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
2024-01-31 0007814 "Pusk KESAMBEN" "ABQARIAH AKIFA LIFICIA"
"3517126705160003 ," P Lama 2016-05-27 "M SOFII" KESAMBEN
PODOROTO GARU BPJS PENGOBATAN "POLI UMUM / BP" 7 "Karcis Gratis"
0002295742645 0 1936 "TIDAK BEKERJA" "PEGAWAI SWASTA"
2024-01-31 0029490 "Pusk KESAMBEN" "HANA AULIA SANTRI"
"3517125909170001 ," P Lama 2017-09-19 "BAMBANG SUGIANTO"
KESAMBEN KESAMBEN NGEMBUL BPJS PENGOBATAN "POLI UMUM / BP" 6
"Karcis Gratis" 0002287874575 0 1925 "TIDAK BEKERJA" "PNS PUSAT"
085806529629
2024-01-31 0027653 "Pusk KESAMBEN" "ERIS WULANDARI" "3517124609170001 ,"
P Lama 2017-09-06 BUDIONO KESAMBEN CARANGREJO CARANGPRANTI
BPJS PENGOBATAN "POLI UMUM / BP" 6 "Karcis Gratis" 0002626454237
0 1869 "TIDAK BEKERJA" "PEGAWAI SWASTA"
2024-01-29 0017744 "Pusk KESAMBEN" "MIKAYLA ZAHSY ADITYA"
"3517123105180001 ," P Lama 2019-01-08 "WAHYU FEBRI " KESAMBEN
JOMBATAN JOMBATAN BPJS PENGOBATAN "POLI UMUM / BP" 5 "Karcis
Gratis" 0002619942287 0 1770 "TIDAK BEKERJA" "PEGAWAI SWASTA"
2024-01-29 0015004 "Pusk KESAMBEN" "ADIBAH LAURA HUSNA"
"9999999999999395 ," P Lama 2018-08-29 "BAYU HUDAYANA" KESAMBEN
KESAMBEN PATUK BAYAR/UMUM PENGOBATAN "POLI UMUM / BP" 5 "Pemeriksaan
umum di jam kerja" 10000 330 "TIDAK BEKERJA" 6000 4000
2024-01-29 0011302 "Pusk KESAMBEN" ANDINI "3517124412170001 ," P
Lama 2017-12-04 SUWITO KESAMBEN WULUH BABADAN BAYAR/UMUM
PENGOBATAN "POLI UMUM / BP" 6 "Pemeriksaan umum di jam kerja"
10000 327 "TIDAK BEKERJA" 6000 4000
2024-01-29 0030178 "Pusk KESAMBEN" "NAVEEZA OKTAVIA SETIANTI"
"3517120710170001 ," P Lama 2017-10-07 "YUDI SULISTIO" KESAMBEN
POJOKREJO GUDANG BAYAR/UMUM PENGOBATAN "POLI UMUM / BP" 6
"Pemeriksaan umum di jam kerja" 10000 316 PELAJAR
085856582966 6000 4000
2024-01-25 0029490 "Pusk KESAMBEN" "HANA AULIA SANTRI"
"3517125909170001 ," P Lama 2017-09-19 "BAMBANG SUGIANTO"
KESAMBEN KESAMBEN NGEMBUL BPJS PENGOBATAN "POLI UMUM / BP" 6
"Karcis Gratis" 0002287874575 0 1555 "TIDAK BEKERJA" "PNS PUSAT"
085806529629
2024-01-24 0002645 "Pusk KESAMBEN" "QUEENSH ZAHRA AFIQAH RABBANI"
"3517120302110108 ," P Lama 2017-02-11 "NURUL HUDA" KESAMBEN
KESAMBEN PATUK BPJS PENGOBATAN "POLI UMUM / BP" 6 "Karcis Gratis"
0002224025627 0 1501 "TIDAK BEKERJA" "PEKERJA MANDIRI"
2024-01-24 0021438 "Pusk KESAMBEN" "KEISHA NAILATUS IRFANI"
"3517126704180001 ," P Lama 2018-04-27 IRFAN KESAMBEN PODOROTO
GARU BAYAR/UMUM PENGOBATAN "POLI UMUM / BP" 5 "Pemeriksaan umum di jam
kerja" 10000 276 "TIDAK BEKERJA" 6000 4000
2024-01-23 0034463 "Pusk KESAMBEN" "JASMINE NABILA NUR AZZAHRA"
"3578044110150002 ," P Lama 2015-10-21 "MOCH JAMIL" KESAMBEN
POJOKREJO GUDANG BAYAR/UMUM PENGOBATAN "POLI UMUM / BP" 8
"Pemeriksaan umum di jam kerja" 10000 270 PELAJAR
081554124155 6000 4000
2024-01-23 0019365 "Pusk KESAMBEN" "DEANDRA SALSABILAH"
"3517126306140001 ," P Lama 2014-06-23 CANDRA KESAMBEN
KEDUNGMLATI KRANDEGAN BAYAR/UMUM PENGOBATAN "POLI UMUM / BP" 9
"Pemeriksaan umum di jam kerja" 10000 264 PELAJAR
6000 4000
2024-01-22 0019050 "Pusk KESAMBEN" "ADINDA NOVITA SARI"
"3517125507180002 ," P Lama 2018-07-15 SUGENG KESAMBEN
 KESAMBEN KEDUNGSAMBI BAYAR/UMUM PENGOBATAN "POLI UMUM / BP" 5
"Pemeriksaan umum di jam kerja" 10000 254 "TIDAK BEKERJA"
6000 4000
2024-01-22 0022336 "Pusk KESAMBEN" "EGA " "3517125010130003 ," P
Lama 2014-10-10 GATOT KESAMBEN WULUH BAHUDAN BAYAR/UMUM PENGOBATAN
"POLI UMUM / BP" 9 "Pemeriksaan umum di jam kerja" 10000 248
PELAJAR 6000 4000
2024-01-22 0034393 "Pusk KESAMBEN" "ANNASYA ADREENA SAILA"
"3517125610170001 ," P Lama 2017-10-16 "KOKO SETYO BUDI" KESAMBEN
WULUH WULUH BAYAR/UMUM PENGOBATAN "POLI UMUM / BP" 6 "Pemeriksaan umum
di jam kerja" 10000 241 "TIDAK BEKERJA" 085730726743 6000
4000
2024-01-19 0031274 "Pusk KESAMBEN" "SITI NAURA FARZANA"
"3517124512160001 ," P Lama 2016-12-05 HABIBI KESAMBEN
KEDUNGBETIK KEDUNGBETIK BPJS PENGOBATAN "POLI UMUM / BP" 7 "Karcis
Gratis" 0002685390017 0 1216 PELAJAR "PBI (APBD)"
2024-01-18 0019407 "Pusk KESAMBEN" "JIHAN VANISCA" "3517125406170003 ,"
P Lama 2017-06-14 "SAIFUL ANAM" KESAMBEN PODOROTO GARU BPJS
PENGOBATAN "POLI UMUM / BP" 6 "Karcis Gratis" 0003245086337 0
1194 "TIDAK BEKERJA" "PEKERJA MANDIRI" .
2024-01-18 0006819 "Pusk KESAMBEN" "NAYLA ALISTYA UTOMO"
"3517121710080002 ," P Lama 2017-06-14 "SETYO BUDI" KESAMBEN
JOMBATAN JOMBATAN BPJS PENGOBATAN "POLI UMUM / BP" 6 "Karcis
Gratis" 0002239024184 0 1192 "TIDAK BEKERJA" "PEKERJA MANDIRI"
2024-01-18 0012487 "Pusk KESAMBEN" "DINARA NUR ISLAMADINA"
"3517124605180001 ," P Lama 2018-05-06 DARIYONO KESAMBEN
JOMBATAN PULOKUNCI BPJS PENGOBATAN "POLI UMUM / BP" 5 "Karcis
Gratis" 0002906901123 0 1189 "TIDAK BEKERJA" "PBI (APBN)"
2024-01-18 0031173 "Pusk KESAMBEN" "NAIRA OKTAVIO" "3517164510140002 ,"
P Lama 2014-10-05 "PRYONO SANTOSO" KESAMBEN KESAMBEN KESAMBEN
BAYAR/UMUM PENGOBATAN "POLI UMUM / BP" 9 "Pemeriksaan umum di jam
kerja" 10000 222 PELAJAR 6000 4000
2024-01-18 0029490 "Pusk KESAMBEN" "HANA AULIA SANTRI"
"3517125909170001 ," P Lama 2017-09-19 "BAMBANG SUGIANTO"
KESAMBEN KESAMBEN NGEMBUL BPJS PENGOBATAN "POLI UMUM / BP" 6
"Karcis Gratis" 0002287874575 0 1180 "TIDAK BEKERJA" "PNS PUSAT"
085806529629
2024-01-18 0033175 "Pusk KESAMBEN" "ADZKIYA NAILA RAMADANI"
"3517124407160002 ," P Lama 2016-07-04 "NUGROHO BASUKI" KESAMBEN
KEDUNGMLATI INGASKEREP BPJS PENGOBATAN "POLI UMUM / BP" 7 "Karcis
Gratis" 0002068076709 0 1179 PELAJAR "PNS DAERAH" 085608281910

2024-01-18 0021088 "Pusk KESAMBEN" "ELZA DALILATUL INAYAH"

"3517126309180003 ," P Lama 2018-09-23 IMRON KESAMBEN KEDUNGMLATI
KEDUNGMLATI BPJS PENGOBATAN "POLI UMUM / BP" 5 "Karcis Gratis"
0002493332976 0 1156 "TIDAK BEKERJA" "PBI (APBN)"
2024-01-18 0014579 "Pusk KESAMBEN" "ANNISA INDRIYANI WASISTA"
"3517125906140001 ," P Lama 2014-06-19 "AINUR MUTTAKIN" KESAMBEN
JOMBATAN JOMBATAN BPJS PENGOBATAN "POLI UMUM / BP" 9 "Karcis
Gratis" 0003011428203 0 1155 "TIDAK BEKERJA" "PRAJURIT AD"
2024-01-17 0021890 "Pusk KESAMBEN" "JANETA SAFIRA ZANUAR"
"3517125901160002 ," P Lama 2016-01-19 "M KUSWIANTO" KESAMBEN
WATUDAKON REMBUGWANGI BAYAR/UMUM PENGOBATAN "POLI UMUM / BP" 7
"Pemeriksaan umum di jam kerja" 10000 206 "TIDAK BEKERJA" "PBI
(APBN)" 6000 4000
2024-01-17 0002212 "Pusk KESAMBEN" "AMIRAH NUR MUFIDAH"
"3517124112140001 ," P Lama 2014-12-01 SANTOSO KESAMBEN
KESAMBEN NGEMBUL BPJS PENGOBATAN "POLI UMUM / BP" 9 "Karcis
Gratis" 0002605568747 0 1126 PELAJAR "PBI (APBN)"
2024-01-17 0001298 "Pusk KESAMBEN" "NINIK SULISTYO" "3517125801890007 ,"
P Lama 1989-01-18 ISWANTO KESAMBEN KEDUNGBETIK KANDANGSAPI BPJS
PENGOBATAN "POLI UMUM / BP" 6 "Karcis Gratis" 0000730672705 0
1109 "IBU RT" "PBI (APBN)"
2024-01-16 0034393 "Pusk KESAMBEN" "ANNASYA ADREENA SAILA"
"3517125610170001 ," P Lama 2017-10-16 "KOKO SETYO BUDI" KESAMBEN
WULUH WULUH BAYAR/UMUM PENGOBATAN "POLI UMUM / BP" 6 "Pemeriksaan umum
di jam kerja" 10000 178 "TIDAK BEKERJA" 085730726743 6000
4000
2024-01-15 0025767 "Pusk KESAMBEN" "AYRA NAILA SAKHI"
"3517120209120000 ," P Lama 2018-07-31 "IMAM GHOZALI" KESAMBEN
JOMBATAN "JOMBATAN 3" BPJS PENGOBATAN "POLI UMUM / BP" 5
"Karcis Gratis" 0002445518259 0 931 "TIDAK BEKERJA" "PEKERJA
MANDIRI"
2024-01-12 0015135 "Pusk KESAMBEN" "KHAYLA FARZANA MAHARANI"
"3517125511170001 ," P Lama 2017-11-15 "YAYAK USWANTO" KESAMBEN
JATIDUWUR JATIDUWUR BPJS PENGOBATAN "POLI UMUM / BP" 6 "Karcis
Gratis" 0003126945194 0 800 "TIDAK BEKERJA" 08884092347
2024-01-12 0028988 "Pusk KESAMBEN" "ADILAH DWI AZKA LABIBA"
"3517125801170002 ," P Lama 2017-01-18 SUYOTO KESAMBEN
POJOKREJO "GUDANG " BPJS PENGOBATAN "POLI UMUM / BP" 6 "Karcis
Gratis" 0002418246933 0 787 "TIDAK BEKERJA" "PEGAWAI SWASTA"
2024-01-11 0013327 "Pusk KESAMBEN" "IRMASARI RAMADHANI"
"3517124807150003 ," P Lama 2015-07-08 "IRFAN DARMAWAN" KESAMBEN
JOMBATAN SAPON BAYAR/UMUM PENGOBATAN "POLI UMUM / BP" 8 "Pemeriksaan
umum di jam kerja" 10000 132 PELAJAR 081998239240 6000
4000
2024-01-10 0003658 "Pusk KESAMBEN" "AZZAHRA TRI ANJANI"
"3517126412150001 ," P Lama 2015-12-24 SUNARI KESAMBEN
PODOROTO "KEDUNG BOTO" BPJS PENGOBATAN "POLI UMUM / BP" 8
"Karcis Gratis" 0003541396781 0 678 PELAJAR "PEKERJA MANDIRI"
008712-03
2024-01-09 0032689 "Pusk KESAMBEN" "HANNA ANGGUN SARI"
"3517126804160001 ," P Lama 2016-04-28 "SAMSUL HADI KAYANI"
KESAMBEN KEDUNGMLATI KRANDEGAN BPJS PENGOBATAN "POLI UMUM / BP" 7
"Karcis Gratis" 0003236329293 0 584 PELAJAR "PBI (APBN)"

2024-01-09 0010473 "Pusk KESAMBEN" "NAYA ANGELICA PUTRI"

"3517125102150001 ," P Lama 2015-02-11 "ZAINUL ABIDIN" KESAMBEN
JOMBATAN JOMBATAN BPJS PENGOBATAN "POLI UMUM / BP" 8 "Karcis
Gratis" 0003289618495 0 576 "TIDAK BEKERJA" "PEKERJA MANDIRI"
2024-01-08 0029243 "Pusk KESAMBEN" "DEVINA AZZAHRA KHUMAIRAH"
"3517125602160003 ," P Lama 2016-02-16 "DODIK EFENDI" KESAMBEN
JATIDUWUR JATIDUWUR BPJS PENGOBATAN "POLI UMUM / BP" 7 "Karcis
Gratis" 0003118828026 0 532 PELAJAR "PEGAWAI SWASTA"
2024-01-08 0034311 "Pusk KESAMBEN" "KAYLA ANNISA AZZAHRA"
"3517124910140001 ," P Lama 2014-10-09 "AKHMAD NADHIRIN ISRON"
KESAMBEN GUMULAN GUMULAN BAYAR/UMUM PENGOBATAN "POLI UMUM / BP"
9 "Pemeriksaan umum di jam kerja" 10000 97 PELAJAR
6000 4000
2024-01-08 0019407 "Pusk KESAMBEN" "JIHAN VANISCA" "3517125406170003 ,"
P Lama 2017-06-14 "SAIFUL ANAM" KESAMBEN PODOROTO GARU
BAYAR/UMUM PENGOBATAN "POLI UMUM / BP" 6 "Pemeriksaan umum di jam
kerja" 10000 85 "TIDAK BEKERJA" . 6000 4000
2024-01-08 0009440 "Pusk KESAMBEN" "AISYAH HASNA RAMADHANI"
"3517127105170001 ," P Lama 2017-05-31 IKROM KESAMBEN PODOROTO
GARU BPJS PENGOBATAN "POLI UMUM / BP" 6 "Karcis Gratis"
0002430151795 0 482 "TIDAK BEKERJA" "PEGAWAI SWASTA"
2024-01-04 0024353 "Pusk KESAMBEN" KARTINI "3517125505160001 ," P
 Lama 2016-05-15 ROJIN KESAMBEN KEDUNGMLATI KEDUNGMLATI BPJS PENGOBATAN
"POLI UMUM / BP" 7 "Karcis Gratis" 0002598464801 0 266 "TIDAK
BEKERJA" "PBI (APBN)"
2024-01-03 0013616 "Pusk KESAMBEN" "AMIRAH ZAKIYAH SALSABIL RAMADHANI"
"3517104706160003 ," P Lama 2016-06-07 SANGKAN KESAMBEN
JOMBATAN SAPON BAYAR/UMUM PENGOBATAN "POLI UMUM / BP" 7 "Pemeriksaan
umum di jam kerja" 10000 36 "TIDAK BEKERJA" 6000 4000
2024-01-03 0010405 "Pusk KESAMBEN" "SYAKIRAH NURUL WULAN YASMIN"
"3517125005160001 ," P Lama 2016-05-10 "M NURUL FIQRI" KESAMBEN
WATUDAKON JUNGKIR BAYAR/UMUM PENGOBATAN "POLI UMUM / BP" 7
"Pemeriksaan umum di jam kerja" 10000 34 "TIDAK BEKERJA"
6000 4000
2024-01-03 0033492 "Pusk KESAMBEN" "NEFA RAJWA" "3515105412180001 ,"
P Lama 2018-12-14 CITRA KESAMBEN KEDUNGBETIK KEDUNGBETIK BPJS
PENGOBATAN "POLI UMUM / BP" 5 "Karcis Gratis" 0002498467781 0
151 "TIDAK BEKERJA" "PEKERJA MANDIRI" 085649000069
2024-01-02 0028988 "Pusk KESAMBEN" "ADILAH DWI AZKA LABIBA"
"3517125801170002 ," P Lama 2017-01-18 SUYOTO KESAMBEN
POJOKREJO "GUDANG " BPJS PENGOBATAN "POLI UMUM / BP" 6 "Karcis
Gratis" 0002418246933 0 61 "TIDAK BEKERJA" "PEGAWAI SWASTA"
2024-01-02 0034259 "Pusk KESAMBEN" "APRILIA PUJI LESTARI"
"3517125204140003 ," P Lama 2014-04-12 "KHUSNUL ARIF" KESAMBEN
KEDUNGMLATI KRANDEGAN BPJS PENGOBATAN "POLI UMUM / BP" 9 "Karcis
Gratis" 0003245084741 0 49 085755050150
2024-01-02 0033379 "Pusk KESAMBEN" "EVELYN LAILATUL KHASANAH"
"3517124207160001 ," P Lama 2016-07-02 "DANANG PRIYOKO" KESAMBEN
KEDUNGBETIK KEDUNGBETIK BPJS PENGOBATAN "POLI UMUM / BP" 7 "Karcis
Gratis" 0003521330706 0 13 PELAJAR "PEGAWAI SWASTA" 085606000396