DAFTAR PESERTA PER ENTITAS

MAINEST GAYA KREATIF PT

PERIODE BULAN-07-TAHUN-2017

NO. NOMOR KARTU NIK NPP NAMA

1 0001135255239 3201245809650001 120603 DEDEH
2 0001157365012 3174051308760010 130002 MUH NURMANSYAH
3 0001211622794 3174011204880006 100615 TRI YUDA HARYANTO
4 0001300155579 3174010204520002 100615 G. SUPADI
5 0001300155939 3174016502560001 100615 NY. SURATI
6 0001482728512 3174021601840002 101065 RANDY IWAN
7 0001482728692 3171015511850002 0 ELIZABETH.J.PERMATASARI
8 0001766149648 1207240609960001 130006 RICKY
9 0001766149694 3174023004750003 110110 ARIEP GUNAWAN
10 0001766149716 3174025109760002 110110 YANTI YULIANTI
11 0001766149727 3174026005970002 110110 LOLA YULIA
12 0001766149738 3174024910020003 110110 ADELIA RIZKY GUNAWAN
13 0001766149749 3174021708141003 110110 RAKHA PUTRA PRATAMA
14 0001766149751 3201041010670013 810115 JUNAEDI
15 0001722789843 3201045306700009 810115 MAS'AMAH
16 0001766149773 3201041106950006 810115 DONNY DIANSYAH
17 0001766149784 3201042708020007 810115 DEDI DAMHURI
18 0001766149852 3201247003840002 718125 HENI YANTI
19 0001766149907 3201244808910012 - IDA
20 0001766149918 3201240606910004 - ABUN SIHABUDIN
21 0001766149929 3201246501140001 - KAYLA NURUL MAULIDA
22 0001766149986 3201290905880004 806105 MUHAMAD SOLIHIN
23 0001766150008 3201292808720009 707105 MAD SOLEH
24 0001766150019 3201294807730002 707105 SITI SYAMSIAWATI
25 0001766150032 3201291608090005 707105 ABDUL BASITH
26 0001766150054 3201292406050003 707105 ABDUL HAKIM
27 0002079069232 3201292705030002 707105 MUHAMMAD RAHMATULLAH
28 0001766150357 3201291002740010 725026 TAUFIK BUSTA
29 0001766150381 3201296802780010 725026 SOPIAH
30 0002067837939 3201291708990007 725026 FIQRI MERDEKA
31 0002067838378 3201290706060007 725026 ABDILLAH GANNI
32 0002067838738 3201292906130002 725026 RASYA HAFISH
33 0001766150425 3201342205800002 120411 JANUAR SUHENDAR
34 0001766150493 3202290606920003 304105 ANGGA SAPUTRA
35 0002076257215 3202290101600118 304105 ANDI SUWANDI
36 0002076262121 3202294101700089 304105 DOES
37 0001766150627 3206100809820001 801105 HENDRA HENDRAWAN
38 0001772663488 3206106803840001 801105 RINA NURMAYANTI
39 0001772663499 3206106310050001 801105 DILA NURFADILA RAHMADAN
40 0001772663501 3206105003110002 801105 RAFISA MEILANI AZZAHRA
41 0001766150649 3208161509690007 706105 OYO SUTARYA
42 0001766150673 3208165703810006 706105 SUSI MARSITA
43 0001766150706 3208167110080001 706105 NURUL AULIA
44 0001766150739 3208165505030002 706105 YOSSI PERMATASARI
45 0001766150831 3305132404800003 905105 JUMADI
46 0001769845959 3216066204840019 905105 KURNIATI
47 0001769845961 3216064805010021 905105 YUNIKA OKTAVIANI
48 0001769845948 3216065208060007 905105 SALMA PARAMITA
49 0001766150987 3271062802930006 305115 INDRA RAMADHAN
50 0001766151011 3271062101680002 - DEDEN JAELANI
51 0001772663591 3271064202740001 - ROHIMAH
52 0001772663578 3271062201110002 - MUHAMMAD FALAH ANUGRAH
53 0001772663589 3271065207020016 - DINA EKA PUTRI JULIYANA
54 0001766151213 3602121206590003 405105 AMIN SYARIP
55 0001766151235 3602124907680002 405105 EEN
56 0001766151268 3602122612930001 405105 FAHMI AMINUDIN
57 0001766151292 3602125006000006 405105 SEPTI NURLENI MAULIDA
58 0001766151347 3671114902830002 306016 INDA HAYATI WEDASARI
59 0001772663613 3174100904810001 306016 HARI SAFRUDIN
60 0001766178472 3276112308770003 302065 ANDRI.S
61 0001766178494 3276115812780002 302065 YEYEN
62 0001766178527 3276110310050001 302065 GLEN KELVIN SAPUTRA
63 0001766178538 3276114501010003 302065 RUTH KEZIA SAPUTRA
64 0001766178562 3276115503040001 302065 HANA KERRINE SAPUTRA
65 0001766187257 3201120602700006 811125 IWAN
66 0001766187281 3201125505700002 811125 AMI
67 0001766187325 3201125911080002 811125 AL VIRA WULANDARI
68 0001766187369 3201120606930002 811125 AGUNG GUNAWAN
69 0002090708436 3201126707000002 811125 INKA MAULIDIYA
70 0001766187753 3276032412940001 703105 YOGGY
71 0001766187988 3201246902960001 719016 LELA
72 0001773230433 3201241208850005 719016 SUDIRMAN
73 0001773230444 3201242412140003 719016 MUHAMMAD LUTHFI SAKHI
74 0001766199508 3271011704730012 120211 UNANG HERMAWAN
75 0001766199543 3271015505800023 120211 TITI YULIANTI
76 0001766199598 3271011212050006 120211 MUHAMAD IBNU RUSLAN
77 0001766200059 3271010708000013 120211 MUHAMAD FIKRI
78 0002242495271 3271014802160001 120211 ADILLA NISA AZAHRA
79 0001766332506 3201245511780009 100511 YOYOH ROHANAH
80 0002076262918 3201242203720005 100511 JAJANG
81 0002076265315 3201242604000003 100511 GUNDAR ADI PUTRA
82 0002212086879 3201246904130004 100511 WINDA ADELIA MAHARANI
83 0001772663455 3201240904050009 100511 DIVA APRIYANSAH
84 0001773118844 3217061205870013 704105 ENTIS SUTISNA
85 0001773118855 3201246504800003 90001 MURNIYATI
86 0002197658283 3201240202830009 90001 HAPID
87 0002197658665 3201240311120003 90001 PRAMUDIA
88 0001789555454 3324054508900001 10123 EKA RITFIANINGSIH
89 0002087779994 3174070404820010 130004 SUHENDRO
90 0002088161144 3173055011840012 130004 FITRIAH W.S
91 0002087781164 3173055502111007 130004 AZKAL AZQIA MAULIDDYA
92 0002096197479 3603182004590001 102302 TARYONO
93 0001170734343 3603185107810006 102302 SITI SAIDAH
94 0002096197481 3603185105060004 102302 ILMA ARSALNA
95 0002096197492 3603186207140006 102302 HUSNA IDZA SAHLAN
96 0002097414448 3271010711950011 AB 001 ANTON WIJAYA KUSUMAH
97 0002099674642 3201281406690004 201308 USMAN
98 0002099674653 3201285203750005 201308 AMNAH
99 0002099674664 3201281508090001 201308 TEGUH HAIKAL
100 0002099674675 3201280309980003 201308 MOHAMAD IDRUS MUTTAKIN
HUB. KELUARGA TGL. LAHIR TMT Nama Faskes Tingkat I
PESERTA 18/09/1965 01/05/2016 DR. TRESNAWULAN
PESERTA 13/08/1976 01/05/2016 KLINIK MAKMUR JAYA
PESERTA 12/04/1988 01/05/2016 KEL. BUKIT DURI
TAMBAHAN 02/04/1952 01/05/2016 KEL. BUKIT DURI
TAMBAHAN 25/02/1956 01/05/2016 KEL. BUKIT DURI
PESERTA 16/01/1984 01/05/2016 KEC. SETIABUDI
PESERTA 15/11/1985 01/06/2016 KEC. SETIABUDI
PESERTA 06/09/1996 01/05/2016 KEL. KUNINGAN TIMUR
PESERTA 30/04/1975 01/05/2016 KLINIK DR WA ODE
ISTRI 11/09/1976 01/05/2016 KLINIK DR WA ODE
ANAK 20/05/1997 01/05/2016 KLINIK DR WA ODE
ANAK 09/10/2002 01/05/2016 KLINIK DR WA ODE
ANAK 17/08/2014 01/05/2016 KLINIK DR WA ODE
PESERTA 10/11/1967 01/05/2016 CILEUBUT
ISTRI 13/06/1970 01/05/2016 CILEUBUT
ANAK 11/06/1995 01/05/2016 CILEUBUT
ANAK 27/08/2002 01/05/2016 CILEUBUT
PESERTA 30/03/1984 01/05/2016 CIPAKU
PESERTA 08/08/1991 01/11/2016 CIPAKU
SUAMI 06/06/1991 01/11/2016 CIPAKU
ANAK 25/01/2014 01/11/2016 CIPAKU
PESERTA 09/05/1988 01/11/2016 CIOMAS
PESERTA 28/08/1972 01/05/2016 CIOMAS
ISTRI 08/07/1973 01/05/2016 CIOMAS
ANAK 16/08/2009 01/05/2016 CIOMAS
ANAK 24/06/2005 01/05/2016 CIOMAS
ANAK 27/05/2003 01/05/2016 CIOMAS
PESERTA 10/02/1974 01/05/2016 KOTABATU
ISTRI 28/02/1978 01/05/2016 KOTABATU
ANAK 17/08/1999 01/05/2016 KOTABATU
ANAK 07/06/2005 01/05/2016 KOTABATU
ANAK 29/06/2013 01/05/2016 KOTABATU
PESERTA 22/05/1980 01/05/2016 BANTARJAYA
PESERTA 06/06/1992 01/05/2016 KLINIK DR WA ODE
TAMBAHAN 01/01/1960 01/05/2016 CISAAT
TAMBAHAN 01/01/1970 01/05/2016 CISAAT
PESERTA 08/09/1982 01/05/2016 KLINIK DR WA ODE
ISTRI 28/03/1984 01/05/2016 CULAMEGA
ANAK 23/10/2005 01/05/2016 CULAMEGA
ANAK 10/03/2011 01/05/2016 CULAMEGA
PESERTA 15/09/1969 01/05/2016 KRAMATMULYA
ISTRI 17/03/1981 01/05/2016 KRAMATMULYA
ANAK 31/10/2008 01/05/2016 KRAMATMULYA
ANAK 15/05/2003 01/05/2016 KRAMATMULYA
PESERTA 24/04/1980 01/05/2016 CIPAKU
ISTRI 22/04/1984 01/05/2016 CIPAKU
ANAK 08/05/2001 01/05/2016 CIPAKU
ANAK 12/08/2006 01/05/2016 CIPAKU
PESERTA 28/02/1993 01/05/2016 KLINIK BHADRA HUSADA
PESERTA 21/01/1968 01/12/2016 CIPAKU
ISTRI 02/02/1974 01/12/2016 PUSKESMAS MEKARWANGI BCV
ANAK 22/01/2011 01/12/2016 PUSKESMAS MEKARWANGI BCV
ANAK 12/07/2002 01/12/2016 PUSKESMAS MEKARWANGI BCV
PESERTA 12/06/1959 01/05/2016 CIPAKU
ISTRI 09/07/1968 01/05/2016 CIPAKU
ANAK 26/12/1993 01/05/2016 CIPAKU
ANAK 10/06/2000 01/05/2016 CIPAKU
PESERTA 09/02/1983 01/05/2016 CIPAKU
SUAMI 09/04/1981 01/05/2016 PUSKESMAS PONDOK KACANG TIMUR
PESERTA 23/08/1977 01/05/2016 PARUNG
ISTRI 18/12/1978 01/05/2016 PARUNG
ANAK 03/10/2005 01/05/2016 PARUNG
ANAK 05/01/2001 01/05/2016 PARUNG
ANAK 15/03/2004 01/05/2016 PARUNG
PESERTA 06/02/1970 01/05/2016 KEMANG
ISTRI 15/05/1970 01/05/2016 KEMANG
ANAK 19/11/2008 01/05/2016 KEMANG
ANAK 06/06/1993 01/05/2016 KEMANG
ANAK 27/07/2000 01/05/2016 KEMANG
PESERTA 24/12/1994 01/05/2016 CIPAKU
PESERTA 29/02/1996 01/05/2016 CIPAKU
SUAMI 12/08/1985 01/05/2016 CIPAKU
ANAK 24/12/2014 01/05/2016 CIPAKU
PESERTA 17/04/1973 01/05/2016 CIPAKU
ISTRI 15/05/1980 01/05/2016 CIPAKU
ANAK 12/12/2005 01/05/2016 CIPAKU
ANAK 07/08/2000 01/05/2016 CIPAKU
ANAK 08/02/2016 01/05/2016 CIPAKU
PESERTA 15/11/1978 01/05/2016 CIAWI
SUAMI 22/03/1972 01/05/2016 CIAWI
ANAK 26/04/2000 01/05/2016 CIAWI
ANAK 29/04/2013 01/05/2016 CIAWI
ANAK 09/04/2005 01/05/2016 CIAWI
PESERTA 12/05/1987 01/09/2016 CIPAKU
PESERTA 25/04/1980 01/09/2016 CIPAKU
SUAMI 02/02/1983 01/09/2016 CIPAKU
ANAK 03/11/2012 01/09/2016 CIPAKU
PESERTA 05/08/1990 01/11/2016 KLINIK DR WA ODE
PESERTA 04/04/1982 01/10/2016 KEL. SUKABUMI SELATAN
ISTRI 10/11/1984 01/10/2016 KEL. SUKABUMI SELATAN
ANAK 15/02/2011 01/10/2016 KEL. SUKABUMI SELATAN
PESERTA 20/04/1959 01/12/2016 BP OMEGA (JST)
ISTRI 11/07/1981 01/12/2016 BP OMEGA (JST)
ANAK 11/05/2006 01/12/2016 BP OMEGA (JST)
ANAK 22/07/2014 01/12/2016 BP OMEGA (JST)
PESERTA 07/11/1995 01/01/2017 KLINIK DR WA ODE
PESERTA 14/06/1969 01/03/2017 CIJERUK
ISTRI 12/03/1975 01/03/2017 CIJERUK
ANAK 15/08/2009 01/03/2017 CIJERUK
ANAK 03/09/1998 01/03/2017 CIJERUK
Nama Faskes Gigi STATUS PESERTA GAJI IURAN
DRG. SHIRLEY AKTIF 1800000 160,228
AKTIF 4500000 225,000
AKTIF 4600000 230,000
AKTIF 0 46,000
AKTIF 0 46,000
AKTIF 3750000 187,500
AKTIF 5000000 250,000
AKTIF 2500000 160,228
AKTIF 2800000 160,228
AKTIF 0 0
AKTIF 0 0
AKTIF 0 0
AKTIF 0 0
AKTIF 2600000 160,228
AKTIF 0 0
AKTIF 0 0
AKTIF 0 0
AKTIF 1800000 160,228
AKTIF 1500000 160,228
AKTIF 0 0
AKTIF 0 0
AKTIF 2250000 160,228
AKTIF 2500000 160,228
AKTIF 0 0
AKTIF 0 0
AKTIF 0 0
AKTIF 0 0
AKTIF 2700000 160,228
AKTIF 0 0
AKTIF 0 0
AKTIF 0 0
AKTIF 0 0
AKTIF 2000000 160,228
AKTIF 3600000 180,000
AKTIF 0 36,000
AKTIF 0 36,000
AKTIF 3000000 160,228
AKTIF 0 0
 AKTIF 0 0
AKTIF 0 0
AKTIF 2700000 160,228
AKTIF 0 0
AKTIF 0 0
AKTIF 0 0
AKTIF 2750000 160,228
AKTIF 0 0
AKTIF 0 0
AKTIF 0 0
DRG. MINARTI AKTIF 2700000 160,228
AKTIF 2850000 160,228
AKTIF 0 0
AKTIF 0 0
AKTIF 0 0
AKTIF 2900000 160,228
AKTIF 0 0
AKTIF 0 0
AKTIF 0 0
AKTIF 3000000 160,228
AKTIF 0 0
AKTIF 4900000 245,000
AKTIF 0 0
AKTIF 0 0
AKTIF 0 0
AKTIF 0 0
AKTIF 2700000 160,228
AKTIF 0 0
AKTIF 0 0
AKTIF 0 0
AKTIF 0 0
AKTIF 2275000 160,228
AKTIF 1800000 160,228
AKTIF 0 0
AKTIF 0 0
AKTIF 2600000 160,228
AKTIF 0 0
AKTIF 0 0
AKTIF 0 0
AKTIF 0 0
AKTIF 1800000 160,228
AKTIF 0 0
AKTIF 0 0
AKTIF 0 0
AKTIF 0 0
AKTIF 2850000 160,228
AKTIF 1800000 160,228
AKTIF 0 0
AKTIF 0 0
AKTIF 2900000 160,228
AKTIF 4500000 225,000
AKTIF 0 0
AKTIF 0 0
AKTIF 5000000 250,000
AKTIF 0 0
AKTIF 0 0
AKTIF 0 0
AKTIF 1200000 160,228
AKTIF 1800000 160,228
AKTIF 0 0
AKTIF 0 0
AKTIF 0 0
TOTAL 6,282,656
TGL.REGISTRASI NAMA SUB INSTANSI
2016-04-22 22:57: MAINEST GAYA KREATIF PT
2016-04-22 22:48: MAINEST GAYA KREATIF PT
2016-04-19 13:12: MAINEST GAYA KREATIF PT
2014-04-24 16:24: MAINEST GAYA KREATIF PT
2014-04-24 16:25: MAINEST GAYA KREATIF PT
2016-04-22 22:41: MAINEST GAYA KREATIF PT
2016-05-22 13:10: MAINEST GAYA KREATIF PT
2016-04-08 12:20: MAINEST GAYA KREATIF PT
2016-04-08 12:20: MAINEST GAYA KREATIF PT
2016-04-08 12:20: MAINEST GAYA KREATIF PT
2016-04-08 12:20: MAINEST GAYA KREATIF PT
2016-04-08 12:20: MAINEST GAYA KREATIF PT
2016-04-08 12:20: MAINEST GAYA KREATIF PT
2016-04-08 12:20: MAINEST GAYA KREATIF PT
2016-08-09 14:36: MAINEST GAYA KREATIF PT
2016-04-08 12:21: MAINEST GAYA KREATIF PT
2016-04-08 12:21: MAINEST GAYA KREATIF PT
2016-04-08 12:21: MAINEST GAYA KREATIF PT
2016-10-28 21:23: MAINEST GAYA KREATIF PT
2016-04-08 12:21: MAINEST GAYA KREATIF PT
2016-04-08 12:21: MAINEST GAYA KREATIF PT
2016-10-06 19:43: MAINEST GAYA KREATIF PT
2016-04-08 12:21: MAINEST GAYA KREATIF PT
2016-04-08 12:21: MAINEST GAYA KREATIF PT
2016-04-08 12:21: MAINEST GAYA KREATIF PT
2016-04-08 12:21: MAINEST GAYA KREATIF PT
2016-08-22 10:36: MAINEST GAYA KREATIF PT
2016-04-08 12:21: MAINEST GAYA KREATIF PT
2016-04-08 12:21: MAINEST GAYA KREATIF PT
2016-06-24 15:24: MAINEST GAYA KREATIF PT
2016-06-24 15:26: MAINEST GAYA KREATIF PT
2016-06-24 15:27: MAINEST GAYA KREATIF PT
2016-04-08 12:21: MAINEST GAYA KREATIF PT
2016-04-08 12:21: MAINEST GAYA KREATIF PT
2016-08-09 08:41: MAINEST GAYA KREATIF PT
2016-08-09 09:12: MAINEST GAYA KREATIF PT
2016-04-08 12:22: MAINEST GAYA KREATIF PT
2016-08-08 11:01: MAINEST GAYA KREATIF PT
2016-08-08 11:01: MAINEST GAYA KREATIF PT
2016-08-08 11:01: MAINEST GAYA KREATIF PT
2016-04-08 12:22: MAINEST GAYA KREATIF PT
2016-04-08 12:22: MAINEST GAYA KREATIF PT
2016-04-08 12:22: MAINEST GAYA KREATIF PT
2016-04-08 12:22: MAINEST GAYA KREATIF PT
2016-04-08 12:22: MAINEST GAYA KREATIF PT
2016-06-13 15:57: MAINEST GAYA KREATIF PT
2016-06-13 15:57: MAINEST GAYA KREATIF PT
2016-06-13 15:57: MAINEST GAYA KREATIF PT
2016-04-08 12:22: MAINEST GAYA KREATIF PT
2016-11-10 15:24: MAINEST GAYA KREATIF PT
2016-08-08 11:03: MAINEST GAYA KREATIF PT
2016-08-08 11:03: MAINEST GAYA KREATIF PT
2016-08-08 11:03: MAINEST GAYA KREATIF PT
2016-04-08 12:22: MAINEST GAYA KREATIF PT
2016-04-08 12:22: MAINEST GAYA KREATIF PT
2016-04-08 12:22: MAINEST GAYA KREATIF PT
2016-04-08 12:22: MAINEST GAYA KREATIF PT
2016-04-08 12:22: MAINEST GAYA KREATIF PT
2016-08-08 11:03: MAINEST GAYA KREATIF PT
2016-04-08 13:48: MAINEST GAYA KREATIF PT
2016-04-08 13:48: MAINEST GAYA KREATIF PT
2016-04-08 13:48: MAINEST GAYA KREATIF PT
2016-04-08 13:48: MAINEST GAYA KREATIF PT
2016-04-08 13:48: MAINEST GAYA KREATIF PT
2016-04-08 14:19: MAINEST GAYA KREATIF PT
2016-04-08 14:19: MAINEST GAYA KREATIF PT
2016-04-08 14:19: MAINEST GAYA KREATIF PT
2016-04-08 14:19: MAINEST GAYA KREATIF PT
2016-10-06 19:44: MAINEST GAYA KREATIF PT
2016-04-08 14:20: MAINEST GAYA KREATIF PT
2016-04-08 14:22: MAINEST GAYA KREATIF PT
2016-08-24 10:32: MAINEST GAYA KREATIF PT
2016-08-24 10:32: MAINEST GAYA KREATIF PT
2016-04-08 15:10: MAINEST GAYA KREATIF PT
2016-04-08 15:10: MAINEST GAYA KREATIF PT
2016-04-08 15:10: MAINEST GAYA KREATIF PT
2016-04-08 15:11: MAINEST GAYA KREATIF PT
2017-04-19 08:56: MAINEST GAYA KREATIF PT
2016-04-11 11:15: MAINEST GAYA KREATIF PT
2016-08-09 09:15: MAINEST GAYA KREATIF PT
2016-08-09 09:20: MAINEST GAYA KREATIF PT
2016-12-29 10:50: MAINEST GAYA KREATIF PT
2016-08-08 10:59: MAINEST GAYA KREATIF PT
2016-08-22 11:38: MAINEST GAYA KREATIF PT
2016-08-22 11:38: MAINEST GAYA KREATIF PT
2016-11-01 15:41: MAINEST GAYA KREATIF PT
2016-11-01 15:42: MAINEST GAYA KREATIF PT
2016-10-07 14:38: MAINEST GAYA KREATIF PT
2016-09-26 16:52: MAINEST GAYA KREATIF PT
2016-09-27 13:53: MAINEST GAYA KREATIF PT
2016-09-26 16:54: MAINEST GAYA KREATIF PT
2016-11-14 09:45: MAINEST GAYA KREATIF PT
2014-01-15 15:55: MAINEST GAYA KREATIF PT
2016-11-14 09:45: MAINEST GAYA KREATIF PT
2016-11-14 09:45: MAINEST GAYA KREATIF PT
2016-12-13 12:14: MAINEST GAYA KREATIF PT
2017-02-06 20:06: MAINEST GAYA KREATIF PT
2017-02-06 20:06: MAINEST GAYA KREATIF PT
2017-02-06 20:06: MAINEST GAYA KREATIF PT
2017-02-06 20:06: MAINEST GAYA KREATIF PT