Laporan Diagnosa - 2022-08-09T083125.326

Sheet1
TANGGAL NO RM TEMPAT LAYANAN

01-07-2022 0043522 Pustu GEDANGAN
01-07-2022 0029216 Pustu CURAHMALANG
01-07-2022 0043938 Pusk SUMOBITO
03-07-2022 0050844 Pusk SUMOBITO
04-07-2022 0039892 Pusk SUMOBITO
04-07-2022 0048653 Pusk SUMOBITO
04-07-2022 0023150 Pusk SUMOBITO
05-07-2022 0048282 Pusk SUMOBITO
05-07-2022 0041287 Polindes BUDUG SIDOREJO
06-07-2022 0032515 Pusk SUMOBITO
06-07-2022 0032515 Pusk SUMOBITO
06-07-2022 0042906 Pustu GEDANGAN
06-07-2022 0047081 Pusk SUMOBITO
07-07-2022 0047485 Pusk SUMOBITO
08-07-2022 0032005 Polindes MENTURO
09-07-2022 0041098 Pusk SUMOBITO
09-07-2022 0023150 Pusk SUMOBITO
10-07-2022 0020748 Pusk SUMOBITO
11-07-2022 0036865 Pusk SUMOBITO
11-07-2022 0038055 Polindes SEGODOREJO
14-07-2022 0033652 Pustu GEDANGAN
14-07-2022 0029451 Pustu GEDANGAN
15-07-2022 0036869 Pusk SUMOBITO
16-07-2022 0034943 Pusk SUMOBITO
17-07-2022 0035998 Pusk SUMOBITO
18-07-2022 0042906 Pustu GEDANGAN
20-07-2022 0036950 Polindes SEBANI
20-07-2022 0026040 Pusk SUMOBITO
20-07-2022 0042411 Pustu GEDANGAN
20-07-2022 0044807 Pusk SUMOBITO
20-07-2022 0027641 Pusk SUMOBITO
20-07-2022 0039892 Pusk SUMOBITO
21-07-2022 0039084 Polindes KENDAL SARI
21-07-2022 0026889 Pusk SUMOBITO
22-07-2022 0051216 Pusk SUMOBITO
22-07-2022 0051230 Pusk SUMOBITO
24-07-2022 0046637 Pusk SUMOBITO
24-07-2022 0039672 Pusk SUMOBITO
Page 1
Sheet1

26-07-2022 0044806 Pusk SUMOBITO
26-07-2022 0048327 Pusk SUMOBITO
29-07-2022 0043060 Pusk SUMOBITO
29-07-2022 0042382 Pustu GEDANGAN
30-07-2022 0018599 Pusk SUMOBITO
31-07-2022 0048653 Pusk SUMOBITO
31-07-2022 0039052 Pusk SUMOBITO
31-07-2022 0019965 Pusk SUMOBITO
02-07-2022 0047545 Pusk SUMOBITO
03-07-2022 0046218 Pusk SUMOBITO
04-07-2022 0049271 Pustu GEDANGAN
05-07-2022 0045968 Pusk SUMOBITO
06-07-2022 0046486 Pusk SUMOBITO
06-07-2022 0050929 Pusk SUMOBITO
07-07-2022 0048590 Pustu GEDANGAN
08-07-2022 0050971 Pusk SUMOBITO
08-07-2022 0050981 Pusk SUMOBITO
10-07-2022 0046704 Pusk SUMOBITO
20-07-2022 0050971 Pusk SUMOBITO
23-07-2022 0047259 Pusk SUMOBITO
28-07-2022 0049271 Pustu GEDANGAN
29-07-2022 0047307 Pusk SUMOBITO
29-07-2022 0046476 Pusk SUMOBITO
29-07-2022 0046171 Pusk SUMOBITO
01-07-2022 0031556 Pusk SUMOBITO
04-07-2022 0020770 Pusk SUMOBITO
05-07-2022 0050909 Pusk SUMOBITO
06-07-2022 0034211 Pusk SUMOBITO
06-07-2022 0012551 Pusk SUMOBITO
06-07-2022 0048611 Pusk SUMOBITO
08-07-2022 0050968 Pusk SUMOBITO
08-07-2022 0010654 Pusk SUMOBITO
09-07-2022 0017142 Pusk SUMOBITO
11-07-2022 0001698 Pusk SUMOBITO
11-07-2022 0050909 Pusk SUMOBITO
12-07-2022 0039674 Pusk SUMOBITO
12-07-2022 0012376 Pusk SUMOBITO
Page 2
Sheet1
12-07-2022 0033154 Pusk SUMOBITO

13-07-2022 0036035 Pusk SUMOBITO
18-07-2022 0003496 Pusk SUMOBITO
19-07-2022 0003389 Pusk SUMOBITO
20-07-2022 0002796 Pusk SUMOBITO
20-07-2022 0051180 Pusk SUMOBITO
20-07-2022 0048730 Pustu GEDANGAN
20-07-2022 0003128 Pustu GEDANGAN
21-07-2022 0050909 Pusk SUMOBITO
22-07-2022 0025931 Pusk SUMOBITO
22-07-2022 0016357 Pusk SUMOBITO
23-07-2022 0001020 Pusk SUMOBITO
23-07-2022 0001783 Pusk SUMOBITO
23-07-2022 0002852 Pusk SUMOBITO
23-07-2022 0002128 Pusk SUMOBITO
25-07-2022 0003496 Pusk SUMOBITO
25-07-2022 0007566 Pusk SUMOBITO
25-07-2022 0005994 Pusk SUMOBITO
25-07-2022 0031170 Pustu GEDANGAN
26-07-2022 0001019 Pusk SUMOBITO
28-07-2022 0007508 Pusk SUMOBITO
28-07-2022 0032962 Pusk SUMOBITO
29-07-2022 0001668 Pusk SUMOBITO
29-07-2022 0009325 Pusk SUMOBITO
02-07-2022 0001874 Pusk SUMOBITO
04-07-2022 0047082 Pusk SUMOBITO
05-07-2022 0049929 Pusk SUMOBITO
06-07-2022 0003967 Pusk SUMOBITO
08-07-2022 0016334 Pusk SUMOBITO
08-07-2022 0031280 Pusk SUMOBITO
08-07-2022 0003278 Pusk SUMOBITO
11-07-2022 0027092 Pusk SUMOBITO
11-07-2022 0022396 Pusk SUMOBITO
11-07-2022 0006643 Pusk SUMOBITO
12-07-2022 0023058 Pusk SUMOBITO
12-07-2022 0051050 Pusk SUMOBITO
13-07-2022 0013975 Pusk SUMOBITO
15-07-2022 0009030 Pusk SUMOBITO
17-07-2022 0050649 Pusk SUMOBITO
19-07-2022 0051162 Pusk SUMOBITO
21-07-2022 0021678 Pusk SUMOBITO
21-07-2022 0044464 Pusk SUMOBITO
22-07-2022 0008916 Pusk SUMOBITO
25-07-2022 0033281 Pusk SUMOBITO
Page 3
Sheet1
26-07-2022 0011713 Pusk SUMOBITO

26-07-2022 0008556 Polindes TALUN KIDUL
26-07-2022 0027762 Pusk SUMOBITO
27-07-2022 0002331 Pusk SUMOBITO
30-07-2022 0023232 Pusk SUMOBITO
01-07-2022 0033216 Pusk SUMOBITO
01-07-2022 0002105 Pusk SUMOBITO
01-07-2022 0010038 Pusk SUMOBITO
01-07-2022 0018555 Pusk SUMOBITO
01-07-2022 0050110 Pusk SUMOBITO
02-07-2022 0042541 Pusk SUMOBITO
02-07-2022 0041469 Pusk SUMOBITO
02-07-2022 0011035 Pusk SUMOBITO
02-07-2022 0003134 Pusk SUMOBITO
02-07-2022 0023795 Pusk SUMOBITO
03-07-2022 0025597 Pusk SUMOBITO
04-07-2022 0020174 Pusk SUMOBITO
04-07-2022 0019053 Pusk SUMOBITO
04-07-2022 0037222 Pusk SUMOBITO
04-07-2022 0024784 Pusk SUMOBITO
04-07-2022 0040975 Pusk SUMOBITO
04-07-2022 0025828 Pusk SUMOBITO
04-07-2022 0050858 Pusk SUMOBITO
04-07-2022 0000789 Pusk SUMOBITO
04-07-2022 0002643 Pusk SUMOBITO
04-07-2022 0021713 Pusk SUMOBITO
04-07-2022 0000664 Pusk SUMOBITO
04-07-2022 0019165 Pusk SUMOBITO
04-07-2022 0032964 Pusk SUMOBITO
04-07-2022 0003134 Pusk SUMOBITO
04-07-2022 0006454 Pusk SUMOBITO
05-07-2022 0035309 Pusk SUMOBITO
05-07-2022 0050885 Pusk SUMOBITO
05-07-2022 0041895 Pusk SUMOBITO
05-07-2022 0003660 Pusk SUMOBITO
05-07-2022 0010336 Pusk SUMOBITO
05-07-2022 0050895 Pusk SUMOBITO
05-07-2022 0020491 Pusk SUMOBITO
05-07-2022 0027358 Pusk SUMOBITO
05-07-2022 0000976 Pusk SUMOBITO
05-07-2022 0019711 Pusk SUMOBITO
05-07-2022 0046181 Pusk SUMOBITO
06-07-2022 0020455 Pusk SUMOBITO
06-07-2022 0021967 Pusk SUMOBITO
06-07-2022 0050921 Pusk SUMOBITO
06-07-2022 0014538 Pusk SUMOBITO
06-07-2022 0049908 Pustu GEDANGAN
06-07-2022 0002123 Pustu GEDANGAN
Page 4
Sheet1
07-07-2022 0014212 Pusk SUMOBITO

07-07-2022 0010722 Pusk SUMOBITO
07-07-2022 0020814 Pusk SUMOBITO
07-07-2022 0012923 Pusk SUMOBITO
07-07-2022 0027754 Pusk SUMOBITO
07-07-2022 0021854 Pusk SUMOBITO
07-07-2022 0010935 Pusk SUMOBITO
08-07-2022 0020134 Pusk SUMOBITO
08-07-2022 0037244 Pusk SUMOBITO
08-07-2022 0007922 Pusk SUMOBITO
08-07-2022 0001872 Pusk SUMOBITO
08-07-2022 0022650 Pusk SUMOBITO
08-07-2022 0022861 Pusk SUMOBITO
11-07-2022 0006300 Pusk SUMOBITO
11-07-2022 0007380 Pusk SUMOBITO
11-07-2022 0016843 Pusk SUMOBITO
11-07-2022 0051006 Pusk SUMOBITO
11-07-2022 0008454 Pusk SUMOBITO
11-07-2022 0013602 Pusk SUMOBITO
11-07-2022 0022314 Pusk SUMOBITO
11-07-2022 0045964 Pusk SUMOBITO
12-07-2022 0006300 Pusk SUMOBITO
12-07-2022 0048755 Pusk SUMOBITO
12-07-2022 0017130 Pusk SUMOBITO
13-07-2022 0024327 Pusk SUMOBITO
13-07-2022 0008186 Pusk SUMOBITO
13-07-2022 0021713 Pusk SUMOBITO
13-07-2022 0008681 Pusk SUMOBITO
13-07-2022 0002123 Pustu GEDANGAN
13-07-2022 0012894 Pusk SUMOBITO
13-07-2022 0039478 Pusk SUMOBITO
14-07-2022 0028592 Pusk SUMOBITO
14-07-2022 0004303 Pusk SUMOBITO
14-07-2022 0022746 Pusk SUMOBITO
14-07-2022 0029592 Pusk SUMOBITO
14-07-2022 0039675 Pusk SUMOBITO
15-07-2022 0040352 Pusk SUMOBITO
15-07-2022 0003660 Pusk SUMOBITO
15-07-2022 0001043 Pusk SUMOBITO
15-07-2022 0013602 Pusk SUMOBITO
15-07-2022 0051033 Pusk SUMOBITO
15-07-2022 0011634 Pusk SUMOBITO
15-07-2022 0007051 Pusk SUMOBITO
16-07-2022 0014460 Polindes MADYOPURO
Page 5
Sheet1
16-07-2022 0051123 Pusk SUMOBITO

17-07-2022 0049879 Pusk SUMOBITO
17-07-2022 0032761 Pusk SUMOBITO
17-07-2022 0008454 Pusk SUMOBITO
17-07-2022 0051130 Pusk SUMOBITO
18-07-2022 0034100 Pusk SUMOBITO
18-07-2022 0049750 Pusk SUMOBITO
18-07-2022 0017314 Pusk SUMOBITO
18-07-2022 0030386 Pusk SUMOBITO
18-07-2022 0014759 Pusk SUMOBITO
18-07-2022 0046005 Pusk SUMOBITO
18-07-2022 0051123 Pusk SUMOBITO
19-07-2022 0051155 Pusk SUMOBITO
19-07-2022 0047763 Pusk SUMOBITO
20-07-2022 0006583 Pusk SUMOBITO
20-07-2022 0016234 Pusk SUMOBITO
20-07-2022 0003927 Pusk SUMOBITO
20-07-2022 0036672 Pusk SUMOBITO
20-07-2022 0036267 Pusk SUMOBITO
21-07-2022 0025377 Pusk SUMOBITO
21-07-2022 0014313 Pustu GEDANGAN
21-07-2022 0008540 Pusk SUMOBITO
22-07-2022 0018556 Pusk SUMOBITO
22-07-2022 0047763 Pusk SUMOBITO
22-07-2022 0006399 Pusk SUMOBITO
22-07-2022 0002123 Pustu GEDANGAN
23-07-2022 0011999 Polindes BAKALAN
23-07-2022 0009466 Pusk SUMOBITO
23-07-2022 0021462 Pusk SUMOBITO
23-07-2022 0017370 Pusk SUMOBITO
24-07-2022 0020425 Pusk SUMOBITO
25-07-2022 0030060 Pusk SUMOBITO
25-07-2022 0030305 Pusk SUMOBITO
25-07-2022 0051247 Pusk SUMOBITO
25-07-2022 0037577 Pusk SUMOBITO
25-07-2022 0015875 Pusk SUMOBITO
25-07-2022 0024185 Pusk SUMOBITO
25-07-2022 0021787 Pusk SUMOBITO
25-07-2022 0011362 Pusk SUMOBITO
26-07-2022 0008299 Pusk SUMOBITO
26-07-2022 0027047 Pusk SUMOBITO
26-07-2022 0036622 Pusk SUMOBITO
27-07-2022 0003184 Pusk SUMOBITO
27-07-2022 0024528 Pusk SUMOBITO
27-07-2022 0051288 Pusk SUMOBITO
27-07-2022 0033526 Pusk SUMOBITO
Page 6
Sheet1
27-07-2022 0021904 Pusk SUMOBITO

27-07-2022 0029432 Pusk SUMOBITO
27-07-2022 0018473 Pusk SUMOBITO
28-07-2022 0001888 Pusk SUMOBITO
28-07-2022 0017370 Pusk SUMOBITO
29-07-2022 0020134 Pusk SUMOBITO
29-07-2022 0003660 Pusk SUMOBITO
29-07-2022 0008595 Pusk SUMOBITO
29-07-2022 0007593 Pusk SUMOBITO
01-07-2022 0001121 Pusk SUMOBITO
01-07-2022 0003114 Pustu GEDANGAN
02-07-2022 0046591 Pusk SUMOBITO
03-07-2022 0021197 Pusk SUMOBITO
04-07-2022 0015495 Pusk SUMOBITO
04-07-2022 0000051 Pusk SUMOBITO
04-07-2022 0007442 Pusk SUMOBITO
05-07-2022 0050705 Pusk SUMOBITO
05-07-2022 0001146 Pusk SUMOBITO
05-07-2022 0003114 Pustu GEDANGAN
05-07-2022 0000242 Pusk SUMOBITO
06-07-2022 0013116 Pusk SUMOBITO
07-07-2022 0050944 Pusk SUMOBITO
07-07-2022 0050950 Pusk SUMOBITO
07-07-2022 0011620 Pusk SUMOBITO
08-07-2022 0049071 Pusk SUMOBITO
09-07-2022 0008960 Pusk SUMOBITO
12-07-2022 0004679 Pusk SUMOBITO
12-07-2022 0035694 Pusk SUMOBITO
12-07-2022 0051039 Pusk SUMOBITO
12-07-2022 0013836 Pusk SUMOBITO
12-07-2022 0046591 Pusk SUMOBITO
13-07-2022 0000840 Pusk SUMOBITO
13-07-2022 0003524 Pustu GEDANGAN
13-07-2022 0010903 Pusk SUMOBITO
14-07-2022 0000744 Pusk SUMOBITO
14-07-2022 0002925 Pusk SUMOBITO
14-07-2022 0019959 Pusk SUMOBITO
14-07-2022 0003524 Pusk SUMOBITO
15-07-2022 0044812 Pusk SUMOBITO
16-07-2022 0001695 Pusk SUMOBITO
18-07-2022 0001114 Pusk SUMOBITO
Page 7
Sheet1

19-07-2022 0005591 Pusk SUMOBITO
19-07-2022 0002441 Pusk SUMOBITO
20-07-2022 0051175 Pusk SUMOBITO
20-07-2022 0039727 Pusk SUMOBITO
21-07-2022 0000983 Pusk SUMOBITO
21-07-2022 0002794 Pusk SUMOBITO
21-07-2022 0030654 Pusk SUMOBITO
22-07-2022 0013027 Pusk SUMOBITO
22-07-2022 0024886 Pusk SUMOBITO
25-07-2022 0002794 Pusk SUMOBITO
26-07-2022 0003785 Pusk SUMOBITO
27-07-2022 0033519 Pusk SUMOBITO
27-07-2022 0046811 Pusk SUMOBITO
28-07-2022 0004239 Pusk SUMOBITO
28-07-2022 0008115 Pusk SUMOBITO
28-07-2022 0002285 Pusk SUMOBITO
29-07-2022 0027643 Pusk SUMOBITO
29-07-2022 0002441 Pusk SUMOBITO
29-07-2022 0013945 Pusk SUMOBITO
29-07-2022 0001434 Pusk SUMOBITO
30-07-2022 0011466 Pusk SUMOBITO
01-07-2022 0015414 Pusk SUMOBITO
01-07-2022 0025099 Pusk SUMOBITO
02-07-2022 0050830 Pusk SUMOBITO
02-07-2022 0032547 Pusk SUMOBITO
03-07-2022 0049615 Pusk SUMOBITO
04-07-2022 0035026 Pusk SUMOBITO
04-07-2022 0029374 Pusk SUMOBITO
04-07-2022 0048674 Pusk SUMOBITO
04-07-2022 0015414 Pusk SUMOBITO
05-07-2022 0011690 Pusk SUMOBITO
05-07-2022 0000651 Pusk SUMOBITO
05-07-2022 0042347 Pusk SUMOBITO
06-07-2022 0005840 Pusk SUMOBITO
06-07-2022 0031876 Pusk SUMOBITO
07-07-2022 0001281 Pusk SUMOBITO
07-07-2022 0023808 Pusk SUMOBITO
07-07-2022 0001530 Pustu GEDANGAN
08-07-2022 0042504 Pusk SUMOBITO
08-07-2022 0000083 Pusk SUMOBITO
Page 8
Sheet1

11-07-2022 0051018 Pusk SUMOBITO
11-07-2022 0000806 Pusk SUMOBITO
13-07-2022 0031454 Pusk SUMOBITO
14-07-2022 0047902 Pusk SUMOBITO
14-07-2022 0020099 Pusk SUMOBITO
14-07-2022 0000986 Pusk SUMOBITO
15-07-2022 0033144 Pusk SUMOBITO
16-07-2022 0051111 Pusk SUMOBITO
16-07-2022 0002605 Pusk SUMOBITO
16-07-2022 0009645 Pusk SUMOBITO
17-07-2022 0044007 Pusk SUMOBITO
18-07-2022 0013616 Pusk SUMOBITO
20-07-2022 0047847 Pusk SUMOBITO
20-07-2022 0004934 Pusk SUMOBITO
20-07-2022 0048355 Pusk SUMOBITO
21-07-2022 0001017 Pusk SUMOBITO
21-07-2022 0051197 Pusk SUMOBITO
22-07-2022 0034737 Pusk SUMOBITO
22-07-2022 0008231 Pusk SUMOBITO
23-07-2022 0033618 Pusk SUMOBITO
23-07-2022 0006521 Pusk SUMOBITO
23-07-2022 0014680 Pusk SUMOBITO
24-07-2022 0015270 Pusk SUMOBITO
24-07-2022 0010960 Pusk SUMOBITO
25-07-2022 0010471 Pusk SUMOBITO
25-07-2022 0041540 Pusk SUMOBITO
25-07-2022 0033263 Pusk SUMOBITO
25-07-2022 0009377 Pusk SUMOBITO
25-07-2022 0010960 Pusk SUMOBITO
25-07-2022 0024665 Pusk SUMOBITO
26-07-2022 0003796 Pusk SUMOBITO
26-07-2022 0001017 Pusk SUMOBITO
26-07-2022 0005440 Pusk SUMOBITO
26-07-2022 0028996 Pusk SUMOBITO
27-07-2022 0006306 Pusk SUMOBITO
27-07-2022 0019398 Pusk SUMOBITO
28-07-2022 0005840 Pusk SUMOBITO
28-07-2022 0013616 Pusk SUMOBITO
28-07-2022 0006198 Pusk SUMOBITO
28-07-2022 0009488 Pusk SUMOBITO
28-07-2022 0029374 Pusk SUMOBITO
29-07-2022 0015892 Pusk SUMOBITO
29-07-2022 0004386 Pusk SUMOBITO
29-07-2022 0004339 Pusk SUMOBITO
31-07-2022 0015892 Pusk SUMOBITO
Page 9
Sheet1

02-07-2022 0000097 Pusk SUMOBITO
04-07-2022 0013389 Pusk SUMOBITO
04-07-2022 0043118 Pusk SUMOBITO
04-07-2022 0001759 Pusk SUMOBITO
04-07-2022 0050880 Pusk SUMOBITO
11-07-2022 0023702 Pusk SUMOBITO
11-07-2022 0030219 Pusk SUMOBITO
11-07-2022 0002713 Pusk SUMOBITO
12-07-2022 0006339 Pusk SUMOBITO
13-07-2022 0029508 Pusk SUMOBITO
14-07-2022 0051088 Pusk SUMOBITO
14-07-2022 0002713 Pusk SUMOBITO
15-07-2022 0000644 Pusk SUMOBITO
18-07-2022 0026096 Pusk SUMOBITO
19-07-2022 0051165 Pusk SUMOBITO
20-07-2022 0005592 Pusk SUMOBITO
20-07-2022 0005990 Pusk SUMOBITO
22-07-2022 0051218 Pusk SUMOBITO
22-07-2022 0003261 Pusk SUMOBITO
25-07-2022 0047791 Pusk SUMOBITO
25-07-2022 0034176 Pusk SUMOBITO
01-07-2022 0017719 Pusk SUMOBITO
02-07-2022 0009316 Pusk SUMOBITO
04-07-2022 0007607 Pusk SUMOBITO
04-07-2022 0050868 Pusk SUMOBITO
06-07-2022 0001342 Pusk SUMOBITO
07-07-2022 0003564 Pusk SUMOBITO
08-07-2022 0002212 Pusk SUMOBITO
09-07-2022 0000161 Pusk SUMOBITO
12-07-2022 0002212 Pusk SUMOBITO
15-07-2022 0010794 Pusk SUMOBITO
15-07-2022 0009316 Pusk SUMOBITO
17-07-2022 0004162 Pusk SUMOBITO
18-07-2022 0001055 Pusk SUMOBITO
18-07-2022 0032460 Pusk SUMOBITO
20-07-2022 0051173 Pusk SUMOBITO
21-07-2022 0014078 Pusk SUMOBITO
22-07-2022 0004181 Pusk SUMOBITO
Page 10
Sheet1
23-07-2022 0007739 Pusk SUMOBITO

23-07-2022 0051109 Pusk SUMOBITO
23-07-2022 0038291 Pusk SUMOBITO
25-07-2022 0014078 Pusk SUMOBITO
25-07-2022 0034035 Pusk SUMOBITO
25-07-2022 0014623 Pusk SUMOBITO
25-07-2022 0051251 Pusk SUMOBITO
27-07-2022 0002734 Pusk SUMOBITO
28-07-2022 0003465 Pusk SUMOBITO
16-07-2022 0050798 Pusk SUMOBITO
20-07-2022 0051171 Pusk SUMOBITO
20-07-2022 0051185 Pusk SUMOBITO
02-07-2022 0011281 Pusk SUMOBITO
04-07-2022 0017737 Pusk SUMOBITO
05-07-2022 0008633 Pusk SUMOBITO
08-07-2022 0039918 Pusk SUMOBITO
21-07-2022 0000566 Pusk SUMOBITO
Page 11
Sheet1
NAMA PASIEN KTP L/P

CHUMAIRA SABRINA LISTYA 331105460720001 P
DAVID ADITYA 351711 L
FELISHA ALLEA MAYRA ZHA 3517114505210003 P
AGNES 351 P
NAYRA AQILA NAFISHA 3517117008200001 P
MUHAMAT ADAM 3517110103200001 L
BALQIS CALLISTA MAHARANI3517116111180002 P
AKHTAR MAULANA WIJAYA 3517111806210001 P
ZABILAL PRAMHUDI AZANI 3517112110120004 L
AL FIRSA HERLINA 3517115112180001 P
NIDIA AUNILA 351711 P
HAIDAR MAULANA IBRAHIM 351 L
HAIDAR MAULANA IBRAHIM 351 L
TRI HASNAH 3517117001210001 P
MUHAMMAD ROBBY AL FAR 3517111903200003 L
ALIFA AINUR ROKIMA 3517066603200003 P
HANI DWI PUTRI 3517116307180002 P
AHMAD WILDAN KURNIAWAN351 L
YUSUF AHMAD 3517113012190000 L
BALQIS CALLISTA MAHARANI3517116111180002 P
AISYAH PUTRI WIDYANTONO3517114509180002 P
MUHAMMAD ABIL AKBAR 3517110904200001 L
NADIRA NUR FALISA 3517 P
MUHAMMAD ALFAN RIZKY AD 3517110106200004 L
DAFI KHALIS ELFANO 3517110301200002 L
ADIBA SHAKILA AZZAHRA 3517114304200002 P
carrolyn 3517110311070327 P
evellyn kirana 35171103117036 P
ADIBA SHAKILA AZZAHRA 3517114304200002 P
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M MUFLIH IMDADULLOH BOB3517 L
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TRI HASNAH 3517117001210001 P
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M BAIHAQI 3517 L
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SANDI RAMADHANI 3517113105190002 P
NAYRA AQILA NAFISHA 3517117008200001 P
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M FAIRUS 351711 L
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ABI DANUARTA 35171121081700004 L
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NAMIA PUTRI - P
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ahmad brian 35171 L
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muhammad al ghazi putra 3517111212210004 L
AYUNINDYA ZAHRIA A - P
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OKTAVIANA NUR ARSYI 3517117010100002 P

RISKA NUR RAHMA 3517115009090002 P
M.RISKI 35171 L
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MARFHEL BIMA WIJAYA 3517111104090004 L
ADITYA AKMAL AL- KHALIFI 3517110212110001 L
MIFTAKHUL JANNAH 3517114101100002 P
A ARI RASYA 3517110109070001 L
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MIZAWA ROSALIND 3517114811090001 L
JERYCO ZULFANY 3517071412110001 L
CITRA OCTAVIA PURWANDI 351711021109003 P
M.UMAR 3517110505030003 L
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ANDIKA EKA PRATAMA 351711240505002 P
M.DIMAS ARDIANSYAH 3517111410030001 L
ERWIN TEGUH SANTOSO 3517 L
ALFANSYURI AMARULLOH 3517111803030002 L
DUWI AGUSTINA 3517115608040003 P
NUR SEPTYA MUSTIKASARI 351711 P
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NOR LATIFATUL QOLBI 3517115410060001 P
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TANTRI SUKAWIJAYANTI 3517115610020002 P
ACHMAD FERI FIRDAUS 3517110606030003 L
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GILANG SLAMET 3517110204060001 L

ASMAUL ARROFI 3517116410050003 L
ULA AULIA ANISA 3517114605060003 P
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RADINDA VARESTI 3517115508030001 P
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ARIZ ARDIANSYAH 3517110511000001 L
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MOHAMMAD SOLEH 3517111110940001 L
KUSTIA RINI 3517116802920002 P
LUKITA SARI 3517114909840002 P
SURIYANI 3517114206880002 P
FAISOL AFDAN 3517111802950003 L
DESI LUTFITA 35171156129900057 P
M.ARIF KOLIDIN 3517112309000005 L
ERNAWATI 3517116510900001 P
NUR WAFIQ HIDAYATI 3517116404010004 P
ANA LUTFIANA 35174115503840001 P
LEVIA JUNITA LARASATI 3517115506980004 P
ASLIM ABDUL LATIEF 3517112803970001 L
SITI AMINAH 3517116411780002 P
KHOLIANAH 3517115106780003 P
SUMIATI 3517116701870002 P
ADI SULAKSONO 3517110610990005 L
MOHAMMAD DAILAMI 3517110203010003 L
WAHYUDI EKO PROYOGO 3517110707890001 L
YUYUN NURUL INAYATI 351711520300005 P
SURIYANI 3517114206880002 P
BINTANG SUJATMIKO 3517112608010005 L
WIDODO 3517110104830004 L
SUHERLIN 3517115902820004 P
AFIF AINUR ROHMAN 3517113006010003 L
CHOIRUL ABIDIN 3517110705860010 L
KHIKIS SETYANINGSIH 3517116705900006 P
HENDRIK JAYA SETIONO 3517111301960001 L
AMILAH RUFIATIN 3517114106970006 P
INDRA KURNIAWAN 3517112702940002 L
DIANA LARASATI 3517116210940003 P
ENY KURNIYANTI 3517115303800004 P
IRFAN ARIEF EKO WAHANA 3517111205970006 L
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NARUMI 3517115111950002 P
SULISTYO ADI PURPITO 3517110504840010 L
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INNAWATI 3517116409840002 P
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RAGIL BAYU SETIAWAN 3517111307970002 L

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IMAM HANAFI 3517111005950004 L
SATIYEM 3517116612830003 P
SODIKUL MU'MININ 3517110105840004 L
RINDY SYLFIANITA 3517115609880006 P
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EKO RESKY YULIANTO 351 L
AINUR ROHMAH 3516185212780002 P
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YONI UTOMO 3517110502910003 L
MASFUFAH 3517114503870004 P
WAHYUNINGSIH 3517115211890004 P
MUHAMMAD SAHIDIN 351711050500003 L
SLAMET SUGIARTO 3517110103870004 L
KUSNUL ARIFAH 3517114701890001 P
LATIEF ANICO SAMUDRA 351711200010002 L
DEPI AGUS TIADI 3517111408860003 L
ITA KRISSANTI 3517114703800010 P
NUR FARIDA 3517116004820004 P
SITI NGAISAH 3517115605920002 P
DINI AULIA PRAMAWATI 3517115411010003 P
NUR HAYATI 3517074905920001 P
SLAMET SUGIARTO 3517110103870004 L
SUPOYO 3517111002790004 L
ADE PRAMONO 3517112108970005 L
INDAH PUTRI ARDIYANTI 3517117005920002 P
HASURA DWI INDAH 3578036906930004 P
MOCHAMAD EKO WAHYU HI 3515110809940002 L
SHINTA LIDIA SHANDRA 3517116407920002 P
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TEMBUL SUPRATTO 3517112405950001 L
GAMAL DICKY ARIANTO 3517110801000004 L
NANING FAUZIAH 3517116406830003 P
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IKA PANDUWINATA 3517114502840005 P
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LAILMA KHUSNUL 3517115607960005 L
YULI KRISTANTI 3517114907980001 P
SUMARYATUN 3520145110890001 P
TRY ADI SETYAWAN 3517112009930003 L
UMI NADLIROH 3517114808790003 P
NUR FARIDA 3517116004820004 P
ARIFIN 3517110105820012 L
GITA KURNIA SARI 3517116103970001 P
RINDI ELOK SHOÌMAH 3517114102950004 P
MASLAKHA 3517114603990001 P
RUPINAH 3517 P
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FITRI LINDA WATI 3516114705890009 P

DYAH OKTAPUSPITA SARI 3517115510990003 P
JUMAIYAH 3517115302810001 P
ITA KRISSANTI 3517114703800010 P
ARI WIBOWO 3517112403960002 L
RIDA SUKMANINGTYAS 3517116304010004 P
HASAN 3517111306920001 L
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TRI CHOIRUN NISA 3524226901890001 P
FITRI LINDA WATI 3516114705890009 P
WELLA YANUARISMA 3517085501950001 P
ANIS SAADAH 3517114509810001 P
SITI MUNADHIROH 3517115605920003 P
RIKA ROFITA SARI 3517116604950001 P
MUSLIKAH 3517114103840003 P
SITI WAHYUNI 3517114107850042 P
YENI RAHMAWATI 3517115901810001 P
SITI ROFIAH 3517114202790001 P
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RIRIN WIDYA ASTUTIK 3517114606910003 P
ERIKA WAHYU NINGTIAS 3517115904980001 P
DWI HARIYADI 3517061001930001 L
ANIS SAADAH 3517114509810001 P
SITI AISAH 3517114607980004 P
ERNIWATI 3517116803830005 P
KALIMAH 3517115003830008 P
SUTAMI 3517115105840012 P
SITI NUR FARIDA 3517116907920004 P
INDAMAH 3517114505870005 P
NUKHIN ARIF 35171110108400005 L
SANDOYO 3517 L
RIKY 35171110301940003 L
alvynia dwi septorini 3517115109980002 P
PURWO NUGROHO 3517111904910001 L
SOFI HANDAYANI 3517114403950004 P
SUSI ANDRIANI 3517117005900004 P
NIRWANA 6471014405920002 P
MINRU KHOIDAH 3517116210800001 P
MARIYA ULFA 3517116206960002 P
EVI FANA SUWANDANI 351711561850003 L
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DUPI 3523154107820019 P
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ADI FAJAR BAHARI 3517120304970004 L
BAGUS TRIOAJI KUSTANTO 35171111601920002 L
ISMIYATI 3514095712800005 P
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NURUL ROMADLON 3517112404880002 L

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AHMAD MARZUKI 3517111306800001 L
eni susanti 3517116703890004 P
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INDAMAH 3517114505870005 P
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FRENI SUSANTI 3517124308860001 P
MUSAYAROH 3517115608860008 P
ALI SODIKIN 3517112410840003 L
RINA SETIOWATI 3517116711820001 P
RUDI TRIATMAJI 7501131607950001 L
IMNATUS SADIYAH 3517115808730003 P
SIYAMI 3517115703690001 P
DIMAS AGUS SAPUTRO 3578101008760002 L
ABDUL WACHID 3517110212670003 L
NGATEMAN 3517111211750001 L
INSANI 3517115608680003 P
NING SUMANIK 3517114306760005 P
SENITI 3517115004680001 P
SUHARIANIK 3517114707690001 P
SIYAMI 3517115703690001 P
MUSLIKA 1802075212690001 P
JUMAIYAH 3517115001690002 P
MUSTOFA DIMYATI 3517110210750004 L
RUKIYAH 3517114107700043 P
QOMARIYAH 3517116206710001 P
MUSLIMIN 3517112703740002 L
ABDUR ROHIM 3517111102680003 L
B.TAMUNAH 3517116403700001 P
RUKUN 3517110606730005 L
NGADI 3517111803700002 L
NURUL KHOTIMAH 3517115612750002 P
PIPIT NURIDA 3578174911760002 P
DIMAS AGUS SAPUTRO 3578101008760002 L
MUKLASIN 351711 L
MUAH 3517114709750007 P
SUMIATUN 351711460770003 P
UMI NADZIROH 3517116204740001 P
JAMILATUN 3517115004730002 P
SATUPAH 3517116310670002 P
WITARNO 3517112804680001 P
SUMIATUN 351711460770003 P
AMIANI 3517114303700001 P
SUKATON 3517110806710001 L
NURHIDAYATI FAUZIYAH 3517116009760001 P
MOCH QOYYIM 351711 L
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SUHERMIN 351711490672002 P
EDI SISWO 3517112402760004 L
M ZAINUDIN 3517110103670001 L
MUSLIKA 1802075212690001 P
SUTRISNO 3517110409670002 L
IKSAN 351711011120009 L
SATUMAN WIJI 3517114105680006 P
SITI RUKAYAH 3517115008680002 P
SLAMET RAHARJO 3517111404700003 L
TUTIK 3517117011700004 P
MININ 3517111206690005 L
PONITI 3517114103730007 P
SITI RUKAYAH 3517115008680002 P
SUWATI 3517114107680066 P
SITI MASLAHAH 3517116401750001 P
FARIDA FASA 3517116602750002 P
SRIASIH 3517114107680059 P
NGATENI 3517116212740001 P
SUMILAH 3517116305740004 P
NAFIAH 3517115808710004 P
SAIFUL IKHSAN 3517110708680003 L
SUHERMIN 351711490672002 P
SUWANI 3517116303700001 P
DADANG SUGIANTO 3515142909720002 L
M ZAINUDIN 3517110103670001 L
JUMAÀT 3517111205670004 L
SUGIAT 3517110709700002 L
MUDAWAMAH 3517110107340031 P
sunariyah 3517117009740001 P
SULIKAH 3517114107700047 P
AMORA DWI ANGGRAENI 3517117005130001 P
MUHAMMAD RAYYAN ALVAR3517110110130002 L
RESTU 351 L
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MUHAMMAD SALIM AL-FATA 3517110504150001 L
BRAMASTHA ANTA RICHZA 3517112706150003 L
M.MAULANA GHOFIR AKBAR3517112009150001 L
MUHAMMAD ZAFRAN IKHLAS3517131804160001 L
AMORA DWI ANGGRAENI 3517117005130001 P
CELLINE KAYLA RAMADHANI3517116106150001 P
KINARA PUTRI PURNOMO 3517114206150002 L
DAREEN DZAKY PRADANA 3517070606170003 L
AYUNINDYA MARSYA AZZAH3517116405140001 L
CANTIKA NOVIA SARI 35171147111400001 P
M RHOMAS SYAHREZA 3517111305160001 L
FAJRIA HILDA MULYANI 3517116503160004 P
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M ALBI HIDAYAT 351 L
CITRA EKA. W 351711 P
ALFIAH CHASNAH 3517114412160004 P
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FARID ASZIROH 3517 L

ADITYA RIZKY OKTA PERMA 3517111110120003 L
MUHAMMAD MUZAEN MUSAZ3517110312150001 L
EMERALD PUTRI ZABINA 3517117012160001 P
NUR MAGHFIROH RAMADANI351 P
ZASKIA KURNIAWATI 3517117009130001 P
NIKO FIRMANSYAH 35171 L
INAYAH ROHADATUL AISYI Z357116609130001 P
MUHAMMAD ARIF BIMANTOR3517112802140002 L
MUHAMMAD RIZKY NARIANT3517111311150001 L
ASKA DANIAL WARDANA 3517112401150001 L
SENA DWI ARYA 351711105150001 L
SHAKIBAH FALAHIYAH BOBS3517114107170003 P
MUHAMMAD DIRGANTARA 35171 L
AISYAH NUR AZIZAH 3517115010120004 P
HANSELEU JATHNIEL SHIN'C3517112001150001 L
NAZMI AHMADA MUNTADZ 3517114105160002 L
ALIKA NAYLA PUTRI 3517115804180002 P
KANDA RAFA 351 L
MOHAMAD FEBRIANTO 3517110302130002 L
NAZWA PUTRI AGUSTINA 351 P
AMZAR FAIRUZ ABRIZAM 3517113004150002 L
SALMA NUR AISYAH 3517 P
ALVIAN MAULANA HUSAIN 3517110805170001 L
ALYA NUR MAGHFIROTUL 3517116903160003 P
PUTRI MIFTAHUS 3517115305160001 L
FATIH IKSAN 3517 L
AHMAD PRAYOGA PRASETY3517113006170001 L
RISKI JULIAN PRATAMA 3517111407170002 L
SABELLA ELFINA AZZAHRA 3517 P
AHMAD FARID AMRULLOH 3517112008140004 L
ASIFA PUTRI 351711 P
DEWI QUROTUN A'YUN 35171115805160001 P
RISKI JULIAN PRATAMA 3517111407170002 L
IFTITAH NUR MEDHINAFATIN3517114311130001 P
MUCHAMAD SALMAN AL FARI3517111104140001 L
MOHAMAD FEBRIANTO 3517110302130002 L
AKHMAD MUZAFFAR NIAZ 3517111412150005 L
AZZAHRA RAMADHANI BENW3517115508120002 P
ANANDA AQIL HABIBI 3517111904170005 L
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AYUNINDYA MARSYA AZZAH3517116405140001 L
AISYAH NUR AZIZAH 3517115010120004 P
MOCHAMMAD TAJUL MAFAKH 3517112510160001 L
M. MAHBUB NUR ROHMAN 3517112603150003 L
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MARSHA MOZZA PRICYLIA 3517116605140001 P
MUHAMMAD ARROCHIM 3517112710130001 L
ALFIAN MIRZA AHMAD 3517 L
MARSHA MOZZA PRICYLIA 3517116605140001 P
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HUSNATUL CHOLIFAH 3517114107640056 P

GISAH 3517114506640006 P
KOMSATUN 3517117101670001 P
SALAMAH 3517114107670048 P
WASIS 3517110502630001 L
SUSIATI 351 P
KALIMAH 3517115209640001 P
KHUSNUL HUDAH 3517110107640035 L
TARWIYATI 3578164604650003 P
SULASTRI 3517115009620003 P
ENDANG SUTIYEM 3517115005650003 P
TRI YANTOKO 3174040901630003 L
SUNTIARSIH 351711661630004 L
SULASTRI 3517115009620003 P
PUJI RAHAYU 3517114105630004 P
ODING SOLEHUDIN 351711080670003 L
MAHMUDI 3517 L
KOLIPAH 3517115306630005 P
RUKIMAH 3517115205660002 P
SUTOYO 3517111212620004 P
SITI ASIYAH 3517117012650002 P
SUYATI 3517115202640001 P
ISMAN 3517112312140004 L
bunah 351711 P
TUTIK SUDARWATI 3517117103630001 P
SUWATI 3517115005620003 P
BAMBANG HERMANTO 3517112403550001 L
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SODIKIN 3517110107570030 L
WAKIATIN 3517115203530002 P
SUMARMI 3517114501530001 P
AHMAD SATIBI 3515172912600001 L
SUYATI 3517115711600001 P
SUMI 3517114107550003 P
SATUNAH 3517114107550020 P
ENIK S. 351711 P
ASNAN 3517111707540002 L
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BAMBANG BUDIONO 3517110107570020 L
BAMBANG HERMANTO 3517112403550001 L
KEMI 3517112705520001 L
BASORI 3517111206550003 L
SRI UTAMI 3517114906620002 P
HERI JUWONO 3517112604570002 L
SUWOTO 3517110101570009 L
MUJANAH 3517115112560001 L
SUWANTI 3517115806550002 P
NAPIAH 3517115910600001 P
ASTUTIK 351711 P
BUNAH 3517115605610001 P
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SUTRISNO 3517110503600004 L
NGATIMAN 3517110107550035 L
PADILAN 3517110101530010 L
SUWOTO 3517110101570009 L
KOMSIYAH 3517115506600003 P
NGATENI 3517115305600001 P
PAIDI 3517111805610001 L
JAMAIYAH 3517114107520067 P
SAINAH 3517116308580001 P
SAMSUL ARIFIN 3517110202590002 L
JAMAIYAH 3517114107520067 P
BAMBANG SAYOGO 3517110107600051 L
SITI CHOIRIYAH 35171141076000075 P
KEYSHA AURELIA SAHIRA 3517110504210007 P
MUHAMMAD AZKA MAHERZA3517 L
BY NY TRI YULIANINGSIH 3517 P
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ASRAB 3517111407460002 L
MUJIONO 3517110701520001 L
MAIMUNAH 3517115404410001 P
ROMELAH 3517116410460001 P
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KUNJ B/L TGL LAHIR NAMA KK

Lama 06-07-2020 SYAIFUL ANWAR
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Lama 21-11-2018 SUPRIADI
Lama 18-06-2021 HENDIK FERI PRASETYO
Lama 07-12-2020 MASHUDI
Lama 11-12-2018 HERU WAHYUDI
Lama 05-05-2020 SULISWANTO
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Lama 30-12-2019 WIKO BAYU SANTOSO
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Lama 19-03-2020 ABDUL ROZIK ISMAIL
Lama 26-03-2020 MISNO
Lama 24-07-2018 HENGKI
Lama 31-10-2019 IMRON
Lama 22-11-2020 M KOIRUL
Lama 21-11-2018 SUPRIADI
Lama 05-09-2018 NOVIAR ARIS W
Lama 09-04-2020 AJI SAMPURNO
Lama 22-06-2020 SUGIANTO
Lama 04-06-2020 RIZAL ADITIYA
Lama 03-01-2020 AGUS
Lama 03-04-2020 HENDRA PURWANTO
Lama 21-04-2018 sugihartono
Lama 27-04-2018 sugihartono
Lama 13-04-2019 M KHABIB
Lama 19-10-2019 HUSNI BOBSAID
Baru 15-03-2020 MAKRUS SANTOSO
Lama 20-03-2021 ENI
Lama 02-05-2020 IRAWAN
Baru 28-03-2019 FERI IRAWAN
Lama 17-04-2020 WAKID FIRMANSYAH
Lama 26-05-2019 EKA WIJAYANTO
Lama 31-05-2019 ABDUL ROUF
Lama 30-08-2020 KACIR IPUNG
Lama 05-07-2019 PURNOMO
Lama 06-02-2020 MIFTAKUL
Lama 01-04-2019 NAFIS
Baru 21-08-2017 NURUL CHOIM
Baru 22-07-2020 -
Lama 14-05-2020 agus
Lama 21-05-2020 WIDHA TWINNUARI DANI RE
Lama 20-08-2017 SUDARSO
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Lama 24-05-2021 AGUS HARDIANTO

Lama 26-07-2019 UDIN
Lama 11-12-2018 sri wahyuni
Baru 13-03-2018 KIROM
Lama 19-06-2021 M DAVID ZAKARIA
Lama 08-10-2018 MASHUDI
Lama 16-07-2021 WAHYUDI EKO PROYO
Lama 14-05-2020 AGUS CAHYONO
Lama 04-06-2018 KHOIRUL MAKIN
Baru 04-02-2021 JUPRI
Lama 11-08-2017 KUSMAN
Lama 01-03-2020 WARAS
Lama 04-08-2020 SLAMET
Lama 02-08-2018 HADI SUCIPTO
Lama 05-12-2021 SUHERMAN
Lama 20-09-2021 WAKIT
Lama 28-11-2021 MIFTAKHUL ROKHIM
Lama 12-12-2021 -
Lama 25-08-2021 ANDRIANTO
Lama 11-10-2021 YUSUF
Baru 17-12-2022 kamto
Lama 28-10-2021 KUSNADI
Baru 05-10-2021 A KHUSEN MAKRUF
Baru 21-03-2022 AAN SETYAWAN
Lama 09-11-2021 DENI WIJAYA
Lama 04-09-2021 BUDI HARTONO
Lama 08-12-2021 HARIONO
Lama 17-03-2022 AHMAD FAUZI
Lama 05-10-2021 A KHUSEN MAKRUF
Lama 10-12-2021 RAKHMAN SAPTO AJI
Baru 02-02-2022 KUSMADHONO
Lama 12-12-2021 -
Lama 29-11-2021 IRVAN ARIF EKO WAHANA
Lama 30-09-2021 JOKO BUDI ASMORO
Baru 23-08-2021 WINTORO
Lama 10-08-2009 MUKODIRIN
Lama 22-12-2008 SUPARMAN
Lama 29-10-2007 Sabarudin
Baru 26-10-2009 MUHAMMAD WAHYUNI
Lama 01-05-2009 PONIMAN
Lama 20-02-2008 YULIS
Lama 18-01-2011 EFENDI
Lama 05-04-2011 SUWARDI
Baru 20-10-2010 KUSMIADI
Lama 11-10-2008 SARTONO
Lama 14-01-2009 abdul muntolip
Lama 22-05-2009 P.HENDRA
Lama 26-10-2009 MUHAMMAD WAHYUNI
Lama 06-07-2011 BUHASAN
Lama 01-02-2008 URIP
Page 24
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Lama 30-10-2010 SUDARSO

Lama 10-09-2009 PUJIYANTO
Lama 13-09-2007 RUDI
Lama 16-02-2011 AGUS FUTNADI
Baru 18-12-2011 NUR ABDUL ROHMAN
Baru 19-02-2009 ANAM
Baru 07-02-2010 SUGENG MAULANA
Lama 01-06-2011 WAKHID FIRMANSYAH
Lama 16-10-2011 SARIYANTO
Lama 26-10-2009 MUHAMMAD WAHYUNI
Baru 09-11-2009 A.EFENDI
Lama 21-04-2010 NURUL ROBI INADIN
Lama 18-06-2010 GATOT ROMLAN
Lama 03-12-2011 AMAR MAKRUF
Baru 04-02-2012 IMAM HADI
Lama 07-06-2011 RIONO
Lama 14-12-2011 ZULI SUGIANTORO
Lama 16-02-2011 AGUS FUTNADI
Lama 11-04-2009 ANDIK WIJAYA
Lama 11-04-2009 ANDIK WIJAYA
Lama 02-12-2011 IBNU MALIK
Lama 01-01-2010 BAHRUDIN
Lama 01-09-2007 MARDIONO
Lama 19-02-2009 ANAM
Lama 29-05-2010 M.FATONI
Lama 08-07-2009 MUHAMMAD MALIK
Lama 08-11-2009 RUDI HERMAWAN
Lama 14-12-2011 ZULI SUGIANTORO
Lama 05-05-2003 P.IMAM MUSLIM
Lama 11-03-2003 TIARI
Lama 23-07-2006 KURNIAWAN
Lama 18-09-2003 SULADI
Lama 15-12-2006 HEVI HAYATI
Lama 11-08-2006 DARMAJI
Lama 27-09-2006 SUTONO
Lama 31-01-2004 P.SUPARMAN
Baru 24-05-2005 KANDAR
Lama 20-06-2004 P.M.IRFAN HADI
Lama 19-06-2003 P.NUR IKHWAN
Baru 18-03-2003 TARSUN
Lama 16-08-2004 BUNADI
Lama 06-09-2006 DIDIK
Lama 08-06-2006 SUYETNO
Lama 14-10-2006 SISWANTO
Baru 07-07-2007 KHOMSIN
Lama 26-05-2005 SRINING
Lama 11-07-2003 BADRUL KASAN
Lama 16-10-2002 SUYOTO
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Lama 02-04-2006 P.SUTRISNO RIFAÌ

Lama 24-10-2005 PONARI
Lama 06-05-2006 MUSTOFAH
Baru 28-02-2003 SUPRAPTO
Lama 15-08-2003 ADI SISWANTO
Lama 20-01-2005 P.KUSMAN
Baru 05-11-2000 M ILYAS YUNUS
Lama 28-08-1985 BUDI PRASTIYO
Lama 01-05-1998 ISMANURAHARJO
Baru 23-04-1984 MAKRUS
Lama 11-08-2000 LILIS ZUNIARSIH
Lama 11-10-1994 MOHAMMAD SOLEH
Lama 28-02-1992 MUDIANTO
Lama 09-09-1984 NARKO
Lama 02-06-1988 JOLALI
Lama 18-02-1995 HASYIM
Lama 16-12-1999 BENY ANTONA
Lama 25-10-1990 KHOTIB
Lama 24-04-2001 SANIMAN
Lama 15-03-1984 SUJOKO
Lama 15-06-1998 EDI PURWANTO
Lama 28-03-1997 ASLIM ABDUL LATIF
Baru 24-11-1978 HASIRON
Lama 13-07-1978 SAIFUL
Lama 13-07-1987 YULI SAMSUL
Lama 06-10-1999 SUDIONO
Lama 18-05-2001 P.LUKMAN HAKIM
Lama 07-07-1989 SODIKIN
Lama 12-03-1980 MUHAMMAD MALIK
Lama 02-06-1988 JOLALI
Baru 26-08-2001 NANANG SUJATMIKO
Lama 01-04-1983 WIDODO
Baru 19-02-1982 SUHERLIN
Lama 30-06-2001 ROHMAN
Lama 07-05-1986 CHOIRUL ABIDIN
Lama 12-02-1990 ABDUL MUBIN
Baru 13-01-1996 HENDRIK JAYA SETIONO
Lama 01-06-1997 ASRUR
Lama 01-01-1994 MULYONO / INDRA
Lama 22-10-1994 DIANA LARASATI
Lama 13-03-1980 SUNTONO
Lama 12-05-1997 IRFAN ARIEF EKO WAHANA
Lama 19-04-1995 MUHAIMIN
Lama 05-04-1984 SULISTYO ADI PURPITO
Baru 12-08-2001 UMI SA'ADAH
Lama 15-06-1989 INSIHARJO
Lama 24-09-1984 DARSONO
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Baru 13-07-1997 CHUSAIRI

Baru 23-05-1993 EKO PRASETYO
Lama 10-05-1995 SUWAJI
Lama 26-12-1983 ABDUL FATAH
Lama 01-05-1984 SODIKUL MU'MININ
Lama 16-09-1988 SHODIKUL MUKMININ
Lama 09-01-1990 ARMAN
Lama 15-07-1998 EKO RESKY YULIANTO
Lama 12-12-1978 SUTRISNO
Lama 05-06-2001 SANURI
Lama 05-02-1991 YONI UTOMO
Lama 05-06-1988 SUTONO
Lama 12-11-1989 riyadi
Lama 05-10-2000 MASUD
Lama 01-03-1987 SLAMET SUGIARTO
Lama 07-01-1989 JONES
Lama 20-01-2001 P.Santoso
Baru 14-08-1986 DEPI AGUS TIADI
Baru 07-03-1980 ITA KRISSANTI
Lama 04-08-1982 JONI
Lama 16-05-1992 RIYANTO
Lama 14-11-2001 TIYAMAN
Lama 01-03-1987 SLAMET SUGIARTO
Lama 10-02-1979 SUPOYO
Lama 21-08-1997 P.MULYONO 479-11
Baru 30-05-1992 NANANG
Lama 29-06-1993 NUKHIN ARIF
Baru 08-09-1994 M EKO WAHYU HIDAYAT
Baru 05-05-1992 a. zainal murtaqi
Lama 06-10-1999 SUDIONO
Lama 19-05-1995 SUMARLIK (ANAM ALM)
Lama 08-01-2000 SETIAWAN
Lama 15-04-1993 HERU KOMARUDIN
Lama 02-05-1984 SUMAIN
Lama 20-06-1994 NUR ALI IRAWAN
Lama 16-07-1996 PUJI ADI
Baru 09-07-1998 SUKADI
Baru 11-10-1989 AHMAD FATONI
Lama 20-09-1993 TRY ADI SETYAWAN
Lama 20-11-1979 SULKAN
Lama 04-08-1982 JONI
Lama 30-08-1982 ARIFIN
Lama 16-12-1997 SOBIRIN
Lama 01-02-1995 FERI AGUS
Lama 06-03-1999 HERMANTO
Baru 12-01-1978 RUPINAH / SUWARJI
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Baru 07-05-1989 MAT KOLIL

Lama 15-10-1999 AHMAD SAIFUDIN
Lama 07-03-1980 ITA KRISSANTI
Baru 24-03-1996 SUGIRI
Lama 23-04-2001 SAMI'UN
Lama 13-06-1992 HASAN
Lama 05-07-1995 INDRA WIJAYA
Lama 08-08-1997 P.DIDIK SUPRIYADI
Lama 19-07-1986 P.JUNAIDI
Lama 29-01-1989 ARIS WIBOWO
Lama 07-05-1989 MAT KOLIL
Baru 15-01-1995 MUSTAQIM
Lama 05-09-1981 TORIKUN
Lama 16-05-1992 SUKATOYO
Baru 26-03-1995 NANANG EFENDI
Lama 01-03-1984 P.SUYATMAN
Lama 01-02-1987 JULIANTO
Baru 19-01-1981 YENI RAHMAWATI
Baru 19-11-1986 KUSNAN
Lama 02-10-1990 EDI SUSANTO
Lama 19-04-1998 SUPAAT / ERNA
Baru 10-01-1993 DWI HARIYADI
Lama 05-09-1981 TORIKUN
Lama 07-10-1998 NURUL MASHUDA
Lama 29-06-1985 BAKRI
Lama 10-03-1983 eko wahyono
Lama 11-05-1984 AJI SULIONO
Baru 29-07-1992 YUNI AGUS SUTOYO
Lama 05-05-1987 AGUS SETIAWAN
Baru 17-02-1984 SUHADI
Baru 07-02-1988 SANDOYO
Lama 03-01-1994 RIKY
Lama 01-09-1998 supaat
Baru 19-04-1991 PURWO NUGROHO
Lama 04-03-1995 RIADIN
Lama 30-05-1990 AMIN AMIRULLOH
Lama 04-05-1992 AMZA
Lama 22-10-1980 P.KUSLAN
Lama 01-05-1996 YONI UTOMO
Lama 10-11-1988 AL ALIF
Lama 29-09-1995 IRAWAN TEGUH
Lama 12-06-1980 SUDIANTO
Lama 04-08-1997 SABERINA AGUSTA GUNAWA
Lama 10-01-1998 ADI FAJAR BAHARI
Lama 03-04-1997 ADI FAJAR BAHARI
Baru 16-01-1992 BAGUS TRIOAJI KUSTANTO
Lama 17-12-1980 ABDUL SANAN
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Lama 24-04-1988 NURUL ROMADLON

Lama 04-07-1979 budiono
Baru 13-06-1980 AHMAD MARZUKI
Lama 27-03-1989 agus wijaya
Lama 04-03-1985 BUDI SAMBODO
Lama 10-11-1979 P.BUSIRI
Lama 05-05-1987 AGUS SETIAWAN
Lama 11-03-1987 ZAINUDIN
Baru 20-09-1986 ALI SODIKIN
Baru 24-10-1984 ALI SODIKIN
Lama 27-11-1982 SAMSUL MAÀRIF
Lama 16-07-1995 EDI JOKO SANTOSO
Lama 01-07-1973 P.RIYADI (365/2008)
Lama 24-11-1972 MUJIANTO
Lama 10-08-1976 DIMAS AGUS SAPUTRO
Lama 29-12-1967 ABDUL
Lama 12-11-1975 NGATEMAN
Lama 16-08-1968 EDI SUKAREN
Lama 03-06-1976 M. ZAINI
Lama 01-07-1968 ISWARI
Lama 07-07-1969 P.PUJIANTO
Lama 24-11-1972 MUJIANTO
Lama 12-12-1969 MUSLIKA
Lama 05-04-1969 PONISO
Baru 02-10-1975 MUSTOFA DIMYATI
Baru 01-07-1970 NUR KHOLIS
Lama 22-06-1971 P.SUJALI
Lama 27-03-1974 MUSLIMIN
Baru 11-02-1968 ABDUR ROHIM
Lama 24-03-1970 P.MULYONO
Lama 06-06-1973 RUKUN
Baru 18-03-1972 NGADI
Baru 16-12-1975 NGADI
Lama 19-12-1976 PIPIT NURIDA
Lama 10-08-1976 DIMAS AGUS SAPUTRO
Baru 08-12-1974 MUKLASIN
Lama 07-09-1975 SARKAWI
Lama 08-06-1970 ZAINUL ARIFIN
Lama 04-07-1975 P.JUMIONO
Lama 10-04-1973 P.NGADI
Lama 23-10-1967 SATUPAH
Lama 28-04-1968 WITARNO
Lama 08-06-1970 ZAINUL ARIFIN
Lama 03-03-1970 SUWITO
Lama 08-06-1971 SUKATON
Lama 20-09-1976 P.NUR ATIM
Lama 03-05-1977 MOCH QOYYIM
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Lama 09-06-1972 JOKO SUWARNO

Lama 24-02-1976 EDI SISWO
Lama 21-10-1967 M ZAINUDIN
Lama 12-12-1969 MUSLIKA
Baru 11-12-1967 SUTRISNO
Baru 01-11-1972 IKSAN
Lama 01-05-1969 SATUMAN WIJI
Lama 10-08-1968 SUMADI
Lama 14-04-1970 SLAMET RAHARJO
Lama 30-11-1970 TUTIK
Baru 12-06-1969 MININ
Lama 01-03-1973 P.KHOLIL
Lama 01-07-1968 HARUNA SUHUWAKI
Lama 24-01-1975 SAIFULLAH
Lama 26-02-1975 MUSTAMAR
Lama 01-07-1968 KASMURI
Lama 22-12-1974 SUYANTO
Lama 13-01-1973 HARTONO
Lama 07-08-1968 SAIFUL IKHSAN
Lama 09-06-1972 JOKO SUWARNO
Lama 23-03-1970 P.BANTU
Lama 29-09-1972 DADANG SUGIANTO
Lama 21-10-1967 M ZAINUDIN
Baru 11-04-1968 JUMAÀT
Lama 07-09-1970 SUGIAT
Baru 29-04-1974 MUDAWAMAH
Lama 30-09-1974 suparno
Lama 01-07-1970 MIADI
Lama 30-05-2013 paiman
Lama 18-10-2013 KOIRUL
Baru 02-07-2017 -
Lama 17-05-2016 ISMANU
Lama 28-06-2015 SUHARIATIK
Lama 18-08-2015 M. MALIK
Lama 18-04-2016 FAISAL
Lama 30-05-2013 paiman
Lama 21-06-2015 SAIFUL BACHTIAR
Lama 02-06-2015 PURNOMO
Lama 06-06-2017 BUDI SANTOSO
Lama 23-05-2014 SUJITO
Lama 07-11-2014 AGUNG SANTOSO
Lama 13-05-2016 ZAINUL MASHUDI
Lama 25-03-2016 RIADIN
Lama 26-09-2015 SUYITNO
Lama 29-04-2017 WAHYU HIDAYAT
Lama 09-02-2017 WAHYUDI
Lama 04-12-2016 IRWANTO
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Lama 05-09-2015 SAMSUL

Baru 11-10-2012 SUSANTO
Lama 05-12-2015 NOVIAR ARIS WIDIANTO
Baru 30-12-2015 ZAINUL ABIDIN
Lama 15-01-2014 KOWIM
Lama 30-09-2013 RUDI
Lama 29-12-2015 DHUKA ALFANDI
Lama 26-09-2013 MUCHAMAD ARIFIN
Lama 28-02-2014 SUTRISNO RIFA'I
Baru 13-11-2015 SUNOTO
Lama 24-01-2015 hendra
Lama 11-05-2015 RIPIN
Lama 01-07-2017 HUSNI BOBSAID
Lama 19-12-2016 M SUDAR
Lama 20-01-2015 BUDI ASWANTO
Lama 02-05-2016 julianto
Lama 18-04-2016 HARIADI
Lama 06-04-2013 ANDI KURNIAWAN
Baru 08-08-2015 KHOIRIL
Baru 30-04-2015 ALI FUAJIN
Lama 25-12-2013 MIFTAKHUL ROHMAN
Lama 08-05-2017 EKO SAMPURNO
Lama 29-03-2016 YULI ANAM
Lama 13-05-2016 ZAINUL
Baru 20-09-2014 IMRON
Lama 30-06-2017 ANDIK PRASETYO
Baru 14-07-2017 ANDRI
Lama 30-08-2014 SUDARMANTO
Lama 20-08-2014 PAIMIN
Lama 23-07-2016 SULIS SETIWAN
Lama 18-05-2016 SUBAKIR
Lama 14-07-2017 ANDRI
Lama 03-11-2013 SUMARTO
Lama 11-04-2014 SUDIN
Lama 14-12-2015 ANGGA
Lama 15-08-2012 SABOR
Lama 19-04-2017 SULIS
Lama 04-07-2015 AHMAD FAUZI
Lama 23-05-2014 SUJITO
Lama 25-10-2016 KODYIANTO
Lama 25-03-2015 ADI MARGONO
Lama 18-08-2015 M. MALIK
Lama 26-05-2014 IDI PRAYUGO
Lama 27-10-2013 WAHYUDI
Lama 01-09-2015 AHMAD
Lama 26-05-2014 IDI PRAYUGO
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Lama 06-09-1965 SUWAJI

Lama 05-06-1964 BUNADI
Lama 31-01-1967 HARTIONO
Lama 05-02-1963 WASIS
Baru 04-07-1967 -
Lama 12-09-1964 HARSONO
Lama 01-07-1964 KHUSNUL HUDAH
Lama 06-04-1965 IDRIS
Lama 10-09-1962 SUMANTRI
Lama 10-05-1965 ENDANG SUTIYEM
Lama 09-01-1963 TRI YANTOKO
Baru 26-12-1963 SUNTIARSIH
Lama 01-05-1963 BAMBANG
Lama 06-06-1967 ODING SOLEHUDIN
Baru 10-10-1965 MAHMUDI
Lama 13-06-1963 ISNADI
Lama 12-05-1966 SUPRIANTO
Baru 12-12-1962 SUTOYO
Lama 30-12-1965 P.MUSLIK
Lama 12-02-1964 BUDI HARIYANTO
Lama 23-11-1962 ISMAN
Lama 13-02-1963 bunah
Baru 26-02-1964 patolah
Lama 10-05-1962 SUWATI
Lama 10-06-1960 TAMSIR
Baru 01-07-1957 SODIKIN
Lama 12-03-1953 WAKIATIN
Lama 05-01-1953 RAKIJO
Lama 29-12-1960 AHMAD SATIBI
Lama 17-11-1960 HADIRI
Lama 01-07-1955 miun
Lama 01-07-1955 P.Sodikin
Lama 01-01-1961 BIBIT SURATNO
Lama 14-07-1954 ASNAN
Lama 17-11-1960 HADIRI
Lama 17-05-1957 BAMBANG BUDIONO
Lama 11-11-1952 KEMI
Lama 12-06-1955 P.BASORI
Lama 09-06-1962 MUJIONO
Baru 26-04-1957 HERI JUWONO
Lama 01-01-1957 SUWOTO
Lama 11-12-1956 MUJANAH
Lama 18-06-1955 SUWANTI
Lama 19-10-1960 KOMIL
Baru 05-02-1957 SUPARNO
Baru 16-05-1961 BUNAH
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Lama 01-07-1955 NGATIMAN
Lama 01-01-1953 PADILAN
Lama 01-01-1957 SUWOTO
Lama 15-05-1960 NAMUN
Baru 18-05-1961 PAIDI
Lama 05-01-1953 JAMAIYAH
Lama 12-07-1960 SALI
Lama 18-10-1959 SAMSUL ARIFIN
Lama 05-01-1953 JAMAIYAH
Lama 01-07-1960 bambang sayogo
Lama 01-07-1960 ASMALIK
Lama 26-06-2022 MUHAMMAD ABIDIN
Baru 05-07-2022 M AMIN CHOIRUDIN
Baru 24-06-2022 -
Lama 10-11-1948 SUMADI AL WAGIMAN
Lama 10-08-1946 ASRAB
Lama 07-01-1952 MUJIONO
Lama 14-04-1941 MAIMUNAH
Lama 24-10-1946 JOKO DRAJAT
Lama 08-06-1948 NGATEMI
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NAMA ORTU KEC DESA

SYAIFUL ANWAR SUMOBITO GEDANGAN
SUYONO SUMOBITO CURAHMALANG
DIDIK ADI PRASETYA SUMOBITO TALUNKIDUL
MARSUWONO SUMOBITO MLARAS
KACIR IPUNG SUMOBITO SEBANI
WARAS SUMOBITO SUMOBITO
SUPRIADI SUMOBITO CURAHMALANG
HENDIK FERI PRASETYO SUMOBITO TALUNKIDUL
MASHUDI SUMOBITO BUDUGSIDOREJO
HERU WAHYUDI SUMOBITO BUDUGSIDOREJO
SULISWANTO SUMOBITO BUDUGSIDOREJO
WIKO BAYU SANTOSO SUMOBITO SEBANI
WIKO BAYU SANTOSO SUMOBITO SEBANI
SUGENG SUMOBITO GEDANGAN
ABDUL ROZIK ISMAIL SUMOBITO PLEMAHAN
MISNO SUMOBITO PLEMAHAN
HENGKY SUMOBITO CURAHMALANG
IMRON SUMOBITO MENTURO
M KOIRUL SUMOBITO SEBANI
SUPRIADI SUMOBITO CURAHMALANG
NOVIAR ARIS W SUMOBITO TALUNKIDUL
AJI SAMPURNO SUMOBITO CURAHMALANG
SUGIANTO SUMOBITO SEGODOREJO
RIZAL ADITIYA SUMOBITO CURAHMALANG
AGUS SUMOBITO SEGODOREJO
HENDRA PURWANTO SUMOBITO CURAHMALANG
sugihartono SUMOBITO GEDANGAN
sugihartono SUMOBITO GEDANGAN
HENDRA PURWANTO SUMOBITO CURAHMALANG
M KHABIB SUMOBITO SEGODOREJO
SITI MUNADHIROH SUMOBITO SEGODOREJO
MAKRUS SANTOSO SUMOBITO TALUNKIDUL
ENI SUMOBITO SEGODOREJO
IRAWAN SUMOBITO SEBANI
FERI IRAWAN SUMOBITO SUMOBITO
WAKID FIRMANSYAH SUMOBITO GEDANGAN
EKA WIJAYANTO SUMOBITO SEGODOREJO
SUYONO SUMOBITO BAKALAN
ABDUL ROUF SUMOBITO SEBANI
KACIR IPUNG SUMOBITO SEBANI
PURNOMO SUMOBITO CURAHMALANG
MIFTAKUL SUMOBITO KENDALSARI
NAFIS SUMOBITO TALUNKIDUL
NURUL CHOIM SUMOBITO BRUDU
- SUMOBITO SEBANI
agus SUMOBITO BRUDU
WIDHA TWINNUARI DANI RE SUMOBITO SEGODOREJO
SUDARSO SUMOBITO SEBANI
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AGUS HARDIANTO SUMOBITO CURAHMALANG

UDIN SUMOBITO CURAHMALANG
- SUMOBITO SEBANI
KIROM SUMOBITO KENDALSARI
M DAVID ZAKARIA SUMOBITO BADAS
MASHUDI SUMOBITO KEDUNGPAPAR
WAHYUDI EKO PROYO SUMOBITO CURAHMALANG
AGUS CAHYONO SUMOBITO BRUDU
KHOIRUL MAKIN SUMOBITO MENTURO
JUPRI SUMOBITO GEDANGAN
KUSMAN SUMOBITO BUDUGSIDOREJO
WARAS SUMOBITO SUMOBITO
SLAMET SUMOBITO SEBANI
HADI SUCIPTO SUMOBITO SEGODOREJO
SUHERMAN SUMOBITO SEBANI
INDRIKA SUSANTI SUMOBITO MENTURO
MIFTAKHUL ROKHIM SUMOBITO CURAHMALANG
- SUMOBITO GEDANGAN
ANDRIANTO SUMOBITO TALUNKIDUL
YUSUF SUMOBITO SEBANI
kamto SUMOBITO KENDALSARI
KUSNADI SUMOBITO BAKALAN
A KHUSEN MAKRUF SUMOBITO SEGODOREJO
AAN SETYAWAN SUMOBITO CURAHMALANG
DENI WIJAYA SUMOBITO TALUNKIDUL
BUDI HARTONO SUMOBITO SEBANI
HARIONO SUMOBITO MENTURO
AHMAD FAUZI SUMOBITO CURAHMALANG
A KHUSEN MAKRUF SUMOBITO SEGODOREJO
RAKHMAN SAPTO AJI SUMOBITO KEDUNGPAPAR
KUSMADHONO SUMOBITO CURAHMALANG
- SUMOBITO GEDANGAN
IRVAN ARIF EKO WAHANA SUMOBITO SEBANI
JOKO BUDI ASMORO SUMOBITO SUMOBITO
WINTORO SUMOBITO CURAHMALANG
MUKODIRIN SUMOBITO BUDUGSIDOREJO
SUPARMAN SUMOBITO BAKALAN
Sabarudin SUMOBITO CURAHMALANG
MUHAMMAD WAHYUNI SUMOBITO PALREJO
PONIMAN SUMOBITO TALUNKIDUL
YULIS SUMOBITO BAKALAN
EFENDI SUMOBITO GEDANGAN
SUWARDI SUMOBITO CURAHMALANG
KUSMIADI SUMOBITO GEDANGAN
SARTONO SUMOBITO CURAHMALANG
abdul muntolip SUMOBITO KENDALSARI
P.HENDRA SUMOBITO SUMOBITO
BUHASAN SUMOBITO KEDUNGPAPAR
URIP SUMOBITO SEGODOREJO
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SUDARSO SUMOBITO BAKALAN

PUJIYANTO SUMOBITO TALUNKIDUL
RUDI SUMOBITO SEBANI
AGUS FUTNADI SUMOBITO GEDANGAN
NUR ABDUL ROHMAN SUMOBITO BUDUGSIDOREJO
ANAM SUMOBITO MENTURO
SUGENG MAULANA SUMOBITO BADAS
WAKHID FIRMANSYAH SUMOBITO GEDANGAN
SARIYANTO SUMOBITO GEDANGAN
A.EFENDI SUMOBITO MADYOPURO
NURUL ROBI INADIN SUMOBITO CURAHMALANG
GATOT ROMLAN SUMOBITO BAKALAN
AMAR MAKRUF SUMOBITO TALUNKIDUL
IMAM HADI SUMOBITO SUMOBITO
RIONO SUMOBITO SEGODOREJO
ZULI SUGIANTORO SUMOBITO MENTURO
AGUS FUTNADI SUMOBITO GEDANGAN
ANDIK WIJAYA SUMOBITO BUDUGSIDOREJO
ANDIK WIJAYA SUMOBITO BUDUGSIDOREJO
IBNU MALIK SUMOBITO GEDANGAN
BAHRUDIN SUMOBITO SEBANI
MARDIONO SUMOBITO MENTURO
ANAM SUMOBITO MENTURO
M.FATONI SUMOBITO TALUNKIDUL
MUHAMMAD MALIK SUMOBITO SEBANI
RUDI HERMAWAN SUMOBITO TALUNKIDUL
ZULI SUGIANTORO SUMOBITO MENTURO
SUGIANTO SUMOBITO SEBANI
P.IMAM MUSLIM SUMOBITO BAKALAN
TIARI SUMOBITO MENTURO
KURNIAWAN SUMOBITO CURAHMALANG
SULADI SUMOBITO BAKALAN
HEVI HAYATI SUMOBITO SUMOBITO
DARMAJI SUMOBITO BUDUGSIDOREJO
SUTONO SUMOBITO CURAHMALANG
P.SUPARMAN SUMOBITO TALUNKIDUL
KANDAR SUMOBITO SEGODOREJO
P.M.IRFAN HADI SUMOBITO SEGODOREJO
P.NUR IKHWAN SUMOBITO BRUDU
TARSUN SUMOBITO GEDANGAN
BUNADI SUMOBITO KENDALSARI
DIDIK SUMOBITO CURAHMALANG
SUYETNO SUMOBITO CURAHMALANG
SISWANTO SUMOBITO GEDANGAN
KHOMSIN SUMOBITO MLARAS
SRINING SUMOBITO CURAHMALANG
BADRUL KASAN SUMOBITO BUDUGSIDOREJO
SUYOTO SUMOBITO MADYOPURO
AGUS SUMOBITO CURAHMALANG
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P.SUTRISNO RIFAÌ SUMOBITO GEDANGAN

PONARI SUMOBITO TALUNKIDUL
MUSTOFAH SUMOBITO SEGODOREJO
SUPRAPTO SUMOBITO SUMOBITO
KASTUBI SUMOBITO GEDANGAN
P.KUSMAN SUMOBITO BUDUGSIDOREJO
YUNUS SUMOBITO MLARAS
BUDI PRASTIYO SUMOBITO BUDUGSIDOREJO
ISMANURAHARJO SUMOBITO MLARAS
MAKRUS SUMOBITO SEGODOREJO
LILIS ZUNIARSIH SUMOBITO SEGODOREJO
PARIONO SUMOBITO MADYOPURO
MUDIANTO SUMOBITO SEGODOREJO
NARKO SUMOBITO SEBANI
JOLALI SUMOBITO SUMOBITO
HASYIM SUMOBITO MENTURO
SLAMET SUMOBITO MENTURO
AGUS SUMOBITO SEGODOREJO
KHOTIB SUMOBITO MLARAS
SANIMAN SUMOBITO KENDALSARI
SUJOKO SUMOBITO BAKALAN
EDI PURWANTO SUMOBITO BADAS
KOMARI SUMOBITO SEGODOREJO
HASIRON SUMOBITO PALREJO
SAIFUL SUMOBITO SEBANI
yulis SUMOBITO BAKALAN
SUDIONO SUMOBITO TALUNKIDUL
P.LUKMAN HAKIM SUMOBITO SUMOBITO
SODIKIN SUMOBITO CURAHMALANG
MUHAMMAD MALIK SUMOBITO SEBANI
JOLALI SUMOBITO SUMOBITO
NANANG SUJATMIKO SUMOBITO SUMOBITO
WIDODO SUMOBITO TALUNKIDUL
- SUMOBITO SUMOBITO
ROHMAN SUMOBITO SUMOBITO
SOLIKUN SUMOBITO CURAHMALANG
ABDUL MUBIN SUMOBITO BAKALAN
- SUMOBITO TRAWASAN
ASRUR SUMOBITO BAKALAN
MULYONO SUMOBITO MADYOPURO
MRDIONO SUMOBITO MENTURO
SUNTONO SUMOBITO KEDUNGPAPAR
TRI WAHANA SUMOBITO CURAHMALANG
- SUMOBITO CURAHMALANG
PAISAN SUMOBITO BAKALAN
- SUMOBITO SEBANI
UMI SA'ADAH SUMOBITO SUMOBITO
INSIHARJO SUMOBITO SUMOBITO
PA'I SUMOBITO GEDANGAN
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CHUSAIRI SUMOBITO MLARAS

EKO PRASETYO SUMOBITO KEDUNGPAPAR
SUWAJI SUMOBITO BUDUGSIDOREJO
ABDUL FATAH SUMOBITO KENDALSARI
- SUMOBITO BUDUGSIDOREJO
SHODIKUL MUKMININ SUMOBITO BUDUGSIDOREJO
ARMAN SUMOBITO SEGODOREJO
SUTRISNO SUMOBITO SEGODOREJO
SANURI SUMOBITO SEBANI
SALI MULYONO SUMOBITO SEGODOREJO
SUTONO SUMOBITO CURAHMALANG
riyadi SUMOBITO SUMOBITO
MASUD SUMOBITO SEGODOREJO
SLAMET SUGIARTO SUMOBITO SEGODOREJO
JONES SUMOBITO SEGODOREJO
P.Santoso SUMOBITO SEGODOREJO
- SUMOBITO KENDALSARI
- SUMOBITO KEDUNGPAPAR
JONI SUMOBITO KENDALSARI
RIYANTO SUMOBITO BUDUGSIDOREJO
TIYAMAN SUMOBITO BADAS
SUNARYO SUMOBITO SEGODOREJO
SLAMET SUGIARTO SUMOBITO SEGODOREJO
- SUMOBITO TALUNKIDUL
P.MULYONO 479-11 SUMOBITO SEGODOREJO
MUADI SUMOBITO MENTURO
MUSTOFA SUMOBITO MENTURO
- SUMOBITO SEGODOREJO
a. zainal murtaqi SUMOBITO BAKALAN
SUDIONO SUMOBITO TALUNKIDUL
SUMARLIK (ANAM ALM) SUMOBITO SEGODOREJO
SETIAWAN SUMOBITO BUDUGSIDOREJO
WAWAN SUMOBITO CURAHMALANG
SUMAIN SUMOBITO SEBANI
NUR ALI IRAWAN SUMOBITO SUMOBITO
PUJI ADI SUMOBITO SEGODOREJO
SUKADI SUMOBITO PLEMAHAN
AHMAD FATONI SUMOBITO CURAHMALANG
TRY ADI SETYAWAN SUMOBITO TALUNKIDUL
SULKAN SUMOBITO SEGODOREJO
JONI SUMOBITO KENDALSARI
- SUMOBITO MLARAS
SOBIRIN SUMOBITO SEBANI
FERI AGUS SUMOBITO SEBANI
HERMANTO SUMOBITO MENTURO
RUPINAH / SUWARJI SUMOBITO MADYOPURO
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MAT KOLIL SUMOBITO CURAHMALANG

MUDIAH SUMOBITO SUMOBITO
SISWANTO SUMOBITO GEDANGAN
SUGIRI SUMOBITO SEBANI
SAMI'UN SUMOBITO TRAWASAN
HASAN SUMOBITO BUDUGSIDOREJO
INDRA WIJAYA SUMOBITO SEGODOREJO
P.DIDIK SUPRIYADI SUMOBITO MLARAS
P.JUNAIDI SUMOBITO SEBANI
ARIS WIBOWO SUMOBITO SEBANI
MAT KOLIL SUMOBITO CURAHMALANG
AMANU SUMOBITO BADAS
KURROTIN SUMOBITO SEBANI
SUKATOYO SUMOBITO BAKALAN
SUYANTO SUMOBITO BUDUGSIDOREJO
P.SUYATMAN SUMOBITO MADYOPURO
JULIANTO SUMOBITO BUDUGSIDOREJO
YENI RAHMAWATI SUMOBITO BADAS
ALI SUMOBITO BAKALAN
KUSNAN SUMOBITO SEGODOREJO
EDI SUSANTO SUMOBITO GEDANGAN
SUPAAT SUMOBITO SEGODOREJO
SUYADI SUMOBITO MADYOPURO
KURROTIN SUMOBITO SEBANI
NURUL MASHUDA SUMOBITO CURAHMALANG
BAKRI SUMOBITO BAKALAN
eko wahyono SUMOBITO BAKALAN
SUPENO SUMOBITO BAKALAN
YUNI AGUS SUTOYO SUMOBITO SUMOBITO
NGATEMAN SUMOBITO KENDALSARI
SUHADI SUMOBITO MENTURO
SANDOYO SUMOBITO CURAHMALANG
supaat SUMOBITO GEDANGAN
- SUMOBITO PLOSOKEREP
MUKININ SUMOBITO KEDUNGPAPAR
AMZA SUMOBITO SEBANI
P.KUSLAN SUMOBITO CURAHMALANG
YONI UTOMO SUMOBITO SEGODOREJO
AL ALIF SUMOBITO SEBANI
- SUMOBITO MADYOPURO
SUDIANTO SUMOBITO TALUNKIDUL
SABERINA AGUSTA GUNAWASUMOBITO CURAHMALANG
BASIR SUMOBITO SUMOBITO
RIYANTO SUMOBITO SUMOBITO
- SUMOBITO SUMOBITO
ABDUL SANAN SUMOBITO MLARAS
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NURUL ROMADLON SUMOBITO SUMOBITO

SUGENG SUMOBITO SUMOBITO
budiono SUMOBITO KENDALSARI
AHMAD DIMYATI SUMOBITO MENTURO
- SUMOBITO BAKALAN
BUDI SAMBODO SUMOBITO BAKALAN
P.BUSIRI SUMOBITO SUMOBITO
NGATEMAN SUMOBITO KENDALSARI
SUTRISNO SUMOBITO SEGODOREJO
ZAINUDIN SUMOBITO BUDUGSIDOREJO
ALI SODIKIN SUMOBITO BUDUGSIDOREJO
ALI SODIKIN SUMOBITO BUDUGSIDOREJO
SAMSUL MAÀRIF SUMOBITO TALUNKIDUL
EDI JOKO SANTOSO SUMOBITO KEDUNGPAPAR
P.RIYADI (365/2008) SUMOBITO SUMOBITO
MUJIANTO SUMOBITO BUDUGSIDOREJO
- SUMOBITO SEBANI
ABDUL SUMOBITO BUDUGSIDOREJO
KARNAWI SUMOBITO BAKALAN
EDI SUKAREN SUMOBITO SUMOBITO
M. ZAINI SUMOBITO KENDALSARI
P.PUJIANTO SUMOBITO SUMOBITO
MUJIANTO SUMOBITO BUDUGSIDOREJO
MUSLIKA SUMOBITO SEBANI
PONISO SUMOBITO TALUNKIDUL
- SUMOBITO GEDANGAN
P.SUJALI SUMOBITO SUMOBITO
BAKERAN SUMOBITO SUMOBITO
ABDUR ROHIM SUMOBITO MENTURO
P.MULYONO SUMOBITO SEGODOREJO
P.RUKUN SUMOBITO SEBANI
NGADI SUMOBITO TALUNKIDUL
SUKOSO SUMOBITO TALUNKIDUL
NUR ADI (ALM) SUMOBITO SEBANI
- SUMOBITO SEBANI
SUYATI SUMOBITO MENTURO
SARKAWI SUMOBITO SEBANI
ZAINUL ARIFIN SUMOBITO GEDANGAN
P.JUMIONO SUMOBITO CURAHMALANG
P.NGADI SUMOBITO SUMOBITO
SATUPAH SUMOBITO SEBANI
WITARNO SUMOBITO SEGODOREJO
ZAINUL ARIFIN SUMOBITO GEDANGAN
SUWITO SUMOBITO SEBANI
- SUMOBITO BADAS
P.NUR ATIM SUMOBITO KEDUNGPAPAR
MOCH QOYYIM SUMOBITO SUMOBITO
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JOKO SUWARNO SUMOBITO BUDUGSIDOREJO

EDI SISWO SUMOBITO MADYOPURO
M ZAINUDIN SUMOBITO BUDUGSIDOREJO
MUSLIKA SUMOBITO SEBANI
- SUMOBITO BAKALAN
- SUMOBITO MLARAS
WAGINI SUMOBITO SEBANI
SUMADI SUMOBITO MLARAS
SLAMET RAHARJO SUMOBITO PALREJO
- SUMOBITO BAKALAN
- SUMOBITO SEBANI
P.KHOLIL SUMOBITO BAKALAN
SUMADI SUMOBITO MLARAS
HARUNA SUHUWAKI SUMOBITO CURAHMALANG
- SUMOBITO MLARAS
KASMURI SUMOBITO CURAHMALANG
- SUMOBITO SEBANI
KUSNAN SUMOBITO BAKALAN
HARTONO SUMOBITO TALUNKIDUL
SAIFUL IKHSAN SUMOBITO CURAHMALANG
JOKO SUWARNO SUMOBITO BUDUGSIDOREJO
P.BANTU SUMOBITO TALUNKIDUL
DADANG SUGIANTO SUMOBITO MENTURO
M ZAINUDIN SUMOBITO BUDUGSIDOREJO
JUMAÀT SUMOBITO SEGODOREJO
NGADI SUMOBITO GEDANGAN
MUDAWAMAH SUMOBITO TALUNKIDUL
jali SUMOBITO MENTURO
MIADI SUMOBITO MADYOPURO
paiman SUMOBITO KEDUNGPAPAR
KOIRUL SUMOBITO SUMOBITO
- SUMOBITO BADAS
ISMANU SUMOBITO CURAHMALANG
SISWANTO SUMOBITO TALUNKIDUL
SUNARMI SUMOBITO TALUNKIDUL
M. MALIK SUMOBITO SEBANI
FAISAL SUMOBITO CURAHMALANG
paiman SUMOBITO KEDUNGPAPAR
SAIFUL SUMOBITO SEGODOREJO
PURNOMO SUMOBITO PLOSOKEREP
DIANA LARASATI SUMOBITO MENTURO
SUJITO SUMOBITO BUDUGSIDOREJO
AGUNG SANTOSO SUMOBITO GEDANGAN
ZAINUL MASHUDI SUMOBITO SEGODOREJO
RIADIN SUMOBITO CURAHMALANG
SUYITNO SUMOBITO BAKALAN
WAHYU HIDAYAT SUMOBITO SEBANI
WAHYUDI SUMOBITO SEGODOREJO
IRWANTO SUMOBITO SUMOBITO
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SAMSUL SUMOBITO TALUNKIDUL

SUSANTO SUMOBITO KENDALSARI
MUJIATI / ANA SURYANI SUMOBITO TALUNKIDUL
ZAINUL ABIDIN SUMOBITO TRAWASAN
KOWIM SUMOBITO BRUDU
RUDI SUMOBITO SEBANI
DHUKA ALFANDI SUMOBITO SUMOBITO
MUCHAMAD ARIFIN SUMOBITO KENDALSARI
SUTRISNO RIFA'I SUMOBITO GEDANGAN
SUNOTO SUMOBITO PLEMAHAN
hendra SUMOBITO SUMOBITO
RIPIN SUMOBITO SEGODOREJO
HUSNI SUMOBITO SEGODOREJO
M SUDAR SUMOBITO BRUDU
MUSTAMAR SUMOBITO TALUNKIDUL
BUDI ASWANTO SUMOBITO SUMOBITO
julianto SUMOBITO BUDUGSIDOREJO
HARIADI SUMOBITO MADYOPURO
ANDI KURNIAWAN SUMOBITO SEBANI
KHOIRIL SUMOBITO KENDALSARI
WIWIK AFIFAH SUMOBITO SEBANI
MIFTAKHUL ROHMAN SUMOBITO CURAHMALANG
EKO SAMPURNO SUMOBITO MADYOPURO
YULI ANAM SUMOBITO MENTURO
ZAINUL SUMOBITO SEGODOREJO
IMRON SUMOBITO PLOSOKEREP
ANDIK SUMOBITO GEDANGAN
ANDRI SUMOBITO BAKALAN
SUDARMANTO SUMOBITO KENDALSARI
PAIMIN SUMOBITO MLARAS
SULIS SETIAWAN SUMOBITO SEGODOREJO
SUBAKIR SUMOBITO CURAHMALANG
ANDRI SUMOBITO BAKALAN
SUMARTO SUMOBITO MADYOPURO
SUDIN SUMOBITO SUMOBITO
ANGGA SUMOBITO BAKALAN
SABOR SUMOBITO SEGODOREJO
SULIS SUMOBITO SEBANI
AHMAD FAUZI SUMOBITO KEDUNGPAPAR
SUJITO SUMOBITO BUDUGSIDOREJO
MUSTAMAR SUMOBITO TALUNKIDUL
KODYIANTO SUMOBITO BAKALAN
ADI MARGONO SUMOBITO SUMOBITO
M. MALIK SUMOBITO SEBANI
IDI PRAYUGO SUMOBITO SEGODOREJO
WAHYUDI SUMOBITO SEGODOREJO
AHMAD SUMOBITO BUDUGSIDOREJO
IDI PRAYUGO SUMOBITO SEGODOREJO
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SUWAJI SUMOBITO BUDUGSIDOREJO

BUNADI SUMOBITO KENDALSARI
KUSNAN SUMOBITO BAKALAN
SUMADI SUMOBITO SEGODOREJO
- SUMOBITO BAKALAN
HARSONO SUMOBITO SEBANI
KHUSNUL HUDAH SUMOBITO SEGODOREJO
IDRIS SUMOBITO SUMOBITO
SUMANTRI SUMOBITO SEGODOREJO
jupri SUMOBITO CURAHMALANG
TRI YANTOKO SUMOBITO CURAHMALANG
JAIM SUMOBITO KENDALSARI
- SUMOBITO SUMOBITO
ODING SOLEHUDIN SUMOBITO TALUNKIDUL
ISNADI SUMOBITO SUMOBITO
SAHAB SUMOBITO SEBANI
P.MUSLIK SUMOBITO MADYOPURO
ISMAN SUMOBITO CURAHMALANG
- SUMOBITO BAKALAN
patolah SUMOBITO BAKALAN
SUWATI SUMOBITO SUMOBITO
BAMBANG SUMOBITO SUMOBITO
TAMSIR SUMOBITO SEGODOREJO
WAKIATIN SUMOBITO BUDUGSIDOREJO
RAKIJO SUMOBITO SUMOBITO
AHMAD SATIBI SUMOBITO BAKALAN
HADIRI SUMOBITO SEGODOREJO
miun SUMOBITO SEBANI
P.Sodikin SUMOBITO SEBANI
BIBIT SURATNO SUMOBITO SUMOBITO
ASNAN SUMOBITO TALUNKIDUL
HADIRI SUMOBITO SEGODOREJO
BAMBANG BUDIONO SUMOBITO SEBANI
BAMBANG SUMOBITO SUMOBITO
KEMI SUMOBITO TALUNKIDUL
P.BASORI SUMOBITO CURAHMALANG
MUJIONO SUMOBITO BAKALAN
- SUMOBITO SUMOBITO
SUWOTO SUMOBITO KEDUNGPAPAR
MUJANAH SUMOBITO BUDUGSIDOREJO
SUWANTI SUMOBITO KENDALSARI
SUPARNO SUMOBITO BAKALAN
BUNAH SUMOBITO BAKALAN
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SUTRISNO SUMOBITO SUMOBITO

- SUMOBITO SEBANI
- SUMOBITO NGLELE
SUWOTO SUMOBITO KEDUNGPAPAR
NAMUN SUMOBITO KENDALSARI
JAMAIYAH SUMOBITO CURAHMALANG
SALI SUMOBITO TALUNKIDUL
SAMSUL ARIFIN SUMOBITO KENDALSARI
JAMAIYAH SUMOBITO CURAHMALANG
bambang sayogo SUMOBITO CURAHMALANG
BAIDOWI SUMOBITO SEGODOREJO
MUHAMMAD ABIDIN SUMOBITO SEBANI
M AMIN CHOIRUDIN SUMOBITO KENDALSARI
ASRAB SUMOBITO KEDUNGPAPAR
MUJIONO SUMOBITO BAKALAN
MAIMUNAH SUMOBITO KENDALSARI
JOKO DRAJAT SUMOBITO TALUNKIDUL
NGATEMI SUMOBITO CURAHMALANG
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ALAMAT KATEGORI TUJUAN

GEDANGAN BPJS PENGOBATAN
KRAJAN BPJS PENGOBATAN
SEDAMAR BAYAR/UMUM PENGOBATAN
GANDU BAYAR/UMUM PENGOBATAN
SEBANI BAYAR/UMUM PENGOBATAN
INGASPENDOWO BPJS PENGOBATAN
WONOKOYO BPJS PENGOBATAN
SEMBUJO BAYAR/UMUM PENGOBATAN
SEMBUJO BPJS PENGOBATAN
GONDANG BPJS PENGOBATAN
MOJODADI BPJS PENGOBATAN
BABUT BPJS PENGOBATAN
TEGALAN BAYAR/UMUM PENGOBATAN
MENTURO BPJS PENGOBATAN
BALONGSONO BPJS PENGOBATAN
BESUK BPJS PENGOBATAN
BANJAREJO BPJS PENGOBATAN
PENGALANGAN BAYAR/UMUM PENGOBATAN
TEGALAN BPJS PENGOBATAN
gedangan BPJS PENGOBATAN
TULUNGREJO BPJS PENGOBATAN
KLAMPISAN BPJS PENGOBATAN
BALONGSONO BAYAR/UMUM PENGOBATAN
KEMIRI BAYAR/UMUM PENGOBATAN
SEBANI BPJS PENGOBATAN
SUMOBITO BPJS PENGOBATAN
SEDAPUR BAYAR/UMUM PENGOBATAN
KEDUNGSARI BAYAR/UMUM PENGOBATAN
JEBLOK BAYAR/UMUM PENGOBATAN
sukorejo BAYAR/UMUM PENGOBATAN
BANJAREJO BAYAR/UMUM PENGOBATAN
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KRAJAN BAYAR/UMUM PENGOBATAN

sebani BAYAR/UMUM PENGOBATAN
KENDALSARI BAYAR/UMUM PENGOBATAN
BADAS BAYAR/UMUM PENGOBATAN
LOSARI BAYAR/UMUM PENGOBATAN
SUKOREJO BAYAR/UMUM PENGOBATAN
GEDANGAN BAYAR/UMUM PENGOBATAN
SEGODOREJO BAYAR/UMUM PENGOBATAN
MENTURO BAYAR/UMUM PENGOBATAN
gedangan BAYAR/UMUM PENGOBATAN
BALONGOMBO BAYAR/UMUM PENGOBATAN
sugihwaras BAYAR/UMUM PENGOBATAN
BAKALAN BAYAR/UMUM PENGOBATAN
TULUNGREJO BAYAR/UMUM PENGOBATAN
BALONGSONO/PUCANGAN BAYAR/UMUM PENGOBATAN
SIMPING BAYAR/UMUM PENGOBATAN
TRAGAL BAYAR/UMUM PENGOBATAN
BESUK BAYAR/UMUM PENGOBATAN
JOHO CLUMPRIT BAYAR/UMUM PENGOBATAN
BESUK BAYAR/UMUM PENGOBATAN
BULU BPJS PENGOBATAN
Tegalan BPJS PENGOBATAN
SUMBERWARU BPJS PENGOBATAN
SEDAMAR BPJS PENGOBATAN
WONOSARI BPJS PENGOBATAN
ngrambe BPJS PENGOBATAN
JOHO CLUMPRIT BPJS PENGOBATAN
PENAMPAN BPJS PENGOBATAN
SANGGRAHAN BPJS PENGOBATAN
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BAKALAN BPJS PENGOBATAN

BALONG SONO BPJS PENGOBATAN
SIDOKAMPIR BPJS PENGOBATAN
GRUDO BPJS PENGOBATAN
MENTORO BPJS PENGOBATAN
KEDUNGWESI BPJS PENGOBATAN
MENTORO BAYAR/UMUM SURAT KETERANGAN SEHAT
BALONG OMBO BPJS PENGOBATAN
TULUNG REJO BPJS PENGOBATAN
PLOSOREJO BAYAR/UMUM PENGOBATAN
KENDALSARI BPJS PENGOBATAN
KALIWUNGU BAYAR/UMUM PENGOBATAN
GRUDO BAYAR/UMUM PENGOBATAN
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SEGODOREJO BPJS PENGOBATAN
MLARAS BPJS PENGOBATAN
MLARAS BAYAR/UMUM PENGOBATAN
TENGGOR BPJS PENGOBATAN
PENGALANGAN BPJS PENGOBATAN
MEDAN BHAKTI BPJS PENGOBATAN
MENTURO BAYAR/UMUM PENGOBATAN
TULUNG REJO BAYAR/UMUM PENGOBATAN
MLARAS BAYAR/UMUM PENGOBATAN
KURIPAN/TB BAYAR/UMUM PENGOBATAN
BALONGREJO BAYAR/UMUM PENGOBATAN
PALREJO BPJS PENGOBATAN
bulu BPJS PENGOBATAN
TALUNLOR BPJS PENGOBATAN
INGAS PENDOWO BAYAR/UMUM PENGOBATAN
MEDAN BHAKTI BPJS PENGOBATAN
SUMOBITO BAYAR/UMUM PENGOBATAN
INGAS PENDOWO BAYAR/UMUM PENGOBATAN
POJOK BPJS PENGOBATAN
SARIREJO BAYAR/UMUM SURAT KETERANGAN SEHAT
TALUN KIDUL BAYAR/UMUM PENGOBATAN
LOSARI BPJS PENGOBATAN
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TRAGAL BPJS PENGOBATAN
KEMIRI/KEMLAGI BPJS PENGOBATAN
sumobito BPJS PENGOBATAN
KLAMPISAN BAYAR/UMUM PENGOBATAN
KEDUNGPAPAR BPJS PENGOBATAN
KENDAL SARI BPJS PENGOBATAN
GLADAKAN BAYAR/UMUM PENGOBATAN
KLAMPISAN BAYAR/UMUM PENGOBATAN
TALUNLOR BPJS PENGOBATAN
SEMBUJO / JW GRATIS(PROGRAM) PENGOBATAN
BESUK BPJS PEMERIKSAAN KEHAMILAN
CLUMPRIT BPJS PENGOBATAN
MOJODADI BPJS PENGOBATAN
KENDAL SARI BPJS PENGOBATAN
GONDANG BAYAR/UMUM PENGOBATAN
GRUDO BAYAR/UMUM PENGOBATAN
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JOHO CLUMPRIT BPJS PEMERIKSAAN KEHAMILAN
KEDUNGPAPAR BPJS PENGOBATAN
GEBANGSARI BPJS PENGOBATAN
SIDOKAMPIR BAYAR/UMUM PENGOBATAN
KALIWUNGU BPJS PENGOBATAN
GLADAKAN BPJS PENGOBATAN
BALONGREJO BPJS PENGOBATAN
SEDAPUR BPJS PENGOBATAN
MADYOPURO BPJS PENGOBATAN
INGAS PENDOWO BPJS PENGOBATAN
borocilik BPJS PENGOBATAN
PLOSOKEREP BPJS PENGOBATAN
SUGIHWARAS BPJS PENGOBATAN
TALUN LOR BPJS PENGOBATAN
BLG SONO BPJS PENGOBATAN
MEDAN BAKTI BPJS PENGOBATAN
JOHOCLUMPRIT BPJS PENGOBATAN
Page 50
Sheet1
CLUMPRIT BPJS PENGOBATAN

kedungsari BPJS PENGOBATAN
bakalan BPJS PENGOBATAN
SEMBUJO] BAYAR/UMUM PENGOBATAN
KEDUNGSARI BPJS PENGOBATAN
KEMIRI BPJS PENGOBATAN
SEBANI - PROLANIS BPJS PENGOBATAN
JOHO CLUMPRIT BAYAR/UMUM PENGOBATAN
KEDUNGWESI BAYAR/UMUM PENGOBATAN
MENTORO BPJS PENGOBATAN
POJOK BAYAR/UMUM PENGOBATAN
BAJAREJO BPJS PENGOBATAN
BADAS BPJS PENGOBATAN
Page 51
Sheet1

PALREJO BPJS PENGOBATAN
KRAJAN BAYAR/UMUM PENGOBATAN
BAKALAN LUAR GEDUNG PENGOBATAN
menturo BPJS PENGOBATAN
MADYOPURO BPJS PENGOBATAN
BANJARJO BPJS PENGOBATAN
PLOSOKEREP BPJS PENGOBATAN
SEDAPUR BAYAR/UMUM PENGOBATAN
Page 52
Sheet1

KALIMATI BPJS PENGOBATAN
GEBANGSARI BPJS PENGOBATAN
SUKOREJO BAYAR/UMUM PENGOBATAN
TUGU BPJS PENGOBATAN
JOHOCLUMPRIT BAYAR/UMUM PENGOBATAN
BABUT BPJS PENGOBATAN
KEDUNG URIP BAYAR/UMUM PENGOBATAN
sembujo BPJS PENGOBATAN
GONDANG BAYAR/UMUM PENGOBATAN
KURIPAN BAYAR/UMUM PENGOBATAN
TUGU BPJS PENGOBATAN
PLOSOSANTREN BAYAR/UMUM PENGOBATAN
NGUMPAK BPJS PENGOBATAN
KALIMATI BAYAR/UMUM PENGOBATAN
MODO BPJS PENGOBATAN
BANJAREJO BAYAR/UMUM PENGOBATAN
TALUN LOR BPJS PENGOBATAN
Page 53
Sheet1

KEMIRI BPJS PENGOBATAN
NGRAMBE BPJS PENGOBATAN
INGAS PENDOWO - PROLANIBPJS PENGOBATAN
TENGGOR BPJS PENGOBATAN
SUGIHWARAS BPJS PENGOBATAN
WONOKOYO BAYAR/UMUM PENGOBATAN
MEDAN BAKTI / TB BPJS PENGOBATAN
SEGODOREJO,TB BPJS PENGOBATAN
sebani BPJS PENGOBATAN
Sebani BAYAR/UMUM PENGOBATAN
MEDAN BAKTI - PROLANIS BPJS PENGOBATAN
SEGODOREJO,TB BPJS PENGOBATAN
KEDUNGSARI BAYAR/UMUM PENGOBATAN
Page 54
Sheet1

NGLELE BPJS PENGOBATAN
KENDALSARI BAYAR/UMUM PENGOBATAN
Page 55
Sheet1
UNIT/POLI DOKTER USIA

POLI UMUM / BP dr.Dewi Rachmawati 1
POLI KIA dr.Dewi Rachmawati 2
UGD dr. DEWI RACHMAWATI 1
POLI KIA dr. DEWI RACHMAWATI 1
UGD dr.Dewi Rachmawati 2
KAMAR KELAS III dr.Dewi Rachmawati 2
Page 56
Sheet1

POLI UMUM / BP dr. DEWI RACHMAWATI 3
Page 57
Sheet1

POLI UMUM / BP dr.WIBOWO 18
Page 58
Sheet1

POLI UMUM / BP dr. WIBOWO 40
Page 59
Sheet1

POLI UMUM / BP UMI AZIZAH 44
Page 60
Sheet1

POLI UMUM / BP ELY SETIYORINI 37
Page 61
Sheet1

Page 62
Sheet1

POLI UMUM / BP dr Hexawan Tjahja Widada MK 52
Page 63
Sheet1

Page 64
Sheet1

Page 65
Sheet1

Page 66
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KELOMPOK UMUR NO PESERTA TANGGAL DIAGNOSA KODE

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Page 67
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1-4 Thn 25-07-2022 J00

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Page 68
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10-14 Thn 0002809229894 12-07-2022 J00

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Page 69
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15-19 Thn 0002809270811 26-07-2022 J00

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45-54 Thn 0001044159096 25-07-2022 J00
45-54 Thn 25-07-2022 J00
45-54 Thn 0001479514713 26-07-2022 J00
45-54 Thn 0002211897969 26-07-2022 J00
45-54 Thn 0002753807354 27-07-2022 J00
45-54 Thn 0002809271834 27-07-2022 J00
45-54 Thn 28-07-2022 J00
45-54 Thn 28-07-2022 J00
45-54 Thn 0000729633925 28-07-2022 J00
45-54 Thn 0001044177535 28-07-2022 J00
45-54 Thn 0001044179493 28-07-2022 J00
45-54 Thn 0001622643243 29-07-2022 J00
45-54 Thn 0000730402481 29-07-2022 J00
45-54 Thn 0000729765887 29-07-2022 J00
45-54 Thn 0002971159784 29-07-2022 J00
45-54 Thn 29-07-2022 J00
45-54 Thn 0000730064632 29-07-2022 J00
45-54 Thn 0000729923106 30-07-2022 J00
5-9 Thn 01-07-2022 J00
5-9 Thn 0002753500498 01-07-2022 J00
5-9 Thn 02-07-2022 J00
5-9 Thn 0002971157545 02-07-2022 J00
5-9 Thn 0003105481162 03-07-2022 J00
5-9 Thn 0002809272598 04-07-2022 J00
5-9 Thn 0002474024409 04-07-2022 J00
5-9 Thn 0002228238044 04-07-2022 J00
5-9 Thn 04-07-2022 J00
5-9 Thn 0002426893389 05-07-2022 J00
5-9 Thn 0001862036662 05-07-2022 J00
5-9 Thn 0002681088445 05-07-2022 J00
5-9 Thn 0001543174964 06-07-2022 J00
5-9 Thn 0002809273375 06-07-2022 J00
5-9 Thn 0002058918761 07-07-2022 J00
5-9 Thn 0002755179246 07-07-2022 J00
5-9 Thn 07-07-2022 J00
5-9 Thn 08-07-2022 J00
5-9 Thn 0002223950117 08-07-2022 J00
5-9 Thn 0003048729118 08-07-2022 J00
Page 74
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5-9 Thn 11-07-2022 J00

5-9 Thn 0003130609825 11-07-2022 J00
5-9 Thn 11-07-2022 J00
5-9 Thn 0002212804607 13-07-2022 J00
5-9 Thn 14-07-2022 J00
5-9 Thn 0002604960516 14-07-2022 J00
5-9 Thn 14-07-2022 J00
5-9 Thn 0002873532756 14-07-2022 J00
5-9 Thn 0002809270822 15-07-2022 J00
5-9 Thn 0002418179995 16-07-2022 J00
5-9 Thn 0002443765577 16-07-2022 J00
5-9 Thn 0002809270269 16-07-2022 J00
5-9 Thn 0002620018091 16-07-2022 J00
5-9 Thn 17-07-2022 J00
5-9 Thn 0002215190766 18-07-2022 J00
5-9 Thn 0002865820048 20-07-2022 J00
5-9 Thn 0002436694402 20-07-2022 J00
5-9 Thn 0002463185531 20-07-2022 J00
5-9 Thn 20-07-2022 J00
5-9 Thn 0002602494628 21-07-2022 J00
5-9 Thn 21-07-2022 J00
5-9 Thn 0002631980597 22-07-2022 J00
5-9 Thn 22-07-2022 J00
5-9 Thn 0002248027446 22-07-2022 J00
5-9 Thn 0002681103565 23-07-2022 J00
5-9 Thn 0002058921786 23-07-2022 J00
5-9 Thn 23-07-2022 J00
5-9 Thn 0002971162721 24-07-2022 J00
5-9 Thn 0002265548387 24-07-2022 J00
5-9 Thn 25-07-2022 J00
5-9 Thn 0002634552876 25-07-2022 J00
5-9 Thn 25-07-2022 J00
5-9 Thn 0002971157578 25-07-2022 J00
5-9 Thn 0002265548387 25-07-2022 J00
5-9 Thn 0002634385656 25-07-2022 J00
5-9 Thn 0002631049042 26-07-2022 J00
5-9 Thn 0002602494628 26-07-2022 J00
5-9 Thn 0002760455891 26-07-2022 J00
5-9 Thn 0001436775153 26-07-2022 J00
5-9 Thn 27-07-2022 J00
5-9 Thn 0002466044278 27-07-2022 J00
5-9 Thn 0001543174964 28-07-2022 J00
5-9 Thn 0002215190766 28-07-2022 J00
5-9 Thn 0002203167104 28-07-2022 J00
5-9 Thn 0002455218527 28-07-2022 J00
5-9 Thn 0002474024409 28-07-2022 J00
5-9 Thn 0001542818801 29-07-2022 J00
5-9 Thn 0002594795444 29-07-2022 J00
5-9 Thn 29-07-2022 J00
5-9 Thn 0001542818801 31-07-2022 J00
Page 75
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55-59 Thn 0000728910009 01-07-2022 J00

55-59 Thn 0000730297991 02-07-2022 J00
55-59 Thn 0002283007026 04-07-2022 J00
55-59 Thn 0000729993486 04-07-2022 J00
55-59 Thn 0000730767341 04-07-2022 J00
55-59 Thn 04-07-2022 J00
55-59 Thn 0002809264566 08-07-2022 J00
55-59 Thn 0000729579767 11-07-2022 J00
55-59 Thn 11-07-2022 J00
55-59 Thn 0001044162494 11-07-2022 J00
55-59 Thn 0000729583931 12-07-2022 J00
55-59 Thn 0000006149114 13-07-2022 J00
55-59 Thn 0002861583568 14-07-2022 J00
55-59 Thn 0001044162494 14-07-2022 J00
55-59 Thn 0001797243344 15-07-2022 J00
55-59 Thn 0000730426656 18-07-2022 J00
55-59 Thn 19-07-2022 J00
55-59 Thn 0000729858914 20-07-2022 J00
55-59 Thn 0002238582251 20-07-2022 J00
55-59 Thn 0000729400094 22-07-2022 J00
55-59 Thn 0001706895325 22-07-2022 J00
55-59 Thn 0002745049083 25-07-2022 J00
55-59 Thn 0002695341824 25-07-2022 J00
55-59 Thn 28-07-2022 J00
55-59 Thn 28-07-2022 J00
60-69 Thn 0002681107209 01-07-2022 J00
60-69 Thn 0001797239632 02-07-2022 J00
60-69 Thn 0002889605316 04-07-2022 J00
60-69 Thn 04-07-2022 J00
60-69 Thn 0002809262114 05-07-2022 J00
60-69 Thn 0001834619771 06-07-2022 J00
60-69 Thn 0001266400102 07-07-2022 J00
60-69 Thn 0000730028698 08-07-2022 J00
60-69 Thn 0000730390206 08-07-2022 J00
60-69 Thn 08-07-2022 J00
60-69 Thn 0000109159749 09-07-2022 J00
60-69 Thn 11-07-2022 J00
60-69 Thn 0000730028698 12-07-2022 J00
60-69 Thn 0002611903566 15-07-2022 J00
60-69 Thn 0001797239632 15-07-2022 J00
60-69 Thn 0000156748083 17-07-2022 J00
60-69 Thn 0000729942726 18-07-2022 J00
60-69 Thn 0000731281421 18-07-2022 J00
60-69 Thn 0000730712788 20-07-2022 J00
60-69 Thn 0000729045549 21-07-2022 J00
60-69 Thn 0000728874909 21-07-2022 J00
60-69 Thn 21-07-2022 J00
60-69 Thn 0002271982228 22-07-2022 J00
60-69 Thn 23-07-2022 J00
60-69 Thn 23-07-2022 J00
Page 76
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60-69 Thn 0001536491248 23-07-2022 J00

60-69 Thn 0001044155913 23-07-2022 J00
60-69 Thn 0002681105308 23-07-2022 J00
60-69 Thn 0000729045549 25-07-2022 J00
60-69 Thn 0000729455771 25-07-2022 J00
60-69 Thn 0002809239423 25-07-2022 J00
60-69 Thn 0002809262079 25-07-2022 J00
60-69 Thn 0000729870366 25-07-2022 J00
60-69 Thn 0000730438558 26-07-2022 J00
60-69 Thn 0001445090859 27-07-2022 J00
60-69 Thn 0000729870366 27-07-2022 J00
60-69 Thn 0000729626725 28-07-2022 J00
60-69 Thn 0002286427825 28-07-2022 J00
8-28 Hr 0003277463534 16-07-2022 J00
8-28 Hr 0003279547901 20-07-2022 J00
8-28 Hr 0003277154856 20-07-2022 J00
>70 Thn 0002809237691 02-07-2022 J00
>70 Thn 0001044168849 04-07-2022 J00
>70 Thn 0000731281386 05-07-2022 J00
>70 Thn 08-07-2022 J00
>70 Thn 0001298749667 21-07-2022 J00
>70 Thn 0000729786857 28-07-2022 J00
Page 77
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DIAGNOSA KASUS B/L PEKETANGGAL ACTION

Nasofaringitis Akut / Fl L TIDAK01-07-2022
Nasofaringitis Akut / Fl B TIDAK01-07-2022
Page 78
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Nasofaringitis Akut / Fl L PNS 25-07-2022
Nasofaringitis Akut / Fl B PELAJ26-07-2022
Page 79
Sheet1

Nasofaringitis Akut / Fl L PELAJ20-07-2022
Nasofaringitis Akut / Fl B WIRA 28-07-2022
Nasofaringitis Akut / Fl B PNS 02-07-2022
Nasofaringitis Akut / Fl B MAHA 04-07-2022
Page 80
Sheet1

Nasofaringitis Akut / Fl B IBU R 01-07-2022
Nasofaringitis Akut / Fl B SWAS02-07-2022
Nasofaringitis Akut / Fl L WIRA 05-07-2022
Nasofaringitis Akut / Fl B PEDA 05-07-2022
Nasofaringitis Akut / Fl L SWAS06-07-2022
Nasofaringitis Akut / Fl L IBU R 06-07-2022
Page 81
Sheet1

Nasofaringitis Akut / Fl B ABRI/ 11-07-2022
Nasofaringitis Akut / Fl B BURUH 12-07-2022
Page 82
Sheet1
Nasofaringitis Akut / Fl B GURU16-07-2022

Nasofaringitis Akut / Fl L ABRI/ 21-07-2022
Page 83
Sheet1

Nasofaringitis Akut / Fl B SOPIR02-07-2022
Nasofaringitis Akut / Fl B SOPIR12-07-2022
Nasofaringitis Akut / Fl B PETAN15-07-2022
Page 84
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Page 85
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Nasofaringitis Akut / Fl L PEDA 11-07-2022

Page 86
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Page 87
Sheet1

Page 88

Laporan Diagnosa - 2022-08-09T083125.326

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Sheet1

TANGGAL NO RM TEMPAT LAYANAN

25-07-2022 0046521 Pustu CURAHMALANG

12-07-2022 0033154 Pusk SUMOBITO

26-07-2022 0011713 Pusk SUMOBITO

07-07-2022 0014212 Pusk SUMOBITO

16-07-2022 0051123 Pusk SUMOBITO

27-07-2022 0021904 Pusk SUMOBITO

18-07-2022 0003091 Polindes BUDUG SIDOREJO

11-07-2022 0028566 Polindes TALUN KIDUL

01-07-2022 0003169 Pustu CURAHMALANG

23-07-2022 0007739 Pusk SUMOBITO

NAMA PASIEN KTP L/P

OKTAVIANA NUR ARSYI 3517117010100002 P

GILANG SLAMET 3517110204060001 L

RAGIL BAYU SETIAWAN 3517111307970002 L

FITRI LINDA WATI 3516114705890009 P

NURUL ROMADLON 3517112404880002 L

FARID ASZIROH 3517 L

HUSNATUL CHOLIFAH 3517114107640056 P

KUNJ B/L TGL LAHIR NAMA KK

Lama 24-05-2021 AGUS HARDIANTO

Lama 30-10-2010 SUDARSO

Lama 02-04-2006 P.SUTRISNO RIFA`I

Baru 13-07-1997 CHUSAIRI

Baru 07-05-1989 MAT KOLIL

Lama 24-04-1988 NURUL ROMADLON

Lama 09-06-1972 JOKO SUWARNO

Lama 05-09-2015 SAMSUL

Lama 06-09-1965 SUWAJI

Lama 08-02-1960 SUTRISNO

NAMA ORTU KEC DESA

AGUS HARDIANTO SUMOBITO CURAHMALANG

SUDARSO SUMOBITO BAKALAN

P.SUTRISNO RIFA`I SUMOBITO GEDANGAN

CHUSAIRI SUMOBITO MLARAS

MAT KOLIL SUMOBITO CURAHMALANG

NURUL ROMADLON SUMOBITO SUMOBITO

JOKO SUWARNO SUMOBITO BUDUGSIDOREJO

SAMSUL SUMOBITO TALUNKIDUL

SUWAJI SUMOBITO BUDUGSIDOREJO

SUTRISNO SUMOBITO SUMOBITO

ALAMAT KATEGORI TUJUAN

KRAJAN BAYAR/UMUM PENGOBATAN

BAKALAN BPJS PENGOBATAN

GEDANGAN BPJS PENGOBATAN

MLARAS BPJS PENGOBATAN

KRAJAN BPJS PENGOBATAN

CLUMPRIT BPJS PENGOBATAN

SIDOKAMPIR BPJS PENGOBATAN

SEDAMAR BAYAR/UMUM PENGOBATAN

SEMBUJO BPJS PENGOBATAN

JOHO CLUMPRIT BPJS PENGOBATAN

UNIT/POLI DOKTER USIA

POLI KIA dr. DEWI RACHMAWATI 1

POLI UMUM / BP dr.Dewi Rachmawati 11

POLI UMUM / BP dr.Dewi Rachmawati 16

POLI UMUM / BP dr.Dewi Rachmawati 24

UGD dr.Dewi Rachmawati 33

POLI UMUM / BP dr.Dewi Rachmawati 34

POLI UMUM / BP dr.Dewi Rachmawati 50

POLI UMUM / BP dr. DEWI RACHMAWATI 6

POLI UMUM / BP dr.Dewi Rachmawati 56

POLI UMUM / BP dr.Dewi Rachmawati 62

KELOMPOK UMUR NO PESERTA TANGGAL DIAGNOSA KODE

1-4 Thn 25-07-2022 J00

10-14 Thn 0002809229894 12-07-2022 J00