DATA PENDING RJTL

NO NOSEP TGLSEP TGLPLG RIRJ NOKARTU MR

1 1301R0250522V000562 2022-05-13 2022-05-13 RJ 00*********64 073046
2 1301R0250522V001400 2022-05-30 2022-05-30 RJ 00*********64 073046
3 1301R0250522V000793 2022-05-18 2022-05-18 RJ 00*********97 071729
4 1301R0250522V001213 2022-05-25 2022-05-25 RJ 00*********97 071729
5 1301R0250522V001019 2022-05-23 2022-05-23 RJ 00*********78 073590
6 1301R0250522V001406 2022-05-30 2022-05-30 RJ 00*********78 073590
7 1301R0250522V000412 2022-05-11 2022-05-11 RJ 00*********49 070475
8 1301R0250522V001177 2022-05-25 2022-05-25 RJ 00*********49 070475
9 1301R0250522V000320 2022-05-10 2022-05-10 RJ 00*********17 056752
10 1301R0250522V001224 2022-05-25 2022-05-25 RJ 00*********17 056752
11 1301R0250522V000157 2022-05-06 2022-05-06 RJ 00*********61 072249
12 1301R0250522V000599 2022-05-13 2022-05-13 RJ 00*********61 072249
13 1301R0250522V000775 2022-05-18 2022-05-18 RJ 00*********87 071702
14 1301R0250522V001188 2022-05-25 2022-05-25 RJ 00*********87 071702
15 1301R0250522V000736 2022-05-17 2022-05-17 RJ 00*********22 070133
16 1301R0250522V001218 2022-05-25 2022-05-25 RJ 00*********22 070133
17 1301R0250522V000344 2022-05-10 2022-05-10 RJ 00*********83 055334
18 1301R0250522V000706 2022-05-17 2022-05-17 RJ 00*********83 055334
19 1301R0250522V000052 2022-05-04 2022-05-04 RJ 00*********11 072221
20 1301R0250522V000798 2022-05-18 2022-05-18 RJ 00*********11 072221
21 1301R0250522V000699 2022-05-17 2022-05-17 RJ 00*********04 068383
22 1301R0250522V001122 2022-05-24 2022-05-24 RJ 00*********04 068383
23 1301R0250522V000414 2022-05-11 2022-05-11 RJ 00*********28 072794
24 1301R0250522V000692 2022-05-17 2022-05-17 RJ 00*********28 072794
25 1301R0250522V001118 2022-05-24 2022-05-24 RJ 00*********28 072794
26 1301R0250522V001471 2022-05-31 2022-05-31 RJ 00*********28 072794
27 1301R0250522V000884 2022-05-20 2022-05-20 RJ 00*********35 034853
28 1301R0250522V001253 2022-05-27 2022-05-27 RJ 00*********35 034853
29 1301R0250522V000556 2022-05-13 2022-05-13 RJ 00*********56 072838
30 1301R0250522V001397 2022-05-30 2022-05-30 RJ 00*********56 072838
31 1301R0250522V000279 2022-05-09 2022-05-09 RJ 00*********27 072534
32 1301R0250522V001344 2022-05-28 2022-05-28 RJ 00*********27 072534
33 1301R0250522V000555 2022-05-13 2022-05-13 RJ 00*********14 064887
34 1301R0250522V000908 2022-05-20 2022-05-20 RJ 00*********14 064887
35 1301R0250522V001119 2022-05-24 2022-05-24 RJ 00*********14 064887
36 1301R0250522V001480 2022-05-31 2022-05-31 RJ 00*********14 064887
37 1301R0250522V000846 2022-05-19 2022-05-19 RJ 00*********24 073515
38 1301R0250522V001302 2022-05-27 2022-05-27 RJ 00*********24 073515
39 1301R0250522V000413 2022-05-11 2022-05-11 RJ 00*********32 029744
40 1301R0250522V001483 2022-05-31 2022-05-31 RJ 00*********32 029744
41 1301R0250522V000909 2022-05-20 2022-05-20 RJ 00*********92 072746
42 1301R0250522V001124 2022-05-24 2022-05-24 RJ 00*********92 072746

43 1301R0250522V001052 2022-05-23 2022-05-23 RJ 00*********25 073599

44 1301R0250522V000772 2022-05-18 2022-05-18 RJ 00*********66 062118
45 1301R0250522V001312 2022-05-27 2022-05-27 RJ 00*********66 062118
46 1301R0250522V000445 2022-05-11 2022-05-11 RJ 00*********28 73373
47 1301R0250522V000804 2022-05-18 2022-05-18 RJ 00*********28 073373
48 1301R0250522V001226 2022-05-25 2022-05-25 RJ 00*********28 073373
49 1301R0250522V000057 2022-05-04 2022-05-04 RJ 00*********92 071713
50 1301R0250522V000838 2022-05-19 2022-05-19 RJ 00*********92 071713
51 1301R0250522V001217 2022-05-25 2022-05-25 RJ 00*********92 071713
52 1301R0250522V000225 2022-05-09 2022-05-09 RJ 00*********82 070200
53 1301R0250522V001029 2022-05-23 2022-05-23 RJ 00*********82 070200
JUMLAH
 NAMAPESERTA KDINACBG BIAYA TELAAH
AF**** DE***** NI***** PU*** Z-3-25-0 311300
salah satu saja yg dientry tindakan USG, mohon di revisi
AF**** DE***** NI***** PU*** Z-3-25-0 311300
DE** SU********** Z-3-25-0 311300
salah satu saja yg dientry tindakan USG, mohon di revisi
DE** SU********** Z-3-25-0 311300
DI** MI** WA*** AS***** Z-3-25-0 311300
salah satu saja yg dientry tindakan USG, mohon di revisi
DI** MI** WA*** AS***** Z-3-25-0 311300
DI** PE********* KE********* Z-3-25-0 311300
salah satu saja yg dientry tindakan USG, mohon di revisi
DI** PE********* KE********* Z-3-25-0 311300
DY** WO** PR******** Z-3-25-0 311300
salah satu saja yg dientry tindakan USG, mohon di revisi
DY** WO** PR******** Z-3-25-0 311300
ER**** OK******* Z-3-25-0 311300
salah satu saja yg dientry tindakan USG, mohon di revisi
ER**** OK******* Z-3-25-0 311300
FI** DA** AR** PU*** Z-3-25-0 311300
salah satu saja yg dientry tindakan USG, mohon di revisi
FI** DA** AR** PU*** Z-3-25-0 311300
FI************* Z-3-25-0 311300
salah satu saja yg dientry tindakan USG, mohon di revisi
FI************* Z-3-25-0 311300
IK* UT*** Z-3-25-0 311300
salah satu saja yg dientry tindakan USG, mohon di revisi
IK* UT*** Z-3-25-0 311300
IK* YU******* Z-3-25-0 311300
salah satu saja yg dientry tindakan USG, mohon di revisi
IK* YU******* Z-3-25-0 311300
LA****** FA****** Z-3-25-0 311300
salah satu saja yg dientry tindakan USG, mohon di revisi
LA****** FA****** Z-3-25-0 311300
MI****** Z-3-25-0 311300
salah satu saja yg dientry tindakan USG, mohon di revisi
MI****** Z-3-25-0 311300
MI****** Z-3-25-0 311300
salah satu saja yg dientry tindakan USG, mohon di revisi
MI****** Z-3-25-0 311300
MU***** RA**** NU***** Z-3-25-0 311300
salah satu saja yg dientry tindakan USG, mohon di revisi
MU***** RA**** NU***** Z-3-25-0 311300
NO** IN*** RA******* Z-3-25-0 311300
salah satu saja yg dientry tindakan USG, mohon di revisi
NO** IN*** RA******* Z-3-25-0 311300
NU* AC****** SA*** Z-3-25-0 311300
salah satu saja yg dientry tindakan USG, mohon di revisi
NU* AC****** SA*** Z-3-25-0 311300
NU* KH****** Z-3-25-0 311300
salah satu saja yg dientry tindakan USG, mohon di revisi
NU* KH****** Z-3-25-0 311300
NU* KH****** Z-3-25-0 311300
salah satu saja yg dientry tindakan USG, mohon di revisi
NU* KH****** Z-3-25-0 311300
PU**** SA******* AY* RO******* Z-3-25-0 311300
salah satu saja yg dientry tindakan USG, mohon di revisi
PU**** SA******* AY* RO******* Z-3-25-0 311300
RA**** AN****** Z-3-25-0 311300
salah satu saja yg dientry tindakan USG, mohon di revisi
RA**** AN****** Z-3-25-0 311300
RE** SE*** NI***** Z-3-25-0 311300
salah satu saja yg dientry tindakan USG, mohon di revisi
RE** SE*** NI***** Z-3-25-0 311300
ST* RO******* KA***** Z-3-25-0 311300 mohon di hapus tindakan USG, krn sudah di koding pada
klaim kunjungan sebelumnya
VE****** Z-3-25-0 311300
salah satu saja yg dientry tindakan USG, mohon di revisi
VE****** Z-3-25-0 311300
WI** DE** NO************ Z-3-25-0 311300
salah satu saja yg dientry tindakan USG, mohon di revisi
WI** DE** NO************ Z-3-25-0 311300
WI** DE** NO************ Z-3-25-0 311300
salah satu saja yg dientry tindakan USG, mohon di revisi
 salah satu saja yg dientry tindakan USG, mohon di revisi
WI*** AN******* PU***** DE** Z-3-25-0 311300
WI*** AN******* PU***** DE** Z-3-25-0 311300
salah satu saja yg dientry tindakan USG, mohon di revisi
WI*** AN******* PU***** DE** Z-3-25-0 311300
WI******* WI****** AS** Z-3-25-0 311300
salah satu saja yg dientry tindakan USG, mohon di revisi
WI******* WI****** AS** Z-3-25-0 311300
16,498,900
DATA PENDING RITL
NO NOSEP TGLSEP TGLPLG RIRJ NOKARTU MR NAMAPESERTA KDINACBG
1 1301R0250522V001359 2022-05-28 2022-05-31 RI 00*********69 073704 KA***** K-4-18-II
JUMLAH
 BIAYA TELAAH
1,818,800 Mohon kode DM dihapus
1,818,800