Report Jasa Dokter - Fee Medis - 2022-07-01 Sampai 2022-07-31

REPORT JASA DO
PERIODE 2022-07-01 sampai 2022-07-31
No Keterangan Tarif Jasa Dokter / Fee Medis Qty

ABDUL HAFID, AMD.KEP
1 PELEPASAN INFUS ANAK 10000 10000 1
2 NEBULIZER 5000 5000 1
3 EKG/ECG 50000 50000 1
4 NEBULIZER 10000 10000 1
5 SEWA ALAT NEBULEZER 10000 10000 1
6 PELEPASAN INFUS DEWA 10000 10000 1
8 JASA RESEP RANAP BPJS 2500 0 4
10 JASA PERAWAT UGD 75000 75000 1
11 NEBULIZER 10000 10000 1
13 JASA PERAWAT SERCUM 100000 100000 1
17 HEATCHING 1-5 30000 30000 1
18 HEACTCHING (PENAMBAH 5000 5000 1
19 RAWAT LUKA BERAT 50000 50000 1
TOTAL
ADE BELA SUKMA, S.KEP.NS
1 BPJS NEBULIZER 10000 10000 1
3 PEMAKAIAN TABUNG OKS 125000 0 1
4 PEMAKAIAN OKSIGEN KUR 105000 0 1
5 SEWA ALAT EKG/ECG 50000 50000 1
6 EKG/ECG 50000 50000 1
7 NEBULIZER 10000 10000 1
10 NEBULIZER 10000 10000 1
13 BPJS RAWAT LUKA RING 10000 10000 1
23 NEBULIZER 10000 10000 1
26 EKG/ECG 25000 25000 1
27 NEBULIZER 10000 10000 1
29 JASA INJEKSI (IV,IM,SC) 5000 5000 1
30 BPJS GDA STIK 5000 5000 1
31 PELEPASAN KATETER 15000 15000 1
TOTAL
AHLI GIZI
1 JASA KONSULTASI GIZI R 5000 5000 1
2 PELAYANAN GIZI KELAS II 45000 45000 1
TOTAL
AHMAD RIDWAN, S.KEP.NS
1 NEBULIZER 5000 5000 1
2 NEBULIZER 10000 10000 1
4 PEMASANGAN DAN PELE 20000 20000 1
5 NEBULIZER 10000 10000 1
7 NEBULIZER 10000 10000 1
9 NEBULIZER 10000 10000 1
TOTAL
ANA WILDANI, S.TR.KEB
1 BPJS JASA OBSERVASI P 10000 10000 1
2 CHARGE KAMAR : 2022-07 50000 0 1
3 CHARGE KAMAR : 2022-07 50000 0 1
4 CHARGE KAMAR : 2022-07 50000 0 1
5 CHARGE KAMAR : 2022-07 50000 0 1
6 CHARGE KAMAR : 2022-07 50000 0 1
7 CHARGE KAMAR : 2022-07 50000 0 1
8 SOUVENIR 30000 0 1
9 PASIEN BPJS RJ 4000 3000 1
10 PASIEN UMUM RJ 35000 30000 1
11 JASA BIDAN ANC BIDAN 15000 15000 1
12 VT RALAN 25000 25000 1
13 ANC BIDAN 20000 20000 1
15 BPJS NON KAPITASI KB S 9000 9000 1
16 JASA BIDAN BPJS NON KA 5000 5000 1
23 BKIA BPJS 1000 0 1
26 BKKBN 0 0 1
27 KB SUNTIK 3 BULAN 0 0 1
28 JASA BIDAN KB SUNTIK 3 5000 5000 1
29 BKIA BPJS 1000 0 1
TOTAL
BAGUS ROBBY FITRIANTO,S.KEP.NS
1 SEWA ALAT GDA STIK 5000 5000 1
7 BPJS GDA STIK 5000 5000 1
15 BPJS GDA STIK 5000 5000 1
22 GDA STIK 5000 5000 1
27 NEBULIZER 10000 10000 1
29 NEBULIZER 10000 10000 1
32 BPJS GDA STIK 5000 5000 1
33 GDA STIK 5000 5000 1
35 GDA STIK 5000 5000 1
37 BPJS GDA STIK 5000 5000 1
39 GDA STIK 5000 5000 1
42 NEBULIZER 10000 10000 1
44 BPJS PEMASANGAN KATE 15000 15000 1
46 NEBULIZER 10000 10000 1
TOTAL
BENI EKA WULANDARI, AMD.KEB
1 HEACTING DERAJAT 2 150000 150000 1
2 BPJS GIZI UNTUK PERSAL 15000 15000 1
4 BPJS PELEPASAN KATETE 15000 15000 1
5 CHARGE KAMAR : 2022-07 50000 0 1
6 CHARGE KAMAR : 2022-07 50000 0 1
7 CHARGE KAMAR : 2022-07 50000 0 1
9 ANC BIDAN 20000 20000 1
10 ANC DOKTER 25000 25000 1
11 JASA BIDAN ANC DOKTER 15000 15000 1
12 JASA DOKTER ANC DOKT 20000 20000 1
TOTAL
BIDAN JAGA
1 ADM KLS 2 (BPJS) 25000 0 1
2 ADM KLS 2 (BPJS) 25000 0 1
5 BPJS SEWA AMBULANCE 200000 200000 1
7 ADM KLS VIP 100000 0 1
8 JASA RESEP RANAP 5000 0 2
9 PERTOLONGAN PERSALI 750000 750000 1
10 JASA OBSERVASI PERSAL 100000 100000 2
11 GIZI UNTUK PERSALINAN 45000 45000 1
12 PELAYANAN GIZI MAKA 15000 15000 1
13 PERAWATAN BAYI BARU L 100000 100000 1
14 DOKUMENTASI FOTO N 100000 0 2
15 ADM KLS 2 (BPJS) 25000 0 1
16 JASA RESEP PUYER RANA 2500 0 2
17 BPJS JASA OBSERVASI 10000 10000 1
19 BPJS PERTOLONGAN PER 500000 500000 1
22 PELAYANAN GIZI KELAS 1 45000 45000 2
23 ADM KLS 2 (BPJS) 25000 0 1
25 PEMASANGAN INFUS PER 20000 20000 1
27 PERAWATAN BAYI BARU 100000 100000 1
30 ADM KLS 2 (BPJS) 25000 0 1
33 PERAWATAN BAYI BARU 100000 100000 1
34 HEATCHING DERAJAT I 100000 100000 1
38 GIZI UNTUK PERSALINAN 45000 45000 1
39 CHARGE KAMAR : 2022-07 50000 0 1
40 CHARGE KAMAR : 2022-07 50000 0 1
41 CHARGE KAMAR : 2022-07 50000 0 1
42 CHARGE KAMAR : 2022-07 50000 0 1
43 CHARGE KAMAR : 2022-07 50000 0 1
44 SOUVENIR 30000 0 1
46 JASA RESEP BPJS RJ 1000 0 1
47 PASIEN UMUM RJ 35000 30000 1
48 JASA RESEP RJ 2000 0 1
TOTAL
DANA FATHURROHMAN, AMD.KEP
4 PEMAKAIAN OKSIGEN NA 2500 2500 1
7 BPJS RAWAT LUKA SEDA 10000 10000 1
8 JASA PERAWAT UGD BPJ 10000 10000 1
TOTAL
DEVITA SINGGIH R, S.KEP.NS
9 GDA STIK 5000 5000 1
16 NEBULIZER 10000 10000 1
19 SUCTION/PATENT AIRWA 25000 25000 1
20 SEWA ALAT SUCTION/PA 35000 35000 1
34 RAWAT LUKA RINGAN 20000 20000 1
37 RAWAT LUKA SEDANG 35000 35000 1
39 NEBULIZER 10000 10000 1
41 NEBULIZER 10000 10000 1
46 NEBULIZER 10000 10000 1
50 NEBULIZER 10000 10000 1
52 NEBULIZER 10000 10000 1
54 NEBULIZER 10000 10000 1
56 NEBULIZER 10000 10000 1
58 JASA EKG/ECG 25000 25000 1
TOTAL
dr. ARISANTI
1 PASIEN UMUM RJ 35000 30000 1
3 JASA KAPSUL 500 0 15
7 JASA PUYER 5000 0 1
11 PASIEN UMUM RJ 35000 30000 1
12 JASA RESEP PUYER RJ 5000 0 1
14 PASIEN UMUM RJ 35000 30000 1
19 ADM KLS 2 (BPJS) 25000 0 1
TOTAL
dr. ARISANTY NURSETIA RESTUTI
1 VISITE DOKTER VIP 100000 100000 1
2 VISITE DOKTER KELAS 1 75000 75000 1
3 VISITE DOKTER KLS II & 60000 60000 1
4 ADM KLS 2 (BPJS) 25000 0 1
5 BPJS JASA PERAWAT RU 10000 10000 1
6 BPJS VISITE DOKTER 10000 10000 1
12 ADM KLS 2 50000 0 1
13 RUJUK RI 0 0 1
23 ADM KLS 2 (BPJS) 25000 0 1
24 RUJUK RI 0 0 1
34 RUJUK RI 0 0 1
36 PASIEN UMUM RJ 35000 30000 1
38 PASIEN UMUM RJ 35000 30000 1
41 PASIEN UMUM RJ 35000 30000 1
44 PASIEN UMUM RJ 35000 30000 1
46 PASIEN UMUM RJ 35000 30000 1
48 PASIEN UMUM RJ 35000 30000 1
50 PASIEN UMUM RJ 35000 30000 1
53 PASIEN UMUM RJ 35000 30000 1
56 PASIEN UMUM RJ 35000 30000 1
63 PASIEN UMUM RJ 35000 30000 1
65 PASIEN UMUM RJ 35000 30000 1
67 PASIEN UMUM RJ 35000 30000 1
69 PASIEN UMUM RJ 35000 30000 1
71 ANC BIDAN 20000 20000 1
72 PASIEN UMUM RJ 35000 30000 1
83 PASIEN UMUM RJ 35000 30000 1
85 PASIEN UMUM RJ 35000 30000 1
87 PASIEN UMUM RJ 35000 30000 1
91 PASIEN UMUM RJ 35000 30000 1
93 PASIEN UMUM RJ 35000 30000 1
96 PASIEN UMUM RJ 35000 30000 1
99 PASIEN UMUM RJ 35000 30000 1
100 JASA PUYER 5000 0 1
106 PASIEN UMUM RJ 35000 30000 1
110 ADM KLS 2 (BPJS) 25000 0 1
TOTAL
dr. BUDIONO
1 ADM KLS 2 (BPJS) 25000 0 1
2 RUJUK RI 0 0 1
6 BPJS TINDAKAN KEGAW 50000 50000 1
9 ADM KLS 1 75000 0 1
16 RUJUK RI 0 0 1
23 ADM KLS 2 (BPJS) 25000 0 1
24 RUJUK RI 0 0 1
36 ADM KLS 2 (BPJS) 25000 0 1
37 RUJUK RI 0 0 1
53 ADM KLS 2 (BPJS) 25000 0 1
54 RUJUK RI 0 0 1
60 ADM KLS 2 (BPJS) 25000 0 1
61 RUJUK RI 0 0 1
66 JASA PERAWAT RUANGAN 50000 50000 1
68 ADM KLS 2 (BPJS) 25000 0 1
69 RUJUK RI 0 0 1
74 ADM KLS 2 (BPJS) 25000 0 1
75 RUJUK RI 0 0 1
83 CHARGE KAMAR : 2022-0 50000 0 1
84 CHARGE KAMAR : 2022-0 50000 0 1
85 CHARGE KAMAR : 2022-0 125000 0 1
86 CHARGE KAMAR : 2022-0 125000 0 1
87 CHARGE KAMAR : 2022-0 200000 0 1
88 CHARGE KAMAR : 2022-0 200000 0 1
89 CHARGE KAMAR : 2022-0 250000 0 1
90 CHARGE KAMAR : 2022-0 250000 0 1
91 CHARGE KAMAR : 2022-0 200000 0 1
92 CHARGE KAMAR : 2022-0 200000 0 1
93 CHARGE KAMAR : 2022-0 200000 0 1
94 CHARGE KAMAR : 2022-07 50000 0 1
95 CHARGE KAMAR : 2022-07 50000 0 1
96 CHARGE KAMAR : 2022-07 50000 0 1
97 CHARGE KAMAR : 2022-07 50000 0 1
98 CHARGE KAMAR : 2022-0 125000 0 1
99 CHARGE KAMAR : 2022-0 125000 0 1
100 CHARGE KAMAR : 2022-0 125000 0 1
101 CHARGE KAMAR : 2022-0 200000 0 1
102 CHARGE KAMAR : 2022-0 200000 0 1
103 CHARGE KAMAR : 2022-0 200000 0 1
104 CHARGE KAMAR : 2022-0 200000 0 1
105 CHARGE KAMAR : 2022-0 200000 0 1
106 CHARGE KAMAR : 2022-0 200000 0 1
107 CHARGE KAMAR : 2022-0 200000 0 1
108 CHARGE KAMAR : 2022-0 200000 0 1
109 CHARGE KAMAR : 2022-07 50000 0 1
110 CHARGE KAMAR : 2022-07 50000 0 1
111 CHARGE KAMAR : 2022-07 50000 0 1
112 CHARGE KAMAR : 2022-07 50000 0 1
113 CHARGE KAMAR : 2022-07 50000 0 1
114 CHARGE KAMAR : 2022-0 125000 0 1
115 CHARGE KAMAR : 2022-0 125000 0 1
116 CHARGE KAMAR : 2022-0 125000 0 1
117 CHARGE KAMAR : 2022-0 125000 0 1
118 CHARGE KAMAR : 2022-0 200000 0 1
119 CHARGE KAMAR : 2022-0 200000 0 1
120 CHARGE KAMAR : 2022-0 200000 0 1
121 CHARGE KAMAR : 2022-0 200000 0 1
123 ADM KLS 1 75000 0 1
124 RUJUK RI 0 0 1
126 GDA STIK 5000 5000 1
130 CHARGE KAMAR : 2022-0 200000 0 1
131 CHARGE KAMAR : 2022-0 200000 0 1
132 CHARGE KAMAR : 2022-0 200000 0 1
133 CHARGE KAMAR : 2022-0 200000 0 1
134 RUJUK RI 0 0 1
138 CHARGE KAMAR : 2022-07 50000 0 1
139 CHARGE KAMAR : 2022-07 50000 0 1
140 CHARGE KAMAR : 2022-07 50000 0 1
141 CHARGE KAMAR : 2022-07 50000 0 1
142 CHARGE KAMAR : 2022-07 50000 0 1
143 CHARGE KAMAR : 2022-0 125000 0 1
144 CHARGE KAMAR : 2022-0 125000 0 1
145 CHARGE KAMAR : 2022-0 125000 0 1
146 CHARGE KAMAR : 2022-0 125000 0 1
147 CHARGE KAMAR : 2022-0 250000 0 1
148 CHARGE KAMAR : 2022-07 50000 0 1
149 CHARGE KAMAR : 2022-0 250000 0 1
150 CHARGE KAMAR : 2022-0 250000 0 1
151 RUJUK RI 0 0 1
154 PELAYANAN GIZI VIP 45000 45000 1
158 PASIEN UMUM RJ 35000 30000 1
159 PASIEN UMUM RJ 35000 30000 1
162 PASIEN UMUM RJ 35000 30000 1
164 PASIEN UMUM RJ 35000 30000 1
166 PASIEN UMUM RJ 35000 30000 1
172 PASIEN UMUM RJ 35000 30000 1
174 PASIEN UMUM RJ 35000 30000 1
178 PASIEN UMUM RJ 35000 30000 1
180 PASIEN UMUM RJ 35000 30000 1
182 PASIEN UMUM RJ 35000 30000 1
184 PASIEN UMUM RJ 35000 30000 1
186 PASIEN UMUM RJ 35000 30000 1
203 PASIEN UMUM RJ 35000 30000 1
204 NEBULIZER 10000 10000 1
207 PASIEN UMUM RJ 35000 30000 1
210 PASIEN UMUM RJ 35000 30000 1
220 PASIEN UMUM RJ 35000 30000 1
222 PASIEN UMUM RJ 35000 30000 1
229 PASIEN UMUM RJ 35000 30000 1
231 PASIEN UMUM RJ 35000 30000 1
233 PASIEN UMUM RJ 35000 30000 1
235 NEBULIZER 10000 10000 1
239 PASIEN UMUM RJ 35000 30000 1
240 JASA PUYER 5000 0 1
246 JASA RESEP PUYER BPJS 1000 0 1
251 PASIEN UMUM RJ 35000 30000 1
255 PASIEN UMUM RJ 35000 30000 1
257 PASIEN UMUM RJ 35000 30000 1
259 PASIEN UMUM RJ 35000 30000 1
265 PASIEN UMUM RJ 35000 30000 1
267 PASIEN UMUM RJ 35000 30000 1
269 PASIEN UMUM RJ 35000 30000 1
274 PASIEN UMUM RJ 35000 30000 1
278 PASIEN UMUM RJ 35000 30000 1
285 PASIEN UMUM RJ 35000 30000 1
287 ADM KLS 1 75000 0 1
289 ADM KLS 2 (BPJS) 25000 0 1
295 PASIEN UMUM RJ 35000 30000 1
296 ADM KLS 2 50000 0 1
298 ADM KLS 2 (BPJS) 25000 0 1
312 PASIEN UMUM RJ 35000 30000 1
314 PASIEN UMUM RJ 35000 30000 1
316 PASIEN UMUM RJ 35000 30000 1
319 PASIEN UMUM RJ 35000 30000 1
321 PASIEN UMUM RJ 35000 30000 1
325 PASIEN UMUM RJ 35000 30000 1
329 PASIEN UMUM RJ 35000 30000 1
331 ADMINISTRASI RAWAT JA 4000 0 1
TOTAL
dr. FAHMI
1 ADM KLS 1 75000 0 1
2 ADM KLS 1 75000 0 1
3 NEBULIZER 5000 5000 1
22 ADM KLS 2 (BPJS) 25000 0 1
23 RUJUK RI 0 0 1
27 ADM KLS 2 50000 0 1
28 RUJUK RI 0 0 1
32 ADM KLS 1 75000 0 1
33 RUJUK RI 0 0 1
36 ADM KLS 2 (BPJS) 25000 0 1
37 RUJUK RI 0 0 1
40 ADM KLS 1 75000 0 1
41 RUJUK RI 0 0 1
44 ADM KLS 1 75000 0 1
45 RUJUK RI 0 0 1
49 RUJUK RI 0 0 1
55 CHARGE KAMAR : 2022-07 50000 0 1
56 CHARGE KAMAR : 2022-0 250000 0 1
57 CHARGE KAMAR : 2022-0 250000 0 1
58 CHARGE KAMAR : 2022-0 250000 0 1
59 ADM KLS 2 50000 0 1
60 RUJUK RI 0 0 1
66 CHARGE KAMAR : 2022-0 200000 0 1
67 CHARGE KAMAR : 2022-0 200000 0 1
68 CHARGE KAMAR : 2022-0 200000 0 1
69 ADM KLS 1 75000 0 1
70 RUJUK RI 0 0 1
73 PASIEN UMUM RJ 35000 30000 1
74 PASIEN UMUM RJ 35000 30000 1
76 PASIEN UMUM RJ 35000 30000 1
79 PASIEN UMUM RJ 35000 30000 1
81 PASIEN UMUM RJ 35000 30000 1
85 PASIEN UMUM RJ 35000 30000 1
87 PASIEN UMUM RJ 35000 30000 1
91 PASIEN UMUM RJ 35000 30000 1
94 PASIEN UMUM RJ 35000 30000 1
96 PASIEN UMUM RJ 35000 30000 1
98 PASIEN UMUM RJ 35000 30000 1
104 PASIEN UMUM RJ 35000 30000 1
106 PASIEN UMUM RJ 35000 30000 1
108 PASIEN UMUM RJ 35000 30000 1
112 PASIEN UMUM RJ 35000 30000 1
114 PASIEN UMUM RJ 35000 30000 1
116 ADM KLS 2 (BPJS) 25000 0 1
120 PASIEN UMUM RJ 35000 30000 1
122 PASIEN UMUM RJ 35000 30000 1
126 PASIEN UMUM RJ 35000 30000 1
128 PASIEN UMUM RJ 35000 30000 1
131 PASIEN UMUM RJ 35000 30000 1
133 PASIEN UMUM RJ 35000 30000 1
135 PASIEN UMUM RJ 35000 30000 1
141 PASIEN UMUM RJ 35000 30000 1
147 PASIEN UMUM RJ 35000 30000 1
TOTAL
dr. IDA BAGUS
11 PASIEN UMUM RJ 35000 30000 1
13 PASIEN UMUM RJ 35000 30000 1
TOTAL
dr. IVAN
1 ADM KLS 2 50000 0 1
2 RUJUK RI 0 0 1
8 CHARGE KAMAR : 2022-0 50000 0 1
9 CHARGE KAMAR : 2022-0 50000 0 1
10 CHARGE KAMAR : 2022-0 250000 0 1
11 CHARGE KAMAR : 2022-0 250000 0 1
12 CHARGE KAMAR : 2022-0 250000 0 1
13 CHARGE KAMAR : 2022-0 250000 0 1
14 ADM KLS VIP 100000 0 1
15 ADM KLS VIP 100000 0 1
22 CHARGE KAMAR : 2022-0 50000 0 1
23 CHARGE KAMAR : 2022-0 50000 0 1
24 CHARGE KAMAR : 2022-0 50000 0 1
25 CHARGE KAMAR : 2022-0 125000 0 1
26 CHARGE KAMAR : 2022-0 125000 0 1
27 CHARGE KAMAR : 2022-0 125000 0 1
28 CHARGE KAMAR : 2022-0 125000 0 1
29 CHARGE KAMAR : 2022-0 200000 0 1
30 CHARGE KAMAR : 2022-0 200000 0 1
31 CHARGE KAMAR : 2022-0 200000 0 1
32 CHARGE KAMAR : 2022-0 200000 0 1
33 CHARGE KAMAR : 2022-0 50000 0 1
34 CHARGE KAMAR : 2022-0 50000 0 1
35 CHARGE KAMAR : 2022-0 50000 0 1
36 CHARGE KAMAR : 2022-0 50000 0 1
37 CHARGE KAMAR : 2022-0 250000 0 1
38 CHARGE KAMAR : 2022-0 250000 0 1
39 CHARGE KAMAR : 2022-0 250000 0 1
40 CHARGE KAMAR : 2022-0 250000 0 1
41 CHARGE KAMAR : 2022-0 250000 0 1
42 ADM KLS 2 50000 0 1
43 ADM KLS 2 50000 0 1
44 PEMASANGAN DAN PELEP 25000 25000 1
48 JASA KONSULTASI GIZI 5000 5000 1
54 ADM KLS 2 50000 0 1
55 ADM KLS 2 50000 0 1
58 ADM KLS 2 (BPJS) 25000 0 1
59 RUJUK RI 0 0 1
61 BPJS SEWA AMBULANCE 200000 200000 1
62 CHARGE KAMAR : 2022-0 200000 0 1
63 CHARGE KAMAR : 2022-0 200000 0 1
64 CHARGE KAMAR : 2022-0 200000 0 1
65 CHARGE KAMAR : 2022-0 200000 0 1
66 CHARGE KAMAR : 2022-0 200000 0 1
67 CHARGE KAMAR : 2022-0 200000 0 1
68 CHARGE KAMAR : 2022-0 200000 0 1
69 CHARGE KAMAR : 2022-0 200000 0 1
70 CHARGE KAMAR : 2022-0 200000 0 1
71 ADM KLS 1 75000 0 1
79 ADM KLS 1 75000 0 1
80 RUJUK RI 0 0 1
85 ADM KLS 2 (BPJS) 25000 0 1
86 RUJUK RI 0 0 1
89 CHARGE KAMAR : 2022- 150000 0 1
90 ADM KLS 2 (BPJS) 25000 0 1
91 RUJUK RI 0 0 1
93 CHARGE KAMAR : 2022-0 250000 0 1
94 CHARGE KAMAR : 2022-0 50000 0 1
95 CHARGE KAMAR : 2022-0 250000 0 1
96 CHARGE KAMAR : 2022-0 250000 0 1
97 CHARGE KAMAR : 2022-07 50000 0 1
98 CHARGE KAMAR : 2022-07 50000 0 1
99 CHARGE KAMAR : 2022-07 50000 0 1
100 ADM KLS 2 (BPJS) 25000 0 1
101 ADM KLS 2 (BPJS) 25000 0 1
102 CHARGE KAMAR : 2022-07 50000 0 1
103 CHARGE KAMAR : 2022-07 50000 0 1
104 CHARGE KAMAR : 2022-07 50000 0 1
105 CHARGE KAMAR : 2022-07 50000 0 1
106 CHARGE KAMAR : 2022-07 50000 0 1
107 CHARGE KAMAR : 2022-0 200000 0 1
108 CHARGE KAMAR : 2022-0 200000 0 1
109 CHARGE KAMAR : 2022-0 200000 0 1
110 CHARGE KAMAR : 2022-0 200000 0 1
111 CHARGE KAMAR : 2022-0 200000 0 1
112 ADM KLS VIP 100000 0 1
113 ADM KLS VIP 100000 0 1
117 ADM KLS 1 75000 0 1
118 RUJUK RI 0 0 1
120 RUJUK RI 0 0 1
123 JASA PUYER 5000 0 2
124 CHARGE KAMAR : 2022-07 50000 0 1
125 CHARGE KAMAR : 2022-07 50000 0 1
126 PASIEN UMUM RJ 35000 30000 1
128 PASIEN UMUM RJ 35000 30000 1
131 PASIEN UMUM RJ 35000 30000 1
146 PASIEN UMUM RJ 35000 30000 1
150 PASIEN UMUM RJ 35000 30000 1
154 PASIEN UMUM RJ 35000 30000 1
156 PASIEN UMUM RJ 35000 30000 1
158 PASIEN UMUM RJ 35000 30000 1
161 PASIEN UMUM RJ 35000 30000 1
164 PASIEN UMUM RJ 35000 30000 1
166 PASIEN UMUM RJ 35000 30000 1
169 PASIEN UMUM RJ 35000 30000 1
171 PASIEN UMUM RJ 35000 30000 1
173 PASIEN UMUM RJ 35000 30000 1
175 PASIEN UMUM RJ 35000 30000 1
177 PASIEN UMUM RJ 35000 30000 1
181 PASIEN UMUM RJ 35000 30000 1
183 PASIEN UMUM RJ 35000 30000 1
189 PASIEN UMUM RJ 35000 30000 1
191 JASA PUYER 5000 0 1
192 PASIEN UMUM RJ 35000 30000 1
194 PASIEN UMUM RJ 35000 30000 1
196 PASIEN UMUM RJ 35000 30000 1
198 PASIEN UMUM RJ 35000 30000 1
200 PASIEN UMUM RJ 35000 30000 1
202 PASIEN UMUM RJ 35000 30000 1
205 PASIEN UMUM RJ 35000 30000 1
207 PASIEN UMUM RJ 35000 30000 1
208 PASIEN UMUM RJ 35000 30000 1
210 PASIEN UMUM RJ 35000 30000 1
212 JASA PUYER 5000 0 1
213 PASIEN UMUM RJ 35000 30000 1
215 PASIEN UMUM RJ 35000 30000 1
218 PASIEN UMUM RJ 35000 30000 1
220 PASIEN UMUM RJ 35000 30000 1
222 PASIEN UMUM RJ 35000 30000 1
223 PASIEN UMUM RJ 35000 30000 1
224 JASA MEDIS 35000 25000 1
226 JASA MEDIS 35000 25000 1
228 PASIEN UMUM RJ 35000 30000 1
230 PASIEN UMUM RJ 35000 30000 1
232 PASIEN UMUM RJ 35000 30000 1
234 JASA PUYER 5000 0 1
235 PASIEN UMUM RJ 35000 30000 1
237 PASIEN UMUM RJ 35000 30000 1
240 PASIEN UMUM RJ 35000 30000 1
243 PASIEN UMUM RJ 35000 30000 1
246 PASIEN UMUM RJ 35000 30000 1
249 PASIEN UMUM RJ 35000 30000 1
252 PASIEN UMUM RJ 35000 30000 1
254 PASIEN UMUM RJ 35000 30000 1
256 PASIEN UMUM RJ 35000 30000 1
258 PASIEN UMUM RJ 35000 30000 1
261 PASIEN UMUM RJ 35000 30000 1
264 PASIEN UMUM RJ 35000 30000 1
269 PASIEN UMUM RJ 35000 30000 1
272 ADM KLS 1 75000 0 1
277 CHARGE KAMAR : 2022-0 125000 0 1
278 CHARGE KAMAR : 2022-0 125000 0 1
279 CHARGE KAMAR : 2022-0 125000 0 1
280 CHARGE KAMAR : 2022-0 125000 0 1
281 CHARGE KAMAR : 2022-0 125000 0 1
282 CHARGE KAMAR : 2022-0 125000 0 1
283 CHARGE KAMAR : 2022-0 125000 0 1
284 CHARGE KAMAR : 2022-0 125000 0 1
288 ADM KLS VIP 100000 0 1
289 ADM KLS 2 50000 0 1
TOTAL
dr. KUKUH HADI TRI WIBOWO
1 CHARGE KAMAR : 2022-0 50000 0 1
2 CHARGE KAMAR : 2022-0 50000 0 1
3 CHARGE KAMAR : 2022-0 125000 0 1
4 CHARGE KAMAR : 2022-0 125000 0 1
5 CHARGE KAMAR : 2022-0 125000 0 1
10 CHARGE KAMAR : 2022-0 200000 0 1
11 CHARGE KAMAR : 2022-0 200000 0 1
12 CHARGE KAMAR : 2022-0 200000 0 1
13 CHARGE KAMAR : 2022-0 200000 0 1
15 CHARGE KAMAR : 2022-0 250000 0 1
16 CHARGE KAMAR : 2022-0 250000 0 1
17 CHARGE KAMAR : 2022-0 250000 0 1
18 CHARGE KAMAR : 2022-0 250000 0 1
19 ADM KLS VIP 100000 0 1
20 ADM KLS VIP 100000 0 1
33 CHARGE KAMAR : 2022-0 200000 0 1
34 CHARGE KAMAR : 2022-0 200000 0 1
35 CHARGE KAMAR : 2022-0 200000 0 1
36 CHARGE KAMAR : 2022-0 200000 0 1
37 ADM KLS 1 75000 0 1
47 CHARGE KAMAR : 2022-0 200000 0 1
48 CHARGE KAMAR : 2022-0 200000 0 1
49 CHARGE KAMAR : 2022-07 50000 0 1
50 ADM KLS 2 50000 0 1
51 ADM KLS 2 50000 0 1
60 ADM KLS 2 (BPJS) 25000 0 1
61 ADM KLS 2 (BPJS) 25000 0 1
71 ADM KLS 2 (BPJS) 25000 0 1
72 ADM KLS 2 (BPJS) 25000 0 1
81 CHARGE KAMAR : 2022-0 125000 0 1
82 CHARGE KAMAR : 2022-0 125000 0 1
83 CHARGE KAMAR : 2022-0 125000 0 1
85 ADM KLS VIP 100000 0 1
86 ADM KLS VIP 100000 0 1
89 CHARGE KAMAR : 2022-0 200000 0 1
90 CHARGE KAMAR : 2022-0 200000 0 1
91 CHARGE KAMAR : 2022-0 200000 0 1
92 CHARGE KAMAR : 2022-0 50000 0 1
93 CHARGE KAMAR : 2022-0 50000 0 1
94 CHARGE KAMAR : 2022-0 50000 0 1
95 CHARGE KAMAR : 2022-0 50000 0 1
97 CHARGE KAMAR : 2022-0 50000 0 1
98 CHARGE KAMAR : 2022-0 50000 0 1
99 CHARGE KAMAR : 2022-0 50000 0 1
100 CHARGE KAMAR : 2022-0 50000 0 1
101 CHARGE KAMAR : 2022-0 50000 0 1
102 ADM KLS 2 (BPJS) 25000 0 1
113 CHARGE KAMAR : 2022-0 50000 0 1
114 CHARGE KAMAR : 2022-0 50000 0 1
115 CHARGE KAMAR : 2022-0 50000 0 1
116 CHARGE KAMAR : 2022-0 50000 0 1
117 ADM KLS 2 (BPJS) 25000 0 1
118 ADM KLS 2 (BPJS) 25000 0 1
125 CHARGE KAMAR : 2022-0 50000 0 1
126 CHARGE KAMAR : 2022-0 50000 0 1
127 CHARGE KAMAR : 2022-0 50000 0 1
128 CHARGE KAMAR : 2022-0 50000 0 1
129 CHARGE KAMAR : 2022-0 50000 0 1
130 CHARGE KAMAR : 2022-0 50000 0 1
131 CHARGE KAMAR : 2022-0 50000 0 1
133 CHARGE KAMAR : 2022-0 50000 0 1
134 CHARGE KAMAR : 2022-0 50000 0 1
135 CHARGE KAMAR : 2022-0 50000 0 1
136 CHARGE KAMAR : 2022-0 50000 0 1
137 CHARGE KAMAR : 2022-0 125000 0 1
138 CHARGE KAMAR : 2022-0 125000 0 1
139 CHARGE KAMAR : 2022-0 125000 0 1
142 CHARGE KAMAR : 2022-0 200000 0 1
143 CHARGE KAMAR : 2022-0 200000 0 1
144 CHARGE KAMAR : 2022-0 200000 0 1
145 CHARGE KAMAR : 2022-0 200000 0 1
146 CHARGE KAMAR : 2022-0 200000 0 1
148 ADM KLS 2 50000 0 1
149 RUJUK RI 0 0 1
151 ADM KLS 2 (BPJS) 25000 0 1
152 ADM KLS 2 (BPJS) 25000 0 1
155 RUJUK RI 0 0 1
160 ADM KLS 2 50000 0 1
161 RUJUK RI 0 0 1
166 ADM KLS 2 (BPJS) 25000 0 1
167 RUJUK RI 0 0 1
172 ADM KLS 1 75000 0 1
173 RUJUK RI 0 0 1
178 ADM KLS 1 75000 0 1
179 RUJUK RI 0 0 1
183 ADM KLS VIP 100000 0 1
184 RUJUK RI 0 0 1
187 ADM KLS 2 50000 0 1
188 RUJUK RI 0 0 1
196 CHARGE KAMAR : 2022-07 50000 0 1
197 CHARGE KAMAR : 2022-07 50000 0 1
198 CHARGE KAMAR : 2022-0 200000 0 1
199 CHARGE KAMAR : 2022-0 200000 0 1
200 CHARGE KAMAR : 2022-0 200000 0 1
201 CHARGE KAMAR : 2022-0 250000 0 1
202 CHARGE KAMAR : 2022-0 250000 0 1
203 CHARGE KAMAR : 2022-0 250000 0 1
204 CHARGE KAMAR : 2022-0 250000 0 1
207 CHARGE KAMAR : 2022-0 200000 0 1
208 CHARGE KAMAR : 2022-0 200000 0 1
209 CHARGE KAMAR : 2022-0 200000 0 1
211 CHARGE KAMAR : 2022-0 125000 0 1
212 CHARGE KAMAR : 2022-0 125000 0 1
213 CHARGE KAMAR : 2022-0 125000 0 1
214 CHARGE KAMAR : 2022-0 125000 0 1
217 RUJUK RI 0 0 1
224 CHARGE KAMAR : 2022-0 125000 0 1
225 CHARGE KAMAR : 2022-0 125000 0 1
226 CHARGE KAMAR : 2022-0 125000 0 1
227 CHARGE KAMAR : 2022-0 125000 0 1
228 RUJUK RI 0 0 1
229 RUJUK RI 0 0 1
235 RUJUK RI 0 0 1
239 NEBULIZER 10000 10000 1
241 CHARGE KAMAR : 2022-07 50000 0 1
242 CHARGE KAMAR : 2022-07 50000 0 1
243 CHARGE KAMAR : 2022-07 50000 0 1
244 CHARGE KAMAR : 2022-07 50000 0 1
245 CHARGE KAMAR : 2022-07 50000 0 1
248 CHARGE KAMAR : 2022-07 50000 0 1
249 CHARGE KAMAR : 2022-07 50000 0 1
250 CHARGE KAMAR : 2022-07 50000 0 1
251 CHARGE KAMAR : 2022-07 50000 0 1
252 ADM KLS 2 (BPJS) 25000 0 1
253 RUJUK RI 0 0 1
258 ADM KLS 2 (BPJS) 25000 0 1
259 RUJUK RI 0 0 1
266 BPJS PEMAKAIAN OKSIG 2500 2500 1
267 PEMAKAIAN OKSIGEN M 5000 5000 1
268 CHARGE KAMAR : 2022-0 200000 0 1
269 CHARGE KAMAR : 2022-0 200000 0 1
270 CHARGE KAMAR : 2022-0 200000 0 1
271 CHARGE KAMAR : 2022-0 200000 0 1
272 RUJUK RI 0 0 1
277 CHARGE KAMAR : 2022-0 200000 0 1
278 CHARGE KAMAR : 2022-0 200000 0 1
279 CHARGE KAMAR : 2022-0 200000 0 1
280 CHARGE KAMAR : 2022-0 200000 0 1
281 obat ugd 49800 0 1
282 RUJUK RI 0 0 1
292 ADM KLS 2 50000 0 1
293 RUJUK RI 0 0 1
297 RUJUK RI 0 0 1
302 CHARGE KAMAR : 2022-07 50000 0 1
303 CHARGE KAMAR : 2022-07 50000 0 1
304 CHARGE KAMAR : 2022-07 50000 0 1
305 CHARGE KAMAR : 2022-07 50000 0 1
306 CHARGE KAMAR : 2022-07 50000 0 1
307 PASIEN UMUM RJ 35000 30000 1
312 PASIEN UMUM RJ 35000 30000 1
313 PASIEN UMUM RJ 35000 30000 1
315 PASIEN UMUM RJ 35000 30000 1
317 PASIEN UMUM RJ 35000 30000 1
319 PASIEN UMUM RJ 35000 30000 1
321 PASIEN UMUM RJ 35000 30000 1
327 PASIEN UMUM RJ 35000 30000 1
331 PASIEN UMUM RJ 35000 30000 1
333 PASIEN UMUM RJ 35000 30000 1
335 PASIEN UMUM RJ 35000 30000 1
337 PASIEN UMUM RJ 35000 30000 1
343 PASIEN UMUM RJ 35000 30000 1
345 PASIEN UMUM RJ 35000 30000 1
347 PASIEN UMUM RJ 35000 30000 1
349 JASA PUYER 5000 0 1
350 PASIEN UMUM RJ 35000 30000 1
352 PASIEN UMUM RJ 35000 30000 1
356 PASIEN UMUM RJ 35000 30000 1
359 PASIEN UMUM RJ 35000 30000 1
361 PASIEN UMUM RJ 35000 30000 1
363 PASIEN UMUM RJ 35000 30000 1
365 PASIEN UMUM RJ 35000 30000 1
370 PASIEN UMUM RJ 35000 30000 1
373 PASIEN UMUM RJ 35000 30000 1
375 PASIEN UMUM RJ 35000 30000 1
377 PASIEN UMUM RJ 35000 30000 1
380 PASIEN UMUM RJ 35000 30000 1
382 PASIEN UMUM RJ 35000 30000 1
384 PASIEN UMUM RJ 35000 30000 1
386 PASIEN UMUM RJ 35000 30000 1
390 PASIEN UMUM RJ 35000 30000 1
392 PASIEN UMUM RJ 35000 30000 1
396 PASIEN UMUM RJ 35000 30000 1
398 PASIEN UMUM RJ 35000 30000 1
401 PASIEN UMUM RJ 35000 30000 1
403 PASIEN UMUM RJ 35000 30000 1
405 PASIEN UMUM RJ 35000 30000 1
409 PASIEN UMUM RJ 35000 30000 1
413 PASIEN UMUM RJ 35000 30000 1
415 JASA PUYER 5000 0 1
416 PASIEN UMUM RJ 35000 30000 1
418 PASIEN UMUM RJ 35000 30000 1
420 PASIEN UMUM RJ 35000 30000 1
422 PASIEN UMUM RJ 35000 30000 1
424 PASIEN UMUM RJ 35000 30000 1
426 JASA SALEP 5000 0 1
431 PASIEN UMUM RJ 35000 30000 1
433 JASA PUYER 5000 0 1
434 PASIEN UMUM RJ 35000 30000 1
436 PASIEN UMUM RJ 35000 30000 1
440 PASIEN UMUM RJ 35000 30000 1
442 PASIEN UMUM RJ 35000 30000 1
444 JASA PUYER 5000 0 1
445 PASIEN UMUM RJ 35000 30000 1
447 PASIEN UMUM RJ 35000 30000 1
449 PASIEN UMUM RJ 35000 30000 1
451 PASIEN UMUM RJ 35000 30000 1
453 PASIEN UMUM RJ 35000 30000 1
455 PASIEN UMUM RJ 35000 30000 1
464 PASIEN UMUM RJ 35000 30000 1
468 PASIEN UMUM RJ 35000 30000 1
472 PASIEN UMUM RJ 35000 30000 1
474 PASIEN UMUM RJ 35000 30000 1
478 PASIEN UMUM RJ 35000 30000 1
480 PASIEN UMUM RJ 35000 30000 1
482 PASIEN UMUM RJ 35000 30000 1
485 PASIEN UMUM RJ 35000 30000 1
487 PASIEN UMUM RJ 35000 30000 1
489 PASIEN UMUM RJ 35000 30000 1
493 PASIEN UMUM RJ 35000 30000 1
494 PASIEN UMUM RJ 35000 30000 1
496 ADM KLS 1 75000 0 1
501 ADM KLS 2 (BPJS) 25000 0 1
503 BPJS PEMASANGANDAN 20000 20000 1
513 ADM UGD 50000 0 1
516 PASIEN UMUM RJ 35000 30000 1
518 PASIEN UMUM RJ 35000 30000 1
520 JASA PUYER 5000 0 1
521 PASIEN UMUM RJ 35000 30000 1
526 NEBULIZER 10000 10000 1
527 PASIEN UMUM RJ 35000 30000 1
529 JASA PUYER 5000 0 1
530 ADM KLS 2 (BPJS) 25000 0 1
531 ADM KLS 2 (BPJS) 25000 0 1
532 ADM KLS 2 50000 0 1
534 ADM KLS 1 75000 0 1
535 ADM KLS 2 (BPJS) 25000 0 1
540 ADM KLS 2 (BPJS) 25000 0 1
541 PASIEN UMUM RJ 35000 30000 1
543 PASIEN UMUM RJ 35000 30000 1
546 PASIEN UMUM RJ 35000 30000 1
548 PASIEN UMUM RJ 35000 30000 1
549 PASIEN UMUM RJ 35000 30000 1
553 PASIEN UMUM RJ 35000 30000 1
558 PASIEN UMUM RJ 35000 30000 1
561 PASIEN UMUM RJ 35000 30000 1
TOTAL
dr. MOHAMMAD HISYAM RIFQI
5 ADM KLS 2 (BPJS) 25000 0 1
6 ADM KLS 2 (BPJS) 25000 0 1
16 ADM KLS VIP 100000 0 1
17 RUJUK RI 0 0 1
25 CHARGE KAMAR : 2022-0 250000 0 1
26 CHARGE KAMAR : 2022-0 250000 0 1
27 CHARGE KAMAR : 2022-0 250000 0 1
28 ADM KLS 1 75000 0 1
29 ADM KLS 1 75000 0 1
33 CHARGE KAMAR : 2022-0 125000 0 1
34 CHARGE KAMAR : 2022-0 125000 0 1
35 CHARGE KAMAR : 2022-0 125000 0 1
36 CHARGE KAMAR : 2022-0 125000 0 1
37 CHARGE KAMAR : 2022-0 125000 0 1
38 ADM KLS 1 75000 0 1
39 ADM KLS 1 75000 0 1
48 CHARGE KAMAR : 2022-0 200000 0 1
49 CHARGE KAMAR : 2022-0 200000 0 1
50 CHARGE KAMAR : 2022-0 200000 0 1
54 CHARGE KAMAR : 2022-0 250000 0 1
55 CHARGE KAMAR : 2022-0 250000 0 1
56 CHARGE KAMAR : 2022-0 250000 0 1
57 CHARGE KAMAR : 2022-0 250000 0 1
58 CHARGE KAMAR : 2022-0 250000 0 1
60 CHARGE KAMAR : 2022-07 50000 0 1
61 CHARGE KAMAR : 2022-07 50000 0 1
63 CHARGE KAMAR : 2022-07 50000 0 1
64 CHARGE KAMAR : 2022-07 50000 0 1
65 ADM KLS 2 (BPJS) 25000 0 1
71 ADM KLS 2 (BPJS) 25000 0 1
77 ADM KLS 2 (BPJS) 25000 0 1
78 ADM KLS 2 (BPJS) 25000 0 1
86 ADM KLS 2 50000 0 1
87 RUJUK RI 0 0 1
90 CHARGE KAMAR : 2022-0 125000 0 1
91 CHARGE KAMAR : 2022-0 125000 0 1
93 CHARGE KAMAR : 2022-07 50000 0 1
94 CHARGE KAMAR : 2022-07 50000 0 1
95 CHARGE KAMAR : 2022-07 50000 0 1
96 CHARGE KAMAR : 2022-07 50000 0 1
97 ADM KLS 2 (BPJS) 25000 0 1
98 RUJUK RI 0 0 1
101 ADM KLS 1 75000 0 1
102 RUJUK RI 0 0 1
109 CHARGE KAMAR : 2022-07 50000 0 1
110 CHARGE KAMAR : 2022-07 50000 0 1
111 CHARGE KAMAR : 2022-07 50000 0 1
112 CHARGE KAMAR : 2022-07 50000 0 1
114 CHARGE KAMAR : 2022-0 125000 0 1
115 CHARGE KAMAR : 2022-0 125000 0 1
116 CHARGE KAMAR : 2022-0 125000 0 1
117 CHARGE KAMAR : 2022-0 125000 0 1
120 CHARGE KAMAR : 2022-0 250000 0 1
121 CHARGE KAMAR : 2022-0 250000 0 1
122 CHARGE KAMAR : 2022-0 250000 0 1
123 CHARGE KAMAR : 2022-0 250000 0 1
124 ADM KLS 2 (BPJS) 25000 0 1
125 RUJUK RI 0 0 1
132 CHARGE KAMAR : 2022-0 50000 0 1
133 CHARGE KAMAR : 2022-0 50000 0 1
136 CHARGE KAMAR : 2022-07 50000 0 1
137 CHARGE KAMAR : 2022-07 50000 0 1
138 CHARGE KAMAR : 2022-07 50000 0 1
139 CHARGE KAMAR : 2022-07 50000 0 1
140 CHARGE KAMAR : 2022-07 50000 0 1
141 CHARGE KAMAR : 2022-07 50000 0 1
142 CHARGE KAMAR : 2022-07 50000 0 1
143 ADM KLS 2 (BPJS) 25000 0 1
144 RUJUK RI 0 0 1
150 ADM KLS 2 (BPJS) 25000 0 1
153 CHARGE KAMAR : 2022-07 50000 0 1
154 CHARGE KAMAR : 2022-07 50000 0 1
155 CHARGE KAMAR : 2022-07 50000 0 1
156 CHARGE KAMAR : 2022-07 50000 0 1
158 CHARGE KAMAR : 2022-07 50000 0 1
159 CHARGE KAMAR : 2022-07 50000 0 1
160 CHARGE KAMAR : 2022-07 50000 0 1
161 CHARGE KAMAR : 2022-07 50000 0 1
162 CHARGE KAMAR : 2022-07 50000 0 1
163 CHARGE KAMAR : 2022-07 50000 0 1
164 ADM KLS 2 (BPJS) 25000 0 1
165 RUJUK RI 0 0 1
170 CHARGE KAMAR : 2022-0 125000 0 1
171 CHARGE KAMAR : 2022-0 125000 0 1
172 CHARGE KAMAR : 2022-0 125000 0 1
173 CHARGE KAMAR : 2022-0 125000 0 1
175 CHARGE KAMAR : 2022-0 200000 0 1
176 CHARGE KAMAR : 2022-0 200000 0 1
177 CHARGE KAMAR : 2022-0 200000 0 1
178 CHARGE KAMAR : 2022-0 200000 0 1
180 CHARGE KAMAR : 2022-0 125000 0 1
181 CHARGE KAMAR : 2022-0 125000 0 1
182 CHARGE KAMAR : 2022-0 125000 0 1
183 ADM KLS 2 50000 0 1
184 ADM KLS 2 50000 0 1
190 JASA PUYER 5000 0 1
192 CHARGE KAMAR : 2022-0 200000 0 1
193 CHARGE KAMAR : 2022-0 200000 0 1
194 CHARGE KAMAR : 2022-0 200000 0 1
195 CHARGE KAMAR : 2022-0 200000 0 1
206 RUJUK RI 0 0 1
210 ADM KLS 1 75000 0 1
211 RUJUK RI 0 0 1
218 CHARGE KAMAR : 2022-0 200000 0 1
219 CHARGE KAMAR : 2022-0 200000 0 1
220 ADM KLS 2 (BPJS) 25000 0 1
221 RUJUK RI 0 0 1
227 CHARGE KAMAR : 2022-0 200000 0 1
228 CHARGE KAMAR : 2022-0 200000 0 1
229 CHARGE KAMAR : 2022-0 200000 0 1
230 CHARGE KAMAR : 2022-0 200000 0 1
232 CHARGE KAMAR : 2022-0 250000 0 1
233 CHARGE KAMAR : 2022-0 250000 0 1
234 CHARGE KAMAR : 2022-0 250000 0 1
235 CHARGE KAMAR : 2022-0 250000 0 1
236 CHARGE KAMAR : 2022-0 250000 0 1
237 CHARGE KAMAR : 2022-0 200000 0 1
238 CHARGE KAMAR : 2022-0 200000 0 1
239 CHARGE KAMAR : 2022-0 200000 0 1
240 CHARGE KAMAR : 2022-0 200000 0 1
241 CHARGE KAMAR : 2022-0 200000 0 1
243 CHARGE KAMAR : 2022-0 250000 0 1
244 CHARGE KAMAR : 2022-0 250000 0 1
248 CHARGE KAMAR : 2022-0 200000 0 1
249 CHARGE KAMAR : 2022-0 200000 0 1
250 CHARGE KAMAR : 2022-0 200000 0 1
251 CHARGE KAMAR : 2022-0 200000 0 1
257 ADM KLS 2 (BPJS) 25000 0 1
258 RUJUK RI 0 0 1
267 CHARGE KAMAR : 2022-0 200000 0 1
268 CHARGE KAMAR : 2022-0 200000 0 1
269 CHARGE KAMAR : 2022-0 200000 0 1
270 CHARGE KAMAR : 2022-0 200000 0 1
271 RUJUK RI 0 0 1
275 CHARGE KAMAR : 2022-0 125000 0 1
276 CHARGE KAMAR : 2022-0 125000 0 1
277 CHARGE KAMAR : 2022-0 125000 0 1
278 CHARGE KAMAR : 2022-0 125000 0 1
283 CHARGE KAMAR : 2022-0 125000 0 1
284 CHARGE KAMAR : 2022-0 125000 0 1
285 CHARGE KAMAR : 2022-0 125000 0 1
286 CHARGE KAMAR : 2022-0 250000 0 1
287 CHARGE KAMAR : 2022-0 250000 0 1
288 RUJUK RI 0 0 1
294 JASA PUYER 5000 0 2
296 CHARGE KAMAR : 2022-0 250000 0 1
297 CHARGE KAMAR : 2022-0 250000 0 1
298 CHARGE KAMAR : 2022-0 250000 0 1
302 CHARGE KAMAR : 2022-0 250000 0 1
303 CHARGE KAMAR : 2022-0 250000 0 1
304 CHARGE KAMAR : 2022-0 250000 0 1
306 CHARGE KAMAR : 2022-0 125000 0 1
307 CHARGE KAMAR : 2022-0 125000 0 1
308 CHARGE KAMAR : 2022-0 125000 0 1
309 CHARGE KAMAR : 2022-0 200000 0 1
310 CHARGE KAMAR : 2022-0 200000 0 1
311 CHARGE KAMAR : 2022-0 200000 0 1
313 CHARGE KAMAR : 2022-0 200000 0 1
314 CHARGE KAMAR : 2022-0 200000 0 1
315 CHARGE KAMAR : 2022-07 50000 0 1
316 CHARGE KAMAR : 2022-0 200000 0 1
317 CHARGE KAMAR : 2022-0 200000 0 1
318 CHARGE KAMAR : 2022-07 50000 0 1
321 RUJUK RI 0 0 1
327 CHARGE KAMAR : 2022-07 50000 0 1
328 CHARGE KAMAR : 2022-07 50000 0 1
329 CHARGE KAMAR : 2022-07 50000 0 1
330 CHARGE KAMAR : 2022-07 50000 0 1
333 CHARGE KAMAR : 2022-0 250000 0 1
334 CHARGE KAMAR : 2022-0 250000 0 1
335 CHARGE KAMAR : 2022-0 250000 0 1
337 RUJUK RI 0 0 1
344 RUJUK RI 0 0 1
353 CHARGE KAMAR : 2022-0 200000 0 1
354 CHARGE KAMAR : 2022-0 200000 0 1
355 ADM KLS 2 (BPJS) 25000 0 1
356 RUJUK RI 0 0 1
362 BPJS GDA STIK 5000 5000 1
364 CHARGE KAMAR : 2022-0 200000 0 1
365 CHARGE KAMAR : 2022-0 200000 0 1
366 ADM KLS 1 75000 0 1
367 RUJUK RI 0 0 1
371 RUJUK RI 0 0 1
378 CHARGE KAMAR : 2022-0 200000 0 1
379 CHARGE KAMAR : 2022-0 200000 0 1
380 CHARGE KAMAR : 2022-0 200000 0 1
381 ADM KLS 1 75000 0 1
382 RUJUK RI 0 0 1
386 JASA PUYER 5000 0 2
389 NEBULIZER 10000 10000 1
392 ADM KLS VIP 100000 0 1
393 RUJUK RI 0 0 1
398 ADM KLS 1 75000 0 1
399 RUJUK RI 0 0 1
404 CHARGE KAMAR : 2022-07 50000 0 1
405 CHARGE KAMAR : 2022-07 50000 0 1
406 CHARGE KAMAR : 2022-07 50000 0 1
407 CHARGE KAMAR : 2022-07 50000 0 1
408 CHARGE KAMAR : 2022-07 50000 0 1
410 ADM KLS 2 (BPJS) 25000 0 1
411 RUJUK RI 0 0 1
420 ADM KLS 2 50000 0 1
421 RUJUK RI 0 0 1
426 JASA PUYER 5000 0 1
428 CHARGE KAMAR : 2022-07 50000 0 1
429 CHARGE KAMAR : 2022-07 50000 0 1
430 CHARGE KAMAR : 2022-07 50000 0 1
431 CHARGE KAMAR : 2022-07 50000 0 1
432 CHARGE KAMAR : 2022-07 50000 0 1
433 CHARGE KAMAR : 2022-07 50000 0 1
435 CHARGE KAMAR : 2022-07 50000 0 1
436 CHARGE KAMAR : 2022-07 50000 0 1
437 CHARGE KAMAR : 2022-07 50000 0 1
438 CHARGE KAMAR : 2022-07 50000 0 1
439 CHARGE KAMAR : 2022-07 50000 0 1
440 CHARGE KAMAR : 2022-07 50000 0 1
442 ADM KLS 2 (BPJS) 25000 0 1
443 RUJUK RI 0 0 1
447 ADM KLS 2 50000 0 1
448 RUJUK RI 0 0 1
452 ADM KLS 2 (BPJS) 25000 0 1
453 RUJUK RI 0 0 1
456 PASIEN UMUM RJ 35000 30000 1
458 PASIEN UMUM RJ 35000 30000 1
465 PASIEN UMUM RJ 35000 30000 1
467 PASIEN UMUM RJ 35000 30000 1
469 PASIEN UMUM RJ 35000 30000 1
481 PASIEN UMUM RJ 35000 30000 1
483 PASIEN UMUM RJ 35000 30000 1
485 PASIEN UMUM RJ 35000 30000 1
489 PASIEN UMUM RJ 35000 30000 1
491 PASIEN UMUM RJ 35000 30000 1
493 PASIEN UMUM RJ 35000 30000 1
495 PASIEN UMUM RJ 35000 30000 1
497 PASIEN UMUM RJ 35000 30000 1
499 PASIEN UMUM RJ 35000 30000 1
502 PASIEN UMUM RJ 35000 30000 1
504 PASIEN UMUM RJ 35000 30000 1
506 PASIEN UMUM RJ 35000 30000 1
509 PASIEN UMUM RJ 35000 30000 1
511 PASIEN UMUM RJ 35000 30000 1
513 PASIEN UMUM RJ 35000 30000 1
515 JASA PUYER 5000 0 1
524 PASIEN UMUM RJ 35000 30000 1
525 PASIEN UMUM RJ 35000 30000 1
527 PASIEN UMUM RJ 35000 30000 1
529 PASIEN UMUM RJ 35000 30000 1
531 JASA PUYER 5000 0 1
532 PASIEN UMUM RJ 35000 30000 1
534 JASA PUYER 5000 0 1
540 PASIEN UMUM RJ 35000 30000 1
544 PASIEN UMUM RJ 35000 30000 1
556 PASIEN UMUM RJ 35000 30000 1
558 PASIEN UMUM RJ 35000 30000 1
559 JASA PUYER 5000 0 1
561 PASIEN UMUM RJ 35000 30000 1
563 JASA PUYER 5000 0 1
564 PASIEN UMUM RJ 35000 30000 1
566 PASIEN UMUM RJ 35000 30000 1
568 PASIEN UMUM RJ 35000 30000 1
577 PASIEN UMUM RJ 35000 30000 1
579 PASIEN UMUM RJ 35000 30000 1
581 PASIEN UMUM RJ 35000 30000 1
583 PASIEN UMUM RJ 35000 30000 1
585 JASA PUYER 5000 0 1
592 PASIEN UMUM RJ 35000 30000 1
594 PASIEN UMUM RJ 35000 30000 1
596 PASIEN UMUM RJ 35000 30000 1
598 PASIEN UMUM RJ 35000 30000 1
600 PASIEN UMUM RJ 35000 30000 1
602 GDA STIK 5000 5000 1
603 PASIEN UMUM RJ 35000 30000 1
605 PASIEN UMUM RJ 35000 30000 1
607 PASIEN UMUM RJ 35000 30000 1
609 PASIEN UMUM RJ 35000 30000 1
615 PASIEN UMUM RJ 35000 30000 1
617 PASIEN UMUM RJ 35000 30000 1
619 PASIEN UMUM RJ 35000 30000 1
620 PASIEN UMUM RJ 35000 30000 1
621 PASIEN UMUM RJ 35000 30000 1
624 PASIEN UMUM RJ 35000 30000 1
625 PASIEN UMUM RJ 35000 30000 1
626 PASIEN UMUM RJ 35000 30000 1
627 PASIEN UMUM RJ 35000 30000 1
631 PASIEN UMUM RJ 35000 30000 1
632 PASIEN UMUM RJ 35000 30000 1
634 PASIEN UMUM RJ 35000 30000 1
637 PASIEN UMUM RJ 35000 30000 1
641 PASIEN UMUM RJ 35000 30000 1
642 JASA DOKTER SERCUM SI 500000 500000 1
643 PASIEN UMUM RJ 35000 30000 1
646 PASIEN UMUM RJ 35000 30000 1
649 PASIEN UMUM RJ 35000 30000 1
654 PASIEN UMUM RJ 35000 30000 1
656 PASIEN UMUM RJ 35000 30000 1
665 PASIEN UMUM RJ 35000 30000 1
667 PASIEN UMUM RJ 35000 30000 1
673 PASIEN UMUM RJ 35000 30000 1
675 JASA PUYER 5000 0 1
676 PASIEN UMUM RJ 35000 30000 1
678 PASIEN UMUM RJ 35000 30000 1
680 PASIEN UMUM RJ 35000 30000 1
682 JASA PUYER 5000 0 1
683 PASIEN UMUM RJ 35000 30000 1
684 JASA PUYER 5000 0 1
685 PASIEN UMUM RJ 35000 30000 1
687 PASIEN UMUM RJ 35000 30000 1
689 PASIEN UMUM RJ 35000 30000 1
691 PASIEN UMUM RJ 35000 30000 1
692 PASIEN UMUM RJ 35000 30000 1
694 PASIEN UMUM RJ 35000 30000 1
697 PASIEN UMUM RJ 35000 30000 1
700 PASIEN UMUM RJ 35000 30000 1
702 PASIEN UMUM RJ 35000 30000 1
704 PASIEN UMUM RJ 35000 30000 1
706 PASIEN UMUM RJ 35000 30000 1
708 PASIEN UMUM RJ 35000 30000 1
710 PASIEN UMUM RJ 35000 30000 1
712 PASIEN UMUM RJ 35000 30000 1
714 JASA PUYER 5000 0 1
715 PASIEN UMUM RJ 35000 30000 1
717 PASIEN UMUM RJ 35000 30000 1
719 PASIEN UMUM RJ 35000 30000 1
721 PASIEN UMUM RJ 35000 30000 1
723 PASIEN UMUM RJ 35000 30000 1
726 PASIEN UMUM RJ 35000 30000 1
727 PASIEN UMUM RJ 35000 30000 1
729 PASIEN UMUM RJ 35000 30000 1
732 PASIEN UMUM RJ 35000 30000 1
734 PASIEN UMUM RJ 35000 30000 1
736 PASIEN UMUM RJ 35000 30000 1
738 PASIEN UMUM RJ 35000 30000 1
740 PASIEN UMUM RJ 35000 30000 1
750 PASIEN UMUM RJ 35000 30000 1
753 PASIEN UMUM RJ 35000 30000 1
756 PASIEN UMUM RJ 35000 30000 1
758 PASIEN UMUM RJ 35000 30000 1
760 PASIEN UMUM RJ 35000 30000 1
762 PASIEN UMUM RJ 35000 30000 1
764 PASIEN UMUM RJ 35000 30000 1
770 PASIEN UMUM RJ 35000 30000 1
776 PASIEN UMUM RJ 35000 30000 1
778 PASIEN UMUM RJ 35000 30000 1
780 PASIEN UMUM RJ 35000 30000 1
782 PASIEN UMUM RJ 35000 30000 1
784 PASIEN UMUM RJ 35000 30000 1
786 PASIEN UMUM RJ 35000 30000 1
788 PASIEN UMUM RJ 35000 30000 1
790 PASIEN UMUM RJ 35000 30000 1
792 PASIEN UMUM RJ 35000 30000 1
794 PASIEN UMUM RJ 35000 30000 1
796 PASIEN UMUM RJ 35000 30000 1
798 PASIEN UMUM RJ 35000 30000 1
800 PASIEN UMUM RJ 35000 30000 1
804 PASIEN UMUM RJ 35000 30000 1
812 PASIEN UMUM RJ 35000 30000 1
814 PASIEN UMUM RJ 35000 30000 1
816 PASIEN UMUM RJ 35000 30000 1
818 PASIEN UMUM RJ 35000 30000 1
820 PASIEN UMUM RJ 35000 30000 1
822 PASIEN UMUM RJ 35000 30000 1
824 JASA PNC DOKTER 20000 20000 1
825 PASIEN UMUM RJ 35000 30000 1
827 PASIEN UMUM RJ 35000 30000 1
829 PASIEN UMUM RJ 35000 30000 1
846 ADM KLS 2 (BPJS) 25000 0 1
849 ADM KLS 2 (BPJS) 25000 0 1
855 ADM KLS 2 (BPJS) 25000 0 1
862 ADM KLS 2 (BPJS) 25000 0 1
868 ADM KLS 2 (BPJS) 25000 0 1
871 ADM KLS 2 (BPJS) 25000 0 1
875 PASIEN UMUM RJ 35000 30000 1
877 ADM KLS 2 (BPJS) 25000 0 1
881 PASIEN UMUM RJ 35000 30000 1
883 PASIEN UMUM RJ 35000 30000 1
885 JASA PUYER 5000 0 1
894 PASIEN UMUM RJ 35000 30000 1
896 PASIEN UMUM RJ 35000 30000 1
903 ADM KLS 1 75000 0 1
906 ADM KLS 1 75000 0 1
908 ADM KLS 2 (BPJS) 25000 0 1
909 ADM KLS 2 (BPJS) 25000 0 1
910 ADM KLS 2 50000 0 1
911 ADM KLS 2 (BPJS) 25000 0 1
912 ADM KLS 2 50000 0 1
913 ADM KLS 2 (BPJS) 25000 0 1
914 PASIEN UMUM RJ 35000 30000 1
916 PASIEN UMUM RJ 35000 30000 1
918 PASIEN UMUM RJ 35000 30000 1
931 PASIEN UMUM RJ 35000 30000 1
932 PASIEN UMUM RJ 35000 30000 1
933 PASIEN UMUM RJ 35000 30000 1
938 PASIEN UMUM RJ 35000 30000 1
939 PASIEN UMUM RJ 35000 30000 1
942 JASA RESEP PUYER BPJS 1000 0 1
951 PASIEN UMUM RJ 35000 30000 1
953 PASIEN UMUM RJ 35000 30000 1
957 PASIEN UMUM RJ 35000 30000 1
959 PASIEN UMUM RJ 35000 30000 1
965 PASIEN UMUM RJ 35000 30000 1
967 PASIEN UMUM RJ 35000 30000 1
972 PASIEN UMUM RJ 35000 30000 1
974 PASIEN UMUM RJ 35000 30000 1
976 PASIEN UMUM RJ 35000 30000 1
978 PASIEN UMUM RJ 35000 30000 1
986 PASIEN UMUM RJ 35000 30000 1
988 PASIEN UMUM RJ 35000 30000 1
992 PASIEN UMUM RJ 35000 30000 1
996 PASIEN UMUM RJ 35000 30000 1
999 PASIEN UMUM RJ 35000 30000 1
1001 PASIEN UMUM RJ 35000 30000 1
1003 PASIEN UMUM RJ 35000 30000 1
1005 PASIEN BPJS RJ 4000 3000 1
1007 PASIEN BPJS RJ 4000 3000 1
1009 PASIEN BPJS RJ 4000 3000 1
1011 PASIEN BPJS RJ 4000 3000 1
1013 PASIEN UMUM RJ 35000 30000 1
1015 PASIEN BPJS RJ 4000 3000 1
1017 PASIEN UMUM RJ 35000 30000 1
1018 PASIEN UMUM RJ 35000 30000 1
1020 PASIEN UMUM RJ 35000 30000 1
1023 PASIEN UMUM RJ 35000 30000 1
1025 PASIEN UMUM RJ 35000 30000 1
1027 PASIEN UMUM RJ 35000 30000 1
1029 PASIEN UMUM RJ 35000 30000 1
1031 JASA PUYER 5000 0 1
1032 PASIEN UMUM RJ 35000 30000 1
1034 PASIEN UMUM RJ 35000 30000 1
TOTAL
dr. YEDI
1 ADM KLS 2 50000 0 1
2 RUJUK RI 0 0 1
6 ADM KLS VIP 100000 0 1
7 RUJUK RI 0 0 1
9 RUJUK RI 0 0 1
11 RUJUK RI 0 0 1
15 PASIEN UMUM RJ 35000 30000 1
18 ADM KLS VIP 100000 0 1
19 ADM KLS 2 (BPJS) 25000 0 1
20 PASIEN UMUM RJ 35000 30000 1
22 PASIEN UMUM RJ 35000 30000 1
TOTAL
dr.TIWI
11 ADM KLS 1 75000 0 1
12 RUJUK RI 0 0 1
20 ADM KLS 2 50000 0 1
21 RUJUK RI 0 0 1
31 RUJUK RI 0 0 1
33 ADM KLS 1 75000 0 1
34 PASIEN UMUM RJ 35000 30000 1
39 ADMINISTRASI BPJS 25000 0 1
40 RUJUK RI 0 0 1
43 ADM KLS 1 75000 0 1
44 RUJUK RI 0 0 1
48 RUJUK RI 0 0 1
51 ADM KLS 2 50000 0 1
52 RUJUK RI 0 0 1
67 CHARGE KAMAR : 2022-0 125000 0 1
68 CHARGE KAMAR : 2022-0 125000 0 1
69 CHARGE KAMAR : 2022-0 125000 0 1
80 CHARGE KAMAR : 2022-0 125000 0 1
81 CHARGE KAMAR : 2022-0 125000 0 1
82 CHARGE KAMAR : 2022-0 125000 0 1
83 ADM KLS 2 50000 0 1
84 RUJUK RI 0 0 1
95 PASIEN UMUM RJ 35000 30000 1
97 PASIEN UMUM RJ 35000 30000 1
99 PASIEN UMUM RJ 35000 30000 1
102 PASIEN UMUM RJ 35000 30000 1
104 PASIEN UMUM RJ 35000 30000 1
110 PASIEN UMUM RJ 35000 30000 1
113 PASIEN UMUM RJ 35000 30000 1
117 PASIEN UMUM RJ 35000 30000 1
119 PASIEN UMUM RJ 35000 30000 1
121 JASA PUYER 5000 0 1
122 PASIEN UMUM RJ 35000 30000 1
126 PASIEN UMUM RJ 35000 30000 1
128 JASA PUYER 5000 0 1
131 PASIEN UMUM RJ 35000 30000 1
134 PASIEN UMUM RJ 35000 30000 1
136 PASIEN UMUM RJ 35000 30000 1
138 PASIEN UMUM RJ 35000 30000 1
140 PASIEN UMUM RJ 35000 30000 1
142 JASA PUYER 5000 0 1
143 PASIEN UMUM RJ 35000 30000 1
145 JASA PUYER 5000 0 1
148 JASA PUYER 5000 0 1
149 PASIEN UMUM RJ 35000 30000 1
151 PASIEN UMUM RJ 35000 30000 1
153 PASIEN UMUM RJ 35000 30000 1
155 PASIEN UMUM RJ 35000 30000 1
159 PASIEN UMUM RJ 35000 30000 1
172 PASIEN UMUM RJ 35000 30000 1
174 PASIEN UMUM RJ 35000 30000 1
176 PASIEN UMUM RJ 35000 30000 1
178 PASIEN UMUM RJ 35000 30000 1
180 PASIEN UMUM RJ 35000 30000 1
182 PASIEN UMUM RJ 35000 30000 1
186 PASIEN UMUM RJ 35000 30000 1
188 PASIEN UMUM RJ 35000 30000 1
190 JASA PUYER 5000 0 1
193 PASIEN UMUM RJ 35000 30000 1
195 PASIEN UMUM RJ 35000 30000 1
197 PASIEN UMUM RJ 35000 30000 1
199 PASIEN UMUM RJ 35000 30000 1
201 JASA PUYER 5000 0 1
202 PASIEN UMUM RJ 35000 30000 1
204 PASIEN UMUM RJ 35000 30000 1
206 PASIEN UMUM RJ 35000 30000 1
208 JASA PUYER 5000 0 1
209 PASIEN UMUM RJ 35000 30000 1
210 JASA PUYER 5000 0 1
212 PASIEN UMUM RJ 35000 30000 1
214 PASIEN UMUM RJ 35000 30000 1
216 JASA PUYER 5000 0 1
217 PASIEN UMUM RJ 35000 30000 1
219 ADMIN 0 0 1
220 ADM KLS 1 75000 0 1
222 ADM KLS 2 50000 0 1
228 PASIEN UMUM RJ 35000 30000 1
230 PASIEN UMUM RJ 35000 30000 1
232 PASIEN UMUM RJ 35000 30000 1
234 PASIEN UMUM RJ 35000 30000 1
236 PASIEN UMUM RJ 35000 30000 1
237 JASA PUYER 5000 0 1
239 PASIEN UMUM RJ 35000 30000 1
241 PASIEN UMUM RJ 35000 30000 1
243 PASIEN UMUM RJ 35000 30000 1
245 EKSTRAKSI SERUMEN TEL 20000 20000 1
246 PASIEN UMUM RJ 35000 30000 1
250 PASIEN UMUM RJ 35000 30000 1
252 PASIEN UMUM RJ 35000 30000 1
255 PASIEN UMUM RJ 35000 30000 1
258 PASIEN UMUM RJ 35000 30000 1
260 PASIEN UMUM RJ 35000 30000 1
262 PASIEN UMUM RJ 35000 30000 1
264 PASIEN UMUM RJ 35000 30000 1
266 PASIEN UMUM RJ 35000 30000 1
268 PASIEN UMUM RJ 35000 30000 1
270 PASIEN UMUM RJ 35000 30000 1
272 PASIEN UMUM RJ 35000 30000 1
275 PASIEN UMUM RJ 35000 30000 1
277 PASIEN UMUM RJ 35000 30000 1
279 PASIEN UMUM RJ 35000 30000 1
282 PASIEN UMUM RJ 35000 30000 1
284 PASIEN UMUM RJ 35000 30000 1
286 PASIEN UMUM RJ 35000 30000 1
288 PASIEN UMUM RJ 35000 30000 1
TOTAL
Drg. RUDI
1 CHARGE KAMAR : 2022-0 200000 0 1
2 CHARGE KAMAR : 2022-0 200000 0 1
3 CHARGE KAMAR : 2022-0 200000 0 1
4 CHARGE KAMAR : 2022-0 200000 0 1
5 CHARGE KAMAR : 2022-0 200000 0 1
6 CHARGE KAMAR : 2022-07 50000 0 1
7 CHARGE KAMAR : 2022-07 50000 0 1
8 CHARGE KAMAR : 2022-07 50000 0 1
9 CHARGE KAMAR : 2022-07 50000 0 1
10 CHARGE KAMAR : 2022-07 50000 0 1
11 CHARGE KAMAR : 2022-07 50000 0 1
12 CHARGE KAMAR : 2022-0 125000 0 1
13 CHARGE KAMAR : 2022-0 125000 0 1
14 CHARGE KAMAR : 2022-0 125000 0 1
15 CHARGE KAMAR : 2022-0 125000 0 1
16 PASIEN UMUM RJ 35000 30000 1
18 PERIKSA GIGI 15000 15000 1
21 SKALING PER RAHANG 1 100000 100000 1
22 PASIEN UMUM RJ 35000 30000 1
26 PASIEN UMUM RJ 35000 30000 1
28 PASIEN UMUM RJ 35000 30000 1
30 PENCABUTAN GIGI TETA 100000 100000 3
31 PASIEN UMUM RJ 35000 30000 1
33 PASIEN UMUM RJ 35000 30000 1
37 PASIEN UMUM RJ 35000 30000 1
38 PERIKSA GIGI 15000 15000 1
39 PASIEN UMUM RJ 35000 30000 1
40 PASIEN UMUM RJ 35000 30000 1
42 PASIEN UMUM RJ 35000 30000 1
43 PASIEN UMUM RJ 35000 30000 1
TOTAL
EKA CINTIYA FEBRIANTI,S.TR.KES
1 souvenir 30000 0 1
2 Souvenir 30000 0 1
TOTAL
EVI KOMALASARI, AMD.KEP
6 NEBULIZER 10000 10000 1
8 NEBULIZER 10000 10000 1
11 NEBULIZER 10000 10000 1
28 JASA INJEKSI KELOID 10000 10000 1
30 GDA STIK 5000 5000 1
31 NEBULIZER 10000 10000 1
33 GDA STIK 5000 5000 1
TOTAL
FAKHRUSY SYAKIRIN, S.KEP.NS
1 NEBULIZER 5000 5000 1
25 PEMASANGAN KATETER 15000 15000 1
26 NEBULIZER 10000 10000 1
TOTAL
FEBRI IRAWAN, A.MD.KES
1 HEMATOLOGI LENGKAP 40000 0 1
3 ADMIN 0 0 1
4 LABORATORIUM 5000 0 1
6 ADMIN 0 0 1
7 ADMIN 0 0 1
TOTAL
GUNAWAN PRASETYO, S.KEP.NS
4 BPJS PEMASANGANDAN P 25000 25000 1
7 NEBULIZER 10000 10000 1
10 NEBULIZER 10000 10000 1
11 BPJS GDA STIK 5000 5000 1
16 BPJS GDA STIK 5000 5000 1
21 NEBULIZER 10000 10000 1
25 NEBULIZER 10000 10000 1
38 GDA STIK 5000 5000 1
39 BPJS GDA STIK 5000 5000 1
41 EKG/ECG 25000 25000 1
TOTAL
HANY INDAH LESTARI, A.MD.KEB
1 CHARGE KAMAR : 2022-0 125000 0 1
2 CHARGE KAMAR : 2022-0 125000 0 1
6 ANC BIDAN 35000 35000 1
9 BPJS PELEPASAN IMPLAN 100000 100000 1
12 BPJS PELEPASAN IMPLAN 100000 100000 1
14 PASIEN UMUM RJ 35000 30000 1
18 PEMASANGAN IMPLAN 0 0 1
19 JASA BIDAN PEMASANGA 40000 40000 1
22 PELEPASAN IMPLAN 0 0 1
23 JASA BIDAN PELEPASAN 40000 40000 1
30 BKIA UMUM 5000 0 1
31 BAYI SEHAT (KN) 20000 20000 1
32 JASA BIDAN BAYI SEHAT 15000 15000 1
33 TINDIK TELINGA 20000 20000 1
34 JASA BIDAN TINDIK TELI 15000 15000 1
35 BKIA BPJS 1000 0 1
36 BPJS NON KAPITASI PNC 14000 14000 1
39 BKIA BPJS 1000 0 1
40 BPJS NON KAPITASI PE 40000 40000 1
41 JASA BIDAN NON BPJS K 39000 39000 1
43 BKIA BPJS 1000 0 1
45 JASA BIDAN BPJS NON K 39000 39000 1
48 BPJS KONSELING 7000 7000 1
49 JASA BIDAN BPJS KONSE 2000 2000 1
50 BKIA UMUM 5000 0 1
52 KB SUNTIK 1 BULAN CY 7500 7500 1
53 BKIA BPJS 1000 0 1
54 BPJS NON KAPITASI ANC 20000 20000 1
56 JASA DOKTER ANC DOKT 20000 20000 1
58 BKIA UMUM 5000 0 1
59 JASA BIDAN TINDIK TELI 15000 15000 1
60 TINDIK TELINGA 20000 20000 1
61 BKIA BPJS 1000 0 1
62 BPJS NON KAPITASI ANC 20000 20000 1
64 BKIA BPJS 1000 0 1
70 BPJS NON KAPITASI PEL 40000 40000 1
72 BKIA UMUM 5000 0 1
73 ANC BIDAN 20000 20000 1
76 PASIEN UMUM RJ 35000 30000 1
77 ANC BIDAN 20000 20000 1
79 PASIEN UMUM RJ 35000 30000 1
80 JASA BIDAN BAYI SEHAT 15000 15000 1
81 BAYI SEHAT (KN) 20000 20000 1
82 PASIEN UMUM RJ 35000 30000 1
83 PNC BIDAN 20000 0 1
84 JASA BIDAN PNC BIDAN 15000 15000 1
89 BKIA BPJS 1000 0 1
93 BKKBN 0 0 1
97 BKKBN 0 0 1
101 BKKBN 0 0 1
102 JASA BIDAN PELEPASAN 40000 40000 1
103 PELEPASAN IMPLAN 0 0 1
105 BKIA BPJS 1000 0 1
108 BKKBN 0 0 1
109 BKIA BPJS 1000 0 1
110 BKIA BPJS 1000 0 1
111 BKIA BPJS 1000 0 1
112 BKIA BPJS 1000 0 1
115 BKIA UMUM 5000 0 1
118 BKIA UMUM 5000 0 1
119 BKIA BPJS 1000 0 1
120 BKIA BPJS 1000 0 1
121 BKKBN 0 0 1
122 BKKBN 0 0 1
TOTAL
IFA MARIA ULFA, AMD.KEB
2 CHARGE KAMAR : 2022-07 50000 0 1
3 CHARGE KAMAR : 2022-07 50000 0 1
4 CHARGE KAMAR : 2022-07 50000 0 1
5 CHARGE KAMAR : 2022-07 50000 0 1
6 CHARGE KAMAR : 2022-07 50000 0 1
7 BPJS PEMASANGAN DAN 100000 100000 1
11 BKIA UMUM 5000 0 1
13 PNC DOKTER 25000 25000 1
TOTAL
IRFAN FIRMANSYAH, S.KEP.NS
2 NEBULIZER 5000 5000 1
7 NEBULIZER 10000 10000 1
11 GDA STIK 5000 5000 1
14 NEBULIZER 10000 10000 1
17 NEBULIZER 10000 10000 1
TOTAL
JULITA SARI P, AMD.KEB
11 PASIEN UMUM RJ 35000 30000 1
13 KB SUNTIK 3 BULAN 0 0 1
TOTAL
LADY VIRGINA JASMIN
1 jasa resep 2000 0 1
2 jasa resep 2000 0 1
3 jasa resep bpjs 1000 0 1
TOTAL
LENNY LESTI DIRGANTARI, S.ST
TOTAL
M. ALAM KUSUMA ATMAJA,S.KEP.NS
5 GDA STIK 5000 5000 1
10 BPJS GDA STIK 5000 5000 1
16 NEBULIZER 10000 10000 1
18 NEBULIZER 10000 10000 1
23 GDA STIK 5000 5000 1
25 NEBULIZER 10000 10000 1
TOTAL
MEIKE JUWITA SARI, STR.KEB
5 JASA BIDAN PNC BIDAN 15000 15000 1
TOTAL
NUR IMAMAH, A.MD.KEB
2 ADM KLS 2 (BPJS) 25000 0 1
12 CHARGE KAMAR : 2022-0 125000 0 1
TOTAL
NURLAILIYAH, A.MD.FARM
1 obat 104100 0 1
2 Obat-obatan 3800 0 1
TOTAL
PERAWAT RANAP
3 NEBULIZER 5000 5000 1
4 JS. EKG/ECG 25000 25000 1
5 EKG/ECG 50000 50000 1
9 NEBULIZER 5000 5000 3
11 NEBULIZER 5000 5000 3
25 BPJS RJP DEWASA 35000 35000 1
27 BPJS RAWAT JENASAH 50000 50000 1
29 BPJS GDA STIK 5000 5000 1
64 NEBULIZER 5000 5000 1
66 NEBULIZER 5000 5000 1
79 GDA STIK 5000 5000 1
118 NEBULIZER 10000 10000 1
219 NEBULIZER 10000 10000 1
223 NEBULIZER 10000 10000 1
244 BPJS RJP DEWASA 35000 35000 1
246 BPJS GDA STIK 5000 5000 1
280 BPJS GDA STIK 5000 5000 1
281 BPJS GDA STIK 5000 5000 1
299 GDA STIK 5000 5000 1
436 NEBULIZER 10000 10000 1
486 BPJS GDA STIK 5000 5000 1
489 BPJS GDA STIK 5000 5000 1
TOTAL
PERAWAT RJ
1 NEBULIZER 10000 10000 1
7 GDA STIK 5000 5000 1
TOTAL
PERAWAT UGD
5 NEBULIZER 10000 10000 1
TOTAL
SANEX FEBRIAN, AMD.KEP
2 ADM KLS 2 (BPJS) 25000 0 1
6 TINDAKAN KEGAWAT DA 50000 50000 1
10 BPJS GDA STIK 5000 5000 1
11 BPJS GDA STIK 5000 5000 1
19 INPUTAN OBAT UGD 48700 0 1
25 OKSIGEN 1300L 91000 0 1
28 EKG/ECG 50000 50000 1
29 JS. EKG/ECG 25000 25000 1
33 NEBULIZER 10000 10000 1
35 RAWAT LUKA SEDANG 35000 35000 1
38 NEBULIZER 10000 10000 1
39 CHARGE KAMAR UGD 50000 0 1
50 GDA STIK 5000 5000 1
60 NEBULIZER 10000 10000 1
64 BPJS NGT 25000 25000 1
65 GDA STIK 5000 5000 1
TOTAL
SITI MAISYAROH, AMD.KEP
3 NEBULIZER 5000 5000 1
5 NGT 25000 25000 1
6 NEBULIZER 10000 10000 1
12 NEBULIZER 10000 10000 1
14 NEBULIZER 10000 10000 1
17 NEBULIZER 10000 10000 1
20 NEBULIZER 10000 10000 1
21 GDA STIK 5000 5000 1
23 BPJS GDA STIK 5000 5000 1
24 GDA STIK 5000 5000 1
TOTAL
SULISTYANINGSIH, AMD.KEB
1 SOEVENIR 30000 0 1
2 SOEVENIR 30000 0 1
TOTAL
YULI NABILA AMALIA, AMD.KEP
2 NEBULIZER 5000 5000 1
5 NEBULIZER 10000 10000 1
7 NEBULIZER 10000 10000 1
16 NEBULIZER 10000 10000 1
18 NEBULIZER 10000 10000 1
21 NEBULIZER 10000 10000 1
23 NEBULIZER 10000 10000 1
39 GDA STIK 5000 5000 1
40 NEBULIZER 10000 10000 1
TOTAL
YUNI FIRDAUSI NUSULA, A.MD.AK
1 CHARGE KAMAR : 2022-0 50000 0 1
2 CHARGE KAMAR : 2022-0 50000 0 1
3 CHARGE KAMAR : 2022-0 50000 0 1
5 ADMIN 0 0 1
TOTAL
REPORT JASA DOKTER / FEE MEDIS
DOKTER ALL
Total Jasa Dokter / Fee Medis Nama Pasien Reg No Trs
10,000 REYHAN ARSHAVIN AZIZ 000194 TD0000696A

5,000 NAHRAWI/P. SAÀDAH 000156 TD0000668C
10,000 RANDIANTO 000124 TD0000982A
10,000 RANDIANTO 000124 TD0000982A
10,000 TIMA/ B SAM 000522 TD0001761A
10,000 SAMSUL HADI 000538 TD0001866A
0 SUCIANA 000793 TD0002470A
10,000 MUHAMMAD IZZAM MAU 000848 TD0002537B
75,000 ELIZA SALWA AZZAHRA 001010 TD0002772A
100,000 DWI JATI PRASETYO 000450 TD0001201A
100,000 ABDAN SYAKIR AHMAD 000067 TD0000098D
100,000 MUHAMMAD BOBY ALFA000058 TD0001260B
100,000 AHMAD NADIF MALIKI 000057 TD0001263A
30,000 DWI FEBRIANTI 000519 TD0001396A
695,000

0 NAHRAWI/P. SAÀDAH 000156 TD0000493A
0 MUHID / P JONI 000230 TD0000620A
50,000 MUHID / P JONI 000230 TD0000674B
50,000 MUHID / P JONI 000230 TD0000674B
10,000 RANDIANTO 000124 TD0000768A
10,000 RANDIANTO 000124 TD0000773A
10,000 AHMAD ARIS RAMADHA 000399 TD0001282A
10,000 MUHAMMAD ALI ASROFI000462 TD0001205A
10,000 WULAN DARIALIF SAFITR000676 TD0002067A
10,000 SAMHAJI 000712 TD0002240A
10,000 SYAKILA PUTRI AR ROH 000358 TD0001207A
10,000 SAHRAWI/PAK SANI 000461 TD0001364A
10,000 MUHAMMAD KHOLID ABD 000630 TD0002066A
10,000 SITI MAHMUDA 000968 TD0002806A
10,000 DULAMI 000964 TD0002814A
10,000 DULAMI 000964 TD0002814A
10,000 DULAMI 000964 TD0002925A
10,000 MUHAMMAD RAFASYA 000967 TD0002923A
50,000 JUDE 000872 TD0002930A
25,000 JUDE 000872 TD0002930A
5,000 SUJALI / P. BUDIONO 000199 TD0000494A
5,000 SARIA 000704 TD0001973A
15,000 SADIYO 001026 TD0002820A
420,000
5,000 QIANA MAULIDIA WARD000579 TD0001614A

95,000
5,000 NAHRAWI/P. SAÀDAH 000156 TD0000525D

10,000 RANDIANTO 000124 TD0000868A
10,000 RANDIANTO 000124 TD0000868A
20,000 RANDIANTO 000124 TD0000936A
10,000 RANDIANTO 000124 TD0000980A
10,000 RANDIANTO 000124 TD0000980A
10,000 SUIDJAN 000499 TD0001760A
15,000 MARJU / P. HAR 000697 TD0001997A
10,000 BUSIA / BU TIN 000750 TD0002356A
10,000 SAMHAJI 000712 TD0002433A
10,000 YOGA DIAN SAPUTRA 000834 TD0002447A
10,000 ERNA WATI 000813 TD0002448A
10,000 SHOLIHIN 000827 TD0002539B
10,000 BY. IRSYAD MAUZA AULI 000361 TD0001116A
10,000 PURNOMO K 000561 TD0001863A
210,000
10,000 RAVITA PUTRI HARTINI 000050 TD0000101B

0 MAIMUNA 000205 CHG-202207
0 MAIMUNA 000205 CHG-202207
0 MAIMUNA 000205 CHG-202207
0 MAIMUNA 000205 CHG-202207
0 MAIMUNA 000205 CHG-202207
0 MAIMUNA 000205 CHG-202207
0 JIHAN NURUL JANNAH 000940 BL0000160A
3,000 MAIMUNA 000205 REG000205
30,000 MAISIN 000465 REG000465
15,000 MAISIN 000465 TD0001206B
25,000 MAISIN 000465 TD0001206B
20,000 MAISIN 000465 TD0001210A
3,000 MARYANI 000160 REG000160
9,000 MARYANI 000160 TD0000307B
5,000 MARYANI 000160 TD0000307B
3,000 MISYATI / B.TATIK 000159 REG000159
5,000 MISYATI / B.TATIK 000159 TD0000305C
9,000 MISYATI / B.TATIK 000159 TD0000305C
3,000 BABUR ROHMAH 000483 REG000483
9,000 BABUR ROHMAH 000483 TD0002166A
5,000 BABUR ROHMAH 000483 TD0002166A
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9,000 RIRIN HANDAYANI 000984 TD0002697A
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5,000 IBTIDAIYAH/ B AFIK 000996 TD0002716A
187,000
5,000 SRIWIDAYATI 000585 TD0001622B

5,000 SUWARSIH 000128 TD0000223A
5,000 DUAMA/B. ROSIDI 000129 TD0000225A
5,000 ABD. RAHMAN SALEH 000130 TD0000227A
5,000 TUHANA / B. FEBRI 000133 TD0000230A
5,000 AGISNA HANIATU NURIL 000135 TD0000231A
5,000 INDAH YATI AINI 000141 TD0000236A
5,000 GUFRON 000147 TD0000258A
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5,000 SITI MUNIROH 000177 TD0000415A
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5,000 BAHRI /P HOLIS 000219 TD0000583A
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5,000 ADELIA TAHYATUL UMAH000221 TD0000589A
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5,000 RUSTI SAVIKA 000253 TD0000670A
5,000 SUWARSIH 000272 TD0000744A
5,000 SUWARSIH 000272 TD0000744A
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5,000 MUHAMMAD HAFID REFI000278 TD0000747A
5,000 SUMARNI 000275 TD0000753A
5,000 YUBMIATI 000283 TD0000759A
10,000 ASEP/PAK SUBAIRI 000583 TD0001618A
10,000 ASEP/PAK SUBAIRI 000583 TD0001618A
10,000 ABDUR ROHIM 000582 TD0001617B
10,000 ABDUR ROHIM 000582 TD0001617B
5,000 SUDARMADI HASAN 000640 TD0001756A
5,000 SUDARMADI HASAN 000640 TD0001756A
5,000 SUPARMAN/PAK AL 000734 TD0002047A
5,000 SUPARMAN/PAK AL 000734 TD0002047A
5,000 H. ALPAN 000849 TD0002325A
5,000 H. ALPAN 000849 TD0002325A
5,000 ASIA 000855 TD0002331A
5,000 ASIA 000855 TD0002331A
5,000 MAT ASUS 000862 TD0002340A
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5,000 AMNANI / B. TOFEK 000179 TD0000436A
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10,000 RAFKA ABRIZAM 001013 TD0002771A
10,000 RAFKA ABRIZAM 001013 TD0002771A
280,000
150,000 RAVITA PUTRI HARTINI 000050 TD0000103A

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15,000 NASIHA 000490 TD0001308A
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3,000 FATIMATUS ZAHROH 000252 REG000252
20,000 NUR AFIFAH 000571 TD0001507B
25,000 NUR RISDA KURNIA 000715 TD0002173A
9,000 RIRIN 000776 TD0002158A
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377,000
0 RAVITA PUTRI HARTINI 000050 REG000050

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0 NISFI AMALIA. N 000158 TD0000381A
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100,000 RISKIYAH 000558 TD0001568A
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45,000 NUR LAILI 000627 TD0001710A
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100,000 NUR LAILI 000627 TD0001845A
100,000 NUR LAILI 000627 TD0001847A
20,000 NUR LAILI 000627 TD0001848A
15,000 NUR LAILI 000627 TD0001849A
500,000 NUR LAILI 000627 TD0001850A
45,000 NUR LAILI 000627 TD0001851A
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0 QURROTA A`YUN 000681 BL0000117A
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30,000 MELY MEGAWATI 000036 REG000036
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3,000 SHOFIA WARDANA 000024 REG000024
3,686,000
5,000 MURSID 000434 TD0001543A
5,000 MURSID 000434 TD0001543A
75,000 MUHAMMAD REYHAN AZR
001021 TD0002811A
2,500 RUDI HARTONO 001002 TD0002721B
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10,000 MOÌMAM 000730 TD0002043A
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182,500
10,000 REYHAN ARSHAVIN AZIZ 000194 TD0000697B

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20,000 NAHRAWI/P. SAÀDAH 000155 TD0000267A
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75,000 SITI FATIMAH ROHMATU000974 TD0002667A
20,000 KIKI SAPUTRA 000117 TD0000166A
20,000 YAYUK / B. FAUZEN 000136 TD0000237A
20,000 YULIATIN 000175 TD0000435A
35,000 DENSI YULIAN FIRDAUS 000192 TD0000463A
5,000 DENSI YULIAN FIRDAUS 000192 TD0000463A
10,000 SUCIPALI 000400 TD0001076A
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10,000 KARYASIN/ P IM 000942 TD0002573A
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50,000 HAJJAH RIZQI RAODATUL000979 TD0002686A
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156,000
100,000 NURIL KOMARIYAH 000258 TD0000817A
75,000 SULISTIA NINGSIH 000249 TD0000830A
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10,000 SAMSUL HADI 000538 TD0001472A
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0 TOYAMA 000180 CHG-202207
0 TOYAMA 000180 CHG-202207
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0 M YASIN 000202 CHG-202207
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0 M YASIN 000202 CHG-202207
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0 M YASIN 000214 CHG-202207
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75,000 SANIRIA 000304 TD0000795A
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75,000 SANIRIA 000305 TD0000842A
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0 SURAKNA 000215 CHG-202207
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500,000 AHMAD NADIF MALIKI 000057 TD0001262A
3,000 MURATI / B. LIS 000375 REG000375
0 MURATI / B. LIS 000375 TD0001033A
30,000 ERNA WATI 000524 REG000524
0 ERNA WATI 000524 TD0001407A
30,000 KENZY UWAIS MALIK IR 000527 REG000527
0 KENZY UWAIS MALIK IR 000527 TD0001410A
0 KENZY UWAIS MALIK IR 000527 TD0001410A
3,000 ZAINAL ARIFIN 000525 REG000525
0 ZAINAL ARIFIN 000525 TD0001408A
3,000 UMAR WIDI ANTO 000526 REG000526
0 UMAR WIDI ANTO 000526 TD0001409A
3,000 HIMAS LAILATUL ERVANI000528 REG000528
0 HIMAS LAILATUL ERVANI000528 TD0001411A
30,000 TUMISIRAH 000529 REG000529
0 TUMISIRAH 000529 TD0001412A
30,000 HOIROTIN 000532 REG000532
0 HOIROTIN 000532 TD0001415A
3,000 ASMAK 000530 REG000530
0 ASMAK 000530 TD0001413A
3,000 AMIRATUS SYA`DIYAH 000531 REG000531
0 AMIRATUS SYA`DIYAH 000531 TD0001414A
30,000 AQILAH FAKHRIYATIN N 000533 REG000533
0 AQILAH FAKHRIYATIN N 000533 TD0001416A
0 AQILAH FAKHRIYATIN N 000533 TD0001416A
30,000 SYAIFUL BAHRI 000523 REG000523
0 SYAIFUL BAHRI 000523 TD0001417A
30,000 QIOLA 000535 REG000535
0 QIOLA 000535 TD0001420A
30,000 MUHAMMAD TANZIL I. F000534 REG000534
0 MUHAMMAD TANZIL I. F000534 TD0001418A
0 MUHAMMAD TANZIL I. F000534 TD0001418A
30,000 SATRIA JUNA PUTRA 000540 REG000540
0 SATRIA JUNA PUTRA 000540 TD0001460B
30,000 SENAH 000560 REG000560
0 SENAH 000560 TD0001504A
30,000 ROBIT HALIM 000566 REG000566
0 ROBIT HALIM 000566 TD0001506A
30,000 AHMAD FAUZI 000562 REG000562
0 AHMAD FAUZI 000562 TD0001509A
30,000 MOKSIN 000563 REG000563
30,000 MUZZAYADI 000564 REG000564
0 MUZZAYADI 000564 TD0001511A
30,000 SUPANDIAH 000565 REG000565
0 SUPANDIAH 000565 TD0001512A
3,000 SATRAMI 000567 REG000567
30,000 NADIFA ALMARIA AZZAH000568 REG000568
0 SELVYA NANDA DWI KAR000570 TD0001514A
30,000 MUHAMMAD FATHUR R 000569 REG000569
0 MUHAMMAD FATHUR R 000569 TD0001515A
30,000 ARILA SASKIA PUTRI 000572 REG000572
0 ARILA SASKIA PUTRI 000572 TD0001516A
30,000 DWI MINARTO 000600 REG000600
0 DWI MINARTO 000600 TD0001659A
30,000 SAYONO// INDAH YULIAW000602 REG000602
0 SAYONO// INDAH YULIAW000602 TD0001665A
30,000 INTAN PERMATA SARI 000603 REG000603
0 INTAN PERMATA SARI 000603 TD0001666A
30,000 IRA 000606 REG000606
0 IRA 000606 TD0001668A
30,000 MUHAMMAD DAFA AL RI000607 REG000607
0 MUHAMMAD DAFA AL RI000607 TD0001669A
0 MUHAMMAD DAFA AL RI000607 TD0001669A
30,000 DWI KRISTIANTINI 000608 REG000608
0 DWI KRISTIANTINI 000608 TD0001671A
30,000 SITI MAIMUNAH 000611 REG000611
0 SITI MAIMUNAH 000611 TD0001670A
30,000 KARTINI / B. CAHYO 000609 REG000609
0 KARTINI / B. CAHYO 000609 TD0001672A
30,000 WAHYU UTAMI 000610 REG000610
0 WAHYU UTAMI 000610 TD0001674A
30,000 MISKANI 000612 REG000612
0 MISKANI 000612 TD0001673A
0 MISKANI 000612 TD0001676A
30,000 GAVIN LAURENT BIASUA 000615 REG000615
30,000 ADIBIL MUHTAR 000616 REG000616
0 ADIBIL MUHTAR 000616 TD0001679A
30,000 FATIMAH 000614 REG000614
0 FATIMAH 000614 TD0001677A
0 FATIMAH 000614 TD0001681A
30,000 CHELSEA LAURENT 000622 REG000622
0 CHELSEA LAURENT 000622 TD0001682A
30,000 SAHAWI /P. SUNAN 000618 REG000618
0 SAHAWI /P. SUNAN 000618 TD0001683A
30,000 NURUL LAILI 000619 REG000619
0 NURUL LAILI 000619 TD0001684A
30,000 MUHAMMAD AZAM RAKH 000620 REG000620
0 MUHAMMAD AZAM RAKH 000620 TD0001685A
30,000 SAID 000624 REG000624
0 SAID 000624 TD0001688A
3,000 RIFKATUL AISYAH 000623 REG000623
0 RIFKATUL AISYAH 000623 TD0001687A
3,000 GALIH SEPTIAN ISNAYAN000621 REG000621
0 GALIH SEPTIAN ISNAYAN000621 TD0001686A
3,000 HOSNADIYAH / B. EVA 000617 REG000617
3,000 FERDI ANANDA ADNAN 000625 REG000625
0 FERDI ANANDA ADNAN 000625 TD0001689A
30,000 KIARA AZKIA 000632 REG000632
30,000 MUHAMMAD GILANG ZAY 000633 REG000633
0 MUHAMMAD GILANG ZAY 000633 TD0001745A
0 MUHAMMAD GILANG ZAY 000633 TD0001745A
30,000 RASMIDI 000634 REG000634
0 RASMIDI 000634 TD0001747A
30,000 FATIMAH OKTAVIANA 000636 REG000636
0 FATIMAH OKTAVIANA 000636 TD0001749A
30,000 DWI FEBRIANTI 000631 REG000631
0 DWI FEBRIANTI 000631 TD0001750A
30,000 BIAS 000637 REG000637
0 BIAS 000637 TD0001752A
30,000 HASANUDIN 000638 REG000638
0 HASANUDIN 000638 TD0001754A
3,000 SUHARTADI 000635 REG000635
3,000 SUDARMADI HASAN 000640 REG000640
0 SUDARMADI HASAN 000640 TD0001757A
30,000 MUHAMMAD ZAINUDIN 000641 REG000641
0 MUHAMMAD ZAINUDIN 000641 TD0001759A
3,000 TUTIK SUMIHATI 000642 REG000642
0 TUTIK SUMIHATI 000642 TD0001762A
3,000 SURAMI 000644 REG000644
0 SURAMI 000644 TD0001763A
30,000 AHMAD ARIS RAMADHA 000645 REG000645
0 AHMAD ARIS RAMADHA 000645 TD0001764A
30,000 MUTIA AZ ZAHRA 000647 REG000647
0 MUTIA AZ ZAHRA 000647 TD0001767A
30,000 HOSNA YASIN 000643 REG000643
0 HOSNA YASIN 000643 TD0001766A
30,000 SHOLIHIN 000747 REG000747
0 SHOLIHIN 000747 TD0002073A
30,000 MUHAMMAD SULTON KH000749 REG000749
0 MUHAMMAD SULTON KH000749 TD0002077A
30,000 MAIMUNA 000752 REG000752
0 MAIMUNA 000752 TD0002079A
30,000 ATUN/BU AGUS 000754 REG000754
0 ATUN/BU AGUS 000754 TD0002081A
30,000 AHMAD ZIDQI ABDULLAT000756 REG000756
0 AHMAD ZIDQI ABDULLAT000756 TD0002084A
30,000 MAHFUD 000758 REG000758
0 MAHFUD 000758 TD0002085A
30,000 HABIBURRAHMAN 000759 REG000759
0 HABIBURRAHMAN 000759 TD0002086A
30,000 WILDA MAGHFIROH 000760 REG000760
0 WILDA MAGHFIROH 000760 TD0002087A
30,000 SUMIATUN 000755 REG000755
0 SUMIATUN 000755 TD0002088A
30,000 MARDIYAH 000763 REG000763
0 MARDIYAH 000763 TD0002090A
3,000 GANDIS EKA PRATIWI 000751 REG000751
0 GANDIS EKA PRATIWI 000751 TD0002078A
30,000 BUNASIR 000764 REG000764
0 BUNASIR 000764 TD0002091A
3,000 AMALIA MAULIDA KARTI000753 REG000753
0 AMALIA MAULIDA KARTI000753 TD0002080A
3,000 SANA 000757 REG000757
0 SANA 000757 TD0002083A
0 SRI WAHYUNINGSIH 000762 TD0002089A
30,000 UUS QURIAH 000761 REG000761
0 UUS QURIAH 000761 TD0002092A
30,000 YUSUF / B. SUYIT 000766 REG000766
0 YUSUF / B. SUYIT 000766 TD0002094A
30,000 TN. JUMALI 000765 REG000765
0 TN. JUMALI 000765 TD0002093A
30,000 RUPMIATI 000767 REG000767
0 RUPMIATI 000767 TD0002095A
30,000 SUPAMI/ B KARTINI 000801 REG000801
0 SUPAMI/ B KARTINI 000801 TD0002178A
30,000 AWI 000805 REG000805
0 AWI 000805 TD0002183A
30,000 LUTFIATIN 000806 REG000806
0 LUTFIATIN 000806 TD0002187A
30,000 FAIZ FIRMANSYAH 000809 REG000809
0 FAIZ FIRMANSYAH 000809 TD0002192A
30,000 KAIRA FARADINA RAMZI 000811 REG000811
0 KAIRA FARADINA RAMZI 000811 TD0002194A
3,000 AHMAD ZUBAIDI 000812 REG000812
0 AHMAD ZUBAIDI 000812 TD0002195A
3,000 KEISHA ARSYFA WAFIYAH000810 REG000810
0 KEISHA ARSYFA WAFIYAH000810 TD0002193A
3,000 TUNGGASWATI 000808 REG000808
0 TUNGGASWATI 000808 TD0002191A
3,000 IBROHIM 000807 REG000807
0 IBROHIM 000807 TD0002188A
3,000 ASNIA 000804 REG000804
0 ASNIA 000804 TD0002182A
3,000 UNTUNG SLAMET 000803 REG000803
0 UNTUNG SLAMET 000803 TD0002181A
3,000 IBNU FAQIH 000802 REG000802
0 IBNU FAQIH 000802 TD0002180A
0 IBNU FAQIH 000802 TD0002180A
0 SEPTIAN FADLI SAPUTRA000097 REG000097
3,000 FADHILAH 000085 REG000085
0 FADHILAH 000085 TD0000110A
3,000 RIDWAN / P.NAFISA 000079 REG000079
0 AGUS BUDIYANTO 000104 REG000104
0 ABD.MUJIB 000103 REG000103
45,000 ABD.MUJIB 000103 TD0000174A
45,000 ABD.MUJIB 000103 TD0000215A
5,000 ABD.MUJIB 000103 TD0000215A
0 ABD.MUJIB 000103 TD0000296A
0 ABD.MUJIB 000103 TD0000599A
0 AGUS BUDIYANTO 000101 REG000101
0 ABD.MUJIB 000100 REG000100
0 ABD.MUJIB 000100 TD0000149A
3,000 GUNAWAN PRASETYO 000157 REG000157
3,000 AFDHAN AHMAD RIZAL 000134 REG000134
30,000 ABDULLAH 000244 REG000244
0 ABDULLAH 000244 TD0000630A
0 AJIB 000235 REG000235
0 AJIB 000235 TD0000624A
3,000 URIFAH 000384 REG000384
0 URIFAH 000384 TD0001046A
30,000 HARIYANTO 000906 REG000906
0 HARIYANTO 000906 TD0002464A
3,000 HASAN BASRI/ P EEN 000903 REG000903
0 HASAN BASRI/ P EEN 000903 TD0002463A
3,000 MOCH. GIBRAN RAZIQ A 000904 REG000904
3,000 HASAN / P. EDI 000905 REG000905
0 HASAN / P. EDI 000905 TD0002462A
3,000 LAJI / PAK MUKHLIS 000910 REG000910
0 LAJI / PAK MUKHLIS 000910 TD0002468A
30,000 RENDI ALFARISI 000911 REG000911
0 RENDI ALFARISI 000911 TD0002471A
30,000 NADIA NOVITA SARI 000912 REG000912
0 NADIA NOVITA SARI 000912 TD0002472A
3,000 URIFAH 000913 REG000913
0 URIFAH 000913 TD0002473A
0 URIFAH 000913 TD0002475A
3,000 MUHAMMAD SUBKI 000914 REG000914
0 MUHAMMAD SUBKI 000914 TD0002474A
0 SAHRAWI/PAK SANI 000457 REG000457
0 SAHRAWI/PAK SANI 000457 TD0001383A
0 SAMI / HJ. ABDUL HADI 000537 REG000537
0 SAMI / HJ. ABDUL HADI 000537 TD0001658A
0 PURNOMO K 000559 REG000559
0 MUHAMMAD ADITIA MA000626 REG000626
0 MUHAMMAD KHOLID ABD 000628 REG000628
0 SUARI 000698 REG000698
0 FAIZUL MUTTAKIM 000816 REG000816
0 AHLUSUNNAH 000902 REG000902
30,000 ANINDYA FAWZIA INTAN000383 REG000383
0 ANINDYA FAWZIA INTAN000383 TD0001045A
30,000 ULFA NASIDATUL ROHM 000381 REG000381
0 ULFA NASIDATUL ROHM 000381 TD0001044A
30,000 BAGAS PRANATA 000380 REG000380
0 BAGAS PRANATA 000380 TD0001041A
0 BAGAS PRANATA 000380 TD0001042A
3,000 MISBAH 000379 REG000379
0 MISBAH 000379 TD0001043A
3,000 MARYANI 000372 REG000372
0 MARYANI 000372 TD0001026A
3,000 MISYATI / B.TATIK 000371 REG000371
0 MISYATI / B.TATIK 000371 TD0001025A
3,000 SAMHAJI 000408 REG000408
0 SAMHAJI 000408 TD0001113A
30,000 AHMAD ALEX FAUZI 000475 REG000475
30,000 MUHAMMAD INDRA RISKI 000474 REG000474
30,000 FAHMI AL FIANSYAH 000473 REG000473
3,000 RANI 000472 REG000472
0 RANI 000472 TD0001298A
3,000 BURAWI / P. MIS 000471 REG000471
0 BURAWI / P. MIS 000471 TD0001297A
30,000 JUHAIRIYAH B SE 000470 REG000470
30,000 JUARSI / B. SE 000469 REG000469
3,000 MUHAMMAD FEBIAN G 000468 REG000468
0 MUHAMMAD FEBIAN G 000468 TD0001299A
0 MUHAMMAD FEBIAN G 000468 TD0001299A
3,000 ANWAR HARYANTO 000467 REG000467
3,000 SURAKNA 000466 REG000466
0 SURAKNA 000466 TD0001325A
0 SRI WAHYUNINGSIH 000613 TD0001675B
3,000 ACHMAD KARUNIA HADI000646 REG000646
30,000 MOCH. ALI SAID 000938 REG000938
0 MOCH. ALI SAID 000938 TD0002570A
30,000 HOLIPAH / B.IR 000941 REG000941
0 HOLIPAH / B.IR 000941 TD0002575A
3,000 MARYANI 000943 REG000943
0 MARYANI 000943 TD0002576A
30,000 KARYASIN/ P IM 000942 REG000942
0 KARYASIN/ P IM 000942 TD0002577A
30,000 YULI HIDAYATI 000947 REG000947
0 YULI HIDAYATI 000947 TD0002580A
0 SAMSUL ARIFIN 000945 TD0002578A
3,000 YATIMAN SUSANTO 000946 REG000946
0 YATIMAN SUSANTO 000946 TD0002579A
30,000 M. NIZAM MIHRAN RAZY000949 REG000949
0 M. NIZAM MIHRAN RAZY000949 TD0002582A
30,000 ANINDITA KEYSA PUTRI 000951 REG000951
0 ANINDITA KEYSA PUTRI 000951 TD0002583A
0 ANINDITA KEYSA PUTRI 000951 TD0002583A
3,000 VANESSA ANGELITA 000952 REG000952
0 VANESSA ANGELITA 000952 TD0002584A
30,000 BUSANI / B. MUSAYYAN 000956 REG000956
0 BUSANI / B. MUSAYYAN 000956 TD0002588A
30,000 ARDANA SYAKIR PRADIP 000957 REG000957
0 ARDANA SYAKIR PRADIP 000957 TD0002590A
30,000 SUTIANI / B.YAYUK 000944 REG000944
0 SUTIANI / B.YAYUK 000944 TD0002589A
30,000 AHMAD GOZALI 000958 REG000958
0 AHMAD GOZALI 000958 TD0002591A
3,000 DIDIK NOR HADI 000955 REG000955
0 DIDIK NOR HADI 000955 TD0002594A
3,000 WASISWANTO 000953 REG000953
0 WASISWANTO 000953 TD0002592A
3,000 SATRAMI 000954 REG000954
0 SATRAMI 000954 TD0002593A
30,000 TN. DIN /P. HORI 000966 REG000966
0 TN. DIN /P. HORI 000966 TD0002601A
30,000 AHMAD ANDRE 000814 REG000814
0 AHMAD ANDRE 000814 TD0002198A
3,000 FARIDA 000961 REG000961
0 FARIDA 000961 TD0002597A
30,000 BUSIA / BU TIN 000970 REG000970
0 BUSIA / BU TIN 000970 TD0002668A
3,000 PUJIONO 000972 REG000972
0 PUJIONO 000972 TD0002671A
30,000 HAFIDI / BAPAK AYUN 000971 REG000971
0 HAFIDI / BAPAK AYUN 000971 TD0002670A
0 HAFIDI / BAPAK AYUN 000971 TD0002670A
30,000 ENTIN KUSTINI 000978 REG000978
0 ENTIN KUSTINI 000978 TD0002673A
30,000 RAFA RAMADHAN 000973 REG000973
0 RAFA RAMADHAN 000973 TD0002674A
30,000 SUNAPI / PAK HAKI 000981 REG000981
0 SUNAPI / PAK HAKI 000981 TD0002687A
3,000 QURROTUL AINI 000975 REG000975
0 QURROTUL AINI 000975 TD0002693A
3,000 MUHAMMAD ZAKY RAM000976 REG000976
0 MUHAMMAD ZAKY RAM000976 TD0002692A
3,000 JIHAN PUTRI ISNAINI 000977 REG000977
0 JIHAN PUTRI ISNAINI 000977 TD0002691A
3,000 ROFIÀH 000980 REG000980
0 ROFIÀH 000980 TD0002689A
30,000 HAJJAH RIZQI RAODATUL000979 REG000979
0 HAJJAH RIZQI RAODATUL000979 TD0002694A
3,000 RANI 001000 REG001000
0 RANI 001000 TD0002719A
30,000 DULAMI 000948 REG000948
30,000 AYUNI ISLAMIYAH 001056 REG001056
0 AYUNI ISLAMIYAH 001056 TD0002941A
30,000 AMELIA 001058 REG001058
0 AMELIA 001058 TD0002942A
0 AMELIA 001058 TD0002942A
30,000 MOKSIN 001054 REG001054
0 MOKSIN 001054 TD0002940A
30,000 NN HANIFAH ROFIKOH 001059 REG001059
0 NN HANIFAH ROFIKOH 001059 TD0002944A
30,000 MOH. RYAN AFANDI 001061 REG001061
0 MOH. RYAN AFANDI 001061 TD0002951A
30,000 FAHIRA AULIA MAGHFIR 001062 REG001062
0 FAHIRA AULIA MAGHFIR 001062 TD0002952A
0 FAHIRA AULIA MAGHFIR 001062 TD0002952A
30,000 BUAMI / B. NALI 001050 REG001050
0 BUAMI / B. NALI 001050 TD0002931A
30,000 ABDUL HANID SYAUQI 001090 REG001090
0 ABDUL HANID SYAUQI 001090 TD0003078A
15,969,500
0 SITI KHATIJA 000362 REG000362

0 SITI KHATIJA 000363 REG000363
60,000 SITI KHATIJA 000363 TD0000992A
0 SITI KHATIJA 000363 TD0001291A
100,000 MARJU / P. HAR 000697 TD0001998A
0 SYAKILA PUTRI AR ROH 000356 REG000356
0 SYAKILA PUTRI AR ROH 000358 REG000358
0 IRA 000366 REG000366
100,000 IRA 000366 TD0000991A
0 BY. IRSYAD MAUZA AULI 000361 REG000361
5,000 BY. IRSYAD MAUZA AULI 000361 TD0001209B
30,000 AHMAD SATROLI 000359 REG000359
5,000 AHMAD SATROLI 000359 TD0000962A
0 AHMAD SATROLI 000359 TD0000986A
0 IRA 000365 REG000365
0 BY. IRSYAD MAUZA AULI 000360 REG000360
30,000 LUK LUKÙL ARIBA ZULFA000364 REG000364
0 LUK LUKÙL ARIBA ZULFA000364 TD0000985A
30,000 NUR RISDA KURNIA 000715 REG000715
0 NUR RISDA KURNIA 000715 TD0002000A
515,000
10,000 BUKADIN 000416 TD0001380A

10,000 NASIHA 000498 TD0001528A
10,000 MURSID 000434 TD0001384A
10,000 MURSID 000434 TD0001533A
10,000 SUIDJAN 000499 TD0001381A
10,000 SUIDJAN 000499 TD0001532A
10,000 TIMA/ B SAM 000522 TD0001534A
10,000 SETIYAWATI 000542 TD0001535A
10,000 SAMSUL HADI 000538 TD0001743A
0 DARUS SHOLEH 000743 REG000743
0 DARUS SHOLEH 000745 REG000745
75,000 DARUS SHOLEH 000743 TD0002062A
75,000 DARUS SHOLEH 000745 TD0002063A
75,000 DARUS SHOLEH 000745 TD0002063A
75,000 DARUS SHOLEH 000745 TD0002215A
0 DARUS SHOLEH 000745 TD0002341C
10,000 SUARI 000700 TD0002124A
10,000 SUARI 000700 TD0002222A
0 LIA FINTI SARI 000742 REG000742
0 LIA FINTI SARI 000744 REG000744
0 LIA FINTI SARI 000742 TD0002358A
75,000 BUSIA / BU TIN 000750 TD0002217A
10,000 SAMHAJI 000712 TD0002123A
10,000 SAMHAJI 000712 TD0002221A
0 NY. BUYATI / B. HOLEK 000279 REG000279
0 YOGA DIAN SAPUTRA 000831 REG000831
30,000 YOGA DIAN SAPUTRA 000834 REG000834
0 YOGA DIAN SAPUTRA 000831 TD0002450A
0 YOGA DIAN SAPUTRA 000831 TD0002452A
10,000 ERNA WATI 000813 TD0002214A
0 SUCIANA 000793 BL0000130A
0 SUCIANA 000793 REG000793
10,000 SUCIANA 000793 TD0002149A
10,000 SUCIANA 000793 TD0002218A
0 JUHAIRIYAH B SE 000833 REG000833
0 JUHAIRIYAH B SE 000835 REG000835
0 JUHAIRIYAH B SE 000835 TD0002477A
0 QIANA MAULIDIA WARD000579 REG000579
0 QIANA MAULIDIA WARD000579 TD0001869A
0 SHOLIHIN 000825 REG000825
0 SHOLIHIN 000827 REG000827
60,000 SHOLIHIN 000827 TD0002237A
0 SHOLIHIN 000825 TD0002542A
5,000 SHOLIHIN 000827 TD0002546A
10,000 PURNOMO K 000561 TD0001539A
10,000 HOIROTIN 000544 TD0001536A
10,000 BUDIMAN 000901 TD0002888A
10,000 BUDIMAN 000901 TD0002900A
10,000 JUDE 000872 TD0002886A
10,000 JUDE 000872 TD0002898A
0 MUHAMMAD FAHRULLAH 000277 CHG-202207
10,000 SLAMA / B NASIPAH 000896 TD0002737B
10,000 SLAMA / B NASIPAH 000896 TD0002737B
10,000 MUHAMMAD RIZQI JAILA000960 TD0002743B
0 SUWARSIH 000272 CHG-202207
0 NY. BUYATI / B. HOLEK 000271 CHG-202207
0 SUWARSIH 000272 CHG-202207
0 ELIZA SALWA AZZAHRA 001010 REG001010
0 ELIZA SALWA AZZAHRA 001016 REG001016
0 ELIZA SALWA AZZAHRA 001016 TD0003051A
60,000 RUDI HARTONO 001004 TD0002887A
10,000 SUHARSONO 001053 TD0003029A
30,000 SUWARSIH 000272 REG000272
0 SUWARSIH 000272 TD0000745A
30,000 AIFATUL MUSRIDAH 000274 REG000274
0 AIFATUL MUSRIDAH 000274 TD0000746A
30,000 MUHAMMAD FAHRULLAH 000277 REG000277
0 MUHAMMAD FAHRULLAH 000277 TD0000748A
0 MUHAMMAD FAHRULLAH 000277 TD0000748A
30,000 MUHAMMAD HAFID REFI000278 REG000278
0 MUHAMMAD HAFID REFI000278 TD0000750A
30,000 SUMARNI 000275 REG000275
0 SUMARNI 000275 TD0000754A
3,000 IIN MAFTUHAH 000276 REG000276
0 IIN MAFTUHAH 000276 TD0000749A
3,000 MUHAMMAD AUFA RAM000281 REG000281
0 MUHAMMAD AUFA RAM000281 TD0000756A
30,000 FAEZA AZA RAHMAN 000282 REG000282
30,000 YUBMIATI 000283 REG000283
0 YUBMIATI 000283 TD0000760A
3,000 JOSO 000284 REG000284
0 JOSO 000284 TD0000761A
30,000 AGUSTIN FITRIYAH 000508 REG000508
0 AGUSTIN FITRIYAH 000508 TD0001365A
30,000 SHANUM IKBAR RUZ ZA 000512 REG000512
0 SHANUM IKBAR RUZ ZA 000512 TD0001373A
3,000 BUYAMI/B.TIB 000511 REG000511
0 BUYAMI/B.TIB 000511 TD0001372A
30,000 DIFATUS SAINA 000518 REG000518
0 DIFATUS SAINA 000518 TD0001395A
0 DIFATUS SAINA 000518 TD0001395A
3,000 RUDI HARIYANTO 000514 REG000514
0 RUDI HARIYANTO 000514 TD0001393A
30,000 DWI FEBRIANTI 000519 REG000519
0 DWI FEBRIANTI 000519 TD0001397A
3,000 HALIMA 000515 REG000515
30,000 SAJURI 000573 REG000573
0 SAJURI 000573 TD0001572A
30,000 MARDIYAH 000574 REG000574
0 MARDIYAH 000574 TD0001580A
30,000 AGUS CAHYONO 000575 REG000575
0 AGUS CAHYONO 000575 TD0001583A
30,000 AZRIL FAUZEN ARSYA 000577 REG000577
0 AZRIL FAUZEN ARSYA 000577 TD0001585A
0 AZRIL FAUZEN ARSYA 000577 TD0001586A
30,000 KAIRA FILDA AROFAH 000578 REG000578
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0 KAIRA FILDA AROFAH 000578 TD0001589A
3,000 DINA BALQIS SAKIROH 000580 REG000580
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0 DINA BALQIS SAKIROH 000580 TD0001591A
30,000 AFGATHA ZAHY PRANAT 000716 REG000716
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30,000 ASMANI / BU PONADI 000717 REG000717
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30,000 ROMLA / B IDA 000718 REG000718
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30,000 ABDUL BASID 000725 REG000725
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3,000 ANANDA SHAQUEENA H 000721 REG000721
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30,000 ZAHRA FADILA MUMTAZ000726 REG000726
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3,000 MOH. DIEGO AIKAN SET 000719 REG000719
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3,000 SUSWATI / HAJJAH NUR L000727 REG000727
0 SUSWATI / HAJJAH NUR L000727 TD0002037A
3,000 JUPRIYANA 000729 REG000729
0 JUPRIYANA 000729 TD0002038A
3,000 MOÌMAM 000730 REG000730
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3,000 RUMINA/BU SULI 000728 REG000728
0 RUMINA/BU SULI 000728 TD0002039A
30,000 SUPARMAN/PAK AL 000734 REG000734
0 SUPARMAN/PAK AL 000734 TD0002048A
30,000 MIYATI / B. LIA 000738 REG000738
0 MIYATI / B. LIA 000738 TD0002053A
30,000 SUMARNI 000741 REG000741
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30,000 MUHAMMAD IRFAN 000770 REG000770
0 MUHAMMAD IRFAN 000770 TD0002125A
30,000 SARITO 000771 REG000771
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30,000 ABU 000777 REG000777
0 ABU 000777 TD0002129A
3,000 NAMIRA NIDA QONITA 000783 REG000783
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30,000 SUPANDI 000788 REG000788
0 SUPANDI 000788 TD0002132A
30,000 MUHAMMAD HAIKAL AS000792 REG000792
0 MUHAMMAD HAIKAL AS000792 TD0002144A
0 MUHAMMAD HAIKAL AS000792 TD0002144A
3,000 MUHAMMAD FADLI APRI000791 REG000791
0 MUHAMMAD FADLI APRI000791 TD0002137A
30,000 SAHWA AQILA HAMDAN000796 REG000796
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30,000 MUHAMMAD GILAN GHA000820 REG000820
30,000 AHDANA ZAKI HAIDAR 000817 REG000817
0 AHDANA ZAKI HAIDAR 000817 TD0002220A
30,000 NAURA AGUSTIN 000826 REG000826
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0 NAURA AGUSTIN 000826 TD0002227A
30,000 TN. DIN /P. HORI 000823 REG000823
0 TN. DIN /P. HORI 000823 TD0002225A
30,000 SAHRI/P. TIK 000822 REG000822
0 SAHRI/P. TIK 000822 TD0002224A
30,000 AFIF KHOIRUTULLAH 000821 REG000821
0 AFIF KHOIRUTULLAH 000821 TD0002223B
0 AFIF KHOIRUTULLAH 000821 TD0002223B
30,000 BELQESYA AZZAHRA KH 000824 REG000824
0 BELQESYA AZZAHRA KH 000824 TD0002235A
0 BELQESYA AZZAHRA KH 000824 TD0002235A
30,000 LATIFATUL JANNAH 000829 REG000829
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30,000 TALITA NUR CANTIKA E 000830 REG000830
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0 TALITA NUR CANTIKA E 000830 TD0002239A
30,000 MATJURI / MADJURI / P. 0D00832 REG000832
0 MATJURI / MADJURI / P. 0D00832 TD0002243A
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0 NY. BUYATI / B. HOLEK 000271 REG000271
0 NY. BUYATI / B. HOLEK 000271 TD0001020A
0 QIANA MAULIDIA WARD000576 REG000576
3,000 KEISYA NAFISAH AR RID 000739 REG000739
30,000 QIANA MAULIDIA WARD000780 REG000780
0 QIANA MAULIDIA WARD000780 TD0002130A
30,000 SITI MAIMUNAH 000775 REG000775
0 SITI MAIMUNAH 000775 TD0002156A
30,000 MUHAMMAD IRFAN 001012 REG001012
0 MUHAMMAD IRFAN 001012 TD0002769A
30,000 MUHAMMAD AFKA NUR 001015 REG001015
30,000 RAFKA ABRIZAM 001013 REG001013
0 RAFKA ABRIZAM 001013 TD0002770A
0 RAFKA ABRIZAM 001013 TD0002770A
30,000 AISHWA NAHLA 001017 REG001017
0 AISHWA NAHLA 001017 TD0002777A
30,000 ENI SULIKA 001018 REG001018
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30,000 ABDUL BASID 001019 REG001019
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20,000 ABDUL BASID 001019 TD0002781A
30,000 BUAMI / B. HASAN 001020 REG001020
0 BUAMI / B. HASAN 001020 TD0002780A
0 BUAMI / B. HASAN 001020 TD0002783A
0 BUAMI / B. HASAN 001020 TD0002782A
30,000 SUARTI 001037 REG001037
0 SUARTI 001037 TD0002874A
30,000 MUHAMMAD GILAN GHA001038 REG001038
30,000 ATIKA BALQIS KANA A 001039 REG001039
0 ATIKA BALQIS KANA A 001039 TD0002905A
0 ATIKA BALQIS KANA A 001039 TD0002905A
30,000 QISMATUR ROHMAH 001040 REG001040
0 QISMATUR ROHMAH 001040 TD0002904A
30,000 SAKRANI/ B AS 001041 REG001041
0 SAKRANI/ B AS 001041 TD0002906A
30,000 MIYATI / B. LIA 001064 REG001064
0 MIYATI / B. LIA 001064 TD0003004A
30,000 FAQIH DWY SYADULLOE 001065 REG001065
0 FAQIH DWY SYADULLOE 001065 TD0003005A
30,000 NADIA AGUSTIN 001066 REG001066
0 NADIA AGUSTIN 001066 TD0003016A
30,000 SENIMAN 001076 REG001076
0 SENIMAN 001076 TD0003056A
30,000 AYISWATUL MAULUDAH 001077 REG001077
0 AYISWATUL MAULUDAH 001077 TD0003057A
30,000 M RAFA AZKA PUTRA 001078 REG001078
0 M RAFA AZKA PUTRA 001078 TD0003059A
0 M RAFA AZKA PUTRA 001078 TD0003059A
30,000 MISTUR 001079 REG001079
0 MISTUR 001079 TD0003064A
30,000 IMAM HERIANTO 001080 REG001080
0 IMAM HERIANTO 001080 TD0003065A
30,000 ADELIA NISA ARDANI 001082 REG001082
0 ADELIA NISA ARDANI 001082 TD0003066A
0 ADELIA NISA ARDANI 001082 TD0003067A
30,000 TOHARI 001083 REG001083
0 TOHARI 001083 TD0003069A
30,000 SUSWATI 001084 REG001084
0 SUSWATI 001084 TD0003068A
30,000 SOETIJO 001087 REG001087
0 SOETIJO 001087 TD0003070A
30,000 TO P MURSID 001088 REG001088
0 TO P MURSID 001088 TD0003075A
4,351,000
0 I GUSTI SULTAN HAJJAR 000071 CHG-202207

0 FATIMATUS SUHRO 000217 CHG-202207
0 SITI MUNIRAH 000178 CHG-202207
0 SITI MUNIRAH 000178 CHG-202207
0 MUHAMMAD ZHAFRAN G 000259 CHG-202207
30,000 TRISTAN ADITYA M 000190 REG000190
0 TRISTAN ADITYA M 000190 TD0000457A
15,000 TRISTAN ADITYA M 000190 TD0000459A
3,000 MUHAMMAD ZHAFRAN G 000259 REG000259
3,000 KHAIRINA SELVIA ANGGR000280 REG000280
100,000 KHAIRINA SELVIA ANGGR000280 TD0000757A
30,000 SOFYAN SAURI 000314 REG000314
0 SOFYAN SAURI 000314 TD0000856A
3,000 FATIMATUS SUHRO 000487 REG000487
0 FATIMATUS SUHRO 000487 TD0001285A
30,000 HASAN / P. AAN 000555 REG000555
0 HASAN / P. AAN 000555 TD0001489A
300,000 SRI LINDA SARI 000639 TD0001755A
30,000 I GUSTI SULTAN HAJJAR 000071 REG000071
0 I GUSTI SULTAN HAJJAR 000071 TD0000092A
30,000 ROHIM SAPUTRA 000064 REG000064
0 ROHIM SAPUTRA 000064 TD0000089A
3,000 SITI MUNIRAH 000178 REG000178
3,000 FATIMATUS SUHRO 000217 REG000217
30,000 MARIA ULFA 000931 REG000931
15,000 MARIA ULFA 000931 TD0002552A
30,000 SOFIYAH 000452 REG000452
30,000 MUHAMMAD YUSUF SAK000481 REG000481
0 MUHAMMAD YUSUF SAK000481 TD0001276A
30,000 FEBY FARADILA 000668 REG000668
30,000 ZAKIYA BELIA PUTRI KUR000696 REG000696
3,000 LULUS MUJIONO 000933 REG000933
3,000 FAIQOTUZ ZAHRO AMELI001014 REG001014
781,000
0 MOHAMMAD JUNAIDI 000111 BL0000005A

0 SATRAMI 000102 BL0000036A
0

10,000 MISNARI / P AL 000291 TD0000849A
10,000 MUHID / P JONI 000230 TD0000921A
20,000 RANDIANTO 000124 TD0000710A
10,000 RANDIANTO 000124 TD0000766A
10,000 RANDIANTO 000124 TD0000774A
10,000 RANDIANTO 000124 TD0000906A
10,000 RANDIANTO 000124 TD0000906A
10,000 MURSID 000434 TD0001542A
10,000 MURSID 000434 TD0001542A
20,000 SETIYAWATI 000542 TD0001619A
10,000 SAMHAJI 000712 TD0002430A
10,000 SAMHAJI 000712 TD0002432A
10,000 TN. BUDIN 000397 TD0001370A
5,000 HALIMA/B DA 000264 TD0000705A
5,000 EKA NUR IZMI AZIZ 000268 TD0000712A
5,000 SULASMI / B. MUJI 000295 TD0000782A
5,000 HASANAH 000297 TD0000785A
5,000 HOSNAN / P AL 000298 TD0000787A
5,000 SITI ISNANIAH 000308 TD0000839A
10,000 YULIATIN / B. SERLI 000395 TD0001059A
10,000 FATHOROJI 000394 TD0001058A
5,000 MISNAWER 000837 TD0002249A
10,000 ANANTHA GABRIELLA PU000846 TD0002260A
10,000 ANANTHA GABRIELLA PU000846 TD0002260A
5,000 IMAM HERIANTO 001080 TD0003063A
5,000 IMAM HERIANTO 001080 TD0003063A
310,000
5,000 MUHAMMAD SULTHAN I000112 TD0000146D

75,000 MISNARI / P AL 000291 TD0000854B
10,000 BADRIYAH 000320 TD0000864A
75,000 VIVI AMELIA 000323 TD0000870A
10,000 FAEZA AZA RAHMAN 000296 TD0000784B
75,000 SITI KHATIJA 000362 TD0000966A
10,000 MINA 000590 TD0001633A
10,000 SRIWIDAYATI 000585 TD0001621A
75,000 ELIANDA ZAZILA 000288 TD0000779B
75,000 WAHYU UTAMI 000354 TD0000954A
20,000 YAYUK/ B FAUZEN 000060 TD0000072A
20,000 YULIATIN 000063 TD0000076A
5,000 ABU 000286 TD0000765A
20,000 ROBIT HALIM 000566 TD0001505A
20,000 HELDA ROSITA YULIANTI 000595 TD0001649A
15,000 SADIYO 000844 TD0002259A
10,000 AYUDIA HURRIYA HUWA000880 TD0002372A
10,000 AYUDIA HURRIYA HUWA000880 TD0002372A
20,000 ESHA 000881 TD0002376A
15,000 TN. DIN /P. HORI 000925 TD0002529A
75,000 IRA 000365 TD0000968A
0 FITRI YULIANA 000476 TD0001212A
10,000 PURNOMO K 000559 TD0001503A
10,000 SUBAIDA 000596 TD0001655A
10,000 SUARI 000698 TD0001957A
2,500 BUDIMAN 000900 TD0002445A
0 BUDIMAN 000900 TD0002445A
5,000 LUK LUKÙL ARIBA ZULFA000364 TD0000967A
1,235,000
0 REYHAN ARSHAVIN AZIZ 000194 BL0000004A

0 SUCIANA 000793 BL0000132A
0 SITI ROHMAH 000228 REG000228
0 FIDELA AFSHEEN MYESH 000428 REG000428
0 HANAKI KUSWANTO 000520 REG000520
0 UMRIYADI / PAK NOR 000723 REG000723
0 MOCH. EFENDI 000724 REG000724
0 MUHAMMAD YUSUF EFE000907 REG000907
0 WAHYU 001011 REG001011
0

10,000 REYHAN ARSHAVIN AZIZ 000194 TD0000544C
10,000 RANDIANTO 000124 TD0000769A
10,000 RANDIANTO 000124 TD0000775A
10,000 RANDIANTO 000124 TD0000794A
10,000 RANDIANTO 000124 TD0000794A
5,000 NASIHA 000498 TD0001552A
5,000 NASIHA 000498 TD0001552A
15,000 MARJU / P. HAR 000697 TD0001948A
5,000 SAMHAJI 000712 TD0002035A
5,000 SAMHAJI 000712 TD0002035A
10,000 TN. BUDIN 000397 TD0001265A
10,000 TN. BUDIN 000397 TD0001265A
20,000 HOIROTIN 000544 TD0001876A
10,000 BUDIMAN 000901 TD0002902B
10,000 DULAMI 000964 TD0002718B
5,000 HALIMA / B. YOGA 000109 TD0000141A
5,000 BUDI HARTONO 000163 TD0000329A
5,000 MISBAH 000162 TD0000327A
5,000 ATMANI 000164 TD0000331A
10,000 NANANG BUDI WIJAYA 000373 TD0001028A
10,000 FAUSI 000374 TD0001030A
10,000 MISBAHUL MUNIR 000382 TD0001039A
10,000 MARTI/B.SAYONO 000385 TD0001047A
10,000 ACHMAD FATAÀL CHUZA000386 TD0001049A
10,000 SUTIHA / B. EDI 000377 TD0001035A
10,000 SAID 000391 TD0001057A
5,000 SUTIK / B. HAJI 000418 TD0001129A
5,000 SARIA 000422 TD0001132A
50,000 ASMANI / B. HJ. MANSY 000661 TD0001787A
25,000 ASMANI / B. HJ. MANSY 000661 TD0001787A
5,000 GUNAWAN PRASETYO 000157 TD0000280A
555,000
0 UMI KULSUM 000222 CHG-202207

0 UMI KULSUM 000222 CHG-202207
30,000 RAVITA PUTRI HARTINI 000174 REG000174
0 RAVITA PUTRI HARTINI 000174 TD0000405A
3,000 NUR LAILI 000186 REG000186
35,000 NUR LAILI 000186 TD0000449A
0 NUR LAILI 000186 TD0000455A
3,000 SA`TUNI 000187 REG000187
100,000 SA`TUNI 000187 TD0000452A
0 SA`TUNI 000187 TD0000460A
3,000 PERTININGSIH 000188 REG000188
100,000 PERTININGSIH 000188 TD0000453A
0 PERTININGSIH 000188 TD0000458A
30,000 NUFITA SARI 000285 REG000285
0 NUFITA SARI 000285 TD0000770A
3,000 KUSYATI 000517 REG000517
40,000 SRI LINDA SARI 000513 TD0001376A
3,000 LAZIMATUZ ZIYADAH 000510 REG000510
0 LAZIMATUZ ZIYADAH 000510 TD0001374A
40,000 LAZIMATUZ ZIYADAH 000510 TD0001374A
0 LAZIMATUZ ZIYADAH 000510 TD0001394A
0 SELVYA NANDA DWI KAR000516 TD0001391A
3,000 FITRIANING LESTARI 000549 REG000549
0 FITRIANING LESTARI 000549 TD0001486A
40,000 FITRIANING LESTARI 000549 TD0001486A
0 NUR AININ GHITA SALSAB000722 REG000722
20,000 NUR AININ GHITA SALSAB000722 TD0002030A
0 NUR LAILI 000720 REG000720
14,000 NUR LAILI 000720 TD0002032A
10,000 NUR LAILI 000720 TD0002032A
0 NUR LAILI 000720 TD0002041A
0 MUFLEHATUN AMALIA 000731 REG000731
40,000 MUFLEHATUN AMALIA 000731 TD0002036A
39,000 MUFLEHATUN AMALIA 000731 TD0002036A
0 MUFLEHATUN AMALIA 000731 TD0002040A
0 HALIMATUS SAKDIYAH 000732 REG000732
40,000 HALIMATUS SAKDIYAH 000732 TD0002042A
39,000 HALIMATUS SAKDIYAH 000732 TD0002042A
0 HALIMATUS SAKDIYAH 000732 TD0002045A
7,000 SELVYA NANDA DWI KAR000794 TD0002151A
2,000 SELVYA NANDA DWI KAR000794 TD0002151A
0 FARIDA 000795 REG000795
5,000 FARIDA 000795 TD0002155A
7,500 FARIDA 000795 TD0002155A
0 INTAN FARADIATIL FADI 000797 REG000797
20,000 INTAN FARADIATIL FADI 000797 TD0002171A
0 INTAN FARADIATIL FADI 000797 TD0002176A
0 ADZKIA ARSYILA SHANU 000856 REG000856
15,000 ADZKIA ARSYILA SHANU 000856 TD0002334A
20,000 ADZKIA ARSYILA SHANU 000856 TD0002334A
0 KAMILIA ROFIDA 000866 REG000866
20,000 KAMILIA ROFIDA 000866 TD0002348A
14,000 KAMILIA ROFIDA 000866 TD0002348A
0 FITRIAN DINI 000894 REG000894
9,000 FITRIAN DINI 000894 TD0002436A
5,000 FITRIAN DINI 000894 TD0002436A
3,000 SUSIATUN KHOMARIAH 000189 REG000189
3,000 FITRIANINGSIH 000412 REG000412
40,000 FITRIANINGSIH 000412 TD0001115A
40,000 FITRIANINGSIH 000412 TD0001115A
0 FITRIANINGSIH 000412 TD0001117A
0 SOFIATUR ROSIDA 000928 REG000928
20,000 SOFIATUR ROSIDA 000928 TD0002543A
15,000 SOFIATUR ROSIDA 000928 TD0002543A
0 SOFIATUR ROSIDA 000928 TD0002547A
30,000 SOFIYAH 000451 REG000451
20,000 SOFIYAH 000451 TD0001197A
15,000 SOFIYAH 000451 TD0001197A
30,000 MUHAMMAD AQSA AL-M000671 REG000671
15,000 MUHAMMAD AQSA AL-M000671 TD0001867B
20,000 MUHAMMAD AQSA AL-M000671 TD0001867B
30,000 RISKIYAH 000670 REG000670
0 RISKIYAH 000670 TD0001868A
15,000 RISKIYAH 000670 TD0001868A
3,000 SALIMA /B. ARIF 000669 REG000669
40,000 SALIMA /B. ARIF 000669 TD0001858A
0 SALIMA /B. ARIF 000669 TD0001858A
0 SALIMA /B. ARIF 000669 TD0001860A
0 NUR HALIMA 000737 REG000737
40,000 NUR HALIMA 000737 TD0002052A
39,000 NUR HALIMA 000737 TD0002052A
0 NUR HALIMA 000737 TD0002060A
0 MASRURO 000736 REG000736
40,000 MASRURO 000736 TD0002051A
0 MASRURO 000736 TD0002051A
0 MASRURO 000736 TD0002057A
0 SITI YENI ENIK SUCIATI 000735 REG000735
40,000 SITI YENI ENIK SUCIATI 000735 TD0002050A
0 SITI YENI ENIK SUCIATI 000735 TD0002050A
0 SITI YENI ENIK SUCIATI 000735 TD0002058A
0 BUYANA 000733 REG000733
40,000 BUYANA 000733 TD0002049A
0 BUYANA 000733 TD0002049A
0 BUYANA 000733 TD0002056A
0 LUTFIANA 000798 REG000798
40,000 LUTFIANA 000798 TD0002174A
39,000 LUTFIANA 000798 TD0002174A
0 SHOLEHA 000789 REG000789
0 BABUR ROHMAH 000786 REG000786
0 MUSRIFAH 000784 REG000784
0 WAHYU NINGSIH 000782 REG000782
0 PITALOKA 000781 REG000781
40,000 PITALOKA 000781 TD0002163A
39,000 PITALOKA 000781 TD0002163A
0 IDA /B.RETA 000779 REG000779
7,500 IDA /B.RETA 000779 TD0002162A
5,000 IDA /B.RETA 000779 TD0002162A
0 FITRIA 000778 REG000778
0 RIRIN 000776 REG000776
0 SA`TUNI 000774 REG000774
0 KHUSNUL HOTIMAH 000773 REG000773
0 JAMIATUN 000772 REG000772
40,000 JAMIATUN 000772 TD0002138A
0 JAMIATUN 000772 TD0002138A
1,601,000

0 FITRIATUL HASANAH 000150 CHG-202207
100,000 YULIA DWI AGUSTIN 000144 TD0000245B
3,000 FITRIATUL HASANAH 000150 REG000150
5,000 NURIYAH 000312 TD0000851A
5,000 SARA / B. YENI 000339 TD0000929A
5,000 MELY MEGAWATI 000036 TD0002139A
7,500 MELY MEGAWATI 000036 TD0002139A
650,500

5,000 BADRIYAH 000321 TD0000897B
5,000 BADRIYAH 000321 TD0000897B
10,000 RANDIANTO 000124 TD0000860A
10,000 RANDIANTO 000124 TD0000860A
10,000 SAMHAJI 000712 TD0002197A
10,000 SAMHAJI 000712 TD0002255A
20,000 PURNOMO K 000561 TD0001574A
10,000 RUDI HARTONO 001004 TD0003042A
10,000 MUHAMMAD TANZIL I. F000534 TD0001419A
10,000 MUHAMMAD TANZIL I. F000534 TD0001419A
165,000
5,000 AYU SAFITRI 000070 TD0000087A

5,000 TN. JUMALI 000118 TD0000177A
5,000 HARPUN 000292 TD0000776A
5,000 MUZAYADI / 000303 TD0000792A
5,000 KOSEN 000325 TD0000871A
5,000 UNSIFATUL HASANAH 000326 TD0000873A
5,000 SRI WAHYUNINGSIH 000327 TD0000875A
5,000 ULFATIN 000332 TD0000880A
5,000 IMAM JAYADI 000335 TD0000904A
30,000 NUR AFIFAH 000571 REG000571
5,000 SHOLEHA 000789 TD0002168A
0 SHOLEHA 000789 TD0002168A
40,000 WAHYU NINGSIH 000782 TD0002164A
39,000 WAHYU NINGSIH 000782 TD0002164A
7,500 FITRIA 000778 TD0002160A
5,000 FITRIA 000778 TD0002160A
40,000 KHUSNUL HOTIMAH 000773 TD0002140A
0 KHUSNUL HOTIMAH 000773 TD0002140A
216,500
0 YULIATIN / B. SERLI 000395 BL0000021A

0 FATHOROJI 000394 BL0000020A
0 NURUL IZZAH 000393 BL0000022A
0

45,000 EFY YULIASTUTIK 000069 TD0000209C
5,000 SAMO / P PARMA 000056 TD0000224A
90,000 ASIA/ B. YON / ASIYA 000198 TD0000492E
0 ASIA/ B. YON / ASIYA 000198 TD0000492E
45,000 MARDIAH 000075 TD0000442A
15,000 MARDIAH 000075 TD0000442A
5,000 MARDIAH 000075 TD0000442A
0 REYHAN ARSHAVIN AZIZ 000194 TD0000490B
45,000 FIRDAUSI 000247 TD0000657A
0 FIRDAUSI 000247 TD0000657A
45,000 ABDULLAH 000126 TD0000423A
5,000 ABDULLAH 000126 TD0000423A
45,000 ABDULLAH 000126 TD0000570A
15,000 ABDULLAH 000126 TD0000570A
5,000 ABDULLAH 000126 TD0000570A
5,000 ABDULLAH 000126 TD0000736B
45,000 KIARA AZKIA 000032 TD0000208C
5,000 KIARA AZKIA 000032 TD0000208C
45,000 MISNARI / P AL 000291 TD0000821A
45,000 MISNARI / P AL 000291 TD0000833B
45,000 BADRIYAH 000321 TD0000910A
45,000 BADRIYAH 000321 TD0000918B
45,000 MUHID / P JONI 000230 TD0000658A
5,000 MUHID / P JONI 000230 TD0000658A
15,000 MUHID / P JONI 000230 TD0000658A
5,000 MUHID / P JONI 000230 TD0000737A
45,000 MUHID / P JONI 000230 TD0000737A
15,000 MUHID / P JONI 000230 TD0000737A
45,000 MUHID / P JONI 000230 TD0000827A
15,000 MUHID / P JONI 000230 TD0000827A
45,000 MUHID / P JONI 000230 TD0000915A
15,000 MUHID / P JONI 000230 TD0000915A
45,000 SURAKNA 000215 TD0000564A
0 SURAKNA 000215 TD0000564A
45,000 SURAKNA 000215 TD0000659B
45,000 SURAKNA 000215 TD0000735A
0 SURAKNA 000215 TD0000735A
45,000 SURAKNA 000215 TD0000762A
5,000 RANDIANTO 000124 TD0000426A
45,000 RANDIANTO 000124 TD0000426A
15,000 RANDIANTO 000124 TD0000426A
45,000 RANDIANTO 000124 TD0000571A
5,000 RANDIANTO 000124 TD0000571A
15,000 RANDIANTO 000124 TD0000571A
45,000 RANDIANTO 000124 TD0000664A
15,000 RANDIANTO 000124 TD0000664A
5,000 RANDIANTO 000124 TD0000664A
45,000 RANDIANTO 000124 TD0000734A
5,000 RANDIANTO 000124 TD0000734A
15,000 RANDIANTO 000124 TD0000734A
15,000 RANDIANTO 000124 TD0000828A
45,000 RANDIANTO 000124 TD0000828A
45,000 RANDIANTO 000124 TD0000916A
15,000 RANDIANTO 000124 TD0000916A
45,000 RANDIANTO 000124 TD0001013A
15,000 RANDIANTO 000124 TD0001013A
5,000 RANDIANTO 000124 TD0001013A
45,000 VIVI AMELIA 000324 TD0000909A
45,000 VIVI AMELIA 000324 TD0000917A
45,000 VIVI AMELIA 000324 TD0001008A
5,000 VIVI AMELIA 000324 TD0001008A
45,000 VIVI AMELIA 000324 TD0001081A
5,000 VIVI AMELIA 000324 TD0001081A
5,000 FAEZA AZA RAHMAN 000299 BL0000028A
45,000 ROSIDA 000355 TD0001006A
0 ROSIDA 000355 TD0001006A
45,000 ROSIDA 000355 TD0001016B
0 ROSIDA 000355 TD0001190A
45,000 ROSIDA 000355 TD0001190A
45,000 ROSIDA 000355 TD0001191A
45,000 ASMIATI 000017 TD0000444A
45,000 ASMIATI 000017 TD0001267A
0 ASMIATI 000017 TD0001268A
45,000 SAKDIAH 000073 TD0000443A
45,000 SAKDIAH 000073 TD0001269A
45,000 SANA 000076 TD0000441A
45,000 SANA 000076 TD0000578A
0 SANA 000076 TD0000578A
45,000 SANA 000076 TD0001271A
45,000 SATRAMI 000102 TD0000439A
15,000 SATRAMI 000102 TD0000439A
5,000 SATRAMI 000102 TD0000439A
45,000 SATRAMI 000102 TD0000577A
5,000 SATRAMI 000102 TD0000577A
15,000 SATRAMI 000102 TD0000577A
15,000 SATRAMI 000102 TD0001275A
45,000 SITI KHATIJA 000363 TD0000988B
45,000 SITI KHATIJA 000363 TD0001065A
5,000 SITI KHATIJA 000363 TD0001065A
45,000 SITI KHATIJA 000363 TD0001166A
5,000 SITI KHATIJA 000363 TD0001166A
5,000 SITI KHATIJA 000363 TD0001239A
45,000 SITI KHATIJA 000363 TD0001239A
45,000 MUCH RIZAL AMINULLAH000334 TD0000893E
0 MUCH RIZAL AMINULLAH000334 TD0000908B
0 MUCH RIZAL AMINULLAH000334 TD0001170A
45,000 AHMAD NAZRIL RAMAD 000396 TD0001362B
45,000 EDI JUNAIDI 000351 TD0001007A
0 EDI JUNAIDI 000351 TD0001007A
45,000 EDI JUNAIDI 000351 TD0001015B
45,000 EDI JUNAIDI 000351 TD0001079A
0 EDI JUNAIDI 000351 TD0001169A
45,000 EDI JUNAIDI 000351 TD0001169A
45,000 BUKADIN 000416 TD0001160A
45,000 BUKADIN 000416 TD0001161A
45,000 BUKADIN 000416 TD0001235A
45,000 BUKADIN 000416 TD0001360A
0 BUKADIN 000416 TD0001360A
45,000 BUKADIN 000416 TD0001455A
0 BUKADIN 000416 TD0001455A
45,000 NASIHA 000498 TD0001353A
45,000 NASIHA 000498 TD0001354B
15,000 NASIHA 000498 TD0001354B
45,000 NASIHA 000498 TD0001452B
15,000 NASIHA 000498 TD0001452B
45,000 NASIHA 000498 TD0001565A
15,000 NASIHA 000498 TD0001565A
45,000 MURSID 000434 TD0001156A
45,000 MURSID 000434 TD0001157A
0 MURSID 000434 TD0001157A
45,000 MURSID 000434 TD0001233A
45,000 MURSID 000434 TD0001359A
0 MURSID 000434 TD0001359A
45,000 MURSID 000434 TD0001456A
0 MURSID 000434 TD0001456A
45,000 MURSID 000434 TD0001545A
45,000 TSUROYYA NAWRA SHID000436 TD0001155B
45,000 MINA 000592 TD0001644A
0 MINA 000592 TD0001644A
45,000 SUIDJAN 000499 TD0001351A
45,000 SUIDJAN 000499 TD0001352A
0 SUIDJAN 000499 TD0001352A
45,000 SUIDJAN 000499 TD0001451A
45,000 SUIDJAN 000499 TD0001564A
45,000 SUIDJAN 000499 TD0001630A
0 SUIDJAN 000499 TD0001630A
45,000 SUIDJAN 000499 TD0001727A
45,000 TIMA/ B SAM 000522 TD0001448B
0 TIMA/ B SAM 000522 TD0001448B
45,000 TIMA/ B SAM 000522 TD0001449A
45,000 TIMA/ B SAM 000522 TD0001562A
45,000 TIMA/ B SAM 000522 TD0001628A
0 TIMA/ B SAM 000522 TD0001628A
45,000 TIMA/ B SAM 000522 TD0001725A
45,000 SETIYAWATI 000542 TD0001443A
45,000 SETIYAWATI 000542 TD0001559A
45,000 SETIYAWATI 000542 TD0001625A
45,000 SETIYAWATI 000542 TD0001722A
45,000 NUR LAILI 000627 TD0001711A
5,000 NUR LAILI 000627 TD0001711A
45,000 CITRA KIRANA 000663 TD0001820A
45,000 CITRA KIRANA 000663 TD0001821A
5,000 CITRA KIRANA 000663 TD0001821A
45,000 SAMSUL HADI 000538 TD0001445A
45,000 SAMSUL HADI 000538 TD0001447A
45,000 SAMSUL HADI 000538 TD0001561A
45,000 SAMSUL HADI 000538 TD0001627A
45,000 SAMSUL HADI 000538 TD0001723A
45,000 SAMSUL HADI 000538 TD0001835A
45,000 SRIWIDAYATI 000593 TD0001645A
5,000 SRIWIDAYATI 000593 TD0001645A
45,000 SRIWIDAYATI 000593 TD0001716B
45,000 SRIWIDAYATI 000593 TD0001830A
45,000 SRIWIDAYATI 000593 TD0001952A
15,000 SRIWIDAYATI 000593 TD0001952A
15,000 SRIWIDAYATI 000593 TD0001966A
45,000 MARJU / P. HAR 000697 TD0001953A
5,000 MARJU / P. HAR 000697 TD0001953A
45,000 MARJU / P. HAR 000697 TD0002005A
15,000 MARJU / P. HAR 000697 TD0002005A
5,000 MARJU / P. HAR 000697 TD0002005A
45,000 SAPIK 000665 TD0001819A
15,000 SAPIK 000665 TD0001819A
5,000 SAPIK 000665 TD0001819A
45,000 SAPIK 000665 TD0001943A
5,000 SAPIK 000665 TD0001943A
15,000 SAPIK 000665 TD0001943A
45,000 SAPIK 000665 TD0002008A
15,000 SAPIK 000665 TD0002008A
5,000 SAPIK 000665 TD0002008A
45,000 HAFID 000662 TD0001792A
45,000 HAFID 000662 TD0001822A
0 HAFID 000662 TD0001822A
45,000 HAFID 000662 TD0001944A
0 HAFID 000662 TD0001944A
45,000 HAFID 000662 TD0002009A
45,000 DARUS SHOLEH 000745 TD0002109A
5,000 DARUS SHOLEH 000745 TD0002109A
45,000 DARUS SHOLEH 000745 TD0002110A
5,000 DARUS SHOLEH 000745 TD0002110A
45,000 DARUS SHOLEH 000745 TD0002301A
45,000 DARUS SHOLEH 000745 TD0002302A
5,000 DARUS SHOLEH 000745 TD0002302A
5,000 DARUS SHOLEH 000745 TD0002345A
45,000 SUARI 000700 TD0002003A
0 SUARI 000700 TD0002003A
45,000 SUARI 000700 TD0002004A
45,000 SUARI 000700 TD0002114B
45,000 SUARI 000700 TD0002307A
45,000 SUARI 000700 TD0002308A
0 SUARI 000700 TD0002308A
45,000 BUSIA / BU TIN 000750 TD0002107A
45,000 BUSIA / BU TIN 000750 TD0002108B
5,000 BUSIA / BU TIN 000750 TD0002108B
45,000 BUSIA / BU TIN 000750 TD0002298A
45,000 BUSIA / BU TIN 000750 TD0002299A
15,000 BUSIA / BU TIN 000750 TD0002299A
15,000 BUSIA / BU TIN 000750 TD0002300B
5,000 BUSIA / BU TIN 000750 TD0002300B
45,000 SAMHAJI 000712 TD0002001A
45,000 SAMHAJI 000712 TD0002002A
0 SAMHAJI 000712 TD0002002A
45,000 SAMHAJI 000712 TD0002113A
45,000 SAMHAJI 000712 TD0002305A
45,000 SAMHAJI 000712 TD0002306A
0 SAMHAJI 000712 TD0002306A
45,000 SAMHAJI 000712 TD0002411A
0 SAMHAJI 000712 TD0002411A
45,000 TN. BUDIN 000397 TD0001063A
45,000 TN. BUDIN 000397 TD0001086A
45,000 TN. BUDIN 000397 TD0001163A
45,000 TN. BUDIN 000397 TD0001237A
15,000 TN. BUDIN 000397 TD0001237A
5,000 TN. BUDIN 000397 TD0001237A
45,000 TN. BUDIN 000397 TD0001361A
15,000 TN. BUDIN 000397 TD0001361A
5,000 TN. BUDIN 000397 TD0001361A
45,000 SANIRIA 000305 TD0000819A
15,000 SANIRIA 000305 TD0000819A
45,000 SANIRIA 000305 TD0000831A
45,000 SANIRIA 000305 TD0000911A
15,000 SANIRIA 000305 TD0000911A
45,000 SANIRIA 000305 TD0001009A
5,000 SANIRIA 000305 TD0001009A
15,000 SANIRIA 000305 TD0001009A
45,000 NY. BUYATI / B. HOLEK 000279 TD0000755B
45,000 SYAKILA PUTRI AR ROH 000358 TD0001014B
45,000 WAHYU UTAMI 000357 TD0001005A
5,000 WAHYU UTAMI 000357 TD0001005A
15,000 WAHYU UTAMI 000357 TD0001005A
45,000 WAHYU UTAMI 000357 TD0001017A
45,000 WAHYU UTAMI 000357 TD0001068A
5,000 WAHYU UTAMI 000357 TD0001068A
45,000 WAHYU UTAMI 000357 TD0001168A
45,000 ERNA WATI 000813 TD0002295A
15,000 ERNA WATI 000813 TD0002295A
5,000 ERNA WATI 000813 TD0002295A
45,000 ERNA WATI 000813 TD0002458B
15,000 ERNA WATI 000813 TD0002458B
5,000 ERNA WATI 000813 TD0002458B
45,000 AHMAD QUSYAIRI 000769 TD0002106D
45,000 SUCIANA 000793 TD0002152A
0 SUCIANA 000793 TD0002152A
45,000 SUCIANA 000793 TD0002296D
45,000 SUCIANA 000793 TD0002297A
0 SUCIANA 000793 TD0002297A
45,000 SUCIANA 000793 TD0002409B
45,000 JUHAIRIYAH B SE 000835 TD0002283B
45,000 SHOLIHIN 000827 TD0002287A
45,000 SHOLIHIN 000827 TD0002288A
5,000 SHOLIHIN 000827 TD0002288A
45,000 SHOLIHIN 000827 TD0002405A
5,000 SHOLIHIN 000827 TD0002405A
45,000 SHOLIHIN 000827 TD0002518A
5,000 SHOLIHIN 000827 TD0002518A
45,000 IRA 000366 TD0000987A
15,000 IRA 000366 TD0000987A
5,000 IRA 000366 TD0000987A
45,000 IRA 000366 TD0001064A
5,000 IRA 000366 TD0001064A
45,000 IRA 000366 TD0001165A
5,000 IRA 000366 TD0001165A
15,000 IRA 000366 TD0001165A
45,000 BY. IRSYAD MAUZA AULI 000361 TD0000989C
0 LIANA WIJAYANTI 000507 TD0001348A
45,000 PURNOMO K 000561 TD0001553A
45,000 PURNOMO K 000561 TD0001554A
45,000 PURNOMO K 000561 TD0001623A
0 PURNOMO K 000561 TD0001623A
45,000 PURNOMO K 000561 TD0001719A
45,000 PURNOMO K 000561 TD0001833A
0 PURNOMO K 000561 TD0001833A
45,000 HOIROTIN 000544 TD0001442A
0 HOIROTIN 000544 TD0001442A
45,000 HOIROTIN 000544 TD0001558A
45,000 HOIROTIN 000544 TD0001624A
0 HOIROTIN 000544 TD0001624A
45,000 HOIROTIN 000544 TD0001721A
45,000 HOIROTIN 000544 TD0001834A
0 HOIROTIN 000544 TD0001834A
45,000 SUBAIDA 000598 TD0001660A
5,000 SUBAIDA 000598 TD0001660A
45,000 SUBAIDA 000598 TD0001715A
15,000 SUBAIDA 000598 TD0001715A
5,000 SUBAIDA 000598 TD0001715A
45,000 SUBAIDA 000598 TD0001829A
15,000 SUBAIDA 000598 TD0001829A
5,000 SUBAIDA 000598 TD0001829A
0 MUHAMMAD ADITIA MA000648 TD0001946B
45,000 QURROTA A`YUN 000681 TD0002006B
5,000 QURROTA A`YUN 000681 TD0002006B
45,000 QURROTA A`YUN 000681 TD0002115B
5,000 QURROTA A`YUN 000681 TD0002115B
0 QURROTA A`YUN 000681 TD0002115B
45,000 SUTINA 000819 TD0002289A
0 SUTINA 000819 TD0002289A
45,000 SUTINA 000819 TD0002290A
45,000 SUTINA 000819 TD0002406A
45,000 SUTINA 000819 TD0002519A
0 SUTINA 000819 TD0002519A
45,000 SUTINA 000819 TD0002638A
45,000 AHLUSUNNAH 000908 TD0002522A
45,000 AHLUSUNNAH 000908 TD0002525A
45,000 AHLUSUNNAH 000908 TD0002640A
45,000 AHLUSUNNAH 000908 TD0002765A
45,000 SUPARMA / B. MAT 000937 TD0002585A
45,000 SUPARMA / B. MAT 000937 TD0002587A
0 SUPARMA / B. MAT 000937 TD0002587A
45,000 SUPARMA / B. MAT 000937 TD0002633A
0 SUPARMA / B. MAT 000937 TD0002633A
45,000 SUPARMA / B. MAT 000937 TD0002763A
45,000 SITI MAHMUDA 000968 TD0002624A
45,000 SITI MAHMUDA 000968 TD0002625A
5,000 SITI MAHMUDA 000968 TD0002625A
15,000 SITI MAHMUDA 000968 TD0002625A
45,000 SITI MAHMUDA 000968 TD0002756A
5,000 SITI MAHMUDA 000968 TD0002756A
15,000 SITI MAHMUDA 000968 TD0002808A
15,000 SITI MAHMUDA 000968 TD0002809A
5,000 SITI MAHMUDA 000968 TD0002810A
45,000 BUDIMAN 000901 TD0002511A
0 BUDIMAN 000901 TD0002511A
45,000 BUDIMAN 000901 TD0002512A
45,000 BUDIMAN 000901 TD0002641A
45,000 BUDIMAN 000901 TD0002766A
0 BUDIMAN 000901 TD0002766A
45,000 BUDIMAN 000901 TD0002867B
0 BUDIMAN 000901 TD0002867B
45,000 DULAMI 000964 TD0002628A
45,000 DULAMI 000964 TD0002629A
5,000 DULAMI 000964 TD0002629A
15,000 DULAMI 000964 TD0002629A
45,000 DULAMI 000964 TD0002758A
15,000 DULAMI 000964 TD0002758A
5,000 DULAMI 000964 TD0002758A
45,000 DULAMI 000964 TD0002864A
15,000 DULAMI 000964 TD0002864A
45,000 JUDE 000872 TD0002381A
0 JUDE 000872 TD0002381A
45,000 JUDE 000872 TD0002400A
45,000 JUDE 000872 TD0002515A
0 JUDE 000872 TD0002515A
45,000 JUDE 000872 TD0002869A
0 MUHAMMAD RIZQI JAILA000960 TD0002631A
45,000 RUDI HARTONO 001004 TD0002754A
5,000 RUDI HARTONO 001004 TD0002754A
45,000 RUDI HARTONO 001004 TD0002861A
45,000 RUDI HARTONO 001004 TD0002996A
45,000 SUHARSONO 001053 TD0002979A
45,000 SUHARSONO 001053 TD0002980A
45,000 ABD.MUJIB 000103 TD0000438A
45,000 ABD.MUJIB 000103 TD0000576A
0 ABD.MUJIB 000103 TD0000576A
19,695,000

5,000 SANA 000076 TD0000585A
5,000 SANA 000076 TD0000585A
10,000 MARJU / P. HAR 000697 TD0001999A
5,000 SAPIK 000665 TD0001891A
5,000 SAPIK 000665 TD0001891A
5,000 TN. BUDIN 000397 TD0001264A
5,000 TN. BUDIN 000397 TD0001264A
20,000 SUBAIDA 000598 TD0001877A
15,000 JUDE 000872 TD0002803A
5,000 MURSID 000121 TD0000192A
5,000 SANIBE 000122 TD0000194A
5,000 AHMAD HERMAN BASUK000985 TD0002701A
5,000 AHMAD HERMAN BASUK000985 TD0002701A
10,000 SUNARTI/ B. SITI 000991 TD0002708A
10,000 SUNARTI/ B. SITI 000991 TD0002708A
335,000
15,000 NASIHA 000490 TD0001296B

5,000 MOHAMMAD BAYU MUS000127 TD0000204A
5,000 RIFAI PAK SAIFUL 000260 TD0000695A
5,000 FADIAH NURUL AZIZAH 000353 TD0000952A
3,000 IVA NURAINI 000328 REG000328
9,000 IVA NURAINI 000328 TD0002161A
5,000 IVA NURAINI 000328 TD0002161A
62,000
10,000 RAVITA PUTRI HARTINI 000050 TD0000102B

0 NUR LAELA WULANDARI 000193 REG000193
45,000 NUR LAELA WULANDARI 000193 TD0000489A
0 NUR LAELA WULANDARI 000193 TD0000545A
0 NUR LAELA WULANDARI 000193 CHG-202207
720,000
0 SEPTIAN FADLI SAPUTRA000098 BL0000035A

0 MUHAMMAD ALI ASROFI000462 BL0000050A
0 SATRIA JUNA PUTRA 000540 TD0001462A
0
2,500 JUHAIRIYA 000030 TD0000038A

10,000 JUHAIRIYA 000030 TD0000057E
5,000 JUHAIRIYA 000030 TD0000057E
25,000 JUHAIRIYA 000030 TD0000057E
50,000 JUHAIRIYA 000030 TD0000057E
100,000 SAMO / P PARMA 000056 TD0000311A
75,000 SAMO / P PARMA 000056 TD0000311A
100,000 SAMO / P PARMA 000056 TD0000312A
75,000 SAMO / P PARMA 000056 TD0000312A
100,000 SAMO / P PARMA 000056 TD0000313A
75,000 SAMO / P PARMA 000056 TD0000313A
75,000 SAMO / P PARMA 000056 TD0000314B
20,000 SAMO / P PARMA 000056 TD0000323A
75,000 MARDIAH 000075 TD0000306A
75,000 MARDIAH 000075 TD0000306A
75,000 MARDIAH 000075 TD0000359A
75,000 MARDIAH 000075 TD0000361A
75,000 MARDIAH 000075 TD0000400A
10,000 FIRDAUSI 000247 TD0000634A
10,000 FIRDAUSI 000247 TD0000635A
75,000 ABDULLAH 000126 TD0000308A
75,000 ABDULLAH 000126 TD0000356B
75,000 ABDULLAH 000126 TD0000390A
75,000 ABDULLAH 000126 TD0000539A
50,000 KIARA AZKIA 000032 TD0000256B
50,000 KIARA AZKIA 000032 TD0000257A
50,000 KIARA AZKIA 000032 TD0000260A
50,000 KIARA AZKIA 000032 TD0000261A
50,000 KIARA AZKIA 000032 TD0000264A
50,000 MISNARI / P AL 000291 TD0000805B
50,000 MISNARI / P AL 000291 TD0000836A
10,000 BADRIYAH 000321 TD0000867A
10,000 BADRIYAH 000321 TD0000867A
10,000 BADRIYAH 000321 TD0000894A
75,000 MUHID / P JONI 000230 TD0000610A
75,000 MUHID / P JONI 000230 TD0000639A
75,000 MUHID / P JONI 000230 TD0000717A
75,000 MUHID / P JONI 000230 TD0000800A
75,000 MUHID / P JONI 000230 TD0000889A
5,000 MUHID / P JONI 000230 TD0000919B
2,500 MUHID / P JONI 000230 TD0000919B
10,000 SURAKNA 000215 TD0000516A
10,000 SURAKNA 000215 TD0000531B
10,000 SURAKNA 000215 TD0000644A
10,000 SURAKNA 000215 TD0000720A
75,000 RANDIANTO 000124 TD0000347A
75,000 RANDIANTO 000124 TD0000348A
75,000 RANDIANTO 000124 TD0000391A
20,000 RANDIANTO 000124 TD0000488A
75,000 RANDIANTO 000124 TD0000542A
75,000 RANDIANTO 000124 TD0000641A
75,000 RANDIANTO 000124 TD0000719A
75,000 RANDIANTO 000124 TD0000804B
20,000 RANDIANTO 000124 TD0000806B
75,000 RANDIANTO 000124 TD0000892A
10,000 RANDIANTO 000124 TD0000983B
10,000 RANDIANTO 000124 TD0000983B
10,000 RANDIANTO 000124 TD0000984B
10,000 RANDIANTO 000124 TD0001004A
75,000 VIVI AMELIA 000324 TD0000890A
75,000 VIVI AMELIA 000324 TD0000976A
10,000 ROSIDA 000355 TD0000957A
10,000 ROSIDA 000355 TD0001107A
10,000 ROSIDA 000355 TD0001110A
10,000 ROSIDA 000355 TD0001179A
10,000 ROSIDA 000355 TD0001179A
10,000 ROSIDA 000355 TD0001193A
10,000 ASMIATI 000017 TD0000287A
10,000 ASMIATI 000017 TD0000287A
10,000 ASMIATI 000017 TD0000288A
10,000 ASMIATI 000017 TD0000288A
10,000 ASMIATI 000017 TD0000291A
10,000 ASMIATI 000017 TD0000291A
10,000 ASMIATI 000017 TD0000294A
10,000 ASMIATI 000017 TD0000294A
10,000 ASMIATI 000017 TD0000402A
10,000 SAKDIAH 000073 TD0000369C
10,000 SAKDIAH 000073 TD0000369C
10,000 SAKDIAH 000073 TD0000371A
10,000 SAKDIAH 000073 TD0000371A
10,000 SAKDIAH 000073 TD0000372A
10,000 SAKDIAH 000073 TD0000372A
10,000 SAKDIAH 000073 TD0000401A
10,000 SANA 000076 TD0000374A
10,000 SANA 000076 TD0000374A
10,000 SANA 000076 TD0000375A
10,000 SANA 000076 TD0000375A
10,000 SANA 000076 TD0000376A
10,000 SANA 000076 TD0000376A
0 SANA 000076 TD0000377A
10,000 SANA 000076 TD0000399A
10,000 SANA 000076 TD0000533A
10,000 SATRAMI 000102 TD0000385A
10,000 SATRAMI 000102 TD0000386A
10,000 SATRAMI 000102 TD0000386A
0 SATRAMI 000102 TD0000387A
10,000 SATRAMI 000102 TD0000538A
10,000 SATRAMI 000102 TD0000581A
50,000 SITI KHATIJA 000363 TD0001077B
50,000 SITI KHATIJA 000363 TD0001082A
50,000 SITI KHATIJA 000363 TD0001181A
50,000 SITI KHATIJA 000363 TD0001216A
10,000 SITI KHATIJA 000363 TD0001287A
10,000 EDI JUNAIDI 000351 TD0000948A
10,000 EDI JUNAIDI 000351 TD0000948A
10,000 EDI JUNAIDI 000351 TD0001091A
10,000 EDI JUNAIDI 000351 TD0001093B
10,000 EDI JUNAIDI 000351 TD0001183A
10,000 EDI JUNAIDI 000351 TD0001183A
10,000 EDI JUNAIDI 000351 TD0001194A
10,000 BUKADIN 000416 TD0001127A
10,000 BUKADIN 000416 TD0001127A
10,000 BUKADIN 000416 TD0001153A
10,000 BUKADIN 000416 TD0001214A
10,000 BUKADIN 000416 TD0001335A
10,000 BUKADIN 000416 TD0001435A
50,000 MUHAMMAD ALI ASROFI000462 TD0001342B
10,000 NASIHA 000498 TD0001306A
10,000 NASIHA 000498 TD0001344A
10,000 NASIHA 000498 TD0001426A
10,000 NASIHA 000498 TD0001517A
10,000 MURSID 000434 TD0001149A
10,000 MURSID 000434 TD0001217A
10,000 MURSID 000434 TD0001337A
10,000 MURSID 000434 TD0001432A
10,000 MURSID 000434 TD0001522A
10,000 MURSID 000434 TD0001567B
10,000 MINA 000592 TD0001638A
35,000 MINA 000592 TD0001639A
10,000 MINA 000592 TD0001640A
5,000 MINA 000592 TD0001641A
5,000 MINA 000592 TD0001641A
50,000 MINA 000592 TD0001642A
10,000 SUIDJAN 000499 TD0001311A
10,000 SUIDJAN 000499 TD0001341A
10,000 SUIDJAN 000499 TD0001431A
10,000 SUIDJAN 000499 TD0001521A
10,000 SUIDJAN 000499 TD0001597A
10,000 SUIDJAN 000499 TD0001697A
10,000 TIMA/ B SAM 000522 TD0001405A
10,000 TIMA/ B SAM 000522 TD0001433A
10,000 TIMA/ B SAM 000522 TD0001523A
10,000 TIMA/ B SAM 000522 TD0001598A
10,000 SETIYAWATI 000542 TD0001502A
10,000 SETIYAWATI 000542 TD0001524A
10,000 SETIYAWATI 000542 TD0001599A
10,000 SETIYAWATI 000542 TD0001700A
60,000 CITRA KIRANA 000663 TD0001794A
50,000 CITRA KIRANA 000663 TD0001794A
50,000 CITRA KIRANA 000663 TD0001807A
10,000 SAMSUL HADI 000538 TD0001424A
10,000 SAMSUL HADI 000538 TD0001424A
10,000 SAMSUL HADI 000538 TD0001434A
10,000 SAMSUL HADI 000538 TD0001527A
10,000 SAMSUL HADI 000538 TD0001602A
10,000 SAMSUL HADI 000538 TD0001703B
10,000 SAMSUL HADI 000538 TD0001810A
10,000 SRIWIDAYATI 000593 TD0001648A
10,000 SRIWIDAYATI 000593 TD0001693A
10,000 SRIWIDAYATI 000593 TD0001801A
10,000 SRIWIDAYATI 000593 TD0001919A
50,000 AZKA DINA ARISYA KAIL000605 TD0001737B
75,000 MARJU / P. HAR 000697 TD0001956A
75,000 MARJU / P. HAR 000697 TD0001995A
75,000 SAPIK 000665 TD0001797A
0 SAPIK 000665 TD0001896A
5,000 SAPIK 000665 TD0001897A
5,000 SAPIK 000665 TD0001897A
75,000 SAPIK 000665 TD0001905A
75,000 SAPIK 000665 TD0001991A
10,000 SAPIK 000665 TD0002026A
10,000 HAFID 000662 TD0001791A
10,000 HAFID 000662 TD0001791A
10,000 HAFID 000662 TD0001811A
10,000 HAFID 000662 TD0001907A
10,000 HAFID 000662 TD0001987A
10,000 HAFID 000662 TD0002029A
75,000 DARUS SHOLEH 000745 TD0002100A
75,000 DARUS SHOLEH 000745 TD0002200A
75,000 DARUS SHOLEH 000745 TD0002277A
10,000 DARUS SHOLEH 000745 TD0002336A
10,000 SUARI 000700 TD0001959A
10,000 SUARI 000700 TD0001959A
10,000 SUARI 000700 TD0001993A
10,000 SUARI 000700 TD0002104A
10,000 SUARI 000700 TD0002206A
10,000 SUARI 000700 TD0002280A
10,000 SUARI 000700 TD0002329A
75,000 BUSIA / BU TIN 000750 TD0002076A
75,000 BUSIA / BU TIN 000750 TD0002105A
75,000 BUSIA / BU TIN 000750 TD0002202A
75,000 BUSIA / BU TIN 000750 TD0002276A
10,000 SAMHAJI 000712 TD0001984A
10,000 SAMHAJI 000712 TD0001992A
10,000 SAMHAJI 000712 TD0002103A
10,000 SAMHAJI 000712 TD0002205A
10,000 SAMHAJI 000712 TD0002279A
10,000 SAMHAJI 000712 TD0002397A
10,000 TN. BUDIN 000397 TD0001070A
10,000 TN. BUDIN 000397 TD0001070A
10,000 TN. BUDIN 000397 TD0001071A
10,000 TN. BUDIN 000397 TD0001071A
10,000 TN. BUDIN 000397 TD0001178A
10,000 TN. BUDIN 000397 TD0001178A
10,000 TN. BUDIN 000397 TD0001221A
10,000 TN. BUDIN 000397 TD0001333A
75,000 SANIRIA 000305 TD0000802A
75,000 SANIRIA 000305 TD0000803A
75,000 SANIRIA 000305 TD0000891A
75,000 SANIRIA 000305 TD0000977A
75,000 WAHYU UTAMI 000357 TD0000959A
75,000 WAHYU UTAMI 000357 TD0000975A
75,000 WAHYU UTAMI 000357 TD0001176A
75,000 WAHYU UTAMI 000357 TD0001176A
10,000 ERNA WATI 000813 TD0002196A
10,000 ERNA WATI 000813 TD0002196A
10,000 ERNA WATI 000813 TD0002199A
10,000 ERNA WATI 000813 TD0002273A
10,000 ERNA WATI 000813 TD0002387A
0 AHMAD QUSYAIRI 000769 TD0002146A
10,000 SUCIANA 000793 TD0002150A
10,000 SUCIANA 000793 TD0002203A
10,000 SUCIANA 000793 TD0002274A
10,000 SUCIANA 000793 TD0002393A
50,000 QIANA MAULIDIA WARD000579 TD0001596B
50,000 SHOLIHIN 000827 TD0002238A
50,000 SHOLIHIN 000827 TD0002270A
50,000 SHOLIHIN 000827 TD0002396A
50,000 SHOLIHIN 000827 TD0002493A
75,000 FAIZUL MUTTAKIM 000818 TD0002487B
100,000 IRA 000366 TD0001075A
75,000 IRA 000366 TD0001075A
75,000 IRA 000366 TD0001078A
100,000 IRA 000366 TD0001174A
75,000 IRA 000366 TD0001174A
60,000 MUHAMMAD IZZAM MAU 000848 TD0002266C
10,000 PURNOMO K 000561 TD0001526A
10,000 PURNOMO K 000561 TD0001537A
10,000 PURNOMO K 000561 TD0001601A
10,000 PURNOMO K 000561 TD0001702B
20,000 PURNOMO K 000561 TD0001775A
10,000 PURNOMO K 000561 TD0001809A
10,000 HOIROTIN 000544 TD0001439A
10,000 HOIROTIN 000544 TD0001458A
10,000 HOIROTIN 000544 TD0001525A
10,000 HOIROTIN 000544 TD0001600A
10,000 HOIROTIN 000544 TD0001701B
10,000 HOIROTIN 000544 TD0001808A
75,000 SUBAIDA 000598 TD0001691B
75,000 SUBAIDA 000598 TD0001724B
75,000 SUBAIDA 000598 TD0001798B
50,000 MUHAMMAD KHOLID ABD000630 TD0001705A
10,000 QURROTA A`YUN 000681 TD0001895A
10,000 QURROTA A`YUN 000681 TD0001898A
10,000 QURROTA A`YUN 000681 TD0001996A
10,000 QURROTA A`YUN 000681 TD0002098A
10,000 SUTINA 000819 TD0002211A
10,000 SUTINA 000819 TD0002271A
10,000 SUTINA 000819 TD0002392A
10,000 SUTINA 000819 TD0002489A
5,000 SUTINA 000819 TD0002531B
5,000 SUTINA 000819 TD0002531B
10,000 SUTINA 000819 TD0002615A
5,000 SUTINA 000819 TD0002665A
5,000 SUTINA 000819 TD0002665A
10,000 SUTINA 000819 TD0002666A
10,000 AHLUSUNNAH 000908 TD0002495A
10,000 AHLUSUNNAH 000908 TD0002498B
10,000 AHLUSUNNAH 000908 TD0002620A
10,000 AHLUSUNNAH 000908 TD0002741A
10,000 AHLUSUNNAH 000908 TD0002741A
10,000 SUPARMA / B. MAT 000937 TD0002617A
10,000 SUPARMA / B. MAT 000937 TD0002738A
75,000 SITI MAHMUDA 000968 TD0002605B
75,000 SITI MAHMUDA 000968 TD0002608A
75,000 SITI MAHMUDA 000968 TD0002731A
10,000 BUDIMAN 000901 TD0002455A
10,000 BUDIMAN 000901 TD0002494A
10,000 BUDIMAN 000901 TD0002621A
10,000 BUDIMAN 000901 TD0002742A
10,000 BUDIMAN 000901 TD0002844A
10,000 DULAMI 000964 TD0002599B
10,000 DULAMI 000964 TD0002733A
10,000 DULAMI 000964 TD0002832A
10,000 DULAMI 000964 TD0002919A
50,000 MUHAMMAD RAFASYA 000967 TD0002604B
10,000 JUDE 000872 TD0002365A
10,000 JUDE 000872 TD0002395A
10,000 JUDE 000872 TD0002492A
10,000 JUDE 000872 TD0002619A
10,000 JUDE 000872 TD0002740A
10,000 JUDE 000872 TD0002842A
50,000 RUDI HARTONO 001004 TD0002725A
50,000 RUDI HARTONO 001004 TD0002843A
50,000 RUDI HARTONO 001004 TD0002971A
50,000 SITI FATIMAH ROHMATU001009 TD0002747B
10,000 SUHARSONO 001053 TD0002949A
10,000 SUHARSONO 001053 TD0002973A
50,000 SUHARSONO 001053 TD0003058A
5,000 DJITO 000037 TD0000044A
5,000 H. HOSNI 000039 TD0000043A
5,000 SIMPEN 000041 TD0000047A
5,000 MULYONO 000206 TD0000502A
5,000 ADAM MALIK 000209 TD0000505A
5,000 SYIFAUL UMAMI ZUHRO 000210 TD0000508A
5,000 ASMANI 000211 TD0000511A
5,000 SUNARTI 000204 TD0000499A
5,000 HOSNAN / P AL 000213 TD0000514A
10,000 ABD.MUJIB 000103 TD0000309A
10,000 ABD.MUJIB 000103 TD0000309A
10,000 ABD.MUJIB 000103 TD0000342A
10,000 ABD.MUJIB 000103 TD0000397A
10,000 ABD.MUJIB 000103 TD0000536A
18,792,500

0 ALLESHA ADRENA 000018 TD0000018B
0 ALLESHA ADRENA 000018 TD0000018B
5,000 SAMHAJI 000025 TD0000029A
5,000 TITIN SULISTIYOWATI 000059 TD0000064A
5,000 HALIMA/B DA 000061 TD0000070A
5,000 SLAMET RIYADI 000062 TD0000073A
5,000 REINA EKA AGUSTIN WI 000065 TD0000080A
5,000 MAFTUHAH 000068 TD0000085A
55,000
10,000 ASMIATI 000017 TD0001266A

10,000 SATRAMI 000102 TD0001274A
10,000 SAMHAJI 000712 TD0002431B
10,000 SUPARMA / B. MAT 000899 TD0002446E
10,000 SUPARMA / B. MAT 000899 TD0002446E
10,000 SUPARMA / B. MAT 000899 TD0002446E
75,000 SITI MAHMUDA 000962 TD0002598B
75,000 MUHAMMAD RAFASYA 000965 TD0002602B
75,000 AHMAD ZAINI MUBAROK001005 TD0002726B
20,000 AKBAR NURDAFA PRATA000023 TD0000026A
20,000 AHMAD ROYHANUL JINA000022 TD0000027A
10,000 BUDIMAN 000900 TD0002443A
450,000
150,000 ABDULLAH 000125 TD0000200E

0 PUTRI WAHYUNI 000315 REG000315
0 PUTRI WAHYUNI 000315 TD0000859A
0 PUTRI WAHYUNI 000317 TD0000863B
75,000 MUHID / P JONI 000229 TD0000608B
50,000 MUHID / P JONI 000229 TD0000608B
20,000 MUHID / P JONI 000229 TD0000608B
5,000 MUHID / P JONI 000229 TD0000612A
5,000 NASIHA 000490 TD0001309A
5,000 NASIHA 000498 TD0001550B
5,000 NASIHA 000498 TD0001550B
10,000 TIMA/ B SAM 000521 TD0001404A
10,000 SAMSUL HADI 000536 TD0001421A
75,000 SAPIK 000664 TD0001795A
75,000 BUSIA / BU TIN 000748 TD0002074A
10,000 ERNA WATI 000799 TD0002175A
0 SUCIANA 000793 BL0000134A
10,000 SUCIANA 000793 TD0002469B
75,000 SHOLIHIN 000825 TD0002229A
0 SUHARSONO 001053 BL0000173A
10,000 SUHARSONO 001049 TD0002926A
5,000 MISNATI 000105 TD0000137A
50,000 ABDUL AZIZ 000262 TD0000703B
25,000 ABDUL AZIZ 000262 TD0000703B
10,000 BABUR ROHMAH 000495 TD0001312A
10,000 SHANUM IKBAR RUZ ZA 000546 TD0001475A
10,000 SHANUM IKBAR RUZ ZA 000546 TD0001475A
35,000 SULTAN FARIS ALFARISI 000666 TD0001813A
15,000 TN. DIN /P. HORI 000823 TD0002228A
10,000 TN. DIN /P. HORI 000823 TD0002230A
10,000 TN. DIN /P. HORI 000823 TD0002230A
0 RUFIKA ANANTA FACHMI000828 BL0000119A
20,000 ABD.MUJIB 000100 TD0000134A
50,000 ABD.MUJIB 000100 TD0000134A
20,000 AJIB 000235 TD0000611A
50,000 AJIB 000235 TD0000611A
2,500 AJIB 000235 TD0000611A
5,000 AJIB 000235 TD0000611A
10,000 JUDE 000870 TD0002355A
10,000 JUDE 000870 TD0002355A
10,000 JUDE 000870 TD0002355A
15,000 TN. DIN /P. HORI 000966 TD0002600A
1,952,500

10,000 RANDIANTO 000124 TD0000771A
10,000 RANDIANTO 000124 TD0000771A
10,000 SAMHAJI 000712 TD0002068A
5,000 SANIRIA 000234 TD0000625A
10,000 DENIS YAUNAR PUTRA 000501 TD0001313A
5,000 ASEP SAHLAN 000496 TD0001305A
5,000 ASEP SAHLAN 000496 TD0001307A
5,000 F. MUFED 000504 TD0001321A
5,000 SAHRI/P. TIK 000822 TD0002234A
5,000 SAHRI/P. TIK 000822 TD0002234A
5,000 ABDULLAH 000244 TD0000627A
245,000
0 MUHAMMAD ZAIDAN HI000591 BL0000083A

0 MUHAMMAD FITRAH JAY000675 BL0000084A
9,000 MUSRIFAH 000784 TD0002165A
5,000 MUSRIFAH 000784 TD0002165A
14,000

10,000 RANDIANTO 000124 TD0000928A
10,000 RANDIANTO 000124 TD0000928A
10,000 RANDIANTO 000124 TD0000981A
10,000 RANDIANTO 000124 TD0000981A
5,000 NASIHA 000498 TD0001551A
5,000 NASIHA 000498 TD0001551A
10,000 SUCIANA 000793 TD0002451A
10,000 ATIQUR ROHMAN 000869 TD0002523C
20,000 PURNOMO K 000561 TD0001664A
20,000 SUPARMA / B. MAT 000937 TD0002660B
5,000 ASMAD 000077 TD0000105A
5,000 ARIF BAHTIAR 000090 TD0000113A
5,000 USMAN/ P HARTONO 000091 TD0000115A
5,000 RIYANTO 000095 TD0000124A
5,000 RIYANTO 000095 TD0000125A
5,000 HUZAIRI/ P FIFI 000096 TD0000126A
5,000 SUTO / P.WAHYU 000082 TD0000109A
5,000 TUBA/ B ROKIB 000341 TD0000932A
5,000 JUHARI 000342 TD0000934A
5,000 WIDI ASTUTIK 000344 TD0000937A
20,000 SULTON SYARIFUDIN 000345 TD0000940A
5,000 BAHROSI/ H LUTFI 000350 TD0000947A
10,000 ALVIAN RISKY 000349 TD0000945A
10,000 ALVIAN RISKY 000349 TD0000945A
375,000
0 BUDI SAMSUDIN 000254 CHG-202207

0 BUDIMAN 000901 BL0000162A
0 BUDI SAMSUDIN 000254 REG000254
0 BUDI SAMSUDIN 000254 TD0000685A
0 M. JOKO SHANTONY 000273 REG000273
0
No. Kwitansi Tgl Kwitansi
KI0000016A 2022-07-07
KI0000025A 2022-07-08
KI0000025A 2022-07-08
KI0000038A 2022-07-12
KI0000038A 2022-07-12
KI0000073A 2022-07-19
KI0000078A 2022-07-20
KI0000105A 2022-07-26
KI0000113A 2022-07-27
KI0000141A 2022-07-31
KI0000141A 2022-07-31
KI0000141A 2022-07-31
KW0000319A 2022-07-13
KW0000323A 2022-07-14
KW0000324A 2022-07-14
KW0000325A 2022-07-14
KW0000349A 2022-07-15
KW0000349A 2022-07-15
KW0000349A 2022-07-15
KI0000016A 2022-07-07
KI0000016A 2022-07-07
KI0000025A 2022-07-08
KI0000033A 2022-07-10
KI0000033A 2022-07-10
KI0000033A 2022-07-10
KI0000038A 2022-07-12
KI0000038A 2022-07-12
KI0000051A 2022-07-14
KI0000066A 2022-07-16
KI0000066A 2022-07-16
KI0000088A 2022-07-22
KI0000094A 2022-07-26
KI0000100A 2022-07-26
KI0000116A 2022-07-27
KI0000116A 2022-07-27
KI0000116A 2022-07-27
KI0000123A 2022-07-27
KI0000132A 2022-07-29
KI0000135A 2022-07-30
KI0000135A 2022-07-30
KI0000135A 2022-07-30
KI0000136A 2022-07-30
KI0000136A 2022-07-30
KI0000137A 2022-07-30
KI0000137A 2022-07-30
KI0000141A 2022-07-31
KI0000141A 2022-07-31
KW0000131B 2022-07-05
KW0000509A 2022-07-21
KW0000976A 2022-07-29
KI0000108A 2022-07-27
KI0000108A 2022-07-27
KI0000108A 2022-07-27
KI0000025A 2022-07-08
KI0000038A 2022-07-12
KI0000038A 2022-07-12
KI0000038A 2022-07-12
KI0000038A 2022-07-12
KI0000038A 2022-07-12
KI0000066A 2022-07-16
KI0000066A 2022-07-16
KI0000066A 2022-07-16
KI0000066A 2022-07-16
KI0000072A 2022-07-19
KI0000085A 2022-07-22
KI0000093A 2022-07-25
KI0000094A 2022-07-26
KI0000102A 2022-07-26
KI0000103A 2022-07-26
KI0000109A 2022-07-27
KI0000114A 2022-07-27
KI0000114A 2022-07-27
KI0000118A 2022-07-27
KI0000007A 2022-07-02
KI0000094A 2022-07-26
KI0000094A 2022-07-26
KI0000094A 2022-07-26
KI0000094A 2022-07-26
KI0000094A 2022-07-26
KI0000094A 2022-07-26
KI0000133A 2022-07-30
KW0000146A 2022-07-05
KW0000320A 2022-07-13
KW0000320A 2022-07-13
KW0000320A 2022-07-13
KW0000320A 2022-07-13
KW0000683A 2022-07-26
KW0000683A 2022-07-26
KW0000683A 2022-07-26
KW0000684A 2022-07-26
KW0000684A 2022-07-26
KW0000684A 2022-07-26
KW0000821A 2022-07-27
KW0000821A 2022-07-27
KW0000821A 2022-07-27
KW0000937A 2022-07-28
KW0000937A 2022-07-28
KW0000937A 2022-07-28
KW0000942A 2022-07-28
KW0000942A 2022-07-28
KW0000942A 2022-07-28
KW0000952A 2022-07-28
KW0000952A 2022-07-28
KW0000952A 2022-07-28
KI0000081A 2022-07-21
KW0000072A 2022-07-04
KW0000074A 2022-07-04
KW0000076A 2022-07-04
KW0000078A 2022-07-04
KW0000080A 2022-07-04
KW0000088A 2022-07-04
KW0000088A 2022-07-04
KW0000092A 2022-07-04
KW0000097A 2022-07-04
KW0000116A 2022-07-05
KW0000117A 2022-07-05
KW0000123A 2022-07-05
KW0000149A 2022-07-06
KW0000150A 2022-07-06
KW0000150A 2022-07-06
KW0000150A 2022-07-06
KW0000152A 2022-07-06
KW0000153A 2022-07-06
KW0000175A 2022-07-07
KW0000198A 2022-07-08
KW0000198A 2022-07-08
KW0000198A 2022-07-08
KW0000201A 2022-07-08
KW0000202A 2022-07-08
KW0000207A 2022-07-08
KW0000414A 2022-07-18
KW0000414A 2022-07-18
KW0000415A 2022-07-18
KW0000415A 2022-07-18
KW0000455A 2022-07-19
KW0000455A 2022-07-19
KW0000528A 2022-07-22
KW0000528A 2022-07-22
KW0000608A 2022-07-25
KW0000608A 2022-07-25
KW0000618A 2022-07-25
KW0000618A 2022-07-25
KW0000621A 2022-07-25
KW0000621A 2022-07-25
KW0000649A 2022-07-26
KW0000649A 2022-07-26
KW0000692A 2022-07-26
KW0000831A 2022-07-27
KW0000961A 2022-07-29
KW0000961A 2022-07-29
KI0000007A 2022-07-02
KI0000007A 2022-07-02
KI0000047A 2022-07-14
KI0000067A 2022-07-17
KI0000129A 2022-07-29
KI0000129A 2022-07-29
KI0000129A 2022-07-29
KW0000176A 2022-07-07
KW0000389A 2022-07-16
KW0000876A 2022-07-28
KW0000876A 2022-07-28
KW0000876A 2022-07-28
KW0000912A 2022-07-28
KW0000912A 2022-07-28
KI0000007A 2022-07-02
KI0000011A 2022-07-05
KI0000011A 2022-07-05
KI0000011A 2022-07-05
KI0000011A 2022-07-05
KI0000011A 2022-07-05
KI0000041A 2022-07-12
KI0000041A 2022-07-12
KI0000041A 2022-07-12
KI0000041A 2022-07-12
KI0000041A 2022-07-12
KI0000041A 2022-07-12
KI0000041A 2022-07-12
KI0000041A 2022-07-12
KI0000069A 2022-07-17
KI0000069A 2022-07-17
KI0000069A 2022-07-17
KI0000069A 2022-07-17
KI0000069A 2022-07-17
KI0000069A 2022-07-17
KI0000069A 2022-07-17
KI0000069A 2022-07-17
KI0000075A 2022-07-20
KI0000075A 2022-07-20
KI0000075A 2022-07-20
KI0000075A 2022-07-20
KI0000075A 2022-07-20
KI0000075A 2022-07-20
KI0000075A 2022-07-20
KI0000076A 2022-07-20
KI0000076A 2022-07-20
KI0000076A 2022-07-20
KI0000076A 2022-07-20
KI0000076A 2022-07-20
KI0000076A 2022-07-20
KI0000076A 2022-07-20
KI0000076A 2022-07-20
KI0000076A 2022-07-20
KI0000118A 2022-07-27
KI0000118A 2022-07-27
KI0000118A 2022-07-27
KI0000118A 2022-07-27
KI0000118A 2022-07-27
KI0000124A 2022-07-27
KW0000095A 2022-07-04
KW0000095A 2022-07-04
KW0000663A 2022-07-26
KW0000663A 2022-07-26
KW0000665A 2022-07-26
KI0000068A 2022-07-17
KI0000068A 2022-07-17
KI0000138A 2022-07-31
KI0000142A 2022-07-31
KI0000142A 2022-07-31
KI0000142A 2022-07-31
KW0000526A 2022-07-22
KW0000654A 2022-07-26
KI0000016A 2022-07-07
KI0000016A 2022-07-07
KI0000024A 2022-07-08
KI0000025A 2022-07-08
KI0000025A 2022-07-08
KI0000025A 2022-07-08
KI0000025A 2022-07-08
KI0000025A 2022-07-08
KI0000025A 2022-07-08
KI0000025A 2022-07-08
KI0000042A 2022-07-14
KI0000048A 2022-07-14
KI0000051A 2022-07-14
KI0000064A 2022-07-16
KI0000066A 2022-07-16
KI0000066A 2022-07-16
KI0000066A 2022-07-16
KI0000077A 2022-07-20
KI0000077A 2022-07-20
KI0000077A 2022-07-20
KI0000082A 2022-07-21
KI0000084A 2022-07-21
KI0000085A 2022-07-22
KI0000087A 2022-07-22
KI0000088A 2022-07-22
KI0000089A 2022-07-22
KI0000104B 2022-07-26
KI0000126A 2022-07-28
KI0000135A 2022-07-30
KI0000135A 2022-07-30
KI0000135A 2022-07-30
KI0000140A 2022-07-31
KI0000143A 2022-07-31
KW0000065A 2022-07-03
KW0000082A 2022-07-04
KW0000119A 2022-07-05
KW0000129A 2022-07-05
KW0000129A 2022-07-05
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KI0000033A 2022-07-10
KI0000033A 2022-07-10
KI0000054A 2022-07-15
KI0000067A 2022-07-17
KI0000067A 2022-07-17
KI0000067A 2022-07-17
KI0000073A 2022-07-19
KI0000078A 2022-07-20
KI0000086A 2022-07-22
KI0000093A 2022-07-25
KI0000102A 2022-07-26
KI0000103A 2022-07-26
KI0000105A 2022-07-26
KI0000105A 2022-07-26
KI0000106A 2022-07-26
KI0000109A 2022-07-27
KI0000127A 2022-07-28
KI0000130A 2022-07-29
KI0000145A 2022-07-31
KI0000145A 2022-07-31
KW0000062A 2022-07-03
KW0000186A 2022-07-07
KW0000186A 2022-07-07
KW0000326A 2022-07-14
KW0000326A 2022-07-14
KW0000337A 2022-07-14
KW0000371A 2022-07-16
KW0000371A 2022-07-16
KW0000476A 2022-07-20
KW0000587A 2022-07-24
KW0000587A 2022-07-24
KW0000587A 2022-07-24
KW0000595A 2022-07-24
KW0000595A 2022-07-24
KW0000681A 2022-07-26
KW0000681A 2022-07-26
KW0000682A 2022-07-26
KW0000682A 2022-07-26
KW0000697A 2022-07-26
KW0000697A 2022-07-26
KW0000697A 2022-07-26
KW0000697A 2022-07-26
KW0000702A 2022-07-26
KW0000702A 2022-07-26
KW0000702A 2022-07-26
KW0000735A 2022-07-27
KW0000737A 2022-07-27
KW0000744A 2022-07-27
KW0000749A 2022-07-27
KW0000749A 2022-07-27
KW0000749A 2022-07-27
KW0000750A 2022-07-27
KW0000751A 2022-07-27
KW0000751A 2022-07-27
KW0000751A 2022-07-27
KW0000831A 2022-07-27
KW0000831A 2022-07-27
KW0000831A 2022-07-27
KW0000831A 2022-07-27
KW0000831A 2022-07-27
KW0000831A 2022-07-27
KW0000870A 2022-07-28
KI0000016A 2022-07-07
KI0000016A 2022-07-07
KI0000025A 2022-07-08
KI0000025A 2022-07-08
KI0000025A 2022-07-08
KI0000038A 2022-07-12
KI0000038A 2022-07-12
KI0000053A 2022-07-14
KI0000089A 2022-07-22
KI0000094A 2022-07-26
KI0000114A 2022-07-27
KI0000116A 2022-07-27
KI0000116A 2022-07-27
KI0000136A 2022-07-30
KI0000136A 2022-07-30
KI0000136A 2022-07-30
KI0000141A 2022-07-31
KI0000141A 2022-07-31
KW0000164B 2022-07-06
KW0000334A 2022-07-14
KW0000335A 2022-07-14
KW0000335A 2022-07-14
KW0000336A 2022-07-14
KW0000588A 2022-07-24
KW0000588A 2022-07-24
KW0000695A 2022-07-26
KI0000083A 2022-07-21
KI0000084A 2022-07-21
KW0000902A 2022-07-28
KW0000902A 2022-07-28
KI0000014A 2022-07-07
KI0000025A 2022-07-08
KI0000025A 2022-07-08
KI0000028A 2022-07-09
KI0000038A 2022-07-12
KI0000038A 2022-07-12
KI0000038A 2022-07-12
KI0000038A 2022-07-12
KI0000067A 2022-07-17
KI0000067A 2022-07-17
KI0000092A 2022-07-25
KI0000104B 2022-07-26
KI0000105A 2022-07-26
KI0000108A 2022-07-27
KI0000110A 2022-07-27
KI0000116A 2022-07-27
KI0000116A 2022-07-27
KI0000116A 2022-07-27
KI0000116A 2022-07-27
KI0000118A 2022-07-27
KI0000125A 2022-07-28
KI0000125A 2022-07-28
KI0000130A 2022-07-29
KI0000130A 2022-07-29
KI0000131A 2022-07-29
KW0000043A 2022-07-02
KW0000048A 2022-07-02
KW0000049A 2022-07-02
KW0000056A 2022-07-02
KW0000056A 2022-07-02
KW0000057A 2022-07-02
KW0000059A 2022-07-02
KW0000257A 2022-07-10
KW0000258A 2022-07-10
KW0000260A 2022-07-10
KW0000263A 2022-07-10
KW0000266A 2022-07-10
KW0000266A 2022-07-10
KW0000266A 2022-07-10
KW0000267A 2022-07-10
KW0000267A 2022-07-10
KI0000131A 2022-07-29
KI0000131A 2022-07-29
KI0000131A 2022-07-29
KI0000134A 2022-07-30
KW0000185A 2022-07-07
KW0000185A 2022-07-07
KW0000210A 2022-07-08

Report Jasa Dokter - Fee Medis - 2022-07-01 Sampai 2022-07-31

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REPORT JASA DO

PERIODE 2022-07-01 sampai 2022-07-31

No Keterangan Tarif Jasa Dokter / Fee Medis Qty

Total Jasa Dokter / Fee Medis Nama Pasien Reg No Trs

10,000 REYHAN ARSHAVIN AZIZ 000194 TD0000696A

10,000 REYHAN ARSHAVIN AZIZ 000194 TD0000606A

5,000 QIANA MAULIDIA WARD000579 TD0001614A

5,000 NAHRAWI/P. SA`ADAH 000156 TD0000525D

10,000 RAVITA PUTRI HARTINI 000050 TD0000101B

5,000 SRIWIDAYATI 000585 TD0001622B

150,000 RAVITA PUTRI HARTINI 000050 TD0000103A

0 RAVITA PUTRI HARTINI 000050 REG000050

10,000 REYHAN ARSHAVIN AZIZ 000194 TD0000697B

30,000 HOTIJA / SEY 000551 REG000551

0 ASIA/ B. YON / ASIYA 000195 REG000195

0 EFY YULIASTUTIK 000052 REG000052

10,000 BADRIYAH 000321 TD0000903A

0 JUHAIRIYA 000028 REG000028

0 SURAKNA 000021 CHG-202207

75,000 EFY YULIASTUTIK 000069 TD0000276A

0 SITI KHATIJA 000362 REG000362

10,000 BUKADIN 000416 TD0001380A

0 I GUSTI SULTAN HAJJAR 000071 CHG-202207

0 MOHAMMAD JUNAIDI 000111 BL0000005A

10,000 REYHAN ARSHAVIN AZIZ 000194 TD0000691A

5,000 MUHAMMAD SULTHAN I000112 TD0000146D

0 REYHAN ARSHAVIN AZIZ 000194 BL0000004A

75,000 VELYSTA YUMNAA NALAD000197 TD0000541B

0 UMI KULSUM 000222 CHG-202207

500,000 RAVITA PUTRI HARTINI 000050 TD0000094A

10,000 VELYSTA YUMNAA NALAD000197 TD0000549B

5,000 AYU SAFITRI 000070 TD0000087A

0 YULIATIN / B. SERLI 000395 BL0000021A

15,000 RAVITA PUTRI HARTINI 000050 TD0000096A

20,000 NURIL KOMARIYAH 000258 TD0000723A

15,000 NASIHA 000490 TD0001296B

10,000 RAVITA PUTRI HARTINI 000050 TD0000102B

0 SEPTIAN FADLI SAPUTRA000098 BL0000035A

2,500 JUHAIRIYA 000030 TD0000038A

10,000 SITI ARMELIA KHAIRUNN000016 TD0000015A

10,000 ASMIATI 000017 TD0001266A

150,000 ABDULLAH 000125 TD0000200E

10,000 REYHAN ARSHAVIN AZIZ 000194 TD0000667A

0 MUHAMMAD ZAIDAN HI000591 BL0000083A

25,000 VELYSTA YUMNAA NALAD000197 TD0000645A

0 BUDI SAMSUDIN 000254 CHG-202207

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