/24 X
A012 T36 LESTARI TEGUH 38 KYR 6/12 X
A013 S1122 "00012633BPJS AYU AGUSTSISWOYO 20 KYR 6/6 X
A015 "00005086KIS M TASRIPANURDIN 17 KYR 11/16 X
A016 "33275047KTP MAR'ATUSYBS 33 KYR 6/7 X
A017 R155 "00000507000161
KIS ASIH ROCHIM 40 KYR 6/7 X
A018 S76 "00017441KIS TRIASIH SUYADI 37 KYR 2/1 X
A019 R155 ALYA ROCHIM 6 KYR 6/7 X
A020 A175 DEVINA ALOPSEN 17 KYR 8/12 X
A021 T65 "00005089KIS UMAYATI TUMUDI 43 KYR 4/25 X
A022 T65 "00050899KIS ARIO TUMUDI 7 KYR 4/25 X
A023 E326 KARYANTI EDDY 36 KYR 11/16 X
A024 "0002204637761 CAHAYA I YBS 18 KYR 4/12 X
A025 R123 "00005090KIS M SHULTON ROYAN 10 KYR 5/8 X
A026 D157 AIRA DODI 8 KYR 5/8 X
A027 W56 SRI ASTUTIWAHYU 35 KYR 6/12 X
A028 E326 GILBRAN EDDY 11 KYR 11/16 X
A029 V008 VINCENTIUVERO 7 KYR 5/13 X
A030 A1317 RIFKY ABDUL M 18 KYR 2/1 X
A031 H395 "00016338BPJS HERI P YBS 25 KYR 5/12 X
A032 R586 SHERY REMI 5.5 KYR 1/7 X
A034 A254 KIR RONI N A SYUKIM 20 KYR 4/1 X
A035 B279 "00018404BPJS SHINTA BAHTIAR 7 KYR 4/8 X
A036 "31701601KTP TIORIDA YBS 26 CENGKARENG-BANDE
A038 S423 "00000735ASKES M KAMIL SUBUR HA 18 KYR 6/15 X
A040 S1451 ZEALIFA SUHERMAN 6 KYR 12/1 X
A041 S1236 "00016373KIS M MEGGI AA SUPRIA 19 KYR 1/12 X
A042 "32012029KTP HAERI W YBS 25 KUNINGAN-PANGRAN
A044 "32041605KTP ERNA R YBS 26 BANDUNG-GURAME N
A047 B331 "00016344BPJS YETTI BINSAR 40 KYR 1/25 X
A048 E383 FADILAH EDY 25 KYR 3/3 X
A049 H422 "00014643BPJS HANNY POYBS 43 KYR 8/12 X
A050 "00000509KIS SYAIFUL A YBS 21 KYR 2/16 X
D021 V008 VERO YBS 45 KYR 5/13 X
E001 S1562 "00000207600401
ASKES SURAHMAYBS 60 JK SAMPURX
E002 S384 YUS SYAFWAN 34 KYR 6/12 X
E003 R005 RAHMAT YBS 51 KYR 4/6 X
E004 H449 KAMILA HENDRO 5 KYR 11/16 X
E005 W145 "00013099BPJS WIYATNO YBS 64 KYR 3/6 X
E006 A1116 "00000509415129
KIS ASYATI ASMUNI 63 KYR 11/16 X
E007 S978 "00000411ASKES SRI BUDIARSUWALDI 61 KYR 4/11 X
E008 R22 "00018786BPJS DR ROLANYBS 71 KYR 6/12 X
E009 M197 "00022020KIS M NASIR YBS 63 KYR 4/10 X
E010 F214 FATCHUR YBS 20 PATUHA U X
E011 A931 "00017918KIS ADE S YBS 62 KYR 8/8 X
E012 S1610 "00020699BPJS FATIR Y SUCI ARSO 25 KYR 1/22 X
E013 H485 "00017239KIS ATHIFA HADI 4 KYR 4/12 X
E014 "32750445KS LENY A CECEP 32 KYR 1/24 X
E015 T257 "00000732ASKES TUMIRAH YBS 65 KYR 2/14 X
E016 L84 "00010139KIS MARIA LAMBOK 19 KYR 7/26 X
E017 L84 MELLINI D LAMBOK 29 KYR 7/26 X
UMUM GIGI LANSIA KIA KB
LW
BARU LAMA BARU LAMA BARU LAMA BARU LAMA BARU
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X X
X
X
X
X X
X X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
KB

LAMA
NO
REKA JENIS NAMA UMUR
NO M NO BPJSKART PASIENAMA KK ALAMAT DW
MEDI U N
S L P
A002 H490 "00005090KIS AQMIATUNHARUN 44 KYR 3/1 X
A003 "13021031KTP YOGI A YBS 20 SOLOK-LELE1 NO 113
A004 S377 BAHRIAH SANDRA 31 KYR 2/24 X
A005 S377 ARYA SANDRA 6 KYR 2/24 X
A006 "00016450KIS LENY MARYBS 42 KYR 9/5 X
A007 E65 "00012626BPJS ERIKA ERWIN 12 KYR 6/12 X
A008 W112 "00005070JAMKESMAINTAN WAHYU 8 KYR 4/24 X
A009 D460 GAVIN DAVID 5.5 JKT TIMUR-KYR 1/24
A009 "32750448KTP KENZI FATIKHAH 5.5 KYR 10/16 X
A011 E131 ADELA F ENDANG 16 KYR 12/12 X
A012 A1174 OKTA ADI 23 JATIASIH 4X
A015 A1289 ZEVANNYAATI S 11 KYR 5/7 X
A016 "33051805KTP KEVIN RAKUM 7 KEBUMEN-KYR 4/1
A017 B55 ANDRA BAYU 6.5 KYR 1/10 X
A019 R77 RIKY YBS 40 KYR 1/22 X
A020 "32011521KTP DIMAS PR JAENUDIN 6 BOGOR-KYR 1/12
A021 M001 SALSABILAMARDANI 6 KYR 1/12 X
A022 "00000382KIS KHARISMAYBS 29 KYR 1/14 X
A023 S1724 SLAMET YBS 32 KYR 3/19 X
A024 S1635 HANIFAH SURIANSYAH 22 KYR 5/21 X
A025 M159 "00005083KIS M RAKA MULYADI 10 KYR 1/25 X
A027 D113 DIKY S YBS 30 KYR 4/2 X
A028 F136 IKA FEBRA 27 KYR 1/12 X
A029 J343 JAROTIN YBS 37 PD GEDE 4X
A030 T96 "00013757BPJS WASIYEM THOMAS 34 KYR 11/16 X
A031 "33270367KTP DIFNA LIS YBS 20 PEMALANG-LETNAN A
A032 K007 ANDITA KAMINO 9 KYR 7/12 X
A034 "32041324KTP DIDIN S YBS 30 BANDUNG-SIPUT NO
A035 S441 INDIRA SUJUD 35 KYR 4/6 X
A037 A104 "00022002KIS IDA ALDERON 36 KYR 6/8 X
A038 "00005093KIS AKMALUDIYBS 34 KYR 3/12 X
A039 M232 "00020385BPJS MERI YBS 41 KYR 2/8 X
A040 A975 ASSYIFA ASEP 5 KYR 5/7 X
A041 "00000325KIS AYU LESTARYBS 21 KOTA BARUX
B027 M232 DIKY MERI 2 KYR 2/8 X
E001 TS "32091370KTP ZUMROHTU YBS 19 CIREBON-TANGKUBAN
E002 M796 ASKA WILDAN 9 KYR 1/25 X
E003 M796 FATMA WILDAN 37 KYR 1/25 X
E004 D28 "00000732ASKES DEWI KISNYBS 71 KYR 2/5 X
E005 S514 "00000430ASKES SUPRIADI YBS 69 KYR 2/10 X
E006 E317/TS "0001654304095
BPJS IKA MARISINDRATMO 33 KYR 4/25 X
E007 E317 GIO INDRATMO 3 KYR 4/25 X
E008 S503 ARFA SYARIPUDIN 68 KYR 5/9 X
E009 R305 "00000732ASKES RIDWAN YBS 66 PEKAYON 7X
E010 R305 "00000732ASKES MANNA RIDWAN 60 PEKAYON 7X
E011 Y46 "00000367KIS YOHANES YBS 62 KYR 5/10 X
E012 Y93 ELFIAN YULI .K 6 KYR 11/16 X
E013 S804 ZULAIKA SULAEMAN 10 KYR 11/16 X
E014 S1768 ZAHRA SUTRISNO 4 RAWALUMB X
E015 S1610 "00020699BPJS FATIR SUCI 25 KYR 1/22 X
E016 EDI S YBS 45 PKM PERUX
E018 D64 "00000458ASKES ENTES DADANG 54 KYR 8/10 X
E019 T263 NURHAYATITARDI 39 KYR 3/1 X
E020 A104 TINI ALDERON 63 KYR 6/8 X
UMUM GIGI LANSIA KIA KB
LW

BARU LAMA BARU LAMA BARU LAMA BARU LAMA BARU


X
X X
X
X
X
X
X
X X
X
X
X
X
X X
X
X
X X
X
X
X
X
X
X
X
X
X
X X
X
X X
X
X
X
X
X
X
X
X X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
KB

LAMA
NO
REKA JENIS NAMA UMUR
NO M NO BPJSKART PASIENAMA KK ALAMAT DW
MEDI U N
S L P
A001 T95 DEVINO TONY 5 KYR 5/5 X
A002 T95 MARIA TONY 31 KYR 5/5 X
A005 B297"0000509202832 KIS A.SAIKHO BUDI 16 KYR 4/12 X
A006 K225 NOVITA KUSMAWAH 26 KYR 5/21 X
A007 "3205011303940003KTPFITRA RAMADHANYBS 23 GARUT-LETJEN SARBINI NO46
A008 J44 "0000508735708 KIS JUNAIDI YBS 39 KYR 16/1 X
A010 I279 LAILATUL B IVAN 43 KYR 4/12 X
A011 "3275041212850023KTP FAQIHNA YBS 31 KYR 11/16 X
A012 P81 SISCA PADIO 42 KYR 10/12 X
A013 I279 M SYAUQI IVAN 7 KYR 4/12 X
A014 D561 REGINA DJOHARI 7.5 KYR 7/12 X
A016 "3275046712980007KTP WALIYYAN YBS 19 KYR 11/16 X
A017 "3275024507790038KTPNUR KURNIAWATIYBS 39JK SAMPURNA 6/15X
A018 "3275025206840034KTP NOVITA SARIM.TAUFIQ 32JK SAMPURNA 4/15X
A020 F188"00002212292079KIS ROMAULI FERDINAN 41 KYR 5/11 X
A021 I299 NIKEN IRWAN 29
JATINEGARA-JL ANNUR X
A022 "0001013966471BPJSWAHYUNINGDIAHYBS 19 KYR 6/19 X
A025 R555 ANGELAROMANSYAH 43BAUNG RAYA NO/.123X
A026 KIR"33011542197002KTPRINA AYUNENGSIHYBS 20CILACAP-BELUT NO3
A027 "0001154317241BPJSENGKOS KOSASIHYBS 27 KYR 5/24 X
A028 S904 PUJIANTI SAEFUL 29 KYR 2/1 X
A030 R493"0001385202306BPJS RICHAT RICARDO 31 KYR 13/3 X
A032 "32750211940021KTP ANDRI SURYANA YBS 23 JK SAMPURNA 3/2 X
A033 H34 JHENDY HS MANURUNG 29 KYR 3/13 X
A035 M308"0001336495612BPJS AFRIYANTI M YUNUS 41 KYR 5/3 X
A037 "3275045110890016KS RENI SUNARTO 28 KYR 11/16 X
A037 I107"0000509209514 KIS YOHANES KEVIN IMANUELLA 15 KYR 4/5 X
A039 KIR
"1982021008930001KTP SLAMET RIYADI YBS 24
LAMPUNG TENGAH-HALIMUN RAYA NO271
A040 "327504270660001KTP IMAM PRAKASAAZWIR 12 KYR 1/1 X
A042 "320801260990001KTP FAHMI BASYA YBS 27 KUNINGAN-SIPUT 1
A043 A121 IMAM A.SATURI 8.5 MADURA-BUARAN
A044 M979 CHAERNISAHM FAUZI 33 KYR 5/7 X
A045 "3275046910980007KTPDEWI SUHARTANTIYBS 19 KYR 1/8 X
A047 "3275086209950023KTP
VERONIKA SEPTIANA YBS 22 PD GEDE 7/14 X
A048 "180105911960005KTP INDAH LESTARI YBS 21 KOJA-KYR 6/12
A049 H332 YUNITA HIDAYAT 6 KYR 2/13 X
A053 "1275034712840001KTP AISYAH KHAIRUL 6 KYR 4/12 X
A054 B252 SANTI BRAMADA 38 KYR 7/7 X
A055 "3208166112920004KTP SITI SOLEHA YBS KUNINGAN-GABUS
25 RAYA NO200
B008 "3275025206840034KTP LIVIA M.TAUFIQ 2.4JK SAMPURNA 4/15X
B009 I299 FAHRI IRWAN 3.8 JATINEGARA-JL ANNUR
X
D029 R493"0000073210871ASKES RICARDO YBS 72 KYR 13/3 X
D030 R493"0000073210882ASKES MARINTAN RICARDO 70 KYR 13/3 X
D043 I107"0000509205194 KIS L ERNESTIMANUELLA 70 KYR 4/5 X
E001 J99 ZIANKA JANURI 7 KYR 5/25 X
E002 A111"0000073124965ASKES ENCUH ABDRAJAB 68 PEKAYON 3/22 X
E003 A1459 AGUS YBS 54 KYR 5/23 X
E004 L103 LYDIA YBS 36 KYR 1/20 X
E005 "0000509698585 KIS KAMILA RAIS 7 KYR 5/8 X
E006 H424 UMAR HANDOYO 4.5 KYR 3/5 X
E007 H104 SALSABILAHAMDANI 6.5 KYR 1/24 X
E009 E52"0000509650064 KIS KANAYA ERWIN 6.5 KYR 6/7 X
E010 M888 YOHANA MARTINUS 47JK SAMPURNA 3/3 X
E011 M888 JOIS MARTINUS 12JK SAMPURNA 3/3 X
E012 M888 GEISYA MARTINUS 8 JK SAMPURNA 3/3 X
E013 "3275051508940010
KTPRUT BERKAT WATIYBS 23 RAWALUMBU 6/3 X
E014 I279 NURMA L IVAN 9 KYR 4/12 X
E015 P194"0002062157714 KIS PARMOHONAN YBS 30 MASKOKI RAYA X
E017 "32750469129009KTP LIA YBS 25 KYR 4/24 X
UMUM GIGI LANSIA KIA KB
LW

BARU LAMA BARU LAMA BARU LAMA BARU LAMA BARU


X
X
X
X

X
X
X
X
X
X
X
X
X
X
X
X
X
X X
X
X
X
X
X
X
X
X
X X
X
X X
X X
X
X
X
X X
X
X
X
X X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
KB

LAMA
NO JENIS
NO REKAM NO BPJS KART NAMA PASIEN NAMA KK
MEDIS U

A002 L55 "3275044210950017 HELENA LUSMEGA JAYA


A003 A1463 "0000510459208 KIS A.AFFANDI YBS
A004 E42 ELPI YBS
A005 "320713670997002 KTP POPON PATONAH YBS
A006 M526 "0001134558933 KIS MAE LAELASARI YBS
A007 S458 "0000508936588 KIS KHOIRUL SLAMET
A008 A1456 AFRIJAL YBS
A010 "32750606120002 KS M.FAHRI HASAN
A012 M615 M ZIDAN M HERI
A016 M615 NAZWA KAMILA M HERI
A017 M615 ASMALASARI M HERI
A018 A92 "0000039569433 ASKES DARMA EKAPUTRA ADI
A019 R54 NUR FITRIYAH RICKY
A020 A182 "0000509866334 KIS KHOTRUN NADA ALFON
A022 E384 HENI HANDAYANI ENDRIAWAN
A024 H419 "0001878455193 BPJS MARTINA S HERI A.R
A025 I22 ALWAN INDRA
A026 KIR "3314133004990005 KTP FRADANA RESTU S YBS
E001 M796 AZKA WILDAN
E002 S1648 MELANI SUHERMAN
E003 K257 "0001423226799 BPJS EVI YUSNITA KHADIJAH
E004 K221 "0000509909242 KIS RISKO KISWOYO
E005 Y46 "0000036757552 KIS YOHANES S YBS
E006 J99 ZIANKA JAINI
E007 "327504570481009 KS LILIS H LENTINA
E008 J331 "0000509411226 KIS IRSYAD JOKO S
E009 A26 AZKA ANDRI
E010 B135 GUNTUR BUDIYANTO
E011 M744 "0000508585961 KIS NUR HIKMAH M YUNUS
E012 R22 "0001878631086 BPJS DR ROLAND YBS
E013 Z46 NURUL ZAENAL A
E014 H540 DESI ANITA HERMANTO
E015 H485 "0001723987833 KIS ATHIFA HADI H
E016 S755 SITI FATIMAH SLAMET
A027 S451 CINDY SUGOWO
A028 K103 ADI KUNARSO
UMUR UMUM GIGI
ALAMAT DW LW

L P BARU LAMA BARU LAMA


22 KYR 6/12 X X
32 KYR 1/12 X X
43 MARGAMULYA 11/4 X X
20 CIAMIS-KYR 1/6 X X
44 KYR 6/4 X X
29 KYR 9/16 X X
25 KYR 4/20 X X
5 KYR 4/24 X X
5.5 KYR 2/16 X X
12 KYR 2/16 X X
33 KYR 2/16 X
22 KYR 4/24 X X
33 KYR 6/14 X X
14 LELE 2 X X
39 KYR 9/12 X X
36 KYR 12/11 X X
11 KYR 3/25 X X
18 SRAGEN-KYR 3/15 X X
8.5 KYR 1/25 X X
8 KYR 6/24 X X
38 JKS 3/21 X X
10
61 KYR 5/10 X X
7.5 KYR 5/25 X X
37 KYR 4/10 X X
10 KYR 2/23 X X
20 KYR 3/25 X X
4.5 KYR 4/25 X X
40 KYR 4/25 X X
71 KYR 6/12 X X
23 KYR KYR 5/1 X X
42 KYR 6/10 X X
4 KYR 4/12 X X
24 KYR 3/25 X X
6 KYR 5/21 X X
7.5 KYR 7/12 X X
LANSIA KIA KB

BARU LAMA BARU LAMA BARU LAMA


NO
REKA JENIS NAMA UMUR
NO M NO BPJSKART PASIENAMA KK ALAMAT DW
MEDI U N
S L P
A001 C20 GAZALI A CHISWAR 39 KYR 3/8 X
A002 U23 "00005105KIS RAYLA INT UJANG 6 KYR 1/24 X
A003 U23 "00005105KIS RAFFLY UJANG 11 KYR 1/24 X
A004 "32164609KTP KARINA DEYBS 20 TAMBUN S-KYR 11/8
A005 U31 IIN UJANG 33 KYR 4/12 X
A006 J235 "00000412ASKES MARSELINJOHANES 13 KYR 2/8 X
A007 Z39 "00005077KIS MELQY RIZZULKIFLI 15 KYR 4/1 X
A008 U23 ASAROH UJANG 44 KYR 1/24 X
A009 U23 UJANG YBS 47 KYR 1/24 X
A010 A100 "00005083KIS PENDI H AMING 14 KYR 3/25 X
A011 M354 YESSA MAHFUD 11 KYR 10/16 X
A013 KIR "35140410KTP YUSTIA RAYBS 24 SIDARJO-LELE 1 NO4
A014 A1174 OKTA H ADI 23 JT ASIH 4/ X
A015 R39 ANGEL RIANA 9 KYR 5/12 X
A017 E347 TEGAR HAIRUL AMIN 6 KYR 5/12 X
A018 E347 SASKIA HAIRUL AMIN 6 KYR 5/12 X
A019 I286 "00005102KIS DWI ASTUTIPAH 37 KYR 5/23 X
A020 H449 CINDA HENDRO 12 KYR 11/16 X
A021 H120 ROSYID HASANUDI 7 KYR 9/12 X
A022 M150 ASMI MARJA 33 KYR 1/1 X
A023 M150 KHADIJAH MARJA 8 KYR 1/1 X
A024 "00012694BPJS ICHWAN YBS 21 KRANJI 4/1X
A025 "33281670KTP DESI REST YBS 20 JOHAR BARU-KYR 8/2
A026 H111 "00014743BPJS ANUGERAHHALIM 30 KYR 2/8 X
A028 S1691/KIR"00017957KIS TIDORA ATSYAUVANA 25 SOLOK-KYR 4/26
E001 E406 "00016753ASKES EDELMAN YBS 63 KYR 9/22 X
E002 A1454 APRIANDI YBS 44 KYR 4/9 X
E003 R63 RUKMINAHYBS 72 KYR 8/12 X
E004 R677 "00017440KIS WAHYUNI R BIBIT 51 KYR 3/15 X
E005 S1358 SAMORAJAYBS 35 KYR 11/12 X
E006 J350 ENDAH SAJAJANG 13 JK SAMPURX
E007 R17 "00005096KIS KAMILA TRPRINA 7 KYR 5/8 X
E008 H12 "00015161BPJS LUQMAN HOTIM 11 KYR 7/12 X
E009 F205 "00018041BPJS LELIANA FERNANDO 43 GN GEDE 2X
E011 K242 DWI NOVITKUNJONO 22 KYR 3/1 X
E012 I140 WARSINI ISHAK 63 TEGAL-KYR 3/24
E013 I140 SRI HARYATISHAK 40 KYR 3/24 X
E014 N79 "00017440KIS WINARSIHNASIKIN 42 KYR 4/12 X
E015 "32750227KS SARIMUN YBS 46 RW PASUNG X
E016 G33 "00012845BPJS ESTARIA GORDON 60 KYR 9/12 X
E017 M465 MILA MUGIONO 23 KYR 1/12 X
UMUM GIGI LANSIA KIA KB
LW

BARU LAMA BARU LAMA BARU LAMA BARU LAMA BARU


X
X
X
X X
X
X
X
X
X
X
X
X X
X
X
X
X
X
X
X
X
X
X
X X
X
X X
X
X
X
X
X
X
X
X
X
X
X X
X
X
X
X
X
KB

LAMA
NO
REKA JENIS NAMA UMUR
NO M NO BPJS KART PASIENAMA KK ALAMAT
MEDI U N
S L P
A001 W217 MALIK ABDWISMAN 21 KYR 11/12
A002 "0000509373494 KIS AGUS FADIYBS 36 KYR 3/12
A003 M277 RIAN MARTEN 13 KALIMALAN
A005 M277 LENA MARTEN 53 KALIMALANG 7/3
A007 H531 NAZWA HERMANTO 8 KYR 6/7
A008 A1406 ABD SALA YBS 44 MUSTIKA J
A009 H531 MAR'ATUSHERMANTO 32 KYR 6/7
A011 A1311 "0001744059677 KIS ZIA AULIA ARLAM TONI 18 KYR 7/26
A012 A717 "0001744128077 KIS ANDREAS YBS 33 KYR 5/8
A013 G43 DEWI GATOT 39 KYR 7/8
A015 M584 "0001424458179 BPJS FIERNA MAYA 18 KYR 5/13
A016 "0002268315819 KIS FREDICK YACOB 9 CIBITUNG-JL BANDEN
A017 W213 ELI WAHYU H 32 JKSAMPUR
A018 "332804680910011 KTP SITI JAMIL YBS 28 TEGAL-GABUS 7
A019 R647 DAUD OCTRANTO 12 HARAPAN B
A021 "0001338791049 BPJS I GEDE AR YBS 19 JKS 4 /12
A022 "327504570981007 KTP ANISA AZZFITRAH 6 KYR 5/12
A024 R471 "0001013960619 KIS CUCU ROMLI 42 KYR 6/1
A025 H168 "0001013966469 KIS ARIF HERI 22 KYR 6/19
A026 J322 SITI ASIYA JAINI 42 KYR 11/16
A029 S33 EVI EDI 8.5 KYR 1/12
A030 C95 ZAKI CASMIATI 12 KYR 4/5
A031 A197 "0000509617899 KIS ZUBAEDAHALBERT 44 KYR 3/12
A033 R625 GIOVANNAROBERTUS 22 BSK 2/11
A034 "130206280390003 KTP RAMADANIYBS 27 SOLOK-BELUT 4 NO68
A035 "3175074304920001 KTP NUR RAMAYBS 26 KYR 2/24
A036 A1404 RUMENTA AGUSTINUS 39 KYR 1/7
A037 A1404 CHRISTOFEAGUSTINU 8 KYR 1/7
A038 "317404508811001 KTP IRMA YUSNYBS 36 MATRAMAN-JL PANG
A039 A1255 AJI SAKA ADI 5.4 BOGOR-KYR 5/12
A040 "3275025401780015 ABDA RINI 8 KRANJI 3/7
A043 A789 MARLINA ASPITA 36 KYR 5/9
A047 "3275044602950017 KTP RIRIN YBS 25 PEKAYON 1
A050 A1454 NARDIAH AWAN 32 HM 6/6
A051 A1454 VANIA AWAN 7 HM 6/6
A052 Y02 VIVI GUST YARMUN 19 KYR 3/24
A053 K23 JIHAN KURDIANTO 16 KYR 9/2
A055 Y02 "0000509235592 KIS PUTRI YULIYARMUN 25 KYR 3/24
A056 T352 FIRA KALISTEDY 10 KYR 1/8
A057 S1642 SOFI A YBS 38 KYR 9/12
A059 "3275047060008 YOSIANA YBS 37 JATINEGARA/GURAME
A063 S1719 MURNI SOFYAN 35 KYR 2/23
A064 "3275046809770009 KTP ROHAENI YBS 40 KYR 5/7
A067 M49 "0001295194825 BPJS YUSNANI M TAUFIQ 36 KYR 7/12
B002 H531 MUTIARA HERMANTO 3.8 KYR 6/7
B003 H531 ARSYIL HERMANT 2.5 KYR 6/7
B051 S1719 ILHAM SOFYAN 8BL KYR 2/23
D005 M277 ANNA MARTEN 6 KALIMALANG 7/3
D031 "0000509048649 kis MARFUAHYBS 56 KYR 7/4
D054 S1046 "0001422139926 BPJS SUDIARTI YBS 58 KYR 1/21
D055 H268 "0001324736109 BPJS HISAR M YBS 65 KYR 1/8
E001 S978 "0000041167754 ASKES SRI BUDIARSUWALDI 61 KYR 4/11
E002 A1454 APRIANDI YBS 44 KYR 4/9
E003 Y223 "0001196238486 BPJS SHAKILA YUSWORO 5 KYR 4/13
E004 W216 SADIRA WAHYU F 8 KYR 4/13
E005 D408 "0001892832175 FAREL DIAN H 4.5 KYR 7/10
E006 D408 CINDY DIAN H 28 KYR 7/10
E007 M796 AZKA M WILDA 8.5 KYR 1/25
E008 M796 FATMA M WILDA 37 KYR 1/25
E009 H492 ELVIA HARI B 52 KYR 3/8
E010 "0002273553821 kis AGUNG BAYBS 20 SUBANG CICARIU
E011 D544 TS IIS DIDIK 33 JAKBAR
E012 F151 RINA OKTAFARIS 31 KYR 7/5
E013 D590 DEFI OKTAYBS 22 KYR 5/8
E014 "1802201207850001 KTP EFENDI YBS 32 LAMPUNG TENGAH
E015 L83 "0001852771882 bpjs LINDA JUWYBS 34 KP CEREWE
E016 H485 "0001723987833 KIS ATHIFA HADI 4 KYR 4/12
E017 Z046 TS NURUL ZAENAL 23 LOJI SIMPENAN
E018 A931 "0001791810145 BPJS ADE S YBS 62 KYR 8/8
E020 F122 FIRMAN YBS 28 KYR 1/1
E021 R677 "0001744060263 KIS WAHYUNI R BIBIT 51 KYR 3/15
E022 B63 "000036808942 KIS BARIMUN YBS 60 KYR 1/10
A065 H332 "0001285012787 KIS RUSCY HIDAYAT 39 KYR 2/13
UMUM GIGI LANSIA KIA
DW LW

BARU LAMA BARU LAMA BARU LAMA BARU LAMA


X X
X X
X X
KALIMALANG 7/3 X
X X
X X
X X
X X
X X
X X
X X
CIBITUNG-JL BANDENX X
X X
TEGAL-GABUS 7 X X
X X
X X
X X
X X
X X
X X
X X
X X
X X
X X
SOLOK-BELUT 4 NO68X X
X X
X X
X X
MATRAMAN-JL PANGX X
BOGOR-KYR 5/12 X X
X X
X X
X X
X X
X X
X X
X X
X X
X X
X X
JATINEGARA/GURAME
X X
X X
X X
X X
X X
X X
X X
KALIMALANG 7/3 X
X X
X X
X X
X X
X X
X X
X X
X X
X X
X X
X X
X X
SUBANG CICARIU X X

X X
X X
LAMPUNG TENGAH X X
X X
X X
LOJI SIMPENAN X X
X X
X X
X X
X X
X X
KB

BARU LAMA
NO
REKA JENIS UMUR
NAMA
NO M NO BPJS KART NAMA KK
PASIEN
MEDI U
S L
A04 C25 ADIS CHANDRA 8
A05 P193 VADIA PARDI
A06 "3275045000260038 KTP AYU SOPIYAH
A08 B125 EZY ABDILLAH BAGYO 12
A09 H41 "0000508954206 KIS YULIANTI HERI
A10 J89 ABIGAIL JERI 8
A11 M584 "0001424458989 BPJS FIERMAN M MAYA 13
A12 E379 "0000509375103 KIS ENI NURHAYATI YBS
A13 W52 "0000508950189 KIS SITI HAWA WAHYUDIN
A15 A1200 BAGASKARA ANTON DONI 7.5
A16 A940 A SOHIBUL SMAAL IHSAN 17
A17 "3275044607810020 KTP SITI KHADIJAH YBS
A20 "327502311020004 KS BUDI NURHASAN 15
A21 "0001643644438 BPJS RYANDA R YBS 22
A25 M915 MARGIANA ILYASIN
A26 KTP ISNAIN YBS 38
A28 S474 YANTI SUMIYATI
A29 S93 DAFFA SUPARNO 9
A30 "3209171305850002 KTP WAHYUDI P YBS 33
A31 R355 "0000509420485 KIS MALTA ADY RUSTIM 20
A32 A1715 AJI ARDIANSYAH YBS 24
A33 A1715 SRI NUR INDAH AJI
A34
A35 D408 CINDY DIAN H
A36 QORI ANDRIANI 5
A37 S1519 SUPARTINI SUDARI
A38 YASMIN KHAERUN NI'MAH
A42 R734 "0002103772105 BPJS AMILIA RIZAL
A43 D552 ELI DODI
A44 R686 "0001744069296 KIS M FAQIH RODHI 19
A45 E126 SITI FARIDAH EROSUHARA
A46 R493 "0001385202306 BPJS RICHAT RICARDO 31
A47 R493 "0001385197424 BPJS RIONALDY RICARDO 41
A48 "337412806880001 KTP ILHAM N YBS 29
A49 T337 NELLA TRI S
B05 S451 M AZKA SUGOWO 10BL
B35 D408 "0001892832175 FAREL DIAN H 4.5
D05 T007 "0000037051773 ASKES TUSIRAN YBS 63
D06 "3275045602720012 KTP NURMAYASARI YBS
D32 R686 "0001744069206 KIS RODHI YBS 55
D34 R493 "0000073210882 ASKES MARINTAN RICARDO
E01 A386 "0000040892319 ASKES ARUM SUMARTINI YBS
E02 K232 "0001868241249 BPJS EMILIA KHAIDIR
E03 W95 YESY MAFINA WAWAN
E04 H268 "0001324736109 BPJS HISAR YBS 65
E05 Y46 "0000036757552 KIS YOHANES SUBARN YBS 61
E06 S822 "0000509702646 KIS SOLIHIN YBS 47
E07 S1744 SUPIANI YBS
E07 "32750492903900017 KTP A.RAMDANI YBS 27
E08 H135 AZRIL HENDI 6.5
E09 P193 UMI KULSUM PARDI
E10 D64 "0000045840655 ASKES ENTES DADANG
E11 "317036803830012 LAIQA ROSYATY
E12 "3216104308900015 KTP FITRI YBS
E13 S1775 "3275041005000012 KS RIZKI ILHAMI SURYANA 17
E14 S1776/TS "31161460677005 KTP RAHMA DIRA SANTI
E15 R005 RATIH RAHMAT K
UMUR UMUM GIGI LANSIA
ALAMAT DW LW

P BARU LAMA BARU LAMA BARU


KYR 2/6 X X
15 KYR 6/8 X X
37 KYR 5/1 X X
KYR 11/16 X X
42 KYR 2/1 X X
KYR 3/25 X X
KYR 5/13 X X
30 KYR 3/12 X X
29 KYR 1/1 X X
KYR 5/16 X X
BELUT 1 X X
37 KYR 1/12 X X
KYR 1/24 X X
KYR 7/4 X X
22 KYR 4/24 X X
KYR 7/12 X X
22 KYR 5/1 X X
KYR 3/24 X X
CIREBON-JL JEND SUDIRMAN X X
KYR 11/16 X X
KYR 4/24 X X
21 KYR 4/24 X X

28 KYR 7/10 X X
KYR 6/15 X X
38 KYR 3/25 X X
8 KYR 5/16 X X
19 KYR 9/12 X X
43 TASIKMALAYA-TAWES RAYA X X
KYR 7/26 X X
18 KYR 4/16 X X
KYR 13/3 X X
KYR 13/3 X X
SEMARANG-KYR 2/2 X X
31 KYR 3/6 X X
KYR 5/1 X
KYR 7/10 X
KYR 5/8 X
45 KYR 8/10 X
KYR 7/26 X
70 KYR 13/3 X
62 KYR 6/14 X X
58 KYR 3/7 X X
33 KYR 5/1 X X
KYR 1/8 X X
KYR 5/10 X X
KYR 10/16 X X
39 PKM PERUM 2 X X
KYR 1/24 X X
KYR 3/12 X X
41 KYR 6/8 X X
54 KYR 8/10 X X
4.5 KYR 1/12 X X
28 JK SETIA 6/3 X X
KYR 4/25 X X
6 JL SEMERU BALI X X
22 KYR 4/6 X X
LANSIA KIA KB

LAMA BARU LAMA BARU LAMA

X
X
X
X
X
X
NO
REKA JENIS NAMA UMUR
NO M NO BPJSKART PASIENAMA KK ALAMAT DW
MEDI U N
S L P
A01 Y228 "00014224KIS YATI YBS 40 KYR 8/9 X
A03 K180 DEWI KOSASIH 42 KYR 4/24 X
A04 ARYADI R RUSNI 17 KYR 8/7 X
A05 W138 "00005070JAMKESMAWAHYU YBS 38 KYR 4/24 X
A06 S686 ANISA FITRSAIKUR 12 KYR 1/25 X
A08 "00000438KIS SUHEIL NADJMI 28 KYR 1/1 X
A09 H142 PUTRI HERU 14 KYR 7/19 X
A10 "18030248KTP GISCKA YBS 22 LAMPUNG UTARA-KYR
A11 H142 FITRIYAH HERU 38 KYR 7/19 X
A12 "33090970KTP NUR AMIL YBS 18 BOYOLALI-UDANG 1
A14 D391 "00002104ASKES NURUL AUDIRGANTORO 22 KYR 2/5 X
A16 K225 NOVITA KUSMAWAH 26 KYR 1/6 X
A17 "32750468KTP RAHAYU P YBS 32 CIBARUSAH-KYR 4/7
A20 "91713013KTP SIGIT ADI YBS 32 KYR 1/12 X
A21 "32750424KTP ZAKI PUTRADE KOMA 7 KYR 5/12 X
A21 AGUSTI ARARI YOSEP 32 KYR 2/3 X
A22 A728 AIROSITAWADE HADI 36 KYR 1/12 X
A23 NOPI ROSIYBS 18 BANDUNG/KEONG MA
A24 S544 TITIN SAJUDIN 40 KYR 4/1 X
A25 M76 ENTIH MAMAN 39 KYR 3/16 X
A27 S255-KIR NILAM SARSURYADI 27 KYR 10/12 X
A28 A871-KIR BUNGA DWNINING 20 KYR 10/12 X
A29 "32780510KTP ADE YBS 42 TASIKMALAYA-JL TAW
A30 RIZKI RAMSUPIANI 19 KYR 11/12 X
A31 S861 "00000727KIS SISTA SANTOSO 15 KYR 7/10 X
A32 I GEDE AR YBS 19 JKS 4/12 X
A33 Y261 YOHANNAYBS 40 JKS 10/22 X
A35 KIR "00016533BPJS MARIA OLIYBS 29 KYR 9/12 X
A37 "32122618KTP SIDIK TEG YBS 19 INDRAMAYU-JL SEPAT
A38 "32122618KTP KELVIN YBS 19 BANDUNG-JL SEPAT N
A39 "00016067KIS FIRMAN YBS 25 KEMAYORAN-KYR 9/1
A40 "36041266KTP TATU USWYBS 20 SERANG-KYR 9/12
A41 "00017375BPJS ARMANSYAYBS 38 KYR 2/8 X
A42 S1518-KIR DWI KRISDSUTRISNO 19 KYR 3/12 X
A43 H422 "00014643BPJS ASNA ALIZHANI 42 KYR 8/12 X
A44 A1268 RAMADINIA ABD HARIS 14 KYR 6/8 X
A46 "00012663KIS RICHA CENYBS 24 KYR 1/12 X
A47 H338 A.MAULANHARI 19 KYR 7/1 X
A48 BURHANUD YBS 22 LEBAK-KYR 3/5
B17 Y261 VERONICAYBS 8BL JKS 10/22 X
E01 "33209137KTP ZUMROTULYBS 19 CIREBON
E02 S1562 "00002076ASKES SURAHMAYBS 60 JK SAMPURX
E03 W145 "00013099BPJS WIYATNO YBS 64 KYR 3/6 X
E04 I284 "00018990BPJS SUSMIANAIWAN D 43 KYR 5/5 X
E05 M611 "00014460BPJS IPIT SUSIL M.AHYAT 32 DEPOK
E06 M611 "00014460BPJS SISKA RA M.AHYAT 8.5 DEPOK
E07 R305 "00000732ASKES RIDWAN S YBS 66 PKY 7/3 X
E08 R22 "00018786BPJS RONALD YBS 71 KYR 6/12 X
E09 B232 "00014636BPJS TIRZA BOYKE 9 KYR 1/10 X
E10 A1152 AGUS BUDIYBS 48 KYR 1/25 X
E12 "00017440KIS VENY TIO T.P SIMANJUTAK 27 KYR 2/23 X
E14 "32290305KTP ALI SAIFFY YBS 50 KYR 2/25 X
E15 J357 TS YANA JUNAEDI 24 JK SAMPURNA 1/7
E16 H333 HERIYADI YBS 54 KYR 5/8 X
E17 B215 "00000728BPJS SUJIYAH BAMBANG 48 KYR 2/1 X
E18 "00000729ASKES AISIAH MURADSYANI 69 PKY 3/1 X
E19
E20 "32750442KTP WAWI YBS 58 KYR 5/7 X
UMUM GIGI LANSIA KIA KB
LW

BARU LAMA BARU LAMA BARU LAMA BARU LAMA BARU


X
X
X
X
X
X
X
X X
X
X X
X
X
X X
X
X
X
X
X X
X
X
X
X
X X
X
X
X
X
X
X X
X X
X X
X X
X
X
X
X
X
X
X X
X
X X
X
X
X
X X
X X
X
X
X
X
X
X

X
X
X

X
KB

LAMA
NO
REKA JENIS NAMA UMUR
NO M NO BPJSKART PASIENAMA KK ALAMAT DW
MEDI U N
S L P
A02 "00016582BPJS DEDI H YBS 30 PALMERAH-BELUT1
A05 I156 SEPTIANA IWAN 33 KYR 5/11 X
A06 L107 HAFIDZ LYDIA 8 KYR 1/20 X
A06 GABRIELA YBS 22 KYR 8/12 X
A07 M432 M RAMLI YBS 37 KYR 3/1 X
A09 L83 "00018527BPJS LINDA YBS 34 DJ 2/7 X
A10 KIR NUR RAH YBS 23 KYR 9/12 X
A11 P96 "00016331KIS CHARLES POLINDOS 29 KYR 2/9 X
A12 KIR ARNI YBS 21 BATAM-TAWES 3
A15 A1174 OKTA H ADI S 31 JT ASIH 4/ X
A16 D222 ZAHRA DARWIN 7 KYR 11/12 X
A17 NADA ZAKKJUROIJ 7 KYR 10/16 X
A19 S1581 WARNI SUGITO 39 KYR 10/12
A20 S861 "00000727KIS SISTA SANTOSO 14 KYR 7/10 X
A21 S1054 JULIANA SUYANTO 12 KYR 7/16 X
A22 E225 ENAH EDI S 30 KYR 2/12 X
A23 J248 "00005094KIS IMAM GOJA JUDIN 24 KYR 2/12 X
A24 HOLIDIN YBS 43 KYR 11/16 X
A25 H120 SULTON HASANUDI 5 KYR 9/12 X
A26 A1789 ABD ROSYIYBS 36 DUREN SAWIT-KYR 2/
A29 V008 TIMOTIUS VERO 9 KYR 5/13 X
A30 S305 SUYANTO YBS 41 KYR 1/12 X
A31 B114 RAFI BRAM 7 KYR 6/19 X
A32 A1456 RIO A.HANAFI 14 KYR 5/24 X
A33 A1456 A.AFIQAH A.HANAFI 6 KYR 5/24 X
A34 B114 DUTA BRAM 15 KYR 6/19 X
A35 "32504051KS DEDI SUL YBS 35 KYR 4/4 X
A36 FIKKO TRI YBS 30 BABELAN-BANDENG R
A37 "00013245BPJS M AL-GRE ANGGA DW 5.8 KYR 4/16 X
A38 SYIFA FAU ABDURAHMAN 20 KYR 2/24 X
A39 KIR SITI MARY YBS 24 MAJALENGKA-PS SUM
B06 I156 HAMIZAN IWAN 3.8 KYR 5/11 X
B28 "00022330BPJS SYA'RON ANGGA DWI 3 KYR 4/16 X
E001 A1116 "00005094KIS ASYATI ASMUNI 54 KYR 11/16 X
E02 S384 YUS SYAFWAN 46 KYR 6/12 X
E03 E195 "00005069KIS EMI YBS 63 KYR 6/24 X
E04 A294 "00013052BPJS BINTI M AZHARI 59 KYR 2/16 X
E05 Z46 NURUL ZAENAL 23 SIMPENAN
E06 L107 LYDIA YBS 36 KYR 1/20 X
E07 G78 FERNANDOGUSTAM 12 KALIMALAN X
E08 F39 "00017440KIS SUSWANTIFAHRUL 34 KYR 4/12 X
E09 JARODAH YBS 43 BREBES
E12 A931 "00017918BPJS ADE S YBS 62 KYR 8/8 X
E13 ZAUHAR YBS 23 KYR 6/20 X
E14 E433 LIA ENI K 25 KYR 4/24 X
E15 N149 "00018767BPJS NELSON YBS 63 KYR 11/5 X
E16 K106 "00013020BPJS TRIVENA KORNELIUS 49 KYR 5/14 X
UMUM GIGI LANSIA KIA KB
LW

BARU LAMA BARU LAMA BARU LAMA BARU LAMA BARU


X X
X
X
X
X
X
X
X
X X
X
X
X
X X
X
X
X
X
X
X
X X
X
X
X
X
X
X
X
X X
X
X
X X
X
X
X
X
X
X
X X
X
X
X
X X
X
X
X
X
X
KB

LAMA
NAMA UMUR
NO KART
NO NO BPJS PASIE NAMA KK
RM U
N
L P
A01 D414 ADITYA R DIAN 7.5
A02 E225 ENAH EDI S 30
A03 T21 "50050007KS WIDYA R TATI 42
A04 N419 "00005092JKM AMAH NURDIN 38
A05 N419 "00005092JKM TEDY NURDIN 10
A06 R102 RAUDHOTURUHUM B 6
A07 A1286 ADE DIANAYBS 28
A08 A1286 KEISYA ADE DIANA 5.5
A09 M HAEKALMAHFUDIN 7
A10 RIDCO SUGYBS 32
A11 J198 YULIANTI JOKO 42
A12 A958 "00005095KIS SYAIFUL AMAL 27
A13 M814 RICKY MANGANTAR 16
A14 R735 CHILA ROMLAN 5.5
A15 R735 SITI ROMLAN 27
A16 R155 "00005070KIS ASIH ROCHIM 40
A17 R155 ALIL ROCHIM 6
A18 Y17 KEISHA YAKOBA 15
A19 E408 SARAH A ENDIANSYAH 7
A20 M982 M DAUD YBS 42
A21 T360 "00016591BPJS SUMARTINSATARI 42
A22 NANA S YBS 32
A23 NOEL ARLYYBS 31
A24 Y200 DIAN CHA Y SINAGA 25
A25 MATAHARIEMMA 12
A26 FAHMI R YBS 21
A28 SITI FATIM PANDU 31
A29 SANDRA RYBS 32
A31 A877 BRYAN ALBERT 8
A33 R743 RUDI H YBS 31
A34 T36 "00018030BPJS LESTARI D TEGUH 38
A35 ZIDAN FAQIHNA 10
A36 R73 SELVIANA ROHIM 34
A37 "00001259476751
BPJS MELIANA YBS 42
B02 A1286 RANIA ADE DIANA 6BL
B04 J198 NILAM JOKO 26BL
B32 ROBY JAMALUDIN 11
B33 KEYSHA JAMALUDIN 5.5
D26 F54 ANIMAR FAUZI 53
D28 N124 "00011078603672
BPJS UPIK N NASMAN 64
D29 K106 "00013020BPJS TRIVENA KORNELIUS 49
D30 K91 "00005095KIS KI AGUS YBS 49
E01 S978 "00000411ASKES SRI BUDIARSUWALDI 61
E03 A26 AZKA ANDRI 20
E04 R22 "00018786BPJS DR ROLANYBS 71
E05 "00010139KIS HASUNAH YBS 37
E06 I284 "00018990BPJS SUSMIANAIWAN D 43
E07 "00017441KIS CATUR DWIYBS 23
E08 S822 "00005097KIS SOLIHIN YBS 47
E09 R110 "00000732KIS RUDYAMAYBS 69
E12 S1434 "00014345BPJS PUJIYANTI SULISTYO 40
UMUM GIGI LANSIA
ALAMAT DW LW
BARU LAMA BARU LAMA BARU
KYR 3/25 X X
KYR 2/12 X X
KYR 1/11 X X
KYR 3/25 X X
KYR 3/25 X X
TANGERANG-KYR 2/5 X X
KYR 7/12 X X
KYR 7/12 X X
KYR 10/5 X X
PADANG-GUNUNG SALAK 3 X X
KYR 7/1 X X
KYR 4/11 X X
KYR 5/1 X X
KYR 3/6 X X
KYR 3/6 X X
KYR 6/7 X X
KYR 6/7 X X
KYR 5/13 X X
KYR 2/23 X X
KYR 1/21 X X
KYR 6/12 X X
KYR 9/12 X X
KYR 3/9 X X
KYR 7/10 X X
PALEMBANG-KYR 6/20 X X
KYR 1/12 X X
KYR 3/15 X X
CIREBON-KYR 4/5 X X
KYR 2/1 X X
KYR 6/24 X X
KYR 6/12 X X
KYR 11/16 X X
KYR 5/12 X X
KYR 1/8 X X
KYR 7/12 X
KYR 7/1 X
KYR 2/12 X
KYR 2/12 X
KYR 3/16 X
KYR 8/7 X
KYR 5/14 X
KYR 4/16 X
KYR 4/11 X X
KYR 3/25 X X
KYR 6/12 X X
KYR 9/16 X X
KYR 5/5 X X
KYR 4/23 X X
KYR 10/16 X X
KYR 1/8 X X
KYR 6/16 X X
LANSIA KIA KB

LAMA BARU LAMA BARU LAMA

X
X
X
X
X
X
X
X
NO KART UMUR
NO NO BPJS NAMA PASIEN NAMA KK
RM U
L
A001 KIR "0001628361595 BPJS MARIA WENNY REVI SIHOTANG
A02 A1236 "0001637309057 KIS M MEGI AA SUPRIATNA 19
A03 A622 "0001744059857 KIS M NURFANDI ARIEF 11
A04 ANTJE M YBS
A09 P58 FATMA PINDAR
A10 KIR FITRIA SELVINA YBS
A12 ERNAWATI YBS
A14 "0000510289604 KIS SAFIA SAMSUL R
A15 M584 "0001424458179 BPJS FIERNA MAYA
A16 M514 TIRTANIA M YANI
A17 S1635 HANIFAH SURIANSYAH
A18 E139 "0000509125702 KIS PRECIOASA MARIA
A20 DWI BULAN YBS
A21 ILHAM ERNAWATI 12
A23 H34 "0001275537115 BPJS MULIA NOVANTO HASUDUHANA 17
A24 U90 PUTRA UMI K 20
A25 M935 EKA M GUNTUR
A26 S85 NIA SUPRIYATNO
A27 A91 HARYANI ASMAWI
A28 A257 FAREL A ROHMANI 9
A29 RIZKI EKASARI 6
A32 A1270 "0001744060814 KIS NURHASANAH ABD RASYID
A33 KIR AGUS SETIAWAN YBS 29
A34 H34 CHIKO HASUDUHANA 9
B43 NADIFA EKASARI
D12 E196 "0000509245964 KIS EPON TARSILAH EPON
D25 S85 SUPRIYANI SUPRIYATNO
D27 A1270 "0001744060803 KIS YUSNIDAR ABD RASYID
E001 G33 "0001284579314 BPJS ESTARIA PAULINA GORDON
E002 E84 KS ERSA NURUL RAHMA ERWIN
E003 B200 KTP AYU RAHMAWATI BEGUM
E004 S1266 "0001888274428 BPJS SURYAMAN YBS 41
E05 J331 "0000509411226 KIS IRSYAD JOKO 10
E06 J350 ENDAH SALSA JAJANG
E07 B336 TITO HARDIANTI BARTHA
E08 S1359 SAMORAJA YBS 35
E09 R471 "0001013960619 KIS CUCU ROMLI
E10 P193 UMI KULSUM PARDI
E11 J25 ROMALH JEJE
E12 N79 "0001744060059 KIS WINARSIH NASIKIN
E13 S1768 SUTRISNO YBS 30
E14 S1768 ZAHRA S SUTRISNO
E15 E196 "0000509246774 KIS KARSELIA EPON
E15 JULIATI ABDUL R YBS
UMUR UMUM GIGI
ALAMAT DW LW
P BARU LAMA BARU LAMA
29 KYR RT4 RW8 X X
KYR 1/12 X X
KYR 3/3 X X
39 MANADO-AHMAD YANI NO 34 X X
42 BUARAN 4/8 X X
19 CIAMIS-KYR 11/5 X X
44 KYR 1/10 X X
12 KYR 5/23 X X
18 KYR 5/13 X X
5.3 KYR 4/25 X X
22 KYR 5/21 X X
7 KYR 6/5 X X
17 KYR 2/24 X X
KYR 1/10 X X
KYR 3/13 X X
KYR 9/12 X X
24 KYR 3/16 X X
13 KYR 9/12 X X
14 KYR 3/21 X X
PKY 7/3 X X
KYR 4/14 X
27 KYR 6/26 X X
BOYOLALI-8/16 X X
KYR 3/13
4 KYR 4/14 X
48 KYR 2/6 X
47 KYR 9/12 X
60 KYR 6/26 X
60 KYR RT9 RW12 X X
16 BUARAN BONG RT5 RW16 X X
25 JAKASAMPURNA RT3 RW11 X X
JAKUT X X
KYR 2/23 X X
13 JKS 5/15 X X
38 JK SETIA NO 69 X X
KYR 11/12 X X
42 KYR 6/1 X X
42 KYR 6/8 X X
49 KYR 4/6 X X
42 KYR 4/12 X X
RL 8/3 X X
4.5 RL 8/3 X X
12 KYR 2/6 X X
38 JAKUT X X
LANSIA KIA KB

BARU LAMA BARU LAMA BARU LAMA

X
X
X
X
NO KART
NO NO BPJS NAMA PASIEN NAMA KK
RM U

A01 "000050970159 KIS RIZKY R ROBIANTO


A02 Y67 "0000508567612 JMK GUSTI SRIANHANI YURAHMAN
A04 D414 RADIT DIAN
A06 D414 SHAKILA DIAN
A07 R717 "0001873471915 BPJS RINI S YBS
A08 DWI PURWANTO YBS
A09 J258 JAJAT YBS
A11 S330 "0002139850899 BPJS M FURQON KAUTSAR SUBANDI
A13 D298 "0001850178464 BPJS DIAH N DWI AGUS
A14 "0001648683977 BPJS SURI HANDAYANI RUSLAN
A15 R58 JERIKO RUDY
A16 U10 M FAHRI UNAR
A17 U10 NURALIYAH UNAR
A18 S411 MONICA SORMIH
A21 E015 "0000507783205 JMK A.TSAQIF EVA R
A22 "0001123523919 BPJS YULIA YOSI
A24 A813 FAHRI ISMALI AMAN
A25 R90 RAMDANI YBS
A26 W138 "0000507083411 JMK WAHYU YBS
A27 RINI ARYANI YBS
A28 F157 M RIDHO FAISAL
A29 A1460 DIMAS ATMADJI
A30 T390 "0001742632176 BPJS TEGUH YBS
A32 KIR FALMA RAHMADANI YBS
A33 G003 GANA
A34 D558 YATI DASMAN
A35 SAVITRI BPSK
A36 AHMAD IMRON YBS
A37 M NOVIANDRA YBS
A38 B55 ANGGITA BAYU
A39 S1120 RUSIANA SUROSO
A40 D232 SALSABILA DEDE S
A41 M227 M SATORI YBS
A42 Z25 "0001785993827 KIS NOVI OKTAVIA DESWAN
A43 T63 CHRISTIANO TULUS
A44 SYIFA FAUZIAH ABDURRAHMAN
A45 S1635 HANIFAH SURIANSYAH
A46 "0001622022412 FITRI AGUSTIN YBS
A47 ASIYAH ERA H
A48 ANIDA IYAN
B02 F151 KALEA FARIS
B27 G003 FIRLY
B28 D558 SALSABILA DASMAN
E01 R63 RUKMINAH YBS
E02 K232 "0001868241249 BPJS EMILIA KHAIDIR
E03 F151 RINA FARIS
E04 R17 "0000509698585 KIS KAMILA RAIS/PRINA
E05 S1274 "0000508793951 KIS SRI ROHYANTI SULKIM
E06 M FARID HARYANTO
E07 "3275044301700025 KS SUSI ABDUL AZIS
E08 S949 "0000072999167 KIS SUBAGYO YBS
E09 R182 "0000073223706 ASKES ROSITA YBS
E10 I326 IDA NINGSIH AISYAH H
E11 R418 ANDRE PANTI ASUHAN RATNA
E12 I284 "0001899003723 BPJS SUSMIANAH IWAN
E13 R418 YOGI PANTI ASUHAN RATNA
E14 R182 "0002044344238 KIS FILIA ROSITA
E15 A1479 YETI ANGGA
E16 J70 JOHAN YBS
E17 L83 "0001852771882 BPJS LINDA J YBS
E18 "0001013956918 KIS HASUNAH YBS
UMUR UMUM GIGI
ALAMAT DW LW
L P BARU LAMA BARU
18 KYR 5/7 X X
10 KYR 3/1 X X
7.5 KYR 3/25 X X
5 KYR 3/25 X X
23 KYR 5/13 X X
27 PATI-JL CIREMAI RAYA NO 223 X X
41 KYR 7/12 X X
9 KYR 3/8 X X
35 KYR 2/8 X X
23 KYR 1/25 X X
8 PKY 6/3 X X
5.2 KYR 3/12 X X
38 KYR 3/12 X X
18 KYR 4/5 X X
8 KYR 9/5 X X
32 KYR 4/10 X X
8 KYR 4/1 X X
41 KYR 6/14 X X
38 KYR 4/24 X X
40 KRANJI 3/7 X X
5 KYR 10/16 X X
12 KYR 5/10 X X
44 KYR 4/14 X X
21 KYR 8/16 X X
42 KYR 10/16 X X
43 KYR 8/16 X X
19 LELE 2 X X
29 KYR 2/24 X X
21 BREBES-KYR 11/12 X X
7.5 KYR 1/10 X X
39 KYR 1/24 X X
6.3 RAWA AREN 3/1 X X
35 KYR 3/6 X X
41 KYR 6/14 X X
9 KYR 6/9 X X
20 KYR 2/24 X X
22 KYR 5/21 X X
37 HM 5/11 X X
6 KYR 4/12 X X
7 KYR 1/12 X X
35BL KY 7/5 X
4 KYR 10/16 X
2.5 KYR 8/16 X
72 KYR 8/12 X
57 KYR 3/7 X
31 KYR 7/5 X
7.5 KYR 5/8 X
32 KYR 1/24 X
7 BREBES-KYR 7/5 X X
48 KYR 4/18 X X
64 KYR 1/6 X
66 KYR 2/6 X
56 KYR KYR 6/6 X X
14 PANTI ASUHAN X
43 KYR 5/5 X
14 PANTI ASUHAN X
38 KYR 2/6 X
30 KYR 4/25 X X
34 KYR 3/12 X
33 DJ 2/7 X
37 KYR 9/16 X X
GIGI LANSIA KIA KB

LAMA BARU LAMA BARU LAMA BARU LAMA

X
X
X
X
X
X
X
X

X
X

X
X
X
X

X
X
NO KART NAMA UMUR
NO NO BPJS NAMA KK
RM U PASIEN
L
A01 D71 "0001428314387 BPJS LUKAS DANIEL 38
A02 L009 "0001766476089 BPJS DAMERIA LILIUM
A03 S1750 M RIZKI SUGIRI 6
A05 "0001770550029 BPJS KUSRIAH DEDE H
A06 A458 FERDO AGUS 11
A07 A178 "0000508857772 JMK CHINTIA AFRIANTONI
A08 A178 "0000508857748 JMK YENI M AFRIANTONI
A09 R77 AMELIA RIKY
A10 M238 HENNY M SINAGA
A11 Z63 DWI ZIDNI
A12 YUNISSA TETURO
A13 M584 "0001424458179 BPJS FIERNA MAYA
A14 "32750445860030 KS LENY A CECEP
A15 SAKUR BASUKI YBS 40
A17 K225 NOVITA KUSMAWAH
A18 SUMIYATI YBS
A19 KIR SABILUR ROSADI YBS 20
A21 JIBRIL NITA 5.5
A22 C24 "0000508549588 KIS RITA A CECEP
A23 I263 "0002060041656 BPJS NIFKA ULRICO IDAMAN 28
A24 DIAN HENDRIANA YBS 37
A25 KIR FENTY AGUSTINA YBS
A26 KIR ANNISA ZIZA YBS
A27 P33 RESTU PURBA 10
A28 S1730 DEVITA SITI R
A29 S1730 SITI ROHMDIANTI YBS
A31 J339 JIMMY YBS 40
A32 R55 "0000509421701 KIS SEKAR KARTIANA ROSYIDIN
A34 R686 "0001744069296 KIS M FAQIH RODHIE 10
A35 DEDI SULAEMAN YBS 35
A36 Y99 YOPAN YBS 32
A37 S1581 WARNI SUGITO
A38 SECOLATIKA YBS
B42 S1581 FRANS SUGITO 3.5
D32 R686 "0001744069206 KIS RODHII SAIE YBS 55
E01 A386 "0000040892319 ASKES ARUM S YBS
E02 R005 RAHMAT K YBS 52
E03 LAMRIA N YBS
E04 S225 NADINE SUNARYO
E05 J22 "000506985322 JMK DINNI JANUDIN
E06 H424 UMAR HANDOYO 4.5
E07 K255 "0001267372631 BPJS ADRIALMI KRISNOVIANTO
E08 K255 LILI KUSNO HADI
E09 H524 HENDRY ZEN YBS 43
E10 K106 "0001302027333 BPJS TRIVENA KONRNELIUS
E11 J343//TS "0002075779833 BPJS STEFANY JOHAN
E13 J343 "0002075781328 BPJS YOHANNA JOHAN
E14 N18 "0000507784691 KIS SUMIATI NUROHIM
E16 "0001744065742 KIS VENY TIO YBS
UMUR UMUM GIGI
ALAMAT DW LW
P BARU LAMA BARU LAMA
KYR 1/6 X X
40 KYR 2/6 X X
KYR 9/10 X X
32 PALMERAH-BELUT 4 X X
KYR 1/12 X X
16 KYR 3/14 X X
41 KYR 3/14 X X
8 KYR 1/22 X X
32 KYR 5/12 X X
35 KYR 9/12 X X
23 JT ASIH 3/17 X X
18 KYR5/13 X X
32 KYR 1/24 X X
KALSEL-KYR 4/16 X X
26 PKY 5/21 X X
43 KYR 1/12 X X
KYR 1/12 X X
JKS 2/2 X X
30 KYR 4/12 X X
HARUMAN RAYA X X
ARENJAYA 1/8 X X
39 JKMULYA 9/13 X X
25 SEMARANG-RAWALUMBU X X
KYR 6/6 X X
5 KYR 6/11 X X
41 KYR 6/11 X X
MARGAHAYU 1/8 X X
9 KYR 2/25 X X
KYR 7/26 X X
BEKASI 4/4 X X
KYR 3/6 X X
39 TEMANGGUNG-10/12 X X
20 TEMANGGUNG- BELUT 3 NO 116 X X
TEMANGGUNG-10/12 X
KYR 7/26 X
62 KYR 6/14 X X
KYR 4/6 X X
61 KYR 1/13 X X
9 KYR 3/12 X X
10 KYR 6/14 X X
LELE4 X X
64 KYR 1/22 X X
16 KYR 11/16 X X
KYR 3/1 X X
49 KYR 5/14 X X
56 PALMERAH-APT CENTERPOINT X X
16 PALMERAH-APT CENTERPOINT X X
62 KYR 5/1 X X
26 KYR 2/23 X X
LANSIA KIA KB

BARU LAMA BARU LAMA BARU LAMA

X
X
NAMA UMUR
NO KART
NO NO BPJS PASIENAMA KK ALAMAT DW
RM U
N
L P
A001 Y228 "00014224KIS YATI YATI 36 KYR RT5 R X
A002 P11 HILDA A PUGUH 16 AN NUR 2 X
A003 D561 REGINA DJOEHARI 7.2 KYR RT7 R X
A004 K217 KS YOSAFAT KASDION S 21 HALIMUN X
A005 KTP ANGGI YUNINDRA KESUMA 30 UDANG RTX
A006 T363 KS FADIYAH NTRI WIDODO 19 MUJAIR RTX
A007 "00022818BPJS MEI ANGRIYBS 23 KALIPAPAN 1/6 LAMP
A008 J368 "00005091KIS JAMALUDIYBS 32 KYR RT3 R X
A010 KTP LENNY SAGASEP SUTEDJA 40 BANDENG X
A011 NURDILA NURDILA 23 KAB BEKASI (DEWI SA
A012 A1286 KIS KEISYA NOADE DIANA 6 KYR RT7 R X
A013 A1286 KIS GENTA KU ADE DIANA 9 KYR RT7 R X
A014 KS EKA SAFITRYANTO 28 KYR RT3 R X
A015 A509 "00005079KIS DEWI KOMAEP S 12 KYR RT2 R X
A016 "00000734KIS LENNY YULYBS 19 KYR 4/8 X
A17 F39 "00017440KIS MAURIDA FAHRUL 12 KYR 4/12 X
A20 N198 YANUAR NICOLAS 15 KYR 2/8 X
A24 KIR GAMA REGYBS 19 GUNUNG KIDUL-JL LE
A25 R252 DINA LESTARANGGA 30 KYR 3/16 X
A26 JIBRIL NITA 6 JKS 2/22 X
A27 S1617 "00014446BPJS AJENG PUTSUPARMAN 22 GURAME 4
A30 R713 SITI RUSTI RUDI YANTO 28 KYR 9/12 X
A31 A1224 M ANDIKAA.FIRMAN 20 KYR 7/1 X
A32 T25 "00005089KIS NAYSILA TATANG 8 KYR 11/16 X
A33 T25 "00005089KIS SURASMI TATANG 38 KYR 11/16 X
A34 KIR IOSVIETER YBS 35 KYR 1/7 X
A35 A940 INTAN SMA ALIHSAN 18 BELUT 1 X
A36 A940 MELATI SMA ALIHSAN 18 BELUT 1 X
A37 A940 FITRI SMA ALIHSAN 18 BELUT 1 X
A38 M694 M ZAKI M SIDIK 9.5 KYR 3/12 X
A39 MARIA BINYBS 23 CABANGBUNGIN-KP P
A41 R461 SEKAR R HARYO 9 KYR 5/8 X
A42 N379 "00014500BPJS AQIL SAUDNARIMO 6.5 KYR 5/8 X
A44 "0000325180708 AYU LESTARYBS 21 KOTA BARUX
A45 F214 JEMI FEBR FIRMAN 11 KYR 5/11 X
E001 E317 "00016543BPJS IKA MARISINDRATMO 33 KYR RT4 R X
E002 E317 JHIEO INDRATMO 3 KYR RT4 R X
E003 W145 "00013099BPJS WIYATNO YBS 64 BELUT RT3X
E004 A1116 "00005094KIS ASYATI ASMUNI 54 KYR RT11 X
E005 R471 "00010139KIS CUCU ROMLI 41 KYR RT6 R X
E007 H540 "00018321BPJS M DEASY AHERMANTO 42 BETOK RAYX
E008 R22 "00018786BPJS DR ROLANDR ROLAN 71 KYR RT6 R X
E009 R305 "00000732ASKES RIDWAN S RIDWAN S 66 PEKAYON X
E010 KTP IIN MUSLI YBS 22 KYR RT3 R X
E011 S876 "00013222BPJS SUGIYART YBS 63 PESUT RT6X
E012 A1479 KS YETI SUSA ANGGA PRASETYO 30 KYR RT4 R X
E013 "00017441KIS CATUR DWIYBS 23 PULO KECIX
E014 D64 "00000458ASKES ENTES DADANG 54 PELUS RT8X
E015 M193 "00005105KIS SITI AMIN MUHAIMIN 12 KYR RT4 R X
E16 M434 FETY FERAM JAELANI 38 KYR 5/11 X
E17 "32750440KS HARTOYO YBS 63 KYR 3/15 X
E19 M SHABAZTAUFIK H 3.5 KYR 3/24 X
A46 "00017441KIS ADE MEIWYBS 35 KYR 9/16 X
A47 ZULFIANSYYBS 34 MARGAJAYA X
A48 KIR EMMA KURYBS 28 WONOGIRI-BINTARA
A49 SRI MURNIYBS 27 KYR 9/10 X
A51 k228 "00005085KIS ABDI ABIDKOMARUDI 23 KYR 1/25 X
A52 A1239 SALSA ANDRI 12 KYR 8/16 X
A54 "00001598ASKES CAKRA MABATAAV 9 KYR 3/11 X
A50 HERRY YBS 43 KYR 10/12 X
UMUM GIGI LANSIA KIA
LW
BARU LAMA BARU LAMA BARU LAMA BARU LAMA
X
X
X
X
X
X
X X
X
X
X X
X
X
X
X
X
X
X
X X
X
X
X X
X
X
X
X
X
X
X
X
X
X X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X X
X
X
X
X
X
NO KART UMUR
NO NO BPJS NAMA PASIEN NAMA KK
RM U
L P
A02 MARYATI YBS 23
A03 R721 "00016234KIS DEVIE AYU DRA ROFESA 28
A04 S57 "00005090KIS TASRIPAH SUYITNO 43
A05 AAN KURNIAJAYA YBS 39
A06 KIR IRAWAN STEFANUS YBS 24
A07 A979 ZEVANIA ATI S 11
A08 R123 "00005090KIS M SHULTON ROYAN 10
A09 E415 "00005094KIS ERNA SRI S EMUT 32
A10 RIZKYA SARI SUKISTO 42
A11 "00005089KIS SUKAESIH JAENUDIN 44
A12 H34 JENDI SIREGAR H.MANURUNG 29
A13 ROBERTO YBS 21
A14 ARUM DARA YBS 20
A15 "32750405860019 AGUS SUNARYONO YBS 31
A16 W138/W112"00005070JMK INTAN WANYU 8
A18 R643 KHANZA N RITA N 6
A19 R493 "00013851BPJS RIONALDY RICARDO 42
A20 J324 PUTRI JAMALUDIN 17
A21 J324 DEWI JAMALUDIN 41
A23 S804 ZULAIKHA SULAEMAN 10
A24 JUNAIDI YBS 36
A25 DEDE NURDIN YBS 28
A28 DICKI AFRIADI YBS 28
A29 KIR SITI KOLIFA YBS 29
A30 SANTI MERIYANA YBS 26
A31 AMRON YBS 33
A32
A34 A982 "00016545BPJS MELI SUSILAWATI ABD RAHMAN 29
A35 F140 "00012642BPJS FALERINA FAIRUZU 11
A36 "00016363BPJS IMMI FISKA YBS 30
A37 E344 "00017440KIS NAHAROH EDI M 43
A38 AHMAD JOHARI YBS 28
A39 ABD MALIK YBS 18
A40 FIFI MARSELINA YBS 21
B18 J324 KHAIRUL JAMALUDIN 16BL
E01 IBNU Y YANTI 6.5
E02 Z49 "00014489BPJS ZAENAL A YBS 64
E03 S978 "00000411ASKES SRI BUDIARTI SUWALDI 61
E04 A111 "00000731ASKES ENCUH S ABD RAJAB 68
E05 H90 SUPINI HABIBAR 35
E06 D112 DAHLAN YBS 55
E06 A931 "00017918BPJS ADE S YBS 62
E08 F151 RINA FARIS 31
E09 M77 JUNAETI MULYADI 51
E10 S1863 SUWARNI YBS 65
E11 S1408 "00000413ASKES WORO DASINI SUHARDI 60
E12 KHANZA INDAH 7
E13 E436-TS EDY CAHYONO YBS 60
UMUM GIGI
ALAMAT DW LW
BARU LAMA BARU LAMA
KARAWANG-MARGAJAYA 1/3 X X
KYR 5/6 X X
KYR 3/24 X X
PKY 5/18 X X
DEMAK-KYR 10/12 X X
KYR 5/7 X X
KYR 5/8 X X
KYR 4/1 X X
JK SAMP 4/15 X X
KYR 2/1 X X
KYR 3/19 X X
KYR 3/13 X X
JT ASIH 5/5 X X
KYR 5/4 X X
KYR 4/24 X X
KYR 6/19 X X
KYR 3/13 X X
KYR 1/15 X X
KYR 1/15 X X
KYR 11/16 X X
KYR 3/25 X X
KYR 7/1 X X
KYR 6/12 X X
KYR 6/12 X X
LAMPUNG TENGAH-KYR 3/12 X X
KRANJI 4/4 X X

KYR 7/12 X X
KYR 7/12 X X
JK SAMP 5/3 X X
KYR 2/1 X X
CIPAYUNG-LETNAN ARSYAD 1/12 X X
MARGAJAYA 4/1 X X
KABUMEN-KYR 7/12 X X
KYR 1/15 X
CIREBON-KYR 3/9 X X
KYR 6/7 X X
KYR 4/11 X X
PKY 3/23 X X
KYR 1/25 X X
KYR 9/12 X X
KYR 8/8 X X
KYR 7/5 X X
KYR 10/12 X X
KYR 2/9 X X
KYR 2/14 X X
KYR 6/9 X X
LAMPUNG -JL WISMA DORI NO 12 X X
LANSIA KIA

BARU LAMA BARU LAMA

X
NAMA UMUR
NO KART
NO NO BPJS PASIENAMA KK ALAMAT DW
RM U
N
L P
A01 A1456 SUPARTI ALIBUN 42 JKSAMP 5/X
A02 J17 JUJU YBS 40 KYR 3/15 X
A03 S398 ALAWIYAHSOPIAN 40 KYR 3/1 X
A04 S1748 AISYAH SALAM 21 PD UNGU 2X
A05 M476 "00017440KIS AIDAH MUHDIN 21 KYR 4/24 X
A06 N34 "00051028KIS SITI MARY NADI 39 KYR 1/1 X
A07 S1122 "00012633BPJS AYU AGUSTSISWOYO 20 KYR 6/6 X
A08 K81 "00005104JMK SAODAH KIKI 42 KYR 12/12 X
A09 A1086 PUTRI SMP ALIHSAN 14 BELUT 1 X
A10 A1086 ANISA SMP ALIHSAN 12 BELUT 1 X
A11 B124 "00005094JMK EVA NUR BUDI H 43 KYR 5/14 X
A12 K81 RAJA S KIKI 7.5 KYR 12/12 X
A13 A1411 "00014361BPJS KHANZA ANDRE 6 KYR 7/8 X
A14 G25 HAURA GALIH 5.5 KYR 5/10 X
A15 "00000415ASKES MAFAZA WIYONO 17 KYR 7/16 X
A16 M161 RINDU M NOOR 7.5 KYR 6/6 X
A17 J28 HENI JAMIL 36 KYR 7/12 X
A18 J198 ALISA R JOKO 15 KYR 7/1 X
A19 K248 "00097793KIS KUSNADI YBS 39 HARUMANX
A20 M234 MUKTAR YBS 38 KYR 5/1 X
A21 B128/KIR "00012629BPJS ARSY BAMBANG 17 KYR 3/7 X
A22 B128 "00012629BPJS HARTATI BAMBANG 42 KYR 3/7 X
A23 A321 "00022610KIS AULIA ABD GATUR 17 KYR 1/25 X
A24 K255 KOSHIBA YBS 42 KYR 3/9 X
A25 S324 AJI SUJOTO 14 PELUS 1 X
A26 A1276 "00017907BPJS FABIANA AHMAD T 6 KYR 2/11 X
A27 S1769 SURYANA YBS 39 KYR 5/1 X
A28 U23 RAFLY UJANG 10 KYR 1/24 X
A29 U23 "00005105KIS ASAROH UJANG 44 KYR 1/24 X
A30 M308 "0001336495612
BPJS AFRIYANTIM YUNUS 41 KYR KYR 5/X
A31 T275 ELIS TAUFIK 23 KYR 3/16 X
A32 SHERLI SUPARMAN 6 KYR 1/19 X
A33 T275 KIR AVRIZAL TAUFIK 12 KYR 3/16 X
A34 L40 "0001197458447 GRACIA LEO 11 KYR 1/8 X
A35 S1753 ZEALIFA SUHERMAN 6 KYR 4/12 X
A36 ASEP SURYYBS 39 KYR 5/10 X
A39 N109 SITI ZAHRANAFI R 7.5 KYR 7/26 X
A41 S1691 "00017957KIS TIDORA SYAUVANA 25 SOLOK-BELUT RAYA N
B21 J28 SUCI R JAMIL 16 KYR 7/12 X
B38 U23 "00005105KIS RAYLA UJANG 6.5 KYR 1/24 X
B39 M308 "0001336495645
BPJS ADI ANDR M YUNUS 4 KYR 5/3 X
B44 KHANZA ASEP S 4 KYR 5/10 X
D15 S65 HARTI SASTRA 50 KYR 2/1 X
E01 B200 AYU R BEGUM 25 JKSAMP 3/X
E02 E399 FAIREL ENI R 5 KYR 7/26 X
E03 F205 "00018041BPJS LELIANA FERNANDO 43 GN GEDE 2X
E04 B103 "00002081KIS HANI H BISRI 15 KYR 2/6 X
E05 B103 "00000438KIS NINING H BISRI 46 KYR 2/6 X
E06 B103 "00022955KIS HENAZIR H BISRI 12 KYR 2/6 X
E07 S65 IBRA SASTRA 7 KYR 2/1 X
E08 J350 ENDAH JAJANG 13 JKSAMP 5/X
E09 S384 YUS SYAFWAN 37 KYR 6/12 X
E10 B336 TITO HARDBARTHA 38 JL NAKULAX
E11 "32750443KS SUSI A ABD AZIZ 48 KYR 4/18 X
E12 S1293 "00000449KIS SUMARTI YBS 41 KYR 3/14 X
E13 S631 "00005092KIS AYU SYAH FAUZI 26 KYR 3/3 X
E14 W58 ARTANTI WILLY 16 PKY 7/3 X
E15 S1782 "00017441KIS CATUR SURATMAN 23 KYR 4/23 X
E16 S1584 AJI SUHUDI 7 MARGAJAYAX
E17 S631 "00005092KIS DERY SYAH FAUZ 19 KYR 3/3 X
E18 T63 CHRITIAN TULUS 7 KYR 6/19 X
UMUM GIGI LANSIA KIA
LW
BARU LAMA BARU LAMA BARU LAMA BARU LAMA
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
NO KART NAMA UMUR
NO NO BPJS NAMA KK
RM U PASIEN
L
A01 M801 "000147824070 BPJS AYU PUSPITASARI MAHMUDIN
A02 S377 SANDRA YBS 33
A03 S398 ANIS SOPIAN
A04 A73 IVANAWATI ARI
A05 ZAHRA WARSITO
A06 W131 "0000195627475 ASKES M RIYADI WASIS 18
A07 "3275044306020015 KS MARYAM FITRI ICHWANI
A08 KUNARTI RAKIDIN
A09 RAKIDIN YBS 44
A10 N338 DIANA NARTI
A12 "0000509436854 JMK REZA K USMAN 12
A13 A591 MEIZA E ANES
A14 Y257 YUYU YAYAN
A15 P006 "0001310426537 BPJS MEILINDA YBS
A16 R27 "0000509085742 KIS MAESAROH RIYONO
A17 P006 REGINA MELINDA
A18 M97 IKA R MUSLIM
A19 I299 NIKEN IRWAN
A21 "0000508834091 KIS MUFLIKAH TUGIONO
A23 YULIANTI HENDRA
A24 M969 MAEMAH YBS
A25 M969 ANANDA BAGUS MAIMAH 17
A26 KIR AWAN ADITYA YBS 32
A27 KIR AGUSTIN ADNAN YBS 37
A28 KIR ROKHMAT H YBS 25
A29 KIR MANSUR YBS 25
A30 KIR MUTAKIN YBS 36
A31 KIR KHOIRUL ANAM YBS 37
A32 R742 "0001744127471 KIS EZRA LESTARI REDMAN
A33 HUMAYRA ARIF DIAN
A34 ARIF DIAN YBS 31
A35 I20 KIR IYAN J YBS 27
A37 SHAKILA SUSANTI
A38 I093 DEBY ITA PS
A39 K221 "0000509908072 KIS KISWOYO YBS 36
A40 K221 "0000509909242 KIS RISKO KISWOYO 10
A41 K221 "0000509909534 KIS ABD AZIZ KISWOYO 7
A42 "0000325180708 KIS AYU LESTARI YBS
A43 NADIA LILIS
A44 A401 FARHAN ARIYANTO 7
A45 R182 "0002044344238 KIS FILIA ROSITA
A46 DYAH DYAH
A48 B002 FIBRI YBS
A49 B002 KALISA FIBRI
A50 RINI Y YBS
A52 M YUSRIL IZA YBS 22
A53 TS FIRDAUS YBS 21
A54 R005 KIR RATIH RAHMAT
A55 SURIANI S YBS
A56 S305 KAMIL SUYANTO 9
B31 R742 "000174412782 KIS IMMANUEL REDMAN 5.5
B33 ALFARIO LILIS 19BL
B39 B002 BIYU FIBRI 1BL
B40 B002 RAYA FIBRI
E01 Z49 "0001448987062 BPJS ZAENAL A YBS 63
E02 A1116 "0000509415129 KIS ASYATI ASMUNI
E03 A1116 FITRI ASMUNI
E04 A1116 MISWAH ASMUNI 10
E05 I298 "0001013964579 KIS DESI F ISKARJONO
E06 I298 "0001013964592 KIS REALDY ISKARJONO 18
E07 K232 "0001868241249 BPJS EMILIA KHAIDIR
E08 A26 AZKA ANDRI
E09 F151 RINA FARIS
E10 G33 "0001284579314 BPJS ESTERIA GORDON
E11 SUKMANTA YBS 28
E12 RATNA Y YBS
E13 R677 "0001744060263 KIS WAHYUNI R BIBIT
E14 F201 IZZAH FIRMAN
E15 "3275041105140007 KS ALBY DAMIRI 3.5
UMUR UMUM GIGI
ALAMAT DW LW
P BARU LAMA BARU
29 KYR 3/1 X X
KYR 3/25 X X
6 KYR 3/11 X X
32 KYR 3/21 X X
10 KYR 7/7 X X
KYR 5/14 X X
15 KYR 1/16 X X
36 PATI-KYR 5/12 X X
PATI-KYR 5/12 X X
12 BANNDUNG-6/24 X X
KYR 6/24 X X
20 PESISIR BARAT-BELUT RAYA NO 499 X X
35 TASIKMALAYA-5/13 X X
38 KYR 3/9 X X
44 KYR 11/16 X X
7 KYR 3/9 X X
29 KYR 4/24 X X
29 JKT-KYR 5/12 X X
44 KYR 2/23 X X
37 KYR 2/5 X X
43 TAMBUN-1/20 X X
TAMBUN-1/20 X X
TELUK PUCUNG X X
JKSAMP X X
TUBAN-RUKO CENTRAL NIAGA X X
TUBAN-RUKO CENTRAL NIAGA X X
DEPOK-RUKO CENTRAL NIAGA X X
TUBAN-RUKO CENTRAL NIAGA X X
12 KYR 7/26 X X
29 KYR 5/10 X X
KYR 5/10 X X
KYR 1/12
16 KYR 4/8 X X
13 KYR 6/7 X X
KYR 11/16 X X
KYR 11/16 X X
KYR 11/16 X X
20 KYR 6/8 X X
6.5 DEPOK-5/1 X X
KYR 4/25 X X
38 KYR 2/6 X X
42 KYR 6/5 X X
35 KYR 3/5 X X
8 KYR 3/5 X X
34 PADANG-LELE RAYA NO 67 X X
KEBUMEN-5/2 X X
SUBANG-1/12 X X
22 KYR 4/6 X X
20 MEDAN-KP2 3/23 X X
KYR 1/12 X X
KYR 7/26 X
DEPOK-5/1 X
KYR 3/5 X
2 KYR 3/5 X
KYR 6/7 X
54 KYR 11/16 X
25 KYR 11/16 X
KYR 11/16 X
41 KYR 5/16 X
KYR 5/16 X
57 KYR 3/7 X
20 KYR 3/25 X
31 KYR 7/5 X
60 KYR 9/12 X
CIREBON-7/12 X X
25 KYR 9/12 X X
51 KYR 3/15 X
5 KYR12/12 X
KYR 2/25 X X
GIGI LANSIA KIA KB

LAMA BARU LAMA BARU LAMA BARU LAMA


X
X
X
X
X
X
X
X
X
X
X
X
X
X

X
X
NAMA UMUR
NO KART
NO NO BPJS PASIENAMA KK ALAMAT DW
RM U
N
L P
A01 KIR MANGRATU YBS 22 PEKANBARU-7/12
A02 A398 "00014280BPJS NURYATI DUMYATI 37 KYR 1/1 X
A03 F214 FIKRI RIPAI 9 KYR 3/25 X
A04 "32750410KS MAMON EYBS 39 KYE 1/1 X
A05 A626 DEWI ABD ROJAK 37 KYR 7/12 X
A06 RITA MULYYBS 27 SUBANG-11/12
A08 I179 "00012811BPJS NURAJIJAHISAK 38 KYR 2/25 X
A09 I179 "00012811BPJS THALITA ISAK 7.5 KYR 2/25 X
A10 S537 SITI NURS SUMARNO 35 KYR 3/16 X
A11 E22 "00005105JMK REIHAN EFENDI 10 KYR 3/1 X
A12 M81 NUR FAJRI M NURHAD 37 KYR 5/7 X
A13 M935 EKA M GUNTUR 24 KYR 3/16 X
A14 KIR HEPRANSYYBS 19 WAY KANAN-1/5
A15 KIR A ICHA AQYBS 24 PEMALANG-11/12
A16 "32750261KS RIZKYA SARSUKISTO 42 KYR 4/15 X
A17 JHONNER YBS 30 KYR 8/12 X
A18 KIR ATAUL MUJYBS 25 MEDAN-TELAGA BODA
A19 S1056 AQILA SYAIFUDIN 14 KYR 5/13 X
A20 B95 "00016436BPJS RYANDA BUDI 25 KYR 7/4 X
A21 ABD MALIKYBS 18 MARGAJAYA X
A22 "0000509704615 IRVAN SUMARNI 30 KYR 1/25 X
A24 A. AZIZDIL A.NURDIA 5.5 KYR 8/8 X
A26 A96 ALIZA ARYA 6.5 KYR 7/1 X
A27 CHERI FEB YBS 25 SIAK-BINTARA 4/5
A28 HASTUTY YBS 24 RAWALUMB X
A29 M586 RIDA HAFIZ 29 KYR 2/15 X
A30 M586 DAFI HAFIZ 6 KYR 2/15 X
A32 LIVIA WASRIAH 6 JKSAMP 1/X
A33 "00009765kis ELLIA ALIAADI P 36 KYR 2/14 X
B09 I179 HAFIZ ISAK 4 KYR 2/25 X
B18 M935 JASMIN M GUNTUR 15BL KYR 3/16 X
E01 OLVIN YBS 29 MARGAHAYX
E02 KARTIKA AYBS 28 HJ-1/12 X
E03 H34 HETBIN S H MANUR 23 KYR 3/13 X
E04 L101 LAMRIA YBS 61 KYR 1/13 X
E07 S1274 "00005087KIS SRI ROHYASULKIM 32 KYR 1/24 X
E08 S1782 "00017441KIS CATUR DWISURATMAN 23 KYR 4/23 X
E09 TASYA SITA 8 KYR 3/1 X
E10 R677 "00017440KIS WAHYUNI R BIBIT 51 KYR 3/15 X
E11 "50050007KS MUH NASRYBS 65 KYR 7/12 X
E12 S105 "00000729BPJS FAIZA SALMAN 76 KYR 1/1 X
E13 K255 LILI KUSNOHADI 15 KYR 11/16 X
E14 R418 ANDRE PANTI ASU 14 KYR 1/1 X
E15 R418 YOGIE PANTI ASU 14 KYR 1/1 X
E16 A401 "00005094JMK FARHAN ARIYANTO 7 KYR 4/25 X
E17 "00000036ASKES ALIM TAMRYBS 61 KYR 4/14 X
E18 D64 "00000458ASKES ENTES DADANG 54 KYR 8/10 X
E19 ACHAMD RYBS 24 KYR 1/24 X
E20 T53 NAYLA TEDY 10 KYR 6/15 X
UMUM GIGI LANSIA KIA KB
LW
BARU LAMA BARU LAMA BARU LAMA BARU LAMA BARU
X X
X
X
X
X
X X
X
X
X
X
X
X
X X
X X
X
X
X X
X
X
X
X
X
X
X X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
KB

LAMA
NO NO RM NO BPJS KARTU NAMA PASIEN

A01 "327504110390017 KS FIRMAN A


A02 KIR DIKI DARMAWAN
A03 KIR ABDUL ROHIM
A04 H61 SITI JAHRONI
A05 D544 HAFIZ
A05 E415 "00000509496309 KIS EMUT
A06 TINDAKAN DIAN PRIANTO
A07 TINDAKAN IKA RAHMAWATI
A08 TINDAKAN EVI
A09 KIR RAHMAT HIDAYAT
A10 "0001317691225 ABID RAHMATULLOH
A12 ADE KOMARUDIN
A13 RINI YULITA
A14 A1072 DESI
A15 M159 "0000508354536 KIS M RAKA
A17 S823 "0001470313102 BPJS SUCI AJENG A
A18 "0000073448875 KIS LENNY YULIANTI
A19 R52 WULAN
A20 KTP IMAM MAULANA
A21 ELIA
A22 N004 KS ASHABUL M
A23 N004 KS CHAIRUL AZAM
A24 S524 AMANDA
A27 H524 KTP ADI HERIYANTO
A28 H419 "0001878456778 BPJS TIMOTIUS
A29 P130 KS SELVINA AGUSTINI
A30 KTP SITI MARYAM
A31 T209 KS TIRTA
A32 A1403 "00001622015177 BPJS ADE NANDANG
A33 KIR ARIF RAHMAN
A35 E367 MUHAIMIN
B06 A1072 HABIBI
B07 A1072 MAULANA
B11 N72 REHAN
B12 N72 SARAH
B13 N72 NAUVAL
B22 H524 ADRIYAN
B24 SYAKIA
B31 A1179 KS YUNITA RUSMAN
B32 A1179 KS HABIB I
C09 A1174 KS OKTA
C10 A1174 KTP DAHLIANA
C23 F140 "0001264292752 BPJS MARIA KRISTINA
D02 B235 "0000509706167 KIS ROMAULI
D19 S633 TURIPAH
D31 KS PAIAN SIHOMBING
D32 S1284 KS SUHERMAN
D33 S1284 KS ETTY CHUSIAH
D40 F33 "0000073205728 ASKES E WIDIYARTI
E01 F121 "0000509706202 KIS FRESTI
E02 A1012 "0001335971349 BPJS ABD MAHMUD
E03 W145 "0001309986641 BPJS WIYATNO
E04 "3275044808840037 KS HAMIDAH
E05 D56 HAIKAL
E06 S978 "0000041167754 ASKES SRI BUDIARTI
E07 R471 "0001013960619 KIS CUCU
E08 A1126 "0001143971853 BPJS AGUS ROHMAN
E10 M77 JUANETI
E11 A77 "0000073196864 KIS ISNURMAWATY
E12 S1620 WINDIA
E13 S876 "0001322226595 BPJS SUGIYARTO
E14 H424 UMAR
E15 N332 "0000508395058 KIS HERNI HERLINA
E16 T282 FATMAH
UMUR
NAMA KK ALAMAT DW
L P
YBS 25 KYR 1/8 X
YBS 22 KYR 2/1 X
YBS 21 KYR 2/1 X
HERMANTO 44 KYR 4/24 X
DIDIK 33 JAKBAR-KYR 1/6
YBS 36 KYR 4/11 X
YBS 25 JK SAMP 3/16 X
YBS 20 TELUK PUCUNG 5/2 X
YBS 20 TELUK PUCUNG 5/2 X
YBS 23 KYR 2/16 X
YBS 23 KYR 12/12 X
YBS 33 KYR 5/12 X
YBS 34 PADANG-LELE RAYA
AGUNG 32 KYR 5/3 X
MULYADI 10 KYR 1/25 X
SURONO 18 PATUHA 11/15 X
LEO 19 UDANG 4/8 X
RAMINAH 10 KYR 7/12 X
ISMAIL 21 INDRAMAYU (TALAS 1/5)
MULYANA 25 KYR 9/12 X
NURHASAN 35 KYR 3/12 X
NURHASAN 7 KYR 3/12 X
SAHUDI 15 KUSUMA 4/15 X
HERI SANTOSO 22 TAMBUN (JT MULYA 6/1)
HERI A.R 8 JK SAMPURNA 12/11 X
PONDANG P 33 KALIMALANG 12/11 X
SUBELIA HADI 24 KEBUMEN (PATUHA UTARA 5/15)
YBS 39 BUARAN BONG 5/16 X
YBS 33 KYR 2/1 X
YBS 25 JAKSEL-KYR 6/26
EMAN 17 KYR 6/1 X
AGUNG 4 KYR 5/3 X
AGUNG 2.5 KYR 5/3 X
NANO 6 KR 2/11 X
NANO 5 KR 2/11 X
NANO 2 KR 2/11 X
HERI SANTOSO 1 TAMBUN (JT MULYA 6/1)
SOLEH 4 MUSTIKAJAYA 12/29 X
ADANG R 5 KYR 3/125 X
ADANG R 2 KYR 3/25 X
ADI S 23 JATI ASIH 4/11 X
ADI S 31 JATI ASIH 4/11 X
FAIRUZI 37 KYR 7/12 X
BANTUR 59 KYR 2/23 X
SUPRIYADI 65 KYR 5/12 X
YBS 73 KP DUA 4/21 X
YBS 50 PEKAYON 6/3 X
SUHERMAN 47 PEKAYON 6/3 X
FB HARTONO 61 LELE 10/5 X
FRESTI 26 KYR 2/23 X
YBS 56 KYR 8/12 X
YBS 64 KYR BELUT 5 X
M RIVAI 33 KYR 1/25 X
DICKY 7 PKY 6/3 X
SWALDI 67 KYR 4/11 X
ROMLI 41 KYR 6/1 X
YBS 30 KYR 2/1 X
MULYADI 51 KYR 10/12 X
ANDREAS 63 KYR 2/14 X
SODIKIN 16 KYR 9/12 X
YBS 63 KYR 6/10 X
HANDOYO 4.5 KYR 3/5 X
NYAI ROHATI 26 KYR 4/25 X
TAUFIK 58 KYR 10/12 X
UMUM GIGI LANSIA KIA KB
LW
BARU LAMA BARU LAMA BARU LAMA BARU LAMA BARU
X
X
X
X
X X
X
X
X
X
X
X
X
X X
X
X
X
X
X
X X
X
X
X
X
X X
X
X
X X
X
X
X X
X
X
X
X
X
X
X X
X
X
X

X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
KB
LAMA
X
X
X
NO
NO NO BPJS KARTU NAMA PASIEN
RM
A02 T95 MARIA S
A04 D71 "0001428314387 BPJS LUKAS W
A05 S822 "0000509702679 KIS ANIK
A06 I256 "0000509754453 KIS LILIS
A07 "3275044910050002 KS ANANDA AULIA
A08 Y51 YOLA
A09 I156 IWAN
A10 S330 M HAFIZ
A11 R155 "0000507000385 KIS YULIANTO
A12 A018 AGNI
A15 K160 M PASHA
A16 K160 NIKITA
A17 M842 YOSSY
A18 KIR ERIS RISTIAN
A19 I100 JIHAN
A20 A1053 "0001636787261 BPJS DANNY
A21 J350 ENDAH
A22 KIR RANGGA SUPENA
A23 S588 "0000509321981 KIS HARI P
A24 "0000510526708 KIS REFA GULTOM
A25 "0001874829947 BPJS KUSUMA AYU
A26 E322 REIHAN
A27 "32750420127100017 KS XAVIER FAQIH
A28 J368 "0000509192054 KIS JAMALUDIN
A29 TATU USWATUN
A31 W66 "0001262222469 BPJS WIDI K
A32 I300 LINTANG
A33 I300 MENTARI
A34 KIR NADIA
B09 IWINDA A
B16 K160 ABIZAR
B30 S588 RIZKA NUR AULIA
D21 T90 "0000073233526 ASKES TUNGGUL
D21 T90 "0000073235237 ASKES HERMIN
D23 K106 "0001302027333 BPJS TRIVENA
D25 O40 ONITA
D28 "0001734684399 BPJS YULIANI
D37 I40 "0000039400233 ASKES IDA R
D41 S1573 "0001293324197 BPJS SRI LESTARI
D42 S1440 "0000509332296 KIS ENNY
E01 JIROH
E02 A111 "0000073124965 ASKES ENCUH
E04 A1251 FITRI
E05 H485 "0001723987833 KIS ATHIFA
E06 A1352 QAIS
E07 A1251 NISWA
E08 S1137 YUSUF A
E09 RATNA YULIANTI
E10 A931 "0001791810145 BPJS ADE S
E11 S822 "0000509703118 KIS FICO
E12 A018 JABAR
E14 S529 "0000073446737 ASKES TUTI S
UMUR
NAMA KK ALAMAT DW LW
L P
TONY 31 KYR 5/5 X
DANIEL W 38 KYR 1/6 X
SOLIHIN 37 KYR 10/16 X
IWAN 40 KYR 5/1 X
NAJAMUDIN 15 KYR 212 X
YULI 7 KYR 3/12 X
YBS 35 KYR 5/11 X
SUBANDI 15 KYR 3/8 X
ROCHIM 22 KYR 6/7 X
AHMAD J 11 KYR 4/10 X
KIKI 6.5 KYR 11/16 X
KIKI 5.5 KYR 11/16 X
MARTAHI 26 KYR 2/5 X
YBS 20 GARUT-KEONG MAS NO 44 X
IMRON 5.5 KYR 4/24 X
AHMAD F 40 KYR 6/10 X
JAJANG 15 JKSAMP 5/15 X
YBS 23 CIANJUR-KYR 7/12 X
SUPRANOTO 20 KYR 5/5 X
YBS 21 KYR 7/1 X
ANAS 24 KYR 6/16 X
ESROR 9 KYR 2/11 X
YANTO 6 KYR 3/25 X
YBS 39 KKYR 3/25 X
YBS 20 SERANG-KYR 9/12 X
YBS 44 KYR 6/9 X
IDUNG 11 KYR 6/26 X
IDUNG 7 KYR 6/26 X
YBS 18 KYR 5/16 X
YBS 28 PD MELATI 6/11 X
KIKI 2.3 KYR 11/16 X
SUPRANOTO 4 KYR 5/5 X
YBS 75 KYR 2/11 X
TUNGGUL 66 KYR 2/11 X
KORNELIUS 49 KYR 5/14 X
YBS 55 KYR 9/12 X
WAHDAH 46 KYR 7/5 X
YBS 62 KYR 1/17 X
SUYONO 64 KYR 11/5 X
SLAMET 48 KYR 2/1 X
M YUSUF 27 CIREBON KARANGSEMBUNG X
ABD RAJAB 68 PKY 3/23 X
ABD GOFUR 36 KYR 2/24 X
HADI H 4.3 KYR 4/12 X
ABD AZIS 9 KYR 11/16 X
ABD GOFUR 10 KYR 2/24 X
SAFRIYANDI 7 KYR 6/1 X
DONI 25 KYR 9/12 X
YBS 62 KYR 8/8 X
SOLIHIN 7 KYR 10/16 X
AHMAD J 9 KYR 4/10 X
SABAR 55 KYR 2/1 X
UMUM GIGI LANSIA KIA KB
BARU LAMA BARU LAMABARU LAMA BARU LAMA BARU LAMA
X
X
X
X
X
X
X
X
X
X 0
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
LAMA
NO KART UMUR
NO NO BPJS NAMA PASIEN NAMA KK
RM U L
A01 Z79 MEDINA ZULFAHMI
A02 D483 ANA DWI
A03 NAELY FAUZI YBS
A06 N19 FATHON KOMALA NAHERI
A07 SRI SUHESTI SUPRIYADI
A08 DERTINA H M LUTFI
A09 A1256 "0002079182777 KIS RAFASSYA AMBIA 7.5
A10 A1456 AFRIZAL YBS 26
A11 M110 ROFIQ KUSSOYEN 11
A12 N080 RIZKI NOVITA 18
A13
A13 "0000339584804 KIS PUTU BUDI 25
A14 M631 "0001426614761 BPJS RUDI MULYADI 9
A15 Z39 "0000507785973 KIS MELVY ZULKIFLI
A16 M982 M DAUD YBS 42
A17 P229 SITI FATIMAH PANDU
A18 A1200 BAGAS ANTON HADI 7.5
A19 "0000200009193 KIS RASYDAN BUDI INDRA 7
A20 TRI WIDIHARTATI NISAN
A21 CHELSEA NISAN
A22 ANTI NURHAYATI YBS
A26 "0000072960726 ASKES PRIYO PAMUNGKAS YBS 24
A27 J142 "0001013965187 KIS GUNATI JAMAL
A29 F204 FIORENSA FRANSISCO
A31 AGUNG NUGRAHA ZAENAL 20
A32 ARBI ANTONI YBS 24
A33 D700 ANDI DESMAWATI YBS
A34 NARMIH YBS
A35 R315 "0001872971392 BPJS RAFFA RAMALAH 5.3
E01 A1456 SUPARTI ALIBUN
E02 "0001457906545 BPJS ROHATI HERI
E03 M796 FATMA M WILDA
E04 RIZAL MANDALA JAMPI 20
E05 A257 AISYAH A ROHMANI
E06 H34 HETBIN S H MANURUNG 24
E07 K106 "0001302027333 BPJS TRIVENA KORNELIUS
E08 P194 "0002062157714 KIS PARMOHONAN YBS 30
E09 KHANZA INDAH
E10 Z63 TS HANA ZIDNI
E11 ALFIANDI STEFAN TELENG 20
E12 ANTJE STEFAN TELENG
E13 GABRIEL STEFAN TELENG 16
E14 M434 FETY FERAWATI M JAELANI
E15 R145 "0000073201498 ASKES DRA KARTINI
UMUR UMUM GIGI
ALAMAT DW LW
P BARU LAMA BARU
7.5 KYR 5/22 X X
23 KYR 6/24 X X
20 KYR 11/16 X X
5.5 KYR 6/12 X X
44 JKSAM 2/11 X X
25 KYR 10/12 X X
BINTARO-JKSAMP 6/1 X X
KYR 4/20 X X
KYR 5/8 X X
KYR 6/8 X X

LAMPUNG/KYR 11/12
JKSAMP 10/11 X X
15 KYR 4/1 X X
KYR 1/21 X X
31 KYR 3/15 X X
KYR 5/16 X X
KYR 2/18 X X
38 KYR 2/25 X X
8 KYR 2/25 X X
23 PURWAKARTA-LELE RAYA NO98 X X
KYR 11/12 X X
33 KYR 2/25 X X
7 KYR 4/9 X X
PURBALINGGA- KH NOER ALI 389 X X
LAMPUNG-4/7 X X
38 KYR 5/13 X X
33 BABELAN-1/12 X X
KYR 6/10 X X
42 KP 2 5/15 X
42 KYR 1/25 X X
38 KYR 1/25 X
DUREN SAWIT X X
8 PKY 7/3 X
KYR 3/13 X
49 KYR 5/14 X
MASKOKI RAYA X
7 KYR 6/9 X X
5.5 JAKTIM X X
KYR 2/11 X X
39 MANADO X
MANADO X
38 KYR 5/11 X
76 KYR 5/19 X
GIGI LANSIA KIA
LAMABARU LAMA BARU LAMA

X
X
X
X

X
X
NO KART UMUR
NO NO BPJS NAMA PASIEN NAMA KK
RM U
L P
A01 S1234 NAFILA SARBINI 14
A02 - TYAS NANA 19
A03 A1258 NATASHA AMRO 8
A04 - "00005092KIS RIKA PUSPITA MUALIK 43
A05 Y120 "00013829BPJS YULINDA YBS 39
A06 E149 "00000382BPJS TAUFIK S EDI R 29
A07 A1364 A.WILDAN A.JUANDI 7
A08 D007 MAI AMANAH DIDI 6.5
A10 - "00005102KIS ETI SUSILAWATI SAMSUL 35
A11 - "00005102KIS M AL JABAR SAMSUL 7.5
A12 - "00017935BPJS TRINANDA YBS 19
A13 - ARIS YBS 42
A14 A119 "00005109KIS RAHMA SYAIHUDIN 12
A16 D558 SELLA DASMAN 7
A17 D558 YATI DASMAN 43
A18 M77 M RIZKI MULYADI 16
A21 - "00005087KIS JUMAIDI YBS 39
A22 - DEFRIYANTI HASBIALLOH 37
A23 -
A24 S1116 ADI S SEPTIAN 18
A25 S215 ADIT SUNARDI 16
A26 S451 CINDY SUGOWO 6.5
A27 E331 "00016452BPJS ENDANG S YBS 40
A28 S1691 "00017957KIS TIDORA SYAUVANA 25
A29 U90 MAULIDA UMI K 16
A30 I284 "00018990BPJS SUSMIANAH IWAN D 43
A32 D355 "00005093KIS SYLFIA DEDE 13
A33 M403 "00005093KIS NITA T MOH ALIF 31
A34 M736 KUSMAWATI MUHAMMAD 32
A35 C99 CHAIRUL A YBS 36
A37 A1086 M RAFLI SMP ALIHSAN 16
B24 - DELGI ARIS 3
B27 D558 SALSA DASMAN 2.5
E01 F205 LELIANA FERNANDO 43
E02 B200 AYU R BEGUM 25
E03 E399 FAIREL ENI R 4.5
E04 B341 BENADICT BAMBANG 19
E05 R22 "00018786BPJS DR RONALD YBS 71
E06 A1476 SUSI ABD AZIS 48
E07 H424 UMAR HANDOYO 4.5
E08 A197 "00005096KIS ALBERT RINI M 20
E09 S1408 "00000413ASKES WORO D SUHARDI 60
E10 N79 "00017440KIS WINARSIH NASIKIN 42
E11 H485 "00017239KIS ATHIFA HARI H 4
E12 A77 "00000731KIS ISNURMAWATY ANDREAS 63
E13 - "00000367BPJS BACHTIAR YBS 56
E15 H104 "00005092KIS HAMDANI YBS 45
E16 H104 SALSABILA HAMDANI 6.5
E17 - "00012610BPJS BAMBANG TUGIONO YBS 67
E18 Y120 "00013829BPJS ALMIRA YULINDA 5.5
E19 Y89 NAGITA M YOSEP 15
E21 M276 SABILA MAINAR 17
E22 M276 "00013132BPJS AGGIE MAINAR 60
E23 K140 SUCI KOMARUDIN 13
B63 - FEBRIYANTI WAHYU 26
UMUM GIGI LANSIA
ALAMAT DW LW
BARU LAMA BARU LAMABARU
KYR 1/24 X X
KYR 4/25 X X
MARGAJAY 3/3 X X
KYR 4/25 X X
KYR 9/10 X X
KYR 1/14 X X
KYR7/12 X X
KYR 1/6 X X
KYR 5/23 X X
KYR 5/23 X X
BABELAN-APT CENTERPOINT X X
KYR 2/24 X X
KYR 1/6 X X
KYR 8/16 X X
KYR 8/16 X X
KYR 10/12 X X
KYR 16/1 X X
KYR 6/12 X X

KYR 6/24 X X
KYR 6/24 X X
KYR 5/1 X X
KYR 11/12 X X
KYR 4/6 X X
KYR 9/12 X X
KYR 5/5 X X
KYR 4/1 X X
KYR 5/24 X X
KP2 9/12 X X
KYR 5/12 X X
BELUT1 X X
KYR 2/24 X
KYR 8/16 X X
GN GEDE X X
JKSAMP 3/11 X X
KYR 7/26 X X
KYR 1/20 X X
KYR 6/12 X X
KYR 4/18 X X
KYR 3/5 X X
KYR 3/12 X X
KYR 2/14 X X
KYR 4/12 X X
KYR 4/12 X X
KYR 2/14 X X
KYR 2/7 X X
KYR 1/24 X X
KYR 1/24 X X
KYR 3/6 X X
KYR 9/10 X X
KYR 1/25 X X
KYR 4/5 X X
KYR 4/5 X X
KYR 2/24 X X
KYR 7/12 X
LANSIA KIA

LAMA BARU LAMA

X
X
NO KART UMUR
NO NO BPJS NAMA PASIEN NAMA KK
RM U
L P
A01 L002 "0001639030432 BPJS SAMUEL LAMBOK 14
A02 ANDI RAJA YBS 39
A03 EUIS S ROSIDIN 41
A04 H497 ADAM HARI B 13
A05 BENADETA Z DE HARTANTO 17
A06 AMALIA YBS 20
A07 KIR BONAR YBS 43
A09 J198 ANGGI R JOKO M 16
A10 S24 SALMAN YBS 31
A11 A703 KANAYA AWALUDIN 8
A12 INDAH S YBS 32
A13 D428 "0001826164743 BPJS DANI P YBS 36
A14 R167 "0000509487153 KIS ZIDAN DWI P ROMI 9
A16 J110 BULAN JHONI 12
A17 J110 ARSINA JHONI 8
A18 J110 WIDY JHONI 41
A19 SUSANDA YBS 34
A20 M805 "0001658706851 BPJS YULI S M BAIHAQI 30
A21 A1463 M ALVINO ARIEF 9
A22 S276 "0000509468218 KIS BAMBANG SUDJODO 11
A23 R24 "0001645482183 BPJS ALVINO RINTO 12
A25 R24 "0001645482172 BPJS RADHITYA RINTO 10
A27 B279 "0001840499008 BPJS SHINTA BACHTIAR 7.2
A28 S1744 "0001744055245 KIS CINDY CLODYA SUGENG 18
A30 A800 "0001324532259 BPJS M AL GREND ANGGA 5.5
A31 A1348 META ANDRIAN 31
A32 A1348 EZA ANDRIAN 6.5
A33 B252 ARSYA BRAMADA 6
A34 M527 IMAM MARGONO 18
A35 M527 VINO MARGONO 8
A37 M102 "0001430485604 BPJS EVA NORA YBS 44
A38 D561 REGINA DJOHARI 7
A39 A1264 "0000509534526 KIS NURYANTI AGUS 38
A41 A1238 "0000509279532 KIS AGUSTIAN R YBS 29
A42 T125 "0000509220742 KIS EZHA TATUNG 9
A43 "0001324254115 KIS M AROYAN YBS 40
A45 DIAH S YBS 36
A46 J142 "0001013965187 KIS GUNATI JAMAL 33
A47 FAHMI BASYA YBS 27
A48 I328 JOSHUA//SUSANTI H INDRA 6
A49 FAJAR SAWIYAH 10
A50 F157 RIDHO FAISAL 5.5
A51 M938 ROMIAH INSANUSI 27
A52 E131 ADEHA ENDANG 16
A53 E383 NUR SAADAH EDY 40
A54 A1411 "0001436163636 BPJS KHANSA ANDRE 6
B12 M805 "000243283266 BPJS ALVINO M BAIHAQI 1.3
B24 A800 SYARON ANGGA 3.5
B35 A940 ISMI K DIAH 15
E01 A386 "0000040892319 ASKES ARUM YBS 62
E02 K232 "0001868241249 BPJS EMILIA KHAIDIR 57
E03 S91 NOVIA SARI SUTARTO 35
E04 R102 RAUDHOTUL RUHUM 6
E05 R102 TS RIKA RUHUM 26
E06 TS FAHRI HARYANTO 7
E07 F151 RINA .O FARIS 31
E08 M985 HAMIDAH M RIVAI 33
E09 D596 RATNA DODI 25
E10 D596 KIA DODI 28
E11 D544 TS IIS DIDIK 33
E12 D544 ZAIDA DIDIK 4
E13 Y14 "0001258985553 BPJS RIA YUDI 43
E14 D112 DAHLAN YBS 55
E16 K43 "0000040967076 ASKES JULIANA KORNELIUS 56
E17 NAURA ALMA SOKHIBUL 5
E19 WIDIA T NADDEN 20
E21 A1463 ARIEF YBS 43
E23 E433 LIA ENI K 25
E24 S1785 ANTJE STEFAN T 39
E25 S1785 MICHAEL STEFAN T 16
E26 S1785 GABRIEL STEFAN T 16
A55 RANDY HJ WATI 6
A56 "0000530461642 KIS DARMONO YBS 43
UMUM GIGI LANSIA
ALAMAT DW LW
BARU LAMA BARU LAMABARU
KYR 2/8 X X
KYR 5/7 X X
KYR 3/25 X X
KYR 3/8 X X
KYR 8/12 X X
TULANG BAWANG-KYR 11/16 X X
KYR 9/12 X X
KYR 7/1 X X
KYR 5/6 X X
KYR 3/12 X X
MGJ 3/1 X X
KYR 1/12 X X
KYR 7/1 X X
KYR 11/5 X X
KYR 11/5 X X
KYR 11/5 X X
PK 7/3 X X
JT BENING 1/3 X X
KYR 10/5 X X
KYR 4/25 X X
KYR 1/12 X X
KYR 1/12 X X
KYR 4/8 X X
KYR 2/23 X X
KYR 4/10 X X
KYR 4/12 X X
KYR 4/12 X X
KYR 7/7 X X
KYR 2/8 X X
KYR 2/8 X X
KYR 8/1 X X
KYR 7/12 X X
KYR 6/16 X X
KYR 1/25 X X
KYR 4/25 X X
KYR 10/12 X X
HJ 10/19 X
KYR 2/25 X X
KUNINGAN-SIPUT NO 62 X X
KYR 4/8 X X
KYR 2/1 X X
KYR 10/16 X X
PK 3/2 X X
KYR 12/12 X X
KYR 3/3 X X
KYR 7/8 X X
JT BENING 1/3 X X
KYR 4/10 X
SMP ALIHSAN X
KYR 6/14 X X
KYR 3/7 X X
KYR 2/6 X X
TANGERANG X X
TANGERANG X X
BREBES-KYR 7/5 X X
KYR 7/5 X X
KYR 1/25 X X
KYR 9/12 X X
KYR 9/12 X X
JAKBAR X X
JAKBAR X X
KYR 2/5 X X
KUR 9/12 X X
KYR 4/5 X X
KYR 4/12 X X
KYR2/8 X X
KYR 10/5 X X
KYR 4/24 X X
MANADO X X
MANADO X X
MANADO X X
KYR 1/25 X X
KP KAYURINGIN 12/12 X X
LANSIA KIA KB

LAMA BARU LAMA BARU LAMA


X
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NO NO RM NO BPJS KARTU NAMA PASIEN

A01 REFO
A02 KIR 33 YEYEN PERMENANG
A03 Y178 "0000509390469 JMK DINDA YANTI
A04 E52 "0000509649816 KIS FAIZ G
A05 R39 ANGELINA
A07 S1183 SAHRUL RAHIM
A08 D79 EVA
A08 SAEFUL ANWAR
A09 H66 FITRI
A10 "0000508814234 DINA MARYANTI
A11 U105 M HISYAM
A12 FERRY YANTO
A13 ZAKI A
A14 I263 "0002060041656 BPJS NIFKA ULRICO
A15 A1189 EKA OKTAVIANI
A16 P118 RUSDIANINGSIH
A17 KIR 35 GALIH NURHADI
A18 KIR 34 SAPTO DWI CAHYONO
A19 RENDY FAIZAL
A20 N249 M HANIF
A21 SYAHRIZAL
A22 H19 LUTFI
A23 M82 NURFAJRI
A24 H343 DOTHY SIHOTANG
A25 IMLATUL A
A26 D217 "0001079362866 ASKES AUFAR G
A27 R642 NIKEN
A29 HANGGARA ADRIYAN
A31 SEIZA
A32 HAZIMAH
A33 NINA NURHASANAH
A34 KIR 36 MARYAMAH
A35 KIR 37 ANNISA N
A36 A877 ESTER
A37 A877 BRIAN
A38 A877 CHRISTIAN
A39 "0000509248719 KIS YANI M
A40 M697 "0000510470673 KIS PATIMAH
A42 K120 ELI
A46 A1413 AISYAH
A47 I319 ITA
A48 U01 "0001271766396 BPJS SHELA NAURA
A49 R58 JUSTIN
A50 A658 "0001192805008 BPJS ATHIFA
A51 A658 "0001192804986 BPJS MARIA ULFAH
A53 Y56 YULIUS
A54 "0000508365461 KIS DELIA SITI N
A55 KIR38 SUHENDRA
A56 JUNAIDI
A57 S156 "0001766970382 BPJS FIRA N
A58 LAB 35000 EKA AGUSTINA
A59 KIR39 ACHAMD KAMAL
A61 RUSYANTO
A62 KIR40 RANA KUSUMA
B02 DIFTERI SATRIA
B19 K120 AQILA
B8 P118 AKMAL
D25 H343 ZAKARIA M
E01 S1782 "0001744114915 KIS CATUR DWI
E02 R268 KURNIASIH
E03 H449 ROSID
E04 H449 KAMILA
E05 H421 "0001080598206 ASKES BARA KINSAR
E06 H540 "0001832138853//TS BPJS DESI
E07 D596 KHANSA
E08 L101 LAMRIA
E09 SIITI WASILAH
E10 Y264 NURHAYATI
E11 AURA
E12 G82 GUGI G
E13 S105 "0000072997389 BPJS FAIZA
E14 D176 "0000073445962 KIS DUDUNG
UMUR
NAMA KK ALAMAT DW LW
L P
RUMSIAH 8 KYR 4/25 X
YBS 23 PESISIR SELATAN-3/5 X
YELDI 9 KYR 10/12 X
ERWIN 8 KYR 6/7 X
RIANA 9 KYR 5/12 X
YBS 44 KYR 12/12 X
DIRMAN 33 KYR 1/6 X
YBS 38 TANGERANG-3/5 X
HERDI 7 KYR 6/8 X
MUHTAR 20 KYR 7/1 X
URIP 6.5 KYR 3/2 X
YBS 33 PERWIRA 4/18 X
FERRY 6 PERWIRA 4/18 X
IDAMAN Z 28 HARUMAN D3 X
ADE P 25 KYR 3/16 X
PANDI 37 KYR 1/25 X
YBS 24 KYR 4/12 X
YBS 18 KYR 4/25 X
RENE 27 KYR 3/11 X
NURDIN 8 KYR 5/16 X
YBS 21 SUMEDANG-5/8 X
HANIFUDIN 38 KYR 5/10 X
M NURHADI 37 KYR 5/7 X
H MANURUNG 61 KYR 2/23 X
YBS 34 CIREBON-10/12 X
DWI R 5.5 KYR 5/10 X
ROMELAN 12 KYR 7/12 X
YBS 23 KYR 1/7 X
ANITA H 8 KYR 8/8 X
YBS 20 KRAMAT JATI-KEONGMAS 2 4B X
YBS 23 CIRACAS-1/1 X
YBS 21 KYR 3/1 X
YBS 20 KYR 1/1 X
ALBERT 42 KYR 2/1 X
ALBERT 8 KYR 2/1 X
ALBERT 7 KYR 2/1 X
TABRANI 42 KYR 3/24 X
MARYONO 43 KYR 4/1 X
KAIJINO 29 KYR 4/1 X
A TAUFIK 15 JAKTIM-2/1 X
YBS 20 SUKABUMI-BELUT 5 X
UTE ADAM 9 KYR 9/12 X
RUDY 9 PKY 6/3 X
AGUNG 6 KYR 4/13 X
AGUNG 37 KYR 4/13 X
YBS 39 KYR 3/3 X
YBS 20 KYR 9/12 X
YBS 34 KYR 10/12 X
YBS 36 KYR 3/25 X
SITI IDA 35 KYR 3/10 X
YBS 23 SURABAYA-LELE NO 242 X
YBS 23 KYR 3/12 X
YBS 25 PEMALANG-GURAME NO 7 X
YBS 20 KYR 4/25 X
SINDA 6 KYR 7/22 X
KAIJINO 3 KYR 4/1 X
PANDI 4.5 KYR 1/25 X
H MANURUNG 34 KYR 2/23 X
SURATMAN 23 KYR 4/23 X
RESTU 37 KYR 3/5 X
HENDRO 17 KYR 11/16 X
HENDRO 4 KYR 11/16 X
HISAR S 6 KYR 6/19 X
HERMANTO 43 KYR 6/10 X
DODI 5 KYR 9/12 X
YBS 61 KYR 1/13 X
YANTO 46 KYR 4/25 X
YBS 35 TAMBUN X
NURHAYATI 9 TAMBUN X
YBS 32 SUKABUMI X
SALMAN 76 KYR 1/1 X
YBS 49 TELAGA ALAMANDA X
UMUM GIGI LANSIA KIA KB

BARU LAMA BARU LAMABARU LAMA BARU LAMA BARU LAMA


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LAMA
NO NAMA UMUR
NO NO BPJSKARTU NAMA KK
RM PASIEN
L P
A 38 - FKTP ADITHYA KASNADI 10
A01 K248 "000107 KIS NAUFAL KUSNADI 7
A02 K248 "000097 KIS KUSNADI YBS 29
A06 A93 "327504 KS ABD RACHMAYNS 39
A07 W66 "000126 BPJS SANTI WIDI 43
A08 DIAN NOVIANMAMAN 22
A09 SHELLA A YBS 21
A10 S1766 SITI AISYAH SAYIDINAH 6
A11 ANISMA NURDIN 35
A12 H33 FAIZ HERI 7
A13 S1349 "000050 JMK DANNU SETYSUPRIYANTO 21
A16 SRI PUJI BAMBANG 41
A17 F183 "000163 BPJS FIRMANTO YBS 29
A18 D013 M RIZKI DIANA 10
A19 B250 "000147 BPJS TASIROH BASRIN 43
A20 DONA RILIN S 25
A21 M392 "000162 BPJS SURYANI MIRZA 40
A22 YULI YANTI YBS 21
A23 M392 "000162 BPJS NADA MIRZA 16
A24 A1434 LINDA L ARIYANTO 34
A25 S330 "000213 BPJS M HAFIZUM SUBANDI 15
A26 "000146 BPJS INDAH SETIOTUBAGUS UTAMA 39
A27 ACHMAD RIFA YBS 31
A29 R739 KS RIYANTO RUSLAN 9
A30 A1131 KB NAYSILA ABD WAHAB 5.5
A34 S255 KIR 41 KS DODY SURYADI 19
A36 Y120 "000138 BPJS YULINDA YBS 39
A37 E232 "000174 BPJS ERFIN ADZANI ALFATH A 8
A39 FKTP SRI HARTUTI YBS 36
B05 S76 "000174 KIS ANDRIANI SUYADI 10
E01 W145 "000130 BPJS WIYATNO YBS 64
E02 I326 IDA YBS 56
E03 A1200 UMI SALAMAANTON DONI 31
E04 M111 "000020 BPJS MARISI YBS 75
E05 M985 HAMIDAH M RIVA'I 33
E06 S1635 YASMIN SURIANSYAH 17
E08 D56 HAIKAL DICKY 7
E09 T282 "000219 KIS FATMAH H. TAUFIK 58
E10 S876 "000132 BPJS SUGIYARTO YBS 63
E11 M232 "000203 BPJS ROSMERI YBS 41
E12 SRI WIYARNI JOKO SUPARNO 42
E13 S76 "000174 KIS DIMAS SUYADI 18
E14 A18 JABAR AHMAD.J 9
E15 D258 NADYA N DARKAM 27
UMUM GIGI
ALAMAT DW LW
BARU LAMA BARU
KR 6/1 X X
KYR 2/14 X X
KYR 2/14 X X
KYR 3/12 X X
KYR 6/9 X X
KYR 3/25 X X
CILACAP-PERUM BRI JKS NO 33 X X
TAMBUN-1/2 X X
KYR 4/16 X X
KYR 1/1 X X
KYR 6/14 X X
JKS 5/18 X X
KYR 2/16 X X
KYR 6/7 X X
KYR 6/9 X X
BENGKALIS-KYR 7/12 X X
KOMP BRI X X
LAMPUNG-2/1 X X
KOMP BRI X X
KYR 3/16 X X
MASKOKI RT3 RW8 X X
SUKABUMI (MASKOKI 6/8) X X
JAKARTA UTARA (KYR 5/24) X X
KR 7 / 12 X X
BREBES (KR 1/12) X X
KR 10/12 X X
KR09/10 X X
KR 01/15 X X
JAKA SAMPURNA 10/07 X X
KYR 2/1 X
BELUT 5 X
KYR 6/6 X
KYR 5/16 X
GABUS X
KYR 1/25 X
KYR 5/21 X
PKY 6/3 X
KYR 10/12 X
KYR 6/10 X
KYR 2/8 X
KYR 10/16 X
KYR 2/1 X
KYR 4/10 X
KYR 2/11 X
GIGI LANSIA KIA

LAMABARU LAMA BARU LAMA

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