Master Format 37 Rev 3.0 - BLUEPAY - 2019

00006020 - FORMAT 37 KOLOM
MASTER
tonn 3173010901100008
Active 172
Resign 26
BLUEPAY 208
NIK IBU
No No BPJS KANDUNG NAMA IBU KANDUNG No KK NIK/KITAS /KITAP
1 0001647347354 3175031401098843 3175031110971001

2 0002232373432 33052643046SULASMI 3305262302074612 3305265009940001
3 0002355916263 ADMI 3302030302053923 3302032602820002
4 0002355915418 SARNIAH 3603181606090075 3603181503820001
5 0002355945941 SUMINI 3603181606090075 3603184612860002
6 0002355945963 ETIK MULYANI 3603181606090075 3603187112070002
7 0002355945952 ETIK MULYANI 3603181606090075 3603185305150003
8 0002080735097 SANAH 3603182908160060 3603182107870006
9 0002080735481 DARWI 3603182908160060 3603186106910019
10 0002080735918 HAMIDAH 3603182908160060 3603180509100001
11 0002488303552 HAMIDAH 3603182908160060 3603185111160004
12 0001335469803 TUMINI 3175071507111076 3303120212810002
13 0001335471276 3175071507111076 3175076811860005
14 0002202404275 3175071507111076 3175075008111004
15 0002422422731 3175071507111076 3175070609170005
16 0001311997127 MUTMAINAH 3174030501098311 3174030806830001
17 0001906213555 NUNUNG SUINAH 3174030501098311 3174036803850004
18 0001906214354 RATNA SARI DEWI 3174030501098311 3174035710070002
19 0001906215456 RATNA SARI DEWI 3174030501098311 3174036108111004
20 0002092125701 RATNA SARI DEWI 3174030501098311 3174035110160004
21 0002356040856 36032860067UMIYATI 3603281811100010 3603280305960005
22 0001625593127 RASNIITI 3172040901094157 3172042810940010
23 0002356387997 32011347086HJ AMINAH SUHENDA 3201132501130012 3201130812910001
24 0002356549852 32760747077NURMAYANI 3276070802130017 3276074104980004
25 0002356550109 32761161086KARTINI 327 611 221 110 00043276110711940001
26 0002356549839 PUTRIYAH 3276011311170020 3276012510860009
27 0002477512012 IYAH 3276011311170020 3604294903940003
28 0002477512293 MITA 3276011311170020 3276012811170005
29 0002141336092 YUSNIDA 3173040901094080 3173046804950001
30 0001459390904 VONNA 3171073003110026 3171075308971001
31 0001645903247 36710345097JAMILAH 3671031409070091 3671036103980002
32 0001636117503 HAIRIYAH 3171052011880003 3171052011880003
33 0001636117514 3171052011880003 3171055403860001
34 0001636117525 3171052011880003 3171052412080004
35 0001636117536 3171052011880003 3171054709131001
36 0001774550744 SRI IRIYANTI 3175030901091230 3175036606980010
37 0001173834922 31741055106DEDEH DARTINI 3174102308110004 3174105804980007
38 0001813628283 31720358024EMI 3172032201094220 3172031608850005
39 0002141096523 17021950077SUHARNA 1702192209120004 1702195510950002
40 0002357345586 WAGINAH 3202222605120144 3202224806920006
41 0001205679969 ROSADAH 3171014301940002 3171014301940002
42 0001291817351 MUJIEM 3172031501091252 3172032706840002
43 0001390196564 ANDRIYATI 3172063009111016 3172062009850001
44 0001390197238 YENI NUR AIN 3172063009111016 3171026002880001
45 0001390198509 YENI NUR AIN 3172063009111016 3172062203121001
46 0001390538351 YENI NUR AIN 3172063009111016 3172064708141006
47 0002358694146 YENI NUR AIN 3172063009111016 3172062912170006
48 0002335388837 JAYANTI 3173060601095636 3173060209980001
49 0002340246475 NIA 3175030108170005 3175030309800010
50 0001468006806 NARSIYEM 3175030108170005 3304105507750002
51 0001468006795 RUMINAH 3175030108170005 3304105705120002
52 0001965432971 RUMINAH 3175030108170005 3304101811140002
53 0001615055229 KASLIYAH 3174100503151010 3327140208970006
54 0001300955196 FATMA NUSI 3174032202100022 3174033101820005
55 0002254628103 WARKIAH 3174032202100022 3329014101840008
56 0001300956434 NUNUNG NURJANAH 3174032202100022 3174031802100001
57 0001300956838 NUNUNG NURJANAH 3174032202100022 3174032009121002
58 0002136886874 NUNUNG NURJANAH 3174032202100022 3174036707170002
59 0002269675653 NUNUNG NURJANAH 3174032202100022 3329015308010003
60 0001301343164 SUMIATI 3171041001092171 3171041110960002
61 0001224185793 UMMAYAH 3172035909970017 3172035909970017
62 0001737391948 SRI SUPRAPTI 3275110205120010 3275011904800025
63 0001715957379 HJ, SITI MOELYANI 3175072501096583 3275082911780010
64 0001129199905 HJ. MA'AH 3276031909810008 3276031909810008
65 0001177526463 3276031909810008 3276036512860012
66 0001177526474 3276031909810008 3276031909810008
67 0001177526485 3276031909810008 3276031909810008
68 0002096789433 DAISANAH 3603050207090004 3603055704940001
69 0002100155253 DEDE HAMIDAH 3205102311070974 3205105105930002
70 0001424427074 MULYANAH 3173041601094644 3173040511910008
71 0001727026413 ASNURI 3175070701097647 3175076904990005
72 0001662414671 32720141017NENI NURAISAH 3272010405070004 3272015202990021
73 0000977632457 3175035408990004 3175035408990004
74 0001473481899 NURHUSNAH 3603283012100014 3603280611990006
75 0002056454098 FATMAWATI 3276010707140016 3174094107990007
76 0002144316611 ANA 3201122709160019 3201121010880010
77 0002144316622 ANA 3201122709160019 3201126410150002
78 0002357911113 ALIAH 3276012507180024 3276011903880008
79 0002779716284 3276012507180024 3276016809180001
80 0000348405153 RINA ANGGRAENI 1802162505050391 1802162405980001
81 0000378501254 HENNY ROSITA 3172042101097079 3172041108950004
82 0002140420421 FAIRUS 3175020706170031 3202286309960001
83 0002356606214 HJ.ERNIH 3674060703161032 3674060403890005
84 0002144865194 3674060703161032 3674064911910005
85 0002616925612 3674060703161032 3674060910091001
86 0002750978351 3674060703161032 3674060703161032
87 0002007163776 ILAH ROSILAH 3604061102073804 3604061803900001
88 0002357461541 RIATI 1802080905110012 1802080409970002
89 0002509581879 EVA ARIYANTI 3175060410131011 3175060410920001
90 0001737278054 LIKSANA 3172050901094871 3172051609931002
91 0002097714993 3671111010130004 3671116505940014
92 0001770020133 3276050209100003 3276050801920011
93 0001835241333 3275031104070293 3275036506920025
94 0001774183882 3175031701092543 3175030810970003
95 0001326854711 HJ. SITTI NAISYAH 7171020412170008 9101010404840019
96 0001326857332 HALIMAH LAMANI 7171020412170008 9101015909940007
97 0001326858895 SRI LASMINI SYAM 7171020412170008 9101015101120004
98 0001811611113 SRI LASMINI SYAM 7171020412170008 9101012812140001
99 0000500496129 3271011902090029 3271015108980006
100 0000814560118 3671121008150010 3671121601000003
101 0002510188727 3671120908070026 3671121006960005
102 0002510188705 3501031102100105 3501030310820001
103 0002774686645 3501031102100105 3501036606840001
104 0002774686858 3501031102100105 3501034706060002
105 0002575151324 3315042205990005 3315042205990005
106 0002057904009 1801155001990002 1801155001990002
107 0002510188683 MUTINAH 3304011309180006 3302011508800004
108 0002752831732 33040141076KANISAH 3304011309180006 3304014908870003
109 0002752831877 33040149088KARTINI 3304011309180006 3304010707170001
110 0000378475323 3172041001097354 3172040811930005
111 0001277272359 3175052609131022 3175054203890003
112 0002510936515 3175072110110006 3175072112910004
113 0002749945961 3603182304180008 3273060609810003
114 0001736501207 3201011010131018 3201012907880004
115 0001736501218 3201011010131018 3201012101120012
116 0001520321872 3273223009100278 3273221404800002
117 0001520321883 3273223009100278 3273226710840003
118 0001520321894 3273223009100278 3273221908050002
119 0001520321905 3273223009100278 3273222201140001
120 0001636701164 NISEM F 3201101206170011 3201102909850001
121 0002086101494 TOTIH 3201101206170011 3276027108920005
122 0002433255355 NUR ANNISA 3201101206170011 3201100607170003
123 0000269351032 1277022707940002 1277022707940002
124 0001803552377 3174012610170023 3174010412860010
125 0002511387843 3174050307110001 3174050502910003
126 0001406614274 3175061709980013 3175061709980013
127 0002340302444 3175030704850003 3175030704850003
128 0001883483741 3173031909941002 3173031909941002
129 0002244680853 3212150803120009 3212152011880001
130 0002244681527 3212150803120009 3212156201850005
131 0002255683959 3212150803120009 3175075906170001
132 0001378906334 3216020601120015 3216022403940002
133 0001623983837 3216020601120015 3216024606970013
134 0002463031708 3216020601120015 3216024804170004
135 0001637814857 3172031907100030 3172030807930008
136 0001157147403 3175022611980007 3175022611980007
137 0001840157425 3209100501090339 3209101110930006
138 0002266955256 3209100501090339 3209104301170003
139 0001463766041 SITI JULAEHA 3273300708150003 3273042407920001
140 0002438878498 MELSA IRMA NANDA 3273300708150003 3273301111130002
141 0002136683902 3275010812140016 3275012404900010
142 0001608806891 3276011611070130 3276012710970005
143 0002511896725 EMAH 3216192604120072 3216191203860006
144 0002511897592 TITI 3216192604120072 3216194705890009
145 0002511897603 AI SITI MAESAROH 3216192604120072 3216197108090003
146 0000309631601 1603120501980002 1603120501980002
147 0002277126562 3171070303160004 1812020509940008
148 0002277127157 3171070303160004 3205316805920002
149 0002277128103 3171070303160004 3171072105160002
150 0002746444228 3273131910960004 3273131910960004
151 0000504654546 KOKOM KOMALA 3273032205180014 3273251506890001
152 0002102107353 3216111912910002 3216111912910002
153 0001744016139 3275022408920015 3275022408920015
154 0001257072928 3275120202130002 3275121308810002
155 0001257073154 3275120202130002 3275126612820007
156 0002203726364 3275120202130002 3275124405090006
157 0002203726386 3275120202130002 3275121706130002
158 0002744596776 3275083003100008 3275080210970018
159 0001641428853 3671072412080039 3671070106840008
160 0001641428875 3671072412080039 3671074604810007
161 0001641428897 3671072412080039 3671070412080001
162 0001893116259 3671072412080039 3671070503140006
163 0001893116711 3671072412080039 3671070503140007
164 0001482586007 1471091606970021 1471091606970021
165 0002463282674 3273051301930011 3273051301930011
166 0002076863444 ETIH SUSANTI 3207192907910004 3207192907910004
167 0001314138115 3603192606860001 3603192606860001
168 0001222538804 3275011205160005 3173070906870002
169 0001609358141 3275011205160005 3172025708931003
170 0002224895409 3275011205160005 3275011205160005
171 0001462109477 3216020309960014 3216020309960014
172 0002089720967 3275066904940025 3275066904940025
173 0002597775704 3215121108070089 3215121212940001
174 0002601613337 3215121108070089 3215124901100004
175 0001210518573 ZAIFA NUR 3174045801950008 3174045801950008
176 0002143975162 32091655067NENI SUMARNI 3209160411130003 3209166007960008
177 0001284105543 SYAMSUNIAR 3171072001091991 3171075703950007
178 0002330434383 SUHARTI 3172010302093042 3172016407930006
179 0001221810153 KONAAH 3173072904151007 3173075302960004
180 0002136875253 DJUHRIYAH 3174100701094844 3174100708900001
181 0002342154036 DJUMIRAH 3175071209141046 3275080111720026
182 0002482374802 EUIS FATMAWATI 3272010708060004 3272015605990001
183 0001193495444 SUMIRAH 3172046306931002 3172046306931002
184 0001403765627 SEKAR WATI 1803102406110004 1803105905930005
185 0002184099704 ANI YULIANI 3272011206140002 3272015701930001
186 0000449769879 SUKARTI 3209091406080005 3209094912990003
187 0001741822795 HASANAH 3206242708057213 3206241806900002
188 0000589042877 SUMILAH 3276091702120005 3318132809900001
189 0002509581892 SAODAH BUSTAMI 1271100902060034 1271100606900003
190 0001789114307 1301072512070031 1301072409930002
191 0001889333627 3175080801111008 3173054902000002
192 0001440559798 3173021609160018 3173026811920005
193 0002616058664 1805230708940002 1805230708940002
194 0001656587259 6112012401940008 6112012401940008
195 0001745138046 3173040506170013 3173044301950009
196 0001212757457 3174042908170008 3174040105910001
197 0002450565123 3174042908170008 3174041101180002
198 0002764692663 3275062812150019 3275060412890015
199 0001099819912 3671081506910002 3671081506910002
200 0001835992743 3213141301810009 3213141301810009
201 3327040203910004 3327040203910004
202 0001164489175 3275063112920011 3275063112920011
203 0001667047184 3327081408930001 3327081408930001
204 3216022312970012 3216022312970012
205 0001809973315 3671010505920006 3671010505920006
206 0001809975251 3671055503890010 3671055503890010
207 3671056304150002 3671056304150002
208 3174051703930007 3174051703930007
tonn
0
Jenis Status
Nama Lengkap HUBKEL Tempat Lahir Tanggal Lahir Kelamin Kawin Alamat Tempat Tinggal RT
NAOVAL REAYNALDI 1 INDRAMAYU 11/10/1997 1 1 JL. PANCA WARGA II NO 24 004

AISAH SHOLIHATUN 1 JAKARTA 10/Sep/1994 2 1 DK. PEKALONGAN 001
SITO 1 BANYUMAS 26/Feb/1982 1 2 CIKUPA 002
ENCEP KHAERUDIN 1 LEBAK 15/Mar/1982 1 2 KP CIKUPA 004
ETIK MULYANI 3 SEMARANG 12/Jun/1986 2 2 KP CIKUPA 004
BELLA PUTRI ARYANI 4 TANGERANG 31/Dec/2007 2 1 KP CIKUPA 004
ALYA DEWINA MARYAM 4 TANGERANG 03/May/2015 2 1 KP CIKUPA 004
SUHENDI 1 TANGERANG 21/04/1987 1 2 KP PALAHLAR 004
HAMIDAH 3 TANGERANG 21/06/1991 2 2 KP PALAHLAR 004
M.ILHAM SEPTIAN 4 TANGERANG 09/May/2010 1 1 KP PALAHLAR 004
ALESHA ZAHRA NOVIANI 4 TANGERANG 11/Nov/2016 2 1 KP PALAHLAR 004
SULASMUN 1 PURBALINGGA 12/Feb/1981 1 2 JLN.KIMIA FARMA II 006
DARMAYANTI 3 PEMALANG 28/Nov/1986 2 2 JLN.KIMIA FARMA II 006
SHIFA NAURA ZHAFIRAH 4 JAKARTA 10/Aug/2011 2 1 JLN.KIMIA FARMA II 006
ARVINO ZA YN KHALIF 4 JAKARTA 06/Sep/2017 1 1 JLN.KIMIA FARMA II 006
HARIS HANANTO 1 PURWOKERTO 08/Jun/1983 1 2 PERUM CITRA INDAH CITY, B 012
RATNA SARI DEWI 3 JAKARTA 28/Mar/1985 2 2 PERUM CITRA INDAH CITY, B 012
ADINDA AYU ROSALINA 4 JAKARTA 17/Oct/2007 2 1 PERUM CITRA INDAH CITY, B 012
HAIRA RIZKY ALFITRIYANI 4 JAKARTA 21/Aug/2011 2 1 PERUM CITRA INDAH CITY, B 012
CHAERUNNISA SALSABILA PUT 4 BOGOR 11/Oct/2016 2 1 PERUM CITRA INDAH CITY, B 012
NANDA 1 TANGGERANG 05/Mar/1996 1 1 KP.ANGGRIS 001
DICKY DARMAWAAN 1 JAKARTA 28/10/1994 1 1 JLN.BHAKTI RAYA CILINCING 011
INDRA RESTU GUMILAR 1 JAKARTA 12/Aug/1991 1 1 KP BOJONGGEDE 002
NURUL APRIYANI 1 DEPOK 04/01/1998 2 1 JL SITU ASIH KP. PULO 002
AL GERI 1 BOGOR 11/07/1994 1 1 JL.MANDOR TADJIR NO 12 001
OKIS MUKHLISIN 1 JAKARTA 25/10/1986 1 2 KP. PANCORAN MAS 002
MITA 3 SERANG 03/09/1994 2 2 KP. PANCORAN MAS 002
MUHAMMAD ARIF MAULANA 4 SERANG 28/11/2017 1 1 KP. PANCORAN MAS 002
AZMELIA 1 JAKARTA 28/Apr/1995 1 1 JL .SAWAH LIO 4 004
AGNESIA MAULIDINA IGIRISA 1 TANGERANG 13/Aug/1997 2 1 JALAN KEBON PALA III NO. 1 008
RESSA SYAFFA RISQIA 1 TANGERANG 21/03/1998 2 1 JL. KH MAULANA HASANUDI 002
ANDRA KURNIA 1 PS MUARA SIAU 20/11/1988 1 2 CEMPAKA PUTIH BARAT XIX 014
MARDIANI 3 JAKARTA 14/03/1986 2 2 CEMPAKA PUTIH BARAT XIX 014
UMMA PUTRA DIANDRA 4 JAKARTA 24/12/2009 1 1 CEMPAKA PUTIH BARAT XIX 014
KALILA DALVA DIANDRA 4 JAKARTA 09/Jul/2013 2 1 CEMPAKA PUTIH BARAT XIX 014
RINA JUNITA DEWI 1 JAKARTA 26/06/1998 2 1 JL KEBON SAYUR 1 JAKTIM 010
CICILIA APRILIYANI S 1 CIMAHI 18/04/1998 2 1 JL. M. SAIDI 006
AGUS MULYONO 1 JAKARTA 16/08/1985 1 2 JL. MANDIRI 1 003
ERLINA OKTA SUSANTI 1 CURUP 15/10/1995 2 1 GG. CANGKIR 002
LILIH SHOBARIAH SHOLEHAH 1 SUKABUMI 08/Jun/1998 2 1 KP. CIEMAS 004
MEVY ISNAINI 1 JAKARTA 03/Jan/1994 2 1 JL. SETIAKAWAN UJUNG SINY 005
RUDI YANTO 1 JAKARTA 27/Jun/1984 1 1 KM.MANGGA RT.008/02 NO.6 008
YUSUF ARYOSETO 1 JAKARTA 20/Sep/1985 1 2 JL. TANGGUH V NO. 15 RT. 011
YENI NUR AIN 3 JAKARTA 20/Feb/1988 2 2 JL. TANGGUH V NO. 15 RT. 011
FAKHRI ARYO DJUFAND 4 JAKARTA 22/Mar/2012 1 1 JL. TANGGUH V NO. 15 RT. 011
FRESTYANI ANDRIKA ARYOSET 4 JAKARTA 07/08/2014 2 1 JL. TANGGUH V NO. 15 011
FAIQA ARYANI MAULIDA 4 JAKARTA 29/Dec/2017 1 1 JL. TANGGUH V NO. 15 RT. 011
SYARIF HIDAYATULLAH 1 JAKARTA 02/Sep/1998 1 1 SEMANAN KALIDERES RT.006 006
YAYAN SOPIAN 1 GARUT 03/Sep/1980 1 1 KP. JEMBATAN RT 005 RW 0 005
RUMINAH 3 BANJARNEGARA 15/Jul/1975 2 2 LINGGASARI 001
RAJNITYA LAILANI 4 BANJARNEGARA 17/May/2012 2 1 LINGGASARI 001
ABDUL RASYID 4 BANJARNEGARA 18/Nov/2018 1 1 LINGGASARI 001
IRFAN MAULANA 1 PEMALANG 02/Aug/1997 1 1 JL.SAKTI RAYA NO. 46 RT. 005
ISHAK LANTOWA 1 KWANDANG 31/Jan/1982 1 2 JL. BANGKA I D NO.10 009
NUNUNG NURJANAH 3 BREBES 01/Jan/1984 2 2 JL. BANGKA I D NO.10 009
NAZRIEL PRATAMA LANTOWA 4 JAKARTA 18/Feb/2010 1 1 JL. BANGKA I D NO.10 009
ADITYA PUTRA LANTOWA 4 JAKARTA 20/Sep/2012 1 1 JL. BANGKA I D NO.10 009
ADELIA FARANISA LANTOWA 4 JAKARTA 27/Jul/2017 2 1 JL. BANGKA I D NO.10 009
ADILA PARAMITA LANTOWA 4 JAKARTA 27/Jul/2017 2 1 JL. BANGKA I D NO.10 009
TRI RACHMAD RAMADHAN 1 JAKARTA 11/Oct/1996 1 1 JL. KRAMAT SAWAH XII E.32 015
NUR AZIZAH 1 JAKARTA 19/Sep/1997 2 1 JL PLUMPANG SEMPER NO. 3 000
JOKO SUNARYO 1 TEMANGGUNG 19/Apr/1980 1 1 MUTIARA GADING TMR BLK F 008
PRADITYA ADHI WARDHANA 1 YOGYAKARTA 29/Nov/1978 1 2 JL. MANGGAR V BLOK G17 N 004
MAMUN 1 BOGOR 19/Sep/1981 1 2 GG. ASEM RT 003 RW 009 003
SUSI SUSANTI 3 BOGOR 25/Dec/1986 2 2 JL RAYA CINANGKA PARUNG 000
AUDRY SOVITHA CARLA 4 BOGOR 19/Aug/2004 2 1 JL RAYA CINANGKA PARUNG 000
AURIEL GHABRIEL FRICYLEA 4 BOGOR 09/Apr/2009 2 1 JL RAYA CINANGKA PARUNG 000
RISKY APRIANI 1 TANGERANG 17/Apr/1994 2 1 KAMPUNG CISOKA RT. 03 RW 003
LARAS ROSMAWATI 1 GARUT 11/05/1993 2 1 KP HAURKUNING 003
MUHAMAD AKBAR RIVAI 1 JAKARTA 05/Nov/1991 1 1 JL.DURIBARU RT006 RW 06 006
CHUSNUL CHOTIMAH APRILIA 1 JAKARTA 29/04/1999 2 1 JL KAMPUNG SUMUR 005
ANISA FEBRIYANI 1 SUKABUMI 02/Dec/1999 2 1 KP BABAKAN GARUNG 003
TIA AMRIANA HASRI 1 JAKARTA 14/Aug/1999 2 1 CIPINANG MUARA 009
MUHAMAD DWIKY SYAHPUTR 1 JAKARTA 06/Nov/1999 1 1 JL. EMPU PANULUH II NO.84 000
RATNA SUKMAWATI 1 JAKARTA 01/Jul/1999 2 1 KP. PULO RT 003/RW008 KE 003
ANDI 1 BOGOR 10/Oct/1989 1 2 KP SASAK RT 003 RW 008 K 003
ANDINI DWI OKTAVIANI 4 BOGOR 24/Oct/2015 2 1 KP SASAK RT 003 RW 008 K 003
LUCKY ANDRIAN 1 DEPOK 19/Mar/1988 1 2 KP. PITARA RT 005 RW 015 005
MAHIRA HASNA KAMILA 4 DEPOK 28/Sep/2018 2 1 KP. PITARA RT 005 RW 015 005
SURYA ANDRINO PANGESTU 1 SULUSUBAN 24/May/1998 1 1 KAMPUNG SULUSUBAN,KEC 000
MUHAMMAD MAULANA RAC 1 BENGKULU 11/Aug/1995 1 1 JL. ROROTAN IX W. KARYA B 001
DEVI PURNAMASARI 1 SUKABUMI 23/Sep/1996 2 1 CIPINANG JAGAL 003
HANAFI 1 TANGERANG 03/Apr/1989 1 2 JL.SWADAYA NO.35 003
NURUL FADILAH 3 TANGERANG 09/Nov/1991 2 2 JL.SWADAYA NO.35 003
AKBAR RIZA SAPUTRA 4 TANGERANG 09/Oct/2009 1 1 JL.SWADAYA NO.35 003
BAYI NYONYA NURUL FADILAH 4 TANGERANG 09/Mar/2019 2 1 JL.SWADAYA NO.35 003
RASMUDI 1 SERANG 18/Mar/1990 1 1 KP. SIBATU RT 007 RW 003 007
DODI SAPUTRA 1 REJOSARI 04/Sep/1997 1 1 DUSUN 3 014
OKTA RYAN SAPUTRA 1 JAKARTA 04/Oct/1992 1 1 PULO GEBANG RT 001 RW 0 001
DONI SEPTIAN 1 JAKARTA 16/Sep/1993 1 1 JL.BUDI MULIA 009
EVI ANDRIYANI 1 TANGERANG 25/May/1994 2 1 BOJONG 001
DERIYANTO 1 DEPOK 08/Jan/1992 1 1 JL. ARJUNA IV NO 223 RT 0 008
RIRIN JUNIARTI 1 BEKASI 25/Jun/1992 2 1 KP KARET RT 002 RW 001 KEL 006
AHMAD ANDRIANSYAH 1 JAKARTA 08/Oct/1997 1 1 CIPINANG MUARA RT 003 RW 003
ANDI ARFAN AMIER 1 UJUNG PANDANG 04/Apr/1984 1 2 JL. HASANUDIN NO 19 LING 000
SRI LASMINI SYAM 3 MANADO 19/Sep/1994 2 2 JL. HASANUDIN NO 19 LING 000
SYARIFAH SALSABILLA 4 MANADO 11/Jan/2012 2 1 JL. HASANUDIN NO 19 LING 000
ANDI MUHAMMAD SULAIMAN 4 MERAUKE 28/Dec/2014 1 1 JL. HASANUDIN NO 19 LING 000
EKA WAHYUNI 1 PANDENGLANG 05/Jun/1999 2 1 JL. LAYUNGASARI I RT 007 007
KEVIN HERMAWAN 1 JAKARTA 16/Jan/2000 1 1 KP. PONCOL RT 004 RW 001 004
ROY MARTIN 1 TANGERANG 10/Jun/1996 1 1 KP PARUNG KORED RT 003 R 003
SUGENG WAHYUDI 1 PACITAN 03/Oct/1982 1 2 DUSUN PAGERJO RT. 02 RW. 002
DINA WIDIYANTI 3 PACITAN 26/Jun/1984 2 2 DUSUN PAGERJO RT. 02 RW. 002
ALBERT W F 4 PACITAN 07/Jun/2006 1 1 DUSUN PAGERJO RT. 02 RW. 002
MUHAMMAD RAFLY SUPRIYO 1 JAKARTA 22/May/1999 1 1 DSN TUNGGAK 1 KECAMATA 004
AJENG EKA PITRI 1 SRAGI 10/Jan/1998 2 1 SUKARANDEG I RT 002 RW 0 002
YUSWADI 1 BANYUMAS 15/Aug/1980 1 2 GUMELEM KULON 001
KARTINI 3 BANJARNEGARA 09081987 2 2 GUMELEM KULON 001
MUHAMMAD ARYA PANDU JUL 4 BANJARNEGARA 07/Jul/2017 1 1 GUMELEM KULON 001
HARIS RAHMAN HAKIM 1 JAKARTA 08/Nov/1993 1 1 KP. BULAK CABE RT.008 RW.0 008
MELY FRANSISCA 1 JAKARTA 02/Mar/1989 2 2 JL. BENDERA RT 009 RW 011 009
ANDIS MARIO TOGATOROP 1 JAKARTA 21/Dec/1991 1 1 JL.SMP 135 012
AHMAD SOPYAN 1 BANDUNG 06/Sep/1981 1 2 KP CIKUPA RT 001 RW 004 K 001
RERE LIYANA 1 JAKARTA 29/Jul/1988 1 2 CIKARET RT 003 RW 010 KE 003
RAVA MESSI ALKHAIDAR 4 BOGOR 21/Jan/2012 2 1 CIKARET RT 003 RW 010 KE 003
WAHYUDI 1 BANDUNG 14/Apr/1980 1 2 RANCASAWO RT 004 RW 018 004
YENI KURNIATI 3 GARUT 27/Oct/1984 2 2 RANCASAWO RT 004 RW 018 004
ADI BAGUS YOGA PRATAMA 4 BANDUNG 19/Aug/2005 1 1 RANCASAWO RT 004 RW 018 004
ALKA MAULANA AGUNG PRAW 4 BANDUNG 22/Jan/2014 1 1 RANCASAWO RT 004 RW 018 004
DADI SUNARDI 1 BOGOR 29/Sep/1985 1 2 KP LEBAK WANGI RT 004 RW 004
NUR ANNISA 3 BOGOR 31/Aug/1992 2 2 KP LEBAK WANGI RT 004 RW 004
RASHDAN DANIYAL SHAWQI 4 DEPOK 06/Jul/2017 1 1 KP LEBAK WANGI RT 004 RW 004
AHMAD RIDWAN HARAHAP 1 PADANGSIDIMPU 27/Jul/1994 1 1 KOMP METRO FLORIDA BLOK 000
RONNY YOSEP .L. 1 MALUKU 04/12/1986 1 2 JL. TEBET UTARA IV D 8 RT 004
TRI WAHYUDI 1 JAKARTA 05/02/1991 1 1 PENINGGARAN RT 011 RW 0 001
AHMAD FAISAL 1 JAKARTA 17/09/1998 1 1 KP. CAKUNG RT 005 RW 002 005
ANDRI FAUZAN 1 JAKARTA 12/09/2005 1 2 PRUMPUNG TENGAH RT 005 R 005
DODY GUNAWAN 1 JAKARTA 19/09/1994 1 1 JL. MANGGA BESAR IV G/20 012
BERI SUPRIYADI 1 INDRAMAYU 20/Nov/1988 1 2 JL. PONDOK KOPI BLOK A-1 001
SUSANTI 3 INDRAMAYU 22/Jan/1990 2 2 JL. PONDOK KOPI BLOK A-1 001
AYUNINDYA FARZANA RAMAD 4 JAKARTA 19/Jun/2017 2 1 JL. PONDOK KOPI BLOK A-1 001
KURNIANTO 1 TEGAL 24/03/1994 1 2 VILA GADING HARAPAN BLOK 013
RIDANTI EKA SAFIRA 3 JAKARTA 06/Jun/1997 2 2 VILA GADING HARAPAN BLOK 013
GITA INDAH PERMATA SARI 4 BEKASI 08/Apr/2017 2 1 VILA GADING HARAPAN BLOK 013
MUHAMAD JUNAEDI 1 JAKARTA 08/07/1993 1 1 KP. BULAK KECIL NO. 37 RT 006
ALIF FIRMANSYAH 1 JAKARTA 26/11/1998 1 1 KP BULAK BARU RT 006 RW 006
IRWANTO 1 CIREBON 11/10/1993 1 2 BLOK BUNTET PESANTREN R 011
CALLYSTA FELICIA SYIFA 4 INDRAMAYU 03/Jan/2017 2 1 BLOK BUNTET PESANTREN R 011
IPAN JULIANA 1 BANDUNG 24/07/1992 1 2 BBK MAREN SUKAASIH RT 00 003
ABIE NANDA JULIAN 4 BANDUNG 11/Nov/2013 1 1 BBK MAREN SUKAASIH RT 00 003
TONI RAMADHONI 1 BEKASI 24/04/1990 1 1 JL. PROF MOCH YAMIN NO 49 005
MUHAMMAD NUR ALVY SYAHR 1 BOGOR 27/10/1997 1 1 BOJONG RT 002 RW 005 KE 002
AHMAD JAELANI 1 BEKASI 12/03/1986 1 2 KP. TEGAL GEDE RT 004 RW 004
AI SITI MAESAROH 3 BEKASI 07/May/1989 2 2 KP. TEGAL GEDE RT 004 RW 004
ADELIA FITRI LEILANI 4 BEKASI 31/Aug/2009 2 1 KP. TEGAL GEDE RT 004 RW 004
YUDA SETIAWAN 1 TANAH ABANG SE 01/May/1998 1 1 PERUM GRIYA DESA SUKADAM004
RIKI ERDIANA 1 SUKA BUMI 05/09/1994 1 2 PETAMBURAN RT 003 RW 01 003
HERNI TRISNA 3 GARUT 28/May/1992 2 2 PETAMBURAN RT 003 RW 01 003
MUHAMAD ZAIN ANTASENA S 4 JAKARTA 21/May/2010 1 1 PETAMBURAN RT 003 RW 01 003
MUHAMAD ANDRI IRIANSYAH 1 BANDUNG 19/Oct/1996 1 1 JALAN MELONG KIDUL NO. 5 002
SAEFUL ANWAR 1 BANDUNG 15/Jun/1989 1 2 JL. KOPO GG RH SULAEMAN 004
ASEP AWALUDIN 1 BEKASI 11/Dec/1991 1 1 KP. BARU RT 001 RW 005 K 001
KRISTIAN WIDODO 1 BEKASI 24/Aug/1992 1 1 JL. BINTARA 14 RT 006 RW 0 006
AGUS SETIAWAN 1 JAKARTA 13/Aug/1981 1 2 PONDOK MELATI RT 001 RW 001
LISNA 3 JAKARTA 26/Dec/1982 2 2 PONDOK MELATI RT 001 RW 001
DINDA KANIADEWI 4 JAKARTA 04/May/2009 2 1 PONDOK MELATI RT 001 RW 001
MUHAMMAD ARAZQI SETIAW 4 JAKARTA 17/Jun/2013 1 1 PONDOK MELATI RT 001 RW 001
ANDRE FIRMANSYAH 1 BEKASI 10/Feb/1997 1 1 JL.CAMAN RAYA KOMPL.DEPK 005
DOBI ROMDONY 1 TANGERANG 01/Jun/1984 1 2 CIMONE 002
EEM SUMARIAH 3 TASIKMALAYA 06/Apr/1981 2 2 CIMONE 002
MALIK RAJWAAGATANI 4 GARUT 04/Dec/2008 1 1 CIMONE 002
MUHAMMAD RAFFA GIBRAN 4 TANGERANG 05/Mar/2014 1 1 CIMONE 002
MUHAMMAD RAFFI GIBRAN 4 TANGERANG 05/Mar/2014 1 1 CIMONE 002
GAGAS PUTRA DWICAKSONO 1 PEKANBARU 16/Jun/1997 1 1 JL. PAUS KOM VPP BLOK E 002
JAENUDIN 1 GARUT 13/Jan/1993 1 1 JL. ARJUNA SIMPANG RT. 00 003
JAKA PERMANA 1 SUMEDANG 29/Jul/1991 1 1 DSN TAMANSARI RT 22 RW 0 022
RIKI WIJAYA 1 TANGERANG 26/Jun/1986 1 2 KP. MEKAR BAKTI RT.02/01 002
RISKY PRASETYO 1 JAKARTA 09/Jun/1987 1 2 JL. IRIDA BARAT XVII BLOK 007
LIA AGUSTIN 3 JEMBER 17/Aug/1993 2 2 JL. IRIDA BARAT XVII BLOK 007
BAYI NY LIA AGUSTIN 4 JAKARTA 14/Apr/2017 1 1 JL. IRIDA BARAT XVII BLOK 007
SEPTIANTO C PUTRA 1 BANYUMAS 03/Sep/1996 1 1 KEBALEN RT 006 RW 014 KE 006
YATI 1 CIANJUR 29/Apr/1994 2 1 KP RAWA BAMBU RT 002 RW 002
MUHAMAD DIKI 1 KARAWANG 12/Dec/1994 1 2 DUSUN TANJUNG JAYA RT 00 007
ANJANI MUHARANI PURRI 4 KARAWANG 09/Jan/2010 2 1 DUSUN TANJUNG JAYA RT 00 007
NURSYAHRANI 1 JAKARTA 18/Jan/1995 2 1 JALAN KEBAGUSAN BESAR R 001
INTAN AYU SUNDARI 1 CIREBON 15/Jul/1997 2 1 DS.CIKALAHANG 001
AHMALIA RAHMAWATI 1 JAKARTA 17/Mar/1995 2 1 JL PETAMBURAN VII RT 001/ 001
ALIFAH NUR FILDZAH 1 JAKARTA 24/Jul/1993 2 1 RSB BLOK C LANTAI 1 NO 1 000
QORI RENANDA 1 JAKARTA 13/Feb/1996 2 1 JL CEMPAKA BAWAH NO 34 012
AGUS PRIYONO 1 JAKARTA 07/Aug/1990 1 1 JL.H.MUGENI RT02/02 PETU 002
BUDI RUSDIANTO 1 JAKARTA 01/Nov/1972 1 1 JALAN MALAKA II/5/48 RT 0 011
SITI AMIYAH 1 SUKABUMI 16/05/1999 2 1 JL.MERBABU NO 12 TANJUN 002
SRILINA 1 JAKARTA 23/Jun/1993 2 1 KP.BIDARA RT.004/01 MARU 004
INTAN MAYSAROH 1 KOTABUMI 19/05/1993 2 1 JL RADEN INTAN GG LAMBA 002
IRMA HARDIYANIE 1 SUKABUMI 17/Jan/1993 2 1 JL. CIPELANG GEDE KP. BA 003
SINTA NURDINASTI 1 CIREBON 12/Dec/1999 2 1 BLOK II RT 001 RW 003 KEL 001
IRWANSYAH 1 TASIKMALAYA 19/Jun/1990 1 1 KP. SAMPALAN LEGA RT.009/ 009
MUHAMMAD EKO SISWANTO 1 PATI 28/Sep/1990 1 1 PANGKALAN JATI 001
M FAUZAN AKBARI 1 BANDUNG 06/Jun/1990 1 1 JL. AR HAKIM NO. 2 D RT 044
ANGGI SEPRIANDA 1 AMPANG PULAI 24/Sep/1995 1 1 KP. TANAH TINGGI RT 005 R 005
BELLIA DWI ROFIFAH 1 JAKARTA 09/Feb/2000 2 1 KP. PULO RT 001 RW 004 K 001
NOVA INDRIANI S 1 JAKARTA 28/Nov/1992 2 1 JL. DUKUH II GG. V NO 25 005
AGUS TRIONO 1 SUKA MAKMUR 07/Aug/1994 1 1 SUKA MAKMUR RT 017 RW 0 017
RIDWANSYAH 1 PONTIANAK 24/Jan/1994 1 1 DUSUN KERAMAT I RT 24 RW 024
CYNTIA HODIZAH 1 JAKARTA 03/Jan/1995 2 1 JL. KALIANYAR GG. 3 RT 11 011
RIYAN WAHYUDI 1 JAKARTA 01/May/1991 1 2 KP BENDUNGAN RT 009 RW 009
MUHAMMAD AZZAM 4 JAKARTA 11/Jan/2018 1 1 KP BENDUNGAN RT 009 RW 009
DJOHAN MUHAMMAD MUSLIM 1 BLITAR 04/12/1989 1 2 KP. BUARAN GG MAKMUR II 007
GANDUNG ANGGER SISWANTO 1 JAKARTA 15/Jun/1991 1 1 PERSADA RAYA BLOK F. 6 NO 010
KIKI RACHMAN 1 SUBANG 13/Jan/1981 1 2 KP. BABAKAN RT 003/008 K 003
NUR ROHMAN 1 PEMALANG 02/Mar/1989 1 2 JL PAHLAWAN PERUM BUNGA 007
ALFIAN SALEH 1 BEKASI 31/Dec/1992 1 1 KP.RAWA PASUNG RT/RW 002 002
PANCA AGUS WINARNO 1 PEMALANG 14/Aug/1993 1 1 JL TAMBORA NO.41 RT 03/ 003
JELANG RAMADHAN 1 JAKARTA 23/Dec/1997 1 1 VILA GADING HARAPAN BLOK 013
MANTLY TRENDY 1 TANGERANG 05/May/1992 1 2 PORIS CIPONDOH RT 3 RW 003
HASTUTI 3 15/Mar/1989 2 2 PORIS CIPONDOH RT 3 RW 003
HABIBAH JANISAPRILIAS PRIBA 4 23/Apr/2015 2 1 PORIS CIPONDOH RT 3 RW 003
DANNY CASSANDRA 1 JAKARTA 17/Mar/1993 1 1 JL. AL MUBAROK IV NO. 29 006
Kode Nama Kode Faskes
RW Kode Pos Kecamatan Kecamatan Kode Desa Nama Desa Tk.I Nama Faskes Tk.I
002 13410 1172 JATINEGARA 34300 CIPINANG BESAR 09031008 KEL. PULO GEBANG
004 54353 1841 KARANGSAMBUN 33194 PLUMBON 11203711 Alian
003 15710 3050 CIKUPA 10487 CIKUPA 0221U124 KLINIK KELUARGA SEHAT MDK(JS
002 15710 3050 CIKUPA 10481 SUKAMULYA 0221U124 KLINIK KELUARGA SEHAT MDK(JS
003 15710 3050 CIKUPA 10493 BUDI MULYA 0221U127 KLINIK MILLENIA SEJAHTERA (JS
014 13440 1173 DUREN SAWIT 34321 DUREN SAWIT 0113U032 Klinik Ibin Sina
009 16830 1215 JONGGOL 06497 SUKAMAJU 10042301 JONGGOL
005 15811 3814 KELAPA DUA B9513 CURUG SANGER 10050504 PUSKESMAS KELAPA DUA
006 14120 1198 CILINCING 06296 CILINCING 09050700 KEC. CILINCING
013 16922 1220 BOJONG GEDE 06567 BOJONGGEDE 10041601 BOJONG GEDE
008 16436 1714 PANCORAN MAS 01714 DESA LAINNYA 0138B007 KPRI BUNDA
006 16517 1713 SAWANGAN 42188 SERUA 0138B202 KPRJ NAJWA MEDIKA
006 16436 1714 PANCORAN MAS 42165 PANCORAN MAS 0138B215 KPRJ BAHAR MEDIKA
006 11250 1189 TAMBORA 34120 JEMBATAN LIMA 09040404 kel.tambora
013 10230 1177 TANAH ABANG 41588 KEBON MELATI 04960011 PUSKESMAS PONDOK BETUNG
002 15122 3115 BATUCEPER 11209 PORIS GAGA 0223U110 KLINIK BETH RAPHA A. I (JST)
007 10520 1181 CEMPAKA PUTIH 33830 CEMPAKA PUTIH 09010503 Kel. Cempaka Putih Barat II
015 13330 1172 JATINEGARA 34295 BIDARA CINA 0112B119 Klinik Fakhira Kebon Baru
001 15154 1160 PESANGGRAHAN 34278 PETUKANGAN SE 10250302 PUSKESMAS LARANGAN UTARA
009 00000 1196 KOJA B9501 RAWABADAK SE 09050507 KEL. RAWA BADAK II
008 16680 1204 DRAMAGA 06388 BABAKAN 10040402 DRAMAGA
001 43177 1229 CIEMAS 06733 CIEMAS 10102001 CIEMAS
012 10140 1184 GAMBIR 33752 DURI PULO 09010101 Kel. Duri Pulo
002 00000 1196 KOJA 06287 TUGU SELATAN 09050505 KEL. TUGU SELATAN
002 00000 1197 KELAPA GADING 06294 KLP.GADING BA 09050600 KEC. KELAPA GADING
002 14240 1197 KELAPA GADING B9503 KELAPA GADING 09050600 KEC. KELAPA GADING
008 11850 1192 KALI DERES 34140 SEMANAN 01150110 KEC. KALIDERES
006 00000 1172 JATINEGARA 34300 CIPINANG BESAR 09030300 Kec. Jatinegara
001 53461 1807 WANADADI 08730 LINGGASARI 10041301 PARUNG
006 00000 1160 PESANGGRAHAN 34278 PETUKANGAN SE 09021003 Kel. Petukangan Selatan
013 12720 1163 MAMPANG PRAPA 34196 PELA MAMPANG 09020302 Kel. Pela Mampang II
007 00000 1179 SENEN 01179 PASEBAN 0114B212 Klinik St Carolus Paseban
000 00000 1198 CILINCING 06297 SEMPER BARAT 09050505 KEL. TUGU SELATAN
033 00000 1707 BEKASI TIMUR 01707 DESA LAINNYA 10261402 MUSTIKA JAYA
011 00000 1173 DUREN SAWIT 34324 PONDOK KELAPA 0113U005 Klinik Bina Husada Bhakti
009 00000 1713 SAWANGAN 42290 KEDAUNG 0138U019 KPRJ BAHAR MEDIKA II
000 16000 1199 NANGGUNG 01199 DESA LAINNYA 0138U019 KPRJ BAHAR MEDIKA II
001 00000 3047 CISOKA 03047 DESA LAINNYA 09020600 Kec. Kebayoran Lama
004 44153 1374 KADUNGORA 28613 HEGARSARI 10240801 KADUNGORA
006 11300 1189 TAMBORA 34118 JEMBATAN BESI 09040400 KEC. TAMBORA
017 13470 1173 DUREN SAWIT 34323 KLENDER 0113B004 Klinik Pratama Kimia Farma 147
006 43124 1670 GUNUNG PUYUH 45655 KARANGTENGAH 09010200 KEC. SAWAH BESAR
008 00000 1172 JATINEGARA 34299 CIPINANG MUAR 09030300 KEC. JATINEGARA
000 00000 3814 KELAPA DUA 74212 BENCONGAN 02210107 PUSKESMAS BINONG
008 00000 1714 PANCORAN MAS 42163 RANGKAP JAYA 0138U015 KPRJ YANI MEDIKA
008 00000 1163 MAMPANG PRAPA 34197 TEGAL PARANG 10041804 JAMPANG
015 16436 1714 PANCORAN MAS 42165 PANCORAN MAS 0138B234 KPRJ BAHAR MEDIKA III
000 00000 1054 SEPUTIH AGUNG 23271 SULUSUBAN 08031502 SIMPANG AGUNG
007 00000 1198 CILINCING 06299 ROROTAN 09050709 KEL. ROROTAN
010 13240 1175 PULO GADUNG 34289 CIPINANG 09030207 KEL. CIPINANG
005 15416 3057 PAMULANG 10567 PONDOK BENDA 0496B041 KLINIK LENTERA
005 15416 3057 PAMULANG 10567 PONDOK BENDA 04960003 PUSKESMAS PONDOK BENDA
003 00000 3092 WARINGINKURUN 10981 SASAHAN 10062601 WARINGIN KURUNG
003 34155 1052 SEPUTIH RAMAN 22854 REJO ASRI 09040601 KEL. GROGOL I
006 00000 1174 CAKUNG 34318 PULO GEBANG 0113U040 KLINIK RENNY EVA SARI
011 14420 1194 PADEMANGAN 06277 PADEMANGAN T 09050300 kecamatan pademangan
010 15144 3109 PINANG 11159 KUNCIRAN INDA 0223B138 KLINIK PINANG SARI 2
020 16411 1715 SUKMA JAYA 42301 MEKAR JAYA 10270402 TUGU
004 17125 1712 BEKASI UTARA 42326 KALIABANG TEN 0137B067 KLINIK MEDIKA MULIA BEKASI
011 13420 1172 JATINEGARA 34299 CIPINANG MUAR 0113B010 KLINIK PERTAMEDIKA RAWAM
002 00000 3881 TUMINTING 61755 BITUNG KARANG 0309U715 DR. OLLIVIA SHINTA TOAR
007 16132 1659 KOTA BOGOR SEL 45421 EMPANG 10030103 BONDONGAN
001 15159 3107 KARANG TENGAH 11143 PADURENAN 02230005 PUSKESMAS PEDURENAN
002 15158 3107 KARANG TENGAH 11144 PARUNG JAYA 02230004 PUSKESMAS KARANG TENGAH
003 63553 2368 PUNUNG 09086 MENDOLO LOR 13120401 PUNUNG
001 00000 2014 TOROH 41240 TUNGGAK 11300202 TOROH II
001 00000 1013 SRAGI 22500 KUALA SEKAMP 08020302 SRAGI
003 00000 1798 SUSUKAN 08598 GUMELEM KULO 11150101 SUSUKAN 1
011 00000 1167 PASAR REBO 34312 CIJANTUNG 09030704 KEL. CIJANTUNG
007 13430 1173 DUREN SAWIT 34322 PONDOK BAMBU 09030401 KEL.PONDOK BAMBU I
004 00000 3050 CIKUPA 10487 CIKUPA 10050701 PUSKESMAS CIKUPA
010 16810 1219 CIBINONG 06549 HARAPAN JAYA 10042001 CIBINONG
018 40286 7425 BUAH BATU 79949 MARGASARI 0135U058 KLINIK SEHAT MARGASARI
001 00000 1222 PARUNG 06582 PAMEGARSARI 10270403 TAPOS
000 00000 5502 JOMBANG 11251 PANGGUNG RAW 0224U022 KIMIA FARMA 140 CILEGON (JST
002 00000 1165 TEBET 34170 TEBET TIMUR 0064B038 BP DIAN HUSADA DURI (JST)
002 00000 1162 KEBAYORAN BAR 34262 CIPETE UTARA 09020601 KEL. KEBAYORAN LAMA UTARA
002 00000 1174 CAKUNG 34320 CAKUNG BARAT 09031006 KEL. CAKUNG BARAT
006 00000 1172 JATINEGARA 34301 CIPINANG BESA 09030300 KEC. JATINEGARA
002 00000 1190 TAMAN SARI 34098 TAMAN SARI 09020306 KEL. MAMPANG PRAPATAN
005 00000 1173 DUREN SAWIT 34327 PONDOK KOPI 09030410 KEL.PONDOK KOPI II
035 00000 1650 BABELAN 44891 BAHAGIA 0132B103 KLINIK MITRA SEHAT BABELAN
013 00000 1196 KOJA 06290 TUGU UTARA 09050500 KEC. KOJA
003 13450 1175 PULO GADUNG 34287 PULO GADUNG 09030200 KEC. PULO GADUNG
004 45181 1482 ASTANAJAPURA 36794 MERTAPADA KU 09010305 KEL. SUMUR BATU
009 40195 7429 MANDALAJATI 79967 SINDANGJAYA 0135U018 KLINIK LMC SUDIRMAN
002 17111 1707 BEKASI TIMUR 42319 DUREN JAYA 10140508 SETIA MEKAR
005 16431 1714 PANCORAN MAS 42167 CIPAYUNG 0138U011 KPRI TIRTA HUSADA
002 00000 1638 CIKARANG SELAT 45335 PASIRSARI 10140901 LEMAH ABANG I
017 00000 1638 CIKARANG SELAT 45328 SUKADAMI 00850004 TANAH ABANG
011 00000 1177 TANAH ABANG 33860 PETAMBURAN 09010700 KEC. TANAH ABANG
005 40286 1678 LENGKONG 07711 CIKAWAO 10011301 TALAGA BODAS
003 40225 1673 BABAKAN CIPARA 07679 MARGASUKA 10012302 CIBIRU
005 00000 1642 CIKARANG TIMUR 45020 TANJUNG BARU 10140903 CIPAYUNG
009 00000 1710 BEKASI BARAT 42321 BINTARA 10260404 BINTARA
005 17446 7438 PONDOK MELATI B7105 JATIMELATI 0137U018 KLINIK GRAHA MITRA PONDOK
001 17412 1703 PONDOK GEDE 42360 JATIBENING 10260104 JATIBENING
001 15114 3111 KARAWACI 11178 CIMONE 10250101 PUSKESMAS KARAWACI BARU
010 00000 5921 MARPOYAN DAMA 19551 TANGKERANG B 0069B113 KLINIK ANZANI
001 00000 1689 ANDIR 07765 CIROYOM 10050301 PUSKESMAS PAMULANG
006 00000 1421 PAMARICAN 34739 KERTARAHAYU 10231502 KERTAHAYU
001 15710 3051 PANONGAN 10496 MEKAR BAKTI 0221U124 KLINIK KELUARGA SEHAT MDK(JS
014 17112 1707 BEKASI TIMUR 42318 BEKASI JAYA 10262106 DURENJAYA
014 00000 1650 BABELAN 44898 KABALEN
008 00000 1711 MEDAN SATRIA 42348 KALIBARU 0137U009 KLINIK PROF. UFA
003 41355 1635 PAKISJAYA 44582 TELUKBUYUNG 10121203 PAKISJAYA
003 41355 1635 PAKISJAYA 44582 TELUKBUYUNG 10121203 PAKISJAYA
005 00000 1158 PASAR MINGGU 34207 KEBAGUSAN 09020400 Kec. Pasar Minggu
006 45652 DUKUPUNTANGcikalahang 09040209 KEL. KEMANGGI 09040209 KEL. KEMANGGISAN
007 00000 1177 TANAH ABANG 33860 PETAMBURAN 09010705 Kel. Petamburan
000 00000 1193 PENJARINGAN 01193 DESA LAINNYA 09050200 KEC. PENJARINGAN
007 11420 1187 PALMERAH 34149 KOTABAMBU UT 09040200 KEC. PAL MERAH
002 12250 1160 PESANGGRAHAN 34277 PETUKANGAN U 09021000 Kec. Pesanggrahan
006 00000 1173 DUREN SAWIT B7600 MALAKA SARI 09030400 Kec. Duren Sawit
004 43124 1670 GUNUNG PUYUH 45655 KARANGTENGAH 10090213 KARANG TENGAH
001 00000 1198 CILINCING 06301 MARUNDA 0116U007 Klinik Oilia II Rorotan
002 34519 1072 KOTABUMI SELAT 23871 KOTA ALAM 08040702 KOTABUMI II
010 00000 1670 GUNUNG PUYUH 45655 KARANGTENGAH 10090213 KARANG TENGAH
003 00000 1481 SEDONG 36746 SEDONG LOR 10181202 SEDONG
002 00000 1397 SINGAPARNA 32340 CINTARAJA 09040602 KEL. GROGOL II
002 00000 1718 LIMO 42299 PANGKALAN JAT 01580915 GEMBONG
021 00000 0441 MEDAN AREA 24084 SUKARAMAI I 0496U011 KLINIK CIREUNDEU MEDIKA (JST
003 25654 0482 KOTO XI TARUSAN 05507 AMPANG PULAI 03030101 TARUSAN
004 00000 1170 MAKASAR 34329 PINANG RANTI 0113B002 KLINIK ARDITA CIRACAS
007 00000 1188 GROGOL PETAMB 34088 TANJUNG DUREN 01150111 KEC. GROGOL PETAMBURAN
007 00000 6607 PENAWAR AJI 81485 SUKA MAKMUR 08061501 GDG REJO SAKTI
001 00000 3410 SUNGAI RAYA 58076 KUALA DUA 15020901 SUNGAI DURIAN
008 00000 1189 TAMBORA 34112 KALIANYAR 09040408 KEL. KALI ANYAR
002 12550 1158 PASAR MINGGU 34202 RAGUNAN 09020405 KEL. RAGUNAN
002 12550 1158 PASAR MINGGU 34202 RAGUNAN 09020405 KEL. RAGUNAN
008 00000 1650 BABELAN 44891 BAHAGIA 0137U052 KLINIK HARAPAN BARU (JST)
007 00000 3114 PERIUK 11203 GEMBOR 10250405 PUSKESMAS GEMBOR
008 00000 1377 MALANGBONG 28678 CISITU 10152001 PKM TANJUNGSIANG
016 00000 1707 BEKASI TIMUR 42319 DUREN JAYA
004 00000 1711 MEDAN SATRIA 42348 KALIBARU
007 00000 2213 PEMALANG 81381 KEL.MULYOHARJO
035 00000 1650 BABELAN 44891 BAHAGIA
009 00000 3108 CIPONDOH 11146 CIPONDOH MAMUR
010 00000 1161 KEBAYORAN LAM 34211 CIPULIR
Kode Faskes Nama Faskes Nomor Telepon Status Kelas
Dokter Gigi Dokter Gigi Peserta Email NPP Jabatan Karyawan Rawat
09031008 KEL. PULO GEB087780808197 naovalreaynaldi@gmail. CV0012774 Driver 2 2

11203711 Alian 081337772201 aisyahsholihatun524@gmCV0009287 Personal Customer 2 2
0221U124 KLINIK KELUAR087887871414 sitoanggoro82@gmail.c CV0009081 Driver 2 1
0221U124 KLINIK KELUAR087780654460 encep0218@gmail.com CV0009083 Driver 2 1
0221U124 KLINIK KELUAR- - - - - -
0221U124 KLINIK KELUAR- - - - - -
0221U124 KLINIK KELUAR- - - - - -
0221U127 KLINIK MILLEN083806844640 endyotonk67@gmail.co CV0009082 Driver 2 1
0221U127 KLINIK MILLEN- - - - - -
0221U127 KLINIK MILLEN- - - - - -
0221U127 KLINIK MILLEN- - - - - -
0113U032 Klinik Ibin Sina 087875097886 darmayanti1186@gmail.CV0009482 Driver 2 2
0113U032 Klinik Ibin Sina - - - - - -
10042301 JONGGOL 082310292005 haris3.biker@gmail.com CV0009545 Driver 2 2
10042301 JONGGOL - - - - - -
10042301 JONGGOL - - - - - -
10042301 JONGGOL - - - - - -
10042301 JONGGOL - - - - - -
10050504 PUSKESMAS KE089602854047 arika4369@gmail.com CV0009086 Driver 2 2
081390000494 dickiedarmaw - - CV0009622 Driver 2 2
10041601 BOJONG GEDE089666246977 indrarg444@gmail.com CV0009840 Personal Customer 2 2
0138B007 KPRI BUNDA 089507753300 nurulafril@gmail.co. CV0009073 Personal Customer 2 2
0138B202 KPRJ NAJWA M081293234483 aal.algeri@gmail.com CV0009880 Driver 2 2
0138B215 KPRJ BAHAR M082299586806 Omuklisin@gmail.com CV0009807 Personal Customer 2 2
0138B215 KPRJ BAHAR M- - - - - -
0138B215 KPRJ BAHAR M- - - - - -
09040404 kel.tambora 083890262252 azmeliamaxnmoly@gmaiCV0009875 Personal Customer 2 2
04960011 PUSKESMAS P 085710105491 agnesiamaulidina13@gmCV0009860 Personal Customer 2 2
0223U110 KLINIK BETH RA089628954507 ressa.syaffa@gmail.com CV0009850 Personal Customer 2 2
09010503 Kel. Cempaka Pu 082280344007 andrakurnia59@gmail.c CV0009564 Driver 2 2
09010503 Kel. Cempaka Pu - - - - - -
09010503 Kel. Cempaka Pu - - - - - -
09010503 Kel. Cempaka Pu - - - - - -
0112B119 Klinik Fakhira 087789124977 rinajunita759@gmail.co CV0009289 Personal Customer 2 2
10250302 PUSKESMAS L 087884849039 ciciliapriliyani18@gmail CV0009046 Personal Customer 2 2
09050507 KEL. RAWA BAD087884010288 agusmulyono998@gmailCV0009800 Driver 2 2
10040402 DRAMAGA 085892618183 erlinaokta949@gmail.co CV0009072 Personal Customer 2 2
10102001 CIEMAS 085759521595 lilihcantik58@gmail.comCV0009428 Purchase Consultant 2 2
09010101 Kel. Duri Pulo - - CV0009248 Purchase Consultant 2 2
09050505 KEL. TUGU SE - - CV0009621 Driver 2 2
09050600 KEC. KELAPA - - CV0009616 Driver 2 2
09050600 KEC. KELAPA - - - - - -
09050600 KEC. KELAPA - - - - - -
09050600 KEC. KELAPA - - - - - -
09050600 KEC. KELAPA - - - - - -
01150110 KEC. KALIDERE- - CV0009243 Purchase Consultant 2 2
09030300 Kec. Jatinegara- - CV0009677 Driver 2 2
10041301 PARUNG - - - - - -
10041301 PARUNG - - - - - -
10041301 PARUNG - - - - - -
09021003 Kel. Petukanga- - CV0009680 Driver 2 2
09020302 Kel. Pela Mamp- - CV0009804 Driver 2 2
09020302 Kel. Pela Mamp- - - - - -
09020302 Kel. Pela Mamp- - - - - -
09020302 Kel. Pela Mamp- - - - - -
09020302 Kel. Pela Mamp- - - - - -
09020302 Kel. Pela Mamp- - - - - -
0114B212 Klinik St Carol 087878601950 adhan.luciano@gmail.c CV0009456 Purchase Consultant 2 2
09050505 KEL. TUGU SE 083806564301 Nurazizah19sep@gmail. CV0009245 Purchase Consultant 2 2
10261402 MUSTIKA JAYA081514694838 yoyoaleryo@gmail.com CV0009686 Driver 2 2
0113U005 Klinik Bina Hus081905555250 pradityaadhiwardhana@CV0009681 Driver 2 2
0138U019 KPRJ BAHAR ME 081224010187 mamunpratama1981@gm CV0009485 Driver 2 2
0138U019 KPRJ BAHAR ME - - - - - -
0138U019 KPRJ BAHAR ME - - - - - -
0138U019 KPRJ BAHAR ME - - - - - -
09020600 Kec. Kebayora 089604405720 risaprian123@gmail.comCV0009065 Site Acquisition 2 2
10240801 KADUNGORA 08118781114 rsmwtylaras1991@gmailCV0009993 Purchase Consultant 2 2
09040400 KEC. TAMBORA081381268006 akbarrivai24@gmail.comCV0009994 Purchase Consultant 2 2
0113B004 Klinik Pratama 085920744360 kchusnul2904@gmail.co CV0009045 Purchase Consultant 2 2
09010200 KEC. SAWAH B085603019613 amoliachacha26@gmail.CV0009258 Purchase Consultant 2 2
09030300 KEC. JATINEGA087817992497 amrianatia@gmail.com CV0009071 Purchase Consultant 2 2
02210107 PUSKESMAS B 0895341541220 - CV0009848 Purchase Consultant 2 2
0138U015 KPRJ YANI MED089508758973 - CV0009859 Purchase Consultant 2 2
10041804 JAMPANG 087884633660 andi.milba@gmail.com CV0009802 Driver 2 2
10041804 JAMPANG - - - - - -
0138B234 KPRJ BAHAR ME 085654494628 luckyngs003@gmail.comCV0009092 Driver 2 2
0138B234 KPRJ BAHAR ME - - - - - -
08031502 SIMPANG AGU08557962986 - CV0009849 Purchase Consultant 2 2
09050709 KEL. ROROTAN089625580450 MUHMAU18@GMAIL.C CV0009471 Purchase Consultant 2 2
09030207 KEL. CIPINANG 081517682677 purnamasari040690@yaCV0009288 Personal Customer 2 2
0496B041 KLINIK LENTER081617141566 hanapi1276@gmail.com CV0009096 Driver 2 2
04960003 PUSKESMAS P - - - - - -
0496B041 KLINIK LENTER- - - - - -
0496B041 KLINIK LENTER- - - - - -
10062601 WARINGIN KU 08381247265 rasmudi18@gmail.com CV0009619 Driver 2 2
09040601 KEL. GROGOL I082278907556 dodisaputra0997@gmailCV0011154 Driver 2 2
0113U040 KLINIK RENNY 081294170949 khaizanaf@gmail.com CV0009581 Driver 2 2
09050300 kecamatan pa 088212241138 donji160993@gmail.comCV0009863 Personal Customer 2 2
0223B138 KLINIK PINANG- eviandriyani991@gmail. CV0011580 Personal Customer 2 2
10270402 TUGU - deriyanto829@gmail.co CV0011493 Personal Customer 2 2
0137B067 KLINIK MEDIKA- Ririnsuryaramadhan@gmCV0011496 Personal Customer 2 2
0113B010 KLINIK PERT - Ianmaulana561@gmail. CV0011390 Personal Customer 2 2
0309U715 DR. OLLIVIA S 081381277141 - CV0009600 Driver 2 2
0309U715 DR. OLLIVIA S - - - - - -
0309U715 DR. OLLIVIA S - - - - - -
0309U715 DR. OLLIVIA S - - - - - -
10030103 BONDONGAN - ekawahyunimh45@gmailCV0011495 Personal Customer 2 2
02230005 PUSKESMAS P 081213884550 kevinhrmwn@gmail.comCV0011348 Personal Customer 2 2
02230004 PUSKESMAS K 089521921572 Roy2014@gmail.com CV0011322 Personal Customer 2 2
13120401 PUNUNG 087751720444 Wahyufambregas04@gma CV0009087 Driver 2 2
13120401 PUNUNG - - - - - -
13120401 PUNUNG - - - - - -
11300202 TOROH II 081218253823 muhammadraflys22@gma CV0009247 Personal Customer 2 2
08020302 SRAGI 082369532600 ajengekafitri10@gmail. CV0009992 Personal Customer 2 2
11150101 SUSUKAN 1 083805327702 Yusaananda@gmail.comCV0009085 Driver 2 2
11150101 SUSUKAN 1 - - - - - -
11150101 SUSUKAN 1 - - - - - -
09050700 KEC. CILINCING089697387406 harisrahmanhakim08@gm CV0009620 Driver 2 2
09030704 KEL. CIJANTUN081299212188 Mellyfransisca0203@gmaCV0009837 Personal Customer 2 2
09030401 KEL.PONDOK B081293855932 mariosimatupang508@gm CV0011872 Driver 2 1
10050701 PUSKESMAS CI085780665661 Ahmadsopyan354@gmaiCV0011662 Driver 2 2
10042001 CIBINONG 089637435327 rererereliyana@gmail.c CV0011783 Driver 2 1
10042001 CIBINONG - - - - - -
0135U058 KLINIK SEHAT 081384344185 wahyudiomdays@gmail.CV0012063 Driver 2 1
0135U058 KLINIK SEHAT - - - - - -
0135U058 KLINIK SEHAT - - - - - -
0135U058 KLINIK SEHAT - - - - - -
10270403 TAPOS - Dadisunardi@gmail.comCV0011666 Driver 2 2
10270403 TAPOS - - - - - -
10270403 TAPOS - - - - - -
0224U022 KIMIA FARMA 1083812110030 ridwanhrp27@gmail.comCV0012025 Driver 2 1
0064B038 BP DIAN HUSAD 081211002811 ambonbuce5@gmail.co CV0012427 Driver 2 2
09020601 KEL. KEBAYOR 087773773618 valentvee16@gmail.comCV0012489 Driver 2 2
09031006 KEL. CAKUNG B089630617466 Fical307@gmail.com CV0012607 Warehouse Helper 2 2
09030300 KEC. JATINEGA082110004770 andrifauzan25@gmail.c CV0012802 Driver 2 2
09020306 KEL. MAMPAN083896014500 galerypart@yahoo.co.id CV0012803 Driver 2 2
09030410 KEL.PONDOK KO 082216467928 berisupriyadi11@gmail. CV0009678 Driver 2 2
09030410 KEL.PONDOK KO - - - - - -
09030410 KEL.PONDOK KO - - - - - -
0132B103 KLINIK MITRA 082123942419 kurnianto@gmail.com CV0013026 Driver 2 1
0132B103 KLINIK MITRA - - - - - -
0132B103 KLINIK MITRA - - - - - -
09050500 KEC. KOJA 089638787226 Joe.ned507@gmail.com CV0013027 Driver 2 2
09030200 KEC. PULO GA 08161327743 aliffirmansyah356@gmaiCV0012621 Warehouse Helper 2 1
09010305 KEL. SUMUR B 089660225575 Kg.irwan17@gmail.com CV0012651 Warehouse Helper 2 1
09010305 KEL. SUMUR B - - - - - -
0135U018 KLINIK LMC S 082119612871 ipanjuliana3@gmail.comCV0012903 Driver 2 2
0135U018 KLINIK LMC S - - - - - -
10140508 SETIA MEKAR 081281773679 townscoot@gmail.com CV0012654 Warehouse Checker 2 1
0138U011 KPRI TIRTA HU 089658074650 alvysyahrin13@gmail.co CV0012608 Warehouse Helper 2 2
10140901 LEMAH ABANG085810683637 monstercantik666@gmaiCV0012925 Driver 2 1
10140901 LEMAH ABANG- - - - - -
10140901 LEMAH ABANG- - - - - -
00850004 TANAH ABANG082375349689 yudastiawan98@gmail.c CV0012655 Warehouse Checker 2 1
09010700 KEC. TANAH A 085383090792 rikierdiana94@gmail.co CV0012650 Driver 2 2
09010700 KEC. TANAH A - - - - - -
09010700 KEC. TANAH A - - - - - -
10011301 TALAGA BODA082217320916 Andriiriansyah@gmail.c CV0012775 Warehouse Helper 2 2
10012302 CIBIRU 085559024415 Hanifah.b@elabram.comCV0012328 Warehouse Helper 2 2
10140903 CIPAYUNG 081806358206 aseffadila53@gmail.comCV0012672 Driver 2 1
10260404 BINTARA 081382606313 kristian.kw1@gmail.comCV0012609 Warehouse Checker 2 1
0137U018 KLINIK GRAHA 081286875969 Andy.albetawi077@gmaiCV0011661 Driver 2 2
0137U018 KLINIK GRAHA - - - - - -
0137U018 KLINIK GRAHA - - - - - -
0137U018 KLINIK GRAHA - - - - - -
10260104 JATIBENING 0895389485077 andre.tree97@gmail.co CV0012478 Driver 2 1
10250101 PUSKESMAS K 089602204640 doby.romdony@gmail.c CV0013191 Driver 2 2
10250101 PUSKESMAS K - - - - - -
10250101 PUSKESMAS K - - - - - -
10250101 PUSKESMAS K - - - - - -
10250101 PUSKESMAS K - - - - - -
0069B113 KLINIK ANZANI- Gagas@gmail.com CV0011488 Personal Customer 2 2
10050301 PUSKESMAS P 085777273313 raden1822@gmail.com CV0009095 Driver 2 2
10231502 KERTAHAYU 08998548756 jpermana91@yahoo.comCV0009855 Personal Customer 2 2
0221U124 KLINIK KELUAR083897068545 'rikimikhdam123@gmail.CV0013192 Driver 2 2
10262106 DURENJAYA 08988767239 sayyidinaarkhaalfarizki CV0012620 Checker 2 1
10262106 DURENJAYA - - - - - -
10262106 DURENJAYA - - - - - -
082122424820 cepyanto03@gmail.com CV0012846 Driver 2 1
0137U009 KLINIK PROF. 087777590528 yati2904@gmail.com CV0009251 Personal Customer 2 2
10121203 PAKISJAYA 085813120255 mdiki0207@gmail.com CV0012924 Driver 2 1
10121203 PAKISJAYA - - - - - -
09020400 Kec. Pasar Min085947232482 - CV0009842 Personal Customer 2 2
085782921995 intanayusunda- - CV0009856 Personal Customer 2 2
09010705 Kel. Petambura- - CV0009252 Purchase Consultant 2 2
09050200 KEC. PENJARI - - CV0009435 Purchase Consultant 2 2
09040200 KEC. PAL MER - - CV0002128 Purchase Consultant 2 2
09021000 Kec. Pesanggr - - CV0009261 Purchase Consultant 2 2
09030400 Kec. Duren Saw- - CV0009816 Driver 2 2
10090213 KARANG TENG081563906070 amiyahramanda663@gma CV0009846 Purchase Consultant 2 2
0116U007 Klinik Oilia II 087785061985 srilina03@gmail.com CV0009262 Purchase Consultant 2 2
08040702 KOTABUMI II 081908918000 intango256@gmail.com CV0009998 Purchase Consultant 2 2
10090213 KARANG TENG085813048745 Irmahardiyani4740@gmaCV0009835 Purchase Consultant 2 2
10181202 SEDONG 083824484948 sintadinasti46@gmail.c CV0009263 Purchase Consultant 2 2
09040602 KEL. GROGOL II081293996399 irwansyahsuherlan@gmaCV0009991 Purchase Consultant 2 2
01580915 GEMBONG 081283485898 ekosiswanto2809@gmailCV0009068 Site Acquisition 2 1
0496U011 KLINIK CIREUN085372246305 akbarifaza@gmail.com CV0009358 Personal Customer 2 2
03030101 TARUSAN 081290209259 milhamapriansyah06@gm CV0011349 Personal Customer 2 2
0113B002 KLINIK ARDITA081293927998 bellia0209@gmail.com CV0011584 Personal Customer 2 2
01150111 KEC. GROGOL 081285208624 novaindriani60@gmail.c CV0011491 Personal Customer 2 2
08061501 GDG REJO SAKT- teluonoagus@gmail.comCV0011389 Personal Customer 2 2
15020901 SUNGAI DURIA087775491595 ridwansyahmansyur@gma CV0011327 Personal Customer 2 2
09040408 KEL. KALI ANY 082213038819 cyntiahodizah@gmail.co CV0011501 Personal Customer 2 2
09020405 KEL. RAGUNAN085891510937 riyanwahyudi97511@gma CV0011663 Driver 2 2
09020405 KEL. RAGUNAN- - - - - -
0137U052 KLINIK HARAPA081296372980 krisnadukuh01@gmail.c CV0012492 Driver 2 2
10250405 PUSKESMAS G 081316837432 gandungangger@gmail. CV0009275 Driver 2 2
10152001 PKM TANJUNG082127552025 Kikirachman3@gmail.co CV0012863 Driver 2 2
081315824372 teguhnurrohman560@gm CV0013542 VO 2 2
0895365363689 alfiansalehsiahaan5@gmCV0013544 VO 2 2
082313798827 pancaagusw@gmail.comCV0013543 VO 2 2
0895397317636 gillangsari@gmail.com CV0013545 VO 2 2
081277428460 mantlytrendy1992@gmaiCV0013613 VO 2 2
- - - - - -
- - - - - -
081806820793 dnnycssndr17@yahoo.c CV0013651 Warehouse Helper 2 2
TMT Kerja Gaji Pokok + Tunj. Kewarga No. Polis Asuransi Nama
(Kary. Aktif) Tetap (Kary. Aktif) Negaraan Lainnya Asuransi No. NPWP No Passport Tgl
01/Jul/2019 3,941,000 1 - - - -
01/Jun/2018 3,941,000 1 - - - -
01/Jul/2018 4,800,000 1 - - - -
01/Jul/2018 4,800,000 1 - - - -
- - 1 - - - -
- - 1 - - - -
- - 1 - - - -
01/Jul/2018 4,800,000 1 - - - -
- - 1 - - - -
- - 1 - - - -
- - 1 - - - -
01/Jul/2018 3,650,000 1 - - - -
- - 1 - - - -
- - 1 - - - -
- - 1 - - - -
01/Jul/2018 3,941,000 1 - - - -
- - 1 - - - -
- - 1 - - - -
- - 1 - - - -
- - 1 - - - -
01/Jul/2018 3,941,000 1 - - - -
01/Jul/2018 3,941,000 1 - - - -
01/Aug/2018 3,941,000 1 - - - -
01/Aug/2018 3,941,000 1 - - - -
01/Aug/2018 3,941,000 1 - - - -
01/Aug/2018 3,941,000 1 - - - -
- - 1 - - - -
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01/Aug/2018 3,941,000 1 - - - -
01/Aug/2018 3,941,000 1 - - - -
01/Aug/2018 3,941,000 1 - - - -
01/Aug/2018 3,941,000 1 - - - -
- - 1 - - - -
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01/Aug/2018 3,941,000 1 - - - -
01/Aug/2018 3,941,000 1 - - - -
01/Aug/2018 3,941,000 1 - - - -
01/Aug/2018 3,941,000 1 - - - -
01/Sep/2018 3,941,000 1 - - - -
01/Sep/2018 3,941,000 1 - - - -
01/Sep/2018 3,941,000 1 - - - -
01/Sep/2018 3,941,000 1 - - - -
- - 1 - - - -
- - 1 - - - -
- - 1 - - - -
- - 1 - - - -
01/Sep/2018 3,941,000 1 - - - -
01/Sep/2018 4,147,000 1 - - - -
- - 1 - - - -
- - 1 - - - -
- - 1 - - - -
01/Sep/2018 3,941,000 1 - - - -
01/Sep/2018 3,941,000 1 - - - -
- - 1 - - - -
- - 1 - - - -
- - 1 - - - -
- - 1 - - - -
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01/Sep/2018 3,941,000 1 - - - -
01/Sep/2018 3,941,000 1 - - - -
01/Sep/2018 4,147,000 1 - - - -
01/Sep/2018 4,147,000 1 - - - -
01/Sep/2018 3,941,000 1 - - - -
- - 1 - - - -
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- - 1 - - - -
01/Sep/2018 3,941,000 1 - - - -
01/Oct/2018 3,941,000 1 - - - -
01/Oct/2018 3,941,000 1 - - - -
01/Oct/2018 4,147,000 1 - - - -
01/Oct/2018 3,941,000 1 - - - -
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- - 1 - - - -
01/Nov/2018 3,941,000 1 - - - -
01/Jan/2019 3,941,000 1 - - - -
01/Jan/2019 3,941,000 1 - - - -
01/Aug/2018 3,941,000 1 - - - -
01/Feb/2019 3,941,000 1 - - - -
01/Feb/2019 3,941,000 1 - - - -
01/Feb/2019 3,941,000 1 - - - -
01/Feb/2019 3,941,000 1 - - - -
01/Mar/2019 3,941,000 1 - - - -
- - 1 - - - -
- - 1 - - - -
- - 1 - - - -
01/Mar/2019 3,941,000 1 - - - -
01/Mar/2019 3,941,000 1 - - - -
01/Mar/2019 3,941,000 1 - - - -
01/Mar/2019 3,941,000 1 - - - -
- - 1 - - - -
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01/Mar/2019 3,941,000 1 - - - -
01/Mar/2019 3,941,000 1 - - - -
01/Mar/2019 3,941,000 1 - - - -
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01/Mar/2019 3,941,000 1 - - - -
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01/May/2019 3,941,000 1 - - - -
01/Jun/2019 3,941,000 1 - - - -
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01/Aug/2019 3,941,000 1 - - - -
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01/Aug/2019 4,147,000 1 - - - -
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01/Aug/2019 3,941,000 1 - - - -
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- - 1 - - - -
01/Sep/2019 4,147,000 1 - - - -
01/Sep/2019 3,941,000 1 - - - -
01/Aug/2019 4,147,000 1 - - - - -
- - 1 - - - - -
01/Aug/2018 3,650,000 1 - - - - -
01/Aug/2018 3,650,000 1 - - - - 04/Aug/2029
01/Sep/2018 3,650,000 1 - - - - -
01/Sep/2018 3,650,000 1 - - - - 05/Jul/2019
01/Sep/2018 3,650,000 1 - - - - 15/Aug/2019
01/Sep/2018 3,650,000 1 - - - - 16/Aug/2019
01/Sep/2018 3,650,000 1 - - - - 17/Jun/2019
01/Sep/2018 3,650,000 1 - - - - -
01/Sep/2018 3,650,000 1 - - - - -
01/Oct/2018 3,650,000 1 - - - - 24/Jul/2019
01/Nov/2018 3,650,000 1 - - - - 15/Aug/2019
01/Nov/2018 3,650,000 1 - - - - 18/Jun/2019
01/Nov/2018 3,650,000 1 - - - - 15/Jun/2019
01/Dec/2018 3,650,000 1 - - - - 27/Jun/2019
01/Jan/2019 3,650,000 1 - - - - -
01/Feb/2019 3,650,000 1 - - - - -
01/Mar/2019 3,941,000 1 - - - - -
01/Mar/2019 3,941,000 1 - - - - -
01/Mar/2019 3,941,000 1 - - - - -
01/Mar/2019 3,941,000 1 - - - - -
01/Apr/2019 3,941,000 1 - - - - 15/Jul/2019
01/May/2019 3,941,000 1 - - - - 05/Jul/2019
- - 1 - - - - 05/Jul/2019
01/Jun/2019 3,941,000 1 - - - - 26/Jul/2019
01/Oct/2019 3,941,000 1 - - - -
01/Oct/2019 3,340,000 1 - - - -
01/Oct/2019MAKA TDK DIDAFTARKAN 1 - - - -
- - 1 - - - -
- - 1 - - - -
Keterangan
Status Client Column1 Sept-19 Remarks Countif
Active BLUEPAY 197,050 197,050 1

Active BLUEPAY - - 1
Active BLUEPAY - 39,410 DEDUCTION 1% UNTUK ANAK KE - 4 1
Active BLUEPAY - - MOHON INFO NIK UPDATE 1
Active BLUEPAY 167,000 197,049 3,940,980 1
Resign BLUEPAY 207,350 - 1
Resign BLUEPAY - - 1
Resign BLUEPAY - - 1
Gagal BLUEPAY 197,050 - 9T MEMILIKI ANGG. TAMBAHAN 1
Gagal BLUEPAY 167,000 - PBI (APBD) TUNGGAKAN IURAN 1
Gagal BLUEPAY 400,000 - JIKA SALARY MASIH DAILY, MAKA TDK 1
Gagal BLUEPAY - - 1
Gagal BLUEPAY - - 1
MASTER
tonn 3173010901100008
Active 172
Resign 1
BLUEPAY 183
NIK IBU
NO NO BPJS KANDUNG NAMA IBU KANDUNG NO KK NIK/KITAS /KITAP
1 0001647347354 3175031401098843 3175031110971001

2 0002232373432 33052643046SULASMI 3305262302074612 3305265009940001
3 0002355916263 ADMI 3302030302053923 3302032602820002
4 0002355915418 SARNIAH 3603181606090075 3603181503820001
5 0002355945941 SUMINI 3603181606090075 3603184612860002
6 0002355945963 ETIK MULYANI 3603181606090075 3603187112070002
7 0002355945952 ETIK MULYANI 3603181606090075 3603185305150003
8 0002080735097 SANAH 3603182908160060 3603182107870006
9 0002080735481 DARWI 3603182908160060 3603186106910019
10 0002080735918 HAMIDAH 3603182908160060 3603180509100001
11 0002488303552 HAMIDAH 3603182908160060 3603185111160004
12 0001335469803 TUMINI 3175071507111076 3303120212810002
13 0001335471276 3175071507111076 3175076811860005
14 0002202404275 3175071507111076 3175075008111004
15 0002422422731 3175071507111076 3175070609170005
16 0001311997127 MUTMAINAH 3174030501098311 3174030806830001
17 0001906213555 NUNUNG SUINAH 3174030501098311 3174036803850004
18 0001906214354 RATNA SARI DEWI 3174030501098311 3174035710070002
19 0001906215456 RATNA SARI DEWI 3174030501098311 3174036108111004
20 0002092125701 RATNA SARI DEWI 3174030501098311 3174035110160004
21 0002356040856 36032860067UMIYATI 3603281811100010 3603280305960005
22 0001625593127 RASNIITI 3172040901094157 3172042810940010
23 0002356387997 32011347086HJ AMINAH SUHENDA 3201132501130012 3201130812910001
24 0002356549852 32760747077NURMAYANI 3276070802130017 3276074104980004
25 0002356550109 32761161086KARTINI 327 611 221 110 00043276110711940001
26 0002356549839 PUTRIYAH 3276011311170020 3276012510860009
27 0002477512012 IYAH 3276011311170020 3604294903940003
28 0002477512293 MITA 3276011311170020 3276012811170005
29 0002141336092 YUSNIDA 3173040901094080 3173046804950001
30 0001459390904 VONNA 3171073003110026 3171075308971001
31 0001645903247 36710345097JAMILAH 3671031409070091 3671036103980002
32 0001636117503 HAIRIYAH 3171052011880003 3171052011880003
33 0001636117514 3171052011880003 3171055403860001
34 0001636117525 3171052011880003 3171052412080004
35 0001636117536 3171052011880003 3171054709131001
36 0001774550744 SRI IRIYANTI 3175030901091230 3175036606980010
37 0001813628283 31720358024EMI 3172032201094220 3172031608850005
38 0002141096523 17021950077SUHARNA 1702192209120004 1702195510950002
39 0002357345586 WAGINAH 3202222605120144 3202224806920006
40 0001205679969 ROSADAH 3171014301940002 3171014301940002
41 0001291817351 MUJIEM 3172031501091252 3172032706840002
42 0001390196564 ANDRIYATI 3172063009111016 3172062009850001
43 0001390197238 YENI NUR AIN 3172063009111016 3171026002880001
44 0001390198509 YENI NUR AIN 3172063009111016 3172062203121001
45 0001390538351 YENI NUR AIN 3172063009111016 3172064708141006
46 0002358694146 YENI NUR AIN 3172063009111016 3172062912170006
47 0002335388837 JAYANTI 3173060601095636 3173060209980001
48 0002340246475 NIA 3175030108170005 3175030309800010
49 0001468006806 NARSIYEM 3175030108170005 3304105507750002
50 0001468006795 RUMINAH 3175030108170005 3304105705120002
51 0001965432971 RUMINAH 3175030108170005 3304101811140002
52 0001615055229 KASLIYAH 3174100503151010 3327140208970006
53 0001300955196 FATMA NUSI 3174032202100022 3174033101820005
54 0002254628103 WARKIAH 3174032202100022 3329014101840008
55 0001300956434 NUNUNG NURJANAH 3174032202100022 3174031802100001
56 0001300956838 NUNUNG NURJANAH 3174032202100022 3174032009121002
57 0002136886874 NUNUNG NURJANAH 3174032202100022 3174036707170002
58 0002269675653 NUNUNG NURJANAH 3174032202100022 3329015308010003
59 0001301343164 SUMIATI 3171041001092171 3171041110960002
60 0001224185793 UMMAYAH 3172035909970017 3172035909970017
61 0001737391948 SRI SUPRAPTI 3275110205120010 3275011904800025
62 0001715957379 HJ, SITI MOELYANI 3175072501096583 3275082911780010
63 0001129199905 HJ. MA'AH 3276031909810008 3276031909810008
64 0001177526463 3276031909810008 3276036512860012
65 0001177526474 3276031909810008 3276031909810008
66 0001177526485 3276031909810008 3276031909810008
67 0002096789433 DAISANAH 3603050207090004 3603055704940001
68 0002100155253 DEDE HAMIDAH 3205102311070974 3205105105930002
69 0001424427074 MULYANAH 3173041601094644 3173040511910008
70 0001727026413 ASNURI 3175070701097647 3175076904990005
71 0001662414671 32720141017NENI NURAISAH 3272010405070004 3272015202990021
72 0000977632457 3175035408990004 3175035408990004
73 0001473481899 NURHUSNAH 3603283012100014 3603280611990006
74 0002056454098 FATMAWATI 3276010707140016 3174094107990007
75 0002144316611 ANA 3201122709160019 3201121010880010
76 0002144316622 ANA 3201122709160019 3201126410150002
77 0002357911113 ALIAH 3276012507180024 3276011903880008
78 0002779716284 3276012507180024 3276016809180001
79 0000348405153 RINA ANGGRAENI 1802162505050391 1802162405980001
80 0000378501254 HENNY ROSITA 3172042101097079 3172041108950004
81 0002140420421 FAIRUS 3175020706170031 3202286309960001
82 0002356606214 HJ.ERNIH 3674060703161032 3674060403890005
83 0002144865194 3674060703161032 3674064911910005
84 0002616925612 3674060703161032 3674060910091001
85 0002750978351 3674060703161032 3674060703161032
86 0002007163776 ILAH ROSILAH 3604061102073804 3604061803900001
87 0002357461541 RIATI 1802080905110012 1802080409970002
88 0002509581879 EVA ARIYANTI 3175060410131011 3175060410920001
89 0001737278054 LIKSANA 3172050901094871 3172051609931002
90 0002097714993 3671111010130004 3671116505940014
91 0001770020133 3276050209100003 3276050801920011
92 0001835241333 3275031104070293 3275036506920025
93 0001774183882 3175031701092543 3175030810970003
94 0001326854711 HJ. SITTI NAISYAH 7171020412170008 9171030808880017
95 0001326857332 HALIMAH LAMANI 7171020412170008 9101015909940007
96 0001326858895 SRI LASMINI SYAM 7171020412170008 9101015101120004
97 0001811611113 SRI LASMINI SYAM 7171020412170008 9101012812140001
98 0000500496129 3271011902090029 3271015108980006
99 0000814560118 3671121008150010 3671121601000003
100 0002510188727 3671120908070026 3671121006960005
101 0002510188705 3501031102100105 3501030310820001
102 0002774686645 3501031102100105 3501036606840001
103 0002774686858 3501031102100105 3501034706060002
104 0002575151324 3315042205990005 3315042205990005
105 0002057904009 1801155001990002 1801155001990002
106 0002510188683 MUTINAH 3304011309180006 3302011508800004
107 0002752831732 33040141076KANISAH 3304011309180006 3304014908870003
108 0002752831877 33040149088KARTINI 3304011309180006 3304010707170001
109 0000378475323 3172041001097354 3172040811930005
110 0001277272359 3175052609131022 3175054203890003
111 0002510936515 3175072110110006 3175072112910004
112 0002749945961 3603182304180008 3273060609810003
113 0001736501207 3201011010131018 3201012907880004
114 0001402590611 3201011010131018 3201014404900002
115 0001736501218 3201011010131018 3201012101120012
116 0001520321872 3273223009100278 3273221404800002
117 0001520321883 3273223009100278 3273226710840003
118 0001520321894 3273223009100278 3273221908050002
119 0001520321905 3273223009100278 3273222201140001
120 0001636701164 NISEM F 3201101206170011 3201102909850001
121 0002086101494 TOTIH 3201101206170011 3276027108920005
122 0002433255355 NUR ANNISA 3201101206170011 3201100607170003
123 0000269351032 1277022707940002 1277022707940002
124 0001803552377 3174012610170023 3174010412860010
125 0002511387843 3174050307110001 3174050502910003
126 0001406614274 3175061709980013 3175061709980013
127 0002340302444 3175030704850003 3175030704850003
128 0001883483741 3173031909941002 3173031909941002
129 0002244680853 3212150803120009 3212152011880001
130 0002244681527 3212150803120009 3212156201850005
131 0002255683959 3212150803120009 3175075906170001
132 0001378906334 3216020601120015 3216022403940002
133 0001623983837 3216020601120015 3216024606970013
134 0002463031708 3216020601120015 3216024804170004
135 0001637814857 3172031907100030 3172030807930008
136 0001157147403 3175022611980007 3175022611980007
137 0001840157425 3209100501090339 3209101110930006
138 0002266955256 3209100501090339 3209104301170003
139 0001463766041 SITI JULAEHA 3273300708150003 3273042407920001
140 0002438878498 MELSA IRMA NANDA 3273300708150003 3273301111130002
141 0002136683902 3275010812140016 3275012404900010
142 0001608806891 3276011611070130 3276012710970005
143 0002511896725 EMAH 3216192604120072 3216191203860006
144 0002511897592 TITI 3216192604120072 3216194705890009
145 0002511897603 AI SITI MAESAROH 3216192604120072 3216197108090003
146 0000309631601 1603120501980002 1603120501980002
147 0002277126562 3171070303160004 1812020509940008
148 0002277127157 3171070303160004 3205316805920002
149 0002277128103 3171070303160004 3171072105160002
150 0002746444228 3273131910960004 3273131910960004
151 0000504654546 KOKOM KOMALA 3273032205180014 3273251506890001
152 0002102107353 3216111912910002 3216111912910002
153 0001744016139 3275022408920015 3275022408920015
154 0001257072928 3275120202130002 3275121308810002
155 0001257073154 3275120202130002 3275126612820007
156 0002203726364 3275120202130002 3275124405090006
157 0002203726386 3275120202130002 3275121706130002
158 0002744596776 3275083003100008 3275080210970018
159 0001641428853 3671072412080039 3671070106840008
160 0001641428875 3671072412080039 3671074604810007
161 0001641428897 3671072412080039 3671070412080001
162 0001893116259 3671072412080039 3671070503140006
163 0001893116711 3671072412080039 3671070503140007
164 0001482586007 1471091606970021 1471091606970021
165 0002463282674 3273051301930011 3273051301930011
166 0002076863444 ETIH SUSANTI 3207192907910004 3207192907910004
167 0001314138115 3603192606860001 3603192606860001
168 0001222538804 3275011205160005 3173070906870002
169 0001609358141 3275011205160005 3172025708931003
170 0002224895409 3275011205160005 3275011205160005
171 0001462109477 3216020309960014 3216020309960014
172 0002089720967 3275066904940025 3275066904940025
173 0001173834922 31741055106DEDEH DARTINI 3174102308110004 3174105804980007
174 0001284105543 3171075703950007 3171075703950007
175 0001099819912 3671081506910002 3671081506910002
176 0002509581892 1271100606900003 1271100606900003
177 0001835992743 3213141301810009 3213141301810009
178 0001737687508 3603221410930006 3603221410930006
179 0000388088965 3201233103880002 3201233103880002
180 0001809973315 3671010505920006 3671010505920006
181 0002337829356 3174051703930007 3174051703930007
182 0002356440535 3604240509930004 3604240509930004
183 0002141318564 3172023105840015 3172023105840015
tonn
0
JENIS STATUS
NAMA LENGKAP HUBKEL TEMPAT LAHIR TANGGAL LAHIR KELAMIN KAWIN ALAMAT TEMPAT TINGGAL RT
NAOVAL REAYNALDI 1 INDRAMAYU 11/10/1997 1 1 JL. PANCA WARGA II NO 24 004

AISAH SHOLIHATUN 1 JAKARTA 10/Sep/1994 2 1 DK. PEKALONGAN 001
SITO 1 BANYUMAS 26/Feb/1982 1 2 CIKUPA 002
ENCEP KHAERUDIN 1 LEBAK 15/Mar/1982 1 2 KP CIKUPA 004
ETIK MULYANI 3 SEMARANG 12/Jun/1986 2 2 KP CIKUPA 004
BELLA PUTRI ARYANI 4 TANGERANG 31/Dec/2007 2 1 KP CIKUPA 004
ALYA DEWINA MARYAM 4 TANGERANG 03/May/2015 2 1 KP CIKUPA 004
SUHENDI 1 TANGERANG 21/04/1987 1 2 KP PALAHLAR 004
HAMIDAH 3 TANGERANG 21/06/1991 2 2 KP PALAHLAR 004
M.ILHAM SEPTIAN 4 TANGERANG 09/May/2010 1 1 KP PALAHLAR 004
ALESHA ZAHRA NOVIANI 4 TANGERANG 11/Nov/2016 2 1 KP PALAHLAR 004
SULASMUN 1 PURBALINGGA 12/Feb/1981 1 2 JLN.KIMIA FARMA II 006
DARMAYANTI 3 PEMALANG 28/Nov/1986 2 2 JLN.KIMIA FARMA II 006
SHIFA NAURA ZHAFIRAH 4 JAKARTA 10/Aug/2011 2 1 JLN.KIMIA FARMA II 006
ARVINO ZA YN KHALIF 4 JAKARTA 06/Sep/2017 1 1 JLN.KIMIA FARMA II 006
HARIS HANANTO 1 PURWOKERTO 08/Jun/1983 1 2 PERUM CITRA INDAH CITY, B 012
RATNA SARI DEWI 3 JAKARTA 28/Mar/1985 2 2 PERUM CITRA INDAH CITY, B 012
ADINDA AYU ROSALINA 4 JAKARTA 17/Oct/2007 2 1 PERUM CITRA INDAH CITY, B 012
HAIRA RIZKY ALFITRIYANI 4 JAKARTA 21/Aug/2011 2 1 PERUM CITRA INDAH CITY, B 012
CHAERUNNISA SALSABILA PUTR 4 BOGOR 11/Oct/2016 2 1 PERUM CITRA INDAH CITY, B 012
NANDA 1 TANGGERANG 05/Mar/1996 1 1 KP.ANGGRIS 001
DICKY DARMAWAAN 1 JAKARTA 28/10/1994 1 1 JLN.BHAKTI RAYA CILINCING 011
INDRA RESTU GUMILAR 1 JAKARTA 12/Aug/1991 1 1 KP BOJONGGEDE 002
NURUL APRIYANI 1 DEPOK 04/01/1998 2 1 JL SITU ASIH KP. PULO 002
AL GERI 1 BOGOR 11/07/1994 1 1 JL.MANDOR TADJIR NO 12 001
OKIS MUKHLISIN 1 JAKARTA 25/10/1986 1 2 KP. PANCORAN MAS 002
MITA 3 SERANG 03/09/1994 2 2 KP. PANCORAN MAS 002
MUHAMMAD ARIF MAULANA 4 SERANG 28/11/2017 1 1 KP. PANCORAN MAS 002
AZMELIA 1 JAKARTA 28/Apr/1995 1 1 JL .SAWAH LIO 4 004
AGNESIA MAULIDINA IGIRISA 1 TANGERANG 13/Aug/1997 2 1 JALAN KEBON PALA III NO. 1 008
RESSA SYAFFA RISQIA 1 TANGERANG 21/03/1998 2 1 JL. KH MAULANA HASANUDI 002
ANDRA KURNIA 1 PS MUARA SIAU 20/11/1988 1 2 CEMPAKA PUTIH BARAT XIX 014
MARDIANI 3 JAKARTA 14/03/1986 2 2 CEMPAKA PUTIH BARAT XIX 014
UMMA PUTRA DIANDRA 4 JAKARTA 24/12/2009 1 1 CEMPAKA PUTIH BARAT XIX 014
KALILA DALVA DIANDRA 4 JAKARTA 09/Jul/2013 2 1 CEMPAKA PUTIH BARAT XIX 014
RINA JUNITA DEWI 1 JAKARTA 26/06/1998 2 1 JL KEBON SAYUR 1 JAKTIM 010
AGUS MULYONO 1 JAKARTA 16/08/1985 1 2 JL. MANDIRI 1 003
ERLINA OKTA SUSANTI 1 CURUP 15/10/1995 2 1 GG. CANGKIR 002
LILIH SHOBARIAH SHOLEHAH 1 SUKABUMI 08/Jun/1998 2 1 KP. CIEMAS 004
MEVY ISNAINI 1 JAKARTA 03/Jan/1994 2 1 JL. SETIAKAWAN UJUNG SINY 005
RUDI YANTO 1 JAKARTA 27/Jun/1984 1 1 KM.MANGGA RT.008/02 NO.6 008
YUSUF ARYOSETO 1 JAKARTA 20/Sep/1985 1 2 JL. TANGGUH V NO. 15 RT. 011
YENI NUR AIN 3 JAKARTA 20/Feb/1988 2 2 JL. TANGGUH V NO. 15 RT. 011
FAKHRI ARYO DJUFAND 4 JAKARTA 22/Mar/2012 1 1 JL. TANGGUH V NO. 15 RT. 011
FRESTYANI ANDRIKA ARYOSETO 4 JAKARTA 07/08/2014 2 1 JL. TANGGUH V NO. 15 011
FAIQA ARYANI MAULIDA 4 JAKARTA 29/Dec/2017 1 1 JL. TANGGUH V NO. 15 RT. 011
SYARIF HIDAYATULLAH 1 JAKARTA 02/Sep/1998 1 1 SEMANAN KALIDERES RT.006 006
YAYAN SOPIAN 1 GARUT 03/Sep/1980 1 1 KP. JEMBATAN RT 005 RW 0 005
RUMINAH 3 BANJARNEGARA 15/Jul/1975 2 2 LINGGASARI 001
RAJNITYA LAILANI 4 BANJARNEGARA 17/May/2012 2 1 LINGGASARI 001
ABDUL RASYID 4 BANJARNEGARA 18/Nov/2018 1 1 LINGGASARI 001
IRFAN MAULANA 1 PEMALANG 02/Aug/1997 1 1 JL.SAKTI RAYA NO. 46 RT. 005
ISHAK LANTOWA 1 KWANDANG 31/Jan/1982 1 2 JL. BANGKA I D NO.10 009
NUNUNG NURJANAH 3 BREBES 01/Jan/1984 2 2 JL. BANGKA I D NO.10 009
NAZRIEL PRATAMA LANTOWA 4 JAKARTA 18/Feb/2010 1 1 JL. BANGKA I D NO.10 009
ADITYA PUTRA LANTOWA 4 JAKARTA 20/Sep/2012 1 1 JL. BANGKA I D NO.10 009
ADELIA FARANISA LANTOWA 4 JAKARTA 27/Jul/2017 2 1 JL. BANGKA I D NO.10 009
ADILA PARAMITA LANTOWA 4 JAKARTA 27/Jul/2017 2 1 JL. BANGKA I D NO.10 009
TRI RACHMAD RAMADHAN 1 JAKARTA 11/Oct/1996 1 1 JL. KRAMAT SAWAH XII E.32 015
NUR AZIZAH 1 JAKARTA 19/Sep/1997 2 1 JL PLUMPANG SEMPER NO. 3 000
JOKO SUNARYO 1 TEMANGGUNG 19/Apr/1980 1 1 MUTIARA GADING TMR BLK F 008
PRADITYA ADHI WARDHANA 1 YOGYAKARTA 29/Nov/1978 1 2 JL. MANGGAR V BLOK G17 N 004
MAMUN 1 BOGOR 19/Sep/1981 1 2 GG. ASEM RT 003 RW 009 003
SUSI SUSANTI 3 BOGOR 25/Dec/1986 2 2 JL RAYA CINANGKA PARUNG 000
AUDRY SOVITHA CARLA 4 BOGOR 19/Aug/2004 2 1 JL RAYA CINANGKA PARUNG 000
AURIEL GHABRIEL FRICYLEA 4 BOGOR 09/Apr/2009 2 1 JL RAYA CINANGKA PARUNG 000
RISKY APRIANI 1 TANGERANG 17/Apr/1994 2 1 KAMPUNG CISOKA RT. 03 RW 003
LARAS ROSMAWATI 1 GARUT 11/05/1993 2 1 KP HAURKUNING 003
MUHAMAD AKBAR RIVAI 1 JAKARTA 05/Nov/1991 1 1 JL.DURIBARU RT006 RW 06 006
CHUSNUL CHOTIMAH APRILIA 1 JAKARTA 29/04/1999 2 1 JL KAMPUNG SUMUR 005
ANISA FEBRIYANI 1 SUKABUMI 02/Dec/1999 2 1 KP BABAKAN GARUNG 003
TIA AMRIANA HASRI 1 JAKARTA 14/Aug/1999 2 1 CIPINANG MUARA 009
MUHAMAD DWIKY SYAHPUTR 1 JAKARTA 06/Nov/1999 1 1 JL. EMPU PANULUH II NO.84 000
RATNA SUKMAWATI 1 JAKARTA 01/Jul/1999 2 1 KP. PULO RT 003/RW008 KE 003
ANDI 1 BOGOR 10/Oct/1989 1 2 KP SASAK RT 003 RW 008 K 003
ANDINI DWI OKTAVIANI 4 BOGOR 24/Oct/2015 2 1 KP SASAK RT 003 RW 008 K 003
LUCKY ANDRIAN 1 DEPOK 19/Mar/1988 1 2 KP. PITARA RT 005 RW 015 005
MAHIRA HASNA KAMILA 4 DEPOK 28/Sep/2018 2 1 KP. PITARA RT 005 RW 015 005
SURYA ANDRINO PANGESTU 1 SULUSUBAN 24/May/1998 1 1 KAMPUNG SULUSUBAN,KEC 000
MUHAMMAD MAULANA RAC 1 BENGKULU 11/Aug/1995 1 1 JL. ROROTAN IX W. KARYA B 001
DEVI PURNAMASARI 1 SUKABUMI 23/Sep/1996 2 1 CIPINANG JAGAL 003
HANAFI 1 TANGERANG 03/Apr/1989 1 2 JL.SWADAYA NO.35 003
NURUL FADILAH 3 TANGERANG 09/Nov/1991 2 2 JL.SWADAYA NO.35 003
AKBAR RIZA SAPUTRA 4 TANGERANG 09/Oct/2009 1 1 JL.SWADAYA NO.35 003
BAYI NYONYA NURUL FADILAH 4 TANGERANG 09/Mar/2019 2 1 JL.SWADAYA NO.35 003
RASMUDI 1 SERANG 18/Mar/1990 1 1 KP. SIBATU RT 007 RW 003 007
DODI SAPUTRA 1 REJOSARI 04/Sep/1997 1 1 DUSUN 3 014
OKTA RYAN SAPUTRA 1 JAKARTA 04/Oct/1992 1 1 PULO GEBANG RT 001 RW 0 001
DONI SEPTIAN 1 JAKARTA 16/Sep/1993 1 1 JL.BUDI MULIA 009
EVI ANDRIYANI 1 TANGERANG 25/May/1994 2 1 BOJONG 001
DERIYANTO 1 DEPOK 08/Jan/1992 1 1 JL. ARJUNA IV NO 223 RT 0 008
RIRIN JUNIARTI 1 BEKASI 25/Jun/1992 2 1 KP KARET RT 002 RW 001 KEL 006
AHMAD ANDRIANSYAH 1 JAKARTA 08/Oct/1997 1 1 CIPINANG MUARA RT 003 RW 003
ANDI ARFAN AMIER 1 UJUNG PANDANG 04/Apr/1984 1 2 JL. HASANUDIN NO 19 LING 000
SRI LASMINI SYAM 3 MANADO 19/Sep/1994 2 2 JL. HASANUDIN NO 19 LING 000
SYARIFAH SALSABILLA 4 MANADO 11/Jan/2012 2 1 JL. HASANUDIN NO 19 LING 000
ANDI MUHAMMAD SULAIMAN 4 MERAUKE 28/Dec/2014 1 1 JL. HASANUDIN NO 19 LING 000
EKA WAHYUNI 1 PANDENGLANG 05/Jun/1999 2 1 JL. LAYUNGASARI I RT 007 007
KEVIN HERMAWAN 1 JAKARTA 16/Jan/2000 1 1 KP. PONCOL RT 004 RW 001 004
ROY MARTIN 1 TANGERANG 10/Jun/1996 1 1 KP PARUNG KORED RT 003 R 003
SUGENG WAHYUDI 1 PACITAN 03/Oct/1982 1 2 DUSUN PAGERJO RT. 02 RW. 002
DINA WIDIYANTI 3 PACITAN 26/Jun/1984 2 2 DUSUN PAGERJO RT. 02 RW. 002
ALBERT W F 4 PACITAN 07/Jun/2006 1 1 DUSUN PAGERJO RT. 02 RW. 002
MUHAMMAD RAFLY SUPRIYO 1 JAKARTA 22/May/1999 1 1 DSN TUNGGAK 1 KECAMATA 004
AJENG EKA PITRI 1 SRAGI 10/Jan/1998 2 1 SUKARANDEG I RT 002 RW 0 002
YUSWADI 1 BANYUMAS 15/Aug/1980 1 2 GUMELEM KULON 001
KARTINI 3 BANJARNEGARA 09081987 2 2 GUMELEM KULON 001
MUHAMMAD ARYA PANDU JUL 4 BANJARNEGARA 07/Jul/2017 1 1 GUMELEM KULON 001
HARIS RAHMAN HAKIM 1 JAKARTA 08/Nov/1993 1 1 KP. BULAK CABE RT.008 RW.0 008
MELY FRANSISCA 1 JAKARTA 02/Mar/1989 2 2 JL. BENDERA RT 009 RW 011 009
ANDIS MARIO TOGATOROP 1 JAKARTA 21/Dec/1991 1 1 JL.SMP 135 012
AHMAD SOPYAN 1 BANDUNG 06/Sep/1981 1 2 KP CIKUPA RT 001 RW 004 K 001
RERE LIYANA 1 JAKARTA 29/Jul/1988 1 2 CIKARET RT 003 RW 010 KE 003
ENDAH APRIANI 3 BOGOR 04/Apr/1990 2 2 CIKARET RT 003 RW 010 KE 003
RAVA MESSI ALKHAIDAR 4 BOGOR 21/Jan/2012 2 1 CIKARET RT 003 RW 010 KE 003
WAHYUDI 1 BANDUNG 14/Apr/1980 1 2 RANCASAWO RT 004 RW 018 004
YENI KURNIATI 3 GARUT 27/Oct/1984 2 2 RANCASAWO RT 004 RW 018 004
ADI BAGUS YOGA PRATAMA 4 BANDUNG 19/Aug/2005 1 1 RANCASAWO RT 004 RW 018 004
ALKA MAULANA AGUNG PRAWI 4 BANDUNG 22/Jan/2014 1 1 RANCASAWO RT 004 RW 018 004
DADI SUNARDI 1 BOGOR 29/Sep/1985 1 2 KP LEBAK WANGI RT 004 RW 004
NUR ANNISA 3 BOGOR 31/Aug/1992 2 2 KP LEBAK WANGI RT 004 RW 004
RASHDAN DANIYAL SHAWQI 4 DEPOK 06/Jul/2017 1 1 KP LEBAK WANGI RT 004 RW 004
AHMAD RIDWAN HARAHAP 1 PADANGSIDIMPU 27/Jul/1994 1 1 KOMP METRO FLORIDA BLOK 000
RONNY YOSEP .L. 1 MALUKU 04/12/1986 1 2 JL. TEBET UTARA IV D 8 RT 004
TRI WAHYUDI 1 JAKARTA 05/02/1991 1 1 PENINGGARAN RT 011 RW 0 001
AHMAD FAISAL 1 JAKARTA 17/09/1998 1 1 KP. CAKUNG RT 005 RW 002 005
ANDRI FAUZAN 1 JAKARTA 12/09/2005 1 2 PRUMPUNG TENGAH RT 005 R 005
DODY GUNAWAN 1 JAKARTA 19/09/1994 1 1 JL. MANGGA BESAR IV G/20 012
BERI SUPRIYADI 1 INDRAMAYU 20/Nov/1988 1 2 JL. PONDOK KOPI BLOK A-1 001
SUSANTI 3 INDRAMAYU 22/Jan/1990 2 2 JL. PONDOK KOPI BLOK A-1 001
AYUNINDYA FARZANA RAMADH 4 JAKARTA 19/Jun/2017 2 1 JL. PONDOK KOPI BLOK A-1 001
KURNIANTO 1 TEGAL 24/03/1994 1 2 VILA GADING HARAPAN BLOK 013
RIDANTI EKA SAFIRA 3 JAKARTA 06/Jun/1997 2 2 VILA GADING HARAPAN BLOK 013
GITA INDAH PERMATA SARI 4 BEKASI 08/Apr/2017 2 1 VILA GADING HARAPAN BLOK 013
MUHAMAD JUNAEDI 1 JAKARTA 08/07/1993 1 1 KP. BULAK KECIL NO. 37 RT 006
ALIF FIRMANSYAH 1 JAKARTA 26/11/1998 1 1 KP BULAK BARU RT 006 RW 006
IRWANTO 1 CIREBON 11/10/1993 1 2 BLOK BUNTET PESANTREN R 011
CALLYSTA FELICIA SYIFA 4 INDRAMAYU 03/Jan/2017 2 1 BLOK BUNTET PESANTREN R 011
IPAN JULIANA 1 BANDUNG 24/07/1992 1 2 BBK MAREN SUKAASIH RT 00 003
ABIE NANDA JULIAN 4 BANDUNG 11/Nov/2013 1 1 BBK MAREN SUKAASIH RT 00 003
TONI RAMADHONI 1 BEKASI 24/04/1990 1 1 JL. PROF MOCH YAMIN NO 49 005
MUHAMMAD NUR ALVY SYAHR 1 BOGOR 27/10/1997 1 1 BOJONG RT 002 RW 005 KE 002
AHMAD JAELANI 1 BEKASI 12/03/1986 1 2 KP. TEGAL GEDE RT 004 RW 004
AI SITI MAESAROH 3 BEKASI 07/May/1989 2 2 KP. TEGAL GEDE RT 004 RW 004
ADELIA FITRI LEILANI 4 BEKASI 31/Aug/2009 2 1 KP. TEGAL GEDE RT 004 RW 004
YUDA SETIAWAN 1 TANAH ABANG SE 01/May/1998 1 1 PERUM GRIYA DESA SUKADAM004
RIKI ERDIANA 1 SUKA BUMI 05/09/1994 1 2 PETAMBURAN RT 003 RW 01 003
HERNI TRISNA 3 GARUT 28/May/1992 2 2 PETAMBURAN RT 003 RW 01 003
MUHAMAD ZAIN ANTASENA S 4 JAKARTA 21/May/2010 1 1 PETAMBURAN RT 003 RW 01 003
MUHAMAD ANDRI IRIANSYAH 1 BANDUNG 19/Oct/1996 1 1 JALAN MELONG KIDUL NO. 5 002
SAEFUL ANWAR 1 BANDUNG 15/Jun/1989 1 2 JL. KOPO GG RH SULAEMAN 004
ASEP AWALUDIN 1 BEKASI 11/Dec/1991 1 1 KP. BARU RT 001 RW 005 K 001
KRISTIAN WIDODO 1 BEKASI 24/Aug/1992 1 1 JL. BINTARA 14 RT 006 RW 0 006
AGUS SETIAWAN 1 JAKARTA 13/Aug/1981 1 2 PONDOK MELATI RT 001 RW 001
LISNA 3 JAKARTA 26/Dec/1982 2 2 PONDOK MELATI RT 001 RW 001
DINDA KANIADEWI 4 JAKARTA 04/May/2009 2 1 PONDOK MELATI RT 001 RW 001
MUHAMMAD ARAZQI SETIAWA 4 JAKARTA 17/Jun/2013 1 1 PONDOK MELATI RT 001 RW 001
ANDRE FIRMANSYAH 1 BEKASI 10/Feb/1997 1 1 JL.CAMAN RAYA KOMPL.DEPK 005
DOBI ROMDONY 1 TANGERANG 01/Jun/1984 1 2 CIMONE 002
EEM SUMARIAH 3 TASIKMALAYA 06/Apr/1981 2 2 CIMONE 002
MALIK RAJWAAGATANI 4 GARUT 04/Dec/2008 1 1 CIMONE 002
MUHAMMAD RAFFA GIBRAN 4 TANGERANG 05/Mar/2014 1 1 CIMONE 002
MUHAMMAD RAFFI GIBRAN 4 TANGERANG 05/Mar/2014 1 1 CIMONE 002
GAGAS PUTRA DWICAKSONO 1 PEKANBARU 16/Jun/1997 1 1 JL. PAUS KOM VPP BLOK E 002
JAENUDIN 1 GARUT 13/Jan/1993 1 1 JL. ARJUNA SIMPANG RT. 00 003
JAKA PERMANA 1 SUMEDANG 29/Jul/1991 1 1 DSN TAMANSARI RT 22 RW 0 022
RIKI WIJAYA 1 TANGERANG 26/Jun/1986 1 2 KP. MEKAR BAKTI RT.02/01 002
RISKY PRASETYO 1 JAKARTA 09/Jun/1987 1 2 JL. IRIDA BARAT XVII BLOK 007
LIA AGUSTIN 3 JEMBER 17/Aug/1993 2 2 JL. IRIDA BARAT XVII BLOK 007
BAYI NY LIA AGUSTIN 4 JAKARTA 14/Apr/2017 1 1 JL. IRIDA BARAT XVII BLOK 007
SEPTIANTO C PUTRA 1 BANYUMAS 03/Sep/1996 1 1 KEBALEN RT 006 RW 014 KE 006
YATI 1 CIANJUR 29/Apr/1994 2 1 KP RAWA BAMBU RT 002 RW 002
CICILIA APRILIYANI S 1 CIMAHI 18/04/1998 2 1 JL. M. SAIDI 006
AHMALIA RAHMAWATI 1 JAKARTA 17/Mar/1995 1 1 JL. PETAMBURAN VII RT 00 001
GANDUNG ANGGER 1 JAKARTA 15/Jun/1991 1 1 PERSADA RAYA BLOK F. 6 NO 010
MUHAMAD FAUZAN AKBARI 1 BANDUNG 06/Jun/1990 1 1 JL. AR HAKIM NO. 2 D RT 044
KIKI RACHMAN 1 SUBANG 13/Jan/1981 1 2 JL. MAWAR MERAH IV BLOK 002
INDRA OKTO YUAN 1 JAKARTA 14/Oct/1993 1 2 KP.CICAYUR 2 RT.01/03 C 001
NAHRUL ARIF 1 JAKARTA 31/Mar/1988 1 2 KP BANTELI RT 03 RW 03 KE 003
MANTLY TRENDY 1 TANGERANG 05/May/1992 1 2 PORIS CIPONDOH RT 3 RW 003
DANNY CASSANDRA 1 JAKARTA 17/Mar/1993 1 1 JL. AL MUBAROK IV NO. 29 006
MOHAMAD AJI 1 SERANG 05/Sep/1993 1 2 KP. TIPAR RT/RW. 015/001, 015
RANDY 1 DOMINICA 31/May/1984 1 2 JL. SWASEMBADA TIMUR XV N 006
KODE NAMA KODE FASKES
RW KODE POS KECAMATAN KECAMATAN KODE DESA NAMA DESA TK.I NAMA FASKES TK.I
002 13410 1172 JATINEGARA 34300 CIPINANG BESAR 09031008 KEL. PULO GEBANG
004 54353 1841 KARANGSAMBUN 33194 PLUMBON 11203711 Alian
003 15710 3050 CIKUPA 10487 CIKUPA 0221U124 KLINIK KELUARGA SEHAT MDK(JS
005 15811 3814 KELAPA DUA B9513 CURUG SANGER 10050504 PUSKESMAS KELAPA DUA
013 16922 1220 BOJONG GEDE 06567 BOJONGGEDE 10041601 BOJONG GEDE
008 16436 1714 PANCORAN MAS 01714 DESA LAINNYA 0138B007 KPRI BUNDA
006 16517 1713 SAWANGAN 42188 SERUA 0138B202 KPRJ NAJWA MEDIKA
006 11250 1189 TAMBORA 34120 JEMBATAN LIMA 09040404 kel.tambora
013 10230 1177 TANAH ABANG 41588 KEBON MELATI 04960011 PUSKESMAS PONDOK BETUNG
002 15122 3115 BATUCEPER 11209 PORIS GAGA 0223U110 KLINIK BETH RAPHA A. I (JST)
015 13330 1172 JATINEGARA 34295 BIDARA CINA 0112B119 Klinik Fakhira Kebon Baru
009 00000 1196 KOJA B9501 RAWABADAK SE 09050507 KEL. RAWA BADAK II
008 16680 1204 DRAMAGA 06388 BABAKAN 10040402 DRAMAGA
001 43177 1229 CIEMAS 06733 CIEMAS 10102001 CIEMAS
012 10140 1184 GAMBIR 33752 DURI PULO 09010101 Kel. Duri Pulo
002 00000 1196 KOJA 06287 TUGU SELATAN 09050505 KEL. TUGU SELATAN
002 14240 1197 KELAPA GADING B9503 KELAPA GADING 09050600 KEC. KELAPA GADING
008 11850 1192 KALI DERES 34140 SEMANAN 01150110 KEC. KALIDERES
006 00000 1172 JATINEGARA 34300 CIPINANG BESAR 09030300 Kec. Jatinegara
006 00000 1160 PESANGGRAHAN 34278 PETUKANGAN SE 09021003 Kel. Petukangan Selatan
007 00000 1179 SENEN 01179 PASEBAN 0114B212 Klinik St Carolus Paseban
000 00000 1198 CILINCING 06297 SEMPER BARAT 09050505 KEL. TUGU SELATAN
033 00000 1707 BEKASI TIMUR 01707 DESA LAINNYA 10261402 MUSTIKA JAYA
011 00000 1173 DUREN SAWIT 34324 PONDOK KELAPA 0113U005 Klinik Bina Husada Bhakti
009 00000 1713 SAWANGAN 42290 KEDAUNG 0138U019 KPRJ BAHAR MEDIKA II
001 00000 3047 CISOKA 03047 DESA LAINNYA 09020600 Kec. Kebayoran Lama
004 44153 1374 KADUNGORA 28613 HEGARSARI 10240801 KADUNGORA
006 11300 1189 TAMBORA 34118 JEMBATAN BESI 09040400 KEC. TAMBORA
017 13470 1173 DUREN SAWIT 34323 KLENDER 0113B004 Klinik Pratama Kimia Farma 147
006 43124 1670 GUNUNG PUYUH 45655 KARANGTENGAH 09010200 KEC. SAWAH BESAR
008 00000 1172 JATINEGARA 34299 CIPINANG MUAR 09030300 KEC. JATINEGARA
000 00000 3814 KELAPA DUA 74212 BENCONGAN 02210107 PUSKESMAS BINONG
008 00000 1714 PANCORAN MAS 42163 RANGKAP JAYA 0138U015 KPRJ YANI MEDIKA
000 00000 1054 SEPUTIH AGUNG 23271 SULUSUBAN 08031502 SIMPANG AGUNG
007 00000 1198 CILINCING 06299 ROROTAN 09050709 KEL. ROROTAN
010 13240 1175 PULO GADUNG 34289 CIPINANG 09030207 KEL. CIPINANG
005 15416 3057 PAMULANG 10567 PONDOK BENDA 04960003 PUSKESMAS PONDOK BENDA
003 00000 3092 WARINGINKURUN 10981 SASAHAN 10062601 WARINGIN KURUNG
003 34155 1052 SEPUTIH RAMAN 22854 REJO ASRI 09040601 KEL. GROGOL I
006 00000 1174 CAKUNG 34318 PULO GEBANG 0113U040 KLINIK RENNY EVA SARI
011 14420 1194 PADEMANGAN 06277 PADEMANGAN T 09050300 kecamatan pademangan
010 15144 3109 PINANG 11159 KUNCIRAN INDA 0223B138 KLINIK PINANG SARI 2
020 16411 1715 SUKMA JAYA 42301 MEKAR JAYA 10270402 TUGU
004 17125 1712 BEKASI UTARA 42326 KALIABANG TEN 0137B067 KLINIK MEDIKA MULIA BEKASI
011 13420 1172 JATINEGARA 34299 CIPINANG MUAR 0113B010 KLINIK PERTAMEDIKA RAWAM
002 00000 3881 TUMINTING 61755 BITUNG KARANG 0113B099 KLINIK AL FALAH
007 16132 1659 KOTA BOGOR SEL 45421 EMPANG 10030103 BONDONGAN
001 15159 3107 KARANG TENGAH 11143 PADURENAN 02230005 PUSKESMAS PEDURENAN
002 15158 3107 KARANG TENGAH 11144 PARUNG JAYA 02230004 PUSKESMAS KARANG TENGAH
001 00000 2014 TOROH 41240 TUNGGAK 11300202 TOROH II
001 00000 1013 SRAGI 22500 KUALA SEKAMP 08020302 SRAGI
011 00000 1167 PASAR REBO 34312 CIJANTUNG 09030704 KEL. CIJANTUNG
007 13430 1173 DUREN SAWIT 34322 PONDOK BAMBU 09030401 KEL.PONDOK BAMBU I
004 00000 3050 CIKUPA 10487 CIKUPA 10050701 PUSKESMAS CIKUPA
000 00000 5502 JOMBANG 11251 PANGGUNG RAW 0224U022 KIMIA FARMA 140 CILEGON (JST
002 00000 1165 TEBET 34170 TEBET TIMUR 0064B038 BP DIAN HUSADA DURI (JST)
002 00000 1162 KEBAYORAN BAR 34262 CIPETE UTARA 09020601 KEL. KEBAYORAN LAMA UTARA
002 00000 1174 CAKUNG 34320 CAKUNG BARAT 09031006 KEL. CAKUNG BARAT
006 00000 1172 JATINEGARA 34301 CIPINANG BESA 09030300 KEC. JATINEGARA
002 00000 1190 TAMAN SARI 34098 TAMAN SARI 09020306 KEL. MAMPANG PRAPATAN
013 00000 1196 KOJA 06290 TUGU UTARA 09050500 KEC. KOJA
003 13450 1175 PULO GADUNG 34287 PULO GADUNG 09030200 KEC. PULO GADUNG
002 17111 1707 BEKASI TIMUR 42319 DUREN JAYA 10140508 SETIA MEKAR
005 16431 1714 PANCORAN MAS 42167 CIPAYUNG 0138U011 KPRI TIRTA HUSADA
017 00000 1638 CIKARANG SELAT 45328 SUKADAMI 00850004 TANAH ABANG
005 40286 1678 LENGKONG 07711 CIKAWAO 10011301 TALAGA BODAS
003 40225 1673 BABAKAN CIPARA 07679 MARGASUKA 10012302 CIBIRU
005 00000 1642 CIKARANG TIMUR 45020 TANJUNG BARU 10140903 CIPAYUNG
009 00000 1710 BEKASI BARAT 42321 BINTARA 10260404 BINTARA
001 17412 1703 PONDOK GEDE 42360 JATIBENING 10260104 JATIBENING
010 00000 5921 MARPOYAN DAMA 19551 TANGKERANG B 0069B113 KLINIK ANZANI
001 00000 1689 ANDIR 07765 CIROYOM 10050301 PUSKESMAS PAMULANG
006 00000 1421 PAMARICAN 34739 KERTARAHAYU 10231502 KERTAHAYU
001 15710 3051 PANONGAN 10496 MEKAR BAKTI 0221U124 KLINIK KELUARGA SEHAT MDK(JS
014 00000 1650 BABELAN 44898 KABALEN
008 00000 1711 MEDAN SATRIA 42348 KALIBARU 0137U009 KLINIK PROF. UFA
001 15154 1160 PESANGGRAHAN 34278 PETUKANGAN SE 10250302 PUSKESMAS LARANGAN UTARA
007 00000 1177 TANAH ABANG 33860 PETAMBURAN
007 00000 3114 PERIUK 11203 GEMBOR
021 00000 0441 MEDAN AREA 24084 SUKARAMAI I
028 00000 1646 CIBITUNG 44959 WANASARI
003 00000 3054 PAGEDANGAN 10526 CICALENGKA
003 00000 1227 TENJO 73287 BATOK
010 00000 1161 KEBAYORAN LAM 34211 CIPULIR
001 00000 3082 PAMAYARAN 10881 SANGIANG
005 00000 1195 TANJUNG PRIOK B9498 KEBON BAWANG
KODE FASKES NAMA NOMOR TELEPON STATUS KELAS
DOKTER GIGI FASKES PESERTA EMAIL NPP JABATAN KARYAWAN RAWAT
DOKTER GIGI
09031008 KEL. PULO GEB087780808197 naovalreaynaldi@gmail. CV0012774 Driver 2 2

11203711 Alian 081337772201 aisyahsholihatun524@gmCV0009287 Personal Customer 2 2
0221U124 KLINIK KELUAR087887871414 sitoanggoro82@gmail.c CV0009081 Driver 2 1
0221U124 KLINIK KELUAR087780654460 encep0218@gmail.com CV0009083 Driver 2 1
0221U124 KLINIK KELUAR- - - - - -
0221U124 KLINIK KELUAR- - - - - -
0221U124 KLINIK KELUAR- - - - - -
0221U127 KLINIK MILLEN083806844640 endyotonk67@gmail.co CV0009082 Driver 2 1
0221U127 KLINIK MILLEN- - - - - -
0221U127 KLINIK MILLEN- - - - - -
0221U127 KLINIK MILLEN- - - - - -
0113U032 Klinik Ibin Sina 087875097886 darmayanti1186@gmail.CV0009482 Driver 2 2
10042301 JONGGOL 082310292005 haris3.biker@gmail.com CV0009545 Driver 2 2
10042301 JONGGOL - - - - - -
10042301 JONGGOL - - - - - -
10042301 JONGGOL - - - - - -
10042301 JONGGOL - - - - - -
10050504 PUSKESMAS KE089602854047 arika4369@gmail.com CV0009086 Driver 2 2
081390000494 dickiedarmaw - - CV0009622 Driver 2 2
10041601 BOJONG GEDE089666246977 indrarg444@gmail.com CV0009840 Personal Customer 2 2
0138B007 KPRI BUNDA 089507753300 nurulafril@gmail.co. CV0009073 Personal Customer 2 2
0138B202 KPRJ NAJWA M081293234483 aal.algeri@gmail.com CV0009880 Driver 2 2
0138B215 KPRJ BAHAR M082299586806 Omuklisin@gmail.com CV0009807 Personal Customer 2 2
0138B215 KPRJ BAHAR M- - - - - -
0138B215 KPRJ BAHAR M- - - - - -
09040404 kel.tambora 083890262252 azmeliamaxnmoly@gmaiCV0009875 Personal Customer 2 2
04960011 PUSKESMAS P 085710105491 agnesiamaulidina13@gmCV0009860 Personal Customer 2 2
0223U110 KLINIK BETH RA089628954507 ressa.syaffa@gmail.com CV0009850 Personal Customer 2 2
09010503 Kel. Cempaka Pu 082280344007 andrakurnia59@gmail.c CV0009564 Driver 2 2
09010503 Kel. Cempaka Pu - - - - - -
09010503 Kel. Cempaka Pu - - - - - -
09010503 Kel. Cempaka Pu - - - - - -
0112B119 Klinik Fakhira 087789124977 rinajunita759@gmail.co CV0009289 Personal Customer 2 2
09050507 KEL. RAWA BAD087884010288 agusmulyono998@gmailCV0009800 Driver 2 2
10040402 DRAMAGA 085892618183 erlinaokta949@gmail.co CV0009072 Personal Customer 2 2
10102001 CIEMAS 085759521595 lilihcantik58@gmail.comCV0009428 Purchase Consultant 2 2
09010101 Kel. Duri Pulo - - CV0009248 Purchase Consultant 2 2
09050505 KEL. TUGU SE - - CV0009621 Driver 2 2
09050600 KEC. KELAPA - - CV0009616 Driver 2 2
09050600 KEC. KELAPA - - - - - -
09050600 KEC. KELAPA - - - - - -
09050600 KEC. KELAPA - - - - - -
09050600 KEC. KELAPA - - - - - -
01150110 KEC. KALIDERE- - CV0009243 Purchase Consultant 2 2
09030300 Kec. Jatinegara- - CV0009677 Driver 2 2
10041301 PARUNG - - - - - -
10041301 PARUNG - - - - - -
10041301 PARUNG - - - - - -
09021003 Kel. Petukanga- - CV0009680 Driver 2 2
09020302 Kel. Pela Mamp- - CV0009804 Driver 2 2
09020302 Kel. Pela Mamp- - - - - -
09020302 Kel. Pela Mamp- - - - - -
09020302 Kel. Pela Mamp- - - - - -
09020302 Kel. Pela Mamp- - - - - -
09020302 Kel. Pela Mamp- - - - - -
0114B212 Klinik St Carol 087878601950 adhan.luciano@gmail.c CV0009456 Purchase Consultant 2 2
09050505 KEL. TUGU SE 083806564301 Nurazizah19sep@gmail. CV0009245 Purchase Consultant 2 2
10261402 MUSTIKA JAYA081514694838 yoyoaleryo@gmail.com CV0009686 Driver 2 2
0113U005 Klinik Bina Hus081905555250 pradityaadhiwardhana@CV0009681 Driver 2 2
0138U019 KPRJ BAHAR ME 081224010187 mamunpratama1981@gm CV0009485 Driver 2 2
0138U019 KPRJ BAHAR ME - - - - - -
0138U019 KPRJ BAHAR ME - - - - - -
0138U019 KPRJ BAHAR ME - - - - - -
09020600 Kec. Kebayora 089604405720 risaprian123@gmail.comCV0009065 Site Acquisition 2 2
10240801 KADUNGORA 08118781114 rsmwtylaras1991@gmailCV0009993 Purchase Consultant 2 2
09040400 KEC. TAMBORA081381268006 akbarrivai24@gmail.comCV0009994 Purchase Consultant 2 2
0113B004 Klinik Pratama 085920744360 kchusnul2904@gmail.co CV0009045 Purchase Consultant 2 2
09010200 KEC. SAWAH B085603019613 amoliachacha26@gmail.CV0009258 Purchase Consultant 2 2
09030300 KEC. JATINEGA087817992497 amrianatia@gmail.com CV0009071 Purchase Consultant 2 2
02210107 PUSKESMAS B 0895341541220 - CV0009848 Purchase Consultant 2 2
0138U015 KPRJ YANI MED089508758973 - CV0009859 Purchase Consultant 2 2
10041804 JAMPANG 087884633660 andi.milba@gmail.com CV0009802 Driver 2 2
10041804 JAMPANG - - - - - -
0138B234 KPRJ BAHAR ME 085654494628 luckyngs003@gmail.comCV0009092 Driver 2 2
0138B234 KPRJ BAHAR ME - - - - - -
08031502 SIMPANG AGU08557962986 - CV0009849 Purchase Consultant 2 2
09050709 KEL. ROROTAN089625580450 MUHMAU18@GMAIL.C CV0009471 Purchase Consultant 2 2
09030207 KEL. CIPINANG 081517682677 purnamasari040690@yaCV0009288 Personal Customer 2 2
0496B041 KLINIK LENTER081617141566 hanapi1276@gmail.com CV0009096 Driver 2 2
04960003 PUSKESMAS P - - - - - -
0496B041 KLINIK LENTER- - - - - -
0496B041 KLINIK LENTER- - - - - -
10062601 WARINGIN KU 08381247265 rasmudi18@gmail.com CV0009619 Driver 2 2
09040601 KEL. GROGOL I082278907556 dodisaputra0997@gmailCV0011154 Driver 2 2
0113U040 KLINIK RENNY 081294170949 khaizanaf@gmail.com CV0009581 Driver 2 2
09050300 kecamatan pa 088212241138 donji160993@gmail.comCV0009863 Personal Customer 2 2
0223B138 KLINIK PINANG- eviandriyani991@gmail. CV0011580 Personal Customer 2 2
10270402 TUGU - deriyanto829@gmail.co CV0011493 Personal Customer 2 2
0137B067 KLINIK MEDIKA- Ririnsuryaramadhan@gmCV0011496 Personal Customer 2 2
0113B010 KLINIK PERT - Ianmaulana561@gmail. CV0011390 Personal Customer 2 2
0113B099 KLINIK AL FAL 081381277141 arfanandi612@gmail.co CV0009600 Driver 2 2
0113B099 KLINIK AL FAL - - - - - -
0113B099 KLINIK AL FAL - - - - - -
0113B099 KLINIK AL FAL - - - - - -
10030103 BONDONGAN - ekawahyunimh45@gmailCV0011495 Personal Customer 2 2
02230005 PUSKESMAS P 081213884550 kevinhrmwn@gmail.comCV0011348 Personal Customer 2 2
02230004 PUSKESMAS K 089521921572 Roy2014@gmail.com CV0011322 Personal Customer 2 2
13120401 PUNUNG 087751720444 Wahyufambregas04@gma CV0009087 Driver 2 2
13120401 PUNUNG - - - - - -
13120401 PUNUNG - - - - - -
11300202 TOROH II 081218253823 muhammadraflys22@gma CV0009247 Personal Customer 2 2
08020302 SRAGI 082369532600 ajengekafitri10@gmail. CV0009992 Personal Customer 2 2
11150101 SUSUKAN 1 083805327702 Yusaananda@gmail.comCV0009085 Driver 2 2
11150101 SUSUKAN 1 - - - - - -
11150101 SUSUKAN 1 - - - - - -
09050700 KEC. CILINCING089697387406 harisrahmanhakim08@gm CV0009620 Driver 2 2
09030704 KEL. CIJANTUN081299212188 Mellyfransisca0203@gmaCV0009837 Personal Customer 2 2
09030401 KEL.PONDOK B081293855932 mariosimatupang508@gm CV0011872 Driver 2 1
10050701 PUSKESMAS CI085780665661 Ahmadsopyan354@gmaiCV0011662 Driver 2 2
10042001 CIBINONG 089637435327 rererereliyana@gmail.c CV0011783 Driver 2 1
10042001 CIBINONG - - - - - -
10042001 CIBINONG - - - - - -
0135U058 KLINIK SEHAT 081384344185 wahyudiomdays@gmail.CV0012063 Driver 2 1
0135U058 KLINIK SEHAT - - - - - -
0135U058 KLINIK SEHAT - - - - - -
0135U058 KLINIK SEHAT - - - - - -
10270403 TAPOS - Dadisunardi@gmail.comCV0011666 Driver 2 2
10270403 TAPOS - - - - - -
10270403 TAPOS - - - - - -
0224U022 KIMIA FARMA 1083812110030 ridwanhrp27@gmail.comCV0012025 Driver 2 1
0064B038 BP DIAN HUSAD 081211002811 ambonbuce5@gmail.co CV0012427 Driver 2 2
09020601 KEL. KEBAYOR 087773773618 valentvee16@gmail.comCV0012489 Driver 2 2
09031006 KEL. CAKUNG B089630617466 Fical307@gmail.com CV0012607 Warehouse Helper 2 2
09030300 KEC. JATINEGA082110004770 andrifauzan25@gmail.c CV0012802 Driver 2 2
09020306 KEL. MAMPAN083896014500 galerypart@yahoo.co.id CV0012803 Driver 2 2
09030410 KEL.PONDOK KO 082216467928 berisupriyadi11@gmail. CV0009678 Driver 2 2
09030410 KEL.PONDOK KO - - - - - -
09030410 KEL.PONDOK KO - - - - - -
0132B103 KLINIK MITRA 082123942419 kurnianto@gmail.com CV0013026 Driver 2 1
0132B103 KLINIK MITRA - - - - - -
0132B103 KLINIK MITRA - - - - - -
09050500 KEC. KOJA 089638787226 Joe.ned507@gmail.com CV0013027 Driver 2 2
09030200 KEC. PULO GA 08161327743 aliffirmansyah356@gmaiCV0012621 Warehouse Helper 2 1
09010305 KEL. SUMUR B 089660225575 Kg.irwan17@gmail.com CV0012651 Warehouse Helper 2 1
09010305 KEL. SUMUR B - - - - - -
0135U018 KLINIK LMC S 082119612871 ipanjuliana3@gmail.comCV0012903 Driver 2 2
0135U018 KLINIK LMC S - - - - - -
10140508 SETIA MEKAR 081281773679 townscoot@gmail.com CV0012654 Warehouse Checker 2 1
0138U011 KPRI TIRTA HU 089658074650 alvysyahrin13@gmail.co CV0012608 Warehouse Helper 2 2
10140901 LEMAH ABANG085810683637 monstercantik666@gmaiCV0012925 Driver 2 1
10140901 LEMAH ABANG- - - - - -
10140901 LEMAH ABANG- - - - - -
00850004 TANAH ABANG082375349689 yudastiawan98@gmail.c CV0012655 Warehouse Checker 2 1
09010700 KEC. TANAH A 085383090792 rikierdiana94@gmail.co CV0012650 Driver 2 2
09010700 KEC. TANAH A - - - - - -
09010700 KEC. TANAH A - - - - - -
10011301 TALAGA BODA082217320916 Andriiriansyah@gmail.c CV0012775 Warehouse Helper 2 2
10012302 CIBIRU 085559024415 Hanifah.b@elabram.comCV0012328 Warehouse Helper 2 2
10140903 CIPAYUNG 081806358206 aseffadila53@gmail.comCV0012672 Driver 2 1
10260404 BINTARA 081382606313 kristian.kw1@gmail.comCV0012609 Warehouse Checker 2 1
0137U018 KLINIK GRAHA 081286875969 Andy.albetawi077@gmaiCV0011661 Driver 2 2
0137U018 KLINIK GRAHA - - - - - -
0137U018 KLINIK GRAHA - - - - - -
0137U018 KLINIK GRAHA - - - - - -
10260104 JATIBENING 0895389485077 andre.tree97@gmail.co CV0012478 Driver 2 1
10250101 PUSKESMAS K 089602204640 doby.romdony@gmail.c CV0013191 Driver 2 2
10250101 PUSKESMAS K - - - - - -
10250101 PUSKESMAS K - - - - - -
10250101 PUSKESMAS K - - - - - -
10250101 PUSKESMAS K - - - - - -
0069B113 KLINIK ANZANI- Gagas@gmail.com CV0011488 Personal Customer 2 2
10050301 PUSKESMAS P 085777273313 raden1822@gmail.com CV0009095 Driver 2 2
10231502 KERTAHAYU 08998548756 jpermana91@yahoo.comCV0009855 Personal Customer 2 2
0221U124 KLINIK KELUAR083897068545 'rikimikhdam123@gmail.CV0013192 Driver 2 2
10262106 DURENJAYA 08988767239 sayyidinaarkhaalfarizki CV0012620 Checker 2 1
10262106 DURENJAYA - - - - - -
10262106 DURENJAYA - - - - - -
082122424820 cepyanto03@gmail.com CV0012846 Driver 2 1
0137U009 KLINIK PROF. 087777590528 yati2904@gmail.com CV0009251 Personal Customer 2 2
10250302 PUSKESMAS L 087884849039 ciciliapriliyani18@gmail CV0009046 Personal Customer 2 2
081218253823 ahmaliarahmawati1703 CV0009252 Personal Customer 2 2
081316837432 gandungangger@gmail. CV0009275 VO 2 2
085372246305 akbarifaza@gmail.com CV0009358 QC 2 1
082127552025 Kikirachman3@gmail.co CV0012863 VO 2 2
082213325206 indraoktoyuan@gmail.c CV0013492 Warehouse Helper 2 2
081368152699 arifajja1622@gmail.com CV0013496 Warehouse Helper 2 2
CV0013613 VO 2 2
081806820793 dnnycssndr17@yahoo.c CV0013651 Warehouse Helper 2 2
085211595939 mohamadaji464@gmail.CV0013780 VO 2 2
081283387105 randytavarez16@gmail. CV0013779 VO 2 2
TMT KERJA GAJI POKOK + TUNJ. KEWARGA NO. POLIS NAMA NO
(KARY. AKTIF) TETAP (KARY. AKTIF) NEGARAAN ASURANSI ASURANSI NO. NPWP PASSPORT TGL
LAINNYA
01/Jul/2019 3,941,000 1 - - - -
01/Jun/2018 3,941,000 1 - - - -
01/Jul/2018 4,800,000 1 - - - -
01/Jul/2018 4,800,000 1 - - - -
- - 1 - - - -
- - 1 - - - -
- - 1 - - - -
01/Jul/2018 4,800,000 1 - - - -
- - 1 - - - -
- - 1 - - - -
- - 1 - - - -
01/Jul/2018 3,941,000 1 - - - -
- - 1 - - - -
- - 1 - - - -
- - 1 - - - -
01/Jul/2018 3,941,000 1 - - - -
- - 1 - - - -
- - 1 - - - -
- - 1 - - - -
- - 1 - - - -
01/Jul/2018 3,941,000 1 - - - -
01/Jul/2018 3,941,000 1 - - - -
01/Aug/2018 3,941,000 1 - - - -
01/Aug/2018 3,941,000 1 - - - -
01/Aug/2018 3,941,000 1 - - - -
01/Aug/2018 3,941,000 1 - - - -
- - 1 - - - -
- - 1 - - - -
01/Aug/2018 3,941,000 1 - - - -
01/Aug/2018 3,941,000 1 - - - -
01/Aug/2018 3,941,000 1 - - - -
01/Aug/2018 3,941,000 1 - - - -
- - 1 - - - -
- - 1 - - - -
- - 1 - - - -
01/Aug/2018 3,941,000 1 - - - -
01/Aug/2018 3,941,000 1 - - - -
01/Aug/2018 3,941,000 1 - - - -
01/Sep/2018 3,941,000 1 - - - -
01/Sep/2018 3,941,000 1 - - - -
01/Sep/2018 3,941,000 1 - - - -
01/Sep/2018 3,941,000 1 - - - -
- - 1 - - - -
- - 1 - - - -
- - 1 - - - -
- - 1 - - - -
01/Sep/2018 3,941,000 1 - - - -
01/Sep/2018 4,147,000 1 - - - -
- - 1 - - - -
- - 1 - - - -
- - 1 - - - -
01/Sep/2018 3,941,000 1 - - - -
01/Sep/2018 3,941,000 1 - - - -
- - 1 - - - -
- - 1 - - - -
- - 1 - - - -
- - 1 - - - -
- 788,200 1 - - - -
01/Sep/2018 3,941,000 1 - - - -
01/Sep/2018 3,941,000 1 - - - -
01/Sep/2018 4,147,000 1 - - - -
01/Sep/2018 4,147,000 1 - - - -
01/Sep/2018 3,941,000 1 - - - -
- - 1 - - - -
- - 1 - - - -
- - 1 - - - -
01/Sep/2018 3,941,000 1 - - - -
01/Oct/2018 3,941,000 1 - - - -
01/Oct/2018 3,941,000 1 - - - -
01/Oct/2018 4,147,000 1 - - - -
01/Oct/2018 3,941,000 1 - - - -
01/Oct/2018 3,941,000 1 - - - -
01/Nov/2018 3,941,000 1 - - - -
01/Nov/2018 3,941,000 1 - - - -
01/Nov/2018 3,941,000 1 - - - -
- - 1 - - - -
01/Nov/2018 3,941,000 1 - - - -
- - 1 - - - -
01/Nov/2018 3,941,000 1 - - - -
01/Nov/2018 3,941,000 1 - - - -
01/Nov/2018 3,941,000 1 - - - -
01/Aug/2018 3,941,000 1 - - - -
- - 1 - - - -
- - 1 - - - -
- - 1 - - - -
01/Nov/2018 3,941,000 1 - - - -
01/Jan/2019 3,941,000 1 - - - -
01/Jan/2019 3,941,000 1 - - - -
01/Aug/2018 3,941,000 1 - - - -
01/Feb/2019 3,941,000 1 - - - -
01/Feb/2019 3,941,000 1 - - - -
01/Feb/2019 3,941,000 1 - - - -
01/Feb/2019 3,941,000 1 - - - -
01/Mar/2019 3,940,980 1 - - - -
- - 1 - - - -
- - 1 - - - -
- - 1 - - - -
01/Mar/2019 3,941,000 1 - - - -
01/Mar/2019 3,941,000 1 - - - -
01/Mar/2019 3,941,000 1 - - - -
01/Mar/2019 3,941,000 1 - - - -
- - 1 - - - -
- - 1 - - - -
01/Mar/2019 3,941,000 1 - - - -
01/Mar/2019 3,941,000 1 - - - -
01/Mar/2019 3,941,000 1 - - - -
- - 1 - - - -
- - 1 - - - -
01/Apr/2019 3,941,000 1 - - - -
01/Apr/2019 3,941,000 1 - - - -
01/May/2019 3,941,000 1 - - - -
01/Apr/2019 3,941,000 1 - - - -
01/May/2019 3,941,000 1 - - - -
- - 1 - - - -
- - 1 - - - -
01/May/2019 3,340,000 1 - - - -
- - 1 - - - -
- - 1 - - - -
- - 1 - - - -
01/Mar/2019 3,941,000 1 - - - -
- - 1 - - - -
- - 1 - - - -
01/May/2019 3,941,000 1 - - - -
01/Jun/2019 3,941,000 1 - - - -
01/Jun/2019 3,941,000 1 - - - -
01/Aug/2019 3,941,000 1 - - - -
01/Aug/2019 3,941,000 1 - - - -
01/Aug/2019 3,941,000 1 - - - -
01/Aug/2019 3,941,000 1 - - - -
- - 1 - - - -
- - 1 - - - -
01/Aug/2019 4,147,000 1 - - - -
- - 1 - - - -
- - 1 - - - -
01/Aug/2019 3,941,000 1 - - - -
01/Aug/2019 4,147,000 1 - - - -
01/Aug/2019 4,147,000 1 - - - -
- - 1 - - - -
01/Aug/2019 3,340,000 1 - - - -
- - 1 - - - -
01/Aug/2019 4,147,000 1 - - - -
01/Aug/2019 3,941,000 1 - - - -
01/Aug/2019 4,147,000 1 - - - -
- - 1 - - - -
- - 1 - - - -
01/Aug/2019 4,147,000 1 - - - -
01/Aug/2019 4,147,000 1 - - - -
- - 1 - - - -
- - 1 - - - -
01/Aug/2019 3,340,000 1 - - - -
01/Aug/2019 3,940,980 1 - - - -
01/Aug/2019 4,147,000 1 - - - -
01/Aug/2019 4,147,000 1 - - - -
01/Sep/2019 3,941,000 1 - - - -
- - 1 - - - -
- - 1 - - - -
- - 1 - - - -
01/Sep/2019 4,147,000 1 - - - -
01/Sep/2019 3,941,000 1 - - - -
- - 1 - - - -
- - 1 - - - -
- - 1 - - - -
- - 1 - - - -
01/Sep/2019 4,147,000 1 - - - -
01/Sep/2019 3,941,000 1 - - - -
01/Sep/2019 4,147,000 1 - - - -
01/Sep/2019 3,941,000 1 - - - -
01/Sep/2019 4,147,000 1 - - - -
- - 1 - - - -
- - 1 - - - -
01/Sep/2019 4,147,000 1 - - - -
01/Sep/2019 3,941,000 1 - - - -
01/Aug/2018 3,941,000 1 - - - - 15/Aug/2019
01/Nov/2019 3,941,000 1 - - 720680495072000 -
01/Nov/2019 3,941,000 1 - - - -
01/Nov/2019 4,147,000 1 - - 849676861453000 -
01/Nov/2019 3,340,000 1 - - - -
01/Nov/2019 3,941,000 1 - - - -
01/Nov/2019 3,941,000 1 - - - -
01/Nov/2019 158,000 1 - - - -
01/Nov/2019 158,000 1 - - - -
01/Nov/2019 158,000 1 - - - -
01/Nov/2019 158,000 1 - - - -
KETERANGAN
STATUS CLIENT IURAN OKT-19 REMARKS COUNTIF

Active BLUEPAY 39,410 39,410 DEDUCTION 1% UNTUK ANAK KE - 4 1
Active BLUEPAY 197,049 197,049 3,940,980 1
Gagal BLUEPAY 197,050 Short Term 1
Gagal BLUEPAY 197,050 PEKERJA MANDIRI 1
Gagal BLUEPAY 207,350 REAKTIVASI 1
Gagal BLUEPAY 167,000 PBI (APBD) JAMKESDA KAB. SUBANG 1
Gagal BLUEPAY 197,050 PBI (APBN) 1
Gagal BLUEPAY 7,900 PBI (APBD) PEMPROV DKI JAKARTA 1
Gagal BLUEPAY 7,900 TERDAFTAR DI BU LAIN 1
Gagal BLUEPAY 7,900 TERDAFTAR DI BU LAIN 1
MASTER
tonn 3173010901100008
Active 149
Resign 0
BLUEPAY 97
NO NO BPJS NO KK NIK/KITAS /KITAP NAMA LENGKAP HUBKEL
1 0001647347354 3175031401098843 3175031110971001 NAOVAL REAYNALDI 1

2 0002355916263 3302030302053923 3302032602820002 SITO 1
3 0002355915418 3603181606090075 3603181503820001 ENCEP KHAERUDIN 1
4 0002355945941 3603181606090075 3603184612860002 ETIK MULYANI 3
5 0002355945963 3603181606090075 3603187112070002 BELLA PUTRI ARYANI 4
6 0002355945952 3603181606090075 3603185305150003 ALYA DEWINA MARYAM 4
7 0002080735097 3603182908160060 3603182107870006 SUHENDI 1
8 0002080735481 3603182908160060 3603186106910019 HAMIDAH 3
9 0002080735918 3603182908160060 3603180509100001 M.ILHAM SEPTIAN 4
10 0002488303552 3603182908160060 3603185111160004 ALESHA ZAHRA NOVIANI 4
11 0001335469803 3175071507111076 3303120212810002 SULASMUN 1
12 0001335471276 3175071507111076 3175076811860005 DARMAYANTI 3
13 0002202404275 3175071507111076 3175075008111004 SHIFA NAURA ZHAFIRAH 4
14 0002422422731 3175071507111076 3175070609170005 ARVINO ZA YN KHALIF 4
15 0001311997127 3174030501098311 3174030806830001 HARIS HANANTO 1
16 0001906213555 3174030501098311 3174036803850004 RATNA SARI DEWI 3
17 0001906214354 3174030501098311 3174035710070002 ADINDA AYU ROSALINA 4
18 0001906215456 3174030501098311 3174036108111004 HAIRA RIZKY ALFITRIYANI 4
19 0002092125701 3174030501098311 3174035110160004 CHAERUNNISA SALSABILA PUTRI 4
20 0002356040856 3603281811100010 3603280305960005 NANDA 1
21 0002356387997 3201132501130012 3201130812910001 INDRA RESTU GUMILAR 1
22 0002356549852 3276070802130017 3276074104980004 NURUL APRIYANI 1
23 0002356550109 327 611 221 110 00 3276110711940001 AL GERI 1
24 0002356549839 3276011311170020 3276012510860009 OKIS MUKHLISIN 1
25 0002477512012 3276011311170020 3604294903940003 MITA 3
26 0002477512293 3276011311170020 3276012811170005 MUHAMMAD ARIF MAULANA 4
27 0002141336092 3173040901094080 3173046804950001 AZMELIA 1
28 0001459390904 3171073003110026 3171075308971001 AGNESIA MAULIDINA IGIRISA 1
29 0001645903247 3671031409070091 3671036103980002 RESSA SYAFFA RISQIA 1
30 0001774550744 3175030901091230 3175036606980010 RINA JUNITA DEWI 1
31 0001813628283 3172032201094220 3172031608850005 AGUS MULYONO 1
32 0002141096523 1702192209120004 1702195510950002 ERLINA OKTA SUSANTI 1
33 0002357345586 3202222605120144 3202224806920006 LILIH SHOBARIAH SHOLEHAH 1
34 0001390196564 3172063009111016 3172062009850001 YUSUF ARYOSETO 1
35 0001390197238 3172063009111016 3171026002880001 YENI NUR AIN 3
36 0001390198509 3172063009111016 3172062203121001 FAKHRI ARYO DJUFAND 4
37 0001390538351 3172063009111016 3172064708141006 FRESTYANI ANDRIKA ARYOSETO 4
38 0002358694146 3172063009111016 3172062912170006 FAIQA ARYANI MAULIDA 4
39 0002335388837 3173060601095636 3173060209980001 SYARIF HIDAYATULLAH 1
40 0002340246475 3175030108170005 3175030309800010 YAYAN SOPIAN 1
41 0001468006806 3175030108170005 3304105507750002 RUMINAH 3
42 0001468006795 3175030108170005 3304105705120002 RAJNITYA LAILANI 4
43 0001965432971 3175030108170005 3304101811140002 ABDUL RASYID 4
44 0001301343164 3171041001092171 3171041110960002 TRI RACHMAD RAMADHAN 1
45 0001224185793 3172035909970017 3172035909970017 NUR AZIZAH 1
46 0001737391948 3275110205120010 3275011904800025 JOKO SUNARYO 1
47 0001129199905 3276031909810008 3276031909810008 MAMUN 1
48 0001177526463 3276031909810008 3276036512860012 SUSI SUSANTI 3
49 0001177526474 3276031909810008 3276031909810008 AUDRY SOVITHA CARLA 4
50 0001177526485 3276031909810008 3276031909810008 AURIEL GHABRIEL FRICYLEA 4
51 0002100155253 3205102311070974 3205105105930002 LARAS ROSMAWATI 1
52 0001424427074 3173041601094644 3173040511910008 MUHAMAD AKBAR RIVAI 1
53 0001727026413 3175070701097647 3175076904990005 CHUSNUL CHOTIMAH APRILIAWAT 1
54 0001662414671 3272010405070004 3272015202990021 ANISA FEBRIYANI 1
55 0000977632457 3175035408990004 3175035408990004 TIA AMRIANA HASRI 1
56 0001473481899 3603283012100014 3603280611990006 MUHAMAD DWIKY SYAHPUTRA 1
57 0002056454098 3276010707140016 3174094107990007 RATNA SUKMAWATI 1
58 0002144316611 3201122709160019 3201121010880010 ANDI 1
59 0002144316622 3201122709160019 3201126410150002 ANDINI DWI OKTAVIANI 4
60 0002357911113 3276012507180024 3276011903880008 LUCKY ANDRIAN 1
61 0002779716284 3276012507180024 3276016809180001 MAHIRA HASNA KAMILA 4
62 0000348405153 1802162505050391 1802162405980001 SURYA ANDRINO PANGESTU 1
63 0000378501254 3172042101097079 3172041108950004 MUHAMMAD MAULANA RACHM 1
64 0002140420421 3175020706170031 3202286309960001 DEVI PURNAMASARI 1
65 0002356606214 3674060703161032 3674060403890005 HANAFI 1
66 0002144865194 3674060703161032 3674064911910005 NURUL FADILAH 3
67 0002616925612 3674060703161032 3674060910091001 AKBAR RIZA SAPUTRA 4
68 0002750978351 3674060703161032 3674060703161032 BAYI NYONYA NURUL FADILAH 4
69 0002007163776 3604061102073804 3604061803900001 RASMUDI 1
70 0002357461541 1802080905110012 1802080409970002 DODI SAPUTRA 1
71 0002097714993 3671111010130004 3671116505940014 EVI ANDRIYANI 1
72 0001770020133 3276050209100003 3276050801920011 DERIYANTO 1
73 0001835241333 3275031104070293 3275036506920025 RIRIN JUNIARTI 1
74 0001774183882 3175031701092543 3175030810970003 AHMAD ANDRIANSYAH 1
75 0001326854711 7171020412170008 9101010404840019 ANDI ARFAN AMIER 1
76 0001326857332 7171020412170008 9101015909940007 SRI LASMINI SYAM 3
77 0001326858895 7171020412170008 9101015101120004 SYARIFAH SALSABILLA 4
78 0001811611113 7171020412170008 9101012812140001 ANDI MUHAMMAD SULAIMAN 4
79 0000814560118 3671121008150010 3671121601000003 KEVIN HERMAWAN 1
80 0002510188727 3671120908070026 3671121006960005 ROY MARTIN 1
81 0002510188705 3501031102100105 3501030310820001 SUGENG WAHYUDI 1
82 0002774686645 3501031102100105 3501036606840001 DINA WIDIYANTI 3
83 0002774686858 3501031102100105 3501034706060002 ALBERT W F 4
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tonn
0
NOMOR
TEMPAT LAHIR TANGGAL LAHIR ALAMAT TEMPAT TINGGAL TELEPON EMAIL
PESERTA
INDRAMAYU 11/10/1997 JL. PANCA WARGA II NO 24 RT 004 RW 002 KEL CIPIN 087780808197 naovalreaynaldi@gmail.com
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LEBAK 15/Mar/1982 KP CIKUPA 087780654460 encep0218@gmail.com
SEMARANG 12/Jun/1986 KP CIKUPA - -
TANGERANG 31/Dec/2007 KP CIKUPA - -
TANGERANG 03/May/2015 KP CIKUPA - -
TANGERANG 21/04/1987 KP PALAHLAR 083806844640 endyotonk67@gmail.com
TANGERANG 21/06/1991 KP PALAHLAR - -
TANGERANG 09/May/2010 KP PALAHLAR - -
TANGERANG 11/Nov/2016 KP PALAHLAR - -
PURBALINGGA 12/Feb/1981 JLN.KIMIA FARMA II 087875097886 darmayanti1186@gmail.com
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JAKARTA 10/Aug/2011 JLN.KIMIA FARMA II - -
JAKARTA 06/Sep/2017 JLN.KIMIA FARMA II - -
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JAKARTA 28/Mar/1985 PERUM CITRA INDAH CITY, BUKIT AGAVE I 18/NO 5 - -
JAKARTA 17/Oct/2007 PERUM CITRA INDAH CITY, BUKIT AGAVE I 18/NO 5 - -
JAKARTA 21/Aug/2011 PERUM CITRA INDAH CITY, BUKIT AGAVE I 18/NO 5 - -
BOGOR 11/Oct/2016 PERUM CITRA INDAH CITY, BUKIT AGAVE I 18/NO 5 - -
TANGGERANG 05/Mar/1996 KP.ANGGRIS 089602854047 arika4369@gmail.com
JAKARTA 12/Aug/1991 KP BOJONGGEDE 089666246977 indrarg444@gmail.com
DEPOK 04/01/1998 JL SITU ASIH KP. PULO 089507753300 nurulafril@gmail.co.
BOGOR 11/07/1994 JL.MANDOR TADJIR NO 12 081293234483 aal.algeri@gmail.com
JAKARTA 25/10/1986 KP. PANCORAN MAS 082299586806 Omuklisin@gmail.com
SERANG 03/09/1994 KP. PANCORAN MAS - -
SERANG 28/11/2017 KP. PANCORAN MAS - -
JAKARTA 28/Apr/1995 JL .SAWAH LIO 4 083890262252 azmeliamaxnmoly@gmail.c
TANGERANG 13/Aug/1997 JALAN KEBON PALA III NO. 110 085710105491 agnesiamaulidina13@gmail.
TANGERANG 21/03/1998 JL. KH MAULANA HASANUDIN 089628954507 ressa.syaffa@gmail.com
JAKARTA 26/06/1998 JL KEBON SAYUR 1 JAKTIM 087789124977 rinajunita759@gmail.com
JAKARTA 16/08/1985 JL. MANDIRI 1 087884010288 agusmulyono998@gmail.co
CURUP 15/10/1995 GG. CANGKIR 085892618183 erlinaokta949@gmail.com
SUKABUMI 08/Jun/1998 KP. CIEMAS 085759521595 lilihcantik58@gmail.com
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JAKARTA 20/Feb/1988 JL. TANGGUH V NO. 15 RT. 011 RW. 02 KEL. KLP. GAD - -
JAKARTA 22/Mar/2012 JL. TANGGUH V NO. 15 RT. 011 RW. 02 KEL. KLP. GAD - -
JAKARTA 07/08/2014 JL. TANGGUH V NO. 15 - -
JAKARTA 29/Dec/2017 JL. TANGGUH V NO. 15 RT. 011 RW. 02 KEL. KLP. GAD - -
JAKARTA 02/Sep/1998 SEMANAN KALIDERES RT.006/08 111 KALIDERES JAKA - -
GARUT 03/Sep/1980 KP. JEMBATAN RT 005 RW 006 KEL CIPINANG BESAR S - -
BANJARNEGARA 15/Jul/1975 LINGGASARI - -
BANJARNEGARA 17/May/2012 LINGGASARI - -
BANJARNEGARA 18/Nov/2018 LINGGASARI - -
JAKARTA 11/Oct/1996 JL. KRAMAT SAWAH XII E.321 RT 015 RW 007 KEL PA 087878601950 adhan.luciano@gmail.com
JAKARTA 19/Sep/1997 JL PLUMPANG SEMPER NO. 38 KOJA, JAKARTA UTARA 083806564301 Nurazizah19sep@gmail.com
TEMANGGUNG 19/Apr/1980 MUTIARA GADING TMR BLK F8/10 RT 08/33 MUSTIKA 081514694838 yoyoaleryo@gmail.com
BOGOR 19/Sep/1981 GG. ASEM RT 003 RW 009 KEL KEDAUNG KEC SAWAN 081224010187 mamunpratama1981@gmail
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BOGOR 19/Aug/2004 JL RAYA CINANGKA PARUNG DEPOK - -
BOGOR 09/Apr/2009 JL RAYA CINANGKA PARUNG DEPOK - -
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JAKARTA 05/Nov/1991 JL.DURIBARU RT006 RW 06 NO49 081381268006 akbarrivai24@gmail.com
JAKARTA 29/04/1999 JL KAMPUNG SUMUR 085920744360 kchusnul2904@gmail.com
SUKABUMI 02/Dec/1999 KP BABAKAN GARUNG 085603019613 amoliachacha26@gmail.com
JAKARTA 14/Aug/1999 CIPINANG MUARA 087817992497 amrianatia@gmail.com
JAKARTA 06/Nov/1999 JL. EMPU PANULUH II NO.84 0895341541220 -
JAKARTA 01/Jul/1999 KP. PULO RT 003/RW008 KEL. RANGKAPAN JAYA KEC. 089508758973 -
BOGOR 10/Oct/1989 KP SASAK RT 003 RW 008 KEL TEGAL KEC KEMANG 087884633660 andi.milba@gmail.com
BOGOR 24/Oct/2015 KP SASAK RT 003 RW 008 KEL TEGAL KEC KEMANG - -
DEPOK 19/Mar/1988 KP. PITARA RT 005 RW 015 KEL PANCORAN MAS KEC 085654494628 luckyngs003@gmail.com
DEPOK 28/Sep/2018 KP. PITARA RT 005 RW 015 KEL PANCORAN MAS KEC - -
SULUSUBAN 24/May/1998 KAMPUNG SULUSUBAN,KECAMATAN SEPUTIH AGUNG08557962986 -
BENGKULU 11/Aug/1995 JL. ROROTAN IX W. KARYA BLOK B NO 4 RT 001 RW 0 089625580450 MUHMAU18@GMAIL.COM
SUKABUMI 23/Sep/1996 CIPINANG JAGAL 081517682677 purnamasari040690@yahoo
TANGERANG 03/Apr/1989 JL.SWADAYA NO.35 081617141566 hanapi1276@gmail.com
TANGERANG 09/Nov/1991 JL.SWADAYA NO.35 - -
TANGERANG 09/Oct/2009 JL.SWADAYA NO.35 - -
TANGERANG 09/Mar/2019 JL.SWADAYA NO.35 - -
SERANG 18/Mar/1990 KP. SIBATU RT 007 RW 003 KEL SASAHAN KEC WARIN 08381247265 rasmudi18@gmail.com
REJOSARI 04/Sep/1997 DUSUN 3 082278907556 dodisaputra0997@gmail.co
TANGERANG 25/May/1994 BOJONG - eviandriyani991@gmail.com
DEPOK 08/Jan/1992 JL. ARJUNA IV NO 223 RT 008 RW 020 KEL MEKARJAY - deriyanto829@gmail.com
BEKASI 25/Jun/1992 KP KARET RT 002 RW 001 KEL SITUSARI KEC CILEUNGSI - Ririnsuryaramadhan@gmail
JAKARTA 08/Oct/1997 CIPINANG MUARA RT 003 RW 011 KEL CIPINANG MUA - Ianmaulana561@gmail.com
UJUNG PANDANG 04/Apr/1984 JL. HASANUDIN NO 19 LINGKUNGAN II RW 002 KEL 081381277141 -
MANADO 19/Sep/1994 JL. HASANUDIN NO 19 LINGKUNGAN II RW 002 KEL - -
MANADO 11/Jan/2012 JL. HASANUDIN NO 19 LINGKUNGAN II RW 002 KEL - -
MERAUKE 28/Dec/2014 JL. HASANUDIN NO 19 LINGKUNGAN II RW 002 KEL - -
JAKARTA 16/Jan/2000 KP. PONCOL RT 004 RW 001 KEL PEDURENAN KEC KA 081213884550 kevinhrmwn@gmail.com
TANGERANG 10/Jun/1996 KP PARUNG KORED RT 003 RW 002 KEL PARUNG JAYA 089521921572 Roy2014@gmail.com
PACITAN 03/Oct/1982 DUSUN PAGERJO RT. 02 RW. 03 DESA MENDOLO LOR 087751720444 Wahyufambregas04@gmail.
PACITAN 26/Jun/1984 DUSUN PAGERJO RT. 02 RW. 03 DESA MENDOLO LOR - -
PACITAN 07/Jun/2006 DUSUN PAGERJO RT. 02 RW. 03 DESA MENDOLO LOR - -
JAKARTA 22/May/1999 DSN TUNGGAK 1 KECAMATAN TOROH KABUPATEN GRO 081218253823 muhammadraflys22@gmail.
BANYUMAS 15/Aug/1980 GUMELEM KULON 083805327702 Yusaananda@gmail.com
BANJARNEGARA 09081987 GUMELEM KULON - -
BANJARNEGARA 07/Jul/2017 GUMELEM KULON - -
JAKARTA 08/Nov/1993 KP. BULAK CABE RT.008 RW.009 NO. 12 KEL. CILINCIN 089697387406 harisrahmanhakim08@gmail
JAKARTA 02/Mar/1989 JL. BENDERA RT 009 RW 011 KEL CIJANTUNG KEC PAS 081299212188 Mellyfransisca0203@gmail.
JAKARTA 21/Dec/1991 JL.SMP 135 081293855932 mariosimatupang508@gmail
BANDUNG 06/Sep/1981 KP CIKUPA RT 001 RW 004 KEL CIKUPA KEC CIKUPA 085780665661 Ahmadsopyan354@gmail.c
JAKARTA 29/Jul/1988 CIKARET RT 003 RW 010 KEL HARAPANJAYA KEC CIBI 089637435327 rererereliyana@gmail.com
BOGOR 04/Apr/1990 CIKARET RT 003 RW 010 KEL HARAPANJAYA KEC CIBI - -
BOGOR 21/Jan/2012 CIKARET RT 003 RW 010 KEL HARAPANJAYA KEC CIBI - -
BOGOR 29/Sep/1985 KP LEBAK WANGI RT 004 RW 001 KEL PAMEGARSARI - Dadisunardi@gmail.com
BOGOR 31/Aug/1992 KP LEBAK WANGI RT 004 RW 001 KEL PAMEGARSARI - -
DEPOK 06/Jul/2017 KP LEBAK WANGI RT 004 RW 001 KEL PAMEGARSARI - -
PADANGSIDIMPU 27/Jul/1994 KOMP METRO FLORIDA BLOK A 06 NO 12 KEL PANGG 083812110030 ridwanhrp27@gmail.com
JAKARTA 05/02/1991 PENINGGARAN RT 011 RW 009 KEL KEBAYORAN LAMA087773773618 valentvee16@gmail.com
JAKARTA 17/09/1998 KP. CAKUNG RT 005 RW 002 KEL CAKUNG BARAT KEL 089630617466 Fical307@gmail.com
JAKARTA 12/09/2005 PRUMPUNG TENGAH RT 005 RW 006 KEL CIPINANG BE082110004770 andrifauzan25@gmail.com
JAKARTA 19/09/1994 JL. MANGGA BESAR IV G/20 RT 012 RW 002 KEL TAMA083896014500 galerypart@yahoo.co.id
TEGAL 24/03/1994 VILA GADING HARAPAN BLOK .H3/30 RT.13 RW.35 KE 082123942419 kurnianto@gmail.com
JAKARTA 06/Jun/1997 VILA GADING HARAPAN BLOK .H3/30 RT.13 RW.35 KE - -
BEKASI 08/Apr/2017 VILA GADING HARAPAN BLOK .H3/30 RT.13 RW.35 KE - -
JAKARTA 08/07/1993 KP. BULAK KECIL NO. 37 RT 006/013 KEL. TUGU UTAR 089638787226 Joe.ned507@gmail.com
JAKARTA 26/11/1998 KP BULAK BARU RT 006 RW 003 KEL PULO GADUNG K 08161327743 aliffirmansyah356@gmail.c
CIREBON 11/10/1993 BLOK BUNTET PESANTREN RT 011 RW 004 KEL MERT 089660225575 Kg.irwan17@gmail.com
INDRAMAYU 03/Jan/2017 BLOK BUNTET PESANTREN RT 011 RW 004 KEL MERT - -
BANDUNG 24/07/1992 BBK MAREN SUKAASIH RT 003 RW 009 KEL SINDANG J 082119612871 ipanjuliana3@gmail.com
BANDUNG 11/Nov/2013 BBK MAREN SUKAASIH RT 003 RW 009 KEL SINDANG J - -
BEKASI 24/04/1990 JL. PROF MOCH YAMIN NO 49 RT 005 RW 002 KEL DUR081281773679 townscoot@gmail.com
BOGOR 27/10/1997 BOJONG RT 002 RW 005 KEL BOJONG PONDOK TERON089658074650 alvysyahrin13@gmail.com
BEKASI 12/03/1986 KP. TEGAL GEDE RT 004 RW 002 KEL PASIRSARI KEC C 085810683637 monstercantik666@gmail.c
BEKASI 07/May/1989 KP. TEGAL GEDE RT 004 RW 002 KEL PASIRSARI KEC C - -
BEKASI 31/Aug/2009 KP. TEGAL GEDE RT 004 RW 002 KEL PASIRSARI KEC C - -
TANAH ABANG SE 01/May/1998 PERUM GRIYA DESA SUKADAMI BLOK A8 NO 9 RT 004 082375349689 yudastiawan98@gmail.com
SUKA BUMI 05/09/1994 PETAMBURAN RT 003 RW 011 KEL PETAMBURAN KEC 085383090792 rikierdiana94@gmail.com
GARUT 28/May/1992 PETAMBURAN RT 003 RW 011 KEL PETAMBURAN KEC - -
JAKARTA 21/May/2010 PETAMBURAN RT 003 RW 011 KEL PETAMBURAN KEC - -
BANDUNG 19/Oct/1996 JALAN MELONG KIDUL NO. 54 RT 02 RW 05 KEL. CIK 082217320916 Andriiriansyah@gmail.com
BANDUNG 15/Jun/1989 JL. KOPO GG RH SULAEMAN RT 004 RW 003 KEL MAR 085559024415 Hanifah.b@elabram.com
BEKASI 11/Dec/1991 KP. BARU RT 001 RW 005 KEL TANJUNGBARU KEC CIK 081806358206 aseffadila53@gmail.com
BEKASI 24/Aug/1992 JL. BINTARA 14 RT 006 RW 009 KEL BINTARA KEC BEKA081382606313 kristian.kw1@gmail.com
JAKARTA 13/Aug/1981 PONDOK MELATI RT 001 RW 005 KEL JATIMELATI KEC 081286875969 Andy.albetawi077@gmail.c
JAKARTA 26/Dec/1982 PONDOK MELATI RT 001 RW 005 KEL JATIMELATI KEC - -
JAKARTA 04/May/2009 PONDOK MELATI RT 001 RW 005 KEL JATIMELATI KEC - -
JAKARTA 17/Jun/2013 PONDOK MELATI RT 001 RW 005 KEL JATIMELATI KEC - -
BEKASI 10/Feb/1997 JL.CAMAN RAYA KOMPL.DEPKES 3 GG.MANDIRI NO.780895389485077 andre.tree97@gmail.com
PEKANBARU 16/Jun/1997 JL. PAUS KOM VPP BLOK E NO 28 RT 002 RW 010 KE - Gagas@gmail.com
GARUT 13/Jan/1993 JL. ARJUNA SIMPANG RT. 003 RW. 001 KEL. CIROYOM 085777273313 raden1822@gmail.com
SUMEDANG 29/Jul/1991 DSN TAMANSARI RT 22 RW 06 DESA KERTAHAYU KEC 08998548756 jpermana91@yahoo.com
TANGERANG 26/Jun/1986 KP. MEKAR BAKTI RT.02/01 KEL. MEKAR BAKTI KEC. 083897068545 'rikimikhdam123@gmail.com
BANYUMAS 03/Sep/1996 KEBALEN RT 006 RW 014 KEL KEBALEN KEC BABELAN 082122424820 cepyanto03@gmail.com
CIANJUR 29/Apr/1994 KP RAWA BAMBU RT 002 RW 008 KEL KALI BARU KEC 087777590528 yati2904@gmail.com
BEKASI 31/Dec/1992 KP.RAWA PASUNG RT/RW 002/004 KEL.KALI BARU KEC0895365363689 alfiansalehsiahaan5@gmail.
PARAPAT 29/Jul/1996 JL.GOTONG ROYONG 082124999462 jefrysdm@gmail.com
JAKARTA 23/Dec/1997 VILA GADING HARAPAN BLOK H4 NO 8 RT 13 RW 35 K 0895397317636 gillangsari@gmail.com
PEMALANG 02/Mar/1989 JL PAHLAWAN PERUM BUNGA RAYA BLOK B NO 11 RT 081315824372 teguhnurrohman560@gmail
PEMALANG 14/Aug/1993 JL TAMBORA NO.41 RT 03/07 MULYOHARJO KEC. PE 082313798827 pancaagusw@gmail.com
BOGOR 11/Dec/1996 ARDIO GG I NO. 24 RT/RW. 002/006, KEL. CIBOGOR, 0895704266382 wilhanp7@gmail.com
SUBANG 13/Jan/1981 JL. MAWAR MERAH IV BLOK D.31 NO. 12 PTM RT 002 082127552025 Kikirachman3@gmail.com
JAKARTA 14/Oct/1993 KP.CICAYUR 2 RT.01/03 CICALENGKA PAGEDANGAN 082213325206 indraoktoyuan@gmail.com
JAKARTA 31/Mar/1988 KP BANTELI RT 03 RW 03 KEL BATOK KEC TENJO 081368152699 arifajja1622@gmail.com
TANGERANG 05/May/1992 PORIS CIPONDOH RT 3 RW 9 KEL CIPONDOH MAKMUR- -
JAKARTA 17/Mar/1993 JL. AL MUBAROK IV NO. 29 RT/RW. 006/010, KEL. CIP 081806820793 dnnycssndr17@yahoo.com
SERANG 05/Sep/1993 KP. TIPAR RT/RW. 015/001, KEL. SANGIANG, KEC. PA 085211595939 mohamadaji464@gmail.com
DOMINICA 31/May/1984 JL. SWASEMBADA TIMUR XV NO. 45, RT/RW. 006/005,081283387105 randytavarez16@gmail.com
JAKARTA 15/Jun/1991 PERSADA RAYA BLOK F. 6 NO. 29 RT 010 RW 007 KEL 081316837432 gandungangger@gmail.com
GAJI POKOK +
NPP JABATAN TUNJ. TETAP TGL KETERANGAN STATUS CLIENT NOV-19
(KARY. AKTIF)
CV0012774 Driver 3,941,000 Active BLUEPAY 197,050
- - - Active BLUEPAY -
CV0009840 Personal Customer 3,941,000 Active BLUEPAY 197,050
CV0009428 Purchase Consultant 3,941,000 Active BLUEPAY 197,050
CV0012607 Warehouse Helper 3,941,000 Active BLUEPAY 197,050
CV0012654 Warehouse Checker 4,147,000 Active BLUEPAY 207,350
CV0013544 VO 4,147,000 Active BLUEPAY 207,350
CV0013778 QC 4,147,000 Active BLUEPAY 207,350
CV0012863 VO 3,340,000 Active BLUEPAY
CV0013492 Warehouse Helper 3,941,000 Active BLUEPAY
CV0013496 Warehouse Helper 3,941,000 Active BLUEPAY
CV0013613 VO 158,000 Active BLUEPAY
CV0013651 Warehouse Helper 158,000 Active BLUEPAY
CV0009275 VO 3,941,000 Active BLUEPAY
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PBI (APBD) JAMKESDA K 1
PEKERJA MANDIRI 1
PBI (APBN) 1
PEKERJA MANDIRI 1
PBI (APBD) PEMPROV DKI 1
TERDAFTAR DI BU LAIN 1
TERDAFTAR DI BU LAIN 1
PEKERJA MANDIRI 1
MASTER
tonn 3173010901100008
Active 138
Resign 3
BLUEPAY 89
NO NO BPJS NO KK NIK/KITAS /KITAP NAMA LENGKAP HUBKEL
1 0001647347354 3175031401098843 3175031110971001 NAOVAL REAYNALDI 1

2 0002355916263 3302030302053923 3302032602820002 SITO 1
3 0002355915418 3603181606090075 3603181503820001 ENCEP KHAERUDIN 1
7 0002080735097 3603182908160060 3603182107870006 SUHENDI 1
11 0001335469803 3175071507111076 3303120212810002 SULASMUN 1
15 0001311997127 3174030501098311 3174030806830001 HARIS HANANTO 1
20 0002356040856 3603281811100010 3603280305960005 NANDA 1
21 0002356387997 3201132501130012 3201130812910001 INDRA RESTU GUMILAR 1
22 0002356549852 3276070802130017 3276074104980004 NURUL APRIYANI 1
23 0002356550109 327 611 221 110 0004 3276110711940001 AL GERI 1
24 0002356549839 3276011311170020 3276012510860009 OKIS MUKHLISIN 1
27 0002141336092 3173040901094080 3173046804950001 AZMELIA 1
28 0001459390904 3171073003110026 3171075308971001 AGNESIA MAULIDINA IGIRISA 1
29 0001645903247 3671031409070091 3671036103980002 RESSA SYAFFA RISQIA 1
30 0001774550744 3175030901091230 3175036606980010 RINA JUNITA DEWI 1
31 0001813628283 3172032201094220 3172031608850005 AGUS MULYONO 1
32 0002141096523 1702192209120004 1702195510950002 ERLINA OKTA SUSANTI 1
33 0002357345586 3202222605120144 3202224806920006 LILIH SHOBARIAH SHOLEHAH 1
34 0001390196564 3172063009111016 3172062009850001 YUSUF ARYOSETO 1
39 0002335388837 3173060601095636 3173060209980001 SYARIF HIDAYATULLAH 1
40 0002340246475 3175030108170005 3175030309800010 YAYAN SOPIAN 1
44 0001301343164 3171041001092171 3171041110960002 TRI RACHMAD RAMADHAN 1
45 0001224185793 3172035909970017 3172035909970017 NUR AZIZAH 1
46 0001129199905 3276031909810008 3276031909810008 MAMUN 1
50 0002100155253 3205102311070974 3205105105930002 LARAS ROSMAWATI 1
51 0001424427074 3173041601094644 3173040511910008 MUHAMAD AKBAR RIVAI 1
52 0001727026413 3175070701097647 3175076904990005 CHUSNUL CHOTIMAH APRILIAWATI 1
53 0001662414671 3272010405070004 3272015202990021 ANISA FEBRIYANI 1
54 0000977632457 3175035408990004 3175035408990004 TIA AMRIANA HASRI 1
55 0001473481899 3603283012100014 3603280611990006 MUHAMAD DWIKY SYAHPUTRA 1
56 0002056454098 3276010707140016 3174094107990007 RATNA SUKMAWATI 1
57 0002144316611 3201122709160019 3201121010880010 ANDI 1
59 0000348405153 1802162505050391 1802162405980001 SURYA ANDRINO PANGESTU 1
60 0000378501254 3172042101097079 3172041108950004 MUHAMMAD MAULANA RACHMANTO 1
61 0002140420421 3175020706170031 3202286309960001 DEVI PURNAMASARI 1
62 0002356606214 3674060703161032 3674060403890005 HANAFI 1
66 0002007163776 3604061102073804 3604061803900001 RASMUDI 1
67 0002357461541 1802080905110012 1802080409970002 DODI SAPUTRA 1
68 0002097714993 3671111010130004 3671116505940014 EVI ANDRIYANI 1
69 0001770020133 3276050209100003 3276050801920011 DERIYANTO 1
70 0001835241333 3275031104070293 3275036506920025 RIRIN JUNIARTI 1
71 0001774183882 3175031701092543 3175030810970003 AHMAD ANDRIANSYAH 1
72 0001326854711 7171020412170008 9101010404840019 ANDI ARFAN AMIER 1
77 0000814560118 3671121008150010 3671121601000003 KEVIN HERMAWAN 1
78 0002510188727 3671120908070026 3671121006960005 ROY MARTIN 1
79 0002510188705 3501031102100105 3501030310820001 SUGENG WAHYUDI 1
82 0002575151324 3315042205990005 3315042205990005 MUHAMMAD RAFLY SUPRIYONO 1
83 0002510188683 3304011309180006 3302011508800004 YUSWADI 1
87 0000378475323 3172041001097354 3172040811930005 HARIS RAHMAN HAKIM 1
88 0001277272359 3175052609131022 3175054203890003 MELY FRANSISCA 1
89 0002510936515 3175072110110006 3175072112910004 ANDIS MARIO TOGATOROP 1
90 0002749945961 3603182304180008 3273060609810003 AHMAD SOPYAN 1
91 0001736501207 3201011010131018 3201012907880004 RERE LIYANA 1
94 0001636701164 3201101206170011 3201102909850001 DADI SUNARDI 1
97 0000269351032 1277022707940002 1277022707940002 AHMAD RIDWAN HARAHAP 1
98 0002511387843 3174050307110001 3174050502910003 TRI WAHYUDI 1
99 0001406614274 3175061709980013 3175061709980013 AHMAD FAISAL 1
100 0002340302444 3175030704850003 3175030704850003 ANDRI FAUZAN 1
101 0001883483741 3173031909941002 3173031909941002 DODY GUNAWAN 1
102 0001378906334 3216020601120015 3216022403940002 KURNIANTO 1
105 0001637814857 3172031907100030 3172030807930008 MUHAMAD JUNAEDI 1
106 0001157147403 3175022611980007 3175022611980007 ALIF FIRMANSYAH 1
107 0001840157425 3209100501090339 3209101110930006 IRWANTO 1
109 0002136683902 3275010812140016 3275012404900010 TONI RAMADHONI 1
110 0001608806891 3276011611070130 3276012710970005 MUHAMMAD NUR ALVY SYAHRIN 1
111 0002511896725 3216192604120072 3216191203860006 AHMAD JAELANI 1
114 0000309631601 1603120501980002 1603120501980002 YUDA SETIAWAN 1
115 0002277126562 3171070303160004 1812020509940008 RIKI ERDIANA 1
118 0002746444228 3273131910960004 3273131910960004 MUHAMAD ANDRI IRIANSYAH 1
119 0000504654546 3273032205180014 3273251506890001 SAEFUL ANWAR 1
120 0002102107353 3216111912910002 3216111912910002 ASEP AWALUDIN 1
121 0001744016139 3275022408920015 3275022408920015 KRISTIAN WIDODO 1
122 0001257072928 3275120202130002 3275121308810002 AGUS SETIAWAN 1
126 0002744596776 3275083003100008 3275080210970018 ANDRE FIRMANSYAH 1
127 0001482586007 1471091606970021 1471091606970021 GAGAS PUTRA DWICAKSONO 1
128 0002463282674 3273051301930011 3273051301930011 JAENUDIN 1
129 0002076863444 3207192907910004 3207192907910004 JAKA PERMANA 1
130 0001314138115 3603192606860001 3603192606860001 RIKI WIJAYA 1
131 0001462109477 3216020309960014 3216020309960014 SEPTIANTO C PUTRA 1
132 0002089720967 3275066904940025 3275066904940025 YATI 1
133 0001153936664 3275063112920011 3275063112920011 ALFIAN SALEH S 1
134 0001484755165 1208162002080136 1208162907960001 JEFRI DAMANIK 1
135 0002898328779 3216021109120017 3216022312970012 JELANG RAMADHAN 1
136 0002898331301 3275011604150011 3327040203910004 NUR ROHMAN 1
137 0001667047184 3327080804130025 3327081408930001 PANCA AGUS WINARNO 1
138 0002375138586 3271032702071319 3271031112960007 WILHAN PRATAMA 1
tonn
0
TEMPAT LAHIR TANGGAL LAHIR NPP JABATAN GAJI POKOK + TUNJ. TGL
TETAP (KARY. AKTIF)
INDRAMAYU 11/10/1997 CV0012774 Driver 3,941,000

BANYUMAS 26/Feb/1982 CV0009081 Driver 4,800,000
LEBAK 15/Mar/1982 CV0009083 Driver 4,800,000
TANGERANG 21/04/1987 CV0009082 Driver 4,800,000
PURBALINGGA 12/Feb/1981 CV0009482 Driver 3,941,000
PURWOKERTO 08/Jun/1983 CV0009545 Driver 3,941,000
TANGGERANG 05/Mar/1996 CV0009086 Driver 3,941,000
JAKARTA 12/Aug/1991 CV0009840 Personal Customer 3,941,000
DEPOK 04/01/1998 CV0009073 Personal Customer 3,941,000
BOGOR 11/07/1994 CV0009880 Driver 3,941,000
JAKARTA 25/10/1986 CV0009807 Personal Customer 3,941,000
JAKARTA 28/Apr/1995 CV0009875 Personal Customer 3,941,000
TANGERANG 13/Aug/1997 CV0009860 Personal Customer 3,941,000
TANGERANG 21/03/1998 CV0009850 Personal Customer 3,941,000
JAKARTA 26/06/1998 CV0009289 Personal Customer 3,941,000
JAKARTA 16/08/1985 CV0009800 Driver 3,941,000
CURUP 15/10/1995 CV0009072 Personal Customer 3,941,000
SUKABUMI 08/Jun/1998 CV0009428 Purchase Consultant 3,941,000
JAKARTA 20/Sep/1985 CV0009616 Driver 3,941,000
JAKARTA 02/Sep/1998 CV0009243 Purchase Consultant 3,941,000
GARUT 03/Sep/1980 CV0009677 Driver 4,147,000
JAKARTA 11/Oct/1996 CV0009456 Purchase Consultant 3,941,000
JAKARTA 19/Sep/1997 CV0009245 Purchase Consultant 3,941,000
BOGOR 19/Sep/1981 CV0009485 Driver 3,941,000
GARUT 11/05/1993 CV0009993 Purchase Consultant 3,941,000
JAKARTA 05/Nov/1991 CV0009994 Purchase Consultant 3,941,000
JAKARTA 29/04/1999 CV0009045 Purchase Consultant 4,147,000
SUKABUMI 02/Dec/1999 CV0009258 Purchase Consultant 3,941,000
JAKARTA 14/Aug/1999 CV0009071 Purchase Consultant 3,941,000
JAKARTA 06/Nov/1999 CV0009848 Purchase Consultant 3,941,000
JAKARTA 01/Jul/1999 CV0009859 Purchase Consultant 3,941,000
BOGOR 10/Oct/1989 CV0009802 Driver 3,941,000
SULUSUBAN 24/May/1998 CV0009849 Purchase Consultant 3,941,000
BENGKULU 11/Aug/1995 CV0009471 Purchase Consultant 3,941,000
SUKABUMI 23/Sep/1996 CV0009288 Personal Customer 3,941,000
TANGERANG 03/Apr/1989 CV0009096 Driver 3,941,000
SERANG 18/Mar/1990 CV0009619 Driver 3,941,000
REJOSARI 04/Sep/1997 CV0011154 Driver 3,941,000
TANGERANG 25/May/1994 CV0011580 Personal Customer 3,941,000
DEPOK 08/Jan/1992 CV0011493 Personal Customer 3,941,000
BEKASI 25/Jun/1992 CV0011496 Personal Customer 3,941,000
JAKARTA 08/Oct/1997 CV0011390 Personal Customer 3,941,000
UJUNG PANDANG 04/Apr/1984 CV0009600 Driver 3,940,980
JAKARTA 16/Jan/2000 CV0011348 Personal Customer 3,941,000
TANGERANG 10/Jun/1996 CV0011322 Personal Customer 3,941,000
PACITAN 03/Oct/1982 CV0009087 Driver 3,941,000
JAKARTA 22/May/1999 CV0009247 Personal Customer 3,941,000
BANYUMAS 15/Aug/1980 CV0009085 Driver 3,941,000
JAKARTA 08/Nov/1993 CV0009620 Driver 3,941,000
JAKARTA 02/Mar/1989 CV0009837 Personal Customer 3,941,000
JAKARTA 21/Dec/1991 CV0011872 Driver 3,941,000
BANDUNG 06/Sep/1981 CV0011662 Driver 3,941,000
JAKARTA 29/Jul/1988 CV0011783 Driver 3,941,000
BOGOR 29/Sep/1985 CV0011666 Driver 3,941,000
PADANGSIDIMPU 27/Jul/1994 CV0012025 Driver 3,941,000
JAKARTA 17/09/1998 CV0012607 Warehouse Helper 3,941,000
TEGAL 24/03/1994 CV0013026 Driver 4,147,000
JAKARTA 26/11/1998 CV0012621 Warehouse Helper 4,147,000
CIREBON 11/10/1993 CV0012651 Warehouse Helper 4,147,000
BEKASI 24/04/1990 CV0012654 Warehouse Checker 4,147,000
BOGOR 27/10/1997 CV0012608 Warehouse Helper 3,941,000
BEKASI 12/03/1986 CV0012925 Driver 4,147,000
TANAH ABANG SELATAN 01/May/1998 CV0012655 Warehouse Checker 4,147,000
SUKA BUMI 05/09/1994 CV0012650 Driver 4,147,000
BANDUNG 19/Oct/1996 CV0012775 Warehouse Helper 3,340,000
BANDUNG 15/Jun/1989 CV0012328 Warehouse Helper 3,940,980
BEKASI 11/Dec/1991 CV0012672 Driver 4,147,000
BEKASI 24/Aug/1992 CV0012609 Warehouse Checker 4,147,000
JAKARTA 13/Aug/1981 CV0011661 Driver 3,941,000
BEKASI 10/Feb/1997 CV0012478 Driver 4,147,000
PEKANBARU 16/Jun/1997 CV0011488 Personal Customer 4,147,000
GARUT 13/Jan/1993 CV0009095 Driver 3,941,000
SUMEDANG 29/Jul/1991 CV0009855 Personal Customer 4,147,000
TANGERANG 26/Jun/1986 CV0013192 Driver 3,941,000
BANYUMAS 03/Sep/1996 CV0012846 Driver 4,147,000
CIANJUR 29/Apr/1994 CV0009251 Personal Customer 3,941,000
BEKASI 31/Dec/1992 CV0013544 VO 4,147,000
PARAPAT 29/Jul/1996 CV0013778 QC 4,147,000
JAKARTA 23/Dec/1997 CV0013545 VO 4,147,000
PEMALANG 02/Mar/1989 CV0013542 VO 3,941,000
PEMALANG 14/Aug/1993 CV0013543 VO 4,147,000
BOGOR 11/Dec/1996 CV0013738 Personal Customer 4,771,000
KETERANGAN STATUS CLIENT Des19
Active BLUEPAY 197,050


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00006020 - FORMAT 37 KOLOM

1 0001647347354 3175031401098843 3175031110971001

NAOVAL REAYNALDI 1 INDRAMAYU 11/10/1997 1 1 JL. PANCA WARGA II NO 24 004

09031008 KEL. PULO GEB087780808197 naovalreaynaldi@gmail. CV0012774 Driver 2 2

Active BLUEPAY 197,050 197,050 1

1 0001647347354 3175031401098843 3175031110971001

NAOVAL REAYNALDI 1 INDRAMAYU 11/10/1997 1 1 JL. PANCA WARGA II NO 24 004

09031008 KEL. PULO GEB087780808197 naovalreaynaldi@gmail. CV0012774 Driver 2 2

Active BLUEPAY 197,050 197,050 1

NO NO BPJS NO KK NIK/KITAS /KITAP NAMA LENGKAP HUBKEL

1 0001647347354 3175031401098843 3175031110971001 NAOVAL REAYNALDI 1

NO NO BPJS NO KK NIK/KITAS /KITAP NAMA LENGKAP HUBKEL

1 0001647347354 3175031401098843 3175031110971001 NAOVAL REAYNALDI 1

INDRAMAYU 11/10/1997 CV0012774 Driver 3,941,000

Active BLUEPAY 197,050

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