Rawat Inap AGUSTUS

" HASIL REKAP RAWAT INAP PESERTA
PAKET RAWAT INAP PAKET INTENSIF PENUNJANG DIAGNOSTIK
TGL LAMA BIAYA RM PATOLOGI PATOLOGI RADIODIAGNOSTIK DIAGNOSTIK

NO MR BIAYA
KELUAR HARI KLINIK ANATOMI ELEKTROMEDIK
RAWAT ICCU/ICU/ SEDERHANA SEDANG
N0 NAMA ( RP ) ( RP ) ( RP ) ( RP ) ( RP ) ( RP ) ( RP ) ( RP )
1 2 3 4 5 6 7 8 9 10 11 12 13
1 NY.ASMAWATI 95232 8/1/2010 3 Rp 120,000 Rp 4,000 Rp 100,000
2 BY.NY.ASMAWATI 95241 8/1/2010 3 Rp 120,000 Rp 4,000
3 NY.ASDIANAH 95260 8/1/2010 1 Rp 40,000 Rp 4,000 Rp 50,000
4 BY.NY.ASDIANAH 95260 8/1/2010 1 Rp 40,000 Rp 4,000
5 NY.ERNI 95261 8/1/2010 1 Rp 40,000 Rp 4,000
6 BY.NY.ERNI 95263 8/1/2010 1 Rp 40,000 Rp 4,000
7 NY.SRI HANDAYANI 95213 8/1/2010 4 Rp 160,000 Rp 111,000 Rp 4,000 Rp 100,000
8 BY.NY.SRI HANDAYANI 95214 8/1/2010 4 Rp 160,000 Rp 4,000
9 NY.NURHARIYANA 94719 8/1/2010 2 Rp 80,000 Rp 4,000 Rp 100,000
10 NY.HASNA JAYA,SE 94708 8/1/2010 7 Rp 280,000 Rp 111,000 Rp 4,000 Rp 50,000
11 NY.ASRIANI 95289 8/1/2010 1 Rp 40,000 Rp 111,000 Rp 4,000 Rp 50,000

12 RABA 94977 8/1/2010 5 Rp 200,000 Rp 4,000 Rp 175,000 Rp 150,000
13 RUSLI M.DG.NARANG 94816 8/1/2010 10 Rp 400,000 Rp 111,000 Rp 4,000 Rp 175,000
14 SYARIFUDDIN 94997 8/1/2010 4 Rp 160,000 Rp 111,000 Rp 4,000
15 NURUL ASKAR 94917 8/1/2010 7 Rp 280,000 Rp 4,000
16 KASDIANA 94936 8/1/2010 7 Rp 280,000 Rp 4,000
17 NY.NURLINDA 95264 8/2/2010 2 Rp 80,000 Rp 4,000 Rp 75,000
18 BY.NY.NURLINDA 95267 8/2/2010 2 Rp 80,000 Rp 4,000
19 NY.LUSIA GAWUS 95276 8/2/2010 2 Rp 80,000 Rp 4,000 Rp 125,000
20 BY.NY.LUSIA GAWUS 95279 8/2/2010 1 Rp 40,000 Rp 4,000
21 NY.RAHMATIAH 95280 8/2/2010 1 Rp 40,000 Rp 4,000 Rp 50,000
22 BY.NY.RAHMATIAH 95281 8/2/2010 1 Rp 40,000 Rp 4,000
23 BY.NY.HASDIANA 95278 8/2/2010 2 Rp 80,000 Rp 4,000
24 ROSMIATI 95266 8/2/2010 2 Rp 80,000 Rp 4,000
25 SITTI NURFADILLAH 95252 8/2/2010 3 Rp 120,000 Rp 4,000 Rp 50,000
26 INTAN NABILA 94910 8/2/2010 5 Rp 200,000 Rp 4,000
27 MUTMAINNA 95222 8/2/2010 4 Rp 160,000 Rp 4,000 Rp 50,000
28 RAYHAN 95315 8/2/2010 5 Rp 200,000 Rp 4,000

29 IRGI PARESI 95292 8/2/2010 1 Rp 40,000 Rp 4,000
30 JI ASUNG 95287 8/2/2010 1 Rp 40,000 Rp 111,000 Rp 4,000
31 MANGGASALI DG.SIKKI 94719 8/2/2010 11 Rp 440,000 Rp 4,000 Rp 310,000
32 BURHAN DG.DOLO 94792 8/2/2010 9 Rp 360,000 Rp 4,000 Rp 150,000
33 M.RAMLI DG.SERE 94975 8/2/2010 6 Rp 240,000 Rp 4,000
34 MUSTARI DG.NASSA 95035 8/2/2010 7 Rp 280,000 Rp 4,000 Rp 75,000
35 JUMASIA 95217 8/2/2010 4 Rp 160,000 Rp 4,000 Rp 100,000
36 JAMIMAH 95230 8/2/2010 4 Rp 160,000 Rp 4,000 Rp 100,000
37 NAJAMUDDIN 95250 8/2/2010 3 Rp 120,000 Rp 4,000 Rp 50,000
38 THERESIA LELANG 95070 8/2/2010 6 Rp 240,000 Rp 4,000
39 AGUSTINA 94969 8/2/2010 6 Rp 24,000 Rp 4,000 Rp 50,000
40 MARWIAH 95043 8/2/2010 7 Rp 280,000 Rp 4,000 Rp 100,000
41 NY.FAUSIA 95237 8/3/2010 5 Rp 200,000 Rp 111,000 Rp 4,000
42 BY.NY.FAUSIA 95256 8/3/2010 4 Rp 160,000 Rp 4,000
43 NY.AGUSTINA 95277 8/3/2010 3 Rp 120,000 Rp 4,000 Rp 125,000 Rp 150,000
44 BY.NY.AGUSTINA 95285 8/3/2010 2 Rp 80,000 Rp 4,000

45 NY.FITRIYANTI 95299 8/3/2010 1 Rp 40,000 Rp 4,000
46 BY.NY.FITRIYANTI 95501 8/3/2010 1 Rp 40,000 Rp 4,000
47 BY.NY.WENDELINA ILI 95290 8/3/2010 2 Rp 80,000 Rp 4,000
48 BY.NY.ANITA 95511 8/3/2010 2 Rp 80,000 Rp 4,000
49 BY.NY.SINAR GI 95509 8/3/2010 2 Rp 80,000 Rp 4,000
50 BY.NY.SINAR GII 95510 8/3/2010 2 Rp 80,000 Rp 4,000
51 DRS.AHMAD SAGENA 95498 8/3/2010 4 Rp 160,000 Rp 4,000
52 SAHRUL ANSHARI 95240 8/3/2010 5 Rp 200,000 Rp 4,000 Rp 70,000
53 PUTRI NUR AZIZAH 95251 8/3/2010 4 Rp 160,000 Rp 4,000
54 ABDULLAH ANUGRAH 68172 8/3/2010 1 Rp 40,000 Rp 4,000
55 BACCE 94960 8/3/2010 8 Rp 320,000 Rp 4,000 Rp 275,000 Rp 100,000 Rp 150,000
56 LEBONG DG.KAMMA 95407 8/3/2010 4 Rp 160,000 Rp 4,000 Rp 125,000 Rp 100,000
57 SALMAWATY.S 91433 8/3/2010 5 Rp 200,000 Rp 4,000
58 BAISA BT BULU 95252 8/3/2010 4 Rp 160,000 Rp 4,000 Rp 100,000
59 BASSE DG.TINO 95206 8/3/2010 6 Rp 240,000 Rp 4,000
60 DIAN SULISTIA NINGSIH 95080 8/3/2010 7 Rp 280,000 Rp 4,000
61 NY.HAMSINAR 95514 8/4/2010 2 Rp 40,000 Rp 4,000 Rp 50,000

62 BY.NY.HAMSINAR 95515 8/4/2010 2 Rp 40,000 Rp 4,000
63 NY.SULASTRI 93846 8/4/2010 4 Rp 160,000 Rp 4,000 Rp 50,000
64 BY.NY.SULASTRI 95295 8/4/2010 2 Rp 40,000 Rp 4,000
65 NY.ANITA DG.MAWANGI 95508 8/4/2010 2 Rp 40,000 Rp 4,000 Rp 50,000
66 NY.SINAR 94294 8/4/2010 2 Rp 40,000 Rp 4,000 Rp 75,000
67 KOKOM 95000 8/4/2010 7 Rp 280,000 Rp 4,000 Rp 200,000 Rp 150,000
68 MULYADI 94887 8/4/2010 5 Rp 200,000 Rp 4,000 Rp 100,000
69 NURDIN DG.NGEMBA 79365 8/4/2010 2 Rp 40,000 Rp 111,000 Rp 4,000 Rp 50,000 Rp 50,000
70 AYU UTAMI SEPTIANI 93733 8/4/2010 6 Rp 240,000 Rp 111,000 Rp 4,000
71 MUH.ICHSAN ARDIANSYAH 95489 8/4/2010 5 Rp 200,000 Rp 4,000 Rp 50,000
72 MUH.TASLIM 95427 8/4/2010 2 Rp 400,000 Rp 4,000 Rp 50,000
73 SAHRUN SUPARMAN 94909 8/4/2010 7 Rp 280,000 Rp 4,000 Rp 150,000
74 RUSLAM 94735 8/4/2010 7 Rp 280,000 Rp 4,000 Rp 200,000
75 AMINAH 95249 8/4/2010 5 Rp 200,000 Rp 4,000 Rp 50,000
76 NY.WIWI HERNA 90277 8/5/2010 2 Rp 80,000 Rp 4,000 Rp 125,000

77 BY.NY.WIWI HERNA 95544 8/5/2010 1 Rp 40,000 Rp 4,000
78 NY.HAPSARI 95558 8/5/2010 1 Rp 40,000 Rp 4,000
79 BY.NY.HAPSARI 95561 8/5/2010 1 Rp 40,000 Rp 4,000
80 NY.RAKHMY RAJA AMIN 94762 8/5/2010 2 Rp 80,000 Rp 4,000 Rp 125,000
81 BY.NY.RAKHMY RAJA AMIN 95532 8/5/2010 2 Rp 80,000 Rp 4,000
82 NY.IRDAWATI 95540 8/5/2010 2 Rp 80,000 Rp 4,000 Rp 125,000
83 BY.NY.IRDAWATI 95542 8/5/2010 2 Rp 80,000 Rp 4,000
84 NY.HAMSINA 95526 8/5/2010 3 Rp 120,000 Rp 4,000
85 BY.NY.HAMSINA 95531 8/5/2010 2 Rp 80,000 Rp 4,000
86 HUMAEDA 95284 8/5/2010 4 Rp 160,000 Rp 4,000
87 FATMAWATI 95271 8/5/2010 5 Rp 200,000 Rp 4,000
88 FAISAL 95223 8/5/2010 7 Rp 280,000 Rp 4,000 Rp 50,000
89 IDA MUSTIKA 95095 8/5/2010 2 Rp 80,000 Rp 111,000 Rp 4,000
90 MUH.ALWI 95495 8/5/2010 5 Rp 200,000 Rp 111,000 Rp 4,000
91 ERNAWATI DG.NGONA 67598 8/5/2010 3 Rp 120,000 Rp 111,000 Rp 4,000
92 SAHODDIN 95286 8/5/2010 4 Rp 160,000 Rp 4,000
93 HASMA 94993 8/5/2010 9 Rp 360,000 Rp 4,000 Rp 200,000

94 ALIANI DG.KEBO 51801 8/5/2010 8 Rp 320,000 Rp 4,000 Rp 175,000 Rp 150,000 Rp 50,000
95 CHANDRA YUKE WIJAYA 94798 8/5/2010 5 Rp 200,000 Rp 4,000
96 NY.RASNI MURIANTI,SE 95553 8/6/2010 2 Rp 80,000 Rp 4,000 Rp 75,000
97 BY.NY.RASNI MURIANTI,SE 95562 8/6/2010 2 Rp 80,000 Rp 4,000
98 NY.KEBO 56604 8/6/2010 1 Rp 40,000 Rp 4,000 Rp 125,000
99 BY.NY.KEBO 95585 8/6/2010 1 Rp 40,000 Rp 4,000
100 SRI SUSANTI 95651 8/6/2010 3 Rp 120,000 Rp 111,000 Rp 4,000 Rp 50,000
101 MUH.NIRWAN 95527 8/6/2010 3 Rp 120,000 Rp 4,000 Rp 50,000
102 MUH.ILHAM 95547 8/6/2010 2 Rp 80,000 Rp 4,000
103 DG.TINRI 94440 8/6/2010 21 Rp 840,000 Rp 333,000 Rp 4,000 Rp 175,000 Rp 100,000 Rp 50,000
104 GAFFAR DG.BELLA 95518 8/6/2010 3 Rp 120,000 Rp 4,000 Rp 175,000 Rp 100,000
105 KAIMUDDIN 95517 8/6/2010 3 Rp 120,000 Rp 4,000 Rp 100,000 Rp 150,000
106 SUPRIADI 95460 8/6/2010 2 Rp 80,000 Rp 111,000 Rp 4,000
107 HASBIA 94971 8/6/2010 10 Rp 400,000 Rp 4,000 Rp 150,000 Rp 100,000 Rp 50,000
108 NY.SAYEM 95596 8/7/2010 1 Rp 40,000 Rp 4,000 Rp 75,000
109 BY.NY.SAYEM 95598 8/7/2010 1 Rp 40,000 Rp 4,000

110 NY.NURAENI 95578 8/7/2010 2 Rp 80,000 Rp 4,000 Rp 75,000 Rp 150,000
111 BY.NY.NURAENI 95580 8/7/2010 2 Rp 80,000 Rp 4,000
112 NY.WAHYUNI 95582 8/7/2010 2 Rp 80,000 Rp 4,000 Rp 75,000
113 BY.NY.WAHYUNI 95597 8/7/2010 1 Rp 40,000 Rp 4,000
114 NY.HUSNAH 64925 8/7/2010 3 Rp 120,000 Rp 111,000 Rp 4,000 Rp 75,000
115 BY.NY.HUSNAH 95546 8/7/2010 3 Rp 120,000 Rp 4,000
116 NY.YUNIATI WAHAB 91549 8/7/2010 3 Rp 120,000 Rp 222,000 Rp 4,000 Rp 225,000
117 BY.NY.YUNIATI WAHAB 95550 8/7/2010 3 Rp 120,000 Rp 4,000
118 NY.ILHANI 95549 8/7/2010 3 Rp 120,000 Rp 4,000 Rp 450,000 Rp 150,000
119 BY.NY.ILHANI 95552 8/7/2010 3 Rp 120,000 Rp 4,000
120 NY.NORMAWATI 95559 8/7/2010 3 Rp 120,000 Rp 4,000 Rp 125,000
121 BY.NY.NORMAWATI 95576 8/7/2010 2 Rp 80,000 Rp 4,000
122 NURHAYATI DG.SO'NA 95565 8/7/2010 3 Rp 120,000 Rp 4,000 Rp 175,000 Rp 150,000
123 ALPIA ULANDARI 95270 8/7/2010 7 Rp 280,000 Rp 4,000
124 RISKA 53007 8/7/2010 4 Rp 160,000 Rp 4,000 Rp 50,000 Rp 50,000
125 INTAN NABILA 95572 8/7/2010 3 Rp 120,000 Rp 4,000
126 FITRIA 95528 8/7/2010 4 Rp 160,000 Rp 4,000

127 INRIANA SARI 95706 8/7/2010 1 Rp 40,000 Rp 4,000 Rp 50,000
128 MUH.RAFLI 95633 8/7/2010 3 Rp 120,000 Rp 111,000 Rp 4,000 Rp 50,000
129 RAKMATULLAH 95241 8/7/2010 9 Rp 360,000 Rp 4,000 Rp 350,000
130 RIKHA RASULY.AB 95534 8/7/2010 4 Rp 160,000 Rp 4,000 Rp 100,000
131 BACHRUN 94982 8/7/2010 11 Rp 440,000 Rp 4,000
132 BAHTIAR 95557 8/7/2010 3 Rp 120,000 Rp 4,000 Rp 150,000
133 DG.BEGA 95575 8/7/2010 3 Rp 120,000 Rp 222,000 Rp 4,000 Rp 300,000
134 NY.MARTA KOMBONG 95580 8/8/2010 3 Rp 120,000 Rp 4,000 Rp 400,000
135 BY.NY.MARTA KOMBONG 95591 8/8/2010 3 Rp 120,000 Rp 4,000
136 NY.ST.AMINAH 95594 8/8/2010 2 Rp 80,000 Rp 4,000 Rp 50,000
137 NY.JUMRIANI 95709 8/8/2010 2 Rp 80,000 Rp 4,000 Rp 50,000
138 BY.NY.ARSIYANTI 94812 8/8/2010 17 Rp 680,000 Rp 4,000 Rp 75,000
139 MANTASIA 95205 8/8/2010 11 Rp 440,000 Rp 111,000 Rp 4,000 Rp 525,000 Rp 200,000
140 MANGGI 95239 8/8/2010 10 Rp 400,000 Rp 4,000 Rp 100,000
141 HASMIRA 95505 8/8/2010 6 Rp 240,000 Rp 4,000 Rp 150,000
142 BANA 95492 8/8/2010 9 Rp 360,000 Rp 4,000 Rp 100,000 Rp 150,000

143 FITRIA ANWAR 93032 8/8/2010 6 Rp 240,000 Rp 4,000
144 JUNAEDI 95342 8/8/2010 9 Rp 360,000 Rp 4,000
145 B.DG.TARRA 95288 8/8/2010 7 Rp 280,000 Rp 4,000
146 NY.IRMAYANI 95713 8/9/2010 3 Rp 120,000 Rp 4,000 Rp 225,000
147 MISHELLE A.R.ATAKARI 48554 8/9/2010 8 Rp 320,000 Rp 4,000 Rp 75,000
148 FRANSISKA.S.ATAKARI 95590 8/9/2010 4 Rp 160,000 Rp 4,000
149 MUH.RISWAN 95574 8/9/2010 5 Rp 200,000 Rp 4,000 Rp 50,000
150 DIFAYANTI 63036 8/9/2010 2 Rp 80,000 Rp 4,000 Rp 50,000
151 MUH.RULLI 63210 8/9/2010 7 Rp 280,000 Rp 4,000 Rp 50,000
152 HADIAH 95573 8/9/2010 5 Rp 200,000 Rp 4,000 Rp 50,000
153 RENDI 95621 8/9/2010 5 Rp 200,000 Rp 111,000 Rp 4,000
154 H.MAJJA DG.TOLA 95586 8/9/2010 4 Rp 160,000 Rp 4,000 Rp 100,000
155 DG.BAU 94537 8/9/2010 20 Rp 800,000 Rp 4,000 Rp 100,000
156 HARTATI 68120 8/9/2010 6 Rp 240,000 Rp 4,000 Rp 100,000
157 RASMING DG.TIMUNG 95513 8/9/2010 7 Rp 280,000 Rp 4,000 Rp 150,000
158 DG.JANNA 95566 8/9/2010 5 Rp 200,000 Rp 4,000 Rp 200,000
159 MANTASIA 95291 8/9/2010 8 Rp 320,000 Rp 4,000 Rp 200,000 Rp 150,000

160 SITTI 95507 8/9/2010 7 Rp 280,000 Rp 4,000 Rp 200,000 Rp 100,000 Rp 150,000 Rp 50,000
161 PALALANG DG.BELLA 95502 8/9/2010 7 Rp 280,000 Rp 4,000
162 MINASA DG.SUNGGU 95556 8/9/2010 5 Rp 200,000 Rp 4,000
163 NY.CLARA ANGGI 95714 8/10/2010 4 Rp 160,000 Rp 4,000 Rp 350,000
164 BY.NY.CLARA ANGGI 95746 8/10/2010 3 Rp 120,000 Rp 4,000
165 MITA ANGRAENI 95567 8/10/2010 6 Rp 240,000 Rp 4,000 Rp 50,000
166 NAJWA AZIZA BASRI 95748 8/10/2010 2 Rp 80,000 Rp 4,000
167 MUH.IMAM RHADITYA 95712 8/10/2010 4 Rp 160,000 Rp 4,000 Rp 25,000
168 SULAEMAN 95708 8/10/2010 4 Rp 160,000 Rp 4,000
169 FAKHRUL 95711 8/10/2010 4 Rp 160,000 Rp 4,000 Rp 50,000
170 SEMPO DG.NAI 95444 8/10/2010 8 Rp 320,000 Rp 4,000 Rp 225,000 Rp 100,000 Rp 150,000 Rp 50,000
171 DG.TINRI 94440 8/10/2010 2 Rp 80,000 Rp 4,000
172 A.HARDIANTI RAHMAN 95450 8/10/2010 8 Rp 320,000 Rp 111,000 Rp 4,000
173 CALI DG.KULLE 95634 8/10/2010 6 Rp 240,000 Rp 4,000 Rp 100,000
174 DG.MILE 95021 8/10/2010 8 Rp 320,000 Rp 4,000 Rp 100,000
175 ANISE 95298 8/10/2010 8 Rp 320,000 Rp 4,000 Rp 100,000

176 ARSYAD DG.ROMO 95566 8/10/2010 7 Rp 280,000 Rp 4,000 Rp 150,000 Rp 100,000
177 DG.MANTAN 95624 8/10/2010 6 Rp 240,000 Rp 4,000 Rp 100,000
178 ABBAS.P 95710 8/10/2010 4 Rp 160,000 Rp 4,000 Rp 50,000 Rp 150,000
179 INDAR MAWANG 95577 8/10/2010 5 Rp 200,000 Rp 4,000 Rp 150,000 Rp 150,000
180 SUHARDI 95718 8/10/2010 3 Rp 120,000 Rp 4,000
181 NY.SAGARIA 95742 8/11/2010 2 Rp 80,000 Rp 4,000 Rp 100,000
182 BY.NY.SAGARIA 95750 8/11/2010 2 Rp 80,000 Rp 4,000
183 NY.SYAMSINAR 95746 8/11/2010 2 Rp 80,000 Rp 4,000 Rp 125,000
184 BY.NY.SYAMSINAR 95747 8/11/2010 2 Rp 80,000 Rp 4,000
185 NY.KANIA APRILIA 95741 8/11/2010 2 Rp 80,000 Rp 4,000 Rp 75,000
186 BY.NY.KANIA APRILIA 95745 8/11/2010 2 Rp 80,000 Rp 4,000
187 NY.KASMAWATI 95758 8/11/2010 1 Rp 40,000 Rp 4,000 Rp 75,000
188 BY.NY.KASMAWATI 95760 8/11/2010 1 Rp 40,000 Rp 4,000
189 NY.KARMILA 95700 8/11/2010 3 Rp 120,000 Rp 4,000 Rp 50,000 Rp 100,000 Rp 50,000
190 SYAMSUMARLIN 95560 8/11/2010 6 Rp 240,000 Rp 4,000
191 NURHANISA RAHMADANI 9167 8/11/2010 3 Rp 120,000 Rp 4,000
192 MUH.FIKAR 94921 8/11/2010 17 Rp 680,000 Rp 4,000 Rp 50,000

193 IRFAN 95725 8/11/2010 4 Rp 160,000 Rp 4,000 Rp 50,000
194 IRWAN 95504 8/11/2010 9 Rp 360,000 Rp 111,000 Rp 4,000 Rp 100,000
195 IKHWANUL RAMADAN 96717 8/11/2010 4 Rp 160,000 Rp 111,000 Rp 4,000
196 ST.NASWAH 95628 8/11/2010 7 Rp 280,000 Rp 111,000 Rp 4,000 Rp 50,000
197 HASNIA 95469 8/11/2010 6 Rp 240,000 Rp 4,000
198 NY.NURINDAH 93058 8/12/2010 4 Rp 160,000 Rp 4,000 Rp 375,000
199 BY.NY.NURINDAH 95732 8/12/2010 4 Rp 160,000 Rp 4,000
200 NY.JANARIA 94559 8/12/2010 12 Rp 480,000 Rp 111,000 Rp 4,000
201 TAUFIK DG.NAI 95599 8/12/2010 6 Rp 240,000 Rp 4,000 Rp 200,000 Rp 150,000
202 MUH.RAIHAN 65616 8/12/2010 1 Rp 40,000 Rp 4,000 Rp 50,000
203 MUH.IRWANSYAH 95753 8/12/2010 3 Rp 120,000 Rp 4,000
204 NADIA MUTHIAH ZAHRA 95630 8/12/2010 3 Rp 120,000 Rp 111,000 Rp 4,000
205 JUMALANG DG.TALLA 95647 8/12/2010 7 Rp 280,000 Rp 4,000
206 ANTI 95723 8/12/2010 5 Rp 200,000 Rp 4,000
207 NY.HASNIARTI 95772 8/13/2010 2 Rp 80,000 Rp 4,000 Rp 75,000
208 BY.NY.HASNIARTI 95786 8/13/2010 2 Rp 80,000 Rp 4,000

209 NY.HASNIA DG.LU'MU 95793 8/13/2010 2 Rp 80,000 Rp 4,000 Rp 175,000
210 BY.NY.HASNIA DG.LU'MU 95792 8/13/2010 2 Rp 80,000 Rp 4,000
211 NY.BAJIRAH DG.BAJI 95757 8/13/2010 3 Rp 120,000 Rp 4,000 Rp 75,000
212 NY.TATI 94719 8/13/2010 14 Rp 560,000 Rp 222,000 Rp 4,000 Rp 225,000 Rp 100,000 Rp 150,000 Rp 50,000
213 AKBAR 95759 8/13/2010 3 Rp 120,000 Rp 4,000 Rp 50,000
214 MUH.SARIF REZKI 95776 8/13/2010 2 Rp 80,000 Rp 4,000
215 MUH.AL FATHIR 95780 8/13/2010 2 Rp 80,000 Rp 4,000
216 BASSE DG.NGASIH 54072 8/13/2010 2 Rp 80,000 Rp 111,000 Rp 4,000 Rp 50,000
217 BOHARI DG.BOA 94698 8/13/2010 20 Rp 800,000 Rp 111,000 Rp 4,000 Rp 50,000 Rp 100,000 Rp 50,000
218 NINING 95795 8/13/2010 1 Rp 40,000 Rp 4,000 Rp 150,000
219 ROSDIANA.R 95853 8/13/2010 4 Rp 160,000 Rp 4,000 Rp 200,000
220 NY.IRMAWATI 95790 8/14/2010 3 Rp 120,000 Rp 4,000 Rp 75,000
221 BY.NY.IRMAWATI 95901 8/14/2010 2 Rp 80,000 Rp 4,000
222 NY.NURHAEDAH 95796 8/14/2010 2 Rp 80,000 Rp 4,000 Rp 125,000
223 BY.NY.NURHAEDAH 95904 8/14/2010 2 Rp 80,000 Rp 4,000
224 BY.NY.BAJIRAH DG.BAJI G.I 95766 8/14/2010 4 Rp 160,000 Rp 4,000

225 BY.NY.BAJIRAH DG.BAJI G.II 95761 8/14/2010 4 Rp 160,000 Rp 4,000
226 MUH.RUZIQ UBADILAH 10249 8/14/2010 4 Rp 160,000 Rp 4,000
227 ISKANDAR 95770 8/14/2010 4 Rp 160,000 Rp 4,000 Rp 50,000
228 ANWAR 95739 8/14/2010 6 Rp 240,000 Rp 4,000 Rp 100,000 Rp 300,000 Rp 150,000
229 YULIUS AMIRULLAH 95798 8/14/2010 2 Rp 80,000 Rp 4,000 Rp 100,000 Rp 150,000
230 ULENG TANAWALI AZIS 95846 8/14/2010 4 Rp 160,000 Rp 111,000 Rp 4,000 Rp 125,000
231 NY.SRI SARSINA 95994 8/15/2010 2 Rp 80,000 Rp 4,000 Rp 75,000
232 BY.NY.SRI SARSINA 95995 8/15/2010 2 Rp 80,000 Rp 4,000
233 MAMU 95801 8/15/2010 9 Rp 360,000 Rp 4,000 Rp 150,000
234 LAODDI 95989 8/15/2010 2 Rp 80,000 Rp 4,000 Rp 100,000 Rp 50,000
235 NY.NURHAYATI 96114 8/16/2010 2 Rp 80,000 Rp 4,000 Rp 75,000
236 BY.NY.NURHAYATI 96116 8/16/2010 2 Rp 80,000 Rp 4,000
237 MARSUKI DG.NAI 95755 8/16/2010 7 Rp 280,000 Rp 4,000 Rp 100,000 Rp 50,000
238 FAIDIL AWALUDDIN 95913 8/16/2010 3 Rp 120,000 Rp 4,000
239 SYAMSIDAR 95809 8/16/2010 4 Rp 160,000 Rp 4,000
240 ST.NUR RAISYAH 94557 8/16/2010 4 Rp 160,000 Rp 4,000 Rp 50,000

241 ANGGUNG DEVI LARASATI 95996 8/16/2010 4 Rp 160,000 Rp 111,000 Rp 4,000
242 HAMSIAH DG.MAMI 96733 8/16/2010 8 Rp 320,000 Rp 4,000
243 SYAMSUDDIN 96447 8/16/2010 3 Rp 120,000 Rp 4,000 Rp 150,000
244 DG.BAJI 96124 8/16/2010 1 Rp 40,000 Rp 4,000 Rp 125,000 Rp 50,000
245 SURIANI 95778 8/16/2010 5 Rp 200,000 Rp 4,000
246 RUDY 95775 8/16/2010 5 Rp 200,000 Rp 4,000 Rp 50,000
247 FARIEDZ MEINARDHY 95852 8/16/2010 7 Rp 280,000 Rp 4,000 Rp 250,000 Rp 150,000
248 ARIENDI 95807 8/16/2010 4 Rp 160,000 Rp 4,000 Rp 50,000
249 MAHMUD 95906 8/16/2010 4 Rp 160,000 Rp 4,000 Rp 50,000
250 NY.NURYANI 96111 8/17/2010 3 Rp 120,000 Rp 4,000 Rp 100,000 Rp 150,000
251 HANIFAH SABILAH 95999 8/17/2010 4 Rp 160,000 Rp 4,000 Rp 50,000
252 KAHAR DG.HAMZAH 95767 8/17/2010 7 Rp 280,000 Rp 4,000 Rp 150,000
253 BALANG DG.BAJI 95784 8/17/2010 6 Rp 240,000 Rp 4,000 Rp 100,000
254 IKBAL 95764 8/17/2010 7 Rp 280,000 Rp 4,000 Rp 200,000
255 RUSLI 95902 8/17/2010 5 Rp 200,000 Rp 4,000 Rp 100,000
256 NY.SATMAWATI AMAR 96101 8/18/2010 4 Rp 160,000 Rp 111,000 Rp 4,000 Rp 75,000
257 BY.NY.SATMAWATI AMAR 96102 8/18/2010 4 Rp 160,000 Rp 4,000

258 NY.SALMAH 96129 8/18/2010 3 Rp 120,000 Rp 4,000 Rp 75,000
259 BY.NY.SALMAH 96136 8/18/2010 2 Rp 80,000 Rp 4,000
260 NY.KADARIA 96137 8/18/2010 2 Rp 80,000 Rp 4,000 Rp 75,000
261 BY.NY.KADARIA 96139 8/18/2010 2 Rp 80,000 Rp 4,000
262 NY.YETTI 96158 8/18/2010 1 Rp 40,000 Rp 4,000 Rp 100,000
263 NY.KARMILA 95700 8/18/2010 2 Rp 80,000 Rp 4,000 Rp 100,000
264 RASTI 96057 8/18/2010 2 Rp 80,000 Rp 4,000
265 NUR FADIL 95993 8/18/2010 5 Rp 200,000 Rp 4,000
266 SALSABILA 95914 8/18/2010 5 Rp 200,000 Rp 4,000
267 AISYAH 96127 8/18/2010 3 Rp 120,000 Rp 4,000
268 NURVAINDAH 95987 8/18/2010 5 Rp 200,000 Rp 4,000
269 RAHMADANI 40693 8/18/2010 4 Rp 160,000 Rp 4,000
270 NUR ANGGRAENI SUCI 95941 8/18/2010 6 Rp 240,000 Rp 111,000 Rp 4,000
271 SYAEFUL AMRI 95997 8/18/2010 5 Rp 200,000 Rp 4,000 Rp 50,000 Rp 100,000 Rp 150,000
272 SAHALANG DG.PUJI 95587 8/18/2010 13 Rp 520,000 Rp 4,000 Rp 50,000 Rp 150,000
273 HARTINI 96001 8/18/2010 4 Rp 160,000 Rp 4,000 Rp 100,000

274 TAYU 96106 8/18/2010 4 Rp 160,000 Rp 4,000 Rp 100,000
275 NY.PUTRI NINGSIH 96174 8/19/2010 2 Rp 80,000 Rp 4,000 Rp 125,000
276 BY.NY.PUTRI NINGSIH 96156 8/19/2010 2 Rp 80,000 Rp 4,000
277 NY.SYARINA.S 96155 8/19/2010 2 Rp 80,000 Rp 4,000 Rp 75,000
278 BY.NY.SYARINA.S 96160 8/19/2010 1 Rp 40,000 Rp 4,000
279 NY.RAHMA,SE 96118 8/19/2010 4 Rp 160,000 Rp 222,000 Rp 4,000 Rp 350,000
280 BY.NY.RAHMA,SE 96121 8/19/2010 4 Rp 160,000 Rp 4,000
281 MUH.HABIL 96162 8/19/2010 1 Rp 40,000 Rp 4,000
282 MUH.REHAN SAPUTRA 95959 8/19/2010 4 Rp 160,000 Rp 4,000
283 NURSIAH 95671 8/19/2010 8 Rp 320,000 Rp 111,000 Rp 4,000
284 LEONORCE SYAFEI 95998 8/19/2010 6 Rp 240,000 Rp 4,000 Rp 50,000
285 NY.KHAERAWATI.AH 96157 8/20/2010 3 Rp 120,000 Rp 4,000 Rp 225,000 Rp 100,000
286 NY.FEBI PURNAMAWATI 62743 8/20/2010 2 Rp 80,000 Rp 4,000 Rp 50,000
287 NY.SALMA INDAWATI 96168 8/20/2010 2 Rp 80,000 Rp 4,000 Rp 75,000
288 BY.NY.HASNI 96152 8/20/2010 3 Rp 120,000 Rp 4,000
289 ANGGRAENI 96166 8/20/2010 3 Rp 120,000 Rp 4,000
290 MUH.REZZA 47220 8/20/2010 3 Rp 120,000 Rp 4,000

291 HARDIANTI 96169 8/20/2010 2 Rp 80,000 Rp 4,000
292 ANNISA DWI.C 96216 8/20/2010 2 Rp 80,000 Rp 4,000 Rp 50,000
293 MANTASIA 96126 8/20/2010 5 Rp 200,000 Rp 4,000
294 HASRAWATI 96014 8/20/2010 1 Rp 40,000 Rp 111,000 Rp 4,000
295 NANDONG 96146 8/20/2010 3 Rp 120,000 Rp 111,000 Rp 4,000 Rp 75,000
296 FATAHUDDIN 96167 8/20/2010 4 Rp 160,000 Rp 4,000
297 NADIA MUTHIAH ZAHRA 95630 8/20/2010 4 Rp 160,000 Rp 111,000 Rp 4,000
298 M.YUSUF.D 96028 8/20/2010 6 Rp 240,000 Rp 111,000 Rp 4,000 Rp 175,000
299 NAJA DG.LEWA 96105 8/20/2010 6 Rp 240,000 Rp 4,000 Rp 150,000
300 DG.SIDE 96120 8/20/2010 5 Rp 200,000 Rp 4,000 Rp 300,000 Rp 100,000 Rp 150,000
301 BASSE 95799 8/20/2010 8 Rp 320,000 Rp 4,000
302 NY.HERAWATI 96963 8/21/2010 1 Rp 40,000 Rp 4,000 Rp 75,000
303 BY.NY.HERAWATI 96308 8/21/2010 1 Rp 40,000 Rp 4,000
304 NY.RAMITA DG.RIMANG 96185 8/21/2010 1 Rp 40,000 Rp 4,000 Rp 75,000
305 BY.NY.RAMITA DG.RIMANG 96187 8/21/2010 1 Rp 40,000 Rp 4,000
306 NY.ANI 96275 8/21/2010 2 Rp 80,000 Rp 4,000 Rp 100,000

307 NY.ST.AISYAH 96181 8/21/2010 2 Rp 80,000 Rp 4,000 Rp 75,000 Rp 150,000
308 BY.NY.SALMA INDAWATI 96169 8/21/2010 3 Rp 120,000 Rp 4,000
309 IQBAL MAHMUD 37760 8/21/2010 2 Rp 80,000 Rp 4,000 Rp 100,000
310 MUH.AFDAN FADHLU 96179 8/21/2010 2 Rp 80,000 Rp 4,000
311 RAMADANI 96103 8/21/2010 4 Rp 160,000 Rp 4,000
312 MUH.SAFARUDDIN 96112 8/21/2010 7 Rp 280,000 Rp 4,000 Rp 50,000
313 MUH.NASRULLAH 96165 8/21/2010 3 Rp 120,000 Rp 4,000
314 NENGSI ADELIA 96173 8/21/2010 2 Rp 80,000 Rp 4,000
315 HAMRIANI HAMID 96138 8/21/2010 5 Rp 200,000 Rp 4,000 Rp 50,000 Rp 150,000
316 DG.NASSA 95773 8/21/2010 10 Rp 400,000 Rp 4,000
317 MUH.SURIYADI 95735 8/21/2010 13 Rp 520,000 Rp 4,000 Rp 50,000
318 SUCI ARDI ANWAR 96149 8/21/2010 4 Rp 160,000 Rp 4,000 Rp 50,000
319 ALAM 95568 8/21/2010 17 Rp 680,000 Rp 4,000 Rp 350,000 Rp 100,000
320 B.DG.PUJI 96109 8/21/2010 7 Rp 280,000 Rp 4,000
321 PATTA 95583 8/21/2010 16 Rp 640,000 Rp 4,000 Rp 150,000 Rp 100,000
322 NY.PARAMITA 96305 8/22/2010 2 Rp 80,000 Rp 4,000 Rp 75,000 Rp 150,000
323 BY.NY.PARAMITA 96306 8/22/2010 2 Rp 80,000 Rp 4,000

324 SAHRUL 38223 8/22/2010 3 Rp 120,000 Rp 4,000 Rp 50,000
325 SAPRIADI 96180 8/22/2010 3 Rp 120,000 Rp 111,000 Rp 4,000
326 SYAIFUL 96153 8/22/2010 5 Rp 200,000 Rp 333,000 Rp 4,000
327 MUH.SABAR,S.PdI 96184 8/22/2010 2 Rp 80,000 Rp 4,000
328 ETI ROSLINA 96067 8/22/2010 6 Rp 240,000 Rp 4,000 Rp 50,000
329 ABD.RASYID 95985 8/22/2010 9 Rp 360,000 Rp 4,000 Rp 25,000
330 NURJANNAH 95927 8/22/2010 12 Rp 480,000 Rp 4,000 Rp 200,000
331 B.DG.BAJI 95788 8/22/2010 11 Rp 440,000 Rp 4,000
332 LEBU BIN BASSARA 96144 8/22/2010 5 Rp 200,000 Rp 4,000
333 ASMAUL HUSNA 98150 8/22/2010 6 Rp 240,000 Rp 4,000 Rp 100,000
334 NY.SYAMSIAH 96328 8/23/2010 1 Rp 40,000 Rp 4,000 Rp 50,000
335 BY.NY.SYAMSIAH 96326 8/23/2010 1 Rp 40,000 Rp 4,000
336 NY.ANITA 96313 8/23/2010 2 Rp 80,000 Rp 4,000 Rp 125,000
337 BY.NY.ANITA 96314 8/23/2010 2 Rp 80,000 Rp 4,000
338 NY.NURHAENI 96323 8/23/2010 2 Rp 80,000 Rp 4,000 Rp 75,000
339 BY.NY.NURHAENI 96327 8/23/2010 1 Rp 40,000 Rp 4,000

340 NY.IDA 96266 8/23/2010 4 Rp 160,000 Rp 111,000 Rp 4,000 Rp 100,000
341 NY.RISMAWATI 96757 8/23/2010 4 Rp 160,000 Rp 4,000 Rp 125,000 Rp 150,000
342 UMAR DG.LEWA 95995 8/23/2010 10 Rp 400,000 Rp 4,000 Rp 200,000
343 MUH.SYAFII 40743 8/23/2010 1 Rp 40,000 Rp 4,000 Rp 100,000
344 MUH.IDUL RAHMADANI 96301 8/23/2010 3 Rp 120,000 Rp 4,000
345 MUH.RIFKI 96143 8/23/2010 6 Rp 240,000 Rp 4,000
346 SAHARUDDIN DG.NAI 96183 8/23/2010 3 Rp 120,000 Rp 4,000 Rp 100,000
347 MUSA DG.TABA 95800 8/23/2010 11 Rp 440,000 Rp 4,000
348 YUSRAN 96322 8/23/2010 2 Rp 80,000 Rp 4,000
349 MAKKU 95995 8/23/2010 10 Rp 400,000 Rp 4,000
350 INDRAHAYU SAPUTRI 96255 8/23/2010 4 Rp 160,000 Rp 4,000
351 LARANG DG.ROWA 96067 8/23/2010 7 Rp 280,000 Rp 4,000 Rp 200,000
352 MAWAR DG.NGAI 41245 8/23/2010 5 Rp 200,000 Rp 4,000
353 RAMLAH 96148 8/23/2010 6 Rp 240,000 Rp 4,000 Rp 50,000
354 AWAL SUHARDI.A 96172 8/23/2010 4 Rp 160,000 Rp 4,000
355 SOHRA 96178 8/23/2010 4 Rp 160,000 Rp 4,000 Rp 75,000
356 NY.JUMRIATI 96342 8/24/2010 1 Rp 40,000 Rp 4,000 Rp 75,000

357 BY.NY.JUMRIATI 96343 8/24/2010 1 Rp 40,000 Rp 4,000
358 NY.ROSDIANA 38784 8/24/2010 3 Rp 120,000 Rp 4,000
359 BY.NY.ROSDIANA 96331 8/24/2010 2 Rp 80,000 Rp 4,000
360 NY.HATIKA 59734 8/24/2010 2 Rp 80,000 Rp 4,000 Rp 125,000
361 NY.HASLINDA 96319 8/24/2010 3 Rp 120,000 Rp 4,000 Rp 125,000
362 CANTIKA PUTRI 96325 8/24/2010 2 Rp 80,000 Rp 4,000
363 YUDIS TIRA.R 96296 8/24/2010 3 Rp 120,000 Rp 4,000 Rp 100,000
364 YOYAKHIN 96254 8/24/2010 5 Rp 200,000 Rp 4,000
365 NAJAMUDDIN NANDAR 96189 8/24/2010 4 Rp 160,000 Rp 4,000 Rp 175,000 Rp 50,000
366 YULIANUS KASIAN 96303 8/24/2010 4 Rp 160,000 Rp 4,000 Rp 175,000
367 BURHANUDDIN 96056 8/24/2010 6 Rp 240,000 Rp 4,000 Rp 125,000 Rp 100,000 Rp 50,000
368 DG.LENTENG 96154 8/24/2010 7 Rp 280,000 Rp 4,000 Rp 50,000
369 IDRIS 96159 8/24/2010 5 Rp 200,000 Rp 4,000
370 RUKIAH 96188 8/24/2010 4 Rp 160,000 Rp 4,000
371 NENENG 96292 8/24/2010 3 Rp 120,000 Rp 4,000 Rp 150,000
372 MUSDALIFA 96207 8/24/2010 2 Rp 80,000 Rp 4,000

373 NY.SELFYANY 60041 8/25/2010 2 Rp 80,000 Rp 4,000 Rp 125,000
374 BY.NY.SELFYANY 96358 8/25/2010 1 Rp 40,000 Rp 4,000
375 NY.SRI REZKI WAHYUNI 96855 8/25/2010 1 Rp 40,000 Rp 4,000 Rp 75,000
376 BY.NY.SRI REZKI WAHYUNI 96356 8/25/2010 1 Rp 40,000 Rp 4,000
377 NY.NUR INTAN ST 96123 8/25/2010 2 Rp 80,000 Rp 4,000 Rp 250,000
378 ALFIANSYAH DWI PUTRI 96333 8/25/2010 3 Rp 120,000 Rp 4,000
379 NUR AULIAH PUTRI 96320 8/25/2010 4 Rp 160,000 Rp 4,000 Rp 50,000
380 ARDIANSYAH 96275 8/25/2010 5 Rp 200,000 Rp 4,000
381 SURYATI 96018 8/25/2010 5 Rp 200,000 Rp 111,000 Rp 4,000
382 MUH.AL IKRAM 96235 8/25/2010 5 Rp 200,000 Rp 111,000 Rp 4,000
383 BUNGA 96302 8/25/2010 5 Rp 200,000 Rp 111,000 Rp 4,000 Rp 175,000 Rp 50,000
384 TIA DG.LINO 96365 8/25/2010 1 Rp 40,000 Rp 111,000 Rp 4,000 Rp 50,000
385 KATRIN GALA 96176 8/25/2010 6 Rp 240,000 Rp 4,000 Rp 100,000 Rp 150,000
386 NY.SADERIAH 96304 8/26/2010 6 Rp 240,000 Rp 4,000 Rp 100,000 Rp 150,000 Rp 50,000
387 MUH.ASWAR 96488 8/26/2010 2 Rp 80,000 Rp 4,000
388 NUR FAUSIAH 96367 8/26/2010 2 Rp 80,000 Rp 4,000 Rp 50,000

389 INDIRA YUDISTIRA 96201 8/26/2010 6 Rp 240,000 Rp 4,000
390 HIRONIMUS SARI 96340 8/26/2010 4 Rp 160,000 Rp 4,000 Rp 50,000
391 SYAHRIL 96381 8/26/2010 1 Rp 40,000 Rp 4,000
392 HAMJAH DG.PARUMPA 96182 8/26/2010 7 Rp 280,000 Rp 4,000 Rp 50,000 Rp 100,000
393 NY.MARLINA 96495 8/27/2010 2 Rp 80,000 Rp 4,000
394 BY.NY.MARLINA 96379 8/27/2010 2 Rp 80,000 Rp 4,000
395 NY.SURYANI.S 96383 8/27/2010 1 Rp 40,000 Rp 4,000
396 BY.NY.SURYANI.S 96384 8/27/2010 1 Rp 40,000 Rp 4,000
397 NY.MARIANA 96390 8/27/2020 1 Rp 40,000 Rp 4,000
398 NY.MARIANA 96391 8/27/2010 1 Rp 40,000 Rp 4,000
399 NY.SUHAINI,SKM 26271 8/27/2010 3 Rp 120,000 Rp 4,000
400 NANDI 96329 8/27/2010 5 Rp 200,000 Rp 4,000 Rp 50,000
401 MUH.RIDHO PRATAMA 96924 8/27/2010 4 Rp 160,000 Rp 4,000 Rp 50,000
402 HANDRI M.NUR 96376 8/27/2010 2 Rp 80,000 Rp 4,000 Rp 50,000 Rp 200,000
403 YOYAKIN 96254 8/27/2010 2 Rp 80,000 Rp 111,000 Rp 4,000 Rp 50,000
404 SALMA 96189 8/27/2010 7 Rp 280,000 Rp 4,000 Rp 25,000 Rp 100,000

405 RAHMAT 96317 8/27/2010 4 Rp 160,000 Rp 4,000 Rp 25,000 Rp 100,000
406 SANIPA 96362 8/27/2010 3 Rp 120,000 Rp 4,000 Rp 50,000
407 SUMARNI 91831 8/27/2010 5 Rp 200,000 Rp 4,000 Rp 100,000
408 NY.SUKMA YANTI 96601 8/28/2010 2 Rp 80,000 Rp 4,000
409 NY.ROSDIANA DG.NGANA 95089 8/28/2010 2 Rp 80,000 Rp 4,000
410 HJ.KALIMA DG.KUNTU 86307 8/28/2010 8 Rp 320,000 Rp 4,000 Rp 200,000 Rp 150,000
411 AWAL FEBRIYANSA 96606 8/28/2010 2 Rp 80,000 Rp 4,000 Rp 150,000
412 ALDI 96432 8/28/2010 3 Rp 120,000 Rp 111,000 Rp 4,000
413 BAHARUDDIN 96350 8/28/2010 5 Rp 200,000 Rp 111,000 Rp 4,000 Rp 175,000
414 RINI NURYANI 96268 8/28/2010 3 Rp 120,000 Rp 111,000 Rp 4,000
415 AFFANDI 96555 8/28/2010 1 Rp 40,000 Rp 4,000
416 DG.BACCE 96321 8/28/2010 7 Rp 280,000 Rp 4,000
417 NUR SULHANA 96392 8/28/2010 3 Rp 120,000 Rp 4,000
418 NY.ERNAWATI 67569 8/29/2010 2 Rp 80,000 Rp 4,000 Rp 75,000
419 BY.NY.ERNAWATI 96617 8/29/2010 2 Rp 80,000 Rp 4,000
420 JAMALUDDIN 96213 8/29/2010 6 Rp 240,000 Rp 111,000 Rp 4,000

421 AMAL HAMZAMUDDIN 96430 8/29/2010 6 Rp 240,000 Rp 4,000
422 SUBUH DG.LEWA 96361 8/29/2010 5 Rp 200,000 Rp 4,000 Rp 100,000 Rp 50,000
423 HAMJAH DG.PARUMPA 96182 8/29/2010 3 Rp 120,000 Rp 4,000
424 NY.SOHRA DG.BAJI 96318 8/29/2010 8 Rp 320,000 Rp 4,000 Rp 50,000
425 WAHYU PERDANA 96345 8/29/2010 6 Rp 240,000 Rp 4,000 Rp 200,000
426 SYAMSUDDIN 95958 8/30/2010 12 Rp 480,000 Rp 111,000 Rp 4,000 Rp 150,000
427 ABD.AZIS 47178 8/30/2010 11 Rp 440,000 Rp 4,000 Rp 50,000 Rp 100,000
428 WIWI 96631 8/30/2010 2 Rp 80,000 Rp 4,000
429 REYHANA 96627 8/30/2010 2 Rp 80,000 Rp 4,000 Rp 50,000
430 SOFIA 96364 8/30/2010 6 Rp 240,000 Rp 4,000
431 RAMDAN 96414 8/30/2010 7 Rp 280,000 Rp 4,000 Rp 50,000
432 IQRA SARBAKTI NUR 96545 8/30/2010 3 Rp 120,000 Rp 4,000
433 SRI RESKI 96613 8/30/2010 3 Rp 120,000 Rp 4,000
434 NURUL 79097 8/30/2010 3 Rp 120,000 Rp 4,000
435 AHMAD 96475 8/30/2010 5 Rp 200,000 Rp 4,000 Rp 150,000
436 HASNIA USMAN 96256 8/30/2010 11 Rp 440,000 Rp 111,000 Rp 4,000 Rp 125,000 Rp 150,000 Rp 50,000
437 DG.ROBI 96346 8/30/2010 7 Rp 280,000 Rp 4,000 Rp 175,000 Rp 200,000
438 MUH.AMIN 96525 8/30/2010 4 Rp 160,000 Rp 4,000 Rp 50,000
439 HASMA 96293 8/30/2010 6 Rp 240,000 Rp 4,000
440 HENDRO 96299 8/30/2010 7 Rp 280,000 Rp 4,000 Rp 100,000
441 BENYAMIN 96332 8/30/2010 7 Rp 280,000 Rp 4,000 Rp 75,000 Rp 100,000
442 DG.BAU 96562 8/30/2010 2 Rp 80,000 Rp 4,000
443 HJ.RAPPE 96368 8/30/2010 5 Rp 200,000 Rp 4,000 Rp 325,000 Rp 50,000
444 MUH.ARIF 96189 8/30/2010 10 Rp 400,000 Rp 4,000 Rp 175,000
445 HAMINA 96324 8/30/2010 9 Rp 360,000 Rp 4,000 Rp 175,000 Rp 100,000
446 HASRAH 96607 8/30/2010 4 Rp 160,000 Rp 4,000 Rp 200,000
447 NY.ST.SARIFAH 96589 8/31/2010 1 Rp 40,000 Rp 4,000 Rp 75,000
448 BY.NY.ST.SARIFAH 96654 8/31/2010 1 Rp 40,000 Rp 4,000
449 NY.NURLINDA 96650 8/31/2010 1 Rp 40,000 Rp 4,000 Rp 125,000
450 BY.NY.NURLINDA 96655 8/31/2010 1 Rp 40,000 Rp 4,000
451 NY.SANDRA NURAENI 96633 8/31/2010 2 Rp 80,000 Rp 4,000 Rp 75,000
452 BY.NY.SANDRA NURAENI 96636 8/31/2010 2 Rp 80,000 Rp 4,000

453 MUH.ALWI 96078 8/31/2010 5 Rp 200,000 Rp 4,000
454 SAHARIA 96667 8/31/2010 1 Rp 40,000 Rp 111,000 Rp 4,000 Rp 300,000 Rp 50,000
455 SAKINAH 96396 8/31/2010 5 Rp 200,000 Rp 4,000 Rp 100,000
456 JAZILAH ZALSABILA 6360 8/31/2010 7 Rp 280,000 Rp 4,000
457 RIFA RAUDHATUL ALIYAH 79097 8/31/2010 4 Rp 160,000 Rp 4,000
458 NUR RIZWANA DALIA.B 96634 8/31/2010 2 Rp 80,000 Rp 4,000
459 NUR ANGRAENI SUCI.R 95941 8/31/2010 4 Rp 160,000 Rp 111,000 Rp 4,000
460 SANTI 96639 8/31/2010 2 Rp 80,000 Rp 4,000 Rp 200,000
TOTAL BERKAS : 460 Rp 77,784,000 Rp 7,104,000 Rp 1,840,000 Rp 25,080,000 Rp 200,000 Rp 5,900,000 Rp 5,400,000 Rp 1,150,000
PUSAT PENGENDALI ADMINISTRASI TERPADU RUMAH SAKIT (PPATRS)

PROGRAM PELAYANAN KESEHATAN GRATIS
RSU. HAJI MAKASSAR
KETUA
dr.St. DJAWIJAH
NIP. 19720115 200502 2 004
Mengetahui :
DIREKTUR RSU. HAJI MAKASSAR,
drg.Hj.Nurhasnah Palinrungi,M.Kes
NIP. 19550915 198410 2 001
AT INAP PESERTA JAMKESDA AGUSTUS 2010 "
TINDAKAN MEDIK KEBIDANAN DAN KANDUNGAN
TOTAL
SEDERHANA FISIOTHERAPI OPERASI NORMAL PATOLOGIS CAESAR KURETASE NAMA DOKTER
SEDANG BESAR KHUSUS
( RP ) ( RP) ( RP ) ( RP ) ( RP ) ( RP ) ( RP ) ( RP ) ( RP ) ( RP )
14 15 16 17 18 19 20 21 22 23 24
Rp 70,000 Rp 190,000 Rp 484,000 DR.EDDY,SpOG
Rp 124,000 DR.FARIDHA,SpA
Rp 44,000 DR.YATI,SpA
Rp 35,000 Rp 750,000 Rp 300,000 Rp 1,145,000 Rp 2,605,000 DR.FATMA,SpOG
Rp 105,000 Rp 900,000 Rp 1,450,000 DR.FATMA,SpOG
Rp 70,000 Rp 275,000 DR.FATMA,SpOG

Rp 35,000 Rp 564,000 DR.RUSMAN,SpD
Rp 245,000 Rp 750,000 Rp 1,685,000 DR.MAPPI,SpB
Rp 105,000 Rp 750,000 Rp 1,130,000 DR.DJUFRI,SpB
Rp 35,000 Rp 190,000 Rp 384,000 DR.FATMA,SpOG
Rp 35,000 Rp 119,000 DR.HASYIM,SpD
Rp 35,000 Rp 209,000 DR.YATI,SpA
Rp 35,000 Rp 239,000 DR.NADRA,SpS

Rp 44,000 DR.AZIZAH,SpM
Rp 35,000 Rp 500,000 Rp 690,000 DR.JUFRI ,SpB
Rp 70,000 Rp 1,145,000 Rp 1,530,000 DR.EDDY,SpOG
Rp 35,000 Rp 190,000 Rp 269,000 DR.SAHA,SpOG
Rp 70,000 Rp 344,000 DR.FARIDHA,SpA
Rp 35,000 Rp 884,000 DR.BAHAR,SpB

Rp 35,000 Rp 154,000 DR.SAHA,SpOG
Rp 35,000 Rp 750,000 Rp 1,040,000 DR.BAHAR,SpB

DR.RUSMAN,SpD

DR.AMIRAH,SpTHT

Rp 35,000 Rp 750,000 Rp 980,000 DR.BAHAR,SpB

Rp 190,000 Rp 309,000 DR.EDDY,SpOG
Rp 70,000 Rp 1,145,000 Rp 1,374,000 DR.EDDY,SpOG
Rp 105,000 Rp 1,145,000 Rp 1,560,000 DR.SAHA,SpOG

Rp 35,000 Rp 750,000 Rp 1,070,000 DR.AMIRAH,SpTHT

Rp 140,000 Rp 539,000 DR.YATI,SpA
Rp 210,000 Rp 1,114,000 DR.RUSMAN,SpD

Rp 70,000 Rp 70,000 Rp 424,000 DR.NADRA,SpS

Rp 175,000 Rp 909,000 DR.FARIDHA,SPA

Rp 70,000 Rp 900,000 Rp 1,545,000 DR.DJUFRI,SpB
Rp 35,000 Rp 70,000 Rp 309,000 DR.HASYIM,SpD
Rp 105,000 Rp 750,000 Rp 900,000 Rp 3,066,000 DR.FATMA,SpOG

DR.MAPPI,SpB
Rp 245,000 Rp 750,000 Rp 2,110,000 DR.MAPPI.SpB
Rp 35,000 Rp 399,000 DR.AMIRAH,SpTHT

DR.SAHA,SpOG
Rp 35,000 Rp 369,000 DR.MAPPI,SpB

Rp 70,000 Rp 1,145,000 Rp 1,565,000 DR.FATMA,SpOG

Rp 70,000 Rp 1,145,000 Rp 1,951,000 DR.FATMA,SpOG
Rp 35,000 Rp 199,000 DR.YATI,SPA
Rp 35,000 Rp 190,000 Rp 450,000 Rp 1,124,000 DR.SAHA,SpOG

Rp 70,000 Rp 750,000 Rp 975,000 DR.BAHAR,SpB

Rp 280,000 Rp 1,414,000 DR.RUSMAN,SpD
Rp 175,000 Rp 1,069,000 DR.HASYIM,SpD
Rp 35,000 Rp 190,000 Rp 384,000 DR.FATMA,SpA
Rp 70,000 Rp 750,000 Rp 1,195,000 DR.EDDY,SpOG
Rp 70,000 Rp 154,000 DR.DJUFRI,SpB


DR.RUSMAN,SpD


DR.YATI,SpA



DR.HASYIM,SpD
Rp 70,000 Rp 304,000 DR.FARIDHA,SpB
Rp 35,000 Rp 500,000 Rp 890,000 DR.MAPPI,SpB

Rp 105,000 Rp 439,000 DR.YATI,SpA

DR.RUSMAN,SpD
Rp 35,000 Rp 190,000 Rp 300,000 Rp 644,000 DR.SAHA,SpOG

DR.AZIZAH,SpM
Rp 22,400,000 Rp 525,000 Rp 1,000,000 Rp 29,250,000 Rp 3,600,000 Rp 11,970,000 Rp 600,000 Rp 9,160,000 Rp 3,150,000 Rp 206,113,000
Makassar, Agustus 2010
RUMAH SAKIT (PPATRS)

AN GRATIS
PEMBUAT LAPORAN
ASMIATI ASYIKIN,AmKL
NIP. 19746030 200003 2 003
ui :
MAKASSAR,
nrungi,M.Kes
410 2 001
KETERANGAN DIAGNOSA
25
INPARTU/NR
BBL
INPARTU/NR
BBL
INPARTU/NR
BBL
INPARTU/SC
BBL
ABORTUS INKOMPLIT
MIOMA UTERI
PERDARAHAN POST PARTUM

SUS.ISK
ORCHITIS
FARKTUR TERBUKA
KP AKTIF LAMA
TYPHOID
INPARTU/NR
BBL
INPARTU/NR
BBL
INPARTU/NR
BBL
BBL
FEBRIS
FEBRIS
T.C
SUS.DEMAM TYPHOID
DIARE
CONJUNTIVITIS
V.LACERATUM
KP
ABSES HATI
TYPHOID
KOLITIS
SUS.KP
KP
SUS.TYPHOID
DEMAM TYPHOID
DEMAM TYPHOID
PPOK
INPARTU/SC
BBL
INPARTU/NR
BBL
INPARTU/NR
BBL
BBL
BBL
BBL
BBL
SEROSISI HATI
DHF
GEA
LUMPADENOMA
TU.ABDOMEN
BRONCHITIS KRONIS
FEBRIS
HEMOPTOE
TYPHOID
DEMAM TYPHOID
INPARTU/NR
BBL
INPARTU/NR
BBL
INPARTU/NR
INPARTU/NR
SUS.CHOLELITIASIS
DEMAM TYPHOID
HIL
FIBRODENOMA MAMAE
TYPHOID
DIARE
DEMAM TYPHOID
DEMAM TYPHOID
TYPHOID
INPARTU/NR
BBL
INPARTU/NR
BBL
INPARTU/NR
BBL
INPARTU/NR
BBL
INPARTU/NR
BBL
DEMAM TYHPOID
FEBRIS
FEBRIS
FAM
HIL
TU.JARINGAN LUNAK
V.EVSOVIATUM
DEMAM TYPHOID
DEMAM TYPHOID
ANEMIA BROCHIALIS
INPARTU/NR
BBL
INPARTU/NR
BBL
APP
FEBRIS
DBD
KOLIK ABDOMEN
LUMFADENOMA
SUS.APP
TU.LIPAT PAHA
CHF
INPARTU/NR
BBL
INPARTU/NR
BBL
INPARTU/SC
BBL
INPARTU/SC
BBL
INPARTU/SC
BBL
INPARTU/NR
BBL
INPARTU/NR
BBL
POST PARTUM
DEMAM TYPHOID
ASTMA BRONCHIALE
DIARE + VOMITING
FEBRIS
HEPATITIS
TONSILITIS KRONIK
HT BERAT
TYPHOID FEVER
HEPATOMA
DEMAM TYPHOID
STROKE
INPARTU/NR
BBL
GRAVID + DIARE
GRAVID
BBL
ULCUS DIABETIK + GASTRITIS
TYPHOID
DEMAM TYPHOID
ABSES HATI
KP
LYMPHADENITIS
TYPHOID
GRAVID
VOMITING
FEBRIS
SUS.TYPHOID
KEJANG DEMAM
DIARE
TYPHOID
HIL
DYSPEPSIA
DEMAM TYPHOID
DBD
DHF
DYSPEPSIA
SUS.TYPHOID
SEROSIS HATI
HEMIPARESE
VERTIGO
INPARTU/NR
BBL
TYPHOID
DIARE
GEA
DIARE DEHIDRASI
FEBRIS + SUS.TYPHOID
BATU GINJAL + NEPROLITIS
POST OP PROSTAT
TU.COLLY
TYPHOID
PNEUMONIA
DYSPEPSIA + KP
DYSPEPSIA
BRONCHITIS KRONIK
GASTRITIS
ISK
GEA DEHIDRASI
INPARTU/NR
BBL
INPARTU/NR
BBL
INPARTU/NR
BBL
INPARTU/NR
BBL
ABORTUS INKOMPLIT
DEMAM TYPHOID
SUS.HEPATITIS
FEBRIS
BACTERIAL INFECTION
FRAKTUR FEMUR
HIL
HERNIA
KP
INPARTU/NR
BBL
INPARTU/SC
ULEUS PEPTIK
DYSPEPSIA
DYSPEPSIA
LIMPHANGIOMA
DEMAM TYPHOID
SUS.ISK
INPARTU/NR
BBL
INPARTU/NR
BBL
INPARTU/NR
TU.UTERUS
OBS.FEBRIS
FEBRIS
KEJANG DEMAM
CYST.ADENOMA
H.PROSTAT
GASTRITIS
TONSILITIS
INPARTU/NR
BBL
INPARTU/NR
BBL
BBL
BBL
DBD
TYPHOID
DISTENSI ABDOMEN
SUS.APP
APP AKUT
INPARTU/NR
BBL
DEMAM TYPHOID
CHF
INPARTU/NR
BBL
DYSPEPSIA
ANAK
DIARE
OBS.FEBRIS
HERNIA
HYPERTENSI
SUS.ISK
GASTRITIS
DYSPEPSIA
DEMAM TYPHOID
HEPATITIS
DBD
FEBRIS
HYPEREMESIS GRVIDARUM
KEJANG DEMAM
DEMAM TYPHOID
KP
TYPHOID
TYPHOID
INPARTU/SC
BBL
INPARTU/NR
BBL
INPARTU/NR
BBL
ABORTUS INKOMPLIT
ABORTUS INKOMPLIT
GEA
DIARE
FEBRIS
GEA
FEBRIS
FEBRIS PRO EVALUASI
TU.DINDING
KLL
PJK
HAEMPOTOE
TU.FEVER
INPARTU/NR
BBL
INPARTU/NR
BBL
INPARTU/SC
BBL
DIARE DEHIDRASI
SUS.BRONCHITIS
TU.MAMMA
FEBRIS PROEVALUASI
FEBRIS + GRAVID 6 BLN
ABORTUS INKOMPLIT
INPARTU/NR + KPD
BBL
ISPA
FEBRIS
SUS.EPILEPSI
FEBRIS
TYPHOID
SUS.FAM
EPIGARTRUM
HERNIA
LIMFANGIOMA
HIL
HEPATITIS
GASTRITIS
GASTRITIS
INPARTU/NR
BBL
INPARTU/NR
BBL
PERDARAHAN PERVAGINA
INPARTU/NR
BBL
COMMOTIO CEREBRI
DIARE DEHIDRASI
GEA DEHIDRASI
GEA
FEBRIS
GEA DEHIDRASI
APP ACUTE
KP
KP
ISK
HAEMAPTOE
VERTIGO
HERNIA
INPARTU/NR
BBL
MORBILI
VARICOCEL
NHS
COLESISTIS
DEMAM TYPHOID
KAKI DIABETIK
KP
SUS.DM
ISK
TYPHOID
INPARTU/NR
BBL
INPARTU/NR
BBL
INPARTU/NR
BBL
SUS.KET
HYPEREMESIS GRAVIDARUM
NHS
TYPHOID
DIARE
FEBRIS
SUS.FRAKTUR COSTA
HEMOROID
OPEN DIGITAL V MANUR
V.LACERATUM
TYPHOID
KP
ISK
DEMAM TYPHOID
DBD
HT + CHEPALGIA
INPARTU/NR
BBL
INPARTU/NR
BBL
ABORTUS INKOMPLIT
POST PARTUM
ISPA + SUS.ASTMA
FEBRIS
TU.DAHI
SUS.ILEUS
SUS.APP
STRUMA NADOSA
DEMAM TYPHOID
TYPHOID
FEBRIS
KOLIK
ARTALGIA
INPARTU/NR
BBL
INPARTU/NR
BBL
ABORTUS INKOMPLIT
OBS.VOMITING
KEJANG DEMAM
HEPATOTOS
CA.MAMMAE
HIL
SUS.APP
DEMAM TYPHOID
HT + DM + TU.ABDOMEN
GASTRITIS KRONIK
FEBRIS
DIARE DEHIDRASI
ABSES
DBD
SEROSIS HEPATIL
KP
INPARTU/NR
BBL
INPARTU/NR
BBL
INPARTU/NR
BBL
INPARTU/NR
GEA DEHIDRASI
PNEMONIE + DIARE
FRAKTUR
TU.DAHI
KP
ASTHMA BROCHIALE
HT
SUS.KP
INPARTU/NR
INPARTU/NR
LBP + HT
KP + BP + DIARE
TU.DINDING THORAS
NEPHROLITIASIS
TU.MAMMAE
HEPATITIS
FEBRIS
DIARE AKUT
INPARTU/NR
BBL
TU.COLLI
KP
KP
KP
GEA
COMBOSIO CEREBRI
ABSES
KP
GEA
GEA
KP + BP + DIARE
INFEKSI NEONATOROM
DBD + TONSILITIS AKUT
GEA + DIARE AKUT
DBD
TU.ABDOMEN
HERNIA + HT
SUS.CA
DBD
KP
PLEURITIS TB
TB MILLER
CHF
NHS
CHEPALGIA
COMBOSIO CEREBRI
TONSILITIS KRONIK
INPARTU/NR + PERDARAHAN
BBL
INPARTU/NR
BBL
INPARTU/NR
BBL
PROSTAT
SUS.NHS
DBD
FEBRIS
VOMITING
DIARE
SUS.LIPOMA
SPONDYLITIS TB
r, Agustus 2010
T LAPORAN
SYIKIN,AmKL
0 200003 2 003
" HASIL RE
PAKET RAWAT INAP PAKET INTENSIF
NO LAMA BIAYA RM
MR TGL KELUAR HARI BIAYA
RAWAT ICCU/ICU/
N0 NAMA ( RP ) ( RP ) ( RP )
ASRIA 95273 8/4/2010 1 Rp 40,000
KALSUM 95796 8/23/2010 11 Rp 440,000 Rp 111,000
389 INDIRA YUDISTIRA 96201 8/26/2010 6 Rp 240,000 Rp 111,000 Rp 4,000
415 AFFANDI 96555 8/28/2010 1 Rp 40,000 Rp 4,000

TDK ADA KTP/KK
TOPAN 96621 8/30/2010 3 Rp 120,000 Rp 4,000
453 MUH.ALWI 96078 8/31/2010 5 Rp 200,000 Rp 111,000 Rp 4,000

" HASIL REKAP RAWAT INAP BERMASALAH PESERTA JAMKESDA A
PENUNJANG DIAGNOSTIK TINDAKAN MEDIK

RADIODIAGNOSTIK
PATOLOGI PATOLOGI DIAGNOSTIK
KLINIK ANATOMI SEDERHANA SEDANG ELEKTROMEDIK SEDERHANA FISIOTHERAPI
( RP ) ( RP ) ( RP ) ( RP ) ( RP ) ( RP ) ( RP)
Rp 175,000 Rp 35,000
Rp 315,000
Rp 150,000 Rp 105,000
Rp 35,000
Rp 70,000
Rp 50,000 Rp 50,000 Rp 35,000

ESERTA JAMKESDA AGUSTUS 2010 "
TINDAKAN MEDIK KEBIDANAN DAN KANDUNGAN

OPERASI
TOTAL
NORMAL PATOLOGIS CAESAR KURETASE
SEDANG
BESAR KHUSUS
( RP ) ( RP ) ( RP ) ( RP ) ( RP ) ( RP ) ( RP ) ( RP )
Rp 250,000
Rp 500,000 Rp 1,366,000
Rp 750,000 Rp 1,360,000
Rp 79,000
Rp 194,000
Rp 900,000 Rp 1,350,000
KETERANGAN DIAGNOSA
NAMA DOKTER
DR.MAPPI,SpB ASCITES + TU.ABDOMEN
DR.NADRA,SpS COMBOSIO CEREBRI
DR.AMIRAH,SpTHT ABSES
DR.RUSMAN,SpD HEPATITIS
DR.RUSMAN,SpD KP + DYSPEPSIA
DR.BAHAR,SpB PROSTAT
DR.HASYIM,SpD

Rawat Inap AGUSTUS

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Rawat Inap AGUSTUS

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" HASIL REKAP RAWAT INAP PESERTA

PAKET RAWAT INAP PAKET INTENSIF PENUNJANG DIAGNOSTIK

TGL LAMA BIAYA RM PATOLOGI PATOLOGI RADIODIAGNOSTIK DIAGNOSTIK

1 NY.ASMAWATI 95232 8/1/2010 3 Rp 120,000 Rp 4,000 Rp 100,000

2 BY.NY.ASMAWATI 95241 8/1/2010 3 Rp 120,000 Rp 4,000

3 NY.ASDIANAH 95260 8/1/2010 1 Rp 40,000 Rp 4,000 Rp 50,000

4 BY.NY.ASDIANAH 95260 8/1/2010 1 Rp 40,000 Rp 4,000

5 NY.ERNI 95261 8/1/2010 1 Rp 40,000 Rp 4,000

6 BY.NY.ERNI 95263 8/1/2010 1 Rp 40,000 Rp 4,000

7 NY.SRI HANDAYANI 95213 8/1/2010 4 Rp 160,000 Rp 111,000 Rp 4,000 Rp 100,000

8 BY.NY.SRI HANDAYANI 95214 8/1/2010 4 Rp 160,000 Rp 4,000

9 NY.NURHARIYANA 94719 8/1/2010 2 Rp 80,000 Rp 4,000 Rp 100,000

10 NY.HASNA JAYA,SE 94708 8/1/2010 7 Rp 280,000 Rp 111,000 Rp 4,000 Rp 50,000

11 NY.ASRIANI 95289 8/1/2010 1 Rp 40,000 Rp 111,000 Rp 4,000 Rp 50,000

13 RUSLI M.DG.NARANG 94816 8/1/2010 10 Rp 400,000 Rp 111,000 Rp 4,000 Rp 175,000

14 SYARIFUDDIN 94997 8/1/2010 4 Rp 160,000 Rp 111,000 Rp 4,000

15 NURUL ASKAR 94917 8/1/2010 7 Rp 280,000 Rp 4,000

16 KASDIANA 94936 8/1/2010 7 Rp 280,000 Rp 4,000

17 NY.NURLINDA 95264 8/2/2010 2 Rp 80,000 Rp 4,000 Rp 75,000

18 BY.NY.NURLINDA 95267 8/2/2010 2 Rp 80,000 Rp 4,000

19 NY.LUSIA GAWUS 95276 8/2/2010 2 Rp 80,000 Rp 4,000 Rp 125,000

20 BY.NY.LUSIA GAWUS 95279 8/2/2010 1 Rp 40,000 Rp 4,000

21 NY.RAHMATIAH 95280 8/2/2010 1 Rp 40,000 Rp 4,000 Rp 50,000

22 BY.NY.RAHMATIAH 95281 8/2/2010 1 Rp 40,000 Rp 4,000

23 BY.NY.HASDIANA 95278 8/2/2010 2 Rp 80,000 Rp 4,000

24 ROSMIATI 95266 8/2/2010 2 Rp 80,000 Rp 4,000

25 SITTI NURFADILLAH 95252 8/2/2010 3 Rp 120,000 Rp 4,000 Rp 50,000

26 INTAN NABILA 94910 8/2/2010 5 Rp 200,000 Rp 4,000

27 MUTMAINNA 95222 8/2/2010 4 Rp 160,000 Rp 4,000 Rp 50,000

28 RAYHAN 95315 8/2/2010 5 Rp 200,000 Rp 4,000

30 JI ASUNG 95287 8/2/2010 1 Rp 40,000 Rp 111,000 Rp 4,000

31 MANGGASALI DG.SIKKI 94719 8/2/2010 11 Rp 440,000 Rp 4,000 Rp 310,000

32 BURHAN DG.DOLO 94792 8/2/2010 9 Rp 360,000 Rp 4,000 Rp 150,000

33 M.RAMLI DG.SERE 94975 8/2/2010 6 Rp 240,000 Rp 4,000

34 MUSTARI DG.NASSA 95035 8/2/2010 7 Rp 280,000 Rp 4,000 Rp 75,000

35 JUMASIA 95217 8/2/2010 4 Rp 160,000 Rp 4,000 Rp 100,000

36 JAMIMAH 95230 8/2/2010 4 Rp 160,000 Rp 4,000 Rp 100,000

37 NAJAMUDDIN 95250 8/2/2010 3 Rp 120,000 Rp 4,000 Rp 50,000

38 THERESIA LELANG 95070 8/2/2010 6 Rp 240,000 Rp 4,000

39 AGUSTINA 94969 8/2/2010 6 Rp 24,000 Rp 4,000 Rp 50,000

40 MARWIAH 95043 8/2/2010 7 Rp 280,000 Rp 4,000 Rp 100,000

41 NY.FAUSIA 95237 8/3/2010 5 Rp 200,000 Rp 111,000 Rp 4,000

42 BY.NY.FAUSIA 95256 8/3/2010 4 Rp 160,000 Rp 4,000

43 NY.AGUSTINA 95277 8/3/2010 3 Rp 120,000 Rp 4,000 Rp 125,000 Rp 150,000

44 BY.NY.AGUSTINA 95285 8/3/2010 2 Rp 80,000 Rp 4,000

46 BY.NY.FITRIYANTI 95501 8/3/2010 1 Rp 40,000 Rp 4,000

47 BY.NY.WENDELINA ILI 95290 8/3/2010 2 Rp 80,000 Rp 4,000

48 BY.NY.ANITA 95511 8/3/2010 2 Rp 80,000 Rp 4,000

49 BY.NY.SINAR GI 95509 8/3/2010 2 Rp 80,000 Rp 4,000

50 BY.NY.SINAR GII 95510 8/3/2010 2 Rp 80,000 Rp 4,000

51 DRS.AHMAD SAGENA 95498 8/3/2010 4 Rp 160,000 Rp 4,000

52 SAHRUL ANSHARI 95240 8/3/2010 5 Rp 200,000 Rp 4,000 Rp 70,000

53 PUTRI NUR AZIZAH 95251 8/3/2010 4 Rp 160,000 Rp 4,000

54 ABDULLAH ANUGRAH 68172 8/3/2010 1 Rp 40,000 Rp 4,000

55 BACCE 94960 8/3/2010 8 Rp 320,000 Rp 4,000 Rp 275,000 Rp 100,000 Rp 150,000

56 LEBONG DG.KAMMA 95407 8/3/2010 4 Rp 160,000 Rp 4,000 Rp 125,000 Rp 100,000

57 SALMAWATY.S 91433 8/3/2010 5 Rp 200,000 Rp 4,000

58 BAISA BT BULU 95252 8/3/2010 4 Rp 160,000 Rp 4,000 Rp 100,000

59 BASSE DG.TINO 95206 8/3/2010 6 Rp 240,000 Rp 4,000

60 DIAN SULISTIA NINGSIH 95080 8/3/2010 7 Rp 280,000 Rp 4,000

61 NY.HAMSINAR 95514 8/4/2010 2 Rp 40,000 Rp 4,000 Rp 50,000

63 NY.SULASTRI 93846 8/4/2010 4 Rp 160,000 Rp 4,000 Rp 50,000

64 BY.NY.SULASTRI 95295 8/4/2010 2 Rp 40,000 Rp 4,000

65 NY.ANITA DG.MAWANGI 95508 8/4/2010 2 Rp 40,000 Rp 4,000 Rp 50,000