Tgl "No RM" Lokasi Nama NIK L/P B/L "Tgl Lahir" "Nama KK"

Kecamatan Desa Alamat Kategori Tujuan Unit/Poli Usia Karcis

"No Peserta" Retribusi "No Seri" Pekerjaan "Jenis Peserta" "No
Telp" Japel Jasar
2024-02-29 0014555 "Pusk KESAMBEN" "M RAVINDRA ALVARO"
"3517121601190003 ," L Lama 2018-08-28 "M SYAIFULLOH" KESAMBEN
JOMBATAN CANDISARI BPJS PENGOBATAN "POLI UMUM / BP" 5 "Karcis
Gratis" 0003173535505 0 3869 "TIDAK BEKERJA" "PEGAWAI SWASTA"
2024-02-29 0000134 "Pusk KESAMBEN" "FATIH FARIQ SYAHFARUQ ANWAR"
"3517121811150002 ," L Lama 2015-11-18 "BUSTANUL ANWAR" KESAMBEN
JOMBATAN JOMBATAN BPJS PENGOBATAN "POLI UMUM / BP" 8 "Karcis
Gratis" 0002497122821 0 3868 PELAJAR "PEKERJA MANDIRI" 003411-02
2024-02-29 0020343 "Pusk KESAMBEN" "M RAMADHAN" "351722605170003 ,"
L Lama 2017-05-26 "ANTON WIJAYA" KESAMBEN JOMBATAN "JOMBATAN 2"
BAYAR/UMUM PENGOBATAN "POLI UMUM / BP" 6 "Pemeriksaan umum di jam
kerja" 10000 703 "TIDAK BEKERJA" 000313-01 6000 4000
2024-02-29 0006808 "Pusk KESAMBEN" "GALIH ADMAJA ADICANDRA"
"3517121404160001 ," L Lama 2016-01-01 SUDONO KESAMBEN
POJOKREJO GUDANG BPJS PENGOBATAN "POLI UMUM / BP" 8 "Karcis
Gratis" 0002620962279 0 3854 "TIDAK BEKERJA" "PEGAWAI SWASTA"
2024-02-29 0033387 "Pusk KESAMBEN" "NAUFAL FATHUL AINURAKHMAN"
"3517121601170002 ," L Lama 2017-01-16 "ARIS ROSADI" KESAMBEN
WATUDAKON KRADENGAN BPJS PENGOBATAN "POLI UMUM / BP" 7 "Karcis
Gratis" 0003313022174 0 3846 PELAJAR "PEGAWAI SWASTA" 085330603498

2024-02-29 0004392 "Pusk KESAMBEN" "MUHAMMAD MAULANA ISKHAQ "

"3517112804150001 ," L Lama 2015-05-28 "M SUHERMAN" SUMOBITO
GEDANGAN GEDANGAN BAYAR/UMUM PENGOBATAN "POLI UMUM / BP" 8
"Pemeriksaan umum di jam kerja" 10000 698 PELAJAR
6000 4000
2024-02-29 0017576 "Pusk KESAMBEN" "SYAFIQ FAIZIN ATTAYASA"
"3517120210180001 ," L Lama 2018-10-02 WAKHID KESAMBEN
PODOROTO GARU BPJS PENGOBATAN "POLI UMUM / BP" 5 "Karcis Gratis"
0002496455098 0 3827 "TIDAK BEKERJA" "PBI (APBN)" .
2024-02-28 0034744 "Pusk KESAMBEN" "FEMAS PRAYOGA ALVINO MAULANA"
"3517121912170002 ," L Lama 2017-12-19 "MOHAMAD INDRA" KESAMBEN
GUMULAN "GUMULAN II" BAYAR/UMUM PENGOBATAN "POLI UMUM / BP" 6
"Pemeriksaan umum di jam kerja" 10000 686 PELAJAR
6000 4000
2024-02-28 0011617 "Pusk KESAMBEN" "MUKHAMMAD KHALIF DZAKARYA ADI PRATAMA"
"3517121503180001 ," L Lama 2018-03-15 "MULIADI UTOMO" KESAMBEN
PODOROTO GARU BPJS PENGOBATAN "POLI UMUM / BP" 5 "Karcis Gratis"
0002439944526 0 3766 "TIDAK BEKERJA" "PBI (APBN)"
2024-02-28 0034794 "Pusk KESAMBEN" "MUHAMMAD ZIDAN AL GHOZALI"
"3517122204170001 ," L Lama 2017-04-22 SUWARNIANTO KESAMBEN
JOMBATAN TAMBAKREJO BAYAR/UMUM PENGOBATAN "POLI UMUM / BP" 6
"Pemeriksaan umum di jam kerja" 10000 683 PELAJAR
6000 4000
2024-02-28 0006487 "Pusk KESAMBEN" "MUHAMMAD SYAFI'I"
"3517121209140001 ," L Lama 2014-09-12 SUTRISNO KESAMBEN
KESAMBEN NGEMBUL BAYAR/UMUM PENGOBATAN "POLI UMUM / BP" 9
"Pemeriksaan umum di jam kerja" 10000 679 PELAJAR
085895895264 6000 4000
2024-02-27 0033387 "Pusk KESAMBEN" "NAUFAL FATHUL AINURAKHMAN"
"3517121601170002 ," L Lama 2017-01-16 "ARIS ROSADI" KESAMBEN
WATUDAKON KRADENGAN BPJS PENGOBATAN "POLI UMUM / BP" 7 "Karcis
Gratis" 0003313022174 0 3716 PELAJAR "PEGAWAI SWASTA" 085330603498

2024-02-27 0028892 "Pusk KESAMBEN" "MUHAMMAD RAFFI VEBRYANSYAH "

 "3517122905140001 ," L Lama 2014-05-29 "NANANG SYAHDULLOH "
KESAMBEN JOMBATAN SAPON BPJS PENGOBATAN "POLI UMUM / BP" 9
"Karcis Gratis" 0003272636046 0 3698 "TIDAK BEKERJA" "PEKERJA
MANDIRI"
2024-02-27 0030351 "Pusk KESAMBEN" "MUHAMMAD FIKRY NASRULLOH"
"3517120102180001 ," L Lama 2018-02-01 NASRULLOH KESAMBEN
JOMBATAN CANDISARI BPJS PENGOBATAN "POLI UMUM / BP" 6 "Karcis
Gratis" 0002902947546 0 3629 "TIDAK BEKERJA" "PEGAWAI PEMERINTAH
DENGAN PERJANJIAN KERJA"
2024-02-27 0004114 "Pusk KESAMBEN" "MAHARDHIKA FIRLY GUMANTARA"
"3517120406160001 ," L Lama 2016-06-04 NASRULLOH KESAMBEN
JOMBATAN CANDISARI BPJS PENGOBATAN "POLI UMUM / BP" 7 "Karcis
Gratis" 0002902947671 0 3628 "TIDAK BEKERJA" "PEGAWAI PEMERINTAH
DENGAN PERJANJIAN KERJA"
2024-02-26 0009329 "Pusk KESAMBEN" "MUHAMMAD ADNAN DIMAS SANJAYA"
"3518053010170002 ," L Lama 2017-10-30 DEPRIMA KESAMBEN
JOMBATAN JOMBATAN BPJS PENGOBATAN "POLI UMUM / BP" 6 "Karcis
Gratis" 0003011052249 0 3596 "TIDAK BEKERJA" "PBI (APBD)"
2024-02-26 0002396 "Pusk KESAMBEN" "WILDAN RIFQI ACHMAD RIDWANULLAH"
"3517121710140001 ," L Lama 2014-10-17 SULISTYOWATI KESAMBEN
JOMBATAN CANDISARI BPJS PENGOBATAN "POLI UMUM / BP" 9 "Karcis
Gratis" 0003338590904 0 3579 PELAJAR 085815188015
2024-02-26 0014716 "Pusk KESAMBEN" "M ALFURQON JAELANI"
"3517111607180002 ," L Lama 2018-07-16 "M KODIR JAELANI" KESAMBEN
CARANGREJO CARANGREJO BPJS PENGOBATAN "POLI UMUM / BP" 5 "Karcis
Gratis" 0002773900754 0 3575 "TIDAK BEKERJA" "PBI (APBN)"
2024-02-26 0017115 "Pusk KESAMBEN" "MOHAMMAD FAIRUZ IMDADULLAH ASY-SYAMS"
"3517122410160007 ," L Lama 2017-12-19 "SAMSUL ARIFIN" KESAMBEN
PODOROTO KEDUNGBOTO BPJS PENGOBATAN "POLI UMUM / BP" 6 "Karcis
Gratis" 0002322111385 0 3541 "TIDAK BEKERJA" "PBI (APBN)"
2024-02-26 0014658 "Pusk KESAMBEN" "FARZANO NABIL PUTRA ARGYANTO"
"3517122210160002 ," L Lama 2016-10-22 SUGIANTO KESAMBEN
KESAMBEN NGEMBUL BPJS PENGOBATAN "POLI UMUM / BP" 7 "Karcis
Gratis" 0002261052437 0 3493 PELAJAR "PEKERJA MANDIRI"
2024-02-23 0022084 "Pusk KESAMBEN" "FIRMAN WAHYU AL FAHRIZY"
"3517120709140002 ," L Lama 2014-09-07 "YOGA PAMUNGKAS" KESAMBEN
KEDUNGMLATI KEDUNGGAYAM BPJS PENGOBATAN "POLI UMUM / BP" 9 "Karcis
Gratis" 0001436147897 0 3468 PELAJAR "PRAJURIT AD"
2024-02-23 0007201 "Pusk KESAMBEN" "MUHAMMAD GIBRAN ADHIAKSA"
"3517122810140001 ," L Lama 2014-10-28 SUYONO KESAMBEN
JOMBATAN "JOMBATAN 1" BPJS PENGOBATAN "POLI UMUM / BP" 9
"Karcis Gratis" 0003338591084 0 3446 "TIDAK BEKERJA" "PEKERJA
MANDIRI"
2024-02-23 0026859 "Pusk KESAMBEN" "M IRWAN " "3517121909180002 ," L
Lama 2018-09-19 ROHMAN KESAMBEN KEDUNGBETIK DERO BPJS PENGOBATAN
"POLI UMUM / BP" 5 "Karcis Gratis" 0003075497559 0 3435 "TIDAK
BEKERJA" "PEKERJA MANDIRI"
2024-02-23 0034542 "Pusk KESAMBEN" "BAMBANG WISANGGENI"
"3517121901170002 ," L Lama 2017-01-19 SUPRIYANTO KESAMBEN
WATUDAKON REMBUKWANGI BAYAR/UMUM PENGOBATAN "POLI UMUM / BP" 7
"Pemeriksaan umum di jam kerja" 10000 631 PELAJAR
6000 4000
2024-02-22 0015066 "Pusk KESAMBEN" "MUHAMMAD DHANI PRASETYO"
"3517121803180002 ," L Lama 2018-03-18 ACHMAD KESAMBEN "POJOK
KULON" "POJOK KULON" BPJS PENGOBATAN "POLI UMUM / BP" 5 "Karcis
Gratis" 0002521127553 0 3378 "TIDAK BEKERJA" INVESTOR
2024-02-22 0034744 "Pusk KESAMBEN" "FEMAS PRAYOGA ALVINO MAULANA"
"3517121912170002 ," L Lama 2017-12-19 "MOHAMAD INDRA" KESAMBEN
GUMULAN "GUMULAN II" BAYAR/UMUM PENGOBATAN "POLI UMUM / BP" 6
 "Pemeriksaan umum di jam kerja" 10000 623 PELAJAR
6000 4000
2024-02-21 0034737 "Pusk KESAMBEN" "MUHAMMAD RIDHO SATRIA SETIAWAN"
"3517120601170001 ," L Lama 2017-01-06 MULYONO KESAMBEN
PODOROTO KEDUNGDOWO BPJS PENGOBATAN "POLI UMUM / BP" 7 "Karcis
Gratis" 0002917242628 0 3310 PELAJAR "PEGAWAI SWASTA"
2024-02-21 0012377 "Pusk KESAMBEN" "DWI RANGGA PUTRA ARDIANSA" "3517 ,"
L Lama 2018-03-16 ARDI KESAMBEN KESAMBEN KEDUNGSAMBI BPJS
PENGOBATAN "POLI UMUM / BP" 5 "Karcis Gratis" 0002440157242 0
3309 "TIDAK BEKERJA" "PEKERJA MANDIRI"
2024-02-21 0034735 "Pusk KESAMBEN" "MUKHAMMAD SLAMET"
"3517122412170001 ," L Lama 2017-12-24 "MUHAMMAD HUDI" KESAMBEN
KEDUNGMLATI KEDUNGBENDO BPJS PENGOBATAN "POLI UMUM / BP" 6 "Karcis
Gratis" 0003245086811 0 3300 PELAJAR "PBI (APBN)"
2024-02-21 0033328 "Pusk KESAMBEN" "LEONDRA JANUAR DWI SYAHPUTRA"
"3517121601180003 ," L Lama 2018-01-16 ABIDIN KESAMBEN WULUH
WULUH BPJS PENGOBATAN "POLI UMUM / BP" 6 "Karcis Gratis"
0003134720237 0 3292 PELAJAR "PEGAWAI SWASTA" 087899836084
2024-02-21 0034731 "Pusk KESAMBEN" "QUSNAINI THORIQUL AZIZ"
"3517122302160001 ," L Lama 2016-02-23 BAMBANG KESAMBEN
POJOKREJO DELIK BPJS PENGOBATAN "POLI UMUM / BP" 7 "Karcis Gratis"
0002909142213 0 3288 "PBI (APBD)"
2024-02-21 0025123 "Pusk KESAMBEN" "ARFAN LUQMAN FAJAR"
"3216072505160002 ," L Lama 2016-05-25 SULISNO KESAMBEN
POJOKREJO GUDANG BPJS PENGOBATAN "POLI UMUM / BP" 7 "Karcis
Gratis" 0002079396178 0 3272 PELAJAR "PEGAWAI SWASTA"
2024-02-21 0022084 "Pusk KESAMBEN" "FIRMAN WAHYU AL FAHRIZY"
"3517120709140002 ," L Lama 2014-09-07 "YOGA PAMUNGKAS" KESAMBEN
KEDUNGMLATI KEDUNGGAYAM BPJS PENGOBATAN "POLI UMUM / BP" 9 "Karcis
Gratis" 0001436147897 0 3262 PELAJAR "PRAJURIT AD"
2024-02-21 0028145 "Pusk KESAMBEN" "AHMAD ATTAR MAUZA"
"3517121909170001 ," L Lama 2017-09-19 "RUDI HARTONO" KESAMBEN
PODOROTO NGEMPLAK BPJS PENGOBATAN "POLI UMUM / BP" 6 "Karcis
Gratis" 0002287386595 0 3251 "TIDAK BEKERJA" "PEGAWAI SWASTA"
2024-02-21 0017552 "Pusk KESAMBEN" "MUKHAMAD RADITIYA"
"3517122002150002 ," L Lama 2015-02-20 ARIFIN KESAMBEN
KEDUNGMLATI KEDUNGMLATI BAYAR/UMUM PENGOBATAN "POLI UMUM / BP" 9
"Pemeriksaan umum di jam kerja" 10000 593 PELAJAR
6000 4000
2024-02-20 0016436 "Pusk KESAMBEN" FATHAN "3517121110170002 ," L
Lama 2017-10-11 ANTON KESAMBEN KESAMBEN KESAMBEN BAYAR/UMUM
PENGOBATAN "POLI UMUM / BP" 6 "Pemeriksaan umum di jam kerja"
10000 587 "TIDAK BEKERJA" 6000 4000
2024-02-20 0034719 "Pusk KESAMBEN" "MUHAMMAD NAUVAL AR RAZKA"
"3515182604160002 ," L Lama 2016-04-26 "CHALIMATUZ ZAHROH"
KESAMBEN "POJOK KULON" POJOKKULON BAYAR/UMUM PENGOBATAN "POLI UMUM /
BP" 7 "Pemeriksaan umum di jam kerja" 10000 581 "TIDAK BEKERJA"
6000 4000
2024-02-20 0006462 "Pusk KESAMBEN" "M RACHMAN ARDANI PRADIPTA"
"3517070604150006 ," L Lama 2017-03-24 "M RIONO" KESAMBEN
KEDUNGBETIK KEDUNGBETIK BAYAR/UMUM PENGOBATAN "POLI UMUM / BP" 6
"Pemeriksaan umum di jam kerja" 10000 578 "TIDAK BEKERJA"
6000 4000
2024-02-20 0034716 "Pusk KESAMBEN" "MUHAMMAD ATTAFARIS FAISAL"
"3517120901190003 ," L Lama 2019-01-09 "FAISAL AMIR" KESAMBEN
KEDUNGMLATI KEDUNGPAPAR BAYAR/UMUM PENGOBATAN "POLI UMUM / BP" 5
"Pemeriksaan umum di jam kerja" 10000 571 PELAJAR
6000 4000
2024-02-20 0034715 "Pusk KESAMBEN" "RASYA BAYU ADITYA"
 "3517121509180001 ," L Lama 2018-09-15 "NUR HUDA" KESAMBEN
WATUDAKON WATUDAKON BPJS PENGOBATAN "POLI UMUM / BP" 5 "Karcis
Gratis" 0002491115635 0 3150 "TIDAK BEKERJA" "PEGAWAI SWASTA"
2024-02-19 0029431 "Pusk KESAMBEN" "ZAYN RASIID ACHMAT"
"3504191903180001 ," L Lama 2018-03-19 "ACHMAT SIFAK LUKMAN SOLEH"
KESAMBEN PODOROTO GARU BPJS PENGOBATAN "POLI UMUM / BP" 5
"Karcis Gratis" 0002441042864 0 3100 PELAJAR "PBI (APBN)"
081216517105
2024-02-19 0016335 "Pusk KESAMBEN" "SANJI D ABIL" "3517120809180002 ,"
L Lama 2018-09-08 HARIHADI KESAMBEN WULUH WULUH BPJS PENGOBATAN
"POLI UMUM / BP" 5 "Karcis Gratis" 0002936712879 0 3075 "TIDAK
BEKERJA" "PEKERJA MANDIRI"
2024-02-19 0025403 "Pusk KESAMBEN" "EGA REZA HIDAYAH"
"3517120703150001 ," L Lama 2015-03-07 SUGIYANTO KESAMBEN
POJOKREJO GUDANG BPJS PENGOBATAN "POLI UMUM / BP" 8 "Karcis
Gratis" 0003236335806 0 3050 PELAJAR "PEKERJA MANDIRI"
2024-02-19 0017552 "Pusk KESAMBEN" "MUKHAMAD RADITIYA"
"3517122002150002 ," L Lama 2015-02-20 ARIFIN KESAMBEN
KEDUNGMLATI KEDUNGMLATI BAYAR/UMUM PENGOBATAN "POLI UMUM / BP" 8
"Pemeriksaan umum di jam kerja" 10000 543 PELAJAR
6000 4000
2024-02-15 0006877 "Pusk KESAMBEN" "MUHAMMAD HANIF PRATAMA ATMAJA"
"3517122504160005 ," L Lama 2016-04-25 "MEI PURNAMA CANDRA"
KESAMBEN PODOROTO NGEMPLAK BAYAR/UMUM PENGOBATAN "POLI UMUM / BP"
7 "Pemeriksaan umum di jam kerja" 10000 527 "TIDAK BEKERJA"
6000 4000
2024-02-15 0002547 "Pusk KESAMBEN" "AHMAD HUSEN" "3517122810160002 ,"
L Lama 2016-10-28 "A YANI" KESAMBEN WATUDAKON JUNGKIR BPJS
PENGOBATAN "POLI UMUM / BP" 7 "Karcis Gratis" 0002606676737 0
2925 "TIDAK BEKERJA" "PBI (APBN)"
2024-02-15 0009533 "Pusk KESAMBEN" "M AFIF NURROHMAN"
"3517120612170002 ," L Lama 2017-12-06 MUSTAKIM KESAMBEN
PODOROTO NGEMPLAK BPJS PENGOBATAN "POLI UMUM / BP" 6 "Karcis
Gratis" 0002472743496 0 2913 "TIDAK BEKERJA" "PBI (APBN)"
2024-02-15 0018069 "Pusk KESAMBEN" "HUSEIN GIBRAN RAMADHAN"
"3517122505180001 ," L Lama 2018-05-25 "M YUNUS" KESAMBEN
KESAMBEN NGEMBUL BAYAR/UMUM PENGOBATAN "POLI UMUM / BP" 5
"Pemeriksaan umum di jam kerja" 10000 520 "TIDAK BEKERJA"
6000 4000
2024-02-14 0029846 "Pusk KESAMBEN" "FAZA FAUZAN ADHIMA"
"3517122509150001 ," L Lama 2015-09-25 SUBARI KESAMBEN
KEDUNGBETIK NGEMPRAK BPJS PENGOBATAN "POLI UMUM / BP" 8 "Karcis
Gratis" 0003295333089 0 2837 PELAJAR "PEKERJA MANDIRI"
2024-02-13 0017576 "Pusk KESAMBEN" "SYAFIQ FAIZIN ATTAYASA"
"3517120210180001 ," L Lama 2018-10-02 WAKHID KESAMBEN
PODOROTO GARU BPJS PENGOBATAN "POLI UMUM / BP" 5 "Karcis Gratis"
0002496455098 0 2822 "TIDAK BEKERJA" "PBI (APBN)" .
2024-02-12 0016314 "Pusk KESAMBEN" "DANENDRA ARDIANSYAH FAJAR SAPUTRA"
"3517121411180002 ," L Lama 2018-12-17 "M SAIFULLOH" KESAMBEN
PODOROTO KEDUNGDOWO BPJS PENGOBATAN "POLI UMUM / BP" 5 "Karcis
Gratis" 0002624050754 0 2598 "TIDAK BEKERJA" "PBI (APBN)"
2024-02-09 0034636 "Pusk KESAMBEN" SITIMAISAROH "999999999999946 ,"
L Lama 2018-03-13 MARIYONO KESAMBEN WATUDAKON JERUKWANGI
BAYAR/UMUM PENGOBATAN "POLI UMUM / BP" 5 "Pemeriksaan umum di jam
kerja" 10000 471 "TIDAK BEKERJA" 6000 4000
2024-02-09 0029905 "Pusk KESAMBEN" "STIVEN TRIO NUR FIZAL"
"3517122610170002 ," L Lama 2017-10-26 SUDIBYO KESAMBEN
POJOKREJO GUDANG BAYAR/UMUM PENGOBATAN "POLI UMUM / BP" 6
"Pemeriksaan umum di jam kerja" 10000 465 "TIDAK BEKERJA"
 6000 4000
2024-02-09 0020714 "Pusk KESAMBEN" "PUTRA PRAFASTA FATIH AL FARIZI"
"3578200806180002 ," L Lama 2018-06-08 SUPARMAN KESAMBEN
PODOROTO GARU BPJS PENGOBATAN "POLI UMUM / BP" 5 "Karcis Gratis"
0002468588488 0 2510 "TIDAK BEKERJA" "PBI (APBD)"
2024-02-07 0006977 "Pusk KESAMBEN" "ILHAM DWI RAMADHAN"
"351710906160001 ," L Lama 2016-06-09 "SLAMET BUDIONO" KESAMBEN
PODOROTO KEDUNGDOWO BPJS PENGOBATAN "POLI UMUM / BP" 7 "Karcis
Gratis" 0002681463587 0 2429 "TIDAK BEKERJA" "PBI (APBD)"
2024-02-07 0034629 "Pusk KESAMBEN" "NADYA AZZAHRA KHARISMATUL ISLAM"
"3517126610160001 ," L Lama 2016-10-26 BUDIONO KESAMBEN
JOMBATAN "JOMBATAN 3" BAYAR/UMUM PENGOBATAN "POLI UMUM / BP" 7
"Pemeriksaan umum di jam kerja" 10000 457 PELAJAR
6000 4000
2024-02-07 0007534 "Pusk KESAMBEN" "M ALDHENTA RAMADHAN"
"3517122201068042 ," L Lama 2017-06-05 SENAIN KESAMBEN
KESAMBEN NGEMBUL BPJS PENGOBATAN "POLI UMUM / BP" 6 "Karcis
Gratis" 0002592067509 0 2406 "TIDAK BEKERJA" "PBI (APBN)"
2024-02-07 0011617 "Pusk KESAMBEN" "MUKHAMMAD KHALIF DZAKARYA ADI PRATAMA"
"3517121503180001 ," L Lama 2018-03-15 "MULIADI UTOMO" KESAMBEN
PODOROTO GARU BPJS PENGOBATAN "POLI UMUM / BP" 5 "Karcis Gratis"
0002439944526 0 2397 "TIDAK BEKERJA" "PBI (APBN)"
2024-02-07 0022732 "Pusk KESAMBEN" "DANDIK NUR ARDIANSYAH"
"3517122201064488 ," L Lama 2018-06-21 DEDIK KESAMBEN POJOKREJO
NGERCO BAYAR/UMUM PENGOBATAN "POLI UMUM / BP" 5 "Pemeriksaan umum
di jam kerja" 10000 448 "TIDAK BEKERJA" 085606094096 6000
4000
2024-02-07 0016314 "Pusk KESAMBEN" "DANENDRA ARDIANSYAH FAJAR SAPUTRA"
"3517121411180002 ," L Lama 2018-12-17 "M SAIFULLOH" KESAMBEN
PODOROTO KEDUNGDOWO BPJS PENGOBATAN "POLI UMUM / BP" 5 "Karcis
Gratis" 0002624050754 0 2361 "TIDAK BEKERJA" "PBI (APBN)"
2024-02-06 0027069 "Pusk KESAMBEN" "AKA ABDAHU" "6408090405180001 ,"
L Lama 2018-05-04 "ALI MUNTHOHAR" KESAMBEN JOMBATAN TAMBAKREJO
BAYAR/UMUM PENGOBATAN "POLI UMUM / BP" 5 "Pemeriksaan umum di jam
kerja" 10000 431 "TIDAK BEKERJA" 081254003267 6000 4000
2024-02-06 0002195 "Pusk KESAMBEN" "AHMAD ALWI HAKIM"
"3517121111160006 ," L Lama 2016-11-11 "M LUKMANUL HAKIM"
KESAMBEN PODOROTO "KEDUNG DOWO" BPJS PENGOBATAN "POLI UMUM / BP"
7 "Karcis Gratis" 0003076906263 0 2266 "TIDAK BEKERJA"
"PEGAWAI SWASTA"
2024-02-06 0017115 "Pusk KESAMBEN" "MOHAMMAD FAIRUZ IMDADULLAH ASY-SYAMS"
"3517122410160007 ," L Lama 2017-12-19 "SAMSUL ARIFIN" KESAMBEN
PODOROTO KEDUNGBOTO BPJS PENGOBATAN "POLI UMUM / BP" 6 "Karcis
Gratis" 0002322111385 0 2247 "TIDAK BEKERJA" "PBI (APBN)"
2024-02-05 0016269 "Pusk KESAMBEN" "ARVINO NAZRIL ARRASYAD"
"3517122512180001 ," L Lama 2018-12-25 ROJIUN KESAMBEN
KEDUNGMLATI KEDUNGPAPAR BAYAR/UMUM PENGOBATAN "POLI UMUM / BP" 5
"Pemeriksaan umum di jam kerja" 10000 419 "TIDAK BEKERJA"
6000 4000
2024-02-05 0004529 "Pusk KESAMBEN" "M NUR RIDWAN" "3517122503170003 ,"
L Lama 2017-03-25 SUMARLI KESAMBEN KEDUNGBETIK NGEMPRAK
BAYAR/UMUM PENGOBATAN "POLI UMUM / BP" 6 "Pemeriksaan umum di jam
kerja" 10000 411 SWASTA 6000 4000
2024-02-05 0017576 "Pusk KESAMBEN" "SYAFIQ FAIZIN ATTAYASA"
"3517120210180001 ," L Lama 2018-10-02 WAKHID KESAMBEN
PODOROTO GARU BPJS PENGOBATAN "POLI UMUM / BP" 5 "Karcis Gratis"
0002496455098 0 2137 "TIDAK BEKERJA" "PBI (APBN)" .
2024-02-05 0030949 "Pusk KESAMBEN" "MUHAMMAD NAZRILLUDIN AL OZAN"
"3517121910180001 ," L Lama 2018-10-19 ZAINUDIN KESAMBEN
 CARANGREJO CARANGPRANTI BAYAR/UMUM PENGOBATAN "POLI UMUM / BP" 5
"Pemeriksaan umum di jam kerja" 10000 405 "TIDAK BEKERJA"
082337367668 6000 4000
2024-02-02 0034579 "Pusk KESAMBEN" "RIJAL IBAH MUSTHAFA"
"3517120402150002 ," L Lama 2015-02-04 "AHMAD HABIBULLOH"
KESAMBEN KESAMBEN CARANGREJO BPJS PENGOBATAN "POLI UMUM / BP" 8
"Karcis Gratis" 0002054070944 0 2099 PELAJAR "PEGAWAI SWASTA"
085732274603
2024-02-02 0033720 "Pusk KESAMBEN" "HAFIZ ERTIANSYAH "
"3517120507170001 ," L Lama 2017-07-05 "ANDIK ERTIANTO" KESAMBEN
KEDUNGBETIK KEDUNGBETIK BPJS PENGOBATAN "POLI UMUM / BP" 6 "Karcis
Gratis" 0002497321225 0 2069 PELAJAR "PBI (APBN)" "
085606849327"
2024-02-02 0014716 "Pusk KESAMBEN" "M ALFURQON JAELANI"
"3517111607180002 ," L Lama 2018-07-16 "M KODIR JAELANI" KESAMBEN
CARANGREJO CARANGREJO BPJS PENGOBATAN "POLI UMUM / BP" 5 "Karcis
Gratis" 0002773900754 0 2050 "TIDAK BEKERJA" "PBI (APBN)"
2024-02-01 0009524 "Pusk KESAMBEN" "MOCHAMMAD AURELLIO MADEIRE LEITE"
"3517121308170001 ," L Lama 2017-08-13 ALEXANDRE KESAMBEN
PODOROTO KEDUNGBOTO BAYAR/UMUM PENGOBATAN "POLI UMUM / BP" 6
"Pemeriksaan umum di jam kerja" 10000 378 "TIDAK BEKERJA"
085648362454 6000 4000
2024-02-01 0011990 "Pusk KESAMBEN" "M RAFA AZMI PUTRA"
"3517120304180002 ," L Lama 2018-04-03 "A SHOLEH" KESAMBEN
KESAMBEN NGEMBUL BPJS PENGOBATAN "POLI UMUM / BP" 5 "Karcis
Gratis" 0002620044426 0 2003 "TIDAK BEKERJA" "PBI (APBD)"
2024-02-01 0011857 "Pusk KESAMBEN" "AZKA SETYA PRANATA"
"3507300310170001 ," L Lama 2017-10-03 "AGUNG PRASETYA" KESAMBEN
KEDUNGBETIK "KANDANG SAPI" BPJS PENGOBATAN "POLI UMUM / BP" 6
"Karcis Gratis" 0002905799117 0 1975 "TIDAK BEKERJA" "PEKERJA
MANDIRI"