KLINIK Izin No: 44

Jl. Raya Transy

Desa Cileungsi,Ke
T
Email: k

LAPORAN KUNJUNGAN BULANAN

LAYANAN RADIO
BULAN : JANUA

UMUR
No TANGGAL 29 Hari-1
0-7 Hari 8-28 Hari Th 1-4 5-9 10-14 15-19 20-44

1 01/01/22 1
2 02/01/22 3
3 03/01/22 1 4
4 04/01/22 2 1 4
5 05/01/22 1 1 1 4
6 06/01/22 1 3
7 07/01/22 2 3
8 08/01/22 2 2 1
9 09/01/22
10 10/01/22 1 4
11 11/01/22 2 6
12 12/01/22 1 5
13 13/01/22 2 3
14 14/01/22 1
15 15/01/22 1 3
16 16/01/22 1 1 4
17 17/01/22 1 1
18 18/01/22 1 5
19 19/01/22 3 2
20 20/01/22 8 3
21 21/01/22 1 1 4
22 22/01/22 3
23 23/01/22 6
24 24/01/22 1 2
25 25/01/22 1 1 2
26 26/01/22 1 1 2
27 27/01/22 1 2
28 28/01/22 3
29 29/01/22 1 2 7
30 30/01/22 1 1
31 31/01/22 1 1
JUMLAH 0 0 0 9 15 6 20 92

Mengetahui
Penanggung Jawab Klinik Medistira 4
Penanggung Jawab UKP

Wahyu Candra Andri Putranto

Gunawan Wijaya
NIK MEDISTIRA
Izin No: 445. 5/IOK/00011/DPMPTSP/2017
4
Raya Transyogi, Kp Cikalagan, RT.002 RW. 010
Cileungsi,Kecamatan Ci leungsi, K abupaten Bogor
Telp. (021) 82499622
E m a i l : k l i n i k . m e d i s ti r a 4 @ y a h o o . c o m

UNJUNGAN BULANAN PELAYANAN KLINIS

LAYANAN RADIOLOGI
BULAN : JANUARI

JAMINAN
JML
45-54 55-59 60-69 >= 70 Pribadi BPJS BPJSTK Inhealth Asuransi

2 3 3
1 4 4
4 1 2 12 12
1 8 8
1 8 8
2 1 7 7
1 1 7 7
2 1 2 2 12 12
1 1 1 3 3
1 2 1 9 9
1 1 1 11 11
1 7 7
1 6 6
1 1 3 3
1 2 1 8 8
1 1 8 8
1 3 3
1 1 8 8
1 6 6
2 1 14 14
1 1 8 8
2 1 1 7 7
6 6
2 2 7 7
1 1 6 6
4 4
1 4 4
1 4 4
1 2 13 13
1 1 4 4
1 2 2 7 7
 29 15 17 14 217 217 0 0 0 0

Bogor, 01 Februari 2022

Penanggung Jawab
Penanggung Jawab UKP

Deni Tiko Bahagia

Gunawan Wijaya
4

JML

3
4
12
8
8
7
7
12
3
9
11
7
6
3
8
8
3
8
6
14
8
7
6
7
6
4
4
4
13
4
7
217
 KLINIK Izin No: 44
Jl. Raya Transy
Desa Cileungsi,Ke
T
Email: k

LAPORAN KUNJUNGAN BULANAN

LAYANAN RADIO
BULAN : FEBRU

UMUR
No TANGGAL 29 Hari-1
0-7 Hari 8-28 Hari Th 1-4 5-9 10-14 15-19 20-44

1 01/02/22 1
2 02/02/22 1 2 2 7
3 03/02/22 1 7
4 04/02/22 4
5 05/02/22 1 1
6 06/02/22 1
7 07/02/22 3 8
8 08/02/22 1
9 09/02/22 1 7
10 10/02/22 9
11 11/02/22 1 3
12 12/02/22 1 2
13 13/02/22 1 1
14 14/02/22 1 3 4
15 15/02/22 1
16 16/02/22 2 2
17 17/02/22 1 1 3
18 18/02/22 1 8
19 19/02/22 1 3
20 20/02/22 1 3
21 21/02/22 1 5
22 22/02/22 1
23 23/02/22 1 1 3
24 24/02/22 1 1 2
25 25/02/22 1 1
26 26/02/22 1 4
27 27/02/22 1
28 28/02/22 1 5
JUMLAH 0 0 0 5 9 4 19 94

Mengetahui
Penanggung Jawab Klinik Medistira 4
Penanggung Jawab UKP

Wahyu Candra Andri Putranto

Gunawan Wijaya
NIK MEDISTIRA
Izin No: 445. 5/IOK/00011/DPMPTSP/2017
4
Raya Transyogi, Kp Cikalagan, RT.002 RW. 010
Cileungsi,Kecamatan Ci leungsi, K abupaten Bogor
Telp. (021) 82499622
E m a i l : k l i n i k . m e d i s ti r a 4 @ y a h o o . c o m

UNJUNGAN BULANAN PELAYANAN KLINIS

LAYANAN RADIOLOGI
BULAN : FEBRUARI

JAMINAN
JML
45-54 55-59 60-69 >= 70 Pribadi BPJS BPJSTK Inhealth Asuransi

1 1 3 3
1 1 3 2 19 19
1 1 10 10
1 5 5
1 3 3
1 1
1 2 14 14
1 1
4 1 1 14 14
1 10 10
1 1 6 6
1 4 4
1 3 3
2 5 15 15
1 2 2
4 4
2 1 1 9 9
2 1 12 12
1 2 1 8 8
1 1 6 6
2 1 9 9
5 1 1 8 8
1 2 8 8
2 1 7 7
1 2 5 5
5 5
1 1
1 1 1 9 9
29 11 22 8 201 201 0 0 0 0

Bogor, 01 Maret 2022

 Penanggung Jawab
Penanggung Jawab UKP

Deni Tiko Bahagia

Gunawan Wijaya
4

JML

3
19
10
5
3
1
14
1
14
10
6
4
3
15
2
4
9
12
8
6
9
8
8
7
5
5
1
9
201
 KLINIK Izin No: 44
Jl. Raya Transy
Desa Cileungsi,Ke
T
Email: k

LAPORAN KUNJUNGAN BULANAN

LAYANAN RADIO
BULAN : MARE

UMUR
No TANGGAL 29 Hari-1
0-7 Hari 8-28 Hari Th 1-4 5-9 10-14 15-19 20-44

1 01/03/22
2 02/03/22
3 03/03/22
4 04/03/22
5 05/03/22
6 06/03/22
7 07/03/22
8 08/03/22
9 09/03/22
10 10/03/22
11 11/03/22
12 12/03/22
13 13/03/22
14 14/03/22
15 15/03/22
16 16/03/22
17 17/03/22
18 18/03/22
19 19/03/22
20 20/03/22
21 21/03/22
22 22/03/22
23 23/03/22
24 24/03/22
25 25/03/22
26 26/03/22
27 27/03/22
28 28/03/22
29 29/03/22
30 30/03/22
31 31/03/22
JUMLAH

Mengetahui
Penanggung Jawab Klinik Medistira 4
Penanggung Jawab UKP

Wahyu Candra Andri Putranto

Gunawan Wijaya
NIK MEDISTIRA
Izin No: 445. 5/IOK/00011/DPMPTSP/2017
4
Raya Transyogi, Kp Cikalagan, RT.002 RW. 010
Cileungsi,Kecamatan Ci leungsi, K abupaten Bogor
Telp. (021) 82499622
E m a i l : k l i n i k . m e d i s ti r a 4 @ y a h o o . c o m

UNJUNGAN BULANAN PELAYANAN KLINIS

LAYANAN RADIOLOGI
BULAN : MARET

JAMINAN
JML
45-54 55-59 60-69 >= 70 Pribadi BPJS BPJSTK Inhealth Asuransi
 Bogor, 01 April 2022
Penanggung Jawab
Penanggung Jawab UKP

Deni Tiko Bahagia

Gunawan Wijaya
4

JML
 KLINIK M Izin No: 445.5
Jl. Raya Transyogi
Desa Cileungsi,Keca
Telp
Email: klini

LAPORAN KUNJUNGAN BULANAN PELA

LAYANAN RADIOLOGI
BULAN : APRIL

UMUR
No TANGGAL 29 Hari-1
0-7 Hari 8-28 Hari Th 1-4 5-9 10-14 15-19 20-44

1 01/04/22 1 1
2 02/04/22 1 2 6
3 03/04/22 1
4 04/04/22 1 1
5 05/04/22 5
6 06/04/22 1 1 3
7 07/04/22 1 2
8 08/04/22 4
9 09/04/22 1 2 4
10 10/04/22
11 11/04/22 2 1 1 7
12 12/04/22 1 4
13 13/04/22 2
14 14/04/22 1 1 1
15 15/04/22 1
16 16/04/22 1 2
17 17/04/22 1
18 18/04/22 1 3
19 19/04/22 1 1 1
20 20/04/22 4
21 21/04/22 3
22 22/04/22
23 23/04/22 1 2
24 24/04/22
25 25/04/22 1 1
26 26/04/22 1 1 2
27 27/04/22 2 2 2
28 28/04/22
29 29/04/22 3
30 30/04/22 1
JUMLAH 0 0 0 8 7 4 13 65
 Mengetahui
Penanggung Jawab Klinik Medistira 4
Penanggung Jawab UKP

Wahyu Candra Andri Putranto

Gunawan Wijaya
NIK MEDISTIRA 4
Izin No: 445.5/IOK/00011/DPMPTSP/2017
Raya Transyogi, Kp Cikalagan, RT.002 RW. 010
Cileungsi,Kecamatan Cileungsi, Kabupaten Bogor
Telp. (021) 82499622
E m a i l : k l i n i k . m e d i s ti r a 4 @ y a h o o . c o m

UNJUNGAN BULANAN PELAYANAN KLINIS

LAYANAN RADIOLOGI
BULAN : APRIL

JAMINAN
JML
45-54 55-59 60-69 >= 70 Pribadi BPJS BPJSTK Inhealth Asuransi

2 1 5 5
1 1 1 12 12
1 2 2
2 1 2 7 7
1 1 1 8 8
1 1 1 8 8
1 1 5 5
2 6 6
1 1 9 9
1 1 2 2
3 1 15 15
1 1 7 7
3 5 5
1 4 4
1 1 1 4 4
3 1 7 7
1 1
1 1 6 6
1 4 4
1 1 6 6
3 1 7 7
0
3 1 7 7
1 1 1
1 1 4 4
4 4
2 1 9 9
0
1 4 4
1 2 2
35 12 10 7 161 161 0 0 0 0
 Bogor, 01 Mei 2022
Penanggung Jawab
Penanggung Jawab UKP

Deni Tiko Bahagia

Gunawan Wijaya
4

JML

5
12
2
7
8
8
5
6
9
2
15
7
5
4
4
7
1
6
4
6
7
0
7
1
4
4
9
0
4
2
161
 KLINIK Izin No: 44
Jl. Raya Transy
Desa Cileungsi,Ke
T
Email: k

LAPORAN KUNJUNGAN BULANAN

LAYANAN RADIO
BULAN : MEI

UMUR
No TANGGAL 29 Hari-1
0-7 Hari 8-28 Hari Th 1-4 5-9 10-14 15-19 20-44

1 01/05/22
2 02/05/22
3 03/05/22
4 04/05/22
5 05/05/22
6 06/05/22 2 6
7 07/05/22 1
8 08/05/22 1 2
9 09/05/22 1 1 2 2
10 10/05/22 2 2
11 11/05/22 1 2
12 12/05/22 1 3
13 13/05/22 1
14 14/05/22 2
15 15/05/22 1
16 16/05/22 1 5
17 17/05/22 6
18 18/05/22 2 5
19 19/05/22 1
20 20/05/22 2
21 21/05/22 3
22 22/05/22 1
23 23/05/22 1 1 4
24 24/05/22 1 1 3
25 25/05/22 1 1 5
26 26/05/22 1 1 1
27 27/05/22 5
28 28/05/22 1 1
29 29/05/22 2
30 30/05/22 1 1 3
31 31/05/22 1
JUMLAH 0 0 1 2 6 6 13 67

Mengetahui
Penanggung Jawab Klinik Medistira 4
Penanggung Jawab UKP

Wahyu Candra Andri Putranto

Gunawan Wijaya
NIK MEDISTIRA
Izin No: 445. 5/IOK/00011/DPMPTSP/2017
4
Raya Transyogi, Kp Cikalagan, RT.002 RW. 010
Cileungsi,Kecamatan Ci leungsi, K abupaten Bogor
Telp. (021) 82499622
E m a i l : k l i n i k . m e d i s ti r a 4 @ y a h o o . c o m

UNJUNGAN BULANAN PELAYANAN KLINIS

LAYANAN RADIOLOGI
BULAN : MEI

JAMINAN
JML
45-54 55-59 60-69 >= 70 Pribadi BPJS BPJSTK Inhealth Asuransi

0
0
0
0
0
1 9 9
1 1
1 4 4
2 1 4 13 13
1 5 5
4 7 7
2 6 6
3 1 1 6 6
1 1 1 5 5
1 2 2
2 8 8
2 1 1 10 10
1 1 9 9
1 2 2
1 2 5 5
2 2 1 8 8
1 2 4 4
3 2 3 14 14
3 1 1 10 10
1 2 10 10
1 2 1 7 7
1 1 7 7
1 3 3
2 4 4
1 6 6
2 3 3
 29 8 22 14 168 168 0 0 0 0

Bogor, 01 Juni 2022

Penanggung Jawab
Penanggung Jawab UKP

Deni Tiko Bahagia

Gunawan Wijaya
4

JML

0
0
0
0
0
9
1
4
13
5
7
6
6
5
2
8
10
9
2
5
8
4
14
10
10
7
7
3
4
6
3
168
 KLINIK Izin No: 44
Jl. Raya Transy
Desa Cileungsi,Ke
T
Email: k

LAPORAN KUNJUNGAN BULANAN

LAYANAN RADIO
BULAN : JUN

UMUR
No TANGGAL 29 Hari-1
0-7 Hari 8-28 Hari Th 1-4 5-9 10-14 15-19 20-44

1 01/06/22 1 3
2 02/06/22 1 1 5
3 03/06/22 1 7
4 04/06/22 2
5 05/06/22 1
6 06/06/22 3
7 07/06/22 1 2
8 08/06/22 1 2 3 4
9 09/06/22 1 11 4
10 10/06/22 1 2 1 3
11 11/06/22 2 2
12 12/06/22 2 2
13 13/06/22 1 2 2
14 14/06/22
15 15/06/22
16 16/06/22 1 3 1 3
17 17/06/22 1 1 6
18 18/06/22 1 1
19 19/06/22 1 4
20 20/06/22 1 6
21 21/06/22 1 2
22 22/06/22 3
23 23/06/22 2
24 24/06/22 1
25 25/06/22 1 3
26 26/06/22 4
27 27/06/22 1 7
28 28/06/22 1 1
29 29/06/22 1 2
30 30/06/22 2 2
JUMLAH 0 0 0 5 8 14 30 81
 Mengetahui
Penanggung Jawab Klinik Medistira 4
Penanggung Jawab UKP

Wahyu Candra Andri Putranto

Gunawan Wijaya
NIK MEDISTIRA
Izin No: 445. 5/IOK/00011/DPMPTSP/2017
4
Raya Transyogi, Kp Cikalagan, RT.002 RW. 010
Cileungsi,Kecamatan Ci leungsi, K abupaten Bogor
Telp. (021) 82499622
E m a i l : k l i n i k . m e d i s ti r a 4 @ y a h o o . c o m

UNJUNGAN BULANAN PELAYANAN KLINIS

LAYANAN RADIOLOGI
BULAN : JUNI

JAMINAN
JML
45-54 55-59 60-69 >= 70 Pribadi BPJS BPJSTK Inhealth Asuransi

4 4
2 1 10 10
1 1 1 11 11
1 3 3
1 2 4 4
3 2 8 8
1 1 1 6 6
1 1 1 13 13
16 16
2 9 9
2 1 1 8 8
1 5 5
1 1 7 7
0 0
0 0
2 2 1 13 13
3 1 12 12
2 3 7 7
1 6 6
1 4 12 12
3 6 6
1 1 5 5
1 1 4 4
1 1
1 1 6 6
4 4
1 1 1 11 11
2 4 4
1 4 4
2 1 7 7
28 12 23 5 206 206 0 0 0 0
 Bogor, 01 Juli 2022
Penanggung Jawab
Penanggung Jawab UKP

Deni Tiko Bahagia

Gunawan Wijaya
4

JML

4
10
11
3
4
8
6
13
16
9
8
5
7
0
0
13
12
7
6
12
6
5
4
1
6
4
11
4
4
7
206
 KLINIK Izin No: 44
Jl. Raya Transy
Desa Cileungsi,Ke
T
Email: k

LAPORAN KUNJUNGAN BULANAN

LAYANAN RADIO
BULAN : JUL

UMUR
No TANGGAL 29 Hari-1
0-7 Hari 8-28 Hari Th 1-4 5-9 10-14 15-19 20-44

1 01/07/22 1 1 1
2 02/07/22 2 2
3 03/07/22 3
4 04/07/22 1 1
5 05/07/22 1 1 3
6 06/07/22
7 07/07/22 1 3
8 08/07/22 1 5
9 09/07/22 1 2
10 10/07/22
11 11/07/22 7
12 12/07/22 1 6
13 13/07/22 1 2 6
14 14/07/22 1 1 7
15 15/07/22 1 1
16 16/07/22 3
17 17/07/22 1 2 3
18 18/07/22 2 1 5
19 19/07/22 3
20 20/07/22 4
21 21/07/22 1 1
22 22/07/22 2
23 23/07/22 1 2 7
24 24/07/22 1 3
25 25/07/22 2
26 26/07/22 1 3 2
27 27/07/22 2 2
28 28/07/22 1 1 1
29 29/07/22 2
30 30/07/22 1 2
31 31/07/22 1 2
JUMLAH 0 1 0 2 8 8 21 89

Mengetahui
Penanggung Jawab Klinik Medistira 4
Penanggung Jawab UKP

Wahyu Candra Andri Putranto

Gunawan Wijaya
NIK MEDISTIRA
Izin No: 445. 5/IOK/00011/DPMPTSP/2017
4
Raya Transyogi, Kp Cikalagan, RT.002 RW. 010
Cileungsi,Kecamatan Ci leungsi, K abupaten Bogor
Telp. (021) 82499622
E m a i l : k l i n i k . m e d i s ti r a 4 @ y a h o o . c o m

UNJUNGAN BULANAN PELAYANAN KLINIS

LAYANAN RADIOLOGI
BULAN : JULI

JAMINAN
JML
45-54 55-59 60-69 >= 70 Pribadi BPJS BPJSTK Inhealth Asuransi

1 1 5 5
1 5 5
2 2 7 7
2 4 4
3 8 8
0
4 4
2 8 8
1 4 4
0
3 1 11 11
1 8 8
9 9
2 11 11
1 3 3
1 1 5 5
1 1 8 8
3 11 11
1 1 5 5
2 6 6
1 3 3
1 3 3
2 1 13 13
1 3 8 8
2 4 4
2 1 1 10 10
4 4
3 3
2 3 7 7
2 5 5
1 4 4
 33 7 12 5 186 186 0 0 0 0

Bogor, 01 Agustus 2022

Penanggung Jawab
Penanggung Jawab UKP

Deni Tiko Bahagia

Gunawan Wijaya
4

JML

5
5
7
4
8
0
4
8
4
0
11
8
9
11
3
5
8
11
5
6
3
3
13
8
4
10
4
3
7
5
4
186
 KLINIK Izin No: 44
Jl. Raya Transy
Desa Cileungsi,Ke
T
Email: k

LAPORAN KUNJUNGAN BULANAN

LAYANAN RADIO
BULAN : SEPTEM

UMUR
No TANGGAL 29 Hari-1
0-7 Hari 8-28 Hari Th 1-4 5-9 10-14 15-19 20-44

1 01/09/22 1 3 3
2 02/09/22
3 03/09/22 5
4 04/09/22 2
5 05/09/22 2 3
6 06/09/22 1 1 1 3
7 07/09/22 1 3
8 08/09/22 2 1 5
9 09/09/22 1 1 2
10 10/09/22 1 1 4
11 11/09/22 1
12 12/09/22 1 1 1 1
13 13/09/22 1 2 1 2
14 14/09/22 1 3
15 15/09/22 1 3 3
16 16/09/22 1 3
17 17/09/22 1 1 2 1
18 18/09/22 4
19 19/09/22 1 1 2
20 20/09/22 5
21 21/09/22 1 1 1 4
22 22/09/22 1 1
23 23/09/22 1
24 24/09/22 1 5 4
25 25/09/22 1 3
26 26/09/22 1 2 3
27 27/09/22 2
28 28/09/22 2 1 1 1
29 29/09/22 2 6
30 30/09/22 1 1 1
JUMLAH 0 0 0 5 16 20 24 74
 Mengetahui
Penanggung Jawab Klinik Medistira 4
Penanggung Jawab UKP

Wahyu Candra Andri Putranto

Gunawan Wijaya
NIK MEDISTIRA
Izin No: 445. 5/IOK/00011/DPMPTSP/2017
4
Raya Transyogi, Kp Cikalagan, RT.002 RW. 010
Cileungsi,Kecamatan Ci leungsi, K abupaten Bogor
Telp. (021) 82499622
E m a i l : k l i n i k . m e d i s ti r a 4 @ y a h o o . c o m

UNJUNGAN BULANAN PELAYANAN KLINIS

LAYANAN RADIOLOGI
BULAN : SEPTEMBER

JAMINAN
JML
45-54 55-59 60-69 >= 70 Pribadi BPJS BPJSTK Inhealth Asuransi

2 1 1 11 11
1 1 2 2
2 7 7
2 2
5 5
1 7 7
4 4
2 10 10
2 6 6
1 2 9 9
2 3 3
1 5 5
1 1 1 9 9
1 2 7 7
2 9 9
1 2 7 7
1 1 7 7
1 1 1 7 7
1 1 3 9 9
3 2 1 11 11
1 1 1 10 10
2 2 6 6
1 1 1 4 4
1 11 11
1 5 5
1 7 7
1 2 5 5
1 6 6
8 8
1 4 4
20 12 29 3 203 203 0 0 0 0
 Bogor, 01 Oktober 2022
Penanggung Jawab
Penanggung Jawab UKP

Deni Tiko Bahagia

Gunawan Wijaya
4

JML

11
2
7
2
5
7
4
10
6
9
3
5
9
7
9
7
7
7
9
11
10
6
4
11
5
7
5
6
8
4
203
 KLINIK Izin No: 44
Jl. Raya Cicad
Desa Cicadas, Keca
Telp./ Fax
Email: kl

LAPORAN KUNJUNGAN BULANAN

LAYANAN RADIO
BULAN : SEPTEM

UMUR
No TANGGAL 29 Hari-1
0-7 Hari 8-28 Hari Th 1-4 5-9 10-14 15-19 20-44

1 01/09/22 1
2 02/09/22 2
3 03/09/22 1 1
4 04/09/22 1
5 05/09/22 1 2
6 06/09/22 1 1 3
7 07/09/22 1 6
8 08/09/22 1 1 1 7
9 09/09/22 3
10 10/09/22 1
11 11/09/22 1 1
12 12/09/22 2 1
13 13/09/22 1 1 1
14 14/09/22 1 1
15 15/09/22 2
16 16/09/22 1 1 2
17 17/09/22 2
18 18/09/22 1
19 19/09/22 1 1 1
20 20/09/22 1
21 21/09/22 1
22 22/09/22 3
23 23/09/22 1
24 24/09/22 1 1 1
25 25/09/22 1 3
26 26/09/22 2
27 27/09/22 2
28 28/09/22 1 2
29 29/09/22 1 5
30 30/09/22 1 2
JUMLAH 0 0 0 6 7 8 10 55
 Mengetahui
Penanggung Jawab Klinik Medistira 4
Penanggung Jawab UKP

Siswarti Adnan
Wahyu Candra Andri Putran
NIK MEDISTIRA
Izin No: 445.5/IOK/00022/DPMPTSP/2017
2
Raya Cicadas, Kp. Pa buaran, RT.001 RW. 009
cadas, Kecamatan Gunung Putri, Kabupaten Bogor
Telp./ Fax (021) 8670130 / (021) 8675832
E m a i l : k l i n i k _ m e d i s ti r a 2 @ y a h o o . c o . i d

UNJUNGAN BULANAN PELAYANAN KLINIS

LAYANAN RADIOLOGI
BULAN : SEPTEMBER

JAMINAN
JML
45-54 55-59 60-69 >= 70 Pribadi BPJS BPJSTK Inhealth Asuransi

1 1
2 2
2 2
1 1
3 3
5 5
7 7
1 11 11
1 1 5 5
1 2 2
1 3 3
2 1 6 6
2 5 5
2 2
1 3 3
2 1 7 7
2 2
1 2 2
1 4 4
2 3 3
1 2 4 4
1 4 4
1 1 3 3
3 3
1 5 5
1 3 3
1 3 3
3 3
6 6
1 4 4
19 9 0 0 114 114 0 0 0 0
 Bogor, 01 Oktober 2022
Penanggung Jawab
Penanggung Jawab UKP

Deni Tiko Bahagia

hyu Candra Andri Putranto
2

JML

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2
2
1
3
5
7
11
5
2
3
6
5
2
3
7
2
2
4
3
4
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3
3
5
3
3
3
6
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114