Registrasi Pasien

<h2>DATA KUNJUNGAN PASIEN PUSKESMAS</h2>
Periode : 01-05-2023 s/d 31-05-2023<br>

<table class='grid' border='1'>
<tr>
<th>No.<br>Registrasi</th>
<th>No.Index</th>
<th>Tanggal</th>
<th>Nama</th>
<th>NamaKK</th>
<th>Pekerjaan</th>
<th>No. HP</th>
<th>Tanggal Lahir</th>
<th>Alamat</th>
<th>Dusun</th>
<th>Desa</th><th>Tempat Periksa</th>
<th>Petugas Loket</th>
<th>Petugas</th>
<th>Perawat</th>
<th>Petugas Resep</th>
<th>JK</th>
<th>Kelompok<br>Umur</th>
<th>Pengirim</th>
<th>Kunjungan</th>
<th>Jenis<br>Pasien</th>
<th>Tindak<br>Lanjut</th>
<th>Hari</th>
<th>Bulan</th>
<th>Tahun</th>
<th>Unit</th>
<th>Poli Rujuk</th>
<th>Rumah Sakit</th>
<th>Wilayah</th>
<th>Kartu Sehat</th>
<th>NIK</th>
<th>Kunjungan BPJS</th>
<th>Ptgs Anamnesis</th>
<th>Systole</th>
<th>Diastole</th>
<th>Denyut Jantung</th>
<th>Suhu Badan</th>
<th>Respiration Rate</th>
<th>Tinggi</th>
<th>Berat</th>
<th>Gol Darah</th>
<th>Total Tarif</th>
</tr><tr><td align='right'>1874</td><td
align='right'>01000030</td><td>02-05-2023</td><td>BERNADETTE PASCALINE
SETIAWAN</td><td></td><td></td><td>'</td><td>27-03-2023</td><td>GETASAN RT 06 RW
01</td><td>GETASAN</td><td>GETASAN</td><td>PUSKESMAS INDUK</td><td>Tika
Elvania</td><td></td><td> - </td><td>-</td><td>P</td><td><1
Thn.</td><td>Keluarga</td><td>Baru</td><td>Umum</td><td></td><td
align='right'>6</td><td align='right'>1</td><td
align='right'>0</td><td>KIA</td><td></td><td></td><td>Dalam
Wilayah</td><td>'</td><td>'</td><td>Kunjungan Sehat</td><td> - </td><td>-</td><td>-
</td><td>-</td><td>-</td><td>-</td><td>-</td><td>-</td><td></td><td>0</td></
tr><tr><td align='right'>1875</td><td
align='right'>01000031</td><td>02-05-2023</td><td>ARSILA DELVIANA
NUGRAHENI</td><td></td><td></td><td>'</td><td>02-04-2023</td><td>GADING RT 04 RW
03</td><td>GADING</td><td>GETASAN</td><td>PUSKESMAS INDUK</td><td>Tika
align='right'>99000039</td><td>02-05-2023</td><td>RIRIT MEI HAPSARI PUTRI
LESTIYADI</td><td></td><td></td><td>'</td><td>08-05-2003</td><td>CANDIREJO RT 15 RW
00 KWAGEN SRAGEN</td><td></td><td>Luar kabupaten</td><td>PUSKESMAS
INDUK</td><td>Tika Elvania</td><td>dr.Arninta Rahma Khoirunnisa</td><td>Retno Sri
Hastuti,Amd.Kep</td><td>-</td><td>P</td><td>15-19
Thn.</td><td>Keluarga</td><td>Baru</td><td>BPJS NON PBI</td><td>Rajal</td><td
align='right'>25</td><td align='right'>11</td><td align='right'>19</td><td>BP.
Umum</td><td></td><td></td><td>Luar
Wilayah</td><td>'0001898778903</td><td>'3314134805030004</td><td>Kunjungan
Sakit</td><td>Supomo,A.Md.Kep</td><td>120</td><td>80</td><td>-</td><td>36</
td><td>22</td><td>157</td><td>55</td><td>Tdk Th</td><td>0</td></tr><tr><td
align='right'>1877</td><td align='right'>99000040</td><td>02-05-2023</td><td>BOBY
DWI YANUANSAH</td><td></td><td></td><td>'</td><td>15-01-2003</td><td>JL.LOMBOK
NO.11C RT 07 RW 01 MAGETAN</td><td></td><td>Luar kabupaten</td><td>PUSKESMAS
INDUK</td><td>Tika Elvania</td><td></td><td> - </td><td>-</td><td>L</td><td>20-44
Thn.</td><td>Keluarga</td><td>Baru</td><td>BPJS NON PBI</td><td></td><td
Sakit</td><td> -
</td><td>-</td><td>-</td><td>-</td><td>-</td><td>-</td><td>-</td><td>-</td><td></
td><td>0</td></tr><tr><td align='right'>1878</td><td
align='right'>1025242</td><td>02-05-2023</td><td>HANIF BARRA
AMARULLAH</td><td></td><td></td><td>'</td><td>03-11-2022</td><td>KALIDUREN RT 01 RW
05</td><td>KALIDUREN</td><td>BATUR</td><td>PUSKESMAS INDUK</td><td>Tika
Elvania</td><td></td><td> - </td><td>-</td><td>L</td><td><1
Thn.</td><td>Keluarga</td><td>Lama</td><td>Umum</td><td></td><td
align='right'></td><td align='right'>5</td><td
align='right'></td><td>KIA</td><td></td><td></td><td>Dalam
align='right'>01000032</td><td>02-05-2023</td><td>ARDEAN LUTHFI
ARGANATA</td><td></td><td></td><td>'</td><td>29-04-2023</td><td>GETASAN RT 05 RW
Elvania</td><td></td><td> - </td><td>-</td><td>L</td><td>0-7
hari</td><td>Keluarga</td><td>Baru</td><td>Umum</td><td></td><td
align='right'>1024276</td><td>02-05-2023</td><td>OLIVIA KALENA
MAHARANI</td><td></td><td></td><td>'</td><td>11-07-2022</td><td>SIDOMUKTI RT 03 RW
05</td><td>SIDOMUKTI</td><td>KOPENG</td><td>PUSKESMAS INDUK</td><td>Tika
Wilayah</td><td>'</td><td>'</td><td>Kunjungan Sakit</td><td> - </td><td>-</td><td>-
align='right'>1022666</td><td>02-05-2023</td><td>NOVENA GRACE
OCTAVIA</td><td></td><td></td><td>'</td><td>22-10-2021</td><td>GADING RT 04 RW
03</td><td>GADING</td><td>GETASAN</td><td>PUSKESMAS INDUK</td><td>Tika
Elvania</td><td></td><td> - </td><td>-</td><td>P</td><td>1-4
</td><td>-</td><td>-</td><td>-</td><td>-</td><td>-</td><td>Tdk
Th</td><td>0</td></tr><tr><td align='right'>1882</td><td
align='right'>1025289</td><td>02-05-2023</td><td>YUMNA AFIDA
AZZAHRA</td><td></td><td></td><td>'</td><td>21-12-2022</td><td>PENDEM RT 01 RW
03</td><td>PENDEM</td><td>MANGGIHAN</td><td>PUSKESMAS INDUK</td><td>Tika
align='right'>1025670</td><td>02-05-2023</td><td>RINA NUR
INAYA</td><td></td><td></td><td>'</td><td>19-11-2023</td><td>BANYUDONO RT 02 RW 08
BANYUBIRU</td><td></td><td>Luar Wilayah</td><td>PUSKESMAS INDUK</td><td>Tika
hari</td><td>Keluarga</td><td>Lama</td><td>BPJS PBI</td><td></td><td
align='right'>0</td><td>KIA</td><td></td><td></td><td>Luar
Sakit</td><td> -
</td><td>-</td><td>-</td><td>-</td><td>-</td><td>-</td><td>-</td><td>-</td><td>Tdk
align='right'>06000039</td><td>02-05-2023</td><td>MARKINI</td><td></td><td></
td><td>'</td><td>05-05-1974</td><td>DUKUH RT 01 RW
02</td><td>DUKUH</td><td>BATUR</td><td>PUSKESMAS INDUK</td><td>Tika
Umum</td><td></td><td></td><td>Dalam Wilayah</td><td>'</td><td>'</td><td>Kunjungan
Sakit</td><td> -
align='right'>1002757</td><td>02-05-2023</td><td>MUNINGGAR
WATI</td><td></td><td></td><td>'</td><td>04-07-1999</td><td>NGRAWAN RT 01 RW
03</td><td>NGRAWAN</td><td>NGRAWAN</td><td>PUSKESMAS INDUK</td><td>Tika
Thn.</td><td>Keluarga</td><td>Lama</td><td>BPJS PBI</td><td></td><td
align='right'>23</td><td>KB</td><td></td><td></td><td>Dalam
Sakit</td><td> -
align='right'>1018911</td><td>02-05-2023</td><td>MUHYIDIN</td><td></td><td></
td><td>'</td><td>10-07-1977</td><td>MADU RT 01 RW
04</td><td></td><td>BATUR</td><td>PUSKESMAS INDUK</td><td>Tika
Umum</td><td></td><td></td><td>Dalam
Sakit</td><td> -
align='right'>07000030</td><td>02-05-2023</td><td>SLAMET BUDIONO</td><td>SLAMET
BUDIONO</td><td></td><td>'0859159908168</td><td>05-12-1983</td><td>KOPENG RT 01 RW
02</td><td>KOPENG</td><td>KOPENG</td><td>PUSKESMAS INDUK</td><td>Tika
Elvania</td><td>drg.Ade Indranila</td><td>drg.Ade
Indranila</td><td>-</td><td>L</td><td>20-44
Thn.</td><td>Keluarga</td><td>Lama</td><td>BPJS PBI</td><td>Rajal</td><td
Gigi</td><td></td><td></td><td>Dalam
Sakit</td><td>drg.Ade
Indranila</td><td>141</td><td>97</td><td>68</td><td>36</td><td>24</td><td>162</
td><td>54</td><td></td><td>0</td></tr><tr><td align='right'>1890</td><td
align='right'>90000095</td><td>02-05-2023</td><td>PUTRI
FEBRIYANTI</td><td></td><td></td><td>'</td><td>08-02-1996</td><td>BANDUNGAN RT 03
RW 01 TUNTANG</td><td></td><td>Luar Wilayah</td><td>PUSKESMAS INDUK</td><td>Tika
Wilayah</td><td>'</td><td>'6304024802960001</td><td>Kunjungan Sakit</td><td> -
align='right'>07000045</td><td>02-05-2023</td><td>KHAIRA MALYA
ALMAHYRA</td><td></td><td></td><td>'</td><td>25-04-2023</td><td>KASIRAN RT 03 RW
09</td><td>KASIRAN</td><td>KOPENG</td><td>PUSKESMAS INDUK</td><td>Tika
Elvania</td><td>dr.Arninta Rahma Khoirunnisa</td><td>Uci
Novitawati,A.Md.Keb</td><td>-</td><td>P</td><td>0-7
hari</td><td>Keluarga</td><td>Baru</td><td>Umum</td><td>Rajal</td><td
align='right'>0</td><td>MTBS</td><td></td><td></td><td>Dalam
</td><td>130</td><td>37</td><td>46</td><td>48</td><td>3</td><td></td><td>0</td></
align='right'>07000046</td><td>02-05-2023</td><td>AJENG ZAREENA
DAHAYU</td><td></td><td></td><td>'</td><td>19-02-2023</td><td>PLALAR RT 02 RW
04</td><td>PLALAR</td><td>KOPENG</td><td>PUSKESMAS INDUK</td><td>Tika
align='right'>1003680</td><td>02-05-2023</td><td>SUWARDI</td><td></td><td></
td><td>'</td><td>20-04-1956</td><td>SIDOMUKTI RT 7 RW
align='right'>12</td><td align='right'></td><td align='right'>67</td><td>BP.
Sakit</td><td> -
align='right'>1024749</td><td>02-05-2023</td><td>MEYDITA ATAYA
SHAFANA</td><td></td><td></td><td>'</td><td>19-05-2022</td><td>NOGOSAREN RT 07 RW
01</td><td>NOGOSAREN</td><td>NOGOSAREN</td><td>PUSKESMAS INDUK</td><td>Tika
Elvania</td><td>dr.Arninta Rahma
Khoirunnisa</td><td>Wiwin,A.Md.Keb</td><td>-</td><td>P</td><td><1
align='right'></td><td>MTBS</td><td></td><td></td><td>Dalam
Sakit</td><td> -
</td><td>-</td><td>-</td><td>120</td><td>38</td><td>38</td><td>85</td><td>13</
td><td></td><td>0</td></tr><tr><td align='right'>1896</td><td
align='right'>1007316</td><td>02-05-2023</td><td>WAHYU
SUHARNI</td><td></td><td></td><td>'</td><td>08-12-1992</td><td>SELODUWUR RT.3
RW.16</td><td>SELODUWUR</td><td>BATUR</td><td>PUSKESMAS INDUK</td><td>Tika
Thn.</td><td>Keluarga</td><td>Baru</td><td>BPJS PBI</td><td></td><td
Sakit</td><td> -
align='right'>1000856</td><td>02-05-2023</td><td>JANAH AYUNING
TYAS</td><td></td><td></td><td>'</td><td>12-03-2015</td><td>SIDOMUKTI RT 02 RW
Sakit</td><td> -
align='right'>1024792</td><td>02-05-2023</td><td>PUPUT
SAPUTRI</td><td></td><td></td><td>'</td><td>13-04-1995</td><td>PLALAR RT 05 RW
align='right'>19</td><td align='right'></td><td
Sakit</td><td> -
align='right'>1014466</td><td>02-05-2023</td><td>SIYAMTI</td><td></td><td></
td><td>'</td><td>26-09-1975</td><td>PERUM GRIYA GAWE MUKTI 4/6
SUMOGAWE</td><td></td><td>Luar Wilayah</td><td>PUSKESMAS INDUK</td><td>Tika
Sakit</td><td> -
align='right'>1003174</td><td>02-05-2023</td><td>SUTARYANTO</td><td></td><td></
td><td>'</td><td>01-08-2007</td><td>TOLOKAN RT
02/01</td><td>TOLOKAN</td><td>TOLOKAN</td><td>PUSKESMAS INDUK</td><td>Tika
Sakit</td><td> -
align='right'>1023629</td><td>02-05-2023</td><td>SURANI</td><td></td><td></
td><td>'</td><td>11-03-1953</td><td>NGLELO
01/19</td><td>NGLELO</td><td>BATUR</td><td>PUSKESMAS INDUK</td><td>Tika
Elvania</td><td></td><td> - </td><td>-</td><td>P</td><td>>70
Sakit</td><td> -
align='right'>06000017</td><td>02-05-2023</td><td>ENDARU ARSAL
RADEYA</td><td></td><td></td><td>'</td><td>28-02-2023</td><td>DUKUH RT 01 RW
align='right'></td><td align='right'>2</td><td align='right'></td><td>BP.
Sakit</td><td> -
align='right'>06000040</td><td>02-05-2023</td><td>DEVANI ALMAHYRA
SAFANA</td><td></td><td></td><td>'</td><td>12-02-2023</td><td>SENDEN RT 03 RW
10</td><td>SENDEN</td><td>BATUR</td><td>PUSKESMAS INDUK</td><td>Tika
Elvania</td><td>dr.Arninta Rahma Khoirunnisa</td><td>Sri
Mulyani,AMK</td><td>-</td><td>P</td><td><1
Thn.</td><td>Keluarga</td><td>Baru</td><td>Umum</td><td>Rajal</td><td
align='right'>1010143</td><td>02-05-2023</td><td>DINI NURUL
HUDA</td><td></td><td></td><td>'</td><td>02-06-1997</td><td>GETASAN RT
06/01</td><td>GETASAN</td><td>GETASAN</td><td>PUSKESMAS INDUK</td><td>Tika
Sakit</td><td> -
align='right'>1001940</td><td>02-05-2023</td><td>MUJIYATI</td><td></td><td></
td><td>'</td><td>03-07-1977</td><td>NGRAWAN ER 03 RW
Sakit</td><td> -
align='right'>1025077</td><td>02-05-2023</td><td>NUR FITRIA
PRIMASTUTI</td><td></td><td></td><td>'</td><td>05-02-1996</td><td>PONGANGAN RT 01
RW 01 SAMIRONO</td><td></td><td>Luar
Wilayah</td><td>PUSKESMAS INDUK</td><td>Tika Elvania</td><td></td><td> -
</td><td>-</td><td>P</td><td>20-44 Thn.</td><td>Keluarga</td><td>Baru</td><td>BPJS
PBI</td><td></td><td align='right'>27</td><td align='right'>2</td><td
align='right'>27</td><td>BP. Umum</td><td></td><td></td><td>Luar
Sakit</td><td> -
align='right'>04000006</td><td>02-05-2023</td><td>FELICIA MEITA
ADELINE</td><td></td><td></td><td>'</td><td>09-03-2023</td><td>NGRAWAN RT 003
RW001</td><td>NGRAWAN</td><td>NGRAWAN</td><td>PUSKESMAS INDUK</td><td>Tika
Khoirunnisa</td><td>Wiwin,A.Md.Keb</td><td>-</td><td>P</td><td><1
Thn.</td><td>Keluarga</td><td>Lama</td><td>BPJS NON PBI</td><td>Rajal</td><td
Sakit</td><td> -
align='right'>1003927</td><td>02-05-2023</td><td>INDRI
YANI</td><td></td><td></td><td>'</td><td>27-09-1997</td><td>PLALAR RT 05 RW
Thn.</td><td>Keluarga</td><td>Lama</td><td>BPJS NON PBI</td><td></td><td
Sakit</td><td> -
align='right'>1019660</td><td>02-05-2023</td><td>JUMIRAH</td><td></td><td></
td><td>'</td><td>08-12-1967</td><td>KRASAK RT 10 RW 01
POLOBOGO</td><td></td><td>Luar Wilayah</td><td>PUSKESMAS INDUK</td><td>Tika
Sakit</td><td> -
align='right'>04000003</td><td>02-05-2023</td><td>ARDI RAMADAN
SETIAWAN</td><td></td><td></td><td>'</td><td>22-09-2007</td><td>NGRAWAN RT 03 RW
Elvania</td><td>drg.Ade Indranila</td><td>Maulida Rahma K
N,A.Md.KG</td><td>-</td><td>L</td><td>15-19
Thn.</td><td>Keluarga</td><td>Lama</td><td>Umum</td><td>Rajal</td><td
Gigi</td><td></td><td></td><td>Dalam Wilayah</td><td>'</td><td>'</td><td>Kunjungan
align='right'>050000010</td><td>02-05-2023</td><td>GIBRAN FAHRI
PRATAMA</td><td></td><td></td><td>'</td><td>18-03-2023</td><td>MANGGIHANRT 03 RW
01</td><td>MANGGIHAN</td><td>MANGGIHAN</td><td>PUSKESMAS INDUK</td><td>Tika
align='right'>90000096</td><td>02-05-2023</td><td>NAZIRA KANIA
RAMADHANI</td><td>HADI
LEGOWO</td><td></td><td>'</td><td>30-03-2023</td><td>MAGERSARI RT 11 RW 02
align='right'>1007702</td><td>02-05-2023</td><td>KUSNI</td><td></td><td></
td><td>'</td><td>05-10-1964</td><td>SLEKER RT.6
RW.3</td><td>SLEKER</td><td>KOPENG</td><td>PUSKESMAS INDUK</td><td>Susilo Dwi
Handoyo</td><td></td><td> - </td><td>-</td><td>P</td><td>55-59
Sakit</td><td> -
align='right'>1007997</td><td>02-05-2023</td><td>JUMINI</td><td></td><td></
td><td>'</td><td>01-01-1968</td><td>SUMOGAWE RT 01 RW 02
Sakit</td><td> -
align='right'>1014660</td><td>02-05-2023</td><td>HENI
SETIANINGSIH</td><td></td><td></td><td>'</td><td>21-04-2005</td><td>THEKELAN RT 04
RW 17</td><td>THEKELAN</td><td>BATUR</td><td>PUSKESMAS INDUK</td><td>Tika
Sakit</td><td> -
align='right'>1025614</td><td>02-05-2023</td><td>SYAKA EZRA
BRAMANTA</td><td></td><td></td><td>'</td><td>19-01-2023</td><td>SIDOMUKTI RT 05 RW
05</td><td>SIDOMUKTI</td><td>KOPENG</td><td>PUSKESMAS INDUK</td><td>Susilo Dwi
Handoyo</td><td></td><td> - </td><td>-</td><td>L</td><td><1
align='right'>1002525</td><td>02-05-2023</td><td>MARKORIUS BAMBANG
WIDODO</td><td></td><td></td><td>'</td><td>11-11-1952</td><td>SUMOGAWE RT 03 RW 02
Elvania</td><td></td><td> - </td><td>-</td><td>L</td><td>>70
Sakit</td><td> -
align='right'>06000041</td><td>02-05-2023</td><td>ASTUTI</td><td>SUPRIYANTO</
td><td></td><td>'</td><td>09-09-1986</td><td>SELONGISOR RT 01 RW
15</td><td>SELONGISOR</td><td>BATUR</td><td>PUSKESMAS INDUK</td><td>Tika
Sakit</td><td> -
align='right'>07000047</td><td>02-05-2023</td><td>MAHISHA
AGNY</td><td>SUTIROH</td><td></td><td>'</td><td>30-09-2004</td><td>SLEKER RT 02 RW
03</td><td>SLEKER</td><td>KOPENG</td><td>PUSKESMAS INDUK</td><td>Tika
Sakit</td><td> -
align='right'>1024994</td><td>02-05-2023</td><td>SRI
SULIYAH</td><td></td><td></td><td>'</td><td>24-05-1971</td><td>SENDEN RT 04 RW
N,A.Md.KG</td><td>-</td><td>P</td><td>45-54
Wilayah</td><td>'</td><td>'3322016405710000</td><td>Kunjungan
Sakit</td><td>Maulida Rahma K
N,A.Md.KG</td><td>123</td><td>104</td><td>97</td><td>36.2</td><td>22</td><td>155</
align='right'>06000036</td><td>02-05-2023</td><td>SURYATI</td><td></td><td></
td><td>'</td><td>25-09-1989</td><td>GONDANG RT
01/01</td><td>GONDANG</td><td>BATUR</td><td>PUSKESMAS INDUK</td><td>Tika
Sakit</td><td> -
align='right'>06000042</td><td>02-05-2023</td><td>MUAH</td><td></td><td></
td><td>'</td><td>31-12-1953</td><td>SELONGISOR RT 03 RW
04</td><td>SELONGISOR</td><td>BATUR</td><td>PUSKESMAS INDUK</td><td>Tika
Sakit</td><td> -
align='right'>1025568</td><td>02-05-2023</td><td>MUNDIYAH</td><td></td><td></
td><td>'</td><td>09-11-1960</td><td>SRANTI RT 08 RW
02</td><td></td><td>WATES</td><td>PUSKESMAS INDUK</td><td>Tika
Indranila</td><td>-</td><td>P</td><td>60-69
Indranila</td><td>165</td><td>90</td><td>89</td><td>36.2</td><td>22</td><td>155</
align='right'>1004695</td><td>02-05-2023</td><td>PAIMAH</td><td></td><td></
td><td>'</td><td>12-01-1953</td><td>GETASAN RT 05 RW
01</td><td></td><td>GETASAN</td><td>PUSKESMAS INDUK</td><td>Tika
Elvania</td><td></td><td> - </td><td>-</td><td>P</td><td>>70
Sakit</td><td> -
align='right'>1012213</td><td>02-05-2023</td><td>FAJAR WAHYU ADI
PRASETYA</td><td></td><td></td><td>'</td><td>17-06-2018</td><td>PLOSO RT
15/02</td><td>PLOSO</td><td>NGRAWAN</td><td>PUSKESMAS INDUK</td><td>Tika
Thn.</td><td>Keluarga</td><td>Baru</td><td>BPJS PBI</td><td>Rajal</td><td
align='right'>1023945</td><td>02-05-2023</td><td>M YUNUS EDO
BARKAH</td><td></td><td></td><td>'</td><td>29-08-1970</td><td>PENDINGAN RT 04 RW
01</td><td></td><td>Luar Wilayah</td><td>PUSKESMAS INDUK</td><td>Tika
Gigi</td><td></td><td></td><td>Luar
align='right'>1010138</td><td>02-05-2023</td><td>ANDRI
</td><td></td><td></td><td>'</td><td>16-07-1996</td><td>PIJI
Gigi</td><td></td><td></td><td>Luar Wilayah</td><td>'</td><td>'</td><td>Kunjungan
align='right'>1004824</td><td>02-05-2023</td><td>LASTRININGSIH</td><td></td><td></
td><td>'</td><td>20-02-1981</td><td>WATES RT
04/01</td><td>WATES</td><td>WATES</td><td>PUSKESMAS INDUK</td><td>Tika
Sakit</td><td> -
align='right'>1017358</td><td>02-05-2023</td><td>SISWATI</td><td></td><td></
td><td>'</td><td>25-06-1987</td><td>SENDEN RT 02 RW
Sakit</td><td> -
align='right'>1003327</td><td>02-05-2023</td><td>IIN NUR
KHASANAH</td><td></td><td></td><td>'</td><td>31-07-1999</td><td>SLEKER RT 03 RW
Sakit</td><td> -
align='right'>1000828</td><td>02-05-2023</td><td>JUMIAH</td><td></td><td></
td><td>'</td><td>12-10-1975</td><td>SLEKER RT 03 RW
Sakit</td><td> -
align='right'>1019217</td><td>02-05-2023</td><td>SUMINI</td><td></td><td></
td><td>'</td><td>10-04-1973</td><td>MUJO RT 04 RW 04</td><td></td><td>Luar
Wilayah</td><td>PUSKESMAS INDUK</td><td>Tika Elvania</td><td></td><td> - </td><td>-
</td><td>P</td><td>45-54 Thn.</td><td>Keluarga</td><td>Baru</td><td>BPJS NON
PBI</td><td></td><td align='right'>22</td><td align='right'></td><td
align='right'>50</td><td>BP. Umum</td><td></td><td></td><td>Luar
Sakit</td><td> -
align='right'>1003770</td><td>02-05-2023</td><td>SUTARMI</td><td></td><td></
td><td>'</td><td>11-03-1966</td><td>PENDINGAN RT 03 RW 01</td><td></td><td>Luar
</td><td>P</td><td>55-59
align='right'>1007966</td><td>02-05-2023</td><td>SUYATI</td><td></td><td></
td><td>'</td><td>12-12-1961</td><td>DIWAK RT
2/8</td><td></td><td>BATUR</td><td>PUSKESMAS INDUK</td><td>Tika
Sakit</td><td> -
align='right'>01000033</td><td>02-05-2023</td><td>AXELLEGIOVANO
NUGROHO</td><td>ARIS NUGRAHA</td><td></td><td>'</td><td>03-03-2023</td><td>GETASAN
RT 07 RW
align='right'>1014928</td><td>02-05-2023</td><td>SLAMET
SUSILO</td><td></td><td></td><td>'</td><td>14-05-1991</td><td>WATES RT
1/1</td><td></td><td>WATES</td><td>PUSKESMAS INDUK</td><td>Tika
Sakit</td><td> -
align='right'>1024963</td><td>02-05-2023</td><td>APRILIA SISKA
WULANDARI</td><td>ANTON
SAPUTRO</td><td></td><td>'</td><td>03-04-1997</td><td>TOLOKAN RT 01 RW
01</td><td></td><td>TOLOKAN</td><td>PUSKESMAS INDUK</td><td>Tika
Sakit</td><td> -
align='right'>1000513</td><td>02-05-2023</td><td>AFNAN PRAMUDYA
ABIMANTARA</td><td></td><td></td><td>'</td><td>03-01-2016</td><td>SIDOMUKTI RT
05/05</td><td></td><td>KOPENG</td><td>PUSKESMAS INDUK</td><td>Tika
Indranila</td><td>100</td><td>70</td><td>78</td><td>-</td><td>22</td><td>102</
align='right'>1018752</td><td>02-05-2023</td><td>ESTI
PUSNOMO</td><td></td><td></td><td>'</td><td>16-12-1971</td><td>WATES RT 02 RW
Sakit</td><td> -
RUBIYEM</td><td></td><td></td><td>'</td><td>05-12-1979</td><td>POLOBOGO RT 01 RW 01
Sakit</td><td> -
align='right'>1007192</td><td>02-05-2023</td><td>IKA ARUMDANI
MAYLIA</td><td></td><td></td><td>'</td><td>14-05-1998</td><td>PERUM SEHATI BLOK H
NO 302 RT 5/14</td><td></td><td>Luar Wilayah</td><td>PUSKESMAS INDUK</td><td>Tika
Sakit</td><td> -
RAHAYU</td><td></td><td></td><td>'</td><td>16-12-1990</td><td>KASIRAN RT.3
RW.9</td><td>KASIRAN</td><td>KOPENG</td><td>PUSKESMAS INDUK</td><td>Tika
Sakit</td><td> -
align='right'>1006983</td><td>02-05-2023</td><td>SITI
ALFIYAH</td><td></td><td></td><td>'</td><td>18-09-1953</td><td>DEPLONGAN RT 01 RW
align='right'>1023814</td><td>02-05-2023</td><td>KEENANDRA HERO
SUHARNAZIL</td><td>RONY
SUHARNAZIL</td><td></td><td>'</td><td>24-04-2022</td><td>PANDANAN RT 03 RW
Khoirunnisa</td><td>Supomo,A.Md.Kep</td><td>-</td><td>L</td><td>1-4
Sakit</td><td> -
align='right'>07000048</td><td>02-05-2023</td><td>MADEENA SAFIYYA
PRASTYOPUTRI</td><td>EKO
PRASTYO</td><td></td><td>'</td><td>26-04-2023</td><td>PLALAR RT 04 RW
Elvania</td><td>dr.Arninta Rahma Khoirunnisa</td><td>Uci
align='right'>1022804</td><td>02-05-2023</td><td>ADAN AGIL
PILOKILA</td><td></td><td></td><td>'</td><td>09-12-2006</td><td>SIDOMUKTI RT
Sakit</td><td> -
align='right'>1002961</td><td>02-05-2023</td><td>EKA
SUSANTI</td><td></td><td></td><td>'</td><td>14-04-1988</td><td>SIDOMUKTI RT
Sakit</td><td> -
UTARI</td><td></td><td></td><td>'</td><td>16-10-1997</td><td>MAGERSARI RT 12/02
</td><td></td><td>Luar Wilayah</td><td>PUSKESMAS INDUK</td><td>Tika
align='right'>25</td><td>KB</td><td></td><td></td><td>Luar
Sakit</td><td> -
align='right'>1017185</td><td>02-05-2023</td><td>SARMI</td><td></td><td></
td><td>'</td><td>17-05-1967</td><td>PADAN RT 14 RW
02</td><td></td><td>NGRAWAN</td><td>PUSKESMAS INDUK</td><td>Tika
align='right'>55</td><td>BP. Umum</td><td></td><td></td><td>Dalam
Sakit</td><td> -
align='right'>07000049</td><td>02-05-2023</td><td>ADELIA ANINDYA
AILANI</td><td>BUDIONO</td><td></td><td>'</td><td>07-04-2016</td><td>SLEKER RT 02
RW 03</td><td>SLEKER</td><td>KOPENG</td><td>PUSKESMAS INDUK</td><td>Tika
align='right'>1009794</td><td>02-05-2023</td><td>VERZA FITRA
ANDIKA</td><td></td><td></td><td>'</td><td>19-07-2015</td><td>SLEKER RT
7/3</td><td>SLEKER</td><td>KOPENG</td><td>PUSKESMAS INDUK</td><td>Tika
AMINAH</td><td></td><td></td><td>'</td><td>26-02-1971</td><td>SENDEN RT 02 RW
align='right'>1023966</td><td>02-05-2023</td><td>DEWI
WIDYANINGSIH</td><td></td><td></td><td>'</td><td>21-10-2009</td><td>GEDAD RT 11 RW
align='right'>1021026</td><td>02-05-2023</td><td>ALDEBELLA TYA
AISYAH</td><td></td><td></td><td>'</td><td>18-10-2018</td><td>KARANGOMBO RT
03/03</td><td></td><td>Luar Wilayah</td><td>PUSKESMAS INDUK</td><td>Tika
Hartini,S.S.T.Keb</td><td>-</td><td>P</td><td>1-4
align='right'>4</td><td>MTBS</td><td></td><td></td><td>Luar
</td><td>90</td><td>60</td><td>130</td><td>37</td><td>38</td><td>103</td><td>16</
align='right'>07000050</td><td>02-05-2023</td><td>IVANA ROSALITA
RAHMADANI</td><td></td><td></td><td>'</td><td>17-04-2023</td><td>PLALAR RT 01 RW
align='right'>1003929</td><td>02-05-2023</td><td>EKO
SURYANTO</td><td></td><td></td><td>'</td><td>18-07-2001</td><td>BANDONGAN KULON
RT / 03</td><td></td><td>Luar kabupaten</td><td>PUSKESMAS INDUK</td><td>Tika
</td><td>-</td><td>-</td><td>-</td><td>-</td><td>-</td><td>0</td><td>0</td><td></
align='right'>1021409</td><td>02-05-2023</td><td>ADRIEL
ARKADITYA</td><td></td><td></td><td>'</td><td>17-02-2021</td><td>KRANGKENG RT 05 RW
align='right'>07000017</td><td>02-05-2023</td><td>AHMAD ILYAS
RAMADAN</td><td></td><td></td><td>'</td><td>24-03-2023</td><td>PLALAR RT 02 RW0
align='right'>1025481</td><td>02-05-2023</td><td>RAFEILA JESLYN MIELA
NUGRAHA</td><td></td><td></td><td>'</td><td>22-01-2023</td><td>PANDANAN RT 03 RW
03</td><td>PANDANAN</td><td>GETASAN</td><td>PUSKESMAS INDUK</td><td>Tika
align='right'>01000012</td><td>02-05-2023</td><td>ALFAREZEL KENZO ELVANO
PUTRA</td><td></td><td></td><td>'</td><td>21-03-2023</td><td>PANDANAN RT 03 RW
align='right'>1025691</td><td>02-05-2023</td><td>AZKA RAYHAN
ALFARIZY</td><td></td><td></td><td>'</td><td>24-02-2023</td><td>PLALAR RT 01 RW
align='right'>1024370</td><td>02-05-2023</td><td>ZEFATA ARSAKA
PRASETYO</td><td></td><td></td><td>'</td><td>20-07-2022</td><td>NGELO RT 03 RW
02</td><td>NGELO</td><td>GETASAN</td><td>PUSKESMAS INDUK</td><td>Tika
align='right'>1025703</td><td>02-05-2023</td><td>IBRAHIM BINTANG
PAMUNGKAS</td><td></td><td></td><td>'</td><td>23-02-2023</td><td>SLEKER RT 07 RW
align='right'>1025703</td><td>02-05-2023</td><td>IBRAHIM BINTANG
PAMUNGKAS</td><td></td><td></td><td>'</td><td>23-02-2023</td><td>SLEKER RT 07 RW
align='right'>1024916</td><td>02-05-2023</td><td>MARYAM ERINA
CHALISA</td><td></td><td></td><td>'</td><td>03-08-2022</td><td>SENDANG RT 06 RW
align='right'></td><td>KIA</td><td></td><td></td><td>Luar
align='right'>1025616</td><td>02-05-2023</td><td>JIZAR YOAN
ALTERIO</td><td></td><td></td><td>'</td><td>04-01-2022</td><td>JAMPELAN RT 02 RW
align='right'>1025537</td><td>02-05-2023</td><td>ADELIA KAYLA
PUTRI</td><td></td><td></td><td>'</td><td>18-06-2022</td><td>TOLOKAN RT
5/1</td><td>TOLOKAN</td><td>TOLOKAN</td><td>PUSKESMAS INDUK</td><td>Tika
align='right'>1025702</td><td>02-05-2023</td><td>ASHRAF HISYAM A
LATHA</td><td></td><td></td><td>'</td><td>25-01-2023</td><td>GEJAYAN RT 09 RW
02</td><td>GEJAYAN</td><td>NOGOSAREN</td><td>PUSKESMAS INDUK</td><td>Tika
align='right'>07000005</td><td>02-05-2023</td><td>CHAISAR PUTRA
ANNAR</td><td></td><td></td><td>'</td><td>27-02-2023</td><td>KOPENG</
td><td>KOPENG</td><td>KOPENG</td><td>PUSKESMAS INDUK</td><td>Tika
align='right'>1025662</td><td>02-05-2023</td><td>CHANTIKA INDAH
MAHARANI</td><td></td><td></td><td>'</td><td>21-02-2023</td><td>MANGGIHAN RT 04 RW
align='right'>1025614</td><td>02-05-2023</td><td>SYAKA EZRA
BRAMANTA</td><td></td><td></td><td>'</td><td>19-01-2023</td><td>SIDOMUKTI RT 05 RW
align='right'>1025474</td><td>02-05-2023</td><td>RAIHANUM
HAMEEDA</td><td></td><td></td><td>'</td><td>16-12-2022</td><td>KRANGKENG RT 02 RW
12</td><td>KRANGKENG</td><td>BATUR</td><td>PUSKESMAS INDUK</td><td>Tika
align='right'>1021471</td><td>02-05-2023</td><td>RACHEL EMBUN
RESPATI</td><td></td><td></td><td>'</td><td>08-05-2021</td><td>GETASAN RT 08 RW
align='right'>1024210</td><td>02-05-2023</td><td>AULIA CINDY
NATASYA</td><td></td><td></td><td>'</td><td>09-06-2022</td><td>GADING RT 03 RW
align='right'>1025446</td><td>02-05-2023</td><td>EDRIA FALSYA
ACHIERA</td><td></td><td></td><td>'</td><td>16-11-2022</td><td>CUNTEL RT 04 RW
01</td><td></td><td>KOPENG</td><td>PUSKESMAS INDUK</td><td>Tika
KORIAH</td><td>JUMARNO</td><td>BURUH HARIAN LEPAS</td><td>'085643309906</td><td>06-
10-1984</td><td>MANGGIHAN RT 01 RW
Khoirunnisa</td><td>Suwoto,A.Md.Kep</td><td>-</td><td>P</td><td>20-44
Thn.</td><td>Keluarga</td><td>Baru</td><td>BPJS PBI</td><td>Rujuk</td><td
Umum</td><td>Penyakit Dalam </td><td>RS DR.ASMIR SALATIGA</td><td>Dalam
Sakit</td><td>Suwoto,A.Md.Kep</td><td>100</td><td>60</td><td>84</td><td>36.2</
td><td>24</td><td>153</td><td>46</td><td></td><td>0</td></tr><tr><td
align='right'>1980</td><td align='right'>07000051</td><td>03-05-2023</td><td>NURUL
SHOLECHAH</td><td>PRAPTO JAPAR</td><td>KARYAWAN SWASTA</td><td>'</td><td>10-07-
2000</td><td>CUNTEL RT 04 RW 01</td><td>CUNTEL</td><td>KOPENG</td><td>PUSKESMAS
INDUK</td><td>Tika Elvania</td><td>dr.Arninta Rahma
align='right'>1981</td><td
align='right'>1019186</td><td>03-05-2023</td><td>ERFINA</td><td></td><td></
td><td>'</td><td>20-10-1995</td><td>DEPLONGAN RT 03 RW
02</td><td>DEPLONGAN</td><td>WATES</td><td>PUSKESMAS INDUK</td><td>Tika
align='right'>1000621</td><td>03-05-2023</td><td>GIYEM</td><td></td><td></
td><td>'</td><td>10-08-1956</td><td>MULUNGAN
RT.10 RW.2</td><td>MULUNGAN</td><td>NOGOSAREN</td><td>PUSKESMAS INDUK</td><td>Tika
align='right'>1983</td><td align='right'>1004913</td><td>03-05-2023</td><td>DANU
PRATAMA</td><td></td><td></td><td>'087700288255</td><td>06-04-2008</td><td>DIWAK
RT.2 RW.8</td><td>DIWAK</td><td>BATUR</td><td>PUSKESMAS INDUK</td><td>Tika
Khoirunnisa</td><td>Suwoto,A.Md.Kep</td><td>-</td><td>L</td><td>15-19
align='right'>1008951</td><td>03-05-2023</td><td>YATIMAH</td><td>WANDI</td><td></
td><td>'</td><td>30-11-1982</td><td>NGRAWAN RT 05 RW
Sakit</td><td> -
align='right'>1025565</td><td>03-05-2023</td><td>FIKI QUROTUL AINI</td><td>ABDUL
SYUKUR</td><td></td><td>'0895359040862</td><td>23-11-1998</td><td>NOGOSAREN RT 02
RW 01</td><td>NOGOSAREN</td><td>NOGOSAREN</td><td>PUSKESMAS INDUK</td><td>Tika
Sakit</td><td> -
align='right'>1020040</td><td>03-05-2023</td><td>CLARISSA UTAMI
PRAMONO</td><td></td><td></td><td>'</td><td>26-08-2020</td><td>BUMIAYU RT 02 RW
Elvania</td><td>Wiwin,A.Md.Keb</td><td>Sutini,A.Md.Keb</td><td>-</td><td>P</
td><td>1-4 Thn.</td><td>Keluarga</td><td>Baru</td><td>BPJS NON
PBI</td><td>Rajal</td><td align='right'>7</td><td align='right'>8</td><td
Sakit</td><td> -
align='right'>1013716</td><td>03-05-2023</td><td>EKO
PRAMONO</td><td></td><td></td><td>'</td><td>17-04-1980</td><td>BUMIAYU RT
align='right'>1988</td><td align='right'>1008471</td><td>03-05-2023</td><td>LILIS
SUSANTI</td><td>SUSILO</td><td></td><td>'</td><td>24-04-1993</td><td>GETASAN RT 04
RW 01</td><td>GETASAN</td><td>GETASAN</td><td>PUSKESMAS INDUK</td><td>Tika
align='right'>1000696</td><td>03-05-2023</td><td>WINARNI</td><td></td><td></
Elvania</td><td>drg.Ade Indranila</td><td> - </td><td>-</td><td>P</td><td>20-44
align='right'>02000027</td><td>03-05-2023</td><td>GIBRAN ARFAN
ALHUSAYN</td><td>MUHAIMIN</td><td></td><td>'085326171666</td><td>08-12-2019</
td><td>NGAGRONG RT 08 RW 01</td><td>NGAGRONG</td><td>WATES</td><td>PUSKESMAS
Khoirunnisa</td><td>Sutini,A.Md.Keb</td><td>-</td><td>L</td><td>1-4
Sakit</td><td> -
align='right'>1006682</td><td>03-05-2023</td><td>TRI
UTAMI</td><td></td><td></td><td>'</td><td>09-11-1977</td><td>SUMOGAWE RT.2
RW.2</td><td></td><td>Luar Wilayah</td><td>PUSKESMAS INDUK</td><td>Tika
align='right'>1024766</td><td>03-05-2023</td><td>AYU DAMAYANTI</td><td>META
APRISANDI</td><td></td><td>'085709898031</td><td>28-11-1999</td><td>DEPLONGAN RT 01
RW 02</td><td>DEPLONGAN</td><td>WATES</td><td>PUSKESMAS INDUK</td><td>Tika
Sakit</td><td> -
align='right'>1024481</td><td>03-05-2023</td><td>PRIHATI</td><td>SADIKIN</
td><td></td><td>'</td><td>10-09-1996</td><td>PLALAR RT 04 RW
Sakit</td><td> -
align='right'>1008853</td><td>03-05-2023</td><td>APRILIA DWI
LESTARI</td><td></td><td></td><td>'</td><td>30-04-1992</td><td>BUMIHARJO RT 05 RW
Elvania</td><td>dr.Gani
Kriswanto</td><td>Suwoto,A.Md.Kep</td><td>-</td><td>P</td><td>20-44
Umum</td><td>Penyakit Dalam </td><td>RS PURI ASIH SALATIGA</td><td>Luar
align='right'>1002130</td><td>03-05-2023</td><td>CRISTINA ARIE
PURWANTI</td><td>BAYU
SANTOSO</td><td></td><td>'083824067059</td><td>15-08-1985</td><td>SIDOMUKTI RT 01
RW 05</td><td>SIDOMUKTI</td><td>KOPENG</td><td>PUSKESMAS INDUK</td><td>Tika
Sakit</td><td> -
td><td>0</td></tr><tr><td
align='right'>1998</td><td align='right'>1014679</td><td>03-05-2023</td><td>MILA
FATQIA</td><td>SAEFUDIN</td><td>MENGURUS RUMAH
TANGGA</td><td>'08895234408</td><td>13-06-1998</td><td>PLALAR RT 06 RW
Sakit</td><td> -
align='right'>90000097</td><td>03-05-2023</td><td>MUGI
RAHAYU</td><td>SUTIMAN</td><td>WIRASWASTA</td><td>'085325426044</td><td>12-05-
1969</td><td>KEBONPETE RT 03 RW 02 POLOBOGO</td><td></td><td>Luar
Wilayah</td><td>PUSKESMAS INDUK</td><td>Tika Elvania</td><td>dr.Arninta Rahma
Thn.</td><td>Keluarga</td><td>Baru</td><td>BPJS NON PBI</td><td>Rujuk</td><td
align='right'>90000098</td><td>03-05-2023</td><td>SUTIMAN</td><td>SUTIMAN</
td><td>KARYAWAN SWASTA</td><td>'085325426044</td><td>31-12-1965</td><td>KEBONPETE
RT 03 RW 12 POLOBOGO</td><td></td><td>Luar Wilayah</td><td>PUSKESMAS
INDUK</td><td>Tika Elvania</td><td>dr.Gani
Kriswanto</td><td>Suwoto,A.Md.Kep</td><td>-</td><td>L</td><td>55-59
align='right'>1000027</td><td>03-05-2023</td><td>JUNI</td><td></td><td></
td><td>'</td><td>01-07-1963</td><td>SALARAN RT 15 RW
02</td><td>SALARAN</td><td>TOLOKAN</td><td>PUSKESMAS INDUK</td><td>Tika
align='right'>99000041</td><td>03-05-2023</td><td>GIYANTI</td><td></td><td>MENGURUS
RUMAH TANGGA</td><td>'</td><td>25-04-1971</td><td>BELIMBING RT 06RW 03 BATANG
GANGSAL RIAU</td><td></td><td>Luar kabupaten</td><td>PUSKESMAS INDUK</td><td>Tika
align='right'>2003</td><td align='right'>02000028</td><td>03-05-2023</td><td>JUNI
SRI LESTARI</td><td>AGUS BUAT</td><td>KARYAWAN SWASTA</td><td>'</td><td>25-07-
1983</td><td>SRANTI RT 08 RW 02</td><td>SRANTI</td><td>WATES</td><td>PUSKESMAS
INDUK</td><td>Tika Elvania</td><td></td><td> - </td><td>-</td><td>P</td><td>20-44
ASTUTI</td><td>MARDI</td><td></td><td>'</td><td>27-06-1991</td><td>KEBONAN RT
07/01</td><td>KEBONAN</td><td>TOLOKAN</td><td>PUSKESMAS INDUK</td><td>Tika
Sakit</td><td> -
align='right'>1015600</td><td>03-05-2023</td><td>SURYANTO</td><td></td><td></
td><td>'</td><td>12-12-1968</td><td>SOKOWOLU RT 09 RW 03
TAJUK</td><td></td><td>Luar Wilayah</td><td>PUSKESMAS INDUK</td><td>Tika
Umum</td><td>Saraf</td><td>RS PURI ASIH SALATIGA</td><td>Luar
align='right'>1021014</td><td>03-05-2023</td><td>ABEDNEGO DWI
CHRISTIANO</td><td></td><td></td><td>'</td><td>11-04-2012</td><td>GEDAD RT 10 RW
align='right'>1007678</td><td>03-05-2023</td><td>SITI SOBIROH</td><td>SLAMET
WIDODO</td><td></td><td>'085719235049</td><td>21-03-1995</td><td>KALIDUREN RT 02 RW
05</td><td>KALIDUREN</td><td>BATUR</td><td>PUSKESMAS INDUK</td><td>Tika
Sakit</td><td> -
align='right'>1007265</td><td>03-05-2023</td><td>RINA
ZULININGSIH</td><td></td><td></td><td>'</td><td>16-07-1983</td><td>BUMIAYU RT 01 RW
align='right'>1013837</td><td>03-05-2023</td><td>JUMIRAH</td><td></td><td></
td><td>'</td><td>08-01-1965</td><td>CUNTEL RT 02 RW 01
</td><td></td><td>KOPENG</td><td>PUSKESMAS INDUK</td><td>Tika
align='right'>90000099</td><td>03-05-2023</td><td>TUGI</td><td></td><td></
td><td>'</td><td>11-07-1964</td><td>TOSORO RT 14 RW 06 JETAK</td><td></td><td>Luar
Wilayah</td><td>PUSKESMAS INDUK</td><td>Tika Elvania</td><td>dr.Gani
align='right'>2011</td><td align='right'>1004879</td><td>03-05-2023</td><td>TEGAR
ADITYA WICAKSONO</td><td></td><td></td><td>'</td><td>07-05-2010</td><td>NGELO RT 03
RW 02</td><td></td><td>GETASAN</td><td>PUSKESMAS INDUK</td><td>Tika
align='right'>2012</td><td align='right'>1012314</td><td>03-05-2023</td><td>FAREL
ANUGRAH WICAKSONO</td><td></td><td></td><td>'</td><td>09-01-2012</td><td>NGELO RT
02 RW 03</td><td></td><td>GETASAN</td><td>PUSKESMAS INDUK</td><td>Tika
align='right'>2013</td><td align='right'>1024427</td><td>03-05-2023</td><td>ZEFANYA
CHISTA ARIDYA
RAWESTRI</td><td></td><td></td><td>'</td><td>17-11-2021</td><td>SIDOMUKTI RT 03 RW
Khoirunnisa</td><td>Sutini,A.Md.Keb</td><td>-</td><td>P</td><td>1-4
align='right'>1013015</td><td>03-05-2023</td><td>NOOR LINA
RACHMADANI</td><td></td><td></td><td>'</td><td>03-04-1976</td><td>KENTENG RT 05 RW
05 SUMOGAWE</td><td></td><td>Luar Wilayah</td><td>PUSKESMAS INDUK</td><td>Tika
align='right'></td><td align='right'>1</td><td align='right'>47</td><td>BP.
align='right'>1003229</td><td>03-05-2023</td><td>JATINEM</td><td></td><td></
08</td><td>DUKUH</td><td>KOPENG</td><td>PUSKESMAS INDUK</td><td>Tika
align='right'>2016</td><td align='right'>1000693</td><td>03-05-2023</td><td>UMI
ROHMAH</td><td>IMAM MUSLIM</td><td></td><td>'</td><td>21-08-1995</td><td>PLALAR RT
02 RW 04</td><td>PLALAR</td><td>KOPENG</td><td>PUSKESMAS INDUK</td><td>Tika
Sakit</td><td> -
align='right'>1019156</td><td>03-05-2023</td><td>SURATI</td><td></td><td></
align='right'>2018</td><td align='right'>1014597</td><td>03-05-2023</td><td>YOHANA
SULIYEM</td><td></td><td></td><td>'</td><td>14-01-1975</td><td>GEDAD RT 10 RW
01</td><td>GEDAD</td><td>WATES</td><td>PUSKESMAS INDUK</td><td>Tika
align='right'>1001040</td><td>03-05-2023</td><td>KRISTIYANI</td><td></td><td></
td><td>'</td><td>24-07-1983</td><td>KEMBANG RT.9 RW.3</td><td></td><td>Luar
</td><td>P</td><td>20-44
Sakit</td><td> -
align='right'>900000100</td><td>03-05-2023</td><td>HAFIZA MUTIARA
AGUSTIN</td><td>RUDIANTO</td><td>PELAJAR/MAHASISWA</td><td>'</td><td>11-08-2017</
td><td>PERUM GAWE MUKTI RT 04 RW 06 SUMOGAWE</td><td></td><td>Luar
Wilayah</td><td>PUSKESMAS INDUK</td><td>Tika Elvania</td><td>drg.Ade
Indranila</td><td> - </td><td>-</td><td>P</td><td>5-9
align='right'>1023459</td><td>03-05-2023</td><td>SANDI
SURYADI</td><td></td><td></td><td>'</td><td>12-12-1969</td><td>SRUWEN III RT 10 RW
align='right'>2022</td><td align='right'>1012286</td><td>03-05-2023</td><td>ALYA
JAZILA KALANI</td><td></td><td></td><td>'</td><td>17-02-2016</td><td>NGROTO RT 8/05
Wilayah</td><td>'</td><td>'3322015702160001</td><td>Kunjungan Sakit</td><td>Maulida
Rahma K N,A.Md.KG</td><td>100</td><td>70</td><td>78</td><td>36.2</td><td>22</
td><td>105</td><td>25</td><td></td><td>0</td></tr><tr><td
align='right'>2023</td><td align='right'>1002004</td><td>03-05-2023</td><td>FIKI
WIDIYANTO</td><td></td><td></td><td>'</td><td>01-09-2010</td><td>SIDOMUKTI RT
align='right'>1023842</td><td>03-05-2023</td><td>FAYRUZ SAKHA HABIBAH</td><td>DOSI
RIYANTONO</td><td></td><td>'</td><td>03-01-2016</td><td>BAGONGAN RT 13 RW
02</td><td>BAGONGAN</td><td>TOLOKAN</td><td>PUSKESMAS INDUK</td><td>Tika
align='right'>1023990</td><td>03-05-2023</td><td>DODI
RIYANTO</td><td></td><td></td><td>'</td><td>11-07-1989</td><td>BAGONGAN RT 13 RW
02</td><td>BAGONGAN</td><td>TOLOKAN</td><td>PUSKESMAS
align='right'>2026</td><td align='right'>1025554</td><td>03-05-2023</td><td>NURUL
AMBARWATI</td><td></td><td></td><td>'</td><td>24-10-1998</td><td>MUJO RT 04 RW 04
align='right'>2027</td><td align='right'>07000052</td><td>03-05-2023</td><td>ITA
PRAMITA AGUSTIN</td><td></td><td></td><td>'</td><td>25-08-1984</td><td>SLEKER RT 07
RW 03</td><td>SLEKER</td><td>KOPENG</td><td>PUSKESMAS INDUK</td><td>Tika
align='right'>07000053</td><td>03-05-2023</td><td>EILLEEN HANNY
STEPHANIE</td><td></td><td></td><td>'</td><td>05-09-2003</td><td>SLEKER RT 07 RW
align='right'>1004243</td><td>03-05-2023</td><td>SARYANTO</td><td></td><td></
td><td>'</td><td>27-07-1989</td><td>PADAN RT.13
RW.2</td><td></td><td>NGRAWAN</td><td>PUSKESMAS INDUK</td><td>Tika
align='right'>2030</td><td align='right'>1023966</td><td>03-05-2023</td><td>DEWI
WIDYANINGSIH</td><td></td><td></td><td>'</td><td>21-10-2009</td><td>GEDAD RT 11 RW
Sakit</td><td> -
align='right'>1005834</td><td>03-05-2023</td><td>PARIYAH</td><td></td><td></
td><td>'</td><td>31-12-1945</td><td>NGRAWAN RT.2
Kriswanto</td><td>Suwoto,A.Md.Kep</td><td>-</td><td>P</td><td>>70
align='right'>1022767</td><td>04-05-2023</td><td>NAILA</td><td>KRISTIN
SETYOWATI</td><td>PELAJAR/MAHASISWA</td><td>'</td><td>01-11-2018</td><td>NGROTO RT
07 RW 05</td><td></td><td>Luar Wilayah</td><td>PUSKESMAS INDUK</td><td>Tika
align='right'>90000101</td><td>04-05-2023</td><td>GIBRAN
ARSAKA</td><td>SETIAWAN</td><td></td><td>'</td><td>09-08-2022</td><td>NGROTO RT 07
RW 05 SUMOGAWE</td><td></td><td>Luar Wilayah</td><td>PUSKESMAS INDUK</td><td>Tika
Kriswanto</td><td>Suwoto,A.Md.Kep</td><td>-</td><td>L</td><td><1
align='right'>03000027</td><td>04-05-2023</td><td>PARINI</td><td>SUMARDI</
td><td>PETANI/PEKEBUN</td><td>'</td><td>29-12-1950</td><td>TOLOKAN RT 04 RW
01</td><td>TOLOKAN</td><td>TOLOKAN</td><td>PUSKESMAS INDUK</td><td>Tika
Elvania</td><td>Suwoto,A.Md.Kep</td><td>Riska
Wulandari,A.Md.Kep</td><td>-</td><td>P</td><td>>70
Sakit</td><td>Riska
Wulandari,A.Md.Kep</td><td>180</td><td>110</td><td>88</td><td>36.4</td><td>23</
align='right'>2035</td><td align='right'>99000042</td><td>04-05-2023</td><td>ZALFA
TYAGA ASFA GIAN</td><td>ARIF GIAN
PRATAMA</td><td></td><td>'</td><td>16-04-2022</td><td>SRI TUNGGAL RT 01 RW 01
LAMPUNG</td><td></td><td>Luar kabupaten</td><td>PUSKESMAS INDUK</td><td>Tika
Sakit</td><td> -
align='right'>99000043</td><td>04-05-2023</td><td>DELSI RUSITAIMI
PUTRI</td><td>ARIF GIAN PRATAMA</td><td></td><td>'</td><td>14-05-1997</td><td>SRI
TUNGGAL RT 01 RW 01 LAMPUNG</td><td></td><td>Luar kabupaten</td><td>PUSKESMAS
INDUK</td><td>Tika Elvania</td><td>Suwoto,A.Md.Kep</td><td>Riska
Wulandari,A.Md.Kep</td><td>-</td><td>P</td><td>20-44
Sakit</td><td>Riska
align='right'>2037</td><td align='right'>1013734</td><td>04-05-2023</td><td>ERASTUS
A S W</td><td></td><td></td><td>'085802929703</td><td>23-03-1979</td><td>WATES RT
Wulandari,A.Md.Kep</td><td>-</td><td>L</td><td>20-44
Sakit</td><td>Riska
td><td>165</td><td>73</td><td>Tdk Th</td><td>0</td></tr><tr><td
align='right'>2038</td><td align='right'>1017242</td><td>04-05-2023</td><td>ARKA
REYNAND KALANDRA</td><td></td><td></td><td>'</td><td>21-07-2019</td><td>SRANTI RT
09 RW 02</td><td>SRANTI</td><td>WATES</td><td>PUSKESMAS INDUK</td><td>Tika
Wilayah</td><td>'</td><td>'</td><td>Kunjungan
Sakit</td><td> -
td><td>Tdk Th</td><td>0</td></tr><tr><td align='right'>2039</td><td
align='right'>1015378</td><td>04-05-2023</td><td>RUBINI</td><td>RUBINI</td><td></
td><td>'082135541733</td><td>01-01-1963</td><td>NOGOSAREN RT 07 RW
td><td>60</td><td>Tdk Th</td><td>0</td></tr><tr><td align='right'>2040</td><td
align='right'>06000044</td><td>04-05-2023</td><td>DARMADI</td><td></td><td>PETANI/
PEKEBUN</td><td>'</td><td>01-09-1958</td><td>MADU RT 02 RW
04</td><td>MADU</td><td>BATUR</td><td>PUSKESMAS INDUK</td><td>Tika
align='right'>01000034</td><td>04-05-2023</td><td>JUMIATI</td><td></td><td></
Wilayah</td><td>'</td><td>'3322014311780002</td><td>Kunjungan Sakit</td><td>Riska
Wulandari,A.Md.Kep</td><td>110</td><td>90</td><td>88</td><td>37</td><td>22</
align='right'>2042</td><td align='right'>1007416</td><td>04-05-2023</td><td>SRI
LASMIYATI</td><td>JARWONDO</td><td></td><td>'</td><td>06-01-1982</td><td>SALARAN RT
15 / 2 </td><td>SALARAN</td><td>TOLOKAN</td><td>PUSKESMAS INDUK</td><td>Tika
Sakit</td><td>Riska
align='right'>2043</td><td align='right'>07000030</td><td>04-05-2023</td><td>SLAMET
BUDIONO</td><td>SLAMET BUDIONO</td><td></td><td>'0859159908168</td><td>05-12-
1983</td><td>KOPENG RT 01 RW 02</td><td>KOPENG</td><td>KOPENG</td><td>PUSKESMAS
INDUK</td><td>Tika Elvania</td><td>drg.Ade Indranila</td><td>drg.Ade
align='right'>1018136</td><td>04-05-2023</td><td>TATA EKA
PRATAMA</td><td></td><td></td><td>'</td><td>03-12-2019</td><td>NGAGRONG RT 08 RW
01</td><td>NGAGRONG</td><td>WATES</td><td>PUSKESMAS INDUK</td><td>Tika
Sakit</td><td> -
align='right'>99000044</td><td>04-05-2023</td><td>SUMARTI</td><td>SUMARTI</
td><td>KARYAWAN SWASTA</td><td>'</td><td>16-09-1981</td><td>JL.GAYAMSARI RT 05 RW
01 SEMARANG</td><td></td><td>Luar kabupaten</td><td>PUSKESMAS INDUK</td><td>Tika
Sakit</td><td> -
align='right'>08000009</td><td>04-05-2023</td><td>NAUFAL DZAKI
ARIAWAN</td><td>MUSTARI</td><td></td><td>'</td><td>17-04-2012</td><td>NOGOSAREN RT
03 RW 01</td><td>NOGOSAREN</td><td>NOGOSAREN</td><td>PUSKESMAS INDUK</td><td>Tika
align='right'>1003617</td><td>04-05-2023</td><td>SUKARDI
HOSEA</td><td></td><td></td><td>'</td><td>22-09-1968</td><td>KOPENG RT 03 RW
Sakit</td><td> -
align='right'>07000054</td><td>04-05-2023</td><td>MUNDRIATUN
RETNOWATI</td><td>MUHAMMAD
ALWI</td><td></td><td>'</td><td>20-03-1987</td><td>SIDOMUKTI RT 04 RW
Wilayah</td><td>'</td><td>'3322016003870004</td><td>Kunjungan Sakit</td><td>drg.Ade
align='right'>1023486</td><td>04-05-2023</td><td>LINDAWATI
SILALAHI</td><td></td><td></td><td>'</td><td>03-02-1968</td><td>JL.KARYAWANGI TY 02
RW 09</td><td></td><td>Luar kabupaten</td><td>PUSKESMAS INDUK</td><td>Tika
Sakit</td><td> -
align='right'>1003571</td><td>04-05-2023</td><td>KETEL</td><td></td><td></
td><td>'</td><td>01-12-1975</td><td>NOGOSAREN RT 07 RW
Sakit</td><td>Riska
align='right'>2052</td><td align='right'>1019182</td><td>04-05-2023</td><td>ANTON
DENI IRAWAN</td><td></td><td></td><td>'</td><td>20-08-1978</td><td>SLEKER RT 09 RW
Sakit</td><td>Riska
align='right'>2053</td><td align='right'>1019963</td><td>04-05-2023</td><td>AHMAT
ASÀRI</td><td></td><td></td><td>'</td><td>09-12-1979</td><td>GEJAYAN RT 09 RW
Umum</td><td>Penyakit Dalam </td><td>RS PURI ASIH SALATIGA</td><td>Dalam
Sakit</td><td>Riska
align='right'>2054</td><td align='right'>1023949</td><td>04-05-2023</td><td>SAZKIA
TRI ANJANI</td><td>MUSLIKAH</td><td></td><td>'</td><td>05-04-2014</td><td>DUKUH RT
02 RW 01</td><td>DUKUH</td><td>BATUR</td><td>PUSKESMAS INDUK</td><td>Tika
align='right'>1023952</td><td>04-05-2023</td><td>MUSLIKAH</td><td></td><td></
align='right'>2056</td><td align='right'>1012411</td><td>04-05-2023</td><td>RISKI
ARDIANSYAH</td><td></td><td></td><td>'</td><td>01-12-2006</td><td>TEGALSARI RT 17
RW 02</td><td>TEGALSARI</td><td>NGRAWAN</td><td>PUSKESMAS INDUK</td><td>Tika
Umum</td><td>Saraf</td><td>RS PURI ASIH SALATIGA</td><td>Dalam
Sakit</td><td>Riska
align='right'>1020786</td><td>04-05-2023</td><td>MAKMUR</td><td></td><td></
td><td>'</td><td>04-06-1962</td><td>BUMIAYU RT 01 RW 04</td><td></td><td>Luar
Wilayah</td><td>PUSKESMAS INDUK</td><td>Tika
Sakit</td><td>Riska
align='right'>1014553</td><td>04-05-2023</td><td>JUMERI</td><td></td><td></
td><td>'</td><td>31-12-1961</td><td>BLONGORAN RT 05 RW 03</td><td></td><td>Luar
Wilayah</td><td>PUSKESMAS INDUK</td><td>Tika
align='right'>2059</td><td align='right'>1015033</td><td>04-05-2023</td><td>NUHA
ALYSSA
AZZAHRA</td><td>WIDARGO</td><td></td><td>'</td><td>12-03-2019</td><td>TOLOKAN RT 02
RW 01</td><td>TOLOKAN</td><td>TOLOKAN</td><td>PUSKESMAS INDUK</td><td>Tika
Sakit</td><td> -
align='right'>90000102</td><td>04-05-2023</td><td>KASIATI</td><td>SUROSO</
td><td></td><td>'</td><td>01-05-1964</td><td>BLONGORAN RT 05 RW 03
align='right'>2061</td><td align='right'>1001145</td><td>04-05-2023</td><td>SITI
KOLIPAH</td><td></td><td></td><td>'</td><td>07-06-1970</td><td>JAMPELAN RT 01 RW
02</td><td>JAMPELAN</td><td>GETASAN</td><td>PUSKESMAS INDUK</td><td>Tika
align='right'>1024446</td><td>04-05-2023</td><td>LILIS
SETYANINGSIH</td><td></td><td></td><td>'</td><td>06-08-1979</td><td>SEMARE RT 08 RW
align='right'>1023893</td><td>04-05-2023</td><td>HETY NUR AFNI
ZULAEHA</td><td></td><td></td><td>'</td><td>22-11-1990</td><td>SLEKER RT 06 RW
align='right'>04000011</td><td>04-05-2023</td><td>SABRINA DISTRA
RYVANA</td><td>MUHAMMAD AL
RASYID</td><td></td><td>'</td><td>04-01-2002</td><td>PLOSO</td><td>PLOSO</
td><td>NGRAWAN</td><td>PUSKESMAS INDUK</td><td>Tika Elvania</td><td></td><td> -
</td><td>-</td><td>P</td><td>20-44
Sakit</td><td> -
align='right'>1013202</td><td>04-05-2023</td><td>SUSI KRISTIYANI PUJI
ASTUTI</td><td></td><td></td><td>'</td><td>28-10-1975</td><td>WATES RT 03 RW
td><td>55</td><td></td><td>0</td></tr><tr><td
align='right'>06000014</td><td>04-05-2023</td><td>WAHYONO</td><td></td><td></
td><td>'085156178424</td><td>15-01-1993</td><td>SANGGAR RT 01 RW
07</td><td>SANGGAR</td><td>BATUR</td><td>PUSKESMAS INDUK</td><td>Tika
Elvania</td><td>drg.Ade Indranila</td><td> - </td><td>-</td><td>L</td><td>20-44
align='right'>1000458</td><td>04-05-2023</td><td>DEFI
PERMATASARI</td><td></td><td></td><td>'</td><td>11-01-1990</td><td>PLALAR RT.1
RW.4</td><td>PLALAR</td><td>KOPENG</td><td>PUSKESMAS INDUK</td><td>Tika
Elvania</td><td>dr.Arninta Rahma Khoirunnisa</td><td>Riska
Sakit</td><td>Riska
align='right'>1000598</td><td>04-05-2023</td><td>YOHANA
SURIP</td><td></td><td></td><td>'</td><td>21-03-1963</td><td>CUNTEL RT.3
RW.1</td><td>CUNTEL</td><td>KOPENG</td><td>PUSKESMAS INDUK</td><td>Tika
Sakit</td><td>Riska
align='right'>2071</td><td align='right'>1008291</td><td>04-05-2023</td><td>ENDANG
EKO WAHYUNINGSIH</td><td></td><td></td><td>'</td><td>15-09-1993</td><td>SIDOMUKTI
RT 07 RW 05</td><td>SIDOMUKTI</td><td>KOPENG</td><td>PUSKESMAS INDUK</td><td>Tika
align='right'>1025401</td><td>04-05-2023</td><td>DUWI NUR ANDANI</td><td>AIZS
A</td><td></td><td>'</td><td>26-09-2002</td><td>SIDOMUKTI RT 07 RW
ASTUTININGSIH</td><td></td><td></td><td>'</td><td>20-03-1998</td><td>SIDOMUKTI RT
10 RW 05</td><td>SIDOMUKTI</td><td>KOPENG</td><td>PUSKESMAS INDUK</td><td>Tika
Sakit</td><td>Riska
align='right'>1014388</td><td>04-05-2023</td><td>MIFTAKUL
FAIZAH</td><td></td><td></td><td>'</td><td>23-06-1999</td><td>TOLOKAN RT 02 RW
Sakit</td><td> -
align='right'>1000035</td><td>04-05-2023</td><td>URIP
SUGIYARTI</td><td></td><td></td><td>'</td><td>01-07-1963</td><td>GETASAN RT 07 RW
align='right'>1007037</td><td>04-05-2023</td><td>WICHDAH SRI
HARYANTI</td><td></td><td></td><td>'</td><td>23-05-1965</td><td>WATES RT 01 RW
01</td><td>WATES</td><td>WATES</td><td>PUSKESMAS INDUK</td><td>Tika
KAFIDOH</td><td></td><td></td><td>'</td><td>26-07-2000</td><td>KEMBANGAN I RT 18 RW
08 SECANG</td><td></td><td>Luar kabupaten</td><td>PUSKESMAS INDUK</td><td>Tika
Sakit</td><td> -
align='right'>1023531</td><td>04-05-2023</td><td>SUSANTI</td><td></td><td></
td><td>'</td><td>14-01-1982</td><td>BARUKAN RT 13 RW 05</td><td></td><td>Luar
kabupaten</td><td>PUSKESMAS INDUK</td><td>Tika Elvania</td><td>dr.Arninta Rahma
Khoirunnisa</td><td>Riska Wulandari,A.Md.Kep</td><td>-</td><td>P</td><td>20-44
Sakit</td><td>Riska
align='right'>2079</td><td align='right'>1002347</td><td>04-05-2023</td><td>RIZA
ANNIHAYA</td><td></td><td></td><td>'</td><td>28-03-2005</td><td>TOLOKAN RT.3
RW.1</td><td>TOLOKAN</td><td>TOLOKAN</td><td>PUSKESMAS INDUK</td><td>Tika
Sakit</td><td>Riska
align='right'>1002102</td><td>04-05-2023</td><td>MUGISARI</td><td></td><td></
td><td>'</td><td>15-08-1977</td><td>KEBONPETE RT 02 RW 02
align='right'>8</td><td align='right'>45</td><td>BP.
align='right'>2081</td><td align='right'>1007276</td><td>04-05-2023</td><td>DANU
RENMI WIJAYA</td><td></td><td></td><td>'</td><td>19-10-1998</td><td>SLEKER RT 1
RW3</td><td>SLEKER</td><td>KOPENG</td><td>PUSKESMAS INDUK</td><td>Tika
Sakit</td><td>Riska
align='right'>2083</td><td align='right'>07000055</td><td>04-05-2023</td><td>EKO
NUGROHO</td><td></td><td></td><td>'</td><td>18-03-1978</td><td>KOPENG RT 05 RW
Thn.</td><td>Keluarga</td><td>Baru</td><td>Umum</td><td>Ranap</td><td
align='right'>2084</td><td align='right'>1003788</td><td>04-05-2023</td><td>ADELLE
NATANIA AFIGAIL</td><td></td><td></td><td>'</td><td>06-05-2015</td><td>KASIRAN RT
5/9</td><td>KASIRAN</td><td>KOPENG</td><td>PUSKESMAS INDUK</td><td>Tika
align='right'>06000045</td><td>05-05-2023</td><td>ELEAZAR HENDRI
HARTANTO</td><td>SUTRISNO</td><td>PELAJAR/MAHASISWA</td><td>'088806406294</
td><td>05-06-2006</td><td>SENDEN RT 04 RW
Elvania</td><td>dr.Gani Kriswanto</td><td>Joko
Susanto,AMK</td><td>-</td><td>L</td><td>15-19
Sakit</td><td>Joko
Susanto,AMK</td><td>120</td><td>80</td><td>84</td><td>36.3</td><td>24</
align='right'>1004992</td><td>05-05-2023</td><td>SUMARNI</td><td></td><td></
td><td>'</td><td>12-08-1977</td><td>PANDANAN RT 1 RW
Kriswanto</td><td>Supomo,A.Md.Kep</td><td>-</td><td>P</td><td>45-54
Sakit</td><td>Supomo,A.Md.Kep</td><td>137</td><td>87</td><td>88</td><td>36.3</
align='right'>1024185</td><td>05-05-2023</td><td>WINARTI</td><td></td><td></
td><td>'</td><td>10-07-1991</td><td>SAMIRONO RT 11 RW 02
SAMIRONO</td><td></td><td>Luar Wilayah</td><td>PUSKESMAS INDUK</td><td>Tika
Sakit</td><td> -
align='right'>1014744</td><td>05-05-2023</td><td>CANTIKA NOVI
AMELIA</td><td></td><td></td><td>'</td><td>02-12-2012</td><td>GEDAD RT 11 RW
Susanto,AMK</td><td>-</td><td>P</td><td>10-14
Wilayah</td><td>'</td><td>'3322014212120000</td><td>Kunjungan Sakit</td><td>Joko
align='right'>2089</td><td align='right'>1017265</td><td>05-05-2023</td><td>RIZKY
ADI SAPUTRA</td><td></td><td></td><td>'</td><td>01-10-2019</td><td>GEDAD RT 01 RW
align='right'>02000029</td><td>05-05-2023</td><td>SUMADI</td><td>SUMADI</
td><td>PETANI/PEKEBUN</td><td>'</td><td>00-00-0000</td><td>SRANTI RT 09 RW 02 WATES
GETASAN</td><td>SRANTI</td><td>WATES</td><td>PUSKESMAS INDUK</td><td>Tika
align='right'>1001959</td><td>05-05-2023</td><td>NURTANTI
SARININGSIH</td><td></td><td></td><td>'</td><td>03-08-2002</td><td>KOPENG RT 06 RW
Sakit</td><td> -
align='right'>1017225</td><td>05-05-2023</td><td>SUPARNI</td><td></td><td></
td><td>'</td><td>19-03-1958</td><td>KEDAYON RT 06 RW
01</td><td>KEDAYON</td><td>WATES</td><td>PUSKESMAS INDUK</td><td>Tika
align='right'>2093</td><td align='right'>07000056</td><td>05-05-2023</td><td>SATRIA
ALMAULANA</td><td></td><td>PELAJAR/MAHASISWA</td><td>'</td><td>11-06-2000</
td><td>SLEKER RT 09 RW 03 KOPENG
GETASAN</td><td>SLEKER</td><td>KOPENG</td><td>PUSKESMAS INDUK</td><td>Tika
td><td>'</td><td>26-09-1975</td><td>PERUM
GRIYA GAWE MUKTI 4/6 SUMOGAWE</td><td></td><td>Luar Wilayah</td><td>PUSKESMAS
Sakit</td><td> -
align='right'>1022318</td><td>05-05-2023</td><td>AQILA ULFA
NADHIFA</td><td></td><td></td><td>'</td><td>05-07-2021</td><td>KRAJAN RT 07 RW
01</td><td>SELODUWUR</td><td>BATUR</td><td>PUSKESMAS INDUK</td><td>Tika
Elvania</td><td>dr.Gani Kriswanto</td><td>Sri
align='right'>99000041</td><td>05-05-2023</td><td>GIYANTI</td><td></td><td>MENGURUS
RUMAH TANGGA</td><td>'</td><td>25-04-1971</td><td>BELIMBING RT 06RW 03 BATANG
GANGSAL RIAU</td><td></td><td>Luar kabupaten</td><td>PUSKESMAS INDUK</td><td>Tika
Khoirunnisa</td><td>Supomo,A.Md.Kep</td><td>-</td><td>P</td><td>45-54
Thn.</td><td>Keluarga</td><td>Lama</td><td>BPJS NON PBI</td><td>Rujuk</td><td
Umum</td><td>Bedah</td><td>RS DR.ASMIR SALATIGA</td><td>Luar
align='right'>2097</td><td align='right'>1019573</td><td>05-05-2023</td><td>ARIF
BILAL IBRAHIM</td><td></td><td></td><td>'</td><td>19-05-2020</td><td>DEPLONGAN RT
03 RW 02</td><td></td><td>WATES</td><td>PUSKESMAS INDUK</td><td>Tika
Hartini,S.S.T.Keb</td><td>-</td><td>L</td><td>1-4
align='right'>99000046</td><td>05-05-2023</td><td>DIONO</td><td></td><td></
td><td>'088983183014</td><td>04-05-1990</td><td>KLEDOKAN RT 01 RW
06</td><td></td><td>Luar kabupaten</td><td>PUSKESMAS INDUK</td><td>Tika
align='right'>33</td><td>UGD</td><td></td><td></td><td>Luar
Sakit</td><td> -
align='right'>99000046</td><td>05-05-2023</td><td>DIONO</td><td></td><td></
td><td>'088983183014</td><td>04-05-1990</td><td>KLEDOKAN RT 01 RW 06 SUMBEREJO
NGABLAK</td><td></td><td>Luar kabupaten</td><td>PUSKESMAS INDUK</td><td>Tika
Kriswanto</td><td>Supomo,A.Md.Kep</td><td>-</td><td>L</td><td>20-44
align='right'>1014453</td><td>05-05-2023</td><td>KRISTANTI</td><td></td><td></
td><td>'</td><td>03-01-1982</td><td>NGELO RT
3/2</td><td></td><td>GETASAN</td><td>PUSKESMAS INDUK</td><td>Tika
align='right'>2101</td><td align='right'>90000103</td><td>05-05-2023</td><td>IMAM
PRASETIYO</td><td></td><td>WIRASWASTA</td><td>'081212812321</td><td>26-07-1988</
td><td>REKSOSARI RT 09 RW 01 SURUH</td><td></td><td>Luar Wilayah</td><td>PUSKESMAS
align='right'>07000015</td><td>05-05-2023</td><td>RAHMI</td><td></td><td>PETANI/
PEKEBUN</td><td>'</td><td>20-08-1972</td><td>KOPENG RT 01 RW
align='right'>2103</td><td align='right'>1021120</td><td>05-05-2023</td><td>ADINDA
TAULIYA NAFSHA SEFRINA
DEWI</td><td></td><td></td><td>'</td><td>10-03-2021</td><td>SETURUN RT 02 RW
03</td><td>SETURUN</td><td>MANGGIHAN</td><td>PUSKESMAS INDUK</td><td>Tika
align='right'>01000035</td><td>05-05-2023</td><td>EMI
ARUM</td><td></td><td>KARYAWAN SWASTA</td><td>'</td><td>07-05-2002</td><td>KEMBANG
RT 09 RW 03 SUMOGAWE GETASAN </td><td>GETASAN</td><td>GETASAN</td><td>PUSKESMAS
align='right'>01000036</td><td>05-05-2023</td><td>PUPUT
FATIMAH</td><td></td><td>KARYAWAN
SWASTA</td><td>'</td><td>12-05-2004</td><td>GETASAN RT 02 RW
Sakit</td><td> -
align='right'>1025182</td><td>05-05-2023</td><td>DEWI NUR
HIDAYAH</td><td></td><td></td><td>'</td><td>03-10-1996</td><td>GADING RT 04 RW
align='right'>1013697</td><td>05-05-2023</td><td>ARFADHIA FAKHRI
PRATAMA</td><td>MUMAD REFAI</td><td></td><td>'</td><td>07-11-2018</td><td>JURUG RT
07 RW 01</td><td></td><td>GETASAN</td><td>PUSKESMAS INDUK</td><td>Tika
Elvania</td><td>dr.Gani Kriswanto</td><td>Uci
Novitawati,A.Md.Keb</td><td>-</td><td>L</td><td>1-4
Sakit</td><td> -
td><td></td><td>0</td></tr><tr><td
align='right'>07000057</td><td>05-05-2023</td><td>MUHAMMAD ALI</td><td>MUHAMAD
BARIDA</td><td>PELAJAR/MAHASISWA</td><td>'</td><td>18-03-2014</td><td>DUKUH RT 02
RW 08 KOPENG GETASAN</td><td>DUKUH</td><td>KOPENG</td><td>PUSKESMAS
INDUK</td><td>Tika Elvania</td><td>drg.Ade Indranila</td><td>Maulida Rahma K
Sakit</td><td>Maulida Rahma K N,A.Md.KG</td><td>100</td><td>70</td><td>98</td><td>-
</td><td>22</td><td>102</td><td>32</td><td></td><td>0</td></tr><tr><td
align='right'>2109</td><td align='right'>07000058</td><td>05-05-2023</td><td>NUR
HASANAH</td><td></td><td></td><td>'</td><td>20-01-1969</td><td>SLEKER RT 6 RW
3</td><td>SLEKER</td><td>KOPENG</td><td>PUSKESMAS INDUK</td><td>Susilo Dwi
Handoyo</td><td>dr.Arninta Rahma
align='right'>2110</td><td align='right'>1020823</td><td>05-05-2023</td><td>ALDI
BAYU SETIAWAN</td><td></td><td></td><td>'</td><td>11-07-2002</td><td>BLONGOREN RT
05 RW 03</td><td>GETASAN</td><td>GETASAN</td><td>PUSKESMAS INDUK</td><td>Tika
Umum</td><td>Orthopedi</td><td>RS KEN SARAS</td><td>Dalam
align='right'>2111</td><td align='right'>1000608</td><td>05-05-2023</td><td>LANNY
YOHAN</td><td></td><td></td><td>'</td><td>22-11-1962</td><td>DEPLONGAN RT 03 RW
Umum</td><td>Saraf</td><td>RS KEN SARAS</td><td>Dalam
align='right'>05000011</td><td>05-05-2023</td><td>LINTANG</td><td>SUROSO</
td><td>BELUM/TIDAK BEKERJA</td><td>'082144496699</td><td>12-03-2023</td><td>PENDEM
RT 01 RW 03 MANGGIHAN GETASAN</td><td></td><td>MANGGIHAN</td><td>PUSKESMAS
INDUK</td><td>Tika Elvania</td><td></td><td> - </td><td>-</td><td>P</td><td><1
Sakit</td><td> -
align='right'>1007835</td><td>05-05-2023</td><td>NAYLA ARUMINGRATRI
SUGIYONO</td><td>SUGIYONO</td><td></td><td>'</td><td>21-08-2017</td><td>KASIRAN
RT02/09 KOPENG</td><td></td><td>KOPENG</td><td>PUSKESMAS INDUK</td><td>Tika
align='right'>2114</td><td align='right'>1011890</td><td>06-05-2023</td><td>AHMAD
ALWI AZIDAN</td><td>SLAMET
RIYADI</td><td></td><td>'</td><td>06-01-2013</td><td>MULUNGAN RT 11 RW
02</td><td></td><td>NOGOSAREN</td><td>PUSKESMAS INDUK</td><td>Tika
align='right'>08000009</td><td>06-05-2023</td><td>NAUFAL DZAKI
ARIAWAN</td><td>MUSTARI</td><td></td><td>'</td><td>17-04-2012</td><td>NOGOSAREN RT
03 RW 01</td><td>NOGOSAREN</td><td>NOGOSAREN</td><td>PUSKESMAS INDUK</td><td>Tika
align='right'>1004621</td><td>06-05-2023</td><td>SUHARIYANTO</td><td></td><td></
align='right'>01000037</td><td>06-05-2023</td><td>BAYI NYONYA DWI SETYOWATI
ELLY</td><td>WAHONO</td><td></td><td>'</td><td>08-04-2023</td><td>GETASAN RT 7 RW
hari</td><td>Keluarga</td><td>Baru</td><td>BPJS NON PBI</td><td>Rajal</td><td
Sakit</td><td> -
align='right'>1002297</td><td>06-05-2023</td><td>MUGIYEM</td><td></td><td></
align='right'>2120</td><td align='right'>1015593</td><td>06-05-2023</td><td>ADINDA
RISKY DERIKA PUTRI</td><td></td><td></td><td>'</td><td>13-08-1998</td><td>PERUM
GAWE MUKTI JL. LAWU RT 02 RW 06</td><td></td><td>GETASAN</td><td>PUSKESMAS
align='right'>90000102</td><td>06-05-2023</td><td>KASIATI</td><td>SUROSO</
td><td></td><td>'</td><td>01-05-1964</td><td>BLONGORAN RT 05 RW 03
align='right'>2122</td><td align='right'>1023870</td><td>06-05-2023</td><td>ARSYLA
PUTRI CALLISTA</td><td></td><td></td><td>'</td><td>01-06-2022</td><td>MADU RT 01 RW
Kriswanto</td><td>Suwoto,A.Md.Kep</td><td>-</td><td>P</td><td><1
align='right'>90000103</td><td>06-05-2023</td><td>IMAM
PRASETIYO</td><td></td><td>WIRASWASTA</td><td>'081212812321</td><td>26-07-1988</
td><td>REKSOSARI RT 09 RW 01 SURUH</td><td></td><td>Luar Wilayah</td><td>PUSKESMAS
align='right'>1001346</td><td>06-05-2023</td><td>MUHAMMAD
FAHRI</td><td></td><td></td><td>'</td><td>23-02-2014</td><td>NOGOSAREN RT 02 RW
align='right'>2125</td><td align='right'>1023961</td><td>06-05-2023</td><td>DODIK
BAGUS SAPUTRO</td><td></td><td></td><td>'</td><td>07-07-1999</td><td>GONDANG RT 01
RW 01</td><td></td><td>BATUR</td><td>PUSKESMAS INDUK</td><td>Tika
Sakit</td><td>Suwoto,A.Md.Kep</td><td>120</td><td>78</td><td>84</td><td>36</
align='right'>2126</td><td align='right'>1019012</td><td>06-05-2023</td><td>PANCA
PUJIASTUTI</td><td></td><td></td><td>'</td><td>05-05-2000</td><td>SLEKER RT 01 RW
Sakit</td><td> -
align='right'>1010263</td><td>06-05-2023</td><td>RATMI</td><td>GITO</td><td></
td><td>'085741339765</td><td>13-07-1991</td><td>MANGGIHAN
RT.02/01</td><td></td><td>MANGGIHAN</td><td>PUSKESMAS INDUK</td><td>Tika
Sakit</td><td> -
align='right'>1011829</td><td>06-05-2023</td><td>TUTIK LESTARI
</td><td></td><td></td><td>'</td><td>28-12-1992</td><td>GEDAD RT 09 RW
01</td><td>GEDAD</td><td>WATES</td><td>PUSKESMAS INDUK</td><td>Tika
Sakit</td><td> -
align='right'>01000038</td><td>06-05-2023</td><td>MARJIONO</td><td></td><td></
td><td>'</td><td>16-06-1973</td><td>BUMIAYU RT 2 RW 4
SUMOGAWE</td><td></td><td>GETASAN</td><td>PUSKESMAS INDUK</td><td>Tika
align='right'>2130</td><td align='right'>1019055</td><td>06-05-2023</td><td>DINA
AMALIYA SHOFIYANI</td><td></td><td></td><td>'</td><td>04-03-2000</td><td>BUMIAYU RT
02 RW 04</td><td></td><td>Luar Wilayah</td><td>PUSKESMAS INDUK</td><td>Tika
align='right'>1012414</td><td>06-05-2023</td><td>JOKO
SUROTO</td><td></td><td></td><td>'</td><td>06-08-1958</td><td>GETASAN RT 07 RW
align='right'>2133</td><td align='right'>1008287</td><td>06-05-2023</td><td>FIRHAN
TEGAR KURNIA</td><td>HERU
CRISTIANTO</td><td></td><td>'</td><td>25-04-2006</td><td>PANDANAN RT.3
RW.3</td><td></td><td>GETASAN</td><td>PUSKESMAS INDUK</td><td>Tika
Umum</td><td>JIWA</td><td>RSUD dr. Gunawan Mangunkusumo</td><td>Dalam
align='right'>2134</td><td align='right'>1002144</td><td>06-05-2023</td><td>HERU
CRISTIANTO</td><td></td><td></td><td>'</td><td>12-05-1984</td><td>PANDANAN RT 3 RW
3 GETASAN</td><td></td><td>GETASAN</td><td>PUSKESMAS INDUK</td><td>Tika
align='right'>2135</td><td align='right'>01000039</td><td>06-05-2023</td><td>RAFFA
ADHITYA</td><td>WARNO</td><td></td><td>'</td><td>23-03-2010</td><td>NGRAWAN RT 3 RW
1 GETASAN</td><td></td><td>GETASAN</td><td>PUSKESMAS INDUK</td><td>Tika
align='right'>01000040</td><td>06-05-2023</td><td>MUHAMMAD
AFFAN
RAHARDIAN</td><td>WARNO</td><td></td><td>'</td><td>01-03-2018</td><td>NGRAWAN RT 3
RW 1</td><td></td><td>GETASAN</td><td>PUSKESMAS INDUK</td><td>Tika
align='right'>1008070</td><td>06-05-2023</td><td>MUHAMMAD RIZQI MAULANA
IBRAHIM</td><td></td><td></td><td>'</td><td>23-08-2017</td><td>CLOWOK RT 07 RW
Susanto,AMK</td><td>-</td><td>L</td><td>5-9
Wilayah</td><td>'</td><td>'3322012308170000</td><td>Kunjungan Sakit</td><td>Joko
align='right'>1020020</td><td>06-05-2023</td><td>AMILAH</td><td></td><td></
td><td>'</td><td>06-01-1973</td><td>TOLOKAN RT 05 RW
align='right'>2139</td><td align='right'>1023459</td><td>06-05-2023</td><td>SANDI
SURYADI</td><td></td><td></td><td>'</td><td>12-12-1969</td><td>SRUWEN III RT 10 RW
align='right'>1000911</td><td>06-05-2023</td><td>SUDARMI</td><td></td><td></
align='right'>06000046</td><td>06-05-2023</td><td>NGATIMIN </td><td>TUKIMIN
TUGIONO</td><td></td><td>'</td><td>06-11-1978</td><td>SANGGAR RT 2 RW 7
</td><td></td><td>BATUR</td><td>PUSKESMAS INDUK</td><td>Tika
align='right'>01000041</td><td>06-05-2023</td><td>KURMAISAH</td><td></
td><td>WIRASWASTA</td><td>'0859159815188</td><td>16-08-1989</td><td>TAMBANGAN RT 4
RW 3 SUMOGAWE</td><td></td><td>GETASAN</td><td>PUSKESMAS INDUK</td><td>Tika
align='right'>90000099</td><td>06-05-2023</td><td>TUGI</td><td></td><td></
td><td>'</td><td>11-07-1964</td><td>TOSORO RT 14 RW 06 JETAK</td><td></td><td>Luar
align='right'>2144</td><td align='right'>1006198</td><td>06-05-2023</td><td>DAMAR
BONANG SAMUDRA</td><td></td><td></td><td>'</td><td>27-11-2007</td><td>SODONGAN
RT.17 RW.6</td><td></td><td>Luar kabupaten</td><td>PUSKESMAS INDUK</td><td>Tika
align='right'>2145</td><td align='right'>1003653</td><td>06-05-2023</td><td>H.
ABDUL CHALIM</td><td></td><td></td><td>'</td><td>28-02-1955</td><td>DUKUH RT 11 RW
Elvania</td><td>drg.Ade
Indranila</td><td>Suwoto,A.Md.Kep</td><td>-</td><td>L</td><td>60-69
Umum</td><td>GIGI BEDAH MULUT</td><td>RS KEN SARAS</td><td>Dalam
align='right'>2146</td><td align='right'>1002271</td><td>06-05-2023</td><td>ANANDA
MAYA EKA PUTRI</td><td></td><td></td><td>'</td><td>14-05-2006</td><td>SLEKER RT 10
RW 3 KOPENG</td><td></td><td>GETASAN</td><td>PUSKESMAS INDUK</td><td>Tika
align='right'>1018169</td><td>06-05-2023</td><td>REZA NUARY
RAMADHAN</td><td></td><td></td><td>'</td><td>27-01-1998</td><td>KENTENG RT 01 RW
align='right'>01000042</td><td>06-05-2023</td><td>JURI</td><td></td><td></
td><td>'</td><td>31-10-1959</td><td>MULUNGAN RT 10 RW 2 NOGOSAREN
</td><td></td><td>GETASAN</td><td>PUSKESMAS INDUK</td><td>Tika
align='right'></td><td align='right'>11</td><td>BP.
align='right'>01000043</td><td>08-05-2023</td><td>SURAT</td><td></td><td></
td><td>'</td><td>05-07-1940</td><td>KOPENG RT 1 RW 2
</td><td></td><td>GETASAN</td><td>PUSKESMAS INDUK</td><td>Tika
Elvania</td><td>drg.Ade Indranila</td><td> - </td><td>-</td><td>L</td><td>>70
align='right'>1024633</td><td>08-05-2023</td><td>RAIHANDIKAS YUDA
PRATAMA</td><td></td><td></td><td>'</td><td>19-09-2009</td><td>WATES RT
3/1</td><td></td><td>WATES</td><td>PUSKESMAS INDUK</td><td>Tika
align='right'>2152</td><td align='right'>1005519</td><td>08-05-2023</td><td>ARDHANI
PAKSI YUDHA HANSOYO</td><td></td><td>PELAJAR/MAHASISWA</td><td>'</td><td>01-12-
2003</td><td>GETASAN RT 4 RW 1</td><td></td><td>GETASAN</td><td>PUSKESMAS
Umum</td><td></td><td></td><td>Dalam Wilayah</td><td>'0000601790466</td><td>'
332201131203000</td><td>Kunjungan
04</td><td>MADU</td><td>BATUR</td><td>PUSKESMAS INDUK</td><td>Tika
align='right'>2155</td><td align='right'>1025645</td><td>08-05-2023</td><td>NAUREEN
AZQILA FAYOLA</td><td></td><td></td><td>'</td><td>13-01-2023</td><td>SRANTI RT 09
RW 02</td><td>SRANTI</td><td>WATES</td><td>PUSKESMAS INDUK</td><td>RISTIYANI,
A.Md.</td><td>dr.Arninta Rahma Khoirunnisa</td><td>Sri Hartini,S.S.T.Keb</td><td>-
</td><td>P</td><td><1
align='right'>1025541</td><td>08-05-2023</td><td>WAIDI</td><td></td><td></
01</td><td></td><td>NGRAWAN</td><td>PUSKESMAS INDUK</td><td>RISTIYANI,
A.Md.</td><td>dr.Arninta Rahma
Thn.</td><td>Keluarga</td><td>Lama</td><td>BPJS PBI</td><td>Rujuk</td><td
Umum</td><td>JANTUNG DAN PEMBULUH DARAH</td><td>RS DR.ASMIR SALATIGA</td><td>Dalam
align='right'>1012024</td><td>08-05-2023</td><td>ALFIANDRA TEGAR
AFANDI</td><td></td><td></td><td>'</td><td>28-07-2011</td><td>SLEKER RT 06 RW
03</td><td></td><td>KOPENG</td><td>PUSKESMAS INDUK</td><td>RISTIYANI,
KARTINI ALS KARTINI</td><td></td><td></td><td>'</td><td>07-07-1970</td><td>KOPENG
RT 03 RW 02</td><td></td><td>GETASAN</td><td>PUSKESMAS INDUK</td><td>RISTIYANI,
A.Md.</td><td>drg.Ade Indranila</td><td> - </td><td>-</td><td>P</td><td>45-54
align='right'>1020715</td><td>08-05-2023</td><td>ALESHA KURNIA
FADHILA</td><td>SURAMIN</td><td></td><td>'</td><td>11-12-2020</td><td>THEKELAN RT
02 RW 17</td><td></td><td>BATUR</td><td>PUSKESMAS INDUK</td><td>RISTIYANI,
A.Md.</td><td>dr.Arninta Rahma Khoirunnisa</td><td> -
</td><td>-</td><td>P</td><td>1-4 Thn.</td><td>Keluarga</td><td>Lama</td><td>BPJS
Sakit</td><td> -
align='right'>1023988</td><td>08-05-2023</td><td>RENJI AZKA
WARADANA</td><td></td><td></td><td>'</td><td>20-12-2017</td><td>DANGKLIK RT 09 RW
01</td><td></td><td>TOLOKAN</td><td>PUSKESMAS INDUK</td><td>RISTIYANI,
align='right'>2161</td><td align='right'>1023987</td><td>08-05-2023</td><td>RHEE
RAZKA SHAQUILLE
NARESWARA</td><td></td><td></td><td>'</td><td>04-02-2022</td><td>DANGKLIK RT 09 RW
01</td><td>DANGKLIK</td><td>TOLOKAN</td><td>PUSKESMAS INDUK</td><td>RISTIYANI,
</td><td>L</td><td>1-4
align='right'>1014330</td><td>08-05-2023</td><td>ROHMIYATUN</td><td></td><td></
td><td>'</td><td>22-08-1983</td><td>MULUNGAN RT 10 RW
02</td><td></td><td>NOGOSAREN</td><td>PUSKESMAS INDUK</td><td>RISTIYANI,
align='right'>2163</td><td align='right'>1016839</td><td>08-05-2023</td><td>AQILA
ANANDA PUTRI</td><td></td><td></td><td>'</td><td>09-08-2019</td><td>PIJI RT 11 RW
05</td><td></td><td>GETASAN</td><td>PUSKESMAS INDUK</td><td>RISTIYANI,
</td><td>P</td><td>1-4
align='right'>1007812</td><td>08-05-2023</td><td>NURUL
AFFUWAH</td><td></td><td></td><td>'</td><td>28-01-1999</td><td>REJOSARI RT 1
/10</td><td></td><td>BATUR</td><td>PUSKESMAS INDUK</td><td>RISTIYANI,
A.Md.</td><td></td><td> - </td><td>-</td><td>P</td><td>20-44
Sakit</td><td> -
align='right'>1000297</td><td>08-05-2023</td><td>SOEHIRMAN</td><td></td><td></
td><td>'</td><td>20-05-1953</td><td>GETASAN RT
06/01</td><td></td><td>GETASAN</td><td>PUSKESMAS INDUK</td><td>RISTIYANI,
Umum</td><td>Mata</td><td>RS PURI ASIH SALATIGA</td><td>Dalam
align='right'>01000044</td><td>08-05-2023</td><td>SURANI</td><td></td><td></
td><td>'</td><td>30-12-1960</td><td>DIWAK RT 2 RW 8
</td><td></td><td>GETASAN</td><td>PUSKESMAS INDUK</td><td>RISTIYANI,
align='right'>2167</td><td align='right'>01000045</td><td>08-05-2023</td><td>MAMIK
MELATI MELATI</td><td>SUPRIYADI</td><td>BELUM/TIDAK
BEKERJA</td><td>'085839942667</td><td>10-06-1993</td><td>PANDANAN RT 3 RW
Sakit</td><td> -
align='right'>99000047</td><td>08-05-2023</td><td>MUHAMMAD GILANG
PRATAMA</td><td></td><td>PELAJAR/MAHASISWA</td><td>'082390913766</td><td>18-01-
1999</td><td> JL INTAN III NO 131</td><td></td><td>Luar kabupaten</td><td>PUSKESMAS
INDUK</td><td>RISTIYANI, A.Md.</td><td>dr.Arninta Rahma
align='right'>1018421</td><td>08-05-2023</td><td>SUWARDI</td><td></td><td></
Khoirunnisa</td><td>Suwoto,A.Md.Kep</td><td>-</td><td>L</td><td>>70
Umum</td><td>Saraf</td><td>RSUD dr. Gunawan Mangunkusumo</td><td>Dalam
align='right'>03000018</td><td>08-05-2023</td><td>MIATUN</td><td></td><td></
01</td><td>TOLOKAN</td><td>TOLOKAN</td><td>PUSKESMAS INDUK</td><td>RISTIYANI,
align='right'>1015142</td><td>08-05-2023</td><td>SUTINI</td><td></td><td></
td><td>'</td><td>31-12-1938</td><td>NGELO RT 03
</td><td>NGELO</td><td>GETASAN</td><td>PUSKESMAS INDUK</td><td>RISTIYANI,
Khoirunnisa</td><td>Suwoto,A.Md.Kep</td><td>-</td><td>P</td><td>>70
align='right'>2172</td><td align='right'>1009830</td><td>08-05-2023</td><td>TUTIK
WINARNI</td><td></td><td></td><td>'</td><td>09-11-1974</td><td>NOTOYUDAN GT 11/1004
ASTUTININGSIH</td><td></td><td></td><td>'</td><td>20-03-1998</td><td>SIDOMUKTI RT
10 RW 05</td><td>SIDOMUKTI</td><td>KOPENG</td><td>PUSKESMAS
Umum</td><td>Poli Bedah</td><td>RS KEN SARAS</td><td>Dalam
align='right'>1013281</td><td>08-05-2023</td><td>SUSIATI</td><td></td><td></
td><td>'</td><td>29-11-1988</td><td>NGELO RT 05 RW
Umum</td><td>Penyakit Dalam </td><td>RSUD dr. Gunawan Mangunkusumo</td><td>Dalam
RW.2</td><td></td><td>NGRAWAN</td><td>PUSKESMAS INDUK</td><td>RISTIYANI,
align='right'>1005973</td><td>08-05-2023</td><td>SUMINDARYATI</td><td></td><td></
td><td>'</td><td>15-10-1965</td><td>SLEKER RT.6
RW.3</td><td></td><td>KOPENG</td><td>PUSKESMAS INDUK</td><td>RISTIYANI,
Thn.</td><td>Keluarga</td><td>Lama</td><td>BPJS
NON PBI</td><td>Rujuk</td><td align='right'>23</td><td align='right'>6</td><td
align='right'>57</td><td>BP. Umum</td><td>Saraf</td><td>RS PURI ASIH
SALATIGA</td><td>Dalam
align='right'>2177</td><td align='right'>1019912</td><td>08-05-2023</td><td>DHIRGAM
HAIDAR IRSABDILLAH</td><td></td><td></td><td>'</td><td>18-07-2020</td><td>GEDAD RT
09 RW 01</td><td></td><td>WATES</td><td>PUSKESMAS INDUK</td><td>RISTIYANI,
A.Md.</td><td></td><td> - </td><td>-</td><td>L</td><td>1-4
Sakit</td><td> -
01</td><td>NOGOSAREN</td><td>NOGOSAREN</td><td>PUSKESMAS INDUK</td><td>RISTIYANI,
A.Md.</td><td>drg.Ade Indranila</td><td> - </td><td>-</td><td>L</td><td>60-69
align='right'>1016914</td><td>08-05-2023</td><td>VANIA MEITA
ANGELINA</td><td>MEILIS YUWONO</td><td></td><td>'</td><td>18-07-2019</td><td>PLOSO
RT 16 RW 02</td><td></td><td>NGRAWAN</td><td>PUSKESMAS INDUK</td><td>RISTIYANI,
NON PBI</td><td>Rajal</td><td align='right'>20</td><td align='right'>9</td><td
Sakit</td><td> -
align='right'>1013722</td><td>08-05-2023</td><td>YUSTINA NIKITA
INDAHSARI</td><td></td><td></td><td>'</td><td>18-06-1994</td><td>PLOSO RT 16 RW
Sakit</td><td> -
align='right'>1012206</td><td>08-05-2023</td><td>ELMIRA MIKE
WIJAYANTI</td><td></td><td></td><td>'</td><td>27-06-2018</td><td>TOLOKAN RT 04 RW
align='right'>1001039</td><td>08-05-2023</td><td>ESTER SRI
LESTARAI</td><td></td><td></td><td>'</td><td>26-03-1979</td><td>NGELO RT 03 RW
align='right'>1009748</td><td>08-05-2023</td><td>JUMSARI</td><td></td><td></
td><td>'</td><td>28-04-1977</td><td>BATUR KIDUL RT 05 RW 14</td><td>BATUR
KIDUL</td><td>BATUR</td><td>PUSKESMAS INDUK</td><td>RISTIYANI,
Sakit</td><td>drg.Ade Indranila</td><td>-</td><td>-</td><td>-</td><td>-</td><td>-
</td><td>0</td><td>0</td><td></td><td>0</td></tr><tr><td align='right'>2184</td><td
align='right'>02000030</td><td>08-05-2023</td><td>MUNARIYAH</td><td></td><td></
td><td>'085325345513</td><td>05-07-1981</td><td>JURUG RT 7 RW 1
</td><td></td><td>WATES</td><td>PUSKESMAS INDUK</td><td>RISTIYANI,
td><td>'</td><td>01-12-1956</td><td>JURUG RT 07 RW
01</td><td>JURUG</td><td>WATES</td><td>PUSKESMAS INDUK</td><td>RISTIYANI,
align='right'>1007802</td><td>08-05-2023</td><td>KADIMIN</td><td></td><td></
td><td>'</td><td>12-12-1972</td><td>KALIDUREN RT
I/5</td><td></td><td>BATUR</td><td>PUSKESMAS INDUK</td><td>RISTIYANI,
align='right'>1010739</td><td>08-05-2023</td><td>AHMAD
SALEH</td><td></td><td></td><td>'</td><td>26-05-1994</td><td>KALIDUREN RT 01 RW
05</td><td></td><td>BATUR</td><td>PUSKESMAS INDUK</td><td>RISTIYANI,
align='right'>1020818</td><td>08-05-2023</td><td>NURIL AUFA
ALIF</td><td></td><td></td><td>'</td><td>25-03-2020</td><td>KENDAL RT 5 RW
align='right'>02000031</td><td>08-05-2023</td><td>ARKAN ZAKY RAMADHAN</td><td>BAYU
PURSTYANTO</td><td>BELUM/TIDAK BEKERJA</td><td>'</td><td>09-09-2007</td><td>WATES
RT 2 RW 1 </td><td></td><td>WATES</td><td>PUSKESMAS INDUK</td><td>RISTIYANI,
PRAMONO</td><td></td><td></td><td>'</td><td>26-08-2020</td><td>BUMIAYU
Sakit</td><td> -
align='right'>07000059</td><td>08-05-2023</td><td>SUMITRO GIMIN</td><td>SUMITRO
GIMIN</td><td></td><td>'</td><td>05-09-1945</td><td>TAYEMAN RT 2 RW
Khoirunnisa</td><td>Suwoto,A.Md.Kep</td><td>-</td><td>L</td><td>>70
align='right'>2192</td><td align='right'>1002160</td><td>08-05-2023</td><td>DESVITA
AYU TRI ASTUTI</td><td></td><td></td><td>'</td><td>01-12-2006</td><td>SIDOMUKTI RT
5 RW 3</td><td>SIDOMUKTI</td><td>KOPENG</td><td>PUSKESMAS INDUK</td><td>RISTIYANI,
MACHFUDHOH</td><td></td><td></td><td>'</td><td>23-03-1986</td><td>TOLOKAN RT 01 RW
align='right'>2194</td><td align='right'>1007881</td><td>08-05-2023</td><td>RINTO
MASTHURIN ACHMAD</td><td></td><td></td><td>'</td><td>07-09-1974</td><td>TOLOKAN RT
1/1</td><td></td><td>TOLOKAN</td><td>PUSKESMAS INDUK</td><td>RISTIYANI,
align='right'>2196</td><td align='right'>1012900</td><td>08-05-2023</td><td>DESTY
ARDIANDANI</td><td></td><td></td><td>'</td><td>22-12-2012</td><td>BUMIAYU RT 01 RW
align='right'>1000114</td><td>08-05-2023</td><td>OCTAVIANI
ISTIQOMAH</td><td></td><td>MENGURUS RUMAH TANGGA</td><td>'085741671780</td><td>22-
10-1999</td><td>SRANTI RT 08 RW 02</td><td>SRANTI</td><td>WATES</td><td>PUSKESMAS
INDUK</td><td>RISTIYANI, A.Md.</td><td></td><td> - </td><td>-</td><td>P</td><td>20-
44 Thn.</td><td>Keluarga</td><td>Lama</td><td>BPJS NON PBI</td><td></td><td
Sakit</td><td> -
</td><td>-</td><td>-</td><td>-</td><td>-</td><td>-</td><td>-</td><td>-</
td><td>B+</td><td>0</td></tr><tr><td align='right'>2198</td><td
align='right'>99000048</td><td>08-05-2023</td><td>BAYU
BAHTIAR</td><td></td><td>WIRASWASTA</td><td>'</td><td>20-10-1996</td><td>BENER
KULON RT 3 RW 5 </td><td></td><td>Luar kabupaten</td><td>PUSKESMAS
INDUK</td><td>RISTIYANI, A.Md.</td><td>drg.Ade Indranila</td><td> -
</td><td>-</td><td>L</td><td>20-44 Thn.</td><td>Keluarga</td><td>Baru</td><td>BPJS
align='right'>26</td><td>BP. Gigi</td><td></td><td></td><td>Luar
align='right'>1004143</td><td>08-05-2023</td><td>AINUNNAYYA
FATHIYYATURAHMA</td><td></td><td></td><td>'</td><td>10-02-2015</td><td>GETASAN RT 2
RW 1 </td><td></td><td>GETASAN</td><td>PUSKESMAS INDUK</td><td>RISTIYANI,
align='right'>06000047</td><td>08-05-2023</td><td>DIYAH RAHMA
DANI</td><td></td><td></td><td>'085795887602</td><td>11-12-2011</td><td>SELODUWUR
RT 3RW 16 </td><td></td><td>BATUR</td><td>PUSKESMAS INDUK</td><td>RISTIYANI,
align='right'>1000643</td><td>08-05-2023</td><td>MARSIYEM</td><td></td><td></
td><td>'</td><td>01-07-1960</td><td>KASIRAN RT
04/09</td><td></td><td>KOPENG</td><td>PUSKESMAS INDUK</td><td>RISTIYANI,
align='right'>1002804</td><td>08-05-2023</td><td>SRIYANI</td><td></td><td></
td><td>'</td><td>11-06-1997</td><td>KASIRAN RT 04 RW
WARSINEM</td><td></td><td></td><td>'</td><td>16-06-1994</td><td>BANARAN RT 04 RW
align='right'>2204</td><td align='right'>1001337</td><td>08-05-2023</td><td>ANIK
YULIANA</td><td></td><td></td><td>'</td><td>01-07-1989</td><td>KEDAYON RT 06 RW
01</td><td>KEDAYON</td><td>WATES</td><td>PUSKESMAS INDUK</td><td>RISTIYANI,
align='right'>2205</td><td align='right'>1023276</td><td>08-05-2023</td><td>LATIFA
ULFA PRADITA</td><td></td><td></td><td>'</td><td>09-12-1993</td><td>KEBONAN RT 06
RW 01</td><td></td><td>TOLOKAN</td><td>PUSKESMAS INDUK</td><td>RISTIYANI,
align='right'>03000028</td><td>08-05-2023</td><td>MUHAMMAD ZIDANE
ALFAREZI</td><td>SONY AJI
PRASETYO</td><td></td><td>'</td><td>28-04-2022</td><td>KEBONAN RT 6 RW 1
</td><td></td><td>TOLOKAN</td><td>PUSKESMAS INDUK</td><td>RISTIYANI,
align='right'>1000311</td><td>08-05-2023</td><td>SLAMET
RAHARJO</td><td></td><td></td><td>'</td><td>09-01-1959</td><td>DIWAK RT.1 RW.8
BATUR</td><td>DIWAK</td><td>BATUR</td><td>PUSKESMAS INDUK</td><td>RISTIYANI,
align='right'>01000046</td><td>08-05-2023</td><td>BIELDAD
SURYONO</td><td></td><td>PETANI/PEKEBUN</td><td>'</td><td>00-00-0000</td><td>NGELO
RT 4 RW 2 </td><td></td><td>GETASAN</td><td>PUSKESMAS INDUK</td><td>RISTIYANI,
hari</td><td>Keluarga</td><td>Baru</td><td>BPJS PBI</td><td>Rajal</td><td
align='right'>01000047</td><td>08-05-2023</td><td>QURAINIS WAHYU
NILASARI</td><td></td><td>PELAJAR/MAHASISWA</td><td>'088216191436</td><td>22-08-
2002</td><td>KENTENG RT 3 RW 5</td><td></td><td>GETASAN</td><td>PUSKESMAS
align='right'>1024342</td><td>08-05-2023</td><td>MUHAMMAD FAIQ
AL-AZZAM</td><td></td><td></td><td>'</td><td>02-03-2022</td><td>KARANGBAWANG RT 12
RW 02</td><td></td><td>NOGOSAREN</td><td>PUSKESMAS INDUK</td><td>RISTIYANI,
align='right'>04000012</td><td>08-05-2023</td><td>MUHAMMAD ROSYID
HUSAENY</td><td>LUWIH</td><td></td><td>'</td><td>20-07-2018</td><td>PLOSO RT 16 RW
2 </td><td></td><td>NGRAWAN</td><td>PUSKESMAS INDUK</td><td>RISTIYANI,
align='right'>1018935</td><td>08-05-2023</td><td>KHAILA NUR
AISYAH</td><td></td><td></td><td>'</td><td>23-02-2020</td><td>KOPENG RT 01 RW
align='right'>1005633</td><td>08-05-2023</td><td>RIFKY FATURROHMAN
SYAHID</td><td></td><td></td><td>'</td><td>27-04-2015</td><td>GETASAN RT
align='right'>1017192</td><td>08-05-2023</td><td>MUHDIYONO</td><td></td><td></
td><td>'</td><td>16-03-1968</td><td>JURUG RT 7 RW
align='right'>2215</td><td align='right'>1004495</td><td>08-05-2023</td><td>MIKE
HANI </td><td></td><td></td><td>'</td><td>05-06-2016</td><td>NGELO RT 03 RW
02</td><td>NGELO</td><td>GETASAN</td><td>PUSKESMAS INDUK</td><td>Tika
align='right'>1007323</td><td>08-05-2023</td><td>DARYONO</td><td></td><td>BURUH
HARIAN LEPAS</td><td>'</td><td>04-10-1972</td><td>SLEKER RT.6
align='right'>1010695</td><td>08-05-2023</td><td>SHOLEKAH</td><td></td><td></
Umum</td><td>PARU</td><td>RS PURI ASIH SALATIGA</td><td>Dalam
align='right'>2218</td><td align='right'>1014865</td><td>08-05-2023</td><td>EKO
AGUS RIYANTO</td><td></td><td></td><td>'</td><td>22-02-2002</td><td>DUKUH
RT 03 RW 08</td><td></td><td>KOPENG</td><td>PUSKESMAS INDUK</td><td>RISTIYANI,
align='right'>01000028</td><td>08-05-2023</td><td>BAYI NYONYA
KRISTIANA</td><td></td><td></td><td>'</td><td>24-03-2023</td><td>NGELO RT 06 RW
02</td><td>GETASAN</td><td>GETASAN</td><td>PUSKESMAS INDUK</td><td>RISTIYANI,
A.Md.</td><td></td><td> - </td><td>-</td><td>P</td><td><1
Wilayah</td><td>'0003514230933</td><td>'</td><td>Kunjungan Sakit</td><td> -
align='right'>1024363</td><td>09-05-2023</td><td>MEGUMI YURIKO
SACHIKIRANI</td><td></td><td></td><td>'</td><td>23-07-2022</td><td>SLEKER RT 09 RW
Handoyo</td><td></td><td> - </td><td>-</td><td>P</td><td><1
align='right'>1024474</td><td>09-05-2023</td><td>GALANG DWI
SAPUTRA</td><td></td><td></td><td>'</td><td>24-07-2022</td><td>PANDANDN RT 02 RW
09</td><td>SENDEN</td><td>BATUR</td><td>PUSKESMAS INDUK</td><td>RISTIYANI,
align='right'>1024367</td><td>09-05-2023</td><td>AISYAH LAILA
SAPUTRI</td><td></td><td></td><td>'</td><td>12-07-2022</td><td>SETURUN RT 03 RW
align='right'>1024635</td><td>09-05-2023</td><td>MUHAMAD ARKA
MUSTOFA</td><td></td><td></td><td>'</td><td>19-07-2022</td><td>THEKELAN RT 01 RW
17</td><td>THEKELAN</td><td>BATUR</td><td>PUSKESMAS INDUK</td><td>Tika
align='right'>1004968</td><td>09-05-2023</td><td>MARSIDI</td><td>MARSIDI</
td><td></td><td>'</td><td>27-10-1962</td><td>GADING RT 04 RW
03</td><td>GADING</td><td>GETASAN</td><td>PUSKESMAS INDUK</td><td>RISTIYANI,
align='right'>1000301</td><td>09-05-2023</td><td>SULIYEM</td><td></td><td></
td><td>'</td><td>05-10-1954</td><td>KENTENG RT 03 RW 05</td><td></td><td>Luar
Wilayah</td><td>PUSKESMAS INDUK</td><td>RISTIYANI, A.Md.</td><td>dr.Arninta Rahma
align='right'>1024361</td><td>09-05-2023</td><td>AYUDISHA ELSHANUM AZZAHRA
KAUREEN</td><td>SUPARMAN</td><td></td><td>'</td><td>20-07-2022</td><td>WATES RT 03
RW 01</td><td>WATES</td><td>WATES</td><td>PUSKESMAS INDUK</td><td>Tika
align='right'>02000032</td><td>09-05-2023</td><td>CINDY NOVITA
SARI</td><td></td><td>PELAJAR/MAHASISWA</td><td>'</td><td>07-01-2004</td><td>GEDAD
RT 10 RW 1</td><td></td><td>WATES</td><td>PUSKESMAS INDUK</td><td>RISTIYANI,
Sakit</td><td> -
align='right'>1024202</td><td>09-05-2023</td><td>ABYAN GILANG
ADITYA</td><td>RIYANTO</td><td></td><td>'</td><td>25-06-2022</td><td>KARANG BAWANG
RT 12 RW 02</td><td>KARANGBAWANG</td><td>NOGOSAREN</td><td>PUSKESMAS
INDUK</td><td>Tika Elvania</td><td></td><td> - </td><td>-</td><td>L</td><td><1
align='right'>1024419</td><td>09-05-2023</td><td>SURANTI</td><td></td><td></
Sakit</td><td> -
align='right'>1022915</td><td>09-05-2023</td><td>SRI ENI
ASTUTI</td><td></td><td></td><td>'</td><td>31-08-1976</td><td>PERUM GRIYA GAWE
MUKTI RT 04 RW 06</td><td></td><td>GETASAN</td><td>PUSKESMAS
align='right'>46</td><td>BP. Gigi</td><td></td><td></td><td>Dalam
align='right'>1024280</td><td>09-05-2023</td><td>EUNICA SHARON CHARISMA
PUTRI</td><td>EDI SANTOSO</td><td></td><td>'</td><td>07-07-2022</td><td>KRANGKENG
RT 03 RW 12</td><td>KRANGKENG</td><td>BATUR</td><td>PUSKESMAS INDUK</td><td>Tika
Wilayah</td><td>'</td><td>'</td><td>Kunjungan Sehat</td><td> -
align='right'>1024636</td><td>09-05-2023</td><td>ZAYDAN DWI
ANUGERAH</td><td></td><td></td><td>'</td><td>26-07-2022</td><td>DANGKLIK RT 08 RW
01</td><td>DANGKLIK</td><td>TOLOKAN</td><td>PUSKESMAS INDUK</td><td>Tika
align='right'>1007305</td><td>09-05-2023</td><td>PURWANTI</td><td></td><td></
td><td>'</td><td>15-08-1956</td><td>NGRAWAN RT
02/01</td><td></td><td>NGRAWAN</td><td>PUSKESMAS INDUK</td><td>RISTIYANI,
align='right'>2235</td><td align='right'>1020913</td><td>09-05-2023</td><td>KARISMA
RIZKIANA PUTRI</td><td></td><td></td><td>'</td><td>14-01-2021</td><td>REJOSARI RT
01 RW 10</td><td>REJOSARI</td><td>BATUR</td><td>PUSKESMAS INDUK</td><td>Tika
align='right'>1024071</td><td>09-05-2023</td><td>MEYRA NUUR
AFIFA</td><td></td><td></td><td>'</td><td>19-05-2022</td><td>NOGOSAREN RT 01 RW
align='right'>1025028</td><td>09-05-2023</td><td>VALENCIA
HANDRIANA</td><td></td><td></td><td>'</td><td>04-10-2022</td><td>BATUR WETAN RT 02
RW 13</td><td>BATUR WETAN</td><td>BATUR</td><td>PUSKESMAS INDUK</td><td>Tika
Sehat</td><td> -
align='right'>1025696</td><td>09-05-2023</td><td>DELOVA LAKSITA
GANTARI</td><td></td><td></td><td>'</td><td>23-02-2023</td><td>BLANCIR RT 03 RW
06</td><td>BLANCIR</td><td>KOPENG</td><td>PUSKESMAS INDUK</td><td>Tika
align='right'>1023541</td><td>09-05-2023</td><td>TUTUT
WIDIASMARA</td><td></td><td></td><td>'</td><td>24-12-1999</td><td>DUSUN KALIMANGLI
RT 01 RW 03</td><td></td><td>Luar Wilayah</td><td>PUSKESMAS
</td><td>-</td><td>P</td><td>20-44
align='right'>1024071</td><td>09-05-2023</td><td>MEYRA NUUR
AFIFA</td><td></td><td></td><td>'</td><td>19-05-2022</td><td>NOGOSAREN RT 01 RW
align='right'>080000010</td><td>09-05-2023</td><td>MARWA RIZKY
RAMADHON</td><td></td><td>PELAJAR/MAHASISWA</td><td>'</td><td>22-08-2011</
td><td>GAJAYAN RT 8 RW 2 </td><td></td><td>NOGOSAREN</td><td>PUSKESMAS
align='right'>2242</td><td align='right'>1025324</td><td>09-05-2023</td><td>SHANUM
ALHESA</td><td></td><td></td><td>'</td><td>09-12-2022</td><td>PAYUNGAN RT
align='right'>1025704</td><td>09-05-2023</td><td>ZAHFA ELIA
AZYANTI</td><td></td><td></td><td>'</td><td>01-02-2023</td><td>GETASAN RT 01 RW
align='right'>90000023</td><td>09-05-2023</td><td>KHALISA EMILIA
KESWHARI</td><td></td><td>BELUM/TIDAK
BEKERJA</td><td>'</td><td>06-02-2023</td><td>PANDEAN LOR RT 06 RW 02
NGABLAK</td><td></td><td>Luar Wilayah</td><td>PUSKESMAS INDUK</td><td>Tika
align='right'>1021546</td><td>09-05-2023</td><td>BILQIS TRY ANTA
BARUNA</td><td></td><td></td><td>'</td><td>07-05-2021</td><td>KOPENG RT 01 RW
align='right'>1012546</td><td>09-05-2023</td><td>SAMINI</td><td></td><td></
td><td>'</td><td>16-08-1978</td><td>GEJAYAN RT 8 RW 2
NOGOSAREN</td><td></td><td>NOGOSAREN</td><td>PUSKESMAS INDUK</td><td>RISTIYANI,
align='right'>2247</td><td align='right'>1020162</td><td>09-05-2023</td><td>MANAF
LUTFI ALFARIZQI</td><td></td><td></td><td>'</td><td>01-09-2020</td><td>NGRINGIN RT
01 RW 03</td><td>NGRINGIN</td><td>BATUR</td><td>PUSKESMAS INDUK</td><td>Tika
align='right'>1022471</td><td>09-05-2023</td><td>QUEENSHA AMARA
ADILA</td><td></td><td></td><td>'</td><td>09-09-2021</td><td>NGRINGIN RT 02 RW
03</td><td>NGRINGIN</td><td>BATUR</td><td>PUSKESMAS INDUK</td><td>Tika
align='right'>1000583</td><td>09-05-2023</td><td>MARYANI</td><td></td><td></
td><td>'</td><td>20-07-1952</td><td>KRANGKENG RT 03 RW
12</td><td>KRANGKENG</td><td>BATUR</td><td>PUSKESMAS INDUK</td><td>RISTIYANI,
ALWIE MUBAROK</td><td></td><td></td><td>'</td><td>16-06-2022</td><td>KRANGKENG RT
01 RW 12</td><td>KRANGKENG</td><td>BATUR</td><td>PUSKESMAS INDUK</td><td>Tika
align='right'>1024478</td><td>09-05-2023</td><td>SYAKA AKHLAN
SABANI</td><td></td><td></td><td>'</td><td>12-07-2022</td><td>BATUR WETAN RT 01 RW
13</td><td>BATUR WETAN</td><td>BATUR</td><td>PUSKESMAS INDUK</td><td>Tika
align='right'>06000006</td><td>09-05-2023</td><td>ARSYAD AHNAF AL
AZMI</td><td></td><td>BELUM/TIDAK
BEKERJA</td><td>'</td><td>02-02-2023</td><td>BATUR WETAN RT 01 RW 13</td><td>BATUR
WETAN</td><td>BATUR</td><td>PUSKESMAS INDUK</td><td>Tika Elvania</td><td></td><td>
- </td><td>-</td><td>L</td><td><1
align='right'>1025436</td><td>09-05-2023</td><td>HAPSARI RAYNA SOPHIA
</td><td></td><td></td><td>'</td><td>05-11-2022</td><td>DIGELAN RT 01 RW 04
BRINGIN</td><td></td><td>Luar Wilayah</td><td>PUSKESMAS INDUK</td><td>Tika
Wilayah</td><td>'0003307892861</td><td>'</td><td>Kunjungan Sehat</td><td> -
align='right'>06000048</td><td>09-05-2023</td><td>SUPRIYANTI</td><td></td><td></
td><td>'</td><td>31-12-1989</td><td>BATUR WETAN RT 1
RW13</td><td></td><td>BATUR</td><td>PUSKESMAS INDUK</td><td>RISTIYANI,
Sakit</td><td> -
align='right'>90000024</td><td>09-05-2023</td><td>GAMALIEL ARON
NARENDRA</td><td></td><td>BELUM/TIDAK
BEKERJA</td><td>'</td><td>03-02-2023</td><td>PRINGAPUS RT 12 RW 01
align='right'>1020507</td><td>09-05-2023</td><td>ALOYSIUS GABRIO
BUDIARTO</td><td></td><td></td><td>'</td><td>31-10-2020</td><td>CUNTEL RT 05 RW
01</td><td>CUNTEL</td><td>KOPENG</td><td>PUSKESMAS INDUK</td><td>Tika
align='right'>1020506</td><td>09-05-2023</td><td>BENEDIKTUS GABINO
BUDIARTO</td><td></td><td></td><td>'</td><td>31-10-2020</td><td>CUNTEL RW 05 RW
align='right'>1024362</td><td>09-05-2023</td><td>ALTA
GUINANDRA</td><td></td><td></td><td>'</td><td>18-07-2022</td><td>DUKUH RT 04 RW
align='right'>1008446</td><td>09-05-2023</td><td>NADHIFATUL
MUKAROMAH</td><td></td><td></td><td>'</td><td>06-05-1995</td><td>SIDODADI RT.3
RW.2</td><td></td><td>Luar kabupaten</td><td>PUSKESMAS INDUK</td><td>RISTIYANI,
align='right'>2261</td><td align='right'>1023914</td><td>09-05-2023</td><td>KHANZA
QONITA AZZAHRA</td><td></td><td></td><td>'</td><td>09-02-2017</td><td>WATES RT 03
RW 01</td><td>WATES</td><td>WATES</td><td>PUSKESMAS INDUK</td><td>RISTIYANI,
align='right'>1024633</td><td>09-05-2023</td><td>RAIHANDIKAS YUDA
PRATAMA</td><td></td><td></td><td>'</td><td>19-09-2009</td><td>WATES RT
3/1</td><td></td><td>WATES</td><td>PUSKESMAS INDUK</td><td>RISTIYANI,
align='right'>2263</td><td align='right'>1000573</td><td>09-05-2023</td><td>TUKINI
</td><td></td><td></td><td>'</td><td>07-09-1967</td><td>NGRAWAN RT 05 RW
01</td><td>NGRAWAN</td><td>NGRAWAN</td><td>PUSKESMAS INDUK</td><td>RISTIYANI,
BUDIONO</td><td>SLAMET BUDIONO</td><td></td><td>'0859159908168</td><td>05-12-
1983</td><td>KOPENG RT 01 RW 02</td><td>KOPENG</td><td>KOPENG</td><td>PUSKESMAS
</td><td>-</td><td>L</td><td>20-44 Thn.</td><td>Keluarga</td><td>Lama</td><td>BPJS
align='right'>1021365</td><td>09-05-2023</td><td>AZRIL RAFIF
REXANDRA</td><td></td><td></td><td>'</td><td>17-03-2021</td><td>PLALAR RT 05 RW
Sehat</td><td> -
align='right'>1009331</td><td>09-05-2023</td><td>USWATUN
KHASANAH</td><td></td><td></td><td>'</td><td>07-10-1994</td><td>BATUR WETAN RT 01
RW 13</td><td></td><td>BATUR</td><td>PUSKESMAS INDUK</td><td>RISTIYANI,
align='right'>05000012</td><td>09-05-2023</td><td>RAMADHAN AHNAF DWI
SUSILO</td><td>DIDIK SUSILO</td><td>BELUM/TIDAK BEKERJA</td><td>'</td><td>30-03-
2023</td><td>SETURUN RT 02 RW
align='right'>06000049</td><td>09-05-2023</td><td>NURYANTI</td><td></td><td></
td><td>'</td><td>12-07-1976</td><td>BATUR WETAN RT 3 RW 13
</td><td></td><td>BATUR</td><td>PUSKESMAS INDUK</td><td>RISTIYANI,
RW 09</td><td></td><td>Luar kabupaten</td><td>PUSKESMAS INDUK</td><td>RISTIYANI,
Sakit</td><td> -
align='right'>05000006</td><td>09-05-2023</td><td>ADZRIEL RAFIQ EL
SYAHPUTRA</td><td></td><td></td><td>'</td><td>23-02-2023</td><td>SETURUN RT 02 RW
align='right'>1023870</td><td>09-05-2023</td><td>ARSYILA PUTRI
CALLISTA</td><td></td><td></td><td>'</td><td>01-06-2022</td><td>MADU RT 01 RW
Sakit</td><td> -
align='right'>1007037</td><td>09-05-2023</td><td>WICHDAH SRI
HARYANTI</td><td></td><td></td><td>'</td><td>23-05-1965</td><td>WATES RT 01 RW
01</td><td>WATES</td><td>WATES</td><td>PUSKESMAS INDUK</td><td>RISTIYANI,
align='right'>1009082</td><td>09-05-2023</td><td>RIYANTI</td><td></td><td></
td><td>'</td><td>30-06-1981</td><td>NGRINGIN RT 03 RW
02</td><td>NGRINGIN</td><td>BATUR</td><td>PUSKESMAS INDUK</td><td>RISTIYANI,
Sakit</td><td> -
align='right'>99000003</td><td>09-05-2023</td><td>ROBERTO
SIMANJUNTAK</td><td></td><td></td><td>'</td><td>02-11-1968</td><td>KARET PS BARU
BARAT II RT 09 RW 07 KARET TENGSIN TANAH ABANG</td><td></td><td>Luar
kabupaten</td><td>PUSKESMAS INDUK</td><td>RISTIYANI, A.Md.</td><td>dr.Arninta Rahma
align='right'>1003701</td><td>09-05-2023</td><td>KARNI</td><td></td><td></
td><td>'</td><td>05-03-1992</td><td>SENGON RT
2/2</td><td></td><td>MANGGIHAN</td><td>PUSKESMAS INDUK</td><td>RISTIYANI,
SUSANTI</td><td>KRISNA S</td><td></td><td>'</td><td>15-02-1996</td><td>GEDAD RT 10
Sakit</td><td> -
align='right'>1021539</td><td>09-05-2023</td><td>NAUFALYN
AVIONA RABBANI</td><td></td><td></td><td>'</td><td>24-04-2021</td><td>THEKELAN RT
05 RW 17</td><td></td><td>BATUR</td><td>PUSKESMAS INDUK</td><td>RISTIYANI,
A.Md.</td><td>dr.Arninta Rahma Khoirunnisa</td><td>Uci
align='right'>1000449</td><td>09-05-2023</td><td>RAFARSYA YAFED
ARIANTO</td><td></td><td></td><td>'</td><td>25-11-2015</td><td>SIDOMUKTI RT
align='right'>2279</td><td align='right'>1024905</td><td>09-05-2023</td><td>LATISHA
ERCILIA TABITHA</td><td>YUSUP
ARIANTO</td><td></td><td>'</td><td>07-10-2022</td><td>SIDOMUKTI RT03 RW
Novitawati,A.Md.Keb</td><td>-</td><td>P</td><td><1
Sakit</td><td> -
align='right'>1000736</td><td>09-05-2023</td><td>SUHANTI</td><td></td><td></
td><td>'</td><td>21-04-1948</td><td>WATES RT.1
RW.1</td><td></td><td>WATES</td><td>PUSKESMAS INDUK</td><td>RISTIYANI,
RIYADI</td><td></td><td></td><td>'</td><td>06-05-1973</td><td>KENTENG RT
02/07</td><td></td><td>Luar Wilayah</td><td>PUSKESMAS INDUK</td><td>RISTIYANI,
align='right'>05000013</td><td>09-05-2023</td><td>LUTFI NAFIL
HANAFI</td><td>SUMARNO</td><td></td><td>'</td><td>04-04-2023</td><td>MANGGIHARJO RT
05 RW 01</td><td>MANGGIHARJO</td><td>MANGGIHAN</td><td>PUSKESMAS INDUK</td><td>Tika
align='right'>1008232</td><td>09-05-2023</td><td>JESIKA MARTA
TILOVA</td><td></td><td></td><td>'</td><td>12-06-2009</td><td>SELONGISOR RT 03 RW
15</td><td>SELONGISOR</td><td>BATUR</td><td>PUSKESMAS INDUK</td><td>RISTIYANI,
align='right'>1014610</td><td>09-05-2023</td><td>ABDULLAH SYAFIÌ PUTRA
SEBAYANG</td><td></td><td></td><td>'</td><td>09-03-2010</td><td>KEDAYON RT 06 RW
01</td><td></td><td>WATES</td><td>PUSKESMAS INDUK</td><td>RISTIYANI,
align='right'>2286</td><td align='right'>99000049</td><td>09-05-2023</td><td>BAYI
NYOYA KURNIA FARIDOTUL</td><td>WISNU SULISTYO</td><td></td><td>'</td><td>14-03-
2023</td><td>RANDUARES RT 06 RW 01 SALATIGA</td><td></td><td>Luar
kabupaten</td><td>PUSKESMAS INDUK</td><td>Tika Elvania</td><td></td><td> -
</td><td>-</td><td>L</td><td><1
align='right'>1004205</td><td>09-05-2023</td><td>TUKIN</td><td></td><td></
td><td>'</td><td>02-05-1974</td><td>SUMOGAWE RT.1
RW.2</td><td></td><td>GETASAN</td><td>PUSKESMAS INDUK</td><td>RISTIYANI,
align='right'>2288</td><td align='right'>02000033</td><td>09-05-2023</td><td>ALEXIS
MORGAN MARTUA HUTAJULU</td><td>FERDINAN HUTAJULU</td><td></td><td>'</td><td>25-02-
2023</td><td>WATES RT 02 RW 01</td><td>WATES</td><td>WATES</td><td>PUSKESMAS
Wilayah</td><td>'</td><td>'3322012502230002</td><td>Kunjungan Sehat</td><td> -
align='right'>05000014</td><td>09-05-2023</td><td>MUHAMMAD RAFARDHAN
AZIZ</td><td>AHMAD SAIFUL A</td><td></td><td>'</td><td>03-04-2023</td><td>MANGGIHAN
RT 01 RW 02</td><td>MANGGIHAN</td><td>MANGGIHAN</td><td>PUSKESMAS
align='right'>1018758</td><td>09-05-2023</td><td>FELISITAS VERENA
ARDHINI</td><td></td><td></td><td>'</td><td>12-04-2004</td><td>JAMPELAN RT 02 RW
align='right'>2291</td><td align='right'>1024636</td><td>09-05-2023</td><td>ZAYDAN
DWI ANUGERAH</td><td></td><td></td><td>'</td><td>26-07-2022</td><td>DANGKLIK RT 08
RW 01</td><td>DANGKLIK</td><td>TOLOKAN</td><td>PUSKESMAS INDUK</td><td>Tika
tr><tr><td
align='right'>2292</td><td align='right'>1022673</td><td>09-05-2023</td><td>ANJANI
KHANZA ARDHIANA</td><td></td><td></td><td>'</td><td>09-11-2021</td><td>BANYUDONO RT
01 RW 09 BANYUBIRU</td><td></td><td>Luar Wilayah</td><td>PUSKESMAS
align='right'>1019630</td><td>09-05-2023</td><td>MARWIYOTO</td><td></td><td></
A.Md.</td><td></td><td> - </td><td>-</td><td>L</td><td>>70
Sakit</td><td> -
align='right'>1022883</td><td>09-05-2023</td><td>YEHESKIEL OKTA
KARISTANTO</td><td></td><td></td><td>'</td><td>26-10-2021</td><td>PANDANAN RT 01 RW
align='right'>1018076</td><td>09-05-2023</td><td>SIS UTAMI NILAM
SAPUTRI</td><td></td><td></td><td>'</td><td>15-02-1994</td><td>GADING RT 04 RW
03</td><td>GADING</td><td>GETASAN</td><td>PUSKESMAS INDUK</td><td>RISTIYANI,
Sakit</td><td> -
align='right'>1024438</td><td>09-05-2023</td><td>FELICIA TISA
LEMBAHMANAH</td><td></td><td></td><td>'</td><td>11-07-2022</td><td>MUJO RT 03 RW 04
align='right'>1024232</td><td>09-05-2023</td><td>SHEZA ARGANI
ZEANISA</td><td></td><td></td><td>'</td><td>10-07-2022</td><td>WONOSARI RT 02 RW
03</td><td>WONOSARI</td><td>BATUR</td><td>PUSKESMAS INDUK</td><td>Tika
align='right'>1022838</td><td>09-05-2023</td><td>NOVA GIBRAN
PRATAMA</td><td></td><td></td><td>'</td><td>07-11-2021</td><td>NOGOSAREN RT 07 RW
align='right'>1003927</td><td>09-05-2023</td><td>INDRI
YANI</td><td></td><td></td><td>'</td><td>27-09-1997</td><td>PLALAR RT 05 RW
04</td><td>PLALAR</td><td>KOPENG</td><td>PUSKESMAS INDUK</td><td>RISTIYANI,
align='right'>1024614</td><td>09-05-2023</td><td>MUHAMMAD BANU
ARAZZI</td><td></td><td></td><td>'</td><td>19-08-2022</td><td>PLALAR RT 01 RW
align='right'>99000050</td><td>09-05-2023</td><td>MARDHIATUN</td><td></td><td></
td><td>'</td><td>19-05-2004</td><td>GENIKAN RT 2 RW 2 </td><td></td><td>Luar
kabupaten</td><td>PUSKESMAS INDUK</td><td>RISTIYANI, A.Md.</td><td></td><td> -
</td><td>-</td><td>P</td><td>15-19 Thn.</td><td>Keluarga</td><td>Baru</td><td>BPJS
Sakit</td><td> -
align='right'>02000034</td><td>09-05-2023</td><td>SYAFIRA AIDA
RISKIANA</td><td></td><td></td><td>'</td><td>09-04-2023</td><td>DEPLONGAN RT 01 RW
align='right'>1022624</td><td>09-05-2023</td><td>AL FATIN
ORIZASYAHPUTRI</td><td></td><td></td><td>'</td><td>07-10-2021</td><td>BATUR WETAN
RT 03 RW 13</td><td>BATUR WETAN</td><td>BATUR</td><td>PUSKESMAS INDUK</td><td>Tika
align='right'>1022625</td><td>09-05-2023</td><td>AL FATIH ORIZA
SYAHPUTRA</td><td></td><td></td><td>'</td><td>07-10-2021</td><td>BATUR WETAN RT 03
RW 13</td><td>BATUR WETAN</td><td>BATUR</td><td>PUSKESMAS INDUK</td><td>Tika
align='right'>03000005</td><td>09-05-2023</td><td>MEUTIA NAJWA
SALSABILA</td><td></td><td>BELUM/TIDAK
BEKERJA</td><td>'</td><td>05-01-2023</td><td>BAGONGAN RT 13 RW
02</td><td>BAGONGAN</td><td>TOLOKAN</td><td>PUSKESMAS INDUK</td><td>Tika
align='right'>1018546</td><td>09-05-2023</td><td>SABAR</td><td></td><td></
td><td>'</td><td>17-08-1967</td><td>NGROTO RT 07 RW
td><td>24</td><td>156</td><td>56</td><td></td><td>0</td
></tr><tr><td align='right'>2307</td><td align='right'>99000051</td><td>09-05-
2023</td><td>ANNISA
SETYANINGRUM</td><td></td><td></td><td>'0895414866118</td><td>15-03-2002</
td><td>PURWOSARI RT 1 RW 2 </td><td></td><td>Luar kabupaten</td><td>PUSKESMAS
PARTININGSIH</td><td></td><td>WIRASWASTA</td><td>'</td><td>24-04-1974</
td><td>SUMOGAWE RT 5/2</td><td></td><td>GETASAN</td><td>PUSKESMAS
align='right'>06000005</td><td>09-05-2023</td><td>MUAH</td><td></td><td></
15</td><td>SELONGISOR</td><td>BATUR</td><td>PUSKESMAS INDUK</td><td>RISTIYANI,
align='right'>010000010</td><td>09-05-2023</td><td>MUHAMMAD GIGGS
DETINU</td><td></td><td></td><td>'</td><td>02-02-2023</td><td>GETASAN RT 087 RW
A.Md.</td><td></td><td> - </td><td>-</td><td>L</td><td><1
align='right'>07000049</td><td>09-05-2023</td><td>ADELIA ANINDYA
AILANI</td><td>BUDIONO</td><td></td><td>'</td><td>07-04-2016</td><td>SLEKER RT 02
RW 03</td><td>SLEKER</td><td>KOPENG</td><td>PUSKESMAS INDUK</td><td>RISTIYANI,
Sakit</td><td> -
align='right'>1021366</td><td>09-05-2023</td><td>BRIELLA IVANA
STEFANI</td><td></td><td></td><td>'</td><td>22-03-2021</td><td>NGLELO RT 03 RW
19</td><td>NGLELO</td><td>BATUR</td><td>PUSKESMAS INDUK</td><td>RISTIYANI,
Sakit</td><td> -
align='right'>1017562</td><td>09-05-2023</td><td>SUSILO DWI
HANDOYO</td><td></td><td></td><td>'</td><td>14-10-1978</td><td>SLEKER RT 9 RW
Sakit</td><td> -
align='right'>1025536</td><td>10-05-2023</td><td>WAKHIDATUL LIVA
FAUZIAH</td><td>MUHAMAD IRFAN</td><td></td><td>'</td><td>20-08-2000</td><td>BATUR
WETAN RT 01 RW 13</td><td></td><td>BATUR</td><td>PUSKESMAS INDUK</td><td>RISTIYANI,
Sakit</td><td> -
align='right'>1025355</td><td>10-05-2023</td><td>MARIA DETTY
HERLIANINGRUM</td><td></td><td></td><td>'</td><td>01-12-1990</td><td>BAGONGAN RT 14
RW 02</td><td></td><td>TOLOKAN</td><td>PUSKESMAS INDUK</td><td>RISTIYANI,
align='right'>1006163</td><td>10-05-2023</td><td>LITA
YULIANTI</td><td></td><td></td><td>'085601536016</td><td>10-07-2000</
td><td>KALITENGAH RT 01 RW 06</td><td></td><td>BATUR</td><td>PUSKESMAS
PBI</td><td>Rajal</td><td align='right'></td><td align='right'>10</td><td
align='right'>1004571</td><td>10-05-2023</td><td>ANINDITA KAESA
ZAHRA</td><td></td><td></td><td>'</td><td>13-02-2017</td><td>SIDOMUKTI RT 09 RW
A.Md.</td><td>dr.Gani
align='right'>1008804</td><td>10-05-2023</td><td>SRI DEWI
ASTUTI</td><td></td><td></td><td>'</td><td>29-12-1991</td><td>SLEKER RT.2
td><td>'</td><td>26-03-1956</td><td>PIJI RT 10 RW
Sakit</td><td> -
align='right'>1010709</td><td>10-05-2023</td><td>CLARA
ANJANI</td><td></td><td></td><td>'</td><td>05-03-2006</td><td>SLEKER RT 08 RW
Sakit</td><td> -
align='right'>1025012</td><td>10-05-2023</td><td>ALIFIYYAH
ZHAFIRAH RAMADHANI</td><td></td><td></td><td>'</td><td>05-07-2015</td><td>PULIHAN
Sakit</td><td> -
</td><td>100</td><td>60</td><td>81</td><td>36.5</td><td>23</td><td>130</
align='right'>1014388</td><td>10-05-2023</td><td>MIFTAKUL
FAIZAH</td><td></td><td></td><td>'</td><td>23-06-1999</td><td>TOLOKAN RT 02 RW
Sakit</td><td> -
align='right'>1024239</td><td>10-05-2023</td><td>ADZRIL RAFIF
ALFAREZI</td><td></td><td></td><td>'</td><td>23-06-2022</td><td>SIDOMUKTI RT 02 RW
05</td><td>SIDOMUKTI</td><td>KOPENG</td><td>PUSKESMAS INDUK</td><td>RISTIYANI,
Novitawati,A.Md.Keb</td><td>-</td><td>L</td><td><1
align='right'>1009500</td><td>10-05-2023</td><td>LIA PRISKILA
SUCIATI</td><td></td><td></td><td>'</td><td>09-08-1994</td><td>WATES RT
Sakit</td><td> -
align='right'>1024258</td><td>10-05-2023</td><td>AIRA NABILA
TANISHA</td><td></td><td></td><td>'</td><td>03-08-2022</td><td>NGELO RT 04 RW
align='right'>1007214</td><td>10-05-2023</td><td>AGES
RIANDIKA</td><td></td><td></td><td>'</td><td>12-03-2001</td><td>NGELO RT 04 RW
Sakit</td><td> -
align='right'>1004724</td><td>10-05-2023</td><td>WIJI ISMAWATI</td><td>NUR
KHASAN</td><td></td><td>'</td><td>21-08-1994</td><td>TOLOKAN RT 05 RW
Sakit</td><td> -
FAZIROTUN</td><td>TRIMO</td><td></td><td>'</td><td>23-05-1980</td><td>MANGGIHAN
RT.4 RW.1</td><td>MANGGIHAN</td><td>MANGGIHAN</td><td>PUSKESMAS
44 Thn.</td><td>Keluarga</td><td>Lama</td><td>BPJS PBI</td><td></td><td
Sakit</td><td> -
FATIMAH</td><td>SUJAKNO</td><td></td><td>'085726523221</td><td>11-05-1978</
td><td>BLONGORAN RT 05 RW 03 POLOBOGO</td><td></td><td>Luar
Wilayah</td><td>PUSKESMAS INDUK</td><td>RISTIYANI, A.Md.</td><td>dr.Gani
Sakit</td><td> -
align='right'>1024905</td><td>10-05-2023</td><td>LATISHA ERCILIA
TABITHA</td><td>YUSUP
ARIANTO</td><td></td><td>'</td><td>07-10-2022</td><td>SIDOMUKTI RT03 RW
Sakit</td><td> -
align='right'>07000060</td><td>10-05-2023</td><td>RIBUT</td><td>SUYADI</td><td></
Sakit</td><td> -
align='right'>1024035</td><td>10-05-2023</td><td>JUWARTINI</td><td>JOKO
PUJIANTO</td><td></td><td>'</td><td>13-11-1990</td><td>SIDOMUKTI RT 08 RW
Sakit</td><td> -
align='right'>1003402</td><td>10-05-2023</td><td>KURYATI</td><td></td><td></
td><td>'</td><td>15-06-1978</td><td>MANGGIHAN RT
Sakit</td><td> -
align='right'>1013519</td><td>10-05-2023</td><td>LUSIANA
</td><td></td><td></td><td>'</td><td>28-02-2001</td><td>PRINGAPUS RT
Sakit</td><td> -
align='right'>99000052</td><td>10-05-2023</td><td>SRI WAHYUNI</td><td>SLAMET
MADZKURI</td><td></td><td>'087746316718</td><td>23-10-1987</td><td>JOGAN RT 9 RW 1
</td><td></td><td>Luar kabupaten</td><td>PUSKESMAS INDUK</td><td>RISTIYANI,
Sakit</td><td> -
align='right'>1016251</td><td>10-05-2023</td><td>TUKINI</td><td></td><td></
6/1</td><td>GETASAN</td><td>GETASAN</td><td>PUSKESMAS INDUK</td><td>RISTIYANI,
align='right'>1000145</td><td>10-05-2023</td><td>DASNI</td><td></td><td></
Kriswanto</td><td>Supomo,A.Md.Kep</td><td>-</td><td>P</td><td>>70
Thn.</td><td>Keluarga</td><td>Lama</td><td>Umum</td><td>Rujuk</td><td
Umum</td><td>Poli Mata</td><td>RS DR.ASMIR SALATIGA</td><td>Dalam
Sakit</td><td> -
align='right'>1023949</td><td>10-05-2023</td><td>SAZKIA TRI
ANJANI</td><td>MUSLIKAH</td><td></td><td>'</td><td>05-04-2014</td><td>DUKUH RT 02
RW 01</td><td>DUKUH</td><td>BATUR</td><td>PUSKESMAS INDUK</td><td>RISTIYANI,
align='right'>01000048</td><td>10-05-2023</td><td>HABSORO
SOEBAGIYO</td><td></td><td></td><td>'</td><td>30-12-1977</td><td>GETASAN RT 6 RW
Sakit</td><td> -
align='right'>05000015</td><td>10-05-2023</td><td>GIYATI</td><td>JUKI</td><td>BURUH
HARIAN LEPAS</td><td>'</td><td>17-05-1985</td><td>MANGGIHAN RT 1 RW
1</td><td></td><td>MANGGIHAN</td><td>PUSKESMAS INDUK</td><td>RISTIYANI,
Sakit</td><td> -
align='right'>1013131</td><td>10-05-2023</td><td>DEA
ANANDA</td><td></td><td>PELAJAR/MAHASISWA</td><td>'</td><td>06-01-2005</
td><td>SIDOMUKTI RT 06/05</td><td></td><td>KOPENG</td><td>PUSKESMAS
align='right'>1021691</td><td>10-05-2023</td><td>MUHAMMAD ABDUL
FATTAH</td><td></td><td></td><td>'</td><td>26-04-2021</td><td>SANGGAR RT 01 RW
align='right'>1005608</td><td>10-05-2023</td><td>AYURA
AISAFARA</td><td></td><td></td><td>'</td><td>22-01-2009</td><td>TAYEMAN RT
align='right'>07000061</td><td>10-05-2023</td><td>SURYADI</td><td></td><td></
td><td>'</td><td>05-03-1969</td><td>SLEKER 4/3 KOPENG, GETASAN, KAB.
SEMARANG</td><td>SLEKER</td><td>KOPENG</td><td>PUSKESMAS INDUK</td><td>Tika
align='right'>02000029</td><td>10-05-2023</td><td>SUMADI</td><td>SUMADI</
td><td>PETANI/PEKEBUN</td><td>'</td><td>00-00-0000</td><td>SRANTI RT 09 RW 02 WATES
GETASAN</td><td>SRANTI</td><td>WATES</td><td>PUSKESMAS INDUK</td><td>RISTIYANI,
hari</td><td>Keluarga</td><td>Lama</td><td>BPJS PBI</td><td>Rajal</td><td
Sakit</td><td> -
align='right'>01000049</td><td>10-05-2023</td><td>JASMAN</td><td></td><td></
Sakit</td><td> -
align='right'>06000046</td><td>10-05-2023</td><td>NGATIMIN </td><td>TUKIMIN
TUGIONO</td><td></td><td>'</td><td>06-11-1978</td><td>SANGGAR RT 2 RW 7
Umum</td><td>Saraf</td><td>RS DR.ASMIR SALATIGA</td><td>Dalam
Sakit</td><td> -
align='right'>1015150</td><td>10-05-2023</td><td>MUHAMMAD AL
HAFIZI</td><td></td><td>BELUM/TIDAK
BEKERJA</td><td>'</td><td>08-08-2016</td><td>NOGOSAREN RT 07 RW
align='right'>1010631</td><td>10-05-2023</td><td>FERA HANA
PERMATA</td><td></td><td></td><td>'</td><td>19-09-1996</td><td>SLEKER RT
Sakit</td><td> -
align='right'>07000062</td><td>10-05-2023</td><td>LESTARI</td><td></td><td></
td><td>'</td><td>15-11-1976</td><td>SLEKER 3/3
KOPENG</td><td></td><td>KOPENG</td><td>PUSKESMAS INDUK</td><td>Tika
align='right'>04000009</td><td>10-05-2023</td><td>SURYONO</td><td>SURYONO</
td><td></td><td>'</td><td>01-01-1971</td><td>TEGALSARI RT 17 RW
02</td><td>TEGALSARI</td><td>NGRAWAN</td><td>PUSKESMAS INDUK</td><td>RISTIYANI,
Sakit</td><td> -
align='right'>1024770</td><td>10-05-2023</td><td>ROSIA
WATI</td><td></td><td></td><td>'</td><td>14-03-2001</td><td>KENTENG RT 3 RW 5
Sakit</td><td> -
align='right'>99000053</td><td>10-05-2023</td><td>TITIK ELSI AMBARWATI</td><td>TRI
JUMENO</td><td>MENGURUS RUMAH
TANGGA</td><td>'085747439844</td><td>21-02-1989</td><td>KEBONAGUNG RT 3 RW 3
Sakit</td><td> -
align='right'>1012024</td><td>10-05-2023</td><td>ALFIANDRA TEGAR
AFANDI</td><td>SETYO HANDOYO</td><td></td><td>'</td><td>28-07-2011</td><td>SLEKER
</td><td>90</td><td>70</td><td>89</td><td>39.1</td><td>23</td><td>131</td><td>27</
td><td>'</td><td>26-09-1975</td><td>PERUM GRIYA GAWE MUKTI 4/6
SUMOGAWE</td><td></td><td>GETASAN</td><td>PUSKESMAS INDUK</td><td>RISTIYANI,
Sakit</td><td> -
A.Md.</td><td>dr.Arninta Rahma Khoirunnisa</td><td>Riska
04</td><td>MADU</td><td>BATUR</td><td>PUSKESMAS INDUK</td><td>RISTIYANI,
align='right'>01000043</td><td>11-05-2023</td><td>SURAT</td><td></td><td></
td><td>'</td><td>05-07-1940</td><td>KOPENG RT 1 RW 2
A.Md.</td><td>drg.Ade Indranila</td><td> - </td><td>-</td><td>L</td><td>>70
align='right'>06000049</td><td>11-05-2023</td><td>NURYANTI</td><td></td><td></
align='right'>1025541</td><td>11-05-2023</td><td>WAIDI</td><td></td><td></
align='right'>1017281</td><td>11-05-2023</td><td>MARTINI</td><td></td><td></
td><td>'</td><td>15-06-1981</td><td>TEMUWUH LOR RT 03 RW 33</td><td></td><td>Luar
kabupaten</td><td>PUSKESMAS INDUK</td><td>RISTIYANI, A.Md.</td><td></td><td> -
NON PBI</td><td></td><td align='right'>26</td><td align='right'>10</td><td
Sakit</td><td> -
align='right'>1018898</td><td>11-05-2023</td><td>KASINI</td><td></td><td></
td><td>'</td><td>31-12-1956</td><td>PONGANGAN RT 02 RW
align='right'>4</td><td align='right'>66</td><td>BP.
KHOIRI</td><td></td><td></td><td>'</td><td>12-12-2019</td><td>KRANGKENG RT 02 RW
align='right'>1012710</td><td>11-05-2023</td><td>SUWARNI</td><td></td><td></
td><td>'</td><td>30-12-1965</td><td>NOGOSAREN RT 07 RW
align='right'>1004203</td><td>11-05-2023</td><td>KASMIYONO</td><td></td><td></
td><td>'</td><td>11-07-1970</td><td>SALARAN RT
align='right'>1019411</td><td>11-05-2023</td><td>TUMIYEM</td><td></td><td></
td><td>'</td><td>22-02-1986</td><td>GONDANG RT 03 RW
Sakit</td><td> -
align='right'>1001353</td><td>11-05-2023</td><td>SURATMI</td><td></td><td></
align='right'>07000063</td><td>11-05-2023</td><td>EUNIKHE AMELIA
N</td><td></td><td></td><td>'</td><td>27-11-2006</td><td>KOPENG RT 5 RW 2
</td><td></td><td>KOPENG</td><td>PUSKESMAS INDUK</td><td>RISTIYANI,
align='right'>2371</td><td align='right'>99000054</td><td>11-05-2023</td><td>GALUH
CITRA </td><td></td><td></td><td>'</td><td>03-03-2020</td><td>DELES RT 5 RW
2</td><td></td><td>Luar kabupaten</td><td>PUSKESMAS INDUK</td><td>RISTIYANI,
align='right'>1014953</td><td>11-05-2023</td><td>SUKMA
ARIANI</td><td></td><td></td><td>'</td><td>19-03-1999</td><td>WONOSARI RT 02 RW 11
align='right'>1010221</td><td>11-05-2023</td><td>WASITO
WASIDI</td><td></td><td></td><td>'</td><td>18-04-1952</td><td>BANARAN RT 4 RW
Wulandari,A.Md.Kep</td><td>-</td><td>L</td><td>>70
align='right'>2376</td><td align='right'>1019642</td><td>11-05-2023</td><td>MUHAMAD
HAFID ANANDA</td><td></td><td></td><td>'</td><td>12-07-2012</td><td>PRINGAPUS RT 13
RW 01 SUMOGAWE</td><td></td><td>GETASAN</td><td>PUSKESMAS INDUK</td><td>RISTIYANI,
align='right'>1003845</td><td>11-05-2023</td><td>YARMINI</td><td></td><td></
05</td><td></td><td>GETASAN</td><td>PUSKESMAS
INDUK</td><td>RISTIYANI, A.Md.</td><td>dr.Arninta Rahma Khoirunnisa</td><td>Riska
align='right'>2378</td><td align='right'>1013109</td><td>11-05-2023</td><td>DENI
PUJI LESTARI</td><td></td><td></td><td>'</td><td>02-07-1994</td><td>KALIDUREN RT
01/05</td><td>KALIDUREN</td><td>BATUR</td><td>PUSKESMAS INDUK</td><td>RISTIYANI,
Sakit</td><td> -
align='right'>06000050</td><td>11-05-2023</td><td>KHOIRUL
INAYAH</td><td></td><td></td><td>'</td><td>09-06-2006</td><td>KALIDUREN RT 1 RW
Sakit</td><td> -
align='right'>1020524</td><td>11-05-2023</td><td>MARYANTI</td><td></td><td></
td><td>'</td><td>09-03-1990</td><td>KASIRAN RT 03 RW
09</td><td>KASIRAN</td><td>KOPENG</td><td>PUSKESMAS INDUK</td><td>RISTIYANI,
Sakit</td><td> -
align='right'>1014238</td><td>11-05-2023</td><td>DESTI AZIRA
BINTANG</td><td></td><td></td><td>'</td><td>17-12-2012</td><td>BATUR WETAN RT 03 RW
align='right'>2383</td><td align='right'>1012290</td><td>11-05-2023</td><td>RITA
MULYANI </td><td></td><td></td><td>'</td><td>04-11-2003</td><td>KENTENG RT
td><td>'</td><td>11-03-1966</td><td>PENDINGAN RT
align='right'>2385</td><td align='right'>07000064</td><td>11-05-2023</td><td>BAYI
NYONYA ROHAYATUN</td><td></td><td></td><td>'</td><td>08-05-2023</td><td>SLEKER RT 5
RW 3 </td><td></td><td>KOPENG</td><td>PUSKESMAS INDUK</td><td>RISTIYANI,
03</td><td>SLEKER</td><td>KOPENG</td><td>PUSKESMAS INDUK</td><td>RISTIYANI,
align='right'>90000104</td><td>11-05-2023</td><td>KAFIE EL AZZAM</td><td>MUH
YUNIANTO</td><td>PELAJAR/MAHASISWA</td><td>'</td><td>29-11-2013</td><td>SEMARE RT 8
RW 3 </td><td></td><td>Luar Wilayah</td><td>PUSKESMAS INDUK</td><td>RISTIYANI,
align='right'>02000035</td><td>11-05-2023</td><td>LIA ABDATUS
SIDKIAH</td><td></td><td></td><td>'</td><td>04-06-1998</td><td>KEDAYON RT 6 RW 1
Sakit</td><td> -
align='right'>06000014</td><td>11-05-2023</td><td>WAHYONO</td><td></td><td></
td><td>'085156178424</td><td>15-01-1993</td><td>SANGGAR RT 01 RW
07</td><td>SANGGAR</td><td>BATUR</td><td>PUSKESMAS INDUK</td><td>RISTIYANI,
align='right'>1012533</td><td>11-05-2023</td><td>AGUS
SUGIONO</td><td></td><td></td><td>'</td><td>17-11-1973</td><td>PERUM SEHATI H NO
302 BLOTONGAN </td><td></td><td>Luar Wilayah</td><td>PUSKESMAS
Umum</td><td>Penyakit Dalam </td><td>RS KEN SARAS</td><td>Luar
align='right'>2391</td><td align='right'>1022319</td><td>11-05-2023</td><td>NABILA
SALSABILA NADHIFA</td><td></td><td></td><td>'</td><td>22-11-2014</td><td>MADU
RT 01 RW 04</td><td>MADU</td><td>BATUR</td><td>PUSKESMAS INDUK</td><td>Susilo Dwi
Handoyo</td><td>drg.Ade Indranila</td><td> - </td><td>-</td><td>P</td><td>5-9
td><td>'</td><td>26-01-1979</td><td>KEBONAN RT.7
RW.1</td><td></td><td>TOLOKAN</td><td>PUSKESMAS INDUK</td><td>RISTIYANI,
align='right'>1023481</td><td>12-05-2023</td><td>PAINI</td><td></td><td></
td><td>'</td><td>31-12-1953</td><td>MANGGIHARJO 5/1
</td><td></td><td>MANGGIHAN</td><td>PUSKESMAS INDUK</td><td>RISTIYANI,
A.Md.</td><td>drg.Ade Indranila</td><td>drg.Ade
align='right'>1021634</td><td>12-05-2023</td><td>TRIMO</td><td></td><td></
Umum</td><td>JANTUNG DAN PEMBULUH DARAH</td><td>RS PURI ASIH SALATIGA</td><td>Dalam
align='right'>2395</td><td align='right'>1025456</td><td>12-05-2023</td><td>HERY
PRAMONO</td><td></td><td></td><td>'</td><td>18-03-1990</td><td>WATES RT 04 RW
NUR ANNISA</td><td></td><td></td><td>'</td><td>18-12-2005</td><td>KEDAYON RT 12 RW
1 </td><td></td><td>WATES</td><td>PUSKESMAS INDUK</td><td>RISTIYANI,
KARTINI ALS KARTINI</td><td></td><td></td><td>'</td><td>07-07-1970</td><td>KOPENG
align='right'>1023979</td><td>12-05-2023</td><td>PARMI</td><td></td><td></
td><td>'</td><td>21-04-1963</td><td>JL.KALIMANTAN 75 RT 03 RW
align='right'>1021370</td><td>12-05-2023</td><td>SUMARJOKO</td><td></td><td></
td><td>'</td><td>12-12-1956</td><td>JL.KALIMANTAN 75 RT 03 RW
07</td><td></td><td>Luar Wilayah</td><td>PUSKESMAS INDUK</td><td>RISTIYANI,
A.Md.</td><td>dr.Steven Budi Setiawan</td><td>Retno Sri Hastuti,Amd.Kep</td><td>-
</td><td>L</td><td>60-69 Thn.</td><td>Keluarga</td><td>Lama</td><td>BPJS NON
PBI</td><td>Rujuk</td><td align='right'></td><td align='right'>5</td><td
align='right'>66</td><td>BP. Umum</td><td>JANTUNG DAN PEMBULUH DARAH</td><td>RS
PURI ASIH SALATIGA</td><td>Luar
align='right'>1025593</td><td>12-05-2023</td><td>MUHAMMAD ALWI
ASSAQIF</td><td>KEMIS</td><td></td><td>'081575776821</td><td>07-02-2023</
td><td>BATUR KIDUL RT 01 RW 14</td><td>BATUR KIDUL</td><td>BATUR</td><td>PUSKESMAS
Sakit</td><td> -
align='right'>1009694</td><td>12-05-2023</td><td>ASYILA NASYA
MAULIDHA</td><td></td><td></td><td>'085601588546</td><td>08-01-2018</td><td>BATUR
KIDUL RT 01/14</td><td></td><td>BATUR</td><td>PUSKESMAS INDUK</td><td>RISTIYANI,
align='right'>1022781</td><td>12-05-2023</td><td>ARCEL PUTRA AL
RASKHA</td><td></td><td></td><td>'</td><td>01-11-2021</td><td>SENGON RT 03 RW
02</td><td>SENGON</td><td>MANGGIHAN</td><td>PUSKESMAS INDUK</td><td>Tika
align='right'>03000004</td><td>12-05-2023</td><td>ARDEAN NARENDRA
ALHABSYI</td><td>ANTORO</td><td>BELUM/TIDAK
BEKERJA</td><td>'</td><td>28-01-2023</td><td>TOLOKAN RT 11 RW
align='right'>1024979</td><td>12-05-2023</td><td>YUDA ABDUL AZIZ</td><td>YUSUP
BAHTIAR</td><td></td><td>'</td><td>27-01-2020</td><td>SUMOGAWE RT 02 RW
Sakit</td><td> -
align='right'>1008392</td><td>12-05-2023</td><td>ENI
MAHMUDAH</td><td></td><td></td><td>'</td><td>25-06-1995</td><td>REJOSARI RT 01 RW
A.Md.</td><td>dr.Steven Budi Setiawan</td><td>Wiwik Arditarini,A.Md.Keb</td><td>-
</td><td>P</td><td>20-44 Thn.</td><td>Keluarga</td><td>Lama</td><td>BPJS NON
PBI</td><td>Rujuk</td><td align='right'>17</td><td align='right'>10</td><td
align='right'>27</td><td>KIA</td><td>obgyn</td><td>RS PURI ASIH
SALATIGA</td><td>Dalam
Sakit</td><td>Wiwik
Arditarini,A.Md.Keb</td><td>90</td><td>70</td><td>88</td><td>36</td><td>22</
align='right'>2406</td><td align='right'>1025376</td><td>12-05-2023</td><td>HILDA
ROHMAH SETYOWATI</td><td>EKO
YULIANTO</td><td></td><td>'</td><td>17-11-2001</td><td>NGRAWAN RT 05 RW
A.Md.</td><td>dr.Steven Budi Setiawan</td><td>Wiwik Arditarini,A.Md.Keb</td><td>-
</td><td>P</td><td>20-44 Thn.</td><td>Keluarga</td><td>Lama</td><td>BPJS NON
Sakit</td><td>Wiwik
Arditarini,A.Md.Keb</td><td>120</td><td>80</td><td>82</td><td>37</td><td>25</
align='right'>2407</td><td align='right'>1025460</td><td>12-05-2023</td><td>KRIS
SUNDARI</td><td></td><td></td><td>'081329448901</td><td>11-11-1993</td><td>GADING
LEGOK RT3/16 SAWANGAN MAGELANG</td><td></td><td>Luar kabupaten</td><td>PUSKESMAS
INDUK</td><td>RISTIYANI, A.Md.</td><td>drg.Ade Indranila</td><td>drg.Ade
align='right'>1018396</td><td>12-05-2023</td><td>NIKEN
AFRIZA</td><td></td><td></td><td>'</td><td>14-07-1992</td><td>SLEKER RT 01 RW
Sakit</td><td> -
align='right'>1021749</td><td>12-05-2023</td><td>MUHAMMAD IBNU
MASÙD</td><td></td><td></td><td>'</td><td>09-05-2021</td><td>SANGGAR RT 01 RW
Sakit</td><td> -
align='right'>1011750</td><td>12-05-2023</td><td>JULIANA NOFA
SIBURIAN</td><td></td><td></td><td>'</td><td>03-07-1983</td><td>BUMIAYU RT 02 RW 04
SUMOGAWE</td><td></td><td>Luar Wilayah</td><td>PUSKESMAS INDUK</td><td>RISTIYANI,
align='right'>90000105</td><td>12-05-2023</td><td>ALBERTUS BUDIONO
PRAJITNO</td><td></td><td></td><td>'085225026000</td><td>24-04-1971</td><td>JL
PATIMURA NO 96 RT 4 RW 7</td><td></td><td>Luar Wilayah</td><td>PUSKESMAS
align='right'>04000013</td><td>12-05-2023</td><td>WAGINAH</td><td>SUGIARTO
SURADI</td><td>PETANI/PEKEBUN</td><td>'085225403782</td><td>17-08-1948</
td><td>TEGALSARI RT 17 RW 2 </td><td></td><td>NGRAWAN</td><td>PUSKESMAS
align='right'>2413</td><td align='right'>1001362</td><td>12-05-2023</td><td>YOHANES
YONATAN</td><td></td><td></td><td>'</td><td>08-12-1962</td><td>SENDEN RT 02 RW
align='right'>08000011</td><td>12-05-2023</td><td>KASINI</td><td></td><td></
td><td>'</td><td>31-12-1953</td><td>NOGOSAREN RT 1 RW 1
</td><td></td><td>NOGOSAREN</td><td>PUSKESMAS INDUK</td><td>RISTIYANI,
align='right'>2416</td><td align='right'>1014898</td><td>12-05-2023</td><td>WIDHI
NUR FATIMAH</td><td></td><td></td><td>'</td><td>06-12-2003</td><td>PERUM GAWE MUKTI
align='right'>1002810</td><td>12-05-2023</td><td>ZAHRA NUR
ANISA</td><td></td><td></td><td>'</td><td>29-09-2004</td><td>SUMOGAWE RT.1
RW.2</td><td></td><td>GETASAN</td><td>PUSKESMAS INDUK</td><td>RISTIYANI,
align='right'>2418</td><td align='right'>1011588</td><td>12-05-2023</td><td>ALFI
SUSANTI</td><td></td><td></td><td>'</td><td>01-10-2004</td><td>TANON RT
12/01</td><td>TANON</td><td>NGRAWAN</td><td>PUSKESMAS INDUK</td><td>RISTIYANI,
align='right'>2419</td><td align='right'>1000436</td><td>12-05-2023</td><td>GRACEA
AUDRY LESTARI</td><td>PASIDI</td><td></td><td>'</td><td>22-01-2011</td><td>KENDAL
A.Md.</td><td>drg.Ade Indranila</td><td>Maulida Rahma K
align='right'>2420</td><td align='right'>1023914</td><td>12-05-2023</td><td>KHANZA
QONITA AZZAHRA</td><td></td><td></td><td>'</td><td>09-02-2017</td><td>WATES RT 03
align='right'>1000828</td><td>12-05-2023</td><td>JUMIAH</td><td></td><td></
align='right'>2422</td><td align='right'>1000160</td><td>12-05-2023</td><td>ERNA
YUNIYATI</td><td></td><td></td><td>'</td><td>03-06-2005</td><td>SLEKER RT 03 RW
RW.2</td><td></td><td>NGRAWAN</td><td>PUSKESMAS INDUK</td><td>RISTIYANI,
align='right'>01000050</td><td>12-05-2023</td><td>VERONICA YULI
WIDYASARI</td><td></td><td></td><td>'081390523552</td><td>09-07-1973</
td><td>JAMPELAN RT 1 RW 2</td><td></td><td>GETASAN</td><td>PUSKESMAS
align='right'>90000106</td><td>12-05-2023</td><td>MUHAMMAD BONDAN
JATMIKO</td><td></td><td>KARYAWAN
SWASTA</td><td>'</td><td>14-11-1996</td><td>KRASAK SARI RT 6 RW 7
</td><td></td><td>Luar Wilayah</td><td>PUSKESMAS INDUK</td><td>RISTIYANI,
align='right'>2427</td><td align='right'>1018874</td><td>12-05-2023</td><td>DAFFA
HAFISUDIN AZKA</td><td></td><td></td><td>'</td><td>27-01-2016</td><td>SLEKER RT 08
RW 03</td><td></td><td>KOPENG</td><td>PUSKESMAS INDUK</td><td>RISTIYANI,
align='right'>1003258</td><td>12-05-2023</td><td>AFZA KHAIREEN
NADIFAH</td><td></td><td></td><td>'</td><td>24-07-2015</td><td>PLALAR RT
align='right'>06000051</td><td>12-05-2023</td><td>SURADI</td><td></td><td></
align='right'>01000051</td><td>12-05-2023</td><td>MUHAMMAD BAGUS
SETIAWAN</td><td></td><td>PELAJAR/MAHASISWA</td><td>'</td><td>27-10-2011</
td><td>SUMOGAWE RT 11 RW 1</td><td></td><td>GETASAN</td><td>PUSKESMAS
Wilayah</td><td>'0001915927255</td><td>'</td><td>Kunjungan
align='right'>2432</td><td align='right'>1006163</td><td>13-05-2023</td><td>LITA
td><td>KALITENGAH RT 01 RW 06</td><td>KALITENGAH</td><td>BATUR</td><td>PUSKESMAS
INDUK</td><td>Tika Elvania</td><td>drg.Ade Indranila</td><td> -
align='right'>1008251</td><td>13-05-2023</td><td>AINUN DEWI
LESTARI</td><td></td><td></td><td>'</td><td>14-12-2013</td><td>SRANTI RT.9
RW.2</td><td>SRANTI</td><td>WATES</td><td>PUSKESMAS INDUK</td><td>Tika
Elvania</td><td>dr.Gani Kriswanto</td><td>Retno Sri
align='right'>2434</td><td align='right'>1025420</td><td>13-05-2023</td><td>IMAM
PRASTIYO</td><td></td><td></td><td>'085747435336</td><td>09-08-2004</td><td>SRANTI
RT 09 RW 02</td><td>SRANTI</td><td>WATES</td><td>PUSKESMAS INDUK</td><td>Tika
Hastuti,Amd.Kep</td><td>-</td><td>L</td><td>15-19
align='right'>2435</td><td align='right'>1021366</td><td>13-05-2023</td><td>BRIELLA
IVANA STEFANI</td><td>SLAMET</td><td></td><td>'</td><td>22-03-2021</td><td>NGLELO
RT 03 RW 19</td><td>NGLELO</td><td>BATUR</td><td>PUSKESMAS INDUK</td><td>Tika
align='right'>1025463</td><td>13-05-2023</td><td>SAMINI</td><td></td><td>PETANI/
PEKEBUN</td><td>'081904365210</td><td>12-11-1976</td><td>SENDEN RT 03 RW
Umum</td><td>Orthopedi</td><td>RS PURI ASIH SALATIGA</td><td>Dalam
align='right'>1023776</td><td>13-05-2023</td><td>DARMI</td><td></td><td></
td><td>'087700413193</td><td>06-09-1966</td><td>POLOBOGO RT 06 RW 11
align='right'>2438</td><td align='right'>07000065</td><td>13-05-2023</td><td>TYAS
ARUMSARI</td><td></td><td>KARYAWAN SWASTA</td><td>'081225838220</td><td>17-05-
1998</td><td>CUNTEL RT 03 RW 01</td><td>CUNTEL</td><td>KOPENG</td><td>PUSKESMAS
Sakit</td><td> -
align='right'>99000055</td><td>13-05-2023</td><td>AYUB JULIANTO ADI
NUGROHO</td><td></td><td></td><td>'</td><td>08-07-1997</td><td>JOLOTIGO RT 02 RW 02
PEKALONGAN</td><td></td><td>Luar kabupaten</td><td>PUSKESMAS INDUK</td><td>Tika
align='right'>2440</td><td align='right'>99000056</td><td>13-05-2023</td><td>SAVIRA
PUTRI EFENDI</td><td>AGUS
EFENDI</td><td></td><td>'</td><td>06-02-2023</td><td>DALANGAN RT 02 RW 01 PANDEAN
NGABLAK</td><td></td><td>Luar kabupaten</td><td>PUSKESMAS INDUK</td><td>Tika
Elvania</td><td>dr.Arninta Rahma Khoirunnisa</td><td> -
</td><td>-</td><td>P</td><td><1 Thn.</td><td>Keluarga</td><td>Baru</td><td>BPJS
align='right'>1015156</td><td>13-05-2023</td><td>PARIEM</td><td></td><td></
td><td>'</td><td>03-02-1966</td><td>BLANCIR RT 03 RW
align='right'>2442</td><td align='right'>1013289</td><td>13-05-2023</td><td>ADISTI
NANDA SARI</td><td>SUMADI</td><td></td><td>'</td><td>27-11-1996</td><td>WATES RT
Sakit</td><td> -
align='right'>1008107</td><td>13-05-2023</td><td>ANNA ANISA
MURDITASARI</td><td></td><td>KARYAWAN
SWASTA</td><td>'</td><td>04-06-1998</td><td>SIDOMUKTI RT 09 RW
align='right'>1018505</td><td>13-05-2023</td><td>MUKIMIN
ISKAK</td><td></td><td></td><td>'</td><td>14-03-1966</td><td>BLANCIR RT 02 RW
Umum</td><td>Bedah</td><td>RS PURI ASIH SALATIGA</td><td>Dalam
WAHYU LESTARI</td><td>IGNATIUS ALDYTH ADI PRAMONO</td><td>KARYAWAN
SWASTA</td><td>'085726521573</td><td>30-11-2001</td><td>DUKUH RT 06 RW
Sakit</td><td> -
align='right'>1004026</td><td>13-05-2023</td><td>SIYAM</td><td></td><td></
td><td>'</td><td>12-03-1961</td><td>PLALAR RT 03 RW
FITRI</td><td></td><td></td><td>'</td><td>21-05-1993</td><td>SENDEN RT
03/09</td><td>SENDEN</td><td>BATUR</td><td>PUSKESMAS INDUK</td><td>Tika
Sakit</td><td> -
align='right'>1023421</td><td>13-05-2023</td><td>RAYZHARD RAFA
PRADIPTA</td><td></td><td></td><td>'</td><td>22-11-2015</td><td>BUMIAYU RT 01 RW
align='right'>1012290</td><td>13-05-2023</td><td>RITA MULYANI
</td><td></td><td></td><td>'</td><td>04-11-2003</td><td>KENTENG RT
align='right'>1006513</td><td>13-05-2023</td><td>PURWANTI</td><td></td><td></
td><td>'</td><td>01-12-1998</td><td>KRANGKENG RT
05/02</td><td>KRANGKENG</td><td>BATUR</td><td>PUSKESMAS INDUK</td><td>Tika
align='right'>08000012</td><td>13-05-2023</td><td>MINDARSIH</td><td></
td><td>PETANI/PEKEBUN</td><td>'</td><td>23-10-1977</td><td>GEJAYAN RT 08 RW
align='right'>1009648</td><td>13-05-2023</td><td>IGNATIUS ALDYTH ADI
PRAMONO</td><td></td><td></td><td>'</td><td>26-02-2001</td><td>DUKUH RT
06/08</td><td>DUKUH</td><td>KOPENG</td><td>PUSKESMAS INDUK</td><td>Tika
align='right'>90000107</td><td>13-05-2023</td><td>YAMTI</td><td>PARJO
PARTONO</td><td></td><td>'</td><td>08-12-1972</td><td>DALANGAN RT 02 RW 03
align='right'>1005933</td><td>13-05-2023</td><td>MUNFAATUN</td><td></td><td></
td><td>'</td><td>12-12-1984</td><td>GEJAYAN RT.8
RW.2</td><td>GEJAYAN</td><td>NOGOSAREN</td><td>PUSKESMAS INDUK</td><td>Tika
Sakit</td><td> -
align='right'>1000389</td><td>13-05-2023</td><td>BAROKAH</td><td></td><td></
td><td>'</td><td>16-07-1986</td><td>GEJAYAN RT.9
RW.11</td><td>GEJAYAN</td><td>NOGOSAREN</td><td>PUSKESMAS INDUK</td><td>Tika
Sakit</td><td> -
align='right'>90000104</td><td>13-05-2023</td><td>KAFIE EL AZZAM</td><td>MUH
YUNIANTO</td><td>PELAJAR/MAHASISWA</td><td>'</td><td>29-11-2013</td><td>SEMARE RT 8
RW 3 </td><td></td><td>Luar Wilayah</td><td>PUSKESMAS INDUK</td><td>Tika
align='right'>1015933</td><td>13-05-2023</td><td>NURYANINGSIH</td><td>EKO
SUPRIYANTO</td><td></td><td>'085641125414</td><td>25-11-1980</td><td>DUKUH RT 04 RW
Sakit</td><td> -
align='right'>99000057</td><td>13-05-2023</td><td>KUWATI</td><td></td><td>MENGURUS
RUMAH TANGGA</td><td>'</td><td>12-07-1979</td><td>JL.TAMBAK BOYO RT 09 RW 02 KOTA
SEMARANG</td><td></td><td>Luar kabupaten</td><td>PUSKESMAS INDUK</td><td>Tika
align='right'>1015387</td><td>13-05-2023</td><td>SUPRIHATI</td><td></td><td></
Kriswanto</td><td>Retno Sri Hastuti,Amd.Kep</td><td>-</td><td>P</td><td>45-54
align='right'>1015642</td><td>13-05-2023</td><td>SUPARMIN</td><td></td><td></
Kriswanto</td><td>Retno Sri Hastuti,Amd.Kep</td><td>-</td><td>L</td><td>45-54
align='right'>2463</td><td align='right'>1006593</td><td>13-05-2023</td><td>ALFI
KURNIA</td><td></td><td></td><td>'</td><td>28-10-1998</td><td>TOLOKAN RT 05 RW
align='right'>1004499</td><td>13-05-2023</td><td>YATEMI</td><td></td><td></
td><td>'</td><td>14-04-1955</td><td>TAWANG RT 02 RW
18</td><td>TAWANG</td><td>BATUR</td><td>PUSKESMAS INDUK</td><td>RISTIYANI,
A.Md.</td><td>dr.Gani Kriswanto</td><td>Retno Sri
FATIMAH</td><td></td><td></td><td>'</td><td>08-03-1984</td><td>BATUR WETAN RT.2
RW.13</td><td></td><td>BATUR</td><td>PUSKESMAS INDUK</td><td>RISTIYANI,
Sakit</td><td> -
align='right'>06000052</td><td>15-05-2023</td><td>SURAMI</td><td></td><td></
td><td>'</td><td>31-12-1962</td><td>KALIDUREN RT 1
Sakit</td><td> -
align='right'>1022572</td><td>15-05-2023</td><td>ENDANG
LESTARI</td><td></td><td></td><td>'</td><td>04-11-2021</td><td>KALITENGAH RT 02 RW
align='right'>1020017</td><td>15-05-2023</td><td>GELEN SAMUDRA
DEWANADA</td><td></td><td></td><td>'</td><td>14-11-2018</td><td>NGADUMAN RT 04 RW
PRAMONO</td><td></td><td></td><td>'</td><td>26-08-2020</td><td>BUMIAYU RT 02 RW
Sakit</td><td> -
align='right'>1011750</td><td>15-05-2023</td><td>JULIANA NOFA
SIBURIAN</td><td></td><td></td><td>'</td><td>03-07-1983</td><td>BUMIAYU RT 02 RW 04
Sakit</td><td> -
align='right'>1013077</td><td>15-05-2023</td><td>INAS
SUJIYATI</td><td></td><td></td><td>'</td><td>01-12-1999</td><td>KEJALAN RT
align='right'>1023519</td><td>15-05-2023</td><td>DARMI
</td><td></td><td></td><td>'</td><td>09-06-1955</td><td>SELONGIS0R RT
02/01</td><td>SELONGISOR</td><td>BATUR</td><td>PUSKESMAS INDUK</td><td>RISTIYANI,
Sakit</td><td> -
align='right'>1022241</td><td>15-05-2023</td><td>SARJU
MAFI</td><td></td><td></td><td>'</td><td>01-12-1974</td><td>CLOWOK RT 06 RW
Umum</td><td>Saraf</td><td>RS PURI ASIH SALATIGA</td><td>Luar
Sakit</td><td> -
align='right'>07000067</td><td>15-05-2023</td><td>LUTFY
SANTONI</td><td></td><td></td><td>'</td><td>04-01-2008</td><td>KOPENG
Sakit</td><td> -
align='right'>1000135</td><td>15-05-2023</td><td>AULIA PUTRI
RAMADANI</td><td></td><td></td><td>'</td><td>21-07-2014</td><td>GETASAN RT 4 RW
Sakit</td><td> -
align='right'>1013417</td><td>15-05-2023</td><td>RUKAYAH</td><td></td><td></
td><td>'</td><td>05-06-1976</td><td>MANNGIHAN RT
Sakit</td><td> -
align='right'>07000068</td><td>15-05-2023</td><td>FATINA
CANDRAWATI</td><td></td><td></td><td>'</td><td>07-06-2013</td><td>BLANCIR RT 2 RW
align='right'>07000069</td><td>15-05-2023</td><td>BELLATRISIA PURBA</td><td>DUWI
KRISTIANTO</td><td></td><td>'082274243498</td><td>01-11-1996</td><td>SLEKER RT 10
RW 3</td><td></td><td>KOPENG</td><td>PUSKESMAS INDUK</td><td>RISTIYANI,
Sakit</td><td> -
align='right'>1015594</td><td>15-05-2023</td><td>RENISA WIGATINING
TYAS</td><td></td><td>PELAJAR/MAHASISWA</td><td>'</td><td>24-01-1999</
td><td>PANDANAN RT 01 RW 03</td><td></td><td>GETASAN</td><td>PUSKESMAS
Sakit</td><td> -
align='right'>07000070</td><td>15-05-2023</td><td>NAUFALANA
ASKA</td><td>MURWANTO</td><td>PELAJAR/MAHASISWA</td><td>'08239020726</td><td>14-10-
2016</td><td>KOPENG RT 4 RW 2</td><td></td><td>KOPENG</td><td>PUSKESMAS
INDUK</td><td>RISTIYANI, A.Md.</td><td>drg.Ade Indranila</td><td>Maulida Rahma K
align='right'>1005594</td><td>15-05-2023</td><td>MURTIYAH
</td><td></td><td>PETANI/PEKEBUN</td><td>'</td><td>07-02-1995</td><td>BATUR KIDUL
RT 04 /014</td><td></td><td>BATUR</td><td>PUSKESMAS INDUK</td><td>RISTIYANI,
align='right'>1009748</td><td>15-05-2023</td><td>JUMSARI</td><td></td><td></
td><td>'</td><td>28-04-1977</td><td>BATUR KIDUL RT 05 RW 14</td><td>BATUR
KIDUL</td><td>BATUR</td><td>PUSKESMAS INDUK</td><td>RISTIYANI,
align='right'>1010727</td><td>15-05-2023</td><td>ADE
KRISTINA</td><td></td><td></td><td>'</td><td>05-05-1980</td><td>PLALAR RT 03 RW
Sakit</td><td> -
align='right'>1025460</td><td>15-05-2023</td><td>KRIS
align='right'>1004571</td><td>15-05-2023</td><td>ANINDITA KAESA
ZAHRA</td><td></td><td></td><td>'</td><td>13-02-2017</td><td>SIDOMUKTI RT 09 RW
align='right'>1013315</td><td>15-05-2023</td><td>SARINIATI</td><td></td><td></
Sakit</td><td> -
align='right'>1001806</td><td>15-05-2023</td><td>ANDIKA LUKI
VERDIANTO</td><td></td><td></td><td>'</td><td>01-04-2009</td><td>PANDANAN</
td><td></td><td>GETASAN</td><td>PUSKESMAS INDUK</td><td>RISTIYANI,
Umum</td><td>Orthopedi</td><td>RS PURI ASIH SALATIGA</td><td>Dalam
Sakit</td><td> -
align='right'>1008511</td><td>15-05-2023</td><td>SRI KURNIA
HIDAYATI</td><td></td><td></td><td>'</td><td>23-12-1999</td><td>TEGALSARI RT 17 RW
Sakit</td><td> -
align='right'>1012898</td><td>15-05-2023</td><td>INDAH
LESTARI</td><td></td><td></td><td>'</td><td>08-07-2003</td><td>SRANTI RT
Sakit</td><td> -
align='right'>1022708</td><td>15-05-2023</td><td>SUTARNO</td><td></td><td></
td><td>'</td><td>07-07-1973</td><td>POLOBOGO RT 05 RW
Sakit</td><td> -
MULYANI</td><td></td><td></td><td>'</td><td>28-03-1982</td><td>KEDAYON RT 06 RW
align='right'>1003845</td><td>15-05-2023</td><td>YARMINI</td><td></td><td></
Sakit</td><td> -
align='right'>1024342</td><td>15-05-2023</td><td>MUHAMMAD FAIQ
AL-AZZAM</td><td></td><td></td><td>'</td><td>02-03-2022</td><td>KARANGBAWANG RT 12
RW 02</td><td></td><td>NOGOSAREN</td><td>PUSKESMAS INDUK</td><td>RISTIYANI,
MUNARSIH</td><td></td><td></td><td>'</td><td>21-05-1975</td><td>DUKUH RT
Sakit</td><td> -
align='right'>02000036</td><td>15-05-2023</td><td>DEWI NUR
ANNISA</td><td></td><td></td><td>'</td><td>18-12-2005</td><td>KEDAYON RT 12 RW 1
Sakit</td><td> -
align='right'>01000052</td><td>15-05-2023</td><td>AISAH NUHA
ALAYA</td><td></td><td></td><td>'</td><td>07-12-2015</td><td>JAMPELAN RT 1 RW
Sakit</td><td> -
align='right'>1000423</td><td>15-05-2023</td><td>SUHARTINI</td><td></td><td></
td><td>'</td><td>26-03-1956</td><td>PENDINGAN RT 05 RW
Sakit</td><td> -
align='right'>1005365</td><td>15-05-2023</td><td>MARTO
TARUNO</td><td></td><td></td><td>'</td><td>31-12-1949</td><td>DUKUH RT 01 RW
02</td><td>DUKUH</td><td>BATUR</td><td>PUSKESMAS INDUK</td><td>RISTIYANI,
Khoirunnisa</td><td>Supomo,A.Md.Kep</td><td>-</td><td>L</td><td>>70
align='right'>1023921</td><td>15-05-2023</td><td>ALONA ATHASYA
LASIKIN</td><td></td><td></td><td>'</td><td>01-05-2022</td><td>MUJO RT 03 RW
align='right'>1016251</td><td>15-05-2023</td><td>TUKINI</td><td></td><td></
6/1</td><td>GETASAN</td><td>GETASAN</td><td>PUSKESMAS INDUK</td><td>RISTIYANI,
align='right'>1024409</td><td>15-05-2023</td><td>SURYANTO</td><td></td><td></
Sakit</td><td> -
align='right'>1014155</td><td>15-05-2023</td><td>ETIK
SURYANI</td><td></td><td></td><td>'</td><td>11-11-1997</td><td>SENGON RT 01 RW
02</td><td>SENGON</td><td>MANGGIHAN</td><td>PUSKESMAS INDUK</td><td>RISTIYANI,
Sakit</td><td> -
align='right'>1008467</td><td>15-05-2023</td><td>DEBORA GRECIA SUCI
ANGGRAINY</td><td>ELISABET
SUMIYATI</td><td></td><td>'</td><td>10-01-2011</td><td>PANDANAN RT
3/3</td><td>PANDANAN</td><td>GETASAN</td><td>PUSKESMAS INDUK</td><td>Tika
align='right'>1010128</td><td>15-05-2023</td><td>ANTHONY DANIEL
MONONIMBAR</td><td></td><td></td><td>'085780827423</td><td>24-02-2006</td><td>PERUM
GAWE MUKTI RT 3/6</td><td></td><td>Luar Wilayah</td><td>PUSKESMAS
align='right'>1009029</td><td>15-05-2023</td><td>DEVI
ANITA</td><td></td><td>KARYAWAN SWASTA</td><td>'</td><td>13-07-1994</td><td>GONDANG
RT 02/01</td><td>GONDANG</td><td>BATUR</td><td>PUSKESMAS INDUK</td><td>Tika
Sakit</td><td> -
align='right'>03000029</td><td>15-05-2023</td><td>HUMAIRA AQILA</td><td>SRI
UTOMO</td><td>BELUM/TIDAK BEKERJA</td><td>'</td><td>21-04-2023</td><td>TOLOKAN RT
05 RW 01</td><td>TOLOKAN</td><td>TOLOKAN</td><td>PUSKESMAS INDUK</td><td>Tika
Khoirunnisa</td><td>Wiwin,A.Md.Keb</td><td>-</td><td>P</td><td>8-30
align='right'>07000071</td><td>15-05-2023</td><td>RIZQIA AMEERA
SHABILA</td><td>SLAMET EDI N</td><td>BELUM/TIDAK
BEKERJA</td><td>'0882003375192</td><td>11-05-2023</td><td>KOPENG RT 01 RW
align='right'>1001039</td><td>15-05-2023</td><td>ESTER SRI
LESTARAI</td><td></td><td></td><td>'</td><td>26-03-1979</td><td>NGELO RT 03 RW
align='right'>1019732</td><td>15-05-2023</td><td>MARSIDI</td><td>MARSIDI</
td><td></td><td>'</td><td>30-10-1960</td><td>KEBONPETE RT 1 RW
align='right'>1000977</td><td>15-05-2023</td><td>RAMINI</td><td></td><td></
Sakit</td><td> -
align='right'>1000411</td><td>15-05-2023</td><td>ZINNETA CYNARA
LUMASISKA</td><td></td><td></td><td>'</td><td>23-03-2015</td><td>SIDOMUKTI RT
03/05</td><td>SIDOMUKTI</td><td>KOPENG</td><td>PUSKESMAS INDUK</td><td>Tika
Sakit</td><td> -
align='right'>1024427</td><td>15-05-2023</td><td>ZEFANYA CHISTA ARIDYA
RAWESTRI</td><td></td><td></td><td>'</td><td>17-11-2021</td><td>SIDOMUKTI RT 03 RW
Sakit</td><td> -
align='right'>1018689</td><td>15-05-2023</td><td>MEGA WIDA ASTUTI</td><td>SORO ADI
P</td><td>WIRASWASTA</td><td>'</td><td>27-05-1990</td><td>GETASAN RT 03 RW
Sakit</td><td> -
align='right'>1014679</td><td>15-05-2023</td><td>MILA
FATQIA</td><td>SAEFUDIN</td><td>MENGURUS RUMAH
TANGGA</td><td>'08895234408</td><td>13-06-1998</td><td>PLALAR RT 06 RW
Sakit</td><td> -
align='right'>90000108</td><td>15-05-2023</td><td>MUH ABDUL
ROZAK</td><td></td><td></td><td>'085865048758</td><td>17-08-1982</td><td>KARANGASEM
RT 05 RW 06 KETAPANG SUSUKAN</td><td></td><td>Luar Wilayah</td><td>PUSKESMAS
Sakit</td><td> -
align='right'>1011996</td><td>15-05-2023</td><td>EXCEL VINO
AVALTYAN</td><td></td><td></td><td>'</td><td>26-08-2012</td><td>GEDAD RT
09/01</td><td>GEDAD</td><td>WATES</td><td>PUSKESMAS INDUK</td><td>Tika
Sakit</td><td> -
align='right'>07000072</td><td>15-05-2023</td><td>ROBINI</td><td>RUSWANTO</
td><td>PETANI/PEKEBUN</td><td>'085726224921</td><td>14-07-1975</td><td>PLALAR RT 04
RW 04</td><td>PLALAR</td><td>KOPENG</td><td>PUSKESMAS INDUK</td><td>Tika
Sakit</td><td> -
align='right'>1014718</td><td>15-05-2023</td><td>EDI SAPUTRA
TARIGAN</td><td></td><td></td><td>'</td><td>12-03-2000</td><td>PONDOK PENUAI
KEDAYON</td><td></td><td>WATES</td><td>PUSKESMAS INDUK</td><td>Tika
td><td>'</td><td>06-09-1954</td><td>NGROTO RT 8 RW 5</td><td></td><td>Luar
Sakit</td><td> -
align='right'>1024916</td><td>15-05-2023</td><td>MARYAM ERINA
CHALISA</td><td></td><td></td><td>'</td><td>03-08-2022</td><td>TOLOKAN RT 05 RW
Hartini,S.S.T.Keb</td><td>-</td><td>P</td><td><1
align='right'>1005488</td><td>15-05-2023</td><td>KONIPAH</td><td></td><td></
Sakit</td><td> -
align='right'>03000030</td><td>15-05-2023</td><td>RAISYA TRIANIKA</td><td>IR.
ISMA'UN</td><td>PELAJAR/MAHASISWA</td><td>'</td><td>15-09-2015</td><td>TOLOKAN RT
05 RW 01</td><td>TOLOKAN</td><td>TOLOKAN</td><td>PUSKESMAS INDUK</td><td>Tika
Rahma K N,A.Md.KG</td><td>100</td><td>70</td><td>78</td><td>36</td><td>22</
align='right'>2526</td><td align='right'>90000109</td><td>15-05-2023</td><td>AGUNG
WAHYU GURITNO</td><td>MUHAMAD MUJIANTO</td><td>BELUM/TIDAK
BEKERJA</td><td>'</td><td>22-10-2019</td><td>KRAJAN RT 05 RW 05
SURUH</td><td></td><td>Luar Wilayah</td><td>PUSKESMAS INDUK</td><td>Tika
Elvania</td><td>dr.Arninta Rahma Khoirunnisa</td><td> -
</td><td>-</td><td>L</td><td>1-4 Thn.</td><td>Keluarga</td><td>Baru</td><td>BPJS
Sakit</td><td> -
align='right'>1004120</td><td>15-05-2023</td><td>SUMARLI</td><td></td><td></
td><td>'</td><td>15-01-1982</td><td>TAJUK RT 02 RW 03 TAJUK</td><td></td><td>Luar
Sakit</td><td> -
align='right'>01000053</td><td>16-05-2023</td><td>QUEENSA ALMAHYRA
MECCA</td><td>DARYANTO</td><td>BELUM/TIDAK
BEKERJA</td><td>'</td><td>30-03-2023</td><td>GADING RT 04 RW
align='right'>1020661</td><td>16-05-2023</td><td>NAURA ANANDYA
QURANI</td><td></td><td></td><td>'</td><td>03-12-2020</td><td>CUNTEL RT 03 RW
07</td><td>CUNTEL</td><td>KOPENG</td><td>PUSKESMAS INDUK</td><td>Susilo Dwi
align='right'>06000053</td><td>16-05-2023</td><td>YATINI</td><td></td><td></
td><td>'</td><td>15-06-1978</td><td>SELONGISOR RT 2 RW 15
align='right'>1010796</td><td>16-05-2023</td><td>SUGINEM</td><td></td><td>PETANI/
PEKEBUN</td><td>'</td><td>14-02-1953</td><td>DUKUH RT
2/2</td><td></td><td>BATUR</td><td>PUSKESMAS INDUK</td><td>RISTIYANI,
Wulandari,A.Md.Kep</td><td>-</td><td>P</td><td>>70
align='right'>1023964</td><td>16-05-2023</td><td>SUTI</td><td></td><td></
td><td>'</td><td>12-02-1963</td><td>NGELO RT 06 RW
Umum</td><td>Mata</td><td>RS DR.ASMIR SALATIGA</td><td>Dalam
align='right'>2533</td><td align='right'>1020162</td><td>16-05-2023</td><td>MANAF
LUTFI ALFARIZQI</td><td></td><td></td><td>'</td><td>01-09-2020</td><td>NGRINGIN RT
01 RW 03</td><td>NGRINGIN</td><td>BATUR</td><td>PUSKESMAS INDUK</td><td>RISTIYANI,
align='right'>08000013</td><td>16-05-2023</td><td>SAKHIA NAJWA NUR
AZURA</td><td>MOHAMAD RIFAI</td><td>BELUM/TIDAK BEKERJA</td><td>'</td><td>04-08-
2022</td><td>KARANGBAWANG RT 12 RW
02</td><td>KARANGBAWANG</td><td>NOGOSAREN</td><td>PUSKESMAS INDUK</td><td>Tika
Wilayah</td><td>'</td><td>'3322014408220002</td><td>Kunjungan Sehat</td><td> -
align='right'>1013631</td><td>16-05-2023</td><td>WARDANI</td><td></td><td></
td><td>'</td><td>22-08-1995</td><td>KALIDUREN RT 02 RW
Sakit</td><td> -
align='right'>1016129</td><td>16-05-2023</td><td>SRI RIZKY
ANA</td><td></td><td></td><td>'</td><td>04-04-2003</td><td>GONDANG RT 03 RW
Sakit</td><td> -
align='right'>1019411</td><td>16-05-2023</td><td>TUMIYEM</td><td></td><td></
td><td>'</td><td>22-02-1986</td><td>GONDANG RT 03 RW
Sakit</td><td> -
align='right'>1025028</td><td>16-05-2023</td><td>VALENCIA
HANDRIANA</td><td></td><td></td><td>'</td><td>04-10-2022</td><td>BATUR WETAN RT 02
RW 13</td><td>BATUR WETAN</td><td>BATUR</td><td>PUSKESMAS INDUK</td><td>RISTIYANI,
Sakit</td><td> -
align='right'>1025363</td><td>16-05-2023</td><td>NOTO
NIMALADHEVA</td><td></td><td></td><td>'</td><td>02-05-1967</td><td>DEPLONGAN RT 03
RW 02</td><td></td><td>WATES</td><td>PUSKESMAS INDUK</td><td>RISTIYANI,
Umum</td><td>Bedah Onkologi </td><td>RS KEN SARAS</td><td>Dalam
align='right'>2540</td><td align='right'>1025464</td><td>16-05-2023</td><td>ALIFIA
ZAHRA FITRIANTI</td><td></td><td></td><td>'</td><td>28-09-2022</td><td>PANDANAN RT
01 RW 03</td><td></td><td>GETASAN</td><td>PUSKESMAS INDUK</td><td>RISTIYANI,
align='right'>07000073</td><td>16-05-2023</td><td>ARTITA RAMA
PRADIKTA</td><td>TIRTO PRABOWO</td><td>BELUM/TIDAK BEKERJA</td><td>'</td><td>14-04-
2023</td><td>SIDOMUKTI RT 03 RW
align='right'>02000037</td><td>16-05-2023</td><td>RAFANDRA
ALFARISKI</td><td>RUWAN</td><td>BELUM/TIDAK
BEKERJA</td><td>'</td><td>17-04-2023</td><td>BANARAN RT 06 RW
02</td><td>BANARAN</td><td>WATES</td><td>PUSKESMAS INDUK</td><td>Tika
RW 09</td><td></td><td>Luar kabupaten</td><td>PUSKESMAS INDUK</td><td>RISTIYANI,
Sakit</td><td> -
align='right'>90000098</td><td>16-05-2023</td><td>SUTIMAN</td><td>SUTIMAN</
td><td>KARYAWAN SWASTA</td><td>'085325426044</td><td>31-12-1965</td><td>KEBONPETE
RT 03 RW 12 POLOBOGO</td><td></td><td>Luar Wilayah</td><td>PUSKESMAS
align='right'>2545</td><td align='right'>1011041</td><td>16-05-2023</td><td>TATI
SUMIYATI</td><td></td><td></td><td>'</td><td>28-09-1960</td><td>SLEKER RT 09 RW
align='right'>06000054</td><td>16-05-2023</td><td>RUKINI</td><td></td><td></
Umum</td><td>Penyakit Dalam </td><td>RSU BINA KASIH AMBARAWA</td><td>Dalam
align='right'>2547</td><td align='right'>1023472</td><td>16-05-2023</td><td>TRI
JOKO</td><td></td><td></td><td>'</td><td>19-05-1976</td><td>NOGOSAREN RT 01 RW
align='right'>1023066</td><td>16-05-2023</td><td>RUMINI</td><td></td><td></
align='right'>2549</td><td align='right'>1023889</td><td>16-05-2023</td><td>ADZKIYA
NAILA SAFA</td><td></td><td></td><td>'</td><td>20-05-2022</td><td>TAYEMAN RT 03 RW
align='right'>1014615</td><td>16-05-2023</td><td>TUMIYAH</td><td></td><td></
align='right'>06000055</td><td>16-05-2023</td><td>SYAKILA
RAMADHANI</td><td>SLAMET</td><td>BELUM/TIDAK BEKERJA</td><td>'</td><td>04-04-
2023</td><td>BATUR WETAN RT 01 RW13</td><td>BATUR
WETAN</td><td>BATUR</td><td>PUSKESMAS INDUK</td><td>Tika Elvania</td><td></td><td>
- </td><td>-</td><td>P</td><td><1
align='right'>1007064</td><td>16-05-2023</td><td>ERNI
CANIAGO</td><td></td><td></td><td>'</td><td>05-06-1986</td><td>DUKUH RT
Sakit</td><td> -
align='right'>05000016</td><td>16-05-2023</td><td>ARROYAN TSAQIF
RAFARDHAN</td><td>MUHAMMAD SAIFUDIN</td><td>BELUM/TIDAK
BEKERJA</td><td>'</td><td>04-04-2023</td><td>PENDEM RT 01 RW
align='right'>01000054</td><td>16-05-2023</td><td>REISHA ARFIA
PRAMESWARI</td><td>SUWARNO</td><td>BELUM/TIDAK BEKERJA</td><td>'</td><td>11-04-
2023</td><td>GETASAN RT 01 RW 01</td><td>GETASAN</td><td>GETASAN</td><td>PUSKESMAS
INDUK</td><td>Tika Elvania</td><td></td><td> - </td><td>-</td><td>P</td><td><1
PURWATININGSIH</td><td></td><td></td><td>'</td><td>02-12-1983</td><td>BUMIAYU RT
Sakit</td><td> -
align='right'>07000045</td><td>16-05-2023</td><td>KHAIRA MALYA
ALMAHYRA</td><td></td><td></td><td>'</td><td>25-04-2023</td><td>KASIRAN RT 03 RW
09</td><td>KASIRAN</td><td>KOPENG</td><td>PUSKESMAS INDUK</td><td>RISTIYANI,
hari</td><td>Keluarga</td><td>Lama</td><td>Umum</td><td></td><td
align='right'>1023935</td><td>16-05-2023</td><td>HANAN ARKA
NARENDRA</td><td></td><td></td><td>'</td><td>12-05-2022</td><td>THEKELAN RT 05 RW
17</td><td>THEKELAN</td><td>BATUR</td><td>PUSKESMAS INDUK</td><td>RISTIYANI,
align='right'>1002696</td><td>16-05-2023</td><td>LINA RUBI
ASTUTIK</td><td></td><td></td><td>'</td><td>19-08-1980</td><td>BLONGORAN RT 6 RW
Sakit</td><td> -
align='right'>07000074</td><td>16-05-2023</td><td>SUPRIHATI</td><td></td><td></
td><td>'</td><td>10-12-1972</td><td>SLEKER RT 7 RW 3
align='right'>2562</td><td align='right'>1025341</td><td>16-05-2023</td><td>RENSYA
SEPTIA MAUREEN</td><td></td><td></td><td>'</td><td>03-09-2022</td><td>TANON RT 12
RW 01</td><td>TANON</td><td>NGRAWAN</td><td>PUSKESMAS INDUK</td><td>Susilo Dwi
align='right'>1022603</td><td>16-05-2023</td><td>TRI RATNA
DEWI</td><td></td><td></td><td>'</td><td>10-10-2021</td><td>BANARAN 06 RW
05</td><td>BANARAN</td><td>WATES</td><td>PUSKESMAS INDUK</td><td>Susilo Dwi
</td><td>-</td><td>-</td><td>-</td><td>0</td><td>0</td><td></td><td>0</td></
align='right'>1021789</td><td>16-05-2023</td><td>SINDY
ISMAWATI</td><td></td><td></td><td>'</td><td>17-05-2021</td><td>BANARAN RT 04 RW
02</td><td>BANARAN</td><td>WATES</td><td>PUSKESMAS INDUK</td><td>Susilo Dwi
</td><td>-</td><td>-</td><td>-</td><td>0</td><td>0</td><td></td><td>0</td></
align='right'>1022834</td><td>16-05-2023</td><td>BILQIS HILYA
SHALIHAH</td><td></td><td></td><td>'</td><td>03-11-2021</td><td>SENGON RT 01 RW
02</td><td>SENGON</td><td>MANGGIHAN</td><td>PUSKESMAS INDUK</td><td>Susilo Dwi
align='right'>1010203</td><td>16-05-2023</td><td>DIAN
LESTIYANINGSIH</td><td></td><td></td><td>'</td><td>20-10-1999</td><td>TOLOKAN RT
align='right'>2567</td><td align='right'>1016925</td><td>16-05-2023</td><td>FENDI
IRAWAN</td><td></td><td></td><td>'</td><td>01-01-1996</td><td>SODONG RT 10 RW
align='right'>2568</td><td align='right'>1022327</td><td>16-05-2023</td><td>ADEKA
IVANDER MICHAEL
IBANEZ</td><td></td><td></td><td>'</td><td>24-09-2021</td><td>SIDOMUKTI RT 03 RW
Novitawati,A.Md.Keb</td><td>-</td><td>L</td><td>1-4
Sakit</td><td> -
align='right'>01000009</td><td>16-05-2023</td><td>FEDERICA DANILA
RENATA</td><td></td><td></td><td>'</td><td>10-02-2023</td><td>GETASAN RT 06 RW
01</td><td>GETASAN</td><td>GETASAN</td><td>PUSKESMAS INDUK</td><td>Susilo Dwi
align='right'>07000075</td><td>16-05-2023</td><td>HADWAN HARSA
HARYAKA</td><td></td><td></td><td>'</td><td>20-04-2023</td><td>SIDOMUKTI RT 5 RW
Handoyo</td><td></td><td> - </td><td>-</td><td>L</td><td>8-30
align='right'>1025473</td><td>16-05-2023</td><td>ALIF ADITIA
FIRMANSYAH</td><td></td><td></td><td>'</td><td>27-11-2022</td><td>SLEKER RT 03 RW
align='right'>99000058</td><td>16-05-2023</td><td>SUSANTI</td><td></td><td>KARYAWAN
SWASTA</td><td>'</td><td>27-07-1978</td><td>SONO KULON RT 1 RW
align='right'>1022474</td><td>16-05-2023</td><td>ADRIELLA PUTRI
KURNIA</td><td></td><td></td><td>'</td><td>13-09-2021</td><td>KALITENGAH RT 01 RW
align='right'>2575</td><td align='right'>1015063</td><td>16-05-2023</td><td>ANISA
TRI ASTUTI</td><td></td><td></td><td>'</td><td>17-01-1998</td><td>GOWONGAN RT 04 RW
align='right'>2576</td><td align='right'>99000059</td><td>16-05-2023</td><td>DWI
HASTUTI</td><td></td><td>MENGURUS RUMAH
TANGGA</td><td>'</td><td>29-05-1975</td><td>SURUHAN RT 1 RW 2
align='right'>2577</td><td align='right'>04000014</td><td>16-05-2023</td><td>ILHAM
YUSUF MAULANA</td><td></td><td>PELAJAR/MAHASISWA</td><td>'</td><td>02-06-2005</
td><td>PADAN RT 14 RW 2 </td><td></td><td>NGRAWAN</td><td>PUSKESMAS
align='right'>2578</td><td align='right'>1006725</td><td>16-05-2023</td><td>NAVA
AYU FRADITTA</td><td></td><td></td><td>'</td><td>09-11-2012</td><td>SELONGISOR RT.1
align='right'>1018693</td><td>16-05-2023</td><td>EFRAYIM ADAR
WIBOWO</td><td></td><td></td><td>'</td><td>24-03-2012</td><td>GETASAN RT 08 RW
01</td><td></td><td>GETASAN</td><td>PUSKESMAS INDUK</td><td>Jumar</td><td>drg.Ade
Indranila</td><td> - </td><td>-</td><td>L</td><td>10-14
align='right'>1000455</td><td>16-05-2023</td><td>WAHYU</td><td></td><td></
td><td>'</td><td>07-11-1991</td><td>SELONGISOR RT.1
align='right'>03000024</td><td>16-05-2023</td><td>RAFASYA FARHAN
PUTRATAMA</td><td>ARIF
ARYANTO</td><td></td><td>'</td><td>15-04-2023</td><td>BAGONGAN RT 13 RW
02</td><td>TOLOKAN</td><td>TOLOKAN</td><td>PUSKESMAS INDUK</td><td>Susilo Dwi
align='right'>07000076</td><td>16-05-2023</td><td>IZZAN NUR
ALKHALIFI</td><td></td><td></td><td>'</td><td>26-04-2023</td><td>SIDOMUKTI RT 07 RW
Handoyo</td><td></td><td> - </td><td>-</td><td>L</td><td>8-30
align='right'>1020004</td><td>16-05-2023</td><td>ANA
SOFIYATUN</td><td></td><td></td><td>'</td><td>09-09-1973</td><td>KEPOSONG RT 01 RW
KHAROMAH</td><td></td><td></td><td>'</td><td>02-06-2008</td><td>TIRTO RT 4 RW 3
Umum</td><td></td><td></td><td>Luar Wilayah</td><td>'</td><td>'</td><td>Kunjungan
align='right'>90000110</td><td>16-05-2023</td><td>SURYANTI</td><td></td><td></
td><td>'</td><td>06-08-1983</td><td>BANDUNGAN RT 5 RW 2 </td><td></td><td>Luar
align='right'>90000111</td><td>16-05-2023</td><td>LASMI</td><td></
td><td>WIRASWASTA</td><td>'</td><td>07-01-1983</td><td>KEBONAGUNG RT 1 RW 1
</td><td></td><td>Luar Wilayah</td><td>PUSKESMAS INDUK</td><td>RISTIYANI,
align='right'>99000061</td><td>16-05-2023</td><td>ASTUTIK
WICAKSANI</td><td></td><td>KARYAWAN
SWASTA</td><td>'</td><td>10-02-1982</td><td>PAPRINGAN RT 14 RW
align='right'>99000062</td><td>16-05-2023</td><td>WULANDARI</td><td></td><td>BURUH
HARIAN LEPAS</td><td>'</td><td>27-09-1998</td><td>SEDAYU RT 2 RW
align='right'>2589</td><td align='right'>1024258</td><td>16-05-2023</td><td>AIRA
NABILA TANISHA</td><td></td><td></td><td>'</td><td>03-08-2022</td><td>NGELO RT 04
RW 02</td><td></td><td>GETASAN</td><td>PUSKESMAS INDUK</td><td>RISTIYANI,
align='right'>1025099</td><td>16-05-2023</td><td>FADLAN ATHARIZZ
CALIEF</td><td></td><td></td><td>'</td><td>01-08-2022</td><td>KEMBANG RT 09 RW
align='right'>1011439</td><td>16-05-2023</td><td>MARYONO</td><td></td><td></
td><td>'</td><td>11-06-1979</td><td>KOPENG RT 02 RW
align='right'>2592</td><td align='right'>1022777</td><td>16-05-2023</td><td>SILVANO
KIMSEON CLAY
ALTEZZA</td><td></td><td></td><td>'</td><td>05-11-2021</td><td>SIDOMUKTI RT 03 RW
align='right'>1004026</td><td>16-05-2023</td><td>SIYAM</td><td></td><td></
td><td>'</td><td>12-03-1961</td><td>PLALAR RT 03 RW
align='right'>1017780</td><td>16-05-2023</td><td>KOMALASARI</td><td></td><td></
align='right'>2595</td><td align='right'>1022684</td><td>16-05-2023</td><td>NATALIA
WULAN SARI</td><td></td><td></td><td>'</td><td>14-12-2001</td><td>NGELO RT 06 RW
Sakit</td><td> -
align='right'>1024119</td><td>16-05-2023</td><td>GABRIELLA CHRISTIANA PUTRI
SANAJI</td><td></td><td></td><td>'</td><td>12-08-2016</td><td>BANTUKAN RT 13 RW
align='right'>1007883</td><td>16-05-2023</td><td>SUTRISNO</td><td></td><td></
td><td>'</td><td>08-09-1978</td><td>KOPENG RT 06 RW
align='right'>2598</td><td align='right'>1002117</td><td>16-05-2023</td><td>LUTFI
LAILAWATI</td><td></td><td></td><td>'</td><td>01-08-2004</td><td>KOPENG RT 06 RW
02</td><td>KOPENG</td><td>KOPENG</td><td>PUSKESMAS INDUK</td><td>RISTIYANI,
align='right'>1006189</td><td>16-05-2023</td><td>MIYATI</td><td></td><td></
td><td>'</td><td>10-10-1996</td><td>WATES RT 01 RW
Sakit</td><td> -
align='right'>1003380</td><td>16-05-2023</td><td>ALIKA NAYLA
PUTRI</td><td></td><td></td><td>'</td><td>01-02-2016</td><td>WATES RT 01 RW
align='right'>2601</td><td align='right'>1006990</td><td>16-05-2023</td><td>SHOBARI
SATRIO</td><td></td><td></td><td>'</td><td>20-11-1972</td><td>BATUR WETAN RT 02 RW
13</td><td>BATUR WETAN</td><td>BATUR</td><td>PUSKESMAS INDUK</td><td>RISTIYANI,
td><td>22</td><td>159</td><td>56.6</td><td></td><td>0</td></tr><tr><td
align='right'>2602</td><td align='right'>1004255</td><td>16-05-2023</td><td>MARIA
NONA ENDARWATI</td><td></td><td></td><td>'</td><td>24-11-1973</td><td>BATUR
WETAN RT 02 RW 13</td><td></td><td>BATUR</td><td>PUSKESMAS
align='right'>1014594</td><td>16-05-2023</td><td>WAHYUDI</td><td></td><td></
Umum</td><td>JIWA</td><td>RS DR.ASMIR SALATIGA</td><td>Dalam
align='right'>1020195</td><td>16-05-2023</td><td>ALIYAH</td><td></td><td></
td><td>'</td><td>20-07-1981</td><td>SAMIRONO RT 10 RW
align='right'>1024328</td><td>16-05-2023</td><td>ARROYAN DYLAN
ALAFARIQKI</td><td></td><td></td><td>'</td><td>13-08-2022</td><td>JURUG RT 07 RW
01</td><td>JURUG</td><td>WATES</td><td>PUSKESMAS INDUK</td><td>Tika
align='right'>1025533</td><td>16-05-2023</td><td>NARENDRA FARAS
ADYAKSA</td><td></td><td></td><td>'</td><td>10-06-2022</td><td>BREYON RT 07 RW
align='right'>1010731</td><td>16-05-2023</td><td>WAQIDATUL
FITRI</td><td></td><td></td><td>'</td><td>17-01-1997</td><td>SRANDIL RT
align='right'>2608</td><td align='right'>1019190</td><td>16-05-2023</td><td>NENGMAS
SUCI ANUGRAH SARI</td><td></td><td></td><td>'</td><td>05-04-2020</td><td>KALIDUREN
RT 01 RW 05</td><td></td><td>BATUR</td><td>PUSKESMAS INDUK</td><td>RISTIYANI,
align='right'>1022670</td><td>16-05-2023</td><td>TIARA HANINDYA
PUTRI</td><td></td><td></td><td>'</td><td>11-10-2021</td><td>CUNTEL RT 02 RW
align='right'>1024433</td><td>16-05-2023</td><td>BAGAS WAHYU
KURNIAWAN</td><td></td><td></td><td>'</td><td>18-07-2022</td><td>SRANTI RT 09 RW
02</td><td>SRANTI</td><td>WATES</td><td>PUSKESMAS INDUK</td><td>Tika
align='right'>1021247</td><td>16-05-2023</td><td>ALTEZA AHMAD
RAJENDRA</td><td></td><td></td><td>'</td><td>21-02-2021</td><td>WATES RT 04 RW
01</td><td>WATES</td><td>WATES</td><td>PUSKESMAS INDUK</td><td>Tika
align='right'>1024474</td><td>16-05-2023</td><td>GALANG DWI
SAPUTRA</td><td></td><td></td><td>'</td><td>24-07-2022</td><td>PANDANDN RT 02 RW
align='right'>1023037</td><td>16-05-2023</td><td>ZHAFIRAH MUNA
AZIZAH</td><td></td><td></td><td>'</td><td>21-10-2021</td><td>NOGOSAREN RT 03 RW
align='right'>01000022</td><td>16-05-2023</td><td>ISHAEL AHIRA
WIBOWO</td><td></td><td></td><td>'</td><td>12-03-2023</td><td>GETASAN RT 08 RW
align='right'>1023040</td><td>16-05-2023</td><td>KAFEEL ZUMAR
DZAKIANDRA</td><td></td><td></td><td>'</td><td>07-08-2021</td><td>SLEKER RT 05 RW
align='right'>1025464</td><td>16-05-2023</td><td>ALIFIA ZAHRA
FITRIANTI</td><td></td><td></td><td>'</td><td>28-09-2022</td><td>PANDANAN RT 01 RW
tr><tr><td
align='right'>2617</td><td align='right'>06000025</td><td>16-05-2023</td><td>FAHMI
KAVINDRA
RAMADAN</td><td>SUYANTO</td><td></td><td>'</td><td>10-04-2023</td><td>KRANGKENG RT
align='right'>1024550</td><td>16-05-2023</td><td>MUHAMMAD FADHIL
ALFARAZKY</td><td></td><td></td><td>'</td><td>11-08-2022</td><td>DEPLONGAN RT 01 RW
align='right'>1024280</td><td>16-05-2023</td><td>EUNICA SHARON CHARISMA
PUTRI</td><td>EDI SANTOSO</td><td></td><td>'</td><td>07-07-2022</td><td>KRANGKENG
RT 03 RW 12</td><td>KRANGKENG</td><td>BATUR</td><td>PUSKESMAS INDUK</td><td>Tika
align='right'>1022671</td><td>16-05-2023</td><td>MESYA KHARISMA
PUTRI</td><td></td><td></td><td>'</td><td>23-10-2021</td><td>KOPENG RT 06 RW
align='right'>1024159</td><td>16-05-2023</td><td>AHMAD ALWIE
MUBAROK</td><td></td><td></td><td>'</td><td>16-06-2022</td><td>KRANGKENG RT 01 RW
align='right'>1024202</td><td>16-05-2023</td><td>ABYAN GILANG
ADITYA</td><td>RIYANTO</td><td></td><td>'</td><td>25-06-2022</td><td>KARANG BAWANG
RT 12 RW 02</td><td>KARANGBAWANG</td><td>NOGOSAREN</td><td>PUSKESMAS
align='right'>07000033</td><td>16-05-2023</td><td>MUHAMMAD DAFFA
RAFANDRA</td><td>MUHAMAD ADIB AL ALI</td><td>BELUM/TIDAK
BEKERJA</td><td>'</td><td>12-03-2023</td><td>SLEKER RT 6 RW
align='right'>1025645</td><td>16-05-2023</td><td>NAUREEN AZQILA
FAYOLA</td><td></td><td></td><td>'</td><td>13-01-2023</td><td>SRANTI RT 09 RW
02</td><td>SRANTI</td><td>WATES</td><td>PUSKESMAS INDUK</td><td>Tika
align='right'>1025706</td><td>16-05-2023</td><td>EL PETRA
ZEFANO</td><td>JARWADI</td><td></td><td>'</td><td>04-02-2023</td><td>KRANGKENG RT
align='right'>07000032</td><td>16-05-2023</td><td>ARSHAKA GAVIN
ARSENIO</td><td>WAHYU SETIAWAN</td><td></td><td>'</td><td>12-03-2023</td><td>PLALAR
RT 02 RW 04</td><td>PLALAR</td><td>KOPENG</td><td>PUSKESMAS INDUK</td><td>Tika
align='right'>90000024</td><td>16-05-2023</td><td>GAMALIEL ARON
NARENDRA</td><td></td><td>BELUM/TIDAK
BEKERJA</td><td>'</td><td>03-02-2023</td><td>PRINGAPUS RT 12 RW 01
align='right'>1024156</td><td>16-05-2023</td><td>NAURA ERREN
KHALEYSIA</td><td></td><td></td><td>'</td><td>15-06-2022</td><td>GONDANG RT 02 RW
01</td><td>GONDANG</td><td>BATUR</td><td>PUSKESMAS INDUK</td><td>Tika
align='right'>05000002</td><td>16-05-2023</td><td>DYLAN
ALFARIZKY</td><td></td><td></td><td>'</td><td>23-01-2023</td><td>PENDEM RT 1 RW
align='right'>02000006</td><td>16-05-2023</td><td>DEWI ARIYANINGSIH
UTAMI</td><td></td><td></td><td>'</td><td>05-02-2023</td><td>DEPLONGAN</
td><td>DEPLONGAN</td><td>WATES</td><td>PUSKESMAS INDUK</td><td>Tika
align='right'>06000007</td><td>16-05-2023</td><td>ABRISAM NAFIS
RAFARDHAN</td><td></td><td>BELUM/TIDAK
BEKERJA</td><td>'</td><td>30-01-2023</td><td>KRANGKENG RT 06 RW
align='right'>1025692</td><td>16-05-2023</td><td>ARVIKA SERLY TRI
FEBIANA</td><td></td><td></td><td>'</td><td>25-02-2023</td><td>BLANCIR
RT 03 RW 06</td><td>BLANCIR</td><td>KOPENG</td><td>PUSKESMAS INDUK</td><td>Tika
align='right'>1022485</td><td>16-05-2023</td><td>ZIANKA LATISYA
HUMAIRA</td><td></td><td></td><td>'</td><td>22-09-2021</td><td>THEKELAN RT 05 RW
17</td><td>THEKELAN</td><td>BATUR</td><td>PUSKESMAS INDUK</td><td>Tika
align='right'>1025705</td><td>16-05-2023</td><td>NILNA NAURA
ATIFA</td><td></td><td></td><td>'</td><td>28-01-2023</td><td>GETASAN RT 02 RW
align='right'>07000077</td><td>17-05-2023</td><td>EVA SETYA
ALVIOLA</td><td></td><td>PELAJAR/MAHASISWA</td><td>'</td><td>30-07-2001</
td><td>CUNTEL RT 2 RW 1</td><td></td><td>KOPENG</td><td>PUSKESMAS
INDUK</td><td>RISTIYANI, A.Md.</td><td>dr.Gani
Umum</td><td>Bedah</td><td>RS PURI ASIH SALATIGA</td><td>Dalam
align='right'>1021577</td><td>17-05-2023</td><td>TARMI</td><td></td><td></
td><td>'</td><td>11-03-1990</td><td>MANGGIHARJO RT 05 RW
Sakit</td><td> -
align='right'>1014875</td><td>17-05-2023</td><td>JUMIYEM</td><td></td><td></
td><td>'</td><td>20-11-1988</td><td>BATUR KIDUL RT 03 RW
Sakit</td><td> -
align='right'>1001657</td><td>17-05-2023</td><td>SARINI</td><td>DWI ADI
PRAMONO</td><td></td><td>'08156099742</td><td>15-10-1990</td><td>SLEKER RT 09 RW
Sakit</td><td> -
HIDAYATUN</td><td></td><td></td><td>'</td><td>01-08-1998</td><td>BATUR KIDUL RT
01/14</td><td>BATUR KIDUL</td><td>BATUR</td><td>PUSKESMAS INDUK</td><td>RISTIYANI,
Sakit</td><td> -
align='right'>99000063</td><td>17-05-2023</td><td>KARISMA YOGY
OKTAVIANA</td><td>AGUNG MAHMUDI</td><td>BELUM/TIDAK
BEKERJA</td><td>'082134321833</td><td>19-10-2002</td><td>SUMBEREJO RT 28 RW 1
Sakit</td><td> -
align='right'>1016496</td><td>17-05-2023</td><td>WAHYUNINGSIH</td><td></td><td></
align='right'>2642</td><td align='right'>01000055</td><td>17-05-2023</td><td>KHANSA
SIDQIA</td><td>MUKLIS</td><td></td><td>'085802511878</td><td>07-07-2016</
td><td>NGELO RT 4 RW 2 </td><td></td><td>GETASAN</td><td>PUSKESMAS
</td><td>-</td><td>P</td><td>5-9
Sakit</td><td> -
align='right'>1000918</td><td>17-05-2023</td><td>SUMARLI</td><td></td><td></
align='right'>08000014</td><td>17-05-2023</td><td>PURJI</td><td></
td><td>WIRASWASTA</td><td>'085860777779</td><td>01-09-1977</td><td>GEJAYAN RT 8 RW
align='right'>2645</td><td align='right'>1012488</td><td>17-05-2023</td><td>FARES
HIZAM ADNAM</td><td></td><td></td><td>'</td><td>06-03-2018</td><td>BUMIAYU RT. 04
RW. 05</td><td></td><td>Luar Wilayah</td><td>PUSKESMAS INDUK</td><td>RISTIYANI,
align='right'>2646</td><td align='right'>1023893</td><td>17-05-2023</td><td>HETY
NUR AFNI ZULAEHA</td><td></td><td></td><td>'</td><td>22-11-1990</td><td>SLEKER RT
06 RW 03</td><td>SLEKER</td><td>KOPENG</td><td>PUSKESMAS INDUK</td><td>RISTIYANI,
align='right'>1010221</td><td>17-05-2023</td><td>WASITO
WASIDI</td><td></td><td></td><td>'</td><td>18-04-1952</td><td>BANARAN RT 4 RW
Kriswanto</td><td>Suwoto,A.Md.Kep</td><td>-</td><td>L</td><td>>70
align='right'>1000027</td><td>17-05-2023</td><td>JUNI</td><td></td><td></
td><td>'</td><td>01-07-1963</td><td>SALARAN RT 15 RW
02</td><td>SALARAN</td><td>TOLOKAN</td><td>PUSKESMAS INDUK</td><td>RISTIYANI,
align='right'>2649</td><td align='right'>1025050</td><td>17-05-2023</td><td>FATHAN
YASYFI AL HAFIZ</td><td></td><td></td><td>'</td><td>10-09-2022</td><td>SALARAN RT
14 RW 02</td><td></td><td>TOLOKAN</td><td>PUSKESMAS INDUK</td><td>RISTIYANI,
</td><td>L</td><td><1
align='right'>99000047</td><td>17-05-2023</td><td>MUHAMMAD GILANG
PRATAMA</td><td></td><td>PELAJAR/MAHASISWA</td><td>'082390913766</td><td>18-01-
1999</td><td> JL INTAN III NO 131</td><td></td><td>Luar kabupaten</td><td>PUSKESMAS
align='right'>2651</td><td align='right'>1017840</td><td>17-05-2023</td><td>LUKAS
DASIRAN</td><td></td><td></td><td>'</td><td>06-05-1966</td><td>BULUREJO RT 02 RW
align='right'>1017510</td><td>17-05-2023</td><td>PUJIYANTI</td><td></td><td></
04</td><td>MADU</td><td>BATUR</td><td>PUSKESMAS INDUK</td><td>RISTIYANI,
align='right'>1017944</td><td>17-05-2023</td><td>JUREMI</td><td></td><td></
align='right'>1016354</td><td>17-05-2023</td><td>FITRIANINGSIH</td><td>JAYADI</
td><td></td><td>'</td><td>27-05-1993</td><td>NGRINGIN RT 02 RW
03</td><td>NGRINGIN</td><td>BATUR</td><td>PUSKESMAS INDUK</td><td>RISTIYANI,
Sakit</td><td> -
MULYANI</td><td></td><td></td><td>'</td><td>28-03-1982</td><td>KEDAYON RT 06 RW
WAHYU LESTARI</td><td>IGNATIUS ALDYTH ADI PRAMONO</td><td>KARYAWAN
SWASTA</td><td>'085726521573</td><td>30-11-2001</td><td>DUKUH RT 06 RW
08</td><td>DUKUH</td><td>KOPENG</td><td>PUSKESMAS INDUK</td><td>RISTIYANI,
Sakit</td><td> -
align='right'>99000064</td><td>17-05-2023</td><td>PAINEM</td><td></td><td>PETANI/
PEKEBUN</td><td>'</td><td>13-01-0002</td><td>DELES RT 7 RW 2 </td><td></td><td>Luar
kabupaten</td><td>PUSKESMAS INDUK</td><td>RISTIYANI, A.Md.</td><td>dr.Gani
align='right'>2658</td><td align='right'>1013109</td><td>17-05-2023</td><td>DENI
PUJI LESTARI</td><td></td><td></td><td>'</td><td>02-07-1994</td><td>KALIDUREN RT
01/05</td><td>KALIDUREN</td><td>BATUR</td><td>PUSKESMAS INDUK</td><td>RISTIYANI,
Sakit</td><td> -
align='right'>1000712</td><td>17-05-2023</td><td>AHMAD FAISAL
MAULANA</td><td></td><td></td><td>'</td><td>25-08-2015</td><td>KASIRAN RT 4 RW
align='right'>2660</td><td align='right'>1023977</td><td>17-05-2023</td><td>DESI
YANTINI</td><td>NARTO</td><td></td><td>'</td><td>17-12-1991</td><td>SELODUWUR
RT 02 RW 16</td><td>SELODUWUR</td><td>BATUR</td><td>PUSKESMAS
44 Thn.</td><td>Keluarga</td><td>Lama</td><td>BPJS PBI</td><td></td><td
Sakit</td><td> -
align='right'>02000038</td><td>17-05-2023</td><td>WATINI</td><td></td><td>PETANI/
PEKEBUN</td><td>'</td><td>31-12-1966</td><td>BANARAN RT 6 RW 2
align='right'>2662</td><td align='right'>1025348</td><td>17-05-2023</td><td>EVI
RAHAYU</td><td>ISWORO</td><td>WIRASWASTA</td><td>'</td><td>13-12-1988</
td><td>SLEKER RT 06 RW 03</td><td>SLEKER</td><td>KOPENG</td><td>PUSKESMAS
44 Thn.</td><td>Keluarga</td><td>Lama</td><td>Umum</td><td></td><td
</td><td>-</td><td>-</td><td>-</td><td>-</td><td>-</td><td>-</td><td>-</td><td>B</
align='right'>04000015</td><td>17-05-2023</td><td>FARHAN RAMADHAN
PRATAMA</td><td></td><td></td><td>'</td><td>05-04-2023</td><td>NGRAWAN RT 9 RW
align='right'>01000056</td><td>17-05-2023</td><td>JONATAN
PRATAMA</td><td></td><td></td><td>'</td><td>04-12-2021</td><td>NGROTO RT 6 RW 5
LESTARI</td><td></td><td></td><td>'</td><td>01-08-1989</td><td>BATUR WETAN RT 02 RW
Sakit</td><td> -
LESTARI</td><td></td><td></td><td>'</td><td>22-04-1983</td><td>TAYEMAN RT
align='right'>1025193</td><td>17-05-2023</td><td>SUROSO</td><td></td><td></
align='right'>1006871</td><td>17-05-2023</td><td>YUSUP
PRASETYA</td><td></td><td></td><td>'</td><td>23-01-2016</td><td>KALITENGAH
RT.001/006</td><td></td><td>BATUR</td><td>PUSKESMAS INDUK</td><td>RISTIYANI,
align='right'>01000057</td><td>17-05-2023</td><td>FITRIYANTI</td><td>WIDAYAT</
td><td>WIRASWASTA</td><td>'08895277055</td><td>05-09-1991</td><td>PRINGAPUS RT 13
RW 1</td><td></td><td>GETASAN</td><td>PUSKESMAS INDUK</td><td>RISTIYANI,
Sakit</td><td> -
align='right'>1004909</td><td>17-05-2023</td><td>DARWATI</td><td></td><td></
td><td>'</td><td>25-10-1980</td><td>MANGGIHARJO RT 05 RW
Sakit</td><td> -
align='right'>1000616</td><td>17-05-2023</td><td>SUTARPIN</td><td></td><td></
td><td>'</td><td>01-02-1953</td><td>DUKUH RT.1
KHOLIS</td><td></td><td></td><td>'</td><td>16-06-1991</td><td>NGELO RT 06 RW
02</td><td>NGELO</td><td>GETASAN</td><td>PUSKESMAS INDUK</td><td>RISTIYANI,
align='right'>06000056</td><td>17-05-2023</td><td>KARSIYEM</td><td></
td><td>PETANI/PEKEBUN</td><td>'</td><td>18-04-1962</td><td>KRANGKENG RT 6 RW
Sakit</td><td>Suwoto,A.Md.Kep</td><td>-</td><td>-</td><td>-</td><td>-</td><td>-</
td><td>0</td><td>0</td><td></td><td>0</td></tr><tr><td align='right'>2674</td><td
align='right'>01000058</td><td>17-05-2023</td><td>YARMI</td><td></td><td></
td><td>'</td><td>05-01-1956</td><td>CLOWOK RT 6 RW 2
</td><td></td><td>GETASAN</td><td>PUSKESMAS
align='right'>2675</td><td align='right'>99000065</td><td>17-05-2023</td><td>CHEPPY
MDJ RUNTURAMBI</td><td></td><td></td><td>'08984223110</td><td>09-05-2003</td><td>JL
RATNA NO 2 </td><td></td><td>Luar kabupaten</td><td>PUSKESMAS
INDUK</td><td>RISTIYANI, A.Md.</td><td></td><td> - </td><td>-</td><td>L</td><td>20-
44 Thn.</td><td>Keluarga</td><td>Baru</td><td>BPJS NON PBI</td><td></td><td
Sakit</td><td> -
align='right'>1024895</td><td>17-05-2023</td><td>MUHAMMAD KHABIT
ABIA</td><td></td><td></td><td>'</td><td>15-10-2017</td><td>NOGOSAREN RT
06/01</td><td></td><td>NOGOSAREN</td><td>PUSKESMAS INDUK</td><td>RISTIYANI,
align='right'>1020285</td><td>17-05-2023</td><td>TRIYADI</td><td></td><td></
align='right'>1014436</td><td>17-05-2023</td><td>KARSINI</td><td></td><td></
align='right'>2679</td><td align='right'>1005117</td><td>17-05-2023</td><td>DIMAS
RAMADANI</td><td></td><td></td><td>'</td><td>24-08-2011</td><td>PLALAR RT 1 RW
align='right'>2680</td><td align='right'>99000066</td><td>17-05-2023</td><td>DAVA
ZAHIRUL WIJAYA</td><td></td><td></td><td>'</td><td>19-06-2020</td><td>DELES RT 12
RW 03 NGABLAK</td><td></td><td>Luar kabupaten</td><td>PUSKESMAS INDUK</td><td>Tika
align='right'>1011595</td><td>17-05-2023</td><td>TITIK
MARSELA</td><td></td><td></td><td>'</td><td>04-04-2000</td><td>MULUNGAN RT 11 RW
02</td><td></td><td>NOGOSAREN</td><td>PUSKESMAS INDUK</td><td>Tika
Umum</td><td>JANTUNG DAN PEMBULUH DARAH</td><td>RS PURI ASIH SALATIGA</td><td>Dalam
align='right'>2682</td><td align='right'>1004862</td><td>19-05-2023</td><td>WAHYU
DIONO</td><td></td><td></td><td>'</td><td>22-09-1980</td><td>SENDEN RT
01/01</td><td>SENDEN</td><td>BATUR</td><td>PUSKESMAS INDUK</td><td>RISTIYANI,
align='right'>1025581</td><td>19-05-2023</td><td>DAHYATUN</td><td>AMINUDIN</
td><td></td><td>'</td><td>22-12-1994</td><td>NOGOSAREN RT 11 RW
Sakit</td><td> -
align='right'>1015754</td><td>19-05-2023</td><td>MARNI</td><td></td><td></
Sakit</td><td> -
align='right'>08000003</td><td>19-05-2023</td><td>FARHAN
ALFIANO</td><td></td><td></td><td>'</td><td>03-11-2021</td><td>NOGOSAREN RT 01 RW
td><td>'</td><td>01-12-1971</td><td>GINTUNG RT 09 RW 05</td><td></td><td>Luar
Sakit</td><td> -
align='right'>1022437</td><td>19-05-2023</td><td>ALIFA
HIBATILLAH</td><td></td><td></td><td>'</td><td>14-06-2021</td><td>DEPLONGAN RT 01
align='right'>1024414</td><td>19-05-2023</td><td>YISWI RAMBU
JIEVA</td><td></td><td></td><td>'</td><td>22-03-2022</td><td>PLOSO RT 16 RW
A.Md.</td><td>dr.Arninta Rahma Khoirunnisa</td><td>Sri
Sakit</td><td> -
align='right'>1011355</td><td>19-05-2023</td><td>ELVANO ZAKARIA DERIL AL
YUSUF</td><td></td><td></td><td>'</td><td>25-02-2018</td><td>DANGKLIK RT
Sakit</td><td> -
align='right'>90000112</td><td>19-05-2023</td><td>MAROAENAH</td><td>SLAMET</
td><td>WIRASWASTA</td><td>'082313378528</td><td>25-10-1985</td><td>DUREN RT 2 RW
align='right'>1000135</td><td>19-05-2023</td><td>AULIA PUTRI
RAMADANI</td><td></td><td></td><td>'</td><td>21-07-2014</td><td>GETASAN RT 4 RW
Sakit</td><td> -
align='right'>1019231</td><td>19-05-2023</td><td>ANDIKA DEVAN MAHENDRA
SUSILO</td><td></td><td></td><td>'</td><td>06-04-2020</td><td>KRASAK RT 09 RT 01
align='right'>06000024</td><td>19-05-2023</td><td>IZZATUL
MAFTUHAH</td><td></td><td></td><td>'</td><td>02-03-2023</td><td>SANGGAR RT 01 RW
07</td><td>SANGGAR</td><td>BATUR</td><td>PUSKESMAS INDUK</td><td>RISTIYANI,
A.Md.</td><td>drg.Ade Indranila</td><td>Arum
Fatmawati,S.Farm,Apt</td><td>-</td><td>P</td><td>20-44
align='right'>99000067</td><td>19-05-2023</td><td>GIANTI KARTIKASARI</td><td>NUR
ROZIKIN</td><td></td><td>'</td><td>01-08-2006</td><td>GENIKAN RT 6 RW 2
NGABLAK</td><td></td><td>Luar kabupaten</td><td>PUSKESMAS INDUK</td><td>RISTIYANI,
Sakit</td><td> -
align='right'>1007265</td><td>19-05-2023</td><td>RINA
ZULININGSIH</td><td></td><td></td><td>'</td><td>16-07-1983</td><td>BUMIAYU RT 01 RW
Sakit</td><td> -
align='right'>07000078</td><td>19-05-2023</td><td>NAELATU
SIDQIAH</td><td></td><td></td><td>'</td><td>16-05-2023</td><td>PLALAR RT6 RW 4
align='right'>1009472</td><td>19-05-2023</td><td>KASMINAH</td><td></td><td></
td><td>'</td><td>15-05-1997</td><td>GONDANG RT.3
Sakit</td><td> -
align='right'>1017483</td><td>19-05-2023</td><td>SUNDARI</td><td>NURIL</td><td></
td><td>'083836474256</td><td>01-10-2000</td><td>WONOSARI RT 02 RW
Sakit</td><td> -
align='right'>1025460</td><td>19-05-2023</td><td>KRIS
align='right'>1009614</td><td>19-05-2023</td><td>ARLITA
DEWI</td><td></td><td></td><td>'</td><td>10-04-2012</td><td>DEPLONGAN RT
align='right'>1024271</td><td>19-05-2023</td><td>AZALEA DELISHA NAZAFARIN
GICKA</td><td></td><td></td><td>'</td><td>03-08-2022</td><td>KEDAYON RT 06 RW
align='right'>07000079</td><td>19-05-2023</td><td>BERLIAN FEODORA
BELOVA</td><td>MARWANTO</td><td></td><td>'</td><td>06-05-2023</td><td>KRAJAN RT 2
RW 2 </td><td></td><td>KOPENG</td><td>PUSKESMAS INDUK</td><td>RISTIYANI,
</td><td>P</td><td>8-30
align='right'>1001064</td><td>19-05-2023</td><td>RIMAWATI</td><td></td><td></
Sakit</td><td> -
align='right'>02000037</td><td>19-05-2023</td><td>RAFANDRA
ALFARISKI</td><td>RUWAN</td><td>BELUM/TIDAK
BEKERJA</td><td>'</td><td>17-04-2023</td><td>BANARAN RT 06 RW
02</td><td>BANARAN</td><td>WATES</td><td>PUSKESMAS INDUK</td><td>RISTIYANI,
align='right'>1006996</td><td>19-05-2023</td><td>PASMI</td><td>RUWAN</td><td></
td><td>'085742076253</td><td>07-09-1983</td><td>BANARAN RT 06 RW
02</td><td>WATES</td><td>WATES</td><td>PUSKESMAS INDUK</td><td>RISTIYANI,
Sakit</td><td> -
align='right'>1011414</td><td>19-05-2023</td><td>RUWAN
</td><td></td><td></td><td>'</td><td>05-07-1978</td><td>BANARAN RT
Sakit</td><td> -
align='right'>1014307</td><td>19-05-2023</td><td>RADITYA RISKI
PRATAMA</td><td></td><td></td><td>'</td><td>22-01-2019</td><td>GETASAN RT 07 RW
align='right'>1024644</td><td>19-05-2023</td><td>ADI LINGGA DWI
CAHYA</td><td></td><td></td><td>'</td><td>02-03-2021</td><td>GETASAN RT 07 RW
align='right'>1004875</td><td>19-05-2023</td><td>SABAR</td><td></td><td></
td><td>'</td><td>15-10-1966</td><td>NGAGRONG
Sakit</td><td> -
align='right'>90000113</td><td>19-05-2023</td><td>NGATEMI</td><td></td><td>PETANI/
PEKEBUN</td><td>'</td><td>19-06-1977</td><td>KEBOPETE RT 5 RW
align='right'>1014994</td><td>19-05-2023</td><td>WAKINEM
</td><td></td><td></td><td>'</td><td>18-01-1960</td><td>PULIHAN RT 03 RW
Sakit</td><td> -
align='right'>99000068</td><td>19-05-2023</td><td>ADITYA DHANI
WIRAYUDHA</td><td></td><td>PELAJAR/MAHASISWA</td><td>'</td><td>29-09-2001</
td><td>KALIPANG RT 1 RW 1 SARANG</td><td></td><td>Luar kabupaten</td><td>PUSKESMAS
Sakit</td><td> -
align='right'>1000570</td><td>19-05-2023</td><td>ATHANASIUS YOSEP EDY PURWANTO
</td><td></td><td></td><td>'</td><td>22-04-1956</td><td>JL.WILIS 17 PERUMGAWE MUKTI
RT 03 RW 06</td><td></td><td>Luar Wilayah</td><td>PUSKESMAS
Sakit</td><td> -
align='right'>1007836</td><td>19-05-2023</td><td>NARNO</td><td></td><td></
td><td>'</td><td>14-04-1959</td><td>POLOBOGO RT 02 RW
Sakit</td><td> -
align='right'>01000009</td><td>19-05-2023</td><td>FEDERICA
DANILA RENATA</td><td></td><td></td><td>'</td><td>10-02-2023</td><td>GETASAN RT 06
RW 01</td><td>GETASAN</td><td>GETASAN</td><td>PUSKESMAS INDUK</td><td>RISTIYANI,
align='right'>1023421</td><td>19-05-2023</td><td>RAYZHARD RAFA
PRADIPTA</td><td></td><td></td><td>'</td><td>22-11-2015</td><td>BUMIAYU RT 01 RW
align='right'>1003038</td><td>19-05-2023</td><td>SUDARMAN</td><td></td><td></
Wilayah</td><td>'0000074673549</td><td>'332201</td><td>Kunjungan Sakit</td><td> -
Sakit</td><td> -
align='right'>99000065</td><td>19-05-2023</td><td>CHEPPY MDJ
RUNTURAMBI</td><td></td><td></td><td>'08984223110</td><td>09-05-2003</td><td>JL
RATNA NO 2 </td><td></td><td>Luar kabupaten</td><td>PUSKESMAS
INDUK</td><td>Handayono</td><td>drg.Ade Indranila</td><td> -
</td><td>-</td><td>L</td><td>20-44 Thn.</td><td>Keluarga</td><td>Lama</td><td>BPJS
NON PBI</td><td>Rajal</td><td align='right'>10</td><td align='right'></td><td
align='right'>1020466</td><td>20-05-2023</td><td>ALINA
LAFATHUNISA</td><td></td><td></td><td>'</td><td>25-10-2020</td><td>GONDANG RT 02 RW
align='right'>1014559</td><td>20-05-2023</td><td>DHANANG WILDAN MUQTADZIL
KHIJA</td><td></td><td></td><td>'</td><td>30-11-2007</td><td>DUKUH RT 01 RW
Sakit</td><td> -
align='right'>06000057</td><td>20-05-2023</td><td>FAREL
MAULANA</td><td></td><td></td><td>'</td><td>23-05-2008</td><td>SELONGISOR RT 1 RW
Sakit</td><td> -
align='right'>1015467</td><td>20-05-2023</td><td>HENDRI
KURNIAWAN</td><td></td><td></td><td>'</td><td>10-12-2007</td><td>MANGGIHAN RT 04 RW
Sakit</td><td> -
align='right'>99000069</td><td>20-05-2023</td><td>ELEGAN VICTORIOOS
AGAPE</td><td></td><td></td><td>'</td><td>30-04-2001</td><td>WONOSOBO RT 2 RW 8
SRAGEN</td><td></td><td>Luar kabupaten</td><td>PUSKESMAS INDUK</td><td>RISTIYANI,
align='right'>1011890</td><td>20-05-2023</td><td>AHMAD ALWI AZIDAN</td><td>SLAMET
RIYADI</td><td></td><td>'</td><td>06-01-2013</td><td>MULUNGAN RT 11 RW
align='right'>1024448</td><td>20-05-2023</td><td>ERIKA
SETYAWATI</td><td></td><td></td><td>'</td><td>15-06-1999</td><td>DEPLONGAN RT 01 RW
Sakit</td><td> -
align='right'>1004086</td><td>20-05-2023</td><td>MAYA SEPTIA
ANGGRAEINI</td><td></td><td></td><td>'</td><td>30-09-2003</td><td>SALARAN RT 15 RW
align='right'>1023588</td><td>20-05-2023</td><td>KOTIJAH</td><td></td><td></
td><td>'</td><td>20-04-1968</td><td>GEJAYAN RT 08 RW
td><td>64</td><td></td><td>0</td></tr><tr><t
d align='right'>2730</td><td
align='right'>01000059</td><td>20-05-2023</td><td>MARLIYAH</td><td>MUHAMMAD ALDI
BUSRO</td><td>PETANI/PEKEBUN</td><td>'085728118852</td><td>13-02-1988</td><td>NGELO
RT 4 RW 2 </td><td></td><td>GETASAN</td><td>PUSKESMAS INDUK</td><td>RISTIYANI,
Sakit</td><td> -
align='right'>1003110</td><td>20-05-2023</td><td>FATIMATUS YAHRO</td><td>TRI
MULYANTO</td><td></td><td>'081358603455</td><td>29-06-2003</td><td>NGAGRONG RT 08
Sakit</td><td> -
align='right'>1015299</td><td>20-05-2023</td><td>SUPARMI</td><td></td><td></
Sakit</td><td> -
align='right'>99000003</td><td>20-05-2023</td><td>ROBERTO
SIMANJUNTAK</td><td></td><td></td><td>'</td><td>02-11-1968</td><td>KARET PS BARU
BARAT II RT 09 RW 07 KARET TENGSIN TANAH ABANG</td><td></td><td>Luar
Khoirunnisa</td><td>Riska Wulandari,A.Md.Kep</td><td>-</td><td>L</td><td>45-54
Sakit</td><td> -
align='right'>1006163</td><td>20-05-2023</td><td>LITA
td><td>KALITENGAH RT 01 RW 06</td><td>KALITENGAH</td><td>BATUR</td><td>PUSKESMAS
Sakit</td><td> -
align='right'>90000114</td><td>20-05-2023</td><td>SALIYEM</td><td></td><td></
td><td>'</td><td>12-06-1954</td><td>DALANGAN RT 2 RW </td><td></td><td>Luar
Sakit</td><td> -
align='right'>02000039</td><td>20-05-2023</td><td>ANINDITA WIDYA
PARAMISANTI</td><td>ADHITYA EKO BAYU
AJI</td><td></td><td>'</td><td>16-05-2023</td><td>BANARAN RT 5RW
align='right'>99000070</td><td>20-05-2023</td><td>SARBI</td><td></td><td>PETANI/
PEKEBUN</td><td>'</td><td>31-12-1966</td><td>KEDITAN RT 1 RW 1
NGABLAK</td><td></td><td>Luar kabupaten</td><td>PUSKESMAS INDUK</td><td>RISTIYANI,
Umum</td><td>Penyakit Dalam </td><td>RS DR.ASMIR SALATIGA</td><td>Luar
Sakit</td><td> -
align='right'>1002472</td><td>20-05-2023</td><td>EKA NURUL
FATIMAH</td><td></td><td></td><td>'</td><td>30-05-1996</td><td>NGLELO RT 06 RW
Sakit</td><td> -
SUKARSIH</td><td></td><td></td><td>'</td><td>21-07-1983</td><td>NOGOSAREN RT 07 RW
Sakit</td><td> -
align='right'>1010469</td><td>20-05-2023</td><td>YOSIA ADI
NUGROHO</td><td></td><td></td><td>'</td><td>27-01-1995</td><td>NGLELO RT
Sakit</td><td> -
align='right'>1008892</td><td>20-05-2023</td><td>SINTIYANINGSIH</td><td></
td><td></td><td>'</td><td>11-08-1996</td><td>NGRINGIN RT.2
Sakit</td><td>
- </td><td>-</td><td>-</td><td>-</td><td>-</td><td>-</td><td>-</td><td>-</
align='right'>1024547</td><td>20-05-2023</td><td>RUSIYONO</td><td></td><td></
Sakit</td><td> -
align='right'>1017123</td><td>20-05-2023</td><td>RUSIYANI</td><td></
td><td>WIRASWASTA</td><td>'</td><td>13-08-1987</td><td>KENTENG RT 05 RW 05
align='right'>1006972</td><td>20-05-2023</td><td>ZABIL EZAR
AUFALEN</td><td></td><td></td><td>'</td><td>02-12-2013</td><td>KENTENG RT
Sakit</td><td> -
align='right'>1024838</td><td>20-05-2023</td><td>PRIYATINI</td><td></td><td></
td><td>'</td><td>09-12-1970</td><td>GOMPYONG RT 07 RW 01
POLOBOGO</td><td></td><td>Luar Wilayah</td><td>PUSKESMAS INDUK</td><td>RISTIYANI,
Umum</td><td>Penyakit Dalam </td><td>RSUD dr. Gunawan Mangunkusumo</td><td>Luar
Sakit</td><td> -
align='right'>1010780</td><td>20-05-2023</td><td>ENDANG
SETYORINI</td><td></td><td>PELAJAR/MAHASISWA</td><td>'</td><td>30-04-1999</
td><td>CUNTEL RT 05/01</td><td></td><td>KOPENG</td><td>PUSKESMAS
44 Thn.</td><td>Keluarga</td><td>Baru</td><td>BPJS NON PBI</td><td></td><td
Sakit</td><td> -
align='right'>07000080</td><td>20-05-2023</td><td>HARIYANTO</td><td></
td><td>WIRASWASTA</td><td>'</td><td>17-09-1981</td><td>SLEKER RT 9 RW 3
Sakit</td><td> -
align='right'>90000115</td><td>20-05-2023</td><td>PUJIATI</td><td></td><td></
td><td>'</td><td>04-04-2004</td><td>PANDANA GETASAN</td><td></td><td>Luar
Sakit</td><td> -
align='right'>1019524</td><td>20-05-2023</td><td>BAGUS
KRISTIAWAN</td><td></td><td></td><td>'</td><td>18-05-2006</td><td>PANDANAN RT 03 RW
Sakit</td><td> -
align='right'>1009309</td><td>20-05-2023</td><td>TRIMAH</td><td></td><td></
td><td>'</td><td>04-06-1962</td><td>PANDANAN RT.3
RW.3</td><td>PANDANAN</td><td>GETASAN</td><td>PUSKESMAS INDUK</td><td>RISTIYANI,
align='right'>06000058</td><td>20-05-2023</td><td>ALBY
LUTFY</td><td></td><td></td><td>'</td><td>15-05-2023</td><td>KALIDUREN RT 5 RW 2
align='right'>1011438</td><td>20-05-2023</td><td>NUR AISYAH
RAMADHANI</td><td></td><td></td><td>'</td><td>28-05-2018</td><td>PLALAR RT 03 RW
Sakit</td><td> -
align='right'>1001670</td><td>20-05-2023</td><td>YAMTINAH</td><td></td><td></
03</td><td>PANDANAN</td><td>GETASAN</td><td>PUSKESMAS INDUK</td><td>RISTIYANI,
Sakit</td><td> -
align='right'>1020285</td><td>20-05-2023</td><td>TRIYADI</td><td></td><td></
align='right'>1001456</td><td>20-05-2023</td><td>SUPARJONO</td><td></td><td></
02</td><td>SRANTI</td><td>WATES</td><td>PUSKESMAS INDUK</td><td>RISTIYANI,
Thn.</td><td>Keluarga</td><td>Lama</td><td>BPJS
Sakit</td><td> -
align='right'>1023721</td><td>20-05-2023</td><td>MIKHA TIMOTHY
Sakit</td><td> -
align='right'>1006602</td><td>20-05-2023</td><td>RAHEL ADI
CANDRA</td><td></td><td></td><td>'</td><td>30-10-2010</td><td>KEMBANG RT.11
RW.3</td><td></td><td>Luar Wilayah</td><td>PUSKESMAS INDUK</td><td>RISTIYANI,
Sakit</td><td> -
align='right'>1018557</td><td>20-05-2023</td><td>ELVIA AGUSTIN WIDYA
PUTRI</td><td></td><td></td><td>'</td><td>13-08-2019</td><td>PIJI RT 10 RW
Sakit</td><td> -
align='right'>90000008</td><td>20-05-2023</td><td>ANDRIAN JANU
WICAKSONO</td><td></td><td></td><td>'085290811560</td><td>07-01-2016</
td><td>BLONGORAN RT 05 RW 03</td><td></td><td>Luar Wilayah</td><td>PUSKESMAS
Sakit</td><td> -
align='right'>90000116</td><td>20-05-2023</td><td>ALLEN KURNIA
SARI</td><td></td><td>PELAJAR/MAHASISWA</td><td>'</td><td>24-06-2008</
td><td>BLONGORAN RT 5 RW 3 </td><td></td><td>Luar Wilayah</td><td>PUSKESMAS
Sakit</td><td> -
align='right'>1002972</td><td>20-05-2023</td><td>IBNU ALFAREL
MAHARDIKA</td><td></td><td></td><td>'</td><td>06-02-2014</td><td>SLEKER RT
Sakit</td><td> -
align='right'>90000117</td><td>20-05-2023</td><td>RENDY NATHANAEL</td><td>KABUL
WIDODO</td><td>PELAJAR/MAHASISWA</td><td>'083108148139</td><td>07-02-2016</
td><td>MUJO RT 3 RW 4 </td><td></td><td>Luar Wilayah</td><td>PUSKESMAS
INDUK</td><td>RISTIYANI, A.Md.</td><td></td><td> - </td><td>-</td><td>L</td><td>5-9
Sakit</td><td> -
align='right'>1018762</td><td>20-05-2023</td><td>DIVIA RERE MUDAWAMAH</td><td>RUR
MAHRUS</td><td></td><td>'</td><td>09-02-2020</td><td>SETURUN RT 03 RW
Khoirunnisa</td><td>Sutini,A.Md.Keb</td><td>-</td><td>P</td><td>1-4
Sakit</td><td> -
align='right'>1008855</td><td>20-05-2023</td><td>EBEN HAEZER APRILLIO
SANTOSO</td><td></td><td></td><td>'</td><td>06-04-2015</td><td>KRANGKENG RT.3
Sakit</td><td> -
td><td></td><td>0</td></tr></table>

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<h2>DATA KUNJUNGAN PASIEN PUSKESMAS</h2>

Periode : 01-05-2023 s/d 31-05-2023<br>

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