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Report

LAPORAN JASA EKSPERTISI DOKTER

MARET
dr. DIAN AYU RUSPITA, Sp.THT-KL M.Si

Audiometry
NOTANGGALNO REG PASIEN Kel. Pelanggan REWARD
### 01-03-20 05100002 Tn IHSAN EKO WIBISONPT. KERETA API INDONESIA 20,000
### 01-03-20 05100009 Tn KUKUH TRIATMOJO PT. KERETA API INDONESIA 20,000
### 01-03-20 05100015 Tn MUHAMMAD AGUS SPT. KERETA API INDONESIA 20,000
### 01-03-20 05100016 Tn MUHAMAD HADI PRAPT. KERETA API INDONESIA 20,000
### 01-03-20 05100020 Tn RUSMAN PT. KERETA API INDONESIA 20,000
### 01-03-20 05100025 Tn DWI SUCIPTO PT. KERETA API INDONESIA 20,000
### 01-03-20 05100031 Tn AGUS WIBOWO PT. KERETA API INDONESIA 20,000
### 01-03-20 05100032 Tn SOEPRIYADI PT. KERETA API INDONESIA 20,000
### 01-03-20 05100033 Tn TOIP TRIWANTO PT. KERETA API INDONESIA 20,000
### 01-03-20 05100043 Tn ALI MUHTAROM PT. KERETA API INDONESIA 20,000
### 01-03-20 05100049 Tn YOGA ALIFIAN ADYA PT. KERETA API INDONESIA 20,000
### 01-03-20 05100059 Tn ANGGI PANJI SUHE PT. KERETA API INDONESIA 20,000
### 01-03-20 05100060 Tn MUHAMMAD GHOFUUR PT. KERETA API INDONESIA 20,000
### 01-03-20 05100064 Tn LINDA FAHRUL FERDPT. KERETA API INDONESIA 20,000
### 01-03-20 05100065 Tn SURYANTO PT. KERETA API INDONESIA 20,000
### 01-03-20 05100068 Tn YULIANTO PT. KERETA API INDONESIA 20,000
### 01-03-20 05100084 Tn KUMAEDI PT. KERETA API INDONESIA 20,000
### 01-03-20 05100094 Tn MUHAMMAD SYARIF PT. KERETA API INDONESIA 20,000
### 01-03-20 05100097 Tn JOKO SUSILO PT. KERETA API INDONESIA 20,000
### 01-03-20 05100098 Tn ARIEF RIZKI SETIADI PT. KERETA API INDONESIA 20,000
### 01-03-20 05100108 Tn ARI YUNIAWAN PT. KERETA API INDONESIA 20,000
### 01-03-20 05100109 Tn ARIF SETYAWAN PT. KERETA API INDONESIA 20,000
### 01-03-20 05100118 Tn RYAN RISKY MUSTIKPT. KERETA API INDONESIA 20,000
### 02-03-20 05100151 Tn ADI KOESMINTO PT. KERETA API INDONESIA 20,000
### 02-03-20 05100152 Tn HARI BAGUS PITONOPT. KERETA API INDONESIA 20,000
### 02-03-20 05100161 Tn NANDA NUR PRASETPT. KERETA API INDONESIA 20,000
### 02-03-20 05100168 Tn SOFYAN YUNUS PT. KERETA API INDONESIA 20,000
### 02-03-20 05100170 Tn INDRA NURROHMAD PT. KERETA API INDONESIA 20,000
### 02-03-20 05100171 Tn OKY GURUH BAWONPT. KERETA API INDONESIA 20,000
### 02-03-20 05100172 Tn ADE ANGGA YAYAT RPT. KERETA API INDONESIA 20,000
### 02-03-20 05100173 Tn ADY YUDHA SAPUTRPT. KERETA API INDONESIA 20,000
### 02-03-20 05100175 Tn RIDHO MUSTHOFA PT. KERETA API INDONESIA 20,000
### 02-03-20 05100176 Tn DARYANTO PT. KERETA API INDONESIA 20,000
### 02-03-20 05100177 Tn ARIF DWI SETYO PT. KERETA API INDONESIA 20,000
### 02-03-20 05100180 Tn SINDU OVEX CRISTI PT. KERETA API INDONESIA 20,000
### 02-03-20 05100182 Tn SISWO ANDRYASTA PT. KERETA API INDONESIA 20,000
### 02-03-20 05100185 Tn ARIS SUHARTO PT. KERETA API INDONESIA 20,000
### 02-03-20 05100187 Tn TRI SOEKRISTIJONOPT. KERETA API INDONESIA 20,000
### 02-03-20 05100189 Tn DANY HANDRIAN PT. KERETA API INDONESIA 20,000
### 02-03-20 05100191 Tn GALIH YUDHA IRWA PT. KERETA API INDONESIA 20,000
### 02-03-20 05100192 Tn ZACKY SETYA IDHA PT. KERETA API INDONESIA 20,000
### 02-03-20 05100193 Tn ANDIK SAPUTRO PT. KERETA API INDONESIA 20,000

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### 02-03-20 05100199 Tn DEDY KURNIAWAN PT. KERETA API INDONESIA 20,000
### 02-03-20 05100202 Tn ADI SUMINTO PT. KERETA API INDONESIA 20,000
### 02-03-20 05100205 Tn SIGIT DWI PAMUNGKPT. KERETA API INDONESIA 20,000
### 02-03-20 05100209 Tn BUDI PRAYITNO PT. KERETA API INDONESIA 20,000
### 02-03-20 05100210 Tn SUPRIYANTO PT. KERETA API INDONESIA 20,000
### 02-03-20 05100214 Tn LUTFIL CHAKIM PT. KERETA API INDONESIA 20,000
### 02-03-20 05100215 Tn YONA ARIYANTO PT. KERETA API INDONESIA 20,000
### 02-03-20 05100217 Tn PERRY LAGA SWAN PT. KERETA API INDONESIA 20,000
### 02-03-20 05100219 Tn WARSITO PT. KERETA API INDONESIA 20,000
### 02-03-20 05100221 Tn NURUL ANJAR MUSTPT. KERETA API INDONESIA 20,000
### 02-03-20 05100222 Tn WISNU ANDI SETIAWPT. KERETA API INDONESIA 20,000
### 02-03-20 05100224 Tn SIROJ ABDUL AZIS PT. KERETA API INDONESIA 20,000
### 02-03-20 05100225 Tn PUJI SETYAWAN PT. KERETA API INDONESIA 20,000
### 02-03-20 05100226 Tn DODI DAMUDI PT. KERETA API INDONESIA 20,000
### 02-03-20 05100243 Tn NURROHMAN UTOM PT. KERETA API INDONESIA 20,000
### 02-03-20 05100247 Tn EKO SAPUTRO PT. KERETA API INDONESIA 20,000
### 02-03-20 05100249 Tn EKO PRASETIYONO PT. KERETA API INDONESIA 20,000
### 04-03-20 05100300 Tn YUSNOSIN PT. KERETA API INDONESIA 20,000
### 04-03-20 05100306 Mr SUGENG FIELDCORE SERVICE SOLUTI 20,000
### 04-03-20 05100307 Tn SYUHUDI PT. KERETA API INDONESIA 20,000
### 04-03-20 05100309 Mr RAHMAD SUSENO FIELDCORE SERVICE SOLUTI 20,000
### 04-03-20 05100310 Mr JONIADI FIELDCORE SERVICE SOLUTI 20,000
### 04-03-20 05100312 Mr HERMAN CAHYONO FIELDCORE SERVICE SOLUTI 20,000
### 04-03-20 05100316 Mr EKA PRASTIAWAN FIELDCORE SERVICE SOLUTI 20,000
### 04-03-20 05100317 Tn NANANG FEDRIANTOPT. KERETA API INDONESIA 20,000
### 04-03-20 05100318 Mr WAHYU HIDAYAT FIELDCORE SERVICE SOLUTI 20,000
### 04-03-20 05100319 Tn KUSUMA WARDANI PT. KERETA API INDONESIA 20,000
### 04-03-20 05100320 Mr SUYONO FIELDCORE SERVICE SOLUTI 20,000
### 04-03-20 05100321 Tn AGUS SETYONO PT. KERETA API INDONESIA 20,000
### 04-03-20 05100322 Mr AHMAD FAUZI FIELDCORE SERVICE SOLUTI 20,000
### 04-03-20 05100323 Tn ADHI TRISNANATA PT. KERETA API INDONESIA 20,000
### 04-03-20 05100326 Mr SUGIONO FIELDCORE SERVICE SOLUTI 20,000
### 04-03-20 05100328 Mr MISBAHLUDIN FIELDCORE SERVICE SOLUTI 20,000
### 04-03-20 05100331 Mr FATHOR RAHMAN FIELDCORE SERVICE SOLUTI 20,000
### 04-03-20 05100332 Tn CHAIRUL AZIZ PT. KERETA API INDONESIA 20,000
### 04-03-20 05100333 Mr YONGKI ISWANTO FIELDCORE SERVICE SOLUTI 20,000
### 04-03-20 05100334 Mr ROYANTO FIELDCORE SERVICE SOLUTI 20,000
### 04-03-20 05100335 Tn IMAM SUSANLI PT. KERETA API INDONESIA 20,000
### 04-03-20 05100337 Mr BADRUS SHOLEH FIELDCORE SERVICE SOLUTI 20,000
### 04-03-20 05100338 Tn MUHLISIN PT. KERETA API INDONESIA 20,000
### 04-03-20 05100339 Mr NANANG WAHYUDI FIELDCORE SERVICE SOLUTI 20,000
### 04-03-20 05100340 Tn RISCA APRIANTO PT. KERETA API INDONESIA 20,000
### 04-03-20 05100342 Tn MUHAMMAD IMRON PT. KERETA API INDONESIA 20,000
### 04-03-20 05100343 Mr AMIR MAHFUD FIELDCORE SERVICE SOLUTI 20,000
### 04-03-20 05100347 Mr MUHAMMAD RIZKI FIELDCORE SERVICE SOLUTI 20,000
### 04-03-20 05100348 Tn SARTAWI PT. KERETA API INDONESIA 20,000
### 04-03-20 05100349 Mr RIKO IRIYANTO FIELDCORE SERVICE SOLUTI 20,000
### 04-03-20 05100350 Tn MUHAMMAD SUBCHAPT. KERETA API INDONESIA 20,000
### 04-03-20 05100352 Mr AGUS FERRY FIELDCORE SERVICE SOLUTI 20,000

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### 04-03-20 05100354 Mr ARIEL SABDA S FIELDCORE SERVICE SOLUTI 20,000


### 04-03-20 05100355 Tn ADI KUSYANTO PT. KERETA API INDONESIA 20,000
### 04-03-20 05100356 Mr AHMADI FIELDCORE SERVICE SOLUTI 20,000
### 04-03-20 05100357 Tn DODIK ADI NUGROH PT. KERETA API INDONESIA 20,000
### 04-03-20 05100360 Tn ANUGRAH PANCA A PT. KERETA API INDONESIA 20,000
### 04-03-20 05100362 Mr WENDI FEBRI YANTOFIELDCORE SERVICE SOLUTI 20,000
### 04-03-20 05100364 Mr DANDI PERMANA FIELDCORE SERVICE SOLUTI 20,000
### 04-03-20 05100366 Mr SUHENDAR FIELDCORE SERVICE SOLUTI 20,000
### 04-03-20 05100368 Tn IWAN SETIAWAN PT. KERETA API INDONESIA 20,000
### 04-03-20 05100371 Mr JONI EFFENDI FIELDCORE SERVICE SOLUTI 20,000
### 04-03-20 05100373 Mr DHANU HUTOMO FIELDCORE SERVICE SOLUTI 20,000
### 04-03-20 05100376 Mr DICKY SULISTYAWA FIELDCORE SERVICE SOLUTI 20,000
### 04-03-20 05100378 Mr ROSIDIN FIELDCORE SERVICE SOLUTI 20,000
### 04-03-20 05100379 Tn SULAIMAN PT. KERETA API INDONESIA 20,000
### 04-03-20 05100387 Tn BUDI WIDODO PT. KERETA API INDONESIA 20,000
### 04-03-20 05100389 Tn ANDON MUKTI PT. KERETA API INDONESIA 20,000
### 04-03-20 05100390 Tn ACHMAD RAMADONI PT. KERETA API INDONESIA 20,000
### 04-03-20 05100393 Tn NIKO SUGIHARTONOPT. KERETA API INDONESIA 20,000
### 04-03-20 05100415 Tn PUSPITA NOOR ADH PT. KERETA API INDONESIA 20,000
### 04-03-20 05100418 Tn FAHRIZAL HELMI PT. KERETA API INDONESIA 20,000
### 04-03-20 05100424 Tn ARUM ADI TIATMOKOPT. KERETA API INDONESIA 20,000
### 04-03-20 05100434 Tn SODIK AFRIANTO PT. KERETA API INDONESIA 20,000
### 04-03-20 05100440 Tn RONI NANANG PT. KERETA API INDONESIA 20,000
### 04-03-20 05100441 Tn MUHAMMAD HENDRIPT. KERETA API INDONESIA 20,000
### 04-03-20 05100450 Tn AHMAD ASROFI PT. KERETA API INDONESIA 20,000
### 04-03-20 05100460 Tn SYAIFUDIN ZUHRI PT. KERETA API INDONESIA 20,000
### 04-03-20 05100461 Tn DWI JUMANTORO PT. KERETA API INDONESIA 20,000
### 04-03-20 05100464 Tn ACUK PRANOTO PT. KERETA API INDONESIA 20,000
### 04-03-20 05100468 Tn HERU SETIYONO PT. KERETA API INDONESIA 20,000
### 04-03-20 05100477 Tn DILI SELDY AMBARA PT. KERETA API INDONESIA 20,000
### 04-03-20 05100483 Tn SUJUD SANTOSO PT. KERETA API INDONESIA 20,000
### 04-03-20 05100485 Tn PARJIN PT. KERETA API INDONESIA 20,000
### 04-03-20 05100486 Tn MUNARI PT. KERETA API INDONESIA 20,000
### 04-03-20 05100490 Tn AGUNG SUSILO PT. KERETA API INDONESIA 20,000
### 05-03-20 05100538 Tn PRAYOGO SUSENO PT. KERETA API INDONESIA 20,000
### 05-03-20 05100541 Tn MUTROFIN PT. KERETA API INDONESIA 20,000
### 05-03-20 05100542 Tn ACHMAD JAINUDIN PT. KERETA API INDONESIA 20,000
### 05-03-20 05100545 Tn DONY KUNCAHYONOPT. KERETA API INDONESIA 20,000
### 05-03-20 05100561 Tn ALFIAN PT. KERETA API INDONESIA 20,000
### 05-03-20 05100563 Mr EDY SUMARTONO FIELDCORE SERVICE SOLUTI 20,000
### 05-03-20 05100564 Tn CAHYO DIAN LAKSO PT. KERETA API INDONESIA 20,000
### 05-03-20 05100566 Tn WAKHID PANJI KRIS PT. KERETA API INDONESIA 20,000
### 05-03-20 05100569 Tn PRIYANTO PT. KERETA API INDONESIA 20,000
### 05-03-20 05100572 Mr FERIYANTO FIELDCORE SERVICE SOLUTI 20,000
### 05-03-20 05100579 Tn AGUNG PRIYO DARYPT. KERETA API INDONESIA 20,000
### 05-03-20 05100581 Tn NURIYANDI PT. KERETA API INDONESIA 20,000
### 05-03-20 05100589 Tn RADEN PUTRA WIDHPT. KERETA API INDONESIA 20,000
### 05-03-20 05100596 Tn TRIONO PT. KERETA API INDONESIA 20,000
### 05-03-20 05100625 Tn KHOIRUL NOVANDA PT. KERETA API INDONESIA 20,000

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### 05-03-20 05100653 Tn ZHEHRI VEBRIAMSY PT. KERETA API INDONESIA 20,000
### 05-03-20 05100654 Tn WAHYADI NUGROHOPT. KERETA API INDONESIA 20,000
### 05-03-20 05100655 Tn MUHAMMAD RIZAL PT. KERETA API INDONESIA 20,000
### 05-03-20 05100656 Tn MUHAMMAD MIFTAHU PT. KERETA API INDONESIA 20,000
### 05-03-20 05100661 Tn VIKI WIJAYANTO PT. KERETA API INDONESIA 20,000
### 05-03-20 05100667 Tn INDRA SUMIARNO PT. KERETA API INDONESIA 20,000
### 05-03-20 05100674 Tn KARIMUL LATIF AMA PT. KERETA API INDONESIA 20,000
### 05-03-20 05100676 Tn DEDIK PUTRA YULIA PT. KERETA API INDONESIA 20,000
### 05-03-20 05100677 Tn LUTHFAN WICAKSONPT. KERETA API INDONESIA 20,000
### 05-03-20 05100681 Sdr BAGAS IRFAN ADHI PT. KERETA API INDONESIA 20,000
### 05-03-20 05100684 Tn FERIAN IBNU PRAMUPT. KERETA API INDONESIA 20,000
### 05-03-20 05100685 Tn ARMA YUANDA HARFPT. KERETA API INDONESIA 20,000
### 05-03-20 05100688 Tn FANI KURDIARSO PT. KERETA API INDONESIA 20,000
### 05-03-20 05100693 Tn ALI RIDHO PT. KERETA API INDONESIA 20,000
### 05-03-20 05100694 Tn SUFIAN PAMBUDI NUPT. KERETA API INDONESIA 20,000
### 05-03-20 05100696 Tn RISKOMAR RIANTO PT. KERETA API INDONESIA 20,000
### 05-03-20 05100697 Tn MUFIARDI PT. KERETA API INDONESIA 20,000
### 06-03-20 05100754 Tn NUR MARDIANTO PT. KERETA API INDONESIA 20,000
### 06-03-20 05100759 Tn GALIH HIMAWAN PU PT. KERETA API INDONESIA 20,000
### 06-03-20 05100763 Tn AGUNG NUGROHO PT. KERETA API INDONESIA 20,000
### 06-03-20 05100767 Tn DWI POETRANTO PT. KERETA API INDONESIA 20,000
### 06-03-20 05100769 Tn MUHAMMAD SADHAMPT. KERETA API INDONESIA 20,000
### 06-03-20 05100775 Tn PUJI RISTANTO PT. KERETA API INDONESIA 20,000
### 06-03-20 05100776 Tn TEGUH SANTOSO PT. KERETA API INDONESIA 20,000
### 06-03-20 05100777 Tn GATOT ARIFIANTO PT. KERETA API INDONESIA 20,000
### 06-03-20 05100784 Tn DONI MOCHAMMAD APT. KERETA API INDONESIA 20,000
### 06-03-20 05100786 Tn RAGIL AJI WIBOWO PT. KERETA API INDONESIA 20,000
### 06-03-20 05100788 Mr BAYU SUHARTONO FIELDCORE SERVICE SOLUTI 20,000
### 06-03-20 05100790 Mr MOCH NUR KHOLIK FIELDCORE SERVICE SOLUTI 20,000
### 06-03-20 05100792 Tn YOVIE GUSTAV MUS PT. KERETA API INDONESIA 20,000
### 06-03-20 05100793 Mr SUWANDI ABDI NE FIELDCORE SERVICE SOLUTI 20,000
### 06-03-20 05100794 Tn JOHAN DEWANTOROPT. KERETA API INDONESIA 20,000
### 06-03-20 05100797 Tn MUHAMMAD CHUSNAPT. KERETA API INDONESIA 20,000
### 06-03-20 05100798 Tn MANSHUR PT. KERETA API INDONESIA 20,000
### 06-03-20 05100807 Tn INDRA SAPUTRA PT. KERETA API INDONESIA 20,000
### 06-03-20 05100810 Tn MASCHUR PT. KERETA API INDONESIA 20,000
### 06-03-20 05100819 Tn SANTOSO PT. KERETA API INDONESIA 20,000
### 06-03-20 05100821 Tn SLAMET SANTOSO PT. KERETA API INDONESIA 20,000
### 06-03-20 05100822 Tn SEPTIAN AJI PRIMA PT. KERETA API INDONESIA 20,000
### 06-03-20 05100829 Tn DIDIK YUNIANTO PT. KERETA API INDONESIA 20,000
### 06-03-20 05100830 Tn ARDI SETIAWAN PT. KERETA API INDONESIA 20,000
### 06-03-20 05100836 Tn BAHTIAR ADI NUGR PT. KERETA API INDONESIA 20,000
### 06-03-20 05100843 Tn HENDY TRYAS YULI PT. KERETA API INDONESIA 20,000
### 06-03-20 05100858 Tn AVIDYA SUSILO TRI PT. KERETA API INDONESIA 20,000
### 06-03-20 05100867 Tn AGUS TRIYANTO PT. KERETA API INDONESIA 20,000
### 06-03-20 05100868 Tn RAHMAD SETIAJI PT. KERETA API INDONESIA 20,000
### 06-03-20 05100870 Tn AHMAD FAHMI HIKAMPT. KERETA API INDONESIA 20,000
### 06-03-20 05100876 Tn AVIF FERRY PRAMA PT. KERETA API INDONESIA 20,000
### 07-03-20 05100922 Tn YULIASMAN PT. KERETA API INDONESIA 20,000

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### 07-03-20 05100925 Tn BAYU FAJRIANTO PT. KERETA API INDONESIA 20,000
### 07-03-20 05100929 Tn EKO HANANTYO PT. KERETA API INDONESIA 20,000
### 07-03-20 05100938 Tn DELA KURNIAWAN PT. KERETA API INDONESIA 20,000
### 07-03-20 05100948 Tn PANCA PRASETYA PT. KERETA API INDONESIA 20,000
### 07-03-20 05100964 Tn SAHAL MAHFUD PT. KERETA API INDONESIA 20,000
### 07-03-20 05100967 Tn DIDIK BUDIARTO PT. KERETA API INDONESIA 20,000
### 07-03-20 05100975 Tn LUTHFI KHAIRUL AMIPT. KERETA API INDONESIA 20,000
### 07-03-20 05100983 Tn HERY MU\\'ADZIM PT. KERETA API INDONESIA 20,000
### 07-03-20 05100985 Tn BRAM DHARMA KUS PT. KERETA API INDONESIA 20,000
### 07-03-20 05100988 Tn YAYAN SUKRIYAJI PT. KERETA API INDONESIA 20,000
### 07-03-20 05100996 Tn ARI KRISTIAWAN PT. KERETA API INDONESIA 20,000
### 07-03-20 05100998 Tn BANGUN PRASETIYAPT. KERETA API INDONESIA 20,000
### 07-03-20 05101018 Tn SANOTO PT. KERETA API INDONESIA 20,000
### 07-03-20 05101050 Tn SUDARSONO PT. KERETA API INDONESIA 20,000
### 07-03-20 05101097 Tn AZIZ WASKITHA WIC PT. KERETA API INDONESIA 20,000
### 07-03-20 05101099 Tn AYUB MAWAHIB PT. KERETA API INDONESIA 20,000
### 07-03-20 05101101 Tn RONY MUKLAS PT. KERETA API INDONESIA 20,000
### 07-03-20 05101102 Tn ARI WIBOWO PT. KERETA API INDONESIA 20,000
### 08-03-20 05101175 Tn DWI HERIANTO PT. KERETA API INDONESIA 20,000
### 08-03-20 05101177 Tn YULIANTO PT. KERETA API INDONESIA 20,000
### 08-03-20 05101198 Tn SUWANTO PT. KERETA API INDONESIA 20,000
### 08-03-20 05101224 Tn MIKHAEL EDY RAHM PT. KERETA API INDONESIA 20,000
### 08-03-20 05101232 Tn ACHMAD FAUZAN PT. KERETA API INDONESIA 20,000
### 08-03-20 05101235 Tn HARI SUGIANTO PT. KERETA API INDONESIA 20,000
### 08-03-20 05101238 Tn IKHSAN HIDAYAT PT. KERETA API INDONESIA 20,000
### 08-03-20 05101239 Tn ARDIAN PURBA YOGPT. KERETA API INDONESIA 20,000
### 08-03-20 05101254 Tn RIMBAWAN SETIADI PT. KERETA API INDONESIA 20,000
### 08-03-20 05101261 Tn S ADI PRASETIYO PT. KERETA API INDONESIA 20,000
### 08-03-20 05101273 Mr TEGUH HAWAN PRIHFIELDCORE SERVICE SOLUTI 20,000
### 08-03-20 05101273 Mr TEGUH HAWAN PRIHFIELDCORE SERVICE SOLUTI 20,000
### 08-03-20 05101294 Tn SIGIT ADI NUGROHOPT. KERETA API INDONESIA 20,000
### 08-03-20 05101301 Tn TRI BEKTI HADIANTOPT. KERETA API INDONESIA 20,000
### 12-03-20 05101451 Mr OBET ADYTIA PT LINTECH DUTA PRATAMA 20,000
### 12-03-20 05101452 Mr TEGUH HARIYANTO PT LINTECH DUTA PRATAMA 20,000
### 18-03-20 05101807 Mr SUHENDRIF RUNZI PT LINTECH DUTA PRATAMA 20,000
### 23-03-20 05102117 Sdr ADHI SETYA TRIAT SARIHUSADA GENERASI MAH 20,000
### 23-03-20 05102127 Tn ALDY DWI PRADITYAPT. KERETA API INDONESIA 20,000
227 30-03-20 05102457 Mr FIRZAS ANDREANA PT LINTECH DUTA PRATAMA 20,000
TOTAL PER PEMERIKSAAN 4,540,000

Pembuat laporan Menyetujui Mengetahui

Dian Aji Wibowo Hery Alliffianto Nugroho Hanik Ifana


Perawat Spv. Pelayanan Medis Kepala Cabang

Page 5

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