005 Form Report Faskes I & Faskes II

FORM REPORT FASILITAS PEMERIKSAAN & PENGOBATAN FASKES I & II
Periode :
NO NO KARTU BPJS NAMA PASIEN NO ID NAMA KARYAWAN JABATAN LOKASI CC HUB. KELUARGA Nominal DIAGNOSA
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
Classified - Public Use

NO. NOMOR KARTU NIK NPP NAMA
1 0000141177194 5102050309650003 19900126 I MADE BUWANA
2 0000976283469 5103021006700006 20000768 NGAKAN PUTU SUNGGANA
3 0000173913715 5171045407720010 20000768 NI GUSTI AYU KOMANG KES
4 0000976283605 5103021303040003 20000768 NGAKAN PUTU ANDIKA PRAT
5 0000976283662 5103021303040004 20000768 NGAKAN MADE DWI PRAMAN
6 0001896621625 5103023003090002 20000768 NGAKAN NYOMAN TRI ANGGA
7 0001162740363 5103021902730005 19960081 I NYOMAN SUDIRTA
8 0001162773009 5103020604730005 19930132 I WAYAN LASNA
9 0001895942619 5103025705740004 19930132 NI NYOMAN MARIANI
10 0001165011142 5103021403040002 19930132 I MADE YOGI ADINATA
11 0001162785159 5171031808930020 20181163 DEWA BAGUS ERWIN MAKSM
12 0001371699718 5103021505690008 19960831 I MADE ASA
13 0001371703364 5103024417710006 19960831 NI MADE WARI ADNYANI
14 0002037593362 5103025111120002 19960831 NI KETUT SINTA PRADNYANA
15 0001371699821 5102071608670002 19900084 I KETUT MERTA
16 0001371699865 5102074812670002 19900084 NYOMAN WATI ASTUTI DEWI
17 0001371699988 5102075003990002 19900084 NI LUH KOMANG TRIANDANI
18 0002198103579 5102072201040002 19900084 KETUT ANOM WISNU PUTRA
19 0001371700157 5102091509750001 20010908 MADE SUMERTA
20 0001371700269 5102095612040001 20010908 NI PUTU AGEK TIYANA
21 0002076922776 5102091506150001 20010908 I KADEK BAGAS ADITIYA
22 0001371700315 5102090804680001 19900127 I WAYAN SUKAARTA
23 0001371700361 5102098106800001 19900127 NI NYOMAN RAI SUKERNI
24 0001371700416 5103023112640279 19840153 I NYOMAN SANA
25 0001371700462 5103027112640368 19840153 NI KETUT SUPARNI
26 0001371700574 5103020107750402 19960853 I MADE SUDANA YASA
27 0001371700618 5103024107750484 19960853 NI NYOMAN ASTITI
28 0001371700708 5103025702030007 19960853 NI MADE NADIA LISTIANI
29 0001371701755 5103021002820007 20000815 I WAYAN MURTIKA
30 0001371701801 5102094703900002 20000815 NI KOMANG AGUSTINI
31 0001371701856 5103025510130001 20000815 NI LUH DIAN ANGGRENI PUTR
32 0001371701891 5103022907700006 19960834 I MADE PASTIKA
33 0001371701935 5103024406780005 19960834 NI MADE SUPIATI
34 0001371702025 5103024508100001 19960834 NI KADEK SHIREN PASTRISIY
35 0001371702071 5103022512120003 19960834 I NYOMAN NATAN PERMANA
36 0001371702486 5103021101660007 19900395 I WAYAN SUWENDRA
37 0001371702519 5103025807680008 19900395 NI MADE ARMINI
38 0001371702868 5103022012680008 19900094 I KETUT SUDIADNYANA
39 0001371702903 5103024107700419 19900094 NI WAYAN KERTI
40 0001371702947 5103022310020001 19900094 I KADEK INDRA SANTIKA PUT
41 0001371703173 5103021004800004 20010924 I WAYAN BUDI ARTANA
42 0001371703206 5103025206820004 20010924 NI KETUT DWI WAHYUNI
43 0001371703274 5103020609020003 20010924 I PUTU YOGA SASTRAGUNA
44 0001371703329 5103024312120001 20010924 NI KADEK CAHAYA PARAMITH
45 0001371703498 5103020907670003 19960078 I KETUT SUARTIKA
46 0001371718091 5103025306740002 19960078 NI KETUT SRINADI
47 0001371703601 5103026005020007 19960078 KADEK DIAH PURNAMASARI
48 0001371703972 5103020806730003 19960147 I WAYAN SUKARJA
49 0001371704005 5103026307760004 19960147 NI LUH MUSTARI

50 0001371704049 5103021305040002 19960147 I KADEK DANA ARIMBAWA
51 0001371704084 5103022110090001 19960147 I NYOMAN ARTA SUSILA
52 0001371704128 5103021506700009 19870342 I MADE SULATRA
53 0001371718449 5103025212710006 19870342 NI KETUT RUSTINI
54 0001371704229 5103020205740008 19960827 I KETUT NADA
55 0001371704264 5103025206780003 19960827 NI NYOMAN ADI SUASTARI
56 0001371704321 5103025605030001 19960827 I PUTU CHANDRA ARI WIGUN
57 0001371704354 5103020407060002 19960827 I KADEK BINTANG ARI PREM
58 0001371704679 5103020403740005 19960839 I NYOMAN BUDA ASA
59 0001371704782 5103026003800010 19960839 NI WAYAN SARIANI
60 0001371704859 5103025502010007 19960839 MD. AYU MANDARINI
61 0001371705805 5103020808660011 19840138 I MADE ASTIKA YASA
62 0001371705851 5103024107660431 19840138 NI NYOMAN GELAS
63 0001371705895 5103021911650004 19870341 I MADE JUDIN
64 0001371705939 5103025206690011 19870341 NI MADE SUKERTI
65 0001371706053 5103025412010006 19870341 NI KADEK FANI ROSITA DEWI
66 0001371706097 5103022512700008 20000770 I KETUT RUSNA
67 0001371706154 5103027112730137 20000770 NI MADE MARNA
68 0001371727168 5103021004090002 20000770 I KADEK DWI APRILIANTO AN
69 0001371706312 5103021508820006 20000816 I MADE PURNATA
70 0001371719439 5103027005820005 20000816 NI WYN SUKRIASIH
71 0001371706446 5103027011100001 20000816 NI KADEK JESYKA ANANTA D
72 0001371719474 5103022507070003 20000816 PT BAYU SATYA ANANTA PUT
73 0001371706481 5103021107800007 20000807 IDA BAGUS KADE JAYA
74 0001371706525 5103025107840007 20000807 IDA AYU NYOMAN SISWANTAR
75 0001371706571 5103025112060003 20000807 IDA AYU GEDE YUNIANTARI
76 0001371719531 5103020605100001 20000807 IDA BAGUS GEDE WASYA AS
77 0001371707548 5103021504750003 20000775 I MADE SUDARJANA
78 0001371707594 5103025705780003 20000775 NI MADE DEWIK
79 0001371707638 5103024303000009 20000775 LUH SUVIANTI DEWI
80 0001371719935 5103020410070005 20000775 I MADE DWIVA ANANDA PUTR
81 0001371707684 5103021104720008 19960140 I KETUT GUNAWA
82 0001371707739 5103027108780003 19960140 NI KETUT NIRYAWATI
83 0001371707829 5103026609080002 19960140 NI LUH WAYAN INDRI GUNA D
84 0001371719981 5103024509130004 19960140 NI KADEK GINA NADIA PUTRI
85 0001371708033 5103021103700020 19900087 I PUTU DINA
86 0001371708099 5103025002790006 19900087 NI WAYAN SUMARNI
87 0001371708134 5103026707080001 19900087 NI PT DIAN RAHAJENG PRAM
88 0001371708189 5103026311110001 19900087 NI MADE INDIRA FELCIA JAS
89 0001371708224 5103021102720004 20000771 I WAYAN GINA
90 0001371708314 5103025511810007 20000771 NI NYOMAN SULATRI
91 0001371720071 5103024611010002 20000771 NI WAYAN EKA NOVI YANTI
92 0001371720126 5103021902060002 20000771 I KADEK ADITYA LOKANTARA
93 0001371708268 5102040411660001 19900079 I GUSTI PUTU SUKARSA
94 0001371720341 5102045005670001 19900079 GUSTI AYU NYOMAN ASTUTI
95 0001371708639 5103021603700004 20010902 I WAYAN DIRGAYASA
96 0001371708696 5103025208780008 20010902 NI MADE LELIK ADNYANI
97 0001371708764 5103020904020008 20010902 I WAYAN YOGA ANGGARA PU
98 0001371708832 5103026107060002 20010902 NI MADE DINA KUMALA SARI
99 0001371708909 5103024306100002 20010902 NI KOMANG AYU REGINA PUT

100 0001371709282 5103020107700397 19960082 I NYOMAN WARTU
101 0001371709315 5103026503730004 19960082 NI MADE WIANI
102 0001371720587 5103021501030009 19960082 I KADEK EKA SAPUTRA
103 0001371709484 5103021806680009 19900088 I WAYAN KUTRA
104 0001371720701 5103025811720006 19900088 NI NYOMAN SUKERTI
105 0001371720734 5103024611960006 19900088 NI MADE PUTRI SUGIANTINI
106 0001371709809 5103021408750002 19960557 I WAYAN PASMADA
107 0001371709877 5103025001770001 19960557 NI KETUT HARIASIH
108 0001371709945 5103022110020003 19960557 I MADE ADI PURNAMA
109 0001371710057 5103023108110001 19960557 I NYOMAN RAMA TRI ADITYA
110 0001896619623 5103020802990004 19960557 I WAYAN FEBRY BASKARA
111 0001371709989 5102042205690001 19900216 I GUSTI PUTU SUKARYA
112 0001371710608 5102044708700001 19900216 DOMINICA BETTY VASIATY
113 0001371710103 5103021802800005 19960833 I MADE MURIANA
114 0001371710171 5103026509800010 19960833 NI KETUT SUDARTINI
115 0001371710261 5103025810030003 19960833 NI LUH RAHMA PRADNYA SAR
116 0001371720767 5103024411070002 19960833 NI MADE LIDYA PRADNYA PA
117 0001371710349 5103020712770003 20000798 I WAYAN BUDIANA
118 0001371710452 5103025802040001 20000798 NI LUH INDAH PRATIWI
119 0001371710518 5103024405090002 20000798 NI KADEK MEYTA RANI
120 0001371710799 5103020811700001 19960142 I KETUT SLAMET RIYADI
121 0001371710867 5103025606720003 19960142 NI KETUT YANTHI
122 0001371720958 5103021810010005 19960142 NI NYOMAN TRISNA PRADNYA
123 0001371711071 5103023008790001 20010922 I DEWA GEDE DWIJA NEGARA
124 0001371711183 5103026110810006 20010922 DESAK PUTU YUNIANTARI
125 0001371711238 5103020812070001 20010922 I DEWA GEDE BRAMANTARA
126 0001371711306 5103025709100001 20010922 DESAK MADE NITA SETIARI
127 0001371711429 5103021502740006 20000773 I KETUT SUSANA
128 0001371711475 5103027112750128 20000773 NI KETUT SIKI
129 0001371711778 5103021508740010 20010905 I KETUT MARDIKA
130 0001371711846 5103025303830010 20010905 NI NYOMAN MULIATI
131 0001371711892 5103020703100001 20010905 I WAYAN ADITYA WASTU KAN
132 0002450541789 5103020401180004 20010905 I MADE JAYENDRA PARABAW
133 0001371711936 5103023012710009 20000794 I KETUT SANTIKA YASA
134 0001371711982 5103025708730011 20000794 NI NYOMAN SIRKI
135 0001371712149 5103026001000007 20000794 NI NYOMAN MEGA MAHAYANT
136 0001371712206 5102041308650001 19900265 I DEWA KETUT SUCIPTANA
137 0001371721184 5102045304670001 19900265 NI NENGAH TARIANI
138 0001371712533 5103020303740006 20000790 IDA BAGUS GEDE OKA ASTH
139 0001371721149 5103024102780006 20000790 IDA AYU KOMANG SURIASIH
140 0001371712623 5103020609020008 20000790 IDA BAGUS GEDE AMBARA P
141 0001371712678 5103025009110001 20000790 IDA AYU NANDA WIDHIARI
142 0001371721162 5103026312000006 20000790 IDA AYU GEDE SRI HANDAYAN
143 0001371712768 5103020210700006 19900080 I KETUT ARTA BUWANA
144 0001371712847 5103020712990007 19900080 I PUTU GEDE ADI WIGUNA
145 0001371712882 5103026508020002 19900080 NI MADE ADIARI
146 0001371712915 5103026707040003 19900080 NYOMAN ADIYANTI
147 0001371713027 5103020107750401 19960083 I WAYAN MURDIKA
148 0001371713051 5103024107750483 19960083 NI KETUT WARNASIH
149 0001371713084 5103020906980006 19960083 I WAYAN EKA SANJAYA

150 0001371713117 5103021812020012 19960083 I MADE ARI SANJAYA
151 0001371713231 5103022103660003 19900085 I KETUT YASTINA
152 0001371713297 5103027112680237 19900085 NI KETUT KONTINI
153 0001371713354 7371112204780010 20000886 ANDI SAHABUDDIN
154 0001371713398 7371114107830006 20000886 ANDI HARTINI AK.
155 0001371713422 7371111202070004 20000886 ANDI SULTANI DEWA AGUNG
156 0002097134728 7371114807130006 20000886 ANDI SYAHRI DEWI RAMADHA
157 0001371713477 5102041809710001 19920096 I NYOMAN SUJANA
158 0001371713679 5102054709710001 19920096 NI WAYAN SUGATRI
159 0001371714153 5102047108980001 19920096 NI MADE WIWIK AGUSTINI
160 0001371713591 5103020604690009 19900032 I MADE MARDANA
161 0001371713613 5103026103700004 19900032 NI MADE KARSINI
162 0001371713703 5103025402990005 19900032 NI MADE ARI MUSTIKA PERTI
163 0001371713782 5103030809700005 19960843 I NYOMAN SUTRISNA
164 0001371713815 5103035212750020 19960843 NI MADE RASTINI
165 0001371713848 5103032004990004 19960843 I PUTU ARIS PUTRA ANGGAR
166 0001371713861 5103031312010007 19960843 I KADEK GITA RISMAWAN
167 0001371713973 5104032605730004 20010936 GUSTI PUTU NGURAH SWAD
168 0001371714006 5104025011740001 20010936 DESAK PUTU SUARNITI
169 0002210638599 5104030701150001 20010936 GUSTI PUTU NGURAH DHARM
170 0001371714017 5104042003730001 19960836 I MADE YAMA
171 0001371714052 5104046108820004 19960836 NI NYOMAN WASTINI
172 0001371714085 5104046709060002 19960836 NI WAYAN ASRI MAYORI
173 0001371714107 5104044812090001 19960836 NI KADEK INDAH SUSMITA
174 0001371714131 5104045709130001 19960836 NI NYOMAN TRIYA SAVITRI
175 0001371714287 5103020302780005 20010918 I WAYAN RISMA
176 0001371714355 5103022112080001 20010918 I WAYAN RIDO DANANJAYA
177 0001371714388 5103025302140001 20010918 NI MADE AYU PRADNYA SWAR
178 0001371714401 5103021606670004 19900082 I KETUT REGIG
179 0001371714434 5103026007700015 19900082 NI KETUT SULENDRI
180 0001371714491 5103025105980004 19900082 NI LUH WAYAN PRABHAWATI
181 0001371714524 5103022610060003 19900082 I MADE GOVINDA PRABHAWA
182 0001371714851 5102055011750001 19960849 NI NYOMAN ARIATI
183 0001371714884 5102050709740001 19960849 I NYOMAN WIARSANA
184 0001371714928 5102050711990001 19960849 I GEDE ARTHA NOVHENDRA
185 0001371714963 5102050407060001 19960849 I MADE AGUS KRISNA JULIA
186 0001371715345 5102061812740001 20000792 I WAYAN SUWITA
187 0001371715378 5102067003780001 20000792 NI WAYAN SRININGSIH
188 0001371715402 5102064807040001 20000792 NI PUTU JULIANTARI
189 0001371715435 5102064405070001 20000792 NI KADEK MELIANTARI
190 0001371715468 5102060406730001 19970233 I KETUT BAGIADA
191 0001371715503 5102066004800002 19970233 NI NYOMAN SUASTINI
192 0001371715569 5102060103990002 19970233 I PUTU EKA SUKARSA
193 0001371715604 5102064401040001 19970233 NI KADEK DWI ULANDARI
194 0001371715648 5102066007060001 19970233 NI KOMANG TRI YULIANA
195 0001371715839 5102062904670001 19920021 I KETUT MURDIKA
196 0001371715874 5102066107680002 19920021 KADEK SITI SUSANTI
197 0001371715964 5102064801020002 19920021 NI KOMANG RINI PRAMESSW
198 0001371715997 5102060712030001 19920021 I KETUT SURYA PRANATA BIS
199 0001371716019 5102062303720001 19970830 ABDUL SHOMAD

200 0001371721509 5102064102770001 19970830 KHIFIRUL AZISAH S.PD
201 0001371716043 19970830 LUQMANUL HAMMAM ANNABI
202 0001371716076 5102064711090001 19970830 DAHAYU NAILLAH ALIB
203 0001371717472 5102021410860001 20120185 I GUSTI MADE WIRAHARTAK
204 0002214418061 5102021012140001 20120185 GUSTI PUTU NGURAH DANIS
205 0001371717606 5103021207730007 19960084 I WAYAN MUSTRA
206 0001371717628 5103024112730009 19960084 NI WAYAN LASNI
207 0001371717652 5103020212040001 19960084 I WAYAN DRISNA YANA
208 0001371717696 5103020506080007 19960084 I MADE JUNANTARA
209 0001371717865 5102030604860001 20110801 I PUTU ARIS WIRYANATHA
210 0002220732123 5102036902160001 20110801 NI PUTU BINTANG PRADNYA
211 0001371717898 5103021902720002 19960830 I KETUT WEDI
212 0001371717944 5103024408740006 19960830 NI KETUT RUTINI
213 0001371718056 5103022802000006 19960830 NI KADEK NURDIANA DEWI
214 0001371718124 5103020602790005 20000780 I MADE SUASTIKA
215 0001371718157 5103025808840006 20000780 NI LUH WIDYAWATI
216 0001371718181 5103022408060002 20000780 I WAYAN AGUS WIDI SANJAYA
217 0001371718236 5103020404130005 20000780 I MADE WIDI ARTHA PUTRA
218 0001371718912 5103020706810004 20000811 I DEWA GEDE ASTA GUNAWA
219 0001371718967 5103026209860007 20000811 MADE AYU MURIANI
220 0001371719002 5103020405090004 20000811 I DEWA GEDE ADI ANANTA K
221 0001371719103 5103022307120001 20000811 I DEWA KETUT YESHA NARA
222 0001371719632 5103020412820004 20000817 I DEWA MADE SUARTA
223 0001371719711 5103024801850004 20000817 I DESAK MADE SUGIANTI
224 0001371719755 5103020803740005 19960848 IDA BAGUS PURNAWA
225 0001371719799 5103025002790002 19960848 IDA AYU BRAHMA PADNI DEW
226 0001371719834 5103024104040001 19960848 IDA AYU DYAH DIWYA PARAMI
227 0001371719856 5103026809050001 19960848 IDA AYU DIAN DYANA PUSPIT
228 0001371719902 5103022002120001 19960848 IDA BAGUS DIKA DUMARA PR
229 0001371720148 5103022610790003 20000804 I MADE WEDA
230 0001371720172 5103027008850002 20000804 NI KETUT SUNARIASIH
231 0001371720216 5103020903060003 20000804 I PUTU ARTA UTAMA JAYA
232 0001371720251 5103024902110001 20000804 NI KADEK LITA CANDRA DEWI
233 0001371720431 5103021110770003 20000797 I KETUT SUTARMAN
234 0001371720453 5103026611810003 20000797 NI PUTU EKA WATI
235 0001371720497 5103022606000006 20000797 I WAYAN EKA YUANTARA PUT
236 0001371720543 5103021506050001 20000797 I MADE ARI WIASTIKA PUTRA
237 0001371720824 5103020906690006 19960141 I KETUT NUADA
238 0001371720857 5103024702700004 19960141 NI MADE KUTRI
239 0001371720914 5103020803020004 19960141 I MADE UNTUNG WISTIKA
240 0001371720936 5103026901090003 19960141 NI NYOMAN MIRAH WINDUSA
241 0001371720971 5103021607770006 19970333 I MADE RITAYASA
242 0001371720993 5103024504870008 19970333 NI NYOMAN LILIK PARWATI
243 0001371721015 5103023004080001 19970333 I WAYAN RADIT PRASETYA
244 0001371721037 5103020502110005 19970333 I MADE PRADIPA SASKARA
245 0001371721072 5103023012660027 19900093 I KETUT GENTING ARTANA
246 0001371721094 5103027004760012 19900093 NI LUH GEDE URIATI
247 0001371721116 5103026504130004 19900093 NI LUH GD ARTHA PURNAMA
248 0001581992381 5103021009140002 19900093 I KADEK ANDHITA DWI PAYAN
249 0001371726066 5103020403790002 20000803 I NYOMAN EKA WINAYA

250 0001371726101 5103026603840002 20000803 NI KETUT SUKRA YATI
251 0001371726145 5103020805070002 20000803 I PT RAKA WIRA KUSUMA
252 0001371726189 5103021504100001 20000803 I KADEK MAS SUKA WIBAWA
253 0001371726494 5103020106710012 19960850 I KETUT MURTIKA
254 0001371726549 5103026812770005 19960850 NI KETUT DANTI
255 0001371726595 5103021705980007 19960850 I WAYAN WIDYANTARA
256 0001371726652 5103024706000004 19960850 NI MADE SRI DIANAWATI
257 0001371726696 5103021804720001 20000772 I PUTU GEDE PARTIKA
258 0001371726764 5171044502770005 20000772 AYU LAKSMI PERTAMI
259 0001371726843 5103020803050003 20000772 I MADE PRADNYANA KUSUMA
260 0001371728417 5103024211130001 20000772 NI NYOMAN WISWARANI PAR
261 0001371728845 5103025701040001 20000772 NI PUTU DIAH GAYATRI PRAM
262 0001371727596 5103022812790006 20010933 I KETUT MURYANA
263 0001371727642 5103024210840001 20010933 NI WAYAN SULASTRI
264 0001371727664 5103025205110001 20010933 NI PUTU ANJANI DEVIKA PUTR
265 0001371728485 5103022005700010 20010934 I KETUT WINADA
266 0001371728529 5103024101730022 20010934 KADEK ARTINI
267 0001371728564 5103020205010012 20010934 ADE GUMBYAR GAUTAMA
268 0001622325227 3273241606900001 20170149 AGA PUTRA ANANTA
269 0002460178484 3510184405940006 20170149 SITI MEISYAROH
270 0001648160425 3515062612780006 20010032 RAHMAN BUDIONO
271 0001127214999 3515066106760005 20010032 ANNA JUNI ASTANTI
272 0001181232573 3515066901060001 20010032 KAMILIA RAHMA ASSABILA
273 0001648160436 3515064303140001 20010032 KHANSA RAHMA DIANITA
274 0001743693917 5171042209900003 20160120 IDA BAGUS DHARMA YOGA S
275 0002283632638 5171044505900001 20160120 NI LUH PUTU EKA KARTIKA S
276 0002452215429 5171041711170004 20160120 IDA BAGUS NATTA PRADITYA
277 0000041910636 3276022311940002 20180955 REYHAN ARVIALIDO
278 0000042770507 3674075810940004 20161003 VIRA VANIA SETIAWAN P
279 0000141638501 5171042907920003 20170636 GEDE NGURAH ANANTA JULI
280 0000141804178 5171042101740003 19990128 I GST NGURAH BAGUS EKA W
281 0000142057719 5108052210920003 20171320 MADE IRWAN DARMAYUDA
282 0000142544351 5171022406910003 20171389 I MADE OKA PRANATA WIJAYA
283 0001445726902 5171044206940001 20171389 NI PUTU YUNIARTINI
284 0002032939383 5171042505150001 20171389 GEDE BAGUS BRYAN BRAMA
285 0002489275484 5171020109180001 20171389 MADE JUNA ADRIAN BRAMAS
286 0000143030079 5171030903700003 19980186 I MADE SUWANGSA
287 0000143143064 5171020409920003 20171683 I MADE PUTRA ADNYANA
288 0002263025046 3510036205950001 20171683 RISKA MEILANDA SARI
289 0002263025305 5171025803160001 20171683 NI PUTU KIRANA MAHESWARI
290 0000143970232 5106020912930001 20180923 I DEWA MADE SURYA PRAMA
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1050 0002069491691 5203071806150001 20171563 MOH. NAJIB DZAKWAN HADI
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1083 0001307365569 7271015212920006 20190371 MARLIN. L
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1100 0001808211936 5307056308780006 20180848 EMANUELA RANGGA BELA
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HUB. KELUARGATGL. LAHIR TMT Nama Faskes Tingkat I
PESERTA 03/09/1965 01/05/2018 TABANAN III
PESERTA 10/06/1970 01/05/2018 KLINIK TUNAS HARAPAN
ISTRI 14/07/1972 01/05/2018 KLINIK TUNAS HARAPAN
ANAK 13/03/2004 01/05/2018 KLINIK TUNAS HARAPAN
PESERTA 19/02/1973 01/05/2018 DR. I MADE KAWIANA
PESERTA 18/08/1993 01/01/2019 KLINIK BHAKSENA IDT
SUAMI 11/04/1971 01/05/2018 KLINIK TUNAS HARAPAN
PESERTA 16/08/1967 01/05/2018 MARGA I
ISTRI 08/12/1967 01/05/2018 MARGA I
ANAK 10/03/1999 01/05/2018 MARGA I
ANAK 22/01/2004 01/05/2018 MARGA I
PESERTA 15/09/1975 01/05/2018 BATURITI II
ANAK 16/12/2004 01/05/2018 BATURITI II
ANAK 15/06/2015 01/05/2018 BATURITI II
PESERTA 10/02/1982 01/05/2018 MENGWI I
ISTRI 21/08/1989 01/05/2018 MENGWI I
ANAK 15/10/2013 01/05/2018 MENGWI I
PESERTA 29/07/1970 01/05/2018 MENGWI I
ISTRI 04/06/1978 01/05/2018 MENGWI I
ANAK 05/08/2010 01/05/2018 MENGWI I
ANAK 25/12/2012 01/05/2018 MENGWI I
PESERTA 11/01/1966 01/05/2018 MENGWI III
ISTRI 18/07/1968 01/05/2018 MENGWI III

PESERTA 02/05/1974 01/05/2018 DR I KETUT JAPA M.M
ISTRI 12/06/1978 01/05/2018 DR I KETUT JAPA M.M
ANAK 16/05/2003 01/05/2018 DR I KETUT JAPA M.M
ISTRI 12/06/1969 01/05/2018 MENGWI I
PESERTA 15/08/1982 01/05/2018 MENGWI I
ISTRI 30/05/1982 01/05/2018 MENGWI I
ANAK 30/11/2010 01/05/2018 MENGWI I
ANAK 25/06/2007 01/05/2018 MENGWI I
PESERTA 11/07/1980 01/05/2018 MENGWI I
ISTRI 11/07/1984 01/05/2018 MENGWI I
ANAK 11/12/2006 01/05/2018 MENGWI I
ANAK 06/05/2010 01/05/2018 MENGWI I
PESERTA 15/04/1975 01/05/2018 MENGWI I
ISTRI 17/05/1978 01/05/2018 MENGWI I
ANAK 03/03/2000 01/05/2018 MENGWI I
ANAK 04/10/2007 01/05/2018 MENGWI I
PESERTA 11/04/1972 01/05/2018 MENGWI I
ISTRI 31/08/1978 01/05/2018 MENGWI I
ANAK 26/09/2008 01/05/2018 MENGWI I
ANAK 05/09/2013 01/05/2018 MENGWI I
PESERTA 04/11/1966 01/05/2018 DR. I DEWA GEDE TERESNADIKA
ISTRI 10/05/1967 01/05/2018 DR. I DEWA GEDE TERESNADIKA

PESERTA 22/05/1969 01/05/2018 DR. KETUT RUMASTA GIRI, M.KES
ISTRI 07/08/1967 01/05/2018 DR. KETUT RUMASTA GIRI, M.KES
PESERTA 18/02/1980 01/05/2018 MENGWI I
ISTRI 25/09/1980 01/05/2018 MENGWI I
ANAK 18/10/2003 01/05/2018 MENGWI I
ANAK 04/11/2007 01/05/2018 MENGWI I
PESERTA 30/12/1975 01/05/2018 MENGWI I
ISTRI 17/08/1973 01/05/2018 MENGWI I
ANAK 20/01/2000 01/05/2018 MENGWI I
PESERTA 13/08/1965 01/05/2018 DR. I DEWA GEDE TERESNADIKA
ISTRI 13/04/1967 01/05/2018 DR. I DEWA GEDE TERESNADIKA
PESERTA 02/10/1970 01/05/2018 MENGWI I
ANAK 07/12/1999 01/05/2018 MENGWI I
ANAK 25/08/2002 01/05/2018 MENGWI I
ANAK 27/07/2004 01/05/2018 MENGWI I

PESERTA 22/04/1978 01/05/2018 KLINIK PENTA MEDICA
ISTRI 01/07/1983 01/05/2018 KLINIK PENTA MEDICA
ANAK 12/02/2007 01/05/2018 KLINIK PENTA MEDICA
PESERTA 08/09/1970 01/05/2018 KLINIK SIDHI SAI
ISTRI 11/12/1975 01/05/2018 KLINIK SIDHI SAI
ANAK 20/04/1999 01/05/2018 KLINIK SIDHI SAI
PESERTA 26/05/1973 01/05/2018 I.G.N.PUTRA SUASTIKA
ISTRI 10/11/1974 01/05/2018 I.G.N.PUTRA SUASTIKA
ANAK 07/01/2015 01/05/2018 I.G.N.PUTRA SUASTIKA
PESERTA 29/03/1973 01/05/2018 TAMPAKSIRING II
ISTRI 21/08/1982 01/05/2018 TAMPAKSIRING II
ANAK 27/09/2006 01/05/2018 TAMPAKSIRING II
SUAMI 07/09/1974 01/05/2018 KLINIK TUNAS HARAPAN
PESERTA 29/04/1967 01/05/2018 KEDIRI III
ISTRI 21/07/1968 01/05/2018 KEDIRI III
ANAK 08/01/2002 01/05/2018 KEDIRI III
ANAK 07/12/2003 01/05/2018 KEDIRI III
PESERTA 23/03/1972 01/05/2018 KEDIRI I

ISTRI 02/01/1977 01/05/2018 KEDIRI I
ANAK 07/11/2007 01/05/2018 KEDIRI I
ANAK 11/07/2009 01/05/2018 KEDIRI I
PESERTA 14/10/1986 01/05/2018 SELEMADEG TIMUR II
ANAK 10/12/2014 01/05/2018 SELEMADEG TIMUR II
PESERTA 06/04/1986 01/05/2018 DR. NI NYOMAN ERAYATI
ANAK 29/02/2016 01/05/2018 DR. NI NYOMAN ERAYATI

PESERTA 18/04/1972 01/05/2018 DR. I KETUT WIDIYASA, MPH
ISTRI 05/02/1977 01/05/2018 DR. I KETUT WIDIYASA, MPH
ANAK 08/03/2006 01/05/2018 DR. I KETUT WIDIYASA, MPH
PESERTA 26/12/1978 01/05/2018 TANGGULANGIN
ISTRI 21/06/1976 01/05/2018 TANGGULANGIN
ANAK 29/01/2006 01/05/2018 TANGGULANGIN
ANAK 03/03/2014 01/05/2018 TANGGULANGIN
PESERTA 22/08/1990 01/05/2018 I DENPASAR UTARA
ISTRI 05/05/1990 01/05/2018 I DENPASAR UTARA
ANAK 17/11/2017 01/05/2018 I DENPASAR UTARA
PESERTA 23/10/1994 01/01/2019 TUGU
PESERTA 18/10/1994 01/05/2018 NAYAKA ERA HUSADA (JST)
PESERTA 27/07/1992 01/05/2018 DR. HARSA WINATA
PESERTA 21/01/1974 01/05/2018 KLINIK SOS GATOT KACA
PESERTA 22/10/1992 01/05/2018 BULELENG I
PESERTA 24/06/1991 01/05/2018 KLINIK BHAKTI RAHAYU
ISTRI 02/06/1994 01/05/2018 KLINIK BHAKTI RAHAYU
ANAK 25/05/2015 01/05/2018 KLINIK BHAKTI RAHAYU
PESERTA 04/09/1992 01/05/2018 KLINIK KIMIA FARMA SANUR
ISTRI 22/05/1995 01/05/2018 KLINIK KIMIA FARMA SANUR
ANAK 18/03/2016 01/05/2018 KLINIK KIMIA FARMA SANUR
PESERTA 09/12/1993 01/12/2018 DR. A.A.S. MAS ERAWATI,MRS
PESERTA 10/08/1991 01/05/2018 KLINIK PRADNYA USADHA
PESERTA 18/01/1991 01/05/2018 KLINIK PRATAMA ASY SYIFA
PESERTA 22/10/1990 01/05/2018 LINGSAR
ANAK 02/05/2015 01/05/2018 LINGSAR
PESERTA 22/11/1987 01/01/2019 DR Y Y NITA
PESERTA 19/07/1974 01/05/2018 DR. W. ENNY SUKMAWATHI
PESERTA 03/09/1989 01/02/2019 KOTA
PESERTA 14/09/1981 01/05/2018 KLINIK REMEDIUM CARE

PESERTA 01/01/1998 01/05/2018 I NEGARA
ISTRI 07/07/1982 01/05/2018 ABIANSEMAL I
ANAK 25/01/2005 01/05/2018 ABIANSEMAL I
PESERTA 05/06/1996 01/12/2018 DR. KOMANG RENDY KRISNADI
PESERTA 09/03/1987 01/05/2018 LINGSAR
ISTRI 27/10/1987 01/05/2018 LINGSAR
PESERTA 21/01/1992 01/05/2018 KOLO
ISTRI 16/02/1992 01/05/2018 KOLO
ANAK 27/12/2015 01/05/2018 KOLO
PESERTA 05/01/1990 01/05/2018 KLINIK KUPANG GRAHA MEDIKA
PESERTA 30/05/1994 01/05/2018 BANJARANGKAN I
PESERTA 02/04/1987 01/05/2018 KERUAK
PESERTA 07/07/1991 01/05/2018 KR TALIWANG
PESERTA 03/09/1987 01/07/2018 MANUTAPEN
ISTRI 25/09/1991 01/07/2018 MANUTAPEN
ANAK 18/11/2016 01/07/2018 MANUTAPEN
PESERTA 22/04/1983 01/05/2018 KLINIK NURJAYA
ISTRI 03/06/1985 01/05/2018 KLINIK NURJAYA
ANAK 27/02/2010 01/05/2018 KLINIK NURJAYA
PESERTA 13/04/1984 01/05/2018 NARMADA
ISTRI 01/07/1995 01/05/2018 NARMADA
ANAK 21/01/2011 01/05/2018 NARMADA
ANAK 07/01/2014 01/05/2018 NARMADA
PESERTA 21/05/1986 01/05/2018 DR. I GUSTI NGURAH ADNYANA
ISTRI 14/07/1994 01/05/2018 DR. I GUSTI NGURAH ADNYANA
ANAK 23/06/2012 01/05/2018 DR. I GUSTI NGURAH ADNYANA
ANAK 02/01/2015 01/05/2018 DR. I GUSTI NGURAH ADNYANA
PESERTA 07/12/1990 01/12/2018 KLINIK PERMATA BUNDA GIANYAR
ISTRI 07/10/1993 01/12/2018 KLINIK PERMATA BUNDA GIANYAR
PESERTA 17/04/1989 01/05/2018 DR. I WAYAN ARYAWAN
PESERTA 28/03/1992 01/05/2018 KLINIK KARYA PRIMA
ISTRI 22/07/1991 01/05/2018 KLINIK KARYA PRIMA
PESERTA 12/12/1979 01/05/2018 DR. RIZANI
ISTRI 21/10/1979 01/05/2018 KLINIK POLRES BULELENG
ANAK 21/05/2000 01/05/2018 KLINIK POLRES BULELENG
ANAK 02/12/2007 01/05/2018 KLINIK POLRES BULELENG
ANAK 01/05/2012 01/01/2019 KLINIK KARYA PRIMA
ISTRI 07/06/1987 01/05/2018 NAYAKA ERA HUSADA (JST)

ANAK 11/11/2012 01/05/2018 NAYAKA ERA HUSADA (JST)
PESERTA 20/07/1988 01/05/2018 DR. YAHSIR WAHYU PURNOMO
ISTRI 20/08/1988 01/05/2018 DR. YAHSIR WAHYU PURNOMO
ANAK 28/01/2013 01/05/2018 DR. YAHSIR WAHYU PURNOMO
PESERTA 23/08/1984 01/05/2018 KLINIK BHAKSENA IDT
PESERTA 01/12/1991 01/05/2019 KLINIK MESARI USADHA
PESERTA 20/02/1988 01/05/2018 DR. I KETUT DARMAWAN
ISTRI 10/02/1988 01/05/2018 DR. I KETUT DARMAWAN
ANAK 24/04/2016 01/05/2018 DR. I KETUT DARMAWAN
PESERTA 18/09/1981 01/05/2018 DR. I NYOMAN SUARYA
ISTRI 15/08/1984 01/05/2018 DR. I NYOMAN SUARYA
ANAK 04/09/2007 01/05/2018 DR. I NYOMAN SUARYA
ANAK 06/11/2012 01/05/2018 DR. I NYOMAN SUARYA
PESERTA 10/11/1977 01/05/2018 MARGA I
ISTRI 04/03/1983 01/05/2018 MARGA I
ANAK 26/03/2006 01/05/2018 MARGA I
ANAK 08/10/2008 01/05/2018 MARGA I
ANAK 12/07/2011 01/05/2018 MARGA I
PESERTA 14/02/1969 01/05/2018 DR. NI KETUT YUDYARATNA, M.KES
ISTRI 08/11/1972 01/05/2018 DR. NI KETUT YUDYARATNA, M.KES
ANAK 24/09/1998 01/05/2018 DR. NI KETUT YUDYARATNA, M.KES
PESERTA 17/04/1975 01/05/2018 ABIANSEMAL I
PESERTA 17/09/1987 01/05/2018 DR I PUTU SABDA EDY ANTARA
ISTRI 09/03/1987 01/05/2018 DR I PUTU SABDA EDY ANTARA
ANAK 21/10/2012 01/05/2018 DR I PUTU SABDA EDY ANTARA
PESERTA 10/04/1976 01/05/2018 MARGA I
ANAK 22/03/2004 01/05/2018 MARGA I
ANAK 20/04/2013 01/05/2018 MARGA I
PESERTA 27/12/1965 01/05/2018 III DENPASAR SELATAN
ISTRI 17/11/1978 01/05/2018 BANJARANGKAN I
ANAK 09/08/2001 01/05/2018 BANJARANGKAN I
PESERTA 01/06/1977 01/05/2018 DR. AA MD NARADIPA

PESERTA 10/05/1970 01/05/2018 KLINIK BARTA MEDIKA
ISTRI 29/03/1970 01/05/2018 KLINIK BARTA MEDIKA
PESERTA 12/12/1972 01/05/2018 DR. I GST NGH WIKANADI K.P.
ANAK 21/09/2002 01/05/2018 DR. I GST NGH WIKANADI K.P.
ANAK 27/03/2005 01/05/2018 DR. I GST NGH WIKANADI K.P.
ISTRI 01/07/1980 01/05/2018 DR. I MADE KAWIANA
ANAK 26/02/2004 01/05/2018 DR. I MADE KAWIANA
PESERTA 27/01/1974 01/05/2018 CAKRANEGARA
ISTRI 11/12/1972 01/05/2018 CAKRANEGARA
ANAK 09/09/2000 01/05/2018 CAKRANEGARA
ISTRI 11/11/1975 01/05/2018 PASIR PANJANG
ANAK 07/03/2000 01/05/2018 PASIR PANJANG
ANAK 19/04/2004 01/05/2018 PASIR PANJANG
ISTRI 20/05/1978 01/05/2018 KLINIK KUPANG GRAHA MEDIKA
ANAK 08/11/2000 01/05/2018 KLINIK KUPANG GRAHA MEDIKA
PESERTA 01/04/1976 01/05/2018 DR HENI RATNAWATI
ISTRI 05/05/1986 01/05/2018 DR HENI RATNAWATI
ANAK 08/04/1999 01/05/2018 KLUNGKUNG I
ANAK 18/07/2004 01/05/2018 KLUNGKUNG I
ANAK 06/11/2011 01/05/2018 DR HENI RATNAWATI
PESERTA 26/10/1975 01/05/2018 RUMKITBAN 09.08.02ATAMBUA
ISTRI 01/07/1968 01/05/2018 RUMKITBAN 09.08.02ATAMBUA
ANAK 05/06/2002 01/05/2018 RUMKITBAN 09.08.02ATAMBUA
PESERTA 03/06/1974 01/05/2018 DR. LINCE HOLSEN
ISTRI 21/11/1978 01/05/2018 DR. LINCE HOLSEN
ANAK 08/08/2005 01/05/2018 DR. LINCE HOLSEN
ANAK 10/06/2012 01/05/2018 DR. LINCE HOLSEN
PESERTA 03/11/1985 01/05/2018 DR. ESTER PUSPA JELITA
PESERTA 18/06/1985 01/05/2018 DR. ESTER PUSPA JELITA
ISTRI 25/05/1986 01/05/2018 DR. ESTER PUSPA JELITA
PESERTA 30/08/1986 01/05/2018 RUMKITBAN 09.08.02ATAMBUA
ISTRI 22/11/1985 01/05/2018 SIKUMANA
ANAK 06/10/2013 01/05/2018 SIKUMANA
ISTRI 21/10/1976 01/05/2018 KLINIK KUPANG GRAHA MEDIKA
PESERTA 22/11/1980 01/05/2018 DR. I WAYAN NIARTA

ISTRI 15/03/1986 01/05/2018 DR. I WAYAN NIARTA
ANAK 01/04/2009 01/05/2018 DR. I WAYAN NIARTA
ANAK 25/01/2010 01/05/2018 DR. DYAH PALUPI
ANAK 19/08/2013 01/05/2018 DR. I WAYAN NIARTA
ISTRI 25/02/1992 01/05/2018 OESAPA
PESERTA 20/06/1988 01/05/2018 DR. LINCE HOLSEN
PESERTA 15/05/1970 01/05/2018 DR. NI KETUT SURIANI
ISTRI 01/06/1968 01/05/2018 DR. NI KETUT SURIANI
ANAK 05/08/2001 01/05/2018 DR. NI KETUT SURIANI
PESERTA 20/10/1981 01/05/2018 DR. NI PUTU DIAN SULISTYAWATI
ISTRI 16/09/1985 01/05/2018 DR. NI PUTU DIAN SULISTYAWATI
ANAK 31/07/2012 01/05/2018 DR. NI PUTU DIAN SULISTYAWATI
PESERTA 02/10/1981 01/05/2018 DR. NI NYOMAN ERAYATI
ISTRI 12/03/1985 01/05/2018 DR. NI NYOMAN ERAYATI
ANAK 14/05/2008 01/05/2018 DR. NI NYOMAN ERAYATI
ISTRI 23/02/1984 01/05/2018 DR. W. ENNY SUKMAWATHI
ANAK 03/02/2006 01/05/2018 DR. W. ENNY SUKMAWATHI
PESERTA 03/09/1975 01/05/2018 DR. MADE UTAMA
ISTRI 15/06/1973 01/05/2018 DR. MADE UTAMA
ANAK 24/08/2003 01/05/2018 DR. MADE UTAMA
ANAK 30/06/2007 01/05/2018 DR. MADE UTAMA

ANAK 29/01/1999 01/05/2018 KLINIK BARTA MEDIKA
ANAK 13/10/1998 01/05/2018 DR. KETUT RUMASTA GIRI, M.KES
PESERTA 11/07/1971 01/05/2018 DR. I WAYAN MULIANA
ISTRI 27/02/1977 01/05/2018 DR. I WAYAN MULIANA
ANAK 30/08/2000 01/05/2018 DR. I WAYAN MULIANA
ANAK 23/12/2007 01/05/2018 DR. I WAYAN MULIANA
ISTRI 20/04/1973 01/05/2018 KLINIK SOS GATOT KACA
ANAK 09/12/2017 01/05/2018 KLINIK SOS GATOT KACA
PESERTA 06/07/1972 01/05/2018 IV DENPASAR SELATAN
ISTRI 15/02/1977 01/05/2018 IV DENPASAR SELATAN
ANAK 26/02/2007 01/05/2018 IV DENPASAR SELATAN
PESERTA 05/09/1968 01/05/2018 DR. I WAYAN SUKRATA, MPH
ISTRI 21/12/1972 01/05/2018 DR. I WAYAN SUKRATA, MPH
ANAK 19/05/2001 01/05/2018 DR. I WAYAN SUKRATA, MPH
PESERTA 31/12/1966 01/05/2018 DR. I MADE ARTIKA
ISTRI 16/07/1983 01/05/2018 DR. I GST TADE AJENG TRISNA
PESERTA 17/07/1965 01/05/2018 KERAMBITAN I
ISTRI 11/01/1968 01/05/2018 KERAMBITAN I
PESERTA 16/07/1978 01/05/2018 TEGALLAIANG I
ISTRI 09/11/1975 01/05/2018 TEGALLAIANG I

PESERTA 19/03/1972 01/05/2018 KLINIK PENTA MEDIKA KARANGASEM
ISTRI 14/07/1976 01/05/2018 KLINIK PENTA MEDIKA KARANGASEM
ANAK 16/06/2001 01/05/2018 KLINIK PENTA MEDIKA KARANGASEM
ANAK 23/02/2008 01/05/2018 KLINIK PENTA MEDIKA KARANGASEM
ISTRI 14/06/1986 01/05/2018 BULELENG I
ANAK 08/07/2016 01/05/2018 BULELENG I
PESERTA 21/10/1983 01/05/2018 KLINIK PETANU MEDICAL CENTER
ISTRI 11/10/1984 01/05/2018 KLINIK PETANU MEDICAL CENTER
ANAK 04/01/2005 01/05/2018 KLINIK PETANU MEDICAL CENTER
ANAK 20/11/2018 01/05/2018 I MELAYA
ANAK 19/01/2003 01/05/2018 KLINIK PERMATA BUNDA GIANYAR
PESERTA 05/07/1971 01/05/2018 DR. I GST TADE AJENG TRISNA
ANAK 15/10/1999 01/05/2018 DR. I GST TADE AJENG TRISNA
ANAK 27/01/2004 01/05/2018 DR. I GST TADE AJENG TRISNA
PESERTA 18/07/1977 01/05/2018 BBMC
ISTRI 14/08/1983 01/05/2018 BBMC
ANAK 09/03/2006 01/05/2018 BBMC
ANAK 23/04/2008 01/05/2018 BBMC
PESERTA 21/03/1973 01/05/2018 KLINIK BINA USADA
ISTRI 18/05/1983 01/05/2018 KLINIK BINA USADA
ANAK 28/06/2005 01/05/2018 KLINIK BINA USADA
PESERTA 07/06/1967 01/05/2018 DR. NYOMAN SUETA

ISTRI 16/11/1963 01/05/2018 DR. NYOMAN SUETA
ANAK 13/04/2000 01/05/2018 DR. NYOMAN SUETA
ISTRI 13/11/1969 01/05/2018 KLINIK SOS GATOT KACA
PESERTA 03/11/1965 01/05/2018 KLINIK BINA USADA
ISTRI 13/03/1974 01/05/2018 KLINIK BINA USADA
PESERTA 05/06/1978 01/05/2018 UBUD II
ISTRI 27/10/1980 01/05/2018 UBUD II
ANAK 13/07/2004 01/05/2018 UBUD II
ANAK 09/04/2013 01/05/2018 UBUD II
PESERTA 17/07/1988 01/05/2018 PENEBEL I
ISTRI 07/12/1988 01/05/2018 PENEBEL I
ANAK 11/10/2012 01/05/2018 PENEBEL I
PESERTA 25/11/1966 01/05/2018 II MENDOYO
ISTRI 31/12/1967 01/05/2018 II MENDOYO
ANAK 17/02/2003 01/05/2018 II MENDOYO
PESERTA 07/03/1975 01/05/2018 I MENDOYO
ISTRI 02/05/1985 01/05/2018 I MENDOYO
ANAK 05/10/2016 01/05/2018 I MENDOYO
ANAK 18/10/2014 01/05/2018 I MENDOYO
ISTRI 23/07/1988 01/05/2018 TABANAN III
ANAK 20/01/2013 01/05/2018 TABANAN III
ANAK 09/09/2016 01/05/2018 TABANAN III
PESERTA 05/11/1974 01/05/2018 ABIANSEMAL I
PESERTA 30/12/1977 01/05/2018 TEJAKULA I
ANAK 22/06/2007 01/05/2018 TEJAKULA I
ANAK 03/09/2010 01/05/2018 TEJAKULA I
PESERTA 04/02/1984 01/05/2018 SUKASADA I
ISTRI 06/02/1983 01/05/2018 SUKASADA I
ANAK 15/05/2007 01/05/2018 SUKASADA I
ANAK 04/10/2011 01/05/2018 SUKASADA I
ANAK 19/08/2016 01/05/2018 SUKASADA I

ISTRI 17/08/1980 01/05/2018 BANJARANGKAN I
ISTRI 08/07/1979 01/05/2018 BULELENG I
ANAK 04/03/2008 01/05/2018 BULELENG I
ANAK 26/09/2011 01/05/2018 BULELENG I
ISTRI 31/08/1966 01/05/2018 SUKASADA I
ANAK 29/03/2004 01/05/2018 SUKASADA I
PESERTA 02/03/1975 01/05/2018 KLINIK PRATAMA SADAJIWA
ISTRI 08/12/1978 01/05/2018 MENGWI I
ISTRI 22/10/1977 01/05/2018 BULELENG I
ANAK 08/06/2001 01/05/2018 BULELENG I
ANAK 12/08/2006 01/05/2018 BULELENG I
ANAK 28/02/2010 01/05/2018 BULELENG I
ISTRI 18/01/1968 01/05/2018 PENEBEL I
ANAK 15/09/1998 01/05/2018 PENEBEL I
ANAK 03/09/2005 01/05/2018 PENEBEL I
PESERTA 13/12/1982 01/05/2018 TABANAN II
ISTRI 06/11/1978 01/05/2018 TABANAN II
ANAK 07/04/2002 01/05/2018 TABANAN II
PESERTA 07/08/1971 01/05/2018 I DENPASAR TIMUR
ISTRI 31/08/1971 01/05/2018 I DENPASAR TIMUR
ANAK 07/01/2000 01/05/2018 I DENPASAR TIMUR

ANAK 13/05/2008 01/05/2018 TABANAN III
ANAK 14/09/2002 01/05/2018 TABANAN III
PESERTA 03/09/1980 01/05/2018 MARGA I
ISTRI 15/03/1984 01/05/2018 MARGA I
ANAK 07/01/2006 01/05/2018 MARGA I
ANAK 28/01/2012 01/05/2018 MARGA I
PESERTA 10/08/1977 01/05/2018 DR. KETUT SUKADANI
ISTRI 31/08/1980 01/05/2018 DR. KETUT SUKADANI
ANAK 29/11/2003 01/05/2018 DR. KETUT SUKADANI
ANAK 13/09/2005 01/05/2018 DR. KETUT SUKADANI
PESERTA 12/11/1981 01/05/2018 MENGWI I
ISTRI 28/07/1990 01/05/2018 MENGWI I
ANAK 11/03/2013 01/05/2018 MENGWI I
ANAK 09/01/2017 01/05/2018 MENGWI I
PESERTA 02/06/1976 01/05/2018 DR. I KETUT ARDIKA, M.KES
ISTRI 19/07/1983 01/05/2018 DR. I KETUT ARDIKA, M.KES

PESERTA 07/12/1969 01/05/2018 KLINIK SAI HUSADA
ISTRI 28/06/1973 01/05/2018 KLINIK SAI HUSADA
ANAK 23/11/1999 01/05/2018 KLINIK SAI HUSADA
ANAK 07/11/2003 01/05/2018 KLINIK SAI HUSADA
PESERTA 03/01/1978 01/05/2018 KLINIK TULUS AYU
ISTRI 14/04/1979 01/05/2018 KLINIK TULUS AYU
ANAK 12/12/2002 01/05/2018 KLINIK TULUS AYU
ISTRI 03/02/1976 01/05/2018 KLINIK TULUS AYU
PESERTA 31/12/1971 01/05/2018 DR. NYOMAN SIADA
ISTRI 19/11/1973 01/05/2018 DR. NYOMAN SIADA
ANAK 30/04/2000 01/05/2018 DR. NYOMAN SIADA
ANAK 15/04/2007 01/05/2018 DR. NYOMAN SIADA
ANAK 10/03/2009 01/05/2018 TABANAN III
ANAK 17/09/2013 01/05/2018 TABANAN III
ANAK 21/09/2010 01/05/2018 TABANAN III
PESERTA 31/12/1968 01/05/2018 DR. I KM GD RAI MULYAWAN
ISTRI 01/07/1972 01/05/2018 DR. I KM GD RAI MULYAWAN
ANAK 03/04/2007 01/05/2018 DR. I KM GD RAI MULYAWAN
PESERTA 27/10/1971 01/05/2018 I DENPASAR BARAT

ISTRI 02/05/1974 01/05/2018 I DENPASAR BARAT
ANAK 08/04/2003 01/05/2018 I DENPASAR BARAT
ANAK 23/03/2009 01/05/2018 I DENPASAR BARAT
ISTRI 23/11/1977 01/05/2018 SUKASADA I
ANAK 29/12/2001 01/05/2018 SUKASADA I
ANAK 24/09/2006 01/05/2018 SUKASADA I
ANAK 16/09/2009 01/05/2018 SUKASADA I
PESERTA 20/05/1992 01/05/2018 DR. I WAYAN PARNA ARIANTA
ISTRI 01/04/1996 01/05/2018 DR. I WAYAN PARNA ARIANTA
ANAK 08/12/2015 01/05/2018 DR. I WAYAN PARNA ARIANTA
PESERTA 10/02/1977 01/05/2018 DR. MARGONO WONGSOPRAWIRO
ISTRI 13/04/1990 01/05/2018 CANCAR
ISTRI 18/11/1981 01/05/2018 BULELENG I
ANAK 03/01/2000 01/05/2018 BULELENG I
ANAK 03/12/2007 01/05/2018 BULELENG I
PESERTA 01/02/1973 01/05/2018 DR. NI MADE RATNA DEWI
ANAK 06/03/2005 01/05/2018 DR. NI MADE RATNA DEWI
ANAK 30/10/2007 01/05/2018 DR. NI MADE RATNA DEWI
PESERTA 31/03/1978 01/05/2018 NAYAKA HUSADA 02 SANDUBAYA
ISTRI 18/01/1983 01/05/2018 NAYAKA HUSADA 02 SANDUBAYA
ANAK 27/05/2007 01/05/2018 NAYAKA HUSADA 02 SANDUBAYA
PESERTA 10/06/1975 01/05/2018 PENANAE
ISTRI 08/09/1984 01/05/2018 PENANAE
ANAK 09/10/2003 01/05/2018 PENANAE
ANAK 14/02/2009 01/05/2018 PENANAE
ANAK 13/04/2015 01/05/2018 PENANAE

PESERTA 27/09/1973 01/05/2018 SEDAU
ISTRI 12/04/1977 01/05/2018 SEDAU
ANAK 12/01/1999 01/05/2018 SEDAU
ANAK 16/05/2003 01/05/2018 SEDAU
ANAK 07/05/2011 01/05/2018 SEDAU
PESERTA 12/03/1972 01/05/2018 DR. A. A. GEDE KOSALA PUTRA
ISTRI 07/05/1979 01/05/2018 DR. A. A. GEDE KOSALA PUTRA
ANAK 27/08/2000 01/05/2018 DR. A. A. GEDE KOSALA PUTRA
PESERTA 15/08/1980 01/05/2018 MPUNDA
ISTRI 18/07/1982 01/05/2018 MPUNDA
PESERTA 10/06/1968 01/05/2018 MPUNDA
ISTRI 04/12/1987 01/05/2018 MPUNDA
ANAK 12/03/2012 01/05/2018 MPUNDA
ANAK 04/02/2016 01/05/2018 MPUNDA
PESERTA 10/10/1976 01/05/2018 LABUHAN BADAS
ISTRI 29/08/1982 01/05/2018 LABUHAN BADAS
ANAK 02/04/2008 01/05/2018 LABUHAN BADAS
PESERTA 08/11/1985 01/05/2018 DR. PUTU PURNAMA SUARDJAYA
ISTRI 06/05/1994 01/05/2018 DR. PUTU PURNAMA SUARDJAYA
ANAK 08/10/2012 01/05/2018 DR. PUTU PURNAMA SUARDJAYA
ANAK 31/12/2015 01/05/2018 DR. PUTU PURNAMA SUARDJAYA
PESERTA 14/08/1979 01/05/2018 KLINIK DR. SUWONDO
ISTRI 31/12/1977 01/05/2018 KLINIK DR. SUWONDO
ANAK 02/10/2003 01/05/2018 KLINIK DR. SUWONDO
ANAK 01/09/2012 01/05/2018 KLINIK DR. SUWONDO
PESERTA 31/12/1977 01/05/2018 RENSING
ISTRI 31/12/1979 01/05/2018 RENSING
ANAK 05/11/2002 01/05/2018 RENSING

ANAK 24/02/2007 01/05/2018 RENSING
PESERTA 21/08/1980 01/05/2018 PRAYA
ISTRI 10/06/1983 01/05/2018 PRAYA
ANAK 17/04/2007 01/05/2018 PRAYA
PESERTA 17/07/1978 01/05/2018 KOLO
ISTRI 15/07/1982 01/05/2018 KOLO
ANAK 10/01/2005 01/05/2018 KOLO
ANAK 21/11/2008 01/05/2018 KOLO
PESERTA 12/12/1968 01/05/2018 NAYAKA HUSADA 02 SANDUBAYA
ISTRI 30/12/1975 01/05/2018 NAYAKA HUSADA 02 SANDUBAYA
ISTRI 30/12/1983 01/05/2018 KLINIK WERDHI AYU
ANAK 27/06/1998 01/05/2018 KLINIK WERDHI AYU
ANAK 22/06/2017 01/05/2018 KLINIK WERDHI AYU
PESERTA 02/12/1979 01/04/2018 KLINIK DAQU SEHAT
ISTRI 21/10/1979 01/04/2018 KLINIK DAQU SEHAT
ANAK 01/10/2011 01/04/2018 KLINIK DAQU SEHAT
PESERTA 28/05/1986 01/04/2018 KEC. KEMAYORAN
PESERTA 01/03/1980 01/04/2018 DR. YOSEFA LILY LONDA
PESERTA 15/07/1972 01/05/2018 KLINIK BRIMOBDA POLDA BALI
SUAMI 30/08/1965 01/05/2018 KLINIK BRIMOBDA POLDA BALI
ANAK 26/11/2001 01/05/2018 KLINIK BRIMOBDA POLDA BALI

PESERTA 03/06/1974 01/05/2018 KEDIRI I
ISTRI 03/06/1981 01/05/2018 KEDIRI I
ANAK 25/01/2000 01/05/2018 KEDIRI I
ANAK 02/12/2001 01/05/2018 KEDIRI I
ANAK 02/02/2008 01/05/2018 KEDIRI I
PESERTA 05/04/1970 01/05/2018 KEDIRI I
ISTRI 23/01/1975 01/05/2018 KEDIRI I
ANAK 27/12/2002 01/05/2018 KEDIRI I
ANAK 09/12/2006 01/05/2018 KEDIRI I
PESERTA 16/04/1980 01/05/2018 BATURITI I
ISTRI 19/02/1980 01/05/2018 BATURITI I
ANAK 11/09/2004 01/05/2018 BATURITI I
ANAK 13/10/2007 01/05/2018 BATURITI I
ANAK 21/01/2010 01/05/2018 BATURITI I
PESERTA 14/06/1995 01/05/2018 DR. PAULA JINNY ANDEWI (JST)
PESERTA 24/03/1994 01/05/2018 KEC. CILANDAK
PESERTA 20/12/1985 01/01/2019 KLINIK BHAKSENA TRAGIA
ANAK 18/02/2007 01/05/2018 KLINIK PRADNYA USADHA
PESERTA 17/07/1990 01/05/2018 MATARAM
ISTRI 01/07/1989 01/05/2018 MATARAM
PESERTA 02/05/1981 01/05/2018 BP. RAYA KUTA
ANAK 04/01/2012 01/05/2018 BP. RAYA KUTA
ANAK 12/03/2016 01/05/2018 BP. RAYA KUTA
PESERTA 20/08/1991 01/07/2018 BLAHBATUH II
PESERTA 07/03/1992 01/05/2018 II DENPASAR BARAT
PESERTA 29/12/1989 01/05/2018 DR. I GUSTI AYU RAI ASTARINI

ISTRI 17/07/1991 01/05/2018 DR. I GUSTI AYU RAI ASTARINI
ANAK 07/04/2012 01/05/2018 DR. I GUSTI AYU RAI ASTARINI
ANAK 04/09/2015 01/05/2018 DR. I GUSTI AYU RAI ASTARINI
ISTRI 24/02/1991 01/05/2018 KLINIK PRATAMA ASY SYIFA
ANAK 15/11/2015 01/05/2018 KLINIK PRATAMA ASY SYIFA
PESERTA 18/05/1990 01/05/2018 TALIWANG
ISTRI 20/07/1989 01/05/2018 TALIWANG
PESERTA 26/06/1981 01/05/2018 SELONG
ISTRI 01/01/1985 01/05/2018 SELONG
ANAK 02/02/2007 01/05/2018 SELONG
ANAK 17/10/2010 01/05/2018 SELONG
ISTRI 19/09/1989 01/05/2018 KLINIK PETANU MEDICAL CENTER
PESERTA 04/05/1991 01/05/2018 PRINGGASELA
PESERTA 25/06/1991 01/05/2019 KLINIK POLRES MATARAM
PESERTA 24/04/1992 01/05/2018 DR. SITI KHADIJAH
ISTRI 09/01/1993 01/05/2018 PRINGGASELA
PESERTA 30/05/1989 01/04/2018 WIYUNG
PESERTA 05/04/1993 01/08/2018 PRINGGARATA
PESERTA 24/12/1984 01/08/2016 KEL. KEMANGGISAN
PESERTA 21/08/1993 01/05/2018 KLINIK ANUGERAH
ISTRI 23/10/1990 01/05/2018 KLINIK ANUGERAH
ANAK 26/08/2014 01/05/2018 KLINIK ANUGERAH
ANAK 13/05/2019 01/05/2018 KLINIK ANUGERAH
PESERTA 11/05/1988 01/05/2018 NUSA PENIDA I
PESERTA 17/07/1980 01/05/2018 DR. H. TRIS CAHYOSO
SUAMI 24/06/1984 01/05/2018 NAYAKA ERA HUSADA (JST)
PESERTA 02/06/1973 01/05/2018 ALAS
ANAK 29/04/2005 01/05/2018 ALAS
ANAK 21/05/2012 01/05/2018 ALAS

PESERTA 24/07/1981 01/05/2018 DR. INDRIJATI AHMAD
PESERTA 26/07/1984 01/12/2018 MAUBESI
ISTRI 10/10/1985 01/12/2018 DR. NINING DARMAWIDJAJA
ANAK 09/03/2003 01/12/2018 DR. NINING DARMAWIDJAJA
PESERTA 27/06/1993 01/01/2019 LENDANG NANGKA
PESERTA 03/03/1995 01/08/2018 KEDIRI
PESERTA 02/10/1992 01/05/2018 DEPOK II
PESERTA 16/09/1991 01/05/2018 KLINIK ANUGERAH
PESERTA 20/06/1987 01/05/2018 KLINIK MESARI USADHA
PESERTA 27/06/1992 01/05/2018 KOLO
PESERTA 03/01/1990 01/05/2018 GEROKGAK I
ISTRI 06/02/1991 01/05/2018 GEROKGAK I
ANAK 22/05/2015 01/05/2018 GEROKGAK I
ISTRI 02/03/1984 01/05/2018 MENINTING
PESERTA 30/09/1990 01/05/2019 GN BAHAGIA
ISTRI 12/12/1992 01/05/2019 BP PANACEA CLINIC
ANAK 26/07/2017 01/05/2019 GN BAHAGIA
PESERTA 02/08/1999 01/11/2018 I NEGARA
PESERTA 25/02/1997 01/05/2018 KLINIK REMEDIUM CARE
PESERTA 31/12/1992 01/05/2018 DR. SITI KHADIJAH
ISTRI 06/05/1995 01/05/2018 DR. SITI KHADIJAH
PESERTA 09/01/1998 01/05/2018 SAMBELIA
PESERTA 21/03/1994 01/11/2018 KLINIK MITRASANA THB
PESERTA 18/02/1992 01/05/2018 KR TALIWANG
PESERTA 22/10/1985 01/10/2018 KOPETA

ISTRI 23/08/1978 01/10/2018 KOPETA
ANAK 06/11/2007 01/10/2018 KOPETA
ANAK 14/03/2011 01/10/2018 KOPETA
ANAK 16/04/2018 01/10/2018 KOPETA
PESERTA 10/10/1997 01/10/2018 POLIKLINIK POLRES KUPANG
ISTRI 13/02/1992 01/05/2018 TABANAN II
ANAK 27/01/2016 01/05/2018 TABANAN II
PESERTA 01/10/1994 01/12/2018 BATURITI II
PESERTA 29/10/1982 01/06/2018 KLINIK BHAKTI MEDIKA S

Nama Faskes Gigi STATUS PESERTA GAJI IURAN
DRG. I WAYAN PUTERA WIYASA AKTIF 3723508 186175
AKTIF 4869834 243492
DRG. A.A.A. DEWI HARMINI AKTIF 0 0
AKTIF 0 0
AKTIF 0 0
AKTIF 0 0
DRG. NI MADE MARHAENI AKTIF 3946857 197343
AKTIF 2855297 142765
AKTIF 0 0
AKTIF 0 0
DRG. NI LUH D. EKA YANTI AKTIF 6000000 300000
AKTIF 3274411 163721
AKTIF 0 0
AKTIF 0 0
AKTIF 3427179 171359
AKTIF 0 0
AKTIF 0 0
AKTIF 0 0
AKTIF 3211346 160567
AKTIF 0 0
AKTIF 0 0
AKTIF 5448088 272404
AKTIF 0 0
AKTIF 3894193 194710
AKTIF 0 0
AKTIF 2840297 142015
AKTIF 0 0
AKTIF 0 0
AKTIF 2820297 141015
AKTIF 0 0
AKTIF 0 0
AKTIF 3464363 173218
AKTIF 0 0
AKTIF 0 0
AKTIF 0 0
AKTIF 5306654 265333
AKTIF 0 0
AKTIF 3156458 157823
AKTIF 0 0
AKTIF 0 0
AKTIF 3196511 159826
AKTIF 0 0
AKTIF 0 0
AKTIF 0 0
AKTIF 3255875 162794
AKTIF 0 0
AKTIF 0 0
AKTIF 3510883 175544
AKTIF 0 0

AKTIF 0 0
AKTIF 0 0
AKTIF 3598603 179930
AKTIF 0 0
AKTIF 3124327 156216
AKTIF 0 0
AKTIF 0 0
AKTIF 0 0
AKTIF 3719428 185971
AKTIF 0 0
AKTIF 0 0
AKTIF 3396868 169843
AKTIF 0 0
AKTIF 3640499 182025
AKTIF 0 0
AKTIF 0 0
AKTIF 2825297 141265
AKTIF 0 0
AKTIF 0 0
AKTIF 2820297 141015
AKTIF 0 0
AKTIF 0 0
AKTIF 0 0
AKTIF 3149538 157477
AKTIF 0 0
AKTIF 0 0
AKTIF 0 0
AKTIF 3209483 160474
AKTIF 0 0
AKTIF 0 0
AKTIF 0 0
AKTIF 3394745 169737
AKTIF 0 0
AKTIF 0 0
AKTIF 0 0
AKTIF 3920387 196019
AKTIF 0 0
AKTIF 0 0
AKTIF 0 0
AKTIF 2825297 141265
AKTIF 0 0
AKTIF 0 0
AKTIF 0 0
AKTIF 4862937 243147
AKTIF 0 0
AKTIF 5993593 299680
AKTIF 0 0
AKTIF 0 0
AKTIF 0 0
AKTIF 0 0

AKTIF 3209483 160474
AKTIF 0 0
AKTIF 0 0
AKTIF 3506081 175304
AKTIF 0 0
AKTIF 0 0
AKTIF 4754825 237741
AKTIF 0 0
AKTIF 0 0
AKTIF 0 0
AKTIF 0 0
AKTIF 2840297 142015
AKTIF 0 0
AKTIF 0 0
AKTIF 0 0
AKTIF 3037075 151854
AKTIF 0 0
AKTIF 0 0
AKTIF 3224529 161226
AKTIF 0 0
AKTIF 0 0
AKTIF 2815297 140765
AKTIF 0 0
AKTIF 0 0
AKTIF 0 0
AKTIF 2900297 145015
AKTIF 0 0
AKTIF 3273115 163656
AKTIF 0 0
AKTIF 0 0
AKTIF 0 0
AKTIF 2820297 141015
AKTIF 0 0
AKTIF 0 0
DRG. SUCI DEWI AKTIF 3291541 164577
DRG. SUCI DEWI AKTIF 0 0
AKTIF 2870297 143515
AKTIF 0 0
AKTIF 0 0
AKTIF 0 0
AKTIF 0 0
AKTIF 3741573 187079
AKTIF 0 0
AKTIF 0 0
AKTIF 0 0
AKTIF 2840297 142015
AKTIF 0 0
AKTIF 0 0

AKTIF 0 0
AKTIF 2997324 149866
AKTIF 0 0
AKTIF 10376592 400000
AKTIF 0 0
AKTIF 0 0
AKTIF 0 0
AKTIF 3315529 165776
AKTIF 0 0
AKTIF 0 0
AKTIF 3759102 187955
AKTIF 0 0
AKTIF 0 0
AKTIF 0 0
DRG.CHANDRA PURNAMA AKTIF 4707000 235350
AKTIF 3275499 163775
DRG.NI MADE SRI DEWIYANTI AKTIF 0 0
AKTIF 0 0
AKTIF 3233776 161689
AKTIF 0 0
AKTIF 0 0
AKTIF 5874296 293715
AKTIF 0 0
AKTIF 0 0
AKTIF 0 0
AKTIF 3113302 155665
AKTIF 0 0
AKTIF 0 0
AKTIF 0 0
AKTIF 3248379 162419
AKTIF 0 0
AKTIF 0 0
AKTIF 0 0
AKTIF 2927083 146354
AKTIF 0 0
AKTIF 0 0
AKTIF 0 0
AKTIF 0 0
AKTIF 4889756 244488
AKTIF 0 0
AKTIF 0 0
AKTIF 0 0
AKTIF 3706758 185338

AKTIF 0 0
AKTIF 0 0
AKTIF 0 0
DRG. NI GUSTI AYU ARIANINGSIH AKTIF 2835297 141765
DRG. NI GUSTI AYU ARIANINGSIH AKTIF 0 0
AKTIF 2840297 142015
AKTIF 0 0
AKTIF 0 0
AKTIF 0 0
AKTIF 2890297 144515
AKTIF 0 0
AKTIF 0 0
AKTIF 2944116 147206
AKTIF 0 0
AKTIF 0 0
AKTIF 0 0
AKTIF 2820297 141015
AKTIF 0 0
AKTIF 0 0
AKTIF 0 0
AKTIF 2820297 141015
AKTIF 0 0
AKTIF 2909540 145477
AKTIF 0 0
AKTIF 0 0
AKTIF 0 0
AKTIF 0 0
AKTIF 2820297 141015
AKTIF 0 0
AKTIF 0 0
AKTIF 0 0
AKTIF 3102327 155116
AKTIF 0 0
AKTIF 0 0
AKTIF 0 0
AKTIF 3395034 169752
AKTIF 0 0
AKTIF 0 0
AKTIF 0 0
AKTIF 3214487 160724
AKTIF 0 0
AKTIF 0 0
AKTIF 0 0
AKTIF 3353832 167692
AKTIF 0 0
AKTIF 0 0
AKTIF 0 0
AKTIF 3092980 154649

AKTIF 0 0
AKTIF 0 0
AKTIF 0 0
AKTIF 4525456 226273
AKTIF 0 0
AKTIF 0 0
AKTIF 0 0
DRG. NI PUTU AYU IRA PUSPITA AKTIF 4938667 246933
AKTIF 3206626 160331
AKTIF 0 0
AKTIF 0 0
AKTIF 2865297 143265
AKTIF 0 0
AKTIF 0 0
AKTIF 8158239 400000
AKTIF 0 0
AKTIF 12285273 400000
AKTIF 0 0
AKTIF 0 0
AKTIF 0 0
AKTIF 9686347 400000
AKTIF 0 0
AKTIF 0 0
AKTIF 7500000 375000
KLINIK GIGI RAHMA MEDIKA AKTIF 9319966 400000
AKTIF 4977584 248879
AKTIF 2448850 122443
AKTIF 2663000 133150
AKTIF 0 0
AKTIF 0 0
AKTIF 0 0
AKTIF 7566178 378309
AKTIF 2658000 132900
AKTIF 0 0
AKTIF 0 0
DRG. PUTU SRI ANDARI AKTIF 3830424 191521
DRG. MURWANI SETYATININGSIH AKTIF 2448840 122442
AKTIF 5588866 279443
AKTIF 2123110 106156
AKTIF 0 0
DRG. LINDAWATI ALIM AKTIF 1950000 97500
AKTIF 8050116 400000
DRG. YOHANES FERDINANDUS TUTU AKTIF 1895000 94750
DRG. KADEK DEWI MARIANI AKTIF 21164088 400000

AKTIF 2466559 123328
AKTIF 2529332 126467
AKTIF 0 0
AKTIF 0 0
AKTIF 0 0
DRG. HANDY SUCITA AKTIF 2443850 122193
AKTIF 4322847 216142
AKTIF 0 0
AKTIF 2165000 108250
AKTIF 0 0
AKTIF 0 0
DRG. KATARINA A. NDOLU AKTIF 1955000 97750
AKTIF 2448840 122442
AKTIF 2122900 106145
AKTIF 2123110 106156
AKTIF 1955000 97750
AKTIF 1900000 95000
AKTIF 0 0
AKTIF 0 0
AKTIF 2663000 133150
AKTIF 0 0
AKTIF 0 0
AKTIF 0 0
AKTIF 2128110 106406
AKTIF 0 0
AKTIF 0 0
AKTIF 0 0
DRG.IGA PRADNYADANI AKTIF 2443840 122192
AKTIF 0 0
AKTIF 0 0
AKTIF 4275187 213759
AKTIF 0 0
AKTIF 2653000 132650
AKTIF 0 0
AKTIF 2717971 135899
AKTIF 2131000 106550
AKTIF 2658000 132900
AKTIF 0 0
AKTIF 2534332 126717
DRG. LATIFAH ROCHIMI AKTIF 2448850 122443
AKTIF 0 0
AKTIF 0 0
AKTIF 0 0
AKTIF 3300000 165000
AKTIF 0 0
AKTIF 0 0
AKTIF 0 0
AKTIF 2128110 106406
AKTIF 0 0

AKTIF 0 0
DRG. SIDARTHA FITRIADI AKTIF 2122900 106145
AKTIF 2668000 133400
AKTIF 3192150 159608
AKTIF 0 0
AKTIF 0 0
AKTIF 0 0
AKTIF 2658000 132900
AKTIF 11729454 400000
DRG. NI WAYAN WINARSIH AKTIF 3111446 155572
DRG. NI WAYAN WIRATI, M.KES AKTIF 4635340 231767
DRG. GA PUTU TUTY KUSUMAWATI AKTIF 12500000 400000
AKTIF 2955186 147759
AKTIF 0 0
DRG. I PUTU AGUS NOHARSITA P. AKTIF 2708970 135449
AKTIF 3742820 187141
AKTIF 2743000 137150
AKTIF 0 0
AKTIF 0 0
AKTIF 0 0
AKTIF 3471873 173594
AKTIF 0 0
AKTIF 0 0
AKTIF 0 0
AKTIF 0 0
DRG. KADEK DEWI MARIANI AKTIF 3065810 153291

AKTIF 11399427 400000
AKTIF 0 0
AKTIF 3910869 195543
AKTIF 0 0
AKTIF 6989126 349456
AKTIF 0 0
AKTIF 0 0
AKTIF 0 0
AKTIF 0 0
AKTIF 8813525 400000
AKTIF 0 0
AKTIF 0 0
AKTIF 0 0
DRG. ROSLIANI SARAGI (JST) AKTIF 2999469 149973
AKTIF 8790243 400000
AKTIF 0 0
AKTIF 0 0
DRG. I GUSTI AGUNG ISTRI PADMI AKTIF 4022640 201132
AKTIF 4303778 215189
AKTIF 0 0
AKTIF 0 0
DRG. YOSEPHA CANDRA AKTIF 6083030 304152
AKTIF 2614355 130718
AKTIF 0 0
AKTIF 0 0
DRG. PAULINA YOSEFINA LOPEZ AKTIF 3644549 182227

DRG. ELLY NAWANGSIH AKTIF 0 0
AKTIF 0 0
DRG. DEWI PUJI KHARUNIASARI AKTIF 12304257 400000
AKTIF 5337345 266867
AKTIF 0 0
AKTIF 0 0
AKTIF 0 0
DRG. A.A. ISTRI NENY K. AKTIF 7524752 376238
AKTIF 4959345 247967
AKTIF 0 0
AKTIF 0 0
AKTIF 0 0
AKTIF 0 0
AKTIF 6733807 336690
AKTIF 0 0
AKTIF 0 0
DRG. KADEK AYU HAPSARI AKTIF 3874184 193709
DRG. THERESIA DANIEL AKTIF 7833894 391695
AKTIF 4378335 218917
AKTIF 0 0
AKTIF 0 0
AKTIF 2936051 146803

AKTIF 0 0
AKTIF 0 0
AKTIF 0 0
AKTIF 0 0
AKTIF 7442121 372106
AKTIF 0 0
AKTIF 0 0
DRG.PUTU DHARMALAKSANA AKTIF 8699998 400000
AKTIF 8357286 400000
AKTIF 0 0
AKTIF 0 0
DRG. NI MADE ALIT MULYANI AKTIF 12324479 400000
AKTIF 6424020 321201
AKTIF 0 0
AKTIF 0 0
AKTIF 14283379 400000
AKTIF 0 0
AKTIF 0 0
DRG. NI MADE SUSILAWATI AKTIF 6150569 307528
AKTIF 8428041 400000
AKTIF 0 0
AKTIF 3459657 172983
AKTIF 0 0
DRG. INDIRA PERMATA SARI AKTIF 5485349 274267
AKTIF 3741296 187065
AKTIF 0 0
AKTIF 0 0

AKTIF 3055191 152760
AKTIF 0 0
AKTIF 0 0
AKTIF 0 0
DRG. A.A.SG. MAS ARITRISNA W AKTIF 5131543 256577
DRG. A.A.SG. MAS ARITRISNA W AKTIF 0 0
DRG. NI MD AGUSTINI DEWI R. AKTIF 3475588 173779
AKTIF 0 0
AKTIF 0 0
AKTIF 0 0
AKTIF 0 0
AKTIF 0 0
DRG. NI NYOMAN AYU MAHESWARI AKTIF 5914634 295732
DRG. A.A RAKA TRESNA ADI AKTIF 6274467 313723
AKTIF 5231583 261579
AKTIF 0 0
AKTIF 0 0
DRG. NI LUH KM S LILAWATI AKTIF 3591827 179591
AKTIF 4329448 216472
AKTIF 0 0
AKTIF 0 0
AKTIF 0 0
AKTIF 0 0

DRG. I NYM PUTRA ARIYAWAN AKTIF 3553039 177652
AKTIF 3451005 172550
AKTIF 0 0
AKTIF 0 0
AKTIF 3201632 160082
AKTIF 0 0
AKTIF 0 0
AKTIF 0 0
AKTIF 0 0
AKTIF 5708338 285417
AKTIF 0 0
AKTIF 0 0
AKTIF 0 0
AKTIF 0 0
AKTIF 3274704 163735
AKTIF 0 0
AKTIF 0 0
AKTIF 4937303 246865
AKTIF 0 0
AKTIF 0 0
AKTIF 0 0
AKTIF 0 0

AKTIF 3487836 174392
AKTIF 0 0
AKTIF 0 0
AKTIF 0 0
AKTIF 0 0
AKTIF 5059598 252980
AKTIF 0 0
AKTIF 0 0
AKTIF 3214707 160735
AKTIF 0 0
AKTIF 6547848 327392
AKTIF 0 0
AKTIF 0 0
AKTIF 0 0
AKTIF 0 0
AKTIF 4700143 235007
AKTIF 0 0
AKTIF 0 0
AKTIF 0 0
AKTIF 0 0
DRG. LUH GEDE ANTA KESUMASARI AKTIF 4766885 238344
AKTIF 3265784 163289
AKTIF 0 0
AKTIF 0 0
AKTIF 2736387 136819
AKTIF 0 0
AKTIF 0 0
AKTIF 0 0
AKTIF 0 0
AKTIF 6569997 328500
AKTIF 0 0

AKTIF 0 0
AKTIF 0 0
AKTIF 2822424 141121
AKTIF 0 0
AKTIF 0 0
AKTIF 0 0
AKTIF 3345401 167270
AKTIF 0 0
AKTIF 0 0
AKTIF 0 0
AKTIF 3071379 153569
AKTIF 0 0
AKTIF 0 0
DRG. I PUTU EKA YUDI SAPUTRA AKTIF 3152020 157601
AKTIF 0 0
AKTIF 0 0
AKTIF 0 0
AKTIF 0 0
AKTIF 3299760 164988
AKTIF 0 0

AKTIF 0 0
AKTIF 3392546 169627
AKTIF 0 0
AKTIF 0 0
AKTIF 0 0
AKTIF 3758973 187949
AKTIF 0 0
AKTIF 0 0
AKTIF 0 0
AKTIF 4179288 208964
AKTIF 0 0
AKTIF 0 0
AKTIF 0 0
AKTIF 0 0
AKTIF 3515363 175768
AKTIF 0 0
AKTIF 0 0
AKTIF 0 0
AKTIF 4565856 228293
AKTIF 0 0
AKTIF 0 0
AKTIF 0 0
AKTIF 2914278 145714
AKTIF 0 0
AKTIF 0 0
AKTIF 0 0
AKTIF 3006514 150326
AKTIF 0 0
AKTIF 0 0
AKTIF 0 0
AKTIF 16500554 400000

AKTIF 0 0
AKTIF 0 0
AKTIF 0 0
AKTIF 5417150 270858
AKTIF 0 0
AKTIF 0 0
AKTIF 0 0
AKTIF 0 0
DRG. I KETUT WIKA AKTIF 2463850 123193
AKTIF 0 0
AKTIF 3055076 152754
AKTIF 0 0
AKTIF 0 0
AKTIF 0 0
AKTIF 2865297 143265
AKTIF 0 0
AKTIF 0 0
AKTIF 2984967 149248
AKTIF 3372394 168620
AKTIF 0 0
AKTIF 0 0
AKTIF 0 0
AKTIF 0 0
DRG. LUH PUTU AYU ROSNIARI B AKTIF 4520000 226000
AKTIF 4483850 224193
AKTIF 0 0
AKTIF 0 0
AKTIF 0 0
AKTIF 0 0
AKTIF 0 0
AKTIF 3090885 154544
AKTIF 0 0
AKTIF 0 0
AKTIF 0 0
AKTIF 0 0

AKTIF 4276569 213828
AKTIF 0 0
AKTIF 0 0
AKTIF 0 0
AKTIF 0 0
AKTIF 6781547 339077
AKTIF 0 0
AKTIF 0 0
AKTIF 0 0
AKTIF 5227837 261392
AKTIF 0 0
AKTIF 0 0
DRG. MOH. ALI MASHAR AKTIF 3801638 190082
AKTIF 2141000 107050
AKTIF 0 0
AKTIF 2845746 142287
AKTIF 0 0
AKTIF 0 0
AKTIF 0 0
AKTIF 3245212 162261
AKTIF 0 0
AKTIF 0 0
AKTIF 3268376 163419
AKTIF 0 0
AKTIF 0 0

AKTIF 0 0
AKTIF 7059718 352986
AKTIF 0 0
AKTIF 0 0
AKTIF 3118482 155924
AKTIF 0 0
AKTIF 0 0
AKTIF 5604639 280232
AKTIF 0 0
AKTIF 0 0
AKTIF 0 0
AKTIF 6709239 335462
AKTIF 0 0
AKTIF 0 0
AKTIF 0 0
AKTIF 4006409 200320
AKTIF 0 0
AKTIF 0 0
AKTIF 0 0
AKTIF 0 0
AKTIF 3746006 187300
AKTIF 0 0
AKTIF 0 0
AKTIF 0 0
AKTIF 0 0
AKTIF 7246591 362330
AKTIF 0 0
AKTIF 0 0
AKTIF 15200000 400000
AKTIF 2093110 104656
AKTIF 2927438 146372
AKTIF 0 0
AKTIF 0 0
AKTIF 4412427 220621
AKTIF 0 0
AKTIF 0 0
AKTIF 0 0
DRG. I MD ADHY GELGEL SANTOSA AKTIF 2865297 143265
AKTIF 2901862 145093
AKTIF 2988556 149428
AKTIF 0 0
AKTIF 0 0
AKTIF 0 0
AKTIF 5361631 268082
AKTIF 0 0
AKTIF 0 0

AKTIF 2865297 143265
AKTIF 0 0
AKTIF 0 0
AKTIF 0 0
AKTIF 0 0
AKTIF 4937070 246854
AKTIF 0 0
AKTIF 0 0
AKTIF 0 0
AKTIF 2935311 146766
AKTIF 0 0
AKTIF 0 0
AKTIF 0 0
AKTIF 0 0
AKTIF 3157490 157875
AKTIF 0 0
AKTIF 0 0
AKTIF 0 0
AKTIF 2954909 147745
AKTIF 0 0
AKTIF 2972974 148649
AKTIF 0 0
AKTIF 0 0
AKTIF 4656758 232838
AKTIF 0 0
AKTIF 0 0
AKTIF 0 0
AKTIF 2419332 120967
AKTIF 2470054 123503
AKTIF 2553000 127650
AKTIF 2443840 122192
AKTIF 0 0
AKTIF 0 0
AKTIF 0 0
PENANGGUHAN PE 2112900 105645
AKTIF 2118110 105906
AKTIF 0 0
AKTIF 7797328 389866
AKTIF 0 0
AKTIF 0 0
AKTIF 2448840 122442
AKTIF 2690110 134506
AKTIF 15202225 400000
AKTIF 10000000 400000
DRG. LUH DE PUSPITA DEWI AKTIF 2123110 106156

AKTIF 0 0
AKTIF 2123110 106156
AKTIF 0 0
AKTIF 0 0
AKTIF 2210000 110500
AKTIF 0 0
AKTIF 2663000 133150
AKTIF 2663000 133150
AKTIF 5234651 261733
AKTIF 0 0
AKTIF 0 0
AKTIF 2132900 106645
AKTIF 0 0
AKTIF 0 0
AKTIF 0 0
AKTIF 9852470 400000
AKTIF 3791334 189567
AKTIF 0 0
AKTIF 0 0
AKTIF 0 0
AKTIF 2117900 105895
AKTIF 2112900 105645
AKTIF 2117900 105895
AKTIF 0 0
AKTIF 25000000 400000
AKTIF 2113110 105656
DRG. LILIEK DJASHINTA AKTIF 2663000 133150
AKTIF 10547844 400000
AKTIF 2663000 133150
AKTIF 0 0
AKTIF 0 0
AKTIF 0 0
AKTIF 2453840 122692
AKTIF 8789998 400000
AKTIF 0 0
AKTIF 3320323 166016
AKTIF 0 0
AKTIF 0 0

AKTIF 0 0
AKTIF 2123110 106156
DRG. DAUD BENHUR MALELAK AKTIF 1895000 94750
AKTIF 2114610 105731
AKTIF 8458052 400000
AKTIF 2553000 127650
AKTIF 2663000 133150
DRG. QONITA AKTIF 2118110 105906
AKTIF 2668000 133400
AKTIF 2690110 134506
AKTIF 2448840 122442
AKTIF 2663000 133150
AKTIF 2443850 122193
AKTIF 9234000 400000
AKTIF 2658000 132900
AKTIF 2448850 122443
AKTIF 0 0
AKTIF 0 0
AKTIF 9383508 400000
AKTIF 2123110 106156
AKTIF 0 0
AKTIF 0 0
AKTIF 0 0
AKTIF 2663000 133150
AKTIF 2122900 106145
AKTIF 8000000 400000
AKTIF 0 0
AKTIF 0 0
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AKTIF 2658000 132900
AKTIF 2117900 105895
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AKTIF 2448840 122442
DRG. LILIEK DJASHINTA AKTIF 2663000 133150
AKTIF 0 0
AKTIF 0 0
AKTIF 2465054 123253
AKTIF 2118110 105906

AKTIF 0 0
AKTIF 1950000 97500
AKTIF 2519332 125967
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AKTIF 2628000 131400
AKTIF 36970386 400000
AKTIF 2553000 127650

TGL.REGISTRASI NAMA SUB INSTANSI COMPANY OPERATIOLOKASI JABATAN
2018-04-09 09:37:48.4 Kabupaten Badung CCBI Balinusa Balinusa Plant Operator 2
2018-04-09 09:37:48.6 Kabupaten Badung CCBI Balinusa Balinusa Plant Quality Ass
2018-04-09 09:37:49.0 Kabupaten Badung CCBI Balinusa Balinusa Plant Line Crew
2018-12-13 15:25:39.5 Kabupaten Badung CCBI Balinusa Balinusa Plant Inventory S
2018-04-09 09:37:49.7 Kabupaten Badung CCBI Balinusa Balinusa Plant Water Trea
2018-04-09 09:37:50.3 Kabupaten Badung CCBI Balinusa Balinusa Plant Syrup Proc
2018-04-09 09:37:50.9 Kabupaten Badung CCBI Balinusa Balinusa Plant Administrat
2018-04-09 09:37:52.3 Kabupaten Badung CCBI Balinusa Balinusa Plant Maintenanc
2018-04-09 09:37:58.7 Kabupaten Badung CCBI Balinusa Balinusa Plant Production
2018-04-09 09:37:59.5 Kabupaten Badung CCBI Balinusa Balinusa Plant Utilities Op

2018-04-09 09:38:01.7 Kabupaten Badung CCBI Balinusa Balinusa Plant Inventory A
2018-04-09 09:38:02.2 Kabupaten Badung CCBI Balinusa Balinusa Plant Forklift Op

2018-04-09 09:38:04.8 Kabupaten Badung CCBI Balinusa Balinusa Plant Maintenan
2018-04-09 09:38:05.0 Kabupaten Badung CCBI Balinusa Balinusa Plant Learning Of
2014-12-23 21:26:13.6 Kabupaten Badung CCBI Balinusa Balinusa Plant Learning Of
2018-04-09 09:38:06.7 Kabupaten Badung CCBI Balinusa Balinusa Plant Waste Wate

2018-04-09 09:38:08.1 Kabupaten Badung CCBI Balinusa Balinusa Plant Distributio
2018-04-09 09:38:09.4 Kabupaten Badung CCBI Balinusa Balinusa Plant Water & Wa


2018-04-09 09:38:15.0 Kabupaten Badung CCBI Balinusa Balinusa Plant Quality Ma
2019-04-12 09:58:36.3 Kota Denpasar CCDI Balinusa Denpasar HO Assistant
2019-01-22 14:47:33.7 Kabupaten Lombok Barat CCDI Balinusa Denpasar HO Sales Mana
2018-04-09 09:43:58.3 Kota Denpasar CCDI Balinusa Denpasar Key Accou
2018-04-09 09:43:58.4 Kota Denpasar CCDI Balinusa Denpasar HO Marketing &
2018-04-09 09:39:31.5 Kabupaten Buleleng CCDI Balinusa Singaraja Sales Repr
2018-04-26 17:01:22.0 Kota Denpasar CCDI Balinusa Denpasar Sales Repr
2018-04-09 09:43:58.6 Kota Denpasar CCDI Balinusa Denpasar HO Tax Officer
2018-11-22 13:28:36.8 Kota Denpasar CCDI Balinusa Denpasar HO CDES Area
2018-04-09 09:47:35.1 Kabupaten Klungkung CCDI Balinusa Klungkung Sales Repr
2018-04-09 09:41:09.7 Kabupaten Lombok Barat CCDI Balinusa Mataram Sales Repr
2018-04-09 09:46:51.0 Kabupaten Sumbawa CCDI Balinusa Sumbawa Assistant
2018-12-13 15:27:09.0 Kota Kupang CCDI Balinusa Denpasar HO Sales Repr
2019-01-08 16:27:31.4 Kabupaten Manggarai Barat CCDI Balinusa Denpasar HO Sales Repr
2018-04-09 09:43:59.9 Kota Denpasar CCDI Balinusa Denpasar HO IT Manager

2018-04-09 09:47:56.4 Kabupaten Jembrana CCDI Balinusa Negara Sales Repr
2018-04-09 09:45:50.2 Kabupaten Tabanan CCDI Balinusa Denpasar Sales Repr
2018-04-09 09:41:12.1 Kabupaten Lombok Barat CCDI Balinusa Denpasar HO CDES Area
2018-01-22 10:42:01.0 Kabupaten Lombok Barat CCDI Balinusa Denpasar HO CDES Area
2018-04-09 09:45:03.1 Kota Bima CCDI Balinusa Bima Sales Repr
2018-04-09 09:47:03.2 Kabupaten Lombok Timur CCDI Balinusa Mataram Sales Repr
2018-06-05 08:57:32.4 Kabupaten Rote Ndao CCDI Balinusa Denpasar HO Sales Repr
2018-04-06 15:03:44.3 Kabupaten Dompu CCDI Balinusa Bima Sales Repr
2018-12-13 15:27:18.8 Kabupaten Badung CCDI Balinusa DSD-Balinusa Load Super

2019-04-11 15:03:37.2 Kota Denpasar CCDI Balinusa Denpasar HO OHS Mana
2018-04-17 14:49:47.6 Kota Denpasar CCDI Balinusa Denpasar HO Sales Mana
2018-04-09 09:48:19.0 Kabupaten Badung CCDI Balinusa DSD-Balinusa Cashier
2014-12-23 13:16:26.8 Kabupaten Badung CCDI Balinusa DSD-Balinusa Cashier
2018-04-09 09:44:06.0 Kota Denpasar CCDI Balinusa Denpasar Assistant
2018-04-09 09:44:11.0 Kota Denpasar CCDI Balinusa Denpasar Sales Admin

2018-04-09 09:44:11.3 Kota Denpasar CCDI Balinusa Denpasar HO Fleet Coord
2014-12-23 13:17:20.3 Kota Denpasar CCDI Balinusa Denpasar HO Fleet Coord
2018-04-09 09:48:19.4 Kabupaten Badung CCDI Balinusa DSD-Balinusa Admin & In
2018-04-09 09:44:11.7 Kota Denpasar CCDI Balinusa Denpasar HO Security Ch
2014-12-23 13:17:26.9 Kota Denpasar CCDI Balinusa Denpasar HO Security Ch
2018-04-09 09:48:20.0 Kabupaten Badung CCDI Balinusa DSD-Balinusa Transport
2018-04-09 09:41:14.6 Kabupaten Lombok Barat CCDI Balinusa Mataram Assistant
2018-04-09 09:44:12.0 Kota Denpasar CCDI Balinusa Denpasar HO Key Accoun
2018-04-09 09:43:40.7 Kota Kupang CCDI Balinusa Denpasar HO Sales Mana
2018-04-06 15:22:36.2 Kabupaten Manggarai Barat CCDI Balinusa Denpasar HO District Sa
2018-04-06 14:54:19.5 Kabupaten Belu CCDI Balinusa Denpasar HO Assistant
2018-04-06 15:27:52.6 Kabupaten Sikka CCDI Balinusa Denpasar HO Assistant
2018-04-06 15:06:49.4 Kabupaten Ende CCDI Balinusa Denpasar HO Assistant
2018-04-06 15:08:31.6 Kabupaten Ende CCDI Balinusa Denpasar HO Sales Repr
2018-04-06 14:58:58.2 Kabupaten Belu CCDI Balinusa Denpasar HO Sales Repr
2018-04-09 09:43:43.7 Kota Kupang CCDI Balinusa Denpasar HO Assistant
2018-04-09 09:43:44.1 Kota Kupang CCDI Balinusa Denpasar HO Sales Representative
2018-04-06 15:51:04.2 Kabupaten Timor Tengah UtaCCDI Balinusa Denpasar HO Key Accou

2018-04-06 15:29:18.5 Kabupaten Sikka CCDI Balinusa Denpasar HO Sales Repr
2018-04-09 09:44:12.6 Kota Denpasar CCDI Balinusa Denpasar HO Marketing S
2018-09-13 09:37:26.5 Kabupaten Tabanan CCDI Balinusa Denpasar Assistant
2018-04-09 09:44:13.7 Kota Denpasar CCDI Balinusa Denpasar HO Special Ev
2018-04-09 09:44:14.4 Kota Denpasar CCDI Balinusa Denpasar HO Channel Act
2018-04-09 09:44:15.4 Kota Denpasar CCDI Balinusa Denpasar HO #N/A
2018-04-09 09:44:17.9 Kota Denpasar CCDI Balinusa Denpasar HO Collection

2018-04-09 09:44:18.6 Kota Denpasar CCDI Balinusa Denpasar HO Head of Ex
2014-12-23 13:20:04.5 Kota Denpasar CCDI Balinusa Denpasar HO Head of Ex
2018-04-09 09:44:19.1 Kota Denpasar CCDI Balinusa Denpasar HO Sales & In
2018-04-09 09:44:19.6 Kota Denpasar CCDI Balinusa Denpasar HO Commercial
2018-04-09 09:44:20.1 Kota Denpasar CCDI Balinusa Denpasar HO Examiner 2
2018-04-09 09:44:20.5 Kota Denpasar CCDI Balinusa Denpasar HO A/R Suppor
2018-04-09 09:44:21.2 Kota Denpasar CCDI Balinusa Denpasar HO IT Area Te
2018-04-09 09:44:21.5 Kota Denpasar CCDI Balinusa Denpasar HO Learning M
2018-04-09 09:44:21.8 Kota Denpasar CCDI Balinusa Denpasar HO HR Manage
2018-04-09 09:44:22.2 Kota Denpasar CCDI Balinusa Denpasar HO Learning Of
2018-04-09 09:44:22.6 Kota Denpasar CCDI Balinusa Denpasar HO IR & GA Spe
2015-10-21 15:43:14.0 Kota Denpasar CCDI Balinusa Denpasar HO IR & GA Spe
2018-04-09 09:44:22.9 Kota Denpasar CCDI Balinusa Denpasar HO HR Officer
2018-04-09 09:47:37.7 Kabupaten Klungkung CCDI Balinusa Klungkung Key Accou
2014-12-23 13:21:51.8 Kabupaten Klungkung CCDI Balinusa Klungkung Key Accou

2018-04-09 09:47:51.8 Kabupaten Karangasem CCDI Balinusa Klungkung Sales Repr
2018-04-09 09:47:38.1 Kabupaten Klungkung CCDI Balinusa Klungkung Assistant
2018-04-09 09:48:20.5 Kabupaten Badung CCDI Balinusa DSD-Balinusa Distributio
2018-04-09 09:48:21.0 Kabupaten Badung CCDI Balinusa DSD-Balinusa Logistics

2018-04-09 09:39:32.2 Kabupaten Buleleng CCDI Balinusa Singaraja Key Accou

2018-04-09 09:39:33.1 Kabupaten Buleleng CCDI Balinusa Singaraja Assistant
2018-09-20 09:53:26.2 Kota Denpasar CCDI Balinusa Denpasar HO AR Admin
2018-04-09 09:48:23.9 Kabupaten Badung CCDI Balinusa DSD-Balinusa Transportat
2018-12-13 15:26:46.3 Kota Denpasar CCDI Balinusa DSD-Balinusa Inventory C

2018-04-09 09:44:27.5 Kota Denpasar CCDI Balinusa Denpasar HO RED Audito


2018-04-09 09:48:03.7 Kabupaten Jembrana CCDI Balinusa Negara Assistant
2018-04-09 09:41:16.0 Kabupaten Lombok Barat CCDI Balinusa Mataram Key Accou
2018-08-23 11:30:32.5 Kabupaten Lombok Timur CCDI Balinusa Mataram Assistant

2018-04-09 09:41:24.4 Kabupaten Lombok Barat CCDI Balinusa Mataram Sales Admin
2018-04-09 09:46:51.1 Kabupaten Sumbawa CCDI Balinusa Sumbawa Sales Repr
2018-04-09 09:45:05.2 Kota Bima CCDI Balinusa Bima AR Admin
2018-04-09 09:46:52.3 Kabupaten Sumbawa CCDI Balinusa Sumbawa AR Admin
2018-04-06 15:41:22.9 Kabupaten Sumbawa Barat CCDI Balinusa Sumbawa Sales Repr

2018-04-06 15:16:24.6 Kabupaten Lombok Utara CCDI Balinusa Mataram Sales Repr
2018-04-09 09:41:30.7 Kabupaten Lombok Barat CCDI Balinusa Mataram Key Accoun
2019-01-29 10:31:47.5 Kota Denpasar CCDI Balinusa Denpasar HO Regional K
2018-04-09 09:41:31.4 Kabupaten Lombok Barat CCDI Balinusa Mataram AR Admin
2018-04-09 09:48:25.2 Kabupaten Badung CCDI Balinusa DSD-Balinusa Inventory C
2018-04-09 09:48:25.5 Kabupaten Badung CCDI Balinusa DSD-Balinusa Warehouse
2018-04-09 09:44:39.3 Kota Denpasar CCDI Balinusa Denpasar HO Compliance

2018-12-13 15:26:46.5 Kota Denpasar CCDI Balinusa DSD-Balinusa Warehouse
2018-04-06 15:12:03.6 Kabupaten Ende CCDI Balinusa Denpasar HO Assistant
2018-04-26 17:03:27.0 Kota Denpasar CCDI Balinusa Denpasar HO Sales Man

2018-04-09 09:43:44.6 Kota Kupang CCDI Balinusa Denpasar HO Key Accoun
2018-10-12 14:17:14.6 Kota Denpasar CCDI Balinusa Denpasar HO CCOD Devel
2018-11-15 14:36:07.3 Kota Denpasar CCDI Balinusa Denpasar HO General Ma
2018-04-26 19:32:57.9 Kota Denpasar CCDI Balinusa Denpasar HO Corporate A

2018-04-09 09:45:05.5 Kota Bima CCDI Balinusa Bima Assistant
2018-04-09 09:47:05.3 Kabupaten Lombok Timur CCDI Balinusa Mataram #N/A

2018-11-14 10:53:56.5 Kabupaten Tabanan CCDI Balinusa Denpasar Sales Repre
2019-02-13 15:38:43.7 Kota Denpasar CCDI Balinusa Denpasar HO Business

CC NAMA KARYAWAN
3550011901 I Made Buwana
3550051934 Ngakan Putu Sunggana
3550011902 I Nyoman Sudirta
3550011902 I Wayan Lasna
3550031930 Dewa Bagus Erwin Maksmartha Putra
3550011932 I Made Asa
3550011932 I Made Asa
3550011932 I Made Asa
3550011931 I Ketut Merta
3550901930 I Made Sumerta
3550041930 I Wayan Sukaarta
3550041930 I Wayan Sukaarta
3550011901 I Nyoman Sana
3550011901 I Nyoman Sana
3550011902 I Made Sudana Yasa
3550011902 I Wayan Murtika
3550011902 I Made Pastika
3550011902 I Wayan Suwendra
3550011902 I Wayan Suwendra
3550011931 I Ketut Sudiadnyana
3550011932 I Wayan Budi Artana
3550041930 I Ketut Suartika
3550041930 I Wayan Sukarja

3550011931 I Made Sulatra
3550011931 I Made Sulatra
3550031930 I Ketut Nada
3550011902 I Nyoman Buda Asa
3550031930 I Made Astika Yasa
3550031930 I Made Astika Yasa
3550011902 I Made Judin
3550011902 I Ketut Rusna
3550011901 I Made Purnata
3550011902 Ida Bagus Kade Jaya
3550011902 I Made Sudarjana
3550011902 I Ketut Gunawa
3550011931 I Putu Dina
3550011901 I Wayan Gina
3550011932 I Gusti Putu Sukarsa
3550011932 I Gusti Putu Sukarsa
3550011902 I Wayan Dirgayasa

3550011902 I Nyoman Wartu
3550011931 I Wayan Kutra
3550041930 I Wayan Pasmada
3550861930 I Gusti Putu Sukarya
3550861930 I Gusti Putu Sukarya
3550011902 I Made Muriana
3550011901 I Wayan Budiana
3550011931 I Ketut Slamet Riyadi
3550011902 I Dewa Gede Dwija Negara
3550011901 I Ketut Susana
3550011901 I Ketut Susana
3550011932 I Ketut Mardika
3550011902 I Ketut Santika Yasa
3550011931 Dewa Ketut Suciptana
3550011931 Dewa Ketut Suciptana
3550031930 Ida Bagus Gede Oka Asthawa
3550011902 I Ketut Arta Buwana
3550011902 I Wayan Murdika

3550031930 I Ketut Yastina
3550031930 I Ketut Yastina
3550391930 Andi Sahabuddin
3550041930 I Nyoman Sujana
3550011932 I Made Mardana
3550011901 I Nyoman Sutrisna
3550051934 Gusti Putu Ngurah Swadharma
3550051934 I Made Yama
3550041930 I Wayan Risma
3550051934 I Ketut Regig
3550031930 Ni Nyoman Ariati
3550011902 I Wayan Suwita
3550031933 I Ketut Bagiada
3550011902 I Ketut Murdika
3550041930 Abdul Shomad

3550041930 I Gusti Made Wira Harta Kusuma
3550041930 I Gusti Made Wira Harta Kusuma
3550011902 I Wayan Mustra
3550041930 I Putu Aris Wiryanatha
3550041930 I Putu Aris Wiryanatha
3550031930 I Ketut Wedi
3550041930 I Made Suastika
3550011902 I Dewa Gede Asta Gunawan
3550011902 I Dewa Made Suartha
3550011902 I Dewa Made Suartha
3550031930 Ida Bagus Purnawa
3550011902 I Made Weda
3550011902 I Ketut Sutarman
3550011901 I Ketut Nuada
3550041930 I Made Ritayasa
3550011931 I Ketut Genting Artana
3550051934 I Nyoman Eka Winaya

3550041930 I Ketut Murtika
3550011901 Gede Partika
3550011932 I Ketut Muryana
3550031930 I Ketut Winada
3550391930 Aga Putra Ananta
3550391930 Aga Putra Ananta
3550021930 Rahman Budiono
3550061930 Ida Bagus Dharma Yoga Santosa
3555411901 Reyhan Arvialido
3555431901 Vira Vania Setiawan Putri
3555461903 Gede Ngurah Ananta Julio Laksana
3555561901 I Gusti Ngurah Bagus Eka Winata
3555431904 Made Irwan Darmayuda
3555431903 I Made Oka Pranata Wijaya
3555821901 I Made Suwangsa
3555461903 I Made Putra Adnyana
3555711901 I Dewa Made Surya Pramana Putra
3555431908 Indra Setiawan
3555431906 Pande Nyoman Agung Permadhi
3555431912 Imam Mahmudi Hasan
3555411906 Onny Okta Syaputra
3555411906 Onny Okta Syaputra
3555431913 Yus Sansilo Erasmus Bessie
3555411901 Gede Eka Sumantara
3555431913 Gregorius Heryanto Saus
3555841901 Boy Steven Fernando

3555431905 I Putu Ngurah Yudiartawan
3555431903 I Dewa Putu Cisparwata
3555431904 Abdur Rahim
3555711901 I Gede Landep Samudra
3555711901 I Gede Landep Samudra
3555431911 Hendra
3555431911 Hendra
3555431911 Hendra
3555431913 Roni Kaho
3555431908 Ni Luh Eka Rusmadewi
3555431906 Muhammad Zulkarnaen
3555431906 Afiq Dwi Cahyono
3555431913 Patrius Adam Kolne
3555431913 Seferson Hawu Pao
3555431903 I Wayan Suta Dharma
3555431906 Lalu Satariadi
3555431908 I Ketut Suarsana
3555431903 I Wayan Neby Adriawan
3555431903 I Wayan Neby Adriawan
3555411903 I Putu Indra Puspayana
3555411903 I Putu Indra Puspayana
3555461903 I Ketut Adinata
3555431911 Zaini As'Ari
3555411903 I Nyoman Setiawan
3555411903 I Nyoman Setiawan
3555431903 I Wayan Purna Wijaya
3555431904 I Ketut Sudiarta
3555311901 I Putu Gede Dian Sastrawan

3555431906 Lalu Rahman Khalik
3555461903 Agus Uce Wahyudhi
3555431906 I Gusti Komang Priatna
3555431903 Syamsuddhuha
3555861901 Zahrah Ratna Sari
3555431905 Gede Eka Nawa Diantara
3555431903 I Wayan Suargina
3555431901 Dewa Gede Sukariawan
3555431903 I Wayan Suatra
3555311901 I Gede Tedy Yuliartana
3555311901 I Gede Tedy Yuliartana
3555431903 I Gusti Putu Kaler Wisesa
3555431903 I Wayan Kerti Yasa
3555431903 I Nyoman Winda
3555431903 I Wayan Korda
3555431903 I Ketut Purjana
3555431903 Dewa Nyoman Purnata
3555431903 I Dewa Made Artana

3555391901 I Wayan Darma Seputra
3555391901 I Wayan Darma Seputra
3555311901 Dewa Nyoman Sukarma
3555261901 I Made Suka Wirawan
3555261901 I Made Suka Wirawan
3555311901 I Putu Widiana
3555411906 Lalu Mulianingrat
3555411901 I Gede Sudarma Yasa
3555431913 Daud Jonathan Ndolu
3555431913 Jon Lin Yusuf
3555431913 Abdul Munir
3555431913 Ahmad Bala Awan
3555431913 Benyamin Eduard Muskananfola
3555431913 Meinolfus Deasmin
3555431913 Adrianus Woda
3555431913 Adrianus Woda
3555431913 Azaria Arnoldus Atapelang
3555431913 Ronald S.J Ndolu
3555431913 Urbanus Afredy Ledhe
3555431913 Yosep Krisanto Bolly

3555431913 Paulus Nomeni
3555431913 Paulus Nomeni
3555431913 Nelson Nea
3555431901 Edi Suwarno
3555501901 I Made Rasta
3555431903 I Ngurah Gede Darmawiryawan
3555561901 I Dewa Putu Budiarta
3555561901 I Gst Gede Yuda Aryantika
3555461903 I Nyoman Yudiana
#N/A #N/A
#N/A #N/A
#N/A #N/A
#N/A #N/A
3555431905 Yudi Prayudi
3555561901 I Wayan Wirawan
3555711901 Sutrisno
3555711901 Sutrisno
3555711901 Sutrisno
3555711901 I Made Suardika
3555821901 I Nengah Panca Kusuma

3555821901 I Made Ariawan
3555821901 I Made Ariawan
3555821901 I Nyoman Supartha
3555821901 I Gusti Putu Muliarsa
3555821901 Dewa Made Alit Yasa
3555821901 I Made Budiasa
3555821901 I Ketut Mandiastina
3555841901 Ronny Dewanto
3555861901 I Ketut Buda
3555861901 I Ketut Yono Astawa
3555861901 I Kadek Sumiartha
3555861901 I Made Wartika
3555861901 I Made Wartika
3555861901 I Made Pajarawan
3555861901 I Made Pajarawan
3555861901 I Gusti Putu Muliawan
3555861901 I Gusti Putu Muliawan
3555431908 Dewa Putu Gede Astawa
3555431908 Dewa Putu Gede Astawa
3555431908 Fauzan
3555431908 Fauzan
3555431908 I Nyoman Mustra
3555431908 I Made Winaya

3555431908 I Made Winaya
3555431908 I Nyoman Tirta
3555431908 I Gede Arnata
3555431908 I Gede Arnata
3555431908 I Putu Darmayasa
3555431904 Kadek Mahariasa
3555311901 I Putu Agus Ekarya Purnawan
3555311901 Gusti Ngurah Made Wira Suteja
3555311901 Gusti Ngurah Made Wira Suteja
3555311901 Dewa Nyoman Darmawan
3555311901 I Putu Gede Setiawan
3555311901 I Made Karnata
3555461903 I Gusti Made Diatmika
3555461903 I Gede Kusumajaya
3555461903 Dewa Gede Raka
3555461903 Rosy Setiawan
3555461903 Husnaini

3555461903 Husnaini
3555461903 Husnaini
3555461903 Husnaini
3555461903 I Made Sunantara
3555461903 Suryono
3555461903 Suryono
3555461903 Suryono
3555461903 Dewa Ketut Rai Yadnya
3555461903 I Nyoman Sudiarta
3555461903 Dewa Putu Putra Setiawan
3555431905 I Dewa Gede Ngurah
3555431905 I Putu Suma Wiryadana
3555431905 Ida Bagus Kade Sunia Ardika
3555431905 I Gede Darmawan
3555431908 I Wayan Rentana
3555431904 Hendra Prabastiyan
3555431904 I Wayan Sumakta

3555431908 Ngakan Putu Tirtayasa
3555431904 Samsul Arifin
3555431904 I Kade Subawa
3555431904 I Made Juarta
3555431904 Wayan Pangali
3555431903 I Wayan Winatra
3555431903 I Wayan Winatra
3555821901 I Putu Edy Diana Askara
3555431903 I Made Astika
3555311901 Sukoco
3555311901 Sukoco
3555311901 Sukoco
3555311901 Sukoco
3555431903 I Gst Ag Km Anugrah Perianggana
3555431903 I Putu Darmawan
3555211930 Ida Bagus Putra Suryantara
3555821901 I Gusti Made Indra Atmaja

3555431903 I Nyoman Tantra Wijaya
3555431903 I Komang Rai Swa Giri Putra
3555431903 I Wayan Sugiana
3555821901 I Made Unggul Diputra
3555431903 Taufik Agus
3555431903 I Kadek Nova Swanto Wirawan
3555431903 I Wayan Sudiana
3555431903 Heru Yulianto
3555431903 I Gst Ngurah Putu Windu Arta
3555431903 Komang Sutama
3555431903 I Ketut Alit Wijana
3555431903 I Ketut Alit Wijana
3555431903 I Nyoman Susila Adi Saputra
3555411903 I Nyoman Suyanta

3555431903 I Gusti Ngurah Alit Ahadi
3555431908 I Komang Mardika
3555431908 Zaenudin
3555431908 Zaenudin
3555431908 Zaenudin
3555431908 Zaenudin
3555431908 Zaenudin
3555431908 Anak Agung Gde Raka
3555431908 Anak Agung Gde Raka
3555431908 I Nyoman Suparnaka
3555431903 I Nyoman Danadi
3555431903 I Nyoman Tirtayasa
3555431903 I Nyoman Winata
3555431903 Kadek Eka Budiartawan
3555411903 I Nengah Suadnyana
3555431903 I Nyoman Nerta
3555431903 I Ketut Gede Budiasa
3555431903 Mamek Subagio
3555431901 Karel Johan Paulus Schelling

3555431904 James Ginting
3555431904 Arick Budi Kusuma
3555431913 Hendrikus Bomber
3555431913 Hendrikus Bomber
3555431904 Putu Sujana
3555431905 I Putu Artana
3555311901 I Made Mana Mardika
3555431903 Yoyok Wahyu Siyo Utomo
3555431906 I Gede Restiada
3555431906 Anathasius Ronald Bauer
3555431906 Ahmad Juaeni
3555431906 Jaeni Ashadi
3555431911 Taufik Anwar
3555431906 Sahidin Arifin

3555431906 Khusnul Hidayat
3555431906 I Wayan Suartaka
3555431906 Muhamad Jamil
3555431912 Mudi Prasetyo
3555431911 Adhar Abdurahim
3555431911 Adhar Abdurahim
3555431912 I Nyoman Karta
3555821901 Saverius D Bata
3555431912 I Gusti Ketut Arya Wetania
3555431912 Muliadi
3555431912 Muliadi
3555431912 Muliadi
3555431912 Muliadi
3555821901 I Putu Purnawijaya
3555431912 I Nyoman Tangkas
3555431906 Maliki
3555431906 Maliki
3555431906 Maliki
3555431906 Maliki
3555431906 Muhammad Amin

3555431906 Mistiyo Dwi Santoso
3555431906 Muhamad Yusuf
3555431911 Mohammad Subhan Efendi
3555431906 Surya Bayan
3555431906 Syaharudin
3555431906 Syaharudin
3555431906 I Putu Siyasa
3555431906 Khaerudin
3555411901 Dwi Nanto Priyo Jatmiko
3555411901 Rinny Wahyuningsih
3555821901 Dwi Ragita Mulyawati
3555431913 Bartolomeus Lima
3555211930 I Made Sunata
3555211930 I Wayan Samiarta
3555211930 I Putu Sudiarta
3555211930 I Made Astawa
3555311901 I Nyoman Darmika Yasa
3555821901 I Gusti Ayu Made Mekariati

3555211930 Dewa Putu Sarjana
3555211930 Indra Wirawan
3555211930 I Wayan Sugiarta
3555311901 I Wayan Yatna
3555211930 I Wayan Yastana
3555211930 I Wayan Yastana
3555211930 I Ketut Dita
3555211930 I Made Tirtayasa
3555431903 Gusti Ayu Made Wisma Yani
3555431903 Fanuel Handi Raharjo
3555431913 Fazri Ihsan
3555431908 I Gede Sukrayasa
3555461903 I Nengah Muktiana
3555431908 Dewa Ayu Ketut Juniari
3555431906 Lalu Ismail Solihin
3555431906 Ismawan Faisal
3555431906 Eko Adrian
3555431906 Eko Adrian
3555411901 Imam Muhyidin
3555431908 I Wayan Agus Supriyanta
3555431903 Rahmad Handoko
3555431901 Stefanus Niko Kristianto
3555461901 Siska Agnes Nainggolan
3555431906 I Wayan Setiawan

3555431906 Tofan Anjung Afriawan
3555431912 Muh Nizar
3555431912 Muh Nizar
3555431903 Nyoman Sariono
3555431903 Agus Syamsudin
3555711901 I Nyoman Biyasa
3555211930 I Wayan Rusyanta
3555431913 Edi Haryanto
3555431906 Sahlul Sustari
3555541901 Ni Wayan Ayu Lestari
3555461903 I Wayan Karina
3555431906 Muh. Hipzul Irawan
3555431906 Haeruman
3555431906 Lalu Kusuma Danis
3555431906 Lalu Kusuma Danis
3555431901 Sugma Anugrawan
3555431906 Baiq Wiwin Apriani
3555431908 Ronny Alexander Johannis
3555431908 Ronny Alexander Johannis
3555431903 Syaiful Tahir
3555891901 Made Pranata Wibawa Ade Putra
3555431903 I Putu Agus Sudiartha
3555431908 Eko Budianto
3555461903 Yuanito Henry Kurniawan
3555461906 Yuliana
3555461906 Yuliana
3555461906 Achmad Raziy
3555431904 Rizky Septyan Hari Cahya
3555431906 Sapwan Hadi

3555431906 Melinda Adelina
3555431906 Julianto Hadiutomo
3555431913 Patris Neonnub
3555431906 L. Barqurodi Ahmadi
3555431906 Muhammad Irawan
3555431903 Tazya Dwi Oktavia
3555431903 Rizka Sapitri
3555431903 Dimas Nutamanda
3555431906 Heri Andika Pratama Panjaitan
3555431903 Ni Nyoman Triani
3555431903 Egidius Ridwan
3555431908 I Komang Nova Adi Antara
3555431903 I Gusti Bagus Krisna Adi Putra
3555431904 S. Priyan Dani
3555431911 Azmi Multazami
3555431903 Muhammad Asrofi
3555431904 Nyoman Mertayasa
3555431903 Ni Putu Dinda Wied N.
3555431906 M.Muzakir Badri
3555431903 I Gusti Ngurah Yudi Andriawan
3555431903 Gede Parmelo Susanto
#N/A #N/A
3555411901 Ricky Putra Septo Indrawan
3555431905 I Komang Hendrawan
3555431903 I Gusti Made Donny Andika
3555431903 I Kadek Agus Santika
3555431906 Hariadi
3555431906 Hariadi
3555431906 Lalu Sahru Wiro Ramdanu
3555431903 Guido William
3555431903 Hery Eko Putro Susanto
3555431908 David Febriano Van Valentino
3555431903 Paul Filmon Nalle
3555431908 Haryono Suyono
3555431906 Satria Febriansah
3555431913 Mariano Octavius Eugenio

3555431913 Irland Gerry Ndolu
3555431903 I Gusti Putu Agus Putra Adnyana
3555431913 Deden Frandy Gilbert Dates
3555431903 I Gusti Putu Suharsono
3555821901 I Gusti Putu Suardana Kusuma
3555431901 I Komang Agus Arisudana
3555431903 I Komang Widiartha

005 Form Report Faskes I & Faskes II

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005 Form Report Faskes I & Faskes II

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FORM REPORT FASILITAS PEMERIKSAAN & PENGOBATAN FASKES I & II

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