NO No Kunjungan No Kartu Nama Peserta DX

NO NO KUNJUNGAN NO KARTU NAMA PESERTA DX
1 0000139304452 JUSNI ARSAD DM HT

2 0000139304496 FATMAH BANO DM
3 0000139313902 FARIDA HASAN DM
4 0000139318852 RITON NUSU DM
5 0000139319752 DAHLAN HILALA DM
6 0000139326862 ARIATY KUMAJI DM
7 0000139329167 HERMAN LAIMA DM
8 0000139334938 UMAR YUNUS DM
9 0000139335309 DANSER RITONGGA DM
10 0000139336402 ZOHRA IBRAHIM DM
11 0000139342623 OLVIEN DARWIN PAGAU DM
12 0000139342847 YENNY HZ.,ADAM DM
13 0000139346471 SALMA DM
14 0000139349147 SUWARNI HUMONGGIO DM
15 0000139349621 YASMIN ISMAIL DM
16 0000139352534 MONDRUWATI MAYULU DM
17 0000139353658 ASNAWATI NAITO DM
18 0000139353715 ASNI HASAN DM
19 0000139354694 ERWIN BAGOU DM
20 0000139357495 MAIMUN DALUMI DM
21 0000139359396 RATUMI ILATO DM
22 0000139367845 SULASTRI POLUMULO DM
23 0000139368374 AMRIA BUMULO DM
24 0000139371581 SULARNO DM
25 0000139479039 NON PATEDA DM
26 0000139519664 MARYAM R DJAINI DM
27 0000202901962 KARYAWAN TALIKI DM
28 0000204373844 ARTINI DM
29 0000956025167 RAHMIN MATANI DM
30 0000956121107 RISMAN RAHIM DM
31 0000956503642 DOLI DALUMI DM
32 0000956837226 NORMA SANGGE DM
33 0000956951032 LIAN POMU DM
34 0000957341709 ERNI MOHAMAD DM
35 0000958054498 ELIS P. BANO DM
36 0001075448439 ROSTIN MARJUN DM
37 0001075448496 RICO MOHULAINGO DM
38 0001089913487 DEWI NAKI DM
39 0001234386224 MANI RAHIM DM
40 0001234565425 ARIFIN KOMENDANGI DM
41 0001234887039 ASNI KUMEDI DM
42 0001234931229 HASMIN KANTU DM
43 0001235001082 DJARIA KASALA DM
44 0001235009215 PATMA DUAKO DM
45 0001235549799 ADRIAN TANE DM
46 0001236084142 HAMIRA KANTU DM
47 0001236202997 HARYONO MOJO DM
48 0001236204775 YULIANA YUSUSF DM
49 0001236620564 AMINA KAIKO DM
50 0001237415297 SUNARYO RAJAMUDA DM
51 0001405097436 DJON VAN GOBEL DM
52 0001405153372 SRI MELIYATI S.RAJIMAN DM
53 0001574166745 SALEH AHMAD DM
54 0001800202599 MAKSUD OTOLUWA DM
55 0001834654623 EMAN ALIMUN DM
56 0001876956388 STIN BIKI DM
57 0001876958829 YAHYA ABUNIO DM
58 0001967234218 SUKRIN WOLINGALO DM
59 0001971241795 ROSITA HASAN DM
60 0002007520367 ASMA ABAS DM

61 0002117061044 IRWAN DINO MURSALI DM
62 0002273108602 UNI PILOHIMA DM
63 0002278017325 POMI PILOHIMA DM
64 0002310503782 ROSMIN HINELO DM
65 0002381739502 RABIA NURAIN DM
66 0002430908796 BUCHARI MONOARFA DM
67 0002435274224 ASRIN SULEMAN DM
68 0003068967791 ZARIA M. UNGO DM
69 0000139304485 SUMITRO MUDA HT
70 0000139317952 SUWARNI DALUMI HT
71 0000139334444 FERY PANDJU HT
72 0000139342386 ASYURA DJAILANI HT
73 0000139348664 TENI L. SAIDI HT
74 0000139348686 TOWANA HILIMI HT
75 0000139348765 RATNA MOHA BT MUDA HT
76 0000139349452 RUWAIDA TUNA HT
77 0000139349619 ZENAB DJAFAR HT
78 0000139351948 MISNA ABD. HARUN HT
79 0000139352668 ADELIN LASENA HT
80 0000139353669 ABD.KARIM DOHOLIO HT
81 0000139358103 MUN U.M. BANO HT
82 0000139358845 PABIA PANIGORO,S.Pd HT
83 0000139360138 RUSNI VAN GOBEL HT
84 0000139361005 SOFYAN THAIB HT
85 0000139361319 SARIMUNA PUKOI HT
86 0000139366642 DRS.HANNY NUSA HT
87 0000139367856 ABD.JAMAL KAJINTUNI HT
88 0000139368339 AMINAH POMONTOLO HT
89 0000139369961 JETTY DIENTJE PANGKEY HT
90 0000139371298 SALMA SAUD HT
91 0000163513989 WITA BAGU HT
92 0000166391649 MARIANI MOKODOMPIT HT
93 0000955679769 MERLIN MOHUNE HT
94 0000955903105 LATIFA MAGU HT
95 0000956000834 ASMA DAI HT
96 0000956024932 MARTA ADAM HT
97 0000956094535 SALMA BAKARI HT
98 0000956382941 HERLINA LAUMA HT
99 0000956407432 AMINA LASADU HT
100 0000956411021 KARTIN DAKA HT
101 0000956413089 WARNI HASAN HT
102 0000956422506 HALIMA MODUE HT
103 0000956431394 SALMA IBRAHIM HT
104 0000956458168 MADI HUMU HT
105 0000956470498 MARTA PONGOH HT
106 0000956486136 RISNA HUSAIN HT
107 0000956496295 SALMA ABDULLAH HT
108 0000956511538 MARYAM B. SIDU HT
109 0000956524487 HADJARA YADEDU HT
110 0000956526153 RATNA HUSAIN HT
111 0000956730497 HASNI HINTALO HT
112 0000956827258 RAFIA NIKMATI HT
113 0000956845539 RATNA NIKMATI HT
114 0000956847958 SAMU KASIM HT
115 0000956866781 SUPARDI DAKIO HT
116 0000956867117 ERLIN KOINGO HT
117 0000957001004 MARNI MARJUN HT
118 0000957594756 AMINA AKUBA HT

119 0001075448362 FARIDA MARDJUN HT
120 0001075448619 AMNA ABAS HT
121 0001075448823 ASNA BAHUWA HT
122 0001075453402 WICO TINA HT
123 0001075455786 MASTIN MAHMUD HT
124 0001079986015 EFENDI HINELO HT
125 0001234372533 LENY BOKINGO HT
126 0001234435083 HASNA LAIYA HT
127 0001234931196 HAPSA TONGA HT
128 0001235398948 TANINO KADIR HT
129 0001235785329 HAPISA ALIMUN HT
130 0001236083916 ERVA LIHU HT
131 0001236203392 IDRUS BAILI HT
132 0001236513464 IDRUS AMILI HT
133 0001236619967 ROSTIN HINELO HT
134 0001236619978 ROSTIN MATANI HT
135 0001236629035 ARDINA DALUMI HT
136 0001236741726 HADIJA KONE HT
137 0001237696751 SITI PALAPA HT
138 0001405085275 ROSNA YUSUF HT
139 0001405153361 MAMAN S. TALIKI HT
140 0001424484461 AZIR NALOLE HT
141 0001474881377 SAIDA KUNTE HT
142 0001574019279 RISNA PILOHIMA HT
143 0001788899062 IKI LIHU HT
144 0001789908783 KULU ISMAIL HT
145 0001800205918 FATMA MALAHIKA HT
146 0001824859361 ARDI GANI HT
147 0001824860092 RIYANTI BAU HT
148 0001834656221 ASNI LUNETO HT
149 0001852763995 SUARTIN MONOARFA HT
150 0001860145672 SITI HARTIN KONI HT
151 0001882591233 AISA YADEDU HT
152 0001901286628 DJIBA K.DAMA HT
153 0002007545692 HASNA MOHU HT
154 0002007547402 AMINA SALEH HT
155 0002007579846 ASWIN POTUTU HT
156 0002007597262 ROHANA DAUD HT
157 0002026239704 IBRAHIM DJABI HT
158 0002086936244 ERNA ADAM HT
159 0002223765617 RISNI ABUNA HT
160 0002249369447 ILHAM BOTUTIHE HT
161 0002251597419 SUDARTO D.SUMARTO HT
162 0002284845838 SAHRUDIN HANAPI HT
163 0002286870748 MONIRA AUNA HT
164 0002324305956 TORSIA TALIB HT
165 0002494991788 HADIJA K. SUMA HT
166 0002587650838 SATRIA MISILU HT
167 0001237415297 SUNARYO RAJAMUDA DM
168 0002494991788 HADIJA K. SUMA DM
169 0002587650838 SATRIA MISILU
170 0002445486478 NURHAYATI SALEH HT
171 0002918703047 DJEMI NAITO HT
172 0000956825976 YASIN AUNA
173 0000957340495 RISNA SULEMAN
174 0002494677681 RISNAWATI SULEMAN
175 0001861462719 FARIDA TUI
176 0001104355754 SENSUS LADJIWA
177 0000139339315 ELISABETH LANTANG
178 0002284846165 HANISA KAI
179 0001236205721 ASNA POIYO
180 0002073105977 IBRAHIM NALOLE
181 0002087666144 SETTY MOITO
182 0002060331579 KARSIA HABU
183 0001234386246 MARIANI TAHIR
184 0001234373242 MUKMIN NTOI
185 0002304650690 SITI D. TINA
186 0002973484877 RAHMA POMALANGO
187 0000139366168 ADELIN BOYOLA
188 0001898065708 DODY GUNAWAN
189 0000956944517 SIRA LATIF
190 0000957196293 SIRU MONOARFA
191 0002775739263 GADI ADAM
192 0000139323778 ELVI TOWAPO
193 0001861462719 FARIDA TUI
194 0002040726339 SANTI MARJUN
195 0002094076607 YUSNI LAMATOWA
196 0002310596188 ASRIN TOWAPO
197 0001234372926 MASTIN TUANI
198 0001859148652 UNI ABAS
199 0000957379634 SUWARNI HANAPI
200 0002294312602 TITIN LAMATENGGO
201 0000139366798 HARCO ANWAR,SPd
202 0000139366809 SULEMAN IBRAHIM
203 0002007556705 HAMID IKA
204 0000139360138 RUSNI VAN GOBEL
205 0002086936244 ERNA ADAM
DAFTAR HADIR PESERTA PROLANIS
NO NAMA PESERTA NO BPJS DIAGNOSA TTD
ABDURRAHMAN AMU DM
1 0001235549687
HUSIN ISMAIL 0001574143277 DM
2
DM
3 FARIDA HASAN 0000139313902
SAIFUL BUSURA 0000148761371 DM
4
DM
5 DAHLAN HILALA 0000139319752
DINCE BASIRU 0001235958952 DM
6
AHMAD MONOARFA 0001234434554 DM
7
DM
8 UMAR YUNUS 0000139334938
DM
9 DANSER RITONGGA 0000139335309
DM
10 ZOHRA IBRAHIM 0000139336402
DM
11 OLVIEN DARWIN PAGAU 0000139342623
DM
12 YENNY HZ.,ADAM 0000139342847
DM
13 SALMA 0000139346471
DM
14 SUWARNI HUMONGGIO 0000139349147
DM
15 YASMIN ISMAIL 0000139349621
RUSLIANTI MARJUN 0002007597587 DM
16
DM
17 ASNAWATI NAITO 0000139353658
DM
18 ASNI HASAN 0000139353715
DM
19 ERWIN BAGOU 0000139354694
DM
20 MAIMUN DALUMI 0000139357495
DM
21 RATUMI ILATO 0000139359396
DM
22 SULASTRI POLUMULO 0000139367845
ASNA DJAFAR 0003037835057 DM
23
DM
24 SULARNO 0000139371581
DM
25 NON PATEDA 0000139479039
DM
26 MARYAM R DJAINI 0000139519664
DM
27 KARYAWAN TALIKI 0000202901962
DM
28 ARTINI 0000204373844
DM
29 RAHMIN MATANI 0000956025167
DM
30 RISMAN RAHIM 0000956121107
0002973484877 DM
31 RAHMA POMALANGO
0000139366168 DM
32 ADELIN BOYOLA
ALWIS DAKA 0001817057856 DM
33
DM
34 SIRA LATIF 0000956944517
DM
35 SIRU MONOARFA 0000957196293

DM
36 GADI ADAM 0002775739263
0000139323778 DM
37 ELVI TOWAPO
0001861462719 DM
38 FARIDA TUI
0001104355754 DM
39 SENSUS LADJIWA
0001234372926 DM
40 MASTIN TUANI
DM
41 SUWARNI HANAPI 0000957379634
DM
42 HARCO ANWAR,SPd 0000139366798
DM
43 ZULFA PANIGORO 0001237416041
DM
44 ARWIS AZIR NALOLE 0000139352073
0001474881377 DM
45 SAIDA KUNTE
DM
46 ABAS LATIF 0001235822163
LILI PAULU DM
47
ADNAN KARIM DM
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
1 DOLI DALUMI 0000956503642 DM
2 NORMA SANGGE 0000956837226 DM
3 LIAN POMU 0000956951032 DM

KAMARIA HASAN 0002007597306 DM
4
5 ELIS P. BANO 0000958054498 DM
6 ROSTIN MARJUN 0001075448439 DM
7 RICO MOHULAINGO 0001075448496 DM
8 DEWI NAKI 0001089913487 DM
9 MANI RAHIM 0001234386224 DM
10 ARIFIN KOMENDANGI 0001234565425 DM
11 ASNI KUMEDI 0001234887039 DM
12 HASMIN KANTU 0001234931229 DM
13 DJARIA KASALA 0001235001082 DM
14 PATMA DUAKO 0001235009215 DM

NIRWAN G. MALATANI 0003072616402 DM
15
16 HAMIRA KANTU 0001236084142 DM
17 HARYONO MOJO 0001236202997 DM
18 YULIANA YUSUF 0001236204775 DM
19 AMINA KAIKO 0001236620564 DM
20 SUNARYO RAJAMUDA 0001237415297 DM
21 DJON VAN GOBEL 0001405097436 DM
22 SRI MELIYATI S.RAJIMAN 0001405153372 DM
23 SALEH AHMAD 0001574166745 DM
24 MAKSUD OTOLUWA 0001800202599 DM
25 EMAN ALIMUN 0001834654623 DM
26 STIN BIKI 0001876956388 DM
27 YAHYA ABUNIO 0001876958829 DM

KARLINA KARIM 0000139304259 DM
28
29 ROSITA HASAN 0001971241795 DM

DM
30 HASPIN PILOHIMA 0002310497785
31 IRWAN DINO MURSALI 0002117061044 DM
32 UNI PILOHIMA 0002273108602 DM
33 POMI PILOHIMA 0002278017325 DM
34 ROSMIN HINELO 0002310503782 DM

35 RABIA NURAIN 0002381739502 DM

NO NAMA PESERTA NO BPJS TTD
DIAGNOSA
36 BUCHARI MONOARFA 0002430908796 DM
37 ASRIN SULEMAN 0002435274224 DM

WATI HILAHAPA 0002607301855 DM
38
39 SANTI MARDJUN 0002040726339 DM
40 YUSNI LAMATOWA 0002094076607 DM

DM
41 KADIR PAKUNE 0000960463506
0002007556705
42 HAMID IKA DM
43 SETTY MOITO 0002087666144 DM

DM
44 ASMIN ISMAIL 0001236602564
SURI AHMAD 0000921566428 DM
45
JONI LAIYA 0002448751206 DM
46
RUSNI DAKIO 0002059977958 DM
47
SULASTRI HAMID DM
48
KARSUM MAKLUMI 0001075453391 DM
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
0000139304485 HT
1 SUMITRO MUDA
0000139317952 HT
2 SUWARNI DALUMI
0000139334444 HT
3 FERY PANDJU
0000139342386 HT
4 ASYURA DJAILANI
0000139348664 HT
5 TENI L. SAIDI
RASUNA H. SUPU 0000139356865 HT
6
0000139348765 HT
7 RATNA MOHA BT MUDA
0000139349452 HT
8 RUWAIDA TUNA
0000139349619 HT
9 ZENAB DJAFAR
0000139351948 HT
10 MISNA ABD. HARUN
0000139352668 HT
11 ADELIN LASENA
0000139353669 HT
12 ABD.KARIM DOHOLIO
0000139358103 HT
13 MUN U.M. BANO
0000139358845 HT
14 PABIA PANIGORO,S.Pd
0000139360138 HT
15 RUSNI VAN GOBEL
0000139361005 HT
16 SOFYAN THAIB
0000139361319 HT
17 SARIMUNA PUKOI
0000139366642 HT
18 DRS.HANNY NUSA
0000139367856 HT
19 ABD.JAMAL KAJINTUNI
0000139368339 HT
20 AMINAH POMONTOLO
0000139369961 HT
21 JETTY DIENTJE PANGKEY
0000139371298 HT
22 SALMA SAUD
0000163513989 HT
23 WITA BAGU
0000166391649 HT
24 MARIANI MOKODOMPIT
0000955679769 HT
25 MERLIN MOHUNE
0000955903105 HT
26 LATIFA MAGU
0000956000834 HT
27 ASMA DAI
0000956024932 HT
28 MARTA ADAM
0000956094535 HT
29 SALMA BAKARI
0000956382941 HT
30 HERLINA LAUMA
0000956407432 HT
31 AMINA LASADU
0000956411021 HT
32 KARTIN DAKA
0000956413089 HT
33 WARNI HASAN
0000956422506 HT
34 HALIMA MODUE
0000956431394 HT
35 SALMA IBRAHIM

0000956458168 HT
36 MADI HUMU
0000956470498 HT
37 MARTA PONGOH
0001235312392 HT
38 RUSTAM ALIMUN
0003037825449 HT
39 SIMARI HABI
0001574144021 HT
40 SARTON RAHMAN
MARIA SALEH 0000977292797 HT
41
NINGSI DJAMA 0002973485553 HT
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
0000956486136 HT
1 RISNA HUSAIN
0000956496295 HT
2 SALMA ABDULLAH
0000956511538 HT
3 MARYAM B. SIDU
SARIDA BASIRU 0002523909868
4
0000956526153 HT
5 RATNA HUSAIN
0000956730497 HT
6 HASNI HINTALO
0000956827258 HT
7 RAFIA NIKMATI
0000956845539 HT
8 RATNA NIKMATI
0000956847958 HT
9 SAMU KASIM
0000956866781 HT
10 SUPARDI DAKIO
0000956867117 HT
11 ERLIN KOINGO
0000957001004 HT
12 MARNI MARJUN
0000957594756 HT
13 AMINA AKUBA
RAMLI SUMULI 0002273108411 HT
14
0001075448619 HT
15 AMNA ABAS
0001075448823 HT
16 ASNA BAHUWA
0001075453402 HT
17 WICO TINA
0001075455786 HT
18 MASTIN MAHMUD
0001079986015 HT
19 EFENDI HINELO
0001234372533 HT
20 LENY BOKINGO
0001234435083 HT
21 HASNA LAIYA
0001234931196 HT
22 HAPSA TONGA
0001235398948 HT
23 TANINO KADIR
0001235785329 HT
24 HAPISA ALIMUN
0001236083916 HT
25 ERVA LIHU
0001236203392 HT
26 IDRUS BAILI
HADIJA RAHMAN 0002073106721 HT
27
0001236619967 HT
28 ROSTIN HINELO
0001236619978 HT
29 ROSTIN MATANI
0001236629035 HT
30 ARDINA DALUMI
0001236741726 HT
31 HADIJA KONE
0001237696751 HT
32 SITI PALAPA
0001405085275 HT
33 ROSNA YUSUF
0001405153361 HT
34 MAMAN S. TALIKI
0001424484461 HT
35 AZIR NALOLE

0001574019279 HT
36 RISNA PILOHIMA
0001859148652 HT
37 UNI ABAS
0000956571434 HT
38 HAJARA NURANI
0000139359273 HT
39 RATNA Y. TINA
0000956508581 HT
40 SARTIN KAIDA
0001235338817 HT
41 RUKIA PAKAYA
0002315052483 HT
42 AMINA POTUTU
0001234954473 HT
43 AISA DUPI
0001234599085 HT
44 MASYKUR TINA
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
0001788899062 HT
1 IKI LIHU
0001789908783 HT
2 KULU ISMAIL
0001800205918 HT
3 FATMA MALAHIKA
USMAN MUSTAPA 0002310600159 HT
4
0001824860092 HT
5 RIYANTI BAU
0001834656221 HT
6 ASNI LUNETO
0001852763995 HT
7 SUARTIN MONOARFA
0001860145672 HT
8 SITI HARTIN KONI
0001882591233 HT
9 AISA YADEDU
0001901286628 HT
10 DJIBA K.DAMA
0002007545692 HT
11 HASNA MOHU
0002007547402 HT
12 AMINA SALEH
0002007579846 HT
13 ASWIN POTUTU
0002007597262 HT
14 ROHANA DAUD
0002026239704 HT
15 IBRAHIM DJABI
0002086936244 HT
16 ERNA ADAM
0002223765617 HT
17 RISNI ABUNA
0002249369447 HT
18 ILHAM BOTUTIHE
0002251597419 HT
19 SUDARTO D.SUMARTO
0002284845838 HT
20 SAHRUDIN HANAPI
0000139342397 HT
21 HAMZAH MUDA
0002324305956 HT
22 TORSIA TALIB
0002494991788 HT
23 HADIJA K. SUMA
0002587650838 HT
24 SATRIA MISILU
0002445486478 HT
25 NURHAYATI SALEH
0002918703047 HT
26 DJEMI NAITO
0000956825976 HT
27 YASIN AUNA
0000957340495 HT
28 RISNA SULEMAN
0002494877681 HT
29 RISNAWATI SULEMAN
HT
30 HANISA KAI 0002284846165
0001236205721 HT
31 ASNA POIYO
HT
32 ELISABETH LANTANG 0000139339315
HT
33 IBRAHIM NALOLE 0002073105977
HT
34 KARSIA HABU 0002060331579
HT
35 MARIANI TAHIR 0001234386246

0000139340237 HT
36 MOH.YASIN SALEH
HT
37 MUKMIN NTOI 0002381739467
HT
38 SITI D. TINA 0002304650690
HT
39 TITIN LAMATENGGO 0002294312602
0000139366809 HT
40 SULEMAN IBRAHIM
0001963411198 HT
41 NURHAYATI PIRUS
LIEN MAHMUD '0002430909123 HT
42
ASTIN POMU 0001236205798 HT
43
METRIS HINTALO 0001234599153 HT
44
MASNI DALU 0001235188811 HT
45
HARYONO MOJO 0001236202997 HT
46
MOHAMMAD KATILI 0003037835992 HT
47
NURAIN POMPANJANG 0000956934088 HT
48
RATNA PADJUE 0002276071716 HT
49
NENJI PAJUE 0001234649406 HT
50
RINA AHMAD 0001234079188 HT
51
RISNA MOHULAINGO 0000956860653 HT
52
MAYA NOVA WATULANGK 0002310540996 HT
53
RAHMIN EKSAN 0000139359069 HT
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
182
183 HANISA KAI
184
185
186
187
188
189
190
191
NO NO HANDPHONE NO KARTU NAMA PESERTA DX TERAPHY OBAT UMUR JK ALAMAT KET
1 0823-9394-5634 0000139304452 JUSNI ARSAD DM Metformin 2x1,Captopril 2x1,Aspilet P SOSIAL PINDAH

1x1 FASKES
Metformin 2x1,Captopril 2x1,Aspilet MENINGG
2 0852-5675-0588 0000139304496 FATMAH BANO DM P WONGGAHU
1x1 AL
3 0812-8450-7409 0000139313902 FARIDA HASAN DM+HT Novomix 2x12U,Amlodpine 8/1/1967 P WONGGAHU
1x1,Clopidogrel 1x1
Novomix 2x12U,Amlodpine MENINGG
4 0821-8779-7176 0000139318852 RITON NUSU DM P SOSIAL
1x1,Clopidogrel 1x1 AL
Amlodipine 1x1,Novorapide
5 0853-9939-3470 0000139319752 DAHLAN HILALA DM+HT 6/23/1964 L WONGGAHU
3x6U,Lantus 1x10U
Amlodipine 1x1,Novorapide MENINGG
6 0853-9418-3969 0000139326862 ARIATY KUMAJI DM P TANGKOBU
3x6U,Lantus 1x10U AL
Metformin 2x1,Captopril 2x1,Aspilet
7 0852-4234-9807 0000139329167 HERMAN LAIMA DM 1x1 2/20/1966 L TANGKOBU
Glimepiride 1x1, Metformin 2x1,

8 0821-8956-5210 0000139334938 UMAR YUNUS DM 12/13/1970 L MUTIARA
Simvastatin 1x1
9 0821-9235-2888 0000139335309 DANSER RITONGGA DM Glimepiride 1x1, Metformin L SARIPI

2x1,Candesartan 1x1,Frosemid 1x1
Metformin 2x1,Glimepiride
10 0852-4045-5430 0000139336402 ZOHRA IBRAHIM DM 2/14/1979 P SOSIAL
1x1,Simvastatin 1x1
11 0823-8575-0120 0000139342623 OLVIEN DARWIN PAGAU DM Novomix 2x10U 12/13/1976 P MOLOMBULAHE
12 0822-9132-4457 0000139342847 YENNY HZ.,ADAM DM Metformin 2x1,Glimepiride 1x1, WONGGAHU

Gabapentin 1x1, Levemir 24u/24j
Glimepiride 1x1,Metformin 3x1,

13 - 0000139346471 SALMA LIHU DM+HT 3/22/1951 P WONGGAHU
Amlodipine 1x1
Amlodipine 1x1,Candesartan
14 0812-4178-2902 0000139349147 SUWARNI HUMONGGIO DM+HT 6/6/1968 P MOLOMBULAHE
1x1,Glimepiride 2x1,Simvastatin 1x1

15 0852-9864-1876 0000139349621 YASMIN ISMAIL DM+HT Amlodipine 1x1, Allopurinol 9/15/1943 P KUALA LUMPUR
16 0852-9883-3127 0000139352534 MONDRUWATI MAYULU DM P MOLOMBULAHE MENINGG
Amlodipine 1x1, Allopurinol AL
Valsartan 1x1,Furoemid
17 0822-6726-1496 0000139353658 ASNAWATI NAITO DM+CHF 12/13/1959 P SOSIAL
1x1,Spironolctone 1x1,Metformin 1x1
Glimepiride 2x1,Metformin
18 0852-4044-3106 0000139353715 ASNI HASAN DM+HT 12/5/1969 P MOLOMBULAHE
3x1,Amlodipine 1x1,Allopurinol 1x1
19 0813-5660-4643 0000139354694 ERWIN BAGOU DM+HT Glimepiride 1x1,Amlodipine 1x1 3/27/1954 P MOLOMBULAHE
Glimeiride 2x1,Metformin
20 0852-5631-9833 0000139357495 MAIMUN DALUMI DM 10/4/1956 P SOSIAL
3x1,Amlodipine 1x1
Simvastatin 1x1,Metformin
21 0813-9795-7139 0000139359396 RATUMI ILATO DM 11/16/1967 P SOSIAL
3x1,Allopurinol 1x1
Metformin 3x1, Amlodipine 1x1,
22 0852-4048-0903 0000139367845 SULASTRI POLUMULO DM+HT Allopurinol 1x1, Simvastatin 1x1 14/01/960 P MOLOMBULAHE
23 0852-4092-0953 0000139368374 AMRIA BUMULO DM Metformin 3x1 P SOSIAL MENINGG

AL
24 0822-9150-2093 0000139371581 SULARNO DM Novorapide 3x6U,Levemir 1x10U 7/6/1960 L SOSIAL
25 0851-4578-4978 0000139479039 NON PATEDA DM Metformin 3x1 3/25/1957 P KAMIRI
26 0851-4507-7782 0000139519664 MARYAM R DJAINI DM Glimepiride 2x1,Metformin 2x1 4/5/1965 P MOLOMBULAHE
27 0821-9409-9274 0000202901962 KARYAWAN TALIKI DM Novarapid 3x6U, Spironolacton 2x1 3/3/1973 L TANGKOBU
28 0822-9377-7737 0000204373844 ARTINI DM Lantus 1x12U, 5/9/1977 P MOLOMBULAHE
29 0822-5953-9394 0000956025167 RAHMIN MATANI DM+HT Metformin 3x1,Glmepiride 3/23/1973 P REJONEGORO

1x1,Amlodipine1x1
30 0822-9292-7972 0000956121107 RISMAN RAHIM DM Glimepiride 1x1,Furosemid 1x1 11/12/1967 L WONGGAHU
Glimeiride 2x1,Metformin
31 0852-5663-5803 0000956503642 DOLI DALUMI DM 3x1,Amlodipine 1x1,Allopurinol 7/1/1964 P MOLOMBULAHE
1x1,Simvastatine 1x1
32 0822-5989-3194 0000956837226 NORMA SANGGE DM+HT 3/15/1965 P WONGGAHU
3x1,Amlodipine 1x1
Captopril 2x1,Aspilet
33 - 0000956951032 LIAN POMU HT 4/3/1978 P TENILO
0853-4032-8139/ 0823- Metformi 3x1,Glimpiride MENINGG
34 0000957341709 ERNI MOHAMAD DM P SOSIAL
4937-9132 2x1,Amlodipine 1x1 AL
Metformi 3x1,Glimpiride
35 - 0000958054498 ELIS P. BANO DM P TENILO
2x1,Amlodipine 1x1
36 - 0001075448439 ROSTIN MARJUN HT Amlodipine 1x1,Captopril 12/22/1950 P TANGKOBU

37 0852-4150-4361 0001075448496 RICO MOHULAINGO DM+HT Novorapide 3x12U, Amlodipin 1x1 8/24/1963 P MOLOMBULAHE
38 0852-5622-7377 0001089913487 DEWI NAKI HT+DM 12/4/1976 P REJONEGORO
1x1,Amlodipine 1x1,Canesartan 1x1
0852-9863-0034/0853-9872- Metformin 3x1, Glimepiride 1x1,

39 0001234386224 MANI RAHIM DM 5/21/1944 L TENILO
3264 Amlodipin 1x1
40 0852-5632-4378 0001234565425 ARIFIN KOMENDANGI DM 11/17/1982 L MUSTIKA
1x1,Amlodipine 1x1,Simvastatin 1x1
Metformin 3x1,Glmepiride
41 0852-4266-7978 0001234887039 ASNI KUMEDI DM+HT 1/1/1965 P SOSIAL
1x1,Amlodipine 1x1
42 0853-9806-3997 0001234931229 HASMIN KANTU DM Metformin 3x1 P KUALA LUMPUR
valsartan 1x1, Amlodipine 1x1,
43 0823-9354-8178 0001235001082 DJARIA KASALA HT Bisuprolol 1x1, ISDN 1X1 7/15/1962 P
44 - 0001235009215 PATMA DUAKO DM+HT Captopril 3x1,Amlodipine 2/5/1960 P KUALA LUMPUR

1x1,Bisoprolol 1x1,Metformin 3x1
Metformi 3x1,Glimpiride MENINGG

45 0823-3075-7663 0001235549799 ADRIAN TANE DM P SOSIAL
2x1,Amlodipine 1x1 AL
46 0822-9394-2187 0001236084142 HAMIRA KANTU DM+HT 6/1/1969 P WONGGAHU
2x1,Amlodipine 1x1
Amlodipin 1x1, Captopril 2x1,
47 - 0001236202997 HARYONO MOJO HT 6/1/1960 L TANGKOBU
Bisoprolol 1x1/2
48 0852-4062-8877 0001236204775 YULIANA YUSUF DM 7/21/1965 P TANGKOBU
3x1,Candesartan 1x1,Amlodipine 1x1
49 0852-5651-7585 0001236620564 AMINA KAIKO DM+HT 2x1,Amlodipine 1x1,Captopril 2/10/1963 P KUALA LUMPUR
2x1,Allopurinol 1x1,Simvastatine 1x1
50 0852-4279-5940 0001237415297 SUNARYO RAJAMUDA DM Metformin 3x1,Glimepiride 1x1 9/6/1958 L SOSIAL
51 0852-4044-3106 0001405097436 DJON VAN GOBEL DM Glikoidon 1x1, 1/1/1975 P SOSIAL
52 0852-4022-2237 0001405153372 SRI MELIYATI S.RAJIMAN DM Metformin 3x1, Glimepiride 1x1 4/6/1987 P WONGGAHU
53 - 0001574166745 SALEH AHMAD DM Glimepiride 2x1,Metformin 3x1 8/17/1945 L KUALA LUMPUR
Lantus 1x20U,Glimepiride
54 0852-4288-9995 0001800202599 MAKSUD OTOLUWA DM 3/3/1949 L WONGGAHU
1x1,Candesartan 1x1
55 0821-9520-3725 0001834654623 EMAN ALIMUN DM Glimepiride 2x1,Metformin 3x1 L MOLOMBULAHE MENINGG

AL
Amlodipine 1x1,Captopril
56 0852-9924-1946 0001876956388 STIN BIKI DM+HT 5/19/1953 P MOLOMBULAHE
1x1,Glimepiride 2x1,Metformin 3x1
57 0852-9924-1946 0001876958829 YAHYA ABUNIO DM Glimepiride 1x1, Levemir 1x10U 8/21/1950 L MOLOMBULAHE
58 0823-4781-8210 0001967234218 SUKRIN WOLINGALO DM Glimepiride 1x1, Levemir 1x10U L HULAWA
NO NO HP NO KARTU NAMA PESERTA DX TERAPHY OBAT UMUR JK ALAMAT KET

0852-4076-5827/0853-4171-
59 5764 0001971241795 ROSITA HASAN DM Metformin 3x1 11/6/1964 P TENILO
60 0823-4685-6464 0002007520367 ASMA ABAS DM Metformin 3x1,Glimepiride 1x1 8/13/1964 P HULAWA
61 0852-4197-1373 0002117061044 IRWAN DINO MURSALI DM Candesartan 1x1,Furosemid 4/12/1953 L TOLANGOHLAU

2x1,Bisoprolol 1x1/2
62 0823-4777-3626 0002273108602 UNI PILOHIMA DM Glimepiride P MOLOMBULAHE
63 0823-4777-3626 0002278017325 POMI PILOHIMA DM 1x1,Simvastatine 1x1 5/2/1977 P MOLOMBULAHE
Metformin 2x1,Amlodipine
64 0853-4099-1055 0002310503782 ROSMIN HINELO DM 10/20/1961 P TANGKOBU
0852-4065-8535/0821-9576-
65 7181 0002381739502 RABIA NURAIN DM+HT Metformin 3x1,Amlodipine 1x1 12/12/1960 P SOSIAL
66 0852-9655-9879 0002430908796 BUCHARI MONOARFA DM Amlodipin 1x1 1/12/1952 L
67 0823-4828-3490 0002435274224 ASRIN SULEMAN DM + HT 12/17/1966 P KUALA LUMPUR
2x1,Amlodipine 1x1,Candesartan 1x1
68 - 0003068967791 ZARIA M. UNGO DM Glimepiride 1x1,Metformin 3x1 P WONGGAHU MENINGG

AL
69 0852-9815-5373 0002040726339 SANTI MARDJUN DM Glimepiride 1x1,Metformin 3x1 P MOLOMBULAHE
70 0822-9300-0389 0002094076607 YUSNI LAMATOWA DM Glimepiride 1x1,Metformin 3x1 P WONGGAHU
085340679422/0813-4387-
71 5631 0002973484877 RAHMA POMALANGO DM Glimepiride 1x1,Metformin 3x1 11/10/1969 P TENILO
72 0813-5664-5219 0000139366168 ADELIN BOYOLA DM Glimepiride 1x1, Metformin 3x1 3/30/1970 P SOSIAL
73 0853-4022-7202 0001898065708 DODY GUNAWAN DM
74 0853-9655-1929 0000139323778 ELVI TOWAPO DM Metformin 3x1 3/1/1964 P
75 0852-4020-3054 0002775739263 GADI ADAM DM Glimepiride 1x1 10/11/1980 L BONGO TUA
76 0853-4503-6407 0000957196293 SIRU MONOARFA DM Glimepiride 2x1,Metformin 3x1 2/10/1953 P GIRISA
77 0852-4277-1465 0000956944517 SIRA LATIF DM Glimepirine 1x1, Metformin 3x1 7/1/1971 P
78 0852-5675-0588 0000139304485 SUMITRO MUDA HT Amlodipine 1x1,Allopurinol 1x1 3/1/1952 L WONGGAHU
79 0852-9935-5008 0000139317952 SUWARNI DALUMI HT Amlodipine 1x1, Simvastatine 1x1 4/30/1956 P TANGKOBU
80 0812-4459-1318 0000139334444 FERY PANDJU HT Symbicort 3x2 puff 7/1/1971 L WONGGAHU
81 0853-9572-9400 0000139342386 ASYURA DJAILANI HT Amlodipine 1x1 P MOLOMBULAHE MENINGG

AL
Amlodipine 1x1, Bisoprolol 1/2x2,
82 0852-5531-6793 0000139348664 TENI L. SAIDI HT 4/21/1945 L WONGGAHU
Simvastatin 1x1
83 ADITYA NAWAWI 0000139348686 TOWANA HILIMI HT Amlodipine 1x1 L TANGKOBU MENINGG

AL
84 0852-9810-2515 0000139348765 RATNA MOHA MUDA HT Amlodipine 1x1 P MOLOMBULAHE
85 0852-5612-8897 0000139349452 RUWAIDA TUNA HT Amlodipine 1x1,Allopurinol 1x1 8/8/1937 P MOLOMBULAHE
86 0852-9864-1876 0000139349619 ZENAB DJAFAR HT Amlodipin 1x1, Candesartan 1x1 8/28/1943 P KUALA LUMPUR
Amlodipine 1x1,Metformin
87 - 0000139351948 MISNA ABD. HARUN HT P SOSIAL
2x1,Glimepirie 1x1
88 0813-5056-1873 0000139352668 ADELIN LASENA HT Amlodipine 1x1,Captopril 3x1 12/14/1952 P REJONEGORO
89 0822-6726-1496 0000139353669 ABD KARIM DOHOLIO HT Amlodipine 1x1, Alopurinol 1x1 3/2/1961 L SOSIAL
90 0813-4370-8432 0000139358103 MUN U.M. BANO HT Amlodipine 1x1 P WONGGAHU
91 - 0000139358845 PABIA PANIGORO,S.Pd HT Amlodipine 1x1 P
92 0823-4325-1544 0000139360138 RUSNI VAN GOBEL HT Amlodipine 1x1,Bisorolol 1x1/2 5/17/1965 P REJONEGORO
Candesartan 1x1,Furosemid
93 0852-5682-1544 0000139361005 SOFYAN THAIB HT 4/12/1953 L MOLOMBULAHE
94 0852-4022-2237 0000139361319 SARIMUNA PUKOI HT Valsartan 1x1,Spironolactone 4/27/1942 P WONGGAHU

95 0852-4016-8767 0000139366642 DRS.HANNY NUSA HT Valsartan 1x1,Amlodipine 1x1 7/8/1961 L WONGGAHU
96 0852-4048-0903 0000139367856 ABD JAMAL KAJINTUNI HT Amlodipine 1x1 L MOLOMBULAHE
97 0822-9284-6806 0000139368339 AMINAH POMONTOLO HT Bisoprolol 1x1, Amlodipin 1x1 8/18/1960 P SOSIAL
98 0813-4380-0300 0000139369961 JETTY DIENTJE PANGKEY HT Amlodipin 1x1 7/15/1964 P SOSIAL
Valsartan 1x1,Bisoprolol
99 0852-4068-6649 0000139371298 SALMA SAUD HT+CHF 10/24/1961 P MOLOMBULAHE
1x1,Allopurinol 1x1
100 0821-1317-7295 0000163513989 WITA BAGU HT Amlodipine 1x1 8/6/1981 P TANGKOBU
Amlodipine 1x1,Allopurinol
101 0853-4122-3966 0000166391649 MARIANI MOKODOMPIT HT 6/12/1959 P TANGKOBU
102 0821-8878-9046 0000955679769 MERLIN MOHUNE HT Catopril 2x1,Aspilet 1x1 10/1/1975 P MUSTIKA
103 0852-5630-6400 0000955903105 LATIFA MAGU HT Amlodipine 1x1 7/1/1937 P MOLOMBULAHE
Amlodipine 1x1, Captopril
104 0822-9290-5220 0000956000834 ASMA DAI HT 6/12/1961 REJONEGORO
2x1,Allopurinol 1x1
0852-9960-1522/0812-9393- Metformin 2x1,Glimepiride

105 0000956024932 MARTA ADAM HT + DM 3/1/1965 P WONGGAHU
9071 1x1,Amlodipine 1x1,Candesartan 1x1
106 0853-3935-8005 0000956094535 SALMA BAKARI HT Amlodipine 1x1 1/1/1962 P REJONEGORO
107 0852-4098-9124 0000956382941 HERLINA LAUMA HT Metformin 2x1,Glimepiride 1x1 8/26/1973 P MOLOMBULAHE
108 0853-4160-9404 0000956407432 AMINA LASADU ASMA Salbutamol 4mg 3x1 9/1/1958 P TENILO
Amlodipine 1x1,Aspilet
109 - 0000956411021 KARTIN DAKA HT 10/14/1971 P TENILO
110 0853-4013-5874 0000956413089 WARNI HASAN HT Amlodipine 1x1, Aspilet 1x1 6/1/1975 P TENILO
111 0853-9633-8639 0000956422506 HALIMA MODUE HT Candesartan 1x1, Amlodipine 1x1 3/8/1960 P KUALA LUMPUR
112 0853-4238-1940 0000956844382 SALMA IBRAHIM HT/DM Amlodipine 1x1,Glimepiride 1/10/1942 P MOLOMBULAHE
1x1,Metformin 2x1, Captopril 1x1
113 0853-4160-9404 0000956458168 MADI HUMU HT Amlodipine 1x1,Aspilet 1x1 9/1/1956 L TENILO
0821-8921-8289/0822-3357- Amlodipine 1x1,Captopril
114 0000956470498 MARTA PONGOH HT 3/1/1975 P MOLOMBULAHE
7593 2x1,Allopurinol 1x1,Simvastatine 1x1
115 0853-9421-4836 0000956486136 RISNA HUSAIN HT Amlodipine 1x1
116 - 0000956496295 SALMA ABDULLAH HT Amlodipine 1x1,Simvastatine 1x1 2/5/1959 P TENILO
Amlodipine 1x1, Captopril 2x1,
117 - 0000956511538 MARYAM B. SIDU HT 8/4/1947 P MOLOMBULAHE
Amlopurinol 1x1
118 0812-4259-2607 0000956524487 HADJARA YADEDU HT Amlodipine 1x1
119 - 0000956526153 RATNA HUSAIN HT Amlodipine 10 1x1,Simvastatine 1x1 3/1/1968 P TENILO
120 0852-5630-6400 0000956730497 HASNI HINTALO HT 2x1,Allopurinol 1x1 6/1/1974 P HULAWA
0853-4237-5560/0853-9324-
121 2492 0000956827258 RAFIA NIKMATI HT Amlodipine 1x1,Captopril 2x1 7/1/1952 P MOLOMBULAHE
0853-4237-5560/0853-9324- Amlodipine 1x1,Captopril
122 0000956845539 RATNA NIKMATI HT 11/1/1965 P MOLOMBULAHE
2492 1x1,Simvastatine 1x1
123 0853-9920-7277 0000956847958 SAMU KASIM HT Amlodipine 1x1,Allopurinol 1x1 3/1/1948 P MOLOMBULAHE
Captopril 3x1,Amlodipine
124 0853-4160-9404 0000956866781 SUPARDI DAKIO HT 6/1/1977 L TENILO
1x1,Bisoprolol 1x1
125 0853-4160-9404 0000956867117 ERLIN KOINGO HT 4/15/1978 P TENILO
Captoptil 3x1, Amlodipin 1x1,

126 - 0000957001004 MARNI MARJUN HT 9/1/1957 P
Bisoprolol 1x1
127 0852-4288-7785 0000957594756 AMINA AKUBA HT Amlodipine 1x1 7/1/1969 P SOSIAL
Amlodipine,Allopurinol
128 ADITYA 0001075448362 FARIDA MARJUN HT 6/3/1949 P TANGKOBU
129 0852-5531-6882 0001075448619 AMNA ABAS HT Candesartan 1x1, Bisoprolol 1x1 9/30/1974 P MOLOMBULAHE
130 0852-5647-4692 0001075448823 ASNA BAHUWA HT 5/1/1957 P MOLOMBULAHE
Alopurinol 1x1
131 0852-9863-7846 0001075453402 WICO TINA HT Metformin 3x1, Glimeperide 1x1 4/1/1974 P TENILO
Valsantan 1x1, Amlodipin 1x1,
132 0852-5629-0732 0001075455786 MASTIN MAHMUD HT 12/10/1964 P HULAWA
Bisoprolol 1x1/2, Simvastatin 1x1
133 0853-4067-9422 0001079986015 EFENDI HINELO HT Cymcort 3xII puff 4/24/1961 P MOLOMBULAHE
134 0823-4635-5350 0001234372533 LENY BOKINGO HT Amlodipin1x1, Captopril 2x1 P SOSIAL
135 0852-4055-6979 0001234435083 HASNA LAIYA HT P WONGGAHU
1x1,Captopril 2x1
136 0812-4183-5260 0001234931196 HAPSA TONGA HT 1/2/1966 P MOLOMBULAHE
1x1,Captopril 2x1
137 0823-3075-7663 0001235398948 TANINO KADIR HT Amlodipine 1x1
138 0822-9150-9197 0001235785329 HAPISA ALIMUN HT 1/7/1950 P MOLOMBULAHE
2x1,Allopurinol 1x1
139 0852-4013-9993 0001236083916 ERVA LIHU HT Amlodipine 1x1,Captopril 2x1 4/12/1954 P WONGGAHU
140 0852-4062-8877 0001236203392 IDRUS BAILI HT Amlodipine 1x1 5/25/1965 L TANGKOBU
141 0853-4503-7573 0001236513464 IDRUS AMILI HT Amlodipine 1x1, Furosemid 1x1 9/16/1959 L
142 0852-9924-1693 0001236619967 ROSTIN HINELO HT Amlodipine 1x1 P TANGKOBU
143 0853-4010-2844 0001236619978 ROSTIN MATANI HT Amlodipine 1x1 P TANGKOBU
144 0853-9840-8786 0001236629035 ARDINA DALUMI HT 1/21/1956 P MOLOMBULAHE
2x1,Allopurinol 1x1
145 0852-9823-2373 0001236741726 HADIJA KONE HT Amlodipin 1x1 5/3/1974 P
146 0822-9320-0120 0001237696751 SITI PALAPA HT Amlodipine 1x1 3/1/1949 P TANGKOBU
147 0822-6934-5247 0001405085275 ROSNA YUSUF HT Amlodipin 1x1, Bisoprolol 1x1 1/5/1979 P TENILO
148 0852-4022-2237 0001405153361 MAMAN S. TALIKI HT Amlodipin 4/26/1986 L WONGGAHU
149 0822-9631-8755 0001424484461 AZIR NALOLE HT Amlodipine 1x1 MOLOMBULAHE
Glimepiride 2x1,SANSULIN
150 0822-9631-8755 0001474881377 SAIDA KUNTE HT + DM 1x10U,Bisoprolol 1x1/2,Candesartan 12/25/1959 P MOLOMBULAHE
1x1,Spironolactone 1X1 MENINGG
AL
151 0813-5476-1026 0001574019279 RISNA PILOHIMA HT Amlodipine 1X1, Bisoprolol 1x 10/6/1963 P MOLOMBULAHE
152 0822-9226-8092 0001788899062 IKI LIHU HT Amlodipine 1x1 7/6/1952 P WONGGAHU
153 0822-9226-8092 0001789908783 KULU ISMAIL HT Amlodipine 1x1 7/11/1947 L WONGGAHU
Clopidogrel 1x1,Bisoprolol
154 0852-4288-9995 0001800205918 FATMA MALAHIKA HT 7/9/1948 P WONGGAHU
1x1/2,Candesartan 1x1
155 0852-5677-2100 0001824859361 ARDI GANI HT Amlodipine 1x1 L WONGGAHU MENINGG

AL
156 0852-5677-2100 0001824860092 RIYANTI BAU HT Amlodipine 1x1,Allopurinol 1x1 4/13/1963 P WONGGAHU
157 0821-9520-3725 0001834656221 ASNI LUNETO HT Amlodipine 1x1,Allopurinol 1x1 7/6/1967 P Molombulahe
158 0852-4003-8443 0001852763995 SUARTIN MONOARFA HT + DM 1x1,Amlodipine 1x1,Bisoprolol 1x1/2 3/3/1969 P Molombulahe
159 0852-4099-6643 0001860145672 SITI HARTIN KONI HT Amlodipine 1x1,Allopurinol 1x1 4/26/1972 P SOSIAL
160 0853-3936-4533 0001882591233 AISA YADEDU HT Amlodipine 1x1,Simvastatine 1x1 8/2/1940 P Molombulahe
Clopidogrel 1x1,Bisoprolol
161 085340135887 0001901286628 DJIBA K.DAMA HT+CHF 1x1,Candesartan 1x1,Spironolactone 7/21/1949 P WONGGAHU
1x1
162 0853-4060-3061 0002007545692 HASNA MOHU HT Amlodipine 1x1,Bisoprolol 1x1 10/25/1972 P HULAWA
163 - 0002007547402 AMINA SALEH HT Amlodipine 1x1,Bisoprolol 1x1 7/10/1949 P SARIPI
164 0853-4026-0450 0002007579846 ASWIN POTUTU HT Amlodipine 1x1,Captopril 1x1 L KUALA LUMPUR
165 0852-5620-8909 0002007597262 ROHANA DAUD HT 7/7/1947 P SOSIAL
Alopurinol 1x1, Simvastatin 1x1
166 0851-4401-1020 0002026239704 IBRAHIM DJABI HT Amlodipin 1x1 3/16/1962 L MUSTIKA
081293939071/08229247928
167 7 0002086936244 ERNA ADAM HT Furosemid 2x1,Amlodipine 1x1 11/28/1963 P WONGGAHU
168 0852-4123-7229 0002223765617 RISNI ABUNA HT Amlodipine 1x1 TENILO
169 0852-9805-7353 0002249369447 ILHAM BOTUTIHE HT Furosemid 1x1, Candesartan 1x1/2 L SOSIAL
Captopril 2x1,Amlodipine 1x1,

170 0852-9934-6816 0002251597419 SUDARTO D.SUMARTO HT + DM Candesartan 8mg 1x1, Glimepiride 12/20/1961 L SOSIAL
2mg 1x1
171 0852-9802-2636 0002284845838 SAHRUDIN HANAPI HT Amlodipin 1x1,Simvastatin 1x1 10/20/1953 L SOSIAL
NO NO HP NO KARTU NAMA PESERTA DX TERAPHY OBAT UMUR JK ALAMAT KET
172 0813-4069-2085 0002286870748 MONIRA AUNA HT Amlodipine 1x1 KUALA LUMPUR
173 0852-4090-6110 0002324305956 TORSIA TALIB HT Amlodipin 1x1, Candesartan 1x1 5/3/1953 P TENILO
174 0821-8890-7025 0002494991788 HADIJA K. SUMA HT Amlodipine 1x1 WONGGAHU
175 - 0002587650838 SATRIA MISILU HT Amlodipine 1x1 TENILO
176 0822-6464-9945 0002445486478 NURHAYATI SALEH HT Amlodipin 1x1, Candesartan 1x1 9/17/1969 P REJONEGORO
177 0822-6726-1496 0002918703047 DJEMI NAITO HT Candesartan 1x1,Bisoprolol 6/13/1958 P SOSIAL

1x1,Furosemide 1x1
Amlodipin 1x1, Candesartan 1x1,
178 - '0000956825976 YASIN AUNA HT 3/26/1976 L KUALA LUMPUR
Aspilet 1x1
179 0852-9823-2373 '0000957340495 RISNA SULEMAN HT Amlodipin 1x1, Bisoprolol 1x1 7/21/1983 P
180 0852-9823-2373 0002494877681 RISNAWATI SULEMAN HT Amlodipine 1x1,Bisoprolol 1x1/2 7/14/1991 P
Glimepiride 2x1,Captopril
181 0853-9726-6375 0001861462719 FARIDA TUI DM 1/29/1968 P WONGGAHU
2x1,Amlodipine 1x1, Levemir 10u/24j
182 085342375455 0001104355754 SENSUS LADJIWA DM 3/25/1962 L SOSIAL
3x1,Allopurnol 1x1
183 085240841699 0000139339315 ELISABETH LANTANG HT Amlodipine 1x1, Allopurinol 1x1 P TANGKOBU
Amlodipine 1x1, Bisiprolol 5mg 1x1/2,
184 082292003555 0002284846165 HANISA KAI HT 8/27/1957 P SOSIAL
Clopidogrel 75mg 1x1
Amlodipine 1x1, Candesartan 16mg
185 0853-9921-1819 0001236205721 ASNA POIYO HT 5/18/1975 P TENILO
1x1, Bisoprolol 5mg 1x1/2
186 081340585571 0002073105977 IBRAHIM NALOLE HT Amlodipine 1x1 L MOLOMBULAHE
187 085144011020 0002087666144 SETTY MOITO HT Amlodipine 1x1,Bisoprolol 8/20/1967 P MUSTIKA

1x1/2,Novarbion 1x1,Aspilet 1x1
188 085255784126 0002060331579 KARSIA HABU HT Amlodipine 1x1 P MOLOMBULAHE
Amlodipine 1x1, Glimepiride 2mg
189 085298674340 0001234386246 MARIANI TAHIR HT + DM 6/26/1971 P WONGGAHU
1x1, Bisoprolol 1,25mg 1x1
190 085216848092 0002381739467 MUKMIN NTOI HT 2/6/1968 P SOSIAL
191 082293388028 0002304650698 SITI D. TINA HT P TENILO
192 085242540526 0001880111711 WISNA N. HALIP HT 12/10/1970 P
Captopril 3x1,Furosemid
193 085256763243 0000139359273 RATNA Y. TINA HT + DM 1x1,Spironolactone 1x1,Bisoprolol 6/5/1951 P WONGGAHU
1x1/2,Glimepiride 1x1
194 085256949533 0001574144021 SARTON RAHMAN HT Candesartan 1x1,Amlodipine 1x1 7/1/1972 L REJONEGORO
195 082293074008 0002007557032 TAMRIN PANABULU HT Amlodipine 1x1 6/6/1960 L KUALA LUMPUR
Candesartan 1x1,Amlodipine
196 085242789191 0002294312602 TITIN LAMATENGGO HT 8/4/1971 P TANGKOBU
1x1,Candesartan 1x1,Furosemid 1x1
197 082293156383 0001234599085 MASYKUR TINA HT Amlodipine 1x1 10/8/1955 L TENILO
198 085256443951 0002607301855 WATI HILAHAPA HT + DM 9/10/1974 P WONGGAHU
3x1,Amlodipne 1x1, Captopril 3x1
199 KA REVAN 0001237416041 ZULFA PANIGORO HT + DM 9/12/1977 P MOLOMBULAHE
1x1,Amlodipine 1x1
200 082195888791 0001235958952 DINCE BASIRU HT + DM Metformin 3x1,Glimepiride 5/23/1969 P TANGKOBU

1x1,Amlodipine 1x1,Candesartan 1x1
201 085298111379 0000139367441 SRI WATI MOHA HT Amlodipine 1x1,Bisoprolol 1x1/2 6/12/1960 P MOLOMBULAHE
202 085298232996 0001075453391 KARSUM MAKLUMI HT + DM Metformin 3x1,Glimepiride 12/10/1962 P WONGGAHU

1x1,Amlodipine 1x1
203 0000139309053 OSKAR UMAR ISHAK HT Captopril 3x1,Amlodipine 1x1 6/4/1970 L REJONEGORO
204 085396901094 0001234372926 MASTIN TUANI DM Metformin 3x1 12/23/1959 P MOLOMBULAHE
205 0000139351948 MISNA ABDURRAHMAN HA HT Candesartan 1x1, Clopidogrel 1x1 5/24/1974 P SOSIAL
Novomix 3x10U,Glimepiride
206 082297300844 0001967234218 SUKRIN WALINGALO DM+HT P HULAWA
1x1,Amlodipine 1x1,Metformin 3x1
207 082157678423 0000139352073 ARWIS AZIR NALOLE DM+HT Glimepiride 2x1,Amlodipne 1x1 7/1/1976 L SOSIAL
208 0853-4441-1130 0001574019279 RISNI PILOHIMA HT Amlodipine 1x1 P MOLOMBULAHE
209 085216850495 0001963411198 NURHAYATI PIRUS HT Amlodiine 1x1 9/21/1985 P SOSIAL
210 0001235709977 FATMAWATI DIKA HT Amlodipine 1x1 P MOLOMBULAHE
211
212 0000956524487 HAJARA YADEDU HT Amlodipine 1x1,Allopurinol 1x1 P MOLOMBULAHE
213 0852-4062-8877 0001236204775 YULIANA YUSUF DM+HT 2x1,Amlodipine 1x1,Simvastatine 7/21/1965 P TANGKOBU
1x1,Valsartan 1x1,Allopurinol 1x1
214 0852-4133-5209 0000139366809 SULEMAN IBRAHIM HT Amlodipine 1x1 11/23/1963 L REJONEGORO

Metformin 3x1, Glimepirine 1x1,
215 0853-1434-5737 0000957379634 SUWARNI HANAPI DM+HT Amlodipin 1x1, Candesartan 1x1, 3/3/1964 P SOSIAL
simvastatin 1x1
Glimepirine 1x1, Metformin 3x1,
216 0823-4685-6464 0002007556705 HAMID IKA DM+HT Bisoprolol 1/2x1, Amlodipin 1x1 11/5/1960 L HULAWA
Amlodipin 1x1, Candesartan 1x1,

217 0000958054498 ELIS P BANO HT+DM 6/17/1961 P TENILO
Glimepirine 1x1, Metformin 3x1
Metformin 3x1, Glimepirid 1x1,
218 '085241335209 0000139366798 HARCO ANWAR DM 2/28/1967 P REJONEGORO
Amlodipin 1x1
219 0823-4607-8202 0000139342847 YENI HZ, ADAM DM Levemir 2x14U, Metformin 3x1 7/28/1972 P WONGGAHU
Amlodipine 1x1, Allopurinol 1x1,
220 0852-1140-2406 0001859148652 UNI ABAS HT 7/1/1966 P HULAWA
Simvastatin 1x1
0853-9418-9628 Amlodipine 1x1,Aspilet
221 0002503684901 RATNA IBRAHIM HT 8/5/1951 P MOLOMBULAHE
0853-9418-9628 1x1,Simvastatine 1x1
222 0000139317952 SUWARNI DALUMI HT Amlodipine 1x1 P TANGKOBU
223 0001235338817 RUKIA PAKAYA HT Amlodipine 1x1 P KUALA LUMPUR
224 0853-4288-9696 0000956571434 HAJARA NURANI HT Amlodipine 1x1 P KUALA LUMPUR
Amlodipine 1x1,Metformin
225 0001235822163 ABAS LATIF DM+HT 1/1/1949 L MOLOMBULAHE
3x1,Gabapentin 1x1,Glimepiride 1x1
226 0813-4143-2322 0002315052483 AMINA POTUTU HT Amlodipine 1x1, Bisoprolol 1x1/2 7/1/1968 P MOLOMBULAHE
Metformin 2x1, Glimepiride 1x1,
227 0813-4094-8595 0001235521506 SALMA ALINTI DM 4/8/1955 P WONGGAHU
Omeprazole 2x1, Gabapentine 1x1
228 0001235549687 ABDURRAHMAN AMU DM Gilepiride 1x1, Metformin 2x1 9/5/1973 L SOSIAL
229 0823-9369-0466 0001405153372 SRI MELIANTI RADJIMAN DM Gilepiride 1x1, Metformin 2x1 4/6/1987 P WONGGAHU
230 0002310497785 HASPIN PILOHIMA DM Amlodipine 1x1,Metformin 7/1/1961 P SOSIAL

3x1,Glimepiride 1x1
231 0000960463506 KADIR PAKUNE DM Gilepiride 1x1, Metformin 2x1 L MOLOMBULAHE

Amlodipine 1x1,Spironolactone
232 0000956508581 SARTIN KAIDA HT 11/6/1942 P WONGGAHU
Candesartan, Clopidogrel, Pirazetam,
233 082118970204 0000139342397 HAMZA MUDA HT Citicolin 3/25/1965 L TENILO
Candesartan 1x1/2,Furosemid
234 0812-4413-7571 0001234954473 AISA DUPI HT 1x1,Clopidogrel 1x1,Bisoprolol 11/3/1948 P Kuala Lumpur
1x1/2,Simvastatine 1x1
235 0822-9668-5593 0000139360274 SAHRIMA SADAPU HT Amlodipine 1x1, Candesartan 1x1 P WONGGAHU
236 081341527840 0003037825449 SIMARI HABI HT 6/2/1955 P WONGGAHU
1x1,Bisoprolol 1x1/2,Omeprazole 2x1
237 0001574143277 HUSIN ISMAIL DM Glimepiride 1x1, Metformin 2x1 2/27/1962 L WONGGAHU
238 0853-9840-8786 0001235312392 RUSTAM ALIMUN HT Amlodipine 1x1 L MOLOMBULAHE
239 0001236602564 ASMIN ISMAIL DM Metformin 1x1, Glimepiride 1x1 P WONGGAHU
240 0822-1026-8451 0000956024379 ERWAN ARAPA HT Captopril 12,5mg 3x1,Furosemid L REJONEGORO

241 0852-5686-1171 0000148761371 SAIFUL BUSURA DM Metformin 3x1, Glimepiride 1x1 8/18/1975 L REJONEGORO
Risperidone 2x1, Clobazam 2x1,
242 0002315052606 INDRI MALAE SKIZO 4/26/2002 P MOLOMBULAHE
Trihexiphenidil 2x1
Depral 1x1,Clobazam 2x1, Asam
243 0000956325115 SUKRIN MUSA SKIZO 5/6/1996 L TENILO
Vaproat 2x1
Amlodipine 10mg 1x1, Candesartan
244 0822-9919-7665 0002007545534 MIRNA MOPATU HT 11/17/1974 P
16mg 1x1
Metformin 3X1, Glimepiride
245 081243654537 0001234434554 AHMAD MONOARFA DM 1/13/1961 L WONGGAHU
2x1,Amlodipine 1x1
246 0822-7154-1459 0002007597587 RUSLIANTI MARJUN DM Metformin 2x1, Amlodipine 1x1 12/2/1977 P WONGGAHU
247 082251901180 0000139359069 RAHMIN EKSAN HT Amlodipine 1x1, Bisoprolol 1x1/2 7/6/1961 P MUSTIKA
Glimepiride 1x1, Metformin

248 081244917055 0003037835057 ASNA DJAFAR DM 2/2/1971 P MOLOMBULAHE
3x1,Amlodipine 1x1,Captopril 3x1
250 085342828728 0002310540996 MAYA NOVA WATULANGK HT Amlodipine 1x1, Bisoprolol 1x1/2 9/29/1978 P MUSTIKA
Sansulin 1x12 U,Amlodipine
251 082348130834 0002880232378 RAFLIN BILO DM 3/12/1966 L
1x1,Gabapentine 1x1
Glimepiride 1x1,gabapentin 1x1,
252 081241109305 0001817057856 ALWIS DAKA DM mecobalamin 2x1 11/11/1985 L TENILO
Glimepiride 2x1,Gabapentine 1x1,

253 082290284852 0000957335242 LILI PAULU DM 7/11/1971 P
Amlodipine 1x1
254 082346953669 0000956860593 RISNA MOHULAINGO HT Amlodipine 1x1 5/9/1971 P MOLOMBULAHE
255 081244032268 0002668935756 ADNAN KARIM DM Glimepiride 1x1,metformin 3x1 4/15/1965 L WONGGAHU
256 081356788938 0001234079188 RINA AHMAD HT Amlodipine 1x1, Bisoprolol 1x1/2 2/19/1950 P
257 0001075455652 SULASTRI HAMID DM Metformin 3x1 5/23/1970 P HULAWA
258 085298220583 0000956934088 NURAIN POMPANJANG HT Amlodipine 1x1,Bisoprolol 1x1/2 7/15/1979 P WONGGAHU
259 082291805646 0002276071716 RATNA PADJUE HT Amlodipine 1x1, Captopril 2x1 2/25/1969 P
Amlodipine 1x1,Glimepiride
260 082291805646 0001234649406 NENJI PAJUE HT DM 1x1,Candesartan 1x1,Gabapentine 6/15/1949 P
1x1
261 085256021277 0003037835992 MOHAMMAD KATILI HT Amlodipine 1x1,Candesartan 1x1 2/19/1962 L
Simvastatin 1x1,Amlodipine 1x1,
262 082122393283 0002668941718 AMRIN PATA DM HT 7/8/1974 P BONGO TUA
Glimepiride 2x1
Captopril 3x1, Amlodipine 1x1,
263 085373373699 0001236202997 HARYONO MOJO HT 6/1/1960 L TANGKOBU
Bisoprolol 1x1/2
264 085299278635 0000921566428 SURI MAHMUD DM Glimepiride 1x1 7/1/1954 L WATUKILO
265 085240046917 0001235188811 MASNI DALU HT Amlodipine 1x1, Captopril 2x1 3/15/1968 P MUSTIKA
266 085342375405 0002448751206 JONI LAIYA DM Glimepiride 1x1, Gabapentin 1x1 6/11/1979 L SOSIAL
267 0002059977958 RUSNI DAKIO DM Glimepiride 1x1 12/5/1973 P MOLOMBULAHE
Amlodipine 1x1,Bisoprolol
268 0001236205798 ASTIN POMU HT 1/25/1957 P WONGGAHU
1x1/2,Captopril 3x1
269 0001234599153 METRIS HINTALO HT Amlodipine 1x1,Bisoprolol 2/5/1953 P HULAWA

1x1/2,Captopril 3x1
270 085240833180 0002430909123 LIEN MAHMUD HT Amlodipine 1x1, Captopril 2x1 7/8/1958 P MOLOMBULAHE
Candesartan 1x1/2,Spironolactone
271 082362866504 0002310600159 USMAN MUSTAPA HT 2/24/1953 L MOLOMBULAHE
272 082243058648 0002007597306 KAMARIA HASAN HT Glimepiride 1x, Gabapentine 1x1 12/31/1967 P SOSIAL
273 0823-9763-7944 0002523909868 SARIDA BASIRU HT Amlodipine 1x1 9/5/1963 P MOLOMBULAHE
HT
274 085341947478 0000139340237 MOH JASIN SALEH DISLIPIDEMI Captopril 2x1, Simvastatine 1x1, 5/16/1966 L MOLOMBULAHE
A
275 0002073106721 HADIJA RAHMAN HPT Amlodipine 1x1, Bisoprolol 1x1/2 1/12/1963 P MOLOMBULAHE
085240088550/
276 085399405333 0003072616402 NIRWAN G. MALATANI DM Metformin 2x1 WONGGAHU
Amlodipine 1x1, Bisoprolol 1x1/2,
277 0002973485553 NINGSI DJAMA HT 3/10/1960 P
Captopril 3x1
278 0812-4136-8654 0000977292797 MARIA SALEH HT Amlodipine 1x1, Candesartan 1x1 9/17/1965 P BUALO
279 '0813-5664-4828 0000957463209 EPIN USMAN DM Sansulin 1x10 U, Glimepiride 1x1 6/14/1974 L
Amlodipine 10mg,Bisoprolol
280 0852-4037-6550 0000139356865 RASUNA H. SUPU HT 5/20/1967 P
1x1/25mg, Captopril 25mg
Amlodipine 10mg,Bisoprolol 5mg,
281 085340227289 0000139304259 KARLINA KARIM DM+HT Captopril 25mg,metformin 10/13/1965 P SOSIAL
500mg,Glimepiride 2mg
0852-9863-
282 0034/0853-9872- 0002668941415 ASNA K. NABU HT Amlodipine 1x1 7/10/1970 P
3264
283 082118970204 0000139360836 ULIN PUKOI HT Amlodipine 1x1 p TENILO
284 0813-5476-1026 0001574019263 RISNA PILOHIMA HT Amlodipine 10mg, Bisoprolol 5mg, 10/6/1963 P MOLOMBULAHE
285 0823-4718-7952 0001075453514 ELIS AMBO DM Metformin 3x1, Glimepiride 1x1 10/21/1981 P TENILO
286 0000956969998 HADIJA AMALA DM Metformin 3x1, Glimepiride 1x1 2/14/1962 P
287 MA ATA 0002310213789 HASNA BUNTAI DM Metformin 3x1, Glimepiride 1x1 11/24/1970 P MOLOMBULAHE
288 0001788898948 ASRIN PINGGO HT Amlodipine 1x1 9/6/1954 P MOLOMBULAHE
289 0001236202615 HADIJA LATIF HT Amlodpine 1x1 1/17/1964 P
290 0001426426446 FARIDA USMAN HT Amlodpine 1x1 6/1/1954 P
291 085399408484 0002036171452 MASTIN MANTU HT Amlodpine 1x1 3/23/1955 P MOLOMBULAHE
292 085399408484 0002036168199 DONA ABUNA HT Amlodpine 1x1 10/5/1952 L MOLOMBULAHE
293 0001573222678 RISNA MANTULANGI HT Amlodpine 1x1,Candesartan 1x1 9/22/1961 L
294 0822-3115-0807 0000955870143 CARMA BUATA HT Amlodipine 1x1,Captopril 3x1 2/20/1960 P MOLOMBULAHE
295 0002308624569 FARIDA MANTU HT Amlodipine 1x1 7/1/1966 P MOLOMBULAHE
Amlodipine 1x1,Candesartan 1x1,
296 085341313922 0001405096018 NANANG B YADE HT 2/25/1974 MOLOMBULAHE
Bisoprolol 1x1/2
297 085242779565 0000957694206 WARNI SALEH HT Amlodipine 1x1, bisoprolol 1x1/2 8/31/1981 P TANGKOBU
298 0001234475829 DJON DUKA HT Amlodipine 1x1 L REJONGORO
299 085146265646 0002758921929 BETY TOMAYAHU HT Amlodipine 1x1,Captopril 2x1 1/4/1959 P
300 085299987403 0000956705049 MASLAN JALITE HT Amlodipine 1x1 3/13/1967 P HULAWA
301 0822-1052-0705 0003037824382 MUZRINA HINTALO HT Amlodipine 1x1 12/6/1955 P HULAWA
302 0852-5729-0953 0003068736063 HAMSIA HARUN HT Amlodipine 1x1, Captopril 2x1 7/23/1967 P SOSIAL
303 08529869-3081 0000139363896 RUSMI U.T. BATA HT Amlodipine 1x1, 9/29/1966 P
304 085341312074 0000173747081 NURHAYATI SAMAN BUMB HT Amlodipine 1x1,Candesartan 1x1 1/31/1967 P
305 0813-5664-4828 0000139317669 HAMID S. USMAN HT Amlodipine 1x1,Candesartan 1x1 5/14/1966 L
306 0000956833378 SURIYATI HAMID HT Amlodipine 1x1, 4/8/1974 P
307 085397586857 0002478233428 SRI SUSANTI ADAM HT Levemir 22U/24 jam, Glimepiride1x1 9/28/1996 P
308 KAPUS EPI 0000139341971 BAMBANG SUTOYO DM Levemir 10U/24 Jam 5/31/1996 L WONGGAHU
309 085242553763 0001574126346 RISI MOHULAINGO DM 10/11/1955 L WONGGAHU
2x1,Amlodipine 1x1
310 085256865773 0001234297438 SUHARTIN Y. AUNA DM Metformin 2x1, Glimepiride 1x1 5/20/1981 P
311 082290284852 0002381738398 AISA SULEMAN DM Glimepiride 2x1, Amlodipine 1x1 1/1/1952 P KUALA LUMPUR
312 0852-5653-8643 0001832430058 NIRWAN ILATO DM Metformin 3x1, Glimepiride 1x1 1/1/1972 P MOLOMBULAHE
313 0822-5504-7426 0000139329393 HASNI DUKA ASMA Biotec 3x2 Puff, Pulnicort 3x2 Puff 9/30/1980 P SOSIAL
314 0822-1745-4535 0002310517078 RAPIA M GIU HT Amlodipine 1x1, Bisoprolol 1x1/2 7/9/1968 P
Captopril 1x1,Bisoprolol
315 0853-9462-3584 0001234931141 HADIJA DIKA HT 7/1/1953 P MOLOMBULAHE
1x1/2,Amlodipine 1x1
316 0853-4377-3022 0001574121971 LISNA TAHIR HT Amlodipine 1x1,Bisoprolol 1x1/2 12/5/1968 P WONGGAHU
317 0813-4152-7890 0001896969778 SUNARYO ISMAIL HT Amlodipine 1x1, Captopril 2x1 12/3/1962 L
318 0822-9919-7665 0002007545534 MIRNA MOPATU HT Amlodipine 1x1,Candesartan 1x1 11/17/1974 P
319 0852-5870-6296 0000956086108 SURIYATI ABUDI HT Captopril 3x1,Amlodipine 1x1 5/5/1975 P WONGGAHU
320 0823-9322-9382 0002236056456 SARINCE TAHIR HT/DM 8/10/1968 P
1x1,Glimepiride 1x1,Metformin 3x1
321 0812-4504-4106 0002007593886 RUSNI MOU HT Captopril 3x1,Amlodipine 1x1 11/16/1970 P

322 0001234759151 ASIA TAYABU HT Amlodipine 1x1,Bisoprolol 1x1/2 4/27/1964 P WONGGAHU
323 Ta Pino 0002273108411 RAMLI SUMULI HT Amlodipine 1x1 5/16/1966 P MOLOMBULAHE
Candesartan 16mg 1x1/2,Bisoprolol
324 0821-9447-4810 0001823652235 RITA MAHMUD HT 7/21/1972 P
1x1/2
325 0821-3996-2175 0002668940436 MARYAM NALOLE HT Aspilet 1x1,Amlodipine 1x1 5/8/1968 P
326 0822-9892-2332 0000955822206 YANTI S POHI HT Amlodipine 1x1,Captopril 1/18/1974 P

327 0001236256154 CONI GUSASI HT Amlodipine 1x1, Bisoprolol 1x1/2 12/22/1971 L WONGGAHU
Amlodipine 1x1, Captopril
328 0852-9804-7315 0001234294143 SAERA PAKAYA HT 7/1/1948 P KUALA LUMPUR
Amlodipin 10 mg 1x1, captopril 25mg
329 0001574119956 RUDIN KANI HT 10/1/1958 L
3x1
Amlodipine 10mg 1x1, Candesartan
330 0002310503049 JARIA KADIR HT 1/1/1951 P
10mg 1x1
331 0853-4077-2679 0001237152879 SAIMA AUNA HT Amlodipin 10 mg 1x1 9/29/1957 P
Glimepiride 2mg 1x1, Metformin 500
332 0002667079326 SULASTI MUSTAPA DM + HT mg 3x1, Amlodipin 10mg 1x1, 12/5/1978 P
Candesartan 8mg 1x1
Amlodipin 10mg 1x1, captopril 25mg
333 0002867179498 RABIA K. NABU HT 7/6/1960 P
2x1
334 0002007546028 BETI AJA HT Amlodipine 10mg 1x1 2/10/1945 P HULAWA
Glimepiride 2mg 1x1, Metformin
335 0000957241247 ABDULAH AMBO DM 6/20/1959 L SARIPI
500mg 3x1
Amlodipin 10mg 1x1, Glimepiride
336 0001235958423 MIN D. NUR HT + DM 8/7/1975 P MOLOMBULAHE
2mg 1x1
Captopril 25mg 3x1, Amlodipin 10mg
337 0000956086108 SURIATI ABUDI HT 5/5/1975 P WONGGAHU
1x1
Amlodipin 10mg 1x1, captopril 25mg
338 0000139325512 HADJARAH MAHMUD HT 3x1 4/3/1957 P HULAWA
Amlodipine 5mg 1x1, Metformin

339 0001236721645 ANI PANIGORO DM + HT 12/12/1961 P
500mg 1x1, Gliclazidin 40mg 1x1
Novorapid 3x6U, Levemir 1x10U,

Spironolakton 25mg 1x1,
340 0853-4212-2212 0002270308296 HARIS HIOLA DM 5/11/1969 L
Candesartan 8mg 1x1, Bisoprolol 5mg
1x1
341 0001829775521 RONI SAIDI HT Amlodipin 10mg 1x1, Gabapentin 8/16/1963 L GIRISA
300mg 1x1
342 0821-9561-6500 0001317419381 HASNI N. BAU DM Glimepiride 2mg 1x1, Metformin 500 7/7/1967 P
mg 3x1,
340 0001236202514 HABIBA KANAA HT Amlodipin 10mg 1x1, Captopril 25mg 9/13/1952 L
2x1
340
340
340
340
340
340
340
340
340
340
340
STATUS PEMANTAUAN KESEHATAN
PEMERIKSAAN TD
NO NAMA PESERTA
TB BB IMT GDS GDP S D
1 ABDURRAHMAN AMU
2 HUSIN ISMAIL
3 FARIDA HASAN
4 SAIFUL BUSURA
5 DAHLAN HILALA
6 DINCE BASIRU
7 AHMAD MONOARFA
8 UMAR YUNUS
9 DANSER RITONGGA
10 ZOHRA IBRAHIM
11 OLVIEN DARWIN PAGAU
12 YENNY HZ.,ADAM
13 SALMA K. LIHU
14 SUWARNI HUMONGGIO
15 RAFLIN BILO
16 RUSLIANTI MARJUN
17 ASNAWATI NAITO
18 ASNI HASAN
19 ERWIN BAGOU
20 MAIMUN DALUMI
21 RATUMI ILATO
22 SULASTRI POLUMULO
23 ASNA DJAFAR
24 SULARNO
25 NON PATEDA
26 MARYAM R DJAINI
27 KARYAWAN TALIKI
28 ARTINI
29 RAHMIN MATANI
30 RISMAN RAHIM
31 RAHMA POMALANGO
32 ADELIN BOYOLA
33 ALWIS DAKA
34 SIRA LATIF
35 SIRU MONOARFA
PEMERIKSAAN TD
NO NAMA PESERTA
36 GADI ADAM
37 ELVI TOWAPO
38 FARIDA TUI
39 SENSUS LADJIWA
40 MASTIN TUANI
41 SUWARNI HANAPI
42 HARCO ANWAR,SPd
43 ZULFA PANIGORO
44 ARWIS AZIR NALOLE
45 RISI MOHULAINGO
46 ABAS LATIF
47 LILI PAULU
48 ADNAN KARIM
AMRIN PATA
49
50 ASNAWATI NAITO
51 ANI PANIGORO
52 HASPIN PILOHIMA
53 SUHARTIN Y AUNA
54 NIRWAN ILATO
55 SUWARNI HANAPI
56 AISA SULEMAN
57
58
59
60
DOKTER PEMERIKSA
dr.Mersry Pansariang
PEMERIKSAAN TD
NO NAMA PESERTA
1 DOLI DALUMI
2 NORMA SANGGE
3 LIAN POMU
4 KAMARIA HASAN
5 ELIS P. BANO
6 ROSTIN MARJUN
7 RICO MOHULAINGO
8 DEWI NAKI
9 MANI RAHIM
10 ARIFIN KOMENDANGI
11 ASNI KUMEDI
12 HASMIN KANTU
13 DJARIA KASALA
14 PATMA DUAKO
15 NIRWAN G. MALATANI
16 HAMIRA KANTU
17 HARYONO MOJO
18 YULIANA YUSUF
19 AMINA KAIKO
20 SUNARYO RAJAMUDA
21 DJON VAN GOBEL
22 SRI MELIYATI S.RAJIMAN
23 SALEH AHMAD
24 MAKSUD OTOLUWA
25 EMAN ALIMUN
26 STIN BIKI
27 YAHYA ABUNIO
28 KARLINA KARIM
29 ROSITA HASAN
30 SUARTIN MONOARFA
31 IRWAN DINO MURSALI
32 UNI PILOHIMA
33 POMI PILOHIMA
34 ROSMIN HINELO
35 RABIA NURAIN
PEMERIKSAAN TD
NO NAMA PESERTA
36 BUCHARI MONOARFA
37 ASRIN SULEMAN
38 WATI HILAHAPA
39 SANTI MARDJUN
40 YUSNI LAMATOWA
41 KADIR PAKUNE
42 HAMID IKA
43 SETTY MOITO
44 ASMIN ISMAIL
45 SURI AHMAD
46 JONI LAIYA
47 RUSNI DAKIO
48 SULASTRI HAMID
49 KARSUM MAKLUMI
50 SALMA ALINTI
51 SRI SUSANTI ADAM
52 NORMA SANGGE
53 HADIJA AMALA
54 SARINCE TAHIR
55 MARYAM NALOLE
56 LILI PAULU
57
58
59
60
DOKTER PEMERIKSA
PEMERIKSAAN TD
NO NAMA PESERTA
1 SUMITRO MUDA
2 SUWARNI DALUMI
3 FERY PANDJU
4 ASYURA DJAILANI
5 TENI L. SAIDI
6 RASUNA H. SUPU
7 RATNA MOHA BT MUDA
8 RUWAIDA TUNA
9 ZENAB DJAFAR
10 MISNA ABD. HARUN
11 ADELIN LASENA
12 ABD.KARIM DOHOLIO
13 MUN U.M. BANO
14 PABIA PANIGORO
15 RUSNI VAN GOBEL
16 SOFYAN THAIB
17 SARIMUNA PUKOI
18 DRS.HANNY NUSA
19 ABD.JAMAL KAJINTUNI
20 AMINAH POMONTOLO
21 JETTY DIENTJE PANGKEY
22 SALMA SAUD
23 WITA BAGU
24 MARIANI MOKODOMPIT
25 MERLIN MOHUNE
26 LATIFA MAGU
27 ASMA DAI
28 MARTA ADAM
29 SALMA BAKARI
30 HERLINA LAUMA
31 AMINA LASADU
32 KARTIN DAKA
33 WARNI HASAN
34 HALIMA MODUE
35 SALMA IBRAHIM
PEMERIKSAAN TD
NO NAMA PESERTA
36 MADI HUMU
37 MARTA PONGOH
38 RUSTAM ALIMUN
39 SIMARI HABI
40 SARTON RAHMAN
41 MARIA SALEH
42 NINGSI DJAMA
43 ASRIN PINGGO
44 RUSMI BATA
45 PATMA DUAKO
46 RISNA MANTULANGI
47 DARWIN UMAR
48 FARIDA USMAN
49 BETI AJA
50 RAPIA M. GIU
51 ASTIN KARIM
52 MUZRINA HINTALO
53 NANANG B. YADE
54 CONI GUSASI
55 WISNA N. HALID
56 FATMAWATI DIKA
57 CARMA BUATA
58 SUDARTO D SUMARTO
59
60
DOKTER PEMERIKSA
PEMERIKSAAN TD
NO NAMA PESERTA
1 RISNA HUSAIN
2 SALMA ABDULLAH
3 MARYAM B. SIDU
4 SARIDA BASIRU
5 RATNA HUSAIN
6 HASNI HINTALO
7 RAFIA NIKMATI
8 RATNA NIKMATI
9 SAMU KASIM
10 SUPARDI DAKIO
11 ERLIN KOINGO
12 MARNI MARJUN
13 AMINA AKUBA
14 RAMLI SUMULI
15 AMNA ABAS
16 ASNA BAHUWA
17 WICO TINA
18 MASTIN MAHMUD
19 EFENDI HINELO
20 LENY BOKINGO
21 HASNA LAIYA
22 HAPSA TONGA
23 TANINO KADIR
24 HAPISA ALIMUN
25 ERVA LIHU
26 IDRUS BAILI
27 HADIDJA RAHMAN
28 ROSTIN HINELO
29 ROSTIN MATANI
30 ARDINA DALUMI
31 HADIJA KONE
32 SITI PALAPA
33 ROSNA YUSUF
34 MAMAN S. TALIKI
35 AZIR NALOLE
PEMERIKSAAN TD
NO NAMA PESERTA
36 RISNA PILOHIMA
37 UNI ABAS
38 HAJARA NURANI
39 RATNA Y. TINA
40 SARTIN KAIDA
41 RUKIA PAKAYA
42 AMINA POTUTU
43 AISA DUPI
44 MASYKUR TINA
45 FARIDA MARJUN
46 HADIJA LATIF
47 YANTI POHI
48 MASLAN JALITE
49 RITA MAHMUD
50 MIRNA MOPATU
51 DJON DUKA
52 SAHRIMA SADAPU
53 ASIA TAYABU
54 RUDIN KANI
55 RABIA K. NABU
56 RONI SAIDI
57
58
59
60
DOKTER PEMERIKSA
PEMERIKSAAN TD
NO NAMA PESERTA
1 IKI LIHU
2 KULU ISMAIL
3 FATMA MALAHIKA
4 USMAN MUSTAPA
5 RIYANTI BAU
6 ASNI LUNETO
7 RAHMIN EKSAN
8 SITI HARTIN KONI
9 AISA YADEDU
10 DJIBA K.DAMA
11 HASNA MOHU
12 AMINA SALEH
13 ASWIN POTUTU
14 ROHANA DAUD
15 IBRAHIM DJABI
16 ERNA ADAM
17 RISNI ABUNA
18 ILHAM BOTUTIHE
19 HAMZA MUDA
20 SAHRUDIN HANAPI
21 WARNI SALEH
22 TORSIA TALIB
23 HADIJA K. SUMA
24 SATRIA MISILU
25 NURHAYATI SALEH
26 DJEMI NAITO
27 YASIN AUNA
28 RISNA SULEMAN
29 RISNAWATI SULEMAN
30 HANISA KAI
31 ASNA POIYO
32 ELISABETH LANTANG
33 IBRAHIM NALOLE
34 KARSIA HABU
35 MARIANI TAHIR
PEMERIKSAAN TD
NO NAMA PESERTA
36 MOH.YASIN SALEH
37 MUKMIN NTOI
38 SITI D. TINA
39 TITIN LAMATENGGO
40 SULEMAN IBRAHIM
41 NURHAYATI PIRUS
42 LIEN MAHMUD
43 ASTIN POMU
44 METRIS HINTALO
45 MASNI DALU
46 HARYONO MOJO
47 MOHAMMAD KATILI
48 NURAIN POMPANJANG
49 RATNA PADJUE
50 NENJI PAJUE
51 RINA AHMAD
52 RISNA MOHULAINGO
53 MAYA N WATULANGKOW
54 JARIA KADIR
55 HADIJA DIKA
56 SUPARDI DAKIO
57 SRI WATI MOHA
58 HADJARA MAHMUD
59
60
DOKTER PEMERIKSA
SDH
NO NAMA PESERTA NO BPJS DX TTD
SKRINING
1 1
2 2
3 3
4 4
5 5
6 6
7 7
8 8
9 9
10 10
11 11
12 12
13 13
14 14
15 15
16 16
17 17
18 18
19 19
20 20
21 21
22 22
23 23
24 24
25 25
26 26
27 27
28 28
29 29
30 30
31 31
32 32
33 33
34 34
35 35
36 36
37 37
38 38
39 39

NO No Kunjungan No Kartu Nama Peserta DX

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NO No Kunjungan No Kartu Nama Peserta DX

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NO NO KUNJUNGAN NO KARTU NAMA PESERTA DX

1 0000139304452 JUSNI ARSAD DM HT

NO NO KUNJUNGAN NO KARTU NAMA PESERTA DX

NO NO KUNJUNGAN NO KARTU NAMA PESERTA DX

DAFTAR HADIR PESERTA PROLANIS

1 DOLI DALUMI 0000956503642 DM

2 NORMA SANGGE 0000956837226 DM

3 LIAN POMU 0000956951032 DM

5 ELIS P. BANO 0000958054498 DM

6 ROSTIN MARJUN 0001075448439 DM

7 RICO MOHULAINGO 0001075448496 DM

8 DEWI NAKI 0001089913487 DM

9 MANI RAHIM 0001234386224 DM

10 ARIFIN KOMENDANGI 0001234565425 DM

11 ASNI KUMEDI 0001234887039 DM

12 HASMIN KANTU 0001234931229 DM

13 DJARIA KASALA 0001235001082 DM

14 PATMA DUAKO 0001235009215 DM

16 HAMIRA KANTU 0001236084142 DM

17 HARYONO MOJO 0001236202997 DM

18 YULIANA YUSUF 0001236204775 DM

19 AMINA KAIKO 0001236620564 DM

20 SUNARYO RAJAMUDA 0001237415297 DM

21 DJON VAN GOBEL 0001405097436 DM

22 SRI MELIYATI S.RAJIMAN 0001405153372 DM

23 SALEH AHMAD 0001574166745 DM

24 MAKSUD OTOLUWA 0001800202599 DM

25 EMAN ALIMUN 0001834654623 DM

26 STIN BIKI 0001876956388 DM

27 YAHYA ABUNIO 0001876958829 DM

29 ROSITA HASAN 0001971241795 DM

31 IRWAN DINO MURSALI 0002117061044 DM

32 UNI PILOHIMA 0002273108602 DM

33 POMI PILOHIMA 0002278017325 DM

34 ROSMIN HINELO 0002310503782 DM

DAFTAR HADIR PESERTA PROLANIS

36 BUCHARI MONOARFA 0002430908796 DM

37 ASRIN SULEMAN 0002435274224 DM

39 SANTI MARDJUN 0002040726339 DM

40 YUSNI LAMATOWA 0002094076607 DM

43 SETTY MOITO 0002087666144 DM

DAFTAR HADIR PESERTA PROLANIS

DAFTAR HADIR PESERTA PROLANIS

DAFTAR HADIR PESERTA PROLANIS

1 0823-9394-5634 0000139304452 JUSNI ARSAD DM Metformin 2x1,Captopril 2x1,Aspilet P SOSIAL PINDAH

Glimepiride 1x1, Metformin 2x1,

9 0821-9235-2888 0000139335309 DANSER RITONGGA DM Glimepiride 1x1, Metformin L SARIPI

12 0822-9132-4457 0000139342847 YENNY HZ.,ADAM DM Metformin 2x1,Glimepiride 1x1, WONGGAHU

Glimepiride 1x1,Metformin 3x1,

Glimepiride 2x1, Metformin 2x1,

23 0852-4092-0953 0000139368374 AMRIA BUMULO DM Metformin 3x1 P SOSIAL MENINGG

28 0822-9377-7737 0000204373844 ARTINI DM Lantus 1x12U, 5/9/1977 P MOLOMBULAHE

29 0822-5953-9394 0000956025167 RAHMIN MATANI DM+HT Metformin 3x1,Glmepiride 3/23/1973 P REJONEGORO

36 - 0001075448439 ROSTIN MARJUN HT Amlodipine 1x1,Captopril 12/22/1950 P TANGKOBU

0852-9863-0034/0853-9872- Metformin 3x1, Glimepiride 1x1,

44 - 0001235009215 PATMA DUAKO DM+HT Captopril 3x1,Amlodipine 2/5/1960 P KUALA LUMPUR

Metformi 3x1,Glimpiride MENINGG

55 0821-9520-3725 0001834654623 EMAN ALIMUN DM Glimepiride 2x1,Metformin 3x1 L MOLOMBULAHE MENINGG

NO NO HP NO KARTU NAMA PESERTA DX TERAPHY OBAT UMUR JK ALAMAT KET

61 0852-4197-1373 0002117061044 IRWAN DINO MURSALI DM Candesartan 1x1,Furosemid 4/12/1953 L TOLANGOHLAU

68 - 0003068967791 ZARIA M. UNGO DM Glimepiride 1x1,Metformin 3x1 P WONGGAHU MENINGG

80 0812-4459-1318 0000139334444 FERY PANDJU HT Symbicort 3x2 puff 7/1/1971 L WONGGAHU