17 Mei 24

RS PURI ASIH SALATIGA
JL. Jendral Sudirman No.169 Salatiga

LAPORAN PENGUNJUNG RAWAT JALAN PER PASIEN
CARA BAYAR : BPJS / JKN
INSTALASI : INSTALASI RAWAT JALAN
UNIT : Semua
SUB UNIT : Semua
PERIODE 17 MEI 2024

No. No. RM NOPEN Nama Pasien JK Tgl Lahir/Umur Status Tgl Reg Unit Pelayanan Cara Bayar Nomor Kartu
24-03-2019 (5 Th/
1 149998 2405170265 KHANAYA DWI KUSUMAAN P Lama 17-05-2024 10:24:33 POLI ANAK BPJS / JKN 0002754554253
1 bl/ 24 hr)
ENDARU LINGGA 12-10-2022 (1 Th/
2 233055 2405170267 L Lama 17-05-2024 10:25:52 POLI ANAK BPJS / JKN 0003299133317
NARESWARA AN 7 bl/ 5 hr)
AN. ARRAYYAN ZAIDAN 26-04-2021 (3 Th/
MAULANA, . 0 bl/ 21 hr)
QIYARA KEYLANADIVA 09-09-2022 (1 Th/
4 230936 2405170289 P Lama 17-05-2024 11:51:38 POLI ANAK BPJS / JKN 0003558139762
WIDYANINGSIH AN 8 bl/ 8 hr)
AKSA ADHITAMA 14-08-2023 (0 Th/
KALANDRA AN 9 bl/ 3 hr)
BAYI NYONYA RISKA 02-04-2024 (0 Th/
HAFSARI 1 bl/ 15 hr)
AZRIL MAULANA SHARKAN 13-12-2017 (6 Th/
AN 5 bl/ 4 hr)
JENNAIRA ELVANIA PUTRI 12-06-2023 (0 Th/
AN 11 bl/ 5 hr)
SARAH CAHAYA MADINA 17-07-2018 (5 Th/
AN 10 bl/ 0 hr)
14-05-2024 (0 Th/
10 268801 2405170419 BY WAHYUNI NY L Lama 17-05-2024 14:02:42 POLI ANAK BPJS / JKN 0003592594776
0 bl/ 3 hr)
09-05-1980 (44 Th/
11 32893 2405170099 SRI INDRI ARTATI NY P Lama 17-05-2024 07:17:27 POLI BEDAH UMUM BPJS / JKN 0001435996811
0 bl/ 8 hr)
17-04-1968 (56 Th/
12 164589 2405170201 DARINI NY P Lama 17-05-2024 09:31:10 POLI BEDAH UMUM BPJS / JKN 0000600479368
1 bl/ 0 hr)
09-03-1978 (46 Th/
13 218694 2405170227 SUNARDI TN L Lama 17-05-2024 09:36:18 POLI BEDAH UMUM BPJS / JKN 0001531205043
2 bl/ 8 hr)
28-11-1999 (24 Th/
14 236806 2405170210 MIFTAKHUL SAHREZA SDR L Lama 17-05-2024 09:37:05 POLI BEDAH UMUM BPJS / JKN 0001027498779
5 bl/ 19 hr)
AZIZ ROHMAH MU ALIFAH 25-07-2000 (23 Th/
15 244435 2405170214 P Lama 17-05-2024 09:39:42 POLI BEDAH UMUM BPJS / JKN 0001369938429
NN 9 bl/ 23 hr)
16-02-1948 (76 Th/
16 197669 2405170217 ERI SUYOSO TN L Lama 17-05-2024 09:43:15 POLI BEDAH UMUM BPJS / JKN 0001269353261
3 bl/ 1 hr)
07-05-2010 (14 Th/
17 269032 2405170221 ADITYA PRATAMA AN L Baru 17-05-2024 09:45:06 POLI BEDAH UMUM BPJS / JKN 0001998671668
0 bl/ 10 hr)
GEONATAN RESA 22-06-2017 (6 Th/
18 104749 2405170235 L Lama 17-05-2024 09:54:12 POLI BEDAH UMUM BPJS / JKN 0002317931706
BUDIYANTO AN 10 bl/ 25 hr)
29-05-1965 (58 Th/
19 262114 2405170245 JOKO SUYONO TN L Lama 17-05-2024 10:00:45 POLI BEDAH UMUM BPJS / JKN 0000075002308
11 bl/ 19 hr)
10-10-1977 (46 Th/
20 135994 2405170248 SURYONO TN L Lama 17-05-2024 10:03:08 POLI BEDAH UMUM BPJS / JKN 0002326171836
7 bl/ 7 hr)
14-10-2006 (17 Th/
21 266970 2405170250 AHMAD YUSRIL MUJIB SDR L Lama 17-05-2024 10:06:29 POLI BEDAH UMUM BPJS / JKN 0002309339406
7 bl/ 3 hr)
15-07-1972 (51 Th/
22 199993 2405170252 YUSUF BADWANI TN L Lama 17-05-2024 10:07:23 POLI BEDAH UMUM BPJS / JKN 0002283881747
10 bl/ 2 hr)
07-10-2000 (23 Th/
23 269038 2405170260 ENI LESTARI NN P Baru 17-05-2024 10:18:13 POLI BEDAH UMUM BPJS / JKN 0002352788818
7 bl/ 10 hr)
29-11-2003 (20 Th/
24 96949 2405170303 QQ NOVITA FITRIYANI NN P Lama 17-05-2024 12:32:51 POLI BEDAH UMUM BPJS / JKN 0001391476926
5 bl/ 18 hr)
07-10-1957 (66 Th/
25 209430 2405170458 ISMAN TN L Lama 17-05-2024 15:31:13 POLI BEDAH UMUM BPJS / JKN 0001264181747
7 bl/ 10 hr)
13-05-1993 (31 Th/
26 169734 2405170462 SRI SULEKAH NY P Lama 17-05-2024 15:34:44 POLI BEDAH UMUM BPJS / JKN 0002324155048
0 bl/ 4 hr)
05-05-1955 (69 Th/
27 206679 2405170464 SRI SAJEKTI REDJEKI NY P Lama 17-05-2024 15:35:13 POLI BEDAH UMUM BPJS / JKN 0000074789818
0 bl/ 12 hr)
10-10-1969 (54 Th/
28 252792 2405170477 UMI BASIROH NY P Lama 17-05-2024 15:47:38 POLI BEDAH UMUM BPJS / JKN 0000074547472
7 bl/ 7 hr)
23-03-1977 (47 Th/
29 268477 2405170476 JUHRIYAH NY P Lama 17-05-2024 15:47:47 POLI BEDAH UMUM BPJS / JKN 0001591756277
1 bl/ 25 hr)
NITA ARI ROCHMAHDANI 22-02-1995 (29 Th/
30 119746 2405170480 P Lama 17-05-2024 15:51:16 POLI BEDAH UMUM BPJS / JKN 0002283636936
SAFITRI NY 2 bl/ 23 hr)
10-10-1962 (61 Th/
31 225254 2405170546 DWI SUSILO HANDOKO TN L Lama 17-05-2024 17:00:44 POLI BEDAH UMUM BPJS / JKN 0001094157909
7 bl/ 7 hr)
01-04-1965 (59 Th/
32 187014 2405170012 WIGIYONO TN L Lama 17-05-2024 05:34:15 POLI DALAM BPJS / JKN 0002505496533
1 bl/ 16 hr)
30-12-1954 (69 Th/
33 202753 2405170036 SUDARSONO TN L Lama 17-05-2024 05:53:27 POLI DALAM BPJS / JKN 0002763593111
4 bl/ 18 hr)
CHRYSANDI ANIE 18-02-1970 (54 Th/
34 256979 2405170038 P Lama 17-05-2024 05:54:18 POLI DALAM BPJS / JKN 0001264566633
ANGGOROWATI NY 2 bl/ 27 hr)
05-10-1964 (59 Th/
35 242409 2405170074 YASIROH NY P Lama 17-05-2024 06:31:19 POLI DALAM BPJS / JKN 0002240428083
7 bl/ 12 hr)
EKO WAHYU 02-07-1969 (54 Th/
SUPRIYATININGSIH NY 10 bl/ 15 hr)
07-02-1996 (28 Th/
37 128451 2405170081 FATQIYATUTTAMIR NY P Lama 17-05-2024 06:44:11 POLI DALAM BPJS / JKN 0003046772823
3 bl/ 10 hr)
ELITA WIWIT ERNAWATI 14-04-1973 (51 Th/
NY 1 bl/ 3 hr)
01-07-1951 (72 Th/
39 254359 2405170092 JUMIATI NY P Lama 17-05-2024 07:00:07 POLI DALAM BPJS / JKN 0003298974985
10 bl/ 16 hr)
09-05-1980 (44 Th/
40 32893 2405170098 SRI INDRI ARTATI NY P Lama 17-05-2024 07:16:45 POLI DALAM BPJS / JKN 0001435996811
0 bl/ 8 hr)
31-12-1958 (65 Th/
41 268683 2405170218 SUMIYEM NY P Lama 17-05-2024 09:44:01 POLI DALAM BPJS / JKN 0001614296351
4 bl/ 17 hr)
01-12-1989 (34 Th/
42 269042 2405170285 AFIFAH NAHARY NY P Baru 17-05-2024 11:31:06 POLI DALAM BPJS / JKN 0001766521203
5 bl/ 16 hr)
29-05-1978 (45 Th/
43 221486 2405170284 SUSILOWATI NY P Lama 17-05-2024 11:31:48 POLI DALAM BPJS / JKN 0002344960664
11 bl/ 19 hr)
01-11-1988 (35 Th/
44 268528 2405170286 BUNGA LUSIANTI NY P Lama 17-05-2024 11:36:54 POLI DALAM BPJS / JKN 0002864489376
6 bl/ 16 hr)
21-11-1997 (26 Th/
45 65857 2405170287 TRI WIDHADARI NY P Lama 17-05-2024 11:46:21 POLI DALAM BPJS / JKN 0001860258633
5 bl/ 26 hr)
31-08-1949 (74 Th/
46 198538 2405170288 PAULINA NY P Lama 17-05-2024 11:48:36 POLI DALAM BPJS / JKN 0001257758785
8 bl/ 17 hr)
20-12-1996 (27 Th/
47 268786 2405170290 DESI NATALIA NY P Lama 17-05-2024 11:50:37 POLI DALAM BPJS / JKN 0000641685238
4 bl/ 28 hr)
01-04-1966 (58 Th/
48 145792 2405170292 MARYUNI NY P Lama 17-05-2024 12:07:45 POLI DALAM BPJS / JKN 0001899755831
1 bl/ 16 hr)
19-08-1964 (59 Th/
49 187297 2405170295 AGUS BAHRUDIN TN L Lama 17-05-2024 12:22:36 POLI DALAM BPJS / JKN 0002624735711
8 bl/ 29 hr)
01-12-1989 (34 Th/
50 269042 2405170298 AFIFAH NAHARY NY P Baru 17-05-2024 12:26:43 POLI DALAM BPJS / JKN 0001766521203
5 bl/ 16 hr)
13-03-1976 (48 Th/
51 210008 2405170301 NURTI BADINGAH NY P Lama 17-05-2024 12:32:37 POLI DALAM BPJS / JKN 0001429421242
2 bl/ 4 hr)
11-11-1972 (51 Th/
52 209002 2405170305 SULISTYONO TN L Lama 17-05-2024 12:35:30 POLI DALAM BPJS / JKN 0003097989731
6 bl/ 6 hr)
16-02-1971 (53 Th/
53 257220 2405170307 SUHADI TN L Lama 17-05-2024 12:37:45 POLI DALAM BPJS / JKN 0002324951706
3 bl/ 1 hr)
30-12-1965 (58 Th/
54 160278 2405170315 NGATEMI NY P Lama 17-05-2024 12:46:00 POLI DALAM BPJS / JKN 0002754836346
4 bl/ 18 hr)
12-01-1960 (64 Th/
55 205995 2405170317 SUWARTI NY P Lama 17-05-2024 12:48:30 POLI DALAM BPJS / JKN 0000602751464
4 bl/ 5 hr)
23-06-1978 (45 Th/
56 134776 2405170330 YULIANA NY P Lama 17-05-2024 12:58:25 POLI DALAM BPJS / JKN 0002168883775
10 bl/ 24 hr)
16-05-1969 (55 Th/
57 5122 2405170331 KARSINI NY P Lama 17-05-2024 12:59:36 POLI DALAM BPJS / JKN 0002345488198
0 bl/ 1 hr)
26-06-1979 (44 Th/
58 84825 2405170333 SRI INDAH SAYEKTI NY P Lama 17-05-2024 13:00:38 POLI DALAM BPJS / JKN 0001129844957
10 bl/ 21 hr)
30-06-1950 (73 Th/
59 222587 2405170335 PRAPTI KADARMANI NY P Lama 17-05-2024 13:00:50 POLI DALAM BPJS / JKN 0001672732045
10 bl/ 17 hr)
24-01-1965 (59 Th/
60 96758 2405170336 SITI MUTIAH NY P Lama 17-05-2024 13:02:38 POLI DALAM BPJS / JKN 0000074954305
3 bl/ 24 hr)
23-03-1965 (59 Th/
61 263034 2405170341 SUNARSIH NY P Lama 17-05-2024 13:06:56 POLI DALAM BPJS / JKN 0001435741751
1 bl/ 25 hr)
29-04-1958 (66 Th/
62 268085 2405170339 YULIA PARDIYATI NY P Lama 17-05-2024 13:07:13 POLI DALAM BPJS / JKN 0001971233717
0 bl/ 18 hr)
06-06-1982 (41 Th/
63 202045 2405170343 KAMSINI NY P Lama 17-05-2024 13:09:36 POLI DALAM BPJS / JKN 0001303714719
11 bl/ 11 hr)
05-07-1974 (49 Th/
64 250605 2405170342 SITI NUR CHOLISAH NY P Lama 17-05-2024 13:09:44 POLI DALAM BPJS / JKN 0002215869399
10 bl/ 12 hr)
29-03-1983 (41 Th/
65 21143 2405170346 SUMIATI NY P Lama 17-05-2024 13:12:42 POLI DALAM BPJS / JKN 0000602546804
1 bl/ 19 hr)
25-04-2008 (16 Th/
66 234250 2405170345 NUR AZIZAH NN P Lama 17-05-2024 13:12:44 POLI DALAM BPJS / JKN 0002888850284
0 bl/ 22 hr)
17-10-1963 (60 Th/
67 157214 2405170355 NY. MURYATI P Lama 17-05-2024 13:20:44 POLI DALAM BPJS / JKN 0001407947848
7 bl/ 0 hr)
17-08-1954 (69 Th/
68 230522 2405170357 SAMI NY P Lama 17-05-2024 13:22:34 POLI DALAM BPJS / JKN 0000602114758
9 bl/ 0 hr)
15-04-1968 (56 Th/
69 202790 2405170362 SRIWATI NY P Lama 17-05-2024 13:26:18 POLI DALAM BPJS / JKN 0002036882733
1 bl/ 2 hr)
21-01-1965 (59 Th/
70 133709 2405170364 SUTRIYONO TN L Lama 17-05-2024 13:27:53 POLI DALAM BPJS / JKN 0000088517766
3 bl/ 27 hr)
12-10-1980 (43 Th/
71 183720 2405170365 TITIK UTAMI NY P Lama 17-05-2024 13:28:22 POLI DALAM BPJS / JKN 0000600680733
7 bl/ 5 hr)
01-03-1953 (71 Th/
72 213571 2405170366 MARIYAM NY P Lama 17-05-2024 13:29:53 POLI DALAM BPJS / JKN 0001887160421
2 bl/ 16 hr)
19-07-1964 (59 Th/
73 150096 2405170368 SUKIYEM NY P Lama 17-05-2024 13:30:01 POLI DALAM BPJS / JKN 0002073073083
9 bl/ 29 hr)
17-07-1944 (79 Th/
74 137623 2405170372 RINATUN NY P Lama 17-05-2024 13:32:47 POLI DALAM BPJS / JKN 0000074787557
10 bl/ 0 hr)
11-04-1966 (58 Th/
75 94529 2405170373 PUJIATI NY P Lama 17-05-2024 13:32:53 POLI DALAM BPJS / JKN 0001534546078
1 bl/ 6 hr)
27-04-1972 (52 Th/
76 75393 2405170375 ENDANG HARNANI NY P Lama 17-05-2024 13:34:31 POLI DALAM BPJS / JKN 0001434030761
0 bl/ 20 hr)
31-12-1944 (79 Th/
77 136357 2405170377 NGAMIYEM NY P Lama 17-05-2024 13:34:55 POLI DALAM BPJS / JKN 0000088406098
4 bl/ 17 hr)
13-03-1976 (48 Th/
78 210008 2405170376 NURTI BADINGAH NY P Lama 17-05-2024 13:35:44 POLI DALAM BPJS / JKN 0001429421242
2 bl/ 4 hr)
08-06-1967 (56 Th/
79 146089 2405170378 PAIMAH NY P Lama 17-05-2024 13:36:34 POLI DALAM BPJS / JKN 0001447804348
11 bl/ 9 hr)
31-12-1950 (73 Th/
80 257279 2405170379 SUGIYANTO GIMIN TN L Lama 17-05-2024 13:36:54 POLI DALAM BPJS / JKN 0001027487428
4 bl/ 17 hr)
06-03-1963 (61 Th/
81 245200 2405170388 MUGIARTINI NY P Lama 17-05-2024 13:39:13 POLI DALAM BPJS / JKN 0002321951174
2 bl/ 11 hr)
02-07-1988 (35 Th/
82 168918 2405170390 RINA WINARSIH NY P Lama 17-05-2024 13:40:33 POLI DALAM BPJS / JKN 0000602308888
10 bl/ 15 hr)
14-01-1963 (61 Th/
83 260071 2405170393 TRI SUWARNI NY P Lama 17-05-2024 13:42:12 POLI DALAM BPJS / JKN 0000088327607
4 bl/ 3 hr)
CINDY WAHYU CANDRA 24-08-2002 (21 Th/
AGUSTIN NN 8 bl/ 24 hr)
17-10-1960 (63 Th/
85 260337 2405170396 SUPINI NY P Lama 17-05-2024 13:43:37 POLI DALAM BPJS / JKN 0003214580725
7 bl/ 0 hr)
18-05-1958 (65 Th/
86 97688 2405170404 SUWARNI NY P Lama 17-05-2024 13:49:03 POLI DALAM BPJS / JKN 0000088489438
11 bl/ 30 hr)
05-06-1971 (52 Th/
87 133337 2405170405 KHOMSATUN NY P Lama 17-05-2024 13:51:07 POLI DALAM BPJS / JKN 0000602783144
11 bl/ 12 hr)
THERESIA MARIA ENDAH 04-04-1970 (54 Th/
HARINI NY 1 bl/ 13 hr)
20-09-1953 (70 Th/
89 227216 2405170412 SRI REDJEKI NY P Lama 17-05-2024 13:55:32 POLI DALAM BPJS / JKN 0001693436073
7 bl/ 27 hr)
26-03-1977 (47 Th/
90 20077 2405170415 DARMINI NY P Lama 17-05-2024 13:57:37 POLI DALAM BPJS / JKN 0002202969071
1 bl/ 22 hr)
25-08-1991 (32 Th/
91 209524 2405170416 WIDI ASTUTI NY P Lama 17-05-2024 13:58:38 POLI DALAM BPJS / JKN 0000640839554
8 bl/ 23 hr)
15-03-1958 (66 Th/
92 191028 2405170421 DJOEMIRAHNY P Lama 17-05-2024 14:04:57 POLI DALAM BPJS / JKN 0000088386175
2 bl/ 2 hr)
10-01-1948 (76 Th/
93 167552 2405170424 MULYONO TN L Lama 17-05-2024 14:07:30 POLI DALAM BPJS / JKN 0001439837638
4 bl/ 7 hr)
24-04-1973 (51 Th/
94 150677 2405170426 KASINI NY P Lama 17-05-2024 14:10:37 POLI DALAM BPJS / JKN 0002759000409
0 bl/ 23 hr)
15-01-1958 (66 Th/
95 242051 2405170428 SOEGENG OETOMO TN L Lama 17-05-2024 14:13:18 POLI DALAM BPJS / JKN 0001855665808
4 bl/ 2 hr)
05-10-1958 (65 Th/
96 16101 2405170433 HIRLAN SUPRATNOTN L Lama 17-05-2024 14:19:30 POLI DALAM BPJS / JKN 0000074934033
7 bl/ 12 hr)
ADRIANA MARIA SUPUSEPA 09-05-1953 (71 Th/
NY 0 bl/ 8 hr)
18-12-1965 (58 Th/
98 143452 2405170440 HANA HANDAYANI NY P Lama 17-05-2024 14:26:47 POLI DALAM BPJS / JKN 0000641786343
4 bl/ 30 hr)
09-03-1957 (67 Th/
99 73666 2405170439 R PRAMONO SIDIK TN L Lama 17-05-2024 14:27:21 POLI DALAM BPJS / JKN 0000091536805
2 bl/ 8 hr)
10-12-1970 (53 Th/
100 207290 2405170441 ZUMRIYAH AL ZUMROTI NY P Lama 17-05-2024 14:30:52 POLI DALAM BPJS / JKN 0002327523401
5 bl/ 7 hr)
11-02-1959 (65 Th/
101 151911 2405170442 LEO HARDJONO TN L Lama 17-05-2024 14:37:55 POLI DALAM BPJS / JKN 0001460678905
3 bl/ 6 hr)
MUTIARA PUTRI 25-08-1996 (27 Th/
PRATIWINN 8 bl/ 23 hr)
KEZIA LAVIOLA YOLANDA 25-07-1999 (24 Th/
103 269049 2405170445 P Baru 17-05-2024 14:49:34 POLI DALAM BPJS / JKN 0001434080518
NN 9 bl/ 23 hr)
25-08-1991 (32 Th/
104 260661 2405170449 EKA PARIYANTI NY P Lama 17-05-2024 15:03:22 POLI DALAM BPJS / JKN 0001443496555
8 bl/ 23 hr)
01-10-1945 (78 Th/
105 142723 2405170453 SITI AMINAH NY P Lama 17-05-2024 15:15:50 POLI DALAM BPJS / JKN 0000074638844
7 bl/ 16 hr)
07-04-1950 (74 Th/
106 131029 2405170469 ARIES KASIYO TN L Lama 17-05-2024 15:38:31 POLI DALAM BPJS / JKN 0001290509627
1 bl/ 10 hr)
20-12-1996 (27 Th/
107 268786 2405170484 DESI NATALIA NY P Lama 17-05-2024 16:01:03 POLI DALAM BPJS / JKN 0000641685238
4 bl/ 28 hr)
16-06-1966 (57 Th/
108 251151 2405170486 MULYANA TN L Lama 17-05-2024 16:04:24 POLI DALAM BPJS / JKN 0001406829464
11 bl/ 1 hr)
24-11-1973 (50 Th/
109 183306 2405170491 TAHRISUN NAIMAH NY P Lama 17-05-2024 16:09:35 POLI DALAM BPJS / JKN 0001391473236
5 bl/ 23 hr)
01-06-1965 (58 Th/
110 7714 2405170516 PONIRAH NY P Lama 17-05-2024 16:40:57 POLI DALAM BPJS / JKN 0000074925551
11 bl/ 16 hr)
05-09-1952 (71 Th/
111 52401 2405170537 SUPRIHATIN NY P Lama 17-05-2024 16:54:40 POLI DALAM BPJS / JKN 0000074650645
8 bl/ 12 hr)
05-02-2013 (11 Th/ POLI GIGI
112 262528 2405170387 NAFISHATUL ULA AN P Lama 17-05-2024 13:39:02 BPJS / JKN 0002482701388
3 bl/ 12 hr) PEDODONTI
EYSIYAM SABILIL KHOIR 03-09-2009 (14 Th/ POLI GIGI
113 268864 2405170398 L Lama 17-05-2024 13:45:07 BPJS / JKN 0001531261484
AN 8 bl/ 14 hr) PEDODONTI
CHAYRA ANINDIRA 29-11-2019 (4 Th/ POLI GIGI
114 268211 2405170400 L Lama 17-05-2024 13:46:26 BPJS / JKN 0002930816878
MAHESWARI 5 bl/ 18 hr) PEDODONTI
MUHAMMAD IQBAL 25-08-2008 (15 Th/ POLI GIGI
115 262837 2405170401 L Lama 17-05-2024 13:47:14 BPJS / JKN 0002349235888
SASONGKO AN 8 bl/ 23 hr) PEDODONTI
HAFIZH GIBRAN MAULANA 12-05-2015 (9 Th/ POLI GIGI
116 252329 2405170409 L Lama 17-05-2024 13:53:20 BPJS / JKN 0002079267917
23-09-2011 (12 Th/ POLI GIGI
117 268894 2405170422 ADINDA SEPTY NADIRA AN P Lama 17-05-2024 14:07:31 BPJS / JKN 0002349028901
7 bl/ 24 hr) PEDODONTI
NADHIRA RIZQIA SULISTIO 25-01-2014 (10 Th/ POLI GIGI
118 52495 2405170437 P Lama 17-05-2024 14:22:32 BPJS / JKN 0001823132586
NOURA LAILY RAMADHANI 10-05-2021 (3 Th/ POLI GIGI
119 203277 2405170447 P Lama 17-05-2024 14:56:12 BPJS / JKN 0003095768349
POLI
04-02-1981 (43 Th/
120 109488 2405170104 ENI SRIANAH NY P Lama 17-05-2024 07:23:40 KANDUNGAN&KEBIDANA BPJS / JKN 0000641037565
3 bl/ 13 hr) N
POLI
03-01-1993 (31 Th/
121 105104 2405170106 RINA NUR CAHYANI NY P Lama 17-05-2024 07:26:21 KANDUNGAN&KEBIDANA BPJS / JKN 0002346166552
4 bl/ 14 hr) N
POLI
05-05-1992 (32 Th/
122 127160 2405170105 SITI ZULAIKAH NY P Lama 17-05-2024 07:27:08 KANDUNGAN&KEBIDANA BPJS / JKN 0002430248084
0 bl/ 12 hr) N
POLI
29-03-2003 (21 Th/
123 266480 2405170112 AULIA KHASANAH NY P Lama 17-05-2024 07:33:18 KANDUNGAN&KEBIDANA BPJS / JKN 0002312746953
1 bl/ 19 hr) N
POLI
07-08-2002 (21 Th/
124 203820 2405170115 ERNAWATI FITRIYANI NY P Lama 17-05-2024 07:36:57 KANDUNGAN&KEBIDANA BPJS / JKN 0000601430771
9 bl/ 10 hr) N
POLI
21-06-1996 (27 Th/
125 267953 2405170123 IKA PERMATA DEWI NY P Lama 17-05-2024 07:45:37 KANDUNGAN&KEBIDANA BPJS / JKN 0001531942097
10 bl/ 26 hr) N
POLI
20-02-1996 (28 Th/
126 257048 2405170122 RIZKI LAILI FITRIANA NY P Lama 17-05-2024 07:45:59 KANDUNGAN&KEBIDANA BPJS / JKN 0001814198275
2 bl/ 26 hr) N
POLI
28-01-2000 (24 Th/
127 265568 2405170126 ENDANG FITRIAH NY P Lama 17-05-2024 07:49:01 KANDUNGAN&KEBIDANA BPJS / JKN 0002009986334
3 bl/ 20 hr) N
POLI
20-10-1989 (34 Th/
128 116107 2405170129 TRI UTAMI NY P Lama 17-05-2024 07:50:50 KANDUNGAN&KEBIDANA BPJS / JKN 0003067621626
6 bl/ 28 hr) N
POLI
05-06-1995 (28 Th/
129 219099 2405170130 TRI SURYANTI NY P Lama 17-05-2024 07:52:24 KANDUNGAN&KEBIDANA BPJS / JKN 0001691065552
11 bl/ 12 hr) N
POLI
WAHYU KHILYATUL AULIA 05-05-1997 (27 Th/
130 48681 2405170135 P Lama 17-05-2024 07:55:32 KANDUNGAN&KEBIDANA BPJS / JKN 0002428235256
NY 0 bl/ 12 hr) N
POLI
12-03-1966 (58 Th/
131 255496 2405170141 LUDIRO WATI NY P Lama 17-05-2024 07:59:29 KANDUNGAN&KEBIDANA BPJS / JKN 0001084070654
2 bl/ 5 hr) N
POLI
16-08-1991 (32 Th/
132 258695 2405170142 ARI GIYANTI NY P Lama 17-05-2024 08:00:45 KANDUNGAN&KEBIDANA BPJS / JKN 0003571890006
9 bl/ 1 hr) N
POLI
18-04-2001 (23 Th/
133 141220 2405170147 YULIYANTI NY P Lama 17-05-2024 08:07:43 KANDUNGAN&KEBIDANA BPJS / JKN 0001027555626
0 bl/ 29 hr) N
POLI
KEZIA LARASHATI PASHA 27-03-2005 (19 Th/
NN 1 bl/ 21 hr) N
POLI
26-08-1982 (41 Th/
135 26981 2405170159 EDY RAHAYU NINGSIH NY P Lama 17-05-2024 08:21:05 KANDUNGAN&KEBIDANA BPJS / JKN 0001313010696
8 bl/ 22 hr) N
POLI
27-12-2001 (22 Th/
136 194657 2405170162 REVIKA WIDI ASTUTI NN P Lama 17-05-2024 08:28:29 KANDUNGAN&KEBIDANA BPJS / JKN 0002917393942
4 bl/ 21 hr) N
POLI
03-02-1997 (27 Th/
137 221503 2405170164 FITRIYANI NY P Lama 17-05-2024 08:32:21 KANDUNGAN&KEBIDANA BPJS / JKN 0000601588124
3 bl/ 14 hr) N
POLI
15-04-1994 (30 Th/
138 180840 2405170170 ANIS MUKHASANAH NY P Lama 17-05-2024 08:37:42 KANDUNGAN&KEBIDANA BPJS / JKN 0001693233483
1 bl/ 2 hr) N
POLI
23-03-1998 (26 Th/
139 254462 2405170179 DEWI KUSUMA ARAFAH NY P Lama 17-05-2024 08:48:51 KANDUNGAN&KEBIDANA BPJS / JKN 0002462578018
1 bl/ 25 hr) N
POLI
21-05-1994 (29 Th/
140 234811 2405170186 MAIMINNA UDKHIANI NY P Lama 17-05-2024 09:08:58 KANDUNGAN&KEBIDANA BPJS / JKN 0000641362746
11 bl/ 27 hr) N
POLI
03-10-1980 (43 Th/
141 117503 2405170188 SITI RIDAH NY P Lama 17-05-2024 09:11:46 KANDUNGAN&KEBIDANA BPJS / JKN 0002176407933
7 bl/ 14 hr) N
POLI
MUTMAINATUL AHYANA 18-12-1996 (27 Th/
NY 4 bl/ 30 hr) N
POLI
11-11-1999 (24 Th/
143 189284 2405170212 ADELIA OCTAVIANI NY P Lama 17-05-2024 09:38:07 KANDUNGAN&KEBIDANA BPJS / JKN 0000601609465
6 bl/ 6 hr) N
POLI
NY. ERNAWATI UMI 01-09-1991 (32 Th/
ROWIAH 8 bl/ 16 hr) N
POLI
ELISABET PUTRI KINASIH 01-05-2006 (18 Th/
NN 0 bl/ 16 hr) N
POLI
29-08-2003 (20 Th/
146 266560 2405170243 KETTY TUNGGU DJAMA NN P Lama 17-05-2024 09:57:26 KANDUNGAN&KEBIDANA BPJS / JKN 0002958455283
8 bl/ 19 hr) N
POLI
11-09-2000 (23 Th/
147 265674 2405170367 SRI WANTINI NY P Lama 17-05-2024 13:29:43 KANDUNGAN&KEBIDANA BPJS / JKN 0000555871228
8 bl/ 6 hr) N
POLI
20-03-1992 (32 Th/
148 102465 2405170382 LIDYAWATINY P Lama 17-05-2024 13:37:05 KANDUNGAN&KEBIDANA BPJS / JKN 0001484073281
1 bl/ 28 hr) N
POLI
05-08-1991 (32 Th/
149 128575 2405170391 SALFIANA YULAIKANY P Lama 17-05-2024 13:41:21 KANDUNGAN&KEBIDANA BPJS / JKN 0000641732769
9 bl/ 12 hr) N
POLI
16-10-2001 (22 Th/
150 226071 2405170407 IKA WAHYUNINGSIH NN P Lama 17-05-2024 13:52:41 KANDUNGAN&KEBIDANA BPJS / JKN 0002906672545
7 bl/ 1 hr) N
POLI
09-03-1997 (27 Th/
151 225956 2405170410 RISKA HAFSARI NY P Lama 17-05-2024 13:54:25 KANDUNGAN&KEBIDANA BPJS / JKN 0000351486459
2 bl/ 8 hr) N
POLI
08-03-1991 (33 Th/
152 134994 2405170417 NURHIDAYATI NY P Lama 17-05-2024 14:00:37 KANDUNGAN&KEBIDANA BPJS / JKN 0001863678172
2 bl/ 9 hr) N
POLI
04-07-1989 (34 Th/
153 75679 2405170423 PITMA MALANGWATI NY P Lama 17-05-2024 14:07:29 KANDUNGAN&KEBIDANA BPJS / JKN 0002200037433
10 bl/ 13 hr) N
POLI
17-03-1950 (74 Th/
154 234365 2405170427 SUKINI NY P Lama 17-05-2024 14:10:10 KANDUNGAN&KEBIDANA BPJS / JKN 0002220465036
2 bl/ 0 hr) N
POLI
WINDA EKA YUNITASARI 13-06-1989 (34 Th/
NY 11 bl/ 4 hr) N
POLI
DITA SILFINA DAMAYANTI 27-12-2002 (21 Th/
NN 4 bl/ 21 hr) N
POLI
06-01-1989 (35 Th/
157 193789 2405170446 LINA TRI ASTUTI NY P Lama 17-05-2024 14:55:26 KANDUNGAN&KEBIDANA BPJS / JKN 0001812598705
4 bl/ 11 hr) N
POLI
ZULFA ADZKIA ZAHIDAH 12-12-1995 (28 Th/
WISKHA NY 5 bl/ 5 hr) N
POLI
ZUMROTUL MUNAWAROH 12-12-1991 (32 Th/
NY 5 bl/ 5 hr) N
POLI
PUTRI FEBRIANA 21-02-2000 (24 Th/
KURNIAWATI NY 2 bl/ 25 hr) N
POLI
MUSTAFIDATUN NIKMAH 30-04-1994 (30 Th/
NY 0 bl/ 17 hr) N
POLI
27-11-1995 (28 Th/
162 268644 2405170497 SITI NOPIYANTI NY P Lama 17-05-2024 16:19:11 KANDUNGAN&KEBIDANA BPJS / JKN 0002379948581
5 bl/ 20 hr) N
POLI
01-07-2000 (23 Th/
163 248776 2405170502 RISKY DANTI FARADILA NY P Lama 17-05-2024 16:26:20 KANDUNGAN&KEBIDANA BPJS / JKN 0002351306316
10 bl/ 16 hr) N
POLI
12-02-1997 (27 Th/
164 253875 2405170511 FITRI FERIANTI NY P Lama 17-05-2024 16:35:08 KANDUNGAN&KEBIDANA BPJS / JKN 0000601254595
3 bl/ 5 hr) N
POLI
MARFIYANI KARTIKA SARI 22-03-1997 (27 Th/
NY 1 bl/ 26 hr) N
POLI
20-01-2003 (21 Th/
166 225409 2405170530 DIYAH AYU LISTIANI NN P Lama 17-05-2024 16:49:15 KANDUNGAN&KEBIDANA BPJS / JKN 0000600404848
3 bl/ 28 hr) N
POLI
LELY NURUL KHOTIMAH 22-05-1987 (36 Th/
NY 11 bl/ 26 hr) N
POLI
03-01-1995 (29 Th/
168 255018 2405170533 YENI PRAMESWORO NY P Lama 17-05-2024 16:52:46 KANDUNGAN&KEBIDANA BPJS / JKN 0002763853828
4 bl/ 14 hr) N
POLI
14-06-1991 (32 Th/
169 39132 2405170538 LYLIA EKA PRAMESTIWI NY P Lama 17-05-2024 16:55:20 KANDUNGAN&KEBIDANA BPJS / JKN 0001526114081
11 bl/ 3 hr) N
POLI
14-02-1999 (25 Th/
170 126486 2405170540 INDAH PURNAMASARI NY P Lama 17-05-2024 16:56:32 KANDUNGAN&KEBIDANA BPJS / JKN 0000603381993
3 bl/ 3 hr) N
POLI
29-04-1998 (26 Th/
171 128928 2405170543 AMELIA LILIS CHARINA NY P Lama 17-05-2024 16:58:29 KANDUNGAN&KEBIDANA BPJS / JKN 0000640866431
0 bl/ 18 hr) N
POLI
FARIDHATUN MUTMAINAH 19-04-1992 (32 Th/
NY 0 bl/ 28 hr) N
POLI
06-12-1994 (29 Th/
173 124260 2405170547 AYUK PUSPANINGRUM NY P Lama 17-05-2024 17:01:50 KANDUNGAN&KEBIDANA BPJS / JKN 0002345485814
5 bl/ 11 hr) N
POLI
23-05-1994 (29 Th/
174 128878 2405170550 EKA SRIHARTANTI NY P Lama 17-05-2024 17:04:49 KANDUNGAN&KEBIDANA BPJS / JKN 0001421332536
11 bl/ 25 hr) N
POLI
10-12-1996 (27 Th/
175 269060 2405170558 RIRIN MARVIYANI NY P Baru 17-05-2024 17:13:18 KANDUNGAN&KEBIDANA BPJS / JKN 0000557349028
5 bl/ 7 hr) N
POLI
ADINDA KAHQI PINANDIKA 22-10-1999 (24 Th/
NY 6 bl/ 26 hr) N
POLI
RUTWIDHILIA RETNO SARI 21-03-1995 (29 Th/
NY 1 bl/ 27 hr) N
POLI
18-01-1996 (28 Th/
178 264313 2405170573 DYAS PRATIWI NY P Lama 17-05-2024 17:35:16 KANDUNGAN&KEBIDANA BPJS / JKN 0001444692802
3 bl/ 30 hr) N
POLI
24-10-1998 (25 Th/
179 184902 2405170574 MASIH RAHAYU NY P Lama 17-05-2024 17:35:33 KANDUNGAN&KEBIDANA BPJS / JKN 0000602445194
6 bl/ 24 hr) N
POLI
19-04-2005 (19 Th/
180 263214 2405170576 ADELIA MARISKA PUTRI NY P Lama 17-05-2024 17:37:14 KANDUNGAN&KEBIDANA BPJS / JKN 0002677566993
0 bl/ 28 hr) N
POLI
24-02-2001 (23 Th/
181 254146 2405170583 NUR INDAH RIZKIYAH NY P Lama 17-05-2024 18:10:59 KANDUNGAN&KEBIDANA BPJS / JKN 0000641437255
2 bl/ 21 hr) N
POLI
06-07-1986 (37 Th/
182 88073 2405170594 TIWI INDRAWATI NY P Lama 17-05-2024 19:09:28 KANDUNGAN&KEBIDANA BPJS / JKN 0000075022525
10 bl/ 11 hr) N
27-09-1997 (26 Th/ POLI
183 268551 2405170111 VERINA REGITA NY P Lama 17-05-2024 07:33:41 BPJS / JKN 0001847370982
7 bl/ 20 hr) KULIT&KELAMIN
14-03-1998 (26 Th/ POLI
184 268985 2405170113 ANDI WITJAYANTO SDR L Lama 17-05-2024 07:35:33 BPJS / JKN 0000556543067
14-07-1971 (52 Th/ POLI
185 265719 2405170119 LISNA WIDYAWATI NY P Lama 17-05-2024 07:40:28 BPJS / JKN 0001808316011
15-05-1956 (68 Th/ POLI
186 173817 2405170127 TRIMO ALS SUTRIMO TN L Lama 17-05-2024 07:49:16 BPJS / JKN 0000601411026
20-04-1988 (36 Th/ POLI
187 268105 2405170131 MUHAMAD SUYAMTO TN L Lama 17-05-2024 07:52:27 BPJS / JKN 0003523748409
22-05-1993 (30 Th/ POLI
188 162251 2405170144 DEWI PURWATI NY P Lama 17-05-2024 08:04:46 BPJS / JKN 0001652770091
DZAKIRA HALIMATUS 19-09-2016 (7 Th/ POLI
189 90500 2405170161 P Lama 17-05-2024 08:26:18 BPJS / JKN 0002428087836
ZAHRAAN 7 bl/ 28 hr) KULIT&KELAMIN
AKA ROMA FATIKHATUS 24-03-1997 (27 Th/ POLI
190 267197 2405170457 P Lama 17-05-2024 15:26:27 BPJS / JKN 0000557915894
SA'ADAH NN 1 bl/ 24 hr) KULIT&KELAMIN
10-01-1993 (31 Th/ POLI
191 183853 2405170459 NGATIMAN TN L Lama 17-05-2024 15:31:44 BPJS / JKN 0002349090281
ZHAFIRA SALSABILA 05-10-2015 (8 Th/ POLI
192 265165 2405170465 P Lama 17-05-2024 15:38:05 BPJS / JKN 0001962550394
NADHIFAH AN 7 bl/ 12 hr) KULIT&KELAMIN
ALFONSUS MARIA ENDANG 01-08-1981 (42 Th/ POLI
193 126824 2405170472 P Lama 17-05-2024 15:41:13 BPJS / JKN 0001745349401
RIYADININGSIH NY 9 bl/ 16 hr) KULIT&KELAMIN
MUHAMAD HILMI FADILA 11-02-2007 (17 Th/ POLI
194 226382 2405170475 L Lama 17-05-2024 15:46:28 BPJS / JKN 0002969779757
SDR 3 bl/ 6 hr) KULIT&KELAMIN
FAJAR ANDRIAN 17-10-1980 (43 Th/ POLI
195 36547 2405170478 P Lama 17-05-2024 15:49:50 BPJS / JKN 0000074535041
NURHAYATI NY 7 bl/ 0 hr) KULIT&KELAMIN
20-10-1964 (59 Th/ POLI
196 154440 2405170479 ARI MURDOPOTN L Lama 17-05-2024 15:50:41 BPJS / JKN 0000074993872
11-05-1956 (68 Th/ POLI
197 263723 2405170485 MULIDI TN L Lama 17-05-2024 16:02:18 BPJS / JKN 0001443003219
06-03-1944 (80 Th/ POLI
198 269054 2405170488 KARYONO TN L Baru 17-05-2024 16:05:05 BPJS / JKN 0002349085869
BAQIS NUR SABRINA 30-01-2011 (13 Th/ POLI
199 253432 2405170490 P Lama 17-05-2024 16:09:13 BPJS / JKN 0000641159561
HASYA AN 3 bl/ 18 hr) KULIT&KELAMIN
ARSENIO SAFARAZ 30-12-2020 (3 Th/ POLI
200 228623 2405170528 L Lama 17-05-2024 16:48:14 BPJS / JKN 0003085830437
FAIRUZA AN 4 bl/ 18 hr) KULIT&KELAMIN
16-08-1984 (39 Th/ POLI
201 128490 2405170554 SITI ASIYAHNY P Lama 17-05-2024 17:07:54 BPJS / JKN 0001405196572
20-02-1996 (28 Th/
202 256819 2405170107 SUKMAWATI NY P Lama 17-05-2024 07:27:45 POLI MATA BPJS / JKN 0000641002858
2 bl/ 26 hr)
20-11-1972 (51 Th/
203 269027 2405170145 RIKZAN MAHMUD TN L Baru 17-05-2024 08:04:23 POLI MATA BPJS / JKN 0003330389463
5 bl/ 27 hr)
26-06-1996 (27 Th/
204 190741 2405170150 YUNIAR IKHTIARINI NY P Lama 17-05-2024 08:12:17 POLI MATA BPJS / JKN 0000088484365
10 bl/ 21 hr)
16-07-1945 (78 Th/
205 267642 2405170153 SUMITRO NGATMIN TN L Lama 17-05-2024 08:16:13 POLI MATA BPJS / JKN 0002188100158
10 bl/ 1 hr)
05-12-1994 (29 Th/
206 268976 2405170155 NOORMAN FAHRURRAZI TN L Lama 17-05-2024 08:16:40 POLI MATA BPJS / JKN 0001466559516
5 bl/ 12 hr)
18-12-1996 (27 Th/
207 263411 2405170173 CAHYO SUGIANTO TN L Lama 17-05-2024 08:40:16 POLI MATA BPJS / JKN 0000668385178
4 bl/ 30 hr)
29-07-1972 (51 Th/
208 269030 2405170184 MMUHONO TN L Baru 17-05-2024 09:02:45 POLI MATA BPJS / JKN 0000602474051
9 bl/ 19 hr)
08-04-1952 (72 Th/
209 248506 2405170501 SUNARYO TN L Lama 17-05-2024 16:26:16 POLI MATA BPJS / JKN 0002471829052
1 bl/ 9 hr)
02-01-1966 (58 Th/
210 190195 2405170505 SURYANI NY P Lama 17-05-2024 16:30:10 POLI MATA BPJS / JKN 0001877672632
4 bl/ 15 hr)
23-08-1974 (49 Th/
211 103361 2405170507 IKA RETNO UTAMI NY P Lama 17-05-2024 16:32:12 POLI MATA BPJS / JKN 0001530675055
8 bl/ 25 hr)
19-01-1959 (65 Th/
212 251824 2405170509 NGATINI NY P Lama 17-05-2024 16:33:04 POLI MATA BPJS / JKN 0001611039846
3 bl/ 29 hr)
30-12-1955 (68 Th/
213 268397 2405170510 SUKINEM NY P Lama 17-05-2024 16:34:23 POLI MATA BPJS / JKN 0001841461841
4 bl/ 18 hr)
28-10-1987 (36 Th/
214 268072 2405170512 SYAIFUL ARIFIN TN L Lama 17-05-2024 16:36:40 POLI MATA BPJS / JKN 0000613093408
6 bl/ 20 hr)
10-11-1962 (61 Th/
215 217585 2405170518 BAHRONI TN L Lama 17-05-2024 16:41:02 POLI MATA BPJS / JKN 0000074925909
6 bl/ 7 hr)
22-06-1945 (78 Th/
216 268165 2405170525 TITIEK SUKARTINI NY P Lama 17-05-2024 16:43:25 POLI MATA BPJS / JKN 0001259989288
10 bl/ 25 hr)
10-11-1984 (39 Th/
217 154827 2405170521 CHAZIMATUL ASNA NY P Lama 17-05-2024 16:44:27 POLI MATA BPJS / JKN 0001448133412
6 bl/ 7 hr)
01-07-1951 (72 Th/
218 163841 2405170522 LESTARI SUKAMTO TN L Lama 17-05-2024 16:44:38 POLI MATA BPJS / JKN 0001837021893
10 bl/ 16 hr)
17-05-1960 (64 Th/
219 267643 2405170524 JUMINI NY P Lama 17-05-2024 16:44:39 POLI MATA BPJS / JKN 0001691916579
0 bl/ 0 hr)
JONATHAN PUTRA 12-03-2014 (10 Th/
220 269011 2405170526 L Lama 17-05-2024 16:48:08 POLI MATA BPJS / JKN 0001386595901
PRATAMA AN 2 bl/ 5 hr)
31-12-1952 (71 Th/
221 268061 2405170527 ISMAIL TN L Lama 17-05-2024 16:48:18 POLI MATA BPJS / JKN 0002400465159
4 bl/ 17 hr)
06-07-1995 (28 Th/
222 112104 2405170534 ZUMROTUN NY P Lama 17-05-2024 16:52:28 POLI MATA BPJS / JKN 0000604005682
10 bl/ 11 hr)
18-07-1959 (64 Th/
223 159548 2405170539 YULIANUS MAMORIBO TN L Lama 17-05-2024 16:55:53 POLI MATA BPJS / JKN 0001528054222
9 bl/ 30 hr)
10-12-1963 (60 Th/
224 267972 2405170541 SUMINEM NY P Lama 17-05-2024 16:56:42 POLI MATA BPJS / JKN 0001027520098
5 bl/ 7 hr)
SYAFA'ATUL QOMARIYAH 11-08-1965 (58 Th/
225 269058 2405170548 P Baru 17-05-2024 17:01:50 POLI MATA BPJS / JKN 0002317698202
NY 9 bl/ 6 hr)
23-10-1953 (70 Th/
226 269059 2405170552 WAGINAH NY P Baru 17-05-2024 17:04:20 POLI MATA BPJS / JKN 0000601833069
6 bl/ 25 hr)
28-05-1956 (67 Th/
227 161377 2405170559 SUMARTINI NY P Lama 17-05-2024 17:13:56 POLI MATA BPJS / JKN 0000088489225
11 bl/ 20 hr)
31-12-1956 (67 Th/
228 208204 2405170565 RANTI AL SUMARTI NY P Lama 17-05-2024 17:24:27 POLI MATA BPJS / JKN 0003349742139
4 bl/ 17 hr)
NOOR HARIFUDIN 22-03-1992 (32 Th/
229 269062 2405170569 L Baru 17-05-2024 17:29:26 POLI MATA BPJS / JKN 0000088476232
RIFKYANDHANI TN 1 bl/ 26 hr)
08-04-2010 (14 Th/
230 29553 2405170572 UDAYSAH AL KAMILA AN P Lama 17-05-2024 17:34:18 POLI MATA BPJS / JKN 0001898009111
1 bl/ 9 hr)
18-04-1954 (70 Th/
231 65151 2405170575 ONG SIOK LAN NY P Lama 17-05-2024 17:36:12 POLI MATA BPJS / JKN 0001422210554
0 bl/ 29 hr)
18-09-1990 (33 Th/
232 225718 2405170581 IGA WATI NY P Lama 17-05-2024 17:47:21 POLI MATA BPJS / JKN 0002349062256
7 bl/ 29 hr)
06-09-1983 (40 Th/
233 71336 2405170582 DWI NURMASARI NY P Lama 17-05-2024 17:50:10 POLI MATA BPJS / JKN 0001812457822
8 bl/ 11 hr)
12-12-1959 (64 Th/
234 105359 2405170506 SUSIYATI NY P Lama 17-05-2024 16:31:19 POLI ORTHOPEDI BPJS / JKN 0001821638608
5 bl/ 5 hr)
15-10-1960 (63 Th/
235 254160 2405170513 SULASIH NY P Lama 17-05-2024 16:37:36 POLI ORTHOPEDI BPJS / JKN 0001530698141
7 bl/ 2 hr)
31-07-1954 (69 Th/
236 76772 2405170517 TUTIK RAHAYU NY P Lama 17-05-2024 16:40:47 POLI ORTHOPEDI BPJS / JKN 0001898140779
9 bl/ 17 hr)
01-05-1951 (73 Th/
237 139130 2405170519 MEITUN NY P Lama 17-05-2024 16:42:07 POLI ORTHOPEDI BPJS / JKN 0001261858375
0 bl/ 16 hr)
IWAN FRIDIATMOKO 01-03-1991 (33 Th/
238 223283 2405170529 L Lama 17-05-2024 16:48:28 POLI ORTHOPEDI BPJS / JKN 0001527625203
TIMURTIANTO TN 2 bl/ 16 hr)
11-02-1966 (58 Th/
239 261858 2405170531 TRI HARJATIN NY P Lama 17-05-2024 16:50:29 POLI ORTHOPEDI BPJS / JKN 0001844077972
3 bl/ 6 hr)
15-05-2006 (18 Th/
240 235587 2405170536 CANDRA WIDODO SDR L Lama 17-05-2024 16:52:56 POLI ORTHOPEDI BPJS / JKN 0001530098616
0 bl/ 2 hr)
17-08-1943 (80 Th/
241 113067 2405170544 MARDIJONO BSC TN L Lama 17-05-2024 16:59:35 POLI ORTHOPEDI BPJS / JKN 0000088473396
9 bl/ 0 hr)
09-11-1960 (63 Th/
242 193760 2405170556 CHAMIM BASTOMI TN L Lama 17-05-2024 17:09:41 POLI ORTHOPEDI BPJS / JKN 0000640791415
6 bl/ 8 hr)
17-08-1945 (78 Th/
243 206658 2405170555 R DJOKO SUMASTO TN L Lama 17-05-2024 17:09:53 POLI ORTHOPEDI BPJS / JKN 0001815922642
9 bl/ 0 hr)
01-10-1966 (57 Th/
244 261751 2405170557 SUHARNO TN L Lama 17-05-2024 17:11:16 POLI ORTHOPEDI BPJS / JKN 0002767243994
7 bl/ 16 hr)
HELLA ELOK WULANDARI 06-05-1993 (31 Th/
245 266138 2405170562 P Lama 17-05-2024 17:12:46 POLI ORTHOPEDI BPJS / JKN 0000109274927
NY 0 bl/ 11 hr)
ARRUM MAISHA ADILLAH 20-01-2004 (20 Th/
246 163444 2405170567 P Lama 17-05-2024 17:26:59 POLI ORTHOPEDI BPJS / JKN 0002084068023
NN 3 bl/ 28 hr)
DAVIN IBRAHIM ALVENDRA 21-06-2023 (0 Th/ POLI REHABILITASI
247 247637 2405170024 L Lama 17-05-2024 05:44:12 BPJS / JKN 0003530405889
AN 10 bl/ 26 hr) MEDIK
01-01-1979 (45 Th/ POLI REHABILITASI
248 100966 2405170023 ANIEK SULISTYOWATI NY P Lama 17-05-2024 05:44:34 BPJS / JKN 0002295058667
4 bl/ 16 hr) MEDIK
249 108206 2405170026 EMI RAHMAWATI NY P Lama 17-05-2024 05:46:26 BPJS / JKN 0000078028288
1 bl/ 16 hr) MEDIK
KAYISHA MARDHA 07-08-2022 (1 Th/ POLI REHABILITASI
250 228957 2405170029 P Lama 17-05-2024 05:48:37 BPJS / JKN 0003528516453
KHALISA AN 9 bl/ 10 hr) MEDIK
JOHN HARRIS FERY 01-04-1959 (65 Th/ POLI REHABILITASI
251 264790 2405170035 L Lama 17-05-2024 05:52:22 BPJS / JKN 0001842240104
NADEAK TN 1 bl/ 16 hr) MEDIK
252 266118 2405170044 TRI EMIYATI NY P Lama 17-05-2024 05:57:21 BPJS / JKN 0000074742568
8 bl/ 15 hr) MEDIK
253 160949 2405170041 SUPRAPTI HANDAYANI NY P Lama 17-05-2024 05:57:22 BPJS / JKN 0000088316234
5 bl/ 8 hr) MEDIK
254 233357 2405170046 SRI WURYANINGSIH NY P Lama 17-05-2024 05:59:42 BPJS / JKN 0000641313145
1 bl/ 8 hr) MEDIK
255 262796 2405170048 MARGONO TN L Lama 17-05-2024 06:02:36 BPJS / JKN 0003385184613
2 bl/ 13 hr) MEDIK
256 212635 2405170050 SUPRAPTO TN L Lama 17-05-2024 06:03:37 BPJS / JKN 0000088311262
10 bl/ 3 hr) MEDIK
257 245981 2405170053 MIRA NUR LESTARI AN P Lama 17-05-2024 06:09:18 BPJS / JKN 0001325903455
11 bl/ 20 hr) MEDIK
258 144674 2405170055 TRIJONO TN L Lama 17-05-2024 06:12:12 BPJS / JKN 0000075956567
9 bl/ 26 hr) MEDIK
259 83627 2405170056 ROUDOTUL ROZIQOH NY P Lama 17-05-2024 06:12:56 BPJS / JKN 0001531088976
0 bl/ 12 hr) MEDIK
260 45752 2405170057 SITI SOFIYAH NY P Lama 17-05-2024 06:13:24 BPJS / JKN 0001149459838
1 bl/ 6 hr) MEDIK
ATIK DEWI ADRIYANINGSIH 23-01-1969 (55 Th/ POLI REHABILITASI
261 73144 2405170058 P Lama 17-05-2024 06:17:18 BPJS / JKN 0001529891831
NY 3 bl/ 25 hr) MEDIK
262 230577 2405170060 NANA ROKHANA TN L Lama 17-05-2024 06:18:31 BPJS / JKN 0003284888602
4 bl/ 11 hr) MEDIK
UMMAEYZA KHALISHA 14-06-2022 (1 Th/ POLI REHABILITASI
263 258059 2405170061 P Lama 17-05-2024 06:19:39 BPJS / JKN 0003282340757
NURSETIAWAN AN 11 bl/ 3 hr) MEDIK
264 157744 2405170063 A MAYA SUSTANTI NY P Lama 17-05-2024 06:20:46 BPJS / JKN 0001438131892
5 bl/ 29 hr) MEDIK
AZKADINA KINAN AISYA 06-11-2018 (5 Th/ POLI REHABILITASI
265 255011 2405170064 P Lama 17-05-2024 06:21:39 BPJS / JKN 0002906019988
MECCA AN 6 bl/ 11 hr) MEDIK
266 267080 2405170065 PURNOMO IRIANTO TN L Lama 17-05-2024 06:21:44 BPJS / JKN 0003563444812
1 bl/ 15 hr) MEDIK
267 142016 2405170067 SITI NURJANAH NY P Lama 17-05-2024 06:24:16 BPJS / JKN 0001391458735
4 bl/ 7 hr) MEDIK
268 216058 2405170069 MUHAMMAD DURERI TN L Lama 17-05-2024 06:26:35 BPJS / JKN 0000601812134
0 bl/ 6 hr) MEDIK
269 218941 2405170070 MUJONO TN L Lama 17-05-2024 06:26:48 BPJS / JKN 0003304557786
2 bl/ 13 hr) MEDIK
270 268984 2405170071 HENGKY DAUD TN L Lama 17-05-2024 06:27:12 BPJS / JKN 0001341270022
0 bl/ 15 hr) MEDIK
271 78242 2405170072 HADI SUMARNO TN L Lama 17-05-2024 06:29:11 BPJS / JKN 0001830364413
11 bl/ 11 hr) MEDIK
272 164716 2405170073 MUH DALHARI TN L Lama 17-05-2024 06:30:26 BPJS / JKN 0000641369507
8 bl/ 9 hr) MEDIK
273 254227 2405170077 ISHAK AL ZADFAR AN L Lama 17-05-2024 06:36:13 BPJS / JKN 0003553407707
7 bl/ 14 hr) MEDIK
274 258082 2405170078 USTADZAH NY P Lama 17-05-2024 06:37:15 BPJS / JKN 0000010471757
0 bl/ 7 hr) MEDIK
275 191424 2405170079 MULYANI NY P Lama 17-05-2024 06:37:40 BPJS / JKN 0002517367083
10 bl/ 12 hr) MEDIK
EMANUEL MARIA 11-11-1952 (71 Th/ POLI REHABILITASI
276 267947 2405170080 L Lama 17-05-2024 06:38:24 BPJS / JKN 0000088507642
RACHMAN TN 6 bl/ 6 hr) MEDIK
277 95537 2405170082 PARTI NY P Lama 17-05-2024 06:46:33 BPJS / JKN 0002048305397
11 bl/ 25 hr) MEDIK
278 268999 2405170083 SUSTIYAH NY P Lama 17-05-2024 06:46:42 BPJS / JKN 0000976631049
6 bl/ 22 hr) MEDIK
279 176312 2405170085 SLAMET RIYADI TN L Lama 17-05-2024 06:50:08 BPJS / JKN 0002431075465
9 bl/ 1 hr) MEDIK
280 254761 2405170086 WARJO SUPRIYADI TN L Lama 17-05-2024 06:52:12 BPJS / JKN 0001103512476
1 bl/ 21 hr) MEDIK
281 250063 2405170088 ANY BADIJAH NY P Lama 17-05-2024 06:59:13 BPJS / JKN 0000088325335
4 bl/ 21 hr) MEDIK
282 121799 2405170089 SUMI WALTININGSIH NY P Lama 17-05-2024 07:00:03 BPJS / JKN 0000074963867
5 bl/ 8 hr) MEDIK
MUHAMMAD KHIYARUL 22-08-2015 (8 Th/ POLI REHABILITASI
283 147847 2405170091 L Lama 17-05-2024 07:01:19 BPJS / JKN 0002267109303
ANAM AN 8 bl/ 26 hr) MEDIK
284 239986 2405170093 JADMIATUN NY P Lama 17-05-2024 07:02:54 BPJS / JKN 0001160668822
10 bl/ 10 hr) MEDIK
285 201242 2405170094 MUTIA MAHARANI AN P Lama 17-05-2024 07:04:17 BPJS / JKN 0003100356494
1 bl/ 11 hr) MEDIK
286 124098 2405170103 BUANG MARYATI NY P Lama 17-05-2024 07:23:17 BPJS / JKN 0002072095075
6 bl/ 18 hr) MEDIK
287 99890 2405170108 DAROJI TN L Lama 17-05-2024 07:28:17 BPJS / JKN 0002078422402
0 bl/ 3 hr) MEDIK
288 266014 2405170128 AHMAD ZARIYANTO TN L Lama 17-05-2024 07:49:02 BPJS / JKN 0003349935516
8 bl/ 26 hr) MEDIK
289 264030 2405170125 SITI KHOTIMAH NY P Lama 17-05-2024 07:49:08 BPJS / JKN 0001614610697
7 bl/ 17 hr) MEDIK
290 261085 2405170134 SRI SUNARTI NY P Lama 17-05-2024 07:54:18 BPJS / JKN 0002876084818
4 bl/ 17 hr) MEDIK
291 256191 2405170137 ARIF TRI RAHARDJO TN L Lama 17-05-2024 07:56:42 BPJS / JKN 0002462121055
1 bl/ 13 hr) MEDIK
292 260808 2405170149 SARMANTO TN L Lama 17-05-2024 08:10:13 BPJS / JKN 0002349099573
1 bl/ 7 hr) MEDIK
293 68631 2405170152 SRI HARYANTI NY P Lama 17-05-2024 08:15:02 BPJS / JKN 0001720211332
2 bl/ 10 hr) MEDIK
294 214042 2405170163 LIE LIAN NY P Lama 17-05-2024 08:29:10 BPJS / JKN 0002442785051
10 bl/ 24 hr) MEDIK
295 44558 2405170165 SUPRIHATINY P Lama 17-05-2024 08:31:04 BPJS / JKN 0001380459262
2 bl/ 19 hr) MEDIK
296 256716 2405170168 ISTIANAH NY P Lama 17-05-2024 08:35:21 BPJS / JKN 0001461766026
8 bl/ 13 hr) MEDIK
297 178910 2405170169 ATIK SETYO RINI NY P Lama 17-05-2024 08:36:44 BPJS / JKN 0001874187731
7 bl/ 15 hr) MEDIK
IKE ISNAINI 23-02-1981 (43 Th/ POLI REHABILITASI
298 123250 2405170175 P Lama 17-05-2024 08:42:54 BPJS / JKN 0001159967182
MULYANINGSIH NY 2 bl/ 22 hr) MEDIK
ALLEGRA MALMSTINO 22-12-2006 (17 Th/ POLI REHABILITASI
299 158184 2405170176 L Lama 17-05-2024 08:46:34 BPJS / JKN 0001805994898
VAINARDI SDR 4 bl/ 26 hr) MEDIK
300 243315 2405170183 SUSI RISTIYANI NY P Lama 17-05-2024 09:01:31 BPJS / JKN 0001458982877
7 bl/ 17 hr) MEDIK
301 14246 2405170185 MARTANINGSIH NY P Lama 17-05-2024 09:04:46 BPJS / JKN 0000088473442
3 bl/ 19 hr) MEDIK
302 233289 2405170194 ATIKA INDAH SHAFIRA NN P Lama 17-05-2024 09:26:12 BPJS / JKN 0001621527399
0 bl/ 3 hr) MEDIK
ALEENA CARRELSA 11-02-2023 (1 Th/ POLI REHABILITASI
303 240666 2405170219 P Lama 17-05-2024 09:42:31 BPJS / JKN 0003517143355
AURORA MAHESWARI AN 3 bl/ 6 hr) MEDIK
304 262592 2405170220 WINARNO TN L Lama 17-05-2024 09:43:17 BPJS / JKN 0000088478199
2 bl/ 8 hr) MEDIK
ROBIATUL JANNATI 03-01-1968 (56 Th/ POLI REHABILITASI
305 128950 2405170251 P Lama 17-05-2024 10:07:41 BPJS / JKN 0001105841553
ZUMAROH NY 4 bl/ 14 hr) MEDIK
SUMIYATI JD SOEWARNO 29-10-1937 (86 Th/ POLI REHABILITASI
306 200374 2405170268 P Lama 17-05-2024 10:26:17 BPJS / JKN 0000088348397
NY 6 bl/ 19 hr) MEDIK
307 263937 2405170282 TEDDY SUDARMANTO TN L Lama 17-05-2024 11:27:21 BPJS / JKN 0001149416561
6 bl/ 26 hr) MEDIK
308 266801 2405170283 ELINA MARYANTI NY P Lama 17-05-2024 11:28:22 BPJS / JKN 0002872891809
2 bl/ 10 hr) MEDIK
309 121940 2405170318 DESY WAHYUNI NY P Lama 17-05-2024 12:48:45 BPJS / JKN 0000602695157
4 bl/ 18 hr) MEDIK
12-08-1958 (65 Th/
310 160972 2405170011 SITI SADIAHNY P Lama 17-05-2024 05:25:10 POLI SARAF BPJS / JKN 0002284409496
9 bl/ 5 hr)
26-07-1948 (75 Th/
311 203819 2405170013 CHRISTIEN HARUNA NY P Lama 17-05-2024 05:35:38 POLI SARAF BPJS / JKN 0002699178748
9 bl/ 22 hr)
26-12-1947 (76 Th/
312 187019 2405170014 NURISIH NY P Lama 17-05-2024 05:39:33 POLI SARAF BPJS / JKN 0000088429735
4 bl/ 22 hr)
30-12-1947 (76 Th/
313 136999 2405170015 KOESNI NY P Lama 17-05-2024 05:39:55 POLI SARAF BPJS / JKN 0000088405222
4 bl/ 18 hr)
18-05-1959 (64 Th/
314 138272 2405170017 SITI WAQIAH NY P Lama 17-05-2024 05:40:12 POLI SARAF BPJS / JKN 0000601868722
11 bl/ 30 hr)
06-03-1962 (62 Th/
315 250576 2405170019 DARYATI NY P Lama 17-05-2024 05:42:03 POLI SARAF BPJS / JKN 0003316533917
2 bl/ 11 hr)
13-03-1973 (51 Th/
316 130351 2405170020 SITI MUTOMIMAH NY P Lama 17-05-2024 05:42:33 POLI SARAF BPJS / JKN 0001792417871
2 bl/ 4 hr)
18-12-1958 (65 Th/
317 34208 2405170022 GIMAN SUKOCO TN L Lama 17-05-2024 05:42:37 POLI SARAF BPJS / JKN 0001833737951
4 bl/ 30 hr)
10-12-1966 (57 Th/
318 170173 2405170025 PARIYAH NY P Lama 17-05-2024 05:45:06 POLI SARAF BPJS / JKN 0001732559815
5 bl/ 7 hr)
15-08-1965 (58 Th/
319 139882 2405170027 SUWANTININGSIH NY P Lama 17-05-2024 05:46:39 POLI SARAF BPJS / JKN 0002209554292
9 bl/ 2 hr)
05-05-1992 (32 Th/
320 171398 2405170028 BAGUS WINDARTO SDR L Lama 17-05-2024 05:47:11 POLI SARAF BPJS / JKN 0000603054538
0 bl/ 12 hr)
30-06-1954 (69 Th/
321 84631 2405170031 KUSWIDYANI NY P Lama 17-05-2024 05:48:46 POLI SARAF BPJS / JKN 0000074938331
10 bl/ 17 hr)
02-02-1963 (61 Th/
322 92408 2405170032 MURNI HIDAYATI NY P Lama 17-05-2024 05:49:29 POLI SARAF BPJS / JKN 0000074987109
3 bl/ 15 hr)
02-07-1957 (66 Th/
323 149050 2405170033 NGAPIJAH NY P Lama 17-05-2024 05:51:55 POLI SARAF BPJS / JKN 0000074774349
10 bl/ 15 hr)
03-11-1968 (55 Th/
324 151130 2405170034 MOROBATIN TN L Lama 17-05-2024 05:52:03 POLI SARAF BPJS / JKN 0000602401138
6 bl/ 14 hr)
16-07-1972 (51 Th/
325 223286 2405170039 SUNARTO TN L Lama 17-05-2024 05:53:24 POLI SARAF BPJS / JKN 0000641314945
10 bl/ 1 hr)
EVEMIA FELISIA SULAINAH 05-05-1946 (78 Th/
326 101798 2405170037 P Lama 17-05-2024 05:53:42 POLI SARAF BPJS / JKN 0000088411814
NY 0 bl/ 12 hr)
15-03-1970 (54 Th/
327 80441 2405170040 SUNGATMI NY P Lama 17-05-2024 05:56:37 POLI SARAF BPJS / JKN 0001530679318
2 bl/ 2 hr)
24-11-1962 (61 Th/
328 68645 2405170042 IDA PRAWATI NY P Lama 17-05-2024 05:57:59 POLI SARAF BPJS / JKN 0001788669314
5 bl/ 23 hr)
06-04-1969 (55 Th/
329 140668 2405170043 AMINATUN NY P Lama 17-05-2024 05:58:27 POLI SARAF BPJS / JKN 0001446783658
1 bl/ 11 hr)
CHRISTIANA SRI WAHYUNI 14-12-1955 (68 Th/
NY 5 bl/ 3 hr)
01-09-1951 (72 Th/
331 48518 2405170049 SRI UTAMI NY P Lama 17-05-2024 06:03:11 POLI SARAF BPJS / JKN 0000088444563
8 bl/ 16 hr)
01-12-1963 (60 Th/
332 183836 2405170051 SITI SAONAH NY P Lama 17-05-2024 06:03:45 POLI SARAF BPJS / JKN 0000074679737
5 bl/ 16 hr)
21-07-1948 (75 Th/
333 133450 2405170052 SUPIJANTO TN L Lama 17-05-2024 06:06:16 POLI SARAF BPJS / JKN 0000074745371
9 bl/ 27 hr)
05-07-1962 (61 Th/
334 165932 2405170059 HOO SOEI LAN NY P Lama 17-05-2024 06:17:43 POLI SARAF BPJS / JKN 0002481279794
10 bl/ 12 hr)
13-05-1960 (64 Th/
335 66371 2405170066 LAUW AY SWAN NY P Lama 17-05-2024 06:23:20 POLI SARAF BPJS / JKN 0001446081636
0 bl/ 4 hr)
01-01-1963 (61 Th/
336 257056 2405170068 MUNAWIR TN L Lama 17-05-2024 06:26:22 POLI SARAF BPJS / JKN 0003345814539
4 bl/ 16 hr)
30-03-1964 (60 Th/
337 120713 2405170087 ELLY ROMAINUR NY P Lama 17-05-2024 06:52:40 POLI SARAF BPJS / JKN 0002032158159
1 bl/ 18 hr)
25-02-1956 (68 Th/
338 120124 2405170090 SETYO AMBARWATI NY P Lama 17-05-2024 07:01:01 POLI SARAF BPJS / JKN 0001888475376
2 bl/ 21 hr)
15-04-1952 (72 Th/
339 133716 2405170095 SURIFAH NY P Lama 17-05-2024 07:08:35 POLI SARAF BPJS / JKN 0000080292879
1 bl/ 2 hr)
14-09-1966 (57 Th/
340 209470 2405170096 SRI RAHAYU NY P Lama 17-05-2024 07:11:28 POLI SARAF BPJS / JKN 0003084199896
8 bl/ 3 hr)
30-12-1968 (55 Th/
341 172669 2405170097 TITIK WAHYUNINGSIH NY P Lama 17-05-2024 07:15:12 POLI SARAF BPJS / JKN 0000640739373
4 bl/ 18 hr)
14-04-1970 (54 Th/
342 268970 2405170101 KURMIDI TN L Lama 17-05-2024 07:19:28 POLI SARAF BPJS / JKN 0002623206431
1 bl/ 3 hr)
27-03-1984 (40 Th/
343 233681 2405170109 LINDA ERAWATI NY P Lama 17-05-2024 07:28:05 POLI SARAF BPJS / JKN 0001577465234
1 bl/ 21 hr)
11-07-1965 (58 Th/
344 227473 2405170116 ENY VERIATI NY P Lama 17-05-2024 07:38:08 POLI SARAF BPJS / JKN 0001256346303
10 bl/ 6 hr)
21-05-2003 (20 Th/
345 201192 2405170121 FAISAL LUKMAN SDR L Lama 17-05-2024 07:42:19 POLI SARAF BPJS / JKN 0000600535034
11 bl/ 27 hr)
05-07-1962 (61 Th/
346 165932 2405170187 HOO SOEI LAN NY P Lama 17-05-2024 09:11:22 POLI SARAF BPJS / JKN 0002481279794
10 bl/ 12 hr)
ENDANG NOOR KUSTIYAH 29-01-1954 (70 Th/
NY 3 bl/ 19 hr)
12-02-1970 (54 Th/
348 194776 2405170200 SANIYEM NY P Lama 17-05-2024 09:30:26 POLI SARAF BPJS / JKN 0002131713382
3 bl/ 5 hr)
23-07-1959 (64 Th/
349 220607 2405170203 TRI MULYANI YULIATI NY P Lama 17-05-2024 09:32:00 POLI SARAF BPJS / JKN 0000077398154
9 bl/ 25 hr)
24-12-1959 (64 Th/
350 83908 2405170206 WORO TJIPTANINGSIH NY P Lama 17-05-2024 09:33:03 POLI SARAF BPJS / JKN 0001446814078
4 bl/ 24 hr)
31-12-1966 (57 Th/
351 267979 2405170205 PARNI NY P Lama 17-05-2024 09:33:29 POLI SARAF BPJS / JKN 0003263481191
4 bl/ 17 hr)
RUSYADI MARTOSISWOYO 07-12-1952 (71 Th/
352 170053 2405170213 L Lama 17-05-2024 09:40:10 POLI SARAF BPJS / JKN 0001406815277
TN 5 bl/ 10 hr)
01-09-1952 (71 Th/
353 134884 2405170215 JUMINI NY P Lama 17-05-2024 09:41:26 POLI SARAF BPJS / JKN 0001789630402
8 bl/ 16 hr)
31-12-1958 (65 Th/
354 268683 2405170216 SUMIYEM NY P Lama 17-05-2024 09:42:45 POLI SARAF BPJS / JKN 0001614296351
4 bl/ 17 hr)
12-02-1969 (55 Th/
355 223114 2405170225 FAIZATUN MARDIYAH NY P Lama 17-05-2024 09:48:16 POLI SARAF BPJS / JKN 0001306042863
3 bl/ 5 hr)
23-11-1954 (69 Th/
356 73884 2405170231 LYDIA SUPARTINI NY P Lama 17-05-2024 09:52:12 POLI SARAF BPJS / JKN 0001297892878
5 bl/ 24 hr)
07-04-1963 (61 Th/
357 263534 2405170233 GUNAWAN TN L Lama 17-05-2024 09:53:36 POLI SARAF BPJS / JKN 0002403655817
1 bl/ 10 hr)
07-05-1966 (58 Th/
358 209626 2405170234 MASUD TN L Lama 17-05-2024 09:53:55 POLI SARAF BPJS / JKN 0002032654329
0 bl/ 10 hr)
08-08-1953 (70 Th/
359 140941 2405170246 SRI SUPRAPTI NY P Lama 17-05-2024 10:02:02 POLI SARAF BPJS / JKN 0002087340952
9 bl/ 9 hr)
31-12-1945 (78 Th/
360 238946 2405170253 MUTIAH NY P Lama 17-05-2024 10:08:19 POLI SARAF BPJS / JKN 0003302832644
4 bl/ 17 hr)
26-11-1948 (75 Th/
361 247319 2405170255 BUDIANI NY P Lama 17-05-2024 10:10:32 POLI SARAF BPJS / JKN 0002581765108
5 bl/ 21 hr)
17-08-1974 (49 Th/
362 269037 2405170258 SARINTEN NY P Baru 17-05-2024 10:16:54 POLI SARAF BPJS / JKN 0000640774157
9 bl/ 0 hr)
17-11-1953 (70 Th/
363 69407 2405170266 SUNARTI NY P Lama 17-05-2024 10:24:32 POLI SARAF BPJS / JKN 0000074546109
6 bl/ 0 hr)
OKKY FAJAR PRIHANANTO 10-05-1990 (34 Th/
TN 0 bl/ 7 hr)
02-03-1996 (28 Th/
365 250524 2405170279 NN. NADIA SAVITRI P Lama 17-05-2024 10:53:29 POLI SARAF BPJS / JKN 0002351336905
2 bl/ 15 hr)
05-03-1972 (52 Th/
366 263711 2405170280 AHMAT SURADI TN L Lama 17-05-2024 11:02:20 POLI SARAF BPJS / JKN 0003583257309
2 bl/ 12 hr)
05-06-1942 (81 Th/
367 148028 2405170299 MUHAIMIN TN L Lama 17-05-2024 12:30:17 POLI SARAF BPJS / JKN 0000602494029
11 bl/ 12 hr)
04-07-1973 (50 Th/
368 91239 2405170300 JUMIYEM NY P Lama 17-05-2024 12:31:24 POLI SARAF BPJS / JKN 0001442777174
10 bl/ 13 hr)
27-06-1958 (65 Th/
369 261775 2405170302 SUWONDO TN L Lama 17-05-2024 12:33:11 POLI SARAF BPJS / JKN 0001440555592
10 bl/ 20 hr)
DANIS IVAN REFREANANTA 15-05-1995 (29 Th/
SDR 0 bl/ 2 hr)
23-06-1953 (70 Th/
371 222704 2405170308 BOGIYAH NY P Lama 17-05-2024 12:39:40 POLI SARAF BPJS / JKN 0002345666949
10 bl/ 24 hr)
31-12-1967 (56 Th/
372 261928 2405170309 IMROAH NY P Lama 17-05-2024 12:41:12 POLI SARAF BPJS / JKN 0002326383191
4 bl/ 17 hr)
12-12-1950 (73 Th/
373 21990 2405170310 SARMIJATI DJIUN NY P Lama 17-05-2024 12:42:31 POLI SARAF BPJS / JKN 0000076838771
5 bl/ 5 hr)
31-05-1965 (58 Th/
374 191328 2405170311 AHMAD BUDIONO TN L Lama 17-05-2024 12:43:13 POLI SARAF BPJS / JKN 0001215278728
11 bl/ 17 hr)
09-04-1972 (52 Th/
375 208667 2405170312 WAHYUNI NY P Lama 17-05-2024 12:43:38 POLI SARAF BPJS / JKN 0002261294919
1 bl/ 8 hr)
02-07-1982 (41 Th/
376 267068 2405170313 TITYA ISWARI NY P Lama 17-05-2024 12:43:46 POLI SARAF BPJS / JKN 0001532566877
10 bl/ 15 hr)
28-10-1960 (63 Th/
377 141166 2405170316 SUMARJONO TN L Lama 17-05-2024 12:46:19 POLI SARAF BPJS / JKN 0000088487796
6 bl/ 20 hr)
20-08-1950 (73 Th/
378 154695 2405170320 IGNATIA SRI SAMIDAH NY P Lama 17-05-2024 12:49:09 POLI SARAF BPJS / JKN 0000088420768
8 bl/ 28 hr)
06-10-1966 (57 Th/
379 172347 2405170322 SURATI NY P Lama 17-05-2024 12:49:32 POLI SARAF BPJS / JKN 0002052836998
7 bl/ 11 hr)
06-05-1953 (71 Th/
380 145278 2405170321 MF SUWARNI NY P Lama 17-05-2024 12:49:33 POLI SARAF BPJS / JKN 0000088418698
0 bl/ 11 hr)
14-09-1961 (62 Th/
381 183900 2405170324 SITI AMINAH NY P Lama 17-05-2024 12:52:09 POLI SARAF BPJS / JKN 0001303209202
8 bl/ 3 hr)
VOLENIA AYU YULISTYA 01-04-2006 (18 Th/
NN 1 bl/ 16 hr)
19-07-1965 (58 Th/
383 97771 2405170325 SUTARNI NY P Lama 17-05-2024 12:52:52 POLI SARAF BPJS / JKN 0000074967737
9 bl/ 29 hr)
13-06-1963 (60 Th/
384 253701 2405170326 TUMIRAH NY P Lama 17-05-2024 12:53:26 POLI SARAF BPJS / JKN 0001032725349
11 bl/ 4 hr)
01-07-1985 (38 Th/
385 258271 2405170329 HERU CAHYONO TN L Lama 17-05-2024 12:55:42 POLI SARAF BPJS / JKN 0000602124614
10 bl/ 16 hr)
30-03-1961 (63 Th/
386 214294 2405170328 ROMTINI NY P Lama 17-05-2024 12:56:24 POLI SARAF BPJS / JKN 0001453461219
1 bl/ 18 hr)
14-05-1978 (46 Th/
387 250384 2405170334 HERU SUTRISNO TN L Lama 17-05-2024 12:59:42 POLI SARAF BPJS / JKN 0001888955875
0 bl/ 3 hr)
04-04-1971 (53 Th/
388 185199 2405170338 WARSI NY P Lama 17-05-2024 13:04:43 POLI SARAF BPJS / JKN 0000641713241
1 bl/ 13 hr)
MAYA FEBRINA ASRI 08-02-2008 (16 Th/
PRATIWI NN 3 bl/ 9 hr)
03-05-1966 (58 Th/
390 127955 2405170340 EUIS SURAHMI NY P Lama 17-05-2024 13:07:13 POLI SARAF BPJS / JKN 0002424682877
0 bl/ 14 hr)
29-04-1962 (62 Th/
391 94195 2405170344 HARIYATI NY P Lama 17-05-2024 13:12:22 POLI SARAF BPJS / JKN 0000074932986
0 bl/ 18 hr)
11-04-1956 (68 Th/
392 175618 2405170348 ZULAIKAH NY P Lama 17-05-2024 13:15:20 POLI SARAF BPJS / JKN 0002742997083
1 bl/ 6 hr)
08-04-1966 (58 Th/
393 198024 2405170349 SURIYAH NY P Lama 17-05-2024 13:15:45 POLI SARAF BPJS / JKN 0002770051768
1 bl/ 9 hr)
03-06-1979 (44 Th/
394 167779 2405170350 NUNUNG PURWANTI NY P Lama 17-05-2024 13:16:43 POLI SARAF BPJS / JKN 0002349035763
11 bl/ 14 hr)
14-05-1957 (67 Th/
395 248797 2405170351 MUKMINAH NY P Lama 17-05-2024 13:18:08 POLI SARAF BPJS / JKN 0001297848778
0 bl/ 3 hr)
16-06-1975 (48 Th/
396 206867 2405170352 BUDIYANTO TN L Lama 17-05-2024 13:18:56 POLI SARAF BPJS / JKN 0002341662221
11 bl/ 1 hr)
11-06-1973 (50 Th/
397 187021 2405170353 RUDI SANTOSO TN L Lama 17-05-2024 13:18:57 POLI SARAF BPJS / JKN 0002203374251
11 bl/ 6 hr)
25-12-1967 (56 Th/
398 197350 2405170354 JUMADI TN L Lama 17-05-2024 13:19:31 POLI SARAF BPJS / JKN 0002424780887
4 bl/ 23 hr)
04-06-1967 (56 Th/
399 51194 2405170356 NURHADI TN L Lama 17-05-2024 13:22:00 POLI SARAF BPJS / JKN 0003585927306
11 bl/ 13 hr)
05-07-1963 (60 Th/
400 89145 2405170358 SUGENG WIDODO TN L Lama 17-05-2024 13:23:07 POLI SARAF BPJS / JKN 0000074597758
10 bl/ 12 hr)
15-01-1959 (65 Th/
401 201769 2405170361 SUTARDJI TN L Lama 17-05-2024 13:25:43 POLI SARAF BPJS / JKN 0001531098999
4 bl/ 2 hr)
31-10-1972 (51 Th/
402 268120 2405170360 SUMARTI NY P Lama 17-05-2024 13:25:50 POLI SARAF BPJS / JKN 0001422952165
6 bl/ 17 hr)
03-11-1945 (78 Th/
403 95510 2405170371 MUDJAMI NY P Lama 17-05-2024 13:28:44 POLI SARAF BPJS / JKN 0000162327071
6 bl/ 14 hr)
05-06-1942 (81 Th/
404 148028 2405170369 MUHAIMIN TN L Lama 17-05-2024 13:31:07 POLI SARAF BPJS / JKN 0000602494029
11 bl/ 12 hr)
20-10-1983 (40 Th/
405 14996 2405170374 SITI MUTOHAROH NY P Lama 17-05-2024 13:32:44 POLI SARAF BPJS / JKN 0002217200793
6 bl/ 28 hr)
28-10-1950 (73 Th/
406 129098 2405170380 SURTI BUDHI NINGSIH NY P Lama 17-05-2024 13:36:20 POLI SARAF BPJS / JKN 0001806404815
6 bl/ 20 hr)
11-12-1962 (61 Th/
407 145360 2405170384 EKA NURDIYANTO TN L Lama 17-05-2024 13:38:12 POLI SARAF BPJS / JKN 0000088507552
5 bl/ 6 hr)
20-02-1943 (81 Th/
408 157986 2405170386 TASIYEM NY P Lama 17-05-2024 13:38:49 POLI SARAF BPJS / JKN 0002625314848
2 bl/ 25 hr)
13-05-1971 (53 Th/
409 221559 2405170394 SURADI TN L Lama 17-05-2024 13:41:33 POLI SARAF BPJS / JKN 0002983831154
0 bl/ 4 hr)
22-05-1975 (48 Th/
410 225906 2405170395 UMI RAHMAWATI NY P Lama 17-05-2024 13:43:21 POLI SARAF BPJS / JKN 0002613459532
11 bl/ 26 hr)
02-01-1986 (38 Th/
411 132698 2405170403 JAKA PURNAMA TN L Lama 17-05-2024 13:48:37 POLI SARAF BPJS / JKN 0002261042739
4 bl/ 15 hr)
17-02-1970 (54 Th/
412 238782 2405170429 MIFTACH ICHSANI TN L Lama 17-05-2024 14:13:52 POLI SARAF BPJS / JKN 0001527561909
3 bl/ 0 hr)
11-08-1961 (62 Th/
413 39760 2405170432 SRI MARSITI NY P Lama 17-05-2024 14:15:40 POLI SARAF BPJS / JKN 0001270195367
9 bl/ 6 hr)
14-02-1974 (50 Th/
414 17940 2405170438 TUTIK KADARSIH NY P Lama 17-05-2024 14:22:54 POLI SARAF BPJS / JKN 0001531089797
3 bl/ 3 hr)
04-05-1953 (71 Th/
415 207139 2405170455 BASUKI RAHARDJO TN L Lama 17-05-2024 15:24:00 POLI SARAF BPJS / JKN 0000202283379
0 bl/ 13 hr)
MAXY YOHANES KAIRUPAN 27-07-1951 (72 Th/
TN 9 bl/ 21 hr)
25-08-1970 (53 Th/
417 150087 2405170470 MARFUATUN NY P Lama 17-05-2024 15:37:54 POLI SARAF BPJS / JKN 0002043279134
8 bl/ 23 hr)
01-07-1952 (71 Th/
418 202149 2405170471 SUMINAH NY P Lama 17-05-2024 15:39:31 POLI SARAF BPJS / JKN 0003510712732
10 bl/ 16 hr)
04-11-1981 (42 Th/
419 120310 2405170473 PIPIT SETIAWAN TN L Lama 17-05-2024 15:44:25 POLI SARAF BPJS / JKN 0001325622161
6 bl/ 13 hr)
18-05-1988 (35 Th/
420 74997 2405170474 LINTA AFTUHA ROYANA NY P Lama 17-05-2024 15:46:30 POLI SARAF BPJS / JKN 0001381278791
11 bl/ 30 hr)
27-08-1979 (44 Th/
421 138717 2405170481 VITRIYATUN NY P Lama 17-05-2024 15:53:42 POLI SARAF BPJS / JKN 0002467680131
8 bl/ 21 hr)
16-01-1953 (71 Th/
422 150448 2405170487 SITI ZAKHARIYAH NY P Lama 17-05-2024 16:04:34 POLI SARAF BPJS / JKN 0000074955058
4 bl/ 1 hr)
28-07-1968 (55 Th/
423 256427 2405170489 SITI ADMINAH NY P Lama 17-05-2024 16:06:12 POLI SARAF BPJS / JKN 0002069826491
9 bl/ 20 hr)
24-08-1959 (64 Th/
424 121172 2405170494 ALI ABDILLAH TN L Lama 17-05-2024 16:12:58 POLI SARAF BPJS / JKN 0001445847715
8 bl/ 24 hr)
27-12-2004 (19 Th/
425 199175 2405170503 NABILA RAHMATIA NN P Lama 17-05-2024 16:28:43 POLI SARAF BPJS / JKN 0001766339605
4 bl/ 21 hr)
10-07-1971 (52 Th/
426 59322 2405170199 YULI SRI SULISTYOWATI NY P Lama 17-05-2024 09:29:36 POLI THT BPJS / JKN 0001423266952
10 bl/ 7 hr)
31-01-1945 (79 Th/
427 109024 2405170204 LESTANTUN NY P Lama 17-05-2024 09:32:24 POLI THT BPJS / JKN 0001831886212
3 bl/ 17 hr)
02-11-1998 (25 Th/
428 138353 2405170208 IIS SUSANTI NY P Lama 17-05-2024 09:36:00 POLI THT BPJS / JKN 0002614961722
6 bl/ 15 hr)
TRIVENA KRISNINGRUM 18-12-1980 (43 Th/
429 97686 2405170209 P Lama 17-05-2024 09:36:53 POLI THT BPJS / JKN 0001800994555
PRANOTO NY 4 bl/ 30 hr)
26-06-1997 (26 Th/
430 269034 2405170224 MM GENOVEVA NN P Baru 17-05-2024 09:47:53 POLI THT BPJS / JKN 0000122593768
10 bl/ 21 hr)
02-02-1952 (72 Th/
431 195895 2405170226 DARWATI NY P Lama 17-05-2024 09:48:21 POLI THT BPJS / JKN 0001032748176
3 bl/ 15 hr)
18-06-1992 (31 Th/
432 268516 2405170230 ADI PRASETYO TN L Lama 17-05-2024 09:51:39 POLI THT BPJS / JKN 0001823563078
10 bl/ 29 hr)
27-01-1984 (40 Th/
433 89069 2405170249 ATIK YANUARTI NY P Lama 17-05-2024 10:04:53 POLI THT BPJS / JKN 0001195429061
3 bl/ 21 hr)
16-05-1991 (33 Th/
434 221055 2405170257 DEWI SRI LESTARI NY P Lama 17-05-2024 10:12:53 POLI THT BPJS / JKN 0001388766374
0 bl/ 1 hr)
TUNGGUL BUDI PANGESTHI 20-03-1990 (34 Th/
435 111944 2405170264 L Lama 17-05-2024 10:23:07 POLI THT BPJS / JKN 0002434582743
SDR 1 bl/ 28 hr)
SEP RJ/RD SEP RI Nopen RI Dokter Tgl Keluar Ruang Akhir LOS Status Tarif INACBG Tarif RS
1122R0040524V006689 dr. DWI AMBARWATI, Sp. A 17-05-2024 12:02:55 POLI ANAK Belum Grouping 267,648.75
1122R0040524V006752 dr. LISTYA EKO WULANDARI, Sp. A 17-05-2024 13:37:06 POLI ANAK Belum Grouping 202,062.50
POLI BEDAH
dr. NIRWANSYAH, Sp. B 17-05-2024 11:09:36 Belum Grouping 195,000.00
UMUM
POLI BEDAH
1122R0040524V006643 dr. NIRWANSYAH, Sp. B 17-05-2024 11:15:48 Belum Grouping 163,000.00
UMUM
POLI BEDAH
UMUM
POLI BEDAH
UMUM
POLI BEDAH
UMUM
POLI BEDAH
UMUM
POLI BEDAH
UMUM
POLI BEDAH
UMUM
POLI BEDAH
UMUM
POLI BEDAH
UMUM
POLI BEDAH
UMUM
POLI BEDAH
UMUM
POLI BEDAH
UMUM
POLI BEDAH
UMUM
dr. DUTA INDRIAWAN, M. Biomed, Sp. POLI BEDAH
1122R0040524V006861 17-05-2024 16:40:17 Belum Grouping 145,000.00
B UMUM
B UMUM
B UMUM
B UMUM
B UMUM
17-05-2024 17:21:33 Belum Grouping 25,000.00
B UMUM
B UMUM
1122R0040524V006485 dr. PRIYANTO ADI NUGROHO, Sp. PD 17-05-2024 07:24:03 POLI DALAM Belum Grouping 635,720.50
dr. RASTRI MAHARDIKA

17-05-2024 18:02:41 POLI DALAM Belum Grouping 415,778.00
PRABAWANTI, Sp. PD
1122R0040524V006712 dr. RATNA SULISTYANI, Sp. PD 17-05-2024 19:11:06 POLI DALAM Belum Grouping 145,000.00
1122R0040524V006718 dr. HUDIARSO, Sp. PD 17-05-2024 12:31:01 POLI DALAM Belum Grouping 145,000.00
1122R0040524V006712 dr. KUADIHARTO, Sp. PD 17-05-2024 19:10:51 POLI DALAM Belum Grouping 145,000.00
1122R0040524V006756 dr. RATNA SULISTYANI, Sp. PD 17-05-2024 15:38:01 POLI DALAM Belum Grouping 3,091,389.00

1122R0040524V006781 17-05-2024 17:05:37 POLI DALAM Belum Grouping 497,664.00
PRABAWANTI, Sp. PD

PRABAWANTI, Sp. PD
PRABAWANTI, Sp. PD

PRABAWANTI, Sp. PD
PRABAWANTI, Sp. PD
PRABAWANTI, Sp. PD
dr. KUADIHARTO, Sp. PD 17-05-2024 13:43:44 POLI DALAM Belum Grouping 421,921.00

1122R0040524V006799 17-05-2024 16:11:48 POLI DALAM Belum Grouping 1,155,134.90
PRABAWANTI, Sp. PD

PRABAWANTI, Sp. PD
PRABAWANTI, Sp. PD

PRABAWANTI, Sp. PD

PRABAWANTI, Sp. PD

PRABAWANTI, Sp. PD
PRABAWANTI, Sp. PD
PRABAWANTI, Sp. PD
PRABAWANTI, Sp. PD
PRABAWANTI, Sp. PD
PRABAWANTI, Sp. PD

PRABAWANTI, Sp. PD
PRABAWANTI, Sp. PD

PRABAWANTI, Sp. PD
1122R0040524V006858 17-05-2024 17:16:53 POLI DALAM Belum Grouping 1,229,476.25
PRABAWANTI, Sp. PD
PRABAWANTI, Sp. PD
dr. RATNA SULISTYANI, Sp. PD 17-05-2024 16:03:12 POLI DALAM Belum Grouping 159,880.00

PRABAWANTI, Sp. PD
PRABAWANTI, Sp. PD
PRABAWANTI, Sp. PD
PRABAWANTI, Sp. PD
drg. NIRMALINDA OKTOBERINA POLI GIGI
PURBA, Sp. KGA PEDODONTI
POLI
1122R0040524V006571 dr. ZAKI HETAMI, Sp. OG 17-05-2024 09:30:42 KANDUNGAN&KEBIDA Belum Grouping 185,000.00
NAN
POLI
NAN
POLI
1122R0040524V006572 1122r0040524v006700 2405170237 dr. ZAKI HETAMI, Sp. OG 17-05-2024 08:28:25 KANDUNGAN&KEBIDA Belum Grouping 295,000.00
NAN
POLI
NAN
POLI
NAN
POLI
NAN
POLI
NAN
POLI
NAN
POLI
NAN
POLI
NAN
POLI
NAN
POLI
NAN
POLI
1122R0040524V006601 1122r0040524v006814 2405170399 dr. ZAKI HETAMI, Sp. OG 17-05-2024 09:27:02 KANDUNGAN&KEBIDA Belum Grouping 310,826.00
NAN
POLI
NAN
POLI
NAN
POLI
NAN
POLI
NAN
POLI
NAN
POLI
NAN
POLI
NAN
POLI
NAN
POLI
NAN
POLI
NAN
POLI
NAN
POLI
NAN
POLI
NAN
POLI
NAN
POLI
1122R0040524V006784 dr. BAYU ARI WIBOWO, Sp. OG 17-05-2024 17:26:45 KANDUNGAN&KEBIDA Belum Grouping 274,710.00
NAN
POLI
NAN
POLI
NAN
POLI
NAN
POLI
NAN
POLI
NAN
POLI
NAN
POLI
NAN
POLI
NAN
POLI
NAN
POLI
NAN
POLI
NAN
POLI
NAN
POLI
NAN
POLI
NAN
POLI
NAN
POLI
NAN
POLI
NAN
POLI
NAN
POLI
NAN
POLI
NAN
POLI
NAN
POLI
NAN
POLI
NAN
POLI
NAN
POLI
NAN
POLI
NAN
POLI
NAN
POLI
NAN
POLI
NAN
POLI
NAN
POLI
NAN
POLI
NAN
POLI
NAN
POLI
NAN
POLI
NAN
POLI
1122R0040524V006577 dr. DEVI ARINI, Sp. DV 17-05-2024 08:40:11 Belum Grouping 352,339.00
KULIT&KELAMIN
POLI
1122R0040524V006303 Dr. dr. LIZA AFRILIANA, Sp. KK 17-05-2024 17:18:11 Belum Grouping 194,644.00
KULIT&KELAMIN
POLI
KULIT&KELAMIN
POLI
KULIT&KELAMIN
POLI
KULIT&KELAMIN
POLI
KULIT&KELAMIN
POLI
KULIT&KELAMIN
POLI
KULIT&KELAMIN
POLI
KULIT&KELAMIN
POLI
KULIT&KELAMIN
POLI
KULIT&KELAMIN
POLI
KULIT&KELAMIN
POLI
KULIT&KELAMIN
POLI
KULIT&KELAMIN
POLI
KULIT&KELAMIN
POLI
KULIT&KELAMIN
POLI
KULIT&KELAMIN
POLI
KULIT&KELAMIN
POLI
KULIT&KELAMIN
1122R0040524V006574 dr. GADIS SATIVA, Sp. M 17-05-2024 08:44:39 POLI MATA Belum Grouping 264,926.00
1122R0040524V006890 dr. AWANG WIMBO, Sp. M 17-05-2024 16:50:28 POLI MATA Belum Grouping 281,795.00
1122R0040524V006894 dr. PIPIT PUDJO YANANTO, Sp. OT 17-05-2024 18:11:13 POLI ORTHOPEDI Belum Grouping 200,803.00
POLI
1122R0040524V006494 dr. HARTINI SRI R, Sp. KFR 17-05-2024 12:17:39 REHABILITASI Belum Grouping 245,000.00
MEDIK
POLI
MEDIK
POLI
MEDIK
POLI
MEDIK
POLI
MEDIK
POLI
MEDIK
POLI
MEDIK
POLI
MEDIK
POLI
MEDIK
POLI
MEDIK
POLI
MEDIK
POLI
MEDIK
POLI
MEDIK
POLI
MEDIK
POLI
MEDIK
POLI
MEDIK
POLI
MEDIK
POLI
MEDIK
POLI
MEDIK
POLI
MEDIK
POLI
MEDIK
POLI
MEDIK
POLI
MEDIK
POLI
dr. HARTINI SRI R, Sp. KFR 17-05-2024 12:11:58 REHABILITASI Belum Grouping 245,000.00
MEDIK
POLI
MEDIK
POLI
MEDIK
POLI
MEDIK
POLI
MEDIK
POLI
MEDIK
POLI
MEDIK
POLI
MEDIK
POLI
MEDIK
POLI
MEDIK
POLI
MEDIK
POLI
MEDIK
POLI
MEDIK
POLI
MEDIK
POLI
MEDIK
POLI
MEDIK
POLI
MEDIK
POLI
MEDIK
POLI
MEDIK
POLI
MEDIK
POLI
MEDIK
POLI
MEDIK
POLI
MEDIK
POLI
MEDIK
POLI
MEDIK
POLI
MEDIK
POLI
MEDIK
POLI
MEDIK
POLI
MEDIK
POLI
MEDIK
POLI
MEDIK
POLI
MEDIK
POLI
MEDIK
POLI
MEDIK
POLI
MEDIK
POLI
MEDIK
POLI
MEDIK
POLI
MEDIK
POLI
MEDIK
POLI
MEDIK
1122R0040524V006484 dr. DONY ARDIANTO, Sp. S 17-05-2024 06:52:16 POLI SARAF Belum Grouping 204,550.50
dr. ARJANTO RAMADIAN

1122R0040524V006640 17-05-2024 10:21:48 POLI SARAF Belum Grouping 233,291.00
WICAKSONO, Sp. N
WICAKSONO, Sp. N
WICAKSONO, Sp. N
WICAKSONO, Sp. N
WICAKSONO, Sp. N
WICAKSONO, Sp. N
WICAKSONO, Sp. N
WICAKSONO, Sp. N
WICAKSONO, Sp. N
WICAKSONO, Sp. N
WICAKSONO, Sp. N
WICAKSONO, Sp. N
WICAKSONO, Sp. N
WICAKSONO, Sp. N
WICAKSONO, Sp. N
WICAKSONO, Sp. N
WICAKSONO, Sp. N
WICAKSONO, Sp. N
WICAKSONO, Sp. N
WICAKSONO, Sp. N
1122R0040524V006859 dr. ARINTA PUSPITAWATI, Sp. S 17-05-2024 16:16:50 POLI SARAF Belum Grouping 91,417.50
1122R0040524V006892 dr. ARINTA PUSPITAWATI, Sp. S 17-05-2024 16:52:40 POLI SARAF Belum Grouping 1,494,615.00
dr. ZAHROH ZULIANA AZIZAH, Sp.

1122R0040524V006641 17-05-2024 11:06:37 POLI THT Belum Grouping 400,464.00
THT KL
THT KL
THT KL
THT KL
THT KL
THT KL
THT KL
THT KL
THT KL
THT KL
User Daftar
WAHYU ENDITIA
PRISCA OKTY PRABASIWI
APRILIA EKA ATMAJA, ,

Amd.RM
ALIFAH NAIS
SHINTANINGRUM, Amd. RM
ALIFAH NAIS
RIZKY APRILIANI, Amd. RM
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NURKHASANAH, Amd. RM
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WAHYU ENDITIA
KARINA DEWI NOVITASARI
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LAILI NISA KARTIKAWATI,

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WAHYU ENDITIA

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Amd. RM

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WAHYU ENDITIA

Amd.RM
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ALIFAH NAIS
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DYAH AULIA


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WAHYU ENDITIA

, Amd.RM
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DYAH AULIA

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WAHYU ENDITIA
WAHYU ENDITIA
WAHYU ENDITIA

Amd. RM


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Amd.RM

Amd. RM

Amd. RM

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Amd. RM

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WAHYU ENDITIA

Amd. RM
WAHYU ENDITIA

Amd. RM
Amd.RM


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Amd. RM
WAHYU ENDITIA

Amd. RM
WAHYU ENDITIA

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Amd.RM
Amd.RM
Amd. RM
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RS PURI ASIH SALATIGA

JL. Jendral Sudirman No.169 Salatiga

PERIODE 17 MEI 2024

dr. RASTRI MAHARDIKA

dr. RASTRI MAHARDIKA

dr. RASTRI MAHARDIKA

dr. RASTRI MAHARDIKA

dr. RASTRI MAHARDIKA

dr. RASTRI MAHARDIKA

dr. RASTRI MAHARDIKA

dr. RASTRI MAHARDIKA

dr. RASTRI MAHARDIKA

dr. RASTRI MAHARDIKA

dr. RASTRI MAHARDIKA

dr. RASTRI MAHARDIKA

dr. ARJANTO RAMADIAN

dr. ZAHROH ZULIANA AZIZAH, Sp.

PRISCA OKTY PRABASIWI

APRILIA EKA ATMAJA, ,

RIZKY APRILIANI, Amd. RM

AMBAR SRI WAHYUNI, Amd.

KARINA DEWI NOVITASARI

PRISCA OKTY PRABASIWI

LAILI NISA KARTIKAWATI,

RIZKY APRILIANI, Amd. RM

AMBAR SRI WAHYUNI, Amd.

RIZKY APRILIANI, Amd. RM

AMBAR SRI WAHYUNI, Amd.

RIZKY APRILIANI, Amd. RM

RIZKY APRILIANI, Amd. RM

RIZKY APRILIANI, Amd. RM

PRISCA OKTY PRABASIWI

KARINA DEWI NOVITASARI

KARINA DEWI NOVITASARI

PRISCA OKTY PRABASIWI

PRISCA OKTY PRABASIWI

LAILI NISA KARTIKAWATI,

PRISCA OKTY PRABASIWI

APRILIA EKA ATMAJA, ,

KARINA DEWI NOVITASARI

KARINA DEWI NOVITASARI

DWI PUTRI UTAMI, Amd. RM

YUNI INDAH SYAFIRA DEWI,

RIZKY APRILIANI, Amd. RM

YUNI INDAH SYAFIRA DEWI,

DWI PUTRI UTAMI, Amd. RM

YUNI INDAH SYAFIRA DEWI,

DWI PUTRI UTAMI, Amd. RM

RIZKY APRILIANI, Amd. RM

DWI PUTRI UTAMI, Amd. RM

AMBAR SRI WAHYUNI, Amd.

RIZKY APRILIANI, Amd. RM

RIZKY APRILIANI, Amd. RM

YUNI INDAH SYAFIRA DEWI,

DWI PUTRI UTAMI, Amd. RM

RIZKY APRILIANI, Amd. RM

APRILIA EKA ATMAJA, ,

PRISCA OKTY PRABASIWI

LAILI NISA KARTIKAWATI,

LAILI NISA KARTIKAWATI,

KARINA DEWI NOVITASARI

APRILIA EKA ATMAJA, ,

KARINA DEWI NOVITASARI