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Hasil Pemeriksaan SHK Sumbawa 31 Oktober 2023
Hasil Pemeriksaan SHK Sumbawa 31 Oktober 2023
1 Susi Arisandi
2 Intan
3 Siti Alu
4 Yayu Febriani
5 Bunga Rosi
6 Shinta Dwi
7 Lina Marlina
8 Fariani
9 Meri Julianti
10 Susi Sulastri
11 Siti Rohani
12 Novia Susanti
13 Karyawati
14 Sulastri
15 Hazza
16 Windy Aulia Putri
17 Tika Sulastri
18 Nurwahidah
19 Ayu Linda Lestari
20 Putri Andika Wijaya
21 Neni Widayanti
22 Neni Fitriani
23 Ika Nurmala
24 Laini Larasanti
25 Uliana
26 Sadariah
27 Haryati
28 Hikmawati
29 Sadiana
30 Sahri Aini
31 Hikmawati
32 Tiara Astarini
33 Erni
34 Sri Yulianti
35 Hidayanti
36 Nurdiana
37 Hasna Dewi
38 Sri Sudira
39 Zumriah
40 Ni Luh Putri Suri
41 Vinda Afrialiani
42 Sopiyah Ruhunusa
43 Reva Agustina
44 Susilawati
45 Saleha
46 Susnawati
47 5204085701890001Titi Sundari
48 5204094606850002Jemianti
49 5204222405080001Delfi Rismawandana
50 5204094210930001Nurmiati
51 5204244208900001Anggun Riani
52 5204244208900001Anggun Riani
53 5204246902800003Sopiah
54 5202114107850638Marni
55 5204057003810001Irnawati
56 5204175706860004Indriani
57 5204124306960001Mieta Siviana Karmila
58 5204184810950004Ni Nengah Wina U
59 5204085901940002Helmi Yanti
60 5204176704820003Diana
61 5204174101830005Narti
62 5204175011890002Linda Arisanti
63 5204174112880005Andayani
64 5202044107990526Hani Juita Sari
65 5204174306890001Qurrata a'Yunin
66 5204174204820005Nurhayati
67 5207036709900001Linda Sri Wardani
68 5204125904960001Wanda Aprilia
69 5204126808930002Nila Kusuma
70 5204205708830001Sadaria
71 5204204806880001Nurhasanah
72 5204215208870003Suharmi
73 5204214507890002Mariama
74 5204124803850001Ruillah
75 5204255208820001Berlian
76 5204185507905001Candra Sasih
77 5203055106970004Yuli marlina
78 5204126511970002Lili Permatasari
79 5204145012960001Dita Kurniawati
80 5204145012960001Dita Kurniawati
81 5204245012850001Rohana
82 5204244801940001Sulastri
83 5204134607830001Juliati
84 5204136202930001Dia Andriayawati
85 5204116306020001Anjelita
86 5204105012900002Dira Aditya P
87 5204106007010001Mariati
88 5204094701850008Emi Surya
89 5204264107620010Hariah
90 5202104107010147Saripah
91 5204065202060001Rianti
92 5204066510930001Dian Putri Amelia
93 5204065301000001Ni Luh Warsining
94 5204066606000005Dara Ardianti
95 5204065001880004Siti Aminah
96 5204065203920002Mardiana
97 5204065004030001Sahri Ayu
98 5204065007900000Suhaemi
99 5204066311890001Jumiati
100 5204066490850001Suhada
101 5204065406000001Muharni Eka P
102 5204066404960004Mentari
103 5204205508070001Helmi Fransiska
104 5204056508930002Nusraini
105 5204206807990001Yuliana Helmi
106 5204236109960001Nurmiatun
107 5204105104930001Titin Yustiawati
108 5204104806790002Radiah
109 5204245308850001Uswatun Hasanah
110 5207054906990001Rizky Eka Yanti
111 5204105106050001Yansyah Lilin.s
112 5204105603880001Nurmawati
113 5207035102970001Lilis Suryani
114 5204175302020002Lestari
115 5204175706900002Wiwin Sulastri
116 5203184105900001Nahwatil Badriah
117 5204174101010001Sanisa Fitri
118 5204125412990002Desti Al-Fira
119 5204225607950001Riska Juliyarsih
120 5204265711040002Susi Susanti
121 5204285001930001Janiati
122 5202105001930005Siti Patimah
123 5204194806870001Baiq Jamaini
124 5204195603040003Riska Apriani
125 5205024911010001NGH, Ayu Kumalasari
126 5204215291930002Sania
127 5204215003950002Hamidah
128 5204244309980001Lili Indriyani
129 5204245408900001Tri Susilawati
130 5204104404880007Rosiana
131 5204084911920003Arini Canova
132 5204025105030001Titin Dewi Ratnasari
133 5204024101079018Zulhijah
134 5204204506040004Nur Alisa
135 5204085511990004Nopiana
136 5204175412970001Karma
137 5204126104930002Ega Sulastri
138 5204205912860001Rusmi
139 5204206202910001Iga Ratnasari
140 5204145205910005Eka Melianti
141 5206086012910001Desi Ratnasari
142 5204274402040002Jumiati
143 5204274603920001Siti masrul Kamatanti
144 5204284808790001Rukaiya
145 5204135810970001Sumarniati
146 5204055011010004Sri Astuti
147 5204170403950003Ranti Rahmadani
148 5201127012850004Sariyah
149 5204247010860001Triana Susanti
150 5204245307950002Nova Cahya Ningsih
151 5204134401930001Ira Fitriani Iskandar
152 5204134708970003Nita Andriani
153 5204134706960003Rika Trisnawati
154 5203076804030005Siti Humairatul
155 3510224810990001Ni Luh Nuraini
156 5202114107880102Purwati
157 5204146705840003B. Anita Karolina
158 5204145604900002Susi Susanti
159 5204194803920001Nurul Ainiah
160 Susrawati
161 5204274705940003Siti Saleha
162 5204266202880001Nina Susana
No Rekam Tanggal
Nama Lengkap Anak Jenis Kelamin
Medis Lahir
1 5204066103040001 Mariana
2 5204064703880001 Hilmawati
3 5204064103880080 Mustikeni
4 5204066919100001 Iranovi Cayanti
5 5204184701970006 Sri Maryani
6 5204055005920003 Sri Rahayu
7 5204065001900001 Suharti
8 5204066001850001 Pujiati
9 5204066204000002 Kusmawati
10 5204065001930001 Ropisah
11 5204065706990003 Lusiatun Rahmawati
12 5204066011850001 Siti Aisyah
13 5204065504800005 Kartini
14 5204065879800001 Anita Andriani
15 5204064107870092 Asmawati
16 5204022481006001 Rita Mayani
17 7202185603980002 Ni Made Susantiani
18 5204024107940026 Dewi Susanti
19 5204265502940001 Tri wahyuliandra
20 5204054709060001 Arini
21 5204265010850005 Nurhayati
22 5271057112840020 Rosiah
23 5204125106920001 Subaidah
24 5204105106930001 Riska Putriani
25 5204276204980002 Intan Putri Pratama
26 6402056011860001 Farni
27 5318064702930002 Debora Muda Bota
28 5205014112970001 Yeni Ariani
29 5204225005980001 Juleha
30 5204195709990001 Ririn Handayani
31 5204194107830023 Mukminah
32 5204176512970001 Nurul Anisa
33 5204175705830001 Rusmiati
34 5204175110800001 Saidul Fitri
35 5204086708960001 Rosa Agustin
36 5204086702070002 Dzikria Zazkia H
37 5204086301960005 Eunika Lea Masangin
38 5204085309010004 Tasyah
39 5204085210020001 Dwi Diva Nafi'ah
40 5204084504870001 Lilik Cristia
41 5204084409930003 Rizky Ayu Sawitri
42 5204054551190003 Haeroni
43 5204105011910001 Yulianti
44 5204254305870001 Sumarni
45 5204064805830005 Reni Firtiani
46 5204065007940001 Anis Karlina
47 5204064112990000 Sapna Safira
48 5204175905910001 Sundari
49 5204055702960002 Asmala
50 5204065001970001 Sri Wahyuni
51 5204106909860004 Kusmayanti
52 5202054110910002 Maisah
53 5204136803970003 Nurhasanah
54 5204024804000001 Ni Komang S
55 5204217112000001 Fitri Wulandari
56 5204065808980003 Wiwin Lindayana
57 5204134304910001 Nurul Karyawati
58 5204094207930002 Julia Ekantari
59 5204255112980002 Nurul Annisa
60 5204135107830001 Ferawati
61 5204136807000001 Yunira Nagoyana
62 5204134807580002 Sumarni
63 5204266205980002 Tita Rizki Kantari
64 5204221070000006 Nurfitriana
65 5204134601970004 Ana Nurhasanah
66 5204134912060002 Annisah
67 5204134110000002 Supiati
68 5204135007040004 Sahara
69 5204086505920001 Dewi Sinta
70 5204085402040003 Dini Febriani
71 5204205708990003 Delfa agustina
72 5204136705920001 Farandi Meli
73 5204104810010002 Sumiati
74 5271025504940001 Bq. Wenny
75 5204255410980001 Emi Sumiani
76 5204054203920002 Sri Nurbaeti
77 5272024107920220 SITI RAMADOAN/FIRDAUS
78 5204145106910001 DEWI ASTUTI/AMRIN
79 5204145109880001 ASMAWATI/ARIYONO
80 5204184702940002 SULASTRI/SARIFUDDIN
81 5204057112830006 HAERUNI/ZAINUDDIN
82 5204054605050004 MUNI HIDAYATI/ARDIANSYAH
83 5204028520497001 YULIANTI/DEDI SURATMAN
84 5204024512990002 NURLINA/ARDI FARLIANSYAH
85 5204235801950001 NURHASANAH/RUDIANTO
86 5202054806950005 NIKMATUL UMMAH/AGUS SALIM 5202030705180003
87 5204265204900002 MINI SUSMA D./SUPAMPRY 5204262003180001
88 5204064312060002 INI SAHATUL AINI/KHAERUL FATHONI
89 5204135018600009 DIAN SUPRIANTI/AHMAD KAHARUDDIN
90 5204064308010001 NANING TRI AGUSTINI/SUGIMAN
91 5204064505950003 LISA ADEKAYANTI/ARSI
92 5204064107890062 ISPAHMI/JUNAEDI
93 5204054804940003 PITA APRIANA/SYAFARUDDIN
94 5204172010960001 FITRIA KHAERANI/SUBHAN
95 5204207009970001 RADIATUL HIDAYAH/IRFAN INDRA JAYA
96 5205074812990002 NI KADEK SULASIH/I KOMANG ARJAYA
97 5204206691288001 SITI NURKEMALASARI/AGUS HARYADI
98 5204085602960003 FEBBY FEBRIANI/RUSL1 SULAIMAN
99 5204097108930001 LANA RIZKA ASYKARANI/RIZKI ASHARI
100 5204085602960003 FEBBY FEBRIANI/RUSLI SULAIMAN
101 5204084510880005 MADE GURSINI/DEWA GEDE PURNAMA
102 5204085503890003 WAHYU WARDANINGSIH/IKSAN JAYA PURDANI
103 5204066205010002 MAYTA WAHYU DIANTARI/SANDI IRWAN SAPUTRA
104 5271057112990004 AJARIANTI/SABRI
105 5204184103010001 DESI SOVIANI/MUL SANDI
106 5204084604980001 RASMI ALFIANI/ANDI SAPUTRA
107 5204054503040001 JUHAINA LASTRI/ARSEL VIRGIAWANSYAH
108 5204084609890001 SRI ASTUTI/SIRAJUDIN
109 5204276101020001 PUTRI WULANDARI/AFRIADI
110 5204245205060001 LASA PUTRI ANTAMA/ALIEF AKBAR
111 5204234106990002 EVI SUKMA DEWI/ILHAM
112 5204087008900001 WAHDA FARAH BATARI/RAKA DEMARDI
113 5204185103930002 NI KOMANG KERTI AYU N/ I GUSTI BAGUS HENDRA S
114 5207044909990001 REZA LORENSYAH/ M. RIZKI KURNIAWAN
115 5204105401980002 NURMALASARI/SYAMSUL HIDAYAT
116 5204106708240001 SHERLY ARIANTI/IRA IRWANSYAH
117 5204194607010001 BAIQ ROHANA/MUHAMMAD NURSIWAN
118 5202047112990040 BAIQ SRI WULAN SOLEHA/SULAEMAN
119 5204066503060001 KARMILA/SULISTIO
120 5204066008200001 ANDARIKA/PUJI PURNOMO
121 5207025105940002 ERNAWATI/AKSARA MIN RISKI
122 5204064107950077 NI KADEK SARININGSIH/I KOMANG WISADA
123 5204064311830001 SRI HARTATI/IMAN HIDAYAT
124 5204065507810009 MUHAIYA/BURHANUDDIN
125 5204065507810009 MUHAIYA/BURHANUDDIN
126 5204235069700001 SUSILASTRI/INDRA ALAMSYAH
127 5204184301960001 ELSA PUTRI ANJANI/YOGIE FANDHU
128 5204196402930001 YESSY TASELLA/ARY PURNAWAN
129 8203051802860007 SUCI MULIANTY/OVAN PRANATA
130 5204075807930003 YAYU SUSANTI/M. SALEH
131 5204085608880004 ETI FITRIANI/ANDI MAJAPAHIT
132 5204115304940001 AFRILIANTI SUHAS/SASDI MANSYAH
133 5204106405950002 AISYAH/ABDUL RAHMAN
134 5204187103850001 PATRIAWATI/HIDARUSSALIMIN
135 5204107011020001 OVITA AWALIA/ALDIYANSYAH
136 NI AMI PRIWAHYUNI/MUAYYAD
137 IRMAYANI/ANI APRIYANTO
138 5204135309690001 SUHARLANI/ZAENAL ABIDIN 5204221907160001
139 6471055006900012 HERMINA/SAMSUDIN 5206040207200003
140 5204114505920001 IGA MAWARNI/A. RAHMANSYAH
141 5204204801890001 SYAMSIAH/KAHARUDIN
142 5204204905810001 SURYANI/KHAERUDDIN
143 5204084018200003 ENDANG SRI HARTATI/SUBHAN GAJUNG
144 5200417440703000 JUNAIDA/NURDIN
145 5204056002850001 CINDRA LESTARI/DENI WILHAMUDIN
146 5204025208890003 SUMIATI/TOHRIADI
147 5207026210890002 SUKATMI/HERJAH
148 5205075607910001 HUSNAWATI/MANSYUR HAMDALI
149 5204137011020002 SITI KALSUM/BERLYAN FEBRI S.
150 5204135310960001 OKTI SYAHDIATMI/ROLIS OKTA
151 5203147112870219 RATNA/ZAKARIA
152 5203046004000004 ERNAWATI/SULAIMAN
153 5204146704970001 KARTIAH/HAMDANI
154 5204224712920001 SRI HASTUTI/SYAIPUL BAHRI
155 5204095008990003 FATMAWATI/RAHMAT HIDAYAT
156 5204134111010002 AYU INDRIANI/DANDI IRWANSYAH
157 5204134809980001 MONALISA/RAFLIANSYAH
158 5204135008950002 ANALISTIANI/M.SALEH
159 5204202810950001 SINAR WAHYUNI/SYAHABUDDIN
160 5205059110000001 YUNNI ARYANTI/ABDUL RAHMAN
161 5318034101920005 YUNITA LONDA INA/MATIUS MALO NGONGO
162 5204236801890001 SINAR/NURDIN
163 5204215012960001 DESSY ADEKAYANTI/ MUHAMMAD IRFAN
164 5204084403870002 AWLIA/AGUS MARANTIKA
165 5204186804060003 NURKAMRIN/AGUSTAN
166 5204050078800001 ANISA NUR'AINI/OVAN
167 5204125205820001 HUMAIYAH/SABRAM
168 5204125205820001 HUMAIYAH/SABRAM
169 5204214607910001 SIMIA/HASANUDDIN
170 5204281612970002 NURAINI/SATRIADI
171 5204185104910002 KUSMAWATI/IRWANSYAH
172 5204174406870003 SRI ASTUTI/SYAMSUDIN
173 5204134407920001 EKA CAHYA ANDINI/TAUFIK HIDAYAT
174 5204254808850003 NIRWANA/OPAN SUGIANTO
175 3575034510900001 CHOIRUNNISAK/IRWANTO
176 5204126105920001 OKTA PRAFTININGSIH/RUSDIANSYAH
177 5204124311950002 RAHMAWATI/HADIMAN
178 5204124606990002 SAPIRA UMMI MUTMAINAH/BOBI SURYADI
179 5204224470290000 ERNA YANTI/MUHAMMAD IRFAN
180 5204265001900004 AINI/ARDI 5204260801120007
181 3578254212990001 LUTFI SETYAWATI/ARIFUL JIHAD
182 5204194802830002 JUMRAWATI/JEFRIANTO
183 5204194107000016 SARTIJA/SYAHRUDIN
184 5204186907940001 MITA DINDA TRIYANTII/SUPRIADI
185 5204284201940001 RIKA ANGRAINI/RUDIMANSYAH
186 5204285112890001 YUYUN SINDARSIH/SOPAN SOPIAN
187 5204184707970001 BQ.AYUNING ROSDIANTI/WAJDI HANI HASYIM
188 5204145505040001 NABILA MUTIARA/FERDY RIZKI .R
189 5204074803940001 SUHAEMI/MUHAMMAD INDIRA SABIRIN
190 5204085004890004 RTRY FAUSIAH/DEVIAN M FIRDAUS
191 9106125806860001 FITRIANINGSIH/RAMLI
192 5204066501910003 YENI ROSMALA/HENDRI EKO SURYANTO
193 5204082706920003 RINA WIJAYANTI/DIMAR AGUNG SEKTIANJI
194 5204225506920002 SUKAMA/HERI AHMAD YANI
195 5318015402950001 SELVIANA BELA ROUNA/ENOS KABA RARA
196 5204104107930010 LUSIATI/SUKARNAIN
197 5204024206860003 LATIFA/RIKI JULIANTO
198 5204185510040005 NINGSIH RAMDAYANI/ARI IRAWAN
199 5204086211990001 LILA NOFIRIANI/FIKRI
200 3510135009900005 IKA INSIYATI/JAKA FAJAR
201 5204195102950001 LENI MARLINA/AQYUNIL HUSNAINI
202 5204196712840001 RAMLAH/A.WAHAB
203 5204195705030002 WINDAYANA/DERI APRIMANDANI
204 5204195305860002 ROSITA/ZIRWAN JAYADI
205 5204146310800003 HASANAH/ALFIAN SUKRIANDI
206 5204144107030007 ESTIKA/MUHJAKIR
207 5204255404010001 HUSNUL KHATIMAH/BAKRI
208 3505075407790001 ARKATIN/EKO
209 5204086708990002 LUBNA/EKO PUJI S
210 5204225112800003 MARIA HUMA/IVAN SUHENDRA
211 5204256711840001 NITA APRIANTI/SAPIOLAH
212 5204264404990001 WAHYU ERMA SURYANI/M. HUSNUL ZIKRI
213 5204266310040001 SALNI OKTAFIA R/BOBI SANJAYA
214 5204195504900001 IIT HINAYASARI/ABD MUIS
215 5204226002930001 SUKRIANI/ROLIS
216 5204057108040001 DAMARA AISYIYAH/ROMY SAPUTRA
217 5204105401060001 SUSANTI/SYARIFUDDIN
218 5204084607970003 TRISNA OKTAVIA/RHIAL AFRIAWAN
219 5204254906920001 ARSYI HIDAYATULLAH/ZIA ULHAQ
220 5204054712920001 DESI LESTARI/HENDRA ARDIANSYAH
221 5204054201960001 ERNI/MUSTAJIB
222 5204054707920002 ROSDIANA/HENSON KUSUMAJAYA
223 5204086204970002 WULANDARI/SYAFARUDDIN
224 5204086204970002 WULANDARI/SYAFARUDDIN
225 5204086405970001 NINING SULISTIA WATI/HENDRA WIJAYA
226 5204085809970001 DEFI PERMATA SARI/AHMAD ZAINUDDIN
227 5202550793000012 ZA'RAH/LAKMAN SARDI
228 5204085612010003 EMA SAFITRI/ADIN IQBAL SYA'BANI
229 5204135718900002 ERLIN SURYANI/MUSTAMI
230 5204245006960002 DERI FITRIANA/NONI MAPRIANSYAH
231 5204086106960002 HAZRIYANI/AKMAL YAKIN
232 5204086106960002 RATNA DEWI/IBRAHIM RAMADHAN
233 5206044606860007 ROSNANDI/ABU BAKAR
234 5204235310940001 WAHYUNI/PUAD
235 5204266510940002 SITI NURHANA/MARION S PAIRIKAS
236 5203125212930009 DESI ISMELASARI/DIAH IMAM ROSYADI
237 5204025104000001 NOVA ELSA SAFITRI/DADANG WAHYUDI
238 5204024108990001 LILI/SUDIRMAN
239 5204025312890001 FITRIAH/KHAERUL ANWAR
240 5204174108960002 RANI LESTARI/FERI ARISANDI
241 5204174304840002 IKE NURJANA/JAMALUDIN
242 5204175202010005 HERNA HADIATI/TOMI J PISA
243 5204054501930001 SHINTIA ULANDARI/WAHYU ARISANDI
244 5204174102080004 FEBRI RELIANI/AHMAD DANI
245 5204055069000001 YUNI SARA/MAULANA
246 5204175205940002 SUKMAWATI/SARAFUDDIN
247 5105015209830004 NI KOMANG KANI/I NYOMAN GANE
248 5204064508940001 MURNIATI/RIWAN DARMAN HADI
249 5204254107790018 ROHANA/BAHTIAR
250 5204256207020001 DINI YULISTARI/SONI HARSONO
251 5204255801870002 YUNI PUJIATI/SUPARMAN
252 5204126006910001 SITI HAJAR/ADE HERMANSYAH
253 5204144301050001 PUTRI/MELAS ADE SAPUTRA
254 5204255601950001 MUCHLISA/ILHAM AKBAR
255 5204126109960001 NEVHY ILTY S
256 5204070105850002 ROSITA/SIRAJUDIN 5204074607970002
257 5204075105020001 NETI LIYANI/HERMANTO
258 5204092905980002 PUSPASARI SUMAR ARDANI/RAHMAD HANAPI
259 5204096007070001 NOPI/FAIS AKBAR
260 5204146008910002 WANSLI MOSPONITA/DEDY RUSDIANSYAH
261 5204254906030003 IRMA RIANTI/ANDI NOVRIANSYAH
262 5204141302030002 AMELIA JULIANTI/DIDI SURYADI
263 5204067078600006 ANTI NURLINAWATI/RUSLI
264 5204174304940001 KHOTIJAH/ADE FATNA
265 3213304405030002 NOOR MELY/SAYAPUDDIN
266 5204236301930001 DIANA/SAIPULLAH
267 5204084302950001 FEBY RAMDANI P/ARIS MUNANDAR
268 5272056806930001 NURJULIANA PUTRI/BABUL ARIFIN
269 5204253079400001 PUTRI SRI WAHYUNI/GILANG RAMADHAN
270 5204186007070002 RAHMI/FAHRUL
271 5204224103970001 RINI SUHARYANI/KARWAN ADI PUTRA
272 5204174312920001 DESI KARLINA/IRWAN JAYADI
273 5204084703940001 SUSAN SUSANTI/AFRIADIN
274 5204221301960001 RAUDATUL ULFA/ARI ADE KANTARA
275 5204024604945002 LUH SUKARNI/I GEDE ARIANTO
276 5204106211900001 NOVITA SASTRIANI/ADI PRATAMA
277 5204226911920002 RIZKY UTAMI/YUDI PRESETYO
278 3173074402970002 SYIFA ASMA H/YAN ALFHA MAUDUDI
279 5204184103950003 NANA KUSUMAWATI/SAMSUL BAHRI
280 5204186104930002 NANA AFRIANA/WAHYU SUCIPTO
281 5204205102750003 ANI/ADIL S
282 5204196709840001 DEWI SRI/MASTUR
283 5204063401970001 NURUL WARSITA/ADE NOVI KUSWANTO
284 5204146905830001 MARDIANA/AHMAD
285 5204184411010004 SANIASA/ALFIAN FAJRIN
286 5204106903950002 MARAFDWI SAFITRI/FEBRI RAMDHANI
287 5204124708920003 ANISA FITRIYANI/AHMAD
288 5204020204010002 ANITA ROHAYU/HARTONO
289 5204225822940003 LINDA KARLINA.S/ARY APRIADI
290 5204234710930001 HERLINA/DADI YUSMAN FEBRIADI
291 5204266307970001 HIKMAWAN SAFITRI/IMAM HIDAYAT
292 5204265410900002 SUMIATI/HASRUL SANI
293 5204055509930001 SEPTIANA/ANDRE WAHYU .N
294 5204056805010001 SITI AMINAH/MAHENRA
295 5204054307930002 ERMAWATI/M.YUSUF
296 5204054707050001 YULI ALTALIA/M SYAUQI ABDANI
297 5204084306040006 RAUDATUL ASRANI/AMHARI RAMDANI
298 5203094706000001 AINUN JARIAH/RENO SAPUTRA
299 5204114404990002 ADE ERMAWATI/ANDIKA JAYA PUTRA
300 5204234107980003 LISA LISTARI/ARDIANSYAH
301 5204097007870002 IRAWATI/SASSUGIANTO
302 5204096511870001 LISTANTI/NUREN AGUSDIANTO
303 5204094107870013 ROSIDA/PURMADI
304 5204108706880001 SRI MARLINA/NAHYUDDIN
305 5204074107830008 ISA/MIRWAN
306 5204027112630002 HANIS/ARI WIBOWO
307 5204264111940001 KURNIAWATI/ARIA DWI SUSANTO
308 5204144806890003 HALIPA KUSUMA DEWI/SAKARIA
309 5204186201020001 ADE KATA RISAH/IKHSAN PUTRAYADI
310 5204145111020002 INDAH PURNAMASARI/SAPRIADI
311 5101044908030001 NI LUH DEWI S/KADEK MUDANA
312 5204135512960001 SULBIATUN/IRWAN ROHADI
313 5204255011960002 MUFIDAH/PRIBADI ALGAFIQI
314 5203164107830425 KANUM/SADARUDDIN
315 5202104707850009 YUNI TARATNASARI/MUZAR
316 5204126801070001 NINA KARYAMIMGSIH/FEBI ARAHMAN
317 5203045212920013 SITI SARAH/KHAERUL ANAM
318 5204225109030002 WIWIEN LESTARI/FIRMANSYAH .P
319 3504116111970002 FADHILA MAYASARI/AHKAMIL TAQWIN
320 5204196307990002 PERMATASARI/FAHRURROZI
321 5204194107990015 ULI NUR INDRA SARI/AHMAD JAYA
322 5204186404900002 ATYATIKA/SUEF ZULKIFLI
323 5204024802910001 IRA AMRIKAMULTINA/NUZUL PRAWIANSYAH
324 5204185008830003 YUS INDRIANI/ALAMUDDIN
325 5204145908940001 KOES HERAWATI/ASRARUDDIN
326 3509094106810009 NURHAYATI/NANANG KOSIM
327 7202195211070001 NI NYOMAN SRIANI/I NYOMAN PANDE
328 5204106102950001 SAWARIAH/ERSAN
329 5204244610990001 IIN RUKMAYATI/SSAHUDDIN
330 5204106009850001 YUNI HARIANI/HAERUDIN
331 5204266406080002 FELICIA WANDA EKA/M.SALAM
332 5204125808010001 WIDIA NOPITA ANANDA/SAHARI
333 5204256010970001 HARNAWATI/DIAZ JUNIANDIKA
334 5204264507000001 PADARIA/BUDIMAN
335 5204054607970002 RISKA ANDAYANI/HIPSIH ASTARI
336 5204056911930001 MEGAWATI/AHMAD RIZKILLAH
337 5204054189400001 IDA ZUBAIDAH/BUHARI
338 5204076212050001 NINDI SAHRI .R/SAHRUL
339 5204124410930001 NURKEMAH/A RAHMAN
340 5204275308990001 JEMIATI/SYARAFUDIN
341 5204174809000002 NADILA SEPTIANI/BAHRI SAPUTRA
342 5204086710850002 SUSILAWATI/SATRIANTO
343 5272024307890006 ETI KUSMIATI/MUSTAFA RAJAB
344 5204096802960001 VIVIAN LESTARI/RIZKI YOGGI SAPUTRA
345 5204096206940001 RIRIN RAHMAYANI/ZUBAIR AHMAD
346 5204234906840001 SUSILORINI/KAMARUDDIN
347 5204194704050001 NI NYOMAN SARYANI/I GEDE WIDIADHYANA
348 5204065408860001 SITI HALIMAH/ROHIT ANSORI
349 5204064107070007 BUNGA/RIAN
350 5204064511820002 YULIANTI/JONI
351 5204065018200012 ASTUTI/A.WAHAB
352 5204065410960001 RIKA OKTASARI/SYAIFUL BAHRI
353 5204064207020005 ROHMI SALTIFA/ISMAIL DAENG SEWANG
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No Rekam Tanggal
Nama Lengkap Anak Jenis Kelamin
Medis Lahir
1
2
3
4
5
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7
8
9
10
No Rekam Tanggal
Nama Lengkap Anak Jenis Kelamin
Medis Lahir
Alamat Domisili Provinsi Kabupaten/Kota Kecamatan
Tanggal Tanggal
Jenis Faskes Sumber
Pengambilan Pengiriman Nama Faskes Perujuk
Perujuk Dana
Sample Sample
Tanggal
Tanggal Tanggal Hasil
Penerimaan Keterangan
Pengerjaan Hasil Pemeriksaan
Sampel
FORM PEMERIKSAAN SHK SUMBAWA
1
2
3
4
5
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9
10
No Rekam Tanggal
Nama Lengkap Anak Jenis Kelamin
Medis Lahir
Alamat Domisili Provinsi Kabupaten/Kota Kecamatan
Tanggal Tanggal
Jenis Faskes Sumber
Pengambilan Pengiriman Nama Faskes Perujuk
Perujuk Dana
Sample Sample
Tanggal
Tanggal Tanggal Hasil
Penerimaan Keterangan
Pengerjaan Hasil Pemeriksaan
Sampel
Jenis Kelamin Jenis Faskes sumber dana
Laki-laki Puskesmas APBN DEKON
Perempuan Rumah Sakit DAK
Klinik APBD PROPINSI
Praktek Mandiri APBD KAB/KOTA
Bukan Pasien Rujukan BLUD
MANDIRI
ASURANSI SWASTA
257