DATA LENGKAP PESERT

JNS
No NAMA PESERTA NOMOR KARTU DIAGNOSA SEX TGL LAHIR
PESERTA
1 Abdul Rohman 0001341002338 I11 L P 11/5/1953
2 Acep Sopyan Darajat 0000053928314 I11 L P

3 L P 7/5/1968
Ade Ahmad Karmawan 0000056029667 I11
4 Ade Julaeha 0002017276582 I11 P I 6/10/1977
5 Ade Mastiah 0000207130667 I10 P I 7/18/1965

6 Ade Setiawan 0000418575857 I25 L 3/13/1962

7 Agus Fathurohim 0001668776128 i48 L 5/2/1971
8 Agus Rusnadi 0001390415387 i50 L 8/17/1956
9 Ai Ratna 0001003689077 I10 P I 7/6/1963
10 Ai Sumarsih 000417059471 I11 P 8/4/1970
11 Ajizar Sohibumillah 0000053754917 I10 L P 7/22/1942
12 L P 10/1/1955
Akhmad Gunawan 0000056628696 E11
13 Ani Rohaeni 0000419339103 E11 P I 6/17/1973
14 Anwar Hasan 0002696368926 i25 L P 2/10/1955

15 Ani Sumarni 0001912005257 I10 P I 7/1/1952

16 Apong 0000418785197 I50 P I

17 Ara Suhara 0000416954531 I11 L 11/3/1957

18 Arief Suryanandar 0002615747872 I10, E11 L P 4/9/1959

19 Asep Juhana 0000207130533 I10 L P 7/14/1961

20 Asep Saepudin 0002238063153 G40 L P 9/26/1991

21 Ateng Lenggana 0001450716849 E11 L P 3/8/1962
22 Ati S 0000418256965 I25 P I 2/1/1963
23 Awang Efendi 0002887750901 I11 L P
24 Ayi Nurjanah 0001476482152 E11 P I 4/10/1969
25 Budiman 0000052561877 I25 L P 21/03/1956
26 Chaca 0001275086373 I11 L P 1/7/1964
27 Cicih 0001003713862 I11 P P 3/12/1954
28 Cucu 0000418828566 I11 P I 8/8/1982
29 Dadang Sugandi 0000053471867 I11 L S 12/4/1952
30 Darjat sudrajat 0000052490373 I10 L P 9/14/1952
31 D. Miftahudin 0000053606845 E11 L S 6/19/1960
32 Dede Rosadi 0000057875859 E11 L P 5/20/1957

33 Dede Rustiana 0001003705571 J44.9 L P 9/9/1970

34 Dede Sugiana 0002963429368 i25 L P 7/5/1958
35 Dedih 0000419118748 I25.9 L P 1/1/1957

36 Dewi Siti 0000417659523 I10 P I 6/15/1981

37 Dimyati 0001258936121 I10 L P 9/14/1948
38 Dinar 0002793090598 E11 P P 16/05/1959
39 D. Deni Rachman 0001479879178 I25 L P 4/3/1968
40 Dodi Setiabudi 0002196252639 i25 L P 11/23/1958
41 P I 3/25/1953
Een 0002077112632 E11
42 Elsri Hati 0001829618357 I11 P I 12/4/1964
43 E. Sulaeman 0000053241906 I50 L
44 Eman Sulaeman 0000417445492 E11.7 L P 5/1/1949
45 Enas 0000418129817 I10 P P 6/1/1950
46 Enay Sumaryati 0002470699934 I11 P I 7/12/1954
47 Endang Herlan 0000055862111 I10 L P 7/18/1955
48 Eneng Faryani 0002520737695 I10 P I 2/24/1968
49 Eno Djono 0001963274433 E11
50 Enok Titing 0000055862122 I10 P I 1/1/1960
51 I25 P I 5/12/1967
Entin 0002377682831
52 Entin Kartini 0000418619395 I10 P I 4/1/1954
53 Enur Jamilah 0000419127581 I10 P I 8/6/1982
54 Etih Suhaetih 0000053405739 E10.7 P I
55 P I 4/7/1955
Eti 0002852242874 E11
56 Eti Rohaeti 0001003716213 E11 P I 6/5/1962
57 Eti Sulastri 0000419467342 I10 P I 3/12/1966
58 Euis Komariah 0000418190499 I10,E11 P I 6/15/1964
59 Euis Yuliyati 0001827235495 E11 P P 7/24/1962

60 Farida Sri 0000053140836 I11 P P 1/3/1963

61 Gita Noor Oktaviani 0002201627531 I25.9 P I 10/4/1983

62 Gudiono 0002326358351 E11,I10 L P 4/8/1967

63 H. Dani Jaenal Mustopa 0001453822187 e11.5 L P 3/11/1978

64 L P 1/1/1962
Haerudin 0002246069294 I25.9
65 Hambiaroza 0000054275793 I25 L 6/19/1962
66 Hani Sinta Wati 0001501852972 I49.9 P 1/11/1993
67 Hayati 0000417266987 E11 P I 5/30/1981

68 Hendra Suhendra 0001657631013 I25 L 2/7/1979

69 Hodijah 0001089438895 I11 P I 8/5/1952

70 P I
Ijur 0000418716909 I25
71 Imas Ihe 0003116615771 E11 P I 7/1/1958
72 Imas Masidah 0000053471856 I10 P I 8/13/1961
73 Imas Rohaeti binti Ending 0001319428866 I11 P I 6/6/1960

74 Imas Rohaeti binti Anung 0001003714413 I11 P 3/20/1976

75 Imas Setya 0001859899364 I10 P I 8/30/1968
76 Ina Laelawati 0000417579052 i10 P I 8/15/1971

77 Ipah Suartini 0000054032758 I50+E11 P I 4/7/1960

78 P I 2/23/1998
Ira Eryanti 0002897233738 I42.9
79 Isak 0000418833786 I11 L P 10/27/1966

80 Iwan Arisandi 0000418419988 I25

81 Iyus Rustandi 0000052933577 I10 L P 1/18/1958
82 Jaja Juariah 0000418026982 I10 P I 11/16/1968
83 Juju Juwariyah 0000418833977 E11, I10 P I 3/12/1968
84 Komala 0002793107136 I11, E11 P I 9/1/1958

85 Kiki Taupik Rahman 0002081523464 Z95 L I 12/13/1976

86 Lili Julia 0002236875895 I25 L I 30/12/1984

87 Lilis Nuryati 0001865322191 E11 P I 6/10/1962
88 Lilis Sukmanah 0001720461576 E11 P I 12/14/1968
89 Lilis Sutarsih 0000053893607 E11 P I 8/10/1963

90 Linda Pujiwati 0000053471935 E11 P P 11/28/1964

91 M. Bilal Mutakin 000418570031 I09.9 L

92 Maesaroh 0000418237918 I27.8 P I 2/28/1973

93 Mahmudin Y. Harahap 0000053756976 I50, J44 L 11/17/1942

94 I64 L P 4/8/1943
Mamad 0000418864779
95 E11 L P 11/25/1966
Margiyanto 0002222085835
96 i25.9 L 4/4/1956
Marwoto 0001965962597
97 Masriah 0000417753551 I11 P I 1/1/1952
98 Momoy 0000418019354 R07.4 P I 8/18/1968
99 Mudjiono 0001341190517 I10 L P 1/17/1948

100 Muhamad Razi 0003053667655 I50 L P 8/17/1968

101 Nani Mulyani 0001003705582 I10 P I 3/26/1969
102 Narwiyah 0000416737899 E10.7 P 11/14/1975
103 Nasriah 0001003690888 i50 P 1/16/1984
104 Neneng Sartika 0002759520137 E11 P 7/20/1966
105 Nining Yuningsih 0000504164158 E11 P 5/8/1964
106 Nining Yunengsih 0003272897327 i10 P 02/07/1978
107 Nootje 0002497437123 E11+i10 L 5/28/1962

108 Nunung 0001003714863 E10 P I 7/1/1953

109 Nunung 0000417057467 I11 P 1/1/1957

110 Nunung Aida 0001408363435 I10 P I 8/25/1964

111 Nunung Senny Susana 0001457193374 I25 P 6/16/1961

112 Nunung Wafiroch 0000053754928 I10 P I 2/16/1947

113 Nurjanah 0000418567083 I11 P I 10/1/1966
114 Nurhayati 0000419026274 I11 P 11/30/1974
115 Noi 0002301219832 I10,E11 P I 9/6/1975
116 Nono Hatono 0001833808667 i25 L 12/24/1969
117 Noviyanti 0000418825697 I50 P I 9/6/1981

118 P 6/10/1968
Nyi Tati 0002324753223 E11
119 O. Rosmiati 0000053606834 I10 P P 11/10/1949
120 Oceh 0000418746126 I11 P I 11/10/1960
121 Omih 0001340388178 I10 P P 6/16/1960
122 Omon Bunyamin 0000052923879 I10,E11 L P 8/2/1957
123 Oom '0000418559736 I25 6/11/1970

124 Petrus Harefa 0000055679163 E11 L 10/2/1965

125 P I 11/24/1970
Purwaningsih 0002757435592 E11

126 Ramlan 0001462579143 I10 P 9/27/1951

127 Ratih 0000417690742 E11 P I 8/23/1977

128 Ratna 0000417780292 E11 P I 10/11/1965

129 Ratna Wati 0001478350012 E11.7 P I 8/21/1971

130 I10, 125 P 8/23/1989

Reni Kusdianti 0001723325679

131 Reni Maryani 0000053993913 E11 P s

132 Rosni Rosiani 0000418850122 I10 P P 10/5/1967

133 Sadiman 0001340560067 I10 L P 2/9/1958

134 Said 0000053101462 E11, I10 L P 1/7/1953

135 Saidah Sani 0001003715662 I25 P
136 P I 6/4/1962
Sakiyem 0000071097423 I25
137 P P 24/02/1971
Sarimanah 0000418055679 I50
138 Siti Atikah 0000419042676 I10 P I 1/7/1966
139 Siti Fatimah 0000417424127 I10 P I 2/8/1979
140 Siti Komariah 0000053407574 E11 P I 4/1/1950

141 Siti Latifah 0001097244988 I69 P I 2/28/1966

142 Siti Nurhasanah 0001478192073 I10 P I 10/10/1979

143 Siti Nur Mariam 0002092243331 i50 P l 4/17/2001
144 Siti Rodiah 0000417458316 E11 P I 1/1/1970
145 Siti Saodah 0000417614332 i10 P I 5/11/1948
146 Sopiah 0003096059545 I11 P P 02/01/1991

147 Subarna 0000056698312 i25 l 7/23/1959

148 Sugimas 0000057097146 E11 L P 9/25/1952

149 Suharianti Garit 0001340018414 i11 P P 12/13/1970

150 Suherman 0001720544038 I11 L P 5/2/1956

151 Sukandi E11 L 3/5/1949

0001444211965

152 Sukma Susanti 0002522840038 I10 P I 11/11/1983

153 Sunarti 0000056600976 E11.7, I10 P P 4/18/1963

154 Supriyatun 0001830891993 E11 P 10/8/1958

155 Suryana 0000418947296 E11 L 7/29/1982
156 Suryani 0001452641736 I10 P I 4/20/1974
157 Suswanti 0001340631123 E11 P P 9/22/1963
158 Suwanti 0001340631742 I11 P I 12/5/1965

159 Suyati 0001659847599 I10 P 4/18/1967

160 Tata 0000418717708 I50 L P 10/11/1956

161 Tatang Rukmana 0002962542047 i25 L P 06/07/1965

162 Taty Harjaty 0001450718526 I10 P I 7/15/1967

163 Teguh Ruswandi 0000056058761 E11 L P 7/6/1964
164 Tiah 0000418540792 E11 P I 10/2/1960
165 Tini Kartini 0002240238688 E11 P I 4/10/1966

166 Toto S.T 0000052581363 I11 L 12/4/1963

167 Tuminem 0001003688087 I10 P I 1/2/1967

168 Tuty Sutiah 0001340344923 I25 7/21/1959
169 Uden Koswara 0000418796436 I11 L 9/15/1964
170 Uhan Juhana 0000418184943 125, I10 L P 1/1/1945
171 Uji Teja Ningrum 0000168148449 I10 P P 9/10/1946
172 P 4/21/1957
Umi Murtafiah 0000053455465 E11
173 L P 20/05/1973
Undang 0002600405763 I25
174 L 2/4/1956
Victor E Simanjuntak 0000055680131 I25
175 Wasiah 0000418022278 E11.7, I10 P P 11/5/1959

176 Wida Nengsih 0001429146404 i25 P P 26-07-1965

177 Wiwi 0001003706234 I10 P 7/1/1968

178 Wulan 0000418064725 I50 P I 4/10/1978
179 P I 7/26/1958
Yani Suparyati 0000055575448 I11
180 Yatty S 0000052490384 I10 P I 6/22/1952

181 Yayah 0000418700867 I10 P I 7/5/1962

182 Yayah 0000053758203 E11 P I 2/10/1956
183 Yayah Widayah 0000418181938 s P 12/16/1967

184 Yayu Mujiatun 0001426575519 I69 P I 5/28/1969

185 Yeti Hendrawati 0001340689364 I11 P 6/18/1965
186 P I 6/28/1968
Yuni Hermastuti 0000056574641 E11
187 Yuyun Yuningsih 0001340930654 I10 P P 12/7/1970
188 Zaenul Hak 0001865320143 i50 L 4/4/1957

sudah PRB
belum PRB

DM 56
HT/HHD/CHF 103 per 31/3/2021
DATA LENGKAP PESERTA PROLANIS MARGAASIH

PENDIDIKAN NOMOR
ALAMAT NIK PEKERJAAN NOMOR HP
TERAKHIR MEDREK
Kp. Peundeuy 01/06, 3204100511530001 081818267211
Desa Lagadar

JL. ANGSANA, KP.

CIPATAT 06/10, 0895359784525
LAGADAR 3204100507680004 SMA PNS
Kp. Cibogo RT 05/01 0895809160707 1702246
Jl. Flamboyan U7 no.8
Rt 3/18 3204105807650001 SMP IRT 081322854280 1701224

Kp. Cibogo 02/01 089674693189 1704477

Lagadar
Kp Nyondol 8/1 3204100205710003 081312526380
Kp Jati 3/11 nanjung 3204101708560003 082214109472
Kp. Sukabirus 04/09 1701044
Kp. Cipatat RT 02 RW 3204104408700005 SD IRT 083829475133
11
Margaasih 5/16 3204102207420001 S1 PENSIUNAN 083829641700 1600039
Jl. Jati Asih blok D5
No.5 RT 02/07 3204100110550004 S1 WIRASWASTA 087824064195
Kp. Cipatat RT 03/11 3204105706730004 SD IRT
Kp Cigugur 1/3 3204101002550002

Kp. Dungus Lembu RT

04/013, Margaasih 3204105810550001 SD IRT

081307932307,
083822262743,
083149560461
Kp Jati Rt 03 Rw 02
Nanjung 3204100311570001 WIRASWASTA 089658511318

Jl. Akasia III No. 117 A 3204100904590003 SMA PENSIUNAN 085871482767, 1808609
0226673518
Jl. Flamboyan U7 no.8
Rt 3/18 3204101407610002 SMP PENSIUNAN 081322854280 1701224

Kp. Jalan Cagak 8/4 085722239744 1600138

Desa Lagadar
dimensi 4/18 3204100803620004 SMK WIRASWASTA 089699413373 1700093
Kp. Jati 1 RT 03/01, 3204104702630001 SMP IRT 083190455871
Nanjung

1705357
Margaasih 5/6 3204102103560001

Kp. Sayuran 01/03 0895422659379,

08994422225
KP. PEURIS 05/15 204104808820006
KP. JATI 04/01 3204100412520002 S1 WIRASWASTA 081221318667
Jalan Mahoni No.D4
RT01/RW09 '3204101409520001 SMA PENSIUNAN 085216280399 1600837
dimensi 4/9 3204101906540001 S1 WIRASWASTA 081646894255 1602086
Margaasih Indah Blok 081321353593,
3204102005590003 S1 PENSIUNAN 1703195
Q2 Rt 6/16 082121798647

kKP. Jati Sari rt 05/04 320410090970004 089664914696 1603482

Kp Cipatat 2/11 3204100507580005
Kp. Rancamalang 1/11 3204100101570028 BHL

Kp. Rancamalang
01/10 3204105506810003 SD IRT 089614319598
Margaasih 1/9 3204101409480001 DIPLOMA PENSIUNAN 081320274933 1704952
Margaasih 2/2 3204105605590002
Nanjung 5/10 3204100304680003 PEDAGANG 085724991325
Margaasih 3/8 3204102311580005 wiraswasta
KP. CIBISORO 03/08,
NANJUNG 089659618292
3204106503530003 SD IRT
JL. AKASIA VI N0.74 B 085721565360
RT 05/09

KP. CIPATAT 02/10 3204100105490001 0895338599984

Nanjung 03/03 320410520650009 SD IRT 085864435623 1703320

margaasih 1/18 3204101807550002 S1 PENSIUNAN 081320209682 1602466

Jl. Angsana C45 Rt
04/09, Lagadar 3204106402680002 SMA IRT 0895375037915

margaasih 1/18 3204104101600027 SMA IRT 081320209682 1602466

KP. RANCAMALANG
07/10 081394584144
3204105205670003 SMA IRT
089649735218,
cipatat 8/10 3204105304540003 SD IRT 081313773485 1701146
dungus lembu 4/13 3204104608820005 SMP IRT 0895338451804 1600260

KP. LEUWIDULANG RT
01/17 320410470550002 SD IRT 085314133610
cikuya 7/13 3204104506620004 081809388910 1700206
cikuya 2/15 3204105203660002 SD IRT 08988209210 1704298
nanjung 4/2 3204105506640002 SD IRT 08983619093 1601676
Lagadar 04/05 3204106407620002 SMA IRT 081910234596 1706528

Komp. Margahayu 081224193353 1705886

Permai, Mekar Rahayu

KP. DUNGUS LEMBU 3204104410830006 SMA IRT 081320628678

03/12
JL. TUNA II BLOK R7 3204100804670002 SMA SWASTA 081223952554
NO. 10 03/17
Kp Mencut 01/02 3204101103750009 089999294709
Lagadar
KOMP. MARGAASIH 8
NO.27, RT 08/18 3204100101620070 SD WIRASWASTA 082316248016
 3204104111930002 IRT 087821471976 1702671
Peuris Margaasih 2/15 3204107005810009 SD IRT 0895617608853 1702656

Kp. Jati II RT 1/3,

3204100702790008 082112073570
Nanjung
Kp. Babakan Tengah 3204104508520003 SD IRT 083172756777
01/04, Nanjung
Kp. Jati RT 04/02,
Nanjung
lagadar 2/1 3204106006580004 SD IRT 085724522786 1702372
KP. JATI 04/01 3204105308610002 S1 PENSIUNAN 081221318667
Kp. Cipatat 08/10 320410460660005 IRT 085341545464 1704073

082255501021
cipatat 12/3 3204107008680002 SMA IRT 081910574174 1702139
Kp Cigugur 3/3 3204105508710001
Jl. Jati Utama Blok Y I
no.12 A RT 02/20, Desa 320410470460003 S1 PENSIUNAN 082116131115 1700541
Margaasih
KP. GUNUNG PANCIR 089695269156
02/05 3204466302980001 BHL
Kp. Rancamalang
01/10 3204102710660001 SD WIRASWASTA 083820546444 1602257

082123953408
Margaasih 1/4 1603166
082240762344,
Margaasih 1/19 3204105611680004 SD IRT 081321326110 1702485
083820546444
Kp. Cipatat 4/1, Desa 3204104809580003 SD IRT 0895372681962 1806681
Lagadar

JL Arwana I Blok Q no
25 Komp Margaasih 3204101312760004 Karyawan 082255520055

BTN Margaasih Blok 3217093012840009

E12 No 16 5/8
Jl. Reungas 04/06 3273155006620004 SD IRT
KP. RANCAMALANG 3204105412680001 SMA IRT 082118179568
06/10
KP. CIGUGUR 02/02 3204105008630007 IRT
Jl. Kerkof RT 02/05,
Leuwigajah, Cimahi 3204106811640002 D3/DIPLOMA PNS
Selatan
0895361952661
Kp. Dungus Lembu
02/13, Nanjung 089683634485 1703682

KOMP. MARGAASIH
PERMAI BLOK H1 3204101710420001 D3/DIPLOMA PENSIUNAN 085323555608
NO.28 RT 2/16
KP. DUNGUS LEMBU 3204100804431001
01/13 BHL
Komp Margaasih 3/10 3204102511660001
JL Jati Utama blok A3
Margaasih 3204100404560001
wiraswasta
Kp. Rancamalang rt
03/12 3204104101520019 SD IRT 082219092658 1702523
KP. PEURIS 02/15 3204105808680010 SD IRT
Jl. Angsana C.55 3204101701480001 SMA PENSIUNAN 022-88880061 1600417
RT04/09
KP. SUKAWANGI, 3204461708680003 SD BHL
JELEGONG RT 02/04
KP. Jati Sari rt 05/04 3204106603690003 SD IRT 089664914696 1603482
Kp. Jati 01/01, Nanjung 3204105411750001 SD IRT
Kp Jati I rw 04 rw 01 3204105601840006
KP. TENJOLAYA 04/05 3204446007660001 SMA IRT 0859110081927
Kp. Sukabirus RT 5/5,
Nanjung 3273054805640001 082120083837
Lagadar 6/10 3204104207780007
Lamargas 5/10 3204102805620001
Kp. Cipatat Binong 3204104107530117 SD IRT 08814072983
1/12. Lagadar 1700847
08982616714
Jl. Arwana II Q9 NO.2
3204106508630001 S1 IRT 082317135200 1912885
Margaasih RT 03/17

KOMPLEK STBN
REGENCY BLOK PALEM 3277015606610001 SMA IRT 081392601177
A NO.1 RT 07/08
Margaasih 5/16 3204105602470003 SD IRT 083829641700 1600039
JL. CIGONDEWAH HILIR
01/05 3204104110660005 SD IRT 089614458222 1705175
JL. CAGAK 04/04 3204107011740002 IRT
Lagadar 4/5 3204105509750002 SMP IRT 0895371913855 1806677
Nanjung 2/10 3204102412690007 0895806780030
Kp. Jati RT 04/01 3204104609810005 SMA SWASTA 089526060175, 1704540
082129133922
KP. DUNGUS LEMBU
03/13 082318305755
3204105006680008 SD IRT
dimensi 4/9 3204105011490002 SMP IRT 081646894255 1602086
Kp. Daraulin 02/07 3204105011600006 SD IRT 081321354643 1601414
Kp. Sukabirus 01/05 320410560660006 SD IRT 085523790996 1700920
Margaasih 03/06 3204100208570002 S1 PENSIUNAN 082126232458 1704778
Kp. Cibisoro 04/08,
Nanjung 3204105106700004 081214410157

Pesona Margaasih Blok

B1 No.9 Rt 01/10, 3273060210650002 085864037256
Nanjung

KP. CIPATAT RT 07/10 085224159707

320410641170001 SMA IRT
PERUM MARGAASIH
BLOK S7 NO. 23 RT 3204102709510001 SD SWASTA
05/19
Kp. Cireureup 01/22 3204106308770004 SD SWASTA 0895606073190 1600861
Margaasih
Kp. Dungus Lembu
04/13, Nanjung 3204105110650002 TIDAK TAMAT SD IRT 0895338450887 1603238

Kp. Rancamalang rt 085320585133,

01/10 3204106108710001 SMP IRT 1600345
085793504905
Kp. Cigugur 03/02,
Margaasih 089656026014
JL. RASAMALA III
NO.16, KOMP.
GARAHA MARGAASIH 3204104801640003 S1 GURU 081395254247
05/20
Kp. Jati Sari no.53 RT 3204104510670005 SMA WIRASWASTA
04/04
Komp. Tabula, Jl.
Damar 3 no. B 151 3204100902580001 SMA PENSIUNAN 083821646040 1602614
03/19
Kp. Cipatat RT 05/10 3204100701530001 S1 PENSIUNAN 0895372681962
089655565476
JL. JATINANGOR I C12,
RT 03/09 3204104406620003 SD IRT
Kp Jati rt 02 rw 01
Nanjung 3204106402710001
Lagadar 06/14 085724326349 1602241
Kp. Cipatat 4/10 3204105902790003 SD IRT 081241664886, 1701077
085846445486
Nanjung 3/11 3204104104500001 D3/DIPLOMA IRT 0226670988 1600866
Jl. Akasia V No.22A
Komplek Tabula RT 3204106802660004 SD IRT 0895352966406 1602861
02/09. Lagadar
margaasih 4/17 3204105010790022 S1 GURU 081809352100 1602104
Kp Cigugur 7/1 3204105704010008 081280840790
Kp. Peundeuy 01/06, 3204104101700024 1601750
Desa Lagadar
Kp Cigugur 2/2 3204105105480003
Kp Daraulin 3/7
Nanjung 3204104101900052

jl. Jati asih blok C5 no.9 082213031030,

3204102509520002 SMA PENSIUNAN 1700838
Rt 4/6 081288092309
Jl Pakis 20 no 11 3273015312700003
Lagadar

Komp. Sukawangi 3/5

jelegong. Kutawaringin 3204460205560002 BHL

KP. JALAN CAGAK RT 081312246881

02/04, LAGADAR 3204100503490001 SD BHL

Kp. Burujul RT 04 RW
17, Mekarrahayu
3204105111830005 SD WIRASWASTA
Perum Gunung Pancir 3204465804630001 SMA IRT 085720141032 1704045
1/18
Jl. Jati Asih C6 No.7 RT
4/6, Desa Margaasih 3204104810580003 081322732200
Kp. Cikuya Giri Mekar 085840205864,
04/21 081383938854
margaasih 4/17 3204126004740002 SMA IRT 081351337278 1700796
Lagadar 3/9 3204106209630001 SD IRT 085722109866 1700904
Jl. Jati Baru RT 05/08, 3204104512650004 IRT 085722109866. 081572068255
Margaasih
Kp. Dimensi RT 02/09,
Lagadar 082120508533 1807490

Kp. Cigugur Rt 05/02

082215148102
Margaasih

Kp Sayuran 5/3 3204100607650006

JL. AKASIA III NO.A88, 3204105507670002 SMA IRT 089699413373 1700093
TABULA 04/18
Jl. Graha Mahoni RT 3204100607640004 S1 PNS 081322483989 1700395
1/20
Lagadar 4/5 320410241060004 SD IRT 085222363656 1705230
Melong Sukahaji RT 0002240238688 SMP IRT 085320984051 1700012
05/02

JL. AKASIA 7 NO. 92B

KOMP. TABULA 05/09 3204100412630002 S1 SWASTA 085861695166

nanjung 3/2 3204104201670001 SMP IRT 087742827884 1701412

3204106107590005 082117868244
Kp. Pangkalan 03/07 3204101509640001 SMP WIRASWASTA 08535363850
Rahayu

Nanjung 03/03 3204105010460002 SD IRT 085352011534 1602299

KP. SUKAWANGI,
JELEGONG RT 02/01 3204466104570001 SD IRT 082262504178
Kp Dungus Lembu1/13
3204102005730013
Jl. Mahoni 1 NO D 8 rt
01/ rw 09 Lagadar 3204100402570000 Karyawan 085157332850
Margaasih 03/19 3204104511590002 SD IRT 08122082230, 1810330
085703827998
kp Sukabirus 1/9 3204106607650001 083862502461
Nanjung
Kp. Rancamalang
01/10
KP. CIBISORO 02/08 3204105004780001 IRT
KOMP. MARGAASIH
08121442917
REGENCY 08/10 3204106607580001 S1 PENSIUNAN
Jalan Mahoni No.D4 3204106206520001 SMA IRT 08231937600 1600837
RT01/RW09
Kp. Cikuya RT 09/15, 3204105002620004 SD IRT 0859109864399 1913536
Lagadar, Margaasih
KP. CIPATAT 01/10 3204105002560002 IRT
KP. DIUNGUS LEMBU
02/13 3204105612670001 SD IRT 0881023158232

JL TUNA 4 BLOK Q.5, 3277016805690007 SMA IRT 085220768586 1811358

RT 8 RW 17 NO. 6
3204105806650002 085714156840
JL. ARWANA BARAT Q4
NO.17 RT 05/17 3204106806680003 IRT
lagadar 3/17 3204104712700003 SD IRT 089504486247 1704853
Gempol sari 4/6 3273150404570005
KK BPJS KTP PRB

V V V

V V V

V V V

V V V

V V

V V V

V V V

V V V V
V V V

V V V V
V V V
V V V
V V V

V V V V

V V V

V V V

V V V

V V V

V V V
V V V

V V V
V V V
V V V
V V V
 V
V V V

V V V

V V V

V V V V

V V V

V V V

V V V

V V V V
V V V V

V V V

V V V

V V

V V V

V V V

V V V

V V V

V V V V

V V V
V V V V
V V V
V V V

V V V
V V V

V V V

V V V
V V V

V V V V

V V V

V V V

V V V

V V V
V V V
V V V

V V V

V V V

V V V

V V V

V V V

V V V

V V V

V V V

V
V
V V V
 BULAN
NO. NAMA PASIEN NOMOR BPJS DIAGNOSA
TERDAFTAR
1 Kiki Taupik Rahman 0002081523464 z95 Januari 2022
2 H Dani Jaenal Mustopa 0001453822187 E11.7 Januari 2022
3 Siti Nur Mariam 0002092243331 i50 Januari 2022
4 Nasriah 0001003690888 i50 Februari 2022
5 Nono Hartono 0001833808667 i25 Maret 2022
6 Isak 0000418833786 i11 April 2022
7 Suharianti Garit 0001340018414 i11 April 2022
8 Agus Rusnadi 0001390415387 i50, i25 Mei 2022
9 Zaenul hak 0001865320143 i50 Mei 2022
10 Margiyanto 0002222085835 E11.7 Juni 2022
11 Sarimanah 0000418055679 I50 Juli 2022
12 Sopiah 0003096059545 I11 Juli 2022
13 Budiman 0000052561877 I25 Juli 2022
14 undang 0002600405763 I25 Juli 2022
15 Dinar 0002793090598 E11.7 Agustus 2022
16 Tatang Rukmana 0002962542047 i25 September 2022
17 Dede Sugiana 0002963429368 i25 September 2022
18 Lili Julia 0002236875895 i25 Oktober 2022
19
20
 ALAMAT TELEPON TTL KK BPJS

JL Arwana I Blok Q no 25 Komp Margaasih 082255520055 12/13/1976

3/11/1978
Kp Cigugur 7/1 Margaasih 081280840790 4/17/2001
Kp Jati I rw 04 rw 01 08970617121 1/16/1984
Nanjung 2/10 0895806780030 12/24/1969
Kp Rancamalang 1/10
Jl Pakis 20 no 11 Lagadar 12/13/1970
Kp Jati 3/11 Nanjung 082214109472 17-08-1956
Gempol sari 4/6
Komp Margaasih 3/10
Kp Jati rt 02 rw 01 Nanjung
Kp Daraulin 3/7 Nanjung
Margaasih 5/6
Kp Dungus Lembu1/13
Kp Cigugur 2/2 Margaasih
Kp Sayuran 5/3 0002962542047
Kp Cipatat 2/11
BTN Margaasih blok e12 no 16 5/8
 KTP

3273150404570005

3204102103560001

3204100607650006
NO. NAMA PASIEN NOMOR BPJS DIAGNOSA BULAN TERDAFTAR

1 Ai Sumarsih 000417059471 HHD I11 Januari 2021

2 Ijur 0000418716909 CAD I25 februari 2021
3 Reni Maryani 0000053993913 DM E11 maret 2021
4 Muhamad Razi 0003053667655 CHF I50 maret 2021
5 Sukma Susanti 0002522840038 HT I10 Apr-21
6 Euis Susi 0001823560751 DM E11 Apr-21
7 Hambiaroza 0000054275793 CAD I25 mei 2021
8 Petrus Harefa 0000055679163 DM E11 mei 2021
9 Nining Yuningsih 0000504164158 DM E11 juni 2021
10 Hendra Suhendra 0001657631013 CAD I25 juni 2021
11 Tuty Sutiah 0001340344923 CAD I25 juni 2021
12 Oom '0000418559736 CAD I25 juni 2021
13 Supriyatun 0001830891993 DM E11 juni 2021
14 Yoyo 0001341075982 CAD I25 juni 2021
15 Victor E Simanjantuntak 0000055680131 CAD I25 Oktober 2021
16 Subarna 0000056698312 CAD I25 Oktober 2021
17 Agus Faturohim 0001668776128 ATRIAL FIBRIAL i48 Oktober 2021
18 Nunung Senny Susana 0001457193374 CAD i25 November 2021
` Wida Nengsih 0001429146404 CAD i25 November 2021
20 Marwoto 0001965962597 CAD i25 Desember 2021

Kiki Taupik Rahman 0002081523464 Z95

21
22 Siti Nur Mariam 00020922433331 i50 Januari 2021
 ALAMAT TELEPON TTL KK BPJS

Kp. Cipatat RT 02 RW 11
Kp. Jati RT 04/02, Nanjung

Kp. Sukawangi 2/4, Jelegong

085624068132
Pesona Margaasih Blok B1 No.9 Rt 01085864037256
Kp. Sukabirus RT 5/5, Nanjung 082120083837 5/8/1964
Kp. Jati II RT 1/3, Nanjung 2/7/1979
082117868244 7/21/1959
Kp. Cibisoro 04/08, Nanjung 6/11/1970
Jl. Jati Asih C6 No.7 RT 4/6 10/8/1958

Jl Mahoni 1 No D8 RT 1/9 Lagadar 085157332850 2/4/1956

s 7/23/1959
KP nyondol 8/1 Margaasih 081312526380 02/05/1971
blok palem rt 07 rw 08 Lagadar 16-06-1961
kp Sukabirus 1/9 Nanjung 083862502461 26-07-1965
JL Jati Utama blok A3 Margaasih 4/4/1956
JL Arwana I
I 12/13/1976 Blok Q no 253204101312760004
Komp
Margaasih
 KTP

3273054805640001
3204100702790008
3204106107590005
3204105106700004
3204104810580003

3204100402570000

3204100205710003
3277015606610001
3204106607650001
3204100404560001

Karyawan 082255520055
 DATA LENGKAP PESERTA PRB PUSKESMAS MARGAASIH

NO. NAMA PASIEN NOMOR BPJS DIAGNOSA BULAN TERDAFTAR

1 Elsri Hati 0001829618357 I11 JANUARI 2020
2 Tini Kartini 0002240238688 E11 FEBRUARI 2020
3 Mamad 0000418864779 I64 FEBRUARI 2020
4 Dedih 0000419118748 I25.9 FEBRUARI 2020
5 Reni Kusdianti 0001723325679 I25.9, I10 FEBRUARI 2020
6 Ade Julaeha 0002017276582 I11 FEBRUARI 2020
7 E. Sulaeman 0000053241906 I50 FEBRUARI 2020
8 Eman Sulaeman 0000417445492 E11.7 FEBRUARI 2020
9 Nani Nurhaeni 0000054238353 E10.7 FEBRUARI 2020
FEBRUARI 2020
10 Arief Suryanandar 0002615747872 E11.7 (Sudah terdaftar
sebagai prolanis)
11 Wulan 0000418064725 I50 FEBRUARI 2020
12 Purwaningsih 0002757435592 I50 MARET 2020
13 Suyati 0001659847599 I11 MARET 2020
14 Neneng Sartika 0002759520137 E11 MARET 2020
15 Uden Koswara '0000418796436 I11 MARET 2020
16 Leni Herlina 0001340631461 E11 MARET 2020
17 Ruhyat 000169200268 E11.8 Apr-20
18 Narwiyah 0000416737899 E10.7 Apr-20
19 Entin 0002377682831 I25 Apr-20
20 H. Sukandi 0001444211965 E11 Apr-20
21 Lilis Sutarsih 0000053893607 E11 Apr-20
22 Yani Suparyati 0000055575448 I11 Apr-20
23 Haerudin 0002246069294 I25.9 Mei 2020
24 Ira Eryanti 0002897233738 I42.9 Mei 2020
25 Yayah 0000053758203 E11 Juni 2020
26 Omon (poli jantung) I25.9 Juni 2020
27 Cucu 0000418828566 I11 Juni 2020
28 Awang Efendi 0002887750901 I11 Juni 2020
29 Umi Murtafiah 0000053455465 E11 Juli 2020
30 Acep Sopyan Darajat 0000053928314 I11 Juli 2020
31 Sakiyem 0000071097423 I25 Juli 2020
32 Nunung Senny Susana 0001457193374 I25 Juli 2020
33 Etih Suhaetih 0000053405739 E10.7 Agustus 2020
34 Mahmudin Y. Harahap 0000053756976 I50 Agustus 2020
35 Ade Ahmad Karmawan 0000056029667 I11 Agustus 2020

36 Suherman 0001720544038 I11 Agustus 2020

37 Ratih Rusmiati 0000417690742 J45 Agustus 2020
38 Eti 0002852242874 E11 Agustus 2020
39 Akhmad Gunawan 0000056628696 E11 Sep-20
40 Toto S.T 0000052581363 I11 Sep-20
41 Yuni Hermastuti 0000056574641 E11 Sep-20
42 Nyi Tati 0002324753223 E11 Sep-20
43 Lilis Sukmanah 0001720461576 E11 Oktober 2020
44 Ramlan 0001462579143 I10 Oktober 2020
45 Eno Djono 0001963274433 E11 Nov-20
46 Een 0002077112632 E11 Nov-20
47 Ani Rohaeni 0000419339103 E11 Desember 2020
48 Momoy 0000418019354 R07.4 Desember 2020
49 Iwan Arisandi 0000418419988 I25 Desember 2020
PUSKESMAS MARGAASIH

ALAMAT TELEPON NO.MEDREK KK BPJS KTP

Kp. Cipatat RT 07/10 085224159707 1916129

Kp. Jati Rt 02/01 089512965589 1807859

085353563850
Kp. Jati RT 04/01 0881025581879
Jl. Akasia VII B No.95 085713993522
Kp. Jati 01/01
Kp. Rancamalang 07/10 081394584144

Kp. Cigugur 02/02

Komp. Margaasih Regency 08121442917
Blok D 25 RT 08/10
082316248016

082262504178

081573613027
081392601177

085323555608
0895359784525
Komp. Sukawangi 3/5
jelegong. Kutawaringin

085314133610
Jl. Jati Asih blok D5 No.5 RT 087824064195
085861695166
Kp. Cipatat RT 03/11

082123953408
 DATA LENGKAP PESERTA PRB PUSKESMAS MARGAASIH

NO. NAMA PASIEN NOMOR BPJS DIAGNOSA BULAN TERDAFTAR ALAMAT

1 NY. MAESAROH 0000418237918 I27.8 JANUARI 2019 Kp Dungus Lembu 02/13,

Ds. Nanjung
NY. EUIS
2 0000053938776 E11 JANUARI 2019
WIDANENGSIH
Kp. Cigugur Rt 05/02
3 TN. TATA 0000418717708 I50 JANUARI 2019
Margaasih
4 NY. OCEH 0000418746126 I11 JANUARI 2019

5 NY. AYI NURJANAH 0001476482152 E11 JANUARI 2019

6 NY. LILIS 0000417463389 I69.4 JANUARI 2019

7 TN. UJANG SUPARDI 0000417773531 F20 JANUARI 2019

NY. NUNUNG
8 0000157839129 I11 JANUARI 2019
SOPIAWATI

9 TEGUH RUSWANDI 0000056058761 E11.9 FEBRUARI 2019 Jl. Graha Mahoni RT 1/20

10 NY. CICIH 0001003713862 I11.0 MARET 2019

11 EUIS YULIAYATI 0001827235495 E11 MARET 2019 Lagadar 04/05

Kp. Cipatat 4/1, Desa
12 KOMALA 0001003715302 I11 MARET 2019
Lagadar

13 NOVIYANTI 0000418825697 I50 MARET 2019 Kp. Jati RT 04/01

14 WASIAH 0000418022278 E11.7 APRIL 2019 Margaasih 03/19

15 DEDE RUSTIANA 0001003705571 J44.9 APRIL 2019

16 A. MAKBUL 0000053893394 E11, I50 APRIL 2019
17 NURJANAH 0000418567083 I11 APRIL 2019
Jl. Jati Utama Blok Y I no.12
18 IPAH SUARTINI 0000054032758 I50, E11 MEI 2019 A RT 02/20, Desa
Margaasih

Perum Margaasih Regency

19 ADANG GUNAWAN 0001836745907 E11 JUNI 2016
Blok C no.16 08/10

20 EDAH 0000416990349 F20 JUNI 2019

21 RATNA 0000417780292 E11 JUNI 2019 Nanjung 04/13

22 AGUS GUNAWAN 000041746978 F20 JUNI 2019 Kp. Dungus Lembu 02/14

Jl. Akasia V no. 22 A RT

23 SITI LATIFAH 0001097244988 I25 JULI 2019
02/09 Lagadar
24 SITI ATIKAH 0000419042676 I10 JULI 2019 Lagadar 06/14
25 SITI RODIAH 000417458316 E11 JULI 2019 Kp. Peundeuy Rt 01/06
26 YAYU MUJIATUN I69.4 JULI 2019
27 ASEP SAEPUDIN G40 JULI 2019
28 NUNUNG 0001003714863 E10, I10 AGUSTUS 2019 Kp. Cipatat 1/12
29 MASRIAH 000417753551 I11 AGUSTUS 2019 Kp. Ranacamalang 3/12
30 HANI SINTA WATI SEPTEMBER 2019
31 NUNUNG 0000417057467 I11 OKTOBER 2019
32 JUJU JUWARIYAH 0000418833977 E11.7 OKTOBER 2019
33 YETI HENDRAWATI 0001340689364 I11 OKTOBER 2019

34 RATNA WATI 0001478350012 E11.7 OKTOBER 2019 Kp. Rancamalang 01/10

35 KOMAR 0000057495879 E11.7 OKTOBER 2019

36 ABDUL ROHMAN I11 Nov-19
37 ENAY SUMARYATI I11 Nov-19
38 APONG I50 Nov-19
39 DADANG SUGANDI I11 Nov-19
40 IMAS MASIDAH I11 Nov-19
41 IMAS ROHAETI BINTI ANUNG I11,I125 Nov-19
42 IMAS ROHAETI BINTI ENDING I11 Nov-19
43 M. BILAL MUTAKIN I09 (RHD) Nov-19
44 ISAK I11 Nov-19
45 NURHAYATI I11 Nov-19
46 SAIDAH SANI I25 Nov-19
47 YAYAH WIDAYAH I11 Nov-19
48 GITA NOOR OKTAVIANI I25 Nov-19
Kp. Babakan Tengah 01/04,
49 HODIJAH I11 DESEMBER 2019
0001089438895 Nanjung

DESEMBER 2019
50 SAID E11 (SUDAH GABUNG
PROLANIS SEJAK
OKTOBER)
0000053101462
51 SUWANTI 0001340631742 I11 DESEMBER 2019
52 ATI 0000418256965 I25.9 DESEMBER 2019
Komp. Margahayu
53 FARIDA SRI 0000053140836 I11 DESEMBER 2019 Permai,Mekar Rahayu

54 ADE SETIAWAN '0000041857557 I25 DESEMBER 2019

55 UHAN JUHANA 0000418184943 125, 150 DESEMBER 2019
56 CHACA 0001275086373 DESEMBER 2019
DESEMBER 2019
(SUDAH GABUNG
57 ENENG FARYANI PROLANIS SEJAK
OKTOBER)
 DESEMBER 2019
57 DEWI SITI (SUDAH GABUNG
PROLANIS SEJAK
OKTOBER)
58 GUDIONO 0002326358351 DESEMBER 2019
AASIH

TELEPON NO.MEDREK KK BPJS KTP

089683634485 V V V

082215148102

1705357

081322483989

0895422659379,
08994422225 V V V

081910234596 V V V

0895372681962 V V V

089526060175,
082129133922 V V V

08122082230,
085703827998
089664914696 V V V
085294215824
089614458222

082116131115 1700206 V V V

085220968867

1603238

1602851
 1602241
1601750 V V V

1700847 178/98 hba1c 9,5

1702523

08982616714 1601808
083820546444

085320585133,
085793504905 1600345
 DATA LENGKAP PESERTA PROLANIS MARGAASIH
6 Akhmad Gunawan 0000056628696 E11
7 Ani Rohaeni 0000419339103 E11
9 Arief Suryanandar 0002615747872 I10, E11
12 Ateng Lenggana 0001450716849 E11
16 Dede Rosadi 0000057875859 E11
20 Dinar 0002793090598 E11
23 Een 0002077112632 E11
25 Eman Sulaeman 0000417445492 E11.7
30 Engkom Komara 0001478917405 e11
31 Etih suhaeti 0000053405739 e11
32 Eti 0002852242874 E11
33 Euis Komariah 0000418190499 I10,E11
35 Euis Yuliyati 0001827235495 E11
37 Gudiono 0002326358351 E11,I10
38 H Dani 0001453822187 E11.7
41 Imas Ihe 0003116615771 E11
47 Komala 0002793107136 I11, E11
49 Lilis Sukmanah 0001720461576 E11
50 Linda Pujiwati 0000053471935 E11
54 Margiyanto 0002222085835 E11
57 Narwiyah 0000416737899 E10.7
59 Neneng Sartika 0002759520137 E11
60 Nining Yuningsih 0000504164158 E11
66 Noi 0002301219832 I10,E11
68 Noneng 0002962544848 e11
69 Nyi Tati 0002324753223 E11
72 Omon Bunyamin 0000052923879 I10,E11
73 Oreh 0000418724111 e11
74 Petrus Harefa 0000055679163 E11
75 Purwaningsih 0002757435592 E11
77 Ratih 0000417690742 E11
78 Ratna 0000417780292 E11
80 Said 0000053101462 E11, I10
88 Sugimas 0000057097146 E11
91 Sukandi 0001444211965 E11
92 Sulastri 0000053321523 e11
93 Sunarti 0000056600976 E11.7, I10
94 Supriyatun 0001830891993 E11
96 Suswanti 0001340631123 E11
101 Tiah 0000418540792 E11
106 Udin 0001270892237 E11+
107 Umi Murtafiah 0000053455465 E11
111 Waluyo 0000057533602 e11 9/10/2022
 DATA LENGKAP PESERTA PROLANIS MARGAASIH

No NAMA PESERTA NOMOR KARTU DIAGNOSA BB TB LP TD GDP

1 Acep Sopyan Darajat 0000053928314 I11
2 Ade Ahmad Karmawan 0000056029667 I11
3 Ade Mastiah 0000207130667 I10
4 Agus Faturohim 0001668776128 i48
5 Ajizar Sohibumillah 0000053754917 I10
6 Akhmad Gunawan 0000056628696 E11
7 Ani Rohaeni 0000419339103 E11
8 Anwar Hasan 0002696368926 i25
9 Arief Suryanandar 0002615747872 I10, E11
10 Asep Juhana 0000207130533 I10
11 ASEP TOSIN 0001341189246 I10
12 Ateng Lenggana 0001450716849 E11
13 Ati S 0000418256965 I25
14 Budiman 0000052561877 I25
15 Darjat sudrajat 0000052490373 I10
16 Dede Rosadi 0000057875859 E11
17 Dede Sugiana 0002963429368 i25
18 Dewi Siti 0000417659523 I10
19 Dimyati 0001258936121 I10
20 Dinar 0002793090598 E11
21 Deni Rachman 0001479879178 I25
22 Dodi Setiabudi 0002196252639 I25
23 Een 0002077112632 E11
24 Elsri Hati 0001829618357 I11
25 Eman Sulaeman 0000417445492 E11.7
26 Endang Herlan 0000055862111 I10
27 Eneng Faryani 0002520737695 I10
28 Enok Titing 0000055862122 I10
29 Entin Kartini 0000418619395 I10
30 Engkom Komara 0001478917405 e11
31 Etih suhaeti 0000053405739 e11
32 Eti 0002852242874 E11
33 Euis Komariah 0000418190499 I10,E11
35 Euis Yuliyati 0001827235495 E11
36 Gita Noor Oktaviani 0002201627531 I25.9
37 Gudiono 0002326358351 E11,I10
38 H Dani 0001453822187 E11.7
39 Haerudin 0002246069294 I25.9
40 Hendra Suhendra 0001657631013 I25
41 Imas Ihe 0003116615771 E11
42 Imas Setya 0001859899364 I10
43 Ina Y 0000417579052 i10
44 Ipah Suartini 0000054032758 I50+E11
45 Isak 0000418833786 I11
46 Jaja Juariah 0000418026982 I10
47 Komala 0002793107136 I11, E11
48 Lilis Karyani 0002793100645 i10
49 Lilis Sukmanah 0001720461576 E11
50 Linda Pujiwati 0000053471935 E11
51 Maesaroh 0000418237918 I27.8
52 Mahmudin Y. Harahap 0000053756976 I50, J44
No NAMA PESERTA NOMOR KARTU DIAGNOSA BB TB LP TD GDP
53 Marwoto 0001965962597 i25
54 Margiyanto 0002222085835 E11
55 Momoy 0000418019354 R07.4
56 Mudjiono 0001341190517 I10
57 Narwiyah 0000416737899 E10.7
58 Nasriah 0001003690888 i50
59 Neneng Sartika 0002759520137 E11
60 Nining Yuningsih 0000504164158 E11
61 Noviyanti 0000418825697 i10
62 Nootje 0002497437123 E11+i10
63 Nunung 0000417057467 I11
64 Nunung Wafiroch 0000053754928 I10
65 Nunung Senny 0001457193374 I25
66 Nurjanah 0000418567083 I11
67 Noi 0002301219832 I10,E11
68 Nono Hartono 0001833808667 I25
69 Noneng 0002962544848 e11
70 Nyi Tati 0002324753223 E11
71 O. Rosmiati 0000053606834 I10
72 Oceh 0000418746126 I11
73 Omon Bunyamin 0000052923879 I10,E11
74 Oreh 0000418724111 e11
75 Petrus Harefa 0000055679163 E11
76 Purwaningsih 0002757435592 E11
77 Ramlan 0001462579143 I10
78 Ratih 0000417690742 E11
79 Ratna 0000417780292 E11
80 Sadiman 0001340560067 I10
81 Said 0000053101462 E11, I10
82 Sakiyem 0000071097423 I25
83 Sarimanah 0000418055679 I50
84 Siti Latifah 0001097244988 I69
85 Siti Nurhasanah 0001478192073 I10
86 Siti Nur Mariam 0002092243331 i50
87 Siti Saodah 0000417614332 i10
88 Sopiah 0003096059545 I11
89 Sugimas 0000057097146 E11
90 Suharianti 0001340018414 i11
91 Suherman 0001720544038 I11
92 Sukandi 0001444211965 E11
93 Sulastri 0000053321523 e11
94 Sunarti 0000056600976 E11.7, I10
95 Supriyatun 0001830891993 E11
96 Suryani 0001452641736 I10
97 Suswanti 0001340631123 E11
98 Suwanti 0001340631742 I11
99 Suyati 0001659847599 I10
100 Taty Harjaty 0001450718526 I10
101 Tatang Rukmana 0002962542047 i25
102 Tiah 0000418540792 E11
103 Toto S.T 0000052581363 I11
104 Tugiri 0000053455454 i10
105 Tuminem 0001003688087 I10
106 Uden Koswara 0000418796436 I11
No NAMA PESERTA NOMOR KARTU DIAGNOSA BB TB LP TD GDP
107 Udin 0001270892237 E11+
108 Umi Murtafiah 0000053455465 E11
109 Undang 0002600405763 I25
110 Untung 0002271662256 i10
111 Victor E Simanjuntak 0000055680131 I25
112 Waluyo 0000057533602 e11
113 Wida Nengsih 0001429146404 I25
114 Yatty S 0000052490384 I10
115 Yayah Widayah 0000418181938 I69
116 Yuyun Yuningsih 0001340930654 i10
117 Yuni Hermastuti 0000056574641 I10
 DATA LENGKAP PESERTA PROLANIS MARGAASIH

No NAMA PESERTA NOMOR KARTU DIAGNOSA BB TB LP TD GDP KET

1 Abdul Rohman 0001341002338 I11
2 Acep Sopyan Darajat 0000053928314 I11
3 Adang Gunawan 0001836745907 E11
4 Ade Ahmad Karmawan 0000056029667 I11
5 Ade Julaeha 0002017276582 I11
6 Ade Mastiah 0000207130667 I10
7 Ade Setiawan 0000418575857 I25
8 Ai Ratna 0001003689077 I10
9 Ai Sumarsih 000417059471 I11
10 Ajizar Sohibumillah 0000053754917 I10
11 Akhmad Gunawan 0000056628696 E11
12 Ani Rohaeni 0000419339103 E11
13 Ani Sumarni 0001912005257 I10
14 Apong 0000418785197 I50
15 Arief Suryanandar 0002615747872 I10, E11
16 Asep Juhana 0000207130533 I10
17 Asep Saepudin 0002238063153 G40
18 Ateng Lenggana 0001450716849 E11
19 Ati S 0000418256965 I25
20 Awang Efendi 0002887750901 I11
21 Ayi Nurjanah 0001476482152 E11
22 Chaca 0001275086373 I11
23 Cicih 0001003713862 I11
24 Cucu 0000418828566 I11
25 Dadang Sugandi 0000053471867 I11
26 Darjat sudrajat 0000052490373 I10
27 D. Miftahudin 0000053606845 E11
28 Dede Rosadi 0000057875859 E11
29 Dede Rustiana 0001003705571 J44.9
30 Dedih 0000419118748 I25.9
31 Dewi Siti 0000417659523 I10
32 Dimyati 0001258936121 I10
33 Een 0002077112632 E11
34 Elsri Hati 0001829618357 I11
35 E. Sulaeman 0000053241906 I50
36 Eman Sulaeman 0000417445492 E11.7
37 Enas 0000418129817 I10
38 Enay Sumaryati 0002470699934 I11
39 Endang Herlan 0000055862111 I10
40 Eneng Faryani 0002520737695 I10
41 Eno Djono 0001963274433 E11
42 Enok Titing 0000055862122 I10
43 Entin 0002377682831 I25
44 Entin Kartini 0000418619395 I10
45 Enur Jamilah 0000419127581 I10
46 Etih Suhaetih 0000053405739 E10.7
47 Eti 0002852242874 E11
48 Eti Rohaeti 0001003716213 E11
49 Eti Sulastri 0000419467342 I10
50 Euis Komariah 0000418190499 I10,E11
51 Euis Susi 0001823560751 E11
52 Euis Yuliyati 0001827235495 E11
53 Farida Sri 0000053140836 I11
No NAMA PESERTA NOMOR KARTU DIAGNOSA BB TB LP TD GDP KET
54 Gita Noor Oktaviani 0002201627531 I25.9
55 Gudiono 0002326358351 E11,I10
56 Haerudin 0002246069294 I25.9
57 Hambiaroza 0000054275793 I25
58 Hani Sinta Wati 0001501852972 I49.9
59 Hayati 0000417266987 E11
60 Hendra Suhendra 0001657631013 I25
61 Hodijah 0001089438895 I11
62 Ijur 0000418716909 I25
63 Imas Ihe 0000419050271 E11
64 Imas Masidah 0000053471856 I10
65 Imas Rohaeti binti Ending 0001319428866 I11
No NAMA PESERTA NOMOR KARTU DIAGNOSA BB TB LP TD GDP KET
66 Imas Rohaeti binti Anung 0001003714413 I11
67 Imas Setya 0001859899364 I10
68
69 Ipah Suartini 0000054032758 I50+E11
70 Ira Eryanti 0002897233738 I42.9
71 Isak 0000418833786 I11
72 Itoh Masitoh 0000418846364 I10,E11
73 Iwan Arisandi 0000418419988 I25
74 Iyus Rustandi 0000052933577 I10
75 Jaja Juariah 0000418026982 I10
76 Juju Juwariyah 0000418833977 E11, I10
77 Komala 0002793107136 I11, E11
78 Komar 0000057495879 E11.7
79 Leni Herlina 0001340631461 E11
80 Lilis Karyani 0002793100645 I10
81 Lilis Nuryati 0001865322191 E11
82 Lilis Sukmanah 0001720461576 E11
83 Lilis Sutarsih 0000053893607 E11
84 Linda Pujiwati 0000053471935 E11
85 M. Bilal Mutakin 000418570031 I09.9
86 Maesaroh 0000418237918 I27.8
87 Mahmudin Y. Harahap 0000053756976 I50, J44
88 Mamad 0000418864779 I64
89 Marwoto
90 Masriah 0000417753551 I11
91 Momoy 0000418019354 R07.4
92 Mudjiono 0001341190517 I10
93 Muhamad Razi 0003053667655 I50
94 Nani Mulyani 0001003705582 I10
95 Nani Nurhaeni 0000054238353 E10.7
96 Narwiyah 0000416737899 E10.7
97 Neneng Sartika 0002759520137 E11
98 Nining Yuningsih 0000504164158 E11
99 Nunung 0001003714863 E10
100 Nunung 0000417057467 I11
101 Nunung Aida 0001408363435 I10
102 Nunung Senny Susana 0001457193374 I25
103 Nunung Wafiroch 0000053754928 I10
104 Nurjanah 0000418567083 I11
105 Nurhayati 0000419026274 I11
106 Noi 0002301219832 I10,E11
107 Noviyanti 0000418825697 I50
108 Nyi Tati 0002324753223 E11
109 O. Rosmiati 0000053606834 I10
110 Oceh 0000418746126 I11
111 Omih 0001340388178 I10
112 Omon Bunyamin 0000052923879 I10,E11
113 Oom '0000418559736 I25
114 Petrus Harefa 0000055679163 E11
115 Purwaningsih 0002757435592 E11
116 Ramlan 0001462579143 I10
117 Ratih 0000417690742 E11
118 Ratna 0000417780292 E11
119 Ratna Wati 0001478350012 E11.7
120 Reni Kusdianti 0001723325679 I10, 125
121 Reni Maryani 0000053993913 E11
No NAMA PESERTA NOMOR KARTU DIAGNOSA BB TB LP TD GDP KET
122 Rosni Rosiani 0000418850122 I10
123 Ruhyat 000169200268 E11
124 Sadiman 0001340560067 I10
125 Said 0000053101462 E11, I10
126 Saidah Sani 0001003715662 I25
127 Sakiyem 0000071097423 I25
128 Siti Atikah 0000419042676 I10
129 Siti Fatimah 0000417424127 I10
130 Siti Komariah 0000053407574 E11
131 Siti Latifah 0001097244988 I69
132 Siti Nurhasanah 0001478192073 I10
133 Siti Rodiah 0000417458316 E11
134 Subarna 0000056698312 i25
135 Sugimas 0000057097146 E11
136 Suherman 0001720544038 I11
137 Sukandi 0001444211965 E11
138 Sukma Susanti 0002522840038 I10
139 Sunarti 0000056600976 E11.7, I10
140 Supriyatun 0001830891993 E11
141 Suryana 0000418947296 E11
142 Suryani 0001452641736 I10
143 Suswanti 0001340631123 E11
144 Suwanti 0001340631742 I11
145 Suyati 0001659847599 I10
146 Tata 0000418717708 I50
147 Taty Harjaty 0001450718526 I10
148 Teguh Ruswandi 0000056058761 E11
149 Tiah 0000418540792 E11
150 Tini Kartini 0002240238688 E11
151 Toto S.T 0000052581363 I11
152 Tuminem 0001003688087 I10
153 Tuty Sutiah 0001340344923 I25
154 Uden Koswara 0000418796436 I11
155 Uhan Juhana 0000418184943 125, I10
156 Uji Teja Ningrum 0000168148449 I10
157 Umi Murtafiah 0000053455465 E11
158 Victor E Simanjuntak 0000055680131 I25
159 Wasiah 0000418022278 I10
160 Wiwi 0001003706234 I50
161 Wulan 0000418064725 I11
162 Yani Suparyati 0000055575448 I10
163 Yatty S 0000052490384 I10
164 Yayah 0000418700867 E11
165 Yayah 0000053758203 I11
166 Yayah Widayah 0000418181938 I69
167 Yayu Mujiatun 0001426575519 I11
168 Yeti Hendrawati 0001340689364 E11
169 Yuni Hermastuti 0000056574641 I10
 HASIL PEMERIKSAAN GULA DARAH
No NAMA PESERTA NOMOR KARTU DIAGNOSA GDP TANDA TANGAN
1 Adang Gunawan 0001836745907 E11

2 Akhmad Gunawan 0000056628696 E11

3 Ani Rohaeni 0000419339103 E11
4 Arief Suryanandar 0002615747872 I10, E11

5 Ateng Lenggana 0001450716849 E11

6 Ayi Nurjanah 0001476482152 E11

7 D. Miftahudin 0000053606845 E11

8 Dede Rosadi 0000057875859 E11

9 Een 0002077112632 E11

10 Eman Sulaeman 0000417445492 E11.7
11 Eno Djono 0001963274433 E11

12 Etih Suhaetih 0000053405739 E10.7

13 Eti 0002852242874 E11
14 Eti Rohaeti 0001003716213 E11

15 Euis Komariah 0000418190499 I10,E11

16 Euis Yuliyati 0001827235495 E11

17 Gudiono 0002326358351 E11,I10

18 Hayati 0000417266987 E11

19 Imas Ihe 0000419050271 E11

20 Ipah Suartini 0000054032758 I50+E11

21 Itoh Masitoh 0000418846364 I10,E11

22 Juju Juwariyah 0000418833977 E11, I10

23 Komala 0001003715302 I11, E11

24 Komar 0000057495879 E11.7

25 Lilis Nuryati 0001865322191 E11

26 Lilis Sukmanah 0001720461576 E11

27 Lilis Sutarsih 0000053893607 E11

28 Nani Nurhaeni 0000054238353 E10.7
29 Narwiyah 0000416737899 E10.7

30 Neneng Sartika 0002759520137 E11

31 Nunung 0001003714863 E10

32 Noi 0002301219832 I10,E11

33 Nyi Tati 0002324753223 E11

34 Omon Bunyamin 0000052923879 I10,E11

35 Purwaningsih 0002757435592 E11

36 Ratih 0000417690742 E11

37 Ratna 0000417780292 E11

38 Ratna Wati 0001478350012 E11.7

39 Reni Maryani 0000053993913 E11

40 Ruhyat 000169200268 E11

No NAMA PESERTA NOMOR KARTU DIAGNOSA GDP TANDA TANGAN
41 Said 0000053101462 E11, I10

42 Siti Komariah 0000053407574 E11

43 Siti Rodiah 0000417458316 E11
44 Sugimas 0000057097146 E11
45 Sukandi 0001444211965 E11
46 Sunarti 0000056600976 E11.7, I10
47 Suryana 0000418947296 E11
48 Suswanti 0001340631123 E11
49 Teguh Ruswandi 0000056058761 E11
50 Tiah 0000418540792 E11
51 Tini Kartini 0002240238688 E11
52 Umi Murtafiah 0000053455465 E11
53 Wasiah 0000418022278 E11.7, I10
54 Yayah 0000053758203 E11
55 Yuni Hermastuti 0000056574641 E11