Laporan Narkotik Maret 2017

RS.
URIP SUMOHARJO Periode : Maret 2017 Dicetak oleh :

LAPORAN KHUSUS PENGGUNAAN OBAT Jenis Obat : NARKOTIK YULIANITA
02 Apr 2017 , 13:49
Page : 1 of 59
NARKOTIK
01 Maret 2017
No.Resep Tgl.Penyerahan Nama Obat Qty Sat Nama Pasien Alamat Nama Dokter Alamat
RS0317-000748 01/03/2017 CODEIN 10 MG TAB 600.000.00 TABLET MAT SAMSO.TN DESA MARGOREJO RT DR. PAD DILANGGA SP.P RSUS
RS0317-000746 01/03/2017 CODEIN 10 MG TAB 600.000.00 TABLET IQBA LULHAQ.TN 02/01
JL.WR JATI AGUNG
SUPRATMAN DR. PAD DILANGGA SP.P RSUS
GG.RD DANIAL NO.1 LK
RS0317-000251 01/03/2017 CODEIN 10 MG TAB 1000.000.00 TABLET MARGIO,TN IP.DAMAR
RT 03 GUNUNG MAS I
GG.DELIMA DR. RIDHUAN IRAWAN RSUS
TBU
NO.57 RT02/01 SP.PD
RS0317-000739 01/03/2017 CODEIN 10 MG TAB 400.000.00 TABLET SUNARDI, TN WAYDADI SUKARAME
DESA SELORETNO RT DR. SUHARSONO SP.S RSUS
RS0317-000017 01/03/2017 CODEIN 10 MG TAB 300.000.00 TABLET ARJO SLAMET, TN 03/03PURWOSARI
DSN BANJAR SARI DR. PAD DILANGGA SP.P RSUS
005/001 KETAPANG
RS0317-000021 01/03/2017 CODEIN 10 MG TAB 300.000.00 TABLET SURONO, TN LAMPUNG
JL. KAVLINGSELATAN
RAYA NO. DR. PAD DILANGGA SP.P RSUS
RS0317-000257 01/03/2017 CODEIN 10 MG TAB 1000.000.00 TABLET H.HAZAIRIN, TN 17
LIWARAJA BASA RAYA DR. RIDHUAN IRAWAN RSUS
RS0317-000351 01/03/2017 CODEIN 10 MG TAB 1400.000.00 TABLET SANSUWIRYO TN SUMBER AGUNG RT SP.PD
DR. RIDHUAN IRAWAN RSUS
RS0317-000754 01/03/2017 CODEIN 10 MG TAB 600.000.00 TABLET NASRUDI, TN 001/004
JL. SRAGI JATI
IR. SUTAMI SP.PD
DR. PAD DILANGGA SP.P RSUS
RAHAYU SUKABUMI
RS0317-000756 01/03/2017 CODEIN 10 MG TAB 400.000.00 TABLET SRIYONO, SDR CAMPANG JAYA
DUSUN X DESA DR. PAD DILANGGA SP.P RSUS
RS0317-000862 01/03/2017 CODEIN 10 MG TAB 1000.000.00 TABLET AYUNDA DERFITA SIDOHARJO WAY PANJI
JL. S.HAJI GG.CEMARA DR. RIDHUAN IRAWAN RSUS
RS0317-000906 01/03/2017 CODEIN 10 MG TAB 400.000.00 TABLET ZAHRA, AN
MENSUPARTI.NY I
LABUHAN DALAM SP.PD
RS0317-000141 01/03/2017 CODEIN 10 MG TAB 1000.000.00 TABLET RITA PUSPITA , NY TANJUNG
JAYA SENANG
TINGGI RT DR. RIDHUAN IRAWAN RSUS
RS0317-000690 01/03/2017 CODIPRONT CUM EXPT SYR 100.000.00 FLS WILLIAM KARYA 001/001 KEC.KASUI
JL PULAU DAMAR GG SP.PD
DR. HANGGORO SAPTO RSUS
PERMATA,SDR MADRASAH WAY SP.THT
RS0317-000250 01/03/2017 CODIPRONT CUM EXPT SYR 100.000.00 FLS ROBUNAWATI ,NY KANDIS
PULAU SINGKEP DR. RIDHUAN IRAWAN RSUS
RL0317-000014 01/03/2017 CODIPRONT CUM EXPT SYR 100.000.00 FLS ny.Jumtidar SUKARAME SP.PD
DR. ASRIZAL SPJ RSUS
RS0317-000348 01/03/2017 CODIPRONT CUM EXPT SYR 100.000.00 FLS SRI MAISAROH, NY JL. RADEN PEMUKA DR. FERMIZET Sp.PD RSUS
GUNUNG SULAH
RL0317-000017 01/03/2017 CODIPRONT SYR 100.000.00 FLS FUADZAN DR. ZANDIKA HARDY RSUS
RS0317-000894 01/03/2017 CODIPRONT SYR 100.000.00 FLS HUMSA.NY JL.P. SEBUKU LK.IV HARAHAP
DR. IMRON SP.PD RSUS
TANJUNG BARU
RS0317-000240 01/03/2017 CODIPRONT SYR 100.000.00 FLS ANSORI,TN KEDAMAIAN
JL. RADEN PEMUKA. DR. MARINA, SP. PD RSUS
GG. DAMAI. GUNUNG
RS.URIP SUMOHARJO Periode : Maret 2017 SULAH. WAY HALIM Dicetak oleh :
YULIANITA
LAPORAN KHUSUS PENGGUNAAN OBAT Jenis Obat : NARKOTIK 02 Apr 2017 , 13:49
Page : 2 of 59
RS0317-000082 01/03/2017 DUROGESIC MATRIX 12.5 200.000.00 PCS NURYANA, NY INDRA BANGSAWAN DR.BINTANG, SP.B (K) RSUS
MCG/H GG HI HASAN 003 /- RT ONK
RS0317-000861 01/03/2017 FENTANYL 2 ML INJ 100.000.00 AMP NGADIRAH, NY 003
JLN. RAJABASA
P. SANGIANG LK I DR. PUTU JUNITA P., RSUS
RS0317-000035 01/03/2017 FENTANYL 2 ML INJ 100.000.00 AMP SURADI, TN 005/-RAHAYU
PUJI SUKARAME
001 RT SP.AN
DR. PUTU JUNITA P., RSUS
002 KEL PUJI RAHAYU SP.AN
RS0317-000050 01/03/2017 FENTANYL 2 ML INJ 100.000.00 AMP SAMINEM, NY KEC MERBAU
KB ILIR MATARAM
RT 003 KOTA DR. PUTU JUNITA P., RSUS
RS0317-000409 01/03/2017 FENTANYL 2 ML INJ 100.000.00 AMP SUKAT, TN BUMIPAPAN RT/RW
KALI SP.AN
02/014 NEGERI AGUNG SP.AN
RS0217-027401 01/03/2017 MST CONTINUS 10 MG TAB 600.000.00 TABLET IRIYANTO, TN DUSUN BARUNO RT DR. MARINA, SP. PD RSUS
016 PONCOWATI
RS0317-000434 01/03/2017 MST CONTINUS 10 MG TAB 300.000.00 TABLET JANNES PURBA.TN TERBANGGI
JATI MULYO BESAR
RT DR. IMRON SP.PD RSUS
022/007 KEL.JATI
RL0317-000036 01/03/2017 MST CONTINUS 10 MG TAB 6000.000.00 TABLET ny sumirah MULYO KEC.JATIA DR. MARINA, SP. PD RSUS
GUNG
RS0317-000531 01/03/2017 MST CONTINUS 10 MG TAB 100.000.00 TABLET ANSORI,TN JL. RADEN PEMUKA. DR. M. IMAM RIFAI RSUS
GG. DAMAI. GUNUNG
RS0317-000432 01/03/2017 PETHIDIN INJ 100.000.00 AMP MASHAPRI TN SULAH. WAY
JL PULAU HALIM
BATAM RAYA DR. PUTU JUNITA P., RSUS
NO 12 LK I RT 001 WAY SP.AN
Sub Total 30.000 item : 17400.000.00 HALIM PERMAI
02 Maret 2017
RS0317-001496 02/03/2017 CODEIN 10 MG TAB 100.000.00 TABLET DARSONO, TN DSUN MUJI MULYO DR. TANIA RSUS
RS0317-001779 02/03/2017 CODEIN 10 MG TAB 1000.000.00 TABLET MOHAMMAD MUHDIR, MUARA PUTIH RT
JL.RA KARTINI NO,725 DR. RIANA HANDAYANI, RSUS
RS0317-001768 02/03/2017 CODEIN 10 MG TAB 800.000.00 TABLET TN
SULASTRI, NY 021/11
PRINGSEWU SELATAN
JL.KESUMA RATU SP.J
SUMBER REJO
RS0317-001820 02/03/2017 CODEIN 10 MG TAB 900.000.00 TABLET H, BAHRUDIN, TN KEMILING
DESA PURWODADI DR. PAD DILANGGA SP.P RSUS
RS0317-001747 02/03/2017 CODEIN 10 MG TAB 600.000.00 TABLET CUK SUGIANTO, TN GISTING
SINDANG SARI RT DR. PAD DILANGGA SP.P RSUS
003/001 KEC TANJUNG
RS0317-000954 02/03/2017 CODEIN 10 MG TAB 400.000.00 TABLET H, BAHRUDIN, TN BINTANG
RS0317-001508 02/03/2017 CODEIN 10 MG TAB 1500.000.00 TABLET JOHANSYAH.TN GISTING
ASPOL POLRES WAY DR.KHAIRANI, SP.THT RSUS
KANAN KEL NEGERI
RS0317-001510 02/03/2017 CODEIN 10 MG TAB 1500.000.00 TABLET SUPIAH, NY BARU
TUGU KEC
SARI II RT 001 / DR. RIANA HANDAYANI, RSUS
BLAMBANGAN
002 KEC SUMBERUMPU
JAYA SP.J
RS.URIP SUMOHARJO Periode : Maret 2017 Dicetak oleh :
02 Apr 2017 , 13:49
Page : 3 of 59
RS0317-001394 02/03/2017 CODEIN 10 MG TAB 600.000.00 TABLET DANNY YOVITA JL.PROV SUMANTRI DR. DIANA NUR ASRINI RSUS
MAHARANI,NN BOJONEGORO KOST
RS0317-001764 02/03/2017 CODEIN 10 MG TAB 900.000.00 TABLET RIKO RIYAN ALLISA HOME
SIDODADI JATI KEC DR. PAD DILANGGA SP.P RSUS
RS0317-001637 02/03/2017 CODEIN 10 MG TAB 1500.000.00 TABLET RAMADHAN.SDR
DARSONO, TN TANJUNG
DSUN MUJIBINTANG
MULYO DR.KHAIRANI, SP.THT RSUS
RS0317-001255 02/03/2017 CODEIN 10 MG TAB 2000.000.00 TABLET TUSIMIN, SDR MUARA
DSN PUTIH RT
V SUMBER REJO DR. NINA SP.P RSUS
021/11
RT 19 RW 08
RS0317-001588 02/03/2017 CODEIN 10 MG TAB 1000.000.00 TABLET ISKANDAR TN KESUMADADI BEKRI
DESA PASURUAN KEC. DR. RIDHUAN IRAWAN RSUS
PENENGAHAN SP.PD
RS0317-001527 02/03/2017 CODEIN 10 MG TAB 2000.000.00 TABLET DESI MARYANI,NY KALIANDA
BERNAI RT/RW 02 KEL DR. RIDHUAN IRAWAN RSUS
RS0317-001605 02/03/2017 CODIPRONT CUM EXPT SYR 100.000.00 FLS HALIMAH NY 004PRAMUKA
JL KEL KOTAKAPLING
AGUNG SP.PD
DR. SUHARSONO SP.S RSUS
RS0317-001932 02/03/2017 CODIPRONT CUM EXPT SYR 100.000.00 FLS AYUNDA DERFITA RAYA 5 NO 8 RAJABASA
RS0317-001087 02/03/2017 CODIPRONT SYR 100.000.00 FLS ZAHRA, AN
LAILI QOMARIAH. NN ILK PRINGOMBO IV SP.PD
DR. RA. HANI RSUS
008/004 PRINGSEWU
RS0317-001511 02/03/2017 CODIPRONT SYR 100.000.00 FLS PARLAUNGAN TIMUR
JLN DARULSALAM GG DR. RIDHUAN IRAWAN RSUS
RITONGA, TN DAHLIA II 007 /- KEL SP.PD
RS0317-001861 02/03/2017 CODIPRONT SYR 100.000.00 FLS MENAK SYAH RATU, NY LANGKA PURA
JL KOPI VI KEC
BLOK U NO DR. RAHMI ULFA RSUS
KEMILING
29 PERUM 'WAY HALIM
RS0317-000957 02/03/2017 CODIPRONT SYR 100.000.00 FLS TRI WININGSIH, NY DESA FAJAR MATARM DR. IMRON SP.PD RSUS
RS0317-001965 02/03/2017 DUROGESIC MATRIX 12.5 200.000.00 PCS MENSUPARTI.NY SEPUTIH MATARAM
LABUHAN DALAM DR. PAD DILANGGA SP.P RSUS
RS0317-001324 02/03/2017 MCG/H
FENTANYL 2 ML INJ 100.000.00 AMP TANJUNG SENANG
DINA SEPTIARRESTU, JL.WOLTER DR. BUDI OKTA P, SP. RSUS
SH.M.KN, NY MONGONSIDI NO.164 AN
RS0317-001744 02/03/2017 FENTANYL 2 ML INJ 100.000.00 AMP ARIFIN, TN PENGAJARAN TELUK
GUNUNG SANGKARAN DR. BUDI OKTA P, SP. RSUS
BETUNG UTARA
BLAMBANGAN UMPU AN BUDI OKTA P, SP.
RS0317-001106 02/03/2017 FENTANYL 2 ML INJ 100.000.00 AMP YULIA ROSSI. DR. NY JL.NUSANTARA KOMP DR. RSUS
P.PUJANGGA ALAM AN
RS0317-001532 02/03/2017 FENTANYL 2 ML INJ 300.000.00 AMP SRI SULASWORO, NY GARDENRSUS
JL. BUMI MANTI DR.RINALDI ADITYA RSUS
GG.SALAK II NO.47 ASRIZAL
RS0317-001331 02/03/2017 FENTANYL 2 ML INJ 100.000.00 AMP LAGINAH, NY KAMPUNG
DUSUN MULYOBARUBAKTI DR. BUDI OKTA P, SP. RSUS
DUSUSN 01/03 AN
RS0317-001265 02/03/2017 FENTANYL 2 ML INJ 100.000.00 AMP LIMAS HADIJAH.NY BAWANG PUNDUH
TOTOKATON RT DR. BUDI OKTA P, SP. RSUS
PIDADA
028/010 KEL/.ADIPURO AN
RS0317-001026 02/03/2017 MST CONTINUS 10 MG TAB 500.000.00 TABLET MENSUPARTI.NY KEC.TRIMURJO
LABUHAN DALAM DR. SUHARSONO SP.S RSUS
RS.URIP SUMOHARJO Periode : Maret 2017 TANJUNG SENANG Dicetak oleh :
02 Apr 2017 , 13:49
Page : 4 of 59
RS0317-001057 02/03/2017 MST CONTINUS 10 MG TAB 2000.000.00 TABLET ANSORI,TN JL. RADEN PEMUKA. DR. MARINA, SP. PD RSUS
GG. DAMAI. GUNUNG
SULAH. WAY HALIM
RS0317-001391 02/03/2017 MST CONTINUS 10 MG TAB 100.000.00 TABLET SULASTRI. NY DUSUN KEDAUNG DR. MELDA DASEPTA RSUS
Sub Total 30.000 item : 19000.000.00 TIMUR 002/002
03 Maret 2017 KEDAUNG SRAGI
RS0317-002086 03/03/2017 CODEIN 10 MG TAB 300.000.00 TABLET SUPARNO, TN DESA BUKIT RAYA DR. PAD DILANGGA SP.P RSUS
RS0317-002304 03/03/2017 CODEIN 10 MG TAB 600.000.00 TABLET FATMAWATI, NY MARGA ISEKAMPUNG
DUSUN MARGA DR. HASMI MAHA SP.PD RSUS
AGUNG JATI AGUNG
RS0317-002465 03/03/2017 CODEIN 10 MG TAB 1000.000.00 TABLET TASWIN, TN KEC. MARGA AGUNG
JLN. SENTOT ALIBASYA DR. RIDHUAN IRAWAN RSUS
GG. PEMBANGUNAN H SP.PD
RS0317-002759 03/03/2017 CODEIN 10 MG TAB 500.000.00 TABLET HJ. AISYAH. NY NO 127 007/- WAY
KOTABUMI DR. IMRON SP.PD RSUS
DADI SUKARAME
RS0317-002837 03/03/2017 CODEIN 10 MG TAB 1500.000.00 TABLET BUNGA, TN JL SATRIA DSN PATI DR. IMRON SP.PD RSUS
DESA SIDODADI KEC
RS0317-002719 03/03/2017 CODEIN 10 MG TAB 1000.000.00 TABLET DEDI JULIANSYAH,TN SIDOMULYO
GEDUNG HARAPAN RT DR. NINA SP.P RSUS
003 RW 004
RS0317-002739 03/03/2017 CODEIN 10 MG TAB 500.000.00 TABLET CIK IMAH, NY KEC,NEGERI
DESA GDUNGAGUNG
MENENG DR. IMRON SP.PD RSUS
RS0317-002846 03/03/2017 CODEIN 10 MG TAB 1200.000.00 TABLET M.ZAKI, SDR RAJA BASA
DESA SIDOHARJO KEC DR. IMRON SP.PD RSUS
RS0317-002338 03/03/2017 CODEIN 10 MG TAB 1500.000.00 TABLET SAYYIDAH SEKAR, NN PRINGSEWU
CAMPUR ASRI DR. RIDHUAN IRAWAN RSUS
RL0317-000142 03/03/2017 CODEIN 10 MG TAB 5100.000.00 TABLET TN.HAIDAR BARADATU SP.PD
DR. NINA SP.P RSUS
RL0317-000143 03/03/2017 CODEIN 10 MG TAB 1000.000.00 TABLET TN.DEDI DR. NINA SP.P RSUS
RS0317-001998 03/03/2017 CODEIN 10 MG TAB 400.000.00 TABLET MARIO, TN LK IV BANDAR JAYA DR. PAD DILANGGA SP.P RSUS
RS0317-002709 03/03/2017 CODEIN 10 MG TAB 900.000.00 TABLET HAIDAR ATIK, TN TIMUR
JL RAYA KALIBENING DR. NINA SP.P RSUS
RS0317-002076 03/03/2017 CODIPRONT CAP 100.000.00 CAPSUL AHMAD TOBRANI. TN 001/001
JL. RAYA ABUNG
RADEN INTAN DR. DIAJENG PUTRI RSUS
RS0317-002662 03/03/2017 CODIPRONT CAP 900.000.00 CAPSUL NIRSAH, TN SELATAN
NO.BATIN
JL. 34. TALANG IRACILY
ULANGAN NO DR. HASMI MAHA SP.PD RSUS
PADANG
23, SEPANG JAYA
RS0317-002733 03/03/2017 CODIPRONT CUM EXPT SYR 100.000.00 FLS KASIMAN, TN KEDATON
JL. PURNAWIRAWAN DR. NINA SP.P RSUS
RS0317-002781 03/03/2017 CODIPRONT CUM EXPT SYR 100.000.00 FLS AHMAD TOBRANI. TN NO.RAYA
JL. 25 GEDUNG
RADEN INTAN DR. NINA SP.P RSUS
RS0317-002217 03/03/2017 CODIPRONT CUM EXPT SYR 100.000.00 FLS TUKIJO, TN MENENG
NO. 34.
JLN. TALANGGG.
I. BONJOL DR. NINA SP.P RSUS
PADANGNO 46 008/-
DELIMA
RS0317-002682 03/03/2017 CODIPRONT CUM EXPT SYR 100.000.00 FLS NOMI MARGANAWATI SUKA JAWA TKB
JL KEMUNING 4 NO 452 DR. NINA SP.P RSUS
RS.URIP SUMOHARJO Periode : Maret 2017 NY PERUMNAS SLEMAN Dicetak oleh :
02 Apr 2017 , 13:49
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RS0317-002332 03/03/2017 CODIPRONT CUM EXPT SYR 100.000.00 FLS MUSAKIR, TN JL. RA BASYID GG DR. NINA SP.P RSUS
KAPTEN SUBLI
RS0317-002737 03/03/2017 CODIPRONT CUM EXPT SYR 100.000.00 FLS BOIMAN, TN LABUHAN
JL SUKARNO DALAM
HATA LK I DR. NINA SP.P RSUS
RT 002 PIDADA
PANJANG
RS0317-002968 03/03/2017 CODIPRONT SYR 100.000.00 FLS SARI OGANA, NN PERUM GRIYA ABDI DR. IMRON SP.PD RSUS
RS0317-002783 03/03/2017 CODIPRONT SYR 100.000.00 FLS SUMANTRI,TN NEGARA
BERANTIBLOK
RAYABNATAR
11 NO DR. MARINA, SP. PD RSUS
RS0317-002965 03/03/2017 CODIPRONT SYR 100.000.00 FLS TOMMY SETIAWAN. TN 8
JL. ARIF RAHMAN DR. IMRON SP.PD RSUS
RS0317-002255 03/03/2017 CODIPRONT SYR 100.000.00 FLS YULIA SUSANTI.NY HAKIM. NO. 14. PELANI
JL.PANGERAN DR. M. IMAM RIFAI RSUS
RL0317-000143 03/03/2017 DUROGESIC MATRIX 12.5 100.000.00 PCS TN.DEDI PURA
TIRTAYASA DR. NINA SP.P RSUS
RS0317-002185 03/03/2017 MCG/H
FENTANYL 2 ML INJ 100.000.00 AMP BRYAN TIO LAZUARDI, JL. KS TUBUN NO 38 DR. PUTU JUNITA P., RSUS
RS0317-002422 03/03/2017 FENTANYL 2 ML INJ 100.000.00 AMP SDR
YUDO YUWONO, TN RAWA
DS SUKALAUT
NEGARA SP.AN
RS0317-002436 03/03/2017 FENTANYL 2 ML INJ 100.000.00 AMP MARETA HENI, NY TANJUNG BINTANG
JL.PADJAJARAN NO.2 SP.AN
DR. ADI GUNAWAN RSUS
JAGA BAYA 2
RS0317-002472 03/03/2017 FENTANYL 2 ML INJ 100.000.00 AMP SETIARSO,TN SAMBI REJO 07/01 DS DR. PUTU JUNITA P., RSUS
TELOGO HARJO SP.AN
RS0317-002069 03/03/2017 FENTANYL 2 ML INJ 100.000.00 AMP WIWIK SRI WIJAWATI, WONOGIRI
DUSUN IV SUMBER DR. BUDI OKTA P, SP. RSUS
RS0317-002899 03/03/2017 FENTANYL 2 ML INJ 100.000.00 AMP NY
FERLY JAYA KEC
NURMAYASARI, BUMI JATIBUMI
HARJO AGUNG AN INDRA FAISAL, SP.
DR. RSUS
NY KENCANA SEPUTIH AN
RS0317-002655 03/03/2017 MST CONTINUS 10 MG TAB 800.000.00 TABLET SUPARMI.NY AGUNG
WAY GELAM RT 05/03 DR . M.BAYU RSUS
RS0317-002276 03/03/2017 MST CONTINUS 10 MG TAB 600.000.00 TABLET WARSA,TN CANDI PURO KALIANDA
LIMAU KUNCI /- KEL SAHADEWA,SP.OT
DR. MARINA, SP. PD RSUS
PADANG CAHYA KEC
RS0317-002007 03/03/2017 MST CONTINUS 10 MG TAB 100.000.00 TABLET WARSA,TN BALIK
LIMAU BUKIT
KUNCI /- KEL DR. RAHMI ULFA RSUS
PADANG CAHYA KEC
RL0317-000143 03/03/2017 MST CONTINUS 10 MG TAB 2000.000.00 TABLET TN.DEDI BALIK BUKIT DR. NINA SP.P RSUS
Sub Total 36.000 item : 21700.000.00
04 Maret 2017
RS0317-003702 04/03/2017 CODEIN 10 MG TAB 2000.000.00 TABLET MURWANTIO TN PT.GPM DR. IMRON SP.PD RSUS
RS0317-003219 04/03/2017 CODEIN 10 MG TAB 1400.000.00 TABLET PARLAUNGAN JLN DARULSALAM GG DR. RIDHUAN IRAWAN RSUS
RITONGA, TN DAHLIA II 007 /- KEL SP.PD
RS0317-003046 04/03/2017 CODEIN 10 MG TAB 400.000.00 TABLET SRIYONO, SDR LANGKA
DUSUN XPURA
DESAKEC DR. PAD DILANGGA SP.P RSUS
KEMILING
SIDOHARJO ' WAY PANJI
RS0317-003040 04/03/2017 CODEIN 10 MG TAB 300.000.00 TABLET PN. SUR, TN DESA PENIANGAN DR. PAD DILANGGA SP.P RSUS
RS.URIP SUMOHARJO Periode : Maret 2017 MARGA SE3KAMPUNG Dicetak oleh :
LAPORAN KHUSUS PENGGUNAAN OBAT Jenis Obat : NARKOTIK RT 01/04 YULIANITA
02 Apr 2017 , 13:49
Page : 6 of 59
RS0317-003718 04/03/2017 CODEIN 10 MG TAB 500.000.00 TABLET RUSTAM EFFENDI, TN JL.IKAN KACANGAN DR. IMRON SP.PD RSUS
NO.5 LK I SUKARAJA
RL0317-000194 04/03/2017 CODEIN 10 MG TAB 1000.000.00 TABLET NY RITA TELUK BETUNG DR. NINA SP.P RSUS
SELATAN
RS0317-003717 04/03/2017 CODEIN 10 MG TAB 1200.000.00 TABLET AHMAD FEBI JAYA, TN JL H AGUS SALIM DR. IMRON SP.PD RSUS
RS0317-003898 04/03/2017 CODIPRONT CAP 100.000.00 CAPSUL NADYA AZ ZAHRA NO.103 X/ ADMEDIKA
DUSUN DESA DR.MONETA MAHA RSUS
DARWAN.AN KERTOSARI TANJUNG
SARI
DARWAN.AN KERTOSARI TANJUNG
RS0317-003605 04/03/2017 CODIPRONT CUM EXPT SYR 100.000.00 FLS HENDRIYANI. NN SARI
PERUM BUKIT EMAS DR. RIDHUAN IRAWAN RSUS
PERMAI. BLOK.NO.5. SP.PD
RS0317-003102 04/03/2017 CODIPRONT CUM EXPT SYR 100.000.00 FLS NAJAMUDIN, TN SUKA
PERUMBUMI
PURI RUPI DR. NINA SP.P RSUS
INDAH BLOK A7 NO 12
RS0317-003407 04/03/2017 CODIPRONT CUM EXPT SYR 100.000.00 FLS SAHWIL IWAN, TN SUKABUMI
JL PURNAWIRAWAN I DR. NINA SP.P RSUS
GG PUTRA LK II RT I
RS0317-003496 04/03/2017 CODIPRONT CUM EXPT SYR 100.000.00 FLS AYUNDA DERFITA LANGKAPURA
RS0317-003014 04/03/2017 CODIPRONT SYR 100.000.00 FLS ZAHRA, ANTN
HERMISI. I RAYA MESIR ILIR
JL SP.PD
RS0317-003291 04/03/2017 CODIPRONT SYR 100.000.00 FLS 001/003 BAHUGA
ZAHRA YOAN NITA,NN JL.NUSA JAYA GG.NUSA DR. MARINA, SP. PD RSUS
RS0317-003403 04/03/2017 CODIPRONT SYR 100.000.00 FLS HALIM SANTOSO, TN 1NO.;2 RT BACAN
JL. PULAU 08 DR. IMRON SP.PD RSUS
WAYDADI
NO.20 JAGABAYA II LK
RS0317-003029 04/03/2017 CODIPRONT SYR 100.000.00 FLS SUKRISNAWATI, NY III 002/- SUKABUMI
JL PULAU RAKATA NO.4 DR. IMRON SP.PD RSUS
RS0317-003016 04/03/2017 CODIPRONT SYR 100.000.00 FLS JARIMAN , TN WAY HALIM
BANDAR PERMAI
JAYA DESA DR. MAHARANI RSUS
RS0317-003440 04/03/2017 DUROGESIC MATRIX 12.5 100.000.00 PCS INDRI MULYANI, NY ONO
JL HARJO
BUKIT RIGIS BLOK DR. PUTU JUNITA P., RSUS
MCG/H A8 NO 10 BERINGIN SP.AN
RS0317-003234 04/03/2017 DUROGESIC MATRIX 12.5 100.000.00 PCS JAYA KEMILING
FITRIA KARTINERIS NY BUKIT KEMILING DR. PUTU JUNITA P., RSUS
MCG/H PERMAI BLOK.T SP.AN
RS0317-003896 04/03/2017 FENTANYL 2 ML INJ 100.000.00 AMP BASIR TN NO.175/FISIOTERAPI
TIGA JAYA RT 001/001 DR. INDRA FAISAL, SP. RSUS
RS0317-003234 04/03/2017 FENTANYL 2 ML INJ 100.000.00 AMP FITRIA KARTINERIS NY SEKINCAU
BUKIT KEMILING AN
PERMAI BLOK.T SP.AN
RS0317-003779 04/03/2017 FENTANYL 2 ML INJ 100.000.00 AMP DESY MUGI NO.175/FISIOTERAPI
RSUS DR. INDRA FAISAL, SP. RSUS
RS0317-003207 04/03/2017 FENTANYL 2 ML INJ 100.000.00 AMP HERYANTI.DR
JUMINTO ,TN MOJOKERTO RT/RW AN PUTU JUNITA P.,
DR. RSUS
RS0317-003546 04/03/2017 FENTANYL 2 ML INJ 100.000.00 AMP SUTRISNO, TN 015/014
KARANG PADANG RATU
ENDAH RT 34 SP.AN
RW 36 TERBANGGI SP.AN
RS.URIP SUMOHARJO Periode : Maret 2017 BESAR Dicetak oleh :
02 Apr 2017 , 13:49
Page : 7 of 59
RS0317-003579 04/03/2017 FENTANYL 2 ML INJ 100.000.00 AMP NGATIYAH NY TUGUSARI RT 004/002 DR. PUTU JUNITA P., RSUS
HALANGAN RATU SP.AN
RS0317-003530 04/03/2017 FENTANYL 2 ML INJ 100.000.00 AMP ABELLIA SOFIA NEGERI KATON
DUSUN SIDOHARJO I DR. PUTU JUNITA P., RSUS
ANASTASYA. AN 014/ 005 NEGARA SP.AN
RS0317-003824 04/03/2017 FENTANYL 2 ML INJ 100.000.00 AMP SUGINI, NY RATU
MONONATAR
SARI RT 011 DR. INDRA FAISAL, SP. RSUS
RS0317-003465 04/03/2017 FENTANYL 2 ML INJ 100.000.00 AMP MUHAMMAD FATIH PEKALONGAN
SERDANG RT03/04 KEC AN
DR. BUDI OKTA P, SP. RSUS
DHIYA WADI,AN TANJUNG BINTANG AN
RS0317-003052 04/03/2017 FENTANYL 2 ML INJ 100.000.00 AMP SRI WAHYUNI, NY PENAWAR REJO DR. INDRA FAISAL, SP. RSUS
RS0317-003626 04/03/2017 FENTANYL 2 ML INJ 100.000.00 AMP ABDUL ROHMAN, TN BANJAR MARGO
SUKAJAYA 01 / 001 AN PUTU JUNITA P.,
DR. RSUS
TULANG BAWANG
SUKAJAYA KEC ANAK SP.AN
RS0317-003593 04/03/2017 FENTANYL 2 ML INJ 100.000.00 AMP LUTFI ZUZENDI.TN RATU AJI
JL.IKAN KITER BLOK CDR. PUTU JUNITA P., RSUS
RS0317-003357 04/03/2017 FENTANYL 2 ML INJ 100.000.00 AMP HERI PRANATA KANGKUNG
SUNGAI DALAM
LANGKA SP.AN
NO 49 DR. PUTU JUNITA P., RSUS
Sub Total 32.000 item : 9300.000.00 G.TATAAN/ SP.AN
05 Maret 2017
RS0317-004502 05/03/2017 CODEIN 10 MG TAB 300.000.00 TABLET TUKINO, TN PERUM RAGOM GAWI DR. PAD DILANGGA SP.P RSUS
BLOK. D NO. 16
RS0317-004667 05/03/2017 CODEIN 10 MG TAB 300.000.00 TABLET H, BAHRUDIN, TN KEMILING
RS0317-004045 05/03/2017 CODEIN 10 MG TAB 4500.000.00 TABLET JUMINTO ,TN GISTING
MOJOKERTO RT/RW DR. ARIETYA RSUS
RS0317-004617 05/03/2017 CODEIN 10 MG TAB 400.000.00 TABLET MARIO, TN 015/014
LK PADANG
IV BANDAR RATU
JAYA KUSUMA.P,SP.THT
RS0317-004266 05/03/2017 CODIPRONT CAP 600.000.00 CAPSUL NIRSAH, TN TIMUR
JL. BATIN ULANGAN NO DR. HASMI MAHA SP.PD RSUS
23, SEPANG JAYA
RS0317-004275 05/03/2017 CODIPRONT CAP 600.000.00 CAPSUL TEMEN . TN KEDATON
TANGJUNG WANGI , DR. MARS DWI CAHYO RSUS
RS0317-004246 05/03/2017 CODIPRONT CUM EXPT SYR 100.000.00 FLS AMIR MOGA SAKTI.TN LAM TIM BIRU A6
PERMATA SP.BU
DR. NINA SP.P RSUS
NO.8/9 SUKARAME
RS0317-004534 05/03/2017 CODIPRONT CUM EXPT SYR 100.000.00 FLS DEDY MUHARYANTO, JL. PURNAWIRAWAN DR. LUSY DAMAYANTI RSUS
TN GG.SWADAYA VIIV NO.
RS0317-004191 05/03/2017 CODIPRONT CUM EXPT SYR 100.000.00 FLS ROSTINA,NY 14A
LK 03GUNTER
SEKINCAU PASAR DR. NINA SP.P RSUS
RS0317-004150 05/03/2017 CODIPRONT CUM EXPT SYR 100.000.00 FLS MURSALIN, TN RT01/03
JL SEKINCAU
, DEMPO N0 18 000/- DR. NEILAN, SP.S RSUS
000 KEL LABUHAN
RS0317-004205 05/03/2017 CODIPRONT CUM EXPT SYR 100.000.00 FLS AHMAD TOBRANI. TN RATU KECRADEN
JL. RAYA LABUHANINTAN DR. NINA SP.P RSUS
RATU
NO. 34. TALANG
LAPORAN KHUSUS PENGGUNAAN OBAT Jenis Obat : NARKOTIK PADANG YULIANITA
02 Apr 2017 , 13:49
Page : 8 of 59
RS0317-004660 05/03/2017 CODIPRONT SYR 100.000.00 FLS SUPARTI, NY JL. BAWEAN I GG DR. MARINA, SP. PD RSUS
RS0317-004558 05/03/2017 CODIPRONT SYR 100.000.00 FLS TRI WININGSIH, NY HAMID LK II MATARM DR. IMRON SP.PD
DESA FAJAR RSUS
RS0317-004586 05/03/2017 CODIPRONT SYR 100.000.00 FLS LAILI QOMARIAH. NN SUKARAME
SEPUTIH MATARAM
LK PRINGOMBO IV DR. ANDI SISWANDI, RSUS
008/004 PRINGSEWU SP.B,.M.KES
RS0317-004478 05/03/2017 CODIPRONT SYR 100.000.00 FLS ENDANG SUHERNI NY TIMUR
JL P SINGKEP DR. DIANA NUR ASRINI RSUS
RS0317-004170 05/03/2017 DUROGESIC MATRIX 12.5 100.000.00 PCS DRA. SURIMAS, NY SUKABUMI
JL. CENGKEH UTARA V DR. BUDI OKTA P, SP. RSUS
MCG/H NO. 75 WAY HALIM AN
RS0317-004219 05/03/2017 FENTANYL 2 ML INJ 100.000.00 AMP MELINA PUTRI AHMAD, JL. BADAK NO.13 DR. BUDI OKTA P, SP. RSUS
RS0317-004607 05/03/2017 FENTANYL 2 ML INJ 200.000.00 AMP NN
TATIEK SIDODADI
HARININGSIH, JL P POLIMKEDATON
GG RANDU AN BUDI OKTA P, SP.
DR. RSUS
NY NO 18 A LK III RT 05 AN
RS0317-004262 05/03/2017 FENTANYL 2 ML INJ 100.000.00 AMP SUNARYO.TN SEAGALA MIDER
DSN VI SUKARAME DR. PUTU JUNITA P., RSUS
RS0317-004486 05/03/2017 FENTANYL 2 ML INJ 100.000.00 AMP NATAR JAYA 001/007
M. RAKA SAID ASEGAF, MORIS SP.AN
AN BANJAR AGUNG AN
RS0317-004375 05/03/2017 MST CONTINUS 10 MG TAB 3000.000.00 TABLET RUSNIMAR, NY TULANG BAWANG
PONCOWARNO DR. ADI NUGROHO SP.B RSUS
RS0317-004327 05/03/2017 MST CONTINUS 10 MG TAB 1500.000.00 TABLET SAMIASIH.NY KALIREJO
DSN CITAJAYA RT (K)O
DR. ADI NUGROHO SP.B RSUS
001/005 (K)O
Sub Total 22.000 item : 12700.000.00 KEL.BANGUNAN
KEC.PALAS
06 Maret 2017
RS0317-005465 06/03/2017 CODEIN 10 MG TAB 1000.000.00 TABLET SYAIROEL SYAH H PERUMDAM BLOK G DR. RIANA HANDAYANI, RSUS
RS0317-005063 06/03/2017 CODEIN 10 MG TAB 1400.000.00 TABLET SUBING.SH,TN
HENDRIYANI. NN NO16 LKIII
PERUM RT003
BUKIT EMAS SP.J RIDHUAN IRAWAN
DR. RSUS
SUKABUMI
PERMAI. BLOK.NO.5. SP.PD
RS0317-005660 06/03/2017 CODEIN 10 MG TAB 600.000.00 TABLET NURANI, NY SUKA BUMI SAWIT 6
JL. KELAPA DR. DIANA NUR ASRINI RSUS
RS0317-005817 06/03/2017 CODEIN 10 MG TAB 2000.000.00 TABLET SRI NUGRA HENI NY NO 176 CENDANA
KOMPLEK DR. RIDHUAN IRAWAN RSUS
INDAH JL. P. BNGKA SP.PD
RS0317-004694 06/03/2017 CODEIN 10 MG TAB 300.000.00 TABLET ALI CHAIDIR.TN BLOK
DUSUNB TAMAN
13 BARU DR. PAD DILANGGA SP.P RSUS
KEL WATES WAY RATAI
RS0317-004943 06/03/2017 CODEIN 10 MG TAB 1000.000.00 TABLET ARI SETIA BUDI TN KEC
PERUMPADANG
KORPRICRMIN
BLOK DR. RIDHUAN IRAWAN RSUS
RS0317-005611 06/03/2017 CODEIN 10 MG TAB 600.000.00 TABLET ANTARIA DWI A2 NO
JL. 20 LK II KORPRI SP.PD
P. MOROTAI DR. DIANA NUR ASRINI RSUS
NUGROHO, TN RAYA
KOMPLEK GMP BLOK C
RS0317-005556 06/03/2017 CODEIN 10 MG TAB 2000.000.00 TABLET TEDDY,TN 14, SUKARAME
JL.BUKIT IV LKII RT05 DR. NINA SP.P RSUS
RS.URIP SUMOHARJO Periode : Maret 2017 KOTA BARU TKT Dicetak oleh :
02 Apr 2017 , 13:49
Page : 9 of 59
RS0317-005521 06/03/2017 CODEIN 10 MG TAB 900.000.00 TABLET NIHARIAH, NY JL. P. BUTON GG DR. NINA SP.P RSUS
SEPAKAT SUKABUMI
RS0317-004883 06/03/2017 CODIPRONT CAP 100.000.00 CAPSUL A.RAKIM, TN JL PULAU BAWEAN II DR. MELDA DASEPTA RSUS
NO 16 LK II RT 002
RS0317-005603 06/03/2017 CODIPRONT CAP 1500.000.00 CAPSUL ROSIDAH TAMIM, NY SUKARAME
JL SERMA PETURUN NO DR. HASMI MAHA SP.PD RSUS
38 RT 002 TANJUNG
RS0317-005072 06/03/2017 CODIPRONT CAP 900.000.00 CAPSUL HASAN MUTTAQIEN, AMAN
JL URIPKOTA BUMI
SUMOHARJO DR. HASMI MAHA SP.PD RSUS
TN NO 37 LK 3 030
RS0317-005638 06/03/2017 CODIPRONT CUM EXPT SYR 100.000.00 FLS HAYATI, NY SURAYA KEDATON
JL.SRIWIJAYA BLOK IB DR. NINA SP.P RSUS
NO.26 BERINGIN RAYA
KEMILING
NO.26 BERINGIN RAYA
RL0317-000267 06/03/2017 CODIPRONT CUM EXPT SYR 100.000.00 FLS tn edi susanto KEMILING DR. ASRIZAL SPJ RSUS
RS0317-005092 06/03/2017 CODIPRONT CUM EXPT SYR 100.000.00 FLS MURSALIN, TN JL , DEMPO N0 18 000/- DR. NINA SP.P RSUS
000 KEL LABUHAN
RS0317-005543 06/03/2017 CODIPRONT CUM EXPT SYR 100.000.00 FLS JUMAT.TN RATU KEC LABUHAN
JL I BONJOL GG,BUKIT DR. NINA SP.P RSUS
RATU
NO,09 LKII RT 014
RS0317-005585 06/03/2017 CODIPRONT CUM EXPT SYR 100.000.00 FLS NOVITA SARI ,NN SUMBERREJO
PANCASILA NATAR DR. NINA SP.P RSUS
KEC,KEMILING
RS0317-005451 06/03/2017 CODIPRONT CUM EXPT SYR 100.000.00 FLS ENIWATI, NY JL. RATU DIBALAU GG DR. RIDHUAN IRAWAN RSUS
CEMPAKA TANJUNG SP.PD
RS0317-004979 06/03/2017 CODIPRONT CUM EXPT SYR 100.000.00 FLS SAUT P PANJAITAN, SENENG
JL P BURU NO 56 LK I DR. NINA SP.P RSUS
RS0317-005016 06/03/2017 CODIPRONT CUM EXPT SYR 200.000.00 FLS TN
MENAK SYAH RATU, NY WAY HALIM PERMAI
JL KOPI VI BLOK U NO DR. NINA SP.P RSUS
RS0317-004734 06/03/2017 CODIPRONT CUM EXPT SYR 100.000.00 FLS ZAINUDIN, TN 29
JL PPERUM
BURU WAY HALIM DR. LUSY DAMAYANTI
GG TERATAI RSUS
RS0317-005549 06/03/2017 CODIPRONT CUM EXPT SYR 100.000.00 FLS ZAINUDDIN, TN NO BADAK
JL. 14 LK IGG
WAY HALIM
BADAK I DR. NINA SP.P RSUS
NO. 29 KEDATON
RS0317-005596 06/03/2017 CODIPRONT CUM EXPT SYR 100.000.00 FLS SUPARNO,TN JL P BUTON JAGABAYA DR. NINA SP.P RSUS
RS0317-005744 06/03/2017 CODIPRONT SYR 100.000.00 FLS ALVO GUNTARA ASRAMA POLDA DR. DIAJENG PUTRI RSUS
HERMAWAN.TN LAMPUNG BLK B NO.1 IRACILY
RS0317-005837 06/03/2017 CODIPRONT SYR 100.000.00 FLS JARIMAN , TN LK II RT 020
BANDAR JAYA DESA DR. IMRON SP.PD RSUS
KEL.KUPANG
ONO VIHARJO KOTA
RS0317-005032 06/03/2017 CODIPRONT SYR 200.000.00 FLS REBO, TN PNK SIDOMAKMUR DR. ANDI SISWANDI, RSUS
KEC.TBU
RS0317-005754 06/03/2017 CODIPRONT SYR 100.000.00 FLS HENDRA SATIBI BAHU
LK I BANDAR JAYA SP.B,.M.KES
DR. ERWANDI RSUS
RS0317-005853 06/03/2017 CODIPRONT SYR 100.000.00 FLS ZAKARIA,
SYARIFAH.TN
NY BARAT TERBANGGI
DESA CANGGUNG. DR. ERWANDI RSUS
RS.URIP SUMOHARJO Periode : Maret 2017 BESAR
RAJA BASA Dicetak oleh :
02 Apr 2017 , 13:49
Page : 10 of 59
RS0317-005663 06/03/2017 CODIPRONT SYR 100.000.00 FLS SEMET. TN JL. MELATI. NO. 193. DR. SELLY STEPRIYANI RSUS
RS0317-004683 06/03/2017 CODIPRONT SYR 100.000.00 FLS SRI MAISAROH, NY SRIBASUKI.
JL. KOTA BUMI DR. ERWANDI
RADEN PEMUKA RSUS
GUNUNG SULAH
RS0317-005305 06/03/2017 DUROGESIC MATRIX 12.5 100.000.00 PCS RISTIANA, NY DESA NEGERI BARU DR. PUTU JUNITA P., RSUS
RS0317-004780 06/03/2017 MCG/H
DUROGESIC MATRIX 25 MCG/H 100.000.00 PCS EDY NUGROHO, TN KEC. BLAMBANGAN
JL.TANGKUBAN SP.AN
DR. ANDI SISWANDI, RSUS
UMPU NO.39 LK I
PERAHU SP.B,.M.KES
RS0317-005581 06/03/2017 FENTANYL 2 ML INJ 100.000.00 AMP EDI EFENDI.TN 013
DUSUNKUPANG KOTA
IV. BANGUN DR. PUTU JUNITA P., RSUS
TELUK
REJO BETUNG UTARA SP.AN
RS0317-005631 06/03/2017 FENTANYL 2 ML INJ 100.000.00 AMP MUTMAINAH NY JL. PULAU BAWEAN II DR. PUTU JUNITA P., RSUS
NO.14 SUKARAME SP.AN
RS0317-005410 06/03/2017 FENTANYL 2 ML INJ 100.000.00 AMP HJ.RUHIAH, NY DESA BONGLAI KEC DR. PUTU JUNITA P., RSUS
RS0317-005446 06/03/2017 FENTANYL 2 ML INJ 100.000.00 AMP AMIRUDIN SATTARI, BANJIT WAY KANAN
PURWODADI BELITANG SP.AN
ITA MURYANI , NY MULYA OGAN
JL BLORA GG BURES SP.AN
RS0317-005184 06/03/2017 FENTANYL 2 ML INJ 100.000.00 AMP AHMAD BUHARI, TN KOMRING
SEGALA MIDER LK II
JL MK BAGINDA SP.AN
RS0317-005463 06/03/2017 FENTANYL 2 ML INJ 100.000.00 AMP NINA SURYANI.NN GG SULAH
DSN TANJUNG WARAS SP.AN
RS0317-005854 06/03/2017 FENTANYL 2 ML INJ 100.000.00 AMP NURLINA, NY RT.13/04
DESA WAYMERAK
JAMBUBATIN SP.AN
RS0317-005269 06/03/2017 FENTANYL 2 ML INJ 100.000.00 AMP DIANA SETYAWATI, NY PESISIR SELATN
JL.WARTAWAN GG SP.AN
ASRI 003 GUNUNG AN
RS0317-005256 06/03/2017 FENTANYL 2 ML INJ 100.000.00 AMP LEKOK MARWANI, NY SULAH WAY HALIM
JL. MH.TAMRIN NO.64 DR. PUTU JUNITA P., RSUS
RS0317-005340 06/03/2017 FENTANYL 2 ML INJ 100.000.00 AMP RISKA AYU GOTONG ROYONG
AMBARAWA I SP.AN
RS0317-005722 06/03/2017 FENTANYL 2 ML INJ 100.000.00 AMP TRISWADANI,
CITRA KESUMANN
YENI, PRINGSEWU
DUSUN II SIDEREJO RT SP.AN
NN 004 RW OO2 BANGUN AN
RS0317-005357 06/03/2017 FENTANYL 2 ML INJ 100.000.00 AMP TIRTA JAKA REJO
DUSUN TANJUNG SARI DR. PUTU JUNITA P., RSUS
BUANA.SDR RT/RW 002 ABUNG SP.AN
RL0317-000262 06/03/2017 MST CONTINUS 10 MG TAB 1000.000.00 TABLET tn mahruf SELATAN DR. YUZAR HARUN SP.B RSUS
RS0317-005362 06/03/2017 MST CONTINUS 10 MG TAB 1000.000.00 TABLET NURYANA, NY INDRA BANGSAWAN DR.BINTANG, SP.B (K) RSUS
GG HI HASAN 003 /- RT ONK
RS0317-005059 06/03/2017 MST CONTINUS 10 MG TAB 3000.000.00 TABLET LINA LUSIANA.NY 003 RAJABASA
JL SEJAHTERA DR. ANDI SISWANDI, RSUS
RS0317-005503 06/03/2017 PETHIDIN INJ 100.000.00 AMP MIF SULAIMAN. TN KEMILING
JL MINAK JUNG SP.B,.M.KES
RS.URIP SUMOHARJO Periode : Maret 2017 TERBAYA 005/003 SP.PD Dicetak oleh :
LAPORAN KHUSUS PENGGUNAAN OBAT Jenis Obat : NARKOTIK KOTA AGUNG YULIANITA
02 Apr 2017 , 13:49
Page : 11 of 59
RS0317-005505 06/03/2017 PETHIDIN INJ 100.000.00 AMP CAK ZULIYANTI,NY PERUMAHAN PINANG DR. RIDHUAN IRAWAN RSUS
JAYA BLOK 4B NO 4 SP.PD
RS0317-005340 06/03/2017 PETHIDIN INJ 100.000.00 AMP RISKA AYU KEC KEMILING
AMBARAWA I DR. PUTU JUNITA P., RSUS
RS0317-005500 06/03/2017 PETHIDIN INJ 100.000.00 AMP TRISWADANI, NNTN
HI.AL MUSANIP, PRINGSEWU
GEDUNG NEGARA HULU SP.AN
RS0317-005305 06/03/2017 PETHIDIN INJ 100.000.00 AMP RISTIANA, NY SUNGKAI
DESA NEGERI BARU SP.PD
Sub Total 53.000 item : 21300.000.00 KEC. BLAMBANGAN SP.AN
07 Maret 2017 UMPU
RS0317-006580 07/03/2017 CODEIN 10 MG TAB 100.000.00 TABLET PAISAL LUDIN TN JL R.RAIS GG M.YUSA DR. ELIANA RSUS
RS0317-006805 07/03/2017 CODEIN 10 MG TAB 600.000.00 TABLET NINDYA PUTRI AGNES, LK IGATOTO
JL. RT 004 SUKABUMI
SUBROTO DR. PAD DILANGGA SP.P RSUS
RS0317-005950 07/03/2017 CODEIN 10 MG TAB 600.000.00 TABLET NN
MISTU, TN KOMP PU
JL KIMAJA GG DR. PAD DILANGGA SP.P RSUS
CEMPAKA LK 3RT 7
RS0317-006492 07/03/2017 CODEIN 10 MG TAB 300.000.00 TABLET H, BAHRUDIN, TN DESA PURWODADI DR. PAD DILANGGA SP.P RSUS
RS0317-006283 07/03/2017 CODEIN 10 MG TAB 900.000.00 TABLET WAWAN HERMAWAN, GISTING
JL GATOT SUBROTO DR. NINA SP.P RSUS
TN GG HI PAYAKUN LK 2
RS0317-006746 07/03/2017 CODEIN 10 MG TAB 1000.000.00 TABLET PONIDI, TN 017 GARUNTANG
SUMBER SARI BANGUN DR. PAD DILANGGA SP.P RSUS
RS0317-006428 07/03/2017 CODEIN 10 MG TAB 1400.000.00 TABLET ENIWATI, NY NEGARA
JL. RATU DIBALAU GG DR. RIDHUAN IRAWAN RSUS
CEMPAKA TANJUNG SP.PD
RS0317-006798 07/03/2017 CODEIN 10 MG TAB 600.000.00 TABLET SULYAH.NY SENENG
PERUM BUKIT DR. PAD DILANGGA SP.P RSUS
RS0317-006811 07/03/2017 CODEIN 10 MG TAB 500.000.00 TABLET CUK SUGIANTO, TN KENCANA BLOKRT
SINDANG SARI H1 DR. PAD DILANGGA SP.P RSUS
003/001 KEC TANJUNG
RS0317-006224 07/03/2017 CODEIN 10 MG TAB 1000.000.00 TABLET ARI SETIA BUDI TN BINTANG
PERUM KORPRI BLOK DR. RIDHUAN IRAWAN RSUS
RS0317-006247 07/03/2017 CODEIN 10 MG TAB 900.000.00 TABLET MULYADI, TN A2 NO 20 LK II
KAWAT NGANKANG KORPRI SP.PD
DR. NINA SP.P RSUS
RAYA 001/004
RT/RW
RS0317-005992 07/03/2017 CODIPRONT CAP 1000.000.00 CAPSUL TEMEN . TN PARDASUKA KATIBUNG
TANGJUNG WANGI , DR. MARS DWI CAHYO RSUS
RS0317-006239 07/03/2017 CODIPRONT CAP 1500.000.00 CAPSUL HI. JUHRI, TN LAMJATI
JL. TIMNO.7A LK I SP.BU
DR. HASMI MAHA SP.PD RSUS
RT020 TANJUNG RAYA
RS0317-006151 07/03/2017 CODIPRONT CUM EXPT SYR 100.000.00 FLS TUKIJO, TN JLN. I. BONJOL GG. DR. NINA SP.P RSUS
DELIMA NO 46 008/-
RS0317-006172 07/03/2017 CODIPRONT CUM EXPT SYR 100.000.00 FLS SARTONO TN SUKA JAWA TKB
DESA PANDANSARI DR. ASRIZAL SPJ RSUS
RS.URIP SUMOHARJO Periode : Maret 2017 SUKOHARJO Dicetak oleh :
02 Apr 2017 , 13:49
Page : 12 of 59
RS0317-006192 07/03/2017 CODIPRONT CUM EXPT SYR 100.000.00 FLS MUSAKIR, TN JL. RA BASYID GG DR. NINA SP.P RSUS
KAPTEN SUBLI
RS0317-006299 07/03/2017 CODIPRONT CUM EXPT SYR 100.000.00 FLS TRI RAHAYU, NY LABUHAN DALAM
DESA BANYUMAS DR. NINA SP.P RSUS
RS0317-006295 07/03/2017 CODIPRONT CUM EXPT SYR 100.000.00 FLS SAHWIL IWAN, TN CANDIPURO
JL PURNAWIRAWAN I DR. NINA SP.P RSUS
GG PUTRA LK II RT I
RL0317-000312 07/03/2017 CODIPRONT CUM EXPT SYR 200.000.00 FLS dr asrizal LANGKAPURA DR. ASRIZAL SPJ RSUS
RS0317-006280 07/03/2017 CODIPRONT CUM EXPT SYR 100.000.00 FLS ARSILAH, NY MERANDUNG SARI DR. NINA SP.P RSUS
SEKAMPUNG UDIK
RS0317-006260 07/03/2017 CODIPRONT CUM EXPT SYR 100.000.00 FLS TUMINI, NY LAMPUNG
BEDENG 1 TIMUR
DSN III DR. NINA SP.P RSUS
RS0317-006672 07/03/2017 CODIPRONT CUM EXPT SYR 100.000.00 FLS DJUNAIDI KESUMA HAJIMENA
GG KEC56
BUKIT NO NATAR DR. NINA SP.P RSUS
YUDHA, TN SUKAJAWA
RS0317-005900 07/03/2017 CODIPRONT SYR 100.000.00 FLS HARFIAH, NY KP. KROY LK.II WAY DR. IMRON SP.PD RSUS
RS0317-006292 07/03/2017 CODIPRONT SYR 100.000.00 FLS SAMI'UN.TN LAGA
DUSUN KEC. PANJANG
TITIRANTE DR. MARINA, SP. PD RSUS
UTARA REJO SARI
RT/RW 001 KEL REJO
SARI KEC NATAR
UTARA REJO SARI
RS0317-006909 07/03/2017 CODIPRONT SYR 100.000.00 FLS SUPARTI, NY RT/RW 001 KEL
JL. BAWEAN I GGREJO DR. MARINA, SP. PD RSUS
SARI
HAMID KEC
LK NATAR
II
RS0317-006575 07/03/2017 CODIPRONT SYR 100.000.00 FLS SRI SUMARSIH NY RAJA BASA RAYA BLOK DR. MARINA, SP. PD RSUS
SUKARAME
G NO 9 WAY HALIM
RS0317-006178 07/03/2017 CODIPRONT SYR 100.000.00 FLS SARI OGANA, NN PERUM GRIYA ABDI DR.MONETA MAHA RSUS
RL0317-000366 07/03/2017 CODIPRONT SYR 100.000.00 FLS sdr reiza NEGARA BLOK B 11 NO DR. MARINA, SP. PD RSUS
RS0317-006296 07/03/2017 CODIPRONT SYR 100.000.00 FLS BAHRUDIN IDRIS, TN 8
JL S HATTA GG DR. MARINA, SP. PD RSUS
GUNUNG TERANG RT
RS0317-006099 07/03/2017 CODIPRONT SYR 100.000.00 FLS WINDU FITRIA, NY 01
JL. TANJUNG
SINGA NOSENAG
48 DR. IMRON SP.PD RSUS
KEDATON
RS0317-006883 07/03/2017 DUROGESIC MATRIX 12.5 100.000.00 PCS HERWANSYAH, TN JLN APEL I GG DR. DIANA NUR ASRINI RSUS
MCG/H RAMBUTAN NO 12 LK I
RS0317-005973 07/03/2017 DUROGESIC MATRIX 25 MCG/H 100.000.00 PCS MARYANTO,TN 002 KEC SUKARAME
JL.MS.BATUBARA GANG DR. IKRIZAL,SP.BU RSUS
SEDAP MALAM KUPANG
RS0317-006727 07/03/2017 FENTANYL 2 ML INJ 100.000.00 AMP WILMAR RITONGA, TN TEBA
JL.KERAMAT NO.85 LK I DR. PUTU JUNITA P., RSUS
RS0317-005917 07/03/2017 FENTANYL 2 ML INJ 100.000.00 AMP FAKHIRA GAZA LABUHAN RATU SP.AN
DSUN I NEGERI AGUNG DR. BUDI OKTA P, SP. RSUS
ADZKIA, AN KEDATON
RT 02/01 GUNUNG AN
RS0317-006781 07/03/2017 FENTANYL 2 ML INJ 100.000.00 AMP RISA ALLIYAH SARI, PELINDUNG
SINGOSARI BLOK 8B DR. PUTU JUNITA P., RSUS
NY BERINGIN RAYA SP.AN
RS.URIP SUMOHARJO Periode : Maret 2017 KEMILING Dicetak oleh :
02 Apr 2017 , 13:49
Page : 13 of 59
RS0317-005930 07/03/2017 FENTANYL 2 ML INJ 100.000.00 AMP YESI SAFITRI, NN UMBUL PABRI DR. BUDI OKTA P, SP. RSUS
RS0317-006225 07/03/2017 FENTANYL 2 ML INJ 100.000.00 AMP WARDIYAH TRISNA TANJUNG
JL PRAMUKAJATI
NO2 30
KEL AN
RS0317-006715 07/03/2017 FENTANYL 2 ML INJ 300.000.00 AMP NINGSIH, NN
SRI SULASWORO, NY KATIBUNG
RAJA BASA
JL. BUMI MANTI SP.AN
DR. DIANA NUR ASRINI RSUS
GG.SALAK II NO.47
RS0317-006332 07/03/2017 FENTANYL 2 ML INJ 100.000.00 AMP M FARRAS YUSLIH, AN KAMPUNG BARUN0 217 DR. PUTU JUNITA P.,
JL P SARI RAYA RSUS
RS0317-006559 07/03/2017 FENTANYL 2 ML INJ 100.000.00 AMP ADE PERMADI, TN WAY
DUSUN KANDIS
SOLEHUDIN SP.AN
008/016 NEGERI SAKTI SP.AN
RS0317-006869 07/03/2017 FENTANYL 2 ML INJ 100.000.00 AMP SARINAH, NN GD TATAAN
GG PEMBANGUNAN A5 DR. BUDI OKTA P, SP. RSUS
RS0317-006536 07/03/2017 FENTANYL 2 ML INJ 100.000.00 AMP DEWI SERTI S, NN SUKARAMERT 002/007 DR.
TERPANDI AN PUTU JUNITA P., RSUS
RL0317-000378 07/03/2017 MST CONTINUS 10 MG TAB 600.000.00 TABLET tn.Robert KOTABUMI UDIK SP.AN
DR. MARS DWI CAHYO RSUS
RS0317-006696 07/03/2017 MST CONTINUS 10 MG TAB 900.000.00 TABLET ASBUNAYA , AR.BSC, JL.BANGAU 5 NO.46 SP.BU
DR. RIANA HANDAYANI, RSUS
NY KELAPA TUJUH SP.J
RS0317-006984 07/03/2017 MST CONTINUS 10 MG TAB 200.000.00 TABLET SAKIJO, TN KOTABUMI SELATAN
JL DUWOROWATI DR. IMRON SP.PD RSUS
SABAH BALAU
Sub Total 45.000 item : 15300.000.00
08 Maret 2017
RS0317-007624 08/03/2017 CODEIN 10 MG TAB 1000.000.00 TABLET NENG ANIS,NY JL. BIMA GG. LUWES DR. RIDHUAN IRAWAN RSUS
NO. 23-4 LK II RT 001 SP.PD
RS0317-007155 08/03/2017 CODEIN 10 MG TAB 300.000.00 TABLET ALI CHAIDIR.TN SAWAH BREBESBARU
DUSUN TAMAN DR. PAD DILANGGA SP.P RSUS
TANJUNG
KEL WATES KARANG
WAY RATAI
TIMUR
KEC PADANG CRMIN
RS0317-007150 08/03/2017 CODEIN 10 MG TAB 200.000.00 TABLET H, BAHRUDIN, TN DESA PURWODADI DR. ERWANDI RSUS
RS0317-007430 08/03/2017 CODEIN 10 MG TAB 1000.000.00 TABLET NURAINAH,NY GISTING
PERUMDAM II RT01/02 DR. RIDHUAN IRAWAN RSUS
RS0317-007902 08/03/2017 CODEIN 10 MG TAB 900.000.00 TABLET FARAH HUTAMI NY KEL SUKABUMI
VILLA CITRA BLOK.S SP.PD
RS0317-007914 08/03/2017 CODEIN 10 MG TAB 600.000.00 TABLET MASDA.NY NO.8 D
PERUM JPS BLOK R NO DR. PAD DILANGGA SP.P RSUS
RS0317-007895 08/03/2017 CODEIN 10 MG TAB 600.000.00 TABLET FERANISA,NN 5 EJO AGUNG
JL.KELAPA SAWIT 2 DR. PAD DILANGGA SP.P RSUS
NO.6 PERUMNAS WAY
RS0317-007142 08/03/2017 CODIPRONT CAP 1000.000.00 CAPSUL DR. HASMI MAHA, SP. HALIM
RS. URIP SUMOHARJODR. HASMI MAHA SP.PD RSUS
RS0317-007919 08/03/2017 CODIPRONT CAP 1500.000.00 CAPSUL PD, TN
MUSONNIP, ST. TN JL. PRAMUKA NO. 10 LK DR. HASMI MAHA SP.PD RSUS
RL0317-000401 08/03/2017 CODIPRONT CAP 1500.000.00 CAPSUL NY. ALVI I RAJA BASA DR. ANDI SISWANDI, RSUS
RS.URIP SUMOHARJO Periode : Maret 2017 SP.B,.M.KES
Dicetak oleh :
02 Apr 2017 , 13:49
Page : 14 of 59
RS0317-007281 08/03/2017 CODIPRONT CUM EXPT SYR 100.000.00 FLS AMIR MOGA SAKTI.TN PERMATA BIRU A6 DR. NINA SP.P RSUS
NO.8/9 SUKARAME
RS0317-007429 08/03/2017 CODIPRONT CUM EXPT SYR 100.000.00 FLS HERWANSYAH, TN JLN APEL I GG DR. NINA SP.P RSUS
RAMBUTAN NO 12 LK I
RS0317-007296 08/03/2017 CODIPRONT CUM EXPT SYR 100.000.00 FLS MUHAINUDIN TN 002 KEC SUKARAME
JL. UNTUNG SUROPATI DR. NINA SP.P RSUS
GG.FAMILI I NO.46
RS0317-007239 08/03/2017 CODIPRONT CUM EXPT SYR 100.000.00 FLS A. RIFAI SAIDINA, TN JL. H. KOMARUDIN NO DR. ASRIZAL SPJ RSUS
250 RAJA BASA
RS0317-007929 08/03/2017 CODIPRONT SYR 100.000.00 FLS KIKI YULIANI, NN DSN III 007/003 DR. IMRON SP.PD RSUS
GONDANG REJO
RS0317-008076 08/03/2017 CODIPRONT SYR 100.000.00 FLS PAN SWASTI TN PEKALONGAN
DUSUN YOGAKOLA RT DR. IMRON SP.PD RSUS
LAMPUNG TIMUR
002/007 KEL.SUMUR
RS0317-007104 08/03/2017 CODIPRONT SYR 100.000.00 FLS MUTMAINAH NY KETAPANG
JL. PULAU BAWEAN II DR. ANDI SISWANDI, RSUS
NO.14 SUKARAME SP.B,.M.KES
RL0317-000412 08/03/2017 CODIPRONT SYR 100.000.00 FLS TIARA DR. MAHARANI RSUS
RS0317-007994 08/03/2017 CODIPRONT SYR 100.000.00 FLS DEWI SERTI S, NN TERPANDI RT 002/007 DR. IMRON SP.PD RSUS
KOTABUMI UDIK
RS0317-007011 08/03/2017 CODIPRONT SYR 100.000.00 FLS BETI RAMALIA PUTRI, DESA GHEDUNG DR. IMRON SP.PD RSUS
NN KETAPANG SUNGKAI
RS0317-007500 08/03/2017 DUROGESIC MATRIX 12.5 100.000.00 PCS DRA. SURIMAS, NY SELATAN RT 02/02
JL. CENGKEH UTARA V DR.MONETA MAHA RSUS
MCG/H NO. 75 WAY HALIM
RS0317-007956 08/03/2017 FENTANYL 2 ML INJ 100.000.00 AMP SAGIMIN, TN JLN SRI KRISNA KP DR. BUDI OKTA P, SP. RSUS
BAYUR 007 LK I KEL AN
RS0317-007686 08/03/2017 FENTANYL 2 ML INJ 100.000.00 AMP SABRINA OKTRIANI, RAJABASA
PERUM RAGOM JAYAGAWI
KEC I DR. PUTU JUNITA P., RSUS
NN RAJABASA
BLOK F2 NO. 20 SP.AN
RS0317-007397 08/03/2017 FENTANYL 2 ML INJ 100.000.00 AMP MUSLANI, SDR KEMILING
JL ELANG 2PERMAI
NO GG DR. PUTU JUNITA P., RSUS
PANDAWA NO 129 RT SP.AN
RS0317-007693 08/03/2017 FENTANYL 2 ML INJ 100.000.00 AMP TATI KURNIATI, NY 02/04 TANJUNG
jl. akasia 002/002 DR. PUTU JUNITA P., RSUS
HARAPAN
KELAPA
RS0317-007958 08/03/2017 FENTANYL 2 ML INJ 100.000.00 AMP DESI SEPRIANTI, NY JLN. DR.7HARUN
KOBUMII GG. SP.AN
RS0317-007260 08/03/2017 FENTANYL 2 ML INJ 100.000.00 AMP HUMAM RICKY SELATAN
HI.TERATAI
JL AGUS SALIM NO
GG MAWAR AN PUTU JUNITA P.,
DR. RSUS
RS0317-007600 08/03/2017 FENTANYL 2 ML INJ 100.000.00 AMP YAMURA , TN SARI, AN 28E
ANGGI NILAM I NO 21A
DUSUN IIIKEDATON SP.AN
JATI AGUNG DR. PUTU JUNITA P., RSUS
RS.URIP SUMOHARJO Periode : Maret 2017 MARGO LESTARI SP.AN Dicetak oleh :
02 Apr 2017 , 13:49
Page : 15 of 59
RS0317-007957 08/03/2017 FENTANYL 2 ML INJ 100.000.00 AMP LALAS PERUM II PT.GMP DR. BUDI OKTA P, SP. RSUS
NURMALASARI,NY RT05/02 GUNUNG AN
RS0317-007776 08/03/2017 FENTANYL 2 ML INJ 100.000.00 AMP SATEM, NY BATIN
GEDUNG BARU TERUSAN DR. PUTU JUNITA P.,
HARAPAN RSUS
NUNYAI
002/001
RS0317-007091 08/03/2017 FENTANYL 2 ML INJ 100.000.00 AMP NONA.NY DSN 5 RT 001/005 AJI SP.AN
PENAWAR DR. BUDI OKTA P, SP. RSUS
GN.BATIN BARU AN
RS0317-007688 08/03/2017 FENTANYL 2 ML INJ 100.000.00 AMP DIAN TRISNAWATI, NY TERUSAN NUNYAI
JL.P.ANTASARI GG DR. PUTU JUNITA P., RSUS
MANGGA BESAR SP.AN
RS0317-007585 08/03/2017 FENTANYL 2 ML INJ 100.000.00 AMP ALYA MUKHBITA NO.48B LK III
GRIYA ANGKASA DR. PUTU JUNITA P., RSUS
SYAFIRA,AN TANJUNG
ISLAMI BLK BARU
F 12 RT016 SP.AN
KEDAMAIAN
RAJABASA
RS0317-007088 08/03/2017 FENTANYL 2 ML INJ 100.000.00 AMP MISDAR, TN PEKON KESUGIHAN DR. BUDI OKTA P, SP. RSUS
001/002 KOTA AGUNG AN
RS0317-007018 08/03/2017 FENTANYL 2 ML INJ 100.000.00 AMP AGUSTINUS , TN BARAT
DUSUN BUDI JAYA DR. BUDI OKTA P, SP. RSUS
04/02 WAWASAN AN
RL0317-000435 08/03/2017 MST CONTINUS 10 MG TAB 1000.000.00 TABLET NY.MUSTAQINAH TANJUNG SARI DR. SYAHAR SP.B RSUS
RS0317-007429 08/03/2017 MST CONTINUS 10 MG TAB 600.000.00 TABLET HERWANSYAH, TN JLN APEL I GG DR. NINA SP.P RSUS
RAMBUTAN NO 12 LK I
RS0317-007777 08/03/2017 PETHIDIN INJ 100.000.00 AMP SATEM, NY 002 KEC SUKARAME
GEDUNG HARAPAN DR. PUTU JUNITA P., RSUS
002/001 PENAWAR AJI SP.AN
RS0317-007707 08/03/2017 PETHIDIN INJ 100.000.00 AMP ELLYNA.NY JL.P. BURU MORO DR. RIDHUAN IRAWAN RSUS
Sub Total 39.000 item : 12900.000.00 SENENG SP.PD
09 Maret 2017
RS0317-007960 09/03/2017 CODEIN 10 MG TAB 200.000.00 TABLET H, BAHRUDIN, TN DESA PURWODADI DR. ERWANDI RSUS
RL0317-000463 09/03/2017 CODEIN 10 MG TAB 3000.000.00 TABLET DR.ASRIZAL GISTING DR. ASRIZAL SPJ RSUS
RS0317-008884 09/03/2017 CODEIN 10 MG TAB 600.000.00 TABLET SITI ALAM HUTAURUK,JL S. TIRTAYASA GG AL DR. PAD DILANGGA SP.P RSUS
NY HIKMAH RT006 SUKA
RS0317-008653 09/03/2017 CODEIN 10 MG TAB 1000.000.00 TABLET AQSHA RAMADHANISA, BUMI
JL LEMBAH ASRI I DR. RIDHUAN IRAWAN RSUS
NY BLOK N 141 KOMP SP.PD
RS0317-008455 09/03/2017 CODEIN 10 MG TAB 600.000.00 TABLET TUKINO, TN NATA ENDAH
PERUM RAGOM GAWI DR. HASMI MAHA SP.PD RSUS
CIHANJUANG
BLOK. D NO. 16
RS0317-008369 09/03/2017 CODIPRONT CAP 1500.000.00 CAPSUL ISNANI.NY KEMILING
KP SAWAH LK II WAY DR. HASMI MAHA SP.PD RSUS
RS0317-008227 09/03/2017 CODIPRONT CAP 100.000.00 CAPSUL MUDZAKIR.TN LUNIK
JL. TBS
SASONOLOYO LK III DR. RAHMI ULFA RSUS
NO. 56 SUKARAME
02 Apr 2017 , 13:49
Page : 16 of 59
RS0317-008251 09/03/2017 CODIPRONT CAP 900.000.00 CAPSUL HASAN MUTTAQIEN, JL URIP SUMOHARJO DR. HASMI MAHA SP.PD RSUS
TN NO 37 LK 3 030
RS0317-008472 09/03/2017 CODIPRONT CUM EXPT SYR 100.000.00 FLS TRI RAHAYU, NY SURAYA KEDATON
DESA BANYUMAS DR. NINA SP.P RSUS
RS0317-008391 09/03/2017 CODIPRONT CUM EXPT SYR 100.000.00 FLS RUSLI, HS, TN CANDIPURO
JL HM SALIM LK I RT DR. ASRIZAL SPJ RSUS
RS0317-008529 09/03/2017 CODIPRONT CUM EXPT SYR 100.000.00 FLS TUMINI, NY 13 WAY LUNIK
BEDENG 1 DSN TBS
III DR. NINA SP.P RSUS
RS0317-008665 09/03/2017 CODIPRONT CUM EXPT SYR 100.000.00 FLS DJUNAIDI KESUMA HAJIMENA KEC
GG BUKIT NO 56NATAR DR. NINA SP.P RSUS
YUDHA, TN SUKAJAWA
RS0317-008697 09/03/2017 CODIPRONT CUM EXPT SYR 100.000.00 FLS SAMPUN RIANTO ,TN BUMI HARJO 006 ./ 002 DR. NINA SP.P RSUS
KEL BUMI HARJO KEC
RS0317-008483 09/03/2017 CODIPRONT CUM EXPT SYR 100.000.00 FLS ARSILAH, NY BATANGHARI
MERANDUNG SARI DR. NINA SP.P RSUS
SEKAMPUNG UDIK
RS0317-008410 09/03/2017 CODIPRONT SYR 100.000.00 FLS TOYBAH, NY LAMPUNG TIMUR
JL BELIA LK II RT 01/02 DR. MARINA, SP. PD RSUS
RS0317-008947 09/03/2017 DUROGESIC MATRIX 25 MCG/H 100.000.00 PCS MARYANTO,TN JAGABAYA II
JL.MS.BATUBARA GANG DR. IKRIZAL,SP.BU RSUS
SUKABUMI
SEDAP MALAM KUPANG
RS0317-008401 09/03/2017 FENTANYL 2 ML INJ 100.000.00 AMP ANDY SUBAGIO, SDR TEBA
JL.MR GELE HARUN DR. PUTU JUNITA P., RSUS
RS0317-008173 09/03/2017 FENTANYL 2 ML INJ 100.000.00 AMP YUNUS.TN METRO
DUSUN 3PUSAT
RT007/003 SP.AN
RS0317-008092 09/03/2017 FENTANYL 2 ML INJ 100.000.00 AMP SENDANG
MIFTA TURHAMUM,TN PISANG ASRI AGUNG
INDAH AN
RT04/01 BUMI AGUNG AN
WAY KANAN
RT04/01 BUMI AGUNG AN
RS0317-008181 09/03/2017 FENTANYL 2 ML INJ 100.000.00 AMP YUNUS.TN WAY KANAN
DUSUN 3 RT007/003 DR. BUDI OKTA P, SP. RSUS
RS0317-008879 09/03/2017 FENTANYL 2 ML INJ 100.000.00 AMP KIKI ANANDA, NN SENDANG
JL MERAK GGASRI AGUNG
BLUTAS AN
RS0317-008177 09/03/2017 FENTANYL 2 ML INJ 100.000.00 AMP RIKA CAHAYA, NY NO 229 KAMPUNG
DSN SUKADAMAI -/- SP.AN
RS0317-008905 09/03/2017 FENTANYL 2 ML INJ 100.000.00 AMP DWI RATNA SARI, NN SAWAH
SUKAMAJU
JL KEC ULU
YOS SUDARSO GG AN PUTU JUNITA P.,
DR. RSUS
RS0317-008895 09/03/2017 FENTANYL 2 ML INJ 100.000.00 AMP TRI DEWA MAHENDRA BELU
HI URIP
JL ILYASSUMOHARJO
LK 1 015 SP.AN
RS0317-008759 09/03/2017 FENTANYL 2 ML INJ 100.000.00 AMP SAYIH, SDR NY
EVA AFRESIA, SUKARAJA
SUNGAI
JL DAKWA 8 GG SEPAKAT SP.AN
DR. KURNIA TRIARIENI RSUS
RS0317-008180 09/03/2017 FENTANYL 2 ML INJ 100.000.00 AMP RIKA CAHAYA, NY NO
DSN SUKADAMAIRATU
8 LABUHAN -/- DR. BUDI OKTA P, SP. RSUS
RS0317-008844 09/03/2017 MST CONTINUS 10 MG TAB 900.000.00 TABLET NENG AFRIDA, NY SUKAMAJU
DUSUN KECMERAK
INDUK ULU AN RIANA HANDAYANI,
DR. RSUS
RS0317-008834 09/03/2017 MST CONTINUS 10 MG TAB 900.000.00 TABLET BERNADET BELU
BATINPRINGGOMBO
LKIV 002/001 NATAR RT SP.J RIANA HANDAYANI,
DR. RSUS
WAHYURIYANTI.SPD,N 004 KEC,PRINGSEWU SP.J
RS0317-008563 09/03/2017 MST CONTINUS 10 MG TAB 1000.000.00 TABLET Y
NURSI'AH, NY TIMUR
JL. PIONER CANDI MAS DR. RIDHUAN IRAWAN RSUS
RS.URIP SUMOHARJO Periode : Maret 2017 NATAR SP.PD Dicetak oleh :
02 Apr 2017 , 13:49
Page : 17 of 59
RS0317-008142 09/03/2017 PETHIDIN INJ 100.000.00 AMP INDARSI, TN WAY SIDO TULANG DR. BUDI OKTA P, SP. RSUS
RS0317-008786 09/03/2017 PETHIDIN INJ 100.000.00 AMP SORAYA SOPHA, NN BAWANG
JL.EMBUNBARAT
BLOM E 13 AN
NO.3 LK I 029 SP.PD
RS0317-008785 09/03/2017 PETHIDIN INJ 100.000.00 AMP CAHYA NINGRUM ,NY BERINGIN
PURWODADI RAYA
SIMPANG DR. RIDHUAN IRAWAN RSUS
KEMILING
DSN RATU 003 / 001 SP.PD
Sub Total 32.000 item : 12800.000.00 KEL PURWODADI
10 Maret 2017
RL0317-000538 10/03/2017 CODEIN 10 MG TAB 600.000.00 TABLET ARIF DR. DIANA NUR ASRINI RSUS
RS0317-009819 10/03/2017 CODEIN 10 MG TAB 2000.000.00 TABLET REBO, TN PNK VI SIDOMAKMUR DR. NINA SP.P RSUS
RS0317-009698 10/03/2017 CODEIN 10 MG TAB 900.000.00 TABLET WAWAN HERMAWAN, BAHU
RS0317-009725 10/03/2017 CODEIN 10 MG TAB 1000.000.00 TABLET ANISA TRI MALINDA, 017 GARUNTANG
BANDAR JAYA TIMUR DR. RIANA HANDAYANI, RSUS
NENG ANIS,NY TERBANGGI
JL. BIMA GG.BESA
LUWES SP.J
NO. 23-4 LK II RT 001 SP.PD
RS0317-009688 10/03/2017 CODEIN 10 MG TAB 600.000.00 TABLET OKTI KHAIRISSA.NY SAWAH BREBES
PARDA SUKA DR. NINA SP.P RSUS
TANJUNG
KATIBUNG KARANG
RS0317-009976 10/03/2017 CODEIN 10 MG TAB 1000.000.00 TABLET ANGGI YULIANA, NN DESA PARDASUKA DR. IMRON SP.PD RSUS
TIMUR
RS0317-009604 10/03/2017 CODIPRONT CUM EXPT SYR 100.000.00 FLS SAUT P PANJAITAN, JL P BURU NO 56 LK I DR. NINA SP.P RSUS
HAYATI, NY WAY HALIM PERMAI
JL.SRIWIJAYA BLOK IB DR. NINA SP.P RSUS
NO.26 BERINGIN RAYA
KEMILING
RS0317-009801 10/03/2017 CODIPRONT CUM EXPT SYR 100.000.00 FLS A. ROSIDI, TN JL PROKLAMATOR NO DR. NINA SP.P RSUS
RS0317-009833 10/03/2017 CODIPRONT CUM EXPT SYR 100.000.00 FLS 12 BANDAR
DESI CHURUL AINI NY JL. JAYA
BADAK NO.20 DR. NINA SP.P RSUS
SIDODADI KEDATON
RL0317-000541 10/03/2017 CODIPRONT CUM EXPT SYR 100.000.00 FLS FATMIA DR. NINA SP.P RSUS
RS0317-009602 10/03/2017 CODIPRONT CUM EXPT SYR 100.000.00 FLS MUHAINUDIN TN JL. UNTUNG SUROPATI DR. NINA SP.P RSUS
GG.FAMILI I NO.46
RS0317-009791 10/03/2017 CODIPRONT CUM EXPT SYR 100.000.00 FLS ABDUL MUNAL JL. P.ANTASARI KOM DR. NINA SP.P RSUS
SENABU, TN DOLOK LK.3 TANJUNG
RS0317-009852 10/03/2017 CODIPRONT CUM EXPT SYR 100.000.00 FLS UJANG SUPRIYANTO , BARU SUKABUMI
JLN DANAU LAUT DR. NINA SP.P RSUS
TN TAWAR NO LK II 015/-
RS0317-009480 10/03/2017 CODIPRONT CUM EXPT SYR 100.000.00 FLS IDAWATY, NY SURABAYA KEDATON
JL. AIRAN RAYA GG DR. ASRIZAL SPJ RSUS
ANDALAS RT/ RW
RS.URIP SUMOHARJO Periode : Maret 2017 001/001 WAY HUWI Dicetak oleh :
JATI AGUNG YULIANITA
Page : 18 of 59
RS0317-009596 10/03/2017 CODIPRONT SYR 100.000.00 FLS BANGUN PRAMADHI, JL HARAPAN GG DR. M. IMAM RIFAI RSUS
TN CEMARA NO. 52 LK III
RS0317-009526 10/03/2017 CODIPRONT SYR 100.000.00 FLS JUBAIDI ,TN LABUHAN RATU
PERUM GELORA DR. MARINA, SP. PD RSUS
RS0317-009880 10/03/2017 CODIPRONT SYR 100.000.00 FLS EKA MULI,NN PERSADA
BARADATURAJABASA DR. MARINA, SP. PD RSUS
RS0317-009353 10/03/2017 CODIPRONT SYR 100.000.00 FLS ZUBIER HARAHAP. TN JL CENGKEH UTARA 4 DR. RIDHUAN IRAWAN RSUS
RS0317-009265 10/03/2017 CODIPRONT SYR 100.000.00 FLS PAN SWASTI TN NO 175 YOGAKOLA RT
DUSUN SP.PD
DR. RAHMI ULFA RSUS
002/007 KEL.SUMUR
RS0317-009948 10/03/2017 DUROGESIC MATRIX 25 MCG/H 100.000.00 PCS SYAHRIL SINJAR, TN KETAPANG
JL NANGKA GG JAHRI DR. ANDI SISWANDI, RSUS
RS0317-010142 10/03/2017 FENTANYL 2 ML INJ 100.000.00 AMP MARNI.NY NO 19 RATU
PERUM LANGII NO
BKP BLOK SP.B,.M.KES
DR. DENDY MAULANA, RSUS
73 KEL KEMILING KEC SP.AN
RS0317-009129 10/03/2017 FENTANYL 2 ML INJ 100.000.00 AMP JUMINI, NY KEMILING
JL.PADAT KARYA SINAR DR. BUDI OKTA P, SP. RSUS
RS0317-009585 10/03/2017 FENTANYL 2 ML INJ 100.000.00 AMP SUNARTI, NY HARAPAN
JL. RAJABASA
RA. BASYID GG. AN PUTU JUNITA P.,
DR. RSUS
SEGANTI NO.27 SP.AN
RS0317-009672 10/03/2017 FENTANYL 2 ML INJ 100.000.00 AMP ARFINI SUPTIANDARI, LABUHAN
JL PRATAMADALAM
PRAJA RT DR. PUTU JUNITA P., RSUS
NY TANJUNG SENENG
008/002 MULYOJATI SP.AN
RS0317-009124 10/03/2017 FENTANYL 2 ML INJ 100.000.00 AMP WATINEM, NY METRO
MARGA RAJA II DS DR. BUDI OKTA P, SP. RSUS
RS0317-010166 10/03/2017 FENTANYL 2 ML INJ 100.000.00 AMP RIZA LAILATUL RULUNG RAYA
DADAPAN NATAR
IV 013/04 AN DENDY MAULANA,
DR. RSUS
MUHALIMAH, NN SUMBER REJO SP.AN
RS0317-009081 10/03/2017 FENTANYL 2 ML INJ 100.000.00 AMP TUTIK MUJIATI, NY TANGGAMUS
BUJUNG BURING DR. PUTU JUNITA P., RSUS
RS0317-009795 10/03/2017 FENTANYL 2 ML INJ 100.000.00 AMP ALBERTINA, NY TANJUNG
JL RYA
TERATAI NOMESUJI
27 SP.AN
003/008 KELAPA TUJUH SP.AN
KOTABUMI SELATAN
RS0317-009125 10/03/2017 FENTANYL 2 ML INJ 100.000.00 AMP MISRAN, TN WARINGIN SARI TIMUR DR. BUDI OKTA P, SP. RSUS
RS0317-009824 10/03/2017 FENTANYL 2 ML INJ 100.000.00 AMP JOKO SARWONO.TN 014/004 II
PERUM ADILUWIH
PT.GMP RT AN PUTU JUNITA P.,
DR. RSUS
011/02 GUNUNG BATIN SP.AN
RS0317-009296 10/03/2017 FENTANYL 2 ML INJ 100.000.00 AMP RENDI REZA ADITIYA, BARU KEC.TERUSAN
JL. KELELAWAR DR. PUTU JUNITA P., RSUS
SDR NUNYAI
HADIMULYO TIMUR SP.AN
RS0317-009636 10/03/2017 MST CONTINUS 10 MG TAB 900.000.00 TABLET ASBUNAYA , AR.BSC, METRO PUSAT
JL.BANGAU 5 NO.46 DR. RIANA HANDAYANI, RSUS
Sub Total 34.000 item : 10600.000.00 KOTABUMI SELATAN
11 Maret 2017
02 Apr 2017 , 13:49
Page : 19 of 59
RS0317-010504 11/03/2017 CODEIN 10 MG TAB 4500.000.00 TABLET JUMINTO ,TN MOJOKERTO RT/RW DR. ARIETYA RSUS
RS0317-010734 11/03/2017 CODEIN 10 MG TAB 1500.000.00 TABLET 015/014 PADANG
UNTUNG SUMARDI, TN JL.SEJAHTERA GGRATU KUSUMA.P,SP.THT
MAKMUR NO.41 KEL
RS0317-011039 11/03/2017 CODEIN 10 MG TAB 1400.000.00 TABLET MOHAMMAD KEMILING
DSN CENDRAWASIH RT DR. IMRON SP.PD RSUS
SHOLEH.SDR 002/001 KEL.SEMULI
RS0317-010528 11/03/2017 CODEIN 10 MG TAB 1500.000.00 TABLET WAWAN HERMAWAN, JAYA KEC.ABUNG
TN SEMULI
GG HI PAYAKUN LK 2
RS0317-011036 11/03/2017 CODEIN 10 MG TAB 1400.000.00 TABLET LINDA TRISNAWATI, 017 GARUNTANG
JL RADEN GUNAWAN DR. IMRON SP.PD RSUS
NY PERUM PONDOK
RS0317-010273 11/03/2017 CODEIN 10 MG TAB 1000.000.00 TABLET DR. NORA ISMI KEMALA BLOKDESA
JL NUGROHO B HAJI DR. RIDHUAN IRAWAN RSUS
AFRIANI, NY MENA NATAR
SIDOREJO SIDOMULYO SP.PD
RS0317-010906 11/03/2017 CODIPRONT CAP 100.000.00 CAPSUL NURLETI, NY JL RADEN SALEH WEY DR. DIANA NUR ASRINI RSUS
RL0317-000566 11/03/2017 CODIPRONT CAP 1000.000.00 CAPSUL tn.Sajam HUWI DR. ASRIZAL SPJ RSUS
RS0317-011077 11/03/2017 CODIPRONT CUM EXPT SYR 100.000.00 FLS ALIF ZULKARNAIN.AN leturohani kedaton DR. HANGGORO SAPTO RSUS
RS0317-010693 11/03/2017 CODIPRONT CUM EXPT SYR 100.000.00 FLS ASNAH. NY kalianda
JL ADI SUCIPTO GG SP.THT
SERUMPUN I NO 84
RS0317-010481 11/03/2017 CODIPRONT CUM EXPT SYR 100.000.00 FLS SYARIFAH. NY KEBON JERUK
DESA CANGGUNG. DR. MELDA DASEPTA RSUS
RS0317-011071 11/03/2017 CODIPRONT CUM EXPT SYR 100.000.00 FLS NURSITI LESTARI NN RAJA BASA
DUSUN III TRIMULYO DR. NINA SP.P RSUS
RT 007/003 TANJUNG
RS0317-010558 11/03/2017 CODIPRONT CUM EXPT SYR 100.000.00 FLS HERWANSYAH, TN SARI JABUNG
JLN APEL I GG DR. NINA SP.P RSUS
RAMBUTAN NO 12 LK I
RS0317-010667 11/03/2017 CODIPRONT CUM EXPT SYR 100.000.00 FLS HENDRA SATIBI 002
LK I KEC SUKARAME
BANDAR JAYA DR. NINA SP.P RSUS
ZAKARIA, TN BARAT TERBANGGI
BESAR
RS0317-010577 11/03/2017 CODIPRONT CUM EXPT SYR 100.000.00 FLS MUTIA AYU TRI PERUM.KAMPUS HIJAU DR. RIDHUAN IRAWAN RSUS
HASTARI, NN RESIDENCE BLOK B7 SP.PD
RS0317-010264 11/03/2017 CODIPRONT SYR 100.000.00 FLS HARTATI, NY KAMPUNG BARU
DESA TRI TUNGGAL UNILA DR. MELDA DASEPTA RSUS
JAYA PENAWAR TAMA
RS0317-010754 11/03/2017 CODIPRONT SYR 100.000.00 FLS TOYBAH, NY RT 05/02 LK II RT 01/02 DR. MARINA, SP. PD
JL BELIA RSUS
RS0317-011258 11/03/2017 CODIPRONT SYR 100.000.00 FLS ANI FITRIYAH NN JAGABAYA II I RT
PARDASUKA DR. MARINA, SP. PD RSUS
RS0317-010191 11/03/2017 CODIPRONT SYR 100.000.00 FLS JUNIA. NY SUKABUMI
001/001
DUSUN1.KATIBUNG
SINDANG DR. IMRON SP.PD RSUS
RS0317-011132 11/03/2017 CODIPRONT SYR 100.000.00 FLS KIKI YULIANI, NN ANOM.
DSN IIISEKAMPUNG
007/003 DR. IMRON SP.PD RSUS
UDIK
GONDANG REJO
RS.URIP SUMOHARJO Periode : Maret 2017 PEKALONGAN Dicetak oleh :
LAMPUNG TIMUR YULIANITA
Page : 20 of 59
RL0317-000591 11/03/2017 CODIPRONT SYR 100.000.00 FLS NY.APRIDA DR. MARINA, SP. PD RSUS
RS0317-011013 11/03/2017 CODIPRONT SYR 100.000.00 FLS MARSIYAH,NY PURI KENCANA B 6 DR. MARINA, SP. PD RSUS
RS0317-010525 11/03/2017 CODIPRONT SYR 100.000.00 FLS ASNAH. NY SUKARAME
JL ADI SUCIPTO GG DR. ELIANA RSUS
SERUMPUN I NO 84
RL0317-000578 11/03/2017 CODIPRONT SYR 100.000.00 FLS HAMIDA KEBON JERUK DR. M. IMAM RIFAI RSUS
RS0317-010860 11/03/2017 CODIPRONT SYR 100.000.00 FLS SYAIFUDIN JUHRI.TN PEKON SINGOSARI KEC DR. MARINA, SP. PD RSUS
RS0317-010730 11/03/2017 DUROGESIC MATRIX 25 MCG/H 100.000.00 PCS ALBERTINA, NY TALANG
JL PADANG
TERATAI NO 27 DR. TAUFIQURRAHMAN RSUS
003/008 KELAPA TUJUH R SP. OG
RS0317-010787 11/03/2017 FENTANYL 2 ML INJ 100.000.00 AMP M ILYASTN KOTABUMI
JL RINJANI SELATAN
RAYA BLOKDR. PUTU JUNITA P., RSUS
F 3/11 DESA JOMBANG SP.AN
RS0317-010881 11/03/2017 FENTANYL 2 ML INJ 100.000.00 AMP ASRUL YULIAN, SDR CIPUTAT
JL. PUNAI NO.25 DR. DENDY MAULANA, RSUS
RS0317-010682 11/03/2017 FENTANYL 2 ML INJ 100.000.00 AMP DAPARI TUA TANJUNG
PULUNG KENCANA KEL SP.AN
AGUNG DR. PUTU JUNITA P., RSUS
NAIBAHO,TN PULUNG KENCANA KEC SP.AN
RS0317-010691 11/03/2017 FENTANYL 2 ML INJ 100.000.00 AMP DAPARI TUA TULANG
PULUNG BAWANG
KENCANA KEL DR. ARIETYA RSUS
NAIBAHO,TN PULUNG KENCANA KEC KUSUMA.P,SP.THT
RS0317-010895 11/03/2017 FENTANYL 2 ML INJ 100.000.00 AMP AHYAN, TN TULANG BAWANGSINAR DR. DENDY MAULANA,
JL RAYA BHAKTI RSUS
HARAPAN LK 2 008 SP.AN
RS0317-010875 11/03/2017 FENTANYL 2 ML INJ 100.000.00 AMP HARIYATI,NY RAJABASA RAYA
DUSUN IV MEKAR JAYA DR. DENDY MAULANA, RSUS
RS0317-010246 11/03/2017 MST CONTINUS 10 MG TAB 300.000.00 TABLET WASIM HUSEN, TN BANDAR
DSN II 009/005 SP.AN
SRIBAWONO.NY
SIDODADI
RS0317-010733 11/03/2017 MST CONTINUS 10 MG TAB 200.000.00 TABLET MASTURA, NY PEKALONGAN
DESA KEDATON ABUNG DR. IMRON SP.PD RSUS
LAMPUNG
TENGAH RT TIMUR
01/02
RS0317-010753 11/03/2017 MST CONTINUS 10 MG TAB 600.000.00 TABLET YUNI SUKARNI,NY KEDATON
JL.ANGGREK VI NO.3 DR. MARINA, SP. PD RSUS
LKIV RT032/12 YUKUM
RS0317-010609 11/03/2017 MST CONTINUS 10 MG TAB 600.000.00 TABLET ANDRI ANTORO,TN JAYA TERBANGGI
SIDODADI RT06/04 DR. MARINA, SP. PD RSUS
KEC WAY LIMA
PESAWARAN
RS0317-010558 11/03/2017 MST CONTINUS 10 MG TAB 600.000.00 TABLET HERWANSYAH, TN JLN APEL I GG DR. NINA SP.P RSUS
RAMBUTAN NO 12 LK I
RS0317-011142 11/03/2017 PETHIDIN INJ 100.000.00 AMP M. NURIYAWAN. TN 002 KEC SUKARAME
JL RIDWAN RAIS GG DR. DENDY MAULANA, RSUS
WARU NO 28 LK II SP.AN
RS0317-010981 11/03/2017 PETHIDIN INJ 100.000.00 AMP ALKOK JOHAMAIN.TN 010/- TANJUNG RAYA
JL.SULTAN HAKI GG DR. RIDHUAN IRAWAN RSUS
KEDAMAIAN
PERINTIS II NO 22 SP.PD
RS0317-010989 11/03/2017 PETHIDIN INJ 100.000.00 AMP WELLING ANTONIUS, KEDATON
JL. BASUKI RAHMAT DR. RIDHUAN IRAWAN RSUS
RS.URIP SUMOHARJO Periode : Maret 2017 TN NO. 41 GEDUNG SP.PD Dicetak oleh :
LAPORAN KHUSUS PENGGUNAAN OBAT Jenis Obat : NARKOTIK PAKUON TBS YULIANITA
02 Apr 2017 , 13:49
Page : 21 of 59
Sub Total 40.000 item : 17400.000.00
12 Maret 2017
RS0317-011175 12/03/2017 CODEIN 10 MG TAB 600.000.00 TABLET TUKINO, TN PERUM RAGOM GAWI DR. HASMI MAHA SP.PD RSUS
BLOK. D NO. 16
RS0317-011588 12/03/2017 CODEIN 10 MG TAB 600.000.00 TABLET PADILANGGA.DR KEMILING
URIP DR. PAD DILANGGA SP.P RSUS
SUMOHARJO/DR.RSUS
RS0317-011460 12/03/2017 CODEIN 10 MG TAB 900.000.00 TABLET OKTI KHAIRISSA.NY PARDA SUKA DR. NINA SP.P RSUS
RS0317-011605 12/03/2017 CODIPRONT CAP 900.000.00 CAPSUL ARDILA SISKA, NN KATIBUNG
JL NUSANTARA 6 NO 67 DR. HASMI MAHA SP.PD RSUS
RS0317-011474 12/03/2017 CODIPRONT CUM EXPT SYR 100.000.00 FLS S.HADI SUWITO,TN LABUHAN RATURT05/02
NEGARA BUMI DR. NINA SP.P RSUS
RS0317-011571 12/03/2017 CODIPRONT CUM EXPT SYR 100.000.00 FLS SUPARTI NY KEC
JL PULAU RAYATENGAH
SUNGKAI NO 102 DR. ASRIZAL SPJ RSUS
RT 008 WAY KANDIS
RS0317-011849 12/03/2017 CODIPRONT SYR 100.000.00 FLS KIKI YULIANI, NN T.SENANG
DSN III 007/003 DR. IMRON SP.PD RSUS
GONDANG REJO
RS0317-011516 12/03/2017 CODIPRONT SYR 100.000.00 FLS ZUBIER HARAHAP. TN PEKALONGAN
JL CENGKEH UTARA 4 DR. RIDHUAN IRAWAN RSUS
LAMPUNG
NO 175 TIMUR SP.PD
RS0317-011384 12/03/2017 DUROGESIC MATRIX 25 MCG/H 100.000.00 PCS DWI ENDANG KEBAGUSAN GEDONG DR. IS YULIANTO SP. OG RSUS
OKTARIANI,NY TATAAN
RS0317-011837 12/03/2017 FENTANYL 2 ML INJ 100.000.00 AMP SUGENG SEDAYU, AN DATAR BANCONG DR. PUTU JUNITA P., RSUS
RS0317-011843 12/03/2017 FENTANYL 2 ML INJ 100.000.00 AMP YUDI YANTO, SDR KASUI WAYSAWAH
KAMPUNG KANAN SP.AN
004/002 KEBAGUSAN SP.AN
RS0317-011668 12/03/2017 MST CONTINUS 10 MG TAB 1500.000.00 TABLET ASBUNAYA , AR.BSC, GEDONG
JL.BANGAUTATAAN
5 NO.46 DR. RIANA HANDAYANI, RSUS
RS0317-011904 12/03/2017 MST CONTINUS 10 MG TAB 600.000.00 TABLET HJ. SUPROH, NY KOTABUMI SELATAN
JLN SUKANDI DR. MARINA, SP. PD RSUS
HAMNDANI NO 2 014 /-
RS0317-011982 12/03/2017 MST CONTINUS 10 MG TAB 200.000.00 TABLET WASIM HUSEN, TN KEL
DSN LABUHAN
II 009/005RATU DR. IMRON SP.PD RSUS
KEC KEDATON
SIDODADI
PEKALONGAN
LAMPUNG TIMUR
SIDODADI
Sub Total 14.000 item : 6000.000.00 PEKALONGAN
LAMPUNG TIMUR
13 Maret 2017
RS0317-013145 13/03/2017 CODEIN 10 MG TAB 1000.000.00 TABLET R.MUSMAN.KS ,TN JLN.LANDAK NO53 LKI DR. IMRON SP.PD RSUS
RS0317-012795 13/03/2017 CODEIN 10 MG TAB 1000.000.00 TABLET MULYADI, TN RT008 KEDATON
KAWAT NGANKANG DR. NINA SP.P RSUS
RT/RW 001/004
RS.URIP SUMOHARJO Periode : Maret 2017 PARDASUKA KATIBUNG Dicetak oleh :
02 Apr 2017 , 13:49
Page : 22 of 59
RS0317-012465 13/03/2017 CODEIN 10 MG TAB 900.000.00 TABLET ALDI PRASTIYO.SDR DUSUN IV SIDOSARI DR. NINA SP.P RSUS
RS0317-012238 13/03/2017 CODEIN 10 MG TAB 600.000.00 TABLET NURCAYA, NY JATI AGUNG BAYUR DR. HASMI MAHA SP.PD RSUS
JL. SRIKRESNA
RS0317-012327 13/03/2017 CODIPRONT CAP 1500.000.00 CAPSUL ANDRI YULIANTO, TN LK II RAJABASA
TAMBAH JAYA
REJO RT 009 DR. HASMI MAHA SP.PD RSUS
RS0317-012377 13/03/2017 CODIPRONT CUM EXPT SYR 100.000.00 FLS SURYATI, NY PRINGSEWU
PT KAI / JL AGUNG I DR. ASRIZAL SPJ RSUS
PERUMNAS WAY HALIM
RS0317-012290 13/03/2017 CODIPRONT CUM EXPT SYR 100.000.00 FLS ADE ROHMAN, TN JL. NARADA GG. DAMAI DR. ASRIZAL SPJ RSUS
NO.30 JAGA BAYA I
RS0317-013181 13/03/2017 CODIPRONT CUM EXPT SYR 100.000.00 FLS R.SUPARMAN KS.TN TANJUNG
JL.LANDAKKARANG
NO.54 LK I DR. RIDHUAN IRAWAN RSUS
TIMUR
RT 009 SIDODADI SP.PD
RS0317-012381 13/03/2017 CODIPRONT CUM EXPT SYR 100.000.00 FLS PUDIN.TN KEC,KEDATON
SEKINCAU PASAR KEC DR. ASRIZAL SPJ RSUS
RS0317-012783 13/03/2017 CODIPRONT CUM EXPT SYR 100.000.00 FLS FACHMI, TN SEKINCAU
JL. TANJUNG BARU DR. NINA SP.P RSUS
NO.41 TANJUNG BARU
RS0317-012810 13/03/2017 CODIPRONT CUM EXPT SYR 100.000.00 FLS HERMAN EFENDI, TN SUKABUMI
LK III RT/RW 001/001 DR. NINA SP.P RSUS
BANDAR JAYA
RL0317-000699 13/03/2017 CODIPRONT SYR 100.000.00 FLS YUNI TERBANGGI BESAR DR. SURYA PUSPA DEWI RSUS
RS0317-012190 13/03/2017 CODIPRONT SYR 100.000.00 FLS IDHAM.TN DSN IIA RT 003/003 DR. M. IMAM RIFAI RSUS
KEL.SUMBERJAYA JATI
RS0317-012414 13/03/2017 CODIPRONT SYR 100.000.00 FLS ARIF EDI CHANDRA, AGUNG
JL. DR. UTOMO NO. 14 DR. M. IMAM RIFAI RSUS
TN LK III GG BUKIT
RS0317-012022 13/03/2017 CODIPRONT SYR 100.000.00 FLS SUMINAH, NY PENENGAHAN
JATI HARJO 001/001 DR. IMRON SP.PD RSUS
KEDATON
ABUNG GUMANTI
RS0317-012025 13/03/2017 CODIPRONT SYR 100.000.00 FLS NURSANI TEGINENNG
jl korpri raya no 9 blok DR. IMRON SP.PD RSUS
RS0317-012469 13/03/2017 CODIPRONT SYR 100.000.00 FLS AZIZATUNNIKMAH,
RAHMAH MEGA , NYNN a
KB1 ILIR
suakrame
RT 002/ - KEL DR. RIDHUAN IRAWAN RSUS
KOTA BUMI KEC KOTA SP.PD
RS0317-012029 13/03/2017 DUROGESIC MATRIX 25 MCG/H 100.000.00 PCS MARYANTO,TN BUMI ILIR
JL.MS.BATUBARA GANG
SEDAP MALAM KUPANG
RS0317-012666 13/03/2017 FENTANYL 2 ML INJ 100.000.00 AMP ITOK, TN TEBA
BWANG TIRTO MULYO DR. PUTU JUNITA P., RSUS
001/006 BANJAR BARU SP.AN
RS0317-012228 13/03/2017 FENTANYL 2 ML INJ 100.000.00 AMP ALFAN SA'ADA JL KELAPA I NO 6A DR. PUTU JUNITA P., RSUS
RS0317-012700 13/03/2017 FENTANYL 2 ML INJ 100.000.00 AMP SETIAWAN, AN
REGINA BIZANTYYA.BY SEPANG
DUSUN IIJAYA
TEMPURAN SP.AN
RS0317-012596 13/03/2017 FENTANYL 2 ML INJ 100.000.00 AMP BASIR,TN TRIMURJO
JL.RIMBA KUSUMA SP.AN
RATU RT02/ BERINGIN SP.AN
RS.URIP SUMOHARJO Periode : Maret 2017 RAYA KEMILING Dicetak oleh :
02 Apr 2017 , 13:49
Page : 23 of 59
RS0317-012267 13/03/2017 FENTANYL 2 ML INJ 100.000.00 AMP MUBASIR DARMA,TN GAYAU SAKTI SEPUTIH DR. PUTU JUNITA P., RSUS
RS0317-012226 13/03/2017 FENTANYL 2 ML INJ 100.000.00 AMP AGUNG MAYANG NO DR.
M.TAUFIK HIDAYAT.TN JL.BUNGA SP.AN
PUTU JUNITA P., RSUS
RS0317-013029 13/03/2017 FENTANYL 2 ML INJ 100.000.00 AMP ROSITA. NY 309ABRATI
JL KEC KOTA BUMI
GG LESTARI SP.AN
NO 26 004/002 AN
RS0317-012692 13/03/2017 FENTANYL 2 ML INJ 100.000.00 AMP SUBANDI.TN KOTABUMI
JL.RAJAWALIPASAR
RAYA NO DR. PUTU JUNITA P., RSUS
II POLDA II LK, SP.AN
RS0317-012759 13/03/2017 FENTANYL 2 ML INJ 100.000.00 AMP DEWI KUSTIATI.NY KEMILING
JL. BANTEN TPA LK.2 DR. PUTU JUNITA P., RSUS
RS0317-013028 13/03/2017 FENTANYL 2 ML INJ 100.000.00 AMP SUHANDA, TN BAKUNG TBB
SUKARAJA GEDONG SP.AN
RS0317-012164 13/03/2017 FENTANYL 2 ML INJ 100.000.00 AMP RETNO MUTIYAH, NN TATAAN PESAWARAN
DESA WAWASAN KEC AN
RS0317-012530 13/03/2017 MST CONTINUS 10 MG TAB 100.000.00 TABLET AGUNG WIJAYA, TN TANJUNG
JL GARUDASARI
VI BLOK SP.AN
DR.MONETA MAHA RSUS
D99 PENGASINAN
RS0317-012725 13/03/2017 MST CONTINUS 10 MG TAB 500.000.00 TABLET KARSIM. TN RAWA LUMBU
JL PADAT KARYABEKASI
S. DR . M.BAYU RSUS
HARAPAN 009/- SAHADEWA,SP.OT
RS0317-012708 13/03/2017 MST CONTINUS 10 MG TAB 200.000.00 TABLET MASTURA, NY RAJABASA JAYA
DESA KEDATON ABUNG DR. IMRON SP.PD RSUS
TENGAH RT 01/02
RS0317-012756 13/03/2017 MST CONTINUS 10 MG TAB 1000.000.00 TABLET EDY NUGROHO, TN KEDATON
JL.TANGKUBAN DR. ANDI SISWANDI, RSUS
PERAHU NO.39 LK I SP.B,.M.KES
Sub Total 33.000 item : 9200.000.00 013 KUPANG KOTA
TELUK BETUNG UTARA
14 Maret 2017
RS0317-014036 14/03/2017 CODEIN 10 MG TAB 400.000.00 TABLET ARJO SLAMET, TN DSN PURWOSARI DR. PAD DILANGGA SP.P RSUS
005/001 KETAPANG
RS0317-014049 14/03/2017 CODEIN 10 MG TAB 600.000.00 TABLET SUPONO,TN LAMPUNG SELATAN
JL.PAJAJARAN GG DR. PAD DILANGGA SP.P RSUS
RS0317-013224 14/03/2017 CODEIN 10 MG TAB 300.000.00 TABLET H, BAHRUDIN, TN KANCIL
DESA II NO 51
PURWODADI DR. PAD DILANGGA SP.P RSUS
RS0317-014040 14/03/2017 CODEIN 10 MG TAB 800.000.00 TABLET BANGUN LUWAT GISTING
WAY HALIM PERAMI DR. PAD DILANGGA SP.P RSUS
SEPTIADI, TN SUAKRAME RT 04 JL P
RS0317-014054 14/03/2017 CODEIN 10 MG TAB 500.000.00 TABLET BOBY HERYANTO, TN TABUAN LK I NO
PERUM PALM HILL5 DR. PAD DILANGGA SP.P RSUS
BLOK E 23
RS0317-014061 14/03/2017 CODEIN 10 MG TAB 600.000.00 TABLET YUDI ERLANGGA, SDR JL. KACA PIRING I DR. PAD DILANGGA SP.P RSUS
RS0317-013559 14/03/2017 CODEIN 10 MG TAB 3000.000.00 TABLET HERWANSYAH, TN BLOK.A
JLN APELNO.24
I GG DR. NINA SP.P RSUS
RAMBUTAN NO 12 LK I
RS0317-014046 14/03/2017 CODEIN 10 MG TAB 600.000.00 TABLET I WANDRA, TN 002 KEC SUKARAME
JL BADAK GG DR. PAD DILANGGA SP.P RSUS
RS.URIP SUMOHARJO Periode : Maret 2017 SWAKARYA I NO 22 Dicetak oleh :
LAPORAN KHUSUS PENGGUNAAN OBAT Jenis Obat : NARKOTIK KEDATON YULIANITA
02 Apr 2017 , 13:49
Page : 24 of 59
RS0317-013822 14/03/2017 CODIPRONT CAP 100.000.00 CAPSUL WAHYU PRIYONO, TN DUSUN IB RT014 DR. DIANA NUR ASRINI RSUS
RS0317-013991 14/03/2017 CODIPRONT CAP 2000.000.00 CAPSUL FISCA JALASENASTRI, RW005 JATI HAMDANI
JL.SUKARDI MULYO DR. HASMI MAHA SP.PD RSUS
NY PALAPA 7 NO.3
RS0317-013328 14/03/2017 CODIPRONT CAP 2000.000.00 CAPSUL SUHARTO ES ,TN LABUHAN
JL.S.PARMANRATU
BANDAR DR. RIANA HANDAYANI, RSUS
JAYA TIMUR SP.J
RS0317-013977 14/03/2017 CODIPRONT CAP 1000.000.00 CAPSUL TEMEN . TN TANGJUNG WANGI , DR. MARS DWI CAHYO RSUS
RS0317-013772 14/03/2017 CODIPRONT CAP 900.000.00 CAPSUL LAM
YUNI AMANDASARI, NY JL TIMRAWA SUBUR
JAHE SP.BU
RS0317-013665 14/03/2017 CODIPRONT CUM EXPT SYR 100.000.00 FLS PRIANTO TN NO 39 RT 005
JL KARTINI ENGGAL
SUKMA NO DR. NINA SP.P RSUS
5 RT 004 PALAPA
RS0317-013585 14/03/2017 CODIPRONT CUM EXPT SYR 100.000.00 FLS NURSITI LESTARI NN T.KARANG
DUSUN III PUSAT
TRIMULYO DR. NINA SP.P RSUS
RT 007/003 TANJUNG
RS0317-013571 14/03/2017 CODIPRONT CUM EXPT SYR 100.000.00 FLS SRI SUYATMI.NY SARI JABUNGRT
AMBARAWA DR. NINA SP.P RSUS
RS0317-014216 14/03/2017 CODIPRONT SYR 100.000.00 FLS R.MUSMAN.KS ,TN 005/001
JLN.LANDAK NO53 LKI DR. IMRON SP.PD RSUS
RS0317-013193 14/03/2017 CODIPRONT SYR 100.000.00 FLS DEWI SERTI S, NN KEC.AMBARAWA
RT008 KEDATON
TERPANDI RT 002/007 DR. IMRON SP.PD RSUS
RS0317-013304 14/03/2017 CODIPRONT SYR 100.000.00 FLS NURLETI, NY KOTABUMI
JL UDIK WEY
RADEN SALEH DR. TEDDY RSUS
RS0317-014041 14/03/2017 CODIPRONT SYR 100.000.00 FLS LAIMENA. NY HUWI
KOTA NAPAL. BUNGA WAHYUDIANTO
RS0317-014015 14/03/2017 CODIPRONT SYR 100.000.00 FLS RUSLI, HS, TN MAYANG
JL HM SALIM LK I RT DR. DIANA NUR ASRINI RSUS
RS0317-013460 14/03/2017 CODIPRONT SYR 100.000.00 FLS LINDA TRISNAWATI, 13 WAY LUNIK
JL RADEN TBS
GUNAWAN DR. MELDA DASEPTA RSUS
NY PERUM PONDOK
RS0317-014168 14/03/2017 CODIPRONT SYR 100.000.00 FLS ANI FITRIYAH NN KEMALA
PARDASUKABLOK B HAJI
I RT DR. MARINA, SP. PD RSUS
MENA NATAR
RS0317-014156 14/03/2017 DUROGESIC MATRIX 25 MCG/H 100.000.00 PCS BAMBANG IRAWAN, TN 001/001
JL. RAJA KATIBUNG
BASA I BLOK.B DR. ASRIZAL SPJ RSUS
NO.14 PRUMNAS WAI
RS0317-014126 14/03/2017 DUROGESIC MATRIX 25 MCG/H 400.000.00 PCS ROSYIDAH, NY HALIM
PRINGSEWU UTARA DR.BINTANG, SP.B (K) RSUS
RS0317-013669 14/03/2017 FENTANYL 2 ML INJ 100.000.00 AMP ALIMUDDIN RT 006/003 LK
PARDASUKA RTII ONKPUTU JUNITA P.,
DR. RSUS
SYAHRI.TN 001/004 BANDING SP.AN
RS0317-013973 14/03/2017 FENTANYL 2 ML INJ 100.000.00 AMP PAN SIPEN, TN AGUNG KEC,TALANG
desa bangun rejo DR. PUTU JUNITA P., RSUS
PADANG
ketapang SP.AN
RS0317-013307 14/03/2017 FENTANYL 2 ML INJ 100.000.00 AMP PURWANTO.TN LK.IV JL. KH. DR. BUDI OKTA P, SP. RSUS
DEWANTARA AN
PRINGSEWU SELATAN
DEWANTARA AN
RS0317-013907 14/03/2017 FENTANYL 2 ML INJ 100.000.00 AMP SUBIANTORO, TN PRINGSEWU SELATAN
DUSUN ANOMAN 2 DR. PUTU JUNITA P., RSUS
PONCOWATI SP.AN
RS.URIP SUMOHARJO Periode : Maret 2017 TERBANGGI BESAR Dicetak oleh :
02 Apr 2017 , 13:49
Page : 25 of 59
RS0317-014133 14/03/2017 FENTANYL 2 ML INJ 100.000.00 AMP INAWATI.NY DUSUN MEKAR SRI DR. BUDI OKTA P, SP. RSUS
RS0317-014259 14/03/2017 FENTANYL 2 ML INJ 100.000.00 AMP NURLINA, NY BUDAYA
DESA WAY JAMBU AN
RS0317-013520 14/03/2017 FENTANYL 2 ML INJ 100.000.00 AMP SANTOSO. TN PESISIR
DS SELATN
SRI BAKTI 004/002 AN PUTU JUNITA P.,
DR. RSUS
NEGERI BUMI PUTERA SP.AN
RS0317-013512 14/03/2017 FENTANYL 2 ML INJ 100.000.00 AMP IRMA PUSPITA SARI BLAMBANGAN UMPU
JL NAWAWI GELAR DR. PUTU JUNITA P., RSUS
NY DALOM RT 006 SP.AN
RS0317-013814 14/03/2017 FENTANYL 2 ML INJ 100.000.00 AMP MUKHSIN , TN RAJABASA JAYA
JL SUKERNO HATTA DR. PUTU JUNITA P., RSUS
KOMPLEK SMA 5 LK II SP.AN
RS0317-014191 14/03/2017 FENTANYL 2 ML INJ 100.000.00 AMP SAFIAH, NY RT/RW
JL RATU010 SUKARAME
DIBALAU NO DR. BUDI OKTA P, SP. RSUS
RS0317-013808 14/03/2017 FENTANYL 2 ML INJ 100.000.00 AMP RIZKI INTAN 121 007 WAYKANDIS
DESA TANJUNG SARI AN
RS0317-013754 14/03/2017 FENTANYL 2 ML INJ 100.000.00 AMP PERDANU,
ASRIYADI, NN
TN KEC. JABUNG
SUMBER WANGI SP.AN
GUNUNG SARI REBANG SP.AN
RS0317-013213 14/03/2017 FENTANYL 2 ML INJ 100.000.00 AMP SUGIARTI, NY TANGKAS
PAJARESUKWAY KANAN DR. TEDDY
I 006/003 RSUS
RS0317-013856 14/03/2017 FENTANYL 2 ML INJ 100.000.00 AMP SUDARNO, TN PAJARESUK
KACA MARGA CUKUH WAHYUDIANTO
RS0317-013206 14/03/2017 MST CONTINUS 10 MG TAB 100.000.00 TABLET SUSTI HANDAYANI,NY PRINGSEWU
BALAK TANGGAMUS
JLN URIP SUMOHARJO SP.AN
DR. TEDDY RSUS
GG,PERWIRA II WAHYUDIANTO
RS0317-014171 14/03/2017 MST CONTINUS 10 MG TAB 600.000.00 TABLET NURHAYATI, NY MAWAR PUTIH
JL A MUIS LK3 RT
PERRUM DR. MARINA, SP. PD RSUS
005 KEC,SUKARAME
BUKIT KENCANA BLOK
RS0317-013340 14/03/2017 MST CONTINUS 10 MG TAB 1000.000.00 TABLET KASINAH, NY K
JL.35MERDEKA
GEDUNGKTAPANG
MENENG DR. ADI NUGROHO SP.B RSUS
RAJABASA
SUNGKIA SELATAN (K)OTEDDY
RS0317-013740 14/03/2017 MST CONTINUS 10 MG TAB 200.000.00 TABLET SUSTI HANDAYANI,NY JLN URIP SUMOHARJO DR. RSUS
GG,PERWIRA II WAHYUDIANTO
RS0317-013992 14/03/2017 PETHIDIN INJ 100.000.00 AMP PAN SIPEN, TN MAWAR PUTIH
desa bangun LK3 RT
rejo DR. PUTU JUNITA P., RSUS
005 KEC,SUKARAME
ketapang SP.AN
Sub Total 44.000 item : 17700.000.00
15 Maret 2017
RS0317-015315 15/03/2017 CODEIN 10 MG TAB 300.000.00 TABLET DARINUN.NY JL.WARTAWAN DR. PAD DILANGGA SP.P RSUS
GG.H.AHMAD NO.26
RS0317-014543 15/03/2017 CODEIN 10 MG TAB 1500.000.00 TABLET ALDI PRASTIYO.SDR GUNUNG
DUSUN IVSULAH WAY
SIDOSARI DR. NINA SP.P RSUS
HALIM
JATI AGUNG
02 Apr 2017 , 13:49
Page : 26 of 59
RS0317-014695 15/03/2017 CODEIN 10 MG TAB 900.000.00 TABLET DEDI JULIANSYAH,TN GEDUNG HARAPAN RT DR. NINA SP.P RSUS
003 RW 004
RS0317-014864 15/03/2017 CODEIN 10 MG TAB 900.000.00 TABLET BRIAN KEC,NEGERI AGUNG
JL. MATAHARI NO.3 DR. HASMI MAHA SP.PD RSUS
MUHAMMAD.SDR LK.I HARAPAN JAYA
RS0317-015303 15/03/2017 CODEIN 10 MG TAB 1000.000.00 TABLET APRIANA, NN SUKARAME
JL. DIPONEGORO DR. PAD DILANGGA SP.P RSUS
RS0317-014837 15/03/2017 CODEIN 10 MG TAB 2000.000.00 TABLET DR. NORA ISMI NO.44
JL 024/009DESA
NUGROHO METRO DR. RIDHUAN IRAWAN RSUS
AFRIANI, NY PUSAT
SIDOREJO SIDOMULYO SP.PD
RS0317-014338 15/03/2017 CODEIN 10 MG TAB 400.000.00 TABLET BENI WANARSA, TN KAMPUNG JAWA PMK DR. PAD DILANGGA SP.P RSUS
RS0317-015234 15/03/2017 CODEIN 10 MG TAB 800.000.00 TABLET SULASMI, NY 06 PESISIR
MARGO REJOTENGAH
RT 003 DR. PAD DILANGGA SP.P RSUS
RS0317-015208 15/03/2017 CODEIN 10 MG TAB 500.000.00 TABLET HI.A.MANSYUR TN HARGO
JL REJO
TAMAN RAWA
WISATA DR. PAD DILANGGA SP.P RSUS
JITU
WAY RAREM NO 70 RT
RL0317-000796 15/03/2017 CODIPRONT CAP 500.000.00 CAPSUL Fatmia 001/001 PEKURUN DR. HASMI MAHA SP.PD RSUS
RS0317-015116 15/03/2017 CODIPRONT CAP 1000.000.00 CAPSUL IDA ROYANI,NY INDAH SEJAHTERA 4 DR. HASMI MAHA SP.PD RSUS
BLOK D NO.30
RS0317-014433 15/03/2017 CODIPRONT CAP 100.000.00 CAPSUL MARZANA ELIAZA SUKARAME
JL. P.TIRTAYASA DR. MAHARANI RSUS
WATI, NY BERINGIN CAMPANG
RS0317-014656 15/03/2017 CODIPRONT CAP 1500.000.00 CAPSUL PRASETYA KAMAJAYA, JAYA 006 SUKABUMI
JL NANGKA GG JAHRI DR. HASMI MAHA SP.PD RSUS
TN NO 11 LK I RT 009
RS0317-015049 15/03/2017 CODIPRONT CAP 600.000.00 CAPSUL SULASMIYATI, NY GEDONG AIRTULANG
MULYA SARI DR. IKRIZAL,SP.BU RSUS
RS0317-014645 15/03/2017 CODIPRONT CUM EXPT SYR 100.000.00 FLS MARZANA ELIAZA BAWANG
JL. BARAT
P.TIRTAYASA DR. ASRIZAL SPJ RSUS
WATI, NY BERINGIN CAMPANG
RS0317-015349 15/03/2017 CODIPRONT CUM EXPT SYR 100.000.00 FLS AMIR MOGA SAKTI.TN JAYA 006 SUKABUMI
PERMATA BIRU A6 DR. IKA RSUS
NO.8/9 SUKARAME
RS0317-014904 15/03/2017 CODIPRONT CUM EXPT SYR 100.000.00 FLS IDAWATY, NY JL. AIRAN RAYA GG DR. ASRIZAL SPJ RSUS
ANDALAS RT/ RW
RS0317-014646 15/03/2017 CODIPRONT CUM EXPT SYR 100.000.00 FLS DASIMAH.A.S,NY 001/001 WAY HUWI
JL.KH.GHOLIB RT04 DR. ASRIZAL SPJ RSUS
JATI
KEL AGUNG
PRINGSEWU
RS0317-014679 15/03/2017 CODIPRONT CUM EXPT SYR 100.000.00 FLS ELZA WATI.NY DUSUN V NAPAL PUTIH DR. ASRIZAL SPJ RSUS
BARAT
RT 003/005
RS0317-014685 15/03/2017 CODIPRONT CUM EXPT SYR 100.000.00 FLS S.HADI SUWITO,TN KEC,GUNUNG
NEGARA BUMILABUHAN
RT05/02
DR. NINA SP.P RSUS
RS0317-014498 15/03/2017 CODIPRONT SYR 100.000.00 FLS ASMIYATI, NY KEC SUNGKAI TENGAH
JL. DANAU LAUT DR.MONETA MAHA RSUS
TAWAR GG NIRMALA
RS.URIP SUMOHARJO Periode : Maret 2017 NO 126 KEDATON Dicetak oleh :
YULIANITA
Page : 27 of 59
RS0317-015128 15/03/2017 CODIPRONT SYR 100.000.00 FLS JOKO SARWONO.TN PERUM II PT.GMP RT DR. SYAHAR SP.B RSUS
011/02 GUNUNG BATIN
RS0317-015404 15/03/2017 CODIPRONT SYR 100.000.00 FLS R.MUSMAN.KS ,TN BARU KEC.TERUSAN
NUNYAI
RT008 KEDATON
RS0317-015119 15/03/2017 CODIPRONT SYR 100.000.00 FLS RENI SARASWATI, NY JL. SOEKARNO HATTA DR. MARINA, SP. PD RSUS
RS0317-015354 15/03/2017 CODIPRONT SYR 100.000.00 FLS GG. WARU 4 NO.
MARKIYAH ARACHMAN JL.PERWIRA NO.26 43 DR. MARINA, SP. PD RSUS
MHASSIM,NY TANJUNG BARU
RS0317-015146 15/03/2017 FENTANYL 2 ML INJ 100.000.00 AMP M.GILANG ALFATIH, MUARA AMAN 005 DR. PUTU JUNITA P., RSUS
RS0317-014394 15/03/2017 FENTANYL 2 ML INJ 100.000.00 AMP AN
APRIANA, NN BUKIT
JL. KEMUNING
DIPONEGORO SP.AN
RS0317-014891 15/03/2017 FENTANYL 2 ML INJ 100.000.00 AMP RISANDI NO.44 024/009 METRO
PADANG RATU RT/RW SP.AN
RS0317-015159 15/03/2017 FENTANYL 2 ML INJ 100.000.00 AMP KUSWARA.SDR
SUHAROSO,TN PUSAT
001 KEC WONOSOBO
DUSUSN 10 SURABAYA SP.AN
RS0317-014935 15/03/2017 FENTANYL 2 ML INJ 100.000.00 AMP SAKEUS SITEPU, TN ILIR
DUSUN III MATARAM SP.AN
RS0317-015284 15/03/2017 FENTANYL 2 ML INJ 100.000.00 AMP SRI BANON, NY BARU,
DUSUN VII GIRI KLOPO SP.AN
RS0317-014343 15/03/2017 FENTANYL 2 ML INJ 100.000.00 AMP ISTYARINI, NY MULTO
JL SEKAMPUNG
SULATAN JAMIL GG SP.AN
SINGGAH PAI 008 AN
RS0317-014339 15/03/2017 FENTANYL 2 ML INJ 100.000.00 AMP SAKIMAN, TN GEDONG
DS TAMBAH MENENG
REJO RT DR. BUDI OKTA P, SP. RSUS
RAJABASA
01 BATU TEGI AIR AN
RS0317-014590 15/03/2017 FENTANYL 2 ML INJ 100.000.00 AMP HINDUN HAYANA, NY NANINAGN
JL. RAMBUTAN NO 69 DR. PUTU JUNITA P., RSUS
RT2RW1, KELAPA SP.AN
RS0317-014392 15/03/2017 FENTANYL 2 ML INJ 100.000.00 AMP WAHYU PRIYONO, TN TUJUH
DUSUN KTBM SLTN
IB RT014 DR. PUTU JUNITA P., RSUS
RS0317-014509 15/03/2017 FENTANYL 2 ML INJ 100.000.00 AMP SUJARWANTO, TN RW005 JATI
DUSUN MULYO
SRI MULYO SP.AN
009/004 NEGERI SAKTI SP.AN
RS0317-014360 15/03/2017 FENTANYL 2 ML INJ 100.000.00 AMP SRI SUWARTINI, NY GEDONG TATAAN
JL TURI RAYA GG DR. BUDI OKTA P, SP. RSUS
KILAS RAYA LK 1 017 AN
RS0317-014396 15/03/2017 FENTANYL 2 ML INJ 100.000.00 AMP SRIYUNA, NY TANJUNG SENANG
bandar dewa 001/001 DR. BUDI OKTA P, SP. RSUS
RS0317-014777 15/03/2017 FENTANYL 2 ML INJ 100.000.00 AMP FERDIAN TRISTIANTO. tulang
JL. AMDbawang tengah AN
TEMENGGUNG. DR. PUTU JUNITA P., RSUS
TN GG. GURUN. GUNUNG SP.AN
RS0317-015331 15/03/2017 FENTANYL 2 ML INJ 100.000.00 AMP ROBERT MANIK, TN SULAH
JL. PULAU DAMAR NO DR. BUDI OKTA P, SP. RSUS
10 PER WAY KANDIS T AN
RS0317-014695 15/03/2017 MST CONTINUS 10 MG TAB 600.000.00 TABLET DEDI JULIANSYAH,TN SENENG
003 RW 004
RS.URIP SUMOHARJO Periode : Maret 2017 KEC,NEGERI AGUNG Dicetak oleh :
YULIANITA
Page : 28 of 59
RS0317-014528 15/03/2017 MST CONTINUS 10 MG TAB 200.000.00 TABLET HJ. SUPROH, NY JLN SUKANDI DR. MARINA, SP. PD RSUS
Sub Total 42.000 item : 15400.000.00 KEL LABUHAN RATU
KEC KEDATON
16 Maret 2017
RS0317-015426 16/03/2017 CODEIN 10 MG TAB 400.000.00 TABLET MARTINAWATI, NY JL.ARIF RAHMAN DR. PAD DILANGGA SP.P RSUS
HAKIM NO.9
RS0317-015449 16/03/2017 CODEIN 10 MG TAB 300.000.00 TABLET ALI CHAIDIR.TN SUKARAME
DUSUN TAMAN BARU DR. PAD DILANGGA SP.P RSUS
KEL WATES WAY RATAI
RS0317-015638 16/03/2017 CODEIN 10 MG TAB 1500.000.00 TABLET Y.BUDI SANTOSO, TN KEC PADANG
JL SAWI BLOKCRMIN
H NO DR. ASRIZAL SPJ RSUS
15/29 LK I RT 004
RS0317-015819 16/03/2017 CODEIN 10 MG TAB 1000.000.00 TABLET NADEA SEPTI BERINGIN RAYA
JL.U.SUMOHARJO DR. RIDHUAN IRAWAN RSUS
YOULANDA.NN GG.SUNGAI 7 NO.36 RT SP.PD
RS0317-015798 16/03/2017 CODEIN 10 MG TAB 2000.000.00 TABLET UMI HANI, NY 004 GUNUNG
JL AHMAD SULAH
YANI DR. RIDHUAN IRAWAN RSUS
CEMPAKA PUTIH 2 SP.PD
RL0317-000819 16/03/2017 CODEIN 10 MG TAB 2000.000.00 TABLET Dr.Asrizal RT009 BANDAR JAYA DR. ASRIZAL SPJ RSUS
RS0317-016184 16/03/2017 CODEIN 10 MG TAB 1000.000.00 TABLET POLINA.NY JL.SOEKARNO HATTA DR. RIDHUAN IRAWAN RSUS
PERINTIS GG.PEPAYA SP.PD
RS0317-015429 16/03/2017 CODIPRONT CAP 300.000.00 CAPSUL ARDILA SISKA, NN 29 KB RT 01 KAMPUNG
BARU KEDATON
LABUHAN RATU
RS0317-015601 16/03/2017 CODIPRONT CAP 900.000.00 CAPSUL SALAMAH, NY BEKRI DR. HASMI MAHA SP.PD RSUS
RS0317-015676 16/03/2017 CODIPRONT CUM EXPT SYR 100.000.00 FLS ABDUL KEYSAN JL.DANAU TOBA NO.21 DR. MURDOYO R., SP. A RSUS
RS0317-015658 16/03/2017 CODIPRONT CUM EXPT SYR 100.000.00 FLS ALFAHREZY.
NURHAYATI, AN
NY KEDATON/KARY.RSUS
JL A MUIS PERRUM DR. NINA SP.P RSUS
BUKIT KENCANA BLOK
RS0317-016172 16/03/2017 CODIPRONT CUM EXPT SYR 100.000.00 FLS PETRUS, SDR K 35 GEDUNG
TRIMULYO MENENG
01/06 DR. RIDHUAN IRAWAN RSUS
RAJABASA
GALIH LUNIK TANJUNG SP.PD
RS0317-015793 16/03/2017 CODIPRONT CUM EXPT SYR 100.000.00 FLS SRI SUPRANTI, NY BINTANG
DUSUN IV TERBANGGI DR. RIDHUAN IRAWAN RSUS
RL0317-000829 16/03/2017 CODIPRONT SYR 100.000.00 FLS tn.IK Neta BESAR SP.PD
RS0317-016256 16/03/2017 CODIPRONT SYR 100.000.00 FLS SUMINAH, NY JATI HARJO 001/001 SP.PD
ABUNG GUMANTI
RS0317-016009 16/03/2017 CODIPRONT SYR 100.000.00 FLS SUPENDI, TN TEGINENNG
SERDANG 2 TANJUNG DR. MARINA, SP. PD RSUS
RS.URIP SUMOHARJO Periode : Maret 2017 BINTANG Dicetak oleh :
02 Apr 2017 , 13:49
Page : 29 of 59
RS0317-015518 16/03/2017 CODIPRONT SYR 100.000.00 FLS FITRY KURNIATY, NY JL KIMAJA NO 39 WAY DR. MARINA, SP. PD RSUS
HALIM
RS0317-015791 16/03/2017 CODIPRONT SYR 100.000.00 FLS MIDA NINGSIH NY PRUM PERMATA BIRU DR.MONETA MAHA RSUS
BLOK A NO 6 KEC
RS0317-015418 16/03/2017 DUROGESIC MATRIX 25 MCG/H 100.000.00 PCS SITI SUPRIHATIN, NY SUKARAME
DESA SILIWANGI RT DR. DINO RINALDY, RSUS
03/02 SIKOHARJO SP.OG, ONK
RS0317-015910 16/03/2017 DUROGESIC MATRIX 25 MCG/H 100.000.00 PCS ROSYIDAH, NY PREGSEWU
PRINGSEWU UTARA DR. MELDA DASEPTA RSUS
RS0317-015591 16/03/2017 FENTANYL 2 ML INJ 100.000.00 AMP YURDIANZA.NY RT 006/003 LK
JL.MALABAR II N
BLOK DR. PUTU JUNITA P., RSUS
RS0317-015866 16/03/2017 FENTANYL 2 ML INJ 100.000.00 AMP HJ. SUPROH, NY NO.33 WAY
JLN SUKANDIHALIM SP.AN
HAMNDANI NO 2 014 /- SP.AN
RS0317-016299 16/03/2017 FENTANYL 2 ML INJ 100.000.00 AMP MULYATI, NY KEL LABUHAN
BANGUN SARI RATU
RT 002 DR. PUTU JUNITA P., RSUS
KEC KEDATON
ABUNGJEMBRANA
SURAKARTA SP.AN
RS0317-016123 16/03/2017 FENTANYL 2 ML INJ 100.000.00 AMP KADEK ARYATI, NY DESA RT DR. PUTU JUNITA P., RSUS
01/05 DSUN MENDOYO SP.AN
RS0317-015933 16/03/2017 FENTANYL 2 ML INJ 100.000.00 AMP HERMAN, TN WAWAY KARYA
JL.KELAPA DUSUN IC DR. PUTU JUNITA P., RSUS
SABAH BALAU SP.AN
RS0317-015460 16/03/2017 FENTANYL 2 ML INJ 100.000.00 AMP JAMILAH, NY TANJUNG BINTANG
SRI TANJUNG I RT 002 DR. PUTU JUNITA P., RSUS
PASAR BARU BUMI SP.AN
RS0317-015593 16/03/2017 FENTANYL 2 ML INJ 100.000.00 AMP ALFAN SA'ADA AGUNG WAY KANAN
JL KELAPA I NO 6A DR. PUTU JUNITA P., RSUS
RS0317-015983 16/03/2017 FENTANYL 2 ML INJ 100.000.00 AMP SETIAWAN, AN
WARSONO, TN SEPANG JAYA
DSN IV RT 009 GANTI SP.AN
RS0317-016195 16/03/2017 FENTANYL 2 ML INJ 100.000.00 AMP SUSANTI, NY WARNO
JL KOMARUDIN GG SP.AN
NITIUDA NO 52 SP.AN
RS0317-015857 16/03/2017 FENTANYL 2 ML INJ 100.000.00 AMP UMIN CAHYA, TN RAJABASA
HALANGAN RATU DR. PUTU JUNITA P., RSUS
RS0317-016390 16/03/2017 FENTANYL 2 ML INJ 100.000.00 AMP NURLETI, NY 001/001
JL RADENNEGERI
SALEH WEY SP.AN
RS0317-015858 16/03/2017 FENTANYL 2 ML INJ 100.000.00 AMP SHINTA RAFIKA DEWI, KATON
HUWI
JL H KOMARUDIN GG SP.AN
NY PERINTIS 4 LK 1 SP.AN
RS0317-015454 16/03/2017 FENTANYL 2 ML INJ 100.000.00 AMP SULAIMAN , TN 007/000 RAJABASA
JLN WA RAHMAN LK IDR. PUTU JUNITA P., RSUS
007 /- BATU PUTUK SP.AN
RS0317-016196 16/03/2017 FENTANYL 2 ML INJ 100.000.00 AMP NIKO PUTRA WIJAYA, TELUK BETUNG BARAT
WONOHARJO -/ KEL DR. PUTU JUNITA P., RSUS
AN WONOHARJO KEC SP.AN
RS0317-015444 16/03/2017 FENTANYL 2 ML INJ 100.000.00 AMP FAUZI . TN SUMBER REJO
JL WARAHMAN LK I DR. PUTU JUNITA P., RSUS
006/- BATU PUTUK SP.AN
RS.URIP SUMOHARJO Periode : Maret 2017 TELUK BETUNG UTARA Dicetak oleh :
02 Apr 2017 , 13:49
Page : 30 of 59
RS0317-016097 16/03/2017 PETHIDIN INJ 100.000.00 AMP PAIMIN, TN DOROWATI, 004/ 001 DR. RIDHUAN IRAWAN RSUS
DESA PENAGAN RATU SP.PD
RS0317-016218 16/03/2017 PETHIDIN INJ 100.000.00 AMP ROSYIDAH, NY KEC ABUNG TIMUR
PRINGSEWU UTARA DR.BINTANG, SP.B (K) RSUS
RT 006/003 LK II ONK
RS0317-015435 16/03/2017 PETHIDIN INJ 100.000.00 AMP ANASTASIA JL.RADEN INTAN DR. BUDI OKTA P, SP. RSUS
NURTYASIH, NY SUKAMENANTI PASAR AN
Sub Total 38.000 item : 12300.000.00 LIWA BALIK BUKIT
17 Maret 2017
RS0317-017122 17/03/2017 CODEIN 10 MG TAB 1000.000.00 TABLET ALDI PRASTIYO.SDR DUSUN IV SIDOSARI DR. NINA SP.P RSUS
RS0317-017186 17/03/2017 CODEIN 10 MG TAB 500.000.00 TABLET ERDIANAWATI, NY JATI
GADINGAGUNG
REJO 001/004 DR. IMRON SP.PD RSUS
RS0317-016788 17/03/2017 CODEIN 10 MG TAB 1000.000.00 TABLET NADEA SEPTI GADNG REJO
JL.U.SUMOHARJO DR. RIDHUAN IRAWAN RSUS
YOULANDA.NN GG.SUNGAI 7 NO.36 RT SP.PD
RS0317-017182 17/03/2017 CODEIN 10 MG TAB 1000.000.00 TABLET TARA OKTAVIA 004 GUNUNG ISULAH
JL. KAMBOJA NO.1 DR. IMRON SP.PD RSUS
RS0317-016841 17/03/2017 CODEIN 10 MG TAB 1500.000.00 TABLET DAMANIK, NN
DEDI JULIANSYAH,TN ENGGAL
003 RW 004
RS0317-016923 17/03/2017 CODEIN 10 MG TAB 600.000.00 TABLET RANGGA MELINDA, NY KEC,NEGERI
JL. SUKARDI AGUNG
HAMDANI DR. HASMI MAHA SP.PD RSUS
RS0317-017110 17/03/2017 CODEIN 10 MG TAB 900.000.00 TABLET WAWAN HERMAWAN, JL PALAPA
GATOTV SUBROTO DR. NINA SP.P RSUS
RS0317-017189 17/03/2017 CODEIN 10 MG TAB 1400.000.00 TABLET SUHIB,NY 017
JL.P GARUNTANG
SABESI LKII RT06 DR. IMRON SP.PD RSUS
RS0317-017260 17/03/2017 CODEIN 10 MG TAB 600.000.00 TABLET H BAHRI MURTADO TN SUKARAME
JL HI A SALIM GG DR. IMRON SP.PD RSUS
PEMUDA NO 37
RS0317-016503 17/03/2017 CODEIN 10 MG TAB 300.000.00 TABLET RIKA CAHAYA, NY DSN SUKADAMAI -/- DR. PAD DILANGGA SP.P RSUS
RS0317-017265 17/03/2017 CODEIN 10 MG TAB 1400.000.00 TABLET JARIMAN , TN SUKAMAJU KECDESA
BANDAR JAYA ULU DR. IMRON SP.PD RSUS
RL0317-000906 17/03/2017 CODIPRONT CAP 1000.000.00 CAPSUL DR.MELDA BELU HARJO
ONO DR. MELDA DASEPTA RSUS
RS0317-017198 17/03/2017 CODIPRONT CAP 100.000.00 CAPSUL DARUSSALAM, TN PERUM PEMDA WAY DR.MONETA MAHA RSUS
RS0317-016991 17/03/2017 CODIPRONT CAP 200.000.00 CAPSUL UNTUNG PRIBADI, TN HUIKIMAJA
JL. BLOK FGG.
NO 4 DR. MELDA DASEPTA RSUS
RS0317-016239 17/03/2017 CODIPRONT CAP 900.000.00 CAPSUL ARDILA SISKA, NN BUNGUR NO. 47
RS0317-016978 17/03/2017 CODIPRONT CAP 900.000.00 CAPSUL YUNI AMANDASARI, NY WAYHALIM
LABUHAN RATUSUBUR DR. HASMI MAHA SP.PD RSUS
JL JAHE RAWA
RS0317-016757 17/03/2017 CODIPRONT CUM EXPT SYR 100.000.00 FLS TARA OKTAVIA NO KAMBOJA
JL. 39 RT 005I ENGGAL
NO.1 DR. ASRIZAL SPJ RSUS
RS.URIP SUMOHARJO Periode : Maret 2017 DAMANIK, NN ENGGAL Dicetak oleh :
02 Apr 2017 , 13:49
Page : 31 of 59
RS0317-016760 17/03/2017 CODIPRONT CUM EXPT SYR 100.000.00 FLS PRIANTO TN JL KARTINI SUKMA NO DR. NINA SP.P RSUS
5 RT 004 PALAPA
RS0317-017441 17/03/2017 CODIPRONT CUM EXPT SYR 100.000.00 FLS BAINAH , NY T.KARANG
JL.MALABAR PUSAT
BLOK N DR. RIDHUAN IRAWAN RSUS
NO 17 PERUMNAS WAY SP.PD
RS0317-017187 17/03/2017 CODIPRONT CUM EXPT SYR 100.000.00 FLS RUSTINAWATI.NY HALIM
GG.LANGGAR III NO.80 DR. NINA SP.P RSUS
RT 03/02 KEDAMAIAN
TKT
RT 03/02 KEDAMAIAN
RS0317-017119 17/03/2017 CODIPRONT CUM EXPT SYR 100.000.00 FLS RUSMAN, TN TKT
JL. DURIAN NO. 4 DR. NINA SP.P RSUS
RS0317-016657 17/03/2017 CODIPRONT SYR 100.000.00 FLS NURHAYATI, NY PASIR GINTUNG
JL A MUIS PERRUM DR. NINA SP.P RSUS
BUKIT KENCANA BLOK
RS0317-016613 17/03/2017 CODIPRONT SYR 100.000.00 FLS NURSANI K 35 GEDUNG
jl korpri raya noMENENG
9 blok DR. IMRON SP.PD RSUS
AZIZATUNNIKMAH, RAJABASA
RS0317-016628 17/03/2017 CODIPRONT SYR 100.000.00 FLS ARKHUSNUN, TN NN PERUM
a 1 suakrame
TAMAN WALET DR. RIANA HANDAYANI, RSUS
BLOK SJ 3 NO 15 SP.J
RS0317-016977 17/03/2017 CODIPRONT SYR 100.000.00 FLS RENI SARASWATI, NY SINDANG
JL. SOEKARNOSARI HATTA DR. MARINA, SP. PD RSUS
TANGERANG
GG.BADAK
WARU NO.4 NO.
RS0317-016471 17/03/2017 DUROGESIC MATRIX 25 MCG/H 100.000.00 PCS YAHMADI TN JL. 3043 DR. MARS DWI CAHYO RSUS
KEDATON SP.BU
RS0317-016495 17/03/2017 FENTANYL 2 ML INJ 100.000.00 AMP JOKO PRANOTO, SDR DESA BATU LIMAN DR. PUTU JUNITA P., RSUS
RS0317-016499 17/03/2017 FENTANYL 2 ML INJ 100.000.00 AMP HJ.SUTIAH,NY SIDOMULYO KALIANDA
NABANG BAYUR SP.AN
001/003 NAPAL BULOG SP.AN
RS0317-016515 17/03/2017 FENTANYL 2 ML INJ 100.000.00 AMP SITI ZUBAIDAH ,NY TANGGAMUS
LK. JOKARTO RT 021 DR. PUTU JUNITA P., RSUS
RS0317-017386 17/03/2017 FENTANYL 2 ML INJ 100.000.00 AMP MIFTA TURHAMUM,TN RW 07 ADI
PISANG PURO TRI
INDAH SP.AN
MURJO BUMI AGUNG
RT04/01 SP.AN
RS0317-017006 17/03/2017 FENTANYL 2 ML INJ 100.000.00 AMP RAJUDIN, TN WAY KANAN
WIYONO GD TATAAN DR. PUTU JUNITA P., RSUS
RS0317-017309 17/03/2017 FENTANYL 2 ML INJ 100.000.00 AMP ARIYANTO, TN PESAWARAN
JL SP.AN
ANGGREK DUSUN VI DR. PUTU JUNITA P., RSUS
SUKARAME DESA SP.AN
RS0317-017382 17/03/2017 FENTANYL 2 ML INJ 100.000.00 AMP SAHID , TN NATAR 021/009
JLN. II MBC RT 002 DR. PUTU JUNITA P., RSUS
MENGGALA KOTA SP.AN
RS0317-016954 17/03/2017 FENTANYL 2 ML INJ 100.000.00 AMP M.FAHRI FADIL.AN TULANG BAWANG
JL.PAJAJARAN DR. PUTUJUNITA P., RSUS
GG.BELIA NO.34 SP.AN
RS0317-017241 17/03/2017 FENTANYL 2 ML INJ 100.000.00 AMP KETUT RIYANI NN JAGABAYA II WAY RT DR. PUTU JUNITA P.,
DUSUN 4 BUMISARI RSUS
HALIM
012/004 SANGGA SP.AN
RS0317-017407 17/03/2017 FENTANYL 2 ML INJ 100.000.00 AMP AHMAD MUSTAFA , TN BUANA WAYIISEPUTIH
BOGOREJO 002/002 DR. PUTU JUNITA P., RSUS
RS.URIP SUMOHARJO Periode : Maret 2017 GEDUNG TATAAN SP.AN Dicetak oleh :
02 Apr 2017 , 13:49
Page : 32 of 59
RS0317-016439 17/03/2017 FENTANYL 2 ML INJ 100.000.00 AMP SULASMIYATI, NY MULYA SARI TULANG DR. PUTU JUNITA P., RSUS
RS0317-016802 17/03/2017 FENTANYL 2 ML INJ 100.000.00 AMP ASMUNI, TN BAWANG
DESA BARAT
CINTA MULYA SP.AN
KEC CANDI PURO SP.AN
RS0317-017432 17/03/2017 FENTANYL 2 ML INJ 100.000.00 AMP RASIYO, TN TL. PANJANG 1 KEC, DR. PUTU JUNITA P., RSUS
GEDUNG SURIAN SP.AN
RS0317-016492 17/03/2017 FENTANYL 2 ML INJ 100.000.00 AMP SUHARLIK, NY DS BATU LIMAN KEC DR. PUTU JUNITA P., RSUS
CANDI PURO SP.AN
RS0317-017443 17/03/2017 FENTANYL 2 ML INJ 100.000.00 AMP EDUAR PANGARIBUAN, JL.SABURAI LK III DR. PUTU JUNITA P., RSUS
SDR GUNUNG SULAH SP.AN
RS0317-016929 17/03/2017 MST CONTINUS 10 MG TAB 600.000.00 TABLET HJ. SUPROH, NY SUKARAME
RS0317-016657 17/03/2017 MST CONTINUS 10 MG TAB 6000.000.00 TABLET NURHAYATI, NY KEL
JL A LABUHAN RATU
MUIS PERRUM DR. NINA SP.P RSUS
KEC
BUKITKEDATON
KENCANA BLOK
RS0317-017400 17/03/2017 MST CONTINUS 10 MG TAB 600.000.00 TABLET ANSORI,TN K
JL.35RADEN
GEDUNG MENENG DR. MARINA, SP. PD
PEMUKA. RSUS
RAJABASA
GG. DAMAI. GUNUNG
RS0317-016841 17/03/2017 MST CONTINUS 10 MG TAB 1000.000.00 TABLET DEDI JULIANSYAH,TN SULAH.
GEDUNGWAY HALIMRT
HARAPAN DR. NINA SP.P RSUS
003 RW 004
RS0317-017196 17/03/2017 PETHIDIN INJ 100.000.00 AMP M YUSUF, TN KEC,NEGERI AGUNG
OGAN LIMA LAMPUNG DR. RIDHUAN IRAWAN RSUS
RS0317-016494 17/03/2017 PETHIDIN INJ 100.000.00 AMP KETUT SUSILAWATI , UTARAKARANG AGUNG
DESA SP.PD
NY BALI SADAR TENGAH SP.AN
RS0317-017201 17/03/2017 PETHIDIN INJ 100.000.00 AMP RUSLI ISMAIL, TN BANJIT
DUSUN I NATAR II DR. RIDHUAN IRAWAN RSUS
Sub Total 48.000 item : 24300.000.00 SP.PD
18 Maret 2017
RS0317-017674 18/03/2017 CODEIN 10 MG TAB 1000.000.00 TABLET ROAINI, NY JL R E MARTADINATA DR. RIDHUAN IRAWAN RSUS
RS0317-018461 18/03/2017 CODEIN 10 MG TAB 400.000.00 TABLET ALI CHAIDIR.TN NO 10 TBT
DUSUN KETEGUHAN
TAMAN BARU SP.PD
KEL WATES WAY RATAI
RS0317-017692 18/03/2017 CODEIN 10 MG TAB 600.000.00 TABLET WAJIMAN,TN KEC PADANG
JL.RATU CRMIN
DI BALAU DR. HASMI MAHA SP.PD RSUS
GG.CEMPAKA 8 LKII
RS0317-017615 18/03/2017 CODEIN 10 MG TAB 400.000.00 TABLET BENI WANARSA, TN RT06 TANJUNG
KAMPUNG JAWA PMK DR. PAD DILANGGA SP.P RSUS
SENANG
06 PESISIR TENGAH
RS0317-017884 18/03/2017 CODEIN 10 MG TAB 900.000.00 TABLET RASINI NY BRANTI RT 005/005 DR. ASRIZAL SPJ RSUS
RS.URIP SUMOHARJO Periode : Maret 2017 BRANTI RAYA NATAR Dicetak oleh :
02 Apr 2017 , 13:49
Page : 33 of 59
RS0317-017762 18/03/2017 CODEIN 10 MG TAB 1000.000.00 TABLET NURHASIDAH.NY JL.H.AGUS SALIM DR. ASRIZAL SPJ RSUS
GG.MANGGA DUA
RS0317-017797 18/03/2017 CODEIN 10 MG TAB 300.000.00 TABLET DARINUN.NY GG.HI.HUSIN
JL.WARTAWANNO.2 DR. HASMI MAHA SP.PD RSUS
KEL.KELAPA
GG.H.AHMAD3 NO.26
TKP
RS0317-017826 18/03/2017 CODEIN 10 MG TAB 600.000.00 TABLET RIO SANDRYA PUTRA GUNUNG SULAH WAY
JLN SATIRTASAYA GG DR. DIANA NUR ASRINI RSUS
KARIM , TN HALIM
MASJID NO 29 / RT 003
/ 0001 KEL SUKABUMI
KEC SUKABUMI
RS0317-018294 18/03/2017 CODIPRONT CAP 200.000.00 CAPSUL UNTUNG PRIBADI, TN JL. KIMAJA GG. DR. MELDA DASEPTA RSUS
RS0317-018372 18/03/2017 CODIPRONT CAP 900.000.00 CAPSUL SALAMAH, NY BUNGUR
BEKRI NO. 47 DR. HASMI MAHA SP.PD RSUS
RL0317-000965 18/03/2017 CODIPRONT CUM EXPT SYR 200.000.00 FLS DR.ASRIZAL WAYHALIM DR. ASRIZAL SPJ RSUS
RS0317-017821 18/03/2017 CODIPRONT CUM EXPT SYR 100.000.00 FLS EDA WATI, NY KP SUKA INDAH II LK II DR. NINA SP.P RSUS
RS0317-018279 18/03/2017 CODIPRONT SYR 100.000.00 FLS ASMIYATI, NY WAY
JL. LAGA LAUT
DANAU PANJANG DR.MONETA MAHA RSUS
TAWAR GG NIRMALA
RS0317-017388 18/03/2017 CODIPRONT SYR 100.000.00 FLS LAIMENA. NY NO
KOTA126 KEDATON
NAPAL. BUNGA DR. MARINA, SP. PD RSUS
RS0317-017510 18/03/2017 CODIPRONT SYR 100.000.00 FLS MISIJAN, TN MAYANG
KAMPUNG DONO ARUM DR. IMRON SP.PD RSUS
KEC SEPUTIH AGUNG
RS0317-017921 18/03/2017 CODIPRONT SYR 100.000.00 FLS VIVI MOZA VILANI , JL. RADEN FATAH GG DR. MARINA, SP. PD RSUS
RS0317-017847 18/03/2017 CODIPRONT SYR 100.000.00 FLS NN
DARUSSALAM, TN BUKIT
PERUMIIPEMDA
KALIAWIWAY DR. RIDHUAN IRAWAN RSUS
RS0317-017780 18/03/2017 CODIPRONT SYR 100.000.00 FLS M. IDRIS, TN HUI BLOK F NOGG.
JL. RAJAWALI 4 SP.PD
RS0317-017899 18/03/2017 DUROGESIC MATRIX 25 MCG/H 100.000.00 PCS TARA OKTAVIA ANGGREK
JL. 3 NO.19
KAMBOJA I NO.1 SP.PD
RS0317-018137 18/03/2017 FENTANYL 2 ML INJ 100.000.00 AMP DAMANIK,
ASEP, SDR NN ENGGAL
JL DERMAGA BUGIS DR. PUTU JUNITA P., RSUS
NO.011 KEL MENGGALA SP.AN
RS0317-017999 18/03/2017 FENTANYL 2 ML INJ 100.000.00 AMP SUCIPTO, TN KOTA
DUSUNKEC.MENGGALA
VIII PT.GGP DR. PUTU JUNITA P., RSUS
RS0317-018419 18/03/2017 FENTANYL 2 ML INJ 100.000.00 AMP YUSNI , NY TERBANGGI
CAMPUR SARIBESAR
II RT SP.AN
002/001 ARGOMULYO SP.AN
RS0317-018187 18/03/2017 FENTANYL 2 ML INJ 100.000.00 AMP LUKMAN NUL BANJIT
JL SULTAN SYAHRIR DR. PUTU JUNITA P., RSUS
HAKIM,TN MULYOJATI METRO SP.AN
RS0317-018199 18/03/2017 MST CONTINUS 10 MG TAB 600.000.00 TABLET HAIYATI, NY BARAT
JL. PULAU SINGKEP DR. ASRIZAL SPJ RSUS
PERM GURU LK 1 RT
Sub Total 24.000 item : 8300.000.00 002 SUKARAME
02 Apr 2017 , 13:49
Page : 34 of 59
19 Maret 2017
RS0317-018747 19/03/2017 CODEIN 10 MG TAB 600.000.00 TABLET HANIZAR A,TN JL.GRIYA MAKMUR M.8 DR. HASMI MAHA SP.PD RSUS
WAYHALIM PERMAI
RS0317-018587 19/03/2017 CODIPRONT CAP 900.000.00 CAPSUL SALAMAH, NY BEKRI DR. HASMI MAHA SP.PD RSUS
RS0317-019215 19/03/2017 CODIPRONT CAP 300.000.00 CAPSUL NUR HIDAYAT,TN DUSUN LEBUNG SARI DR.RINALDI ADITYA RSUS
RT 002/002 LEBUNG ASRIZAL
RS0317-018704 19/03/2017 CODIPRONT CAP 900.000.00 CAPSUL YULINA NY SARI MERBAU
JL.DANAU TONDANO DR. HASMI MAHA SP.PD RSUS
MATARAM
NO.01 KEDATON
NO.01 KEDATON
RS0317-018734 19/03/2017 CODIPRONT CUM EXPT SYR 100.000.00 FLS AWALUDIN, TN JL ENDRO SURATMIN DR. NINA SP.P RSUS
RS0317-018700 19/03/2017 CODIPRONT CUM EXPT SYR 100.000.00 FLS HAIYATI, NY GG WARU NO
JL. PULAU 46
SINGKEP DR. ASRIZAL SPJ RSUS
PERM GURU LK 1 RT
RS0317-018972 19/03/2017 CODIPRONT CUM EXPT SYR 100.000.00 FLS BAINAH , NY 002 SUKARAME
JL.MALABAR BLOK N DR. HASMI MAHA SP.PD RSUS
NO 17 PERUMNAS WAY
RS0317-019237 19/03/2017 CODIPRONT CUM EXPT SYR 100.000.00 FLS BAINAH , NY HALIM
JL.MALABAR BLOK N DR. RIDHUAN IRAWAN RSUS
RS0317-019144 19/03/2017 CODIPRONT SYR 100.000.00 FLS M.ANAS, TN HALIM
JL PANDAWA RAYA NO DR. IMRON SP.PD RSUS
9 LK I RT 001
RS0317-018577 19/03/2017 CODIPRONT SYR 100.000.00 FLS NURSANI HARAPAN JAYA
jl korpri raya no 9 blok DR. RAHMI ULFA RSUS
RS0317-018806 19/03/2017 CODIPRONT SYR 100.000.00 FLS AZIZATUNNIKMAH,
KETUT SUSILAWATINN
, a 1 suakrame
DESA KARANG AGUNG DR. SELLY STEPRIYANI RSUS
NY BALI SADAR TENGAH
RS0317-018969 19/03/2017 CODIPRONT SYR 100.000.00 FLS SRI SUPRANTI, NY BANJIT
DUSUN IV TERBANGGI DR.PUTRI INDA RSUS
RS0317-019173 19/03/2017 CODIPRONT SYR 100.000.00 FLS BESAR
EKO CATUR PRASETIO JL.P. BURU WAY HALIM FAUZIAH
RS0317-018973 19/03/2017 CODIPRONT SYR 100.000.00 FLS M.SDR
JOKO SARWONO.TN PERMAI
PERUM IISUKARAME
PT.GMP RT DR. SYAHAR SP.B RSUS
011/02 GUNUNG BATIN
RS0317-018508 19/03/2017 FENTANYL 2 ML INJ 100.000.00 AMP WARSA,TN BARU
LIMAUKEC.TERUSAN
KUNCI /- KEL DR. PUTU JUNITA P., RSUS
NUNYAI
PADANG CAHYA KEC SP.AN
RS0317-018510 19/03/2017 FENTANYL 2 ML INJ 100.000.00 AMP YUDO YUWONO, TN BALIK BUKIT
DS SUKA NEGARA DR. PUTU JUNITA P., RSUS
RS0317-018665 19/03/2017 FENTANYL 2 ML INJ 100.000.00 AMP CORY FARLINTHIN, NY TANJUNG BINTANG
JL. URIP SUMOHARJO SP.AN
RS0317-018722 19/03/2017 FENTANYL 2 ML INJ 100.000.00 AMP ADILA LULU PRATIWI. NO 70
DSN LK BTN
VIII III RT 29 D -
BLOK SP.AN
NN 3 N0 03 RT 002 KEL SP.AN
RS.URIP SUMOHARJO Periode : Maret 2017 LEMPUYANG BANDAR Dicetak oleh :
KEC WAY PENGUBUAN YULIANITA
Page : 35 of 59
RS0317-018698 19/03/2017 PETHIDIN INJ 100.000.00 AMP SUYATININGSIH, NY DESA SIDODADI JATI DR. PUTU JUNITA P., RSUS
BARU RT 04/07 SP.AN
RS0317-018707 19/03/2017 PETHIDIN INJ 100.000.00 AMP RIDHA MUDJI P, NY TANJUNG BINTANG
JL PRAMUKA KMP LP DR. PUTU JUNITA P., RSUS
NO 12 LK I TRT 21 SP.AN
Sub Total 20.000 item : 4300.000.00 RAJA BASA
20 Maret 2017
RS0317-019281 20/03/2017 CODEIN 10 MG TAB 300.000.00 TABLET SARBINI TN NUNYAI DALAM LK 2 DR. PAD DILANGGA SP.P RSUS
RS0317-019691 20/03/2017 CODEIN 10 MG TAB 1000.000.00 TABLET MARTINAWATI, NY RT 015 RAJABASA
JL.ARIF RAHMAN DR. PAD DILANGGA SP.P RSUS
HAKIM NO.9
SUKARAME
HAKIM NO.9
RS0317-019412 20/03/2017 CODEIN 10 MG TAB 900.000.00 TABLET DEDI JULIANSYAH,TN SUKARAME
003 RW 004
RS0317-019290 20/03/2017 CODEIN 10 MG TAB 300.000.00 TABLET ASDINA, NY KEC,NEGERI
TANGKAS RTAGUNG
001/001 DR. PAD DILANGGA SP.P RSUS
RS0317-020306 20/03/2017 CODEIN 10 MG TAB 900.000.00 TABLET TARA OKTAVIA KECKAMBOJA
JL. KASUI I NO.1 DR. IMRON SP.PD RSUS
RS0317-019927 20/03/2017 CODEIN 10 MG TAB 1000.000.00 TABLET DAMANIK, NN
BAINAH , NY ENGGAL
RS0317-019685 20/03/2017 CODEIN 10 MG TAB 3000.000.00 TABLET DAPARI TUA HALIM
PULUNG KENCANA KEL DR. ARIETYA RSUS
NAIBAHO,TN PULUNG KENCANA KEC KUSUMA.P,SP.THT
RS0317-019883 20/03/2017 CODIPRONT CAP 200.000.00 CAPSUL UNTUNG PRIBADI, TN TULANG BAWANG
JL. KIMAJA GG. DR. MELDA DASEPTA RSUS
RS0317-019669 20/03/2017 CODIPRONT CAP 1500.000.00 CAPSUL ANDY MAITIMO TN BUNGUR NO. 47
GRIYA PUTRA MANDIRI DR. HASMI MAHA SP.PD RSUS
WAYHALIM
BLOK I NO 13 RT
RS0317-019748 20/03/2017 CODIPRONT CAP 300.000.00 CAPSUL NUR HIDAYAT,TN 007/009 BOJONGSARI
DUSUN LEBUNG DR.RINALDI ADITYA RSUS
PONDOK
RT 002/002 LEBUNG ASRIZAL
RS0317-019936 20/03/2017 CODIPRONT CAP 1500.000.00 CAPSUL PAULINA. NY SARI
PEKONMERBAU
SUKABARU WAY DR. NEILAN, SP.S RSUS
MATARAM
KRUI LAMPUNG BARAT DR. ASRIZAL SPJ
RS0317-019686 20/03/2017 CODIPRONT CUM EXPT CAP 2000.000.00 CAPSUL SUWARSIH, NY JL TRANSFORMATOR RSUS
RAYA A35/78 PONDOK
RS0317-019995 20/03/2017 CODIPRONT CUM EXPT SYR 100.000.00 FLS NURHAYANI, NY GEDE
PERUM BKP BLOK Y DR. NINA SP.P RSUS
RS0317-020150 20/03/2017 CODIPRONT CUM EXPT SYR 100.000.00 FLS SAIMIN JAMIL,TN NO.24
NEGARA TULANG DR. ASRIZAL SPJ RSUS
BAWANG RT 006/003
RS0317-020088 20/03/2017 CODIPRONT CUM EXPT SYR 100.000.00 FLS BANI RAHMAN,TN KEC,BUNGA
TEKAD BLOKMAYANG
III RT/R DR. NINA SP.P RSUS
002 KEL TEKAD KEC
RS0317-019482 20/03/2017 CODIPRONT CUM EXPT SYR 100.000.00 FLS ABIANSYAH, SDR PULAU PANGGUNG
JL PULAU BURU LK I RT DR. RIDHUAN IRAWAN RSUS
RS.URIP SUMOHARJO Periode : Maret 2017 002 SP.PD Dicetak oleh :
02 Apr 2017 , 13:49
Page : 36 of 59
RS0317-019695 20/03/2017 CODIPRONT CUM EXPT SYR 100.000.00 FLS EDA WATI, NY KP SUKA INDAH II LK II DR. NINA SP.P RSUS
RS0317-019824 20/03/2017 CODIPRONT CUM EXPT SYR 100.000.00 FLS BAINAH , NY WAY LAGA PANJANG
RL0317-001041 20/03/2017 CODIPRONT CUM EXPT SYR 100.000.00 FLS Raka HALIM DR. RIMBO RSUS
RS0317-020057 20/03/2017 CODIPRONT CUM EXPT SYR 100.000.00 FLS AMIR MOGA SAKTI.TN PERMATA BIRU A6 DR. SELLY STEPRIYANI RSUS
NO.8/9 SUKARAME
RS0317-020041 20/03/2017 CODIPRONT CUM EXPT SYR 100.000.00 FLS WONGSO REJO.TN TANJUNG BARU RT/RW DR. NINA SP.P RSUS
001 KEL BUKIT
RS0317-019926 20/03/2017 CODIPRONT SYR 100.000.00 FLS MUGIONO, TN KEMUNING
DUSUN 5 022/005 REJO DR. SELLY STEPRIYANI RSUS
RS0317-019136 20/03/2017 CODIPRONT SYR 100.000.00 FLS KURNIA ADHARI, SDR ASRI SEPUTIH RAMAN
JL.P.TIRTAYASA GG DR. IMRON SP.PD RSUS
BANDAR BARU NO 28
RS0317-020191 20/03/2017 CODIPRONT SYR 100.000.00 FLS SRI SUPRANTI, NY DUSUN IV TERBANGGI DR.MONETA MAHA RSUS
RS0317-019400 20/03/2017 DUROGESIC MATRIX 25 MCG/H 100.000.00 PCS YULINA NY BESAR
JL.DANAU TONDANO DR. HASMI MAHA SP.PD RSUS
NO.01 KEDATON
RS0317-019614 20/03/2017 DUROGESIC MATRIX 25 MCG/H 100.000.00 PCS SYAHRIL SINJAR, TN JL NANGKA GG JAHRI DR. ANDI SISWANDI, RSUS
RS0317-020237 20/03/2017 FENTANYL 2 ML INJ 100.000.00 AMP MARSIYEM, NY NODR
JL 19 SUTOMO
RATU LANGI
NO 15 SP.B,.M.KES
RS0317-019404 20/03/2017 FENTANYL 2 ML INJ 100.000.00 AMP PUJIADI, TN LK II PENENGAHAN
SUKAMULYA RT 01 RW SP.AN
RS0317-020236 20/03/2017 FENTANYL 2 ML INJ 100.000.00 AMP MUHAMAD ABDUL 02 PALAS KARANG
KAMPUNG SP.AN
RS0317-020272 20/03/2017 FENTANYL 2 ML INJ 100.000.00 AMP FIKRI.AN
TRIYANTO, TN UMPU
JL. IKANKEC
BAUNG NO.25 SP.AN
BLAMBANGAN
BUMI UMPU SP.AN
RS0317-020189 20/03/2017 MST CONTINUS 10 MG TAB 600.000.00 TABLET HJ. SUPROH, NY WARAS/91H0011677-0
01
RS0317-020290 20/03/2017 MST CONTINUS 10 MG TAB 200.000.00 TABLET DRA.HJ.SURIMAS KEL LABUHANUTARA
JL CENGKEH RATU DR. IMRON SP.PD RSUS
SANUSI,NY KEC
NO.75KEDATON
RS0317-020070 20/03/2017 MST CONTINUS 10 MG TAB 700.000.00 TABLET MUSTANGINAH NY JL KI MAJA NO 39A RT DR. SYAHAR SP.B RSUS
RS0317-019412 20/03/2017 MST CONTINUS 10 MG TAB 600.000.00 TABLET DEDI JULIANSYAH,TN 010/003 KEDATON
003 RW 004
RS0317-019439 20/03/2017 MST CONTINUS 10 MG TAB 300.000.00 TABLET SULI.NY KEC,NEGERI
DESA HARAPANAGUNG
REJO DR. ELIANA RSUS
RT/RW 05 SEPUTIH
Sub Total 35.000 item : 17100.000.00 AGUNG
21 Maret 2017
02 Apr 2017 , 13:49
Page : 37 of 59
RS0317-020522 21/03/2017 CODEIN 10 MG TAB 300.000.00 TABLET INDAWATI, NY JL CENGKEH TENGAH DR. PAD DILANGGA SP.P RSUS
NO 1 U/19 LK 11 RT 04
RL0317-001095 21/03/2017 CODEIN 10 MG TAB 1000.000.00 TABLET FITA PERUMNAS W HALIM DR. IMRON SP.PD RSUS
RS0317-021182 21/03/2017 CODEIN 10 MG TAB 500.000.00 TABLET DESEM NUGROHO , TN JL. PRAMUKA GG DR. PAD DILANGGA SP.P RSUS
RS0317-021064 21/03/2017 CODEIN 10 MG TAB 400.000.00 TABLET BENI WANARSA, TN KARYA NO. 90
KAMPUNG JAWA PMK DR. PAD DILANGGA SP.P RSUS
RS0317-020369 21/03/2017 CODEIN 10 MG TAB 1000.000.00 TABLET H. ORYANI NY RAJABASA
06 PESISIR
DUSUN TENGAH
KEJADIAN 002/- DR. RIDHUAN IRAWAN RSUS
KURUNGAN NYAWA SP.PD
RS0317-021193 21/03/2017 CODEIN 10 MG TAB 500.000.00 TABLET I WANDRA, TN GEDONG TATAAN
JL BADAK GG DR. PAD DILANGGA SP.P RSUS
RS0317-021004 21/03/2017 CODEIN 10 MG TAB 2000.000.00 TABLET DRS.H. SOEPRAPTO SWAKARYA
BANDAR I NO
JAYA 22
/ RSUS TIDAK ADA DOKTER RSUS
SH.MM KEDATON SAHAM
PEMEGANG
RS0317-020368 21/03/2017 CODIPRONT CAP 200.000.00 CAPSUL UNTUNG PRIBADI, TN JL. KIMAJA GG. DR. MELDA DASEPTA RSUS
BUNGUR NO. 47
WAYHALIM
RS0317-020533 21/03/2017 CODIPRONT CUM EXPT SYR 100.000.00 FLS FAZYRA AZZAHRA RAGOM MUFAKAT II DR. MURDOYO R., SP. A RSUS
GUNAWAN,AN BLK C/06 RT02/02 WAY
RS0317-020780 21/03/2017 CODIPRONT CUM EXPT SYR 100.000.00 FLS PAN SUPARTE, TN URANG
CANDI PURO KALIANDA DR. NINA SP.P RSUS
RS0317-021234 21/03/2017 CODIPRONT CUM EXPT SYR 100.000.00 FLS VIVI YOLANDA , NN dsn rejo basuki rt 004 / DR. NINA SP.P RSUS
001 kel sedorejo kec
RS0317-021441 21/03/2017 CODIPRONT SYR 100.000.00 FLS WILLIAN FIRNANDA P, sekampung
JL NUSANTARAudikGG DR. IMRON SP.PD RSUS
RS0317-020941 21/03/2017 CODIPRONT SYR 100.000.00 FLS TN
SUYOTO, TN NUSANTARA
H SOHARI V NO 5 DR. NEILAN, SP.S RSUS
SUKAMANJUR LK 3
RS0317-020779 21/03/2017 CODIPRONT SYR 100.000.00 FLS BONITA DWI 013 /- KEL
PERUM KEDAMAIAN
TIUH TOHOW DR. RIDHUAN IRAWAN RSUS
KURNIATI. NN KEC TKT
BLOK A3 NO 12 SP.PD
RS0317-021289 21/03/2017 CODIPRONT SYR 100.000.00 FLS M. TOHIR SOMANTRI , 001/002 TIUH
JL. PAGAR TOHOU
ALAM I NO. DR. RIANA HANDAYANI, RSUS
TN MENGGALA
40 KEDATON SP.J
RL0317-001140 21/03/2017 CODIPRONT SYR 100.000.00 FLS NY.ELI YARNI DR. MARINA, SP. PD RSUS
RS0317-021067 21/03/2017 CODIPRONT SYR 100.000.00 FLS BAINAH , NY JL.MALABAR BLOK N DR. RIDHUAN IRAWAN RSUS
RS0317-021410 21/03/2017 CODIPRONT SYR 100.000.00 FLS R.MUSMAN.KS ,TN HALIM
RS0317-020582 21/03/2017 CODIPRONT SYR 100.000.00 FLS TUKINO, TN RT008
PERUMKEDATON
RAGOM GAWI DR. MARINA, SP. PD RSUS
BLOK. D NO. 16
RS0317-020824 21/03/2017 CODIPRONT SYR 100.000.00 FLS ASMIYATI, NY KEMILING
JL. DANAU LAUT DR.MONETA MAHA RSUS
TAWAR GG NIRMALA
RS0317-020928 21/03/2017 FENTANYL 2 ML INJ 100.000.00 AMP ROSMITA, NN NO 126 KEDATON
JL IMAM BONJOL GG DR. PUTU JUNITA P., RSUS
RS.URIP SUMOHARJO Periode : Maret 2017 SOSIAL GEDONG AIR SP.AN Dicetak oleh :
02 Apr 2017 , 13:49
Page : 38 of 59
RS0317-021035 21/03/2017 FENTANYL 2 ML INJ 100.000.00 AMP DANDI TRI JL. PANGERAN DR. PUTU JUNITA P., RSUS
KURNIAWAN.SDR SENOPATI 2 SP.AN
RS0317-020665 21/03/2017 FENTANYL 2 ML INJ 100.000.00 AMP AHMAD DHANI, SDR KEL.KORPRI
DESA SINDANGJAYA
SARI DR. PUTU JUNITA P., RSUS
SUKARAME
RTSINGOSARI
04/01 TANJUNG SP.AN
RS0317-020645 21/03/2017 FENTANYL 2 ML INJ 100.000.00 AMP DRG. TITIK SUARNI JL NO 35 DR. PUTU JUNITA P., RSUS
RS0317-020487 21/03/2017 FENTANYL 2 ML INJ 100.000.00 AMP MEIZAWATI,
SURANTO, TNNY BINTANG
LK
JL. II ENGGAL TJK TJ.
DUWOROWATI SP.AN
RS0317-021310 21/03/2017 FENTANYL 2 ML INJ 100.000.00 AMP ASPARIAH, NY PUSAT
BINTANG
KAMPUNG MASJID LK I SP.AN
005 /- KEL WAY GUBAK SP.AN
RS0317-021391 21/03/2017 FENTANYL 2 ML INJ 100.000.00 AMP EKA PUTRA. TN KEC PANJANG PERUM
PT INHEALTH DR. PUTU JUNITA P., RSUS
RS0317-020935 21/03/2017 FENTANYL 2 ML INJ 100.000.00 AMP M. HAZAIRIN, TN BKPKIMAJA
JL. NO 75 GG DAHLIA SP.AN
RS0317-021309 21/03/2017 FENTANYL 2 ML INJ 100.000.00 AMP SITI NURLELA, NY 24
PERUM001
RT TANJUNG BARU SP.AN
NEGARA RATU NATAR SP.AN
RS0317-020701 21/03/2017 MST CONTINUS 10 MG TAB 300.000.00 TABLET SULI.NY LAMPUNG SELATAN
DESA HARAPAN REJO DR. ELIANA RSUS
RT/RW 05 SEPUTIH
AGUNG
RS0317-021408 21/03/2017 MST CONTINUS 10 MG TAB 100.000.00 TABLET HERMANTO B. SP. TN dsn 2 001 / 003 rejo DR. MAHARANI RSUS
basuki kel seputih
RS0317-021106 21/03/2017 PETHIDIN INJ 100.000.00 AMP TUSIRIN, TN mataram
desa surabaya padang DR. RIDHUAN IRAWAN RSUS
RS0317-021173 21/03/2017 PETHIDIN INJ 100.000.00 AMP SALMAH, NY ratu rt 88/03 NO
JL. SUNGKAI padan
19 SP.PD
ratu
001/003, KETAPANG, SP.AN
Sub Total 33.000 item : 8600.000.00 SUNGKAI SELATAN
22 Maret 2017
RS0317-021557 22/03/2017 CODEIN 10 MG TAB 900.000.00 TABLET ASDINA, NY TANGKAS RT 001/001 DR. PAD DILANGGA SP.P RSUS
RS0317-021840 22/03/2017 CODEIN 10 MG TAB 3000.000.00 TABLET CHANDRA NOVANGKA, KEC KASUI TANJUNG
PERUMAHAN DR. ARIETYA RSUS
TN RAYA PERMAI D20 KUSUMA.P,SP.THT
RS0317-022240 22/03/2017 CODEIN 10 MG TAB 600.000.00 TABLET NN, REFA NOVARIA TANJUNG SENENG
P BANKA INDAH DR. PAD DILANGGA SP.P RSUS
RS0317-021524 22/03/2017 CODEIN 10 MG TAB 1000.000.00 TABLET MARTINAWATI, NY SUKABUMI
JL.ARIF RAHMAN DR.MONETA MAHA RSUS
HAKIM NO.9
RS0317-021908 22/03/2017 CODIPRONT CAP 900.000.00 CAPSUL M. TOHIR SOMANTRI , SUKARAME
JL. PAGAR ALAM I NO. DR. HASMI MAHA SP.PD RSUS
RS0317-021715 22/03/2017 CODIPRONT CAP 1000.000.00 CAPSUL TN
PRIYONO, TN 40 KEDATON
JL URIP SUMOHARJO DR. M. IMAM RIFAI RSUS
RS0317-022148 22/03/2017 CODIPRONT CAP 1000.000.00 CAPSUL AWALUDIN, TN GG TANGKIL
JL ENDRO SURATMIN DR. NINA SP.P RSUS
RS.URIP SUMOHARJO Periode : Maret 2017 GG WARU NO 46 Dicetak oleh :
02 Apr 2017 , 13:49
Page : 39 of 59
RS0317-021971 22/03/2017 CODIPRONT CAP 900.000.00 CAPSUL SITI DAROYAH,NY DUSUN MURTI REJO DR. HASMI MAHA SP.PD RSUS
010/003 WONOHARJO
RS0317-021473 22/03/2017 CODIPRONT CUM EXPT SYR 100.000.00 FLS MAHMUD JAYA SUMBEREJO
JL.P ALAM NO.156 RT DR. RIDHUAN IRAWAN RSUS
RS0317-021667 22/03/2017 CODIPRONT CUM EXPT SYR 100.000.00 FLS SIRONI.TN
WAHID NASIR YAQUB, 006
JL. RAWA SUBUR NO 10 SP.PD
SEGALA MIDER DR. NINA SP.P RSUS
SAYUTI , TN KEC.TKB
ENGGAL
JL.PULAU DAMAR DR. HANGGORO SAPTO RSUS
RS0317-021707 22/03/2017 CODIPRONT CUM EXPT SYR 100.000.00 FLS SUKARSIH NY PERUM
JL RAYABOGENVILE
WAY RAREMNO. SP.THT
DR. NINA SP.P RSUS
1
NO 99 RT 001/001
RS0317-022228 22/03/2017 CODIPRONT CUM EXPT SYR 100.000.00 FLS CHANDRA TRISNA NY PEKURUN
JL P.DAMARABUNG
PERUM DR. HANGGORO SAPTO RSUS
PEKURUN
BOUGENVILE BLOK A1 SP.THT
RS0317-022020 22/03/2017 CODIPRONT CUM EXPT SYR 100.000.00 FLS FIDYA MAISTIKA.NY WAY KANDIS
SERDANG RT/RW DR. RAHMI ULFA RSUS
RS0317-021690 22/03/2017 CODIPRONT SYR 200.000.00 FLS SUTAMAH.NY 22/413
SIDOMULYO RT DR. ANDI SISWANDI, RSUS
RS0317-021691 22/03/2017 CODIPRONT SYR 100.000.00 FLS YULIANA, NY 004/001
JLN. P. BACAN GG. SP.B,.M.KES
DR. M. IMAM RIFAI RSUS
RS0317-021813 22/03/2017 CODIPRONT SYR 100.000.00 FLS NURMALA ANGGRAINI, KEC.SUMBEREJO
PERDANA
TOTOKARTO I IA016/005 DR. MELDA DASEPTA RSUS
NN JAGABAYA KAB
ADILUEIH
PRINGSEWU
RS0317-021700 22/03/2017 CODIPRONT SYR 100.000.00 FLS MISIJAN, TN KAMPUNG DONO ARUM DR. MELDA DASEPTA RSUS
KEC SEPUTIH AGUNG
RS0317-021500 22/03/2017 CODIPRONT SYR 100.000.00 FLS H.ABDUL SOMAD TN PERUM KORPRI BLOK DR. IMRON SP.PD RSUS
B2 NO 01 LK II RT 001
RS0317-021986 22/03/2017 CODIPRONT SYR 100.000.00 FLS WILLIAN FIRNANDA P, KORPRI JAYA GG
JL NUSANTARA DR. MELDA DASEPTA RSUS
TN SUKARAME
NUSANTARA V NO 5
RS0317-022329 22/03/2017 FENTANYL 2 ML INJ 100.000.00 AMP KILAT NURWINDO. TN DUSUN PEMATANG DR. PUTU JUNITA P., RSUS
KANDIS 008/003 SP.AN
RS0317-021538 22/03/2017 FENTANYL 2 ML INJ 100.000.00 AMP HERU, TN GUNUNG
DUSUN 2 TERANG
DESA DR. PUTU JUNITA P., RSUS
KALIANDA
WONODADI 002/001 SP.AN
RS0317-022109 22/03/2017 FENTANYL 2 ML INJ 100.000.00 AMP DEVI NARMIYANTI. NN WONODADI TANJUNG
TANJUNG RAJA DR. PUTU JUNITA P., RSUS
SARI
007/001
RS0317-022152 22/03/2017 FENTANYL 2 ML INJ 100.000.00 AMP HASNUL YADI TN KARUNIALAMPUNG
INDAH BLOK SP.AN
UTARA
O NO. 19 SUKABUMI SP.AN
RS0317-022214 22/03/2017 FENTANYL 2 ML INJ 100.000.00 AMP CITRA, NN KOTA BUMI,JL GOTONG DR. PUTU JUNITA P., RSUS
ROYONG GG SP.AN
RS0317-022006 22/03/2017 FENTANYL 2 ML INJ 100.000.00 AMP MUKH MISHADI ,TN MANUNGGAL NO 242LK DR. PUTU JUNITA P.,
JLN PULAU SINGKEP RSUS
RS0317-021486 22/03/2017 FENTANYL 2 ML INJ 100.000.00 AMP YULIYAN, SDR IJL.PURWOSARI
001 /- SUKARAME SP.AN
RS.URIP SUMOHARJO Periode : Maret 2017 LAMTENG SP.AN Dicetak oleh :
02 Apr 2017 , 13:49
Page : 40 of 59
RS0317-022180 22/03/2017 FENTANYL 2 ML INJ 100.000.00 AMP SUKARDI, TN KAMPUNG SIMPANG DR. PUTU JUNITA P., RSUS
ASAM KEC BANJIT WAY SP.AN
RS0317-022297 22/03/2017 FENTANYL 2 ML INJ 100.000.00 AMP SARTINI, NY KANAN
DUSUN AIR KUBANG DR. PUTU JUNITA P., RSUS
TIMUR 001/004 AIR SP.AN
RS0317-022304 22/03/2017 FENTANYL 2 ML INJ 100.000.00 AMP PUTRI MEKAR ARUM. NANINGAN
JL ST HAJI NO 99 LK II DR. PUTU JUNITA P., RSUS
NN 005/- SEPANG JAYA SP.AN
RS0317-022332 22/03/2017 FENTANYL 2 ML INJ 100.000.00 AMP UTI UTARI, NN LABUHAN
PT GPM RATU DR. PUTU JUNITA P., RSUS
RS0317-021537 22/03/2017 FENTANYL 2 ML INJ 100.000.00 AMP LENNY MAYASARI, NY BURING SUKABARU SP.AN
RS0317-022256 22/03/2017 MST CONTINUS 10 MG TAB 500.000.00 TABLET SUBANDI.TN 007/003 PENENGAHAN
JL.RAJAWALI RAYA NO SP.AN
DR. SYAHAR SP.B RSUS
II POLDA II LK,
RS0317-022453 22/03/2017 MST CONTINUS 10 MG TAB 300.000.00 TABLET SULI.NY KEMILING
DESA HARAPAN REJO DR. ELIANA RSUS
RT/RW 05 SEPUTIH
RS0317-021877 22/03/2017 MST CONTINUS 10 MG TAB 500.000.00 TABLET SUSANTO , TN AGUNG
JLN ABDUL YUSUF NO DR.KHAIRANI, SP.THT RSUS
245 RT 003 / 002 KEL
RS0317-021982 22/03/2017 MST CONTINUS 10 MG TAB 300.000.00 TABLET DRA.HJ.SURIMAS CEMPEDAK
JL CENGKEHKEC
UTARA DR. IMRON SP.PD RSUS
SANUSI,NY KOTABUMI
NO.75
RS0317-022171 22/03/2017 PETHIDIN INJ 100.000.00 AMP ENTIN QURAISIN ,NY JL S HAJI GG MJI DR. RIDHUAN IRAWAN RSUS
RS0317-022170 22/03/2017 PETHIDIN INJ 100.000.00 AMP NURHAENI,NY ARIDHO NOPANUTAN
JL.SALOKA 26 K IV SP.PD
DATON KEC
RT01/04 SP.PD
RS0317-021854 22/03/2017 PETHIDIN INJ 100.000.00 AMP CHYNTIA DESRIA P.S, PAGELARAN
JL RAJABASA III BLOK DR. PUTU JUNITA P., RSUS
NY PRINGSEWU
C NO 13 RT 013 SP.AN
Sub Total 39.000 item : 13700.000.00 PERUMNAS W.HLM
23 Maret 2017
RS0317-023451 23/03/2017 CODEIN 10 MG TAB 500.000.00 TABLET NURQOMALA RT
bkp015
blokRAJABASA
2 95 kemiling DR. PAD DILANGGA SP.P RSUS
RS0317-023432 23/03/2017 CODEIN 10 MG TAB 1000.000.00 TABLET AFRIANTINA,
FIRDUS NY NY JL. DR. PAD DILANGGA SP.P RSUS
RS0317-023672 23/03/2017 CODEIN 10 MG TAB 1000.000.00 TABLET DADAN ISKANDAR, TN LAKSAMARTADINATA
JL. SUKARDI HAMDANI DR. RIDHUAN IRAWAN RSUS
NO 46 LK
PALAP II 33 LAB.
V NO. SP.PD
PESAWAHAB
RATU
RS0317-022938 23/03/2017 CODEIN 10 MG TAB 1000.000.00 TABLET DASIMAH.A.S,NY JL.KH.GHOLIB RT04 DR. ASRIZAL SPJ RSUS
RS0317-022581 23/03/2017 CODEIN 10 MG TAB 900.000.00 TABLET HI.ABDUL RONY KELPULAU
JL PRINGSEWU
SARI I NO. DR. PAD DILANGGA SP.P RSUS
TOYIB,TN BARAT
123 PERUMNAS WAY
RS.URIP SUMOHARJO Periode : Maret 2017 KANDIS Dicetak oleh :
02 Apr 2017 , 13:49
Page : 41 of 59
RS0317-022998 23/03/2017 CODEIN 10 MG TAB 2000.000.00 TABLET DIAN AGUNG, SDR BANGUN JAYA 15 DR. RIDHUAN IRAWAN RSUS
RS0317-023535 23/03/2017 CODEIN 10 MG TAB 1000.000.00 TABLET SHELA AULIA SARI, NN TANJUNG RAYA
LINGKUNGAN V MESUJI SP.PD
RS0317-022578 23/03/2017 CODEIN 10 MG TAB 400.000.00 TABLET LENI MARLINA , NY TULUNG1MILI
DUSUN SRI SP.PD
RS0317-022967 23/03/2017 CODEIN 10 MG TAB 1500.000.00 TABLET HASMAH.NY KOTABUMI
PENDOWO ILIR
KETAPANG
JL.MBC NO.019 DR. ASRIZAL SPJ RSUS
LK.MENGGALA
RS0317-022909 23/03/2017 CODIPRONT CAP 100.000.00 CAPSUL NUR HIDAYAT,TN RT/RW,001/001,MENGG
DUSUN LEBUNG SARI DR.RINALDI ADITYA RSUS
ALA KOTA LEBUNG
RT 002/002 ASRIZAL
RS0317-022796 23/03/2017 CODIPRONT CAP 1500.000.00 CAPSUL EKA SEPMAWATI NY SARI MERBAU
RUMBIA DR. HASMI MAHA SP.PD RSUS
MATARAM
RS0317-023127 23/03/2017 CODIPRONT CUM EXPT SYR 100.000.00 FLS SAIMIN JAMIL,TN NEGARA TULANG DR. ASRIZAL SPJ RSUS
BAWANG RT 006/003
RS0317-023221 23/03/2017 CODIPRONT CUM EXPT SYR 100.000.00 FLS AMIR MOGA SAKTI.TN KEC,BUNGA MAYANG
PERMATA BIRU A6 DR. RIDHUAN IRAWAN RSUS
NO.8/9 SUKARAME SP.PD
RS0317-023229 23/03/2017 CODIPRONT CUM EXPT SYR 100.000.00 FLS YEPI TRIA SARI.NY JL. SAMRATULANGI DR. NINA SP.P RSUS
RS0317-022989 23/03/2017 CODIPRONT CUM EXPT SYR 100.000.00 FLS AGUSTINA, NY NO.43 TKB
SEKALABERAK NO.18 DR. NINA SP.P RSUS
KOTA ALAM KOTABUMI
RS0317-023074 23/03/2017 CODIPRONT CUM EXPT SYR 100.000.00 FLS ROHANI,TN SELATAN
JLN.I.BONJOL DR. ELIANA RSUS
GG,MARWAN NO.66
RT/RW 007
GG,MARWAN NO.66
RS0317-022890 23/03/2017 CODIPRONT CUM EXPT SYR 100.000.00 FLS RISKA WULANDARI NN RT/RW
JL. KH., 007
GHOLIB DR. NINA SP.P RSUS
RL0317-001230 23/03/2017 CODIPRONT CUM EXPT SYR 100.000.00 FLS NY NURHAINI RT01/RW014 DR. NINA SP.P RSUS
RS0317-023475 23/03/2017 CODIPRONT SYR 100.000.00 FLS R.MUSMAN.KS ,TN PRINGSEWU
RS0317-022301 23/03/2017 CODIPRONT SYR 100.000.00 FLS M.ANAS, TN RT008
JL KEDATON
PANDAWA RAYA NO DR. IMRON SP.PD RSUS
9 LK I RT 001
RS0317-022604 23/03/2017 DUROGESIC MATRIX 25 MCG/H 100.000.00 PCS SURMADA MATSOHAN, HARAPAN JAYA
JL. HI, SAID NO.86 DR. MARS DWI CAHYO RSUS
RS0317-023388 23/03/2017 DUROGESIC MATRIX 25 MCG/H 100.000.00 PCS NY
NI WAYAN SURNI, NY RT007
DUSUNKOTA
VI RTBARU
020/006 SP.BU
DR. RA. HANI RSUS
RAMA MURTI SEPUTIH
RS0317-022887 23/03/2017 DUROGESIC MATRIX 25 MCG/H 100.000.00 PCS TRI PUJI ASTUTI,NY RAMAN
PT.GGPC/JL. IKAN DR. SUHARSONO SP.S RSUS
PAUS NO.20 T. BETUNG
RS0317-022530 23/03/2017 FENTANYL 2 ML INJ 100.000.00 AMP BAGAS, SDR JL DARMA BHAKTI LK 7 DR. PUTU JUNITA P., RSUS
RS0317-022570 23/03/2017 FENTANYL 2 ML INJ 100.000.00 AMP KASIH, NY NO 76
DSN BUKITDESA
KEDIRI SP.AN
RS0317-022594 23/03/2017 FENTANYL 2 ML INJ 100.000.00 AMP SRI LESTARI , NY KEMINING
SUKAMULYO
DESA BUMI ASIH SP.AN
RS.URIP SUMOHARJO Periode : Maret 2017 SP.AN Dicetak oleh :
02 Apr 2017 , 13:49
Page : 42 of 59
RS0317-022751 23/03/2017 MST CONTINUS 10 MG TAB 200.000.00 TABLET SULI.NY DESA HARAPAN REJO DR. ELIANA RSUS
RT/RW 05 SEPUTIH
RS0317-023410 23/03/2017 MST CONTINUS 10 MG TAB 100.000.00 TABLET DRS. MOHAYUN AGUNG
JL. CENGKEH SELATAN DR. ENDRIAYANA RSUS
THAHIR, TN I NO. 42 PERUMNAS HERMAYANTI
RS0317-023620 23/03/2017 MST CONTINUS 10 MG TAB 600.000.00 TABLET DEDI JULIANSYAH,TN WAY HALIM
003 RW 004
RS0317-023335 23/03/2017 MST CONTINUS 10 MG TAB 200.000.00 TABLET DEDI JULIANSYAH,TN KEC,NEGERI AGUNGRT
GEDUNG HARAPAN DR.FRIZKA DWI RSUS
003 RW 004 ANGGRAINI
RS0317-023317 23/03/2017 MST CONTINUS 10 MG TAB 100.000.00 TABLET SALMAH, NY KEC,NEGERI
JL. SUNGKAI AGUNG
NO 19 DR . M.BAYU RSUS
001/003, KETAPANG, SAHADEWA,SP.OT
RS0317-023089 23/03/2017 PETHIDIN INJ 100.000.00 AMP DEDEK USMAN .TN SUNGKAI SELATAN
BADAN PURWA DESA DR. PUTU JUNITA P., RSUS
BANDAH HURIF KEC SP.AN
RS0317-023186 23/03/2017 PETHIDIN INJ 100.000.00 AMP PUJIYATI, NY PALAS
WONOKRIYO DR. RIDHUAN IRAWAN RSUS
WONODADI GADING SP.PD
Sub Total 34.000 item : 14100.000.00 REJO PRINGSEWU
24 Maret 2017
RS0317-024363 24/03/2017 CODEIN 10 MG TAB 1000.000.00 TABLET ASBAH, NY NYAPAH BANYU 005 . DR. IMRON SP.PD RSUS
003 KEL NYAPAH
RS0317-023813 24/03/2017 CODEIN 10 MG TAB 900.000.00 TABLET SITI MANAYU, NY BANYU KEC02/03
KETAPANG ABUNG DR. NINA SP.P RSUS
PEKURUN
RS0317-023901 24/03/2017 CODEIN 10 MG TAB 3000.000.00 TABLET CHADIJAH, NY JL. DR. RIDHUAN IRAWAN RSUS
SISINGAMANGARAJA SP.PD
RL0317-001348 24/03/2017 CODEIN 10 MG TAB 400.000.00 TABLET ny.Megawarni GG PEMANCAR 3 NO. DR. IMRON SP.PD RSUS
47 GEDONG AIR
RS0317-023948 24/03/2017 CODEIN 10 MG TAB 500.000.00 TABLET SELVI RIYANI, AN RT 015
DSN RAJABASA
JATI REJO RT DR. SUHARSONO SP.S RSUS
003/008 TANJUNG
RS0317-024422 24/03/2017 CODEIN 10 MG TAB 1000.000.00 TABLET MEGAWARNI, NY BINTANG
BAMBANG LEMONG DR. IMRON SP.PD RSUS
RS0317-023660 24/03/2017 CODEIN 10 MG TAB 1000.000.00 TABLET BAINAH , NY KAB. LAMPUNG
JL.MALABAR BARAT
BLOK N DR. RIDHUAN IRAWAN RSUS
RS0317-023971 24/03/2017 CODEIN 10 MG TAB 2000.000.00 TABLET DRS.H. SOEPRAPTO HALIM
BANDAR JAYA / RSUS - RSUS
SH.MM PEMEGANG SAHAM
RL0317-001300 24/03/2017 CODEIN 10 MG TAB 1000.000.00 TABLET m. yusuf DR. RIDHUAN IRAWAN RSUS
RS0317-023668 24/03/2017 CODIPRONT CAP 600.000.00 CAPSUL EDI DAHLAN,TN JL.BYANGKARA LKI RT SP.PD
DR. MARS DWI CAHYO RSUS
RS.URIP SUMOHARJO Periode : Maret 2017 008 KEC,RAJABASA SP.BU Dicetak oleh :
LAPORAN KHUSUS PENGGUNAAN OBAT Jenis Obat : NARKOTIK RAYA YULIANITA
02 Apr 2017 , 13:49
Page : 43 of 59
RS0317-024541 24/03/2017 CODIPRONT CAP 1000.000.00 CAPSUL TN, WARSITO DUSUN 3 GAYABARU 2 DR. MARS DWI CAHYO RSUS
RS0317-024346 24/03/2017 CODIPRONT CUM EXPT SYR 100.000.00 FLS MURZID GLR BTN SEPUTIH SURABAYA
JL.ARJUNA.REJO SP.BU
DR. NINA SP.P RSUS
RS0317-024298 24/03/2017 CODIPRONT CUM EXPT SYR 100.000.00 FLS TEMENGGUNG.
ASDINA, NY TN SARI.KOTART
TANGKAS BUMI
001/001 DR. DINO RINALDY, RSUS
RS0317-023974 24/03/2017 CODIPRONT CUM EXPT SYR 100.000.00 FLS BANI RAHMAN,TN KEC KASUI
TEKAD BLOK III RT/R SP.OG, ONK
002 KEL TEKAD KEC SP.PD
RS0317-024188 24/03/2017 CODIPRONT CUM EXPT SYR 100.000.00 FLS MAHMUD JAYA PULAU PANGGUNG
JL.P ALAM NO.156 RT DR. RIDHUAN IRAWAN RSUS
RL0317-001281 24/03/2017 CODIPRONT CUM EXPT SYR 100.000.00 FLS SIRONI.TN
TN.HAMID 006 SEGALA MIDER SP.PD
DR. DESY MUGI RSUS
RS0317-023950 24/03/2017 CODIPRONT CUM EXPT SYR 100.000.00 FLS VIVI YOLANDA , NN KEC.TKB
dsn rejo basuki rt 004 / HERYANTI
DR. NINA SP.P RSUS
001 kel sedorejo kec
RS0317-023654 24/03/2017 CODIPRONT SYR 100.000.00 FLS RENDO VIKHI sekampung udik
JLN YOS SUDARSO 284 DR. IMRON SP.PD RSUS
ANANDA, SDR LK I 020-/-KEL
RS0317-024033 24/03/2017 CODIPRONT SYR 100.000.00 FLS RIDWAN FAUZI, TN PANJANG UTARAGG.
JLN.PAJAJARAN KEC DR. RIDHUAN IRAWAN RSUS
PANJANG
CERME NO 39 SP.PD
RS0317-024286 24/03/2017 DUROGESIC MATRIX 25 MCG/H 100.000.00 PCS MASTUR,TN NEGERI ULANGAN JAYA DR. SUHARSONO SP.S RSUS
RT01/01 KEC NEGERI
RS0317-024318 24/03/2017 FENTANYL 2 ML INJ 100.000.00 AMP YOGI SABRI SANDIKA, KATON
jln turi raya no 55 kel DR. PUTU JUNITA P., RSUS
KAMILAH, NY tanjung senang
PASANG INDAH 2/2 SP.AN
RS0317-024625 24/03/2017 FENTANYL 2 ML INJ 100.000.00 AMP SYARIFUDIN.TN BUMI AGUNG
DUSUN II RT/RW WAY002 SP.AN
KANAN
KEL SALABUNG SP.AN
RS0317-024026 24/03/2017 FENTANYL 2 ML INJ 100.000.00 AMP FAHRI RIFKI AZIZ, AN BELIMBING
JLN CHNADRA JAYA
JAYA DR. PUTU JUNITA P., RSUS
KEC TULANB BAWANG SP.AN
TENGAH
KEC TULANB BAWANG SP.AN
RS0317-024466 24/03/2017 MORPHIN HCL 10 MG INJ 100.000.00 AMP KAMILAH, NY TENGAH
PASANG INDAH 2/2 DR. DENDY MAULANA, RSUS
RS0317-024634 24/03/2017 MST CONTINUS 10 MG TAB 300.000.00 TABLET SULI.NY BUMI
DESA AGUNG WAY
HARAPAN REJO SP.AN
DR. IKA RSUS
KANAN 05 SEPUTIH
RT/RW
RS0317-024357 24/03/2017 MST CONTINUS 10 MG TAB 200.000.00 TABLET SALMAH, NY AGUNG
JL. SUNGKAI NO 19 DR . M.BAYU RSUS
001/003, KETAPANG, SAHADEWA,SP.OT
Sub Total 28.000 item : 14700.000.00 SUNGKAI SELATAN
25 Maret 2017
RS0317-025377 25/03/2017 CODEIN 10 MG TAB 1400.000.00 TABLET SUMINAH, NY JATI HARJO 001/001 DR. IMRON SP.PD RSUS
ABUNG GUMANTI
RS0317-025484 25/03/2017 CODEIN 10 MG TAB 1400.000.00 TABLET ARIF BASTIAN RASYID, TEGINENNG
DSN WATES BUMI DR. IMRON SP.PD RSUS
RS.URIP SUMOHARJO Periode : Maret 2017 TN RATU NUBAT Dicetak oleh :
02 Apr 2017 , 13:49
Page : 44 of 59
RS0317-025489 25/03/2017 CODEIN 10 MG TAB 1200.000.00 TABLET SOFYAN SH., TN JL SUKARNO HATTA GG DR. IMRON SP.PD RSUS
BUMI TELIYU NO.33A
RS0317-024721 25/03/2017 CODEIN 10 MG TAB 500.000.00 TABLET HI.ABDUL RONY KEDATON
JL PULAU SARI I NO. DR. PAD DILANGGA SP.P RSUS
TOYIB,TN 123 PERUMNAS WAY
RS0317-025397 25/03/2017 CODEIN 10 MG TAB 1000.000.00 TABLET AMRAN , TN KANDIS
DSN MAGAN 001 / 001 DR. IMRON SP.PD RSUS
HURUN KEL TELUK
RS0317-025429 25/03/2017 CODEIN 10 MG TAB 2700.000.00 TABLET SUBADI, TN PANDAN
DSN SIDOHARJO II DR. ARIETYA RSUS
RS0317-025442 25/03/2017 CODEIN 10 MG TAB 1000.000.00 TABLET KANIA DEWI NEGARA
JL. RATU
DAHLIA NATAR
3 NO 1766 KUSUMA.P,SP.THT
ABDULLAH,NY NATAR
RS0317-024942 25/03/2017 CODEIN 10 MG TAB 1000.000.00 TABLET NURMAINI, NY JL. P SENOPATI LK 1 DR. RIDHUAN IRAWAN RSUS
RS0317-025379 25/03/2017 CODEIN 10 MG TAB 500.000.00 TABLET GALIH WATI, NY KORPRI JAYA BIRU
PER.PERMATA SP.PD
RS0317-025315 25/03/2017 CODEIN 10 MG TAB 1400.000.00 TABLET SHELA AULIA SARI, NNSUKARAME
BLOK B5 NO 5V
LINGKUNGAN DR. RIDHUAN IRAWAN RSUS
RS0317-025486 25/03/2017 CODEIN 10 MG TAB 1400.000.00 TABLET JONI SAMPURNO.TN TULUNG MILI
DUSUN CITAJAYA SP.PD
RS0317-025641 25/03/2017 CODIPRONT CAP 300.000.00 CAPSUL SITI DAROYAH,NY KOTABUMI
RT/RW.
DUSUN MURTI ILIRREJO
03/05 DR. HASMI MAHA SP.PD RSUS
BANGUNAN
010/003 PALAS
WONOHARJO
RS0317-025322 25/03/2017 CODIPRONT CAP 1000.000.00 CAPSUL SUMBEREJO
M. TOHIR SOMANTRI , JL. PAGAR ALAM I NO. DR. RIDHUAN IRAWAN RSUS
YEPI TRIA SARI.NY 40 KEDATON
JL. SAMRATULANGI SP.PD
DR. NINA SP.P RSUS
RS0317-025075 25/03/2017 CODIPRONT CUM EXPT SYR 100.000.00 FLS SUKARSIH NY NO.43
JL RAYATKB
WAY RAREM DR. NINA SP.P RSUS
NO 99 RT 001/001
RS0317-025261 25/03/2017 CODIPRONT CUM EXPT SYR 100.000.00 FLS FARIZAL, TN PEKURUN ABUNGgg
jln bumi menanti DR. RIDHUAN IRAWAN RSUS
PEKURUN
nangka 3 n0 27 lk i rt SP.PD
003 / 000 kel kampung
baru raya
RS0317-024974 25/03/2017 CODIPRONT CUM EXPT SYR 100.000.00 FLS AGUSTINA, NY 003 / 000 kel kampung
SEKALABERAK NO.18 DR. NINA SP.P RSUS
baru
KOTAraya
ALAM KOTABUMI
RS0317-025059 25/03/2017 CODIPRONT CUM EXPT SYR 100.000.00 FLS SRIKA, NY SELATAN
DESA CAMPANG RT DR. ASRIZAL SPJ RSUS
RS0317-024957 25/03/2017 CODIPRONT CUM EXPT SYR 100.000.00 FLS RISKA WULANDARI NN 07/03
JL. GISTING
KH., GHOLIB DR. NINA SP.P RSUS
RS0317-025064 25/03/2017 CODIPRONT CUM EXPT SYR 100.000.00 FLS WAHID NASIR YAQUB, RT01/RW014
JL. RAWA SUBUR NO 10 DR. NINA SP.P RSUS
PAN SUPARTE, TN PRINGSEWU
ENGGAL
RS0317-024915 25/03/2017 CODIPRONT CUM EXPT SYR 100.000.00 FLS MAHMUD JAYA JL.P ALAM NO.156 RT DR. RIDHUAN IRAWAN RSUS
PAINI.NY 006 SEGALA
TANJUNG MIDER
WARAS SP.PD
DR. NINA SP.P RSUS
RS.URIP SUMOHARJO Periode : Maret 2017 KEC.TKB
KEC,NATAR Dicetak oleh :
02 Apr 2017 , 13:49
Page : 45 of 59
RS0317-025569 25/03/2017 CODIPRONT CUM EXPT SYR 100.000.00 FLS SALMAH NY JL. TEUKU UMAR NO. DR. IMRON SP.PD RSUS
50 TANJUNG KARANG
RS0317-025218 25/03/2017 CODIPRONT SYR 100.000.00 FLS H.ABDUL SOMAD TN TIMUR
PERUM KORPRI BLOK DR. IMRON SP.PD RSUS
B2 NO 01 LK II RT 001
RS0317-024716 25/03/2017 CODIPRONT SYR 100.000.00 FLS SRI LESTARI , NY KORPRI JAYA
DESA BUMI ASIH DR. MARS DWI CAHYO RSUS
SUKARAME SP.BU
RS0317-025229 25/03/2017 CODIPRONT SYR 100.000.00 FLS MUGIONO, TN DUSUN 5 022/005 REJO DR. HASMI MAHA SP.PD RSUS
RS0317-025445 25/03/2017 CODIPRONT SYR 100.000.00 FLS FITRA SUHANDA, SDR ASRI
JL SEPUTIHGG
P SINGKEP RAMAN DR. IMRON SP.PD RSUS
MERPATI NO 7
RL0317-001390 25/03/2017 CODIPRONT SYR 100.000.00 FLS FEBRIANSYAH SUKARAME DR. IKA RSUS
RS0317-025193 25/03/2017 CODIPRONT SYR 100.000.00 FLS SYAMSUDDIN,TN BTN III JL.AGATIS TA 2 DR. MARINA, SP. PD RSUS
NO.10 RT07 WAYDADI
RS0317-025479 25/03/2017 DUROGESIC MATRIX 25 MCG/H 100.000.00 PCS ERNAWATI, NY SUKARAME
DESA WIJI MULYO PKN DR. ASRIZAL SPJ RSUS
RS0317-024692 25/03/2017 DUROGESIC MATRIX 25 MCG/H 100.000.00 PCS SURMADA MATSOHAN, NGARIP ULU NO.86
JL. HI, SAID BELU DR. MARS DWI CAHYO RSUS
RS0317-025630 25/03/2017 DUROGESIC MATRIX 25 MCG/H 400.000.00 PCS NY
SYAHRIL SINJAR, TN RT007
JL KOTAGG
NANGKA BARU
JAHRI SP.BU
RS0317-025080 25/03/2017 DUROGESIC MATRIX 25 MCG/H 100.000.00 PCS RUBINEM, NY NO 19 RATU
JL.RAJA LANGI
TIHANG LK I (K)ORIDHUAN IRAWAN
DR. RSUS
RS0317-025520 25/03/2017 DUROGESIC MATRIX 25 MCG/H 100.000.00 PCS BADERI, TN TANJUNG SENANG
JLN. P. KEMERDEKAAN SP.PD
DR.RINALDI ADITYA RSUS
NO 106 003/- TANJUNG ASRIZAL
RS0317-025171 25/03/2017 FENTANYL 2 ML INJ 100.000.00 AMP BULAN PUSPITASARI, RAYA
JL.GAMATKTII GUNUNG DR. PUTU JUNITA P., RSUS
NY TERANG TANJUNG SP.AN
RS0317-025187 25/03/2017 FENTANYL 2 ML INJ 100.000.00 AMP ARUM TRI RAHAYU, NN SENANG
DESA SUMBER JAYA DR. PUTU JUNITA P., RSUS
RS0317-025369 25/03/2017 FENTANYL 2 ML INJ 100.000.00 AMP SRI HARTATI, NY KEC JATI AGUNG
PRASAANTI 3 BLOK A2 SP.AN
NO.14 LK.I KEC. SP.AN
RS0317-025026 25/03/2017 FENTANYL 2 ML INJ 100.000.00 AMP INDAH KURNIA SARI, SUKARAME
JLN KENANGA HEJO DR. DENDY MAULANA, RSUS
NN AGUNG KEC METRO SP.AN
TIMUR
NN AGUNG KEC METRO SP.AN
RS0317-024857 25/03/2017 FENTANYL 2 ML INJ 100.000.00 AMP BASTIAR, AN TIMUR
DESA MARGASARI RT DR. PUTU JUNITA P., RSUS
042/21 DSUN XI SP.AN
RS0317-025147 25/03/2017 FENTANYL 2 ML INJ 100.000.00 AMP DEL PIPO.AN LABUHAN MARINGGAI
JL P LEGUNDI GG DR. PUTU JUNITA P., RSUS
PULAU LINGGA 2 SP.AN
RS0317-025025 25/03/2017 FENTANYL 2 ML INJ 100.000.00 AMP M. APID, TN SUKARAME
JLN. YOS SUDARSO DR. DENDY MAULANA, RSUS
NANASAN RT:15 SP.AN
RS0317-025082 25/03/2017 FENTANYL 2 ML INJ 100.000.00 AMP IZZA LUTFI, AN PIDADA PANJANG
JL SELVI LESTARI BLOK DR. PUTU JUNITA P., RSUS
G 12 NO 6 BERINGIN SP.AN
RS.URIP SUMOHARJO Periode : Maret 2017 JAYA KMILING Dicetak oleh :
02 Apr 2017 , 13:49
Page : 46 of 59
RS0317-025089 25/03/2017 FENTANYL 2 ML INJ 100.000.00 AMP DESTA DWI PRATIWI,JL DR HARUN II GG DR. PUTU JUNITA P., RSUS
NY KUA SALIM1-31 E SP.AN
RS0317-025109 25/03/2017 FENTANYL 2 ML INJ 100.000.00 AMP CHANDRA NOVANGKA, KOTABARU
PERUMAHANTKT/RSUS
TANJUNG DR. PUTU JUNITA P., RSUS
TN RAYA PERMAI D20 SP.AN
RS0317-025251 25/03/2017 MST CONTINUS 10 MG TAB 600.000.00 TABLET FATMAWATI, NY TANJUNG SENENG
DSN 2 SUKADAMAI RT DR. MARINA, SP. PD RSUS
001/ 002 KEL
RS0317-024679 25/03/2017 PETHIDIN INJ 100.000.00 AMP WIJO SUTARNO, TN SUKADAMAI GUNUNG
SUKADANA BARU DR. PUTU JUNITA P., RSUS
ALIP
RT006/002 SUKADANA SP.AN
RS0317-024680 25/03/2017 PETHIDIN INJ 100.000.00 AMP SYARIFUDIN.TN BARU
DUSUN II RT/RW 002 DR. PUTU JUNITA P., RSUS
KEL SALABUNG SP.AN
RS0317-024858 25/03/2017 PETHIDIN INJ 100.000.00 AMP BASTIAR, AN BELIMBING JAYA RT
DESA MARGASARI DR. PUTU JUNITA P., RSUS
042/21 DSUN XI SP.AN
Sub Total 49.000 item : 19200.000.00 LABUHAN MARINGGAI
26 Maret 2017
RS0317-025734 26/03/2017 CODEIN 10 MG TAB 400.000.00 TABLET LENI MARLINA , NY DUSUN 1 SRI DR. PAD DILANGGA SP.P RSUS
RS0317-025968 26/03/2017 CODEIN 10 MG TAB 200.000.00 TABLET DEDI JULIANSYAH,TN PENDOWO KETAPANG
003 RW 004
RS0317-026460 26/03/2017 CODEIN 10 MG TAB 400.000.00 TABLET ANDRYANTO, TN KEC,NEGERI AGUNG
JL.AGUS SALIM PERUM
CITRA PERSADA BLOKI
RS0317-026387 26/03/2017 CODEIN 10 MG TAB 1000.000.00 TABLET HERLY RACHMAD LKII KALIAWI
JLCEMPAKA GGTKP
WAYKA DR. IMRON SP.PD RSUS
RL0317-001416 26/03/2017 CODEIN 10 MG TAB 2000.000.00 TABLET RINALDO, SDR
TN.SUGIARTO JAYA TANJUNG DR. ASRIZAL SPJ RSUS
RL0317-001437 26/03/2017 CODEIN 10 MG TAB 600.000.00 TABLET NY.JAMIATUN SENANG DR. DIANA NUR ASRINI RSUS
RS0317-026139 26/03/2017 CODEIN 10 MG TAB 1000.000.00 TABLET DADAN ISKANDAR, TN JL. SUKARDI HAMDANI DR. RIDHUAN IRAWAN RSUS
PALAP V NO. 33 LAB. SP.PD
RS0317-026287 26/03/2017 CODEIN 10 MG TAB 1000.000.00 TABLET HERLY RACHMAD RATU
JLCEMPAKA GG WAYKA DR. IMRON SP.PD RSUS
RINALDO, SDR JAYA TANJUNG
SENANG
RS0317-026457 26/03/2017 CODIPRONT CAP 900.000.00 CAPSUL SITI DAROYAH,NY DUSUN MURTI REJO DR. RIDHUAN IRAWAN RSUS
010/003 WONOHARJO SP.PD
RS0317-026030 26/03/2017 CODIPRONT CUM EXPT SYR 100.000.00 FLS M AGUS RIANTO, TN SUMBEREJO
JL VETERAN LK I RT 03 DR. ASRIZAL SPJ RSUS
RS0317-025987 26/03/2017 CODIPRONT CUM EXPT SYR 100.000.00 FLS TUKIRAN. TN PRINGSEWU BARATGG. DR. SUHARSONO SP.S
JL. RATU DIBALAU RSUS
RS0317-026296 26/03/2017 CODIPRONT CUM EXPT SYR 100.000.00 FLS PONITI NY DAMAI.
JL TJ. SENENG
UNTUNG SUROPATI DR. NINA SP.P RSUS
RS0317-026087 26/03/2017 CODIPRONT CUM EXPT SYR 100.000.00 FLS SALMAH NY NO TEUKU
JL. 02 LAB.RATU
UMAR NO. DR. IMRON SP.PD RSUS
50 TANJUNG KARANG
RS.URIP SUMOHARJO Periode : Maret 2017 TIMUR Dicetak oleh :
02 Apr 2017 , 13:49
Page : 47 of 59
RS0317-026002 26/03/2017 CODIPRONT CUM EXPT SYR 100.000.00 FLS SAGIMAN.TN DUSUN II RT/RW 007 DR. NINA SP.P RSUS
KEL GIRI KARTO KEC
RS0317-026088 26/03/2017 CODIPRONT CUM EXPT SYR 100.000.00 FLS JOHANES, TN SEKAPUNG
P.TANJUNG RAYA DR. SUHARSONO SP.S RSUS
PERMAI BLOK I NO.15
RS0317-026319 26/03/2017 CODIPRONT SYR 100.000.00 FLS YASMINI NY TANJUNG SENANG I
DUSUN KATIBUNG TIDAK ADA DOKTER RSUS
RT/RW 002/005
RS0317-026157 26/03/2017 DUROGESIC MATRIX 25 MCG/H 100.000.00 PCS TRI PUJI ASTUTI,NY SIDOMULYO
PT.GGPC/JL. IKAN DR. SUHARSONO SP.S RSUS
RS0317-025929 26/03/2017 DUROGESIC MATRIX 25 MCG/H 100.000.00 PCS RATMO, TN JL. ROSELA BLOK R NO DR. RIDHUAN IRAWAN RSUS
RS0317-026156 26/03/2017 DUROGESIC MATRIX 25 MCG/H 100.000.00 PCS TRI PUJI ASTUTI,NY 2 KEMILING IKAN
PT.GGPC/JL. SP.PD
DR. SUHARSONO SP.S RSUS
RS0317-025747 26/03/2017 FENTANYL 2 ML INJ 100.000.00 AMP MUGIONO, TN DUSUN 5 022/005 REJO DR. PUTU JUNITA P., RSUS
RS0317-025717 26/03/2017 FENTANYL 2 ML INJ 100.000.00 AMP SLAMET.TN ASRI ISEPUTIH
DSN RAMAN
RT 002/001 SP.AN
KEL.SIDODADI SP.AN
RS0317-025745 26/03/2017 FENTANYL 2 ML INJ 100.000.00 AMP MUGIONO, TN KEC.PEKALONGAN
DUSUN 5 022/005 REJO DR. PUTU JUNITA P., RSUS
RS0317-025686 26/03/2017 FENTANYL 2 ML INJ 100.000.00 AMP ZAINI IBRAHIM ,TN ASRI SEPUTIH
pekon badak -/-RAMAN
kel SP.AN
RS0317-025741 26/03/2017 FENTANYL 2 ML INJ 100.000.00 AMP M.IDRIS,TN badakTUBA
WAY kec limau
KEL SP.AN
RS0317-025744 26/03/2017 FENTANYL 2 ML INJ 100.000.00 AMP DJUNAIDI TAMIN KURIPAN KEC KOTA
PERUM BHAYANGKARA SP.AN
RS0317-025707 26/03/2017 FENTANYL 2 ML INJ 100.000.00 AMP /JUMANTORO
DHIAN RAMADHAN, AN AGUNG
KEMILING
JL.RADEN FATAH SP.AN
G.H.MUHIDIN NO.11 SP.AN
RS0317-026330 26/03/2017 FENTANYL 2 ML INJ 100.000.00 AMP MUHAMMAD ADLI, AN KALIAWI
INDRA PUTRA SUBING DR. PUTU JUNITA P., RSUS
RT 001/001 SP.AN
RS0317-025736 26/03/2017 FENTANYL 2 ML INJ 100.000.00 AMP SUTI NINGSIH.NY TERBANGGI BESAR
DUSUN 2. BANDAR DR. PUTU JUNITA P., RSUS
RS0317-026247 26/03/2017 MST CONTINUS 10 MG TAB 2000.000.00 TABLET LINA LUSIANA.NY SURABAYA BARU
JL SEJAHTERA SP.AN
KEMILING (K)O
RS0317-025921 26/03/2017 MST CONTINUS 10 MG TAB 300.000.00 TABLET SULI.NY DESA HARAPAN REJO DR. IKA RSUS
RT/RW 05 SEPUTIH
RS0317-025968 26/03/2017 MST CONTINUS 10 MG TAB 200.000.00 TABLET DEDI JULIANSYAH,TN AGUNG
003 RW 004
RS0317-026311 26/03/2017 MST CONTINUS 10 MG TAB 2000.000.00 TABLET FATMAWATI, NY KEC,NEGERI AGUNG RT DR. MARINA, SP. PD
DSN 2 SUKADAMAI RSUS
001/ 002 KEL
RL0317-001405 26/03/2017 MST CONTINUS 10 MG TAB 1000.000.00 TABLET ny. purwati SUKADAMAI GUNUNG DR. ABDULLAH SYUKRI RSUS
ALIP
02 Apr 2017 , 13:49
Page : 48 of 59
RL0317-001406 26/03/2017 MST CONTINUS 10 MG TAB 300.000.00 TABLET TN. ANDI DR. ABDULLAH SYUKRI RSUS
RS0317-025686 26/03/2017 PETHIDIN INJ 100.000.00 AMP ZAINI IBRAHIM ,TN pekon badak -/- kel DR. PUTU JUNITA P., RSUS
Sub Total 35.000 item : 15300.000.00 badak kec limau SP.AN
27 Maret 2017
RS0317-027301 27/03/2017 CODEIN 10 MG TAB 1000.000.00 TABLET BAINAH , NY JL.MALABAR BLOK N DR. RIDHUAN IRAWAN RSUS
RS0317-026928 27/03/2017 CODEIN 10 MG TAB 4500.000.00 TABLET CHANDRA NOVANGKA, HALIM
PERUMAHAN TANJUNG DR. ARIETYA RSUS
TN RAYA PERMAI D20 KUSUMA.P,SP.THT
RS0317-027435 27/03/2017 CODEIN 10 MG TAB 1000.000.00 TABLET DR SUHARSONO SP.S , TANJUNG
RSUS SENENG DR. SUHARSONO SP.S RSUS
RL0317-001456 27/03/2017 CODEIN 10 MG TAB 2000.000.00 TABLET TN
DR. ASRIZAL DR. ASRIZAL SPJ RSUS
003 RW 004
RS0317-027032 27/03/2017 CODEIN 10 MG TAB 1000.000.00 TABLET RUSMIN, TN KEC,NEGERI AGUNG
DSUN IV SIDODADI DR. SUHARSONO SP.S RSUS
RS0317-027179 27/03/2017 CODEIN 10 MG TAB 1500.000.00 TABLET SASTRA WINATA TN ASRI RT 02/
JL SADAR GG01 JATI I
UTAMA DR. RIANA HANDAYANI, RSUS
AGUNG
NO 51 HARAPAN JAYA SP.J
RS0317-027475 27/03/2017 CODEIN 10 MG TAB 600.000.00 TABLET RUMSYAH,NY SUKARAME
JL.ARJUNA RT01/03 DR. DIANA NUR ASRINI RSUS
RS0317-026600 27/03/2017 CODEIN 10 MG TAB 600.000.00 TABLET HI.ABDUL RONY REJOSARI KOTABUMI
JL PULAU SARI I NO. DR. PAD DILANGGA SP.P RSUS
TOYIB,TN 123 PERUMNAS WAY
RS0317-026663 27/03/2017 CODEIN 10 MG TAB 1000.000.00 TABLET BAINAH , NY KANDIS
RS0317-026732 27/03/2017 CODEIN 10 MG TAB 300.000.00 TABLET SITI MANAYU, NY HALIM
KETAPANG 02/03 DR. NINA SP.P RSUS
RS0317-026814 27/03/2017 CODEIN 10 MG TAB 900.000.00 TABLET SAYUTI BB, TN KAMPUNG MENGGALA DR. ASRIZAL SPJ RSUS
RS0317-027186 27/03/2017 CODEIN 10 MG TAB 1500.000.00 TABLET HARSONO, TN JL
JL II MBC TULANG
P BANGKA NO 10 DR. RIANA HANDAYANI, RSUS
RS0317-026506 27/03/2017 CODIPRONT CAP 100.000.00 CAPSUL H.M.SARBAKI,TN BAWANG
SUKABUMI
SUBAN I RT01/01 SP.J
RS0317-027099 27/03/2017 CODIPRONT CAP 100.000.00 CAPSUL EDI DAHLAN,TN MERBAU MATARAM
JL.BYANGKARA LKI RT DR. MARS DWI CAHYO RSUS
RS0317-027067 27/03/2017 CODIPRONT CUM EXPT SYR 100.000.00 FLS H.M.SARBAKI,TN 008
SUBANKEC,RAJABASA
I RT01/01 SP.BU
DR. NINA SP.P RSUS
RAYA
MERBAU MATARAM
RS0317-027317 27/03/2017 CODIPRONT CUM EXPT SYR 100.000.00 FLS M. NUR, TN JL PALAPA 5 C NO.4 DR. NINA SP.P RSUS
RS0317-026548 27/03/2017 CODIPRONT CUM EXPT SYR 100.000.00 FLS FARIZAL, TN LABUHAN
jln RATU gg
bumi menanti DR. RIDHUAN IRAWAN RSUS
RS.URIP SUMOHARJO Periode : Maret 2017 003 / 000 kel kampung Dicetak oleh :
baru raya YULIANITA
Page : 49 of 59
RS0317-027459 27/03/2017 CODIPRONT CUM EXPT SYR 100.000.00 FLS SUNARDI, TN GG CEMARA RAYA LK II DR. NINA SP.P RSUS
RL0317-001456 27/03/2017 CODIPRONT CUM EXPT SYR 100.000.00 FLS DR. ASRIZAL RT006 TANJUNG DR. ASRIZAL SPJ RSUS
RS0317-026853 27/03/2017 CODIPRONT CUM EXPT SYR 100.000.00 FLS PAINI.NY SENANG
TANJUNG WARAS DR. NINA SP.P RSUS
RS0317-027381 27/03/2017 CODIPRONT CUM EXPT SYR 100.000.00 FLS JONI MD, TN KEC,NATAR
JL.BUNGA LILI RAYA DR. NINA SP.P RSUS
RS0317-027025 27/03/2017 CODIPRONT CUM EXPT SYR 100.000.00 FLS MUHAMMAD AKMAL B71 NO.14 LK I
JL P SENOPATI GG WAY DR. RIDHUAN IRAWAN RSUS
RS0317-027303 27/03/2017 CODIPRONT CUM EXPT SYR 100.000.00 FLS SYAFIQ
KIROM, ,TN
SDR KANDIS
BIMA NO 6WURUK
JL HAYAM LK I SP.PD
DR. NINA SP.P RSUS
RS0317-027367 27/03/2017 CODIPRONT CUM EXPT SYR 100.000.00 FLS AMIR MOGA SAKTI.TN HARAPAN
PERMATA JAYA A6
NO.47 KEDAMAIAN
BIRU DR. SUHARSONO SP.S RSUS
NO.8/9 SUKARAME
RS0317-026823 27/03/2017 CODIPRONT CUM EXPT SYR 100.000.00 FLS MAHMUD JAYA JL.P ALAM NO.156 RT DR. RIDHUAN IRAWAN RSUS
YEPI TRIA SARI.NY 006 SEGALA MIDER
JL. SAMRATULANGI SP.PD
DR. NINA SP.P RSUS
RS0317-027533 27/03/2017 CODIPRONT SYR 100.000.00 FLS HELDAWATI, NY KEC.TKB
NO.43 TKB
JLN. PURNAWIRAWAN DR. MARINA, SP. PD RSUS
VII NO 16 001/-
RS0317-026518 27/03/2017 CODIPRONT SYR 100.000.00 FLS SITI RAHMAH.NY GUNUNG TERANG
JL. TERATAI GG. TKB DR. MARS DWI CAHYO RSUS
MAWAR 1 NO.21 A SP.BU
RS0317-026721 27/03/2017 CODIPRONT SYR 100.000.00 FLS SYAMSUDDIN,TN SURABAYA KEDATON
BTN III JL.AGATIS TA 2 DR. MARINA, SP. PD RSUS
NO.10 RT07 WAYDADI
RS0317-027686 27/03/2017 CODIPRONT SYR 100.000.00 FLS GANNA AURIAN, NY SUKARAME
JL HANOMAN NO 1 RT DR. IMRON SP.PD RSUS
001 JAGA BAYA I
RL0317-001478 27/03/2017 DUROGESIC MATRIX 25 MCG/H 200.000.00 PCS NY. SITI SUPRIHATIN DR. NURHASANAH RSUS
RS0317-027124 27/03/2017 FENTANYL 2 ML INJ 100.000.00 AMP SARTIKA MARTINA, NY JLN , BELIA GG GN DR. PUTU JUNITA P., RSUS
BESAR NO 01 LK II SP.AN
RS0317-026694 27/03/2017 FENTANYL 2 ML INJ 100.000.00 AMP NIKEISHA FARAH JAGABAYA
PERUM BUKITII KEC DR. PUTU JUNITA P., RSUS
AQUINA, AN SUKABUMI
BILABONG JAYA BLOK SP.AN
RS0317-027283 27/03/2017 FENTANYL 2 ML INJ 100.000.00 AMP SITI NURFADILA , NY G5 NO sidodadi
dusun 01 013/-rt/rw DR. PUTU JUNITA P., RSUS
SUSUNAN BARU TKB
001/005 merambung SP.AN
RS0317-027347 27/03/2017 FENTANYL 2 ML INJ 100.000.00 AMP SUSANTO NEGORO, tanjung raja B 3 NO 9
JL MATARAM DR. PUTU JUNITA P., RSUS
SDR LK II RT 07 BERINGIN SP.AN
RS0317-027282 27/03/2017 FENTANYL 2 ML INJ 100.000.00 AMP EVITA HERSA RAYA KMILING
JL.IMBA KESUMA NO.1 DR. PUTU JUNITA P., RSUS
ADHELLIAMEISYA.P.NN RT 08 KEMILING SP.AN
PERMAI
RS0317-027695 27/03/2017 FENTANYL 2 ML INJ 100.000.00 AMP SUWARNI, NY JL. KI MAJA DR. BUDI OKTA P, SP. RSUS
GG.BELIMBINGNO.24 AN
RS.URIP SUMOHARJO Periode : Maret 2017 KEDATON Dicetak oleh :
02 Apr 2017 , 13:49
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RS0317-027332 27/03/2017 FENTANYL 2 ML INJ 100.000.00 AMP INDRI KAYLA PUTRI, JL DR SETIA BUDI NO DR. PUTU JUNITA P., RSUS
AN 162 LK II RT 02 SP.AN
RS0317-027176 27/03/2017 FENTANYL 2 ML INJ 100.000.00 AMP SUMARNI ,NN NEGERI
JL. IKANOLOK GADING
JULUNG SKIP DR. PUTU JUNITA P., RSUS
RAHAYU LK I RT 018 SP.AN
RS0317-027492 27/03/2017 FENTANYL 2 ML INJ 100.000.00 AMP ROSLINA MELIANIDA, BUMI WARAS
JL H AGUS TELUK
SALIM NO DR. BUDI OKTA P, SP. RSUS
NY BETUNG
36 SELATAN
SUKADANA HAM AN
RS0317-027031 27/03/2017 FENTANYL 2 ML INJ 100.000.00 AMP SOEIN SURI, NY JL IKAN SEMBILANG DR. PUTU JUNITA P., RSUS
NO 18 SUKARAJA BUMI SP.AN
RS0317-027123 27/03/2017 FENTANYL 2 ML INJ 100.000.00 AMP ANDIKA CHANDRA, AN WARAS
PERMATA BIRU BLOK B DR. PUTU JUNITA P., RSUS
RS0317-027670 27/03/2017 MST CONTINUS 10 MG TAB 600.000.00 TABLET SUROYO,TN NO.19
JL.DASNAU TOWUTI SP.AN
GG.ASRI NO.39LKII
RS0317-026784 27/03/2017 MST CONTINUS 10 MG TAB 1000.000.00 TABLET DEDI JULIANSYAH,TN RT021
GEDUNG KEDATON
HARAPAN RT DR. NINA SP.P RSUS
003 RW 004
RS0317-026588 27/03/2017 MST CONTINUS 10 MG TAB 100.000.00 TABLET SUROYO,TN KEC,NEGERI AGUNG
JL.DASNAU TOWUTI DR. DIANA NUR ASRINI RSUS
GG.ASRI NO.39LKII
RS0317-027545 27/03/2017 MST CONTINUS 10 MG TAB 1000.000.00 TABLET RATMO, TN RT021 KEDATON
JL. ROSELA BLOK R NO DR. RIDHUAN IRAWAN RSUS
Sub Total 47.000 item : 22700.000.00 2 KEMILING SP.PD
28 Maret 2017
RS0317-028702 28/03/2017 CODEIN 10 MG TAB 300.000.00 TABLET SITI MANAYU, NY KETAPANG 02/03 DR. NINA SP.P RSUS
RS0317-027885 28/03/2017 CODEIN 10 MG TAB 900.000.00 TABLET CLAUDIA SERA NOOR, JL. SELAT MALAKA 2 DR. RIDHUAN IRAWAN RSUS
AMIR SANUSI, TN NO. 27 PANJANG
PEKKON MULANG JAYA SP.PD
RS0317-028458 28/03/2017 CODEIN 10 MG TAB 500.000.00 TABLET UMIYATI, NY KOTA AGUNG
JL.IMAM TIMUR
BONJOL AIR DR. PAD DILANGGA SP.P RSUS
PATOH BATURAJA
RS0317-027841 28/03/2017 CODEIN 10 MG TAB 300.000.00 TABLET SEMAK NY TIMUR 'OGAN
JL LAK MARTADINATA DR. PAD DILANGGA SP.P RSUS
KOMERING
NO 46 LK IIULU
RT 020
RS0317-027886 28/03/2017 CODEIN 10 MG TAB 400.000.00 TABLET AMIR SANUSI, TN PESAWAHAN
PEKKON MULANG JAYA DR. PAD DILANGGA SP.P RSUS
RS0317-027920 28/03/2017 CODEIN 10 MG TAB 300.000.00 TABLET ROSIDI, TN KOTA
JL AGUNG
PEKON TIMUR
KANDANG DR. PAD DILANGGA SP.P RSUS
RS0317-028276 28/03/2017 CODIPRONT CAP 100.000.00 CAPSUL BUSTAIN RUDI BESI KOTA AGUNG
DESA TALANG BAYUR DR. DIANA NUR ASRINI RSUS
EFENDI, TN BARAT
KEC T.BINTANG SUKA
RS0317-027879 28/03/2017 CODIPRONT CAP 100.000.00 CAPSUL EDI DAHLAN,TN NEGARA
JL.BYANGKARA LKI RT DR. MARS DWI CAHYO RSUS
008 KEC,RAJABASA SP.BU
RAYA
02 Apr 2017 , 13:49
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RS0317-028293 28/03/2017 CODIPRONT CUM EXPT SYR 100.000.00 FLS TUKIMAN, TN PANCA TUNGGAL DSUN DR. NINA SP.P RSUS
TRIMULYO RT 02/02
RS0317-028210 28/03/2017 CODIPRONT CUM EXPT SYR 100.000.00 FLS BADRUN, TN MERBAU MATARAM
WAY DENTE 001/002 DR. NINA SP.P RSUS
DENTE TELADAS
RS0317-028292 28/03/2017 CODIPRONT CUM EXPT SYR 100.000.00 FLS HI. USMAN KARIM, SH. TULANG BAWANG
JL.PBAWEAN I NO 6 DR. NINA SP.P RSUS
SALMAH NY SUKARAME
JL. TEUKU UMAR NO. DR. IMRON SP.PD RSUS
50 TANJUNG KARANG
RS0317-027815 28/03/2017 CODIPRONT CUM EXPT SYR 100.000.00 FLS CEK MAMAT.TN TIMUR
JL.HI.A.SALIM DR. IMRON SP.PD RSUS
GG.MANGGA DUA LK I
RS0317-028706 28/03/2017 CODIPRONT SYR 100.000.00 FLS MUGIONO, TN RT 014 KEL.KELAPA
DUSUN 5 022/005 REJO DR. MAHARANI RSUS
TIGA KEC.TKP RAMAN
ASRI SEPUTIH
RS0317-028100 28/03/2017 CODIPRONT SYR 100.000.00 FLS YOYOK, NY DESA TALANG JAWA DR. RIDHUAN IRAWAN RSUS
RS0317-028713 28/03/2017 CODIPRONT SYR 100.000.00 FLS SITI AISYAH, NY KEC
JL MERBAU
RATU MATARAM
DIBALAU GG SP.PD
CEMPAKA 2 NO 99 WAY
RS0317-028714 28/03/2017 CODIPRONT SYR 100.000.00 FLS HARIYANTO, TN KANDIS
SINDANG KURNIA DR. IMRON SP.PD RSUS
RS0317-028517 28/03/2017 CODIPRONT SYR 100.000.00 FLS RIA TIARA SARI, NY AGUNGSEPANG
KOTA RT.007 RW.003 DR. HASMI MAHA SP.PD RSUS
JL.BERINGIN NO.66
RS0317-027919 28/03/2017 CODIPRONT SYR 100.000.00 FLS FITRA SUHANDA, SDR SEPANG JAYA GG
JL P SINGKEP LABUHAN DR. IMRON SP.PD RSUS
RATU
MERPATI NO 7
RS0317-028677 28/03/2017 CODIPRONT SYR 100.000.00 FLS MAZIAH SYUKRI, NY SUKARAME
JL.SRI KRESNA NO.70 DR. IMRON SP.PD RSUS
KAMPUNG SAWAH
RS0317-028085 28/03/2017 DUROGESIC MATRIX 25 MCG/H 100.000.00 PCS SUNARTO.TN BREBES
DUSUN SOLEHUDDIN DR. RIDHUAN IRAWAN RSUS
RT 020 RW 008 NEGERI SP.PD
RS0317-027900 28/03/2017 DUROGESIC MATRIX 25 MCG/H 100.000.00 PCS SURMADA MATSOHAN, SAKTI
JL. HI, KEC,GEDONG
SAID NO.86 DR. ERWANDI RSUS
NY TATAAN
RT007 KOTA BARU
RS0317-028451 28/03/2017 DUROGESIC MATRIX 25 MCG/H 100.000.00 PCS SUTI NINGSIH.NY DUSUN 2. BANDAR DR. MARS DWI CAHYO RSUS
RS0317-027884 28/03/2017 FENTANYL 2 ML INJ 100.000.00 AMP GHEO RADITYA SURABAYA BARU
JLN DR SUSILO GG SP.BU
MILANO. AN PUSRI II NO 36 KEL AN
RS0317-028139 28/03/2017 FENTANYL 2 ML INJ 100.000.00 AMP ARYOBI CARLO, SDR SUMUR BATU RT/RW
PANARAGAN, DR. PUTU JUNITA P., RSUS
001/001, TULANG SP.AN
RL0317-001527 28/03/2017 FENTANYL 2 ML INJ 200.000.00 AMP RSIA BELEZZA BAWANG TENGAH TIDAK ADA DOKTER RSUS
RS0317-028177 28/03/2017 FENTANYL 2 ML INJ 100.000.00 AMP RAMBAT PURNOMO , LK V YUKUM JAYA DR. PUTU JUNITA P., RSUS
TN TERBANGGI BESAR SP.AN
02 Apr 2017 , 13:49
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RS0317-028335 28/03/2017 FENTANYL 2 ML INJ 100.000.00 AMP SYAHRIL.TN DS. 01 KURIPAN JAYA DR. PUTU JUNITA P., RSUS
KAHURIPAN DALEM SP.AN
RS0317-028068 28/03/2017 FENTANYL 2 ML INJ 100.000.00 AMP ABDUL MALIK, SDR MENGGALA TIMUR2B,
SERDANG DUSUN DR. BUDI OKTA P, SP. RSUS
RT/RW 004/002, AN
RS0317-028515 28/03/2017 MST CONTINUS 10 MG TAB 200.000.00 TABLET MUTAKIN,AMA.TN TANJUNG BINTANG
BAYUWANGI 007 / 002 DR. DIAN PUTRI RSUS
KEL BANYUWANGI KEC WULANDESSI
RS0317-027872 28/03/2017 MST CONTINUS 10 MG TAB 300.000.00 TABLET ISKANI, TN BANYUMAS
DSN 01 RT 001 DR. IMRON SP.PD RSUS
TANJUNG HARAPAN
RS0317-027771 28/03/2017 MST CONTINUS 10 MG TAB 600.000.00 TABLET USMAN, TN SEPUTIH
BRANTI I BANYAK
BRANTI RAYA DR. MARINA, SP. PD RSUS
NATARRT 05/ RW 02
RS0317-028607 28/03/2017 MST CONTINUS 10 MG TAB 600.000.00 TABLET MUTAKIN,AMA.TN BAYUWANGI 007 / 002 DR. SUHARSONO SP.S RSUS
KEL BANYUWANGI KEC
RS0317-028266 28/03/2017 MST CONTINUS 10 MG TAB 500.000.00 TABLET LANDEP, NY BANYUMAS
DESA TERBANGGI DR. RIDHUAN IRAWAN RSUS
Sub Total 35.000 item : 7900.000.00 BESAR RT 23/12 SP.PD
29 Maret 2017 GUNUNG SUGIH
RS0317-029662 29/03/2017 CODEIN 10 MG TAB 500.000.00 TABLET MARWOTO TN JL. ANGGREK NO. 3 DR. PAD DILANGGA SP.P RSUS
GEDONG MENENG
RS0317-029724 29/03/2017 CODEIN 10 MG TAB 500.000.00 TABLET FIRDUS NY JL. DR. PAD DILANGGA SP.P RSUS
RS0317-029696 29/03/2017 CODEIN 10 MG TAB 300.000.00 TABLET NURQOMALA LAKSAMARTADINATA
bkp blok 2 95 kemiling DR. PAD DILANGGA SP.P RSUS
RS0317-029732 29/03/2017 CODEIN 10 MG TAB 500.000.00 TABLET AFRIANTINA,
SUDI, NY NY NO 46 LK II
JL BRAWIJAYA KEC. DR. PAD DILANGGA SP.P RSUS
PESAWAHAB
SEKAMPUNG UDIK
RS0317-029700 29/03/2017 CODEIN 10 MG TAB 800.000.00 TABLET HANDOKO, TN PENDOWO
VILA CITRAKETAPANG
BLOK Y NO DR. PAD DILANGGA SP.P RSUS
RS0317-029223 29/03/2017 CODEIN 10 MG TAB 1600.000.00 TABLET SUHAIMI.DRS TN 5
JL. RATU DIBALAU NO DR. RIDHUAN IRAWAN RSUS
107 WAY HUI JATI SP.PD
RS0317-029123 29/03/2017 CODEIN 10 MG TAB 900.000.00 TABLET DHARMAWAN AGUNG
JL.DANAU TOBA NO.9 DR. NINA SP.P RSUS
RS0317-029626 29/03/2017 CODIPRONT CAP 1000.000.00 CAPSUL SETIYOKO, TN
HERU SUNGKOWO, TN MARGO REJO 011/006 DR. RIANA HANDAYANI, RSUS
RS0317-029589 29/03/2017 CODIPRONT CUM EXPT CAP 1000.000.00 CAPSUL MURWANTI NY RAJABASA
JL P DAMARLAMA
GG I SP.J
DR. TOKI HIMAWATI RSUS
RL0317-001553 29/03/2017 CODIPRONT CUM EXPT CAP 1000.000.00 CAPSUL DR.NEILAN MADRASAH 8/RSUS DR. NEILAN, SP.S RSUS
RS0317-029432 29/03/2017 CODIPRONT CUM EXPT SYR 100.000.00 FLS HI. ABIL. TN JL. DRS WARSITO GG DR. NINA SP.P RSUS
GUNUNG KRAKATAU
TELUK BETUNG
02 Apr 2017 , 13:49
Page : 53 of 59
RS0317-029053 29/03/2017 CODIPRONT CUM EXPT SYR 100.000.00 FLS WAHID NASIR YAQUB, JL. RAWA SUBUR NO 10 DR. NINA SP.P RSUS
NURHAYATI, AMA. NY ENGGAL
JL. BERLIAN IV BLOK DR. NINA SP.P RSUS
RS0317-029173 29/03/2017 CODIPRONT CUM EXPT SYR 100.000.00 FLS YUSTIANINGSIH NY DIONO
JL 3 SUKABUMI
DR HARUN II NO DR. NINA SP.P RSUS
RS0317-028858 29/03/2017 CODIPRONT CUM EXPT SYR 100.000.00 FLS HENGGAR TEGUH 128 KOTA BARU
JL. KUTILANG V B 12 DR. LUSY DAMAYANTI RSUS
RS0317-028955 29/03/2017 CODIPRONT CUM EXPT SYR 100.000.00 FLS WAHONO,
SUKARSIH TN
NY NO 4 BERINGIN
JL RAYA RAYA
WAY RAREM DR. NINA SP.P RSUS
NO 99 RT 001/001
RS0317-029940 29/03/2017 CODIPRONT CUM EXPT SYR 100.000.00 FLS SARIPAH, NY PEKURUN
JL.UNYAYAN ABUNG DR. SUHARSONO SP.S RSUS
PEKURUN
TANGGAMUS KEC
RL0317-001551 29/03/2017 CODIPRONT CUM EXPT SYR 100.000.00 FLS TN.M.AMAR DR. RIMBO RSUS
RS0317-029017 29/03/2017 CODIPRONT CUM EXPT SYR 100.000.00 FLS ROHANI,TN WONOSOBO
JLN.I.BONJOL DR. NINA SP.P RSUS
GG,MARWAN NO.66
RS0317-028977 29/03/2017 CODIPRONT SYR 100.000.00 FLS HARI WARSO RT/RW
PERUM 007
BLORA INDAH DR. M. IMAM RIFAI RSUS
WASONO, TN BLOK F NO.2 SEGALA
RS0317-029518 29/03/2017 CODIPRONT SYR 100.000.00 FLS RENI SARASWATI, NY MIDER TKP
JL. SOEKARNO HATTA DR. MARINA, SP. PD RSUS
RS0317-029758 29/03/2017 CODIPRONT SYR 100.000.00 FLS DEWI AGUSTINI, NY GG. WARU 4 LR
JL TRIKORA NO. 43 DR. MARINA, SP. PD RSUS
ANTARA NO 2379
RS0317-029417 29/03/2017 DUROGESIC MATRIX 25 MCG/H 100.000.00 PCS TRI PUJI ASTUTI,NY RT/RW 1/1 20IKAN
PT.GGPC/JL. ILIR DR. SUHARSONO SP.S RSUS
PALEMBANG
RS0317-029648 29/03/2017 DUROGESIC MATRIX 25 MCG/H 200.000.00 PCS ZUBAIDAH, NY JL IKAN SEAPT NO 13 DR. HASMI MAHA SP.PD RSUS
RS0317-029409 29/03/2017 FENTANYL 2 ML INJ 100.000.00 AMP YUNIAR, NY LK V RT 01/02
GEDUNG TBS
NYAPAH DR. PUTU JUNITA P., RSUS
001/001, GEDUNG SP.AN
RS0317-028972 29/03/2017 FENTANYL 2 ML INJ 100.000.00 AMP WIDIYANTI, NY NYAPAH, ABUNG LK I
JL ST BLIMBING DR. PUTU JUNITA P., RSUS
TIMUR
005 /- KEL SUSUNAN SP.AN
RS0317-029066 29/03/2017 FENTANYL 2 ML INJ 100.000.00 AMP FARIDA ARYANI,NY BARU KEC TKP
JL.CENGKEH UTARA III DR. PUTU JUNITA P., RSUS
NO.59 RT02 PERUMNAS SP.AN
RS0317-029848 29/03/2017 FENTANYL 2 ML INJ 100.000.00 AMP FITRI YANTI NN WAY HALIM
JL RADEN SALEH GG DR. PUTU JUNITA P., RSUS
WAWAI LK I RT 018 SP.AN
RS0317-029958 29/03/2017 FENTANYL 2 ML INJ 100.000.00 AMP KEMALA IKA PUSPITA TANJUNG SENANG
CANDI MAS NATAR DR. BUDI OKTA P, SP. RSUS
RS0317-029957 29/03/2017 FENTANYL 2 ML INJ 100.000.00 AMP HATI,
HAFNINY
SYAHRAH.NY PASAR AMPING PARAK DR.AN PUTU JUNITA P., RSUS
RS0317-029812 29/03/2017 FENTANYL 2 ML INJ 100.000.00 AMP KRISTINA KEC.SUTERA
JL SP.AN
PJAJARAN NO 12 GG DR. PUTU JUNITA P., RSUS
MAYDRIYANI, NY SARIDELE RT 01 SP.AN
RS0317-029561 29/03/2017 MST CONTINUS 10 MG TAB 100.000.00 TABLET LARDI.TN GUNUNG SULAH NO.19 DR . M.BAYU
JL.MT.HARYONO RSUS
RS.URIP SUMOHARJO Periode : Maret 2017 GOTONG ROYONG SAHADEWA,SP.OT
Dicetak oleh :
02 Apr 2017 , 13:49
Page : 54 of 59
RS0317-029552 29/03/2017 MST CONTINUS 10 MG TAB 600.000.00 TABLET NURHAYATI, NY JL A MUIS PERRUM DR.MONETA MAHA RSUS
BUKIT KENCANA BLOK
RS0317-029711 29/03/2017 MST CONTINUS 10 MG TAB 400.000.00 TABLET PONIMAN, TN K 35 GEDUNG
WAY HUWI RTMENENG
4 RW 1, DR. SYAHAR SP.B RSUS
RAJABASA
JATI AGUNG
RS0317-029605 29/03/2017 PETHIDIN INJ 100.000.00 AMP DHIAN RAMADHAN, AN JL.RADEN FATAH DR. RIDHUAN IRAWAN RSUS
G.H.MUHIDIN NO.11 SP.PD
RS0317-029602 29/03/2017 PETHIDIN INJ 100.000.00 AMP TEGUH WIDODO , TN KALIAWI
JL M NUR II GG DR. RIDHUAN IRAWAN RSUS
RS0317-029604 29/03/2017 PETHIDIN INJ 100.000.00 AMP SRI SEPTI UTAMI, NY LESTARI
TAMBAH SEPANG
REJO 005JAYA
/05 SP.PD
KEDATON
KEL TAMBAH REJO KEC SP.PD
Sub Total 38.000 item : 12100.000.00 GEDONG REJO
30 Maret 2017
RS0317-029999 30/03/2017 CODEIN 10 MG TAB 300.000.00 TABLET SITI MANAYU, NY KETAPANG 02/03 DR. DIANA NUR ASRINI RSUS
RS0317-030191 30/03/2017 CODEIN 10 MG TAB 300.000.00 TABLET SEMAK NY JL LAK MARTADINATA DR. PAD DILANGGA SP.P RSUS
NO 46 LK II RT 020
RS0317-030099 30/03/2017 CODEIN 10 MG TAB 400.000.00 TABLET SARJITO, TN PESAWAHAN
GEDUNG SURIAN DR. PAD DILANGGA SP.P RSUS
RS0317-030121 30/03/2017 CODEIN 10 MG TAB 400.000.00 TABLET BARIYAH, NY JL P. TIRTAYASA NO 38 DR. PAD DILANGGA SP.P RSUS
BERINGGIN LK II RT
RS0317-030087 30/03/2017 CODEIN 10 MG TAB 300.000.00 TABLET M. SALEH ALWI . TN 006 /- KEL CAMPANG7 DR. PAD DILANGGA SP.P RSUS
JLN PEMBANGUNAN
RAYA
N0 55 KEC
LK I SUKABU
005 / - KEL
RS0317-030301 30/03/2017 CODEIN 10 MG TAB 2000.000.00 TABLET LASIJAN, TN WAY DADI
KARANG KECULU
REJO DR. SUHARSONO SP.S RSUS
SUKARAME
BELU TANGGAMUS
RS0317-030824 30/03/2017 CODEIN 10 MG TAB 100.000.00 TABLET SITI MANAYU, NY KETAPANG 02/03 DR. NINA SP.P RSUS
RS0317-030392 30/03/2017 CODEIN 10 MG TAB 1400.000.00 TABLET ERMAINI, NY PENDOWO KETAPANG
JL RAYA GUNUNG SARI DR. RIDHUAN IRAWAN RSUS
KEC MENGGALA SP.PD
RS0317-029967 30/03/2017 CODEIN 10 MG TAB 100.000.00 TABLET SAMSIDIN, TN TULANG BAWANGRT
SINAR BANDUNG DR. DIANA NUR ASRINI RSUS
006 / 002 KELSINAR
RS0317-030299 30/03/2017 CODIPRONT CUM EXPT SYR 100.000.00 FLS HUSEIN RUSLI,TN BANDUNG
PEKON SUKAKECBANJAR
NEGERI DR. NINA SP.P RSUS
KATON
RT 001/001
RS0317-031043 30/03/2017 CODIPRONT CUM EXPT SYR 100.000.00 FLS CEK MAMAT.TN SUKABANJAR
JL.HI.A.SALIM DR. IMRON SP.PD RSUS
KEC,GUNUNG
GG.MANGGA DUA ALIPLK I
RS.URIP SUMOHARJO Periode : Maret 2017 RT 014 KEL.KELAPA Dicetak oleh :

TIGA KEC.TKP YULIANITA
Page : 55 of 59
RS0317-030924 30/03/2017 CODIPRONT CUM EXPT SYR 100.000.00 FLS ANTARIA DWI JL. P. MOROTAI DR. HANGGORO SAPTO RSUS
NUGROHO, TN KOMPLEK GMP BLOK C SP.THT
14, SUKARAME
NUGROHO, TN KOMPLEK GMP BLOK C SP.THT
RS0317-030266 30/03/2017 CODIPRONT CUM EXPT SYR 100.000.00 FLS SOEIN SURI, NY 14, SUKARAME
JL IKAN SEMBILANG DR. M. IMAM RIFAI RSUS
NO 18 SUKARAJA BUMI
RS0317-030363 30/03/2017 CODIPRONT CUM EXPT SYR 100.000.00 FLS M TOHIR, TN WARAS
SUKANEGARA KEMANG DR. NINA SP.P RSUS
TANJUNG BINTANG
RS0317-030599 30/03/2017 CODIPRONT CUM EXPT SYR 100.000.00 FLS BENI WANARSA, TN KAMPUNG JAWA PMK DR. NINA SP.P RSUS
RS0317-030637 30/03/2017 CODIPRONT CUM EXPT SYR 100.000.00 FLS SAGIMAN.TN 06 PESISIR
DUSUN TENGAH
II RT/RW 007 DR. RIDHUAN IRAWAN RSUS
KEL GIRI KARTO KEC SP.PD
RS0317-030419 30/03/2017 CODIPRONT CUM EXPT SYR 100.000.00 FLS BUDIYANTO TN SEKAPUNG
PEKOM SIMPANG DR. NINA SP.P RSUS
KANAN RT 011/002
RS0317-030508 30/03/2017 CODIPRONT CUM EXPT SYR 100.000.00 FLS SRI TURKINI, NY SUMBER REJO
LK II JL RA KARTINI RT DR. NINA SP.P RSUS
RS0317-030337 30/03/2017 CODIPRONT CUM EXPT SYR 100.000.00 FLS PONITI NY 001/002 PRINGSEWU
JL UNTUNG SUROPATI DR. NINA SP.P RSUS
RS0317-031170 30/03/2017 CODIPRONT CUM EXPT SYR 100.000.00 FLS H.M.SARBAKI,TN NO 02 LAB.RATU
SUBAN I RT01/01 DR. NINA SP.P RSUS
RS0317-030249 30/03/2017 CODIPRONT CUM EXPT SYR 100.000.00 FLS SUKARSIH NY MERBAU
JL MATARAM
RAYA WAY RAREM DR. NINA SP.P RSUS
NO 99 RT 001/001
RS0317-030481 30/03/2017 CODIPRONT SYR 100.000.00 FLS MARIDA SARISH, NY PEKURUN
JL BUNGA ABUNG
AKASIA III DR. RIDHUAN IRAWAN RSUS
PEKURUN
BLOK 5E NO 17 RT 03 SP.PD
RS0317-030558 30/03/2017 CODIPRONT SYR 100.000.00 FLS HASNAWATI, NY PERUMNAS WAYBLOK
PERMATA BIRU DR. MARINA, SP. PD RSUS
KANDIS
AA9 NO 6 LK I RT 029
RS0317-031004 30/03/2017 CODIPRONT SYR 100.000.00 FLS ERWIYANTO, TN SUKARAME
JL LENTANA NO,12 DR. IMRON SP.PD RSUS
ENGGAL TANJUNG
RS0317-030562 30/03/2017 CODIPRONT SYR 100.000.00 FLS TN.HI.ALPIAN, TN KARANG
SWADAYA 9 NO.6 DR. RIDHUAN IRAWAN RSUS
GUNUNG TERANG SP.PD
RS0317-030930 30/03/2017 FENTANYL 2 ML INJ 100.000.00 AMP WISNU BAIHAKI, SDR DUSUN 3 TANJUNG DR. PUTU JUNITA P., RSUS
PANDAN 002/003 SP.AN
RS0317-030814 30/03/2017 FENTANYL 2 ML INJ 100.000.00 AMP ELSHIFA RAHMADANI, BANGUN REJO
JLN. SOEKARNO HATTA DR. PUTU JUNITA P., RSUS
AN HANAKAU KEC. SUKAU SP.AN
RS0317-030719 30/03/2017 FENTANYL 2 ML INJ 100.000.00 AMP ANDRIYANI, NY LAMPUNG BARAT GG
JL IMBA KUSUMA DR. PUTU JUNITA P., RSUS
TIRTO NADI 009 SP.AN
RS0317-030111 30/03/2017 FENTANYL 2 ML INJ 100.000.00 AMP E. HARYATI. NY KEMILING PERMAI
TIRTA DAYA 2. SUKA DR. BUDI OKTA P, SP. RSUS
RS0317-030194 30/03/2017 FENTANYL 2 ML INJ 100.000.00 AMP KETUT RIYANI NN PURA. SUMBER
DUSUN JAYART DR.
4 BUMISARI AN PUTU JUNITA P., RSUS
012/004 SANGGA SP.AN
RS.URIP SUMOHARJO Periode : Maret 2017 BUANA WAY SEPUTIH Dicetak oleh :
02 Apr 2017 , 13:49
Page : 56 of 59
RS0317-030741 30/03/2017 FENTANYL 2 ML INJ 100.000.00 AMP RUKIYAH, NY DAYA SAKTI RT/RW DR. PUTU JUNITA P., RSUS
001/003 DAYA SAKTI SP.AN
TUMIJAJAR
RS0317-029991 30/03/2017 FENTANYL 2 ML INJ 100.000.00 AMP AHMAD NAZALI. TN JLN TANGKIL NO O2 RT DR. BUDI OKTA P, SP. RSUS
015 / 004 KEL TEJO AN
RS0317-030107 30/03/2017 FENTANYL 2 ML INJ 100.000.00 AMP SITI AMINAH.NY AGUNG KEC SALIM
JL.HI AGUS METROAL DR. BUDI OKTA P, SP. RSUS
TIMUR
HIDAYAH NO 27 LK I AN
RS0317-029995 30/03/2017 MST CONTINUS 10 MG TAB 200.000.00 TABLET SUROYO,TN KELAPA 3 TKP
JL.DASNAU TOWUTI DR. IMRON SP.PD RSUS
GG.ASRI NO.39LKII
RS0317-030058 30/03/2017 MST CONTINUS 10 MG TAB 200.000.00 TABLET DRA.HJ.SURIMAS RT021 KEDATON
JL CENGKEH UTARA DR. IMRON SP.PD RSUS
RL0317-001677 30/03/2017 MST CONTINUS 10 MG TAB 800.000.00 TABLET SANUSI,NY
ny.Lina NO.75 DR. ADI NUGROHO SP.B RSUS
RS0317-030334 30/03/2017 MST CONTINUS 10 MG TAB 600.000.00 TABLET HERIYADI DWI JL DIPONEGORO BLOK (K)O
PURWANTO, TN A NO 5 PRUMNAS
RS0317-030976 30/03/2017 PETHIDIN INJ 100.000.00 AMP HAYATI, NY GRIYA INDAH
JL RADEN INTAN GG DR. RIDHUAN IRAWAN RSUS
SINGGAH MATA I NO 1 SP.PD
Sub Total 39.000 item : 10100.000.00 RT 02/04 KOTA ALAM
31 Maret 2017
RS0317-031917 31/03/2017 CODEIN 10 MG TAB 1000.000.00 TABLET SURNETI, NY KEBON TEBU DR. RIANA HANDAYANI, RSUS
RS0317-031601 31/03/2017 CODEIN 10 MG TAB 1400.000.00 TABLET RIKY EFFENDY,SDR JL. KESUMA BANGSA SP.J
SUKARAME SP.PD
RS0317-032097 31/03/2017 CODEIN 10 MG TAB 1000.000.00 TABLET CLAUDIA SERA NOOR, JL. SELAT MALAKA 2 DR. RIDHUAN IRAWAN RSUS
SITI MANAYU, NY NO. 27 PANJANG
KETAPANG 02/03 SP.PD
003 RW 004
RS0317-031392 31/03/2017 CODEIN 10 MG TAB 400.000.00 TABLET AMIR SANUSI, TN KEC,NEGERI AGUNG
PEKKON MULANG JAYA DR. PAD DILANGGA SP.P RSUS
RS0317-032170 31/03/2017 CODEIN 10 MG TAB 1400.000.00 TABLET JESI ZAFITA PUTRI, NN KOTA
PERUMAGUNG
GREENTIMUR DR. IMRON SP.PD RSUS
TARAHAN KM 16 KEC
RL0317-001743 31/03/2017 CODEIN 10 MG TAB 1100.000.00 TABLET TN.DEDI JULIANSAH KATIBUNG TARAHAN DR. NINA SP.P RSUS
RS0317-032253 31/03/2017 CODEIN 10 MG TAB 1400.000.00 TABLET PURNAWIRAWAN, TN JL YUDISTIRA NO 18 DR. IMRON SP.PD RSUS
RS0317-032369 31/03/2017 CODEIN 10 MG TAB 200.000.00 TABLET UMIYATI, NY RT 008 SAWAH LAMA
JL.IMAM BONJOL AIR DR. PAD DILANGGA SP.P RSUS
PATOH BATURAJA
RS0317-031766 31/03/2017 CODIPRONT CAP 600.000.00 CAPSUL ENDIK SRI TIMUR 'OGAN
JL AKASIA V NO 12 BTN DR. HASMI MAHA SP.PD RSUS
WIDJANARTI NY KOMERING
III WAY DADIULU
02 Apr 2017 , 13:49
Page : 57 of 59
RS0317-031346 31/03/2017 CODIPRONT CAP 100.000.00 CAPSUL MAT SOLEH, TN JL.KRAKATAU 1 NO 189 DR. RAHMI ULFA RSUS
RS0317-031743 31/03/2017 CODIPRONT CUM EXPT SYR 100.000.00 FLS HI. ABIL. TN PERUMNAS
JL. WAY HALIM
DRS WARSITO GG DR. NINA SP.P RSUS
GUNUNG KRAKATAU
TELUK BETUNG
GUNUNG KRAKATAU
RS0317-032204 31/03/2017 CODIPRONT CUM EXPT SYR 100.000.00 FLS CHANDRA PRATIRI.NN TELUK
DUSUNBETUNG
IV KEL BRAJA DR. NINA SP.P RSUS
YENTI KEC BRAJA
RL0317-001742 31/03/2017 CODIPRONT CUM EXPT SYR 100.000.00 FLS NY.SRI SUYATMI SELEBAH DR. NINA SP.P RSUS
RS0317-032069 31/03/2017 CODIPRONT CUM EXPT SYR 100.000.00 FLS JONI MD, TN JL.BUNGA LILI RAYA DR. NINA SP.P RSUS
RS0317-032107 31/03/2017 CODIPRONT CUM EXPT SYR 100.000.00 FLS SONAR SIDAURUK. TN B71 NO.14
PERUM LK I WAY
KORPRI D 8 NO DR. NINA SP.P RSUS
RS0317-032042 31/03/2017 CODIPRONT CUM EXPT SYR 100.000.00 FLS SUPARTI.NY KANDIS
12. SUKARAME
JL.P BUTON DR. NINA SP.P RSUS
RS0317-032060 31/03/2017 CODIPRONT CUM EXPT SYR 100.000.00 FLS TUKIRAN. TN GG.SEPAKAT 2
JL. RATU DIBALAU GG. DR. SUHARSONO SP.S RSUS
RS0317-032128 31/03/2017 CODIPRONT CUM EXPT SYR 100.000.00 FLS WINDA NUGRAINI.NY JAGABAYA
CAMPANG 2
DAMAI. TJ.GISTING
SENENG DR. RIDHUAN IRAWAN RSUS
RS0317-032103 31/03/2017 CODIPRONT CUM EXPT SYR 100.000.00 FLS BUDI YANTO.TN JL.YOS SUDARSO SP.PD
DR. HANGGORO SAPTO RSUS
GG,HJ SITI FATIMAH SP.THT
RS0317-032429 31/03/2017 CODIPRONT CUM EXPT SYR 100.000.00 FLS M.EDGAR ADNUFA NO,13
JALAN LK I RT ALAM
PAGAR 01 WAY DR. MURDOYO R., SP. A RSUS
WARDAHANA, AN LUNIK
NO. 48 KEC.TELUK
RL0317-001769 31/03/2017 CODIPRONT CUM EXPT SYR 100.000.00 FLS ny.Hartati DR. NINA SP.P RSUS
BETU
RS0317-031496 31/03/2017 CODIPRONT CUM EXPT SYR 100.000.00 FLS AGUS CAHYONO, TN JLN WOLOGITO BARAT DR. NINA SP.P RSUS
V / 397 RT 001 / 0055
RS0317-032073 31/03/2017 CODIPRONT SYR 100.000.00 FLS SRI NANI NY KEL KEMBANGARUM
SUKANEGARA TANJUNG DR. RIDHUAN IRAWAN RSUS
KEC SEMARANG BARAT
BINTANG SP.PD
RS0317-031421 31/03/2017 CODIPRONT SYR 100.000.00 FLS SUNARYO, TN JL. AMIR HAMZAH NO.3 DR. MELDA DASEPTA RSUS
RS0317-032233 31/03/2017 CODIPRONT SYR 100.000.00 FLS BENI WANARSA, TN LK I GOTONG
KAMPUNG JAWAROYONG
PMK DR. PUTRI DWI KARTINI RSUS
RS0317-031630 31/03/2017 CODIPRONT SYR 100.000.00 FLS MARYANA 06 PESISIR
JALAN PULAUTENGAH
BATAM DR. RIDHUAN IRAWAN RSUS
BULHASAN,NY RAYA NO.5 WAY HALIM SP.PD
RS0317-032308 31/03/2017 CODIPRONT SYR 100.000.00 FLS MUGIONO, TN PERMAI
DUSUN 5 022/005 REJO DR. TEDDY RSUS
RS0317-032275 31/03/2017 CODIPRONT SYR 100.000.00 FLS HERIYADI DWI ASRI
JL SEPUTIH RAMAN
DIPONEGORO WAHYUDIANTO
BLOK DR. MARINA, SP. PD RSUS
PURWANTO, TN A NO 5 PRUMNAS
RS0317-032459 31/03/2017 CODIPRONT SYR 100.000.00 FLS TUTIK HARYATI, NY GRIYA INDAH NO 60 DR. IMRON SP.PD
JL, D , TOWUTI RSUS
LK I RT 007 /- KEL
RS0317-032379 31/03/2017 DUROGESIC MATRIX 12.5 100.000.00 PCS HERIYADI DWI SURABAYA KEC BLOK DR. ERWANDI
JL DIPONEGORO RSUS
MCG/H PURWANTO, TN KEDATON
A NO 5 PRUMNAS
RS.URIP SUMOHARJO Periode : Maret 2017 GRIYA INDAH Dicetak oleh :
02 Apr 2017 , 13:49
Page : 58 of 59
RS0317-032227 31/03/2017 DUROGESIC MATRIX 12.5 200.000.00 PCS SITI SUPRIHATIN, NY DESA SILIWANGI RT DR. DINO RINALDY, RSUS
MCG/H 03/02 SIKOHARJO SP.OG, ONK
RS0317-031598 31/03/2017 DUROGESIC MATRIX 25 MCG/H 100.000.00 PCS SUNI MARIYA,NY PREGSEWU
JL.SEMINU NO.16 KOTA DR. SUHARSONO SP.S RSUS
METRO
RS0317-031792 31/03/2017 FENTANYL 2 ML INJ 100.000.00 AMP RONY LESMANA, SDR PERUM HARAPAN JAYA DR. DENDY MAULANA, RSUS
2 BLOK E MARGA SP.AN
MULYA BEKASI UTARA
2 BLOK E MARGA SP.AN
RS0317-031325 31/03/2017 FENTANYL 2 ML INJ 100.000.00 AMP SUYANTI, NY MULYA BEKASI
WONO REJO UTARA DR. PUTU JUNITA P.,
2 003/007 RSUS
PESAWARAN INDAH SP.AN
RS0317-032345 31/03/2017 FENTANYL 2 ML INJ 100.000.00 AMP M.FAUZAN.AN PADANG CERMIN
JL.MAWAR TIMUR RT DR. PUTU JUNITA P., RSUS
RS0317-032347 31/03/2017 FENTANYL 2 ML INJ 100.000.00 AMP 032/06
ANDRI SISWANTO, TN DSN ADIMETRO
LUHURPUSAT DR.
SP.AN
PUTU JUNITA P., RSUS
002/001 BANDAR SP.AN
RS0317-032230 31/03/2017 FENTANYL 2 ML INJ 100.000.00 AMP TANTOWI, TN SAKTI TERUSAN
JL , AHMAD AKUAN NO DR. PUTU JUNITA P., RSUS
NUNYAI
71 RT 001 / 001 KL SP.AN
RS0317-032254 31/03/2017 FENTANYL 2 ML INJ 100.000.00 AMP MAHESA RONALD SUKABUMI KEC KOTA
KARIMUN JAWA DR. PUTU JUNITA P., RSUS
PUTRA PRIYANTO, AN BUMI
PERUMDAM 3 KEL SP.AN
RS0317-031826 31/03/2017 FENTANYL 2 ML INJ 100.000.00 AMP TOPAN, TN SUKARAME
JL SERAMAN GUNUNG DR. PUTU JUNITA P., RSUS
RS0317-031545 31/03/2017 FENTANYL 2 ML INJ 100.000.00 AMP YUNITA PATRICIA, NY RT 009 BLAMBANGAN
JL UNTUNG SUROPATI SP.AN
RS0317-031571 31/03/2017 MST CONTINUS 10 MG TAB 200.000.00 TABLET DRA.HJ.SURIMAS UMPU
GGCENGKEH
JL WAY PIOSUTARA
NO 25 AN
RS0317-032132 31/03/2017 MST CONTINUS 10 MG TAB 500.000.00 TABLET SANUSI,NY
MARIAM, NY NO.75
JL, RIYAKUDU NO 41 DR. SYAHAR SP.B RSUS
RT 02 LK 2 WAY DADI
RS0317-032306 31/03/2017 MST CONTINUS 10 MG TAB 1200.000.00 TABLET NURHAYATI, NY SUKARAME
JL A MUIS PERRUM DR. MARINA, SP. PD RSUS
BUKIT KENCANA BLOK
RS0317-032380 31/03/2017 MST CONTINUS 10 MG TAB 100.000.00 TABLET ISKANI, TN K 35 01
DSN GEDUNG
RT 001MENENG DR. IMRON SP.PD RSUS
RAJABASA
TANJUNG HARAPAN
RS0317-032259 31/03/2017 MST CONTINUS 10 MG TAB 300.000.00 TABLET SITI AMINAH.NY SEPUTIH
DUSUNII BANYAK
RT/RW 001 DR. CAHYA DWI RSUS
RS0317-032327 31/03/2017 MST CONTINUS 10 MG TAB 400.000.00 TABLET SAMSIR, TN KEL SRI DADI
JL.PULAU NIASKEC
GG LESTARI
KALIREJO
PUBIAN UJUNG NO.99
RS0317-031965 31/03/2017 MST CONTINUS 10 MG TAB 800.000.00 TABLET MUTAKIN,AMA.TN SUKABUMI
BAYUWANGI 007 / 002DR. SUHARSONO SP.S RSUS
KEL BANYUWANGI KEC
RS0317-032172 31/03/2017 MST CONTINUS 10 MG TAB 500.000.00 TABLET SYAMSUL BAHRI.TN BANYUMAS
TALANG PADANG DR. SYAHAR SP.B RSUS
RS0317-031921 31/03/2017 MST CONTINUS 10 MG TAB 300.000.00 TABLET RAMBAT PURNOMO , TANGGAMUS
LK V YUKUM JAYA DR. IKRIZAL,SP.BU RSUS
RS.URIP SUMOHARJO Periode : Maret 2017 TN TERBANGGI BESAR Dicetak oleh :
02 Apr 2017 , 13:49
Page : 59 of 59
RL0317-001743 31/03/2017 MST CONTINUS 10 MG TAB 2000.000.00 TABLET TN.DEDI JULIANSAH DR. NINA SP.P RSUS
Sub Total 52.000 item : 19200.000.00
Total NARKOTIK : 1120 : 442600.000.00
Total Seluruh 1120.000 item : 442600.000.00
Diperiks Diketahui
a, ,
Keterangan
Keterangan
Keterangan
Keterangan
Keterangan
Keterangan
Keterangan
Keterangan
Keterangan
Keterangan
Keterangan
Keterangan
Keterangan
Keterangan
Keterangan
Keterangan
Keterangan
Keterangan
Keterangan
Keterangan
Keterangan
Keterangan
Keterangan
Keterangan
Keterangan
Keterangan
Keterangan
Keterangan
Keterangan
Keterangan
Keterangan
No No.Resep Tgl.Penyerahan Nama Obat Qty Sat Nama Pasien
1 RS0317-000432 01/03/2017 PETHIDIN INJ 1 AMP MASHAPRI TN
2 RS0317-005503 06/03/2017 PETHIDIN INJ 1 AMP MIF SULAIMAN. TN
3 RS0317-005505 06/03/2017 PETHIDIN INJ 1 AMP CAK ZULIYANTI,NY
4 RS0317-005340 06/03/2017 PETHIDIN INJ 1 AMP RISKA AYU TRISWADANI, NN
5 RS0317-005500 06/03/2017 PETHIDIN INJ 1 AMP HI.AL MUSANIP, TN
6 RS0317-005305 06/03/2017 PETHIDIN INJ 1 AMP RISTIANA, NY
7 RS0317-007777 08/03/2017 PETHIDIN INJ 1 AMP SATEM, NY
8 RS0317-007707 08/03/2017 PETHIDIN INJ 1 AMP ELLYNA.NY
9 RS0317-008142 09/03/2017 PETHIDIN INJ 1 AMP INDARSI, TN
10 RS0317-008786 09/03/2017 PETHIDIN INJ 1 AMP SORAYA SOPHA, NN
11 RS0317-008785 09/03/2017 PETHIDIN INJ 1 AMP CAHYA NINGRUM ,NY
12 RS0317-011142 11/03/2017 PETHIDIN INJ 1 AMP M. NURIYAWAN. TN
13 RS0317-010981 11/03/2017 PETHIDIN INJ 1 AMP ALKOK JOHAMAIN.TN
14 RS0317-010989 11/03/2017 PETHIDIN INJ 1 AMP WELLING ANTONIUS, TN
15 RS0317-013992 14/03/2017 PETHIDIN INJ 1 AMP PAN SIPEN, TN
16 RS0317-016097 16/03/2017 PETHIDIN INJ 1 AMP PAIMIN, TN
17 RS0317-016218 16/03/2017 PETHIDIN INJ 1 AMP ROSYIDAH, NY
18 RS0317-015435 16/03/2017 PETHIDIN INJ 1 AMP ANASTASIA NURTYASIH, NY
19 RS0317-017196 17/03/2017 PETHIDIN INJ 1 AMP M YUSUF, TN
20 RS0317-016494 17/03/2017 PETHIDIN INJ 1 AMP KETUT SUSILAWATI , NY
21 RS0317-017201 17/03/2017 PETHIDIN INJ 1 AMP RUSLI ISMAIL, TN
22 RS0317-018698 19/03/2017 PETHIDIN INJ 1 AMP SUYATININGSIH, NY
23 RS0317-018707 19/03/2017 PETHIDIN INJ 1 AMP RIDHA MUDJI P, NY
24 RS0317-021106 21/03/2017 PETHIDIN INJ 1 AMP TUSIRIN, TN
25 RS0317-021173 21/03/2017 PETHIDIN INJ 1 AMP SALMAH, NY
26 RS0317-022171 22/03/2017 PETHIDIN INJ 1 AMP ENTIN QURAISIN ,NY
27 RS0317-022170 22/03/2017 PETHIDIN INJ 1 AMP NURHAENI,NY
28 RS0317-021854 22/03/2017 PETHIDIN INJ 1 AMP CHYNTIA DESRIA P.S, NY
29 RS0317-023089 23/03/2017 PETHIDIN INJ 1 AMP DEDEK USMAN .TN
30 RS0317-023186 23/03/2017 PETHIDIN INJ 1 AMP PUJIYATI, NY
31 RS0317-024679 25/03/2017 PETHIDIN INJ 1 AMP WIJO SUTARNO, TN
32 RS0317-024680 25/03/2017 PETHIDIN INJ 1 AMP SYARIFUDIN.TN
33 RS0317-024858 25/03/2017 PETHIDIN INJ 1 AMP BASTIAR, AN
34 RS0317-025686 26/03/2017 PETHIDIN INJ 1 AMP ZAINI IBRAHIM ,TN
35 RS0317-029605 29/03/2017 PETHIDIN INJ 1 AMP DHIAN RAMADHAN, AN
36 RS0317-029602 29/03/2017 PETHIDIN INJ 1 AMP TEGUH WIDODO , TN
37 RS0317-029604 29/03/2017 PETHIDIN INJ 1 AMP SRI SEPTI UTAMI, NY
38 RS0317-030976 30/03/2017 PETHIDIN INJ 1 AMP HAYATI, NY
Alamat Nama Dokter Alamat Keterangan
JL PULAU BATAM RAYA NO 12 LK I RT 001 WAY DR. PUTU JUNITA P., SP.AN RSUS
HALIM PERMAI
JL MINAK JUNG TERBAYA 005/003 KOTA AGUNG DR. RIDHUAN IRAWAN SP.PD RSUS
PERUMAHAN PINANG JAYA BLOK 4B NO 4 KEC DR. RIDHUAN IRAWAN SP.PD RSUS
KEMILING
AMBARAWA I PRINGSEWU DR. PUTU JUNITA P., SP.AN RSUS
GEDUNG NEGARA HULU SUNGKAI DR. RIDHUAN IRAWAN SP.PD RSUS
DESA NEGERI BARU KEC. BLAMBANGAN UMPU DR. PUTU JUNITA P., SP.AN RSUS
GEDUNG HARAPAN 002/001 PENAWAR AJI DR. PUTU JUNITA P., SP.AN RSUS
JL.P. BURU MORO SENENG DR. RIDHUAN IRAWAN SP.PD RSUS
WAY SIDO TULANG BAWANG BARAT DR. BUDI OKTA P, SP. AN RSUS
JL.EMBUN BLOM E 13 NO.3 LK I 029 BERINGIN DR. RIDHUAN IRAWAN SP.PD RSUS
RAYA KEMILING
PURWODADI SIMPANG DSN RATU 003 / 001 KEL DR. RIDHUAN IRAWAN SP.PD RSUS
PURWODADI
JL RIDWAN RAIS GG WARU NO 28 LK II 010/- DR. DENDY MAULANA, SP.AN RSUS
TANJUNG
JL.SULTANRAYA
HAKIKEDAMAIAN
GG PERINTIS II NO 22 KEDATON DR. RIDHUAN IRAWAN SP.PD RSUS
JL. BASUKI RAHMAT NO. 41 GEDUNG PAKUON TBS DR. RIDHUAN IRAWAN SP.PD RSUS
desa bangun rejo ketapang DR. PUTU JUNITA P., SP.AN RSUS
DOROWATI, 004/ 001 DESA PENAGAN RATU KEC DR. RIDHUAN IRAWAN SP.PD RSUS
ABUNG TIMURUTARA RT 006/003 LK II
PRINGSEWU DR.BINTANG, SP.B (K) ONK RSUS
JL.RADEN INTAN SUKAMENANTI PASAR LIWA DR. BUDI OKTA P, SP. AN RSUS
BALIK BUKITLAMPUNG UTARA
OGAN LIMA DR. RIDHUAN IRAWAN SP.PD RSUS
DESA KARANG AGUNG BALI SADAR TENGAH DR. PUTU JUNITA P., SP.AN RSUS
BANJIT
DUSUN I NATAR II DR. RIDHUAN IRAWAN SP.PD RSUS
DESA SIDODADI JATI BARU RT 04/07 TANJUNG DR. PUTU JUNITA P., SP.AN RSUS
BINTANG
JL PRAMUKA KMP LP NO 12 LK I TRT 21 RAJA DR. PUTU JUNITA P., SP.AN RSUS
BASA
desa surabaya padang ratu rt 88/03 padan ratu DR. RIDHUAN IRAWAN SP.PD RSUS
JL. SUNGKAI NO 19 001/003, KETAPANG, SUNGKAI DR. PUTU JUNITA P., SP.AN RSUS
SELATAN
JL S HAJI GG MJI ARIDHO NO 26 K DATON DR. RIDHUAN IRAWAN SP.PD RSUS
JL.SALOKA PANUTAN IV RT01/04 KEC PAGELARAN DR. RIDHUAN IRAWAN SP.PD RSUS
PRINGSEWU
JL RAJABASA III BLOK C NO 13 RT 013 PERUMNAS DR. PUTU JUNITA P., SP.AN RSUS
W.HLM
BADAN PURWA DESA BANDAH HURIF KEC PALAS DR. PUTU JUNITA P., SP.AN RSUS
WONOKRIYO WONODADI GADING REJO DR. RIDHUAN IRAWAN SP.PD RSUS
PRINGSEWU
SUKADANA BARU RT006/002 SUKADANA BARU DR. PUTU JUNITA P., SP.AN RSUS
DUSUN II RT/RW 002 KEL SALABUNG BELIMBING DR. PUTU JUNITA P., SP.AN RSUS
JAYA
DESA MARGASARI RT 042/21 DSUN XI LABUHAN DR. PUTU JUNITA P., SP.AN RSUS
MARINGGAI
pekon badak -/- kel badak kec limau DR. PUTU JUNITA P., SP.AN RSUS
JL.RADEN FATAH G.H.MUHIDIN NO.11 KALIAWI DR. RIDHUAN IRAWAN SP.PD RSUS
JL M NUR II GG LESTARI SEPANG JAYA KEDATON DR. RIDHUAN IRAWAN SP.PD RSUS
TAMBAH REJO 005 /05 KEL TAMBAH REJO KEC DR. RIDHUAN IRAWAN SP.PD RSUS
GEDONG
JL RADENREJO
INTAN GG SINGGAH MATA I NO 1 RT DR. RIDHUAN IRAWAN SP.PD RSUS
02/04 KOTA ALAM
1 RS0317-000748 01/03/2017 CODEIN 10 MG 6 TABLET MAT SAMSO.TN
2 RS0317-000746 01/03/2017 TAB
CODEIN 10 MG 6 TABLET IQBA LULHAQ.TN
3 RS0317-000251 01/03/2017 TAB
CODEIN 10 MG 10 TABLET MARGIO,TN
4 RS0317-000739 01/03/2017 TAB
CODEIN 10 MG 4 TABLET SUNARDI, TN
5 RS0317-000017 01/03/2017 TAB
CODEIN 10 MG 3 TABLET ARJO SLAMET, TN
6 RS0317-000021 01/03/2017 TAB
CODEIN 10 MG 3 TABLET SURONO, TN
7 RS0317-000257 01/03/2017 TAB
CODEIN 10 MG 10 TABLET H.HAZAIRIN, TN
8 RS0317-000351 01/03/2017 TAB
CODEIN 10 MG 14 TABLET SANSUWIRYO TN
9 RS0317-000754 01/03/2017 TAB
CODEIN 10 MG 6 TABLET NASRUDI, TN
10 RS0317-000756 01/03/2017 TAB
CODEIN 10 MG 4 TABLET SRIYONO, SDR
11 RS0317-000862 01/03/2017 TAB
CODEIN 10 MG 10 TABLET AYUNDA DERFITA ZAHRA, AN
12 RS0317-000906 01/03/2017 TAB
CODEIN 10 MG 4 TABLET MENSUPARTI.NY
13 RS0317-000141 01/03/2017 TAB
CODEIN 10 MG 10 TABLET RITA PUSPITA , NY
14 RS0317-001496 02/03/2017 TAB
CODEIN 10 MG 1 TABLET DARSONO, TN
15 RS0317-001779 02/03/2017 TAB
CODEIN 10 MG 10 TABLET MOHAMMAD MUHDIR, TN
16 RS0317-001768 02/03/2017 TAB
CODEIN 10 MG 8 TABLET SULASTRI, NY
17 RS0317-001820 02/03/2017 TAB
CODEIN 10 MG 9 TABLET H, BAHRUDIN, TN
18 RS0317-001747 02/03/2017 TAB
CODEIN 10 MG 6 TABLET CUK SUGIANTO, TN
19 RS0317-000954 02/03/2017 TAB
20 RS0317-001508 02/03/2017 TAB
CODEIN 10 MG 15 TABLET JOHANSYAH.TN
21 RS0317-001510 02/03/2017 TAB
CODEIN 10 MG 15 TABLET SUPIAH, NY
22 RS0317-001394 02/03/2017 TAB
CODEIN 10 MG 6 TABLET DANNY YOVITA MAHARANI,NN
23 RS0317-001764 02/03/2017 TAB
CODEIN 10 MG 9 TABLET RIKO RIYAN RAMADHAN.SDR
24 RS0317-001637 02/03/2017 TAB
CODEIN 10 MG 15 TABLET DARSONO, TN
25 RS0317-001255 02/03/2017 TAB
CODEIN 10 MG 20 TABLET TUSIMIN, SDR
26 RS0317-001588 02/03/2017 TAB
CODEIN 10 MG 10 TABLET ISKANDAR TN
27 RS0317-001527 02/03/2017 TAB
CODEIN 10 MG 20 TABLET DESI MARYANI,NY
28 RS0317-002086 03/03/2017 TAB
CODEIN 10 MG 3 TABLET SUPARNO, TN
29 RS0317-002304 03/03/2017 TAB
CODEIN 10 MG 6 TABLET FATMAWATI, NY
30 RS0317-002465 03/03/2017 TAB
CODEIN 10 MG 10 TABLET TASWIN, TN
31 RS0317-002759 03/03/2017 TAB
CODEIN 10 MG 5 TABLET HJ. AISYAH. NY
32 RS0317-002837 03/03/2017 TAB
CODEIN 10 MG 15 TABLET BUNGA, TN
33 RS0317-002719 03/03/2017 TAB
CODEIN 10 MG 10 TABLET DEDI JULIANSYAH,TN
34 RS0317-002739 03/03/2017 TAB
CODEIN 10 MG 5 TABLET CIK IMAH, NY
35 RS0317-002846 03/03/2017 TAB
CODEIN 10 MG 12 TABLET M.ZAKI, SDR
36 RS0317-002338 03/03/2017 TAB
CODEIN 10 MG 15 TABLET SAYYIDAH SEKAR, NN
37 RL0317-000142 03/03/2017 TAB
CODEIN 10 MG 51 TABLET TN.HAIDAR
38 RL0317-000143 03/03/2017 TAB
CODEIN 10 MG 10 TABLET TN.DEDI
39 RS0317-001998 03/03/2017 TAB
CODEIN 10 MG 4 TABLET MARIO, TN
40 RS0317-002709 03/03/2017 TAB
CODEIN 10 MG 9 TABLET HAIDAR ATIK, TN
41 RS0317-003702 04/03/2017 TAB
CODEIN 10 MG 20 TABLET MURWANTIO TN
42 RS0317-003219 04/03/2017 TAB
CODEIN 10 MG 14 TABLET PARLAUNGAN RITONGA, TN
43 RS0317-003046 04/03/2017 TAB
CODEIN 10 MG 4 TABLET SRIYONO, SDR
44 RS0317-003040 04/03/2017 TAB
CODEIN 10 MG 3 TABLET PN. SUR, TN
45 RS0317-003718 04/03/2017 TAB
CODEIN 10 MG 5 TABLET RUSTAM EFFENDI, TN
46 RL0317-000194 04/03/2017 TAB
CODEIN 10 MG 10 TABLET NY RITA
47 RS0317-003717 04/03/2017 TAB
CODEIN 10 MG 12 TABLET AHMAD FEBI JAYA, TN
48 RS0317-004502 05/03/2017 TAB
CODEIN 10 MG 3 TABLET TUKINO, TN
49 RS0317-004667 05/03/2017 TAB
50 RS0317-004045 05/03/2017 TAB
CODEIN 10 MG 45 TABLET JUMINTO ,TN
51 RS0317-004617 05/03/2017 TAB
CODEIN 10 MG 4 TABLET MARIO, TN
TAB
52 RS0317-005465 06/03/2017 CODEIN 10 MG 10 TABLET SYAIROEL SYAH H SUBING.SH,TN
53 RS0317-005063 06/03/2017 TAB
CODEIN 10 MG 14 TABLET HENDRIYANI. NN
54 RS0317-005660 06/03/2017 TAB
CODEIN 10 MG 6 TABLET NURANI, NY
55 RS0317-005817 06/03/2017 TAB
CODEIN 10 MG 20 TABLET SRI NUGRA HENI NY
56 RS0317-004694 06/03/2017 TAB
CODEIN 10 MG 3 TABLET ALI CHAIDIR.TN
57 RS0317-004943 06/03/2017 TAB
CODEIN 10 MG 10 TABLET ARI SETIA BUDI TN
58 RS0317-005611 06/03/2017 TAB
CODEIN 10 MG 6 TABLET ANTARIA DWI NUGROHO, TN
59 RS0317-005556 06/03/2017 TAB
CODEIN 10 MG 20 TABLET TEDDY,TN
60 RS0317-005521 06/03/2017 TAB
CODEIN 10 MG 9 TABLET NIHARIAH, NY
61 RS0317-006580 07/03/2017 TAB
CODEIN 10 MG 1 TABLET PAISAL LUDIN TN
62 RS0317-006805 07/03/2017 TAB
CODEIN 10 MG 6 TABLET NINDYA PUTRI AGNES, NN
63 RS0317-005950 07/03/2017 TAB
CODEIN 10 MG 6 TABLET MISTU, TN
64 RS0317-006492 07/03/2017 TAB
65 RS0317-006283 07/03/2017 TAB
CODEIN 10 MG 9 TABLET WAWAN HERMAWAN, TN
66 RS0317-006746 07/03/2017 TAB
CODEIN 10 MG 10 TABLET PONIDI, TN
67 RS0317-006428 07/03/2017 TAB
CODEIN 10 MG 14 TABLET ENIWATI, NY
68 RS0317-006798 07/03/2017 TAB
CODEIN 10 MG 6 TABLET SULYAH.NY
69 RS0317-006811 07/03/2017 TAB
CODEIN 10 MG 5 TABLET CUK SUGIANTO, TN
70 RS0317-006224 07/03/2017 TAB
CODEIN 10 MG 10 TABLET ARI SETIA BUDI TN
71 RS0317-006247 07/03/2017 TAB
CODEIN 10 MG 9 TABLET MULYADI, TN
72 RS0317-007624 08/03/2017 TAB
CODEIN 10 MG 10 TABLET NENG ANIS,NY
73 RS0317-007155 08/03/2017 TAB
74 RS0317-007150 08/03/2017 TAB
75 RS0317-007430 08/03/2017 TAB
CODEIN 10 MG 10 TABLET NURAINAH,NY
76 RS0317-007902 08/03/2017 TAB
CODEIN 10 MG 9 TABLET FARAH HUTAMI NY
77 RS0317-007914 08/03/2017 TAB
CODEIN 10 MG 6 TABLET MASDA.NY
78 RS0317-007895 08/03/2017 TAB
CODEIN 10 MG 6 TABLET FERANISA,NN
79 RS0317-007960 09/03/2017 TAB
80 RL0317-000463 09/03/2017 TAB
CODEIN 10 MG 30 TABLET DR.ASRIZAL
81 RS0317-008884 09/03/2017 TAB
CODEIN 10 MG 6 TABLET SITI ALAM HUTAURUK, NY
82 RS0317-008653 09/03/2017 TAB
CODEIN 10 MG 10 TABLET AQSHA RAMADHANISA, NY
83 RS0317-008455 09/03/2017 TAB
84 RL0317-000538 10/03/2017 TAB
CODEIN 10 MG 6 TABLET ARIF
85 RS0317-009819 10/03/2017 TAB
CODEIN 10 MG 20 TABLET REBO, TN
86 RS0317-009698 10/03/2017 TAB
87 RS0317-009725 10/03/2017 TAB
CODEIN 10 MG 10 TABLET ANISA TRI MALINDA, NN
88 RS0317-009310 10/03/2017 TAB
CODEIN 10 MG 10 TABLET NENG ANIS,NY
89 RS0317-009688 10/03/2017 TAB
CODEIN 10 MG 6 TABLET OKTI KHAIRISSA.NY
90 RS0317-009976 10/03/2017 TAB
CODEIN 10 MG 10 TABLET ANGGI YULIANA, NN
91 RS0317-010504 11/03/2017 TAB
CODEIN 10 MG 45 TABLET JUMINTO ,TN
92 RS0317-010734 11/03/2017 TAB
CODEIN 10 MG 15 TABLET UNTUNG SUMARDI, TN
93 RS0317-011039 11/03/2017 TAB
CODEIN 10 MG 14 TABLET MOHAMMAD SHOLEH.SDR
94 RS0317-010528 11/03/2017 TAB
95 RS0317-011036 11/03/2017 TAB
CODEIN 10 MG 14 TABLET LINDA TRISNAWATI, NY
96 RS0317-010273 11/03/2017 TAB
CODEIN 10 MG 10 TABLET DR. NORA ISMI AFRIANI, NY
97 RS0317-011175 12/03/2017 TAB
98 RS0317-011588 12/03/2017 TAB
CODEIN 10 MG 6 TABLET PADILANGGA.DR
99 RS0317-011460 12/03/2017 TAB
CODEIN 10 MG 9 TABLET OKTI KHAIRISSA.NY
100 RS0317-013145 13/03/2017 TAB
CODEIN 10 MG 10 TABLET R.MUSMAN.KS ,TN
101 RS0317-012795 13/03/2017 TAB
CODEIN 10 MG 10 TABLET MULYADI, TN
102 RS0317-012465 13/03/2017 TAB
CODEIN 10 MG 9 TABLET ALDI PRASTIYO.SDR
103 RS0317-012238 13/03/2017 TAB
CODEIN 10 MG 6 TABLET NURCAYA, NY
TAB
104 RS0317-014036 14/03/2017 CODEIN 10 MG 4 TABLET ARJO SLAMET, TN
105 RS0317-014049 14/03/2017 TAB
CODEIN 10 MG 6 TABLET SUPONO,TN
106 RS0317-013224 14/03/2017 TAB
107 RS0317-014040 14/03/2017 TAB
CODEIN 10 MG 8 TABLET BANGUN LUWAT SEPTIADI, TN
108 RS0317-014054 14/03/2017 TAB
CODEIN 10 MG 5 TABLET BOBY HERYANTO, TN
109 RS0317-014061 14/03/2017 TAB
CODEIN 10 MG 6 TABLET YUDI ERLANGGA, SDR
110 RS0317-013559 14/03/2017 TAB
CODEIN 10 MG 30 TABLET HERWANSYAH, TN
111 RS0317-014046 14/03/2017 TAB
CODEIN 10 MG 6 TABLET I WANDRA, TN
112 RS0317-015315 15/03/2017 TAB
CODEIN 10 MG 3 TABLET DARINUN.NY
113 RS0317-014543 15/03/2017 TAB
114 RS0317-014695 15/03/2017 TAB
115 RS0317-014864 15/03/2017 TAB
CODEIN 10 MG 9 TABLET BRIAN MUHAMMAD.SDR
116 RS0317-015303 15/03/2017 TAB
CODEIN 10 MG 10 TABLET APRIANA, NN
117 RS0317-014837 15/03/2017 TAB
CODEIN 10 MG 20 TABLET DR. NORA ISMI AFRIANI, NY
118 RS0317-014338 15/03/2017 TAB
CODEIN 10 MG 4 TABLET BENI WANARSA, TN
119 RS0317-015234 15/03/2017 TAB
CODEIN 10 MG 8 TABLET SULASMI, NY
120 RS0317-015208 15/03/2017 TAB
CODEIN 10 MG 5 TABLET HI.A.MANSYUR TN
121 RS0317-015426 16/03/2017 TAB
CODEIN 10 MG 4 TABLET MARTINAWATI, NY
122 RS0317-015449 16/03/2017 TAB
123 RS0317-015638 16/03/2017 TAB
CODEIN 10 MG 15 TABLET Y.BUDI SANTOSO, TN
124 RS0317-015819 16/03/2017 TAB
CODEIN 10 MG 10 TABLET NADEA SEPTI YOULANDA.NN
125 RS0317-015798 16/03/2017 TAB
CODEIN 10 MG 20 TABLET UMI HANI, NY
126 RL0317-000819 16/03/2017 TAB
CODEIN 10 MG 20 TABLET Dr.Asrizal
127 RS0317-016184 16/03/2017 TAB
CODEIN 10 MG 10 TABLET POLINA.NY
128 RS0317-017122 17/03/2017 TAB
129 RS0317-017186 17/03/2017 TAB
CODEIN 10 MG 5 TABLET ERDIANAWATI, NY
130 RS0317-016788 17/03/2017 TAB
CODEIN 10 MG 10 TABLET NADEA SEPTI YOULANDA.NN
131 RS0317-017182 17/03/2017 TAB
CODEIN 10 MG 10 TABLET TARA OKTAVIA DAMANIK, NN
132 RS0317-016841 17/03/2017 TAB
133 RS0317-016923 17/03/2017 TAB
CODEIN 10 MG 6 TABLET RANGGA MELINDA, NY
134 RS0317-017110 17/03/2017 TAB
135 RS0317-017189 17/03/2017 TAB
CODEIN 10 MG 14 TABLET SUHIB,NY
136 RS0317-017260 17/03/2017 TAB
CODEIN 10 MG 6 TABLET H BAHRI MURTADO TN
137 RS0317-016503 17/03/2017 TAB
CODEIN 10 MG 3 TABLET RIKA CAHAYA, NY
138 RS0317-017265 17/03/2017 TAB
CODEIN 10 MG 14 TABLET JARIMAN , TN
139 RS0317-017674 18/03/2017 TAB
CODEIN 10 MG 10 TABLET ROAINI, NY
140 RS0317-018461 18/03/2017 TAB
141 RS0317-017692 18/03/2017 TAB
CODEIN 10 MG 6 TABLET WAJIMAN,TN
142 RS0317-017615 18/03/2017 TAB
143 RS0317-017884 18/03/2017 TAB
CODEIN 10 MG 9 TABLET RASINI NY
144 RS0317-017762 18/03/2017 TAB
CODEIN 10 MG 10 TABLET NURHASIDAH.NY
145 RS0317-017797 18/03/2017 TAB
CODEIN 10 MG 3 TABLET DARINUN.NY
146 RS0317-017826 18/03/2017 TAB
CODEIN 10 MG 6 TABLET RIO SANDRYA PUTRA KARIM , TN
147 RS0317-018747 19/03/2017 TAB
CODEIN 10 MG 6 TABLET HANIZAR A,TN
148 RS0317-019281 20/03/2017 TAB
CODEIN 10 MG 3 TABLET SARBINI TN
149 RS0317-019691 20/03/2017 TAB
150 RS0317-019412 20/03/2017 TAB
151 RS0317-019290 20/03/2017 TAB
CODEIN 10 MG 3 TABLET ASDINA, NY
152 RS0317-020306 20/03/2017 TAB
CODEIN 10 MG 9 TABLET TARA OKTAVIA DAMANIK, NN
153 RS0317-019927 20/03/2017 TAB
CODEIN 10 MG 10 TABLET BAINAH , NY
154 RS0317-019685 20/03/2017 TAB
CODEIN 10 MG 30 TABLET DAPARI TUA NAIBAHO,TN
155 RS0317-020522 21/03/2017 TAB
CODEIN 10 MG 3 TABLET INDAWATI, NY
TAB
156 RL0317-001095 21/03/2017 CODEIN 10 MG 10 TABLET FITA
157 RS0317-021182 21/03/2017 TAB
CODEIN 10 MG 5 TABLET DESEM NUGROHO , TN
158 RS0317-021064 21/03/2017 TAB
159 RS0317-020369 21/03/2017 TAB
CODEIN 10 MG 10 TABLET H. ORYANI NY
160 RS0317-021193 21/03/2017 TAB
CODEIN 10 MG 5 TABLET I WANDRA, TN
161 RS0317-021004 21/03/2017 TAB
CODEIN 10 MG 20 TABLET DRS.H. SOEPRAPTO SH.MM
162 RS0317-021557 22/03/2017 TAB
CODEIN 10 MG 9 TABLET ASDINA, NY
163 RS0317-021840 22/03/2017 TAB
CODEIN 10 MG 30 TABLET CHANDRA NOVANGKA, TN
164 RS0317-022240 22/03/2017 TAB
CODEIN 10 MG 6 TABLET NN, REFA NOVARIA
165 RS0317-021524 22/03/2017 TAB
166 RS0317-022319 23/03/2017 TAB
167 RS0317-023451 23/03/2017 TAB
CODEIN 10 MG 5 TABLET NURQOMALA AFRIANTINA, NY
168 RS0317-023432 23/03/2017 TAB
CODEIN 10 MG 10 TABLET FIRDUS NY
169 RS0317-023672 23/03/2017 TAB
CODEIN 10 MG 10 TABLET DADAN ISKANDAR, TN
170 RS0317-022938 23/03/2017 TAB
CODEIN 10 MG 10 TABLET DASIMAH.A.S,NY
171 RS0317-022581 23/03/2017 TAB
CODEIN 10 MG 9 TABLET HI.ABDUL RONY TOYIB,TN
172 RS0317-022998 23/03/2017 TAB
CODEIN 10 MG 20 TABLET DIAN AGUNG, SDR
173 RS0317-023535 23/03/2017 TAB
CODEIN 10 MG 10 TABLET SHELA AULIA SARI, NN
174 RS0317-022578 23/03/2017 TAB
CODEIN 10 MG 4 TABLET LENI MARLINA , NY
175 RS0317-022967 23/03/2017 TAB
CODEIN 10 MG 15 TABLET HASMAH.NY
176 RS0317-024363 24/03/2017 TAB
CODEIN 10 MG 10 TABLET ASBAH, NY
177 RS0317-023813 24/03/2017 TAB
CODEIN 10 MG 9 TABLET SITI MANAYU, NY
178 RS0317-023901 24/03/2017 TAB
CODEIN 10 MG 30 TABLET CHADIJAH, NY
179 RL0317-001348 24/03/2017 TAB
CODEIN 10 MG 4 TABLET ny.Megawarni
180 RS0317-023778 24/03/2017 TAB
181 RS0317-023948 24/03/2017 TAB
CODEIN 10 MG 5 TABLET SELVI RIYANI, AN
182 RS0317-024422 24/03/2017 TAB
CODEIN 10 MG 10 TABLET MEGAWARNI, NY
183 RS0317-023660 24/03/2017 TAB
184 RS0317-023971 24/03/2017 TAB
CODEIN 10 MG 20 TABLET DRS.H. SOEPRAPTO SH.MM
185 RL0317-001300 24/03/2017 TAB
CODEIN 10 MG 10 TABLET m. yusuf
186 RS0317-025377 25/03/2017 TAB
CODEIN 10 MG 14 TABLET SUMINAH, NY
187 RS0317-025484 25/03/2017 TAB
CODEIN 10 MG 14 TABLET ARIF BASTIAN RASYID, TN
188 RS0317-025489 25/03/2017 TAB
CODEIN 10 MG 12 TABLET SOFYAN SH., TN
189 RS0317-024721 25/03/2017 TAB
190 RS0317-025397 25/03/2017 TAB
CODEIN 10 MG 10 TABLET AMRAN , TN
191 RS0317-025429 25/03/2017 TAB
CODEIN 10 MG 27 TABLET SUBADI, TN
192 RS0317-025442 25/03/2017 TAB
CODEIN 10 MG 10 TABLET KANIA DEWI ABDULLAH,NY
193 RS0317-024942 25/03/2017 TAB
CODEIN 10 MG 10 TABLET NURMAINI, NY
194 RS0317-025379 25/03/2017 TAB
CODEIN 10 MG 5 TABLET GALIH WATI, NY
195 RS0317-025315 25/03/2017 TAB
CODEIN 10 MG 14 TABLET SHELA AULIA SARI, NN
196 RS0317-025486 25/03/2017 TAB
CODEIN 10 MG 14 TABLET JONI SAMPURNO.TN
197 RS0317-025734 26/03/2017 TAB
198 RS0317-025968 26/03/2017 TAB
199 RS0317-026460 26/03/2017 TAB
CODEIN 10 MG 4 TABLET ANDRYANTO, TN
200 RS0317-026387 26/03/2017 TAB
CODEIN 10 MG 10 TABLET HERLY RACHMAD RINALDO, SDR
201 RL0317-001416 26/03/2017 TAB
CODEIN 10 MG 20 TABLET TN.SUGIARTO
202 RL0317-001437 26/03/2017 TAB
CODEIN 10 MG 6 TABLET NY.JAMIATUN
203 RS0317-026139 26/03/2017 TAB
CODEIN 10 MG 10 TABLET DADAN ISKANDAR, TN
204 RS0317-026287 26/03/2017 TAB
CODEIN 10 MG 10 TABLET HERLY RACHMAD RINALDO, SDR
205 RS0317-027301 27/03/2017 TAB
206 RS0317-026928 27/03/2017 TAB
CODEIN 10 MG 45 TABLET CHANDRA NOVANGKA, TN
207 RS0317-027435 27/03/2017 TAB
CODEIN 10 MG 10 TABLET DR SUHARSONO SP.S , TN
TAB
208 RL0317-001456 27/03/2017 CODEIN 10 MG 20 TABLET DR. ASRIZAL
209 RS0317-026784 27/03/2017 TAB
210 RS0317-027032 27/03/2017 TAB
CODEIN 10 MG 10 TABLET RUSMIN, TN
211 RS0317-027179 27/03/2017 TAB
CODEIN 10 MG 15 TABLET SASTRA WINATA TN
212 RS0317-027475 27/03/2017 TAB
CODEIN 10 MG 6 TABLET RUMSYAH,NY
213 RS0317-026600 27/03/2017 TAB
214 RS0317-026663 27/03/2017 TAB
215 RS0317-026732 27/03/2017 TAB
216 RS0317-026814 27/03/2017 TAB
CODEIN 10 MG 9 TABLET SAYUTI BB, TN
217 RS0317-027186 27/03/2017 TAB
CODEIN 10 MG 15 TABLET HARSONO, TN
218 RS0317-028702 28/03/2017 TAB
219 RS0317-027885 28/03/2017 TAB
CODEIN 10 MG 9 TABLET CLAUDIA SERA NOOR, NN
220 RS0317-028530 28/03/2017 TAB
CODEIN 10 MG 6 TABLET AMIR SANUSI, TN
221 RS0317-028458 28/03/2017 TAB
CODEIN 10 MG 5 TABLET UMIYATI, NY
222 RS0317-027841 28/03/2017 TAB
CODEIN 10 MG 3 TABLET SEMAK NY
223 RS0317-027886 28/03/2017 TAB
224 RS0317-027920 28/03/2017 TAB
CODEIN 10 MG 3 TABLET ROSIDI, TN
225 RS0317-029662 29/03/2017 TAB
CODEIN 10 MG 5 TABLET MARWOTO TN
226 RS0317-029724 29/03/2017 TAB
CODEIN 10 MG 5 TABLET FIRDUS NY
227 RS0317-029696 29/03/2017 TAB
CODEIN 10 MG 3 TABLET NURQOMALA AFRIANTINA, NY
228 RS0317-029732 29/03/2017 TAB
CODEIN 10 MG 5 TABLET SUDI, NY
229 RS0317-029318 29/03/2017 TAB
230 RS0317-029700 29/03/2017 TAB
CODEIN 10 MG 8 TABLET HANDOKO, TN
231 RS0317-029223 29/03/2017 TAB
CODEIN 10 MG 16 TABLET SUHAIMI.DRS TN
232 RS0317-029123 29/03/2017 TAB
CODEIN 10 MG 9 TABLET DHARMAWAN SETIYOKO, TN
233 RS0317-029999 30/03/2017 TAB
234 RS0317-030191 30/03/2017 TAB
CODEIN 10 MG 3 TABLET SEMAK NY
235 RS0317-030099 30/03/2017 TAB
CODEIN 10 MG 4 TABLET SARJITO, TN
236 RS0317-030121 30/03/2017 TAB
CODEIN 10 MG 4 TABLET BARIYAH, NY
237 RS0317-030087 30/03/2017 TAB
CODEIN 10 MG 3 TABLET M. SALEH ALWI . TN
238 RS0317-030301 30/03/2017 TAB
CODEIN 10 MG 20 TABLET LASIJAN, TN
239 RS0317-030824 30/03/2017 TAB
240 RS0317-030097 30/03/2017 TAB
241 RS0317-030392 30/03/2017 TAB
CODEIN 10 MG 14 TABLET ERMAINI, NY
242 RS0317-029967 30/03/2017 TAB
CODEIN 10 MG 1 TABLET SAMSIDIN, TN
243 RS0317-031917 31/03/2017 TAB
CODEIN 10 MG 10 TABLET SURNETI, NY
244 RS0317-031601 31/03/2017 TAB
CODEIN 10 MG 14 TABLET RIKY EFFENDY,SDR
245 RS0317-032097 31/03/2017 TAB
CODEIN 10 MG 10 TABLET CLAUDIA SERA NOOR, NN
246 RS0317-031166 31/03/2017 TAB
247 RS0317-032058 31/03/2017 TAB
248 RS0317-031392 31/03/2017 TAB
249 RS0317-032170 31/03/2017 TAB
CODEIN 10 MG 14 TABLET JESI ZAFITA PUTRI, NN
250 RL0317-001743 31/03/2017 TAB
CODEIN 10 MG 11 TABLET TN.DEDI JULIANSAH
251 RS0317-032253 31/03/2017 TAB
CODEIN 10 MG 14 TABLET PURNAWIRAWAN, TN
252 RS0317-032369 31/03/2017 TAB
CODEIN 10 MG 2 TABLET UMIYATI, NY
TAB
DESA MARGOREJO RT 02/01 JATI AGUNG DR. PAD DILANGGA SP.P RSUS
JL.WR SUPRATMAN GG.RD DANIAL NO.1 LK I RT 03 DR. PAD DILANGGA SP.P RSUS
GUNUNG MAS
P.DAMAR TBU I NO.57 RT02/01 WAYDADI
GG.DELIMA DR. RIDHUAN IRAWAN SP.PD RSUS
SUKARAME
DESA SELORETNO RT 03/03 BANJAR SARI DR. SUHARSONO SP.S RSUS
DSN PURWOSARI 005/001 KETAPANG LAMPUNG SELATAN DR. PAD DILANGGA SP.P RSUS
JL. KAVLING RAYA NO. 17 RAJA BASA RAYA DR. PAD DILANGGA SP.P RSUS
LIWA DR. RIDHUAN IRAWAN SP.PD RSUS
SUMBER AGUNG RT 001/004 SRAGI DR. RIDHUAN IRAWAN SP.PD RSUS
JL. IR. SUTAMI JATI RAHAYU SUKABUMI CAMPANG JAYA DR. PAD DILANGGA SP.P RSUS
DUSUN X DESA SIDOHARJO WAY PANJI DR. PAD DILANGGA SP.P RSUS
JL. S.HAJI GG.CEMARA I DR. RIDHUAN IRAWAN SP.PD RSUS
LABUHAN DALAM TANJUNG SENANG DR. PAD DILANGGA SP.P RSUS
JAYA TINGGI RT 001/001 KEC.KASUI DR. RIDHUAN IRAWAN SP.PD RSUS
DSUN MUJI MULYO MUARA PUTIH RT 021/11 DR. TANIA RSUS
JL.RA KARTINI NO,725 PRINGSEWU SELATAN DR. RIANA HANDAYANI, SP.J RSUS
JL.KESUMA RATU SUMBER REJO KEMILING DR. PAD DILANGGA SP.P RSUS
DESA PURWODADI GISTING DR. PAD DILANGGA SP.P RSUS
SINDANG SARI RT 003/001 KEC TANJUNG BINTANG DR. PAD DILANGGA SP.P RSUS
ASPOL POLRES WAY KANAN KEL NEGERI BARU KEC DR.KHAIRANI, SP.THT RSUS
BLAMBANGAN UMPU
TUGU SARI II RT 001 / 002 KEC SUMBER JAYA DR. RIANA HANDAYANI, SP.J RSUS
JL.PROV SUMANTRI BOJONEGORO KOST ALLISA HOME DR. DIANA NUR ASRINI RSUS
SIDODADI JATI KEC TANJUNG BINTANG DR. PAD DILANGGA SP.P RSUS
DSUN MUJI MULYO MUARA PUTIH RT 021/11 DR.KHAIRANI, SP.THT RSUS
DSN V SUMBER REJO RT 19 RW 08 KESUMADADI BEKRI DR. NINA SP.P RSUS
DESA PASURUAN KEC. PENENGAHAN KALIANDA DR. RIDHUAN IRAWAN SP.PD RSUS
BERNAI RT/RW 02 KEL 004 KEL KOTA AGUNG DR. RIDHUAN IRAWAN SP.PD RSUS
DESA BUKIT RAYA MARGA SEKAMPUNG DR. PAD DILANGGA SP.P RSUS
DUSUN I MARGA AGUNG JATI AGUNG KEC. MARGA DR. HASMI MAHA SP.PD RSUS
AGUNG
JLN. SENTOT ALIBASYA GG. PEMBANGUNAN H NO 127 DR. RIDHUAN IRAWAN SP.PD RSUS
007/- WAY DADI SUKARAME
KOTABUMI DR. IMRON SP.PD RSUS
JL SATRIA DSN PATI DESA SIDODADI KEC SIDOMULYO DR. IMRON SP.PD RSUS
GEDUNG HARAPAN RT 003 RW 004 KEC,NEGERI AGUNG DR. NINA SP.P RSUS
DESA GDUNG MENENG RAJA BASA DR. IMRON SP.PD RSUS
DESA SIDOHARJO KEC PRINGSEWU DR. IMRON SP.PD RSUS
CAMPUR ASRI BARADATU DR. RIDHUAN IRAWAN SP.PD RSUS
DR. NINA SP.P RSUS
DR. NINA SP.P RSUS
LK IV BANDAR JAYA TIMUR DR. PAD DILANGGA SP.P RSUS
JL RAYA KALIBENING 001/001 ABUNG SELATAN DR. NINA SP.P RSUS
PT.GPM DR. IMRON SP.PD RSUS
JLN DARULSALAM GG DAHLIA II 007 /- KEL LANGKA PURA DR. RIDHUAN IRAWAN SP.PD RSUS
KEC
DUSUNKEMILING
X DESA ' SIDOHARJO WAY PANJI DR. PAD DILANGGA SP.P RSUS
DESA PENIANGAN MARGA SE3KAMPUNG RT 01/04 DR. PAD DILANGGA SP.P RSUS
JL.IKAN KACANGAN NO.5 LK I SUKARAJA TELUK BETUNG DR. IMRON SP.PD RSUS
SELATAN DR. NINA SP.P RSUS
JL H AGUS SALIM NO.103 / ADMEDIKA DR. IMRON SP.PD RSUS
PERUM RAGOM GAWI BLOK. D NO. 16 KEMILING DR. PAD DILANGGA SP.P RSUS
MOJOKERTO RT/RW 015/014 PADANG RATU DR. ARIETYA KUSUMA.P,SP.THT RSUS
LK IV BANDAR JAYA TIMUR DR. PAD DILANGGA SP.P RSUS
PERUMDAM BLOK G NO16 LKIII RT003 SUKABUMI DR. RIANA HANDAYANI, SP.J RSUS
PERUM BUKIT EMAS PERMAI. BLOK.NO.5. SUKA BUMI DR. RIDHUAN IRAWAN SP.PD RSUS
JL. KELAPA SAWIT 6 NO 176 DR. DIANA NUR ASRINI RSUS
KOMPLEK CENDANA INDAH JL. P. BNGKA BLOK B 13 DR. RIDHUAN IRAWAN SP.PD RSUS
DUSUN TAMAN BARU KEL WATES WAY RATAI KEC DR. PAD DILANGGA SP.P RSUS
PADANG CRMIN BLOK A2 NO 20 LK II KORPRI RAYA
PERUM KORPRI DR. RIDHUAN IRAWAN SP.PD RSUS
JL. P. MOROTAI KOMPLEK GMP BLOK C 14, SUKARAME DR. DIANA NUR ASRINI RSUS
JL.BUKIT IV LKII RT05 KOTA BARU TKT DR. NINA SP.P RSUS
JL. P. BUTON GG SEPAKAT SUKABUMI DR. NINA SP.P RSUS
JL R.RAIS GG M.YUSA LK I RT 004 SUKABUMI DR. ELIANA RSUS
JL. GATOTO SUBROTO KOMP PU DR. PAD DILANGGA SP.P RSUS
JL KIMAJA GG CEMPAKA LK 3RT 7 DR. PAD DILANGGA SP.P RSUS
JL GATOT SUBROTO GG HI PAYAKUN LK 2 017 DR. NINA SP.P RSUS
GARUNTANG
SUMBER SARI BANGUN NEGARA DR. PAD DILANGGA SP.P RSUS
JL. RATU DIBALAU GG CEMPAKA TANJUNG SENENG DR. RIDHUAN IRAWAN SP.PD RSUS
PERUM BUKIT KENCANA BLOK H 1 DR. PAD DILANGGA SP.P RSUS
SINDANG SARI RT 003/001 KEC TANJUNG BINTANG DR. PAD DILANGGA SP.P RSUS
PERUM KORPRI BLOK A2 NO 20 LK II KORPRI RAYA DR. RIDHUAN IRAWAN SP.PD RSUS
KAWAT NGANKANG RT/RW 001/004 PARDASUKA DR. NINA SP.P RSUS
KATIBUNG
JL. BIMA GG. LUWES NO. 23-4 LK II RT 001 SAWAH DR. RIDHUAN IRAWAN SP.PD RSUS
BREBES TANJUNG
DUSUN TAMAN KARANG
BARU TIMURWAY RATAI KEC
KEL WATES DR. PAD DILANGGA SP.P RSUS
PADANG CRMIN
DESA PURWODADI GISTING DR. ERWANDI RSUS
PERUMDAM II RT01/02 KEL SUKABUMI DR. RIDHUAN IRAWAN SP.PD RSUS
VILLA CITRA BLOK.S NO.8 D DR. PAD DILANGGA SP.P RSUS
PERUM JPS BLOK R NO 5 EJO AGUNG DR. PAD DILANGGA SP.P RSUS
JL.KELAPA SAWIT 2 NO.6 PERUMNAS WAY HALIM DR. PAD DILANGGA SP.P RSUS
DESA PURWODADI GISTING DR. ERWANDI RSUS
JL S. TIRTAYASA GG AL HIKMAH RT006 SUKA BUMI DR. PAD DILANGGA SP.P RSUS
JL LEMBAH ASRI I BLOK N 141 KOMP NATA ENDAH DR. RIDHUAN IRAWAN SP.PD RSUS
CIHANJUANG
PERUM RAGOM GAWI BLOK. D NO. 16 KEMILING DR. HASMI MAHA SP.PD RSUS
PNK VI SIDOMAKMUR BAHU DR. NINA SP.P RSUS
GARUNTANG
BANDAR JAYA TIMUR TERBANGGI BESA DR. RIANA HANDAYANI, SP.J RSUS
JL. BIMA GG. LUWES NO. 23-4 LK II RT 001 SAWAH DR. RIDHUAN IRAWAN SP.PD RSUS
BREBES TANJUNG
PARDA SUKA KARANG TIMUR
KATIBUNG DR. NINA SP.P RSUS
DESA PARDASUKA DR. IMRON SP.PD RSUS
MOJOKERTO RT/RW 015/014 PADANG RATU DR. ARIETYA KUSUMA.P,SP.THT RSUS
JL.SEJAHTERA GG MAKMUR NO.41 KEL KEMILING DR. ASRIZAL SPJ RSUS
DSN CENDRAWASIH RT 002/001 KEL.SEMULI JAYA DR. IMRON SP.PD RSUS
KEC.ABUNG
JL SEMULI GG HI PAYAKUN LK 2 017
GATOT SUBROTO DR. NINA SP.P RSUS
GARUNTANG
JL RADEN GUNAWAN PERUM PONDOK KEMALA BLOK B DR. IMRON SP.PD RSUS
HAJI MENA NATAR
JL NUGROHO DESA SIDOREJO SIDOMULYO DR. RIDHUAN IRAWAN SP.PD RSUS
PERUM RAGOM GAWI BLOK. D NO. 16 KEMILING DR. HASMI MAHA SP.PD RSUS
URIP SUMOHARJO/DR.RSUS DR. PAD DILANGGA SP.P RSUS
PARDA SUKA KATIBUNG DR. NINA SP.P RSUS
JLN.LANDAK NO53 LKI RT008 KEDATON DR. IMRON SP.PD RSUS
KAWAT NGANKANG RT/RW 001/004 PARDASUKA DR. NINA SP.P RSUS
KATIBUNG
DUSUN IV SIDOSARI JATI AGUNG DR. NINA SP.P RSUS
JL. SRIKRESNA BAYUR LK II RAJABASA JAYA DR. HASMI MAHA SP.PD RSUS
DSN PURWOSARI 005/001 KETAPANG LAMPUNG SELATAN DR. PAD DILANGGA SP.P RSUS
JL.PAJAJARAN GG KANCIL II NO 51 DR. PAD DILANGGA SP.P RSUS
WAY HALIM PERAMI SUAKRAME RT 04 JL P TABUAN LK I DR. PAD DILANGGA SP.P RSUS
NO 5 PALM HILL BLOK E 23
PERUM DR. PAD DILANGGA SP.P RSUS
JL. KACA PIRING I BLOK.A NO.24 DR. PAD DILANGGA SP.P RSUS
JLN APEL I GG RAMBUTAN NO 12 LK I 002 KEC SUKARAME DR. NINA SP.P RSUS
JL BADAK GG SWAKARYA I NO 22 KEDATON DR. PAD DILANGGA SP.P RSUS
JL.WARTAWAN GG.H.AHMAD NO.26 GUNUNG SULAH WAY DR. PAD DILANGGA SP.P RSUS
HALIM
DUSUN IV SIDOSARI JATI AGUNG DR. NINA SP.P RSUS
JL. MATAHARI NO.3 LK.I HARAPAN JAYA SUKARAME DR. HASMI MAHA SP.PD RSUS
JL. DIPONEGORO NO.44 024/009 METRO PUSAT DR. PAD DILANGGA SP.P RSUS
JL NUGROHO DESA SIDOREJO SIDOMULYO DR. RIDHUAN IRAWAN SP.PD RSUS
KAMPUNG JAWA PMK 06 PESISIR TENGAH DR. PAD DILANGGA SP.P RSUS
MARGO REJO RT 003 HARGO REJO RAWA JITU DR. PAD DILANGGA SP.P RSUS
JL TAMAN WISATA WAY RAREM NO 70 RT 001/001 DR. PAD DILANGGA SP.P RSUS
PEKURUN
JL.ARIF RAHMAN HAKIM NO.9 SUKARAME DR. PAD DILANGGA SP.P RSUS
PADANG CRMINH NO 15/29 LK I RT 004 BERINGIN RAYA
JL SAWI BLOK DR. ASRIZAL SPJ RSUS
JL.U.SUMOHARJO GG.SUNGAI 7 NO.36 RT 004 GUNUNG DR. RIDHUAN IRAWAN SP.PD RSUS
SULAH
JL AHMAD YANI CEMPAKA PUTIH 2 RT009 BANDAR JAYA DR. RIDHUAN IRAWAN SP.PD RSUS
JL.SOEKARNO HATTA PERINTIS GG.PEPAYA 29 KB RT 01 DR. RIDHUAN IRAWAN SP.PD RSUS
KAMPUNG
DUSUN IV BARU KEDATON
SIDOSARI JATI AGUNG DR. NINA SP.P RSUS
GADING REJO 001/004 GADNG REJO DR. IMRON SP.PD RSUS
JL.U.SUMOHARJO GG.SUNGAI 7 NO.36 RT 004 GUNUNG DR. RIDHUAN IRAWAN SP.PD RSUS
SULAH
JL. KAMBOJA I NO.1 ENGGAL DR. IMRON SP.PD RSUS
JL. SUKARDI HAMDANI PALAPA V DR. HASMI MAHA SP.PD RSUS
GARUNTANG
JL.P SABESI LKII RT06 SUKARAME DR. IMRON SP.PD RSUS
JL HI A SALIM GG PEMUDA NO 37 DR. IMRON SP.PD RSUS
DSN SUKADAMAI -/- SUKAMAJU KEC ULU BELU DR. PAD DILANGGA SP.P RSUS
BANDAR JAYA DESA ONO HARJO DR. IMRON SP.PD RSUS
JL R E MARTADINATA NO 10 TBT KETEGUHAN DR. RIDHUAN IRAWAN SP.PD RSUS
PADANG DI
JL.RATU CRMIN
BALAU GG.CEMPAKA 8 LKII RT06 TANJUNG DR. HASMI MAHA SP.PD RSUS
SENANG
BRANTI RT 005/005 BRANTI RAYA NATAR DR. ASRIZAL SPJ RSUS
JL.H.AGUS SALIM GG.MANGGA DUA GG.HI.HUSIN NO.2 DR. ASRIZAL SPJ RSUS
KEL.KELAPA 3 TKP
JL.WARTAWAN GG.H.AHMAD NO.26 GUNUNG SULAH WAY DR. HASMI MAHA SP.PD RSUS
HALIM
JLN SATIRTASAYA GG MASJID NO 29 / RT 003 / 0001 KEL DR. DIANA NUR ASRINI RSUS
SUKABUMI KEC SUKABUMI
JL.GRIYA MAKMUR M.8 WAYHALIM PERMAI DR. HASMI MAHA SP.PD RSUS
NUNYAI DALAM LK 2 RT 015 RAJABASA DR. PAD DILANGGA SP.P RSUS
JL.ARIF RAHMAN HAKIM NO.9 SUKARAME DR. PAD DILANGGA SP.P RSUS
TANGKAS RT 001/001 KEC KASUI DR. PAD DILANGGA SP.P RSUS
JL. KAMBOJA I NO.1 ENGGAL DR. IMRON SP.PD RSUS
JL.MALABAR BLOK N NO 17 PERUMNAS WAY HALIM DR. RIDHUAN IRAWAN SP.PD RSUS
PULUNG KENCANA KEL PULUNG KENCANA KEC TULANG DR. ARIETYA KUSUMA.P,SP.THT RSUS
BAWANG
JL CENGKEH TENGAH NO 1 U/19 LK 11 RT 04 PERUMNAS DR. PAD DILANGGA SP.P RSUS
W HALIM
JL. PRAMUKA GG KARYA NO. 90 RAJABASA DR. PAD DILANGGA SP.P RSUS
DUSUN KEJADIAN 002/- KURUNGAN NYAWA GEDONG DR. RIDHUAN IRAWAN SP.PD RSUS
TATAAN
JL BADAK GG SWAKARYA I NO 22 KEDATON DR. PAD DILANGGA SP.P RSUS
BANDAR JAYA / RSUS PEMEGANG SAHAM TIDAK ADA DOKTER RSUS
TANGKAS RT 001/001 KEC KASUI DR. PAD DILANGGA SP.P RSUS
PERUMAHAN TANJUNG RAYA PERMAI D20 TANJUNG DR. ARIETYA KUSUMA.P,SP.THT RSUS
SENENG
P BANKA INDAH SUKABUMI DR. PAD DILANGGA SP.P RSUS
JL.ARIF RAHMAN HAKIM NO.9 SUKARAME DR.MONETA MAHA RSUS
JL. LAKSAMARTADINATA NO 46 LK II PESAWAHAB DR. PAD DILANGGA SP.P RSUS
JL. SUKARDI HAMDANI PALAP V NO. 33 LAB. RATU DR. RIDHUAN IRAWAN SP.PD RSUS
JL.KH.GHOLIB RT04 KEL PRINGSEWU BARAT DR. ASRIZAL SPJ RSUS
JL PULAU SARI I NO. 123 PERUMNAS WAY KANDIS DR. PAD DILANGGA SP.P RSUS
BANGUN JAYA 15 TANJUNG RAYA MESUJI DR. RIDHUAN IRAWAN SP.PD RSUS
LINGKUNGAN V TULUNG MILI KOTABUMI ILIR DR. RIDHUAN IRAWAN SP.PD RSUS
DUSUN 1 SRI PENDOWO KETAPANG DR. PAD DILANGGA SP.P RSUS
JL.MBC NO.019 LK.MENGGALA RT/RW,001/001,MENGGALA DR. ASRIZAL SPJ RSUS
KOTA
NYAPAH BANYU 005 . 003 KEL NYAPAH BANYU KEC DR. IMRON SP.PD RSUS
ABUNG
KETAPANGPEKURUN
02/03 DR. NINA SP.P RSUS
JL. SISINGAMANGARAJA GG PEMANCAR 3 NO. 47 GEDONG DR. RIDHUAN IRAWAN SP.PD RSUS
AIR DR. IMRON SP.PD RSUS
DSN JATI REJO RT 003/008 TANJUNG BINTANG DR. SUHARSONO SP.S RSUS
BAMBANG LEMONG KAB. LAMPUNG BARAT DR. IMRON SP.PD RSUS
BANDAR JAYA / RSUS PEMEGANG SAHAM - RSUS
DR. RIDHUAN IRAWAN SP.PD RSUS
JATI HARJO 001/001 ABUNG GUMANTI TEGINENNG DR. IMRON SP.PD RSUS
DSN WATES BUMI RATU NUBAT DR. IMRON SP.PD RSUS
JL SUKARNO HATTA GG BUMI TELIYU NO.33A KEDATON DR. IMRON SP.PD RSUS
DSN MAGAN 001 / 001 HURUN KEL TELUK PANDAN DR. IMRON SP.PD RSUS
DSN SIDOHARJO II NEGARA RATU NATAR DR. ARIETYA KUSUMA.P,SP.THT RSUS
JL. DAHLIA 3 NO 1766 NATAR DR. IMRON SP.PD RSUS
JL. P SENOPATI LK 1 KORPRI JAYA SUKARAME DR. RIDHUAN IRAWAN SP.PD RSUS
PER.PERMATA BIRU BLOK B5 NO 5 DR. IMRON SP.PD RSUS
LINGKUNGAN V TULUNG MILI KOTABUMI ILIR DR. RIDHUAN IRAWAN SP.PD RSUS
DUSUN CITAJAYA RT/RW. 03/05 BANGUNAN PALAS DR. IMRON SP.PD RSUS
JL.AGUS SALIM PERUM CITRA PERSADA BLOKI LKII DR. PAD DILANGGA SP.P RSUS
KALIAWI
JLCEMPAKATKPGG WAYKA JAYA TANJUNG SENANG DR. IMRON SP.PD RSUS
JL. SUKARDI HAMDANI PALAP V NO. 33 LAB. RATU DR. RIDHUAN IRAWAN SP.PD RSUS
JLCEMPAKA GG WAYKA JAYA TANJUNG SENANG DR. IMRON SP.PD RSUS
PERUMAHAN TANJUNG RAYA PERMAI D20 TANJUNG DR. ARIETYA KUSUMA.P,SP.THT RSUS
SENENG
RSUS DR. SUHARSONO SP.S RSUS
DSUN IV SIDODADI ASRI RT 02/ 01 JATI AGUNG DR. SUHARSONO SP.S RSUS
JL SADAR GG UTAMA I NO 51 HARAPAN JAYA SUKARAME DR. RIANA HANDAYANI, SP.J RSUS
JL.ARJUNA RT01/03 REJOSARI KOTABUMI DR. DIANA NUR ASRINI RSUS
KAMPUNG MENGGALA JL II MBC TULANG BAWANG DR. ASRIZAL SPJ RSUS
JL P BANGKA NO 10 SUKABUMI DR. RIANA HANDAYANI, SP.J RSUS
JL. SELAT MALAKA 2 NO. 27 PANJANG DR. RIDHUAN IRAWAN SP.PD RSUS
PEKKON MULANG JAYA KOTA AGUNG TIMUR DR. PAD DILANGGA SP.P RSUS
JL.IMAM BONJOL AIR PATOH BATURAJA TIMUR 'OGAN DR. PAD DILANGGA SP.P RSUS
KOMERING ULU
JL LAK MARTADINATA NO 46 LK II RT 020 PESAWAHAN DR. PAD DILANGGA SP.P RSUS
JL PEKON KANDANG BESI KOTA AGUNG BARAT DR. PAD DILANGGA SP.P RSUS
JL. ANGGREK NO. 3 GEDONG MENENG DR. PAD DILANGGA SP.P RSUS
JL. LAKSAMARTADINATA NO 46 LK II PESAWAHAB DR. PAD DILANGGA SP.P RSUS
JL BRAWIJAYA KEC. SEKAMPUNG UDIK DR. PAD DILANGGA SP.P RSUS
VILA CITRA BLOK Y NO 5 DR. PAD DILANGGA SP.P RSUS
JL. RATU DIBALAU NO 107 WAY HUI JATI AGUNG DR. RIDHUAN IRAWAN SP.PD RSUS
JL.DANAU TOBA NO.9 DR. NINA SP.P RSUS
KETAPANG 02/03 DR. DIANA NUR ASRINI RSUS
JL LAK MARTADINATA NO 46 LK II RT 020 PESAWAHAN DR. PAD DILANGGA SP.P RSUS
GEDUNG SURIAN DR. PAD DILANGGA SP.P RSUS
JL P. TIRTAYASA NO 38 BERINGGIN LK II RT 006 /- KEL DR. PAD DILANGGA SP.P RSUS
CAMPANG
JLN RAYA KEC7SUKABU
PEMBANGUNAN N0 55 LK I 005 / - KEL WAY DADI DR. PAD DILANGGA SP.P RSUS
KEC SUKARAME
KARANG REJO ULU BELU TANGGAMUS DR. SUHARSONO SP.S RSUS
JL RAYA GUNUNG SARI KEC MENGGALA TULANG BAWANG DR. RIDHUAN IRAWAN SP.PD RSUS
SINAR BANDUNG RT 006 / 002 KELSINAR BANDUNG KEC DR. DIANA NUR ASRINI RSUS
NEGERI KATON
KEBON TEBU DR. RIANA HANDAYANI, SP.J RSUS
JL. KESUMA BANGSA SUKARAME DR. RIDHUAN IRAWAN SP.PD RSUS
JL. SELAT MALAKA 2 NO. 27 PANJANG DR. RIDHUAN IRAWAN SP.PD RSUS
KETAPANG 02/03 DR. DIANA NUR ASRINI RSUS
PERUM GREEN TARAHAN KM 16 KEC KATIBUNG TARAHAN DR. IMRON SP.PD RSUS
DR. NINA SP.P RSUS
JL YUDISTIRA NO 18 RT 008 SAWAH LAMA DR. IMRON SP.PD RSUS
JL.IMAM BONJOL AIR PATOH BATURAJA TIMUR 'OGAN DR. PAD DILANGGA SP.P RSUS
KOMERING ULU
1 RS0317-002076 03/03/2017 CODIPRONT CAP 1 CAPSUL AHMAD TOBRANI. TN
2 RS0317-002662 03/03/2017 CODIPRONT CAP 9 CAPSUL NIRSAH, TN
3 RS0317-003898 04/03/2017 CODIPRONT CAP 1 CAPSUL NADYA AZ ZAHRA DARWAN.AN
4 RS0317-004266 05/03/2017 CODIPRONT CAP 6 CAPSUL NIRSAH, TN
5 RS0317-004275 05/03/2017 CODIPRONT CAP 6 CAPSUL TEMEN . TN
6 RS0317-004883 06/03/2017 CODIPRONT CAP 1 CAPSUL A.RAKIM, TN
7 RS0317-005603 06/03/2017 CODIPRONT CAP 15 CAPSUL ROSIDAH TAMIM, NY
8 RS0317-005072 06/03/2017 CODIPRONT CAP 9 CAPSUL HASAN MUTTAQIEN, TN
10 RS0317-006239 07/03/2017 CODIPRONT CAP 15 CAPSUL HI. JUHRI, TN
11 RS0317-007142 08/03/2017 CODIPRONT CAP 10 CAPSUL DR. HASMI MAHA, SP. PD, TN
12 RS0317-007919 08/03/2017 CODIPRONT CAP 15 CAPSUL MUSONNIP, ST. TN
13 RL0317-000401 08/03/2017 CODIPRONT CAP 15 CAPSUL NY. ALVI
14 RS0317-008369 09/03/2017 CODIPRONT CAP 15 CAPSUL ISNANI.NY
15 RS0317-008227 09/03/2017 CODIPRONT CAP 1 CAPSUL MUDZAKIR.TN
16 RS0317-008251 09/03/2017 CODIPRONT CAP 9 CAPSUL HASAN MUTTAQIEN, TN
17 RS0317-010906 11/03/2017 CODIPRONT CAP 1 CAPSUL NURLETI, NY
18 RL0317-000566 11/03/2017 CODIPRONT CAP 10 CAPSUL tn.Sajam
19 RS0317-011605 12/03/2017 CODIPRONT CAP 9 CAPSUL ARDILA SISKA, NN
20 RS0317-012327 13/03/2017 CODIPRONT CAP 15 CAPSUL ANDRI YULIANTO, TN
21 RS0317-013822 14/03/2017 CODIPRONT CAP 1 CAPSUL WAHYU PRIYONO, TN
22 RS0317-013991 14/03/2017 CODIPRONT CAP 20 CAPSUL FISCA JALASENASTRI, NY
23 RS0317-013328 14/03/2017 CODIPRONT CAP 20 CAPSUL SUHARTO ES ,TN
25 RS0317-013772 14/03/2017 CODIPRONT CAP 9 CAPSUL YUNI AMANDASARI, NY
26 RL0317-000796 15/03/2017 CODIPRONT CAP 5 CAPSUL Fatmia
27 RS0317-015116 15/03/2017 CODIPRONT CAP 10 CAPSUL IDA ROYANI,NY
28 RS0317-014433 15/03/2017 CODIPRONT CAP 1 CAPSUL MARZANA ELIAZA WATI, NY
29 RS0317-014656 15/03/2017 CODIPRONT CAP 15 CAPSUL PRASETYA KAMAJAYA, TN
30 RS0317-015049 15/03/2017 CODIPRONT CAP 6 CAPSUL SULASMIYATI, NY
32 RS0317-015601 16/03/2017 CODIPRONT CAP 9 CAPSUL SALAMAH, NY
33 RL0317-000906 17/03/2017 CODIPRONT CAP 10 CAPSUL DR.MELDA
34 RS0317-017198 17/03/2017 CODIPRONT CAP 1 CAPSUL DARUSSALAM, TN
35 RS0317-016991 17/03/2017 CODIPRONT CAP 2 CAPSUL UNTUNG PRIBADI, TN
37 RS0317-016978 17/03/2017 CODIPRONT CAP 9 CAPSUL YUNI AMANDASARI, NY
41 RS0317-019215 19/03/2017 CODIPRONT CAP 3 CAPSUL NUR HIDAYAT,TN
42 RS0317-018704 19/03/2017 CODIPRONT CAP 9 CAPSUL YULINA NY
44 RS0317-019669 20/03/2017 CODIPRONT CAP 15 CAPSUL ANDY MAITIMO TN
46 RS0317-019936 20/03/2017 CODIPRONT CAP 15 CAPSUL PAULINA. NY
48 RS0317-021908 22/03/2017 CODIPRONT CAP 9 CAPSUL M. TOHIR SOMANTRI , TN
49 RS0317-021715 22/03/2017 CODIPRONT CAP 10 CAPSUL PRIYONO, TN
50 RS0317-022148 22/03/2017 CODIPRONT CAP 10 CAPSUL AWALUDIN, TN
51 RS0317-021971 22/03/2017 CODIPRONT CAP 9 CAPSUL SITI DAROYAH,NY
53 RS0317-022796 23/03/2017 CODIPRONT CAP 15 CAPSUL EKA SEPMAWATI NY
54 RS0317-023668 24/03/2017 CODIPRONT CAP 6 CAPSUL EDI DAHLAN,TN
55 RS0317-024541 24/03/2017 CODIPRONT CAP 10 CAPSUL TN, WARSITO
57 RS0317-025322 25/03/2017 CODIPRONT CAP 10 CAPSUL M. TOHIR SOMANTRI , TN
59 RS0317-026506 27/03/2017 CODIPRONT CAP 1 CAPSUL H.M.SARBAKI,TN
61 RS0317-028276 28/03/2017 CODIPRONT CAP 1 CAPSUL BUSTAIN RUDI EFENDI, TN
63 RS0317-029626 29/03/2017 CODIPRONT CAP 10 CAPSUL HERU SUNGKOWO, TN
64 RS0317-031766 31/03/2017 CODIPRONT CAP 6 CAPSUL ENDIK SRI WIDJANARTI NY
65 RS0317-031346 31/03/2017 CODIPRONT CAP 1 CAPSUL MAT SOLEH, TN
JL. RAYA RADEN INTAN NO. 34. TALANG PADANG DR. DIAJENG PUTRI IRACILY RSUS
JL. BATIN ULANGAN NO 23, SEPANG JAYA KEDATON DR. HASMI MAHA SP.PD RSUS
DUSUN X DESA KERTOSARI TANJUNG SARI DR.MONETA MAHA RSUS
JL. BATIN ULANGAN NO 23, SEPANG JAYA KEDATON DR. HASMI MAHA SP.PD RSUS
TANGJUNG WANGI , LAM TIM DR. MARS DWI CAHYO SP.BU RSUS
JL PULAU BAWEAN II NO 16 LK II RT 002 SUKARAME DR. MELDA DASEPTA RSUS
JL SERMA PETURUN NO 38 RT 002 TANJUNG AMAN KOTA DR. HASMI MAHA SP.PD RSUS
BUMI
JL URIP SUMOHARJO NO 37 LK 3 030 SURAYA KEDATON DR. HASMI MAHA SP.PD RSUS
JL. JATI NO.7A LK I RT020 TANJUNG RAYA DR. HASMI MAHA SP.PD RSUS
RS. URIP SUMOHARJO DR. HASMI MAHA SP.PD RSUS
JL. PRAMUKA NO. 10 LK I RAJA BASA DR. HASMI MAHA SP.PD RSUS
DR. ANDI SISWANDI, RSUS
KP SAWAH LK II WAY LUNIK TBS SP.B,.M.KES
JL. SASONOLOYO LK III NO. 56 SUKARAME DR. RAHMI ULFA RSUS
JL URIP SUMOHARJO NO 37 LK 3 030 SURAYA KEDATON DR. HASMI MAHA SP.PD RSUS
JL RADEN SALEH WEY HUWI DR. DIANA NUR ASRINI RSUS
JL NUSANTARA 6 NO 67 LABUHAN RATU DR. HASMI MAHA SP.PD RSUS
TAMBAH REJO RT 009 PRINGSEWU DR. HASMI MAHA SP.PD RSUS
DUSUN IB RT014 RW005 JATI MULYO DR. DIANA NUR ASRINI RSUS
JL.SUKARDI HAMDANI PALAPA 7 NO.3 LABUHAN RATU DR. HASMI MAHA SP.PD RSUS
JL.S.PARMAN BANDAR JAYA TIMUR DR. RIANA HANDAYANI, SP.J RSUS
JL JAHE RAWA SUBUR NO 39 RT 005 ENGGAL DR. HASMI MAHA SP.PD RSUS
INDAH SEJAHTERA 4 BLOK D NO.30 SUKARAME DR. HASMI MAHA SP.PD RSUS
JL. P.TIRTAYASA BERINGIN CAMPANG JAYA 006 SUKABUMI DR. MAHARANI RSUS
JL NANGKA GG JAHRI NO 11 LK I RT 009 GEDONG AIR DR. HASMI MAHA SP.PD RSUS
MULYA SARI TULANG BAWANG BARAT DR. IKRIZAL,SP.BU RSUS
BEKRI DR. HASMI MAHA SP.PD RSUS
DR. MELDA DASEPTA RSUS
PERUM PEMDA WAY HUI BLOK F NO 4 DR.MONETA MAHA RSUS
JL. KIMAJA GG. BUNGUR NO. 47 WAYHALIM DR. MELDA DASEPTA RSUS
JL JAHE RAWA SUBUR NO 39 RT 005 ENGGAL DR. HASMI MAHA SP.PD RSUS
DUSUN LEBUNG SARI RT 002/002 LEBUNG SARI MERBAU DR.RINALDI ADITYA ASRIZAL RSUS
MATARAM
JL.DANAU TONDANO NO.01 KEDATON DR. HASMI MAHA SP.PD RSUS
GRIYA PUTRA MANDIRI BLOK I NO 13 RT 007/009 BOJONG DR. HASMI MAHA SP.PD RSUS
PONDOK
MATARAM
PEKON SUKABARU WAY KRUI LAMPUNG BARAT DR. NEILAN, SP.S RSUS
JL. PAGAR ALAM I NO. 40 KEDATON DR. HASMI MAHA SP.PD RSUS
JL URIP SUMOHARJO GG TANGKIL DR. M. IMAM RIFAI RSUS
JL ENDRO SURATMIN GG WARU NO 46 DR. NINA SP.P RSUS
DUSUN MURTI REJO 010/003 WONOHARJO SUMBEREJO DR. HASMI MAHA SP.PD RSUS
MATARAM
RUMBIA DR. HASMI MAHA SP.PD RSUS
JL.BYANGKARA LKI RT 008 KEC,RAJABASA RAYA DR. MARS DWI CAHYO SP.BU RSUS
DUSUN 3 GAYABARU 2 SEPUTIH SURABAYA DR. MARS DWI CAHYO SP.BU RSUS
DUSUN MURTI REJO 010/003 WONOHARJO SUMBEREJO DR. HASMI MAHA SP.PD RSUS
JL. PAGAR ALAM I NO. 40 KEDATON DR. RIDHUAN IRAWAN SP.PD RSUS
DUSUN MURTI REJO 010/003 WONOHARJO SUMBEREJO DR. RIDHUAN IRAWAN SP.PD RSUS
SUBAN I RT01/01 MERBAU MATARAM DR. DIANA NUR ASRINI RSUS
DESA TALANG BAYUR KEC T.BINTANG SUKA NEGARA DR. DIANA NUR ASRINI RSUS
MARGO REJO 011/006 RAJABASA LAMA I DR. RIANA HANDAYANI, SP.J RSUS
JL AKASIA V NO 12 BTN III WAY DADI DR. HASMI MAHA SP.PD RSUS
JL.KRAKATAU 1 NO 189 PERUMNAS WAY HALIM DR. RAHMI ULFA RSUS
1 RS0317-019686 20/03/2017 CODIPRONT CUM EXPT CAP 20 CAPSUL SUWARSIH, NY
2 RS0317-029589 29/03/2017 CODIPRONT CUM EXPT CAP 10 CAPSUL MURWANTI NY
3 RL0317-001553 29/03/2017 CODIPRONT CUM EXPT CAP 10 CAPSUL DR.NEILAN
JL TRANSFORMATOR RAYA A35/78 DR. ASRIZAL SPJ RSUS
PONDOK GEDE
JL P DAMAR GG MADRASAH 8/RSUS DR. TOKI HIMAWATI RSUS
DR. NEILAN, SP.S RSUS
1 RS0317-000690 01/03/2017 CODIPRONT CUM EXPT SYR 1 FLS WILLIAM KARYA PERMATA,SDR
2 RS0317-000250 01/03/2017 CODIPRONT CUM EXPT SYR 1 FLS ROBUNAWATI ,NY
3 RL0317-000014 01/03/2017 CODIPRONT CUM EXPT SYR 1 FLS ny.Jumtidar
4 RS0317-000348 01/03/2017 CODIPRONT CUM EXPT SYR 1 FLS SRI MAISAROH, NY
5 RS0317-001605 02/03/2017 CODIPRONT CUM EXPT SYR 1 FLS HALIMAH NY
6 RS0317-001932 02/03/2017 CODIPRONT CUM EXPT SYR 1 FLS AYUNDA DERFITA ZAHRA, AN
7 RS0317-002733 03/03/2017 CODIPRONT CUM EXPT SYR 1 FLS KASIMAN, TN
8 RS0317-002781 03/03/2017 CODIPRONT CUM EXPT SYR 1 FLS AHMAD TOBRANI. TN
9 RS0317-002217 03/03/2017 CODIPRONT CUM EXPT SYR 1 FLS TUKIJO, TN
10 RS0317-002682 03/03/2017 CODIPRONT CUM EXPT SYR 1 FLS NOMI MARGANAWATI NY
11 RS0317-002332 03/03/2017 CODIPRONT CUM EXPT SYR 1 FLS MUSAKIR, TN
12 RS0317-002737 03/03/2017 CODIPRONT CUM EXPT SYR 1 FLS BOIMAN, TN
13 RS0317-003605 04/03/2017 CODIPRONT CUM EXPT SYR 1 FLS HENDRIYANI. NN
14 RS0317-003102 04/03/2017 CODIPRONT CUM EXPT SYR 1 FLS NAJAMUDIN, TN
15 RS0317-003407 04/03/2017 CODIPRONT CUM EXPT SYR 1 FLS SAHWIL IWAN, TN
16 RS0317-003496 04/03/2017 CODIPRONT CUM EXPT SYR 1 FLS AYUNDA DERFITA ZAHRA, AN
17 RS0317-004246 05/03/2017 CODIPRONT CUM EXPT SYR 1 FLS AMIR MOGA SAKTI.TN
18 RS0317-004534 05/03/2017 CODIPRONT CUM EXPT SYR 1 FLS DEDY MUHARYANTO, TN
19 RS0317-004191 05/03/2017 CODIPRONT CUM EXPT SYR 1 FLS ROSTINA,NY
20 RS0317-004150 05/03/2017 CODIPRONT CUM EXPT SYR 1 FLS MURSALIN, TN
21 RS0317-004205 05/03/2017 CODIPRONT CUM EXPT SYR 1 FLS AHMAD TOBRANI. TN
22 RS0317-005638 06/03/2017 CODIPRONT CUM EXPT SYR 1 FLS HAYATI, NY
23 RL0317-000267 06/03/2017 CODIPRONT CUM EXPT SYR 1 FLS tn edi susanto
24 RS0317-005092 06/03/2017 CODIPRONT CUM EXPT SYR 1 FLS MURSALIN, TN
25 RS0317-005543 06/03/2017 CODIPRONT CUM EXPT SYR 1 FLS JUMAT.TN
26 RS0317-005585 06/03/2017 CODIPRONT CUM EXPT SYR 1 FLS NOVITA SARI ,NN
27 RS0317-005451 06/03/2017 CODIPRONT CUM EXPT SYR 1 FLS ENIWATI, NY
28 RS0317-004979 06/03/2017 CODIPRONT CUM EXPT SYR 1 FLS SAUT P PANJAITAN, TN
29 RS0317-005016 06/03/2017 CODIPRONT CUM EXPT SYR 2 FLS MENAK SYAH RATU, NY
30 RS0317-004734 06/03/2017 CODIPRONT CUM EXPT SYR 1 FLS ZAINUDIN, TN
31 RS0317-005549 06/03/2017 CODIPRONT CUM EXPT SYR 1 FLS ZAINUDDIN, TN
32 RS0317-005596 06/03/2017 CODIPRONT CUM EXPT SYR 1 FLS SUPARNO,TN
33 RS0317-006151 07/03/2017 CODIPRONT CUM EXPT SYR 1 FLS TUKIJO, TN
34 RS0317-006172 07/03/2017 CODIPRONT CUM EXPT SYR 1 FLS SARTONO TN
35 RS0317-006192 07/03/2017 CODIPRONT CUM EXPT SYR 1 FLS MUSAKIR, TN
36 RS0317-006299 07/03/2017 CODIPRONT CUM EXPT SYR 1 FLS TRI RAHAYU, NY
37 RS0317-006295 07/03/2017 CODIPRONT CUM EXPT SYR 1 FLS SAHWIL IWAN, TN
38 RL0317-000312 07/03/2017 CODIPRONT CUM EXPT SYR 2 FLS dr asrizal
39 RS0317-006280 07/03/2017 CODIPRONT CUM EXPT SYR 1 FLS ARSILAH, NY
40 RS0317-006260 07/03/2017 CODIPRONT CUM EXPT SYR 1 FLS TUMINI, NY
41 RS0317-006672 07/03/2017 CODIPRONT CUM EXPT SYR 1 FLS DJUNAIDI KESUMA YUDHA, TN
43 RS0317-007429 08/03/2017 CODIPRONT CUM EXPT SYR 1 FLS HERWANSYAH, TN
44 RS0317-007296 08/03/2017 CODIPRONT CUM EXPT SYR 1 FLS MUHAINUDIN TN
45 RS0317-007239 08/03/2017 CODIPRONT CUM EXPT SYR 1 FLS A. RIFAI SAIDINA, TN
46 RS0317-008472 09/03/2017 CODIPRONT CUM EXPT SYR 1 FLS TRI RAHAYU, NY
47 RS0317-008391 09/03/2017 CODIPRONT CUM EXPT SYR 1 FLS RUSLI, HS, TN
48 RS0317-008529 09/03/2017 CODIPRONT CUM EXPT SYR 1 FLS TUMINI, NY
49 RS0317-008665 09/03/2017 CODIPRONT CUM EXPT SYR 1 FLS DJUNAIDI KESUMA YUDHA, TN
50 RS0317-008697 09/03/2017 CODIPRONT CUM EXPT SYR 1 FLS SAMPUN RIANTO ,TN
51 RS0317-008483 09/03/2017 CODIPRONT CUM EXPT SYR 1 FLS ARSILAH, NY
52 RS0317-009604 10/03/2017 CODIPRONT CUM EXPT SYR 1 FLS SAUT P PANJAITAN, TN
53 RS0317-009248 10/03/2017 CODIPRONT CUM EXPT SYR 1 FLS HAYATI, NY
54 RS0317-009801 10/03/2017 CODIPRONT CUM EXPT SYR 1 FLS A. ROSIDI, TN
55 RS0317-009833 10/03/2017 CODIPRONT CUM EXPT SYR 1 FLS DESI CHURUL AINI NY
56 RL0317-000541 10/03/2017 CODIPRONT CUM EXPT SYR 1 FLS FATMIA
57 RS0317-009602 10/03/2017 CODIPRONT CUM EXPT SYR 1 FLS MUHAINUDIN TN
58 RS0317-009791 10/03/2017 CODIPRONT CUM EXPT SYR 1 FLS ABDUL MUNAL SENABU, TN
59 RS0317-009852 10/03/2017 CODIPRONT CUM EXPT SYR 1 FLS UJANG SUPRIYANTO , TN
60 RS0317-009480 10/03/2017 CODIPRONT CUM EXPT SYR 1 FLS IDAWATY, NY
61 RS0317-011077 11/03/2017 CODIPRONT CUM EXPT SYR 1 FLS ALIF ZULKARNAIN.AN
62 RS0317-010693 11/03/2017 CODIPRONT CUM EXPT SYR 1 FLS ASNAH. NY
63 RS0317-010481 11/03/2017 CODIPRONT CUM EXPT SYR 1 FLS SYARIFAH. NY
64 RS0317-011071 11/03/2017 CODIPRONT CUM EXPT SYR 1 FLS NURSITI LESTARI NN
65 RS0317-010558 11/03/2017 CODIPRONT CUM EXPT SYR 1 FLS HERWANSYAH, TN
66 RS0317-010667 11/03/2017 CODIPRONT CUM EXPT SYR 1 FLS HENDRA SATIBI ZAKARIA, TN
67 RS0317-010577 11/03/2017 CODIPRONT CUM EXPT SYR 1 FLS MUTIA AYU TRI HASTARI, NN
68 RS0317-011474 12/03/2017 CODIPRONT CUM EXPT SYR 1 FLS S.HADI SUWITO,TN
69 RS0317-011571 12/03/2017 CODIPRONT CUM EXPT SYR 1 FLS SUPARTI NY
70 RS0317-012377 13/03/2017 CODIPRONT CUM EXPT SYR 1 FLS SURYATI, NY
71 RS0317-012290 13/03/2017 CODIPRONT CUM EXPT SYR 1 FLS ADE ROHMAN, TN
72 RS0317-013181 13/03/2017 CODIPRONT CUM EXPT SYR 1 FLS R.SUPARMAN KS.TN
73 RS0317-012381 13/03/2017 CODIPRONT CUM EXPT SYR 1 FLS PUDIN.TN
74 RS0317-012783 13/03/2017 CODIPRONT CUM EXPT SYR 1 FLS FACHMI, TN
75 RS0317-012810 13/03/2017 CODIPRONT CUM EXPT SYR 1 FLS HERMAN EFENDI, TN
76 RS0317-013665 14/03/2017 CODIPRONT CUM EXPT SYR 1 FLS PRIANTO TN
77 RS0317-013585 14/03/2017 CODIPRONT CUM EXPT SYR 1 FLS NURSITI LESTARI NN
78 RS0317-013571 14/03/2017 CODIPRONT CUM EXPT SYR 1 FLS SRI SUYATMI.NY
79 RS0317-014645 15/03/2017 CODIPRONT CUM EXPT SYR 1 FLS MARZANA ELIAZA WATI, NY
81 RS0317-014904 15/03/2017 CODIPRONT CUM EXPT SYR 1 FLS IDAWATY, NY
82 RS0317-014646 15/03/2017 CODIPRONT CUM EXPT SYR 1 FLS DASIMAH.A.S,NY
83 RS0317-014679 15/03/2017 CODIPRONT CUM EXPT SYR 1 FLS ELZA WATI.NY
84 RS0317-014685 15/03/2017 CODIPRONT CUM EXPT SYR 1 FLS S.HADI SUWITO,TN
85 RS0317-015676 16/03/2017 CODIPRONT CUM EXPT SYR 1 FLS ABDUL KEYSAN ALFAHREZY. AN
86 RS0317-015658 16/03/2017 CODIPRONT CUM EXPT SYR 1 FLS NURHAYATI, NY
87 RS0317-016172 16/03/2017 CODIPRONT CUM EXPT SYR 1 FLS PETRUS, SDR
88 RS0317-015793 16/03/2017 CODIPRONT CUM EXPT SYR 1 FLS SRI SUPRANTI, NY
89 RS0317-016757 17/03/2017 CODIPRONT CUM EXPT SYR 1 FLS TARA OKTAVIA DAMANIK, NN
90 RS0317-016760 17/03/2017 CODIPRONT CUM EXPT SYR 1 FLS PRIANTO TN
91 RS0317-017441 17/03/2017 CODIPRONT CUM EXPT SYR 1 FLS BAINAH , NY
92 RS0317-017187 17/03/2017 CODIPRONT CUM EXPT SYR 1 FLS RUSTINAWATI.NY
93 RS0317-017119 17/03/2017 CODIPRONT CUM EXPT SYR 1 FLS RUSMAN, TN
94 RL0317-000965 18/03/2017 CODIPRONT CUM EXPT SYR 2 FLS DR.ASRIZAL
95 RS0317-017821 18/03/2017 CODIPRONT CUM EXPT SYR 1 FLS EDA WATI, NY
96 RS0317-018734 19/03/2017 CODIPRONT CUM EXPT SYR 1 FLS AWALUDIN, TN
97 RS0317-018700 19/03/2017 CODIPRONT CUM EXPT SYR 1 FLS HAIYATI, NY
100 RS0317-019995 20/03/2017 CODIPRONT CUM EXPT SYR 1 FLS NURHAYANI, NY
101 RS0317-020150 20/03/2017 CODIPRONT CUM EXPT SYR 1 FLS SAIMIN JAMIL,TN
102 RS0317-020088 20/03/2017 CODIPRONT CUM EXPT SYR 1 FLS BANI RAHMAN,TN
103 RS0317-019482 20/03/2017 CODIPRONT CUM EXPT SYR 1 FLS ABIANSYAH, SDR
104 RS0317-019695 20/03/2017 CODIPRONT CUM EXPT SYR 1 FLS EDA WATI, NY
106 RL0317-001041 20/03/2017 CODIPRONT CUM EXPT SYR 1 FLS Raka
108 RS0317-020041 20/03/2017 CODIPRONT CUM EXPT SYR 1 FLS WONGSO REJO.TN
109 RS0317-020533 21/03/2017 CODIPRONT CUM EXPT SYR 1 FLS FAZYRA AZZAHRA GUNAWAN,AN
110 RS0317-020780 21/03/2017 CODIPRONT CUM EXPT SYR 1 FLS PAN SUPARTE, TN
111 RS0317-021234 21/03/2017 CODIPRONT CUM EXPT SYR 1 FLS VIVI YOLANDA , NN
112 RS0317-021473 22/03/2017 CODIPRONT CUM EXPT SYR 1 FLS MAHMUD JAYA SIRONI.TN
113 RS0317-021667 22/03/2017 CODIPRONT CUM EXPT SYR 1 FLS WAHID NASIR YAQUB, TN
114 RS0317-022231 22/03/2017 CODIPRONT CUM EXPT SYR 1 FLS SAYUTI , TN
115 RS0317-021707 22/03/2017 CODIPRONT CUM EXPT SYR 1 FLS SUKARSIH NY
116 RS0317-022228 22/03/2017 CODIPRONT CUM EXPT SYR 1 FLS CHANDRA TRISNA NY
117 RS0317-022020 22/03/2017 CODIPRONT CUM EXPT SYR 1 FLS FIDYA MAISTIKA.NY
118 RS0317-023127 23/03/2017 CODIPRONT CUM EXPT SYR 1 FLS SAIMIN JAMIL,TN
120 RS0317-023229 23/03/2017 CODIPRONT CUM EXPT SYR 1 FLS YEPI TRIA SARI.NY
121 RS0317-022989 23/03/2017 CODIPRONT CUM EXPT SYR 1 FLS AGUSTINA, NY
122 RS0317-023074 23/03/2017 CODIPRONT CUM EXPT SYR 1 FLS ROHANI,TN
123 RS0317-022890 23/03/2017 CODIPRONT CUM EXPT SYR 1 FLS RISKA WULANDARI NN
124 RL0317-001230 23/03/2017 CODIPRONT CUM EXPT SYR 1 FLS NY NURHAINI
125 RS0317-024346 24/03/2017 CODIPRONT CUM EXPT SYR 1 FLS MURZID GLR BTN TEMENGGUNG.
126 RS0317-024298 24/03/2017 CODIPRONT CUM EXPT SYR 1 FLS TN
ASDINA, NY
127 RS0317-023974 24/03/2017 CODIPRONT CUM EXPT SYR 1 FLS BANI RAHMAN,TN
129 RL0317-001281 24/03/2017 CODIPRONT CUM EXPT SYR 1 FLS TN.HAMID
130 RS0317-023950 24/03/2017 CODIPRONT CUM EXPT SYR 1 FLS VIVI YOLANDA , NN
133 RS0317-025261 25/03/2017 CODIPRONT CUM EXPT SYR 1 FLS FARIZAL, TN
134 RS0317-024974 25/03/2017 CODIPRONT CUM EXPT SYR 1 FLS AGUSTINA, NY
135 RS0317-025059 25/03/2017 CODIPRONT CUM EXPT SYR 1 FLS SRIKA, NY
136 RS0317-024957 25/03/2017 CODIPRONT CUM EXPT SYR 1 FLS RISKA WULANDARI NN
138 RS0317-025040 25/03/2017 CODIPRONT CUM EXPT SYR 1 FLS PAN SUPARTE, TN
140 RS0317-024964 25/03/2017 CODIPRONT CUM EXPT SYR 1 FLS PAINI.NY
141 RS0317-025569 25/03/2017 CODIPRONT CUM EXPT SYR 1 FLS SALMAH NY
142 RS0317-026030 26/03/2017 CODIPRONT CUM EXPT SYR 1 FLS M AGUS RIANTO, TN
143 RS0317-025987 26/03/2017 CODIPRONT CUM EXPT SYR 1 FLS TUKIRAN. TN
144 RS0317-026296 26/03/2017 CODIPRONT CUM EXPT SYR 1 FLS PONITI NY
146 RS0317-026002 26/03/2017 CODIPRONT CUM EXPT SYR 1 FLS SAGIMAN.TN
147 RS0317-026088 26/03/2017 CODIPRONT CUM EXPT SYR 1 FLS JOHANES, TN
148 RS0317-027067 27/03/2017 CODIPRONT CUM EXPT SYR 1 FLS H.M.SARBAKI,TN
149 RS0317-027317 27/03/2017 CODIPRONT CUM EXPT SYR 1 FLS M. NUR, TN
150 RS0317-026548 27/03/2017 CODIPRONT CUM EXPT SYR 1 FLS FARIZAL, TN
151 RS0317-027459 27/03/2017 CODIPRONT CUM EXPT SYR 1 FLS SUNARDI, TN
152 RL0317-001456 27/03/2017 CODIPRONT CUM EXPT SYR 1 FLS DR. ASRIZAL
153 RS0317-026853 27/03/2017 CODIPRONT CUM EXPT SYR 1 FLS PAINI.NY
154 RS0317-027381 27/03/2017 CODIPRONT CUM EXPT SYR 1 FLS JONI MD, TN
155 RS0317-027025 27/03/2017 CODIPRONT CUM EXPT SYR 1 FLS MUHAMMAD AKMAL SYAFIQ , SDR
156 RS0317-027303 27/03/2017 CODIPRONT CUM EXPT SYR 1 FLS KIROM, TN
160 RS0317-028293 28/03/2017 CODIPRONT CUM EXPT SYR 1 FLS TUKIMAN, TN
161 RS0317-028210 28/03/2017 CODIPRONT CUM EXPT SYR 1 FLS BADRUN, TN
162 RS0317-028292 28/03/2017 CODIPRONT CUM EXPT SYR 1 FLS HI. USMAN KARIM, SH. TN
164 RS0317-027815 28/03/2017 CODIPRONT CUM EXPT SYR 1 FLS CEK MAMAT.TN
165 RS0317-029432 29/03/2017 CODIPRONT CUM EXPT SYR 1 FLS HI. ABIL. TN
167 RS0317-029182 29/03/2017 CODIPRONT CUM EXPT SYR 1 FLS NURHAYATI, AMA. NY
168 RS0317-029173 29/03/2017 CODIPRONT CUM EXPT SYR 1 FLS YUSTIANINGSIH NY
169 RS0317-028858 29/03/2017 CODIPRONT CUM EXPT SYR 1 FLS HENGGAR TEGUH WAHONO, TN
171 RS0317-029940 29/03/2017 CODIPRONT CUM EXPT SYR 1 FLS SARIPAH, NY
172 RL0317-001551 29/03/2017 CODIPRONT CUM EXPT SYR 1 FLS TN.M.AMAR
173 RS0317-029017 29/03/2017 CODIPRONT CUM EXPT SYR 1 FLS ROHANI,TN
174 RS0317-030299 30/03/2017 CODIPRONT CUM EXPT SYR 1 FLS HUSEIN RUSLI,TN
175 RS0317-031043 30/03/2017 CODIPRONT CUM EXPT SYR 1 FLS CEK MAMAT.TN
176 RS0317-030924 30/03/2017 CODIPRONT CUM EXPT SYR 1 FLS ANTARIA DWI NUGROHO, TN
177 RS0317-030266 30/03/2017 CODIPRONT CUM EXPT SYR 1 FLS SOEIN SURI, NY
178 RS0317-030363 30/03/2017 CODIPRONT CUM EXPT SYR 1 FLS M TOHIR, TN
179 RS0317-030599 30/03/2017 CODIPRONT CUM EXPT SYR 1 FLS BENI WANARSA, TN
180 RS0317-030637 30/03/2017 CODIPRONT CUM EXPT SYR 1 FLS SAGIMAN.TN
181 RS0317-030419 30/03/2017 CODIPRONT CUM EXPT SYR 1 FLS BUDIYANTO TN
182 RS0317-030508 30/03/2017 CODIPRONT CUM EXPT SYR 1 FLS SRI TURKINI, NY
183 RS0317-030337 30/03/2017 CODIPRONT CUM EXPT SYR 1 FLS PONITI NY
184 RS0317-031170 30/03/2017 CODIPRONT CUM EXPT SYR 1 FLS H.M.SARBAKI,TN
186 RS0317-031743 31/03/2017 CODIPRONT CUM EXPT SYR 1 FLS HI. ABIL. TN
187 RS0317-032204 31/03/2017 CODIPRONT CUM EXPT SYR 1 FLS CHANDRA PRATIRI.NN
188 RL0317-001742 31/03/2017 CODIPRONT CUM EXPT SYR 1 FLS NY.SRI SUYATMI
189 RS0317-032069 31/03/2017 CODIPRONT CUM EXPT SYR 1 FLS JONI MD, TN
190 RS0317-032107 31/03/2017 CODIPRONT CUM EXPT SYR 1 FLS SONAR SIDAURUK. TN
191 RS0317-032042 31/03/2017 CODIPRONT CUM EXPT SYR 1 FLS SUPARTI.NY
192 RS0317-032060 31/03/2017 CODIPRONT CUM EXPT SYR 1 FLS TUKIRAN. TN
193 RS0317-032128 31/03/2017 CODIPRONT CUM EXPT SYR 1 FLS WINDA NUGRAINI.NY
194 RS0317-032103 31/03/2017 CODIPRONT CUM EXPT SYR 1 FLS BUDI YANTO.TN
195 RS0317-032429 31/03/2017 CODIPRONT CUM EXPT SYR 1 FLS M.EDGAR ADNUFA WARDAHANA,
196 RL0317-001769 31/03/2017 CODIPRONT CUM EXPT SYR 1 FLS AN
ny.Hartati
197 RS0317-031496 31/03/2017 CODIPRONT CUM EXPT SYR 1 FLS AGUS CAHYONO, TN
JL PULAU DAMAR GG MADRASAH WAY KANDIS DR. HANGGORO SAPTO SP.THT RSUS
PULAU SINGKEP SUKARAME DR. RIDHUAN IRAWAN SP.PD RSUS
JL. RADEN PEMUKA GUNUNG SULAH DR. FERMIZET Sp.PD RSUS
JL PRAMUKA KAPLING RAYA 5 NO 8 RAJABASA DR. SUHARSONO SP.S RSUS
JL. PURNAWIRAWAN NO. 25 GEDUNG MENENG DR. NINA SP.P RSUS
JL. RAYA RADEN INTAN NO. 34. TALANG DR. NINA SP.P RSUS
PADANG
JLN. I. BONJOL GG. DELIMA NO 46 008/- SUKA DR. NINA SP.P RSUS
JAWA TKB
JL KEMUNING 4 NO 452 PERUMNAS SLEMAN DR. NINA SP.P RSUS
JL. RA BASYID GG KAPTEN SUBLI LABUHAN DR. NINA SP.P RSUS
DALAM
JL SUKARNO HATA LK I RT 002 PIDADA DR. NINA SP.P RSUS
PANJANG
PERUM BUKIT EMAS PERMAI. BLOK.NO.5. SUKA DR. RIDHUAN IRAWAN SP.PD RSUS
BUMI
PERUM PURI RUPI INDAH BLOK A7 NO 12 DR. NINA SP.P RSUS
SUKABUMI
JL PURNAWIRAWAN I GG PUTRA LK II RT I DR. NINA SP.P RSUS
LANGKAPURA
PERMATA BIRU A6 NO.8/9 SUKARAME DR. NINA SP.P RSUS
JL. PURNAWIRAWAN GG.SWADAYA VIIV NO. 14A DR. LUSY DAMAYANTI RSUS
GUNTER
LK 03 SEKINCAU PASAR RT01/03 SEKINCAU DR. NINA SP.P RSUS
JL , DEMPO N0 18 000/-000 KEL LABUHAN RATU DR. NEILAN, SP.S RSUS
KEC LABUHAN
JL. RAYA RATU
RADEN INTAN NO. 34. TALANG DR. NINA SP.P RSUS
PADANG
JL.SRIWIJAYA BLOK IB NO.26 BERINGIN RAYA DR. NINA SP.P RSUS
KEMILING DR. ASRIZAL SPJ RSUS
JL , DEMPO N0 18 000/-000 KEL LABUHAN RATU DR. NINA SP.P RSUS
KEC LABUHAN
JL I BONJOL RATU NO,09 LKII RT 014
GG,BUKIT DR. NINA SP.P RSUS
SUMBERREJO KEC,KEMILING
PANCASILA NATAR DR. NINA SP.P RSUS
JL. RATU DIBALAU GG CEMPAKA TANJUNG DR. RIDHUAN IRAWAN SP.PD RSUS
SENENG
JL P BURU NO 56 LK I WAY HALIM PERMAI DR. NINA SP.P RSUS
JL KOPI VI BLOK U NO 29 PERUM WAY HALIM DR. NINA SP.P RSUS
JL P BURU GG TERATAI NO 14 LK I WAY HALIM DR. LUSY DAMAYANTI RSUS
JL. BADAK GG BADAK I NO. 29 KEDATON DR. NINA SP.P RSUS
JL P BUTON JAGABAYA DR. NINA SP.P RSUS
JLN. I. BONJOL GG. DELIMA NO 46 008/- SUKA DR. NINA SP.P RSUS
JAWA TKB
DESA PANDANSARI SUKOHARJO DR. ASRIZAL SPJ RSUS
JL. RA BASYID GG KAPTEN SUBLI LABUHAN DR. NINA SP.P RSUS
DALAM
DESA BANYUMAS CANDIPURO DR. NINA SP.P RSUS
JL PURNAWIRAWAN I GG PUTRA LK II RT I DR. NINA SP.P RSUS
LANGKAPURA DR. ASRIZAL SPJ RSUS
MERANDUNG SARI SEKAMPUNG UDIK LAMPUNG DR. NINA SP.P RSUS
TIMUR
BEDENG 1 DSN III HAJIMENA KEC NATAR DR. NINA SP.P RSUS
GG BUKIT NO 56 SUKAJAWA DR. NINA SP.P RSUS
PERMATA BIRU A6 NO.8/9 SUKARAME DR. NINA SP.P RSUS
JLN APEL I GG RAMBUTAN NO 12 LK I 002 KEC DR. NINA SP.P RSUS
SUKARAME
JL. UNTUNG SUROPATI GG.FAMILI I NO.46 DR. NINA SP.P RSUS
JL. H. KOMARUDIN NO 250 RAJA BASA DR. ASRIZAL SPJ RSUS
DESA BANYUMAS CANDIPURO DR. NINA SP.P RSUS
JL HM SALIM LK I RT 13 WAY LUNIK TBS DR. ASRIZAL SPJ RSUS
BEDENG 1 DSN III HAJIMENA KEC NATAR DR. NINA SP.P RSUS
GG BUKIT NO 56 SUKAJAWA DR. NINA SP.P RSUS
BUMI HARJO 006 ./ 002 KEL BUMI HARJO KEC DR. NINA SP.P RSUS
BATANGHARI
MERANDUNG SARI SEKAMPUNG UDIK LAMPUNG DR. NINA SP.P RSUS
TIMUR
JL P BURU NO 56 LK I WAY HALIM PERMAI DR. NINA SP.P RSUS
JL.SRIWIJAYA BLOK IB NO.26 BERINGIN RAYA DR. NINA SP.P RSUS
KEMILING
JL PROKLAMATOR NO 12 BANDAR JAYA DR. NINA SP.P RSUS
JL. BADAK NO.20 SIDODADI KEDATON DR. NINA SP.P RSUS
DR. NINA SP.P RSUS
JL. UNTUNG SUROPATI GG.FAMILI I NO.46 DR. NINA SP.P RSUS
JL. P.ANTASARI KOM DOLOK LK.3 TANJUNG DR. NINA SP.P RSUS
BARU
JLN SUKABUMI
DANAU LAUT TAWAR NO LK II 015/- DR. NINA SP.P RSUS
SURABAYA KEDATON
JL. AIRAN RAYA GG ANDALAS RT/ RW 001/001 DR. ASRIZAL SPJ RSUS
WAY HUWIkedaton
leturohani JATI AGUNG
kalianda DR. HANGGORO SAPTO SP.THT RSUS
JL ADI SUCIPTO GG SERUMPUN I NO 84 KEBON DR. IMRON SP.PD RSUS
JERUK
DESA CANGGUNG. RAJA BASA DR. MELDA DASEPTA RSUS
DUSUN III TRIMULYO RT 007/003 TANJUNG DR. NINA SP.P RSUS
SARI JABUNG
SUKARAME
LK I BANDAR JAYA BARAT TERBANGGI BESAR DR. NINA SP.P RSUS
PERUM.KAMPUS HIJAU RESIDENCE BLOK B7 DR. RIDHUAN IRAWAN SP.PD RSUS
KAMPUNG
NEGARA BUMI BARU UNILA KEC SUNGKAI TENGAH DR.
RT05/02 NINA SP.P RSUS
JL PULAU RAYA NO 102 RT 008 WAY KANDIS DR. ASRIZAL SPJ RSUS
T.SENANG
PT KAI / JL AGUNG I PERUMNAS WAY HALIM DR. ASRIZAL SPJ RSUS
JL. NARADA GG. DAMAI NO.30 JAGA BAYA I DR. ASRIZAL SPJ RSUS
TANJUNG KARANG
JL.LANDAK NO.54 LK TIMUR
I RT 009 SIDODADI DR. RIDHUAN IRAWAN SP.PD RSUS
KEC,KEDATON
SEKINCAU PASAR KEC SEKINCAU DR. ASRIZAL SPJ RSUS
JL. TANJUNG BARU NO.41 TANJUNG BARU DR. NINA SP.P RSUS
SUKABUMI
LK III RT/RW 001/001 BANDAR JAYA DR. NINA SP.P RSUS
TERBANGGI
JL BESAR NO 5 RT 004 PALAPA
KARTINI SUKMA DR. NINA SP.P RSUS
T.KARANG PUSAT
DUSUN III TRIMULYO RT 007/003 TANJUNG DR. NINA SP.P RSUS
SARI JABUNGRT 005/001 KEC.AMBARAWA
AMBARAWA DR. NINA SP.P RSUS
JL. P.TIRTAYASA BERINGIN CAMPANG JAYA 006 DR. ASRIZAL SPJ RSUS
SUKABUMI
PERMATA BIRU A6 NO.8/9 SUKARAME DR. IKA RSUS
JL. AIRAN RAYA GG ANDALAS RT/ RW 001/001 DR. ASRIZAL SPJ RSUS
WAY HUWI JATI
JL.KH.GHOLIB AGUNG
RT04 KEL PRINGSEWU BARAT DR. ASRIZAL SPJ RSUS
DUSUN V NAPAL PUTIH RT 003/005 DR. ASRIZAL SPJ RSUS
KEC,GUNUNG
NEGARA BUMILABUHANRT05/02 KEC SUNGKAI TENGAH DR. NINA SP.P RSUS
JL.DANAU TOBA NO.21 KEDATON/KARY.RSUS DR. MURDOYO R., SP. A RSUS
JL A MUIS PERRUM BUKIT KENCANA BLOK K 35 DR. NINA SP.P RSUS
GEDUNG
TRIMULYO MENENG RAJABASA
01/06 GALIH LUNIK TANJUNG DR. RIDHUAN IRAWAN SP.PD RSUS
BINTANG
DUSUN IV TERBANGGI BESAR DR. RIDHUAN IRAWAN SP.PD RSUS
JL. KAMBOJA I NO.1 ENGGAL DR. ASRIZAL SPJ RSUS
JL KARTINI SUKMA NO 5 RT 004 PALAPA DR. NINA SP.P RSUS
T.KARANG
JL.MALABAR PUSAT
BLOK N NO 17 PERUMNAS WAY DR. RIDHUAN IRAWAN SP.PD RSUS
HALIM
GG.LANGGAR III NO.80 RT 03/02 KEDAMAIAN DR. NINA SP.P RSUS
TKT
JL. DURIAN NO. 4 PASIR GINTUNG DR. NINA SP.P RSUS
KP SUKA INDAH II LK II WAY LAGA PANJANG DR. NINA SP.P RSUS
JL ENDRO SURATMIN GG WARU NO 46 DR. NINA SP.P RSUS
JL. PULAU SINGKEP PERM GURU LK 1 RT 002 DR. ASRIZAL SPJ RSUS
SUKARAME
JL.MALABAR BLOK N NO 17 PERUMNAS WAY DR. HASMI MAHA SP.PD RSUS
HALIM
JL.MALABAR BLOK N NO 17 PERUMNAS WAY DR. RIDHUAN IRAWAN SP.PD RSUS
HALIM
PERUM BKP BLOK Y NO.24 DR. NINA SP.P RSUS
NEGARA TULANG BAWANG RT 006/003 DR. ASRIZAL SPJ RSUS
KEC,BUNGA
TEKAD BLOKMAYANG
III RT/R 002 KEL TEKAD KEC DR. NINA SP.P RSUS
PULAU PANGGUNG
JL PULAU BURU LK I RT 002 DR. RIDHUAN IRAWAN SP.PD RSUS
KP SUKA INDAH II LK II WAY LAGA PANJANG DR. NINA SP.P RSUS
JL.MALABAR BLOK N NO 17 PERUMNAS WAY DR. RIDHUAN IRAWAN SP.PD RSUS
HALIM DR. RIMBO RSUS
PERMATA BIRU A6 NO.8/9 SUKARAME DR. SELLY STEPRIYANI RSUS
TANJUNG BARU RT/RW 001 KEL BUKIT DR. NINA SP.P RSUS
KEMUNING
RAGOM MUFAKAT II BLK C/06 RT02/02 WAY DR. MURDOYO R., SP. A RSUS
URANG
dsn rejo basuki rt 004 / 001 kel sedorejo kec DR. NINA SP.P RSUS
sekampung udik
JL.P ALAM NO.156 RT 006 SEGALA MIDER DR. RIDHUAN IRAWAN SP.PD RSUS
KEC.TKB
JL. RAWA SUBUR NO 10 ENGGAL DR. NINA SP.P RSUS
JL.PULAU DAMAR PERUM BOGENVILE NO. 1 DR. HANGGORO SAPTO SP.THT RSUS
JL RAYA WAY RAREM NO 99 RT 001/001 DR. NINA SP.P RSUS
PEKURUN ABUNG PEKURUN
JL P.DAMAR PERUM BOUGENVILE BLOK A1 WAY DR. HANGGORO SAPTO SP.THT RSUS
KANDIS
SERDANG RT/RW 22/413 DR. RAHMI ULFA RSUS
NEGARA TULANG BAWANG RT 006/003 DR. ASRIZAL SPJ RSUS
KEC,BUNGA
PERMATA MAYANG
BIRU A6 NO.8/9 SUKARAME DR. RIDHUAN IRAWAN SP.PD RSUS
JL. SAMRATULANGI NO.43 TKB DR. NINA SP.P RSUS
SEKALABERAK NO.18 KOTA ALAM KOTABUMI DR. NINA SP.P RSUS
SELATAN
JLN.I.BONJOL GG,MARWAN NO.66 RT/RW 007 DR. ELIANA RSUS
JL. KH., GHOLIB RT01/RW014 PRINGSEWU DR. NINA SP.P RSUS
DR. NINA SP.P RSUS
JL.ARJUNA.REJO SARI.KOTA BUMI DR. NINA SP.P RSUS
TANGKAS RT 001/001 KEC KASUI DR. DINO RINALDY, SP.OG, ONK RSUS
TEKAD BLOK III RT/R 002 KEL TEKAD KEC DR. RIDHUAN IRAWAN SP.PD RSUS
PULAU
JL.P PANGGUNG
ALAM NO.156 RT 006 SEGALA MIDER DR. RIDHUAN IRAWAN SP.PD RSUS
KEC.TKB DR. DESY MUGI HERYANTI RSUS
dsn rejo basuki rt 004 / 001 kel sedorejo kec DR. NINA SP.P RSUS
sekampung udik
PEKURUN
jln ABUNGgg
bumi menanti PEKURUN
nangka 3 n0 27 lk i rt 003 / DR. RIDHUAN IRAWAN SP.PD RSUS
000 kel kampung
SEKALABERAK baruKOTA
NO.18 raya ALAM KOTABUMI DR. NINA SP.P RSUS
SELATAN
DESA CAMPANG RT 07/03 GISTING DR. ASRIZAL SPJ RSUS
JL. KH., GHOLIB RT01/RW014 PRINGSEWU DR. NINA SP.P RSUS
KEC.TKB
TANJUNG WARAS KEC,NATAR DR. NINA SP.P RSUS
JL. TEUKU UMAR NO. 50 TANJUNG KARANG DR. IMRON SP.PD RSUS
TIMUR
JL VETERAN LK I RT 03 PRINGSEWU BARAT DR. ASRIZAL SPJ RSUS
JL. RATU DIBALAU GG. DAMAI. TJ. SENENG DR. SUHARSONO SP.S RSUS
JL UNTUNG SUROPATI NO 02 LAB.RATU DR. NINA SP.P RSUS
TIMUR
DUSUN II RT/RW 007 KEL GIRI KARTO KEC DR. NINA SP.P RSUS
SEKAPUNG
P.TANJUNG RAYA PERMAI BLOK I NO.15 DR. SUHARSONO SP.S RSUS
TANJUNG SENANGMERBAU MATARAM
SUBAN I RT01/01 DR. NINA SP.P RSUS
JL PALAPA 5 C NO.4 LABUHAN RATU DR. NINA SP.P RSUS
jln bumi menanti gg nangka 3 n0 27 lk i rt 003 / DR. RIDHUAN IRAWAN SP.PD RSUS
000 kel kampung
GG CEMARA RAYAbaru
LK IIraya
RT006 TANJUNG DR. NINA SP.P RSUS
SENANG DR. ASRIZAL SPJ RSUS
TANJUNG WARAS KEC,NATAR DR. NINA SP.P RSUS
JL.BUNGA LILI RAYA B71 NO.14 LK I WAY DR. NINA SP.P RSUS
KANDIS
JL P SENOPATI GG BIMA NO 6 LK I HARAPAN DR. RIDHUAN IRAWAN SP.PD RSUS
JAYA
JL HAYAM WURUK NO.47 KEDAMAIAN DR. NINA SP.P RSUS
PERMATA BIRU A6 NO.8/9 SUKARAME DR. SUHARSONO SP.S RSUS
KEC.TKB
PANCA TUNGGAL DSUN TRIMULYO RT 02/02 DR. NINA SP.P RSUS
MERBAU
WAY DENTEMATARAM
001/002 DENTE TELADAS TULANG DR. NINA SP.P RSUS
BAWANG
JL.PBAWEAN I NO 6 SUKARAME DR. NINA SP.P RSUS
TIMUR
JL.HI.A.SALIM GG.MANGGA DUA LK I RT 014 DR. IMRON SP.PD RSUS
KEL.KELAPA TIGA KEC.TKP
JL. DRS WARSITO GG GUNUNG KRAKATAU DR. NINA SP.P RSUS
TELUK BETUNG
JL. BERLIAN IV BLOK DIONO 3 SUKABUMI DR. NINA SP.P RSUS
JL DR HARUN II NO 128 KOTA BARU DR. NINA SP.P RSUS
JL. KUTILANG V B 12 NO 4 BERINGIN RAYA DR. LUSY DAMAYANTI RSUS
PEKURUN
JL.UNYAYANABUNG PEKURUNKEC WONOSOBO
TANGGAMUS DR. SUHARSONO SP.S RSUS
DR. RIMBO RSUS
JLN.I.BONJOL GG,MARWAN NO.66 RT/RW 007 DR. NINA SP.P RSUS
PEKON SUKA BANJAR RT 001/001 SUKABANJAR DR. NINA SP.P RSUS
KEC,GUNUNG ALIP
JL.HI.A.SALIM GG.MANGGA DUA LK I RT 014 DR. IMRON SP.PD RSUS
KEL.KELAPA
JL. TIGA
P. MOROTAI KEC.TKPGMP BLOK C 14,
KOMPLEK DR. HANGGORO SAPTO SP.THT RSUS
SUKARAME
JL IKAN SEMBILANG NO 18 SUKARAJA BUMI DR. M. IMAM RIFAI RSUS
WARAS
SUKANEGARA KEMANG TANJUNG BINTANG DR. NINA SP.P RSUS
KAMPUNG JAWA PMK 06 PESISIR TENGAH DR. NINA SP.P RSUS
DUSUN II RT/RW 007 KEL GIRI KARTO KEC DR. RIDHUAN IRAWAN SP.PD RSUS
SEKAPUNG
PEKOM SIMPANG KANAN RT 011/002 SUMBER DR. NINA SP.P RSUS
REJO
LK II JL RA KARTINI RT 001/002 PRINGSEWU DR. NINA SP.P RSUS
JL UNTUNG SUROPATI NO 02 LAB.RATU DR. NINA SP.P RSUS
SUBAN I RT01/01 MERBAU MATARAM DR. NINA SP.P RSUS
PEKURUN ABUNG PEKURUN
JL. DRS WARSITO GG GUNUNG KRAKATAU DR. NINA SP.P RSUS
TELUK
DUSUNBETUNG
IV KEL BRAJA YENTI KEC BRAJA DR. NINA SP.P RSUS
SELEBAH DR. NINA SP.P RSUS
JL.BUNGA LILI RAYA B71 NO.14 LK I WAY DR. NINA SP.P RSUS
KANDIS
PERUM KORPRI D 8 NO 12. SUKARAME DR. NINA SP.P RSUS
JL.P BUTON GG.SEPAKAT 2 JAGABAYA 2 DR. NINA SP.P RSUS
JL. RATU DIBALAU GG. DAMAI. TJ. SENENG DR. SUHARSONO SP.S RSUS
CAMPANG GISTING DR. RIDHUAN IRAWAN SP.PD RSUS
JL.YOS SUDARSO GG,HJ SITI FATIMAH NO,13 LK DR. HANGGORO SAPTO SP.THT RSUS
IJALAN
RT 01PAGAR
WAY LUNIK
ALAM KEC.TELUK
NO. 48 BETU DR. MURDOYO R., SP. A RSUS
DR. NINA SP.P RSUS
JLN WOLOGITO BARAT V / 397 RT 001 / 0055 DR. NINA SP.P RSUS
KEL KEMBANGARUM KEC SEMARANG BARAT
1 RL0317-000017 01/03/2017 CODIPRONT SYR 1 FLS FUADZAN
2 RS0317-000894 01/03/2017 CODIPRONT SYR 1 FLS HUMSA.NY
3 RS0317-000240 01/03/2017 CODIPRONT SYR 1 FLS ANSORI,TN
4 RS0317-001087 02/03/2017 CODIPRONT SYR 1 FLS LAILI QOMARIAH. NN
5 RS0317-001511 02/03/2017 CODIPRONT SYR 1 FLS PARLAUNGAN RITONGA, TN
6 RS0317-001861 02/03/2017 CODIPRONT SYR 1 FLS MENAK SYAH RATU, NY
7 RS0317-000957 02/03/2017 CODIPRONT SYR 1 FLS TRI WININGSIH, NY
8 RS0317-002968 03/03/2017 CODIPRONT SYR 1 FLS SARI OGANA, NN
9 RS0317-002783 03/03/2017 CODIPRONT SYR 1 FLS SUMANTRI,TN
10 RS0317-002965 03/03/2017 CODIPRONT SYR 1 FLS TOMMY SETIAWAN. TN
11 RS0317-002255 03/03/2017 CODIPRONT SYR 1 FLS YULIA SUSANTI.NY
12 RS0317-003014 04/03/2017 CODIPRONT SYR 1 FLS HERMISI. TN
13 RS0317-003291 04/03/2017 CODIPRONT SYR 1 FLS ZAHRA YOAN NITA,NN
14 RS0317-003403 04/03/2017 CODIPRONT SYR 1 FLS HALIM SANTOSO, TN
15 RS0317-003029 04/03/2017 CODIPRONT SYR 1 FLS SUKRISNAWATI, NY
16 RS0317-003016 04/03/2017 CODIPRONT SYR 1 FLS JARIMAN , TN
17 RS0317-004660 05/03/2017 CODIPRONT SYR 1 FLS SUPARTI, NY
18 RS0317-004558 05/03/2017 CODIPRONT SYR 1 FLS TRI WININGSIH, NY
19 RS0317-004586 05/03/2017 CODIPRONT SYR 1 FLS LAILI QOMARIAH. NN
20 RS0317-004478 05/03/2017 CODIPRONT SYR 1 FLS ENDANG SUHERNI NY
21 RS0317-005744 06/03/2017 CODIPRONT SYR 1 FLS ALVO GUNTARA HERMAWAN.TN
22 RS0317-005837 06/03/2017 CODIPRONT SYR 1 FLS JARIMAN , TN
23 RS0317-005032 06/03/2017 CODIPRONT SYR 2 FLS REBO, TN
24 RS0317-005754 06/03/2017 CODIPRONT SYR 1 FLS HENDRA SATIBI ZAKARIA, TN
25 RS0317-005853 06/03/2017 CODIPRONT SYR 1 FLS SYARIFAH. NY
26 RS0317-005663 06/03/2017 CODIPRONT SYR 1 FLS SEMET. TN
27 RS0317-004683 06/03/2017 CODIPRONT SYR 1 FLS SRI MAISAROH, NY
28 RS0317-005900 07/03/2017 CODIPRONT SYR 1 FLS HARFIAH, NY
29 RS0317-006292 07/03/2017 CODIPRONT SYR 1 FLS SAMI'UN.TN
30 RS0317-006909 07/03/2017 CODIPRONT SYR 1 FLS SUPARTI, NY
31 RS0317-006575 07/03/2017 CODIPRONT SYR 1 FLS SRI SUMARSIH NY
32 RS0317-006178 07/03/2017 CODIPRONT SYR 1 FLS SARI OGANA, NN
33 RL0317-000366 07/03/2017 CODIPRONT SYR 1 FLS sdr reiza
34 RS0317-006296 07/03/2017 CODIPRONT SYR 1 FLS BAHRUDIN IDRIS, TN
35 RS0317-006099 07/03/2017 CODIPRONT SYR 1 FLS WINDU FITRIA, NY
36 RS0317-007929 08/03/2017 CODIPRONT SYR 1 FLS KIKI YULIANI, NN
37 RS0317-008076 08/03/2017 CODIPRONT SYR 1 FLS PAN SWASTI TN
38 RS0317-007104 08/03/2017 CODIPRONT SYR 1 FLS MUTMAINAH NY
39 RL0317-000412 08/03/2017 CODIPRONT SYR 1 FLS TIARA
40 RS0317-007994 08/03/2017 CODIPRONT SYR 1 FLS DEWI SERTI S, NN
41 RS0317-007011 08/03/2017 CODIPRONT SYR 1 FLS BETI RAMALIA PUTRI, NN
42 RS0317-008410 09/03/2017 CODIPRONT SYR 1 FLS TOYBAH, NY
43 RS0317-009596 10/03/2017 CODIPRONT SYR 1 FLS BANGUN PRAMADHI, TN
44 RS0317-009526 10/03/2017 CODIPRONT SYR 1 FLS JUBAIDI ,TN
45 RS0317-009880 10/03/2017 CODIPRONT SYR 1 FLS EKA MULI,NN
46 RS0317-009353 10/03/2017 CODIPRONT SYR 1 FLS ZUBIER HARAHAP. TN
47 RS0317-009265 10/03/2017 CODIPRONT SYR 1 FLS PAN SWASTI TN
48 RS0317-010264 11/03/2017 CODIPRONT SYR 1 FLS HARTATI, NY
49 RS0317-010754 11/03/2017 CODIPRONT SYR 1 FLS TOYBAH, NY
50 RS0317-011258 11/03/2017 CODIPRONT SYR 1 FLS ANI FITRIYAH NN
51 RS0317-010191 11/03/2017 CODIPRONT SYR 1 FLS JUNIA. NY
53 RL0317-000591 11/03/2017 CODIPRONT SYR 1 FLS NY.APRIDA
54 RS0317-011013 11/03/2017 CODIPRONT SYR 1 FLS MARSIYAH,NY
55 RS0317-010525 11/03/2017 CODIPRONT SYR 1 FLS ASNAH. NY
56 RL0317-000578 11/03/2017 CODIPRONT SYR 1 FLS HAMIDA
57 RS0317-010860 11/03/2017 CODIPRONT SYR 1 FLS SYAIFUDIN JUHRI.TN
59 RS0317-011516 12/03/2017 CODIPRONT SYR 1 FLS ZUBIER HARAHAP. TN
60 RL0317-000699 13/03/2017 CODIPRONT SYR 1 FLS YUNI
61 RS0317-012190 13/03/2017 CODIPRONT SYR 1 FLS IDHAM.TN
62 RS0317-012414 13/03/2017 CODIPRONT SYR 1 FLS ARIF EDI CHANDRA, TN
63 RS0317-012022 13/03/2017 CODIPRONT SYR 1 FLS SUMINAH, NY
64 RS0317-012025 13/03/2017 CODIPRONT SYR 1 FLS NURSANI AZIZATUNNIKMAH,
65 RS0317-012469 13/03/2017 CODIPRONT SYR 1 FLS NN
RAHMAH MEGA , NY
66 RS0317-014216 14/03/2017 CODIPRONT SYR 1 FLS R.MUSMAN.KS ,TN
67 RS0317-013193 14/03/2017 CODIPRONT SYR 1 FLS DEWI SERTI S, NN
68 RS0317-013304 14/03/2017 CODIPRONT SYR 1 FLS NURLETI, NY
69 RS0317-014041 14/03/2017 CODIPRONT SYR 1 FLS LAIMENA. NY
70 RS0317-014015 14/03/2017 CODIPRONT SYR 1 FLS RUSLI, HS, TN
71 RS0317-013460 14/03/2017 CODIPRONT SYR 1 FLS LINDA TRISNAWATI, NY
72 RS0317-014168 14/03/2017 CODIPRONT SYR 1 FLS ANI FITRIYAH NN
73 RS0317-014498 15/03/2017 CODIPRONT SYR 1 FLS ASMIYATI, NY
74 RS0317-015128 15/03/2017 CODIPRONT SYR 1 FLS JOKO SARWONO.TN
76 RS0317-015119 15/03/2017 CODIPRONT SYR 1 FLS RENI SARASWATI, NY
77 RS0317-015354 15/03/2017 CODIPRONT SYR 1 FLS MARKIYAH ARACHMAN
78 RL0317-000829 16/03/2017 CODIPRONT SYR 1 FLS MHASSIM,NY
tn.IK Neta
79 RS0317-016256 16/03/2017 CODIPRONT SYR 1 FLS SUMINAH, NY
80 RS0317-016009 16/03/2017 CODIPRONT SYR 1 FLS SUPENDI, TN
81 RS0317-015518 16/03/2017 CODIPRONT SYR 1 FLS FITRY KURNIATY, NY
82 RS0317-015791 16/03/2017 CODIPRONT SYR 1 FLS MIDA NINGSIH NY
83 RS0317-016657 17/03/2017 CODIPRONT SYR 1 FLS NURHAYATI, NY
ARKHUSNUN, TN
88 RS0317-017388 18/03/2017 CODIPRONT SYR 1 FLS LAIMENA. NY
89 RS0317-017510 18/03/2017 CODIPRONT SYR 1 FLS MISIJAN, TN
90 RS0317-017921 18/03/2017 CODIPRONT SYR 1 FLS VIVI MOZA VILANI , NN
91 RS0317-017847 18/03/2017 CODIPRONT SYR 1 FLS DARUSSALAM, TN
92 RS0317-017780 18/03/2017 CODIPRONT SYR 1 FLS M. IDRIS, TN
93 RS0317-019144 19/03/2017 CODIPRONT SYR 1 FLS M.ANAS, TN
KETUT SUSILAWATI , NY
96 RS0317-018969 19/03/2017 CODIPRONT SYR 1 FLS SRI SUPRANTI, NY
97 RS0317-019173 19/03/2017 CODIPRONT SYR 1 FLS EKO CATUR PRASETIO M.SDR
98 RS0317-018973 19/03/2017 CODIPRONT SYR 1 FLS JOKO SARWONO.TN
99 RS0317-019926 20/03/2017 CODIPRONT SYR 1 FLS MUGIONO, TN
100 RS0317-019136 20/03/2017 CODIPRONT SYR 1 FLS KURNIA ADHARI, SDR
101 RS0317-020191 20/03/2017 CODIPRONT SYR 1 FLS SRI SUPRANTI, NY
102 RS0317-021441 21/03/2017 CODIPRONT SYR 1 FLS WILLIAN FIRNANDA P, TN
103 RS0317-020941 21/03/2017 CODIPRONT SYR 1 FLS SUYOTO, TN
104 RS0317-020779 21/03/2017 CODIPRONT SYR 1 FLS BONITA DWI KURNIATI. NN
105 RS0317-021289 21/03/2017 CODIPRONT SYR 1 FLS M. TOHIR SOMANTRI , TN
106 RL0317-001140 21/03/2017 CODIPRONT SYR 1 FLS NY.ELI YARNI
107 RS0317-021067 21/03/2017 CODIPRONT SYR 1 FLS BAINAH , NY
109 RS0317-020582 21/03/2017 CODIPRONT SYR 1 FLS TUKINO, TN
111 RS0317-021690 22/03/2017 CODIPRONT SYR 2 FLS SUTAMAH.NY
112 RS0317-021691 22/03/2017 CODIPRONT SYR 1 FLS YULIANA, NY
113 RS0317-021813 22/03/2017 CODIPRONT SYR 1 FLS NURMALA ANGGRAINI, NN
114 RS0317-021700 22/03/2017 CODIPRONT SYR 1 FLS MISIJAN, TN
115 RS0317-021500 22/03/2017 CODIPRONT SYR 1 FLS H.ABDUL SOMAD TN
116 RS0317-021986 22/03/2017 CODIPRONT SYR 1 FLS WILLIAN FIRNANDA P, TN
118 RS0317-022301 23/03/2017 CODIPRONT SYR 1 FLS M.ANAS, TN
119 RS0317-023654 24/03/2017 CODIPRONT SYR 1 FLS RENDO VIKHI ANANDA, SDR
120 RS0317-024033 24/03/2017 CODIPRONT SYR 1 FLS RIDWAN FAUZI, TN
121 RS0317-025218 25/03/2017 CODIPRONT SYR 1 FLS H.ABDUL SOMAD TN
122 RS0317-024716 25/03/2017 CODIPRONT SYR 1 FLS SRI LESTARI , NY
124 RS0317-025445 25/03/2017 CODIPRONT SYR 1 FLS FITRA SUHANDA, SDR
125 RL0317-001390 25/03/2017 CODIPRONT SYR 1 FLS FEBRIANSYAH
126 RS0317-025193 25/03/2017 CODIPRONT SYR 1 FLS SYAMSUDDIN,TN
127 RS0317-026319 26/03/2017 CODIPRONT SYR 1 FLS YASMINI NY
128 RS0317-027533 27/03/2017 CODIPRONT SYR 1 FLS HELDAWATI, NY
129 RS0317-026518 27/03/2017 CODIPRONT SYR 1 FLS SITI RAHMAH.NY
130 RS0317-026721 27/03/2017 CODIPRONT SYR 1 FLS SYAMSUDDIN,TN
131 RS0317-027686 27/03/2017 CODIPRONT SYR 1 FLS GANNA AURIAN, NY
133 RS0317-028100 28/03/2017 CODIPRONT SYR 1 FLS YOYOK, NY
134 RS0317-028713 28/03/2017 CODIPRONT SYR 1 FLS SITI AISYAH, NY
135 RS0317-028714 28/03/2017 CODIPRONT SYR 1 FLS HARIYANTO, TN
136 RS0317-028517 28/03/2017 CODIPRONT SYR 1 FLS RIA TIARA SARI, NY
137 RS0317-027919 28/03/2017 CODIPRONT SYR 1 FLS FITRA SUHANDA, SDR
138 RS0317-028677 28/03/2017 CODIPRONT SYR 1 FLS MAZIAH SYUKRI, NY
139 RS0317-028977 29/03/2017 CODIPRONT SYR 1 FLS HARI WARSO WASONO, TN
141 RS0317-029758 29/03/2017 CODIPRONT SYR 1 FLS DEWI AGUSTINI, NY
142 RS0317-030481 30/03/2017 CODIPRONT SYR 1 FLS MARIDA SARISH, NY
143 RS0317-030558 30/03/2017 CODIPRONT SYR 1 FLS HASNAWATI, NY
144 RS0317-031004 30/03/2017 CODIPRONT SYR 1 FLS ERWIYANTO, TN
145 RS0317-030562 30/03/2017 CODIPRONT SYR 1 FLS TN.HI.ALPIAN, TN
146 RS0317-032073 31/03/2017 CODIPRONT SYR 1 FLS SRI NANI NY
147 RS0317-031421 31/03/2017 CODIPRONT SYR 1 FLS SUNARYO, TN
148 RS0317-032233 31/03/2017 CODIPRONT SYR 1 FLS BENI WANARSA, TN
149 RS0317-031630 31/03/2017 CODIPRONT SYR 1 FLS MARYANA BULHASAN,NY
151 RS0317-032275 31/03/2017 CODIPRONT SYR 1 FLS HERIYADI DWI PURWANTO, TN
152 RS0317-032459 31/03/2017 CODIPRONT SYR 1 FLS TUTIK HARYATI, NY
DR. ZANDIKA HARDY HARAHAP RSUS
JL.P. SEBUKU LK.IV TANJUNG BARU KEDAMAIAN DR. IMRON SP.PD RSUS
JL. RADEN PEMUKA. GG. DAMAI. GUNUNG SULAH. WAY HALIM DR. MARINA, SP. PD RSUS
LK PRINGOMBO IV 008/004 PRINGSEWU TIMUR DR. RA. HANI RSUS
JLN DARULSALAM GG DAHLIA II 007 /- KEL LANGKA PURA KEC DR. RIDHUAN IRAWAN SP.PD RSUS
KEMILING
JL KOPI VI 'BLOK U NO 29 PERUM WAY HALIM DR. RAHMI ULFA RSUS
DESA FAJAR MATARM SEPUTIH MATARAM DR. IMRON SP.PD RSUS
PERUM GRIYA ABDI NEGARA BLOK B 11 NO 8 DR. IMRON SP.PD RSUS
BERANTI RAYA NATAR DR. MARINA, SP. PD RSUS
JL. ARIF RAHMAN HAKIM. NO. 14. PELANI PURA DR. IMRON SP.PD RSUS
JL.PANGERAN TIRTAYASA DR. M. IMAM RIFAI RSUS
JL RAYA MESIR ILIR 001/003 BAHUGA DR. IMRON SP.PD RSUS
JL.NUSA JAYA GG.NUSA 1NO.;2 RT 08 WAYDADI DR. MARINA, SP. PD RSUS
JL. PULAU BACAN NO.20 JAGABAYA II LK III 002/- SUKABUMI DR. IMRON SP.PD RSUS
JL PULAU RAKATA NO.4 WAY HALIM PERMAI DR. IMRON SP.PD RSUS
BANDAR JAYA DESA ONO HARJO DR. MAHARANI RSUS
JL. BAWEAN I GG HAMID LK II SUKARAME DR. MARINA, SP. PD RSUS
DESA FAJAR MATARM SEPUTIH MATARAM DR. IMRON SP.PD RSUS
LK PRINGOMBO IV 008/004 PRINGSEWU TIMUR DR. ANDI SISWANDI, SP.B,.M.KES RSUS
JL P SINGKEP SUKABUMI DR. DIANA NUR ASRINI RSUS
ASRAMA POLDA LAMPUNG BLK B NO.1 LK II RT 020 DR. DIAJENG PUTRI IRACILY RSUS
KEL.KUPANG
BANDAR JAYAKOTADESAKEC.TBU
ONO HARJO DR. IMRON SP.PD RSUS
PNK VI SIDOMAKMUR BAHU DR. ANDI SISWANDI, SP.B,.M.KES RSUS
LK I BANDAR JAYA BARAT TERBANGGI BESAR DR. ERWANDI RSUS
DESA CANGGUNG. RAJA BASA DR. ERWANDI RSUS
JL. MELATI. NO. 193. SRIBASUKI. KOTA BUMI DR. SELLY STEPRIYANI RSUS
JL. RADEN PEMUKA GUNUNG SULAH DR. ERWANDI RSUS
KP. KROY LK.II WAY LAGA KEC. PANJANG DR. IMRON SP.PD RSUS
DUSUN TITIRANTE UTARA REJO SARI RT/RW 001 KEL REJO DR. MARINA, SP. PD RSUS
SARI KEC NATAR
JL. BAWEAN I GG HAMID LK II SUKARAME DR. MARINA, SP. PD RSUS
RAJA BASA RAYA BLOK G NO 9 WAY HALIM DR. MARINA, SP. PD RSUS
PERUM GRIYA ABDI NEGARA BLOK B 11 NO 8 DR.MONETA MAHA RSUS
JL S HATTA GG GUNUNG TERANG RT 01 TANJUNG SENAG DR. MARINA, SP. PD RSUS
JL. SINGA NO 48 KEDATON DR. IMRON SP.PD RSUS
DSN III 007/003 GONDANG REJO PEKALONGAN LAMPUNG DR. IMRON SP.PD RSUS
TIMUR
DUSUN YOGAKOLA RT 002/007 KEL.SUMUR KETAPANG DR. IMRON SP.PD RSUS
JL. PULAU BAWEAN II NO.14 SUKARAME DR. ANDI SISWANDI, SP.B,.M.KES RSUS
DR. MAHARANI RSUS
TERPANDI RT 002/007 KOTABUMI UDIK DR. IMRON SP.PD RSUS
DESA GHEDUNG KETAPANG SUNGKAI SELATAN RT 02/02 DR. IMRON SP.PD RSUS
JL BELIA LK II RT 01/02 JAGABAYA II SUKABUMI DR. MARINA, SP. PD RSUS
JL HARAPAN GG CEMARA NO. 52 LK III LABUHAN RATU DR. M. IMAM RIFAI RSUS
PERUM GELORA PERSADA RAJABASA DR. MARINA, SP. PD RSUS
BARADATU DR. MARINA, SP. PD RSUS
JL CENGKEH UTARA 4 NO 175 DR. RIDHUAN IRAWAN SP.PD RSUS
DUSUN YOGAKOLA RT 002/007 KEL.SUMUR KETAPANG DR. RAHMI ULFA RSUS
DESA TRI TUNGGAL JAYA PENAWAR TAMA RT 05/02 DR. MELDA DASEPTA RSUS
JL BELIA LK II RT 01/02 JAGABAYA II SUKABUMI DR. MARINA, SP. PD RSUS
PARDASUKA I RT 001/001 KATIBUNG DR. MARINA, SP. PD RSUS
DUSUN1. SINDANG ANOM. SEKAMPUNG UDIK DR. IMRON SP.PD RSUS
TIMUR DR. MARINA, SP. PD RSUS
PURI KENCANA B 6 SUKARAME DR. MARINA, SP. PD RSUS
JL ADI SUCIPTO GG SERUMPUN I NO 84 KEBON JERUK DR. ELIANA RSUS
DR. M. IMAM RIFAI RSUS
PEKON SINGOSARI KEC TALANG PADANG DR. MARINA, SP. PD RSUS
TIMUR
JL CENGKEH UTARA 4 NO 175 DR. RIDHUAN IRAWAN SP.PD RSUS
DR. SURYA PUSPA DEWI RSUS
DSN IIA RT 003/003 KEL.SUMBERJAYA JATI AGUNG DR. M. IMAM RIFAI RSUS
JL. DR. UTOMO NO. 14 LK III GG BUKIT PENENGAHAN DR. M. IMAM RIFAI RSUS
KEDATON
jl korpri raya no 9 blok a 1 suakrame DR. IMRON SP.PD RSUS
KB ILIR RT 002/ - KEL KOTA BUMI KEC KOTA BUMI ILIR DR. RIDHUAN IRAWAN SP.PD RSUS
TERPANDI RT 002/007 KOTABUMI UDIK DR. IMRON SP.PD RSUS
JL RADEN SALEH WEY HUWI DR. TEDDY WAHYUDIANTO RSUS
KOTA NAPAL. BUNGA MAYANG DR. MARINA, SP. PD RSUS
JL HM SALIM LK I RT 13 WAY LUNIK TBS DR. DIANA NUR ASRINI RSUS
JL RADEN GUNAWAN PERUM PONDOK KEMALA BLOK B HAJI DR. MELDA DASEPTA RSUS
MENA NATARI RT 001/001 KATIBUNG
PARDASUKA DR. MARINA, SP. PD RSUS
JL. DANAU LAUT TAWAR GG NIRMALA NO 126 KEDATON DR.MONETA MAHA RSUS
PERUM II PT.GMP RT 011/02 GUNUNG BATIN BARU DR. SYAHAR SP.B RSUS
KEC.TERUSAN
JLN.LANDAK NO53 NUNYAI
LKI RT008 KEDATON DR. IMRON SP.PD RSUS
JL. SOEKARNO HATTA GG. WARU 4 NO. 43 DR. MARINA, SP. PD RSUS
JL.PERWIRA NO.26 TANJUNG BARU DR. MARINA, SP. PD RSUS
DR. RIDHUAN IRAWAN SP.PD RSUS
SERDANG 2 TANJUNG BINTANG DR. MARINA, SP. PD RSUS
JL KIMAJA NO 39 WAY HALIM DR. MARINA, SP. PD RSUS
PRUM PERMATA BIRU BLOK A NO 6 KEC SUKARAME DR.MONETA MAHA RSUS
JL A MUIS PERRUM BUKIT KENCANA BLOK K 35 GEDUNG DR. NINA SP.P RSUS
MENENG RAJABASA
jl korpri raya no 9 blok a 1 suakrame DR. IMRON SP.PD RSUS
PERUM TAMAN WALET BLOK SJ 3 NO 15 SINDANG SARI DR. RIANA HANDAYANI, SP.J RSUS
TANGERANG
KOTA NAPAL. BUNGA MAYANG DR. MARINA, SP. PD RSUS
KAMPUNG DONO ARUM KEC SEPUTIH AGUNG DR. IMRON SP.PD RSUS
JL. RADEN FATAH GG BUKIT II KALIAWI DR. MARINA, SP. PD RSUS
PERUM PEMDA WAY HUI BLOK F NO 4 DR. RIDHUAN IRAWAN SP.PD RSUS
JL. RAJAWALI GG. ANGGREK 3 NO.19 DR. RIDHUAN IRAWAN SP.PD RSUS
JL PANDAWA RAYA NO 9 LK I RT 001 HARAPAN JAYA DR. IMRON SP.PD RSUS
jl korpri raya no 9 blok a 1 suakrame DR. RAHMI ULFA RSUS
DESA KARANG AGUNG BALI SADAR TENGAH BANJIT DR. SELLY STEPRIYANI RSUS
DUSUN IV TERBANGGI BESAR DR.PUTRI INDA FAUZIAH RSUS
JL.P. BURU WAY HALIM PERMAI SUKARAME DR. IMRON SP.PD RSUS
PERUM II PT.GMP RT 011/02 GUNUNG BATIN BARU DR. SYAHAR SP.B RSUS
KEC.TERUSAN NUNYAI
DUSUN 5 022/005 REJO ASRI SEPUTIH RAMAN DR. SELLY STEPRIYANI RSUS
JL.P.TIRTAYASA GG BANDAR BARU NO 28 DR. IMRON SP.PD RSUS
DUSUN IV TERBANGGI BESAR DR.MONETA MAHA RSUS
JL NUSANTARA GG NUSANTARA V NO 5 DR. IMRON SP.PD RSUS
H SOHARI SUKAMANJUR LK 3 013 /- KEL KEDAMAIAN KEC TKT DR. NEILAN, SP.S RSUS
PERUM TIUH TOHOW BLOK A3 NO 12 001/002 TIUH TOHOU DR. RIDHUAN IRAWAN SP.PD RSUS
MENGGALA
JL. PAGAR ALAM I NO. 40 KEDATON DR. RIANA HANDAYANI, SP.J RSUS
PERUM RAGOM GAWI BLOK. D NO. 16 KEMILING DR. MARINA, SP. PD RSUS
SIDOMULYO RT 004/001 KEC.SUMBEREJO DR. ANDI SISWANDI, SP.B,.M.KES RSUS
JLN. P. BACAN GG. PERDANA I IA JAGABAYA DR. M. IMAM RIFAI RSUS
TOTOKARTO 016/005 ADILUEIH KAB PRINGSEWU DR. MELDA DASEPTA RSUS
KAMPUNG DONO ARUM KEC SEPUTIH AGUNG DR. MELDA DASEPTA RSUS
PERUM KORPRI BLOK B2 NO 01 LK II RT 001 KORPRI JAYA DR. IMRON SP.PD RSUS
SUKARAME
JL NUSANTARA GG NUSANTARA V NO 5 DR. MELDA DASEPTA RSUS
JL PANDAWA RAYA NO 9 LK I RT 001 HARAPAN JAYA DR. IMRON SP.PD RSUS
JLN YOS SUDARSO 284 LK I 020-/-KEL PANJANG UTARA KEC DR. IMRON SP.PD RSUS
PANJANG
JLN.PAJAJARAN GG. CERME NO 39 DR. RIDHUAN IRAWAN SP.PD RSUS
PERUM KORPRI BLOK B2 NO 01 LK II RT 001 KORPRI JAYA DR. IMRON SP.PD RSUS
SUKARAME
DESA BUMI ASIH DR. MARS DWI CAHYO SP.BU RSUS
DUSUN 5 022/005 REJO ASRI SEPUTIH RAMAN DR. HASMI MAHA SP.PD RSUS
JL P SINGKEP GG MERPATI NO 7 SUKARAME DR. IMRON SP.PD RSUS
DR. IKA RSUS
BTN III JL.AGATIS TA 2 NO.10 RT07 WAYDADI SUKARAME DR. MARINA, SP. PD RSUS
DUSUN KATIBUNG I RT/RW 002/005 SIDOMULYO TIDAK ADA DOKTER RSUS
JLN. PURNAWIRAWAN VII NO 16 001/- GUNUNG TERANG TKB DR. MARINA, SP. PD RSUS
JL. TERATAI GG. MAWAR 1 NO.21 A SURABAYA KEDATON DR. MARS DWI CAHYO SP.BU RSUS
BTN III JL.AGATIS TA 2 NO.10 RT07 WAYDADI SUKARAME DR. MARINA, SP. PD RSUS
JL HANOMAN NO 1 RT 001 JAGA BAYA I DR. IMRON SP.PD RSUS
DUSUN 5 022/005 REJO ASRI SEPUTIH RAMAN DR. MAHARANI RSUS
DESA TALANG JAWA KEC MERBAU MATARAM DR. RIDHUAN IRAWAN SP.PD RSUS
JL RATU DIBALAU GG CEMPAKA 2 NO 99 WAY KANDIS DR. IMRON SP.PD RSUS
SINDANG KURNIA AGUNG RT.007 RW.003 DR. IMRON SP.PD RSUS
KOTA SEPANG JL.BERINGIN NO.66 SEPANG JAYA LABUHAN DR. HASMI MAHA SP.PD RSUS
RATU
JL P SINGKEP GG MERPATI NO 7 SUKARAME DR. IMRON SP.PD RSUS
JL.SRI KRESNA NO.70 KAMPUNG SAWAH BREBES DR. IMRON SP.PD RSUS
PERUM BLORA INDAH BLOK F NO.2 SEGALA MIDER TKP DR. M. IMAM RIFAI RSUS
JL TRIKORA LR ANTARA NO 2379 RT/RW 1/1 20 ILIR DR. MARINA, SP. PD RSUS
PALEMBANG
JL BUNGA AKASIA III BLOK 5E NO 17 RT 03 PERUMNAS WAY DR. RIDHUAN IRAWAN SP.PD RSUS
KANDIS
PERMATA BIRU BLOK AA9 NO 6 LK I RT 029 SUKARAME DR. MARINA, SP. PD RSUS
JL LENTANA NO,12 ENGGAL TANJUNG KARANG DR. IMRON SP.PD RSUS
SWADAYA 9 NO.6 GUNUNG TERANG DR. RIDHUAN IRAWAN SP.PD RSUS
SUKANEGARA TANJUNG BINTANG DR. RIDHUAN IRAWAN SP.PD RSUS
JL. AMIR HAMZAH NO.3 LK I GOTONG ROYONG DR. MELDA DASEPTA RSUS
KAMPUNG JAWA PMK 06 PESISIR TENGAH DR. PUTRI DWI KARTINI RSUS
JALAN PULAU BATAM RAYA NO.5 WAY HALIM PERMAI DR. RIDHUAN IRAWAN SP.PD RSUS
DUSUN 5 022/005 REJO ASRI SEPUTIH RAMAN DR. TEDDY WAHYUDIANTO RSUS
JL DIPONEGORO BLOK A NO 5 PRUMNAS GRIYA INDAH DR. MARINA, SP. PD RSUS
JL, D , TOWUTI NO 60 LK I RT 007 /- KEL SURABAYA KEC DR. IMRON SP.PD RSUS
KEDATON
No No.Resep Tgl.Penyer Nama Obat Qty Sat Nama Pasien
1 RS0317-000082 ahan
01/03/201 DUROGESIC MATRIX 12.5 MCG/H 2 PCS NURYANA, NY
2 RS0317-001965 7
02/03/201 DUROGESIC MATRIX 12.5 MCG/H 2 PCS MENSUPARTI.NY
3 RL0317-000143 7
03/03/201 DUROGESIC MATRIX 12.5 MCG/H 1 PCS TN.DEDI
4 RS0317-003440 7
04/03/201 DUROGESIC MATRIX 12.5 MCG/H 1 PCS INDRI MULYANI, NY
5 RS0317-003234 7
04/03/201 DUROGESIC MATRIX 12.5 MCG/H 1 PCS FITRIA KARTINERIS NY
6 RS0317-004170 7
05/03/201 DUROGESIC MATRIX 12.5 MCG/H 1 PCS DRA. SURIMAS, NY
7 RS0317-005305 7
06/03/201 DUROGESIC MATRIX 12.5 MCG/H 1 PCS RISTIANA, NY
8 RS0317-006883 7
07/03/201 DUROGESIC MATRIX 12.5 MCG/H 1 PCS HERWANSYAH, TN
9 RS0317-007500 7
08/03/201 DUROGESIC MATRIX 12.5 MCG/H 1 PCS DRA. SURIMAS, NY
10 RS0317-032379 7
31/03/201 DUROGESIC MATRIX 12.5 MCG/H 1 PCS HERIYADI DWI PURWANTO, TN
11 RS0317-032227 7
31/03/201 DUROGESIC MATRIX 12.5 MCG/H 2 PCS SITI SUPRIHATIN, NY
7
INDRA BANGSAWAN GG HI HASAN 003 /- RT 003 DR.BINTANG, SP.B (K) ONK RSUS
RAJABASA
LABUHAN DALAM TANJUNG SENANG DR. PAD DILANGGA SP.P RSUS
DR. NINA SP.P RSUS
JL BUKIT RIGIS BLOK A8 NO 10 BERINGIN JAYA DR. PUTU JUNITA P., SP.AN RSUS
KEMILING
BUKIT KEMILING PERMAI BLOK.T NO.175/FISIOTERAPI DR. PUTU JUNITA P., SP.AN RSUS
JL. CENGKEH UTARA V NO. 75 WAY HALIM DR. BUDI OKTA P, SP. AN RSUS
DESA NEGERI BARU KEC. BLAMBANGAN UMPU DR. PUTU JUNITA P., SP.AN RSUS
JLN APEL I GG RAMBUTAN NO 12 LK I 002 KEC DR. DIANA NUR ASRINI RSUS
SUKARAME
JL. CENGKEH UTARA V NO. 75 WAY HALIM DR.MONETA MAHA RSUS
JL DIPONEGORO BLOK A NO 5 PRUMNAS GRIYA INDAH DR. ERWANDI RSUS
DESA SILIWANGI RT 03/02 SIKOHARJO PREGSEWU DR. DINO RINALDY, SP.OG, RSUS
ONK
1 RS0317-004780 06/03/2017 DUROGESIC MATRIX 25 MCG/H 1 PCS EDY NUGROHO, TN
2 RS0317-005973 07/03/2017 DUROGESIC MATRIX 25 MCG/H 1 PCS MARYANTO,TN
4 RS0317-009948 10/03/2017 DUROGESIC MATRIX 25 MCG/H 1 PCS SYAHRIL SINJAR, TN
5 RS0317-010730 11/03/2017 DUROGESIC MATRIX 25 MCG/H 1 PCS ALBERTINA, NY
6 RS0317-011384 12/03/2017 DUROGESIC MATRIX 25 MCG/H 1 PCS DWI ENDANG OKTARIANI,NY
8 RS0317-014156 14/03/2017 DUROGESIC MATRIX 25 MCG/H 1 PCS BAMBANG IRAWAN, TN
9 RS0317-014126 14/03/2017 DUROGESIC MATRIX 25 MCG/H 4 PCS ROSYIDAH, NY
10 RS0317-015418 16/03/2017 DUROGESIC MATRIX 25 MCG/H 1 PCS SITI SUPRIHATIN, NY
11 RS0317-015910 16/03/2017 DUROGESIC MATRIX 25 MCG/H 1 PCS ROSYIDAH, NY
12 RS0317-016471 17/03/2017 DUROGESIC MATRIX 25 MCG/H 1 PCS YAHMADI TN
13 RS0317-017899 18/03/2017 DUROGESIC MATRIX 25 MCG/H 1 PCS TARA OKTAVIA DAMANIK, NN
14 RS0317-019400 20/03/2017 DUROGESIC MATRIX 25 MCG/H 1 PCS YULINA NY
16 RS0317-022604 23/03/2017 DUROGESIC MATRIX 25 MCG/H 1 PCS SURMADA MATSOHAN, NY
17 RS0317-023388 23/03/2017 DUROGESIC MATRIX 25 MCG/H 1 PCS NI WAYAN SURNI, NY
18 RS0317-022887 23/03/2017 DUROGESIC MATRIX 25 MCG/H 1 PCS TRI PUJI ASTUTI,NY
19 RS0317-024286 24/03/2017 DUROGESIC MATRIX 25 MCG/H 1 PCS MASTUR,TN
20 RS0317-025479 25/03/2017 DUROGESIC MATRIX 25 MCG/H 1 PCS ERNAWATI, NY
23 RS0317-025080 25/03/2017 DUROGESIC MATRIX 25 MCG/H 1 PCS RUBINEM, NY
24 RS0317-025520 25/03/2017 DUROGESIC MATRIX 25 MCG/H 1 PCS BADERI, TN
26 RS0317-025929 26/03/2017 DUROGESIC MATRIX 25 MCG/H 1 PCS RATMO, TN
28 RL0317-001478 27/03/2017 DUROGESIC MATRIX 25 MCG/H 2 PCS NY. SITI SUPRIHATIN
29 RS0317-028085 28/03/2017 DUROGESIC MATRIX 25 MCG/H 1 PCS SUNARTO.TN
31 RS0317-028451 28/03/2017 DUROGESIC MATRIX 25 MCG/H 1 PCS SUTI NINGSIH.NY
33 RS0317-029648 29/03/2017 DUROGESIC MATRIX 25 MCG/H 2 PCS ZUBAIDAH, NY
34 RS0317-031598 31/03/2017 DUROGESIC MATRIX 25 MCG/H 1 PCS SUNI MARIYA,NY
Alamat Nama Dokter Alamat
JL.TANGKUBAN PERAHU NO.39 LK I 013 KUPANG KOTA TELUK DR. ANDI SISWANDI, SP.B,.M.KES RSUS
BETUNG UTARA GANG SEDAP MALAM KUPANG TEBA
JL.MS.BATUBARA DR. IKRIZAL,SP.BU RSUS
JL.MS.BATUBARA GANG SEDAP MALAM KUPANG TEBA DR. IKRIZAL,SP.BU RSUS
JL NANGKA GG JAHRI NO 19 RATU LANGI DR. ANDI SISWANDI, SP.B,.M.KES RSUS
JL TERATAI NO 27 003/008 KELAPA TUJUH KOTABUMI SELATAN DR. TAUFIQURRAHMAN R SP. OG RSUS
KEBAGUSAN GEDONG TATAAN DR. IS YULIANTO SP. OG RSUS
JL.MS.BATUBARA GANG SEDAP MALAM KUPANG TEBA DR. DIANA NUR ASRINI RSUS
JL. RAJA BASA I BLOK.B NO.14 PRUMNAS WAI HALIM DR. ASRIZAL SPJ RSUS
PRINGSEWU UTARA RT 006/003 LK II DR.BINTANG, SP.B (K) ONK RSUS
DESA SILIWANGI RT 03/02 SIKOHARJO PREGSEWU DR. DINO RINALDY, SP.OG, ONK RSUS
PRINGSEWU UTARA RT 006/003 LK II DR. MELDA DASEPTA RSUS
JL. BADAK NO. 30 KEDATON DR. MARS DWI CAHYO SP.BU RSUS
JL. KAMBOJA I NO.1 ENGGAL DR. ASRIZAL SPJ RSUS
JL.DANAU TONDANO NO.01 KEDATON DR. HASMI MAHA SP.PD RSUS
JL NANGKA GG JAHRI NO 19 RATU LANGI DR. ANDI SISWANDI, SP.B,.M.KES RSUS
JL. HI, SAID NO.86 RT007 KOTA BARU DR. MARS DWI CAHYO SP.BU RSUS
DUSUN VI RT 020/006 RAMA MURTI SEPUTIH RAMAN DR. RA. HANI RSUS
PT.GGPC/JL. IKAN PAUS NO.20 T. BETUNG DR. SUHARSONO SP.S RSUS
NEGERI ULANGAN JAYA RT01/01 KEC NEGERI KATON DR. SUHARSONO SP.S RSUS
DESA WIJI MULYO PKN NGARIP ULU BELU DR. ASRIZAL SPJ RSUS
JL. HI, SAID NO.86 RT007 KOTA BARU DR. MARS DWI CAHYO SP.BU RSUS
JL NANGKA GG JAHRI NO 19 RATU LANGI DR. ADI NUGROHO SP.B (K)O RSUS
JL.RAJA TIHANG LK I TANJUNG SENANG DR. RIDHUAN IRAWAN SP.PD RSUS
JLN. P. KEMERDEKAAN NO 106 003/- TANJUNG RAYA TKT DR.RINALDI ADITYA ASRIZAL RSUS
JL. ROSELA BLOK R NO 2 KEMILING DR. RIDHUAN IRAWAN SP.PD RSUS
DR. NURHASANAH RSUS
DUSUN SOLEHUDDIN RT 020 RW 008 NEGERI SAKTI KEC,GEDONG DR. RIDHUAN IRAWAN SP.PD RSUS
TATAAN
JL. HI, SAID NO.86 RT007 KOTA BARU DR. ERWANDI RSUS
DUSUN 2. BANDAR SURABAYA BARU DR. MARS DWI CAHYO SP.BU RSUS
JL IKAN SEAPT NO 13 LK V RT 01/02 TBS DR. HASMI MAHA SP.PD RSUS
JL.SEMINU NO.16 KOTA METRO DR. SUHARSONO SP.S RSUS
Keterangan
1 RS0317-000861 01/03/2017 FENTANYL 2 ML INJ 1 AMP NGADIRAH, NY
2 RS0317-000035 01/03/2017 FENTANYL 2 ML INJ 1 AMP SURADI, TN
3 RS0317-000050 01/03/2017 FENTANYL 2 ML INJ 1 AMP SAMINEM, NY
4 RS0317-000409 01/03/2017 FENTANYL 2 ML INJ 1 AMP SUKAT, TN
5 RS0317-001324 02/03/2017 FENTANYL 2 ML INJ 1 AMP DINA SEPTIARRESTU, SH.M.KN, NY
6 RS0317-001744 02/03/2017 FENTANYL 2 ML INJ 1 AMP ARIFIN, TN
7 RS0317-001106 02/03/2017 FENTANYL 2 ML INJ 1 AMP YULIA ROSSI. DR. NY
8 RS0317-001532 02/03/2017 FENTANYL 2 ML INJ 3 AMP SRI SULASWORO, NY
9 RS0317-001331 02/03/2017 FENTANYL 2 ML INJ 1 AMP LAGINAH, NY
10 RS0317-001265 02/03/2017 FENTANYL 2 ML INJ 1 AMP LIMAS HADIJAH.NY
11 RS0317-002185 03/03/2017 FENTANYL 2 ML INJ 1 AMP BRYAN TIO LAZUARDI, SDR
12 RS0317-002422 03/03/2017 FENTANYL 2 ML INJ 1 AMP YUDO YUWONO, TN
13 RS0317-002436 03/03/2017 FENTANYL 2 ML INJ 1 AMP MARETA HENI, NY
14 RS0317-002472 03/03/2017 FENTANYL 2 ML INJ 1 AMP SETIARSO,TN
15 RS0317-002069 03/03/2017 FENTANYL 2 ML INJ 1 AMP WIWIK SRI WIJAWATI, NY
16 RS0317-002899 03/03/2017 FENTANYL 2 ML INJ 1 AMP FERLY NURMAYASARI, NY
17 RS0317-003896 04/03/2017 FENTANYL 2 ML INJ 1 AMP BASIR TN
18 RS0317-003234 04/03/2017 FENTANYL 2 ML INJ 1 AMP FITRIA KARTINERIS NY
19 RS0317-003779 04/03/2017 FENTANYL 2 ML INJ 1 AMP DESY MUGI HERYANTI.DR
20 RS0317-003207 04/03/2017 FENTANYL 2 ML INJ 1 AMP JUMINTO ,TN
21 RS0317-003546 04/03/2017 FENTANYL 2 ML INJ 1 AMP SUTRISNO, TN
22 RS0317-003579 04/03/2017 FENTANYL 2 ML INJ 1 AMP NGATIYAH NY
23 RS0317-003530 04/03/2017 FENTANYL 2 ML INJ 1 AMP ABELLIA SOFIA ANASTASYA. AN
24 RS0317-003824 04/03/2017 FENTANYL 2 ML INJ 1 AMP SUGINI, NY
25 RS0317-003465 04/03/2017 FENTANYL 2 ML INJ 1 AMP MUHAMMAD FATIH DHIYA WADI,AN
26 RS0317-003052 04/03/2017 FENTANYL 2 ML INJ 1 AMP SRI WAHYUNI, NY
27 RS0317-003626 04/03/2017 FENTANYL 2 ML INJ 1 AMP ABDUL ROHMAN, TN
28 RS0317-003593 04/03/2017 FENTANYL 2 ML INJ 1 AMP LUTFI ZUZENDI.TN
29 RS0317-003357 04/03/2017 FENTANYL 2 ML INJ 1 AMP HERI PRANATA
30 RS0317-004219 05/03/2017 FENTANYL 2 ML INJ 1 AMP MELINA PUTRI AHMAD, NN
31 RS0317-004607 05/03/2017 FENTANYL 2 ML INJ 2 AMP TATIEK HARININGSIH, NY
32 RS0317-004262 05/03/2017 FENTANYL 2 ML INJ 1 AMP SUNARYO.TN
33 RS0317-004486 05/03/2017 FENTANYL 2 ML INJ 1 AMP M. RAKA SAID ASEGAF, AN
34 RS0317-005581 06/03/2017 FENTANYL 2 ML INJ 1 AMP EDI EFENDI.TN
35 RS0317-005631 06/03/2017 FENTANYL 2 ML INJ 1 AMP MUTMAINAH NY
36 RS0317-005410 06/03/2017 FENTANYL 2 ML INJ 1 AMP HJ.RUHIAH, NY
37 RS0317-005446 06/03/2017 FENTANYL 2 ML INJ 1 AMP AMIRUDIN SATTARI, SDR
38 RS0317-004920 06/03/2017 FENTANYL 2 ML INJ 1 AMP ITA MURYANI , NY
39 RS0317-005184 06/03/2017 FENTANYL 2 ML INJ 1 AMP AHMAD BUHARI, TN
40 RS0317-005463 06/03/2017 FENTANYL 2 ML INJ 1 AMP NINA SURYANI.NN
41 RS0317-005854 06/03/2017 FENTANYL 2 ML INJ 1 AMP NURLINA, NY
42 RS0317-005269 06/03/2017 FENTANYL 2 ML INJ 1 AMP DIANA SETYAWATI, NY
43 RS0317-005256 06/03/2017 FENTANYL 2 ML INJ 1 AMP LEKOK MARWANI, NY
44 RS0317-005340 06/03/2017 FENTANYL 2 ML INJ 1 AMP RISKA AYU TRISWADANI, NN
45 RS0317-005722 06/03/2017 FENTANYL 2 ML INJ 1 AMP CITRA KESUMA YENI, NN
46 RS0317-005357 06/03/2017 FENTANYL 2 ML INJ 1 AMP TIRTA JAKA BUANA.SDR
47 RS0317-006727 07/03/2017 FENTANYL 2 ML INJ 1 AMP WILMAR RITONGA, TN
48 RS0317-005917 07/03/2017 FENTANYL 2 ML INJ 1 AMP FAKHIRA GAZA ADZKIA, AN
49 RS0317-006781 07/03/2017 FENTANYL 2 ML INJ 1 AMP RISA ALLIYAH SARI, NY
50 RS0317-005930 07/03/2017 FENTANYL 2 ML INJ 1 AMP YESI SAFITRI, NN
51 RS0317-006225 07/03/2017 FENTANYL 2 ML INJ 1 AMP WARDIYAH TRISNA NINGSIH, NN
52 RS0317-006715 07/03/2017 FENTANYL 2 ML INJ 3 AMP SRI SULASWORO, NY
53 RS0317-006332 07/03/2017 FENTANYL 2 ML INJ 1 AMP M FARRAS YUSLIH, AN
54 RS0317-006559 07/03/2017 FENTANYL 2 ML INJ 1 AMP ADE PERMADI, TN
55 RS0317-006869 07/03/2017 FENTANYL 2 ML INJ 1 AMP SARINAH, NN
56 RS0317-006536 07/03/2017 FENTANYL 2 ML INJ 1 AMP DEWI SERTI S, NN
57 RS0317-007956 08/03/2017 FENTANYL 2 ML INJ 1 AMP SAGIMIN, TN
58 RS0317-007686 08/03/2017 FENTANYL 2 ML INJ 1 AMP SABRINA OKTRIANI, NN
59 RS0317-007397 08/03/2017 FENTANYL 2 ML INJ 1 AMP MUSLANI, SDR
60 RS0317-007693 08/03/2017 FENTANYL 2 ML INJ 1 AMP TATI KURNIATI, NY
61 RS0317-007958 08/03/2017 FENTANYL 2 ML INJ 1 AMP DESI SEPRIANTI, NY
62 RS0317-007260 08/03/2017 FENTANYL 2 ML INJ 1 AMP HUMAM RICKY YAMURA , TN
63 RS0317-007600 08/03/2017 FENTANYL 2 ML INJ 1 AMP ANGGI NILAM SARI, AN
64 RS0317-007957 08/03/2017 FENTANYL 2 ML INJ 1 AMP LALAS NURMALASARI,NY
65 RS0317-007776 08/03/2017 FENTANYL 2 ML INJ 1 AMP SATEM, NY
66 RS0317-007091 08/03/2017 FENTANYL 2 ML INJ 1 AMP NONA.NY
67 RS0317-007688 08/03/2017 FENTANYL 2 ML INJ 1 AMP DIAN TRISNAWATI, NY
68 RS0317-007585 08/03/2017 FENTANYL 2 ML INJ 1 AMP ALYA MUKHBITA SYAFIRA,AN
69 RS0317-007088 08/03/2017 FENTANYL 2 ML INJ 1 AMP MISDAR, TN
70 RS0317-007018 08/03/2017 FENTANYL 2 ML INJ 1 AMP AGUSTINUS , TN
71 RS0317-008401 09/03/2017 FENTANYL 2 ML INJ 1 AMP ANDY SUBAGIO, SDR
72 RS0317-008173 09/03/2017 FENTANYL 2 ML INJ 1 AMP YUNUS.TN
73 RS0317-008092 09/03/2017 FENTANYL 2 ML INJ 1 AMP MIFTA TURHAMUM,TN
74 RS0317-008181 09/03/2017 FENTANYL 2 ML INJ 1 AMP YUNUS.TN
75 RS0317-008879 09/03/2017 FENTANYL 2 ML INJ 1 AMP KIKI ANANDA, NN
76 RS0317-008177 09/03/2017 FENTANYL 2 ML INJ 1 AMP RIKA CAHAYA, NY
77 RS0317-008905 09/03/2017 FENTANYL 2 ML INJ 1 AMP DWI RATNA SARI, NN
78 RS0317-008895 09/03/2017 FENTANYL 2 ML INJ 1 AMP TRI DEWA MAHENDRA SAYIH, SDR
79 RS0317-008759 09/03/2017 FENTANYL 2 ML INJ 1 AMP EVA AFRESIA, NY
80 RS0317-008180 09/03/2017 FENTANYL 2 ML INJ 1 AMP RIKA CAHAYA, NY
81 RS0317-010142 10/03/2017 FENTANYL 2 ML INJ 1 AMP MARNI.NY
82 RS0317-009129 10/03/2017 FENTANYL 2 ML INJ 1 AMP JUMINI, NY
83 RS0317-009585 10/03/2017 FENTANYL 2 ML INJ 1 AMP SUNARTI, NY
84 RS0317-009672 10/03/2017 FENTANYL 2 ML INJ 1 AMP ARFINI SUPTIANDARI, NY
85 RS0317-009124 10/03/2017 FENTANYL 2 ML INJ 1 AMP WATINEM, NY
86 RS0317-010166 10/03/2017 FENTANYL 2 ML INJ 1 AMP RIZA LAILATUL MUHALIMAH, NN
87 RS0317-009081 10/03/2017 FENTANYL 2 ML INJ 1 AMP TUTIK MUJIATI, NY
88 RS0317-009795 10/03/2017 FENTANYL 2 ML INJ 1 AMP ALBERTINA, NY
89 RS0317-009125 10/03/2017 FENTANYL 2 ML INJ 1 AMP MISRAN, TN
90 RS0317-009824 10/03/2017 FENTANYL 2 ML INJ 1 AMP JOKO SARWONO.TN
91 RS0317-009296 10/03/2017 FENTANYL 2 ML INJ 1 AMP RENDI REZA ADITIYA, SDR
92 RS0317-010787 11/03/2017 FENTANYL 2 ML INJ 1 AMP M ILYASTN
93 RS0317-010881 11/03/2017 FENTANYL 2 ML INJ 1 AMP ASRUL YULIAN, SDR
94 RS0317-010682 11/03/2017 FENTANYL 2 ML INJ 1 AMP DAPARI TUA NAIBAHO,TN
95 RS0317-010691 11/03/2017 FENTANYL 2 ML INJ 1 AMP DAPARI TUA NAIBAHO,TN
96 RS0317-010895 11/03/2017 FENTANYL 2 ML INJ 1 AMP AHYAN, TN
97 RS0317-010875 11/03/2017 FENTANYL 2 ML INJ 1 AMP HARIYATI,NY
98 RS0317-011837 12/03/2017 FENTANYL 2 ML INJ 1 AMP SUGENG SEDAYU, AN
99 RS0317-011843 12/03/2017 FENTANYL 2 ML INJ 1 AMP YUDI YANTO, SDR
100 RS0317-012666 13/03/2017 FENTANYL 2 ML INJ 1 AMP ITOK, TN
101 RS0317-012228 13/03/2017 FENTANYL 2 ML INJ 1 AMP ALFAN SA'ADA SETIAWAN, AN
102 RS0317-012700 13/03/2017 FENTANYL 2 ML INJ 1 AMP REGINA BIZANTYYA.BY
103 RS0317-012596 13/03/2017 FENTANYL 2 ML INJ 1 AMP BASIR,TN
104 RS0317-012267 13/03/2017 FENTANYL 2 ML INJ 1 AMP MUBASIR DARMA,TN
105 RS0317-012226 13/03/2017 FENTANYL 2 ML INJ 1 AMP M.TAUFIK HIDAYAT.TN
106 RS0317-013029 13/03/2017 FENTANYL 2 ML INJ 1 AMP ROSITA. NY
107 RS0317-012692 13/03/2017 FENTANYL 2 ML INJ 1 AMP SUBANDI.TN
108 RS0317-012759 13/03/2017 FENTANYL 2 ML INJ 1 AMP DEWI KUSTIATI.NY
109 RS0317-013028 13/03/2017 FENTANYL 2 ML INJ 1 AMP SUHANDA, TN
110 RS0317-012164 13/03/2017 FENTANYL 2 ML INJ 1 AMP RETNO MUTIYAH, NN
111 RS0317-013669 14/03/2017 FENTANYL 2 ML INJ 1 AMP ALIMUDDIN SYAHRI.TN
112 RS0317-013973 14/03/2017 FENTANYL 2 ML INJ 1 AMP PAN SIPEN, TN
113 RS0317-013307 14/03/2017 FENTANYL 2 ML INJ 1 AMP PURWANTO.TN
114 RS0317-013907 14/03/2017 FENTANYL 2 ML INJ 1 AMP SUBIANTORO, TN
115 RS0317-014133 14/03/2017 FENTANYL 2 ML INJ 1 AMP INAWATI.NY
116 RS0317-014259 14/03/2017 FENTANYL 2 ML INJ 1 AMP NURLINA, NY
117 RS0317-013520 14/03/2017 FENTANYL 2 ML INJ 1 AMP SANTOSO. TN
118 RS0317-013512 14/03/2017 FENTANYL 2 ML INJ 1 AMP IRMA PUSPITA SARI NY
119 RS0317-013814 14/03/2017 FENTANYL 2 ML INJ 1 AMP MUKHSIN , TN
120 RS0317-014191 14/03/2017 FENTANYL 2 ML INJ 1 AMP SAFIAH, NY
121 RS0317-013808 14/03/2017 FENTANYL 2 ML INJ 1 AMP RIZKI INTAN PERDANU, NN
122 RS0317-013754 14/03/2017 FENTANYL 2 ML INJ 1 AMP ASRIYADI, TN
123 RS0317-013213 14/03/2017 FENTANYL 2 ML INJ 1 AMP SUGIARTI, NY
124 RS0317-013856 14/03/2017 FENTANYL 2 ML INJ 1 AMP SUDARNO, TN
125 RS0317-015146 15/03/2017 FENTANYL 2 ML INJ 1 AMP M.GILANG ALFATIH, AN
126 RS0317-014394 15/03/2017 FENTANYL 2 ML INJ 1 AMP APRIANA, NN
127 RS0317-014891 15/03/2017 FENTANYL 2 ML INJ 1 AMP RISANDI KUSWARA.SDR
128 RS0317-015159 15/03/2017 FENTANYL 2 ML INJ 1 AMP SUHAROSO,TN
129 RS0317-014935 15/03/2017 FENTANYL 2 ML INJ 1 AMP SAKEUS SITEPU, TN
130 RS0317-015284 15/03/2017 FENTANYL 2 ML INJ 1 AMP SRI BANON, NY
131 RS0317-014343 15/03/2017 FENTANYL 2 ML INJ 1 AMP ISTYARINI, NY
132 RS0317-014339 15/03/2017 FENTANYL 2 ML INJ 1 AMP SAKIMAN, TN
133 RS0317-014590 15/03/2017 FENTANYL 2 ML INJ 1 AMP HINDUN HAYANA, NY
134 RS0317-014392 15/03/2017 FENTANYL 2 ML INJ 1 AMP WAHYU PRIYONO, TN
135 RS0317-014509 15/03/2017 FENTANYL 2 ML INJ 1 AMP SUJARWANTO, TN
136 RS0317-014360 15/03/2017 FENTANYL 2 ML INJ 1 AMP SRI SUWARTINI, NY
137 RS0317-014396 15/03/2017 FENTANYL 2 ML INJ 1 AMP SRIYUNA, NY
138 RS0317-014777 15/03/2017 FENTANYL 2 ML INJ 1 AMP FERDIAN TRISTIANTO. TN
139 RS0317-015331 15/03/2017 FENTANYL 2 ML INJ 1 AMP ROBERT MANIK, TN
140 RS0317-015591 16/03/2017 FENTANYL 2 ML INJ 1 AMP YURDIANZA.NY
141 RS0317-015866 16/03/2017 FENTANYL 2 ML INJ 1 AMP HJ. SUPROH, NY
142 RS0317-016299 16/03/2017 FENTANYL 2 ML INJ 1 AMP MULYATI, NY
143 RS0317-016123 16/03/2017 FENTANYL 2 ML INJ 1 AMP KADEK ARYATI, NY
144 RS0317-015933 16/03/2017 FENTANYL 2 ML INJ 1 AMP HERMAN, TN
145 RS0317-015460 16/03/2017 FENTANYL 2 ML INJ 1 AMP JAMILAH, NY
146 RS0317-015593 16/03/2017 FENTANYL 2 ML INJ 1 AMP ALFAN SA'ADA SETIAWAN, AN
147 RS0317-015983 16/03/2017 FENTANYL 2 ML INJ 1 AMP WARSONO, TN
148 RS0317-016195 16/03/2017 FENTANYL 2 ML INJ 1 AMP SUSANTI, NY
149 RS0317-015857 16/03/2017 FENTANYL 2 ML INJ 1 AMP UMIN CAHYA, TN
150 RS0317-016390 16/03/2017 FENTANYL 2 ML INJ 1 AMP NURLETI, NY
151 RS0317-015858 16/03/2017 FENTANYL 2 ML INJ 1 AMP SHINTA RAFIKA DEWI, NY
152 RS0317-015454 16/03/2017 FENTANYL 2 ML INJ 1 AMP SULAIMAN , TN
153 RS0317-016196 16/03/2017 FENTANYL 2 ML INJ 1 AMP NIKO PUTRA WIJAYA, AN
154 RS0317-015444 16/03/2017 FENTANYL 2 ML INJ 1 AMP FAUZI . TN
155 RS0317-016495 17/03/2017 FENTANYL 2 ML INJ 1 AMP JOKO PRANOTO, SDR
156 RS0317-016499 17/03/2017 FENTANYL 2 ML INJ 1 AMP HJ.SUTIAH,NY
157 RS0317-016515 17/03/2017 FENTANYL 2 ML INJ 1 AMP SITI ZUBAIDAH ,NY
158 RS0317-017386 17/03/2017 FENTANYL 2 ML INJ 1 AMP MIFTA TURHAMUM,TN
159 RS0317-017006 17/03/2017 FENTANYL 2 ML INJ 1 AMP RAJUDIN, TN
160 RS0317-017309 17/03/2017 FENTANYL 2 ML INJ 1 AMP ARIYANTO, TN
161 RS0317-017382 17/03/2017 FENTANYL 2 ML INJ 1 AMP SAHID , TN
162 RS0317-016954 17/03/2017 FENTANYL 2 ML INJ 1 AMP M.FAHRI FADIL.AN
163 RS0317-017241 17/03/2017 FENTANYL 2 ML INJ 1 AMP KETUT RIYANI NN
164 RS0317-017407 17/03/2017 FENTANYL 2 ML INJ 1 AMP AHMAD MUSTAFA , TN
165 RS0317-016439 17/03/2017 FENTANYL 2 ML INJ 1 AMP SULASMIYATI, NY
166 RS0317-016802 17/03/2017 FENTANYL 2 ML INJ 1 AMP ASMUNI, TN
167 RS0317-017432 17/03/2017 FENTANYL 2 ML INJ 1 AMP RASIYO, TN
168 RS0317-016492 17/03/2017 FENTANYL 2 ML INJ 1 AMP SUHARLIK, NY
169 RS0317-017443 17/03/2017 FENTANYL 2 ML INJ 1 AMP EDUAR PANGARIBUAN, SDR
170 RS0317-018137 18/03/2017 FENTANYL 2 ML INJ 1 AMP ASEP, SDR
171 RS0317-017999 18/03/2017 FENTANYL 2 ML INJ 1 AMP SUCIPTO, TN
172 RS0317-018419 18/03/2017 FENTANYL 2 ML INJ 1 AMP YUSNI , NY
173 RS0317-018187 18/03/2017 FENTANYL 2 ML INJ 1 AMP LUKMAN NUL HAKIM,TN
174 RS0317-018508 19/03/2017 FENTANYL 2 ML INJ 1 AMP WARSA,TN
175 RS0317-018510 19/03/2017 FENTANYL 2 ML INJ 1 AMP YUDO YUWONO, TN
176 RS0317-018665 19/03/2017 FENTANYL 2 ML INJ 1 AMP CORY FARLINTHIN, NY
177 RS0317-018722 19/03/2017 FENTANYL 2 ML INJ 1 AMP ADILA LULU PRATIWI. NN
178 RS0317-020237 20/03/2017 FENTANYL 2 ML INJ 1 AMP MARSIYEM, NY
179 RS0317-019404 20/03/2017 FENTANYL 2 ML INJ 1 AMP PUJIADI, TN
180 RS0317-020236 20/03/2017 FENTANYL 2 ML INJ 1 AMP MUHAMAD ABDUL FIKRI.AN
181 RS0317-020272 20/03/2017 FENTANYL 2 ML INJ 1 AMP TRIYANTO, TN
182 RS0317-020928 21/03/2017 FENTANYL 2 ML INJ 1 AMP ROSMITA, NN
183 RS0317-021035 21/03/2017 FENTANYL 2 ML INJ 1 AMP DANDI TRI KURNIAWAN.SDR
184 RS0317-020665 21/03/2017 FENTANYL 2 ML INJ 1 AMP AHMAD DHANI, SDR
185 RS0317-020645 21/03/2017 FENTANYL 2 ML INJ 1 AMP DRG. TITIK SUARNI MEIZAWATI, NY
186 RS0317-020487 21/03/2017 FENTANYL 2 ML INJ 1 AMP SURANTO, TN
187 RS0317-021310 21/03/2017 FENTANYL 2 ML INJ 1 AMP ASPARIAH, NY
188 RS0317-021391 21/03/2017 FENTANYL 2 ML INJ 1 AMP EKA PUTRA. TN
189 RS0317-020935 21/03/2017 FENTANYL 2 ML INJ 1 AMP M. HAZAIRIN, TN
190 RS0317-021309 21/03/2017 FENTANYL 2 ML INJ 1 AMP SITI NURLELA, NY
191 RS0317-022329 22/03/2017 FENTANYL 2 ML INJ 1 AMP KILAT NURWINDO. TN
192 RS0317-021538 22/03/2017 FENTANYL 2 ML INJ 1 AMP HERU, TN
193 RS0317-022109 22/03/2017 FENTANYL 2 ML INJ 1 AMP DEVI NARMIYANTI. NN
194 RS0317-022152 22/03/2017 FENTANYL 2 ML INJ 1 AMP HASNUL YADI TN
195 RS0317-022214 22/03/2017 FENTANYL 2 ML INJ 1 AMP CITRA, NN
196 RS0317-022006 22/03/2017 FENTANYL 2 ML INJ 1 AMP MUKH MISHADI ,TN
197 RS0317-021486 22/03/2017 FENTANYL 2 ML INJ 1 AMP YULIYAN, SDR
198 RS0317-022180 22/03/2017 FENTANYL 2 ML INJ 1 AMP SUKARDI, TN
199 RS0317-022297 22/03/2017 FENTANYL 2 ML INJ 1 AMP SARTINI, NY
200 RS0317-022304 22/03/2017 FENTANYL 2 ML INJ 1 AMP PUTRI MEKAR ARUM. NN
201 RS0317-022332 22/03/2017 FENTANYL 2 ML INJ 1 AMP UTI UTARI, NN
202 RS0317-021537 22/03/2017 FENTANYL 2 ML INJ 1 AMP LENNY MAYASARI, NY
203 RS0317-022530 23/03/2017 FENTANYL 2 ML INJ 1 AMP BAGAS, SDR
204 RS0317-022570 23/03/2017 FENTANYL 2 ML INJ 1 AMP KASIH, NY
205 RS0317-022594 23/03/2017 FENTANYL 2 ML INJ 1 AMP SRI LESTARI , NY
206 RS0317-024318 24/03/2017 FENTANYL 2 ML INJ 1 AMP YOGI SABRI SANDIKA, SDR
207 RS0317-024425 24/03/2017 FENTANYL 2 ML INJ 1 AMP KAMILAH, NY
208 RS0317-024625 24/03/2017 FENTANYL 2 ML INJ 1 AMP SYARIFUDIN.TN
209 RS0317-024026 24/03/2017 FENTANYL 2 ML INJ 1 AMP FAHRI RIFKI AZIZ, AN
210 RS0317-025171 25/03/2017 FENTANYL 2 ML INJ 1 AMP BULAN PUSPITASARI, NY
211 RS0317-025187 25/03/2017 FENTANYL 2 ML INJ 1 AMP ARUM TRI RAHAYU, NN
212 RS0317-025369 25/03/2017 FENTANYL 2 ML INJ 1 AMP SRI HARTATI, NY
213 RS0317-025026 25/03/2017 FENTANYL 2 ML INJ 1 AMP INDAH KURNIA SARI, NN
214 RS0317-024857 25/03/2017 FENTANYL 2 ML INJ 1 AMP BASTIAR, AN
215 RS0317-025147 25/03/2017 FENTANYL 2 ML INJ 1 AMP DEL PIPO.AN
216 RS0317-025025 25/03/2017 FENTANYL 2 ML INJ 1 AMP M. APID, TN
217 RS0317-025082 25/03/2017 FENTANYL 2 ML INJ 1 AMP IZZA LUTFI, AN
218 RS0317-025089 25/03/2017 FENTANYL 2 ML INJ 1 AMP DESTA DWI PRATIWI, NY
219 RS0317-025109 25/03/2017 FENTANYL 2 ML INJ 1 AMP CHANDRA NOVANGKA, TN
220 RS0317-025747 26/03/2017 FENTANYL 2 ML INJ 1 AMP MUGIONO, TN
221 RS0317-025717 26/03/2017 FENTANYL 2 ML INJ 1 AMP SLAMET.TN
222 RS0317-025745 26/03/2017 FENTANYL 2 ML INJ 1 AMP MUGIONO, TN
223 RS0317-025686 26/03/2017 FENTANYL 2 ML INJ 1 AMP ZAINI IBRAHIM ,TN
224 RS0317-025741 26/03/2017 FENTANYL 2 ML INJ 1 AMP M.IDRIS,TN
225 RS0317-025744 26/03/2017 FENTANYL 2 ML INJ 1 AMP DJUNAIDI TAMIN /JUMANTORO
226 RS0317-025707 26/03/2017 FENTANYL 2 ML INJ 1 AMP DHIAN RAMADHAN, AN
227 RS0317-026330 26/03/2017 FENTANYL 2 ML INJ 1 AMP MUHAMMAD ADLI, AN
228 RS0317-025736 26/03/2017 FENTANYL 2 ML INJ 1 AMP SUTI NINGSIH.NY
229 RS0317-027124 27/03/2017 FENTANYL 2 ML INJ 1 AMP SARTIKA MARTINA, NY
230 RS0317-026694 27/03/2017 FENTANYL 2 ML INJ 1 AMP NIKEISHA FARAH AQUINA, AN
231 RS0317-027283 27/03/2017 FENTANYL 2 ML INJ 1 AMP SITI NURFADILA , NY
232 RS0317-027347 27/03/2017 FENTANYL 2 ML INJ 1 AMP SUSANTO NEGORO, SDR
233 RS0317-027282 27/03/2017 FENTANYL 2 ML INJ 1 AMP EVITA HERSA ADHELLIAMEISYA.P.NN
234 RS0317-027695 27/03/2017 FENTANYL 2 ML INJ 1 AMP SUWARNI, NY
235 RS0317-027332 27/03/2017 FENTANYL 2 ML INJ 1 AMP INDRI KAYLA PUTRI, AN
236 RS0317-027176 27/03/2017 FENTANYL 2 ML INJ 1 AMP SUMARNI ,NN
237 RS0317-027492 27/03/2017 FENTANYL 2 ML INJ 1 AMP ROSLINA MELIANIDA, NY
238 RS0317-027031 27/03/2017 FENTANYL 2 ML INJ 1 AMP SOEIN SURI, NY
239 RS0317-027123 27/03/2017 FENTANYL 2 ML INJ 1 AMP ANDIKA CHANDRA, AN
240 RS0317-027884 28/03/2017 FENTANYL 2 ML INJ 1 AMP GHEO RADITYA MILANO. AN
241 RS0317-028139 28/03/2017 FENTANYL 2 ML INJ 1 AMP ARYOBI CARLO, SDR
242 RL0317-001527 28/03/2017 FENTANYL 2 ML INJ 2 AMP RSIA BELEZZA
243 RS0317-028177 28/03/2017 FENTANYL 2 ML INJ 1 AMP RAMBAT PURNOMO , TN
244 RS0317-028335 28/03/2017 FENTANYL 2 ML INJ 1 AMP SYAHRIL.TN
245 RS0317-028068 28/03/2017 FENTANYL 2 ML INJ 1 AMP ABDUL MALIK, SDR
246 RS0317-029409 29/03/2017 FENTANYL 2 ML INJ 1 AMP YUNIAR, NY
247 RS0317-028972 29/03/2017 FENTANYL 2 ML INJ 1 AMP WIDIYANTI, NY
248 RS0317-029066 29/03/2017 FENTANYL 2 ML INJ 1 AMP FARIDA ARYANI,NY
249 RS0317-029848 29/03/2017 FENTANYL 2 ML INJ 1 AMP FITRI YANTI NN
250 RS0317-029958 29/03/2017 FENTANYL 2 ML INJ 1 AMP KEMALA IKA PUSPITA HATI, NY
251 RS0317-029957 29/03/2017 FENTANYL 2 ML INJ 1 AMP HAFNI SYAHRAH.NY
252 RS0317-029812 29/03/2017 FENTANYL 2 ML INJ 1 AMP KRISTINA MAYDRIYANI, NY
253 RS0317-030930 30/03/2017 FENTANYL 2 ML INJ 1 AMP WISNU BAIHAKI, SDR
254 RS0317-030814 30/03/2017 FENTANYL 2 ML INJ 1 AMP ELSHIFA RAHMADANI, AN
255 RS0317-030719 30/03/2017 FENTANYL 2 ML INJ 1 AMP ANDRIYANI, NY
256 RS0317-030111 30/03/2017 FENTANYL 2 ML INJ 1 AMP E. HARYATI. NY
257 RS0317-030194 30/03/2017 FENTANYL 2 ML INJ 1 AMP KETUT RIYANI NN
258 RS0317-030741 30/03/2017 FENTANYL 2 ML INJ 1 AMP RUKIYAH, NY
259 RS0317-029991 30/03/2017 FENTANYL 2 ML INJ 1 AMP AHMAD NAZALI. TN
260 RS0317-030107 30/03/2017 FENTANYL 2 ML INJ 1 AMP SITI AMINAH.NY
261 RS0317-031792 31/03/2017 FENTANYL 2 ML INJ 1 AMP RONY LESMANA, SDR
262 RS0317-031325 31/03/2017 FENTANYL 2 ML INJ 1 AMP SUYANTI, NY
263 RS0317-032345 31/03/2017 FENTANYL 2 ML INJ 1 AMP M.FAUZAN.AN
264 RS0317-032347 31/03/2017 FENTANYL 2 ML INJ 1 AMP ANDRI SISWANTO, TN
265 RS0317-032230 31/03/2017 FENTANYL 2 ML INJ 1 AMP TANTOWI, TN
266 RS0317-032254 31/03/2017 FENTANYL 2 ML INJ 1 AMP MAHESA RONALD PUTRA PRIYANTO,
267 RS0317-031826 31/03/2017 FENTANYL 2 ML INJ 1 AMP AN
TOPAN, TN
268 RS0317-031545 31/03/2017 FENTANYL 2 ML INJ 1 AMP YUNITA PATRICIA, NY
Alamat Nama Dokter Alamat
JLN. P. SANGIANG LK I 005/- SUKARAME DR. PUTU JUNITA P., SP.AN RSUS
PUJI RAHAYU 001 RT 002 KEL PUJI RAHAYU KEC MERBAU MATARAM DR. PUTU JUNITA P., SP.AN RSUS
KB ILIR RT 003 KOTA BUMI DR. PUTU JUNITA P., SP.AN RSUS
KALI PAPAN RT/RW 02/014 NEGERI AGUNG DR. PUTU JUNITA P., SP.AN RSUS
JL.WOLTER MONGONSIDI NO.164 PENGAJARAN TELUK BETUNG DR. BUDI OKTA P, SP. AN RSUS
UTARA
GUNUNG SANGKARAN BLAMBANGAN UMPU DR. BUDI OKTA P, SP. AN RSUS
JL.NUSANTARA KOMP P.PUJANGGA ALAM GARDENRSUS DR. BUDI OKTA P, SP. AN RSUS
JL. BUMI MANTI GG.SALAK II NO.47 KAMPUNG BARU DR.RINALDI ADITYA ASRIZAL RSUS
DUSUN MULYO BAKTI DUSUSN 01/03 BAWANG PUNDUH PIDADA DR. BUDI OKTA P, SP. AN RSUS
TOTOKATON RT 028/010 KEL/.ADIPURO KEC.TRIMURJO DR. BUDI OKTA P, SP. AN RSUS
JL. KS TUBUN NO 38 RAWA LAUT DR. PUTU JUNITA P., SP.AN RSUS
DS SUKA NEGARA TANJUNG BINTANG DR. PUTU JUNITA P., SP.AN RSUS
JL.PADJAJARAN NO.2 JAGA BAYA 2 DR. ADI GUNAWAN RSUS
SAMBI REJO 07/01 DS TELOGO HARJO WONOGIRI DR. PUTU JUNITA P., SP.AN RSUS
DUSUN IV SUMBER JAYA KEC JATI AGUNG DR. BUDI OKTA P, SP. AN RSUS
BUMI HARJO BUMI KENCANA SEPUTIH AGUNG DR. INDRA FAISAL, SP. AN RSUS
TIGA JAYA RT 001/001 SEKINCAU DR. INDRA FAISAL, SP. AN RSUS
BUKIT KEMILING PERMAI BLOK.T NO.175/FISIOTERAPI DR. PUTU JUNITA P., SP.AN RSUS
RSUS DR. INDRA FAISAL, SP. AN RSUS
MOJOKERTO RT/RW 015/014 PADANG RATU DR. PUTU JUNITA P., SP.AN RSUS
KARANG ENDAH RT 34 RW 36 TERBANGGI BESAR DR. PUTU JUNITA P., SP.AN RSUS
TUGUSARI RT 004/002 HALANGAN RATU NEGERI KATON DR. PUTU JUNITA P., SP.AN RSUS
DUSUN SIDOHARJO I 014/ 005 NEGARA RATU NATAR DR. PUTU JUNITA P., SP.AN RSUS
MONO SARI RT 011 PEKALONGAN DR. INDRA FAISAL, SP. AN RSUS
SERDANG RT03/04 KEC TANJUNG BINTANG DR. BUDI OKTA P, SP. AN RSUS
PENAWAR REJO BANJAR MARGO TULANG BAWANG DR. INDRA FAISAL, SP. AN RSUS
SUKAJAYA 01 / 001 SUKAJAYA KEC ANAK RATU AJI DR. PUTU JUNITA P., SP.AN RSUS
JL.IKAN KITER BLOK C KANGKUNG DALAM DR. PUTU JUNITA P., SP.AN RSUS
SUNGAI LANGKA NO 49 G.TATAAN/ DR. PUTU JUNITA P., SP.AN RSUS
JL. BADAK NO.13 SIDODADI KEDATON DR. BUDI OKTA P, SP. AN RSUS
JL P POLIM GG RANDU NO 18 A LK III RT 05 SEAGALA MIDER DR. BUDI OKTA P, SP. AN RSUS
DSN VI SUKARAME NATAR DR. PUTU JUNITA P., SP.AN RSUS
MORIS JAYA 001/007 BANJAR AGUNG TULANG BAWANG DR. BUDI OKTA P, SP. AN RSUS
DUSUN IV. BANGUN REJO DR. PUTU JUNITA P., SP.AN RSUS
JL. PULAU BAWEAN II NO.14 SUKARAME DR. PUTU JUNITA P., SP.AN RSUS
DESA BONGLAI KEC BANJIT WAY KANAN DR. PUTU JUNITA P., SP.AN RSUS
PURWODADI BELITANG MULYA OGAN KOMRING DR. PUTU JUNITA P., SP.AN RSUS
JL BLORA GG BURES SEGALA MIDER DR. PUTU JUNITA P., SP.AN RSUS
JL MK BAGINDA LK II GG SULAH DR. PUTU JUNITA P., SP.AN RSUS
DSN TANJUNG WARAS RT.13/04 MERAK BATIN DR. PUTU JUNITA P., SP.AN RSUS
DESA WAY JAMBU PESISIR SELATN DR. PUTU JUNITA P., SP.AN RSUS
JL.WARTAWAN GG ASRI 003 GUNUNG SULAH WAY HALIM DR. BUDI OKTA P, SP. AN RSUS
JL. MH.TAMRIN NO.64 GOTONG ROYONG DR. PUTU JUNITA P., SP.AN RSUS
AMBARAWA I PRINGSEWU DR. PUTU JUNITA P., SP.AN RSUS
DUSUN II SIDEREJO RT 004 RW OO2 BANGUN REJO DR. BUDI OKTA P, SP. AN RSUS
DUSUN TANJUNG SARI RT/RW 002 ABUNG SELATAN DR. PUTU JUNITA P., SP.AN RSUS
JL.KERAMAT NO.85 LK I LABUHAN RATU KEDATON DR. PUTU JUNITA P., SP.AN RSUS
DSUN I NEGERI AGUNG RT 02/01 GUNUNG PELINDUNG DR. BUDI OKTA P, SP. AN RSUS
SINGOSARI BLOK 8B BERINGIN RAYA KEMILING DR. PUTU JUNITA P., SP.AN RSUS
UMBUL PABRI TANJUNG JATI 2 KEL KATIBUNG DR. BUDI OKTA P, SP. AN RSUS
JL PRAMUKA NO 30 RAJA BASA DR. PUTU JUNITA P., SP.AN RSUS
JL. BUMI MANTI GG.SALAK II NO.47 KAMPUNG BARU DR. DIANA NUR ASRINI RSUS
JL P SARI RAYA N0 217 WAY KANDIS DR. PUTU JUNITA P., SP.AN RSUS
DUSUN SOLEHUDIN 008/016 NEGERI SAKTI GD TATAAN DR. PUTU JUNITA P., SP.AN RSUS
GG PEMBANGUNAN A5 SUKARAME DR. BUDI OKTA P, SP. AN RSUS
TERPANDI RT 002/007 KOTABUMI UDIK DR. PUTU JUNITA P., SP.AN RSUS
JLN SRI KRISNA KP BAYUR 007 LK I KEL RAJABASA JAYA KEC DR. BUDI OKTA P, SP. AN RSUS
RAJABASA
PERUM RAGOM GAWI I BLOK F2 NO. 20 KEMILING PERMAI DR. PUTU JUNITA P., SP.AN RSUS
JL ELANG 2 NO GG PANDAWA NO 129 RT 02/04 TANJUNG HARAPAN DR. PUTU JUNITA P., SP.AN RSUS
jl. akasia 002/002 KELAPA 7 KOBUM SELATAN DR. PUTU JUNITA P., SP.AN RSUS
JLN. DR. HARUN II GG. HI. AGUS SALIM NO 28E DR. BUDI OKTA P, SP. AN RSUS
JL TERATAI GG MAWAR I NO 21A KEDATON DR. PUTU JUNITA P., SP.AN RSUS
DUSUN III JATI AGUNG MARGO LESTARI DR. PUTU JUNITA P., SP.AN RSUS
PERUM II PT.GMP RT05/02 GUNUNG BATIN BARU TERUSAN NUNYAI DR. BUDI OKTA P, SP. AN RSUS
GEDUNG HARAPAN 002/001 PENAWAR AJI DR. PUTU JUNITA P., SP.AN RSUS
DSN 5 RT 001/005 GN.BATIN BARU TERUSAN NUNYAI DR. BUDI OKTA P, SP. AN RSUS
JL.P.ANTASARI GG MANGGA BESAR NO.48B LK III TANJUNG BARU DR. PUTU JUNITA P., SP.AN RSUS
KEDAMAIAN
GRIYA ANGKASA ISLAMI BLK F 12 RT016 RAJABASA DR. PUTU JUNITA P., SP.AN RSUS
PEKON KESUGIHAN 001/002 KOTA AGUNG BARAT DR. BUDI OKTA P, SP. AN RSUS
DUSUN BUDI JAYA 04/02 WAWASAN TANJUNG SARI DR. BUDI OKTA P, SP. AN RSUS
JL.MR GELE HARUN METRO PUSAT DR. PUTU JUNITA P., SP.AN RSUS
DUSUN 3 RT007/003 SENDANG ASRI AGUNG DR. BUDI OKTA P, SP. AN RSUS
PISANG INDAH RT04/01 BUMI AGUNG WAY KANAN DR. BUDI OKTA P, SP. AN RSUS
DUSUN 3 RT007/003 SENDANG ASRI AGUNG DR. BUDI OKTA P, SP. AN RSUS
JL MERAK GG BLUTAS NO 229 KAMPUNG SAWAH DR. PUTU JUNITA P., SP.AN RSUS
DSN SUKADAMAI -/- SUKAMAJU KEC ULU BELU DR. BUDI OKTA P, SP. AN RSUS
JL YOS SUDARSO GG HI ILYAS LK 1 015 SUKARAJA DR. PUTU JUNITA P., SP.AN RSUS
JL URIP SUMOHARJO SUNGAI 8 DR. PUTU JUNITA P., SP.AN RSUS
JL DAKWA GG SEPAKAT NO 8 LABUHAN RATU DR. KURNIA TRIARIENI RSUS
DSN SUKADAMAI -/- SUKAMAJU KEC ULU BELU DR. BUDI OKTA P, SP. AN RSUS
PERUM BKP BLOK I NO 73 KEL KEMILING KEC KEMILING DR. DENDY MAULANA, SP.AN RSUS
JL.PADAT KARYA SINAR HARAPAN RAJABASA DR. BUDI OKTA P, SP. AN RSUS
JL. RA. BASYID GG. SEGANTI NO.27 LABUHAN DALAM TANJUNG DR. PUTU JUNITA P., SP.AN RSUS
SENENG
JL PRATAMA PRAJA RT 008/002 MULYOJATI METRO DR. PUTU JUNITA P., SP.AN RSUS
MARGA RAJA II DS RULUNG RAYA NATAR DR. BUDI OKTA P, SP. AN RSUS
DADAPAN IV 013/04 SUMBER REJO TANGGAMUS DR. DENDY MAULANA, SP.AN RSUS
BUJUNG BURING TANJUNG RYA MESUJI DR. PUTU JUNITA P., SP.AN RSUS
JL TERATAI NO 27 003/008 KELAPA TUJUH KOTABUMI SELATAN DR. PUTU JUNITA P., SP.AN RSUS
WARINGIN SARI TIMUR 014/004 ADILUWIH DR. BUDI OKTA P, SP. AN RSUS
PERUM II PT.GMP RT 011/02 GUNUNG BATIN BARU KEC.TERUSAN DR. PUTU JUNITA P., SP.AN RSUS
NUNYAI
JL. KELELAWAR HADIMULYO TIMUR METRO PUSAT DR. PUTU JUNITA P., SP.AN RSUS
JL RINJANI RAYA BLOK F 3/11 DESA JOMBANG CIPUTAT DR. PUTU JUNITA P., SP.AN RSUS
JL. PUNAI NO.25 TANJUNG AGUNG DR. DENDY MAULANA, SP.AN RSUS
PULUNG KENCANA KEL PULUNG KENCANA KEC TULANG BAWANG DR. PUTU JUNITA P., SP.AN RSUS
PULUNG KENCANA KEL PULUNG KENCANA KEC TULANG BAWANG DR. ARIETYA KUSUMA.P,SP.THT RSUS
JL RAYA BHAKTI SINAR HARAPAN LK 2 008 RAJABASA RAYA DR. DENDY MAULANA, SP.AN RSUS
DUSUN IV MEKAR JAYA BANDAR SRIBAWONO.NY DR. DENDY MAULANA, SP.AN RSUS
DATAR BANCONG KASUI WAY KANAN DR. PUTU JUNITA P., SP.AN RSUS
KAMPUNG SAWAH 004/002 KEBAGUSAN GEDONG TATAAN DR. PUTU JUNITA P., SP.AN RSUS
BWANG TIRTO MULYO 001/006 BANJAR BARU DR. PUTU JUNITA P., SP.AN RSUS
JL KELAPA I NO 6A SEPANG JAYA DR. PUTU JUNITA P., SP.AN RSUS
DUSUN II TEMPURAN TRIMURJO DR. PUTU JUNITA P., SP.AN RSUS
JL.RIMBA KUSUMA RATU RT02/ BERINGIN RAYA KEMILING DR. PUTU JUNITA P., SP.AN RSUS
GAYAU SAKTI SEPUTIH AGUNG DR. PUTU JUNITA P., SP.AN RSUS
JL.BUNGA MAYANG NO 309 KEC KOTA BUMI DR. PUTU JUNITA P., SP.AN RSUS
JL ABRATI GG LESTARI NO 26 004/002 KOTABUMI PASAR DR. BUDI OKTA P, SP. AN RSUS
JL.RAJAWALI RAYA NO II POLDA II LK, KEMILING DR. PUTU JUNITA P., SP.AN RSUS
JL. BANTEN TPA LK.2 BAKUNG TBB DR. PUTU JUNITA P., SP.AN RSUS
SUKARAJA GEDONG TATAAN PESAWARAN DR. BUDI OKTA P, SP. AN RSUS
DESA WAWASAN KEC TANJUNG SARI DR. PUTU JUNITA P., SP.AN RSUS
PARDASUKA RT 001/004 BANDING AGUNG KEC,TALANG PADANG DR. PUTU JUNITA P., SP.AN RSUS
desa bangun rejo ketapang DR. PUTU JUNITA P., SP.AN RSUS
LK.IV JL. KH. DEWANTARA PRINGSEWU SELATAN DR. BUDI OKTA P, SP. AN RSUS
DUSUN ANOMAN 2 PONCOWATI TERBANGGI BESAR DR. PUTU JUNITA P., SP.AN RSUS
DUSUN MEKAR SRI BUDAYA DR. BUDI OKTA P, SP. AN RSUS
DESA WAY JAMBU PESISIR SELATN DR. BUDI OKTA P, SP. AN RSUS
DS SRI BAKTI 004/002 NEGERI BUMI PUTERA BLAMBANGAN UMPU DR. PUTU JUNITA P., SP.AN RSUS
JL NAWAWI GELAR DALOM RT 006 RAJABASA JAYA DR. PUTU JUNITA P., SP.AN RSUS
JL SUKERNO HATTA KOMPLEK SMA 5 LK II RT/RW 010 SUKARAME DR. PUTU JUNITA P., SP.AN RSUS
JL RATU DIBALAU NO 121 007 WAYKANDIS DR. BUDI OKTA P, SP. AN RSUS
DESA TANJUNG SARI KEC. JABUNG DR. PUTU JUNITA P., SP.AN RSUS
SUMBER WANGI GUNUNG SARI REBANG TANGKAS WAY KANAN DR. PUTU JUNITA P., SP.AN RSUS
PAJARESUK I 006/003 PAJARESUK PRINGSEWU DR. TEDDY WAHYUDIANTO RSUS
KACA MARGA CUKUH BALAK TANGGAMUS DR. PUTU JUNITA P., SP.AN RSUS
MUARA AMAN 005 BUKIT KEMUNING DR. PUTU JUNITA P., SP.AN RSUS
JL. DIPONEGORO NO.44 024/009 METRO PUSAT DR. PUTU JUNITA P., SP.AN RSUS
PADANG RATU RT/RW 001 KEC WONOSOBO DR. PUTU JUNITA P., SP.AN RSUS
DUSUSN 10 SURABAYA ILIR DR. PUTU JUNITA P., SP.AN RSUS
DUSUN III MATARAM BARU, DR. PUTU JUNITA P., SP.AN RSUS
DUSUN VII GIRI KLOPO MULTO SEKAMPUNG DR. PUTU JUNITA P., SP.AN RSUS
JL SULATAN JAMIL GG SINGGAH PAI 008 GEDONG MENENG DR. BUDI OKTA P, SP. AN RSUS
RAJABASA
DS TAMBAH REJO RT 01 BATU TEGI AIR NANINAGN DR. BUDI OKTA P, SP. AN RSUS
JL. RAMBUTAN NO 69 RT2RW1, KELAPA TUJUH KTBM SLTN DR. PUTU JUNITA P., SP.AN RSUS
DUSUN IB RT014 RW005 JATI MULYO DR. PUTU JUNITA P., SP.AN RSUS
DUSUN SRI MULYO 009/004 NEGERI SAKTI GEDONG TATAAN DR. PUTU JUNITA P., SP.AN RSUS
JL TURI RAYA GG KILAS RAYA LK 1 017 TANJUNG SENANG DR. BUDI OKTA P, SP. AN RSUS
bandar dewa 001/001 tulang bawang tengah DR. BUDI OKTA P, SP. AN RSUS
JL. AMD TEMENGGUNG. GG. GURUN. GUNUNG SULAH DR. PUTU JUNITA P., SP.AN RSUS
JL. PULAU DAMAR NO 10 PER WAY KANDIS T SENENG DR. BUDI OKTA P, SP. AN RSUS
JL.MALABAR BLOK N NO.33 WAY HALIM DR. PUTU JUNITA P., SP.AN RSUS
JLN SUKANDI HAMNDANI NO 2 014 /- KEL LABUHAN RATU KEC DR. PUTU JUNITA P., SP.AN RSUS
KEDATON
BANGUN SARI RT 002 ABUNG SURAKARTA DR. PUTU JUNITA P., SP.AN RSUS
DESA JEMBRANA RT 01/05 DSUN MENDOYO WAWAY KARYA DR. PUTU JUNITA P., SP.AN RSUS
JL.KELAPA DUSUN IC SABAH BALAU TANJUNG BINTANG DR. PUTU JUNITA P., SP.AN RSUS
SRI TANJUNG I RT 002 PASAR BARU BUMI AGUNG WAY KANAN DR. PUTU JUNITA P., SP.AN RSUS
JL KELAPA I NO 6A SEPANG JAYA DR. PUTU JUNITA P., SP.AN RSUS
DSN IV RT 009 GANTI WARNO DR. PUTU JUNITA P., SP.AN RSUS
JL KOMARUDIN GG NITIUDA NO 52 RAJABASA DR. PUTU JUNITA P., SP.AN RSUS
HALANGAN RATU 001/001 NEGERI KATON DR. PUTU JUNITA P., SP.AN RSUS
JL RADEN SALEH WEY HUWI DR. PUTU JUNITA P., SP.AN RSUS
JL H KOMARUDIN GG PERINTIS 4 LK 1 007/000 RAJABASA DR. PUTU JUNITA P., SP.AN RSUS
JLN WA RAHMAN LK I 007 /- BATU PUTUK TELUK BETUNG BARAT DR. PUTU JUNITA P., SP.AN RSUS
WONOHARJO -/ KEL WONOHARJO KEC SUMBER REJO DR. PUTU JUNITA P., SP.AN RSUS
JL WARAHMAN LK I 006/- BATU PUTUK TELUK BETUNG UTARA DR. PUTU JUNITA P., SP.AN RSUS
DESA BATU LIMAN SIDOMULYO KALIANDA DR. PUTU JUNITA P., SP.AN RSUS
NABANG BAYUR 001/003 NAPAL BULOG TANGGAMUS DR. PUTU JUNITA P., SP.AN RSUS
LK. JOKARTO RT 021 RW 07 ADI PURO TRI MURJO DR. PUTU JUNITA P., SP.AN RSUS
PISANG INDAH RT04/01 BUMI AGUNG WAY KANAN DR. PUTU JUNITA P., SP.AN RSUS
WIYONO GD TATAAN PESAWARAN DR. PUTU JUNITA P., SP.AN RSUS
JL ANGGREK DUSUN VI SUKARAME DESA NATAR 021/009 DR. PUTU JUNITA P., SP.AN RSUS
JLN. II MBC RT 002 MENGGALA KOTA TULANG BAWANG DR. PUTU JUNITA P., SP.AN RSUS
JL.PAJAJARAN GG.BELIA NO.34 JAGABAYA II WAY HALIM DR. PUTU JUNITA P., SP.AN RSUS
DUSUN 4 BUMISARI RT 012/004 SANGGA BUANA WAY SEPUTIH DR. PUTU JUNITA P., SP.AN RSUS
BOGOREJO II 002/002 GEDUNG TATAAN DR. PUTU JUNITA P., SP.AN RSUS
MULYA SARI TULANG BAWANG BARAT DR. PUTU JUNITA P., SP.AN RSUS
DESA CINTA MULYA KEC CANDI PURO DR. PUTU JUNITA P., SP.AN RSUS
TL. PANJANG 1 KEC, GEDUNG SURIAN DR. PUTU JUNITA P., SP.AN RSUS
DS BATU LIMAN KEC CANDI PURO DR. PUTU JUNITA P., SP.AN RSUS
JL.SABURAI LK III GUNUNG SULAH SUKARAME DR. PUTU JUNITA P., SP.AN RSUS
JL DERMAGA BUGIS NO.011 KEL MENGGALA KOTA KEC.MENGGALA DR. PUTU JUNITA P., SP.AN RSUS
DUSUN VIII PT.GGP TERBANGGI BESAR DR. PUTU JUNITA P., SP.AN RSUS
CAMPUR SARI II RT 002/001 ARGOMULYO BANJIT DR. PUTU JUNITA P., SP.AN RSUS
JL SULTAN SYAHRIR MULYOJATI METRO BARAT DR. PUTU JUNITA P., SP.AN RSUS
LIMAU KUNCI /- KEL PADANG CAHYA KEC BALIK BUKIT DR. PUTU JUNITA P., SP.AN RSUS
DS SUKA NEGARA TANJUNG BINTANG DR. PUTU JUNITA P., SP.AN RSUS
JL. URIP SUMOHARJO NO 70 LK III RT 29 DR. PUTU JUNITA P., SP.AN RSUS
DSN VIII BTN BLOK D - 3 N0 03 RT 002 KEL LEMPUYANG BANDAR DR. PUTU JUNITA P., SP.AN RSUS
KEC
JL DRWAY PENGUBUAN
SUTOMO NO 15 LK II PENENGAHAN DR. PUTU JUNITA P., SP.AN RSUS
SUKAMULYA RT 01 RW 02 PALAS DR. PUTU JUNITA P., SP.AN RSUS
KAMPUNG KARANG UMPU KEC BLAMBANGAN UMPU DR. PUTU JUNITA P., SP.AN RSUS
JL. IKAN BAUNG NO.25 BUMI WARAS/91H0011677-0 01 DR. PUTU JUNITA P., SP.AN RSUS
JL IMAM BONJOL GG SOSIAL GEDONG AIR DR. PUTU JUNITA P., SP.AN RSUS
JL. PANGERAN SENOPATI 2 KEL.KORPRI JAYA SUKARAME DR. PUTU JUNITA P., SP.AN RSUS
DESA SINDANG SARI RT 04/01 TANJUNG BINTANG DR. PUTU JUNITA P., SP.AN RSUS
JL SINGOSARI NO 35 LK II ENGGAL TJK PUSAT DR. PUTU JUNITA P., SP.AN RSUS
JL. DUWOROWATI TJ. BINTANG DR. PUTU JUNITA P., SP.AN RSUS
KAMPUNG MASJID LK I 005 /- KEL WAY GUBAK KEC PANJANG DR. PUTU JUNITA P., SP.AN RSUS
PT INHEALTH PERUM BKP NO 75 DR. PUTU JUNITA P., SP.AN RSUS
JL. KIMAJA GG DAHLIA 24 RT 001 DR. PUTU JUNITA P., SP.AN RSUS
PERUM TANJUNG BARU NEGARA RATU NATAR LAMPUNG SELATAN DR. PUTU JUNITA P., SP.AN RSUS
DUSUN PEMATANG KANDIS 008/003 GUNUNG TERANG KALIANDA DR. PUTU JUNITA P., SP.AN RSUS
DUSUN 2 DESA WONODADI 002/001 WONODADI TANJUNG SARI DR. PUTU JUNITA P., SP.AN RSUS
TANJUNG RAJA 007/001 LAMPUNG UTARA DR. PUTU JUNITA P., SP.AN RSUS
KARUNIA INDAH BLOK O NO. 19 SUKABUMI DR. PUTU JUNITA P., SP.AN RSUS
KOTA BUMI,JL GOTONG ROYONG GG MANUNGGAL NO 242 DR. PUTU JUNITA P., SP.AN RSUS
JLN PULAU SINGKEP LK I 001 /- SUKARAME DR. PUTU JUNITA P., SP.AN RSUS
JL.PURWOSARI LAMTENG DR. PUTU JUNITA P., SP.AN RSUS
KAMPUNG SIMPANG ASAM KEC BANJIT WAY KANAN DR. PUTU JUNITA P., SP.AN RSUS
DUSUN AIR KUBANG TIMUR 001/004 AIR NANINGAN DR. PUTU JUNITA P., SP.AN RSUS
JL ST HAJI NO 99 LK II 005/- SEPANG JAYA LABUHAN RATU DR. PUTU JUNITA P., SP.AN RSUS
PT GPM DR. PUTU JUNITA P., SP.AN RSUS
BURING SUKABARU 007/003 PENENGAHAN DR. PUTU JUNITA P., SP.AN RSUS
JL DARMA BHAKTI LK 7 NO 76 BUKIT KEMINING DR. PUTU JUNITA P., SP.AN RSUS
DSN KEDIRI DESA SUKAMULYO DR. PUTU JUNITA P., SP.AN RSUS
DESA BUMI ASIH DR. PUTU JUNITA P., SP.AN RSUS
jln turi raya no 55 kel tanjung senang DR. PUTU JUNITA P., SP.AN RSUS
PASANG INDAH 2/2 BUMI AGUNG WAY KANAN DR. PUTU JUNITA P., SP.AN RSUS
DUSUN II RT/RW 002 KEL SALABUNG BELIMBING JAYA DR. PUTU JUNITA P., SP.AN RSUS
JLN CHNADRA JAYA KEC TULANB BAWANG TENGAH DR. PUTU JUNITA P., SP.AN RSUS
JL.GAMA II GUNUNG TERANG TANJUNG SENANG DR. PUTU JUNITA P., SP.AN RSUS
DESA SUMBER JAYA KEC JATI AGUNG DR. PUTU JUNITA P., SP.AN RSUS
PRASAANTI 3 BLOK A2 NO.14 LK.I KEC. SUKARAME DR. PUTU JUNITA P., SP.AN RSUS
JLN KENANGA HEJO AGUNG KEC METRO TIMUR DR. DENDY MAULANA, SP.AN RSUS
DESA MARGASARI RT 042/21 DSUN XI LABUHAN MARINGGAI DR. PUTU JUNITA P., SP.AN RSUS
JL P LEGUNDI GG PULAU LINGGA 2 SUKARAME DR. PUTU JUNITA P., SP.AN RSUS
JLN. YOS SUDARSO NANASAN RT:15 PIDADA PANJANG DR. DENDY MAULANA, SP.AN RSUS
JL SELVI LESTARI BLOK G 12 NO 6 BERINGIN JAYA KMILING DR. PUTU JUNITA P., SP.AN RSUS
JL DR HARUN II GG KUA SALIM1-31 E KOTABARU TKT/RSUS DR. PUTU JUNITA P., SP.AN RSUS
PERUMAHAN TANJUNG RAYA PERMAI D20 TANJUNG SENENG DR. PUTU JUNITA P., SP.AN RSUS
DUSUN 5 022/005 REJO ASRI SEPUTIH RAMAN DR. PUTU JUNITA P., SP.AN RSUS
DSN I RT 002/001 KEL.SIDODADI KEC.PEKALONGAN DR. PUTU JUNITA P., SP.AN RSUS
DUSUN 5 022/005 REJO ASRI SEPUTIH RAMAN DR. PUTU JUNITA P., SP.AN RSUS
pekon badak -/- kel badak kec limau DR. PUTU JUNITA P., SP.AN RSUS
WAY TUBA KEL KURIPAN KEC KOTA AGUNG DR. PUTU JUNITA P., SP.AN RSUS
PERUM BHAYANGKARA KEMILING DR. PUTU JUNITA P., SP.AN RSUS
JL.RADEN FATAH G.H.MUHIDIN NO.11 KALIAWI DR. PUTU JUNITA P., SP.AN RSUS
INDRA PUTRA SUBING RT 001/001 TERBANGGI BESAR DR. PUTU JUNITA P., SP.AN RSUS
DUSUN 2. BANDAR SURABAYA BARU DR. PUTU JUNITA P., SP.AN RSUS
JLN , BELIA GG GN BESAR NO 01 LK II JAGABAYA II KEC SUKABUMI DR. PUTU JUNITA P., SP.AN RSUS
PERUM BUKIT BILABONG JAYA BLOK G5 NO 01 013/- SUSUNAN BARU DR. PUTU JUNITA P., SP.AN RSUS
TKB
dusun sidodadi rt/rw 001/005 merambung tanjung raja DR. PUTU JUNITA P., SP.AN RSUS
JL MATARAM B 3 NO 9 LK II RT 07 BERINGIN RAYA KMILING DR. PUTU JUNITA P., SP.AN RSUS
JL.IMBA KESUMA NO.1 RT 08 KEMILING PERMAI DR. PUTU JUNITA P., SP.AN RSUS
JL. KI MAJA GG.BELIMBINGNO.24 KEDATON DR. BUDI OKTA P, SP. AN RSUS
JL DR SETIA BUDI NO 162 LK II RT 02 NEGERI OLOK GADING DR. PUTU JUNITA P., SP.AN RSUS
JL. IKAN JULUNG SKIP RAHAYU LK I RT 018 BUMI WARAS TELUK DR. PUTU JUNITA P., SP.AN RSUS
BETUNG
JL H AGUSSELATAN
SALIM NO 36 SUKADANA HAM DR. BUDI OKTA P, SP. AN RSUS
JL IKAN SEMBILANG NO 18 SUKARAJA BUMI WARAS DR. PUTU JUNITA P., SP.AN RSUS
PERMATA BIRU BLOK B NO.19 DR. PUTU JUNITA P., SP.AN RSUS
JLN DR SUSILO GG PUSRI II NO 36 KEL SUMUR BATU DR. BUDI OKTA P, SP. AN RSUS
PANARAGAN, RT/RW 001/001, TULANG BAWANG TENGAH DR. PUTU JUNITA P., SP.AN RSUS
TIDAK ADA DOKTER RSUS
LK V YUKUM JAYA TERBANGGI BESAR DR. PUTU JUNITA P., SP.AN RSUS
DS. 01 KURIPAN JAYA KAHURIPAN DALEM MENGGALA TIMUR DR. PUTU JUNITA P., SP.AN RSUS
SERDANG DUSUN 2B, RT/RW 004/002, TANJUNG BINTANG DR. BUDI OKTA P, SP. AN RSUS
GEDUNG NYAPAH 001/001, GEDUNG NYAPAH, ABUNG TIMUR DR. PUTU JUNITA P., SP.AN RSUS
JL ST BLIMBING LK I 005 /- KEL SUSUNAN BARU KEC TKP DR. PUTU JUNITA P., SP.AN RSUS
JL.CENGKEH UTARA III NO.59 RT02 PERUMNAS WAY HALIM DR. PUTU JUNITA P., SP.AN RSUS
JL RADEN SALEH GG WAWAI LK I RT 018 TANJUNG SENANG DR. PUTU JUNITA P., SP.AN RSUS
CANDI MAS NATAR DR. BUDI OKTA P, SP. AN RSUS
PASAR AMPING PARAK KEC.SUTERA DR. PUTU JUNITA P., SP.AN RSUS
JL PJAJARAN NO 12 GG SARIDELE RT 01 GUNUNG SULAH DR. PUTU JUNITA P., SP.AN RSUS
DUSUN 3 TANJUNG PANDAN 002/003 BANGUN REJO DR. PUTU JUNITA P., SP.AN RSUS
JLN. SOEKARNO HATTA HANAKAU KEC. SUKAU LAMPUNG BARAT DR. PUTU JUNITA P., SP.AN RSUS
JL IMBA KUSUMA GG TIRTO NADI 009 KEMILING PERMAI DR. PUTU JUNITA P., SP.AN RSUS
TIRTA DAYA 2. SUKA PURA. SUMBER JAYA DR. BUDI OKTA P, SP. AN RSUS
DUSUN 4 BUMISARI RT 012/004 SANGGA BUANA WAY SEPUTIH DR. PUTU JUNITA P., SP.AN RSUS
DAYA SAKTI RT/RW 001/003 DAYA SAKTI TUMIJAJAR DR. PUTU JUNITA P., SP.AN RSUS
JLN TANGKIL NO O2 RT 015 / 004 KEL TEJO AGUNG KEC METRO DR. BUDI OKTA P, SP. AN RSUS
TIMUR
JL.HI AGUS SALIM AL HIDAYAH NO 27 LK I KELAPA 3 TKP DR. BUDI OKTA P, SP. AN RSUS
PERUM HARAPAN JAYA 2 BLOK E MARGA MULYA BEKASI UTARA DR. DENDY MAULANA, SP.AN RSUS
WONO REJO 2 003/007 PESAWARAN INDAH PADANG CERMIN DR. PUTU JUNITA P., SP.AN RSUS
JL.MAWAR TIMUR RT 032/06 METRO PUSAT DR. PUTU JUNITA P., SP.AN RSUS
DSN ADI LUHUR 002/001 BANDAR SAKTI TERUSAN NUNYAI DR. PUTU JUNITA P., SP.AN RSUS
JL , AHMAD AKUAN NO 71 RT 001 / 001 KL SUKABUMI KEC KOTA DR. PUTU JUNITA P., SP.AN RSUS
BUMI
KARIMUN JAWA PERUMDAM 3 KEL SUKARAME DR. PUTU JUNITA P., SP.AN RSUS
JL SERAMAN GUNUNG RT 009 BLAMBANGAN UMPU DR. PUTU JUNITA P., SP.AN RSUS
JL UNTUNG SUROPATI GG WAY PIOS NO 25 DR. BUDI OKTA P, SP. AN RSUS
Keterangan
1 RS0317-024466 24/03/2017 MORPHIN HCL 10 MG INJ 1 AMP KAMILAH, NY
PASANG INDAH 2/2 BUMI AGUNG WAY KANAN DR. DENDY MAULANA, SP.AN RSUS
1 RS0217-027401 01/03/2017 MST CONTINUS 10 MG 6 TABLET IRIYANTO, TN
2 RS0317-000434 01/03/2017 TAB
MST CONTINUS 10 MG 3 TABLET JANNES PURBA.TN
3 RL0317-000036 01/03/2017 TAB
MST CONTINUS 10 MG 60 TABLET ny sumirah
4 RS0317-000531 01/03/2017 TAB
MST CONTINUS 10 MG 1 TABLET ANSORI,TN
5 RS0317-001026 02/03/2017 TAB
MST CONTINUS 10 MG 5 TABLET MENSUPARTI.NY
6 RS0317-001057 02/03/2017 TAB
7 RS0317-001391 02/03/2017 TAB
MST CONTINUS 10 MG 1 TABLET SULASTRI. NY
8 RS0317-002655 03/03/2017 TAB
MST CONTINUS 10 MG 8 TABLET SUPARMI.NY
9 RS0317-002276 03/03/2017 TAB
MST CONTINUS 10 MG 6 TABLET WARSA,TN
10 RS0317-002007 03/03/2017 TAB
MST CONTINUS 10 MG 1 TABLET WARSA,TN
11 RL0317-000143 03/03/2017 TAB
MST CONTINUS 10 MG 20 TABLET TN.DEDI
12 RS0317-004375 05/03/2017 TAB
MST CONTINUS 10 MG 30 TABLET RUSNIMAR, NY
13 RS0317-004327 05/03/2017 TAB
MST CONTINUS 10 MG 15 TABLET SAMIASIH.NY
14 RL0317-000262 06/03/2017 TAB
MST CONTINUS 10 MG 10 TABLET tn mahruf
15 RS0317-005362 06/03/2017 TAB
MST CONTINUS 10 MG 10 TABLET NURYANA, NY
16 RS0317-005059 06/03/2017 TAB
MST CONTINUS 10 MG 30 TABLET LINA LUSIANA.NY
17 RL0317-000378 07/03/2017 TAB
MST CONTINUS 10 MG 6 TABLET tn.Robert
18 RS0317-006696 07/03/2017 TAB
MST CONTINUS 10 MG 9 TABLET ASBUNAYA , AR.BSC, NY
19 RS0317-006984 07/03/2017 TAB
MST CONTINUS 10 MG 2 TABLET SAKIJO, TN
20 RL0317-000435 08/03/2017 TAB
MST CONTINUS 10 MG 10 TABLET NY.MUSTAQINAH
21 RS0317-007429 08/03/2017 TAB
MST CONTINUS 10 MG 6 TABLET HERWANSYAH, TN
22 RS0317-008844 09/03/2017 TAB
MST CONTINUS 10 MG 9 TABLET NENG AFRIDA, NY
23 RS0317-008834 09/03/2017 TAB
MST CONTINUS 10 MG 9 TABLET BERNADET
24 RS0317-008563 09/03/2017 TAB CONTINUS
MST 10 MG 10 TABLET WAHYURIYANTI.SPD,NY
NURSI'AH, NY
25 RS0317-009636 10/03/2017 TAB
26 RS0317-010246 11/03/2017 TAB
MST CONTINUS 10 MG 3 TABLET WASIM HUSEN, TN
27 RS0317-010733 11/03/2017 TAB
MST CONTINUS 10 MG 2 TABLET MASTURA, NY
28 RS0317-010753 11/03/2017 TAB
MST CONTINUS 10 MG 6 TABLET YUNI SUKARNI,NY
29 RS0317-010609 11/03/2017 TAB
MST CONTINUS 10 MG 6 TABLET ANDRI ANTORO,TN
30 RS0317-010558 11/03/2017 TAB
MST CONTINUS 10 MG 6 TABLET HERWANSYAH, TN
31 RS0317-011668 12/03/2017 TAB
32 RS0317-011904 12/03/2017 TAB
MST CONTINUS 10 MG 6 TABLET HJ. SUPROH, NY
33 RS0317-011982 12/03/2017 TAB
MST CONTINUS 10 MG 2 TABLET WASIM HUSEN, TN
34 RS0317-012530 13/03/2017 TAB
MST CONTINUS 10 MG 1 TABLET AGUNG WIJAYA, TN
35 RS0317-012725 13/03/2017 TAB
MST CONTINUS 10 MG 5 TABLET KARSIM. TN
36 RS0317-012708 13/03/2017 TAB
MST CONTINUS 10 MG 2 TABLET MASTURA, NY
37 RS0317-012756 13/03/2017 TAB
MST CONTINUS 10 MG 10 TABLET EDY NUGROHO, TN
38 RS0317-013206 14/03/2017 TAB
MST CONTINUS 10 MG 1 TABLET SUSTI HANDAYANI,NY
39 RS0317-014171 14/03/2017 TAB
MST CONTINUS 10 MG 6 TABLET NURHAYATI, NY
40 RS0317-013340 14/03/2017 TAB
MST CONTINUS 10 MG 10 TABLET KASINAH, NY
41 RS0317-013740 14/03/2017 TAB
MST CONTINUS 10 MG 2 TABLET SUSTI HANDAYANI,NY
42 RS0317-014695 15/03/2017 TAB
MST CONTINUS 10 MG 6 TABLET DEDI JULIANSYAH,TN
43 RS0317-014528 15/03/2017 TAB
44 RS0317-016929 17/03/2017 TAB
45 RS0317-016657 17/03/2017 TAB
46 RS0317-017400 17/03/2017 TAB
47 RS0317-016841 17/03/2017 TAB
48 RS0317-018199 18/03/2017 TAB
MST CONTINUS 10 MG 6 TABLET HAIYATI, NY
49 RS0317-020189 20/03/2017 TAB
50 RS0317-020290 20/03/2017 TAB
MST CONTINUS 10 MG 2 TABLET DRA.HJ.SURIMAS SANUSI,NY
51 RS0317-020070 20/03/2017 TAB
MST CONTINUS 10 MG 7 TABLET MUSTANGINAH NY
TAB
52 RS0317-019412 20/03/2017 MST CONTINUS 10 MG 6 TABLET DEDI JULIANSYAH,TN
53 RS0317-019439 20/03/2017 TAB
MST CONTINUS 10 MG 3 TABLET SULI.NY
54 RS0317-020701 21/03/2017 TAB
55 RS0317-021408 21/03/2017 TAB
MST CONTINUS 10 MG 1 TABLET HERMANTO B. SP. TN
56 RS0317-022256 22/03/2017 TAB
MST CONTINUS 10 MG 5 TABLET SUBANDI.TN
57 RS0317-022453 22/03/2017 TAB
58 RS0317-021877 22/03/2017 TAB
MST CONTINUS 10 MG 5 TABLET SUSANTO , TN
59 RS0317-021982 22/03/2017 TAB
60 RS0317-022751 23/03/2017 TAB
61 RS0317-023410 23/03/2017 TAB
MST CONTINUS 10 MG 1 TABLET DRS. MOHAYUN THAHIR, TN
62 RS0317-023620 23/03/2017 TAB
63 RS0317-023335 23/03/2017 TAB
64 RS0317-023317 23/03/2017 TAB
MST CONTINUS 10 MG 1 TABLET SALMAH, NY
65 RS0317-024634 24/03/2017 TAB
66 RS0317-024357 24/03/2017 TAB
MST CONTINUS 10 MG 2 TABLET SALMAH, NY
67 RS0317-025251 25/03/2017 TAB
MST CONTINUS 10 MG 6 TABLET FATMAWATI, NY
68 RS0317-026247 26/03/2017 TAB
MST CONTINUS 10 MG 20 TABLET LINA LUSIANA.NY
69 RS0317-025921 26/03/2017 TAB
70 RS0317-025968 26/03/2017 TAB
71 RS0317-026311 26/03/2017 TAB
MST CONTINUS 10 MG 20 TABLET FATMAWATI, NY
72 RL0317-001405 26/03/2017 TAB
MST CONTINUS 10 MG 10 TABLET ny. purwati
73 RL0317-001406 26/03/2017 TAB
MST CONTINUS 10 MG 3 TABLET TN. ANDI
74 RS0317-027670 27/03/2017 TAB
MST CONTINUS 10 MG 6 TABLET SUROYO,TN
75 RS0317-026784 27/03/2017 TAB
76 RS0317-026588 27/03/2017 TAB
77 RS0317-027545 27/03/2017 TAB
MST CONTINUS 10 MG 10 TABLET RATMO, TN
78 RS0317-028515 28/03/2017 TAB
MST CONTINUS 10 MG 2 TABLET MUTAKIN,AMA.TN
79 RS0317-027872 28/03/2017 TAB
MST CONTINUS 10 MG 3 TABLET ISKANI, TN
80 RS0317-027771 28/03/2017 TAB
MST CONTINUS 10 MG 6 TABLET USMAN, TN
81 RS0317-028607 28/03/2017 TAB
82 RS0317-028266 28/03/2017 TAB
MST CONTINUS 10 MG 5 TABLET LANDEP, NY
83 RS0317-029561 29/03/2017 TAB
MST CONTINUS 10 MG 1 TABLET LARDI.TN
84 RS0317-029552 29/03/2017 TAB
85 RS0317-029711 29/03/2017 TAB
MST CONTINUS 10 MG 4 TABLET PONIMAN, TN
86 RS0317-029995 30/03/2017 TAB
87 RS0317-030058 30/03/2017 TAB
88 RL0317-001677 30/03/2017 TAB
MST CONTINUS 10 MG 8 TABLET ny.Lina
89 RS0317-030334 30/03/2017 TAB
MST CONTINUS 10 MG 6 TABLET HERIYADI DWI PURWANTO, TN
90 RS0317-031571 31/03/2017 TAB
91 RS0317-032132 31/03/2017 TAB
MST CONTINUS 10 MG 5 TABLET MARIAM, NY
92 RS0317-032306 31/03/2017 TAB
93 RS0317-032380 31/03/2017 TAB
MST CONTINUS 10 MG 1 TABLET ISKANI, TN
94 RS0317-032259 31/03/2017 TAB
MST CONTINUS 10 MG 3 TABLET SITI AMINAH.NY
95 RS0317-032327 31/03/2017 TAB
MST CONTINUS 10 MG 4 TABLET SAMSIR, TN
96 RS0317-031965 31/03/2017 TAB
97 RS0317-032172 31/03/2017 TAB
MST CONTINUS 10 MG 5 TABLET SYAMSUL BAHRI.TN
98 RS0317-031921 31/03/2017 TAB
MST CONTINUS 10 MG 3 TABLET RAMBAT PURNOMO , TN
99 RL0317-001743 31/03/2017 TAB
MST CONTINUS 10 MG 20 TABLET TN.DEDI JULIANSAH
TAB
DUSUN BARUNO RT 016 PONCOWATI TERBANGGI DR. MARINA, SP. PD RSUS
BESAR
JATI MULYO RT 022/007 KEL.JATI MULYO KEC.JATIA DR. IMRON SP.PD RSUS
GUNG DR. MARINA, SP. PD RSUS
JL. RADEN PEMUKA. GG. DAMAI. GUNUNG SULAH. WAY DR. M. IMAM RIFAI RSUS
HALIM
LABUHAN DALAM TANJUNG SENANG DR. SUHARSONO SP.S RSUS
JL. RADEN PEMUKA. GG. DAMAI. GUNUNG SULAH. WAY DR. MARINA, SP. PD RSUS
HALIM
DUSUN KEDAUNG TIMUR 002/002 KEDAUNG SRAGI DR. MELDA DASEPTA RSUS
WAY GELAM RT 05/03 CANDI PURO KALIANDA DR . M.BAYU SAHADEWA,SP.OT RSUS
LIMAU KUNCI /- KEL PADANG CAHYA KEC BALIK BUKIT DR. MARINA, SP. PD RSUS
LIMAU KUNCI /- KEL PADANG CAHYA KEC BALIK BUKIT DR. RAHMI ULFA RSUS
DR. NINA SP.P RSUS
PONCOWARNO KALIREJO DR. ADI NUGROHO SP.B (K)O RSUS
DSN CITAJAYA RT 001/005 KEL.BANGUNAN KEC.PALAS DR. ADI NUGROHO SP.B (K)O RSUS
DR. YUZAR HARUN SP.B RSUS
INDRA BANGSAWAN GG HI HASAN 003 /- RT 003 DR.BINTANG, SP.B (K) ONK RSUS
RAJABASA
JL SEJAHTERA KEMILING DR. ANDI SISWANDI, SP.B,.M.KES RSUS
DR. MARS DWI CAHYO SP.BU RSUS
JL.BANGAU 5 NO.46 KELAPA TUJUH KOTABUMI DR. RIANA HANDAYANI, SP.J RSUS
SELATAN
JL DUWOROWATI SABAH BALAU DR. IMRON SP.PD RSUS
DR. SYAHAR SP.B RSUS
SUKARAME
DUSUN INDUK MERAK BATIN 002/001 NATAR DR. RIANA HANDAYANI, SP.J RSUS
LKIV PRINGGOMBO RT 004 KEC,PRINGSEWU TIMUR DR. RIANA HANDAYANI, SP.J RSUS
JL. PIONER CANDI MAS NATAR DR. RIDHUAN IRAWAN SP.PD RSUS
SELATAN
DSN II 009/005 SIDODADI PEKALONGAN LAMPUNG DR. IMRON SP.PD RSUS
TIMUR
DESA KEDATON ABUNG TENGAH RT 01/02 KEDATON DR. IMRON SP.PD RSUS
JL.ANGGREK VI NO.3 LKIV RT032/12 YUKUM JAYA DR. MARINA, SP. PD RSUS
TERBANGGI
SIDODADI RT06/04 KEC WAY LIMA PESAWARAN DR. MARINA, SP. PD RSUS
SUKARAME
SELATAN
JLN SUKANDI HAMNDANI NO 2 014 /- KEL LABUHAN DR. MARINA, SP. PD RSUS
RATUIIKEC
DSN KEDATON
009/005 SIDODADI PEKALONGAN LAMPUNG DR. IMRON SP.PD RSUS
TIMUR
JL GARUDA VI BLOK D99 PENGASINAN RAWA LUMBU DR.MONETA MAHA RSUS
BEKASI
JL PADAT KARYA S. HARAPAN 009/- RAJABASA JAYA DR . M.BAYU SAHADEWA,SP.OT RSUS
DESA KEDATON ABUNG TENGAH RT 01/02 KEDATON DR. IMRON SP.PD RSUS
JL.TANGKUBAN PERAHU NO.39 LK I 013 KUPANG KOTA DR. ANDI SISWANDI, SP.B,.M.KES RSUS
TELUK
JLN URIP BETUNG UTARA GG,PERWIRA II MAWAR PUTIH
SUMOHARJO DR. TEDDY WAHYUDIANTO RSUS
LK3 RT 005 KEC,SUKARAME
JL A MUIS PERRUM BUKIT KENCANA BLOK K 35 DR. MARINA, SP. PD RSUS
GEDUNG
JL. MERDEKAMENENG RAJABASA
KTAPANG SUNGKIA SELATAN DR. ADI NUGROHO SP.B (K)O RSUS
JLN URIP SUMOHARJO GG,PERWIRA II MAWAR PUTIH DR. TEDDY WAHYUDIANTO RSUS
LK3 RT 005
GEDUNG KEC,SUKARAME
HARAPAN RT 003 RW 004 KEC,NEGERI AGUNG DR. NINA SP.P RSUS
RATU KEC KEDATON
RATU
JL KEC PERRUM
A MUIS KEDATONBUKIT KENCANA BLOK K 35 DR. NINA SP.P RSUS
GEDUNG
JL. RADENMENENG
PEMUKA.RAJABASA
GG. DAMAI. GUNUNG SULAH. WAY DR. MARINA, SP. PD RSUS
HALIM
JL. PULAU SINGKEP PERM GURU LK 1 RT 002 DR. ASRIZAL SPJ RSUS
SUKARAME
RATU KEC KEDATON
JL CENGKEH UTARA NO.75 DR. IMRON SP.PD RSUS
JL KI MAJA NO 39A RT 010/003 KEDATON DR. SYAHAR SP.B RSUS
DESA HARAPAN REJO RT/RW 05 SEPUTIH AGUNG DR. ELIANA RSUS
dsn 2 001 / 003 rejo basuki kel seputih mataram DR. MAHARANI RSUS
JL.RAJAWALI RAYA NO II POLDA II LK, KEMILING DR. SYAHAR SP.B RSUS
JLN ABDUL YUSUF NO 245 RT 003 / 002 KEL CEMPEDAKDR.KHAIRANI, SP.THT RSUS
KEC KOTABUMI
JL. CENGKEH SELATAN I NO. 42 PERUMNAS WAY HALIM DR. ENDRIAYANA HERMAYANTI RSUS
GEDUNG HARAPAN RT 003 RW 004 KEC,NEGERI AGUNG DR.FRIZKA DWI ANGGRAINI RSUS
JL. SUNGKAI NO 19 001/003, KETAPANG, SUNGKAI DR . M.BAYU SAHADEWA,SP.OT RSUS
SELATAN
DESA HARAPAN REJO RT/RW 05 SEPUTIH AGUNG DR. IKA RSUS
JL. SUNGKAI NO 19 001/003, KETAPANG, SUNGKAI DR . M.BAYU SAHADEWA,SP.OT RSUS
SELATAN
DSN 2 SUKADAMAI RT 001/ 002 KEL SUKADAMAI DR. MARINA, SP. PD RSUS
GUNUNG ALIP KEMILING
JL SEJAHTERA DR. ADI NUGROHO SP.B (K)O RSUS
DESA HARAPAN REJO RT/RW 05 SEPUTIH AGUNG DR. IKA RSUS
DSN 2 SUKADAMAI RT 001/ 002 KEL SUKADAMAI DR. MARINA, SP. PD RSUS
GUNUNG ALIP DR. ABDULLAH SYUKRI RSUS
DR. ABDULLAH SYUKRI RSUS
JL.DASNAU TOWUTI GG.ASRI NO.39LKII RT021 DR. ASRIZAL SPJ RSUS
KEDATON
JL.DASNAU TOWUTI GG.ASRI NO.39LKII RT021 DR. DIANA NUR ASRINI RSUS
KEDATON
JL. ROSELA BLOK R NO 2 KEMILING DR. RIDHUAN IRAWAN SP.PD RSUS
BAYUWANGI 007 / 002 KEL BANYUWANGI KEC DR. DIAN PUTRI WULANDESSI RSUS
BANYUMAS
DSN 01 RT 001 TANJUNG HARAPAN SEPUTIH BANYAK DR. IMRON SP.PD RSUS
BRANTI I BRANTI RAYA NATARRT 05/ RW 02 DR. MARINA, SP. PD RSUS
BAYUWANGI 007 / 002 KEL BANYUWANGI KEC DR. SUHARSONO SP.S RSUS
BANYUMAS
DESA TERBANGGI BESAR RT 23/12 GUNUNG SUGIH DR. RIDHUAN IRAWAN SP.PD RSUS
JL.MT.HARYONO NO.19 GOTONG ROYONG DR . M.BAYU SAHADEWA,SP.OT RSUS
JL A MUIS PERRUM BUKIT KENCANA BLOK K 35 DR.MONETA MAHA RSUS
GEDUNG
WAY HUWI MENENG RAJABASA
RT 4 RW 1, JATI AGUNG DR. SYAHAR SP.B RSUS
JL.DASNAU TOWUTI GG.ASRI NO.39LKII RT021 DR. IMRON SP.PD RSUS
KEDATON
DR. ADI NUGROHO SP.B (K)O RSUS
JL DIPONEGORO BLOK A NO 5 PRUMNAS GRIYA INDAH DR. MARINA, SP. PD RSUS
JL, RIYAKUDU NO 41 RT 02 LK 2 WAY DADI SUKARAME DR. SYAHAR SP.B RSUS
JL A MUIS PERRUM BUKIT KENCANA BLOK K 35 DR. MARINA, SP. PD RSUS
GEDUNG
DSN 01 RTMENENG RAJABASA
001 TANJUNG HARAPAN SEPUTIH BANYAK DR. IMRON SP.PD RSUS
DUSUNII RT/RW 001 KEL SRI DADI KEC KALIREJO DR. CAHYA DWI LESTARI RSUS
JL.PULAU NIAS GG PUBIAN UJUNG NO.99 SUKABUMI DR. IMRON SP.PD RSUS
BAYUWANGI 007 / 002 KEL BANYUWANGI KEC DR. SUHARSONO SP.S RSUS
BANYUMAS
TALANG PADANG TANGGAMUS DR. SYAHAR SP.B RSUS
LK V YUKUM JAYA TERBANGGI BESAR DR. IKRIZAL,SP.BU RSUS
DR. NINA SP.P RSUS

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