RS.

HERMINA GRAND WISATA

DAFTAR PIUTANG JASA RS - PERUSAHAAN RAWAT JALAN

Perusahaan : BPJS KESEHATAN PT. (OBAT KRONIS )
Periode : 01/09/2018 s/d 17/09/2018

No. No. Bukti Tanggal No. RM Nama Pasien

1 010918040217 01/09/2018 L103085 SUBARI TN

2 010918040339 01/09/2018 L115782 MURDIATI NY
3 010918040495 01/09/2018 L127958 JUMHAYATI NY
4 010918040596 01/09/2018 L158772 ENDAH KIRNINGSIH NY
5 010918040600 01/09/2018 L142775 MUSNAR NY
6 010918040705 01/09/2018 L139477 ODAS SUHARTINI NY
7 010918040910 01/09/2018 L049799 MUHAMMAD FATHIN SURGA .P AN
8 010918041011 01/09/2018 L145222 WAHYUDI TN
9 010918041389 01/09/2018 L151287 SRI WURYANTI NY
10 010918041527 01/09/2018 L111656 JOJOH NY
11 010918041572 01/09/2018 L143846 YAYAH HERLIYAH NY
12 010918051318 01/09/2018 L163050 SUARNI NY
13 010918051371 01/09/2018 L047692 NURSASI,HJ,A,BC,HK NY
14 010918051386 01/09/2018 L161910 SUPARMO TN
15 010918051415 01/09/2018 L097106 AGUS SUPRIYANTO TN
16 010918051428 01/09/2018 L000944 WORO UTAMI NY
17 010918051524 01/09/2018 L103303 MUHAMAD RUSLI TN
18 010918051532 01/09/2018 L035906 BAMBANG PUJICAHYONO TN
19 010918051561 01/09/2018 L143300 NASRIAL TN
20 010918051565 01/09/2018 L086656 HADI SUWITO TN
21 010918051622 01/09/2018 L068572 DEWI BADRIYAH NY
22 010918051626 01/09/2018 L155387 TIHAROH NY
23 010918051644 01/09/2018 L069879 ARHAM SAFTI TN
24 010918051648 01/09/2018 L075365 CEK ATIN NY
25 010918051821 01/09/2018 L157754 MISKUDDIN TANJUNG TN
26 010918051823 01/09/2018 L155866 NGARIP TN
27 010918051826 01/09/2018 L156035 ONAH NY
28 010918350200 01/09/2018 L155196 SOPYAN TN
29 010918350242 01/09/2018 L144571 SITI TRIMURTI NY
30 010918350315 01/09/2018 L102440 ENNY MULYANI NY
31 010918350427 01/09/2018 L133754 SUSANA RAHAYU NY
32 010918350434 01/09/2018 L134543 BAMBANG SUSILO P, SE TN
33 010918350439 01/09/2018 L106473 M ALI MIRZA TN
34 010918350449 01/09/2018 L125754 RACHELIA WAHYUNI PUTRI AN
35 010918350599 01/09/2018 L160741 YAHMI NY
36 010918350612 01/09/2018 L163719 SUMANGGAR NAINGGOLAN TN
37 010918350626 01/09/2018 L157852 ZAHARA NY
38 010918350730 01/09/2018 L071962 SUYAMTI NY
39 010918350740 01/09/2018 L112932 LUETE INGGRID NY
40 010918350777 01/09/2018 L003161 MUHAMMAD HARITS RAHMAN TN
41 010918350808 01/09/2018 L115841 PUJI ASTUTI NY
42 010918870911 01/09/2018 L113015 MARYANIH NY
43 010918991714 01/09/2018 L123010 AGUS PRIYATNO TN
44 030918041036 03/09/2018 L076438 RINI SUSILOWATI NY
45 030918041053 03/09/2018 L162233 EVAN SEPTIANTO TN
46 030918041065 03/09/2018 L164082 ERKHAMNI TN
47 030918041251 03/09/2018 L145852 ANDI RIFAI IR TN
48 030918041254 03/09/2018 L162370 ABDUL WADUD TN
 49 030918041266 03/09/2018 L162803 EDWIN BUDHY KRISTIANDY TN
50 030918041325 03/09/2018 L160209 SAKAM TN
51 030918041349 03/09/2018 L096960 EUIS SUMARNI NY
52 030918041485 03/09/2018 L130609 HERYSAMSUL TN
53 030918041489 03/09/2018 L160809 MUNIROH NY
54 030918041498 03/09/2018 L131763 ROZILI TN
55 030918041509 03/09/2018 L095114 MAHMUDI NARYO TN
56 030918041514 03/09/2018 L160241 SUBITA NY
57 030918041517 03/09/2018 L157987 MANGINPU SITUMORANG TN
58 030918041526 03/09/2018 C357721 BONG SANTI NY
59 030918041555 03/09/2018 L108461 JUWANDA TN
60 030918041560 03/09/2018 L117384 HELMINA SINAGA NY
61 030918041605 03/09/2018 C291154 AYU DWI SEPTIANA NY
62 030918041617 03/09/2018 L095957 ALIYAH NY
63 030918041634 03/09/2018 L164119 COSTANSA C LORETA PATTY NY
64 030918350323 03/09/2018 L150760 SUKARMAH NY
65 030918350463 03/09/2018 L156884 JAMIH NY
66 030918350514 03/09/2018 L155726 RATNA SUPRIYANTININGSIH NY
67 030918350526 03/09/2018 L158054 AYEM TITIK WIDAYATI NY
68 030918350531 03/09/2018 L162159 AYUB B. ABDUL HALID TN
69 030918350558 03/09/2018 L092662 RUMSANIH BINTI SOBARI NY
70 030918350576 03/09/2018 L161523 QIARA ADZKIA MUTAQIN AN
71 030918350602 03/09/2018 L119868 AGUSTIN YUNI ISTANTI NY
72 030918350614 03/09/2018 L154104 RIA MEIRINA NY
73 030918350686 03/09/2018 L155350 SUTRISNO TN
74 030918350694 03/09/2018 L143449 EKA JUNAWATI NY
75 030918350705 03/09/2018 L140367 PARMAN TABRANI TN
76 030918350708 03/09/2018 L152113 GOESTINAR CH NY
77 030918350713 03/09/2018 L160377 ASNA BR SIAHAAN NY
78 030918350724 03/09/2018 L114661 IDA WIEDYANINGSIH HJ NY
79 030918350799 03/09/2018 L138484 RIZKY SEPTIYANISAH NN
80 030918350828 03/09/2018 L091713 ELLY HERNANI NY
81 030918350889 03/09/2018 L032992 DEDE RUSMIATI NY
82 030918791719 03/09/2018 L086662 YAYUK SRI RAHAYU NY
83 030918910336 03/09/2018 L160224 YANTI NY
84 030918910506 03/09/2018 L126875 AGNI FITRI ASTUTIK NY
85 030918910561 03/09/2018 L080505 MUCHTAR TN
86 030918910775 03/09/2018 L115426 HARBANI TN
87 030918910788 03/09/2018 L135398 JANI TN
88 030918910872 03/09/2018 L163439 MAGDALENA MOI NY
89 030918910883 03/09/2018 L066671 YUSNIDAR NY
90 030918980689 03/09/2018 L138329 PADIH BIN NABRIH TN
91 030918980693 03/09/2018 L100425 TURPI NY
92 030918980739 03/09/2018 L164070 KURNIATUN NY
93 030918991117 03/09/2018 L136328 MARGARITA PARMAN NY
94 030918991190 03/09/2018 L123724 SETRI NY
95 030918991502 03/09/2018 L103609 JURIAH NY
96 030918991538 03/09/2018 L155556 MUHAMMAD CHAIRLATUPONO SH TN
97 030918991575 03/09/2018 L163938 NADYA KARINA WARDHANI NY
98 030918991585 03/09/2018 L164062 NAFISAH AZZA CHOIRUNNISA AN
99 030918991624 03/09/2018 L086606 UMI SUMIARI NY
100 030918991639 03/09/2018 L132193 HARSONO DRS TN
101 030918991642 03/09/2018 L100573 DIAN CKRISTINA NY
102 040918001376 04/09/2018 L158290 KHALIMI NY
103 040918001506 04/09/2018 L135782 ESTI SULASIH NY
104 040918001523 04/09/2018 L104822 ROSINDA NY
105 040918001537 04/09/2018 L122580 JAIDI TN
106 040918001578 04/09/2018 L033941 NOVI HADI NY
107 040918001624 04/09/2018 L092321 RUSMIYATI NY
108 040918001632 04/09/2018 L098162 SUGIARTI HJ NY
109 040918001641 04/09/2018 L128621 JONES SIHOMBING TN
110 040918001666 04/09/2018 L077533 TITI SUNDARI NY
111 040918001694 04/09/2018 L119317 MAINAWATI NY
112 040918001712 04/09/2018 L017681 BAMBANG SUSANTO BIN KARMANI TN
113 040918001720 04/09/2018 L131617 SARMA NY
114 040918001723 04/09/2018 L161347 SOEDARTO SOETARMO TN
115 040918001726 04/09/2018 L129702 R. MIMIN RUKMINI NY
116 040918001728 04/09/2018 L029520 BILLY LUKMANSYAH TN
117 040918001732 04/09/2018 L133318 JOHARI RAHAYU NY
118 040918001748 04/09/2018 L111850 UJANG NANA TN
119 040918001759 04/09/2018 L115957 KISNO TN
120 040918040504 04/09/2018 L159374 TJUTJUN NY
121 040918040603 04/09/2018 L124812 YARTI NY
122 040918040638 04/09/2018 L139216 SUSETIYO TN
123 040918040648 04/09/2018 L092675 EUIS LUSIANAWATI NY
124 040918040660 04/09/2018 L160603 YATIH NY
125 040918040682 04/09/2018 L144044 SOPIAH NY
126 040918040705 04/09/2018 L137263 SARTOGU SITOHANG TN
127 040918040874 04/09/2018 L031735 PUJIATI NY
128 040918051128 04/09/2018 C452946 ABDULLOH UMAR AN
129 040918051283 04/09/2018 L062287 A. EDI SUWANDI TN
130 040918051311 04/09/2018 L062287 A. EDI SUWANDI TN
131 040918051367 04/09/2018 L075436 ERNAWATY SIREGAR NY
132 040918051418 04/09/2018 L145525 WAGIYATI NY
133 040918051452 04/09/2018 L136190 CANIH NY
134 040918051485 04/09/2018 L114559 NASIH NY
135 040918051516 04/09/2018 L122102 HENDRIANTO TN
136 040918051568 04/09/2018 L164243 HJ.ETTY SUKARTI NY
137 040918971742 04/09/2018 L122881 RITA NY
138 040918971770 04/09/2018 L114399 SAIBAH NY
139 040918971775 04/09/2018 L126717 RUDY RAHARDJA TANUSAPUTRA TN
140 040918971777 04/09/2018 L114123 R RORO SRI HARJATI NY
141 040918971782 04/09/2018 L068300 AISYAH NY
142 040918971786 04/09/2018 L091016 SENDAWATI H NY
143 040918971791 04/09/2018 L137023 MARFUAH HJ NY
144 040918971797 04/09/2018 L121144 ARIFIN TN
145 040918971799 04/09/2018 L142807 EDY SUHENDI TN
146 040918971801 04/09/2018 L070748 SUMIYATI HJ NY
147 040918971803 04/09/2018 L093276 RONY ROMIKO TN
148 040918971806 04/09/2018 L139199 YUSUF EFENDI TN
149 040918971808 04/09/2018 L103310 PENDI TN
150 040918980322 04/09/2018 L078671 RATIMAN TN
151 040918980342 04/09/2018 L004926 MOHAMMAD ARIF TN
152 040918980356 04/09/2018 L152425 SUDIYANTO TN
153 040918980393 04/09/2018 L163103 MULYANI NY
154 040918980403 04/09/2018 L110746 KAMAT H TN
155 040918980429 04/09/2018 L105811 RUMINAH NY
156 040918980450 04/09/2018 L104118 HERIZONA NY
157 040918980453 04/09/2018 L163151 SUPARMI NY
158 040918980458 04/09/2018 L105184 MUNIK IMIYATI NY
159 040918980463 04/09/2018 L125082 MIMIN COLOAY NY
160 040918980481 04/09/2018 L073712 SUNIAWATI NY
161 040918980503 04/09/2018 L123241 BATOL TN
162 040918980516 04/09/2018 L074233 TAN ENG NIE NY
163 040918980522 04/09/2018 L039345 YUNITA BUDIARTI NY
164 040918980591 04/09/2018 L138137 SUTARMI NY
165 040918980670 04/09/2018 L067389 SUMIYATI NY
166 040918980683 04/09/2018 L145942 ASTUTI NY
167 040918980697 04/09/2018 L161306 H SOEKIRNO TN
168 040918980702 04/09/2018 L095649 FERRY SUSANTO TN
169 040918980780 04/09/2018 L144512 MARNAH NY
170 040918980784 04/09/2018 L163566 JORGI SANJAYA TN
171 040918980814 04/09/2018 L126687 NYI ROHMAH NY
172 040918980872 04/09/2018 L049514 HENDRIK KRISTANTO TN
173 040918980882 04/09/2018 L080450 FETY WATY NY
174 040918980933 04/09/2018 L025637 TARSAH ROSLIANAH NY
175 040918980937 04/09/2018 L089646 CICIH S NY
176 050918040254 05/09/2018 L155544 MUHAMAD RIFAI TN
177 050918040286 05/09/2018 L114427 MURTINAH NY
178 050918040289 05/09/2018 L127220 RISKA NAOMI NY
179 050918040370 05/09/2018 L003952 WARINI NY
180 050918040389 05/09/2018 L115826 DARLAN TN
181 050918040472 05/09/2018 L153304 SOETOMO TN
182 050918040544 05/09/2018 L161722 JOHANES NAIBAHO TN
183 050918040573 05/09/2018 L162798 SABAR TN
184 050918040602 05/09/2018 L139382 SUHARYATI NY
185 050918040856 05/09/2018 L062931 RATNO SUKIRAN TN
186 050918051211 05/09/2018 L120419 MARDIYAH NY
187 050918051320 05/09/2018 L161431 ANDRIYANI NY
188 050918790882 05/09/2018 L152025 ROSYANAH NY
189 050918790932 05/09/2018 L156888 ILHAM AKBAR ANSHARI TN
190 050918791106 05/09/2018 L163988 YULIANTI NY
191 050918791131 05/09/2018 C129347 ALFIAH NY
192 050918791186 05/09/2018 L079266 SUTRISNO
193 050918791188 05/09/2018 L079267 WARJINEM NY
194 050918791278 05/09/2018 L104450 SUSY SUHAYA NY
195 050918791348 05/09/2018 L026950 MARWAH WAKID HJ NY
196 050918791377 05/09/2018 C139818 UNAYAH NY
197 050918960948 05/09/2018 L164319 RAHMAH NY
198 050918980496 05/09/2018 L148241 SITI MAISAROH, HJ, NY
199 060918000294 06/09/2018 L133219 HERY KURNIAWAN TN
200 060918000325 06/09/2018 L049984 LINDAWATI PASARIBU NY
201 060918000341 06/09/2018 C459947 YANAH SUGINI NY
202 060918000342 06/09/2018 L152042 HANIF TN
203 060918000384 06/09/2018 L001813 BUDIYARTI HJ. NY
204 060918000411 06/09/2018 L162938 ZAKARIA TN
205 060918000443 06/09/2018 L124789 PRAPTATI NY
206 060918000445 06/09/2018 C459947 YANAH SUGINI NY
207 060918000496 06/09/2018 L164396 MISMARDI TN
208 060918000566 06/09/2018 C489759 LINDA LELYANA NY
209 060918000620 06/09/2018 L154098 DAMANG TN
210 060918000624 06/09/2018 L104420 SEPIANI NY
211 060918000629 06/09/2018 L145460 PARYOTO TN
212 060918000633 06/09/2018 L140509 MINTARSIH NY
213 060918000655 06/09/2018 L050883 MUCHLIS SRIYANTO TN
214 060918000678 06/09/2018 L157986 MINAR SIHOMBING NY
215 060918000682 06/09/2018 L156678 SIGIT MUNARI TN
216 060918000725 06/09/2018 L157986 MINAR SIHOMBING NY
217 060918000787 06/09/2018 L106689 SATIK NY
218 060918001077 06/09/2018 L010655 ASTRI KUMALASARI NY
219 060918001108 06/09/2018 L007323 FARHAD RINALDI TN
220 060918001184 06/09/2018 L094745 DARWATI HJ NY
221 060918001257 06/09/2018 L146766 MOCHAMAD RIZKY SULAIMAN AN
222 060918040373 06/09/2018 L158377 ENNY SUKAENI NY
223 060918040403 06/09/2018 L114910 BAMBANG HIDAYAT, SE TN
224 060918671276 06/09/2018 L139843 SOETADJI TN
225 060918671445 06/09/2018 L158333 HERRY SINAMARATA TN
226 060918671465 06/09/2018 L093910 DASIH NY
227 060918671480 06/09/2018 L029831 ROHATI NY
228 060918671517 06/09/2018 L146222 AHMAD HARIRUDIN TN
229 060918671521 06/09/2018 L140087 EKA PURWATI NY
230 060918671559 06/09/2018 L143996 HENMODIANO IR TN
231 060918671571 06/09/2018 L110665 ZAENAL ABIDIN TN
232 060918671578 06/09/2018 L093276 RONY ROMIKO TN
233 060918671582 06/09/2018 L146049 JAYA TN
234 060918961266 06/09/2018 C447731 PURWANTO TN
235 060918961303 06/09/2018 L152712 HADI MURSITO TN
236 060918961510 06/09/2018 C221511 UMMI ROFIQOH NY
237 060918961513 06/09/2018 L150814 AYU BT SAIJAN NY
238 060918961586 06/09/2018 L064776 HARI BUDIONO TN
239 060918961634 06/09/2018 L162623 NURHAYATI NY
240 060918980272 06/09/2018 L088622 JAENDAR HUTAGAOL TN
241 060918991535 06/09/2018 L101725 MUARIPAH NY
242 060918991566 06/09/2018 L073071 NELVIA MURTI HJ. NY
243 060918991588 06/09/2018 L007405 KOK TJIN SAN TN
244 060918991643 06/09/2018 L069379 AGUNG TRIONO BASUKI TN
245 060918991648 06/09/2018 L157069 ASEP ENAN TN
246 060918991671 06/09/2018 L152620 NINING SUPRIYATININGSIH NY
247 060918991684 06/09/2018 L152442 SOKRIAH NY
248 060918991695 06/09/2018 L160921 ARDI SUPRIADI TN
249 070918040440 07/09/2018 L113457 REGIA AMBARITA NY
250 070918040683 07/09/2018 L078401 NANA OKTAVIANA NY
251 070918041494 07/09/2018 L072700 ISKANDAR KUSNADI TN
252 070918791055 07/09/2018 A300560 MURNIHATI NY
253 070918791226 07/09/2018 L117660 ABDU QIYAN MALIK ABBAS AN
254 070918791267 07/09/2018 L001823 EKO TRI SURYADI TN
255 070918791412 07/09/2018 L164518 JUMADI TN
256 070918791434 07/09/2018 L066774 MARYA R. BAINANI NY
257 070918791449 07/09/2018 C017899 AMBAR DYAH WINARNI NY
258 070918791558 07/09/2018 C247850 NOVIANTI PURWANINGSIH NY
259 070918791591 07/09/2018 L149348 SUPARMAN TN
260 070918791603 07/09/2018 L158452 MARSIH NY
261 070918880180 07/09/2018 L140330 RANIH NY
262 070918880188 07/09/2018 L093635 WAKIM TN
263 070918880204 07/09/2018 L067052 MARYATI NY
264 070918880214 07/09/2018 L068108 RIDWAN D TN
265 070918880218 07/09/2018 L163816 JAMILAH NY
266 070918880292 07/09/2018 L084634 DARMAH BT KATMO NY
267 070918880324 07/09/2018 L157226 RUM NY
268 070918880337 07/09/2018 L131897 MISNAWATI NY
269 070918880343 07/09/2018 L158794 YAYAN HARYANTO TN
270 070918880390 07/09/2018 L109778 MAHMUD AZIS TN
271 070918880423 07/09/2018 L155493 DINA KAMELLIA NY
272 070918880442 07/09/2018 L073889 ADE HIDAYATULLAH TN
273 070918880461 07/09/2018 L163808 SRI WAHYUNI NY
274 070918880521 07/09/2018 L163053 ENVILLE NY
275 070918880575 07/09/2018 L164498 HENI RAHMAWATI NY
276 070918880588 07/09/2018 L067389 SUMIYATI NY
277 070918880616 07/09/2018 L108510 ADRIAN MATKUSSA TN
278 070918880646 07/09/2018 L153160 CEPI ZULKARNAIN TN
279 070918880674 07/09/2018 L091776 SYAFIQ FIRANDA AN
280 070918880675 07/09/2018 L147540 YAZID IMANUL HAQ AN
281 070918971057 07/09/2018 L141918 SUNARLIN NY
282 070918971109 07/09/2018 L139623 IIS ISNAWATI NY
283 070918971131 07/09/2018 L064498 WARDOKO TN
284 070918971141 07/09/2018 L134891 ZULMAHDI TN
285 070918971143 07/09/2018 L078079 ASAN MUHASAN TN
286 070918971183 07/09/2018 L141477 PURNOMO TN
287 070918971250 07/09/2018 L143996 HENMODIANO IR TN
288 070918971320 07/09/2018 L159103 SUGIJONO WIRYOSASTRO TN
289 070918971347 07/09/2018 L107419 MAH IKHWAN TN
290 080918050413 08/09/2018 L069680 NANI SURYANI NY
291 080918050532 08/09/2018 L164573 UMI NURHAYATI NY
292 080918050552 08/09/2018 L154981 QOMARIAH NY
293 080918050844 08/09/2018 L159061 SYAIFULL IZAN TN
294 080918350235 08/09/2018 C135943 DYAH WIDIYARETNA.DRA,NY
295 080918350240 08/09/2018 L127239 NIIH NY
296 080918350267 08/09/2018 L160495 JAMILAH NY
297 080918350299 08/09/2018 L163152 NA GWAT LIEM TN
298 080918350309 08/09/2018 L161608 KASMAN TN
299 080918350318 08/09/2018 L002321 VERONICA GANIVIANTI .T. NY
300 080918350339 08/09/2018 L147448 JUPRI TN
301 080918350353 08/09/2018 L135782 ESTI SULASIH NY
302 080918350360 08/09/2018 L058008 SUMIATI NY
303 080918350373 08/09/2018 L114595 RIZKY CHANDRA PRIYADI AN
304 080918350425 08/09/2018 L097822 SUTINAH NY
305 080918350438 08/09/2018 L068609 NADILA KARAMINA NN
306 080918350499 08/09/2018 L103199 YOHANA NY
307 080918350508 08/09/2018 L080139 ANITA KAROLINA NY
308 080918350558 08/09/2018 L154492 SITI ASMAROH NY
309 080918350570 08/09/2018 L040607 YOHANES POERWANTO TN
310 080918350610 08/09/2018 L104181 NAURA NADHIFA RAMADANI AN
311 080918350675 08/09/2018 L118320 SUGIYONO TN
312 080918350688 08/09/2018 L125682 SRI REJEKI NY
313 080918350699 08/09/2018 L131251 ABIZAR YUSUF FAIZAN AN
314 080918631419 08/09/2018 L066256 ZAMARDI RIFAI TN
315 080918631486 08/09/2018 L095211 TUTI PARDININGSIH NY
316 080918631547 08/09/2018 L140682 ROPIAH NY
317 080918631585 08/09/2018 L138177 UMIH NY
318 080918640295 08/09/2018 L090430 YENNY HANDAYANI NY
319 080918640441 08/09/2018 C059785 ROOSITA NY
320 080918640510 08/09/2018 L157557 SITI QURAESIN NINGSIH NY
321 080918640538 08/09/2018 L078013 H.ONO TN
322 080918640633 08/09/2018 L091326 ABDUL ROSID TN
323 080918881091 08/09/2018 L091724 HERMAN ACHMAD TN
324 080918881180 08/09/2018 L152647 ONCIH SUHARSIH NY
325 080918881255 08/09/2018 L154102 SUTIYEM NY
326 080918881386 08/09/2018 L097096 RUSPIAH NY
327 080918881406 08/09/2018 L155997 DANISH SYAFIQ AN
328 080918881422 08/09/2018 L158811 WAHYUDI EKO PRASETYO TN
329 080918881532 08/09/2018 L091353 RATU KHOFIFAH AN
330 080918881583 08/09/2018 L157369 MEY MULYANI NY
331 080918881624 08/09/2018 L146248 HARIS FADILAH TN
332 080918881639 08/09/2018 L159886 SUWINI NY
333 080918881651 08/09/2018 L162370 ABDUL WADUD TN
334 080918881673 08/09/2018 L076738 SATYA NUGRAHA LAKSANA TN
335 090918050346 09/09/2018 L096563 RIFQI DZIHAN KHAIRI AN
336 100918040202 10/09/2018 L108711 SUKADI TN
337 100918040301 10/09/2018 L063542 SUSILAWATI NY
338 100918040322 10/09/2018 L137162 MIMIEN ISTIANY NY
339 100918040345 10/09/2018 L137058 YATIN TN
340 100918040380 10/09/2018 L152238 RAYA HUTAGALUNG NY
341 100918040452 10/09/2018 L096875 CAROLINA RIDA WAHYUNINGSIH NY
342 100918040470 10/09/2018 L139139 MURTINAH NY
343 100918040527 10/09/2018 L137827 PASEM NY
344 100918040544 10/09/2018 L083356 RADEN NITA JUNIAWATI NY
345 100918040564 10/09/2018 L156573 ISMI SALSABILA SAPUTRI NY
346 100918040578 10/09/2018 L114399 SAIBAH NY
347 100918040601 10/09/2018 L046663 SYAFERIS IRAWAN TN
348 100918040608 10/09/2018 L151108 ETY ISWAHYUNI NY
349 100918040677 10/09/2018 L069680 NANI SURYANI NY
350 100918040758 10/09/2018 L147460 SERIKAT SEMBIRING TN
351 100918040788 10/09/2018 C459947 YANAH SUGINI NY
352 100918040793 10/09/2018 L088597 OMAN TN
353 100918040876 10/09/2018 L077007 SUDARMI NY
354 100918040878 10/09/2018 L141211 ROMLI TN
355 100918040887 10/09/2018 L143848 FATIMAH H SYAFIUDIN NY
356 100918040957 10/09/2018 L140903 SRI LESTARI NY
357 100918040973 10/09/2018 L158258 SUKIJO TN
358 100918040981 10/09/2018 L107189 HALIMATU SADIAH NY
359 100918041004 10/09/2018 L123187 TUMINAH NY
360 100918041081 10/09/2018 L160555 SRI SUTARMI NY
361 100918041086 10/09/2018 L137022 EDENG SUJANA TN
362 100918041091 10/09/2018 L159866 SURIAMAH BT KIJAR NY
363 100918041097 10/09/2018 L140056 A. HASYIM NASUTION TN
364 100918041107 10/09/2018 L108634 DEDEH JUARSIH NY
365 100918041120 10/09/2018 L052091 ERMA WARNI NY
366 100918041169 10/09/2018 L164049 SUPARMI NY
367 100918041235 10/09/2018 L067808 SUWARSIH NY
368 100918041242 10/09/2018 L064737 M NURLIS TN
369 100918041313 10/09/2018 L157556 ACHMAD FAHRUDIN TN
370 100918041701 10/09/2018 L094520 JUMAIRI TN
371 100918041811 10/09/2018 L152633 KARMIDAH NY
372 100918041830 10/09/2018 L154247 YAN EFENDI TN
373 100918041838 10/09/2018 L158535 ABDURRAHMAN SIDDIQ MPDI H TN
374 100918042002 10/09/2018 L135503 MAMUAJA RIA ISABELLA C NY
375 100918042013 10/09/2018 L108369 RACHLAN TOGATOROP TN
376 100918631445 10/09/2018 L161737 SITI MUJIATI NY
377 100918631452 10/09/2018 L154571 TRISNO JOEWONO DHARMAWAN TN
378 100918631582 10/09/2018 L162463 MAKSUM TN
379 100918631623 10/09/2018 L158315 SITI WAKINAH NY
380 100918631657 10/09/2018 L161171 SAROAH NY
381 100918631661 10/09/2018 L146046 SLAMET SANTOSO TN
382 100918631664 10/09/2018 L076877 PARIJO TN
383 100918631688 10/09/2018 L080108 ASEP SUPANDI TN
384 100918631691 10/09/2018 L142491 SLAMET TN
385 100918631695 10/09/2018 L055786 JAMHUL PURBA TN
386 100918631702 10/09/2018 L105218 ALEXANDER MANOREK TN
387 100918631734 10/09/2018 L156332 APO SARAGIH TN
388 100918631765 10/09/2018 L029656 FRANCISCUS XAVERIUS KAMURANTO
389 100918631773 10/09/2018 L081018 TRI HADI NUGROHO TN
390 100918631778 10/09/2018 L015647 FATICHAH NY
391 100918631793 10/09/2018 L065291 NITA ZAWIYAH NY
392 100918631822 10/09/2018 L164089 OSIN BIN ALIN TN
393 100918631926 10/09/2018 L105058 ALIM HARI LONO TN
394 100918631950 10/09/2018 L030210 PURWANDI SARMANTO TN
395 100918631955 10/09/2018 L069450 ASRIL DAHLAN TN
396 100918631962 10/09/2018 L120680 ARSALI TN
397 100918631968 10/09/2018 L154358 KASIR TN
398 100918631993 10/09/2018 L084916 NENENG ROKAYAH NY
399 100918632021 10/09/2018 L059237 SRI SUMIARTI NY
400 100918632033 10/09/2018 L103042 DIDI IMAN YANI TN
401 100918632043 10/09/2018 L092432 SRI INDRAWATI NY
402 100918632054 10/09/2018 L092032 MARLIAH M NY
403 100918632061 10/09/2018 L078655 FREDRIK HENDRIK MERAY TN
404 100918632070 10/09/2018 L152320 RISAN BIN JENONG TN
405 100918632076 10/09/2018 L144901 ROZAK TN
406 100918632092 10/09/2018 L105702 WIDY HIDAYAT TN
407 100918632107 10/09/2018 L118996 EDI SUTARDI TN
408 100918632118 10/09/2018 L126185 TITIN SUMARNI NY
409 100918632135 10/09/2018 L138663 KARYA NY
410 100918642121 10/09/2018 L139736 LIA JULIANTI NY
411 100918642145 10/09/2018 L150573 WATAM TN
412 100918642156 10/09/2018 L138749 AGUS SUJOSO TN
413 100918642173 10/09/2018 L082636 YESI YUSNITA NY
414 100918642180 10/09/2018 L132983 SIM TONG KIAT TN
415 100918642190 10/09/2018 L084395 MARJUKI TN
416 100918642205 10/09/2018 L156845 ASNI NY
417 100918642212 10/09/2018 L113714 TINA ROSTINA NY
418 100918642225 10/09/2018 L163816 JAMILAH NY
419 100918642228 10/09/2018 L056706 HASPER L TORUAN TN
420 100918642231 10/09/2018 L149947 SUGENG RIYADI TN
421 100918642234 10/09/2018 L161323 HERMANA TN
422 100918870462 10/09/2018 L115000 KHAIRUDDIN TN
423 100918870562 10/09/2018 L118785 RATNO YULIANTORO TN
424 100918870595 10/09/2018 L111229 SULARMI NY
425 100918870647 10/09/2018 L163294 ASMAWI TN
426 100918870704 10/09/2018 L154218 RAGANATA REVINANDA TN
427 100918870715 10/09/2018 L142182 H NURSINGGIH TN
428 100918870724 10/09/2018 L142182 H NURSINGGIH TN
429 100918870764 10/09/2018 L083188 SAIMIN TN
430 100918870862 10/09/2018 L164445 ELIDA NY
431 100918870976 10/09/2018 L133690 ROSID TN
432 100918871088 10/09/2018 L146492 IVONNY M TAROREH NY
433 100918960419 10/09/2018 L129044 MG SIREGAR BA TN
434 100918991526 10/09/2018 L073780 NASRUL RUSIM TN
435 100918991872 10/09/2018 L140126 KASUM NY
436 100918991901 10/09/2018 L099896 SUPRIJADI TN
437 100918992031 10/09/2018 L162776 MARDIANA NY
438 100918992049 10/09/2018 L125201 MINAH NY
439 100918992052 10/09/2018 L156566 UNI NY
440 100918992064 10/09/2018 L126554 HENDRADI TN
441 100918992113 10/09/2018 L123701 HEUW JUN LAN NY
442 100918992116 10/09/2018 L135323 DJOKO SETIABUDI TN
443 100918992142 10/09/2018 L132456 DANIEL WESTREENEN TN
444 100918992160 10/09/2018 L162642 SRI KANTY HJ NY
445 100918992175 10/09/2018 L112939 DJURDJANI TN
446 100918992188 10/09/2018 L144124 RUSINI NY
447 100918992193 10/09/2018 L150853 TOYO TN
448 100918992200 10/09/2018 L157950 KARSIH NY
449 100918992220 10/09/2018 L132834 SURATMAN TN
450 110918050133 11/09/2018 L109439 ABAS TIAN SUPYANITIN AN
451 120918040259 12/09/2018 L152035 MUMIN BIN H.BUNYAMIN TN
452 120918040368 12/09/2018 L090253 MUKHTAR TN
453 120918040376 12/09/2018 L088526 ISNAENI NY
454 120918040391 12/09/2018 L112615 TRI CAHYANINGSIH NY
455 120918040481 12/09/2018 L002611 PRASETIJO NUGROHO TN.
456 120918040496 12/09/2018 L085635 YUSUF SUPARMAN TN
457 120918040579 12/09/2018 L097864 UMAMAH NY
458 120918040592 12/09/2018 L109598 SURACHMAN TN
459 120918040674 12/09/2018 L146405 YOYO SUNARYO TN
460 120918040681 12/09/2018 L061298 DARMONO TN
461 120918040686 12/09/2018 L163544 DIDI SUPARDI TN
462 120918040755 12/09/2018 L144846 PARMIN TN
463 120918040757 12/09/2018 L125441 TOSHIO VIRENDRA AL BUKHARI AN
464 120918040798 12/09/2018 L130063 MISAR GUNTUR H TN
465 120918040802 12/09/2018 C304927 TATI NY
466 120918040928 12/09/2018 L098777 IWAN SETIAWAN TN
467 120918040936 12/09/2018 L088951 PARINEM NY
468 120918040946 12/09/2018 L162886 SAJEM BIN NESAN NY
469 120918040953 12/09/2018 L103031 MUKIMIN TN
470 120918040966 12/09/2018 L063277 TJONG A KIM TN
471 120918041379 12/09/2018 L158532 SABENI SIGARLAKI TN
472 120918041389 12/09/2018 L080404 TEGUH PRIADI IR TN
473 120918041391 12/09/2018 L158957 ABDURIYANTO TN
474 120918041393 12/09/2018 L144703 UDIN SYAMSUDIN TN
475 120918041395 12/09/2018 L155502 LUDIRO PRIYO DWI ASTO TN
476 120918041397 12/09/2018 L151387 MUHAMMAD USTAMAH TOBIAS B TN
477 120918041399 12/09/2018 L149678 ALBERT TN
478 120918041401 12/09/2018 L083251 GO LONG THO NY
479 120918041441 12/09/2018 L074609 SUKIARA NY
480 120918671526 12/09/2018 L150821 SENTOT SESOTYAYANA, SH TN
481 120918671532 12/09/2018 L075258 DARWITA TN
482 120918671626 12/09/2018 L160312 SRI MULYANI MADJID NY
483 120918671743 12/09/2018 L106506 ACHMAD SOBARI TN
484 120918671858 12/09/2018 L165010 ROFIQOH NY
485 120918671878 12/09/2018 L161772 ISBANDI TN
486 120918671905 12/09/2018 L113093 LASTRI NY
487 120918672027 12/09/2018 L023002 STEVEN TN
488 120918672052 12/09/2018 L011479 LIDYA V HEUVELMAN RUY NY
489 120918672066 12/09/2018 L066194 NOMER SIHOTANG TN
490 120918672198 12/09/2018 L009178 HARSI DAMRA TN
491 120918672231 12/09/2018 L121468 LEKIAN DJOHAN TN
492 120918672249 12/09/2018 L140647 SAKINO SUYADI TN
493 120918672274 12/09/2018 L122925 ARJA SUPRIYADI TN
494 120918672290 12/09/2018 L126333 MONIN TN
495 120918672348 12/09/2018 L136134 TJARSEWI AL NURATI NY
496 120918970566 12/09/2018 L123615 SUDRAJAT TN
497 120918970658 12/09/2018 L030457 LUTHER GUSTAF JOPIE SOPUTAN TN
498 120918970774 12/09/2018 L131813 JHONI SINAMBELA TN
499 120918970937 12/09/2018 L114319 FENDI S TN
500 120918971079 12/09/2018 L164301 TEUKU BUSTAMAN TN
501 130918040492 13/09/2018 L134553 SULARNI NY
502 130918040508 13/09/2018 L155350 SUTRISNO TN
503 130918040516 13/09/2018 L144957 MUTI NY
504 130918040643 13/09/2018 L104769 EUIS NURYATI NY
505 130918040663 13/09/2018 L127434 MISAWATI NY
506 130918040735 13/09/2018 L157952 JURNADI TN
507 130918040762 13/09/2018 L013599 IIM ABDUROHIM TN
508 130918040792 13/09/2018 L156355 TITUT VIGE ASTAWATI NY
509 130918040799 13/09/2018 L098947 PRAPTO WAHYONO TN
510 130918040827 13/09/2018 L069379 AGUNG TRIONO BASUKI TN
511 130918041019 13/09/2018 L081226 SUBARDIAH NY
512 130918051060 13/09/2018 L114234 FAISAL AL KATIRI
513 130918051063 13/09/2018 L153727 DASIH NY
514 130918051085 13/09/2018 L148742 REVOLUSI HUTAGALUNG TN
515 130918051093 13/09/2018 L118665 ISRO BUDI NAULI BATUBARA TN
516 130918051096 13/09/2018 L035401 SUHARYANTO TN
517 130918051182 13/09/2018 L142309 HERMAN LAKSAMANA TN
518 130918051207 13/09/2018 L136964 NURZALISMIS NY
519 130918051210 13/09/2018 L134260 LAILATUL QODRIAH NY
520 130918051217 13/09/2018 L075601 DARMALIS TN
521 130918051225 13/09/2018 L142309 HERMAN LAKSAMANA TN
522 130918051290 13/09/2018 L163294 ASMAWI TN
523 130918051473 13/09/2018 L154954 ABDUL WAHAB H. TN
524 130918051490 13/09/2018 L144775 AGUS GUNAWAN TN
525 130918051511 13/09/2018 L154824 RUS SUPARDAN TN
526 130918051559 13/09/2018 L068701 MAWARTI NY
527 130918051563 13/09/2018 L067095 SUKARNO HS TN
528 130918051585 13/09/2018 L118785 RATNO YULIANTORO TN
529 130918051610 13/09/2018 L008000 AGUS CAHYONO
530 130918051635 13/09/2018 L105058 ALIM HARI LONO TN
531 130918051681 13/09/2018 L163722 MISJAYA H TN
532 130918051687 13/09/2018 L121683 ROSMIATI NY
533 130918051703 13/09/2018 L083251 GO LONG THO NY
534 130918051743 13/09/2018 L094520 JUMAIRI TN
535 130918051746 13/09/2018 L152890 IBRAHIM TN
536 130918051751 13/09/2018 L114163 BISKER SIREGAR TN
537 130918051806 13/09/2018 L144301 ANA SOFIANAH NY
538 130918051813 13/09/2018 L128831 SITI ROHAYAH NY
539 130918051836 13/09/2018 L144442 JAKARIA BIN H. HIDAYAT TN
540 130918051853 13/09/2018 L090253 MUKHTAR TN
541 130918051862 13/09/2018 L104251 MASRIANI SIREGAR NY
542 130918051864 13/09/2018 L111357 TUNIN TN
543 130918051868 13/09/2018 L153927 KARMAH KARMAWATI NY
544 130918051894 13/09/2018 L067460 MAWAR MANULLANG NY
545 130918051905 13/09/2018 L086293 MARGANTI H SIMARANGKIR TN
546 130918051916 13/09/2018 L080374 ABD ROHIM TN
547 130918051920 13/09/2018 L118641 EDUARDUS M DRS TN
548 130918350443 13/09/2018 L074609 SUKIARA NY
549 130918350465 13/09/2018 L116914 FITRAYENI NY
550 130918350536 13/09/2018 L067052 MARYATI NY
551 130918350538 13/09/2018 L108711 SUKADI TN
552 130918350552 13/09/2018 L154005 IWAN SAFWANI TN
553 130918350567 13/09/2018 L079440 KOMALASARI NY
554 130918350571 13/09/2018 C419773 DASPI NY
555 130918350580 13/09/2018 L098333 SULASTRI B.DAI NY
556 130918350606 13/09/2018 L145554 HARYATI LESTARI NY
557 130918350625 13/09/2018 L104091 SETYA RESMIYATI NY
558 130918350644 13/09/2018 L163004 MAKDIN SIMANJUNTAK TN
559 130918350651 13/09/2018 L134624 MARIYAMAH NY
560 130918350668 13/09/2018 L163042 MULYATI NY
561 130918350769 13/09/2018 L101298 NONO SUHARSONO TN
562 130918350777 13/09/2018 L163039 AANG ABU HASAN TN
563 130918350788 13/09/2018 L140074 WANDI SITUMORANG TN
564 130918350794 13/09/2018 L099509 JUMADI TN
565 130918350797 13/09/2018 L158920 ROSITA SITUMORANG NY
566 130918350867 13/09/2018 L161463 NUSAN TN
567 130918350878 13/09/2018 L162481 WAGINEM NY
568 130918350892 13/09/2018 L070145 HEBERT SIREGAR TN
569 130918350932 13/09/2018 L163530 ANWAR BAKRI TN
570 130918350937 13/09/2018 L106750 MUMUN MULHAEDI TN
571 130918350939 13/09/2018 L161497 ASMIATI NY
572 130918350941 13/09/2018 L088084 CHRISTINAWATI NY
573 130918350946 13/09/2018 L164278 SUPARMIN TN
574 130918350950 13/09/2018 L158532 SABENI SIGARLAKI TN
575 130918350954 13/09/2018 L067808 SUWARSIH NY
576 130918350965 13/09/2018 L109370 DANI SARTIKA NY
577 130918350968 13/09/2018 L157361 IRWAN TN
578 130918350970 13/09/2018 L085053 SUMISIH NY
579 130918350972 13/09/2018 L157373 JAUN SUJANA TN
580 130918350985 13/09/2018 L118316 IWAN MUHAMMAD SETIAWAN TN
581 130918350997 13/09/2018 L118344 JOHANNES B MANURUNG TN
582 130918631937 13/09/2018 L162419 LOCENG TN
583 130918631962 13/09/2018 L156026 MARIAM NY
584 130918632002 13/09/2018 L138900 MUHAMAD SYUKRI TN
585 130918632014 13/09/2018 L165147 FERY RISWAN TN
586 130918632016 13/09/2018 L161423 R SUKENDA TN
587 130918961274 13/09/2018 L089187 BAMBANG HERDOKO TN
588 130918961602 13/09/2018 L098816 FELLIX JUWANTONO AN
589 130918961786 13/09/2018 L128998 DEFANNY MARIZKA PUTRI AN
590 130918961969 13/09/2018 L145350 CASMI NY
591 130918961976 13/09/2018 L036036 SYARIFUDIN TN
592 130918962025 13/09/2018 L153663 MEGAWATI SITEPU DRA NY
593 130918962029 13/09/2018 L134095 ABDUL ROJAK TN
594 130918971449 13/09/2018 L083317 HARYONO TN
595 140918041041 14/09/2018 L035401 SUHARYANTO TN
596 140918041119 14/09/2018 L158292 INDRI LUSI IRAWATI NY
597 140918041273 14/09/2018 L152116 SAYONO TN
598 140918041278 14/09/2018 L070290 SUKARMIN TN
599 140918041281 14/09/2018 L101216 HERY PURWANTO TN
600 140918041284 14/09/2018 L164370 NUNUNG NURHASANAH NY
601 140918041288 14/09/2018 L112647 SRI RAHAYU NY
602 140918041290 14/09/2018 L141796 ABDUL ROCHIM TN
603 140918041292 14/09/2018 L070290 SUKARMIN TN
604 140918041325 14/09/2018 L128200 AGUS SANTOSA TN
605 140918041426 14/09/2018 L158384 YANDI MULYANA TN
606 140918041429 14/09/2018 L098787 RASJO TN
607 140918041433 14/09/2018 L139835 NURUDIN TOYIBI TN
608 140918041437 14/09/2018 L101920 SINUR SIANTURI NY
609 140918041537 14/09/2018 L103256 ODDY DARMIUS TN
610 140918050377 14/09/2018 L113130 ANI KUSMIATI NY
611 140918050483 14/09/2018 L161810 WARTINI NY
612 140918050572 14/09/2018 L162388 KURNIA SUDHIYANTO TN
613 140918050598 14/09/2018 L156351 HERI SUPRIYANTO TN
614 140918050765 14/09/2018 L141888 NINIK SUNARSIH NY
615 140918050835 14/09/2018 L075706 NORA TARMADI NY
616 140918630023 14/09/2018 L065169 RUSLY TN
617 140918631667 14/09/2018 L160911 SULASTRI NY
618 140918880954 14/09/2018 L102454 ADAM FAIZ A AN
619 140918981340 14/09/2018 L163483 HADI SUKADI TN
620 140918981405 14/09/2018 L113639 YULIANA WATI NY
621 140918981450 14/09/2018 L094022 KUSMIATI NY
622 140918990268 14/09/2018 L036143 LEONARD P H HUTASOIT TN
623 140918990294 14/09/2018 L161671 SURIATI NY
624 140918990303 14/09/2018 L081751 MURSIH TITIH HJ NY
625 140918990310 14/09/2018 L163152 NA GWAT LIEM TN
626 140918990323 14/09/2018 L163151 SUPARMI NY
627 140918990344 14/09/2018 L036143 LEONARD P H HUTASOIT TN
628 140918990356 14/09/2018 L131763 ROZILI TN
629 140918990378 14/09/2018 L163152 NA GWAT LIEM TN
630 140918990469 14/09/2018 L085453 EDY SUBAGIYO TN
631 140918990482 14/09/2018 L022055 PURUSHA POERWOKOESOEMO TN
632 140918990500 14/09/2018 L148228 DIRMAN TN
633 140918990535 14/09/2018 L128625 EKO BUDI PRIYANTO TN
634 140918990634 14/09/2018 L136201 FERY HARYANTO TN
635 140918990651 14/09/2018 C538805 GRIETYE M MAGDALENA NY
636 140918990654 14/09/2018 L062915 MARIA SULISTYOWATI NY
637 140918990685 14/09/2018 L159370 PRASETYO SUDIRJO TN
638 140918990690 14/09/2018 L162398 SRI MULIH DIYANTI NY
639 140918990746 14/09/2018 L107786 DIES INDRIANI NY
640 140918990750 14/09/2018 L158160 KATARINA SIM GAMPANG NY
641 140918990757 14/09/2018 L127939 ALFINE HUTABARAT NY
642 140918990761 14/09/2018 L002309 DADDY ACHADIAT TN
643 140918990771 14/09/2018 L028975 VERMINUS S TN
644 140918990802 14/09/2018 L162169 SYIFA INDAH ATIQA NN
645 140918990861 14/09/2018 L162760 THERESIA SURAJA NN
646 140918990886 14/09/2018 L104769 EUIS NURYATI NY
647 150918041448 15/09/2018 L105817 SURYANI NY
648 150918050277 15/09/2018 L160863 CICIH NY
649 150918050343 15/09/2018 L132246 N KURNIA NY
650 150918050439 15/09/2018 L152502 MUNIH NY
651 150918050445 15/09/2018 L140647 SAKINO SUYADI TN
652 150918050490 15/09/2018 L128266 RR BUNGAH WULAN AMBAR W NY
653 150918050494 15/09/2018 L136241 TASMAN TN
654 150918050729 15/09/2018 L141909 SUNARSIH NY
655 150918050733 15/09/2018 L120727 MAYANAH NY
656 150918050798 15/09/2018 L091046 RAMDANI TN
657 150918050802 15/09/2018 L158297 EKO BUDI RAHARJO TN
658 150918050808 15/09/2018 L163659 AAN ANGGRAINI NY
659 150918050812 15/09/2018 L107785 WITARTI NY
660 150918050828 15/09/2018 L160271 TJAHYONO TN
661 150918050910 15/09/2018 L052090 HERAWATI NN
662 150918050920 15/09/2018 L155493 DINA KAMELLIA NY
663 150918050926 15/09/2018 L161967 AGUSTINUS HARIYATMOKO TN
664 150918050963 15/09/2018 L132597 HAMDANI TN
665 150918051029 15/09/2018 L103527 FORTELI ANDRE TN
666 150918051036 15/09/2018 L165312 HETI ROHAYATI NY
667 150918051044 15/09/2018 L120558 ROHANI NY
668 150918671378 15/09/2018 C454277 LILIS NURHAYATI NY
669 150918671430 15/09/2018 L100866 SAROLI HALAWA IR MA TN
670 150918671440 15/09/2018 L153621 SENTOT PURWADI TN
671 150918671483 15/09/2018 L011896 BUDI A RUMONDOR TN
672 150918671495 15/09/2018 L155550 JONNER GULTOM TN
673 150918671505 15/09/2018 L068469 EDY WINARNO TN
674 150918671548 15/09/2018 L065674 HARTANTO TN
675 150918671769 15/09/2018 L110746 KAMAT H TN
676 150918671775 15/09/2018 L119214 MURIADI TN
677 150918671799 15/09/2018 L133469 MORALAN LUMBAN TORUAN TN
678 150918671801 15/09/2018 L154128 BANDI TN
679 150918671837 15/09/2018 L159474 DJEDJE SUWARNA TN
680 150918671877 15/09/2018 L136677 MUSLIM TN
681 150918671885 15/09/2018 L084176 LALA FADILAH TN
682 150918671918 15/09/2018 L142481 WIWIN PANGESTU WALUYATI NY
683 150918981805 15/09/2018 L137723 N NURAINI NY
684 150918990233 15/09/2018 L127618 SYARMAI YENDRI TN
685 150918990533 15/09/2018 L098777 IWAN SETIAWAN TN
686 150918990680 15/09/2018 L130678 HERIBERTA PAMUJI RINAWATI NY
687 150918990693 15/09/2018 L090390 EVANILZA KOTO NY
688 150918990794 15/09/2018 L001226 IRAWAN MASVIANTO TN
689 150918990896 15/09/2018 L069379 AGUNG TRIONO BASUKI TN
690 150918990917 15/09/2018 L018717 ROSIDAH SUANI NY
691 150918990927 15/09/2018 L097754 SULARMI NY
692 160918970443 16/09/2018 L129407 FAJAR MAULANA TN
693 160918990087 16/09/2018 L106497 SUKIYANI NY
694 170918041146 17/09/2018 L160376 SUTOMO TN
695 170918051369 17/09/2018 L161222 DEVI NOVIYANTI NN
696 170918051433 17/09/2018 L099864 MUCHSIN TN
697 170918051547 17/09/2018 C216436 IDA YULIANINGRUM NY
698 170918051550 17/09/2018 L095957 ALIYAH NY
699 170918051553 17/09/2018 L113998 SUMIYATI NY
700 170918051555 17/09/2018 L089102 MF WURYANTI NY
701 170918051577 17/09/2018 L137269 LAMSIHAR PANE NY
702 170918051583 17/09/2018 L129566 SUDIRO TN
703 170918051593 17/09/2018 L117132 IYEM BINTI SALI NY
704 170918051596 17/09/2018 L123970 ELYA NURIDA NY
705 170918051624 17/09/2018 L155430 ZAITUNI TN
706 170918051656 17/09/2018 L113476 SRI SURAMI NY
707 170918051676 17/09/2018 L091791 AGUS SOLEH SUDRAJAT TN
708 170918051723 17/09/2018 L118785 RATNO YULIANTORO TN
709 170918051766 17/09/2018 L092368 DJONNY SIAGIAN TN
710 170918051786 17/09/2018 L152838 HARI MARYANTO TN
711 170918051800 17/09/2018 L161205 SUSIANAH NY
712 170918051814 17/09/2018 L142277 DYAH WIGATI SASHANTI NN
713 170918051821 17/09/2018 L120313 SRI SUWARSIH NY
714 170918051835 17/09/2018 L145765 SOEMANTRI TN
715 170918051842 17/09/2018 L162264 NIA SRI YUNIARTI NY
716 170918051849 17/09/2018 L130609 HERYSAMSUL TN
717 170918631200 17/09/2018 L087376 ELISABETH ENDANG WINARTI NY
718 170918631540 17/09/2018 L026156 ROOSTINI NY
719 170918631636 17/09/2018 L075889 HURUN AIN NY
720 170918631668 17/09/2018 L114461 INDRIYATI S NY
721 170918631762 17/09/2018 L114461 INDRIYATI S NY
722 170918631780 17/09/2018 L033607 IKA DAMAYANTI NY
723 170918671818 17/09/2018 L067460 MAWAR MANULLANG NY
724 170918671832 17/09/2018 L042636 SARAH NABILAH NY
725 170918671892 17/09/2018 L162853 MUHAMMAD IRFAN NAIL TN
726 170918671922 17/09/2018 L087196 KASMURI H. TN
727 170918671928 17/09/2018 L089825 MARSINI NY
728 170918870327 17/09/2018 L099718 ADE SAPUTRA TN
729 170918870566 17/09/2018 L050272 SURAJI TN
730 170918870746 17/09/2018 L158907 SITI ROKHAYATI NY
731 170918881895 17/09/2018 L084395 MARJUKI TN
732 170918881898 17/09/2018 L152845 PENI PALWATI NY
733 170918881966 17/09/2018 L144643 SARRAH MAHARANI NY
734 170918881978 17/09/2018 L070290 SUKARMIN TN
735 170918881982 17/09/2018 L052090 HERAWATI NN
736 170918881988 17/09/2018 L021393 NG SIAT FAH,NY
737 170918881990 17/09/2018 L082137 BUDININGSIH NY
738 170918881993 17/09/2018 L133350 NURLELA ADNAN NY
739 170918881996 17/09/2018 L140408 SITI MASRIAH NY
740 170918882009 17/09/2018 L158002 MARDJUKI TN
741 170918882017 17/09/2018 L121325 BAMBANG RIYANTO SPD TN
742 170918882025 17/09/2018 L159182 MUMUN NY
743 170918882028 17/09/2018 L125380 SARMA WIJAYA TN
744 170918970331 17/09/2018 L162807 MUSRIFAH NY
745 170918970421 17/09/2018 L140054 SUMIATI SURA NY
746 170918970520 17/09/2018 L164049 SUPARMI NY
747 170918970606 17/09/2018 L086662 YAYUK SRI RAHAYU NY
748 170918970656 17/09/2018 L079877 ARTINI AMIR NY
749 170918970661 17/09/2018 L080806 PROBO SUSILARTI NY
750 170918970737 17/09/2018 L164047 JAENAH NY
751 170918970748 17/09/2018 L086225 DIAH ASTUTI S NY
752 170918970866 17/09/2018 L128119 AWIRNA NY
753 170918970870 17/09/2018 L160863 CICIH NY
754 170918970879 17/09/2018 L155476 BERLINDIS BENGAN NY
755 170918970883 17/09/2018 L164811 MIKARINO RAMADAN AN
756 170918970887 17/09/2018 L163246 YANIH NY
757 170918970899 17/09/2018 L002567 AMALIA HJ. NY.
758 170918970912 17/09/2018 L165486 SUNARNO TN
759 170918970914 17/09/2018 L141804 WIDODO TN
760 170918971090 17/09/2018 L157948 YUMNA AL ZAHIRA AN
761 17 L159260 LILIS NY
 18/09/2018 10:39:10

AHAAN RAWAT JALAN

(OBAT KRONIS )

Hal . : 1

Jumlah

169,470.00
9,200.00
169,470.00
169,470.00
169,470.00
221,100.00
HIN SURGA .P AN 108,500.00
135,700.00
487,200.00
105,447.00
65,771.00
83,950.00
106,197.00
179,800.00
82,671.00
647,101.00
129,421.00
25,700.00
129,021.00
117,571.00
31,097.00
191,921.00
128,800.00
17,650.00
37,462.00
92,000.00
126,900.00
36,800.00
92,000.00
1,012,550.00
16,100.00
70,771.00
65,771.00
UNI PUTRI AN 381,650.00
107,101.00
NGGOLAN TN 6,900.00
24,150.00
120,900.00
185,771.00
ITS RAHMAN TN 354,200.00
9,200.00
97,971.00
144,900.00
29,900.00
85,100.00
433,205.00
78,200.00
9,200.00
RISTIANDY TN 9,200.00
88,021.00
59,800.00
5,750.00
201,271.00
85,560.00
432,900.00
70,771.00
361,100.00
502,521.00
69,000.00
169,671.00
651,421.00
65,550.00
ETA PATTY NY 63,871.00
776,900.00
10,350.00
TININGSIH NY 202,600.00
126,700.00
81,650.00
28,750.00
41,200.00
6,900.00
82,400.00
135,171.00
27,200.00
145,521.00
14,862.00
75,900.00
45,647.00
177,100.00
299,400.00
339,300.00
17,250.00
184,000.00
34,100.00
67,871.00
432,900.00
71,740.00
70,771.00
13,800.00
157,950.00
486,700.00
18,000.00
968,700.00
446,400.00
151,695.00
IRLATUPONO SH TN 361,100.00
WARDHANI NY 151,695.00
HOIRUNNISA AN 134,960.00
6,900.00
660,000.00
151,695.00
169,470.00
65,771.00
447,400.00
98,500.00
17,050.00
94,300.00
 104,900.00
125,571.00
117,950.00
108,100.00
TO BIN KARMANI TN 45,100.00
108,100.00
45,100.00
84,700.00
54,900.00
94,300.00
48,550.00
52,000.00
83,421.00
6,900.00
93,150.00
349,371.00
9,200.00
223,400.00
223,400.00
78,200.00
82,500.00
42,780.00
4,600.00
45,647.00
18,400.00
79,221.00
65,771.00
86,250.00
26,050.00
79,750.00
104,900.00
TANUSAPUTRA TN 54,700.00
118,700.00
98,000.00
52,000.00
45,100.00
111,550.00
94,300.00
45,100.00
170,200.00
38,200.00
91,000.00
779,400.00
138,621.00
81,650.00
6,900.00
8,050.00
306,300.00
78,200.00
9,200.00
188,800.00
72,321.00
13,800.00
115,000.00
70,771.00
78,200.00
299,400.00
73,600.00
13,800.00
 6,900.00
17,250.00
449,900.00
7,070.00
834,200.00
138,000.00
100,250.00
294,350.00
641,800.00
447,400.00
442,600.00
112,700.00
180,550.00
188,800.00
510,715.00
225,055.00
563,001.00
115,805.00
115,000.00
151,695.00
169,470.00
108,100.00
83,950.00
9,200.00
22,600.00
10,350.00
59,800.00
6,900.00
295,500.00
16,100.00
13,800.00
65,021.00
123,855.00
185,300.00
111,055.00
110,600.00
95,450.00
7,300.00
13,800.00
11,200.00
120,750.00
63,871.00
78,821.00
6,900.00
9,200.00
28,262.00
114,600.00
59,800.00
7,300.00
96,600.00
6,900.00
169,470.00
169,470.00
203,970.00
Y SULAIMAN AN 169,470.00
70,771.00
78,821.00
218,500.00
39,497.00
 22,250.00
45,647.00
144,500.00
79,571.00
83,421.00
361,100.00
36,047.00
116,771.00
78,200.00
361,100.00
203,970.00
158,300.00
361,100.00
8,800.00
169,470.00
108,100.00
264,500.00
218,500.00
105,447.00
101,600.00
TININGSIH NY 68,600.00
8,800.00
139,021.00
47,150.00
75,371.00
609,172.00
47,150.00
IK ABBAS AN 103,100.00
313,500.00
9,200.00
105,800.00
71,690.00
ANINGSIH NY 914,872.00
132,471.00
170,200.00
85,500.00
185,771.00
60,821.00
154,100.00
56,971.00
79,971.00
33,262.00
310,371.00
119,800.00
38,147.00
108,850.00
29,900.00
56,580.00
75,900.00
226,200.00
142,531.00
148,971.00
73,600.00
20,600.00
41,200.00
105,800.00
63,871.00
81,121.00
9,660.00
 185,771.00
94,921.00
153,180.00
OSASTRO TN 233,100.00
6,900.00
386,570.00
70,771.00
6,900.00
56,971.00
56,971.00
23,000.00
971,600.00
115,000.00
14,889.00
IANTI .T. NY 1,075,421.00
94,300.00
16,100.00
78,200.00
82,400.00
3,450.00
29,900.00
82,800.00
29,900.00
193,361.00
6,900.00
RAMADANI AN 41,200.00
6,900.00
70,771.00
41,200.00
18,312.00
23,000.00
63,871.00
88,771.00
169,470.00
461,600.00
56,350.00
169,470.00
760,470.00
11,500.00
14,200.00
3,850.00
42,550.00
61,800.00
25,300.00
218,500.00
105,400.00
21,850.00
65,771.00
49,450.00
LAKSANA TN 14,200.00
41,200.00
219,800.00
8,800.00
78,200.00
79,971.00
118,450.00
WAHYUNINGSIH NY 23,900.00
49,680.00
83,421.00
 123,200.00
8,050.00
88,550.00
54,550.00
108,100.00
59,800.00
65,021.00
999,900.00
59,800.00
3,850.00
9,200.00
38,247.00
333,300.00
221,821.00
8,800.00
5,500.00
56,971.00
21,850.00
23,900.00
85,500.00
28,750.00
20,850.00
111,701.00
12,650.00
31,097.00
56,971.00
63,871.00
101,200.00
63,871.00
IDDIQ MPDI H TN 10,350.00
ABELLA C NY 159,450.00
77,950.00
56,971.00
O DHARMAWAN TN 129,200.00
15,700.00
283,171.00
63,871.00
72,671.00
67,721.00
63,871.00
27,247.00
361,100.00
56,971.00
110,400.00
ERIUS KAMURANTO 195,100.00
18,400.00
63,871.00
78,200.00
8,800.00
8,050.00
63,871.00
91,600.00
65,771.00
110,400.00
65,771.00
108,100.00
6,900.00
767,700.00
139,771.00
K MERAY TN 91,600.00
6,900.00
65,771.00
92,000.00
104,650.00
144,500.00
69,221.00
18,400.00
10,350.00
21,700.00
15,700.00
79,350.00
153,350.00
70,771.00
56,971.00
18,400.00
121,571.00
21,600.00
65,771.00
12,650.00
192,660.00
12,650.00
73,600.00
730,700.00
249,631.00
42,780.00
449,640.00
6,900.00
70,771.00
105,800.00
3,450.00
491,200.00
75,371.00
65,771.00
13,340.00
165,200.00
65,771.00
101,200.00
141,050.00
67,321.00
73,821.00
18,000.00
60,421.00
171,750.00
161,000.00
99,297.00
161,000.00
92,000.00
93,771.00
56,580.00
135,171.00
9,200.00
70,771.00
145,521.00
9,200.00
28,750.00
31,097.00
9,200.00
59,800.00
 56,971.00
A AL BUKHARI AN 41,200.00
75,371.00
863,571.00
117,500.00
192,447.00
69,621.00
13,800.00
110,600.00
6,900.00
350,600.00
6,900.00
45,647.00
800.00
AMAH TOBIAS B TN 13,800.00
23,000.00
78,200.00
59,800.00
AYANA, SH TN 476,100.00
212,900.00
676,100.00
26,400.00
10,350.00
24,495.00
106,950.00
56,971.00
MAN RUY NY 58,900.00
106,651.00
6,900.00
16,850.00
36,300.00
60,395.00
74,250.00
9,350.00
60,821.00
JOPIE SOPUTAN TN 292,400.00
18,150.00
511,100.00
175,421.00
78,200.00
169,470.00
78,200.00
655,400.00
78,821.00
169,470.00
799,700.00
291,100.00
11,000.00
3,450.00
116,301.00
3,450.00
3,850.00
28,750.00
BATUBARA TN 96,600.00
42,800.00
6,900.00
127,250.00
85,100.00
26,450.00
 4,600.00
68,900.00
75,900.00
54,700.00
361,100.00
85,100.00
82,790.00
361,100.00
89,700.00
88,400.00
218,500.00
98,500.00
52,000.00
3,450.00
119,600.00
83,462.00
115,000.00
18,400.00
28,600.00
48,550.00
45,100.00
58,900.00
18,400.00
36,300.00
ARANGKIR TN 10,695.00
132,250.00
22,600.00
394,400.00
405,200.00
9,200.00
43,600.00
118,450.00
13,400.00
43,347.00
55,450.00
78,200.00
25,300.00
34,547.00
9,200.00
28,600.00
875,000.00
105,400.00
299,400.00
188,801.00
59,800.00
786,700.00
9,200.00
671,100.00
75,371.00
1,133,800.00
299,400.00
6,900.00
188,801.00
78,200.00
563,000.00
79,750.00
18,800.00
28,750.00
112,700.00
D SETIAWAN TN 9,200.00
3,450.00
169,470.00
167,900.00
72,050.00
112,950.00
79,350.00
152,030.00
899,800.00
KA PUTRI AN 169,470.00
98,500.00
108,350.00
82,400.00
158,300.00
174,800.00
85,560.00
9,200.00
60,450.00
9,200.00
23,750.00
90,850.00
175,260.00
52,000.00
50,600.00
50,100.00
6,900.00
13,800.00
112,700.00
150,900.00
106,200.00
12,650.00
6,900.00
3,450.00
336,800.00
39,100.00
295,500.00
48,550.00
18,400.00
339,300.00
484,300.00
54,700.00
633,050.00
38,400.00
16,100.00
228,100.00
23,000.00
21,850.00
59,800.00
73,600.00
59,800.00
13,800.00
OKOESOEMO TN 101,200.00
185,300.00
228,100.00
560,500.00
92,000.00
228,100.00
17,250.00
78,200.00
 13,800.00
9,200.00
13,800.00
78,200.00
306,301.00
124,545.00
373,405.00
288,600.00
94,300.00
73,600.00
667,000.00
191,200.00
73,600.00
AN AMBAR W NY 13,800.00
115,000.00
26,450.00
655,400.00
225,100.00
1,005,600.00
15,525.00
66,700.00
50,445.00
114,500.00
1,012,900.00
YATMOKO TN 6,900.00
85,100.00
42,780.00
50,100.00
6,900.00
17,250.00
88,550.00
12,250.00
48,950.00
73,600.00
30,475.00
50,500.00
86,250.00
22,250.00
N TORUAN TN 89,700.00
72,050.00
136,750.00
89,700.00
36,800.00
U WALUYATI NY 48,550.00
9,200.00
34,500.00
169,470.00
JI RINAWATI NY 86,250.00
4,600.00
597,400.00
6,900.00
335,950.00
9,200.00
41,400.00
98,670.00
103,900.00
85,100.00
538,700.00
113,200.00
 94,300.00
28,600.00
45,100.00
16,850.00
108,100.00
18,400.00
55,450.00
58,550.00
394,400.00
865,800.00
162,650.00
300,850.00
111,550.00
142,200.00
101,200.00
449,900.00
48,950.00
36,800.00
112,700.00
NG WINARTI NY 169,900.00
52,000.00
61,600.00
45,100.00
3,450.00
9,660.00
75,400.00
151,695.00
151,695.00
12,250.00
108,100.00
944,000.00
892,800.00
112,700.00
75,400.00
100,050.00
54,700.00
110,400.00
102,350.00
98,500.00
77,700.00
8,800.00
54,700.00
100,050.00
65,050.00
45,100.00
16,850.00
23,000.00
11,270.00
13,800.00
18,400.00
6,900.00
513,500.00
116,150.00
105,800.00
115,000.00
9,200.00
36,800.00
82,400.00
6,900.00
 46,650.00
13,800.00
65,050.00
41,200.00
35,740.00

Total : 102,565,515.00