<b>RS MEDIKA DRAMAGA</b><br/><b>Alamat Perusahaan :Jl. Raya Dramaga KM.

7,3
Margajaya Bogor Barat - Kota Bogor Jawa Barat </b><br/><b>Telepon
:0251-8308900</b><br/><b>Fax :0251-8625577</b><br/><b>Website :</b><br/><b>Alamat
Email :rsmedikabogor@gmail.com</b><br/><br/>
<h3>LAPORAN KUNJUNGAN PASIEN</h3>
PERIODE : 2023-07-01 s/d 2023-07-11<br/>
UNIT LAYANAN : RNJ04<br/>
<!------------KONTEN TABELNYA------------------------------------->

<table width="100%" border="1" >

<thead>
<tr>
<th>No.</th>
<th>Pasien Lama/Baru</th>
<th>Batal Reg</th>
<th>Alasan Batal Reg</th>
<th>No MR</th>
<th>Status Reg</th>
<th>Status Triage</th>
<th>Status Selesai</th>
<th>Selesai Billing</th>
<th>No Reg</th>
<th>Tgl Reg</th>
<th>Jam Reg</th>
<th>Jam Start Periksa</th>
<th>Jam Selesai Periksa</th>
<th>Nama Dokter Reg</th>
<th>Nama Dokter Rujuk</th>
<th>Asal Rujukan Luar</th>
<th>Sebab Rujuk</th>
<th>Nama Pasien</th>
<th>Ph1</th>
<th>Ph2</th>
<th>Pekerjaan</th>
<th>Tgl lahir</th>
<th>Sex</th>
<th>Gol Darah</th>
<th>Rhesus</th>
<th>Pendidikan</th>
<th>Warganegara</th>
<th>Suku</th>
<th>Agama</th>
<th>Alamat</th>
<th>Propinsi</th>
<th>Kota</th>
<th>Desa/Kelurahan</th>
<th>RT</th>
<th>RW</th>
<th>RI/RJ</th>
<th>Kelas</th>
<th>Nama Unit</th>
<th>Keterangan Masuk RI</th>
<th>ICD Masuk RI</th>
<th>Kode Bed</th>
<th>Nomor Bed</th>
<th>Nama Bed</th>
<th>Nama Unit Perujuk</th>
<th>Pulang</th>
 <th>Tgl Pulang</th>
<th>Jam Pulang</th>
<th>Lama Rawat</th>
<th>Status Pulang RI</th>
<th>CR</th>
<th>ESELON</th>
<th>Kasus Polisi</th>
<th>Status Selesai</th>
<th>Total Administrasi</th>
<th>Total Jasa Tindakan</th>
<th>Total Laboratorium</th>
<th>Total Radiologi</th>
<th>Total Penunjang</th>
<th>Total Obat</th>

</tr>
</thead>
<tbody>
<tr>
<td>1.</td>
<td>L</td>
<td>N</td>
<td>-</td>
<td>0021198522</td>
<td>ONSITE</td>
<td>-</td>
<td>Y</td>
<td>Y</td>
<td>ROK01202307010001</td>
<td>2023-07-01</td>
<td>14:53:44</td>
<td></td>
<td></td>
<td>dr. IRFAN MULYANA Sp.OG</td>
<td> dr. PONEK </td>
<td>-</td>
<td></td>
<td>SALSA ADELIA, NY</td>
<td></td>
<td>085714927610</td>
<td>NONJOB</td>
<td>2004-12-12</td>
<td>P</td>
<td></td>
<td></td>
<td>SMP</td>
<td>WNI</td>
<td>SUNDA</td>
<td>islam</td>
<td>KP. CINANGNENG</td>
<td>JAWA BARAT</td>
<td>KABUPATEN BOGOR</td>
<td>CINANGNENG</td>
<td>013</td>
<td>02</td>
<td>RI</td>
<td>KELAS III</td>
<td>RINJANI KELAS 3</td>
<td>-</td>
 <td></td>
<td>0000000401</td>
<td>5</td>
<td>RINJANI 204 BED A KELAS 3</td>
<td>IGD PONEK</td>
<td>Y</td>
<td>2023-07-03</td>
<td>18:47:56</td>
<td>3 </td>
<td>SEMBUH</td>
<td>BPJS</td>
<td>BPJS PBI KELAS 3</td>
<td>-</td>
<td></td>
<td>565208</td>
<td>6894000</td>
<td>1223000</td>
<td>0</td>
<td>0</td>
<td>1126466.5</td>

</tr>
<tr>
<td>2.</td>
<td>L</td>
<td>N</td>
<td>-</td>
<td>0021197563</td>
<td>ONSITE</td>
<td>-</td>
<td>Y</td>
<td>Y</td>
<td>VK01202307020003</td>
<td>2023-07-02</td>
<td>16:05:37</td>
<td></td>
<td></td>
<td>dr. GIOSEFFI P, MHKES Sp.OG</td>
<td> dr. PONEK </td>
<td>-</td>
<td></td>
<td>ADELIA AKILAH, NY</td>
<td></td>
<td>089514461183</td>
<td>IRT</td>
<td>2002-08-19</td>
<td>P</td>
<td></td>
<td></td>
<td>SMA</td>
<td>WNI</td>
<td>SUNDA</td>
<td>islam</td>
<td>DRAMAGA TANJAKAN KALER</td>
<td>JAWA BARAT</td>
<td>KABUPATEN BOGOR</td>
<td>DRAMAGA</td>
<td>04</td>
<td>05</td>
 <td>RI</td>
<td>KELAS III</td>
<td>RINJANI KELAS 3</td>
<td>-</td>
<td></td>
<td>0000000402</td>
<td>6</td>
<td>RINJANI 204 BED B KELAS 3</td>
<td>IGD PONEK</td>
<td>Y</td>
<td>2023-07-05</td>
<td>16:53:55</td>
<td>4 </td>
<td>SEMBUH</td>
<td>BPJS</td>
<td>BPJS PBI KELAS 3</td>
<td>-</td>
<td></td>
<td>593677</td>
<td>7269000</td>
<td>597000</td>
<td>0</td>
<td>0</td>
<td>1851956.4</td>

</tr>
<tr>
<td>3.</td>
<td>L</td>
<td>N</td>
<td>-</td>
<td>0021197325</td>
<td>ONSITE</td>
<td>-</td>
<td>Y</td>
<td>Y</td>
<td>RNJ04202307020003</td>
<td>2023-07-02</td>
<td>18:34:22</td>
<td></td>
<td></td>
<td>dr. GIOSEFFI P, MHKES Sp.OG</td>
<td>dr. GIOSEFFI P, MHKES Sp.OG</td>
<td>-</td>
<td></td>
<td>MUSLIMIANI REJEKI, NY</td>
<td></td>
<td>081210103089</td>
<td>NON JOB</td>
<td>1994-05-31</td>
<td>P</td>
<td></td>
<td></td>
<td>SD</td>
<td>WNI</td>
<td>SUNDA</td>
<td>islam</td>
<td>JL, DANAI POSO IV NO 77</td>
<td>BANTEN</td>
 <td>TANGERANG</td>
<td>BENCONGAN</td>
<td>002</td>
<td>005</td>
<td>RI</td>
<td>KELAS III</td>
<td>RINJANI KELAS 3</td>
<td>-</td>
<td></td>
<td>0000000399</td>
<td>3</td>
<td>RINJANI 203 BED C KELAS 3</td>
<td>KLINIK SPESIALIS OBSGYN ELEKTIF</td>
<td>Y</td>
<td>2023-07-05</td>
<td>15:45:49</td>
<td>4 </td>
<td>SEMBUH</td>
<td>BPJS</td>
<td>BPJS MANDIRI KELAS 3</td>
<td>-</td>
<td></td>
<td>462313</td>
<td>6295000</td>
<td>97000</td>
<td>0</td>
<td>0</td>
<td>1136558.3</td>

</tr>
<tr>
<td>4.</td>
<td>L</td>
<td>N</td>
<td>-</td>
<td>0021198163</td>
<td>ONSITE</td>
<td>-</td>
<td>Y</td>
<td>Y</td>
<td>RNJ04202307020002</td>
<td>2023-07-02</td>
<td>17:58:18</td>
<td></td>
<td></td>
<td>dr. GIOSEFFI P, MHKES Sp.OG</td>
<td>dr. GIOSEFFI P, MHKES Sp.OG</td>
<td>-</td>
<td></td>
<td>RITA BINTI NATA, NY</td>
<td></td>
<td>085715730224</td>
<td>NONJOB</td>
<td>1991-04-04</td>
<td>P</td>
<td></td>
<td></td>
<td>SMA</td>
<td>WNI</td>
 <td>SUNDA</td>
<td>islam</td>
<td>KP. CIMAYANG LEBAK</td>
<td>JAWA BARAT</td>
<td>KABUPATEN BOGOR</td>
<td>CIMAYANG</td>
<td>05</td>
<td>02</td>
<td>RI</td>
<td>KELAS III</td>
<td>RINJANI KELAS 3</td>
<td>-</td>
<td></td>
<td>0000000400</td>
<td>4</td>
<td>RINJANI 203 BED D KELAS 3</td>
<td>KLINIK SPESIALIS OBSGYN ELEKTIF</td>
<td>Y</td>
<td>2023-07-05</td>
<td>10:52:17</td>
<td>4 </td>
<td>SEMBUH</td>
<td>BPJS</td>
<td>BPJS MANDIRI KELAS 3</td>
<td>-</td>
<td></td>
<td>491212</td>
<td>6050000</td>
<td>626000</td>
<td>0</td>
<td>0</td>
<td>1334202.3</td>

</tr>
<tr>
<td>5.</td>
<td>L</td>
<td>N</td>
<td>-</td>
<td>0013017630</td>
<td>ONSITE</td>
<td>-</td>
<td>Y</td>
<td>Y</td>
<td>RNJ04202307020001</td>
<td>2023-07-02</td>
<td>16:52:25</td>
<td></td>
<td></td>
<td>dr. GIOSEFFI P, MHKES Sp.OG</td>
<td>dr. GIOSEFFI P, MHKES Sp.OG</td>
<td>-</td>
<td></td>
<td>WINDAYANI MIRA SARI INDAH, NY</td>
<td></td>
<td>085779003390</td>
<td>NONJOB</td>
<td>1989-06-25</td>
<td>P</td>
 <td></td>
<td>+</td>
<td>SMA</td>
<td>WNI</td>
<td>SUNDA</td>
<td>islam</td>
<td>KP. CARANGPULANG</td>
<td>JAWA BARAT</td>
<td>KABUPATEN BOGOR</td>
<td>CIKARAWANG</td>
<td>002</td>
<td>007</td>
<td>RI</td>
<td>KELAS III</td>
<td>RINJANI KELAS 3</td>
<td>-</td>
<td></td>
<td>0000000398</td>
<td>2</td>
<td>RINJANI 203 BED B KELAS 3</td>
<td>KLINIK SPESIALIS OBSGYN ELEKTIF</td>
<td>Y</td>
<td>2023-07-05</td>
<td>15:51:13</td>
<td>4 </td>
<td>SEMBUH</td>
<td>BPJS</td>
<td>BPJS MANDIRI KELAS 3</td>
<td>-</td>
<td></td>
<td>463682</td>
<td>6295000</td>
<td>97000</td>
<td>0</td>
<td>0</td>
<td>1159360.3</td>

</tr>
<tr>
<td>6.</td>
<td>L</td>
<td>N</td>
<td>-</td>
<td>0021198549</td>
<td>ONSITE</td>
<td>-</td>
<td>Y</td>
<td>Y</td>
<td>VK01202307020004</td>
<td>2023-07-02</td>
<td>21:52:06</td>
<td></td>
<td></td>
<td>dr. IRFAN MULYANA Sp.OG</td>
<td> dr. PONEK </td>
<td>-</td>
<td></td>
<td>AYUDINA BINTI SUPARTA, NY</td>
<td></td>
 <td>089516967837</td>
<td>NONJOB</td>
<td>1997-09-15</td>
<td>P</td>
<td></td>
<td></td>
<td>SMP</td>
<td>WNI</td>
<td>SUNDA</td>
<td>islam</td>
<td>KP. TANJAKAN CINANGNENG</td>
<td>JAWA BARAT</td>
<td>KABUPATEN BOGOR</td>
<td>CIBANTENG</td>
<td>003</td>
<td>006</td>
<td>RI</td>
<td>KELAS III</td>
<td>RINJANI KELAS 3</td>
<td>-</td>
<td></td>
<td>0000000404</td>
<td>8</td>
<td>RINJANI 204 BED D KELAS 3</td>
<td>IGD PONEK</td>
<td>Y</td>
<td>2023-07-04</td>
<td>17:35:01</td>
<td>3 </td>
<td>SEMBUH</td>
<td>BPJS</td>
<td>BPJS PBI KELAS 3</td>
<td>N</td>
<td></td>
<td>171054</td>
<td>2392000</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>282228.8999999999</td>

</tr>
<tr>
<td>7.</td>
<td>L</td>
<td>N</td>
<td>-</td>
<td>0021192719</td>
<td>ONSITE</td>
<td>-</td>
<td>Y</td>
<td>Y</td>
<td>VK01202307020002</td>
<td>2023-07-02</td>
<td>08:21:25</td>
<td></td>
<td></td>
<td>dr. IRFAN MULYANA Sp.OG</td>
<td>dr. IRFAN MULYANA Sp.OG</td>
 <td>-</td>
<td></td>
<td>NURUL IKBAL BADILAH, NY</td>
<td></td>
<td>085782601008</td>
<td>NONJOB</td>
<td>1997-09-19</td>
<td>P</td>
<td></td>
<td></td>
<td>SMA</td>
<td>WNI</td>
<td></td>
<td>islam</td>
<td>KP.BOJONG JENGKOL</td>
<td>JAWA BARAT</td>
<td>KABUPATEN BOGOR</td>
<td>BOJONG JENGKOL</td>
<td>01</td>
<td>04</td>
<td>RI</td>
<td>KELAS III</td>
<td>RINJANI KELAS 3</td>
<td>-</td>
<td></td>
<td>0000000397</td>
<td>1</td>
<td>RINJANI 203 BED A KELAS 3</td>
<td>KLINIK SPESIALIS OBSGYN ELEKTIF</td>
<td>Y</td>
<td>2023-07-05</td>
<td>20:24:46</td>
<td>4 </td>
<td>SEMBUH</td>
<td>BPJS</td>
<td>BPJS PBI KELAS 3</td>
<td>-</td>
<td></td>
<td>491591</td>
<td>6758000</td>
<td>97000</td>
<td>0</td>
<td>0</td>
<td>1161519.5</td>

</tr>
<tr>
<td>8.</td>
<td>L</td>
<td>N</td>
<td>-</td>
<td>0021198580</td>
<td>ONSITE</td>
<td>-</td>
<td>Y</td>
<td>Y</td>
<td>VK01202307030001</td>
<td>2023-07-03</td>
<td>09:30:48</td>
 <td></td>
<td></td>
<td>dr. IRFAN MULYANA Sp.OG</td>
<td> dr. PONEK </td>
<td>-</td>
<td></td>
<td>BIBAH SIFA FAUZIAH, NY</td>
<td></td>
<td>081211230176</td>
<td>NONJOB</td>
<td>1993-10-08</td>
<td>P</td>
<td></td>
<td></td>
<td>SMA</td>
<td>WNI</td>
<td></td>
<td>islam</td>
<td>KP. CISASAH</td>
<td>JAWA BARAT</td>
<td>KABUPATEN BOGOR</td>
<td>PURWASARI</td>
<td>03</td>
<td>05</td>
<td>RI</td>
<td>KELAS III</td>
<td>RINJANI KELAS 3</td>
<td>-</td>
<td></td>
<td>0000000401</td>
<td>5</td>
<td>RINJANI 204 BED A KELAS 3</td>
<td>IGD PONEK</td>
<td>Y</td>
<td>2023-07-04</td>
<td>00:31:06</td>
<td>2 </td>
<td>SEMBUH</td>
<td>BPJS</td>
<td>BPJS MANDIRI KELAS 3</td>
<td>N</td>
<td></td>
<td>184635</td>
<td>2682000</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>218578.5</td>

</tr>
<tr>
<td>9.</td>
<td>L</td>
<td>N</td>
<td>-</td>
<td>0021196029</td>
<td>ONSITE</td>
<td>-</td>
<td>Y</td>
 <td>Y</td>
<td>RNJ04202307040001</td>
<td>2023-07-04</td>
<td>06:40:21</td>
<td></td>
<td></td>
<td>dr. GIOSEFFI P, MHKES Sp.OG</td>
<td>dr. GIOSEFFI P, MHKES Sp.OG</td>
<td>-</td>
<td></td>
<td>RACHMAWATI BINTI ABDUL RAHMAN, NY</td>
<td></td>
<td>081380227879</td>
<td>NONJOB</td>
<td>1981-07-23</td>
<td>P</td>
<td></td>
<td></td>
<td>SMA</td>
<td>WNI</td>
<td>SUNDA</td>
<td>islam</td>
<td>KP. BENTENG</td>
<td>JAWA BARAT</td>
<td>KABUPATEN BOGOR</td>
<td>BENTENG</td>
<td>006</td>
<td>003</td>
<td>RI</td>
<td>KELAS III</td>
<td>RINJANI KELAS 3</td>
<td>-</td>
<td></td>
<td>0000000401</td>
<td>5</td>
<td>RINJANI 204 BED A KELAS 3</td>
<td>KLINIK SPESIALIS OBSGYN ELEKTIF</td>
<td>Y</td>
<td>2023-07-06</td>
<td>11:39:50</td>
<td>3 </td>
<td>SEMBUH</td>
<td>BPJS</td>
<td>BPJS PBI KELAS 3</td>
<td>N</td>
<td></td>
<td>605580</td>
<td>7662000</td>
<td>655000</td>
<td>0</td>
<td>0</td>
<td>1599327.5000000002</td>

</tr>
<tr>
<td>10.</td>
<td>L</td>
<td>N</td>
<td>-</td>
 <td>0021198727</td>
<td>ONSITE</td>
<td>-</td>
<td>Y</td>
<td>Y</td>
<td>RNJ04202307050005</td>
<td>2023-07-05</td>
<td>18:51:34</td>
<td></td>
<td></td>
<td>dr. ADY BHAKTI GINANJAR Sp.OG</td>
<td>dr. ADY BHAKTI GINANJAR Sp.OG</td>
<td>-</td>
<td></td>
<td>LINDAWATI BINTI RAHMAT. NY</td>
<td></td>
<td>081558277982</td>
<td>NON JOB</td>
<td>1990-07-05</td>
<td>P</td>
<td></td>
<td></td>
<td>SMP</td>
<td>WNI</td>
<td>SUNDA</td>
<td>islam</td>
<td>SINDANGBARANG PILAR I</td>
<td>JAWA BARAT</td>
<td>KOTA BOGOR</td>
<td>SINDANGBARANG</td>
<td>003</td>
<td>006</td>
<td>RI</td>
<td>KELAS III</td>
<td>RINJANI KELAS 3</td>
<td>-</td>
<td>Z34.0</td>
<td>0000000402</td>
<td>6</td>
<td>RINJANI 204 BED B KELAS 3</td>
<td>KLINIK SPESIALIS OBSGYN</td>
<td>Y</td>
<td>2023-07-08</td>
<td>17:50:52</td>
<td>4 </td>
<td>SEMBUH</td>
<td>BPJS</td>
<td>BPJS PBI KELAS 3</td>
<td>-</td>
<td></td>
<td>481817</td>
<td>6443000</td>
<td>97000</td>
<td>0</td>
<td>0</td>
<td>1313622.8</td>

</tr>
<tr>
<td>11.</td>
<td>L</td>
<td>N</td>
<td>-</td>
<td>0021196714</td>
<td>ONSITE</td>
<td>-</td>
<td>Y</td>
<td>Y</td>
<td>RNJ04202307050003</td>
<td>2023-07-05</td>
<td>17:07:44</td>
<td></td>
<td></td>
<td>dr. ADY BHAKTI GINANJAR Sp.OG</td>
<td>dr. ADY BHAKTI GINANJAR Sp.OG</td>
<td>-</td>
<td></td>
<td>SINDI LESTARI, NY</td>
<td></td>
<td>083808490288</td>
<td>NONJOB</td>
<td>1990-01-02</td>
<td>P</td>
<td></td>
<td></td>
<td>SMP</td>
<td>WNI</td>
<td>SUNDA</td>
<td>islam</td>
<td>KOMP GRIYA SALAK ASRI BLOK C NO 23</td>
<td>JAWA BARAT</td>
<td>KABUPATEN BOGOR</td>
<td>CINANGKA</td>
<td>001</td>
<td>009</td>
<td>RI</td>
<td>KELAS III</td>
<td>RINJANI KELAS 3</td>
<td>-</td>
<td></td>
<td>0000000399</td>
<td>3</td>
<td>RINJANI 203 BED C KELAS 3</td>
<td>KLINIK SPESIALIS OBSGYN ELEKTIF</td>
<td>Y</td>
<td>2023-07-08</td>
<td>18:52:38</td>
<td>4 </td>
<td>SEMBUH</td>
<td>BPJS</td>
<td>BPJS MANDIRI KELAS 3</td>
<td>-</td>
<td></td>
<td>494713</td>
<td>6508000</td>
<td>97000</td>
<td>0</td>
<td>0</td>
 <td>1463558.5000000002</td>

</tr>
<tr>
<td>12.</td>
<td>L</td>
<td>N</td>
<td>-</td>
<td>0021197342</td>
<td>ONSITE</td>
<td>-</td>
<td>Y</td>
<td>Y</td>
<td>VK01202307050004</td>
<td>2023-07-05</td>
<td>16:17:07</td>
<td></td>
<td></td>
<td>dr. GIOSEFFI P, MHKES Sp.OG</td>
<td> dr. PONEK </td>
<td>-</td>
<td></td>
<td>MEGA MARTIAWATI, NY</td>
<td></td>
<td>08571071209</td>
<td>IRT</td>
<td>1992-06-06</td>
<td>P</td>
<td></td>
<td></td>
<td>SMA</td>
<td>WNI</td>
<td></td>
<td>islam</td>
<td>JL BATU HULUNG NO 25</td>
<td>JAWA BARAT</td>
<td>KOTA BOGOR</td>
<td>MARGAJAYA</td>
<td>003</td>
<td>001</td>
<td>RI</td>
<td>KELAS III</td>
<td>RINJANI KELAS 3</td>
<td>-</td>
<td></td>
<td>0000000404</td>
<td>8</td>
<td>RINJANI 204 BED D KELAS 3</td>
<td>IGD PONEK</td>
<td>Y</td>
<td>2023-07-06</td>
<td>18:07:52</td>
<td>2 </td>
<td>SEMBUH</td>
<td>BPJS</td>
<td>BPJS PBI KELAS 3</td>
<td>-</td>
<td></td>
<td>53817</td>
 <td>622000</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>98280.09999999999</td>

</tr>
<tr>
<td>13.</td>
<td>L</td>
<td>N</td>
<td>-</td>
<td>0021173472</td>
<td>ONSITE</td>
<td>-</td>
<td>Y</td>
<td>Y</td>
<td>RNJ04202307050001</td>
<td>2023-07-05</td>
<td>11:04:02</td>
<td></td>
<td></td>
<td>dr. IRFAN MULYANA Sp.OG</td>
<td>dr. IRFAN MULYANA Sp.OG</td>
<td>-</td>
<td></td>
<td>EVI NUR AFIFAH, NY</td>
<td></td>
<td>085888298692</td>
<td>MAHASISWA</td>
<td>1996-10-13</td>
<td>P</td>
<td></td>
<td></td>
<td>SMA</td>
<td>WNI</td>
<td>SUNDA</td>
<td>islam</td>
<td>KP. CIPAYUNG</td>
<td>JAWA BARAT</td>
<td>KABUPATEN BOGOR</td>
<td>SUKAHARJA</td>
<td>002</td>
<td>007</td>
<td>RI</td>
<td>KELAS III</td>
<td>RINJANI KELAS 3</td>
<td>-</td>
<td></td>
<td>0000000403</td>
<td>7</td>
<td>RINJANI 204 BED C KELAS 3</td>
<td>KLINIK SPESIALIS OBSGYN ELEKTIF</td>
<td>Y</td>
<td>2023-07-07</td>
<td>18:50:52</td>
<td>3 </td>
<td>SEMBUH</td>
<td>BPJS</td>
 <td>BPJS PBI KELAS 3</td>
<td>-</td>
<td></td>
<td>469080</td>
<td>6265000</td>
<td>97000</td>
<td>0</td>
<td>0</td>
<td>1279334.1</td>

</tr>
<tr>
<td>14.</td>
<td>L</td>
<td>N</td>
<td>-</td>
<td>0021189081</td>
<td>ONSITE</td>
<td>-</td>
<td>Y</td>
<td>Y</td>
<td>VK01202307050002</td>
<td>2023-07-05</td>
<td>09:27:45</td>
<td></td>
<td></td>
<td>dr. IRFAN MULYANA Sp.OG</td>
<td> dr. PONEK </td>
<td>-</td>
<td></td>
<td>HALIMAH BINTI HANAPI, NY </td>
<td></td>
<td>081283377121</td>
<td>NONJOB</td>
<td>1986-03-02</td>
<td>P</td>
<td></td>
<td></td>
<td>SD</td>
<td>WNI</td>
<td>SUNDA</td>
<td>islam</td>
<td>KP CIBEUREUM KALONG </td>
<td>JAWA BARAT</td>
<td>KABUPATEN BOGOR</td>
<td>SUKAWENING</td>
<td>006</td>
<td>005</td>
<td>RI</td>
<td>KELAS III</td>
<td>RINJANI KELAS 3</td>
<td>-</td>
<td></td>
<td>0000000399</td>
<td>3</td>
<td>RINJANI 203 BED C KELAS 3</td>
<td>IGD PONEK</td>
<td>Y</td>
<td>2023-07-06</td>
 <td>11:03:44</td>
<td>2 </td>
<td>SEMBUH</td>
<td>BPJS</td>
<td>BPJS PBI KELAS 3</td>
<td>-</td>
<td></td>
<td>185781</td>
<td>2683000</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>236685</td>

</tr>
<tr>
<td>15.</td>
<td>L</td>
<td>N</td>
<td>-</td>
<td>0021198581</td>
<td>ONSITE</td>
<td>-</td>
<td>Y</td>
<td>Y</td>
<td>VK01202307050005</td>
<td>2023-07-05</td>
<td>22:16:22</td>
<td></td>
<td></td>
<td>dr. IRFAN MULYANA Sp.OG</td>
<td> dr. PONEK </td>
<td>-</td>
<td></td>
<td>MARWAH KIRANA RAMADHAN, NY</td>
<td></td>
<td>081388559211</td>
<td>GURU</td>
<td>1996-01-30</td>
<td>P</td>
<td></td>
<td></td>
<td>S1</td>
<td>WNI</td>
<td></td>
<td>islam</td>
<td>JL. BANGKA II NO 30</td>
<td>DKI JAKARTA</td>
<td>JAKARTA SELATAN</td>
<td>PELA AMPANG</td>
<td>008</td>
<td>003</td>
<td>RI</td>
<td>KELAS III</td>
<td>RINJANI KELAS 3</td>
<td>-</td>
<td></td>
<td>0000000398</td>
<td>2</td>
 <td>RINJANI 203 BED B KELAS 3</td>
<td>IGD PONEK</td>
<td>Y</td>
<td>2023-07-06</td>
<td>14:26:12</td>
<td>2 </td>
<td>SEMBUH</td>
<td>CASH</td>
<td>CASH</td>
<td>-</td>
<td></td>
<td>48787</td>
<td>400000</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>236451</td>

</tr>
<tr>
<td>16.</td>
<td>L</td>
<td>N</td>
<td>-</td>
<td>0021198728</td>
<td>ONSITE</td>
<td>-</td>
<td>Y</td>
<td>Y</td>
<td>RNJ04202307050002</td>
<td>2023-07-05</td>
<td>16:33:56</td>
<td></td>
<td></td>
<td>dr. IRFAN MULYANA Sp.OG</td>
<td> dr. PONEK </td>
<td>-</td>
<td></td>
<td>MEISYA PUTRI ULANDARI, NY</td>
<td></td>
<td>08211221827157</td>
<td>IRT</td>
<td>1998-05-18</td>
<td>P</td>
<td></td>
<td></td>
<td>SMA</td>
<td>WNI</td>
<td>SUNDA</td>
<td>islam</td>
<td>DUSUN KAMPUNG BARU JORONG GANDO</td>
<td>SUMATERA BARAT</td>
<td>KAB.SOLOK</td>
<td>PANINGGAHAN</td>
<td>000</td>
<td>000</td>
<td>RI</td>
<td>KELAS III</td>
<td>RINJANI KELAS 3</td>
 <td>-</td>
<td></td>
<td>0000000397</td>
<td>1</td>
<td>RINJANI 203 BED A KELAS 3</td>
<td>IGD PONEK</td>
<td>Y</td>
<td>2023-07-07</td>
<td>17:08:12</td>
<td>3 </td>
<td>SEMBUH</td>
<td>CASH</td>
<td>CASH</td>
<td>-</td>
<td></td>
<td>676702</td>
<td>8985000</td>
<td>118000</td>
<td>0</td>
<td>0</td>
<td>1998705.7999999998</td>

</tr>
<tr>
<td>17.</td>
<td>L</td>
<td>N</td>
<td>-</td>
<td>0021198700</td>
<td>ONSITE</td>
<td>-</td>
<td>Y</td>
<td>Y</td>
<td>RNJ04202307050004</td>
<td>2023-07-05</td>
<td>17:42:17</td>
<td></td>
<td></td>
<td>dr. YERRY ARBENO Sp.OG</td>
<td>dr. YERRY ARBENO Sp.OG</td>
<td>-</td>
<td></td>
<td>UU BADRIAH.NY</td>
<td></td>
<td>0881024567285</td>
<td>IRT</td>
<td>1986-04-27</td>
<td>P</td>
<td></td>
<td></td>
<td>SMP</td>
<td>WNI</td>
<td>SUNDA</td>
<td>islam</td>
<td>KP.CIHERANG CUTAK</td>
<td>JAWA BARAT</td>
<td>KABUPATEN BOGOR</td>
<td>CIAPUS</td>
<td>01</td>
 <td>05</td>
<td>RI</td>
<td>KELAS III</td>
<td>RINJANI KELAS 3</td>
<td>-</td>
<td>Z34.9</td>
<td>0000000400</td>
<td>4</td>
<td>RINJANI 203 BED D KELAS 3</td>
<td>KLINIK SPESIALIS OBSGYN</td>
<td>Y</td>
<td>2023-07-07</td>
<td>18:51:03</td>
<td>3 </td>
<td>SEMBUH</td>
<td>BPJS</td>
<td>BPJS MANDIRI KELAS 3</td>
<td>N</td>
<td></td>
<td>461421</td>
<td>6227000</td>
<td>97000</td>
<td>0</td>
<td>0</td>
<td>1189685.0000000002</td>

</tr>
<tr>
<td>18.</td>
<td>L</td>
<td>N</td>
<td>-</td>
<td>0021183106</td>
<td>ONSITE</td>
<td>-</td>
<td>Y</td>
<td>Y</td>
<td>RNJ04202307060001</td>
<td>2023-07-06</td>
<td>09:36:55</td>
<td></td>
<td></td>
<td>dr. IRFAN MULYANA Sp.OG</td>
<td> dr. PONEK </td>
<td>-</td>
<td></td>
<td>SITI NURLITA, NY</td>
<td></td>
<td>085892620495</td>
<td>NON JOB</td>
<td>1997-01-13</td>
<td>P</td>
<td></td>
<td></td>
<td>SD</td>
<td>WNI</td>
<td>SUNDA</td>
<td>islam</td>
<td>KP. CISASAH</td>
 <td>JAWA BARAT</td>
<td>KABUPATEN BOGOR</td>
<td>SUKAJADI</td>
<td>003</td>
<td>010</td>
<td>RI</td>
<td>KELAS III</td>
<td>RINJANI KELAS 3</td>
<td>-</td>
<td></td>
<td>0000000405</td>
<td>9</td>
<td>RINJANI 204 BED E KELAS 3</td>
<td>IGD PONEK</td>
<td>Y</td>
<td>2023-07-07</td>
<td>13:05:56</td>
<td>2 </td>
<td>SEMBUH</td>
<td>BPJS</td>
<td>BPJS PBI KELAS 3</td>
<td>-</td>
<td></td>
<td>37882</td>
<td>422000</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>32697.9</td>

</tr>
<tr>
<td>19.</td>
<td>L</td>
<td>N</td>
<td>-</td>
<td>0021197978</td>
<td>ONSITE</td>
<td>-</td>
<td>Y</td>
<td>Y</td>
<td>RNJ04202307070001</td>
<td>2023-07-07</td>
<td>08:25:44</td>
<td></td>
<td></td>
<td>dr Adi Bhakti Ginanjar </td>
<td>dr. ADY BHAKTI GINANJAR Sp.OG</td>
<td>-</td>
<td></td>
<td>SUZANA BINTI MAMAT, NY</td>
<td></td>
<td>081280479332</td>
<td>NONJOB</td>
<td>1981-09-15</td>
<td>P</td>
<td></td>
<td></td>
<td>SMA</td>
 <td>WNI</td>
<td>SUNDA</td>
<td>islam</td>
<td>KP, JAWA</td>
<td>JAWA BARAT</td>
<td>KOTA BOGOR</td>
<td>SITU GEDE</td>
<td>003</td>
<td>007</td>
<td>RI</td>
<td>KELAS III</td>
<td>RINJANI KELAS 3</td>
<td>-</td>
<td></td>
<td>0000000401</td>
<td>5</td>
<td>RINJANI 204 BED A KELAS 3</td>
<td>KLINIK SPESIALIS OBSGYN ELEKTIF</td>
<td>Y</td>
<td>2023-07-09</td>
<td>18:22:07</td>
<td>3 </td>
<td>SEMBUH</td>
<td>BPJS</td>
<td>BPJS PBI KELAS 3</td>
<td>-</td>
<td></td>
<td>472778</td>
<td>6343000</td>
<td>137000</td>
<td>0</td>
<td>0</td>
<td>1222973.6</td>

</tr>
<tr>
<td>20.</td>
<td>L</td>
<td>N</td>
<td>-</td>
<td>0021198856</td>
<td>ONSITE</td>
<td>-</td>
<td>Y</td>
<td>Y</td>
<td>VK01202307070003</td>
<td>2023-07-07</td>
<td>16:18:45</td>
<td></td>
<td></td>
<td>dr. IRFAN MULYANA Sp.OG</td>
<td> dr. PONEK </td>
<td>-</td>
<td></td>
<td>SITI NURFITRIANI, NY</td>
<td></td>
<td>085714876009</td>
<td>NONJOB</td>
<td>1994-03-08</td>
 <td>P</td>
<td></td>
<td></td>
<td>SMA</td>
<td>WNI</td>
<td>SUNDA</td>
<td>islam</td>
<td>KP, CIBANTENG ATAS</td>
<td>JAWA BARAT</td>
<td>KABUPATEN BOGOR</td>
<td>CIHIDEUNG ILIR</td>
<td>001</td>
<td>004</td>
<td>RI</td>
<td>KELAS III</td>
<td>RINJANI KELAS 3</td>
<td>-</td>
<td></td>
<td>0000000405</td>
<td>9</td>
<td>RINJANI 204 BED E KELAS 3</td>
<td>IGD PONEK</td>
<td>Y</td>
<td>2023-07-08</td>
<td>06:55:22</td>
<td>2 </td>
<td>SEMBUH</td>
<td>BPJS</td>
<td>BPJS PBI KELAS 3</td>
<td>-</td>
<td></td>
<td>185123</td>
<td>2683000</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>225712</td>

</tr>
<tr>
<td>21.</td>
<td>L</td>
<td>N</td>
<td>-</td>
<td>0021198911</td>
<td>ONSITE</td>
<td>-</td>
<td>Y</td>
<td>Y</td>
<td>VK01202307080004</td>
<td>2023-07-08</td>
<td>23:54:16</td>
<td></td>
<td></td>
<td>dr. IRFAN MULYANA Sp.OG</td>
<td> dr. PONEK </td>
<td>-</td>
<td></td>
<td>HANAFIAH AL SAMHA MARICAR S, NY</td>
 <td></td>
<td>08124880066</td>
<td>NONJOB</td>
<td>1999-04-26</td>
<td>P</td>
<td></td>
<td></td>
<td>SMA</td>
<td>WNI</td>
<td></td>
<td>islam</td>
<td>KP. CINANGNENG</td>
<td>JAWA BARAT</td>
<td>KABUPATEN BOGOR</td>
<td>CINANGNENG</td>
<td>004</td>
<td>004</td>
<td>RI</td>
<td>KELAS III</td>
<td>RINJANI KELAS 3</td>
<td>-</td>
<td></td>
<td>0000000397</td>
<td>1</td>
<td>RINJANI 203 BED A KELAS 3</td>
<td>IGD PONEK</td>
<td>Y</td>
<td>2023-07-09</td>
<td>14:16:57</td>
<td>2 </td>
<td>SEMBUH</td>
<td>CASH</td>
<td>CASH</td>
<td>-</td>
<td></td>
<td>47998</td>
<td>400000</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>223291</td>

</tr>
<tr>
<td>22.</td>
<td>L</td>
<td>N</td>
<td>-</td>
<td>0021198879</td>
<td>ONSITE</td>
<td>-</td>
<td>Y</td>
<td>Y</td>
<td>VK01202307080001</td>
<td>2023-07-08</td>
<td>10:25:35</td>
<td></td>
<td></td>
<td>dr. IRFAN MULYANA Sp.OG</td>
 <td> dr. PONEK </td>
<td>-</td>
<td></td>
<td>RASIH BINTI RASIP, NY</td>
<td></td>
<td>081514097330</td>
<td>NON JOB</td>
<td>1974-04-12</td>
<td>P</td>
<td></td>
<td></td>
<td>SD</td>
<td>WNI</td>
<td>SUNDA</td>
<td>islam</td>
<td>KP SITUDAUN </td>
<td>JAWA BARAT</td>
<td>KABUPATEN BOGOR</td>
<td>SITU DAUN</td>
<td>009</td>
<td>002</td>
<td>RI</td>
<td>KELAS III</td>
<td>RINJANI KELAS 3</td>
<td>-</td>
<td></td>
<td>0000000397</td>
<td>1</td>
<td>RINJANI 203 BED A KELAS 3</td>
<td>IGD PONEK</td>
<td>Y</td>
<td>2023-07-09</td>
<td>18:03:24</td>
<td>2 </td>
<td>SEMBUH</td>
<td>BPJS</td>
<td>BPJS PBI KELAS 3</td>
<td>-</td>
<td></td>
<td>186287</td>
<td>2683000</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>245122</td>

</tr>
<tr>
<td>23.</td>
<td>L</td>
<td>N</td>
<td>-</td>
<td>0016069344</td>
<td>ONSITE</td>
<td>-</td>
<td>Y</td>
<td>Y</td>
<td>VK01202307080003</td>
<td>2023-07-08</td>
 <td>11:03:58</td>
<td></td>
<td></td>
<td>dr. IRFAN MULYANA Sp.OG</td>
<td> dr. PONEK </td>
<td>-</td>
<td></td>
<td>SERLI OKTAVIA, NY</td>
<td></td>
<td>081385895573</td>
<td>NONJOB</td>
<td>2000-11-27</td>
<td>P</td>
<td></td>
<td>+</td>
<td>SMP</td>
<td>WNI</td>
<td>SUNDA</td>
<td>islam</td>
<td>KP. SITU DAUN </td>
<td>JAWA BARAT</td>
<td>KABUPATEN BOGOR</td>
<td>SITU DAUN</td>
<td>08</td>
<td>02</td>
<td>RI</td>
<td>KELAS III</td>
<td>RINJANI KELAS 3</td>
<td>-</td>
<td></td>
<td>0000000402</td>
<td>6</td>
<td>RINJANI 204 BED B KELAS 3</td>
<td>IGD PONEK</td>
<td>Y</td>
<td>2023-07-10</td>
<td>09:33:08</td>
<td>3 </td>
<td>SEMBUH</td>
<td>BPJS</td>
<td>BPJS PBI KELAS 3</td>
<td>N</td>
<td></td>
<td>176160</td>
<td>2511000</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>248326.1</td>

</tr>
<tr>
<td>24.</td>
<td>L</td>
<td>N</td>
<td>-</td>
<td>0021195523</td>
<td>ONSITE</td>
<td>-</td>
 <td>N</td>
<td>N</td>
<td>RNJ04202307100001</td>
<td>2023-07-10</td>
<td>07:35:18</td>
<td></td>
<td></td>
<td>dr. GIOSEFFI P, MHKES Sp.OG</td>
<td>dr. GIOSEFFI P, MHKES Sp.OG</td>
<td>-</td>
<td></td>
<td>HENNY APRIANI.NY</td>
<td></td>
<td>081219874880</td>
<td>IRT</td>
<td>1996-04-17</td>
<td>P</td>
<td></td>
<td></td>
<td>SMP</td>
<td>WNI</td>
<td></td>
<td>islam</td>
<td>KP.SEMPLAK</td>
<td>JAWA BARAT</td>
<td>KOTA BOGOR</td>
<td>BUBULAK</td>
<td>002</td>
<td>012</td>
<td>RI</td>
<td>KELAS III</td>
<td>RINJANI KELAS 3</td>
<td>-</td>
<td></td>
<td>0000000401</td>
<td>5</td>
<td>RINJANI 204 BED A KELAS 3</td>
<td>KLINIK SPESIALIS OBSGYN ELEKTIF</td>
<td>N</td>
<td></td>
<td></td>
<td>2 </td>
<td>-</td>
<td>BPJS</td>
<td>BPJS MANDIRI KELAS 3</td>
<td>-</td>
<td></td>
<td>10000</td>
<td>5567000</td>
<td>626000</td>
<td>0</td>
<td>0</td>
<td>1167200.8</td>

</tr>
<tr>
<td>25.</td>
<td>L</td>
<td>N</td>
 <td>-</td>
<td>0021196678</td>
<td>ONSITE</td>
<td>-</td>
<td>N</td>
<td>N</td>
<td>RNJ04202307100002</td>
<td>2023-07-10</td>
<td>09:02:49</td>
<td></td>
<td></td>
<td>dr. GIOSEFFI P, MHKES Sp.OG</td>
<td>dr. GIOSEFFI P, MHKES Sp.OG</td>
<td>-</td>
<td></td>
<td>JADE TIARA TSABITA.NY</td>
<td></td>
<td>085880027112</td>
<td>PELAJAR</td>
<td>2005-06-06</td>
<td>P</td>
<td></td>
<td></td>
<td>SD</td>
<td>WNI</td>
<td></td>
<td>islam</td>
<td>KP.KRETEG</td>
<td>JAWA BARAT</td>
<td>KABUPATEN BOGOR</td>
<td>PADASUKA</td>
<td>002</td>
<td>002</td>
<td>RI</td>
<td>KELAS III</td>
<td>RINJANI KELAS 3</td>
<td>-</td>
<td></td>
<td>0000000403</td>
<td>7</td>
<td>RINJANI 204 BED C KELAS 3</td>
<td>KLINIK SPESIALIS OBSGYN ELEKTIF</td>
<td>N</td>
<td></td>
<td></td>
<td>2 </td>
<td>-</td>
<td>BPJS</td>
<td>BPJS PBI KELAS 3</td>
<td>-</td>
<td></td>
<td>10000</td>
<td>5995000</td>
<td>626000</td>
<td>0</td>
<td>0</td>
<td>1223751.8</td>

</tr>
 <tr>
<td>26.</td>
<td>L</td>
<td>N</td>
<td>-</td>
<td>0021195566</td>
<td>ONSITE</td>
<td>-</td>
<td>N</td>
<td>N</td>
<td>VK01202307100002</td>
<td>2023-07-10</td>
<td>23:33:14</td>
<td></td>
<td></td>
<td>dr. IRFAN MULYANA Sp.OG</td>
<td> dr. PONEK </td>
<td>-</td>
<td></td>
<td>LENI FEBRIANI, NY</td>
<td></td>
<td>085775061601</td>
<td>NONJOB</td>
<td>2001-02-24</td>
<td>P</td>
<td></td>
<td></td>
<td>SD</td>
<td>WNI</td>
<td>SUNDA</td>
<td>islam</td>
<td>KP, CITENGAH</td>
<td>JAWA BARAT</td>
<td>SUKABUMI</td>
<td>SUKAMULYA</td>
<td>006</td>
<td>002</td>
<td>RI</td>
<td>KELAS III</td>
<td>RINJANI KELAS 3</td>
<td>-</td>
<td></td>
<td>0000000404</td>
<td>8</td>
<td>RINJANI 204 BED D KELAS 3</td>
<td>IGD PONEK</td>
<td>N</td>
<td></td>
<td></td>
<td>2 </td>
<td>-</td>
<td>BPJS</td>
<td>BPJS PBI KELAS 3</td>
<td>N</td>
<td></td>
<td>10000</td>
<td>2169000</td>
<td>29000</td>
<td>0</td>
 <td>0</td>
<td>290709</td>

</tr>
<tr>
<td>27.</td>
<td>L</td>
<td>N</td>
<td>-</td>
<td>0016071868</td>
<td>ONSITE</td>
<td>-</td>
<td>N</td>
<td>N</td>
<td>RNJ04202307100003</td>
<td>2023-07-10</td>
<td>10:36:57</td>
<td></td>
<td></td>
<td>dr. IRFAN MULYANA Sp.OG</td>
<td> dr. PONEK </td>
<td>-</td>
<td></td>
<td>NOPIYANI BINTI SALBINI, NY</td>
<td></td>
<td>085881351386</td>
<td>IRT</td>
<td>1984-11-17</td>
<td>P</td>
<td></td>
<td>+</td>
<td>SMA</td>
<td>WNI</td>
<td></td>
<td>islam</td>
<td>JL BABAKAN RT 01 RW 01 </td>
<td>JAWA BARAT</td>
<td>JAWA BARAT</td>
<td>BABAKAN</td>
<td>01</td>
<td>01</td>
<td>RI</td>
<td>KELAS III</td>
<td>RINJANI KELAS 3</td>
<td>-</td>
<td></td>
<td>0000000402</td>
<td>6</td>
<td>RINJANI 204 BED B KELAS 3</td>
<td>IGD PONEK</td>
<td>N</td>
<td></td>
<td></td>
<td>2 </td>
<td>-</td>
<td>BPJS</td>
<td>BPJS PBI KELAS 3</td>
<td>-</td>
<td></td>
 <td>10000</td>
<td>5965000</td>
<td>97000</td>
<td>0</td>
<td>0</td>
<td>990130.9</td>

</tr>
<tr>
<td>28.</td>
<td>L</td>
<td>N</td>
<td>-</td>
<td>0021198938</td>
<td>ONSITE</td>
<td>-</td>
<td>Y</td>
<td>Y</td>
<td>VK01202307100001</td>
<td>2023-07-10</td>
<td>11:11:27</td>
<td></td>
<td></td>
<td>dr. IRFAN MULYANA Sp.OG</td>
<td> dr. PONEK </td>
<td>-</td>
<td></td>
<td>TITA ROSITA.NY</td>
<td></td>
<td>-</td>
<td>IRT</td>
<td>1980-05-20</td>
<td>P</td>
<td></td>
<td></td>
<td>SMA</td>
<td>WNI</td>
<td></td>
<td>islam</td>
<td>KP.HEGARSARI II</td>
<td>JAWA BARAT</td>
<td>KABUPATEN BOGOR</td>
<td>CIBEBER 1</td>
<td>04</td>
<td>07</td>
<td>RI</td>
<td>KELAS III</td>
<td>RINJANI KELAS 3</td>
<td>-</td>
<td></td>
<td>0000000402</td>
<td>6</td>
<td>RINJANI 204 BED B KELAS 3</td>
<td>IGD PONEK</td>
<td>Y</td>
<td>2023-07-11</td>
<td>01:27:57</td>
<td>2 </td>
<td>SEMBUH</td>
 <td>BPJS</td>
<td>BPJS PBI KELAS 3</td>
<td>-</td>
<td></td>
<td>239065</td>
<td>3615000</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>192751</td>

</tr>
<tr>
<td>29.</td>
<td>L</td>
<td>N</td>
<td>-</td>
<td>0021199006</td>
<td>ONSITE</td>
<td>-</td>
<td>N</td>
<td>N</td>
<td>VK01202307110001</td>
<td>2023-07-11</td>
<td>10:57:10</td>
<td></td>
<td></td>
<td>dr. ADY BHAKTI GINANJAR Sp.OG</td>
<td>dr. ADY BHAKTI GINANJAR Sp.OG</td>
<td>-</td>
<td></td>
<td>ANISA SEPTIANI, NY</td>
<td></td>
<td>088296176090</td>
<td>NONJOB</td>
<td>1994-09-30</td>
<td>P</td>
<td></td>
<td></td>
<td>SMA</td>
<td>WNI</td>
<td>SUNDA</td>
<td>islam</td>
<td>KP.PASAR JUMAT</td>
<td>JAWA BARAT</td>
<td>KABUPATEN BOGOR</td>
<td>GUNUNG SARI</td>
<td>02</td>
<td>05</td>
<td>RI</td>
<td>KELAS III</td>
<td>RINJANI KELAS 3</td>
<td>-</td>
<td>Z34.8</td>
<td>0000000405</td>
<td>9</td>
<td>RINJANI 204 BED E KELAS 3</td>
<td>KLINIK SPESIALIS OBSGYN</td>
<td>N</td>
 <td></td>
<td></td>
<td>1 </td>
<td>-</td>
<td>BPJS</td>
<td>BPJS PBI KELAS 3</td>
<td>-</td>
<td></td>
<td>10000</td>
<td>219000</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>139030</td>

</tr>

</tbody>
</table>