No. TAHUN No.

MR Nama Pasien Umur JK Mobile Phone pendidikan 1 2 3 4 5 6 7 1 2 3 4 5 6 7 8 9 10 11

271 2.1 734511 IMAM YUWONO 49 L 081385242054 DIPLOMA 3 1 1 1 1 2 1 1 3 3 2 2 2 3 4 3 3 3 1
272 2.1 448704 ZAINAL ABIDIN 58 L 0818676774 SLTA 1 1 2 1 2 1 1 2 2 2 2 2 3 4 3 4 4 1
273 2.1 906308 PUJI RAHAYU 59 P 0818155769 SRATA 1 3 1 2 1 2 2 1 4 3 3 2 3 2 4 2 3 3 1
274 2.1 395921 RATU ERLITA RESBANSARI 52 P 08161963110 SLTA 1 1 3 1 2 1 1 2 3 2 3 2 3 3 3 3 3 1
275 2.1 445612 TOGI MARGANDA H PURBA 51 L 089655062950 SRATA 1 1 1 2 1 2 1 1 4 4 3 2 2 3 4 4 3 3 1
276 10.4 266596 WASIS ARDIYANTO 26 L 87809105511 S1 1 1 2 1 2 1 1 2 3 3 2 3 2 3 2 3 3 1
277 2.1 395921 RATU ERLITA RESBANSARI 52 P 08161963110 SLTA 3 4 2 2 3 3 2 3 2 3 4 4 3 3 2 3 2 1
278 2.1 598809 ANISA LANA INDRIYATI 24 P 089621777318 SLTA 2 2 3 1 3 2 1 3 4 2 2 2 2 4 2 3 3 2
279 2.1 388537 MARYATI 57 P 081286491086 SLTA 1 1 2 1 2 1 1 2 3 3 3 3 2 2 3 2 2 1
280 2.1 445812 IRMA YANTI 33 P 085717582808 DIPLOMA 3 3 2 1 1 3 1 1 2 2 3 3 4 2 3 3 2 2 2
281 2.1 811009 SARI RATNA DEWI 43 P 089636054392 SLTA 1 1 2 1 2 1 1 2 3 4 3 4 2 3 2 2 2 2
282 2.1 569902 SUYATI SD, NY 67 P 082111213926 SLTA 3 2 3 2 3 3 3 3 3 3 3 4 3 3 3 3 4 2
283 2.1 559902 DRS R WACANA HERU W, TN 73 L 0812112524154 S1 3 3 1 2 2 1 1 2 2 2 3 2 3 2 3 2 3 1
284 2.1 409644 SITI MAISAROH 45 P 08128134610 SLTA 3 3 2 2 3 1 3 3 3 3 4 4 3 2 3 2 3 1
285 2.1 311327 SUSIANA SUALY 50 P 087788687051 SLTA 3 3 3 2 2 3 1 3 3 2 3 2 3 2 3 2 3 1
286 2.1 743803 SASA AMI LULU 21 P 085933211117 SLTA 1 1 2 1 2 1 1 2 2 3 3 3 3 3 3 4 2 1
287 2.1 850811 PASKAH LESTARI SIMANUNGKALIT 31 P 087789901689 SRATA 1 1 1 2 1 2 1 1 3 2 2 3 2 2 2 2 3 2 2
288 2.1 182465 SRI WAHYUNINGSIH 62 P 081381822622 SLTA 3 3 2 2 3 3 2 3 4 4 3 3 3 4 3 4 4 2
289 2.1 630103 GATOT PURNAMA YUDHA K 59 L 081280693330 SLTA 1 1 2 1 2 1 1 4 4 4 4 4 3 3 3 4 3 1
290 2.1 475212 JUMIANA 45 P 082261021884 SLTA 1 1 2 1 2 1 1 2 3 2 3 3 4 3 2 3 3 1
291 2.1 434965 INDAH SUCI MAYANGSARI 31 P 081383003308 SRATA 1 1 2 1 2 3 2 1 2 2 2 3 2 3 3 3 3 3 1
292 2.1 379293 PUJI HARTOYO 58 L 082111637364 DIPLOMA 3 1 1 2 1 2 1 1 3 4 3 2 3 4 3 4 3 3 1
293 2.1 226879 APITIYA PASKARINI 37 P 081380353215 SRATA 1 3 3 2 1 3 3 3 4 4 3 3 2 4 3 2 4 4 1
294 2.1 254534 TOTO SUDIARTO 37 L 08158055603 SLTA 1 1 2 1 2 1 1 3 2 3 3 3 2 3 3 2 3 1
295 2.1 290021 SUGIARTUTI 41 P 81388372233 DIPLOMA 3 3 2 2 2 2 3 1 2 4 3 3 3 4 4 3 4 3 1
296 2.1 003897 HJ. ATIH NORMAH 55 P 081298410027 SLTA 2 3 1 3 2 2 1 4 3 3 2 2 4 3 2 3 3 1
297 2.1 403802 DARWIN GINTING 61 L 081398802662 S1 1 1 2 1 2 1 1 3 3 3 3 3 2 3 3 3 3 1
298 2.1 318022 KASID 76 L 087781579846 SLTA 1 1 2 1 2 1 1 2 4 4 4 3 4 4 4 4 3 1
299 2.1 379194 JOKO WIDYOSENO 31 L 08161151908 SLTA 3 4 3 2 3 3 1 4 3 3 3 3 3 3 3 3 4 1
300 2.1 431957 H TUGIYONO 65 L 081290838522 S1 1 1 2 1 2 1 1 2 3 2 2 2 3 2 2 2 3 1
301 2.1 098086 FAOZAH 39 P 081931477197 S1 3 4 3 2 3 3 1 4 4 3 4 3 4 4 3 4 4 1
302 2.1 403248 NEMAN SUHENDI 59 L 081585596659 S1 1 1 1 1 2 1 1 2 2 2 1 2 1 2 1 2 2 1
303 10.4 391310 HARYONO 78 L 087713696633 S1 1 1 2 1 2 1 1 2 2 2 2 2 2 3 2 3 3 2
304 2.1 336722 SILVIA SARI 26 P 087781856050 SRATA 1 3 3 2 2 3 3 2 2 2 2 3 2 2 2 3 2 2 1
305 2.1 339250 IMRON H. HASAN 61 L 081316260404 SLTA 1 1 1 1 2 1 1 2 2 2 2 2 2 2 2 2 2 2
306 2.1 188381 GABRIELA SERA L 40 P 081288098231 DIPLOMA 3 1 1 2 1 2 1 1 2 3 3 3 3 3 3 3 2 3 2
307 2.1 001595 SETIANINGRUM 61 P 081222701110 SLTA 1 1 2 1 2 1 1 4 3 2 3 3 3 3 3 4 3 1
308 2.1 234508 ELVIENA TAUVANY 53 P 08161104240 SRATA 1 2 3 1 3 2 2 1 2 2 2 1 2 2 2 2 2 2 1
309 2.1 148079 NENG HARUM 39 P 081297149301 SRATA 1 1 1 2 1 2 1 1 2 2 2 2 3 2 2 2 3 2 2
310 2.1 196727 RADITYA ANANDANTO 22 L 081286088542 SLTP 3 1 2 1 2 1 1 3 3 2 3 2 3 2 2 3 2 2
311 2.1 238005 H. BAMBANG IRIANTO JS, TN 66 L 81311444840 SLTA 3 3 2 2 3 3 2 3 3 2 3 2 3 2 2 3 3 2
312 2.1 155001 PARIDA 56 P 081287374344 SLTA 1 1 2 1 2 1 1 2 1 2 1 2 1 2 2 1 2 1
313 2.1 478410 UFFRIDATUN NITAMI 20 P 081311325636 SLTA 3 2 3 2 2 2 1 2 3 2 3 2 2 2 2 3 3 2
314 10.7 336392 POPPY KRISTINA 42 P 08159401478 S1 1 1 2 1 2 1 1 2 3 2 3 2 3 3 2 3 3 1
315 10.7 420254 EUIS NURFITRIANI 29 P 081223151318 DIPLOMA 3 1 1 2 1 2 1 1 3 3 2 2 3 3 2 3 3 3 1
316 1.6 847207 NURJANAH 29 P 085716741422 SLTA 1 1 2 1 2 1 1 2 3 2 2 2 2 2 2 2 2 1
317 1.6 070642 SURYADI, SH 54 L 081213143838 SRATA 1 1 1 2 1 2 1 1 2 3 2 3 2 3 2 3 3 3 2
318 1.6 833603 TITIK SWANDARI 23 P 0895602530556 SLTA 3 2 2 1 2 1 1 3 2 2 3 2 2 2 2 2 2 1
319 1.6 301029 WINARNO 38 L 08111014025 S1 1 1 2 1 2 1 1 3 2 2 3 3 2 2 2 3 3 2
320 1.6 425103 TRI MUJIYANTI RAHAYU 52 P 81511189196 SLTA 3 1 2 2 2 2 1 2 3 3 2 2 3 2 3 3 3 1
321 1.6 842604 ANDIKA PANJI SETIAWAN 21 L 0895359470007 SLTA 1 1 2 1 2 1 1 2 3 3 3 2 2 3 3 3 3 1
322 1.6 206805 MANAURI PARDEDE 39 L 081361560162 S1 1 1 2 1 2 1 1 2 2 3 2 2 3 2 3 2 2 1
323 1.6 264293 NIKEN PAULINA MASALAMATE 36 P 08111110325 SLTA 2 2 2 1 3 2 1 1 1 2 2 2 1 1 1 2 2 2
324 1.6 105827 ENRICO 45 L 0817879978 S1 1 1 2 1 2 1 1 1 1 2 1 1 1 1 1 1 1 2