DAFTAR NAMA-NAMA PENDUDUK

YANG BELUM MEMPUNYAI KARTU BPJS

DESA : TAPALINNA

Tanggal Lahir Jenis Status

HUBKEL kelamin Kawin
1=P Tempat dd/mm/yyyy 1=1 1 =BK Kode Kode
Alamat Nama Kode Faskes Nama
2=S lahir 2=2 2=K Kode Kecamata Desa
NO No. KK NIK/KITAS/KITAP Nama Lengkap Tempat RT RW kecama Nama Desa Tk. I (Diisi Faskes
3=I 3 = CH Pos n (Diisi (Diisi
Tinggal tan Petugas) Tk. I
4=A 4 = CM Petugas) Petugas)
5=T 5 = Tdk
tau
1 7603012304120009 760304163060003 JUHARNI KOPEAN TAKOMBA TAPALINNA
2 7603011106130001 7603014101690003 HAJIRA DAMBU TAKOMBA TAPALINNA
3 7603011106130001 7603011712860001 RUSDIANTO TAPALINNA TAKOMBA TAPALINNA
4 7603011106130001 7603016407880002 ROMIATI TAPALINNA TAKOMBA TAPALINNA
5 7603011106130001 7603016008890002 ROSNAWATI TAPALINNA TAKOMBA TAPALINNA
6 7603011106130001 7603014102930009 JURIANA DAMBU TAKOMBA TAPALINNA
7 7603011106130001 7603010102930002 SULKIPLI DAMBU TAKOMBA TAPALINNA
8 7603011201120003 7603014807960004 RISNAWATI DAMBU TAKOMBA TAPALINNA
9 7603010711130001 NAUFAL AFKAR MAMBI TAKOMBA TAPALINNA
10 7603010609120007 7603012803150001 MUH. YAHYA MAMBI TAKOMBA TAPALINNA
11 7603011001180002 7602032117990044 AIDUL DAMBU TAKOMBA TAPALINNA
12 7603011001180002 7602036710790004 ROSMINI UHAILANU TAKOMBA TAPALINNA
13 7603011001180002 7602031303080001 MUH. FAIZAL UHAILANU TAKOMBA TAPALINNA
14 7603011101120003 760301420710001 ARID DAMBU TAKOMBA TAPALINNA
15 7603012601130009 7603016312130001 HAZEA UHAILANU TAKOMBA TAPALINNA
16 7603010908200001 7603011203840001 ISMAJA UHAILANU TAKOMBA TAPALINNA
17 7603010908720001 7603015506860002 RUSNAWATI DAMBU TAKOMBA TAPALINNA
18 7603010908120001 7603014412040001 RISMAWATI DAMBU TAKOMBA TAPALINNA
19 7603010908120001 7603012112070002 AKMAL DAMBU TAKOMBA TAPALINNA
20 7603010908120001 7603011212150001 ARRAHMAN DAMBU TAKOMBA TAPALINNA
21 7603010304120002 7603017007730001 SAHID DAMBU TAKOMBA TAPALINNA
22 7603010304120002 7603014110740002 IRMAWATI DAMBU TAKOMBA TAPALINNA
23 7603010304120002 7603015303010004 MUSPIKA DAMBU TAKOMBA TAPALINNA
24 7603010304120002 7603011011020003 SAMSUL UHAILANU TAKOMBA TAPALINNA
25 7603010304120002 7603014310040002 PITASARI DAMBU TAKOMBA TAPALINNA
26 7603020412740007 7603022607670001 NOMME DAMBU TAKOMBA TAPALINNA
27 7603020412140001 7603026706720002 RATIMA KALINTARO TAKOMBA TAPALINNA
28 7603020412140001 7603025402930004 ISRAWATI KALINTARO TAKOMBA TAPALINNA
29 7603020412140001 7603026004860002 IRLAENI KALINTARO TAKOMBA TAPALINNA
30 7603020412140001 7603023012970005 SAKAR KALINTARO TAKOMBA TAPALINNA
31 7603020412140001 7603022207990002 AHMAD DILLA KALINTARO TAKOMBA TAPALINNA
32 7603020412140001 7603022010050001 YUSRIL KALINTARO TAKOMBA TAPALINNA
33 7603011402110002 7603010507870002 HARTONO EKO PURNOMO TAKOMBA TAKOMBA TAPALINNA
34 7603011402110002 7603015004850001 HAJIRINA TAKOMBA TAKOMBA TAPALINNA
35 7603011402110002 7603012102180001 WAPIUDDIN DAMBU TAKOMBA TAPALINNA
36 7603010709170001 7602036012690002 MAAIRA DAMBU TAKOMBA TAPALINNA
37 7603010709170001 7602031008040002 AWALUDDIN UHAILANU TAKOMBA TAPALINNA
38 760301290710002 7603011059150001 MUH. ZAIDIAH TAKOMBA TAKOMBA TAPALINNA
39 7603012804160001 7602035012030005 SARMITA MAMBI TAKOMBA TAPALINNA
40 7603012804160001 7603015212140002 NUR HASINA TAKOMBA TAKOMBA TAPALINNA
41 7603011021220002 7603010103760001 HAMRULLA DAMBU TAKOMBA TAPALINNA
42 7603011021220002 7603014410800002 MISNAWATI UHAILANU TAKOMBA TAPALINNA
43 7603011021220001 7603014309970005 SURIANINSI UHAILANU TAKOMBA TAPALINNA
44 7603012902160001 7603019106650001 NUR ATI TAKOMBA TAKOMBA TAPALINNA
45 7603012902160001 7603010405900002 NURMAN.S TAKOMBA TAKOMBA TAPALINNA
46 7603012902160001 7603014809980001 NURALISA TAKOMBA TAKOMBA TAPALINNA
47 7603010804160001 7603020107950024 SAPRIADI DAMBU TAKOMBA TAPALINNA
48 7603010804160001 7603015201960001 SRIWIJAYANTI SALUALO TAKOMBA TAPALINNA
49 7603012301180003 7603024701870003 NURMIATI ARALLE TAKOMBA TAPALINNA
50 7603012301180003 76030170111600001 NAFIA TAKOMBA TAKOMBA TAPALINNA
51 7603010610090001 7603014706130001 AYATUL HUSNA TAKOMBA TAKOMBA TAPALINNA
52 7603010610090001 7603015031500001 MUH. LUTFI SAABIL TAKOMBA TAKOMBA TAPALINNA
53 7603010804160001 7603010902160001 MUH. KHALIP SALUALO TAKOMBA TAPALINNA
54 7603010905120002 7603010112850002 HAIDIR DAMBU DAMBU TAPALINNA
55 7603010905120002 7603014411860001 NURMASARI DAMBU DAMBU TAPALINNA
56 7603010905120002 7603012208070002 MARWAN DAMBU DAMBU TAPALINNA
57 7603010905120002 7603015809110001 MARWA DAMBU DAMBU TAPALINNA
58 7603010905120002 7603015109150001 MARSYAFIRA DAMBU DAMBU TAPALINNA
59 76030075778 760203011091003 ZULKIFLI TAPALINNA 01/10/1991 L K TAPALINNA MAMBI TAPALINNA MAMBI
60 76030075778 7303025507890006 NURSYAMSI BANTAENG 15/07/1989 P K TAPALINNA MAMBI TAPALINNA MAMBI
61 76030075778 7602035008120002 ALFINA NURUL QALBI MAMUJU 10/08/2012 P BK TAPALINNA MAMBI TAPALINNA MAMBI
62 7666006298 7602032811960001 CENRA IRAWAN TAPALINNA 28/11/1995 L K TAPALINNA MAMBI TAPALINNA MAMBI
63 7666006298 7602064205950001 RESKI WATI KONDO 02/05/1995 P K TAPALINNA MAMBI TAPALINNA MAMBI
64 760301060416002 760203904670001 DARAMIA TAPALINNA 19/04/1967 P K TAPALINNA MAMBI TAPALINNA MAMBI
65 760301060416002 7602032101930002 ARWAN TAPALINNA 21/01/1993 L BK TAPALINNA MAMBI TAPALINNA MAMBI
66 760301060416002 7602032404000005 HAIRUL UHAIMATE 01/12/1997 L BK TAPALINNA MAMBI TAPALINNA MAMBI
67 760301060416002 7602030912020001 USMARYADI MAMUJU 09/12/2002 L BK TAPALINNA MAMBI TAPALINNA MAMBI
68 760301060416002 7602030311040001 RAHMAT RIADI MAMUJU 03/11/2004 L BK TAPALINNA MAMBI TAPALINNA MAMBI
69 760301060416002 7602035907060003 LASMINI MAMUJU 19/07/2006 P BK TAPALINNA MAMBI TAPALINNA MAMBI
70 7603012307082631 760301290976003 SUIHARDIMAN TAPALINNA 29/09/1976 L K TAPALINNA MAMBI TAPALINNA MAMBI
71 7603012307082631 7603016512810001 NURLIA TAPALINNA 25/12/1981 P K TAPALINNA MAMBI TAPALINNA MAMBI
72 7603012307082631 7603012608070001 AGIL RAJAB TAPALINNA 26/08/2007 L BK TAPALINNA MAMBI TAPALINNA MAMBI
73 7603012307082631 7603016106090001 ZAHBATUN HAIRA TAPALINNA 21/06/2009 P BK TAPALINNA MAMBI TAPALINNA MAMBI
74 7603010607090002 7603013112250003 NURAPIN TAPALINNA 31/12/1955 L K TAPALINNA MAMBI TAPALINNA MAMBI
75 7603010607090002 7603014106670001 DAHARIA TAPALINNA 01/06/1967 P K TAPALINNA MAMBI TAPALINNA MAMBI
76 7603010607090002 7603010509920001 ALMAULUNI TAPALINNA 06/09/1992 L BK TAPALINNA MAMBI TAPALINNA MAMBI
77 7603010607090002 7603011502940001 ALWIJAYA TAPALINNA 15/02/1994 L BK TAPALINNA MAMBI TAPALINNA MAMBI
78 7603010607090002 7603010511940003 M. ISRAK TAPALINNA 05/11/1996 L BK TAPALINNA MAMBI TAPALINNA MAMBI
79 7603010607090002 7603010511960003 MUHLIS YAMIN TAPALINNA 12/05/1998 L BK TAPALINNA MAMBI TAPALINNA MAMBI
80 7603010607090002 7603011205980002 NISWAR TAPALINNA 25/11/2000 L BK TAPALINNA MAMBI TAPALINNA MAMBI
81 7603010607090002 7603016402040001 NUR BADRI TAPALINNA 24/02/2004 P BK TAPALINNA MAMBI TAPALINNA MAMBI
82 76030079160 7603012004930003 AZIS BUSMAN MAMUJU 20/04/1993 L K TAPALINNA MAMBI TAPALINNA MAMBI
83 76030079160 7314036011930004 RISNA MAHARANI CIRO-CIROE 20/11/1993 P K TAPALINNA MAMBI TAPALINNA MAMBI
84 76030079160 7603017001160001 ALFIAN AKIDAH CIRO-CIROE 30/07/2016 P BK TAPALINNA MAMBI TAPALINNA MAMBI
85 UMMUL KHORY CIRO-CIROE 07/12/2017 P BK TAPALINNA MAMBI TAPALINNA MAMBI
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Tapalinna, ………………………………

Kepala Desa,
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