sheet1 1

LAPORAN REKAP
Pasien KLAIM
Rawat - RSIA
Inap AL-IHSAN
dan Rawat Jalan, Periode Tanggal Pulang: 1 Jun 2019 s/d 30 Jun 2019
Filter: Metode Pembayaran = Semua / Kelas Rawat = Semua / Severity = Semua / Cara Pulang = Semua / Jenis Tarif = T

No. Tgl. Masuk Tgl. Pulang No. RM Nama Pasien

1 1 Jun 2019 1 Jun 2019 008855 MERIZA HANUM
2 3 Jun 2019 3 Jun 2019 007105 REFMAWATI
3 3 Jun 2019 3 Jun 2019 008865 SUGINI
4 3 Jun 2019 3 Jun 2019 006226 WITRA SARI
5 3 Jun 2019 3 Jun 2019 005231 MIRA PUSPITA SARI
6 3 Jun 2019 3 Jun 2019 007170 NISFIYA YENTI
7 3 Jun 2019 3 Jun 2019 006714 YURNANI
8 3 Jun 2019 3 Jun 2019 008694 RAHMI FATLIANI NST
9 3 Jun 2019 3 Jun 2019 008356 YULIA
10 3 Jun 2019 3 Jun 2019 008862 RISKY ZAHDIANA
11 3 Jun 2019 3 Jun 2019 005021 SUSI HARIANTI
12 3 Jun 2019 3 Jun 2019 007934 MUTIA DEWINTA
13 3 Jun 2019 3 Jun 2019 0006492 EKO DESI WAHYUNINGSIH
14 3 Jun 2019 3 Jun 2019 008436 SOFINA,A.MD.KEB
15 4 Jun 2019 4 Jun 2019 008450 SAMSINARMI
16 4 Jun 2019 4 Jun 2019 008452 NUR MARLIS
17 4 Jun 2019 4 Jun 2019 007957 WIWIN FEBRIANI
18 5 Jun 2019 5 Jun 2019 005793 MARISA SARAWATI PANJAITAN
19 5 Jun 2019 5 Jun 2019 007851 MASNIWATI
20 5 Jun 2019 5 Jun 2019 008898 LENA MARLENI
21 6 Jun 2019 6 Jun 2019 006928 RATNA DEWI
22 6 Jun 2019 6 Jun 2019 008709 FELA RAHMA DONA
23 6 Jun 2019 6 Jun 2019 000745 HARNELA DESSY
24 7 Jun 2019 7 Jun 2019 008952 SITI GUMALAI
25 7 Jun 2019 7 Jun 2019 008852 NESFIARNI
26 7 Jun 2019 7 Jun 2019 008950 DARLAINI
27 7 Jun 2019 7 Jun 2019 007300 NOLA KARMILA
28 7 Jun 2019 7 Jun 2019 008916 ISON
29 7 Jun 2019 7 Jun 2019 008369 IDRA SASMITA
30 7 Jun 2019 7 Jun 2019 008936 JUNILIA
31 7 Jun 2019 7 Jun 2019 005219 NURMALENI
32 7 Jun 2019 7 Jun 2019 008940 RATNA NINGSIH
33 7 Jun 2019 7 Jun 2019 007585 ZAIDAR.A
34 7 Jun 2019 7 Jun 2019 008447 ZURAIDA
35 7 Jun 2019 7 Jun 2019 008948 TRI YULISA
36 7 Jun 2019 7 Jun 2019 008919 MARNI JULITA
37 7 Jun 2019 7 Jun 2019 008077 NOVI HERLINDA
38 7 Jun 2019 7 Jun 2019 008050 ROSALIA
39 8 Jun 2019 8 Jun 2019 008964 REFIA REZI
40 9 Jun 2019 9 Jun 2019 008982 SINYAIMAR
41 9 Jun 2019 9 Jun 2019 008979 SABANIAR
42 9 Jun 2019 9 Jun 2019 008984 RATNA YENI
43 9 Jun 2019 9 Jun 2019 008986 ZELVI ARINA
44 9 Jun 2019 9 Jun 2019 008139 MELIA SARI
45 9 Jun 2019 9 Jun 2019 006678 SRI DELIA FITRI
46 10 Jun 2019 10 Jun 2019 008650 ADITYA NOUFAN
47 10 Jun 2019 10 Jun 2019 009153 MUHAMMAD ALIEF SINAGA
48 10 Jun 2019 10 Jun 2019 008977 NILA KARMILA
49 10 Jun 2019 10 Jun 2019 009156 MIA ANDELLA

Page 1
 sheet1 1

50 10 Jun 2019 10 Jun 2019 008054 SUSI SATRIA

51 10 Jun 2019 10 Jun 2019 009149 ROSMAYANA
52 10 Jun 2019 10 Jun 2019 008599 ERLINA WATI
53 10 Jun 2019 10 Jun 2019 004774 FITRIA ASYFIANI
54 10 Jun 2019 10 Jun 2019 008047 SAFRIDA
55 10 Jun 2019 10 Jun 2019 008603 TALENA
56 10 Jun 2019 10 Jun 2019 009146 MARIANTI
57 10 Jun 2019 10 Jun 2019 009151 MERI
58 10 Jun 2019 10 Jun 2019 008428 SURYA NINGSIH
59 10 Jun 2019 10 Jun 2019 008549 SITI SUWARNI
60 10 Jun 2019 10 Jun 2019 003884 KASMIDA WATI
61 10 Jun 2019 10 Jun 2019 009143 GUSNIATI
62 10 Jun 2019 10 Jun 2019 008601 SARMITA
63 10 Jun 2019 10 Jun 2019 005892 ROSI
64 10 Jun 2019 10 Jun 2019 008550 LESTARI
65 10 Jun 2019 10 Jun 2019 009148 SEPDIWARTI
66 10 Jun 2019 10 Jun 2019 008444 WIKA OKTAVIA
67 10 Jun 2019 10 Jun 2019 007952 MILA TRIANA DEWI
68 10 Jun 2019 10 Jun 2019 003264 SITI AMINAH
69 10 Jun 2019 10 Jun 2019 003965 RAHMA YUNITA
70 10 Jun 2019 10 Jun 2019 009157 ERMAWITA
71 10 Jun 2019 10 Jun 2019 009145 RIRI
72 11 Jun 2019 11 Jun 2019 008545 SATRIA RISNANDA
73 11 Jun 2019 11 Jun 2019 008992 MELDA YANIS
74 11 Jun 2019 11 Jun 2019 006327 MUJI LESTARI NUNUK SETIAWATI
75 11 Jun 2019 11 Jun 2019 008199 ILFA ATRIA WINI
76 11 Jun 2019 11 Jun 2019 009169 MELY GUSNIATI
77 11 Jun 2019 11 Jun 2019 009170 PITRI RAVIA IRNA
78 11 Jun 2019 11 Jun 2019 009190 YANIS
79 11 Jun 2019 11 Jun 2019 009166 ANNA ZAYIDAH
80 11 Jun 2019 11 Jun 2019 009174 YULI
81 11 Jun 2019 11 Jun 2019 009183 WENI MARLINA
82 11 Jun 2019 11 Jun 2019 008522 SULASTRI
83 11 Jun 2019 11 Jun 2019 009168 YANTI FARIDA
84 11 Jun 2019 11 Jun 2019 009177 NURHIDAYATI
85 11 Jun 2019 11 Jun 2019 007072 DEVY SUSANTI
86 11 Jun 2019 11 Jun 2019 009173 MARIA
87 11 Jun 2019 11 Jun 2019 009178 SURIYATI
88 11 Jun 2019 11 Jun 2019 009191 EZI SISWANTI
89 11 Jun 2019 11 Jun 2019 006165 FISKA DINOVA
90 11 Jun 2019 11 Jun 2019 006692 RISLA HAFIZA
91 11 Jun 2019 11 Jun 2019 009181 RIDA SRIMAYANTI
92 11 Jun 2019 11 Jun 2019 009185 LINOI RIANTI
93 11 Jun 2019 11 Jun 2019 006847 RIZA NOFA ELFINA
94 11 Jun 2019 11 Jun 2019 009162 MURNI YANTI
95 11 Jun 2019 11 Jun 2019 008580 LEPITASARI
96 11 Jun 2019 11 Jun 2019 007044 RAHMA YANI
97 12 Jun 2019 12 Jun 2019 008999 NIMAH
98 12 Jun 2019 12 Jun 2019 009006 MIRANTI ULAN DARI
99 12 Jun 2019 12 Jun 2019 005245 SOPIA LOLITA
100 12 Jun 2019 12 Jun 2019 009222 SUDARTI
101 12 Jun 2019 12 Jun 2019 009213 MIRA HANDAYANI
102 12 Jun 2019 12 Jun 2019 009221 UPIK

Page 2
 sheet1 1

103 12 Jun 2019 12 Jun 2019 002652 HERMINA

104 12 Jun 2019 12 Jun 2019 001441 WIRDAWATI
105 12 Jun 2019 12 Jun 2019 008645 SRI RAMADHANI
106 12 Jun 2019 12 Jun 2019 008011 ERA SUKMA YANTI
107 12 Jun 2019 12 Jun 2019 009205 WIDRA WATI
108 12 Jun 2019 12 Jun 2019 009209 LELA SUSANTI
109 12 Jun 2019 12 Jun 2019 009206 DESMAWATI
110 12 Jun 2019 12 Jun 2019 009214 DENI LIA SAFITRI
111 12 Jun 2019 12 Jun 2019 009112 CONI HARDIANTI MUSTIKA
112 12 Jun 2019 12 Jun 2019 009199 WITRA YENI
113 12 Jun 2019 12 Jun 2019 009204 SESRAWATI
114 12 Jun 2019 12 Jun 2019 002383 MENI SAFITRI
115 12 Jun 2019 12 Jun 2019 009216 YULIA MELTIN
116 13 Jun 2019 13 Jun 2019 009021 IRMA DEWI
117 13 Jun 2019 13 Jun 2019 008013 EKA PUTRI RAMADONA
118 13 Jun 2019 13 Jun 2019 009044 SYURIANI SYAFITRI
119 13 Jun 2019 13 Jun 2019 001159 SARIATI
120 13 Jun 2019 13 Jun 2019 009048 INGRIANI
121 13 Jun 2019 13 Jun 2019 008939 YUS 'AIDA
122 13 Jun 2019 13 Jun 2019 009019 MINDAYANI
123 13 Jun 2019 13 Jun 2019 009034 YUSLINAR
124 13 Jun 2019 13 Jun 2019 009042 SRI RAHMAYANI
125 13 Jun 2019 13 Jun 2019 008639 UPI SATINA SARI LAIA
126 13 Jun 2019 13 Jun 2019 009031 DARMITA
127 13 Jun 2019 13 Jun 2019 009243 RUSDA
128 13 Jun 2019 13 Jun 2019 008129 KIKI FATMAWATI
129 13 Jun 2019 13 Jun 2019 008652 SITI AISYAH
130 13 Jun 2019 13 Jun 2019 009238 NURMA YULISDA
131 13 Jun 2019 13 Jun 2019 008649 IDELPI
132 13 Jun 2019 13 Jun 2019 009239 RINDU
133 13 Jun 2019 13 Jun 2019 008637 FITRIANI
134 13 Jun 2019 13 Jun 2019 008665 HALNA RIPELNI
135 13 Jun 2019 13 Jun 2019 003330 SIAS
136 13 Jun 2019 13 Jun 2019 008107 ROSMAIDA
137 13 Jun 2019 13 Jun 2019 008638 GUSMIAR
138 13 Jun 2019 13 Jun 2019 009235 LENI REZIATI
139 13 Jun 2019 13 Jun 2019 008056 WILDA RAHYU
140 13 Jun 2019 13 Jun 2019 009230 ILYA FITNA
141 13 Jun 2019 13 Jun 2019 009240 WIDYANTI
142 13 Jun 2019 13 Jun 2019 009241 WIDIA AFRIANI
143 14 Jun 2019 14 Jun 2019 009072 JURIAH
144 14 Jun 2019 14 Jun 2019 007410 FITA PUTRI
145 14 Jun 2019 14 Jun 2019 007666 HARZURIATI HENNY
146 14 Jun 2019 14 Jun 2019 007883 ASNITA DELFI
147 14 Jun 2019 14 Jun 2019 008282 SISKA DARIYANTI
148 14 Jun 2019 14 Jun 2019 009087 ETRI SUSANTI
149 14 Jun 2019 14 Jun 2019 009037 REPI SANTI
150 14 Jun 2019 14 Jun 2019 009066 SERLIN NOVIA DEWI
151 14 Jun 2019 14 Jun 2019 009089 MARTA DEWI
152 14 Jun 2019 14 Jun 2019 008685 LENI
153 14 Jun 2019 14 Jun 2019 005907 ELPI SUSANTI
154 14 Jun 2019 14 Jun 2019 008188 ASRIATI
155 14 Jun 2019 14 Jun 2019 009259 ELSA SUSANTI

Page 3
 sheet1 1

156 14 Jun 2019 14 Jun 2019 008174 ASTUTI

157 14 Jun 2019 14 Jun 2019 009266 JASNITA
158 14 Jun 2019 14 Jun 2019 008692 HALIMATUN SAKDIAH
159 14 Jun 2019 14 Jun 2019 008661 SURYA NUFITA
160 14 Jun 2019 14 Jun 2019 009264 DARMI YANTI
161 14 Jun 2019 14 Jun 2019 009258 ELIA VIA
162 14 Jun 2019 14 Jun 2019 004654 REZA YULIA VISTA
163 14 Jun 2019 14 Jun 2019 009264 DARMI YANTI
164 15 Jun 2019 15 Jun 2019 007425 DEVI NOVITA
165 15 Jun 2019 15 Jun 2019 008746 NELFA YANTI
166 15 Jun 2019 15 Jun 2019 008045 ROZA LIA MUSTIKA
167 15 Jun 2019 15 Jun 2019 008250 DAHLIA
168 15 Jun 2019 15 Jun 2019 009281 ADE OLANDA SAFITRI
169 15 Jun 2019 15 Jun 2019 008646 NURHAMIDAH
170 15 Jun 2019 15 Jun 2019 008620 AHNUN FAHDILA
171 15 Jun 2019 15 Jun 2019 009283 GUSRITA
172 16 Jun 2019 16 Jun 2019 009127 NURJANNAH
173 16 Jun 2019 16 Jun 2019 008954 ERLIN PUTRI SARI
174 16 Jun 2019 16 Jun 2019 008718 NADIA LATIFAH
175 16 Jun 2019 16 Jun 2019 007442 MEMI YARNIS
176 16 Jun 2019 16 Jun 2019 005049 HARPITA SARI
177 16 Jun 2019 16 Jun 2019 008759 FITRIA HARIFA
178 16 Jun 2019 16 Jun 2019 009295 NOLA MAIDA YUNITA
179 17 Jun 2019 17 Jun 2019 009330 FARHAN ABDUL SAFWAL
180 17 Jun 2019 17 Jun 2019 009041 SELA
181 17 Jun 2019 17 Jun 2019 009097 DESMARIA
182 17 Jun 2019 17 Jun 2019 009075 YUSMALENI
183 17 Jun 2019 17 Jun 2019 005431 DIAN PRATIWI
184 17 Jun 2019 17 Jun 2019 008307 MESIRIA ZEGA
185 17 Jun 2019 17 Jun 2019 008233 NUR'AINI
186 17 Jun 2019 17 Jun 2019 009311 FIKA APRIANA
187 17 Jun 2019 17 Jun 2019 009312 SANTI SISKA
188 17 Jun 2019 17 Jun 2019 004055 DELPI YANTI
189 17 Jun 2019 17 Jun 2019 008173 FITRI AISYAH
190 17 Jun 2019 17 Jun 2019 008707 NELA SATRI
191 17 Jun 2019 17 Jun 2019 003986 USLIANI
192 17 Jun 2019 17 Jun 2019 009327 DIANA RIZKI
193 17 Jun 2019 17 Jun 2019 009313 NESIPA JUSIANTI
194 17 Jun 2019 17 Jun 2019 009328 FADMI NURFADILAH
195 17 Jun 2019 17 Jun 2019 009308 YATI
196 17 Jun 2019 17 Jun 2019 008679 MUTIARA NINGSIH
197 17 Jun 2019 17 Jun 2019 009324 MAYA ASTUTI
198 17 Jun 2019 17 Jun 2019 009307 DAYARNIS
199 17 Jun 2019 17 Jun 2019 009310 ASLIHATI
200 17 Jun 2019 17 Jun 2019 005840 NANI SUPRIATI
201 17 Jun 2019 17 Jun 2019 008681 PATMAWATI
202 17 Jun 2019 17 Jun 2019 006623 SRI REZEKI
203 17 Jun 2019 17 Jun 2019 008727 NENI MARLINA
204 17 Jun 2019 17 Jun 2019 008723 SARIAMAN
205 17 Jun 2019 17 Jun 2019 008230 NURSIMAL
206 17 Jun 2019 17 Jun 2019 008687 SUBAIDAH
207 17 Jun 2019 17 Jun 2019 008176 ISRAWATI
208 17 Jun 2019 17 Jun 2019 007707 TARI ANDRIYANI

Page 4
 sheet1 1

209 17 Jun 2019 17 Jun 2019 009332 PEGITA ANJELA RICI

210 17 Jun 2019 17 Jun 2019 008731 YULMIATI
211 17 Jun 2019 17 Jun 2019 007046 RIKA APRILIA PUTRI
212 17 Jun 2019 17 Jun 2019 009102 EVA NOVRIANI
213 18 Jun 2019 18 Jun 2019 009342 RAFFASYA VIKEN KATO
214 18 Jun 2019 18 Jun 2019 008891 HELPA YUNITA
215 18 Jun 2019 18 Jun 2019 009141 NOVRIA WANTI
216 18 Jun 2019 18 Jun 2019 008115 MELLIE GUSPITA YANTY
217 18 Jun 2019 18 Jun 2019 009132 EPI SUSANTI
218 18 Jun 2019 18 Jun 2019 007996 MISRAWATI
219 18 Jun 2019 18 Jun 2019 009337 MIRA NURHAYATI
220 18 Jun 2019 18 Jun 2019 007523 YULISNA
221 18 Jun 2019 18 Jun 2019 009345 GUSNITA
222 18 Jun 2019 18 Jun 2019 007560 RITA RUSANTI
223 18 Jun 2019 18 Jun 2019 009134 MIRA SUHARTI
224 19 Jun 2019 19 Jun 2019 005822 BAYI NY MIRA YELLI BULKIS
225 19 Jun 2019 19 Jun 2019 009163 SITI MASITOH
226 19 Jun 2019 19 Jun 2019 007335 NILA SURAHMI
227 19 Jun 2019 19 Jun 2019 009355 RIFA ERTIKA
228 19 Jun 2019 19 Jun 2019 009363 MARINE
229 19 Jun 2019 19 Jun 2019 009361 ASNI
230 19 Jun 2019 19 Jun 2019 009356 DEWI ERLINA
231 19 Jun 2019 19 Jun 2019 009357 YATI
232 19 Jun 2019 19 Jun 2019 009365 ELFIA HASWITA CATUR PUTRI
233 19 Jun 2019 19 Jun 2019 009364 SUCI WULAN DARI UTAMI
234 19 Jun 2019 19 Jun 2019 008720 SANIMAH
235 19 Jun 2019 19 Jun 2019 009359 ANI TITI
236 20 Jun 2019 20 Jun 2019 007624 LAILA SYUKRIYAH
237 20 Jun 2019 20 Jun 2019 008776 EFIKA LINDA
238 20 Jun 2019 20 Jun 2019 007182 MUHLISOH
239 20 Jun 2019 20 Jun 2019 009380 SUGIATI
240 20 Jun 2019 20 Jun 2019 0009397 ALSI VANIA
241 20 Jun 2019 20 Jun 2019 008770 LINA
242 20 Jun 2019 20 Jun 2019 008775 AFRIDA YANI
243 20 Jun 2019 20 Jun 2019 009383 YULIDA MARNI
244 20 Jun 2019 20 Jun 2019 008774 LENI
245 20 Jun 2019 20 Jun 2019 005791 LINDA RANTI
246 20 Jun 2019 20 Jun 2019 009194 NORA ADRIA GUSTI
247 20 Jun 2019 20 Jun 2019 009200 IRAWANI
248 20 Jun 2019 20 Jun 2019 009228 MARSYA
249 20 Jun 2019 20 Jun 2019 009225 FATIMAH
250 20 Jun 2019 20 Jun 2019 006699 EPI MULYANI
251 20 Jun 2019 20 Jun 2019 0007242 AGNA LOVA SABRINA
252 20 Jun 2019 20 Jun 2019 008411 KASMAWATI
253 20 Jun 2019 20 Jun 2019 008117 SAMIAH
254 20 Jun 2019 20 Jun 2019 009171 IFAN KRISNA WATI ZEBUA
255 21 Jun 2019 21 Jun 2019 009397 ERA ANGGA DOLA
256 21 Jun 2019 21 Jun 2019 006976 RATIKA PUTRI
257 21 Jun 2019 21 Jun 2019 009401 YARSINA
258 21 Jun 2019 21 Jun 2019 008778 DENI KASMIRA
259 21 Jun 2019 21 Jun 2019 007468 LUCIANA ETY YUNITA
260 21 Jun 2019 21 Jun 2019 009388 SOFIA ERITA
261 21 Jun 2019 21 Jun 2019 009396 RAHMADONA AKBAR

Page 5
 sheet1 1

262 21 Jun 2019 21 Jun 2019 008807 OSNI PERMATA SARI

263 21 Jun 2019 21 Jun 2019 008283 DEWI RAHAYU
264 21 Jun 2019 21 Jun 2019 008353 NUR LAILA
265 21 Jun 2019 21 Jun 2019 008837 DESLIANA
266 22 Jun 2019 22 Jun 2019 009421 LELA REZEKINA
267 22 Jun 2019 22 Jun 2019 008807 OSNI PERMATA SARI
268 22 Jun 2019 22 Jun 2019 002461 REMIKA
269 23 Jun 2019 23 Jun 2019 009296 LUSY RAHMADANI
270 23 Jun 2019 23 Jun 2019 009293 WIKE PARAMITA
271 24 Jun 2019 24 Jun 2019 009451 ELFIDA
272 24 Jun 2019 24 Jun 2019 009449 RITA YUHERMA
273 24 Jun 2019 24 Jun 2019 009445 GUSPITA SARI
274 24 Jun 2019 24 Jun 2019 008841 MARDAINI
275 24 Jun 2019 24 Jun 2019 003088 YUHELMIDA
276 24 Jun 2019 24 Jun 2019 008313 YANE LISA
277 24 Jun 2019 24 Jun 2019 008616 DEWI KARMILA
278 24 Jun 2019 24 Jun 2019 008341 ISWANTI
279 24 Jun 2019 24 Jun 2019 008724 FRIANI
280 24 Jun 2019 24 Jun 2019 009247 SUMIATI RAHAYU
281 24 Jun 2019 24 Jun 2019 008645 SRI RAMADHANI
282 24 Jun 2019 24 Jun 2019 009253 HERTI MELIDA
283 24 Jun 2019 24 Jun 2019 008736 NELVI WARNI
284 24 Jun 2019 24 Jun 2019 009236 ASMAWATI
285 24 Jun 2019 24 Jun 2019 009279 ASMIRA WARNI
286 24 Jun 2019 24 Jun 2019 008188 ASRIATI
287 24 Jun 2019 24 Jun 2019 006631 HERDA LENI
288 24 Jun 2019 24 Jun 2019 007262 NURUL HUDA
289 24 Jun 2019 24 Jun 2019 008889 FITRI ANDESI
290 25 Jun 2019 25 Jun 2019 000721 REFFI YANI
291 25 Jun 2019 25 Jun 2019 007002 RINDI ANTIKA
292 25 Jun 2019 25 Jun 2019 008286 MUJIATI
293 25 Jun 2019 25 Jun 2019 009470 YULI YELDA
294 25 Jun 2019 25 Jun 2019 009473 SURYA EFRITA
295 25 Jun 2019 25 Jun 2019 008559 NORA TRIYANI
296 25 Jun 2019 25 Jun 2019 009465 YENTI HERMIDA
297 25 Jun 2019 25 Jun 2019 008857 YUSDETI
298 25 Jun 2019 25 Jun 2019 007298 NENI ASNITA
299 25 Jun 2019 25 Jun 2019 005394 ADMI PANDOWITA
300 25 Jun 2019 25 Jun 2019 007208 MIRA ENDAH SARI
301 25 Jun 2019 25 Jun 2019 009464 PUTRI AYU
302 25 Jun 2019 25 Jun 2019 009471 ATHA YAFI
303 25 Jun 2019 25 Jun 2019 009472 SITI MAISYAROH
304 25 Jun 2019 25 Jun 2019 007044 RAHMA YANI
305 25 Jun 2019 25 Jun 2019 008047 SAFRIDA
306 25 Jun 2019 25 Jun 2019 009218 FITRIA NURSA
307 25 Jun 2019 25 Jun 2019 007986 FERA SAFIRA
308 25 Jun 2019 25 Jun 2019 009170 PITRI RAVIA IRNA
309 25 Jun 2019 25 Jun 2019 009271 SUBUR
310 26 Jun 2019 26 Jun 2019 008665 HALNA RIPELNI
311 26 Jun 2019 26 Jun 2019 009325 ROSA MARLINA
312 26 Jun 2019 26 Jun 2019 007707 TARI ANDRIYANI
313 26 Jun 2019 26 Jun 2019 008824 YULI FEBRIA
314 26 Jun 2019 26 Jun 2019 009482 LILI MARLINA

Page 6
 sheet1 1

315 26 Jun 2019 26 Jun 2019 008311 SUSI

316 26 Jun 2019 26 Jun 2019 006624 SYARIFAH AINI
317 26 Jun 2019 26 Jun 2019 008793 RAHMATIKA ZALINA
318 27 Jun 2019 27 Jun 2019 009366 MEILIS
319 27 Jun 2019 27 Jun 2019 006389 RISNA WATI
320 27 Jun 2019 27 Jun 2019 007862 AFWANIL HUSNI
321 27 Jun 2019 27 Jun 2019 005854 SISKA LANORA
322 27 Jun 2019 27 Jun 2019 009502 SITI FATIMAH QOBUL
323 27 Jun 2019 27 Jun 2019 008884 ANISA MARDIAH
324 27 Jun 2019 27 Jun 2019 008914 PAINAH
325 27 Jun 2019 27 Jun 2019 009507 YENTI DESLINA
326 27 Jun 2019 27 Jun 2019 000207 DWI NURMALA SARI
327 27 Jun 2019 27 Jun 2019 008779 MARDEWI D
328 27 Jun 2019 27 Jun 2019 009505 MILA AFRIYANTI
329 27 Jun 2019 27 Jun 2019 007495 BAYI NYONYA RATNA SARI
330 27 Jun 2019 27 Jun 2019 005992 BAYI NYONYA MITRA YUNIMAR YM
331 28 Jun 2019 28 Jun 2019 008727 NENI MARLINA
332 28 Jun 2019 28 Jun 2019 009258 ELIA VIA
333 28 Jun 2019 28 Jun 2019 009372 DESI KUMALASARI
334 28 Jun 2019 28 Jun 2019 008955 WIRA PURNAMA SARI
335 28 Jun 2019 28 Jun 2019 009398 SRI DEWI PERMAI
336 28 Jun 2019 28 Jun 2019 009235 LENI REZIATI
337 28 Jun 2019 28 Jun 2019 008731 YULMIATI
338 28 Jun 2019 28 Jun 2019 009375 WINDI APRIANTI
339 28 Jun 2019 28 Jun 2019 008129 KIKI FATMAWATI
340 28 Jun 2019 28 Jun 2019 009527 DELI YANTI
341 28 Jun 2019 28 Jun 2019 001147 YENI MARLINA
342 28 Jun 2019 28 Jun 2019 009517 YULIA SUSANTI
343 28 Jun 2019 28 Jun 2019 007009 MIATI
344 28 Jun 2019 28 Jun 2019 008906 DEWI AMBARIAH
345 28 Jun 2019 28 Jun 2019 009523 DESMAWATI
346 28 Jun 2019 28 Jun 2019 009522 LOLI ANA
347 28 Jun 2019 28 Jun 2019 007725 RISFA YUNANDA SARI
348 28 Jun 2019 28 Jun 2019 002061 LUSI
349 28 Jun 2019 28 Jun 2019 009513 ELI SAFITRI
350 28 Jun 2019 28 Jun 2019 009511 RIWA RITA
351 28 Jun 2019 28 Jun 2019 009512 NURMA YULIA SARI
352 28 Jun 2019 28 Jun 2019 009516 HILDA
353 30 Jun 2019 30 Jun 2019 009148 SEPDIWARTI
354 30 Jun 2019 30 Jun 2019 009406 SARIAMEH
355 30 Jun 2019 30 Jun 2019 0004602 YENNITA
356 30 Jun 2019 30 Jun 2019 009396 RAHMADONA AKBAR
357 30 Jun 2019 30 Jun 2019 008550 LESTARI
358 30 Jun 2019 30 Jun 2019 008184 SEPRINA
359 30 Jun 2019 30 Jun 2019 009423 YUHANNIS
360 30 Jun 2019 30 Jun 2019 008199 ILFA ATRIA WINI
361 30 Jun 2019 30 Jun 2019 003221 ENI SUSANTI
362 30 Jun 2019 30 Jun 2019 009546 EVA EFRIYANTI
Total
Kode RS: 1312025

Page 7
 sheet1 1

ang = Semua / Jenis Tarif = TARIF RS KELAS C SWASTA

No. SEP INACBG Top Up Total Tarif Tarif RS Jenis

0406R0050619V000003 Z-3-27-0 194,900 320,000 RJ
0406R0050619V000022 Z-3-27-0 194,900 320,000 RJ
0406R0050619V000023 Z-3-27-0 194,900 320,000 RJ
0406R0050619V000021 Z-3-27-0 194,900 320,000 RJ
0406R0050619V000017 Z-3-27-0 194,900 320,000 RJ
0406R0050619V000024 Z-3-27-0 194,900 320,000 RJ
0406R0050619V000025 Z-3-27-0 194,900 320,000 RJ
0406R0050619V000020 Z-3-27-0 194,900 320,000 RJ
0406R0050619V000030 Z-3-27-0 194,900 320,000 RJ
0406R0050619V000018 Z-3-27-0 194,900 320,000 RJ
0406R0050619V000019 Z-3-27-0 194,900 320,000 RJ
0406R0050619V000026 Z-3-25-0 314,100 250,000 RJ
0406R0050619V000028 Z-3-25-0 314,100 250,000 RJ
0406R0050619V000027 Z-3-25-0 314,100 250,000 RJ
0406R0050619V000048 Z-3-25-0 314,100 250,000 RJ
0406R0050619V000033 Z-3-23-0 582,100 250,000 RJ
0406R0050619V000047 Z-3-25-0 314,100 250,000 RJ
0406R0050619V000057 Z-3-27-0 194,900 320,000 RJ
0406R0050619V000056 Z-3-27-0 194,900 320,000 RJ
0406R0050619V000055 Z-3-27-0 194,900 320,000 RJ
0406R0050619V000069 Z-3-27-0 194,900 320,000 RJ
0406R0050619V000071 Z-3-27-0 194,900 320,000 RJ
0406R0050619V000072 Z-3-25-0 314,100 250,000 RJ
0406R0050619V000076 Z-3-27-0 194,900 320,000 RJ
0406R0050619V000101 Z-3-27-0 194,900 320,000 RJ
0406R0050619V000081 Z-3-27-0 194,900 320,000 RJ
0406R0050619V000092 Z-3-27-0 194,900 320,000 RJ
0406R0050619V000077 Z-3-27-0 194,900 320,000 RJ
0406R0050619V000083 Z-3-27-0 194,900 320,000 RJ
0406R0050619V000104 Z-3-27-0 194,900 320,000 RJ
0406R0050619V000094 Z-3-27-0 194,900 320,000 RJ
0406R0050619V000102 Z-3-27-0 194,900 320,000 RJ
0406R0050619V000089 Z-3-27-0 194,900 320,000 RJ
0406R0050619V000090 Z-3-27-0 194,900 320,000 RJ
0406R0050619V000091 Z-3-27-0 194,900 320,000 RJ
0406R0050619V000103 Z-3-27-0 194,900 320,000 RJ
0406R0050619V000079 Z-3-25-0 314,100 250,000 RJ
0406R0050619V000078 Q-5-23-0 134,700 250,000 RJ
0406R0050619V000120 Z-3-27-0 194,900 320,000 RJ
0406R0050619V000134 Z-3-27-0 194,900 320,000 RJ
0406R0050619V000133 Z-3-27-0 194,900 320,000 RJ
0406R0050619V000130 Z-3-27-0 194,900 320,000 RJ
0406R0050619V000132 Z-3-27-0 194,900 320,000 RJ
0406R0050619V000131 Z-3-25-0 314,100 250,000 RJ
0406R0050619V000136 Z-3-25-0 314,100 250,000 RJ
0406R0050619V000188 Q-5-26-0 203,900 250,000 RJ
0406R0050619V000187 Q-5-42-0 193,500 250,000 RJ
0406R0050619V000153 Z-3-27-0 194,900 320,000 RJ
0406R0050619V000189 Z-3-25-0 314,100 250,000 RJ

Page 8
 sheet1 1

0406R0050619V000196 Z-3-25-0 314,100 250,000 RJ

0406R0050619V000174 Z-3-25-0 314,100 250,000 RJ
0406R0050619V000175 Z-3-25-0 314,100 250,000 RJ
0406R0050619V000170 Z-3-25-0 314,100 250,000 RJ
0406R0050619V000176 Z-3-25-0 314,100 250,000 RJ
0406R0050619V000192 Z-3-25-0 314,100 250,000 RJ
0406R0050619V000173 Z-3-25-0 314,100 250,000 RJ
0406R0050619V000195 Z-3-25-0 314,100 250,000 RJ
0406R0050619V000162 Z-3-25-0 314,100 250,000 RJ
0406R0050619V000166 Z-3-25-0 314,100 250,000 RJ
0406R0050619V000193 Z-3-25-0 314,100 250,000 RJ
0406R0050619V000165 Z-3-25-0 314,100 250,000 RJ
0406R0050619V000194 Z-3-23-0 582,100 250,000 RJ
0406R0050619V000179 Z-3-25-0 314,100 250,000 RJ
0406R0050619V000178 Z-3-25-0 314,100 250,000 RJ
0406R0050619V000171 Z-3-25-0 314,100 250,000 RJ
0406R0050619V000191 Z-3-25-0 314,100 250,000 RJ
0406R0050619V000172 Z-3-25-0 314,100 250,000 RJ
0406R0050619V000163 Z-3-25-0 314,100 250,000 RJ
0406R0050619V000164 Z-3-25-0 314,100 250,000 RJ
0406R0050619V000190 Z-3-25-0 314,100 250,000 RJ
0406R0050619V000169 Z-3-25-0 314,100 250,000 RJ
0406R0050619V000227 Q-5-26-0 203,900 250,000 RJ
0406R0050619V000216 Z-3-27-0 194,900 320,000 RJ
0406R0050619V000220 Z-3-27-0 194,900 320,000 RJ
0406R0050619V000203 Z-3-25-0 314,100 250,000 RJ
0406R0050619V000212 Z-3-25-0 314,100 250,000 RJ
0406R0050619V000214 Z-3-25-0 314,100 250,000 RJ
0406R0050619V000219 Z-3-25-0 314,100 250,000 RJ
0406R0050619V000202 Z-3-25-0 314,100 250,000 RJ
0406R0050619V000215 Z-3-25-0 314,100 25,000 RJ
0406R0050619V000225 Z-3-25-0 314,100 250,000 RJ
0406R0050619V000218 Z-3-25-0 314,100 250,000 RJ
0406R0050619V000217 Z-3-25-0 314,100 250,000 RJ
0406R0050619V000221 Z-3-25-0 314,100 250,000 RJ
0406R0050619V000230 Z-3-25-0 314,100 250,000 RJ
0406R0050619V000222 Z-3-25-0 314,100 250,000 RJ
0406R0050619V000223 Z-3-25-0 314,100 250,000 RJ
0406R0050619V000228 Z-3-25-0 314,100 250,000 RJ
0406R0050619V000229 Z-3-25-0 314,100 250,000 RJ
0406R0050619V000213 Z-3-25-0 314,100 250,000 RJ
0406R0050619V000224 Z-3-25-0 314,100 250,000 RJ
0406R0050619V000226 Z-3-25-0 314,100 250,000 RJ
0406R0050619V000198 Z-3-25-0 314,100 250,000 RJ
0406R0050619V000199 Z-3-25-0 314,100 250,000 RJ
0406R0050619V000200 Z-3-25-0 314,100 250,000 RJ
0406R0050619V000201 Z-3-25-0 314,100 250,000 RJ
0406R0050619V000255 Z-3-27-0 194,900 320,000 RJ
0406R0050619V000254 Z-3-27-0 194,900 320,000 RJ
0406R0050619V000256 Z-3-27-0 194,900 320,000 RJ
0406R0050619V000250 Z-3-25-0 314,100 250,000 RJ
0406R0050619V000246 Z-3-25-0 314,100 250,000 RJ
0406R0050619V000245 Z-3-25-0 314,100 250,000 RJ

Page 9
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0406R0050619V000251 Z-3-25-0 314,100 250,000 RJ

0406R0050619V000247 Z-3-23-0 582,100 250,000 RJ
0406R0050619V000259 Z-3-25-0 314,100 250,000 RJ
0406R0050619V000241 Z-3-25-0 314,100 250,000 RJ
0406R0050619V000238 Z-3-25-0 314,100 250,000 RJ
0406R0050619V000242 Z-3-25-0 314,100 250,000 RJ
0406R0050619V000253 Z-3-25-0 314,100 250,000 RJ
0406R0050619V000244 Z-3-25-0 314,100 250,000 RJ
0406R0050619V000243 Z-3-25-0 314,100 250,000 RJ
0406R0050619V000239 Z-3-25-0 314,100 250,000 RJ
0406R0050619V000252 Z-3-25-0 314,100 250,000 RJ
0406R0050619V000249 Z-3-25-0 314,100 250,000 RJ
0406R0050619V000248 Z-3-25-0 314,100 250,000 RJ
0406R0050619V000265 Z-3-27-0 194,900 250,000 RJ
0406R0050619V000280 Z-3-27-0 194,900 250,000 RJ
0406R0050619V000288 Z-3-27-0 194,900 320,000 RJ
0406R0050619V000290 Z-3-27-0 194,900 320,000 RJ
0406R0050619V000266 Z-3-27-0 194,900 320,000 RJ
0406R0050619V000271 Z-3-27-0 194,900 320,000 RJ
0406R0050619V000270 Z-3-27-0 194,900 320,000 RJ
0406R0050619V000269 Z-3-27-0 194,900 320,000 RJ
0406R0050619V000272 Z-3-27-0 194,900 250,000 RJ
0406R0050619V000299 Z-3-27-0 194,900 320,000 RJ
0406R0050619V000279 Z-3-27-0 194,900 320,000 RJ
0406R0050619V000297 Z-3-25-0 314,100 250,000 RJ
0406R0050619V000285 Z-3-25-0 314,100 250,000 RJ
0406R0050619V000298 Z-3-25-0 314,100 250,000 RJ
0406R0050619V000292 Z-3-25-0 314,100 250,000 RJ
0406R0050619V000293 Z-3-25-0 314,100 250,000 RJ
0406R0050619V000291 Z-3-25-0 314,100 250,000 RJ
0406R0050619V000286 Z-3-25-0 314,100 250,000 RJ
0406R0050619V000287 Z-3-25-0 314,100 250,000 RJ
0406R0050619V000281 Z-3-23-0 582,100 250,000 RJ
0406R0050619V000289 Z-3-25-0 314,100 250,000 RJ
0406R0050619V000274 Z-3-25-0 314,100 250,000 RJ
0406R0050619V000273 Z-3-25-0 314,100 250,000 RJ
0406R0050619V000300 Z-3-25-0 314,100 250,000 RJ
0406R0050619V000268 Z-3-25-0 314,100 250,000 RJ
0406R0050619V000295 Z-3-25-0 314,100 250,000 RJ
0406R0050619V000294 Z-3-25-0 314,100 250,000 RJ
0406R0050619V000309 Z-3-27-0 194,900 320,000 RJ
0406R0050619V000332 Z-3-27-0 194,900 320,000 RJ
0406R0050619V000330 Z-3-27-0 194,900 320,000 RJ
0406R0050619V000331 Z-3-27-0 194,900 320,000 RJ
0406R0050619V000310 Z-3-27-0 194,900 320,000 RJ
0406R0050619V000312 Z-3-27-0 194,900 320,000 RJ
0406R0050619V000311 Z-3-27-0 194,900 320,000 RJ
0406R0050619V000306 Z-3-27-0 194,900 320,000 RJ
0406R0050619V000308 Z-3-27-0 194,900 320,000 RJ
0406R0050619V000321 Z-3-25-0 314,100 250,000 RJ
0406R0050619V000307 Z-3-25-0 314,100 250,000 RJ
0406R0050619V000326 Z-3-25-0 314,100 250,000 RJ
0406R0050619V000327 Z-3-25-0 314,100 250,000 RJ

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0406R0050619V000329 Z-3-25-0 314,100 250,000 RJ

0406R0050619V000334 Z-3-25-0 314,100 250,000 RJ
0406R0050619V000333 Z-3-25-0 314,100 250,000 RJ
0406R0050619V000328 Z-3-25-0 314,100 250,000 RJ
0406R0050619V000322 Z-3-23-0 582,100 250,000 RJ
0406R0050619V000324 Z-3-25-0 314,100 250,000 RJ
0406R0050619V000323 Z-3-23-0 582,100 250,000 RJ
0406R0050619V000325 Z-3-25-0 314,100 250,000 RJ
0406R0050619V000346 Z-3-25-0 314,100 250,000 RJ
0406R0050619V000351 Z-3-25-0 314,100 250,000 RJ
0406R0050619V000349 Z-3-25-0 314,100 250,000 RJ
0406R0050619V000345 Z-3-25-0 314,100 250,000 RJ
0406R0050619V000344 Z-3-25-0 314,100 250,000 RJ
0406R0050619V000352 Z-3-25-0 314,100 250,000 RJ
0406R0050619V000353 Z-3-25-0 314,100 250,000 RJ
0406R0050619V000347 Z-3-25-0 314,100 250,000 RJ
0406R0050619V000355 Z-3-27-0 194,900 320,000 RJ
0406R0050619V000356 Z-3-27-0 194,900 320,000 RJ
0406R0050619V000358 Z-3-27-0 194,900 320,000 RJ
0406R0050619V000359 Z-3-27-0 194,900 320,000 RJ
0406R0050619V000357 Z-3-27-0 194,900 320,000 RJ
0406R0050619V000362 Z-3-25-0 314,100 250,000 RJ
0406R0050619V000360 Z-3-25-0 314,100 250,000 RJ
0406R0050619V000411 Q-5-26-0 203,900 250,000 RJ
0406R0050619V000373 Z-3-27-0 194,900 320,000 RJ
0406R0050619V000408 Z-3-27-0 194,900 320,000 RJ
0406R0050619V000406 Z-3-27-0 194,900 320,000 RJ
0406R0050619V000381 Z-3-27-0 194,900 320,000 RJ
0406R0050619V000390 Z-3-27-0 194,900 320,000 RJ
0406R0050619V000400 Z-3-25-0 314,100 250,000 RJ
0406R0050619V000387 Z-3-25-0 314,100 250,000 RJ
0406R0050619V000388 Z-3-25-0 314,100 250,000 RJ
0406R0050619V000385 Z-3-25-0 314,100 250,000 RJ
0406R0050619V000397 Z-3-25-0 314,100 250,000 RJ
0406R0050619V000393 Z-3-25-0 314,100 250,000 RJ
0406R0050619V000407 Z-3-25-0 314,100 250,000 RJ
0406R0050619V000392 Z-3-25-0 314,100 250,000 RJ
0406R0050619V000389 Z-3-25-0 314,100 250,000 RJ
0406R0050619V000401 Z-3-25-0 314,100 250,000 RJ
0406R0050619V000384 Z-3-25-0 314,100 250,000 RJ
0406R0050619V000371 Z-3-25-0 314,100 250,000 RJ
0406R0050619V000399 Z-3-25-0 314,100 250,000 RJ
0406R0050619V000383 Z-3-25-0 314,100 250,000 RJ
0406R0050619V000386 Z-3-25-0 314,100 250,000 RJ
0406R0050619V000404 Z-3-25-0 314,100 250,000 RJ
0406R0050619V000382 Z-3-25-0 314,100 250,000 RJ
0406R0050619V000403 Z-3-25-0 314,100 250,000 RJ
0406R0050619V000395 Z-3-25-0 314,100 250,000 RJ
0406R0050619V000409 Z-3-25-0 314,100 250,000 RJ
0406R0050619V000394 Z-3-23-0 582,100 250,000 RJ
0406R0050619V000402 Z-3-25-0 314,100 250,000 RJ
0406R0050619V000372 Z-3-25-0 314,100 250,000 RJ
0406R0050619V000414 Z-3-25-0 314,100 250,000 RJ

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0406R0050619V000413 Z-3-25-0 314,100 250,000 RJ

0406R0050619V000412 Z-3-25-0 314,100 250,000 RJ
0406R0050619V000415 Z-3-25-0 314,100 250,000 RJ
0406R0050619V000410 Z-3-27-0 194,900 200,000 RJ
0406R0050619V000440 Q-5-44-0 192,100 250,000 RJ
0406R0050619V000427 Z-3-27-0 194,900 320,000 RJ
0406R0050619V000436 Z-3-27-0 194,900 320,000 RJ
0406R0050619V000439 Z-3-27-0 194,900 320,000 RJ
0406R0050619V000438 Z-3-27-0 194,900 320,000 RJ
0406R0050619V000437 Z-3-27-0 194,900 320,000 RJ
0406R0050619V000426 Z-3-25-0 314,100 250,000 RJ
0406R0050619V000428 Z-3-25-0 314,100 250,000 RJ
0406R0050619V000432 Z-3-25-0 314,100 250,000 RJ
0406R0050619V000429 Z-3-25-0 314,100 250,000 RJ
0406R0050619V000425 Z-3-27-0 194,900 320,000 RJ
0406R0050619V000461 Q-5-44-0 192,100 250,000 RJ
0406R0050619V000451 Z-3-27-0 194,900 320,000 RJ
0406R0050619V000453 Z-3-27-0 194,900 320,000 RJ
0406R0050619V000449 Z-3-25-0 314,100 250,000 RJ
0406R0050619V000458 Z-3-25-0 314,100 250,000 RJ
0406R0050619V000460 Z-3-25-0 314,100 250,000 RJ
0406R0050619V000450 Z-3-25-0 314,100 250,000 RJ
0406R0050619V000452 Z-3-25-0 314,100 250,000 RJ
0406R0050619V000463 Z-3-25-0 314,100 250,000 RJ
0406R0050619V000462 Z-3-25-0 314,100 250,000 RJ
0406R0050619V000455 Z-3-25-0 314,100 250,000 RJ
0406R0050619V000454 Z-3-25-0 314,100 250,000 RJ
0406R0050619V000499 Z-3-25-0 314,100 250,000 RJ
0406R0050619V000500 Z-3-25-0 314,100 250,000 RJ
0406R0050619V000481 Z-3-25-0 314,100 250,000 RJ
0406R0050619V000474 Z-3-25-0 314,100 250,000 RJ
0406R0050619V000490 Z-3-25-0 314,100 250,000 RJ
0406R0050619V000483 Z-3-25-0 314,100 250,000 RJ
0406R0050619V000494 Z-3-25-0 314,100 250,000 RJ
0406R0050619V000482 Z-3-25-0 314,100 250,000 RJ
0406R0050619V000493 Z-3-25-0 314,100 250,000 RJ
0406R0050619V000484 Z-3-27-0 194,900 320,000 RJ
0406R0050619V000489 Z-3-27-0 194,900 320,000 RJ
0406R0050619V000473 Z-3-27-0 194,900 320,000 RJ
0406R0050619V000485 Z-3-27-0 194,900 320,000 RJ
0406R0050619V000476 Z-3-27-0 194,900 320,000 RJ
0406R0050619V000475 Z-3-27-0 194,900 320,000 RJ
0406R0050619V000496 Z-3-27-0 194,900 320,000 RJ
0406R0050619V000495 Z-3-27-0 194,900 320,000 RJ
0406R0050619V000487 Z-3-27-0 194,900 320,000 RJ
0406R0050619V000486 Z-3-27-0 194,900 320,000 RJ
0406R0050619V000509 Z-3-25-0 314,100 250,000 RJ
0406R0050619V000517 Z-3-25-0 314,100 250,000 RJ
0406R0050619V000520 Z-3-25-0 314,100 250,000 RJ
0406R0050619V000516 Z-3-25-0 314,100 250,000 RJ
0406R0050619V000502 Z-3-25-0 314,100 250,000 RJ
0406R0050619V000506 Z-3-25-0 314,100 250,000 RJ
0406R0050619V000508 Z-3-25-0 314,100 250,000 RJ

Page 12
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0406R0050619V000507 Z-3-25-0 314,100 250,000 RJ

0406R0050619V000522 Z-3-25-0 314,100 250,000 RJ
0406R0050619V000518 Z-3-27-0 194,900 320,000 RJ
0406R0050619V000519 Z-3-27-0 194,900 320,000 RJ
0406R0050619V000541 Z-3-25-0 314,100 250,000 RJ
0406R0050619V000533 Z-3-25-0 314,100 250,000 RJ
0406R0050619V000529 Z-3-23-0 582,100 250,000 RJ
0406R0050619V000548 Z-3-27-0 194,900 320,000 RJ
0406R0050619V000546 Z-3-27-0 194,900 320,000 RJ
0406R0050619V000589 Z-3-25-0 314,100 250,000 RJ
0406R0050619V000585 Z-3-25-0 314,100 250,000 RJ
0406R0050619V000579 Z-3-25-0 314,100 250,000 RJ
0406R0050619V000575 Z-3-23-0 582,100 25,000 RJ
0406R0050619V000570 Z-3-25-0 314,100 250,000 RJ
0406R0050619V000584 Z-3-25-0 314,100 250,000 RJ
0406R0050619V000574 Z-3-25-0 314,100 250,000 RJ
0406R0050619V000571 Z-3-25-0 314,100 250,000 RJ
0406R0050619V000577 Z-3-27-0 194,900 320,000 RJ
0406R0050619V000582 Z-3-27-0 194,900 320,000 RJ
0406R0050619V000586 Z-3-27-0 194,900 320,000 RJ
0406R0050619V000587 Z-3-27-0 194,900 320,000 RJ
0406R0050619V000578 Z-3-27-0 194,900 320,000 RJ
0406R0050619V000581 Z-3-27-0 194,900 320,000 RJ
0406R0050619V000580 Z-3-27-0 194,900 320,000 RJ
0406R0050619V000576 Z-3-27-0 194,900 320,000 RJ
0406R0050619V000591 Z-3-27-0 194,900 320,000 RJ
0406R0050619V000590 Z-3-27-0 194,900 320,000 RJ
0406R0050619V000553 Z-3-27-0 194,900 320,000 RJ
0406R0050619V000583 Z-3-23-0 582,100 250,000 RJ
0406R0050619V000613 Z-3-23-0 582,100 250,000 RJ
0406R0050619V000610 Z-3-25-0 314,100 250,000 RJ
0406R0050619V000609 Z-3-25-0 314,100 250,000 RJ
0406R0050619V000615 Z-3-25-0 314,100 250,000 RJ
0406R0050619V000616 Z-3-23-0 582,100 250,000 RJ
0406R0050619V000607 Z-3-23-0 582,100 250,000 RJ
0406R0050619V000608 Z-3-23-0 582,100 250,000 RJ
0406R0050619V000606 Z-3-25-0 314,100 250,000 RJ
0406R0050619V000622 Z-3-25-0 314,100 250,000 RJ
0406R0050619V000621 Z-3-25-0 314,100 250,000 RJ
0406R0050619V000605 Z-3-25-0 314,100 250,000 RJ
0406R0050619V000617 Q-5-42-0 193,500 250,000 RJ
0406R0050619V000618 Q-5-42-0 193,500 250,000 RJ
0406R0050619V000620 Z-3-27-0 194,900 320,000 RJ
0406R0050619V000612 Z-3-27-0 194,900 320,000 RJ
0406R0050619V000611 Z-3-27-0 194,900 320,000 RJ
0406R0050619V000602 Z-3-27-0 194,900 320,000 RJ
0406R0050619V000601 Z-3-27-0 194,900 320,000 RJ
0406R0050619V000619 Z-3-27-0 194,900 320,000 RJ
0406R0050619V000628 Z-3-27-0 194,900 320,000 RJ
0406R0050619V000630 Z-3-27-0 194,900 320,000 RJ
0406R0050619V000631 Z-3-27-0 194,900 320,000 RJ
0406R0050619V000633 Z-3-25-0 314,100 250,000 RJ
0406R0050619V000627 Z-3-25-0 314,100 250,000 RJ

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0406R0050619V000632 Z-3-25-0 314,100 250,000 RJ

0406R0050619V000635 Z-3-25-0 314,100 250,000 RJ
0406R0050619V000634 Z-3-25-0 314,100 250,000 RJ
0406R0050619V000647 Z-3-27-0 194,900 320,000 RJ
0406R0050619V000646 Z-3-27-0 194,900 320,000 RJ
0406R0050619V000648 Z-3-27-0 194,900 320,000 RJ
0406R0050619V000644 Z-3-25-0 314,100 250,000 RJ
0406R0050619V000642 Z-3-25-0 314,100 250,000 RJ
0406R0050619V000645 Z-3-25-0 314,100 250,000 RJ
0406R0050619V000651 Z-3-23-0 582,100 250,000 RJ
0406R0050619V000654 Z-3-25-0 314,100 250,000 RJ
0406R0050619V000655 Z-3-25-0 314,100 250,000 RJ
0406R0050619V000653 Z-3-25-0 314,100 250,000 RJ
0406R0050619V000649 Z-3-25-0 314,100 250,000 RJ
0406R0050619V000650 Q-5-42-0 193,500 250,000 RJ
0406R0050619V000652 Q-5-42-0 193,500 250,000 RJ
0406R0050619V000675 Z-3-27-0 194,900 320,000 RJ
0406R0050619V000670 Z-3-27-0 194,900 320,000 RJ
0406R0050619V000682 Z-3-27-0 194,900 320,000 RJ
0406R0050619V000663 Z-3-27-0 194,900 320,000 RJ
0406R0050619V000660 Z-3-27-0 194,900 320,000 RJ
0406R0050619V000659 Z-3-27-0 194,900 320,000 RJ
0406R0050619V000661 Z-3-27-0 194,900 320,000 RJ
0406R0050619V000668 Z-3-27-0 194,900 320,000 RJ
0406R0050619V000677 Z-3-27-0 194,900 320,000 RJ
0406R0050619V000685 Z-3-25-0 314,100 250,000 RJ
0406R0050619V000684 Z-3-25-0 314,100 250,000 RJ
0406R0050619V000673 Z-3-25-0 314,100 250,000 RJ
0406R0050619V000669 Z-3-25-0 314,100 250,000 RJ
0406R0050619V000679 Z-3-25-0 314,100 250,000 RJ
0406R0050619V000681 Z-3-25-0 314,100 250,000 RJ
0406R0050619V000680 Z-3-25-0 314,100 250,000 RJ
0406R0050619V000667 Z-3-25-0 314,100 250,000 RJ
0406R0050619V000678 Z-3-25-0 314,100 250,000 RJ
0406R0050619V000666 Z-3-25-0 314,100 250,000 RJ
0406R0050619V000664 Z-3-25-0 314,100 250,000 RJ
0406R0050619V000665 Z-3-25-0 314,100 250,000 RJ
0406R0050619V000672 Z-3-25-0 314,100 250,000 RJ
0406R0050619V000706 Z-3-27-0 194,900 320,000 RJ
0406R0050619V000703 Z-3-27-0 194,900 320,000 RJ
0406R0050619V000696 Z-3-27-0 194,900 320,000 RJ
0406R0050619V000701 Z-3-27-0 194,900 320,000 RJ
0406R0050619V000698 Z-3-27-0 194,900 320,000 RJ
0406R0050619V000700 Z-3-27-0 194,900 320,000 RJ
0406R0050619V000697 Z-3-27-0 194,900 320,000 RJ
0406R0050619V000702 Z-3-27-0 194,900 320,000 RJ
0406R0050619V000695 Z-3-25-0 314,100 250,000 RJ
0406R0050619V000699 Z-3-25-0 314,100 250,000 RJ
100,513,600 99,030,000

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