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 0029362 "Pusk KESAMBEN" "ERLICA ZAHRANI PUTRI"
"3517127105150001 ," P Lama 2015-05-31 JAMIIN KESAMBEN
POJOKREJO GOSENG BPJS PENGOBATAN "POLI UMUM / BP" 8 "Karcis
Gratis" 0002865822423 0 3874 PELAJAR "PBI (APBN)"
2024-02-29 0009687 "Pusk KESAMBEN" "ARSYILLA FARZANA PUTRI"
"3517125112170002 ," P Lama 2017-12-11 "ARIS PURWANTO" KESAMBEN
KEDUNGMLATI INGASKEREP BPJS PENGOBATAN "POLI UMUM / BP" 6 "Karcis
Gratis" 0002446370122 0 3860 "TIDAK BEKERJA" "PBI (APBN)"
2024-02-29 0030199 "Pusk KESAMBEN" "NATASYA ARYA SYAFIRA"
"3517122311170004 ," P Lama 2018-01-14 RIO KESAMBEN JOMBATAN
JOMBATAN BPJS PENGOBATAN "POLI UMUM / BP" 6 "Karcis Gratis"
0002420623618 0 3858 "TIDAK BEKERJA" "PEGAWAI SWASTA" -
2024-02-29 0014651 "Pusk KESAMBEN" "ALESHA SALWA AZZAHRA"
"3517120801180003 ," P Lama 2018-06-01 "M FAIZAL MUNIR" KESAMBEN
KEDUNGBETIK KEDUNGBETIK BPJS PENGOBATAN "POLI UMUM / BP" 5 "Karcis
Gratis" 0002466077703 0 3801 "TIDAK BEKERJA" "PEGAWAI SWASTA"
2024-02-28 0000486 "Pusk KESAMBEN" "AININA MAR'ATHUS SHOLIKAH"
"3573026707150003 ," P Lama 2015-07-27 ISMAIL KESAMBEN
PODOROTO GARU BPJS PENGOBATAN "POLI UMUM / BP" 8 "Karcis Gratis"
0001703988393 0 3779 "TIDAK BEKERJA"
2024-02-28 0030740 "Pusk KESAMBEN" "ANISA RAHMADHANI"
"3517126107140002 ," P Lama 2014-07-21 BUDIONO KESAMBEN
CARANGREJO CARANGPRANTI BPJS PENGOBATAN "POLI UMUM / BP" 9
"Karcis Gratis" 0002626453798 0 3721 PELAJAR "PEGAWAI SWASTA"

2024-02-28 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 3720 "TIDAK BEKERJA" "PEGAWAI SWASTA"
2024-02-27 0007567 "Pusk KESAMBEN" "NABILLA PUTRI OKTAVIA"
"3517126610160002 ," P Lama 2016-10-26 "ALI SODIKIN" KESAMBEN
POJOKREJO DELIK BPJS PENGOBATAN "POLI UMUM / BP" 7 "Karcis Gratis"
0002088151323 0 3713 "TIDAK BEKERJA" "PEKERJA MANDIRI"
2024-02-27 0027493 "Pusk KESAMBEN" "KEISHA INARA RIZKI PRAYUGA"
"3517141211150001 ," P Lama 2017-08-31 "DITA PRAYUGA" KESAMBEN
JOMBATAN "JOMBATAN 1" BPJS PENGOBATAN "POLI UMUM / BP" 6
"Karcis Gratis" 0002282369591 0 3710 "TIDAK BEKERJA" "PRAJURIT
AL"
2024-02-27 0014711 "Pusk KESAMBEN" "NESYA MUTIARA SEPTY"
"3517126209180002 ," P Lama 2018-09-23 ASEP KESAMBEN PODOROTO
GARU BAYAR/UMUM PENGOBATAN "POLI UMUM / BP" 5 "Pemeriksaan umum di jam
kerja" 10000 669 "TIDAK BEKERJA" 085808449252 6000 4000
2024-02-27 0011032 "Pusk KESAMBEN" "AZRIL RAFISKI" "3517122510170001 ,"
P Lama 2017-10-25 "NUR HAMID" KESAMBEN PODOROTO GARU BPJS
PENGOBATAN "POLI UMUM / BP" 6 "Karcis Gratis" 0002435230653 0
3684 "TIDAK BEKERJA" "PEGAWAI SWASTA" 082111950825
2024-02-27 0001150 "Pusk KESAMBEN" "KHANZA KHOIROTUN NISA"
"3517126707160002 ," P Lama 2016-07-27 ISYANTO KESAMBEN
WATUDAKON REMBUGWANGI BPJS PENGOBATAN "POLI UMUM / BP" 7 "Karcis
Gratis" 0002596299355 0 3679 "TIDAK BEKERJA" "PBI (APBN)"
2024-02-27 0016293 "Pusk KESAMBEN" "NAFIZA MIKAYLA AZZAHRA"
"3517124605160002 ," P Lama 2018-05-06 ASMUI KESAMBEN "POJOK
KULON" KAMPUNGTURI BAYAR/UMUM PENGOBATAN "POLI UMUM / BP" 5 "Pemeriksaan
umum di jam kerja" 10000 660 "TIDAK BEKERJA" 6000 4000
2024-02-27 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 3669 "TIDAK BEKERJA" "PNS PUSAT"
085806529629
2024-02-27 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 654 "TIDAK BEKERJA"
6000 4000
2024-02-26 0013946 "Pusk KESAMBEN" "AQILLA KHARISMA PUTRI"
"3517125807180005 ," P Lama 2018-07-18 SISTONI KESAMBEN
KEDUNGMLATI INGASKEREP BAYAR/UMUM PENGOBATAN "POLI UMUM / BP" 5
"Pemeriksaan umum di jam kerja" 10000 645 "TIDAK BEKERJA"
6000 4000
2024-02-26 0011032 "Pusk KESAMBEN" "AZRIL RAFISKI" "3517122510170001 ,"
P Lama 2017-10-25 "NUR HAMID" KESAMBEN PODOROTO GARU BPJS
PENGOBATAN "POLI UMUM / BP" 6 "Karcis Gratis" 0002435230653 0
3528 "TIDAK BEKERJA" "PEGAWAI SWASTA" 082111950825
2024-02-26 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 3499 "TIDAK BEKERJA" "PEGAWAI SWASTA"
2024-02-23 0034639 "Pusk KESAMBEN" "NEYHA ADILA RAMADHANI"
"3517126706160001 ," P Lama 2016-06-27 - KESAMBEN KEDUNGMLATI
"DSN INGASKEREP 3/8 KEDUNGMLATI KESAMBEN" BPJS PENGOBATAN "POLI UMUM / BP"
7 "Karcis Gratis" 0003245086269 0 3428 "PBI (APBD)"
-
2024-02-22 0000486 "Pusk KESAMBEN" "AININA MAR'ATHUS SHOLIKAH"
"3573026707150003 ," P Lama 2015-07-27 ISMAIL KESAMBEN
PODOROTO GARU BPJS PENGOBATAN "POLI UMUM / BP" 8 "Karcis Gratis"
0001703988393 0 3398 "TIDAK BEKERJA" "PNS DAERAH"
2024-02-22 0003765 "Pusk KESAMBEN" "DIYAH ANASTASYA" "3517125201150001 ,"
P Lama 2015-01-12 "A SADELI" KESAMBEN KESAMBEN KESAMBEN BPJS
PENGOBATAN "POLI UMUM / BP" 9 "Karcis Gratis" 0002868048573 0
3376 "TIDAK BEKERJA" "PBI (APBN)"
2024-02-22 0005483 "Pusk KESAMBEN" MIKA "0000000000000088 ," P Lama
2017-06-13 "AGUS HARIANTO" KESAMBEN JOMBATAN SAPON BAYAR/UMUM
PENGOBATAN "POLI UMUM / BP" 6 "Pemeriksaan umum di jam kerja"
10000 621 "TIDAK BEKERJA" 6000 4000
2024-02-21 0034733 "Pusk KESAMBEN" RAISA "9999999999999455 ," P Lama
2017-12-01 NANANG KESAMBEN KESAMBEN GARU BAYAR/UMUM PENGOBATAN
"POLI UMUM / BP" 6 "Pemeriksaan umum di jam kerja" 10000 609
"TIDAK BEKERJA" 6000 4000
2024-02-21 0010473 "Pusk KESAMBEN" "NAYA ANGELICA PUTRI"
"3517125102150001 ," P Lama 2015-02-11 "ZAINUL ABIDIN" KESAMBEN
JOMBATAN JOMBATAN BPJS PENGOBATAN "POLI UMUM / BP" 9 "Karcis
Gratis" 0003289618495 0 3287 "TIDAK BEKERJA" "PEKERJA MANDIRI"
2024-02-21 0031248 "Pusk KESAMBEN" "ERLYTA ARSYIFA" "3517125702170002 ,"
P Lama 2017-02-17 "AGUS SETYONO" KESAMBEN WATUDAKON JUNGKIR
BAYAR/UMUM PENGOBATAN "POLI UMUM / BP" 7 "Pemeriksaan umum di jam
kerja" 10000 603 "TIDAK BEKERJA" 6000 4000
2024-02-21 0016237 "Pusk KESAMBEN" "AGATHA CAECILIYA NUGRAHA PUTRI BINTANG"
"3517126911180001 ," P Lama 2018-11-29 "BINTANG SAKTI" KESAMBEN
JATIDUWUR JATIDUWUR BPJS PENGOBATAN "POLI UMUM / BP" 5 "Karcis
Gratis" 0003286692189 0 3270 "TIDAK BEKERJA" "PEKERJA MANDIRI"
2024-02-21 0007567 "Pusk KESAMBEN" "NABILLA PUTRI OKTAVIA"
"3517126610160002 ," P Lama 2016-10-26 "ALI SODIKIN" KESAMBEN
POJOKREJO DELIK BPJS PENGOBATAN "POLI UMUM / BP" 7 "Karcis Gratis"
0002088151323 0 3269 "TIDAK BEKERJA" "PEKERJA MANDIRI"
2024-02-20 0017123 "Pusk KESAMBEN" TALITA "3517124102190001 ," P
Lama 2019-02-01 "YUDI SETIYAWAN" KESAMBEN POJOKREJO DELIK BAYAR/UMUM
PENGOBATAN "POLI UMUM / BP" 5 "Pemeriksaan umum di jam kerja"
10000 585 "TIDAK BEKERJA" 6000 4000
2024-02-20 0029069 "Pusk KESAMBEN" "KIRANA AURELIA RIZQIANI "
"3510085506180002 ," P Lama 2018-06-15 "HENDRA AINUR ROZIQIN"
KESAMBEN CARANGREJO KEDUNGMULYO BPJS PENGOBATAN "POLI UMUM / BP" 5
"Karcis Gratis" 0003173487849 0 3203 "TIDAK BEKERJA" "PEKERJA
MANDIRI"
2024-02-20 0009719 "Pusk KESAMBEN" "ALIKA MEYSA" "3517125205170001 ,"
P Lama 2017-05-12 "DIDIK EKO PRASETYA" KESAMBEN JATIDUWUR
JATIDUWUR BAYAR/UMUM PENGOBATAN "POLI UMUM / BP" 6 "Pemeriksaan umum
di jam kerja" 10000 576 "TIDAK BEKERJA" 082257560881 6000
4000
2024-02-20 0031157 "Pusk KESAMBEN" "ANINDITA KEISHA AZZAHRA RAHSETIA"
"3517127101160001 ," P Lama 2016-01-31 "ACHMAD FADHOLI" KESAMBEN
PODOROTO NGEMPLAK BPJS PENGOBATAN "POLI UMUM / BP" 8 "Karcis
Gratis" 0002088452564 0 3192 PELAJAR "PEGAWAI SWASTA"
2024-02-20 0017263 "Pusk KESAMBEN" "MIKAYLA ECHA PUTRI H"
"3517124506180003 ," P Lama 2018-06-05 WULIYO KESAMBEN
KESAMBEN NGEMBUL BAYAR/UMUM PENGOBATAN "POLI UMUM / BP" 5
"Pemeriksaan umum di jam kerja" 10000 572 "TIDAK BEKERJA"
6000 4000
2024-02-19 0001087 "Pusk KESAMBEN" "AVIKA DWI PRAMESWARI"
"3517125106150002 ," P Lama 2015-06-11 "MUHAMMAD IMAM BASORI "
KESAMBEN PODOROTO NGEMPLAK BPJS PENGOBATAN "POLI UMUM / BP" 8
"Karcis Gratis" 0002630286022 0 3099 PELAJAR "PBI (APBN)"
000214-02
2024-02-19 0018636 "Pusk KESAMBEN" "FARADILA ANISA" "3517125210160001 ,"
P Lama 2016-10-12 "ARIF TIRTANA" KESAMBEN WATUDAKON JERUKWANGI
BPJS PENGOBATAN "POLI UMUM / BP" 7 "Karcis Gratis" 0002436954129
0 3039 PELAJAR "PEKERJA MANDIRI" 087856999486
2024-02-16 0017367 "Pusk KESAMBEN" "NAURA SALSABILA" "9999999999999471 ,"
P Lama 2015-08-19 IRWANTO KESAMBEN JOMBATAN "JOMBATAN 1"
BAYAR/UMUM PENGOBATAN "POLI UMUM / BP" 8 "Pemeriksaan umum di jam
kerja" 10000 533 "TIDAK BEKERJA" 6000 4000
2024-02-16 0018636 "Pusk KESAMBEN" "FARADILA ANISA" "3517125210160001 ,"
P Lama 2016-10-12 "ARIF TIRTANA" KESAMBEN WATUDAKON JERUKWANGI
BPJS PENGOBATAN "POLI UMUM / BP" 7 "Karcis Gratis" 0002436954129
0 2948 PELAJAR "PEKERJA MANDIRI" 087856999486
2024-02-15 0027884 "Pusk KESAMBEN" "ZAHROTUS SALWA" "3517065501180001 ,"
P Lama 2018-01-15 "NUR AHYAK" MOJOAGUNG DUKUHMOJO "DSN. MOJOLEGI"
BPJS PENGOBATAN "POLI UMUM / BP" 6 "Karcis Gratis" 0002625298661
0 2912 "TIDAK BEKERJA" "PBI (APBN)"
2024-02-15 0010473 "Pusk KESAMBEN" "NAYA ANGELICA PUTRI"
"3517125102150001 ," P Lama 2015-02-11 "ZAINUL ABIDIN" KESAMBEN
JOMBATAN JOMBATAN BPJS PENGOBATAN "POLI UMUM / BP" 9 "Karcis
Gratis" 0003289618495 0 2906 "TIDAK BEKERJA" "PEKERJA MANDIRI"
2024-02-15 0031157 "Pusk KESAMBEN" "ANINDITA KEISHA AZZAHRA RAHSETIA"
"3517127101160001 ," P Lama 2016-01-31 "ACHMAD FADHOLI" KESAMBEN
PODOROTO NGEMPLAK BPJS PENGOBATAN "POLI UMUM / BP" 8 "Karcis
Gratis" 0002088452564 0 2861 PELAJAR "PEGAWAI SWASTA"
2024-02-14 0008106 "Pusk KESAMBEN" "CHELSEA CINTIA BELLA"
"3517125405140001 ," P Lama 2014-08-14 "TRYAS WINARTI" KESAMBEN
WATUDAKON JUNGKIR BPJS PENGOBATAN "POLI UMUM / BP" 9 "Karcis
Gratis" 0001887500305 0 2846 "TIDAK BEKERJA" "PEGAWAI SWASTA" 00312-
80
2024-02-13 0015268 "Pusk KESAMBEN" "AZAHRA FARAH MAULIDA"
"3517124901150001 ," P Lama 2015-01-09 "RULI PRAWOTO" KESAMBEN
 PODOROTO GARU BPJS PENGOBATAN "POLI UMUM / BP" 9 "Karcis Gratis"
0001962171876 0 2826 PELAJAR "PEKERJA MANDIRI"
2024-02-13 0034574 "Pusk KESAMBEN" "SYIFA SALSABILA ARIFAMI"
"3517124101150003 ," P Lama 2016-01-01 "KHUSNUL ARIFIN" KESAMBEN
KEDUNGMLATI KRANDEGAN BAYAR/UMUM PENGOBATAN "POLI UMUM / BP" 8
"Pemeriksaan umum di jam kerja" 10000 507 PELAJAR
6000 4000
2024-02-13 0016237 "Pusk KESAMBEN" "AGATHA CAECILIYA NUGRAHA PUTRI BINTANG"
"3517126911180001 ," P Lama 2018-11-29 "BINTANG SAKTI" KESAMBEN
JATIDUWUR JATIDUWUR BPJS PENGOBATAN "POLI UMUM / BP" 5 "Karcis
Gratis" 0003286692189 0 2775 "TIDAK BEKERJA" "PEKERJA MANDIRI"
2024-02-13 0001362 "Pusk KESAMBEN" "SITI MADINATUS ZAHRO"
"3517120811070043 ," P Lama 2015-03-20 SALAMUN KESAMBEN
KEDUNGBETIK KEDUNGBETIK BPJS PENGOBATAN "POLI UMUM / BP" 8 "Karcis
Gratis" 0002685489309 0 2772 "IBU RT" "PBI (APBN)"
2024-02-13 0031014 "Pusk KESAMBEN" "WINDA RAHMADANI" "3517125606170001 ,"
P Lama 2017-06-16 "IMAM BACHRUDIN" KESAMBEN "POJOK KULON"
POJOKKULON BAYAR/UMUM PENGOBATAN "POLI UMUM / BP" 6 "Pemeriksaan umum
di jam kerja" 10000 501 PELAJAR 6000 4000
2024-02-13 0011894 "Pusk KESAMBEN" "CAHYA LINTANG" "3517126708170003 ,"
P Lama 2017-08-27 KASNADI KESAMBEN KEDUNGMLATI KEDUNGPAPAR BPJS
PENGOBATAN "POLI UMUM / BP" 6 "Karcis Gratis" 0002459109892 0
2759 SWASTA
2024-02-12 0008106 "Pusk KESAMBEN" "CHELSEA CINTIA BELLA"
"3517125405140001 ," P Lama 2014-08-14 "TRYAS WINARTI" KESAMBEN
WATUDAKON JUNGKIR BPJS PENGOBATAN "POLI UMUM / BP" 9 "Karcis
Gratis" 0001887500305 0 2740 "TIDAK BEKERJA" "PEGAWAI SWASTA" 00312-
80
2024-02-12 0029069 "Pusk KESAMBEN" "KIRANA AURELIA RIZQIANI "
"3510085506180002 ," P Lama 2018-06-15 "HENDRA AINUR ROZIQIN"
KESAMBEN CARANGREJO KEDUNGMULYO BPJS PENGOBATAN "POLI UMUM / BP" 5
"Karcis Gratis" 0003173487849 0 2636 "TIDAK BEKERJA" "PEKERJA
MANDIRI"
2024-02-09 0000707 "Pusk KESAMBEN" "MAHIRA NAJWA" "351716407150003 ,"
P Lama 2015-07-24 "TRI AS ARIF" KESAMBEN PODOROTO NGEMPLAK
BAYAR/UMUM PENGOBATAN "POLI UMUM / BP" 8 "Pemeriksaan umum di jam
kerja" 10000 469 "TIDAK BEKERJA" 6000 4000
2024-02-09 0034634 "Pusk KESAMBEN" "rindi ani aulia citra lestari"
"3517126401180002 ," P Lama 2018-01-24 TRIMO KESAMBEN CARANGREJO
GUDANG BAYAR/UMUM PENGOBATAN "POLI UMUM / BP" 6 "Pemeriksaan umum
di jam kerja" 10000 463 085815458273 6000 4000
2024-02-07 0034627 "Pusk KESAMBEN" "AQILA AS-SYIFA SALSABILA"
"3517126505160001 ," P Lama 2016-05-25 "ZULIUS FIRDAUS" KESAMBEN
JOMBATAN JOMBATAN BPJS PENGOBATAN "POLI UMUM / BP" 7 "Karcis
Gratis" 0002061533733 0 2415 "TIDAK BEKERJA" "PEGAWAI SWASTA"
0810000000000
2024-02-07 0020842 "Pusk KESAMBEN" "ANGGIA KIRANA" "3517126201190001 ,"
P Lama 2019-01-22 SUNANTO KESAMBEN PODOROTO GARU BPJS
PENGOBATAN "POLI UMUM / BP" 5 "Karcis Gratis" 0002896238733 0
2378 "TIDAK BEKERJA" "PBI (APBD)"
2024-02-07 0029140 "Pusk KESAMBEN" "NAFISA DEVI AZZAHRA"
"3517121008160001 ," P Lama 2017-08-09 "AHMAD SOLEH " KESAMBEN
PODOROTO "GARU " BAYAR/UMUM PENGOBATAN "POLI UMUM / BP" 6
"Pemeriksaan umum di jam kerja" 10000 447 PELAJAR
6000 4000
2024-02-07 0028988 "Pusk KESAMBEN" "ADILAH DWI AZKA LABIBA"
"3517125801170002 ," P Lama 2017-01-18 SUYOTO KESAMBEN
POJOKREJO "GUDANG " BPJS PENGOBATAN "POLI UMUM / BP" 7 "Karcis
Gratis" 0002418246933 0 2358 "TIDAK BEKERJA" "PEGAWAI SWASTA"
2024-02-06 0033246 "Pusk KESAMBEN" "ADEEVA AFSEN MYSHA"
"3522165606150002 ," P Lama 2015-06-16 WIYOTO "LUAR JOMBANG"
"LUAR JOMBANG" "PUNGPUNGAN KALITIDU BOJONEGORO" BAYAR/UMUM PENGOBATAN
"POLI UMUM / BP" 8 "Pemeriksaan umum di jam kerja" 10000 444
PELAJAR 6000 4000
2024-02-06 0014169 "Pusk KESAMBEN" "RANIA AZZAHRA" "3517125111160003 ,"
P Lama 2016-11-11 "YAKUP SUTRISNO" KESAMBEN WULUH BABADAN
BAYAR/UMUM PENGOBATAN "POLI UMUM / BP" 7 "Pemeriksaan umum di jam
kerja" 10000 435 "TIDAK BEKERJA" 6000 4000
2024-02-06 0025748 "Pusk KESAMBEN" "SWARLA SOETIONO" "3517126409180002 ,"
P Lama 2018-09-24 "YOYOK SETIONO" KESAMBEN GUMULAN GUMULAN
BPJS PENGOBATAN "POLI UMUM / BP" 5 "Karcis Gratis" 0002493719098
0 2228 "TIDAK BEKERJA" "PEGAWAI SWASTA"
2024-02-05 0000401 "Pusk KESAMBEN" "RAHESTI ADYTIANINGRUM"
"3517120211070021 ," P Lama 2017-01-07 "JAROT AGUS W" KESAMBEN
JOMBATAN "JOMBATAN II" BPJS PENGOBATAN "POLI UMUM / BP" 7
"Karcis Gratis" 0002210174638 0 2205 "TIDAK BEKERJA" "PEKERJA
MANDIRI"
2024-02-05 0024819 "Pusk KESAMBEN" "NESA VALINCA BASTIAN"
"3517124407180004 ," P Lama 2018-07-04 "PRINGGA EKA BASTIAN"
KESAMBEN KEDUNGMLATI KEDUNGGAYAM BPJS PENGOBATAN "POLI UMUM / BP" 5
"Karcis Gratis" 0003067415594 0 2195 "TIDAK BEKERJA"
2024-02-05 0015214 "Pusk KESAMBEN" "AQILA NASYA RAFAILAH"
"3517125610180003 ," P Lama 2018-10-16 "ARMAN FIRMASYAH" KESAMBEN
KESAMBEN NGEMBUL BPJS PENGOBATAN "POLI UMUM / BP" 5 "Karcis
Gratis" 0002774442598 0 2174 SWASTA "PBI (APBN)"
2024-02-02 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 388 "TIDAK BEKERJA" 6000 4000
2024-02-02 0015268 "Pusk KESAMBEN" "AZAHRA FARAH MAULIDA"
"3517124901150001 ," P Lama 2015-01-09 "RULI PRAWOTO" KESAMBEN
PODOROTO GARU BPJS PENGOBATAN "POLI UMUM / BP" 9 "Karcis Gratis"
0001962171876 0 2054 PELAJAR "PEKERJA MANDIRI"