sheet1 -1

LAPORAN REKAP K
Pasien Rawat Inap dan Rawat Jalan, Per
Filter: / Kelas Rawat = Semua / Severity = Semua / Ca
No. Tgl. Masuk Tgl. Pulang No. RM
1 29 Sep 2022 1 Okt 2022 030098
2 28 Sep 2022 1 Okt 2022 004719
3 27 Sep 2022 1 Okt 2022 020783
4 30 Sep 2022 1 Okt 2022 014949
5 29 Sep 2022 1 Okt 2022 018564
6 28 Sep 2022 1 Okt 2022 009925
7 29 Sep 2022 1 Okt 2022 005963
8 29 Sep 2022 1 Okt 2022 031937
9 28 Sep 2022 1 Okt 2022 013693
10 29 Sep 2022 1 Okt 2022 031918
11 28 Sep 2022 1 Okt 2022 003287
12 29 Sep 2022 1 Okt 2022 030076
13 29 Sep 2022 1 Okt 2022 031938
14 30 Sep 2022 2 Okt 2022 031946
15 30 Sep 2022 2 Okt 2022 000711
16 28 Sep 2022 2 Okt 2022 028705
17 1 Okt 2022 2 Okt 2022 011590
18 29 Sep 2022 2 Okt 2022 031940
19 1 Okt 2022 2 Okt 2022 031964
20 28 Sep 2022 2 Okt 2022 031913
21 30 Sep 2022 2 Okt 2022 029747
22 30 Sep 2022 2 Okt 2022 022375
23 30 Sep 2022 2 Okt 2022 031943
24 30 Sep 2022 2 Okt 2022 009385
25 30 Sep 2022 2 Okt 2022 006374
26 1 Okt 2022 2 Okt 2022 031987
27 29 Sep 2022 2 Okt 2022 030498
28 29 Sep 2022 2 Okt 2022 031926
29 2 Okt 2022 3 Okt 2022 013722
30 2 Okt 2022 3 Okt 2022 032005
31 2 Okt 2022 3 Okt 2022 029629
32 2 Okt 2022 3 Okt 2022 027451
33 30 Sep 2022 3 Okt 2022 006969
34 1 Okt 2022 3 Okt 2022 031965
35 30 Sep 2022 3 Okt 2022 017720
36 30 Sep 2022 3 Okt 2022 031942
37 30 Sep 2022 3 Okt 2022 031954
38 1 Okt 2022 3 Okt 2022 031976
39 1 Okt 2022 3 Okt 2022 031983

Page 1
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40 3 Okt 2022 4 Okt 2022 032029

41 3 Okt 2022 4 Okt 2022 032028
42 3 Okt 2022 4 Okt 2022 032007
43 1 Okt 2022 4 Okt 2022 021081
44 3 Okt 2022 4 Okt 2022 032027
45 3 Okt 2022 4 Okt 2022 032006
46 2 Okt 2022 4 Okt 2022 028158
47 2 Okt 2022 4 Okt 2022 003393
48 3 Okt 2022 4 Okt 2022 004197
49 1 Okt 2022 4 Okt 2022 017807
50 2 Okt 2022 4 Okt 2022 025737
51 2 Okt 2022 4 Okt 2022 008036
52 3 Okt 2022 4 Okt 2022 004490
53 1 Okt 2022 4 Okt 2022 021865
54 2 Okt 2022 4 Okt 2022 015819
55 2 Okt 2022 4 Okt 2022 032001
56 2 Okt 2022 4 Okt 2022 031995
57 2 Okt 2022 4 Okt 2022 012961
58 2 Okt 2022 4 Okt 2022 002228
59 26 Sep 2022 4 Okt 2022 031842
60 2 Okt 2022 4 Okt 2022 031469
61 3 Okt 2022 4 Okt 2022 031927
62 3 Okt 2022 4 Okt 2022 032009
63 2 Okt 2022 5 Okt 2022 031999
64 1 Okt 2022 5 Okt 2022 031991
65 3 Okt 2022 5 Okt 2022 017951
66 3 Okt 2022 5 Okt 2022 032023
67 3 Okt 2022 5 Okt 2022 032020
68 1 Okt 2022 5 Okt 2022 026035
69 3 Okt 2022 5 Okt 2022 028366
70 2 Okt 2022 5 Okt 2022 000800
71 3 Okt 2022 5 Okt 2022 028602
72 5 Okt 2022 5 Okt 2022 006704
73 2 Okt 2022 5 Okt 2022 031993
74 3 Okt 2022 5 Okt 2022 032021
75 4 Okt 2022 6 Okt 2022 029275
76 5 Okt 2022 6 Okt 2022 032082
77 5 Okt 2022 6 Okt 2022 032069
78 4 Okt 2022 6 Okt 2022 001691
79 4 Okt 2022 6 Okt 2022 009150
80 4 Okt 2022 6 Okt 2022 025419
81 4 Okt 2022 6 Okt 2022 032012
82 5 Okt 2022 6 Okt 2022 029818

Page 2
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83 4 Okt 2022 6 Okt 2022 026953

84 4 Okt 2022 6 Okt 2022 032048
85 3 Okt 2022 6 Okt 2022 028883
86 5 Okt 2022 6 Okt 2022 032053
87 4 Okt 2022 6 Okt 2022 032047
88 5 Okt 2022 6 Okt 2022 025008
89 3 Okt 2022 6 Okt 2022 032022
90 3 Okt 2022 6 Okt 2022 031488
91 2 Okt 2022 6 Okt 2022 032002
92 3 Okt 2022 6 Okt 2022 017649
93 4 Okt 2022 6 Okt 2022 032040
94 5 Okt 2022 7 Okt 2022 032061
95 5 Okt 2022 7 Okt 2022 010654
96 4 Okt 2022 7 Okt 2022 028382
97 4 Okt 2022 7 Okt 2022 018354
98 5 Okt 2022 7 Okt 2022 032087
99 4 Okt 2022 7 Okt 2022 032042
100 5 Okt 2022 7 Okt 2022 032088
101 5 Okt 2022 7 Okt 2022 030849
102 5 Okt 2022 7 Okt 2022 032085
103 5 Okt 2022 7 Okt 2022 002822
104 5 Okt 2022 7 Okt 2022 020170
105 5 Okt 2022 7 Okt 2022 032084
106 3 Okt 2022 7 Okt 2022 003795
107 4 Okt 2022 7 Okt 2022 032049
108 5 Okt 2022 7 Okt 2022 009411
109 3 Okt 2022 7 Okt 2022 032016
110 7 Okt 2022 8 Okt 2022 032111
111 4 Okt 2022 8 Okt 2022 008555
112 6 Okt 2022 8 Okt 2022 032100
113 6 Okt 2022 8 Okt 2022 000279
114 6 Okt 2022 8 Okt 2022 017467
115 6 Okt 2022 8 Okt 2022 001664
116 4 Okt 2022 8 Okt 2022 027522
117 7 Okt 2022 8 Okt 2022 007349
118 6 Okt 2022 8 Okt 2022 001074
119 5 Okt 2022 8 Okt 2022 026803
120 5 Okt 2022 8 Okt 2022 008322
121 5 Okt 2022 8 Okt 2022 026645
122 5 Okt 2022 8 Okt 2022 032078
123 5 Okt 2022 8 Okt 2022 031942
124 5 Okt 2022 8 Okt 2022 032083
125 8 Okt 2022 9 Okt 2022 022666

Page 3
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126 7 Okt 2022 9 Okt 2022 012244

127 6 Okt 2022 9 Okt 2022 000991
128 6 Okt 2022 9 Okt 2022 006848
129 7 Okt 2022 9 Okt 2022 004146
130 7 Okt 2022 9 Okt 2022 010933
131 8 Okt 2022 9 Okt 2022 032128
132 7 Okt 2022 9 Okt 2022 020039
133 7 Okt 2022 9 Okt 2022 032115
134 7 Okt 2022 9 Okt 2022 032121
135 6 Okt 2022 9 Okt 2022 028088
136 7 Okt 2022 9 Okt 2022 032117
137 8 Okt 2022 9 Okt 2022 032131
138 7 Okt 2022 9 Okt 2022 031191
139 7 Okt 2022 9 Okt 2022 026401
140 8 Okt 2022 9 Okt 2022 031553
141 7 Okt 2022 9 Okt 2022 032119
142 7 Okt 2022 9 Okt 2022 032109
143 10 Okt 2022 10 Okt 2022 032083
144 7 Okt 2022 10 Okt 2022 028611
145 8 Okt 2022 10 Okt 2022 018025
146 8 Okt 2022 10 Okt 2022 008574
147 6 Okt 2022 10 Okt 2022 032093
148 7 Okt 2022 10 Okt 2022 032122
149 9 Okt 2022 10 Okt 2022 031578
150 9 Okt 2022 10 Okt 2022 031940
151 7 Okt 2022 10 Okt 2022 029116
152 8 Okt 2022 10 Okt 2022 016445
153 8 Okt 2022 10 Okt 2022 026111
154 8 Okt 2022 10 Okt 2022 022185
155 7 Okt 2022 10 Okt 2022 001691
156 7 Okt 2022 10 Okt 2022 001289
157 7 Okt 2022 10 Okt 2022 032125
158 9 Okt 2022 11 Okt 2022 008323
159 9 Okt 2022 11 Okt 2022 009774
160 9 Okt 2022 11 Okt 2022 023414
161 9 Okt 2022 11 Okt 2022 018808
162 9 Okt 2022 11 Okt 2022 032150
163 9 Okt 2022 11 Okt 2022 008174
164 10 Okt 2022 11 Okt 2022 008322
165 9 Okt 2022 11 Okt 2022 008764
166 9 Okt 2022 11 Okt 2022 008646
167 9 Okt 2022 11 Okt 2022 032148
168 10 Okt 2022 12 Okt 2022 021779

Page 4
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169 10 Okt 2022 12 Okt 2022 003075

170 10 Okt 2022 12 Okt 2022 014321
171 9 Okt 2022 12 Okt 2022 024022
172 10 Okt 2022 12 Okt 2022 026168
173 10 Okt 2022 12 Okt 2022 032184
174 9 Okt 2022 12 Okt 2022 020931
175 11 Okt 2022 12 Okt 2022 031647
176 10 Okt 2022 12 Okt 2022 032161
177 10 Okt 2022 12 Okt 2022 032187
178 9 Okt 2022 12 Okt 2022 032155
179 10 Okt 2022 12 Okt 2022 006752
180 10 Okt 2022 12 Okt 2022 032194
181 9 Okt 2022 12 Okt 2022 014113
182 11 Okt 2022 12 Okt 2022 031160
183 9 Okt 2022 12 Okt 2022 032151
184 9 Okt 2022 12 Okt 2022 031757
185 9 Okt 2022 12 Okt 2022 028284
186 11 Okt 2022 13 Okt 2022 019859
187 11 Okt 2022 13 Okt 2022 020665
188 12 Okt 2022 13 Okt 2022 012569
189 11 Okt 2022 13 Okt 2022 032220
190 11 Okt 2022 13 Okt 2022 011172
191 10 Okt 2022 13 Okt 2022 024152
192 10 Okt 2022 13 Okt 2022 032195
193 10 Okt 2022 13 Okt 2022 012902
194 11 Okt 2022 13 Okt 2022 032203
195 10 Okt 2022 13 Okt 2022 028193
196 11 Okt 2022 13 Okt 2022 032217
197 7 Okt 2022 13 Okt 2022 032023
198 10 Okt 2022 13 Okt 2022 028040
199 12 Okt 2022 13 Okt 2022 023735
200 13 Okt 2022 14 Okt 2022 032253
201 11 Okt 2022 14 Okt 2022 032219
202 12 Okt 2022 14 Okt 2022 032040
203 12 Okt 2022 14 Okt 2022 032237
204 12 Okt 2022 14 Okt 2022 032244
205 12 Okt 2022 14 Okt 2022 021265
206 12 Okt 2022 14 Okt 2022 032233
207 12 Okt 2022 14 Okt 2022 032252
208 12 Okt 2022 14 Okt 2022 010654
209 11 Okt 2022 14 Okt 2022 027872
210 12 Okt 2022 14 Okt 2022 015947
211 11 Okt 2022 14 Okt 2022 032206

Page 5
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212 11 Okt 2022 14 Okt 2022 020406

213 12 Okt 2022 14 Okt 2022 032241
214 12 Okt 2022 14 Okt 2022 032246
215 12 Okt 2022 14 Okt 2022 028758
216 11 Okt 2022 14 Okt 2022 006843
217 10 Okt 2022 14 Okt 2022 015427
218 12 Okt 2022 14 Okt 2022 020783
219 11 Okt 2022 14 Okt 2022 007088
220 12 Okt 2022 14 Okt 2022 021927
221 12 Okt 2022 14 Okt 2022 032185
222 13 Okt 2022 15 Okt 2022 032274
223 11 Okt 2022 15 Okt 2022 009121
224 12 Okt 2022 15 Okt 2022 010270
225 11 Okt 2022 15 Okt 2022 009883
226 12 Okt 2022 15 Okt 2022 012251
227 13 Okt 2022 15 Okt 2022 002730
228 13 Okt 2022 15 Okt 2022 001203
229 12 Okt 2022 15 Okt 2022 010743
230 12 Okt 2022 15 Okt 2022 029849
231 13 Okt 2022 15 Okt 2022 020517
232 12 Okt 2022 15 Okt 2022 031276
233 13 Okt 2022 15 Okt 2022 020196
234 13 Okt 2022 15 Okt 2022 032272
235 11 Okt 2022 15 Okt 2022 032201
236 14 Okt 2022 16 Okt 2022 025033
237 14 Okt 2022 16 Okt 2022 003275
238 15 Okt 2022 16 Okt 2022 032306
239 14 Okt 2022 16 Okt 2022 032288
240 15 Okt 2022 16 Okt 2022 006951
241 14 Okt 2022 16 Okt 2022 032281
242 14 Okt 2022 16 Okt 2022 018834
243 13 Okt 2022 16 Okt 2022 010014
244 14 Okt 2022 16 Okt 2022 012788
245 13 Okt 2022 16 Okt 2022 032273
246 14 Okt 2022 16 Okt 2022 013466
247 14 Okt 2022 16 Okt 2022 032258
248 13 Okt 2022 16 Okt 2022 032267
249 12 Okt 2022 16 Okt 2022 032236
250 12 Okt 2022 16 Okt 2022 030904
251 13 Okt 2022 16 Okt 2022 032254
252 13 Okt 2022 16 Okt 2022 030516
253 13 Okt 2022 16 Okt 2022 010106
254 14 Okt 2022 16 Okt 2022 030558

Page 6
 sheet1 -1

255 14 Okt 2022 16 Okt 2022 031380

256 14 Okt 2022 16 Okt 2022 031452
257 15 Okt 2022 16 Okt 2022 031593
258 14 Okt 2022 17 Okt 2022 031483
259 13 Okt 2022 17 Okt 2022 032269
260 15 Okt 2022 17 Okt 2022 006009
261 15 Okt 2022 17 Okt 2022 007847
262 15 Okt 2022 17 Okt 2022 013284
263 15 Okt 2022 17 Okt 2022 032311
264 15 Okt 2022 17 Okt 2022 032304
265 15 Okt 2022 17 Okt 2022 008310
266 14 Okt 2022 17 Okt 2022 018241
267 16 Okt 2022 17 Okt 2022 009242
268 15 Okt 2022 17 Okt 2022 027320
269 15 Okt 2022 17 Okt 2022 032313
270 14 Okt 2022 17 Okt 2022 032280
271 15 Okt 2022 17 Okt 2022 032318
272 13 Okt 2022 17 Okt 2022 017542
273 15 Okt 2022 17 Okt 2022 032315
274 15 Okt 2022 17 Okt 2022 032016
275 15 Okt 2022 17 Okt 2022 031450
276 15 Okt 2022 17 Okt 2022 031783
277 14 Okt 2022 18 Okt 2022 024270
278 17 Okt 2022 18 Okt 2022 021987
279 14 Okt 2022 18 Okt 2022 032294
280 16 Okt 2022 18 Okt 2022 014731
281 16 Okt 2022 18 Okt 2022 022284
282 15 Okt 2022 18 Okt 2022 032295
283 18 Okt 2022 18 Okt 2022 032362
284 17 Okt 2022 18 Okt 2022 032350
285 14 Okt 2022 18 Okt 2022 004295
286 15 Okt 2022 18 Okt 2022 017758
287 15 Okt 2022 18 Okt 2022 007025
288 16 Okt 2022 18 Okt 2022 023686
289 15 Okt 2022 18 Okt 2022 028290
290 15 Okt 2022 18 Okt 2022 032319
291 17 Okt 2022 19 Okt 2022 028706
292 14 Okt 2022 19 Okt 2022 027948
293 16 Okt 2022 19 Okt 2022 028410
294 17 Okt 2022 19 Okt 2022 029976
295 18 Okt 2022 19 Okt 2022 009710
296 17 Okt 2022 19 Okt 2022 032147
297 17 Okt 2022 19 Okt 2022 032336

Page 7
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298 17 Okt 2022 19 Okt 2022 022249

299 16 Okt 2022 19 Okt 2022 029115
300 17 Okt 2022 19 Okt 2022 030496
301 15 Okt 2022 19 Okt 2022 031866
302 17 Okt 2022 19 Okt 2022 009858
303 17 Okt 2022 19 Okt 2022 031398
304 17 Okt 2022 19 Okt 2022 031064
305 17 Okt 2022 19 Okt 2022 031531
306 18 Okt 2022 20 Okt 2022 032363
307 16 Okt 2022 20 Okt 2022 023310
308 16 Okt 2022 20 Okt 2022 004482
309 18 Okt 2022 20 Okt 2022 026482
310 17 Okt 2022 20 Okt 2022 032352
311 17 Okt 2022 20 Okt 2022 032354
312 17 Okt 2022 20 Okt 2022 032359
313 17 Okt 2022 20 Okt 2022 032356
314 17 Okt 2022 20 Okt 2022 032344
315 18 Okt 2022 20 Okt 2022 027521
316 18 Okt 2022 20 Okt 2022 011914
317 17 Okt 2022 20 Okt 2022 032349
318 18 Okt 2022 20 Okt 2022 032376
319 17 Okt 2022 20 Okt 2022 032351
320 18 Okt 2022 20 Okt 2022 026882
321 18 Okt 2022 20 Okt 2022 032375
322 18 Okt 2022 20 Okt 2022 008072
323 18 Okt 2022 20 Okt 2022 032368
324 19 Okt 2022 20 Okt 2022 032392
325 17 Okt 2022 20 Okt 2022 032355
326 17 Okt 2022 20 Okt 2022 031189
327 17 Okt 2022 20 Okt 2022 032358
328 19 Okt 2022 21 Okt 2022 010013
329 18 Okt 2022 21 Okt 2022 025547
330 19 Okt 2022 21 Okt 2022 031822
331 17 Okt 2022 21 Okt 2022 012792
332 17 Okt 2022 21 Okt 2022 031829
333 17 Okt 2022 21 Okt 2022 032353
334 18 Okt 2022 21 Okt 2022 028757
335 19 Okt 2022 21 Okt 2022 032413
336 16 Okt 2022 21 Okt 2022 032327
337 18 Okt 2022 21 Okt 2022 032378
338 18 Okt 2022 21 Okt 2022 032380
339 19 Okt 2022 21 Okt 2022 002352
340 18 Okt 2022 21 Okt 2022 019107

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341 20 Okt 2022 21 Okt 2022 032438

342 19 Okt 2022 21 Okt 2022 032406
343 17 Okt 2022 21 Okt 2022 002292
344 19 Okt 2022 21 Okt 2022 021189
345 19 Okt 2022 21 Okt 2022 032412
346 17 Okt 2022 21 Okt 2022 028382
347 18 Okt 2022 21 Okt 2022 032377
348 16 Okt 2022 21 Okt 2022 032324
349 18 Okt 2022 21 Okt 2022 032111
350 20 Okt 2022 21 Okt 2022 030886
351 20 Okt 2022 22 Okt 2022 024312
352 20 Okt 2022 22 Okt 2022 021172
353 19 Okt 2022 22 Okt 2022 029829
354 19 Okt 2022 22 Okt 2022 030235
355 19 Okt 2022 22 Okt 2022 031229
356 20 Okt 2022 22 Okt 2022 013043
357 19 Okt 2022 22 Okt 2022 024251
358 21 Okt 2022 22 Okt 2022 001662
359 19 Okt 2022 22 Okt 2022 032393
360 19 Okt 2022 22 Okt 2022 032415
361 20 Okt 2022 22 Okt 2022 001289
362 19 Okt 2022 22 Okt 2022 032416
363 20 Okt 2022 22 Okt 2022 010387
364 20 Okt 2022 22 Okt 2022 032402
365 20 Okt 2022 22 Okt 2022 032308
366 20 Okt 2022 22 Okt 2022 032399
367 20 Okt 2022 23 Okt 2022 023424
368 21 Okt 2022 23 Okt 2022 008763
369 20 Okt 2022 23 Okt 2022 002027
370 21 Okt 2022 23 Okt 2022 000764
371 21 Okt 2022 23 Okt 2022 032449
372 20 Okt 2022 23 Okt 2022 024885
373 21 Okt 2022 23 Okt 2022 032441
374 20 Okt 2022 23 Okt 2022 031821
375 20 Okt 2022 23 Okt 2022 032436
376 21 Okt 2022 23 Okt 2022 013866
377 22 Okt 2022 23 Okt 2022 032459
378 20 Okt 2022 23 Okt 2022 011462
379 19 Okt 2022 23 Okt 2022 032400
380 21 Okt 2022 23 Okt 2022 003946
381 21 Okt 2022 23 Okt 2022 016759
382 21 Okt 2022 23 Okt 2022 003593
383 21 Okt 2022 23 Okt 2022 032443

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384 20 Okt 2022 23 Okt 2022 032433

385 20 Okt 2022 23 Okt 2022 006374
386 20 Okt 2022 23 Okt 2022 032434
387 20 Okt 2022 23 Okt 2022 029517
388 22 Okt 2022 24 Okt 2022 032465
389 21 Okt 2022 24 Okt 2022 020444
390 22 Okt 2022 24 Okt 2022 031893
391 21 Okt 2022 24 Okt 2022 032448
392 22 Okt 2022 24 Okt 2022 032461
393 21 Okt 2022 24 Okt 2022 005095
394 21 Okt 2022 24 Okt 2022 022352
395 22 Okt 2022 24 Okt 2022 032472
396 21 Okt 2022 24 Okt 2022 028765
397 21 Okt 2022 24 Okt 2022 027188
398 21 Okt 2022 24 Okt 2022 016833
399 21 Okt 2022 24 Okt 2022 017133
400 22 Okt 2022 24 Okt 2022 006969
401 22 Okt 2022 24 Okt 2022 032458
402 22 Okt 2022 24 Okt 2022 010106
403 20 Okt 2022 24 Okt 2022 030862
404 21 Okt 2022 24 Okt 2022 031638
405 22 Okt 2022 24 Okt 2022 032377
406 23 Okt 2022 25 Okt 2022 020527
407 22 Okt 2022 25 Okt 2022 032470
408 23 Okt 2022 25 Okt 2022 003662
409 24 Okt 2022 25 Okt 2022 032486
410 23 Okt 2022 25 Okt 2022 032478
411 23 Okt 2022 25 Okt 2022 028220
412 25 Okt 2022 25 Okt 2022 032514
413 24 Okt 2022 25 Okt 2022 031025
414 23 Okt 2022 25 Okt 2022 032476
415 24 Okt 2022 26 Okt 2022 029321
416 24 Okt 2022 26 Okt 2022 032505
417 25 Okt 2022 26 Okt 2022 021450
418 24 Okt 2022 26 Okt 2022 027976
419 26 Okt 2022 26 Okt 2022 007536
420 23 Okt 2022 26 Okt 2022 032477
421 23 Okt 2022 26 Okt 2022 024252
422 23 Okt 2022 26 Okt 2022 021263
423 25 Okt 2022 26 Okt 2022 032523
424 24 Okt 2022 26 Okt 2022 032501
425 24 Okt 2022 26 Okt 2022 008747
426 25 Okt 2022 27 Okt 2022 032538

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427 24 Okt 2022 27 Okt 2022 032495

428 25 Okt 2022 27 Okt 2022 030706
429 26 Okt 2022 27 Okt 2022 032572
430 25 Okt 2022 27 Okt 2022 032524
431 25 Okt 2022 27 Okt 2022 032529
432 24 Okt 2022 27 Okt 2022 026077
433 24 Okt 2022 27 Okt 2022 032499
434 25 Okt 2022 27 Okt 2022 020731
435 25 Okt 2022 27 Okt 2022 025284
436 25 Okt 2022 27 Okt 2022 032533
437 24 Okt 2022 27 Okt 2022 032491
438 24 Okt 2022 27 Okt 2022 030029
439 25 Okt 2022 27 Okt 2022 032507
440 23 Okt 2022 27 Okt 2022 008555
441 25 Okt 2022 27 Okt 2022 032520
442 25 Okt 2022 27 Okt 2022 032537
443 24 Okt 2022 27 Okt 2022 001108
444 25 Okt 2022 27 Okt 2022 019314
445 24 Okt 2022 27 Okt 2022 030176
446 24 Okt 2022 27 Okt 2022 032494
447 25 Okt 2022 27 Okt 2022 032518
448 25 Okt 2022 27 Okt 2022 031350
449 25 Okt 2022 27 Okt 2022 032530
450 25 Okt 2022 27 Okt 2022 031741
451 25 Okt 2022 27 Okt 2022 032527
452 26 Okt 2022 28 Okt 2022 022372
453 24 Okt 2022 28 Okt 2022 021307
454 26 Okt 2022 28 Okt 2022 021171
455 24 Okt 2022 28 Okt 2022 023324
456 26 Okt 2022 28 Okt 2022 032565
457 25 Okt 2022 28 Okt 2022 032539
458 25 Okt 2022 28 Okt 2022 013854
459 26 Okt 2022 28 Okt 2022 022073
460 26 Okt 2022 28 Okt 2022 032415
461 26 Okt 2022 28 Okt 2022 030526
462 25 Okt 2022 28 Okt 2022 025905
463 26 Okt 2022 28 Okt 2022 000903
464 26 Okt 2022 28 Okt 2022 032571
465 25 Okt 2022 28 Okt 2022 032534
466 25 Okt 2022 28 Okt 2022 027487
467 26 Okt 2022 28 Okt 2022 022261
468 26 Okt 2022 28 Okt 2022 032546
469 27 Okt 2022 28 Okt 2022 032576

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470 26 Okt 2022 28 Okt 2022 032549

471 26 Okt 2022 28 Okt 2022 014636
472 25 Okt 2022 28 Okt 2022 032536
473 26 Okt 2022 28 Okt 2022 032545
474 26 Okt 2022 28 Okt 2022 021172
475 26 Okt 2022 28 Okt 2022 032484
476 26 Okt 2022 28 Okt 2022 032568
477 27 Okt 2022 28 Okt 2022 032585
478 27 Okt 2022 29 Okt 2022 032582
479 27 Okt 2022 29 Okt 2022 032560
480 27 Okt 2022 29 Okt 2022 024651
481 27 Okt 2022 29 Okt 2022 005508
482 26 Okt 2022 29 Okt 2022 012357
483 28 Okt 2022 29 Okt 2022 022367
484 26 Okt 2022 29 Okt 2022 032569
485 26 Okt 2022 29 Okt 2022 011172
486 27 Okt 2022 29 Okt 2022 032591
487 26 Okt 2022 29 Okt 2022 011325
488 26 Okt 2022 29 Okt 2022 032465
489 26 Okt 2022 29 Okt 2022 032561
490 27 Okt 2022 29 Okt 2022 032555
491 27 Okt 2022 30 Okt 2022 028757
492 29 Okt 2022 30 Okt 2022 032623
493 29 Okt 2022 30 Okt 2022 032629
494 28 Okt 2022 30 Okt 2022 032606
495 28 Okt 2022 30 Okt 2022 003571
496 28 Okt 2022 30 Okt 2022 020589
497 28 Okt 2022 30 Okt 2022 032609
498 28 Okt 2022 30 Okt 2022 032604
499 27 Okt 2022 30 Okt 2022 032578
500 28 Okt 2022 30 Okt 2022 029013
501 27 Okt 2022 30 Okt 2022 032586
502 26 Okt 2022 30 Okt 2022 028891
503 29 Okt 2022 30 Okt 2022 016827
504 28 Okt 2022 30 Okt 2022 032615
505 27 Okt 2022 30 Okt 2022 032574
506 28 Okt 2022 30 Okt 2022 024741
507 27 Okt 2022 30 Okt 2022 032592
508 28 Okt 2022 30 Okt 2022 030332
509 28 Okt 2022 30 Okt 2022 032611
510 30 Okt 2022 30 Okt 2022 032653
511 27 Okt 2022 30 Okt 2022 031440
512 27 Okt 2022 30 Okt 2022 017782

Page 12
 sheet1 -1

513 27 Okt 2022 30 Okt 2022 032588

514 27 Okt 2022 30 Okt 2022 032589
515 28 Okt 2022 31 Okt 2022 001970
516 30 Okt 2022 31 Okt 2022 032641
517 29 Okt 2022 31 Okt 2022 032634
518 28 Okt 2022 31 Okt 2022 028765
519 28 Okt 2022 31 Okt 2022 015172
520 29 Okt 2022 31 Okt 2022 028758
521 29 Okt 2022 31 Okt 2022 022796
522 29 Okt 2022 31 Okt 2022 006349
523 29 Okt 2022 31 Okt 2022 005377
524 29 Okt 2022 31 Okt 2022 032622
525 29 Okt 2022 31 Okt 2022 029310
526 28 Okt 2022 31 Okt 2022 031638
527 25 Okt 2022 31 Okt 2022 032532
528 27 Okt 2022 31 Okt 2022 031767
529 28 Okt 2022 31 Okt 2022 030804
530 28 Okt 2022 31 Okt 2022 032621
531 29 Okt 2022 31 Okt 2022 032607
532 29 Okt 2022 31 Okt 2022 032630

Kode RS: 5371054

Page 13
 sheet1 -1

LAPORAN REKAP KLAIM - RS MAMAMI

Pasien Rawat Inap dan Rawat Jalan, Periode Tanggal Pulang: 1 Okt 2022 s/d 31 Okt 2022
Filter: / Kelas Rawat = Semua / Severity = Semua / Cara Pulang = Semua / Jenis Tarif = TARIF RS KELAS D SWASTA
Nama Pasien No. Klaim / SEP INACBG
THERESYANA LODO DJARA 0351R0100922V002691 W-4-17-I
CHRISTINE LENITA MAGUNG 0351R0100922V002650 A-4-13-I
JULION BAGAS PRAMANA LILO 0351R0100922V002526 J-4-21-I
MIFTA CHOIRUL 0351R0100922V002763 K-4-12-I
INDA SARI BULAN 0351R0100922V002702 E-4-11-I
VIONETA TIHANA SLEKY 0351R0100922V002648 E-4-11-I
FEOLINA KASE 0351R0100922V002746 K-4-12-I
BAYI NYONYA MARLA IRIYANI ELIAS 0351R0100922V002744 A-4-12-I
YETTY K. RATU EDO - BANI 0351R0100922V002655 I-4-17-I
OSDEMAX BANNI 0351R0100922V002685 J-4-21-I
YANTI Y. LOAK - AYAL 0351R0100922V002614 D-4-13-I
THERESIA LANGA WIO 0351R0100922V002706 N-1-40-II
MARIA THERESIA EPE LETOR 0351R0100922V002745 N-1-40-I
RICKY RICKAR BUANA PUTRA 0351R0100922V002822 N-4-13-I
YOHANES GABRIEL LEO 0351R0100922V002804 L-4-14-I
BONAVENTURE SALVATOR D'BONIR 0351R0100922V002814 J-4-21-I
KRISTIN OEMATAN 0351R0101022V000001 O-6-13-I
ROSIDA ANALIGA 0351R0100922V002750 W-4-16-I
REGINA ANGELINA DUE 0351R0101022V000049 N-4-12-I
SALFATRIS SIRO 0351R0100922V002653 K-4-12-II
EZRA IMANUEL WANDA 0351R0100922V002867 E-4-11-II
KATHRIEL AMOREIZA BULLU 0351R0100922V002758 U-4-13-I
BAYI NYONYA VEREN ULLY 0351R0100922V002796 J-4-21-I
NURUL HIJRAH 0351R0100922V002859 I-4-17-I
YULIANA KANA DJO ROHI 0351R0100922V002779 E-4-10-I
BAYI NYONYA CHRISTIN OEMATAN 0351R0101022V000106 P-8-08-I
MARIA IMACULADA SOARES 0351R0100922V002714 N-1-40-II
YONETHA MARIA OEMATAN 0351R0100922V002726 N-1-40-II
FENI AGUS 0351R0101022V000120 W-4-16-I
AGUSTINA DANGA BARA 0351R0101022V000122 W-4-16-I
BUDHI SANTOSA WAHYUDI 0351R0101022V000114 J-4-18-I
SUNARTI 0351R0101022V000093 E-4-10-I
DOMINIQUE KYRIEELEISON MANU 0351R0100922V002757 J-4-21-I
EMANUEL HANDRI JAMA GHAYA 0351R0101022V000002 G-4-23-I
KANESIUS Y MANEHAT 0351R0100922V002851 A-4-12-I
MUHAMAD ABDAN WAHAR 0351R0100922V002790 V-1-14-III
ARDIANUS TULLE 0351R0100922V002852 V-1-14-II
MEYLEN PETNA AMTIRAN 0351R0101022V000029 O-6-10-I
BAYI NYONYA MEYLEN PETNA AMTIRAN 0351R0101022V000299 P-8-08-I

Page 14
 sheet1 -1

ICA ROSARI THEANA MARCELINUS 0351R0101022V000325 W-4-12-I

BAYI NYONYA FIDELIA YOVITA RAO 0351R0101022V000323 P-8-08-I
ELIA ANUGRATAMA FOEKH 0351R0101022V000124 K-4-12-I
MARSALINA SARTJI FANGGI 0351R0101022V000076 I-4-17-I
FIDELIA YOVITA RAO 0351R0101022V000202 O-6-13-I
LIBERTINA LEKO 0351R0101022V000123 O-6-13-I
MARIA GABRIELA ABANAT 0351R0101022V000092 W-4-16-I
MACKHAEL KIM IRAWAN 0351R0101022V000105 K-4-18-I
SALEH FARAI ALKATIRI 0351R0101022V000125 U-4-13-I
VANICHRISTI NAVIYA SLEKY 0351R0101022V000043 E-4-11-I
HANRY RULLI MAROMON 0351R0101022V000112 E-4-11-I
HJ ANDI SOLONG 0351R0101022V000103 Z-4-11-I
DARWIN SITORUS 0351R0101022V000126 K-4-12-I
YOHANES FERNANDEZ 0351R0101022V000078 J-4-21-I
I GEDE MASUANGGANA NERAZZURRI SAMPE ASANG 0351R0101022V000121 U-4-13-I
CATHRINE ROSSCINTYA BALE 0351R0101022V000118 U-4-13-I
AZIS SAPUTRA RAHMAN 0351R0101022V000260 U-4-13-I
KOMANG RAJENDRA YASHWAN KEI IRAWAN 0351R0101022V000104 E-4-11-I
MADE GRACIO GERRALD IRAWAN 0351R0101022V000100 E-4-11-I
BAYI NYONYA LODIA BOY KALA 0351R0100922V002490 P-8-17-III
NABISI LAPONO 0351R0101022V000107 V-1-11-I
BAYI NYONYA FRILIN DESLIAN RAME HAU 0351R0101022V000271 P-8-17-I
BAYI NYONYA LIBERTINA LEKO 0351R0101022V000292 P-8-17-II
YOHANES D. TULUNG 0351R0101022V000113 V-1-13-I
MUHAMMAD RAYYANZA SANUWAR 0351R0101022V000080 J-4-16-I
CHRISTIAN BAITANU 0351R0101022V000160 N-4-12-I
BAYI NYONYA ELVIRA ROSALINA TAHUN 0351R0101022V000279 P-8-08-I
RAMLAH 0351R0101022V000188 N-4-12-I
JOEVANCA JANNYDELL MBEO 0351R0101022V000082 J-4-21-I
BERTRANDUS PRATAMA D'BONIR 0351R0101022V000176 U-4-13-I
FEBI R FANGGI 0351R0101022V000091 J-4-18-I
ERNY SURYANI RAE LULU 0351R0101022V000181 E-4-13-I
ALBERT FREDIK KOLIMON 0351R0101022V000399 A-4-12-I
MIKHAEL AHOINNAI 0351R0101022V000097 N-1-30-II
ELVIRA ROSALINA TAHUN 0351R0101022V000148 O-6-10-I
JUMADI SULAIMAN 0351R0101022V000347 K-4-12-I
BAYI NYONYA YESANDRI ADU 0351R0101022V000607 P-8-08-I
BAYI NYONYA IRENE ELVITRA SEPTRIANY MAKOLA 0351R0101022V000422 P-8-17-I
FRANSISKUS M H TJIPTABUDI 0351R0101022V000320 Z-4-11-I
MARTINA FENANSIA DIAZ 0351R0101022V000334 I-4-17-I
JACOB KOEN 0351R0101022V000338 I-4-17-I
THOMAS MW RADIENA 0351R0101022V000345 K-4-12-I
YOHANA NOFITA FOEH 0351R0101022V000508 W-4-17-I

Page 15
 sheet1 -1

NASYA CARLISSA LIORA KOPA 0351R0101022V000315 U-4-13-I

BAYI NYONYA FEBBE CHRISMAS MANANEL 0351R0101022V000397 P-8-08-I
CHYNTHIA C. PANDUWAL 0351R0101022V000190 W-4-16-I
IRENE ELVITRA SEPTRIANY MAKOLA 0351R0101022V000358 O-6-13-I
NI PUTU MAHESWARI DEEPIKA ARYA 0351R0101022V000343 A-4-13-I
AKIL ANWAR KASIM 0351R0101022V000352 U-4-13-I
VIREL BENEDICT PATRICK PAA 0351R0101022V000178 U-4-13-I
SARCI WELMINCE FANGGI 0351R0101022V000272 E-4-11-I
APLONIA MARLENA MAU 0351R0101022V000115 E-4-10-II
BETTI SIMAMORA,AMD 0351R0101022V000212 O-6-10-I
FEBBE CHRISMAS MANANEL 0351R0101022V000316 O-6-10-II
YESANDRI ADU 0351R0101022V000387 O-6-10-I
FOURENSHA FLORENSYA A. ZNOEKHOR 0351R0101022V000374 W-4-16-I
NORMA CHATTY LEO 0351R0101022V000317 W-4-16-II
PUTRA C RANI 0351R0101022V000339 N-4-12-I
SARTY ATIK SYAM 0351R0101022V000476 K-4-12-I
YUMI AGNES SARIYANI LOLOIN 0351R0101022V000319 E-4-11-I
SERLY JEFRI BOBOIY 0351R0101022V000480 G-4-23-I
MARIA ELVIRA ENO NGAI 0351R0101022V000350 K-4-12-II
MAGDALENA DOO-ZACHARIAS 0351R0101022V000482 N-4-12-I
LAASAR ADU 0351R0101022V000477 K-4-12-I
VINDY FALERIE DJOU 0351R0101022V000430 D-4-13-I
FRANSINA DOLFINTJE LETELAY D. 0351R0101022V000481 K-4-12-I
FILYA NATANIA ELVINA NARA 0351R0101022V000270 N-4-12-I
INDRI WULANDARI HIDA 0351R0101022V000346 U-4-13-I
NITA FEBRIYANTI 0351R0101022V000475 O-6-13-II
LORENSIUS NAHAK 0351R0101022V000631 V-1-11-III
PRICYLIA MELINDA DILLAK 0351R0101022V000672 W-4-16-I
RATNA SETYOWATIE ARA 0351R0101022V000337 E-4-11-I
DARAWATI MURDININGRUM 0351R0101022V000534 E-4-11-I
LEVI DELICIA O. DAMANIK 0351R0101022V000577 N-4-16-I
STEFANUS DANIEL PELATA 0351R0101022V000503 E-4-10-I
VANESTA MANUEL RUDOLF LELE 0351R0101022V000571 U-4-13-I
FREDERICH KAIROS WELE 0351R0101022V000311 U-4-13-II
RIARISTI LATIF 0351R0101022V000630 O-6-13-I
AKSEL KHAIRAN OZORA 0351R0101022V000575 E-4-11-I
HENDRIC ANTONIUS SANI 0351R0101022V000353 U-4-13-II
AERILYN KIRANA PUA MBUSA 0351R0101022V000405 G-4-22-I
SHALLOM MELINDA ALYU LALANG BLEGUR 0351R0101022V000601 U-4-13-I
AGNES APRIANI DIAZ 0351R0101022V000453 W-4-16-I
MUHAMAD ABDAN WAHAR 0351R0101022V000483 N-4-16-I
DOHARMAIDA SITINJAK 0351R0101022V000472 O-6-10-I
SASTRIANI DARMANITA HAJAR 0351R0101022V000656 W-4-12-I

Page 16
 sheet1 -1

B VERONIKA ANDA 0351R0101022V000633 E-4-11-I

ANATJE KATJE SAHERTIAN 0351R0101022V000574 D-4-13-I
LAVENIA MUTIARA KABORANG 0351R0101022V000537 G-4-23-I
LUTHER HUKY 0351R0101022V000622 I-4-17-I
RYAN NIZAR ZULFIKAR 0351R0101022V000578 L-4-10-I
YUNITA PAKE 0351R0101022V000657 N-4-13-I
AYUKA BERYL CHALISTA DJAWA 0351R0101022V000641 U-4-13-I
BAYI NY ROBINA FRANSINA TNUNAY 0351R0101022V000635 E-4-11-I
MICHAEL ORSINUS IRON KAY 0351R0101022V000645 J-4-21-I
RAISHA AQUINA ARDITA 0351R0101022V000484 U-4-13-I
PUTRA INDRA DEWA KARABI 0351R0101022V000850 I-4-20-I
MARIA ALFINDA NAJUMETAN 0351R0101022V000659 O-6-13-I
ZHETA PRICILA FAKU 0351R0101022V000647 W-4-16-I
WINDY I SAIN 0351R0101022V000624 W-1-30-I
NUR MAULIDA FIDYANA 0351R0101022V000686 O-6-13-I
BAYI NYONYA DEBBY NATALIA FERDERIKA PELLO 0351R0101022V000770 P-8-16-I
DEBBY NATALIA FERDERIKA PELLO 0351R0101022V000580 O-6-10-I
DOHARMAIDA SITINJAK 0351R0101022V000733 W-4-17-I
MATHIAS LEDOH 0351R0101022V000646 M-4-17-I
MUHAMMAD UWAIS AL QARNI 0351R0101022V000682 K-4-18-I
DENIL SEBASTIAN BAOK 0351R0101022V000861 E-4-11-I
BERLIANA ALVIONITA 0351R0101022V000629 O-6-10-I
ASRI DYANI BOYMAU 0351R0101022V000648 W-4-16-I
YOLANDA YASINTA INA TUTO 0351R0101022V000701 S-4-13-I
ROSIDA ANALIGA 0351R0101022V000703 W-4-16-I
WIENFRIDA A. LELANG 0351R0101022V000651 N-4-12-I
ARNOLDA YOAN DELORES 0351R0101022V000658 G-4-23-I
KARTIKA HIJRAATI LAMABLAWA 0351R0101022V000670 D-4-11-I
GREGORIUS FALLO 0351R0101022V000668 N-4-10-I
FRANSISKUS M H TJIPTABUDI 0351R0101022V000611 I-4-17-I
ADHISTA MEIRINA PUTRI 0351R0101022V000621 W-4-16-II
ELLSY CHRISTIN THEODORA DJOH 0351R0101022V000650 O-6-10-I
ELISABETH PANDIE 0351R0101022V000716 G-4-17-I
SHELLOMIETHA ALEXANDRA Q. HENUK 0351R0101022V000704 N-4-12-I
BERTHARIA BUNGA 0351R0101022V000698 O-6-10-I
GILBERT EDWARD FRANS 0351R0101022V000690 U-4-13-I
ZEZIL ELEANORA TALLO 0351R0101022V000712 N-4-12-I
ISRAELA ZELDRIN MARLESSY 0351R0101022V000700 E-4-11-I
AERILYN KIRANA PUA MBUSA 0351R0101022V000736 E-4-11-I
KRISOSTOMUS STEVANO Y HERLYS 0351R0101022V000719 N-4-12-I
YANCE LENI 0351R0101022V000689 K-4-12-I
FITRIA ELSIANA KILLI 0351R0101022V000708 N-4-12-I
ELVANO ARNESTO GA 0351R0101022V000904 U-4-13-I

Page 17
 sheet1 -1

STELLAMARIS PALPOTE 0351R0101022V000806 K-4-12-II

DEWI RATNA SARI 0351R0101022V000889 E-4-13-I
SIMON PETRUS NEPA SIKI 0351R0101022V000721 N-4-13-I
ZIVANA CHRISTIANA DETHAN 0351R0101022V000734 J-4-18-I
BAYI NYONYA APRYANI DJO HAU 0351R0101022V001041 P-8-08-I
MAKDALENA SUBANG 0351R0101022V000720 W-4-16-I
JIHAN RATNA PUSPITA 0351R0101022V000921 O-6-13-I
BAYI NYONYA KAMELIA IBRAHIM 0351R0101022V000870 P-8-08-I
BAYI NYONYA ESTER SELI YULTISA SAFES 0351R0101022V000946 P-8-08-I
ESTER SELI YULTISA SAFES 0351R0101022V000726 O-6-10-I
SELFIA LILIATY 0351R0101022V000837 W-4-12-II
CLARITA IRSANTI MANO 0351R0101022V000906 W-4-16-I
RESKY NATALIA ZACHARIAS 0351R0101022V000711 W-4-16-II
SERLY MARIANI BOMBO 0351R0101022V001058 O-6-13-I
KAMELIA IBRAHIM 0351R0101022V000717 O-6-10-I
ESTER RETNO NINGSIH 0351R0101022V000718 O-6-10-I
APRYANI DJO HAU 0351R0101022V000725 O-6-10-I
ZAINAB 0351R0101022V001112 I-4-17-II
MEIRANI SHANDRA SHAVITRI KOSSO 0351R0101022V000950 W-4-16-I
RENI ANDERSIANA MANES 0351R0101022V001018 K-4-18-I
BAIQ RANIA AQILA SHALSABILA 0351R0101022V001011 U-4-13-I
JANET JACKLIN IMANUELLA PAULUS 0351R0101022V000977 W-4-16-I
MUHAMMAD KENDRICK ZEVA ASIKIN 0351R0101022V000849 E-4-11-I
BAYI NYONYA BETTY BECY BEKON 0351R0101022V001076 P-8-08-I
DELLYSA MAULIDINA HAFIZAH LAMAYA 0351R0101022V000864 D-4-13-I
CENDRAWATI NINU 0351R0101022V000939 I-4-17-I
JANTJE PALIAMA 0351R0101022V000897 I-4-17-I
JERY F. TALOIM 0351R0101022V000999 G-4-23-I
BAYI NYONYA ELVIRA ROSALINA TAHUN 0351R0101022V000640 P-8-16-III
BETTY BECY BEKON 0351R0101022V000905 O-6-10-I
MAYA AHMAD 0351R0101022V001129 W-4-16-II
BAYI NYONYA FOURENSHA FLORENSYA ANGGRAINI 0351R0101022V001322 P-8-08-I
BAYI NYONYA FLORENSIA SALEH SAPUTRI 0351R0101022V001007 P-8-17-I
FEBBE CHRISMAS MANANEL 0351R0101022V001105 W-4-17-I
VICTOR ROBENSON ROHI LAGA 0351R0101022V001074 B-4-13-I
MATILDA NGGADAS NAHAK 0351R0101022V001113 N-4-12-I
DANIEL TOMI HUKULEWO MEMAN 0351R0101022V001121 K-4-12-I
YAFUNA NANIMAN 0351R0101022V001062 K-4-12-I
ST. HAJAR 0351R0101022V001136 I-4-17-I
FOURENSHA FLORENSYA A. ZNOEKHOR 0351R0101022V001169 O-6-13-I
AZKAYRA ABRAR RAMADHANI 0351R0101022V000988 J-4-16-I
AGUSTINUS TIKA 0351R0101022V001017 E-4-10-I
ESRA TUPA 0351R0101022V000968 K-4-12-I

Page 18
 sheet1 -1

ANITA PASIFIKA ENGGELINA 0351R0101022V000922 N-4-12-I

PIUS DJATA 0351R0101022V001107 E-4-10-I
STEFANIA OMENU 0351R0101022V001118 N-4-12-I
BAYI NYONYA MARCHY PALLO 0351R0101022V001130 J-4-21-I
APRIELLO JAYA PRATAMA LILO 0351R0101022V000956 E-4-11-I
ABIL NAUFAL ZAIM ACHMAD 0351R0101022V000789 U-4-13-I
JULION BAGAS PRAMANA LILO 0351R0101022V001049 E-4-11-I
JULIO ADE MANUEL LILO 0351R0101022V000957 E-4-11-I
MARLINCE NATA 0351R0101022V001081 J-4-18-I
BAYI NYONYA ESTER RETNO NINGSIH 0351R0101022V001466 P-8-08-II
BAYI NYONYA LINDA VINISIA LEDE RIHI 0351R0101022V001396 P-8-08-I
RINDY JULIEN TOKOH 0351R0101022V000965 O-6-10-I
HABSIAH KAPA 0351R0101022V001127 W-4-12-I
DEAN MANUEL KAWAMASI 0351R0101022V001009 U-4-13-I
SINTIA WEWO 0351R0101022V001115 U-4-13-I
ADRIANA J.M.D. TUNLIU 0351R0101022V001243 N-4-16-I
EVINONCE AMALO 0351R0101022V001246 K-4-17-I
HERLITA NOVARINA ERASMUS, S.KM 0351R0101022V001101 E-4-11-I
SARLOTHA FRANS-JOOSTENSZ 0351R0101022V001132 K-4-12-I
ARLEN WADU 0351R0101022V001238 N-4-12-I
REGINA THENE 0351R0101022V001124 N-1-40-II
LINDA VINISIA LEDE RIHI 0351R0101022V001139 O-6-10-I
FERDINANDUS LONI 0351R0101022V001241 N-1-40-I
BAYI NYONYA JIHAN RATNA PUSPITA 0351R0101022V001403 P-8-11-II
OSCAR BRURY RADJA 0351R0101022V001288 M-4-17-I
ESTER DETHAN HERE 0351R0101022V001348 G-4-23-I
BAYI NYONYA MARIA YUSTINA TUTI AMADOREN 0351R0101022V001522 P-8-08-I
AFRIDA MAHRICE POTE 0351R0101022V001337 N-4-12-I
MARIA YUSTINA TUTI AMADOREN 0351R0101022V001387 O-6-13-I
BAMBANG DWI JOKO SURYADI 0351R0101022V001286 K-4-12-I
SHERENITTA AURISTELA ALLESYA KAY 0351R0101022V001285 U-4-13-II
ALEANDRO KALVIN JONAS BUKY 0351R0101022V001166 E-4-11-I
IRENE F MANU 0351R0101022V001314 W-4-17-I
BAYI NYONYA DEBBY CYNTHIA RADE 0351R0101022V001505 P-8-08-I
ABIDZAR HAFIZH HANAFI LAMAYA 0351R0101022V001307 D-4-13-I
YUNITA ISWARDANI 0351R0101022V001271 W-4-16-I
ISABELA NENOTEK 0351R0101022V001217 W-4-12-II
ALFONSUS OES 0351R0101022V001071 N-1-20-I
ALVERON REYNAL KAPITAN 0351R0101022V001131 N-1-40-II
ANI JANSE SELAN 0351R0101022V001159 N-1-40-I
DEBBY CYNTHIA RADE 0351R0101022V001165 O-6-10-I
NINING MEGAWATI PANARA 0351R0101022V001245 O-6-10-I
MELKISEDEK NEPAFAY 0351R0101022V001320 V-1-14-II

Page 19
 sheet1 -1

YONEROLIMPAS ALELANG 0351R0101022V001324 N-1-40-I

RIKARDUS S LOI 0351R0101022V001344 N-1-40-I
MICHELL VERNANDO YOHAN 0351R0101022V001361 N-1-40-I
BAYI NYONYA LINDA PUSPITA SARI 0351R0101022V001366 J-4-21-I
KIRANAISHA IZZAH KURNIA KHAMIM 0351R0101022V001233 Z-4-11-I
NELCI DETHAN LENGGU 0351R0101022V001421 W-4-16-I
YABES WILIAM RIDOLOF KLALI 0351R0101022V001458 E-4-11-I
MATHILDA YOLIN PANDIE 0351R0101022V001382 O-6-10-I
BAYI NYONYA MATHILDA YOLIN PANDIE 0351R0101022V001501 P-8-08-I
ARYANTY KADIR 0351R0101022V001401 E-4-12-I
ENJEL YULIAN TOBO 0351R0101022V001450 N-4-12-I
DINIS L. TOULASIK 0351R0101022V001350 N-4-12-I
DIAN FATMAWATI MANDASARI 0351R0101022V001463 O-6-13-I
OZORA VICTEN ETSAYKA HENUK 0351R0101022V001578 U-4-13-I
ASTIN LANA YUNITSIA HONI TALLO 0351R0101022V001443 W-4-16-I
MARIA NONGO 0351R0101022V001349 W-4-16-I
MATILDA LAKE 0351R0101022V001451 W-4-16-I
MARIA ZILVANIA NALA WEA 0351R0101022V001201 J-4-16-I
BARNAB FEBRIAN VALENTINO 0351R0101022V001476 K-4-12-I
LORENSIUS NAHAK 0351R0101022V001351 V-1-13-II
YULITA TAI NANA 0351R0101022V001356 N-1-40-II
PETRUS KLAVER GAWE 0351R0101022V001357 N-1-20-II
HANNY HASTA KHATIBAH 0351R0101022V001485 U-4-13-I
NOVTY ISMIRANTI NDAUMANU 0351R0101022V001597 N-4-11-I
FONNY INDAHSARI LALUS 0351R0101022V001346 O-6-10-I
OKTAVIANA KAROLIN ULLU 0351R0101022V001468 E-4-11-I
JEANE NELLY MANU 0351R0101022V001462 M-4-17-I
WILHELMINA HAGHI DETA 0351R0101022V001352 D-4-13-II
EKA ADIYANTI NADINE KAKUWALY 0351R0101022V001617 W-4-16-I
JEFRI ENGELINA HENUK BENU 0351R0101022V001591 O-6-13-I
INTAN SRIYANI DESMAWATY PANDI 0351R0101022V001363 U-4-13-II
FITRAKHUL RIZKY PUDJO PRATAMA 0351R0101022V001448 A-4-14-I
ANDREA RALINE HARYOKO 0351R0101022V001394 U-4-13-I
FREDIK THEOFILUS PANDIE 0351R0101022V001467 L-4-14-I
MERLIN MEGAWATI KANA 0351R0101022V001402 W-4-12-II
NONA MUDJINA ACHMAD 0351R0101022V001454 W-4-16-II
KHAULAH KAMILA TAQWA 0351R0101022V001572 J-4-21-I
GLORIA VELPIN LEWEN 0351R0101022V001365 U-4-13-I
CINTA LIANDRA BABA 0351R0101022V001471 U-4-13-I
AGUSTIN LIELA MANU 0351R0101022V001580 N-4-12-I
JUBLINA KANA MANGNGI 0351R0101022V001632 W-4-16-I
DIANA YUSUF 0351R0101022V001574 K-4-12-I
ALIMIN 0351R0101022V001524 L-1-40-I

Page 20
 sheet1 -1

SITI FATIMAH AB 0351R0101022V001588 I-4-17-I

VEBRIANA KAKA 0351R0101022V001483 I-4-20-I
DEWI SARTIKA LULU RIWU 0351R0101022V001577 G-4-23-I
BAYI NYONYA LENCI IMELDA NDOLU 0351R0101022V001446 S-4-17-I
RATNA EUNIKE KASE 0351R0101022V001539 W-4-16-II
MARLIN MELISA RADJA 0351R0101022V001569 N-1-40-II
YUDIT MARIA SISILIA LE 0351R0101022V001579 N-1-40-I
DEZY R. PORMERA 0351R0101022V001585 N-1-40-II
AHMAD NUR AIZAR 0351R0101022V001623 U-4-13-I
BAYI NYONYA MARIA MARTINI MANAFE 0351R0101022V001477 J-4-21-I
BILLY SIPAYUNG 0351R0101022V001470 J-4-18-I
LIORA BELVINE ELDHYCA NENO 0351R0101022V001636 U-4-13-I
ELLENA AZALIA GALLA 0351R0101022V001593 D-4-13-I
RAPHAEL SHEAN GLORYO BEHUKU 0351R0101022V001594 J-4-21-I
SHERLY TLONAEN 0351R0101022V001601 O-6-10-I
ELSI APRIANA PELLA 0351R0101022V001592 O-6-10-I
VENNY LUSITA HOAR SERAN 0351R0101022V001595 N-4-12-I
MERCY LURMASARI RUSAE 0351R0101022V001672 U-4-13-I
AMANDA AMOREIZA LADY HENDRIK 0351R0101022V001663 E-4-11-I
MARTA LODEN 0351R0101022V001587 N-4-16-I
BAYI NYONYA MARIA OCTAVIANA ONA MENA 0351R0101022V001657 P-8-08-I
SUSANA SUY - NDOLLU 0351R0101022V001596 A-4-14-I
WENI FITRIA ATI 0351R0101022V001677 Z-4-11-I
BAYI NYONYA SHERLY TLONAEN 0351R0101022V001656 P-8-08-I
EMILIUS M. JOHANES TETTY 0351R0101022V001603 N-4-15-I
NONIA C. ROTU LUDJI 0351R0101022V001644 N-4-12-I
SANTA FAMILIA YUNITA ASTUTI WALE 0351R0101022V001722 W-4-14-I
HERANTY BERQ NOMSEO 0351R0101022V001589 W-4-16-II
ARNEL BALLO - BENGKIUK 0351R0101022V001598 N-1-40-II
MARIA OCTAVIANA ONA MENA 0351R0101022V001599 O-6-10-II
GRACE MONA CATARINA LANGKE 0351R0101022V001799 U-4-13-I
BAYI NYONYA CLAUDIA A. HAYONG 0351R0101022V001777 U-4-13-I
HELLEN CHRISTINE TOTO 0351R0101022V001797 W-4-16-I
MARCELINUS CHOKY REZA LUSONG 0351R0101022V001582 U-4-13-I
YULIWATI NDRURU 0351R0101022V001537 W-4-16-I
JASINTA DEWI LEKI 0351R0101022V001590 O-6-10-I
FITRIA AHMAD MASKUR 0351R0101022V001678 W-4-16-II
BAYI NYONYA CORI INDAH PURWATI RADJA 0351R0101022V001800 S-4-17-II
APOLONIA NINU 0351R0101022V001482 W-4-16-II
LIVIANE MARCELLA KAPITAN 0351R0101022V001666 U-4-13-I
VIVI MARIATI HABA GEA 0351R0101022V001679 U-4-13-I
THERESIA FALEPANG LANGKE ATALO 0351R0101022V001798 J-4-18-I
NORIYANCE H.FOENALE 0351R0101022V001620 N-4-12-I

Page 21
 sheet1 -1

VINDY MARDINA BAIMETAN 0351R0101022V001893 O-6-13-I

RISDA YUNITA KORO 0351R0101022V001782 J-4-21-I
LERRY MARIA ZACHARIAS 0351R0101022V001584 N-4-12-I
WILIAM BONISIUS LIFIRE 0351R0101022V001735 G-4-23-I
SUSANA BAKKER 0351R0101022V001796 K-4-12-I
NORMA CHATTY LEO 0351R0101022V001600 O-6-10-I
NURHAYATI 0351R0101022V001661 W-1-10-I
QHAYRA FARHANA MASANG 0351R0101022V001475 L-1-40-I
PRICYLIA MELINDA DILLAK 0351R0101022V001625 W-4-16-II
RUDDI ARI MANU 0351R0101022V001828 N-1-20-I
ALEASHA CAROLIN GWENORPA DAFA 0351R0101022V001891 K-4-18-I
GALVRAIZREAL JUNFANU MIRA DIDA 0351R0101022V001848 J-4-21-I
NURMA YADI DARIS AMIN 0351R0101022V001804 N-4-12-I
BENEDICTUS LIONEL TODALANI 0351R0101022V001781 J-4-21-I
YOSEPH MARIANO NURAK 0351R0101022V001770 J-4-21-I
FATIN ANGGREANI 0351R0101022V001966 L-4-14-I
BIANCA NAAVARISA PALAMBA 0351R0101022V001778 N-4-12-I
LEDI DIANA NDUN 0351R0101022V001898 I-4-20-I
APRIN SONETA KULLA 0351R0101022V001718 W-4-16-I
WIDYA PUTRI PENLAANA 0351R0101022V001801 W-4-16-I
ADHISTA MEIRINA PUTRI 0351R0101022V001853 W-4-16-II
ENDANG SUMYANTI 0351R0101022V001803 N-4-12-I
IRA HELMY BUKANG 0351R0101022V001897 W-4-16-I
AHMAD YUNUS 0351R0101022V001806 V-1-14-II
BAYI NYONYA FONNY INDAHSARI LALUS 0351R0101022V001845 P-8-17-I
KATERINA RIWU 0351R0101022V001887 N-1-40-I
MARIA THERESIA YASINTA BULEN 0351R0101022V001894 W-4-16-I
ALAN WILSSON HENUK 0351R0101022V001940 U-4-13-I
YOSEFINA BELI 0351R0101022V001886 E-4-10-I
JOHANIS DILLAK 0351R0101022V001938 K-4-12-I
WILLIAM THOKANG 0351R0101022V001978 I-4-20-I
MARIA ANINDA GAE LOMI 0351R0101022V001871 W-4-12-I
CHYNTHIA CHERESTINA ANGGANETHA BAKKER 0351R0101022V001900 K-4-12-I
WELMINCE KU'U-BANGGU REDE 0351R0101022V001889 J-4-21-I
AIDA FITRIA J. KUSING 0351R0101022V001888 D-4-13-II
KEVIN FERNAND STEVAN KORO 0351R0101022V001995 N-4-12-I
REFAN JONATAN NAKLUI 0351R0101022V002017 M-4-21-I
ALVARO GAVRIEL LIU 0351R0101022V001875 E-4-11-I
RIANNY WETANGKI 0351R0101022V001766 A-4-12-I
DAVE GERALDO JONATHAN KORO 0351R0101022V001928 E-4-11-I
CLARISA MARSELA TIDORA ADU 0351R0101022V001939 E-4-11-I
DIYAN MARIA KRISTIN, AMD 0351R0101022V001964 G-4-23-I
JIMMY YULYATNO ALEXANDER LIU 0351R0101022V001990 N-4-15-I

Page 22
 sheet1 -1

YERMIAS POLLY 0351R0101022V001874 V-1-14-II

YULIANA KANA DJO ROHI 0351R0101022V001879 E-4-10-II
YOHANES KORNELIS MARTINUS LOBANG 0351R0101022V001892 N-1-40-I
RUTELDHA DITHARAJULI SILALAHI 0351R0101022V001895 O-6-10-I
JULYANA C.S MUDAMAKIN 0351R0101022V002030 W-4-16-II
NOLLA CATRIN LERRICK 0351R0101022V001997 W-4-16-I
JINNI WIDYA BALLUKH 0351R0101022V002029 W-4-16-I
ANDRIEANA BANOWATI 0351R0101022V001973 K-4-12-I
SITI RUBIAH W. LEWAR 0351R0101022V002022 N-4-16-I
ADRIANA MATA ROHI - KANA 0351R0101022V001986 N-4-16-I
MARCE FUA 0351R0101022V001961 N-4-12-I
SUFIA SUGIATI 0351R0101022V002096 G-4-23-I
VIRENDRA MARFEL SIOKAIN 0351R0101022V001994 U-4-13-I
CAKRA THIMOTY ARIDI PARA 0351R0101022V002001 J-4-21-I
DILAN LANDY WUNDA 0351R0101022V001998 U-4-13-I
DILON LANDY WUNDA 0351R0101022V001999 U-4-13-I
DOMINIQUE KYRIEELEISON MANU 0351R0101022V002098 E-4-11-I
NOVARINA ELENA MESSAH 0351R0101022V002003 U-4-13-I
NINING MEGAWATI PANARA 0351R0101022V002065 W-4-17-I
THINEKI ADARA LAGA RIWU 0351R0101022V001896 U-4-13-I
YONATAN NOBRIHAS 0351R0101022V001934 N-1-20-I
NURHAYATI 0351R0101022V002092 W-1-10-I
ANDREW CORNELIX SAMUEL NOMLENI 0351R0101022V002123 J-4-18-I
MIRACHEL ELLEANORA KOILAL 0351R0101022V002094 U-4-13-I
JUSTICIO JACOB LAKAPU 0351R0101022V002278 E-4-11-I
HARYANTI 0351R0101022V002208 N-4-13-I
INA IMELDA KADJI 0351R0101022V002116 N-4-12-I
MARIA GORETI SOSE 0351R0101022V002122 K-4-12-I
MARIA HENDRITHA LIDYA NGONGO 0351R0101022V002459 W-4-12-I
NUR AISYAH BAHWERES 0351R0101022V002128 W-4-16-I
RAMADHAN AHMAD 0351R0101022V002109 N-1-40-II
JULIANA ADRIANA BELLEH LOA 0351R0101022V002242 N-4-16-I
MARIA HELENA KORREIA 0351R0101022V002250 K-4-12-I
DAVID SANAM 0351R0101022V002255 J-4-21-I
JOZKA YISRAEL BUKANG 0351R0101022V002252 U-4-13-I
DEWI SARTIKA DOPONG 0351R0101022V002383 W-4-14-I
JUSUF EZRA RUDOLF FRANSZ 0351R0101022V002115 A-4-13-I
ABNER PETRA BIREMALLE 0351R0101022V002125 A-4-12-I
ASKIA ALYANA SUSAK 0351R0101022V002113 A-4-13-I
NURAINI PURNAMA 0351R0101022V002299 W-4-16-II
YOLIN MAGDALENA AMTIRAN S.SOS 0351R0101022V002241 G-4-23-I
SULIS NOVIYATI 0351R0101022V002179 O-6-10-I
ALEANDRO SANPEDRO SANGAJI BETEKENENG 0351R0101022V002374 K-4-18-I

Page 23
 sheet1 -1

IAN IMANUEL ADRIAN LENA 0351R0101022V002243 J-4-21-I

I KOMANG BEDIARTA R.D. LOGO 0351R0101022V002295 E-4-11-I
OSARLINA NUBAN 0351R0101022V002468 W-4-12-I
SELMI YANI TAMELAB 0351R0101022V002313 O-6-10-I
BAYI NYONYA SELMI YANI TAMELAB 0351R0101022V002493 P-8-08-I
ALEXANDRIA BRIELLE SRIANI 0351R0101022V002204 A-4-12-I
MUHAMMAD GUINANDRA AL-HANAN SHAKEIL 0351R0101022V002245 E-4-11-I
GABRIELLA CLAIRE NDOLU 0351R0101022V002355 U-4-13-I
THEODORE AXEL AZZURRA MANDARU 0351R0101022V002350 U-4-13-II
MARTEN SATRIO TENMAU 0351R0101022V002341 U-4-13-I
MARIA LELLA FLORESSIA DJUANG 0351R0101022V002212 A-4-14-I
AYNI YANI-NATUN,SH 0351R0101022V002185 E-4-10-I
SCHOLASTIKA DARIN KASE 0351R0101022V002280 U-4-13-I
RATNA SETYOWATIE ARA 0351R0101022V002107 E-4-11-I
REGINA CASTILLIO 0351R0101022V002294 K-4-12-I
SOLAGRATIA TANGGU MARANJA 0351R0101022V002351 N-4-12-I
SOFIA TAMAELA DAULIKA 0351R0101022V002129 N-4-12-I
SAUL CHARLES DOE 0351R0101022V002328 K-4-12-I
BLASIUS BON 0351R0101022V002248 V-1-11-I
BAYI NYONYA SULIS NOVIYATI 0351R0101022V002264 P-8-08-I
SITI SYADIAH SULEMAN HADJI 0351R0101022V002282 O-6-10-I
MUSTAMIN 0351R0101022V002322 N-1-40-III
MARLON ENESTO HAWU 0351R0101022V002334 N-1-40-I
POLIKARPUS LOSE 0351R0101022V002340 N-1-40-II
BAYI NYONYA SITI SYADIAH SULEMAN HADJI 0351R0101022V002513 P-8-08-I
SESI MARSELINA MEOL - MESAKH 0351R0101022V002361 N-4-12-I
WARDAH WULANDARI S. ALI 0351R0101022V002136 U-4-13-I
EDELWEIS PUTRI SAVANALI TALLI 0351R0101022V002394 K-4-18-I
ACHMAD FATHIR RAMADHAN S. ALI 0351R0101022V002135 U-4-13-I
CHARA AALEYAH HOLLY SIR 0351R0101022V002460 M-4-18-I
CATHERINA ELEORA SANU 0351R0101022V002353 U-4-13-I
AVIANO VEGAND ELCARLO NDOLU EOH 0351R0101022V002349 J-4-18-I
THERESIA DE LIMA RANI 0351R0101022V002403 N-4-12-I
WIDYA PUTRI PENLAANA 0351R0101022V002437 W-4-16-I
INGGRID PRISCHA TUTO WITAK 0351R0101022V002467 O-6-13-I
ERNI FERAWATI MERIYANA TEFA 0351R0101022V002310 W-4-16-II
JUMMY JUNITA LAZARUS 0351R0101022V002396 W-4-16-I
BAYI NYONYA MALINDA YULINAR KESE 0351R0101022V002593 P-8-08-I
DINO DARE 0351R0101022V002345 U-4-13-I
GEORGE BERNANDO SERAN 0351R0101022V002354 U-4-13-I
AURELIA ESTER TAKAEB 0351R0101022V002432 W-4-16-II
VINSENSIUS PALLOTTI KIANO DOUM 0351R0101022V002378 U-4-13-I
DEVINA AXELIA JUMIMA RAMBO 0351R0101022V002478 L-4-14-I

Page 24
 sheet1 -1

SUKMAWATI 0351R0101022V002392 W-4-16-I

FLORUSMAS KABA 0351R0101022V002463 E-4-11-I
NAOMI JOHANA LEMA 0351R0101022V002348 O-6-10-I
NURHAYATI LA UDU .SPI 0351R0101022V002382 N-1-40-I
GALVRAIZREAL JUNFANU MIRA DIDA 0351R0101022V002395 V-1-11-I
SILVESTER ADVENTO EMMA MASAN 0351R0101022V002457 N-1-40-I
MALINDA YULINAR KESE 0351R0101022V002466 O-6-10-I
NURAINI 0351R0101022V002579 N-1-20-III
BAYI NYONYA FIFI SOFINA PUASOKE 0351R0101022V002548 P-8-08-I
YOANA KOAMESAH 0351R0101022V002516 L-1-40-I
FEBE KILLA - MUSTAMU 0351R0101022V002517 A-4-14-I
LAURENSIUS TEFA 0351R0101022V002544 K-4-12-I
YOSILA FANGGIDAE 0351R0101022V002464 N-4-12-I
ASMULYATI S. SALEH 0351R0101022V002590 K-4-12-I
FIFI SOFINA PUASOKE 0351R0101022V002462 O-6-10-I
JANET JACKLIN IMANUELLA PAULUS 0351R0101022V002359 W-4-16-II
KEYDEN K RATU MAUFA 0351R0101022V002586 K-4-17-I
EDWELLA DORTHIANA POTOKATOE 0351R0101022V002358 U-4-13-I
JULYANA C.S MUDAMAKIN 0351R0101022V002450 O-6-10-I
BAYI NYONYA NAOMI JOHANA LEMA 0351R0101022V002505 P-8-13-I
ORGEN LASARUS THIEN 0351R0101022V002582 N-1-40-I
FITRIA AHMAD MASKUR 0351R0101022V002568 O-6-10-I
IIN ARIYATI WULANDARI 0351R0101022V002693 O-6-13-I
BAYI NYONYA IIN ARIYATI WULANDARI 0351R0101022V002888 P-8-08-I
BAYI NYONYA SERLY SERANG 0351R0101022V002641 P-8-08-I
ROSITA FITRIANI MUSTAFA 0351R0101022V002637 E-4-13-I
AZAREL PRAHMANA SANTOSO 0351R0101022V002635 U-4-13-I
PAHMI 0351R0101022V002652 K-4-12-I
INDAH ERVIANDA LUDJI 0351R0101022V002628 N-4-12-I
VELDY ENJELINA PONO 0351R0101022V002504 N-4-12-I
KAI ELZOE ESA BANE 0351R0101022V002607 J-4-21-I
BAYI NYONYA FARNI Y Y LANIANA 0351R0101022V002583 J-4-21-I
JEVAN A NAPPU 0351R0101022V002645 J-4-21-I
ARLYCIANO ANUGERAH MANOE 0351R0101022V002720 U-4-13-I
RETDIYANO ALIVIAR SUWARDANA 0351R0101022V002666 G-4-23-I
MARSYANDA 0351R0101022V002470 W-4-16-I
YENY ADRIANY BONLAY 0351R0101022V002692 W-4-16-I
MARIA SEPTIANA JOHANIS 0351R0101022V002587 W-4-16-I
ASTUTY BUNGA PERTIWI 0351R0101022V002691 W-4-16-I
BAYI NYONYA FITRIA AHMAD MASKUR 0351R0101022V002657 P-8-08-I
AGUSTINA MARIANA LIDIA CALING 0351R0101022V002803 W-4-16-I
AGUSTINUS BOIMAU 0351R0101022V002495 V-1-14-III
SERLY SERANG 0351R0101022V002576 O-6-10-II

Page 25
 sheet1 -1

YOSEPHUS THEI 0351R0101022V002581 V-1-14-II

ARIANTJE LOURO 0351R0101022V002636 E-4-10-II
MIRANTI SIKAM 0351R0101022V002685 W-4-16-I
RIBKA RADJA HABA 0351R0101022V002783 O-6-13-I
BAYI NYONYA ZERUYA INJILIA DETHAN 0351R0101022V002864 P-8-08-I
VIRENDRA MARFEL SIOKAIN 0351R0101022V002589 J-4-21-I
GAMALIEL IVANDER CHRISTIAN NGONGO 0351R0101022V002681 U-4-13-I
BAYI NYONYA MARCHY PALLO 0351R0101022V002768 U-4-13-I
ELLEANORA PETRONELA ZARA SERAN 0351R0101022V002757 U-4-13-I
MARIA S FANGIDAE-DOKO SH 0351R0101022V002709 E-4-10-I
FIDELIA SUNI 0351R0101022V002770 W-4-16-I
ANDRY RACHMAN 0351R0101022V002766 I-4-17-I
EKLESIA SODAKAIN 0351R0101022V002777 E-4-10-I
YONATAN NOBRIHAS 0351R0101022V002688 N-4-15-I
ARVA GAVALIEL ENGGE 0351R0101022V002337 J-4-16-II
TADEUS DARI 0351R0101022V002577 V-1-14-I
WIHELMINA BANO 0351R0101022V002621 N-1-20-II
ZERUYA INJILIA DETHAN 0351R0101022V002684 O-6-10-II
MARIO REINALDO WASA 0351R0101022V002694 N-1-40-I
ELISABETH SUAN 0351R0101022V002728 N-1-40-II
T

Page 26
 sheet1 -1

kt 2022
S KELAS D SWASTA
Top Up Total Tarif Tarif RS Jenis
1,530,600 2,416,700 RI
1,371,900 2,980,000 RI
3,312,000 3,371,000 RI
2,926,000 2,271,000 RI
2,508,000 2,092,500 RI
2,508,000 2,469,000 RI
2,926,000 2,413,000 RI
3,123,600 1,617,000 RI
2,553,600 3,349,000 RI
2,760,000 2,545,500 RI
2,957,800 4,796,000 RI
10,488,400 9,920,000 RI
5,516,800 8,705,000 RI
3,370,600 2,172,000 RI
2,915,200 2,232,500 RI
2,760,000 2,334,000 RI
1,602,300 3,204,000 RI
2,489,100 2,748,000 RI
2,117,900 1,691,000 RI
3,375,000 5,024,800 RI
3,823,600 2,162,000 RI
2,273,200 2,044,000 RI
3,312,000 1,924,000 RI
2,188,800 2,233,500 RI
4,836,300 2,482,500 RI
3,812,900 2,945,000 RI
8,990,000 9,302,000 RI
7,491,700 6,144,000 RI
2,489,100 1,627,000 RI
2,074,300 1,616,000 RI
2,981,200 3,288,000 RI
4,836,300 2,570,500 RI
3,864,000 4,179,000 RI
1,874,400 1,983,000 RI
3,123,600 2,751,700 RI
13,609,600 10,058,000 RI
12,715,700 11,419,500 RI
5,625,200 9,016,000 RI
5,338,000 4,098,750 RI

Page 27
 sheet1 -1

2,770,700 1,605,000 RI
3,812,900 2,738,500 RI
2,508,000 2,034,000 RI
2,188,800 2,564,500 RI
1,602,300 2,810,000 RI
1,602,300 3,037,000 RI
2,074,300 2,376,000 RI
1,657,000 2,523,000 RI
2,652,000 2,274,000 RI
2,508,000 2,609,000 RI
2,508,000 2,010,500 RI
1,769,800 1,843,700 RI
2,926,000 2,334,000 RI
3,312,000 2,266,500 RI
2,652,000 2,291,000 RI
1,894,300 1,594,000 RI
1,894,300 1,877,500 RI
2,926,000 2,569,000 RI
2,926,000 2,655,000 RI
9,734,100 17,183,000 RI
9,100,000 8,478,000 RI
4,622,200 3,470,000 RI
5,942,900 4,217,500 RI
4,462,800 10,653,000 RI
3,456,600 3,683,000 RI
2,965,100 2,711,000 RI
4,575,400 3,318,500 RI
2,541,500 2,582,700 RI
3,312,000 2,609,500 RI
1,894,300 1,450,000 RI
2,129,400 3,621,000 RI
2,615,000 1,816,000 RI
3,644,100 1,946,000 RI
9,293,100 9,008,500 RI
5,625,200 8,843,700 RI
2,090,000 1,686,500 RI
3,812,900 3,338,500 RI
3,961,900 2,900,000 RI
2,477,700 3,764,600 RI
2,188,800 2,119,000 RI
2,553,600 2,261,000 RI
2,926,000 2,584,000 RI
2,142,800 1,768,500 RI

Page 28
 sheet1 -1

1,894,300 1,781,000 RI
3,812,900 2,997,500 RI
2,489,100 2,305,000 RI
1,922,800 2,748,000 RI
1,600,500 2,773,000 RI
1,894,300 1,546,000 RI
2,652,000 3,126,000 RI
2,926,000 4,040,500 RI
6,757,900 5,284,200 RI
5,625,200 9,409,000 RI
4,959,200 8,291,000 RI
4,687,700 7,954,000 RI
2,074,300 2,442,000 RI
3,328,600 3,878,000 RI
2,541,500 2,845,500 RI
2,090,000 2,292,500 RI
2,090,000 2,860,500 RI
2,624,200 2,244,500 RI
3,937,500 3,318,400 RI
2,965,100 2,648,000 RI
2,926,000 2,477,900 RI
2,535,200 3,319,000 RI
2,926,000 2,220,000 RI
2,965,100 4,121,500 RI
1,894,300 1,982,000 RI
1,896,500 3,670,000 RI
11,623,500 8,631,000 RI
2,489,100 2,051,000 RI
2,926,000 4,253,590 RI
2,926,000 2,293,500 RI
3,136,900 2,723,800 RI
4,836,300 2,723,800 RI
2,652,000 2,467,000 RI
3,126,500 3,679,500 RI
1,922,800 2,746,000 RI
2,508,000 2,081,000 RI
2,679,800 2,631,000 RI
2,619,300 2,376,750 RI
1,894,300 1,948,000 RI
2,904,000 3,095,000 RI
3,136,900 3,486,900 RI
5,625,200 9,336,000 RI
2,770,700 1,665,000 RI

Page 29
 sheet1 -1

2,926,000 2,432,500 RI
2,957,800 4,906,000 RI
2,249,300 3,202,500 RI
2,553,600 2,697,500 RI
1,450,900 2,882,700 RI
4,044,700 2,442,000 RI
1,894,300 1,713,500 RI
2,090,000 1,545,000 RI
3,312,000 1,944,000 RI
2,652,000 3,521,000 RI
4,036,700 2,301,000 RI
1,602,300 3,026,000 RI
2,074,300 1,847,000 RI
3,299,800 5,728,000 RI
2,243,300 3,073,000 RI
2,382,800 4,034,500 RI
6,562,800 9,946,900 RI
1,836,700 1,255,500 RI
3,651,800 3,005,000 RI
1,657,000 2,079,000 RI
2,090,000 1,325,000 RI
4,687,700 9,231,000 RI
2,489,100 3,681,000 RI
2,916,800 4,662,000 RI
2,489,100 1,426,000 RI
2,965,100 3,061,000 RI
2,249,300 3,059,000 RI
2,859,500 1,722,000 RI
2,343,900 2,434,000 RI
2,553,600 3,496,000 RI
2,773,800 2,588,000 RI
5,625,200 9,181,400 RI
4,453,600 2,417,800 RI
2,965,100 2,470,000 RI
4,687,700 8,569,700 RI
2,652,000 2,171,000 RI
2,965,100 1,921,000 RI
2,508,000 2,128,000 RI
2,090,000 1,477,000 RI
2,541,500 2,145,000 RI
2,090,000 2,274,000 RI
2,117,900 2,616,000 RI
1,894,300 1,884,000 RI

Page 30
 sheet1 -1

3,375,000 3,003,000 RI
3,661,000 2,640,000 RI
4,718,800 4,097,000 RI
2,981,200 3,358,000 RI
4,575,400 3,389,500 RI
2,904,000 3,558,000 RI
2,243,300 3,797,500 RI
3,812,900 3,907,500 RI
3,812,900 3,397,500 RI
4,687,700 8,364,000 RI
3,804,000 3,369,200 RI
2,074,300 2,170,000 RI
2,773,800 2,654,300 RI
2,243,300 3,259,000 RI
6,562,800 9,718,700 RI
5,625,200 8,801,700 RI
5,625,200 9,048,700 RI
2,972,900 2,150,000 RI
2,489,100 2,124,700 RI
1,183,600 1,549,000 RI
2,273,200 1,960,500 RI
2,904,000 2,362,500 RI
2,926,000 3,258,000 RI
3,812,900 3,537,500 RI
2,957,800 3,696,000 RI
2,553,600 2,399,500 RI
2,553,600 3,641,000 RI
2,624,200 2,620,500 RI
8,003,600 12,597,000 RI
6,562,800 10,257,000 RI
3,883,400 1,544,500 RI
3,812,900 3,617,500 RI
3,961,900 7,080,000 RI
1,530,600 2,111,000 RI
3,568,500 2,267,500 RI
2,965,100 2,656,000 RI
2,508,000 1,831,000 RI
2,090,000 1,963,700 RI
1,824,000 1,645,000 RI
1,602,300 3,146,500 RI
4,147,900 2,544,500 RI
4,836,300 3,338,000 RI
2,090,000 2,380,700 RI

Page 31
 sheet1 -1

2,541,500 3,323,000 RI
4,836,300 2,554,500 RI
2,117,900 1,937,100 RI
3,864,000 2,277,000 RI
2,508,000 2,629,000 RI
1,894,300 2,624,000 RI
2,508,000 2,015,500 RI
2,508,000 2,469,000 RI
2,981,200 2,283,000 RI
6,492,500 9,493,500 RI
4,575,400 3,247,500 RI
6,562,800 12,987,500 RI
2,770,700 2,076,000 RI
2,652,000 3,813,000 RI
2,273,200 2,604,500 RI
3,136,900 2,040,000 RI
1,650,200 2,141,000 RI
2,926,000 3,445,500 RI
2,926,000 3,143,000 RI
2,117,900 1,551,000 RI
7,491,700 7,776,000 RI
5,625,200 8,382,900 RI
7,723,500 9,606,000 RI
12,010,900 10,369,500 RI
3,130,100 1,928,000 RI
2,249,300 1,942,000 RI
3,812,900 3,117,500 RI
2,965,100 2,294,000 RI
1,602,300 2,952,000 RI
2,926,000 2,774,000 RI
3,126,500 2,404,000 RI
2,508,000 2,904,000 RI
1,836,700 3,352,000 RI
4,575,400 3,427,500 RI
2,957,800 2,702,000 RI
2,904,000 2,630,000 RI
3,804,000 2,789,000 RI
9,397,200 11,827,500 RI
10,488,400 11,711,000 RI
5,516,800 7,777,000 RI
5,625,200 9,739,100 RI
5,625,200 9,609,500 RI
10,899,100 7,689,000 RI

Page 32
 sheet1 -1

5,516,800 7,091,000 RI
5,516,800 7,280,000 RI
7,723,500 7,119,000 RI
3,864,000 3,721,000 RI
2,477,700 5,402,500 RI
2,489,100 2,688,000 RI
2,508,000 1,699,000 RI
4,687,700 8,102,000 RI
3,812,900 3,219,500 RI
3,361,900 3,598,000 RI
2,965,100 2,636,700 RI
2,117,900 2,146,800 RI
2,243,300 3,412,000 RI
2,652,000 2,526,500 RI
2,074,300 1,685,000 RI
2,074,300 2,836,000 RI
2,074,300 2,449,900 RI
4,839,200 6,373,500 RI
2,090,000 1,629,000 RI
6,090,700 7,811,400 RI
7,491,700 7,532,000 RI
13,150,900 9,647,000 RI
1,894,300 2,991,500 RI
1,799,300 1,262,000 RI
6,562,800 10,232,000 RI
2,508,000 2,413,500 RI
3,651,800 2,327,500 RI
2,990,200 3,376,000 RI
2,074,300 1,251,000 RI
1,602,300 2,928,000 RI
3,126,500 3,624,000 RI
2,741,600 2,412,000 RI
2,273,200 2,694,000 RI
2,082,300 1,821,000 RI
5,325,600 4,965,000 RI
3,328,600 2,673,000 RI
3,864,000 2,321,000 RI
2,273,200 3,552,000 RI
2,273,200 2,451,500 RI
2,541,500 2,528,500 RI
2,489,100 1,956,000 RI
2,090,000 1,604,000 RI
3,521,300 5,172,000 RI

Page 33
 sheet1 -1

2,553,600 2,614,500 RI
2,883,300 1,995,500 RI
2,249,300 2,133,000 RI
1,759,900 6,438,000 RI
3,883,400 2,617,000 RI
7,491,700 7,157,000 RI
6,620,200 8,210,000 RI
8,990,000 7,742,000 RI
2,652,000 3,029,500 RI
3,864,000 3,764,000 RI
2,981,200 4,521,700 RI
2,273,200 1,987,500 RI
2,957,800 3,293,000 RI
3,864,000 4,283,000 RI
4,687,700 8,298,400 RI
4,687,700 8,384,400 RI
2,541,500 3,130,000 RI
1,894,300 1,455,000 RI
2,926,000 2,067,000 RI
2,614,100 2,542,000 RI
3,812,900 3,337,500 RI
2,284,600 2,310,600 RI
2,123,700 1,985,000 RI
3,812,900 3,568,500 RI
2,134,800 2,463,900 RI
2,541,500 2,166,500 RI
1,410,800 1,602,000 RI
3,883,400 3,522,000 RI
7,491,700 8,731,000 RI
4,959,200 8,913,400 RI
1,894,300 1,440,500 RI
1,894,300 1,714,000 RI
2,074,300 1,973,000 RI
2,652,000 3,815,000 RI
2,904,000 4,769,000 RI
4,687,700 8,838,000 RI
2,773,800 3,171,000 RI
3,134,300 5,847,000 RI
3,328,600 7,144,500 RI
2,652,000 3,647,000 RI
1,894,300 2,428,300 RI
2,129,400 2,059,600 RI
2,965,100 3,409,000 RI

Page 34
 sheet1 -1

1,922,800 2,786,000 RI
2,760,000 2,048,600 RI
2,541,500 4,326,000 RI
2,249,300 2,379,000 RI
2,090,000 1,659,000 RI
5,625,200 10,311,500 RI
1,510,100 2,262,000 RI
4,225,500 9,304,000 RI
3,883,400 4,236,000 RI
6,712,300 7,009,000 RI
1,420,300 2,018,000 RI
3,864,000 2,403,000 RI
2,541,500 2,725,000 RI
3,312,000 2,539,500 RI
3,864,000 2,220,000 RI
2,082,300 1,389,000 RI
2,965,100 2,780,000 RI
4,036,700 2,230,050 RI
2,904,000 3,424,000 RI
2,074,300 2,768,000 RI
2,773,800 2,089,000 RI
2,965,100 3,217,500 RI
2,489,100 2,111,000 RI
9,082,600 8,333,000 RI
4,622,200 5,710,000 RI
5,516,800 7,235,000 RI
2,074,300 2,040,000 RI
2,273,200 1,938,000 RI
4,836,300 3,782,500 RI
2,926,000 2,257,000 RI
2,883,300 1,506,000 RI
3,324,800 2,402,000 RI
2,508,000 2,020,400 RI
2,760,000 2,568,500 RI
3,588,200 3,394,700 RI
2,965,100 2,296,000 RI
2,088,300 1,262,000 RI
2,508,000 2,720,500 RI
3,644,100 4,635,000 RI
2,926,000 2,199,900 RI
2,508,000 2,392,000 RI
2,624,200 2,580,000 RI
2,561,800 1,974,000 RI

Page 35
 sheet1 -1

9,082,600 7,906,500 RI
6,757,900 4,024,000 RI
7,723,500 9,856,500 RI
6,562,800 11,111,000 RI
3,883,400 4,962,000 RI
2,904,000 3,563,000 RI
2,074,300 1,660,000 RI
2,508,000 3,149,200 RI
3,659,800 2,347,000 RI
3,136,900 2,420,000 RI
2,965,100 3,189,000 RI
2,249,300 1,611,000 RI
1,894,300 1,943,500 RI
3,864,000 2,983,500 RI
1,894,300 2,166,000 RI
1,894,300 2,158,500 RI
2,926,000 2,163,000 RI
2,273,200 2,064,000 RI
1,836,700 2,856,000 RI
1,894,300 2,172,000 RI
8,054,800 11,704,700 RI
1,510,100 3,978,500 RI
2,981,200 2,627,000 RI
1,894,300 1,737,300 RI
2,926,000 2,378,500 RI
4,044,700 1,995,000 RI
2,965,100 2,842,900 RI
2,090,000 1,823,200 RI
2,770,700 3,200,000 RI
2,074,300 2,568,000 RI
8,990,000 9,643,000 RI
3,659,800 2,691,700 RI
2,926,000 2,462,700 RI
2,760,000 2,627,500 RI
2,652,000 2,211,000 RI
1,410,800 1,454,000 RI
1,600,500 3,018,200 RI
3,123,600 2,465,000 RI
1,600,500 2,672,000 RI
3,883,400 1,838,000 RI
2,624,200 2,503,500 RI
6,562,800 8,925,700 RI
1,420,300 1,814,000 RI

Page 36
 sheet1 -1

2,760,000 2,003,000 RI
2,926,000 2,302,700 RI
2,770,700 1,451,000 RI
4,687,700 8,515,200 RI
3,812,900 3,208,500 RI
3,123,600 3,283,000 RI
2,508,000 2,675,000 RI
2,273,200 1,476,000 RI
2,679,800 1,672,000 RI
1,894,300 1,570,000 RI
2,741,600 2,032,700 RI
4,836,300 3,633,160 RI
1,894,300 1,708,400 RI
2,926,000 4,312,000 RI
2,090,000 1,995,700 RI
2,965,100 2,474,700 RI
2,965,100 4,372,900 RI
2,508,000 2,140,100 RI
7,800,000 8,089,000 RI
5,338,000 8,722,500 RI
6,562,800 9,343,000 RI
8,719,400 7,874,000 RI
6,620,200 7,939,000 RI
10,488,400 9,578,000 RI
5,338,000 3,699,500 RI
2,965,100 3,094,200 RI
2,273,200 3,278,500 RI
1,420,300 1,859,000 RI
2,273,200 3,532,000 RI
2,760,200 2,375,500 RI
2,273,200 2,069,000 RI
2,981,200 3,121,500 RI
2,965,100 2,469,200 RI
2,074,300 2,088,000 RI
1,922,800 3,483,000 RI
3,328,600 2,632,000 RI
2,904,000 2,860,000 RI
4,575,400 3,018,500 RI
1,894,300 2,182,000 RI
2,273,200 2,222,600 RI
3,328,600 3,268,700 RI
2,652,000 2,784,000 RI
2,498,800 1,835,000 RI

Page 37
 sheet1 -1

2,074,300 2,343,000 RI
2,090,000 1,673,800 RI
5,625,200 10,126,000 RI
7,723,500 9,915,000 RI
9,100,000 7,605,400 RI
5,516,800 7,472,000 RI
5,625,200 9,328,800 RI
13,145,100 6,255,000 RI
3,812,900 3,108,500 RI
3,521,300 5,617,000 RI
3,198,500 2,688,600 RI
2,090,000 1,695,600 RI
2,965,100 3,243,700 RI
2,926,000 2,691,400 RI
4,687,700 7,966,800 RI
3,883,400 4,460,000 RI
1,178,700 1,615,000 RI
2,652,000 3,705,000 RI
6,562,800 12,589,200 RI
5,942,900 7,927,000 RI
5,516,800 7,455,500 RI
4,687,700 8,287,000 RI
1,602,300 3,091,000 RI
3,812,900 2,837,500 RI
3,812,900 2,965,000 RI
3,138,000 2,617,000 RI
2,652,000 2,440,000 RI
2,090,000 1,677,700 RI
2,117,900 1,974,500 RI
2,965,100 3,248,000 RI
3,864,000 2,608,000 RI
2,760,000 2,168,000 RI
3,312,000 2,982,000 RI
2,652,000 1,666,000 RI
2,624,200 2,890,400 RI
2,074,300 3,309,000 RI
2,489,100 2,662,000 RI
2,904,000 3,277,500 RI
2,904,000 2,626,000 RI
3,812,900 3,357,500 RI
2,904,000 1,640,000 RI
11,341,300 9,056,000 RI
4,959,200 9,044,400 RI

Page 38
 sheet1 -1

9,082,600 9,452,000 RI
6,757,900 3,037,500 RI
2,489,100 3,238,000 RI
1,602,300 2,749,000 RI
4,575,400 3,289,500 RI
2,760,000 3,248,500 RI
2,273,200 2,837,000 RI
2,652,000 1,994,000 RI
1,894,300 1,678,000 RI
4,836,300 2,761,000 RI
2,904,000 2,539,000 RI
2,553,600 2,316,500 RI
4,836,300 2,561,100 RI
2,561,800 3,720,000 RI
6,800,400 6,814,000 RI
8,751,500 12,767,700 RI
9,393,500 8,328,500 RI
4,959,200 8,580,400 RI
6,620,200 7,911,000 RI
10,488,400 10,188,500 RI
Total 1,900,563,700 2,040,489,900

Page 39