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LAPORAN PELAYANAN KUNJUNGAN SEHAT

PESERTA BPJS KLINIK QITA

BULAN PELAYANAN…………………………….2017

TANGGAL NAMA NO.KARTU BPJS NO.TELP


16-10-2017 MOH.APRIYUDIN 0001802462141 +6285695027747
MAS MUHAMMAD F 0001874191421 +6281318017457
MANSURI 0001469800348 +6289622752708
YUSRI SUMARLIN 0001461288554 +6281213763226
YASHINTA 0001741165097 +6285714589921
ADI BARATA 0002259319746 +6281218989827
DEBBY SINTA DEWI 0002232358997 +6283822524482
FAJAR DWI ANGGORO 0002232358029 +6281213036111
NIZAM MUHAMMAD 0001650951898 +6281317115201
NETTY JARNIATI 0000036997468 +6281318017457
AHMAD YANI 0001727881751 +6281311612544
HARI AKBAR 0001646832789 +6281584990302
HARNI YULIAFSARI 0000038663638 +6285747545484
SUPARMAN 0001200170979 +6285939627925
RONY HALOMOAN 0001379668116 +6281284160070
IYAS AKHYAR 0002049828546 +6285725736910
17-10-2017 ENDANG 0001175826655 +6287876431589
FAHYA NADA ZALFA 0001815508023 +6287802023431
SARYADI 0001624995865 +6281586467422
SYAUQI AT THARIQ 0001404936235 6282311055343
A M ZAINUDDIN MUHIDDIN 0001651275303 +6285289473337
KARMANTO 0001404936202 +6281314044873
SYAHRONIH 0001257521804 +62819648557
SAMSUDIN 0001828046507 +6287887994457
ZAHIRWAN 0001450541788 +6282311055343
USTORIA PUSPITA 0001156101298 +6287878191820
aviciena fairuz 0001449789456 +6287878191820
DION MIKAEL 0001287945764 +628151697752
ADE SITI MARIAM 0001081531978 +6285959001182
SRI MULYATI 0001157051316 +6285219495504
SARI DEWI HANDAYANI 0001769998375 +6281380392150
SETIA BUDI 0000040956557 +6285716652728
NOVITA 0000033815428 +6281219400652
R RUSMINARYO 0000041405229 +6287878790787
SLAMET SUGIHARTO 0001317065005 +628128911108
LAPORAN PELAYANAN KUNJUNGAN SEHAT

PESERTA BPJS KLINIK QITA

BULAN PELAYANAN…………………………….2017

TANGGAL NAMA NO.KARTU BPJS NO.TELP


18-10-2017 Adzha 0001832980454 +6285817263225
KAYLA PUTRI 0002247251231 +6285710763143
ENDRIYANI 0001970752599 +6285716429149
DIAN ELIZABETH 0002104096689 +6285773833013
RAKHMI 0002253139143 +6282111951110
BASUKI HARIYOSO 0001429371044 +6281384739562
SUNENDAH 0001787829041 +6285679642003
ANI VANITA 0002072763112 +6285701183329
FATHYA NURAZNY 0001173210884 +628569742185
YAHYA LAIS 0000038346557 +628571616613
MUH.FUAD AKBAR 0002224147408 +6289698195497
LAILA SYAKILA 0002254823739 +62898555634
ENDANG NURI 0000038154936 +6281382066819
SYAIPUL ANWAR 0002230125603 +62895361854557
NUGRAHENI DeWI 0002261725108 +6281357031928
NOURMA 0002034421918 +6281212522221
FITRIYANIH 0001622937486 +6289601643994
HANAFI WIDYANTO 0000041277857 +6285695003857
AHMAD BAHAUDIN 0001224377774 +628131164542196
ANAH LINDIA INDRIYANI 0001646833026 +6285719633009
BILAL HABIBI 0001283351962 +6285814012785
UMAR ALI 0002257002617 +6285695113869
R SISWANDONO SP 0002201086607 +628111498038
SUMIYATI 0001429878699 +628778083389
ZAENAL ARIFIN 0001637305042 +6281586743399
RAFFI AL MAHIR 0001802465796 +6281574449278
PUTRIE WIDYASARI 0001150378762 +6289502831065
MARSUNIH 0001136942908 +6285777841760
FADHILLAH AZIZ 0000193458745 +6281316143912
ABRAR NAUFAL 0000038534409 +6281287631517
SALMAA NUR AFIFAH 0001517894548 +6281514257520
RAFI MAULANA 0001636973616 +6285717744407
SITI SARAH 0001883091238 +628998505027
LAPORAN PELAYANAN KUNJUNGAN SEHAT

PESERTA BPJS KLINIK QITA

BULAN PELAYANAN…………………………….2017

TANGGAL NAMA NO.KARTU BPJS NO.TELP


19-10-2017 MAS ISKI SUHARNO 0000036343866 +628159773590
KUSBARIYAH 0002054971923 +6287895480236
ELLA FADILLAH 0000059738073 +6285213442909
ANDINI SEPTIANINGRUM 0001628069297 +6285716866463
M RACHMAT CABULLAH 0001339163425 +6281291191901
ERNI WANA 0001721445693 +6289601014560
MUTIARA SABRINA 0002085388064 +6287788557783
NURHAYATI 0002051929089 +6289606167857
SYAIFUL ANWAR 0001722887605 +6289656909169
MOHAMAD SIDIK 0001718010538 +6281388117420
MUHAMMAD TAUFAN 0001421843185 +6281219634854
AMELIA PUTRI S 0001738487002 +6281381274273
LATHIPAH NUR SALABILA 0002037590032 +6281319233642
LAMTIUR LUMBAN GAOL 0001720815917 +628158814511
ROAENAH BT. SANADI 0001641592372 +6287887105529
PONIRAH 0000039227073 +6285694771811
IGOR IBRAHIM ACHMAD 0001738402378 +6289617650999
MULYANAH 0001895187014 +6289509195278
HERNA 0001266086845 +628975510599
AHMAD SUKRON 0001633891814 +628569454111
EFENDY ZAIN 0001133531695 +6281318333030
ILLA NURABIKA 0001197509916 +628988264525
nurul hasanah 0002053348132 +6282299017003
IKA AMELIA 0002091578128 +6287884460966
RINA MARLINA 0001612405664 +628138680319
BURHAN 0001207434925 +6281290805872
ANAJIYYA NUR ASSYIFA 0001906753689 +6285692480266
MUHAMAD RASYA 0001632249753 +6281380343630
aditya sundana 0002058056627 +6282125642114
LODY WISENA 0001286679982 +6281210647774
ASFA ZAHIRA ASHALINA 0001192461783 +6281314916217
EKA JAYA SUARGA 0000036489295 +6287887064971
onah maryanah 0001819740227 +6281383123872
JUNAEDI 0000036717276 +6281389725090
NAIDI HANUM LUBIS 0001478053192 +6281317804977
LAPORAN PELAYANAN KUNJUNGAN SEHAT

PESERTA BPJS KLINIK QITA

BULAN PELAYANAN…………………………….2017

TANGGAL NAMA NO.KARTU BPJS NO.TELP


20-10-2017 IQBAL 0000042164987 +6285882669197
ERNAWATI 0001286009605 +6281384555012
DINDA 0000042274539 +6281584016111
KETUT 0001183085987 +62857880125084
A.T.IRWANDI 0001265799745 +6285217627110
SOEHARIYAH 0001305319915 +628595961425
ERLINDA 0000037186705 +6281314147806
TITI TRI LESTARI 0001081169199 +6285772777566
ADE ERNI KURNIASIH 0001382272007 +6285710201921
JAELANI 0001460702406 +6281380523771
SURTINI 0000039776591 +6281210414194
KARTINAH 0001432352632 +6289687308922
SOFIAH 0001319615381 +6281519663011
MEILINDA 0001259863435 +6281310305029
KALILA 0001259895802 +6281310305029
MAHISA 0001191665654 +628159994047
NENENG 0001175345109 +6287882910652
RICHA 0001257314771 +6285691649266
YASMAWATI 0000060456857 +6281386738379
DEWI 0001255872791 +62193784335
SRI UTARI 0000163906389 +6285280694262
AKIFFA NAYLA 0001384592848 +628131092073
MITA 0001323447017 +6282233178632
ROSIDA 0001211180499 +62198924806
SAUSAN 0001316785566 +6285775117111
KESIA 0001788361773 +628128032293
ERNI 0001425420977 +6285781064173
SYAFA 0001380834753 +6281298299467
KHANSA HANIFA 0001460198261 +6281398585128
AZIZ REINALDY 0001456227707 +6287882205375
SUKARSIH 0001839339977 +6281212436737
DRA.SITI RAHAYU 0000043521131 +628161805628
MIIH PUPUNG 0000040271051 +6281212536169
AMSARI 0001338200403 +6287884245631
SILVIANTI 0001453788641 +6285282223100
LAPORAN PELAYANAN KUNJUNGAN SEHAT

PESERTA BPJS KLINIK QITA

BULAN PELAYANAN…………………………….2017

TANGGAL NAMA NO.KARTU BPJS NO.TELP


21-10-2017 ENI KUSWATI 0002202311406 +6281283632352
AHMAD SYAUQI ROSYAD 0001640272792 +6282297474757
SUBKHI 0001320273459 +6285715358950
SINGGIH ENDARTO 0001314329139 +6285292467890
SAIH 0001728200992 +6281317435371
SARJONO 0001719300802 +6281218098273
Devita 0001605489693 +6285282974820
MUHAMAD KAHFI DZ 0001198489239 +6281318118637
NURMALIA 0002104363484 +6287784135499
SUBARNO 0001627185295 +6281905635291
ZIDANE 0001405179382 +6281517499237
FATIH 0002256654036 +628568023114
YATI 0002037588063 +625719065659
ROSMANI HASAN 0000058923257 +6285283319464
S.ROMLI 0002050141746 +6281218573149
HERI SULISTIONO 0000042218471 +6281284961722
SUHARNA 0001316782383 +6285775117111
UMAR SOBIHA 0001256395961 +628571855888
ASANAH 0001335641128 +6289637591723
UMROH 0001370290689 +6285715502746
MUSNIDAR 0001335703274 +6281281257924
NANDITYA 0000037186727 +6281314147806
TARISSA PUT 0001407827913 +6285694243011
YULYANAH 0001793924965 +6285691928565
MAHMUDIN 0001502687834 +6289677398355
MUTIAH 0001380831895 +6281298299467
A. SAEPUDIN 0001287861006 +6287877177469
DESY FITRIANI 0001625665342 +6285278278940
RAHMAWATI HARYANTI 0001128604397 +6285691690179
AZMI ADYA SURYA 0001737571735 +6285697022401
RUDJITO 0001629733735 +6281218929874
ASTRIe RAFIFAH PUTRI 0001178692492 +6285714659747
NURHAYATI 0001721420065 +6281808325024
NURSEHA 0001427868933 +6289639095752
RAHMAN 0001738549449 +628993306402
LAPORAN PELAYANAN KUNJUNGAN SEHAT

PESERTA BPJS KLINIK QITA

BULAN PELAYANAN…………………………….2017

TANGGAL NAMA NO.KARTU BPJS NO.TELP


23-10-2017 MUHAMMAD DZIKRI 0001326166929 +6285719640334
NURHAYATI 0001737841522 +6281297637727
ARZORA 0001258061365 +628783602255
ALFIN 0001263593575 +6281280246767
AkHMAD SATRIA 0001385303016 +6281317729019
TARMINAH 0002069163112 +6281315215364
GAMPANG 0000033815417 +6281219400652
kayla 0001881173373 +6285695633441
KINARA 0001642971251 +6281294465293
EUIS 0001257125578 +628170801907
NADYAHASANAH 000197763636 +6281316750986
ERHAN 0001641927699 +6281514519339
aurora fortunata. n.s 0001429432345 +6281807834301
EFFENDI 0001860825993 +6285840026089
Naila 0001163660422 +6285716889163
zhaki 0002060552081 +6285710671845
doni 0001421697352 +6285778475632
RATIFA 0001724491236 +6281373173788
PAINI 0001427562134 +6289912466664
ALFIAN 0001968515987 +6285715672594
ARFAN 0001133339139 +6287886908518
budi anis nurcahyo 0001904981646 +6287870568331
FABIAN 0002238239801 +6285810935952
MIKO 0001226925707 +6282311717125
TEGUH SUMANTRI 0001638529402 +628159688637
YULI SUPRIYATININGSIH 0001258721043 +6281389326781
YURIZAL 0001624435975 +628596133757
HM.TADJUDIN 0002199918464 +6282226473797
FAJAR 0000203900679 +628138015105
EMALIA 0001621909157 +6282122797533
RANTIKA YANA 0001201213348 +6283806174950
FAKHRI 0002079323357 +6282122337906
CECEP SUPRIYADI 0001139925789 +6281298171292
FATHONAH 0001281160901 +6285778285517
EKA FAJARIANI 0002060398304 +6281315355495
LAPORAN PELAYANAN KUNJUNGAN SEHAT

PESERTA BPJS KLINIK QITA

BULAN PELAYANAN…………………………….2017

TANGGAL NAMA NO.KARTU BPJS NO.TELP


24-10-2017 CUCUM SUMIATI NOOR 0002209382267 +6285811170016
CANDRA WISMA 0001171776442 +6281299295547
CATUR ARIO PAMUNGKAS 0001719781323 +6289691301445
WARKUNI 0001458253473 +6281323871284
CECEP 0001458246554 +6281323871284
CASDI 0001895193685 +6285945636031
Condro Mulyono 0001648105255 +6287870757395
CIAH SALSIAH 0000037400141 +6285772251117
ARMI WATI 0001716461469 +6281298636262
ERNA HERAWATI 0001898197367 +6281298258680
ARIEF SUTARDI 0001658634401 +62812865299299
ARIEF SUTARDI 0001658634401 +62812865299299
ABDUL RAHMAN 0001647858813 +6289532393799
APRIYADI 0001835645049 +6287876052975
DWI NANI SUNARNI 0001645005183 +6285284007421
ALFIAN 0001742471166 +6281266848586
KHAIRA FATIHA NANDA 0001741414972 +6283870751244
ARGA MUYASSIR ADNAN 0001658634423 +628121869437
ARIFA 0001658634434 +6281658634434
TURINAH 0002059766616 +6289632393793
andi zalfa amirah 0001908122308 +6281210132315
SOPIYAH 0002229134848 +6282167354616
ALAMSYAH 0001145976478 +6285697800238
AMEROH 0001264083851 +6285716867176
MUHAMMAD FATHIR 0002090053934 +6285720225611
SURIDJAN 0001866886211 +6282260882895
SOLYATI 0001194144625 +6281384324432
HJ. SURYANIH 0001846964147 +6285782158720
ACHMAD SUMBULAWAINI 0001153182835 +6285717554470
NABILA 0000041346786 +6281386826425
RAFIF 0001089098807 +628122710041
HAYATUNNUFUS 0001337845533 +6281284600462
MUHAMMAD IHSAN 0002196271506 +628128910439
LAPORAN PELAYANAN KUNJUNGAN SEHAT

PESERTA BPJS KLINIK QITA

BULAN PELAYANAN…………………………….2017

TANGGAL NAMA NO.KARTU BPJS NO.TELP


25-10-2017 ANGGIE PUTRI SEPTIANI GI 0002062985016 +6281387143034
AQMAR RAFFASYA 0002253299488 +6287877876448
JOHN RIEK DWI RANGGA 0001637246575 +6281519110686
feriyanto 0001894186541 +6285697964669
LEMAN 0001738593538 +6281382422198
ELIS TSULTSIYAH 0001628754006 +6281510945300
EMPON 0001961994003 +628986305498
ayanih 0001862721911 +6289669691180
FITRIYAH 0001630026088 +6281285635936
RAHMATULLAH 0001807653644 +6281319524864
REFINA MEYSHA 0001630026112 +6285260419251
RAHMAD 0001152561126 +6285211945944
RAMA SULIYAMSAH 0001834816735 +6285890392508
PATIH RAMADIKA ZALNI 0001649863203 +6285280438058
GHANIA AZRAA ALESHA 0002039035408 +6282298007491
ROMEL 0001256332577 +6282111217437
DESSY SULASMI 0001627000749 +6287780915146
MUHAMMAD DZAENUBY K 0001627000751 +6287887255904
RIYANDI APANDI 0001637249602 +6285710011794
SRI MULYATI 0001834816511 +6285715921977
SUMIATI 0001833163683 +6281511210387
LAPORAN PELAYANAN KUNJUNGAN SEHAT

PESERTA BPJS KLINIK QITA

BULAN PELAYANAN…………………………….2017

TANGGAL NAMA NO.KARTU BPJS NO.TELP

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