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BPJS Kesehatan Cab.

MATARAM
FORMULIR PENGAJUAN KLAIM TINGKAT PERTAMA

Nomor FPK
: P2308000027269
Provider
: PELANGAN
Bulan Pelayanan
: August 2023
Pelayanan
: Promotif
Total Data Total
: 95
Tagihan
: Rp. 1.900.000

NoKunjungan NAMA TANGGAL TINDAKAN HASIL TENAGA MEDIS BIAYA

RIZKY HUTOMOAJI PUJO


230112020823P000048 SAENAH 02/08/2023 Gula Darah Puasa (GDP) - PRB/Prolanis 90.00 mgr/dl Rp. 20.000
PRASETYO, A.Md. Kep.
RIZKY HUTOMOAJI PUJO
230112020823P000049 MALWIAH 02/08/2023 Gula Darah Puasa (GDP) - PRB/Prolanis 98.00 mgr/dl Rp. 20.000
PRASETYO, A.Md. Kep.
100.00 RIZKY HUTOMOAJI PUJO
230112020823P000050 ICAH 02/08/2023 Gula Darah Puasa (GDP) - PRB/Prolanis Rp. 20.000
mgr/dl PRASETYO, A.Md. Kep.
RIZKY HUTOMOAJI PUJO
230112020823P000051 MUSTIANI 02/08/2023 Gula Darah Puasa (GDP) - PRB/Prolanis 97.00 mgr/dl Rp. 20.000
PRASETYO, A.Md. Kep.
RIZKY HUTOMOAJI PUJO
230112020823P000052 HIKMAH 02/08/2023 Gula Darah Puasa (GDP) - PRB/Prolanis 99.00 mgr/dl Rp. 20.000
PRASETYO, A.Md. Kep.
100.00 RIZKY HUTOMOAJI PUJO
230112020823P000053 MUHAMMAD AZ-ZAHRAWANI 02/08/2023 Gula Darah Puasa (GDP) - PRB/Prolanis Rp. 20.000
mgr/dl PRASETYO, A.Md. Kep.
100.00 RIZKY HUTOMOAJI PUJO
230112020823P000055 NURMINAH 02/08/2023 Gula Darah Puasa (GDP) - PRB/Prolanis Rp. 20.000
mgr/dl PRASETYO, A.Md. Kep.
100.00 RIZKY HUTOMOAJI PUJO
230112020823P000056 SITI MAESARAH 02/08/2023 Gula Darah Puasa (GDP) - PRB/Prolanis Rp. 20.000
mgr/dl PRASETYO, A.Md. Kep.
RIZKY HUTOMOAJI PUJO
230112020823P000057 MAHNIM 02/08/2023 Gula Darah Puasa (GDP) - PRB/Prolanis 96.00 mgr/dl Rp. 20.000
PRASETYO, A.Md. Kep.
101.00 RIZKY HUTOMOAJI PUJO
230112020823P000059 MUNAH 02/08/2023 Gula Darah Puasa (GDP) - PRB/Prolanis Rp. 20.000
mgr/dl PRASETYO, A.Md. Kep.
102.00 RIZKY HUTOMOAJI PUJO
230112020823P000060 MANIS 02/08/2023 Gula Darah Puasa (GDP) - PRB/Prolanis Rp. 20.000
mgr/dl PRASETYO, A.Md. Kep.
102.00 RIZKY HUTOMOAJI PUJO
230112020823P000061 USMAN, S.PD 02/08/2023 Gula Darah Puasa (GDP) - PRB/Prolanis Rp. 20.000
mgr/dl PRASETYO, A.Md. Kep.
NoKunjungan NAMA TANGGAL TINDAKAN HASIL TENAGA MEDIS BIAYA

104.00 RIZKY HUTOMOAJI PUJO


230112020823P000062 ATIMAH 02/08/2023 Gula Darah Puasa (GDP) - PRB/Prolanis Rp. 20.000
mgr/dl PRASETYO, A.Md. Kep.
110.00 RIZKY HUTOMOAJI PUJO
230112020823P000063 SAWIYAH 02/08/2023 Gula Darah Puasa (GDP) - PRB/Prolanis Rp. 20.000
mgr/dl PRASETYO, A.Md. Kep.
100.00 RIZKY HUTOMOAJI PUJO
230112020823P000064 MUSTINI 02/08/2023 Gula Darah Puasa (GDP) - PRB/Prolanis Rp. 20.000
mgr/dl PRASETYO, A.Md. Kep.
RIZKY HUTOMOAJI PUJO
230112020823P000065 HILYATUL AULIA 02/08/2023 Gula Darah Puasa (GDP) - PRB/Prolanis 96.00 mgr/dl Rp. 20.000
PRASETYO, A.Md. Kep.
100.00 RIZKY HUTOMOAJI PUJO
230112020823P000066 BAIQ NURSAM AINI 02/08/2023 Gula Darah Puasa (GDP) - PRB/Prolanis Rp. 20.000
mgr/dl PRASETYO, A.Md. Kep.
108.00 RIZKY HUTOMOAJI PUJO
230112020823P000067 SANAHAR 02/08/2023 Gula Darah Puasa (GDP) - PRB/Prolanis Rp. 20.000
mgr/dl PRASETYO, A.Md. Kep.
100.00 RIZKY HUTOMOAJI PUJO
230112020823P000068 RABI AH 02/08/2023 Gula Darah Puasa (GDP) - PRB/Prolanis Rp. 20.000
mgr/dl PRASETYO, A.Md. Kep.
100.00 RIZKY HUTOMOAJI PUJO
230112020823P000069 SUHAIMI 02/08/2023 Gula Darah Puasa (GDP) - PRB/Prolanis Rp. 20.000
mgr/dl PRASETYO, A.Md. Kep.
RIZKY HUTOMOAJI PUJO
230112020823P000274 ASIYAH 02/08/2023 Gula Darah Puasa (GDP) - PRB/Prolanis 90.00 mgr/dl Rp. 20.000
PRASETYO, A.Md. Kep.
RIZKY HUTOMOAJI PUJO
230112020823P000275 RUMNI 02/08/2023 Gula Darah Puasa (GDP) - PRB/Prolanis 97.00 mgr/dl Rp. 20.000
PRASETYO, A.Md. Kep.
RIZKY HUTOMOAJI PUJO
230112020823P000276 SAERON 02/08/2023 Gula Darah Puasa (GDP) - PRB/Prolanis 97.00 mgr/dl Rp. 20.000
PRASETYO, A.Md. Kep.
100.00 RIZKY HUTOMOAJI PUJO
230112020823P000277 JASIAH 02/08/2023 Gula Darah Puasa (GDP) - PRB/Prolanis Rp. 20.000
mgr/dl PRASETYO, A.Md. Kep.
RIZKY HUTOMOAJI PUJO
230112020823P000278 SURIATUN 02/08/2023 Gula Darah Puasa (GDP) - PRB/Prolanis 91.00 mgr/dl Rp. 20.000
PRASETYO, A.Md. Kep.
101.00 RIZKY HUTOMOAJI PUJO
230112020823P000279 I NENGAH CECEK 02/08/2023 Gula Darah Puasa (GDP) - PRB/Prolanis Rp. 20.000
mgr/dl PRASETYO, A.Md. Kep.
RIZKY HUTOMOAJI PUJO
230112020823P000280 ZAENUDDIN 02/08/2023 Gula Darah Puasa (GDP) - PRB/Prolanis 91.00 mgr/dl Rp. 20.000
PRASETYO, A.Md. Kep.
RIZKY HUTOMOAJI PUJO
230112020823P000281 MASKANAH 02/08/2023 Gula Darah Puasa (GDP) - PRB/Prolanis 98.00 mgr/dl Rp. 20.000
PRASETYO, A.Md. Kep.
RIZKY HUTOMOAJI PUJO
230112020823P000282 HAMBALI 02/08/2023 Gula Darah Puasa (GDP) - PRB/Prolanis 96.00 mgr/dl Rp. 20.000
PRASETYO, A.Md. Kep.
100.00 RIZKY HUTOMOAJI PUJO
230112020823P000284 H. NASRUDIN 02/08/2023 Gula Darah Puasa (GDP) - PRB/Prolanis Rp. 20.000
mgr/dl PRASETYO, A.Md. Kep.
100.00 RIZKY HUTOMOAJI PUJO
230112020823P000286 SAMIRI 02/08/2023 Gula Darah Puasa (GDP) - PRB/Prolanis Rp. 20.000
mgr/dl PRASETYO, A.Md. Kep.
RIZKY HUTOMOAJI PUJO
230112020823P000287 NURINAH 02/08/2023 Gula Darah Puasa (GDP) - PRB/Prolanis 98.00 mgr/dl Rp. 20.000
PRASETYO, A.Md. Kep.
107.00 RIZKY HUTOMOAJI PUJO
230112020823P000288 NURHAYATI 02/08/2023 Gula Darah Puasa (GDP) - PRB/Prolanis Rp. 20.000
mgr/dl PRASETYO, A.Md. Kep.
NoKunjungan NAMA TANGGAL TINDAKAN HASIL TENAGA MEDIS BIAYA

115.00 RIZKY HUTOMOAJI PUJO


230112020823P000289 H. JUMAWAN 09/08/2023 Gula Darah Puasa (GDP) - PRB/Prolanis Rp. 20.000
mgr/dl PRASETYO, A.Md. Kep.
100.00 RIZKY HUTOMOAJI PUJO
230112020823P000290 ALIMAH 09/08/2023 Gula Darah Puasa (GDP) - PRB/Prolanis Rp. 20.000
mgr/dl PRASETYO, A.Md. Kep.
100.00 RIZKY HUTOMOAJI PUJO
230112020823P000291 RETI 09/08/2023 Gula Darah Puasa (GDP) - PRB/Prolanis Rp. 20.000
mgr/dl PRASETYO, A.Md. Kep.
RIZKY HUTOMOAJI PUJO
230112020823P000292 MUTIAH 09/08/2023 Gula Darah Puasa (GDP) - PRB/Prolanis 99.00 mgr/dl Rp. 20.000
PRASETYO, A.Md. Kep.
109.00 RIZKY HUTOMOAJI PUJO
230112020823P000293 NAPISAH 09/08/2023 Gula Darah Puasa (GDP) - PRB/Prolanis Rp. 20.000
mgr/dl PRASETYO, A.Md. Kep.
106.00 RIZKY HUTOMOAJI PUJO
230112020823P000294 SAHRIAH 09/08/2023 Gula Darah Puasa (GDP) - PRB/Prolanis Rp. 20.000
mgr/dl PRASETYO, A.Md. Kep.
101.00 RIZKY HUTOMOAJI PUJO
230112020823P000295 I WAYAN WARSA 09/08/2023 Gula Darah Puasa (GDP) - PRB/Prolanis Rp. 20.000
mgr/dl PRASETYO, A.Md. Kep.
110.00 RIZKY HUTOMOAJI PUJO
230112020823P000296 MARDIAH 09/08/2023 Gula Darah Puasa (GDP) - PRB/Prolanis Rp. 20.000
mgr/dl PRASETYO, A.Md. Kep.
100.00 RIZKY HUTOMOAJI PUJO
230112020823P000656 AHNIM 02/08/2023 Gula Darah Puasa (GDP) - PRB/Prolanis Rp. 20.000
mgr/dl PRASETYO, A.Md. Kep.
RIZKY HUTOMOAJI PUJO
230112020823P000657 ABDUL TALIB 02/08/2023 Gula Darah Puasa (GDP) - PRB/Prolanis 90.00 mgr/dl Rp. 20.000
PRASETYO, A.Md. Kep.
RIZKY HUTOMOAJI PUJO
230112020823P000658 MAREAM 02/08/2023 Gula Darah Puasa (GDP) - PRB/Prolanis 97.00 mgr/dl Rp. 20.000
PRASETYO, A.Md. Kep.
101.00 RIZKY HUTOMOAJI PUJO
230112020823P000659 MASILAH 02/08/2023 Gula Darah Puasa (GDP) - PRB/Prolanis Rp. 20.000
mgr/dl PRASETYO, A.Md. Kep.
100.00 RIZKY HUTOMOAJI PUJO
230112020823P000660 MARNI 02/08/2023 Gula Darah Puasa (GDP) - PRB/Prolanis Rp. 20.000
mgr/dl PRASETYO, A.Md. Kep.
RIZKY HUTOMOAJI PUJO
230112020823P000661 NURSAN 02/08/2023 Gula Darah Puasa (GDP) - PRB/Prolanis 97.00 mgr/dl Rp. 20.000
PRASETYO, A.Md. Kep.
Gula Darah Post Prandial (GDPP) - 100.00 RIZKY HUTOMOAJI PUJO
230112020823P000662 MAESAH 02/08/2023 Rp. 20.000
PRB/Prolanis mgr/dl PRASETYO, A.Md. Kep.
RIZKY HUTOMOAJI PUJO
230112020823P000663 I NYOMAN TARKA 02/08/2023 Gula Darah Puasa (GDP) - PRB/Prolanis 95.00 mgr/dl Rp. 20.000
PRASETYO, A.Md. Kep.
100.00 RIZKY HUTOMOAJI PUJO
230112020823P000664 NURMINAH 02/08/2023 Gula Darah Puasa (GDP) - PRB/Prolanis Rp. 20.000
mgr/dl PRASETYO, A.Md. Kep.
RIZKY HUTOMOAJI PUJO
230112020823P000665 NI NENGAH KARTINI 02/08/2023 Gula Darah Puasa (GDP) - PRB/Prolanis 90.00 mgr/dl Rp. 20.000
PRASETYO, A.Md. Kep.
110.00 RIZKY HUTOMOAJI PUJO
230112020823P000666 MAISAH 02/08/2023 Gula Darah Puasa (GDP) - PRB/Prolanis Rp. 20.000
mgr/dl PRASETYO, A.Md. Kep.
RIZKY HUTOMOAJI PUJO
230112020823P000667 ARSAH HAKIM 02/08/2023 Gula Darah Puasa (GDP) - PRB/Prolanis 98.00 mgr/dl Rp. 20.000
PRASETYO, A.Md. Kep.
100.00 RIZKY HUTOMOAJI PUJO
230112020823P000668 I MADE TANGSIR 02/08/2023 Gula Darah Puasa (GDP) - PRB/Prolanis Rp. 20.000
mgr/dl PRASETYO, A.Md. Kep.
NoKunjungan NAMA TANGGAL TINDAKAN HASIL TENAGA MEDIS BIAYA

101.00 RIZKY HUTOMOAJI PUJO


230112020823P000669 AWALUDIN 02/08/2023 Gula Darah Puasa (GDP) - PRB/Prolanis Rp. 20.000
mgr/dl PRASETYO, A.Md. Kep.
100.00 RIZKY HUTOMOAJI PUJO
230112020823P000670 ITRAH 02/08/2023 Gula Darah Puasa (GDP) - PRB/Prolanis Rp. 20.000
mgr/dl PRASETYO, A.Md. Kep.
100.00 RIZKY HUTOMOAJI PUJO
230112020823P000671 ASMIHI 02/08/2023 Gula Darah Puasa (GDP) - PRB/Prolanis Rp. 20.000
mgr/dl PRASETYO, A.Md. Kep.
RIZKY HUTOMOAJI PUJO
230112020823P000672 SITI AMINATUN ZAKRAH 02/08/2023 Gula Darah Puasa (GDP) - PRB/Prolanis 97.00 mgr/dl Rp. 20.000
PRASETYO, A.Md. Kep.
RIZKY HUTOMOAJI PUJO
230112020823P000673 SAINUN 02/08/2023 Gula Darah Puasa (GDP) - PRB/Prolanis 96.00 mgr/dl Rp. 20.000
PRASETYO, A.Md. Kep.
100.00 RIZKY HUTOMOAJI PUJO
230112020823P000674 MAHNUN 02/08/2023 Gula Darah Puasa (GDP) - PRB/Prolanis Rp. 20.000
mgr/dl PRASETYO, A.Md. Kep.
100.00 RIZKY HUTOMOAJI PUJO
230112020823P000675 HIKMAH 02/08/2023 Gula Darah Puasa (GDP) - PRB/Prolanis Rp. 20.000
mgr/dl PRASETYO, A.Md. Kep.
RIZKY HUTOMOAJI PUJO
230112020823P000688 SITI AISAH 02/08/2023 Gula Darah Puasa (GDP) - PRB/Prolanis 98.00 mgr/dl Rp. 20.000
PRASETYO, A.Md. Kep.
RIZKY HUTOMOAJI PUJO
230112020823P000689 SAMILI 02/08/2023 Gula Darah Puasa (GDP) - PRB/Prolanis 95.00 mgr/dl Rp. 20.000
PRASETYO, A.Md. Kep.
RIZKY HUTOMOAJI PUJO
230112020823P000690 RAPI'AH 02/08/2023 Gula Darah Puasa (GDP) - PRB/Prolanis 95.00 mgr/dl Rp. 20.000
PRASETYO, A.Md. Kep.
100.00 RIZKY HUTOMOAJI PUJO
230112020823P000691 NURSIAH 02/08/2023 Gula Darah Puasa (GDP) - PRB/Prolanis Rp. 20.000
mgr/dl PRASETYO, A.Md. Kep.
RIZKY HUTOMOAJI PUJO
230112020823P000692 MUNISAH 02/08/2023 Gula Darah Puasa (GDP) - PRB/Prolanis 96.00 mgr/dl Rp. 20.000
PRASETYO, A.Md. Kep.
RIZKY HUTOMOAJI PUJO
230112020823P000693 MAHRUM 02/08/2023 Gula Darah Puasa (GDP) - PRB/Prolanis 98.00 mgr/dl Rp. 20.000
PRASETYO, A.Md. Kep.
RIZKY HUTOMOAJI PUJO
230112020823P000695 SAKDAH 02/08/2023 Gula Darah Puasa (GDP) - PRB/Prolanis 93.00 mgr/dl Rp. 20.000
PRASETYO, A.Md. Kep.
110.00 RIZKY HUTOMOAJI PUJO
230112020823P000696 OMBOK 02/08/2023 Gula Darah Puasa (GDP) - PRB/Prolanis Rp. 20.000
mgr/dl PRASETYO, A.Md. Kep.
100.00 RIZKY HUTOMOAJI PUJO
230112020823P000697 SAKRAH 02/08/2023 Gula Darah Puasa (GDP) - PRB/Prolanis Rp. 20.000
mgr/dl PRASETYO, A.Md. Kep.
RIZKY HUTOMOAJI PUJO
230112020823P000698 BAHRI 02/08/2023 Gula Darah Puasa (GDP) - PRB/Prolanis 95.00 mgr/dl Rp. 20.000
PRASETYO, A.Md. Kep.
RIZKY HUTOMOAJI PUJO
230112020823P000699 ASMUNI 02/08/2023 Gula Darah Puasa (GDP) - PRB/Prolanis 98.00 mgr/dl Rp. 20.000
PRASETYO, A.Md. Kep.
RIZKY HUTOMOAJI PUJO
230112020823P000700 HUSNUL KHOTIMAH 02/08/2023 Gula Darah Puasa (GDP) - PRB/Prolanis 96.00 mgr/dl Rp. 20.000
PRASETYO, A.Md. Kep.
100.00 RIZKY HUTOMOAJI PUJO
230112020823P000701 RUMNI 02/08/2023 Gula Darah Puasa (GDP) - PRB/Prolanis Rp. 20.000
mgr/dl PRASETYO, A.Md. Kep.
100.00 RIZKY HUTOMOAJI PUJO
230112020823P000702 HJ. MASINAH 02/08/2023 Gula Darah Puasa (GDP) - PRB/Prolanis Rp. 20.000
mgr/dl PRASETYO, A.Md. Kep.
NoKunjungan NAMA TANGGAL TINDAKAN HASIL TENAGA MEDIS BIAYA
110.00 RIZKY HUTOMOAJI PUJO
230112020823P000703 YANTI ISTIKAYAH 02/08/2023 Gula Darah Puasa (GDP) - PRB/Prolanis Rp. 20.000
mgr/dl PRASETYO, A.Md. Kep.
100.00 RIZKY HUTOMOAJI PUJO
230112020823P000704 NURASAH 02/08/2023 Gula Darah Puasa (GDP) - PRB/Prolanis Rp. 20.000
mgr/dl PRASETYO, A.Md. Kep.
101.00 RIZKY HUTOMOAJI PUJO
230112020823P000705 ALIMIN 02/08/2023 Gula Darah Puasa (GDP) - PRB/Prolanis Rp. 20.000
mgr/dl PRASETYO, A.Md. Kep.
102.00 RIZKY HUTOMOAJI PUJO
230112020823P000706 DARMAH 02/08/2023 Gula Darah Puasa (GDP) - PRB/Prolanis Rp. 20.000
mgr/dl PRASETYO, A.Md. Kep.
RIZKY HUTOMOAJI PUJO
230112020823P000710 JANISAH 02/08/2023 Gula Darah Puasa (GDP) - PRB/Prolanis 98.00 mgr/dl Rp. 20.000
PRASETYO, A.Md. Kep.
100.00 RIZKY HUTOMOAJI PUJO
230112020823P000711 NURSINAH 02/08/2023 Gula Darah Puasa (GDP) - PRB/Prolanis Rp. 20.000
mgr/dl PRASETYO, A.Md. Kep.
RIZKY HUTOMOAJI PUJO
230112020823P000712 MUSI 02/08/2023 Gula Darah Puasa (GDP) - PRB/Prolanis 99.00 mgr/dl Rp. 20.000
PRASETYO, A.Md. Kep.
RIZKY HUTOMOAJI PUJO
230112020823P000714 SITI ZUBAEDAH 02/08/2023 Gula Darah Puasa (GDP) - PRB/Prolanis 99.00 mgr/dl Rp. 20.000
PRASETYO, A.Md. Kep.
110.00 RIZKY HUTOMOAJI PUJO
230112020823P000715 NURAENI 02/08/2023 Gula Darah Puasa (GDP) - PRB/Prolanis Rp. 20.000
mgr/dl PRASETYO, A.Md. Kep.
RIZKY HUTOMOAJI PUJO
230112020823P000717 I WAYAN KARSA 02/08/2023 Gula Darah Puasa (GDP) - PRB/Prolanis 99.00 mgr/dl Rp. 20.000
PRASETYO, A.Md. Kep.
100.00 RIZKY HUTOMOAJI PUJO
230112020823P001065 SERINAH 02/08/2023 Gula Darah Puasa (GDP) - PRB/Prolanis Rp. 20.000
mgr/dl PRASETYO, A.Md. Kep.
100.00 RIZKY HUTOMOAJI PUJO
230112020823P001066 MULISAH 02/08/2023 Gula Darah Puasa (GDP) - PRB/Prolanis Rp. 20.000
mgr/dl PRASETYO, A.Md. Kep.
100.00 RIZKY HUTOMOAJI PUJO
230112020823P001067 FADLAH 02/08/2023 Gula Darah Puasa (GDP) - PRB/Prolanis Rp. 20.000
mgr/dl PRASETYO, A.Md. Kep.
100.00 RIZKY HUTOMOAJI PUJO
230112020823P001068 SAKIK 02/08/2023 Gula Darah Puasa (GDP) - PRB/Prolanis Rp. 20.000
mgr/dl PRASETYO, A.Md. Kep.
RIZKY HUTOMOAJI PUJO
230112020823P001069 JAMALUDIN 02/08/2023 Gula Darah Puasa (GDP) - PRB/Prolanis 97.00 mgr/dl Rp. 20.000
PRASETYO, A.Md. Kep.
RIZKY HUTOMOAJI PUJO
230112020823P001070 ABDURAHMAN 02/08/2023 Gula Darah Puasa (GDP) - PRB/Prolanis 98.00 mgr/dl Rp. 20.000
PRASETYO, A.Md. Kep.
100.00 RIZKY HUTOMOAJI PUJO
230112020823P001071 MUNAH 02/08/2023 Gula Darah Puasa (GDP) - PRB/Prolanis Rp. 20.000
mgr/dl PRASETYO, A.Md. Kep.
100.00 RIZKY HUTOMOAJI PUJO
230112020823P001072 HARNIATI 02/08/2023 Gula Darah Puasa (GDP) - PRB/Prolanis Rp. 20.000
mgr/dl PRASETYO, A.Md. Kep.
RIZKY HUTOMOAJI PUJO
230112020823P001073 NI WAYAN SUKASEH 02/08/2023 Gula Darah Puasa (GDP) - PRB/Prolanis 98.00 mgr/dl Rp. 20.000
PRASETYO, A.Md. Kep.
RIZKY HUTOMOAJI PUJO
230112020823P001074 SANA'AH 02/08/2023 Gula Darah Puasa (GDP) - PRB/Prolanis 97.00 mgr/dl Rp. 20.000
PRASETYO, A.Md. Kep.

Tanggal terima FPK,


Tanggal, 11/09/2023
Verifikator
Pengaju Klaim
(Rizki Hutomoaji Pujo. Prasetio )

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