DAFTAR PASIEN RAWAT INAP

2022/11/02/00017 105468 AZKA BIN DODON A1.01 ASTER I - - 02/11/2022 08:55:47 04/11/2022 10:52:31 Rp 600,000.00
8 SATORI
2022/11/04/00009 085927 MUHAMMAD A1.01 ASTER I R11 R11 04/11/2022 09:39:10 07/11/2022 09:40:25 Rp 800,000.00
4 ARSLAN SEJATI
2022/11/09/00019 090627 MUHAMMAD RAZKA A1.02 ASTER I R11 R11 10/11/2022 06:25:14 11/11/2022 13:53:42 Rp 400,000.00
4
2022/10/31/00018 105362 RASHI QUINZHA A3.06 ASTER III - KDS 01/11/2022 00:29:25 07/11/2022 08:04:56 Rp 840,000.00
4
2022/10/31/00019 089352 ALFARAZ RASYZA A3.14 ASTER III - R34 01/11/2022 09:42:23 02/11/2022 12:07:01 Rp 240,000.00
2022/11/01/00017 096730 MUHAMMAD AZZAM A3.18 ASTER III - BP 01/11/2022 10:54:45 04/11/2022 09:07:47 Rp 480,000.00
9 TARGANA
2022/11/01/00022 105422 ALISHA A3.03 ASTER III - KDS 01/11/2022 10:57:38 03/11/2022 09:16:30 Rp 360,000.00
1
2022/11/01/00013 105378 AURISTELLA
HANA MARLINA A3.04 ASTER III - TB 01/11/2022 11:03:35 11/11/2022 11:06:45 Rp 1,320,000.00
1
2022/11/01/00021 063240 ALZIRA A3.01 ASTER III - A01.0 01/11/2022 11:06:16 03/11/2022 09:10:48 Rp 360,000.00
1 SHOHWATUL
2022/11/01/00022 105373 ISLAMI
NAZWA ANAVISA A3.08 ASTER III - BP 01/11/2022 11:09:04 08/11/2022 08:19:30 Rp 960,000.00
9
2022/11/01/00023 105387 MUHAMMAD RAFQI A3.09 ASTER III - BP 01/11/2022 13:32:47 08/11/2022 08:11:31 Rp 960,000.00
0 AULIAN
2022/11/01/00024 105430 HAURA AZ-ZAHWA A3.15 ASTER III - R50.9 02/11/2022 01:10:06 07/11/2022 08:01:16 Rp 720,000.00
2022/11/02/00000 095374 MUHAMMAD A3.09 ASTER III J18.0 J18.0 02/11/2022 09:01:36 04/11/2022 09:03:45 Rp 360,000.00
2 GHIBRAN GARA AL
2022/11/02/00017 105467 GHIFARI
MUHAMAD IRHAM A3.07 ASTER III - J18.0 02/11/2022 13:24:11 04/11/2022 08:24:44 Rp 360,000.00
6 MAULANA
2022/11/02/00013 105448 M HATAN A3.17 ASTER III R56 R56 02/11/2022 13:51:22 04/11/2022 08:54:15 Rp 360,000.00
5 ARDIANSYAH
2022/11/02/00000 105435 MUHAMMAD ILYAS A3.01 ASTER III - - 02/11/2022 14:50:02 07/11/2022 10:47:11 Rp 600,000.00
3 RAMADHAN
2022/11/02/00016 105463 NAYSA AZMINA A3.14 ASTER III - - 02/11/2022 20:18:34 03/11/2022 18:37:31 Rp 240,000.00
9
2022/11/04/00000 103587 MOHAMAD KEAN A3.07 ASTER III A09 - 03/11/2022 01:17:06 09/11/2022 15:03:25 Rp 720,000.00
1
2022/11/03/00021 105514 NAISATUL A3.08 ASTER III - OBS FEBRIS 03/11/2022 08:41:56 05/11/2022 10:06:26 Rp 360,000.00
3
2022/11/03/00017 099890 MARDIAH
ALMAHIRA APRILIA A3.08 ASTER III BP BP 03/11/2022 09:32:14 05/11/2022 09:32:42 Rp 360,000.00
9 WIGUNA
2022/11/03/00022 105520 HUMAIRAH BINTI A3.08 ASTER III - KDK 03/11/2022 09:36:51 05/11/2022 09:37:38 Rp 360,000.00
5 ROBI
2022/11/03/00022 081775 MUHAMMAD A3.02 ASTER III - R50.9 03/11/2022 09:52:49 06/11/2022 09:53:18 Rp 480,000.00
9 DZIKRI FADILAH
2022/11/03/00020 098908 SYAKILA SAFARINA A3.02 ASTER III R56.0 R56.0 03/11/2022 09:58:50 05/11/2022 10:00:24 Rp 360,000.00
4 AZZAHRA
2022/11/03/00020 090304 muhammad syakir A3.02 ASTER III A18.2 A18.2 03/11/2022 10:02:53 05/11/2022 10:03:28 Rp 360,000.00
6
2022/11/03/00020 105490 MUHAMAD A3.13 ASTER III - DBD 03/11/2022 19:21:17 05/11/2022 08:27:37 Rp 360,000.00
7 AIRLANGGA AL-
MUSYAFFA
2022/11/03/00021 105516 AI TATI MARSELA A3.14 ASTER III - R50.9 03/11/2022 20:56:59 06/11/2022 08:31:08 Rp 480,000.00
5
11/18/22, 11:03 AM Page 1 of 12
2022/11/03/00021 105512 DEVIN CAKRA WIRA A3.02 ASTER III - R50.9 03/11/2022 21:24:38 05/11/2022 08:35:09 Rp 360,000.00
0 UTAMA
2022/11/03/00022 105521 FUZA FAUZATUL A3.02 ASTER III - DEMAM 04/11/2022 07:00:40 06/11/2022 09:48:10 Rp 360,000.00
6 HUDA AL-
2022/11/04/00008 105536 MUKHTARIY
TERRY PRATAMA A3.08 ASTER III A01.0 A01.0 04/11/2022 09:55:13 06/11/2022 09:56:22 Rp 360,000.00
5
2022/11/04/00008 105534 RANTI A3.10 ASTER III - BP 04/11/2022 14:46:31 06/11/2022 08:07:30 Rp 360,000.00
3
2022/11/05/00003 105558 PERMATASARI
CALLISTA ARDELA A3.02 ASTER III G04.2 G04.2 05/11/2022 09:42:16 08/11/2022 09:43:51 Rp 480,000.00
0 CAHYA ADIBAH
2022/11/05/00002 105553 ABIZAR HAFIZ AL A3.15 ASTER III J18.0 J18.0 05/11/2022 10:42:59 11/11/2022 10:44:13 Rp 840,000.00
1 HIDAYAH
2022/11/06/00003 105577 SATRIA GHIFARI A3.14 ASTER III J18.0 J18.0 06/11/2022 13:48:33 09/11/2022 13:49:02 Rp 480,000.00
4 PUTRA NAWAWI
2022/11/06/00002 104224 khayira silviani A3.15 ASTER III J18.0 J18.0 06/11/2022 13:59:58 09/11/2022 14:00:44 Rp 480,000.00
2 lesmana
2022/11/06/00001 105567 M AL - FATIH A3.07 ASTER III - bp 06/11/2022 15:29:08 10/11/2022 15:29:33 Rp 600,000.00
5
2022/11/06/00004 093248 MUHAMMAD FADLI A3.04 ASTER III - - 06/11/2022 17:23:54 Rp 120,000.00
7 ALFATIR
2022/11/07/00027 105637 NURAQILA A3.01 ASTER III - BP 07/11/2022 08:14:42 09/11/2022 08:43:01 Rp 360,000.00
0 ALINDRA ARUSHI
2022/11/07/00026 081818 SAZIA AZKADINA A3.17 ASTER III E46 E46 07/11/2022 10:15:21 15/11/2022 10:15:46 Rp 1,080,000.00
4 HIMAWAN
2022/11/07/00023 099937 MUHAMMAD A3.15 ASTER III A01.0 A01.0 07/11/2022 13:08:48 10/11/2022 13:10:09 Rp 480,000.00
2 RAIHAAN ZAKI AL
2022/11/07/00020 093248 RASYIID
MUHAMMAD FADLI A3.01 ASTER III - BP 07/11/2022 13:42:42 10/11/2022 13:43:23 Rp 480,000.00
7 ALFATIR
2022/11/07/00026 103764 Elvano Arfaaz A3.03 ASTER III R50.9 R50.9 07/11/2022 15:04:40 09/11/2022 15:05:06 Rp 360,000.00
0
2022/10/30/00002 105312 Radeva
MUHAMAD ABIYAN A3.10 ASTER III - J18.0 07/11/2022 17:54:27 09/11/2022 07:58:47 Rp 360,000.00
9 SYAPUTRA
2022/11/08/00020 105653 FAISAL AL FARIZ A3.02 ASTER III K71.0 K71.0 08/11/2022 08:43:24 15/11/2022 08:51:24 Rp 960,000.00
0
2022/11/08/00021 105676 FITRI YANTI A3.13 ASTER III - Sindrom Neftorik 08/11/2022 09:41:38 15/11/2022 09:45:21 Rp 960,000.00
1
2022/11/08/00000 105643 MEILANI
SABRINA HUMAIRA A3.10 ASTER III BP J18.0 08/11/2022 10:52:37 14/11/2022 10:53:37 Rp 840,000.00
4 RAMADANI
2022/10/30/00001 104152 YARA AZALEA A3.07 ASTER III - J18.0 08/11/2022 16:53:54 10/11/2022 13:29:30 Rp 360,000.00
9
2022/11/09/00017 105698 APRILLIA NUR A3.06 ASTER III BP BP 09/11/2022 08:15:28 12/11/2022 08:16:02 Rp 480,000.00
4 RIZKY PRATAMA
2022/11/07/00000 105587 MUHAMAD AJKA A3.09 ASTER III BP J18.0 09/11/2022 08:22:32 12/11/2022 06:54:06 Rp 480,000.00
1
2022/11/02/00000 105435 MUHAMMAD ILYAS A3.11 ASTER III - - 09/11/2022 12:27:38 09/11/2022 12:28:49 Rp 120,000.00
3 RAMADHAN
2022/11/09/00018 105642 AZMI MAULUDIN A3.03 ASTER III - R50.9 09/11/2022 22:14:39 11/11/2022 13:49:51 Rp 360,000.00
0
2022/11/10/00000 090968 HAIKAL PUTRA A3.02 ASTER III R56 R56 10/11/2022 06:32:09 12/11/2022 07:50:45 Rp 360,000.00
2 HERNAWAN
2022/11/09/00019 072023 MALAIKA JANNATUL A3.17 ASTER III R56.0 R56.0 10/11/2022 06:39:03 11/11/2022 13:41:16 Rp 240,000.00
5 HUSNA
2022/11/09/00018 082240 MUHAMAD FAZRIL A3.13 ASTER III R50.9 R50.9 10/11/2022 06:45:27 11/11/2022 14:00:52 Rp 240,000.00
2 AHDIAT
2022/11/10/00018 103588 MOHAMAD SEAN A3.14 ASTER III j18.0 J18.0 10/11/2022 07:33:31 15/11/2022 07:35:14 Rp 720,000.00
0
2022/11/10/00018 105772 RAFASA SAQUEL A3.06 ASTER III KDK KDK 10/11/2022 07:53:31 12/11/2022 07:54:49 Rp 360,000.00
3 ALFARIZKI
2022/11/10/00018 105680 NABILA ZESIKA A3.03 ASTER III A90 A90 10/11/2022 07:57:14 15/11/2022 07:57:47 Rp 720,000.00
2

11/18/22, 11:03 AM Page 2 of 12

2022/11/10/00018 104257 SALMA ALINA A3.03 ASTER III R17 R17 10/11/2022 09:42:27 15/11/2022 09:44:14 Rp 720,000.00
1 OKTAVIANI
2022/11/10/00017 099465 MUHAMAD RIVAN A3.03 ASTER III - R56.0 10/11/2022 09:53:22 13/11/2022 09:53:54 Rp 480,000.00
6 AL-FATIH
2022/11/10/00016 105758 MUHAMAD IDRIS A3.18 ASTER III - bp 10/11/2022 18:09:39 13/11/2022 08:56:00 Rp 480,000.00
3 MAULANA
2022/11/11/00000 087610 MALVIN ALVARO EL A3.03 ASTER III R56.0 R56.0 11/11/2022 10:10:51 13/11/2022 10:13:10 Rp 360,000.00
3 HARRIS
2022/11/11/00009 105797 BISMA SABAN A3.06 ASTER III R50.9 R50.9 11/11/2022 11:03:00 13/11/2022 11:03:45 Rp 360,000.00
3
2022/11/11/00010 105803 MUHAMAD ZAIDAN A3.15 ASTER III - febris 11/11/2022 14:11:35 12/11/2022 14:38:49 Rp 240,000.00
1 ATORIQ
2022/11/04/00000 103587 MOHAMAD KEAN A3.03 ASTER III A09 A09 11/11/2022 15:06:33 13/11/2022 08:58:36 Rp 360,000.00
1
2022/11/11/00008 073979 SALSABILA ALISHA A3.14 ASTER III - R50.9 11/11/2022 18:38:36 13/11/2022 10:56:30 Rp 360,000.00
8 PUTRI
2022/11/12/00000 064205 hanif afghan hakim A3.07 ASTER III - R56.0 12/11/2022 07:23:37 14/11/2022 09:23:16 Rp 360,000.00
4
2022/11/12/00000 098676 ALBI AIMAR A3.10 ASTER III - R509 12/11/2022 11:09:20 15/11/2022 10:00:08 Rp 480,000.00
2 SARIPUDIN PUTRA
2022/11/12/00001 105819 DEVIN RUSTANDI A3.14 ASTER III - viral infection 12/11/2022 13:46:58 14/11/2022 07:20:49 Rp 360,000.00
8 RAHAYU
2022/11/13/00001 105637 NURAQILA A3.16 ASTER III - - 13/11/2022 14:21:28 Rp 120,000.00
2 ALINDRA ARUSHI
2022/11/14/00014 105876 DINDA PUTRI A3.06 ASTER III R56 R56 14/11/2022 12:11:58 16/11/2022 15:04:00 Rp 360,000.00
5
2022/11/14/00020 090526 AULIA ALMAHYRA
KHANZA A3.07 ASTER III R56 R56 14/11/2022 14:24:03 17/11/2022 14:24:23 Rp 480,000.00
9 FARHANA
2022/11/14/00019 105906 KANYA ATTABINA A3.04 ASTER III KDS KDS 14/11/2022 15:19:08 16/11/2022 15:19:44 Rp 360,000.00
9
2022/11/15/00022 105941 AFIYA SHANUM A3.04 ASTER III - - 15/11/2022 08:22:44 16/11/2022 08:23:06 Rp 240,000.00
5 SHABIRA
2022/11/15/00023 105964 LUTHFI HASAN A3.09 ASTER III bp - 15/11/2022 08:38:22 17/11/2022 08:40:36 Rp 360,000.00
4
2022/11/15/00021 044395 ISHAQ
MUHAMMAD AGIL A3.03 ASTER III L01 L01 15/11/2022 09:09:10 17/11/2022 09:09:53 Rp 360,000.00
5 AL HADI
2022/11/14/00020 066412 RAINA HUMAIDA A3.13 ASTER III - G04.2 15/11/2022 10:01:10 17/11/2022 15:14:53 Rp 360,000.00
0 FIRMANSYAH
2022/11/15/00000 105913 GHIYAS NAWI A3.15 ASTER III - - 15/11/2022 10:52:43 Rp 120,000.00
2 HIDAYATULLAH
2022/11/15/00022 105956 DIKRI BIN IMRON A3.02 ASTER III BP BP 15/11/2022 14:08:01 16/11/2022 14:09:07 Rp 240,000.00
4
2022/11/15/00006 105917 SENJA DELISHA A3.08 ASTER III R56.0 R56.0 15/11/2022 14:41:38 17/11/2022 14:42:19 Rp 360,000.00
6
2022/11/15/00023 105962 FAZA FAUZAN A3.08 ASTER III R56.0 R56.0 15/11/2022 14:52:47 17/11/2022 14:53:18 Rp 360,000.00
0 IDZMANI
2022/11/15/00018 105944 MUHAMMAD A3.01 ASTER III KDK KDK 15/11/2022 15:08:07 17/11/2022 15:08:29 Rp 360,000.00
6 RAFFASYA
2022/11/15/00022 105922 FADHIL AHMAD A3.07 ASTER III bp BP 16/11/2022 09:00:30 17/11/2022 11:30:25 Rp 240,000.00
2022/11/16/00016 104152 YARA AZALEA A3.10 ASTER III - - 16/11/2022 20:45:21 Rp 120,000.00
1
2022/11/16/00020 106002 NIDA FAUZIAH A3.02 ASTER III R50.9 - 17/11/2022 08:16:03 Rp 120,000.00
4 RAHMAWATI
2022/11/16/00021 105842 MUHAMAD RIZKY A3.06 ASTER III - - 17/11/2022 08:18:53 Rp 120,000.00
9
2022/11/17/00016 106047 M ADITIYA A3.09 ASTER III - - 17/11/2022 22:43:26 Rp 120,000.00
2022/11/17/00015 106043 MURSYID AFKAR A3.14 ASTER III - - 17/11/2022 22:50:31 Rp 120,000.00
8 AQWAMU AGHNIA
2022/11/01/00024 011499 GIMIN GUNARYO CD1.01 CENDANA I - - 02/11/2022 00:37:52 03/11/2022 17:14:59 Rp 600,000.00
3
11/18/22, 11:03 AM Page 3 of 12
2022/11/05/00002 105554 TATA AMALUDIN CD1.01 CENDANA I - - 05/11/2022 12:51:43 09/11/2022 12:52:09 Rp 1,000,000.00
2 SUSILA
2022/11/05/00003 094914 INDI BIN SOMAWI CD1.01 CENDANA I - - 05/11/2022 14:51:48 08/11/2022 14:52:14 Rp 800,000.00
1
2022/11/06/00003 083872 ITA NURLITA CD1.01 CENDANA I - - 06/11/2022 11:19:41 10/11/2022 11:20:26 Rp 1,000,000.00
9
2022/11/08/00018 090545 HUDIN BIN SUHI CD1.01 CENDANA I J45 - 08/11/2022 21:18:53 Rp 200,000.00
3
2022/11/10/00007 105737 NUNUNG SETIADI CD1.01 CENDANA I - - 10/11/2022 07:44:39 14/11/2022 07:45:03 Rp 1,000,000.00
8
2022/11/10/00017 094897 MAHMUDIN CD1.01 CENDANA I - - 10/11/2022 12:48:16 15/11/2022 12:48:43 Rp 1,200,000.00
9
2022/11/10/00012 105754 EFFENDIE
RUMAH BINTI EDI CD1.01 CENDANA I - - 10/11/2022 16:09:49 14/11/2022 07:53:23 Rp 600,000.00
8
2022/11/15/00020 022738 SODIKIN CD1.01 CENDANA I - - 15/11/2022 15:30:37 17/11/2022 15:30:59 Rp 600,000.00
0 FATHURUDIN
JAFAR,SE
2022/11/17/00016 106046 IJUH BINTI SAIL CD1.01 CENDANA I - - 18/11/2022 05:55:07 Rp 200,000.00
1
2022/11/03/00021 102261 ENGKOS KOSWARA CD2.020 CENDANA II - - 04/11/2022 00:59:09 09/11/2022 12:41:56 Rp 1,120,000.00
8
2022/11/05/00002 105557 ROFI DORI SETIADI CD2.020 CENDANA II - - 05/11/2022 12:45:39 09/11/2022 12:46:05 Rp 800,000.00
9
2022/11/05/00000 099553 ARIP MUHAMAD CD2.07 CENDANA II - - 05/11/2022 12:52:34 07/11/2022 08:58:02 Rp 480,000.00
2 MULYADI
2022/11/10/00017 099591 CICI RATNA CD2.020 CENDANA II - - 10/11/2022 14:47:20 11/11/2022 14:47:51 Rp 320,000.00
1 SUMINAR HADI
2022/11/14/00013 068424 U YUSUP BIN OMEH CD2.020 CENDANA II - - 14/11/2022 13:37:59 16/11/2022 13:38:41 Rp 480,000.00
6
2022/11/14/00010 105861 WATI RAHMAWATI CD2.020 CENDANA II - - 14/11/2022 14:17:56 16/11/2022 14:18:18 Rp 480,000.00
6
2022/11/17/00013 106034 SOLIH BIN SOMA CD2.020 CENDANA II - - 17/11/2022 08:33:09 Rp 320,000.00
7
2022/11/01/00022 104087 AHMAD K BIN CD3.004 CENDANA III - - 02/11/2022 00:30:04 08/11/2022 14:31:22 Rp 960,000.00
7
2022/10/31/00018 105366 WATMA
MIMIN BINTI NATA CD3.008 CENDANA III - - 02/11/2022 01:24:37 Rp 120,000.00
9
2022/11/02/00017 101084 PEPI CD3.003 CENDANA III - - 02/11/2022 12:54:20 09/11/2022 12:54:45 Rp 960,000.00
7
2022/11/03/00014 105485 OCIM TARSIMAN CD3.015 CENDANA III J18.0 J18.0 03/11/2022 17:40:43 07/11/2022 09:27:34 Rp 600,000.00
2022/11/05/00001 105551 KARMINI BINTI CD3.005 CENDANA III - - 05/11/2022 13:43:43 10/11/2022 11:23:30 Rp 720,000.00
6
2022/11/06/00002 070774 AMUD
SUMARNI BINTI CD3.003 CENDANA III - - 06/11/2022 10:09:00 08/11/2022 13:09:57 Rp 360,000.00
3
2022/11/06/00003 105576 MISLI
ika kurniawati CD3.003 CENDANA III - - 06/11/2022 14:40:54 09/11/2022 14:41:28 Rp 480,000.00
1
2022/11/07/00027 105639 DANA SUTISNA CD3.004 CENDANA III - - 07/11/2022 11:28:29 10/11/2022 11:29:12 Rp 480,000.00
2022/11/07/00025 105629 SITI HODIJAH CD3.001 CENDANA III - - 07/11/2022 11:39:42 10/11/2022 11:40:16 Rp 480,000.00
3
2022/11/07/00026 105635 PUPU BINTI WIRA CD3.003 CENDANA III - - 07/11/2022 12:49:15 09/11/2022 12:49:38 Rp 360,000.00
7
2022/11/08/00019 093764 EMA BINTI EDI CD3.001 CENDANA III J18.9 J18.9 08/11/2022 21:04:15 11/11/2022 12:29:31 Rp 480,000.00
7
2022/11/08/00021 105679 EDAH BINTI NUNU CD3.001 CENDANA III R50.9 R50.9 08/11/2022 21:32:03 11/11/2022 15:13:46 Rp 480,000.00
0
2022/11/08/00020 034551 A. SUPYAN BIN CD3.001 CENDANA III J18.9 J18.9 08/11/2022 21:56:03 10/11/2022 14:17:19 Rp 360,000.00
5
2022/11/09/00009 105694 MUSA
ENIN BINTI UHA CD3.003 CENDANA III - - 09/11/2022 21:49:04 16/11/2022 12:03:09 Rp 960,000.00
9
2022/11/09/00010 105696 AAS BINTI SODIKIN CD3.013 CENDANA III N18 N18 09/11/2022 22:27:57 12/11/2022 12:51:50 Rp 480,000.00
2022/11/09/00018 104289 ADAH BINTI CD3.001 CENDANA III - - 10/11/2022 00:00:23 11/11/2022 12:18:41 Rp 360,000.00
4
2022/11/09/00018 074455 SAMSAH
CUCU CUKNATI CD3.002 CENDANA III - - 10/11/2022 00:31:18 11/11/2022 12:19:44 Rp 360,000.00
5
2022/11/10/00016 105764 OOY BIN ATOM CD3.006 CENDANA III - - 10/11/2022 08:26:08 12/11/2022 08:26:34 Rp 360,000.00
1
2022/11/10/00000 105731 AI NURHAYATI CD3.013 CENDANA III - - 10/11/2022 11:59:24 10/11/2022 23:00:22 Rp 120,000.00
3
2022/11/11/00010 098144 UNDANG CD3.012 CENDANA III D64 D64 12/11/2022 09:29:13 16/11/2022 14:46:54 Rp 600,000.00
5
2022/11/12/00003 105828 SUKARSANA
DEDEH AISYAH CD3.003 CENDANA III - - 12/11/2022 14:06:01 15/11/2022 14:06:55 Rp 480,000.00
3
2022/11/12/00002 105824 KOSIM BIN MISLAM CD3.003 CENDANA III - - 12/11/2022 14:20:59 15/11/2022 14:28:47 Rp 480,000.00
6
2022/11/13/00000 105835 ATEP S BIN ACENG CD3.003 CENDANA III - - 13/11/2022 12:35:42 16/11/2022 12:36:22 Rp 480,000.00
4
2022/11/13/00001 105840 SRI AYU ZULFANI CD3.004 CENDANA III - - 13/11/2022 14:58:01 15/11/2022 14:58:33 Rp 360,000.00
1
2022/11/14/00002 059840 YUSUP BIN CD3.011 CENDANA III - - 14/11/2022 15:43:50 17/11/2022 15:44:08 Rp 480,000.00
5
2022/10/31/00018 105362 SODIKIN
RASHI QUINZHA FL3.03 FLAMBOYAN III - - 01/11/2022 00:08:14 01/11/2022 00:29:25 Rp 120,000.00
4
11/18/22, 11:03 AM Page 4 of 12
2022/11/01/00022 105199 OPA BIN ANA FL3.19 FLAMBOYAN III - - 01/11/2022 21:20:53 Rp 120,000.00
8
2022/11/01/00013 104205 IYOH BINTI IRTA FL3.13 FLAMBOYAN III -. - 02/11/2022 01:31:02 Rp 120,000.00
3
2022/11/02/00018 105473 ASENG . HOLIK FL3.22 FLAMBOYAN III - - 02/11/2022 20:20:05 Rp 120,000.00
3
2022/11/03/00020 105510 EUIS MILAWATI FL3.17 FLAMBOYAN III - - 03/11/2022 22:11:31 07/11/2022 16:13:38 Rp 600,000.00
0
2022/11/03/00020 055052 IKAH SARIKAH FL3.21 FLAMBOYAN III - ulkus pedis 04/11/2022 09:05:48 08/11/2022 11:22:29 Rp 600,000.00
3
2022/11/03/00021 095478 TAHYU BIN SUBRO FL3.17 FLAMBOYAN III K12.2 abses 04/11/2022 10:22:35 08/11/2022 11:21:26 Rp 600,000.00
6 submandibula
2022/11/03/00019 105509 SUKANDAR BIN FL3.20 FLAMBOYAN III K56.7 illeus obstruktif 04/11/2022 10:31:07 04/11/2022 11:02:50 Rp 120,000.00
8 SUNARDI
2022/11/04/00009 105540 HOLIL BIN FL3.09 FLAMBOYAN III - - 04/11/2022 11:10:21 Rp 120,000.00
2
2022/11/04/00006 105531 JUNANTA
ABDUL YUSUP FL3.02 FLAMBOYAN III - OBS 04/11/2022 15:19:16 06/11/2022 10:56:25 Rp 360,000.00
8 ABDOMINASL
2022/11/06/00000 101717 DAVIT IKNATIUS FL3.02 FLAMBOYAN III - PAINT
- 06/11/2022 12:13:38 Rp 120,000.00
1 SILABAN
2022/11/06/00002 104788 REGINA PUTRI FL3.18 FLAMBOYAN III KISTA SUBLINGUAL mucocele 06/11/2022 15:27:48 08/11/2022 11:08:43 Rp 360,000.00
1 AZZAHRA sublingual
2022/11/06/00002 105100 DIAN BIN ENDANG FL3.14 FLAMBOYAN III D21.5 stt gluteal 06/11/2022 16:26:41 08/11/2022 11:09:33 Rp 360,000.00
5
2022/11/06/00001 105569 KADAM MARULI FL3.19 FLAMBOYAN III L03.- dextra
abses cruris 06/11/2022 17:03:48 09/11/2022 12:51:23 Rp 480,000.00
8 SITOMPUL sinistra
2022/11/07/00022 104299 NINA HANDAYANI FL3.10 FLAMBOYAN III - - 07/11/2022 10:29:50 Rp 120,000.00
8
2022/11/07/00023 072519 SUMPENA BIN FL3.08 FLAMBOYAN III - stt 07/11/2022 10:33:50 09/11/2022 10:53:32 Rp 360,000.00
7
2022/11/07/00023 104078 SUKRIA
RUSTANDI BIN FL3.16 FLAMBOYAN III ABSES HEPAR - 07/11/2022 10:50:32 Rp 120,000.00
4
2022/11/07/00024 103578 USUP BINTI
SALEH FL3.12 FLAMBOYAN III K40 hill dextra reff 07/11/2022 11:01:32 09/11/2022 11:14:08 Rp 360,000.00
3 HALIMAH
2022/11/07/00024 096294 MUHLIS MUHSIN FL3.06 FLAMBOYAN III L02.1 abses flant dx 07/11/2022 11:10:17 09/11/2022 11:14:51 Rp 360,000.00
4 NAWAWI
2022/11/07/00024 087549 TOYO SUMARTOYO FL3.03 FLAMBOYAN III D18 hemagioma 07/11/2022 11:18:15 09/11/2022 10:49:35 Rp 360,000.00
7 EFFENDI frontal
2022/11/07/00025 103532 OBAR FL3.04 FLAMBOYAN III K40.9 hill reff 07/11/2022 11:26:08 09/11/2022 10:59:41 Rp 360,000.00
0
2022/11/07/00017 049897 ANGKI ANTA FL3.14 FLAMBOYAN III - - 07/11/2022 11:56:16 Rp 120,000.00
3 KUSUMAH
2022/11/07/00006 105589 HOLIDIN BIN FL3.03 FLAMBOYAN III - - 07/11/2022 12:11:45 Rp 120,000.00
3 SARBENDI
2022/11/07/00008 104078 RUSTANDI BIN FL3.07 FLAMBOYAN III - - 07/11/2022 12:30:03 Rp 120,000.00
9
2022/10/31/00018 039524 USUP
SULAEMAN BIN FL3.11 FLAMBOYAN III K65 post op 07/11/2022 16:30:38 08/11/2022 11:10:36 Rp 240,000.00
7
2022/11/08/00018 096891 JEJE
KEILA NUR APRILIA FL3.21 FLAMBOYAN III - laparatomi
- 08/11/2022 12:18:50 Rp 120,000.00
0
2022/11/08/00012 103302 DEVITA SARI FL3.05 FLAMBOYAN III - stt angkle dx 08/11/2022 12:27:53 10/11/2022 12:48:29 Rp 360,000.00
1
2022/11/09/00017 105722 KAROMAH BINTI FL3.20 FLAMBOYAN III - - 09/11/2022 10:51:47 Rp 120,000.00
1 MAHPUDIN
2022/11/10/00013 073388 IIM MASRIAH FL3.12 FLAMBOYAN III DEEP LIPOMA - 10/11/2022 10:48:44 Rp 120,000.00
6
2022/11/10/00008 083024 EMOR BIN MAMAD FL3.06 FLAMBOYAN III FEMUR
- - 10/11/2022 10:56:44 Rp 120,000.00
0
2022/11/12/00000 105810 ASEP IJAL FL3.01 FLAMBOYAN III - SNAKE BITE 12/11/2022 11:20:55 14/11/2022 11:56:17 Rp 360,000.00
7
2022/11/14/00018 103937 WAHID SAEPUL FL3.05 FLAMBOYAN III K40.- - 14/11/2022 11:16:49 Rp 120,000.00
8
2022/11/14/00019 087537 AJIJ
IMAS BINTI ADIN FL3.04 FLAMBOYAN III E11.6 - 14/11/2022 14:02:33 Rp 120,000.00
7
2022/11/15/00020 104223 SUMARNI BINTI FL3.01 FLAMBOYAN III L03.9 - 15/11/2022 10:53:56 Rp 120,000.00
1 PEPE MUSTOPA
2022/11/16/00017 105459 IRMA PURIANTI FL3.08 FLAMBOYAN III D16.9 - 16/11/2022 10:18:14 Rp 120,000.00
0
2022/11/16/00019 106000 BASMAN BIN FL3.11 FLAMBOYAN III - - 16/11/2022 15:29:07 Rp 120,000.00
8 MAREJI

11/18/22, 11:03 AM Page 5 of 12

2022/11/17/00013 085023 MIMIN BINTI IMAM FL3.17 FLAMBOYAN III S62.2 - 17/11/2022 10:23:00 Rp 120,000.00
1
2022/11/17/00015 106042 KAMAL PAELANI FL3.15 FLAMBOYAN III CKR - 18/11/2022 06:43:22 Rp 120,000.00
4
2022/10/31/00018 039524 SULAEMAN BIN HCU007 HCU K65 - 01/11/2022 12:42:29 07/11/2022 16:30:38 Rp 1,300,000.00
7
2022/10/30/00001 104152 JEJE
YARA AZALEA HCU003 HCU - - 01/11/2022 15:54:08 08/11/2022 16:53:54 Rp 1,820,000.00
9
2022/11/02/00000 105435 MUHAMMAD ILYAS HCU007 HCU - - 07/11/2022 10:47:11 09/11/2022 12:27:38 Rp 520,000.00
3 RAMADHAN
2022/10/25/00020 098848 RAPA AHMAD PAUJI HCU004 HCU - --- 08/11/2022 10:53:30 Rp 2,340,000.00
7
2022/11/04/00000 103587 MOHAMAD KEAN HCU0001 HCU A09 - 09/11/2022 15:03:25 11/11/2022 15:06:33 Rp 520,000.00
1
2022/11/11/00007 105778 AI SULASTRI BINTI HCU003 HCU - - 14/11/2022 22:09:24 14/11/2022 23:55:58 Rp 260,000.00
2 EUTIK
2022/11/14/00020 066412 RAINA HUMAIDA HCU0001 HCU - - 15/11/2022 01:40:15 15/11/2022 10:01:10 Rp 260,000.00
0 FIRMANSYAH
2022/11/15/00023 105964 LUTHFI HASAN HCU007 HCU bp - 17/11/2022 08:40:36 Rp 260,000.00
4
2022/11/03/00014 105486 ISHAQ
ITO BINTI SARDI ISO3.06 ISOLASI U07.1 - 03/11/2022 20:24:01 Rp 1,800,000.00
3
2022/11/04/00009 105542 RAFARDAN ATHALA ISO3.07 ISOLASI COVID-19 - 05/11/2022 02:15:22 Rp 1,560,000.00
5 WAFI
2022/11/04/00009 046248 FERRY ISO3.03 ISOLASI U07.1 - 05/11/2022 10:38:20 Rp 1,560,000.00
0
2022/11/01/00024 105433 FIRMANSYAH S
INTAN NC04 Kamar NICU - p22.9 02/11/2022 00:20:45 08/11/2022 07:56:50 Rp 1,820,000.00
6
2022/11/04/00005 105529 PERMATASARI
BY NY ELISABET NC09 Kamar NICU - - 04/11/2022 09:53:48 Rp 260,000.00
8
2022/11/09/00000 105685 BY NY ITA NC01 Kamar NICU P21.1 p22.9 09/11/2022 08:30:27 11/11/2022 08:30:48 Rp 780,000.00
3 SUKMAWATI
2022/11/07/00027 105640 BY NY DEDE INA NC05 Kamar NICU p21.1 - 09/11/2022 12:48:29 Rp 780,000.00
5
2022/11/10/00014 105760 BAYI NYONYA NC07 Kamar NICU p22.9 p22.9 10/11/2022 12:51:43 12/11/2022 12:52:34 Rp 780,000.00
4 INTAN NOVITASARI
2022/11/12/00003 105829 1 NY WULAN
BY NC06 Kamar NICU - - 13/11/2022 00:14:48 Rp 260,000.00
4 ROMDONIAH
2022/10/25/00019 105118 BY NY NENI NC10 Kamar NICU p22.9 - 14/11/2022 07:57:51 Rp 5,460,000.00
6
2022/11/01/00021 064130 MARSELA
ESIH BINTI AKIN MT3.08 MERANTI III - K30, 01/11/2022 08:02:49 04/11/2022 14:39:04 Rp 480,000.00
7
2022/11/01/00004 105368 LAIM MARMUNAH MT3.30 MERANTI III - A09, 01/11/2022 08:05:11 03/11/2022 11:28:18 Rp 360,000.00
7
2022/11/01/00023 089293 ANDINA DESTIYANI MT3.15 MERANTI III R50.9 R50.9, 01/11/2022 09:24:52 04/11/2022 17:00:14 Rp 480,000.00
1 PUTRI,dr., Sp.B
2022/11/01/00015 105388 JURI BIN SAIDI MT3.10 MERANTI III - - 01/11/2022 15:37:31 03/11/2022 15:38:51 Rp 360,000.00
8
2022/11/01/00018 105396 TARMO BIN MT3.18 MERANTI III A01 A01, 01/11/2022 22:42:10 03/11/2022 15:33:31 Rp 360,000.00
1
2022/11/01/00021 104344 SUNARDI
IIS BINTI INEH MT3.20 MERANTI III - I50.0, 01/11/2022 23:46:05 09/11/2022 13:41:20 Rp 1,080,000.00
0
2022/11/01/00018 103903 IIS SRI MULYATI MT3.10 MERANTI III - R16.0, 01/11/2022 23:54:53 03/11/2022 11:29:33 Rp 360,000.00
2022/11/01/00000 099008 OOM MT3.11 MERANTI III - J18.9, 02/11/2022 00:04:58 02/11/2022 13:25:43 Rp 240,000.00
4
2022/11/01/00021 105421 RIKI SURYA MT3.14 MERANTI III - - 02/11/2022 00:22:13 07/11/2022 13:20:19 Rp 720,000.00
5
2022/11/02/00009 105438 SARIPAH BINTI MT3.08 MERANTI III - I50.0, 02/11/2022 09:04:12 07/11/2022 13:43:59 Rp 720,000.00
8
2022/11/02/00016 105461 DAYA
Rini apriyani MT3.23 MERANTI III - J18.9, 02/11/2022 09:28:19 03/11/2022 17:29:30 Rp 240,000.00
7
2022/11/02/00000 105434 SADIAH BINTI SOIP MT3.28 MERANTI III - R73.9, 02/11/2022 10:48:54 03/11/2022 15:31:54 Rp 240,000.00
1
2022/11/02/00018 105470 WAE BINTI SAMID MT3.04 MERANTI III J18 J18.9, 02/11/2022 13:34:58 07/11/2022 13:36:13 Rp 720,000.00
0
2022/11/02/00005 054180 HENI Rohaeni MT3.31 MERANTI III - D64, 02/11/2022 20:15:23 03/11/2022 15:30:38 Rp 240,000.00
1
2022/11/02/00016 105460 DILI BIN SAHMA MT3.02 MERANTI III N18 N18, 02/11/2022 21:46:08 06/11/2022 17:00:22 Rp 600,000.00
5
2022/11/03/00021 105515 HJ . NURHASANAH MT3.14 MERANTI III - - 03/11/2022 08:33:59 08/11/2022 15:35:19 Rp 720,000.00
4 BINTI MANSUR
2022/11/03/00021 077514 PETI MULYANI MT3.02 MERANTI III - A91, 03/11/2022 08:59:17 07/11/2022 13:50:49 Rp 600,000.00
7
2022/11/03/00019 105507 ENTIS BIN EMOR MT3.31 MERANTI III - I61, 03/11/2022 19:43:26 08/11/2022 14:04:16 Rp 720,000.00
2022/11/04/00007 084792 AI ELNI MT3.28 MERANTI III - B34.9, 04/11/2022 09:59:52 09/11/2022 12:08:47 Rp 720,000.00
9
11/18/22, 11:03 AM Page 6 of 12
2022/11/04/00006 085545 SARODIN BIN UHE MT3.23 MERANTI III HHD I11, 04/11/2022 22:11:54 08/11/2022 13:53:16 Rp 600,000.00
3
2022/11/05/00001 105549 WINDA MT3.14 MERANTI III - - 05/11/2022 09:13:16 Rp 1,320,000.00
2 WINDINIAWATI
2022/11/05/00001 048537 UCU RISMAWATI MT3.28 MERANTI III R57.0 R57.0, 05/11/2022 09:40:10 16/11/2022 11:49:08 Rp 1,440,000.00
4
2022/11/05/00000 105546 UJUM BIN DAMRI MT3.22 MERANTI III - I50.0, 05/11/2022 13:00:30 08/11/2022 13:55:56 Rp 480,000.00
6
2022/11/06/00001 088157 ISRO BIN IDA MT3.19 MERANTI III J18.9 J18.9, 06/11/2022 08:45:38 10/11/2022 09:41:07 Rp 600,000.00
7
2022/11/07/00027 087090 LILIT BINTI SIROD MT3.19 MERANTI III - E16.2, 07/11/2022 09:31:11 11/11/2022 15:28:09 Rp 600,000.00
7
2022/11/07/00026 095949 MARPUAH BINTI MT3.16 MERANTI III N18.5 N18.5, 07/11/2022 10:22:45 16/11/2022 20:23:48 Rp 1,200,000.00
3
2022/11/06/00001 105568 OMI
ATIKAH BINTI MT3.23 MERANTI III I10 I10, 07/11/2022 10:53:25 09/11/2022 05:50:06 Rp 360,000.00
6 SAHRUP
2022/11/07/00025 105631 DARIAH BINTI MT3.03 MERANTI III - E11.9, 07/11/2022 14:02:33 14/11/2022 14:04:35 Rp 960,000.00
8
2022/11/06/00004 105586 HATEJI
SAPEN BINTI MT3.02 MERANTI III - I10, 07/11/2022 19:07:05 08/11/2022 13:41:36 Rp 240,000.00
6
2022/11/07/00018 105611 SANAWI
ELSI MULYATI MT3.27 MERANTI III M32.9 M32.9, 07/11/2022 19:09:13 11/11/2022 15:21:32 Rp 600,000.00
4
2022/11/07/00022 105621 IKOH ROPIKOH MT3.21 MERANTI III - J18.90, 07/11/2022 19:10:20 09/11/2022 11:54:34 Rp 360,000.00
2022/11/07/00024 105628 ANAH BINTI IBIN MT3.06 MERANTI III J45 J45, 07/11/2022 19:16:31 10/11/2022 09:39:47 Rp 480,000.00
9
2022/11/07/00025 105592 KOKOM KOMARIAH MT3.30 MERANTI III - B02, 07/11/2022 19:17:25 09/11/2022 12:00:24 Rp 360,000.00
2022/11/08/00020 105677 TITIN RUKOYAH MT3.18 MERANTI III J18.9 J18.9, 08/11/2022 21:11:00 15/11/2022 15:05:50 Rp 960,000.00
3
2022/11/08/00020 105678 ADE SUNTARA MT3.15 MERANTI III A15.9 - 08/11/2022 21:26:04 Rp 960,000.00
8
2022/11/08/00020 062484 MAMAN BIN KANDI MT3.26 MERANTI III R59 - 08/11/2022 22:08:12 Rp 960,000.00
7
2022/11/08/00019 105408 TAOPIK BIN UJENG MT3.17 MERANTI III - N18.5, 08/11/2022 22:18:50 10/11/2022 09:42:39 Rp 360,000.00
9
2022/11/08/00018 105673 HADSIH BINTI MT3.11 MERANTI III J18.9 J18.9, 08/11/2022 22:20:22 11/11/2022 14:10:01 Rp 480,000.00
6
2022/11/08/00021 033427 SAR"IYET
ALEX MT3.04 MERANTI III - B90.9, 09/11/2022 01:43:27 11/11/2022 15:36:22 Rp 360,000.00
8
2022/11/08/00016 105665 SUPRIATNA
JENAL KURNIA MT3.22 MERANTI III - - 09/11/2022 02:04:21 08/11/2022 07:56:02 Rp 0.00
4
2022/11/09/00019 085545 SARODIN BIN UHE MT3.08 MERANTI III - J44, 09/11/2022 09:33:10 15/11/2022 15:14:26 Rp 840,000.00
6
2022/11/09/00019 105730 USUP SUPRIADI MT3.06 MERANTI III - K30, 09/11/2022 09:43:46 11/11/2022 14:58:53 Rp 360,000.00
1
2022/11/09/00018 105726 ETI SARTIKA MT3.23 MERANTI III - D64.9, 10/11/2022 00:20:15 11/11/2022 15:43:20 Rp 240,000.00
7
2022/11/08/00022 057862 HETI BINTI ATENG MT3.10 MERANTI III - - 10/11/2022 00:26:19 Rp 720,000.00
3
2022/11/09/00017 105724 HAMDAN ROSIDI MT3.28 MERANTI III - J18.9, 10/11/2022 01:34:08 11/11/2022 15:11:49 Rp 240,000.00
6
2022/11/10/00000 105729 DINAR HERMAWAN MT3.11 MERANTI III - A91, 10/11/2022 07:55:34 14/11/2022 14:14:59 Rp 600,000.00
4
2022/11/10/00016 105765 TITI BINTI ADANG MT3.17 MERANTI III - R50.9, 10/11/2022 08:55:51 12/11/2022 15:56:38 Rp 360,000.00
5
2022/11/10/00017 105768 ROKAYAH BINTI MT3.17 MERANTI III - I21.9, 10/11/2022 09:00:44 14/11/2022 14:21:10 Rp 600,000.00
0 BASRI
2022/11/10/00015 105762 WIDARYANA MT3.18 MERANTI III - - 10/11/2022 10:33:07 11/11/2022 15:03:55 Rp 240,000.00
4
2022/11/10/00017 105769 SUBRATA BIN
DARMAN MT3.19 MERANTI III - I50.0, 10/11/2022 11:04:32 15/11/2022 11:06:00 Rp 720,000.00
2
2022/11/11/00010 068482 KARNA
ENDI SAJIDIN MT3.27 MERANTI III - J18.9, 11/11/2022 08:36:57 15/11/2022 11:20:07 Rp 600,000.00
3
2022/11/11/00007 105793 ELISWATI BIN ADIN MT3.17 MERANTI III J18.9 J18.9, 11/11/2022 08:43:41 14/11/2022 09:59:53 Rp 480,000.00
6
2022/11/12/00002 105821 ETI SURYATI MT3.04 MERANTI III A91 A91, 12/11/2022 08:43:12 14/11/2022 14:10:58 Rp 360,000.00
0
2022/11/11/00009 070964 EDIN SAEDIN MT3.20 MERANTI III - A91, 12/11/2022 09:01:15 14/11/2022 14:28:15 Rp 360,000.00
1
2022/11/12/00003 105826 E PURNAWAN MT3.02 MERANTI III A91 A91, 12/11/2022 09:03:39 15/11/2022 08:12:22 Rp 480,000.00
0
2022/11/11/00010 105806 SURYANA BIN ADEN MT3.27 MERANTI III K83.0 - 12/11/2022 09:25:11 Rp 120,000.00
6
2022/11/13/00000 105836 MOHAMAD IMAN MT3.03 MERANTI III - - 13/11/2022 15:26:04 15/11/2022 08:24:47 Rp 360,000.00
6 HAKIKI
2022/11/14/00018 085319 SODIK BIN JAYADI MT3.02 MERANTI III - J91, 14/11/2022 08:17:08 17/11/2022 13:50:11 Rp 480,000.00
5
2022/11/13/00001 084905 INA BINTI OHIM MT3.08 MERANTI III - N30, 14/11/2022 08:24:30 16/11/2022 11:48:04 Rp 360,000.00
5
2022/11/14/00007 105852 UJANG SAEPUDIN MT3.19 MERANTI III - B34.9, 14/11/2022 08:27:31 17/11/2022 13:48:06 Rp 480,000.00
6
2022/11/14/00020 105907 YAYAH BINTI MT3.22 MERANTI III D64.9 D64.9, 14/11/2022 08:45:02 18/11/2022 09:52:34 Rp 600,000.00
1
2022/11/14/00016 105885 TAMAMI
ENONG UMAYAH MT3.02 MERANTI III A91 A91, 14/11/2022 09:01:37 17/11/2022 16:02:51 Rp 480,000.00
0
11/18/22, 11:03 AM Page 7 of 12
2022/11/14/00015 105881 EUIS BINTI MAMAT MT3.06 MERANTI III J18 J18, 14/11/2022 15:04:00 16/11/2022 18:26:07 Rp 360,000.00
7
2022/11/14/00006 105851 AAN SURYANI MT3.18 MERANTI III J18 J18, 14/11/2022 15:08:25 16/11/2022 11:31:15 Rp 360,000.00
4
2022/11/15/00021 057778 E. KOMARUDIN BIN MT3.28 MERANTI III J44 J44, 15/11/2022 08:25:14 17/11/2022 13:42:02 Rp 360,000.00
8 JEJE
2022/11/15/00021 105925 IPIN BIN ENGKAN MT3.03 MERANTI III J18.9 J18.9, 15/11/2022 08:33:25 17/11/2022 13:56:47 Rp 360,000.00
9
2022/11/15/00019 105950 MATIN BIN MT3.23 MERANTI III - A15.0, 15/11/2022 08:35:56 17/11/2022 16:17:26 Rp 360,000.00
4
2022/11/15/00022 102180 TARMUDI
AAN BINTI SOBIRIN MT3.16 MERANTI III J18.90 J18.90, 15/11/2022 11:45:27 17/11/2022 11:47:14 Rp 360,000.00
9
2022/11/16/00000 090379 DIDI JUANDA MT3.18 MERANTI III J18.0 - 16/11/2022 15:51:52 Rp 120,000.00
3
2022/11/16/00020 072587 DARMAWAN BIN MT3.21 MERANTI III J18 - 16/11/2022 23:44:57 Rp 120,000.00
5 JATMA
2022/11/16/00020 090887 OSIM BIN UBA MT3.11 MERANTI III J18.9 - 16/11/2022 23:51:00 Rp 120,000.00
2022/11/16/00020 057659 MASRIYAH BINTI MT3.04 MERANTI III - - 16/11/2022 23:59:11 Rp 120,000.00
3 MADIKARTO
2022/11/16/00020 106003 DENI RUSWANDI MT3.30 MERANTI III - - 17/11/2022 08:16:54 Rp 120,000.00
6
2022/11/16/00020 066905 WAWAN MT3.06 MERANTI III J18 J18, 17/11/2022 08:17:41 18/11/2022 09:47:57 Rp 240,000.00
7
2022/11/16/00021 104954 SARIPUDIN
OOM BINTI IJIN MT3.20 MERANTI III - - 17/11/2022 08:20:30 Rp 120,000.00
6
2022/11/16/00021 106007 H AHMAD DAHLAN MT3.31 MERANTI III - - 17/11/2022 08:21:17 Rp 120,000.00
2 JUAENI
2022/11/16/00019 082928 MUDIN BIN MT3.08 MERANTI III - - 17/11/2022 08:22:40 Rp 120,000.00
9
2022/11/17/00013 106036 SUKARNA
KOKOH BINTI HUN MT3.17 MERANTI III - - 17/11/2022 23:57:05 Rp 120,000.00
8
2022/11/17/00013 105330 ITA SUSILAWATI MT3.16 MERANTI III - - 18/11/2022 00:12:32 Rp 120,000.00
2022/10/18/00022 093716 HJ. RATNA TR3.06 MERBABU - J18.9 04/11/2022 15:06:24 20/10/2022 16:45:40 Rp 240,000.00
7
2022/11/08/00016 105665 NINGSIH
JENAL KURNIA TR3.02 MERBABU - R10 08/11/2022 07:56:02 09/11/2022 07:57:04 Rp 240,000.00
4
2022/11/17/00003 096040 NOVA NOVIA NF1.01 NIFAS I - - 17/11/2022 12:00:07 18/11/2022 12:08:01 Rp 400,000.00
6
2022/11/01/00014 055647 NURSELAWATI NF3.01 NIFAS III - O82.8 01/11/2022 15:24:20 03/11/2022 14:12:34 Rp 360,000.00
6 BINTI TATANG
2022/11/01/00011 069628 DEVINA PERTIWI NF3.09 NIFAS III KPD KPD 02/11/2022 08:47:31 02/11/2022 14:55:58 Rp 120,000.00
3
2022/11/01/00021 105401 IMAS BINTI NF3.13 NIFAS III - O41.0 02/11/2022 08:50:01 02/11/2022 16:48:54 Rp 120,000.00
6 TARHUDIN
2022/11/02/00010 038787 NENDEN NURAENI NF3.07 NIFAS III O42.0 O42.0 02/11/2022 10:26:47 03/11/2022 10:28:59 Rp 240,000.00
4
2022/11/02/00017 105469 SELPIYANTI BINTI NF3.08 NIFAS III - - 03/11/2022 08:17:35 04/11/2022 15:50:35 Rp 240,000.00
9 DAYAT
2022/11/02/00017 105466 DEDEH MARYANI NF3.01 NIFAS III - - 03/11/2022 08:19:03 05/11/2022 13:37:44 Rp 360,000.00
5
2022/11/03/00000 105475 EVI WILIYANTI NF3.07 NIFAS III - O42.0 03/11/2022 09:13:21 03/11/2022 14:09:55 Rp 120,000.00
2022/11/03/00022 105522 AI SELI NF3.11 NIFAS III - O14.9 04/11/2022 08:13:02 06/11/2022 14:04:50 Rp 360,000.00
7
2022/11/04/00008 104828 RIDA PARIDA BINTI NF3.12 NIFAS III - - 04/11/2022 08:42:50 06/11/2022 13:57:50 Rp 360,000.00
6 SARIDAH
2022/11/03/00022 105519 ISNA FAUZI NF3.05 NIFAS III - O03.4 04/11/2022 13:12:31 05/11/2022 13:14:17 Rp 240,000.00
1
2022/11/04/00007 063822 LESTARI
ISOP SOPIAH NF3.05 NIFAS III - O60 04/11/2022 13:26:14 05/11/2022 13:27:42 Rp 240,000.00
2022/11/03/00019 105480 ERNA NURSOFA NF3.14 NIFAS III - - 05/11/2022 08:10:14 06/11/2022 12:51:35 Rp 240,000.00
6
2022/11/03/00019 097500 BERSYEBA ABI NF3.07 NIFAS III O42 O42 05/11/2022 08:11:32 07/11/2022 10:23:56 Rp 360,000.00
7 RANTI SIAHAAN
2022/11/04/00006 105530 WILDA NF3.07 NIFAS III - - 05/11/2022 08:42:27 06/11/2022 13:05:01 Rp 240,000.00
7
2022/11/04/00007 105533 NURPATIMAH
SUBHAN BIN PANDI NF3.13 NIFAS III N04.9 N04.9, 05/11/2022 11:07:47 07/11/2022 13:28:52 Rp 360,000.00
8
2022/11/03/00019 105480 ERNA NURSOFA NF3.07 NIFAS III - O42.0 05/11/2022 12:50:42 06/11/2022 13:25:08 Rp 240,000.00
6
2022/11/04/00008 105538 ENTIN M NF3.13 NIFAS III O42.9 O42.9 05/11/2022 13:36:44 05/11/2022 13:38:29 Rp 120,000.00
8
2022/11/05/00003 105560 EVA WAHYUNI NF3.01 NIFAS III - O42 06/11/2022 09:24:16 07/11/2022 13:58:27 Rp 240,000.00
5
2022/11/05/00003 105559 SERLA MUROSIDA NF3.05 NIFAS III - - 06/11/2022 09:26:16 07/11/2022 15:22:58 Rp 240,000.00
4
11/18/22, 11:03 AM Page 8 of 12
2022/11/05/00001 105309 RISMAWATI BINTI NF3.09 NIFAS III - O42 06/11/2022 09:27:34 06/11/2022 14:23:10 Rp 120,000.00
9 DOHIM
2022/11/06/00001 105566 ATI RAHMAWATI NF3.05 NIFAS III O03.4 O03.4 06/11/2022 09:28:34 08/11/2022 12:29:54 Rp 360,000.00
4
2022/11/06/00001 105564 PANI JUMIATI NF3.04 NIFAS III - O42.9 06/11/2022 10:14:38 07/11/2022 13:47:54 Rp 240,000.00
2022/11/06/00003 064824 CUCU YULIANTI NF3.08 NIFAS III ABORTUS ABORTUS 06/11/2022 18:46:18 08/11/2022 13:30:56 Rp 360,000.00
2 INCOMPLETE INCOMPLETE
2022/11/07/00000 105588 RINA RIANTI NF3.05 NIFAS III - - 07/11/2022 05:25:23 08/11/2022 12:27:16 Rp 240,000.00
2022/11/07/00026 105619 HADIDAH BINTI NF3.09 NIFAS III - - 07/11/2022 15:58:46 09/11/2022 12:12:26 Rp 360,000.00
5 ACENG
2022/11/08/00020 105650 SITI NURLAELA NF3.01 NIFAS III - - 08/11/2022 07:58:39 09/11/2022 15:02:26 Rp 240,000.00
6
2022/11/08/00019 059471 LISNAWATI BINTI NF3.05 NIFAS III O36.4 O36.4 08/11/2022 08:01:26 09/11/2022 15:02:49 Rp 240,000.00
3 HADNA
2022/11/07/00026 105634 DEDE INA MARLINA NF3.04 NIFAS III - O64.1 08/11/2022 08:59:23 08/11/2022 12:01:37 Rp 120,000.00
6
2022/11/07/00025 086586 RINI ANDRIANI NF3.14 NIFAS III - O64.1 08/11/2022 13:19:02 10/11/2022 14:56:27 Rp 360,000.00
4
2022/11/07/00028 105641 PARIDA BINTI NF3.11 NIFAS III - O63.9 08/11/2022 13:19:15 09/11/2022 13:11:47 Rp 240,000.00
1 WOWON
2022/11/08/00014 105658 ATI KUSMIATI NF3.01 NIFAS III N93 N93 08/11/2022 15:10:26 10/11/2022 15:11:26 Rp 360,000.00
7
2022/11/08/00019 094300 ITA SUKMAWATI NF3.07 NIFAS III - O36.5 09/11/2022 07:56:54 10/11/2022 14:57:32 Rp 240,000.00
0
2022/11/09/00017 063670 ANISA PUSPITA NF3.04 NIFAS III O41 041 09/11/2022 08:21:14 10/11/2022 14:55:43 Rp 240,000.00
7 AMALIA
2022/11/09/00000 105684 RISKA LESTARI NF3.01 NIFAS III O99.0 O99.0 09/11/2022 08:30:50 11/11/2022 13:31:59 Rp 360,000.00
2022/11/09/00017 105032 IMAS SULASTRI NF3.01 NIFAS III O01.9 O01.9 09/11/2022 09:03:56 11/11/2022 12:04:36 Rp 360,000.00
8
2022/11/09/00017 102976 RAI RESTU NF3.14 NIFAS III - - 09/11/2022 17:40:01 10/11/2022 15:41:31 Rp 240,000.00
3
2022/11/10/00016 105766 MAULIDHA
WIDI RESTUNING NF3.01 NIFAS III O36.9 O36.9 10/11/2022 08:10:57 11/11/2022 16:12:14 Rp 240,000.00
6 ASIH
2022/11/10/00016 086364 IDA ROSITA NF3.04 NIFAS III O60.1 O60.1 10/11/2022 16:03:20 11/11/2022 15:49:21 Rp 240,000.00
7
2022/11/10/00017 105770 SRI NURINTAN NF3.08 NIFAS III - - 10/11/2022 17:39:24 Rp 120,000.00
3
2022/11/11/00008 105250 INTAN TRIA NF3.07 NIFAS III - - 11/11/2022 08:20:19 12/11/2022 15:07:44 Rp 240,000.00
2
2022/11/11/00007 105778 AMANDA
AI SULASTRI BINTI NF3.13 NIFAS III - - 11/11/2022 13:53:29 14/11/2022 22:09:24 Rp 360,000.00
2 EUTIK
2022/11/11/00008 061118 ENO MASITOH NF3.05 NIFAS III - O20.0 11/11/2022 15:41:12 14/11/2022 17:13:06 Rp 480,000.00
3
2022/11/11/00009 093204 SITI HANIFAH NF3.11 NIFAS III - - 12/11/2022 08:23:43 13/11/2022 15:00:39 Rp 360,000.00
8
2022/11/11/00010 102998 PRAJA
IYAR NURTIKA NF3.10 NIFAS III - - 12/11/2022 09:00:22 13/11/2022 15:55:22 Rp 240,000.00
4
2022/11/12/00001 105816 PUJA LESTARI NF3.12 NIFAS III - - 12/11/2022 09:03:19 14/11/2022 14:46:28 Rp 360,000.00
4
2022/11/12/00001 105814 AI HARDIANTI NF3.09 NIFAS III O08.9 O08.9 12/11/2022 10:30:43 14/11/2022 10:32:04 Rp 360,000.00
1
2022/11/12/00002 103234 WULAN NF3.09 NIFAS III - - 12/11/2022 10:35:07 14/11/2022 10:35:48 Rp 360,000.00
2
2022/11/12/00000 105812 ROMDONIAH
IRNAWATI BINTI NF3.14 NIFAS III - O42 13/11/2022 09:02:00 13/11/2022 15:00:10 Rp 120,000.00
9 TASIDIN
2022/11/12/00002 105823 MISI PRAGESTIN NF3.09 NIFAS III - - 13/11/2022 10:32:52 14/11/2022 10:34:26 Rp 240,000.00
3
2022/11/13/00000 105839 NITA JUWITA NF3.04 NIFAS III - O14.9 14/11/2022 09:02:46 15/11/2022 14:16:56 Rp 240,000.00
9
2022/11/13/00001 105790 NURLAELA BINTI NF3.01 NIFAS III - O14.9 14/11/2022 09:04:43 14/11/2022 17:17:39 Rp 120,000.00
8 AMIR
2022/11/14/00018 105901 INA BINTI DADANG NF3.10 NIFAS III O03.4 O03.4 14/11/2022 13:50:58 16/11/2022 16:52:36 Rp 360,000.00
6
2022/11/14/00019 081582 HIKMATUL NF3.11 NIFAS III O41.0 O41.0 14/11/2022 19:09:37 16/11/2022 13:30:55 Rp 360,000.00
6
2022/11/14/00020 105392 ROHMAT
ANENG ISMAWATI NF3.14 NIFAS III - - 14/11/2022 21:03:26 16/11/2022 13:31:20 Rp 360,000.00
6
2022/11/14/00021 102150 NANI SUGIAR NF3.07 NIFAS III O03.4 O03.4 15/11/2022 06:12:27 15/11/2022 16:15:08 Rp 120,000.00
3
2022/11/14/00019 105704 INTANTI BINTI NF3.12 NIFAS III - - 15/11/2022 09:06:13 15/11/2022 14:18:44 Rp 120,000.00
3 SOLIHIN

11/18/22, 11:03 AM Page 9 of 12

2022/11/14/00020 060403 DEWI KURAESIN NF3.01 NIFAS III - O42.9 15/11/2022 09:07:55 15/11/2022 15:57:02 Rp 120,000.00
5
2022/11/14/00020 105870 KUSMIATI BINTI NF3.09 NIFAS III - O42.9 15/11/2022 09:09:28 15/11/2022 15:57:34 Rp 120,000.00
4 DUYEH
2022/11/15/00000 084096 IKA MELINA NF3.05 NIFAS III - O42.0 15/11/2022 09:11:02 15/11/2022 15:58:04 Rp 120,000.00
6 ANGGRAENI
2022/11/14/00021 064824 CUCU YULIANTI NF3.01 NIFAS III O99.0 O99.0 15/11/2022 11:57:55 17/11/2022 13:00:44 Rp 360,000.00
1
2022/11/15/00021 105905 SANTI SUSILAWATI NF3.11 NIFAS III - - 15/11/2022 15:07:19 16/11/2022 15:07:54 Rp 240,000.00
0
2022/11/14/00021 105912 NURHAYATI BINTI NF3.10 NIFAS III - - 15/11/2022 15:49:24 16/11/2022 15:13:48 Rp 240,000.00
6 SAPJAH
2022/11/15/00022 105957 KRISTI WAHYUNI NF3.07 NIFAS III O02 O02 15/11/2022 16:08:45 16/11/2022 15:14:56 Rp 240,000.00
1
2022/11/15/00019 105948 HOLIPAH BINTIN NF3.10 NIFAS III - - 15/11/2022 17:40:05 16/11/2022 16:41:42 Rp 240,000.00
1 MISTIN
2022/11/15/00022 105958 SALSA BINTI NF3.01 NIFAS III - - 16/11/2022 08:38:05 16/11/2022 15:13:59 Rp 120,000.00
6
2022/11/15/00023 086206 HERMAN
ESTI MARAS NF3.05 NIFAS III - - 16/11/2022 08:49:04 Rp 120,000.00
3
2022/11/15/00021 105952 ISTIQLAL BINTI
NURHAYATI NF3.09 NIFAS III - O14.9 16/11/2022 09:41:25 17/11/2022 14:53:56 Rp 240,000.00
1 HOLID
2022/11/16/00016 071609 INDRA LESMANA NF3.13 NIFAS III AB INKOMPLIT AB INKOMPLIT 16/11/2022 12:14:24 17/11/2022 13:54:29 Rp 240,000.00
9
2022/11/14/00019 104522 SUMARNI BINTI NF3.14 NIFAS III - O41.0 16/11/2022 14:18:38 18/11/2022 12:07:10 Rp 360,000.00
8 JOHAR
2022/11/16/00019 105971 SUMYATI BINTI NF3.01 NIFAS III - - 16/11/2022 15:09:38 17/11/2022 16:38:15 Rp 240,000.00
7
2022/11/16/00021 106008 ASID
NENG NURYANI NF3.01 NIFAS III - - 16/11/2022 21:11:31 17/11/2022 13:53:37 Rp 240,000.00
3
2022/11/16/00021 106005 LISDA HERMAWATI NF3.12 NIFAS III - - 16/11/2022 22:35:53 Rp 120,000.00
0
2022/11/16/00020 106001 ASTRI ANGGRAENI NF3.11 NIFAS III O21.1 - 16/11/2022 22:50:12 Rp 120,000.00
0
2022/11/16/00021 106006 METRI VIRGINIA NF3.07 NIFAS III O21.0 O21.0 16/11/2022 23:00:00 18/11/2022 12:07:39 Rp 360,000.00
1 ALWANSANI
2022/11/17/00014 105779 YENI AULINDIANI NF3.10 NIFAS III - - 18/11/2022 08:43:34 Rp 120,000.00
3
2022/11/17/00015 101190 DETI KURNIAWATI NF3.14 NIFAS III - - 18/11/2022 09:26:37 Rp 120,000.00
7
2022/11/01/00015 105384 BY NY DIAN PERI3.03 PERINATOLOGI P21.1 P21.1 01/11/2022 10:31:22 02/11/2022 10:31:46 Rp 240,000.00
0
2022/10/30/00004 105324 BY NY SURYATI PERI3.02 PERINATOLOGI P21.1 p21.1 01/11/2022 14:51:38 03/11/2022 14:52:08 Rp 360,000.00
5
2022/11/02/00014 105451 BY NY PERI3.03 PERINATOLOGI P21.1 P21.1 02/11/2022 16:09:12 03/11/2022 16:09:38 Rp 240,000.00
3
2022/11/02/00015 105454 NURSELAWATI
BAYI NYONYA PERI3.03 PERINATOLOGI P21.1 P21.1 02/11/2022 16:10:26 03/11/2022 16:10:58 Rp 240,000.00
5 NENDEN NURAENI
2022/11/02/00000 105436 BAYI NYONYA IMAS PERI3.03 PERINATOLOGI P21.1 P21.1 02/11/2022 16:13:06 03/11/2022 16:13:31 Rp 240,000.00
4
2022/11/03/00000 105476 BAYI NYONYA EVI PERI3.03 PERINATOLOGI p21.1 P21.1 03/11/2022 02:23:48 03/11/2022 15:24:24 Rp 240,000.00
3 WILIYANTI
2022/10/30/00003 105315 BY NY ALYA PERI3.02 PERINATOLOGI P21.1 p21.1 03/11/2022 14:23:18 04/11/2022 14:23:41 Rp 240,000.00
2022/11/01/00024 105431 BY NY DEVINA PERI3.03 PERINATOLOGI P21.1 P21.1 03/11/2022 16:14:52 03/11/2022 16:15:08 Rp 120,000.00
4
2022/11/03/00022 105518 by ny dedeh PERI3.09 PERINATOLOGI - p21.1 03/11/2022 20:21:34 12/11/2022 07:50:57 Rp 1,200,000.00
0
2022/11/04/00009 105541 BY. NY. RIDA PERI3.02 PERINATOLOGI P21.1 P21.1 04/11/2022 07:48:57 06/11/2022 07:50:00 Rp 360,000.00
3
2022/11/05/00000 105545 PARIDA
BAYI NYONYA PERI3.06 PERINATOLOGI P21.1 P21.1 05/11/2022 02:59:10 05/11/2022 07:45:14 Rp 120,000.00
5 ENTIN M
2022/11/05/00002 105556 BY NY ERNA PERI3.02 PERINATOLOGI P21.1 P21.1 05/11/2022 07:46:48 06/11/2022 07:48:07 Rp 240,000.00
5
2022/11/05/00001 105550 BY NY WILDA PERI3.06 PERINATOLOGI p22.9 p22.9 05/11/2022 07:52:57 11/11/2022 07:55:03 Rp 840,000.00
5
2022/11/05/00001 105552 BY NY BERSYEBA PERI3.03 PERINATOLOGI - P21.1 05/11/2022 11:03:09 07/11/2022 07:27:37 Rp 360,000.00
8
2022/11/06/00002 105570 BY NY SERLA PERI3.02 PERINATOLOGI p21.1 P21.1 05/11/2022 13:05:53 07/11/2022 07:27:54 Rp 360,000.00
7
2022/11/06/00003 105575 BY NY PANI PERI3.03 PERINATOLOGI p21 p21.1 06/11/2022 07:38:49 13/11/2022 07:39:36 Rp 960,000.00
0
2022/11/06/00002 105574 JUMIATI
BY NY PANI PERI3.03 PERINATOLOGI p21.1 p21.1 06/11/2022 07:41:57 13/11/2022 07:42:23 Rp 960,000.00
9
2022/11/06/00001 105565 JUMIATI
BY NY EVA1 K0000187 PERINATOLOGI P21.1 P21.1 06/11/2022 12:59:32 10/11/2022 13:01:16 Rp 600,000.00
3 WAHYUNI
11/18/22, 11:03 AM Page 10 of 12
2022/11/07/00027 105640 BY NY DEDE INA PERI3.02 PERINATOLOGI p21.1 p21.1 07/11/2022 12:48:00 15/11/2022 11:28:20 Rp 1,080,000.00
5
2022/11/08/00011 105648 BY NY RINI PERI3.06 PERINATOLOGI P21.1 p21.1 08/11/2022 07:52:59 12/11/2022 07:50:17 Rp 600,000.00
3
2022/11/08/00012 105651 ANDRIANI
BY NY PARIDA PERI3.02 PERINATOLOGI P21.1 p21.1 08/11/2022 08:03:04 09/11/2022 11:31:27 Rp 240,000.00
3
2022/11/09/00000 105685 BY NY ITA PERI3.04 PERINATOLOGI P21.1 p21.1 09/11/2022 05:24:23 09/11/2022 08:30:27 Rp 120,000.00
3 SUKMAWATI
2022/11/09/00018 105727 BAYI NYONYA K0000187 PERINATOLOGI p21.1 p21.1 09/11/2022 08:14:47 10/11/2022 19:24:13 Rp 240,000.00
8 ANISA PUSPITA
2022/11/10/00017 105771 AMALIA
BY NY IDA ROSITA PERI3.02 PERINATOLOGI - - 10/11/2022 16:44:58 Rp 120,000.00
4
2022/11/11/00009 105800 BY NY INTAN PERI3.03 PERINATOLOGI p21.1 p21.1 11/11/2022 07:48:43 14/11/2022 07:49:05 Rp 480,000.00
7
2022/11/12/00000 105808 BY NY SITI PERI3.03 PERINATOLOGI - p21.1 12/11/2022 07:44:42 13/11/2022 07:45:02 Rp 240,000.00
1 HANIFAH PRAJA
2022/11/12/00001 105815 BY NY IYAR PERI3.03 PERINATOLOGI - - 12/11/2022 07:47:43 13/11/2022 07:48:03 Rp 240,000.00
3
2022/11/12/00003 105831 BY NY PUJA PERI3.03 PERINATOLOGI p21.1 p21.1 12/11/2022 09:20:35 15/11/2022 09:21:13 Rp 480,000.00
7
2022/11/13/00000 105832 BY NY IRNAWATI PERI3.03 PERINATOLOGI p21.1 p21.1 13/11/2022 07:46:25 13/11/2022 20:46:42 Rp 240,000.00
1
2022/11/14/00020 105911 BAYI NYONYA NITA PERI3.01 PERINATOLOGI p21.1 p21.1 14/11/2022 12:59:49 15/11/2022 13:00:17 Rp 240,000.00
8 JUWITA
2022/11/15/00000 105915 BAYI NYONYA PERI3.01 PERINATOLOGI p21.1 - 15/11/2022 01:00:49 Rp 120,000.00
7 KUSMIATI
2022/10/30/00004 105326 BAYI NYONYA EFA PERI3.02 PERINATOLOGI p21.1 p21.1 15/11/2022 07:38:48 16/11/2022 07:39:15 Rp 240,000.00
7
2022/11/15/00016 105939 BAYI NYONYA K0000187 PERINATOLOGI p21.1 - 15/11/2022 12:45:21 16/11/2022 15:45:46 Rp 240,000.00
9 NURHAYATI
2022/11/07/00027 105640 BY NY DEDE INA PERI3.01 PERINATOLOGI p21.1 p21.1 15/11/2022 12:49:51 15/11/2022 12:50:42 Rp 120,000.00
5
2022/11/15/00022 105959 BAYI NYONYA AI PERI3.02 PERINATOLOGI p21.1 p21.1 15/11/2022 15:42:43 16/11/2022 15:43:05 Rp 240,000.00
8 SINDI SINTIAWATI
2022/11/15/00023 105965 BY NY SALSA PERI3.10 PERINATOLOGI - - 15/11/2022 15:46:29 16/11/2022 15:46:57 Rp 240,000.00
5
2022/11/16/00000 105966 BAYI NYONYA ESTI PERI3.04 PERINATOLOGI p21.1 p21.1 16/11/2022 04:44:33 16/11/2022 15:44:52 Rp 120,000.00
2 MARAS ISTIQLAL
2022/11/16/00017 105988 BAYI NYONYA PERI3.09 PERINATOLOGI - - 16/11/2022 10:46:54 Rp 120,000.00
2 SUMARNI
2022/11/16/00019 105999 BY NY RANI PERI3.03 PERINATOLOGI - P211 16/11/2022 10:55:01 18/11/2022 10:57:49 Rp 360,000.00
5
2022/11/16/00014 105980 BAYI NYONYA K0000187 PERINATOLOGI p21.1 p21.1 16/11/2022 13:28:00 17/11/2022 13:28:33 Rp 240,000.00
6 NURHAYATI
2022/11/18/00000 106049 BY NY DETI PERI3.02 PERINATOLOGI - - 18/11/2022 02:26:46 Rp 120,000.00
2022/11/18/00000 106050 BY NY YENI PERI3.06 PERINATOLOGI -* - 18/11/2022 02:33:44 Rp 120,000.00
3
2022/11/01/00011 069628 INDRIANI
DEVINA PERTIWI VK3.03 VERLOS KARMER KPD - 01/11/2022 09:35:25 02/11/2022 08:47:31 Rp 240,000.00
3
2022/11/01/00014 055647 NURSELAWATI VK3.01 III
VERLOS KARMER - - 01/11/2022 13:22:16 01/11/2022 15:24:20 Rp 120,000.00
6 BINTI TATANG III
2022/11/01/00021 105401 IMAS BINTI VK3.05 VERLOS KARMER - - 01/11/2022 14:23:08 02/11/2022 08:50:01 Rp 240,000.00
6 TARHUDIN III
2022/11/02/00017 105469 SELPIYANTI BINTI VK3.02 VERLOS KARMER - - 02/11/2022 08:15:01 03/11/2022 08:17:35 Rp 240,000.00
9 DAYAT III
2022/11/02/00017 105466 DEDEH MARYANI VK3.05 VERLOS KARMER - - 02/11/2022 19:19:40 03/11/2022 08:19:03 Rp 240,000.00
5
2022/11/03/00019 105480 ERNA NURSOFA VK3.03 III
VERLOS KARMER - - 03/11/2022 08:14:17 05/11/2022 12:50:42 Rp 360,000.00
6
2022/11/03/00000 105475 EVI WILIYANTI VK3.04 III
VERLOS KARMER - - 03/11/2022 08:16:11 03/11/2022 09:13:21 Rp 120,000.00
2
2022/11/03/00019 097500 BERSYEBA ABI VK3.06 III
VERLOS KARMER O42 - 03/11/2022 15:46:07 05/11/2022 08:11:32 Rp 360,000.00
7 RANTI SIAHAAN III
2022/11/03/00022 105522 AI SELI VK3.07 VERLOS KARMER - - 03/11/2022 23:59:23 04/11/2022 08:13:02 Rp 240,000.00
7
2022/11/04/00008 104828 RIDA PARIDA BINTI VK3.04 III
VERLOS KARMER - - 04/11/2022 07:59:45 04/11/2022 08:42:50 Rp 120,000.00
6 SARIDAH III

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2022/11/04/00006 105530 WILDA VK3.02 VERLOS KARMER - - 04/11/2022 11:09:47 05/11/2022 13:02:34 Rp 240,000.00
7
2022/11/04/00007 063822 NURPATIMAH
ISOP SOPIAH VK3.05 III
VERLOS KARMER - - 04/11/2022 12:20:16 04/11/2022 13:26:14 Rp 120,000.00
2
2022/11/05/00003 105560 EVA WAHYUNI VK3.10 III
VERLOS KARMER - - 05/11/2022 08:01:54 06/11/2022 09:24:16 Rp 240,000.00
5
2022/11/05/00003 105559 SERLA MUROSIDA VK3.01 III
VERLOS KARMER - - 05/11/2022 08:02:41 06/11/2022 09:26:16 Rp 240,000.00
4
2022/11/05/00001 105309 RISMAWATI BINTI VK3.06 III
VERLOS KARMER - O42 05/11/2022 12:45:10 06/11/2022 09:27:34 Rp 240,000.00
9 DOHIM III
2022/11/06/00001 105564 PANI JUMIATI VK3.02 VERLOS KARMER - - 06/11/2022 09:18:24 06/11/2022 10:14:38 Rp 120,000.00
2
2022/11/07/00026 105634 DEDE INA MARLINA VK3.04 III
VERLOS KARMER - - 07/11/2022 08:13:29 08/11/2022 08:59:23 Rp 240,000.00
6
2022/11/07/00025 086586 RINI ANDRIANI VK3.03 III
VERLOS KARMER - - 07/11/2022 14:35:22 08/11/2022 13:19:02 Rp 240,000.00
4
2022/11/07/00028 105641 PARIDA BINTI VK3.10 III
VERLOS KARMER - - 08/11/2022 08:14:56 08/11/2022 13:19:15 Rp 120,000.00
1 WOWON III
2022/11/08/00019 094300 ITA SUKMAWATI VK3.10 VERLOS KARMER - - 08/11/2022 10:52:03 09/11/2022 07:56:54 Rp 240,000.00
0
2022/11/08/00022 104604 SELVI SETIAWATI VK3.04 III
VERLOS KARMER O14.9 O19.9 08/11/2022 23:40:31 10/11/2022 14:50:44 Rp 240,000.00
1
2022/11/09/00018 105706 SANTI VK3.02 III
VERLOS KARMER - - 09/11/2022 07:55:27 10/11/2022 10:38:53 Rp 240,000.00
1
2022/11/09/00017 063670 MUSPITASARI
ANISA PUSPITA VK3.03 III
VERLOS KARMER O41 - 09/11/2022 13:30:06 09/11/2022 08:21:14 Rp 120,000.00
7 AMALIA III
2022/11/11/00008 105250 INTAN TRIA VK3.05 VERLOS KARMER - - 11/11/2022 08:07:51 11/11/2022 08:20:19 Rp 120,000.00
2
2022/11/11/00009 093204 AMANDA
SITI HANIFAH VK3.07 III
VERLOS KARMER - - 11/11/2022 08:08:43 12/11/2022 08:23:43 Rp 240,000.00
8
2022/11/11/00009 072789 PRAJA
EVA BINTI JAJA VK3.06 III
VERLOS KARMER O82.0 O82 11/11/2022 17:43:49 13/11/2022 08:30:51 Rp 240,000.00
2
2022/11/11/00010 102998 IYAR NURTIKA VK3.03 III
VERLOS KARMER - - 12/11/2022 07:01:04 12/11/2022 09:00:22 Rp 120,000.00
4
2022/11/12/00000 105812 IRNAWATI BINTI VK3.02 III
VERLOS KARMER - - 12/11/2022 11:13:31 13/11/2022 09:02:00 Rp 240,000.00
9 TASIDIN III
2022/11/12/00001 105816 PUJA LESTARI VK3.10 VERLOS KARMER - - 12/11/2022 12:54:54 12/11/2022 09:03:19 Rp 120,000.00
4
2022/11/13/00001 105790 NURLAELA BINTI VK3.01 III
VERLOS KARMER - - 13/11/2022 08:09:53 14/11/2022 09:04:43 Rp 240,000.00
8 AMIR III
2022/11/13/00000 105839 NITA JUWITA VK3.04 VERLOS KARMER - - 13/11/2022 13:38:11 14/11/2022 09:02:46 Rp 240,000.00
9
2022/11/14/00020 060403 DEWI KURAESIN VK3.05 III
VERLOS KARMER - - 14/11/2022 08:31:18 15/11/2022 09:07:55 Rp 240,000.00
5
2022/11/14/00020 105870 KUSMIATI BINTI VK3.02 III
VERLOS KARMER - - 14/11/2022 08:32:02 15/11/2022 09:09:28 Rp 240,000.00
4 DUYEH III
2022/11/14/00019 105704 INTANTI BINTI VK3.10 VERLOS KARMER - - 14/11/2022 13:20:45 15/11/2022 09:06:13 Rp 240,000.00
3 SOLIHIN III
2022/11/14/00019 104522 SUMARNI BINTI VK3.01 VERLOS KARMER - - 14/11/2022 15:53:53 16/11/2022 14:18:38 Rp 360,000.00
8 JOHAR III
2022/11/15/00022 105958 SALSA BINTI VK3.05 VERLOS KARMER - - 15/11/2022 08:28:10 16/11/2022 08:38:05 Rp 240,000.00
6
2022/11/15/00023 086206 HERMAN
ESTI MARAS VK3.06 III
VERLOS KARMER - - 15/11/2022 08:29:05 16/11/2022 08:49:04 Rp 240,000.00
3
2022/11/14/00021 105912 ISTIQLAL
NURHAYATI BINTI VK3.06 III
VERLOS KARMER - - 15/11/2022 08:33:03 15/11/2022 15:49:24 Rp 120,000.00
6 SAPJAH III
2022/11/15/00000 084096 IKA MELINA VK3.03 VERLOS KARMER - - 15/11/2022 08:34:22 15/11/2022 09:11:02 Rp 120,000.00
6 ANGGRAENI III
2022/11/15/00021 105952 NURHAYATI BINTI VK3.02 VERLOS KARMER - - 15/11/2022 15:50:37 16/11/2022 09:41:25 Rp 240,000.00
1 HOLID III
2022/11/17/00015 101190 DETI KURNIAWATI VK3.02 VERLOS KARMER - - 17/11/2022 08:39:04 18/11/2022 09:26:37 Rp 240,000.00
7
2022/11/17/00014 105779 YENI AULINDIANI VK3.03 III
VERLOS KARMER - - 17/11/2022 13:02:07 18/11/2022 08:43:34 Rp 240,000.00
3
2022/11/17/00016 106045 PANI OKToPIYANI VK3.07 III
VERLOS KARMER - - 17/11/2022 21:38:13 Rp 120,000.00
0 III

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