Laporan Universal

<table class='tabel' width='90%'>
<tr class="form">
<td align="center" colspan="9">
<big><big><span style="font-weight: bold;">
LAPORAN UNIVERSAL PUSTU PILANGBANGO<br>
BULAN 01-08-2019 - 31-08-2019 </span></big></big>
</td>
</tr>
</table>
<table align='center'>
<tr>
<td>Total</td>
<td>:</td>
<td>209</td>
</tr>
</table>
<table align="center" width="98%" border="1">
<tr class="row1">
<td align="center" width='3%'>No</td>
<td align="center" width='6%'>Tanggal</td>
<td align="center" width='6%'>No RM</td>
<td align="center" width='10%'>Nama</td>
<td align="center" >NIK</td>
<td align="center" >KK</td>
<td align="center" width='6%'>Desa</td>
<td align="center" width='5%'>Kecamatan</td>
<td align="center" width='5%'>Kabupaten</td>
<td align="center" width='6%'>Tgl Lahir</td>
<td align="center" width='6%'>Umur<br>Th</td>
<td align="center" width='2%'>L/P</td>
<td align="center" width='7%'>Pekerjaan</td>
<td align="center" width='7%'>Ruangan</td>
<td align="center" width='7%'>Petugas</td>
<td align="center" width='4%'>Status</td>
<td align="center" >Kasus</td>
<td align="center" >Cara Bayar</td>
<td align="center" >Jenis BPJS</td>
<td align="center" >No Asuransi</td>
<td align="center" >Kode Bridging</td>
<td>Diagnosa</td>
</tr>
<tr align="left" valign="top">

<td>1</td>
<td>01-08-2019</td>
<td>004524</td>
<td>NISRINA ZAHIYAH</td>
<td>`3577014106940002</td>
<td>`3577032608160005</td>
<td>MANISREJO</td>
<td>TAMAN</td>
<td>KOTA MADIUN</td>
<td>01-06-1994</td>
<td>25</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>PUSTU PILANGBANGO</td>
<td>SRI WAHYUNI, Amd. Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>`0000786949795</td>
<td>130802030819Y000061</td>
<td align='center'>
J00 </td>
</tr>

<td>2</td>
<td>02-08-2019</td>
<td>014517</td>
<td>KARSIYATI</td>
<td>`3519074707690002</td>
<td>`</td>
<td>TEMPURSARI</td>
<td>WUNGU</td>
<td>MADIUN</td>
<td>07-07-1969</td>
<td>50</td>
<td>P</td>
<td>NINIK NING MINTOWATI, Amd. Keb</td>
<td>LAMA</td>
<td>KASUS LAMA</td>
<td>BPJS</td>
<td>PEKERJA MANDIRI</td>
<td>`0001876873735</td>
<td>130802030819Y000174</td>
<td align='center'>
J06 </td>
</tr>

<td>3</td>
<td>02-08-2019</td>
<td>003130</td>
<td>SRI WAHYUNI</td>
<td>`3519074407920009</td>
<td>`</td>
<td>TEMPURSARI</td>
<td>WUNGU</td>
<td>MADIUN</td>
<td>01-07-1992</td>
<td>27</td>
<td>P</td>
<td>Karyawan Swasta</td>
<td>LAMA</td>
<td>KASUS LAMA</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>`0000736611658</td>
<td>130802030819Y000172</td>
<td align='center'>
M13 </td>
</tr>

<td>4</td>
<td>02-08-2019</td>
<td>009960</td>
<td>ERLIN FEBRIANTI</td>
<td>`</td>
<td>`</td>
<td>PILANGBANGO</td>
<td>KARTOHARJO</td>
<td>02-02-2001</td>
<td>18</td>
<td>P</td>
<td>Pelajar / Mahasiswa</td>
<td>LAMA</td>
<td>KASUS LAMA</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>`0001704814424</td>
<td>130802030819Y000176</td>
<td align='center'>
J11 </td>
</tr>

<td>5</td>
<td>02-08-2019</td>
<td>000426</td>
<td>SULASTRI</td>
<td>`3577014702710001</td>
<td>`3577012104070754</td>
<td>KARTOHARJO</td>
<td>MADIUN</td>
<td>07-02-1971</td>
<td>48</td>
<td>P</td>
<td>LAMA</td>
<td>KASUS LAMA</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>`0001704876041</td>
<td>130802030819Y000175</td>
<td align='center'>
E11 </td>
</tr>
<td>6</td>
<td>02-08-2019</td>
<td>013995</td>
<td>KOSMARIYANI</td>
<td>`</td>
<td>`</td>
<td>KARTOHARJO</td>
<td>21-10-1961</td>
<td>57</td>
<td>P</td>
<td>LAMA</td>
<td>KASUS LAMA</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>`0001704814593</td>
<td>130802030819Y000177</td>
<td align='center'>
I10 </td>
</tr>

<td>7</td>
<td>02-08-2019</td>
<td>005955</td>
<td>AYU NURKAYATI</td>
<td>`</td>
<td>`</td>
<td>KARTOHARJO</td>
<td>28-08-1992</td>
<td>27</td>
<td>P</td>
<td>LAMA</td>
<td>KASUS LAMA</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>`0002163589852</td>
<td>130802030819Y000173</td>
<td align='center'>
Z30 </td>
</tr>

<td>8</td>
<td>02-08-2019</td>
<td>007375</td>
<td>SUPRIHATIN</td>
<td>`3519075508700003</td>
<td>`</td>
<td>TEMPURSARI</td>
<td>WUNGU</td>
<td>MADIUN</td>
<td>15-08-1970</td>
<td>49</td>
<td>P</td>
<td>LAMA</td>
<td>KASUS LAMA</td>
<td>BPJS</td>
<td>PEGAWAI SWASTA</td>
<td>`0001828165342</td>
<td></td>
<td align='center'>
J06 </td>
</tr>

<td>9</td>
<td>02-08-2019</td>
<td>010348</td>
<td>SULASTRI</td>
<td>`3577015202840001</td>
<td>`3577012104070489</td>
<td>KARTOHARJO</td>
<td>12-02-1984</td>
<td>35</td>
<td>P</td>
<td>LAMA</td>
<td>KASUS LAMA</td>
<td>BPJS</td>
<td>PEGAWAI PEMERINTAH DENGAN PERJANJIAN KERJA</td>
<td>`0001824480696</td>
<td>130802030819Y000179</td>
<td align='center'>
Z36 </td>
</tr>

<td>10</td>
<td>02-08-2019</td>
<td>002189</td>
<td>SUPRIYANTO</td>
<td>`3519071809550001</td>
<td>`3577011002150003</td>
<td>REJOMULYO</td>
<td>KARTOHARJO</td>
<td>18-09-1955</td>
<td>63</td>
<td>L</td>
<td>LAMA</td>
<td>KASUS LAMA</td>
<td>BPJS</td>
<td>`0002044887827</td>
<td>130802030819Y000170</td>
<td align='center'>
J06 </td>
</tr>

<td>11</td>
<td>05-08-2019</td>
<td>004465</td>
<td>SRI HANDAYANI</td>
<td>`</td>
<td>`</td>
<td>KARTOHARJO</td>
<td>01-05-1978</td>
<td>41</td>
<td>P</td>
<td>dr. Agustina Dwi Wulansari</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>`0000786982983</td>
<td>130802030819Y000331</td>
<td align='center'>
I64 </td>
</tr>

<td>12</td>
<td>05-08-2019</td>
<td>000426</td>
<td>SULASTRI</td>
<td>`3577014702710001</td>
<td>`3577012104070754</td>
<td>KARTOHARJO</td>
<td>MADIUN</td>
<td>07-02-1971</td>
<td>48</td>
<td>P</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>`0001704876041</td>
<td>130802030819Y000283</td>
<td align='center'>
J11 </td>
</tr>

<td>13</td>
<td>05-08-2019</td>
<td>003088</td>
<td>JANI DWI LESTARI</td>
<td>`</td>
<td>`</td>
<td>TEMPURSARI</td>
<td>WUNGU</td>
<td>MADIUN</td>
<td>26-01-1972</td>
<td>47</td>
<td>P</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>`</td>
<td></td>
<td align='center'>
H82 </td>
</tr>

<td>14</td>
<td>05-08-2019</td>
<td>004365</td>
<td>FITRI VORGAWATI</td>
<td>`</td>
<td>`</td>
<td>KARTOHARJO</td>
<td>01-09-1984</td>
<td>35</td>
<td>P</td>
<td>Belum / Tidak Bekerja</td>
<td>LAMA</td>
<td>KASUS LAMA</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>`0000786617379</td>
<td>130802030819Y000226</td>
<td align='center'>
Z30 </td>
</tr>

<td>15</td>
<td>05-08-2019</td>
<td>011922</td>
<td>PARTIWI</td>
<td>`3577015406650001</td>
<td>`3577010301110003</td>
<td>KARTOHARJO</td>
<td>14-06-1965</td>
<td>54</td>
<td>P</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PENERIMA PENSIUN PNS</td>
<td>`0000106374835</td>
<td>130802030819Y000296</td>
<td align='center'>
J11 </td>
</tr>

<td>16</td>
<td>05-08-2019</td>
<td>005197</td>
<td>YUNI RUSMIATI</td>
<td>`3519074607720001</td>
<td>`</td>
<td>TEMPURSARI</td>
<td>WUNGU</td>
<td>MADIUN</td>
<td>06-07-1972</td>
<td>47</td>
<td>P</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PENERIMA PENSIUN TNI</td>
<td>`0002074628935</td>
<td>130802030819Y000300</td>
<td align='center'>
B00.2 </td>
</tr>

<td>17</td>
<td>05-08-2019</td>
<td>001516</td>
<td>SUPIAH</td>
<td>`3577014101720004</td>
<td>`3577012104070998</td>
<td>KARTOHARJO</td>
<td>01-01-1972</td>
<td>47</td>
<td>P</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>`0000786623455</td>
<td>130802030819Y000308</td>
<td align='center'>
K29 </td>
</tr>

<td>18</td>
<td>05-08-2019</td>
<td>004507</td>
<td>PURYANTI</td>
<td>`3519076908680002</td>
<td>`</td>
<td>TEMPURSARI</td>
<td>WUNGU</td>
<td>MADIUN</td>
<td>29-08-1968</td>
<td>51</td>
<td>P</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>`0000170015319</td>
<td>130802030819Y000309</td>
<td align='center'>
H10 </td>
</tr>

<td>19</td>
<td>05-08-2019</td>
<td>001900</td>
<td>INDAH TRI SETIOWATI</td>
<td>`3519075607760004</td>
<td>`</td>
<td>TEMPURSARI</td>
<td>WUNGU</td>
<td>MADIUN</td>
<td>16-07-1976</td>
<td>43</td>
<td>P</td>
<td>LAMA</td>
<td>KASUS LAMA</td>
<td>BPJS</td>
<td>PNS DAERAH</td>
<td>`0000106307289</td>
<td>130802030819Y000316</td>
<td align='center'>
E11 </td>
</tr>

<td>20</td>
<td>05-08-2019</td>
<td>000829</td>
<td>KARYANI EKAWATI</td>
<td>`3519075702670002</td>
<td>`3577012603180001</td>
<td>KARTOHARJO</td>
<td>17-02-1967</td>
<td>52</td>
<td>P</td>
<td>Pensiunan</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PENERIMA PENSIUN POLRI</td>
<td>`0000105168385</td>
<td>130802030819Y000322</td>
<td align='center'>
I15 </td>
</tr>

<td>21</td>
<td>05-08-2019</td>
<td>001506</td>
<td>WINARTININGTYAS</td>
<td>`3577015702920004</td>
<td>`3577010912100005</td>
<td>KARTOHARJO</td>
<td>17-02-1992</td>
<td>27</td>
<td>P</td>
<td>LAMA</td>
<td></td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>`0000786857815</td>
<td>130802030819Y000455</td>
<td align='center'>
I15 </td>
</tr>

<td>22</td>
<td>06-08-2019</td>
<td>001681</td>
<td>KARSIDAH</td>
<td>`3577025501570003</td>
<td>`3577012204070006</td>
<td>KARTOHARJO</td>
<td>15-01-1957</td>
<td>62</td>
<td>P</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>`0000106410407</td>
<td>130802030819Y000367</td>
<td align='center'>
J00 </td>
</tr>

<td>23</td>
<td>06-08-2019</td>
<td>005323</td>
<td>RENA AGUSTIN MILAWATI</td>
<td>`</td>
<td>`</td>
<td>KARTOHARJO</td>
<td>24-08-1988</td>
<td>31</td>
<td>P</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>`0001704814931</td>
<td>130802030819Y000373</td>
<td align='center'>
L24 </td>
</tr>

<td>24</td>
<td>06-08-2019</td>
<td>007105</td>
<td>ELSA SETYORINI</td>
<td>`</td>
<td>`</td>
<td>KARTOHARJO</td>
<td>MADIUN</td>
<td>13-05-1985</td>
<td>34</td>
<td>P</td>
<td>LAMA</td>
<td>KASUS LAMA</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>`0002163618573</td>
<td>130802030819Y000395</td>
<td align='center'>
Z36 </td>
</tr>

<td>25</td>
<td>06-08-2019</td>
<td>006252</td>
<td>DASRI</td>
<td>`</td>
<td>`</td>
<td>KARTOHARJO</td>
<td>23-07-1973</td>
<td>46</td>
<td>P</td>
<td>LAMA</td>
<td>KASUS LAMA</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>`0001704813849</td>
<td>130802030819Y000420</td>
<td align='center'>
I15 </td>
</tr>

<td>26</td>
<td>06-08-2019</td>
<td>000672</td>
<td>HARTINI</td>
<td>`3577015310610001</td>
<td>`3577012104070806</td>
<td>KARTOHARJO</td>
<td>13-10-1961</td>
<td>57</td>
<td>P</td>
<td>LAMA</td>
<td>KASUS LAMA</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>`0000786616031</td>
<td>130802030819Y000410</td>
<td align='center'>
I15 </td>
</tr>

<td>27</td>
<td>06-08-2019</td>
<td>010294</td>
<td>RISSA NURBIYANTI</td>
<td>`</td>
<td>`</td>
<td>KARTOHARJO</td>
<td>20-12-1986</td>
<td>32</td>
<td>P</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>`0001175773026</td>
<td>130802030819Y000422</td>
<td align='center'>
M13 </td>
</tr>

<td>28</td>
<td>06-08-2019</td>
<td>002382</td>
<td>SITI SAMSUARSIH</td>
<td>`3577025404740005</td>
<td>`3577013003150008</td>
<td>KARTOHARJO</td>
<td>14-04-1974</td>
<td>45</td>
<td>P</td>
<td>Perdagangan</td>
<td>LAMA</td>
<td></td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>`0002163624243</td>
<td>130802030819Y000423</td>
<td align='center'>
M13 </td>
</tr>

<td>29</td>
<td>06-08-2019</td>
<td>002156</td>
<td>SUPARMI</td>
<td>`3577016406830001</td>
<td>`3577010301110031</td>
<td>KARTOHARJO</td>
<td>24-06-1983</td>
<td>36</td>
<td>P</td>
<td>LAMA</td>
<td>KASUS LAMA</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>`0001706776593</td>
<td>130802030819Y000413</td>
<td align='center'>
Z30 </td>
</tr>
<td>30</td>
<td>07-08-2019</td>
<td>014623</td>
<td>EDY SUBAGIYO</td>
<td>`3519032205810001</td>
<td>`3577011103130009</td>
<td>KARTOHARJO</td>
<td>22-05-1981</td>
<td>38</td>
<td>L</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>`0001130375621</td>
<td>130802030819Y000489</td>
<td align='center'>
J11 </td>
</tr>

<td>31</td>
<td>07-08-2019</td>
<td>002088</td>
<td>SRI WAHYUNI</td>
<td>`3577016201800002</td>
<td>`3577011101170003</td>
<td>KARTOHARJO</td>
<td>22-01-1980</td>
<td>39</td>
<td>P</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>`0000786742132</td>
<td>130802030819Y000512</td>
<td align='center'>
J11 </td>
</tr>

<td>32</td>
<td>07-08-2019</td>
<td>012094</td>
<td>IKA FITRIANI</td>
<td>`</td>
<td>`</td>
<td>KARTOHARJO</td>
<td>16-06-1985</td>
<td>34</td>
<td>P</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>`0001706780204</td>
<td>130802030819Y000524</td>
<td align='center'>
L24 </td>
</tr>

<td>33</td>
<td>07-08-2019</td>
<td>001381</td>
<td>ANIK WINARTI</td>
<td>`3577035202780003</td>
<td>`3577011005100006</td>
<td>KARTOHARJO</td>
<td>12-02-1978</td>
<td>41</td>
<td>P</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>`0001706777256</td>
<td>130802030819Y000530</td>
<td align='center'>
J11 </td>
</tr>

<td>34</td>
<td>07-08-2019</td>
<td>002524</td>
<td>SUGIYAH</td>
<td>`</td>
<td>`</td>
<td>KARTOHARJO</td>
<td>05-01-1957</td>
<td>62</td>
<td>P</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>`0001706778977</td>
<td>130802030819Y000537</td>
<td align='center'>
I15 </td>
</tr>

<td>35</td>
<td>07-08-2019</td>
<td>010447</td>
<td>SULIYAH</td>
<td>`3577014404770003</td>
<td>`3577013005180002</td>
<td>KARTOHARJO</td>
<td>04-04-1977</td>
<td>42</td>
<td>P</td>
<td>IRT</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>`0001704820533</td>
<td>130802030819Y000566</td>
<td align='center'>
M13 </td>
</tr>

<td>36</td>
<td>07-08-2019</td>
<td>014062</td>
<td>SUWANDI</td>
<td>`</td>
<td>`</td>
<td>KARTOHARJO</td>
<td>29-01-1971</td>
<td>48</td>
<td>L</td>
<td>Wiraswasta</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>`0002163596927</td>
<td>130802030819Y000567</td>
<td align='center'>
L24 </td>
</tr>

<td>37</td>
<td>08-08-2019</td>
<td>014672</td>
<td>SURADJI</td>
<td>`3577012712790001</td>
<td>`3577012508110008</td>
<td>KARTOHARJO</td>
<td>27-12-1979</td>
<td>39</td>
<td>L</td>
<td>Wiraswasta</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>`0001706779945</td>
<td>Konseling</td>
<td align='center'>
Z00 </td>
</tr>

<td>38</td>
<td>08-08-2019</td>
<td>014681</td>
<td>SUTINAH</td>
<td>`3577015211610002</td>
<td>`3577012104070861</td>
<td>KARTOHARJO</td>
<td>12-11-1961</td>
<td>57</td>
<td>P</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PENERIMA PENSIUN SWASTA</td>
<td>`0001176353919</td>
<td>Konseling</td>
<td align='center'>
Z00 </td>
</tr>

<td>39</td>
<td>08-08-2019</td>
<td>000410</td>
<td>WINARSIH SYAHRANI</td>
<td>`3577014803820002</td>
<td>`3577010902100005</td>
<td>KARTOHARJO</td>
<td>08-03-1982</td>
<td>37</td>
<td>P</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>`0001706777144</td>
<td>130802030819Y000605</td>
<td align='center'>
J11 </td>
</tr>

<td>40</td>
<td>08-08-2019</td>
<td>007790</td>
<td>WIDJI LESTARI</td>
<td>`</td>
<td>`</td>
<td>KARTOHARJO</td>
<td>09-12-1960</td>
<td>58</td>
<td>P</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>`0001706777122</td>
<td>130802030819Y000595</td>
<td align='center'>
J02 </td>
</tr>

<td>41</td>
<td>08-08-2019</td>
<td>001910</td>
<td>SUWITO</td>
<td>`3577011111680001</td>
<td>`3577012104070776</td>
<td>KARTOHARJO</td>
<td>11-11-1968</td>
<td>50</td>
<td>L</td>
<td>LAMA</td>
<td></td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>`0001704813232</td>
<td>Konseling</td>
<td align='center'>
M13 </td>
</tr>

<td>42</td>
<td>08-08-2019</td>
<td>005617</td>
<td>SUMINEM</td>
<td>`</td>
<td>`</td>
<td>KARTOHARJO</td>
<td>01-12-1957</td>
<td>61</td>
<td>P</td>
<td>LAMA</td>
<td>KASUS LAMA</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>`0000786513216</td>
<td>Konseling</td>
<td align='center'>
I15 </td>
</tr>

<td>43</td>
<td>08-08-2019</td>
<td>001681</td>
<td>KARSIDAH</td>
<td>`3577025501570003</td>
<td>`3577012204070006</td>
<td>KARTOHARJO</td>
<td>15-01-1957</td>
<td>62</td>
<td>P</td>
<td>LAMA</td>
<td>KASUS LAMA</td>
<td>BPJS</td>
<td>`0000106410407</td>
<td>Konseling</td>
<td align='center'>
I15 </td>
</tr>

<td>44</td>
<td>08-08-2019</td>
<td>001023</td>
<td>PURWATI</td>
<td>`3577015102550001</td>
<td>`3577010301110025</td>
<td>KARTOHARJO</td>
<td>11-02-1955</td>
<td>64</td>
<td>P</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>`0000106354675</td>
<td>Konseling</td>
<td align='center'>
M13 </td>
</tr>

<td>45</td>
<td>08-08-2019</td>
<td>000627</td>
<td>SANEM</td>
<td>`3577014101550008</td>
<td>`3577010502140004</td>
<td>KARTOHARJO</td>
<td>01-01-1955</td>
<td>64</td>
<td>P</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>`0001706776773</td>
<td>130802030819Y000660</td>
<td align='center'>
Z00 </td>
</tr>

<td>46</td>
<td>08-08-2019</td>
<td>014680</td>
<td>ENDAH</td>
<td>`</td>
<td>`</td>
<td>KARTOHARJO</td>
<td>08-08-1977</td>
<td>42</td>
<td>L</td>
<td>GURU T K MATARAM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>GRATIS</td>
<td></td>
<td>`</td>
<td></td>
<td align='center'>
L24 </td>
</tr>

<td>47</td>
<td>08-08-2019</td>
<td>001461</td>
<td>SUPRIATI</td>
<td>`3577015208770002</td>
<td>`3577012104070513</td>
<td>KARTOHARJO</td>
<td>12-08-1977</td>
<td>42</td>
<td>P</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>`0001706778358</td>
<td>Konseling</td>
<td align='center'>
Z00 </td>
</tr>

<td>48</td>
<td>08-08-2019</td>
<td>005606</td>
<td>MIATI</td>
<td>`</td>
<td>`</td>
<td>KLEGEN</td>
<td>KARTOHARJO</td>
<td>04-02-1957</td>
<td>62</td>
<td>P</td>
<td>LAMA</td>
<td></td>
<td>UMUM</td>
<td></td>
<td>`</td>
<td></td>
<td align='center'>
Z00 </td>
</tr>

<td>49</td>
<td>08-08-2019</td>
<td>003792</td>
<td>PARTIWI</td>
<td>`</td>
<td>`</td>
<td>KARTOHARJO</td>
<td>09-11-1958</td>
<td>60</td>
<td>L</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>`</td>
<td></td>
<td align='center'>
Z00 </td>
</tr>

<td>50</td>
<td>08-08-2019</td>
<td>001110</td>
<td>SULASTRI</td>
<td>`3577014404570004</td>
<td>`3577012104070925</td>
<td>KARTOHARJO</td>
<td>04-04-1957</td>
<td>62</td>
<td>P</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>`0001806308649</td>
<td>Konseling</td>
<td align='center'>
Z00 </td>
</tr>

<td>51</td>
<td>08-08-2019</td>
<td>000381</td>
<td>SIRUN</td>
<td>`3577011002600001</td>
<td>`3577012104070922</td>
<td>KARTOHARJO</td>
<td>10-02-1960</td>
<td>59</td>
<td>L</td>
<td>LAMA</td>
<td></td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>`0001706778696</td>
<td>Konseling</td>
<td align='center'>
Z00 </td>
</tr>

<td>52</td>
<td>08-08-2019</td>
<td>005634</td>
<td>SUPINGATUN</td>
<td>`</td>
<td>`</td>
<td>KARTOHARJO</td>
<td>01-01-1963</td>
<td>56</td>
<td>P</td>
<td>LAMA</td>
<td></td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>`0000786520765</td>
<td>Konseling</td>
<td align='center'>
Z00 </td>
</tr>

<td>53</td>
<td>08-08-2019</td>
<td>000632</td>
<td>SUPIYAH</td>
<td>`3577015109590001</td>
<td>`3577012104070746</td>
<td>KARTOHARJO</td>
<td>11-09-1959</td>
<td>59</td>
<td>P</td>
<td>LAMA</td>
<td></td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>`0001704813006</td>
<td>Konseling</td>
<td align='center'>
Z00 </td>
</tr>

<td>54</td>
<td>08-08-2019</td>
<td>005629</td>
<td>DARSIH</td>
<td>`</td>
<td>`</td>
<td>KARTOHARJO</td>
<td>13-12-1958</td>
<td>60</td>
<td>P</td>
<td>LAMA</td>
<td></td>
<td>UMUM</td>
<td></td>
<td>`</td>
<td></td>
<td align='center'>
Z00 </td>
</tr>

<td>55</td>
<td>08-08-2019</td>
<td>007431</td>
<td>SUMARNING</td>
<td>`</td>
<td>`</td>
<td>KARTOHARJO</td>
<td>10-03-1960</td>
<td>59</td>
<td>P</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>`0001704814086</td>
<td>Konseling</td>
<td align='center'>
Z00 </td>
</tr>

<td>56</td>
<td>08-08-2019</td>
<td>003208</td>
<td>SITI AMANAH</td>
<td>`</td>
<td>`</td>
<td>KARTOHARJO</td>
<td>08-09-1958</td>
<td>61</td>
<td>P</td>
<td>LAMA</td>
<td></td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>`0001704811206</td>
<td>Konseling</td>
<td align='center'>
Z00 </td>
</tr>

<td>57</td>
<td>08-08-2019</td>
<td>001574</td>
<td>SUHARSIH</td>
<td>`3577014707600003</td>
<td>`3577010309120001</td>
<td>KARTOHARJO</td>
<td>07-07-1960</td>
<td>59</td>
<td>P</td>
<td>LAMA</td>
<td></td>
<td>GRATIS</td>
<td>`0001811976625</td>
<td></td>
<td align='center'>
Z00 </td>
</tr>

<td>58</td>
<td>08-08-2019</td>
<td>003743</td>
<td>WAGIYAH</td>
<td>`</td>
<td>`</td>
<td>KARTOHARJO</td>
<td>02-12-1961</td>
<td>57</td>
<td>P</td>
<td>LAMA</td>
<td></td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>`0002163608583</td>
<td>Konseling</td>
<td align='center'>
Z00 </td>
</tr>

<td>59</td>
<td>08-08-2019</td>
<td>003741</td>
<td>DARMIATUN</td>
<td>`</td>
<td>`</td>
<td>KARTOHARJO</td>
<td>01-12-1957</td>
<td>61</td>
<td>P</td>
<td>LAMA</td>
<td></td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>`0000786862541</td>
<td>Konseling</td>
<td align='center'>
Z00 </td>
</tr>

<td>60</td>
<td>09-08-2019</td>
<td>014707</td>
<td>WUNDIK WAHYUDI</td>
<td>`</td>
<td>`</td>
<td>KARTOHARJO</td>
<td>12-12-1979</td>
<td>39</td>
<td>L</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td>`0001304692784</td>
<td></td>
<td align='center'>
M13 </td>
</tr>

<td>61</td>
<td>09-08-2019</td>
<td>000397</td>
<td>KHOLILUL ROHMAN</td>
<td>`3577011410970001</td>
<td>`3577010301110014</td>
<td>KARTOHARJO</td>
<td>15-10-1997</td>
<td>21</td>
<td>L</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>`0000786600156</td>
<td>130802030819Y000708</td>
<td align='center'>
J00 </td>
</tr>

<td>62</td>
<td>09-08-2019</td>
<td>002780</td>
<td>NOOR BAETHY</td>
<td>`</td>
<td>`</td>
<td>KARTOHARJO</td>
<td>01-04-1969</td>
<td>50</td>
<td>P</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>`0000786621802</td>
<td>130802030819Y000711</td>
<td align='center'>
Z00 </td>
</tr>

<td>63</td>
<td>09-08-2019</td>
<td>001726</td>
<td>MARYATI</td>
<td>`3577015307610001</td>
<td>`3577010412100001</td>
<td>KARTOHARJO</td>
<td>13-07-1961</td>
<td>58</td>
<td>P</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>`0002158641898</td>
<td>130802030819Y000712</td>
<td align='center'>
Z00 </td>
</tr>

<td>64</td>
<td>09-08-2019</td>
<td>005709</td>
<td>JOIS KARTIKA</td>
<td>`</td>
<td>`</td>
<td>KARTOHARJO</td>
<td>01-05-1972</td>
<td>47</td>
<td>P</td>
<td>LAMA</td>
<td>KASUS LAMA</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>`0002163609573</td>
<td></td>
<td align='center'>
L24 </td>
</tr>
<td>65</td>
<td>09-08-2019</td>
<td>000281</td>
<td>AMIN SUKARNO</td>
<td>`3577010309580001</td>
<td>`3577012104071149</td>
<td>KARTOHARJO</td>
<td>03-09-1958</td>
<td>61</td>
<td>L</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>`0002066502306</td>
<td>130802030819Y000731</td>
<td align='center'>
M13 </td>
</tr>

<td>66</td>
<td>09-08-2019</td>
<td>003071</td>
<td>SULIS SETIAWATI</td>
<td>`</td>
<td>`</td>
<td>KARTOHARJO</td>
<td>21-05-1969</td>
<td>50</td>
<td>P</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>`0001704813311</td>
<td>130802030819Y000734</td>
<td align='center'>
M13 </td>
</tr>

<td>67</td>
<td>09-08-2019</td>
<td>001169</td>
<td>SUMARSIH</td>
<td>`3577014101630007</td>
<td>`3577012104071009</td>
<td>KARTOHARJO</td>
<td>01-01-1963</td>
<td>56</td>
<td>P</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>`0000786576868</td>
<td>130802030819Y000737</td>
<td align='center'>
I10 </td>
</tr>

<td>68</td>
<td>09-08-2019</td>
<td>003430</td>
<td>TATIK LESTARI</td>
<td>`</td>
<td>`</td>
<td>KARTOHARJO</td>
<td>MADIUN</td>
<td>23-02-1973</td>
<td>46</td>
<td>P</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>`0001704813118</td>
<td>130802030819Y000760</td>
<td align='center'>
I15 </td>
</tr>

<td>69</td>
<td>09-08-2019</td>
<td>005352</td>
<td>MUGITO</td>
<td>`</td>
<td>`</td>
<td>KARTOHARJO</td>
<td>12-10-1965</td>
<td>53</td>
<td>L</td>
<td>Wiraswasta</td>
<td>LAMA</td>
<td>KASUS LAMA</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>`0001704813107</td>
<td>130802030819Y000761</td>
<td align='center'>
K29 </td>
</tr>

<td>70</td>
<td>12-08-2019</td>
<td>014748</td>
<td>GATOT SUPRIYONO</td>
<td>`3519070208730003</td>
<td>`</td>
<td>TEMPURSARI</td>
<td>WUNGU</td>
<td>MADIUN</td>
<td>02-06-1973</td>
<td>46</td>
<td>L</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td></td>
<td>`000203434540358</td>
<td></td>
<td align='center'>
J11 </td>
</tr>

<td>71</td>
<td>12-08-2019</td>
<td>014754</td>
<td>IRMA PRIBADI OKTAFIANA</td>
<td>`</td>
<td>`</td>
<td>KARTOHARJO</td>
<td>02-10-1997</td>
<td>21</td>
<td>P</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td></td>
<td>`0002301823923</td>
<td></td>
<td align='center'>
Z00 </td>
</tr>

<td>72</td>
<td>12-08-2019</td>
<td>006584</td>
<td>SUYATMI</td>
<td>`</td>
<td>`</td>
<td>KARTOHARJO</td>
<td>01-05-1956</td>
<td>63</td>
<td>P</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>`0000786849502</td>
<td>130802030819Y000946</td>
<td align='center'>
L24 </td>
</tr>

<td>73</td>
<td>12-08-2019</td>
<td>002640</td>
<td>BIBIT MUJIATI</td>
<td>`</td>
<td>`</td>
<td>KARTOHARJO</td>
<td>01-06-1987</td>
<td>32</td>
<td>P</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>`0000786597906</td>
<td>130802030819Y000956</td>
<td align='center'>
J11 </td>
</tr>

<td>74</td>
<td>12-08-2019</td>
<td>009069</td>
<td>HARI SUNYOTO</td>
<td>`</td>
<td>`</td>
<td>KARTOHARJO</td>
<td>01-04-1972</td>
<td>47</td>
<td>L</td>
<td>Buruh Harian Lepas</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>`0000786836711</td>
<td>130802030819Y000959</td>
<td align='center'>
J11 </td>
</tr>

<td>75</td>
<td>12-08-2019</td>
<td>000443</td>
<td>SULASTRI</td>
<td>`3577016210600002</td>
<td>`3577012104071311</td>
<td>KARTOHARJO</td>
<td>22-10-1960</td>
<td>58</td>
<td>P</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>KEPOLISIAN RI</td>
<td>`0001276184485</td>
<td>130802030819Y000996</td>
<td align='center'>
M13 </td>
</tr>

<td>76</td>
<td>12-08-2019</td>
<td>011744</td>
<td>SRI HARMONI</td>
<td>`3577014201680003</td>
<td>`</td>
<td>KARTOHARJO</td>
<td>01-01-1968</td>
<td>51</td>
<td>P</td>
<td>LAMA</td>
<td>KASUS LAMA</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>`0000786895266</td>
<td>130802030819Y000998</td>
<td align='center'>
I15 </td>
</tr>

<td>77</td>
<td>12-08-2019</td>
<td>000829</td>
<td>KARYANI EKAWATI</td>
<td>`3519075702670002</td>
<td>`3577012603180001</td>
<td>KARTOHARJO</td>
<td>17-02-1967</td>
<td>52</td>
<td>P</td>
<td>Pensiunan</td>
<td>LAMA</td>
<td>KASUS LAMA</td>
<td>BPJS</td>
<td>PENERIMA PENSIUN POLRI</td>
<td>`0000105168385</td>
<td>130802030819Y000999</td>
<td align='center'>
I15 </td>
</tr>

<td>78</td>
<td>12-08-2019</td>
<td>004588</td>
<td>FEBRIAN ARI TRILAKSONO</td>
<td>`</td>
<td>`</td>
<td>KARTOHARJO</td>
<td>19-02-2000</td>
<td>19</td>
<td>L</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PNS DAERAH</td>
<td>`0000106288424</td>
<td>130802030819Y001011</td>
<td align='center'>
J06.9 </td>
</tr>

<td>79</td>
<td>12-08-2019</td>
<td>005709</td>
<td>JOIS KARTIKA</td>
<td>`</td>
<td>`</td>
<td>KARTOHARJO</td>
<td>01-05-1972</td>
<td>47</td>
<td>P</td>
<td>LAMA</td>
<td>KASUS LAMA</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>`0002163609573</td>
<td>130802030819Y001014</td>
<td align='center'>
Z30 </td>
</tr>

<td>80</td>
<td>13-08-2019</td>
<td>014793</td>
<td>NURMIATI</td>
<td>`</td>
<td>`</td>
<td>REJOMULYO</td>
<td>KARTOHARJO</td>
<td>04-02-1968</td>
<td>51</td>
<td>P</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>`0002413931545</td>
<td>130802030819Y001023</td>
<td align='center'>
M13 </td>
</tr>

<td>81</td>
<td>13-08-2019</td>
<td>013867</td>
<td>SUCI ROHMANTIN</td>
<td>`3577014707860003</td>
<td>`3577013004090005</td>
<td>KARTOHARJO</td>
<td>07-07-1986</td>
<td>33</td>
<td>P</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>`0001706780259</td>
<td>130802030819Y000861</td>
<td align='center'>
M13 </td>
</tr>

<td>82</td>
<td>13-08-2019</td>
<td>008775</td>
<td>SITI KOMSANTI</td>
<td>`</td>
<td>`</td>
<td>KARTOHARJO</td>
<td>22-04-1991</td>
<td>28</td>
<td>P</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>`0001706777199</td>
<td>130802030819Y000865</td>
<td align='center'>
J10 </td>
</tr>

<td>83</td>
<td>13-08-2019</td>
<td>003088</td>
<td>JANI DWI LESTARI</td>
<td>`</td>
<td>`</td>
<td>TEMPURSARI</td>
<td>WUNGU</td>
<td>MADIUN</td>
<td>26-01-1972</td>
<td>47</td>
<td>P</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>`</td>
<td></td>
<td align='center'>
K29 </td>
</tr>

<td>84</td>
<td>13-08-2019</td>
<td>006500</td>
<td>IIS YULAIKAH</td>
<td>`</td>
<td>`</td>
<td>KARTOHARJO</td>
<td>10-10-1982</td>
<td>36</td>
<td>L</td>
<td>LAMA</td>
<td>KASUS LAMA</td>
<td>BPJS</td>
<td></td>
<td>`0001704812578</td>
<td>130802030819Y001060</td>
<td align='center'>
Z36 </td>
</tr>

<td>85</td>
<td>13-08-2019</td>
<td>007105</td>
<td>`</td>
<td>`</td>
<td>KARTOHARJO</td>
<td>MADIUN</td>
<td>13-05-1985</td>
<td>34</td>
<td>P</td>
<td>LAMA</td>
<td>KASUS LAMA</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>`0002163618573</td>
<td>130802030819Y001069</td>
<td align='center'>
Z36 </td>
</tr>

<td>86</td>
<td>13-08-2019</td>
<td>002863</td>
<td>WARSINI</td>
<td>`</td>
<td>`</td>
<td>KARTOHARJO</td>
<td>31-01-1970</td>
<td>49</td>
<td>P</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>`0001706776997</td>
<td>130802030819Y000878</td>
<td align='center'>
J11 </td>
</tr>

<td>87</td>
<td>13-08-2019</td>
<td>001223</td>
<td>DOAN SETIAWAN</td>
<td>`3577011501750001</td>
<td>`3577012104070651</td>
<td>KARTOHARJO</td>
<td>15-01-1975</td>
<td>44</td>
<td>L</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>`0001283889982</td>
<td>130802030819Y000888</td>
<td align='center'>
M13 </td>
</tr>

<td>88</td>
<td>13-08-2019</td>
<td>002825</td>
<td>LILIK ANDRIATI</td>
<td>`</td>
<td>`</td>
<td>KARTOHARJO</td>
<td>21-04-1955</td>
<td>64</td>
<td>P</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>`0001704812523</td>
<td>130802030819Y000889</td>
<td align='center'>
M13 </td>
</tr>
<td>89</td>
<td>13-08-2019</td>
<td>001627</td>
<td>WIJI LASARUS</td>
<td>`3577012706790002</td>
<td>`3577012104070574</td>
<td>KARTOHARJO</td>
<td>MADIUN</td>
<td>27-06-1979</td>
<td>40</td>
<td>L</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>`0000786849759</td>
<td>130802030819Y000891</td>
<td align='center'>
A09 </td>
</tr>

<td>90</td>
<td>13-08-2019</td>
<td>014779</td>
<td>YUNIATI</td>
<td>`3577016306660001</td>
<td>`3577010404140005</td>
<td>KARTOHARJO</td>
<td>23-06-1966</td>
<td>53</td>
<td>P</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>`</td>
<td></td>
<td align='center'>
A09 </td>
</tr>

<td>91</td>
<td>13-08-2019</td>
<td>010200</td>
<td>MILA RATNA SARI</td>
<td>`</td>
<td>`</td>
<td>KARTOHARJO</td>
<td>17-09-1983</td>
<td>35</td>
<td>P</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>`0001633502327</td>
<td>130802030819Y000904</td>
<td align='center'>
J11 </td>
</tr>

<td>92</td>
<td>13-08-2019</td>
<td>014782</td>
<td>DZIKRIANI AMALIA YOGI</td>
<td>`357701650594001</td>
<td>`</td>
<td>NAMBANGAN LOR</td>
<td>MANGUHARJO</td>
<td>25-05-1994</td>
<td>25</td>
<td>P</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>GRATIS</td>
<td></td>
<td>`</td>
<td></td>
<td align='center'>
Z30 </td>
</tr>

<td>93</td>
<td>13-08-2019</td>
<td>011029</td>
<td>SURATMI</td>
<td>`</td>
<td>`</td>
<td>KARTOHARJO</td>
<td>03-09-1983</td>
<td>36</td>
<td>P</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>`0002416308715</td>
<td>130802030819Y001074</td>
<td align='center'>
Z36 </td>
</tr>

<td>94</td>
<td>13-08-2019</td>
<td>002511</td>
<td>SUPARMI</td>
<td>`</td>
<td>`</td>
<td>KARTOHARJO</td>
<td>10-10-1958</td>
<td>60</td>
<td>P</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>`0001704876491</td>
<td>130802030819Y000909</td>
<td align='center'>
M13 </td>
</tr>

<td>95</td>
<td>13-08-2019</td>
<td>013779</td>
<td>IMRON SUYADI</td>
<td>`3577010101820002</td>
<td>`</td>
<td>KARTOHARJO</td>
<td>01-01-1982</td>
<td>37</td>
<td>L</td>
<td>Wiraswasta</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>`0001640906403</td>
<td>130802030819Y001030</td>
<td align='center'>
M13 </td>
</tr>

<td>96</td>
<td>13-08-2019</td>
<td>004851</td>
<td>PUJI LESTARI</td>
<td>`</td>
<td>`</td>
<td>KARTOHARJO</td>
<td>17-04-1994</td>
<td>25</td>
<td>P</td>
<td>LAMA</td>
<td>KASUS LAMA</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>`0000738323932</td>
<td>130802030819Y001078</td>
<td align='center'>
Z30 </td>
</tr>

<td>97</td>
<td>13-08-2019</td>
<td>011422</td>
<td>ASTUTIK</td>
<td>`3577017008750005</td>
<td>`3577012104070691</td>
<td>KARTOHARJO</td>
<td>30-08-1975</td>
<td>44</td>
<td>P</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>`0000786653706</td>
<td>130802030819Y002150</td>
<td align='center'>
A09 </td>
</tr>

<td>98</td>
<td>13-08-2019</td>
<td>000099</td>
<td>NUR ERNIATI</td>
<td>`3519074406870001</td>
<td>`3577012210120003</td>
<td>KARTOHARJO</td>
<td>04-06-1987</td>
<td>32</td>
<td>P</td>
<td>LAMA</td>
<td>KASUS LAMA</td>
<td>BPJS</td>
<td></td>
<td>`0002163618652</td>
<td>130802030819Y001077</td>
<td align='center'>
Z30 </td>
</tr>

<td>99</td>
<td>13-08-2019</td>
<td>007591</td>
<td>SRI SUMARMI</td>
<td>`</td>
<td>`</td>
<td>TEMPURSARI</td>
<td>WUNGU</td>
<td>MADIUN</td>
<td>14-07-1965</td>
<td>54</td>
<td>P</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>`0002260573391</td>
<td>130802030819Y001036</td>
<td align='center'>
E11 </td>
</tr>

<td>100</td>
<td>14-08-2019</td>
<td>002173</td>
<td>SUHARI</td>
<td>`3577010709600001</td>
<td>`3577012104070503</td>
<td>KARTOHARJO</td>
<td>07-09-1960</td>
<td>59</td>
<td>L</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>`0002163607784</td>
<td>130802030819Y001057</td>
<td align='center'>
M13 </td>
</tr>

<td>101</td>
<td>14-08-2019</td>
<td>001726</td>
<td>MARYATI</td>
<td>`3577015307610001</td>
<td>`3577010412100001</td>
<td>KARTOHARJO</td>
<td>13-07-1961</td>
<td>58</td>
<td>P</td>
<td>LAMA</td>
<td>KASUS LAMA</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>`0002158641898</td>
<td>130802030819Y001056</td>
<td align='center'>
I15 </td>
</tr>

<td>102</td>
<td>14-08-2019</td>
<td>000374</td>
<td>WIWIK PRATIWI</td>
<td>`3577014102550001</td>
<td>`3577010301110041</td>
<td>KARTOHARJO</td>
<td>01-02-1955</td>
<td>64</td>
<td>P</td>
<td>LAMA</td>
<td>KASUS LAMA</td>
<td>BPJS</td>
<td>`0000106357746</td>
<td>130802030819Y001132</td>
<td align='center'>
I15 </td>
</tr>

<td>103</td>
<td>15-08-2019</td>
<td>000627</td>
<td>SANEM</td>
<td>`3577014101550008</td>
<td>`3577010502140004</td>
<td>KARTOHARJO</td>
<td>01-01-1955</td>
<td>64</td>
<td>P</td>
<td>LAMA</td>
<td>KASUS LAMA</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>`0001706776773</td>
<td>130802030819Y001160</td>
<td align='center'>
M13 </td>
</tr>

<td>104</td>
<td>15-08-2019</td>
<td>010726</td>
<td>NINIK NING MINTOWATI</td>
<td>`3519074612890002</td>
<td>`3577011101170001</td>
<td>KANIGORO</td>
<td>KARTOHARJO</td>
<td>06-12-1989</td>
<td>29</td>
<td>P</td>
<td>Pegawai Negeri Sipil</td>
<td>LAMA</td>
<td>KASUS LAMA</td>
<td>BPJS</td>
<td>PNS DAERAH</td>
<td>`0000202790968</td>
<td>130802030819Y001156</td>
<td align='center'>
J06 </td>
</tr>

<td>105</td>
<td>15-08-2019</td>
<td>013554</td>
<td>RUKINI</td>
<td>`3577014508870003</td>
<td>`3577012104078321</td>
<td>KELUN</td>
<td>KARTOHARJO</td>
<td>05-08-1987</td>
<td>32</td>
<td>P</td>
<td>LAMA</td>
<td>KASUS LAMA</td>
<td>BPJS</td>
<td>`0001536807778</td>
<td>130802030819Y001157</td>
<td align='center'>
M13 </td>
</tr>

<td>106</td>
<td>15-08-2019</td>
<td>000368</td>
<td>SUKATI</td>
<td>`3577015511560001</td>
<td>`3577012008090006</td>
<td>KARTOHARJO</td>
<td>15-11-1956</td>
<td>62</td>
<td>P</td>
<td>LAMA</td>
<td>KASUS LAMA</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>`0001704811127</td>
<td>130802030819Y001172</td>
<td align='center'>
M13 </td>
</tr>

<td>107</td>
<td>15-08-2019</td>
<td>003806</td>
<td>TUMINI</td>
<td>`</td>
<td>`</td>
<td>KELUN</td>
<td>KARTOHARJO</td>
<td>01-12-1979</td>
<td>39</td>
<td>P</td>
<td>LAMA</td>
<td>KASUS LAMA</td>
<td>BPJS</td>
<td></td>
<td>`0000786684069</td>
<td>130802030819Y001171</td>
<td align='center'>
M13 </td>
</tr>

<td>108</td>
<td>15-08-2019</td>
<td>006723</td>
<td>SUMIATUN</td>
<td>` 3520055507750003</td>
<td>`3577010912100002</td>
<td>KARTOHARJO</td>
<td>15-07-1975</td>
<td>44</td>
<td>P</td>
<td>LAMA</td>
<td>KASUS LAMA</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>`0000786567295</td>
<td>130802030819Y001173</td>
<td align='center'>
L23 </td>
</tr>

<td>109</td>
<td>16-08-2019</td>
<td>013753</td>
<td>JIRAH</td>
<td>`</td>
<td>`</td>
<td>TEMPURSARI</td>
<td>WUNGU</td>
<td>MADIUN</td>
<td>01-01-1966</td>
<td>53</td>
<td>P</td>
<td>BENI KURNIAWAN, Amd. Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>`</td>
<td></td>
<td align='center'>
I10 </td>
</tr>

<td>110</td>
<td>16-08-2019</td>
<td>014880</td>
<td>MARIYATI</td>
<td>`</td>
<td>`</td>
<td>TEMPURSARI</td>
<td>WUNGU</td>
<td>MADIUN</td>
<td>14-12-1967</td>
<td>51</td>
<td>P</td>
<td>BENI KURNIAWAN, Amd. Kep</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>`</td>
<td></td>
<td align='center'>
I15 </td>
</tr>

<td>111</td>
<td>16-08-2019</td>
<td>004232</td>
<td>SUYADI</td>
<td>`</td>
<td>`</td>
<td>TEMPURSARI</td>
<td>WUNGU</td>
<td>MADIUN</td>
<td>03-04-1973</td>
<td>46</td>
<td>L</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>`</td>
<td></td>
<td align='center'>
K29 </td>
</tr>

<td>112</td>
<td>19-08-2019</td>
<td>014932</td>
<td>SARNO</td>
<td>`3577011108700001</td>
<td>`3577012104070556</td>
<td>KARTOHARJO</td>
<td>11-08-1970</td>
<td>49</td>
<td>L</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>GRATIS</td>
<td>`0001620277345</td>
<td></td>
<td align='center'>
J06 </td>
</tr>

<td>113</td>
<td>19-08-2019</td>
<td>014939</td>
<td>SUPARMI</td>
<td>` </td>
<td>`3577012104071495</td>
<td>KARTOHARJO</td>
<td>20-08-1960</td>
<td>59</td>
<td>P</td>
<td>LAMA</td>
<td>KASUS LAMA</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>`0000786558587</td>
<td>130802030819Y001629</td>
<td align='center'>
I15 </td>
</tr>

<td>114</td>
<td>19-08-2019</td>
<td>002189</td>
<td>SUPRIYANTO</td>
<td>`3519071809550001</td>
<td>`3577011002150003</td>
<td>REJOMULYO</td>
<td>KARTOHARJO</td>
<td>18-09-1955</td>
<td>63</td>
<td>L</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>`0002044887827</td>
<td>130802030819Y001445</td>
<td align='center'>
M13 </td>
</tr>

<td>115</td>
<td>19-08-2019</td>
<td>001726</td>
<td>MARYATI</td>
<td>`3577015307610001</td>
<td>`3577010412100001</td>
<td>KARTOHARJO</td>
<td>13-07-1961</td>
<td>58</td>
<td>P</td>
<td>LAMA</td>
<td>KASUS LAMA</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>`0002158641898</td>
<td>130802030819Y001411</td>
<td align='center'>
Z00 </td>
</tr>

<td>116</td>
<td>19-08-2019</td>
<td>001995</td>
<td>SUJIATUN</td>
<td>`3577015212680002</td>
<td>`3577012104071150</td>
<td>KARTOHARJO</td>
<td>12-12-1968</td>
<td>50</td>
<td>P</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>`0000786516939</td>
<td>130802030819Y001453</td>
<td align='center'>
J11 </td>
</tr>

<td>117</td>
<td>19-08-2019</td>
<td>005328</td>
<td>MAMIK LESTARI</td>
<td>`</td>
<td>`</td>
<td>KARTOHARJO</td>
<td>01-04-1989</td>
<td>30</td>
<td>P</td>
<td>LAMA</td>
<td>KASUS LAMA</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>`0000786872564</td>
<td>130802030819Y001421</td>
<td align='center'>
Z30 </td>
</tr>

<td>118</td>
<td>19-08-2019</td>
<td>000925</td>
<td>LASMIYATUN</td>
<td>`3577017005690001</td>
<td>`3577012104070633</td>
<td>KARTOHARJO</td>
<td>30-05-1969</td>
<td>50</td>
<td>P</td>
<td>LAMA</td>
<td>KASUS LAMA</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>`0001704812409</td>
<td>130802030819Y001455</td>
<td align='center'>
K29 </td>
</tr>

<td>119</td>
<td>19-08-2019</td>
<td>001167</td>
<td>SUDARMINI</td>
<td>`3577015507820004</td>
<td>`3577012104070643</td>
<td>KARTOHARJO</td>
<td>MADIUN</td>
<td>15-07-1982</td>
<td>37</td>
<td>P</td>
<td>LAMA</td>
<td>KASUS LAMA</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>`0000786499097</td>
<td>130802030819Y001410</td>
<td align='center'>
J02 </td>
</tr>

<td>120</td>
<td>19-08-2019</td>
<td>003960</td>
<td>IRMA ARIANY</td>
<td>`3577036710820006</td>
<td>`3577012709110004</td>
<td>KARTOHARJO</td>
<td>27-10-1982</td>
<td>36</td>
<td>P</td>
<td>LAMA</td>
<td>KASUS LAMA</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>`0001704820454</td>
<td>130802030819Y001424</td>
<td align='center'>
Z30 </td>
</tr>

<td>121</td>
<td>19-08-2019</td>
<td>014924</td>
<td>SITI ROCHANA</td>
<td>`</td>
<td>`</td>
<td>CAKUNG</td>
<td>BINUANG</td>
<td>SERANG</td>
<td>21-06-1983</td>
<td>36</td>
<td>P</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>`</td>
<td></td>
<td align='center'>
W49 </td>
</tr>

<td>122</td>
<td>19-08-2019</td>
<td>006862</td>
<td>AGUNG SULISTIYONO</td>
<td>`3577012905840002</td>
<td>`</td>
<td>KARTOHARJO</td>
<td>29-05-1984</td>
<td>35</td>
<td>L</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>`0001654794775</td>
<td>130802030819Y001465</td>
<td align='center'>
J02 </td>
</tr>

<td>123</td>
<td>19-08-2019</td>
<td>005239</td>
<td>MURTINI</td>
<td>`</td>
<td>`</td>
<td>KARTOHARJO</td>
<td>01-05-1985</td>
<td>34</td>
<td>P</td>
<td>LAMA</td>
<td>KASUS LAMA</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>`0000786612971</td>
<td>130802030819Y001467</td>
<td align='center'>
Z30 </td>
</tr>
<td>124</td>
<td>19-08-2019</td>
<td>002405</td>
<td>SUYATIN</td>
<td>`3577014406730001</td>
<td>`3577012104071259</td>
<td>KARTOHARJO</td>
<td>04-06-1973</td>
<td>46</td>
<td>P</td>
<td>Buruh Tani / Perkebunan</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>`0000786819857</td>
<td>130802030819Y001469</td>
<td align='center'>
J11 </td>
</tr>

<td>125</td>
<td>19-08-2019</td>
<td>007903</td>
<td>BIBIT</td>
<td>`3577014507570004</td>
<td>`3577011010120019</td>
<td>KARTOHARJO</td>
<td>05-07-1957</td>
<td>62</td>
<td>P</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>`0002741804403</td>
<td>130802030819Y001495</td>
<td align='center'>
K12 </td>
</tr>

<td>126</td>
<td>19-08-2019</td>
<td>001899</td>
<td>LASINEM</td>
<td>`3577014101550010</td>
<td>`3577012104071159</td>
<td>KARTOHARJO</td>
<td>01-01-1955</td>
<td>64</td>
<td>P</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>`0000786650804</td>
<td>130802030819Y001630</td>
<td align='center'>
M13 </td>
</tr>

<td>127</td>
<td>19-08-2019</td>
<td>006395</td>
<td>SUTRINI</td>
<td>`</td>
<td>`</td>
<td>KARTOHARJO</td>
<td>26-02-1965</td>
<td>54</td>
<td>P</td>
<td>LAMA</td>
<td>KASUS LAMA</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>`0002163620799</td>
<td>130802030819Y001427</td>
<td align='center'>
J02 </td>
</tr>

<td>128</td>
<td>19-08-2019</td>
<td>006252</td>
<td>DASRI</td>
<td>`</td>
<td>`</td>
<td>KARTOHARJO</td>
<td>23-07-1973</td>
<td>46</td>
<td>P</td>
<td>LAMA</td>
<td>KASUS LAMA</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>`0001704813849</td>
<td>130802030819Y001426</td>
<td align='center'>
J02 </td>
</tr>

<td>129</td>
<td>19-08-2019</td>
<td>005427</td>
<td>NUNIK ANDARYANI</td>
<td>`</td>
<td>`</td>
<td>KARTOHARJO</td>
<td>02-05-1973</td>
<td>46</td>
<td>P</td>
<td>LAMA</td>
<td>KASUS LAMA</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>`0001706779888</td>
<td></td>
<td align='center'>
Z30 </td>
</tr>

<td>130</td>
<td>19-08-2019</td>
<td>014935</td>
<td>MUGIATUN</td>
<td>`</td>
<td>`</td>
<td>MOJORAYUNG</td>
<td>WUNGU</td>
<td>MADIUN</td>
<td>19-08-1964</td>
<td>55</td>
<td>P</td>
<td>LAMA</td>
<td>KASUS LAMA</td>
<td>UMUM</td>
<td></td>
<td>`</td>
<td></td>
<td align='center'>
M13 </td>
</tr>

<td>131</td>
<td>19-08-2019</td>
<td>004609</td>
<td>KAMINEM</td>
<td>`</td>
<td>`</td>
<td>KARTOHARJO</td>
<td>26-11-1968</td>
<td>50</td>
<td>P</td>
<td>LAMA</td>
<td>KASUS LAMA</td>
<td>BPJS</td>
<td></td>
<td>`0000786929804</td>
<td>Konseling</td>
<td align='center'>
I15 </td>
</tr>

<td>132</td>
<td>19-08-2019</td>
<td>000374</td>
<td>WIWIK PRATIWI</td>
<td>`3577014102550001</td>
<td>`3577010301110041</td>
<td>KARTOHARJO</td>
<td>01-02-1955</td>
<td>64</td>
<td>P</td>
<td>LAMA</td>
<td>KASUS LAMA</td>
<td>BPJS</td>
<td>`0000106357746</td>
<td>Konseling</td>
<td align='center'>
I15 </td>
</tr>

<td>133</td>
<td>19-08-2019</td>
<td>006532</td>
<td>DARYATI</td>
<td>`</td>
<td>`</td>
<td>KARTOHARJO</td>
<td>05-08-1972</td>
<td>47</td>
<td>P</td>
<td>LAMA</td>
<td></td>
<td>BPJS</td>
<td></td>
<td>`0000786848859</td>
<td>Konseling</td>
<td align='center'>
M13 </td>
</tr>

<td>134</td>
<td>19-08-2019</td>
<td>002615</td>
<td>SUMINI</td>
<td>`3577015509550003</td>
<td>`</td>
<td>KARTOHARJO</td>
<td>06-09-1966</td>
<td>53</td>
<td>P</td>
<td>LAMA</td>
<td>KASUS LAMA</td>
<td>BPJS</td>
<td>TNI ANGKATAN DARAT</td>
<td>`0001106156676</td>
<td>Konseling</td>
<td align='center'>
E11 </td>
</tr>

<td>135</td>
<td>19-08-2019</td>
<td>004603</td>
<td>JUWARTI</td>
<td>`</td>
<td>`</td>
<td>KARTOHARJO</td>
<td>26-11-1958</td>
<td>60</td>
<td>P</td>
<td>LAMA</td>
<td>KASUS LAMA</td>
<td>UMUM</td>
<td></td>
<td>`</td>
<td></td>
<td align='center'>
I15 </td>
</tr>

<td>136</td>
<td>19-08-2019</td>
<td>000915</td>
<td>KARMINAH</td>
<td>`3577017112570017</td>
<td>`3577012104071241</td>
<td>KARTOHARJO</td>
<td>31-12-1957</td>
<td>61</td>
<td>P</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>`0000786652301</td>
<td>Konseling</td>
<td align='center'>
I15 </td>
</tr>

<td>137</td>
<td>19-08-2019</td>
<td>011745</td>
<td>SUDARTI</td>
<td>`3577015508650002</td>
<td>`</td>
<td>KARTOHARJO</td>
<td>15-08-1965</td>
<td>54</td>
<td>P</td>
<td>LAMA</td>
<td>KASUS LAMA</td>
<td>UMUM</td>
<td>`0001185732235</td>
<td></td>
<td align='center'>
I15 </td>
</tr>

<td>138</td>
<td>19-08-2019</td>
<td>012906</td>
<td>SUPARTI</td>
<td>`</td>
<td>`</td>
<td>KARTOHARJO</td>
<td>01-01-1959</td>
<td>60</td>
<td>P</td>
<td>LAMA</td>
<td>KASUS LAMA</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>`0000786901195</td>
<td>Konseling</td>
<td align='center'>
I15 </td>
</tr>

<td>139</td>
<td>19-08-2019</td>
<td>007193</td>
<td>SRI WININGSIH</td>
<td>`3577010000 </td>
<td>`</td>
<td>KARTOHARJO</td>
<td>05-03-1962</td>
<td>57</td>
<td>P</td>
<td>LAMA</td>
<td>KASUS LAMA</td>
<td>BPJS</td>
<td>PNS DAERAH</td>
<td>`0000106298414</td>
<td>Konseling</td>
<td align='center'>
I15 </td>
</tr>

<td>140</td>
<td>19-08-2019</td>
<td>001627</td>
<td>WIJI LASARUS</td>
<td>`3577012706790002</td>
<td>`3577012104070574</td>
<td>KARTOHARJO</td>
<td>MADIUN</td>
<td>27-06-1979</td>
<td>40</td>
<td>L</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>`0000786849759</td>
<td>Konseling</td>
<td align='center'>
A09 </td>
</tr>

<td>141</td>
<td>19-08-2019</td>
<td>011744</td>
<td>SRI HARMONI</td>
<td>`3577014201680003</td>
<td>`</td>
<td>KARTOHARJO</td>
<td>01-01-1968</td>
<td>51</td>
<td>P</td>
<td>LAMA</td>
<td>KASUS LAMA</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>`0000786895266</td>
<td>Konseling</td>
<td align='center'>
I15 </td>
</tr>

<td>142</td>
<td>19-08-2019</td>
<td>001120</td>
<td>SUTIDJAH</td>
<td>`3577014709590003</td>
<td>`3577012104071386</td>
<td>KARTOHARJO</td>
<td>07-09-1959</td>
<td>60</td>
<td>P</td>
<td>Pensiunan</td>
<td>LAMA</td>
<td>KASUS LAMA</td>
<td>BPJS</td>
<td>`0000106377388</td>
<td>Konseling</td>
<td align='center'>
M13 </td>
</tr>

<td>143</td>
<td>19-08-2019</td>
<td>007263</td>
<td>SUPRIHATIN</td>
<td>`3577017112610009</td>
<td>`</td>
<td>KARTOHARJO</td>
<td>31-12-1961</td>
<td>57</td>
<td>P</td>
<td>LAMA</td>
<td>KASUS LAMA</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>`0001706779192</td>
<td>Konseling</td>
<td align='center'>
I15 </td>
</tr>

<td>144</td>
<td>19-08-2019</td>
<td>014346</td>
<td>SUMIATUN</td>
<td>`</td>
<td>`</td>
<td>KARTOHARJO</td>
<td>17-06-1959</td>
<td>60</td>
<td>P</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>`0002437434101</td>
<td>Konseling</td>
<td align='center'>
L24 </td>
</tr>

<td>145</td>
<td>19-08-2019</td>
<td>007262</td>
<td>YATIN</td>
<td>`</td>
<td>`</td>
<td>KARTOHARJO</td>
<td>09-07-1960</td>
<td>59</td>
<td>P</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>`0000169999964</td>
<td>Konseling</td>
<td align='center'>
L24 </td>
</tr>

<td>146</td>
<td>20-08-2019</td>
<td>001724</td>
<td>MARDIYAH</td>
<td>`3577015707750001</td>
<td>`3577010301110009</td>
<td>KARTOHARJO</td>
<td>17-07-1975</td>
<td>44</td>
<td>P</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>`0000786560804</td>
<td>130802030819Y001572</td>
<td align='center'>
J11 </td>
</tr>

<td>147</td>
<td>20-08-2019</td>
<td>003775</td>
<td>NUR AYSAH</td>
<td>`</td>
<td>`</td>
<td>KARTOHARJO</td>
<td>14-12-1987</td>
<td>31</td>
<td>P</td>
<td>LAMA</td>
<td>KASUS LAMA</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>`0001704872867</td>
<td>130802030819Y001530</td>
<td align='center'>
Z30 </td>
</tr>
<td>148</td>
<td>20-08-2019</td>
<td>004162</td>
<td>SRI WAHYUNINGSIH</td>
<td>`3521106406870001</td>
<td>`3577011411130001</td>
<td>KARTOHARJO</td>
<td>24-06-1987</td>
<td>32</td>
<td>P</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>`0002163594655</td>
<td>130802030819Y001585</td>
<td align='center'>
K29 </td>
</tr>

<td>149</td>
<td>20-08-2019</td>
<td>004239</td>
<td>DARSI</td>
<td>`</td>
<td>`</td>
<td>KARTOHARJO</td>
<td>01-02-1971</td>
<td>48</td>
<td>P</td>
<td>LAMA</td>
<td>KASUS LAMA</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>`0000786503981</td>
<td>130802030819Y001940</td>
<td align='center'>
M13 </td>
</tr>

<td>150</td>
<td>20-08-2019</td>
<td>000426</td>
<td>SULASTRI</td>
<td>`3577014702710001</td>
<td>`3577012104070754</td>
<td>KARTOHARJO</td>
<td>MADIUN</td>
<td>07-02-1971</td>
<td>48</td>
<td>P</td>
<td>LAMA</td>
<td>KASUS LAMA</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>`0001704876041</td>
<td>130802030819Y001592</td>
<td align='center'>
E11 </td>
</tr>

<td>151</td>
<td>20-08-2019</td>
<td>005068</td>
<td>MARTUN</td>
<td>`</td>
<td>`</td>
<td>REJOMULYO</td>
<td>KARTOHARJO</td>
<td>01-11-1966</td>
<td>52</td>
<td>P</td>
<td>LAMA</td>
<td>KASUS LAMA</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>`0000786883533</td>
<td>130802030819Y001610</td>
<td align='center'>
K29 </td>
</tr>

<td>152</td>
<td>20-08-2019</td>
<td>011564</td>
<td>INDARTI</td>
<td>`3577016704660001</td>
<td>`3577012104070523</td>
<td>KARTOHARJO</td>
<td>27-04-1966</td>
<td>53</td>
<td>P</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td></td>
<td>`0001704812073</td>
<td></td>
<td align='center'>
L24 </td>
</tr>

<td>153</td>
<td>20-08-2019</td>
<td>007304</td>
<td>SEVIA KORESA KUMALA</td>
<td>`3577014208900001</td>
<td>`</td>
<td>KARTOHARJO</td>
<td>02-08-1990</td>
<td>29</td>
<td>P</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>`0001704812084</td>
<td>130802030819Y001621</td>
<td align='center'>
J11 </td>
</tr>

<td>154</td>
<td>20-08-2019</td>
<td>008288</td>
<td>WITOYO</td>
<td>`</td>
<td>`</td>
<td>KARTOHARJO</td>
<td>01-01-1958</td>
<td>61</td>
<td>L</td>
<td>Petani / Pekebun</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>`0000786819306</td>
<td>130802030819Y001622</td>
<td align='center'>
M13 </td>
</tr>

<td>155</td>
<td>21-08-2019</td>
<td>014990</td>
<td>DWI PURNAMI</td>
<td>`</td>
<td>`</td>
<td>SUKOSARI</td>
<td>KARTOHARJO</td>
<td>01-06-1966</td>
<td>53</td>
<td>P</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>`0000787186721</td>
<td>130802030819Y001672</td>
<td align='center'>
K29 </td>
</tr>

<td>156</td>
<td>21-08-2019</td>
<td>002408</td>
<td>WAHYU PRIYO WAHONO</td>
<td>`3577011204840001</td>
<td>`3577012104070656</td>
<td>KARTOHARJO</td>
<td>12-04-1984</td>
<td>35</td>
<td>L</td>
<td>Buruh Harian Lepas</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>`0000787532646</td>
<td>130802030819Y001684</td>
<td align='center'>
J11 </td>
</tr>

<td>157</td>
<td>21-08-2019</td>
<td>006500</td>
<td>IIS YULAIKAH</td>
<td>`</td>
<td>`</td>
<td>KARTOHARJO</td>
<td>10-10-1982</td>
<td>36</td>
<td>L</td>
<td>LAMA</td>
<td>KASUS LAMA</td>
<td>BPJS</td>
<td></td>
<td>`0001704812578</td>
<td>130802030819Y001646</td>
<td align='center'>
Z36 </td>
</tr>

<td>158</td>
<td>21-08-2019</td>
<td>002640</td>
<td>BIBIT MUJIATI</td>
<td>`</td>
<td>`</td>
<td>KARTOHARJO</td>
<td>01-06-1987</td>
<td>32</td>
<td>P</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>`0000786597906</td>
<td>130802030819Y001706</td>
<td align='center'>
J11 </td>
</tr>

<td>159</td>
<td>21-08-2019</td>
<td>000327</td>
<td>SUPARMI</td>
<td>`</td>
<td>`</td>
<td>KARTOHARJO</td>
<td>20-08-1960</td>
<td>59</td>
<td>P</td>
<td>LAMA</td>
<td>KASUS LAMA</td>
<td>BPJS</td>
<td></td>
<td>`0000786558587</td>
<td>130802030819Y001708</td>
<td align='center'>
I10 </td>
</tr>

<td>160</td>
<td>21-08-2019</td>
<td>000500</td>
<td>SURATMI</td>
<td>`3519074504770006</td>
<td>`</td>
<td>TEMPURSARI</td>
<td>WUNGU</td>
<td>MADIUN</td>
<td>05-04-1977</td>
<td>42</td>
<td>P</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>`0000737145549</td>
<td>130802030819Y001724</td>
<td align='center'>
M13 </td>
</tr>

<td>161</td>
<td>22-08-2019</td>
<td>015032</td>
<td>SITI AMINAH</td>
<td>`</td>
<td>`</td>
<td>KARTOHARJO</td>
<td>11-09-1974</td>
<td>44</td>
<td>P</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>`0001704807314</td>
<td>130802030819Y001770</td>
<td align='center'>
L24 </td>
</tr>

<td>162</td>
<td>22-08-2019</td>
<td>004296</td>
<td>YESI PUTRI KASARI</td>
<td>`</td>
<td>`</td>
<td>KARTOHARJO</td>
<td>10-03-1988</td>
<td>31</td>
<td>P</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>`0001704813186</td>
<td>130802030819Y001786</td>
<td align='center'>
L24 </td>
</tr>

<td>163</td>
<td>22-08-2019</td>
<td>002458</td>
<td>DARMININGSIH</td>
<td>`</td>
<td>`</td>
<td>KARTOHARJO</td>
<td>MADIUN</td>
<td>20-06-1959</td>
<td>60</td>
<td>P</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td></td>
<td>`0001049796494</td>
<td>Konseling</td>
<td align='center'>
K12 </td>
</tr>

<td>164</td>
<td>22-08-2019</td>
<td>005662</td>
<td>SULIYEM</td>
<td>`</td>
<td>`</td>
<td>KARTOHARJO</td>
<td>01-03-1985</td>
<td>34</td>
<td>P</td>
<td>LAMA</td>
<td>KASUS LAMA</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>`0000786609731</td>
<td>130802030819Y001755</td>
<td align='center'>
Z30 </td>
</tr>

<td>165</td>
<td>22-08-2019</td>
<td>000113</td>
<td>SUGIARTO</td>
<td>`3577011808670002</td>
<td>`3577012104070998</td>
<td>KARTOHARJO</td>
<td>18-08-1967</td>
<td>52</td>
<td>L</td>
<td>Wiraswasta</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>`0000786623174</td>
<td>130802030819Y001819</td>
<td align='center'>
J11 </td>
</tr>

<td>166</td>
<td>22-08-2019</td>
<td>015031</td>
<td>EMA APRIYA KARTINI</td>
<td>`</td>
<td>`</td>
<td>TEMPURSARI</td>
<td>WUNGU</td>
<td>MADIUN</td>
<td>21-04-1981</td>
<td>38</td>
<td>P</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>`</td>
<td></td>
<td align='center'>
I15 </td>
</tr>

<td>167</td>
<td>22-08-2019</td>
<td>001516</td>
<td>SUPIAH</td>
<td>`3577014101720004</td>
<td>`3577012104070998</td>
<td>KARTOHARJO</td>
<td>01-01-1972</td>
<td>47</td>
<td>P</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>`0000786623455</td>
<td>130802030819Y001825</td>
<td align='center'>
L24 </td>
</tr>

<td>168</td>
<td>22-08-2019</td>
<td>001506</td>
<td>WINARTININGTYAS</td>
<td>`3577015702920004</td>
<td>`3577010912100005</td>
<td>KARTOHARJO</td>
<td>17-02-1992</td>
<td>27</td>
<td>P</td>
<td>LAMA</td>
<td>KASUS LAMA</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>`0000786857815</td>
<td>130802030819Y001829</td>
<td align='center'>
I15 </td>
</tr>

<td>169</td>
<td>22-08-2019</td>
<td>002677</td>
<td>SUJARWATI</td>
<td>`3174034905820006</td>
<td>`3577012104071319</td>
<td>KARTOHARJO</td>
<td>09-05-1982</td>
<td>37</td>
<td>P</td>
<td>LAMA</td>
<td>KASUS LAMA</td>
<td>BPJS</td>
<td></td>
<td>`0001960357127</td>
<td>130802030819Y001839</td>
<td align='center'>
Z36 </td>
</tr>

<td>170</td>
<td>23-08-2019</td>
<td>009671</td>
<td>MOKHAMAD MUSTOFA</td>
<td>`3577012408860003</td>
<td>`3577010302100013</td>
<td>KARTOHARJO</td>
<td>24-08-1986</td>
<td>33</td>
<td>L</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>`0001706776659</td>
<td>130802030819Y001886</td>
<td align='center'>
L24 </td>
</tr>

<td>171</td>
<td>23-08-2019</td>
<td>000915</td>
<td>KARMINAH</td>
<td>`3577017112570017</td>
<td>`3577012104071241</td>
<td>KARTOHARJO</td>
<td>31-12-1957</td>
<td>61</td>
<td>P</td>
<td>LAMA</td>
<td>KASUS LAMA</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>`0000786652301</td>
<td>130802030819Y001944</td>
<td align='center'>
I15 </td>
</tr>

<td>172</td>
<td>23-08-2019</td>
<td>003500</td>
<td>MARIYATI</td>
<td>`</td>
<td>`</td>
<td>KARTOHARJO</td>
<td>01-03-1984</td>
<td>35</td>
<td>P</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>`0000786894164</td>
<td>130802030819Y001902</td>
<td align='center'>
J11 </td>
</tr>

<td>173</td>
<td>23-08-2019</td>
<td>002058</td>
<td>ANIES WINDAYANI</td>
<td>`3577015407790003</td>
<td>`3577012104070657</td>
<td>KARTOHARJO</td>
<td>14-07-1979</td>
<td>40</td>
<td>P</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>`0001542293728</td>
<td>130802030819Y001910</td>
<td align='center'>
J06 </td>
</tr>

<td>174</td>
<td>23-08-2019</td>
<td>000914</td>
<td>EKA PUJI W</td>
<td>`</td>
<td>`</td>
<td>KARTOHARJO</td>
<td>01-01-1999</td>
<td>20</td>
<td>P</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>`0000786837339</td>
<td>130802030819Y001924</td>
<td align='center'>
J11 </td>
</tr>

<td>175</td>
<td>23-08-2019</td>
<td>006608</td>
<td>ANTONIUS KRISTIANTO</td>
<td>`</td>
<td>`</td>
<td>TEMPURSARI</td>
<td>WUNGU</td>
<td>MADIUN</td>
<td>29-09-1983</td>
<td>35</td>
<td>L</td>
<td>LAMA</td>
<td>KASUS LAMA</td>
<td>UMUM</td>
<td></td>
<td>`</td>
<td></td>
<td align='center'>
I15 </td>
</tr>

<td>176</td>
<td>23-08-2019</td>
<td>004524</td>
<td>NISRINA ZAHIYAH</td>
<td>`3577014106940002</td>
<td>`3577032608160005</td>
<td>MANISREJO</td>
<td>TAMAN</td>
<td>01-06-1994</td>
<td>25</td>
<td>P</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>`0000786949795</td>
<td>130802030819Y001932</td>
<td align='center'>
K29 </td>
</tr>

<td>177</td>
<td>26-08-2019</td>
<td>007105</td>
<td>`</td>
<td>`</td>
<td>KARTOHARJO</td>
<td>MADIUN</td>
<td>13-05-1985</td>
<td>34</td>
<td>P</td>
<td>LAMA</td>
<td>KASUS LAMA</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>`0002163618573</td>
<td>130802030819Y001991</td>
<td align='center'>
Z36.0 </td>
</tr>

<td>178</td>
<td>26-08-2019</td>
<td>009445</td>
<td>TATI NURCAHYA</td>
<td>`3577016511750002</td>
<td>`3577012104070415</td>
<td>KARTOHARJO</td>
<td>25-11-1975</td>
<td>43</td>
<td>P</td>
<td>LAMA</td>
<td>KASUS LAMA</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>`0002414003286</td>
<td>130802030819Y001990</td>
<td align='center'>
K29 </td>
</tr>

<td>179</td>
<td>26-08-2019</td>
<td>002189</td>
<td>SUPRIYANTO</td>
<td>`3519071809550001</td>
<td>`3577011002150003</td>
<td>REJOMULYO</td>
<td>KARTOHARJO</td>
<td>18-09-1955</td>
<td>63</td>
<td>L</td>
<td>LAMA</td>
<td>KASUS LAMA</td>
<td>BPJS</td>
<td>`0002044887827</td>
<td>130802030819Y001989</td>
<td align='center'>
J06 </td>
</tr>

<td>180</td>
<td>26-08-2019</td>
<td>002612</td>
<td>YUNIK WIDIATI</td>
<td>`</td>
<td>`</td>
<td>KARTOHARJO</td>
<td>11-11-1979</td>
<td>39</td>
<td>P</td>
<td>LAMA</td>
<td>KASUS LAMA</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>`0001905828772</td>
<td>130802030819Y001993</td>
<td align='center'>
Z30 </td>
</tr>

<td>181</td>
<td>26-08-2019</td>
<td>001899</td>
<td>LASINEM</td>
<td>`3577014101550010</td>
<td>`3577012104071159</td>
<td>KARTOHARJO</td>
<td>01-01-1955</td>
<td>64</td>
<td>P</td>
<td>LAMA</td>
<td>KASUS LAMA</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>`0000786650804</td>
<td>130802030819Y002045</td>
<td align='center'>
I10 </td>
</tr>

<td>182</td>
<td>26-08-2019</td>
<td>006786</td>
<td>ERINA AYUNING TYAS</td>
<td>`3577016007950001</td>
<td>`</td>
<td>KARTOHARJO</td>
<td>01-07-1995</td>
<td>24</td>
<td>P</td>
<td>LAMA</td>
<td>KASUS LAMA</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>`0000786805806</td>
<td>130802030819Y002055</td>
<td align='center'>
J02 </td>
</tr>
<td>183</td>
<td>26-08-2019</td>
<td>005420</td>
<td>SRI SUHARIANTO</td>
<td>`3577012606690003</td>
<td>`3577012104078144</td>
<td>KELUN</td>
<td>KARTOHARJO</td>
<td>26-06-1969</td>
<td>50</td>
<td>L</td>
<td>LAMA</td>
<td>KASUS LAMA</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>`0000786346839</td>
<td>130802030819Y002005</td>
<td align='center'>
J02 </td>
</tr>

<td>184</td>
<td>26-08-2019</td>
<td>012345</td>
<td>DEWI MARSITI</td>
<td>`</td>
<td>`</td>
<td>KARTOHARJO</td>
<td>06-12-1992</td>
<td>26</td>
<td>P</td>
<td>Wiraswasta</td>
<td>LAMA</td>
<td>KASUS LAMA</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>`0000737725364</td>
<td>130802030819Y002097</td>
<td align='center'>
Z36 </td>
</tr>

<td>185</td>
<td>26-08-2019</td>
<td>003208</td>
<td>SITI AMANAH</td>
<td>`</td>
<td>`</td>
<td>KARTOHARJO</td>
<td>08-09-1958</td>
<td>61</td>
<td>P</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>`0001704811206</td>
<td>130802030819Y002133</td>
<td align='center'>
Z00 </td>
</tr>

<td>186</td>
<td>26-08-2019</td>
<td>012310</td>
<td>AGUNG EDDY CAHYONO</td>
<td>`</td>
<td>`</td>
<td>KARTOHARJO</td>
<td>01-07-1977</td>
<td>42</td>
<td>L</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>`0000786837429</td>
<td>130802030819Y002137</td>
<td align='center'>
J11 </td>
</tr>

<td>187</td>
<td>26-08-2019</td>
<td>003758</td>
<td>SRI SUHARIANTO</td>
<td>`</td>
<td>`</td>
<td>KELUN</td>
<td>KARTOHARJO</td>
<td>01-06-1969</td>
<td>50</td>
<td>L</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>`0000786346839</td>
<td>130802030819Y002005</td>
<td align='center'>
L24 </td>
</tr>

<td>188</td>
<td>26-08-2019</td>
<td>003621</td>
<td>SITI KASANAH</td>
<td>`</td>
<td>`</td>
<td>KARTOHARJO</td>
<td>13-08-1974</td>
<td>45</td>
<td>P</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>`0002158642135</td>
<td>130802030819Y002139</td>
<td align='center'>
M13 </td>
</tr>

<td>189</td>
<td>27-08-2019</td>
<td>015137</td>
<td>ADITYA DANNI ATKALOKAS</td>
<td>`3577011110950001</td>
<td>`</td>
<td>KARTOHARJO</td>
<td>01-10-1995</td>
<td>23</td>
<td>L</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>`0000786852088</td>
<td>130802030819Y002225</td>
<td align='center'>
M13 </td>
</tr>

<td>190</td>
<td>27-08-2019</td>
<td>000230</td>
<td>LAMIDI</td>
<td>`3519071010620004</td>
<td>`</td>
<td>TEMPURSARI</td>
<td>WUNGU</td>
<td>MADIUN</td>
<td>10-10-1962</td>
<td>56</td>
<td>L</td>
<td>Wiraswasta</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>`0001874642477</td>
<td>130802030819Y002184</td>
<td align='center'>
K29 </td>
</tr>

<td>191</td>
<td>27-08-2019</td>
<td>001889</td>
<td>INTAN YULI ASTUTIK</td>
<td>`3577015110850003</td>
<td>`3577010302100013</td>
<td>KARTOHARJO</td>
<td>11-10-1985</td>
<td>33</td>
<td>P</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>`0001706776661</td>
<td>130802030819Y002189</td>
<td align='center'>
J11 </td>
</tr>

<td>192</td>
<td>27-08-2019</td>
<td>012298</td>
<td>GATOT DARMAWAN</td>
<td>`</td>
<td>`</td>
<td>KARTOHARJO</td>
<td>01-01-1957</td>
<td>62</td>
<td>L</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>`0000786890362</td>
<td>130802030819Y002213</td>
<td align='center'>
I15 </td>
</tr>

<td>193</td>
<td>27-08-2019</td>
<td>006608</td>
<td>ANTONIUS KRISTIANTO</td>
<td>`</td>
<td>`</td>
<td>TEMPURSARI</td>
<td>WUNGU</td>
<td>MADIUN</td>
<td>29-09-1983</td>
<td>35</td>
<td>L</td>
<td>LAMA</td>
<td>KASUS LAMA</td>
<td>UMUM</td>
<td></td>
<td>`</td>
<td></td>
<td align='center'>
I15 </td>
</tr>

<td>194</td>
<td>28-08-2019</td>
<td>015166</td>
<td>RIDZA BAGUS WIRAYUWANA</td>
<td>`</td>
<td>`</td>
<td>KARTOHARJO</td>
<td>24-08-2001</td>
<td>18</td>
<td>L</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>`0001706778191</td>
<td>130802030819Y002272</td>
<td align='center'>
J11 </td>
</tr>

<td>195</td>
<td>28-08-2019</td>
<td>009960</td>
<td>ERLIN FEBRIANTI</td>
<td>`</td>
<td>`</td>
<td>KARTOHARJO</td>
<td>02-02-2001</td>
<td>18</td>
<td>P</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>`0001704814424</td>
<td>130802030819Y002288</td>
<td align='center'>
J00 </td>
</tr>

<td>196</td>
<td>28-08-2019</td>
<td>002524</td>
<td>SUGIYAH</td>
<td>`</td>
<td>`</td>
<td>KARTOHARJO</td>
<td>05-01-1957</td>
<td>62</td>
<td>P</td>
<td>LAMA</td>
<td>KASUS LAMA</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>`0001706778977</td>
<td>130802030819Y002311</td>
<td align='center'>
I15 </td>
</tr>

<td>197</td>
<td>28-08-2019</td>
<td>005248</td>
<td>SITI RODIAH</td>
<td>`</td>
<td>`</td>
<td>KARTOHARJO</td>
<td>01-06-1971</td>
<td>48</td>
<td>P</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>`0000786929152</td>
<td>130802030819Y002330</td>
<td align='center'>
K29 </td>
</tr>

<td>198</td>
<td>28-08-2019</td>
<td>002232</td>
<td>NINIEK RIANTIN</td>
<td>`3577014911720003</td>
<td>`3577012104070434</td>
<td>KARTOHARJO</td>
<td>09-11-1972</td>
<td>46</td>
<td>P</td>
<td>LAMA</td>
<td>KASUS LAMA</td>
<td>BPJS</td>
<td>`0001300802962</td>
<td>130802030819Y002332</td>
<td align='center'>
I15 </td>
</tr>

<td>199</td>
<td>29-08-2019</td>
<td>015187</td>
<td>ESTER YENI KUSYANTI</td>
<td>`</td>
<td>`</td>
<td>KARTOHARJO</td>
<td>06-04-1977</td>
<td>42</td>
<td>P</td>
<td>Wiraswasta</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>`0001315815568</td>
<td>130802030819Y002425</td>
<td align='center'>
N92 </td>
</tr>

<td>200</td>
<td>29-08-2019</td>
<td>003621</td>
<td>SITI KASANAH</td>
<td>`</td>
<td>`</td>
<td>KARTOHARJO</td>
<td>13-08-1974</td>
<td>45</td>
<td>P</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>`0002158642135</td>
<td>130802030819Y002395</td>
<td align='center'>
J11 </td>
</tr>

<td>201</td>
<td>29-08-2019</td>
<td>001933</td>
<td>RISKY PRATAMA</td>
<td>`3577010705990002</td>
<td>`3577012104070504</td>
<td>KARTOHARJO</td>
<td>07-05-1999</td>
<td>20</td>
<td>L</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>`0000786661042</td>
<td>130802030819Y002396</td>
<td align='center'>
A09 </td>
</tr>

<td>202</td>
<td>29-08-2019</td>
<td>007903</td>
<td>BIBIT</td>
<td>`3577014507570004</td>
<td>`3577011010120019</td>
<td>KARTOHARJO</td>
<td>05-07-1957</td>
<td>62</td>
<td>P</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>`0002741804403</td>
<td>130802030819Y002402</td>
<td align='center'>
J00 </td>
</tr>

<td>203</td>
<td>29-08-2019</td>
<td>015032</td>
<td>SITI AMINAH</td>
<td>`</td>
<td>`</td>
<td>KARTOHARJO</td>
<td>11-09-1974</td>
<td>44</td>
<td>P</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>`0001704807314</td>
<td>130802030819Y002410</td>
<td align='center'>
J11 </td>
</tr>

<td>204</td>
<td>29-08-2019</td>
<td>009774</td>
<td>DWI PURYANTI</td>
<td>`</td>
<td>`</td>
<td>KARTOHARJO</td>
<td>30-11-1987</td>
<td>31</td>
<td>P</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>`0001706779822</td>
<td>130802030819Y002411</td>
<td align='center'>
J11 </td>
</tr>

<td>205</td>
<td>29-08-2019</td>
<td>008629</td>
<td>SLAMET</td>
<td>`</td>
<td>`</td>
<td>KARTOHARJO</td>
<td>06-06-1959</td>
<td>60</td>
<td>L</td>
<td>Wiraswasta</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>`0000786575755</td>
<td>130802030819Y002437</td>
<td align='center'>
J06 </td>
</tr>

<td>206</td>
<td>29-08-2019</td>
<td>000312</td>
<td>HETI KURNIASIH</td>
<td>`</td>
<td>`</td>
<td>KARTOHARJO</td>
<td>28-09-1978</td>
<td>40</td>
<td>P</td>
<td>LAMA</td>
<td>KASUS LAMA</td>
<td>BPJS</td>
<td></td>
<td>`0002163598571</td>
<td>130802030819Y002449</td>
<td align='center'>
Z30 </td>
</tr>
<td>207</td>
<td>30-08-2019</td>
<td>010348</td>
<td>SULASTRI</td>
<td>`3577015202840001</td>
<td>`3577012104070489</td>
<td>KARTOHARJO</td>
<td>12-02-1984</td>
<td>35</td>
<td>P</td>
<td>LAMA</td>
<td>KASUS LAMA</td>
<td>BPJS</td>
<td>PEGAWAI PEMERINTAH DENGAN PERJANJIAN KERJA</td>
<td>`0001824480696</td>
<td>130802030819Y002468</td>
<td align='center'>
Z36 </td>
</tr>

<td>208</td>
<td>30-08-2019</td>
<td>001681</td>
<td>KARSIDAH</td>
<td>`3577025501570003</td>
<td>`3577012204070006</td>
<td>KARTOHARJO</td>
<td>15-01-1957</td>
<td>62</td>
<td>P</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>`0000106410407</td>
<td>130802030819Y002478</td>
<td align='center'>
H26.9 </td>
</tr>

<td>209</td>
<td>30-08-2019</td>
<td>015201</td>
<td>FINA ANANDA PUSPITA SARI</td>
<td>`</td>
<td>`</td>
<td>REJOMULYO</td>
<td>KARTOHARJO</td>
<td>29-05-1999</td>
<td>20</td>
<td>P</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>`</td>
<td></td>
<td align='center'>
K29 </td>
</tr>
</table>

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