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no Tanggal Pelayanan NAMA NOMOR BPJS NOMOR GIGI NOMOR KUNJUNGAN NOMOR LEGALISASI

1 2/16/2017 syafril 1434275076 RA RB full 0050b1200317y001457

2 2/21/2017 dasril 1128246849 RA kiri 11 kanan 21 22 0050b1200317y000439

3 2/23/2017 indra depi 1135230063 RA kiri 21 0050b1200217y0001970

4 2/27/2017 asmainar 1261976139 RA kiri 11 kanan 21 22 0050b1200317y000590

5 3/6/2017 rafiqi algamar 1164704556 Ra 11 21 0050b1200317y000438

6 3/7/2017 angga afriko putra 1168102721 Ra kiri 11 12 0050b1200317y000578

7 3/7/2017 elda fitriani 1167015251 RA dan RB 0050b1200317y001790

8 3/7/2017 warna 1897338418 RA dan RB full 0050b1200317y002809

9 3/10/2017 nizar 1131947897 RA dan RB 0050b1200317y002099

10 3/14/2017 dhalvi harisa putra 2089011925 RA kiri 11,12 0050b1200317y002425

11 3/18/2017 ermina 1971833499 RA dan RB full 0050b1200317y001650

12 3/23/2017 jasmala winta 1164855227 RA kiri 11,12 kanan 23 0050b1200317y002091

13 4/11/2017 verchiana isnata 1432860726 RB kanan 3 0050b1200417y002424

14 4/11/2017 asrial 1256993054 RA dan RB full 0050b1200417y002284

15 12/-04/2017 nila yat 15317289 RB FULL 0050B1200417Y002646

16 4/15/2017 eli efrita 1290760457 RA kanan 4 5 0050b1200417y001318

17 4/17/2017 dedet afriyandi 282269035 RB 46 kiri,kanan 36 0050b1200417y002645


18 4/18/2017 difla hikmah 1294105645 RA RB full 0050b1200417y001590

19 4/19/2017 helmiat 1334441586 RA dan RB 0050b1200417y002644


NOMOR LEGALISASI

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