KUNJUNGAN SEHAT BPJS

ENTRIAN KUNJUNGAN SEHAT

DESA : PULUS
BULAN : NOPEMBER 2023
NO TANGGAL NAMA NO BPJS NIK NO RM
1 9/11/2023 Yulinah 0000547642822 3307146306850007
2 Trisno Diharjo 0000547641821 3307142911590003
3 Desi Krahayu 0000547643362 3307145912000002
4 Surono 0000547674704 3307142111590002
5 Pari 0000547675119 3307146007620003
6 Wahyuni 0000547654691 "3307140608400002
7 Paini 0000547654781 "3307144205630002
8 Mantep 0000547655027 3307140112910004
9 Ahmad Sarifudin 0000547652226 3307141307740007
10 Sartini 0000547652902 3307144303850003
11 Sarif Hidayat 0000547653418 3307140805000005
12 Ali Ikhsanudin 0000547653688 3307142202070003
13 Bawon Aris Munandar 0000547972029 3307141505830004
14 Sulastri 0000547972604 3307145006870005
15 Andri Kurdofal 0000547972751
16 Nimah 0000547973111 3307145003650002
17 Pardi 0000547666942
18 Adiyanto 0000547634722 3307142505800004
19 Slamet Rahayu 0000547634878 3307145705810002
20 Arya Santosa 0000547636252 3307142204100001
21 Erik Pratama 0001019547922 3307142306040002
22 Biyatno Adi Rifai 0001019547909 3307140712800005
23 Supiyah 0001019547911 3307144101830005
24 Suparman Suparto 0000547980524 3307140905670004
25 Arip Setya Adi 0000547635159 3307141202040004
26 Aminah 0000547980546 3307145411710002
27 Wahid Arifin 0000547980873 3307141401910002
28 Suwarti 0000547980985 3307146105970002
29 Mahyudi 0000547662688 3307143112450040
30 Faimah 0000547945108
31 Jumiyah 0000547945064
32 Rohmanudin 0000547682769
33 Tuti Haryati 0000547688417 3307146712040004
34 Bingu 0000547686898 3307144710860007
35 Tukitno 0000547686718 3307142205840004
36 Hanan Hanifah 0000548031148 3307144504060002
37 Eko Setiawan 0000548030981 3307141912970002
38 Tukinem 0000548030676 3307144511780002
39 Ahmad Parno 0000548028865 3307140202730002
40 Johan Dwi Fals 0000547691231 3307141112940002
41 Tuyem 0000547690408 3307144710300002
42 Sutinah 0000547804348 3307146507910005
43 Tambah 0000546031822 3307141005820002
44 Rembet Taromi 0000546031192 3307144210570002
45 Syarif Hidayatulloh 0000547807228 3307140107100001
46 Kabul Sakiyono 0000547805373 3307141405790003
47 Paikem 0000547805316 3307146005800002
48 Painem 0000547804934 3307144608450002
49 Sasmo Sibun 0000547804743 3307140704430002
50 Suratman 0000548041274 3307142602050003
51 Yanti Heni Verawati 0000547620366 3307144812990006
52 Sindon 0000546819355 3307144907720005
53 Fitri astuti 0000547633517
54 Fauziyah 0000547634597
55 Sukiyem 0000547632999
56 Khoyim 0000547644881 3307141904940002
57 Kholifin 0000547644521 3307141510830001
58 Tusiyah 0000546027535
59 Tutur 0000546026984 3307144510690003
60 Sumarno 0000546026916 3307141210660005
61 Roina 0000084844754 3307145501770000
62 Arini Latifah 0001819357413 3307145012110001
 KUNJUNGAN SEHAT BPJS
PUSKESMAS SUKOHARJO 2

DESA : PULUS
BULAN : 26 MEI 2018

NO NO BPJS NAMA KETERANGAN

1 0000546811672 Adiyanto
2 0000546811637 Tri Susanti
4 0000548026244 Niyanto
5 0000548026705 Poniti/ Asan Umar Ny
6 0000548026211 Bikem
7 0000548025322 Kasmanto
8 0001019547584 Eva Listiyanti
9 0000546816789 Pawiti
10 0000546816598 Slamet Budiman
11 0000546816284 Masiyah
12 0000546815024 Muslimah Supar
13 0001691478911 Maryoto Kasihan
14 0000546810129 Budiman
15 0000546810849 Sutarni
16 0000546808735 Ika Agustina
17 0000546808634 Mujiah
18 0000546808195 Biyah
19 0000546807205 Tarsono
20 0000548018054 Nursafitri
21 0000548017301 Siti Mudahwati
22 0000548016862 Parmin
23 0001019547718 Hermanto
24 0000547629928 Untung
25 0000547631829 Bawon
26 0000547631515 Jumadi
27 0000547629568 Turah
28 00000547629513 Waldiyono
29 0000548023307 Aprilia Suwantini
30 0000548023151 Pujiah
31 0000548022396 Pasmi
32 0000548021531 Naryoso
33 0000546030628 Nuraini
34 0000546028582 Sela
35 0000546028007 Romlah
36 0000547663533 Tuminem
37 0000547667054 Purwadi
38 0000547667627 Waginem
39 0000547667662 Bislam
40 0000547676278 Sukini
41 0000547676223 Suwito
42 0000547667728 Supriyo
43 0000547668652 Bariyah
44 0000547668797 Rois
 KUNJUNGAN SEHAT BPJS
PUSKESMAS SUKOHARJO 2

DESA : PULUS
BULAN :

NO NO BPJS NAMA KETERANGAN

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
 KEPESERTAAN JENIS KUNJUNGAN
ALAMAT NO TELP
PBI NON PBI SEHAT SAKIT
 KUNJUNGAN SEHAT BPJS
PUSKESMAS SUKOHARJO 2
NO

DESA : PULUS
BULAN : September 2020

NO TANGGAL NAMA PESERTA NO BPJS NIK NO RM ALAMAT

1 Painem 0000546809286
3 Karmono 0000546803155 3307140202560006
4 Soliah 0000546803831
5 Farit Hidayat 0000546806226 3307140305090001
7 Wargati 0000546806182 3307147105920005
9 Giyem 0000547924206 3307147112450058
10 Marjadi 0000547622561 3307141506450002
11 Tuyem 0000547924735 3307144803720004
12 Tumin Mianto 0000547925488 3307141205710003
13 Sartini 0000547625158
14 Bahrin 0000547925523 3307142501910003
15 Ahmad Naufal 0000547626712
16 Siti Fatimah 0000547927244
17 Siti Ma'rifah 0000547937201 3307146612950001
18 Prenjak 0000547622829 3307145705570002
19 Subiono 0000547936784 3307143012600023
20 Murni 0000547937144 3307147112650042
21 Ajeng Eka Esti 0000547969353 3307144304030002
22 Matyanto 0000547948899 3307141212560002
23 Arifin 0000547968532
24 Kasihan 0000547949935 3307142308910003
25 Reuni Juliwandra 0000547971287 3307146308080001
26 Ponem 0000547948901 3307144102690006
27 Sukinah 0000547968701 3307145008850003
28 Mustamar 0000547649594 3307147112550040
29 Trimo 0001019547988 3307142409930006
30 Miskem 0001019547977 3307144104630002 ******
31 Bikis Sutarno 0001019547966 3307140507600013
32 Karman Hidayat 0000547656895 3307142804930002
33 Niyo 0001019548023
34 Partinem 0000547656851 330714460146003
35 Cindy Prihatin 0000546814888 3307145306000006
36 Wahyu Aji Prakoso 0000546814787 3307147107980002
37 Ade Yulianto 0000546814653 3307141307940003
38 Ngadinah 0000547997613 3307145104790003
39 Haryono 0000547997095 3307140604740002
40 Mulyono 0000546812818 3307140201720002
41 Rini Setyowati 0000547995587 3307144206070002
42 Guris Darnoto 0000548001257 3307145212310002
43 Ambarwati 0000547994957 3307144308010002
44 Wiwit Amelia 0000548000908 3307145411060003 ********
45 Wahyono 0000547994654 3307140402970004
46 Biantoko 0000547999749 3307140307000002
47 Sarman Widodo 0000547993923 3307140803700004
48 Ponilah 0000547993293 3307144310780002
49 Jamil 0000548015433
50 Slamet 0000547992988
51 Taryoto Turah 0000548014656
52 Niyem 0000547992933 3307144601680005
53 Paiyem 0000548014893
54 Santana 0000547991616 3307142610330002
55 Riki Pratama 0000548015758
56 Suradi Suripno 0000547649436
57 Tukirah 0000548015016
58 Bisam 0000547649482 3307142507970005
59 Dinem 0000548012979 3307144406590002
60 Sudiro 0000548012575 3307141006530002 c.332 v
61 Kimin Kanifudin 0000547650696 3307140304740003
62 Ari Susanto 0000548013453 3307141205960002
63 Kini Dewi Yanti 0000547651934 3307144804010005
64 Pawit 0001019547685 3307144108760003
65 Sukur 0001019547663 3307143003980003
66 Parmaji 0000547666593 3307140806450003
67 Tunut 0001019547652 3307145212540005
68 Rahma Nur Azizah 0000547666389 3307144411070002
69 Aminah 0000547651203 3307144203770008
70 Jariyah 0000547666119 3307144408890008
71 Warno 0000547664499 3307141302800004
72 Nikem 0001019547865 3307144204620004
73 Mendu Munardi 0001019547854 3307140404630002
74 Sabar 0001019547876 3307140210930003
BINAH 0002580613694 3307144202690004
SULIAH 3307145206830002
SUBIRISTIANTO 3307142109980001
AHMAD HAKIM AMDA0002580613672 3307141701090001

PURWONO 0000085088744 3307142803850002

RUSTANTI 0001843371459 3307145610810001
HUMAM BANU WICAK0001843373709 3307140408110001
AFIQA FAIRUZ SAFIRA 0001843375588 3307147012130002
SUKARDJA 3307140407560006
TUKIRAH 0000085088733 3307144908650006
 KEPESERTAAN JENIS KUNJUNGAN
TANGGAL NAMA NO BPJS NIK NO RM ALAMAT NO TELP
PBI NON PBI SEHAT

KEPESERTAAN JENIS KUNJUNGAN

NO TELP
PBI NON PBI SEHAT SAKIT

3.31E+15
3.31E+15
3.31E+15
3.31E+15
3.31E+15

359630267
JENIS KUNJUNGAN
SAKIT
 KUNJUNGAN SEHAT BPJS
PUSKESMAS SUKOHARJO 2

DESA : PULUS
BULAN : JULI 2020

NO
TANGGAL NAMA PESERTA NO BPJS NIK

1 7/6/2020 Partini 0000547943163 3307144802730004

2 Eka Setiawan 0000547943499 3307140512990003
3 Bawon 0000547638849 3307141506720002
4 Karsiah 0001019547898
5 Siti Lestari 0000547640054 3307144504830002
6 Poniyem 0000547661327 3307146303480002
8 Mistari 0000547661261 3307142606450002
9 Parsinah 0000547661979 3307144203640005
10 Purnomo 0000546806261
11 Sartinah 0000546806441 3307145006850003
12 Elik Kuryanto 0000546806856 3307141208040005
13 Ponikem 0001019547606 0000547684953
14 Hartono 0000547975642 3307142304600002
15 Pairah 0000547975877 3307144410720003
17 Oksa Romadhon 0000547977352 3307144710060004
18 Turyanto 0001019547595 3307141109640002
20 Kariyem 0001019547628 3307145808870002
21 Pasmi 0000548002271 3307146912620002
22 Sukinah 0000548003428 3307145108910002
23 Jianto 0000548003957 3307142009010004
24 Barokah Ihsan S 0000548006117 3307141408050002
25 Darsono 0000548006499 3307141608620002
26 Bingu 0000548006725 3307146205640002
27 Kiyam 0000548007311 3307141205870005
28 Mutinah 0000548007715 3307145909900001
29 Zehrotun Hasanah 0000548007748 3307145106090001
30 Erniyati 0001019547775 3307145206910004
31 Marmin Naryo Utomo 0001019547797 3307140401640001
32 Painem 0001019547808 3307144606730010
33 Sugito 0000547684244 3307140308610003
34 Wakiyem 0000547684435 3307146106630002
35 Kuswati 0000547684953 3307145708950002
36 Birah 0000546818411 3307146003810002
37 Rohman 0000546818769 3307141409960001
38 Sinta Nalfia 0000546818859 3307145709060003
39 Sumitro 0000547691398 3307141507500004
41 Suyitno 0000547807612 3307140902560001
42 Basuki 0000547808872 3307142305910001
43 Paisem 0000547807937 3307145003660001
44 Nurtholib 0000546817037 3307142911740001
45 Ribut 0000546817487 3307147012880006
46 Siti Soleah 0000546818128 3307145101100001
49 Deni Saputra 0000547812314 3307140209010007
50 Lela Puji Rahayu 0000547812393 3307146609030003
51 Ade Pamungkas 0000547813034 3307142106050002
52 Tarwono 0000547940733 3307140508620003
53 Ahmad Narsodi 0000547661878 3307140911600002
56 Jumiati 0000547674614
57 Nurfiyanto Rohmat 0000547673231 3307141108830002
58 Bisih 0000547672645 3307144103840002
59 Kastari 0000547672487 3307140406520011
62 Ahmad Tofik 0000547645555 3307141304970003
63 Panikem 0000547645498 3307145604710004
64 Nartoyo 0000547645241 3307141812690002
65 Barsiyah 0000547962715 3307144406830005
66 Suwanto 0000547961883 3307142603760002
67 Dea Prihatini 0000547965955 3307146612060002
68 Eni Suryati 0000547965178 3307146108020002
70 Lina Liftiana 0000547953827 3307146407090003
71 Jen Setiawan 0000547953614 3307142601050002
73 Muhammad Fadli Rahmawa 0000548034175
78 Sarno 0000547660372
79 Suramto 0000547953041

IPUNG CAHYONO 0001019548067 3307140502780002

ANDIKA SAPUTRA 0001019548078 3307141712050003
Mariya Dewi
Salsabila
SOLEHAN SURAT 0002702625153 3307140705650003
PARTINI 2702625164 3307145511680002
MUDIYONO 0000548001876 3307140704600004
LAMUS ISWANTO 0002348752487 3307141712710001
TAMBAH RAHARJO 3307140702770001
BADRIYAH 3307145201770005
INDRA BAYU AJI 3307143006990005
FEBI TIRTO SAMUDRA HARYO W. 3307140702070003
DAHLIA TRI RAHAYU 3307145404140001
 KEPESERTAAN JENIS KUNJUNGAN
NO TELP
PBI NON PBI SEHAT SAKIT

KEPESERTANAN JENIS KUNJUNGAN

NO RM ALAMAT NO TELP
PBI NON PBI SAKIT SEHAT

3307141208040000

'''''''''''

***

***
'''''''''

******
3307143112740017 TURO MUHRODIN LAKI-LAKI NARSODI LEMBUT 0000547670711
3307146504790004 PONEM PEREMPUASARMO PONIYAH 0000547670935
3307146805020002 EFI PEREMPUATURO MUHRODPONEM 547672329
3307141701970005 DELI STIYAWAN LAKI-LAKI SAHRUDIN BARSIH 0000546858281
3307147112600050 BASIYAH PEREMPUAPARTONO TURNI 0000547627601
3307145104070002 FATI HATUN HASANAH PEREMPUAAHMAD ZAENATUYEM 0000547986475
3307140808500002 SUMARJO LAKI-LAKI MAWIKARTA LEBUH 0002984623896
3307140801780002 TUNUT LAKI-LAKI SUMARJO PONIRAH 2437363225
3307145802830002 BIYATMI PEREMPUATARSONO BIYAH 0002437363438
3307141107090001 GEMITANG RIZKI JULIANTO LAKI-LAKI TUNUT BIYATMI 0002437363653
3307141112000002 GEMILANG EDI YANTO LAKI-LAKI TUNUT A MUS BIYATMI
3307140310500003 MARKUM MUHYONO LAKI-LAKI MUHARI PARIYEM data bermasalah
3307147112660022 PARTINEM PEREMPUATASERI PAINAH 0000547954637
3307145205770003 BIKEM PEREMPUAMARKUM MUHKINAH
3307143112990007 ROHMANDON HIDAYAT LAKI-LAKI MARKUM MUHPARTINEM 0003197063294
3307145302100001 SAFANA TRI YANTI PEREMPUAJHONI ZULKAR BIKEM 0003193764535
3307146601020003 SELFI PEREMPUASUTARJO NURHBIKEM
3307140203670004 JUMANA LAKI-LAKI PARSONI GINEM 84921142
3307145308720002 PARIYEM PEREMPUASANTAPAWIRANIJEM 0000173318128
3307141704920002 MANTO LAKI-LAKI JUMANA PARIYEM 0000173318242
3307144408960003 NURUL HASANAH PEREMPUAAHMAD SAIFUDBIYATI 0002437351604
3307145007160001 NAURA HASNA ANNIDA PEREMPUAMANTO NURUL HASAN 0002437351751
3307145009500004 GINEM PARSONI PEREMPUAASAN DAHRI TUMINAH 0001019551116
3307143112560029 BERA MARWOTO LAKI-LAKI MERTANTIKA KALINEM 0001019547933
3307145108600004 MANIS PEREMPUAMURYATI SIYAM 0001019547944
3307141712720002 URIP SURIPTO LAKI-LAKI SUMARJO PONIRAH 0002702625186
3307146706790002 SURTINI PEREMPUAPARWITO PARKIYEM 0001530083439
3307142505040002 SARIF ADITIA LAKI-LAKI URIP SURIPTO SURTINI 0001530083452
3307140503800006 SUPONO A.NUROHIM LAKI-LAKI BIMAN MARSOPAYEM 0001530083474
3307145308820003 PASIYEM PEREMPUAAHMAD ZAENAMINAH 0001530083485
3307141302010003 SUHERMAWAN LAKI-LAKI AMAD NUROHPASIYEM 0001530083496
3307141301060002 FERI IRAWAN LAKI-LAKI SUPONO A.NU PASIYEM
3307141011330002 TUMIN MINDARI LAKI-LAKI KASAN MARSIDPONIKEM 0000547929145
3307147112390017 WAINEM PEREMPUAasan mistar SAINEM 0000547930956
3307144506730004 PONISEM PEREMPUATUMIN MINDAR WAINEM 0000547931035
3307143112500057 BAWUK TARYONO LAKI-LAKI MERTANTIKA KQALINEM 0000547676594
3307147112550030 GIYEM PEREMPUATAMSORI NISEM 0000547677134
3307147112370025 NISEM PEREMPUAKARTAPAWIRALEMBUT 0002259651879
3307143112600045 PAMIN MARMONO LAKI-LAKI MERTANTIKA KALINEM 0000548019371
3307144704610002 TUTUR PEREMPUARUSIKIN PAIMAH 0000548019483
3307144102880002 KINAH PEREMPUAPAMIN MARM TUTUR 0002703314902
3307142004890005 MISKONO LAKI-LAKI KARMANTO TUNEM 0002703314891
3307140908120001 ALIEF ROMANDHON LAKI-LAKI MISKONO KINAH 0002703314889
3307143112520017 TUTUR TARYONO LAKI-LAKI MARTA NY.MARTA 547927874
3307144206630004 REBEN PEREMPUATUMIN MINDAR WAINEM 547927929
3307146104850002 NISIH PEREMPUATUTUR TARYO REBEN 2344052373
3307146804010002 WAHYU PEREMPUANISO SUDIYAN NISIH 0000547928537
3307142205040002 JONDAN KURNIAWAN LAKI-LAKI SUDIYANTO NISIH 0000547928908
3307142006680002 WONIHAT SUJARWO LAKI-LAKI TARMIDI PONIPAH 0003168147633
3307145403730003 TUMPUK PEREMPUABIMAN MARSOPAYEM 0003168147644
3307143006980004 ARFIN HIDAYAT LAKI-LAKI WONIHAT SUJ TUMPUK 0003168147655
3307143012720007 MISMAN PURWANTO LAKI-LAKI MUHYANI TUNI
3307147012730006 PANEM PEREMPUAA.SATARI SARTINI
3307141602950005 BIRUN LAKI-LAKI MISMAN PUR PANEM
3307146002480002 TUNI PEREMPUAKRAMA NIJEM 0000546812752
3307141611700002 PAWIT SUMANTO LAKI-LAKI BIMAN MARSOPAYEM 0002984623918
3307145110700002 AMINAH PEREMPUAPARMIN PAMI BUINGU 0002984623929
3307143112650046 GIMIN MINARJO LAKI-LAKI ROJANI PAINAH 0003197063935
3307146707650002 SUKARTI PEREMPUAKASMAN SUMI
3307144302860001 TINAH PEREMPUAMINARJO WAHINI
3307143112870007 RATNO LAKI-LAKI GIMIN MINARJSUKARTI
3307141206120002 MUHAMMAD KHOIRUL NAZAMLAKI-LAKI RATNO RITA ARDINA APRILIYANI
3307143005800002 RUBES A.TOIP LAKI-LAKI BERA MARWO MANIS 0003168147666
3307145703850002 SITI HOTIMAH PEREMPUASUTIP PARYAN SARINAH 0003168147677
3307146905020002 KURNIASIH PEREMPUARUBES A.TOIP SITI HOTIMAH 0003168147688
3307141608160001 AGUS HIDAYAT LAKI-LAKI RUBES SITI KHOTIMAH0003168147699
3307140304650002 SUTIKNO PARYANTO LAKI-LAKI PARSONI GINEM
3307144403670004 SARINAH PEREMPUATARMIDI SARIPAH 0003185980896
3307145808990002 ROHYATI PEREMPUAWARDI MUGIYRAMBAT 0003214496046
3307140406870003 KIYO TEGUH SANTOSA LAKI-LAKI SUTIKNO PARYSARINAH
3307146512910001 BONIYATI PEREMPUADARNO PAWIRSAMINI
3307145812090002 UMIATI PEREMPUAKIYO TEGUH S BONIYATI
3307141705930002 PARYONO LAKI-LAKI WARYONO MAR BIROHMI WAR 0001691478808
3307145206980003 DEWIYANTI PEREMPUAIWAN SUMARNTUYEM 0001691478821
3307142603170001 IRSYAD MAULANA LAKI-LAKI PARYONO DEWIYANTI 0002703422294
3307141104900007 RIDLO LAKI-LAKI SYAIFUL PARTINEM 0001691478843
3307145009920002 MIYATMI PEREMPUAKIYEM NY.KIYEM 0001691478865
3307146609130001 ANDINI SEPTIANI PEREMPUARIDLO MIYATMI 0001691483117
3307140802840005 GUNAWAN KUNTO WIBISONO LAKI-LAKI PONISO WITO WALBIYAH
3307146201900005 BIYATI PEREMPUASUMANTO AMINAH 0000547623191
3307142012060003 ALIP YAUMAIDIN LAKI-LAKI GUNAWAN KUN BIYATI 0000547624809
6207013112750009 SUTIONO LAKI-LAKI WARJO SALMINAH
6207015005760003 WARIS PEREMPUATARYONO GIEM
3307147010050002 YUNI OKTAFIA PEREMPUASUTIONO WARIS 0002984624177
3307140304850001 IWAN KUWATNO LAKI-LAKI - KAYEM SUPRA 0002573068689
6207014412900001 ARI YULIAH PEREMPUAN. AMAD SUWPONISIH
3307144311620002 KAYEM SUPRAPTO PEREMPUADAHUMI WAKILAH 0002573068702
3307142610960002 SABAR SUILZAS LAKI-LAKI URIP SURIPTO SURTINI
3307145611980002 ITA SUWARTI PEREMPUACIPTO SUKIRN MANIS
3312122610900001 DIDIK PRASETYO LAKI-LAKI SUWARNO SINEM
3307146608870006 SRI FATIMAH PEREMPUASUPRAPTO KAYEM
3307142004160001 ELZAR RIZKI PRATAMA LAKI-LAKI DIDIK PRASETI SRI FATIMAH
3307142110980002 ENDAR SETIAWAN LAKI-LAKI SUTIONO WARIS 0002573068702
3307146911010004 ROHMIATI PEREMPUAAHMAD SUDARPAINEM 0000546876742
3307140711180002 JHONATAN RIZKY LAKI-LAKI ENDAR SETIA ROHMIATI 0003197064508
3307142704920005 YANTO LAKI-LAKI MISMAN PUR PANEM 0003162990407
3307105809910009 ENI PEREMPUASUKHAPDI NASINEM 0003193768978
3307146312100001 CINDI RAEFATUL PEREMPUAYANTO ENI 0003162990407
3307143010850003 PARMIN LAKI-LAKI KLIWON NARSOLEMBUT 0000547934027
3307145502820001 WARSIYAH PEREMPUAPARWOTO TRIMA 0000547934624
3307140609100001 ARDIANSYAH LAKI-LAKI PARMIN WARSIYAH 0000547935985
3307141101980002 ANANG JISAPUTRO LAKI-LAKI KLIWON NARSOLEMBUT 547935074
6207013112670009 BASUKI SUTRISNO LAKI-LAKI A. KADIR PARSONI 2703256356
6207014303750002 MISNAH PEREMPUAPARSONI JINEM 0002703256367
3307140305980002 RANTO LAKI-LAKI BASUKI SUTRI MISNAH 0002703256345
3307143009880004 AZISNO LAKI-LAKI JUMANA PARIYEM 0001691478887
3307146006910002 PUJI SRI HARTATI PEREMPUAAMED MIARJOTUMINI
3307146210110001 KANIA ANGGRAINI PEREMPUAAZISNO KHASANAH 1691478909
3307142003920001 MARWAN LAKI-LAKI MAHRUDIN PAISEM
3307144509950004 BARSIH PEREMPUASUTIONO WARIS
3307142804120001 TEGAR ADI TIAWAN LAKI-LAKI MARWAN BARSIH
3307141610930008 SOLEHAN LAKI-LAKI AHMAD ZAENATUYEM 0000547984495
3307104305980001 SUSRIYANTI PEREMPUADIYANTO TUMPUK 0000549049285
3307140206190001 MUHAMAD NADZIF RAMDHANLAKI-LAKI SOLEHAN SUSRIYANTI 0003197064813
3307143112790009 SIHAT HARTONO LAKI-LAKI BUNGKIK TAR WALSINEM 0000547950655
3307144301830004 TURIYEM PEREMPUAKASWARI NY.KASWARI 0000547952229
3307145408030002 ISTI KOMARIAH PEREMPUASIHAT HARTONTURIYEM 0002344052395
3307140903060002 NOFAL LAKI-LAKI SIHAT HARTONTURIYEM 0002344052384
3307144305600004 WALSINEM PEREMPUADAHUMI WAKILAH 0000547950385
3307140508570003 BUNGKIK TARSONO LAKI-LAKI MERTANIKA KALINEM 547950341
3307143011850002 TUGIYO LAKI-LAKI SUPRIHADI PARNI 0002702626479
3307147006810004 RAMBAT PEREMPUAPARYANTO SARINAH 0002702626492
3307145809150001 JIHAN AULIA KASIH PEREMPUATUGIYO RAMBAT 0002702626481
3307142311860002 AHMAD SAEFULLAH LAKI-LAKI TRIYONO PAIKEM 0002968983909
3307144610890002 SABARTI PEREMPUAKUSMEDI GIYEM 0002968983911
3307146907140002 ANA NUR SAFITRI PEREMPUAGUNAWAN SABARTI 0002968983933
3307144305070002 USWATUN KHASANAH PEREMPUAAHMAD SAEFUSABARTI 0002968983922
 KUNJUNGAN SEHAT BPJS
PUSKESMAS SUKOHARJO 2

DESA : PULUS
BULAN : JULI 2023

NO
TANGGAL NAMA PESERTA NO BPJS

1 7/7/2023 TURO MUHRODIN 0000547670711

2 PONEM 0000547670935
3 EFI 547672329
4 DELI STIYAWAN 0000546858281
5 BASIYAH 0000547627601
6 FATI HATUN HASANAH 0000547986475
7 SUMARJO 0002984623896
8 TUNUT 2437363225
TDK AKTIF 9 BIYATMI 0002437363438
10 GEMITANG RIZKI JULIANTO 0002437363653
11 PARTINEM 0000547954637
12 ROHMANDON HIDAYAT 0003197063294
13 SAFANA TRI YANTI 0003193764535
14 JUMANA 84921142
15 PARIYEM 0000173318128
16 MANTO 0000173318242
17 NURUL HASANAH 0002437351604
18 NAURA HASNA ANNIDA 0002437351751
TDK AKTIF 19 GINEM PARSONI 0001019551116
20 BERA MARWOTO 0001019547933
21 MANIS 0001019547944
22 SURTINI 0001530083439
23 SARIF ADITIA 0001530083452
24 SUPONO A.NUROHIM 0001530083474
25 PASIYEM 0001530083485
26 SUHERMAWAN 0001530083496
27 TUMIN MINDARI 0000547929145
28 WAINEM 0000547930956
29 PONISEM 0000547931035
30 BAWUK TARYONO 0000547676594
31 GIYEM 0000547677134
tdk aktif 32 NISEM 0002259651879
TDK AKTIF 33 REBEN 547927929
tdk aktif 34 NISIH 2344052373
tdk aktif 35 WAHYU 0000547928537
tdk aktif 36 JONDAN KURNIAWAN 0000547928908
TDK AKTIF 37 WONIHAT SUJARWO 0003168147633
38 TUMPUK 0003168147644
39 ARFIN HIDAYAT 0003168147655
40 TUNI 0000546812752
41 PAWIT SUMANTO 0002984623918
42 AMINAH 0002984623929
43 GIMIN MINARJO 0003197063935
44 RUBES A.TOIP 0003168147666
45 SITI HOTIMAH 0003168147677
46 KURNIASIH 0003168147688
47 AGUS HIDAYAT 0003168147699
48 SARINAH 0003185980896
49 ROHYATI 0003214496046
50 PARYONO 0001691478808
51 DEWIYANTI 0001691478821
52 IRSYAD MAULANA 0002703422294
53 RIDLO 0001691478843
54 MIYATMI 0001691478865
55 ANDINI SEPTIANI 0001691483117
56 BIYATI 0000547623191
57 ALIP YAUMAIDIN 0000547624809
58 YUNI OKTAFIA 0002984624177
59 IWAN KUWATNO 0002573068689
60 KAYEM SUPRAPTO 0002573068702
61 ENDAR SETIAWAN 0002573068702
62 ROHMIATI 0000546876742
63 JHONATAN RIZKY 0003197064508
64 YANTO 0003162990407
65 CINDI RAEFATUL 0003162990407
66 ANANG JISAPUTRO 547935074
67 BASUKI SUTRISNO 2703256356
68 MISNAH 0002703256367
69 RANTO 0002703256345
70 SOLEHAN 0000547984495
71 SUSRIYANTI 0000549049285
72 MUHAMAD NADZIF RAMDHAN
0003197064813
73 SIHAT HARTONO 0000547950655
74 TURIYEM 0000547952229
75 ISTI KOMARIAH 0002344052395
76 NOFAL 0002344052384
77 WALSINEM 0000547950385
78 BUNGKIK TARSONO 547950341
79 TUGIYO 0002702626479
80 RAMBAT 0002702626492
81 JIHAN AULIA KASIH 0002702626481
82 AHMAD SAEFULLAH 0002968983909
 83 SABARTI 0002968983911
84 ANA NUR SAFITRI 0002968983933
85 USWATUN KHASANAH 0002968983922

TDK AKTIF

tdk Dtanggung
tdk aktf
tdk Dtanggung

tdk aktif

tdk aktif
 NIK NO RM

3307143112740017
3307146504790004
3307146805020002
3307141701970005
3307147112600050
3307145104070002
3307140808500002
3307140801780002
3307145802830002
3307141107090001
3307147112660022
3307143112990007
3307145302100001
3307140203670004
3307145308720002
3307141704920002
3307144408960003
3307145007160001
3307145009500004
3307143112560029
3307145108600004
3307146706790002
3307142505040002
3307140503800006
3307145308820003
3307141302010003
3307141011330002
3307147112390017
3307144506730004
3307143112500057
3307147112550030
3307147112370025
3307144206630004
3307146104850002
3307146804010002
3307142205040002
3307142006680002
3307145403730003
3307143006980004
3307146002480002
3307141611700002
3307145110700002
3307143112650046
3307143005800002
3307145703850002
3307146905020002
3307141608160001
3307144403670004
3307145808990002
3307141705930002
3307145206980003
3307142603170001
3307141104900007
3307145009920002
3307146609130001
3307146201900005
3307142012060003
3307147010050002
3307140304850001
3307144311620002
3307142110980002
3307146911010004
3307140711180002
3307142704920005
3307146312100001
3307141101980002
6207013112670009
6207014303750002
3307140305980002
3307141610930008
3307104305980001
3307140206190001
3307143112790009
3307144301830004
3307145408030002
3307140903060002
3307144305600004
3307140508570003
3307143011850002
3307147006810004
3307145809150001
3307142311860002
3307144610890002
3307146907140002
3307144305070002
 KUNJUNGAN SEHAT BPJS
PUSKESMAS SUKOHARJO 2

DESA : PULUS
BULAN : Juli 2020

NO TANGGAL NO BPJS NAMA KETERANGAN

1 10/10/2021 0000547813833 Ernawati
2 0000547813214 Miskiyah
3 0000547813045 Sutiono
4 0000547961106 Parsiti
6 0000547990648 Niswati
7 0000547989287 Salbiah
8 0000547988321 Warjo
9 0000547694493 Suwarni
10 0000547694425 Ponisah
11 0000548012226 Yanti
13 0000548011607 Untung
15 0000547679125 Kini
16 0000547678675 Suwandi
17 0000547814259 Vinda Fidya Putri
18 0000547655837 Biyem 3307146509850005
19 0000547655286 Ahmad Juanto
20 0000547967698 Mulisin
21 0001085092299 Ponilah ***********
22 0000547987307 Sukur
23 0001019547551 0001019547551 Nuryati 3307144208020007
24 0001019547549 Andriyono
25 0001019547538 Waki
26 0000547637815 Sagiman
27 0000547637782 Basuki
28 0000547637185 Ginem 3307144204670002
29 0000547636779 Sarjono
30 0000547656682 Kiyanti Rahmawati
31 0000547656041 Andi Satria
33 0000547680846 Sulastri tdk ditmkn
34 0000547679946 Turah
35 0000547679485 Maryanto
37 0000547680879 Suranto
38 0000547647794 Aci Rahayu
39 0000547646725 Parjono
40 0000547967553 Urip
41 0000547631842 Parwito
42 0000547688992 Riswanto
43 0000547979128 Dwiana
44 0000547958272 Taryo
45 0000547979095 Waginem 3307145110740002 pindah
46 0000547978612 Siswoyo
47 0000547982875 Ponem
48 0000547981288 Karta Wireja
50 0000547987757 Siti Aminah
52 0000546026512 Urip Mujianto
53 0000547927345 Manisi
55 0000547922711 Partini pindah
57 0000547938213 Sungkono
58 0000547938189 Turni
60 0000547689431 Surtini
61 0001019547753 Olivia
62 0000547979387 Triaman
63 0000547987836 Maulida Safa Rahayu
0003168147701 Ramini 3307144206630005
0000547989287 salmi 3307147112660023
0001019548091 jiah 3307145203620002
0002580613907 Partiah 3307144405600004
KIYARTININGSIH KIYARTININGSIH 3307146205930004
***********
 KUNJUNGAN SEHAT BPJS
PUSKESMAS SUKOHARJO 2

DESA : PULUS
BULAN : JUNI 2019

NO Tanggal NO BPJS NAMA KETERANGAN

1 12/26/2018 0000546809286 Painem
2 0000546805642 Jemu
3 0000546804955 Wahyono
4 0000546809231 Parwoto
5 0000546804167 Narodi
6 0000546803155 Karmono
7 0000546803831 Soliah
8 0000546806226 Farit Hidayat
9 0001085096079 Suparjo
10 0000546806182 Wargati
11 0000547924116 Kastani
12 0000547924206 Giyem
13 0000547622561 Marjadi
14 0000547924735 Tuyem
15 0000547625046 Juniarto
16 0000547925488 Tumin Mianto
17 0000547625158 Sartini
18 0000547925523 Bahrin
19 0000547626712 Ahmad Naufal
20 0000547927244 Siti Fatimah
21 0000547937201 Siti Ma'rifah
22 0000547622829 Prenjak
23 0000547936784 Subiono
24 0000547937144 Murni
25 0001019547696 Miah
26 0000547969353 Ajeng Eka Esti
27 0000547948899 Matyanto
28 0000547968532 Arifin
29 0000547949935 Kasihan
30 0000547971287 Reuni Juliwandra
31 0000547948901 Ponem
32 0000547968701 Sukinah
33 0000547649594 Mustamar
34 0000547643463 Parniyah
35 0001019547988 Trimo
36 0001019547999 Sarmono
37 0001019547977 Miskem
38 0001019548034 Wahyu Istiana
39 0001019547966 Bikis Sutarno
40 0000547656895 Karman Hidayat
41 0001019548023 Niyo
42 0000547656851 Partinem
43 0001019548012 Simah
44 0000546814888 Cindy Prihatin
45 0001019548001 Tuni
46 0000546814787 Wahyu Aji Prakoso
47 0000546814653 Ade Yulianto
48 0000547997613 Ngadinah
49 0000547997095 Haryono
50 0000546812818 Mulyono
51 0000547995587 Rini Setyowati
52 0000548001257 Guris Darnoto
53 0000547994957 Ambarwati
54 0000548000908 Wiwit Amelia
55 0000547994654 Wahyono
56 0000547999749 Biantoko
57 0000547993923 Sarman Widodo
58 0000547993293 Ponilah
59 0000548015433 Jamil
60 0000547992988 Slamet
61 0000548014656 Taryoto Turah
62 0000547992933 Niyem
63 0000548014893 Paiyem
64 0000547991616 Santana
65 0000548015758 Riki Pratama
66 0000547649436 Suradi Suripno
67 0000548015016 Tukirah
68 0000547649482 Bisam
69 0000548012979 Dinem
70 0000548012575 Sudiro
71 0000547650696 Kimin Kanifudin
72 0000548013453 Ari Susanto
73 0000547651934 Kini Dewi Yanti
74 0001019547685 Pawit
75 0000547691286 Marno
76 0001019547663 Sukur
77 0000547666593 Parmaji
78 0001019547652 Tunut
79 0000547666389 Rahma Nur Azizah
80 0000547651203 Aminah
81 0000547666119 Jariyah
82 0000547664499 Warno
83 0001691483207 Turmiyah
84 0001019547865 Nikem
85 0001691483229 Pawit Pawitasari
86 0001019547854 Mendu Munardi
87 0001691483218 Kurniati
88 0001019547876 Sabar
89 0001691483231 Trisno Utomo
90 0001691483196 Wandi
91 0000547943163 Partini
92 0001084915833 Marsodi Suparjo
93 0000547943499 Eka Setiawan
 94 0001019547786 Desti Alfa
95 0000547638849 Bawon
96 0001019547898 Karsiah
97 0000547640054 Siti Lestari
98 0000547661327 Poniyem
99 0000547641483 Tahroni
100 0000547661261 Mistari
101 0000547661979 Parsinah
102 0000546806261 Purnomo
103 0000546806441 Sartinah
104 0000546806856 Elik Kuryanto
105 0001019547606 Ponikem
106 0000547975642 Hartono
107 0000547975877 Pairah
108 0000547977161 Tuminem
109 0000547977352 Oksa Romadhon
110 0001019547595 Turyanto
111 0001019547617 Fitriyani
112 0001019547628 Kariyem
113 0000548001876 Mudiono
114 0000548002271 Pasmi
115 0000548003428 Sukinah
116 0000548003957 Jianto
117 0000548006117 Barokah Ihsan S
118 0000548006499 Darsono
119 0000548006725 Bingu
120 0000548007311 Kiyam
121 0000548007715 Mutinah
122 0000548007748 Zehrotun Hasanah
123 0001019547775 Erniyati
124 0001019547797 Marmin Naryo Utomo
125 0001019547808 Painem
126 0000547684244 Sugito
127 0000547684435 Wakiyem
128 0000547684953 Kuswati
129 0000546818411 Birah
130 0000546818769 Rohman
131 0000546818859 Sinta Nalfia
132 0000547691398 Sumitro
133 0000547691861 Manisih
134 0000547807612 Suyitno
135 0000547808872 Basuki
136 0000547807937 Paisem
137 0000546817037 Nurtholib
138 0000546817487 Ribut
139 0000546818128 Siti Soleah
140 0000546818163 Taryuni
141 0000547811155 Karsini
142 0000547812314 Deni Saputra
143 0000547812393 Lela Puji Rahayu
144 0000547813034 Ade Pamungkas
145 0000547940733 Tarwono
146 0000547661878 Ahmad Narsodi
147 0000547670586 Saniyem
148 0000547668977 Muhadi
149 0000547674614 Jumiati
150 0000547673231 Nurfiyanto Rohmat
151 0000547672645 Bisih
152 0000547672509 Parsini
153 0000547672487 Kastari
154 0001019547639 Fitri Nugroho
155 0000547646319 Naufal Musyaffa
156 0000547646286 Anisa Mubarokah
157 0000547645689 Muhalim
158 0000547645555 Ahmad Tofik
159 0000547645498 Panikem
160 0000547645241 Nartoyo
161 0000547962715 Barsiyah
162 0000547961883 Suwanto
163 0000547965955 Dea Prihatini
164 0000547965178 Eni Suryati
165 0000547964515 Kurnianingsih
166 0000547953827 Lina Liftiana
167 0000547953614 Jen Setiawan
168 0000547953221 Katinah
169 0000548035413 Bonem Kastawi
170 0000548034175 Muhammad Fadli Rahmawan
171 0000548032511 Mantep
172 0000548032285 Adi Nata Kusuma
173 0000548032228 Kasiyah
174 0000548032116 Daryanto
175 0000547660372 Sarno
176 0000547953041 Suramto
177 0001019548045 Sumitro
 POSYANDU PULUS

NO NAMA TANGGAL LNAMA ORTALAMAT BLM IPV SDH IPV

1 Billqis 02-04-2017 Kartika/KowPulus
2 Kinanti 03-05-2016 Kurniati/HenPulus
3 Ahmad Gibr04-05-2016 Sarbiyah/Bi Pulus
4 Deby Herna03-05-2016 Nimah/NiyanPulus
5 Alvis Zein az29-04-2016 Erni/KiyarnoPulus
6 Naurel arsy 12-05-2016 Prihyatining Pulus
7 Aldebaran 03-08-2016 Erinah/BahrPulus
8 Adiba Shaki02-08-2016 Kustanti/Pu Pulus
9 Refandra A 28-08-2016 Yuliati/KarmPulus
10 Ahmad Faton
23-10-2016 Partinah/ParPulus
11 Robi Syafaa17-10-2016 Bisih Pulus
12 Muhamad Fa
07-12-2016 Sartini/Juni Pulus
13 Hamam Syah
02-12-2016 Anita/Pawit Pulus
14 Hilma Fawwa
28-02-2017 Kuswatun/AlPulus
15 Alif solihin 01-11-2016 Yuli MuliasaPulus
16 Husein Abi 22-06-2017 Supiyah/AdiPulus

POSYANDU TLODAS
NO NAMA TANGGAL LNAMA ORTU BLM IPV SDH IPV
1 Aruna Shand19-06-2016 Farida SH/YKwali
2 Arka Shandi19-06-2016 Farida SH/YKwali
3 Nadira 05-05-2015 Rini M/suratKwali
 KUNJUNGAN SEHAT BPJS
PUSKESMAS SUKOHARJO 2

DESA : PULUS
BULAN : September 2020

NO TANGGAL NO BPJS NAMA KETERANGAN

1 0000546809286 Painem
2 0000546809231 Parwoto
3 0000546803155 Karmono
4 0000546803831 Soliah
5 0000546806226 Farit Hidayat
6 0001085096079 Suparjo
7 0000546806182 Wargati
8 0000547924116 Kastani
9 0000547924206 Giyem
10 0000547622561 Marjadi
11 0000547924735 Tuyem
12 0000547925488 Tumin Mianto
13 0000547625158 Sartini
14 0000547925523 Bahrin
15 0000547626712 Ahmad Naufal
16 0000547927244 Siti Fatimah
17 0000547937201 Siti Ma'rifah
18 0000547622829 Prenjak
19 0000547936784 Subiono
20 0000547937144 Murni
21 0000547969353 Ajeng Eka Esti
22 0000547948899 Matyanto
23 0000547968532 Arifin
24 0000547949935 Kasihan
25 0000547971287 Reuni Juliwandra
26 0000547948901 Ponem
27 0000547968701 Sukinah
28 0000547649594 Mustamar
29 0001019547988 Trimo
30 0001019547977 Miskem
31 0001019547966 Bikis Sutarno
32 0000547656895 Karman Hidayat
33 0001019548023 Niyo
34 0000547656851 Partinem
35 0000546814888 Cindy Prihatin
36 0000546814787 Wahyu Aji Prakoso
37 0000546814653 Ade Yulianto
38 0000547997613 Ngadinah
39 0000547997095 Haryono
40 0000546812818 Mulyono
41 0000547995587 Rini Setyowati
42 0000548001257 Guris Darnoto
43 0000547994957 Ambarwati
44 0000548000908 Wiwit Amelia
45 0000547994654 Wahyono
46 0000547999749 Biantoko
47 0000547993923 Sarman Widodo
48 0000547993293 Ponilah
49 0000548015433 Jamil
50 0000547992988 Slamet
51 0000548014656 Taryoto Turah
52 0000547992933 Niyem
53 0000548014893 Paiyem
54 0000547991616 Santana
55 0000548015758 Riki Pratama
56 0000547649436 Suradi Suripno
57 0000548015016 Tukirah
58 0000547649482 Bisam
59 0000548012979 Dinem
60 0000548012575 Sudiro
61 0000547650696 Kimin Kanifudin
62 0000548013453 Ari Susanto
63 0000547651934 Kini Dewi Yanti
64 0001019547685 Pawit
65 0001019547663 Sukur
66 0000547666593 Parmaji
67 0001019547652 Tunut
68 0000547666389 Rahma Nur Azizah
69 0000547651203 Aminah
70 0000547666119 Jariyah
71 0000547664499 Warno
72 0001019547865 Nikem
73 0001019547854 Mendu Munardi
74 0001019547876 Sabar
75 0000547943163 Partini
76 0000547943499 Eka Setiawan
77 0000547638849 Bawon
78 0001019547898 Karsiah
79 0000547640054 Siti Lestari
80 0000547661327 Poniyem
81 0000547641483 Tahroni
82 0000547661261 Mistari
83 0000547661979 Parsinah
84 0000546806261 Purnomo
85 0000546806441 Sartinah
86 0000546806856 Elik Kuryanto
87 0001019547606 Ponikem
88 0000547975642 Hartono
89 0000547975877 Pairah
 90 0000547977161 Tuminem
91 0000547977352 Oksa Romadhon
92 0001019547595 Turyanto
93 0001019547617 Fitriyani
94 0001019547628 Kariyem
95 0000548002271 Pasmi
96 0000548003428 Sukinah
97 0000548003957 Jianto
98 0000548006117 Barokah Ihsan S
99 0000548006499 Darsono
100 0000548006725 Bingu
101 0000548007311 Kiyam
102 0000548007715 Mutinah
103 0000548007748 Zehrotun Hasanah
104 0001019547775 Erniyati
105 0001019547797 Marmin Naryo Utomo
106 0001019547808 Painem
107 0000547684244 Sugito
108 0000547684435 Wakiyem
109 0000547684953 Kuswati
110 0000546818411 Birah
111 0000546818769 Rohman
112 0000546818859 Sinta Nalfia
113 0000547691398 Sumitro
114 0000547691861 Manisih
115 0000547807612 Suyitno
116 0000547808872 Basuki
117 0000547807937 Paisem
118 0000546817037 Nurtholib
119 0000546817487 Ribut
120 0000546818128 Siti Soleah
121 0000546818163 Taryuni
122 0000547811155 Karsini
123 0000547812314 Deni Saputra
124 0000547812393 Lela Puji Rahayu
125 0000547813034 Ade Pamungkas
126 0000547940733 Tarwono
127 0000547661878 Ahmad Narsodi
128 0000547670586 Saniyem
129 0000547668977 Muhadi
130 0000547674614 Jumiati
131 0000547673231 Nurfiyanto Rohmat
132 0000547672645 Bisih
133 0000547672487 Kastari
134 0000547645555 Ahmad Tofik
135 0000547645498 Panikem
136 0000547645241 Nartoyo
137 0000547962715 Barsiyah
138 0000547961883 Suwanto
139 0000547965955 Dea Prihatini
140 0000547965178 Eni Suryati
141 0000547964515 Kurnianingsih
142 0000547953827 Lina Liftiana
143 0000547953614 Jen Setiawan
144 0000547953221 Katinah
145 0000548034175 Muhammad Fadli Rahmawan
146 0000548032511 Mantep
147 0000547660372 Sarno
148 0000547953041 Suramto
 LOG BOOK RAWAT JALAN TINGKAT PERTAMA
NO TANGGAL NAMA NO BPJS NIK NO RM ALAMAT NO TELP

1 9/12/2023 Painem 0000546809286 RT 01 RW 01

2 Karmono 0000546803155 3307140202560006
3 Soliah 0000546803831
4 Farit Hidayat 0000546806226 3307140305090001
5 Wargati 0000546806182 3307147105920005
6 Marjadi 0000547622561 3307141506450002
7 Tuyem 0000547924735 3307144803720004
8 Bahrin 0000547925523 3307142501910003
9 Ahmad Naufal 0000547626712
10 Siti Fatimah 0000547927244
11 Siti Ma'rifah 0000547937201 3307146612950001
12 Prenjak 0000547622829 3307145705570002
13 Subiono 0000547936784 3307143012600023
14 Murni 0000547937144 3307147112650042
15 Ajeng Eka Esti 0000547969353 3307144304030002
16 Arifin 0000547968532
17 Reuni Juliwandra 0000547971287 3307146308080001
18 Sukinah 0000547968701 3307145008850003
19 Mustamar 0000547649594 3307147112550040
20 Trimo 0001019547988 3307142409930006
21 Miskem 0001019547977 3307144104630002
22 Bikis Sutarno 0001019547966 3307140507600013
23 Karman Hidayat 0000547656895 3307142804930002
24 Partinem 0000547656851 330714460146003
25 Cindy Prihatin 0000546814888 3307145306000006
26 Wahyu Aji Prakoso 0000546814787 3307147107980002
27 Ade Yulianto 0000546814653 3307141307940003
28 Ngadinah 0000547997613 3307145104790003
29 Haryono 0000547997095 3307140604740002
30 Mulyono 0000546812818 3307140201720002
31 Rini Setyowati 0000547995587 3307144206070002
32 Ambarwati 0000547994957 3307144308010002
33 Wiwit Amelia 0000548000908 3307145411060003
34 Wahyono 0000547994654 3307140402970004
35 Biantoko 0000547999749 3307140307000002
36 Sarman Widodo 0000547993923 3307140803700004
37 Ponilah 0000547993293 3307144310780002
38 Jamil 0000548015433 3307141002820006
39 Slamet 0000547992988
40 Taryoto Turah 0000548014656
41 Paiyem 0000548014893
42 Riki Pratama 0000548015758
43 Suradi Suripno 0000547649436
44 Tukirah 0000548015016
45 Bisam 0000547649482 3307142507970005
46 Dinem 0000548012979 3307144406590002
47 Sudiro 0000548012575 3307141006530002
48 Kimin Kanifudin 0000547650696 3307140304740003
49 Ari Susanto 0000548013453 3307141205960002
50 Kini Dewi Yanti 0000547651934 3307144804010005
51 Pawit 0001019547685 3307144108760003
52 Sukur 0001019547663 3307143003980003
53 Tunut 0001019547652 3307145212540005
54 Aminah 0000547651203 3307144203770008
55 Nikem 0001019547865 3307144204620004
56 Mendu Munardi 0001019547854 3307140404630002
57 Sabar 0001019547876 3307140210930003
58 PURWONO 0000085088744 3307142803850002
59 RUSTANTI 0001843371459 3307145610810001
60 HUMAM BANU WICAK0001843373709 3307140408110001
OOK RAWAT JALAN TINGKAT PERTAMA
KEPESERTAAN JENIS KUNJUNGAN
DIAGNOSA KET
PBI NON PBI SAKIT SEHAT
v v konseling
v v konseling
v v konseling
v v konseling
v v konseling
v v konseling
v v konseling
v v konseling
v v konseling
v v konseling
v v konseling
v v konseling
v v konseling
v v konseling
v v konseling
v v konseling
v v konseling
v v konseling
v v konseling
v v konseling
v v konseling
v v konseling
v v konseling
v v konseling
v v konseling
v v konseling
v v konseling
v v konseling
v v konseling
v v konseling
v v konseling
v v konseling
v v konseling
v v konseling
v v konseling
v v konseling
v v konseling
v v konseling
v v konseling
v v konseling
v v konseling
v v konseling
v v konseling
v v konseling
v v konseling
v v konseling
v v konseling
v v konseling
v v konseling
v v konseling
v v konseling
v v konseling
v v konseling
v v konseling
v v konseling
v v konseling
v v konseling
v v konseling
v v konseling
v v konseling
 LOG BOOK RAWAT JALAN TINGKAT PERTAMA
NO TANGGAL NAMA NO BPJS NIK NO RM ALAMAT

1 2/12/2022 Partini 0000547943163 3307144802730004 Pulus 3/1

2 Eka Setiawan 0000547943499 3307140512990003 Pulus 3/1
3 Bawon 0000547638849 3307141506720002 Pulus 3/1
4 Karsiah 0001019547898 Pulus 3/1
5 Siti Lestari 0000547640054 3307144504830002 Pulus 3/1
6 Poniyem 0000547661327 3307146303480002 Pulus 3/1
7 Mistari 0000547661261 3307142606450002 Pulus 3/1
8 Parsinah 0000547661979 3307144203640005 Pulus 3/1
9 Purnomo 0000546806261 Pulus 3/1
10 Sartinah 0000546806441 3307145006850003 Pulus 3/1
11 Elik Kuryanto 0000546806856 3307141208040005 Pulus 3/1
12 Ponikem 0001019547606 3307144212670005 Pulus 3/1
13 Hartono 0000547975642 3307142304600002 Pulus 3/1
14 Pairah 0000547975877 3307144410720003 Pulus 3/1
15 Oksa Romadhon 0000547977352 3307144710060004 Pulus 3/1
16 Turyanto 0001019547595 3307141109640002 Pulus 3/1
17 Fitriyani 0001019547617 Pulus 3/1
18 Kariyem 0001019547628 3307145808870002 Pulus 3/1
19 Pasmi 0000548002271 3307146912620002 Pulus 3/1
20 Sukinah 0000548003428 3307145108910002 Pulus 3/1
21 Jianto 0000548003957 3307142009010004 Pulus 3/1
22 Barokah Ihsan S 0000548006117 3307141408050002 Pulus 3/1
23 Darsono 0000548006499 3307141608620002 Pulus 3/1
24 Bingu 0000548006725 3307146205640002 Pulus 3/1
25 Kiyam 0000548007311 3307141205870005 Pulus 3/1
26 Mutinah 0000548007715 3307145909900001 Pulus 3/1
27 Zehrotun Hasanah 0000548007748 3307145106090001 Pulus 3/1
28 Erniyati 0001019547775 3307145206910004 Pulus 3/1
29 Marmin Naryo Utomo0001019547797 3307140401640001 Pulus 3/1
30 Painem 0001019547808 3307144606730010 Pulus 3/1
31 Sugito 0000547684244 3307140308610003 Pulus 3/1
32 Wakiyem 0000547684435 3307146106630002 Pulus 3/1
33 Kuswati 0000547684953 3307145708950002 Pulus 3/1
34 Birah 0000546818411 3307146003810002 Pulus 3/1
35 Rohman 0000546818769 3307141409960001 Pulus 3/1
36 Sinta Nalfia 0000546818859 3307145709060003 Pulus 3/1
37 Sumitro 0000547691398 3307141507500004 Pulus 3/1
38 Manisih 0000547691861 3307144905570002 Pulus 3/1
39 Suyitno 0000547807612 3307140902560001 Pulus 3/1
40 Basuki 0000547808872 3307142305910001 Pulus 3/1
41 Paisem 0000547807937 3307145003660001 Pulus 3/1
42 Nurtholib 0000546817037 3307142911740001 Pulus 3/1
43 Ribut 0000546817487 3307147012880006 Pulus 3/1
44 Siti Soleah 0000546818128 3307145101100001 Pulus 3/1
45 Deni Saputra 0000547812314 3307140209010007 Pulus 3/1
46 Lela Puji Rahayu 0000547812393 3307146609030003 Pulus 3/1
47 Ade Pamungkas 0000547813034 3307142106050002 Pulus 3/1
48 Tarwono 0000547940733 3307140508620003 Pulus 3/1
49 Ahmad Narsodi 0000547661878 3307140911600002 Pulus 3/1
50 Jumiati 0000547674614 Pulus 3/1
51 Nurfiyanto Rohmat 0000547673231 3307141108830002 Pulus 3/1
52 Bisih 0000547672645 3307144103840002 Pulus 3/1
53 Kastari 0000547672487 3307140406520011 Pulus 3/1
54 Ahmad Tofik 0000547645555 3307141304970003 Pulus 3/1
55 Panikem 0000547645498 3307145604710004 Pulus 3/1
56 Nartoyo 0000547645241 3307141812690002 Pulus 3/1
57 Barsiyah 0000547962715 3307144406830005 Pulus 3/1
58 Suwanto 0000547961883 3307142603760002 Pulus 3/1
59 Dea Prihatini 0000547965955 3307146612060002 Pulus 3/1
60 Eni Suryati 0000547965178 3307146108020002 Pulus 3/1
61 Lina Liftiana 0000547953827 3307146407090003 Pulus 3/1
62 Jen Setiawan 0000547953614 3307142601050002 Pulus 3/1
63 Muhammad Fadli Ra 0000548034175 Pulus 3/1
64 Sarno 0000547660372 Pulus 3/1
65 Suramto 0000547953041 Pulus 3/1
66 Ernawati 0000547813833 Kwali 5/2
67 Miskiyah 0000547813214 Kwali 5/2
68 Sutiono 0000547813045 Kwali 5/2
69 Parsiti 0000547961106 Kwali 5/2
70 Niswati 0000547990648 Kwali 5/2
71 Salbiah 0000547989287 Kwali 5/2
72 Warjo 0000547988321 Kwali 5/2
73 Suwarni 0000547694493 Kwali 5/2
74 Ponisah 0000547694425 Kwali 5/2
75 Yanti 0000548012226 Kwali 5/2
76 Untung 0000548011607 Kwali 5/2
77 Kini 0000547679125 Kwali 5/2
78 Suwandi 0000547678675 Kwali 5/2
79 Vinda Fidya Putri 0000547814259 Kwali 5/2
80 Biyem 0000547655837 Kwali 5/2
81 Ahmad Juanto 0000547655286 Kwali 5/2
82 Mulisin 0000547967698 Kwali 5/2
83 Ponilah 0001085092299 Kwali 5/2
84 Sukur 0000547987307 Kwali 5/2
85 Nuryati 0001019547551 Kwali 5/2
86 Andriyono 0001019547549 Kwali 5/2
87 Waki 0001019547538 Kwali 5/2
 88 Sagiman 0000547637815 Kwali 5/2
89 Basuki 0000547637782 Kwali 5/2
90 Ginem 0000547637185 Kwali 5/2
91 Sarjono 0000547636779 Kwali 5/2
92 Kiyanti Rahmawati 0000547656682 Kwali 5/2
93 Andi Satria 0000547656041 Kwali 5/2
94 Sulastri 0000547680846 Kwali 5/2
95 Turah 0000547679946 Kwali 5/2
96 Maryanto 0000547679485 Kwali 5/2
97 Suranto 0000547680879 Kwali 5/2
98 Aci Rahayu 0000547647794 Kwali 5/2
99 Parjono 0000547646725 Kwali 5/2
100 Urip 0000547967553 Kwali 5/2
101 Parwito 0000547631842 Kwali 5/2
102 Riswanto 0000547688992 Kwali 5/2
103 Dwiana 0000547979128 Kwali 5/2
104 Taryo 0000547958272 Kwali 5/2
105 Waginem 0000547979095 Kwali 5/2
106 Siswoyo 0000547978612 Kwali 5/2
107 Ponem 0000547982875 Kwali 5/2
108 Karta Wireja 0000547981288 Kwali 5/2
109 Siti Aminah 0000547987757 Kwali 5/2
110 Wiarto 0000547694166 Kwali 5/2
111 Urip Mujianto 0000546026512 Kwali 5/2
112 Manisi 0000547927345 Kwali 5/2
113 Kastomo 0000547927323 Kwali 5/2
114 Partini 0000547922711 Kwali 5/2
115 Sungkono 0000547938213 Kwali 5/2
116 Turni 0000547938189 Kwali 5/2
117 Surtini 0000547689431 Kwali 5/2
118 Olivia 0001019547753 Kwali 5/2
119 Triaman 0000547979387 Kwali 5/2
120 Maulida Safa Rahayu 0000547987836 Kwali 5/2
GKAT PERTAMA
KEPESERTAAN JENIS KUNJUNGAN
NO TELP DIAGNOSA KET
PBI NON PBI SAKIT SEHAT
NO NAMA NIK TTL
1 MAULIDA ZAHWA ZAKKIYA 3307146401150001 WONOSOBO , 24-01-2015
2 Rifaya Hifya Jazila 3307146709210001 27-09-2021
3 Tukino 3307140606890005 WONOSOBO , 06-06-1989
4 SALFIYAH 3307146205880005 WONOSOBO , 22-05-1988
5 MUHAMMAD AWALLUDHIN 3307142708120002 WONOSOBO , 27-08-2012
6 SURATNO AKHMAD HIDAYATULLAH 3307141501760002 WONOSOBO , 15-01-1976
7 PAWIT 3307144404810005 WONOSOBO , 04-04-1981
8 GILANG NURI LAHMAD 3307140110100001 WONOSOBO , 01-10-2010
9 SUPANGAT 3307141007500006 BANJARNEGARA , 20-10-1967
10 MANISIH 3307145006780003 WONOSOBO , 10-06-1978
11 MUHAMAD FATHURROHMAN 3307142707000006 WONOSOBO , 27-07-2000
12 KHODIP KHAFIDIN 3307141906830002 WONOSOBO , 19-06-1983
13 SARTINI 3307145501850001 WONOSOBO , 15-01-1985
14 AHMAD NAUFAL NANDA SAPUTRA 3307141311030001 WONOSOBO , 13-11-2003
15 MUHAMAD FARDZAN ZAKKI AZIZI 3307140312160001 WONOSOBO , 03-12-2016
16 WAHYONO 3307140101930005 WONOSOBO , 21-07-1976
17 RINI SUANTI 3307146504950003 WONOSOBO , 18-03-1980
18 AISYAH NUR AZIZAH 3307144301140001 WONOSOBO , 04-08-2006
19 ARETA FARZANA 3307145707220001 17/07/2022
20 KHAFFAN 3307132109850001 WONOSOBO , 21-09-1985
21 KHUSWATUN KHASANAH 3307146404940001 WONOSOBO , 24-04-1994
22 HILMA FAWWAZA KHOIRUNISWA 3307146802170002 WONOSOBO , 28-02-2017
23 MUHAMAD ISHAQUL LUTFI 3307140102130002 WONOSOBO , 01-02-2013
24 ARDIAN IBNU SYAFA 3307141710070001 WONOSOBO , 17-10-2007
25 YEN SETIAWAN 33017142601050002 26-01-2005
26 LINA LIFTIANA 3307146407090003 24-07-2009
27 NUZUL RAMADHANI 3307141408110001 14-08-2011
28 NIYANTO 3307140304960007 WONOSOBO , 03-04-1996
29 NIMAH 3307145301960001 WONOSOBO , 13-01-1996
30 DHEBY HERNANDA 3307140305160003 WONOSOBO , 03-05-2016
31 KINARA AMALINA MAFAZA 3307146107230001 21-07-2023
32 ARHSAKA ALBIANSYAH MUBAROKAH 3307140508210001 5/8/2021
33 PONEM 3307146104460001 WONOSOBO , 21-04-1946
34 BILIN 3307142507830001 WONOSOBO , 25-07-1983
35 ALFIN SUPRIYANTO 3307142704050003 WONOSOBO , 27-04-2005
36 AKBAR ALFARIZQI 3307141109220001 11-09-2022
37 SAMINAH 3307145206900006 WONOSOBO , 12-06-1990
38 MUKHAMAD YUSUF 3307091609830005 WONOSOBO , 16-09-1983
39 NABILLA ERSYA AIDINA 3307147110060003 WONOSOBO , 31-10-2006
40 INGGIEL ASYA AIDINA 3307146709150001 WONOSOBO , 27-09-2015
41 GENDHIS ASYA AYUNDA 3307144412220002 4/12/2022
42 RAHMAT 3307140805920008 WONOSOBO , 08-05-1992
43 ERNA SOFRIYANTI 3307146710020001 WONOSOBO , 27-10-2002
44 NAJWA SHIHAB NUR RAHMA 3307146903200002 23-03-2020
45 BADARUDIN 3307142704820005 WONOSOBO , 27-04-1982
46 MUY SUYITNO 3307145812830003 WONOSOBO , 18-12-1983
47 AHMAD HABIB NOFIYANSAH 3307142306060005 WONOSOBO , 23-06-2006
48 AUFAL MAROM 3307141306120001 WONOSOBO , 13-06-2012
49 NAJMA ASSALWA 3307145601230001 16-01-2023
50 HADIYANTO 3209152309860001 CIREBON , 23-09-1986
51 KIMAH 3307144102930002 WONOSOBO , 01-02-1993
52 ELMAHIRA ATHAYA ARUNA 3307145307200001 13-07-2020
53 HERMANTO 3307140802770003 WONOSOBO , 08-02-1977
54 PARNI 3307034301900013 WONOSOBO , 03-01-1990
55 NATIJATUL KHASANAH 3307145404120001 WONOSOBO , 14-04-2012
56 EGI MAULANA FIKRI 3307141810230001 18-10-2023
57 SAKIYO 3307142711900003 WONOSOBO , 27-11-1990
58 PIRNA 3307146802930007 WONOSOBO , 28-02-1993
59 RISKI AJI SURATNO 3307141310170001 WONOSOBO , 13-10-2017
60 ARIF ARDIYANTO 3307142505110001 WONOSOBO , 25-05-2011
61 HARYANTO 3307140401690003 WONOSOBO , 04-01-1969
62 WAGINEM 3307145110740002 WONOSOBO , 11-10-1974
63 BAROKAH 3307140409030002 WONOSOBO , 04-09-2003
64 N AMAD SUWARSONO 620701011690001 1/10/1969
65 PONISIH 6207014608730005 6/8/1973
66 DADI SUNANDI 3205051905770002 GARUT , 19-05-1977
67 ENI 3307146510880002 WONOSOBO , 25-10-1988
68 HILWA AZKIA KHAIRUNNISA 3307145203120003 WONOSOBO , 12-03-2012
69 ARVINO FAEYZA ANDREAS 3307143011160002 WONOSOBO , 30-11-2016
70 KIMIN 3307140108880001 WONOSOBO , 01-08-1988
71 MUHAMMAD RIFQI NAILU ATHOILLAH 3307141704150001 WONOSOBO , 17-04-2015
72 DYAH PRAVITA SARI 3307144208950004 WONOSOBO , 02-08-1995
73 ZIDNA ZIFARA LUTFIKA 33071447105210002 31-05-2001
74 WINTONO 3307140608600002 WONOSOBO , 06-08-1960
75 JIAH 3307145203620002 WONOSOBO , 12-03-1962
76 ADITAMA ELVAN SAHREZA 3307143112220002 31-12-2022
77 UMIATI 3307146512910001 25-12-1991
ISNAINI AZIZAH 3307146206000006 22-06-2000
MAIRA TAVISHA AYUNDA 3307145612200001 16-12-2020
SUTIKNO PARYANTO 3307140304650002 3/4/1965
SARINAH 3307144403670004 WONOSOBO , 04-03-1967
ROHYATI 3307145808990002 WONOSOBO , 18-08-1999
MUHAMAD NADZIF RAMDHANI 3307140206190001 WONOSOBO , 02-06-2019
PAWIT SUMANTO 3307141611700002 WONOSOBO , 16-11-1970
AMINAH 3307145110700002 WONOSOBO , 11-10-1970
AULIFKA YUMNA AYDILLA 3307144608210001 6/8/2021
YANTO 3307142704920005 WONOSOBO , 27-04-1992
ENI 3307105809910009 WONOSOBO , 18-09-1991
CINDI RAEFATUL 3307146312100001 WONOSOBO , 23-12-2010
AISYAH NUR KHUSNA 3307144711220002 7/11/2022
MARWAN 3307142003920001 WONOSOBO , 20-03-1992
BARSIH 3307144509950004 WONOSOBO , 05-09-1995
TEGAR ADI TIAWAN 3307142804120001 WONOSOBO , 28-04-2012
FARIZ ZIDAN ALFARENDRA 3307142607200003 26-07-2020
SUTIONO 6207013112750009 WONOSOBO , 31-12-1975
WARIS 6207015005760003 WONOSOBO , 10-05-1976
SURTINI 3307146706790002 WONOSOBO , 27-06-1979
SARIF ADITIA 3307142505040002 WONOSOBO , 25-05-2004
DELI STIYAWAN 3307141701970005 WONOSOBO , 17-01-1997
ANISA DEFIANA NUR AZIZAH 3307144512190001 5/12/2019
WONIHAT SUJARWO 3307142006680002 WONOSOBO , 20-06-1968
TUMPUK 3307145403730003 WONOSOBO , 14-03-1973
ARFIN HIDAYAT 3307143006980004 WONOSOBO , 30-06-1998
HENI SETIANI 3307146802010004 28-02-2001
ASRAF DAIYAN JIORDANIYAL 3307142106210001 21-06-2021
TUTUR 3307144704610002 7/4/1961
MUHAMAMAD REHAN RAMADHAN 3307140903230001 9/3/2023
20-10-1967
0001530083439
0001530083452
0000546858281

0003168147633
0003168147644
0003168147655
NO NAMA
1 MAULIDA ZAHWA ZAKKIYA
2 Rifaya Hifya Jazila
3 MUHAMMAD AWALLUDHIN
4 GILANG NURI LAHMAD
5 SARTINI
6 AHMAD NAUFAL NANDA SAPUTRA 3307141311030001
7 MUHAMAD FARDZAN ZAKKI AZIZI 3307140312160001
8 RINI SUANTI
9 AISYAH NUR AZIZAH
10 ARETA FARZANA
11 HILMA FAWWAZA KHOIRUNISWA
12 MUHAMAD ISHAQUL LUTFI
Rumiyah
14 YEN SETIAWAN
15 LINA LIFTIANA
16 NUZUL RAMADHANI
17 KINARA AMALINA MAFAZA
18 ARHSAKA ALBIANSYAH MUBAROKAH 3307140508210001
19 PONEM
20 BILIN
21 ALFIN SUPRIYANTO
22 AKBAR ALFARIZQI
23 GENDHIS ASYA AYUNDA
24 RAHMAT
25 ERNA SOFRIYANTI
26 NAJWA SHIHAB NUR RAHMA
27 BADARUDIN
28 MUY SUYITNO
29 AHMAD HABIB NOFIYANSAH
30 AUFAL MAROM
31 NAJMA ASSALWA
32 HADIYANTO
33 KIMAH
34 ELMAHIRA ATHAYA ARUNA
35 HERMANTO
36 PARNI
37 NATIJATUL KHASANAH
38 EGI MAULANA FIKRI
39 SAKIYO
40 PIRNA
41 RISKI AJI SURATNO
42 ARIF ARDIYANTO
NIK TTL
3307146401150001 WONOSOBO , 24-01-2015
3307146709210001 27-09-2021
3307142708120002 WONOSOBO , 27-08-2012
3307140110100001 WONOSOBO , 01-10-2010
3307145501850001 WONOSOBO , 15-01-1985
WONOSOBO , 13-11-2003
WONOSOBO , 03-12-2016
3307146504950003 WONOSOBO , 18-03-1980
3307144301140001 WONOSOBO , 04-08-2006
3307145707220001 17/07/2022
3307146802170002 WONOSOBO , 28-02-2017
3307140102130002 WONOSOBO , 01-02-2013
3307147112590033
33017142601050002 26-01-2005
3307146407090003 24-07-2009
3307141408110001 14-08-2011
3307146107230001 21-07-2023
5/8/2021
3307146104460001 WONOSOBO , 21-04-1946
3307142507830001 WONOSOBO , 25-07-1983
3307142704050003 WONOSOBO , 27-04-2005
3307141109220001 11-09-2022
3307144412220002 4/12/2022
3307140805920008 WONOSOBO , 08-05-1992
3307146710020001 WONOSOBO , 27-10-2002
3307146903200002 23-03-2020
3307142704820005 WONOSOBO , 27-04-1982
3307145812830003 WONOSOBO , 18-12-1983
3307142306060005 WONOSOBO , 23-06-2006
3307141306120001 WONOSOBO , 13-06-2012
3307145601230001 16-01-2023
3209152309860001 CIREBON , 23-09-1986
3307144102930002 WONOSOBO , 01-02-1993
3307145307200001 13-07-2020
3307140802770003 WONOSOBO , 08-02-1977
3307034301900013 WONOSOBO , 03-01-1990
3307145404120001 WONOSOBO , 14-04-2012
3307141810230001 18-10-2023
3307142711900003 WONOSOBO , 27-11-1990
3307146802930007 WONOSOBO , 28-02-1993
3307141310170001 WONOSOBO , 13-10-2017
3307142505110001 WONOSOBO , 25-05-2011
43 HARYANTO 3307140401690003 WONOSOBO , 04-01-1969
44 WAGINEM 3307145110740002 WONOSOBO , 11-10-1974
45 BAROKAH 3307140409030002 WONOSOBO , 04-09-2003
46 N AMAD SUWARSONO 620701011690001 1/10/1969
47 PONISIH 6207014608730005 6/8/1973
48 DADI SUNANDI 3205051905770002 GARUT , 19-05-1977
49 ENI 3307146510880002 WONOSOBO , 25-10-1988
50 HILWA AZKIA KHAIRUNNISA 3307145203120003 WONOSOBO , 12-03-2012
51 ARVINO FAEYZA ANDREAS 3307143011160002 WONOSOBO , 30-11-2016
52 KIMIN 3307140108880001 WONOSOBO , 01-08-1988
53 MUHAMMAD RIFQI NAILU ATHOILLA 3307141704150001 WONOSOBO , 17-04-2015
54 DYAH PRAVITA SARI 3307144208950004 WONOSOBO , 02-08-1995
55 ZIDNA ZIFARA LUTFIKA 33071447105210002 31-05-2001
56 WINTONO 3307140608600002 WONOSOBO , 06-08-1960
57 JIAH 3307145203620002 WONOSOBO , 12-03-1962
58 ADITAMA ELVAN SAHREZA 3307143112220002 31-12-2022
59 MAIRA TAVISHA AYUNDA 3307145612200001 16-12-2020
60 SARINAH 3307144403670004 WONOSOBO , 04-03-1967
61 MUHAMAD NADZIF RAMDHANI 3307140206190001 WONOSOBO , 02-06-2019
62 AULIFKA YUMNA AYDILLA 3307144608210001 6/8/2021
63 ENI 3307105809910009 WONOSOBO , 18-09-1991
64 AISYAH NUR KHUSNA 3307144711220002 7/11/2022
65 MARWAN 3307142003920001 WONOSOBO , 20-03-1992
66 BARSIH 3307144509950004 WONOSOBO , 05-09-1995
67 TEGAR ADI TIAWAN 3307142804120001 WONOSOBO , 28-04-2012
68 FARIZ ZIDAN ALFARENDRA 3307142607200003 26-07-2020
69 ANISA DEFIANA NUR AZIZAH 3307144512190001 5/12/2019
70 ASRAF DAIYAN JIORDANIYAL 3307142106210001 21-06-2021
71 TUTUR 3307144704610002 7/4/1961
72 MUHAMAMAD REHAN RAMADHA 3307140903230001 9/3/2023
73 LIANA DEWI 3307147005990002 WONOSOBO , 30-05-1999
Suyanto 3307141109570002
Mahrodi 3307141206480004