37

<table class='tabel' width='90%'>
<tr class="form">
<td align="center" colspan="9">
<big><big><span style="font-weight: bold;">
LAPORAN UNIVERSAL POLI UMUM<br>
BULAN 01-06-2019 - 30-06-2019 </span></big></big>
</td>
</tr>
</table>
<table align='center'>
<tr>
<td>Total</td>
<td>:</td>
<td>499</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>03-06-2019</td>
<td>012944</td>
<td>SITI ROISYAH</td>
<td>`</td>
<td>`</td>
<td>SIDOREJO</td>
<td>WUNGU</td>
<td>MADIUN</td>
<td>28-12-1959</td>
<td>59</td>
<td>P</td>
<td>PENSIUNAN</td>
<td>POLI UMUM</td>
<td>dr. TITO RUSTANTO N</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PNS DAERAH</td>
<td>`0000105099726</td>
<td>130802030619Y000107</td>
<td align='center'>
M11 </td>
</tr>

<td>2</td>
<td>03-06-2019</td>
<td>012945</td>
<td>SUJARWO</td>
<td>`3577012707880002</td>
<td>`3577013101180002</td>
<td>PILANGBANGO</td>
<td>KARTOHARJO</td>
<td>KOTA MADIUN</td>
<td>27-07-1988</td>
<td>30</td>
<td>L</td>
<td>Karyawan Swasta</td>
<td>POLI UMUM</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>`0001049796685</td>
<td>130802030619Y000020</td>
<td align='center'>
T14 </td>
</tr>

<td>3</td>
<td>03-06-2019</td>
<td>012936</td>
<td>KARNI</td>
<td>`</td>
<td>`</td>
<td>DEMPELAN</td>
<td>MADIUN</td>
<td>MADIUN</td>
<td>13-12-1973</td>
<td>45</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>POLI UMUM</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>`</td>
<td></td>
<td align='center'>
Z02 </td>
</tr>

<td>4</td>
<td>03-06-2019</td>
<td>009029</td>
<td>SARJONO</td>
<td>`</td>
<td>`</td>
<td>TAWANG REJO</td>
<td>KARTOHARJO</td>
<td>01-12-1959</td>
<td>59</td>
<td>L</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>`0000787203055</td>
<td>130802030619Y000108</td>
<td align='center'>
J06 </td>
</tr>

<td>5</td>
<td>03-06-2019</td>
<td>002965</td>
<td>NANANG SUGIYATNO</td>
<td>`3519081103710002</td>
<td>`</td>
<td>DEMPELAN</td>
<td>MADIUN</td>
<td>MADIUN</td>
<td>11-03-1971</td>
<td>48</td>
<td>L</td>
<td>POLI UMUM</td>
<td>dr. NOFIYANTI DWI PRIHANTINI</td>
<td>LAMA</td>
<td>KASUS LAMA</td>
<td>BPJS</td>
<td>PEKERJA MANDIRI</td>
<td>`0001820764326</td>
<td>130802030619Y000015</td>
<td align='center'>
I48 </td>
</tr>
<td>6</td>
<td>03-06-2019</td>
<td>007697</td>
<td>SUJARWOKO</td>
<td>`3519081510840001</td>
<td>`</td>
<td>TULUNGREJO</td>
<td>MADIUN</td>
<td>MADIUN</td>
<td>15-10-1984</td>
<td>34</td>
<td>L</td>
<td>Guru</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS LAMA</td>
<td>BPJS</td>
<td>PEGAWAI SWASTA</td>
<td>`0001870748627</td>
<td></td>
<td align='center'>
A15.1 </td>
</tr>

<td>7</td>
<td>03-06-2019</td>
<td>000239</td>
<td>IRAWATI</td>
<td>`</td>
<td>`</td>
<td>TIRON</td>
<td>MADIUN</td>
<td>MADIUN</td>
<td>11-07-1960</td>
<td>58</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>`</td>
<td></td>
<td align='center'>
J06 </td>
</tr>

<td>8</td>
<td>03-06-2019</td>
<td>005111</td>
<td>DARTI</td>
<td>`</td>
<td>`</td>
<td>REJOMULYO</td>
<td>KARTOHARJO</td>
<td>17-07-1976</td>
<td>42</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS LAMA</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>`0001704807358</td>
<td>130802030619Y000111</td>
<td align='center'>
M11 </td>
</tr>

<td>9</td>
<td>03-06-2019</td>
<td>000392</td>
<td>KARTIKA</td>
<td>`3577015607760003</td>
<td>`3577012104077991</td>
<td>KELUN</td>
<td>KARTOHARJO</td>
<td>16-07-1976</td>
<td>42</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td></td>
<td>`0000787494576</td>
<td>130802030619Y000115</td>
<td align='center'>
K02 </td>
</tr>

<td>10</td>
<td>03-06-2019</td>
<td>012937</td>
<td>ADINDA NATASSA SABRINA MARGANETA</td>
<td>`</td>
<td>`</td>
<td>KARTOHARJO</td>
<td>23-03-1999</td>
<td>20</td>
<td>P</td>
<td>Belum / Tidak Bekerja</td>
<td>POLI UMUM</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td></td>
<td>`0002414003703</td>
<td></td>
<td align='center'>
G44.0 </td>
</tr>

<td>11</td>
<td>04-06-2019</td>
<td>012964</td>
<td>BUDHI SETIYANTO</td>
<td>`3577011603770003</td>
<td>`3577011003090005</td>
<td>REJOMULYO</td>
<td>KARTOHARJO</td>
<td>16-03-1977</td>
<td>42</td>
<td>L</td>
<td>POLI UMUM</td>
<td>dr. YOHANES YOYOK W A</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>`0000787008194</td>
<td>130802030619Y000042</td>
<td align='center'>
H25.9 </td>
</tr>

<td>12</td>
<td>04-06-2019</td>
<td>012965</td>
<td>GUNAWAN</td>
<td>`3577011105600003</td>
<td>`3577011111160005</td>
<td>REJOMULYO</td>
<td>KARTOHARJO</td>
<td>11-05-1960</td>
<td>59</td>
<td>L</td>
<td>POLI UMUM</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>`0002413931308</td>
<td>130802030619Y000118</td>
<td align='center'>
A09 </td>
</tr>

<td>13</td>
<td>04-06-2019</td>
<td>003933</td>
<td>SUKATNO</td>
<td>`3519072508640001</td>
<td>`</td>
<td>TEMPURSARI</td>
<td>WUNGU</td>
<td>MADIUN</td>
<td>25-08-1964</td>
<td>54</td>
<td>L</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>`0001730912782</td>
<td>130802030619Y000120</td>
<td align='center'>
J11 </td>
</tr>

<td>14</td>
<td>04-06-2019</td>
<td>002705</td>
<td>SRI WAHYUNI</td>
<td>`</td>
<td>`</td>
<td>MANISREJO</td>
<td>TAMAN</td>
<td>MADIUN</td>
<td>01-05-1963</td>
<td>56</td>
<td>L</td>
<td>Pegawai Negeri Sipil</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PNS DAERAH</td>
<td>`0000106295174</td>
<td>130802030619Y000123</td>
<td align='center'>
J00 </td>
</tr>

<td>15</td>
<td>04-06-2019</td>
<td>002264</td>
<td>YUNITA KRISTIANA</td>
<td>`3577015206820002</td>
<td>`3577010610150006</td>
<td>KARTOHARJO</td>
<td>12-06-1982</td>
<td>37</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>`0002078225548</td>
<td>130802030619Y000124</td>
<td align='center'>
J11 </td>
</tr>

<td>16</td>
<td>04-06-2019</td>
<td>003745</td>
<td>SUNDARI</td>
<td>`</td>
<td>`</td>
<td>TAWANGREJO</td>
<td>KARTOHARJO</td>
<td>21-03-1968</td>
<td>51</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>`0001704876985</td>
<td>130802030619Y000125</td>
<td align='center'>
M13 </td>
</tr>

<td>17</td>
<td>04-06-2019</td>
<td>003619</td>
<td>MURYANI</td>
<td>`</td>
<td>`</td>
<td>TIRON</td>
<td>MADIUN</td>
<td>MADIUN</td>
<td>13-08-1965</td>
<td>53</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PENERIMA PENSIUN PNS</td>
<td>`0000105039641</td>
<td>130802030619Y000128</td>
<td align='center'>
I10 </td>
</tr>

<td>18</td>
<td>07-06-2019</td>
<td>013014</td>
<td>KASIMAN</td>
<td>`3577012810590003</td>
<td>`3577012104078413</td>
<td>KELUN</td>
<td>KARTOHARJO</td>
<td>28-10-1959</td>
<td>59</td>
<td>L</td>
<td>Wiraswasta</td>
<td>POLI UMUM</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>`0002163615827</td>
<td>130802030619Y000130</td>
<td align='center'>
J10 </td>
</tr>

<td>19</td>
<td>07-06-2019</td>
<td>013020</td>
<td>MOHAMMAD TAUCHID</td>
<td>`</td>
<td>`</td>
<td>KEBONSARI</td>
<td>KEBONSARI</td>
<td>MADIUN</td>
<td>23-12-1961</td>
<td>57</td>
<td>L</td>
<td>PENSIUN</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PNS DAERAH</td>
<td>`0000104672057</td>
<td>130802030619Y000131</td>
<td align='center'>
M13 </td>
</tr>

<td>20</td>
<td>07-06-2019</td>
<td>013012</td>
<td>ERNA HANDAYANI</td>
<td>`</td>
<td>`</td>
<td>KENJERAN</td>
<td>BULAK</td>
<td>KOTA SURABAYA</td>
<td>03-04-1980</td>
<td>39</td>
<td>P</td>
<td>POLI UMUM</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>`</td>
<td></td>
<td align='center'>
J10 </td>
</tr>

<td>21</td>
<td>07-06-2019</td>
<td>013013</td>
<td>SUKARDIONO</td>
<td>`</td>
<td>`</td>
<td>NGLAMES</td>
<td>MADIUN</td>
<td>MADIUN</td>
<td>11-07-1967</td>
<td>51</td>
<td>L</td>
<td>Wiraswasta</td>
<td>POLI UMUM</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>`</td>
<td></td>
<td align='center'>
E11 </td>
</tr>

<td>22</td>
<td>07-06-2019</td>
<td>000123</td>
<td>WAHYUNI</td>
<td>`3519084505640003</td>
<td>`</td>
<td>SUMBEREJO</td>
<td>MADIUN</td>
<td>MADIUN</td>
<td>01-05-1964</td>
<td>55</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>`0000738487618</td>
<td>130802030619Y000135</td>
<td align='center'>
L23 </td>
</tr>

<td>23</td>
<td>07-06-2019</td>
<td>011770</td>
<td>MUHAMMAD WACHIDIN</td>
<td>`</td>
<td>`</td>
<td>KARTOHARJO</td>
<td>01-11-1982</td>
<td>36</td>
<td>L</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KUNJUNGAN KASUS LAMA</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>`0000787447361</td>
<td>130802030619Y000260</td>
<td align='center'>
A16.9 </td>
</tr>

<td>24</td>
<td>10-06-2019</td>
<td>013052</td>
<td>AMIRUDIN</td>
<td>`3509121105860006</td>
<td>`3577010603120003</td>
<td>KELUN</td>
<td>KARTOHARJO</td>
<td>11-05-1986</td>
<td>33</td>
<td>L</td>
<td>POLI UMUM</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>`0002163588489</td>
<td>130802030619Y000196</td>
<td align='center'>
A09 </td>
</tr>

<td>25</td>
<td>10-06-2019</td>
<td>013064</td>
<td>BUDIONO</td>
<td>`3577012110760002</td>
<td>`3577012104070638</td>
<td>KARTOHARJO</td>
<td>21-10-1976</td>
<td>42</td>
<td>L</td>
<td>POLI UMUM</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>`0001706778461</td>
<td>130802030619Y000198</td>
<td align='center'>
M54.5 </td>
</tr>

<td>26</td>
<td>10-06-2019</td>
<td>013073</td>
<td>SUWARTI</td>
<td>`3577014101620006</td>
<td>`3577012104078413</td>
<td>KELUN</td>
<td>KARTOHARJO</td>
<td>01-01-1962</td>
<td>57</td>
<td>P</td>
<td>POLI UMUM</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>`0002163615838</td>
<td>130802030619Y000200</td>
<td align='center'>
J11 </td>
</tr>

<td>27</td>
<td>10-06-2019</td>
<td>013078</td>
<td>WINARSIH</td>
<td>`</td>
<td>`</td>
<td>KARTOHARJO</td>
<td>21-08-1964</td>
<td>54</td>
<td>P</td>
<td>POLI UMUM</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>`0002163609437</td>
<td>130802030619Y000272</td>
<td align='center'>
L24 </td>
</tr>

<td>28</td>
<td>10-06-2019</td>
<td>013079</td>
<td>EVYANA SELA ANGGRAINI</td>
<td>`3577014405960002</td>
<td>`3577012104071191</td>
<td>KARTOHARJO</td>
<td>04-05-1996</td>
<td>23</td>
<td>P</td>
<td>POLI UMUM</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>`0002163608829</td>
<td>130802030619Y000273</td>
<td align='center'>
J11 </td>
</tr>

<td>29</td>
<td>10-06-2019</td>
<td>013081</td>
<td>MURYANI</td>
<td>`3577015511610001</td>
<td>`3577012305140001</td>
<td>REJOMULYO</td>
<td>KARTOHARJO</td>
<td>15-11-1961</td>
<td>57</td>
<td>P</td>
<td>POLI UMUM</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>`0002413883496</td>
<td>130802030619Y000266</td>
<td align='center'>
I15 </td>
</tr>
<td>30</td>
<td>10-06-2019</td>
<td>000305</td>
<td>WARSINAH</td>
<td>`3519084805620001</td>
<td>`</td>
<td>NGLAMES</td>
<td>MADIUN</td>
<td>MADIUN</td>
<td>08-05-1962</td>
<td>57</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>`0002283432164</td>
<td>130802030619Y000137</td>
<td align='center'>
Z20.1 </td>
</tr>

<td>31</td>
<td>10-06-2019</td>
<td>001539</td>
<td>SARWONO</td>
<td>`3577010912600002</td>
<td>`3577012004079106</td>
<td>REJOMULYO</td>
<td>KARTOHARJO</td>
<td>09-12-1960</td>
<td>58</td>
<td>L</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS LAMA</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>`0000786570006</td>
<td>130802030619Y000204</td>
<td align='center'>
E11 </td>
</tr>

<td>32</td>
<td>10-06-2019</td>
<td>001419</td>
<td>SUPADMIATI</td>
<td>`3519084504720002</td>
<td>`</td>
<td>DEMPELAN</td>
<td>MADIUN</td>
<td>MADIUN</td>
<td>05-04-1972</td>
<td>47</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>`0001851500338</td>
<td>130802030619Y000205</td>
<td align='center'>
M13 </td>
</tr>

<td>33</td>
<td>10-06-2019</td>
<td>010849</td>
<td> SUNIK SUPRAPTI</td>
<td>`3578125905680001</td>
<td>`3577012107170003</td>
<td>REJOMULYO</td>
<td>KARTOHARJO</td>
<td>MADIUN</td>
<td>01-01-1970</td>
<td>49</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td></td>
<td>`0001304701773</td>
<td>130802030619Y000207</td>
<td align='center'>
H60 </td>
</tr>

<td>34</td>
<td>10-06-2019</td>
<td>000151</td>
<td>MUSI</td>
<td>`3577014411620001</td>
<td>`3577012112100047</td>
<td>REJOMULYO</td>
<td>KARTOHARJO</td>
<td>04-11-1962</td>
<td>56</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>`0000786424454</td>
<td>130802030619Y000209</td>
<td align='center'>
E11 </td>
</tr>

<td>35</td>
<td>10-06-2019</td>
<td>011378</td>
<td>GIEK SUGIYANTO</td>
<td>`</td>
<td>`</td>
<td>REJOMULYO</td>
<td>KARTOHARJO</td>
<td>05-07-1960</td>
<td>58</td>
<td>L</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>`0002413937305</td>
<td>130802030619Y000213</td>
<td align='center'>
J11 </td>
</tr>

<td>36</td>
<td>10-06-2019</td>
<td>002075</td>
<td>SONYA ZWITA PUTRI.</td>
<td>`3519086201920003</td>
<td>`</td>
<td>BANJARSARI</td>
<td>MADIUN</td>
<td>MADIUN</td>
<td>22-01-1992</td>
<td>27</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td>PEGAWAI PEMERINTAH NON PNS</td>
<td>`0002201412971</td>
<td></td>
<td align='center'>
R51 </td>
</tr>

<td>37</td>
<td>10-06-2019</td>
<td>009489</td>
<td>LILIK TRI RAHAYU</td>
<td>`3577014402010001</td>
<td>`3577012701150001</td>
<td>KELUN</td>
<td>KARTOHARJO</td>
<td>04-02-2001</td>
<td>18</td>
<td>P</td>
<td>Pelajar / Mahasiswa</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>`0000786398837</td>
<td>130802030619Y000225</td>
<td align='center'>
L20.9 </td>
</tr>

<td>38</td>
<td>10-06-2019</td>
<td>012650</td>
<td>DIAN LADIANA NUR ASIH</td>
<td>`3577016303000002</td>
<td>`3577012104070623</td>
<td>KARTOHARJO</td>
<td>23-03-2000</td>
<td>19</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>`0000786914414</td>
<td>130802030619Y000163</td>
<td align='center'>
J18.9 </td>
</tr>

<td>39</td>
<td>10-06-2019</td>
<td>013059</td>
<td>DARMANTO</td>
<td>`</td>
<td>`</td>
<td>REJOMULYO</td>
<td>KARTOHARJO</td>
<td>04-01-1964</td>
<td>55</td>
<td>L</td>
<td>POLI UMUM</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>`</td>
<td></td>
<td align='center'>
J11 </td>
</tr>

<td>40</td>
<td>10-06-2019</td>
<td>009341</td>
<td>YUSEF CHRIS HADI SAPUTRO</td>
<td>`3577012010810003</td>
<td>`3577012104072476</td>
<td>KARTOHARJO</td>
<td>20-10-1981</td>
<td>37</td>
<td>L</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>`0002163612879</td>
<td>130802030619Y000229</td>
<td align='center'>
B02 </td>
</tr>

<td>41</td>
<td>10-06-2019</td>
<td>005218</td>
<td>TITIK SUPARTI</td>
<td>`3519085403680001</td>
<td>`3577012110130001</td>
<td>ORO ORO OMBO</td>
<td>KARTOHARJO</td>
<td>14-03-1968</td>
<td>51</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>`0001820760445</td>
<td>130802030619Y000274</td>
<td align='center'>
I15 </td>
</tr>

<td>42</td>
<td>10-06-2019</td>
<td>008968</td>
<td>HERY SISWANTO</td>
<td>`3577011807620001</td>
<td>`3577012104072150</td>
<td>KARTOHARJO</td>
<td>18-07-1962</td>
<td>56</td>
<td>L</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>`0001541173983</td>
<td>130802030619Y000232</td>
<td align='center'>
A09 </td>
</tr>

<td>43</td>
<td>10-06-2019</td>
<td>000712</td>
<td>SITI JUNARTI</td>
<td>`3519084806670001</td>
<td>`</td>
<td>BANJARSARI</td>
<td>MADIUN</td>
<td>MADIUN</td>
<td>08-06-1967</td>
<td>52</td>
<td>L</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>`0001724558951</td>
<td>130802030619Y000234</td>
<td align='center'>
M13 </td>
</tr>

<td>44</td>
<td>10-06-2019</td>
<td>005154</td>
<td>SUPRIHATIN</td>
<td>`</td>
<td>`</td>
<td>REJOMULYO</td>
<td>KARTOHARJO</td>
<td>01-10-1973</td>
<td>45</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>`0000787654809</td>
<td>130802030619Y000236</td>
<td align='center'>
I10 </td>
</tr>

<td>45</td>
<td>10-06-2019</td>
<td>004592</td>
<td>PURNANING</td>
<td>`</td>
<td>`</td>
<td>REJOMULYO</td>
<td>KARTOHARJO</td>
<td>02-08-1969</td>
<td>49</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PNS DAERAH</td>
<td>`0000106333424</td>
<td>130802030619Y000238</td>
<td align='center'>
M79.1 </td>
</tr>

<td>46</td>
<td>10-06-2019</td>
<td>000929</td>
<td>SUHARTO</td>
<td>`3276022208600009</td>
<td>`3577010305170001</td>
<td>KARTOHARJO</td>
<td>22-08-1960</td>
<td>58</td>
<td>L</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>`0001131570066</td>
<td>130802030619Y000239</td>
<td align='center'>
E11 </td>
</tr>

<td>47</td>
<td>10-06-2019</td>
<td>000930</td>
<td>RATIH SAMININGSIH</td>
<td>`3276026909650013</td>
<td>`3577010305170001</td>
<td>KARTOHARJO</td>
<td>29-09-1965</td>
<td>53</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>`0001157095168</td>
<td>130802030619Y000240</td>
<td align='center'>
K30 </td>
</tr>

<td>48</td>
<td>10-06-2019</td>
<td>001059</td>
<td>ISWOYO</td>
<td>`</td>
<td>`3577012104071832</td>
<td>TAWANGREJO</td>
<td>KARTOHARJO</td>
<td>MADIUN</td>
<td>10-05-1964</td>
<td>55</td>
<td>L</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS LAMA</td>
<td>BPJS</td>
<td></td>
<td>`0002163610675</td>
<td>130802030619Y000185</td>
<td align='center'>
I25.9 </td>
</tr>

<td>49</td>
<td>10-06-2019</td>
<td>004340</td>
<td>SITI INSIYAH</td>
<td>`</td>
<td>`</td>
<td>BANJARSARI</td>
<td>MADIUN</td>
<td>MADIUN</td>
<td>21-02-1964</td>
<td>55</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS LAMA</td>
<td>BPJS</td>
<td>`0002318616595</td>
<td>130802030619Y000241</td>
<td align='center'>
E11 </td>
</tr>

<td>50</td>
<td>10-06-2019</td>
<td>001305</td>
<td>MARETA SELIFERADO</td>
<td>`3519084703870001</td>
<td>`</td>
<td>BANJARSARI</td>
<td>MADIUN</td>
<td>MADIUN</td>
<td>07-03-1987</td>
<td>32</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>`0002480616336</td>
<td>130802030619Y000242</td>
<td align='center'>
J11 </td>
</tr>

<td>51</td>
<td>10-06-2019</td>
<td>011663</td>
<td>SIH PANGESTUTI</td>
<td>`3577015609710002</td>
<td>`</td>
<td>KARTOHARJO</td>
<td>MADIUN</td>
<td>16-09-1971</td>
<td>47</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>`0002416858626</td>
<td>130802030619Y000194</td>
<td align='center'>
E11 </td>
</tr>

<td>52</td>
<td>10-06-2019</td>
<td>012291</td>
<td>KUSWO UNIYANTORO</td>
<td>`</td>
<td>`</td>
<td>KARTOHARJO</td>
<td>22-10-1967</td>
<td>51</td>
<td>L</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>`0002416858615</td>
<td>130802030619Y000243</td>
<td align='center'>
T81.9 </td>
</tr>

<td>53</td>
<td>10-06-2019</td>
<td>002013</td>
<td>MAODY LARASATI</td>
<td>`3577015707980002</td>
<td>`3577012104079043</td>
<td>KELUN</td>
<td>KARTOHARJO</td>
<td>17-07-1998</td>
<td>20</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>`0001704819745</td>
<td>130802030619Y000246</td>
<td align='center'>
J11 </td>
</tr>

<td>54</td>
<td>10-06-2019</td>
<td>013014</td>
<td>KASIMAN</td>
<td>`3577012810590003</td>
<td>`3577012104078413</td>
<td>KELUN</td>
<td>KARTOHARJO</td>
<td>28-10-1959</td>
<td>59</td>
<td>L</td>
<td>Wiraswasta</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>`0002163615827</td>
<td>130802030619Y000192</td>
<td align='center'>
E11.8 </td>
</tr>

<td>55</td>
<td>10-06-2019</td>
<td>000249</td>
<td>NANIK</td>
<td>`3577016103610003</td>
<td>`3577012104079123</td>
<td>KELUN</td>
<td>KARTOHARJO</td>
<td>21-03-1961</td>
<td>58</td>
<td>P</td>
<td>Pensiunan</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>BPJS</td>
<td>`0000977005427</td>
<td>130802030619Y000189</td>
<td align='center'>
I64 </td>
</tr>

<td>56</td>
<td>10-06-2019</td>
<td>001842</td>
<td>UMI SALAMAH</td>
<td>`3519085812680002</td>
<td>`</td>
<td>DEMPELAN</td>
<td>MADIUN</td>
<td>MADIUN</td>
<td>18-12-1968</td>
<td>50</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>BPJS</td>
<td>`0002457429535</td>
<td>130802030619Y000190</td>
<td align='center'>
M54.5 </td>
</tr>

<td>57</td>
<td>10-06-2019</td>
<td>007635</td>
<td>ENGKOS KOSWADI</td>
<td>`</td>
<td>`</td>
<td>KELUN</td>
<td>KARTOHARJO</td>
<td>01-09-1976</td>
<td>42</td>
<td>L</td>
<td>Wiraswasta</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>`0000786784959</td>
<td>130802030619Y000252</td>
<td align='center'>
J11 </td>
</tr>

<td>58</td>
<td>10-06-2019</td>
<td>006730</td>
<td>MARLAN</td>
<td>`3519082706590002</td>
<td>`</td>
<td>TIRON</td>
<td>MADIUN</td>
<td>MADIUN</td>
<td>27-06-1959</td>
<td>60</td>
<td>L</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>BPJS</td>
<td>`0001789910019</td>
<td>130802030619Y000191</td>
<td align='center'>
I50.0 </td>
</tr>

<td>59</td>
<td>10-06-2019</td>
<td>013053</td>
<td>DZIKRI ROBBY CHANDRA HERMANTO</td>
<td>`</td>
<td>`DZIKRI ROBBY CANDRA HERMANTO</td>
<td>REJOMULYO</td>
<td>KARTOHARJO</td>
<td>02-01-1988</td>
<td>31</td>
<td>L</td>
<td>POLI UMUM</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>`0002413930285</td>
<td>130802030619Y000253</td>
<td align='center'>
I84 </td>
</tr>

<td>60</td>
<td>10-06-2019</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>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS LAMA</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>`0001704876041</td>
<td>130802030619Y000264</td>
<td align='center'>
E11 </td>
</tr>

<td>61</td>
<td>11-06-2019</td>
<td>013102</td>
<td>NUR MAKHFUT EFFENDI</td>
<td>`3577010312840002</td>
<td>`3577012104070922</td>
<td>KARTOHARJO</td>
<td>03-12-1984</td>
<td>34</td>
<td>L</td>
<td>POLI UMUM</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>`0001130089037</td>
<td>130802030619Y000287</td>
<td align='center'>
H52.7 </td>
</tr>

<td>62</td>
<td>11-06-2019</td>
<td>013103</td>
<td>HARTONO</td>
<td>`3577012101710002</td>
<td>`3577012104072170</td>
<td>KARTOHARJO</td>
<td>21-01-1971</td>
<td>48</td>
<td>L</td>
<td>POLI UMUM</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>`0002768564799</td>
<td>130802030619Y000289</td>
<td align='center'>
S60 </td>
</tr>

<td>63</td>
<td>11-06-2019</td>
<td>013107</td>
<td>NGATNO</td>
<td>`3577011104810003</td>
<td>`3577011204110001</td>
<td>KARTOHARJO</td>
<td>11-04-1981</td>
<td>38</td>
<td>L</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td>`0001545121732</td>
<td></td>
<td align='center'>
R50.9 </td>
</tr>

<td>64</td>
<td>11-06-2019</td>
<td>013113</td>
<td>MINARTI PUSPITA DEWI</td>
<td>`3577014801800002</td>
<td>`3577012001080005</td>
<td>KELUN</td>
<td>KARTOHARJO</td>
<td>08-01-1980</td>
<td>39</td>
<td>P</td>
<td>POLI UMUM</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>`0000786274648</td>
<td>130802030619Y000309</td>
<td align='center'>
J02.9 </td>
</tr>
<td>65</td>
<td>11-06-2019</td>
<td>013117</td>
<td>LAELA PUJI ASTUTI</td>
<td>`3577014711900001</td>
<td>`3577010201180006</td>
<td>KARTOHARJO</td>
<td>07-11-1990</td>
<td>28</td>
<td>P</td>
<td>POLI UMUM</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td>`0001821658476</td>
<td></td>
<td align='center'>
H82 </td>
</tr>

<td>66</td>
<td>11-06-2019</td>
<td>013136</td>
<td>GATOT ADI ERMAWAN</td>
<td>`5103011302790004</td>
<td>`</td>
<td>REJOMULYO</td>
<td>KARTOHARJO</td>
<td>MADIUN</td>
<td>13-02-1979</td>
<td>40</td>
<td>L</td>
<td>POLI UMUM</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PRAJURIT AU</td>
<td>`0001103301922</td>
<td>130802030619Y000388</td>
<td align='center'>
A01.0 </td>
</tr>

<td>67</td>
<td>11-06-2019</td>
<td>001696</td>
<td>TUKIYEM</td>
<td>`</td>
<td>`</td>
<td>KELUN</td>
<td>KARTOHARJO</td>
<td>23-03-1963</td>
<td>56</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS LAMA</td>
<td>BPJS</td>
<td>PNS DAERAH</td>
<td>`0000100047622</td>
<td>130802030619Y000283</td>
<td align='center'>
E11 </td>
</tr>

<td>68</td>
<td>11-06-2019</td>
<td>001854</td>
<td>NURFITA SARI</td>
<td>`3577016401000002</td>
<td>`3577012004079918</td>
<td>REJOMULYO</td>
<td>KARTOHARJO</td>
<td>24-01-2000</td>
<td>19</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>`0000787655608</td>
<td>130802030619Y000312</td>
<td align='center'>
R04.0 </td>
</tr>

<td>69</td>
<td>11-06-2019</td>
<td>002442</td>
<td>PANGESTUTI WULAN</td>
<td>`3577016008590001</td>
<td>`3577012104078860</td>
<td>KELUN</td>
<td>KARTOHARJO</td>
<td>20-08-1959</td>
<td>59</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>`0000104774613</td>
<td>130802030619Y000316</td>
<td align='center'>
E11 </td>
</tr>

<td>70</td>
<td>11-06-2019</td>
<td>003406</td>
<td>ELLYANNE KUSUMA DEWI</td>
<td>`3577015309940001</td>
<td>`3577012104077817</td>
<td>KELUN</td>
<td>KARTOHARJO</td>
<td>13-09-1994</td>
<td>24</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>`3577012104077817</td>
<td></td>
<td align='center'>
R51 </td>
</tr>

<td>71</td>
<td>11-06-2019</td>
<td>000383</td>
<td>SUPINAH</td>
<td>`3577016602600001</td>
<td>`3577012104070922</td>
<td>KARTOHARJO</td>
<td>26-02-1960</td>
<td>59</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS LAMA</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>`0001706778707</td>
<td>130802030619Y000286</td>
<td align='center'>
I64 </td>
</tr>

<td>72</td>
<td>11-06-2019</td>
<td>001920</td>
<td>WARTINI</td>
<td>`3577015508650003</td>
<td>`3577012104072554</td>
<td>KARTOHARJO</td>
<td>15-08-1965</td>
<td>53</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>`0001704877569</td>
<td>130802030619Y000321</td>
<td align='center'>
A09 </td>
</tr>

<td>73</td>
<td>11-06-2019</td>
<td>001100</td>
<td>BEJO</td>
<td>`</td>
<td>`</td>
<td>KELUN</td>
<td>KARTOHARJO</td>
<td>MADIUN</td>
<td>01-09-1961</td>
<td>57</td>
<td>L</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS LAMA</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>`0000786341755</td>
<td>130802030619Y000322</td>
<td align='center'>
E11 </td>
</tr>

<td>74</td>
<td>11-06-2019</td>
<td>010901</td>
<td>YATINI</td>
<td>`3519085204750003</td>
<td>`</td>
<td>KARTOHARJO</td>
<td>12-04-1975</td>
<td>44</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td></td>
<td>`0002050558659</td>
<td>130802030619Y000326</td>
<td align='center'>
J11 </td>
</tr>

<td>75</td>
<td>11-06-2019</td>
<td>003579</td>
<td>MUJIATI</td>
<td>`</td>
<td>`</td>
<td>KARTOHARJO</td>
<td>04-07-1978</td>
<td>41</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>`0001704820735</td>
<td>130802030619Y000331</td>
<td align='center'>
E11 </td>
</tr>

<td>76</td>
<td>11-06-2019</td>
<td>002536</td>
<td>YAYUK SUTINEM</td>
<td>`</td>
<td>`</td>
<td>TIRON</td>
<td>MADIUN</td>
<td>MADIUN</td>
<td>28-08-1968</td>
<td>50</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS LAMA</td>
<td>BPJS</td>
<td>PNS DAERAH</td>
<td>`0000105114532</td>
<td>130802030619Y000298</td>
<td align='center'>
E11.8 </td>
</tr>

<td>77</td>
<td>11-06-2019</td>
<td>006645</td>
<td>SUTARTO</td>
<td>`3519080402780002</td>
<td>`</td>
<td>NGLAMES</td>
<td>MADIUN</td>
<td>MADIUN</td>
<td>04-02-1978</td>
<td>41</td>
<td>L</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>`0002459898101</td>
<td>130802030619Y000334</td>
<td align='center'>
R51 </td>
</tr>

<td>78</td>
<td>11-06-2019</td>
<td>003268</td>
<td>DITA SEPTIANINGTYAS</td>
<td>`</td>
<td>`</td>
<td>REJOMULYO</td>
<td>KARTOHARJO</td>
<td>11-09-1995</td>
<td>23</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>`0000786952978</td>
<td>130802030619Y000338</td>
<td align='center'>
K30 </td>
</tr>

<td>79</td>
<td>11-06-2019</td>
<td>001613</td>
<td>KASILAH</td>
<td>`3577015909680002</td>
<td>`3577012104072522</td>
<td>KARTOHARJO</td>
<td>19-09-1968</td>
<td>50</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>`0000787229335</td>
<td>130802030619Y000340</td>
<td align='center'>
M79.1 </td>
</tr>

<td>80</td>
<td>11-06-2019</td>
<td>008411</td>
<td>SUWARNI</td>
<td>`3577014105660001</td>
<td>`3577012104072246</td>
<td>KARTOHARJO</td>
<td>01-05-1966</td>
<td>53</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>`0001541175287</td>
<td>130802030619Y000342</td>
<td align='center'>
H66.9 </td>
</tr>

<td>81</td>
<td>11-06-2019</td>
<td>004035</td>
<td>IKA PUJI WAHYUNI</td>
<td>`3577016806890004</td>
<td>`3577011605160001</td>
<td>REJOMULYO</td>
<td>KARTOHARJO</td>
<td>28-06-1989</td>
<td>30</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>`0001801514744</td>
<td>130802030619Y000344</td>
<td align='center'>
M79.1 </td>
</tr>

<td>82</td>
<td>11-06-2019</td>
<td>005583</td>
<td>`3577036601780001</td>
<td>`3577010406120004</td>
<td>KARTOHARJO</td>
<td>26-01-1978</td>
<td>41</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS LAMA</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>`0002413157411</td>
<td>130802030619Y000356</td>
<td align='center'>
A18.2 </td>
</tr>

<td>83</td>
<td>11-06-2019</td>
<td>012304</td>
<td>SINGGIH ANUGRAH JATI</td>
<td>`</td>
<td>`</td>
<td>REJOMULYO</td>
<td>KARTOHARJO</td>
<td>21-12-1976</td>
<td>42</td>
<td>L</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>`0002413878265</td>
<td>130802030619Y000374</td>
<td align='center'>
E10.3 </td>
</tr>

<td>84</td>
<td>11-06-2019</td>
<td>006449</td>
<td>SUMARSIH</td>
<td>`</td>
<td>`</td>
<td>KARTOHARJO</td>
<td>18-03-1962</td>
<td>57</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS LAMA</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>`0001704875589</td>
<td>130802030619Y000362</td>
<td align='center'>
I64 </td>
</tr>

<td>85</td>
<td>11-06-2019</td>
<td>001413</td>
<td>SAJEKTI</td>
<td>`3519086307640001</td>
<td>`</td>
<td>BETEK</td>
<td>MADIUN</td>
<td>MADIUN</td>
<td>23-07-1964</td>
<td>54</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS LAMA</td>
<td>BPJS</td>
<td>`0002223110351</td>
<td>130802030619Y000364</td>
<td align='center'>
J44 </td>
</tr>

<td>86</td>
<td>11-06-2019</td>
<td>006705</td>
<td>SITI AMINAH</td>
<td>`3577014708720002</td>
<td>`3577011611110002</td>
<td>KARTOHARJO</td>
<td>07-08-1972</td>
<td>46</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>`0002158642326</td>
<td>130802030619Y000393</td>
<td align='center'>
R07.3 </td>
</tr>

<td>87</td>
<td>11-06-2019</td>
<td>001425</td>
<td>LILIK NURHAYATI</td>
<td>`3577015901700002</td>
<td>`3577012004079681</td>
<td>REJOMULYO</td>
<td>KARTOHARJO</td>
<td>19-01-1970</td>
<td>49</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS LAMA</td>
<td>BPJS</td>
<td></td>
<td>`0002413876634</td>
<td>130802030619Y000368</td>
<td align='center'>
M79.2 </td>
</tr>

<td>88</td>
<td>11-06-2019</td>
<td>008484</td>
<td>SITI ROHKANI</td>
<td>`</td>
<td>`</td>
<td>TIRON</td>
<td>MADIUN</td>
<td>MADIUN</td>
<td>29-05-1983</td>
<td>36</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>`0000739252754</td>
<td>130802030619Y000396</td>
<td align='center'>
H60 </td>
</tr>
<td>89</td>
<td>11-06-2019</td>
<td>001519</td>
<td>TITIEK MARGAWATI</td>
<td>`3577016811590002</td>
<td>`3577012104072284</td>
<td>KARTOHARJO</td>
<td>28-11-1959</td>
<td>59</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PNS DAERAH</td>
<td>`0000104926061</td>
<td>130802030619Y000380</td>
<td align='center'>
H52 </td>
</tr>

<td>90</td>
<td>11-06-2019</td>
<td>012945</td>
<td>SUJARWO</td>
<td>`3577012707880002</td>
<td>`3577013101180002</td>
<td>KARTOHARJO</td>
<td>27-07-1988</td>
<td>30</td>
<td>L</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>`0001049796685</td>
<td>130802030619Y000381</td>
<td align='center'>
S92.30 </td>
</tr>

<td>91</td>
<td>12-06-2019</td>
<td>013180</td>
<td>LINA SUMARSIATIK</td>
<td>`3577016103700004</td>
<td>`3577012104071191</td>
<td>KARTOHARJO</td>
<td>21-03-1970</td>
<td>49</td>
<td>P</td>
<td>POLI UMUM</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>`0002163608818</td>
<td>130802030619Y000463</td>
<td align='center'>
J00 </td>
</tr>

<td>92</td>
<td>12-06-2019</td>
<td>013184</td>
<td>LATIP SUTRISNO</td>
<td>`3577011509840001</td>
<td>`3577010411150001</td>
<td>REJOMULYO</td>
<td>KARTOHARJO</td>
<td>15-09-1984</td>
<td>34</td>
<td>L</td>
<td>POLI UMUM</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>`0000786845992</td>
<td>130802030619Y000465</td>
<td align='center'>
J02.9 </td>
</tr>

<td>93</td>
<td>12-06-2019</td>
<td>013185</td>
<td>MOH FARID MAFTUH</td>
<td>`3518063010840001</td>
<td>`3577012010150002</td>
<td>KARTOHARJO</td>
<td>30-10-1984</td>
<td>34</td>
<td>L</td>
<td>POLI UMUM</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PNS PUSAT</td>
<td>`0001276520038</td>
<td>130802030619Y000466</td>
<td align='center'>
L30.3 </td>
</tr>

<td>94</td>
<td>12-06-2019</td>
<td>001397</td>
<td>INDAH NURYANI</td>
<td>`</td>
<td>`</td>
<td>KARTOHARJO</td>
<td>25-03-1965</td>
<td>54</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS LAMA</td>
<td>BPJS</td>
<td></td>
<td>`0002416309446</td>
<td>130802030619P000417</td>
<td align='center'>
M54.5 </td>
</tr>

<td>95</td>
<td>12-06-2019</td>
<td>010849</td>
<td>`3578125905680001</td>
<td>`3577012107170003</td>
<td>REJOMULYO</td>
<td>KARTOHARJO</td>
<td>MADIUN</td>
<td>01-01-1970</td>
<td>49</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS LAMA</td>
<td>BPJS</td>
<td></td>
<td>`0001304701773</td>
<td>130802030619P000418</td>
<td align='center'>
H60 </td>
</tr>

<td>96</td>
<td>12-06-2019</td>
<td>013139</td>
<td>SLAMET RIYADI</td>
<td>`</td>
<td>`</td>
<td>BAGI</td>
<td>MADIUN</td>
<td>MADIUN</td>
<td>16-07-1981</td>
<td>37</td>
<td>L</td>
<td>Wiraswasta</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PNS DAERAH</td>
<td>`0002762973494</td>
<td>130802030619Y000432</td>
<td align='center'>
R50.9 </td>
</tr>

<td>97</td>
<td>12-06-2019</td>
<td>005315</td>
<td>WIYONO</td>
<td>`3519081607750001</td>
<td>`</td>
<td>DEMPELAN</td>
<td>MADIUN</td>
<td>MADIUN</td>
<td>16-07-1975</td>
<td>43</td>
<td>L</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS LAMA</td>
<td>BPJS</td>
<td>`0001326839398</td>
<td>130802030619Y000419</td>
<td align='center'>
E11.8 </td>
</tr>

<td>98</td>
<td>12-06-2019</td>
<td>001978</td>
<td>SUPARTINI</td>
<td>` </td>
<td>`3577011512100021</td>
<td>KELUN</td>
<td>KARTOHARJO</td>
<td>27-08-1963</td>
<td>55</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>BPJS</td>
<td>PENERIMA PENSIUN TNI</td>
<td>`0000170186771</td>
<td>130802030619Y000470</td>
<td align='center'>
E11 </td>
</tr>

<td>99</td>
<td>12-06-2019</td>
<td>000669</td>
<td>SUSILOWATI</td>
<td>`3577016906600001</td>
<td>`3577012809160006</td>
<td>KELUN</td>
<td>KARTOHARJO</td>
<td>MADIUN</td>
<td>29-06-1960</td>
<td>59</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>KEPOLISIAN RI</td>
<td>`0001101330663</td>
<td>130802030619Y000471</td>
<td align='center'>
R51 </td>
</tr>

<td>100</td>
<td>12-06-2019</td>
<td>001785</td>
<td>TJARITO</td>
<td>`3519082612590001</td>
<td>`</td>
<td>NGLAMES</td>
<td>MADIUN</td>
<td>MADIUN</td>
<td>26-12-1959</td>
<td>59</td>
<td>L</td>
<td>Pensiunan</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS LAMA</td>
<td>BPJS</td>
<td>`0000104951169</td>
<td>130802030619Y000473</td>
<td align='center'>
E11 </td>
</tr>

<td>101</td>
<td>12-06-2019</td>
<td>001784</td>
<td>SRI ISNANI P</td>
<td>`3519085912620002</td>
<td>`</td>
<td>NGLAMES</td>
<td>MADIUN</td>
<td>MADIUN</td>
<td>19-12-1962</td>
<td>56</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>BPJS</td>
<td>`0000104951171</td>
<td>130802030619Y000474</td>
<td align='center'>
J00 </td>
</tr>

<td>102</td>
<td>12-06-2019</td>
<td>002044</td>
<td>ISNUN</td>
<td>`3519080711650001</td>
<td>`3519080711650001</td>
<td>SENDANGREJO</td>
<td>MADIUN</td>
<td>MADIUN</td>
<td>07-11-1965</td>
<td>53</td>
<td>L</td>
<td>Petani / Pekebun</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>`0001903805054</td>
<td>130802030619Y000422</td>
<td align='center'>
H16.0 </td>
</tr>

<td>103</td>
<td>12-06-2019</td>
<td>012291</td>
<td>KUSWO UNIYANTORO</td>
<td>`</td>
<td>`</td>
<td>KARTOHARJO</td>
<td>22-10-1967</td>
<td>51</td>
<td>L</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>`0002416858615</td>
<td>130802030619Y000475</td>
<td align='center'>
L30.3 </td>
</tr>

<td>104</td>
<td>12-06-2019</td>
<td>013146</td>
<td>HARLYN RODHIYATAM</td>
<td>`</td>
<td>`</td>
<td>GEGER</td>
<td>GEGER</td>
<td>MADIUN</td>
<td>03-04-1997</td>
<td>22</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>`</td>
<td></td>
<td align='center'>
A09 </td>
</tr>

<td>105</td>
<td>12-06-2019</td>
<td>013147</td>
<td>TITIK MARIANI</td>
<td>`</td>
<td>`</td>
<td>SIDOREJO</td>
<td>WUNGU</td>
<td>MADIUN</td>
<td>30-06-1960</td>
<td>59</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>`0002766780358</td>
<td></td>
<td align='center'>
H66.9 </td>
</tr>

<td>106</td>
<td>12-06-2019</td>
<td>001535</td>
<td>RETNO DEWI WULANDARI</td>
<td>`</td>
<td>`</td>
<td>TAWANGREJO</td>
<td>KARTOHARJO</td>
<td>12-02-1987</td>
<td>32</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td></td>
<td>`0002163611248</td>
<td>130802030619Y000476</td>
<td align='center'>
J11 </td>
</tr>

<td>107</td>
<td>12-06-2019</td>
<td>004097</td>
<td>WINDA DWI PEBRIANI</td>
<td>`</td>
<td>`</td>
<td>REJOMULYO</td>
<td>KARTOHARJO</td>
<td>01-02-2001</td>
<td>18</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>`0000786953002</td>
<td>130802030619Y000477</td>
<td align='center'>
H66.9 </td>
</tr>

<td>108</td>
<td>12-06-2019</td>
<td>002991</td>
<td>SUPARDI</td>
<td>`</td>
<td>`</td>
<td>TAWANGREJO</td>
<td>KARTOHARJO</td>
<td>01-08-1975</td>
<td>43</td>
<td>L</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>`0000786752875</td>
<td>130802030619Y000428</td>
<td align='center'>
J44.9 </td>
</tr>

<td>109</td>
<td>12-06-2019</td>
<td>002234</td>
<td>MARIJATUN</td>
<td>`3577016707590002</td>
<td>`3577012104071917</td>
<td>KARTOHARJO</td>
<td>27-07-1959</td>
<td>59</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS LAMA</td>
<td>BPJS</td>
<td></td>
<td>`0000106371483</td>
<td>130802030619Y000426</td>
<td align='center'>
H25.9 </td>
</tr>

<td>110</td>
<td>12-06-2019</td>
<td>013149</td>
<td>SULISTIYO MAHARGIANTI AGUSTIN</td>
<td>`</td>
<td>`</td>
<td>KARTOHARJO</td>
<td>15-08-1985</td>
<td>33</td>
<td>P</td>
<td>POLI UMUM</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>`</td>
<td></td>
<td align='center'>
K29.7 </td>
</tr>

<td>111</td>
<td>12-06-2019</td>
<td>006755</td>
<td>MARDI</td>
<td>`</td>
<td>`</td>
<td>KELUN</td>
<td>KARTOHARJO</td>
<td>18-06-1960</td>
<td>59</td>
<td>L</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS LAMA</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>`0000786784004</td>
<td>130802030619Y000436</td>
<td align='center'>
I48 </td>
</tr>

<td>112</td>
<td>12-06-2019</td>
<td>011620</td>
<td>UMI PADILOH</td>
<td>`</td>
<td>`</td>
<td>DEMPELAN</td>
<td>MADIUN</td>
<td>MADIUN</td>
<td>11-04-1970</td>
<td>49</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>`0002755424507</td>
<td>130802030619Y000481</td>
<td align='center'>
R50.9 </td>
</tr>

<td>113</td>
<td>12-06-2019</td>
<td>013159</td>
<td>WARIH AGUS HERLIANTO</td>
<td>`</td>
<td>`</td>
<td>NGLAMES</td>
<td>MADIUN</td>
<td>MADIUN</td>
<td>21-08-1973</td>
<td>45</td>
<td>L</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>`</td>
<td></td>
<td align='center'>
R10.0 </td>
</tr>

<td>114</td>
<td>12-06-2019</td>
<td>000265</td>
<td>SITI SUBANDIYAH, S.PD</td>
<td>`3519086610690002</td>
<td>`</td>
<td>NGLAMES</td>
<td>MADIUN</td>
<td>MADIUN</td>
<td>26-10-1969</td>
<td>49</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>`0001871728672</td>
<td>130802030619Y000439</td>
<td align='center'>
H16.9 </td>
</tr>

<td>115</td>
<td>12-06-2019</td>
<td>004141</td>
<td>SUPARMI</td>
<td>`</td>
<td>`</td>
<td>TAWANGREJO</td>
<td>KARTOHARJO</td>
<td>31-12-1975</td>
<td>43</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>`0002163612262</td>
<td>130802030619Y000489</td>
<td align='center'>
M06 </td>
</tr>

<td>116</td>
<td>12-06-2019</td>
<td>001475</td>
<td>EKA WAHYU SUHARYANTI</td>
<td>`</td>
<td>`</td>
<td>REJOMULYO</td>
<td>KARTOHARJO</td>
<td>22-04-1990</td>
<td>29</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td></td>
<td>`0000106491879</td>
<td>130802030619Y000493</td>
<td align='center'>
R10.0 </td>
</tr>

<td>117</td>
<td>12-06-2019</td>
<td>006961</td>
<td>SAMSUL ARIFIN</td>
<td>`3577013011000001</td>
<td>`</td>
<td>KARTOHARJO</td>
<td>30-11-2000</td>
<td>18</td>
<td>L</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>`0001704811825</td>
<td>130802030619Y000501</td>
<td align='center'>
B36.9 </td>
</tr>

<td>118</td>
<td>12-06-2019</td>
<td>009398</td>
<td>JAINAL TOHIRIN</td>
<td>`3519080305940002</td>
<td>`</td>
<td>BETEK</td>
<td>MADIUN</td>
<td>MADIUN</td>
<td>03-05-1994</td>
<td>25</td>
<td>L</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>`0001539606778</td>
<td>130802030619Y000503</td>
<td align='center'>
A09 </td>
</tr>

<td>119</td>
<td>12-06-2019</td>
<td>003097</td>
<td>ARIYANTO KURNIAWAN</td>
<td>`</td>
<td>`3577032409090006</td>
<td>TAMAN</td>
<td>TAMAN</td>
<td>17-01-1981</td>
<td>38</td>
<td>L</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td></td>
<td>`0002413882473</td>
<td>130802030619Y000452</td>
<td align='center'>
F20.9 </td>
</tr>

<td>120</td>
<td>12-06-2019</td>
<td>011770</td>
<td>`</td>
<td>`</td>
<td>KARTOHARJO</td>
<td>01-11-1982</td>
<td>36</td>
<td>L</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>`0000787447361</td>
<td>130802030619Y000508</td>
<td align='center'>
A16.9 </td>
</tr>

<td>121</td>
<td>12-06-2019</td>
<td>005646</td>
<td>LASINI</td>
<td>`</td>
<td>`</td>
<td>TAWANGREJO</td>
<td>KARTOHARJO</td>
<td>01-01-1960</td>
<td>59</td>
<td>P</td>
<td>Wiraswasta</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>`0000787297252</td>
<td>130802030619Y000453</td>
<td align='center'>
K01.1 </td>
</tr>

<td>122</td>
<td>12-06-2019</td>
<td>000345</td>
<td>PUNTO BIBISONO</td>
<td>`3519080606600002</td>
<td>`</td>
<td>NGLAMES</td>
<td>MADIUN</td>
<td>MADIUN</td>
<td>06-06-1960</td>
<td>59</td>
<td>L</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>`0002058480336</td>
<td>130802030619Y000509</td>
<td align='center'>
J00 </td>
</tr>

<td>123</td>
<td>12-06-2019</td>
<td>009415</td>
<td>CICIK HARIATI</td>
<td>`3577014802650001</td>
<td>`3577012104072065</td>
<td>KARTOHARJO</td>
<td>08-02-1965</td>
<td>54</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>`0001704816775</td>
<td>130802030619Y000510</td>
<td align='center'>
M79.1 </td>
</tr>
<td>124</td>
<td>12-06-2019</td>
<td>001925</td>
<td>EMY</td>
<td>`3577014804690003</td>
<td>`3577012004079490</td>
<td>REJOMULYO</td>
<td>KARTOHARJO</td>
<td>08-04-1969</td>
<td>50</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td></td>
<td>`0002413876509</td>
<td>130802030619Y000511</td>
<td align='center'>
K29.7 </td>
</tr>

<td>125</td>
<td>12-06-2019</td>
<td>000633</td>
<td>SYAFIUL ANAM</td>
<td>`3577010602670003</td>
<td>`3577010704090005</td>
<td>REJOMULYO</td>
<td>KARTOHARJO</td>
<td>06-02-1967</td>
<td>52</td>
<td>L</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>`0002464086295</td>
<td>130802030619Y000457</td>
<td align='center'>
E11.8 </td>
</tr>

<td>126</td>
<td>12-06-2019</td>
<td>013187</td>
<td>KHANIF NUR ROHCMAN</td>
<td>`</td>
<td>`</td>
<td>TULUNGREJO</td>
<td>MADIUN</td>
<td>MADIUN</td>
<td>12-02-1997</td>
<td>22</td>
<td>L</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>`</td>
<td></td>
<td align='center'>
W49 </td>
</tr>

<td>127</td>
<td>12-06-2019</td>
<td>001438</td>
<td>SIGIT UTOMO</td>
<td>`3519072210820002</td>
<td>`</td>
<td>SIDOREJO</td>
<td>WUNGU</td>
<td>MADIUN</td>
<td>22-10-1982</td>
<td>36</td>
<td>L</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS LAMA</td>
<td>BPJS</td>
<td>`0001309907812</td>
<td>130802030619Y000706</td>
<td align='center'>
F20.8 </td>
</tr>

<td>128</td>
<td>13-06-2019</td>
<td>013199</td>
<td>HARIYATI</td>
<td>`</td>
<td>`</td>
<td>REJOMULYO</td>
<td>KARTOHARJO</td>
<td>24-08-1960</td>
<td>58</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PNS DAERAH</td>
<td>`0000104776716</td>
<td>130802030619Y000566</td>
<td align='center'>
M79.1 </td>
</tr>

<td>129</td>
<td>13-06-2019</td>
<td>013200</td>
<td>SUYANTO</td>
<td>`3519081606600001</td>
<td>`</td>
<td>NGLAMES</td>
<td>MADIUN</td>
<td>MADIUN</td>
<td>16-06-1960</td>
<td>59</td>
<td>L</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td>`0002217427762</td>
<td></td>
<td align='center'>
E11 </td>
</tr>

<td>130</td>
<td>13-06-2019</td>
<td>013201</td>
<td>DAHLIA JUMIATI SIAHAAN</td>
<td>`</td>
<td>`</td>
<td>SOBRAH</td>
<td>WUNGU</td>
<td>MADIUN</td>
<td>16-06-1974</td>
<td>45</td>
<td>P</td>
<td>POLI UMUM</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>`0000202375607</td>
<td>130802030619Y000567</td>
<td align='center'>
M79.1 </td>
</tr>

<td>131</td>
<td>13-06-2019</td>
<td>013205</td>
<td>KAHONO</td>
<td>`3402163112700065</td>
<td>`3577012504120004</td>
<td>KELUN</td>
<td>KARTOHARJO</td>
<td>31-12-1970</td>
<td>48</td>
<td>L</td>
<td>Wiraswasta</td>
<td>POLI UMUM</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>`0002416857107</td>
<td>130802030619Y000541</td>
<td align='center'>
L08.8 </td>
</tr>

<td>132</td>
<td>13-06-2019</td>
<td>013209</td>
<td>ACHMADI</td>
<td>`3577011002770003</td>
<td>`3577012104072711</td>
<td>KARTOHARJO</td>
<td>10-02-1977</td>
<td>42</td>
<td>L</td>
<td>POLI UMUM</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>`0001704818463</td>
<td>130802030619Y000568</td>
<td align='center'>
K21 </td>
</tr>

<td>133</td>
<td>13-06-2019</td>
<td>013212</td>
<td>MIMIEN SAMINI</td>
<td>`3577036310940003</td>
<td>`3577011704150010</td>
<td>KELUN</td>
<td>KARTOHARJO</td>
<td>23-10-1994</td>
<td>24</td>
<td>P</td>
<td>POLI UMUM</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>`0000163878783</td>
<td>130802030619Y000569</td>
<td align='center'>
G43.9 </td>
</tr>

<td>134</td>
<td>13-06-2019</td>
<td>013216</td>
<td>ENY RAHAYU</td>
<td>`352425 </td>
<td>`</td>
<td>DEKET WETAN</td>
<td>DEKET</td>
<td>LAMONGAN</td>
<td>10-02-1961</td>
<td>58</td>
<td>P</td>
<td>POLI UMUM</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td>PNS DAERAH</td>
<td>`0000103510484</td>
<td></td>
<td align='center'>
M79.1 </td>
</tr>

<td>135</td>
<td>13-06-2019</td>
<td>013232</td>
<td>REYFANDHANU ANDRA WIJAYA</td>
<td>`3519080309000001</td>
<td>`</td>
<td>NGLAMES</td>
<td>MADIUN</td>
<td>MADIUN</td>
<td>03-09-2000</td>
<td>18</td>
<td>L</td>
<td>POLI UMUM</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>`0001861734216</td>
<td>130802030619Y000570</td>
<td align='center'>
J03.9 </td>
</tr>

<td>136</td>
<td>13-06-2019</td>
<td>000424</td>
<td>WURYANINGSIH</td>
<td>`</td>
<td>`</td>
<td>TAWANGREJO</td>
<td>KARTOHARJO</td>
<td>06-05-1971</td>
<td>48</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS LAMA</td>
<td>BPJS</td>
<td></td>
<td>`0002163594756</td>
<td>130802030619Y000531</td>
<td align='center'>
A63.0 </td>
</tr>

<td>137</td>
<td>13-06-2019</td>
<td>004517</td>
<td>BIRAHMIATI</td>
<td>`</td>
<td>`</td>
<td>NGLAMES</td>
<td>MADIUN</td>
<td>MADIUN</td>
<td>30-05-1980</td>
<td>39</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>`0001193836555</td>
<td>130802030619Y000573</td>
<td align='center'>
J11 </td>
</tr>

<td>138</td>
<td>13-06-2019</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>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>`0000786849759</td>
<td>130802030619Y000532</td>
<td align='center'>
F20.9 </td>
</tr>

<td>139</td>
<td>13-06-2019</td>
<td>006654</td>
<td>TRI MURTI HANDAYANI</td>
<td>`3577016909700001</td>
<td>`3577012104072063</td>
<td>KARTOHARJO</td>
<td>29-09-1970</td>
<td>48</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>`0001704816753</td>
<td>130802030619Y000533</td>
<td align='center'>
H16.9 </td>
</tr>

<td>140</td>
<td>13-06-2019</td>
<td>001238</td>
<td>SIAM</td>
<td>`3577015903630003</td>
<td>`</td>
<td>REJOMULYO</td>
<td>KARTOHARJO</td>
<td>MADIUN</td>
<td>01-04-1963</td>
<td>56</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS LAMA</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>`0000786564731</td>
<td>130802030619Y000537</td>
<td align='center'>
I50.9 </td>
</tr>

<td>141</td>
<td>13-06-2019</td>
<td>004748</td>
<td>YUNITA TATIK W</td>
<td>`</td>
<td>`</td>
<td>TAWANGREJO</td>
<td>KARTOHARJO</td>
<td>26-06-1973</td>
<td>46</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>`0001704815357</td>
<td>130802030619Y000576</td>
<td align='center'>
J11 </td>
</tr>

<td>142</td>
<td>13-06-2019</td>
<td>002384</td>
<td>HERU</td>
<td>`</td>
<td>`</td>
<td>REJOMULYO</td>
<td>KARTOHARJO</td>
<td>01-10-1992</td>
<td>26</td>
<td>L</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>`0000786564911</td>
<td>130802030619Y000539</td>
<td align='center'>
K30 </td>
</tr>

<td>143</td>
<td>13-06-2019</td>
<td>013107</td>
<td>NGATNO</td>
<td>`3577011104810003</td>
<td>`3577011204110001</td>
<td>KARTOHARJO</td>
<td>11-04-1981</td>
<td>38</td>
<td>L</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>UMUM</td>
<td>`0001545121732</td>
<td></td>
<td align='center'>
R50.0 </td>
</tr>

<td>144</td>
<td>13-06-2019</td>
<td>011881</td>
<td>SULASTRI</td>
<td>`</td>
<td>`</td>
<td>BANJARSARI</td>
<td>MADIUN</td>
<td>MADIUN</td>
<td>30-09-1968</td>
<td>50</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td></td>
<td>`0002264022955</td>
<td>130802030619Y000577</td>
<td align='center'>
M54.5 </td>
</tr>

<td>145</td>
<td>13-06-2019</td>
<td>007651</td>
<td>SUKIDJAH</td>
<td>`</td>
<td>`</td>
<td>TAWANGREJO</td>
<td>GEMARANG</td>
<td>MADIUN</td>
<td>01-07-1969</td>
<td>50</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>`0000787196845</td>
<td>130802030619Y000579</td>
<td align='center'>
M79.1 </td>
</tr>

<td>146</td>
<td>13-06-2019</td>
<td>008457</td>
<td>DIAN NOVITASARI KUNCORO</td>
<td>`3577015711930003</td>
<td>`3577012303180002</td>
<td>KELUN</td>
<td>KARTOHARJO</td>
<td>17-11-1993</td>
<td>25</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>`0000786792767</td>
<td>130802030619Y000581</td>
<td align='center'>
R50.9 </td>
</tr>

<td>147</td>
<td>13-06-2019</td>
<td>009489</td>
<td>`3577014402010001</td>
<td>`3577012701150001</td>
<td>KELUN</td>
<td>KARTOHARJO</td>
<td>04-02-2001</td>
<td>18</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>`0000786398837</td>
<td>130802030619Y000582</td>
<td align='center'>
L60.9 </td>
</tr>
<td>148</td>
<td>13-06-2019</td>
<td>001253</td>
<td>SUTIYAR</td>
<td>`3519086303670002</td>
<td>`</td>
<td>SUMBEREJO</td>
<td>MADIUN</td>
<td>MADIUN</td>
<td>01-01-1967</td>
<td>52</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PNS DAERAH</td>
<td>`0000100481747</td>
<td>130802030619Y000584</td>
<td align='center'>
R51 </td>
</tr>

<td>149</td>
<td>13-06-2019</td>
<td>005742</td>
<td>ERMINTO</td>
<td>`3577021001630002</td>
<td>`3577010612100004</td>
<td>KELUN</td>
<td>KARTOHARJO</td>
<td>10-01-1963</td>
<td>56</td>
<td>L</td>
<td>Wiraswasta</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>`0001895735654</td>
<td>130802030619Y000585</td>
<td align='center'>
K21 </td>
</tr>

<td>150</td>
<td>13-06-2019</td>
<td>006257</td>
<td>POMO SUWARNO</td>
<td>`3577010802610001</td>
<td>`</td>
<td>KELUN</td>
<td>KARTOHARJO</td>
<td>08-02-1961</td>
<td>58</td>
<td>L</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>`0002432221705</td>
<td>130802030619Y000588</td>
<td align='center'>
H82 </td>
</tr>

<td>151</td>
<td>13-06-2019</td>
<td>006266</td>
<td>NASTUTI NUGRAHINI</td>
<td>`3577015505680004</td>
<td>`</td>
<td>KELUN</td>
<td>KARTOHARJO</td>
<td>15-05-1968</td>
<td>51</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS LAMA</td>
<td>BPJS</td>
<td>`0002432221964</td>
<td>130802030619Y000546</td>
<td align='center'>
J45 </td>
</tr>

<td>152</td>
<td>13-06-2019</td>
<td>004882</td>
<td>JUMIATI</td>
<td>`3577015708610004</td>
<td>`3577013103170002</td>
<td>REJOMULYO</td>
<td>KARTOHARJO</td>
<td>17-08-1961</td>
<td>57</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td></td>
<td>`0002413888907</td>
<td>130802030619Y000589</td>
<td align='center'>
L20.9 </td>
</tr>

<td>153</td>
<td>13-06-2019</td>
<td>002168</td>
<td>MADYO SUMARTONO</td>
<td>`3577011503630001</td>
<td>`3577012004071971</td>
<td>REJOMULYO</td>
<td>KARTOHARJO</td>
<td>15-03-1963</td>
<td>56</td>
<td>L</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td></td>
<td>`0001127839364</td>
<td>130802030619Y000590</td>
<td align='center'>
E11 </td>
</tr>

<td>154</td>
<td>13-06-2019</td>
<td>002171</td>
<td>SUMINEM</td>
<td>`3577014912640001</td>
<td>`3577012004071971</td>
<td>REJOMULYO</td>
<td>KARTOHARJO</td>
<td>09-12-1964</td>
<td>54</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS LAMA</td>
<td>BPJS</td>
<td></td>
<td>`0002413934381</td>
<td>130802030619Y000591</td>
<td align='center'>
E11 </td>
</tr>

<td>155</td>
<td>13-06-2019</td>
<td>002042</td>
<td>TITIK SULISTYANA</td>
<td>`3577016808630002</td>
<td>`3577012004077835</td>
<td>REJOMULYO</td>
<td>KARTOHARJO</td>
<td>28-08-1963</td>
<td>55</td>
<td>P</td>
<td>Wiraswasta</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td></td>
<td>`0002413937237</td>
<td>130802030619Y000550</td>
<td align='center'>
M54.5 </td>
</tr>

<td>156</td>
<td>13-06-2019</td>
<td>001186</td>
<td>NURANI</td>
<td>`3577015506820005</td>
<td>`3577011901080037</td>
<td>REJOMULYO</td>
<td>KARTOHARJO</td>
<td>15-06-1982</td>
<td>37</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>`0001704807562</td>
<td>130802030619Y000592</td>
<td align='center'>
R50.9 </td>
</tr>

<td>157</td>
<td>13-06-2019</td>
<td>013220</td>
<td>MAS YU AMANAH</td>
<td>`</td>
<td>`</td>
<td>MADIUN</td>
<td>MADIUN</td>
<td>30-06-1970</td>
<td>49</td>
<td>P</td>
<td>POLI UMUM</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>`</td>
<td></td>
<td align='center'>
B35.3 </td>
</tr>

<td>158</td>
<td>13-06-2019</td>
<td>000674</td>
<td>SUNARTI</td>
<td>`3577016311670003</td>
<td>`3577012104079071</td>
<td>KELUN</td>
<td>KARTOHARJO</td>
<td>23-11-1967</td>
<td>51</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS LAMA</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>`0000787491988</td>
<td>130802030619Y000558</td>
<td align='center'>
C50.9 </td>
</tr>

<td>159</td>
<td>13-06-2019</td>
<td>001455</td>
<td>SRI HARTATIK</td>
<td>`3577014610770003</td>
<td>`3577010603090005</td>
<td>KARTOHARJO</td>
<td>06-10-1977</td>
<td>41</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>`0001706776817</td>
<td>130802030619Y000605</td>
<td align='center'>
N89.8 </td>
</tr>

<td>160</td>
<td>13-06-2019</td>
<td>010986</td>
<td>HENIK SUPARMI</td>
<td>`</td>
<td>`</td>
<td>BANJARSARI</td>
<td>MADIUN</td>
<td>MADIUN</td>
<td>14-08-1981</td>
<td>37</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td></td>
<td>`0001045408329</td>
<td>130802030619Y000599</td>
<td align='center'>
I84.9 </td>
</tr>

<td>161</td>
<td>13-06-2019</td>
<td>013079</td>
<td>EVYANA SELA ANGGRAINI</td>
<td>`3577014405960002</td>
<td>`3577012104071191</td>
<td>KARTOHARJO</td>
<td>04-05-1996</td>
<td>23</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>`0002163608829</td>
<td>130802030619Y000595</td>
<td align='center'>
L60.9 </td>
</tr>

<td>162</td>
<td>13-06-2019</td>
<td>013180</td>
<td>LINA SUMARSIATIK</td>
<td>`3577016103700004</td>
<td>`3577012104071191</td>
<td>KARTOHARJO</td>
<td>21-03-1970</td>
<td>49</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>`0002163608818</td>
<td>130802030619Y000596</td>
<td align='center'>
R05 </td>
</tr>

<td>163</td>
<td>13-06-2019</td>
<td>003531</td>
<td>PAIMIN</td>
<td>`</td>
<td>`</td>
<td>TAWANGREJO</td>
<td>KARTOHARJO</td>
<td>01-09-1972</td>
<td>46</td>
<td>L</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>`0000786494248</td>
<td>130802030619Y000598</td>
<td align='center'>
M79.1 </td>
</tr>

<td>164</td>
<td>13-06-2019</td>
<td>013233</td>
<td>PITRA FAJAR RAHMADONI</td>
<td>`</td>
<td>`</td>
<td>NGLAMES</td>
<td>MADIUN</td>
<td>MADIUN</td>
<td>28-03-1989</td>
<td>30</td>
<td>L</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>`</td>
<td></td>
<td align='center'>
W55 </td>
</tr>

<td>165</td>
<td>14-06-2019</td>
<td>013284</td>
<td>SAMIRAH</td>
<td>`</td>
<td>`</td>
<td>KARTOHARJO</td>
<td>01-12-1959</td>
<td>59</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>`0000787231563</td>
<td>130802030619Y000763</td>
<td align='center'>
I10 </td>
</tr>

<td>166</td>
<td>14-06-2019</td>
<td>013247</td>
<td>DWI EKO SAPTO RAHARJO</td>
<td>`</td>
<td>`</td>
<td>BOYOLANGU</td>
<td>BOYOLANGU</td>
<td>TULUNGAGUNG</td>
<td>17-02-1985</td>
<td>34</td>
<td>L</td>
<td>POLI UMUM</td>
<td>BARU</td>
<td></td>
<td>UMUM</td>
<td>PEGAWAI BUMN</td>
<td>`0002272310188</td>
<td></td>
<td align='center'>
S42.00 </td>
</tr>

<td>167</td>
<td>14-06-2019</td>
<td>013251</td>
<td>SUWANTO</td>
<td>`3519082607730001</td>
<td>`</td>
<td>BANJARSARI</td>
<td>MADIUN</td>
<td>MADIUN</td>
<td>26-07-1973</td>
<td>45</td>
<td>L</td>
<td>POLI UMUM</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>`0002311296592</td>
<td>130802030619Y000665</td>
<td align='center'>
R50 </td>
</tr>

<td>168</td>
<td>14-06-2019</td>
<td>002442</td>
<td>PANGESTUTI WULAN</td>
<td>`3577016008590001</td>
<td>`3577012104078860</td>
<td>KELUN</td>
<td>KARTOHARJO</td>
<td>20-08-1959</td>
<td>59</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>BPJS</td>
<td>`0000104774613</td>
<td>130802030619Y000757</td>
<td align='center'>
E11 </td>
</tr>

<td>169</td>
<td>14-06-2019</td>
<td>005998</td>
<td>EVA VERONICA CAHYA NINGRUM</td>
<td>`3577015002970001</td>
<td>`</td>
<td>KELUN</td>
<td>KARTOHARJO</td>
<td>MADIUN</td>
<td>10-02-1997</td>
<td>22</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>`0002163589053</td>
<td>130802030619Y000667</td>
<td align='center'>
J11 </td>
</tr>

<td>170</td>
<td>14-06-2019</td>
<td>000205</td>
<td>PUTINGAH</td>
<td>`3577016105610001</td>
<td>`3577012104072429</td>
<td>KARTOHARJO</td>
<td>21-05-1961</td>
<td>58</td>
<td>P</td>
<td>Pensiunan</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS LAMA</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>`0000787162882</td>
<td>130802030619Y000626</td>
<td align='center'>
I64 </td>
</tr>

<td>171</td>
<td>14-06-2019</td>
<td>006974</td>
<td>WARDOYO</td>
<td>`</td>
<td>`</td>
<td>KELUN</td>
<td>KARTOHARJO</td>
<td>01-11-1980</td>
<td>38</td>
<td>L</td>
<td>Pensiunan</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>`0000786817282</td>
<td>130802030619Y000630</td>
<td align='center'>
K40 </td>
</tr>

<td>172</td>
<td>14-06-2019</td>
<td>002525</td>
<td>SLAMET SUROSO</td>
<td>`</td>
<td>`</td>
<td>REJOMULYO</td>
<td>KARTOHARJO</td>
<td>27-05-1965</td>
<td>54</td>
<td>L</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS LAMA</td>
<td>BPJS</td>
<td>`0001789467592</td>
<td>130802030619Y000629</td>
<td align='center'>
I25.9 </td>
</tr>

<td>173</td>
<td>14-06-2019</td>
<td>006819</td>
<td>MUDANINGSIH</td>
<td>`3577016310880001</td>
<td>`3577012004077718</td>
<td>REJOMULYO</td>
<td>KARTOHARJO</td>
<td>23-10-1988</td>
<td>30</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>`0001869948551</td>
<td>130802030619Y000632</td>
<td align='center'>
L93.0 </td>
</tr>

<td>174</td>
<td>14-06-2019</td>
<td>001226</td>
<td>MURTINI</td>
<td>`3519085312640002</td>
<td>`</td>
<td>NGLAMES</td>
<td>MADIUN</td>
<td>MADIUN</td>
<td>13-12-1964</td>
<td>54</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS LAMA</td>
<td>BPJS</td>
<td>`0001900184264</td>
<td>130802030619Y000668</td>
<td align='center'>
E11 </td>
</tr>

<td>175</td>
<td>14-06-2019</td>
<td>005315</td>
<td>WIYONO</td>
<td>`3519081607750001</td>
<td>`</td>
<td>DEMPELAN</td>
<td>MADIUN</td>
<td>MADIUN</td>
<td>16-07-1975</td>
<td>43</td>
<td>L</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS LAMA</td>
<td>BPJS</td>
<td>`0001326839398</td>
<td>130802030619Y000634</td>
<td align='center'>
I64 </td>
</tr>

<td>176</td>
<td>14-06-2019</td>
<td>002047</td>
<td>SANTI SUWARNI</td>
<td>`3577016810790004</td>
<td>`3577012104070476</td>
<td>KARTOHARJO</td>
<td>28-10-1979</td>
<td>39</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td></td>
<td>`0002163607536</td>
<td>130802030619Y000669</td>
<td align='center'>
R20.2 </td>
</tr>

<td>177</td>
<td>14-06-2019</td>
<td>004956</td>
<td>TULIS SETYORINI</td>
<td>`3519084406780001</td>
<td>`</td>
<td>GUNUNGSARI</td>
<td>MADIUN</td>
<td>MADIUN</td>
<td>04-06-1978</td>
<td>41</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>`0001536589653</td>
<td>130802030619Y000671</td>
<td align='center'>
M62.08 </td>
</tr>

<td>178</td>
<td>14-06-2019</td>
<td>000595</td>
<td>SUKARTI</td>
<td>`3577014205680001</td>
<td>`3577012004078426</td>
<td>REJOMULYO</td>
<td>KARTOHARJO</td>
<td>02-05-1968</td>
<td>51</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td></td>
<td>`0002492829922</td>
<td>130802030619Y000633</td>
<td align='center'>
H52.7 </td>
</tr>

<td>179</td>
<td>14-06-2019</td>
<td>003690</td>
<td>PRASETIAWATI</td>
<td>`3519086602840002</td>
<td>`</td>
<td>NGLAMES</td>
<td>MADIUN</td>
<td>MADIUN</td>
<td>26-02-1984</td>
<td>35</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>`0001537127111</td>
<td>130802030619Y000672</td>
<td align='center'>
I10 </td>
</tr>

<td>180</td>
<td>14-06-2019</td>
<td>013245</td>
<td>WIHARIATI</td>
<td>`</td>
<td>`</td>
<td>TEMPURSARI</td>
<td>WUNGU</td>
<td>MADIUN</td>
<td>03-04-1960</td>
<td>59</td>
<td>P</td>
<td>POLI UMUM</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>`</td>
<td></td>
<td align='center'>
K29.7 </td>
</tr>

<td>181</td>
<td>14-06-2019</td>
<td>005476</td>
<td>EDY SISWOYO</td>
<td>`</td>
<td>`</td>
<td>KELUN</td>
<td>KARTOHARJO</td>
<td>29-12-1968</td>
<td>50</td>
<td>L</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS LAMA</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>`0002163624491</td>
<td>130802030619Y000678</td>
<td align='center'>
E11 </td>
</tr>

<td>182</td>
<td>14-06-2019</td>
<td>009463</td>
<td>SUGIANA</td>
<td>`3173062703840002</td>
<td>`</td>
<td>DEMPELAN</td>
<td>MADIUN</td>
<td>MADIUN</td>
<td>27-03-1984</td>
<td>35</td>
<td>L</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>`0001220464427</td>
<td>130802030619Y000641</td>
<td align='center'>
I32.0 </td>
</tr>
<td>183</td>
<td>14-06-2019</td>
<td>003389</td>
<td>SURATINI</td>
<td>`3577015105620002</td>
<td>`3577012212170003</td>
<td>KARTOHARJO</td>
<td>11-05-1962</td>
<td>57</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS LAMA</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>`0000787181411</td>
<td>130802030619Y000679</td>
<td align='center'>
I15 </td>
</tr>

<td>184</td>
<td>14-06-2019</td>
<td>002641</td>
<td>SRI TISNALIJAH</td>
<td>`</td>
<td>`</td>
<td>KARTOHARJO</td>
<td>29-07-1965</td>
<td>53</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>`0001704814121</td>
<td>130802030619Y000680</td>
<td align='center'>
J00 </td>
</tr>

<td>185</td>
<td>14-06-2019</td>
<td>005230</td>
<td>SURYANI</td>
<td>`3519085206670001</td>
<td>`</td>
<td>DEMPELAN</td>
<td>MADIUN</td>
<td>MADIUN</td>
<td>12-06-1967</td>
<td>52</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS LAMA</td>
<td>BPJS</td>
<td>`0002250136348</td>
<td>130802030619Y000656</td>
<td align='center'>
M43.06 </td>
</tr>

<td>186</td>
<td>14-06-2019</td>
<td>000449</td>
<td>WAGIMAN</td>
<td>`3577010201650003</td>
<td>`</td>
<td>TAWANGREJO</td>
<td>KARTOHARJO</td>
<td>02-01-1965</td>
<td>54</td>
<td>L</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>`3577012104072658</td>
<td></td>
<td align='center'>
K30 </td>
</tr>

<td>187</td>
<td>14-06-2019</td>
<td>001145</td>
<td>SUKARDOYO</td>
<td>`3577011908590001</td>
<td>`3577012104078556</td>
<td>KELUN</td>
<td>KARTOHARJO</td>
<td>MADIUN</td>
<td>19-08-1959</td>
<td>59</td>
<td>L</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>`0001049800656</td>
<td>130802030619Y000686</td>
<td align='center'>
I15.9 </td>
</tr>

<td>188</td>
<td>14-06-2019</td>
<td>010849</td>
<td>`3578125905680001</td>
<td>`3577012107170003</td>
<td>REJOMULYO</td>
<td>KARTOHARJO</td>
<td>MADIUN</td>
<td>01-01-1970</td>
<td>49</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>BPJS</td>
<td></td>
<td>`0001304701773</td>
<td>130802030619Y000689</td>
<td align='center'>
H91.9 </td>
</tr>

<td>189</td>
<td>14-06-2019</td>
<td>006933</td>
<td>FANNY RIZKY YULIANTO PUTRA</td>
<td>`3577013007980001</td>
<td>`3577012104072335</td>
<td>KARTOHARJO</td>
<td>30-07-1998</td>
<td>20</td>
<td>L</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>`0001704817495</td>
<td>130802030619Y000694</td>
<td align='center'>
H01.9 </td>
</tr>

<td>190</td>
<td>14-06-2019</td>
<td>000607</td>
<td>SLAMET</td>
<td>`3577010809680003</td>
<td>`</td>
<td>KELUN</td>
<td>KARTOHARJO</td>
<td>01-09-1968</td>
<td>50</td>
<td>L</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>`0000786809349</td>
<td>130802030619Y000695</td>
<td align='center'>
R10 </td>
</tr>

<td>191</td>
<td>14-06-2019</td>
<td>001186</td>
<td>NURANI</td>
<td>`3577015506820005</td>
<td>`3577011901080037</td>
<td>REJOMULYO</td>
<td>KARTOHARJO</td>
<td>15-06-1982</td>
<td>37</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>`0001704807562</td>
<td>130802030619Y000696</td>
<td align='center'>
A90 </td>
</tr>

<td>192</td>
<td>14-06-2019</td>
<td>013234</td>
<td>MARGONO</td>
<td>`</td>
<td>`</td>
<td>REJOMULYO</td>
<td>KARTOHARJO</td>
<td>11-09-1961</td>
<td>57</td>
<td>L</td>
<td>Wiraswasta</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>`0001704874353</td>
<td>130802030619Y000698</td>
<td align='center'>
R10 </td>
</tr>

<td>193</td>
<td>14-06-2019</td>
<td>007697</td>
<td>SUJARWOKO</td>
<td>`3519081510840001</td>
<td>`</td>
<td>TULUNGREJO</td>
<td>MADIUN</td>
<td>MADIUN</td>
<td>15-10-1984</td>
<td>34</td>
<td>L</td>
<td>Guru</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>UMUM</td>
<td>`0001870748627</td>
<td></td>
<td align='center'>
A16.9 </td>
</tr>

<td>194</td>
<td>14-06-2019</td>
<td>000633</td>
<td>SYAFIUL ANAM</td>
<td>`3577010602670003</td>
<td>`3577010704090005</td>
<td>REJOMULYO</td>
<td>KARTOHARJO</td>
<td>06-02-1967</td>
<td>52</td>
<td>L</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>BPJS</td>
<td>`0002464086295</td>
<td>130802030619Y000699</td>
<td align='center'>
E11.8 </td>
</tr>

<td>195</td>
<td>17-06-2019</td>
<td>013285</td>
<td>DIDIK HUDIONO</td>
<td>`</td>
<td>`</td>
<td>MADIUN</td>
<td>MADIUN</td>
<td>12-02-1977</td>
<td>42</td>
<td>L</td>
<td>POLI UMUM</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>`0001792951885</td>
<td>130802030619Y000808</td>
<td align='center'>
S72 </td>
</tr>

<td>196</td>
<td>17-06-2019</td>
<td>013287</td>
<td>U`UT PUJIANI</td>
<td>`</td>
<td>`</td>
<td>KELUN</td>
<td>KARTOHARJO</td>
<td>30-09-1975</td>
<td>43</td>
<td>P</td>
<td>POLI UMUM</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>`0002163614106</td>
<td>130802030619Y000847</td>
<td align='center'>
J11 </td>
</tr>

<td>197</td>
<td>17-06-2019</td>
<td>013288</td>
<td>HARTINI</td>
<td>`3173024207690003</td>
<td>`</td>
<td>KELUN</td>
<td>KARTOHARJO</td>
<td>02-07-1969</td>
<td>50</td>
<td>P</td>
<td>POLI UMUM</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PNS DAERAH</td>
<td>`0000104767705</td>
<td>130802030619Y000848</td>
<td align='center'>
J11 </td>
</tr>

<td>198</td>
<td>17-06-2019</td>
<td>013290</td>
<td>SARSINI</td>
<td>`3577014705650002</td>
<td>`3577012104071966</td>
<td>KARTOHARJO</td>
<td>07-05-1965</td>
<td>54</td>
<td>P</td>
<td>POLI UMUM</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>`0000787434761</td>
<td>130802030619Y000849</td>
<td align='center'>
J11 </td>
</tr>

<td>199</td>
<td>17-06-2019</td>
<td>013291</td>
<td>YAYUK MARIJANA</td>
<td>`</td>
<td>`</td>
<td>BANJARSARI</td>
<td>MADIUN</td>
<td>MADIUN</td>
<td>23-05-1969</td>
<td>50</td>
<td>P</td>
<td>POLI UMUM</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>`0002761627779</td>
<td>130802030619Y000850</td>
<td align='center'>
J11 </td>
</tr>

<td>200</td>
<td>17-06-2019</td>
<td>013299</td>
<td>ANGGORO BUDI KRISTANTO</td>
<td>`3577012505790003</td>
<td>`3577011703100007</td>
<td>REJOMULYO</td>
<td>KARTOHARJO</td>
<td>25-05-1979</td>
<td>40</td>
<td>L</td>
<td>POLI UMUM</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>`0001704873881</td>
<td>130802030619Y000853</td>
<td align='center'>
J11 </td>
</tr>

<td>201</td>
<td>17-06-2019</td>
<td>013301</td>
<td>SUMARYONO</td>
<td>`3577010706720001</td>
<td>`3577012004077705</td>
<td>REJOMULYO</td>
<td>KARTOHARJO</td>
<td>07-06-1972</td>
<td>47</td>
<td>L</td>
<td>POLI UMUM</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>`0001704808383</td>
<td>130802030619Y000854</td>
<td align='center'>
M13 </td>
</tr>

<td>202</td>
<td>17-06-2019</td>
<td>013316</td>
<td>PRIHATIN</td>
<td>`</td>
<td>`</td>
<td>REJOMULYO</td>
<td>KARTOHARJO</td>
<td>21-01-1973</td>
<td>46</td>
<td>P</td>
<td>POLI UMUM</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>`0002413935325</td>
<td>130802030619Y000915</td>
<td align='center'>
H60 </td>
</tr>

<td>203</td>
<td>17-06-2019</td>
<td>013317</td>
<td>YAKUP HARIYANTO</td>
<td>`</td>
<td>`</td>
<td>TEMPURSARI</td>
<td>WUNGU</td>
<td>MADIUN</td>
<td>17-03-1990</td>
<td>29</td>
<td>L</td>
<td>POLI UMUM</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>`0000737368931</td>
<td>130802030619Y000916</td>
<td align='center'>
A09 </td>
</tr>

<td>204</td>
<td>17-06-2019</td>
<td>013318</td>
<td>SUMARNO</td>
<td>`3577010706770001</td>
<td>`3577011006130001</td>
<td>REJOMULYO</td>
<td>KARTOHARJO</td>
<td>07-06-1977</td>
<td>42</td>
<td>L</td>
<td>POLI UMUM</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td>`0002475307451</td>
<td></td>
<td align='center'>
J00 </td>
</tr>

<td>205</td>
<td>17-06-2019</td>
<td>000424</td>
<td>WURYANINGSIH</td>
<td>`</td>
<td>`</td>
<td>TAWANGREJO</td>
<td>KARTOHARJO</td>
<td>06-05-1971</td>
<td>48</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td></td>
<td>`0002163594756</td>
<td>130802030619Y000855</td>
<td align='center'>
Z00 </td>
</tr>

<td>206</td>
<td>17-06-2019</td>
<td>011048</td>
<td>TYARA PURY MAHESTI</td>
<td>` 3577016908990001</td>
<td>`3577012104072724</td>
<td>KARTOHARJO</td>
<td>29-08-1999</td>
<td>19</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>`0000787433501</td>
<td>130802030619Y000856</td>
<td align='center'>
L23 </td>
</tr>
<td>207</td>
<td>17-06-2019</td>
<td>010648</td>
<td>SUJIANTO</td>
<td>`6371031709670001</td>
<td>`3577012301180008</td>
<td>KARTOHARJO</td>
<td>17-09-1967</td>
<td>51</td>
<td>L</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>`0002163618911</td>
<td>130802030619Y000794</td>
<td align='center'>
T15 </td>
</tr>

<td>208</td>
<td>17-06-2019</td>
<td>001475</td>
<td>`</td>
<td>`</td>
<td>REJOMULYO</td>
<td>KARTOHARJO</td>
<td>22-04-1990</td>
<td>29</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS LAMA</td>
<td>BPJS</td>
<td></td>
<td>`0000106491879</td>
<td>130802030619Y000859</td>
<td align='center'>
K30 </td>
</tr>

<td>209</td>
<td>17-06-2019</td>
<td>002147</td>
<td>RACHMAN PRIONO</td>
<td>`3577012310620001</td>
<td>`3577012104072202</td>
<td>KARTOHARJO</td>
<td>23-10-1962</td>
<td>56</td>
<td>L</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>`0002163611889</td>
<td>130802030619Y000860</td>
<td align='center'>
J11 </td>
</tr>

<td>210</td>
<td>17-06-2019</td>
<td>011378</td>
<td>GIEK SUGIYANTO</td>
<td>`</td>
<td>`</td>
<td>REJOMULYO</td>
<td>KARTOHARJO</td>
<td>05-07-1960</td>
<td>58</td>
<td>L</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>`0002413937305</td>
<td>130802030619Y000861</td>
<td align='center'>
J11 </td>
</tr>

<td>211</td>
<td>17-06-2019</td>
<td>013286</td>
<td>RIYAH</td>
<td>`</td>
<td>`</td>
<td>BETEK</td>
<td>MADIUN</td>
<td>MADIUN</td>
<td>21-05-1963</td>
<td>56</td>
<td>P</td>
<td>POLI UMUM</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>`</td>
<td></td>
<td align='center'>
J11 </td>
</tr>

<td>212</td>
<td>17-06-2019</td>
<td>001423</td>
<td>LIS SETYORINI</td>
<td>`3577016708720001</td>
<td>`3577012104079086</td>
<td>KELUN</td>
<td>KARTOHARJO</td>
<td>MADIUN</td>
<td>27-08-1972</td>
<td>46</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>`0000209506206</td>
<td>130802030619Y000866</td>
<td align='center'>
M13 </td>
</tr>

<td>213</td>
<td>17-06-2019</td>
<td>006086</td>
<td>SRI HARTATI</td>
<td>`</td>
<td>`</td>
<td>GUNUNGSARI</td>
<td>MADIUN</td>
<td>MADIUN</td>
<td>28-06-1965</td>
<td>54</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>BPJS</td>
<td>`0000104916396</td>
<td>130802030619Y000791</td>
<td align='center'>
E11.8 </td>
</tr>

<td>214</td>
<td>17-06-2019</td>
<td>006235</td>
<td>SITI NURWATI</td>
<td>`3577014704610001</td>
<td>`</td>
<td>TAWANGREJO</td>
<td>KARTOHARJO</td>
<td>MADIUN</td>
<td>01-04-1961</td>
<td>58</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>`0000787439968</td>
<td>130802030619Y000871</td>
<td align='center'>
I10 </td>
</tr>

<td>215</td>
<td>17-06-2019</td>
<td>013247</td>
<td>DWI EKO SAPTO RAHARJO</td>
<td>`</td>
<td>`</td>
<td>BOYOLANGU</td>
<td>BOYOLANGU</td>
<td>TULUNGAGUNG</td>
<td>17-02-1985</td>
<td>34</td>
<td>L</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS LAMA</td>
<td>BPJS</td>
<td>PEGAWAI BUMN</td>
<td>`0002272310188</td>
<td>130802030619Y000918</td>
<td align='center'>
W49.9 </td>
</tr>

<td>216</td>
<td>17-06-2019</td>
<td>012488</td>
<td>DENIS AGUSTIN WIJAYANTI</td>
<td>`3577015912950001</td>
<td>`3577012104072381</td>
<td>KARTOHARJO</td>
<td>19-12-1995</td>
<td>23</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS LAMA</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>`0002163612644</td>
<td>130802030619Y000821</td>
<td align='center'>
D24 </td>
</tr>

<td>217</td>
<td>17-06-2019</td>
<td>003467</td>
<td>MIRA TUNUSIKAH</td>
<td>`3519086307850002</td>
<td>`</td>
<td>BETEK</td>
<td>MADIUN</td>
<td>MADIUN</td>
<td>23-07-1985</td>
<td>33</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>`0001536818782</td>
<td>130802030619Y000878</td>
<td align='center'>
J00 </td>
</tr>

<td>218</td>
<td>17-06-2019</td>
<td>005672</td>
<td>YULIANA</td>
<td>`3577017007870001</td>
<td>`3577011103110006</td>
<td>KELUN</td>
<td>KARTOHARJO</td>
<td>30-07-1987</td>
<td>31</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>`0000787535109</td>
<td>130802030619Y000879</td>
<td align='center'>
J11 </td>
</tr>

<td>219</td>
<td>17-06-2019</td>
<td>008616</td>
<td>ARDHI PAMUNGKAS</td>
<td>`3577011503970001</td>
<td>`3577011008170006</td>
<td>REJOMULYO</td>
<td>KARTOHARJO</td>
<td>15-03-1997</td>
<td>22</td>
<td>L</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td>`0002038847308</td>
<td></td>
<td align='center'>
J11 </td>
</tr>

<td>220</td>
<td>17-06-2019</td>
<td>002073</td>
<td>DWI PURNAWATI</td>
<td>`3519095903840004</td>
<td>`3577011401110001</td>
<td>KELUN</td>
<td>KARTOHARJO</td>
<td>19-03-1984</td>
<td>35</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS LAMA</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>`0002163594205</td>
<td>130802030619Y000827</td>
<td align='center'>
E11 </td>
</tr>

<td>221</td>
<td>17-06-2019</td>
<td>004173</td>
<td>MINARTIYANI</td>
<td>`3519084308660001</td>
<td>`</td>
<td>NGLAMES</td>
<td>MADIUN</td>
<td>MADIUN</td>
<td>03-08-1966</td>
<td>52</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS LAMA</td>
<td>BPJS</td>
<td>`0001833793626</td>
<td>130802030619Y000826</td>
<td align='center'>
E11 </td>
</tr>

<td>222</td>
<td>17-06-2019</td>
<td>009489</td>
<td>`3577014402010001</td>
<td>`3577012701150001</td>
<td>KELUN</td>
<td>KARTOHARJO</td>
<td>04-02-2001</td>
<td>18</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS LAMA</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>`0000786398837</td>
<td>130802030619Y000888</td>
<td align='center'>
L24 </td>
</tr>

<td>223</td>
<td>17-06-2019</td>
<td>010020</td>
<td>MARYALIN</td>
<td>`</td>
<td>`</td>
<td>MADIUN</td>
<td>MADIUN</td>
<td>11-06-1965</td>
<td>54</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>`0000104819196</td>
<td>130802030619Y000828</td>
<td align='center'>
H52.7 </td>
</tr>

<td>224</td>
<td>17-06-2019</td>
<td>005111</td>
<td>DARTI</td>
<td>`</td>
<td>`</td>
<td>REJOMULYO</td>
<td>KARTOHARJO</td>
<td>17-07-1976</td>
<td>42</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>`0001704807358</td>
<td>130802030619Y000889</td>
<td align='center'>
M13 </td>
</tr>

<td>225</td>
<td>17-06-2019</td>
<td>013303</td>
<td>MOCHAMAD NUR`AINI</td>
<td>`</td>
<td>`</td>
<td>TIRON</td>
<td>MADIUN</td>
<td>MADIUN</td>
<td>18-11-1978</td>
<td>40</td>
<td>L</td>
<td>POLI UMUM</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>`</td>
<td></td>
<td align='center'>
J11 </td>
</tr>

<td>226</td>
<td>17-06-2019</td>
<td>013304</td>
<td>MARTININGSIH PUTRI RAHAYU</td>
<td>`</td>
<td>`</td>
<td>TIRON</td>
<td>MADIUN</td>
<td>MADIUN</td>
<td>23-03-1986</td>
<td>33</td>
<td>P</td>
<td>POLI UMUM</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>`</td>
<td></td>
<td align='center'>
L24 </td>
</tr>

<td>227</td>
<td>17-06-2019</td>
<td>003813</td>
<td>RR. DIAH TRIANAWATI</td>
<td>`3519087105700001</td>
<td>`3519081206070328</td>
<td>TIRON</td>
<td>MADIUN</td>
<td>MADIUN</td>
<td>31-05-1970</td>
<td>49</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>`0001901712677</td>
<td>130802030619Y000926</td>
<td align='center'>
R51 </td>
</tr>

<td>228</td>
<td>17-06-2019</td>
<td>002320</td>
<td>PAINI</td>
<td>`3519084805640002</td>
<td>`</td>
<td>GUNUNGSARI</td>
<td>MADIUN</td>
<td>MADIUN</td>
<td>08-05-1964</td>
<td>55</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS LAMA</td>
<td>BPJS</td>
<td>`0002218170071</td>
<td>130802030619Y000931</td>
<td align='center'>
E11 </td>
</tr>

<td>229</td>
<td>17-06-2019</td>
<td>011957</td>
<td>SITI SULISTIYANI</td>
<td>`3519084702670001</td>
<td>`</td>
<td>NGLAMES</td>
<td>MADIUN</td>
<td>MADIUN</td>
<td>07-02-1967</td>
<td>52</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>`0002314207427</td>
<td>130802030619Y000934</td>
<td align='center'>
W49 </td>
</tr>

<td>230</td>
<td>17-06-2019</td>
<td>005376</td>
<td>ISTINGANAH</td>
<td>`</td>
<td>`</td>
<td>BETEK</td>
<td>MADIUN</td>
<td>MADIUN</td>
<td>10-12-1961</td>
<td>57</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS LAMA</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>`0001083263095</td>
<td>130802030619Y000935</td>
<td align='center'>
E11 </td>
</tr>

<td>231</td>
<td>17-06-2019</td>
<td>000269</td>
<td> SUGENG WASONO</td>
<td>`</td>
<td>`</td>
<td>REJOMULYO</td>
<td>KARTOHARJO</td>
<td>MADIUN</td>
<td>25-07-1966</td>
<td>52</td>
<td>L</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS LAMA</td>
<td>BPJS</td>
<td></td>
<td>`0002413941636</td>
<td>130802030619Y000906</td>
<td align='center'>
E11.5 </td>
</tr>

<td>232</td>
<td>17-06-2019</td>
<td>010553</td>
<td>HENI RAHAYU NINGSIH</td>
<td>`</td>
<td>`</td>
<td>TIRON</td>
<td>MADIUN</td>
<td>MADIUN</td>
<td>09-09-1980</td>
<td>38</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td></td>
<td>`0002747789954</td>
<td>130802030619Y000940</td>
<td align='center'>
M79.1 </td>
</tr>

<td>233</td>
<td>17-06-2019</td>
<td>012937</td>
<td>`</td>
<td>`</td>
<td>KARTOHARJO</td>
<td>23-03-1999</td>
<td>20</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td></td>
<td>BPJS</td>
<td></td>
<td>`0002414003703</td>
<td>130802030619Y000943</td>
<td align='center'>
W49 </td>
</tr>

<td>234</td>
<td>17-06-2019</td>
<td>002705</td>
<td>`</td>
<td>`</td>
<td>MANISREJO</td>
<td>TAMAN</td>
<td>MADIUN</td>
<td>01-05-1963</td>
<td>56</td>
<td>L</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PNS DAERAH</td>
<td>`0000106295174</td>
<td>130802030619Y000946</td>
<td align='center'>
I10 </td>
</tr>

<td>235</td>
<td>17-06-2019</td>
<td>013233</td>
<td>PITRA FAJAR RAHMADONI</td>
<td>`</td>
<td>`</td>
<td>NGLAMES</td>
<td>MADIUN</td>
<td>MADIUN</td>
<td>28-03-1989</td>
<td>30</td>
<td>L</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS LAMA</td>
<td>UMUM</td>
<td></td>
<td>`</td>
<td></td>
<td align='center'>
W49 </td>
</tr>

<td>236</td>
<td>17-06-2019</td>
<td>004035</td>
<td>IKA PUJI WAHYUNI</td>
<td>`3577016806890004</td>
<td>`3577011605160001</td>
<td>REJOMULYO</td>
<td>KARTOHARJO</td>
<td>28-06-1989</td>
<td>30</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>`0001801514744</td>
<td>130802030619Y000953</td>
<td align='center'>
Z00.8 </td>
</tr>

<td>237</td>
<td>18-06-2019</td>
<td>013326</td>
<td>WAHYU SUHARTI</td>
<td>`</td>
<td>`</td>
<td>TIRON</td>
<td>MADIUN</td>
<td>MADIUN</td>
<td>17-10-1959</td>
<td>59</td>
<td>P</td>
<td>POLI UMUM</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>`0002421250659</td>
<td>130802030619Y000995</td>
<td align='center'>
I15.9 </td>
</tr>

<td>238</td>
<td>18-06-2019</td>
<td>013343</td>
<td>DWI ANDRIYANTO</td>
<td>`</td>
<td>`</td>
<td>KARTOHARJO</td>
<td>28-05-1974</td>
<td>45</td>
<td>L</td>
<td>POLI UMUM</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>`0001704815515</td>
<td>130802030619Y000999</td>
<td align='center'>
R51 </td>
</tr>

<td>239</td>
<td>18-06-2019</td>
<td>013349</td>
<td>SUHARNINGSIH</td>
<td>`3519085708610001</td>
<td>`</td>
<td>MADIUN</td>
<td>MADIUN</td>
<td>17-08-1961</td>
<td>57</td>
<td>P</td>
<td>POLI UMUM</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>`0002750527383</td>
<td>130802030619Y001001</td>
<td align='center'>
A09 </td>
</tr>

<td>240</td>
<td>18-06-2019</td>
<td>013355</td>
<td>ANDIK HANDOKO</td>
<td>`3577010000 </td>
<td>`</td>
<td>REJOMULYO</td>
<td>KARTOHARJO</td>
<td>14-04-1974</td>
<td>45</td>
<td>L</td>
<td>POLI UMUM</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PNS DAERAH</td>
<td>`0000100142032</td>
<td>130802030619Y000983</td>
<td align='center'>
H52.7 </td>
</tr>

<td>241</td>
<td>18-06-2019</td>
<td>013369</td>
<td>ROCHMAT</td>
<td>`3577012009750001</td>
<td>`3577010209140001</td>
<td>REJOMULYO</td>
<td>KARTOHARJO</td>
<td>20-09-1975</td>
<td>43</td>
<td>L</td>
<td>POLI UMUM</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>`0002413927653</td>
<td>130802030619Y001009</td>
<td align='center'>
I20 </td>
</tr>
<td>242</td>
<td>18-06-2019</td>
<td>000100</td>
<td>SUNARTI</td>
<td>`3519085205640001</td>
<td>`</td>
<td>NGLAMES</td>
<td>MADIUN</td>
<td>MADIUN</td>
<td>12-05-1964</td>
<td>55</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>BPJS</td>
<td>`0001844420152</td>
<td>130802030619Y001012</td>
<td align='center'>
E11 </td>
</tr>

<td>243</td>
<td>18-06-2019</td>
<td>008230</td>
<td>ENDANG SRIYATI</td>
<td>`3671024607590002</td>
<td>`</td>
<td>NGLAMES</td>
<td>MADIUN</td>
<td>MADIUN</td>
<td>06-07-1959</td>
<td>59</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>`0001738772166</td>
<td>130802030619Y001017</td>
<td align='center'>
R05 </td>
</tr>

<td>244</td>
<td>18-06-2019</td>
<td>001784</td>
<td>`3519085912620002</td>
<td>`</td>
<td>NGLAMES</td>
<td>MADIUN</td>
<td>MADIUN</td>
<td>19-12-1962</td>
<td>56</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>BPJS</td>
<td>`0000104951171</td>
<td>130802030619Y001026</td>
<td align='center'>
E11 </td>
</tr>

<td>245</td>
<td>18-06-2019</td>
<td>007532</td>
<td>RACHMAD KARTOLO</td>
<td>`3273020902660005</td>
<td>`</td>
<td>TAWANGREJO</td>
<td>KARTOHARJO</td>
<td>09-02-1966</td>
<td>53</td>
<td>L</td>
<td>Wiraswasta</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td>`0002081346287</td>
<td></td>
<td align='center'>
W49 </td>
</tr>

<td>246</td>
<td>18-06-2019</td>
<td>006210</td>
<td>ELLA KOMARIAH</td>
<td>`3273026112670008</td>
<td>`3273022907105817</td>
<td>DAGO</td>
<td>COBLONG</td>
<td>KOTA BANDUNG</td>
<td>21-12-1967</td>
<td>51</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td>`0002081346996</td>
<td></td>
<td align='center'>
W49 </td>
</tr>

<td>247</td>
<td>18-06-2019</td>
<td>000108</td>
<td>YAYUK PURWANINGSIH</td>
<td>`3519085212710003</td>
<td>`</td>
<td>TIRON</td>
<td>MADIUN</td>
<td>MADIUN</td>
<td>12-12-1971</td>
<td>47</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS LAMA</td>
<td>BPJS</td>
<td>`0002469775915</td>
<td>130802030619Y000969</td>
<td align='center'>
S22.00 </td>
</tr>

<td>248</td>
<td>18-06-2019</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>POLI UMUM</td>
<td>LAMA</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>`0000786616031</td>
<td>130802030619Y000971</td>
<td align='center'>
H11.0 </td>
</tr>

<td>249</td>
<td>18-06-2019</td>
<td>011930</td>
<td>SEPTIANA</td>
<td>`</td>
<td>`</td>
<td>TIRON</td>
<td>MADIUN</td>
<td>MADIUN</td>
<td>11-09-1996</td>
<td>22</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>`0001899289361</td>
<td>130802030619Y001033</td>
<td align='center'>
J11 </td>
</tr>

<td>250</td>
<td>18-06-2019</td>
<td>000360</td>
<td>SUPARMI</td>
<td>`3519085410620001</td>
<td>`</td>
<td>GUNUNGSARI</td>
<td>MADIUN</td>
<td>MADIUN</td>
<td>14-10-1962</td>
<td>56</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS LAMA</td>
<td>BPJS</td>
<td>`0000106302339</td>
<td>130802030619Y000972</td>
<td align='center'>
G56.0 </td>
</tr>

<td>251</td>
<td>18-06-2019</td>
<td>013332</td>
<td>AYUNI QURROTI</td>
<td>`</td>
<td>`</td>
<td>MADIUN</td>
<td>MADIUN</td>
<td>08-08-1999</td>
<td>19</td>
<td>P</td>
<td>POLI UMUM</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>`</td>
<td></td>
<td align='center'>
R50.9 </td>
</tr>

<td>252</td>
<td>18-06-2019</td>
<td>012566</td>
<td>M HAFIDH IZZUDDIN</td>
<td>`3577011112660001</td>
<td>`3577012104071814</td>
<td>KARTOHARJO</td>
<td>11-12-1966</td>
<td>52</td>
<td>L</td>
<td>Wiraswasta</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>`0002163610563</td>
<td>130802030619Y000970</td>
<td align='center'>
R47.1 </td>
</tr>

<td>253</td>
<td>18-06-2019</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>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>`0000786520765</td>
<td>130802030619Y001037</td>
<td align='center'>
T30 </td>
</tr>

<td>254</td>
<td>18-06-2019</td>
<td>003034</td>
<td>SRI UTAMI</td>
<td>`3519086704680001</td>
<td>`3519080101990078</td>
<td>TIRON</td>
<td>MADIUN</td>
<td>MADIUN</td>
<td>27-04-1968</td>
<td>51</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>`0001321560358</td>
<td>130802030619Y001040</td>
<td align='center'>
M17 </td>
</tr>

<td>255</td>
<td>18-06-2019</td>
<td>003477</td>
<td>PUNGKI HADI</td>
<td>`</td>
<td>`</td>
<td>SIDOMULYO</td>
<td>SAWAHAN</td>
<td>MADIUN</td>
<td>01-01-2000</td>
<td>19</td>
<td>L</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>`</td>
<td></td>
<td align='center'>
J00 </td>
</tr>

<td>256</td>
<td>18-06-2019</td>
<td>010926</td>
<td>LILIK SUMIATI</td>
<td>`3519075705680002</td>
<td>`</td>
<td>NGLANDUK</td>
<td>WUNGU</td>
<td>MADIUN</td>
<td>17-05-1968</td>
<td>51</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>`0002494221041</td>
<td>130802030619Y001049</td>
<td align='center'>
J02.9 </td>
</tr>

<td>257</td>
<td>18-06-2019</td>
<td>003712</td>
<td>SUWARTI</td>
<td>`3577014812750004</td>
<td>`3577012104071718</td>
<td>KARTOHARJO</td>
<td>08-12-1975</td>
<td>43</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>`0001536594445</td>
<td>130802030619Y001052</td>
<td align='center'>
J11 </td>
</tr>

<td>258</td>
<td>18-06-2019</td>
<td>013185</td>
<td>MOH FARID MAFTUH</td>
<td>`3518063010840001</td>
<td>`3577012010150002</td>
<td>KARTOHARJO</td>
<td>30-10-1984</td>
<td>34</td>
<td>L</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PNS PUSAT</td>
<td>`0001276520038</td>
<td>130802030619Y001054</td>
<td align='center'>
L30.3 </td>
</tr>

<td>259</td>
<td>18-06-2019</td>
<td>002792</td>
<td>NITA PURNAMASARI</td>
<td>`</td>
<td>`</td>
<td>TAWANGREJO</td>
<td>KARTOHARJO</td>
<td>02-04-1979</td>
<td>40</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>`0001704820228</td>
<td>130802030619Y001058</td>
<td align='center'>
R10 </td>
</tr>

<td>260</td>
<td>18-06-2019</td>
<td>000404</td>
<td>DIAH RINI SULISTIONINGRUM</td>
<td>`3519085712590001</td>
<td>`</td>
<td>BANJARSARI</td>
<td>MADIUN</td>
<td>MADIUN</td>
<td>17-12-1959</td>
<td>59</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS LAMA</td>
<td>BPJS</td>
<td>`0002320577605</td>
<td>130802030619Y001059</td>
<td align='center'>
E11 </td>
</tr>

<td>261</td>
<td>18-06-2019</td>
<td>002122</td>
<td>DEVIN DWI PRASETYO</td>
<td>`3577011812990002</td>
<td>`3577012104072501</td>
<td>KARTOHARJO</td>
<td>18-12-1999</td>
<td>19</td>
<td>L</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS LAMA</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>`0001704818103</td>
<td>130802030619Y001070</td>
<td align='center'>
K30 </td>
</tr>

<td>262</td>
<td>18-06-2019</td>
<td>001266</td>
<td>DWI ENDAH SUYATMI</td>
<td>`3519086707840003</td>
<td>`</td>
<td>TIRON</td>
<td>MADIUN</td>
<td>MADIUN</td>
<td>27-07-1984</td>
<td>34</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>`0001536816341</td>
<td>130802030619Y001074</td>
<td align='center'>
R10 </td>
</tr>

<td>263</td>
<td>18-06-2019</td>
<td>004161</td>
<td>SITI WASIAH</td>
<td>`</td>
<td>`</td>
<td>KELUN</td>
<td>KARTOHARJO</td>
<td>01-10-1976</td>
<td>42</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>`0000786784241</td>
<td>130802030619Y001079</td>
<td align='center'>
K30 </td>
</tr>

<td>264</td>
<td>18-06-2019</td>
<td>005758</td>
<td>SITI SUNDARI</td>
<td>`</td>
<td>`</td>
<td>SUMBEREJO</td>
<td>MADIUN</td>
<td>MADIUN</td>
<td>23-05-1964</td>
<td>55</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>BPJS</td>
<td>PNS DAERAH</td>
<td>`0000105134703</td>
<td>130802030619Y000992</td>
<td align='center'>
F32.9 </td>
</tr>

<td>265</td>
<td>18-06-2019</td>
<td>008936</td>
<td>INGGRA NOVITASARI</td>
<td>`3577026811870003</td>
<td>`3577011411110001</td>
<td>REJOMULYO</td>
<td>KARTOHARJO</td>
<td>28-11-1987</td>
<td>31</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>`0002413932265</td>
<td>130802030619Y000993</td>
<td align='center'>
D24 </td>
</tr>
<td>266</td>
<td>19-06-2019</td>
<td>013388</td>
<td>SAIMUN PANIDJAN</td>
<td>`3519080306660100</td>
<td>`</td>
<td>MADIUN</td>
<td>MADIUN</td>
<td>01-06-1966</td>
<td>53</td>
<td>L</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>`0001045403021</td>
<td>130802030619Y001141</td>
<td align='center'>
J11 </td>
</tr>

<td>267</td>
<td>19-06-2019</td>
<td>013399</td>
<td>EDY ISWAHYUDI</td>
<td>`3521091804660002</td>
<td>`</td>
<td>KETANGGI</td>
<td>NGAWI</td>
<td>NGAWI</td>
<td>18-04-1966</td>
<td>53</td>
<td>L</td>
<td>POLI UMUM</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>`0002455439905</td>
<td>130802030619Y001145</td>
<td align='center'>
H82 </td>
</tr>

<td>268</td>
<td>19-06-2019</td>
<td>013402</td>
<td>WIJI RIYA FITRIYANINGSIH</td>
<td>`3577016404920002</td>
<td>`3577013012080008</td>
<td>REJOMULYO</td>
<td>KARTOHARJO</td>
<td>24-04-1992</td>
<td>27</td>
<td>P</td>
<td>POLI UMUM</td>
<td>BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>`0002413949646</td>
<td>130802030619Y001138</td>
<td align='center'>
Z48.0 </td>
</tr>

<td>269</td>
<td>19-06-2019</td>
<td>002431</td>
<td>SULASTRI</td>
<td>`3577034504680001</td>
<td>`3577032004074623</td>
<td>PANDEAN</td>
<td>TAMAN</td>
<td>05-04-1968</td>
<td>51</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS LAMA</td>
<td>BPJS</td>
<td>PNS DAERAH</td>
<td>`0000106295501</td>
<td>130802030619Y001111</td>
<td align='center'>
D05 </td>
</tr>

<td>270</td>
<td>19-06-2019</td>
<td>007822</td>
<td>ENDANG SRI ASTUTI</td>
<td>`3519085607900001</td>
<td>`</td>
<td>TIRON</td>
<td>MADIUN</td>
<td>MADIUN</td>
<td>16-07-1990</td>
<td>28</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>`0001180257096</td>
<td>130802030619Y001147</td>
<td align='center'>
R51 </td>
</tr>

<td>271</td>
<td>19-06-2019</td>
<td>005118</td>
<td>TUMINI</td>
<td>`3577015412790003</td>
<td>`3577012104078630</td>
<td>KELUN</td>
<td>KARTOHARJO</td>
<td>14-12-1979</td>
<td>39</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>`0000786684069</td>
<td>130802030619Y001149</td>
<td align='center'>
W49 </td>
</tr>

<td>272</td>
<td>19-06-2019</td>
<td>007351</td>
<td>NYAMI PURWATI</td>
<td>`3519085502730003</td>
<td>`</td>
<td>SIRAPAN</td>
<td>MADIUN</td>
<td>MADIUN</td>
<td>15-02-1973</td>
<td>46</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>BPJS</td>
<td>`0002246464089</td>
<td>130802030619Y001114</td>
<td align='center'>
N83.2 </td>
</tr>

<td>273</td>
<td>19-06-2019</td>
<td>000560</td>
<td>SUTINEM</td>
<td>`3577016504610003</td>
<td>`3577012104078529</td>
<td>KELUN</td>
<td>KARTOHARJO</td>
<td>25-04-1961</td>
<td>58</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>BPJS</td>
<td></td>
<td>`0002163616143</td>
<td>130802030619Y001152</td>
<td align='center'>
I10 </td>
</tr>

<td>274</td>
<td>19-06-2019</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>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>`0001874642477</td>
<td>130802030619Y001153</td>
<td align='center'>
R42 </td>
</tr>

<td>275</td>
<td>19-06-2019</td>
<td>003690</td>
<td>`3519086602840002</td>
<td>`</td>
<td>NGLAMES</td>
<td>MADIUN</td>
<td>MADIUN</td>
<td>26-02-1984</td>
<td>35</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>BPJS</td>
<td>`0001537127111</td>
<td>130802030619Y001154</td>
<td align='center'>
I10 </td>
</tr>

<td>276</td>
<td>19-06-2019</td>
<td>000462</td>
<td>AFFENDI</td>
<td>`3577011004660006</td>
<td>`3577012104078354</td>
<td>KELUN</td>
<td>KARTOHARJO</td>
<td>10-04-1966</td>
<td>53</td>
<td>L</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PNS DAERAH</td>
<td>`0000104767716</td>
<td>130802030619Y001119</td>
<td align='center'>
M17 </td>
</tr>

<td>277</td>
<td>19-06-2019</td>
<td>013288</td>
<td>HARTINI</td>
<td>`3173024207690003</td>
<td>`</td>
<td>KELUN</td>
<td>KARTOHARJO</td>
<td>02-07-1969</td>
<td>50</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS LAMA</td>
<td>BPJS</td>
<td>PNS DAERAH</td>
<td>`0000104767705</td>
<td>130802030619Y001155</td>
<td align='center'>
J11 </td>
</tr>

<td>278</td>
<td>19-06-2019</td>
<td>013387</td>
<td>SULIS ANJARWATI</td>
<td>`</td>
<td>`</td>
<td>BETEK</td>
<td>MADIUN</td>
<td>MADIUN</td>
<td>18-12-1979</td>
<td>39</td>
<td>P</td>
<td>POLI UMUM</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>`</td>
<td></td>
<td align='center'>
A09 </td>
</tr>

<td>279</td>
<td>19-06-2019</td>
<td>013302</td>
<td>AULIA DEFANIE</td>
<td>`</td>
<td>`</td>
<td>REJOMULYO</td>
<td>KARTOHARJO</td>
<td>22-05-2001</td>
<td>18</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>`0002413936282</td>
<td>130802030619Y001127</td>
<td align='center'>
D17 </td>
</tr>

<td>280</td>
<td>19-06-2019</td>
<td>004626</td>
<td>ROEDHIE MEI SATRIAWATI</td>
<td>`</td>
<td>`</td>
<td>KELUN</td>
<td>KARTOHARJO</td>
<td>14-05-1972</td>
<td>47</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS LAMA</td>
<td>BPJS</td>
<td>`0001109081586</td>
<td>130802030619Y001126</td>
<td align='center'>
J32.9 </td>
</tr>

<td>281</td>
<td>19-06-2019</td>
<td>002979</td>
<td>SUMIDI SASMITO</td>
<td>`</td>
<td>`</td>
<td>BANJARSARI</td>
<td>MADIUN</td>
<td>MADIUN</td>
<td>03-11-1959</td>
<td>59</td>
<td>L</td>
<td>Pensiunan</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS LAMA</td>
<td>BPJS</td>
<td>`0000105154942</td>
<td>130802030619Y001171</td>
<td align='center'>
I15.9 </td>
</tr>

<td>282</td>
<td>19-06-2019</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>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>`0000786503981</td>
<td>130802030619Y001173</td>
<td align='center'>
M17 </td>
</tr>

<td>283</td>
<td>19-06-2019</td>
<td>006614</td>
<td>DWI YULI ISMINTANTI</td>
<td>`</td>
<td>`</td>
<td>KELUN</td>
<td>KARTOHARJO</td>
<td>31-07-1960</td>
<td>58</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PNS DAERAH</td>
<td>`0000106324187</td>
<td>130802030619Y001175</td>
<td align='center'>
M79.1 </td>
</tr>

<td>284</td>
<td>19-06-2019</td>
<td>004911</td>
<td>SUPARTINI</td>
<td>`3519075507820007</td>
<td>`</td>
<td>NGLANDUK</td>
<td>WUNGU</td>
<td>MADIUN</td>
<td>15-07-1982</td>
<td>36</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>`0001536587199</td>
<td>130802030619Y001176</td>
<td align='center'>
R51 </td>
</tr>

<td>285</td>
<td>19-06-2019</td>
<td>013332</td>
<td>AYUNI QURROTI</td>
<td>`</td>
<td>`</td>
<td>MADIUN</td>
<td>MADIUN</td>
<td>08-08-1999</td>
<td>19</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>UMUM</td>
<td></td>
<td>`</td>
<td></td>
<td align='center'>
I95.9 </td>
</tr>

<td>286</td>
<td>19-06-2019</td>
<td>004690</td>
<td>HARYUNI</td>
<td>`</td>
<td>`</td>
<td>MADIUN</td>
<td>MADIUN</td>
<td>05-03-1977</td>
<td>42</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>`</td>
<td></td>
<td align='center'>
J11 </td>
</tr>

<td>287</td>
<td>19-06-2019</td>
<td>013400</td>
<td>SUGIANTO</td>
<td>`</td>
<td>`</td>
<td>MADIUN</td>
<td>MADIUN</td>
<td>27-12-1976</td>
<td>42</td>
<td>L</td>
<td>Wiraswasta</td>
<td>POLI UMUM</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>`</td>
<td></td>
<td align='center'>
W49 </td>
</tr>

<td>288</td>
<td>19-06-2019</td>
<td>000100</td>
<td>SUNARTI</td>
<td>`3519085205640001</td>
<td>`</td>
<td>NGLAMES</td>
<td>MADIUN</td>
<td>MADIUN</td>
<td>12-05-1964</td>
<td>55</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>`0001844420152</td>
<td>130802030619Y001132</td>
<td align='center'>
S52.20 </td>
</tr>

<td>289</td>
<td>19-06-2019</td>
<td>013403</td>
<td>SUHARTI SRI RAHAYUNINGSIH</td>
<td>`</td>
<td>`</td>
<td>BANJARSARI</td>
<td>MADIUN</td>
<td>MADIUN</td>
<td>05-08-1968</td>
<td>50</td>
<td>P</td>
<td>POLI UMUM</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>`</td>
<td></td>
<td align='center'>
R07.4 </td>
</tr>

<td>290</td>
<td>19-06-2019</td>
<td>010639</td>
<td>YUDIK ROHMIYANTO</td>
<td>`3577010304800001</td>
<td>`3577012805120001</td>
<td>REJOMULYO</td>
<td>KARTOHARJO</td>
<td>03-04-1980</td>
<td>39</td>
<td>L</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>`0002745452924</td>
<td>130802030619Y001134</td>
<td align='center'>
T14 </td>
</tr>

<td>291</td>
<td>19-06-2019</td>
<td>011957</td>
<td>`3519084702670001</td>
<td>`</td>
<td>NGLAMES</td>
<td>MADIUN</td>
<td>MADIUN</td>
<td>07-02-1967</td>
<td>52</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS LAMA</td>
<td>BPJS</td>
<td>`0002314207427</td>
<td>130802030619Y001194</td>
<td align='center'>
W49 </td>
</tr>

<td>292</td>
<td>19-06-2019</td>
<td>006546</td>
<td>SRI FATMAWATY S</td>
<td>`3577036001750004</td>
<td>`3577011909130001</td>
<td>REJOMULYO</td>
<td>KARTOHARJO</td>
<td>20-01-1975</td>
<td>44</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS LAMA</td>
<td>BPJS</td>
<td></td>
<td>`0000786593621</td>
<td>130802030619Y001195</td>
<td align='center'>
J45 </td>
</tr>

<td>293</td>
<td>20-06-2019</td>
<td>013420</td>
<td>SITORESMI INDRIASARI</td>
<td>`3577017107760001</td>
<td>`3577013009100003</td>
<td>REJOMULYO</td>
<td>KARTOHARJO</td>
<td>31-07-1976</td>
<td>42</td>
<td>P</td>
<td>POLI UMUM</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>`0002413949567</td>
<td></td>
<td align='center'>
J11 </td>
</tr>

<td>294</td>
<td>20-06-2019</td>
<td>013426</td>
<td>SUMINARTI</td>
<td>`3519086409610001</td>
<td>`</td>
<td>SUMBEREJO</td>
<td>MADIUN</td>
<td>MADIUN</td>
<td>24-09-1961</td>
<td>57</td>
<td>P</td>
<td>POLI UMUM</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>`0001278047711</td>
<td></td>
<td align='center'>
J11 </td>
</tr>

<td>295</td>
<td>20-06-2019</td>
<td>001435</td>
<td>TRI AIRI ANA</td>
<td>`2171114204759008</td>
<td>`</td>
<td>TIRON</td>
<td>MADIUN</td>
<td>MADIUN</td>
<td>01-04-1975</td>
<td>44</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS LAMA</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>`0000365756038</td>
<td>130802030619Y001207</td>
<td align='center'>
I11 </td>
</tr>

<td>296</td>
<td>20-06-2019</td>
<td>003389</td>
<td>SURATINI</td>
<td>`3577015105620002</td>
<td>`3577012212170003</td>
<td>KARTOHARJO</td>
<td>11-05-1962</td>
<td>57</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>`0000787181411</td>
<td></td>
<td align='center'>
K29.1 </td>
</tr>

<td>297</td>
<td>20-06-2019</td>
<td>010066</td>
<td>ARIYANTO</td>
<td>`</td>
<td>`</td>
<td>GUNUNGSARI</td>
<td>MADIUN</td>
<td>MADIUN</td>
<td>16-02-1988</td>
<td>31</td>
<td>L</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td></td>
<td>`0002416585004</td>
<td>130802030619Y001211</td>
<td align='center'>
R10.0 </td>
</tr>

<td>298</td>
<td>20-06-2019</td>
<td>012370</td>
<td>INDRAS SEVTINA SANTOSO</td>
<td>`</td>
<td>`</td>
<td>TIRON</td>
<td>MADIUN</td>
<td>MADIUN</td>
<td>30-09-1987</td>
<td>31</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>`</td>
<td></td>
<td align='center'>
H60 </td>
</tr>

<td>299</td>
<td>20-06-2019</td>
<td>010165</td>
<td>MOCH. HIDAYAT</td>
<td>`3577011205990001</td>
<td>`3577013110130010</td>
<td>KARTOHARJO</td>
<td>01-05-1999</td>
<td>20</td>
<td>L</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>`0000787453198</td>
<td></td>
<td align='center'>
L23 </td>
</tr>

<td>300</td>
<td>20-06-2019</td>
<td>006981</td>
<td>RIFO HARDIAN FENDIKA R.</td>
<td>`</td>
<td>`</td>
<td>KELUN</td>
<td>KARTOHARJO</td>
<td>16-03-1998</td>
<td>21</td>
<td>L</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td></td>
<td>BPJS</td>
<td>PNS DAERAH</td>
<td>`0000104767738</td>
<td></td>
<td align='center'>
J11 </td>
</tr>
<td>301</td>
<td>20-06-2019</td>
<td>009029</td>
<td>SARJONO</td>
<td>`</td>
<td>`</td>
<td>KARTOHARJO</td>
<td>01-12-1959</td>
<td>59</td>
<td>L</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>`0000787203055</td>
<td></td>
<td align='center'>
Z11.1 </td>
</tr>

<td>302</td>
<td>20-06-2019</td>
<td>007669</td>
<td>SUNARTININGSIH</td>
<td>`</td>
<td>`</td>
<td>REJOMULYO</td>
<td>KARTOHARJO</td>
<td>15-09-1973</td>
<td>45</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>`0001704809395</td>
<td></td>
<td align='center'>
J11 </td>
</tr>

<td>303</td>
<td>20-06-2019</td>
<td>003556</td>
<td>SRI SUKATMININGSIH</td>
<td>`351908 </td>
<td>`</td>
<td>BANJARSARI</td>
<td>MADIUN</td>
<td>MADIUN</td>
<td>03-04-1965</td>
<td>54</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS LAMA</td>
<td>BPJS</td>
<td>PNS DAERAH</td>
<td>`0000170034377</td>
<td></td>
<td align='center'>
I15.9 </td>
</tr>

<td>304</td>
<td>20-06-2019</td>
<td>009873</td>
<td>KARTINI</td>
<td>`3577015011660001</td>
<td>`3577012611100001</td>
<td>KARTOHARJO</td>
<td>10-11-1966</td>
<td>52</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>`0002163622083</td>
<td></td>
<td align='center'>
J11 </td>
</tr>

<td>305</td>
<td>20-06-2019</td>
<td>012650</td>
<td>DIAN LADIANA NUR ASIH</td>
<td>`3577016303000002</td>
<td>`3577012104070623</td>
<td>KARTOHARJO</td>
<td>23-03-2000</td>
<td>19</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>`0000786914414</td>
<td></td>
<td align='center'>
J18.9 </td>
</tr>

<td>306</td>
<td>20-06-2019</td>
<td>013316</td>
<td>PRIHATIN</td>
<td>`</td>
<td>`</td>
<td>REJOMULYO</td>
<td>KARTOHARJO</td>
<td>21-01-1973</td>
<td>46</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>`0002413935325</td>
<td></td>
<td align='center'>
H60 </td>
</tr>

<td>307</td>
<td>20-06-2019</td>
<td>000205</td>
<td>PUTINGAH</td>
<td>`3577016105610001</td>
<td>`3577012104072429</td>
<td>KARTOHARJO</td>
<td>21-05-1961</td>
<td>58</td>
<td>P</td>
<td>Pensiunan</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS LAMA</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>`0000787162882</td>
<td>130802030619Y001223</td>
<td align='center'>
I11 </td>
</tr>

<td>308</td>
<td>21-06-2019</td>
<td>013449</td>
<td>RENDRO WICAKSONO</td>
<td>`3577010808640003</td>
<td>`3577012104078323</td>
<td>KELUN</td>
<td>KARTOHARJO</td>
<td>08-08-1964</td>
<td>54</td>
<td>L</td>
<td>POLI UMUM</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>`0000786762281</td>
<td>130802030619Y001272</td>
<td align='center'>
R10.3 </td>
</tr>

<td>309</td>
<td>21-06-2019</td>
<td>013452</td>
<td>FIRQI ANDIRA BELLA WULIDAWILDANI</td>
<td>`3577024207000002</td>
<td>`3577022001080036</td>
<td>PATIHAN</td>
<td>MANGUHARJO</td>
<td>02-07-2000</td>
<td>19</td>
<td>P</td>
<td>POLI UMUM</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>`0001826454047</td>
<td>130802030619Y001268</td>
<td align='center'>
Z47.0 </td>
</tr>

<td>310</td>
<td>21-06-2019</td>
<td>000221</td>
<td>SUPARTI</td>
<td>`3577016707760001</td>
<td>`3577012104072724</td>
<td>KARTOHARJO</td>
<td>27-07-1976</td>
<td>42</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>`0001704877672</td>
<td>130802030619Y001273</td>
<td align='center'>
M79.1 </td>
</tr>

<td>311</td>
<td>21-06-2019</td>
<td>011048</td>
<td>TYARA PURY MAHESTI</td>
<td>` 3577016908990001</td>
<td>`3577012104072724</td>
<td>KARTOHARJO</td>
<td>29-08-1999</td>
<td>19</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>`0000787433501</td>
<td>130802030619Y001274</td>
<td align='center'>
L23.9 </td>
</tr>

<td>312</td>
<td>21-06-2019</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>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS LAMA</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>`0000786520765</td>
<td>130802030619Y001275</td>
<td align='center'>
T30.1 </td>
</tr>

<td>313</td>
<td>21-06-2019</td>
<td>000533</td>
<td>MIRDAS SUKSESI</td>
<td>`3577012503870002</td>
<td>`3577012104078882</td>
<td>KELUN</td>
<td>KARTOHARJO</td>
<td>25-03-1987</td>
<td>32</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>BPJS</td>
<td>`0000106314298</td>
<td>130802030619Y001276</td>
<td align='center'>
F23.9 </td>
</tr>

<td>314</td>
<td>21-06-2019</td>
<td>003261</td>
<td>KARTIKA ANJARWATI</td>
<td>`3519086508940001</td>
<td>`</td>
<td>DEMPELAN</td>
<td>MADIUN</td>
<td>MADIUN</td>
<td>25-08-1994</td>
<td>24</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS LAMA</td>
<td>BPJS</td>
<td>`0001840696828</td>
<td>130802030619Y001237</td>
<td align='center'>
C92.1 </td>
</tr>

<td>315</td>
<td>21-06-2019</td>
<td>005097</td>
<td>SUPRIHATIN</td>
<td>`</td>
<td>`</td>
<td>NGLAMES</td>
<td>MADIUN</td>
<td>MADIUN</td>
<td>18-12-1975</td>
<td>43</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>`</td>
<td></td>
<td align='center'>
L23.9 </td>
</tr>

<td>316</td>
<td>21-06-2019</td>
<td>002792</td>
<td>NITA PURNAMASARI</td>
<td>`</td>
<td>`</td>
<td>TAWANGREJO</td>
<td>KARTOHARJO</td>
<td>02-04-1979</td>
<td>40</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>`0001704820228</td>
<td>130802030619Y001277</td>
<td align='center'>
R50.0 </td>
</tr>

<td>317</td>
<td>21-06-2019</td>
<td>006210</td>
<td>ELLA KOMARIAH</td>
<td>`3273026112670008</td>
<td>`3273022907105817</td>
<td>DAGO</td>
<td>COBLONG</td>
<td>KOTA BANDUNG</td>
<td>21-12-1967</td>
<td>51</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td>`0002081346996</td>
<td></td>
<td align='center'>
W49 </td>
</tr>

<td>318</td>
<td>21-06-2019</td>
<td>002239</td>
<td>BETTY LUKYANINGSIH</td>
<td>`3577015911590001</td>
<td>`3577012004078603</td>
<td>REJOMULYO</td>
<td>KARTOHARJO</td>
<td>19-11-1959</td>
<td>59</td>
<td>P</td>
<td>Wiraswasta</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS LAMA</td>
<td>BPJS</td>
<td>`0001872424102</td>
<td>130802030619Y001233</td>
<td align='center'>
I25.9 </td>
</tr>

<td>319</td>
<td>21-06-2019</td>
<td>001726</td>
<td>MARYATI</td>
<td>`3577015307610001</td>
<td>`3577010412100001</td>
<td>KARTOHARJO</td>
<td>13-07-1961</td>
<td>57</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>`0002158641898</td>
<td>130802030619Y001278</td>
<td align='center'>
I10 </td>
</tr>

<td>320</td>
<td>21-06-2019</td>
<td>008046</td>
<td>SADIMUN</td>
<td>`3577011807600001</td>
<td>`</td>
<td>TAWANGREJO</td>
<td>GEMARANG</td>
<td>MADIUN</td>
<td>01-07-1960</td>
<td>59</td>
<td>L</td>
<td>Wiraswasta</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>`0000787424984</td>
<td>130802030619Y001279</td>
<td align='center'>
M10.9 </td>
</tr>

<td>321</td>
<td>21-06-2019</td>
<td>013442</td>
<td>NORMA YULIANA</td>
<td>`</td>
<td>`</td>
<td>BANJARSARI</td>
<td>MADIUN</td>
<td>MADIUN</td>
<td>19-07-1986</td>
<td>32</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>`</td>
<td></td>
<td align='center'>
S93 </td>
</tr>

<td>322</td>
<td>21-06-2019</td>
<td>007980</td>
<td>PUTRI PRADHINA PARAMITHA TUNGGA DEWI</td>
<td>`</td>
<td>`</td>
<td>REJOMULYO</td>
<td>KARTOHARJO</td>
<td>01-03-1995</td>
<td>24</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>`0000786533973</td>
<td>130802030619Y001286</td>
<td align='center'>
J11 </td>
</tr>

<td>323</td>
<td>21-06-2019</td>
<td>001590</td>
<td>JUMIATI</td>
<td>`3519084504740004</td>
<td>`</td>
<td>BANJARSARI</td>
<td>MADIUN</td>
<td>MADIUN</td>
<td>05-04-1974</td>
<td>45</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS LAMA</td>
<td>BPJS</td>
<td>`0002274938739</td>
<td>130802030619P001239</td>
<td align='center'>
N18.4 </td>
</tr>

<td>324</td>
<td>21-06-2019</td>
<td>007424</td>
<td>EKO WAHYUNI</td>
<td>`</td>
<td>`</td>
<td>KELUN</td>
<td>KARTOHARJO</td>
<td>01-08-1970</td>
<td>48</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>`0000786817552</td>
<td>130802030619Y001290</td>
<td align='center'>
W49 </td>
</tr>
<td>325</td>
<td>21-06-2019</td>
<td>005865</td>
<td>WIDAYATI</td>
<td>`</td>
<td>`</td>
<td>TAWANGREJO</td>
<td>KARTOHARJO</td>
<td>01-01-1968</td>
<td>51</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PNS DAERAH</td>
<td>`0000106300495</td>
<td>130802030619Y001291</td>
<td align='center'>
W49 </td>
</tr>

<td>326</td>
<td>21-06-2019</td>
<td>000881</td>
<td>YULIANI NGGALUKU</td>
<td>`3519087107670001</td>
<td>`</td>
<td>MADIUN</td>
<td>MADIUN</td>
<td>31-07-1967</td>
<td>51</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PNS DAERAH</td>
<td>`0000104869934</td>
<td>130802030619Y001242</td>
<td align='center'>
K30 </td>
</tr>

<td>327</td>
<td>21-06-2019</td>
<td>002700</td>
<td>PUJI YATMINI</td>
<td>`</td>
<td>`</td>
<td>KARTOHARJO</td>
<td>24-04-1974</td>
<td>45</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>`0001704813243</td>
<td>130802030619Y001297</td>
<td align='center'>
L30.9 </td>
</tr>

<td>328</td>
<td>21-06-2019</td>
<td>012410</td>
<td>SUPARMI</td>
<td>`</td>
<td>`</td>
<td>REJOMULYO</td>
<td>KARTOHARJO</td>
<td>16-03-1961</td>
<td>58</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>`0002413876476</td>
<td>130802030619Y001299</td>
<td align='center'>
J45 </td>
</tr>

<td>329</td>
<td>21-06-2019</td>
<td>003264</td>
<td>WASITAH</td>
<td>`</td>
<td>`</td>
<td>KELUN</td>
<td>KARTOHARJO</td>
<td>27-02-1962</td>
<td>57</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>`0001704818665</td>
<td></td>
<td align='center'>
H60 </td>
</tr>

<td>330</td>
<td>21-06-2019</td>
<td>012945</td>
<td>SUJARWO</td>
<td>`3577012707880002</td>
<td>`3577013101180002</td>
<td>KARTOHARJO</td>
<td>27-07-1988</td>
<td>30</td>
<td>L</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS LAMA</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>`0001049796685</td>
<td>130802030619Y001261</td>
<td align='center'>
S92.30 </td>
</tr>

<td>331</td>
<td>21-06-2019</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>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>KEPOLISIAN RI</td>
<td>`0001276184485</td>
<td>130802030619Y001302</td>
<td align='center'>
J02.9 </td>
</tr>

<td>332</td>
<td>21-06-2019</td>
<td>013450</td>
<td>ISMIRAH</td>
<td>`</td>
<td>`</td>
<td>SUMBEREJO</td>
<td>MADIUN</td>
<td>MADIUN</td>
<td>24-02-1963</td>
<td>56</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td></td>
<td>`</td>
<td></td>
<td align='center'>
M79.1 </td>
</tr>

<td>333</td>
<td>21-06-2019</td>
<td>013451</td>
<td>ALDI SAFUAN</td>
<td>`</td>
<td>`</td>
<td>SUMBEREJO</td>
<td>MADIUN</td>
<td>MADIUN</td>
<td>28-04-2000</td>
<td>19</td>
<td>L</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>`</td>
<td></td>
<td align='center'>
J02.9 </td>
</tr>

<td>334</td>
<td>21-06-2019</td>
<td>003118</td>
<td>SUPIJAH</td>
<td>`3519087112610010</td>
<td>`</td>
<td>BETEK</td>
<td>MADIUN</td>
<td>MADIUN</td>
<td>31-12-1961</td>
<td>57</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS LAMA</td>
<td>BPJS</td>
<td>`0002084598088</td>
<td>130802030619Y001304</td>
<td align='center'>
E11 </td>
</tr>

<td>335</td>
<td>21-06-2019</td>
<td>012937</td>
<td>`</td>
<td>`</td>
<td>KARTOHARJO</td>
<td>23-03-1999</td>
<td>20</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td></td>
<td>`0002414003703</td>
<td>130802030619Y001312</td>
<td align='center'>
W49 </td>
</tr>

<td>336</td>
<td>21-06-2019</td>
<td>005050</td>
<td>SARTI</td>
<td>`</td>
<td>`</td>
<td>BANJARSARI</td>
<td>MADIUN</td>
<td>MADIUN</td>
<td>01-05-1970</td>
<td>49</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>`0000739023827</td>
<td>130802030619Y001306</td>
<td align='center'>
M79.1 </td>
</tr>

<td>337</td>
<td>21-06-2019</td>
<td>011881</td>
<td>SULASTRI</td>
<td>`</td>
<td>`</td>
<td>BANJARSARI</td>
<td>MADIUN</td>
<td>MADIUN</td>
<td>30-09-1968</td>
<td>50</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td></td>
<td>`0002264022955</td>
<td>130802030619Y001308</td>
<td align='center'>
M79.1 </td>
</tr>

<td>338</td>
<td>21-06-2019</td>
<td>000098</td>
<td>SAMIATI</td>
<td>`3519084508680002</td>
<td>`</td>
<td>BETEK</td>
<td>MADIUN</td>
<td>MADIUN</td>
<td>05-08-1968</td>
<td>50</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>`0002200469297</td>
<td>130802030619Y001314</td>
<td align='center'>
R51 </td>
</tr>

<td>339</td>
<td>21-06-2019</td>
<td>003631</td>
<td>SARIYEM</td>
<td>`</td>
<td>`</td>
<td>KARTOHARJO</td>
<td>01-10-1965</td>
<td>53</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>`0000786925596</td>
<td>130802030619Y001315</td>
<td align='center'>
E11.8 </td>
</tr>

<td>340</td>
<td>24-06-2019</td>
<td>013482</td>
<td>SATRIA GUMELAR IRAWAN</td>
<td>`3577020406870002</td>
<td>`3577011311100010</td>
<td>KELUN</td>
<td>KARTOHARJO</td>
<td>04-06-1987</td>
<td>32</td>
<td>L</td>
<td>POLI UMUM</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>`0001383060284</td>
<td>130802030619Y001429</td>
<td align='center'>
J11 </td>
</tr>

<td>341</td>
<td>24-06-2019</td>
<td>013483</td>
<td>UMI AZIZAH</td>
<td>`3577015007800004</td>
<td>`3577012104071324</td>
<td>KARTOHARJO</td>
<td>10-07-1980</td>
<td>38</td>
<td>P</td>
<td>POLI UMUM</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>`0000786808708</td>
<td>130802030619Y001397</td>
<td align='center'>
D17.2 </td>
</tr>

<td>342</td>
<td>24-06-2019</td>
<td>013485</td>
<td>ACHMAD RIZKY FIRMANSYAH</td>
<td>`3214012901000005</td>
<td>`</td>
<td>KELUN</td>
<td>KARTOHARJO</td>
<td>29-01-2000</td>
<td>19</td>
<td>L</td>
<td>POLI UMUM</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>`0001317194381</td>
<td>130802030619Y001389</td>
<td align='center'>
S52.40 </td>
</tr>

<td>343</td>
<td>24-06-2019</td>
<td>013491</td>
<td>SUGIATI</td>
<td>`3519085112810002</td>
<td>`</td>
<td>DEMPELAN</td>
<td>MADIUN</td>
<td>MADIUN</td>
<td>11-12-1981</td>
<td>37</td>
<td>P</td>
<td>POLI UMUM</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>`0002442058896</td>
<td>130802030619Y001409</td>
<td align='center'>
C50.9 </td>
</tr>

<td>344</td>
<td>24-06-2019</td>
<td>013497</td>
<td>MUSTAKIM</td>
<td>`3519072206890002</td>
<td>`</td>
<td>BANJARSARI</td>
<td>MADIUN</td>
<td>MADIUN</td>
<td>22-06-1989</td>
<td>30</td>
<td>L</td>
<td>POLI UMUM</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>`0002458107527</td>
<td>130802030619Y001418</td>
<td align='center'>
S72 </td>
</tr>

<td>345</td>
<td>24-06-2019</td>
<td>013498</td>
<td>ABI NUR ROHIM</td>
<td>`3577011602860001</td>
<td>`3577010611130005</td>
<td>KARTOHARJO</td>
<td>16-02-1986</td>
<td>33</td>
<td>L</td>
<td>POLI UMUM</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>`0001543996809</td>
<td>130802030619Y001431</td>
<td align='center'>
J11 </td>
</tr>

<td>346</td>
<td>24-06-2019</td>
<td>007340</td>
<td>WAHYU KAHFIANA SANJAYA</td>
<td>`3577015910960001</td>
<td>`3577011605160002</td>
<td>REJOMULYO</td>
<td>KARTOHARJO</td>
<td>19-10-1996</td>
<td>22</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>`0001801516318</td>
<td></td>
<td align='center'>
R50.9 </td>
</tr>

<td>347</td>
<td>24-06-2019</td>
<td>005167</td>
<td>TARMI</td>
<td>`</td>
<td>`</td>
<td>REJOMULYO</td>
<td>KARTOHARJO</td>
<td>01-04-1964</td>
<td>55</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS LAMA</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>`0000787579301</td>
<td>130802030619Y001435</td>
<td align='center'>
I15.9 </td>
</tr>

<td>348</td>
<td>24-06-2019</td>
<td>003467</td>
<td>MIRA TUNUSIKAH</td>
<td>`3519086307850002</td>
<td>`</td>
<td>BETEK</td>
<td>MADIUN</td>
<td>MADIUN</td>
<td>23-07-1985</td>
<td>33</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>`0001536818782</td>
<td>130802030619Y001439</td>
<td align='center'>
M13 </td>
</tr>

<td>349</td>
<td>24-06-2019</td>
<td>012417</td>
<td>PRASETYANINGRUM</td>
<td>`3578012901830003</td>
<td>`</td>
<td>KARTOHARJO</td>
<td>29-11-1976</td>
<td>42</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>`0001652232723</td>
<td>130802030619Y001441</td>
<td align='center'>
J11 </td>
</tr>

<td>350</td>
<td>24-06-2019</td>
<td>005874</td>
<td>IMAM CHUDORI</td>
<td>`</td>
<td>`</td>
<td>REJOMULYO</td>
<td>KARTOHARJO</td>
<td>22-05-1961</td>
<td>58</td>
<td>L</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>`0001704810576</td>
<td>130802030619Y001377</td>
<td align='center'>
S32.50 </td>
</tr>

<td>351</td>
<td>24-06-2019</td>
<td>000249</td>
<td>NANIK</td>
<td>`3577016103610003</td>
<td>`3577012104079123</td>
<td>KELUN</td>
<td>KARTOHARJO</td>
<td>21-03-1961</td>
<td>58</td>
<td>P</td>
<td>Pensiunan</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>`0000977005427</td>
<td>130802030619Y001445</td>
<td align='center'>
L23 </td>
</tr>

<td>352</td>
<td>24-06-2019</td>
<td>004557</td>
<td>YANTI APRIANI</td>
<td>`3577014504800002</td>
<td>`3577012004077936</td>
<td>REJOMULYO</td>
<td>KARTOHARJO</td>
<td>05-04-1980</td>
<td>39</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS LAMA</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>`0001049797664</td>
<td>130802030619Y001379</td>
<td align='center'>
E05 </td>
</tr>

<td>353</td>
<td>24-06-2019</td>
<td>001804</td>
<td>SUCI HARI MURTIANI</td>
<td>`3577015103630006</td>
<td>`3577012910150005</td>
<td>KELUN</td>
<td>KARTOHARJO</td>
<td>11-03-1963</td>
<td>56</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>`0000786765857</td>
<td>130802030619Y001386</td>
<td align='center'>
E11.3 </td>
</tr>

<td>354</td>
<td>24-06-2019</td>
<td>002122</td>
<td>DEVIN DWI PRASETYO</td>
<td>`3577011812990002</td>
<td>`3577012104072501</td>
<td>KARTOHARJO</td>
<td>18-12-1999</td>
<td>19</td>
<td>L</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>`0001704818103</td>
<td>130802030619Y001448</td>
<td align='center'>
J00 </td>
</tr>

<td>355</td>
<td>24-06-2019</td>
<td>007424</td>
<td>EKO WAHYUNI</td>
<td>`</td>
<td>`</td>
<td>KELUN</td>
<td>KARTOHARJO</td>
<td>01-08-1970</td>
<td>48</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS LAMA</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>`0000786817552</td>
<td>130802030619Y001453</td>
<td align='center'>
W49 </td>
</tr>

<td>356</td>
<td>24-06-2019</td>
<td>004718</td>
<td>MITRO PRIHATIN</td>
<td>`3577012311650001</td>
<td>`3577012004078395</td>
<td>REJOMULYO</td>
<td>KARTOHARJO</td>
<td>23-11-1965</td>
<td>53</td>
<td>L</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS LAMA</td>
<td>BPJS</td>
<td></td>
<td>`0002413939061</td>
<td>130802030619Y001387</td>
<td align='center'>
E11 </td>
</tr>

<td>357</td>
<td>24-06-2019</td>
<td>001598</td>
<td>ASTUTI</td>
<td>`3577016512610002</td>
<td>`3577012004078890</td>
<td>REJOMULYO</td>
<td>KARTOHARJO</td>
<td>25-12-1961</td>
<td>57</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS LAMA</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>`0000786924909</td>
<td>130802030619Y001404</td>
<td align='center'>
E11 </td>
</tr>

<td>358</td>
<td>24-06-2019</td>
<td>004956</td>
<td>TULIS SETYORINI</td>
<td>`3519084406780001</td>
<td>`</td>
<td>GUNUNGSARI</td>
<td>MADIUN</td>
<td>MADIUN</td>
<td>04-06-1978</td>
<td>41</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>`0001536589653</td>
<td>130802030619Y001461</td>
<td align='center'>
M79.1 </td>
</tr>

<td>359</td>
<td>24-06-2019</td>
<td>003631</td>
<td>SARIYEM</td>
<td>`</td>
<td>`</td>
<td>KARTOHARJO</td>
<td>01-10-1965</td>
<td>53</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>`0000786925596</td>
<td>130802030619Y001398</td>
<td align='center'>
E11.9 </td>
</tr>
<td>360</td>
<td>24-06-2019</td>
<td>005565</td>
<td>SUGENG JOKO MULYONO</td>
<td>`3577012304750005</td>
<td>`</td>
<td>KELUN</td>
<td>KARTOHARJO</td>
<td>23-04-1975</td>
<td>44</td>
<td>L</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS LAMA</td>
<td>BPJS</td>
<td></td>
<td>`0001656558347</td>
<td>130802030619Y001465</td>
<td align='center'>
W49 </td>
</tr>

<td>361</td>
<td>24-06-2019</td>
<td>003034</td>
<td>SRI UTAMI</td>
<td>`3519086704680001</td>
<td>`3519080101990078</td>
<td>TIRON</td>
<td>MADIUN</td>
<td>MADIUN</td>
<td>27-04-1968</td>
<td>51</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS LAMA</td>
<td>BPJS</td>
<td>`0001321560358</td>
<td>130802030619Y001466</td>
<td align='center'>
M13 </td>
</tr>

<td>362</td>
<td>24-06-2019</td>
<td>000113</td>
<td>SUGIARTO</td>
<td>`3577011808670002</td>
<td>`3577012104070998</td>
<td>KARTOHARJO</td>
<td>18-08-1967</td>
<td>51</td>
<td>L</td>
<td>Wiraswasta</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS LAMA</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>`0000786623174</td>
<td>130802030619Y001413</td>
<td align='center'>
J44.1 </td>
</tr>

<td>363</td>
<td>24-06-2019</td>
<td>010252</td>
<td>SUDARSO</td>
<td>`3577011011600001</td>
<td>`3577012104072038</td>
<td>KARTOHARJO</td>
<td>10-11-1960</td>
<td>58</td>
<td>L</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>`0001704816549</td>
<td>130802030619Y001467</td>
<td align='center'>
J11 </td>
</tr>

<td>364</td>
<td>24-06-2019</td>
<td>004739</td>
<td>SIYAM RIYANI</td>
<td>`</td>
<td>`</td>
<td>TAWANGREJO</td>
<td>KARTOHARJO</td>
<td>01-10-1973</td>
<td>45</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>`0000787192503</td>
<td>130802030619Y001469</td>
<td align='center'>
J11 </td>
</tr>

<td>365</td>
<td>24-06-2019</td>
<td>011957</td>
<td>`3519084702670001</td>
<td>`</td>
<td>NGLAMES</td>
<td>MADIUN</td>
<td>MADIUN</td>
<td>07-02-1967</td>
<td>52</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS LAMA</td>
<td>BPJS</td>
<td>`0002314207427</td>
<td>130802030619Y001419</td>
<td align='center'>
W49 </td>
</tr>

<td>366</td>
<td>24-06-2019</td>
<td>012635</td>
<td>YOYON KUNCAHYONO</td>
<td>`3577010303650002</td>
<td>`3577012004079745</td>
<td>REJOMULYO</td>
<td>KARTOHARJO</td>
<td>03-03-1965</td>
<td>54</td>
<td>L</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>`0002413943166</td>
<td>130802030619Y001423</td>
<td align='center'>
T15 </td>
</tr>

<td>367</td>
<td>24-06-2019</td>
<td>009506</td>
<td>SOEMINI</td>
<td>`3519084204700001</td>
<td>`</td>
<td>BANJARSARI</td>
<td>MADIUN</td>
<td>MADIUN</td>
<td>02-04-1970</td>
<td>49</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PNS DAERAH</td>
<td>`0000105093101</td>
<td>130802030619Y001425</td>
<td align='center'>
R05 </td>
</tr>

<td>368</td>
<td>24-06-2019</td>
<td>002695</td>
<td>SRI UTAMI</td>
<td>`</td>
<td>`</td>
<td>TAWANGREJO</td>
<td>KARTOHARJO</td>
<td>04-09-1971</td>
<td>47</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>`0002163610686</td>
<td>130802030619Y001472</td>
<td align='center'>
R51 </td>
</tr>

<td>369</td>
<td>24-06-2019</td>
<td>001808</td>
<td>TITIK SUPRIHASIH</td>
<td>`3577014102630001</td>
<td>`3577012104077805</td>
<td>KELUN</td>
<td>KARTOHARJO</td>
<td>MADIUN</td>
<td>01-02-1963</td>
<td>56</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>`0001704818619</td>
<td>130802030619Y001473</td>
<td align='center'>
I10 </td>
</tr>

<td>370</td>
<td>24-06-2019</td>
<td>004911</td>
<td>SUPARTINI</td>
<td>`3519075507820007</td>
<td>`</td>
<td>NGLANDUK</td>
<td>WUNGU</td>
<td>MADIUN</td>
<td>15-07-1982</td>
<td>36</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>`0001536587199</td>
<td>130802030619Y001475</td>
<td align='center'>
H82 </td>
</tr>

<td>371</td>
<td>24-06-2019</td>
<td>008000</td>
<td>NOVA SAPUTRA</td>
<td>`</td>
<td>`</td>
<td>REJOMULYO</td>
<td>KARTOHARJO</td>
<td>01-11-1998</td>
<td>20</td>
<td>L</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>`0000786403956</td>
<td>130802030619Y001478</td>
<td align='center'>
G40.9 </td>
</tr>

<td>372</td>
<td>24-06-2019</td>
<td>003423</td>
<td>SITI SOLIKHAH</td>
<td>`</td>
<td>`</td>
<td>REJOMULYO</td>
<td>KARTOHARJO</td>
<td>01-05-1973</td>
<td>46</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS LAMA</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>`0001049798687</td>
<td>130802030619Y001426</td>
<td align='center'>
E11 </td>
</tr>

<td>373</td>
<td>24-06-2019</td>
<td>000562</td>
<td>SULIKAH</td>
<td>`3519074906770004</td>
<td>`</td>
<td>TEMPURSARI</td>
<td>WUNGU</td>
<td>MADIUN</td>
<td>09-06-1977</td>
<td>42</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>`0002083143543</td>
<td>130802030619Y001485</td>
<td align='center'>
E11 </td>
</tr>

<td>374</td>
<td>24-06-2019</td>
<td>013511</td>
<td>ABIDA IMTIKHANA</td>
<td>`</td>
<td>`</td>
<td>MUNGGUT</td>
<td>WUNGU</td>
<td>MADIUN</td>
<td>27-04-1996</td>
<td>23</td>
<td>P</td>
<td>POLI UMUM</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>`</td>
<td></td>
<td align='center'>
H60 </td>
</tr>

<td>375</td>
<td>24-06-2019</td>
<td>013461</td>
<td>TRI HANDAYANI</td>
<td>`3577015311870003</td>
<td>`3577010312080006</td>
<td>KELUN</td>
<td>KARTOHARJO</td>
<td>13-11-1987</td>
<td>31</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PEGAWAI PEMERINTAH DENGAN PERJANJIAN KERJA</td>
<td>`0001840558206</td>
<td>130802030619Y001481</td>
<td align='center'>
J11 </td>
</tr>

<td>376</td>
<td>25-06-2019</td>
<td>013519</td>
<td>ERVIN HERIYANTO</td>
<td>`6473040810820002</td>
<td>`3577010108130005</td>
<td>KARTOHARJO</td>
<td>08-10-1982</td>
<td>36</td>
<td>L</td>
<td>POLI UMUM</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>`0001706776492</td>
<td>130802030619Y001530</td>
<td align='center'>
S92.30 </td>
</tr>

<td>377</td>
<td>25-06-2019</td>
<td>013521</td>
<td>NGESTI PENY</td>
<td>`3519084701770001</td>
<td>`</td>
<td>TIRON</td>
<td>MADIUN</td>
<td>MADIUN</td>
<td>07-01-1977</td>
<td>42</td>
<td>P</td>
<td>POLI UMUM</td>
<td>dr. Agustina Dwi Wulansari</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>`0001261611448</td>
<td>130802030619Y001542</td>
<td align='center'>
M13 </td>
</tr>

<td>378</td>
<td>25-06-2019</td>
<td>013526</td>
<td>DANA LESTARININGRUM</td>
<td>`3519084202850002</td>
<td>`</td>
<td>TIRON</td>
<td>MADIUN</td>
<td>MADIUN</td>
<td>02-02-1985</td>
<td>34</td>
<td>P</td>
<td>POLI UMUM</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>`0002435299931</td>
<td>130802030619Y001540</td>
<td align='center'>
Z47.0 </td>
</tr>

<td>379</td>
<td>25-06-2019</td>
<td>013529</td>
<td>SUYATNO</td>
<td>`3519082010810003</td>
<td>`</td>
<td>TIRON</td>
<td>MADIUN</td>
<td>MADIUN</td>
<td>20-10-1981</td>
<td>37</td>
<td>L</td>
<td>POLI UMUM</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>`0001150572554</td>
<td>130802030619Y001543</td>
<td align='center'>
G44.2 </td>
</tr>

<td>380</td>
<td>25-06-2019</td>
<td>013534</td>
<td>SUPIANTO</td>
<td>`3519081507650002</td>
<td>`</td>
<td>BAGI</td>
<td>MADIUN</td>
<td>MADIUN</td>
<td>15-07-1965</td>
<td>53</td>
<td>L</td>
<td>POLI UMUM</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>`0002762421895</td>
<td>130802030619Y001580</td>
<td align='center'>
I15 </td>
</tr>

<td>381</td>
<td>25-06-2019</td>
<td>013548</td>
<td>MERIANIS JOHANA, A.MD</td>
<td>`</td>
<td>`</td>
<td>GEGER</td>
<td>GEGER</td>
<td>MADIUN</td>
<td>03-03-1984</td>
<td>35</td>
<td>P</td>
<td>POLI UMUM</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PNS DAERAH</td>
<td>`0000171539471</td>
<td>130802030619Y001630</td>
<td align='center'>
H52.7 </td>
</tr>

<td>382</td>
<td>25-06-2019</td>
<td>001576</td>
<td>HERU SANTOSO</td>
<td>`3519081511590003</td>
<td>`</td>
<td>TIRON</td>
<td>MADIUN</td>
<td>MADIUN</td>
<td>15-11-1959</td>
<td>59</td>
<td>L</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PNS DAERAH</td>
<td>`0000105114521</td>
<td>130802030619Y001585</td>
<td align='center'>
K30 </td>
</tr>

<td>383</td>
<td>25-06-2019</td>
<td>002433</td>
<td>YENI SULASTRI</td>
<td>`3519085709680001</td>
<td>`</td>
<td>BANJARSARI</td>
<td>MADIUN</td>
<td>MADIUN</td>
<td>17-09-1968</td>
<td>50</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS LAMA</td>
<td>BPJS</td>
<td>`0002219025701</td>
<td>130802030619Y001586</td>
<td align='center'>
E11.0 </td>
</tr>
<td>384</td>
<td>25-06-2019</td>
<td>001475</td>
<td>`</td>
<td>`</td>
<td>REJOMULYO</td>
<td>KARTOHARJO</td>
<td>22-04-1990</td>
<td>29</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td></td>
<td>`0000106491879</td>
<td>130802030619Y001590</td>
<td align='center'>
K30 </td>
</tr>

<td>385</td>
<td>25-06-2019</td>
<td>005167</td>
<td>TARMI</td>
<td>`</td>
<td>`</td>
<td>REJOMULYO</td>
<td>KARTOHARJO</td>
<td>01-04-1964</td>
<td>55</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>`0000787579301</td>
<td>130802030619Y001591</td>
<td align='center'>
M79.1 </td>
</tr>

<td>386</td>
<td>25-06-2019</td>
<td>002019</td>
<td>NANING NURAINI</td>
<td>`3577016301760001</td>
<td>`3577012307130003</td>
<td>KARTOHARJO</td>
<td>23-01-1976</td>
<td>43</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>`0001704820094</td>
<td>130802030619Y001562</td>
<td align='center'>
E11 </td>
</tr>

<td>387</td>
<td>25-06-2019</td>
<td>013516</td>
<td>SRI MULYANI</td>
<td>`</td>
<td>`</td>
<td>KARTOHARJO</td>
<td>05-11-1965</td>
<td>53</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PNS DAERAH</td>
<td>`0000106317505</td>
<td>130802030619Y001601</td>
<td align='center'>
N39.9 </td>
</tr>

<td>388</td>
<td>25-06-2019</td>
<td>010136</td>
<td>SELVI SICILIA OKTOVANI</td>
<td>`3577015710810002</td>
<td>`3577010601100004</td>
<td>KELUN</td>
<td>KARTOHARJO</td>
<td>17-10-1981</td>
<td>37</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>`0000786711352</td>
<td>130802030619Y001545</td>
<td align='center'>
J00 </td>
</tr>

<td>389</td>
<td>25-06-2019</td>
<td>004590</td>
<td>PIPIN RUSDIAWATI</td>
<td>`</td>
<td>`</td>
<td>KELUN</td>
<td>KARTOHARJO</td>
<td>06-12-1971</td>
<td>47</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>`0002163614049</td>
<td>130802030619Y001546</td>
<td align='center'>
H61.2 </td>
</tr>

<td>390</td>
<td>25-06-2019</td>
<td>013495</td>
<td>PARMI</td>
<td>`3519105910790001</td>
<td>`3577010710130007</td>
<td>KARTOHARJO</td>
<td>19-10-1979</td>
<td>39</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td></td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>`0000738227744</td>
<td>130802030619Y001536</td>
<td align='center'>
K12.2 </td>
</tr>

<td>391</td>
<td>25-06-2019</td>
<td>006964</td>
<td>DARMI</td>
<td>`3519084905670001</td>
<td>`</td>
<td>BETEK</td>
<td>MADIUN</td>
<td>MADIUN</td>
<td>09-05-1967</td>
<td>52</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>`0002248990762</td>
<td>130802030619Y001550</td>
<td align='center'>
R05 </td>
</tr>

<td>392</td>
<td>25-06-2019</td>
<td>001236</td>
<td>MISINEM</td>
<td>`3577014112670002</td>
<td>`3577012104071541</td>
<td>KARTOHARJO</td>
<td>01-12-1967</td>
<td>51</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>`0001704876513</td>
<td>130802030619Y001534</td>
<td align='center'>
H25.9 </td>
</tr>

<td>393</td>
<td>25-06-2019</td>
<td>001455</td>
<td>SRI HARTATIK</td>
<td>`3577014610770003</td>
<td>`3577010603090005</td>
<td>KARTOHARJO</td>
<td>06-10-1977</td>
<td>41</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>`0001706776817</td>
<td>130802030619Y001552</td>
<td align='center'>
E11 </td>
</tr>

<td>394</td>
<td>25-06-2019</td>
<td>006065</td>
<td>CATUR KURNIAWAN</td>
<td>`3519082706000001</td>
<td>`</td>
<td>NGLAMES</td>
<td>MADIUN</td>
<td>MADIUN</td>
<td>27-06-2000</td>
<td>19</td>
<td>L</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>`0001731536381</td>
<td>130802030619Y001553</td>
<td align='center'>
J30.4 </td>
</tr>

<td>395</td>
<td>25-06-2019</td>
<td>004208</td>
<td>DANIS FEBRIANTO PRATAMA</td>
<td>`3577021602950001</td>
<td>`3577011906120003</td>
<td>REJOMULYO</td>
<td>KARTOHARJO</td>
<td>16-02-1995</td>
<td>24</td>
<td>L</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>`0001387469812</td>
<td>130802030619Y001554</td>
<td align='center'>
J11 </td>
</tr>

<td>396</td>
<td>25-06-2019</td>
<td>004149</td>
<td>DANIS FEBRIANTO</td>
<td>`</td>
<td>`</td>
<td>REJOMULYO</td>
<td>KARTOHARJO</td>
<td>16-02-1995</td>
<td>24</td>
<td>L</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td></td>
<td>`0001387469812</td>
<td>130802030619Y001554</td>
<td align='center'>
J00 </td>
</tr>

<td>397</td>
<td>25-06-2019</td>
<td>000534</td>
<td>TANTI SUTANTI</td>
<td>`3577016303600002</td>
<td>`3577012004079618</td>
<td>REJOMULYO</td>
<td>KARTOHARJO</td>
<td>23-03-1960</td>
<td>59</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS LAMA</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>`0000786630249</td>
<td>130802030619Y001535</td>
<td align='center'>
E11.9 </td>
</tr>

<td>398</td>
<td>25-06-2019</td>
<td>006974</td>
<td>WARDOYO</td>
<td>`</td>
<td>`</td>
<td>KELUN</td>
<td>KARTOHARJO</td>
<td>01-11-1980</td>
<td>38</td>
<td>L</td>
<td>Pensiunan</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>`0000786817282</td>
<td>130802030619Y001533</td>
<td align='center'>
I15.9 </td>
</tr>

<td>399</td>
<td>25-06-2019</td>
<td>001728</td>
<td>SUJARWO</td>
<td>`3577012703640003</td>
<td>`3577012104078736</td>
<td>KELUN</td>
<td>KARTOHARJO</td>
<td>27-03-1964</td>
<td>55</td>
<td>L</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>BPJS</td>
<td>`0002269639179</td>
<td>130802030619Y001606</td>
<td align='center'>
E11 </td>
</tr>

<td>400</td>
<td>25-06-2019</td>
<td>012304</td>
<td>SINGGIH ANUGRAH JATI</td>
<td>`</td>
<td>`</td>
<td>REJOMULYO</td>
<td>KARTOHARJO</td>
<td>21-12-1976</td>
<td>42</td>
<td>L</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>`0002413878265</td>
<td>130802030619Y001563</td>
<td align='center'>
E11 </td>
</tr>

<td>401</td>
<td>25-06-2019</td>
<td>000458</td>
<td>WAHYU TRIANA</td>
<td>`</td>
<td>`</td>
<td>TAWANGREJO</td>
<td>KARTOHARJO</td>
<td>30-05-1991</td>
<td>28</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td></td>
<td>`0002163587466</td>
<td>130802030619Y001608</td>
<td align='center'>
J00 </td>
</tr>

<td>402</td>
<td>25-06-2019</td>
<td>003872</td>
<td>BAGUS PUNGKI FERDIANTANTO</td>
<td>`</td>
<td>`</td>
<td>KARTOHARJO</td>
<td>01-08-1992</td>
<td>26</td>
<td>L</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>`0000786638621</td>
<td>130802030619Y001610</td>
<td align='center'>
J00 </td>
</tr>

<td>403</td>
<td>25-06-2019</td>
<td>000249</td>
<td>NANIK</td>
<td>`3577016103610003</td>
<td>`3577012104079123</td>
<td>KELUN</td>
<td>KARTOHARJO</td>
<td>21-03-1961</td>
<td>58</td>
<td>P</td>
<td>Pensiunan</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td></td>
<td>BPJS</td>
<td>`0000977005427</td>
<td>130802030619Y001565</td>
<td align='center'>
E11.8 </td>
</tr>

<td>404</td>
<td>25-06-2019</td>
<td>007553</td>
<td>ENDANG WURYANINGSIH</td>
<td>`</td>
<td>`</td>
<td>KELUN</td>
<td>KARTOHARJO</td>
<td>25-08-1976</td>
<td>42</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>`0001897056685</td>
<td>130802030619Y001615</td>
<td align='center'>
M79.1 </td>
</tr>

<td>405</td>
<td>25-06-2019</td>
<td>012694</td>
<td>JERRY KUSUMA PRATAMA</td>
<td>`3577010301010002</td>
<td>`3577011104180001</td>
<td>REJOMULYO</td>
<td>KARTOHARJO</td>
<td>03-01-2001</td>
<td>18</td>
<td>L</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>`0002413931152</td>
<td>130802030619Y001617</td>
<td align='center'>
R05 </td>
</tr>

<td>406</td>
<td>25-06-2019</td>
<td>008277</td>
<td>MARMINI</td>
<td>`3372014401600001</td>
<td>`</td>
<td>NGLAMES</td>
<td>MADIUN</td>
<td>MADIUN</td>
<td>04-01-1960</td>
<td>59</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>`0002472786775</td>
<td>130802030619Y001618</td>
<td align='center'>
M79.1 </td>
</tr>

<td>407</td>
<td>25-06-2019</td>
<td>013539</td>
<td>ARNOLD AGUS</td>
<td>`</td>
<td>`</td>
<td>KELUN</td>
<td>KARTOHARJO</td>
<td>17-08-1989</td>
<td>29</td>
<td>L</td>
<td>POLI UMUM</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>`</td>
<td></td>
<td align='center'>
R05 </td>
</tr>

<td>408</td>
<td>25-06-2019</td>
<td>003202</td>
<td>MATILDE ELISABETH</td>
<td>`</td>
<td>`</td>
<td>KARTOHARJO</td>
<td>18-10-1962</td>
<td>56</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>`0000196327473</td>
<td>130802030619Y001621</td>
<td align='center'>
G44.2 </td>
</tr>

<td>409</td>
<td>25-06-2019</td>
<td>008130</td>
<td>KRISTINA WIDAJANTI</td>
<td>`</td>
<td>`</td>
<td>REJOMULYO</td>
<td>KARTOHARJO</td>
<td>31-12-1966</td>
<td>52</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>`0002413945326</td>
<td>130802030619Y001626</td>
<td align='center'>
H10.9 </td>
</tr>

<td>410</td>
<td>26-06-2019</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>31</td>
<td>P</td>
<td>POLI UMUM</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>`0001536807778</td>
<td>130802030619Y001676</td>
<td align='center'>
H82 </td>
</tr>

<td>411</td>
<td>26-06-2019</td>
<td>013570</td>
<td>USDIARKO SEDIYO LAKSONO</td>
<td>`3519083112710002</td>
<td>`</td>
<td>TIRON</td>
<td>MADIUN</td>
<td>MADIUN</td>
<td>31-12-1971</td>
<td>47</td>
<td>L</td>
<td>POLI UMUM</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>`0001844863503</td>
<td>130802030619Y001683</td>
<td align='center'>
M79.1 </td>
</tr>

<td>412</td>
<td>26-06-2019</td>
<td>013572</td>
<td>IMA TRI OKTAVIANI</td>
<td>`</td>
<td>`</td>
<td>KARTOHARJO</td>
<td>MADIUN</td>
<td>20-10-1989</td>
<td>29</td>
<td>P</td>
<td>POLI UMUM</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>`0001390506322</td>
<td>130802030619Y001737</td>
<td align='center'>
W53 </td>
</tr>

<td>413</td>
<td>26-06-2019</td>
<td>013573</td>
<td>NUR AMINAH</td>
<td>`3577015502780002</td>
<td>`3577012104070546</td>
<td>KARTOHARJO</td>
<td>15-02-1978</td>
<td>41</td>
<td>P</td>
<td>POLI UMUM</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>`0000786657857</td>
<td>130802030619Y001684</td>
<td align='center'>
T16 </td>
</tr>

<td>414</td>
<td>26-06-2019</td>
<td>005337</td>
<td>SUKATMAN</td>
<td>`1111091001820001</td>
<td>`</td>
<td>TAWANGREJO</td>
<td>KARTOHARJO</td>
<td>10-01-1982</td>
<td>37</td>
<td>L</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>TNI ANGKATAN DARAT</td>
<td>`0001105198053</td>
<td>130802030619Y001686</td>
<td align='center'>
H91.9 </td>
</tr>

<td>415</td>
<td>26-06-2019</td>
<td>000382</td>
<td>IKA SUSILOWATI</td>
<td>`3577015010900001</td>
<td>`3577012004079744</td>
<td>REJOMULYO</td>
<td>KARTOHARJO</td>
<td>MADIUN</td>
<td>10-10-1990</td>
<td>28</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS LAMA</td>
<td>BPJS</td>
<td></td>
<td>`0002413943155</td>
<td>130802030619Y001688</td>
<td align='center'>
F23 </td>
</tr>

<td>416</td>
<td>26-06-2019</td>
<td>006086</td>
<td>SRI HARTATI</td>
<td>`</td>
<td>`</td>
<td>GUNUNGSARI</td>
<td>MADIUN</td>
<td>MADIUN</td>
<td>28-06-1965</td>
<td>54</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS LAMA</td>
<td>BPJS</td>
<td>`0000104916396</td>
<td>130802030619Y001650</td>
<td align='center'>
I64 </td>
</tr>

<td>417</td>
<td>26-06-2019</td>
<td>007891</td>
<td>HARYONO</td>
<td>`3577011911750002</td>
<td>`3577012104071638</td>
<td>KARTOHARJO</td>
<td>19-11-1975</td>
<td>43</td>
<td>L</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS LAMA</td>
<td>BPJS</td>
<td>`0001155699628</td>
<td>130802030619Y001689</td>
<td align='center'>
M79.1 </td>
</tr>

<td>418</td>
<td>26-06-2019</td>
<td>013551</td>
<td>SAMIJONO</td>
<td>`</td>
<td>`</td>
<td>BANJARSARI</td>
<td>MADIUN</td>
<td>MADIUN</td>
<td>03-07-1960</td>
<td>59</td>
<td>L</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>`</td>
<td></td>
<td align='center'>
M13 </td>
</tr>
<td>419</td>
<td>26-06-2019</td>
<td>005476</td>
<td>EDY SISWOYO</td>
<td>`</td>
<td>`</td>
<td>KELUN</td>
<td>KARTOHARJO</td>
<td>29-12-1968</td>
<td>50</td>
<td>L</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS LAMA</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>`0002163624491</td>
<td>130802030619Y001690</td>
<td align='center'>
E11 </td>
</tr>

<td>420</td>
<td>26-06-2019</td>
<td>001259</td>
<td>NURYANI</td>
<td>`3577014410630001</td>
<td>`3577012004079591</td>
<td>REJOMULYO</td>
<td>KARTOHARJO</td>
<td>04-10-1963</td>
<td>55</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS LAMA</td>
<td>BPJS</td>
<td></td>
<td>`0002416308974</td>
<td>130802030619Y001651</td>
<td align='center'>
I64 </td>
</tr>

<td>421</td>
<td>26-06-2019</td>
<td>003197</td>
<td>PUJIONO</td>
<td>`357701120860002</td>
<td>`</td>
<td>KELUN</td>
<td>KARTOHARJO</td>
<td>12-08-1960</td>
<td>58</td>
<td>L</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS LAMA</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>`0001704819666</td>
<td>130802030619Y001652</td>
<td align='center'>
L40.0 </td>
</tr>

<td>422</td>
<td>26-06-2019</td>
<td>000323</td>
<td>UTARI</td>
<td>`</td>
<td>`</td>
<td>KELUN</td>
<td>KARTOHARJO</td>
<td>25-05-1963</td>
<td>56</td>
<td>L</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td></td>
<td>`0002163616042</td>
<td>130802030619Y001695</td>
<td align='center'>
M79.1 </td>
</tr>

<td>423</td>
<td>26-06-2019</td>
<td>003844</td>
<td>HERI MULYONO</td>
<td>`3519082702640001</td>
<td>`</td>
<td>NGLAMES</td>
<td>MADIUN</td>
<td>MADIUN</td>
<td>27-02-1964</td>
<td>55</td>
<td>L</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>BPJS</td>
<td>`0001907470719</td>
<td>130802030619Y001655</td>
<td align='center'>
E11.5 </td>
</tr>

<td>424</td>
<td>26-06-2019</td>
<td>004141</td>
<td>SUPARMI</td>
<td>`</td>
<td>`</td>
<td>TAWANGREJO</td>
<td>KARTOHARJO</td>
<td>31-12-1975</td>
<td>43</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>`0002163612262</td>
<td>130802030619Y001698</td>
<td align='center'>
I10 </td>
</tr>

<td>425</td>
<td>26-06-2019</td>
<td>006922</td>
<td>SITI MAIMUNAH</td>
<td>`3519086412720001</td>
<td>`</td>
<td>NGLAMES</td>
<td>MADIUN</td>
<td>MADIUN</td>
<td>24-12-1972</td>
<td>46</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>`0001900175218</td>
<td>130802030619Y001700</td>
<td align='center'>
J11 </td>
</tr>

<td>426</td>
<td>26-06-2019</td>
<td>013494</td>
<td>ARIE TRIANINGSIH</td>
<td>`3577014303680001</td>
<td>`3577011002120001</td>
<td>KARTOHARJO</td>
<td>03-03-1968</td>
<td>51</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>`0001706777223</td>
<td>130802030619Y001701</td>
<td align='center'>
W49 </td>
</tr>

<td>427</td>
<td>26-06-2019</td>
<td>003713</td>
<td>SUPARMI</td>
<td>`</td>
<td>`</td>
<td>MADIUN</td>
<td>MADIUN</td>
<td>29-03-1969</td>
<td>50</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PNS DAERAH</td>
<td>`0000106432514</td>
<td>130802030619Y001705</td>
<td align='center'>
G44.2 </td>
</tr>

<td>428</td>
<td>26-06-2019</td>
<td>000607</td>
<td>SLAMET</td>
<td>`3577010809680003</td>
<td>`</td>
<td>KELUN</td>
<td>KARTOHARJO</td>
<td>01-09-1968</td>
<td>50</td>
<td>L</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>`0000786809349</td>
<td>130802030619Y001707</td>
<td align='center'>
J06.9 </td>
</tr>

<td>429</td>
<td>26-06-2019</td>
<td>010684</td>
<td>MUCHAJIR ROTUL EKWAN</td>
<td>`3577012703830003</td>
<td>`</td>
<td>KELUN</td>
<td>KARTOHARJO</td>
<td>27-03-1983</td>
<td>36</td>
<td>L</td>
<td>Karyawan Honorer</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>`0002413876779</td>
<td>130802030619Y001711</td>
<td align='center'>
J11 </td>
</tr>

<td>430</td>
<td>26-06-2019</td>
<td>001864</td>
<td>SRI RAHAYU</td>
<td>`3577015201730002</td>
<td>`3577012104071708</td>
<td>KARTOHARJO</td>
<td>12-01-1973</td>
<td>46</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>`0002163610067</td>
<td>130802030619Y001713</td>
<td align='center'>
K30 </td>
</tr>

<td>431</td>
<td>26-06-2019</td>
<td>001253</td>
<td>SUTIYAR</td>
<td>`3519086303670002</td>
<td>`</td>
<td>SUMBEREJO</td>
<td>MADIUN</td>
<td>MADIUN</td>
<td>01-01-1967</td>
<td>52</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS LAMA</td>
<td>BPJS</td>
<td>PNS DAERAH</td>
<td>`0000100481747</td>
<td>130802030619Y001714</td>
<td align='center'>
I15.9 </td>
</tr>

<td>432</td>
<td>26-06-2019</td>
<td>002876</td>
<td>WURYANI</td>
<td>`3577016901690001</td>
<td>`3577012004075501</td>
<td>REJOMULYO</td>
<td>KARTOHARJO</td>
<td>29-01-1969</td>
<td>50</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>BPJS</td>
<td></td>
<td>`0002413934458</td>
<td>130802030619Y001660</td>
<td align='center'>
E11.8 </td>
</tr>

<td>433</td>
<td>26-06-2019</td>
<td>000908</td>
<td>SULASMI</td>
<td>`3519074308610002</td>
<td>`</td>
<td>SOBRAH</td>
<td>WUNGU</td>
<td>MADIUN</td>
<td>01-01-1970</td>
<td>49</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>BPJS</td>
<td>`0002228199489</td>
<td>130802030619Y001661</td>
<td align='center'>
I69 </td>
</tr>

<td>434</td>
<td>26-06-2019</td>
<td>013561</td>
<td>ENI AGUSTIN</td>
<td>`</td>
<td>`</td>
<td>MADIUN</td>
<td>MADIUN</td>
<td>29-08-1998</td>
<td>20</td>
<td>P</td>
<td>POLI UMUM</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>`</td>
<td></td>
<td align='center'>
K30 </td>
</tr>

<td>435</td>
<td>26-06-2019</td>
<td>000357</td>
<td>SUNARDIONO</td>
<td>`3519081112620005</td>
<td>`</td>
<td>MADIUN</td>
<td>MADIUN</td>
<td>11-12-1962</td>
<td>56</td>
<td>L</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>`0001842533954</td>
<td>130802030619Y001717</td>
<td align='center'>
J11 </td>
</tr>

<td>436</td>
<td>26-06-2019</td>
<td>012913</td>
<td>RAHADYAN ADITYA DEWANTORO</td>
<td>`</td>
<td>`</td>
<td>KARTOHARJO</td>
<td>03-05-2000</td>
<td>19</td>
<td>L</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>`0002742896349</td>
<td>130802030619Y001728</td>
<td align='center'>
W49 </td>
</tr>

<td>437</td>
<td>26-06-2019</td>
<td>011957</td>
<td>`3519084702670001</td>
<td>`</td>
<td>NGLAMES</td>
<td>MADIUN</td>
<td>MADIUN</td>
<td>07-02-1967</td>
<td>52</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>`0002314207427</td>
<td>130802030619Y001733</td>
<td align='center'>
T30 </td>
</tr>

<td>438</td>
<td>26-06-2019</td>
<td>007669</td>
<td>SUNARTININGSIH</td>
<td>`</td>
<td>`</td>
<td>REJOMULYO</td>
<td>KARTOHARJO</td>
<td>15-09-1973</td>
<td>45</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS LAMA</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>`0001704809395</td>
<td>130802030619Y001744</td>
<td align='center'>
K30 </td>
</tr>

<td>439</td>
<td>26-06-2019</td>
<td>006763</td>
<td>YELMI GUSTI</td>
<td>`</td>
<td>`</td>
<td>TAWANGREJO</td>
<td>KARTOHARJO</td>
<td>14-08-1977</td>
<td>41</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS LAMA</td>
<td>BPJS</td>
<td>`0001792395483</td>
<td>130802030619Y001674</td>
<td align='center'>
I64 </td>
</tr>

<td>440</td>
<td>27-06-2019</td>
<td>013586</td>
<td>DJOKO SUSILO</td>
<td>`3577020109720002</td>
<td>`3577012607160006</td>
<td>KARTOHARJO</td>
<td>01-09-1972</td>
<td>46</td>
<td>L</td>
<td>POLI UMUM</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>`0002163621789</td>
<td>130802030619Y001790</td>
<td align='center'>
M79.1 </td>
</tr>

<td>441</td>
<td>27-06-2019</td>
<td>013595</td>
<td>ELIN RESTIYANI</td>
<td>`3577015908960002</td>
<td>`3577012004079364</td>
<td>REJOMULYO</td>
<td>KARTOHARJO</td>
<td>19-08-1996</td>
<td>22</td>
<td>P</td>
<td>POLI UMUM</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>`0002413942029</td>
<td>130802030619Y001792</td>
<td align='center'>
J06.9 </td>
</tr>

<td>442</td>
<td>27-06-2019</td>
<td>013601</td>
<td>MADE TIRTA NUGRAHA</td>
<td>`3577010512870001</td>
<td>`3577012701120004</td>
<td>KARTOHARJO</td>
<td>05-12-1987</td>
<td>31</td>
<td>L</td>
<td>POLI UMUM</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>`0001272948197</td>
<td>130802030619Y001847</td>
<td align='center'>
G43.9 </td>
</tr>
<td>443</td>
<td>27-06-2019</td>
<td>002433</td>
<td>YENI SULASTRI</td>
<td>`3519085709680001</td>
<td>`</td>
<td>BANJARSARI</td>
<td>MADIUN</td>
<td>MADIUN</td>
<td>17-09-1968</td>
<td>50</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>`0002219025701</td>
<td>130802030619Y001796</td>
<td align='center'>
E11.3 </td>
</tr>

<td>444</td>
<td>27-06-2019</td>
<td>001784</td>
<td>`3519085912620002</td>
<td>`</td>
<td>NGLAMES</td>
<td>MADIUN</td>
<td>MADIUN</td>
<td>19-12-1962</td>
<td>56</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS LAMA</td>
<td>BPJS</td>
<td>`0000104951171</td>
<td>130802030619Y001800</td>
<td align='center'>
E11 </td>
</tr>

<td>445</td>
<td>27-06-2019</td>
<td>001785</td>
<td>TJARITO</td>
<td>`3519082612590001</td>
<td>`</td>
<td>NGLAMES</td>
<td>MADIUN</td>
<td>MADIUN</td>
<td>26-12-1959</td>
<td>59</td>
<td>L</td>
<td>Pensiunan</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>BPJS</td>
<td>`0000104951169</td>
<td>130802030619Y001801</td>
<td align='center'>
E11 </td>
</tr>

<td>446</td>
<td>27-06-2019</td>
<td>003712</td>
<td>SUWARTI</td>
<td>`3577014812750004</td>
<td>`3577012104071718</td>
<td>KARTOHARJO</td>
<td>08-12-1975</td>
<td>43</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>`0001536594445</td>
<td>130802030619Y001802</td>
<td align='center'>
J11 </td>
</tr>

<td>447</td>
<td>27-06-2019</td>
<td>007446</td>
<td>ISMAIL</td>
<td>`</td>
<td>`</td>
<td>BETEK</td>
<td>MADIUN</td>
<td>MADIUN</td>
<td>07-02-1977</td>
<td>42</td>
<td>L</td>
<td>Pedagang</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>BPJS</td>
<td></td>
<td>`0002741018084</td>
<td>130802030619Y001785</td>
<td align='center'>
A16.9 </td>
</tr>

<td>448</td>
<td>27-06-2019</td>
<td>002006</td>
<td>LIA MEILINA</td>
<td>` 3577014105740002</td>
<td>`3577012104079176</td>
<td>KELUN</td>
<td>KARTOHARJO</td>
<td>MADIUN</td>
<td>01-05-1974</td>
<td>45</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>`0001854096153</td>
<td>130802030619Y001803</td>
<td align='center'>
K30 </td>
</tr>

<td>449</td>
<td>27-06-2019</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>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>`0000786616031</td>
<td>130802030619Y001806</td>
<td align='center'>
M79.1 </td>
</tr>

<td>450</td>
<td>27-06-2019</td>
<td>003934</td>
<td>SARWONO</td>
<td>`3519083006850001</td>
<td>`</td>
<td>BANJARSARI</td>
<td>MADIUN</td>
<td>MADIUN</td>
<td>30-06-1985</td>
<td>34</td>
<td>L</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>`0001148689517</td>
<td>130802030619Y001807</td>
<td align='center'>
J11 </td>
</tr>

<td>451</td>
<td>27-06-2019</td>
<td>002726</td>
<td>KARMINAH</td>
<td>`3519077112600013</td>
<td>`</td>
<td>NGLANDUK</td>
<td>WUNGU</td>
<td>MADIUN</td>
<td>31-12-1960</td>
<td>58</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS LAMA</td>
<td>BPJS</td>
<td>`0001795869494</td>
<td>130802030619Y001766</td>
<td align='center'>
I47.1 </td>
</tr>

<td>452</td>
<td>27-06-2019</td>
<td>008414</td>
<td>SAMIYEM</td>
<td>`3577014101620003</td>
<td>`3577012104072206</td>
<td>KARTOHARJO</td>
<td>01-01-1962</td>
<td>57</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td>`0001541374378</td>
<td></td>
<td align='center'>
M54.59 </td>
</tr>

<td>453</td>
<td>27-06-2019</td>
<td>013582</td>
<td>SRI UTAMI</td>
<td>`</td>
<td>`</td>
<td>SUMBEREJO</td>
<td>MADIUN</td>
<td>MADIUN</td>
<td>25-06-1976</td>
<td>43</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>`</td>
<td></td>
<td align='center'>
R07.4 </td>
</tr>

<td>454</td>
<td>27-06-2019</td>
<td>006275</td>
<td>KASMAN</td>
<td>`3519081007760004</td>
<td>`</td>
<td>BANJARSARI</td>
<td>MADIUN</td>
<td>MADIUN</td>
<td>10-07-1976</td>
<td>42</td>
<td>L</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS LAMA</td>
<td>BPJS</td>
<td>`0002463873074</td>
<td>130802030619Y001773</td>
<td align='center'>
C95.9 </td>
</tr>

<td>455</td>
<td>27-06-2019</td>
<td>013210</td>
<td>SUMINTEN</td>
<td>`3519084311830001</td>
<td>`</td>
<td>MADIUN</td>
<td>MADIUN</td>
<td>03-11-1983</td>
<td>35</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>`0001792952188</td>
<td>130802030619Y001819</td>
<td align='center'>
A09 </td>
</tr>

<td>456</td>
<td>27-06-2019</td>
<td>005865</td>
<td>WIDAYATI</td>
<td>`</td>
<td>`</td>
<td>TAWANGREJO</td>
<td>KARTOHARJO</td>
<td>01-01-1968</td>
<td>51</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PNS DAERAH</td>
<td>`0000106300495</td>
<td>130802030619Y001820</td>
<td align='center'>
W49 </td>
</tr>

<td>457</td>
<td>27-06-2019</td>
<td>011770</td>
<td>`</td>
<td>`</td>
<td>KARTOHARJO</td>
<td>01-11-1982</td>
<td>36</td>
<td>L</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>`0000787447361</td>
<td>130802030619Y001824</td>
<td align='center'>
A16.9 </td>
</tr>

<td>458</td>
<td>27-06-2019</td>
<td>008242</td>
<td>MINATUN</td>
<td>`3577015004630001</td>
<td>`3577011301100008</td>
<td>KARTOHARJO</td>
<td>10-04-1963</td>
<td>56</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS LAMA</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>`0002416308568</td>
<td>130802030619Y001829</td>
<td align='center'>
E11 </td>
</tr>

<td>459</td>
<td>27-06-2019</td>
<td>005362</td>
<td>YUYUN INDRISARI</td>
<td>`</td>
<td>`</td>
<td>KARTOHARJO</td>
<td>27-05-1993</td>
<td>26</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>`0001774102836</td>
<td>130802030619Y001830</td>
<td align='center'>
R51 </td>
</tr>

<td>460</td>
<td>27-06-2019</td>
<td>011512</td>
<td>EREN DIMAS KURNIAWAN</td>
<td>`3577022511920003</td>
<td>`3577010612100004</td>
<td>KELUN</td>
<td>KARTOHARJO</td>
<td>25-11-1992</td>
<td>26</td>
<td>L</td>
<td>suwasta</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>`0001969406919</td>
<td>130802030619Y001832</td>
<td align='center'>
A09 </td>
</tr>

<td>461</td>
<td>27-06-2019</td>
<td>005992</td>
<td>PAIDI</td>
<td>`</td>
<td>`</td>
<td>SUMBEREJO</td>
<td>MADIUN</td>
<td>MADIUN</td>
<td>30-06-1968</td>
<td>51</td>
<td>L</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>BPJS</td>
<td>`0001877754341</td>
<td>130802030619Y001779</td>
<td align='center'>
J45.0 </td>
</tr>

<td>462</td>
<td>27-06-2019</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>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>`0002163594655</td>
<td>130802030619Y001837</td>
<td align='center'>
J11 </td>
</tr>

<td>463</td>
<td>27-06-2019</td>
<td>001980</td>
<td>SUTRI</td>
<td>`3577017112660005</td>
<td>`3577010301110014</td>
<td>KARTOHARJO</td>
<td>31-12-1966</td>
<td>52</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>`0000786599943</td>
<td>130802030619Y001781</td>
<td align='center'>
I10 </td>
</tr>

<td>464</td>
<td>27-06-2019</td>
<td>004765</td>
<td>NITA JULIANA</td>
<td>`3577010000 </td>
<td>`</td>
<td>KELUN</td>
<td>KARTOHARJO</td>
<td>08-11-1970</td>
<td>48</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PNS DAERAH</td>
<td>`0000148930266</td>
<td>130802030619Y001840</td>
<td align='center'>
L23.9 </td>
</tr>

<td>465</td>
<td>27-06-2019</td>
<td>000269</td>
<td> SUGENG WASONO</td>
<td>`</td>
<td>`</td>
<td>REJOMULYO</td>
<td>KARTOHARJO</td>
<td>MADIUN</td>
<td>25-07-1966</td>
<td>52</td>
<td>L</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS LAMA</td>
<td>BPJS</td>
<td></td>
<td>`0002413941636</td>
<td>130802030619Y001783</td>
<td align='center'>
E11.5 </td>
</tr>

<td>466</td>
<td>27-06-2019</td>
<td>000103</td>
<td>NUNUNG NURHAYATI</td>
<td>`3577015804710002</td>
<td>`3577012506130002</td>
<td>REJOMULYO</td>
<td>KARTOHARJO</td>
<td>MADIUN</td>
<td>18-04-1971</td>
<td>48</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>`0002413947666</td>
<td>130802030619Y001842</td>
<td align='center'>
L23 </td>
</tr>

<td>467</td>
<td>27-06-2019</td>
<td>005247</td>
<td>PURWATI</td>
<td>`</td>
<td>`</td>
<td>REJOMULYO</td>
<td>KARTOHARJO</td>
<td>26-11-1969</td>
<td>49</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>BPJS</td>
<td>PNS DAERAH</td>
<td>`0000104810771</td>
<td>130802030619Y001784</td>
<td align='center'>
E11.8 </td>
</tr>

<td>468</td>
<td>28-06-2019</td>
<td>013615</td>
<td>HARTINI</td>
<td>`3577015510600002</td>
<td>`3577012004079383</td>
<td>REJOMULYO</td>
<td>KARTOHARJO</td>
<td>15-10-1960</td>
<td>58</td>
<td>P</td>
<td>POLI UMUM</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>`0000787645348</td>
<td>130802030619Y001971</td>
<td align='center'>
K30 </td>
</tr>

<td>469</td>
<td>28-06-2019</td>
<td>003219</td>
<td>SUGIYEM</td>
<td>`</td>
<td>`</td>
<td>MADIUN</td>
<td>MADIUN</td>
<td>22-08-1981</td>
<td>37</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>`0002327292988</td>
<td>130802030619Y001977</td>
<td align='center'>
J02 </td>
</tr>

<td>470</td>
<td>28-06-2019</td>
<td>007637</td>
<td>DIMAS NUR CAHYO</td>
<td>` 3577011403970001</td>
<td>`3577010901090002</td>
<td>REJOMULYO</td>
<td>KARTOHARJO</td>
<td>14-03-1997</td>
<td>22</td>
<td>L</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS LAMA</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>`0000787065107</td>
<td>130802030619Y001866</td>
<td align='center'>
J45 </td>
</tr>

<td>471</td>
<td>28-06-2019</td>
<td>009463</td>
<td>SUGIANA</td>
<td>`3173062703840002</td>
<td>`</td>
<td>DEMPELAN</td>
<td>MADIUN</td>
<td>MADIUN</td>
<td>27-03-1984</td>
<td>35</td>
<td>L</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>UMUM</td>
<td>PBI (APBD)</td>
<td>`0001220464427</td>
<td></td>
<td align='center'>
A16.9 </td>
</tr>

<td>472</td>
<td>28-06-2019</td>
<td>011367</td>
<td>NINING SUNDARI</td>
<td>`</td>
<td>`</td>
<td>KARTOHARJO</td>
<td>13-04-1992</td>
<td>27</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>`0002163586814</td>
<td>130802030619Y001979</td>
<td align='center'>
Z00.8 </td>
</tr>

<td>473</td>
<td>28-06-2019</td>
<td>003690</td>
<td>`3519086602840002</td>
<td>`</td>
<td>NGLAMES</td>
<td>MADIUN</td>
<td>MADIUN</td>
<td>26-02-1984</td>
<td>35</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>`0001537127111</td>
<td>130802030619Y001980</td>
<td align='center'>
J11 </td>
</tr>

<td>474</td>
<td>28-06-2019</td>
<td>004313</td>
<td>SRINGATUN</td>
<td>`3519084105670003</td>
<td>`</td>
<td>SUMBEREJO</td>
<td>MADIUN</td>
<td>MADIUN</td>
<td>01-05-1967</td>
<td>52</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>`0001317224709</td>
<td>130802030619Y001870</td>
<td align='center'>
K30 </td>
</tr>

<td>475</td>
<td>28-06-2019</td>
<td>013240</td>
<td>LIS MIHARYANI</td>
<td>`3577015610590001</td>
<td>`3577012104071654</td>
<td>KARTOHARJO</td>
<td>16-10-1959</td>
<td>59</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>`0000106352662</td>
<td>130802030619Y001982</td>
<td align='center'>
L23.9 </td>
</tr>

<td>476</td>
<td>28-06-2019</td>
<td>004103</td>
<td>WARSINI</td>
<td>`</td>
<td>`</td>
<td>TIRON</td>
<td>MADIUN</td>
<td>MADIUN</td>
<td>27-10-1970</td>
<td>48</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>`0002244140087</td>
<td>130802030619Y001872</td>
<td align='center'>
J44.9 </td>
</tr>

<td>477</td>
<td>28-06-2019</td>
<td>005859</td>
<td>IRA HANDAYANI</td>
<td>`3578066505710002</td>
<td>`</td>
<td>TAWANGREJO</td>
<td>KARTOHARJO</td>
<td>25-05-1971</td>
<td>48</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS LAMA</td>
<td>BPJS</td>
<td>`0002611829597</td>
<td>130802030619Y001871</td>
<td align='center'>
I64 </td>
</tr>
<td>478</td>
<td>28-06-2019</td>
<td>001423</td>
<td>LIS SETYORINI</td>
<td>`3577016708720001</td>
<td>`3577012104079086</td>
<td>KELUN</td>
<td>KARTOHARJO</td>
<td>MADIUN</td>
<td>27-08-1972</td>
<td>46</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>`0000209506206</td>
<td>130802030619Y001983</td>
<td align='center'>
M79.1 </td>
</tr>

<td>479</td>
<td>28-06-2019</td>
<td>011158</td>
<td>SRI SUHARTATIK</td>
<td>`3577016904620001</td>
<td>`3577012104070178</td>
<td>REJOMULYO</td>
<td>KARTOHARJO</td>
<td>29-04-1962</td>
<td>57</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>`0000210021671</td>
<td>130802030619Y001984</td>
<td align='center'>
M79.1 </td>
</tr>

<td>480</td>
<td>28-06-2019</td>
<td>006750</td>
<td> SITI WULANDARI</td>
<td>`3577015508700002</td>
<td>`3577012004077257</td>
<td>REJOMULYO</td>
<td>KARTOHARJO</td>
<td>MADIUN</td>
<td>01-01-1970</td>
<td>49</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td></td>
<td>`0001704807966</td>
<td>130802030619Y001985</td>
<td align='center'>
M79.1 </td>
</tr>

<td>481</td>
<td>28-06-2019</td>
<td>007190</td>
<td>SUKASDI</td>
<td>`</td>
<td>`</td>
<td>KARTOHARJO</td>
<td>01-12-1981</td>
<td>37</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>`0000786610877</td>
<td>130802030619Y001878</td>
<td align='center'>
T87 </td>
</tr>

<td>482</td>
<td>28-06-2019</td>
<td>005110</td>
<td>KOMARUDIN</td>
<td>`</td>
<td>`</td>
<td>KELUN</td>
<td>KARTOHARJO</td>
<td>01-05-1972</td>
<td>47</td>
<td>L</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS LAMA</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>`0000786781866</td>
<td>130802030619Y001887</td>
<td align='center'>
F23 </td>
</tr>

<td>483</td>
<td>28-06-2019</td>
<td>011350</td>
<td>SULASTRI</td>
<td>`</td>
<td>`</td>
<td>NGLANDUK</td>
<td>WUNGU</td>
<td>MADIUN</td>
<td>20-02-1979</td>
<td>40</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>`0001827755515</td>
<td>130802030619Y001988</td>
<td align='center'>
D21.0 </td>
</tr>

<td>484</td>
<td>28-06-2019</td>
<td>002097</td>
<td>ENNY DIANAWATI</td>
<td>`3577015112800002</td>
<td>`3577012104071760</td>
<td>KARTOHARJO</td>
<td>11-12-1980</td>
<td>38</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>`0000786726088</td>
<td>130802030619Y001990</td>
<td align='center'>
J00 </td>
</tr>

<td>485</td>
<td>28-06-2019</td>
<td>006367</td>
<td>KUSNUL FATIMAH</td>
<td>`</td>
<td>`</td>
<td>BANJARSARI</td>
<td>MADIUN</td>
<td>MADIUN</td>
<td>01-05-1962</td>
<td>57</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PNS DAERAH</td>
<td>`0000104918499</td>
<td>130802030619Y001992</td>
<td align='center'>
M79.1 </td>
</tr>

<td>486</td>
<td>28-06-2019</td>
<td>008208</td>
<td>KARSINTO</td>
<td>`</td>
<td>`</td>
<td>REJOMULYO</td>
<td>KARTOHARJO</td>
<td>01-02-1977</td>
<td>42</td>
<td>L</td>
<td>Wiraswasta</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>`0000786906011</td>
<td>130802030619Y001886</td>
<td align='center'>
R33 </td>
</tr>

<td>487</td>
<td>28-06-2019</td>
<td>011403</td>
<td>SUKARDI</td>
<td>`3577012009700002</td>
<td>`3577012104072336</td>
<td>KARTOHARJO</td>
<td>20-09-1970</td>
<td>48</td>
<td>L</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>`0000787316444</td>
<td>130802030619Y001883</td>
<td align='center'>
N18.9 </td>
</tr>

<td>488</td>
<td>28-06-2019</td>
<td>002979</td>
<td>SUMIDI SASMITO</td>
<td>`</td>
<td>`</td>
<td>BANJARSARI</td>
<td>MADIUN</td>
<td>MADIUN</td>
<td>03-11-1959</td>
<td>59</td>
<td>L</td>
<td>Pensiunan</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>BPJS</td>
<td>`0000105154942</td>
<td>130802030619Y001995</td>
<td align='center'>
E11 </td>
</tr>

<td>489</td>
<td>28-06-2019</td>
<td>002007</td>
<td>HARTADI DJAJA SUKARTIKA</td>
<td>`3577012506630001</td>
<td>`3577012104078481</td>
<td>KELUN</td>
<td>KARTOHARJO</td>
<td>25-06-1963</td>
<td>56</td>
<td>L</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PNS DAERAH</td>
<td>`0000104831919</td>
<td>130802030619Y001888</td>
<td align='center'>
H43.9 </td>
</tr>

<td>490</td>
<td>28-06-2019</td>
<td>003277</td>
<td>LAMI</td>
<td>`</td>
<td>`</td>
<td>KARTOHARJO</td>
<td>KARTOHARJO</td>
<td>01-01-1971</td>
<td>48</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>`0000786814165</td>
<td>130802030619Y001998</td>
<td align='center'>
E11 </td>
</tr>

<td>491</td>
<td>28-06-2019</td>
<td>006039</td>
<td>MURTINI</td>
<td>`3577014101750003</td>
<td>`3577012102110004</td>
<td>KARTOHARJO</td>
<td>01-01-1975</td>
<td>44</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td></td>
<td>`0002418322893</td>
<td>130802030619Y002001</td>
<td align='center'>
K29.7 </td>
</tr>

<td>492</td>
<td>28-06-2019</td>
<td>013621</td>
<td>RAFLI ICHSAN RAMADHAN</td>
<td>`</td>
<td>`</td>
<td>KELUN</td>
<td>KARTOHARJO</td>
<td>20-05-2001</td>
<td>18</td>
<td>L</td>
<td>POLI UMUM</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>`</td>
<td></td>
<td align='center'>
L30.3 </td>
</tr>

<td>493</td>
<td>28-06-2019</td>
<td>013622</td>
<td>ARIF LUTHFI PRASETYO</td>
<td>`</td>
<td>`</td>
<td>TIRON</td>
<td>MADIUN</td>
<td>MADIUN</td>
<td>07-05-1995</td>
<td>24</td>
<td>L</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>`</td>
<td></td>
<td align='center'>
A09 </td>
</tr>

<td>494</td>
<td>28-06-2019</td>
<td>005050</td>
<td>SARTI</td>
<td>`</td>
<td>`</td>
<td>BANJARSARI</td>
<td>MADIUN</td>
<td>MADIUN</td>
<td>01-05-1970</td>
<td>49</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>`0000739023827</td>
<td>130802030619Y002005</td>
<td align='center'>
G44.2 </td>
</tr>

<td>495</td>
<td>28-06-2019</td>
<td>001425</td>
<td>LILIK NURHAYATI</td>
<td>`3577015901700002</td>
<td>`3577012004079681</td>
<td>REJOMULYO</td>
<td>KARTOHARJO</td>
<td>19-01-1970</td>
<td>49</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td></td>
<td>`0002413876634</td>
<td>130802030619Y001905</td>
<td align='center'>
M13 </td>
</tr>

<td>496</td>
<td>28-06-2019</td>
<td>004097</td>
<td>WINDA DWI PEBRIANI</td>
<td>`</td>
<td>`</td>
<td>REJOMULYO</td>
<td>KARTOHARJO</td>
<td>01-02-2001</td>
<td>18</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>`0000786953002</td>
<td>130802030619Y002007</td>
<td align='center'>
K30 </td>
</tr>

<td>497</td>
<td>28-06-2019</td>
<td>003633</td>
<td>ENIK NOVITA SARI</td>
<td>`</td>
<td>`</td>
<td>KELUN</td>
<td>KARTOHARJO</td>
<td>08-11-1983</td>
<td>35</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>`0001704819082</td>
<td>130802030619Y002009</td>
<td align='center'>
R51 </td>
</tr>

<td>498</td>
<td>28-06-2019</td>
<td>000843</td>
<td>SUPRAPTI</td>
<td>`</td>
<td>`</td>
<td>NGLAMES</td>
<td>MADIUN</td>
<td>MADIUN</td>
<td>13-09-1963</td>
<td>55</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>`</td>
<td></td>
<td align='center'>
M79.1 </td>
</tr>

<td>499</td>
<td>28-06-2019</td>
<td>013624</td>
<td>REZA CHANDRA</td>
<td>`</td>
<td>`</td>
<td>SUMBEREJO</td>
<td>MADIUN</td>
<td>MADIUN</td>
<td>03-06-1996</td>
<td>23</td>
<td>L</td>
<td>POLI UMUM</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>`</td>
<td></td>
<td align='center'>
J00 </td>
</tr>
</table>

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