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No - Sep No - Kartu Nama Peserta TGL - Masuktgl.Pulang Kdcbgs Totaltarif (59+Cmg)
No - Sep No - Kartu Nama Peserta TGL - Masuktgl.Pulang Kdcbgs Totaltarif (59+Cmg)
Kartu
Nama Peserta
Tgl.MasukTgl.Pulang KdCBGs
TotalTarif(59+CMG)
0240R01811.8E+009 AI LIE
### 11/9/2015 J-4-20-II
5,435,900
0240R01811.9E+009 YASIYRA A
### 11/4/2015 J-1-02-I
8,849,300
0240R01811.9E+009 althaaf sud
### 11/9/2015 N-1-40-I
7,473,500
0240R01811.5E+009 BAIQ EKA A
### 11/2/2015 O-6-12-I
2,719,800
0240R01811.4E+009 H.MUSTIKA
### 11/3/2015 N-1-20-II
###
0240R01811.9E+009 LALU MUSY'
### 11/2/2015 N-1-40-I
6,227,300
0240R01811.4E+009 MUSLIM
### 11/3/2015 M-1-20-II
###
0240R01811.8E+009 ENDANG SE
###
### N-1-11-III
###
0240R01811.3E+009 MADE SRIA
### 11/3/2015 A-4-10-II 2,542,800
0240R01811.5E+008 ALTHALARIQ
### 11/1/2015 D-4-13-I
2,192,300
0240R01811.8E+009 safnir
### 11/1/2015 Z-4-12-II 3,464,100
0240R01811.1E+009 M. JULIO
### 11/5/2015 J-4-16-I
4,908,400
0240R01811.1E+009 MISBAH
### 11/3/2015 N-1-40-I
6,227,300
0240R01811.3E+009 FAQIHUDDI11/1/2015 11/3/2015 N-4-10-I
2,741,100
0240R01811.9E+009 BAIQ ANGG11/2/2015 11/6/2015 K-1-13-I
4,021,200
0240R01811.9E+009 GHANIYA F 11/2/2015 11/5/2015 B-4-13-I
3,295,000
0240R01811.9E+009 NI WAYAN 11/3/2015 11/4/2015 W-4-12-II 2,150,200
0240R01818.5E+008 DW MD SU 11/3/2015 11/7/2015 A-4-13-III 2,857,900
0240R01811.5E+008 MUHIBBATU11/3/2015 11/7/2015 J-4-20-I
3,842,200
0240R01811.8E+009 H FAISAL 11/3/2015 11/5/2015 I-4-20-I
4,549,700
0240R01811.4E+008 BQ. HALIM 11/4/2015 11/5/2015 L-1-50-I
7,201,400
0240R01811.4E+009 H.MUSTIKA 11/5/2015 11/9/2015 N-4-12-II 3,281,400
0240R01811.5E+009 IDA NURLA 11/5/2015 11/8/2015 O-6-10-I
5,681,700
0240R01811.5E+008 SUHARTI 11/5/2015 11/8/2015 E-4-12-III 7,167,200
0240R01811.4E+009 ARBIYANTO11/5/2015 11/7/2015 M-1-20-I 9,392,500
0240R01811.5E+008 SUMIATI.H 11/5/2015 11/7/2015 N-4-10-II 4,571,100
0240R01811.9E+009 NURAINI 11/6/2015 11/7/2015 A-4-14-I
3,919,200
0240R01811.9E+009 DEWI PUTRI11/6/2015 11/9/2015 O-6-10-II 6,269,700
0240R01811.4E+008 MAHSUN .
11/6/2015 11/9/2015 M-1-70-II
###
0240R01811.1E+009 AULIVIA HA11/7/2015
### M-4-16-III 8,642,200
0240R01811.1E+009 NI NYOMAN11/7/2015 11/8/2015 K-4-17-I
2,444,900
0240R01811.6E+009 IRMA SURYA11/8/2015
### O-6-12-I
2,719,800
0240R01811.9E+009 eli fatriani, 11/8/2015
### O-6-12-I
2,719,800
0240R01811.5E+008 EFFY JUNIA 11/9/2015
### L-1-50-I
6,173,200
0240R01811.1E+009 HERY KANA11/9/2015
### I-4-22-III 5,987,400
0240R01811.3E+009 fariha faza 11/9/2015
### K-1-50-I
4,393,000
0240R01811.5E+008 SALSA BILA11/9/2015
### M-1-50-I 6,881,200
0240R01818.3E+008 HANAPI
11/9/2015
### N-1-40-I
6,227,300
0240R01811.9E+009 HJ. MUNAW11/9/2015
### M-4-17-I 2,736,500
0240R01811.9E+009 MANERLY F
###
### O-6-10-II 6,269,700
0240R01811.4E+008 BAIQ MASI
###
### N-1-20-I
###
0240R01818.4E+008 M ZAIN HD 11/9/2015
### N-1-40-I
6,227,300
0240R01811.2E+009 Dewi Hendr11/9/2015
### K-4-17-I
2,444,900
0240R01811.2E+009 NAZARONI
###
### N-1-20-I
###
0240R01811.3E+009 IDAWATI
###
### N-4-10-II
0240R01818.3E+008 FAIRUZ
###
### M-1-20-I
0240R01811.2E+009 NI KADEQ S
###
### K-1-13-I
0240R01811.3E+009 KAVIN ALGH
###
### K-1-14-I
0240R01811.1E+009 M. RIDWAN
###
### N-4-12-II
0240R01811.5E+008 BAIQ UMIAT
###
### K-1-40-I
0240R01811.5E+008 DRS. MUH.
###
### N-4-15-I
0240R01811.5E+008 IDA BGS E
###
### N-1-40-I
0240R01811.3E+009 H. ABD. HA
###
### N-1-40-I
0240R01811.4E+009 BAIQ HALI
###
### L-1-50-I
0240R01811.4E+009 H. MAHSUN
###
### V-1-14-I
0240R01811.5E+008 NURMI
###
### K-4-18-I
0240R01811.4E+008 HERMANTO
###
### C-4-11-I
0240R01811.6E+008 NURJANAH
###
### G-4-22-III
0240R01811.5E+008 YUSUF JAM
###
### J-4-17-I
0240R01818.4E+008 AMAQ ROH
###
### V-1-14-II
0240R01818.5E+008 SATIAMAH
###
### N-1-20-III
0240R01811.1E+009 NI LUH ART
###
### Z-4-12-III
0240R01811.9E+009 M. ALI MUS11/2/2015 11/7/2015 N-1-20-II
0240R01811.5E+008 PAMUJI BUD
###
### O-6-10-II
0240R01818.3E+008 AHMAT GET
###
### V-1-14-I
0240R01811.5E+008 ABDUL MAJ
###
### N-1-20-I
0240R01811.1E+009 I GUSTI AY
###
### O-6-13-I
0240R01811.6E+009 MAYA AFRIL
###
### O-6-13-I
0240R01811.9E+009 NI WAYAN
###
### W-1-11-I
0240R01811.1E+009 AGUS SAKB
###
### I-4-12-II
0240R01811.7E+008 MASTUNAH
###
### O-6-10-I
0240R01811.4E+008 SUYATNI
###
### J-4-16-III
0240R01811.5E+008 ABDUL RAZ
###
### G-4-14-II
0240R01811.8E+009 AVISA ANA
###
### M-1-50-I
0240R01811.4E+008 RAHMAWATI
###
### O-6-13-I
0240R01811.5E+008 ALTHALARIQ
###
### D-4-13-I
0240R01811.5E+008 FERA FITRI
###
### O-6-13-I
0240R01811.9E+009 MUHAMMAD
###
### K-4-17-I
0240R01811.8E+009 DANISH SA
###
### K-4-17-I
0240R01811.6E+009 TRENY YUS
###
### M-1-50-I
0240R01811.4E+008 MULIANI
###
### W-1-20-I
0240R01811.9E+009 inaq nurhay
###
### N-1-20-I
0240R01818.5E+008 I WAYAN S
###
### N-1-40-I
0240R01811.4E+009 M. AMINUD
###
### N-1-40-I
0240R01811.8E+009 RATNA IND
###
### K-1-13-I
0240R01811.1E+009 IRDIANA
###
### L-1-50-I
0240R01811.4E+008 MARSIH
###
### K-4-11-I
0240R01811.5E+008 TITIK AGUS
###
### D-4-13-I
0240R01811.5E+008 DRS. ZAIN
###
### N-1-20-I
3,265,100
9,392,500
3,446,400
4,322,500
2,344,100
8,018,500
2,723,200
8,718,300
8,718,300
6,173,200
6,244,600
3,926,500
3,288,900
2,697,800
3,388,000
7,592,500
###
4,129,600
###
6,269,700
6,244,600
###
2,844,500
2,438,100
2,757,200
6,005,700
5,681,700
###
7,530,400
6,881,200
2,844,500
2,192,300
2,844,500
2,852,500
2,852,500
5,897,600
7,447,600
###
6,227,300
8,718,300
4,021,200
6,173,200
1,878,100
2,192,300
###
0240R01811.9E+009 YUARLITA
###
0240R01818.3E+008 FATAHILLA
###
0240R01818.4E+008 IKBAL
###
0240R01811.5E+009 HAMIZAN Z
###
0240R01818.3E+008 INAQ NAYU
###
0240R01811.5E+008 ABDURRAHI
###
0240R01811.5E+008 DJARWATIN
###
0240R01811.4E+008 NI MADE DI
###
0240R01811.5E+008 ABDULLAH 11/9/2015
98
### O-6-10-I
### N-1-40-I
### N-4-16-I
### K-4-17-I
### N-1-20-II
### V-1-14-I
### M-4-17-I
### K-1-14-I
### N-1-20-I
5,681,700
6,227,300
2,617,500
2,444,900
###
7,494,300
2,736,500
5,042,400
###
Total Klaim(Grp+CMG)
5,435,900
8,849,300
7,473,500
2,719,800
16,133,300
6,227,300
13,177,100
19,366,900
2,542,800
2,192,300
3,464,100
4,908,400
6,227,300
2,741,100
4,021,200
3,295,000
2,150,200
2,857,900
3,842,200
4,549,700
7,201,400
3,281,400
5,681,700
7,167,200
9,392,500
4,571,100
3,919,200
6,269,700
16,155,500
8,642,200
2,444,900
2,719,800
2,719,800
6,173,200
5,987,400
4,393,000
6,881,200
6,227,300
2,736,500
6,269,700
14,253,900
6,227,300
2,444,900
12,217,600
3,265,100
9,392,500
3,446,400
4,322,500
2,344,100
8,018,500
2,723,200
8,718,300
8,718,300
6,173,200
6,244,600
3,926,500
3,288,900
2,697,800
3,388,000
7,592,500
13,148,100
4,129,600
11,522,700
6,269,700
6,244,600
14,253,900
2,844,500
2,438,100
2,757,200
6,005,700
5,681,700
11,416,300
7,530,400
6,881,200
2,844,500
2,192,300
2,844,500
2,852,500
2,852,500
5,897,600
7,447,600
12,217,600
6,227,300
8,718,300
4,021,200
6,173,200
1,878,100
2,192,300
14,253,900
5,681,700
6,227,300
2,617,500
2,444,900
11,522,700
7,494,300
2,736,500
5,042,400
14,253,900
602,172,400
No.SEP No.Kartu
Nama Peserta
Tgl.MasukTgl.Pulang KdCBGs
TotalTarif(59+CMG)
0240R01811.5E+008 DRA.NURR 11/2/2015 11/2/2015 Q-5-44-0
161,900
0240R01811.8E+009 SUSANTO 11/2/2015 11/2/2015 Q-5-44-0
161,900
0240R01811.3E+009 ROSIDI
11/2/2015 11/2/2015 Q-5-44-0
161,900
0240R01811.8E+009 SUGIANTO 11/2/2015 11/2/2015 Q-5-44-0
161,900
0240R01811.8E+009 JAMILATUN 11/2/2015 11/2/2015 Q-5-44-0
161,900
0240R01811.9E+009 m iskak
11/2/2015 11/2/2015 Q-5-44-0
161,900
0240R01811.4E+008 SRI WATI 11/2/2015 11/2/2015 Q-5-44-0
161,900
0240R01811.5E+009 YULI ANDRI11/2/2015 11/2/2015 Z-3-23-0
398,700
0240R01811.9E+009 LIMAWATI 11/2/2015 11/2/2015 Q-5-44-0
161,900
0240R01811.9E+009 HJ MASKAN11/2/2015 11/2/2015 Q-5-44-0
161,900
0240R01811.4E+008 RUSNI
11/2/2015 11/2/2015 Q-5-44-0
161,900
0240R01811.5E+008 AFWAN HAF11/2/2015 11/2/2015 Q-5-31-0
131,100
0240R01811.3E+009 SUPRIA HAT11/2/2015 11/2/2015 Q-5-44-0
161,900
0240R01811.3E+009 fariha faza 11/2/2015 11/2/2015 Q-5-44-0
161,900
0240R01811.5E+008 IDA AYU PU11/2/2015 11/2/2015 Q-5-44-0
161,900
0240R01811.5E+008 NURUL PAT11/2/2015 11/2/2015 Q-5-44-0
161,900
0240R01811.5E+008 IR. MOHAM11/2/2015 11/2/2015 Q-5-44-0
161,900
0240R01811.5E+008 DEMAS ADI11/2/2015 11/2/2015 I-3-13-0
331,300
0240R01811.5E+008 I WAYAN M 11/2/2015 11/2/2015 Q-5-44-0
161,900
0240R01811.5E+008 S.HANNA 11/2/2015 11/2/2015 Q-5-44-0
161,900
0240R01811.5E+008 RUSNIK
11/2/2015 11/2/2015 Q-5-44-0
161,900
0240R01811.1E+009 HJ. ANJAS 11/2/2015 11/2/2015 Q-5-44-0
161,900
0240R01811.5E+008 GUSTI BAG 11/2/2015 11/2/2015 Q-5-44-0
161,900
0240R01811.5E+008 LALU AKIL 11/2/2015 11/2/2015 Q-5-44-0
161,900
0240R01811.4E+008 SAPTA MA 11/2/2015 11/2/2015 Q-5-44-0
161,900
0240R01811.4E+008 DRA.hj. BAIQ
11/2/2015
ROCHYAWATI
11/2/2015 Q-5-44-0
161,900
0240R01811.5E+008 SYAHRUDDI11/2/2015 11/2/2015 Q-5-44-0
161,900
0240R01811.6E+008 SUMINAR B11/2/2015 11/2/2015 Q-5-44-0
161,900
0240R01811.8E+009 ADITYA AR 11/2/2015 11/2/2015 Q-5-44-0
161,900
0240R01811.5E+008 HJ. NURHAY11/2/2015 11/2/2015 Q-5-44-0
161,900
0240R01811.5E+008 MACHFUD 11/2/2015 11/2/2015 Q-5-44-0
161,900
0240R01811.6E+008 IMO
11/2/2015 11/2/2015 Q-5-44-0
161,900
0240R01811.5E+008 NURHAYATI 11/2/2015 11/2/2015 Q-5-44-0
161,900
0240R01811.4E+008 RUKMA CA 11/2/2015 11/2/2015 Q-5-44-0
161,900
0240R01811.1E+009 DESAK NY 11/2/2015 11/2/2015 Q-5-44-0
161,900
0240R01811.9E+009 ARIES FRA 11/2/2015 11/2/2015 Q-5-44-0
161,900
0240R01811.3E+009 I GUSTI AY 11/2/2015 11/2/2015 Q-5-44-0
161,900
0240R01811.1E+009 TRI WISNU 11/2/2015 11/2/2015 Q-5-44-0
161,900
0240R01811.5E+008 ISHAR
11/2/2015 11/2/2015 Q-5-44-0
161,900
0240R01811.6E+009 ERINA ARIA11/2/2015 11/2/2015 Q-5-44-0
161,900
0240R01818.4E+008 SUPARLAN 11/2/2015 11/2/2015 Q-5-44-0
161,900
0240R01811.8E+009 SALEHATI 11/2/2015 11/2/2015 Z-3-23-0
398,700
0240R01811.4E+009 syamsiah 11/2/2015 11/2/2015 Z-3-27-0
185,100
0240R01811.3E+009 abdul maat11/2/2015 11/2/2015 Q-5-44-0
161,900
11/2/2015 Z-3-23-0
11/3/2015 N-3-14-0
11/3/2015 Q-5-44-0
11/3/2015 Q-5-44-0
11/3/2015 Z-3-25-0
11/3/2015 Z-3-23-0
11/3/2015 Z-3-25-0
11/3/2015 Q-5-44-0
11/3/2015 Z-3-19-0
11/3/2015 N-3-14-0
11/3/2015 Z-3-27-0
11/3/2015 Q-5-44-0
11/3/2015 Z-3-27-0
11/3/2015 Q-5-44-0
11/3/2015 Q-5-44-0
11/3/2015 Q-5-44-0
11/3/2015 Q-5-44-0
11/3/2015 Q-5-44-0
11/3/2015 Q-5-43-0
11/3/2015 Q-5-44-0
11/3/2015 Q-5-44-0
11/3/2015 J-3-13-0
11/3/2015 Q-5-44-0
11/3/2015 Q-5-44-0
11/3/2015 Q-5-31-0
11/3/2015 J-3-13-0
11/3/2015 Q-5-44-0
11/4/2015 Q-5-44-0
11/4/2015 Q-5-44-0
11/4/2015 I-3-13-0
11/4/2015 Z-3-25-0
11/4/2015 Q-5-44-0
11/4/2015 Q-5-44-0
11/4/2015 Q-5-44-0
11/4/2015 Q-5-44-0
11/4/2015 Q-5-44-0
11/4/2015 Q-5-44-0
11/4/2015 Q-5-44-0
11/4/2015 Q-5-44-0
11/4/2015 Q-5-44-0
11/4/2015 Q-5-44-0
11/4/2015 Q-5-44-0
11/4/2015 Q-5-43-0
11/4/2015 Q-5-44-0
11/4/2015 Q-5-44-0
398,700
228,900
161,900
161,900
324,600
398,700
324,600
161,900
1,181,900
228,900
185,100
161,900
185,100
161,900
161,900
161,900
161,900
161,900
198,100
161,900
161,900
248,500
161,900
161,900
131,100
248,500
161,900
161,900
161,900
331,300
324,600
161,900
161,900
161,900
161,900
161,900
161,900
161,900
161,900
161,900
161,900
161,900
198,100
161,900
161,900
11/4/2015 Q-5-44-0
11/4/2015 Q-5-44-0
11/4/2015 Q-5-44-0
11/4/2015 Q-5-40-0
11/4/2015 Q-5-44-0
11/4/2015 Q-5-28-0
11/4/2015 Q-5-44-0
11/4/2015 Q-5-44-0
11/4/2015 Q-5-44-0
11/4/2015 Z-3-27-0
11/5/2015 Z-3-25-0
11/5/2015 Z-3-23-0
11/5/2015 Q-5-44-0
11/5/2015 Z-3-23-0
11/5/2015 Q-5-44-0
11/5/2015 Q-5-44-0
11/5/2015 Q-5-44-0
11/5/2015 Q-5-44-0
11/5/2015 Q-5-44-0
11/5/2015 Z-3-27-0
11/5/2015 Q-5-44-0
11/5/2015 Q-5-44-0
11/5/2015 Q-5-44-0
11/5/2015 Q-5-44-0
11/5/2015 Q-5-44-0
11/5/2015 Z-3-27-0
11/5/2015 Q-5-44-0
11/5/2015 Q-5-44-0
11/5/2015 Q-5-44-0
11/5/2015 Q-5-44-0
11/5/2015 Q-5-44-0
11/5/2015 Q-5-44-0
11/5/2015 J-3-13-0
11/5/2015 Z-3-27-0
11/5/2015 Q-5-44-0
11/5/2015 Q-5-44-0
11/5/2015 Q-5-44-0
11/6/2015 Q-5-26-0
11/6/2015 Q-5-44-0
11/6/2015 Q-5-44-0
11/6/2015 Q-5-44-0
11/6/2015 Q-5-44-0
11/6/2015 Q-5-44-0
11/6/2015 Q-5-44-0
11/6/2015 Q-5-44-0
161,900
161,900
161,900
127,000
161,900
112,000
161,900
161,900
161,900
185,100
324,600
398,700
161,900
398,700
161,900
161,900
161,900
161,900
161,900
185,100
161,900
161,900
161,900
161,900
161,900
185,100
161,900
161,900
161,900
161,900
161,900
161,900
248,500
185,100
161,900
161,900
161,900
193,500
161,900
161,900
161,900
161,900
161,900
161,900
161,900
11/6/2015 Q-5-44-0
11/6/2015 Q-5-44-0
11/6/2015 Q-5-44-0
11/6/2015 Q-5-44-0
11/7/2015 Q-5-44-0
11/7/2015 Z-3-25-0
11/7/2015 Q-5-44-0
11/7/2015 Z-3-25-0
11/7/2015 Q-5-44-0
11/7/2015 Q-5-44-0
11/7/2015 Z-3-25-0
11/7/2015 Q-5-44-0
11/7/2015 Z-3-23-0
11/7/2015 Z-3-27-0
11/7/2015 Z-3-27-0
11/7/2015 Q-5-44-0
11/7/2015 Q-5-44-0
11/7/2015 Q-5-44-0
11/7/2015 Q-5-44-0
11/7/2015 Q-5-44-0
11/7/2015 Q-5-44-0
11/7/2015 Q-5-44-0
11/7/2015 Q-5-44-0
11/9/2015 Q-5-44-0
11/9/2015 Q-5-44-0
11/9/2015 Z-3-23-0
11/9/2015 I-3-13-0
11/9/2015 Z-3-23-0
11/9/2015 Z-3-25-0
11/9/2015 I-3-13-0
11/9/2015 Q-5-44-0
11/9/2015 Q-5-44-0
11/9/2015 Q-5-44-0
11/9/2015 Q-5-38-0
11/9/2015 J-3-13-0
11/9/2015 Q-5-44-0
11/9/2015 Q-5-42-0
11/9/2015 Q-5-44-0
11/9/2015 Q-5-44-0
11/9/2015 N-3-14-0
11/9/2015 Q-5-44-0
11/9/2015 Q-5-44-0
11/9/2015 Q-5-44-0
11/9/2015 Q-5-44-0
11/9/2015 Z-3-19-0
161,900
161,900
161,900
161,900
161,900
324,600
161,900
324,600
161,900
161,900
324,600
161,900
398,700
185,100
185,100
161,900
161,900
161,900
161,900
161,900
161,900
161,900
161,900
161,900
161,900
398,700
331,300
398,700
324,600
331,300
161,900
161,900
161,900
202,800
248,500
161,900
138,500
161,900
161,900
228,900
161,900
161,900
161,900
161,900
1,181,900
11/9/2015 Q-5-44-0
11/9/2015 Q-5-44-0
11/9/2015 Z-3-23-0
11/9/2015 Q-5-44-0
11/9/2015 Z-3-19-0
11/9/2015 Q-5-44-0
11/9/2015 Q-5-44-0
11/9/2015 Z-3-19-0
11/9/2015 Q-5-44-0
11/9/2015 Q-5-44-0
11/9/2015 Z-3-23-0
11/9/2015 Z-3-23-0
11/9/2015 Q-5-44-0
11/9/2015 Q-5-44-0
11/9/2015 Q-5-44-0
11/9/2015 Q-5-44-0
11/9/2015 Z-3-23-0
11/9/2015 Q-5-44-0
11/9/2015 Q-5-44-0
11/9/2015 Q-5-44-0
11/9/2015 Q-5-44-0
11/9/2015 Q-5-44-0
11/9/2015 Z-3-23-0
11/9/2015 Q-5-44-0
11/9/2015 Q-5-44-0
11/9/2015 Q-5-44-0
11/9/2015 Q-5-44-0
11/9/2015 Q-5-44-0
### Q-5-44-0
### Z-3-18-0
### Z-3-23-0
### Z-3-25-0
### Q-5-44-0
### Z-3-27-0
### Q-5-44-0
### Q-5-44-0
### Q-5-44-0
### Q-5-44-0
### Q-5-44-0
### Z-3-23-0
### Q-5-44-0
### Q-5-44-0
### Q-5-44-0
### Q-5-44-0
### Q-5-44-0
161,900
161,900
398,700
161,900
1,181,900
161,900
161,900
1,181,900
161,900
161,900
398,700
398,700
161,900
161,900
161,900
161,900
398,700
161,900
161,900
161,900
161,900
161,900
398,700
161,900
161,900
161,900
161,900
161,900
161,900
980,000
398,700
324,600
161,900
185,100
161,900
161,900
161,900
161,900
161,900
398,700
161,900
161,900
161,900
161,900
161,900
0240R01811.8E+009 MUHAMAD
0240R01811.9E+009 JAPURAH
0240R01811.4E+008 DRA.DIAH
0240R01811.3E+009 NUR AMALI
0240R01811.5E+008 AMANAH
0240R01811.5E+008 RAMLAH
0240R01811.5E+008 NURMA AB
0240R01811.4E+008 H. SUTADJI
0240R018153392814 UDIN
0240R01811.9E+009 LIANNI KRI
0240R01811.5E+008 MUCHLASU
0240R01811.5E+008 NI NENGAH
0240R01811.5E+008 SUHARTI
0240R01811.5E+008 PAMUJI BUD
0240R01818.3E+008 ALIMAH
0240R01811.5E+008 BAMBANG
0240R01811.5E+008 MULYANI H
0240R01811.4E+009 SYECHA BIN
0240R01811.6E+008 MUHAMMA
0240R01811.6E+009 P. RUDOLF
0240R01811.9E+009 HARIADI B
0240R01811.5E+008 SALSA BILA
0240R01811.4E+009 H. MARZUK
0240R01811.9E+009 ayu agustin
0240R01811.5E+008 HASANUDD
0240R01811.4E+008 QONITATUN
0240R01818.5E+008 MUNIR
0240R01811.5E+008 RAMIUN
0240R01811.5E+008 ISTIANI
0240R01812.1E+008 MOH.ARMIN
0240R01811.9E+009 ROSIDA
0240R01811.5E+008 DRA.HJ. N
0240R01811.5E+008 H A D Y
0240R01811.1E+009 JONI VENS
0240R01811.9E+009 ROSIDA
0240R01811.8E+009 sri lestari
0240R01811.5E+008 ETI HERAWATI
0240R01811.5E+008 SALAHUDDI
0240R01811.5E+008 IANATUL M.
0240R01811.8E+009 muhammad
0240R01811.2E+009 NI KADEK
0240R01811.8E+009 AI LIE
0240R01811.5E+008 SYAFRUDDIN
0240R01811.9E+009 I MADE PUT
0240R01811.1E+009 MISBAH
###
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###
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###
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###
###
###
###
###
###
###
### Q-5-44-0
### Q-5-43-0
### J-3-16-0
### J-3-16-0
### Q-5-44-0
### Q-5-44-0
### Q-5-44-0
### Q-5-44-0
### Z-3-18-0
### Q-5-43-0
### Q-5-44-0
### Q-5-44-0
### Q-5-44-0
### Z-3-25-0
### Q-5-44-0
### Q-5-44-0
### Q-5-44-0
### Q-5-44-0
### I-3-13-0
### Q-5-42-0
### Q-5-44-0
### Z-3-27-0
### Q-5-44-0
### Q-5-44-0
### Q-5-44-0
### Q-5-44-0
### Q-5-44-0
### Q-5-44-0
### Q-5-44-0
### Q-5-44-0
### Q-5-44-0
### Q-5-44-0
### Z-3-19-0
### Q-5-44-0
### Q-5-44-0
### Z-3-25-0
### Q-5-44-0
### Z-3-19-0
### Z-3-25-0
### Q-5-44-0
### Z-3-25-0
### Q-5-44-0
### Z-3-23-0
### Z-3-23-0
### Q-5-44-0
161,900
198,100
264,600
264,600
161,900
161,900
161,900
161,900
980,000
198,100
161,900
161,900
161,900
324,600
161,900
161,900
161,900
161,900
331,300
138,500
161,900
185,100
161,900
161,900
161,900
161,900
161,900
161,900
161,900
161,900
161,900
161,900
1,181,900
161,900
161,900
324,600
161,900
1,181,900
324,600
161,900
324,600
161,900
398,700
398,700
161,900
###
###
###
###
###
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###
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###
###
###
###
###
###
###
### Z-3-23-0
### Q-5-44-0
### Q-5-44-0
### Q-5-44-0
### Z-3-23-0
### Z-3-27-0
### Z-3-23-0
### Q-5-44-0
### Q-5-44-0
### Q-5-44-0
### Q-5-44-0
### Q-5-44-0
### Q-5-44-0
### Q-5-44-0
### Q-5-44-0
### Q-5-44-0
### Q-5-44-0
### Q-5-44-0
### Q-5-44-0
### Q-5-44-0
### Q-5-44-0
### U-3-16-0
### Q-5-44-0
### U-3-16-0
### Q-5-44-0
### Q-5-44-0
### Q-5-44-0
### Q-5-44-0
### Q-5-44-0
### Q-5-44-0
### Z-3-19-0
### Z-3-27-0
### Q-5-44-0
### Q-5-44-0
### Q-5-44-0
### Q-5-44-0
### Q-5-44-0
### Q-5-44-0
### Q-5-44-0
### Q-5-44-0
### Q-5-44-0
### Q-5-44-0
### Z-3-27-0
### Q-5-44-0
### Q-5-44-0
398,700
161,900
161,900
161,900
398,700
185,100
398,700
161,900
161,900
161,900
161,900
161,900
161,900
161,900
161,900
161,900
161,900
161,900
161,900
161,900
161,900
172,200
161,900
172,200
161,900
161,900
161,900
161,900
161,900
161,900
1,181,900
185,100
161,900
161,900
161,900
161,900
161,900
161,900
161,900
161,900
161,900
161,900
185,100
161,900
161,900
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
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###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
### Q-5-44-0
### Q-5-44-0
### Q-5-44-0
### Q-5-44-0
### Q-5-44-0
### Q-5-44-0
### Q-5-44-0
### Q-5-44-0
### Q-5-44-0
### Q-5-44-0
### Q-5-44-0
### Z-3-27-0
### Q-5-44-0
### Q-5-38-0
### Q-5-44-0
### Q-5-44-0
### Q-5-44-0
### Q-5-44-0
### Z-3-27-0
### Q-5-44-0
### Z-3-23-0
### Z-3-27-0
### Z-3-23-0
### Q-5-44-0
### Q-5-44-0
### Q-5-44-0
### J-3-13-0
### Q-5-44-0
### Z-3-23-0
### Q-5-44-0
### Q-5-44-0
### Q-5-44-0
### Q-5-44-0
### Q-5-44-0
### Z-3-27-0
### Q-5-44-0
### Q-5-44-0
### Z-3-27-0
### Q-5-44-0
### Q-5-44-0
### Q-5-44-0
### Q-5-44-0
### Q-5-44-0
### Q-5-44-0
### Q-5-44-0
161,900
161,900
161,900
161,900
161,900
161,900
161,900
161,900
161,900
161,900
161,900
185,100
161,900
202,800
161,900
161,900
161,900
161,900
185,100
161,900
398,700
185,100
398,700
161,900
161,900
161,900
248,500
161,900
398,700
161,900
161,900
161,900
161,900
161,900
185,100
161,900
161,900
185,100
161,900
161,900
161,900
161,900
161,900
161,900
161,900
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
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###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
### Q-5-44-0
### Z-3-19-0
### Z-3-27-0
### I-3-13-0
### Q-5-44-0
### Q-5-44-0
### Q-5-44-0
### Q-5-44-0
### Q-5-44-0
### Q-5-44-0
### Q-5-44-0
### I-3-13-0
### Q-5-44-0
### Z-3-18-0
### Q-5-44-0
### Q-5-44-0
### Z-3-19-0
### Q-5-44-0
### Q-5-44-0
### Z-3-27-0
### Q-5-44-0
### Q-5-42-0
### Q-5-44-0
### Q-5-44-0
### Q-5-44-0
### Q-5-44-0
### Q-5-44-0
### Q-5-44-0
### Q-5-44-0
### Q-5-44-0
### Q-5-44-0
### Q-5-44-0
### Q-5-44-0
### Z-3-27-0
### Q-5-44-0
### Q-5-44-0
### Q-5-44-0
### Z-3-27-0
### Z-3-19-0
### Q-5-44-0
### Q-5-44-0
### Q-5-44-0
### Q-5-44-0
### Q-5-44-0
### Q-5-44-0
161,900
1,181,900
185,100
331,300
161,900
161,900
161,900
161,900
161,900
161,900
161,900
331,300
161,900
980,000
161,900
161,900
1,181,900
161,900
161,900
185,100
161,900
138,500
161,900
161,900
161,900
161,900
161,900
161,900
161,900
161,900
161,900
161,900
161,900
185,100
161,900
161,900
161,900
185,100
1,181,900
161,900
161,900
161,900
161,900
161,900
161,900
0240R01811.6E+008 SUMINAR B
###
0240R01811.9E+009 PUTRIANI
###
0240R01811.4E+008 H. L. SUMA
###
0240R01811.1E+009 NI KADEK N
###
0240R01818.5E+008 MUKSIN
###
0240R01811.7E+008 KAMARIAH
###
0240R01811.9E+009 SING TANA
###
0240R01811.5E+008 BAMBANG 11/9/2015
0240R01811.5E+008 a. GANI H. 11/7/2015
0240R01811.9E+009 yeny salma11/5/2015
0240R01811.5E+008 EFFY JUNIA 11/5/2015
0240R01811.3E+009 BAYANI
11/5/2015
0240R01811.3E+009 BAYANI
11/2/2015
0240R01811.3E+009 rahma yanf
###
0240R01811.8E+009 RAFA ARYA
###
0240R01811.9E+009 LIMAWATI
###
0240R01811.8E+009 AI LIE
###
0240R01811.9E+009 wahida
###
0240R01811.9E+009 salmah
###
0240R01811.4E+009 M. SALEH
###
0240R01811.3E+009 ANANDA SE
###
0240R01811.3E+009 H. M. AMIN
###
0240R01811.3E+009 PUTRI AULI
###
0240R01811.5E+008 MARIANA,
###
0240R01811.5E+008 ARIFIN
###
0240R01811.3E+009 I GUSTI AY
###
0240R01811.4E+008 LALU ABDU
###
0240R01811.9E+009 yap hwie s
###
0240R01811.5E+008 SAMSUL RI
###
0240R01811.5E+008 HAFSAH
###
0240R01811.5E+008 MANSYUR
###
0240R01811.4E+009 ANG CHAI
###
0240R01811.4E+008 KETUT KAN
###
0240R01811.8E+009 MUHAMMAD
###
0240R01811.4E+008 HIDAYATI
###
0240R01811.5E+008 BAIQ RUMA
###
0240R01811.4E+008 SUYATNI
###
0240R01811.5E+008 SUNDARI
###
0240R01811.5E+008 BENDESA I
###
0240R01811.5E+008 HJ. KERNIA
###
0240R01811.9E+009 JAPURAH
###
0240R01811.3E+009 siti zahrah
###
0240R01811.8E+009 I WAYAN K
###
0240R01811.5E+008 BAIQ HARTI
###
0240R01811.4E+009 R Bagus Pu
###
### Q-5-44-0
### Z-3-23-0
### Z-3-27-0
### Z-3-23-0
### Z-3-23-0
### Q-5-33-0
### Q-5-44-0
11/9/2015 Q-5-44-0
11/7/2015 Q-5-44-0
11/5/2015 Q-5-44-0
11/5/2015 Q-5-44-0
11/5/2015 Z-3-27-0
11/2/2015 Z-3-27-0
### Q-5-26-0
### Q-5-44-0
### Q-5-44-0
### Q-5-38-0
### Z-3-25-0
### Z-3-23-0
### Z-3-27-0
### Q-5-44-0
### Q-5-44-0
### Q-5-44-0
### Q-5-44-0
### I-3-13-0
### Q-5-44-0
### Q-5-44-0
### Q-5-44-0
### Z-3-23-0
### Q-5-44-0
### Q-5-44-0
### Q-5-44-0
### Q-5-44-0
### Q-5-44-0
### Q-5-44-0
### Q-5-44-0
### Q-5-38-0
### Q-5-44-0
### Q-5-44-0
### Q-5-44-0
### Q-5-26-0
### Q-5-44-0
### Q-5-44-0
### Q-5-44-0
### Q-5-44-0
161,900
398,700
185,100
398,700
398,700
159,000
161,900
161,900
161,900
161,900
161,900
185,100
185,100
193,500
161,900
161,900
202,800
324,600
398,700
185,100
161,900
161,900
161,900
161,900
331,300
161,900
161,900
161,900
398,700
161,900
161,900
161,900
161,900
161,900
161,900
161,900
202,800
161,900
161,900
161,900
193,500
161,900
161,900
161,900
161,900
0240R01811.5E+008 SUKARTI ID
0240R01811.9E+009 SUSANTO
0240R01811.9E+009 ROSALINA
0240R01811.5E+008 YUNIDA
0240R01811.7E+008 LALE NURT
0240R01811.5E+008 KARTINI,S.
0240R01811.9E+009 LENI LILIAN
0240R01811.9E+009 YUARLITA
0240R01811.5E+009 HENDRO S
0240R01812.0E+008 I GUSTI M
0240R01811.5E+008 DRS. I WAY
0240R01811.5E+008 MAHJUNI
0240R01811.3E+009 minardi
0240R01811.8E+009 H.ZOHDI
0240R01811.4E+008 ZAINAL ABI
0240R01811.3E+009 fariha faza
0240R01811.8E+009 ENGLY LUM
0240R01811.3E+009 ATHAR
0240R01811.8E+009 NI MADE KA
0240R01811.3E+009 HUSIN HAS
0240R01811.8E+009 nengah pur
0240R01811.6E+009 RINA SALAS
0240R01811.8E+009 NI NENGAH
0240R01811.5E+008 ABDULLAH
0240R01811.3E+009 NI KOMANG
0240R01811.4E+009 M. SALEH
0240R01811.8E+009 humairo r
0240R01811.3E+009 MUHAMMAD
0240R01811.5E+008 WAYAN ARS
0240R01811.5E+008 M KASIM
0240R01811.4E+008 H.PRAYOGA,
0240R01811.5E+008 HJ.SULIANTI
0240R01811.5E+008 SUKIANDI
0240R01811.6E+008 SRI HARTAT
0240R01811.5E+008 FAHMI YOE
0240R01811.4E+008 MARSIH
0240R01811.5E+008 ADNAN AD
0240R01811.4E+008 FITRIWATI,
0240R01811.8E+009 RINALDI I
0240R01811.5E+008 ROSTYATI A
0240R01811.1E+009 AFIA RUBEK
0240R01811.9E+009 SURIATI
0240R01811.5E+008 IDM.ALIT K
0240R01811.4E+008 NI KETUT NI
0240R01811.5E+008 SELAMET H
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### Q-5-44-0
### Q-5-44-0
### Q-5-44-0
### Q-5-44-0
### Q-5-44-0
### I-3-14-0
### Z-3-23-0
### Z-3-25-0
### Q-5-44-0
### Q-5-44-0
### Q-5-44-0
### Q-5-44-0
### Q-5-44-0
### Q-5-44-0
### Q-5-44-0
### Q-5-44-0
### Q-5-44-0
### Q-5-44-0
### Q-5-44-0
### Q-5-44-0
### Q-5-44-0
### Q-5-38-0
### Q-5-44-0
### Z-3-27-0
### Q-5-44-0
### Q-5-44-0
### Q-5-44-0
### Q-5-44-0
### Z-3-23-0
### Q-5-44-0
### I-3-13-0
### I-3-13-0
### Q-5-44-0
### Q-5-44-0
### Z-3-23-0
### Q-5-42-0
### Z-3-18-0
### Q-5-25-0
### Q-5-44-0
### Z-3-23-0
### Q-5-44-0
### Q-5-44-0
### Q-5-44-0
### Q-5-44-0
### Z-3-23-0
161,900
161,900
161,900
161,900
161,900
212,200
398,700
324,600
161,900
161,900
161,900
161,900
161,900
161,900
161,900
161,900
161,900
161,900
161,900
161,900
161,900
202,800
161,900
185,100
161,900
161,900
161,900
161,900
398,700
161,900
331,300
331,300
161,900
161,900
398,700
138,500
980,000
136,500
161,900
398,700
161,900
161,900
161,900
161,900
398,700
0240R01811.3E+009 IDAWATI
0240R01811.8E+009 VALENTINO
0240R01811.5E+008 IMAM SUJAD
0240R01811.5E+008 IMAM SURY
0240R01811.1E+009 NI NENGAH
0240R01811.1E+009 AFIA RUBEK
0240R01811.4E+008 IDA KETUT
0240R01811.6E+008 SRI HARTAT
0240R01811.5E+008 SELAMET H
0240R01812.1E+008 DRS.H.M.D
0240R01811.9E+009 MANERLY F
0240R01811.3E+009 aluh ZAEN
0240R01811.3E+009 MUKTI RAH
0240R01811.4E+009 M. SALEH
0240R01811.5E+008 MOCHTAR A
0240R01811.5E+008 SITI NURHA
0240R01811.6E+009 YUSMI ZAKI
0240R01811.2E+009 NI KADEQ S
0240R01811.1E+009 MARDI
0240R01811.5E+008 DESAK KT.J
0240R01811.3E+009 ANANDA SE
0240R01811.5E+008 HUMAIRO SA
0240R01811.5E+008 SOFYAN AR
0240R01811.5E+009 I GUSTI AY
0240R01811.3E+009 FIKRIADIN
0240R01811.3E+009 I GEDE SE
0240R01811.8E+009 RABITAH
0240R01811.5E+009 B YUNIARTI
0240R01811.5E+008 ABUBAKAR
0240R01811.8E+009 AVISA ANA
0240R01811.4E+008 SUDIRMAN
0240R01811.4E+008 MARSIH
0240R01811.5E+008 ADNAN AD
0240R01811.9E+009 ni ketut urt
0240R01811.9E+009 inaq nurhay
0240R01811.4E+009 BAIQ HALI
0240R01811.5E+008 SUJIHARTINI
0240R01812.1E+008 MOH.ARMIN
0240R01811.3E+009 I NYOMAN B
0240R01811.3E+009 NI KETUT
0240R01818.4E+008 SUPARLAN
0240R01811.5E+008 YULI PANCA
0240R01811.5E+008 HJ. HUSNAYATI
0240R01811.9E+009 ZULFIKAR
0240R01811.8E+009 MARZOAN H
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
### Q-5-44-0
### Q-5-44-0
### Q-5-44-0
### Q-5-44-0
### Q-5-44-0
### Q-5-44-0
### Q-5-44-0
### Q-5-44-0
### Q-5-44-0
### Q-5-44-0
### Z-3-27-0
### Q-5-44-0
### Q-5-44-0
### Z-3-27-0
### I-3-14-0
### Q-5-44-0
### Q-5-44-0
### Q-5-44-0
### Q-5-44-0
### Q-5-44-0
### Q-5-44-0
### Q-5-44-0
### Q-5-44-0
### Q-5-44-0
### Q-5-44-0
### Q-5-44-0
### Q-5-44-0
### Q-5-44-0
### Q-5-44-0
### Q-5-44-0
### Q-5-44-0
### Q-5-44-0
### Q-5-44-0
### Q-5-44-0
### Q-5-44-0
### Q-5-44-0
### Q-5-44-0
### Z-3-27-0
### Q-5-44-0
### Q-5-44-0
### Q-5-44-0
### Q-5-44-0
### Q-5-38-0
### Q-5-44-0
### Q-5-44-0
161,900
161,900
161,900
161,900
161,900
161,900
161,900
161,900
161,900
161,900
185,100
161,900
161,900
185,100
212,200
161,900
161,900
161,900
161,900
161,900
161,900
161,900
161,900
161,900
161,900
161,900
161,900
161,900
161,900
161,900
161,900
161,900
161,900
161,900
161,900
161,900
161,900
185,100
161,900
161,900
161,900
161,900
202,800
161,900
161,900
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
### J-3-13-0
### Q-5-44-0
### Q-5-44-0
### Q-5-44-0
### Q-5-44-0
### Q-5-44-0
### Z-3-19-0
### Q-5-44-0
### Z-3-19-0
### Q-5-32-0
### Q-5-44-0
### Q-5-43-0
### Z-3-27-0
### Q-5-44-0
### Q-5-44-0
### Q-5-44-0
### I-3-13-0
### Z-3-23-0
### Z-3-27-0
### Q-5-44-0
### Q-5-44-0
### Q-5-44-0
### Q-5-44-0
### Z-3-23-0
### Q-5-44-0
### Z-3-27-0
### Q-5-44-0
### Q-5-44-0
### Q-5-44-0
### Q-5-44-0
### Q-5-44-0
### Q-5-44-0
### L-3-12-0
### Q-5-44-0
### Q-5-44-0
### Q-5-44-0
248,500
161,900
161,900
161,900
161,900
161,900
1,181,900
161,900
1,181,900
151,700
161,900
198,100
185,100
161,900
161,900
161,900
331,300
398,700
185,100
161,900
161,900
161,900
161,900
398,700
161,900
185,100
161,900
161,900
161,900
161,900
161,900
161,900
155,900
161,900
161,900
161,900
Total Klaim(Grp+CMG)
161,900
161,900
161,900
161,900
161,900
161,900
161,900
398,700
161,900
161,900
161,900
131,100
161,900
161,900
161,900
161,900
161,900
331,300
161,900
161,900
161,900
161,900
161,900
161,900
161,900
161,900
161,900
161,900
161,900
161,900
161,900
161,900
161,900
161,900
161,900
161,900
161,900
161,900
161,900
161,900
161,900
398,700
185,100
161,900
398,700
228,900
161,900
161,900
324,600
398,700
324,600
161,900
1,181,900
228,900
185,100
161,900
185,100
161,900
161,900
161,900
161,900
161,900
198,100
161,900
161,900
248,500
161,900
161,900
131,100
248,500
161,900
161,900
161,900
331,300
324,600
161,900
161,900
161,900
161,900
161,900
161,900
161,900
161,900
161,900
161,900
161,900
198,100
161,900
161,900
161,900
161,900
161,900
127,000
161,900
112,000
161,900
161,900
161,900
185,100
324,600
398,700
161,900
398,700
161,900
161,900
161,900
161,900
161,900
185,100
161,900
161,900
161,900
161,900
161,900
185,100
161,900
161,900
161,900
161,900
161,900
161,900
248,500
185,100
161,900
161,900
161,900
193,500
161,900
161,900
161,900
161,900
161,900
161,900
161,900
161,900
161,900
161,900
161,900
161,900
324,600
161,900
324,600
161,900
161,900
324,600
161,900
398,700
185,100
185,100
161,900
161,900
161,900
161,900
161,900
161,900
161,900
161,900
161,900
161,900
398,700
331,300
398,700
324,600
331,300
161,900
161,900
161,900
202,800
248,500
161,900
138,500
161,900
161,900
228,900
161,900
161,900
161,900
161,900
1,181,900
161,900
161,900
398,700
161,900
1,181,900
161,900
161,900
1,181,900
161,900
161,900
398,700
398,700
161,900
161,900
161,900
161,900
398,700
161,900
161,900
161,900
161,900
161,900
398,700
161,900
161,900
161,900
161,900
161,900
161,900
980,000
398,700
324,600
161,900
185,100
161,900
161,900
161,900
161,900
161,900
398,700
161,900
161,900
161,900
161,900
161,900
161,900
198,100
264,600
264,600
161,900
161,900
161,900
161,900
980,000
198,100
161,900
161,900
161,900
324,600
161,900
161,900
161,900
161,900
331,300
138,500
161,900
185,100
161,900
161,900
161,900
161,900
161,900
161,900
161,900
161,900
161,900
161,900
1,181,900
161,900
161,900
324,600
161,900
1,181,900
324,600
161,900
324,600
161,900
398,700
398,700
161,900
398,700
161,900
161,900
161,900
398,700
185,100
398,700
161,900
161,900
161,900
161,900
161,900
161,900
161,900
161,900
161,900
161,900
161,900
161,900
161,900
161,900
172,200
161,900
172,200
161,900
161,900
161,900
161,900
161,900
161,900
1,181,900
185,100
161,900
161,900
161,900
161,900
161,900
161,900
161,900
161,900
161,900
161,900
185,100
161,900
161,900
161,900
161,900
161,900
161,900
161,900
161,900
161,900
161,900
161,900
161,900
161,900
185,100
161,900
202,800
161,900
161,900
161,900
161,900
185,100
161,900
398,700
185,100
398,700
161,900
161,900
161,900
248,500
161,900
398,700
161,900
161,900
161,900
161,900
161,900
185,100
161,900
161,900
185,100
161,900
161,900
161,900
161,900
161,900
161,900
161,900
161,900
1,181,900
185,100
331,300
161,900
161,900
161,900
161,900
161,900
161,900
161,900
331,300
161,900
980,000
161,900
161,900
1,181,900
161,900
161,900
185,100
161,900
138,500
161,900
161,900
161,900
161,900
161,900
161,900
161,900
161,900
161,900
161,900
161,900
185,100
161,900
161,900
161,900
185,100
1,181,900
161,900
161,900
161,900
161,900
161,900
161,900
161,900
398,700
185,100
398,700
398,700
159,000
161,900
161,900
161,900
161,900
161,900
185,100
185,100
193,500
161,900
161,900
202,800
324,600
398,700
185,100
161,900
161,900
161,900
161,900
331,300
161,900
161,900
161,900
398,700
161,900
161,900
161,900
161,900
161,900
161,900
161,900
202,800
161,900
161,900
161,900
193,500
161,900
161,900
161,900
161,900
161,900
161,900
161,900
161,900
161,900
212,200
398,700
324,600
161,900
161,900
161,900
161,900
161,900
161,900
161,900
161,900
161,900
161,900
161,900
161,900
161,900
202,800
161,900
185,100
161,900
161,900
161,900
161,900
398,700
161,900
331,300
331,300
161,900
161,900
398,700
138,500
980,000
136,500
161,900
398,700
161,900
161,900
161,900
161,900
398,700
161,900
161,900
161,900
161,900
161,900
161,900
161,900
161,900
161,900
161,900
185,100
161,900
161,900
185,100
212,200
161,900
161,900
161,900
161,900
161,900
161,900
161,900
161,900
161,900
161,900
161,900
161,900
161,900
161,900
161,900
161,900
161,900
161,900
161,900
161,900
161,900
161,900
185,100
161,900
161,900
161,900
161,900
202,800
161,900
161,900
248,500
161,900
161,900
161,900
161,900
161,900
1,181,900
161,900
1,181,900
151,700
161,900
198,100
185,100
161,900
161,900
161,900
331,300
398,700
185,100
161,900
161,900
161,900
161,900
398,700
161,900
185,100
161,900
161,900
161,900
161,900
161,900
161,900
155,900
161,900
161,900
161,900
123,506,300
NoSEP No.Kartu
NmPst
0240R01811.5E+008 AISYAH HAMID
0240R01811.5E+008 AISYAH HAMID
0240R01811.5E+008 AISYAH HAMID
0240R01811.5E+008 AISYAH HAMID
0240R01811.5E+008 AISYAH HAMID
0240R01811.5E+008 AISYAH HAMID
0240R01811.5E+008 AISYAH HAMID
0240R01811.5E+009 ANDRIYANTO
0240R01811.5E+009 ANDRIYANTO
0240R01811.5E+009 ANDRIYANTO
0240R01811.5E+009 ANDRIYANTO
0240R01811.5E+009 ANDRIYANTO
0240R01811.5E+009 ANDRIYANTO
0240R01811.5E+009 ANDRIYANTO
0240R01811.5E+009 ANDRIYANTO
0240R01811.5E+009 ANDRIYANTO
0240R01811.5E+009 ANDRIYANTO
0240R01811.5E+009 ANDRIYANTO
0240R01811.5E+009 ANDRIYANTO
0240R01811.4E+008 ANIMA SUPRIATNI
0240R01811.4E+008 ANIMA SUPRIATNI
0240R01811.4E+008 ANIMA SUPRIATNI
0240R01811.4E+009 BAHRIAH
0240R01811.4E+009 BAHRIAH
0240R01811.4E+009 BAHRIAH
0240R01811.4E+009 BAHRIAH
0240R01811.4E+009 BAHRIAH
0240R01811.4E+009 BAHRIAH
0240R01811.4E+009 BAHRIAH
0240R01811.5E+008 BAMBANG SISWARTO
0240R01811.5E+008 BAMBANG SISWARTO
0240R01811.5E+008 BAMBANG SISWARTO
0240R01811.5E+008 BAMBANG SISWARTO
0240R01811.5E+008 BAMBANG SISWARTO
0240R01811.5E+008 BAMBANG SISWARTO
0240R01811.5E+008 BAMBANG SISWARTO
0240R01811.5E+008 BAMBANG SISWARTO
0240R01811.5E+008 BAMBANG SISWARTO
0240R01811.5E+008 BAMBANG SISWARTO
0240R01811.5E+008 BAMBANG SISWARTO
0240R01811.1E+009 BONIFACIUS TEGUH PRIYADI
0240R01811.1E+009 BONIFACIUS TEGUH PRIYADI
0240R01811.5E+009 CIU LIE SWE
0240R01811.1E+009 DESAK NYOMAN W
RJ/RI
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
0240R01811.4E+009 MARIA HA
0240R01811.4E+009 MARIA HA
0240R01811.4E+009 MARIA HA
0240R01811.4E+009 MARIA HA
0240R01811.4E+009 MARIA HA
0240R01811.4E+008 MUDIN
0240R01811.9E+009 MUHAMAD ALI BAGIS
0240R01811.9E+009 MUHAMAD ALI BAGIS
0240R01811.8E+009 NI MADE MULIANA
0240R01811.8E+009 NI MADE MULIANA
0240R01811.8E+009 NI MADE MULIANA
0240R01811.8E+009 NI MADE MULIANA
0240R01811.8E+009 NI MADE MULIANA
0240R01811.8E+009 NI MADE MULIANA
0240R01811.8E+009 NI MADE MULIANA
0240R01811.8E+009 NI MADE MULIANA
0240R01811.8E+009 NI MADE MULIANA
0240R01811.8E+009 NI MADE MULIANA
0240R01811.8E+009 NI MADE MULIANA
0240R01811.9E+009 NI NENGAH MARTINI
0240R01811.9E+009 NI NENGAH MARTINI
0240R01811.9E+009 NI NENGAH MARTINI
0240R01811.9E+009 NI NENGAH MARTINI
0240R01811.5E+008 NI NENGAH SURATNI
0240R01811.5E+008 NI NENGAH SURATNI
0240R01811.5E+008 NI NENGAH SURATNI
0240R01811.5E+008 NI NENGAH SURATNI
0240R01811.5E+008 NI NENGAH SURATNI
0240R01811.5E+008 NI NENGAH SURATNI
0240R01811.5E+008 NI NENGAH SURATNI
0240R01811.5E+008 NI WAYAN WARSI
0240R01811.5E+008 NI WAYAN WARSI
0240R01811.5E+008 NI WAYAN WARSI
0240R01811.5E+008 NI WAYAN WARSI
0240R01811.5E+008 NI WAYAN WARSI
0240R01811.5E+008 NI WAYAN WARSI
0240R01811.5E+008 NURHAYATI SITI
0240R01811.5E+008 NURHAYATI SITI
0240R01811.5E+008 NURHIDAYAH
0240R01811.5E+008 NURHIDAYAH
0240R01811.5E+008 NURHIDAYAH
0240R01811.3E+009 RIDWAN MANGATHUR
0240R01811.3E+009 RIDWAN MANGATHUR
0240R01811.3E+009 RIDWAN MANGATHUR
0240R01811.3E+009 RIDWAN MANGATHUR
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
0240R01811.4E+008 SUHARMAN
0240R01811.5E+008 SUJIHARTINI. HJ. SE
0240R01811.5E+008 SUJIHARTINI. HJ. SE
0240R01811.5E+008 SUJIHARTINI. HJ. SE
0240R01811.5E+008 SURJO PUTRO UTOMO. SE
0240R01811.5E+008 SURJO PUTRO UTOMO. SE
0240R01811.4E+009 SYECHA BINTI ALI BAGIS
0240R018197807566 UMI ROSIDAH
0240R018197807566 UMI ROSIDAH
0240R018197807566 UMI ROSIDAH
0240R018197807566 UMI ROSIDAH
0240R018197807566 UMI ROSIDAH
0240R018197807566 UMI ROSIDAH
0240R018197807566 UMI ROSIDAH
0240R01811.4E+009 WONG TJIN NI
0240R01811.4E+009 WONG TJIN NI
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
###
###
###
###
11/9/2015
11/6/2015
11/4/2015
11/9/2015
11/4/2015
###
###
11/7/2015
11/4/2015
###
###
###
###
11/9/2015
11/5/2015
11/4/2015
###
###
###
###
###
###
###
11/5/2015
11/2/2015
11/9/2015
11/7/2015
11/4/2015
11/2/2015
###
###
###
###
###
###
###
###
###
###
###
###
### M-3-16-0
### M-3-16-0
### M-3-16-0
### M-3-16-0
11/9/2015 M-3-16-0
11/6/2015 Z-3-12-0
11/4/2015 M-3-16-0
11/9/2015 M-3-16-0
11/4/2015 M-3-16-0
### Z-3-12-0
### M-3-16-0
11/7/2015 M-3-16-0
11/4/2015 Z-3-12-0
### M-3-10-0
### M-3-10-0
### M-3-10-0
### M-3-10-0
11/9/2015 M-3-10-0
11/5/2015 M-3-16-0
11/4/2015 M-3-10-0
### M-3-16-0
### M-3-16-0
### M-3-16-0
### M-3-16-0
### M-3-16-0
### M-3-16-0
### M-3-16-0
11/5/2015 M-3-16-0
11/2/2015 M-3-16-0
11/9/2015 M-3-16-0
11/7/2015 M-3-16-0
11/4/2015 M-3-16-0
11/2/2015 M-3-16-0
### M-3-16-0
### M-3-16-0
### M-3-10-0
### M-3-10-0
### M-3-10-0
### M-3-10-0
### M-3-10-0
### M-3-10-0
### M-3-16-0
### M-3-16-0
### M-3-16-0
### M-3-16-0
154,100
154,100
154,100
154,100
154,100
241,200
154,100
154,100
154,100
241,200
154,100
154,100
241,200
441,400
441,400
441,400
441,400
441,400
154,100
441,400
154,100
154,100
154,100
154,100
154,100
154,100
154,100
154,100
154,100
154,100
154,100
154,100
154,100
154,100
154,100
441,400
441,400
441,400
441,400
441,400
441,400
154,100
154,100
154,100
154,100
###
###
###
###
###
11/7/2015
11/4/2015
###
###
###
11/9/2015
11/5/2015
11/2/2015
11/7/2015
11/6/2015
11/5/2015
11/4/2015
11/3/2015
###
###
###
###
11/9/2015
11/2/2015
###
###
###
###
###
###
###
11/9/2015
11/7/2015
11/5/2015
11/3/2015
###
###
###
11/9/2015
11/6/2015
11/4/2015
11/2/2015
###
###
###
### M-3-16-0
### M-3-16-0
### M-3-16-0
### M-3-16-0
### M-3-16-0
11/7/2015 Z-3-12-0
11/4/2015 M-3-16-0
### M-3-16-0
### M-3-16-0
### M-3-16-0
11/9/2015 Z-3-12-0
11/5/2015 Z-3-12-0
11/2/2015 Z-3-12-0
11/7/2015 M-3-10-0
11/6/2015 M-3-10-0
11/5/2015 M-3-10-0
11/4/2015 M-3-10-0
11/3/2015 M-3-10-0
### M-3-16-0
### M-3-16-0
### Z-3-12-0
### M-3-16-0
11/9/2015 M-3-16-0
11/2/2015 M-3-16-0
### M-3-16-0
### M-3-16-0
### M-3-16-0
### M-3-16-0
### M-3-16-0
### M-3-16-0
### M-3-10-0
11/9/2015 M-3-10-0
11/7/2015 M-3-10-0
11/5/2015 M-3-10-0
11/3/2015 M-3-10-0
### M-3-16-0
### M-3-16-0
### M-3-16-0
11/9/2015 M-3-16-0
11/6/2015 Z-3-12-0
11/4/2015 Z-3-12-0
11/2/2015 Z-3-12-0
### M-3-10-0
### M-3-16-0
### M-3-16-0
154,100
154,100
154,100
154,100
154,100
241,200
154,100
154,100
154,100
154,100
241,200
241,200
241,200
441,400
441,400
441,400
441,400
441,400
154,100
154,100
241,200
154,100
154,100
154,100
154,100
154,100
154,100
154,100
154,100
154,100
441,400
441,400
441,400
441,400
441,400
154,100
154,100
154,100
154,100
241,200
241,200
241,200
441,400
154,100
154,100
11/4/2015
###
###
###
11/5/2015
11/2/2015
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
11/7/2015
11/5/2015
11/3/2015
###
###
###
###
###
###
###
###
###
###
###
11/9/2015
11/6/2015
11/4/2015
###
###
###
###
11/4/2015 M-3-10-0
### M-3-16-0
### M-3-16-0
### M-3-16-0
11/5/2015 M-3-16-0
11/2/2015 M-3-16-0
### M-3-10-0
### M-3-10-0
### M-3-10-0
### M-3-16-0
### M-3-10-0
### M-3-16-0
### M-3-16-0
### M-3-16-0
### M-3-16-0
### M-3-16-0
### M-3-16-0
### M-3-16-0
### M-3-16-0
### M-3-16-0
### M-3-16-0
### M-3-10-0
### M-3-16-0
### M-3-10-0
11/7/2015 M-3-10-0
11/5/2015 Z-3-12-0
11/3/2015 M-3-10-0
### M-3-16-0
### M-3-16-0
### M-3-16-0
### M-3-16-0
### M-3-16-0
### Z-3-12-0
### M-3-16-0
### M-3-16-0
### M-3-16-0
### M-3-16-0
### M-3-16-0
11/9/2015 M-3-16-0
11/6/2015 Z-3-12-0
11/4/2015 M-3-16-0
### M-3-16-0
### M-3-16-0
### M-3-10-0
### M-3-10-0
441,400
154,100
154,100
154,100
154,100
154,100
441,400
441,400
441,400
154,100
441,400
154,100
154,100
154,100
154,100
154,100
154,100
154,100
154,100
154,100
154,100
441,400
154,100
441,400
441,400
241,200
441,400
154,100
154,100
154,100
154,100
154,100
241,200
154,100
154,100
154,100
154,100
154,100
154,100
241,200
154,100
154,100
154,100
441,400
441,400
###
###
###
###
11/7/2015
###
###
###
###
###
###
###
###
###
###
11/9/2015
11/6/2015
11/4/2015
11/2/2015
###
###
###
11/5/2015
###
###
###
11/9/2015
11/7/2015
11/5/2015
11/3/2015
###
###
###
11/6/2015
11/4/2015
11/2/2015
11/9/2015
11/3/2015
###
11/5/2015
11/3/2015
###
###
###
###
### M-3-10-0
### M-3-10-0
### M-3-10-0
### M-3-10-0
11/7/2015 M-3-10-0
### M-3-16-0
### Z-3-12-0
### M-3-16-0
### M-3-16-0
### M-3-16-0
### M-3-16-0
### Z-3-12-0
### M-3-16-0
### M-3-16-0
### M-3-16-0
11/9/2015 M-3-16-0
11/6/2015 Z-3-12-0
11/4/2015 Z-3-12-0
11/2/2015 Z-3-12-0
### Z-3-12-0
### M-3-16-0
### M-3-16-0
11/5/2015 Z-3-12-0
### M-3-16-0
### M-3-16-0
### M-3-10-0
11/9/2015 M-3-16-0
11/7/2015 M-3-16-0
11/5/2015 Z-3-12-0
11/3/2015 Z-3-12-0
### M-3-16-0
### M-3-16-0
### M-3-16-0
11/6/2015 M-3-16-0
11/4/2015 M-3-16-0
11/2/2015 M-3-16-0
11/9/2015 M-3-16-0
11/3/2015 Z-3-12-0
### M-3-16-0
11/5/2015 Z-3-12-0
11/3/2015 Z-3-12-0
### M-3-16-0
### M-3-16-0
### M-3-16-0
### M-3-16-0
441,400
441,400
441,400
441,400
441,400
154,100
241,200
154,100
154,100
154,100
154,100
241,200
154,100
154,100
154,100
154,100
241,200
241,200
241,200
241,200
154,100
154,100
241,200
154,100
154,100
441,400
154,100
154,100
241,200
241,200
154,100
154,100
154,100
154,100
154,100
154,100
154,100
241,200
154,100
241,200
241,200
154,100
154,100
154,100
154,100
###
###
###
###
###
11/9/2015
11/5/2015
11/3/2015
###
###
###
###
###
11/5/2015
11/3/2015
###
###
###
###
###
###
11/6/2015
11/4/2015
11/2/2015
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
11/9/2015
### M-3-16-0
### M-3-16-0
### Z-3-12-0
### M-3-16-0
### M-3-16-0
11/9/2015 M-3-16-0
11/5/2015 Z-3-12-0
11/3/2015 Z-3-12-0
### M-3-10-0
### M-3-10-0
### Z-3-12-0
### M-3-10-0
### M-3-10-0
11/5/2015 M-3-10-0
11/3/2015 M-3-10-0
### M-3-16-0
### M-3-16-0
### M-3-16-0
### M-3-16-0
### M-3-16-0
### M-3-16-0
11/6/2015 M-3-16-0
11/4/2015 M-3-16-0
11/2/2015 M-3-16-0
### M-3-16-0
### M-3-16-0
### Z-3-12-0
### M-3-16-0
### M-3-16-0
### M-3-16-0
### M-3-16-0
### M-3-16-0
### Z-3-12-0
### M-3-16-0
### Z-3-12-0
### M-3-16-0
### M-3-16-0
### M-3-16-0
### M-3-16-0
### M-3-16-0
### M-3-16-0
### M-3-16-0
### M-3-16-0
### M-3-16-0
11/9/2015 M-3-16-0
154,100
154,100
241,200
154,100
154,100
154,100
241,200
241,200
441,400
441,400
241,200
441,400
441,400
441,400
441,400
154,100
154,100
154,100
154,100
154,100
154,100
154,100
154,100
154,100
154,100
154,100
241,200
154,100
154,100
154,100
154,100
154,100
241,200
154,100
241,200
154,100
154,100
154,100
154,100
154,100
154,100
154,100
154,100
154,100
154,100
154,100
154,100
154,100
154,100
154,100
154,100
154,100
154,100
154,100
154,100
154,100
154,100
154,100
154,100
154,100
154,100
NoSEP
0240R01811150000828
0240R01811150001242
0240R01811150001242
No.Kartu
Nama Pasien
1439169524 BAHRIAH
RJ/RI
Tgl.MasukTgl.Keluar
Biaya Klaim
Keterangan
###
###
2
2
###
###
###
###
Action
No.SEP No.Kartu
Nama Peserta
Tgl.MasukTgl.Pulang KdCBGs
0240R01811.9E+009 HJ. NANI 11/2/2015 11/2/2015 M-3-16-0
0240R01811.5E+008 KHAIRUL Y 11/2/2015 11/2/2015 M-3-16-0
0240R01811.8E+009 NI MADE M 11/2/2015 11/2/2015 Z-3-12-0
0240R01811.2E+009 HJ NURAZI 11/2/2015 11/2/2015 M-3-16-0
0240R01812.0E+008 IR. AINUN 11/2/2015 11/2/2015 M-3-16-0
0240R01811.5E+008 IFNU SUMO11/2/2015 11/2/2015 Z-3-12-0
0240R018148782889 ISLAMUNNA11/2/2015 11/2/2015 Z-3-12-0
0240R01811.5E+008 NI WAYAN 11/2/2015 11/2/2015 M-3-16-0
0240R01811.5E+008 SITI ENY C 11/2/2015 11/2/2015 M-3-16-0
0240R01811.5E+009 ANDRIYANT11/2/2015 11/2/2015 M-3-16-0
0240R01811.4E+008 RUKMA CA 11/3/2015 11/3/2015 M-3-10-0
0240R01811.5E+008 M YUSUF 11/3/2015 11/3/2015 M-3-10-0
0240R01811.4E+008 ANIMA SUPR
11/3/2015 11/3/2015 Z-3-12-0
0240R01811.6E+008 IMO
11/3/2015 11/3/2015 M-3-10-0
0240R01811.5E+008 IR. MOHAM11/3/2015 11/3/2015 M-3-10-0
0240R01811.5E+008 NURHAYATI 11/3/2015 11/3/2015 Z-3-12-0
0240R01811.5E+008 aisyah ham11/3/2015 11/3/2015 Z-3-12-0
0240R01811.5E+009 CIU LIE SW 11/3/2015 11/3/2015 Z-3-12-0
0240R01811.5E+008 NI NENGAH11/3/2015 11/3/2015 Z-3-12-0
0240R01811.5E+008 NURHIDAYA11/3/2015 11/3/2015 Z-3-12-0
0240R01811.3E+009 RITA SUSAN11/3/2015 11/3/2015 Z-3-12-0
0240R01811.8E+009 NI MADE M 11/4/2015 11/4/2015 Z-3-12-0
0240R01811.9E+009 Izudin kari 11/4/2015 11/4/2015 M-3-10-0
0240R01811.1E+009 DESAK NY 11/4/2015 11/4/2015 M-3-16-0
0240R01811.5E+008 SITI ENY C 11/4/2015 11/4/2015 M-3-16-0
0240R01811.1E+009 MADE ANDI11/4/2015 11/4/2015 M-3-16-0
0240R018148782889 ISLAMUNNA11/4/2015 11/4/2015 Z-3-12-0
0240R01811.5E+009 ANDRIYANT11/4/2015 11/4/2015 Z-3-12-0
0240R01811.3E+009 H.ABD.HADI11/4/2015 11/4/2015 M-3-10-0
0240R01811.5E+008 DJARWATIN11/4/2015 11/4/2015 M-3-16-0
0240R01811.6E+008 IMO
11/4/2015 11/4/2015 M-3-10-0
0240R01811.5E+008 IDA AYU PU11/4/2015 11/4/2015 M-3-16-0
0240R01811.2E+009 HJ NURAZI 11/4/2015 11/4/2015 M-3-16-0
0240R01811.5E+008 DRS. SUHI 11/4/2015 11/4/2015 Z-3-12-0
0240R01811.5E+008 NI WAYAN 11/4/2015 11/4/2015 M-3-16-0
0240R01811.1E+009 BONIFACIUS11/5/2015 11/5/2015 M-3-16-0
0240R01811.3E+009 RITA SUSAN11/5/2015 11/5/2015 Z-3-12-0
0240R01811.4E+008 RUKMA CA 11/5/2015 11/5/2015 M-3-10-0
0240R01811.9E+009 ni nengah m
11/5/2015 11/5/2015 Z-3-12-0
0240R01811.5E+008 M YUSUF 11/5/2015 11/5/2015 Z-3-12-0
0240R01811.5E+008 KHAIRUL Y 11/5/2015 11/5/2015 M-3-16-0
0240R01811.3E+009 H.ABD.HADI11/5/2015 11/5/2015 M-3-16-0
0240R01811.5E+008 NI NENGAH11/5/2015 11/5/2015 Z-3-12-0
0240R01811.5E+008 IFNU SUMO11/5/2015 11/5/2015 Z-3-12-0
11/5/2015 M-3-10-0
11/5/2015 M-3-10-0
11/5/2015 Z-3-12-0
11/5/2015 M-3-16-0
11/6/2015 M-3-16-0
11/6/2015 Z-3-12-0
11/6/2015 Z-3-12-0
11/6/2015 Z-3-12-0
11/6/2015 Z-3-12-0
11/6/2015 M-3-16-0
11/6/2015 Z-3-12-0
11/6/2015 M-3-16-0
11/6/2015 M-3-16-0
11/6/2015 M-3-10-0
11/7/2015 M-3-10-0
11/7/2015 M-3-10-0
11/7/2015 M-3-16-0
11/7/2015 M-3-16-0
11/7/2015 M-3-10-0
11/7/2015 M-3-16-0
11/7/2015 M-3-10-0
11/7/2015 Z-3-12-0
11/9/2015 M-3-16-0
11/9/2015 M-3-16-0
11/9/2015 M-3-16-0
11/9/2015 M-3-16-0
11/9/2015 M-3-16-0
11/9/2015 M-3-16-0
11/9/2015 M-3-10-0
11/9/2015 M-3-16-0
11/9/2015 M-3-16-0
11/9/2015 M-3-10-0
11/9/2015 Z-3-12-0
11/9/2015 M-3-16-0
11/9/2015 M-3-16-0
11/9/2015 M-3-16-0
11/9/2015 M-3-16-0
11/9/2015 M-3-16-0
11/9/2015 M-3-16-0
### M-3-10-0
### M-3-16-0
### M-3-16-0
### M-3-10-0
### M-3-16-0
### M-3-16-0
###
###
###
###
### M-3-10-0
### M-3-16-0
### M-3-16-0
### M-3-16-0
TotalTarifTotal
(59+CMG)
Klaim(Grp+CMG)
154,100 154,100
154,100 154,100
241,200 241,200
154,100 154,100
154,100 154,100
241,200 241,200
241,200 241,200
154,100 154,100
154,100 154,100
154,100 154,100
441,400 441,400
441,400 441,400
241,200 241,200
441,400 441,400
441,400 441,400
241,200 241,200
241,200 241,200
241,200 241,200
241,200 241,200
241,200 241,200
241,200 241,200
241,200 241,200
441,400 441,400
154,100 154,100
154,100 154,100
154,100 154,100
241,200 241,200
241,200 241,200
441,400 441,400
154,100 154,100
441,400 441,400
154,100 154,100
154,100 154,100
241,200 241,200
154,100 154,100
154,100 154,100
241,200 241,200
441,400 441,400
241,200 241,200
241,200 241,200
154,100 154,100
154,100 154,100
241,200 241,200
241,200 241,200
441,400
441,400
241,200
154,100
154,100
241,200
241,200
241,200
241,200
154,100
241,200
154,100
154,100
441,400
441,400
441,400
154,100
154,100
441,400
154,100
441,400
241,200
154,100
154,100
154,100
154,100
154,100
154,100
441,400
154,100
154,100
441,400
241,200
154,100
154,100
154,100
154,100
154,100
154,100
441,400
154,100
154,100
441,400
154,100
154,100
441,400
441,400
241,200
154,100
154,100
241,200
241,200
241,200
241,200
154,100
241,200
154,100
154,100
441,400
441,400
441,400
154,100
154,100
441,400
154,100
441,400
241,200
154,100
154,100
154,100
154,100
154,100
154,100
441,400
154,100
154,100
441,400
241,200
154,100
154,100
154,100
154,100
154,100
154,100
441,400
154,100
154,100
441,400
154,100
154,100
441,400
154,100
154,100
154,100
441,400
154,100
154,100
154,100
Action
No.SEP No.Kartu
Nama Peserta
Tgl.MasukTgl.Pulang KdCBGs
0240R01811.4E+008 RUKMA CA
###
### M-3-10-0
0240R01811.5E+008 BAMBANG
###
### M-3-16-0
0240R018197807566 UMI ROSID
###
### M-3-16-0
0240R01811.5E+008 I GST.NGU
###
### Z-3-27-0
0240R01811.3E+009 H.ABD.HADI
###
### M-3-10-0
0240R01811.1E+009 MADE ANDI
###
### M-3-16-0
0240R018148782889 ISLAMUNNA
###
### M-3-16-0
0240R01811.5E+008 KHAIRUL Y
###
### M-3-16-0
0240R01811.5E+008 DRS. SUHI
###
### M-3-16-0
0240R01811.9E+009 Izudin kari
###
### M-3-16-0
0240R01811.8E+009 NI MADE M
###
### M-3-16-0
0240R01812.1E+008 ST AYSYAH
###
### M-3-16-0
0240R01811.5E+008 ST HAFSAH
###
### M-3-16-0
0240R01811.5E+008 IR. MOHAM
###
### M-3-10-0
0240R01811.5E+008 BAMBANG
###
### M-3-16-0
0240R01811.4E+008 SAHARMAN
###
### M-3-16-0
0240R018197807566 UMI ROSID
###
### M-3-16-0
0240R01811.3E+009 H.ABD.HADI
###
### M-3-10-0
0240R01811.5E+008 M YUSUF
###
### M-3-16-0
0240R01811.1E+009 DESAK NY
###
### M-3-16-0
0240R01811.5E+009 ANDRIYANT
###
### M-3-16-0
0240R01811.5E+008 IDA AYU PU
###
### M-3-16-0
0240R01811.5E+008 BAMBANG
###
### M-3-16-0
0240R01811.4E+009 BAHRIAH
###
### M-3-16-0
0240R01811.1E+009 MADE ANDI
###
### M-3-16-0
0240R01811.3E+009 H.ABD.HADI
###
### M-3-10-0
0240R01812.0E+008 IR. AINUN
###
### M-3-16-0
0240R018148782889 ISLAMUNNA
###
### M-3-16-0
0240R01811.5E+008 IR. MOHAM
###
### M-3-16-0
0240R01811.5E+008 aisyah ham
###
### M-3-16-0
0240R01811.5E+008 ST HAFSAH
###
### Z-3-12-0
0240R01812.1E+008 ST AYSYAH
###
### M-3-16-0
0240R01811.8E+009 SITI RAHM
###
### Q-5-44-0
0240R01811.9E+009 ni nengah m
###
### M-3-16-0
0240R018197807566 UMI ROSID
###
### M-3-16-0
0240R01811.8E+009 NI MADE M
###
### M-3-16-0
0240R01811.4E+008 SAHARMAN
###
### M-3-16-0
0240R01811.5E+008 BAMBANG
###
### M-3-16-0
0240R018197807566 UMI ROSID
###
### M-3-16-0
0240R01811.1E+009 DESAK NY
###
### M-3-16-0
0240R01811.5E+008 IFNU SUMO
###
### M-3-16-0
0240R01811.4E+009 HJ. ZOHRIA
###
### M-3-16-0
0240R01811.5E+008 IDA AYU PU
###
### M-3-16-0
0240R01811.5E+009 ANDRIYANT
###
### M-3-16-0
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
### M-3-10-0
### M-3-10-0
### M-3-16-0
### M-3-16-0
### M-3-16-0
### Q-5-44-0
### M-3-16-0
### M-3-16-0
### M-3-16-0
### M-3-10-0
### M-3-16-0
### M-3-16-0
### M-3-16-0
### M-3-16-0
### M-3-16-0
### M-3-16-0
### M-3-16-0
### M-3-10-0
### M-3-16-0
### M-3-16-0
### M-3-16-0
### M-3-16-0
### M-3-16-0
### M-3-16-0
### Q-5-44-0
### M-3-16-0
### M-3-16-0
### Z-3-12-0
### Z-3-12-0
### Q-5-44-0
### M-3-16-0
### M-3-10-0
### Z-3-12-0
### Z-3-12-0
### Z-3-12-0
### M-3-10-0
### M-3-16-0
### Z-3-12-0
### M-3-16-0
### M-3-16-0
### Z-3-12-0
### M-3-16-0
### M-3-16-0
### Z-3-12-0
### M-3-16-0
0240R01818.5E+008 MUKSIN
0240R01811.4E+008 SAHARMAN
0240R01811.7E+008 LALE NURT
0240R01811.5E+008 MACHMUd
0240R01811.3E+009 I GUSTI AY
0240R01811.1E+009 BONIFACIUS
0240R01811.1E+009 DESAK NY
0240R01811.5E+009 ANDRIYANT
0240R01811.3E+009 RIDWAN M
0240R01811.5E+008 IR. MOHAM
0240R01811.5E+008 IDA AYU PU
0240R01811.4E+008 RUKMA CA
0240R01811.5E+008 M YUSUF
0240R01811.5E+008 BAMBANG
0240R01811.8E+009 NI MADE M
0240R01811.5E+008 aisyah ham
0240R01812.0E+008 LALU RIVAL
0240R01811.4E+009 HERIYANTO
0240R01811.5E+008 ST HAFSAH
0240R01811.5E+008 NI WAYAN
0240R01811.4E+009 BAHRIAH
0240R01811.9E+009 Izudin kari
0240R01812.1E+008 ST AYSYAH
106
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
### Q-5-44-0
### M-3-16-0
### M-3-10-0
### M-3-16-0
### M-3-10-0
### M-3-16-0
### M-3-16-0
### M-3-16-0
### M-3-16-0
### M-3-16-0
### M-3-16-0
### Z-3-12-0
### M-3-16-0
### M-3-16-0
### M-3-16-0
### M-3-16-0
### M-3-16-0
### M-3-16-0
### M-3-16-0
### M-3-16-0
### M-3-16-0
### M-3-16-0
### M-3-16-0
TotalTarifTotal
(59+CMG)
Klaim(Grp+CMG)
441,400 441,400
154,100 154,100
154,100 154,100
185,100 185,100
441,400 441,400
154,100 154,100
154,100 154,100
154,100 154,100
154,100 154,100
154,100 154,100
154,100 154,100
154,100 154,100
154,100 154,100
441,400 441,400
154,100 154,100
154,100 154,100
154,100 154,100
441,400 441,400
154,100 154,100
154,100 154,100
154,100 154,100
154,100 154,100
154,100 154,100
154,100 154,100
154,100 154,100
441,400 441,400
154,100 154,100
154,100 154,100
154,100 154,100
154,100 154,100
241,200 241,200
154,100 154,100
161,900 161,900
154,100 154,100
154,100 154,100
154,100 154,100
154,100 154,100
154,100 154,100
154,100 154,100
154,100 154,100
154,100 154,100
154,100 154,100
154,100 154,100
154,100 154,100
441,400
441,400
154,100
154,100
154,100
161,900
154,100
154,100
154,100
441,400
154,100
154,100
154,100
154,100
154,100
154,100
154,100
441,400
154,100
154,100
154,100
154,100
154,100
154,100
161,900
154,100
154,100
241,200
241,200
161,900
154,100
441,400
241,200
241,200
241,200
441,400
154,100
241,200
154,100
154,100
241,200
154,100
154,100
241,200
154,100
441,400
441,400
154,100
154,100
154,100
161,900
154,100
154,100
154,100
441,400
154,100
154,100
154,100
154,100
154,100
154,100
154,100
441,400
154,100
154,100
154,100
154,100
154,100
154,100
161,900
154,100
154,100
241,200
241,200
161,900
154,100
441,400
241,200
241,200
241,200
441,400
154,100
241,200
154,100
154,100
241,200
154,100
154,100
241,200
154,100
161,900
154,100
441,400
154,100
441,400
154,100
154,100
154,100
154,100
154,100
154,100
241,200
154,100
154,100
154,100
154,100
154,100
154,100
154,100
154,100
154,100
154,100
154,100
161,900
154,100
441,400
154,100
441,400
154,100
154,100
154,100
154,100
154,100
154,100
241,200
154,100
154,100
154,100
154,100
154,100
154,100
154,100
154,100
154,100
154,100
154,100
Action
No.SEP No.Kartu
Nama Peserta
Tgl.MasukTgl.Pulang KdCBGs
0240R01811.3E+009 RIDWAN M
###
### M-3-16-0
0240R01811.5E+008 MACHMUd
###
### M-3-16-0
0240R01811.4E+008 SAHARMAN
###
### M-3-16-0
0240R01811.5E+009 ANDRIYANT
###
### M-3-16-0
0240R01811.7E+008 LALE NURT
###
### M-3-16-0
0240R01811.3E+009 I GUSTI AY
###
### M-3-10-0
0240R01811.5E+008 BAMBANG
###
### Z-3-12-0
0240R01811.4E+008 RUKMA CA
###
### M-3-10-0
0240R01811.5E+008 NI WAYAN
###
### M-3-16-0
0240R01811.5E+008 SUJIHARTINI
###
### M-3-16-0
0240R01811.1E+009 MADE ANDI
###
### M-3-16-0
0240R01812.0E+008 LALU RIVAL
###
### M-3-16-0
0240R01811.9E+009 Selvy Dwi
###
### Z-3-25-0
0240R01811.3E+009 RIDWAN M
###
### M-3-16-0
0240R01811.5E+008 KHAIRUL Y
###
### M-3-16-0
0240R01811.3E+009 I GUSTI AY
###
### M-3-10-0
0240R01811.4E+009 HERIYANTO
###
### M-3-16-0
0240R01811.5E+008 IR. MOHAM
###
### M-3-16-0
0240R01812.1E+008 ST AYSYAH
###
### M-3-16-0
0240R01811.5E+008 SURJO PUT
###
### M-3-16-0
0240R01811.5E+008 SITI ENY C
###
### M-3-16-0
0240R01811.5E+008 M YUSUF
###
### M-3-16-0
0240R01811.5E+008 ST HAFSAH
###
### M-3-16-0
0240R01811.4E+008 SAHARMAN
###
### M-3-16-0
0240R01811.5E+008 MACHMUd
###
### M-3-16-0
0240R01811.5E+009 ANDRIYANT
###
### M-3-16-0
0240R01811.4E+009 maria ha.
###
### M-3-10-0
0240R01811.4E+009 BAHRIAH
###
### M-3-16-0
0240R01811.5E+008 IDA AYU PU
###
### M-3-16-0
0240R01811.4E+009 HERIYANTO
###
### M-3-16-0
0240R01811.1E+009 DESAK NY
###
### M-3-16-0
0240R01811.5E+008 NI NENGAH
###
### M-3-16-0
0240R01811.7E+008 LALE NURT
###
### M-3-10-0
0240R01811.5E+008 SUJIHARTINI
###
### M-3-16-0
0240R01811.3E+009 I GUSTI AY
###
### M-3-10-0
0240R01811.3E+009 RIDWAN M
###
### M-3-16-0
0240R01811.5E+008 aisyah ham
###
### M-3-16-0
0240R01811.9E+009 ripaan
###
### Q-5-44-0
0240R01811.5E+008 M YUSUF
###
### M-3-16-0
0240R01812.0E+008 IR. AINUN
###
### M-3-16-0
0240R01811.9E+009 Izudin kari
###
### M-3-10-0
0240R01811.4E+008 RUSNI
###
### Q-5-44-0
0240R01811.1E+009 SARIMINA
###
### Q-5-44-0
0240R01811.4E+009 SYECHA BIN
###
### Q-5-44-0
0240R01811.9E+009 muhamad al
0240R01811.5E+008 a. GANI H.
0240R01811.4E+009 maria ha.
0240R01818.3E+008 LALU BADR
0240R01811.4E+008 SAHARMAN
0240R01818.4E+008 I WAYAN RA
0240R01811.3E+009 BAYANI
0240R01811.5E+008 SITI ENY C
0240R01811.5E+008 JUMAWAL
0240R01811.5E+008 BONDAN WI
0240R01811.2E+009 SUYANTI ST
0240R01811.4E+009 BAHRIAH
0240R01811.5E+008 NURDIN AM
0240R01811.6E+009 TRENY YUS
0240R01811.9E+009 khalish mah
0240R01811.5E+008 NI WAYAN
0240R01811.5E+008 IR. MOHAM
0240R01811.5E+009 EVA KARTIN
0240R01812.1E+008 I WAYAN SU
0240R01811.5E+008 NURHAYATI,
0240R01811.5E+008 IMAM SURY
0240R01811.4E+009 WONG TJIN
0240R01811.4E+009 FRANSISCA
0240R01811.5E+008 NURHAYATI
0240R01811.5E+008 MACHMUd
0240R01811.4E+009 BAIQ HALI
0240R01811.4E+008 MUDIN
0240R01812.0E+008 LALU RIVAL
0240R01811.5E+009 ANDRIYANT
0240R01811.5E+008 HJ. HUSNAYATI
0240R01811.5E+008 SAMSUL RI
0240R01811.5E+008 RANTI UTAM
0240R01811.5E+008 MAHMUD
0240R01811.8E+009 NURMAH
0240R01811.5E+008 NURHIDAYA
0240R01811.5E+008 MARIA GRA
0240R01811.4E+009 WONG TJIN
0240R01811.4E+009 BAHRIAH
0240R01811.8E+009 NI MADE M
0240R01811.1E+009 MADE ANDI
0240R01811.3E+009 RIDWAN M
0240R01812.0E+008 ISNAINI B
0240R01811.1E+009 KOMANG K
0240R01811.4E+009 SYECHA BIN
0240R01811.1E+009 DWI DEDE
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
### M-3-16-0
### Q-5-44-0
### M-3-10-0
### Q-5-38-0
### M-3-16-0
### N-3-14-0
### Q-5-31-0
### M-3-16-0
### Q-5-42-0
### Q-5-44-0
### Q-5-44-0
### M-3-16-0
### Q-5-44-0
### Z-3-27-0
### Q-5-42-0
### M-3-16-0
### M-3-16-0
### Q-5-44-0
### M-3-16-0
### Z-3-23-0
### Q-5-44-0
### Q-5-44-0
### Q-5-44-0
### Q-5-44-0
### M-3-16-0
### Z-3-27-0
### M-3-16-0
### M-3-16-0
### M-3-16-0
### Q-5-38-0
### Q-5-44-0
### Q-5-44-0
### Q-5-44-0
### Q-5-44-0
### M-3-16-0
### Q-5-44-0
### M-3-16-0
### Q-5-44-0
### M-3-16-0
### M-3-16-0
### M-3-16-0
### Q-5-44-0
### Z-3-27-0
### M-3-16-0
### Q-5-44-0
0240R01811.8E+009 VALENTINO
0240R01811.5E+008 SULASMI,
0240R01811.5E+008 TRI PUSPIT
0240R01811.5E+008 IDA AYU PU
0240R01811.8E+009 DANISH SA
0240R01811.2E+009 sopiana
0240R01811.5E+008 SUJIHARTINI
0240R01811.4E+009 HERIYANTO
0240R01811.1E+009 NI WAYAN M
0240R01811.8E+009 NI KADEK T
0240R01811.8E+009 SUHARTAK
0240R01811.4E+008 IDA AYU P
0240R01818.5E+008 SATIAMAH
0240R01811.7E+008 LALE NURT
0240R01811.1E+009 ARIFUDDIN
0240R01811.5E+008 LALU ALI A
0240R01811.4E+008 SAHARMAN
0240R01811.4E+008 RUKMA CA
0240R01811.4E+009 BAHRIAH
0240R01811.5E+008 MACHMUd
0240R01811.5E+009 ANDRIYANT
0240R01812.1E+008 I WAYAN SU
0240R01811.5E+008 NI NENGAH
0240R01811.4E+009 maria ha.
0240R01812.0E+008 LALU RIVAL
0240R01811.5E+008 aisyah ham
0240R01811.3E+009 I GUSTI AY
0240R01812.1E+008 I WAYAN SU
0240R01812.0E+008 IR. AINUN
0240R01811.8E+009 NI MADE M
0240R01811.5E+008 IR. MOHAM
0240R01811.4E+009 HERIYANTO
0240R01811.1E+009 MADE ANDI
0240R01811.7E+008 LALE NURT
0240R01811.4E+009 maria ha.
0240R01811.5E+008 SITI ENY C
0240R01812.0E+008 LALU RIVAL
0240R01811.9E+009 muhamad al
0240R01811.4E+009 WONG TJIN
0240R01811.3E+009 I GUSTI AY
0240R01811.4E+009 BAHRIAH
0240R01811.3E+009 RIDWAN M
0240R01811.5E+008 M YUSUF
86
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
### Q-5-26-0
### Q-5-42-0
### Z-3-23-0
### M-3-16-0
### Q-5-25-0
### Z-3-25-0
### M-3-16-0
### M-3-16-0
### Z-3-19-0
### Z-3-19-0
### Z-3-23-0
### Q-5-44-0
### Q-5-44-0
### M-3-10-0
### Z-3-19-0
### Q-5-44-0
### M-3-16-0
### M-3-10-0
### M-3-16-0
### M-3-16-0
### M-3-16-0
### M-3-16-0
### M-3-16-0
### M-3-16-0
### M-3-16-0
### M-3-16-0
### M-3-10-0
### M-3-16-0
### M-3-16-0
### M-3-16-0
### M-3-16-0
### M-3-16-0
### M-3-16-0
### M-3-10-0
### M-3-16-0
### M-3-16-0
### Q-5-42-0
### Z-3-12-0
### M-3-16-0
### M-3-10-0
### M-3-16-0
### M-3-16-0
### Q-5-42-0
TotalTarifTotal
(59+CMG)
Klaim(Grp+CMG)
154,100 154,100
154,100 154,100
154,100 154,100
154,100 154,100
154,100 154,100
441,400 441,400
241,200 241,200
441,400 441,400
154,100 154,100
154,100 154,100
154,100 154,100
154,100 154,100
324,600 324,600
154,100 154,100
154,100 154,100
441,400 441,400
154,100 154,100
154,100 154,100
154,100 154,100
154,100 154,100
154,100 154,100
154,100 154,100
154,100 154,100
154,100 154,100
154,100 154,100
154,100 154,100
441,400 441,400
154,100 154,100
154,100 154,100
154,100 154,100
154,100 154,100
154,100 154,100
441,400 441,400
154,100 154,100
441,400 441,400
154,100 154,100
154,100 154,100
161,900 161,900
154,100 154,100
154,100 154,100
441,400 441,400
161,900 161,900
161,900 161,900
161,900 161,900
154,100
161,900
441,400
202,800
154,100
228,900
131,100
154,100
138,500
161,900
161,900
154,100
161,900
185,100
138,500
154,100
154,100
161,900
154,100
398,700
161,900
161,900
161,900
161,900
154,100
185,100
154,100
154,100
154,100
202,800
161,900
161,900
161,900
161,900
154,100
161,900
154,100
161,900
154,100
154,100
154,100
161,900
185,100
154,100
161,900
154,100
161,900
441,400
202,800
154,100
228,900
131,100
154,100
138,500
161,900
161,900
154,100
161,900
185,100
138,500
154,100
154,100
161,900
154,100
398,700
161,900
161,900
161,900
161,900
154,100
185,100
154,100
154,100
154,100
202,800
161,900
161,900
161,900
161,900
154,100
161,900
154,100
161,900
154,100
154,100
154,100
161,900
185,100
154,100
161,900
193,500 193,500
138,500 138,500
398,700 398,700
154,100 154,100
136,500 136,500
324,600 324,600
154,100 154,100
154,100 154,100
1,181,900 1,181,900
1,181,900 1,181,900
398,700 398,700
161,900 161,900
161,900 161,900
441,400 441,400
1,181,900 1,181,900
161,900 161,900
154,100 154,100
441,400 441,400
154,100 154,100
154,100 154,100
154,100 154,100
154,100 154,100
154,100 154,100
154,100 154,100
154,100 154,100
154,100 154,100
441,400 441,400
154,100 154,100
154,100 154,100
154,100 154,100
154,100 154,100
154,100 154,100
154,100 154,100
441,400 441,400
154,100 154,100
154,100 154,100
138,500 138,500
241,200 241,200
154,100 154,100
441,400 441,400
154,100 154,100
154,100 154,100
138,500 138,500