No Nama NO BPJS NIK

1 Benydiktus Yuli Nugroho 3471131007970000

2 Daru Jati Romyastuti 3471134502850000

3 Diah Listyo Wardani 3481135004640000

4 Dra. Dwi Yullistari 3471135607610000

5 Dra. Niniek Tri Wedhartati 3403105905660000

6 Dwi Susanti 3471135402780000

7 Ester Niken Haryanti M, S.Tp 3471135503730000

8 FX Yusak 3471131207660002

9 Herni Irianti 3471134801670001

10 Hetti Probohening, S.E. 3471136608760003

11 Khoiriyah Ana Rosida, S.I.P. 3471136003680000

12 Khotimah Nurjamiatun 3471134402770000

13 Merry Tejowati 3471134507700000

14 Ning Juwahir Marsal, SE 3471125601770000

15 Ninik Septantina 3471134709800000

16 Nur'aini Indracahyati 3471135404690000

17 Retno Widi Astuti 3471135307650000

18 Sarjinem 3471136602710000

19 Siti Aisyah Hasibuan 3374235808780010

20 Siti Nurkhayati 3402136108890001

21 Sri Ati Rahayu 3471135005670000

22 Sri Pardiyati 3471135403700000

23 Srisuyati 3471134912670001

24 Sulistyani 3471135712610002

25 Sulistyawati 3471135507780000
26 Sumarni 3471134706670000

27 Supriyatun 3471134110630001

28 Suryadi 3471132404760001

29 Tri Budiyanti 3471135007770000

30 Tri Kurniati Ny 3471136507620002

31 Tri Setiyarsi 3471136603630001

32 Widji Rahayu 3471136208720001

33 Wiryono Sudianto 3276060104710000

34 Wiwik Yuniarti 3471136806650003

35 Yeni Aji Puntorini 3471096204810000

 Alamat

Pandeyan UH 5/811, Pandeyan, Umbulharjo, Yogyakarta

Semaki Gede UH I / 58, Semaki, Umbulharjo, Yogyakarta

Timoho Asri IV No. A15 RT 51 RW 05, Muja Muju, Umbul Harjo, Yogyakarta
55165
Pakel Baru UH 6/1120, Sorosutan, Umbulharjo, Yogyakarta 55162

Jl. Imogiri 162, Giwangan, Umbulharjo, Yogyakarta

Celeban UH 3/408 RT 18 RW 04, Tahunan, Umbulharjo, Yogyakarta

Balirejo UH 2/487 A RT 19 RW 06, Muja Muju, Umbulharjo, Yogyakarta

Jl. Kusumanegara 48, Tahunan, Umbulharjo, Yogyakarta

Tahunan UH 3/17 G, Tahunan, Umbulharjo, Yogyakarta

Sorogenen UH 6/104, Sorosutan, Umbulharjo, Yogyakarta

Jl. Sidokabul No 14, RT 29 RW 8, Sorosutan, Umbulharjo, Yogyakarta 55162

Jl. Menteri Supeno UH 6/723 RT5 RW2, Sorosutan, Umbulharjo, Yogyakarta 55162

Jl. Ipda Tut Harsono No 70 A, Muja Muju, Umbul Harjo, Yogyakarta 55165

JL. Bimosari UH III No. 404, Tahunan, Umbulharjo, Yogyakarta

Jl. Gajah 33 RT 06 RW 02, Warungboto, Umbulharjo, Yogyakarta

Jl. Timoho No 60/6, Muja Muju, Umbul Harjo, Yogyakarta 55165

Jl. Kusumanegara 48, Tahunan, Umbulharjo, Yogyakarta

Kebrokan UH 5/652, Pandeyan, Umbulharjo, Yogyakarta

Kalangan UH 5/757 RT 17 RW 04, Pandeyan, Umbulharjo, Yogyakarta 55161

Gambiran UH 5/300 RT 52 RW 10, Pandeyan, Umbulharjo, Yogyakarta

Jl. Gambir Sawit No. 26, Pandeyan, Umbulharjo, Yogyakarta 55161

Jl Soga No 50 RT 35 RW 08, Tahunan, Umbulharjo, Yogyakarta

Ngelak UH 6/753 RT 05 RW 02, Sorosutan, Umbulharjo, Yogyakarta

Gambiran UH 5/371 RT 43 RW 11, Pandeyan, Umbulharjo, Yogyakarta

Kalangan UH 5 No 700 RT 15 RW 04, Pandeyan, Umbulharjo, Yogyakarta 55161

Jl. Veteran gg. Janur Kuning UH 5/887, Pandeyan, Umbulharjo, Yogyakarta

Ngelak UH 6/707 B, Sorosutan, Umbulharjo, Yogyakarta

Jl. Gayam No 11, Semaki, Umbulharjo, Yogyakarta

Pandeyan UH 5/859, Pandeyan, Umbulharjo, Yogyakarta

Celeban UH 3/518, Tahunan, Umbulharjo, Yogyakarta

Glagah UH 4/185, Warungboto, Umbulharjo, Yogyakarta

Jl. Sidomulyo, Celeban UH 3/629 D RT 028 RW 007, Tahunan, Umbulharjo,
Yogyakarta
Batikan Baru UH 3/821A, Tahunan, Umbulharjo, Yogyakarta

Celeban UH 3/373 RT 16 RW 04, Tahunan, Umbulharjo, Yogyakarta

 NIB Usaha

0211210032593 Perdagangan

0409210028813 Fashion

9120006572687 Kuliner

9120119080282 Kuliner

286010221763 Pertanian holtikultura sayuran

9120017141745 Fashion

9120016002852 Kuliner

9120008400019 Kuliner

0248000912846 Fashion

9120003450451 Kuliner

2409210007046 Fashion

0220504872573 Kuliner

609210007834 Kuliner

9120005950032 Kuliner

0220001860376 Kuliner & Fashion

0247000990179 Kuliner & Fashion

9120108782122 Kuliner

0509210029141 Kuliner

9120403851936 Kuliner

9120008710411 Kuliner

9120017062141 Warung sembako

9120107341684 Kuliner

0509210013986 Kuliner
 1287001402013 Kuliner

2809210027144 Kuliner

3009210004137

9120109992453 Perdagangan

0220201202048 Perdagangan
120/IUMK-
Banguntapan/IX/201 Kuliner
8
9120018021754 Perdagangan

9120101651692 Kuliner

9120005402992 Kuliner
No Nama NIK NO BPJS
JANUARI

1 Benydiktus Yuli Nugroho 3471131007970000

2 Daru Jati Romyastuti 3471134502850000

3 Diah Listyo Wardani 3481135004640000

4 Dra. Dwi Yullistari 3471135607610000

5 Dra. Niniek Tri Wedhartati 3403105905660000

6 Dwi Susanti 3471135402780000

7 Ester Niken Haryanti M, S.Tp 3471135503730000

8 FX Yusak 3471131207660002

9 Herni Irianti 3471134801670001

10 Hetti Probohening, S.E. 3471136608760003

11 Khoiriyah Ana Rosida, S.I.P. 3471136003680000

12 Khotimah Nurjamiatun 3471134402770000

13 Merry Tejowati 3471134507700000

14 Ning Juwahir Marsal, SE 3471125601770000

15 Ninik Septantina 3471134709800000

16 Nur'aini Indracahyati 3471135404690000

17 Retno Widi Astuti 3471135307650000 17000

18 Sarjinem 3471136602710000

19 Siti Aisyah Hasibuan 3374235808780010

20 Siti Nurkhayati 3402136108890001

21 Sri Ati Rahayu 3471135005670000

22 Sri Pardiyati 3471135403700000

23 Srisuyati 3471134912670001

24 Sulistyani 3471135712610002

25 Sulistyawati 3471135507780000

26 Sumarni 3471134706670000
27 Supriyatun 3471134110630001 17000

28 Suryadi 3471132404760001

29 Tri Budiyanti 3471135007770000

30 Tri Kurniati Ny 3471136507620002

31 Tri Setiyarsi 3471136603630001 17000

32 Widji Rahayu 3471136208720001

33 Wiryono Sudianto 3276060104710000

34 Wiwik Yuniarti 3471136806650003 12000

35 Yeni Aji Puntorini 3471096204810000

36 Chandra Susanti 3171066306730000

37 Prastiwi 3.471136411741E+19
38 Suginah 3471136105740000
37 Rubini 3471135105670000
38 Triyani 3402045209860000
39 Wahyu Purwaningsih 3471136508760000
38 R.R.Alfisa Probo Wirasti.S.Sn 3471146302790000
39
40
 PEMBAYARAN BPJS 2022 FORKOM UMBULHARJO

FEBUARI MARET APRIL MEI JUNI JULI AGUSTUS SEPT

17000 17000 17000 17000 17000

17000 17000 17000 17000 17000

17000 17000 17000 17000 17000

12000 12000 12000 12000

ARJO
TOTAL KET
NOV OKT DES

102000

0
102000

102000

60000 Ikut 2 orang

0
0
0
0
0
0
0
0