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LAPORAN REKAP
Pasien KLAIM
Rawat - RS
Inap danKHUSUS BEDAH
Rawat Jalan, & KEBIDANAN
Periode SYAFIRA
Tanggal Pulang: 7 Nov 2018 s/d 7 Nov 2018
Filter: Metode Pembayaran = Semua / Kelas Rawat = Semua / Severity = Semua / Cara Pulang = Semua / Jenis Tarif = T

No. Tgl. Masuk Tgl. Pulang No. RM Nama Pasien

1 7 Nov 2018 7 Nov 2018 252112 ANAS.B
2 7 Nov 2018 7 Nov 2018 093901 PANDI
3 7 Nov 2018 7 Nov 2018 252768 BASRIL
4 7 Nov 2018 7 Nov 2018 247082 AZKA RAFFASYAH ALFARIO
5 7 Nov 2018 7 Nov 2018 176019 ELFA YANTI
6 7 Nov 2018 7 Nov 2018 228152 YESWANTO
7 7 Nov 2018 7 Nov 2018 232823 YEFRA ADRIAN
8 7 Nov 2018 7 Nov 2018 207944 SAFIMAL
9 7 Nov 2018 7 Nov 2018 184035 INDRA SAPUTRA
10 7 Nov 2018 7 Nov 2018 185714 ARSAL.R
11 7 Nov 2018 7 Nov 2018 250511 TEREM BR TARIGAN
12 7 Nov 2018 7 Nov 2018 251721 NURLIS
13 7 Nov 2018 7 Nov 2018 246080 TRI SUKMANA RAMDONI RA
14 7 Nov 2018 7 Nov 2018 115845 FAHRI PRATAMA PUTRA
15 7 Nov 2018 7 Nov 2018 252521 SYAKDANUR GAZALI
16 7 Nov 2018 7 Nov 2018 235864 EGNELVI GUSNI
17 7 Nov 2018 7 Nov 2018 167748 MUJIWATI
18 7 Nov 2018 7 Nov 2018 232726 PERSADAAN TARIGAN
19 7 Nov 2018 7 Nov 2018 179686 YETRIATI
20 7 Nov 2018 7 Nov 2018 244456 RAMAITA
21 7 Nov 2018 7 Nov 2018 218932 ABDURRAHIM
22 7 Nov 2018 7 Nov 2018 072492 GITA Y
23 7 Nov 2018 7 Nov 2018 140637 MUHAMMAD RAIFAN MULYA
24 7 Nov 2018 7 Nov 2018 156132 SUARDIRMAN
25 7 Nov 2018 7 Nov 2018 247954 DENI ZULHEDI
26 7 Nov 2018 7 Nov 2018 251918 HERMAN LAOLI
27 7 Nov 2018 7 Nov 2018 039918 RUTINI
28 7 Nov 2018 7 Nov 2018 166134 ASRIL
29 7 Nov 2018 7 Nov 2018 242101 MASYARIDA
30 7 Nov 2018 7 Nov 2018 222818 GUSTIANA LUBIS
31 7 Nov 2018 7 Nov 2018 146107 BIE LIAN
32 7 Nov 2018 7 Nov 2018 112377 RUSLI M
33 7 Nov 2018 7 Nov 2018 181332 SUPARYONO
34 7 Nov 2018 7 Nov 2018 167865 SUMAN SIMANJUNTAK
35 7 Nov 2018 7 Nov 2018 169007 NOVENDRI
36 7 Nov 2018 7 Nov 2018 231490 IDHAM SAID
37 7 Nov 2018 7 Nov 2018 137324 ASMIATI
38 7 Nov 2018 7 Nov 2018 248011 MARHAYDA
39 7 Nov 2018 7 Nov 2018 239008 IDRIS
40 7 Nov 2018 7 Nov 2018 150212 ARMANSYAH BUTAR BUTAR
41 7 Nov 2018 7 Nov 2018 250572 YUSLAINA
42 7 Nov 2018 7 Nov 2018 245971 SAKIRAH
43 7 Nov 2018 7 Nov 2018 251275 SISKA RAHAYU
44 7 Nov 2018 7 Nov 2018 252056 MURNIATI
45 7 Nov 2018 7 Nov 2018 251085 YENISMORA
46 7 Nov 2018 7 Nov 2018 145910 SUSANTY
47 7 Nov 2018 7 Nov 2018 245814 NURSIMA MAAKAP
48 7 Nov 2018 7 Nov 2018 172867 SUDIRMAN.M,SE,H
49 7 Nov 2018 7 Nov 2018 220795 YUNITA

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50 7 Nov 2018 7 Nov 2018 252775 FEBRIANTI SINULINGGA

51 7 Nov 2018 7 Nov 2018 248298 MARDILIS
52 7 Nov 2018 7 Nov 2018 246515 ANWAR ATAN
53 7 Nov 2018 7 Nov 2018 221771 DAHNIAL
54 7 Nov 2018 7 Nov 2018 119429 FIRMA
55 7 Nov 2018 7 Nov 2018 102667 ERLIUS SALAM, SM.HK
56 7 Nov 2018 7 Nov 2018 252096 ROHANA
57 7 Nov 2018 7 Nov 2018 207058 YOSERIZAL
58 7 Nov 2018 7 Nov 2018 230784 SYAMSIR DAHLAN,BBA
59 7 Nov 2018 7 Nov 2018 017022 YASLIR
60 7 Nov 2018 7 Nov 2018 251269 PUTRI ZULBAIDAH
61 7 Nov 2018 7 Nov 2018 056500 DAHLENAR
62 7 Nov 2018 7 Nov 2018 010593 ENDANG SURYANTI
63 7 Nov 2018 7 Nov 2018 180662 PENYADI
64 7 Nov 2018 7 Nov 2018 150181 PARNAWILIS
65 7 Nov 2018 7 Nov 2018 252441 LAMSAUT TUA HAHOLONGAN TAMBUNAN
66 7 Nov 2018 7 Nov 2018 191028 YUSRIZAL
67 7 Nov 2018 7 Nov 2018 250767 ASMATUMAJA
68 7 Nov 2018 7 Nov 2018 172581 MASRUL
69 7 Nov 2018 7 Nov 2018 238069 CHANDRA DEWI
70 7 Nov 2018 7 Nov 2018 252076 FACHRI RAMADHAN
71 7 Nov 2018 7 Nov 2018 175165 NADIYAH
72 7 Nov 2018 7 Nov 2018 251153 VERRY ANDRIANTO MY
73 7 Nov 2018 7 Nov 2018 147290 MARDIANA
74 7 Nov 2018 7 Nov 2018 251498 ERNA SULASTRI
75 7 Nov 2018 7 Nov 2018 227923 SYAFRIZAL
76 7 Nov 2018 7 Nov 2018 217909 RR. SRI RAHAYU
77 7 Nov 2018 7 Nov 2018 247572 MASNURUL HAYATI
78 7 Nov 2018 7 Nov 2018 055707 RAJA UCI YUNIARTI
79 7 Nov 2018 7 Nov 2018 250284 ELLY NETRA
80 7 Nov 2018 7 Nov 2018 010043 DEWI YUSICHA
81 7 Nov 2018 7 Nov 2018 233055 WORO MIS SUNARSARI
82 7 Nov 2018 7 Nov 2018 245892 RIZKY NADYA SARI
83 7 Nov 2018 7 Nov 2018 243361 JENNY SIAHAAN
84 7 Nov 2018 7 Nov 2018 252783 SYAMSIDAR LINGGA
85 7 Nov 2018 7 Nov 2018 163904 SARI YANTI
86 7 Nov 2018 7 Nov 2018 251101 ECI NURMA
87 7 Nov 2018 7 Nov 2018 250512 AZWANI
88 7 Nov 2018 7 Nov 2018 188251 RIDWAN POHAN
89 7 Nov 2018 7 Nov 2018 252321 ARSYAKHA RANSI ALBANI
90 7 Nov 2018 7 Nov 2018 248427 PUTRI RAHMADANI
91 7 Nov 2018 7 Nov 2018 225574 DELNI YANI PUTRI
92 7 Nov 2018 7 Nov 2018 250766 YUNELDI TASAR
93 7 Nov 2018 7 Nov 2018 252205 AMRIL
94 7 Nov 2018 7 Nov 2018 233810 ARBAINUN
95 7 Nov 2018 7 Nov 2018 214548 EFENDI SILABAN
96 7 Nov 2018 7 Nov 2018 078227 HAFNIDAR
97 7 Nov 2018 7 Nov 2018 205156 YUHELMIDA
98 7 Nov 2018 7 Nov 2018 251292 FITRI YANIS
99 7 Nov 2018 7 Nov 2018 130188 SOFIA
100 7 Nov 2018 7 Nov 2018 251787 ARIFIN USMAN
101 7 Nov 2018 7 Nov 2018 245303 ASMAYANI
102 7 Nov 2018 7 Nov 2018 068914 NOVRIANSI HASIBUAN

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103 7 Nov 2018 7 Nov 2018 133634 DEWI

104 7 Nov 2018 7 Nov 2018 026265 NURHAYATI HARAHAP
105 7 Nov 2018 7 Nov 2018 234326 DETTY ZULAIDA
106 7 Nov 2018 7 Nov 2018 236237 SINTIA MONIKA
107 7 Nov 2018 7 Nov 2018 233872 EVA AMELIA
108 7 Nov 2018 7 Nov 2018 145560 YULIANTI
109 7 Nov 2018 7 Nov 2018 249469 WIRNA
110 7 Nov 2018 7 Nov 2018 249168 ZAIMIR GAZALI
111 7 Nov 2018 7 Nov 2018 250880 ROPINUS MARBUN
112 7 Nov 2018 7 Nov 2018 252690 MUHAMMAD STEFFANO ALEXANDER ARSY
113 7 Nov 2018 7 Nov 2018 118226 MUHAMMAD RIZKI
114 7 Nov 2018 7 Nov 2018 239446 ASNI SUSANTI
115 7 Nov 2018 7 Nov 2018 251936 NURHAIDA SIMANJUNTAK
116 7 Nov 2018 7 Nov 2018 144219 ZAINUN
117 7 Nov 2018 7 Nov 2018 250551 SUPARMIRI
118 7 Nov 2018 7 Nov 2018 249163 SUCY SHOFIA
119 7 Nov 2018 7 Nov 2018 249172 INDRAWATI
120 7 Nov 2018 7 Nov 2018 234991 HASJIM RAUF
121 7 Nov 2018 7 Nov 2018 028621 MERY SUSANTI
122 7 Nov 2018 7 Nov 2018 190142 MURNI
123 7 Nov 2018 7 Nov 2018 246750 RAHMIYANTI
124 7 Nov 2018 7 Nov 2018 196414 TONI HERIANTO SIAGIAN
125 7 Nov 2018 7 Nov 2018 236495 SUNARSE
126 7 Nov 2018 7 Nov 2018 157258 JUSTI
127 7 Nov 2018 7 Nov 2018 251944 MARAKALI HARAHAP
128 7 Nov 2018 7 Nov 2018 246099 AHMAD REJO
129 7 Nov 2018 7 Nov 2018 252790 YENITA NUR
130 7 Nov 2018 7 Nov 2018 250579 RANGGA PRATAMA HERISNAN
131 7 Nov 2018 7 Nov 2018 248488 ABDI ANGGARA
132 7 Nov 2018 7 Nov 2018 009494 MASHATI
133 7 Nov 2018 7 Nov 2018 066984 DHAFIN AHZA MASKA
134 7 Nov 2018 7 Nov 2018 235892 DAVA SATRIA PRATAMA
135 7 Nov 2018 7 Nov 2018 151193 RAHMA YUNITA
136 7 Nov 2018 7 Nov 2018 250897 SURIADI
137 7 Nov 2018 7 Nov 2018 057475 MUTHIA MASKA
138 7 Nov 2018 7 Nov 2018 088555 NIRWAN EFENDI NASUTION
139 7 Nov 2018 7 Nov 2018 242196 RETTY BR SIAGIAN
140 7 Nov 2018 7 Nov 2018 251201 RINI PATJRI
141 7 Nov 2018 7 Nov 2018 252792 SYOFIANITA
142 7 Nov 2018 7 Nov 2018 230345 HAFNI ZUKHRA
143 7 Nov 2018 7 Nov 2018 252103 ENNITA ASRI YANTI
144 7 Nov 2018 7 Nov 2018 173019 WAGI HARJO
145 7 Nov 2018 7 Nov 2018 251142 HERNI OKTAVIA NINGSIH
146 7 Nov 2018 7 Nov 2018 039768 NURFUDHLAH
147 7 Nov 2018 7 Nov 2018 159713 ADINDA SHANAS FATILAH
148 7 Nov 2018 7 Nov 2018 218455 MARDI DONI
149 7 Nov 2018 7 Nov 2018 031734 IMELDA HIMAWATI
150 7 Nov 2018 7 Nov 2018 119271 NOVIARTI
151 7 Nov 2018 7 Nov 2018 212048 SHINTA KHAIRANI
152 7 Nov 2018 7 Nov 2018 252794 MURNI MERIANTI K. MANALU
153 7 Nov 2018 7 Nov 2018 164608 AFFAN GIYATSA
154 7 Nov 2018 7 Nov 2018 252795 CAHYA ANGRANI
155 7 Nov 2018 7 Nov 2018 252796 HARTINA

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156 7 Nov 2018 7 Nov 2018 189460 ENDAH SUSANTI

157 7 Nov 2018 7 Nov 2018 135360 ADENAN SILITONGA
158 7 Nov 2018 7 Nov 2018 172195 SUMIATI
159 7 Nov 2018 7 Nov 2018 181662 SUPARMAN BIN MURYADI
160 7 Nov 2018 7 Nov 2018 154178 ABU NAWAS
161 7 Nov 2018 7 Nov 2018 251346 FISTA YENI ROZA
162 7 Nov 2018 7 Nov 2018 240856 SALAMI
163 7 Nov 2018 7 Nov 2018 132668 HERDI PRIAMAN
164 7 Nov 2018 7 Nov 2018 252118 SAFRIZAL
165 7 Nov 2018 7 Nov 2018 017649 NOFI ERNA TRIYUDHA BUANA
166 7 Nov 2018 7 Nov 2018 252799 AGUSTINA SIREGAR
167 7 Nov 2018 7 Nov 2018 252101 DETI ASMIRAWATI
168 7 Nov 2018 7 Nov 2018 250547 SEPRIADI TAMBUNAN
169 7 Nov 2018 7 Nov 2018 248207 SELAMET
170 7 Nov 2018 7 Nov 2018 252686 NAILI ZULFA HANANDITA
171 7 Nov 2018 7 Nov 2018 227779 YOANA EMASRILDA
172 7 Nov 2018 7 Nov 2018 252084 RIYADI
173 7 Nov 2018 7 Nov 2018 178979 NADIA PRATIWI
174 7 Nov 2018 7 Nov 2018 159701 RATNA HELEN
175 7 Nov 2018 7 Nov 2018 189212 ZULKARNAINI
176 7 Nov 2018 7 Nov 2018 252800 MARIANIS
177 7 Nov 2018 7 Nov 2018 252106 ZUL AMRI
178 7 Nov 2018 7 Nov 2018 221562 WINDI YAYANDIARTA
179 7 Nov 2018 7 Nov 2018 251230 BIMA YUDISTIRO
180 7 Nov 2018 7 Nov 2018 252802 NANIATI ZALUKHU
181 7 Nov 2018 7 Nov 2018 102811 LIA ZALEHA
182 7 Nov 2018 7 Nov 2018 069160 TRISNO MARDA
183 7 Nov 2018 7 Nov 2018 247127 DIKI PRIA IKOMALA
184 7 Nov 2018 7 Nov 2018 248950 HERMAIZAR
185 7 Nov 2018 7 Nov 2018 252803 REKHA SANOVA
186 7 Nov 2018 7 Nov 2018 247475 HAFIZ FADHILLAH
187 7 Nov 2018 7 Nov 2018 250830 MISNARTI
188 7 Nov 2018 7 Nov 2018 123878 MINDAWATI
189 7 Nov 2018 7 Nov 2018 252808 SUMARTINI
190 7 Nov 2018 7 Nov 2018 145920 SUMINI
191 7 Nov 2018 7 Nov 2018 015904 PUTRI SONIA
192 7 Nov 2018 7 Nov 2018 235560 HERLINDA MEGAWATI SILAEN
193 7 Nov 2018 7 Nov 2018 244991 ELLYS MEIRIANY
194 7 Nov 2018 7 Nov 2018 252353 DEVI MAHYAR
195 7 Nov 2018 7 Nov 2018 248762 CHAIRUL ANWAR
196 7 Nov 2018 7 Nov 2018 092272 RINA ALFITRI
197 7 Nov 2018 7 Nov 2018 248469 ADE DARLIS
198 7 Nov 2018 7 Nov 2018 074156 SUGENG
199 7 Nov 2018 7 Nov 2018 114683 DESMIARLY
200 7 Nov 2018 7 Nov 2018 159941 PEKRUDDIN SIMANUNGKALIT
201 7 Nov 2018 7 Nov 2018 250093 ERNAYATI
202 7 Nov 2018 7 Nov 2018 167612 RISMAN RASYIDIN
203 7 Nov 2018 7 Nov 2018 112579 KAMAS WANI
204 7 Nov 2018 7 Nov 2018 252810 BURZAM
205 7 Nov 2018 7 Nov 2018 216642 MUHAIMIN MUKHTAR
206 7 Nov 2018 7 Nov 2018 252811 RIYANI
207 7 Nov 2018 7 Nov 2018 165879 ENDANG SUPRIYATNI
208 7 Nov 2018 7 Nov 2018 245387 RELA WATI

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209 7 Nov 2018 7 Nov 2018 131228 MIFTAKHU RAHMAN

210 7 Nov 2018 7 Nov 2018 251963 FITRIA IMANDHA
211 7 Nov 2018 7 Nov 2018 162578 YUSMANIDAR
212 7 Nov 2018 7 Nov 2018 252815 YAHNUR
213 7 Nov 2018 7 Nov 2018 252097 SUHASNI
214 7 Nov 2018 7 Nov 2018 235879 ARIS BUDI A
215 7 Nov 2018 7 Nov 2018 210164 MISRIANI
216 7 Nov 2018 7 Nov 2018 246240 MAULANA RAMA DANU
217 7 Nov 2018 7 Nov 2018 252818 SISKA DEWITA
218 7 Nov 2018 7 Nov 2018 147523 NURKIMAH
219 7 Nov 2018 7 Nov 2018 163848 ELVA SALFITRI
220 7 Nov 2018 7 Nov 2018 117722 MUSA BASIR
221 7 Nov 2018 7 Nov 2018 252819 ZIO ARKA RAMADHAN
222 7 Nov 2018 7 Nov 2018 252822 NUJUA MUTIA PUTRI
223 7 Nov 2018 7 Nov 2018 136044 DAFFA LUTHFI SYAHPUTRA
224 7 Nov 2018 7 Nov 2018 219795 HARLEM HUTAJULU
225 7 Nov 2018 7 Nov 2018 249136 AGUSRI
226 7 Nov 2018 7 Nov 2018 237355 SUGENG
227 7 Nov 2018 7 Nov 2018 195066 NURMAINIATI
228 7 Nov 2018 7 Nov 2018 241832 HARI MULYATI
229 7 Nov 2018 7 Nov 2018 252825 NELDA RIA SIANIPAR
230 7 Nov 2018 7 Nov 2018 252824 NINIK SETYA ANDAYANI
231 7 Nov 2018 7 Nov 2018 169461 MURLIYANTI
232 7 Nov 2018 7 Nov 2018 251055 JIMMY CHALTER
233 7 Nov 2018 7 Nov 2018 237094 ASMAN. M
234 7 Nov 2018 7 Nov 2018 252357 M.IRON RAZIZ SYAMSUDDIN
235 7 Nov 2018 7 Nov 2018 036850 AISYAH
236 7 Nov 2018 7 Nov 2018 012108 ERNATUTI
237 7 Nov 2018 7 Nov 2018 252111 SUHENDRA
238 7 Nov 2018 7 Nov 2018 124155 DAHNIUS
239 7 Nov 2018 7 Nov 2018 252827 SALMA WULAN DARI
240 7 Nov 2018 7 Nov 2018 210792 TAWIRIAH
241 7 Nov 2018 7 Nov 2018 077312 SYARIFAH AINI
242 7 Nov 2018 7 Nov 2018 245253 WINA FITRIYANI
243 7 Nov 2018 7 Nov 2018 101126 MESRAWATY PANGARIBUAN
244 7 Nov 2018 7 Nov 2018 213770 YUSTINI YUSUF
245 7 Nov 2018 7 Nov 2018 187674 SRI YATUN
246 7 Nov 2018 7 Nov 2018 146040 ENI AHDAYATI
247 7 Nov 2018 7 Nov 2018 249190 SRI SUJIAS
248 7 Nov 2018 7 Nov 2018 211913 LOLLA DWI AGESTYA SANNY
249 7 Nov 2018 7 Nov 2018 169595 IRNA JUNITA
250 7 Nov 2018 7 Nov 2018 251885 DEWI NOVITA SARI
251 7 Nov 2018 7 Nov 2018 177622 JIMI RIONA AZIS
252 7 Nov 2018 7 Nov 2018 214645 ALIF BRATAJAYA
253 7 Nov 2018 7 Nov 2018 252064 FAKHRI ARDIANSYAH MAULANA
254 7 Nov 2018 7 Nov 2018 238377 VERAWATY
255 7 Nov 2018 7 Nov 2018 240994 T. MISNAWARSI
256 7 Nov 2018 7 Nov 2018 212142 YUFRIZAL
257 7 Nov 2018 7 Nov 2018 216223 ROUMIA LESTARI
258 7 Nov 2018 7 Nov 2018 225898 SYAMSIDAR
259 7 Nov 2018 7 Nov 2018 170903 ALFREDO SONIFIANDI
260 7 Nov 2018 7 Nov 2018 251546 NAZHIFA CAPELLA AZ ZAHRA
261 7 Nov 2018 7 Nov 2018 183264 RATMAN

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262 7 Nov 2018 7 Nov 2018 168310 VERONICA ELLYANA MAYAWATI

263 7 Nov 2018 7 Nov 2018 242813 RUSLI
264 7 Nov 2018 7 Nov 2018 249443 MAIDARLIS
265 7 Nov 2018 7 Nov 2018 052444 EVA RESIA
266 7 Nov 2018 7 Nov 2018 232834 FARZANA KHAIRA AZKIYA
267 7 Nov 2018 7 Nov 2018 237879 SUPARDI
268 7 Nov 2018 7 Nov 2018 024326 ZUL EFNI
269 7 Nov 2018 7 Nov 2018 151017 SRI DEFI LESTARI
270 7 Nov 2018 7 Nov 2018 213820 GEO FANNY PENALEM
271 7 Nov 2018 7 Nov 2018 093377 SAGIRO BORU MARBUN
272 7 Nov 2018 7 Nov 2018 111113 YULPITA DENI
273 7 Nov 2018 7 Nov 2018 252836 MARLINA BR MISKUN
274 7 Nov 2018 7 Nov 2018 115911 JONTER SINAGA
275 7 Nov 2018 7 Nov 2018 165613 YUNIZAR
276 7 Nov 2018 7 Nov 2018 252838 RENI BAYAS
277 7 Nov 2018 7 Nov 2018 186045 ZUBAIDAH BINTI IDRUS
278 7 Nov 2018 7 Nov 2018 251692 M. GUSTIAN
279 7 Nov 2018 7 Nov 2018 175770 ASMAN
280 7 Nov 2018 7 Nov 2018 250029 SUKRON
281 7 Nov 2018 7 Nov 2018 233147 PAMASADAN
282 7 Nov 2018 7 Nov 2018 149872 NISA ADILIA KHAIRANI
283 7 Nov 2018 7 Nov 2018 205725 HASNIWATI.S
284 7 Nov 2018 7 Nov 2018 135314 RIFALDI
285 7 Nov 2018 7 Nov 2018 226045 TAMRIN
286 7 Nov 2018 7 Nov 2018 252840 SUPRIANI
287 7 Nov 2018 7 Nov 2018 252841 ASRIL.BY
288 7 Nov 2018 7 Nov 2018 252843 BAYI NYONYA SITI AMINAH
289 7 Nov 2018 7 Nov 2018 252842 FEBY ANGGRAINI
290 7 Nov 2018 7 Nov 2018 252844 FEBRIAN SAPUTRA
291 7 Nov 2018 7 Nov 2018 251880 HOTMAIDA SAULINA SINAGA
292 7 Nov 2018 7 Nov 2018 229929 RICALCAN
293 7 Nov 2018 7 Nov 2018 197654 SYAFNIDA PUTRI
294 7 Nov 2018 7 Nov 2018 237789 CICI PERMATA SARI
295 7 Nov 2018 7 Nov 2018 252845 HANAFIA ASMARANI
296 7 Nov 2018 7 Nov 2018 252846 OKI SULISTIO
297 7 Nov 2018 7 Nov 2018 218085 MUHAMMAD RIZAL ABDILLAH
298 7 Nov 2018 7 Nov 2018 178943 NURMAIRANTI
299 7 Nov 2018 7 Nov 2018 252852 RIKA ELMALINDA
300 7 Nov 2018 7 Nov 2018 252853 RISMA DAME
301 7 Nov 2018 7 Nov 2018 252855 QAFIYA NURUL JANNAH
302 7 Nov 2018 7 Nov 2018 252856 ERMA IRVIANA
303 7 Nov 2018 7 Nov 2018 241514 NOFIHA
304 7 Nov 2018 7 Nov 2018 252858 REZI RAHMADANI
305 7 Nov 2018 7 Nov 2018 161405 SAEPUDIN EPENDI
306 7 Nov 2018 7 Nov 2018 143774 ANWAR BEY
307 7 Nov 2018 7 Nov 2018 182833 NURLIS
308 7 Nov 2018 7 Nov 2018 129268 NURUL ANIZA
309 7 Nov 2018 7 Nov 2018 252859 HABIB AKRAM
310 7 Nov 2018 7 Nov 2018 230883 SANIAH
311 7 Nov 2018 7 Nov 2018 242156 LEONARDO SIMALANGO
312 7 Nov 2018 7 Nov 2018 196676 TUMIRAN
313 7 Nov 2018 7 Nov 2018 252860 BENI SABRIZAL
314 7 Nov 2018 7 Nov 2018 178333 AYDIL RAHMAT NUR

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315 7 Nov 2018 7 Nov 2018 174856 RIZQI OKTAFIA NINGTYAS

316 7 Nov 2018 7 Nov 2018 252013 AMIR HUSIN
317 7 Nov 2018 7 Nov 2018 250812 ROSMIATI
318 7 Nov 2018 7 Nov 2018 252861 ZULFIKAR
319 7 Nov 2018 7 Nov 2018 208078 CALLISTA AULIYA ASRI
320 7 Nov 2018 7 Nov 2018 150252 DIANA
321 7 Nov 2018 7 Nov 2018 246046 SRI MURNIYATI
322 7 Nov 2018 7 Nov 2018 130883 MARWAN. IS
323 7 Nov 2018 7 Nov 2018 243915 RIA NASUTION
324 7 Nov 2018 7 Nov 2018 204572 RAFIZAL
325 7 Nov 2018 7 Nov 2018 154151 ALPARNANDA EKO. SM
326 7 Nov 2018 7 Nov 2018 250604 MARDIATY
327 7 Nov 2018 7 Nov 2018 127327 BIMA ANGGRARA SAPUTRA
328 7 Nov 2018 7 Nov 2018 231051 MUHAMMAD DZAKY
329 7 Nov 2018 7 Nov 2018 252693 SUKIJAN
330 7 Nov 2018 7 Nov 2018 114303 TURIMAH
331 7 Nov 2018 7 Nov 2018 203648 RALDYA AZALEA SANDER
332 7 Nov 2018 7 Nov 2018 226419 NURHALIZA RAMADHANI
333 7 Nov 2018 7 Nov 2018 103601 MUHAMMAD AZKA DANISH
334 7 Nov 2018 7 Nov 2018 252879 M.ZEN TJILI,BE
335 7 Nov 2018 7 Nov 2018 252883 M. SURIYANDI
336 7 Nov 2018 7 Nov 2018 046738 NETU OKTA FERA
337 7 Nov 2018 7 Nov 2018 251068 YOGA MURSYITO AJI
338 7 Nov 2018 7 Nov 2018 236749 RICKY VINOSEF TARIGAN
339 7 Nov 2018 7 Nov 2018 252887 SUMIATI
340 7 Nov 2018 7 Nov 2018 165185 WISMAR HARIANTO, SH
341 7 Nov 2018 7 Nov 2018 252833 BASUKI
342 7 Nov 2018 7 Nov 2018 252774 SYAMSURI WALDHI
343 7 Nov 2018 7 Nov 2018 180892 SHERYL IZZARA HERIYANTO
344 7 Nov 2018 7 Nov 2018 252785 SUROSO
345 7 Nov 2018 7 Nov 2018 219808 ZAINAR
346 7 Nov 2018 7 Nov 2018 195289 MAYTINI EDON
347 7 Nov 2018 7 Nov 2018 248821 THERESIA SUPRIYATI
348 7 Nov 2018 7 Nov 2018 220682 HARIANTO
349 7 Nov 2018 7 Nov 2018 252806 KARTINI
350 7 Nov 2018 7 Nov 2018 155100 ASNIMAR
351 7 Nov 2018 7 Nov 2018 237109 SANDRANINGSIH
352 7 Nov 2018 7 Nov 2018 252793 EKA YARNI
Total
Kode RS: 1471079

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ang = Semua / Jenis Tarif = TARIF RS KELAS C SWASTA

No. SEP INACBG Top Up Total Tarif Tarif RS Jenis

0069R0361118V001988 Q-5-44-0 192,100 209,399 RJ
0069R0361118V001989 Q-5-42-0 193,500 157,400 RJ
0069R0361118V001991 Q-5-25-0 143,700 125,910 RJ
0069R0361118V001992 J-3-13-0 326,800 103,500 RJ
0069R0361118V001993 N-3-15-0 833,000 962,970 RJ
0069R0361118V001994 N-3-15-0 833,000 962,970 RJ
0069R0361118V001995 N-3-15-0 833,000 965,280 RJ
0069R0361118V001996 N-3-15-0 833,000 960,660 RJ
0069R0361118V001997 N-3-15-0 833,000 965,280 RJ
0069R0361118V001998 N-3-15-0 833,000 960,660 RJ
0069R0361118V001999 Q-5-44-0 192,100 263,400 RJ
0069R0361118V002400 Q-5-32-0 265,600 134,800 RJ
0069R0361118V002404 Q-5-42-0 193,500 238,070 RJ
0069R0361118V002405 Q-5-42-0 193,500 151,672 RJ
0069R0361118V002000 Q-5-44-0 192,100 261,150 RJ
0069R0361118V002001 H-3-12-0 223,800 90,000 RJ
0069R0361118V002002 M-3-16-0 113,800 190,000 RJ
0069R0361118V002003 Q-5-44-0 192,100 605,700 RJ
0069R0361118V002004 N-3-15-0 833,000 963,410 RJ
0069R0361118V002005 Q-5-44-0 192,100 611,750 RJ
0069R0361118V002006 N-3-15-0 833,000 960,440 RJ
0069R0361118V002007 H-3-12-0 223,800 90,000 RJ
0069R0361118V002008 M-3-16-0 113,800 215,000 RJ
0069R0361118V002010 Q-5-44-0 192,100 116,200 RJ
0069R0361118V002011 Q-5-44-0 192,100 120,600 RJ
0069R0361118V002012 Q-5-44-0 192,100 94,200 RJ
0069R0361118V002013 M-3-16-0 113,800 190,000 RJ
0069R0361118V002015 Z-3-27-0 194,900 241,000 RJ
0069R0361118V002017 M-3-16-0 113,800 190,000 RJ
0069R0361118V002018 M-3-16-0 113,800 190,000 RJ
0069R0361118V002019 Q-5-44-0 192,100 133,999 RJ
0069R0361118V002020 M-3-16-0 113,800 190,000 RJ
0069R0361118V002021 N-3-15-0 833,000 971,000 RJ
0069R0361118V002022 Q-5-44-0 192,100 116,200 RJ
0069R0361118V002024 Q-5-44-0 192,100 548,200 RJ
0069R0361118V002025 Q-5-44-0 192,100 212,900 RJ
0069R0361118V002026 N-3-15-0 833,000 962,970 RJ
0069R0361118V002027 Q-5-44-0 192,100 226,020 RJ
0069R0361118V002028 M-3-16-0 113,800 190,000 RJ
0069R0361118V002029 Z-3-24-0 665,900 456,250 RJ
0069R0361118V002030 Q-5-44-0 192,100 126,000 RJ
0069R0361118V002031 N-3-15-0 833,000 960,000 RJ
0069R0361118V002032 Z-3-23-0 582,100 341,890 RJ
0069R0361118V002033 Q-5-44-0 192,100 122,380 RJ
0069R0361118V002036 M-3-16-0 113,800 215,000 RJ
0069R0361118V002037 N-3-15-0 833,000 960,660 RJ
0069R0361118V002038 M-3-16-0 113,800 190,000 RJ
0069R0361118V002039 M-3-16-0 113,800 190,000 RJ
0069R0361118V002040 Z-3-23-0 582,100 516,200 RJ

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0069R0361118V002042 Q-5-42-0 193,500 138,530 RJ

0069R0361118V002043 Q-5-44-0 192,100 398,599 RJ
0069R0361118V002044 Z-3-27-0 194,900 324,500 RJ
0069R0361118V002045 M-3-16-0 113,800 215,000 RJ
0069R0361118V002047 Q-5-44-0 192,100 149,310 RJ
0069R0361118V002048 M-3-16-0 113,800 95,000 RJ
0069R0361118V002049 Q-5-44-0 192,100 1,012,840 RJ
0069R0361118V002050 M-3-16-0 113,800 386,680 RJ
0069R0361118V002051 M-3-16-0 113,800 190,000 RJ
0069R0361118V002052 Q-5-44-0 192,100 618,900 RJ
0069R0361118V002054 Q-5-44-0 192,100 70,000 RJ
0069R0361118V002055 Q-5-44-0 192,100 214,450 RJ
0069R0361118V002056 M-3-16-0 113,800 190,000 RJ
0069R0361118V002057 Q-5-44-0 192,100 122,800 RJ
0069R0361118V002058 M-3-16-0 113,800 210,000 RJ
0069R0361118V002059 Q-5-44-0 192,100 791,800 RJ
0069R0361118V002060 Q-5-44-0 192,100 277,700 RJ
0069R0361118V002061 M-3-16-0 113,800 215,000 RJ
0069R0361118V002062 Z-3-24-0 665,900 320,000 RJ
0069R0361118V002064 U-3-16-0 300,700 180,000 RJ
0069R0361118V002065 M-3-16-0 113,800 215,000 RJ
0069R0361118V002066 M-3-16-0 113,800 190,000 RJ
0069R0361118V002068 Z-3-24-0 665,900 320,000 RJ
0069R0361118V002070 Q-5-44-0 192,100 534,950 RJ
0069R0361118V002071 Z-3-27-0 194,900 144,200 RJ
0069R0361118V002072 Q-5-44-0 192,100 749,140 RJ
0069R0361118V002073 Q-5-44-0 192,100 842,200 RJ
0069R0361118V002074 Z-3-24-0 665,900 573,950 RJ
0069R0361118V002075 Q-5-44-0 192,100 70,000 RJ
0069R0361118V002076 M-3-16-0 113,800 190,000 RJ
0069R0361118V002077 M-3-16-0 113,800 95,000 RJ
0069R0361118V002079 Q-5-44-0 192,100 540,600 RJ
0069R0361118V002080 M-3-16-0 113,800 165,000 RJ
0069R0361118V002081 Q-5-44-0 192,100 526,900 RJ
0069R0361118V002082 Q-5-44-0 192,100 119,500 RJ
0069R0361118V002083 Z-3-23-0 582,100 283,860 RJ
0069R0361118V002085 M-3-16-0 113,800 215,000 RJ
0069R0361118V002086 M-3-11-0 429,000 999,430 RJ
0069R0361118V002087 Q-5-44-0 192,100 475,250 RJ
0069R0361118V002088 Q-5-44-0 192,100 78,250 RJ
0069R0361118V002089 Z-3-24-0 665,900 427,800 RJ
0069R0361118V002090 Q-5-44-0 192,100 170,000 RJ
0069R0361118V002091 M-3-16-0 113,800 190,000 RJ
0069R0361118V002092 Q-5-44-0 192,100 169,000 RJ
0069R0361118V002093 Q-5-44-0 192,100 509,400 RJ
0069R0361118V002095 U-3-16-0 300,700 180,000 RJ
0069R0361118V002096 M-3-16-0 113,800 215,000 RJ
0069R0361118V002098 Q-5-42-0 193,500 106,300 RJ
0069R0361118V002099 U-3-16-0 300,700 200,690 RJ
0069R0361118V002100 M-3-16-0 113,800 190,000 RJ
0069R0361118V002103 Q-5-44-0 192,100 131,550 RJ
0069R0361118V002105 M-3-16-0 113,800 190,000 RJ
0069R0361118V002106 Z-3-23-0 582,100 242,660 RJ

Page 9
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0069R0361118V002107 Q-5-44-0 192,100 136,300 RJ

0069R0361118V002108 M-3-16-0 113,800 210,000 RJ
0069R0361118V002109 Z-3-23-0 582,100 369,390 RJ
0069R0361118V002110 Q-5-43-0 277,600 70,000 RJ
0069R0361118V002111 Q-5-44-0 192,100 290,870 RJ
0069R0361118V002112 M-3-16-0 113,800 210,000 RJ
0069R0361118V002113 Q-5-44-0 192,100 552,350 RJ
0069R0361118V002114 M-3-16-0 113,800 190,000 RJ
0069R0361118V002116 Q-5-44-0 192,100 70,000 RJ
0069R0361118V002117 Q-5-44-0 192,100 76,050 RJ
0069R0361118V002118 Q-5-44-0 192,100 118,226 RJ
0069R0361118V002119 M-3-16-0 113,800 190,000 RJ
0069R0361118V002120 Q-5-44-0 192,100 214,650 RJ
0069R0361118V002121 Q-5-44-0 192,100 514,730 RJ
0069R0361118V002122 Q-5-44-0 192,100 243,580 RJ
0069R0361118V002123 Q-5-41-0 306,600 157,950 RJ
0069R0361118V002124 M-3-16-0 113,800 210,000 RJ
0069R0361118V002125 Q-5-44-0 192,100 373,600 RJ
0069R0361118V002126 Q-5-44-0 192,100 170,000 RJ
0069R0361118V002127 Q-5-44-0 192,100 389,000 RJ
0069R0361118V002129 Q-5-44-0 192,100 93,760 RJ
0069R0361118V002130 Q-5-44-0 192,100 110,610 RJ
0069R0361118V002131 Z-3-24-0 665,900 320,000 RJ
0069R0361118V002132 M-3-16-0 113,800 145,000 RJ
0069R0361118V002133 Z-3-27-0 194,900 146,950 RJ
0069R0361118V002134 Q-5-44-0 192,100 388,800 RJ
0069R0361118V002135 Q-5-43-0 277,600 126,100 RJ
0069R0361118V002136 M-3-16-0 113,800 145,000 RJ
0069R0361118V002137 Q-5-44-0 192,100 109,480 RJ
0069R0361118V002139 Q-5-44-0 192,100 191,000 RJ
0069R0361118V002144 U-3-16-0 300,700 177,600 RJ
0069R0361118V002145 Q-5-42-0 193,500 169,600 RJ
0069R0361118V002146 U-3-16-0 300,700 233,300 RJ
0069R0361118V002147 Q-5-44-0 192,100 130,000 RJ
0069R0361118V002148 U-3-16-0 300,700 177,600 RJ
0069R0361118V002149 Q-5-44-0 192,100 839,800 RJ
0069R0361118V002150 Z-3-25-0 314,100 264,550 RJ
0069R0361118V002151 U-3-16-0 300,700 203,220 RJ
0069R0361118V002152 U-3-16-0 300,700 354,550 RJ
0069R0361118V002153 Q-5-44-0 192,100 137,890 RJ
0069R0361118V002154 Q-5-44-0 192,100 79,900 RJ
0069R0361118V002155 Q-5-44-0 192,100 267,900 RJ
0069R0361118V002158 Z-3-23-0 582,100 286,280 RJ
0069R0361118V002159 Q-5-44-0 192,100 561,100 RJ
0069R0361118V002160 Q-5-44-0 192,100 70,000 RJ
0069R0361118V002162 Z-3-24-0 665,900 320,000 RJ
0069R0361118V002163 Z-3-23-0 582,100 307,560 RJ
0069R0361118V002164 M-3-16-0 113,800 190,000 RJ
0069R0361118V002165 Q-5-44-0 192,100 120,300 RJ
0069R0361118V002166 Q-5-42-0 193,500 166,400 RJ
0069R0361118V002168 Q-5-44-0 192,100 70,000 RJ
0069R0361118V002169 Q-5-44-0 192,100 220,000 RJ
0069R0361118V002170 Z-3-23-0 582,100 505,580 RJ

Page 10
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0069R0361118V002171 Q-5-44-0 192,100 1,004,560 RJ

0069R0361118V002172 Q-5-44-0 192,100 179,800 RJ
0069R0361118V002173 Q-5-44-0 192,100 127,100 RJ
0069R0361118V002174 Q-5-44-0 192,100 226,200 RJ
0069R0361118V002176 Q-5-44-0 192,100 838,900 RJ
0069R0361118V002177 Q-5-44-0 192,100 82,000 RJ
0069R0361118V002179 H-3-12-0 223,800 135,870 RJ
0069R0361118V002180 H-3-12-0 223,800 256,430 RJ
0069R0361118V002181 Q-5-44-0 192,100 173,400 RJ
0069R0361118V002182 Q-5-44-0 192,100 118,950 RJ
0069R0361118V002183 H-3-12-0 223,800 119,150 RJ
0069R0361118V002184 Z-3-26-0 742,400 220,000 RJ
0069R0361118V002185 Q-5-44-0 192,100 182,060 RJ
0069R0361118V002186 M-3-16-0 113,800 170,000 RJ
0069R0361118V002187 Q-5-44-0 192,100 70,000 RJ
0069R0361118V002189 K-5-18-0 256,500 104,210 RJ
0069R0361118V002190 Q-5-44-0 192,100 272,800 RJ
0069R0361118V002191 M-3-16-0 113,800 210,000 RJ
0069R0361118V002192 Q-5-44-0 192,100 284,800 RJ
0069R0361118V002193 G-5-17-0 256,500 109,600 RJ
0069R0361118V002194 Z-3-23-0 582,100 1,260,000 RJ
0069R0361118V002195 J-3-13-0 326,800 244,079 RJ
0069R0361118V002196 Q-5-44-0 192,100 390,080 RJ
0069R0361118V002197 Q-5-44-0 192,100 92,000 RJ
0069R0361118V002198 Q-5-43-0 277,600 191,340 RJ
0069R0361118V002199 Q-5-12-0 219,000 120,000 RJ
0069R0361118V002200 Q-5-42-0 193,500 105,530 RJ
0069R0361118V002201 Q-5-44-0 192,100 136,000 RJ
0069R0361118V002202 Q-5-44-0 192,100 116,200 RJ
0069R0361118V002203 Q-5-44-0 192,100 347,860 RJ
0069R0361118V002204 U-3-16-0 300,700 230,000 RJ
0069R0361118V002205 Q-5-44-0 192,100 96,950 RJ
0069R0361118V002206 Q-5-44-0 192,100 140,050 RJ
0069R0361118V002208 Q-5-44-0 192,100 845,960 RJ
0069R0361118V002209 Q-5-44-0 192,100 835,600 RJ
0069R0361118V002211 Z-3-25-0 314,100 161,750 RJ
0069R0361118V002212 Q-5-44-0 192,100 108,180 RJ
0069R0361118V002213 Q-5-44-0 192,100 93,760 RJ
0069R0361118V002214 Q-5-44-0 192,100 220,000 RJ
0069R0361118V002215 Z-3-24-0 665,900 320,000 RJ
0069R0361118V002216 Q-5-12-0 219,000 102,064 RJ
0069R0361118V002218 Q-5-44-0 192,100 96,599 RJ
0069R0361118V002219 Q-5-44-0 192,100 130,000 RJ
0069R0361118V002220 Q-5-44-0 192,100 88,480 RJ
0069R0361118V002221 Q-5-44-0 192,100 796,000 RJ
0069R0361118V002222 Q-5-44-0 192,100 120,299 RJ
0069R0361118V002224 Q-5-44-0 192,100 124,649 RJ
0069R0361118V002225 Q-5-44-0 192,100 801,300 RJ
0069R0361118V002226 Q-5-44-0 192,100 164,600 RJ
0069R0361118V002227 Q-5-42-0 193,500 136,050 RJ
0069R0361118V002228 Q-5-44-0 192,100 271,050 RJ
0069R0361118V002233 Q-5-44-0 192,100 1,012,600 RJ
0069R0361118V002234 Z-3-25-0 314,100 220,000 RJ

Page 11
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0069R0361118V002236 Q-5-42-0 193,500 189,250 RJ

0069R0361118V002238 Z-3-27-0 194,900 144,200 RJ
0069R0361118V002223 Q-5-44-0 192,100 463,150 RJ
0069R0361118V002240 Q-5-44-0 192,100 70,000 RJ
0069R0361118V002241 Q-5-44-0 192,100 132,800 RJ
0069R0361118V002242 Q-5-44-0 192,100 70,000 RJ
0069R0361118V002243 Q-5-44-0 192,100 146,900 RJ
0069R0361118V002244 Q-5-44-0 192,100 298,340 RJ
0069R0361118V002245 Z-3-25-0 314,100 220,000 RJ
0069R0361118V002247 Q-5-42-0 193,500 136,150 RJ
0069R0361118V002249 Q-5-42-0 193,500 129,730 RJ
0069R0361118V002250 Q-5-43-0 277,600 258,550 RJ
0069R0361118V002251 Q-5-42-0 193,500 175,380 RJ
0069R0361118V002253 U-3-16-0 300,700 210,700 RJ
0069R0361118V002254 Q-5-44-0 192,100 201,400 RJ
0069R0361118V002255 Q-5-42-0 193,500 127,420 RJ
0069R0361118V002256 Q-5-38-0 260,400 133,800 RJ
0069R0361118V002257 Q-5-44-0 192,100 150,960 RJ
0069R0361118V002258 Q-5-44-0 192,100 114,930 RJ
0069R0361118V002259 Q-5-44-0 192,100 456,100 RJ
0069R0361118V002260 H-3-12-0 223,800 123,330 RJ
0069R0361118V002261 Q-5-44-0 192,100 70,000 RJ
0069R0361118V002262 Q-5-44-0 192,100 186,400 RJ
0069R0361118V002263 U-3-16-0 300,700 180,000 RJ
0069R0361118V002264 Q-5-44-0 192,100 239,799 RJ
0069R0361118V002265 Q-5-42-0 193,500 118,400 RJ
0069R0361118V002266 Z-3-23-0 582,100 441,870 RJ
0069R0361118V002267 Q-5-44-0 192,100 261,350 RJ
0069R0361118V002268 U-3-16-0 300,700 170,000 RJ
0069R0361118V002269 J-3-13-0 326,800 356,469 RJ
0069R0361118V002270 Q-5-44-0 192,100 70,000 RJ
0069R0361118V002271 Q-5-25-0 143,700 228,730 RJ
0069R0361118V002272 Q-5-44-0 192,100 173,300 RJ
0069R0361118V002273 Z-3-25-0 314,100 249,700 RJ
0069R0361118V002274 Z-3-25-0 314,100 220,000 RJ
0069R0361118V002275 Q-5-44-0 192,100 80,010 RJ
0069R0361118V002276 Q-5-44-0 192,100 1,246,250 RJ
0069R0361118V002277 Q-5-44-0 192,100 414,100 RJ
0069R0361118V002278 Z-3-27-0 194,900 70,000 RJ
0069R0361118V002279 Q-5-44-0 192,100 201,800 RJ
0069R0361118V002280 Q-5-42-0 193,500 69,480 RJ
0069R0361118V002281 Z-3-27-0 194,900 181,950 RJ
0069R0361118V002282 Z-3-27-0 194,900 134,080 RJ
0069R0361118V002283 Q-5-44-0 192,100 151,400 RJ
0069R0361118V002284 U-3-16-0 300,700 247,100 RJ
0069R0361118V002285 Z-3-23-0 582,100 220,000 RJ
0069R0361118V002286 Q-5-44-0 192,100 82,320 RJ
0069R0361118V002287 Q-5-44-0 192,100 695,700 RJ
0069R0361118V002288 Q-5-44-0 192,100 448,200 RJ
0069R0361118V002289 M-3-16-0 113,800 190,000 RJ
0069R0361118V002290 Q-5-26-0 203,900 244,060 RJ
0069R0361118V002291 Q-5-44-0 192,100 70,000 RJ
0069R0361118V002294 Q-5-44-0 192,100 70,000 RJ

Page 12
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0069R0361118V002297 N-3-15-0 833,000 960,000 RJ

0069R0361118V002299 N-3-15-0 833,000 960,000 RJ
0069R0361118V002300 Q-5-44-0 192,100 136,450 RJ
0069R0361118V002301 Q-5-12-0 219,000 70,000 RJ
0069R0361118V002303 Q-5-44-0 192,100 70,000 RJ
0069R0361118V002304 N-3-15-0 833,000 960,000 RJ
0069R0361118V002305 Q-5-43-0 277,600 114,550 RJ
0069R0361118V002306 Z-3-25-0 314,100 220,000 RJ
0069R0361118V002307 Q-5-44-0 192,100 127,120 RJ
0069R0361118V002308 N-3-15-0 833,000 990,000 RJ
0069R0361118V002309 Z-3-25-0 314,100 220,000 RJ
0069R0361118V002310 Z-3-25-0 314,100 254,100 RJ
0069R0361118V002311 Q-5-44-0 192,100 101,350 RJ
0069R0361118V002312 Q-5-44-0 192,100 70,000 RJ
0069R0361118V002313 Q-5-44-0 192,100 70,000 RJ
0069R0361118V002314 N-3-15-0 833,000 960,000 RJ
0069R0361118V002316 Q-5-44-0 192,100 118,300 RJ
0069R0361118V002317 N-3-15-0 833,000 960,000 RJ
0069R0361118V002318 Q-5-44-0 192,100 170,000 RJ
0069R0361118V002319 N-3-15-0 833,000 960,000 RJ
0069R0361118V002320 Q-5-41-0 306,600 160,000 RJ
0069R0361118V002322 Z-3-25-0 314,100 222,200 RJ
0069R0361118V002324 Q-5-44-0 192,100 70,000 RJ
0069R0361118V002325 Z-3-23-0 582,100 783,120 RJ
0069R0361118V002327 Z-3-23-0 582,100 352,450 RJ
0069R0361118V002329 Q-5-44-0 192,100 612,300 RJ
0069R0361118V002330 Q-5-42-0 193,500 70,999 RJ
0069R0361118V002331 Q-5-44-0 192,100 217,300 RJ
0069R0361118V002332 U-3-16-0 300,700 182,980 RJ
0069R0361118V002333 U-3-16-0 300,700 1,885,510 RJ
0069R0361118V002334 N-3-15-0 833,000 960,000 RJ
0069R0361118V002335 Q-5-42-0 193,500 146,260 RJ
0069R0361118V002336 Q-5-44-0 192,100 70,000 RJ
0069R0361118V002337 U-3-16-0 300,700 185,400 RJ
0069R0361118V002338 Q-5-12-0 219,000 73,300 RJ
0069R0361118V002339 Q-5-44-0 192,100 202,750 RJ
0069R0361118V002342 Q-5-42-0 193,500 113,450 RJ
0069R0361118V002343 Z-3-25-0 314,100 405,900 RJ
0069R0361118V002344 Q-5-44-0 192,100 343,000 RJ
0069R0361118V002345 Q-5-43-0 277,600 70,000 RJ
0069R0361118V002347 Q-5-44-0 192,100 110,590 RJ
0069R0361118V002348 Z-3-25-0 314,100 262,900 RJ
0069R0361118V002349 U-3-16-0 300,700 294,190 RJ
0069R0361118V002350 Q-5-44-0 192,100 633,840 RJ
0069R0361118V002351 Q-5-44-0 192,100 124,350 RJ
0069R0361118V002353 Q-5-44-0 192,100 147,900 RJ
0069R0361118V002354 Q-5-44-0 192,100 126,500 RJ
0069R0361118V002355 Q-5-44-0 192,100 159,870 RJ
0069R0361118V002356 H-3-12-0 223,800 130,590 RJ
0069R0361118V002357 Q-5-42-0 193,500 70,000 RJ
0069R0361118V002358 Q-5-44-0 192,100 135,800 RJ
0069R0361118V002359 Q-5-44-0 192,100 110,590 RJ
0069R0361118V002360 Q-5-44-0 192,100 152,280 RJ

Page 13
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0069R0361118V002361 Z-3-23-0 582,100 411,080 RJ

0069R0361118V002362 Q-5-44-0 192,100 117,630 RJ
0069R0361118V002363 Q-5-44-0 192,100 101,350 RJ
0069R0361118V002367 Q-5-44-0 192,100 316,840 RJ
0069R0361118V002368 Z-3-23-0 582,100 421,150 RJ
0069R0361118V002369 U-3-16-0 300,700 170,000 RJ
0069R0361118V002370 Z-3-25-0 314,100 161,750 RJ
0069R0361118V002371 Q-5-44-0 192,100 257,550 RJ
0069R0361118V002374 Q-5-44-0 192,100 210,700 RJ
0069R0361118V002375 Q-5-42-0 193,500 139,770 RJ
0069R0361118V002376 Q-5-41-0 306,600 234,440 RJ
0069R0361118V002377 I-3-13-0 333,800 400,000 RJ
0069R0361118V002378 N-3-15-0 833,000 1,712,530 RJ
0069R0361118V002379 Q-5-42-0 193,500 137,480 RJ
0069R0361118V002380 Z-3-23-0 582,100 789,680 RJ
0069R0361118V002385 Q-5-42-0 193,500 211,580 RJ
0069R0361118V002387 Q-5-42-0 193,500 40,000 RJ
0069R0361118V002388 Q-5-42-0 193,500 124,370 RJ
0069R0361118V002389 Q-5-42-0 193,500 57,280 RJ
0069R0361118V002391 G-5-17-0 256,500 70,000 RJ
0069R0361118V002393 Q-5-25-0 143,700 217,650 RJ
0069R0361118V002394 Z-3-25-0 314,100 250,000 RJ
0069R0361118V002395 Q-5-42-0 193,500 172,460 RJ
0069R0361118V002396 Q-5-42-0 193,500 132,730 RJ
0069R0361118V002398 J-3-13-0 326,800 128,960 RJ
0069R0361118V002399 Q-5-12-0 219,000 151,390 RJ
0069R0361118V002295 Q-5-29-0 552,100 325,350 RJ
0069R0361118V002035 Q-5-43-0 277,600 330,960 RJ
0069R0361118V001986 Q-5-42-0 193,500 144,770 RJ
0069R0361118V002178 Q-5-44-0 192,100 63,430 RJ
0069R0361118V001984 Q-5-42-0 193,500 119,860 RJ
0069R0361118V001990 Q-5-42-0 193,500 182,230 RJ
0069R0361118V002302 N-3-15-0 833,000 960,000 RJ
0069R0361118V002321 N-3-15-0 833,000 960,000 RJ
0069R0361118V002207 Q-5-41-0 306,600 216,700 RJ
0069R0361118V002016 I-3-14-0 297,400 400,000 RJ
0069R0361118V002298 Q-5-44-0 192,100 308,400 RJ
0069R0361118V002161 Q-5-44-0 192,100 489,900 RJ
96,691,000 105,137,932

Page 14