No No KK NIK/KITAS/KITAP

1 1671020910060004 1671026205090007
2 1671022505070047 1671026105010017
3 1671020108070022 1671025706090001
4 1671021003110013 1671020608890013
5 1671021003110013 1671020904110004
6 1671021003110013 1671026812120004
7 1671020402150004 1671021605150005
8 1671022308070070 1671024707020009
9 1671022503080032 1671020101880043
10 1671022503080032 1671024807910009
11 1671021204100031 1671022305960003
12 1671021104070027 1671021011830012
13 1671020503120039 1671022704750015
14 1671020503120039 1671025903120003
15 1671020503120039 1671025903120002
16 1671021603160011 1610025410850005
17 1671021603160011 1671021704160003
18 1671023105170013 1671020410590004
19 1671023105170013 1671027003650005
20 1671023105170013 1671024612960013
21 1671023105170013 1671024301000013
22 1671023105170013 1671025212030007
23 1671021504140005 1671135312810004
24 1671021504140005 1671130908060001
25 1671020404070050 1671021808820013
26 1671020404070050 1671025507140004
27 1671022607130008 1671021511680008
28 1671022607130008 1671022508850015
29 1671022607130008 1671021608950008
30 1671020602070009 1671026304390002
31 1671020602070009 1671021408770003
32 1671020602070009 1671022706740004
33 1671020507180030 1603220209170001
34 1671020602070005 1671025704050004
35 1671021507070047 1671022104750015
36 1671021507070047 1671024705890009
37 1671021507070047 1671020505800024
38 1671021507070047 1671026401930006
39 1671021507070047 1671020904760006
40 1671021011160015 1607110501100001
41 1671020109080032 1671020708850022
42 1671020109080032 1671025912860005
43 1671020109080032 1671021909050003
44 1671020109080032 1671020511080009
45 1671020109080032 1671024811180002
46 1671021604070088 1671026308970005
47 1671021604070088 1671022308010002
48 1671021806080071 1671026106010009
49 1671021806080071 1671026004030013
50 1671021806080071 1671022807050005
51 1671022505070013 1671021706110004
52 1671022505070013 1671024708160003
53 1671022506120026 1671024307130001
54 1671022012160004 1671020404170005
55 1671020809140013 1602056011840006
56 1671020809140013 1602054510060004
57 1671020809140013 1671021404180001
58 1671021711160011 1671020107170001
59 1671021404150022 1671025009080005
60 1671023007090025 1671021702000015
61 1671023007090025 1671026308140003
62 1671021507110006 1671021811120005
63 1671021507110006 1671023009110008
64 1671020206170009 1671025410990012
65 1671020206170009 1671026211170004
66 1671022403080049 1671020207130007
67 1671022403080049 1671020708160007
68 1671020308170015 1671025809560001
69 1671020308170015 1671024509820014
70 1671020308170015 1671026802840012
71 1671020308170015 1671025011870028
72 1671020805180001 1671021606180001
73 1671022902080022 1671020607760011
74 1671022902080022 1671020505000013
75 1671022902080022 1671020808030016
76 1671022902080022 1671026012430003
77 1671022509070007 1671022509820007
78 1671022509070007 1671026007630010
79 1671022509070007 1671020512020016
80 1671022509070007 1671020703060007
81 1671022509070007 1671021406100002
82 1671022509070007 1671020507160001
83 1671140502090018 1671141605070002
84 1671022406130001 1671021508640019
85 1671021807070046 1671022506770000
86 1671021807070046 1671020512020010
87 1671021807070046 1671024101070002
88 1671021807070046 1671025406100007
89 1671021807070046 1671026603140002
90 1671021807070046 1671025604170001
 FORM PENDAF
KELURAHAN TUJUH UL

PISAT Tgl Lahir

1 = Peserta
Nama Lengkap 2 = Suami
3 = Istri Tempat Lahir
4=4
5 = Tambahan
Meisy Lestari 4 PALEMBANG
Bella Safira 4 PALEMBANG
Charla Amelia 5 PALEMBANG
Ferry Kareka 2 PALEMBANG
Kaka Kareka 4 PALEMBANG
Fina Gladies Kareka 4 PALEMBANG
Rahmat Pradana 4 PALEMBANG
Yuliana 4 PALEMBANG
Yosef Hidayat 4 PALEMBANG
Susana 4 PALEMBANG
Galang Suganda 4 PAGAR ALAM
Ahirudin 2 PALEMBANG
Damsik 2 AIR ITAM
ARISKA BELA SAPITRI 4 PALEMBANG
ARISMA DELA SAPIRA 4 PALEMBANG
WIDIASTUTI 3 PALEMBANG
M. ABDILLAH WIDIYANTO 4 PALEMBANG
MUSTAR 2 PEDAMARAN
JUANI 3 PEDAMARAN
LENA 4 PEDAMARAN
UMI 4 PEDAMARAN
RINA 4 PEDAMARAN
SUSILAWATI 2 PALEMBANG
MUHAMMAD FAJRI GEMILANG 4 PALEMBANG
WENDI IRAWAN 2 PALEMBANG
ZAHIRA INDAWAN 4 PALEMBANG
NUNGCIK 2 PALEMBANG
HERMANTO 5 PALEMBANG
YOGI AGUSNADI 5 PALEMBANG
SAIDAH 5 OKI SENTUL
PAHRUL 5 OKI SENTUL
TAUFIQURRACHMAD 5 PALEMBANG
ADRIYAN ADINATA 4 ARISAN MUSI
DINA LESTARI 4 PALEMBANG
TRISWANTO 4 PALEMBANG
NURUL FITRIANA 4 PALEMBANG
HENDRI FAISAL 4 PALEMBANG
NOVITASARI 4 PALEMBANG
ROZALI. AR 5 PALEMBANG
M. DIMAS AKILAH 4 LEBUNG
ASWAN 2 KIJANG
SRI DESTIANI 3 PALEMBANG
M. SYUKUR PRATAMA 4 PALEMBANG
M. AKBAR RIFANSYAH 4 PALEMBANG
AZZAHRA ALWADIYYAH 4 PALEMBANG
MONASARI 4 PALEMBANG
SANJAYA 4 PALEMBANG
MELISA 4 PALEMBANG
TIARA AMELIA 4 PALEMBANG
ADIL SAPUTRA 4 PALEMBANG
FARHAN 4 PALEMBANG
NADIRA 4 PALEMBANG
MOURA KASIH SESARIA 4 PALEMBANG
FAIZ ARSYAD 4 PALEMBANG
IRMA SUSILAWATI 3 ULAK BALAM
DEVY OKTA RAMAYANI 4 KAYU AGUNG
MUHAMMAD AIDIL SAPUTRA 4 KAYU AGUNG
M. DERI 4 PALEMBANG
DEWI 4 PALEMBANG
RUDI 4 PALEMBANG
RARA TALITA PUTRI 4 PALEMBANG
M. ALIF SAH 4 PALEMBANG
M. SEFTA AWANSYAH 4 PALEMBANG
YUMI LESTARI 3 OKI
NOVIA NATASYA 4 PALEMBANG
MUHAMMAD RISKI 4 PALEMBANG
MUHAMMAD REHAN 4 PALEMBANG
MARYANI 3 RANTAU PANJANG
SUKMAWATI 4 PALEMBANG
FENI ANGGRAINI 4 PALEMBANG
NOVIYANTI 5 PALEMBANG
AHMAD ILYASSYAH 4 PALEMBANG
HELMI YULIARDI 2 PALEMBANG
BILLY CHEN 4 PALEMBANG
JEPRI 4 PALEMBANG
SAINA 5 PALEMBANG
PIRMANSYAH 2 SUKA DAMAI
SANTI 3 PULAU NEGARA
M. PEDRO 4 PALEMBANG
MARIO DWI SUTRA 4 PALEMBANG
MUHAMMAD HAIKAL 4 PALEMBANG
MUHAMMAD RAFA 4 PALEMBANG
M. KELVIN SAPUTRA 4 PALEMBANG
OMA KAMALUDIN 2 TASIK MALAYA
MUHAMMAD ZEN 2 GUNUNG TOPA
FATURRAHMAN AL IDRUS 4 PALEMBANG
RIZKIA TUZ ZHAIRAH 4 PALEMBANG
SITI FATIMAH 4 PALEMBANG
SITI KHODIJAH 4 PALEMBANG
SYARIFAH AISYAH 4 PALEMBANG
 FORM PENDAFTARAN PESERTA JKN PUSKESMAS TUJUH ULU
URAHAN TUJUH ULU KECAMATAN SEBERANG ULU SATU KOTA PALEMBANG

Jenis Status
Tgl Lahir
Kelamin Kawin

0=TD Alamat Tempat

RT RW
1=L 1=B, Tinggal
dd/mm/yyyy
2=P 2=K,
3=C

5/22/2009 P 1 GANG GADING 28 8

5/21/2001 P 1 GANG GADING 28 8
6/17/2009 P 1 GANG GADING 28 8
8/6/1989 L 2 GANG GADING 28 8
4/9/2011 L 1 GANG GADING 28 8
12/28/2012 P 1 GANG GADING 28 8
5/16/2015 L 1 GANG GADING 28 8
7/7/2002 P 1 GANG GADING 28 8
1/1/1988 L 1 GANG GADING 28 8
7/8/1991 P 1 GANG GADING 28 8
5/23/1996 L 1 GANG GADING 28 8
11/10/1983 L 2 GANG GADING 28 8
4/27/1975 L 2 GANG GADING 28 8
3/19/2012 p 1 GANG GADING 28 8
3/19/2012 P 1 GANG GADING 28 8
10/14/1985 P 2 GANG GADING 28 8
4/17/2016 L 1 GANG GADING 28 8
10/4/1959 L 2 GANG GADING 28 8
3/30/1965 P 2 GANG GADING 28 8
12/6/1996 P 1 GANG GADING 28 8
1/3/2000 P 1 GANG GADING 28 8
12/12/2003 P 1 GANG GADING 28 8
12/27/1981 P 3 GANG GADING 28 8
6/9/2006 L 1 GANG GADING 28 8
8/18/1982 L 2 GANG GADING 28 8
7/15/2014 P 1 GANG GADING 28 8
11/15/1968 L 2 GANG GADING 28 8
8/25/1985 L 1 GANG GADING 28 8
8/10/1995 L 1 GANG GADING 28 8
 4/23/1939 P 3 GANG GADING 28 8
8/14/1977 L 1 GANG GADING 28 8
6/27/1974 L 1 GANG GADING 28 8
9/2/2017 L 1 GANG GADING 28 8
4/17/2005 P 1 GANG GADING 28 8
4/21/1975 L 1 GANG GADING 29 8
5/7/1988 P 1 GANG GADING 29 8
5/5/1960 L 1 GANG GADING 29 8
1/24/1993 P 1 GANG GADING 29 8
4/9/1976 L 1 GANG GADING 29 8
10/15/2010 L 1 GANG GADING 29 7
8/7/1985 L 2 GANG GADING 29 8
12/19/1986 P 2 GANG GADING 29 8
9/19/2005 L 1 GANG GADING 29 8
11/5/2008 L 1 GANG GADING 29 8
11/8/2018 p 1 GANG GADING 29 8
8/23/1997 P 1 GANG GADING 29 8
8/23/2001 L 1 GANG GADING 29 8
6/21/2001 P 1 GANG GADING 29 8
4/20/2003 P 1 GANG GADING 29 8
7/28/2005 L 1 GANG GADING 29 8
6/17/2011 L 1 GANG GADING 29 8
6/7/2016 P 1 GANG GADING 29 8
7/3/2013 P 1 GANG GADING 29 8
4/4/2017 L 1 GANG GADING 29 8
11/20/1984 P 2 GANG GADING 29 8
10/5/2006 P 1 GANG GADING 29 8
4/14/2018 L 1 GANG GADING 29 8
7/1/2017 L 1 GANG GADING 29 8
9/10/2008 P 1 GANG GADING 29 8
2/17/2000 L 1 GANG GADING 29 8
8/23/2014 P 1 GANG GADING 29 8
11/18/2012 L 1 GANG GADING 29 8
9/30/2011 L 1 GANG GADING 29 8
10/14/1999 P 2 GANG GADING 30 8
11/22/2017 P 1 GANG GADING 30 8
7/2/2013 L 1 GANG GADING 30 8
8/7/2016 L 1 GANG GADING 30 8
9/18/1956 P 3 GANG GADING 30 8
 9/5/1982 P 1 GANG GADING 30 8
2/28/1984 P 1 GANG GADING 30 8
11/10/1987 P 2 GANG GADING 30 8
6/16/2018 L 1 GANG GADING 30 8
7/6/1976 L 2 GANG GADING 30 8
5/5/2000 L 1 GANG GADING 30 8
8/8/2003 L 1 GANG GADING 30 8
12/20/1943 P 3 GANG GADING 30 8
9/25/1982 L 2 GANG GADING 30 8
7/20/1983 P 2 GANG GADING 30 8
12/5/2002 L 1 GANG GADING 30 8
3/7/2006 L 1 GANG GADING 30 8
6/14/2010 L 1 GANG GADING 30 8
7/5/2016 L 1 GANG GADING 30 8
5/16/2007 L 1 GANG GADING 30 8
8/15/1964 L 2 GANG GADING 30 8
6/26/1977 L 2 GANG GADING 30 8
12/5/2002 L 1 GANG GADING 30 8
1/1/2007 P 1 GANG GADING 30 8
6/14/2010 P 1 GANG GADING 30 8
3/26/2014 P 1 GANG GADING 30 8
4/16/2017 P 1 GANG GADING 30 8
 JUH ULU
KOTA PALEMBANG

Kode Kode
Kode Nama Kode
Kecamata Nama Desa Faskes
Pos Kecamatan Desa
n Tk.I
 Nama
Faskes
Tk.I