Unit Layanan : KLINIK KHUSUS

NO NO.  N A M A UMUR GOL UMUR ALAMAT JENIS KE

. REG LAMIN
0321
R126
1. 16 A.FATMAH ERAWATI 39Th. PESUT,JLN GG.BETUTU -
0321
R111 A.SY.NADILAH ARWANA JLN BLOK A
2. 89 QISTHINA 22Th. 47 RT.16 -
0321
R078 MESS PT PPA
3. 40 AAN WIBOWO 20Th. JEMBAYAN LOA KULU L
0321
R176 JL H MASDAMSI LOA
4. 96 ABDUL SANI 69Th. KULU KOTA L
0321
R134 MANGKURAJA 5, JLN
5. 79 ADI SYAHFUDIN NUR 44Th. RT,59 L
0321
R177 ADISTY ARGA
6. 87 RAHMADHANI 17Th. LOA IPUH, JLN RT 17 -

0321
R078
7. 28 AGUSTINA PA 47Th. DUSUN SIDO MULYO -

0321
R055
8. 89 AHDIAN NOOR 48Th. JAYA NATA,JLN L
0321
R189 MANGKURAWANG
9. 35 AIDIL ANWAR 40Th. JLN RT.07 L
0321
R104 ARWANA BLOK A NO
10. 03 AJI SAYIED LUTHFI 60Th. 47 JL L
0321
R182 JL SUKMAWIRA
11. 32 AJI SELVI YUNAIDA 53Th. KAMPUNG BARU -
0321
R079 MANGKURAWANG,JL
12. 20 AKHMAD AZIS 47Th. N L

0321 JL.PUYU NO.30 RT.14

R151 ALDY REZA KEL.TIMBAU
13. 15 OCTOBERRY ARIFIN 27Th. TENGGARONG L

0321 JL.SITI AISYAH

R056 KEL.TELUK LERONG
14. 26 ALI FIKRY 39Th. KEC.SAMARINDA ULU L
0321
R117
15. 01 ALIANSYAH 67Th. KELEKAT RT,6 L
0321
R079 MUARA KEDANG JLN
16. 77 ALPIAH 54Th. RT. 03 -

0321
R016 MAYJEND
17. 19 AMINATUN 70Th. PANJAITAN .JL -
 0321
R060 ERLIAN SANGGULAN
18. 68 AMNAH 65Th. RT. 6 SEBULU -
0321
R193
19. 29 ANDRIANI 40Th. JL. A. YANI -
0321
R180 ANGGA RACHMA
20. 48 PUTRA 32Th. H,MASDAMSI.RT.02.JL L
0321
R150
21. 57 ANTON MULYADI 32Th. DUSUN SUMBER REJO L
0321
R068 HADIL USUP JL
22. 41 APAI KARDI 64Th. SELERONG L
0321 JL SIMP AIR PORT
R182 BADAK BARU MUARA
23. 26 APUL HASUGIAN 63Th. BADAK L
0321
R150
24. 83 ARBAIYAH 77Th. LOA TEBU JL RT. 08 -
0321
R042
25. 79 ARBIAH 33Th. SANGGULAN -
0321
R040
26. 09 ARSYUNI 65Th. PESUT JL GG.3 NO,5 L
0321
R190 RUWAN JL. RT 03 NO
27. 01 ASMA'UN 60Th. 33 L
0321
R162 LOA
28. 41 ASMARAN 63Th. IPUH.JL.GG.NIRMALA L
0321
R024 KARTINI, JLN GG.
29. 84 ASPIAN NUR 45Th. KELUARGA NO.40 L
0321
R010 LONG BAGUN JLN
30. 36 BAGUS PRATAMA 23Th. NO.31 RT.05 L

0321
R026 BAMBANG DSN RINJANI INDAH
31. 21 HARISAPTO 50Th. RT 13 L
0321
R027 KH. AKHMAD MUKSIN,
32. 84 BASUNI 57Th. JLN NO 27 RT 4 L
0321
R092
33. 72 BAYU JATMIKO 42Th. JL. TELUK LADANG L
0321
R019 AKHMAD MUKSIN JLN
34. 70 BINAKUS INDRATATI 55Th. RT. 25 -
0321
R136 CHANDRA JL. MULAWARMAN
35. 70 ANGGARA 25Th. BLOK C LOA KULU L
0321
R151 MANGKURAWANG
36. 09 DANI SAPUTRA 36Th. JLN RT. 03 L
0321
R083
37. 22 DARUL HASANAH 81Th. EMBALUT -
0321
R057 PESUT RT.07 TIMBAU
38. 42 DEDDY SUPRIADI 26Th. TENGGARONG L
 0321
R196 DEMIK LELA GUNUNG ILAS JL. RT
39. 91 KUSUMAWATI 39Th. 36 -
0321
R199
40. 66 DENI ADI WIJAYA 27Th. MANGKURAJA.JL L
0321
R132 DENIK SERI PUJI RONDONG
41. 61 SETIANI 46Th. DEMANG.JLN. -

0321
R011
42. 13 DESIYANA WIN 31Th. DR. FL. THOBING. JLN -
0321
R055 ISAP JL RT 19 SUMBER
43. 62 DEVI WIDI ASTUTI 22Th. SARI -
0321
R072 DEVI WIDI ASTUTI
44. 46 BY 0Th. ISAP JL . SUMBER SARI -
0321
R178
45. 71 DJAWIYAH 74Th. LOA IPUH,JLN NO.05 -
0321
R104 DONI NOVIANDI
46. 08 PUTRA 29Th. MANGKURAWANG L
0321
R113 DONI NOVIANDI
47. 17 PUTRA 29Th. MANGKURAWANG L
0321
R073
48. 74 DUGEL SYAMSUDI 61Th. JL. LOA TEBU RT 5 L
0321
R011 EDONG
49. 07 HERMANSYAH 22Th. JL BINA DESA L
0321 AHMAD KASIM RT,03
R078 SUMBER SARI LOA
50. 32 EDY PURWANTO 49Th. KULU L
JL JAKARTA BLOK BG
0321 RT 62 LOA BAKUNG
R036 EFIDA NOOR SUNGAI KUNJANG
51. 58 TAFDILLA 25Th. SAMARINDA -

0321
R010 EKA TRANS BANGKA BLOK C
52. 34 HERMAWAN 39Th. SUMBER SARI SEBULU L
0321
R094 NAGA JL. RT 36 NO
53. 29 EMI MINARNI 49Th. 55A TIMBAU -
0321
R153
54. 46 ENI PURBANINGSIH 63Th. BONTANG.JLN RT 03 -
0321
R039
55. 79 ERLANSYAH 49Th. DESA LOA ULUNG L
0321
R182 JL DR SOETOMO
56. 31 ERNAWATI 61Th. MELAK ULU -
0321
R176
57. 12 ERNI SRI PINUJI 44Th. JL BONTANG RT 03 -
0321
R010
58. 05 ERTA MILNA 67Th. RUWAN NO.28 JL -
 0321
R019
59. 48 FARIDAH 48Th. BUNGA JADI -
0321
R018 FAUZAN DAFA AL S PARMAN
60. 18 FASYA 12Th. 1.JL.SAMARINDA L
0321
R164 SOEKARNO HATTA
61. 35 FITRI SULFEYENI 26Th. KILO 2 -
0321 DEWI SARTIKA GG.
R194 GRACIA HADZA MANGGIS RT. 8,
62. 65 FARIDA-A 36Th. KUBAR -
0321
R169
63. 80 GUBARIAH 57Th. JL.H.M.ARSYAD -
0321
R175
64. 15 H. BAHARSAM . AS 75Th. JL. DR. WAHIDIN L
0321 JL KESUMA BANGSA
R060 RT 16 SAMARINDA
65. 58 HADI SULAIMAN 66Th. KOTA L
0321
R094 NAGA JL. RT 36 NO
66. 28 HAIRILLAH 51Th. 55A TIMBAU L
0321
R079 MJ.PANJAITAN,JLN
67. 55 HANIFAH E 65Th. GG.IKHLAS -
0321
R096
68. 92 HARIYAH 55Th. LOA SAKOH -
0321
R018 S.PARMAN JLN
69. 14 HARTONO 31Th. ,SAMARINDA ULU L
0321
R048
70. 77 HASANUDIN 61Th. MJ PANJAITAN JLN L
0321
R111
71. 96 HELMI 52Th. TERATAK RT.04 L
0321 NAGA,JL. NO.137
R040 RT.18 KEL.TIMBAU -
72. 85 HENDRA SASARIO 44Th. TEMBAU L
0321
R051
73. 96 HERMANSYAH 43Th. LOA TEBU RT 09 L

0321 AMAT KASIM JL.NO.

R125 13 DESA SUMBER SARI
74. 16 HERNANI 50Th. KEC. LOA KULU -

0321 AMAT KASIM JL.NO.

R136 13 DESA SUMBER SARI
75. 05 HERNANI 50Th. KEC. LOA KULU -

0321 DUSUN SUKA KARYA

R115 RT 9 BUKIT PARIAMAN
76. 98 HERU SUPRIYANTO 30Th. TGR SBRNG L
0321
R123 HJ.FATIMAH
77. 39 ZAHRAH 51Th. JL.LOA IPUH PERMAI -
0321
R177
78. 46 IFUNG AJAN 67Th. DESA TUKUNG RITAN L
 0321
R147 KARTINI.JL.GG.KELUAR
79. 61 IRLINDA FAJRI 47Th. GA NO. 113 -
0321
R091
80. 52 IRYAWATI 43Th. DESA LOA RAYA RT. 03 -
0321
R104
81. 14 ISNAWATI 55Th. A. YANI, JL RT. 03 -
0321
R084
82. 92 JAERAH 57Th. JL.TERATAI -
0321
R030
83. 11 JAINI 40Th. PERJIWA JLN RT.01 L
0321
R119
84. 78 JAMINI 59Th. KAMBOJA JLN RT.04 -
0321
R072
85. 74 JERIAH 65Th. PERJIWA, JL -
0321
R176
86. 15 JONI SETIONO 55Th. JL. DSN SIDODADI L
0321
R019 JULIA WIDYA MANGKURAWANG RT.
87. 65 PANGESTU 21Th. 13. JLN -
0321
R108
88. 25 JUMARNO 58Th. JL. STADION L
0321
R049
89. 27 JUMRAH 77Th. LOA TEBU RT 05 -
0321
R056
90. 14 JUMRAN 61Th. JL.PERJUANGAN L
0321
R088
91. 60 KABUL 62Th. L2 BLOK E JL L
0321
R087
92. 72 KAHARUDDIN 27Th. MESS PT MKH L
0321
R025
93. 82 KAMRANSYAH 43Th. JL PEMUDA L
0321
R010
94. 47 KATAMAH 56Th. MERDEKA.JL -
0321
R103 PESUT RT.36 TIMBAU
95. 18 KIKI DWI PRATIWI 29Th. TENGGARONG -
0321
R170 KRISTIN INDAH
96. 07 NURYANI 47Th. BONTANG JLN RT.03 -
0321
R125
97. 96 LA ODE MBENA 56Th. LOA TEBU,JLN L
0321
R143 LALU ELHAM
98. 93 BUDIMAN 35Th. BADAK MAKMUR L
0321
R201
99. 01 LAMPOS HASUGIAN 35Th. SIMPANG AIR PORT.JL L
 0321
10 R114
0. 76 LIDYA 56Th. MAWAR 2,JLN NO.26 -
0321
10 R191 MANGKURAWANG
1. 36 LILIS 39Th. JLN RT. 07 -
0321
10 R079 ANGKURAWANG, JLN
2. 21 LINDA 43Th. RT 04 -
0321
10 R189
3. 26 LUDIAH 56Th. DONOMULYO -
0321
10 R123
4. 36 LUSIANA SAPUTRI 28Th. KERAMA JAYA NO 23 -
0321
10 R083 JL AM SANGAJI KEL
5. 55 LUTHER T 61Th. BARU L
0321
10 R011
6. 06 M ASRANUDIN 34Th. BINA DESA MUAI L
0321
10 R182 JL DR SOETOMO
7. 30 M BASRI 70Th. MELAK ULU L
0321
10 R111 KH AKHMAD MUKSIN
8. 39 M. HASAN ALTHAF 3Th. JL L
0321
10 R051 M.IQBAL
9. 89 RACHMANSYAH 24Th. JL.KH.DEWANTARA L
0321
11 R096
0. 10 M.SURIA IRFANI 45Th. JL.GN.GANDEK L
0321
11 R150
1. 89 MAGDALENA 58Th. GUNUNG JATI,JL -
0321
11 R134
2. 93 MAHLAN 64Th. GAJAH MADA,JLN L
0321
11 R079 MANGKURAJA 1 BLOK
3. 56 MANSINUR 70Th. F RT 0-18 . JL L
0321
11 R175
4. 94 MARIA WARSINI 64Th. BONTANG,JLN -
0321
11 R045 JL.GUNUNG MENYAPA
5. 02 MARIATUL KIPTIYAH 22Th. GG. GUNTUR -
0321 JL. GUNUNG
11 R048 MARIATUL MENYAPA GG.
6. 22 KIPTIYAH. BY 0Th. GUNTUR -
0321
11 R073
7. 73 MARIYANI 49Th. LOA TEBU -

0321
11 R198 MARTHA CRISTINA
8. 53 TIAHAYU 29Th. LOA IPUH NO23, JLN L
0321
11 R010 GUNUNG GANDEK JLN
9. 43 MARTINI 67Th. NO.23 RT.26 -
0321
12 R141 S. PARMAN JL. RT. 3
0. 84 MASTORA 54Th. LOA KULU -
 0321
12 R194 MELISSA JL GN KINIBALU GG
1. 66 OCTARIANTI 21Th. ULIN -

0321 LOA SAKOH RT 002

12 R125 LOA SAKOH KEMBANG
2. 08 MOHAMAD HUSIN 52Th. JANGGUT L
0321
12 R164 L2 DESA KARANG
3. 40 MUCKHYAR 74Th. TUNGGAL L
0321
12 R096 MUHAMMAD ARIA GUNUNG GANDEK RT
4. 12 FATHIR 13Th. 26 NO 41 L
0321
12 R096 MUHAMMAD ARIA GUNUNG GANDEK JL
5. 11 ZAAHIR 13Th. NO. 41 RT. 26 L
0321
12 R051
6. 93 MUKIDI 60Th. MERDEKA JLN RT.17 L
0321
12 R010
7. 48 MUKIDI 60Th. MERDEKA JLN RT.17 L
0321
12 R085
8. 82 MUKRAN 53Th. DESA EMBALUT RT,2 L
0321
12 R100 JL AR SUKMAWIRA
9. 03 MUSTIKA MURNI 26Th. LOA LEPU TGR SBRNG -
0321
13 R024
0. 46 MUTIARA 21Th. JEND.A.YANI,JLN -
0321
13 R062 MUTIARANI
1. 05 SUGIHANISA 17Th. TERATAI JL RT 10 -
0321
13 R045 KOTA BANGUN II.
2. 80 NAWARTO 63Th. RT.06. JLN L
0321
13 R051
3. 97 NIKE ANGGRAINI 33Th. LOA TEBU -
0321
13 R168 DESA SIDOMULYO. RT.
4. 30 NITA YULIANA 36Th. 03. JLN -
0321
13 R124
5. 12 NOR HASANAH 76Th. SENONI JLN RT. 06 -
0321
13 R169
6. 76 NORJANI 65Th. JL.H.M.ARSYAD L
0321
13 R151
7. 54 NORMAWATI 45Th. KARTINI JLN -
0321
13 R189 SELENDRENG.JL.GG.04
8. 18 NORTI JUMAD 41Th. .NO.82 -
0321
13 R065
9. 61 NUR FADILA 39Th. JEMBAYAN JLN RT. 01 -
0321
14 R090
0. 67 NURDIANA ULFA 25Th. TRIYU -
0321
14 R091
1. 83 NURUL OCTAVIANI 28Th. TENIS LAPANGAN JL -
 0321
14 R010
2. 78 P. ALAM. SYS 56Th. BELORO L
0321
14 R178
3. 65 PARTI 70Th. JL. GUNUNG PASIR -
0321
14 R041 JL. TANJUNG
4. 81 PARYANA 44Th. HARAPAN, SEBULU L
0321
14 R141 PRISTINA JL.ARWANA III BLOK B
5. 92 OKTAFIANTY 31Th. NO.48 RT.16 L
0321 BONTANG.JLN RT. 03
14 R116 MALUHU
6. 61 PUGUH SUHADI 52Th. TENGGARONG L
0321 JELAWAT GG.
14 R187 JELAWAT BATU 3
7. 37 PUJIANTO 51Th. BLOK A NO 30 . JL L

0321
14 R083 SUKOREJO
8. 64 PURWANTO 47Th. SAMARINDA L
0321
14 R082 DANAU AJI JL. NO. 113
9. 38 PURWATI 61Th. RT. 29 -
0321
15 R098 PUTRI AYU MANGKURAJA JL. RT.
0. 98 WULANDARI 25Th. 23 -
0321 KOMP BUMI SEMPAJA
15 R177 RACHMAT BLOK DE
1. 44 SUBANDHI 50Th. 01.SAMARINDA L
0321
15 R018 RAFIF BAGAS S PARMAN RT.02 GNG
2. 29 HARTONO 5Th. KELUA SAMARINDA L

0321 JL. MULAWARMAN

15 R130 RAHADIAN KEL. MANGGAR KEC.
3. 61 ZULKARNAIN FAGI 23Th. BPP TIMUR L
0321 JL.
15 R076 WOLTERMONGINSIDI
4. 17 RAHMAD 63Th. RT 32 L
0321
15 R178
5. 61 RAHMAT HIDAYAT 31Th. PATEH KOTA.JL.NO.45 L
0321
15 R121 RAHMAWATI
6. 60 FAZRIN 32Th. LEMPATAN BARU -
0321
15 R151 RAHMAWATI
7. 43 FAZRIN 32Th. LEMPATAN BARU -
0321
15 R079
8. 17 RAMLAH 17Th. KAUMAN JLN -
0321
15 R063
9. 26 RATNA GAINUR 76Th. JL.DANAU SEMAYANG -
0321
16 R048 MJ.PANJAITAN
0. 76 RATNI WATI 58Th. GG.IKHLAS.JLN -
0321
16 R048
1. 78 RHOSA OKTAVIANTI 21Th. MT HARIONO.JL -
 0321
16 R180 H. MAS DAMSI, JLN RT
2. 43 RIKA AULIA ULFAH 32Th. 02 -
0321
16 R030
3. 51 RIMA WAHYUNI 21Th. T.GRESIK,JLN -
0321
16 R099
4. 68 RIMA WAHYUNI 21Th. T.GRESIK,JLN -
0321
16 R033 RINRIN SULASTRI
5. 84 ANIMAS 30Th. JAHAB -
0321
16 R020
6. 19 RIYANTI 15Th. AWANG LONG.JL -
0321
16 R128 RIZKY WAHYU TAMBAK REL JL , BLOK
7. 48 ANNISA 26Th. E NO 5 -
0321
16 R128
8. 26 ROSITA 69Th. DUSUN CIPARI -
0321
16 R035
9. 91 ROSITA KARNA 58Th. UDANG JL RT.13 -
0321
17 R187 DANAU SEMAYANG, JL
0. 92 RUKAYAH 54Th. RT. 13 NO. 24 -
0321
17 R027
1. 26 RULITA AYUNANDA 26Th. JL. AM. SANGAJI -
0321
17 R092
2. 81 RUSMALA DEWI 53Th. STADION, JL RT. 14 -
0321
17 R108
3. 20 RUSMALA DEWI 53Th. STADION, JL RT. 14 -
0321
17 R062
4. 50 RUSMIAH 23Th. SUMBER REJEKI RT,9 -
0321
17 R027 P ANTASARI JL RT.26
5. 29 RUWAIDA MAULINI 29Th. KEL. TELUK LERONG -
0321
17 R195 JL. MANGKURAWANG
6. 77 SABAI 54Th. RT,002 RW,001 -
0321
17 R009
7. 56 SALAMAH 61Th. LONG APARI.JL -
0321
17 R079
8. 51 SALNAH 55Th. JL. DARUSSALAM -
0321
17 R123
9. 62 SAMAH 57Th. JL.MANGKURAJA -
0321
18 R200
0. 93 SAMSIAH 53Th. JL.MURUNAN -
0321
18 R182 PESUT, JLN RT 15 NO.
1. 24 SAMSUDIN 59Th. 42 L
0321
18 R197 JL. A. YANI KEL. MELAK
2. 32 SARWANI 50Th. ULU L
 0321
18 R169
3. 99 SIHPANRIMO 88Th. JL.BONTANG L

0321 JL. SIDODADI KEL.

18 R199 PONOROGAN . KEC.
4. 12 SISWANTO 53Th. LOA KULU L
0321
18 R120
5. 42 SITA 53Th. JL.H.MASDAMSI -
0321
18 R065 GAJAH MADA JL, RT
6. 34 SITI MARBIAH 57Th. 003 -
0321
18 R083
7. 73 SITI SRI PURWANTI 47Th. ANGGANA JL RT 019 -
0321
18 R104
8. 05 SITI SRI PURWANTI 47Th. ANGGANA JL RT 019 -
0321
18 R057
9. 46 SOFIAN 37Th. JL MJ PANJAITAN L
0321
19 R079
0. 39 SOLIHAYATI 42Th. BUKIT BIRU, JLN -
0321
19 R148
1. 36 SRI ASIH 54Th. GUNUNG BELAH,JLN -
0321
19 R057 KIHAJAR DEWANTARA
2. 37 SRIANI 41Th. JL -
0321
19 R095
3. 75 STANLEY HAJAILION 48Th. JL KELI L
0321
19 R083
4. 39 SUDINI 59Th. TERATAI JLN RT,10 L
0321
19 R199 JL. LOA IPUH PERMAI
5. 67 SUGENG . AG 57Th. NO.79 L
0321
19 R171
6. 67 SUGENG RAHARJO 50Th. MT HARYONO.JL L

0321
19 R065 SUGRA
7. 00 NUGRAHANILLAH 31Th. A YANI, JLN RT,12 -
0321
19 R141 ARWANA 4, JLN BLOK
8. 58 SUHARNINGSIH 52Th. C NO 37 -
0321 AMAT KASIM JL, RT
19 R125 003 NO, 13 SUMBER
9. 18 SUHARTO 54Th. SARI L
0321 AMAT KASIM JL, RT
20 R135 003 NO, 13 SUMBER
0. 94 SUHARTO 54Th. SARI L
0321
20 R020
1. 85 SUKARTI 40Th. PANCA JAYA -
0321
20 R158 JL GUNUNG PETUNG
2. 19 SUKIDI WARNO 65Th. RT 3 L
 0321
20 R116 DUSUN REJO
3. 27 SUKIYEM 61Th. MAKMUR.RT.1.JLN -
0321
20 R055
4. 73 SUKRAN 70Th. LONG APARI. JLN L
0321
20 R009
5. 58 SUKRAN 70Th. LONG APARI. JLN L
0321
20 R069 GUNUNG BELAH GG
6. 29 SUNALIN 51Th. KITA JUA JL -
0321
20 R026
7. 84 SUPARDI 61Th. SOPOYONO JL L
0321
20 R158 TENIS LAPANGAN NO.
8. 26 SUPARMI 64Th. 62 .JLN -

JL.K.PIERE TENDEAN
0321 KEL.MELAYA
20 R057 KEC.TEWEH TENGAH
9. 20 SUPIAN NOOR 32Th. KAB.BARITO UTARA L
0321
21 R056
0. 02 SUPINAH 66Th. JL.MULYO PRANOTO -

0321 KH DEWANTARA.JLN
21 R089 NO. 34 RT. 02 PANJI
1. 90 SUPIYATI 27Th. TENGGARONG -
0321
21 R184
2. 03 SURATMIN 63Th. PAHLAWAN, JLN RT,7 L

0321 AM. SANGAJI JLN. RT

21 R102 04 . KEL BARU. KEC
3. 07 SURIANSYAH 44Th. TENGGARONG L
0321
21 R178 BELIDA 01 BINNA
4. 66 SUSAN TRISIANA 51Th. SENTRA -
0321
21 R010
5. 73 SUSILAWATI 55Th. KUNTAB RT.16 -
0321 JL. AJI IMBUT RT.01
21 R197 NO.57 GG. SITI
6. 85 SUTAG HARSIE 43Th. HASANAH I L
0321 JL SIMP AIR PORT
21 R182 BADAK BARU MUARA
7. 27 SUTIYEM 65Th. BADAK -
0321
21 R177 JL. LOA IPUH
8. 29 SYAHBARIANI 60Th. GG.NIRMALA -
0321
21 R081 DANAU
9. 87 SYAIFUL ANWAR 69Th. AJI.NO.113.RT.29.JLN L

0321 S.PARMAN RT II NO.02

22 R018 TABINA UFAIRAH GUNUNG KELUA
0. 24 BILQIS 6Th. SAMARINDA -
0321
22 R126 PESUT, JLN GG
1. 15 TAMIN 51Th. BETUTU L
 0321
22 R069
2. 55 TARMUJI 57Th. PESUT. RT. 11. JLN L
0321
22 R055
3. 99 TIRANUS JOHAN 25Th. RITAN BARU L
0321
22 R187 JL. PESUT BLOK D NO
4. 15 TRI MURYATI 55Th. 12 -
0321
22 R116
5. 67 TRISNANTO 59Th. SUMBER REJEKI L
0321
22 R036
6. 56 TUKIYAH 64Th. ANGGANA, JL -
0321
22 R180 MERANGAN JLN RT.
7. 07 TUMIRAN 71Th. 07 L
0321
22 R079 TUTY JANUARTY TEPO.JLN KM.10
8. 46 WIDIASTUTY 36Th. BALIKPAPAN UTARA -
0321
22 R177 WOLTER MONGINSIDI,
9. 35 WAHYUNI 45Th. JLN RT,8 -
0321
23 R170
0. 06 WARSINAH 81Th. BONTANG JL. RT. 3 -
0321
23 R176
1. 04 WARTO ADI 67Th. JL BONTANG L
0321
23 R126
2. 03 WDE HASANA 54Th. LOA TEBU,JLN -
0321
23 R190
3. 22 WENY FEBRIANITA 32Th. PAHLAWAN JL.RT.11 -
0321
23 R008 KH.AKHMAD
4. 55 WIDIAWATI 60Th. MUKSIN.RT.1.JLN -

0321
23 R134 WINDA ALVIYONITA
5. 17 SYAFARIA 21Th. JL PENYINGGAHAN -

0321
23 R140 WINDA ALVIYONITA
6. 69 SYAFARIA BY 0Th. JL PENYINGGAHAN -
0321
23 R045
7. 87 YULIANA 28Th. DUSUB SUKO REJO -
0321
23 R073 JL. IMAM BONJOL N0.
8. 46 YULIANA 34Th. 37 -
0321
23 R078 JL SELUANG RT 4
9. 11 YULIANA NURTIKA 41Th. TIMBAU TGR -

0321
24 R117 GG. MAHAKAM 13 RT.
0. 69 ZULKIFLI 57Th. 4 RT. 1 L
0321
24 R055 AWANG LONG
1. 63 ZULKIFLI.A 45Th. SENOPATI.JL.NO.19 L
 KU
NJ
DIAGNOSA KASUS CARA  UN TGL REGIS KETERANGA
BAYAR TRASI N
GA
N
J06.9 B BPJS B 3/19/2021
P-III
B34.2 B CASH B 3/16/2021

B34.2,B34.2 B,B BPJS B 3/10/2021

B34.2,Z03.8 B,B BPJS B 3/26/2021

Z03.9,B34.2,
Z03.9 B,B,B BPJS B 3/19/2021

Z03.9 B BPJS B 3/27/2021

Z03.9,Z03.9,
B34.2,Z03.9 B,B,B,B BPJS B 3/10/2021

Z03.9,B34.2,
B34.2,R07.3 B,B,B,B BPJS B 3/7/2021
P-III
Z03.9 B CASH B 3/29/2021

Z03.9 B BPJS B 3/15/2021

B34.2 B BPJS B 3/29/2021

Z03.8,B34.2 B,B BPJS B 3/10/2021

Z03.9 B BPJS B 3/22/2021

Z03.9,B34.2, P-III
Z03.9 B,B,B CASH B 3/7/2021
Z03.8,B34.2,
R10.4 B,B,B BPJS B 3/17/2021

B34.2,B34.2 B,B BPJS B 3/10/2021

A09,B34.2,A
09,B34.2,A0
9 B,B,B,B,B BPJS B 3/2/2021
Z03.9,B34.2,
B34.2 B,B,B BPJS B 3/8/2021

O06.9,Z03.8 B,B BPJS B 3/30/2021

Z03.9 B BPJS B 3/28/2021

Z03.9,Z03.9 B,B BPJS B 3/22/2021

B34.2,K30,K
30 B,B,B BPJS B 3/9/2021

Z03.9 B BPJS B 3/29/2021

Z03.9 B BPJS B 3/22/2021

P-III
B34.2,B34.2 B,B CASH B 3/5/2021
R57.0,B34.2,
R57.1 B,B,B BPJS B 3/5/2021

Z03.9 B BPJS - 3/29/2021

P-III
Z03.8 B CASH - 3/24/2021
P-III
B34.2,B34.2 B,B CASH - 3/3/2021

Z03.9 B BPJS B 3/1/2021

I10,Z03.9,H2
5.8,T91.3,T9
1.3 L,B,B,B,B BPJS B 3/4/2021

B34.2,B34.2 B,B BPJS B 3/3/2021

Z03.9 B BPJS B 3/13/2021

B34.2,B34.2 B,B BPJS B 3/2/2021

Z03.9,B34.2 B,B BPJS B 3/20/2021

Z03.9,B34.2 B,B BPJS B 3/22/2021

Z03.9,B34.2,
B34.2,R54. B,B,B,B BPJS B 3/11/2021

B34.2 B BPJS B 3/8/2021

Z03.9 B BPJS B 3/31/2021

Z03.9 B BPJS B 3/31/2021

I10,Z03.8,Z0
3.9,B34.2 B,B,B,B BPJS B 3/19/2021

Z03.9,Z03.9,
B34.2,Z03.9 B,B,B,B BPJS B 3/1/2021
Z03.9,B34.2,
O42.0 B,B,B BPJS B 3/7/2021
P07.1,P59.9, P-III
P00.8 B,B,B CASH B 3/9/2021

B34.2 B BPJS B 3/27/2021

Z03.9 B BPJS B 3/15/2021

B34.2,B34.2 B,B BPJS - 3/17/2021

Z03.9,B34.2,
Z03.9 B,B,B BPJS B 3/9/2021
P-III
Z03.9 B CASH B 3/1/2021

Z03.9,B34.2 B,B BPJS B 3/10/2021

BPJS B 3/4/2021

Z03.9,B34.2,
Z03.9,Z03.9 B,B,B,B BPJS B 3/1/2021

Z03.9 B BPJS B 3/13/2021

Z03.9,B34.2 B,B BPJS B 3/23/2021

B34.2,B34.2 B,B BPJS B 3/5/2021

Z03.9 B BPJS B 3/29/2021

P-III
B34.2,B34.2 B,B CASH - 3/26/2021
B34.2,B34.2, P-III
B34.2 B,B,B CASH B 3/1/2021
A09,B34.2,B
34.2,A09 B,B,B,B BPJS B 3/2/2021
P-III
Z03.9 B CASH B 3/2/2021
P-III
Z03.9 B CASH B 3/24/2021

B34.2 B BPJS - 3/30/2021

B34.2 B BPJS B 3/25/2021

Z03.9 B BPJS B 3/26/2021

Z03.9,Z03.9 B,B BPJS B 3/8/2021

Z03.9 B BPJS B 3/13/2021

Z03.8,B34.2,
B34.2 B,B,B BPJS B 3/10/2021
Z03.8,B34.2,
K30 B,B,B BPJS B 3/14/2021
P-III
Z03.9 B CASH B 3/2/2021

B34.2,B34.2 B,B BPJS B 3/6/2021

B34.2,B34.2,
J18.9 B,B,B BPJS B 3/17/2021

J84.1 L BPJS - 3/5/2021

B34.2,B34.2, P-III
B34.2 B,B,B CASH B 3/6/2021

P-III
Z03.9 B CASH B 3/18/2021

Z03.9,Z03.8,
B34.2 B,B,B BPJS B 3/20/2021

Z03.9 B BPJS B 3/17/2021

B34.2,B34.2 B,B BPJS B 3/18/2021

P-III
Z03.8 B CASH B 3/26/2021
Z03.9,B34.2 B,B BPJS B 3/22/2021
B34.2,B34.2,
B34.2 B,B,B BPJS B 3/12/2021

B34.2,B34.2 B,B BPJS B 3/15/2021

Z03.9,K30 B,B BPJS B 3/12/2021

Z03.9,B34.2, P-III
B34.2 B,B,B CASH B 3/4/2021

B34.2,B34.2 B,B BPJS B 3/18/2021

B34.2,B34.2 B,B BPJS B 3/9/2021

B34.2 B BPJS B 3/26/2021

P-III
Z03.9 B CASH B 3/2/2021

B34.2,B34.2 B,B BPJS B 3/16/2021

Z03.9,B34.2 B,B BPJS B 3/6/2021

Z03.9,B34.2 B,B BPJS B 3/7/2021

P-III
Z03.9,B34.2 B,B CASH B 3/12/2021
K35,Z48.0,K3
5.8,K35 L,B,B,B BPJS - 3/12/2021
P-III
B34.2,B34.2 B,B CASH B 3/3/2021

Z03.9 B BPJS B 3/1/2021

Z03.9 B BPJS B 3/15/2021

B34.2 B BPJS B 3/25/2021

B34.2,Z03.9 B,B BPJS B 3/18/2021

P-III
Z03.9 B CASH B 3/21/2021
P-III
CASH B 3/31/2021
B34.2 B BPJS B 3/17/2021
P-III
CASH B 3/30/2021

Z03.9 B BPJS B 3/10/2021

B34.2 B BPJS B 3/29/2021

B34.2,B34.2, P-III
B34.2 B,B,B CASH B 3/18/2021
P-III
B34.2,Z03.9 B,B CASH B 3/11/2021
P-III
Z03.9 B CASH B 3/1/2021
P-III
Z03.9,Z03.9 B,B CASH B 3/29/2021
P-III
Z03.8,B34.2 B,B CASH B 3/16/2021
P-III
Z03.9 B CASH B 3/6/2021

Z03.9 B BPJS B 3/14/2021

Z03.9,B34.2 B,B BPJS B 3/22/2021

B34.2,R63.0 B,B BPJS B 3/19/2021

Z03.8,B34.2,
R10.4 B,B,B BPJS B 3/10/2021
P-III
B34.2 B CASH - 3/26/2021
O47.1,B34.2,
B34.2 B,B,B BPJS B 3/5/2021
P00.3,Z03.9, P-III
Z03.9 B,B,B CASH B 3/6/2021
Z03.9,B34.2, P-III
Z03.9 B,B,B CASH B 3/9/2021

Z03.9 B BPJS B 3/31/2021

Z03.9,B34.2,
Z03.9 B,B,B BPJS B 3/1/2021
Z03.8,B34.2,
A09 B,B,B BPJS B 3/21/2021
 P-III
B34.2 B CASH - 3/30/2021

P-III
K30,B34.2 B,B CASH B 3/18/2021
I80.1,Z03.8,I
80.1 B,B,B BPJS B 3/25/2021

Z03.9 B BPJS B 3/14/2021

Z03.9 B BPJS B 3/14/2021

B34.2,B34.2 B,B BPJS B 3/6/2021

Z03.9 B BPJS B 3/1/2021

B34.2,B34.2 B,B BPJS B 3/12/2021

Z03.9 B BPJS B 3/15/2021

Z03.8,B34.2,
O21 B,B,B BPJS B 3/3/2021

Z03.9 B BPJS B 3/8/2021

B34.2,B34.2 B,B BPJS B 3/5/2021

B34.2,B34.2, P-III
B34.2 B,B,B CASH B 3/6/2021

Z03.9 B BPJS B 3/25/2021

B34.2,B34.2,
B34.2,I63.9 B,B,B,B BPJS B 3/18/2021

B34.2,B34.2 B,B BPJS B 3/25/2021

B34.2,I20.9 B,B BPJS B 3/22/2021

B34.2 B BPJS B 3/29/2021

B34.2,B34.2,
B34.2 B,B,B BPJS B 3/9/2021

Z03.9 B BPJS B 3/12/2021

Z03.9 B BPJS B 3/13/2021

B34.2,B34.2 B,B BPJS B 3/1/2021

B34.2 B BPJS B 3/27/2021

B34.2,B34.2, P-III
B34.2 B,B,B CASH - 3/5/2021

B34.2,B34.2 B,B BPJS - 3/21/2021

P-III
B34.2,B34.2 B,B CASH B 3/17/2021
P-III
B34.2 B CASH - 3/29/2021

Z03.9,N21.0,
N21.0,N21.0 B,B,B,B BPJS B 3/12/2021

Z03.9,B34.2 B,B BPJS B 3/11/2021

Z03.9 B BPJS B 3/15/2021

B34.2,B34.2,
B34.2 B,B,B BPJS B 3/26/2021
P-III
Z03.9 B CASH B 3/2/2021

Z03.9 B BPJS B 3/19/2021

Z03.9 B BPJS - 3/10/2021

BPJS B 3/27/2021

B34.2 B BPJS B 3/18/2021

Z03.9,J18.9 B,B BPJS B 3/22/2021

Z03.9 B BPJS B 3/10/2021

B34.2,B34.2 B,B BPJS B 3/8/2021

B34.2,E10 B,B BPJS B 3/6/2021

Z03.9 B BPJS B 3/6/2021

Z03.9 B BPJS B 3/28/2021

Z03.9 B BPJS - 3/4/2021

B34.2 B BPJS B 3/15/2021

P-III
Z03.9 B CASH B 3/4/2021

B34.2,B34.2 B,B BPJS B 3/3/2021

Z03.9 B BPJS B 3/19/2021

Z03.9,K30 B,B BPJS B 3/19/2021

B34.2,B34.2 B,B BPJS B 3/4/2021

P-III
Z03.9,J18.0 B,B CASH B 3/29/2021
P-III
B34.2 B CASH B 3/3/2021

Z03.9 B BPJS B 3/13/2021

B34.2,B34.2 B,B BPJS - 3/16/2021

Z03.9 B BPJS B 3/8/2021

B34.2 B BPJS B 3/3/2021

P-III
Z03.8 B CASH B 3/30/2021

B34.2,B34.2 B,B BPJS B 3/1/2021

P-III
Z03.8 B CASH B 3/10/2021
P-III
B34.2 B CASH B 3/18/2021

BPJS B 3/31/2021

B34.2 B BPJS B 3/28/2021

Z03.8 B BPJS B 3/31/2021

 BPJS B 3/25/2021

Z03.9 B BPJS B 3/31/2021

P-III
B34.2 B CASH B 3/18/2021

B34.2,Z03.9 B,B BPJS B 3/8/2021

Z03.9 B BPJS B 3/11/2021

B34.2,B34.2 B,B BPJS - 3/15/2021

Z03.9,B34.2 B,B BPJS B 3/8/2021

Z03.9 B BPJS B 3/10/2021

Z03.9,B34.2 B,B BPJS B 3/22/2021

Z03.9,B34.2 B,B BPJS B 3/8/2021

P-III
R55 B CASH B 3/14/2021

Z03.9,B34.2 B,B BPJS B 3/11/2021

Z03.9 B BPJS - 3/31/2021

Z03.8 B BPJS B 3/26/2021

Z03.9,Z03.9,
B34.2,Z03.9 B,B,B,B BPJS B 3/8/2021

Z03.8,B34.2 B,B BPJS B 3/21/2021

P-III
Z03.9 B CASH B 3/18/2021
Z03.9,Z03.8,
B34.2 B,B,B BPJS B 3/20/2021

B34.2 B BPJS B 3/3/2021

Z03.9 B BPJS B 3/23/2021

K30,B34.2 B,B BPJS B 3/17/2021

B34.2 B BPJS B 3/7/2021

B34.2,B34.2,
B34.2 B,B,B BPJS B 3/1/2021

Z03.9 B BPJS B 3/9/2021

P-III
B34.2 B CASH B 3/3/2021

B34.2 B BPJS B 3/23/2021

P-III
B34.2 B CASH B 3/7/2021
P-III
B34.2 B CASH B 3/7/2021

Z03.9 B BPJS B 3/12/2021

R50.9,Z03.9,
J63-3 B,B,L BPJS - 3/29/2021

Z03.9,B34.2 B,B BPJS - 3/15/2021

Z03.8 B BPJS B 3/27/2021

Z03.9,B34.2,
Z03.9 B,B,B BPJS B 3/1/2021

Z03.9 B BPJS B 3/31/2021

N18.0,B34.2 B,B BPJS B 3/29/2021

Z03.8 B BPJS B 3/26/2021

Z03.9,B34.2 B,B BPJS B 3/11/2021

P-III
Z03.9 B CASH - 3/2/2021

Z03.9 B BPJS B 3/19/2021

Z03.9 B BPJS B 3/10/2021

Z03.9 B BPJS B 3/7/2021

P-III
B34.2,B34.2 B,B CASH B 3/29/2021

B34.2,B34.2 B,B BPJS B 3/17/2021

P-III
B34.2,Z03-8 B,B CASH B 3/4/2021
Z03.9,M54.5
,N39.9 B,B,B BPJS B 3/28/2021

Z03.9 B BPJS B 3/10/2021

P-III
Z03.8 B CASH B 3/26/2021

B34.2 B BPJS B 3/25/2021

P-III
B34.2 B CASH B 3/26/2021

Z03.9 B BPJS B 3/18/2021

B34.2 B BPJS B 3/30/2021

B34.2,Z03.8 B,B BPJS B 3/1/2021

Z03.9,B34.2,
O47.1 B,B,B BPJS B 3/19/2021

P59.9,O80.0 B,B BPJS B 3/20/2021

B34.2,B34.2, P-III
O06.9 B,B,B CASH B 3/5/2021

Z03.9,B34.2 B,B BPJS B 3/9/2021

Z03.9,Z03.9,
B34.2 B,B,B BPJS B 3/10/2021

N18.0,N18.0,
N18.0,Z03.9 B,B,B,B BPJS B 3/17/2021
Z03.9,B34.2,
Z03.9 B,B,B BPJS B 3/7/2021