REGISTRASI RAWAT

RS. HARA
TANGGAL MASUK
No No Nama Pasien Ruangan
No Registrasi Pasien Nama Penjamin Alamat Pasien Kelas
1 1801010003 10050096 ELBERT JETHRO LEN GRIYA PERMATA CIPONDOK CIPONDOH
TANGERANG Telp. 08118968002

2 1801010005 10050098 CLINTON ROBERT GILI TRAWANGAN LOMBOK Telp.

TROTMAN 0418857722

3 1801010010 10031809 MOH SOLEH JL KOPERASI NO1 KARANGUJUNG BANDA

DAYA PEKEN AMPENAN LOMBOK Telp.
08179787266

4 1801010018 10046844 ARIEF SUBARDINATA JL REBANA 10 MATARAM MATARAM Telp.

087765173828

5 1801010023 10034321 FELISIA KUSTANTO JL SELAPARANG NO 8 CAKRANEGARA

MATARAM Telp. 081803633336

6 1801010027 10015857 FIRGHANDINI GRAHA PERMATA KOTA SELAGALAS

MATARAM Telp. 087863399542

7 1801020004 10050107 NIKEN FEBRILLIANTI BTN CITRA PERSADA BLOK A SESELA

GUNUNG SARI MATARAM Telp.
081917409049
7 1801020004 10050107 NIKEN FEBRILLIANTI BTN CITRA PERSADA BLOK A SESELA
GUNUNG SARI MATARAM Telp.
081917409049

8 1801020076 10048973 I GEDE BISMA ARKANANTA JL RA KARTINI GG KOMODO V MONJOK

MAHARDIKA SELAPARANG MATARAM Telp. 081907214878

9 1801020092 10043562 NUR OCTAVIA DWI JAYANTI JL. PETERNAKAN 2A BTN GORA ASRI
SELAGALAS BARU SANDUBAYA MATARAM
Telp. 082332839990

10 1801020097 10041230 MASKUR MARONG PEKARANGAN KR BARU

MATARAM Telp. 087765007214

11 1801020098 10050123 TRIFOSA KARANG TALIWANG MATARAM Telp.

087865990019

12 1801020129 10004427 SUSANTO JAMBU NO 2 MATARAM Telp. 08123751200

13 1801020197 10049379 NURLAELAH NUNGGA RASANE TIMUR BIMA Telp.

087876881700

14 1801020208 10050142 BY NY NIKEN FEBRILIA BTN CITRA PERSADA BLOK A SESELA

PTAYA LOMBOK
14 1801020208 10050142 BY NY NIKEN FEBRILIA BTN CITRA PERSADA BLOK A SESELA
PTAYA LOMBOK

15 1801020236 10050151 SRI RAMLAH DUSUN JOHAR PELITA JATI SELA GUNUNG
SARI LOMBOK Telp. 085205448230

16 1801030005 10050154 ZASKIA AYU RAHMAYANTI DUSUN JOHAR PELITA SESELA LOMBOK
Telp. 085205443230

17 1801030022 10035209 ANG KUI HWA YASEKEMBANG CILINAYA CAKRANEGARA

MATARAM Telp. 087865151019

18 1801030031 10028962 HARDIANTO BANGKET PUNIK NARMADA NARMADA

LOMBOK Telp. 087865870836

19 1801030040 10050120 NURUL AEN LINGKUNGAN TINGGAR RT 006/024

AMPENAN MATARAM

20 1801030066 10050165 SYARIFAH RUMAYSHA LINGKUNGAN TINGGAR TINGGAR AMPENAN

JUMEIDYL MATARAM Telp. 082147491333

21 1801030078 10045354 I NYOMAN SUDIARSA LINGKUNGAN BABAKAN GERUNG LOMBOK

Telp. 081803614441
21 1801030078 10045354 I NYOMAN SUDIARSA LINGKUNGAN BABAKAN GERUNG LOMBOK
Telp. 081803614441

22 1801030080 10049401 MAS'UD DUSUN SEDAYU KURIPAN KURIPAN

LOMBOK Telp. 081269623474

23 1801030090 10050163 FITRIA YUNIATI HALMAHERA NO 2C REMBIGE UTARA

KOMSYIATUN MATARAM Telp. 087864000100

24 1801030112 10050004 ABBAS CH JL. NURI NO. 12 BRANG BARA SUMBAWA

SUMBAWA BESAR Telp. 08175771526

25 1801030136 10049142 SUHAELI. SP. SPD LINGK. PONDHANA GERUNG UTARA

GERUNG UTARA GERUNG LOMBOK Telp.
081805251158

26 1801030267 10023673 MURNI NURHAYATI DASAN LEKONG KECAMATAN SUKAMULIA

LOMBOK Telp. 087763073228

27 1801030290 10050206 GUNNAR LARSSON GILI TRAWANGAN LOMBOK

28 1801040074 10050218 BY NY FITRIA YUNIATI HALMAHERA NO 2 C REMBIGA UTARA

MATARAM Telp. 087864000100
28 1801040074 10050218 BY NY FITRIA YUNIATI HALMAHERA NO 2 C REMBIGA UTARA
MATARAM Telp. 087864000100

29 1801040080 10050219 MUNIAH LINGK TEMBELOK 005 MANDALIKA

SANDUBAYA LOMBOK Telp. 081917618114

30 1801040095 10050191 MULYONO JL SEDAP MALAM NO 11 GOMONG BARAT

MATARAM Telp. 087864577111

31 1801040104 10050039 RAMDAN HADI DUSUN SEKOTONG 1 SEKOTONG TENGAH

SEKOTONG LOMBOK Telp. 085339257211

32 1801040106 10031896 SITI KHOTIMAH PETERNAKAN SELAGALAS MATARAM Telp.

087864166690

33 1801040124 10050021 PAHRU ANWAR DUSUN MENTINGGO LOMBOK Telp.

081907596901

34 1801040149 10048922 M. FAIZAL RISWANDA BTN KEKERI NO. 73 B MATARAM Telp.

085885436500

35 1801040255 10050252 ALFATIN PUTRA YUDISTIRA peternakan selagalas MATARAM Telp.

087864166690
35 1801040255 10050252 ALFATIN PUTRA YUDISTIRA peternakan selagalas MATARAM Telp.
087864166690

36 1801040265 10013809 NURHAYATI KENCANA NO.2 MONJOK TIMUR MONJOK

TIMUR MATARAM Telp. 081315109570

37 1801050027 10035120 MARIA MAGDALENA ETA LINGKUNGAN TEBERO LENENG PRAYA

Telp. 081916090541

38 1801050054 10049870 MADE ARY JL ANGGREK IV GEDUR SARI 004/275 ABIAN

KUSUMAWARDANI TUBUH BARU SANDUBAYA MATARAM Telp.
082236526353

39 1801050058 10050260 HJ. RUSNI DUSUN LANGKO LAUK LINGSAR LOMBOK

Telp. 081805748773

40 1801050065 10024716 NI NENGAH RESTARI JLN ROMEO NO 14 BTN SANDIK LOMBOK

Telp. 081907536788

41 1801050068 10049513 LUH MASTINI JL PENGSONG 2 NO 30 BTN PENGSONG

LABUAPI LABUAPI LOMBOK Telp.
087864325756

42 1801050074 10018444 AZRIEL ATHARRAYHAN TELAGA WARENG PEMENANG LOMBOK

PUTRA R Telp. 081916036732
42 1801050074 10018444 AZRIEL ATHARRAYHAN TELAGA WARENG PEMENANG LOMBOK
PUTRA R Telp. 081916036732

43 1801050087 10050265 KHALID MAULANA IBRAHIM LINGKUNGAN TEMBELOK MANDALIKA

MATARAM Telp. 081917618114

44 1801050161 10050280 HERLINA TUMBA BTN GRAND SERIMBUNG BLOK C NO 10

LEMBAR LOMBOK Telp. 081239565335

45 1801050177 10036091 IDA AYU PURNAMIWATI, SPD GORA LINGK SEKSARI CAKRANEGARA
MATARAM Telp. 081907627265

46 1801050209 10050289 NI LUH VONIE AFRILIANY JL DEWI RATIH NO 14 KARANG BANG BANG
CILINAYA CAKRANEGARA LOMBOK Telp.
087864778889

47 1801050215 10037191 NI PUTU DEVI SUMARYANI JL. PASIR PUTIH ABIAN TUBUH SEL. NO 7
CAKRANEGARA MATARAM Telp.
081803644602

48 1801050218 10009443 YENI GUNAWAN SAPUTRA JL.PERKUTUT NO.03 JERUK PURUT CAKRA
NEGARA MATARAM Telp. 0818541554

49 1801060006 10050297 MAZAYA GHAISANI PULO GEBANG INDAH BLOK K-14 NO 2 PULO
GEBANG JAKARTA TIMUR Telp.
085885923662
49 1801060006 10050297 MAZAYA GHAISANI PULO GEBANG INDAH BLOK K-14 NO 2 PULO
GEBANG JAKARTA TIMUR Telp.
085885923662

50 1801060010 10050299 RUSNAWARAH PRINGGASELA LOTIM LOMBOK Telp.

081918189111

51 1801060044 10050278 DRS M CERDIK SUSANTO GUNUNG SARI MATARAM Telp.

087863366663

52 1801060045 10007360 HJ. ERMA NURYANI UNIZAR NO 10 TURIDA TIMUR RT 003/279

MATARAM Telp. 081-915935932

53 1801060072 10050305 IDA BAGUS RAI KRESNA GORA LINGK SEKSARI CAKRANEGARA
MATARAM Telp. 081907627265

54 1801060085 10050255 LALU SAMSUL HANAPI ERLANGGA GG MIN KR KATENG PUNIA

MATARAM Telp. 08175731726

55 1801060086 10049527 SAMANTHA CATLYA JL MALOMBA LINGK TANGSI AMPENAN

TUHUMURY MATARAM Telp. 085339233318

56 1801060087 10050307 FAIZZATURRACHMI DUSUN LINGSAR TIMUR LINGSAR

MATARAM Telp. 082144685449
56 1801060087 10050307 FAIZZATURRACHMI DUSUN LINGSAR TIMUR LINGSAR
MATARAM Telp. 082144685449

57 1801060116 10050312 MUHAMMAD R.A. BIN H.A DASAN BAGEK TIMUR AIKMEL TIMUR AIKMEL
MUCTHAR LOMBOK Telp. 081999102002

58 1801060122 10022077 WARDA GUBUK BARU SOKONG TANJUNG

MATARAM Telp. 087864362111

59 1801060124 10039664 HJ NUR HASANAH PAGESANGAN BARAT LOMBOK Telp.

087765577838

60 1801060138 10050315 BY NY FAIZZATURRACHMI DUSUN LINGSAR TIMUR LINGSAR LINGSAR

LINGSAR LOMBOK Telp. 082144685449

61 1801060166 10050311 AGUS HARIYANTO S.SOS GEDUR RAYA NO 1 MONJOK BARAT

MATARAM Telp. 087865275040

62 1801060177 10048788 HENNY FITRIA HERAWATI PERESAK SEPAKEK PRINGGARATA LOMBOK

Telp. 081907165116

63 1801060184 10050321 MUHAMMAD ALI FIKRI PERESAK SEPAKEK PRINGGARATA LOMBOK

Telp. 081907165116
63 1801060184 10050321 MUHAMMAD ALI FIKRI PERESAK SEPAKEK PRINGGARATA LOMBOK
Telp. 081907165116

64 1801070002 10050322 FARIDAH DUSUN BENTENG 005/002 MELAYU

ASAKOTA BIMA Telp. 081238984536

65 1801070008 10002751 PUAS SEMBARO GENGGELANG GANGGA GANGGA

LOMBOK Telp. 0878-64507750

66 1801070014 10050328 AKIVA STATHOPOULOS HOTEL HOLIDAY RESORT ROOM 615

LOMBOK Telp. +610419101591

67 1801070027 10050331 HJ URYUN MUTIAH DSN TONGO 007/002 TONGO SEKONGKANG

SUMBAWA BESAR Telp. 085339905288

68 1801080032 10049977 DEWI SANTIKAWATI JL GORA DASAN TAMAN LINGK JANGKUK

SELAGALAS SANDUBAYA MATARAM Telp.
081917183313

69 1801080082 10050269 SYAMSUDIN RATO RATO BOLO BIMA Telp. 082339816511

70 1801080093 10034429 KARTINI DASAN TAMAN SELAGALAS MATARAM

Telp. 081907457038
70 1801080093 10034429 KARTINI DASAN TAMAN SELAGALAS MATARAM
Telp. 081907457038

71 1801080100 10048379 NAVILLA BAGIS JL MANDALIKA NO 23 TINGGAR AMPENAN

UTARA AMPENAN MATARAM Telp.
087865923305

72 1801080101 10048588 MAULIDIANA ASRI REPO RADEN LOTIM DANGER MASBAGIK

LOMBOK Telp. 081918161600

73 1801080104 10050349 SUDARMI RT 02 RW 04 JURAN ALAS SUMBAWA

SUMBAWA BESAR Telp. 081936763512

74 1801080111 10048585 HASNA AMIR JL MADIUN NO 6 PERUMAHAN TAMAN BARU

GUBENG KERTAJAYA MATARAM Telp.
087851544641

75 1801080140 10050357 ALFI ROSIDA DUSUN MONTONG PAL TANJUNG GANGGA

LOMBOK Telp. 082340415554

76 1801080243 10037522 NYOMAN RESMI JL TERATAI III NO.6 BTN BINTANG SENGGIGI
LOMBOK Telp. 087865920666

77 1801090006 10050382 RASIH MENGKURU JANAPRIA JANAPRIA LOMBOK

Telp. 081936906526
77 1801090006 10050382 RASIH MENGKURU JANAPRIA JANAPRIA LOMBOK
Telp. 081936906526

78 1801090022 10050391 AHMAD HD DUSUN KARYA MULYA PLAMPANG

PLAMPANG SUMBAWA BESAR Telp.
081907032404

79 1801090066 10049735 ERVINA ROSALINDA JL ADE IRMA SURYANI GG PANDA IV/ 56

MONJOK SEAPARANG MATARAM Telp.
081803705307

80 1801090082 10050400 SRI SUWARNI JEND REMBIGE BARAT REMBIGE MATARAM

Telp. 085338838589

81 1801090085 10050402 ZULFAN QORIBI HADI DASAN TAMAN SELAGALAS MATARAM

Telp. 081907457038

82 1801090086 10050403 BY NY KARTINI 2 DASAN TAMAN SELAGALAS MATARAM

Telp. 081907457038

83 1801090087 10050404 DENDI VINO PRATAMA R JL. GORA DASAN TAMAN LINGK. JANGKUK
SELAGALAS SELAGALAS MATARAM Telp.
081917183313

84 1801090113 10050411 ETIK MULIANTI DSN TODO RT. 002 RW 001 BENTEK GANGGA
LOMBOK Telp. 087865534615
84 1801090113 10050411 ETIK MULIANTI DSN TODO RT. 002 RW 001 BENTEK GANGGA
LOMBOK Telp. 087865534615

85 1801090142 10014670 WIDIAWATI SUNAN KUDUS I E10 KODYA ASRI

MATARAM Telp. 081933127641/081917364702

86 1801090145 10050271 ADAT, S.PD DASAN LEKONG BAREJULAT JONGGAT

LOMBOK Telp. 087864667019

87 1801090219 10050377 BAIQ PATMAH DEPAK RARANG TERARA LOMBOK Telp.

087863747164

88 1801090232 10050425 JUMAIN PESANGGARAHAN GERUNG LOMBOK Telp.

081803707603

89 1801090250 10004789 HIDAYATUS SAADAH JENDRAL SUDIRMAN GEGUTU TIMUR

REMBIGA MATARAM Telp. 0819-1715459

90 1801090254 10009776 UMI SRY TRISNAWATI ALPA RAYA BLOCK 9A NO 3 SANDIK

MATARAM Telp. 0818360943

91 1801090255 10043236 BAIQ SRIJA PRAYAWATI DESA BAYAN LOMBOK UTARA LOMBOK
Telp. 081933168231
91 1801090255 10043236 BAIQ SRIJA PRAYAWATI DESA BAYAN LOMBOK UTARA LOMBOK
Telp. 081933168231

92 1801100001 10050432 GUSTI PUTU DWIBAKTI KALIMANTING SURANADI NARMADA

LOMBOK Telp. 081805264127

93 1801100026 10048073 YULIA SULISTIAWATI JL KIHAJARDEWANTARA 1 BAGIRATI

MATARAM Telp. 087865481000

94 1801100036 10025586 SITI SUHADAK JL PRASARANA TERUSAN GOMONG SAKURA

MATARAM Telp. 081803611524

95 1801100070 10050006 IZZAT RAMADHAN TANAK BEAK DASAN TANAK BEAK NARMADA
MATARAM Telp. 081907639505

96 1801100076 10050443 AURORA CHELSEA ISWARA DSN TODO BENTEK GANGGA LOMBOK
JUSTITIA Telp. 087865534615

97 1801100090 10050268 H SAYUTI KARANG BEDIL UTARA KEDIRI LOMBOK

Telp. 081933137750

98 1801100092 10050448 BY NY HIDAYATUS S JENDRAL SUDIRMAN GEGUTU TIMUR

MATARAM MATARAM Telp. 08191715459
98 1801100092 10050448 BY NY HIDAYATUS S JENDRAL SUDIRMAN GEGUTU TIMUR
MATARAM MATARAM Telp. 08191715459

99 1801100178 10050390 MARIANI LING BOSOK MENALA TALIWANG SUMBAWA

BESAR Telp. 082236877770

100 1801100214 10050469 M SAFWAN KUANG TALIWANG SUMBAWA BESAR Telp.

081803767365

101 1801100246 10044372 AHMAD S. AG LING BUGIS TALIWANG MATARAM Telp.

081239503846

102 1801100261 10033577 AHMAD LINGKUNGAN BALI DUA SIMPASAI DOMPU

Telp. 081238162351

103 1801100263 10029637 WULAN YULIANA ISMAYANTI SAPTA PESONA NO.7 PAGUTAN MATARAM
Telp. 085933005523

104 1801100267 10046671 DAMIANUS DOWA DAPA JL. SELAT KARIMATA NO. 4 LING. PEMUDA
MEDE DASAN AGUNG BARU SELAPARANG
MATARAM Telp. 081907276172

105 1801110021 10016585 YULIA SARI RISNAWATI SEMANGGI III NO 2 MONJOK MATARAM
Telp. 087864539111
105 1801110021 10016585 YULIA SARI RISNAWATI SEMANGGI III NO 2 MONJOK MATARAM
Telp. 087864539111

106 1801110034 10050484 NI PUTU MATAZYA ZIANCHA KARANG TALIWANG TALIWANG MATARAM
VRNDA Telp. 08175790144

107 1801110069 10050488 L. HAIDAR ARSENIO WAFI SAPTA PESONA NO 7 PAGUTAN MATARAM
MATARAM

108 1801110090 10050489 QIRANI NURAIDA FITRI PRASARANA TERUSAN GOMONG SAKURA
MATARAM Telp. 081803611524

109 1801110094 10050453 GHUFRON SUBEKI PEJERUK DESA PEJERUK AMPENAN

MATARAM Telp. 081339776161

110 1801110109 10043799 ELIDIAWATI BTN JATI SELA REMBIGA MATARAM SAYANG
- SAYANG MATARAM Telp. 081907371735

111 1801110124 10034722 PUTU AGUSTINA ERNI ANGSOKA 1/441 BLOK G BTN SWETA TURIDA
BAYANTARI SANDUBAYA MATARAM Telp. 081917000739

112 1801110134 10050266 NI NENGAH WARNI JL GURU BANGKOL GG BANYUWANGI

PAGESANGAN TIMUR MATARAM MATARAM
Telp. 081805232770
112 1801110134 10050266 NI NENGAH WARNI JL GURU BANGKOL GG BANYUWANGI
PAGESANGAN TIMUR MATARAM MATARAM
Telp. 081805232770

113 1801110177 10050491 NURWAKHID JL. GILI AIR I/26 GATEP INDAH TAMAN SARI
TAMAN MATARAM Telp. 08123717160

114 1801110214 10050509 MAHDAN DUSUN TEGAL 001/001 MENINTING BATU

LAYAR LOMBOK Telp. 085237747517

115 1801120020 10050515 MAIZA NAHWA FIRDAUS SAYANG2 REMBIGA MATARAM Telp.
081805311362

116 1801120046 10040608 NURUL ADHA RT 3 KEDIRI SELATAN KEDIRI LOMBOK

Telp. 0817364668

117 1801120049 10010413 I NYOMAN SUETHA NUSAN INDAH VI/21 WISMA SWETE TURIDE
MATARAM Telp. 081339780068

118 1801120115 10050000 DIAH SRI ASTUTI ASPOL SINDU JL HASANUDIN KARANG
TALIWANG CAKRANEGARA MATARAM Telp.
087882831736

119 1801120142 10050527 WANG XING DREAM HOTEL KUTA LOMBOK LOMBOK
Telp. 087864598882
119 1801120142 10050527 WANG XING DREAM HOTEL KUTA LOMBOK LOMBOK
Telp. 087864598882

120 1801120178 10049992 ABDURRAHIM DUSUN BATUYANG DAYA BATUYANG

PRINGGABAYA LOMBOK Telp. 085337485009

121 1801130049 10050539 INDIE ADERRSON HOTEL LAU INN KUTA LOMBOK Telp.
085337269173

122 1801130089 10036998 NI MADE INDRA PUTRI JL. DATU TUAN IV/4 BUTUN INDAH BERTAIS
SWANDY SANDUBAYA MATARAM Telp. 087864167270

123 1801130116 10046472 DWI PUSPA HAPPYANTHI JL. RAYA TANJUNG NO. 3 MIDANG GUNUNG
SSI,MH SARI LOMBOK Telp. 087864464114

124 1801130152 10050558 EMILY LUZIE JETTER KUTA LOMBOK Telp. 01784473823

125 1801130169 10050559 RR TATIEK SULASTRI BTN KEKALIK MATARAM Telp.

087865490902

126 1801130183 10050562 MUHSIN BINHGKOK TIMUR MONTONG GAMANG

KOPANG LOMBOK Telp. 081907831421
126 1801130183 10050562 MUHSIN BINHGKOK TIMUR MONTONG GAMANG
KOPANG LOMBOK Telp. 081907831421

127 1801130185 10050564 BAIQ ROSANTI MONTONG BUWUH DUSUN MONTONG

CAHYADININGRAT LOMBOK Telp. 08175707454

128 1801130190 10050565 BY NY BAIQ ROSANTI C MONTONG BUWUH + DSN MONTONG

MONTONG MATARAM Telp. 08175707454

129 1801140003 10050561 MILLY MEDINA VALENT KRAKATAU NO 15 MATARAM MATARAM

Telp. 081237311612

130 1801140004 10049569 DESAK GDE LISTYA JL SANDUABAYA NO 65 BERTAIS

PARAMITHA CAKRANEGARA SANDUBAYA MATARAM
Telp. 081805615228/08133904219

131 1801140012 10050566 HENDRI PURWANTO DUSUN LENDANG BEDURIK SELONG

LOMBOK Telp. 085337169665

132 1801140013 10050567 IDO VINDY RETNO SINDU CAKRANEGARA MATARAM Telp.
SYAHPUTRA 08113886646

133 1801140014 10050568 MUHAMMAD DINAN JL ARYA BANJAR GETAS GG UBUR2 II/47
RAFISQY GATEP INDAH TAMAN SARI AMPENAN
MATARAM Telp. 08175241454
133 1801140014 10050568 MUHAMMAD DINAN JL ARYA BANJAR GETAS GG UBUR2 II/47
RAFISQY GATEP INDAH TAMAN SARI AMPENAN
MATARAM Telp. 08175241454

134 1801140016 10039876 NI MADE WIDYA APSARI P DATU TUAN IV NO 4 SWETA MATARAM
Telp. 081915821000

135 1801140020 10050570 BY NY DESAK GDE L P JL SANDUBAYA NO 65 BERTAIS

CAKRANEGARA SANDUBAYA MATARAM
Telp. 081805615228

136 1801140026 10015999 SAINI KARANG BARU SELATAN MATARAM Telp.

0818-365472

137 1801140032 10050573 BY NY RR TATIEK S. BTN KEKALIK MATARAM Telp.

087865490902

138 1801140033 10003730 NI WAYAN TINGGEN DATU TUAN III/5 BUTUN INDAH MATARAM
Telp. 081803622465/082340498040

139 1801140034 10046706 BAIQ VINA HANDAYANI NYIUR TEBEL DASAN LEKONG SUKAMULIA
LOMBOK Telp. 081997997574

140 1801150016 10050576 BY NY BAIQ VINA HAND NYIUR TEBEL DASAN LEKONG LOMBOK
Telp. 081997997574
140 1801150016 10050576 BY NY BAIQ VINA HAND NYIUR TEBEL DASAN LEKONG LOMBOK
Telp. 081997997574

141 1801150036 10050119 FADIAH AL MUSALLI JL ADI SUCIPTI GG KARTIKA II NO 96

TINGGAR AMPENAN MATARAM Telp.
081338342222

142 1801150062 10050176 NURHAYATI JL TEGUH FAESAL LINGK TEMEBELOK

MATARAM Telp. 087864504225

143 1801150069 10050238 M ALI NOVI GUBUK LEKOK APIT AIK PRINGGABAYA
MATARAM Telp. 085337916125

144 1801150077 10000330 NI KETUT LITA YANI ISMAIL MARZUKI NO 16 MATARAM Telp.
0819-17313133

145 1801150153 10050592 H.AFHAR IZUDIN MONTONG KUBUR SAKRA LOMBOK Telp.
081803717065

146 1801150243 10025379 H.MUHAMMAD NATSIR JL.DR WAHIDIN GG.SINGKEP NO.10

MATARAM Telp. 087865282007

147 1801150251 10050604 HARTATI LESTARI MONCOK KARYA MATARAM Telp.

081917420904
147 1801150251 10050604 HARTATI LESTARI MONCOK KARYA MATARAM Telp.
081917420904

148 1801160018 10019894 SULISTYARINI DANAU AYAMARU I/8 PAGUTAN BARAT

LOMBOK Telp. 081907005666

149 1801160024 10050458 ARI SUSANTI RW LESTARI REMPUNG PRINGGARATA

SUMBAWA BESAR Telp. 08175765424

150 1801160080 10050613 ABDILLAH ALI FADAQ JL ADI SUCIPTO GG KARTIKA II NO 96

TINGGAR AMPENAN MATARAM Telp.
081338342222

151 1801160089 10050587 KHOMASAN ALI FIKRI BATU BELEK BARAT RAKAM SELONG
LOMBOK Telp. 087863385966

152 1801160125 10025605 NUR AMALINA SABDARRIFA BTN PEGESANGAN INDAH MAUMERE Telp.
081907840435

153 1801160172 10050624 NANDA SUCI NURIMAN DESA KETARA LOTENG PUJUT LOMBOK
Telp. 085239866547

154 1801160186 10047797 HENDRIK LEOBETTI MONGGANO MONGGANO BIMA BIMA Telp.
085338905811
154 1801160186 10047797 HENDRIK LEOBETTI MONGGANO MONGGANO BIMA BIMA Telp.
085338905811

155 1801160194 10050626 BY NY NI KETUT LITA ISMAIL MARZUKI NO. 16 MATARAM

MATARAM MATARAM Telp. 081917313133

156 1801160224 10050610 NI NYOMAN SRI JAYANTI DUSUN KERANDANGAN SENGGIGI BATU
LAYAR LOMBOK Telp. 081907750034

157 1801160242 10021967 NABILA ABDULLAH NAHDI ADI SUCIPTO LING TUNGGAL KAYUN 11
AMPENAN MATARAM Telp. 081803626148

158 1801170008 10050636 HJ SITI AISYAH TGH NURUDIN NO 14 DUSUN KEKKERI

KEKERI GUNUNG SARI LOMBOK Telp.
081907005487

159 1801170035 10050644 BY NY HJ SITI AISYAH TGH NURUDIN NO. 14 DUSUN KEKERI
KEKERI KEKRI LOMBOK Telp. 081907005482

160 1801170046 10005057 BAIQ SEKAR PERTIWI SELAGALAS BARU MATARAM Telp.
081915793331

161 1801170053 10050454 I PUTU DANA MERDEKA I NO 29 BTN PEPABRI

PAGESANGAN MATARAM MATARAM Telp.
08175717153
161 1801170053 10050454 I PUTU DANA MERDEKA I NO 29 BTN PEPABRI
PAGESANGAN MATARAM MATARAM Telp.
08175717153

162 1801170081 10049286 ERLINA NOVITA JL RAJAWALI III 5 KAUHAN CAKRANEGARA

BARAT CAKRANEGARA MATARAM Telp.
087853943728

163 1801170086 10047454 KETUT PADMIYATI JL INDUSTRI GG LINGGARJATI TAMAN SARI

AMPENAN MATARAM Telp. 087864265859

164 1801170090 10049279 SUKRIA ASNI DUSUN BANTEK 001 GEGELANG LOMBOK
Telp. 081915980930

165 1801170107 10034742 FITRIA PERMATA SARI BATU RINGGIT SELATAN MATARAM Telp.
AMD.KEB 08175795272

166 1801170108 10050583 NUGRAHA ARIEF PRATAMA, DUSUN PEREMPUNG TIMUR GUNUNG SARI
DR LOMBOK Telp. 081907588313

167 1801170204 10050668 ELENA MINAKOVA VILLA SASAK LEBUNG SENGIGI LOMBOK
Telp. SAPTAROW@MAIL.RU

168 1801170232 10050426 NIDYA LUKITA FADILLAH SUMBAWA BESAR SUMBAWA BESAR Telp.
081339906518
168 1801170232 10050426 NIDYA LUKITA FADILLAH SUMBAWA BESAR SUMBAWA BESAR Telp.
081339906518

169 1801170246 10050554 LIEM JOK LIE JL PAGESANGAN INDAH XII NO 14

PAGESANGAN MATARAM Telp.
081917982829

170 1801170258 10050677 NI KOMANG RAVANIA DUSUN KERANDANGAN SENGGIGI BATU

LAYAR LOMBOK Telp. 081907750034

171 1801170259 10050678 BY NY NABILA A N ADISUCIPTO LING TUNGGAL KAYUN 11

AMPENAN MATARAM Telp. 081803626148

172 1801180015 10050680 TOHIR AL MUHDAR PONDOK JATI AJ 22 PAGERWOJO BUDURAN

SIDOARJO Telp. 081917304025

173 1801180029 10022311 RIZQIYATUL KAROMAH DUSUN KURANJI RT 02/KURANJI LOMBOK

Telp. 081929744200

174 1801180056 10050352 SRI ROHAYUNINGSIH DUSUN LAWITI 003 RANGGO PAJO DOMPU
Telp. 082341392859

175 1801180057 10039997 ANG TIAU TJWAN JL. ELANG NO. 9 JERUK MANIS MATARAM
Telp. 087865677175
175 1801180057 10039997 ANG TIAU TJWAN JL. ELANG NO. 9 JERUK MANIS MATARAM
Telp. 087865677175

176 1801180075 10050409 I MADE ADITYA WIRA JL DESTARATA NO 12 KR BENGKEL

KUSUMA CILINAYA CAKRANEGARA LOMBOK Telp.
081805281730

177 1801180077 10043978 KIRANA DEWI, HJ DUSUN PUNCANG SARI SANDIK BATU LAYAR
LOMBOK Telp. 081999093611

178 1801180080 10050511 NARCIS ST PERUM IMPIAN SEJAHTERA KAV 27 KARANG

PULE SEKARBELA MATARAM Telp.
082803643132

179 1801180087 10048999 AGNI HUMAIRA KEBUN JAYA BARAT 001/220 MONJOK
SELAPARANG MATARAM Telp. 081907820343

180 1801180101 10030610 ABDUL TAYIB JL SAKURA RAYA NO 5-6 BTN SWT
GEGERUNG I MATARAM Telp.
081933154470

181 1801180120 10049897 HIKMAH GETAP BARAT CAKRA SELATAN BARU

CAKRANEGARA MATARAM Telp. 0818543167

182 1801180144 10050696 NUMA RUMAISHA ACHMAD SELAGALAS BARU MATARAM MATARAM
Telp. 081915793331
182 1801180144 10050696 NUMA RUMAISHA ACHMAD SELAGALAS BARU MATARAM MATARAM
Telp. 081915793331

183 1801180217 10050706 STEPHEN HUMPREYS SENGGIGI LOMBOK Telp. 082339021456

184 1801180228 10050685 SARIFAH LINGKUNGAN TELAGA MAS BINTARO

AMPENAN MATARAM Telp. 0818036652221

185 1801180235 10050709 AURA NAJWA GRAHA PERMATA KOTA MATARAM Telp.
CHAERUNNISA 081933007123

186 1801180241 10050699 ASEP SETIADI PRANATA BAGEK LONGGEK TIMUR RAKAM SELONG
LOMBOK Telp. 087864951225

187 1801180245 10050711 ARVIN JASTIN FAYYAD BRAWIJAYA REGENCY BLOK II/4 06/105
CAKRANEGARA SELATAN CAKRANEGARA
MATARAM Telp. 081238885514

188 1801180250 10049222 KIRANA MAHESWARI F GRAHA PAGUTAN B9 PAGUTAN SEKARBELA

MATARAM Telp. 081222230582

189 1801180256 10050331 HJ URYUN MUTIAH DSN TONGO 007/002 TONGO SEKONGKANG
SUMBAWA BESAR Telp. 085339905288
189 1801180256 10050331 HJ URYUN MUTIAH DSN TONGO 007/002 TONGO SEKONGKANG
SUMBAWA BESAR Telp. 085339905288

190 1801180257 10050713 NOVY HERMAN SUSANTI BTN GORA ASRI BLOK A/9 MATARAM Telp.
0818364394

191 1801190001 10026445 HAJJAH SABARIAH TURIDA TIMUR TURIDA SANDUBAYA

MATARAM Telp. 081907967585

192 1801190002 10050715 I GUSTI AGUNG BAGUS HOS COKROAMINOTO GG MAVAN IV

ARIENDRA S MONJOK BARAT MATARAM Telp.
087865665977

193 1801190004 10050716 BY NY RIZQIYATUL K DUSUN KURANJI KURANJI LOMBOK Telp.

081929744200

194 1801190005 10050070 HOTIJAH JL KEBUDAYAAN NO 45 CAKRA BARAT

MATARAM Telp. 087854102200

195 1801190017 10050717 MAESARAH UTAMININGSIH BTN BUMI SASAK LESTARI NO 8 SESELA
GUNUNG SARI LOMBOK Telp. 081805230513

196 1801190040 10050721 M KEANU AZKA PRATAMA PERUM RUMAH KITA NO 26 SESELA SESELA
MATARAM Telp. 081916022500
196 1801190040 10050721 M KEANU AZKA PRATAMA PERUM RUMAH KITA NO 26 SESELA SESELA
MATARAM Telp. 081916022500

197 1801190041 10049529 BAIQ NAWARUYUN JL BATANGHARI VI NO 12 PERUM LINGK

BATAN MATARAM Telp. 085340533944

198 1801190067 10050730 M. DAREL KUSWANDI SELAGALAS SELAGALAS MATARAM Telp.

081936726111

199 1801190071 10050733 BY NY MAESARAH BTN BUMI SASAK LESTARI NO 8 SESELA

GUNUNG SARI LOMBOK

200 1801190072 10050348 I NYOMAN LANCIA SUYASA DUSUN JAGAPATI RANJOK GUNUNG SARI
RANJOK GUNUNG SARI MATARAM Telp.
0818360603

201 1801190079 10022721 I NENGAH KENTER GURU BANGKOL NO.11 PAGESANGAN

MATARAM MATARAM Telp. 081933121784

202 1801190139 10039664 HJ NUR HASANAH PAGESANGAN BARAT LOMBOK Telp.

087765577838

203 1801190167 10050745 ACI KUSUMAWATI JL BARITO RAYA NO 28 BARITO 002/189

TANJUNG KARANG SEKARBELA MATARAM
203 1801190167 10050745 ACI KUSUMAWATI JL BARITO RAYA NO 28 BARITO 002/189
TANJUNG KARANG SEKARBELA MATARAM

204 1801190176 10050748 AMIRA FATHINA PUTRI LINGK. TELAGA MAS BINTARO AMPENAN
MATARAM Telp. 0818036652221

205 1801190262 10050643 ATHAFARIZ FAREZI GILI TRAWANGAN TAMAN 1/230 KARANG
BARU MATARAM Telp. 081917277051

206 1801200023 10046910 ATHAYA RASYIQUL HAKIM KARANG ANYAR GERIMAX NARAMADA
LOMBOK Telp. 081916077770

207 1801200037 10003691 ARI SETIAWAN PERUMAHAN AURA MUTIARA LOMBOK

Telp. 0858-80064600

208 1801200041 10050537 RUDYANTO SAPUTRA JL. IMAM BONJOL GG PEPAYA TOHPATI
MATARAM MATARAM Telp. 081805292911

209 1801200049 10050762 SITI DARMAH JL ADIPURA RONTU RABA LOMBOK Telp.
085339135370

210 1801200051 10004091 PROF DR dr MULYANTO PEMUDA 47 B MATARAM Telp. 08164260737

210 1801200051 10004091 PROF DR dr MULYANTO PEMUDA 47 B MATARAM Telp. 08164260737

211 1801200053 10050645 PAVLA VANICKOVA KUTA INDAH LOMBOK LOMBOK Telp.
081703533133

212 1801200058 10035560 NOVIANTY CITRADEWI PERKUTUT NO 11 JERUK MANIS

SURYA PUTRI CAKRANEGARA MATARAM Telp.
081933153888

213 1801200066 10050311 AGUS HARIYANTO S.SOS GEDUR RAYA NO 1 MONJOK BARAT
MATARAM Telp. 087865275040

214 1801200072 10050766 BENI SISWATI DUSUN BATU KUMBUNG BATU KUMBUNG
LINGSAR LOMBOK Telp. 087865111915

215 1801200131 10047797 HENDRIK LEOBETTI MONGGANO MONGGANO BIMA BIMA Telp.
085338905811

216 1801200135 10050774 DHABY AL-IRSYAD IRSANDY DUSUN BATU KUMBUNG BATU KUMBUNG
LINGSAR MATARAM Telp. 087865111915

217 1801200136 10050775 H MURTALA TAWALI RT 006/002 WERA BIMA Telp.

085333263052
217 1801200136 10050775 H MURTALA TAWALI RT 006/002 WERA BIMA Telp.
085333263052

218 1801210001 10050777 E GIYU GUNTARA JL. MELATI RAYA NO. 329 BTN REMBIGA
REMBIGA SELAPARANG MATARAM Telp.
081917161599

219 1801210005 10047792 LALU ARSYA AL FATIH RENTENG PRAYA PRAYA LOMBOK Telp.
KUSUMA 087865373600

220 1801210010 10050778 DIAN HADIANI JL AKUTANSI NO 1 JIMBARAN DENPASAR

Telp. 087839890038/087862017271

221 1801210017 10030767 SANIAH JAYAGRANA NO 8 CILINAYA CAKRANEGARA

MATARAM Telp. 087865097272

222 1801210021 10050782 SRI HASTUTI GG BADAK 1 NO. 1 MONJOK PEMAKMURAN

MATARAM Telp. 081917104495

223 1801210024 10001063 HARYONO AVI PUTRA JL SRIWIJAYA MATARAM MATARAM Telp.
087765550007

224 1801210028 10050673 FAHRUR ROZI DEWI SARTIKA NO 14 MONJOK BARAT

MATARAM Telp. 082144357242
224 1801210028 10050673 FAHRUR ROZI DEWI SARTIKA NO 14 MONJOK BARAT
MATARAM Telp. 082144357242

225 1801210033 10050783 BAIQ ISNI PARDIANA JL CILINAYA INDAH B 24 BTN TAMAN
ANGGREK MATARAM Telp. 085239641000

226 1801210035 10050785 DIAN PUJI LESTARI SEDAYU SELATAN 008 KEDIRI SELATAN
KEDIRI LOMBOK Telp. 081936799335

227 1801220007 10050787 BY NY DIAN PUJI L. SEDAYU SELATAN 008 KEDIRI SELATAN
KEDIRI LOMBOK Telp. 081936799335

228 1801220057 10049746 PAOZIATUL HASANAH SALE JEROWARU LOMBOK Telp.

08175735484

229 1801220069 10048188 LIA NOVAYANTI, S.SOS JL. KOPERASI GG KECUBUNG PELEMBAK
DAYAN PEKEN AMPENAN MATARAM Telp.
081907705082

230 1801220077 10050737 NI WAYAN SUMIARTI JL ASRI IX/280 PERUM ALIT JEMPONG BARU
ARININGSIH SEKARBELA MATARAM Telp. 081917968321

231 1801220187 10050817 FAIHA ALYA MUHBITA PERUM KDA JL ELANG II NO 7 MATARAM
ALDRIN Telp. 08127017012
231 1801220187 10050817 FAIHA ALYA MUHBITA PERUM KDA JL ELANG II NO 7 MATARAM
ALDRIN Telp. 08127017012

232 1801220211 10050613 ABDILLAH ALI FADAQ JL ADI SUCIPTO GG KARTIKA II NO 96

TINGGAR AMPENAN MATARAM Telp.
081338342222

233 1801220220 10050828 SRY SUBIYANTI JL BATANGHARI VI NO 12 PERUM TANJUNG

KARANG SEKARBELA MATARAM Telp.
08113943657

234 1801230009 10030107 LINDRA ANANDRYA I LEE SELARANG GANG NENAS NO.12 MAYURA
MATARAM Telp. 087860777155

235 1801230012 10025297 AYRA JAZILA ISLAMI SETELUK ATAS SUMBAWA BESAR Telp.
087865255684

236 1801230015 10021695 I GEDE ARYA DIDI P GORA GG RAMBUTAN NO 4 SELAGALAS

SANDUBAYA MATARAM Telp.
0370636748/081916449654

237 1801230055 10050826 MUHAMMAD HAIKAL GG PANDA I BLOK B NO 19 MONJOK

ALKAMIL PERLUASAN MONJOK MATARAM Telp.
081915993660

238 1801230056 10021385 I GST AYU FADMASARI AMPENAN LOMBOK Telp. 081907418804
238 1801230056 10021385 I GST AYU FADMASARI AMPENAN LOMBOK Telp. 081907418804

239 1801230064 10048042 SARI ISMI WARDANI MUHAJIRIN LEMBUAK NARMADA LOMBOK
Telp. 08175730315

240 1801230080 10000424 SRI DAHLIA BANGIL VI NO 18 MATARAM Telp. 081-

703295999

241 1801230194 10003396 SUSANNA DEWI ROCHIMAH KOKOK SEGARA NO 10 X KEKALIK

MATARAM Telp. 0817-246035

242 1801230202 10036157 ARDIETA BERKAH FITRIA JL NUSA INDAH V E2S5 BTN SWETA
MATARAM Telp. 08123775359

243 1801240021 10050864 TEGAR MAULANA HABIBIE BTN LINGSAR PERMAI LOMBOK Telp.
087865167544

244 1801240032 10050861 AGUS SALIM JL.DR SUTOMO KR BARU SELATAN KARANG
BARU SELAPARANG MATARAM Telp.
0812363661611

245 1801240046 10050485 SULASTRI SENTELUK DSN PENYANGGET BATU LAYAR

SENTELUK LOMBOK Telp. 081916354445
245 1801240046 10050485 SULASTRI SENTELUK DSN PENYANGGET BATU LAYAR
SENTELUK LOMBOK Telp. 081916354445

246 1801240051 10040941 GUSTI AYU ARIYATI JL MERDEKA 1 GG PERJUANGAN NO 9 BTN

PEPA MATARAM Telp. 087864225321

247 1801240057 10004374 GHINA EMAYANTI BTN SEGANTENG INDAH MATARAM Telp.
0819-35906875

248 1801240062 10050390 MARIANI LING BOSOK MENALA TALIWANG SUMBAWA

BESAR Telp. 082236877770

249 1801240082 10044236 SUPRAPTI SKM PERMATA REGENCY BLOK D NO 5 PAGUTAN

MATARAM Telp. 081917619007

250 1801240142 10050547 MULYADIN LINGKUNGAN POLO KANDAI DUA WOJA

DOMPU Telp. 085237636465

251 1801240156 10050877 LUKMAN DUSUN BAGE BUNGKURV008/004 BERU

JEREWEH SUMBAWA BESAR Telp.
082339024418

252 1801240196 10045129 RAHMA IKA SAFITRI JL ALAMANDA II BTN SWETE TURIDA
MATARAM Telp. 0818036185737
252 1801240196 10045129 RAHMA IKA SAFITRI JL ALAMANDA II BTN SWETE TURIDA
MATARAM Telp. 0818036185737

253 1801240223 10049151 MARIHIN SUGIAN BARU LOMBOK Telp. 081918119289

254 1801240227 10050890 I GST AYU EKA SUKMAWATI JL. CHAIRUL ANWAR NO. 14 LOMBOK Telp.
081907002033

255 1801240233 10050892 BY NY GUSTI AYU A JL MERDEKA I GG PERJUANGAN NO 9 BTN

PEPABRI MATARAM Telp. 087864225321

256 1801240235 10002573 HUSER JOELLE VILLA DUDUK KAMPUNG DUDUK BATU
LAYAR MATARAM Telp.
082146914118/081933131265

257 1801240243 10050831 ARINA WINDRI RIVARTI SWASEMBADA VI NO 10 KEKALIK

SEKARBELA MATARAM Telp. 08175796703

258 1801240245 10003201 FATHUL DJANNAH,DR BATU BOLONG 42 GRIYA PAGUTAN BARAT
PAGUTAN MATARAM MATARAM Telp. 081-
938688090

259 1801240247 10050893 ENY YUSTIKA AMD.KEB DUSUN KARANG PENDAGI GONDANG
GANGGA LOMBOK Telp. 08175764789
259 1801240247 10050893 ENY YUSTIKA AMD.KEB DUSUN KARANG PENDAGI GONDANG
GANGGA LOMBOK Telp. 08175764789

260 1801250016 10050895 KADEK ADHY KRISNA TULIP BTN SWETA MATARAM Telp.
PANDITHA 0818364070

261 1801250032 10050897 IDA BAGUS DWI CAKRA UTARA CAKRA MATARAM MATARAM
PUTRAWIRJADI Telp. 081915953507

262 1801250047 10003730 NI WAYAN TINGGEN DATU TUAN III/5 BUTUN INDAH MATARAM
Telp. 081803622465/082340498040

263 1801250049 10050900 GO TYONG SAH BANJARAN SARI YASE KAMBANG LOMBOK
Telp.

264 1801250063 10050904 BY NY SUPRAPTI PERMATA REGENCY BLOK D NO 5 PAGUTAN

MATARAM Telp. 081917619007

265 1801250093 10050909 APRILIA APSARI JL. KEMBUNG GG. NURUL BAHAR BUGIS
BINTARO AMPENAN MATARAM Telp.
081805203050

266 1801250098 10050911 D.M. LAO LINGLING SWASAMBADA VI NO. 10 KEKALIK

SANGKUANE SEKARBELA MATARAM Telp. 08175796703
266 1801250098 10050911 D.M. LAO LINGLING SWASAMBADA VI NO. 10 KEKALIK
SANGKUANE SEKARBELA MATARAM Telp. 08175796703

267 1801250112 10042210 JUMATRI SEKAROH JEROWARU LOMBOK TIMUR

SELONG Telp. 087763087124

268 1801250113 10050916 BY NY ENY YUSTIKA DUSUN KARANG MENDAGI GONDANG

GANGGA LOMBOK Telp. 08175764789

269 1801250140 10049276 MUHAMAD ARSYA KHADAFI ITING BENGKEL UNGGA PRAYA BARAT
LOMBOK

270 1801260001 10050931 SITI MARDIATI BENETE MALUK SUMBAWA BESAR Telp.
081339165781

271 1801260017 10037347 MILANIA SAUSELE JL DANAU SINGKARAK NO 36 PAGUTAN

TIMUR MATARAM Telp. 081390048217

272 1801260032 10050915 YURI AYU SWADANI,.ST JL. KAPUAS RAYA NO. 40 PERUMNAS BARITO
TANJUNG KARANG SEKARBELA MATARAM
Telp. 087865922259

273 1801260037 10050937 WIDIA HARDINI DSN BATU LAYAR BATU LAYAR BATU LAYAR
LOMBOK Telp. 081907494022
273 1801260037 10050937 WIDIA HARDINI DSN BATU LAYAR BATU LAYAR BATU LAYAR
LOMBOK Telp. 081907494022

274 1801260039 10045684 BAIQ DENA MIFTA GG MEROTO NO 13 REMBIGE MATARAM

CHOIRUNNISA Telp. 087864766665

275 1801260044 10050735 RAHMAWATI MONGGO MONGGO MADAPANGGA LOMBOK

Telp. 082340852374

276 1801260053 10030405 ELISA NOVIANA ADE IRMA SURYANI karang taliwang
cakranegara MATARAM Telp. 087864366335

277 1801260056 10040056 I MADE SUSANA JL BUNGKARNO BUKIT NGANDANG

MATARAM Telp. 08175701093

278 1801260058 10049757 SAKINAH JL PABEAN GG BANDEN LING TELAGA MAS

BINTARO AMPENAN MATARAM Telp.
085291177778

279 1801260060 10043834 ARIDATI BATU KUMBUNG LINGSAR LOMBOK Telp.

0817153122

280 1801260076 10049638 H MARSIUM GILI GEDE SURADADI KARANG BARU

SELAPARANG MATARAM Telp. 081915949619
280 1801260076 10049638 H MARSIUM GILI GEDE SURADADI KARANG BARU
SELAPARANG MATARAM Telp. 081915949619

281 1801260098 10049687 SAMBAT HARYANTO BLURUA PENGENGAT PUJUT LOMBOK Telp.
08175753682/081803803404

282 1801260115 10016091 DONI PRAYANTO JELANTIK LOMBOK Telp. 081235321972

283 1801260136 10050944 NAUFAL MAUZA ARRAFIF KAPUAS RAYA NO 40 TANJUNG KARANG
MATARAM Telp. 087865922259

284 1801260149 10050764 HERGA PRASETIO JL CATURWARGA NO 34A MATARAM TIMUR

MATARAM TIMUR MATARAM Telp.
082339432380

285 1801260166 10050548 I GEDE PARWATA BATU DAWA TANJUNG KARANG SEKARBELA
MATARAM Telp. 03706177020

286 1801260176 10050955 BY NY WIDIA HARDINI DUSUN BATU LAYAR MATARAM Telp.
081907494022

287 1801270029 10050959 HUMAIRA ALIF DISKARA GG MEROTO NO 13 REMBIGE MATARAM

MATARAM Telp. 087864766665
287 1801270029 10050959 HUMAIRA ALIF DISKARA GG MEROTO NO 13 REMBIGE MATARAM
MATARAM Telp. 087864766665

288 1801270041 10050961 HJ. NURMI NGALI BELO BIMA BIMA Telp. 085205270503

289 1801270053 10050964 KHADIJAH HUSEIN JLN.PABEAN GG BANDEN LING TELAGA MAS
BINTARO AMPENAN MATARAM Telp.
085291177778

290 1801270184 10050984 BY NY ELISA NOVIANA ADE IRMA SURYANI KARANG TALIWANG
CAKRA MATARAM Telp. 087864366335

291 1801280001 10050986 SAHUMI DUSUN DASAN GERIA SELATAN DASAN

GERIA LINGSAR LOMBOK Telp. 08193009573

292 1801280004 10048796 A A MADE SURYA KENCANA JL HASANUDIN 130 CAKRANEGARA CAKRA
MATARAM Telp. 081231665404

293 1801280016 10016030 HENRY ROOSEVELT M KULINTANG NO 9 MATARAM Telp.

WENAS 082192327784

294 1801280025 10050996 MILAGROS GONZALEZ GILI TRAWANGAN LOMBOK Telp.

ROUCO 082145241121
294 1801280025 10050996 MILAGROS GONZALEZ GILI TRAWANGAN LOMBOK Telp.
ROUCO 082145241121

295 1801280027 10042537 DRS H M NURUN AINUDDIN DESA PEJERUK AMPENAN AMPENAN
SH MH PEJERUK MATARAM Telp. 081947000070

296 1801280029 10050900 GO TYONG SAH BANJARAN SARI YASE KAMBANG LOMBOK
Telp.

297 1801280030 10050997 H AHMAD FAUZI DUSUN NUSE GANTI PRAYA TIMUR LOMBOK
Telp. 087864186760

298 1801280036 10051000 NI NENGAH MUSTIANI MONTONG GALUR LINGSAR LOMBOK Telp.
085337195876

299 1801290014 10048806 FAIREL RAMA ANUGRAH GUNUNG SARI PERUMAHAN CITRA PERSADA
MATARAM Telp. 08179637898

300 1801290018 10051005 BY NY NI NENGAH MUST montong galur lingsar LOMBOK

301 1801290104 10050815 I GUSTI BAGUS OKA NETRA YASE KAMBANG 003/156 CILINAYA
CAKRANEGARA MATARAM Telp.
087765432423
301 1801290104 10050815 I GUSTI BAGUS OKA NETRA YASE KAMBANG 003/156 CILINAYA
CAKRANEGARA MATARAM Telp.
087765432423

302 1801290113 10051020 I MADE KRISNA JLN.CENDRAWASIH NO 123 D BRANG BIJI

SUMBAWA SUMBAWA BESAR Telp.
08185447707

303 1801290120 10051023 MUHAMMAD AZRIN GABAK DESA BATUJAI BATUJAI PRAYA
MUHSININ BARAT LOMBOK Telp. 0818367299

304 1801290129 10037320 SINAR MULATI DSN KALANGAN MAGELANG Telp.

081907009234

305 1801290150 10050876 NOVIA EKA PUTRI PERKUTUT 89 MONJOK BARU MONJOK
MATARAM Telp. 081907025709

306 1801290175 10049773 LALE PURWATI PRAYA LENENG LOMBOK Telp. 0817363386

307 1801290191 10049795 LALU MUHAMMAD ABDUL LENDANG BEDURIK SELONG LOMBOK Telp.
AZIZ 081917991771

308 1801290203 10050123 TRIFOSA KARANG TALIWANG MATARAM Telp.

087865990019
308 1801290203 10050123 TRIFOSA KARANG TALIWANG MATARAM Telp.
087865990019

309 1801290231 10051047 ZUHRIATI LING PONDOK PRASI BINTARO AMPENAN

MATARAM Telp. 081907998028

310 1801300010 10050516 NURHAYATI PENJANGKA SEPAKEK PRAYA

PRINGGARATA PRAYA Telp. 081907512955

311 1801300016 10049452 KOMANG SRI ANGGRENI JL TRANSITO GG 2 KR JERO MATARAM

Telp. 081246520487

312 1801300024 10006183 HJ YULASTRI MASBAGIK MATARAM Telp. 0818-05304208

313 1801300096 10051070 NURMALA YUDASARI JL HALMAHERA NO 7 GEGUTU BARAT

REMBIGE SELAPARANG MATARAM Telp.
087864938150

314 1801300118 10002799 WIDIASTUTI JL. KULINTANG NO 9 MATARAM MATARAM

Telp. 0370-635888/081339526990

315 1801300136 10048237 HINDUN LAHMADI JL. ARIEF RAHMAN HAKIM MATARAM Telp.
081212100554
315 1801300136 10048237 HINDUN LAHMADI JL. ARIEF RAHMAN HAKIM MATARAM Telp.
081212100554

316 1801300174 10051081 M SAID ARONI LONGSERANG TIMUR LANGKO LINGSAR

LOMBOK Telp. 087864042007

317 1801300211 10051089 REGINA HERMINA NDADA KARANG BUYUK KR.PANAS AMPENAN
DARA AMPENAN SELATAN AMPENAN LOMBOK
Telp. 08175767846

318 1801310055 10049810 I MADE PELET WANGITHA KARANG ANYAR DUSUN KARANG JEMBATAN
KEMBAR LEMBAR LOMBOK Telp.
081999856559

319 1801310061 10051106 MALIK HURAIBI JL ARIEF RAHMAN HAKIM MATARAM Telp.
081212100554

320 1801310068 10050375 JUNI HANAPI GG MELATI II NO 112 BTN REMBIGE

REMBIGE SELAPARANG MATARAM Telp. -

321 1801310072 10047497 H LALU M MUZHAR DRS PEMANGKET UBUNG JONGGAT LOMBOK
Telp. 081803672444

322 1801310078 10050807 ZUNDINA ULYA LINGKUNGAN LAUQ MASJID MATARAM

Telp. 081917707000
 322 1801310078 10050807 ZUNDINA ULYA LINGKUNGAN LAUQ MASJID MATARAM
Telp. 081917707000

323 1801310095 10051040 JUMRAH DUSUN GONTORAN TIMUR GONTORAN

LINGSAR MATARAM Telp. 087865621082

324 1801310118 10050556 NURHASANAH LING OTAK DESA UTARA DAYAN PEKAN
AMPENAN MATARAM Telp. 081917612551

325 1801310159 10051038 H MOCHDAR ZAINUDIN DUSUN SIGERONGAN SIGERONGAN

LINGSAR MATARAM Telp. 081805216333

Dicetak Oleh : nia ermawati, Jumat, 11 Januari 2019, 13:19:45

REGISTRASI RAWAT INAP ADMINISTRASI PASIEN
RS. HARAPAN KELUARGA
TANGGAL MASUK : 01/01/2018 S/D 31/01/2018
Ruangan Tgl Masuk Jml Tanggal Biaya Biaya Biaya
Kelas TglPulang Hari No Invoice Standar RS Tunai / IUR Jaminan
Palem Ward 01/01/18 1 4,849,935 4,753,646

Palem Ward 01/01/18 0 11,324,119 16,637,590

Palem Ward 01/01/18 2 5,675,636

Palem Ward 01/01/18 2 4,585,947 609,673

Palem Ward 01/01/18 2 9,364,191

Angsana Ward 01/01/18 2 4,634,668

Angsana Ward 02/01/18 1 4,770,071

Angsana Ward 02/01/18 1 4,770,071

Mahoni Ward 02/01/18 7 14,633,915 1,203,900

Mahoni Ward 02/01/18 2 7,036,358

Mahoni Ward 02/01/18 5 7,521,700

Mahoni Ward 02/01/18 3 5,511,683

Mahoni Ward 02/01/18 4 8,721,053 3,636,600

Mahoni Ward 02/01/18 3 20,011,732 158,084

Bayi 02/01/18 1 331,920

Bayi 02/01/18 1 331,920

Angsana Ward 02/01/18 3 13,138,565 13,222,565

Bayi 03/01/18 2 125,000 125,000

Palem Ward 03/01/18 6 13,606,835 624,704

Mahoni Ward 03/01/18 3 2,779,299

Angsana Ward 03/01/18 3 20,344,370 20,279,998

NICU-PICU 03/01/18 2 4,144,188 4,144,188

Mahoni Ward 03/01/18 2 16,265,796

Mahoni Ward 03/01/18 2 16,265,796

Mahoni Ward 03/01/18 2 6,416,377

Angsana Ward 03/01/18 3 10,409,379

Mahoni Ward 03/01/18 5 19,118,916 6,212,403

Mahoni Ward 03/01/18 2 9,327,445

Mahoni Ward 03/01/18 1 707,384

Palem Ward 03/01/18 3 9,202,027 1,550,508

Bayi 04/01/18 2 600,000

Bayi 04/01/18 2 600,000

Angsana Ward 04/01/18 2 4,409,702

Mahoni Ward 04/01/18 1 1,265,715

Mahoni Ward 04/01/18 5 13,457,266

Angsana Ward 04/01/18 2 10,099,365

Mahoni Ward 04/01/18 3 9,817,815

Mahoni Ward 04/01/18 3 4,889,856

Bayi 04/01/18 2 500,000

Bayi 04/01/18 2 500,000

Mahoni Ward 04/01/18 8 23,350,876 17,643,384

Mahoni Ward 05/01/18 2 1,611,340

Mahoni Ward 05/01/18 3 12,063,424 3,045,375

ICU-ICCU-HCU 05/01/18 0 11,992,283 10,934,179

Mahoni Ward 05/01/18 1 9,860,894

Mahoni Ward 05/01/18 2 8,425,361

Mahoni Ward 05/01/18 1 9,459,178 878,800

Mahoni Ward 05/01/18 1 9,459,178 878,800

Bayi 05/01/18 1 375,000

Mahoni Ward 05/01/18 3 3,723,593 625,719

Angsana Ward 05/01/18 3 10,965,030

Mahoni Ward 05/01/18 4 3,724,415

Angsana Ward 08/01/18 1 14,400,765

Palem Ward 05/01/18 2 3,929,945

Palem Ward 06/01/18 0 2,012,702 312,077

Palem Ward 06/01/18 0 2,012,702 312,077

Mahoni Ward 06/01/18 3 6,147,293 953,923

Palem Ward 06/01/18 3 17,557,286 11,573,343

Palem Ward 06/01/18 3 6,453,031 3,616,953

Bayi 06/01/18 2 635,607

Mahoni Ward 06/01/18 2 13,000,849

Mahoni Ward 06/01/18 3 13,069,057

Angsana Ward 06/01/18 1 6,367,519 1,685,850

Angsana Ward 06/01/18 1 6,367,519 1,685,850

Palem Ward 06/01/18 5 28,460,100 23,981,068

Mahoni Ward 06/01/18 3 4,209,981 3,942,005

Mahoni Ward 06/01/18 5 8,400,149 5,276,985

Bayi 06/01/18 1 606,920

Mahoni Ward 06/01/18 4 5,216,868

Angsana Ward 06/01/18 1 4,104,224

Bayi 06/01/18 1 300,000

Bayi 06/01/18 1 300,000

Palem Ward 07/01/18 3 7,019,438 6,935,695

Palem Ward 07/01/18 2 21,983,408 17,313,624

Palem Ward 07/01/18 2 6,453,523

Mahoni Ward 07/01/18 9 27,537,124 225,788

Angsana Ward 08/01/18 3 9,863,200

Mahoni Ward 08/01/18 3 7,633,319

Angsana Ward 08/01/18 3 10,974,682

Angsana Ward 08/01/18 3 10,974,682

Mahoni Ward 08/01/18 2 7,108,140

Mahoni Ward 08/01/18 3 16,267,581

Mahoni Ward 08/01/18 3 13,464,025 11,209,281

Mahoni Ward 08/01/18 7 35,122,004 8,855,175

Mahoni Ward 08/01/18 1 11,326,312 10,912,995

Mahoni Ward 08/01/18 4 3,565,434

Mahoni Ward 09/01/18 6 5,081,585

Mahoni Ward 09/01/18 6 5,081,585

Mahoni Ward 09/01/18 4 4,873,840 336,106

Palem Ward 09/01/18 6 41,537,216 48,913,304

Palem Ward 09/01/18 3 6,163,803 3,489,628

Bayi 09/01/18 2 500,000

Bayi 09/01/18 2 500,000

Bayi 09/01/18 2 500,000

Angsana Ward 09/01/18 3 10,993,474

Angsana Ward 09/01/18 3 10,993,474

Mahoni Ward 09/01/18 3 14,615,285 5,296,125

Mahoni Ward 09/01/18 1 6,677,713

Mahoni Ward 09/01/18 2 2,487,047

Mahoni Ward 09/01/18 5 4,892,580

Angsana Ward 09/01/18 3 13,080,087 13,551,280

Palem Ward 09/01/18 3 14,282,293 600,000

Mahoni Ward 09/01/18 7 11,113,594 795,900

Mahoni Ward 09/01/18 7 11,113,594 795,900

Mahoni Ward 10/01/18 2 14,086,825 15,652,212

Angsana Ward 10/01/18 2 5,198,086 321,100

Angsana Ward 10/01/18 4 18,519,940 6,274,925

Mahoni Ward 10/01/18 10 17,240,996

Bayi 10/01/18 2 500,000

Mahoni Ward 10/01/18 2 1,991,215

Bayi 10/01/18 2 300,000 300,000

Bayi 10/01/18 2 300,000 300,000

Palem Ward 10/01/18 8 27,532,922 18,450,752

Palem Ward 10/01/18 5 39,912,292 35,022,552

Palem Ward 10/01/18 2 13,746,614 6,560,444

Mahoni Ward 12/01/18 2 4,315,630

Angsana Ward 10/01/18 3 20,855,320 20,955,320

Mahoni Ward 10/01/18 2 4,684,904

Palem Ward 11/01/18 3 7,448,997 1,650,000

Palem Ward 11/01/18 3 7,448,997 1,650,000

Bayi 11/01/18 1 300,000

Bayi 11/01/18 2 500,000 500,000

Bayi 11/01/18 3 1,150,000

Mahoni Ward 11/01/18 3 9,379,148

Mahoni Ward 11/01/18 2 2,080,099

Angsana Ward 11/01/18 3 14,754,198

Angsana Ward 11/01/18 3 16,107,722

Angsana Ward 11/01/18 3 16,107,722

Mahoni Ward 11/01/18 3 2,947,757

Mahoni Ward 11/01/18 3 1,615,700

Mahoni Ward 12/01/18 3 2,594,088

Palem Ward 12/01/18 5 28,199,416 18,369,588

Mahoni Ward 12/01/18 4 18,580,934 5,284,623

Mahoni Ward 12/01/18 1 8,914,572

Palem Ward 12/01/18 1 3,788,561 3,860,086

Palem Ward 12/01/18 1 3,788,561 3,860,086

Mahoni Ward 12/01/18 6 10,097,481

Palem Ward 13/01/18 2 3,970,037

Palem Ward 13/01/18 2 6,030,627 4,730,952

Angsana Ward 13/01/18 2 7,617,960 3,702,992

Mahoni Ward 13/01/18 2 3,642,645 4,248,860

Angsana Ward 13/01/18 3 11,083,921

Mahoni Ward 13/01/18 4 27,069,316 1,644,979

Mahoni Ward 13/01/18 4 27,069,316 1,644,979

Angsana Ward 13/01/18 1 6,512,513 1,685,850

Bayi 13/01/18 1 525,000

Perina 14/01/18 1 1,341,805

Angsana Ward 14/01/18 2 10,406,350 1,004,000

Mahoni Ward 14/01/18 2 4,815,113

Mahoni Ward 14/01/18 2 10,755,335 10,276,630

Angsana Ward 14/01/18 2 2,941,692 2,941,692

Angsana Ward 14/01/18 2 2,941,692 2,941,692

Mahoni Ward 14/01/18 2 1,648,468

Bayi 14/01/18 2 600,000

Palem Ward 14/01/18 3 5,038,876 1,081,864

Bayi 14/01/18 2 600,000

Palem Ward 14/01/18 3 6,292,963 3,846,985

Angsana Ward 14/01/18 1 6,698,571 1,685,850

Bayi 15/01/18 0 375,000

Bayi 15/01/18 0 375,000

Angsana Ward 15/01/18 4 19,219,058 19,219,058

Mahoni Ward 15/01/18 2 9,264,911

Mahoni Ward 15/01/18 2 7,339,038

Angsana Ward 15/01/18 3 10,656,514

Palem Ward 15/01/18 3 6,107,277 1,682,519

Mahoni Ward 15/01/18 2 11,273,654

Mahoni Ward 15/01/18 3 11,157,675

Mahoni Ward 15/01/18 3 11,157,675

Palem Ward 16/01/18 3 7,536,442

Mahoni Ward 16/01/18 1 12,063,466 11,584,304

Bayi 16/01/18 3 600,000 600,000

Mahoni Ward 16/01/18 2 5,736,017

Mahoni Ward 16/01/18 2 11,199,352

Mahoni Ward 16/01/18 8 17,108,784

Mahoni Ward 16/01/18 2 2,539,284

Mahoni Ward 16/01/18 2 2,539,284

Bayi 16/01/18 2 500,000

Angsana Ward 16/01/18 3 10,591,027

Angsana Ward 16/01/18 2 9,385,441 8,233,867

Angsana Ward 17/01/18 1 4,111,248

Bayi 17/01/18 1 200,000

Angsana Ward 17/01/18 3 10,970,792

Mahoni Ward 17/01/18 3 16,016,422 2,849,361

Mahoni Ward 17/01/18 3 16,016,422 2,849,361

Angsana Ward 17/01/18 3 11,007,272

Mahoni Ward 17/01/18 5 23,119,158 8,000,354

Mahoni Ward 17/01/18 2 10,285,694

Mahoni Ward 17/01/18 4 12,500,069

Mahoni Ward 17/01/18 3 13,882,918

Mahoni Ward 17/01/18 1 20,799,900 22,785,018

Angsana Ward 17/01/18 7 13,300,438 2,852,602

Angsana Ward 17/01/18 7 13,300,438 2,852,602

Mahoni Ward 17/01/18 1 8,222,057 798,200

Bayi 17/01/18 2 625,000

Bayi 17/01/18 1 200,000

Palem Ward 18/01/18 1 8,807,643 8,094,328

Angsana Ward 18/01/18 1 4,371,377

Mahoni Ward 18/01/18 2 12,173,342 4,190,700

ICU-ICCU-HCU 18/01/18 0 6,024,907 5,345,406

ICU-ICCU-HCU 18/01/18 0 6,024,907 5,345,406

Mahoni Ward 18/01/18 2 10,359,366

Mahoni Ward 18/01/18 2 15,254,431 1,659,152

Angsana Ward 18/01/18 3 26,922,656 28,370,876

Mahoni Ward 18/01/18 1 8,788,966

Mahoni Ward 18/01/18 7 12,127,132

Palem Ward 18/01/18 2 5,117,060 400,000

Bayi 18/01/18 2 600,000

Bayi 18/01/18 2 600,000

Palem Ward 18/01/18 2 24,408,338 35,615,216

Angsana Ward 18/01/18 3 9,916,949

Palem Ward 18/01/18 2 3,641,336

Mahoni Ward 18/01/18 6 10,502,347

Mahoni Ward 18/01/18 1 1,034,778

Palem Ward 18/01/18 4 6,792,088 29,041

Palem Ward 19/01/18 2 9,794,613 5,144,366

Palem Ward 19/01/18 2 9,794,613 5,144,366

Palem Ward 18/01/18 3 8,869,542 5,405,809

ICU-ICCU-HCU 19/01/18 1 3,503,238

Palem Ward 19/01/18 0 1,816,187 64,518

Bayi 19/01/18 0 250,000

Angsana Ward 19/01/18 1 2,826,488

Angsana Ward 19/01/18 1 3,855,476

Perina 19/01/18 1 1,390,158

Perina 19/01/18 1 1,390,158

Palem Ward 19/01/18 5 12,537,171 7,678,638

Mahoni Ward 19/01/18 3 2,822,301 292,200

Bayi 19/01/18 1 300,000

Mahoni Ward 19/01/18 3 6,267,622

Mahoni Ward 19/01/18 4 5,685,699

Palem Ward 19/01/18 4 9,519,994 8,914,632

Angsana Ward 19/01/18 1 7,825,590 1,808,325

Angsana Ward 19/01/18 1 7,825,590 1,808,325

Bayi 19/01/18 2 500,000

Palem Ward 19/01/18 3 4,646,381 745,142

Palem Ward 20/01/18 2 4,227,629

Palem Ward 20/01/18 4 23,955,804 238,882

Palem Ward 20/01/18 3 7,446,301 3,015,655

Mahoni Ward 20/01/18 4 2,869,998

Palem Ward 20/01/18 1 3,710,700

Palem Ward 20/01/18 1 3,710,700

Angsana Ward 20/01/18 1 8,239,780

Palem Ward 20/01/18 2 5,856,822 1,000,000

Mahoni Ward 20/01/18 4 4,337,540

Angsana Ward 20/01/18 2 9,080,792

Mahoni Ward 20/01/18 2 2,528,965

Bayi 20/01/18 2 612,750

Mahoni Ward 20/01/18 4 3,772,599

Mahoni Ward 20/01/18 4 3,772,599

Mahoni Ward 21/01/18 2 2,770,866 730,362

Mahoni Ward 21/01/18 2 2,278,639

Mahoni Ward 21/01/18 4 7,774,206 6,342,764

Palem Ward 21/01/18 3 6,916,568

Mahoni Ward 21/01/18 2 18,168,352 1,285,335

Palem Ward 21/01/18 2 5,765,510 5,386,984

Palem Ward 21/01/18 6 34,373,080 25,321,372

Palem Ward 21/01/18 6 34,373,080 25,321,372

Mahoni Ward 21/01/18 6 9,685,654 576,563

Angsana Ward 21/01/18 1 4,290,089

Bayi 22/01/18 0 125,000

Angsana Ward 22/01/18 4 22,896,972

Angsana Ward 22/01/18 4 18,318,808 1,275,600

Mahoni Ward 22/01/18 2 7,342,364

Mahoni Ward 22/01/18 3 4,092,779

Mahoni Ward 22/01/18 3 4,092,779

Perina 22/01/18 2 1,971,000 1,971,000

Palem Ward 22/01/18 3 7,133,475

Palem Ward 23/01/18 2 3,260,601 520,000

Palem Ward 23/01/18 1 1,982,668

Mahoni Ward 23/01/18 2 3,375,978 3,267,879

Mahoni Ward 23/01/18 2 2,067,779

Palem Ward 23/01/18 3 5,221,712 2,243,098

Palem Ward 23/01/18 3 5,221,712 2,243,098

Angsana Ward 23/01/18 1 6,103,144

Mahoni Ward 23/01/18 2 11,733,766

Palem Ward 23/01/18 1 4,430,380

Mahoni Ward 23/01/18 3 5,077,642 808,010

Mahoni Ward 24/01/18 1 1,311,884

Palem Ward 24/01/18 3 4,996,547 1,101,446

Mahoni Ward 24/01/18 1 11,236,412

Mahoni Ward 24/01/18 1 11,236,412

Angsana Ward 24/01/18 2 9,532,156

Palem Ward 24/01/18 3 5,461,730 328,147

Mahoni Ward 24/01/18 8 13,489,038

Angsana Ward 24/01/18 3 15,455,960 5,270,925

Mahoni Ward 24/01/18 2 8,474,975

Mahoni Ward 24/01/18 5 9,574,778

Palem Ward 24/01/18 3 6,090,995 5,999,705

Palem Ward 24/01/18 3 6,090,995 5,999,705

Mahoni Ward 24/01/18 1 3,741,215

Palem Ward 24/01/18 3 4,600,982 1,633,335

Bayi 24/01/18 2 500,000

Mahoni Ward 24/01/18 4 10,227,393 12,009,096

Angsana Ward 24/01/18 3 15,471,398 5,270,925

Palem Ward 24/01/18 3 15,146,670 8,677,080

Angsana Ward 24/01/18 3 10,694,022

Angsana Ward 24/01/18 3 10,694,022

Mahoni Ward 25/01/18 2 3,271,219 3,085,963

Mahoni Ward 25/01/18 3 2,722,422

Mahoni Ward 25/01/18 1 3,678,305

Mahoni Ward 25/01/18 2 3,703,557 3,521,197

Bayi 25/01/18 2 750,000

Angsana Ward 25/01/18 1 4,522,666

Bayi 25/01/18 2 750,000

Bayi 25/01/18 2 750,000

Mahoni Ward 25/01/18 3 8,143,954

Bayi 25/01/18 2 500,000

Mahoni Ward 25/01/18 2 6,114,950

ICU-ICCU-HCU 26/01/18 5 60,027,336

Palem Ward 26/01/18 4 77,060,280 61,531,184

Angsana Ward 26/01/18 2 9,929,212

Angsana Ward 26/01/18 2 10,411,126

Angsana Ward 26/01/18 2 10,411,126

Angsana Ward 26/01/18 3 10,119,336

Mahoni Ward 26/01/18 2 10,807,921

Angsana Ward 26/01/18 2 5,299,232

Mahoni Ward 26/01/18 2 7,590,634

Angsana Ward 26/01/18 3 10,274,877

Mahoni Ward 26/01/18 2 10,905,869

Mahoni Ward 26/01/18 1 9,606,680

Mahoni Ward 26/01/18 1 9,606,680

Mahoni Ward 26/01/18 2 14,564,218 5,163,328

Mahoni Ward 26/01/18 2 1,763,312

Bayi 26/01/18 2 500,000

Palem Ward 26/01/18 2 19,606,720 2,115,499

Mahoni Ward 26/01/18 5 26,865,440 7,690,050

Bayi 26/01/18 2 531,920

Bayi 27/01/18 2 531,920

Bayi 27/01/18 2 531,920

Mahoni Ward 27/01/18 2 3,911,376 3,629,143

Bayi 27/01/18 2 631,920

Bayi 27/01/18 1 450,000

Angsana Ward 28/01/18 3 4,147,865

Mahoni Ward 28/01/18 2 16,197,046 6,199,200

Palem Ward 28/01/18 2 6,083,722

Mahoni Ward 28/01/18 1 996,108 1,234,854

Mahoni Ward 28/01/18 1 996,108 1,234,854

Palem Ward 28/01/18 3 6,189,536

Mahoni Ward 28/01/18 4 4,323,980 4,188,741

Mahoni Ward 28/01/18 2 8,964,781 8,890,970

Angsana Ward 28/01/18 3 13,617,893 13,701,893

Palem Ward 29/01/18 2 4,954,221 200,000

Bayi 29/01/18 2 250,000 250,000

Mahoni Ward 29/01/18 2 8,662,576

Mahoni Ward 29/01/18 2 8,662,576

Palem Ward 29/01/18 2 3,980,729 68,513

Mahoni Ward 29/01/18 9 41,779,612 13,765,733

Mahoni Ward 29/01/18 2 8,945,582

Mahoni Ward 29/01/18 2 9,121,141

Mahoni Ward 29/01/18 2 15,318,968 6,320,400

Mahoni Ward 29/01/18 2 13,794,432

Mahoni Ward 29/01/18 5 6,473,846

Mahoni Ward 29/01/18 5 6,473,846

Mahoni Ward 29/01/18 3 3,180,330

Mahoni Ward 30/01/18 6 6,560,182 6,319,263

Angsana Ward 30/01/18 1 7,324,702

Mahoni Ward 30/01/18 3 4,450,854 3,986,651

Angsana Ward 30/01/18 4 11,618,269

Palem Ward 30/01/18 3 15,232,276 14,598,163

Angsana Ward 30/01/18 3 21,091,422 20,941,672

Angsana Ward 30/01/18 3 21,091,422 20,941,672

Mahoni Ward 30/01/18 3 18,918,414

Angsana Ward 30/01/18 1 5,913,749 2,152,825

Mahoni Ward 31/01/18 5 18,488,684

Bayi 31/01/18 2 250,000 250,000

Mahoni Ward 31/01/18 3 15,609,539 4,942,050

Mahoni Ward 31/01/18 3 14,132,735 5,404,771

Mahoni Ward 31/01/18 3 19,417,266 6,090,825

Mahoni Ward 31/01/18 3 19,417,266 6,090,825

Mahoni Ward 31/01/18 3 6,724,093

Mahoni Ward 31/01/18 2 7,443,983

Mahoni Ward 31/01/18 4 3,180,072

 Biaya Jumlah Kete
Jaminan Uang Muka rangan

10,000,000

5,938,036

3,724,452

8,667,995

4,400,588

1,958,068
 1,958,068

6,354,693

7,365,946

5,251,054

3,872,592

4,299,704

19,349,724
12,741,512

2,021,502

8,626,332
 8,626,332

7,800,269

6,387,768

12,737,222

5,025,367

1,411,632

8,341,953
1,664,548

3,393,074

9,444,483

5,415,399

5,987,435

1,914,189
4,885,467

3,887,328

3,336,819

4,993,974

5,546,686

4,702,586
4,702,586

3,052,930

6,729,459

2,489,230

1,550,940

3,968,641

1,728,625
 1,728,625

5,201,570

3,919,245

2,312,437

12,353,560

5,272,109

1,865,749
 1,865,749

15,225,000 23,981,000

1,000,000

3,622,152

4,549,683

2,001,547

-18,000
 -18,000

2,000,000

6,970,172

7,185,947 1,024,000

25,799,272

5,432,108

5,559,056

5,704,319
5,704,319

4,612,975

8,123,484

4,436,267

9,806,900

3,000,000

3,952,259

6,162,372
6,162,372

4,485,692

10,000,000

2,237,757

5,669,225
 5,669,225

6,189,277

8,687,837

2,657,261

2,330,004

4,000,000

12,718,046

4,109,617
4,109,617

1,614,815

4,934,311

7,498,463

-30,000

2,735,145
7,780,240

6,184,700 10,000,000

7,144,409

2,967,770

4,123,815

5,685,653
5,685,653

-18,000

6,660,059

5,694,694

8,048,818

8,567,656
 8,567,656

2,809,446

2,689,402

9,206,722

8,633,231 1,000,000

12,789,738

5,061,740
 8,445,719

4,884,388

3,283,785

6,255,158

26,344,978
26,344,978

1,868,192

1,341,805

5,284,954

4,628,766
1,946,353

3,929,140

2,299,416

1,852,469

-22,500
 -22,500

5,494,833

4,358,072

5,398,774

4,407,405 7,000,000

2,474,899

3,936,183
 3,936,183

7,426,175

3,243,980

5,680,502

4,506,047

14,449,913

6,463,943
 6,463,943

5,397,453

1,363,574

1,367,920

-12,000

6,379,131

12,927,583
12,927,583

8,267,375

15,084,508

4,984,664

8,059,832

4,224,748

1,900,000

10,218,626
10,218,626

4,458,108

1,000,000

1,664,417

4,854,005
 5,024,442

14,273,633

25,000,000

5,059,770

8,341,883

4,108,988
5,422,966

3,526,562

6,327,374

1,691,221

6,126,948

4,388,082
4,388,082

2,566,275

4,026,703

1,613,226

-15,000

2,114,902

2,016,471

3,810,191
3,810,191

4,820,926

1,587,691

300,000

4,344,259

3,655,069

1,843,933
 1,843,933

3,878,671

3,938,262

24,941,512

4,265,854

4,675,974

3,710,700
3,710,700

9,966,685

4,517,631

6,553,737

5,475,108

6,463,399

4,783,471
 4,783,471

2,030,168

2,285,433

6,466,551

16,518,472

1,000,000

7,575,017 10,000,000
7,575,017 10,000,000

8,199,816

1,669,295

-7,500

4,993,057

6,550,020

5,611,666

3,689,129
3,689,129

7,041,589

2,640,016

1,780,061

500,000

2,641,641

2,831,523
 2,831,523

2,044,911

6,355,010

4,340,366

4,186,245

1,112,709

3,856,238

11,186,412
11,186,412

5,453,311

4,643,896

5,059,132

6,096,598

7,932,360

8,057,366

1,000,000
 1,000,000

2,954,365

2,779,811

4,118,400

2,000,000

6,095,672

5,338,208 1,200,000

5,721,159
5,721,159

6,654,557

5,998,945

4,794,800

1,450,840

4,794,800
 4,794,800

6,742,679

4,118,400

9,891,202

52,760,136

14,052,900

5,763,607

5,743,193
 5,743,193

5,421,440

7,782,220

1,934,049

4,348,439

6,418,742

11,656,082

8,703,004
 8,703,004

8,514,529

2,520,961

16,101,776

8,684,034

4,116,485

4,116,485
4,116,485

624,000

3,849,179

9,309,244

5,627,474

300,000
 300,000

6,032,483

3,000,000

4,726,908

5,065,381
 5,065,381

3,914,707

26,602,368 270,000

5,046,428

5,502,967

7,509,406

5,840,928

2,933,164
2,933,164

6,184,017

3,000,000

3,885,128

6,227,110

21,983,050
 21,983,050

2,934,379

1,715,336

8,450,407

5,670,324

8,702,371

6,965,124
6,965,124

4,299,310

5,602,116

3,533,972

Halaman 41 dari 41

149,026,030