BPJS RAJAL POLI PAGI SEPTEMBER 2021

NO Kode dr. Stefani Wylna W, Sp. KFR

NO Tanggal NAMA PASIEN
SEP Dokter Konsul Tind.

1 35 STEFANI 01/09/2021 BONG KIM SOEI 34,230

2 36 STEFANI 01/09/2021 LIM MEN KWET 34,230
3 38 STEFANI 01/09/2021 JOHANA ROSANA 34,230
4 46 STEFANI 01/09/2021 PINI 34,230
5 47 STEFANI 01/09/2021 HIKMAH 34,230
6 48 STEFANI 01/09/2021 AL HABIB 34,230
7 49 STEFANI 01/09/2021 NURJATI 34,230
8 96 STEFANI 01/09/2021 SE KUAN MOY 34,230
9 193 STEFANI 02/09/2021 RATNA 34,230
10 195 STEFANI 02/09/2021 EDI CHANDRA 34,230
11 197 STEFANI 02/09/2021 ASTINA 34,230
12 198 STEFANI 02/09/2021 RUSMAN 34,230
13 199 STEFANI 02/09/2021 CHAIRISA DELWAN 34,230
14 211 STEFANI 02/09/2021 DESI IRNOLIA 34,230
15 213 STEFANI 02/09/2021 DARNA FIDIAWATI 58,230
16 265 STEFANI 02/09/2021 ENCAH SUBARIAH 57,810
17 277 STEFANI 02/09/2021 NABILA ZHRANI 34,230
18 389 STEFANI 03/09/2021 ANITA ERLIANA 34,230
19 490 STEFANI 04/09/2021 SYAMSIAH 57,810
20 492 STEFANI 04/09/2021 SYAMSUDIN 57,810
21 526 STEFANI 04/09/2021 NURHAYATI 57,810
22 545 STEFANI 04/09/2021 JOHANA ROSANA 34,230
23 550 STEFANI 04/09/2021 BONG KIM SOEI 34,230
24 551 STEFANI 04/09/2021 AGNAR ANDRIAN 34,230
25 553 STEFANI 04/09/2021 HIKMAH 34,230
26 555 STEFANI 04/09/2021 PINI 34,230
27 562 STEFANI 04/09/2021 SOEIJ SAK 34,230
28 568 STEFANI 04/09/2021 BISMARNI 34,230
29 569 STEFANI 04/09/2021 ASWANDY 34,230
30 570 STEFANI 04/09/2021 HAJIMAH 34,230
31 807 STEFANI 06/09/2021 BONG MIE KIOEN 34,230
32 809 STEFANI 06/09/2021 SE KUAN MOY 34,230
33 811 STEFANI 06/09/2021 EDI CHANDRA 34,230
34 812 STEFANI 06/09/2021 NABILA ZHRANI 34,230
35 813 STEFANI 06/09/2021 ASTINA 34,230
36 814 STEFANI 06/09/2021 RUSMAN 34,230
37 816 STEFANI 06/09/2021 CHAIRISA DELWAN 34,230
38 819 STEFANI 06/09/2021 DESI IRNOLIA 34,230
39 825 STEFANI 06/09/2021 ASWANDY 34,230
40 877 STEFANI 06/09/2021 HARUN HAMID 34,230
41 896 STEFANI 06/09/2021 STEPANUS FABRICO H 34,230
42 923 STEFANI 06/09/2021 LIM SOEI NGIAN 57,810
43 929 STEFANI 06/09/2021 HIKMAH 57,810
44 943 STEFANI 06/09/2021 SATIRAH 57,810
45 1042 STEFANI 07/09/2021 DEDET HARYANNI 57,810
46 1046 STEFANI 07/09/2021 NGOEI FEN DJOENG 57,810
47 1048 STEFANI 07/09/2021 SUKATI 57,810
48 1081 STEFANI 07/09/2021 HAJIMAH 34,230
49 1085 STEFANI 07/09/2021 SOEIJ SAK 34,230
50 1089 STEFANI 07/09/2021 RATNA 34,230
51 1098 STEFANI 07/09/2021 MEGA 34,230
52 1100 STEFANI 07/09/2021 SHEVA AL 34,230
53 1106 STEFANI 07/09/2021 AUFI IKHTIA ILMA 34,230
54 1110 STEFANI 07/09/2021 LIM SOEI NGIAN 34,230
55 1111 STEFANI 07/09/2021 SATIRAH 34,230
56 1145 STEFANI 07/09/2021 LUWIS 57,810
57 1165 STEFANI 07/09/2021 SITI AMINAH 57,810
58 1260 STEFANI 08/09/2021 BONG KIM SOEI 34,230
59 1262 STEFANI 08/09/2021 JOHANA ROSANA 34,230
60 1264 STEFANI 08/09/2021 LIM MEN KWET 34,230
61 1268 STEFANI 08/09/2021 AL HABIB MIRZA 34,230
62 1270 STEFANI 08/09/2021 PINI 34,230
63 1282 STEFANI 08/09/2021 PUTRI CAHAYA ANGGRAINI 83,790
64 1406 STEFANI 09/09/2021 LIE EN DJIN 57,810
65 1445 STEFANI 09/09/2021 KURDIANTO 57,810
66 1484 STEFANI 09/09/2021 DESI IRNOLIA 34,230
67 1485 STEFANI 09/09/2021 SE KUAN MOY 34,230
68 1487 STEFANI 09/09/2021 ASWANDY 34,230
69 1489 STEFANI 09/09/2021 STEPANUS FABRICO H 34,230
70 1490 STEFANI 09/09/2021 CHAIRISA DELWAN 34,230
71 1492 STEFANI 09/09/2021 ASTINA 34,230
72 1494 STEFANI 09/09/2021 RUSMAN 34,230
73 1497 STEFANI 09/09/2021 EDI CHANDRA 34,230
74 1500 STEFANI 09/09/2021 RATNA 34,230
75 1507 STEFANI 09/09/2021 PUTRI CAHAYA ANGGRAINI 34,230
76 1509 STEFANI 09/09/2021 EDDY KASIM 34,230
77 1515 STEFANI 09/09/2021 ASMAWATI 58,230
78 1520 STEFANI 09/09/2021 DAHYAR 57,810
79 1528 STEFANI 09/09/2021 HARUN HAMID 58,230
80 1710 STEFANI 10/09/2021 BONG MIE KIOEN 34,230
81 1723 STEFANI 10/09/2021 ANITA ERLIANA 34,230
82 1876 STEFANI 13/09/2021 LIM SOEI NGIAN 34,230
83 1877 STEFANI 11/09/2021 AUFI IKHTIA ILMA 34,230
84 1878 STEFANI 11/09/2021 HAJIMAH 34,230
85 1885 STEFANI 11/09/2021 HIKMAH 34,230
86 1887 STEFANI 11/09/2021 PINI 34,230
87 1889 STEFANI 11/09/2021 AGNAR ANDRIAN 34,230
88 1891 STEFANI 11/09/2021 BONG KIM SOEI 34,230
89 1893 STEFANI 11/09/2021 JOHANA ROSANA 34,230
90 1919 STEFANI 11/09/2021 FOE SIAN NONG 57,810
91 1933 STEFANI 11/09/2021 EDI RIATNO 57,810
92 2057 STEFANI 13/09/2021 RIKA ISMAWATI 57,810
93 2066 STEFANI 13/09/2021 HIKMAH 57,810
94 2120 STEFANI 13/09/2021 DESI IRNOLIA 57,810
95 2124 STEFANI 13/09/2021 ASTINA 34,230
96 2125 STEFANI 11/09/2021 RUSMAN 34,230
97 2132 STEFANI 11/09/2021 STEPANUS 34,230
98 2134 STEFANI 13/09/2021 SE KUAN MOY 34,230
99 2139 STEFANI 13/09/2021 LASNA JUWITA 57,810
100 2140 STEFANI 11/09/2021 BONG MIE KIOEN 34,230
101 2144 STEFANI 13/09/2021 HARUN HAMID 34,230
102 2147 STEFANI 13/09/2021 EDI CHANDRA 34,230
103 2172 STEFANI 13/09/2021 IR. AGUS PRASETYA 57,810
104 2257 STEFANI 14/09/2021 HJ. SUMARWIYAH 57,810
105 2309 STEFANI 14/09/2021 DENNY EFENDY BUKIT 57,810
106 2317 STEFANI 14/09/2021 MEGA 34,230
107 2319 STEFANI 14/09/2021 SHEVA ALMADINAH 34,230
108 2320 STEFANI 14/09/2021 SOEIJ SAK 34,230
109 2326 STEFANI 14/09/2021 CHAIRISA DELWAN 34,230
110 2328 STEFANI 14/09/2021 ASWANDY 34,230
111 2335 STEFANI 14/09/2021 SATIRAH SAPON 34,230
112 2336 STEFANI 14/09/2021 BOEN PAT MIE 34,230
113 2341 STEFANI 14/09/2021 HAJIMAH 34,230
114 2342 STEFANI 14/09/2021 LIM SOEI NGIAN 34,230
115 2383 STEFANI 14/09/2021 AMIR INAN 57,810
116 2388 STEFANI 14/09/2021 WINDA SUPRIYADI 57,810
117 2395 STEFANI 14/09/2021 AMINAH 57,810
118 2401 STEFANI 14/09/2021 PUTRI CAHAYA ANGGRAINI 34,230
119 2520 STEFANI 15/09/2021 AL HABIB MIRZA R 34,230
120 2523 STEFANI 15/09/2021 AUFI IKHTIA ILMA 34,230
121 2526 STEFANI 15/09/2021 HIKMAH 34,230
122 2532 STEFANI 15/09/2021 PINI 34,230
123 2533 STEFANI 15/09/2021 BONG KIM SOEI 34,230
124 2534 STEFANI 15/09/2021 JOHANA ROSANA 34,230
125 2540 STEFANI 15/09/2021 LIM MEN KWET 34,230
126 2656 STEFANI 16/09/2021 SOPIAH 57,810
127 2659 STEFANI 16/09/2021 SUSANTI 57,810
128 2668 STEFANI 16/09/2021 UNTUNG JIUN 57,810
129 2715 STEFANI 16/09/2021 SRTEPANUS FABRICO 34,230
130 2721 STEFANI 16/09/2021 RUSMAN 34,230
131 2722 STEFANI 16/09/2021 ASTINA 34,230
132 2723 STEFANI 16/09/2021 SE KUAN MOY 34,230
133 2724 STEFANI 16/09/2021 NABILA ZAHRANI 34,230
134 2731 STEFANI 16/09/2021 HAJIMAH 34,230
135 2740 STEFANI 16/09/2021 ULUS 57,810
136 2763 STEFANI 16/09/2021 SUHAIMI 57,810
137 2769 STEFANI 16/09/2021 ZUBAIDAH 57,810
138 2782 STEFANI 16/09/2021 RATNA 58,230
139 2790 STEFANI 16/09/2021 EFRINIZAR 57,810
140 2791 STEFANI 16/09/2021 PETTA NYOMA 57,810
141 2808 STEFANI 16/09/2021 DJUNG FEN 57,810
142 2818 STEFANI 16/09/2021 EDI CHANDRA 34,230
143 2903 STEFANI 17/09/2021 ANITA ERLIANA 34,230
144 2917 STEFANI 17/09/2021 BONG MIE KIOEN 34,230
145 2969 STEFANI 17/09/2021 ASWANDY 34,230
146 3060 STEFANI 18/09/2021 MARYANTO 57,810
147 3062 STEFANI 18/09/2021 DAMHURI 57,810
148 3129 STEFANI 18/09/2021 BONG KIM SOEI 34,230
149 3130 STEFANI 18/09/2021 JOHANA ROSANA 34,230
150 3133 STEFANI 18/09/2021 PINI 34,230
151 3137 STEFANI 18/09/2021 HIKMAH 34,230
152 3138 STEFANI 18/09/2021 BOEN PAT MIE 34,230
153 3153 STEFANI 18/09/2021 AGNAR ANDRIAN 34,230
154 3165 STEFANI 18/09/2021 DARNA FIDIAWATI 57,810
155 3184 STEFANI 18/09/2021 LAY NGO NGO 57,810
156 3386 STEFANI 20/09/2021 ASWANDY 34,230
157 3399 STEFANI 20/09/2021 BOEN PAT MIE 58,230
158 3407 STEFANI 20/09/2021 EDDY KASIM 58,230
159 3413 STEFANI 20/09/2021 BONG MIE KIOEN 34,230
160 3415 STEFANI 20/09/2021 EFRINIZAR 57,810
161 3418 STEFANI 20/09/2021 EDI CHANDRA 34,230
162 3423 STEFANI 20/09/2021 ASTINA 34,230
163 3425 STEFANI 20/09/2021 RUSMAN 34,230
164 3428 STEFANI 20/09/2021 STEPANUS FABRICO H 34,230
165 3434 STEFANI 20/09/2021 DESI IRNOLIA 58,230
166 3437 STEFANI 20/09/2021 AUFI IKHTIA ILMA 57,810
167 3474 STEFANI 20/09/2021 HAFIZAHAH DARY AZ ZAKY 57,810
168 3491 STEFANI 20/09/2021 ABDUL AZIZ 57,810
169 3498 STEFANI 20/09/2021 DEWI ANGGREINI 57,810
170 3569 STEFANI 21/09/2021 SINTIA APRIZA 57,810
171 3577 STEFANI 21/09/2021 SAPRAH 57,810
172 3578 STEFANI 21/09/2021 YULIANTI 77,190
173 3599 STEFANI 21/09/2021 MEGA 34,230
174 3602 STEFANI 21/09/2021 SHEVA ALMADINAH 34,230
175 3603 STEFANI 21/09/2021 SOEIJ SAK 34,230
176 3610 STEFANI 21/09/2021 LIM SOEI NGIAN 34,230
177 3619 STEFANI 21/09/2021 SE KUAN MOY 34,230
178 3620 STEFANI 21/09/2021 HAJIMAH 34,230
179 3641 STEFANI 21/09/2021 AGUSTIAN BINTARA 57,810
180 3652 STEFANI 21/09/2021 SATIRAH SAPON 34,230
181 3675 STEFANI 21/09/2021 PUTRI CAHAYA ANGGRAINI 34,230
182 3679 STEFANI 21/09/2021 HEUW A SIAT 57,810
183 3755 STEFANI 22/09/2021 RIDUAN 57,810
184 3780 STEFANI 22/09/2021 RUSWANTO 34,230
185 3781 STEFANI 22/09/2021 ABDUL AZIZ 34,230
186 3788 STEFANI 22/09/2021 AL HABIB MIRZA R 34,230
187 3794 STEFANI 22/09/2021 ANITA ERLIANA 34,230
188 3797 STEFANI 22/09/2021 PINI 34,230
189 3799 STEFANI 22/09/2021 LIM MEN KWET 34,230
190 3800 STEFANI 22/09/2021 JOHANA ROSANA 58,230
191 3802 STEFANI 22/09/2021 BONG KIM SOEI 34,230
192 3818 STEFANI 22/09/2021 EDDY KASIM 34,230
193 3824 STEFANI 22/09/2021 JINNIWATI 58,230
194 3990 STEFANI 23/09/2021 HANAFI AZIZ 57,810
195 3995 STEFANI 23/09/2021 SE KUAN MOY 34,230
196 4002 STEFANI 23/09/2021 EDI CHANDRA 34,230
197 4004 STEFANI 23/09/2021 RUSMAN 34,230
198 4006 STEFANI 23/09/2021 ASTINA 34,230
199 4018 STEFANI 23/09/2021 STEPANUS FABRICO H 34,230
200 4020 STEFANI 23/09/2021 DESI IRNOLIA 34,230
201 4021 STEFANI 23/09/2021 ASWANDY 34,230
202 4050 STEFANI 23/09/2021 EMMY PINTAULI H 58,230
203 4068 STEFANI 23/09/2021 SOPIAH 57,810
204 4240 STEFANI 24/09/2021 BONG MIE KIOEN 34,230
205 4392 STEFANI 25/09/2021 EDWINA 57,810
206 4397 STEFANI 25/09/2021 HAUWATI 57,810
207 4424 STEFANI 25/09/2021 JOHANA ROSANA 58,230
208 4425 STEFANI 25/09/2021 BONG KIM SOEI 34,230
209 4428 STEFANI 25/09/2021 PINI 34,230
210 4437 STEFANI 25/09/2021 ABDUL AZIS BIN H. MAS'UD 34,230
211 4440 STEFANI 25/09/2021 LIM SOEI NGIAN 34,230
212 4598 STEFANI 27/09/2021 CHAIRUL PULUNGAN 57,810
213 4602 STEFANI 27/09/2021 MIRNA GUSTIANTI 57,810
214 4607 STEFANI 27/09/2021 SUMIATI 57,810
215 4648 STEFANI 27/09/2021 EDI CHANDRA 34,230
216 4652 STEFANI 27/09/2021 HARUN HAMID 34,230
217 4655 STEFANI 27/09/2021 BONG MIE KIOEN 34,230
218 4659 STEFANI 27/09/2021 RUSMAN 34,230
219 4662 STEFANI 27/09/2021 STEPANUS FABRICO H 34,230
220 4663 STEFANI 27/09/2021 ASTINA 34,230
221 4665 STEFANI 27/09/2021 RIDUAN 34,230
222 4667 STEFANI 27/09/2021 DESI IRNOLIA 34,230
223 4677 STEFANI 27/09/2021 LAY NGO NGO 57,810
224 4723 STEFANI 27/09/2021 SRI BANUN 57,810
225 4729 STEFANI 27/09/2021 IRMA MARDIANI 57,810
226 4749 STEFANI 27/09/2021 JAMALUDDIN SUFYAN 57,810
227 4843 STEFANI 28/09/2021 SARMINI 57,810
228 4889 STEFANI 28/09/2021 SHEVA ALMADINAH 34,230
229 4891 STEFANI 28/09/2021 TJHIN HO MOEIJ 34,230
230 4892 STEFANI 28/09/2021 SATIRAH SAPON 34,230
231 4894 STEFANI 28/09/2021 ASWANDY 34,230
232 4895 STEFANI 28/09/2021 SOEIJ SAK 58,230
233 4896 STEFANI 28/09/2021 MEGA 34,230
234 4909 STEFANI 28/09/2021 SE KUAN MOY 58,230
235 4918 STEFANI 28/09/2021 BOEN PAT MIE 34,230
236 4921 STEFANI 28/09/2021 HAJIMAH 34,230
237 4926 STEFANI 28/09/2021 ERNIA 57,810
238 4966 STEFANI 28/09/2021 ABDUL AZIS 34,230
239 5069 STEFANI 29/09/2021 KRISMAN SIMATUPANG 58,230
240 5071 STEFANI 29/09/2021 JOHANA ROSANA 34,230
241 5072 STEFANI 29/09/2021 LIM MEN KWET 34,230
242 5076 STEFANI 29/09/2021 H TARTINI 34,230
243 5086 STEFANI 29/09/2021 AL HABIB MIRZA 34,230
244 5234 STEFANI 30/09/2021 AGNAR ANDRIAN 57,810
245 5318 STEFANI 30/09/2021 STEPANUS FABRICO HASUD 34,230
246 5320 STEFANI 30/09/2021 RIDUAN 34,230
247 5345 STEFANI 30/09/2021 AR' ANSHORI 58,230
248 5350 STEFANI 30/09/2021 DJATIMAH 57,810
249 5367 STEFANI 30/09/2021 HO, JUWILLA MARIA 83,520
250 5374 STEFANI 30/09/2021 ZUWAIRIYAH 57,810
251 5430 STEFANI 04/09/2021 ARBI ADEROBEN 34,230

TOTAL 10,649,820 -

BPJS KRONIS RAJAL POLI PAGI SEPTEMBER 2021

NO Kode dr. Stefani Wylna W, Sp. KFR
NO Tanggal NAMA PASIEN
SEP Dokter Konsul Tind.

1 4410 STEFANI 27/09/2021 LIDIA 57,810

2 4636 STEFANI 27/09/2021 SURTAHULI 57,810

TOTAL 115,620 -
 BPJS MCS RAJAL POLI PAGI SEPTEMBER 2021
NO Kode dr. Stefani Wylna W, Sp. KFR
NO Tanggal NAMA PASIEN
SEP Dokter Konsul Tind.

1 4439 STEFANI 25/09/2021 EDI LINARTA AIR 58,230

2 4688 STEFANI 27/09/2021 EDI LINARTA AIR 58,230
3 5098 STEFANI 29/09/2021 SRI UNINGSIH 58,230
4 5337 STEFANI 30/09/2021 SRI UNINGSIH 58,230

TOTAL 232,920 -

BPJS RAJAL POLI PAGI SEPTEMBER 2021

NO Kode Biaya
NO Tanggal NAMA PASIEN Kartu
SEP Dokter Fisioterapi

1 33 FISIO 01/09/2021 NASIAH 10,000 94,000

2 34 FISIO 01/09/2021 SUCIPTO 10,000 94,000
3 37 FISIO 01/09/2021 MARINI 10,000 94,000
4 39 FISIO 01/09/2021 RASIDI SANUSI 10,000 94,000
5 40 FISIO 01/09/2021 SRI ASTUTI 10,000 94,000
6 41 FISIO 01/09/2021 PINTA G HASIBUAN 10,000 94,000
7 42 FISIO 01/09/2021 YUSIA RENATA 10,000 94,000
8 44 FISIO 01/09/2021 EKA KUSMINAR 10,000 94,000
9 50 FISIO 01/09/2021 AIJ LIE 10,000 94,000
10 51 FISIO 01/09/2021 DJAP MIE SIAN 10,000 94,000
11 52 FISIO 01/09/2021 KMS MUSTAFA 10,000 94,000
12 73 FISIO 01/09/2021 LAIJ SOEN SIAN 10,000 94,000
13 80 FISIO 01/09/2021 RUMAINI 10,000 94,000
14 194 FISIO 02/09/2021 USNINA USMAN 10,000 94,000
15 200 FISIO 02/09/2021 ARYANI 10,000 94,000
16 201 FISIO 02/09/2021 DAMHURI 10,000 94,000
17 203 FISIO 02/09/2021 EKA KUSMINAR 10,000 94,000
18 204 FISIO 02/09/2021 TJHANG AI TJHUN 10,000 94,000
19 205 FISIO 02/09/2021 HECHDIMA S 10,000 94,000
20 206 FISIO 02/09/2021 LIDIA Y 10,000 94,000
21 207 FISIO 02/09/2021 SUKIATNO 10,000 94,000
22 208 FISIO 02/09/2021 JAPARIS P 10,000 94,000
23 209 FISIO 02/09/2021 MARIA M 10,000 94,000
24 210 FISIO 02/09/2021 SUPRIYANTO 10,000 94,000
25 212 FISIO 02/09/2021 MELLY SURYADI 10,000 94,000
26 214 FISIO 02/09/2021 SRI ASTUTI 10,000 94,000
27 216 FISIO 02/09/2021 FATIMAH 10,000 94,000
28 217 FISIO 02/09/2021 EMMY PINTAULI H 10,000 94,000
29 218 FISIO 02/09/2021 MEGAWATI 10,000 94,000
30 219 FISIO 02/09/2021 LODI HARSONO 10,000 94,000
31 221 FISIO 02/09/2021 KHIUN LOI 10,000 94,000
32 284 FISIO 02/09/2021 KAWIT BATMO 10,000 94,000
33 543 FISIO 04/09/2021 SUCIPTO 10,000 94,000
34 544 FISIO 04/09/2021 MARINI 10,000 94,000
35 546 FISIO 04/09/2021 TRI SULISTIKA 10,000 94,000
36 547 FISIO 04/09/2021 PINTOR PARULIAN 10,000 94,000
37 550 FISIO 04/09/2021 BUDI HARTONO 10,000 94,000
38 552 FISIO 04/09/2021 LIE DJIT NJONG 10,000 94,000
39 561 FISIO 04/09/2021 ERNIA 10,000 94,000
40 563 FISIO 04/09/2021 TANJENG 10,000 94,000
41 565 FISIO 04/09/2021 SAYAH 10,000 94,000
42 566 FISIO 04/09/2021 PHAN FOEI LIOENG 10,000 94,000
43 581 FISIO 04/09/2021 KAWIT BATMO 10,000 94,000
44 586 FISIO 04/09/2021 WASITO 10,000 94,000
45 619 FISIO 04/09/2021 PAINAH 10,000 94,000
46 761 FISIO 06/09/2021 LIE PIT ENG 10,000 94,000
47 805 FISIO 06/09/2021 SYAMSUDIN 10,000 94,000
48 806 FISIO 06/09/2021 ENCAH SUBARIAH 10,000 94,000
49 808 FISIO 06/09/2021 BONG SOEI JING 10,000 94,000
50 815 FISIO 06/09/2021 ARYANI 10,000 94,000
51 817 FISIO 06/09/2021 DAMHURI 10,000 94,000
52 818 FISIO 06/09/2021 MARIA M 10,000 94,000
53 820 FISIO 06/09/2021 BERTHA LISBET SIHOMBING 10,000 94,000
54 821 FISIO 06/09/2021 KMS MUSTAFA 10,000 94,000
55 822 FISIO 06/09/2021 AIJ LIE 10,000 94,000
56 823 FISIO 06/09/2021 RUMAINI 10,000 94,000
57 824 FISIO 06/09/2021 LAIJ SOEN SIAN 10,000 94,000
58 826 FISIO 06/09/2021 USNINA USMAN 10,000 94,000
59 828 FISIO 06/09/2021 BUDI HARTONO 10,000 94,000
60 829 FISIO 06/09/2021 JAPARIS P 10,000 94,000
61 831 FISIO 06/09/2021 LIE DJIT NJONG 10,000 94,000
62 832 FISIO 06/09/2021 LUNDU T 10,000 94,000
63 833 FISIO 06/09/2021 ARMIN BASUKI 10,000 94,000
64 834 FISIO 06/09/2021 EMMY PINTAULI H 10,000 94,000
65 835 FISIO 06/09/2021 MEGAWATI 10,000 94,000
66 836 FISIO 06/09/2021 LODI HARSONO 10,000 94,000
67 845 FISIO 06/09/2021 RASIDI SANUSI 10,000 94,000
68 846 FISIO 06/09/2021 OKTA MULIANINGSIH 10,000 94,000
69 863 FISIO 06/09/2021 TRI SULISTIKA 10,000 94,000
70 895 FISIO 06/09/2021 HECHDIMA S 10,000 94,000
71 899 FISIO 06/09/2021 PHAN PAT TJO 10,000 94,000
72 1082 FISIO 07/09/2021 PHAN FOEI LOENG 10,000 94,000
73 1083 FISIO 07/09/2021 TANJENG 10,000 94,000
74 1084 FISIO 07/09/2021 ERNIA 10,000 94,000
75 1086 FISIO 07/09/2021 NURJATI 10,000 94,000
76 1087 FISIO 07/09/2021 INDRAWILIS 10,000 94,000
77 1088 FISIO 07/09/2021 INDO BARU 10,000 94,000
78 1092 FISIO 07/09/2021 TJHANG AI TJHUN 10,000 94,000
79 1093 FISIO 07/09/2021 LUSIA 10,000 94,000
80 1094 FISIO 07/09/2021 RASDIATI 10,000 94,000
81 1095 FISIO 07/09/2021 NILAWATI SIRIN 10,000 94,000
82 1096 FISIO 07/09/2021 SUPRIYANTO 10,000 94,000
83 1099 FISIO 07/09/2021 KRISMAN S 10,000 94,000
84 1105 FISIO 07/09/2021 AIJ LIE 10,000 94,000
85 1107 FISIO 07/09/2021 NURHAYATI 10,000 94,000
86 1112 FISIO 07/09/2021 BALKIS 10,000 94,000
87 1113 FISIO 07/09/2021 SUHARDI USMAN 10,000 94,000
88 1159 FISIO 07/09/2021 M SYAIDI 10,000 94,000
89 1176 FISIO 07/09/2021 BONG AY THIN 10,000 94,000
90 1259 FISIO 08/09/2021 NASIAH 10,000 94,000
91 1261 FISIO 08/09/2021 SUCIPTO 10,000 94,000
92 1263 FISIO 08/09/2021 MARINI 10,000 94,000
93 1266 FISIO 08/09/2021 SRI ASTUTI 10,000 94,000
94 1267 FISIO 08/09/2021 LAIJ SOEN SIAN 10,000 94,000
95 1269 FISIO 08/09/2021 WARSITO 10,000 94,000
96 1271 FISIO 08/09/2021 YUSIA RENATA 10,000 94,000
97 1272 FISIO 08/09/2021 EKA KUSMINAR 10,000 94,000
98 1273 FISIO 08/09/2021 SAYUTI SYAMSURI 10,000 94,000
99 1275 FISIO 08/09/2021 PAINAH 10,000 94,000
100 1276 FISIO 08/09/2021 DAMHURI 10,000 94,000
101 1278 FISIO 08/09/2021 NGOEI FEN DJOENG 10,000 94,000
102 1279 FISIO 08/09/2021 DEDET HARYANNI 10,000 94,000
103 1280 FISIO 08/09/2021 LUWIS 10,000 94,000
104 1281 FISIO 08/09/2021 SUKATI 10,000 94,000
105 1298 FISIO 08/09/2021 SUHARDI SUMAN 10,000 94,000
106 1476 FISIO 09/09/2021 LODI HARSONO 10,000 94,000
107 1477 FISIO 09/09/2021 MEGAWATI 10,000 94,000
108 1478 FISIO 09/09/2021 EMMY PINTAULI H 10,000 94,000
109 1480 FISIO 09/09/2021 HECHDIMA S 10,000 94,000
110 1481 FISIO 09/09/2021 SUKIATNO 10,000 94,000
111 1482 FISIO 09/09/2021 JAPARIS P 10,000 94,000
112 1483 FISIO 09/09/2021 SUPRIYANTO 10,000 94,000
113 1486 FISIO 09/09/2021 MARIA M 10,000 94,000
114 1488 FISIO 09/09/2021 ENCAH SUBARIAH 10,000 94,000
115 1491 FISIO 09/09/2021 ARYANI 10,000 94,000
116 1493 FISIO 09/09/2021 KMS MUSTAFA 10,000 94,000
117 1495 FISIO 09/09/2021 USNINA USMAN 10,000 94,000
118 1496 FISIO 09/09/2021 SYAMSUDIN 10,000 94,000
119 1499 FISIO 09/09/2021 BONG SOEI JING 10,000 94,000
120 1503 FISIO 09/09/2021 DJAP MIE SIAN 10,000 94,000
121 1506 FISIO 09/09/2021 FATIMAH 10,000 94,000
122 1508 FISIO 09/09/2021 RUMAINI 10,000 94,000
123 1511 FISIO 09/09/2021 SRI ASTUTI 10,000 94,000
124 1512 FISIO 09/09/2021 TJEN KWEE FONG 10,000 94,000
125 1519 FISIO 09/09/2021 OKTA MULIANINGSIH 10,000 94,000
126 1539 FISIO 09/09/2021 EKA KUSMINAR 10,000 94,000
127 1546 FISIO 09/09/2021 HASAN BASRI 10,000 94,000
128 1554 FISIO 09/09/2021 PHAN PAT TJO 10,000 94,000
129 1561 FISIO 09/09/2021 BONG AY THIN 10,000 94,000
130 1571 FISIO 09/09/2021 ROSIDAH 10,000 94,000
131 1728 FISIO 10/09/2021 KURDIANTO 10,000 94,000
132 2094 FISIO 13/09/2021 LODI HARSONO 10,000 94,000
133 2097 FISIO 13/09/2021 LUNDU TAMPUBOLON 10,000 94,000
134 2098 FISIO 13/09/2021 ARMIN BASUKI 10,000 94,000
135 2099 FISIO 13/09/2021 LAIJ SOEN SIAN 10,000 94,000
136 2100 FISIO 13/09/2021 JAPARIS P 10,000 94,000
137 2103 FISIO 13/09/2021 USNINA USMAN 10,000 94,000
138 2104 FISIO 13/09/2021 DAMHURI 10,000 94,000
139 2105 FISIO 13/09/2021 DEDET HARYANNI 10,000 94,000
140 2122 FISIO 13/09/2021 ENCAH SUBARIAH 10,000 94,000
141 2123 FISIO 13/09/2021 MARIA M 10,000 94,000
142 2127 FISIO 13/09/2021 DAHYAR 10,000 94,000
143 2128 FISIO 11/09/2021 MELLY SURYADI 10,000 94,000
144 2129 FISIO 13/09/2021 FOE SIANG NONG 10,000 94,000
145 2131 FISIO 13/09/2021 LIE PIT ENG 10,000 94,000
146 2133 FISIO 11/09/2021 TRI SULISTIKA 10,000 94,000
147 2135 FISIO 13/09/2021 SUPRIYANTO 10,000 94,000
148 2136 FISIO 11/09/2021 LIE DJIT NJONG 10,000 94,000
149 2138 FISIO 13/09/2021 NURHAYATI 10,000 94,000
150 2142 FISIO 13/09/2021 SAYUTI SYAMSURI 10,000 94,000
151 2143 FISIO 13/09/2021 LIE EN DJIN 10,000 94,000
152 2145 FISIO 13/09/2021 RASIDI SANUSI 10,000 94,000
153 2176 FISIO 13/09/2021 ARYANI 10,000 94,000
154 2199 FISIO 13/09/2021 BUDI HARTONO 10,000 94,000
155 2315 FISIO 14/09/2021 NURJATI 10,000 94,000
156 2316 FISIO 14/09/2021 KRISMAN SIMATUPANG 10,000 94,000
157 2318 FISIO 14/09/2021 FATIMAH 10,000 94,000
158 2321 FISIO 14/09/2021 LUSIA 10,000 94,000
159 2322 FISIO 14/09/2021 RASDIATI HARUN 10,000 94,000
160 2323 FISIO 14/09/2021 INDRAWILIS 10,000 94,000
161 2324 FISIO 14/09/2021 NILAWATI SIRIN 10,000 94,000
162 2325 FISIO 14/09/2021 TJHANG AI TJHUN 10,000 94,000
163 2327 FISIO 14/09/2021 ROSIDAH 10,000 94,000
164 2329 FISIO 14/09/2021 KMS MUSTAFA 10,000 94,000
165 2332 FISIO 14/09/2021 SUHARDI USMAN 10,000 94,000
166 2333 FISIO 14/09/2021 INDO BARU 10,000 94,000
167 2334 FISIO 14/09/2021 BALKIS 10,000 94,000
168 2337 FISIO 14/09/2021 ENY WIDYARTI YULI 10,000 94,000
169 2338 FISIO 14/09/2021 LUWIS 10,000 94,000
170 2339 FISIO 14/09/2021 TANJENG 10,000 94,000
171 2340 FISIO 14/09/2021 LIDIA YUNIATI 10,000 94,000
172 2343 FISIO 14/09/2021 OKTA MULIANINGSIH 10,000 94,000
173 2344 FISIO 14/09/2021 M SYAIDI 10,000 94,000
174 2345 FISIO 14/09/2021 ERNIA 10,000 94,000
175 2346 FISIO 14/09/2021 BERTHA LISBET SIHOMBING 10,000 94,000
176 2359 FISIO 14/09/2021 LASNA JUWITA 10,000 94,000
177 2361 FISIO 14/09/2021 RIKA ISMAWATI 10,000 94,000
178 2389 FISIO 14/09/2021 BONG AY THIN 10,000 94,000
179 2398 FISIO 14/09/2021 PHAN PAT TJO 10,000 94,000
180 2465 FISIO 16/09/2021 RUMAINI 10,000 94,000
181 2516 FISIO 15/09/2021 AMINAH 10,000 94,000
182 2517 FISIO 15/09/2021 AMIR INAN 10,000 94,000
183 2518 FISIO 15/09/2021 H. KASWAN 10,000 94,000
184 2519 FISIO 15/09/2021 NGOEI FEN DJOENG 10,000 94,000
185 2521 FISIO 15/09/2021 SAYUTI SYAMSURI 10,000 94,000
186 2522 FISIO 15/09/2021 ASMAWATI 10,000 94,000
187 2524 FISIO 15/09/2021 WARSITO 10,000 94,000
188 2525 FISIO 15/09/2021 PHAN FOEI LIOENG 10,000 94,000
189 2527 FISIO 15/09/2021 PAINAH 10,000 94,000
190 2528 FISIO 15/09/2021 RASIDI SANUSI 10,000 94,000
191 2529 FISIO 15/09/2021 BONG SOE I JING 10,000 94,000
192 2530 FISIO 15/09/2021 LAIJ SOEN SIAN 10,000 94,000
193 2531 FISIO 15/09/2021 SRI ASTUTI 10,000 94,000
194 2535 FISIO 15/09/2021 MARINI 10,000 94,000
195 2536 FISIO 15/09/2021 SUCIPTO 10,000 94,000
196 2537 FISIO 15/09/2021 NASIAH 10,000 94,000
197 2543 FISIO 15/09/2021 DENNY EFFENDY B 10,000 94,000
198 2544 FISIO 15/09/2021 HASAN BASRI 10,000 94,000
199 2706 FISIO 16/09/2021 H. ISMAIL ISHAK 10,000 94,000
200 2707 FISIO 16/09/2021 LODI HARSONO 10,000 94,000
201 2708 FISIO 16/09/2021 MEGAWATI 10,000 94,000
202 2709 FISIO 16/09/2021 FATIMAH 10,000 94,000
203 2710 FISIO 16/09/2021 SRI ASTUTI 10,000 94,000
204 2711 FISIO 16/09/2021 MELLY SURYADI 10,000 94,000
205 2712 FISIO 16/09/2021 SUKIATNO 10,000 94,000
206 2713 FISIO 16/09/2021 ARYANI 10,000 94,000
207 2714 FISIO 16/09/2021 JAPARIS P 10,000 94,000
208 2716 FISIO 16/09/2021 MARIA MAGDALENA 10,000 94,000
209 2718 FISIO 16/09/2021 DAMHURI B DAHLAN 10,000 94,000
210 2719 FISIO 16/09/2021 RASIDI SANUSI 10,000 94,000
211 2720 FISIO 16/09/2021 DAHYAR 10,000 94,000
212 2725 FISIO 16/09/2021 USNINA USMAN 10,000 94,000
213 2726 FISIO 16/09/2021 SYAMSUDIN 10,000 94,000
214 2727 FISIO 16/09/2021 M. SYAIDI 10,000 94,000
215 2728 FISIO 16/09/2021 ERNIA 10,000 94,000
216 2729 FISIO 16/09/2021 AMIR INAN 10,000 94,000
217 2730 FISIO 16/09/2021 LIDIA YUNIATI 10,000 94,000
218 2732 FISIO 16/09/2021 RIKA ISMAWATI 10,000 94,000
219 2733 FISIO 16/09/2021 SUMARWIYAH 10,000 94,000
220 2734 FISIO 16/09/2021 H. KASWAN 10,000 94,000
221 2735 FISIO 16/09/2021 KHIUN LOI 10,000 94,000
222 2755 FISIO 16/09/2021 BONG AY THIN 10,000 94,000
223 2785 FISIO 16/09/2021 KAWIT BATMO T 10,000 94,000
224 2914 FISIO 17/09/2021 SUPRIYANTO 10,000 94,000
225 3127 FISIO 18/09/2021 SUCIPTO 10,000 94,000
226 3131 FISIO 18/09/2021 FATIMAH 10,000 94,000
227 3132 FISIO 18/09/2021 TRI SULISTIKA 10,000 94,000
228 3135 FISIO 18/09/2021 LUWIS 10,000 94,000
229 3136 FISIO 18/09/2021 LIE DJIT NJONG 10,000 94,000
230 3139 FISIO 18/09/2021 WARSITO 10,000 94,000
231 3140 FISIO 18/09/2021 PHAN FOEI LIOENG 10,000 94,000
232 3141 FISIO 18/09/2021 BUDI HARTONO 10,000 94,000
233 3142 FISIO 18/09/2021 IR. AGUS PRASETYA 10,000 94,000
234 3143 FISIO 18/09/2021 LASNA JUWITA 10,000 94,000
235 3144 FISIO 18/09/2021 TANJENG 10,000 94,000
236 3145 FISIO 18/09/2021 HASAN BASRI 10,000 94,000
237 3168 FISIO 18/09/2021 ULUS B NAWI 10,000 94,000
238 3214 FISIO 18/09/2021 DARWANDI 10,000 94,000
239 3328 FISIO 18/09/2021 MARINI 10,000 94,000
240 3377 STEFANI 20/09/2021 HARYADI
241 3378 FISIO 20/09/2021 EMMY PINTAULI H 10,000 94,000
242 3380 FISIO 20/09/2021 LUNDU TAMPUBOLON 10,000 94,000
243 3381 FISIO 20/09/2021 TRI SULISTIKA 10,000 94,000
244 3382 FISIO 20/09/2021 LAIJ SOEN SIAN 10,000 94,000
245 3383 FISIO 20/09/2021 ARMIN BASUKI 10,000 94,000
246 3384 FISIO 20/09/2021 MELLY SURYADI 10,000 94,000
247 3385 FISIO 20/09/2021 MEGAWATI 10,000 94,000
248 3389 FISIO 20/09/2021 USNINA USMAN 10,000 94,000
249 3391 FISIO 20/09/2021 SAYUTI SYAMSURI 10,000 94,000
250 3394 FISIO 20/09/2021 DEDET HARYANNI 10,000 94,000
251 3395 FISIO 20/09/2021 FOE SIANG NONG 10,000 94,000
252 3396 FISIO 20/09/2021 LAY NGO NGO 10,000 94,000
253 3398 FISIO 20/09/2021 MARYANTO 10,000 94,000
254 3400 FISIO 20/09/2021 BUDI HARTONO 10,000 94,000
255 3402 FISIO 20/09/2021 LIE DJIT NJONG 10,000 94,000
256 3404 FISIO 20/09/2021 HECHDIMA S 10,000 94,000
257 3409 FISIO 20/09/2021 NURHAYATI 10,000 94,000
258 3411 FISIO 20/09/2021 DJUNG FEN 10,000 94,000
259 3412 FISIO 20/09/2021 ARYANI 10,000 94,000
260 3416 FISIO 20/09/2021 HARUN HAMID 10,000 94,000
261 3417 FISIO 20/09/2021 SYAMSUDIN 10,000 94,000
262 3426 FISIO 20/09/2021 DAHYAR 10,000 94,000
263 3427 FISIO 20/09/2021 ENCAH S 10,000 94,000
264 3429 FISIO 20/09/2021 UNTUNG JIUN 10,000 94,000
265 3430 FISIO 20/09/2021 RUMAINI 10,000 94,000
266 3436 FISIO 20/09/2021 DAMHURI B DAHLAN 10,000 94,000
267 3439 FISIO 20/09/2021 AMINAH 10,000 94,000
268 3441 FISIO 20/09/2021 LIE PIT ENG 10,000 94,000
269 3445 FISIO 20/09/2021 MARIA MAGDALENA 10,000 94,000
270 3483 FISIO 20/09/2021 IR AGUS PRASETYA 10,000 94,000
271 3609 FISIO 21/09/2021 NURJATI 10,000 94,000
272 3613 FISIO 21/09/2021 M. SYAIDI 10,000 94,000
273 3615 FISIO 21/09/2021 H. KASWAN 10,000 94,000
274 3618 FISIO 21/09/2021 ERNIA 10,000 94,000
275 3634 FISIO 21/09/2021 DEWI ANGGREINI 10,000 94,000
276 3635 FISIO 21/09/2021 EKA KUSMINAR 10,000 94,000
277 3638 FISIO 21/09/2021 ROHANI 10,000 94,000
278 3639 FISIO 21/09/2021 BERTHA LISBET 10,000 94,000
279 3776 FISIO 22/09/2021 PAINAH 10,000 94,000
280 3777 FISIO 22/09/2021 SUKATI 10,000 94,000
281 3779 FISIO 22/09/2021 CHAIRISA DELWAN 10,000 94,000
282 3782 FISIO 22/09/2021 SAYUTI SYAMSURI 10,000 94,000
283 3783 FISIO 22/09/2021 HIKMAH 10,000 94,000
284 3785 FISIO 22/09/2021 SYAMSIAH 10,000 94,000
285 3786 FISIO 22/09/2021 LASNA JUWITA 10,000 94,000
286 3789 FISIO 22/09/2021 PETTA NYOMA 10,000 94,000
287 3790 FISIO 22/09/2021 LIE EN DJIN 10,000 94,000
288 3791 FISIO 22/09/2021 NURZAILA 10,000 94,000
289 3792 FISIO 22/09/2021 NGOEI FEN DJOENG 10,000 94,000
290 3793 FISIO 22/09/2021 ASMAWATI 10,000 94,000
291 3795 FISIO 22/09/2021 AMIR INAN 10,000 94,000
292 3796 FISIO 22/09/2021 SRI ASTUTI 10,000 94,000
293 3798 FISIO 22/09/2021 LAIJ SOEN SIAN 10,000 94,000
294 3801 FISIO 22/09/2021 MARINI 10,000 94,000
295 3803 FISIO 22/09/2021 SUCIPTO 10,000 94,000
296 3804 FISIO 22/09/2021 NASIAH 10,000 94,000
297 3816 FISIO 22/09/2021 HASAN BASRI 10,000 94,000
298 3817 FISIO 22/09/2021 BONG SOEI JING 10,000 94,000
299 3821 FISIO 22/09/2021 WARSITO 10,000 94,000
300 3991 FISIO 23/09/2021 JINNIWATI 10,000 94,000
301 3992 FISIO 23/09/2021 CHAIRISA DELWAN 10,000 94,000
302 3993 FISIO 23/09/2021 PHAN FOEI LIOENG 10,000 94,000
303 3994 FISIO 23/09/2021 DENNY EFFENDY B 10,000 94,000
304 3998 FISIO 23/09/2021 SAPRAH 10,000 94,000
305 3999 FISIO 23/09/2021 PHAN PAT TJO 10,000 94,000
306 4000 FISIO 23/09/2021 SYAMSUDIN 10,000 94,000
307 4001 FISIO 23/09/2021 USNINA USMAN 10,000 94,000
308 4003 FISIO 23/09/2021 DJUNG FEN 10,000 94,000
309 4005 FISIO 23/09/2021 RUMAINI 10,000 94,000
310 4007 FISIO 23/09/2021 DAHYAR 10,000 94,000
311 4008 FISIO 23/09/2021 ARYANI 10,000 94,000
312 4009 FISIO 23/09/2021 DAMHURI B DAHLAN 10,000 94,000
313 4010 FISIO 23/09/2021 UNTUNG JIUN 10,000 94,000
314 4012 FISIO 23/09/2021 MARIA MAGDALENA 10,000 94,000
315 4013 FISIO 23/09/2021 LAY NGO NGO 10,000 94,000
316 4014 FISIO 23/09/2021 MARYANTO 10,000 94,000
317 4015 FISIO 23/09/2021 LUWIS 10,000 94,000
318 4016 FISIO 23/09/2021 ROSIDAH 10,000 94,000
319 4019 FISIO 23/09/2021 AMIR INAN 10,000 94,000
320 4022 FISIO 23/09/2021 MELLY SURYADI 10,000 94,000
321 4023 FISIO 23/09/2021 SUKIATNO 10,000 94,000
322 4024 FISIO 23/09/2021 RIKA ISMAWATI 10,000 94,000
323 4026 FISIO 23/09/2021 SRI ASTUTI 10,000 94,000
324 4027 FISIO 23/09/2021 MEGAWATI 10,000 94,000
325 4029 FISIO 23/09/2021 RASIDI SANUSI 10,000 94,000
326 4030 FISIO 23/09/2021 ASMAWATI 10,000 94,000
327 4033 FISIO 23/09/2021 EKA KUSMINAR 10,000 94,000
328 4052 FISIO 23/09/2021 ULUS 10,000 94,000
329 4088 FISIO 23/09/2021 KAWIT BATMO 10,000 94,000
330 4229 FISIO 24/09/2021 ASNIATY ISMAIL 10,000 94,000
331 4423 FISIO 25/09/2021 MARINI 10,000 94,000
332 4426 FISIO 25/09/2021 SUCIPTO 10,000 94,000
333 4427 FISIO 25/09/2021 FATIMAH 10,000 94,000
334 4429 FISIO 25/09/2021 LUWIS 10,000 94,000
335 4430 FISIO 25/09/2021 LASNA JUWITA 10,000 94,000
336 4431 FISIO 25/09/2021 ULUS 10,000 94,000
337 4432 FISIO 25/09/2021 LIE DJIT NJONG 10,000 94,000
338 4434 FISIO 25/09/2021 PAINAH 10,000 94,000
339 4435 FISIO 25/09/2021 AMINAH 10,000 94,000
340 4436 FISIO 25/09/2021 HIKMAH 10,000 94,000
341 4438 FISIO 25/09/2021 ENCAH SUBARIAH 10,000 94,000
342 4441 FISIO 25/09/2021 ERNIA 10,000 94,000
343 4442 FISIO 25/09/2021 M. SYAIDI 10,000 94,000
344 4443 FISIO 25/09/2021 JINNIWATI 10,000 94,000
345 4444 FISIO 25/09/2021 WARSITO 10,000 94,000
346 4466 FISIO 25/09/2021 DAMHURI B DAHLAN 10,000 94,000
347 4476 FISIO 25/09/2021 TRI SULISTIKA 10,000 94,000
348 4515 FISIO 25/09/2021 DARWANDI 10,000 94,000
349 4649 FISIO 27/09/2021 SAPRAH 10,000 94,000
350 4651 FISIO 27/09/2021 LIE DJIT NJONG 10,000 94,000
351 4653 FISIO 27/09/2021 DEWI ANGGREINI 10,000 94,000
352 4654 FISIO 27/09/2021 SUSANTI 10,000 94,000
353 4656 FISIO 27/09/2021 SYAMSUDIN 10,000 94,000
354 4657 FISIO 27/09/2021 SOPIAH 10,000 94,000
355 4658 FISIO 27/09/2021 CHAIRISA DELWAN 10,000 94,000
356 4660 FISIO 27/09/2021 HANAFI AZIZ 10,000 94,000
357 4661 FISIO 27/09/2021 DJUNG FIEN 10,000 94,000
358 4664 FISIO 27/09/2021 DAHYAR 10,000 94,000
359 4666 FISIO 27/09/2021 MARIA MAGDALENA INTJE 10,000 94,000
360 4668 FISIO 27/09/2021 RUMAINI 10,000 94,000
361 4669 FISIO 27/09/2021 ARYANI 10,000 94,000
362 4670 FISIO 27/09/2021 RASIDI SANUSI 10,000 94,000
363 4671 FISIO 27/09/2021 NURHAYATI 10,000 94,000
364 4672 FISIO 27/09/2021 LIE EN DJIN 10,000 94,000
365 4673 FISIO 27/09/2021 SYAMSIAH 10,000 94,000
366 4674 FISIO 27/09/2021 TANJENG 10,000 94,000
367 4675 FISIO 27/09/2021 BUDI HARTONO 10,000 94,000
368 4676 FISIO 27/09/2021 MARYANTO 10,000 94,000
369 4678 FISIO 27/09/2021 USNINA USMAN 10,000 94,000
370 4679 FISIO 27/09/2021 MELLY SURYADI 10,000 94,000
371 4680 FISIO 27/09/2021 HECHDIMA S 10,000 94,000
372 4681 FISIO 27/09/2021 ARMIN BASUKI 10,000 94,000
373 4682 FISIO 27/09/2021 LAIJ SOEN SIAN 10,000 94,000
374 4683 FISIO 27/09/2021 TRI SULISTIKA 10,000 94,000
375 4684 FISIO 27/09/2021 LUNDU TAMPUBOLON 10,000 94,000
376 4685 FISIO 27/09/2021 EMMY PINTAULI H 10,000 94,000
377 4686 FISIO 27/09/2021 MEGAWATI 10,000 94,000
378 4690 FISIO 27/09/2021 HAUWATI 10,000 94,000
379 4741 FISIO 27/09/2021 DAMHURI B DAHLAN 10,000 94,000
380 4892 FISIO 28/09/2021 SATRIAH SAPON 10,000 81,000
381 4893 FISIO 28/09/2021 LUSIA 10,000 94,000
382 4897 FISIO 28/09/2021 NILAWATI SIRIN 10,000 94,000
383 4898 FISIO 28/09/2021 TJHANG AI TJHUN 10,000 94,000
384 4899 FISIO 28/09/2021 RIKA ISMAWATI 10,000 94,000
385 4900 FISIO 28/09/2021 INDRAWILIS 10,000 94,000
386 4901 FISIO 28/09/2021 ASNIATY ISMAIL 10,000 94,000
387 4902 FISIO 28/09/2021 BALKIS 10,000 94,000
388 4903 FISIO 28/09/2021 LIDIA YUNIATI 10,000 94,000
389 4904 FISIO 28/09/2021 DENNY EFENDY BUKIT 10,000 94,000
390 4905 FISIO 28/09/2021 ZUBAIDAH 10,000 94,000
391 4906 FISIO 28/09/2021 SUHARDI USMAN 10,000 94,000
392 4907 FISIO 28/09/2021 EKA KUSMINAR 10,000 94,000
393 4910 FISIO 28/09/2021 UNTUNG JIUN 10,000 94,000
394 4911 FISIO 28/09/2021 JINNIWATI 10,000 94,000
395 4915 FISIO 28/09/2021 INDO BARU 10,000 94,000
396 4916 FISIO 28/09/2021 HEUW A SIAT 10,000 94,000
397 4917 FISIO 28/09/2021 ROHANI 10,000 94,000
398 4922 FISIO 28/09/2021 BONG SOEI JING 10,000 94,000
399 4923 FISIO 28/09/2021 M SYAIDI 10,000 94,000
400 4931 FISIO 28/09/2021 MEI LING 10,000 94,000
401 4934 FISIO 28/09/2021 SURTHAULI 10,000 94,000
402 4936 FISIO 28/09/2021 IRMA MARDIANI 10,000 94,000
403 4938 FISIO 28/09/2021 FOE SIAN NONG 10,000 94,000
404 4939 FISIO 28/09/2021 HASAN BASRI 10,000 94,000
405 4955 FISIO 28/09/2021 RASDIATI HARUN 10,000 94,000
406 4968 FISIO 28/09/2021 PHAN PAT TJO 10,000 94,000
407 5070 FISIO 29/09/2021 MARINI 10,000
408 5073 FISIO 29/09/2021 LAIJ SOEN SIAN 10,000
409 5077 FISIO 29/09/2021 PINI 10,000 81,000
410 5078 FISIO 29/09/2021 WARSITO 10,000 94,000
411 5079 FISIO 29/09/2021 RIKA ISMAWATI 10,000
412 5081 FISIO 29/09/2021 NGOEI FEN DJOENG 10,000
413 5082 FISIO 29/09/2021 PHAN FOEI LIOENG 10,000
414 5083 FISIO 29/09/2021 IR AGUS P 10,000 94,000
415 5084 FISIO 29/09/2021 PETTA NYOMA 10,000 94,000
416 5085 FISIO 29/09/2021 DJAP MIE SIAN 10,000 94,000
417 5090 FISIO 29/09/2021 KAWIT BATMO 10,000 94,000
418 5091 FISIO 29/09/2021 FATIMAH 10,000
419 5092 FISIO 29/09/2021 LASNA JUWITA 10,000 94,000
420 5093 FISIO 29/09/2021 HIKMAH 10,000 94,000
421 5094 FISIO 29/09/2021 EDWINA 10,000
422 5095 FISIO 29/09/2021 ENCAH S 10,000
423 5096 FISIO 29/09/2021 PAINAH 10,000 94,000
424 5097 FISIO 29/09/2021 EKA KUSMINAR 10,000
425 5099 FISIO 29/09/2021 MIRNA G 10,000 94,000
426 5101 FISIO 29/09/2021 SURTHAULI 10,000
427 5102 FISIO 29/09/2021 SARMINI 10,000
428 5103 FISIO 29/09/2021 BONG KIM SOEI 10,000
429 5130 FISIO 29/09/2021 SUCIPTO 10,000 94,000
430 5286 FISIO 30/09/2021 KHIUN LOI 10,000 94,000
431 5288 FISIO 30/09/2021 IRMA MARDIANI 10,000 94,000
432 5289 FISIO 30/09/2021 PINTA G HASIBUAN 10,000 94,000
433 5291 FISIO 30/09/2021 EDI CHANDRA 10,000 81,000
434 5292 FISIO 30/09/2021 DJUNG FEN 10,000 94,000
435 5293 FISIO 30/09/2021 CHAIRISA DELWAN 10,000 94,000
436 5295 FISIO 30/09/2021 ASTINA 10,000 81,000
437 5296 FISIO 30/09/2021 DAHYAR 10,000 94,000
438 5297 FISIO 30/09/2021 TANJENG 10,000 94,000
439 5298 FISIO 30/09/2021 BONG MIE KIOEN 10,000 81,000
440 5299 FISIO 30/09/2021 MARYANTO 10,000 94,000
441 5300 FISIO 30/09/2021 SYAMSUDIN 10,000 94,000
442 5301 FISIO 30/09/2021 ARYANI 10,000 94,000
443 5302 FISIO 30/09/2021 UNTUNG JIUN 10,000 94,000
444 5303 FISIO 30/09/2021 RASIDI SANUSI 10,000 94,000
445 5304 FISIO 30/09/2021 H. KASWAN 10,000 94,000
446 5305 FISIO 30/09/2021 HAUWATI 10,000 94,000
447 5306 FISIO 30/09/2021 YENNY SURVIANA 10,000 94,000
448 5307 FISIO 30/09/2021 AMINAH 10,000 94,000
449 5308 FISIO 30/09/2021 DAMHURI 10,000 94,000
450 5310 FISIO 30/09/2021 LUWIS 10,000 94,000
451 5311 FISIO 30/09/2021 KAWIT BATMO TARUNO 10,000 94,000
452 5312 FISIO 30/09/2021 SINTIA APRIZA 10,000 94,000
453 5313 FISIO 30/09/2021 AMIR INAN 10,000 94,000
454 5314 FISIO 30/09/2021 JINNIWATI 10,000 94,000
455 5315 FISIO 30/09/2021 RUSMAN 10,000 81,000
456 5316 FISIO 30/09/2021 HANAFI AZIZ 10,000 94,000
457 5317 FISIO 30/09/2021 LAY NGO NGO 10,000 94,000
458 5319 FISIO 30/09/2021 ROSIDAH 10,000 94,000
459 5321 FISIO 30/09/2021 MARIA MAGDALENA 10,000 94,000
460 5322 FISIO 30/09/2021 TJHANG AI TJHUN 10,000 94,000
461 5323 FISIO 30/09/2021 H. ISMAIL ISHAK 10,000 94,000
462 5324 FISIO 30/09/2021 MELLY SURYADI 10,000 94,000
463 5325 FISIO 30/09/2021 SUKIATNO 10,000 94,000
464 5326 FISIO 30/09/2021 ASWANDY 10,000 94,000
465 5327 FISIO 30/09/2021 RIKA ISMAWATI 10,000 94,000
466 5329 FISIO 30/09/2021 EMMY PINTAULI H 10,000 94,000
467 5330 FISIO 30/09/2021 MEGAWATI 10,000 94,000
468 5378 FISIO 30/09/2021 BONG AY THIN 10,000 94,000
469 FISIO 01/09/2021 SYAMSIAH 10,000 81,000
470 FISIO 02/09/2021 AGUSTINA VERONIKA 10,000 94,000
471 FISIO 02/09/2021 H. ISMAIL ISHAK 10,000 94,000
472 FISIO 06/09/2021 TJEN A MOIJ 10,000 81,000
473 FISIO 06/09/2021 AGUSTINA VERONIKA 10,000 94,000
474 FISIO 06/09/2021 ASNIATY ISMAIL 10,000 94,000
475 FISIO 07/09/2021 TJHIN HO MOEIJ 10,000 81,000
476 FISIO 08/09/2021 TJONG A HIE 10,000 155,000
477 FISIO 09/09/2021 AGUSTINA VERONIKA 10,000 94,000
478 FISIO 11/09/2021 MARINI 10,000 94,000
479 FISIO 11/09/2021 AIJ LIE 10,000 94,000
480 FISIO 11/09/2021 FATIMAH 10,000 94,000
481 FISIO 11/09/2021 LUWIS 10,000 94,000
482 FISIO 11/09/2021 SUCIPTO 10,000 94,000
483 FISIO 11/09/2021 BELMAN HENDRA 10,000 94,000
484 FISIO 11/09/2021 ASMAWATI 10,000 94,000
485 FISIO 11/09/2021 ERNIA 10,000 94,000
486 FISIO 11/09/2021 WASITO 10,000 94,000
487 FISIO 11/09/2021 PHAN FOEI LIOENG 10,000 94,000
488 FISIO 11/09/2021 HASAN BASRI 10,000 94,000
489 FISIO 11/09/2021 SUKATI 10,000 94,000
490 FISIO 11/09/2021 M. SYAIDI 10,000 94,000
491 FISIO 11/09/2021 PAINAH 10,000 94,000
492 FISIO 11/09/2021 PINTOR PARULIAN 10,000 94,000
493 FISIO 13/09/2021 ASNIATY ISMAIL 10,000 94,000
494 FISIO 13/09/2021 LIE DJIT NJONG 10,000 94,000
495 FISIO 13/09/2021 TRI SULISTIKA 10,000 94,000
496 FISIO 13/09/2021 TJONG A HIE 10,000 73,000
497 FISIO 13/09/2021 TJEN A MOIJ 10,000 94,000
498 FISIO 13/09/2021 BONG MIE KIOEN 10,000 81,000
499 FISIO 14/09/2021 SUMARWIYAH 10,000
500 FISIO 14/09/2021 TJHIN HO MOEIJ 10,000 81,000
501 FISIO 15/09/2021 SUMARWIYAH 10,000 94,000
502 FISIO 16/09/2021 IR. AGUS PRASETYA 10,000 94,000
503 FISIO 20/09/2021 SUSANTI 10,000 94,000
504 FISIO 20/09/2021 TJEN A MOIJ 10,000 81,000
505 FISIO 21/09/2021 TJONG A HIE 10,000 155,000
506 FISIO 21/09/2021 TJOENG ME RIE 10,000 81,000
507 FISIO 21/09/2021 CHAIRISA DELWAN 10,000
508 FISIO 21/09/2021 WINDA SUPRIYADI 10,000 94,000
509 FISIO 21/09/2021 TJHIN HO MOEIJ 10,000 81,000
510 FISIO 21/09/2021 TANJENG 10,000 94,000
511 FISIO 21/09/2021 SUMARWIYAH 10,000 94,000
512 FISIO 21/09/2021 SUHARDI USMAN 10,000 94,000
513 FISIO 21/09/2021 RIKA ISMAWATI 10,000 94,000
514 FISIO 21/09/2021 RASIDI SANUSI 10,000 94,000
515 FISIO 21/09/2021 PHAN PAT TJO 10,000 94,000
516 FISIO 21/09/2021 LUSIA 10,000 94,000
517 FISIO 21/09/2021 LIDIA YUNIATI 10,000 94,000
518 FISIO 21/09/2021 KRISMAN SIMATUPANG 10,000 94,000
519 FISIO 21/09/2021 INDRAWILIS 10,000 94,000
520 FISIO 21/09/2021 INDO BARU 10,000 94,000
521 FISIO 21/09/2021 DENNY EFENDI BUKIT 10,000 94,000
522 FISIO 21/09/2021 TJHANG AI TJHUN 10,000 94,000
523 FISIO 21/09/2021 BONG AY THIN 10,000 94,000
524 FISIO 21/09/2021 BALKIS 10,000 94,000
525 FISIO 21/09/2021 ASNIATY ISMAIL 10,000 94,000
526 FISIO 21/09/2021 ZUBAIDAH 10,000 94,000
527 FISIO 21/09/2021 NILAWATI SIRIN 10,000 94,000
528 FISIO 21/09/2021 RASDIATI HARUN 10,000 94,000
529 FISIO 23/09/2021 H. ISMAIL ISHAK 10,000 94,000
530 FISIO 27/09/2021 LIDIA 10,000
531 FISIO 28/09/2021 TJEN A MOIJ 10,000 81,000
532 FISIO 28/09/2021 SUMARWIYAH 10,000 94,000
533 FISIO 28/09/2021 HARYATI 10,000 94,000
534 FISIO 28/09/2021 H. KASWAN 10,000 94,000
535 FISIO 28/09/2021 TJHIN HO MOEIJ 10,000 81,000
536 FISIO 28/09/2021 EFRINIZAR 10,000 94,000
537 FISIO 29/09/2021 AMIR INAN 10,000 94,000
538 FISIO 29/09/2021 EFRINIZAR 10,000 94,000
539 FISIO 29/09/2021 TJOENG ME RIE 10,000 81,000
540 FISIO 29/09/2021 TJONG A HIE 10,000 155,000
541 FISIO 29/09/2021 USNINA USMAN 10,000 94,000
TOTAL 5,400,000 49,291,000
dr. Stefani Wylna W, Sp. KFR
Visite Diskon Total

34,230
34,230
34,230
34,230
34,230
34,230
34,230
34,230
34,230
34,230
34,230
34,230
34,230
34,230
58,230
57,810
34,230
34,230
57,810
57,810
57,810
34,230
34,230
34,230
34,230
34,230
34,230
34,230
34,230
34,230
34,230
34,230
34,230
34,230
34,230
34,230
34,230
34,230
34,230
34,230
34,230
57,810
57,810
57,810
57,810
57,810
57,810
34,230
34,230
34,230
34,230
34,230
34,230
34,230
34,230
57,810
57,810
34,230
34,230
34,230
34,230
34,230
83,790
57,810
57,810
34,230
34,230
34,230
34,230
34,230
34,230
34,230
34,230
34,230
34,230
34,230
58,230
57,810
58,230
34,230
34,230
34,230
34,230
34,230
34,230
34,230
34,230
34,230
34,230
57,810
57,810
57,810
57,810
57,810
34,230
34,230
34,230
34,230
57,810
34,230
34,230
34,230
57,810
57,810
57,810
34,230
34,230
34,230
34,230
34,230
34,230
34,230
34,230
34,230
57,810
57,810
57,810
34,230
34,230
34,230
34,230
34,230
34,230
34,230
34,230
57,810
57,810
57,810
34,230
34,230
34,230
34,230
34,230
34,230
57,810
57,810
57,810
58,230
57,810
57,810
57,810
34,230
34,230
34,230
34,230
57,810
57,810
34,230
34,230
34,230
34,230
34,230
34,230
57,810
57,810
34,230
58,230
58,230
34,230
57,810
34,230
34,230
34,230
34,230
58,230
57,810
57,810
57,810
57,810
57,810
57,810
77,190
34,230
34,230
34,230
34,230
34,230
34,230
57,810
34,230
34,230
57,810
57,810
34,230
34,230
34,230
34,230
34,230
34,230
58,230
34,230
34,230
58,230
57,810
34,230
34,230
34,230
34,230
34,230
34,230
34,230
58,230
57,810
34,230
57,810
57,810
58,230
34,230
34,230
34,230
34,230
57,810
57,810
57,810
34,230
34,230
34,230
34,230
34,230
34,230
 34,230
34,230
57,810
57,810
57,810
57,810
57,810
34,230
34,230
34,230
34,230
58,230
34,230
58,230
34,230
34,230
57,810
34,230
58,230
34,230
34,230
34,230
34,230
57,810
34,230
34,230
58,230
57,810
83,520
57,810
34,230

- - 10,649,820

dr. Stefani Wylna W, Sp. KFR

Visite Diskon Total

57,810
57,810

- - 115,620
dr. Stefani Wylna W, Sp. KFR
Visite Diskon Total

58,230
58,230
58,230
58,230

- - 232,920

dr. Stefani Wylna W, Sp. KFR

Total Keseluruhan
Konsul Tind. Visite Diskon Total

57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 104,000
57,810 - 104,000
57,810 - 104,000
57,810 104,000
57,810 104,000
57,810 104,000
57,810 104,000
57,810 104,000
57,810 104,000
57,810 104,000
57,810 104,000
57,810 104,000
57,810 104,000
57,810 - 104,000
57,810 104,000
57,810 - 104,000
57,810 - 104,000
57,810 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 50,000 50,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 91,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 91,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 91,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 91,000
57,810 - 104,000
57,810 - 104,000
57,810 - 91,000
57,810 - 104,000
57,810 - 104,000
57,810 - 91,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 91,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 91,000
57,810 - 104,000
57,810 - 104,000
57,810 - 91,000
57,810 - 104,000
57,810 - 104,000
57,810 - 91,000
57,810 - 165,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 83,000
57,810 - 104,000
57,810 - 91,000
57,810 50,000 60,000
57,810 - 91,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 91,000
57,810 - 165,000
57,810 - 91,000
57,810 50,000 60,000
57,810 - 104,000
57,810 - 91,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
 57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 50,000 60,000
57,810 - 91,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 91,000
57,810 - 104,000
57,810 - 104,000
57,810 - 104,000
57,810 - 91,000
57,810 - 165,000
57,810 - 104,000
31,275,210 - - - 200,000 56,006,000
 PIHAK KETIGA RAJAL POLI PAGI NOVEMBER 2021
Kode dr. Stefani Sp KFR
NO Tanggal NAMA PASIEN
Dokter Konsul Tind. Visite Diskon

1 STEFANI 24/11/2021 GIBRAN RATU 120,000

2 STEFANI 30/11/2021 MIE SIAN 120,000
TOTAL 240,000 - - -
 PIHAK KETIGA RANAP NOVEMBER 2021
KFR NO Kode dr. STEFANI, Sp.
Tanggal Masuk Tanggal Keluar NAMA PASIEN
Total . Dokter Konsul Tind.

120,000 1 STEFANI 10/29/2021 11/1/2021 TJHIN MI NON 240,000

120,000 2 STEFANI 11/18/2021 11/25/2021 MELLY
240,000 TOTAL 240,000 -
dr. STEFANI, Sp. KFR
Visite Diskon Total

560,000 800,000
550,000 550,000
1,110,000 - 1,350,000
MCS Rajal Pagi
Nov-21
Dokter Spesialis Fisiotherapy
Kode
NO Dokter Tanggal Nama Pasien dr. Stefani Wylna W, Sp. KFR
Konsul Tind. Visite Diskon

1 Stefani 01/11/2021 Derita K Rp120,000

2 Stefani 02/11/2021 Eri M Rp120,000
3 Stefani 20/11/2021 Anni M Rp120,000
4 Stefani 24/11/2021 Murniati Rp120,000
5 Stefani 26/11/2021 Yosefus F.S Rp120,000
6 Stefani 29/11/2021 Amiruddin Rp120,000
TOTAL Rp720,000

PT. Dak Pagi

Nov-21
Dokter Spesialis Fisiotherapy
NO Kode Tanggal Nama Pasien dr. Stefani Wylna W, Sp. KFR
Dokter
Konsul Tind. Visite Diskon

1 Stefani 20/11/2021 Djahara Rp120,000

TOTAL Rp120,000
W, Sp. KFR
Total

Rp120,000
Rp120,000
Rp120,000
Rp120,000
Rp120,000
Rp120,000
Rp720,000

W, Sp. KFR
Total

Rp120,000
Rp120,000
 ASURANSI PT.PLN RAJAL BULAN NOVEMBER 2021
dr. Stefanie, Sp. FKR
No. Kode Dokter Tanggal NAMA PASIEN
Konsul Tind. Visite

1 STEFANI 15/11/2021 SUDARMAN 120,000

2 FISIO 17/11/2021 SUDARMAN 100,000 45,000
3 FISIO 23/11/2021 SUDARMAN 100,000 45,000
4 FISIO 29/11/2021 SUDARMAN 100,000 45,000
TOTAL 420,000 135,000

ASURANSI RBT BULAN NOVEMBER 2021

dr. Stefanie, Sp. FKR
No. Kode Dokter Tanggal NAMA PASIEN
Konsul Tind. Visite

1 FISIO 04/11/2021 BAHRUM 100,000 45,000

2 FISIO 29/11/2021 AVIVA 100,000 45,000
TOTAL 200,000 90,000
Stefanie, Sp. FKR
Diskon Total

120,000
145,000
145,000
145,000
555,000

Stefanie, Sp. FKR

Diskon Total

145,000
145,000
290,000