Laporan Universal

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<tr class="form">
<td align="center" colspan="9">
<big><big><span style="font-weight: bold;">
LAPORAN UNIVERSAL UNIT LUAR GEDUNG<br>
BULAN 01-02-2019 - 28-02-2019 </span></big></big>
</td>
</tr>
</table>
<table align='center'>
<tr>
<td>Total</td>
<td>:</td>
<td>286</td>
</tr>
</table>
<table align="center" width="98%" border="1">
<tr class="row1">
<td align="center" width='3%'>No</td>
<td align="center" width='6%'>Tanggal</td>
<td align="center" width='6%'>No RM</td>
<td align="center" width='10%'>Nama</td>
<td align="center" >NIK</td>
<td align="center" >KK</td>
<td align="center" width='6%'>Desa</td>
<td align="center" width='5%'>Kecamatan</td>
<td align="center" width='5%'>Kabupaten</td>
<td align="center" width='6%'>Tgl Lahir</td>
<td align="center" width='6%'>Umur<br>Th</td>
<td align="center" width='2%'>L/P</td>
<td align="center" width='7%'>Pekerjaan</td>
<td align="center" width='7%'>Ruangan</td>
<td align="center" width='7%'>Petugas</td>
<td align="center" width='4%'>Status</td>
<td align="center" >Kasus</td>
<td align="center" >Cara Bayar</td>
<td align="center" >Jenis BPJS</td>
<td align="center" >No Asuransi</td>
<td align="center" >Kode Bridging</td>
<td>Diagnosa</td>
</tr>
<tr align="left" valign="top">

<td>1</td>
<td>01-02-2019</td>
<td>008199</td>
<td>PUJO LUSIANTO</td>
<td>`3519073006900012</td>
<td>`</td>
<td>NGLANDUK</td>
<td>WUNGU</td>
<td>MADIUN</td>
<td>01-06-1990</td>
<td>28</td>
<td>L</td>
<td>Belum / Tidak Bekerja</td>
<td>UNIT LUAR GEDUNG</td>
<td>dr. Agustina Dwi Wulansari</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>`0000736676919</td>
<td>Konseling</td>
<td align='center'>
Z00 </td>
</tr>

<td>2</td>
<td>04-02-2019</td>
<td>008270</td>
<td>BUDY AGUSTINA DWI MARYUNANI</td>
<td>`3577015908750002</td>
<td>`3577012112100055</td>
<td>REJOMULYO</td>
<td>KARTOHARJO</td>
<td>KOTA MADIUN</td>
<td>19-08-1975</td>
<td>43</td>
<td>P</td>
<td>Karyawan Swasta</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td>PEGAWAI SWASTA</td>
<td>`0001846653783</td>
<td></td>
<td align='center'>
Z00 </td>
</tr>

<td>3</td>
<td>04-02-2019</td>
<td>008272</td>
<td>AGUSTIN KUSUMAWARDANI</td>
<td>`3577016608880003</td>
<td>`3577010402160001</td>
<td>REJOMULYO</td>
<td>KARTOHARJO</td>
<td>26-08-1988</td>
<td>30</td>
<td>P</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>`0002413928766</td>
<td>Konseling</td>
<td align='center'>
Z00 </td>
</tr>

<td>4</td>
<td>04-02-2019</td>
<td>000492</td>
<td>PRIYO TRIYOGO</td>
<td>`3519081812900001</td>
<td>`</td>
<td>BANJARSARI</td>
<td>MADIUN</td>
<td>MADIUN</td>
<td>18-12-1990</td>
<td>28</td>
<td>L</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PEKERJA MANDIRI</td>
<td>`0002419385951</td>
<td>Konseling</td>
<td align='center'>
Z00 </td>
</tr>

<td>5</td>
<td>04-02-2019</td>
<td>008244</td>
<td>EDY SUMARTONO</td>
<td>`3577011401720001</td>
<td>`3577013110140009</td>
<td>REJOMULYO</td>
<td>KARTOHARJO</td>
<td>14-01-1972</td>
<td>47</td>
<td>L</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>`</td>
<td></td>
<td align='center'>
Z00 </td>
</tr>
<td>6</td>
<td>04-02-2019</td>
<td>007907</td>
<td>SRI WAHYUNINGSIH</td>
<td>`</td>
<td>`</td>
<td>REJOMULYO</td>
<td>KARTOHARJO</td>
<td>12-04-1977</td>
<td>41</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>dr. NOFIYANTI DWI PRIHANTINI</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>`0002413946823</td>
<td>Konseling</td>
<td align='center'>
Z00 </td>
</tr>

<td>7</td>
<td>04-02-2019</td>
<td>005422</td>
<td>ENDANG POEDJOWATI</td>
<td>`3577016001740002</td>
<td>`3577012004077437</td>
<td>REJOMULYO</td>
<td>KARTOHARJO</td>
<td>20-01-1974</td>
<td>45</td>
<td>P</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td>TNI ANGKATAN UDARA</td>
<td>`0002050402487</td>
<td></td>
<td align='center'>
Z00 </td>
</tr>

<td>8</td>
<td>04-02-2019</td>
<td>008284</td>
<td>ABDUR RAZZAQ AMALUDIN</td>
<td>`3577010610960002</td>
<td>`3577012004078703</td>
<td>REJOMULYO</td>
<td>KARTOHARJO</td>
<td>06-10-1996</td>
<td>22</td>
<td>L</td>
<td>Wiraswasta</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>`</td>
<td></td>
<td align='center'>
Z00 </td>
</tr>

<td>9</td>
<td>04-02-2019</td>
<td>008305</td>
<td>JANDU ANITA BR SIHOMBING</td>
<td>`1223014201910001</td>
<td>`3577010710160004</td>
<td>KELUN</td>
<td>KARTOHARJO</td>
<td>02-01-1991</td>
<td>28</td>
<td>P</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>`</td>
<td></td>
<td align='center'>
Z00 </td>
</tr>

<td>10</td>
<td>06-02-2019</td>
<td>008410</td>
<td>YAMSIDAH</td>
<td>`</td>
<td>`</td>
<td>tawangrejo</td>
<td>kartoharjo</td>
<td>kota madiun</td>
<td>21-05-1965</td>
<td>53</td>
<td>P</td>
<td>dr. TITO RUSTANTO N</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>`0002163612328</td>
<td>Konseling</td>
<td align='center'>
M13 </td>
</tr>

<td>11</td>
<td>06-02-2019</td>
<td>008411</td>
<td>SUWARNI</td>
<td>`3577014105660001</td>
<td>`3577012104072246</td>
<td>TAWANG REJO</td>
<td>KARTOHARJO</td>
<td>01-05-1966</td>
<td>52</td>
<td>P</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>`0001541175287</td>
<td>Konseling</td>
<td align='center'>
M13 </td>
</tr>

<td>12</td>
<td>06-02-2019</td>
<td>008412</td>
<td>SUNARSIH</td>
<td>`</td>
<td>`</td>
<td>TAWANGREJO</td>
<td>KARTOHARJO</td>
<td>26-12-1956</td>
<td>62</td>
<td>P</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>`0002163613184</td>
<td>Konseling</td>
<td align='center'>
M13 </td>
</tr>

<td>13</td>
<td>06-02-2019</td>
<td>008413</td>
<td>SURATININGSIH JD SUKARDJO</td>
<td>`3577010000 </td>
<td>`</td>
<td>TAWANGREJO</td>
<td>KARTOHARJO</td>
<td>25-08-1959</td>
<td>59</td>
<td>P</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PENERIMA PENSIUN PNS</td>
<td>`0000106381236</td>
<td>Konseling</td>
<td align='center'>
M13 </td>
</tr>

<td>14</td>
<td>06-02-2019</td>
<td>008414</td>
<td>SAMIYEM</td>
<td>`3577014101620003</td>
<td>`3577012104072206</td>
<td>KARTOHARJO</td>
<td>01-01-1962</td>
<td>57</td>
<td>P</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td>`0001541374378</td>
<td></td>
<td align='center'>
E78 </td>
</tr>

<td>15</td>
<td>06-02-2019</td>
<td>008415</td>
<td>KARMINI</td>
<td>`</td>
<td>`</td>
<td>TAWANGREJO</td>
<td>KARTOHARJO</td>
<td>17-12-1959</td>
<td>59</td>
<td>P</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>`0002163613252</td>
<td>Konseling</td>
<td align='center'>
M13 </td>
</tr>

<td>16</td>
<td>06-02-2019</td>
<td>008416</td>
<td>RUSDI</td>
<td>`</td>
<td>`</td>
<td>TAWANGREJO</td>
<td>KARTOHARJO</td>
<td>14-04-1954</td>
<td>64</td>
<td>L</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>`0002163613173</td>
<td>Konseling</td>
<td align='center'>
E11 </td>
</tr>

<td>17</td>
<td>06-02-2019</td>
<td>008417</td>
<td>MUDJIANTO</td>
<td>`</td>
<td>`</td>
<td>TAWANGREJO</td>
<td>KARTOHARJO</td>
<td>09-02-1958</td>
<td>61</td>
<td>L</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>`0002163613241</td>
<td>Konseling</td>
<td align='center'>
M13 </td>
</tr>

<td>18</td>
<td>06-02-2019</td>
<td>008418</td>
<td>SUPARIJANTO</td>
<td>`</td>
<td>`</td>
<td>TAWANGREJO</td>
<td>KARTOHARJO</td>
<td>17-11-1955</td>
<td>63</td>
<td>L</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PENERIMA PENSIUN TNI</td>
<td>`0000106357026</td>
<td>Konseling</td>
<td align='center'>
M13 </td>
</tr>

<td>19</td>
<td>06-02-2019</td>
<td>008354</td>
<td>ZAQI MARSIDI</td>
<td>`3577010711990003</td>
<td>`3577012104074805</td>
<td>KANIGORO</td>
<td>KARTOHARJO</td>
<td>07-11-1999</td>
<td>19</td>
<td>L</td>
<td>Pelajar / Mahasiswa</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>`</td>
<td></td>
<td align='center'>
Z00 </td>
</tr>

<td>20</td>
<td>06-02-2019</td>
<td>008392</td>
<td>ENI AGUSTIN</td>
<td>`3519086908980003</td>
<td>`</td>
<td>SENDANGREJO</td>
<td>MADIUN</td>
<td>MADIUN</td>
<td>29-08-1998</td>
<td>20</td>
<td>P</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>`</td>
<td></td>
<td align='center'>
Z00 </td>
</tr>

<td>21</td>
<td>06-02-2019</td>
<td>008396</td>
<td>ALFIANTO</td>
<td>`3519081410950003</td>
<td>`</td>
<td>BETEK</td>
<td>MADIUN</td>
<td>MADIUN</td>
<td>14-10-1995</td>
<td>23</td>
<td>L</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>`</td>
<td></td>
<td align='center'>
Z00 </td>
</tr>

<td>22</td>
<td>06-02-2019</td>
<td>008399</td>
<td>EMBUN BRAYAT MARGIATI</td>
<td>`</td>
<td>`</td>
<td>DEMPELAN</td>
<td>MADIUN</td>
<td>MADIUN</td>
<td>14-02-1996</td>
<td>23</td>
<td>P</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>`</td>
<td></td>
<td align='center'>
Z00 </td>
</tr>

<td>23</td>
<td>06-02-2019</td>
<td>008403</td>
<td>I MADE SAPUTRO</td>
<td>`</td>
<td>`</td>
<td>TEMPURSARI</td>
<td>WUNGU</td>
<td>MADIUN</td>
<td>05-04-1998</td>
<td>20</td>
<td>L</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>`</td>
<td></td>
<td align='center'>
Z00 </td>
</tr>

<td>24</td>
<td>06-02-2019</td>
<td>008380</td>
<td>RIZKY ALVIANTO</td>
<td>`</td>
<td>`</td>
<td>KELUN</td>
<td>KARTOHARJO</td>
<td>08-08-1994</td>
<td>24</td>
<td>L</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>`0001452529675</td>
<td>130802030219Y000372</td>
<td align='center'>
Z00 </td>
</tr>

<td>25</td>
<td>06-02-2019</td>
<td>005207</td>
<td>SAINEM</td>
<td>`3577014506480002</td>
<td>`3577012104071626</td>
<td>KARTOHARJO</td>
<td>05-06-1948</td>
<td>70</td>
<td>P</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>`0002163609729</td>
<td>Konseling</td>
<td align='center'>
I10 </td>
</tr>

<td>26</td>
<td>06-02-2019</td>
<td>006634</td>
<td>ISTIYEM</td>
<td>`</td>
<td>`</td>
<td>TAWANGREJO</td>
<td>KARTOHARJO</td>
<td>20-09-1960</td>
<td>58</td>
<td>P</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>`0002163612824</td>
<td>Konseling</td>
<td align='center'>
M13 </td>
</tr>

<td>27</td>
<td>06-02-2019</td>
<td>003680</td>
<td>SAMIRAH</td>
<td>`3577015509610004</td>
<td>`3577012104072222</td>
<td>KARTOHARJO</td>
<td>15-09-1961</td>
<td>57</td>
<td>P</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>`0002163612036</td>
<td>Konseling</td>
<td align='center'>
E78 </td>
</tr>

<td>28</td>
<td>06-02-2019</td>
<td>003682</td>
<td>SRI HARTINI</td>
<td>`3577014101530014</td>
<td>`3577012104072655</td>
<td>KARTOHARJO</td>
<td>01-01-1953</td>
<td>66</td>
<td>P</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>`0001049799565</td>
<td>Konseling</td>
<td align='center'>
I10 </td>
</tr>

<td>29</td>
<td>06-02-2019</td>
<td>006633</td>
<td>DARSIH</td>
<td>`3577016208580004</td>
<td>`3577012104072435</td>
<td>KARTOHARJO</td>
<td>22-08-1958</td>
<td>60</td>
<td>P</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>`0002158643643</td>
<td>Konseling</td>
<td align='center'>
I10 </td>
</tr>
<td>30</td>
<td>06-02-2019</td>
<td>006635</td>
<td>KARSIDAH</td>
<td>`3577015806690004</td>
<td>`3577012104072260</td>
<td>KARTOHARJO</td>
<td>18-06-1969</td>
<td>49</td>
<td>P</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>`0002607726249</td>
<td>Konseling</td>
<td align='center'>
I10 </td>
</tr>

<td>31</td>
<td>06-02-2019</td>
<td>003767</td>
<td>MISNATUN</td>
<td>`</td>
<td>`</td>
<td>TAWANGREJO</td>
<td>KARTOHARJO</td>
<td>MADIUN</td>
<td>09-11-1961</td>
<td>57</td>
<td>P</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>`0002163609718</td>
<td>Konseling</td>
<td align='center'>
E11.0 </td>
</tr>

<td>32</td>
<td>06-02-2019</td>
<td>003668</td>
<td>SALINEM</td>
<td>`3577015112430001</td>
<td>`3577011412100047</td>
<td>KARTOHARJO</td>
<td>11-12-1943</td>
<td>75</td>
<td>P</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>`0001704807123</td>
<td>Konseling</td>
<td align='center'>
I10 </td>
</tr>

<td>33</td>
<td>06-02-2019</td>
<td>005208</td>
<td>DJARMI</td>
<td>`</td>
<td>`</td>
<td>TAWANGREJO</td>
<td>KARTOHARJO</td>
<td>01-01-1964</td>
<td>55</td>
<td>P</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>`0002163586386</td>
<td>Konseling</td>
<td align='center'>
M13 </td>
</tr>

<td>34</td>
<td>06-02-2019</td>
<td>003483</td>
<td>SUGIANTO</td>
<td>`3577010608580002</td>
<td>`3577012104072435</td>
<td>KARTOHARJO</td>
<td>MADIUN</td>
<td>06-08-1958</td>
<td>60</td>
<td>L</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>`0002158643632</td>
<td>Konseling</td>
<td align='center'>
M13 </td>
</tr>

<td>35</td>
<td>06-02-2019</td>
<td>003673</td>
<td>SURYANTO</td>
<td>`3577013112490006</td>
<td>`3577012104072374</td>
<td>KARTOHARJO</td>
<td>31-12-1949</td>
<td>69</td>
<td>L</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>`0001704817596</td>
<td>Konseling</td>
<td align='center'>
I10 </td>
</tr>

<td>36</td>
<td>06-02-2019</td>
<td>003664</td>
<td>SUMINI</td>
<td>`</td>
<td>`</td>
<td>TAWANGREJO</td>
<td>KARTOHARJO</td>
<td>09-02-1947</td>
<td>72</td>
<td>P</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>`0000105521218</td>
<td>Konseling</td>
<td align='center'>
M13 </td>
</tr>

<td>37</td>
<td>06-02-2019</td>
<td>003676</td>
<td>MAS AGUS PRIANTO S.SOS</td>
<td>`</td>
<td>`</td>
<td>TAWANGREJO</td>
<td>KARTOHARJO</td>
<td>17-05-1952</td>
<td>66</td>
<td>L</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>`0000106373744</td>
<td>Konseling</td>
<td align='center'>
E11.0 </td>
</tr>

<td>38</td>
<td>06-02-2019</td>
<td>002234</td>
<td>MARIJATUN</td>
<td>`3577016707590002</td>
<td>`3577012104071917</td>
<td>KARTOHARJO</td>
<td>27-07-1959</td>
<td>59</td>
<td>P</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td></td>
<td>`0000106371483</td>
<td>Konseling</td>
<td align='center'>
M13 </td>
</tr>

<td>39</td>
<td>06-02-2019</td>
<td>003671</td>
<td>SUMINAH</td>
<td>`</td>
<td>`</td>
<td>TAWANGREJO</td>
<td>KARTOHARJO</td>
<td>01-12-1961</td>
<td>57</td>
<td>P</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>`0000787222506</td>
<td>Konseling</td>
<td align='center'>
I10 </td>
</tr>

<td>40</td>
<td>06-02-2019</td>
<td>003672</td>
<td>SAIMUN</td>
<td>`</td>
<td>`</td>
<td>TAWANGREJO</td>
<td>KARTOHARJO</td>
<td>12-03-1953</td>
<td>65</td>
<td>L</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>`0000787385395</td>
<td>Konseling</td>
<td align='center'>
M13 </td>
</tr>

<td>41</td>
<td>06-02-2019</td>
<td>003666</td>
<td>ISMIATI</td>
<td>`</td>
<td>`</td>
<td>TAWANGREJO</td>
<td>KARTOHARJO</td>
<td>06-06-1970</td>
<td>48</td>
<td>P</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PNS PUSAT</td>
<td>`0001832511407</td>
<td>Konseling</td>
<td align='center'>
E11.0 </td>
</tr>

<td>42</td>
<td>06-02-2019</td>
<td>003665</td>
<td>SUWARTI</td>
<td>`3577015105590003</td>
<td>`3577012104072238</td>
<td>KARTOHARJO</td>
<td>11-05-1959</td>
<td>59</td>
<td>P</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>`0000106300787</td>
<td>Konseling</td>
<td align='center'>
K29 </td>
</tr>

<td>43</td>
<td>06-02-2019</td>
<td>003667</td>
<td>SRI YHUSWATININGSIH</td>
<td>`</td>
<td>`</td>
<td>TAWANGREJO</td>
<td>KARTOHARJO</td>
<td>27-07-1962</td>
<td>56</td>
<td>P</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>`0000106357037</td>
<td>Konseling</td>
<td align='center'>
I10 </td>
</tr>

<td>44</td>
<td>06-02-2019</td>
<td>000937</td>
<td>SUTINI</td>
<td>`3577014408530001</td>
<td>`3577010912100008</td>
<td>KARTOHARJO</td>
<td>04-08-1953</td>
<td>65</td>
<td>P</td>
<td>Pegawai Negeri Sipil</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PNS DAERAH</td>
<td>`0000105153423</td>
<td>Konseling</td>
<td align='center'>
M13 </td>
</tr>

<td>45</td>
<td>06-02-2019</td>
<td>003669</td>
<td>MARWADI</td>
<td>`3577010000 </td>
<td>`</td>
<td>TAWANGREJO</td>
<td>KARTOHARJO</td>
<td>07-12-1958</td>
<td>60</td>
<td>L</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PNS PUSAT</td>
<td>`0000106341603</td>
<td>Konseling</td>
<td align='center'>
M13 </td>
</tr>

<td>46</td>
<td>06-02-2019</td>
<td>003670</td>
<td>DARMINAH</td>
<td>`3577010000 </td>
<td>`</td>
<td>TAWANGREJO</td>
<td>KARTOHARJO</td>
<td>19-05-1961</td>
<td>57</td>
<td>P</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PNS PUSAT</td>
<td>`0000106341614</td>
<td>Konseling</td>
<td align='center'>
I10 </td>
</tr>

<td>47</td>
<td>07-02-2019</td>
<td>006706</td>
<td>MUJIATI</td>
<td>` </td>
<td>`3577012104071845</td>
<td>KARTOHARJO</td>
<td>24-06-1977</td>
<td>41</td>
<td>P</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>`0000787230156</td>
<td>Konseling</td>
<td align='center'>
J11 </td>
</tr>

<td>48</td>
<td>07-02-2019</td>
<td>006705</td>
<td>SITI AMINAH</td>
<td>`3577014708720002</td>
<td>`3577011611110002</td>
<td>KARTOHARJO</td>
<td>07-08-1972</td>
<td>46</td>
<td>P</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>`0002158642326</td>
<td>Konseling</td>
<td align='center'>
J11 </td>
</tr>

<td>49</td>
<td>07-02-2019</td>
<td>003372</td>
<td>DARMI</td>
<td>`</td>
<td>`</td>
<td>TAWANGREJO</td>
<td>KARTOHARJO</td>
<td>21-06-1965</td>
<td>53</td>
<td>P</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>`0002163594069</td>
<td>Konseling</td>
<td align='center'>
Z00 </td>
</tr>

<td>50</td>
<td>07-02-2019</td>
<td>005203</td>
<td>SUDJINAH</td>
<td>`</td>
<td>`</td>
<td>TAWANGREJO</td>
<td>KARTOHARJO</td>
<td>10-06-1953</td>
<td>65</td>
<td>P</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>`0001704816369</td>
<td>Konseling</td>
<td align='center'>
I10 </td>
</tr>

<td>51</td>
<td>07-02-2019</td>
<td>003344</td>
<td>TUMINI </td>
<td>`</td>
<td>`</td>
<td>TAWANGREJO</td>
<td>KARTOHARJO</td>
<td>01-01-1940</td>
<td>79</td>
<td>P</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>`0000106382035</td>
<td>Konseling</td>
<td align='center'>
L23 </td>
</tr>

<td>52</td>
<td>07-02-2019</td>
<td>002748</td>
<td>LASTRI HERNANIK</td>
<td>`</td>
<td>`</td>
<td>TAWANGREJO</td>
<td>KARTOHARJO</td>
<td>25-06-1968</td>
<td>50</td>
<td>P</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>`0001704817124</td>
<td>Konseling</td>
<td align='center'>
I10 </td>
</tr>

<td>53</td>
<td>07-02-2019</td>
<td>005179</td>
<td>NJONO</td>
<td>`3577011804440001</td>
<td>`3577012104072176</td>
<td>KARTOHARJO</td>
<td>18-04-1944</td>
<td>74</td>
<td>L</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>`0000105514323</td>
<td>Konseling</td>
<td align='center'>
I10 </td>
</tr>

<td>54</td>
<td>07-02-2019</td>
<td>003371</td>
<td>YATI</td>
<td>`</td>
<td>`</td>
<td>TAWANGREJO</td>
<td>KARTOHARJO</td>
<td>01-06-1963</td>
<td>55</td>
<td>P</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>`0000787416096</td>
<td>Konseling</td>
<td align='center'>
I10 </td>
</tr>

<td>55</td>
<td>07-02-2019</td>
<td>001119</td>
<td>HARTUTIK</td>
<td>`3577014112620002</td>
<td>`3577012104071932</td>
<td>KARTOHARJO</td>
<td>01-12-1962</td>
<td>56</td>
<td>P</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>`0001704816224</td>
<td>Konseling</td>
<td align='center'>
Z00 </td>
</tr>

<td>56</td>
<td>07-02-2019</td>
<td>000835</td>
<td>SAMIUN</td>
<td>`3577010803660002</td>
<td>`3577012104071601</td>
<td>KARTOHARJO</td>
<td>08-03-1966</td>
<td>52</td>
<td>L</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td></td>
<td>`0001542671245</td>
<td>Konseling</td>
<td align='center'>
E11 </td>
</tr>

<td>57</td>
<td>08-02-2019</td>
<td>008524</td>
<td>AMBAR WIJAYANTI</td>
<td>`3577015709780003</td>
<td>`3577012410110002</td>
<td>REJOMULYO</td>
<td>KARTOHARJO</td>
<td>17-09-1978</td>
<td>40</td>
<td>P</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>`0001175414319</td>
<td>Konseling</td>
<td align='center'>
Z00 </td>
</tr>

<td>58</td>
<td>08-02-2019</td>
<td>008548</td>
<td>SAMIRAH</td>
<td>`3577015506630002</td>
<td>`3577012104072066</td>
<td>KARTOHARJO</td>
<td>15-06-1963</td>
<td>55</td>
<td>P</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>`0001704816808</td>
<td>Konseling</td>
<td align='center'>
M79.1 </td>
</tr>

<td>59</td>
<td>08-02-2019</td>
<td>008549</td>
<td>KUSMIANI</td>
<td>`3577015712480002</td>
<td>`3577010510100002</td>
<td>KARTOHARJO</td>
<td>17-12-1948</td>
<td>70</td>
<td>P</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>`0001704806313</td>
<td>Konseling</td>
<td align='center'>
R50 </td>
</tr>

<td>60</td>
<td>08-02-2019</td>
<td>008550</td>
<td>SARMI</td>
<td>`3577015802520001</td>
<td>`3577011311100003</td>
<td>KARTOHARJO</td>
<td>18-02-1952</td>
<td>67</td>
<td>P</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>`0002163593979</td>
<td>Konseling</td>
<td align='center'>
I10 </td>
</tr>

<td>61</td>
<td>08-02-2019</td>
<td>008551</td>
<td>DJUMIATI</td>
<td>`3577015404590002</td>
<td>`3577012104072053</td>
<td>KARTOHARJO</td>
<td>14-04-1959</td>
<td>59</td>
<td>P</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>`0001704877042</td>
<td>Konseling</td>
<td align='center'>
Z00 </td>
</tr>

<td>62</td>
<td>08-02-2019</td>
<td>007361</td>
<td>SUGIANTO</td>
<td>`3577012903830001</td>
<td>`3577012907150002</td>
<td>REJOMULYO</td>
<td>KARTOHARJO</td>
<td>29-03-1983</td>
<td>35</td>
<td>L</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PEGAWAI PEMERINTAH DENGAN PERJANJIAN KERJA</td>
<td>`0001828638854</td>
<td>Konseling</td>
<td align='center'>
Z00 </td>
</tr>

<td>63</td>
<td>08-02-2019</td>
<td>008552</td>
<td>KUSMIATI</td>
<td>` </td>
<td>`3577012104071941</td>
<td>KARTOHARJO</td>
<td>15-08-1945</td>
<td>73</td>
<td>P</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>`0000787460984</td>
<td>Konseling</td>
<td align='center'>
E78.5 </td>
</tr>

<td>64</td>
<td>08-02-2019</td>
<td>007852</td>
<td>SITI NURJANAH</td>
<td>`3577017008990002</td>
<td>`</td>
<td>TAWANGREJO</td>
<td>KARTOHARJO</td>
<td>01-08-1999</td>
<td>19</td>
<td>P</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>`0000787204293</td>
<td>Konseling</td>
<td align='center'>
Z00 </td>
</tr>
<td>65</td>
<td>08-02-2019</td>
<td>008498</td>
<td>BRENDA DENADA</td>
<td>`3577014209960003</td>
<td>`3577011002090005</td>
<td>KARTOHARJO</td>
<td>02-09-1996</td>
<td>22</td>
<td>P</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PNS DAERAH</td>
<td>`0000104792556</td>
<td></td>
<td align='center'>
Z00 </td>
</tr>

<td>66</td>
<td>08-02-2019</td>
<td>008521</td>
<td>NUR BAGUS PRASETYO</td>
<td>`</td>
<td>`</td>
<td>KARTOHARJO</td>
<td>KARTOHARJO</td>
<td>23-11-1999</td>
<td>19</td>
<td>L</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>`</td>
<td></td>
<td align='center'>
Z00 </td>
</tr>

<td>67</td>
<td>08-02-2019</td>
<td>003346</td>
<td>MATINI</td>
<td>`</td>
<td>`</td>
<td>TAWANGREJO</td>
<td>KARTOHARJO</td>
<td>09-11-1969</td>
<td>49</td>
<td>P</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>`0001704816639</td>
<td>Konseling</td>
<td align='center'>
M79.1 </td>
</tr>

<td>68</td>
<td>08-02-2019</td>
<td>003365</td>
<td>SUTIJEM</td>
<td>`</td>
<td>`</td>
<td>TAWANGREJO</td>
<td>KARTOHARJO</td>
<td>10-10-1957</td>
<td>61</td>
<td>P</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>`0001704877031</td>
<td>Konseling</td>
<td align='center'>
R05 </td>
</tr>

<td>69</td>
<td>08-02-2019</td>
<td>003260</td>
<td>SUTINI</td>
<td>`3577014405550001</td>
<td>`3577012104072177</td>
<td>KARTOHARJO</td>
<td>MADIUN</td>
<td>04-05-1955</td>
<td>63</td>
<td>P</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td></td>
<td>`0002377128047</td>
<td>Konseling</td>
<td align='center'>
Z00 </td>
</tr>

<td>70</td>
<td>08-02-2019</td>
<td>006701</td>
<td>HARSINI</td>
<td>`3577014708550001</td>
<td>`3577012104072170</td>
<td>KARTOHARJO</td>
<td>07-08-1955</td>
<td>63</td>
<td>P</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>`0002163611711</td>
<td>Konseling</td>
<td align='center'>
I10 </td>
</tr>

<td>71</td>
<td>08-02-2019</td>
<td>000707</td>
<td>BUANGTO</td>
<td>`3577011511530002</td>
<td>`3577012104072028</td>
<td>KARTOHARJO</td>
<td>15-11-1953</td>
<td>65</td>
<td>L</td>
<td>Petani / Pekebun</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>`0000787469668</td>
<td>Konseling</td>
<td align='center'>
R05 </td>
</tr>

<td>72</td>
<td>08-02-2019</td>
<td>000706</td>
<td>SAMIJAH</td>
<td>`3577014811550002</td>
<td>`3577012104072028</td>
<td>KARTOHARJO</td>
<td>08-11-1955</td>
<td>63</td>
<td>P</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>`0000787470287</td>
<td>Konseling</td>
<td align='center'>
E11 </td>
</tr>

<td>73</td>
<td>08-02-2019</td>
<td>003368</td>
<td>RATIH UTAMI</td>
<td>`</td>
<td>`</td>
<td>TAWANGREJO</td>
<td>KARTOHARJO</td>
<td>28-02-1964</td>
<td>55</td>
<td>P</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>`</td>
<td></td>
<td align='center'>
I10 </td>
</tr>

<td>74</td>
<td>08-02-2019</td>
<td>003373</td>
<td>S A U D A H</td>
<td>`</td>
<td>`</td>
<td>ORO ORO OMBO</td>
<td>KARTOHARJO</td>
<td>01-05-1946</td>
<td>72</td>
<td>P</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>`0000105592217</td>
<td>Konseling</td>
<td align='center'>
I10 </td>
</tr>

<td>75</td>
<td>08-02-2019</td>
<td>003348</td>
<td>SUMINEM</td>
<td>`</td>
<td>`</td>
<td>TAWANGREJO</td>
<td>KARTOHARJO</td>
<td>20-07-1953</td>
<td>65</td>
<td>P</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>`0002163611733</td>
<td>Konseling</td>
<td align='center'>
I10 </td>
</tr>

<td>76</td>
<td>08-02-2019</td>
<td>002717</td>
<td>MASINEM</td>
<td>`3577015507550001</td>
<td>`3577012104072050</td>
<td>KARTOHARJO</td>
<td>15-07-1955</td>
<td>63</td>
<td>P</td>
<td>Pensiunan</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>`0000169999334</td>
<td>Konseling</td>
<td align='center'>
M79.1 </td>
</tr>

<td>77</td>
<td>08-02-2019</td>
<td>003357</td>
<td>DJUMINEM</td>
<td>`</td>
<td>`</td>
<td>TAWANGREJO</td>
<td>KARTOHARJO</td>
<td>24-11-1956</td>
<td>62</td>
<td>P</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>`0002158644339</td>
<td>Konseling</td>
<td align='center'>
I10 </td>
</tr>

<td>78</td>
<td>08-02-2019</td>
<td>002136</td>
<td>KATI</td>
<td>`3577016106430001</td>
<td>`3577012104072029</td>
<td>KARTOHARJO</td>
<td>21-06-1943</td>
<td>75</td>
<td>P</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>`0000787540645</td>
<td>Konseling</td>
<td align='center'>
E11 </td>
</tr>

<td>79</td>
<td>08-02-2019</td>
<td>003367</td>
<td>KASIYATI</td>
<td>`</td>
<td>`</td>
<td>TAWANGREJO</td>
<td>KARTOHARJO</td>
<td>10-10-1965</td>
<td>53</td>
<td>P</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>`0001704816551</td>
<td>Konseling</td>
<td align='center'>
R05 </td>
</tr>

<td>80</td>
<td>08-02-2019</td>
<td>000007</td>
<td>SUTINI</td>
<td>`3577015306480002</td>
<td>`3577012104071931</td>
<td>KARTOHARJO</td>
<td>MADIUN</td>
<td>13-06-1948</td>
<td>70</td>
<td>P</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>`0001049799879</td>
<td>Konseling</td>
<td align='center'>
Z00 </td>
</tr>

<td>81</td>
<td>08-02-2019</td>
<td>000006</td>
<td>TUKIYEM</td>
<td>`3577016406490001</td>
<td>`3577012104072044</td>
<td>KARTOHARJO</td>
<td>24-06-1949</td>
<td>69</td>
<td>P</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>`0001704816641</td>
<td>Konseling</td>
<td align='center'>
I10 </td>
</tr>

<td>82</td>
<td>08-02-2019</td>
<td>003363</td>
<td>PANIYEM</td>
<td>`</td>
<td>`</td>
<td>TAWANGREJO</td>
<td>KARTOHARJO</td>
<td>23-08-1955</td>
<td>63</td>
<td>L</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>`0001704816674</td>
<td>Konseling</td>
<td align='center'>
I10 </td>
</tr>

<td>83</td>
<td>08-02-2019</td>
<td>006697</td>
<td>MARTINI</td>
<td>`3577017112570018</td>
<td>`3577012104072474</td>
<td>KARTOHARJO</td>
<td>31-12-1957</td>
<td>61</td>
<td>P</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>`0001704818002</td>
<td>Konseling</td>
<td align='center'>
E78.5 </td>
</tr>

<td>84</td>
<td>08-02-2019</td>
<td>003347</td>
<td>TASMINI</td>
<td>`</td>
<td>`3577011406120002</td>
<td>TAWANGREJO</td>
<td>KARTOHARJO</td>
<td>15-05-1950</td>
<td>68</td>
<td>P</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>`3577011406120002</td>
<td></td>
<td align='center'>
I10 </td>
</tr>

<td>85</td>
<td>08-02-2019</td>
<td>004001</td>
<td>MURTINI</td>
<td>`</td>
<td>`</td>
<td>TAWANGREJO</td>
<td>KARTOHARJO</td>
<td>01-07-1959</td>
<td>59</td>
<td>P</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>`0000787410843</td>
<td>Konseling</td>
<td align='center'>
I10 </td>
</tr>

<td>86</td>
<td>08-02-2019</td>
<td>003362</td>
<td>DJUMINAH</td>
<td>`</td>
<td>`3577012104072033</td>
<td>TAWANGREJO</td>
<td>KARTOHARJO</td>
<td>23-08-1954</td>
<td>64</td>
<td>P</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>`3577012104072033</td>
<td></td>
<td align='center'>
M13 </td>
</tr>

<td>87</td>
<td>08-02-2019</td>
<td>000437</td>
<td>SULASMI</td>
<td>`3577015106650002</td>
<td>`3577012104072067</td>
<td>KARTOHARJO</td>
<td>11-06-1965</td>
<td>53</td>
<td>P</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>`0001704877075</td>
<td>Konseling</td>
<td align='center'>
K30 </td>
</tr>

<td>88</td>
<td>08-02-2019</td>
<td>000005</td>
<td>SUKESI</td>
<td>`3577014406560001</td>
<td>`3577012104071614</td>
<td>KARTOHARJO</td>
<td>MADIUN</td>
<td>04-06-1956</td>
<td>62</td>
<td>P</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>`0001049799925</td>
<td>Konseling</td>
<td align='center'>
L23 </td>
</tr>
<td>89</td>
<td>08-02-2019</td>
<td>003354</td>
<td>YATINEM</td>
<td>`</td>
<td>`</td>
<td>TAWANGREJO</td>
<td>KARTOHARJO</td>
<td>01-11-1955</td>
<td>63</td>
<td>P</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>`0000787306757</td>
<td>Konseling</td>
<td align='center'>
I10 </td>
</tr>

<td>90</td>
<td>08-02-2019</td>
<td>003355</td>
<td>TATIK MURTINI</td>
<td>`</td>
<td>`</td>
<td>TAWANGREJO</td>
<td>KARTOHARJO</td>
<td>10-05-1956</td>
<td>62</td>
<td>P</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>`0002158643553</td>
<td>Konseling</td>
<td align='center'>
L23 </td>
</tr>

<td>91</td>
<td>08-02-2019</td>
<td>003356</td>
<td>SOEMIRAH</td>
<td>`3577014407470002</td>
<td>`3577012104072176</td>
<td>KARTOHARJO</td>
<td>04-07-1947</td>
<td>71</td>
<td>P</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>`0000106380764</td>
<td>Konseling</td>
<td align='center'>
M79.1 </td>
</tr>

<td>92</td>
<td>08-02-2019</td>
<td>002528</td>
<td>SUNARI</td>
<td>`</td>
<td>`</td>
<td>TAWANGREJO</td>
<td>KARTOHARJO</td>
<td>01-12-1955</td>
<td>63</td>
<td>P</td>
<td>Wiraswasta</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>`0000787442872</td>
<td>Konseling</td>
<td align='center'>
M79.1 </td>
</tr>

<td>93</td>
<td>08-02-2019</td>
<td>001349</td>
<td>SAMIYONO</td>
<td>`3577010402400002</td>
<td>`3577012104072159</td>
<td>KARTOHARJO</td>
<td>04-02-1940</td>
<td>79</td>
<td>L</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>`0001704877165</td>
<td>Konseling</td>
<td align='center'>
M79.1 </td>
</tr>

<td>94</td>
<td>08-02-2019</td>
<td>003372</td>
<td>DARMI</td>
<td>`</td>
<td>`</td>
<td>TAWANGREJO</td>
<td>KARTOHARJO</td>
<td>21-06-1965</td>
<td>53</td>
<td>P</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>`0002163594069</td>
<td>Konseling</td>
<td align='center'>
E78.5 </td>
</tr>

<td>95</td>
<td>08-02-2019</td>
<td>001788</td>
<td>MARIYEM</td>
<td>`3577014507510003</td>
<td>`3577012104072178</td>
<td>KARTOHARJO</td>
<td>05-07-1951</td>
<td>67</td>
<td>P</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>`0001704817067</td>
<td>Konseling</td>
<td align='center'>
E11 </td>
</tr>

<td>96</td>
<td>08-02-2019</td>
<td>003358</td>
<td>SARMINING</td>
<td>`</td>
<td>`</td>
<td>TAWANGREJO</td>
<td>KARTOHARJO</td>
<td>01-05-1952</td>
<td>66</td>
<td>P</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>`0002163592012</td>
<td>Konseling</td>
<td align='center'>
M79.1 </td>
</tr>

<td>97</td>
<td>08-02-2019</td>
<td>003349</td>
<td>MISIRAH</td>
<td>`</td>
<td>`</td>
<td>TAWANGREJO</td>
<td>KARTOHARJO</td>
<td>01-05-1957</td>
<td>61</td>
<td>P</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>`0000787265627</td>
<td>Konseling</td>
<td align='center'>
M79.1 </td>
</tr>

<td>98</td>
<td>08-02-2019</td>
<td>003352</td>
<td>SRI MARINI</td>
<td>`</td>
<td>`</td>
<td>TAWANGREJO</td>
<td>KARTOHARJO</td>
<td>06-03-1949</td>
<td>69</td>
<td>P</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>`0002163611709</td>
<td>Konseling</td>
<td align='center'>
M79.1 </td>
</tr>

<td>99</td>
<td>08-02-2019</td>
<td>006681</td>
<td>MARIYAM</td>
<td>`3577014906620001</td>
<td>`3577012104071668</td>
<td>KARTOHARJO</td>
<td>09-06-1962</td>
<td>56</td>
<td>P</td>
<td>Wiraswasta</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>`0002163609909</td>
<td>Konseling</td>
<td align='center'>
I10 </td>
</tr>

<td>100</td>
<td>08-02-2019</td>
<td>003361</td>
<td>ANIK SITI ARIYANTI</td>
<td>`</td>
<td>`</td>
<td>TAWANGREJO</td>
<td>KARTOHARJO</td>
<td>05-05-1961</td>
<td>57</td>
<td>P</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>`0001704816527</td>
<td>Konseling</td>
<td align='center'>
G47.0 </td>
</tr>

<td>101</td>
<td>08-02-2019</td>
<td>005206</td>
<td>ENY SUSANA</td>
<td>`</td>
<td>`</td>
<td>TAWANGREJO</td>
<td>KARTOHARJO</td>
<td>01-03-1947</td>
<td>72</td>
<td>P</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>`0000787223687</td>
<td>Konseling</td>
<td align='center'>
G47.0 </td>
</tr>

<td>102</td>
<td>11-02-2019</td>
<td>008643</td>
<td>GINARTI TIMUR</td>
<td>`3577016308970001</td>
<td>`3577012004077896</td>
<td>REJOMULYO</td>
<td>KARTOHARJO</td>
<td>23-08-1997</td>
<td>21</td>
<td>P</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>`0000786871754</td>
<td>Konseling</td>
<td align='center'>
Z00 </td>
</tr>

<td>103</td>
<td>11-02-2019</td>
<td>008652</td>
<td>EDI SAPUTRO</td>
<td>` 3519083009990001</td>
<td>`3577012104070674</td>
<td>PILANGBANGO</td>
<td>KARTOHARJO</td>
<td>30-09-1999</td>
<td>19</td>
<td>L</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td></td>
<td>`0001045402367</td>
<td>Konseling</td>
<td align='center'>
Z00 </td>
</tr>

<td>104</td>
<td>11-02-2019</td>
<td>008672</td>
<td>SUTRISNO</td>
<td>`3577010503760002</td>
<td>`3577012004077881</td>
<td>REJOMULYO</td>
<td>KARTOHARJO</td>
<td>05-03-1976</td>
<td>42</td>
<td>L</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td>PBI (APBD)</td>
<td>`0001704874487</td>
<td></td>
<td align='center'>
Z00 </td>
</tr>

<td>105</td>
<td>11-02-2019</td>
<td>008646</td>
<td>SRI RAHAYU</td>
<td>`</td>
<td>`</td>
<td>TEMPURSARI</td>
<td>WUNGU</td>
<td>MADIUN</td>
<td>17-07-1984</td>
<td>34</td>
<td>P</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>`</td>
<td></td>
<td align='center'>
Z00 </td>
</tr>

<td>106</td>
<td>11-02-2019</td>
<td>008671</td>
<td>REFVYTAVINNA PANGHURIPAN</td>
<td>`3577015506950002</td>
<td>`3577011306170006</td>
<td>REJOMULYO</td>
<td>KARTOHARJO</td>
<td>15-06-1995</td>
<td>23</td>
<td>P</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>`</td>
<td></td>
<td align='center'>
Z00 </td>
</tr>

<td>107</td>
<td>12-02-2019</td>
<td>008761</td>
<td>SUMARNI</td>
<td>`3519086211780001</td>
<td>`3577010602130004</td>
<td>REJOMULYO</td>
<td>KARTOHARJO</td>
<td>22-11-1978</td>
<td>40</td>
<td>P</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>`0002413856823</td>
<td>Konseling</td>
<td align='center'>
Z00 </td>
</tr>

<td>108</td>
<td>12-02-2019</td>
<td>008785</td>
<td>NAHEMIA DITO HENDRATA</td>
<td>`3577011804960002</td>
<td>`3577012104078150</td>
<td>KELUN</td>
<td>KARTOHARJO</td>
<td>18-04-1996</td>
<td>22</td>
<td>L</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td>PEGAWAI BUMN</td>
<td>`0001541180327</td>
<td></td>
<td align='center'>
Z00 </td>
</tr>

<td>109</td>
<td>12-02-2019</td>
<td>008796</td>
<td>KHAMBALI</td>
<td>`3577010209640001</td>
<td>`3577012104077817</td>
<td>KELUN</td>
<td>KARTOHARJO</td>
<td>02-09-1964</td>
<td>54</td>
<td>L</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>`0001704818643</td>
<td>Konseling</td>
<td align='center'>
Z00 </td>
</tr>

<td>110</td>
<td>12-02-2019</td>
<td>008806</td>
<td>ROSITA ADHE SRI WIJAYANTI</td>
<td>`3577037009940001</td>
<td>`3577032004070432</td>
<td>MOJOREJO</td>
<td>TAMAN</td>
<td>30-09-1994</td>
<td>24</td>
<td>P</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td>PNS DAERAH</td>
<td>`0000104871352</td>
<td></td>
<td align='center'>
Z00 </td>
</tr>

<td>111</td>
<td>12-02-2019</td>
<td>008811</td>
<td>MUKHAMAD PALAL</td>
<td>`3577012105840002</td>
<td>`3577010403140004</td>
<td>KELUN</td>
<td>KARTOHARJO</td>
<td>21-05-1984</td>
<td>34</td>
<td>L</td>
<td>Wiraswasta</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>`0001320701692</td>
<td>Konseling</td>
<td align='center'>
Z00 </td>
</tr>

<td>112</td>
<td>12-02-2019</td>
<td>007294</td>
<td>YUYUN ROSIANA HARI</td>
<td>`</td>
<td>`</td>
<td>KELUN</td>
<td>KARTOHARJO</td>
<td>14-01-1975</td>
<td>44</td>
<td>P</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>`0002163596872</td>
<td>Konseling</td>
<td align='center'>
Z00 </td>
</tr>

<td>113</td>
<td>12-02-2019</td>
<td>002167</td>
<td>RAHAYU LISTIYARINI</td>
<td>`3577016607770002</td>
<td>`3577012004077724</td>
<td>REJOMULYO</td>
<td>KARTOHARJO</td>
<td>26-07-1977</td>
<td>41</td>
<td>P</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>`0002413936642</td>
<td>Konseling</td>
<td align='center'>
I10 </td>
</tr>

<td>114</td>
<td>12-02-2019</td>
<td>008790</td>
<td>ERIKA DWI SAPUTRI</td>
<td>`3577016410940002</td>
<td>`3577012104070100</td>
<td>REJOMULYO</td>
<td>KARTOHARJO</td>
<td>24-10-1994</td>
<td>24</td>
<td>P</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>`</td>
<td></td>
<td align='center'>
Z00 </td>
</tr>

<td>115</td>
<td>12-02-2019</td>
<td>008791</td>
<td>TITIK INDRAWATI</td>
<td>`3574035301800007</td>
<td>`3577012711130002</td>
<td>REJOMULYO</td>
<td>KARTOHARJO</td>
<td>13-01-1980</td>
<td>39</td>
<td>P</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>`</td>
<td></td>
<td align='center'>
Z00 </td>
</tr>

<td>116</td>
<td>12-02-2019</td>
<td>008808</td>
<td>PUTRIANA KUMALADEWI</td>
<td>`</td>
<td>`</td>
<td>SIDOMULYO</td>
<td>SAWAHAN</td>
<td>MADIUN</td>
<td>07-11-1994</td>
<td>24</td>
<td>P</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>`</td>
<td></td>
<td align='center'>
Z00 </td>
</tr>

<td>117</td>
<td>12-02-2019</td>
<td>008801</td>
<td>ULVA SEPTIN NURFISARI</td>
<td>`</td>
<td>`</td>
<td>KELUN</td>
<td>KARTOHARJO</td>
<td>01-09-1994</td>
<td>24</td>
<td>P</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>`</td>
<td></td>
<td align='center'>
Z00 </td>
</tr>

<td>118</td>
<td>13-02-2019</td>
<td>008858</td>
<td>ANDRIK KUSWOYO</td>
<td>`</td>
<td>`</td>
<td>TIRON</td>
<td>MADIUN</td>
<td>MADIUN</td>
<td>06-12-1988</td>
<td>30</td>
<td>L</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>`0001962343989</td>
<td>Konseling</td>
<td align='center'>
Z00 </td>
</tr>

<td>119</td>
<td>13-02-2019</td>
<td>008839</td>
<td>FERDY WIDIANGGARA PUTRA</td>
<td>`3577011702910001</td>
<td>`3577013006110011</td>
<td>REJOMULYO</td>
<td>KARTOHARJO</td>
<td>17-02-1991</td>
<td>28</td>
<td>L</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>`</td>
<td></td>
<td align='center'>
Z00 </td>
</tr>

<td>120</td>
<td>14-02-2019</td>
<td>008934</td>
<td>ROCHMATUN</td>
<td>`3577010000 </td>
<td>`</td>
<td>TAWANGREJO</td>
<td>KARTOHARJO</td>
<td>01-01-1958</td>
<td>61</td>
<td>P</td>
<td>Pensiunan</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>`0000106376117</td>
<td>Konseling</td>
<td align='center'>
Z00 </td>
</tr>

<td>121</td>
<td>14-02-2019</td>
<td>008937</td>
<td>CANDRA SETIAWAN MAHARANTO</td>
<td>`3577013006860001</td>
<td>`3577010405170003</td>
<td>REJOMULYO</td>
<td>KARTOHARJO</td>
<td>30-06-1986</td>
<td>32</td>
<td>L</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>`0000786422553</td>
<td>Konseling</td>
<td align='center'>
Z00 </td>
</tr>

<td>122</td>
<td>14-02-2019</td>
<td>008944</td>
<td>SULASTRI</td>
<td>`3577016902840001</td>
<td>`3577012404130001</td>
<td>KELUN</td>
<td>KARTOHARJO</td>
<td>29-02-1984</td>
<td>35</td>
<td>P</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>`0001444434783</td>
<td>Konseling</td>
<td align='center'>
Z00 </td>
</tr>

<td>123</td>
<td>14-02-2019</td>
<td>008996</td>
<td>MARISAH</td>
<td>`3577015210390001</td>
<td>`3577012104072620</td>
<td>KARTOHARJO</td>
<td>12-10-1939</td>
<td>79</td>
<td>P</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>`0000787351533</td>
<td>Konseling</td>
<td align='center'>
K29 </td>
</tr>
<td>124</td>
<td>14-02-2019</td>
<td>008997</td>
<td>SAMIONO</td>
<td>`3577011508480001</td>
<td>`3577012104072355</td>
<td>KARTOHARJO</td>
<td>15-08-1948</td>
<td>70</td>
<td>L</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>`0002163612508</td>
<td>Konseling</td>
<td align='center'>
R50 </td>
</tr>

<td>125</td>
<td>14-02-2019</td>
<td>008998</td>
<td>ISMINAH</td>
<td>`3577015602610004</td>
<td>`3577012104072465</td>
<td>KARTOHARJO</td>
<td>16-02-1961</td>
<td>58</td>
<td>P</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>`0000787436526</td>
<td>Konseling</td>
<td align='center'>
J11 </td>
</tr>

<td>126</td>
<td>14-02-2019</td>
<td>009001</td>
<td>SANEM</td>
<td>`3577014804710002</td>
<td>`3577012104072138</td>
<td>KARTOHARJO</td>
<td>08-04-1971</td>
<td>47</td>
<td>P</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>`0000787457542</td>
<td>Konseling</td>
<td align='center'>
M79.1 </td>
</tr>

<td>127</td>
<td>14-02-2019</td>
<td>009005</td>
<td>SRI PAMELAS ASIH</td>
<td>`3577015709620002</td>
<td>`3577012104072679</td>
<td>KARTOHARJO</td>
<td>17-09-1962</td>
<td>56</td>
<td>P</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>`0002163613634</td>
<td>Konseling</td>
<td align='center'>
I10 </td>
</tr>

<td>128</td>
<td>14-02-2019</td>
<td>009006</td>
<td>SUMINI</td>
<td>`3577016806560002</td>
<td>`3577012104072689</td>
<td>KARTOHARJO</td>
<td>28-06-1956</td>
<td>62</td>
<td>P</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>`0002163613645</td>
<td>Konseling</td>
<td align='center'>
Z00 </td>
</tr>

<td>129</td>
<td>14-02-2019</td>
<td>009007</td>
<td>WAHYU SRI MARSUJIATI</td>
<td>`3577014503670001</td>
<td>`3577012104072447</td>
<td>KARTOHARJO</td>
<td>05-03-1967</td>
<td>51</td>
<td>P</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PNS PUSAT</td>
<td>`0002623316692</td>
<td></td>
<td align='center'>
K29.1 </td>
</tr>

<td>130</td>
<td>14-02-2019</td>
<td>009008</td>
<td>SUKIRNO</td>
<td>`3577010902480001</td>
<td>`3577012104072648</td>
<td>KARTOHARJO</td>
<td>09-02-1948</td>
<td>71</td>
<td>L</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>`0002163613465</td>
<td>Konseling</td>
<td align='center'>
I10 </td>
</tr>

<td>131</td>
<td>14-02-2019</td>
<td>009013</td>
<td>SIASIH</td>
<td>`3577016902560001</td>
<td>`3577012104072355</td>
<td>KARTOHARJO</td>
<td>29-02-1956</td>
<td>63</td>
<td>P</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>`0002163612519</td>
<td>Konseling</td>
<td align='center'>
R05 </td>
</tr>

<td>132</td>
<td>14-02-2019</td>
<td>005839</td>
<td>PAINEM</td>
<td>`3577014603550001</td>
<td>`3577012104072133</td>
<td>KARTOHARJO</td>
<td>06-03-1955</td>
<td>63</td>
<td>P</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>`0001430058183</td>
<td>Konseling</td>
<td align='center'>
Z00 </td>
</tr>

<td>133</td>
<td>14-02-2019</td>
<td>005079</td>
<td>SUJIYEM</td>
<td>`3577014204500002</td>
<td>`3577012104072616</td>
<td>TAWANGREJO</td>
<td>KARTOHARJO</td>
<td>MADIUN</td>
<td>02-04-1950</td>
<td>68</td>
<td>P</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>`0002163613364</td>
<td>Konseling</td>
<td align='center'>
M79.1 </td>
</tr>

<td>134</td>
<td>14-02-2019</td>
<td>003777</td>
<td>SRI PAMELAS</td>
<td>`3577014210480001</td>
<td>`3577012104072385</td>
<td>KARTOHARJO</td>
<td>02-10-1948</td>
<td>70</td>
<td>P</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>`0000106356971</td>
<td>Konseling</td>
<td align='center'>
E11 </td>
</tr>

<td>135</td>
<td>14-02-2019</td>
<td>005842</td>
<td>ENI SETIYANINGSIH</td>
<td>`3577014510710002</td>
<td>`3577012104071867</td>
<td>KARTOHARJO</td>
<td>05-10-1971</td>
<td>47</td>
<td>P</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>`0002163610899</td>
<td>Konseling</td>
<td align='center'>
J11 </td>
</tr>

<td>136</td>
<td>14-02-2019</td>
<td>003718</td>
<td>TITIN SUNARSIH</td>
<td>`</td>
<td>`</td>
<td>TAWANGREJO</td>
<td>KARTOHARJO</td>
<td>01-12-1968</td>
<td>50</td>
<td>P</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>`0002163613871</td>
<td>Konseling</td>
<td align='center'>
I10 </td>
</tr>

<td>137</td>
<td>14-02-2019</td>
<td>003720</td>
<td>SUTIYEM</td>
<td>`</td>
<td>`</td>
<td>TAWANGREJO</td>
<td>KARTOHARJO</td>
<td>01-12-1948</td>
<td>70</td>
<td>P</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>`0000787232507</td>
<td>Konseling</td>
<td align='center'>
I10 </td>
</tr>

<td>138</td>
<td>14-02-2019</td>
<td>000037</td>
<td>SUKARTIJEM</td>
<td>`3577015703480002</td>
<td>`3577012104072600</td>
<td>KARTOHARJO</td>
<td>17-03-1948</td>
<td>70</td>
<td>P</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>`0000105617272</td>
<td>Konseling</td>
<td align='center'>
I10 </td>
</tr>

<td>139</td>
<td>14-02-2019</td>
<td>004642</td>
<td>SUNARTO</td>
<td>`3577011006450002</td>
<td>`3577012104072385</td>
<td>KARTOHARJO</td>
<td>10-06-1945</td>
<td>73</td>
<td>L</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>`0000106356969</td>
<td>Konseling</td>
<td align='center'>
I10 </td>
</tr>

<td>140</td>
<td>14-02-2019</td>
<td>009002</td>
<td>RATNINGSIH</td>
<td>`3577025503430002</td>
<td>`3577022712100006</td>
<td>MADIUN LOR</td>
<td>MANGUHARJO</td>
<td>15-03-1943</td>
<td>75</td>
<td>P</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>`</td>
<td></td>
<td align='center'>
Z00 </td>
</tr>

<td>141</td>
<td>14-02-2019</td>
<td>005099</td>
<td>SIYEM</td>
<td>`3577017112420047</td>
<td>`3577012104072602</td>
<td>KARTOHARJO</td>
<td>31-12-1942</td>
<td>76</td>
<td>P</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>`0002158643676</td>
<td>Konseling</td>
<td align='center'>
I10 </td>
</tr>

<td>142</td>
<td>14-02-2019</td>
<td>002716</td>
<td>SUMARNI</td>
<td>`</td>
<td>`</td>
<td>TAWANGREJO</td>
<td>KARTOHARJO</td>
<td>01-05-1960</td>
<td>58</td>
<td>P</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>`0000787186899</td>
<td>Konseling</td>
<td align='center'>
Z00 </td>
</tr>

<td>143</td>
<td>14-02-2019</td>
<td>000767</td>
<td>KUSEN</td>
<td>`3577010711550001</td>
<td>`3577012104072230</td>
<td>KARTOHARJO</td>
<td>07-11-1955</td>
<td>63</td>
<td>L</td>
<td>Petani / Pekebun</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>`0000787185663</td>
<td>Konseling</td>
<td align='center'>
E78.5 </td>
</tr>

<td>144</td>
<td>14-02-2019</td>
<td>000008</td>
<td>SUMARNI</td>
<td>`3577014112450004</td>
<td>`3577012104072695</td>
<td>KARTOHARJO</td>
<td>MADIUN</td>
<td>01-12-1945</td>
<td>73</td>
<td>P</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>`0000106378211</td>
<td>Konseling</td>
<td align='center'>
E78.5 </td>
</tr>

<td>145</td>
<td>14-02-2019</td>
<td>001067</td>
<td>GINEM</td>
<td>`3577015804590002</td>
<td>`3577012104072443</td>
<td>KARTOHARJO</td>
<td>18-04-1959</td>
<td>59</td>
<td>P</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>`0000786742918</td>
<td>Konseling</td>
<td align='center'>
Z00 </td>
</tr>

<td>146</td>
<td>14-02-2019</td>
<td>001416</td>
<td>MARSINI</td>
<td>`</td>
<td>`</td>
<td>TAWANGREJO</td>
<td>KARTOHARJO</td>
<td>25-09-1970</td>
<td>48</td>
<td>P</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PNS DAERAH</td>
<td>`0000106334662</td>
<td>Konseling</td>
<td align='center'>
J11 </td>
</tr>

<td>147</td>
<td>14-02-2019</td>
<td>001082</td>
<td>SUKARMI</td>
<td>`3577014710600001</td>
<td>`3577012104072449</td>
<td>KARTOHARJO</td>
<td>07-10-1960</td>
<td>58</td>
<td>P</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>`0001704877446</td>
<td>Konseling</td>
<td align='center'>
I10 </td>
</tr>
<td>148</td>
<td>14-02-2019</td>
<td>005190</td>
<td>RUKINEM</td>
<td>`</td>
<td>`</td>
<td>TAWANGREJO</td>
<td>KARTOHARJO</td>
<td>16-07-1956</td>
<td>62</td>
<td>P</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>`0001704806796</td>
<td>Konseling</td>
<td align='center'>
E78.5 </td>
</tr>

<td>149</td>
<td>14-02-2019</td>
<td>005841</td>
<td>SUPARNO</td>
<td>`3577011704590002</td>
<td>`3577012104072443</td>
<td>KARTOHARJO</td>
<td>17-04-1959</td>
<td>59</td>
<td>L</td>
<td>Pensiunan</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>`0000786742841</td>
<td>Konseling</td>
<td align='center'>
I10 </td>
</tr>

<td>150</td>
<td>14-02-2019</td>
<td>003710</td>
<td>EKO YANTINI</td>
<td>`</td>
<td>`</td>
<td>TAWANGREJO</td>
<td>KARTOHARJO</td>
<td>13-10-1972</td>
<td>46</td>
<td>P</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>`0001704877659</td>
<td>Konseling</td>
<td align='center'>
M79.1 </td>
</tr>

<td>151</td>
<td>14-02-2019</td>
<td>000772</td>
<td>SAYEM</td>
<td>`3577015410480001</td>
<td>`3577012104072231</td>
<td>KARTOHARJO</td>
<td>14-10-1948</td>
<td>70</td>
<td>P</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>`0001704817113</td>
<td>Konseling</td>
<td align='center'>
K29.1 </td>
</tr>

<td>152</td>
<td>14-02-2019</td>
<td>000432</td>
<td>PAIMIN</td>
<td>`</td>
<td>`</td>
<td>TAWANGREJO</td>
<td>KARTOHARJO</td>
<td>04-11-1940</td>
<td>78</td>
<td>L</td>
<td>Pensiunan</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>`0000078540423</td>
<td>Konseling</td>
<td align='center'>
I10 </td>
</tr>

<td>153</td>
<td>14-02-2019</td>
<td>003249</td>
<td>HADI SUWITO GUMBREG</td>
<td>`3577011202500001</td>
<td>`3577012104072133</td>
<td>KARTOHARJO</td>
<td>12-02-1950</td>
<td>69</td>
<td>L</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>`0001430057114</td>
<td>Konseling</td>
<td align='center'>
I25.9 </td>
</tr>

<td>154</td>
<td>15-02-2019</td>
<td>009127</td>
<td>DJULIAH</td>
<td>`</td>
<td>`</td>
<td>TAWANGREJO</td>
<td>KARTOHARJO</td>
<td>20-08-1955</td>
<td>63</td>
<td>P</td>
<td>dr. YOHANES YOYOK W A</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>`0002416467385</td>
<td>Konseling</td>
<td align='center'>
M13 </td>
</tr>

<td>155</td>
<td>15-02-2019</td>
<td>009128</td>
<td>SUKMA NINGSIH</td>
<td>`</td>
<td>`</td>
<td>TAWANGREJO</td>
<td>KARTOHARJO</td>
<td>23-10-1954</td>
<td>64</td>
<td>P</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>`0000106355035</td>
<td>Konseling</td>
<td align='center'>
E78.5 </td>
</tr>

<td>156</td>
<td>15-02-2019</td>
<td>009129</td>
<td>SUPARTI</td>
<td>`3577016408560001</td>
<td>`3577012104072273</td>
<td>KARTOHARJO</td>
<td>24-08-1956</td>
<td>62</td>
<td>P</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>`0000105512872</td>
<td>Konseling</td>
<td align='center'>
E11 </td>
</tr>

<td>157</td>
<td>15-02-2019</td>
<td>009130</td>
<td>JUMINEM</td>
<td>`</td>
<td>`</td>
<td>TAWANGREJO</td>
<td>KARTOHARJO</td>
<td>14-07-1960</td>
<td>58</td>
<td>P</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>`0002163612003</td>
<td>Konseling</td>
<td align='center'>
I10 </td>
</tr>

<td>158</td>
<td>15-02-2019</td>
<td>009131</td>
<td>SRI SADASIWI</td>
<td>`</td>
<td>`</td>
<td>TAWANGREJO</td>
<td>KARTOHARJO</td>
<td>28-10-1958</td>
<td>60</td>
<td>P</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PNS DAERAH</td>
<td>`0000105137111</td>
<td>Konseling</td>
<td align='center'>
M13 </td>
</tr>

<td>159</td>
<td>15-02-2019</td>
<td>009132</td>
<td>MATHIAS BOLI MANUK</td>
<td>`</td>
<td>`</td>
<td>TAWANGREJO</td>
<td>KARTOHARJO</td>
<td>16-10-1942</td>
<td>76</td>
<td>L</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>`0000106373801</td>
<td>Konseling</td>
<td align='center'>
E11 </td>
</tr>

<td>160</td>
<td>15-02-2019</td>
<td>009134</td>
<td>WARSIATI</td>
<td>`</td>
<td>`</td>
<td>TAWANGREJO</td>
<td>KARTOHARJO</td>
<td>20-07-1968</td>
<td>50</td>
<td>P</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>`0002163612374</td>
<td>Konseling</td>
<td align='center'>
M13 </td>
</tr>

<td>161</td>
<td>15-02-2019</td>
<td>009135</td>
<td>SUJONO</td>
<td>`</td>
<td>`</td>
<td>TAWANGREJO</td>
<td>KARTOHARJO</td>
<td>07-08-1956</td>
<td>62</td>
<td>L</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PNS DAERAH</td>
<td>`0000104831447</td>
<td>Konseling</td>
<td align='center'>
I10 </td>
</tr>

<td>162</td>
<td>15-02-2019</td>
<td>009136</td>
<td>SRI YUSWANING ASTUTI</td>
<td>`3577016006600002</td>
<td>`3577012104072274</td>
<td>KARTOHARJO</td>
<td>20-06-1960</td>
<td>58</td>
<td>P</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>`0000106280177</td>
<td>Konseling</td>
<td align='center'>
E11 </td>
</tr>

<td>163</td>
<td>15-02-2019</td>
<td>009137</td>
<td>SUTAR</td>
<td>`</td>
<td>`</td>
<td>TAWANGREJO</td>
<td>KARTOHARJO</td>
<td>06-06-1953</td>
<td>65</td>
<td>L</td>
<td>Wiraswasta</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>`0002163613083</td>
<td>Konseling</td>
<td align='center'>
E11 </td>
</tr>

<td>164</td>
<td>15-02-2019</td>
<td>009138</td>
<td>SUKARDI</td>
<td>`</td>
<td>`</td>
<td>TAWANGREJO</td>
<td>KARTOHARJO</td>
<td>23-02-1944</td>
<td>75</td>
<td>L</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>`0002416858637</td>
<td>Konseling</td>
<td align='center'>
M13 </td>
</tr>

<td>165</td>
<td>15-02-2019</td>
<td>009139</td>
<td>MARIA DOMINICA MAIMUNAH</td>
<td>`</td>
<td>`</td>
<td>TAWANGREJO</td>
<td>KARTOHARJO</td>
<td>12-05-1946</td>
<td>72</td>
<td>P</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>`0000106373799</td>
<td>Konseling</td>
<td align='center'>
M13 </td>
</tr>

<td>166</td>
<td>15-02-2019</td>
<td>009140</td>
<td>SRI SUMARNI</td>
<td>`3577010000 </td>
<td>`</td>
<td>TAWANGREJO</td>
<td>KARTOHARJO</td>
<td>14-07-1959</td>
<td>59</td>
<td>P</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PNS DAERAH</td>
<td>`0000106295139</td>
<td>Konseling</td>
<td align='center'>
M13 </td>
</tr>

<td>167</td>
<td>15-02-2019</td>
<td>009039</td>
<td>SALKHUDDIN</td>
<td>`</td>
<td>`</td>
<td>KARTOHARJO</td>
<td>13-08-1986</td>
<td>32</td>
<td>L</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>`</td>
<td></td>
<td align='center'>
Z00 </td>
</tr>

<td>168</td>
<td>15-02-2019</td>
<td>005671</td>
<td>IRFAN DWI HANDOKO</td>
<td>`3577010612940002</td>
<td>`3577012004079241</td>
<td>REJOMULYO</td>
<td>KARTOHARJO</td>
<td>06-12-1994</td>
<td>24</td>
<td>L</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td>TNI ANGKATAN DARAT</td>
<td>`0001106683727</td>
<td></td>
<td align='center'>
Z00 </td>
</tr>

<td>169</td>
<td>15-02-2019</td>
<td>003839</td>
<td>YATEMI</td>
<td>`</td>
<td>`</td>
<td>TAWANGREJO</td>
<td>KARTOHARJO</td>
<td>01-10-1949</td>
<td>69</td>
<td>P</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>`0000787220919</td>
<td>Konseling</td>
<td align='center'>
M13 </td>
</tr>

<td>170</td>
<td>15-02-2019</td>
<td>005080</td>
<td>MARIA MONIKA SULASTRI</td>
<td>`3577014804600003</td>
<td>`3577012104071674</td>
<td>KARTOHARJO</td>
<td>08-04-1960</td>
<td>58</td>
<td>P</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>`0001812749534</td>
<td>Konseling</td>
<td align='center'>
E11.0 </td>
</tr>

<td>171</td>
<td>15-02-2019</td>
<td>007029</td>
<td>SUNARTI</td>
<td>`</td>
<td>`</td>
<td>TAWANGREJO</td>
<td>KARTOHARJO</td>
<td>06-07-1964</td>
<td>54</td>
<td>P</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>`0001704817203</td>
<td>Konseling</td>
<td align='center'>
M13 </td>
</tr>

<td>172</td>
<td>15-02-2019</td>
<td>003767</td>
<td>MISNATUN</td>
<td>`</td>
<td>`</td>
<td>TAWANGREJO</td>
<td>KARTOHARJO</td>
<td>MADIUN</td>
<td>09-11-1961</td>
<td>57</td>
<td>P</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>`0002163609718</td>
<td>Konseling</td>
<td align='center'>
E11.0 </td>
</tr>

<td>173</td>
<td>15-02-2019</td>
<td>006398</td>
<td>S U H A R T O</td>
<td>`</td>
<td>`</td>
<td>TAWANGREJO</td>
<td>KARTOHARJO</td>
<td>02-07-1949</td>
<td>69</td>
<td>L</td>
<td>Pensiunan</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>`0000106355024</td>
<td>Konseling</td>
<td align='center'>
I10 </td>
</tr>

<td>174</td>
<td>15-02-2019</td>
<td>001333</td>
<td>DJARMI</td>
<td>`3577014303610002</td>
<td>`3577010908120007</td>
<td>KARTOHARJO</td>
<td>03-03-1961</td>
<td>57</td>
<td>P</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>`0002163591055</td>
<td>Konseling</td>
<td align='center'>
K29 </td>
</tr>

<td>175</td>
<td>15-02-2019</td>
<td>002637</td>
<td>DINA KUSMI</td>
<td>`</td>
<td>`</td>
<td>TAWANGREJO</td>
<td>KARTOHARJO</td>
<td>15-10-1957</td>
<td>61</td>
<td>P</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>`0001704818171</td>
<td>Konseling</td>
<td align='center'>
I10 </td>
</tr>

<td>176</td>
<td>15-02-2019</td>
<td>007028</td>
<td>SUPRIYATI</td>
<td>`</td>
<td>`</td>
<td>TAWANGREJO</td>
<td>KARTOHARJO</td>
<td>01-10-1968</td>
<td>50</td>
<td>P</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>`0002163612341</td>
<td>Konseling</td>
<td align='center'>
E78.5 </td>
</tr>

<td>177</td>
<td>15-02-2019</td>
<td>005540</td>
<td>RUSMINI</td>
<td>`3577014506520001</td>
<td>`3577011904130010</td>
<td>KARTOHARJO</td>
<td>05-06-1952</td>
<td>66</td>
<td>P</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>`0002163598424</td>
<td>Konseling</td>
<td align='center'>
I15 </td>
</tr>

<td>178</td>
<td>15-02-2019</td>
<td>002197</td>
<td>SRI SUPADMI</td>
<td>`3577015202410001</td>
<td>`3577012104072214</td>
<td>KARTOHARJO</td>
<td>MADIUN</td>
<td>12-02-1941</td>
<td>78</td>
<td>P</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>`0000105518542</td>
<td>Konseling</td>
<td align='center'>
M13 </td>
</tr>

<td>179</td>
<td>15-02-2019</td>
<td>004707</td>
<td>DJARIYAH</td>
<td>` </td>
<td>`3577011310160002</td>
<td>KARTOHARJO</td>
<td>24-11-1961</td>
<td>57</td>
<td>P</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>`0000787471007</td>
<td>Konseling</td>
<td align='center'>
I10 </td>
</tr>

<td>180</td>
<td>15-02-2019</td>
<td>004063</td>
<td>SUKINI</td>
<td>`</td>
<td>`</td>
<td>TAWANGREJO</td>
<td>KARTOHARJO</td>
<td>01-06-1974</td>
<td>44</td>
<td>P</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>`0000740122615</td>
<td>Konseling</td>
<td align='center'>
I10 </td>
</tr>

<td>181</td>
<td>15-02-2019</td>
<td>004062</td>
<td>NUNUK</td>
<td>`</td>
<td>`</td>
<td>TAWANGREJO</td>
<td>KARTOHARJO</td>
<td>15-02-1962</td>
<td>57</td>
<td>P</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>`0002163612339</td>
<td>Konseling</td>
<td align='center'>
Z00 </td>
</tr>

<td>182</td>
<td>18-02-2019</td>
<td>009189</td>
<td>BANDHUNG RUBIANTO</td>
<td>`3577012203840004</td>
<td>`3577012104071619</td>
<td>KARTOHARJO</td>
<td>22-03-1984</td>
<td>34</td>
<td>L</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>`0002163609663</td>
<td>Konseling</td>
<td align='center'>
Z00 </td>
</tr>
<td>183</td>
<td>18-02-2019</td>
<td>009198</td>
<td>KRESNO DHIPOYONO</td>
<td>`3577012810700002</td>
<td>`3577012502090005</td>
<td>KARTOHARJO</td>
<td>28-10-1970</td>
<td>48</td>
<td>L</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td>PEGAWAI PEMERINTAH DENGAN PERJANJIAN KERJA</td>
<td>`0001856528289</td>
<td></td>
<td align='center'>
Z00 </td>
</tr>

<td>184</td>
<td>18-02-2019</td>
<td>009211</td>
<td>INDIRA AYU PANGASTUTI</td>
<td>`3577016807960002</td>
<td>`3577012004077209</td>
<td>REJOMULYO</td>
<td>KARTOHARJO</td>
<td>28-07-1996</td>
<td>22</td>
<td>P</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>`0001808922407</td>
<td>Konseling</td>
<td align='center'>
Z00 </td>
</tr>

<td>185</td>
<td>18-02-2019</td>
<td>009218</td>
<td>EKA SEPTIANA</td>
<td>`3577016609960001</td>
<td>`3577012104070438</td>
<td>KARTOHARJO</td>
<td>26-09-1996</td>
<td>22</td>
<td>P</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td>PBI (APBD)</td>
<td>`0001706778167</td>
<td></td>
<td align='center'>
Z00 </td>
</tr>

<td>186</td>
<td>18-02-2019</td>
<td>009221</td>
<td>SITI FATIMAH APRIANINGTYASTUTI S</td>
<td>`3577016504730003</td>
<td>`3577012708090002</td>
<td>REJOMULYO</td>
<td>KARTOHARJO</td>
<td>25-04-1973</td>
<td>45</td>
<td>P</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td>`0002491693986</td>
<td></td>
<td align='center'>
Z00 </td>
</tr>

<td>187</td>
<td>18-02-2019</td>
<td>009226</td>
<td>BIMA SURYA ERLANGGA</td>
<td>`3577011910980001</td>
<td>`3577012104078271</td>
<td>KELUN</td>
<td>KARTOHARJO</td>
<td>19-10-1998</td>
<td>20</td>
<td>L</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td>ANGGOTA POLRI</td>
<td>`0001317927036</td>
<td></td>
<td align='center'>
Z00 </td>
</tr>

<td>188</td>
<td>18-02-2019</td>
<td>009235</td>
<td>ANDRI CAHYONO</td>
<td>`3577010611750001</td>
<td>`3577012104071705</td>
<td>KARTOHARJO</td>
<td>06-11-1975</td>
<td>43</td>
<td>L</td>
<td>Wiraswasta</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td>PBI (APBD)</td>
<td>`0001704815324</td>
<td></td>
<td align='center'>
Z00 </td>
</tr>

<td>189</td>
<td>18-02-2019</td>
<td>009237</td>
<td>ANDIK YOGI PRANATA</td>
<td>`3577010101960002</td>
<td>`3577012104078389</td>
<td>KELUN</td>
<td>KARTOHARJO</td>
<td>01-01-1996</td>
<td>23</td>
<td>L</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td>PBI (APBD)</td>
<td>`0002413881707</td>
<td></td>
<td align='center'>
Z00 </td>
</tr>

<td>190</td>
<td>18-02-2019</td>
<td>009239</td>
<td>KARINA AMALIA SHOLIHAH</td>
<td>`3577015006950002</td>
<td>`3577012104078333</td>
<td>KELUN</td>
<td>KARTOHARJO</td>
<td>10-06-1995</td>
<td>23</td>
<td>P</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td>`0000106469471</td>
<td></td>
<td align='center'>
Z00 </td>
</tr>

<td>191</td>
<td>18-02-2019</td>
<td>009243</td>
<td>ALVIAN PAHLEVI</td>
<td>`3519111011920001</td>
<td>`</td>
<td>KARTOHARJO</td>
<td>10-11-1992</td>
<td>26</td>
<td>L</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td>`0002494786408</td>
<td></td>
<td align='center'>
Z00 </td>
</tr>

<td>192</td>
<td>18-02-2019</td>
<td>009252</td>
<td>TEGUH ANDRIANTO</td>
<td>`3519111909810004</td>
<td>`3577011508130007</td>
<td>REJOMULYO</td>
<td>KARTOHARJO</td>
<td>19-09-1981</td>
<td>37</td>
<td>L</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td>PBI (APBD)</td>
<td>`0002413862368</td>
<td></td>
<td align='center'>
Z00 </td>
</tr>

<td>193</td>
<td>18-02-2019</td>
<td>009260</td>
<td>RENDY RESMANA PUTRA</td>
<td>`3577011712920005</td>
<td>`3577011602090003</td>
<td>KARTOHARJO</td>
<td>17-12-1992</td>
<td>26</td>
<td>L</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td>PBI (APBD)</td>
<td>`0001706777785</td>
<td></td>
<td align='center'>
Z00 </td>
</tr>

<td>194</td>
<td>18-02-2019</td>
<td>009273</td>
<td>ZAINUL IHSAN</td>
<td>`3501112802940004</td>
<td>`</td>
<td>WONOKARTO</td>
<td>NGADIROJO</td>
<td>PACITAN</td>
<td>28-02-1994</td>
<td>25</td>
<td>L</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td>`0002313194185</td>
<td></td>
<td align='center'>
Z00 </td>
</tr>

<td>195</td>
<td>18-02-2019</td>
<td>009275</td>
<td>PANCA GILLANG RACHMADHAN</td>
<td>`3577010812990002</td>
<td>`3577012104071333</td>
<td>KARTOHARJO</td>
<td>08-12-1999</td>
<td>19</td>
<td>L</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td>PBI (APBD)</td>
<td>`0001706779236</td>
<td></td>
<td align='center'>
Z00 </td>
</tr>

<td>196</td>
<td>18-02-2019</td>
<td>009279</td>
<td>RAKA DAVIONATA VONNY</td>
<td>`3577015803000005</td>
<td>`3577012104070629</td>
<td>KARTOHARJO</td>
<td>18-03-2000</td>
<td>18</td>
<td>P</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td>PBI (APBN)</td>
<td>`0000786861224</td>
<td></td>
<td align='center'>
Z00 </td>
</tr>

<td>197</td>
<td>18-02-2019</td>
<td>007173</td>
<td>SUDARMANTO</td>
<td>`3577012409590001</td>
<td>`3577012104078510</td>
<td>KELUN</td>
<td>KARTOHARJO</td>
<td>24-09-1959</td>
<td>59</td>
<td>L</td>
<td>Pensiunan</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>`0001078769474</td>
<td>Konseling</td>
<td align='center'>
Z00 </td>
</tr>

<td>198</td>
<td>18-02-2019</td>
<td>009220</td>
<td>SUYUD TRI PURWANTARI</td>
<td>`3577014503720001</td>
<td>`3577012004078370</td>
<td>REJOMULYO</td>
<td>KARTOHARJO</td>
<td>05-03-1972</td>
<td>46</td>
<td>P</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>`</td>
<td></td>
<td align='center'>
Z00 </td>
</tr>

<td>199</td>
<td>18-02-2019</td>
<td>006242</td>
<td>KURNIA INDAH SUKMAWATIK</td>
<td>`3577010000 </td>
<td>`3577010701110008</td>
<td>KARTOHARJO</td>
<td>14-07-1989</td>
<td>29</td>
<td>P</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>`0000106429623</td>
<td></td>
<td align='center'>
Z00 </td>
</tr>

<td>200</td>
<td>18-02-2019</td>
<td>009263</td>
<td>ARDYANTO FIRMANSYAH</td>
<td>`3577010506890001</td>
<td>`3577010401110069</td>
<td>KARTOHARJO</td>
<td>05-06-1989</td>
<td>29</td>
<td>L</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>`</td>
<td></td>
<td align='center'>
Z00 </td>
</tr>

<td>201</td>
<td>19-02-2019</td>
<td>009315</td>
<td>HANNY ARDINA YASHINTA</td>
<td>`</td>
<td>`</td>
<td>REJOMULYO</td>
<td>KARTOHARJO</td>
<td>16-07-1999</td>
<td>19</td>
<td>P</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>`0002312095151</td>
<td>Konseling</td>
<td align='center'>
Z00 </td>
</tr>

<td>202</td>
<td>19-02-2019</td>
<td>009333</td>
<td>GUMELAR AULIAN NAFI`</td>
<td>`3577010000 </td>
<td>`</td>
<td>KELUN</td>
<td>KARTOHARJO</td>
<td>03-06-1994</td>
<td>24</td>
<td>L</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td>PNS DAERAH</td>
<td>`0000105201268</td>
<td></td>
<td align='center'>
Z00 </td>
</tr>

<td>203</td>
<td>19-02-2019</td>
<td>009341</td>
<td>YUSEF CHRIS HADI SAPUTRO</td>
<td>`3577012010810003</td>
<td>`3577012104072476</td>
<td>KARTOHARJO</td>
<td>20-10-1981</td>
<td>37</td>
<td>L</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>`0002163612879</td>
<td>Konseling</td>
<td align='center'>
Z00 </td>
</tr>

<td>204</td>
<td>19-02-2019</td>
<td>009343</td>
<td>MUJI PRIHATIN</td>
<td>`3577015204830003</td>
<td>`3577012104071383</td>
<td>KARTOHARJO</td>
<td>12-04-1983</td>
<td>35</td>
<td>P</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td>`0001291294833</td>
<td></td>
<td align='center'>
Z00 </td>
</tr>

<td>205</td>
<td>19-02-2019</td>
<td>009344</td>
<td>MUHAMMAD MAGHFUR AL MUKHTAR</td>
<td>`3577012102940001</td>
<td>`3577012104071013</td>
<td>KARTOHARJO</td>
<td>21-02-1994</td>
<td>25</td>
<td>L</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>`0000786498344</td>
<td>Konseling</td>
<td align='center'>
Z00 </td>
</tr>

<td>206</td>
<td>19-02-2019</td>
<td>006243</td>
<td>DARMONO</td>
<td>`3577011207890001</td>
<td>`3577012104072696</td>
<td>KARTOHARJO</td>
<td>12-07-1989</td>
<td>29</td>
<td>L</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>`0001702388079</td>
<td></td>
<td align='center'>
Z00 </td>
</tr>
<td>207</td>
<td>19-02-2019</td>
<td>001695</td>
<td>EVIANA DEWI MUKARROMAH</td>
<td>`3577016307910003</td>
<td>`3577012104071966</td>
<td>KARTOHARJO</td>
<td>23-07-1991</td>
<td>27</td>
<td>P</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td>PBI (APBN)</td>
<td>`0000787435874</td>
<td></td>
<td align='center'>
Z00 </td>
</tr>

<td>208</td>
<td>19-02-2019</td>
<td>009327</td>
<td>HENDRIAN FAJRUL HAQIQI</td>
<td>`</td>
<td>`</td>
<td>REJOMULYO</td>
<td>KARTOHARJO</td>
<td>09-11-1986</td>
<td>32</td>
<td>L</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>`</td>
<td></td>
<td align='center'>
Z00 </td>
</tr>

<td>209</td>
<td>20-02-2019</td>
<td>009412</td>
<td>RETNO SULISTYOWATI</td>
<td>`3577014506790002</td>
<td>`3577012104071676</td>
<td>KARTOHARJO</td>
<td>05-06-1979</td>
<td>39</td>
<td>P</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td>PEGAWAI BUMN</td>
<td>`0001541178551</td>
<td></td>
<td align='center'>
Z00 </td>
</tr>

<td>210</td>
<td>20-02-2019</td>
<td>009427</td>
<td>SUPRIANTO</td>
<td>`3577010402720002</td>
<td>`3577012104070509</td>
<td>KARTOHARJO</td>
<td>04-02-1972</td>
<td>47</td>
<td>L</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>`0002163607841</td>
<td>Konseling</td>
<td align='center'>
Z00 </td>
</tr>

<td>211</td>
<td>20-02-2019</td>
<td>009434</td>
<td>NORYATI</td>
<td>`3577014406570001</td>
<td>`3577012104072704</td>
<td>KARTOHARJO</td>
<td>04-06-1957</td>
<td>61</td>
<td>P</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>`0002416858558</td>
<td>Konseling</td>
<td align='center'>
E11 </td>
</tr>

<td>212</td>
<td>20-02-2019</td>
<td>009435</td>
<td>SUBARNO</td>
<td>`3577011408600001</td>
<td>`3577012104072427</td>
<td>KARTOHARJO</td>
<td>14-08-1960</td>
<td>58</td>
<td>L</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>`0002414010238</td>
<td>Konseling</td>
<td align='center'>
I10 </td>
</tr>

<td>213</td>
<td>20-02-2019</td>
<td>009436</td>
<td>BUDIONO</td>
<td>`3577010512580002</td>
<td>`3577012104072324</td>
<td>KARTOHARJO</td>
<td>05-12-1958</td>
<td>60</td>
<td>L</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PNS DAERAH</td>
<td>`0000106444473</td>
<td>Konseling</td>
<td align='center'>
Z00 </td>
</tr>

<td>214</td>
<td>20-02-2019</td>
<td>009437</td>
<td>SUWARNI</td>
<td>`3577010905590001</td>
<td>`3577012104072578</td>
<td>KARTOHARJO</td>
<td>09-05-1959</td>
<td>59</td>
<td>L</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>`0000787209153</td>
<td>Konseling</td>
<td align='center'>
M79 </td>
</tr>

<td>215</td>
<td>20-02-2019</td>
<td>009438</td>
<td>SUPARNO</td>
<td>`3577011111530004</td>
<td>`3577012104072573</td>
<td>KARTOHARJO</td>
<td>11-11-1953</td>
<td>65</td>
<td>L</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>`0001704877582</td>
<td>Konseling</td>
<td align='center'>
I10 </td>
</tr>

<td>216</td>
<td>20-02-2019</td>
<td>009439</td>
<td>SUKARMI</td>
<td>`3577015905540001</td>
<td>`3577012104072575</td>
<td>KARTOHARJO</td>
<td>19-05-1954</td>
<td>64</td>
<td>P</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>`0001704818294</td>
<td>Konseling</td>
<td align='center'>
I10 </td>
</tr>

<td>217</td>
<td>20-02-2019</td>
<td>009440</td>
<td>BAMBANG SUPARTO</td>
<td>`3577011011620003</td>
<td>`3577012104072264</td>
<td>KARTOHARJO</td>
<td>10-11-1962</td>
<td>56</td>
<td>L</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>`0002416309053</td>
<td>Konseling</td>
<td align='center'>
E11.0 </td>
</tr>

<td>218</td>
<td>20-02-2019</td>
<td>009441</td>
<td>SUMINAH</td>
<td>`3577014908630002</td>
<td>`3577012104072264</td>
<td>KARTOHARJO</td>
<td>09-08-1963</td>
<td>55</td>
<td>P</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>`0002416309064</td>
<td>Konseling</td>
<td align='center'>
M79.1 </td>
</tr>

<td>219</td>
<td>20-02-2019</td>
<td>009442</td>
<td>YATINEM</td>
<td>` </td>
<td>`3577012104072426</td>
<td>KARTOHARJO</td>
<td>05-05-1947</td>
<td>71</td>
<td>P</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>`0000786477497</td>
<td>Konseling</td>
<td align='center'>
I10 </td>
</tr>

<td>220</td>
<td>20-02-2019</td>
<td>009443</td>
<td>MISIYATI</td>
<td>`3577016801650001</td>
<td>`3577012104072312</td>
<td>KARTOHARJO</td>
<td>28-01-1965</td>
<td>54</td>
<td>P</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>`0001704817359</td>
<td>Konseling</td>
<td align='center'>
I10 </td>
</tr>

<td>221</td>
<td>20-02-2019</td>
<td>009444</td>
<td>TUMIRIN</td>
<td>`3577012707480002</td>
<td>`3577012104072393</td>
<td>KARTOHARJO</td>
<td>27-07-1948</td>
<td>70</td>
<td>L</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>`0001704817642</td>
<td>Konseling</td>
<td align='center'>
Z00 </td>
</tr>

<td>222</td>
<td>20-02-2019</td>
<td>009410</td>
<td>MEILASARI</td>
<td>`3577014805950002</td>
<td>`3577012104071144</td>
<td>KARTOHARJO</td>
<td>08-05-1995</td>
<td>23</td>
<td>P</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>`0001703207608</td>
<td>Konseling</td>
<td align='center'>
Z00 </td>
</tr>

<td>223</td>
<td>20-02-2019</td>
<td>004394</td>
<td>ISMIATUN</td>
<td>`</td>
<td>`</td>
<td>TAWANGREJO</td>
<td>KARTOHARJO</td>
<td>31-12-1955</td>
<td>63</td>
<td>P</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>`0001704877547</td>
<td>Konseling</td>
<td align='center'>
I10 </td>
</tr>

<td>224</td>
<td>20-02-2019</td>
<td>004390</td>
<td>SUSMININGSIH</td>
<td>`3577015006630002</td>
<td>`3577012104071632</td>
<td>KARTOHARJO</td>
<td>10-06-1963</td>
<td>55</td>
<td>P</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PEGAWAI PEMERINTAH NON PNS</td>
<td>`0001838709257</td>
<td>Konseling</td>
<td align='center'>
I10 </td>
</tr>

<td>225</td>
<td>20-02-2019</td>
<td>001436</td>
<td>MISRAN</td>
<td>`3577011703520001</td>
<td>`3577012104072575</td>
<td>KARTOHARJO</td>
<td>17-03-1952</td>
<td>66</td>
<td>L</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>`0001704818283</td>
<td>Konseling</td>
<td align='center'>
I10 </td>
</tr>

<td>226</td>
<td>20-02-2019</td>
<td>001920</td>
<td>WARTINI</td>
<td>`3577015508650003</td>
<td>`3577012104072554</td>
<td>KARTOHARJO</td>
<td>15-08-1965</td>
<td>53</td>
<td>P</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>`0001704877569</td>
<td>Konseling</td>
<td align='center'>
E78.5 </td>
</tr>

<td>227</td>
<td>20-02-2019</td>
<td>004391</td>
<td>RUBIATI</td>
<td>`</td>
<td>`</td>
<td>TAWANGREJO</td>
<td>KARTOHARJO</td>
<td>20-09-1958</td>
<td>60</td>
<td>P</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>`0001704817809</td>
<td>Konseling</td>
<td align='center'>
M79.1 </td>
</tr>

<td>228</td>
<td>20-02-2019</td>
<td>004393</td>
<td>ENDANG MARSIKIN</td>
<td>`</td>
<td>`</td>
<td>TAWANGREJO</td>
<td>KARTOHARJO</td>
<td>30-08-1955</td>
<td>63</td>
<td>P</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>`0001704818261</td>
<td>Konseling</td>
<td align='center'>
M79.1 </td>
</tr>

<td>229</td>
<td>20-02-2019</td>
<td>001096</td>
<td>SARMI</td>
<td>`3577011505550005</td>
<td>`3577012104072360</td>
<td>KARTOHARJO</td>
<td>MADIUN</td>
<td>15-05-1955</td>
<td>63</td>
<td>L</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>`0000787233598</td>
<td>Konseling</td>
<td align='center'>
I10 </td>
</tr>

<td>230</td>
<td>20-02-2019</td>
<td>006023</td>
<td>SRI MARYANI</td>
<td>`3577015010630003</td>
<td>`3577012104072262</td>
<td>KARTOHARJO</td>
<td>10-10-1963</td>
<td>55</td>
<td>P</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PNS DAERAH</td>
<td>`0000106332759</td>
<td>Konseling</td>
<td align='center'>
E11.0 </td>
</tr>

<td>231</td>
<td>20-02-2019</td>
<td>000205</td>
<td>PUTINGAH</td>
<td>`3577016105610001</td>
<td>`3577012104072429</td>
<td>KARTOHARJO</td>
<td>21-05-1961</td>
<td>57</td>
<td>P</td>
<td>Pensiunan</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>`0000787162882</td>
<td>Konseling</td>
<td align='center'>
I64 </td>
</tr>

<td>232</td>
<td>20-02-2019</td>
<td>002948</td>
<td>SRI HARTUTIK</td>
<td>`</td>
<td>`</td>
<td>TAWANGREJO</td>
<td>KARTOHARJO</td>
<td>MADIUN</td>
<td>08-04-1962</td>
<td>56</td>
<td>P</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td></td>
<td>`0001704815829</td>
<td>Konseling</td>
<td align='center'>
I10 </td>
</tr>

<td>233</td>
<td>20-02-2019</td>
<td>004395</td>
<td>SUKESI</td>
<td>`</td>
<td>`</td>
<td>TAWANGREJO</td>
<td>KARTOHARJO</td>
<td>01-06-1960</td>
<td>58</td>
<td>P</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>`0001704817631</td>
<td>Konseling</td>
<td align='center'>
I10 </td>
</tr>

<td>234</td>
<td>20-02-2019</td>
<td>004376</td>
<td>SUKINI</td>
<td>`</td>
<td>`</td>
<td>TAWANGREJO</td>
<td>KARTOHARJO</td>
<td>19-03-1951</td>
<td>67</td>
<td>P</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>`0001704817438</td>
<td>Konseling</td>
<td align='center'>
I10 </td>
</tr>

<td>235</td>
<td>20-02-2019</td>
<td>000240</td>
<td>SURYANI</td>
<td>`</td>
<td>`</td>
<td>TAWANGREJO</td>
<td>KARTOHARJO</td>
<td>25-03-1962</td>
<td>56</td>
<td>P</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td></td>
<td>`0002414010249</td>
<td>Konseling</td>
<td align='center'>
I15 </td>
</tr>

<td>236</td>
<td>20-02-2019</td>
<td>004400</td>
<td>SUWARSI</td>
<td>`</td>
<td>`</td>
<td>TAWANGREJO</td>
<td>KARTOHARJO</td>
<td>01-07-1946</td>
<td>72</td>
<td>P</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>`0000786745001</td>
<td>Konseling</td>
<td align='center'>
Z00 </td>
</tr>

<td>237</td>
<td>20-02-2019</td>
<td>003936</td>
<td>TINIK</td>
<td>`3577014710590003</td>
<td>`3577012104072576</td>
<td>KARTOHARJO</td>
<td>07-10-1959</td>
<td>59</td>
<td>P</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>`0002416467227</td>
<td>Konseling</td>
<td align='center'>
Z00 </td>
</tr>

<td>238</td>
<td>20-02-2019</td>
<td>001076</td>
<td>RIYANI</td>
<td>`3577014507670002</td>
<td>`3577010307170002</td>
<td>KARTOHARJO</td>
<td>05-07-1967</td>
<td>51</td>
<td>P</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>`0001704818248</td>
<td>Konseling</td>
<td align='center'>
Z00 </td>
</tr>

<td>239</td>
<td>20-02-2019</td>
<td>004389</td>
<td>MARIYANI</td>
<td>`3577015909630003</td>
<td>`3577012104072398</td>
<td>KARTOHARJO</td>
<td>19-09-1963</td>
<td>55</td>
<td>P</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>`</td>
<td></td>
<td align='center'>
Z00 </td>
</tr>

<td>240</td>
<td>20-02-2019</td>
<td>002418</td>
<td>SUNARTI</td>
<td>`3577016008580005</td>
<td>`3577012402160004</td>
<td>KARTOHARJO</td>
<td>20-08-1958</td>
<td>60</td>
<td>P</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>`0001704817372</td>
<td>Konseling</td>
<td align='center'>
Z00 </td>
</tr>

<td>241</td>
<td>20-02-2019</td>
<td>006022</td>
<td>RINI ATI</td>
<td>`</td>
<td>`</td>
<td>TAWANGREJO</td>
<td>KARTOHARJO</td>
<td>12-09-1970</td>
<td>48</td>
<td>P</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>`0001704817844</td>
<td>Konseling</td>
<td align='center'>
Z00 </td>
</tr>
<td>242</td>
<td>20-02-2019</td>
<td>002546</td>
<td>SAIMUN</td>
<td>`3577011208500004</td>
<td>`3577012104072329</td>
<td>KARTOHARJO</td>
<td>MADIUN</td>
<td>12-08-1950</td>
<td>68</td>
<td>L</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td></td>
<td>`0002416309075</td>
<td>Konseling</td>
<td align='center'>
M79.1 </td>
</tr>

<td>243</td>
<td>20-02-2019</td>
<td>004402</td>
<td>SUPRIHATIN</td>
<td>`</td>
<td>`</td>
<td>TAWANGREJO</td>
<td>KARTOHARJO</td>
<td>01-06-1963</td>
<td>55</td>
<td>P</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>`0000787210086</td>
<td>Konseling</td>
<td align='center'>
M79.1 </td>
</tr>

<td>244</td>
<td>20-02-2019</td>
<td>006020</td>
<td>YANTI SAFITRI</td>
<td>`3577014606680003</td>
<td>`3577012104071765</td>
<td>KARTOHARJO</td>
<td>06-06-1968</td>
<td>50</td>
<td>P</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>ANGGOTA POLRI</td>
<td>`0001101126093</td>
<td>Konseling</td>
<td align='center'>
I10 </td>
</tr>

<td>245</td>
<td>20-02-2019</td>
<td>004401</td>
<td>SRI WAHYUNI</td>
<td>`3577015611610002</td>
<td>`3577012104072324</td>
<td>KARTOHARJO</td>
<td>16-11-1961</td>
<td>57</td>
<td>P</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PNS DAERAH</td>
<td>`0000106444484</td>
<td>Konseling</td>
<td align='center'>
Z00 </td>
</tr>

<td>246</td>
<td>20-02-2019</td>
<td>003337</td>
<td>SUMARI/ SUMARIYANTO</td>
<td>`3577011207580001</td>
<td>`3577012104072309</td>
<td>TAWANGREJO</td>
<td>KARTOHARJO</td>
<td>12-07-1958</td>
<td>60</td>
<td>L</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>`0001704817304</td>
<td>Konseling</td>
<td align='center'>
Z00 </td>
</tr>

<td>247</td>
<td>20-02-2019</td>
<td>001374</td>
<td>SUYATI</td>
<td>`</td>
<td>`</td>
<td>TAWANGREJO</td>
<td>KARTOHARJO</td>
<td>01-08-1955</td>
<td>63</td>
<td>L</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>`3577012104072329</td>
<td></td>
<td align='center'>
Z00 </td>
</tr>

<td>248</td>
<td>20-02-2019</td>
<td>000908</td>
<td>SULASMI</td>
<td>`3519074308610002</td>
<td>`</td>
<td>SOBRAH</td>
<td>WUNGU</td>
<td>MADIUN</td>
<td>03-08-1961</td>
<td>57</td>
<td>P</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>`0002228199489</td>
<td>Konseling</td>
<td align='center'>
I10 </td>
</tr>

<td>249</td>
<td>21-02-2019</td>
<td>009484</td>
<td>RUMINAH</td>
<td>`3577014101490011</td>
<td>`3577012104072128</td>
<td>KARTOHARJO</td>
<td>01-01-1949</td>
<td>70</td>
<td>P</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>`0002163611608</td>
<td>Konseling</td>
<td align='center'>
I10 </td>
</tr>

<td>250</td>
<td>21-02-2019</td>
<td>009485</td>
<td>KANIPAN</td>
<td>`3577011011540002</td>
<td>`3577012104072118</td>
<td>KARTOHARJO</td>
<td>10-11-1954</td>
<td>64</td>
<td>L</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>`0000787280319</td>
<td>Konseling</td>
<td align='center'>
E11 </td>
</tr>

<td>251</td>
<td>21-02-2019</td>
<td>009486</td>
<td>ANIK RETNOWATI</td>
<td>`3577015108620001</td>
<td>`3577012104071983</td>
<td>KARTOHARJO</td>
<td>11-08-1962</td>
<td>56</td>
<td>P</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PNS PUSAT</td>
<td>`0001424753493</td>
<td>Konseling</td>
<td align='center'>
Z00 </td>
</tr>

<td>252</td>
<td>21-02-2019</td>
<td>009487</td>
<td>KATIMAH</td>
<td>`3577017012470002</td>
<td>`3577012104071971</td>
<td>KARTOHARJO</td>
<td>30-12-1947</td>
<td>71</td>
<td>P</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>`0000787448114</td>
<td>Konseling</td>
<td align='center'>
M79.1 </td>
</tr>

<td>253</td>
<td>21-02-2019</td>
<td>004120</td>
<td>PANIDJO</td>
<td>`3577011507440001</td>
<td>`3577012104072379</td>
<td>KARTOHARJO</td>
<td>15-07-1944</td>
<td>74</td>
<td>L</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>`0002477347839</td>
<td>Konseling</td>
<td align='center'>
I10 </td>
</tr>

<td>254</td>
<td>21-02-2019</td>
<td>004124</td>
<td>SITI NAFSIAH</td>
<td>`3577014204570001</td>
<td>`3577012101110008</td>
<td>KARTOHARJO</td>
<td>02-04-1957</td>
<td>61</td>
<td>P</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>`0002163607176</td>
<td>Konseling</td>
<td align='center'>
E78.5 </td>
</tr>

<td>255</td>
<td>21-02-2019</td>
<td>004394</td>
<td>ISMIATUN</td>
<td>`</td>
<td>`</td>
<td>TAWANGREJO</td>
<td>KARTOHARJO</td>
<td>31-12-1955</td>
<td>63</td>
<td>P</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>`0001704877547</td>
<td>Konseling</td>
<td align='center'>
E78.4 </td>
</tr>

<td>256</td>
<td>21-02-2019</td>
<td>007436</td>
<td>SUTIYO</td>
<td>` </td>
<td>`3577012104072120</td>
<td>KARTOHARJO</td>
<td>01-01-1941</td>
<td>78</td>
<td>L</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>`0000337649578</td>
<td>Konseling</td>
<td align='center'>
M13 </td>
</tr>

<td>257</td>
<td>21-02-2019</td>
<td>008934</td>
<td>ROCHMATUN</td>
<td>`3577010000 </td>
<td>`</td>
<td>TAWANGREJO</td>
<td>KARTOHARJO</td>
<td>01-01-1958</td>
<td>61</td>
<td>P</td>
<td>Pensiunan</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>`0000106376117</td>
<td>Konseling</td>
<td align='center'>
I10 </td>
</tr>

<td>258</td>
<td>21-02-2019</td>
<td>000342</td>
<td>UMI KUSTIYAH</td>
<td>`3577016712560001</td>
<td>`3577012509160001</td>
<td>KARTOHARJO</td>
<td>MADIUN</td>
<td>27-12-1956</td>
<td>62</td>
<td>P</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>`0001704807044</td>
<td>Konseling</td>
<td align='center'>
M13 </td>
</tr>

<td>259</td>
<td>21-02-2019</td>
<td>000343</td>
<td>SRI SUWARTINI</td>
<td>`3577017112450030</td>
<td>`3577012104072598</td>
<td>KARTOHARJO</td>
<td>31-12-1945</td>
<td>73</td>
<td>P</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>`0001865207474</td>
<td></td>
<td align='center'>
I10 </td>
</tr>

<td>260</td>
<td>21-02-2019</td>
<td>000337</td>
<td>SUWATI</td>
<td>`3577014403570002</td>
<td>`3577012104072117</td>
<td>KARTOHARJO</td>
<td>04-03-1957</td>
<td>61</td>
<td>P</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>`0001704816944</td>
<td>Konseling</td>
<td align='center'>
I10 </td>
</tr>

<td>261</td>
<td>21-02-2019</td>
<td>006114</td>
<td>MUSHLIKHAH</td>
<td>` </td>
<td>`3577012104072595</td>
<td>KARTOHARJO</td>
<td>31-12-1955</td>
<td>63</td>
<td>P</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>`0000787446753</td>
<td>Konseling</td>
<td align='center'>
I10 </td>
</tr>

<td>262</td>
<td>21-02-2019</td>
<td>000338</td>
<td>SITI RUKAYAH</td>
<td>`3577016306550001</td>
<td>`3577012104072379</td>
<td>KARTOHARJO</td>
<td>23-06-1955</td>
<td>63</td>
<td>P</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>`0002477347929</td>
<td>Konseling</td>
<td align='center'>
I10 </td>
</tr>

<td>263</td>
<td>21-02-2019</td>
<td>004121</td>
<td>ISMIATI</td>
<td>`3577016005390001</td>
<td>`3577011512100073</td>
<td>KARTOHARJO</td>
<td>20-05-1939</td>
<td>79</td>
<td>P</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>`0001049799824</td>
<td>Konseling</td>
<td align='center'>
I10 </td>
</tr>

<td>264</td>
<td>21-02-2019</td>
<td>000336</td>
<td>SUMINEM</td>
<td>`3577014101540012</td>
<td>`3577012104072116</td>
<td>KARTOHARJO</td>
<td>01-01-1954</td>
<td>65</td>
<td>P</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>`0001704816933</td>
<td>Konseling</td>
<td align='center'>
I10 </td>
</tr>

<td>265</td>
<td>21-02-2019</td>
<td>004111</td>
<td>SUROTO</td>
<td>`</td>
<td>`</td>
<td>TAWANGREJO</td>
<td>KARTOHARJO</td>
<td>01-05-1952</td>
<td>66</td>
<td>L</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>`0000787171533</td>
<td>Konseling</td>
<td align='center'>
I10 </td>
</tr>
<td>266</td>
<td>21-02-2019</td>
<td>007438</td>
<td>SLAMET</td>
<td>`3577010907470002</td>
<td>`3577012104072117</td>
<td>KARTOHARJO</td>
<td>09-07-1947</td>
<td>71</td>
<td>L</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>`0001704877121</td>
<td>Konseling</td>
<td align='center'>
Z00 </td>
</tr>

<td>267</td>
<td>21-02-2019</td>
<td>000340</td>
<td>SATARI</td>
<td>`3577010510520002</td>
<td>`3577012104071952</td>
<td>KARTOHARJO</td>
<td>05-10-1952</td>
<td>66</td>
<td>L</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>`0001704816235</td>
<td>Konseling</td>
<td align='center'>
E11.0 </td>
</tr>

<td>268</td>
<td>21-02-2019</td>
<td>000341</td>
<td>SUPINI</td>
<td>`3577015112550001</td>
<td>`3577012104071952</td>
<td>KARTOHARJO</td>
<td>MADIUN</td>
<td>11-12-1955</td>
<td>63</td>
<td>P</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>`0001704816246</td>
<td>Konseling</td>
<td align='center'>
I10 </td>
</tr>

<td>269</td>
<td>21-02-2019</td>
<td>000339</td>
<td>UMIATI</td>
<td>`3577017012530001</td>
<td>`3577010607150001</td>
<td>KARTOHARJO</td>
<td>30-12-1953</td>
<td>65</td>
<td>P</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>`0000787278993</td>
<td>Konseling</td>
<td align='center'>
E11.0 </td>
</tr>

<td>270</td>
<td>21-02-2019</td>
<td>004117</td>
<td>LASMINAH</td>
<td>`3577014101540013</td>
<td>`3577011210100013</td>
<td>KARTOHARJO</td>
<td>01-01-1954</td>
<td>65</td>
<td>P</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>`0001704806932</td>
<td>Konseling</td>
<td align='center'>
E78.5 </td>
</tr>

<td>271</td>
<td>21-02-2019</td>
<td>004122</td>
<td>SITI ROMELAH</td>
<td>`3577015311560001</td>
<td>`3577012104071968</td>
<td>KARTOHARJO</td>
<td>13-11-1956</td>
<td>62</td>
<td>P</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>`0002163611147</td>
<td>Konseling</td>
<td align='center'>
E11.0 </td>
</tr>

<td>272</td>
<td>21-02-2019</td>
<td>001348</td>
<td>SRI PILIH</td>
<td>`</td>
<td>`</td>
<td>TAWANGREJO</td>
<td>KARTOHARJO</td>
<td>30-12-1955</td>
<td>63</td>
<td>P</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td></td>
<td>`0002158643474</td>
<td>Konseling</td>
<td align='center'>
E78.5 </td>
</tr>

<td>273</td>
<td>21-02-2019</td>
<td>004119</td>
<td>TUMI</td>
<td>`3577014101530012</td>
<td>`3577012104072092</td>
<td>KARTOHARJO</td>
<td>01-01-1953</td>
<td>66</td>
<td>P</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>`0000787272906</td>
<td>Konseling</td>
<td align='center'>
E78.5 </td>
</tr>

<td>274</td>
<td>21-02-2019</td>
<td>007439</td>
<td>J KABALI</td>
<td>` </td>
<td>`3577012104071991</td>
<td>KARTOHARJO</td>
<td>28-03-1941</td>
<td>77</td>
<td>L</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>`0000787457867</td>
<td>Konseling</td>
<td align='center'>
I10 </td>
</tr>

<td>275</td>
<td>21-02-2019</td>
<td>000963</td>
<td>MM KAPTIWASINI</td>
<td>`3577016510540001</td>
<td>`3577012104072118</td>
<td>KARTOHARJO</td>
<td>25-10-1954</td>
<td>64</td>
<td>P</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>`0000787280872</td>
<td>Konseling</td>
<td align='center'>
I10 </td>
</tr>

<td>276</td>
<td>21-02-2019</td>
<td>007440</td>
<td>TH ISBANDIYAH</td>
<td>`3577014108460002</td>
<td>`3577012104071991</td>
<td>KARTOHARJO</td>
<td>01-08-1946</td>
<td>72</td>
<td>P</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>`0000787458093</td>
<td>Konseling</td>
<td align='center'>
E11 </td>
</tr>

<td>277</td>
<td>22-02-2019</td>
<td>009492</td>
<td>SUDARTO</td>
<td>`</td>
<td>`</td>
<td>KELUN</td>
<td>KARTOHARJO</td>
<td>01-05-1959</td>
<td>59</td>
<td>L</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>`0000786474505</td>
<td>Konseling</td>
<td align='center'>
Z00.8 </td>
</tr>

<td>278</td>
<td>22-02-2019</td>
<td>009501</td>
<td>JULI BAGUS DEWANTA</td>
<td>`3519072007930003</td>
<td>`</td>
<td>MANISREJO</td>
<td>TAMAN</td>
<td>20-07-1993</td>
<td>25</td>
<td>L</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>GRATIS</td>
<td>PBI (APBD)</td>
<td>`0000105169972</td>
<td></td>
<td align='center'>
Z00 </td>
</tr>

<td>279</td>
<td>22-02-2019</td>
<td>009522</td>
<td>PRIYATIN</td>
<td>`3519076006960003</td>
<td>`</td>
<td>TEMPURSARI</td>
<td>WUNGU</td>
<td>MADIUN</td>
<td>20-06-1996</td>
<td>22</td>
<td>P</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td>PBI (APBD)</td>
<td>`0001410570224</td>
<td></td>
<td align='center'>
Z00 </td>
</tr>

<td>280</td>
<td>22-02-2019</td>
<td>009505</td>
<td>DARISMA EKA SAPUTRI</td>
<td>`3520106206970001</td>
<td>`3577011606090001</td>
<td>REJOMULYO</td>
<td>KARTOHARJO</td>
<td>22-06-1997</td>
<td>21</td>
<td>P</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td>`0002060500443</td>
<td></td>
<td align='center'>
Z00 </td>
</tr>

<td>281</td>
<td>22-02-2019</td>
<td>009524</td>
<td>MUHAMMMAD ABDUL AZIZ</td>
<td>`</td>
<td>`</td>
<td>BANJARSARI</td>
<td>MADIUN</td>
<td>MADIUN</td>
<td>11-11-1996</td>
<td>22</td>
<td>L</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>`</td>
<td></td>
<td align='center'>
Z00 </td>
</tr>

<td>282</td>
<td>22-02-2019</td>
<td>007990</td>
<td>SUWARDI</td>
<td>`</td>
<td>`</td>
<td>BETEK</td>
<td>MADIUN</td>
<td>MADIUN</td>
<td>29-01-1968</td>
<td>51</td>
<td>L</td>
<td>Pegawai Negeri Sipil</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>`</td>
<td></td>
<td align='center'>
Z00 </td>
</tr>

<td>283</td>
<td>22-02-2019</td>
<td>009520</td>
<td>LISA SEPTIANI PUTRI</td>
<td>`</td>
<td>`</td>
<td>BETEK</td>
<td>MADIUN</td>
<td>MADIUN</td>
<td>23-09-1995</td>
<td>23</td>
<td>P</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>`</td>
<td></td>
<td align='center'>
Z00 </td>
</tr>

<td>284</td>
<td>26-02-2019</td>
<td>007451</td>
<td>ERVIN MALINDAWATI</td>
<td>`3519145712940001</td>
<td>`</td>
<td>REJOSARI</td>
<td>SAWAHAN</td>
<td>MADIUN</td>
<td>17-12-1994</td>
<td>24</td>
<td>P</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PNS DAERAH</td>
<td>`0000104832382</td>
<td></td>
<td align='center'>
Z00 </td>
</tr>

<td>285</td>
<td>27-02-2019</td>
<td>009791</td>
<td>ATIK SULISTYAWATI</td>
<td>`3520115106750002</td>
<td>`3577010711160001</td>
<td>KARTOHARJO</td>
<td>11-06-1975</td>
<td>43</td>
<td>P</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>`</td>
<td></td>
<td align='center'>
Z00 </td>
</tr>

<td>286</td>
<td>28-02-2019</td>
<td>009683</td>
<td>ADE DESTIA FITRIANI</td>
<td>`3577015302950001</td>
<td>`3577012104072424</td>
<td>KARTOHARJO</td>
<td>13-02-1995</td>
<td>24</td>
<td>P</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td>`0001704817787</td>
<td></td>
<td align='center'>
Z00 </td>
</tr>
</table>

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