Daftar Peserta Askes Sosial

Kantor Cabang

SERANG

Nama PPK

0219U014-KLINIK PANIIS

Bulan / Tahun

09

No

2013

No Kartu

Nama

JK

Tgl Lahir

PISA

Alamat

1. 0000199725456

AANG KUNAEFI

26/12/1991

KP. JAMUJU

2. 0000202175458

ABDUL FACHRI FAUZI AFFAN

18/06/2010

KP. PASAR HEUBEUL

3. 0000164316385

ABDURAHMAN BAKTI

06/12/1993

KP. KADUBADAK

4. 0000164200972

ACHMAD RIDWAN

27/11/1976

KP. PASAR HEUBEUL

5. 0000203948954

AHMAD MUJANI

28/03/2003

KP.KARANG TANJUNG

6. 0000046768836

AKHMADJAYA, BA

14/06/1961

PAGADUNGAN

7. 0001079402578

ALUNA NUR AFRILIANI

26/04/2012

KP. CILOGANG JAYA

8. 0000046630067

AMAT RAHMAT

30/07/1968

KOMP SARUNI PDG

9. 0001081516588

AMIGIA RENADA AZZURRA

21/01/2012

KP.KABAYAN CITIIS

10. 0000211245726

BUDI HARTONO

06/12/1992

KP. PAILAN

11. 0000046766608

DADAN DARMAWAN

10/11/1991

KP. PAGADUNGAN

12. 0000045367424

DEDE HERMANSYAH

06/02/1990

H. MALI NO. 100

13. 0000047231008

DESI ERISYANTI

12/08/1993

14. 0000207944741

DEWI YULIAWATI

01/08/1979

15. 0000199695341

DHAFA AZ-ZAHRA

21/02/2006

KP SUMUR PICUNG RT 06/11

KOMP. BLK I JL. RAYA
SERPONG KM12
KP.KABAYAN CITIIS

16. 0000977875029

DR.FITRI RAHMAWATI HATTA

27/06/1984

KP.KABAYAN CITIIS

17. 0000977875312

DR.LEON MUHAMMAD

06/03/1983

KP.KABAYAN CITIIS

18. 0000199695251

DRAJAT HERAWAN

08/08/1978

KP.KABAYAN CITIIS

19. 0000203948897

EHA JULAEHA

08/11/1971

KP.KARANG TANJUNG

20. 0001080381734

EIJAZ ZHAFIR RAMADHAN SP

08/08/2012

KOMP.GIRI ELOK

21. 0000045195366

ENCEP MAHLAWI

11/07/1960

KP. CIKUYA MASJID

22. 0000210402099

ERIS SETIA PERMANA,S.PD

22/11/1982

KOMP.GIRI ELOK

23. 0000049695862

ERYAWATI

24/12/1963

KOMP. TAMAN PESONA

24. 0000170821091

GUGUN SAHALA

20/06/1996

KOMP BKKBN RT 04 RW 02

25. 0001078464339

H. ANAH

31/12/1930

KP. PASIRANDU

26. 0000047108722

HADIJAH NY

05/02/1944

27. 0000047110476

HASAN

18/08/1945

28. 0000047110487

HENI

09/07/1954

29. 0000046591479

IMA HILMAWATI

22/12/1980

KP SINDANGSONO RT 01/01
JL RANGKASBITUNG
PANDEGLANG KM125
JL RANGKASBITUNG
PANDEGLANG KM125
KP.KABAYAN CITIIS

30. 0000046630078

IRMA MARWAH NY

10/10/1970

KP CIHASEUM RT 04/06

31. 0000203948998

M.SANDIKA

03/03/2009

KP.KARANG TANJUNG

32. 0000159560616

MAHFUD DRS

01/01/1957

KOMP BKKBN RT 04 RW 02

33. 0000047230986

MAMAT

17/06/1950

KP SUMUR PICUNG RT 06/11

34. 0000046693012

MIMIN MURHAETI

10/09/1962

KP PARUNGSENTUL RT 03/IX

35. 0000976493777

MOCHAMAD FATHAN

28/12/1997

KP. PAGADUNGAN

36. 0000046630089

MOHAMAD IRHAM RAHMAT

20/11/1995

KOMP.SARUNI PDG

37. 0000209998023

MUHADI

05/05/1980

KP. CILOGANG JAYA

38. 0000197351831

MUHAMAD HAIKAL MAGHRIBI

11/06/2007

KP. KARANGTANJUNG

39. 0000164200983

MUHAMMAD RIZQY M.P

03/11/2006

KP. PASAR HEUBEUL

40. 0000210402213

NENG LUSI LISNAWATI

14/10/1985

KOMP.GIRI ELOK

41. 0000045195377

NY. ATIK

15/08/1969

KP. CIKUYA MASJID

42. 0000045367435

REFITA YUNIE SYAMHURI

10/07/1998

H. MALI NO. 100

43. 0000046297091

RT.BAYU TATIT TIRTAWATI

27/09/1977

KP. PASAR HEUBEUL

44. 0000046624116

RUCITA

25/11/1969

KP. PAILAN

45. 0000199696353

SAFIRA AULIA

08/02/2010

KP.KABAYAN CITIIS

9/2/13 6:35 PM

Page 1 of 2

No

No Kartu

Nama

JK

Tgl Lahir

PISA

Alamat

46. 0000976946951

SITI AS'SYIFA HIJRIAH HADIYANI

26/03/2000

KP. KADULAWANG

47. 0000047230997

SITI MARIAM NY

30/03/1960

KP SUMUR PICUNG RT 06/11

48. 0000048206992

TB. RIYADI, S.PD.I

03/11/1958

KP. PABRIK

49. 0000045367402

UTIM SYAMHURI

28/04/1956

KP.GARENDONG

50. 0000048207194

VERA SUSILAWATI

06/02/1980

KP. KADULAWANG

51. 0000046467257

YATI NURYATI

10/07/1956

KP PAGADUNGAN RT 01/03

52. 0000045367413

YATI UDRIYATI

01/04/1961

H. MALI NO. 100

53. 0000209997933

YAYA DIANA

12/04/1986

KP. CILOGANG JAYA

54. 0000211245827

YUSUP A ADIWINTA

23/10/1996

KP. PAILAN

55. 0000046766597

YUYU YUHEMAH

05/06/1960

KP PAGADUNGAN

9/2/13 6:35 PM

Page 2 of 2