Register PoliKlinik (5920240206114612)

No UPTD Poli/KlinikStatus Tanggal No Index Nama Alamat Kota Kecamatan
1 WonokusuGIGI Selesai 12-01-202 00.0.03.24ADIFA NAI BULAK SARISURABAYASEMAMPIR

2 WonokusuGIGI Selesai 12-01-202 00.0.03.42AHMAD MIBULAK RUKSURABAYASEMAMPIR
3 WonokusuGIGI Selesai 12-01-202 00.0.03.25AKIFA NAILWONOSARIUNSPECIFI UNSPECIFI
4 WonokusuGIGI Selesai 12-01-202 00.0.03.67AMINA TUZWONOKUSU SURABAYASEMAMPIR
5 WonokusuGIGI Selesai 12-01-202 00.0.01.30ANDRI SANTENGGUMU SURABAYASEMAMPIR
6 WonokusuGIGI Selesai 12-01-202 00.0.03.13ANISA RA WONOSARISURABAYASEMAMPIR
7 WonokusuGIGI Selesai 12-01-202 90.0.02.31DJAMILA JATIPURWO SURABAYASEMAMPIR
8 WonokusuGIGI Selesai 12-01-202 00.0.02.23DJUARTI BULAK SARISURABAYASEMAMPIR
9 WonokusuGIGI Selesai 12-01-202 90.0.02.70DJUMLIAT WONOKUSSURABAYASEMAMPIR
10 WonokusuGIGI Selesai 12-01-202 00.0.02.17ETIK SUSI ENDROSONSURABAYASEMAMPIR
11 WonokusuGIGI Selesai 12-01-202 00.0.03.4 FERDINANDMRUTU KAL SURABAYASEMAMPIR
12 WonokusuGIGI Selesai 12-01-202 90.0.03.70IRVINA AUWONOKUSUNSPECIFI SEMAMPIR
13 WonokusuGIGI Selesai 12-01-202 00.0.03.41LAELATUS TENGGUMU SURABAYASEMAMPIR
14 WonokusuGIGI Selesai 12-01-202 00.0.02.34LATIPAH ENDROSONSURABAYASEMAMPIR
15 WonokusuGIGI Selesai 12-01-202 00.0.03.20MEGA RUKWONOKUSU SURABAYASEMAMPIR
16 WonokusuGIGI Selesai 12-01-202 00.0.03.35MOH. ABDU bulak jaya UNSPECIFI UNSPECIFI
17 WonokusuGIGI Selesai 12-01-202 00.0.03.35MUHAMMAD TENGGUMU SURABAYAUNSPECIFIED
18 WonokusuGIGI Selesai 12-01-202 00.0.03.35NABILA CABULAK JAYSURABAYASEMAMPIR
19 WonokusuGIGI Selesai 12-01-202 00.0.03.10NADIA AZZWONOSARISURABAYASEMAMPIR
20 WonokusuGIGI Selesai 12-01-202 00.0.03.91OKTAVIA MRUTU KAL SURABAYASEMAMPIR
21 WonokusuGIGI Selesai 12-01-202 00.0.03.34ONY DWI TWONOKUSU SURABAYASEMAMPIR
22 WonokusuGIGI Selesai 12-01-202 00.0.02.87PUSPITA BULAKSARISURABAYASEMAMPIR
23 WonokusuGIGI Selesai 12-01-202 00.0.03.39RAFELA K TENGGUMU SURABAYASEMAMPIR
24 WonokusuGIGI Selesai 12-01-202 00.0.03.12RENA OKTAWONOKUSU SURABAYASEMAMPIR
25 WonokusuGIGI Selesai 12-01-202 00.0.02.32ROMLAH AWONOSARISURABAYASEMAMPIR
26 WonokusuGIGI Selesai 12-01-202 00.0.03.32SAKINAH ZWONOSARISURABAYASEMAMPIR
27 WonokusuGIGI Selesai 12-01-202 00.0.03.17SITI ZULFA TENGGUMU UNSPECIFIED
28 WonokusuGIGI Selesai 12-01-202 00.0.02.10SULAMI WONOKUSU SURABAYASEMAMPIR
29 WonokusuGIGI Selesai 12-01-202 00.0.02.22SURYANING TENGGUMU SURABAYASEMAMPIR
30 WonokusuGIGI Selesai 12-01-202 00.0.03.11ZAMIL RAKENDROSONSURABAYASEMAMPIR
31 WonokusuGIGI Selesai 13-01-202 00.0.03.21ALFIA KURNTENGGUMU SURABAYASEMAMPIR
32 WonokusuGIGI Selesai 13-01-202 90.0.03.1 ALISHA KHBULAK RUKUNSPECIFIED
33 WonokusuGIGI Selesai 13-01-202 00.0.03.23AQILA NURBULAK SARIUNSPECIFIED
34 WonokusuGIGI Selesai 13-01-202 00.0.03.13ARINIL HU BULAK JAYSURABAYASEMAMPIR
35 WonokusuGIGI Selesai 13-01-202 90.0.03.58ASHABUL KSAWAH PUL SURABAYASEMAMPIR
36 WonokusuGIGI Selesai 13-01-202 00.0.03.11AURELLIA WONOSARISURABAYASEMAMPIR
37 WonokusuGIGI Selesai 13-01-202 00.0.03.17AZKA AIN WONOSARIUNSPECIFI UNSPECIFI
38 WonokusuGIGI Selesai 13-01-202 00.0.03.16AZ'ZAHRA WONOKUSU SURABAYASEMAMPIR
39 WonokusuGIGI Selesai 13-01-202 00.0.03.37ERLANGGAENDROSONSURABAYASEMAMPIR
40 WonokusuGIGI Selesai 13-01-202 00.0.03.64HAFLAIKA TENGGGUM UNSPECIFI SEMAMPIR
41 WonokusuGIGI Selesai 13-01-202 00.0.01.30HARMAJI, SWONOSARIUNSPECIFI SEMAMPIR
42 WonokusuGIGI Selesai 13-01-202 00.0.03.85ILHAM ALFTENGGUMU SURABAYASEMAMPIR
43 WonokusuGIGI Selesai 13-01-202 00.0.03.42JINAN FAK BULAK RUKSURABAYASEMAMPIR
44 WonokusuGIGI Selesai 13-01-202 00.0.03.31MARVEL WIWONOSARISURABAYASEMAMPIR
45 WonokusuGIGI Selesai 13-01-202 00.0.03.26MIFTAHULWONOKUSU SURABAYASEMAMPIR
46 WonokusuGIGI Selesai 13-01-202 00.0.03.45MUHAMMAD WONOSARIUNSPECIFI UNSPECIFI
47 WonokusuGIGI Selesai 13-01-202 00.0.03.50MUHAMMAD BULAK SARISURABAYASEMAMPIR
48 WonokusuGIGI Selesai 13-01-202 00.0.03.13NABHAN AB WONOSARISURABAYASEMAMPIR
49 WonokusuGIGI Selesai 13-01-202 00.0.03.10NAYLATUL ENDROSONSURABAYASEMAMPIR
50 WonokusuGIGI Selesai 13-01-202 00.0.02.48PINANTI Wonosari SURABAYASEMAMPIR
51 WonokusuGIGI Selesai 13-01-202 00.0.03.25REYHAN SATENGGUMU SURABAYASEMAMPIR
52 WonokusuGIGI Selesai 13-01-202 00.0.02.15SALMAH TENGGUMU SURABAYASEMAMPIR
53 WonokusuGIGI Selesai 13-01-202 00.0.03.29SHABRINA WONOKUSU SURABAYASEMAMPIR
54 WonokusuGIGI Selesai 13-01-202 00.0.03.82SULTHON MRUTU KAL SURABAYASEMAMPIR
55 WonokusuGIGI Selesai 13-01-202 90.0.02.19SUMAH DSN PANGUNSPECIFI SEMAMPIR
56 WonokusuGIGI Selesai 13-01-202 90.0.02.86SYAFAATTHDSN BENT UNSPECIFI UNSPECIFI
57 WonokusuGIGI Selesai 13-01-202 90.0.01.10UMAR HUSPERUM AMI SURABAYASEMAMPIR
58 WonokusuGIGI Selesai 13-01-202 90.0.03.18ZAINA FILLWONOKUSU UNSPECIFIED
59 WonokusuGIGI Selesai 15-01-202 00.0.01.33AGUS PRIYWONOSARISURABAYASEMAMPIR
60 WonokusuGIGI Selesai 15-01-202 00.0.02.27AINUR MAU TENGGUMU SURABAYASEMAMPIR
61 WonokusuGIGI Selesai 15-01-202 00.0.03.40ALFIA FRANBULAK RUKSURABAYASEMAMPIR
62 WonokusuGIGI Selesai 15-01-202 00.0.03.18ALVARENDR WONOSARISURABAYASEMAMPIR
63 WonokusuGIGI Selesai 15-01-202 00.0.02.56ANA KURNIWONOSARISURABAYASEMAMPIR
64 WonokusuGIGI Selesai 15-01-202 00.0.01.21ARI BAGUSMRUTU KAL SURABAYASEMAMPIR
65 WonokusuGIGI Selesai 15-01-202 00.0.01.33DARSINO WONOKUSU SURABAYASEMAMPIR
66 WonokusuGIGI Selesai 15-01-202 00.0.03.70DINA YUNITENGGUMU SURABAYASEMAMPIR
67 WonokusuGIGI Selesai 15-01-202 00.0.01.84FAISOL BULAK JAYA
SURABAYASEMAMPIR
68 WonokusuGIGI Selesai 15-01-202 00.0.02.36FAIZAH WONOSARISURABAYASEMAMPIR
69 WonokusuGIGI Selesai 15-01-202 00.0.03.34FERDY ARIFWONOSARISURABAYASEMAMPIR
70 WonokusuGIGI Selesai 15-01-202 00.0.02.57FITRIAWATTENGGUMU SURABAYASEMAMPIR
71 WonokusuGIGI Selesai 15-01-202 00.0.02.69HOSSAIMAWONOSARISURABAYASEMAMPIR
72 WonokusuGIGI Selesai 15-01-202 00.0.02.17INDAH SARWONOSARISURABAYASEMAMPIR
73 WonokusuGIGI Selesai 15-01-202 00.0.02.17LULUK PEBWONOSARISURABAYASEMAMPIR
74 WonokusuGIGI Selesai 15-01-202 00.0.01.25MARENDRAWONOSARISURABAYASEMAMPIR
75 WonokusuGIGI Selesai 15-01-202 00.0.03.48MEISYA OKMRUTU KAL SURABAYASEMAMPIR
76 WonokusuGIGI Selesai 15-01-202 00.0.03.47MILA RAMWONOKUSUM SURABAYASEMAMPIR
77 WonokusuGIGI Selesai 15-01-202 00.0.02.21MISNIA WONOSARISURABAYASEMAMPIR
78 WonokusuGIGI Selesai 15-01-202 00.0.01.15MOCH. JASBULAK RUKSURABAYASEMAMPIR
79 WonokusuGIGI Selesai 15-01-202 00.0.01.46M. SOLEH TENGGUMU SURABAYASEMAMPIR
80 WonokusuGIGI Selesai 15-01-202 90.0.01.12MUHAMMAD SIDOTOPO SURABAYASEMAMPIR
81 WonokusuGIGI Selesai 15-01-202 00.0.03.27MUHAMMAD WONOSARISURABAYASEMAMPIR
82 WonokusuGIGI Selesai 15-01-202 00.0.01.35MULYONOEndrosonoSURABAYASEMAMPIR
83 WonokusuGIGI Selesai 15-01-202 00.0.02.18NUNUK HAWONOKUSU SURABAYASEMAMPIR
84 WonokusuGIGI Selesai 15-01-202 00.0.02.31NUNUK SETTENGGUMU UNSPECIFI SEMAMPIR
85 WonokusuGIGI Selesai 15-01-202 00.0.01.10NURUL AFIWONOSARISURABAYASEMAMPIR
86 WonokusuGIGI Selesai 15-01-202 00.0.02.87PUSPITA BULAKSARISURABAYASEMAMPIR
87 WonokusuGIGI Selesai 15-01-202 00.0.02.46SANTI TENGGUMU SURABAYASEMAMPIR
88 WonokusuGIGI Selesai 15-01-202 00.0.02.15SITI DJUARWONOKUSU SURABAYASEMAMPIR
89 WonokusuGIGI Selesai 15-01-202 00.0.03.16SITI ZAINA WONOSARISURABAYASEMAMPIR
90 WonokusuGIGI Selesai 15-01-202 00.0.02.40SUHRIYAH BULAK RUKSURABAYASEMAMPIR
91 WonokusuGIGI Selesai 15-01-202 00.0.02.25SURIP TENGGUMU SURABAYASEMAMPIR
92 WonokusuGIGI Selesai 15-01-202 00.0.01.19UMAR ALI TENGGUMU UNSPECIFI UNSPECIFI
93 WonokusuGIGI Selesai 16-01-202 00.0.01.70ABDI MANTENGGUMU SURABAYASEMAMPIR
94 WonokusuGIGI Selesai 16-01-202 00.0.03.97ACHMAD BWONOKUSSURABAYASEMAMPIR
95 WonokusuGIGI Selesai 16-01-202 00.0.02.41ADELLIA C WONOSARISURABAYASEMAMPIR
96 WonokusuGIGI Selesai 16-01-202 00.0.01.10AKHMAD A/WONOSARSURABAYASEMAMPIR
97 WonokusuGIGI Selesai 16-01-202 00.0.03.17ALFARIEL ENDROSONSURABAYASEMAMPIR
98 WonokusuGIGI Selesai 16-01-202 00.0.02.50DESAK PUTTenggumung SURABAYASEMAMPIR
99 WonokusuGIGI Selesai 16-01-202 00.0.03.35DINA ANG BULAK SARUNSPECIFI UNSPECIFI
100 WonokusuGIGI Selesai 16-01-202 00.0.02.55FITRA YUNIBULAK RUKSURABAYASEMAMPIR
101 WonokusuGIGI Selesai 16-01-202 00.0.02.17HERNANIKWONOSARISURABAYASEMAMPIR
102 WonokusuGIGI Selesai 16-01-202 00.0.02.21HUSNUL HTENGGUMU SURABAYASEMAMPIR
103 WonokusuGIGI Selesai 16-01-202 00.0.02.13IDA WULANWONOSARISURABAYASEMAMPIR
104 WonokusuGIGI Selesai 16-01-202 00.0.03.85ILHAM ALFTENGGUMU SURABAYASEMAMPIR
105 WonokusuGIGI Selesai 16-01-202 00.0.03.17kevin adi ENDROSONSURABAYASEMAMPIR
106 WonokusuGIGI Selesai 16-01-202 90.0.02.12KHOIRUN NDSN TAMAUNSPECIFIED
107 WonokusuGIGI Selesai 16-01-202 00.0.03.40MOCH HILATENGGUMU SURABAYASEMAMPIR
108 WonokusuGIGI Selesai 16-01-202 00.0.03.96MUHAMMAD BULAK RUKSURABAYASEMAMPIR
109 WonokusuGIGI Selesai 16-01-202 00.0.03.34MUHAMMAD ENDROSONSURABAYASEMAMPIR
110 WonokusuGIGI Selesai 16-01-202 00.0.03.28MUHAMMA TENGGUMU SURABAYASEMAMPIR
111 WonokusuGIGI Selesai 16-01-202 90.0.02.10MUSARROFDSN GLUGU UNSPECIFI UNSPECIFI
112 WonokusuGIGI Selesai 16-01-202 00.0.03.16NASYIVA HU WONOSARISURABAYASEMAMPIR
113 WonokusuGIGI Selesai 16-01-202 00.0.03.35PUTRIMA TENGGUMU SURABAYASEMAMPIR
114 WonokusuGIGI Selesai 16-01-202 00.0.02.12RATU INAYWONOSARISURABAYASEMAMPIR
115 WonokusuGIGI Selesai 16-01-202 00.0.02.55RETNO PRATENGGUMU SURABAYASEMAMPIR
117 WonokusuGIGI Selesai 16-01-202 00.0.02.39ROMLAH TENGGUMU SURABAYASEMAMPIR
118 WonokusuGIGI Selesai 16-01-202 00.0.02.12RUSMIATI WONOSARISURABAYASEMAMPIR
119 WonokusuGIGI Selesai 16-01-202 00.0.02.20RUSMINAHBULAK SARISURABAYASEMAMPIR
120 WonokusuGIGI Selesai 16-01-202 00.0.03.60SINDY AMEBULAK SARISURABAYASEMAMPIR
121 WonokusuGIGI Selesai 16-01-202 00.0.03.21SITI KOMAENDROSONSURABAYASEMAMPIR
122 WonokusuGIGI Selesai 16-01-202 00.0.03.49UWAIS AL WONOKUSU UNSPECIFI SEMAMPIR
123 WonokusuGIGI Selesai 16-01-202 00.0.03.10WAHYU HETENGGUMU SURABAYASEMAMPIR
124 WonokusuGIGI Selesai 16-01-202 90.0.02.15WIJI WAHYBOGEN 15 SURABAYATAMBAK SA
125 WonokusuGIGI Selesai 17-01-202 00.0.03.41ABILA FAIRWONOSARIUNSPECIFI UNSPECIFI
126 WonokusuGIGI Selesai 17-01-202 00.0.03.56ACHMAD MWONOSARISURABAYASEMAMPIR
127 WonokusuGIGI Selesai 17-01-202 00.0.03.72ALIF RISKY WONOSARISURABAYASEMAMPIR
129 WonokusuGIGI Selesai 17-01-202 00.0.02.61DIAN NABIWONOKUSU SURABAYASEMAMPIR
131 WonokusuGIGI Selesai 17-01-202 00.0.02.17HERNANIKWONOSARISURABAYASEMAMPIR
132 WonokusuGIGI Selesai 17-01-202 00.0.02.13HUSNUL HENDROSONO SURABAYASEMAMPIR
133 WonokusuGIGI Selesai 17-01-202 00.0.02.21IBNA MRUTU KALSURABAYASEMAMPIR
135 WonokusuGIGI Selesai 17-01-202 00.0.02.18KOMARIYAWONOSARISURABAYASEMAMPIR
136 WonokusuGIGI Selesai 17-01-202 00.0.02.25LINDA SUL WONOSARISURABAYASEMAMPIR
137 WonokusuGIGI Selesai 17-01-202 00.0.03.40MAISAROHWONOSARIUNSPECIFIED
138 WonokusuGIGI Selesai 17-01-202 00.0.02.20MEILIYANI WONOSARISURABAYASEMAMPIR
139 WonokusuGIGI Selesai 17-01-202 00.0.03.96MOCHAMAD WONOSARISURABAYASEMAMPIR
140 WonokusuGIGI Selesai 17-01-202 00.0.02.87NABILA ASWONOSARISURABAYASEMAMPIR
141 WonokusuGIGI Selesai 17-01-202 00.0.03.8 NABILA NAMRUTU KAL SURABAYASEMAMPIR
142 WonokusuGIGI Selesai 17-01-202 00.0.03.61NADYA AZ WONOKUSUM SURABAYASEMAMPIR
143 WonokusuGIGI Selesai 17-01-202 90.0.03.66NI PUTU GIBULAK BANSURABAYAKENJERAN
144 WonokusuGIGI Selesai 17-01-202 00.0.03.68RAFAEL PRTENGGUMU SURABAYASEMAMPIR
145 WonokusuGIGI Selesai 17-01-202 00.0.02.23SADAH BULAK SARISURABAYASEMAMPIR
146 WonokusuGIGI Selesai 17-01-202 00.0.01.14SOEMADI WONOKUSU SURABAYASEMAMPIR
147 WonokusuGIGI Selesai 17-01-202 00.0.02.40SUHRIYAH BULAK RUKSURABAYASEMAMPIR
148 WonokusuGIGI Selesai 17-01-202 00.0.02.20TITIK HANDBULAK JAYSURABAYASEMAMPIR
149 WonokusuGIGI Selesai 17-01-202 00.0.02.34ULFATUN WONOSARISURABAYASEMAMPIR
150 WonokusuGIGI Selesai 17-01-202 00.0.03.14VALINTINOTENGGUMU SURABAYASEMAMPIR
151 WonokusuGIGI Selesai 17-01-202 00.0.03.11ZAMIL RAKENDROSONSURABAYASEMAMPIR
152 WonokusuGIGI Selesai 18-01-202 00.0.03.18AINUN AISWONOSARISURABAYASEMAMPIR
153 WonokusuGIGI Selesai 18-01-202 90.0.03.29AKHTAR AZSIDOTOPO UNSPECIFI UNSPECIFI
154 WonokusuGIGI Selesai 18-01-202 00.0.03.31ARINAHA HTENGGUMU UNSPECIFIED
155 WonokusuGIGI Selesai 18-01-202 00.0.03.14ARKA PRATWONOSARISURABAYASEMAMPIR
156 WonokusuGIGI Selesai 18-01-202 00.0.03.45BRYLIAN ATENGGUMU UNSPECIFI UNSPECIFI
157 WonokusuGIGI Selesai 18-01-202 00.0.03.44DOLAR TRIWONOKUSU SURABAYASEMAMPIR
158 WonokusuGIGI Selesai 18-01-202 00.0.01.84FAISOL BULAK JAYA
SURABAYASEMAMPIR
160 WonokusuGIGI Selesai 18-01-202 00.0.03.27HANA AULIBULAK JAYSURABAYASEMAMPIR
161 WonokusuGIGI Selesai 18-01-202 00.0.02.26HUSNUL K DUKUH BUSURABAYAKENJERAN
162 WonokusuGIGI Selesai 18-01-202 00.0.02.52LEDDY SEPENDROSONSURABAYASEMAMPIR
163 WonokusuGIGI Selesai 18-01-202 00.0.03.36MAHFUDHO WONOSARISURABAYASEMAMPIR
164 WonokusuGIGI Selesai 18-01-202 90.0.02.36MAHMUDAWONOKUSU SURABAYASEMAMPIR
165 WonokusuGIGI Selesai 18-01-202 00.0.02.304MAISON BULAK RUKSURABAYASEMAMPIR
166 WonokusuGIGI Selesai 18-01-202 00.0.03.22M ARSHAKA WONOSARISURABAYASEMAMPIR
167 WonokusuGIGI Selesai 18-01-202 00.0.03.21MELY AMAL TENGGUMU SURABAYASEMAMPIR
168 WonokusuGIGI Selesai 18-01-202 00.0.02.21MISNIA WONOSARISURABAYASEMAMPIR
170 WonokusuGIGI Selesai 18-01-202 00.0.03.21NAELA YASTENGGUMU SURABAYASEMAMPIR
171 WonokusuGIGI Selesai 18-01-202 90.0.02.13NANI SUPIJRAWA BARU SURABAYASEMAMPIR
172 WonokusuGIGI Selesai 18-01-202 00.0.03.29NAUVA SHA WONOKUSU SURABAYASEMAMPIR
173 WonokusuGIGI Selesai 18-01-202 00.0.02.34NENI KUNTWONOSARISURABAYASEMAMPIR
175 WonokusuGIGI Selesai 18-01-202 00.0.02.31SITI ROCH MRUTU KAL SURABAYASEMAMPIR
176 WonokusuGIGI Selesai 18-01-202 90.0.02.17SUMROTI SIDOTOPO SURABAYASEMAMPIR
177 WonokusuGIGI Selesai 18-01-202 00.0.01.17SUNARDI WONOSARISURABAYASEMAMPIR
178 WonokusuGIGI Selesai 18-01-202 00.0.03.10ZAHWA ATH WONOKUSU SURABAYASEMAMPIR
179 WonokusuGIGI Selesai 19-01-202 00.0.01.13AMINUDINWONOSARISURABAYASEMAMPIR
180 WonokusuGIGI Selesai 19-01-202 00.0.02.18AYUNDA FIBULAK RUKSURABAYASEMAMPIR
181 WonokusuGIGI Selesai 19-01-202 00.0.02.22BADRIYAH WONOSARISURABAYASEMAMPIR
182 WonokusuGIGI Selesai 19-01-202 00.0.02.15BUNAMA TENGGUMU SURABAYASEMAMPIR
183 WonokusuGIGI Selesai 19-01-202 00.0.03.88DEVAN MAWONOSARISURABAYASEMAMPIR
186 WonokusuGIGI Selesai 19-01-202 90.0.02.15ERNA NURDSN DSERAUNSPECIFI UNSPECIFI
187 WonokusuGIGI Selesai 19-01-202 00.0.03.53HAFIDZAH BULAK SARSURABAYASEMAMPIR
188 WonokusuGIGI Selesai 19-01-202 00.0.01.20HANIF BAGTENGGUMU SURABAYASEMAMPIR
189 WonokusuGIGI Selesai 19-01-202 90.0.02.17KRISTIN SIDOMULYO SURABAYAKENJERAN
190 WonokusuGIGI Selesai 19-01-202 00.0.03.41LAILI SAKI TENGGUMU SURABAYASEMAMPIR
191 WonokusuGIGI Selesai 19-01-202 00.0.03.28LILIK INDA WONOKUSU SURABAYASEMAMPIR
192 WonokusuGIGI Selesai 19-01-202 00.0.03.25 MARYAM D WONOSARISURABAYASEMAMPIR
193 WonokusuGIGI Selesai 19-01-202 00.0.02.24MASRIFAHBULAK RUKSURABAYASEMAMPIR
195 WonokusuGIGI Selesai 19-01-202 00.0.03.27MUHAMMAD WONOSARIUNSPECIFIED
196 WonokusuGIGI Selesai 19-01-202 00.0.03.17NADHIFATU WONOSARISURABAYASEMAMPIR
198 WonokusuGIGI Selesai 19-01-202 00.0.02.30PATIYAH BULAK RUKSURABAYASEMAMPIR
199 WonokusuGIGI Selesai 19-01-202 00.0.03.56SALWA MAWONOSARISURABAYASEMAMPIR
200 WonokusuGIGI Selesai 19-01-202 00.0.03.56SILATUR TENGGUMU SURABAYASEMAMPIR
201 WonokusuGIGI Selesai 19-01-202 00.0.02.52TUTI SUGIABULAK SARSURABAYASEMAMPIR
202 WonokusuGIGI Selesai 19-01-202 00.0.03.35UBAIDILLAWONOKUSU UNSPECIFI SEMAMPIR
203 WonokusuGIGI Selesai 19-01-202 00.0.02.14WAHYU RABULAK SARISURABAYASEMAMPIR
204 WonokusuGIGI Selesai 19-01-202 00.0.02.43ZUFAIROH WONOSARISURABAYASEMAMPIR
205 WonokusuGIGI Selesai 20-01-202 00.0.03.38ADEEVA SHWONOSARIUNSPECIFI UNSPECIFI
206 WonokusuGIGI Selesai 20-01-202 00.0.03.43ADELLIA COWONOKUSU SURABAYASEMAMPIR
207 WonokusuGIGI Selesai 20-01-202 00.0.03.22ALVINA D BULAK RUKSURABAYASEMAMPIR
209 WonokusuGIGI Selesai 20-01-202 90.0.03.58ASHABUL KSAWAH PUL SURABAYASEMAMPIR
210 WonokusuGIGI Selesai 20-01-202 00.0.03.31DEWI KUROWONOSARISURABAYASEMAMPIR
211 WonokusuGIGI Selesai 20-01-202 90.0.01.10DWI KURNDUKUH SETSURABAYATAMBAK SA
212 WonokusuGIGI Selesai 20-01-202 00.0.03.34FINA AZKAENDROSONSURABAYASEMAMPIR
213 WonokusuGIGI Selesai 20-01-202 00.0.01.15HOIRUL FADUSUN BASAMPANG KEDUNGD
214 WonokusuGIGI Selesai 20-01-202 90.0.03.10HOLY N.R. WONOKUSU SURABAYASEMAMPIR
215 WonokusuGIGI Selesai 20-01-202 00.0.02.16IMAWATI TENGGUMU SURABAYASEMAMPIR
216 WonokusuGIGI Selesai 20-01-202 00.0.03.32INDAH SUCTENGGUMU SURABAYASEMAMPIR
217 WonokusuGIGI Selesai 20-01-202 00.0.02.62JUARIYA ENDROSONSURABAYASEMAMPIR
218 WonokusuGIGI Selesai 20-01-202 00.0.03.33KHADIJAH AWONOSARISURABAYASEMAMPIR
219 WonokusuGIGI Selesai 20-01-202 00.0.03.33KRISHNA FATENGGUMU SURABAYASEMAMPIR
220 WonokusuGIGI Selesai 20-01-202 00.0.03.13LATIF ENDROSONUNSPECIFI SEMAMPIR
223 WonokusuGIGI Selesai 20-01-202 90.0.02.8 MILLATUS SWONOKUSU UNSPECIFIED
224 WonokusuGIGI Selesai 20-01-202 00.0.01.22MOCH. ALVBULAK RUKSURABAYASEMAMPIR
225 WonokusuGIGI Selesai 20-01-202 00.0.03.10NAYLATUL ENDROSONSURABAYASEMAMPIR
226 WonokusuGIGI Selesai 20-01-202 00.0.03.42NAZLA SAFWONOKUSU UNSPECIFI SEMAMPIR
227 WonokusuGIGI Selesai 20-01-202 00.0.02.33NOVIATUL WONOSARISURABAYASEMAMPIR
228 WonokusuGIGI Selesai 20-01-202 00.0.01.48OKTORIS DWONOSARIUNSPECIFI SEMAMPIR
229 WonokusuGIGI Selesai 20-01-202 00.0.01.51PARDOYO,WONOKUSU SURABAYASEMAMPIR
232 WonokusuGIGI Selesai 20-01-202 00.0.01.58SUKALAM WONOSARIUNSPECIFI SEMAMPIR
233 WonokusuGIGI Selesai 20-01-202 00.0.01.36WIWIN PRIWONOSARISURABAYASEMAMPIR
234 WonokusuGIGI Selesai 20-01-202 00.0.02.31YUYUS RIHWONOSARISURABAYASEMAMPIR
235 WonokusuGIGI Selesai 20-01-202 00.0.03.10ZAHWA ATH WONOKUSU SURABAYASEMAMPIR
237 WonokusuGIGI Selesai 22-01-202 00.0.03.97ACHMAD BWONOKUSSURABAYASEMAMPIR
238 WonokusuGIGI Selesai 22-01-202 00.0.02.27AINUR MAU TENGGUMU SURABAYASEMAMPIR
239 WonokusuGIGI Selesai 22-01-202 00.0.03.12ALIFIA SA TENGGUMU SURABAYASEMAMPIR
240 WonokusuGIGI Selesai 22-01-202 00.0.03.72ALIF RISKY WONOSARISURABAYASEMAMPIR
241 WonokusuGIGI Selesai 22-01-202 00.0.03.31ANDI BAGATENGGUMU UNSPECIFIED
242 WonokusuGIGI Selesai 22-01-202 00.0.03.35Aqira azah WonokusumUNSPECIFIED
244 WonokusuGIGI Selesai 22-01-202 00.0.03.35DINA ANG BULAK SARUNSPECIFI UNSPECIFI
245 WonokusuGIGI Selesai 22-01-202 00.0.03.32DWI SIGIT TENGGUMU SURABAYASEMAMPIR
246 WonokusuGIGI Selesai 22-01-202 00.0.03.37EVANO KAIWONOSARIUNSPECIFI UNSPECIFI
247 WonokusuGIGI Selesai 22-01-202 00.0.03.8 FERY YAN MRUTU KAL SURABAYASEMAMPIR
248 WonokusuGIGI Selesai 22-01-202 00.0.03.10GOLDY N.RWONOKUSU SURABAYASEMAMPIR
249 WonokusuGIGI Selesai 22-01-202 00.0.01.35HENDRA K WONOSARIUNSPECIFI SEMAMPIR
251 WonokusuGIGI Selesai 22-01-202 00.0.02.21HUSNUL HTENGGUMU SURABAYASEMAMPIR
252 WonokusuGIGI Selesai 22-01-202 00.0.03.48MEISYA OKMRUTU KAL SURABAYASEMAMPIR
253 WonokusuGIGI Selesai 22-01-202 00.0.03.13MIKHAYLA WONOKUSUM SURABAYASEMAMPIR
254 WonokusuGIGI Selesai 22-01-202 00.0.03.47MILA RAMWONOKUSUM SURABAYASEMAMPIR
255 WonokusuGIGI Selesai 22-01-202 00.0.03.26MOCH. RAWONOKUSU UNSPECIFI UNSPECIFI
256 WonokusuGIGI Selesai 22-01-202 90.0.01.10NAZAMUDIWONOKUSU SURABAYASEMAMPIR
258 WonokusuGIGI Selesai 22-01-202 00.0.03.68RAFAEL PRTENGGUMU SURABAYASEMAMPIR
259 WonokusuGIGI Selesai 22-01-202 00.0.03.17RAMADHAN WONOSARISURABAYASEMAMPIR
260 WonokusuGIGI Selesai 22-01-202 00.0.02.27RHOMSIYATENGGUMU SURABAYASEMAMPIR
261 WonokusuGIGI Selesai 22-01-202 00.0.02.31ROHIYAH WONOSARISURABAYASEMAMPIR
262 WonokusuGIGI Selesai 22-01-202 00.0.03.49SILVIA DA TENGGUMU SURABAYASEMAMPIR
263 WonokusuGIGI Selesai 22-01-202 00.0.02.32SITI ANISA WONOSARISURABAYASEMAMPIR
264 WonokusuGIGI Selesai 22-01-202 00.0.02.15SITI DJUARWONOKUSU SURABAYASEMAMPIR
265 WonokusuGIGI Selesai 22-01-202 90.0.03.23SITI RUMI BULAK BANSURABAYAKENJERAN
266 WonokusuGIGI Selesai 22-01-202 00.0.02.21SUHRIYAH TENGGUMU SURABAYASEMAMPIR
268 WonokusuGIGI Selesai 22-01-202 00.0.03.22ZAHROTUSWONOSARIUNSPECIFIED
270 WonokusuGIGI Selesai 23-01-202 00.0.03.17ALFARIEL ENDROSONSURABAYASEMAMPIR
272 WonokusuGIGI Selesai 23-01-202 00.0.02.37ALFIYAH ENDROSONSURABAYASEMAMPIR
273 WonokusuGIGI Selesai 23-01-202 00.0.01.31ALI BULAK RUKSURABAYASEMAMPIR
275 WonokusuGIGI Selesai 23-01-202 00.0.02.50DESAK PUTTenggumung SURABAYASEMAMPIR
276 WonokusuGIGI Selesai 23-01-202 00.0.03.21DEZIANA WONOSARIUNSPECIFI SEMAMPIR
279 WonokusuGIGI Selesai 23-01-202 00.0.01.34DWI AGUS ENDROSONSURABAYASEMAMPIR
280 WonokusuGIGI Selesai 23-01-202 00.0.02.15ENDAH SUTENGGUMU SURABAYASEMAMPIR
281 WonokusuGIGI Selesai 23-01-202 00.0.02.32FARIYA WONOSARIUNSPECIFIED
282 WonokusuGIGI Selesai 23-01-202 00.0.03.41FATHUL BAWONOKUSU SURABAYASEMAMPIR
285 WonokusuGIGI Selesai 23-01-202 00.0.03.21KHEFI WONOSARISURABAYASEMAMPIR
286 WonokusuGIGI Selesai 23-01-202 90.0.03.10M. ZABRA KP PANGKAUNSPECIFI SEMAMPIR
288 WonokusuGIGI Selesai 23-01-202 00.0.03.18NUR HIDAYWONOSARISURABAYASEMAMPIR
291 WonokusuGIGI Selesai 23-01-202 90.0.03.52ROBBI VERTAMBAKSAR SURABAYATAMBAK SA
292 WonokusuGIGI Selesai 23-01-202 00.0.02.14ROHMATUWONOKUSU SURABAYASEMAMPIR
293 WonokusuGIGI Selesai 23-01-202 00.0.02.18ROVIATUL WONOKUSU SURABAYASEMAMPIR
294 WonokusuGIGI Selesai 23-01-202 00.0.02.12RUSMIATI WONOSARISURABAYASEMAMPIR
295 WonokusuGIGI Selesai 23-01-202 00.0.03.75SAVIRA NUBULAK RUKSURABAYASEMAMPIR
297 WonokusuGIGI Selesai 23-01-202 00.0.02.34SRI LESTAR WONOKUSSURABAYASEMAMPIR
301 WonokusuGIGI Selesai 23-01-202 00.0.03.15YURY AAR BULAK JAYSURABAYASEMAMPIR
304 WonokusuGIGI Selesai 24-01-202 00.0.01.28ABD. WASITENGGUMU SURABAYASEMAMPIR
305 WonokusuGIGI Selesai 24-01-202 00.0.03.56ACHMAD MWONOSARISURABAYASEMAMPIR
306 WonokusuGIGI Selesai 24-01-202 00.0.03.21AFINA MIFWONOSARISURABAYASEMAMPIR
307 WonokusuGIGI Selesai 24-01-202 00.0.03.22AMIRAH NBULAK RUKSURABAYASEMAMPIR
308 WonokusuGIGI Selesai 24-01-202 00.0.02.96ANIS MUJ BULAK RUKSURABAYASEMAMPIR
309 WonokusuGIGI Selesai 24-01-202 90.0.02.45DIYAH INDIKAN MUNG SURABAYAKREMBAN
311 WonokusuGIGI Selesai 24-01-202 00.0.03.18FABIAN WONOSARISURABAYASEMAMPIR
312 WonokusuGIGI Selesai 24-01-202 00.0.02.22FATMAH DMRUTU KAL SURABAYASEMAMPIR
313 WonokusuGIGI Selesai 24-01-202 00.0.03.34FERDY ARIFWONOSARISURABAYASEMAMPIR
314 WonokusuGIGI Selesai 24-01-202 00.0.02.13HUSNUL HENDROSONO SURABAYASEMAMPIR
316 WonokusuGIGI Selesai 24-01-202 90.0.03.10JAMALUDI JATISRONOSURABAYASEMAMPIR
317 WonokusuGIGI Selesai 24-01-202 90.0.02.92JUNIUS FOTAMBAK WE SURABAYAKENJERAN
318 WonokusuGIGI Selesai 24-01-202 00.0.02.17LULUK PEBWONOSARISURABAYASEMAMPIR
320 WonokusuGIGI Selesai 24-01-202 00.0.03.55M. AZAM WONOKUSU UNSPECIFI UNSPECIFI
322 WonokusuGIGI Selesai 24-01-202 00.0.03.53MUHAMMAD TENGGUMU UNSPECIFI UNSPECIFI
323 WonokusuGIGI Selesai 24-01-202 00.0.03.21NUR LAILATTENGGUMU SURABAYASEMAMPIR
325 WonokusuGIGI Selesai 24-01-202 00.0.03.58RYAN ADITWONOKUSU UNSPECIFIED
326 WonokusuGIGI Selesai 24-01-202 00.0.01.31SAFI`I WONOKUSU SURABAYASEMAMPIR
327 WonokusuGIGI Selesai 24-01-202 00.0.02.16SOETIARI WONOSARISURABAYASEMAMPIR
329 WonokusuGIGI Selesai 24-01-202 00.0.03.49UWAIS AL WONOKUSU UNSPECIFI SEMAMPIR
330 WonokusuGIGI Selesai 24-01-202 00.0.02.25WAHYUNI Wonosari LSURABAYASEMAMPIR
331 WonokusuGIGI Selesai 24-01-202 90.0.03.55Zulfa milla Dsn bang UNSPECIFIED
332 WonokusuGIGI Selesai 25-01-202 00.0.03.36ABDUL GHWONOSARISURABAYASEMAMPIR
333 WonokusuGIGI Selesai 25-01-202 90.0.01.12ABDURRO DUSUN SE SAMPANG KEDUNGD
334 WonokusuGIGI Selesai 25-01-202 00.0.03.37AISYATUL TENGGUMU SURABAYASEMAMPIR
335 WonokusuGIGI Selesai 25-01-202 00.0.03.44ANNISA FATENGGUMU SURABAYASEMAMPIR
336 WonokusuGIGI Selesai 25-01-202 00.0.03.27ARKANA I WONOSARIUNSPECIFI SEMAMPIR
337 WonokusuGIGI Selesai 25-01-202 00.0.03.44AZZAM DHA TENGGUMU UNSPECIFIED
339 WonokusuGIGI Selesai 25-01-202 00.0.02.39EVI FATMAWONOSARISURABAYASEMAMPIR
343 WonokusuGIGI Selesai 25-01-202 90.0.02.36MAHMUDAWONOKUSU SURABAYASEMAMPIR
346 WonokusuGIGI Selesai 25-01-202 90.0.02.13NANI SUPIJRAWA BARUSURABAYASEMAMPIR
347 WonokusuGIGI Selesai 25-01-202 00.0.03.24NIA YUNIAWONOSARISURABAYASEMAMPIR
348 WonokusuGIGI Selesai 25-01-202 00.0.03.56ROBBIL AL TENGGUMU SURABAYASEMAMPIR
349 WonokusuGIGI Selesai 25-01-202 00.0.01.91SAHRI TENGGUMU SURABAYASEMAMPIR
350 WonokusuGIGI Selesai 25-01-202 00.0.02.16SILVIA US ENDROSONSURABAYASEMAMPIR
351 WonokusuGIGI Selesai 25-01-202 00.0.02.31SITI ROCH MRUTU KALSURABAYASEMAMPIR
353 WonokusuGIGI Selesai 25-01-202 00.0.02.16SURYATI WONOSARISURABAYASEMAMPIR
354 WonokusuGIGI Selesai 26-01-202 00.0.03.12AHMAD IBN TENGGUMU SURABAYASEMAMPIR
357 WonokusuGIGI Selesai 26-01-202 90.0.03.29AKHTAR AZSIDOTOPO UNSPECIFI UNSPECIFI
358 WonokusuGIGI Selesai 26-01-202 00.0.01.31ALI BULAK RUKSURABAYASEMAMPIR
360 WonokusuGIGI Selesai 26-01-202 00.0.02.22BADRIYAH WONOSARISURABAYASEMAMPIR
362 WonokusuGIGI Selesai 26-01-202 90.0.03.28FARZAN D WONOKUSU SURABAYASEMAMPIR
363 WonokusuGIGI Selesai 26-01-202 00.0.02.17FATMAWAT WONOKUSU SURABAYASEMAMPIR
364 WonokusuGIGI Selesai 26-01-202 00.0.03.32FEREL PUTTENGGUMU SURABAYASEMAMPIR
365 WonokusuGIGI Selesai 26-01-202 00.0.02.12HALIMAH WONOKUSU SURABAYASEMAMPIR
366 WonokusuGIGI Selesai 26-01-202 00.0.01.40HASANUL BBULAK RUKSURABAYASEMAMPIR
367 WonokusuGIGI Selesai 26-01-202 00.0.02.50HOSNIYAHWONOKUSU SURABAYASEMAMPIR
369 WonokusuGIGI Selesai 26-01-202 00.0.03.63IKSAN FUAENDROSONSURABAYASEMAMPIR
372 WonokusuGIGI Selesai 26-01-202 90.0.01.39MAS ACHMWONOKUSUM SURABAYASEMAMPIR
374 WonokusuGIGI Selesai 26-01-202 90.0.03.10M. ZABRA KP PANGKAUNSPECIFI SEMAMPIR
376 WonokusuGIGI Selesai 26-01-202 00.0.03.46NAILA AL TENGGUMU UNSPECIFI UNSPECIFI
377 WonokusuGIGI Selesai 26-01-202 00.0.03.26NUR BULAN ENDROSONSURABAYASEMAMPIR
378 WonokusuGIGI Selesai 26-01-202 00.0.02.16SILVIA US ENDROSONSURABAYASEMAMPIR
382 WonokusuGIGI Selesai 27-01-202 90.0.03.10ALBANY N.WONOKUSU SURABAYASEMAMPIR
383 WonokusuGIGI Selesai 27-01-202 00.0.03.23ALESHA ZAWONOSARISURABAYASEMAMPIR
384 WonokusuGIGI Selesai 27-01-202 00.0.03.27ANNASWAWONOSARISURABAYASEMAMPIR
385 WonokusuGIGI Selesai 27-01-202 00.0.03.13ARINIL HU BULAK JAYSURABAYASEMAMPIR
386 WonokusuGIGI Selesai 27-01-202 00.0.03.61BARIQ THAWONOKUSU SURABAYASEMAMPIR
387 WonokusuGIGI Selesai 27-01-202 00.0.03.31DEWI KUROWONOSARISURABAYASEMAMPIR
388 WonokusuGIGI Selesai 27-01-202 00.0.01.10DJAMALUDD WONOSARISURABAYASEMAMPIR
389 WonokusuGIGI Selesai 27-01-202 00.0.01.20DJOKO MUBULAK SARIUNSPECIFIED
390 WonokusuGIGI Selesai 27-01-202 90.0.02.15ERNA NURDSN DSERAUNSPECIFI UNSPECIFI
391 WonokusuGIGI Selesai 27-01-202 00.0.03.38FIKA SEPTI WONOSARISURABAYASEMAMPIR
392 WonokusuGIGI Selesai 27-01-202 90.0.03.10GIANY N.R.WONOKUSU SURABAYASEMAMPIR
393 WonokusuGIGI Selesai 27-01-202 00.0.02.18ISTIANAH Bulak RukeSURABAYASEMAMPIR
395 WonokusuGIGI Selesai 27-01-202 00.0.03.23MALIKA ZAWONOSARISURABAYASEMAMPIR
398 WonokusuGIGI Selesai 27-01-202 90.0.03.29NASWA PUSIDOTOPO SURABAYASEMAMPIR
399 WonokusuGIGI Selesai 27-01-202 00.0.03.36NOVA NORWONOSARISURABAYASEMAMPIR
400 WonokusuGIGI Selesai 27-01-202 00.0.01.28PAHLEVI ARBULAK SARISURABAYASEMAMPIR
401 WonokusuGIGI Selesai 27-01-202 00.0.03.16QONITA IL BULAK JAYSURABAYASEMAMPIR
402 WonokusuGIGI Selesai 27-01-202 00.0.03.17RACHMAD BULAK RUKSURABAYASEMAMPIR
406 WonokusuGIGI Selesai 27-01-202 00.0.03.41SERAVINA WONOSARISURABAYASEMAMPIR
407 WonokusuGIGI Selesai 27-01-202 00.0.01.41TJAHYONOWONOSARISURABAYASEMAMPIR
408 WonokusuGIGI Selesai 29-01-202 00.0.03.27AHMAD IS WONOSARISURABAYASEMAMPIR
409 WonokusuGIGI Selesai 29-01-202 00.0.02.15AIRIN SEREWONOSARISURABAYASEMAMPIR
411 WonokusuGIGI Selesai 29-01-202 00.0.03.10ASYAM RAFWONOSARISURABAYASEMAMPIR
412 WonokusuGIGI Selesai 29-01-202 00.0.02.50AZIZAH BULAK JAYSURABAYASEMAMPIR
415 WonokusuGIGI Selesai 29-01-202 00.0.03.28FATHIMAHWONOKUSU SURABAYASEMAMPIR
416 WonokusuGIGI Selesai 29-01-202 00.0.01.19HAMID RUSTENGGUMU SURABAYASEMAMPIR
417 WonokusuGIGI Selesai 29-01-202 00.0.01.35HENDRA K WONOSARIUNSPECIFI SEMAMPIR
419 WonokusuGIGI Selesai 29-01-202 00.0.02.10KIKI FATM WONOSARISURABAYASEMAMPIR
420 WonokusuGIGI Selesai 29-01-202 00.0.03.41LAILI SAKI TENGGUMUSURABAYASEMAMPIR
421 WonokusuGIGI Selesai 29-01-202 00.0.02.26MARYATI WONOSARISURABAYASEMAMPIR
422 WonokusuGIGI Selesai 29-01-202 90.0.01.39MAS ACHMWONOKUSUM SURABAYASEMAMPIR
423 WonokusuGIGI Selesai 29-01-202 00.0.02.24MAWADDAH WONOSARISURABAYASEMAMPIR
424 WonokusuGIGI Selesai 29-01-202 00.0.03.75M. FAREL WONOKUSU UNSPECIFI UNSPECIFI
425 WonokusuGIGI Selesai 29-01-202 00.0.01.22MOCH. ALVBULAK RUKSURABAYASEMAMPIR
430 WonokusuGIGI Selesai 29-01-202 00.0.01.96SAMSUL HABULAK RUKUNSPECIFI SEMAMPIR
431 WonokusuGIGI Selesai 29-01-202 00.0.02.73SARIPA WONOKUSU SURABAYASEMAMPIR
432 WonokusuGIGI Selesai 29-01-202 00.0.02.53SELAMAH WONOKUSU UNSPECIFI SEMAMPIR
433 WonokusuGIGI Selesai 29-01-202 00.0.02.64SITI KOMMBULAK RUKSURABAYASEMAMPIR
434 WonokusuGIGI Selesai 29-01-202 00.0.02.36SRI SUSIL WONOSARIUNSPECIFI SEMAMPIR
435 WonokusuGIGI Selesai 29-01-202 00.0.02.21SUHRIYAH TENGGUMU SURABAYASEMAMPIR
436 WonokusuGIGI Selesai 29-01-202 00.0.03.17TIARA SHABULAK RUKSURABAYASEMAMPIR
437 WonokusuGIGI Selesai 29-01-202 00.0.02.29TIMAH TENGGUMU SURABAYASEMAMPIR
439 WonokusuGIGI Selesai 30-01-202 00.0.03.18ACHMAD AL BULAK RUKSURABAYASEMAMPIR
440 WonokusuGIGI Selesai 30-01-202 00.0.03.18AISYAH DEWBULAK SARUNSPECIFI UNSPECIFI
441 WonokusuGIGI Selesai 30-01-202 00.0.03.38ALBY MARCTENGGUMU SURABAYASEMAMPIR
443 WonokusuGIGI Selesai 30-01-202 00.0.02.74ASLICHA WONOSARISURABAYASEMAMPIR
444 WonokusuGIGI Selesai 30-01-202 00.0.02.50DESAK PUTTenggumungSURABAYASEMAMPIR
445 WonokusuGIGI Selesai 30-01-202 00.0.02.45DEWI WONOSARISURABAYASEMAMPIR
448 WonokusuGIGI Selesai 30-01-202 00.0.03.58FARHAN IBWONOSARIUNSPECIFI UNSPECIFI
451 WonokusuGIGI Selesai 30-01-202 00.0.03.43HIDAYATULWONOSARISURABAYASEMAMPIR
453 WonokusuGIGI Selesai 30-01-202 00.0.03.68M. ANGGATENGGUMU SURABAYASEMAMPIR
454 WonokusuGIGI Selesai 30-01-202 00.0.02.49MELDA PUSBULAK RUKSURABAYASEMAMPIR
455 WonokusuGIGI Selesai 30-01-202 00.0.03.42MIKAYLA BULAK SARISURABAYASEMAMPIR
456 WonokusuGIGI Selesai 30-01-202 00.0.03.62MUCH. KHO ENDROSONSURABAYASEMAMPIR
457 WonokusuGIGI Selesai 30-01-202 00.0.03.52MUHAMMAD BULAK JAYSURABAYASEMAMPIR
459 WonokusuGIGI Selesai 30-01-202 00.0.01.21SATYO MUR TENGGUMU SURABAYASEMAMPIR
464 WonokusuGIGI Selesai 30-01-202 00.0.03.60WARDA FITWONOKUSU SURABAYASEMAMPIR
465 WonokusuGIGI Selesai 30-01-202 00.0.03.54ZAHIDA AZWONOKUSSURABAYASEMAMPIR
467 WonokusuGIGI Selesai 31-01-202 00.0.02.93AFIFATUL TENGGUMU SURABAYASEMAMPIR
468 WonokusuGIGI Selesai 31-01-202 00.0.03.16AMANNDAWONOSARISURABAYASEMAMPIR
469 WonokusuGIGI Selesai 31-01-202 00.0.03.34ARTA NUR TENGGUMU SURABAYASEMAMPIR
471 WonokusuGIGI Selesai 31-01-202 00.0.03.44AZZAM DHA TENGGUMU UNSPECIFIED
474 WonokusuGIGI Selesai 31-01-202 00.0.02.75HJ. ZAINABWONOKUSU SURABAYASEMAMPIR
475 WonokusuGIGI Selesai 31-01-202 00.0.02.19IDAWATI TENGGUMU SURABAYASEMAMPIR
477 WonokusuGIGI Selesai 31-01-202 00.0.03.30JAMILATULWONOSARISURABAYASEMAMPIR
478 WonokusuGIGI Selesai 31-01-202 00.0.02.10KIKI FATM WONOSARISURABAYASEMAMPIR
479 WonokusuGIGI Selesai 31-01-202 90.0.02.17KRISTIN SIDOMULYO SURABAYAKENJERAN
480 WonokusuGIGI Selesai 31-01-202 00.0.02.34LATIPAH ENDROSONSURABAYASEMAMPIR
481 WonokusuGIGI Selesai 31-01-202 00.0.02.90LINA ALFIYWONOSARIUNSPECIFI SEMAMPIR
482 WonokusuGIGI Selesai 31-01-202 00.0.02.43MARIYA SUWONOKUSU SURABAYASEMAMPIR
484 WonokusuGIGI Selesai 31-01-202 00.0.03.5 MIKHAILAHTENGGUMU SURABAYASEMAMPIR
485 WonokusuGIGI Selesai 31-01-202 00.0.03.49MUHAMMAD TENGGUMU UNSPECIFI UNSPECIFI
488 WonokusuGIGI Selesai 31-01-202 00.0.03.40NABILA DWBULAK JAYSURABAYASEMAMPIR
489 WonokusuGIGI Selesai 31-01-202 00.0.03.37NARIYAH TENGGUMU SURABAYASEMAMPIR
490 WonokusuGIGI Selesai 31-01-202 00.0.02.27NUR HIDAYWONOSARISURABAYASEMAMPIR
491 WonokusuGIGI Selesai 31-01-202 00.0.03.17RACHMAD BULAK RUKSURABAYASEMAMPIR
492 WonokusuGIGI Selesai 31-01-202 00.0.01.21RANGGA PWONOSARISURABAYASEMAMPIR
493 WonokusuGIGI Selesai 31-01-202 00.0.02.27RHOMSIYATENGGUMU SURABAYASEMAMPIR
496 WonokusuGIGI Selesai 31-01-202 00.0.01.31SAFI`I WONOKUSU SURABAYASEMAMPIR
497 WonokusuGIGI Selesai 31-01-202 00.0.03.34SITI SOFIYAWONOKUSU SURABAYASEMAMPIR
498 WonokusuGIGI Selesai 31-01-202 00.0.02.44SUTINAH TENGGUMU SURABAYASEMAMPIR
499 WonokusuGIGI Selesai 31-01-202 00.0.03.80ZIVANA ARWONOKUSU UNSPECIFIED
501 WonokusuGIGI Selesai 01-02-202 00.0.01.15ABDUL MUWONOKUSU SURABAYASEMAMPIR
502 WonokusuGIGI Selesai 01-02-202 90.0.01.12ABDURRO DUSUN SE SAMPANG KEDUNGD
503 WonokusuGIGI Selesai 01-02-202 00.0.03.14ABIDZAR RENDROSONUNSPECIFIED
504 WonokusuGIGI Selesai 01-02-202 90.0.03.15AFIFAH WABULAK BANSURABAYAKENJERAN
505 WonokusuGIGI Selesai 01-02-202 00.0.03.27AIDZA WARWONOSARIUNSPECIFI SEMAMPIR
507 WonokusuGIGI Selesai 01-02-202 00.0.03.19ALVIN AL- TENGGUMU UNSPECIFIED
509 WonokusuGIGI Selesai 01-02-202 00.0.03.38DWIKY SA WONOKUSUNSPECIFI SEMAMPIR
510 WonokusuGIGI Selesai 01-02-202 00.0.03.52EVA DIANABULAK RUKSURABAYASEMAMPIR
511 WonokusuGIGI Selesai 01-02-202 00.0.03.35FATCHUR RWONOSARISURABAYASEMAMPIR
513 WonokusuGIGI Selesai 01-02-202 00.0.02.18IKE WAHYUWONOSARISURABAYASEMAMPIR
515 WonokusuGIGI Selesai 01-02-202 00.0.01.30MAT SALE WONOSARISURABAYASEMAMPIR
516 WonokusuGIGI Selesai 01-02-202 00.0.03.75M. FAREL WONOKUSU UNSPECIFI UNSPECIFI
518 WonokusuGIGI Selesai 01-02-202 00.0.03.14MOHAMMAD WONOKUSU UNSPECIFIED
519 WonokusuGIGI Selesai 01-02-202 00.0.03.39MOH. RIZKIWONOKUSU SURABAYAUNSPECIFI
521 WonokusuGIGI Selesai 01-02-202 00.0.03.39MUHAMMAD BULAK RUKSURABAYASEMAMPIR
522 WonokusuGIGI Selesai 01-02-202 00.0.03.52MUHAMMAD BULAK SARISURABAYASEMAMPIR
523 WonokusuGIGI Selesai 01-02-202 00.0.01.15MUSALLIMWONOKUSU SURABAYASEMAMPIR
524 WonokusuGIGI Selesai 01-02-202 00.0.02.53MUSAROP WONOSARIUNSPECIFI SEMAMPIR
525 WonokusuGIGI Selesai 01-02-202 00.0.02.34NENI KUNTWONOSARISURABAYASEMAMPIR
526 WonokusuGIGI Selesai 01-02-202 00.0.02.11NINUK MAR WONOSARISURABAYASEMAMPIR
527 WonokusuGIGI Selesai 01-02-202 90.0.02.10NOVITASARDSN KAPA UNSPECIFIED
528 WonokusuGIGI Selesai 01-02-202 00.0.03.14RAFIF RAMTENGGUMU UNSPECIFI SEMAMPIR
529 WonokusuGIGI Selesai 01-02-202 00.0.01.91SAHRI TENGGUMU SURABAYASEMAMPIR
531 WonokusuGIGI Selesai 01-02-202 90.0.03.11WINDA RUTPACARKEMUNSPECIFIED
532 WonokusuGIGI Selesai 02-02-202 00.0.02.93AFIFATUL TENGGUMU SURABAYASEMAMPIR
534 WonokusuGIGI Selesai 02-02-202 00.0.03.54ANISA PUTR
TENGGUMU SURABAYASEMAMPIR
535 WonokusuGIGI Selesai 02-02-202 00.0.02.28ANNIYATUSTENGGUMU SURABAYASEMAMPIR
536 WonokusuGIGI Selesai 02-02-202 00.0.02.74ASLICHA WONOSARISURABAYASEMAMPIR
538 WonokusuGIGI Selesai 02-02-202 90.0.02.45DIYAH INDIKAN MUNG SURABAYAKREMBAN
539 WonokusuGIGI Selesai 02-02-202 00.0.02.24ELI ERNAW TENGGUMSURABAYASEMAMPIR
540 WonokusuGIGI Selesai 02-02-202 00.0.03.28FATHIMAHWONOKUSU SURABAYASEMAMPIR
541 WonokusuGIGI Selesai 02-02-202 00.0.03.63IKSAN FUAENDROSONSURABAYASEMAMPIR
542 WonokusuGIGI Selesai 02-02-202 00.0.02.52LEDDY SEPENDROSONSURABAYASEMAMPIR
543 WonokusuGIGI Selesai 02-02-202 00.0.02.38MANILA Wonosari 6SURABAYASEMAMPIR
544 WonokusuGIGI Selesai 02-02-202 00.0.03.52M ARISUL BULAK RUKSURABAYASEMAMPIR
546 WonokusuGIGI Selesai 02-02-202 00.0.03.52MOCH. ALIBULAK RUKSURABAYASEMAMPIR
547 WonokusuGIGI Selesai 02-02-202 00.0.03.47MUHAMMA WONOKUSU SURABAYASEMAMPIR
548 WonokusuGIGI Selesai 02-02-202 00.0.03.28NAUFAL AFTENGGUMU SURABAYASEMAMPIR
549 WonokusuGIGI Selesai 02-02-202 00.0.03.54NAURA MUTENGGUMU UNSPECIFIED
550 WonokusuGIGI Selesai 02-02-202 00.0.03.36NOVA NORWONOSARISURABAYASEMAMPIR
551 WonokusuGIGI Selesai 02-02-202 00.0.02.55NURHASANWONOKUSU SURABAYASEMAMPIR
552 WonokusuGIGI Selesai 02-02-202 00.0.03.15REYNALDI ENDROSONSURABAYASEMAMPIR
553 WonokusuGIGI Selesai 02-02-202 00.0.02.13SUKANTI WONOSARISURABAYASEMAMPIR
555 WonokusuGIGI Selesai 02-02-202 00.0.02.49SURYATI TENGGUMU SURABAYASEMAMPIR
556 WonokusuGIGI Selesai 02-02-202 00.0.03.19SYAHRUL WONOKUSU UNSPECIFI SEMAMPIR
557 WonokusuGIGI Selesai 02-02-202 00.0.03.35SYAKILLA WONOSARIUNSPECIFI UNSPECIFI
558 WonokusuGIGI Selesai 03-02-202 00.0.03.14ABIDZAR RENDROSONUNSPECIFIED
560 WonokusuGIGI Selesai 03-02-202 00.0.03.20ADINDA D WONOSARISURABAYASEMAMPIR
561 WonokusuGIGI Selesai 03-02-202 90.0.03.15AFIFAH WABULAK BANSURABAYAKENJERAN
563 WonokusuGIGI Selesai 03-02-202 00.0.02.50DESAK PUTTenggumungSURABAYASEMAMPIR
564 WonokusuGIGI Selesai 03-02-202 90.0.03.28FARZAN D WONOKUSU SURABAYASEMAMPIR
565 WonokusuGIGI Selesai 03-02-202 00.0.02.4 FAUZIAH MRUTU KAL SURABAYASEMAMPIR
567 WonokusuGIGI Selesai 03-02-202 00.0.02.18ISTIANAH Bulak RukeSURABAYASEMAMPIR
568 WonokusuGIGI Selesai 03-02-202 00.0.01.24KHOIRUL FMRUTU KAL SURABAYASEMAMPIR
573 WonokusuGIGI Selesai 03-02-202 00.0.02.33NOVIATUL WONOSARISURABAYASEMAMPIR
574 WonokusuGIGI Selesai 03-02-202 00.0.01.51PARDOYO,WONOKUSU SURABAYASEMAMPIR
576 WonokusuGIGI Selesai 03-02-202 00.0.03.4 RAFI ARDI MRUTU KALSURABAYASEMAMPIR
577 WonokusuGIGI Selesai 03-02-202 00.0.03.14RAFIF RAMTENGGUMU UNSPECIFI SEMAMPIR
578 WonokusuGIGI Selesai 03-02-202 00.0.02.61RETNO DWWONOSARISURABAYASEMAMPIR
580 WonokusuGIGI Selesai 03-02-202 90.0.03.90SELA ANGGBAGONG GSURABAYAWONOKRO
581 WonokusuGIGI Selesai 03-02-202 00.0.03.41SERAVINA WONOSARISURABAYASEMAMPIR
582 WonokusuGIGI Selesai 03-02-202 00.0.02.34SRI SUYATMTenggumung
SURABAYASEMAMPIR
583 WonokusuGIGI Selesai 03-02-202 00.0.02.13SUKANTI WONOSARISURABAYASEMAMPIR
584 WonokusuGIGI Selesai 03-02-202 00.0.02.47SULIHA WONOSARISURABAYASEMAMPIR
585 WonokusuGIGI Selesai 03-02-202 00.0.02.63SUMIATUNEndrosonoSURABAYASEMAMPIR
586 WonokusuGIGI Selesai 03-02-202 00.0.02.31TIWI RETNWONOSARISURABAYASEMAMPIR
588 WonokusuGIGI Selesai 03-02-202 00.0.03.41TORIQULL BULAK SARSURABAYASEMAMPIR
589 WonokusuGIGI Selesai 05-02-202 00.0.03.49AHMAD RABULAK SARIUNSPECIFI UNSPECIFI
590 WonokusuGIGI Selesai 05-02-202 00.0.03.49AISYAH MATENGGUMU SURABAYASEMAMPIR
591 WonokusuGIGI Selesai 05-02-202 00.0.02.18AYUNDA FIBULAK RUKSURABAYASEMAMPIR
592 WonokusuGIGI Selesai 05-02-202 00.0.03.54CHAMIDAHWONOSARIUNSPECIFI SEMAMPIR
593 WonokusuGIGI Selesai 05-02-202 00.0.02.49DEVITA RAWONOSARISURABAYASEMAMPIR
594 WonokusuGIGI Selesai 05-02-202 00.0.03.23FACHRI ARWONOKUSU SURABAYASEMAMPIR
595 WonokusuGIGI Selesai 05-02-202 00.0.03.36INAYAH ZAWONOSARISURABAYASEMAMPIR
597 WonokusuGIGI Selesai 05-02-202 00.0.03.48LAILY ASY BULAK JAYSURABAYASEMAMPIR
598 WonokusuGIGI Selesai 05-02-202 00.0.02.30LASMINI BULAK RUKUNSPECIFI SEMAMPIR
600 WonokusuGIGI Selesai 05-02-202 00.0.02.20MARINDA BULAK RUKSURABAYASEMAMPIR
602 WonokusuGIGI Selesai 05-02-202 00.0.02.29NANIK WIDBULAK SARIUNSPECIFI UNSPECIFI
603 WonokusuGIGI Selesai 05-02-202 00.0.03.47NUR SYAF WONOKUSU SURABAYASEMAMPIR
604 WonokusuGIGI Selesai 05-02-202 00.0.02.30PUTRI LIG BULAK JAYSURABAYASEMAMPIR
606 WonokusuGIGI Selesai 05-02-202 00.0.03.26RISKA AMETENGGUMU UNSPECIFI SEMAMPIR
607 WonokusuGIGI Selesai 05-02-202 00.0.02.23SADAH BULAK SARISURABAYASEMAMPIR
608 WonokusuGIGI Selesai 05-02-202 00.0.02.29TIMAH TENGGUMU SURABAYASEMAMPIR
609 WonokusuGIGI Selesai 05-02-202 00.0.02.14WINARNI WONOSARISURABAYASEMAMPIR
610 WonokusuGIGI Selesai 06-02-202 00.0.03.36AILA RAMATENGGUMU UNSPECIFI SEMAMPIR
611 WonokusuGIGI Selesai 06-02-202 00.0.03.20ALIN FERD WONOSARISURABAYASEMAMPIR
612 WonokusuGIGI Selesai 06-02-202 00.0.03.21ANDIKA PAWONOSARISURABAYASEMAMPIR
613 WonokusuGIGI Selesai 06-02-202 00.0.01.11AZIZ AZZA WONOSARISURABAYASEMAMPIR
618 WonokusuGIGI Selesai 06-02-202 00.0.02.16HOLILAH WONOSARIUNSPECIFI UNSPECIFI
619 WonokusuGIGI Selesai 06-02-202 00.0.02.50HOSNIYAHWONOKUSU SURABAYASEMAMPIR
620 WonokusuGIGI Selesai 06-02-202 00.0.03.12MARA MAGTENGGUMU SURABAYASEMAMPIR
623 WonokusuGIGI Selesai 06-02-202 00.0.02.11NINUK MAR WONOSARISURABAYASEMAMPIR
624 WonokusuGIGI Selesai 06-02-202 00.0.03.34ONY DWI TWONOKUSU SURABAYASEMAMPIR
625 WonokusuGIGI Selesai 06-02-202 00.0.03.13RAFASYA MWONOSARISURABAYASEMAMPIR
626 WonokusuGIGI Selesai 06-02-202 00.0.02.46ROMLAH WONOKUSU SURABAYASEMAMPIR
628 WonokusuGIGI Selesai 06-02-202 00.0.02.64SITI KOMMBULAK RUKSURABAYASEMAMPIR
629 WonokusuGIGI Selesai 06-02-202 00.0.02.87SULISTYAWWonosari wSURABAYASEMAMPIR
Kelurahan NIK Umur Tanggal Lahir
JK PendidikanPekerjaan Type Pasien
HP No Kartu
WONOKUS 35781648 14 08-12-200 P Tidak/BeluBELUM/TIDBPJS-Mandi 00013951
WONOKUS 35781621 19 21-11-200 L SLTP/SederPELAJAR/ BPJS-Mandi8.57E+10 00015446
UNSPECIFI 35270565 6 25-12-201 P UNSPECIFI UNSPECIFI Umum Surabaya Grati
WONOKUS 35781647 27 07-07-199 P SLTA/SederPELAJAR/ BPJS-Mandi- 00020567
WONOKUS 35781602 42 02-04-198 L Diploma IV/KARYAWANBPJS-Mandi 00013951
WONOKUS 35781643 7 03-07-201 P Belum Tama BELUM/TIDBPJS-Jamkesmas 00029999
UJUNG 35781642 48 02-02-197 P Tamat SD/SMENGURUS BPJS-Mandiri 00029995
WONOKUS 35781670 58 30-06-196 P Tamat SD/SMENGURUS BPJS-Mandiri 00031289
PEGIRIAN 35781658 53 18-09-197 P SLTA/SederMENGURUS BPJS-Mandiri 00022284
WONOKUS 35781668 49 28-09-197 P Diploma I/IGURU BPJS-Jamkesmas 00007892
WONOKUS 35781606 19 06-02-200 L Belum Tama PELAJAR/ BPJS-Mandi8.14E+10 00017207
PEGIRIAN 35781649 24 09-09-199 P UNSPECIFI UNSPECIFI BPJS-Mandiri 00022284
UJUNG 35781665 22 25-07-200 P Belum Tama PELAJAR/ BPJS-Jamkesmas 00029995
WONOKUS 35781652 41 12-05-198 P Belum Tama MENGURUS BPJS-Jamk 8.81E+11 00007900
WONOKUS 35781660 24 20-10-199 P SLTP/SederPELAJAR/ BPJS-Mandi8.12E+10 00014640
UNSPECIFI 35781611 6 11-01-201 L UNSPECIFI UNSPECIFI BPJS-Mandiri 00021629
UNSPECIFIED 35270509 14 01-04-200 L UNSPECIFI UNSPECIFI Umum Surabaya Grati
WONOKUS 35781664 8 24-05-201 P Tidak/BeluBELUM/TIDBPJS-Mandiri 00021629
WONOKUS 35780868 8 28-09-201 P Belum Tama PELAJAR/ BPJS-Mandi8.22E+10 00019041
WONOKUS 35270354 14 14-10-200 P UNSPECIFI UNSPECIFI BPJS-Mandiri 00015430
WONOKUS 35781669 21 29-06-200 P Belum Tama PELAJAR/ BPJS-Jamkesmas 00007901
WONOKUS 35781669 34 29-07-198 P Diploma IV/MENGURUS BPJS-Mandi8.13E+10 00029997
WONOKUS 35781644 7 04-01-201 P Tidak/BeluBELUM/TIDBPJS-Jamkesmas 00026835
WONOKUS 35781671 8 31-10-201 P Belum Tama BELUM/TIDBPJS-Jamkesmas 00027345
WONOKUS 35781670 47 30-06-197 P SLTA/SederMENGURUS BPJS-Mandi08123493353
00016333
WONOKUS 35781648 13 08-07-201 P UNSPECIFI UNSPECIFI BPJS-Mandi08123493353
00016333
35781660 7 20-12-201 P UNSPECIFI UNSPECIFI Umum Surabaya Grati00007902
WONOKUS 35781650 51 10-02-197 P SLTP/SederMENGURUS BPJS-Mandiri 00017054
WONOKUS 35781652 41 12-07-198 P UNSPECIFI MENGURUS BPJS-Jamkesmas 00007900
WONOKUS 35781617 6 17-05-201 L UNSPECIFI UNSPECIFI BPJS-Mandiri 00022510
WONOKUS 35781651 21 11-04-200 P SLTP/SederMENGURUS BPJS-Mandi8.38E+10 00015420
35781758 8 18-05-201 P UNSPECIFI UNSPECIFI BPJS-Mandi8.22E+10 00030000
35781655 6 15-04-201 P UNSPECIFI UNSPECIFI Umum Surabaya Grati
WONOKUS 35781648 9 08-08-201 P Tidak/BeluBELUM/TIDUmum Surabaya Grati00020682
UJUNG 35781630 8 30-08-201 L Tidak/BeluBELUM/TIDBPJS-Mandiri 00029997
UNSPECIFI 35781651 5 11-06-201 P UNSPECIFI UNSPECIFI BPJS-Mandiri 00026835
WONOKUS 35781630 14 30-07-200 L UNSPECIFI BELUM/TIDBPJS-Jamk 8.12E+10 00007899
WONOKUS 35781661 5 21-04-201 P UNSPECIFI UNSPECIFI BPJS-Mandi8.13E+10 00024167
WONOKUS 35781624 25 24-10-199 L UNSPECIFI PELAJAR/ BPJS-Mandi08785319657
00016159
WONOKUS 35781658 10 18-01-201 P UNSPECIFI PELAJAR/ BPJS-Mandiri 00029997
WONOKUS 35781620 15 20-11-200 L Tidak/BeluUNSPECIFI BPJS-Mandiri 00029996
WONOKUS 35170325 7 25-02-201 L Belum Tama PELAJAR/ BPJS-Mandiri 00032566
UNSPECIFI 35781602 4 02-05-201 L UNSPECIFI UNSPECIFI BPJS-Mandi8.22E+10 00029322
WONOKUS 35781610 7 10-11-201 L Tidak/BeluBELUM/TIDBPJS-Mandiri 00026835
WONOKUS 35781654 54 14-10-196 P UNSPECIFI MENGURUS BPJS-Mandiri 00001021
WONOKUS 35781162 34 22-02-198 P SLTA/SederMENGURUS BPJS-Mandi8.56E+10 00017991
WONOKUS 35270452 31 12-12-199 P UNSPECIFI UNSPECIFI Umum Surabaya Grati
UNSPECIFI 35231854 28 14-07-199 P UNSPECIFI UNSPECIFI BPJS-Mandi8.57E+11 00001034
WONOKUS 52720331 64 31-12-195 L SLTA/SederKARYAWANBPJS-Mandi8.23E+10 00029999
WONOKUS 35781620 45 20-08-197 L SLTA/SederKARYAWANUmum Surabaya Grati
WONOKUS 35781666 35 26-10-198 P Diploma IV/MENGURUS BPJS-Jamkesmas 00014060
WONOKUS 35781611 4 11-08-201 L Tidak/BeluBELUM/TIDBPJS-Mandi8.39E+10 00027324
WONOKUS 35781202 38 02-04-198 L SLTP/SederKARYAWANBPJS-Mandiri 00024485
WONOKUS 35781630 83 30-06-194 L UNSPECIFI KARYAWANBPJS-Jamk 00013951
WONOKUS 35781649 21 09-04-200 P Belum TamaPELAJAR/ BPJS-Mandiri 00013951
WONOKUS 35781619 25 19-06-199 L SLTA/SederMENGURUS BPJS-Mandiri 00012702
WONOKUS 35781659 37 19-03-198 P SLTA/SederGURU BPJS-Jamk 00007889
WONOKUS 35270228 31 28-07-199 L Tamat SD/SPELAJAR/ BPJS-Mandiri 00026834
WONOKUS 35781663 32 23-04-199 P SLTA/SederMENGURUS BPJS-Jamkesmas 00014413
WONOKUS 35781667 38 27-05-198 P SLTA/SederMENGURUS BPJS-Mandi 00013950
WONOKUS 35270448 25 01-04-199 P SLTA/SederMENGURUS BPJS-Jamk 00007701
WONOKUS 35781605 47 05-03-197 L Diploma IV/KARYAWANBPJS-Mandiri 00024158
WONOKUS 35781668 28 28-02-199 P SLTP/SederPELAJAR/ BPJS-Mandiri 00024158
WONOKUS 35781630 47 30-06-197 L UNSPECIFI KARYAWANBPJS-Mandi8.13E+10 00024182
WONOKUS 35261612 33 12-08-199 L SLTP/SederPELAJAR/ BPJS-Mandiri 00021572
SIDOTOPO 35241919 30 19-04-199 L SLTP/SederKARYAWANBPJS-Mandi8.57E+10 00024675
WONOKUS 35781625 64 25-08-195 L UNSPECIFI PENSIUNA BPJS-Mandiri 00009779
WONOKUS 35781668 51 28-04-197 P Diploma IV/GURU BPJS-Mandiri 00018580
WONOKUS 35781669 34 29-07-198 P Diploma IV/MENGURUS BPJS-Mandi8.13E+10 00029997
WONOKUS 35261369 27 29-03-199 P SLTP/SederMENGURUS BPJS-Jamkesmas 00021572
WONOKUS 73710270 47 30-01-197 P SLTA/SederMENGURUS BPJS-Mandiri 00016144
WONOKUS 35781666 15 26-11-200 P Tidak/BeluBELUM/TIDBPJS-Mandi8.59E+10 00029997
WONOKUS 35781658 61 18-12-196 P Tidak/BeluMENGURUS BPJS-Mandiri 00018320
WONOKUS 35781603 52 03-11-197 L SLTP/SederWIRASWASBPJS-Mandi 00013951
WONOKUS 35781625 18 25-09-200 L Belum TamaPELAJAR/ BPJS-Mandiri 00018352
WONOKUS 35781666 21 26-02-200 P SLTA/SederMENGURUS Umum Surabaya Grati
WONOKUS 35141107 28 07-07-199 L UNSPECIFI UNSPECIFI BPJS-Mandi8.23E+11 00024200
WONOKUS 35781670 72 30-06-195 P UNSPECIFI MENGURUS BPJS-Askes 00001011
WONOKUS 35781663 26 23-06-199 P Diploma I/IKARYAWANBPJS-Jamk 8.96E+10 00010502
WONOKUS 35781643 54 30-06-196 P UNSPECIFI MENGURUS BPJS-Peserta Askes 00000995
WONOKUS 35781624 25 24-10-199 L UNSPECIFI PELAJAR/ BPJS-Mandi08785319657
00016159
35260363 23 23-03-200 P UNSPECIFI UNSPECIFI Umum
WONOKUS 35781612 12 12-04-201 L Tidak/BeluBELUM/TIDUmum Surabaya Grati
WONOKUS 35781611 31 11-10-199 L SLTP/SederPELAJAR/ BPJS-Mandi8.77E+10 00026260
WONOKUS 35781663 6 23-05-201 P Belum Tama PELAJAR/ BPJS-Mandiri 00029999
WONOKUS 35781652 19 12-08-200 P Belum Tama PEGAWAI NBPJS-Jamk 8.31E+10 00007887
WONOKUS 35781656 52 16-08-197 P SLTA/SederKARYAWANBPJS-Mandiri 00015446
WONOKUS 35781647 65 01-12-195 P UNSPECIFI UNSPECIFI BPJS-Jamk 00007888
WONOKUS 35781643 54 03-12-196 P Diploma IV/GURU BPJS-Mandi 00013981
WONOKUS 35781650 68 10-11-195 P SLTA/SederPEGAWAI NBPJS-Peserta Askes 00001006
PLOSO 35781057 39 17-09-198 P SLTP/SederMENGURUS Umum Surabaya Grati00023242
WONOKUS 35781613 17 13-01-200 L Belum Tama PELAJAR/ BPJS-Jamk 8.57E+10 00017176
WONOKUS 35781643 54 30-06-196 P UNSPECIFI MENGURUS BPJS-Peserta Askes 00000995
WONOKUS 35781643 29 03-01-199 P SLTP/SederPELAJAR/ BPJS-Jamkesmas 00007899
WONOKUS 35270541 25 18-06-199 P UNSPECIFI UNSPECIFI BPJS-Mandi 8.6E+10 00035468
WONOKUS 35781642 22 02-02-200 P Tidak/BeluMENGURUS BPJS-Jamkesmas 00007903
WONOKUS 35781649 48 09-11-197 P SLTA/SederWIRASWASBPJS-Mandiri 00017876
WONOKUS 35781622 34 22-09-198 L Tamat SD/SKARYAWANUmum Surabaya Grati00007898
SIDOTOPO 35781746 18 06-03-200 P Tidak/BeluBELUM/TIDBPJS-Mandiri 00017022
WONOKUS 35781630 72 30-03-195 L UNSPECIFI BELUM/TIDBPJS-Mandiri 00013951
WONOKUS 35781662 45 22-09-197 P Diploma IV/GURU BPJS-Jamkesmas 00007889
35781653 5 13-12-201 P UNSPECIFI UNSPECIFI BPJS-Mandiri 00026835
WONOKUS 35781612 23 12-01-200 L Belum TamaPELAJAR/ BPJS-Mandi 00016144
WONOKUS 35781619 25 19-06-199 L SLTA/SederMENGURUS BPJS-Mandiri 00012702
BULAK BA 35781760 29 20-12-199 P SLTA/SederPELAJAR/ BPJS-Mandiri 00021585
WONOKUS 35781656 6 16-03-201 P Belum TamaBELUM/TIDBPJS-Mandi8.11E+12 00022340
PEGIRIAN 35781666 35 26-02-198 P SLTP/SederKARYAWANBPJS-Jamk 00007889
UJUNG 35781647 71 07-06-195 P SLTP/SederBELUM/TIDBPJS-Peserta Askes 00001011
WONOKUS 35781656 41 16-07-198 P SLTA/SederMENGURUS BPJS-Mandi- 00018154
WONOKUS 35781652 19 12-08-200 P Belum TamaPEGAWAI NBPJS-Jamk 8.31E+10 00007887
SIDOTOPO 35781647 47 07-08-197 P Tamat SD/SWIRASWASBPJS-Mandi8.79E+10 00027398
WONOKUS 35781656 57 16-04-199 P SLTA/SederPEGAWAI NBPJS-Askes 8.13E+10 00013878
WONOKUS 35781615 45 15-11-197 L SLTA/SederKARYAWANBPJS-Mandiri 00016463
WONOKUS 35781654 28 01-11-199 P Tidak/BeluUNSPECIFI BPJS-Jamk 00007890
WONOKUS 35781652 65 12-10-195 P Tamat SD/SMENGURUS BPJS-Jamk 00007899
WONOKUS 35781620 26 20-10-199 L Tamat SD/SPELAJAR/ BPJS-Jamkesmas 00007892
SIDOTOPO 35781761 45 21-05-197 P SLTA/SederMENGURUS BPJS-Mandi8.96E+10 00013725
WONOKUS 35781649 21 09-05-200 P SLTA/SederPELAJAR/ BPJS-Mandi8.79E+10 00026835
35781624 4 24-06-201 L UNSPECIFI UNSPECIFI BPJS-Mandiri 00027313
WONOKUS 35781669 72 29-11-195 P SLTA/SederMENGURUS BPJS-Peserta Askes 00001011
WONOKUS 35781619 10 19-09-201 L UNSPECIFI UNSPECIFI BPJS-Jamkesmas 00029315
WONOKUS 35781643 20 03-08-200 P Belum TamaPELAJAR/ BPJS-Mandi 00011758
UJUNG 35781630 8 30-08-201 L Tidak/BeluBELUM/TIDBPJS-Mandiri 00029997
WONOKUS 35781667 18 27-07-200 P Belum TamaPELAJAR/ BPJS-Jamk 00007902
GADING 35781001 47 01-01-197 L Diploma IV/KARYAWANBPJS-Mandiri 00014060
KEDUNGD 35270601 28 08-11-199 L UNSPECIFI KARYAWANUmum Surabaya Grati
PEGIRIAN 35781624 20 24-11-200 L Belum TamaPELAJAR/ BPJS-Mandi8.51E+10 00017927
WONOKUS 35781650 33 10-05-199 P UNSPECIFI KARYAWANBPJS-Mandiri 00011238
WONOKUS 35781620 29 20-07-199 L SLTA/SederKARYAWANBPJS-Mandi 00013981
WONOKUS 35781667 25 27-04-199 P SLTP/SederUNSPECIFI BPJS-Mandi8.79E+10 00023790
WONOKUS 35781625 39 25-10-198 L SLTA/SederUNSPECIFI BPJS-Mandiri 00028735
WONOKUS 35781603 58 03-05-196 L Strata II GURU BPJS-Askes 00000999
00016333
WONOKUS 35781605 47 05-06-197 L SLTP/SederUNSPECIFI BPJS-Mandiri 00021629
WONOKUS 35781620 34 20-10-198 L SLTA/SederKARYAWANBPJS-Mandi 00010502
WONOKUS 35781670 53 30-11-197 P SLTP/SederKARYAWANBPJS-Mandiri 00013950
WONOKUS 35781666 35 26-10-198 P Diploma IV/MENGURUS BPJS-Jamkesmas 00014060
WONOKUS 35781630 83 30-06-194 L UNSPECIFI KARYAWANBPJS-Jamk 00013951
WONOKUS 35781609 18 09-10-200 L Belum Tama PELAJAR/ BPJS-Jamkesmas 00007900
WONOKUS 35781614 51 14-01-197 L SLTP/SederBURUH HAR BPJS-Mandiri 00013981
PEGIRIAN 35781615 22 15-06-200 L SLTP/SederPELAJAR/ BPJS-Mandi8.51E+10 00017927
WONOKUS 35780117 40 17-02-198 L Diploma IV/UNSPECIFI BPJS-Mandi8.21E+10 00014724
PEGIRIAN 35781629 53 29-05-197 L SLTA/SederWIRASWASBPJS-Mandi8.51E+10 00017927
WONOKUS 35270541 48 01-07-197 P Belum Tama MENGURUS BPJS-Jamk 00007886
WONOKUS 35781670 62 30-06-196 P Tamat SD/SKARYAWANBPJS-Jamk 00007897
WONOKUS 35781143 42 03-01-198 P SLTP/SederKARYAWANBPJS-Mandiri 00026835
SIDOTOPO 35781762 24 22-05-199 P SLTA/SederPELAJAR/ Umum Surabaya Grati
WONOKUS 35270354 52 14-03-197 P Tamat SD/SMENGURUS BPJS-Mandi8.31E+10 00027555
WONOKUS 35781630 63 30-06-196 L Tidak/BeluBURUH HAR Umum Sura8.79E+10 00007886
WONOKUS 35781755 46 15-12-197 P SLTA/SederUNSPECIFI BPJS-Mandiri 00024158
WONOKUS 35781650 55 10-06-196 P SLTA/SederMENGURUS Umum Surabaya Grati00007900
35781668 21 28-07-200 P UNSPECIFI UNSPECIFI BPJS-Mandi 00013951
WONOKUS 35781652 19 12-08-200 P Belum TamaPEGAWAI NBPJS-Jamk 8.31E+10 00007887
TAMBAKSA35781012 21 12-05-200 L UNSPECIFI UNSPECIFI BPJS-Mandiri 00027276
WONOKUS 35781643 54 03-12-196 P Diploma IV/GURU BPJS-Mandi 00013981
WONOKUS 35781655 16 15-01-200 P Belum TamaPELAJAR/ BPJS-Jamkesmas 00007888
WONOKUS 35781668 60 28-10-196 P Tamat SD/SBELUM/TIDBPJS-Mandi8.52E+10 00020410
WONOKUS 35781603 40 03-11-198 L Tamat SD/SKARYAWANBPJS-Jamk 00007889
WONOKUS 35781613 17 13-01-200 L Belum TamaPELAJAR/ BPJS-Jamk 8.57E+10 00017176
WONOKUS 35781655 57 15-03-196 P Tamat SD/SMENGURUS BPJS-Jamk 8.12E+10 00014608
PERAK BAR 35781550 26 10-04-199 P SLTA/SederKARYAWANBPJS-Mandi8.56E+10 00022059
WONOKUS 35781612 23 12-01-200 L Belum TamaPELAJAR/ BPJS-Mandi 00016144
WONOKUS 35781665 49 25-02-197 P SLTA/SederKARYAWANBPJS-Mandi8.13E+10 00020702
WONOKUS 35781643 29 03-01-199 P SLTP/SederPELAJAR/ BPJS-Jamkesmas 00007899
PEGIRIAN 35781613 32 13-06-199 L Tidak/BeluBELUM/TIDBPJS-Mandiri 00013950
TAMBAK W35781716 42 16-06-198 L SLTA/SederKARYAWANUmum Surabaya Grati
WONOKUS 35781626 38 26-08-198 L SLTP/SederWIRASWASBPJS-Mandi8.13E+10 00017896
WONOKUS 35781648 67 08-09-195 P UNSPECIFI MENGURUS BPJS-Mandi8.56E+10 00000999
WONOKUS 35781601 21 01-05-200 L SLTA/SederPELAJAR/ Umum Surabaya Grati
KEDUNGD 35270627 33 27-09-199 L UNSPECIFI UNSPECIFI BPJS-Mandi8.31E+10 00032286
WONOKUS 35781668 28 28-04-199 P SLTP/SederBELUM/TIDBPJS-Jamk 8.57E+10 00024905
PEGIRIAN 35781666 35 26-02-198 P SLTP/SederKARYAWANBPJS-Jamk 00007889
UJUNG 35781647 71 07-06-195 P SLTP/SederBELUM/TIDBPJS-Peserta Askes 00001011
WONOKUS 35781653 26 13-06-199 P SLTA/SederPELAJAR/ BPJS-Mandi8.13E+10 00018447
WONOKUS 35781607 5 07-05-201 L Belum TamaBELUM/TIDBPJS-Mandiri 00024179
WONOKUS 35781616 53 16-05-197 L Tamat SD/SKARYAWANBPJS-Mandiri 00007899
WONOKUS 35781666 38 26-03-198 P UNSPECIFI UNSPECIFI BPJS-Mandi 00013981
WONOKUS 35781646 48 06-06-197 P UNSPECIFI UNSPECIFI BPJS-Jamk 00007891
WONOKUS 35781630 63 30-06-196 L Tidak/BeluBURUH HAR Umum Sura8.79E+10 00007886
WONOKUS 35781654 28 01-11-199 P Tidak/BeluUNSPECIFI BPJS-Jamk 00007890
WONOKUS 35780721 54 21-07-196 L Diploma IV/KARYAWANBPJS-Mandi8.79E+10 00012587
WONOKUS 35781660 46 20-01-197 P Tamat SD/SKARYAWANBPJS-Jamk 8.79E+10 00027367
WONOKUS 35781645 10 05-11-201 P Tidak/BeluBELUM/TIDUmum Surabaya Grati
WONOKUS 35781666 38 26-03-198 P UNSPECIFI UNSPECIFI BPJS-Mandi 00013981
PEGIRIAN 35781627 16 27-05-200 L Belum TamaPELAJAR/ BPJS-Mandi8.51E+10 00017927
WONOKUS 35781648 9 08-08-201 P Tidak/BeluBELUM/TIDUmum Surabaya Grati00020682
WONOKUS 35781667 18 27-07-200 P Belum Tama PELAJAR/ BPJS-Jamk 00007902
35781612 66 12-12-195 L UNSPECIFI UNSPECIFI BPJS-Askes 8.79E+10 00000989
WONOKUS 35781659 15 19-07-200 P Tidak/BeluBELUM/TIDBPJS-Jamk 00007900
PEGIRIAN 35781624 13 24-06-201 L Tidak/BeluBELUM/TIDBPJS-Mandiri 00017927
WONOKUS 35781661 13 21-05-201 P UNSPECIFI BELUM/TIDBPJS-Peserta Askes 00002026
WONOKUS 35781612 57 12-05-196 L Diploma IV/KARYAWANBPJS-Mandiri 00025122
WONOKUS 35781602 14 02-06-200 L Tidak/BeluBELUM/TIDBPJS-Jamk 00007897
00016333
WONOKUS 35781618 47 18-02-197 L Diploma I/IKARYAWANUmum Surabaya Grati
WONOKUS 35781630 83 30-06-194 L UNSPECIFI KARYAWANBPJS-Mandi 00013951
WONOKUS 35780117 40 17-02-198 L Diploma IV/UNSPECIFI BPJS-Mandi8.21E+10 00014724
WONOKUS 35781664 33 24-12-199 P SLTA/SederBELUM/TIDBPJS-Mandiri 00026834
UNSPECIFI 3578160 15 01-12-200 L UNSPECIFI UNSPECIFI BPJS-Jamk 00007897
WONOKUS 35781609 20 09-03-200 L Belum Tama PELAJAR/ BPJS-Jamkesmas 00007890
WONOKUS 35261870 42 30-06-198 P SLTP/SederWIRASWASBPJS-Mandiri 00017057
WONOKUS 35781652 49 12-12-197 P UNSPECIFI UNSPECIFI Umum Sura
WONOKUS 35781670 60 30-06-196 P Tamat SD/SUNSPECIFI BPJS-Jamkesmas 00007893
WONOKUS 35270354 52 14-03-197 P Tamat SD/SMENGURUS BPJS-Mandi8.31E+10 00027555
WONOKUS 35781624 27 24-03-199 L Tidak/BeluBELUM/TIDBPJS-Jamkesmas 00007887
WONOKUS 35781651 6 11-03-201 P Belum Tama BELUM/TIDBPJS-Mandiri 00026835
WONOKUS 35781656 26 16-06-199 P Belum Tama MENGURUS Umum Surabaya Grati00028148
WONOKUS 35781666 25 26-10-199 P Belum Tama PELAJAR/ Umum Sura8.16E+10
WONOKUS 35781612 23 12-01-200 L Belum Tama PELAJAR/ BPJS-Mandi 00016144
WONOKUS 35781670 39 30-06-198 P SLTP/SederKARYAWANBPJS-Jamkesmas 00007899
WONOKUS 35781655 37 15-06-198 P SLTP/SederMENGURUS Umum Sura 00007890
SIDOTOPO 35781761 45 21-05-197 P SLTA/SederMENGURUS BPJS-Mandi8.96E+10 00013725
WONOKUS 35781652 41 12-05-198 P Belum TamaMENGURUS BPJS-Jamk 8.81E+11 00007900
WONOKUS 35781651 33 11-05-199 P Tamat SD/SMENGURUS BPJS-Mandi 00013950
WONOKUS 35781653 8 13-03-201 P Tidak/BeluUNSPECIFI BPJS-Mandiri 00026835
WONOKUS 35781753 20 13-10-200 P Belum TamaBELUM/TIDBPJS-Mandiri 00023053
WONOKUS 35260259 29 19-05-199 P Tamat SD/SWIRASWASBPJS-Jamk 00007892
WONOKUS 35242650 43 10-10-198 P SLTP/SederMENGURUS BPJS-Jamk 00007582
WONOKUS 35781602 14 02-06-200 L Tidak/BeluBELUM/TIDBPJS-Jamk 00007897
WONOKUS 35270541 48 01-07-197 P Belum TamaMENGURUS BPJS-Jamk 00007886
WONOKUS 35781626 38 26-08-198 L SLTP/SederWIRASWASBPJS-Mandi8.13E+10 00017896
WONOKUS 35781670 88 30-06-193 P Belum TamaMENGURUS BPJS-Jamk 8.22E+10 00013951
WONOKUS 35781602 70 02-04-195 L SLTA/SederWIRASWASBPJS-Mandiri 00018257
KEDUNGD 35270627 33 27-09-199 L UNSPECIFI UNSPECIFI BPJS-Mandi8.31E+10 00032286
SIDOTOPO 35781746 33 06-04-199 P Tamat SD/SPELAJAR/ BPJS-Jamk 8.56E+10 00017060
WONOKUS 35781657 22 17-06-200 P UNSPECIFI UNSPECIFI BPJS-Jamk 8.6E+10 00017311
WONOKUS 35781630 83 30-06-194 L UNSPECIFI KARYAWANBPJS-Mandi 00013951
WONOKUS 35781615 24 15-05-199 L SLTA/SederUNSPECIFI BPJS-Mandi8.17E+10 00016349
WONOKUS 35781667 27 27-06-199 P SLTP/SederPELAJAR/ BPJS-Mandi 00013981
WONOKUS 35781614 25 14-09-199 L Tamat SD/SPELAJAR/ BPJS-Jamk 00007890
WONOKUS 35781645 40 05-02-198 P SLTA/SederMENGURUS BPJS-Jamkesmas 00024158
WONOKUS 35781615 62 15-03-196 L UNSPECIFI BELUM/TIDBPJS-Mandi8.77E+10 00021622
UNSPECIFI 3578160 15 01-12-200 L UNSPECIFI UNSPECIFI BPJS-Jamk 00007897
WONOKUS 35781605 16 05-08-200 L Tidak/BeluBELUM/TIDBPJS-Mandi 00013951
WONOKUS 35781615 56 15-05-196 L Tamat SD/SKARYAWANBPJS-Jamk 00007882
WONOKUS 35781656 41 16-07-198 P SLTA/SederMENGURUS BPJS-Mandi- 00018154
WONOKUS 35781654 34 14-03-198 P SLTP/SederMENGURUS BPJS-Jamk 8.12E+10 00007895
WONOKUS 35781616 53 16-05-197 L Tamat SD/SKARYAWANBPJS-Mandiri 00007899
WONOKUS 35781656 31 16-04-199 P SLTA/SederPEGAWAI NBPJS-Mandi8.13E+10 00013878
WONOKUS 35781656 26 16-06-199 P Belum TamaMENGURUS BPJS-Jamkesmas 00028148
WONOKUS 35781666 11 26-06-201 P UNSPECIFI UNSPECIFI Umum Surabaya Grati
PERAK BAR 35781550 26 10-04-199 P SLTA/SederKARYAWANBPJS-Mandi8.56E+10 00022059
WONOKUS 35781611 6 11-07-201 L Tidak/BeluPELAJAR/ BPJS-Mandiri 00026807
WONOKUS 35781645 52 05-04-197 P SLTP/SederMENGURUS BPJS-Mandi8.78E+10 00013951
SIDOTOPO 35781746 33 06-04-199 P Tamat SD/SPELAJAR/ BPJS-Jamk 8.56E+10 00017060
WONOKUS 35781613 52 13-11-197 L Diploma IV/GURU BPJS-Askes 8.13E+10 00000999
WONOKUS 35781603 58 03-05-196 L Strata II GURU BPJS-Askes 00000999
WONOKUS 35781668 30 28-12-199 P UNSPECIFI MENGURUS BPJS-Mandi 00010502
00016333
NGAGEL 35780449 22 09-05-200 P Belum Tama PELAJAR/ BPJS-Mandi8.21E+10 00011615
WONOKUS 35781652 67 12-04-195 P Tidak/BeluMENGURUS BPJS-Mandi8.24E+10 00024158
WONOKUS 35781662 48 02-06-197 P UNSPECIFI MENGURUS BPJS-Jamkesmas 00007896
WONOKUS 35781668 42 28-03-198 P SLTA/SederKARYAWANBPJS-Mandi 00013951
WONOKUS 35781647 22 07-07-200 P Belum Tama UNSPECIFI Umum Surabaya Grati
WONOKUS 35270641 29 01-07-199 P Tamat SD/SUNSPECIFI BPJS-Mandi8.77E+10 00035109
WONOKUS 35780570 35 30-05-198 P SLTA/SederMENGURUS BPJS-Jamk 8.22E+10 00024373
WONOKUS 35781645 19 05-03-200 P Belum Tama UNSPECIFI BPJS-Jamkesmas 00029997
WONOKUS 35781612 23 12-01-200 L Belum Tama PELAJAR/ BPJS-Mandi 00016144
WONOKUS 35781660 46 20-01-197 P Tamat SD/SKARYAWANBPJS-Jamk 8.79E+10 00027367
WONOKUS 35781654 34 14-03-198 P SLTP/SederMENGURUS BPJS-Jamk 8.12E+10 00007895
WONOKUS 35781670 58 30-06-196 P Belum TamaMENGURUS BPJS-Mandiri 00027314
Nakes Type Pelayanan
Baru Lama Keluhan ICD X Berat Badan
Tinggi Badan
Tensi Atas Tensi Bawah
CLARA NAS- X V 46 K040 GIK04.0 23 125 90 70
drg. Santo - X V 25 K.04.0 K04.0 55 155 110 70
drg. Santo - X V 71 K.00.6 EK00.6 18 115 90 70
drg. Santo - X V 47 K.04.1 K04.1 52 148 120 80
drg. Santo - X V 38 K.04.5 K04.5 65 160 120 80
CLARA NAS- X V 51 k.00.6 eK00.6 13 115 90 70
CLARA NAS- X V 48 K.04.0 K04.0 65 155 120 80
CLARA NAS- X V 14 k.05.3 eK05.3 60 160 120 80
CLARA NAS- X V 13 k.04.0 bK04.0 65 156 120 80
drg. Santo - X V 21 K04.0 K04.0 55 155 120 80
CLARA NAS- X V 46 K041 STK04.1 54 155 120 80
drg. Santo - X V scaling 6 r K05.0 65 155 120 80
drg. Santo - X V SCALING 3 K05.0 50 148 110 70
drg. Santo - X V 36 k.05.3 K05.3
37 K.12.2 PRO RUJUK 65 155 120 80
drg. Santo - X V 38 K.01.1 PRO OD
K01.1;K12. 70 155 120 80
CLARA NAS- X V 71 K.00.6 K00.6 18 113 90 70
drg. Santo - X V 55 73 74 MASIH ADA 25 123 90 70
CLARA NAS- X V K.12 K12.0 20 120 90 70
CLARA NAS- X V PERPANJA K04.1 30 123 90 70
drg. Santo - X V 21 K.04.0 K04.0 60 55 90 70
CLARA NAS- X V RUJUK RS K01.1 47 143 120 77
drg. Santo - V X 37 K05.2 PK05.2 65 158 120 70
drg. Santo - X V 62 k.05.3 eK05.3 20 120 90 70
CLARA NAS- X V 5152 61 EXK00.6 16 118 100 60
CLARA NAS- X V GIGI NGILUZ01.2 54 143 120 80
drg. Santo - V X 47 K.04.0 K04.0 25 125 90 70
drg. Santo - V X 51 K.08.3 K08.3 20 120 90 70
CLARA NAS- X V RUJUK LABK05.3 45 145 120 80
CLARA NAS- X V 26 K041 STK04.1 56 165 120 80
CLARA NAS- X V 61 K.00.6 K00.6 34 120 90 70
CLARA NAS- X V 47 k053 exK05.3 45 146 110 70
drg. Santo - V X 11.12.21.2S02.5 46 140 120 80
CLARA NAS- X V 62 K006 EXK00.6 22 119 100 60
CLARA NAS- V X 85 K006 EXT IJ 26 123 100 60
CLARA NAS- X V 65 K046 K04.6 17 119 100 60
CLARA NAS- X V KONTROL K04.0 43 142 120 80
drg. Santo - X V 65 k047 opK04.7 18 119 100 60
CLARA NAS- X V 75 k045 extK04.5 25 125 120 80
CLARA NAS- X V 46 K040 C K04.0 55 155 90 70
drg. Santo - X V 84 k040 euK04.0 18 117 100 60
drg. Santo - X V 37 k047 K04.7 67 167 120 80
drg. Santo - X V 38 K047 K04.7 65 167 120 80
drg. Santo - X V 55 K006 EXT K00.6 34 142 100 70
drg. Santo - X V 37 k041 steK04.1 54 165 110 80
drg. Santo - X V 61 K005 EXK00.6 18 117 100 60
CLARA NAS- X V 53 52 51 K04.5 13 115 100 60
drg. Santo - X V 54 k041 basK04.1 33 126 100 60
drg. Santo - X V 61 k006 exK00.6 19 117 100 60
drg. Santo - X V 46 K040 DEK04.0 23 119 100 60
drg. Santo - X V 12 k040 puK04.0 76 158 130 80
drg. Santo - X V 74 K006 EXK00.6 26 127 100 60
drg. Santo - X V 23 K041 BAK04.1 52 147 120 80
CLARA NAS- X V GIGI TUMBK00.6 19 123 100 60
drg. Santo - V X 65 k045 extK04.5 34 142 100 67
drg. Santo - X V 28 K011 RUJUK PRO 54 165 120 80
drg. Santo - X V 28 k011 K01.1 54 153 120 80
drg. Santo - X V 45 k047 K04.7 67 167 130 80
CLARA NAS- V X 81 K006 EXT IJ 23 125 100 60
drg. Citra - X V 37 k05.3 exK05.3 70 175 130 70
drg. Santo - X V 24 k04.0 k K04.0 55 155 120 80
drg. Santo - X V 72 k00.6 c K00.6 25 125 120 80
drg. Santo - X V rujukan K04.0 56 152 106 72
drg. Citra - X V PERPANJA K04.0 60 160 110 75
drg. Citra - V X 36 K04.5 E K04.5 101 168 125 80
drg. Santo - X V 14 k.05.3 eK05.3 55 155 137 74
drg. Santo - X V 47 K04.1 S K04.1 55 155 120 80
drg. Santo - X V 46 k04.7 K04.7 55 155 120 80
drg. Citra - X V 46 k04.6 OK04.6 85 155 120 70
drg. Citra - X V 35 k04.0 deK04.0 60 155 120 70
drg. Citra - X V 37, 38 k05.K05.2 65 158 120 80
drg. Santo - V X 18 k04.0 K04.0 55 155 120 80
drg. Santo - X V 46 k04.0 p K04.0 55 155 120 80
drg. Santo - X V 37 k04.0 euK04.0 55 155 120 80
drg. Citra - X V 47 k041 basK04.1 55 155 120 80
drg. Citra - X V 84 k.04.0 dK04.0 12 100 90 70
drg. Santo - X V 47 k04.1 opK04.1 55 155 120 80
drg. Santo - X V 48 k04.7 p K04.7 53 149 110 70
drg. Santo - X V 37 k04.0 euK04.0 55 155 120 80
drg. Citra - X V 16 K04.0 GK04.0 55 155 120 80
drg. Santo - X V 18 k01.1 exK01.1 55 155 120 80
drg. Santo - X V 46 k04.0 obK04.0 25 125 120 80
drg. Citra - X V 12 k04.5 exK04.5 55 155 127 78
drg. Citra - X V 48, 47 k5.2K05.2 55 169 120 70
drg. Citra - X V k05.2 steri K05.2 58 155 130 80
drg. Citra - V X konsultasi K05.3 70 160 120 80
drg. Santo - X V 37 K04.5 E K04.5 55 155 120 80
drg. Santo - X V 36 K04.1 BK04.1 55 155 120 80
drg. Citra - X V 13 k04.1 stK04.1 55 155 120 80
drg. Citra - V X 36 37 k.04.K04.0 45 145 90 70
drg. Santo - X V 26 k04.1 stK04.1 55 155 120 80
drg. Citra - X V 15 k04.0 opK04.0 55 155 110 78
drg. Santo - X V 37 k04.5 exK04.5 55 155 120 80
CLARA NAS- X V 27 k052 opK05.2 64 156 120 80
CLARA NAS- V X 16 k.04.0 K04.0 65 165 90 70
drg. Santo - X V k046 op ttpK04.6
CLARA NAS- X V 46 k040 opK04.0 56 167 120 80
CLARA NAS- X V 51 k006 exK00.6 19 119 100 60
drg. Santo - X V alveolekto K06.8 67 167 120 80
drg. Santo - X V 85 k047 K04.7 19 119 100 60
drg. Santo - X V 46 K04.1 S K04.1 55 155 120 80
CLARA NAS- X V 11 k.04.0 K04.0 65 155 120 80
drg. Santo - X V rujukan K04.0 54 156 120 80
drg. Santo - X V 38 k04.7 insK04.7 55 155 120 80
drg. Santo - X V 46 k040 dev K04.0 23 129 100 69
CLARA NAS- X V 36 k.04.0 dK04.0 65 165 120 80
drg. Santo - V X 36 k040 t K04.0
drg. Santo - V X mesioden ex K00.6 23 119 100 60
CLARA NAS- X V susp mesioK00.6 20 120 90 70
drg. Santo - X V k.04.0 rujuK04.0 60 160 120 80
drg. Santo - X V 36 k045 exK04.5 64 167 120 80
drg. Santo - V X 81 k006 exK00.6 18 117 100 60
CLARA NAS- X V scaling
16 6 rpro
k.04.1 K05.0
rujuk 65 152 110 70
CLARA NAS- X V 25 k.04.1 steril
K04.1pro rujuk 65 157 120 80
drg. Santo - X V 23 s025 exS02.5 56 159 120 80
CLARA NAS- X V 17 25 k.04.K04.6 55 155 120 80
drg. Santo - X V 36 k052 opK05.2 56 155 120 80
drg. Santo - X V 22 k045 exK04.5 55 155 120 80
CLARA NAS- X V 36 k021 coK02.1 44 154 120 80
drg. Santo - X V 46 k04.0 deK04.0 55 155 120 80
CLARA NAS- X V 84 k040 deK04.0 20 115 90 70
drg. Santo - V X rujuk k011K01.1 65 167 120 80
CLARA NAS- X V 28 k.05.2 pK05.2 56 157 120 80
drg. Citra - X V 55 K046 K04.6 21 124 100 60
CLARA NAS- X V 27 K040 DEK04.0 86 178 110 80
CLARA NAS- X V 75 K047 K04.7 17 119 100 60
drg. Citra - X V 65 K041 STK04.1 17 119 100 60
CLARA NAS- X V 48 K011 K01.1 56 159 120 80
drg. Citra - X V 26 K040 OPK04.0 63 152 120 80
CLARA NAS- X V 12 K040 C K04.0 63 167 120 80
CLARA NAS- X V 35 K040 EUK04.0 54 155 120 80
drg. Citra - X V 16 k040 puK04.0 56 162 120 80
CLARA NAS- X V 11 21 K02 K02.1 64 154 120 80
CLARA NAS- V X SCALING 6 K05.0 54 156 120 77
drg. Citra - X V 25 K040 DEK05.2;K04. 58 158 156 96
drg. Citra - X V 48 K041 STK04.1 56 155 120 80
drg. Citra - X V 46 K040 OPK04.0 52 148 120 80
CLARA NAS- X V 47 48 K04 K04.0 56 167 120 80
drg. Citra - X V 82 k006 exK00.6 18 117 100 60
CLARA NAS- X V 51 k006 exK00.6 18 118 100 60
drg. Citra - X V 84 K006 DIK05.2 24 119 100 60
drg. Citra - V X rujuk pro S02.5 53 165 120 80
drg. Citra - X V 55 k041 opK04.1 26 127 100 60
CLARA NAS- V X 46 K021 C K02.1 56 145 120 80
CLARA NAS- X V 23 K040 GIK04.0 99 174 140 89
CLARA NAS- X V 34 K040 DEK04.0 56 155 120 80
drg. Citra - X V 16 K040 B K04.1 53 159 120 80
drg. Citra - X V 36 K041 STK04.1 56 159 120 80
CLARA NAS- X V 73 K053 EXK05.3 26 119 100 60
CLARA NAS- X V 81 k006 exK00.6 35 119 100 60
drg. Santo - X V 46 k047 K04.7 49 150 120 80
drg. Santo - X V 75 k047 K04.7 17 121 100 60
CLARA NAS- X V 74 k052 opK05.2 17 114 100 60
drg. Santo - X V RUJUK BALIK04.1 25 125 120 80
drg. Santo - X V 52 k083 tuK05.2 17 121 100 60
CLARA NAS- X V 37 k040 deK04.0 67 167 120 80
drg. Santo - X V 46 k047 K04.7 67 167 120 80
CLARA NAS- X V 46 k047 opK04.7 56 154 120 80
CLARA NAS- X V 52 k006 exK00.6 17 121 100 60
drg. Santo - X V 15 k040 coK04.0 49 150 120 80
drg. Santo - X V 22 k041 opK04.1 56 150 120 80
drg. Santo - X V 61 k053 obK05.3 17 121 100 60
drg. Santo - X V 23 k045 exK04.5 49 150 120 80
CLARA NAS- V X RUJUK RS K04.0 14 90 90 70
CLARA NAS- X V 36 k052 curK05.2 49 154 120 80
drg. Santo - X V 48 k046 K01.1 56 150 120 80
drg. Santo - X V 84 k052 obK05.2 24 127 100 60
CLARA NAS- X V scaling 6 r K05.0 56 167 120 80
CLARA NAS- X V 36 k041 steK04.1 56 154 120 80
drg. Santo - X V 36 k047 opK04.7 24 127 100 60
CLARA NAS- X V 26 k041 tkfK04.1 56 150 120 80
drg. Santo - X V 46 k047 opK04.7 49 150 120 80
CLARA NAS- X V 26 k041 steK04.1 56 155 120 80
drg. Santo - X V 37 k047 boK04.7 56 150 120 80
drg. Santo - V X 26 k047 K04.7 56 167 120 80
CLARA NAS- X V 52 k006 exK00.6 17 121 100 60
drg. Citra - X V 23 k04.0 pK04.0 90 160 120 80
drg. Citra - X V 26 k04.1 stK04.1 68 155 120 70
drg. Santo - X V 26 k04.0 euK04.0 55 155 120 80
drg. Santo - X V 21 22 23 2 K04.7 55 155 120 80
drg. Santo - X V 82 k00.6 c K00.6 55 155 120 80
drg. Citra - X V 47 k05.3 exK05.3 120 80 125 69
drg. Citra - X V 36 k04.0 c K04.0 55 155 120 80
drg. Santo - X V 36 k04.0 euK04.0 55 155 120 80
drg. Santo - V X 51 k8.3 extK08.3 25 125 120 80
drg. Citra - X V 48, 18 K04 K04.0;K01. 85 165 120 70
drg. Santo - X V 12 k04.5 viK04.5 55 155 120 80
drg. Citra - X V 63 k00.6 c K00.6 22 125 110 70
drg. Citra - X V PERPANJA K04.1 56 153 120 70
drg. Santo - X V 85 suspectK04.7 15 120 120 80
drg. Citra - X V 28 k04.5 prK04.5 150 90 120 80
drg. Santo - X V 12 k021 coK02.1 55 155 120 80
drg. Santo - V X 51 k04.7 K04.7 12 95 120 80
drg. Santo - X V rujuk balik K06.2 55 155 120 80
drg. Santo - X V 47 K04.0 PK04.0 65 165 100 67
drg. Santo - X V 11 k0.21 c K02.1 55 155 120 80
drg. Citra - X V 52 K00.6 E K00.6 26 125 100 70
drg. Santo - X V 36 k04.0 euK04.0 35 135 120 80
drg. Santo - X V 26 k05.3 exK05.3 55 155 120 80
CLARA NAS- X V 11 s02.5 ruS02.5 20 120 120 80
drg. Citra - X V 47 k05.3 exK05.3 56 154 100 70
drg. Santo - X V 38 k04.0 , K05.0 55 155 120 80
drg. Citra - X V 62 k006 exK00.6 21 123 100 60
CLARA NAS- X V 73 k05.3 exK05.3 25 125 120 80
CLARA NAS- X V 38 erupsi K00.8 55 155 120 80
CLARA NAS- X V 74 k04.1 steK04.1 25 125 120 80
drg. Santo - X V 65 k04.7 r K04.7 25 125 120 80
drg. Citra - X V 46 k04.6 sK04.6 55 155 120 80
drg. Citra - X V 45 K045 EXK04.5 76 167 136 90
CLARA NAS- X V 71 k05.3 o K05.3 25 125 120 80
CLARA NAS- X V 36 k04.0 K04.0 55 155 120 80
CLARA NAS- X V k05.0 scall K05.0 55 155 120 80
drg. Santo - X V perpanjangK04.0 56 155 120 80
drg. Citra - X V 61 k00.6 c K00.6 25 125 120 80
drg. Citra - X V 44 k041 steK04.1 56 148 120 80
drg. Citra - X V 71 k006 exK00.6 25 125 120 80
drg. Santo - X V PERPANJA K05.3 26 124 100 60
drg. Citra - X V 47 k04.4 o K04.4 55 155 120 80
drg. Citra - X V 37 k04.1 steK04.1 55 155 120 80
drg. Citra - X V 52 k05.3 c K05.3 55 155 120 80
drg. Citra - V X 36 op devitK04.0 48 156 120 80
CLARA NAS- V X 23 24 25 k K03.1 67 165 120 80
CLARA NAS- X V 46 k04.0 o K04.0 25 125 120 80
CLARA NAS- X V 37 38 k05. K05.2 55 155 120 85
drg. Citra - X V 36 k040 deK04.0 56 159 120 80
drg. Citra - X V 15 k045 exK04.5 55 155 120 80
drg. Citra - X V 31 41 k045K04.5 67 172 120 80
drg. Citra - X V 12 13 k040K04.0 76 157 120 80
CLARA NAS- X V 47 K040 DEK04.0 25 125 90 70
drg. Citra - X V 37 k053 rujK05.3 59 167 158 89
CLARA NAS- X V 17 k053 exK05.3 67 172 120 80
CLARA NAS- X V 12 k04.1 b K04.1 55 155 120 80
CLARA NAS- X V 37 38 k05. K05.2 55 155 120 80
CLARA NAS- X V 16 K04.5 1 K04.0 67 165 120 70
drg. Santo - X V 14 K04.0 K04.0 67 165 110 70
drg. Santo - X V 75 k04.1 r K04.1 17 100 100 70
drg. Santo - X V 28 k01.1 p K01.1 75 160 110 70
drg. Santo - V X 51 k00.6 exK00.6 16 100 100 70
drg. Santo - X V 21 k04.5 exK04.5 55 155 140 90
drg. Santo - X V 85 k04.5 prK04.5 19 119 100 60
drg. Santo - X V 46 k04.7 K04.7 67 167 120 80
drg. Citra - X V K12.2 BUCCK12.2 15 100 100 70
CLARA NAS- X V 24 k052 opK05.2 86 189 120 80
CLARA NAS- V X scaling 6 r K05.0 78 175 120 80
CLARA NAS- X V 36 k040 deK04.0 59 174 120 80
drg. Santo - X V 18 eugenolK04.0 60 158 100 67
CLARA NAS- X V KONTROL. K404.1 58 155 120 80
CLARA NAS- X V 75 k040 deK04.0 12 100 100 70
CLARA NAS- X V 51 k04.6 o K04.6 16 92 100 60
drg. Santo - X V 47 k04.1 steK04.1 60 155 120 80
drg. Santo - X V KONTROL. K704.1 30 125 100 60
CLARA NAS- X V k05.0 scall K05.0 79 170 120 70
CLARA NAS- X V 47 k05.3 p K05.3 60 152 150 100
CLARA NAS- X V 55 k053 exK05.3 36 128 100 60
drg. Santo - X V 36 k04.0 deK04.0 60 155 120 80
drg. Santo - X V 46 k4.4 tkf K04.4 68 157 120 70
CLARA NAS- X V scalling 1 K05.0 68 150 100 70
drg. Citra - X V rujuk od K07.6 54 157 120 80
CLARA NAS- X V 28 k040 prK04.0 56 154 120 80
drg. Santo - X V 13 k04.1 baK04.1 55 155 120 80
CLARA NAS- V X scalling 6 regio k05.0 60 155 120 70
CLARA NAS- V X 48 k04.0 deK04.0 75 159 120 70
drg. Santo - X V 46 k04.0 baK04.0 68 156 120 70
drg. Santo - X V 75 k04.0 K04.0 25 125 120 80
CLARA NAS- X V 46 k.05.2 K05.2 55 155 110 70
CLARA NAS- X V 71 k00.6 exK00.6 21 118 100 60
CLARA NAS- X V 84K08.3 K08.3 25 125 110 70
drg. Citra - X V 31 k05.3 T K05.3 66 166 177 90
drg. Santo - X V 33 34 K04.7K04.7
drg. Santo - X V 65 K04.1 S K04.1 17 115 110 70
drg. Santo - X V angkat 4 jaK05.0 67 167 120 80
drg. Santo - X V 47 k04.7 K04.7 55 155 120 70
drg. Santo - X V 47 K04.1 S K04.1 65 160 110 70
CLARA NAS- X V 46 K02.1 K02.1 60 155 120 70
drg. Santo - X V 48 k052 prK05.2 58 165 120 80
drg. Santo - V X 18 k053 exK05.3 68 168 117 77
drg. Santo - X V 32 K04.5 E K04.5 58 155 123 78
drg. Santo - X V 46 k04.4 opK04.4 60 160 130 76
drg. Santo - X V k04.1 steri K04.1 55 155 120 70
CLARA NAS- X V 14 K04.0 DK04.0 64 154 120 80
drg. Santo - X V RA K05.0 K05.0 61 160 120 70
drg. Santo - X V K05.1 SCALL K05.0 60 162 117 81
drg. Santo - X V 84 k00.6 exK00.6 24 127 120 70
CLARA NAS- X V 36 s02.5 S02.5 58 155 117 81
CLARA NAS- X V 46 k4.1 sterK04.1 65 150 120 70
CLARA NAS- X V 36 k04.1 STK04.1 45 130 120 70
drg. Santo - X V SCALLING 6K05.0 72 168 120 80
CLARA NAS- V X K05.0 SCALK05.0 60 152 100 70
CLARA NAS- X V 47 48 K01. K01.1 60 158 130 79
CLARA NAS- X V 36 K04.1 S K04.1 56 155 120 70
drg. Santo - X V 28 k011 rujK01.1 47 165 110 80
drg. Santo - X V 46 k041 opK04.1 56 156 120 80
CLARA NAS- X V 27 k05.3 E K05.3 63 159 120 70
drg. Santo - X V kontrol gd K05.2 56 165 153 87
CLARA NAS- X V 37 K04.1 S K04.1 60 154 120 70
CLARA NAS- X V 26 k04.6 K04.6 80 167 120 70
CLARA NAS- X V 61 k05.3 exK05.3 19 115 110 60
drg. Santo - X V 48 k045 exK04.5 54 163 120 80
CLARA NAS- X V 27 K040 DEK04.0 67 165 120 80
drg. Santo - X V 27 k040 deK04.0 89 174 120 80
CLARA NAS- X V 75 k053 exK05.3 19 121 100 60
drg. Santo - X V 36 k040 puK04.0 54 167 120 80
CLARA NAS- X V 23 k021 coK02.1 54 155 120 80
drg. Santo - X V rujuk rs phK01.1 45 156 120 80
CLARA NAS- X V 37 K04.0 K04.0 67 162 120 80
CLARA NAS- X V ulkus regioK08.3 19 117 100 60
CLARA NAS- X V 14 S025 G S02.5 56 156 120 80
drg. Santo - X V 35 K040 DEK04.0 56 165 120 80
CLARA NAS- X V 35 K040 GIK04.0 54 155 120 80
drg. Santo - X V 16 K040 C K04.0 54 153 120 80
CLARA NAS- X V SCALING 6 K05.0 70 165 120 78
CLARA NAS- X V 46 k041 steK04.1
CLARA NAS- X V 37 K040 GIK04.0 56 167 120 80
drg. Santo - X V 48 K041 B K04.1 55 155 120 80
drg. Citra - X V 75 K046 OPK04.6 18 118 100 60
CLARA NAS- X V 46 K041 STK04.1 60 155 120 70
CLARA NAS- X V 61 k006 exK00.6 21 119 100 60
CLARA NAS- X V scaling 6 r K05.0 56 145 120 80
drg. Santo - X V 44 K046 INK04.6 54 154 130 80
CLARA NAS- V X 14 K122 OPK04.6 56 165 120 80
CLARA NAS- X V 46 K052 STK05.2 67 167 120 80
CLARA NAS- X V 15 K04.7 K04.7 67 158 120 70
drg. Santo - X V 36 K041 B K04.1 58 165 120 80
CLARA NAS- X V 84 K040 RUK04.0 18 119 100 60
drg. Santo - X V 32 K05.3 PK05.3 68 160 120 70
drg. Santo - V X 48 k047 K04.7 55 165 120 80
CLARA NAS- V X 36 K04.7 PRO EX 80 162 135 78
CLARA NAS- X V 27 k04.0 deK04.0 69 162 120 80
drg. Santo - X V 71 k006 exK00.6 18 117 100 60
drg. Santo - X V 27 k052 K05.2 45 147 110 80
drg. Santo - X V 61 k006 exK00.6 19 117 100 60
CLARA NAS- V X 61 k006 exK00.6 19 118 100 60
drg. Santo - X V 54 k12.2 opK12.2 19 118 100 60
drg. Santo - X V 47 k047 K04.7 54 148 120 80
drg. Santo - X V 46 k047 K04.7 56 156 120 80
drg. Santo - X V 24 k041 steK04.7;K04. 78 175 120 80
CLARA NAS- X V 36 K04.1 TKF TS 75 165 120 70
CLARA NAS- X V 38 STERIL K04.1 65 150 120 78
CLARA NAS- X V 51 k04.1 stK04.1 17 92 100 60
CLARA NAS- X V 885 K04.1 K04.1 22 120 110 70
drg. Santo - X V 36 K04.1 T K04.1 56 154 100 60
CLARA NAS- X V 28 k01.1 p K01.1 60 156 120 80
CLARA NAS- X V 85 K04.7 OK04.7 15 110 100 70
drg. Santo - X V 37 k046 prK04.6 67 172 130 80
CLARA NAS- X V k021 compo K02.1 52 154 120 70
drg. Santo - X V 26 k041 baK04.1 56 155 120 78
drg. Santo - X V 15 k040 deK04.0 55 158 120 70
CLARA NAS- X V 46 K05.2 K05.2 65 152 110 78
drg. Santo - X V 51 k053 exK05.3 18 117 100 60
CLARA NAS- X V 46 K05.3 E K05.3 58 155 110 67
drg. Santo - X V 46 k040 deK04.0 65 168 120 80
CLARA NAS- X V 33 34 K04 K04.5
drg. Citra - X V 26 k04.0 giK04.0 55 155 120 80
drg. Santo - X V 35 k045 tdK04.5 57 147 203 93
drg. Santo - X V 85 k041 tkfK04.1 18 117 100 60
CLARA NAS- V X 51 K00.6 E K00.6 13 100 100 70
drg. Santo - X V 44 k053 konK05.3 99 167 150 90
drg. Santo - X V 23 k021 coK02.1 67 167 120 80
drg. Citra - X V 47 K04.0 K04.0 70 154 120 70
CLARA NAS- X V 22 K02.1 K02.1 52 152 100 60
CLARA NAS- X V 36 K04.0 DK04.0 22 130 120 70
drg. Citra - X V 22 DAN 12K02.1 67 158 120 70
CLARA NAS- X V 37 K04.1 T K04.1 60 155 120 70
drg. Santo - X V 47 k047 tuK04.7 89 174 120 80
drg. Citra - X V 36 k040 opK04.0 45 156 120 77
drg. Citra - X V rujuk rs 44K05.6 65 169 120 80
drg. Santo - X V 36 k021 coK02.1 54 157 120 80
CLARA NAS- X V 62 k053 exK05.3 19 117 100 60
drg. Santo - X V 65 k006 extK00.6 29 127 100 60
CLARA NAS- X V 28 k04.0 GK04.1 58 152 100 70
CLARA NAS- X V 26 K05.3 E K05.3 81 167 120 70
drg. Santo - X V 75 K04.6 K04.6 22 124 100 70
drg. Santo - X V 75 K04.0 PK04.0 20 115 90 70
CLARA NAS- X V K05.0 SCALK05.0 68 160 120 80
drg. Santo - X V 62 K05.3 E K05.3 17 121 110 70
CLARA NAS- X V 26 OPEN BK04.0 52 150 120 70
CLARA NAS- X V 75 K00.6 E K00.6 37 140 120 75
drg. Santo - X V 46 K04.1 T K04.1 60 155 110 70
drg. Santo - X V 14 K.04.1 K04.1 55 155 120 80
drg. Santo - X V 14 K04.5 E K04.5 75 167 130 80
CLARA NAS- X V 46 K04.0 K04.0 75 155 120 70
CLARA NAS- X V 46 K04.0 K04.0 57 155 110 70
CLARA NAS- X V K05.0 SCALK05.0 55 165 120 70
CLARA NAS- X V 17 K04.0 E K04.0 65 158 110 70
drg. Santo - X V 36 K04.0 K04.0 65 158 120 80
CLARA NAS- X V 61 K00.6 E K00.6 25 125 110 70
CLARA NAS- X V 75 K04.7 K04.7 18 118 100 70
CLARA NAS- X V 54 K.05.3 K05.3 18 120 90 70
drg. Santo - X V 36 K02.1 K02.1 67 158 120 80
CLARA NAS- X V 36 K04.0 DK04.0 55 153 120 70
CLARA NAS- X V 38 K01.1 RK01.1 65 160 120 80
CLARA NAS- X V 65 S02.4 S02.5 35 134 110 70
drg. Santo - X V 36 K04.6 K04.6 60 155 120 70
drg. Santo - X V 44 K04.6 K04.6 54 154 110 70
drg. Santo - X V 14 K04.6 INK04.6 65 165 120 70
drg. Santo - X V KONTROL 4K04.0 45 135 110 70
drg. Citra - X V 16 K.04.1 SK04.1 35 135 90 70
drg. Citra - X V 38 K.04.4 K04.4 75 175 120 80
drg. Santo - X V 15 k041 baK04.1 67 167 120 80
drg. Citra - X V 27 K.02.5 ES02.5 55 155 120 80
drg. Citra - X V 83 84 k046K04.6 35 119 100 60
drg. Citra - X V 35 k045 exK04.5 66 152 120 80
drg. Santo - X V 27 k053 gr K05.3 78 156 156 98
drg. Citra - X V 48 k041 steK04.1;K04. 56 153 120 80
drg. Citra - X V 64 k040 gicK04.0 18 100 90 70
drg. Santo - X V 47 k021 coK02.1 76 173 120 80
drg. Citra - X V 36 k040 opK04.0 67 171 120 80
drg. Santo - X V 18 k041
48 k040 steril
gicK04.0
1 56 152 120 80
drg. Citra - X V 47 K.04.0 DISERTAI K.05.0 SCALING
K05.0;K04. 60 1 REGIO,
153 PRO 120
TUMPAT 80
drg. Santo - X V 75 k006 exK00.6 20 123 100 60
drg. Santo - X V post ext r K05.2 56 156 120 80
drg. Santo - X V 47 k053 exK05.3 87 172 141 79
drg. Santo - X V 25 s025 exS02.5 56 156 120 80
drg. Citra - X V 36 k046 K04.6 38 133 100 60
drg. Santo - X V 45 k053 exK05.3 65 165 120 80
drg. Santo - X V observasi Z01.2 19 119 100 60
drg. Santo - X V 47 k053 exK05.3 55 150 134 84
drg. Santo - X V 36 k040 deK04.0 48 159 100 60
drg. Citra - X V 28 K.04.0 K04.0 55 150 120 80
drg. Santo - X V k045 ext tunda td 17 45 151 170 97
drg. Santo - X V 17 K.04.0 K04.0 56 154 130 80
drg. Santo - X V 36 k021 cavK02.1 59 167 120 80
drg. Santo - X V 48 k040 deK04.0 74 165 120 80
drg. Citra - X V PERPANJA K04.1 8.5 93 100 60
drg. Citra - X V 22 k041 ieigK04.1 56 158 120 89
CLARA NAS- X V 55 K052 OPK05.2 27 126 100 60
CLARA NAS- X V 85 IRUPSI K01.1 21 119 120 80
CLARA NAS- X V 71 K006 EXTK00.6 20 119 100 60
CLARA NAS- X V 85 DEVIT KK04.0 19 117 100 60
CLARA NAS- X V 27 K044 RUK04.4 45 154 120 80
CLARA NAS- X V OBSERVASIK04.4 54 154 120 80
CLARA NAS- X V 16 K052 C K05.2 56 167 170 99
CLARA NAS- X V 71 K006 EXK00.6 16 117 100 60
CLARA NAS- X V 55 K12.2 SK12.2 18 115 100 60
CLARA NAS- X V 46 K041 OPK04.1 63 158 120 80
CLARA NAS- X V 72 K006 EXK00.6 19 119 100 60
drg. Santo - X V 24 K041 T K04.1 67 171 120 80
CLARA NAS- X V 46 K041 BAK04.1 62 155 120 80
CLARA NAS- X V 36 K046 K04.6 32 128 100 60
CLARA NAS- X V 48 K040 GIK04.0 56 158 120 80
CLARA NAS- X V 36 K041 STK04.1 67 167 120 80
CLARA NAS- X V 18 K040 DEK04.0 56 148 120 80
CLARA NAS- X V 81 K006 EXK00.6 21 115 100 60
CLARA NAS- V X 75 K047 OK04.7 17 115 100 60
drg. Santo - X V 52 K006 EXK00.6 21 119 100 60
CLARA NAS- X V 51 K046 INK04.6 12 100 100 60
CLARA NAS- X V 38 K045 EXK04.5 67 165 147 83
drg. Santo - X V 46 K041 STK04.1 54 167 120 80
CLARA NAS- X V PINGIN CAK05.3 56 167 172 101
CLARA NAS- X V 37 K041 BAK04.1 56 148 120 80
CLARA NAS- X V KONTROL K04.0 74 175 120 80
CLARA NAS- X V SCALING 6 K05.0 64 165 120 80
CLARA NAS- X V GIGI NGILUZ01.2 18 117 100 60
drg. Santo - X V POST EXT AZ01.2 63 156 120 80
drg. Citra - X V konsuol. prK05.0 68 158 120 80
drg. Santo - X V 16 k040 coK04.0 52 158 120 80
drg. Citra - X V 84 k006 exK00.6 23 119 100 60
drg. Santo - X V 65 k041 basK04.1 19 116 100 60
drg. Santo - X V 82 k006 exK00.6 18 117 100 60
drg. Santo - X V 26 k04.0 r K04.0 55 155 191 104
drg. Citra - X V 37 k040 opK04.0 67 167 120 80
drg. Citra - X V 36 k052 K05.2 56 156 120 80
drg. Santo - X V 75 k045 extK04.5 63 167 120 80
drg. Citra - X V 17 k040 deK04.0 48 151 120 80
drg. Citra - X V 12 k045 proK04.5 56 165 120 80
drg. Santo - X V 36 k053 17K05.3 56 157 171 119
drg. Santo - X V 37 k040 dev K04.0 56 148 120 80
drg. Santo - X V 12 k053 pxK05.3 54 148 120 80
drg. Santo - X V 62 k006 exK00.6 18 116 100 60
drg. Citra - X V 72 82 z012Z01.2 18 117 100 60
drg. Santo - X V perpanjangK04.7 19 118 100 60
drg. Santo - X V 51 k053 exK05.3 19 118 100 60
drg. Citra - X V scalling6 r K05.0 53 156 120 80
drg. Citra - X V 47 k044 opK04.4 54 155 120 80
drg. Santo - X V 25 k040 deK04.0 56 158 120 80
drg. Santo - X V 36 k046 lanK04.6 65 156 110 80
drg. Citra - X V 23 pulpectK04.0 74 173 120 80
drg. Citra - X V 16 k041 baK04.1 56 153 130 80
drg. Santo - X V 45 k045 exK04.5 54 155 117 75
drg. Citra - X V 15 k046 opK04.6 65 165 120 80
drg. Citra - V X 38 48 k011K01.1 63 156 120 80
drg. Citra - X V 34 k045 tdK05.2 67 158 154 85
drg. Santo - X V 72 k006 exK00.6 21 121 100 60
drg. Citra - X V 27 K.04.0 K04.0 65 165 120 80
drg. Citra - X V 14 S.02.5 ES02.5 87 156 149 68
drg. Citra - X V 27 k040 deK04.0 64 167 120 80
drg. Citra - X V 85 k046 opK04.6 14 114 100 60
drg. Citra - X V 48 k040 puK04.0 56 158 120 80
drg. Citra - X V 51 k053 exK05.3 19 118 100 60
drg. Citra - V X 81 k.00.6 eK00.6 18 115 80 70
drg. Citra - X V 37 K040 G K04.0 56 156 120 80
drg. Citra - X V 48 K0111 DK01.1 65 167 120 80
drg. Citra - X V 46 K04.6 PK04.6 67 153 130 78
drg. Santo - X V 46 k045 exK04.5 53 152 120 80
CLARA NAS- X V 24 25 COMK02.1 56 167 120 80
drg. Citra - X V suspect karK04.0 63 154 120 80
drg. Santo - X V 36 K.04.1 SK04.1 65 165 120 80
CLARA NAS- X V 37 k.05.3 K05.3 60 160 120 70
CLARA NAS- X V 36 k045 exK04.5 34 128 100 60
drg. Citra - V X 75 85 k.04.K04.0 15 100 80 70
drg. Citra - X V 74 75 k040K04.0 10 111 100 60
drg. Citra - X V 62 k.00.6 eK00.6 16 116 80 70
CLARA NAS- X V 47 k052 opK04.6 66 165 120 80
drg. Citra - X V EXOSTOSISK08.9 60 155 120 80
drg. Citra - X V scaling 6 r K05.0 64 156 120 80
drg. Citra - V X 38 OP K040K05.0;K04. 67 156 120 80
drg. Citra - X V gusi mudahK05.0 54 153 120 80
drg. Citra - X V rujuk lab g K05.3 56 156 120 80
drg. Citra - V X 47 K040 DEK04.0 56 156 120 80
drg. Citra - X V SCALING 6 K05.0 68 158 120 80
drg. Santo - X V 46 K.04.1 SK04.1 58 167 120 80
drg. Citra - X V 65 K.00.6 K00.6 22 125 80 70
drg. Citra - X V SCALING 6 K05.0 65 158 120 80
drg. Citra - X V 13 K.04.6 I K04.6 55 155 110 70
drg. Citra - X V 47 K.04.1 K04.1 55 155 110 70
drg. Santo - X V rujuk rs imK01.1 54 157 120 80
drg. Santo - X V 36 k09.0 R K09.0 65 152 120 80
drg. Santo - X V 54 K.04.0 GK04.0 15 100 80 70
drg. Santo - X V 36 k04.0 deK04.0 22 121 89 70
drg. Citra - X V 22 K.04.1 SK04.1 53 155 120 80
drg. Santo - X V 46 k040 euK04.0 54 155 120 80
drg. Citra - X V 47 K.05.0 K05.0 52 145 90 70
drg. Santo - X V 75 k044 ruK04.4 18 118 80 70
drg. Citra - X V 61 K.00.6 K00.6 23 125 90 70
drg. Santo - X V 72 k006 exK00.6 18 117 100 60
drg. Citra - X V 85 k053 exK05.3 22 125 80 70
drg. Santo - V X 85 K.08.3 K08.3 15 113 80 70
drg. Citra - X V 36 k040 deK04.0 55 155 80 70
drg. Santo - X V 47 k031 coK03.1 62 158 120 80
drg. Citra - X V 75 K.04.0 K04.0 15 100 80 70
drg. Santo - X V 47 K.04.0 GK04.0 52 150 120 80
drg. Santo - X V 14K.04.0 eK04.0 60 147 120 80
drg. Santo - X V 26 K.04.7 K04.7 55 155 110 70
drg. Santo - X V 75 k047 K04.7 18 120 80 70
drg. Santo - X V 85 K.04.4 K04.4 20 116 80 70
drg. Santo - X V 75 K.04.0 GK04.0 18 115 80 70
drg. Citra - X V 72 K.00.6 K00.6 19 119 80 70
drg. Citra - X V 48 k040 deK04.0 65 160 120 80
drg. Santo - X V 74 K041 TSK04.1 12 115 100 60
drg. Santo - X V 32 K.05.3 K05.3 55 155 110 70
drg. Citra - X V 85 K.04.0 TK04.0 15 110 80 70
CLARA NAS- X V 28 k046 rujK04.6 56 159 120 80
drg. Santo - X V gigingilu Z01.2 54 156 120 80
drg. Citra - X V 17 K.04.0 GK04.0 55 151 110 70
drg. Santo - X V Z.01.2 Z01.2 65 164 120 80
drg. Santo - X V 36 K0.40 K04.0 55 155 120 80
drg. Citra - X V 82 K.00.6 K00.6 18 120 80 70
CLARA NAS- X V 36 K040 GIK04.0 34 137 100 60
drg. Santo - X V 61 K.00.6 K00.6 20 120 80 70
drg. Citra - X V 30 k041 opK04.1 53 151 110 70
drg. Citra - X V 43 k053 exK05.3 67 172 120 80
drg. Santo - X V 11 k021 coK02.1 65 155 120 80
CLARA NAS- X V 6 regio scaK05.0 56 148 120 70
drg. Citra - X V ro rujuk rs K04.0 16 115 100 60
drg. Santo - X V gigiK.04.0
47 ngilu DEVITAL
Z01.2 54 146 120 80
drg. Citra - X V SAR K04.0 25 125 90 70
drg. Citra - X V 16 K.04.1 K04.1
drg. Santo - X V 45 s02.5 exS02.5 55 155 120 80
drg. Santo - X V SCALIING 3K05.0 55 155 120 80
drg. Citra - X V 36 26 K.04 K04.7 52 155 110 70
drg. Santo - X V 36 K.04.0 K04.0 68 158 120 80
drg. Citra - X V 48 K.04.1
37 k045 rujK04.5
STERIL 65 158 120 80
drg. Citra - X V SAR K04.1 80 173 120 80
drg. Citra - X V 81 K.0.5 3 K05.3 20 120 80 70
CLARA NAS- X V 74 k047 obK04.7 25 125 120 80
drg. Citra - X V 54 k053 extK05.3 27 123 100 60
CLARA NAS- X V 26 k04.1 steK04.1 55 55 120 80
CLARA NAS- X V 45 k041 opK04.1 55 155 120 80
drg. Citra - X V K05.0 6 REK05.2;K05. 55 155 120 80
drg. Citra - X V 74 75 k04.6K04.6 25 125 120 80
CLARA NAS- X V 64 k006 ceK00.6 25 125 120 80
CLARA NAS- X V 85 k052 K05.2 22 121 100 60
drg. Citra - X V 14 K04.0 DK04.0 55 155 120 80
CLARA NAS- X V 27 K04.0 OK04.0 55 155 120 80
CLARA NAS- X V 38 k05.2 prK05.2 67 155 150 100
CLARA NAS- X V 51 k04.6 K04.6 25 155 120 80
CLARA NAS- V X 37 K04.0 DK04.0 63 164 120 80
drg. Citra - X V 53 k05.3 exK05.3 30 130 120 70
CLARA NAS- X V 45 OB K12.K12.2 55 155 120 80
drg. Citra - X V 36 k04.0 deK04.0 59 160 120 80
CLARA NAS- X V 38 48 K011K01.1 55 155 120 80
CLARA NAS- X V 17 k053 rujK05.3 69 154 190 120
drg. Citra - X V K05.0 SCALK05.0 55 155 120 80
drg. Citra - X V 85 k040 K04.0 13 113 100 60
drg. Citra - X V 38 48 k011K01.1 54 158 120 80
drg. Citra - X V 36 k040 pxK04.0 34 132 100 60
drg. Citra - X V 34 k040 dev K05.3;K04. 67 167 120 80
CLARA NAS- X V 37 K041 STK04.1 56 167 120 80
drg. Citra - X V 55 k12.2 steK12.2 19 116 100 60
CLARA NAS- X V 24 k04.1 b K04.1 55 155 120 80
CLARA NAS- X V 26 k021 koK02.1 67 167 120 80
CLARA NAS- X V 47 k021co K02.1 45 143 120 80
drg. Citra - X V 25 k044 boK04.4 57 155 120 80
drg. Citra - X V 61 k006 exK00.6 17 115 100 60
CLARA NAS- X V 46 k041 baK04.1 56 147 120 80
CLARA NAS- X V 26 k040 opK04.0 62 162 120 80
CLARA NAS- X V 28 k04.0 deK04.0 55 155 120 80
drg. Citra - X V 71 k006 exdK00.6 25 155 120 80
CLARA NAS- X V 27 k052 cuK05.2 64 163 130 80
drg. Citra - X V 46 k04.1 b K04.1 55 155 120 80
CLARA NAS- X V 17 k04.0 giK04.0 55 155 120 80
drg. Citra - X V 15 k044 K04.4 56 147 120 80
RespiratoryHeart
RateRateTemperature
Keteranganidcreate docreate
20 80 36 Pelayanan drg. Citra 2024-01-12 09:37:41
18 78 36 Pelayanan drg. Santo 2024-01-12 09:59:57
18 81 36.3 Pelayanan drg. Citra 2024-01-12 08:49:45
28 30 36 Pelayanan Anang Mar2024-01-15 11:38:23
Pelayanan drg. Santo 2024-01-16 11:51:19
18 78 36 Pelayanan ENDANG JO2024-01-16 07:44:48
Pelayanan drg. Santo 2024-01-16 11:31:10
18 81 36.3 Pelayanan drg. Santo 2024-01-19 08:40:27
Pelayanan drg. Citra 2024-01-23 09:05:24
18 78 36 Pelayanan ARIANA 2024-02-02 09:10:16

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No UPTD Poli/KlinikStatus Tanggal No Index Nama Alamat Kota Kecamatan

1 WonokusuGIGI Selesai 12-01-202 00.0.03.24ADIFA NAI BULAK SARISURABAYASEMAMPIR

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