Laporan Rawat Jalan Oktober 2021

REKAPITULASI KUNJUNGAN RAWAT JALAN
KLINIK PRATAMA 124 KARTINI

BULAN OKTOBER 2021
NO Tanggal NOMOR NOMOR KARTU NAMA PASIEN

Pelayanan RM
1 01/10/2021 130 0001391605626 MUKHAMMAD SYAIKHU

2 01/10/2021 131 0002044105907 SUSWATI ZUHROH
3 01/10/2021 137 0001439718467 INDAWATI
4 01/10/2021 138 0001439717769 PAIDI
5 01/10/2021 94 0001304320138 NOR CHOLILAH,,S.PD
6 01/10/2021 136 0001672694368 NUR AFIDAH AMINATA
7 01/10/2021 16 0001141987206 ANGGA ADITYA SAPUTA
8 01/10/2021 132 0001428283765 FARIZKY DAVIN ABDULLAH
9 01/10/2021 133 0001243765989 Falachuddin Ridhwan
10 01/10/2021 135 0001243765967 Andri Pujo Winarso
11 01/10/2021 134 0001243765978 Nur Farichah
12 01/10/2021 16 0001141987206 ANGGA ADITYA SAPUTRO
13 01/10/2021 136 0001672694368 NUR AFIDAH AMINATA
14 01/10/2021 00-01-39 0002876757287 UMUL KALSUM
15 01/10/2021 00-01-40 0002876757309 PUTRI MEIJAYA
16 01/10/2021 12216 0001137498489 MISNI
17 01/10/2021 12216 0001182326646 SUHARTATIK
18 01/10/2021 17262 0002209957266 MUHAMMAD NAFIS ARRAJIH
19 01/10/2021 13926 0001187660272 SULAILAH
20 01/10/2021 13926 0001145315406 SUTIONO
21 01/10/2021 16940 0002072589581 SUKEMI
22 01/10/2021 9699 0002876757298 EKO CAHYONO
23 01/10/2021 9699 0002876757276 KISWOTO
24 01/10/2021 9698 0001446547241 ZULKIFLI
25 01/10/2021 9697 0001291602633 ABDUL WAHAB
26 01/10/2021 7956 0002284049924 NANDANA ABYANSYAH ALTHAFARIZI
27 01/10/2021 13900 0001132503568 MACHSITA
28 01/10/2021 00-00-66 0000099020169 DEDY KRISNARTO,dr.SpAn
29 01/10/2021 9695 0001906259949 MOH RAYHAN HERMANSYA
30 01/10/2021 6972 0001162041063 NURUL ANISIYAH
31 01/10/2021 9694 0002696189501 WATINI
32 01/10/2021 9693 0002874546369 MUHAMMAD HAFIZ ALFARIZI
33 01/10/2021 9693 0002874546371 MUHAMMAD HAFID ALFARIZI
34 01/10/2021 9690 0001310286003 IRFAN WAHYUDI
35 01/10/2021 9689 0000764755942 SUPARMI
36 01/10/2021 9689 0001869337787 ACHMAD BAYACHI
37 01/10/2021 9692 0002937102761 KHAYRA KUSUMA ALMAHYRA
38 01/10/2021 9691 0002900695645 AISYAH FITRIA
39 02/10/2021 141 0001136179337 MISDIONO
40 02/10/2021 143 0002309116937 ACHMAD DANIAL YASRILLAH
41 02/10/2021 17654 0001324560475 SAIDI H.S
42 02/10/2021 144 0001130007431 ANDIK SUGIANTO
43 02/10/2021 9791 0002696189499 BAMBANG SUWITO
44 02/10/2021 152 0000099025367 SITI CHARISAH
45 02/10/2021 151 0001140854973 IDA CHRISTYANTUTIK
46 02/10/2021 142 0003096726715 CHINTYA CANAYA A
47 02/10/2021 12275 0001884965973 GALANG NABIL A
48 02/10/2021 81 0001137702385 MUHAMMAD BAGUS
49 02/10/2021 2206 0003061961875 ALYSSA DZAKIYAH MECCA
50 02/10/2021 104 0003095172101 SUBARDI
51 04/10/2021 100 0001173958121 ITA AFRIDA YANI
52 04/10/2021 154 0001175935476 DEVIRA SEILA ALDA
53 04/10/2021 153 0001129953418 MUAWANAH
54 04/10/2021 652 0001199939376 VICKORETTYAMAHARDIKA
55 04/10/2021 652 0001178198504 RETNO AYU WULANDARI
56 04/10/2021 17465 0001904537698 NADHATUL SYAFITRI
57 04/10/2021 7321 0001162091158 AHYAYUK SUGIWINARSIH
58 04/10/2021 7321 0001130037963 MURDI
59 04/10/2021 17587 0002424991252 LITA ANDRI YANTI
60 04/10/2021 9704 0002625739187 RAFANDA BALQIS ANDRIYANI
61 04/10/2021 779 0001137867941 SAPTO NUR EFFENDI
62 04/10/2021 13188 0001146043091 JOKO SUWARNO
63 04/10/2021 86 0001451948308 ANJAR LESTARI
64 04/10/2021 12493 0001127704961 SUTRISNO
65 04/10/2021 12246 0001132509879 MOCHAMMAD HERMANSYAH
66 04/10/2021 00-01-50 0003061961875 ALYSSA DZAKIYAH MECCA
67 04/10/2021 4415 0001138224745 SUSANTO HARIADI
68 04/10/2021 12271 0001814274279 RIO ADI GUNAWAN
69 04/10/2021 14917 0001162043144 MUHAMMAD ARIF DARMAWAN
70 04/10/2021 13294 0001130178993 YUSUF WIBISONO
71 04/10/2021 17241 0001328129932 ABDUL KHOLIQ
72 04/10/2021 8375 0001125947125 MURJONO
73 04/10/2021 157 0001190175322 ROUDHIAH INDAH PALUPI
74 04/10/2021 17770 0001703660297 IMAMATUS SA'DIYAH
75 04/10/2021 14074 0001130003651 AYOK TRI PRASETYO
76 04/10/2021 17592 0002752156282 DIRGA NARENDRA PAMUNGKAS
77 04/10/2021 16208 0001243765484 MOCHAMAD MACHFUD
78 04/10/2021 17756 0001128146534 SRINGATUN
79 04/10/2021 11100 0001178739371 LAILATUL NUR FITRIA
80 04/10/2021 16208 0001243765506 SHAFIRA KHARISMA PUTRI
81 04/10/2021 5416 0000208897661 KHUMAIDAH
82 04/10/2021 102 0001178739358 ILHAM NUR FAHMI
83 04/10/2021 67 0001847816392 EKO JATMIKO
84 04/10/2021 11843 0001173752032 HANIK
85 04/10/2021 13521 0001186627228 AMINAH
86 04/10/2021 13962 0001181340742 NUR HUMAYUN
87 04/10/2021 7402 0001848741366 MISKAN
88 04/10/2021 155 0001175935454 M SATROLI
89 04/10/2021 00-01-58 0001175255526 CITRA DWIYANTI PARAMITHA
90 04/10/2021 17741 0001243774743 Yosaphat herman saputro
91 04/10/2021 17741 0002237989691 VINCENTIUS ARSEN NUGROHO
92 04/10/2021 17741 0001788901222 YOHANA METRI TRESANTI
93 04/10/2021 00-01-59 0002236942541 ITA MARESSETYANI
94 04/10/2021 7443 0001452749679 FERIYADI
95 04/10/2021 6699 0001161684988 ARIENDHA NASRIEN AZIEZA
96 04/10/2021 4754 0001171043188 SUSIYOWATI
97 04/10/2021 4754 0001385784336 AMANDA NAJWA IZZATI AL HAADIYWATI
98 04/10/2021 6198 0001169146247 TRI WINARNI
99 04/10/2021 00-01-18 0001172687365 ACHMAD RIFQI PRATAMA SOFIAN
100 04/10/2021 9804 0002905791344 ALINA PUTRI SOFIAN
101 04/10/2021 15402 0002623633964 NUR SITI ASROFAH
102 04/10/2021 14547 0001124843657 AGAM RENGGA PUTRA
103 04/10/2021 8937 0001144850894 IMAM SYAFI'I
104 04/10/2021 16946 0001423964248 fabian ahmad al ubaidi
105 04/10/2021 16946 0001423961111 sri astutik
106 04/10/2021 14575 0001199998282 NURDIANAULFA
107 04/10/2021 5372 0001127149244 EKO PUJIANTO
108 04/10/2021 4011 0001162107246 SULAMI
109 04/10/2021 8188 0000205708241 DITA NUR FAIZAH
110 04/10/2021 8188 0001542564437 RITA MAULIDAH
111 04/10/2021 6091 0001170971728 SULATI
112 04/10/2021 16291 0001847817617 MULYADI
113 04/10/2021 5405 0001705236557 RIZA DEWI CANTIKA
114 04/10/2021 15652 0001181605847 NUNIK YUNIARTI
115 04/10/2021 17342 0001863889536 DEWI LISTARIYATI
116 04/10/2021 2154 0001130027253 ALIF FIRDAUS
117 05/10/2021 00-01-61 0001189763111 ANITA
118 05/10/2021 00-01-62 0001148489649 MAWAN YUNIANTO
119 05/10/2021 00-00-70 0002255575893 MUHAMMAD SALMAN ALFARIZI
120 05/10/2021 15719 0001784767566 SAMSUL MA'ARIF
121 05/10/2021 16754 0001125568091 DWI MARIYAM
122 05/10/2021 12297 0001179633341 ACHMAD WILDHAN RIZKY AFRIANSYAH PUTRA
123 05/10/2021 13833 0002222057068 KEISHA AULIA KHAYRANI
124 05/10/2021 13833 0001193082153 SO'IMAH PUJI RAHAYU
125 05/10/2021 17107 0001618163087 YANTO
126 05/10/2021 12783 0001188108088 HENDRI ARIANTO
127 05/10/2021 16730 0001480554292 NOVI CAHYANDARI
128 05/10/2021 00-01-63 0002248739559 KEMAS RUMNANTURNANZA
129 05/10/2021 15943 0001538401893 ANIYAH
130 05/10/2021 2974 0001130038108 MAT HURIN
131 05/10/2021 8963 0001161475064 SULISTIA MINARTI
132 05/10/2021 9827 0001130040268 RIDWAN
133 05/10/2021 6284 0002458725873 MUHAMMAD RAFFAN FAHREZI
134 05/10/2021 00-01-64 0002698857347 AULIA SHAVIRA
135 05/10/2021 00-01-65 0002698857336 MUHAMMAD ILHAM FIRDAUS
136 05/10/2021 00-00-33 0001153443508 SUPRIYONO
137 05/10/2021 00-01-66 0001243775608 Sri rahayu
138 05/10/2021 14978 0001261941232 ADI BASKORO
139 05/10/2021 8039 0001161978118 MUHAMMAD SYIHABUDDIN
140 05/10/2021 17406 0002208806469 SAKRI
141 05/10/2021 10631 0001131259781 DEWI ANGGRAENI
142 05/10/2021 11352 0001125947182 BAMBANG SUBANDI
143 05/10/2021 19 0001428275013 TRINOVA HARDIYANTO
144 05/10/2021 9981 0001161835029 SURYATI
145 05/10/2021 7990 0002320803055 AFLAH AKBAR RACHMAD
146 05/10/2021 2133 0001541874835 KHAYLA ALMIRA RACHMAD
147 05/10/2021 13036 0001185582734 RAYHAN AVIANZAR FAJRIAN
148 05/10/2021 13036 0001185582723 SHAFA AURELIA SYAHIRA
149 05/10/2021 11152 0001178484028 DIAH SETIYORINI
150 05/10/2021 167 0001170923591 QUEENSYIFAKALILA
151 05/10/2021 12625 0002297765373 ARSYILA CHIKA CHAIRUNNISA
152 05/10/2021 85 0001304242626 CATUR TRI YUNI ASTUTI
153 05/10/2021 168 0001131250667 WIDODO
154 05/10/2021 170 0001457172797 HJ NURUL QOMARIYAH
155 05/10/2021 169 0001153443699 ABDUL KHOLIK
156 06/10/2021 176 0001133902798 IWAN FATAHILLAH
157 06/10/2021 11843 0001319144433 HALID AMAR
158 06/10/2021 4674 0001136027024 RIZA HIDAYAH
159 06/10/2021 171 0001171831476 BAKDIYATUL MAULIDA
160 06/10/2021 48 0002680796294 NURUL ROHMAH
161 06/10/2021 172 0001136642872 M AMBAR RACHMAN
162 06/10/2021 15197 0001324887254 MOCH.CHOTIB
163 06/10/2021 174 0001129958111 HENDRIKUS BADUR
164 06/10/2021 175 0001193680225 FAIRUZ ZAHIRAH
165 06/10/2021 173 0001811560577 M. AUFAR SATRIA SISWANTO
166 06/10/2021 7379 0001804796651 NADYA RAMADHANTI
167 06/10/2021 17760 0001536541558 SENO P
168 06/10/2021 30 0001136505295 NINIK NURIYUM
169 06/10/2021 00-01-79 0001194770417 TRIFONIA YULIANNE INDRAKUSUMA
170 06/10/2021 2162 0001613906572 ACHMAD ROICHAN
171 06/10/2021 10410 0001166967641 SA'DIYAH
172 06/10/2021 17664 0001786617584 SUNDARI
173 06/10/2021 17664 0001786617584 SUNDARI
174 06/10/2021 9790 0002911987271 NABILA KIESYA SETIAWAN
175 06/10/2021 00-01-80 0003062122907 ANNISA HILYA ZAHRANI
176 06/10/2021 00-01-78 0001194770441 KEISYA SALWA AURA PUTRI
177 06/10/2021 5503 0001134571263 MISBAHUL HUDA
178 06/10/2021 5503 0001200029501 SUWANAH
179 06/10/2021 17402 0001907085317 KISMIYATI
180 06/10/2021 17401 0002237176618 MOCHAMAD KEVIN ADITYA
181 06/10/2021 17395 0001672682567 SRIATI
182 06/10/2021 17388 0001145600278 MISKAL
183 06/10/2021 17385 0000098920449 TRISMA SULYGANISTIA
184 06/10/2021 17383 0001672682578 SUGIONO
185 06/10/2021 17384 0002249746198 LINA
186 06/10/2021 17379 0001131072401 RACHMAD HIDAYAT
187 06/10/2021 17376 0001314361102 ABDUL MUNTHOLIB
188 06/10/2021 17374 0000762419733 BAGUS ABDUL HAQ
189 06/10/2021 17367 0001464295386 NOVI AGUSTIN
190 06/10/2021 8872 0001188237453 RAZAQBAGUSRAMDHANI
191 06/10/2021 00-00-71 0000173204818 PRAMESH PREZIERA NANDASWARI
192 06/10/2021 14263 0001130154478 SEMAN
193 06/10/2021 14263 0001175218277 TUTIK SURYATI
194 06/10/2021 13188 0001850200751 nur maulidya 'uzma
195 07/10/2021 00-01-88 0001170038957 FRYSKA ARISANDI
196 07/10/2021 00-01-89 0001140052105 SITI ZAENAB
197 07/10/2021 00-01-90 0001137335894 TRISNO SUNGKONO
198 07/10/2021 00-01-91 0001328456125 JUMIATI
199 07/10/2021 00-01-92 0001181832805 RATNA AYUNINGTYAS
200 07/10/2021 00-01-95 0001613906605 ROFIATUL ADAWIYAH
201 07/10/2021 00-01-96 0002379154757 ALFIANI DIANA FATMAWATI
202 07/10/2021 00-01-97 0001791285557 muhammad jazilul fawaid al muntazir
203 07/10/2021 00-01-98 0001131234726 ZAINI SURACHMAN
204 07/10/2021 00-01-24 0001376811527 DARMO SUROSO
205 07/10/2021 17768 0001444907834 FRANCISKA RAHAYUNING HERY SATRIOWATI
206 07/10/2021 17610 0001162043021 WILDAN IRSA NUGRAHA
207 07/10/2021 199 0001970184609 MOHAMMAD SAIFUL ARIF
208 07/10/2021 10731 0001166917768 NINIK ANGGRAINI
209 07/10/2021 15587 0001447335685 MISTUN
210 07/10/2021 150 0003061961875 ALYSSA DZAKIYAH MECCA
211 07/10/2021 201 0001175419686 TSAABITAH KEYLA PUTRI ARIYANTI
212 07/10/2021 16918 0001441386279 MOCH. PRATAMA ABDI NUGROHO
213 07/10/2021 64 0001161845201 YULI RITA
214 07/10/2021 45 0002624079857 ANISAH INDRIYATI
215 07/10/2021 87 0001535746217 Arif Kumalasari
216 07/10/2021 64 0001161845201 YULI RITA
217 08/10/2021 211 0001204066056 MUSTIAH
218 08/10/2021 208 0003065005721 MUJTABA AHMAD EL QUDS
219 08/10/2021 7398 0001243775935 AGUS SALIM
220 08/10/2021 5482 0001722612969 YASLI
221 08/10/2021 204 0000101397183 ANDJAR PUDJI
222 08/10/2021 17564 0001535760483 INDRIWATI MURDANINGSIH
223 08/10/2021 205 0001538179334 RINDO PRADANA
224 08/10/2021 2212 0001188236384 EVIANDY SIAGIAN
225 08/10/2021 17615 0002308086437 SRI RAHAYU
226 08/10/2021 15404 0001177024994 YUNILIYA SEKARWANGI
227 08/10/2021 12639 0001803111388 sugiono saputra
228 08/10/2021 7402 0001848741366 MISKAN
229 08/10/2021 13486 0001184522073 ASTUTIK
230 08/10/2021 7897 0001703763955 NURUL KUZAINI
231 08/10/2021 13835 0001147849615 WAHYUNINGTYAS
232 08/10/2021 13422 0001188114366 IKEFITRIANI
233 08/10/2021 206 0001849414465 muhammad abbad nailun nabhan
234 08/10/2021 207 0001829337805 SULISTYANINGSIH
235 08/10/2021 5719 0001127720709 NUR CHARIM
236 08/10/2021 210 0001204618645 DZAKIYAHTALITASAKHI
237 08/10/2021 10410 0001166967641 SA'DIYAH
238 08/10/2021 161 0001189763111 ANITA
239 08/10/2021 16220 0001618179096 LINA SUKESI
240 08/10/2021 14137 0001540876522 M. MIFTAKHUL HUDA
241 08/10/2021 8830 0000099025334 SISWATI
242 08/10/2021 412 0001136732703 MULYADI
243 08/10/2021 8532 0001161845199 EFENDI NUR TAUFIK
244 08/10/2021 11088 0001129957997 EKO BUDIANTO
245 08/10/2021 11088 0001169313254 SULAMI
246 08/10/2021 11808 0001136732769 MALIK
247 08/10/2021 8458 0001161834851 SUTIAMI
248 08/10/2021 3702 0001138536404 SUPRIYO
249 08/10/2021 14632 0001203169959 ARIE PRAMITA
250 08/10/2021 00-00-98 0001161874528 ULFAH
251 08/10/2021 00-00-77 0001184062522 ANITA WARDHANI
252 08/10/2021 17704 0001184100862 AZZAM IBNU NUGROHO
253 08/10/2021 15522 0002060342504 muhammad farhan abdillah
254 08/10/2021 15522 0001145600201 ACHMAD EFENDI
255 08/10/2021 4303 0002739785872 MOH REYHAN ALFARIZKI
256 08/10/2021 12906 0001127122975 WASIKIN
257 08/10/2021 13637 0001272933819 NOER AUFA AZALYA ANWAR
258 08/10/2021 14705 0001125017346 ACHMAD FANY USMAN
259 08/10/2021 7783 0001162128262 MUTMA'INAH
260 09/10/2021 00-02-19 0001701890875 LILIK MUZAYYANAH
261 09/10/2021 00-02-18 0002037095537 HERI CIPTO WAHONO
262 09/10/2021 00-00-75 0001138355965 SITI SUPATMI
263 09/10/2021 5181 0001184206972 MAULANA AQSHO WAHYU solihin
264 09/10/2021 15561 0002058985765 SHAKILA ANINDYA SASMITA
265 09/10/2021 15803 0001791194872 RUSDIANSAH RACHMAD
266 09/10/2021 5610 0001164591887 SULISWATI
267 09/10/2021 3647 0001167056111 SITI MAIMUNAH
268 09/10/2021 13036 0001185582723 SHAFA AURELIA SYAHIRA
269 09/10/2021 13036 0001185582734 RAYHAN AVIANZAR FAJRIAN
270 09/10/2021 8532 0001161845199 EFENDI NUR TAUFIK
271 09/10/2021 9753 0002698857325 SITI AFIYAH
272 09/10/2021 12047 0001183832188 FERONICA LORENSYEN
273 09/10/2021 12047 0002249269637 GLORY NATHANIA NGOSIEM
274 09/10/2021 17406 0002208806469 SAKRI
275 09/10/2021 50 0001128161114 SANDI UTOMO
276 11/10/2021 142 0003096726715 CHINTYA CANAYA A
277 11/10/2021 221 0001203819445 MAULANA DAFFIN ADI ILHAM
278 11/10/2021 222 0001203819434 AYU SUNDARI
279 11/10/2021 220 0002940646364 AISYAH ALMAHYRA PUTRI AYUDI
280 11/10/2021 17406 0002208806469 SAKRI
281 11/10/2021 10506 0001131695482 EKA ERIXA
282 11/10/2021 15134 0001390100422 HANIK
283 11/10/2021 8625 0001127734705 CACUK AGUNG.W.
284 11/10/2021 224 0002164849648 SUCIATI
285 11/10/2021 722 0001127117261 DENOK YUYUN INDRAWATI
286 11/10/2021 20 0002757473965 IBNU IBRAHIM AR RAHMAN
287 11/10/2021 8193 0001830402731 INDRIANI
288 11/10/2021 8193 0002521681031 VIONA RIZA RAMADHANI
289 11/10/2021 4066 0001161980976 MUHAMAD DWI PRANATA
290 11/10/2021 43 0002208806818 SITI MAISYAROH
291 11/10/2021 10765 0001142002304 DUWI HARI CAHYONO
292 11/10/2021 10632 0000098901898 WINARTO
293 11/10/2021 8789 0001131769181 MATTUBI ARQOM
294 11/10/2021 227 0000099021868 FENNY SANTOSO
295 11/10/2021 225 0001191694105 AMALIA ROHMARINI
296 11/10/2021 16133 0001173958121 ITA AFRIDA YANI
297 11/10/2021 217 0001164526165 SUPRIHATIN
298 11/10/2021 5862 0001169882594 MUHAMAD ALDYANO MAULIDY FIRMAN
299 11/10/2021 46 0001133257397 SIGIT WAHYU PUTRA
300 11/10/2021 10692 0001161976803 DIAN NUR FATIMAH
301 11/10/2021 17305 0001828182407 ASMANI
302 11/10/2021 4436 0002243297733 FAIZAL DIDAH YANUAR
303 11/10/2021 5862 0001130043093 IFFI MURSYIDAH
304 11/10/2021 226 0001161872818 SITI KHOLILAH
305 11/10/2021 115 0001890117786 keysha amirah adzakiyya
306 11/10/2021 228 0001182522925 NADA SAFA FITRIYA M
307 11/10/2021 226 0001161872818 SITI KHOLILAH
308 11/10/2021 223 0001154792283 BUDIANTO
309 11/10/2021 230 0001133587912 ISNAWATI
310 11/10/2021 229 0001162052548 HARTINI
311 11/10/2021 401 0001129958032 ARIE SETIYONO
312 11/10/2021 0001183832188 FERONICA LORENSYEN
313 11/10/2021 16290 0001434077324 NIKMATUS SOLIKHAH
314 11/10/2021 12216 0001137498489 MISNI
315 11/10/2021 13926 0001187660272 SULAILAH
316 11/10/2021 8048 0001169222679 NINIK MUJIATI
317 11/10/2021 16946 0001313433123 MOH. UBAIDILLAH
318 11/10/2021 16304 0001445987373 NURSITI
319 11/10/2021 13784 0001311034691 FERRY ADE KURNIAWAN
320 11/10/2021 12673 0001142955639 SURYONO
321 11/10/2021 8658 0001129985155 LUQMAN HAKIM
322 11/10/2021 9714 0002874692327 NOER HIDAYATI
323 11/10/2021 2203 0001540148499 AMELIYA MUKTININGRUM
324 11/10/2021 00-00-77 0001184062522 ANITA WARDHANI
325 11/10/2021 00-01-28 0001161845144 RAHAYU
326 11/10/2021 14088 0001539524654 AURORA PUTRI FATIMAH
327 11/10/2021 14660 0001141982436 SURYO BUDI UTOMO
328 11/10/2021 17601 0001142000921 ERIK PRAWIDA
329 12/10/2021 9791 0002696189499 BAMBANG SUWITO
330 12/10/2021 4066 0001161980976 MUHAMAD DWI PRANATA
331 12/10/2021 7239 0001142383588 AGUS SETIAWAN
332 12/10/2021 00-02-32 0002260774359 YUYUN CAHAYAWATI
333 12/10/2021 8892 0001162008999 UMI NASIPAH
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662 21/10/2021 6717 0001175121685 RAHAYU PUJININGSIH
663 21/10/2021 16307 0001170923398 NADILA VITA IRAWAN
664 21/10/2021 00-02-73 0001134929507 RATNO
665 21/10/2021 00-02-74 0001907085317 KISMIYATI
666 21/10/2021 8553 0001182150325 SISWANTO
668 21/10/2021 7767 0001163927801 YULI MANDASARI
669 21/10/2021 9505 0002048890601 MUHAMMAD DHIRGANTARA MAULUDANA
670 21/10/2021 14146 0001177743205 MASNING HIDAYAH
671 21/10/2021 14146 0001177743216 MUHAMMAD ARYO FIRMANSYAH
672 21/10/2021 11292 0001161513944 ERNA SETYAWATI
674 21/10/2021 16935 0001145374457 TAKWA NABAWI
675 21/10/2021 00-00-73 0001128405611 SITI MAISAROH
676 21/10/2021 00-00-77 0001184062522 ANITA WARDHANI
677 21/10/2021 10282 0001193068754 NURUL UMIATIN
678 21/10/2021 00-00-63 0001137472569 ARIK BUDI WALUYO
679 22/10/2021 8039 0001161978129 AHMAD FAJRI MASYHUDI
680 22/10/2021 7931 0002309115677 ACHMAD SAICHUN
681 22/10/2021 16390 0002923063749 WAWAN TRI WAHYUDI
682 22/10/2021 15611 0001439841791 SATINI
683 22/10/2021 247 0001125947125 MURJONO
684 22/10/2021 6820 0002739748149 MUHAMMAD SARMAN AL FARIZY
685 22/10/2021 9588 0001142383149 ABDUL KHOLIQ
686 22/10/2021 16485 0001129978809 NASIKIN
687 22/10/2021 8890 0001131794651 MOHAMMAD MANSUR
688 22/10/2021 44 0001161834928 ANIS RIAWATI
689 22/10/2021 277 0001810977276 sumarjadji
690 22/10/2021 275 0002316272174 muhammad kelvin maulidhani
691 22/10/2021 276 0001137827676 ENDIK MUJIONO
692 22/10/2021 17116 00018131253286 SUMA'YAH
693 22/10/2021 652 0001199939376 VICKO RETYA M
694 22/10/2021 278 0001184502947 ENIS SRIWAHYUNI
695 22/10/2021 279 0001184502958 ENJELA YUVITA S
696 22/10/2021 280 0001672682567 SRIATI
697 22/10/2021 185 0002618060679 MUHAMMAD ILHAM FATAHILAH
698 22/10/2021 00-00-29 0001540855337 JAZILATUR ROCHMAH
699 22/10/2021 15302 0001444851955 GUTOMO DWI MUSTAIN
700 22/10/2021 15314 0001197970694 DAFA FAREL IVANDA
701 22/10/2021 13422 0001839238119 tania shafa putri
702 22/10/2021 14212 0002611396923 ABQARY AZMI AL GHIFARI
703 22/10/2021 8193 0001830408311 VANO RIZKY PRATAMA
704 22/10/2021 6135 0001174075277 MUHAMMAD HABIBUR RAHMAN
705 22/10/2021 2209 0001188634252 NABILA RAHMA YULITA
706 22/10/2021 2208 0001181506667 SUHENI
707 22/10/2021 00-02-81 0003050642057 BATTARI NAURA RAHMANIA
708 22/10/2021 00-01-36 0001672694368 NUR AFIDAH AMINATA
709 22/10/2021 12625 0001194449769 MUHAMMAD ARYASATYA RAFAN DHARMANA
710 22/10/2021 8549 0001125948194 SUKATNO
711 22/10/2021 16346 0002214046563 PUTRI AYUNDA INARA
712 22/10/2021 17023 0000099023422 MULIAWAN QUEENCY PUTERA
713 22/10/2021 17023 0000099020079 CAECILIA FRANCISCA LUSIDA
714 22/10/2021 00-00-02 0001174024247 SITI HALIMAH
715 22/10/2021 16346 0001428461256 ATIK YULIANI
716 23/10/2021 17685 0001196232502 SULATI
717 23/10/2021 5420 0001142383037 ARIFIN
718 23/10/2021 5419 0001203698542 EKA NOVIANTI
719 23/10/2021 5419 0001959271615 MUHAMMAD ABYAN NIZARDIN
720 23/10/2021 5419 0001203698553 ANDREW VIAN DAWANA
721 23/10/2021 5418 0001784769355 ANINDITA KEISHA ZAHRA
722 23/10/2021 5418 0002285066777 ADELIA FARANISA AZNII
723 23/10/2021 5418 0001784769254 AKHMAD WILDAN CHASANI
724 23/10/2021 6085 0001135115651 SYA'RONI
725 23/10/2021 12246 0001183524647 QONITA SALMA MAHIRAH
726 23/10/2021 7793 0001161884608 ANISA LAILI VINDYATUS SYAHDIA
727 23/10/2021 16401 0001535696324 JUNI SOEDJARWANTO
728 23/10/2021 7414 0002208807178 DZUNUFUS ZAKIYAH
729 23/10/2021 13009 0002074942012 HAMDAN WIDYAWAN
730 23/10/2021 9964 0002053051323 MISDI
731 23/10/2021 5407 0001131067901 RIFKI JUNAEDY
732 23/10/2021 5408 0002090786084 faradillah nausheen alfathunissa
733 23/10/2021 5406 0001672686729 SUYATMI
735 23/10/2021 15852 0001190508355 SRIYANI
736 23/10/2021 20 0002757473965 IBNU IBRAHIM AR RAHMAN
737 23/10/2021 13153 0001173418209 MUHAMMAD NUR MARDIANTO
738 23/10/2021 8553 0001129986448 SUGIARTI
739 23/10/2021 8553 0001182150325 SISWANTO
740 23/10/2021 2207 0001733696471 PUTRI NAFIDZAH GHASSANI
741 23/10/2021 2156 0001161996737 SITI CHOLIFIYAH
742 23/10/2021 8467 0001161835209 GILANG TAUFIQU RACHMAN
743 23/10/2021 12356 0001180215009 SRI HARUM
744 23/10/2021 11670 0001183545369 SYAFIRAPUTRI SALSABILA
745 23/10/2021 5186 0001179522044 JASMIN LATHIFAH DAMAYANTI
746 23/10/2021 5404 0001703904974 PRAMONO
747 23/10/2021 5403 0002905820919 HAJID SHABIR DARMAWAN
748 23/10/2021 5403 0000101590514 RISKA PERTIWI
749 23/10/2021 5403 0002083218355 YAN KARIS DARMAWAN
750 25/10/2021 17200 0000762419665 NUR ARIFUDIN
751 25/10/2021 10460 0001133718941 MARDJUKI
752 25/10/2021 8392 0001180580995 SORAYA REGINA PUTRI
753 25/10/2021 17615 0002308086437 SRI RAHAYU
754 25/10/2021 00-02-63 0001899942884 mubarrak azzam ali ghani
755 25/10/2021 00-01-98 0001131234726 ZAINI SURACHMAN
756 25/10/2021 12935 0002478921142 MUHAMMAD LUTHFIANSYAH AMMAR FIRDAUS
757 25/10/2021 1046 0002774738496 SUJONO
758 25/10/2021 13422 0001839238119 tania shafa putri
759 25/10/2021 00-00-40 0001821016899 MAR'ATUS SHOLICHAH
760 25/10/2021 12863 0001184584871 NURSAMSIYAH
761 25/10/2021 12863 0001184584893 KHOLIFATIN MUFIDAH
762 25/10/2021 12863 0001868877595 ALI ROKHMAT RAMADHANI
763 25/10/2021 779 0001137867941 SAPTO NUR EFFENDI
764 25/10/2021 6519 0001162108045 KASIYAM
765 25/10/2021 14575 0001199998282 NURDIANAULFA
766 25/10/2021 10239 0001131130304 MOCH. MUTA'ALISA ROMADHONA
767 25/10/2021 10239 0001535297016 RANY RAHMAWATI
768 25/10/2021 16625 0001841134781 rizky rayhandra ramadani
769 25/10/2021 4415 0001138224745 SUSANTO HARIADI
770 25/10/2021 4415 0002263375102 AHMAD EVAN ADINATA
771 25/10/2021 8532 0001127113694 ACHMAD TAUFIQ
772 25/10/2021 00-02-82 0001542377654 CITRA SETIAWANGI
773 25/10/2021 10410 0001127139647 ZAINURI EKO SUCIPTO
774 25/10/2021 00-02-45 0001161684966 SHOLICHATI
775 25/10/2021 11152 0002419652845 MUHAMMAD ZAYN MALIK ABDULLAH
776 25/10/2021 00-00-50 0001128161114 SANDI UTOMO
777 25/10/2021 00-00-75 0001138355965 SITI SUPATMI
778 25/10/2021 12216 0001137498489 MISNI
779 25/10/2021 00-00-98 0001161874528 ULFAH
780 25/10/2021 00-02-58 0001539330309 KAMIMAH
781 25/10/2021 00-01-30 0001391605626 MUKHAMMAD SYAIKHU
782 25/10/2021 17785 0001703936889 CANDRA ARIE WIBOWO
783 25/10/2021 7437 0001141016084 SUPARDI
784 25/10/2021 7820 0001173976751 TITI RAHMAWATI
785 25/10/2021 2139 0003073983669 VELIKA FELCIA ANGELINA
786 25/10/2021 16374 0001841132349 erna kusumawati
787 25/10/2021 16208 0001243765473 Marliyah
788 25/10/2021 00-02-35 0001243765484 MOCHAMAD MACHFUD
789 25/10/2021 13973 0001171264757 MIPURWANI
790 25/10/2021 00-02-47 0001125947125 MURJONO
791 25/10/2021 16336 0001448008121 DWI MARIANTO
792 25/10/2021 16336 0001448007761 IDA NURYANA
793 25/10/2021 17133 0001239336887 M. HADI PURNOMO
794 25/10/2021 4011 0001162107246 SULAMI
795 25/10/2021 15223 0001191015663 DAYANA BATRISYA AN-NISA FITRI
796 26/10/2021 13972 0001148383348 LASIANTO
797 26/10/2021 00-01-35 0001243765967 Andri Pujo Winarso
798 26/10/2021 13970 0001125012328 DEWI SRI WAHYUNI
799 26/10/2021 13969 0001194770428 MUHAMMAD IVANDRA KUSUMA JUNIAR
800 26/10/2021 13969 0001125012396 TONY JUNIAR SUJATMIKO, SE
801 26/10/2021 13969 0001194770439 MUHAMMAD RHEISA NOVA HARDHIKA
802 26/10/2021 13961 0001181340753 DWI WAHYU ARUMNINGTIYAS
803 26/10/2021 13961 0001133742058 SLAMET WARAS
804 26/10/2021 13950 0001143235978 ADIK AGUS SULISTYO
805 26/10/2021 13948 0001134895871 SUWITO
806 26/10/2021 13943 0002072372725 NUR HIDAYATI
807 26/10/2021 13939 0001138087214 MUJIONO
808 26/10/2021 13935 0001187592175 MUH RIZAL AZIZI
809 26/10/2021 13935 0001187592186 SAFINA TUN NAJAH
810 26/10/2021 14608 0001153443677 DIDIK SUPARDI
811 26/10/2021 13935 0001143841149 SANAJI
812 26/10/2021 13567 0001147923358 MOFLIK
813 26/10/2021 13567 0001195403523 MARYANI
814 26/10/2021 13567 0001195403545 MOHAMMAD DAVID AL RIDZALU PANGESTU
815 26/10/2021 13567 0002314607095 MOHAMAD AFKAR ARDIANSYAH PANGESTU
816 26/10/2021 13677 0000763223523 NUR MAULIDIYAH
817 26/10/2021 13677 0001134708849 M WIRANDY SATRIAWAN
818 26/10/2021 13675 0001186356565 TATIK RUSLINA
819 26/10/2021 13675 0001205198842 TALITHA GHAIDA AZZAHRA
820 26/10/2021 13674 0001191808361 ELI ERMAWATI
821 26/10/2021 13674 0002082129276 SYAFIKA HAFIZAH ELISSTIANA
822 26/10/2021 13674 0001446632774 SULISTIONO
823 26/10/2021 12639 0001803111388 sugiono saputra
824 26/10/2021 13669 0002040442547 SYIFAUL AINI
825 26/10/2021 13669 0001144984961 PARLI
826 26/10/2021 13669 0002040440242 SULASMI
827 26/10/2021 13668 0001137298331 TASIM AFANDY
828 26/10/2021 12360 0001129958212 SUPRIONO
829 26/10/2021 15200 0001701983542 WAHYU ANDREYANTO
830 26/10/2021 15779 0001138505962 BAGUS HARYO PAMUNGKAS
831 26/10/2021 13980 0000099026559 H.AHMAD JAELANI
832 26/10/2021 14632 0001203181841 MUHAMMAD AZKA ARFIAN GHANI
833 26/10/2021 16024 0001828246149 SUSIATI
834 26/10/2021 9405 0001131125523 SRI PUJIONO
835 26/10/2021 7372 0001869788013 SALMA CAHYA KAMILA
836 26/10/2021 00-02-85 0001125037135 IIS SURYANINGSIH
837 26/10/2021 14630 0001147184875 SILVINUS NONO
838 26/10/2021 8588 0001161845054 SULASMI
839 26/10/2021 00-00-40 0001821016899 MAR'ATUS SHOLICHAH
840 26/10/2021 00-02-86 0001149401981 CHOIRUL ANWAR
841 26/10/2021 5614 0002052857327 TEGUH PRASETYO
843 26/10/2021 17768 0001444907834 FRANCISKA RAHAYUNING HERY SATRIOWATI
844 26/10/2021 12047 0001183832188 FERONICA LORENSYEN
845 26/10/2021 00-00-96 0001198573896 EMANUELA ISHA CHERISH NGOSIEM
846 26/10/2021 00-02-06 0001849414465 muhammad abbad nailun nabhan
847 26/10/2021 8359 0001125945865 AHMAD NURJAINURI
848 26/10/2021 00-00-35 0001161844119 CHUMAYAROH
849 26/10/2021 16831 0001676187854 ADINDA ALFIYAH SAFITRI
850 26/10/2021 8048 0002480248192 M RAYYAN AQILLA
851 26/10/2021 14742 0001457170817 H. UMAN MAS'ALI
852 26/10/2021 2102 0000714087641 WINDA ANGGRAINI
853 26/10/2021 2139 0003073983669 VELIKA FELCIA ANGELINA
854 26/10/2021 15262 0001321929718 MOCHAMMAD IRGI FAHREZA
855 26/10/2021 16220 0001618179096 LINA SUKESI
856 26/10/2021 8149 0001171586709 RADITHYA JAVAS YANUAR
857 26/10/2021 8149 0001162109013 MARIA RIZKI FEBRIANI
858 26/10/2021 8149 0001162109002 SRI RAHAYU
859 26/10/2021 11357 0001127087752 DARMAN
860 26/10/2021 00-02-86 0002886921707 ACHMAD DARREN EZZAR SYAQIF
861 26/10/2021 00-01-70 0001457172797 HJ NURUL QOMARIYAH
862 26/10/2021 5089 0001173292582 SUTARDJO
863 26/10/2021 287 0001703904952 WAHYU ELYANA
864 26/10/2021 00-02-88 0002770356734 MUHAMMAD AKSA SYAHREZA
865 26/10/2021 289 0001203806417 NAFI'AH
866 27/10/2021 8494 0001161854122 NUR HANISAH
867 27/10/2021 5485 0001174866232 SRI ICNAWATI
868 27/10/2021 8892 0001131714178 SUGIANTO
869 27/10/2021 292 0001170717917 RINI RAHAYUNINGSIH
870 27/10/2021 17406 0002208806469 SAKRI
871 27/10/2021 14394 0001141345811 SHORIAN ISNIE
872 27/10/2021 290 0003002435346 RIDWAN
873 27/10/2021 4539 0001136078684 NASUKAN
874 27/10/2021 14695 0001204551808 ENI WIDARSIH
875 27/10/2021 110 0001127158929 AMAT BUHARI
876 27/10/2021 291 0001127113683 ADI SUJARWO
877 27/10/2021 128 0001161845144 RAHAYU
878 27/10/2021 245 0001161684966 SHOLICHATI
879 27/10/2021 8588 0001127113648 WINARTO
880 27/10/2021 17042 0001171831487 MUHAMMAD ARDHAN RAFIAN
881 27/10/2021 8408 0001127160639 MAT ACHWAN
882 27/10/2021 9753 0002698857325 SITI AFIYAH
883 27/10/2021 2018 0002927625355 AMIRA DESSYNTA FIKROTUL AMNA
884 27/10/2021 2111 0003002435357 SRI MANI
885 27/10/2021 14920 0001128200117 MOCHAMMAD SOIMAN
886 27/10/2021 00-00-58 0002222092416 ENDAH SULISTIYOWATI
887 27/10/2021 13009 0001184839378 RINA WIDYASTUTI
888 27/10/2021 16128 0001201244804 NURUL KHASANAH
889 27/10/2021 16122 0002038582157 MUCHAMAD DANISH DANIAL
890 27/10/2021 7095 0001889263181 ananda risqi ismail yusuf
891 27/10/2021 16122 0001201244793 MUAWANATUL ATIQOH
892 27/10/2021 16121 0001147960967 MOH. FACHRUDDIN FIRMANSYAH
893 27/10/2021 16115 0001800339524 AHMAD MUKHARIR IHYA
894 27/10/2021 16113 0001804165176 M. ALI MUBANGIT
895 27/10/2021 16112 0001884965973 GALANG NABIL ARDIYANTO
896 27/10/2021 16108 0001482176158 AZAHRA BELVA MAYZA PRAMA
897 27/10/2021 16108 0001136286843 SUPRAPTO
898 27/10/2021 10287 0001676187832 ARIEF PRIYANTO
899 27/10/2021 16103 0001540181867 WAKID
900 27/10/2021 16099 0001540181902 Puji Astuti
901 27/10/2021 16099 0001540181935 Ecgenar Mahesa Lanang Jagad
902 27/10/2021 16099 0001540181891 EKO PRIYONO
903 27/10/2021 16756 0001701950624 EDDY RONA SAPUTRA
904 27/10/2021 14014 0001125017155 HARDIAN ERIK KRISTANTI
905 27/10/2021 14920 0001147960989 MUHAMMAD HAMSAH
906 27/10/2021 16346 0001428461256 ATIK YULIANI
907 27/10/2021 00-00-33 0001153443508 SUPRIYONO
908 27/10/2021 13921 0001194284417 EMA ANISYA
909 27/10/2021 8363 0002265849191 MOH. RAFKA ALFARIZI
910 27/10/2021 10410 0001166967641 SA'DIYAH
911 27/10/2021 126 0001142955639 SURYONO
912 27/10/2021 7892 0001136648272 RIZQI KURNIA SARI
913 27/10/2021 13732 0001135724455 HADI KURNIAWAN
914 27/10/2021 00-02-93 0001194788452 HERU WAHYUDI
915 27/10/2021 00-01-93 0001319144433 HALID AMAR
916 27/10/2021 00-00-97 0002759568006 RAISYA SHAKILA MAIZA
917 28/10/2021 180 0001179765955 FILA HERDIAN
918 28/10/2021 16660 0001701983619 JARI
919 28/10/2021 17273 0001276309541 SITI CHOIRIYAH
920 28/10/2021 15844 0001243773167 Mariyati
921 28/10/2021 180 0001139983514 ANDIS RISDIANTO
922 28/10/2021 180 0001179765933 HIDAYATUL HIKMIYAH
923 28/10/2021 16660 0001701983621 SUMINAH
924 28/10/2021 16660 0001701983643 SYAFA ALENA YORIMEILINA
925 28/10/2021 17273 0001812470106 NABILAH GANI AL- KHANSA
926 28/10/2021 15844 0001243773189 nadya Auliya pratiwi
927 28/10/2021 15844 0001307233168 SUNARTI
928 28/10/2021 15844 0001243773178 INDRIAN TRIWAHYUDI
929 28/10/2021 7793 0001828219983 EKY SAFIRA MAULIA SARI
930 28/10/2021 7786 0000762742124 EDO FEBRIANTO
931 28/10/2021 7784 0001440441876 AMI PATMIARI
932 28/10/2021 7784 0001151632721 MUKRAM
933 28/10/2021 7783 0001162128262 MUTMA'INAH
934 28/10/2021 7783 0001129981691 HARIYONO
935 28/10/2021 7781 0002742280323 IBRAHIM GAVIN SAGARA
936 28/10/2021 7781 0001391605211 SYAIFUL BAHRI
937 28/10/2021 7781 0002314462915 LAVINA JIHAN SAKINAH
938 28/10/2021 7780 0001138245006 CHUSNUL HIDAYAT
939 28/10/2021 7779 0001202787268 MEMIK SUSANTI
940 28/10/2021 14654 0001141350636 SUCIANTO
941 28/10/2021 7777 0001897469807 NARIYANTO
942 28/10/2021 10183 0001131705437 DAVIK MUHARROMAH
943 28/10/2021 00-01-93 0001319144433 HALID AMAR
944 28/10/2021 6737 0001128503755 RAJI
945 28/10/2021 7430 0002309554901 ENDANG PURWANTI
946 28/10/2021 6737 0001162001338 ENGE GRECIA EKA SEPTIANA
947 28/10/2021 6737 0001181383806 MOHAMMAD ALVINO DWI SEPTIAN
948 28/10/2021 7430 0002309554642 MOH. YADI
949 28/10/2021 7430 0002450799437 ANINDITA KEISHA ZAHRA
950 28/10/2021 00-02-41 0001173946803 MUHAMMADMUSHOLLI
951 28/10/2021 00-02-43 0001132110459 KHOLIK
952 28/10/2021 13226 0001904816024 NAJZA RAMADHANI HENDRAWAN
953 28/10/2021 13226 0001169059959 KANIA KIANTI HENDRAWAN
954 28/10/2021 9581 0002479643717 MIKHAYLA ZANETTA AZZAHRA
955 28/10/2021 17444 0002421743725 RINI RATNAWATI
956 28/10/2021 17444 0002421744129 NADYA PUTRI AISYAH
957 28/10/2021 16682 0001154253576 ACHMAD FATONI AL AZHAR
958 28/10/2021 00-01-26 0002090332089 NUR KARINA
959 28/10/2021 16956 0002065911388 JUARLIAH
960 28/10/2021 9681 0001542377608 TAUFIK RAHARJA
961 28/10/2021 8210 0001382965615 RIYANTI
962 28/10/2021 11446 0001169265598 AMANDA KEYZA RAHMA AZALIA
963 28/10/2021 2111 0003002435357 SRI MANI
964 28/10/2021 19 0001428275013 TRINOVA HARDIYANTO
965 28/10/2021 4399 0001283834158 NABILA AMELIA FACHRUDDIN
966 28/10/2021 11543 0001135570443 AHMAD AFANDI YASIR
968 28/10/2021 77 0001184062522 ANITA WARDHANI
969 28/10/2021 7864 0002226023649 qurrota a'yun nur tsabita
970 29/10/2021 6282 0002696191075 TUTIK NURAHMAWATI
971 29/10/2021 4592 0001161980932 ENDAH ROHANI
972 29/10/2021 5849 0001127146768 ASWAR ZAINAL ABIDIN
973 29/10/2021 6135 0001129919128 SUYATNO
974 29/10/2021 13784 0001311034691 FERRY ADE KURNIAWAN
975 29/10/2021 2102 0000714087641 WINDA ANGGRAENI
976 29/10/2021 15206 0001421897174 PUPUT NOVIA
977 29/10/2021 297 0001850248449 ABDAUS SALAMAH
978 29/10/2021 8399 0001161844413 SUNARTI
979 29/10/2021 12673 0001142955639 SURYONO
980 29/10/2021 294 0002242068579 ARCHELLYN AZ-ZAHRA SYAFIRA ANGGRIAWAN
981 29/10/2021 295 0001814274279 RIO ADI GUNAWAN
982 29/10/2021 296 0001703936889 CANDRA ARIE WIBOWO
983 29/10/2021 16290 0001434077324 NIKMATUS SOLIKHAH
984 29/10/2021 13310 0001144251764 PRIYONO
985 29/10/2021 13188 0001146043091 JOKO SUWARNO
986 29/10/2021 3708 0001138297004 ADI PURNOMO
987 29/10/2021 15950 0001138927184 ANANG PRIYANTO
988 29/10/2021 00-01-09 0001197209215 ANISAH ASRI
989 29/10/2021 00-02-99 0001836618985 WESNU NOBEL MAHESWARA
990 29/10/2021 17273 0001276309541 SITI CHOIRIYAH
991 29/10/2021 17273 0001812470106 NABILAH GANI AL- KHANSA
992 29/10/2021 12770 0001184846141 YUNI NUR ISLAMIYAH
993 29/10/2021 12770 0001143145945 MOH ALI MIFTACH
994 29/10/2021 12770 0001855130815 RAHAJENG NAYNA ASYARIFAH
995 29/10/2021 12769 0001184515751 MOHAMMAD FARHAN SEPTYANI EFENDY
996 29/10/2021 12769 0001184515738 IDA AYU YANI S
997 29/10/2021 12769 0001143930295 ACHMAD OCTA EFENDY
998 29/10/2021 12758 0001175003133 RIZKA DWI ANGGRAINI
999 29/10/2021 12758 0001133448401 AGUNG JATMIKO
1000 29/10/2021 12758 0001175003122 NIKEN AYU PUSPITA
1001 29/10/2021 12758 0001175003144 MUHAMMAD RIZQY JATMIKO
1002 29/10/2021 12742 0001141233276 WAHYUDI
1003 29/10/2021 12742 0001475326315 SULASTRI
1004 29/10/2021 12742 0002499978082 ANINDITA KEISHA ZAHRA PUTRI
1005 29/10/2021 12742 0001182079348 LAILATUL NABILA AULIA PUTRI
1006 29/10/2021 16616 0001445352772 RIFANIA SYAQILA AZ ZAHRA
1007 29/10/2021 16616 0001445352579 ROSIANI
1008 29/10/2021 13149 0001127116179 SRI MULYANI
1009 29/10/2021 16265 0001540182238 ADY MASYHUR
1010 29/10/2021 16265 0002885586254 GRESYA TAMARA DHEAMASYHUR
1011 29/10/2021 2154 0001130027253 ALIF FIRDAUS
1012 29/10/2021 15453 0001185936208 ACHMAD ABU HANIFAH
1013 29/10/2021 8650 0001161834704 MURTININGSIH
1014 29/10/2021 8650 0001125947171 PRAYITNO
1015 29/10/2021 00-02-56 0001178484028 DIAH SETIYORINI
1016 29/10/2021 00-01-21 0001161884586 DWI PRIHARTINI
1017 29/10/2021 00-01-20 0001161874405 FAURENA SYIFAA'UL AAZIZAA
1018 29/10/2021 00-03-01 0001426074131 BONALI
1019 30/10/2021 7777 0001897469807 NARIYANTO
1020 30/10/2021 104 0003095172101 SUBARDI
1021 30/10/2021 15405 0001428439509 MUHAMMAD JUNAIDI ABDILLAH
1022 30/10/2021 130 0001391605626 MUKHAMMAD SYAIKHU
1023 30/10/2021 8425 0001125948205 JUNAIDI
1024 30/10/2021 15451 0001124798973 SUNARKO
1025 30/10/2021 5181 0001132437205 ACA ARIWIBOWO
1026 30/10/2021 302 0001701950141 MUHAMMAD FERRI FIRNANDA
1027 30/10/2021 13833 0002222057068 KEISHA AULIA KHAYRANI
1028 30/10/2021 288 0002770356734 MUHAMMAD AKSA SYAHREZA
1029 30/10/2021 16982 0000205830279 DEKY ADITYA HANGGARA
1030 30/10/2021 4396 0001161966993 MARIYATI
1031 30/10/2021 40 0001821016899 MAR'ATUS SHOLICHAH
1033 30/10/2021 303 0003001366416 ASMAUL FAUZIYAH
1034 30/10/2021 2127 0001438720198 DEVA RISTIYANTO
1035 30/10/2021 8474 0002257860868 NAURA AZZAHRA ALFADANI
1036 30/10/2021 304 0001162052695 tuYANTI
1037 30/10/2021 245 0001161684966 SHOLICHATI
1038 30/10/2021 305 0001820889753 M. NADHIR Z.
1039 30/10/2021 244 0001161684988 ARIENDHA NASRIEN AZIEZA
1040 30/10/2021 44 0001161834928 ANIS RIAWATI
1041 30/10/2021 17584 0002060676887 MISIYADI
1042 30/10/2021 17584 0002060676887 MISIYADI
1043 30/10/2021 5426 0000099161853 RAHAYU HADIATI
1044 30/10/2021 5426 0000099161853 RAHAYU HADIATI
1045 30/10/2021 15775 0001199998078 JUMILAH
1046 30/10/2021 15775 0001199998078 JUMILAH
1047 30/10/2021 8892 0001162008999 UMI NASIPAH
1048 30/10/2021 8892 0001162008999 UMI NASIPAH
1049 31/10/2021 00-02-13 0000098901887 ERNI ASTUTI
1050 31/10/2021 00-02-13 0000098901887 ERNI ASTUTI
1051 31/10/2021 00-00-35 0001161844119 CHUMAYAROH
1052 31/10/2021 00-00-35 0001161844119 CHUMAYAROH
1053 31/10/2021 17273 0001276309541 SITI CHOIRIYAH
1054 31/10/2021 17273 0001276309541 SITI CHOIRIYAH
1055 31/10/2021 16940 0002072589581 SUKEMI
1056 31/10/2021 16940 0002072589581 SUKEMI
1057 31/10/2021 16782 0001162058027 AGUS YAKADUN
1058 31/10/2021 16782 0001162058027 AGUS YAKADUN
1059 31/10/2021 3926 0001127142729 SIDIK
1060 31/10/2021 3926 0001127142729 SIDIK
1061 31/10/2021 9770 0000098965078 HARTINI
1062 31/10/2021 9770 0000098965078 HARTINI
1063 31/10/2021 16188 0001844736107 SIPAH
1064 31/10/2021 16188 0001844736107 SIPAH
1065 31/10/2021 5089 0001173292582 SUTARDJO
1066 31/10/2021 5089 0001173292582 SUTARDJO
1067 31/10/2021 17305 0001828182407 ASMANI
1068 31/10/2021 17305 0001828182407 ASMANI
1069 31/10/2021 17682 0001196232502 SULATI
1070 31/10/2021 17682 0001196232502 SULATI
1071 31/10/2021 00-02-15 0001272031132 NURUL AISYAH
1072 31/10/2021 00-02-15 0001272031132 NURUL AISYAH
1073 31/10/2021 8399 0001125946945 MOH JAMIN
1074 31/10/2021 8399 0001125946945 MOH JAMIN
1075 31/10/2021 8469 0001125945898 TAMAT
1076 31/10/2021 8469 0001125945898 TAMAT
1077 31/10/2021 8469 0001161844211 ENI RUSMIATI
1078 31/10/2021 8469 0001161844211 ENI RUSMIATI
1079 31/10/2021 2107 0001337056525 SLAMET
1080 31/10/2021 2107 0001337056525 SLAMET
1081 31/10/2021 17248 0001705236535 KHOIRUL IMAM
1082 31/10/2021 17248 0001705236535 KHOIRUL IMAM
1083 31/10/2021 00-02-91 0001127113683 ADI SUJARWO
1084 31/10/2021 00-02-91 0001127113683 ADI SUJARWO
1085 31/10/2021 00-00-98 0001161874528 ULFAH
1086 31/10/2021 00-00-98 0001161874528 ULFAH
1087 31/10/2021 00-00-99 0001125945189 NURAJI
1088 31/10/2021 00-00-99 0001125945189 NURAJI
1089 31/10/2021 14111 0001132828806 SITI ZULLAIKAH
1090 31/10/2021 83 0001131774311 SRI SUHARTUTIK
JENIS KELAMIN KUNJUNGAN POLI
DIAGNOSA
L P SAKIT SEHAT UMUM GIGI
L √ √ SPENOMEGALI+ANEMIA
P √ √ CRS+HNP+HYPERTIROID
P √ √ CHOLEATESIS
L √ √ DM+PJK
P √ √ DM+HT+FATTY LIVER
P √ √ DISPEPSIA+COUGH
L √ √ GEA+GASTRITIS
L √ √ ISPA
L √ √ KONSULTASI
P √ √ KONSULTASI
L √ √ GEA+KOLIK ABDOMEN
P √ √ ISPA
P √ √ HT+MYALGIA
P √ √ ISPA
L √ √ HT
P √ √ NEUROPHATY
L √ √ DERMATITIS
P √ √ SUSP ISK
L √ √ DISPEPSIA+CEPHALGIA
P √ √ HHD+HT+DM
L √ √ ISPA
P √ √ DERMATITIS
P √ √ ANGINA PECTORIS+HT
L √ √ OA GENU
L √ √ MENTAL DISORDER
L √ √ HT ( PRB )
L √ √ OMK
L √ √ CEPHALGIA
P √ √ HEPATITIS B
P √ √ DM+HT+OBS.FEBRIS
L √ √ CONTUSIO MUSCULAR
√ √ OBS.FEBRIS
L √ √ HT+HYPERECEMIA+DISPEPSIA
P √ √ PHARINGITIS+DISPEPSIA
P √ √ OBS FEBRIS+DISPEPSIA+URTICARIA
P √ √ DISPEPSIA+MYALGIA
L √ √ BROCHITIS+ALERGI
P √ √ AF+HEPATITIS B
P √ √ CHALAZIEN
P √ √ OBS. FEBRIS
L √ √ DISPEPSIA
P √ √ DISPEPSIA
P √ √ ISPA
L √ √ ISPA
L √ √ ARTHTRITIS
L √ √ DISPEPSSIA+LBP
L √ √ HEMORHOID
P √ √ TYPOID
P √ √ DISPEPSIA
L √ √ GEA+TINEA CORPORIS
L √ √ DISPEPSIA
L √ √ GEA+DISPEPSIA
L √ √ DM NON INSULIN
L √ √ NEFROLITIASIS
P √ √ FARINGITIS+DISPEPSIA
P √ √ POST OP FRAKTUR CRURIS
P √ √ CEPHALGIA
P √ √ ISPA
P √ √ ERUPSI GGI
P √ √ AUTOIMUNE
L √ √ ABSES PERIAPIKAL
L √ √ PERIKORONITIS
P √ √ ABSES PERIAPIKAL
P √ √ DISPEPSIA
L √ √ ULCUS PENIS+DERMATITIS KONTAK ALERGI
L √ √ GE
L √ √ CHEST PAIN+HT+CEPHALGIA
P √ √ CEPHALGIA
P √ √ KB SUNTIK 3 BULAN
P √ √ RHINITIS
P √ √ ISPA+OA/RA
L √ √ ISPA
P √ √ ISPA
P √ √ MYALGIA+DISPEPSIA
L √ √ HAEMORHOID GR I
L √ √ URTHICARIA
L √ √ SCABIES+DERMATITIS ALERGI
P √ √ HYPER UA+NEUROPHATY
P √ √ OBS.FEBRIS+DISPEPSIA
L √ √ MYALGIA+NEUROPHATY
P √ √ SUSP.ISK
P √ √ DISPEPSIA
P √ √ LBP/MYALGIA
P √ √ HT
L √ √ CONJUNCTIVITIS
P √ √ SPSAME
P √ √ HT+DISPEPSIA+LBP
P √ √ DISPEPSIA/COLIC ABDOMEN
L √ √ POST COVID
L √ √ GEA
L √ √ ISPA
L √ √ ISPA
P √ √ OKLUSI TUBA+HT+DM
L √ √ OBS FEBRIS+FA
P √ √ ISPA
P √ √ NEUROPHATY+CEPHALGIA
L √ √ GEA
L √ √ CEPHALGIA+DISPEPSIA
P √ √ GANGGUAN AKOMODASI
L √ √ DERMATITIS+SCABIES
P √ √ RHINITIS+MYALGIA
L √ √ DISPEPSIA
P √ √ GANGLION+NEUROPATHY
L √ √ MYALGIA
L √ √ GEA
P √ √ CAUGH
L √ √ GEA
L √ √ VERTIGO+DISPEPSIA
P √ √ DISPEPSIA+CEPHALGIA
L √ √ HT+CAUGH+NEUROPATHY
L √ √ ABSES
L √ √ ERYTRODERMIA
P √ √ CRS
L √ √ PJK
L √ √ DISPEPSIA
P √ √ DISPEPSIA
P √ √ SCABIES
P √ √ DISPEPSIA+ARHRITITIS
P √ √ STOMATITIS
P √ √ FARINGITIS
L √ √ DISPEPSIA
P √ √ DM+HT
L √ √ ISPA+DISPEPSIA
L √ √ NEKROSIS PULPA
L √ √ DM+DERMATITIS
P √ √ GEA
P √ √ ANC
P √ √ NEKROSIS PULPA
P √ √ DISPEPSIA+DERMATITIS
L √ √ NEUROPHATY+HT
L √ √ MYALGIA
L √ √ PERSISTENSI
L √ √ VULNUS APP ( KLL )
P √ √ CRS+INTERVERTEBRAL DISPLACEMENT
L √ √ DISPEPSIA
P √ √ PERIODONTITIS ACUTE
P √ √ ARTHRITIS
P √ √ PERIODONTITIS KRONIS
P √ √ ISPA
P √ √ DISPEPSIA+GEA
P √ √ PERSISTENSI
L √ √ VERTIGO
P √ √ HHD
L √ √ GANGGUAN AKOMODASI
P √ √ SCOLIOSIS
L √ √ MYALGIA
P √ √ VERTIGO
P √ √ OBS.FEBRIS
P √ √ ISPA
P √ √ ISPA+HT
L √ √ DISPEPSIA
P √ √ HT+DISPEPSIA
P √ √ DISPEPSIA
P √ √ TFA+DISPEPSIA
L √ √ TFA
L √ √ ANGINA PEKTORIS+AF
L √ √ PULPITIS
P √ √ CONJUNCTIVITIS
L √ √ GANGGUAN AKOMODSI
L √ √ FARINGITIS+CONJUNGTIVITIS
P √ √ CEPHALGIA+DISPEPSIA
P √ √ MYALGIA+URTICARIA
P √ √ AMEBIASIS
P √ √ RHINITIS
L √ √ COUGH+RHINITIS
P √ √ MYALGIA+PLANTAR FACITIS
P √ √ POT OP.APENDICITIS AKUT+PJK
L √ √ GEA
√ √ OA+MYALGIA+PLANTAR FASITIS
P √ √ HT
L √ √ OBS.FEBRIS
L √ √ DISLIPIDEMIA
L √ √ DM ( PRB )
P √ √ CHALAZION
P √ √ GEA
L √ √ DISPEPSIA
P √ √ STATUS ASMATICUS+HT
L √ √ DERMATITIS+LBP
L √ √ HHD
P √ √ DM+GERD+PVC
P √ √ ARTHRITIS
P √ √ GEA+DISPEPSIA
L √ √ VERTIGO+HT
P √ √ ISPA
P √ √ √ PERIDONITIS AKUT
P √ √ HERNIA UMBILICAL
P √ √ DISPEPSIA
L √ √ ABSES PERIAPIKAL
P √ √ Other and unspecified right bundle-branch block
L √ √ HEMORHOID INTERNA
L √ √ FEBRIS
L √ √ HT+POST CVA
P √ √ DM+HT
L √ √ BSK/TINEA CORPORIS
P √ √ DISPEPSIA
L √ √ ISPA
P √ √ COLIC ABDOMEN/POST SC
P √ √ TB ON TERAPI+OA GENU
P √ √ ISCHIALGIA
L √ √ ISPA+ASMA
L √ √ ISPA
L √ √ ISPA
P √ √ URTHICARIA
L √ √ MIOPI
P √ √ ARITMIA+CEREBRAL INFARCTION
P √ √ ISPA+DISPEPSIA
L √ √ ENTERITIS
L √ √ TFA
P √ √ ISPA
P √ √ HT+SVT+TACHICHARDIA
P √ √ HT+AF
P √ √ THALASEMIA
L √ √ THALASEMIA
L √ √ OBS FEBRIS
P √ √ DISPEPSIA
P √ √ HT
P √ √ OBS. FEBRIS
L √ √ GEA
P √ √ BBLR
L √ √ ISPA
P √ √ ISPA
P √ √ ISPA
L √ √ SUBLAXION PERGELANGAN KIRI
L √ √ EPILEPSI+VERTIGO
P √ √ DM+HT+HHD
L √ √ HYPERTYROID
P √ √ DM+HT
P √ √ OBS.FEBRIS+HT
L √ √ ISPA
P √ √ ISPA
P √ √ ISPA
L √ √ HERPES
P √ √ CONJUNGTIVITIS
L √ √ HORDEOLOM
L √ √ DM+ARTHRITIS
L √ √ DM+NEUROPHATY ( PRB )
P √ √ SINUSITIS
P √ √ PERIDONITIS AKUT
P √ √ OA
P √ √ DM+GINGIVITIS
L √ √ KELAINAN REFRAKSI MATA
L √ √ GEA+HT
P √ √ DISPEPSIA+VERTIGO+TINE CORPORIS
P √ √ HERPES ZOOTER
P √ √ INGROWING NAIL
P √ √ DISMENORE+HT
P √ √ GINGIVITIS
P √ √ PULPITIS
P √ √ DM+HT
P √ √ KELAINAN REFRAKSI MATA
P √ √ ISPA
L √ √ CEPHALGIA+DISPEPSIA
L √ √ ISPA+HT
P √ √ SUSP.ISK
P √ √ MYALGIA+OA/RA
L √ √ HAEMORHOID BLEEDING
P √ √ DISPEPSIA+COUGH
L √ √ DERMATITIS ALERGI
L √ √ DISPEPSIA+TINEA CORPORIS
L √ √ VOMITING+DISPEPSIA
P √ √ DERMATITIS KONTAK
P √ √ GE
P √ √ ISHIALGIA
P √ √ OMP
P √ √ GE
L √ √ FA
L √ √ CEPHALGIA
L √ √ INGROWING NAIL
L √ √ HERPEZ
L √ √ DISPEPSIA+SUB.FEBRIS
P √ √ DISMENORHEA
P √ √ DM+HT
L √ √ COUGH+RHINITIS
L √ √ ISPA
L √ √ GEA
P √ √ LBP+CEPHALGIA
L √ √ CKD V+HD REGULER
P √ √ DM+KERATITIS
P √ √ EDENTULUS RIDGE
p √ √ DM NON INSULIN+GME+PNP
L √ √ TFA
L √ √ FEBRIS+DISPEPSIA
L √ √ FEBRIS+GE+DISPEPSIA
P √ √ ISPA+DISPEPSIA+KB 3BULAN
P √ √ TFA
P √ √ TFA
P √ √ ISPA
P √ √ ANC
P √ √ ANC
P √ √ MYALGIA
L √ √ DISPEPSIA
P √ √ DISPEPSIA
P √ √ DISPEPSIA
L √ √ ISPA
L √ √ ISPA
P √ √ GANGGUAN AKOMODASI+DISPEPSIA
L √ √ CATARAK
L √ √ ISPA
P √ √ ISPA
L √ √ PJK+CKD
L √ √ VICTUM PEDIS+DERMATITIS
L √ √ ISPA
L √ √ DISPEPSIA+MYALGIA
P √ √ DM+OA GENU GRADE II
L √ √ PJK+HHD+DM
L √ √ ASMA+DISPEPSIA
L √ √ MYALGIA
P √ √ DISPEPSIA
P √ √ DISPEPSIA+COMMOND COLD
P √ √ NEKROSIS PULPA
L √ √ PULPITIS
L √ √ PERIDONITIS AKUT
P √ √ ISPA+ARTHRITIS
P √ √ ISPA
L √ √ DISPEPSIA
L √ √ OBS.FEBRIS+DISPEPSIA
P √ √ MASTITIS
L √ √ PRESBIKUSIS
P √ √ HT+DERMATITIS
L √ √ HT+DM
P √ √ ISK
L √ √ ISPA
L √ √ ISPA
P √ √ DISPEPSIA
L √ √ GEA
L √ √ FA
L √ √ DISPEPSIA+ISK
P √ √ GEA
P √ √ DISPEPSIA
L √ √ HT+CEPHALGIA
L √ √ EXCORIASI
L √ √ PHARINGITIS
P √ √ DM
P √ √ ERUPSI FISIOLOGIS
P √ √ GROSS HEMATURI
L √ √ DISPEPSIA+CEPHALGIA
L √ √ MYALGIA
L √ √ PYODERMA
P √ √ PTERIASIS+CONJUCTIVITIS
L √ √ DM
P √ √ DM
L √ √ NYERI UJUNG PENIS
P √ √ DISPEPSIA+ISPA
L √ √ PULPITIS ACUTE
L √ √ ACUTE PERIODONTITIS
P √ √ CEPHALGIA
L √ √ ISPA
P √ √ DISPEPSIA
P √ √ FA
P √ √ DISPEPSIA+DERMATITIS
L √ √ DISPEPSIA+MYALGIA
P √ √ ANC
L √ √ ISPA
P √ √ OMK
L √ √ DISPEPSIA
P √ √ CRS+HNP
L √ √ ISPA
P √ √ DM+HT
L √ √ HAEMOROID
L √ √ OBS.FEBRIS+CEPHALGIA
P √ √ TACHICARDIA+DISPEPSIA+HYPERECEMIA
P √ √ OBS.FEBRIS+CEPHALGIA
L √ √ COUGH+MYALGIA
P √ √ OA+ARTHRITIS
P √ √ FARINGITIS+RHINITIS
L √ √ RHINITIS
L √ √ FARINGITIS
P √ √ MYALGIA+NEUROPHATY
L √ √ DM+ISK
P √ √ GEA
L √ √ HAEMOROID+DISPEPSIA
L √ √ FARINGITIS
P √ √ DISMENOREA+CONJUNGTIVITIS
P √ √ COUGH
P √ √ ISCHALGIA
P √ √ COLIC ABDOMEN
L √ √ VULNUS ICTUM PEDIS S
P √ √ DISPEPSIA
P √ √ GANGGUANG ACOMODASI
L √ √ COLIC ABDOMEN+CEPHALGIA
L √ √ MYALGIA
L √ √ CONJUNCTIVITIS ACUTE OD
P √ √ DM+HYPER UA
L √ √ ISPA
P √ √ TACHYCARDIA
L √ √ ISPA
L √ √ CARIES GIGI
P √ √ CONSTIPATION
P √ √ DERMATITIS+POST HERPES
L √ √ DM INSULIN+HT
P √ √ ABSES
L √ √ DERMATITIS+DISPEPSIA
L √ √ LYMPHADENITIS+STOMATITIS
L √ √ SUBCONJUNGTIVA BLEEDING+DISPEPSIA
L √ √ DISPEPSIA+ISPA
L √ √ LYMPHADENITIS+STOMATITIS
L √ √ HT+HHD+HHF
P √ √ DISPEPSIA+NEUROPHATY
L √ √ OBS.FEBRIS+DISPEPSIA
P √ √ DM
L √ √ DM
P √ √ DM
L √ √ ISPA
L √ √ ISPA
P √ √ MASTITIS
L √ √ ISPA
P √ √ ISPA
L √ √ CEPHALGIA+MYALGIA
L √ √ HT+DM ( PRB )
P √ √ DM ( PRB )
P √ √ KISTA ENDOMETRIUM+STROKE INFRAK
P √ √ DM+HT ( PRB )
P √ √ IMPAKSI GIGI
L √ √ CEPHALGIA+MYALGIA
P √ √ KELAINAN REFRAKSI MATA
L √ √ ISPA
P √ √ DISPEPSIA
L √ √ STOMATITIS
L √ √ HAEMOROID+DISPEPSIA
P √ √ CONJUNGTIVITIS
L √ √ DISPEPSIA
√ √ ISPA+DISPEPSIA
L √ √ DISPEPSIA ( ONLINE )
L √ √ HORDEOLOM
√ √ PERSISTENSI
P √ √ DISPEPSIA
L √ √ NEKROSIS PULPA
P √ √ HT+AF+DM
P √ √ POST APPENDIX PERFORASI
L √ √ DELAYED MILESTON+ANOREKSIA
P √ √ NEUROPHATY+HIPERCHOLESTROL
L √ √ ABSES MAE
P √ √ OA GENU+TB+CAUGH
L √ √ OA+RA+DISPEPSIA
P √ √ CA MAMAE
P √ √ OBS FEBRIS+DISPEPSIA
L √ √ HT+DISPEPSIA
P √ √ CONJUNCTIVA BLEEDING
L √ √ MYALGIA+DISPEPSIA
P √ √ MATITIS
P √ √ DM
L √ √ DM
L √ √ DM
L √ √ DM
P √ √ DM
P √ √ MYALGIA+OA+RA
L √ √ CAUGH
P √ √ DISPEPSIA
P √ √ ISPA
P √ √ CRS+ACUTE HAEMORAGIC GASTRITIS
P √ √ ISPA
P √ √ GEA
L √ √ HT+ISPA
L √ √ OBS.FEBRIS+DISPEPSIA+LBP
L √ √ DISPEPSIA
L √ √ OBS.FEBRIS+DISPEPSIA+DERMATITIS
L √ √ DM
L √ √ PERIODONTITIS ACUTE
p √ √ PYEODERMA
L √ √ CELLULITIS
P √ √ EDONTITIS RIDGE
L √ √ POST EKSTRAKSI PEDIS SINISTRA
P √ √ DISPEPSIA+VERTIGO
P √ √ DISPEPSIA
P √ √ FA+CAUGH
P √ √ NEUROPHATY
L √ √ EPIKTASIS+CEPHALGIA
L √ √ GANGGUAN ACCOMODASI
L √ √ LYMPHADENITIS
L √ √ VOMITING
L √ √ HAEMORHOID BLEEDING+DISPEPSIA
L √ √ CKD V,SECONDARY HT
L √ √ MYALGIA
P √ √ NECROSIS PULPA
P √ √ DISPEPSIA
L √ √ PERIODONTITIS KRONIS
P √ √ NEPHROTIC SYNDROME
P √ √ GENERAL EXAMINATION AND INVASTIGATION OF PERS
L √ √ DERMATITIS+DISPEPSIA
L √ √ ISPA
L √ √ PERIKORONITIS
L √ √ GEA
L √ √ EXCORIASI
P √ √ FEBRIS+DISPEPSIA
P √ √ DISPEPSIA/VERTIGO
L √ √ ISK
P √ √ GE
L √ √ GE+OBS FEBRIS
P √ √ ANC
L √ √ KONSTIPASI+DISPEPSIA
P √ √ CAUGH+RHINITIS
L √ √ ISPA
P √ √ HT+MYALGIA+HIPERCHOLESTROL
L √ √ SELLULITIS
L √ √ OBS. FEBRIS+FA
P √ √ CAUGH
P √ √ SUNTIK KB 3 BULAN
P √ √ ANC
L √ √ RHINITIS ALERGI
L √ √ CLOSE FRAKTUR 1/3 DISNITRA
L √ √ WHITE BLOOD CELLS+POST URETER
L √ √ PJK+HHD+CKD
P √ √ NEUROPHATY+HT
L √ √ SUSP.ISK+HT
L √ √ ISPA+OBS.FEBRIS
L √ √ SUSP.ISK
L √ √ GEA+MYALGIA
L √ √ DM+HT
P √ √ KB 3 BLN
L √ √ POST OP FRAKTUR+DM INSULIN
L √ √ ISPA+GASTRITIS
P √ √ HT+DM
L √ √ EPILEPSI
P √ √ EDENTOLUS RIDGE
L √ √ LBP
P √ √ ISPA
L √ √ CONJUNCTIVITIS
L √ √ GINGIVITIS
L √ √ ISPA
P √ √ FARINGITIS AKUT
P √ √ CEPHALGIA
P √ √ GEA+DERMATITIS
P √ √ GEA
L √ √ VARICELLA ZOOSTER
L √ √ MYALGIA
P √ √ ISPA
L √ √ HT
P √ √ HT
P √ √ MASTITIS+HIGH RISK PREGNANCY
P √ √ ISPA
P √ √ DISPEPSIA
L √ √ ISPA
P √ √ ISPA
P √ √ DISPEPSIA
L √ √ DISPEPSIA+GE
P √ √ DISPEPSIA
L √ √ ISPA
L √ √ PJK+HT+CKD III
L √ √ ABCESS
P √ √ ARTHRALGIA
L √ √ DEERMATITIS INFEKSI
L √ √ ISPA
P √ √ KB
L √ √ SLE+UVEITIS
P √ √ GRAVID
P √ √ ISPA
L √ √ POST OMP
P √ √ HHD+PJK
P √ √ ISPA
P √ √ RHINITIS ALERGI
L √ √ DISPEPSIA
L √ √ DISPEPSIA+VERTIGO
P √ √ TYPHUS
P √ √ CATARACT
L √ √ PHARINGITIS
L √ √ DISPEPSIA
P √ √ DM NON INSULIN+HT
L √ √ STOMATITIS
P √ √ EPILEPSI
L √ √ DISPEPSIA
P √ √ DISPEPSIA
L √ √ PHARINGITIS+DISPEPSIA+MYALGIA
L √ √ ISPA
L √ √ GASTRITIS KRONIK
P √ √ RHINITIS
L √ √ HAEMORHOID INT BLEEDING+ISPA
P √ √ THYROTOXIASIS+DISLIPID
L √ √ GEA
L √ √ GERD GASTRITIS
P √ √ COUGH+PYODERMA+DERMATITIS
L √ √ HT+CEPHALGIA+MYALGIA
P √ √ OA GENU
P √ √ CAUGH+RHINITIS ALERGI+MYALGIA
L √ √ SPLENOMEGALY+DISPEPSIA
L √ √ GINGGIVITIS
L √ √ MYALGIA
P √ √ VOMITING
P √ √ SUNTIK KB 3BULAN
P √ √ CELULILITIS
L √ √ KB
L √ √ POST SWL+ISK+HT
L √ √ CEPHALGIA+VERTIGO
P √ √ CAUGH+RHINITIS ALERGI
L √ √ ISPA
P √ √ SUNTIK KB 3BULAN
L √ √ OBS.FEBRIS+MYALGIA
L √ √ HT+COUGH
L √ √ ISPA
L √ √ DISPEPSIA
L √ √ LBP
L √ √ DERMATITIS ALERGI
L √ √ DISPEPSIA
L √ √ ENTERITIS
P √ √ LBP+DISPEPSIA
L √ √ ARTHRITIS
P √ √ PERSISTENSI GIGI
P √ √ MYOMA UTERI
L √ √
P √ √ VERTIGO+NEUROPATHY
L √ √ FA+ISPA
L √ √ DISPEPSIA
L √ √ OBS FEBRIS+STOMATITIS
P √ √ CONJUNCTIVITIS+CAUGH
P √ √ HT
L √ √ CAUGH+RHINITIS
L √ √ SUSP ISK+HEMATURI
L √ √ CAUGH
P √ √ FA
P √ √ ISPA
L √ √ CAUGH
L √ √ MYALGIA/LBP
P √ √ GRAVIDARUM
P √ √ OBS VOMITING + FEBRIS
P √ √ DISPEPSIA
L √ √ FA/CAUGH/RHINITIS
P √ √ GINGIVITIS
P √ √ PLANTAR FASCIITIS
L √ √ FROZEN SHOULDER+MYALGIA
L √ √ VULNUS APP
P √ √ √ KONSULTASI
P √ √ ANC TM 2
L √ √ OBS FEBRIS+MILIARIA
P √ √ ANC TM 3
P √ √ SVT
P √ √ LBP+DERMATITIS
L √ √ ISPA+STOMATITIS
P √ √ ABSES GINGIVAL
L √ √ DISLOKASI SPRAIN OF JOINT
L √ √ GEA
L √ √ DISPEPSIA
L √ √ DISPESIA+ISPA
P √ √ CHOLEATHISIS
L √ √ MYALGIA
L √ √ DM+GEA
P √ √ OTITIS
L √ √ SUSP.ISK
L √ √ ISPA+EPITAXIS
L √ √ DISPEPSIA
P √ √ DISPEPSIA
L √ √ DISPEPSIA
P √ √ KB 3BLN
P √ √ KB 3 BLN
L √ √ ABSES DIGIT IV MANUS
L √ √ CEPHALGIA+VOMOITING
L √ √ DISPEPSIA
P √ √ OTHER OF MUSCLE PELVIC REGION & TIGH+LBP
L √ √ DISPEPSIA
P √ √ COPD
L √ √ VERTIGO+DISPEPSIA
P √ √ HT
L √ √ FARINGITIS AKUT
P √ √ HT
√ √ KATARAK+PTERYGIUM
P √ √ NEUROPHATY+DERMATITIS
L √ √ GEA
L √ √ GEA
L √ √ DM
P √ √ CORPUS ALINEUM NASAL
L √ √ NEUROMYALGIA/DISPEPSIA
P √ √ AMOEBIASIS
L √ √ ISPA
L √ √ DISPEPSIA
L √ √ DISPEPSIA
P √ √ NECROSIS PULPA
L √ √ ISPA
P √ √ PERSISTENSI(EXO)
P √ √ ISPA
P √ √ POLIP GINGGIVA/PULPITIS
L √ √ GEA
P √ √ ANC TM III
P √ √ HT+CEPHALGIA
L √ √ ISPA
P √ √ HT+COUGH
√ √ RHINITIS+COUGH
P √ √ HT+HYPERCHOLESTEROL
P √ √ ISPA+MYALGIA
P √ √ PYODERMA
L √ √ MYALGIA+LBP
L √ √ FARINGITIS+SUSP.ISK
P √ √ HNP+ISCHALGIA
P √ √ ISPA
P √ √ MYOMA UTERI ( ENDOMETRIOSIS )
L √ √ HT+DM
L √ √ CEPHALGIA
L √ √ DYSPONE+CEPHALGIA
P √ √ ANC TM III
P √ √ SUPERVISION HIGH PREGNANCY
P √ √ HERPES
P √ √ DISPEPSIA
L √ √ DISPEPSIA
P √ √ ABSES BUKALIS
L √ √ PULPITIS
L √ √ GINGIVITIS
P √ √ √ ABSES PERIAPIKAL
L √ √ ISPA+HT
L √ √ ISPA+HT
L √ √ LBP
L √ √ MYALGIA
P √ √ FLANK PAIN
L √ √ CEPHALGIA+VOMITING
P √ √ DM+CYSTE OVARIUM
P √ √ ISPA
P √ √ OBS.VOMITING
P √ √ DISPEPSIA+MYALGIA
L √ √ GERD
L √ √ CHEST PAIN+POST COV 19
L √ √ ISPA
P √ √ HYPER UA+HYPERCHOLESTEROL
L √ √ MYALGIA+HYPERCHOLESTEROL
P √ √ DISPEPSIA+HYPERCHOLESTEROL
P √ √ LBP+DISPEPSIA
L √ √ ABLASTIO RETINA
L √ √ KELAINAN REFRAKSI MATA
L √ √ HYPERCHOLES+ARTHRITIS+HT+DISLIPIDEMIA
L √ √ DISPEPSIA
L √ √ GEA
P √ √ DISPEPSIA
L √ √ DISPEPSIA+SUSP.SINUSITIS
L √ √ CEPHALGIA
P √ √ ISPA
L √ √ ISPA
L √ √ LBP
P √ √ HT+DISPEPSIA+MYALGIA
L √ √ ISPA
P √ √ OTITIS
L √ √ VERTIGO
P √ √ DISPEPSIA
P √ √ ARTHTITIS+KB PIL
P √ √ DEPRESI
L √ √ DM
P √ √ DM
P √ √ DM
P √ √ DM
P √ √ DM
P √ √ DM
P √ √ DM
P √ √ DM
L √ √ DM
L √ √ DM
P √ √ DM
P √ √ DM
L √ √ DM
P √ √ DM
P √ √ DM
P √ √ DM
L √ √ DM
L √ √ DM
P √ √ DM
L √ √ DM
L √ √ DM
L √ √ DM
P √ √ DM
L √ √ DM
P √ √ ISPA
√ √
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POLI TUJUAN RUJUKAN ALAMAT NOMOR TELP
P.DALAM RSIS JL.IR.IBRAHIM ZAHIER II 4B /12 082141192020

P.SARAF RSIS JL.MERAK 2 F14 GKA 08123139124
P.DALAM RSSG JL.KAPTEN DARMO S NO.6 0811343490
P.DALAM RSSG JL.KAPTEN DARMO S NO.6 0811343490
P.DALAM RSMG TAMBAK OSOWILANGON NO.71 085648907236
PERUM ANGGREK BLOK F3 085130332718
JL.KAPTEN DULASIM GG.11 NO.21 081554137992
JL.SUNAN PRAPEN GG.7 BLOK.E 0881026504774
JL. RAYA PARANG 081554137992
PERUM TAMAN ANGGREK BLOK F3 085130322178
JL.RA KARTINI 06/58 C 4/4 SIDOMORO KEBOMAS 085745490988
JL.RA KARTINI 06/58 C 4/4 SIDOMORO KEBOMAS -
JL.KAPTEN DARMO SUGONDO II/- 2/1 INDRO KEBOMAS -
JL.RA KARTINI 06/48 4/4 SIDOMORO KEBOMAS 081336131535
TB OSOWILANGUN 085330977633
PRB JL.RA KARTINI 2/32 088216828794
JL.RA KARTINI 2/29 081230701245
JL.KAPTEN DARMO SUGONDO GG 14 NO.14 081251312208
JL.KH KHOLIL 4/05 3/3 KEBUNGSON
JL.KH KHOLIL 4/05 3/3 KEBUNGSON 082247565476
RUNGKUT ASRI BARAT XIV/5 2/7 RUNGKUT KIDUL SBY -
PERUM ABM BLOPK G6/07 -
P.JANTUNG RSPG JL.PANGLIMA SUDIRMAN I/44 5/2 SIDOKUMPUL 08121053958
JL.RA KARTINI 4/11 4/3 SIDOMORO KEBOMAS -
ROOMOKALISARI BUNTU 3/1 085607330302
ROOMOKALISARI BUNTU 3/1 085607330302
MASYEBA PERMAI III BLOK D NO.29 2/11 PATAM LESTARI SEKU 089628300033
BREBES BARAT MARGOMULYO 088217031075
LOWAYU 33/8 08217031075
JL.RA KARTINI VI/58 085732062541
JL.VETERAN IX D/1 KEBOMAS 087849678883
P.DALAM RSSG JL.KAPTEN DARMO S 15/13 082141173844
P.JIWA RSPG JL.SUNAN GIRI 15/07 031-3978805
JL.KAPTEN DULASIM XI H /55 0856550009050
JL.RA KARTINI 16/7 085731465555
JL.RA KARTINI 4/11 4/3 SIDOMORO KEBOMAS
P.DALAM RSPG DAHAN REJO 2/4 081259287085
JL.IBRAHIM ZAHIER 2 GG.3/14 A 081330522948
DAHANREJO RT.2/RW.4 08563236897
JL.KAPTEN DARMO S XII B 7/2
PERUM GKGA BLOK BB NO 10 081230124494
KAPTEN DARMOSUGONDO 7/02 082132343458
JL.KAPTEN DULASIM XI H/47 089515677412
JL.MH THAMRIN 9 NO.11 085100344530
PERUM DINARI BLOK A/69 DAHAN REJO 0818529270
P. ANAK RSPG JL KPT DARMO SUGONDO 12B/21A RT01/02 INDRO 083832535234
P. JANTUNG RSIS JL KPT DARMO SUGONDO 12B/21A RT01/02 INDRO 083832535234
P.MATA RSSG JL. KAPTEN DARMO SUGONDO 21 A 081358617458
JL. VETERAN IX D NO. 8A -
JL. VETERAN IX D NO. 8A -
TEMBI DK TEMBI 1 TIMBULHARJO BANTUL 081337479177
JL. AWIKOEN MADYA 28 2/2 GENDING KEBOMAS -
JL. PANGLIMA SUDIRMAN -
JL. USMAN SADAR 10/ 13A 085235226062
DADAPAN 1/1 KENDAL NGAWI 089530501025
JL. ROMOKALISARI 081231171008
JL. VETERAN 15/12 SINGOSARI -
KAPTEN DARMOSUGONDO 7/02
RAYA KALIRAN NO. 46 085655923355
DAHANREJO 2/1 DAHANREJO KEBOMAS -
JL. RAYA BUNGAH -
PENGANGSALAN 4/2 KALITENGAH LAMONGAN 08573054137
P.DALAM RSIS JL. RA KARTINI IV/II 4/3 SIDOMORO -
KAPTEN DULASIM IX/40-A, -
JL. IR IBRAHIM ZAHIER 2/3 -
P.ORHTOPEDI RSMG JL. PAHLAWAN GG 3 NO. 3 085706288478
JL. PANGLIMA SUDIRMAN 6C N0. 6 085733487520
WONOCOLO 1/39 12/4 WONOCOLO TAMAN SIDOARJO -
PDALAM RSSG JL. SUNAN GIRI 11/07 KAWISANYAR KEBOMAS GRESIK 082141482099
BUNGUR N0O. 16B 001/009 SUKOREJO BLITAR 081249992781
JL. KAPTEN DARMO SUGONDO XII B/ 28 7/2 INDRO -
SUNAN GIRI 11/07 -
P. DALAM RSIS INTAN I/14 GBA -
JL. KAPTEN DARMO SUGONDO 082142682331
JL. KAPTEN DARMO SUGONDO 082133362511
KAPTEN DULASIM XI RT 08 RW 02 NO. 41 0895616158990
RA KARTINI VI B/24 -
JL. AMAK KHASIM II D / 6 081232300299
RA KARTINI 2/18 KEBOMAS GRESIK 081357886635
JL.KAPTEN DARMO SUGONDO XII/- 6/2 INDRO KEBOMAS 081296994914
JL.RA KARTINI VI B/30 4/4 SIDOMORO KEBOMAS 082332756682
JL.RA KARTINI VI B/30 4/4 SIDOMORO KEBOMAS -
JL.PANGLIMA SUDIRMAN XIV/39 2/1 SIDOKUMPUL 085812568922
LERAN 5/2 LERAN KALITIDU KAB BOJONEGORO 082331073131
JL.DR SUTOMO II/52 RT/RW 04/01 -
JL.MAYJEN SUNGKONO 10/2 GULOMANTUNG KEBOMAS 085648654968
JL.MAYJEN SUNGKONO 10/2 GULOMANTUNG KEBOMAS -
JL.SUNAN GIRI V/41 RT 02 RW 05 085645003342
JL.SUNAN GIRI V/41 RT 02 RW 05 08564500342
JL.SUNAN GIRI V/41 RT 02 RW 05 -
JL.VETERAN JAYA 61 4/1 GENDING KEBOMAS 085706047358
JL.MH THAMRIN 7/27 2/1 TLOGOBENDUNG 089664963400
PERUM BANJARSARI ASRI VI/30 CERME 082234113364
YOSOWILANGUN 082234113364
DS PECINAN KEC BAURENO/JL.VETERAN 085335641122
JL.KAPTEN DARMO SUGONDO XIIB/19 5/2 INDRO KEBOMAS 081332445623
JL.KAPTEN DARMO SUGONDO GG 12 -
JL.KAPTEN DARMO SUGONDO 12-B/34-A 7/2 INDRO KEBOMAS -
JL.KAPTEN DARMO SUGONDO 12-B/34-A 7/2 INDRO KEBOMAS 085735002524
PRB JL.KAPTEN DULASIM 9-B/31 3/1 KRAMATINGGIL -
JL.KAPTEN DARMO SUGONDO GG XII 085731830965
JL.KAPTEN DARMO SUGONDO -
JL.AMAK KHASIM 3-D/1-A 3/4 SIDORUKUN -
PADANG BANDUNG 16/4 PADANG BANDUNG DUKUN -
JL.JA SUPRAPTO 60/20 RT/RW 02/02 081357775020
DUSUN TERONGBANGI DESA KANDANGAN
JL. RINGIN RAYA 02/11 085730214315
JL. SUNAN GIRI 13 R 085230612098
JL. KAPTEN DARMO S NO. 18 089679998556
DS TEBALOAN -
JL. KARTINI G 16 /21 083831573960
JL. VETERAN V A / 16 -
JL. VETERAN V A / 16 -
JL. VETERAN XV 083832194979
SUKODADI LAMONGAN 087753386434
P.MATA RSPG JL. KAPTEN DULASIM 9 D 081559595675
DSN BANGKALAN 2/7 SAWAHMULYA SANGKAPURA GRESIK 081331613760
TAMBAK LANGUN -
JL. VETERAN 5A NO. 32 081296389592
JL. KAPTEN DARMO S GG 15 NO. 20 081334202666
JL. KAPTEN DARMO S GG 15 NO. 20 085731736482
VETERAN XV 006/001 SINGOSARI KEBOMAS 083832194979
JL. DR WAHIDIN SHD 1 A 2/5 KEBOMAS GRESIK 085608708913
JL. DR WAHIDIN SHD 1 A 2/5 KEBOMAS GRESIK 085608708913
DS KEDANYANG 082332471841
PERUM GREENHILL D 4/ 8 088217513433
JL. QOMARUDIN B1 HH/20 0818301583
PERUM GREENHILL D6/NO.7 085853081720
P.KULIT KELAMIN RSSG JL.PANGLIMA SUDIRMAN XVI
P.SARAF RSSG VETERAN BARAT RT.2/RW.3 085731846440
P.JANTUNG RSPG JL.KAPTEN DARMOS XII D /55 081331116142
JL.VETERAN II NO.44 081216559293
JL.AMAK KHASIM III /05 08135733765
JL.KAPTEN DARMO S 2/18
JL.KAPTEN DARMO S 2/18 085732108932
JL.KAPTEN DULASIM II H /49 081217187794
JL.KAPTEN DULASIM II H /49 081217187794
JL.GUBERNUR SURYO 5B/13
JL.AMAK KHASIM GG.3C /13 0882009881931
JL.RA KARTINI VII NO.31 082143461833
JL KAPTEN DARMO SUGONDO XII NO 27
P.DALAM RSSG JL.KH.ABDUL KARIM 14 B /17 RT.4/RW.2 TERATE 081235443219
JL.KRAMAT LANGON IV/8D 2/7 SIDOKUMPUL 085677872705
P.GIGI ENDO RS.GRAHU PERUM MANDIRI RESIDENT BLOK H /10 085856800049
JL.PELABUHAN KALIANGET 12 A 4/5
JL.VETERAN NO.182 085732200133
B.SUMINI EDI JL.KH.ABDUL KARIM 10/34 A 082140855552
P.GIGI ENDO RSPG JL.KAPTEN DARMO SUGONDO 2/25 B 085706814148
JL.KH.ABDUL KARIM 10/34A 082140855552
JL.AWIKOEN MADYA MULYA 2/3 085809085707
JL.KAPTEN DARMO SUGONDO 12F/41 081331959266
JL.KAPTEN DARMO SUGONDO GG.12 G ( KOS ) 081239660223
JL.KAPTEN DULASIM GG.11 RT.4/RW.1 085336187695
DAHANREJO KEBOMAS -
DK.PASARPON MESTANI 08123056363
JL.KAPTEN DARMO SUGONDO 17/23 085648797945
ARIF RAHMAN HAKIM NO.6-A
JL.JAKSA AGUNG SUPRAPTO GG 6E NO.48 089603025440
JL.KAPTEN DARMO SUGONDO II/22 081553636202
JL.PANGSUD 136 081252395431
JL.PANGSUD 136 081252395431
JL.PANGLIMA SUDIRMAN NO.50 -
JL. MAYJEN SUNGKONO NO.10 085648342767
JL.ARIF RAHMAN HAKIM NO.6A 1/1 -
JL.VETERAN 7/1 SEGOROMADU KEBOMAS 081338009894
P.JANTUNG RSSG JL.VETERAN 7/1 SEGOROMADU KEBOMAS 081233241338
JL.VETERAN GENDING 081332916774
JL.KAPTEN DULASIM 187 B INDRO -
PANGSUD 2 RT 2/2 08707383915
DSN KAMARONG -
GRESIK -
PANGSUD 2 RT 2/2 081332521192
JL.JAKSA AGUNG SUPRAPTO 8-1/14 -
JL.SINDUJOYO NO.70 -
DSN KETAPANG -
JL.KAPTEN DARMO SUGONDO 085706281766
JL.AMAK KHASIM 3-M/4 2/6 SIDORUKUN -
P.MATA RSPG JL.KAPTEN DULASIM 29 081231202918
CIMANUK I NO.07 03/05 RANDUAGUNG KEBOMAS 085257383827
JL.DR WAHIDIN SH GG 36/52 -
JL.DR WAHIDIN SH GG 36/52 085331421323
JL.USMAN SADAR GG X NO.13 085235226062
PERUM GKGA BLOK BB NO.10 005/007 KEDANYANG KEBOMAS 082264455340
JL. KAPTEN DARMO SUGONDO 12 085707775318
JL KAPTEN DULASIM TIMUR NO 31 085232760506
JL VETERAN 2 NO 2 083857638112
DK KALISARI BAKTI RT 3 RW 2 ROOMOKALISARI BENOWO 081332771630
JL. JAKSA AGUNG SUPRAPTO 6E NO. 8 089512108183
P. MATA RSMG JL VETERAN IX D 1 1/1 085852333286
PERUM DINARI E NO. 231 085895824471
P. JANTUNG RSPG JL. VETERAN JAYA NO. 9 1/1 085731412287
JL. KAPTEN DULASIM GG 7A NO. 23 081554661241
JL. RA KARTINI VI B/ 30 4/4 SIDOMORO KEBOMAS 083854398001
P. MATA KMU JL. LAPTEN DULASIM GG II E NO. 11 0313974298
VETERAN 15B 3/1 SINGOSARI KEBOMAS 0856078763308
JL.KAPTEN DULASIM 1 NO.1A 081330269926
JL.IR.IBRAHIM ZAHIER II GG.3A
JL.KAPTEN DARMO SUGONDO 7 NO.2
JL.KAPTEN DARMO SUGONDO 7 NO.2
JL.DR.WAHIDIN SH GG.28E 083830967488
JL.IR.IBRAHIM ZAHIER II 3 NO.1A
P.BEDAH RSSG JL.KAPTEN DULASIM 7F /38 081217463902
JL.VETERANBARAT RT.2/RW.3 085731846440
JL.IR.IBRAHIM ZAHIER II 3/1 A 081332622025
WATANGREJO RT.3/RW.4 085707478289
TAMBAK OSO WILANGON 3/21A 081211437744
JL.KAPTEN DULASIM 1/04 1/5 081230444491
JL.VETERAN GG.6 NO.10 089653928921
P.MATA RSIS JL.DR.WAHIDIN SH NO.2 GG.13 081330359165
JL.SUNAN GIRI XIII R 2/3 0822345000177
JL.SUNAN GIRI 13 R NO.16 2/3 088228527369
P.PARU RSSG JL.DR.WAHIDIN SH 14 M /8 081331720304
JL.RAYA SEMARANG 1/3 TUBAN
JL.R.A KARTINI 10/32 0818862947
JL.RA KARTINI
P.JANTUNG RSSG JL.RA KARTINI 2/18 081357886635
P.DALAM RSPG JL.AMAK KHASIM GG.3R NO.20
JL.VETERAN V A 081235281220
JL.VETERAN GG.2
JL.KH.ABD.KARIM 9 14/44 089527874738
JL.IR.IBRAHIM ZAHIER NO.14
JL.RA KARTININ GG.VI B /04
JL.JAKSA AGUNG 3B /4
WATANG REJO RT.3/RW.4 085707478289
JL.KAPTEN DARMO S II /22 081553636202
P.BEDAH RSMG DUSUN TERONGBANGI DESA KANDANGAN
JL. KAPTEN SUGONDO II 088216929078
DR WAHIDIN SH 5/1 RANDU AGUNG 08993895616
P.JANTUNG RSIS BANJARSUGIHAN JL.STASIUN 7/4 BANJAR SUGIHAN TANDES KOT 081357152885
JL. KAPTEN DULASIM TIMUR 10/3 081553128379
JL.KAPTEN DULASIM -
PRB JL.RA KARTINI HH 6 NO.33 082143004163
PRB JL.RA KARTINI HH 6 NO.33 085655028676
JL.AMAK KHASIM 3C -
JL.KAPTEN DARMO SUGONDO XXI/57 -
JL.KAPTEN DARMO SUGONDO 16 A -
JL.VETERAN JAYA 69 087701330340
DS TIREM RT 02 RW 01 DUDUK SAMPEYAN 0313904819
JL.AWIKOEN MADYA MULYA NO.16 RT 02/02 081232860076
JL.VETERAN IX-D 1/11 SINGOSARI KEBOMAS -
JL.SINDUJOYO RT 14/02 KROMAN 14/02 KROMAN 085645671557
JL.SINDUJOYO RT 14/02 KROMAN 14/02 KROMAN -
JL.SUNAN GIRI 160 9/3 GIRI KEBOMAS
JL.DR WAHIDIN SHD 1-B/53 08889142117
JL.SUNAN PRAPEN KEBONDALEM B/05 1/1 SEKARKURUNG KEBO -
P.MATA RSIS JL.PANGLIMA SUDIRMAN 108 C -
P.JANTUNG RSPG JL.KAPTEN DULASIM TIMUR 225 -
JL. KAPTEN DARMO SUGONDO GG 2 / 9F INDRO GRESIK 085648785595
JL. JARAK 63 4/12 PUTAT JAYA SAWAHAN SURABAYA 08993388660
SEGOROMADU 1 8/2 SEGOROMADU KEBOMAS 085100222914
RA KARTINI VI / 22B 085746566513
JL. SUNAN GIRI 13 R 085646663536
JL. AHMAD YANI 089622622611
P. JANTUNG RSSG JL. DR. SUTOMO 3A/ 17 2/2 TLOGOPATUT GRESIK 082335362307
P. JANTUNG RSSG SEKARKURUNG 085711112308
S. KEMOTERAPI RSUD SOETOM JL. KAPTEN DULASIM IIH/ 49 081217187794
S. KEMOTERAPI RSUD SOETOM JL. KAPTEN DULASIM IIH/ 49 081217187794
JL KPT DULASIM -
JL. DR WAHIDIN SH 1A 2/5 -
VETERAN 9A NO. 7E -
VETERAN 9A NO. 7E -
PANGLIMA SUDIRMAN XVI -
JL.IR.IBRAHIM ZAHIER II NO.51 085732326917
P.ANAK RSIS DAHAN REJO RT.2/RW.4 SINGOREJO 08563236897
GULOMANTUNG 4/1 085649044434
GULOMANTUNG 4/1 085649044434
GULOMANTUNG 4/1 085649044434
P.ORTHO RSSG JL.PANGLIMA SUDIRMAN XVI
P.SARAF RSPG JL.USMAN SADAR 8A /14 089698272999
P.DALAM RSSG JL.PANGLIMA SUDIRMAN SUMUR SONGO VI 085331839599
P.DALAM RSPG JL.SUMBERREJO 1 RT.2/RW.1 PAKAL
JL.KAPTEN DULASIM 7B /26 08132260684
INDRO LEGI RT.01/RW.04 085607219673
JL.DR.SOETOMO 14/11
JL.VETERAN TAMA SELATAN 3/1 082234186172
JL.VETERAN TAMA SELATAN 3/1 082234186172
JL.VETERAN V A/50 081913114116
JL.PANGLIMA SUDIRMAN X VI /10 081229557160
JL.IR.IBRAHIM ZAHIER NO36 081357156557
NGARGOSARI 25 085102661649
JL.SUNAN GIRI 13 R 08123039980
P.THT-KL RSIS JL.PRAPEN INDAH TIMUR AB/7 08993336140
JL.KAPTEN DARMO S 12 D NO.90 085646636935
JL.MH.THAMRIN 9 NO.11 085100344530
JL.RA KARTINI 8 NO.62 08336817898
P.MATA KMU JL.AWIKOEN MADYA MULIA 18 2/3 085067506623
JL.PANGLIMA SUDIRMAN 085731505024
JL.KH.KHOLIL 6/36
VETERAN 02/63
JL.RA KARTINI VI /32
JL.AWIKOEN MADYA MULIA 18 2/3
JL.JAKSA AGUNG SUPRAPTO 25 2/4 082131734840
JL.DR.WAHIDIN SH 24/05
P.GIGI PEDO RSPG JL.KACA PRING NO.9 BP.WETAN
JL.JAKSA AGUNG SUPRAPTO 25 2/4 082131734840
GULOMANTUNG 4/1
P.MATA KMU JL.MAYJEN SUNGKONO 10/2 GULOMANTUNG KEBOMAS
JL.SUNAN GIRI 13 R 1/1
JL.DEWI SEKARDADU 08155142598
VETERAN 9 A NO 7 E SINGOSARI KEBOMAS
JL.RA KARTINI 6/12 082141597306
JL.KAPTEN DARMO SUGONDO 12/84 1/4 INDRO KEBOMAS 0821393907814
YOSOWILANGUN
JL.KAPTEN DARMO SUGONDO GG IV NO. 1A 081231409555
TEGALSARI TUBAN WIDANG KAB TUBAN 085731047733
DULAH DUMORO JOMBANG -
JL.SUNAN GIRI 2A/15 085755770166
JL.VETERAN 02/43 3/2 SIDOMORO KEBOMAS -
JL.J A SUPRAPTO 6-F/18 3/3 SIDOKUMPUL 085755353511
JL.AWIKOEN MADYA MULYA NO.16 RT 02/02 081232860076
JL.HARUN THOHIR XXI/21A 081331850422
GRIYA SEKAR KEDATON BLOK G2 NO.05/5 SEKARKURUNG KEBOM081357001374
DS KALANG RT 03/03 SIDOREJO 085706129271
JL.JAKSA AGUNG SUPRAPTO GG 8 NO.87 081542025705
JL.VETERAN VA/50 SINGOSARI KEBOMAS 081913114116
ISTANA MANDIRI REGENCY BLOK C-2/12-C KEDANYANG 2/11 KE 082244756301
JL.ARIF RAHMAN HAKIM NO.7 085746115064
P.DALAM RSPG JL.KAPTEN DARMO SUGONDO GG 3/10 082331775190
SINGOREJO KEBOMAS 081235563754
SINGOREJO KEBOMAS -
JL.IR IBRAHIM ZAHIER 2/21 RT 01 RW 04 KEBOMAS 082231153888
JL.RA KARTINI 4/17 081830125296
SUMBER MANJENG WETAN MALANG 0856464439510
GRESIK 082337188596
GULOMANTUNG 007/002 KEBOMAS 081357841638
JL.KAPTEN DARMO SUGONDO GG 12 NO.22 -
JL.SUNAN GIRI GG 13 R PUNGGAWAN 2 3/3 SIDOMUKTI K 081211310720
JL.RAYA BUNGA BARU RT 4/2 085733251111
JL.RAYA BUNGA BARU RT 4/2 -
JL.IR IBRAHIM ZAHIER 2D 085290052129
JL.RA KARTINI 06/27 SIDOMORO -
JL.RA KARTINI 06/27 SIDOMORO -
JL.KAPTEN DARMO SUGONDO GG XII 081235378288
JL.RA KARTINI 54 08175129828
JL.KACA PIRING NO.2 BP WETAN SIDOKUMPUL 4/6 082230801378
PERUMAHAN RANDUAGUNG -
JL.PANGLIMA SUDIRMAN 2 002/002 SIDOKUMPUL 08707383915
P.DALAM RSSG JL.DR SUTOMO II E/09 3/1 NGIPIK 081357589248
P.DALAM RSSG JL.KAPTEN DULASIM I D/1 7/3 SIDOMORO KEBOMAS
JL.RA KARTINI VIII/37 2/4 SIDOMORO KEBOMAS 085730652031
P. DALAM RSSG JL. KAPTEN DULASIM III NO. 48
P. MATA KMU JL. KAPTEN DULASIM 1D/1 081216605999
JL. HARUN THOHIR TKA 62 085745554030
JL. VETERAN 5C / 18 SINGOSARI 0822334790009
JL. FAQIH USMAN -
JL. FAQIH USMAN
JL. RA KARTINI VI/31
JL. RA KARTINI VI/31
P. MATA RSMG JL. KAPTEN DULASIM FF 7F/28
JL. VETERAN 9D/1
RA. KARTINI 20/87A
JL.AMAK KHASIM GG IV RT 1 RW 3 SIDORUKUN 085733264606
DELIMA 2/1 SUKOREJO
JL. VETERAN 09D/ 8A SINGOSARI KEBOMAS 082139183060
JL. VETERAN GG IX 085748283101
JL. DR SUTOMO 2/52 4/1 NGIPIK GRESIK 085748736374
JL. DR SUTOMO 2/52 4/1 NGIPIK GRESIK
JL. DR WAHIDIN SH/LOWAYU DUKUN 087742252872
JL. DR WAHIDIN SH/LOWAYU DUKUN 087742252872
P. MATA KMU PERUM GKGA BLOK EB 6 KEDANYANG
P. MATA KMU PERUM GKGA BLOK EB 6 KEDANYANG
P. MATA RSSG KAPTEN DULASIM 33/KEBOMAS
JL. JAKSA AGUNG SUPRAPTO GG VIII NO. 87 081542025705
JL. KAPTEN DARMO SUGONDO 16A
JL.HARUN THOHIR XXI/21A
P.JANTUNG RSIS JL.RAYA BARU RT.4/ RW.2 085733251111
JL.RUBY 1/19 PPS 08230137536
JL.JAKSA AGUNG SUPRAPTO GG.VII NO.87 081542025705
GULOMANTUNG 5/1
P.DALAM RSMG JL.HARUN TOHIR 21/06 085102449044
P.JANTUNG RSPG JL.AWIKUN JAYA
JL.KAPTEN DARMO SUGONDO IV 089699451829
KAPTEN DULASIM IX/40-A,
JL.RA KARTINI 6 NO.55 08575601053
JL.RA KARTINI 6 NO.53 0895379093688
LOWAYU DUKUN 083832535234
LOWAYU DUKUN 083832535234
JL.KAPTEN DARMO SUGONDO RT.2/RW.1 085718646075
JL.KH.WAKHID HASYIM III /17 083832220808
JL.KAPTEN DULASIM 7F NO.45
JL.DR.WAHIDIN SH 2/5 085731733129
JL.DR.WAHIDIN SH 2/5 085731733129
KAWISREJO RT.23 RW.3
WONOCOLO 1/39 12/4 WONOCOLO TAMAN SIDOARJO 0854731176641
BABAT LAMONGAN 085330087721
SEGOROMADU 083834579737
JL.AMAK KHASIM III H/02 081332661283
PERUM ISTANA REGENCY B5/12 081357961723
DSN KARANGLO DRIYOREJO GRESIK -
JL.KAPTEN DARMO SUGONDO GG XVI NO.14A 085232811160
JL.KAPTEN DARMO SUGONDO GG XVI NO.42A 085733293190
JL.KAPTEN DARMO SUGONDO GG XVI NO.42A -
DR.WAHIDIN SH GG 14D/05 085733232
P. THT RSSG JL. QOMARUDIN B1 HH/20 BRAI 0818301583
JL. SINDUJOYP GG 10/4 088805453935
JL. RA KARTINI 82 B 081332409269
JL. PANGLIMA SUDIRMAN 181 6 085604777692
VETERAN BARAT RT 02 RW 03 085731846440
PADANG BANDUNG DUKUN GRESIK 085733818744
RA KARTINI NO. 272 TLOGOPATUT -
JL. KAPTEN DARMO SUGONDO 12B/34A 085735002524
JL. AWIKOEN MADYA MULIA NO. 18 085856606031
PANGSUD G:3 / 43
JL. SINDUJOYO 2-G/02 16/2 KROMAN 085755012133
JL. KRAMAT LANGON 085735397246
JL RA KARTINI 6 NO 28 B 082131087273
JL.RA KARTINI GG VI/31 -
JL.VETERAN GG 2 -
JL.KAPTEN DARMO SUGONDO GG 4/32 -
JL.VETERAN 9/46A 081335319907
DS SETROHADI DUDUK SAMPEYAN 085755011125
DUDUK SAMPEYAN RT 6 RW 2 085755011125
DS SETROHADI DUDUK SAMPEYAN -
SENDANGREJO RT 06/02 082334242929
SUKODADI LAMONGAN -
SUKODADI LAMONGAN -
KRAMAT INGGIL -
JL.AKIM KAYAT GG 7A NO.35 -
JL.AKIM KAYAT GG 7A NO.35 -
NAWONG -
NAWONG 1/3 DATINAWONG BABAT LAMONGAN -
JL.RA AKRTINI IV/20 4/3 SIDOMORO KEBOMAS -
JL.AWIKOEN MADYA UTARA 082233884231
JL.IR IBRAHIM ZAHIER II 082330792841
JL.SUNAN GIRI II/07 -
P.UROLOGI RSIS TB OSOWILANGUN 085330977633
JL.SUNAN GIRI 13-R 001/003 SIDOMUKTI KEBOMAS 081357049444
JL.RAYA SEMARANG 1/3 SOCOREJO JENU KAB TUBAN
P.DALAM RSPG JL.KAPTEN DULASIM 7F NO.35 085706717871
P.DALAM RSPG JL.KAPTEN DULASIM 7F NO.35 085706717871
JL.DR SUTOMO XIV KEBOMAS 2/1 KEBOMAS 085799933706
PERUM ABR BLOK D 7 NO.3 9/9 KEMBANGAN KEBOMAS -
JL.KAPTEN DULASIM 03/16 -
KEBONSARI RT/RW 002/002 KEBONSARI KARANGDADAP -
SUNAN GIRI 15 B / 27A 15/4 GIRI 085728982054
JL.SYECH R QOSIM E/17 4/9 RANDUAGUNG KEBOMAS 085731853700
JL.HARUN THOHIR TKA 62 085745554030
R.A. KARTINI 12/35, JAWA TIMUR, GRESIK, KEBOMAS, SIDOMORO-
BILITON C/05 08/01 SIDORUKUN 081332531818
BILITON C/05 08/01 SIDORUKUN -
JL.DR.WAHIDIN SH GG.8 NO.10 D 081336888802
JL.KAPTEN DULASIM XI F /09 KRAMAT INGGIL
JL.RA KARTINI 6/48 08978379915
JL.VETERAN 5 RT.5 /RW.9
P.SARAF RSSG JL.PANGLIMA SUDIRMAN 158 1/3 085731121055
VETERAN XV 6/1 083832194979
JL.SUNAN GIRI 15 M /4 082324647302
JL.DR.WAHIDIN SH 256 2/3 085850560516
JL.KAPTEN DARMO S GG.12 NO.84
JL. GUBERNUR SURYO 5-B/13, 088217184299
JL.KAPTEN DARMO SUGONDO GG.12 NO.84
JL.DR.WAHIDIN SH 1B /53 08889142117
JL.KAPTEN DULASIM TIMUR 225
JL.RA AKRTINI 82 081332409269
JL.RA AKRTINI 82 085732246008
JL.JAKSA AGUNG SUPRAPTO II /24 083832187562
JL.RA KARTINI GG.XII /18 08565520541
PELABUHAN KALIANGET 12A 4/5 081515148175
JL.KAPTEN DULASIM XI RT.08/RW.02 0895616158990
JL.KAPTEN DULASIM XI
JL.KAPTEN DARMO SUGONDO GG.2 08563536021
AMAK KHASIM 3P/01 083823742255
JL.PANGLIMA SUDIRMAN II /5
DESA POJOK SUKOREJO RT.3/RW.2 085226658480
DESA POJOK SUKOREJO RT.3/RW.2 085226658480
JL.AWIKOEN MADYA MULYA NO.15 2/2 081232860076
JL.IR IBRAHIM ZAHIER 2/1 005/004 SINGOSARI KEBOMAS 085731113448
JL.IR IBRAHIM ZAHIER 2/1 005/004 SINGOSARI KEBOMAS -
JL.IR IBRAHIM ZAHIER 2/1 005/004 SINGOSARI KEBOMAS -
JL.IR IBRAHIM ZAHIER 2/1 005/004 SINGOSARI KEBOMAS 085731113448
JL.RUBY I/19 PPS 08230137536
JL.KAPTEN DULASIM 195 081232640702
JL.KAPTEN DULASIM 145 081232640702
BANJARSARI RT 6/01 -
BANJARSARI RT 6/01 BANJARSARI CERME -
BANJARSARI RT 6/01 BANJARSARI CERME -
JL.SUNAN GIRI GG 13, 11/1 SIDOMUKTI KEBOMAS -
JL.DR WAHIDIN SHD GG 24/7 085850297866
JL.DR WAHIDIN SHD GG 24/7 085850297866
SOCO 006/002 SOCO JOGOROGO KAB NGAWI 085735521765
PANDAK -
KRAJAN WETAN 001/001 SINE KAB NGAWI 085733383336
JL.KAPTEN DARMO SUGONDO GG IV NO. 1A 081231409555
P.MATA KMU JL.DR WAHIDIN SH GG 20D/89 085335482553
JL.SUNAN GIRI GG 6/44 082143170745
JL.SUNAN GIRI 16/07-A 007/002 GIRI KEBOMAS 085257964555
DSN BAHUDAN 001/001 WULUH KESAMBEN KAB JOMBANG 085645628055
JL.KAPTEN DULASIM XI H RT 08 RW 02/43 -
JL.SUNAN GIRI GG 13R KEMUDINAN 085730178399
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KEDANYANG -
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JL RA KARTINI 10 NO 62 -
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PERUM GIRI ASRI A NO 25 -
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JL. IR IBRAHIM ZAHIER II -
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MH THAMRIN VII/ 7 -
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JL KAPTEN DULASIM TIMUR X NO 21 -
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PROLANIS JL GUBENUR SURYO -
JL GUBENUR SURYO -
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JL KAPTEN DARMO SUGONDO 12 -
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GRESIK -
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JL.KH ZUBAIR GG 13 NO.13 -
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JL.IKAN KERAPU TIMUR IV NO.9 08123184138
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NAWONG 1/3 DATINAWONG BABAT LAMONGAN
JL.IKAN KERAPU TIMUR II/07 5/8 SIDOKUMPUL -
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PRB JL.PANGLIMA SUDIRMAN XVI-26 5/3 SIDOMORO KEBOMAS
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JL. AMAK KHASIM 3C -
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JL. VETERAN GG XV NO. 1 081216991540
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P.JIWA RS GRAHA HUS JL.RAYA SEMARANG 1/3 SOCOREJO JENU KAB TUBAN
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JL KAPTEN DULASIM 13 A NO 5 085731847332
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INDRO 085850956200
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PERUM ALAM BUKIT RAYA BLOK C09 NO.24
JL. KAPTEN DARMO S 3/12 082143480864
JL. DR WAHIDION SH -
JL. DR WAHIDIN SH -
TANJUNG PERMAI REGENCY B-18 085235197437
SREMBI 004/003 -
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JL. AWIKOEN MADYA MULYA NO. 16 R -
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JL. KAPTEN DULASIM XI-H/54 KRAMATINGGIL
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JL.SUNAN GIRI 15 B /22
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JL.KAPTEN DARMO S 12/28 088803212259
JL.KAPTEN DARMO GG.12 NO.22
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JL.PANGLIMA SUDIRMAN 2 RT.2/RW.2 08707383915
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JL. SUNAN GIRI 13R 001/003 SIDOMUKTI 081357049444
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TROMOKALISARI GG 4 NO. 8 4/1 BENOWO SBY 081216296392
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PERUM TAMAN ANGGREK BLOK F3 085130332718
JL. KAPTEN DARMO S 4/2 085649099876
JL KAP DULASIM SINGOSARI 5 NO 32 KEBOMAS
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PRB BOGOWONTO 53
PRB BOGOWONTO 53
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JAKSA AGUNG NO. 81 081331082615
JL.IR IBRAHIM ZAHIER RT 3 RW 4 081332204204
GRESIK -
JL.KAPTEN DULASIM GG XI-D/44 082333490621
JL.YOS SUDARSO NO.44 -
KRAMAT INGGIL GG XI-D NO.5 082234847008
JL.DR WAHIDIN SH GG 22/03 KEBOMAS -
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PERUM GIRI ASRI
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JL.SUNAN GIRI 16/07 A 085257964555
JL.KAPTEN DARMO SUGONDO 1/1 KARANG KERENG KEBOMAS 081233003726
SREMBI 4/3 KEMBANGAN KEBOMAS 082334933814
BONOREJO 6/2 NGASEM -
JL.DR SUTOMO 14/11 2/1 KEBOMAS -
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JL.IR IBRAHIM ZAHIER 2 3A/10 3/9 SINGOSARI KEBOMAS 08573374152
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JL.HARUN THOHIR 98 082132430945
DSN KRANDEKAN GONGSENG MEGALUH JOMBANG -
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JL. KAPTEN DARMO SUFONDO RT 2 RW 4 085706281766
JL. RA KARTINI 32 081230354040
JL. KAPTEN DULASIM GG VII -
P.MATA RS GRAHU JL. RAYA SEMARANG 1/3 TUBAN -
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JL. VETERAN JAYA NO. 9 1/1 085731412287
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JL. KPTEN DULAIM TIMUR 10/21 -
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JL. GUBERNIR SURYO 085730727759
JL. HARUN THOHIR94 085730727759
JL. PANGLIMA SUDIRMAN -
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JL. KAPTEN DULASIM XI A/ 55 085655004050
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JL. SUNAN PRAPEN G 1/ 28
JL. RAYA KALISARI NO, 46 085655923355
JL. KALISARI RAYA 1/2 NO. 46 85655923355
P. DALAM RSPG JL. KAPTEN DULASIM -
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SEGOROMADU KEBOMAS GRESIK
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JL. SUANNPRAPEN 1/28 08563356520
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JL. AMAK KHASIM GG III 082336836604
JL. KAPTEN DU;ASIM IX/40 A 081330292046
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JL. KAPTEN DARMO SUGONDO GG 12 -
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JL.HARUN THOHIR 085230974454
GRESIK -
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JL.AMAK KHASIM 3D/6 -
JL.AMAK KHASIM 3D/6 -
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JL.AMAK KHASIM 3L/14 -
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JL.DR WAHIDIN NO.31 -
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JL.DR WAHIDIN SH RT/RW 004/003 KEBOMAS -
JL.KAPTEN DARMO SUGONDO II/34 -
JL.KAPTEN DARMO SUGONDO II/34 -
JL.DEWI SEKARDADU I/2 083854782868
GRESIK -
JL.VETERAN 15 C 081217507213
GRESIK -
JL.KAPTEN DULASIM GG IV -
JL.RA KARTINI -
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SAMBONG 6/3 LAMONGAN -
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KARANG KIRING -
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JL. IR IBRAHIM ZAHIER NO. 14 08983888410
JL. KAPTEN DARMO SUGONDO -
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JL. TERUSAN RIAU NO. 17 -
JL. KAPTEN DARMO SUGONDO -
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JL. KAPTEN SUGONDO 088216929078
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JL. SUMATRA NO. 27 B
SEDAPUK KLAGEN BENJENG
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TAMBAK LANGON VI NO. 3A SBY
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JL. I IBRAHIM ZAHIR 2 GG 4B / 12 SINGOSARI KEBOMAS
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P.JANTUNG RSSG JL.KAPTEN DULASIM TIMUR RT.3/RW.7 08803285174
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JL.KAPTEN DARMO SUGONDO 3/10
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P.ORTHO RSSG JL.PANGLIMA SUDIRMAN XVI
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JL.KAPTEN DULASIM 7F NO.29
JL.DR.WAHIDIN SH 1B /14 081234406365
P.DALAM RSPG JL KAPTEN DARMO SUGONDO RT 03/02
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JL.HARUN TOHIR SUJARWO XXI /21 A 081331850422
JL.HARUN TOHIR XXI /21 A 081331850422
DR.SUTOMO 2/52 4/1 NGIPIK
JL.VETERAN III /13 RT.2 RW.7
JL.KH.ABDUL KARIM 10/34 A
SEKAR GADUNG DUKUN GRESIK
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JL.KAPTEN DULASIM 7F /29 08123523687
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JL.DR.WAHIDIN SH
JL.VETERAN MADYA MULYA 4/1 -
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JL.KAPTEN DARMO SUGONDO XII/54 INDRO KEBOMAS
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GRESIK -
JL.SUNAN GIRI 15-J 19/05 GIRI KEBOMAS 082138203110
GRESIK -
JL.KAPTEN DARMO SUGONDO GG 12B 085645595918
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ROOMO MANYAR RT 4 RW 2 085655517105
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JL.KAPTEN DULASIM GG 7E -
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DS KEDANYANG RT 2 RW 6 089515896649
P. PARU RSMG JL. JAKSA AGUNG SUPRAPTO NO. 81 SIDOKUMPUL
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P. MATA KMU JOMBANG 085731218837
JL. DEWI SEKARDADU 1/1 NO. 5 -
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PROLANIS JL.PELABUHAN KALIANGET 12 A 4/5 KALIANGET TIMUR KAB SUMENEP
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JL.KAPTEN DARMO SUGONDO XIIB INDRO KEBOMAS -
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JL.KAPTEN DARMO SUGONDO XIIB INDRO KEBOMAS 085231035951
JL.KAPTEN DULASIM GG I NO.15 082230755026
JL.KAPTEN DULASIM IIA/21 -
JL.KAPTEN DULASIM IIA/21 -
PERUM ABR BLOK A-13/12-A 087701291413
JL.KAPTEN DARMO SUGONDO 14/14 1/3 INDRO 081231542284
JL.RA KARTINI 06/50 082231999794
JL.RA KARTINI 06/50 -
JL.KAPTEN DULASIM TIMUR 225 -
JL.KAPTEN DULASIM TIMUR 225 -
DSN TOPORO BATOPORO TIMUR KEDUNGDUNG SAMPANG -
DSN TOPORO BATOPORO TIMUR KEDUNGDUNG SAMPANG -
JL.DR SOETOMO GG 14 RT 2 RW 1 -
JL.KH ZUBAIR GG XXXIX NO.16 083856411300
PERUM GKGA BLOK EE NO.19 4/7 08563072785
RAHAYU TUBAN SOKO 002/001 RAHAYU SOKO TUBAN 08567456622
DSN KRAJAN 22/6 BANDUNGREJO BANTUR KAB MALANG 085731248883
JL.PELABUHAN KALIANGET 12 A 4/5 KALIANGET TIMUR KAB SUMENEP
JL.KAPTEN DARMO SUGONDO 2/5 INDRO KEBOMAS
P.GIGI ENDODONSIARSPG JL.KAPTEN DULASIM XI-H/43 8/2 KRAMATINGGIL 087852776162
JL.KAPTEN DARMO SUGONDO 2/5 INDRO KEBOMAS 0858586467
JL.KAPTEN DARMO SUGONDO 2/5 INDRO KEBOMAS 085731196184
JL.KAPTEN DULASIM XI H/43 -
JL.KAPTEN DULASIM XI H/43 087852776162
JL.VETERAN GG IX 085748283101
JL.VETERAN GG IX 085748283101
JL.AMAK KHASIM 3/57 3/5 SIDORUKUN -
JL.AMAK KHASIM 3/57 3/5 SIDORUKUN 085853561845
P.GIGI ENDODONSIARSMG JL.AMAK KHASIM 3/57 3/5 SIDORUKUN 085853561845
JL.PENITIAN PORONG SIDOARJO 081615205895
B.SUMINI EDI JL.DR.WAHIDIN SH GG.8 NO.10 D 08133688802
JL.IR.IBRAHIM ZAHIER 48 1/9
JL.VETERAN 5C /7 085646860128
JL.KH.ZUBAIR 27/13 085850118677
PERUM ABR SEKAR KURUNG 081331116146
JL.KAPTEN DULASIM 7F /29 08123523687
JL.VETERAN II NO.44 081216559293
JL.SUNAN GIRI 15 M /4 0881036117433
JL.WAKHID HASYIM 7B /11 085645930636
JL.IR.IBRAHIM ZAHIER N0.14 08983888410
P.SARAF RSPG JL.AWIKOEN MADYA MULYA NO.15 RT.2/RW.2 081232860076
SOSO 6/2 JOGOROGO 085735521765
P.OBGYN RSIS PANGLIMA SUDIRMAN 16/32
JL.KAPTEN DARMO S 12 G
JL.SUNAN GIRI 13L SIDOMUKTI 1/4 SIDOMUKTI KEBOMAS 081357049444
WIDANG TEGAL SARI 6/3 TUBAN
B.SUMINI EDI DSN PENJALIN RT.2 /RW.1 085608853881
P.OBGYN RSMG JL.SUNAN GIRI GG.V NO.68
JL.HARUN TOHIR 081231638324
JOMBANG 085731218837
PERUM ISTANA BLOK B1 NO.15 0882009221289
DAHANREJO 2/1 DAHANREJO KEBOMAS 081259241991
JL.KAPTEN DARMO SUGONDO GG.II 081217657041
JL.KARTINI 6/12 0892141597306
JL.RANDUAGUNG GG.28/6 08221490104
JL.USMAN SADR 10/13 A 085235226062
JL.VETERAN 7/18 085732577820
PERUM GRIYA SEKAR KEDATON BLOK C NO.15 087851705745
P.DALAM RSPG TAMBAK BERAS 4/2 TAMBAK BERAS CERME 089676111486
JL.KH SAHLAN 23/45 MANYAR -
JL.KH SAHLAN 23/45 MANYAR -
JL.SUNAN GIIRI 15 A/12 085731799610
JL.DR WAHIDIN SH I B 081231235002
JL.DR WAHIDIN SH I B 081231235002
JL.DR WAHIDIN SH I B -
JL.SUNAN PRAPEN 2 9/2 KLANGONAN KEBOMAS -
JL.SUNAN PRAPEN 2 9/2 KLANGONAN KEBOMAS 08385442190
BANDAR LOR KEDIRI GG 10 SURABAYA -
JL.SUNAN PRAPEN -
SUKOREJO 2/5 -
SUKOREJO 2/5 -
JL.KAPTEN DARMO SUGONDO 14-A/06 INDRO KEBOMAS -
JL.KAPTEN DARMO SUGONDO 14-A/06 INDRO KEBOMAS 083832542442
PERUM GIRI ASRI AB 08 082330880610
GANGGANG 2/2 GANGGANG BALONGPANGGANG -
GANGGANG 2/2 GANGGANG BALONGPANGGANG -
JL.JA SUPRAPTO 60/20 RT/RW 02/02 081357775020
JL.KAPTEN DARMO SUGONDO RT/RW 6/4 081555868259
JL.KAPTEN DARMO SUGONDO 12F RT/RW 5/4 INDRO KEBOMAS 081615146720
JL.KAPTEN DARMO SUGONDO 12F RT/RW 5/4 INDRO KEBOMAS 081615146720
JL.GUBERNUR SURYO 5-B/12 1/2 TLOGOPOJOK 088217184299
PERUM ABR BLOK A 13/12 A KEMBANGAN KEBOMAS 081232861222
PERUM ABR BLOK A 13/12 A KEMBANGAN KEBOMAS 081232861222
P.MATA KMU JL.MAYJEN SUNGKONO GG V-B 5/2 PRAMBANGAN 085336460948
P,MATA RSIS DS.KRAJAN 22/6 085731248883
JL.KAPTEN DULASIM XI H /47 089515677412
SUNAN PRAPEN 2 EB /05 085851447626
JL.IR.IBRAHIM ZAHIER II GG.4B/12 089515678034
JL.KAPTEN DARMO S XII D /44 085785368097
JL.RA KARTINI 6/22 B 085707509123
KLANGONAN 11/3 081259994556
JL.VETERAN V A/16
JL.IR.IBRAHIM ZAHIER II GG.4B/12 089515678034
JL.EMERLAND PERUM GBA 089621455948
JL.KAPTEN DARMO S GG.XII
JL.HARUN TOHIR 21/06 085102449044
CERME KIDUL RT 01 RW 01 NO 26
JL.SUNAN PRAPEN 2EC 085733315441
JL.AKIM KAYAT 7/29 A 089531415699
JL.KAPTEN DULASIM GG.7 NO.27 082141196935
GULOMANTUNG RT.5/RW.1 081331756966
DR.SUTOMO 2/52 4/1 NGIPIK 085748736374
JL.DR.WAHIDIN SH 24 085707475177
P.JIWA RSIS DR.SUTOMO 2/52 4/1 NGIPIK 085748736374
PROLANIS JL KAPTEN DULASIM 33 -
JL KAPTEN DULASIM 33 -
PROLANIS JL PANGLIMA SUDIRMAN 16/35 -
JL PANGLIMA SUDIRMAN 16/35 -
PROLANIS DS WUKIR GLAGAH LAMONGAN -
DS WUKIR GLAGAH LAMONGAN -
PROLANIS JL KAPTEN DARMO SUGONDO -
JL KAPTEN DARMO SUGONDO -
PROLANIS PERUM GIRI ASRI A/25 -
PERUM GIRI ASRI A/25 -
PROLANIS JL.KAPTEN DARMO S II -
JL.KAPTEN DARMO S II -
PROLANIS DS TAMBAK BERAS CERME -
DS TAMBAK BERAS CERME -
PROLANIS JL. RA KARTINI 2/32 -
JL. RA KARTINI 2/32 -
PROLANIS JL DEWI SEKARDADU -
JL DEWI SEKARDADU -
PROLANIS JL KAPTEN DARMO SUGONDO XII -
JL KAPTEN DARMO SUGONDO XII -
PROLANIS JL RA KARTINI 6/2 -
JL RA KARTINI 6/2 -
PROLANIS JL RA KARTINI GANG 4 -
JL RA KARTINI GANG 4 -
PROLANIS JL RA KARTINI 6/3 -
JL RA KARTINI 6/3 -
PROLANIS JL VETERAN -
JL VETERAN -
PROLANIS JL IR IBRAHIM ZAHIER 3/4 -
JL IR IBRAHIM ZAHIER 3/4 -
PROLANIS JL RA KARTINI GANG 2 NO 4 -
JL RA KARTINI GANG 2 NO 4 -
PROLANIS JL HARUN THOHIR -
JL HARUN THOHIR -
PROLANIS JL KAPTEN DARMO SUGONDO XIIB / 15 Gresik -
JL KAPTEN DARMO SUGONDO XIIB / 15 Gresik -
PROLANIS JL KAPTEN DARMO SUGONDO XIIB / 15 Gresik -
JL KAPTEN DARMO SUGONDO XIIB / 15 Gresik -
JL HARUN THOHIR -
PROLANIS JL KAPTEN DARMO SUGONDO 12 -
JL KAPTEN DARMO SUGONDO 12 -
JL HARUN THOHIR -
PROLANIS Ds TIREM DUDUK SAMPEYAN -
Ds TIREM DUDUK SAMPEYAN -
PROLANIS Ds TIREM DUDUK SAMPEYAN -
Ds TIREM DUDUK SAMPEYAN
JL.USMAN SADAR GG.II NO.25
3525146602760000

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REKAPITULASI KUNJUNGAN RAWAT JALAN

KLINIK PRATAMA 124 KARTINI

NO Tanggal NOMOR NOMOR KARTU NAMA PASIEN

1 01/10/2021 130 0001391605626 MUKHAMMAD SYAIKHU

P.DALAM RSIS JL.IR.IBRAHIM ZAHIER II 4B /12 082141192020

JL. HARUNTHOHIR 21/06 02/03 PULO PANCIKAN 085102449044

JL. VETERAN III/13 081331232233

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