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SYARAT KLAIM PERSALINAN

1. FC KARTU BPJS 2 LBR


2. FC KTP 2 LBR
3. FC KK 2 LBR
4. FC BUKU KIA LEMBAR IDENTITAS 2 LBR
5. FC BUKU KIA LEMBAR BERSALIN 2 LBR
6. FC BUKU KIA KETERANGAN LAHIR 2 LBR
7. PRINT OUT SPP FKTP (SURAT PERNYATAAN PELAY)>PCARE ECLAIM
8. PRINT OUT FKPP (FORMULIR KLAIM PELAY.PRIMER)>PCARE ECLAIM

SYARAT KLAIM ANC

1. FC KARTU BPJS 1 LEMBAR


2. FC KTP 1 LEMBAR
3. FC KK1 LEMBAR
4. FC BUKU KIA LEMBAR IDENTITAS 1 LEMBAR
5. FC BUKU KIA LEMBAR ANC ( K1 USIA KEHAMILAN </=12 MGG)
6. PRINT OUT SPP FKTP ( SURAT PERNYATAAN PELAY)>PCARE ECLAIM
7. PRINT OUT FKPP (FORMULIR KLAIM PELAY PRIMER)>PCARE ECLAIM

SYARAT KLAIM PNC

1. FC KARTU BPJS 1 LEMBAR


2. FC. KTP 1 LEMBAR
3. FC KK 1 LEMBAR
4. FC BUKU KIA LEMBAR IDENTITAS 1 LEMBAR
5. FC BUKU KIA LEMBAR KF 1 LEMBAR
6. FC BUKU KIA LEMBAR KN 1 LEMBAR
7. PRINT OUT SPP FKTP ( SURAT PERNYATAAN PELAY)>PCARE ECLAIM
8. PRINT OUT FKPP ( FORMULIR KLAIM PELAY PRIMER)>PCARE ECLAIM

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