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Kantor Cabang : BEKASI - 1011

FKTP : Klinik TIARA BUNDA - 0137U012

NO TANGGAL NO KUNJUNGAN NO KARTU NAMA PESERTA SEX

1 01-03-2020 0137U0120320P000017 0000042083638 NITI SULASTRI P

2 01-03-2020 0137U0120320P000151 0000072542316 NY. SURWI P

3 01-03-2020 0137U0120320P000190 0000156976119 JUJUD SUSANTO L

4 01-03-2020 0137U0120320P000218 0000199784812 MUHAMMAD HATOATI L

5 01-03-2020 0137U0120320P000182 0000509397794 YUSNIATI P

6 01-03-2020 0137U0120320P000137 0000509404994 IRAWATI NOVITA P

7 01-03-2020 0137U0120320P000898 0000532539652 SITI FATIMAH P

8 01-03-2020 0137U0120320P000124 0001013801499 EKA PUSPITASARI P

9 01-03-2020 0137U0120320P000185 0001023634697 SAMIRAH P

10 01-03-2020 0137U0120320P000041 0001100061145 DIANDRA MAHARANI PRAMITA P

11 01-03-2020 0137U0120320P000042 0001101315431 DEWI ERNANI P

12 01-03-2020 0137U0120320P000013 0001125058026 Firdaus L

13 01-03-2020 0137U0120320P000176 0001126818966 MADILAH YANTO L

14 01-03-2020 0137U0120320P000102 0001137225598 RIANTO SIREGAR L

15 01-03-2020 0137U0120320P000039 0001141240511 ABDUL ROHIM L

Kantor Cabang : BEKASI - 1011

FKTP : Klinik TIARA BUNDA - 0137U012

16 01-03-2020 0137U0120320P000140 0001146294371 DARDI L

17 01-03-2020 0137U0120320P000222 0001150521535 ANEN WIJAYA L

18 01-03-2020 0137U0120320P000904 0001156395273 NAWANG ARUM LARASATI P

19 01-03-2020 0137U0120320P000193 0001157113653 SRI WAHYUNI P

20 01-03-2020 0137U0120320P000023 0001157226197 SRI MARINI P


21 01-03-2020 0137U0120320P000207 0001169494391 KHOLIK FIRMANSYAH L

22 01-03-2020 0137U0120320P000169 0001176228786 RINA YULIANA P

23 01-03-2020 0137U0120320P000208 0001177174866 DIAH BUDIARTI P

24 01-03-2020 0137U0120320P000201 0001177837907 TITANIA ATHAYA RAMADHANIS P

25 01-03-2020 0137U0120320P000117 0001178616036 FATIN LUTFI GUSTYA L

26 01-03-2020 0137U0120320P000078 0001182734583 HIDAYATI P

27 01-03-2020 0137U0120320P000131 0001185097274 SEPTIA MUHARYANI P

28 01-03-2020 0137U0120320P000062 0001189262035 JOHANES TALENTA BAGARIANG L

29 01-03-2020 0137U0120320P000146 0001196005612 AHYA TUNUPUS P

30 01-03-2020 0137U0120320P000144 0001196005634 DIKY YANSYAH L

31 01-03-2020 0137U0120320P000168 0001198740339 DELLA DWI JAYANTI P

32 01-03-2020 0137U0120320P000138 0001203469367 RACHMELIZALARASATI P

33 01-03-2020 0137U0120320P000136 0001203469378 NAZWAMAULIDIA P

34 01-03-2020 0137U0120320P000155 0001205229813 AHMAD AMMAR SALAS L

Kantor Cabang : BEKASI - 1011

FKTP : Klinik TIARA BUNDA - 0137U012

35 01-03-2020 0137U0120320P000093 0001224679915 MUHAMAD RICKY PURNAMA L

36 01-03-2020 0137U0120320P000026 0001255986459 PURNAMAWATI P

37 01-03-2020 0137U0120320P000025 0001255986977 DEDDY PRIHARTONO L

38 01-03-2020 0137U0120320P000027 0001255987113 NAFISAH SAHAJA PRASTUTI P

39 01-03-2020 0137U0120320P000125 0001260095016 MULYANI P

40 01-03-2020 0137U0120320P000163 0001273937218 SACHRIAL L

41 01-03-2020 0137U0120320P000194 0001287649631 SURYA ABDULLAH L

42 01-03-2020 0137U0120320P000056 0001297570634 FIRMA DOLOKSARIBU L

43 01-03-2020 0137U0120320P000044 0001297570724 IMA YESSI SINULINGGA P


44 01-03-2020 0137U0120320P000214 0001300840571 SANDI EFENDI L

45 01-03-2020 0137U0120320P000047 0001306978806 KHAMIM ICHWAN L

46 01-03-2020 0137U0120320P000111 0001309816203 AIDIL FITRI L

47 01-03-2020 0137U0120320P000046 0001312807037 AAM HARTATI P

48 01-03-2020 0137U0120320P000110 0001313734307 agustina P

49 01-03-2020 0137U0120320P000075 0001315601548 amalia taslimah P

50 01-03-2020 0137U0120320P000084 0001321566197 margono L

51 01-03-2020 0137U0120320P000020 0001374081693 IKA OKTARIANA P

52 01-03-2020 0137U0120320P000019 0001374140935 AUFA NIZAR ADITYA L

Kantor Cabang : BEKASI - 1011

FKTP : Klinik TIARA BUNDA - 0137U012

53 01-03-2020 0137U0120320P000028 0001376426136 Nadine Avionita P

54 01-03-2020 0137U0120320P000127 0001405332483 NAUFAL MUSYAFFA SAKHI L

55 01-03-2020 0137U0120320P000192 0001441647797 AGUNG SETIO PURNOMO L

56 01-03-2020 0137U0120320P000086 0001444126904 FIRMAN MAULANA L

57 01-03-2020 0137U0120320P000173 0001449674998 LILIK RUSNIAR P

58 01-03-2020 0137U0120320P000014 0001456882222 FEBRIANI RAMADHINIAH P

59 01-03-2020 0137U0120320P000074 0001457413481 INDAH YUNIATI P

60 01-03-2020 0137U0120320P000077 0001457415494 adrian naufal pradito L

61 01-03-2020 0137U0120320P000122 0001463391358 ELENA TRIDA NAFISA P

62 01-03-2020 0137U0120320P000171 0001465275385 CHOIRIYAH P

63 01-03-2020 0137U0120320P000059 0001465981817 FIRDAUS L

64 01-03-2020 0137U0120320P000088 0001466299833 AJENG PUSPITA DEWI P

65 01-03-2020 0137U0120320P000058 0001467078039 RACHMAH PUTRI UTAMI P


66 01-03-2020 0137U0120320P000177 0001467459123 ESTU CHANDRA L

67 01-03-2020 0137U0120320P000051 0001467555772 AYU YUNITA P

68 01-03-2020 0137U0120320P000036 0001471368633 ANG PHO HUAT L

Kantor Cabang : BEKASI - 1011

FKTP : Klinik TIARA BUNDA - 0137U012

69 01-03-2020 0137U0120320P000037 0001471368644 KUSMARINI P

70 01-03-2020 0137U0120320P000116 0001480333421 HADI SAPUTRA L

71 01-03-2020 0137U0120320P000195 0001481123092 FAIDHATUN P

72 01-03-2020 0137U0120320P000224 0001516202043 WIWI NUR SAADAH P

73 01-03-2020 0137U0120320P000002 0001516624874 NUNUK EKOWATI P

74 01-03-2020 0137U0120320P000045 0001517724066 MUSRIYANA P

75 01-03-2020 0137U0120320P000380 0001524060314 MAULIDEA CHAIRUNNISA P

76 01-03-2020 0137U0120320P001083 0001606233159 RIZKY QAMARA AZZAARA P

77 01-03-2020 0137U0120320P000221 0001606249888 YULISTYA WITAMA P

78 01-03-2020 0137U0120320P000001 0001620094612 SITI SUMIYATI P

79 01-03-2020 0137U0120320P000048 0001623812422 SANUSIH L

80 01-03-2020 0137U0120320P000055 0001623869853 REXY IMANUEL VILLAREAL G L

81 01-03-2020 0137U0120320P001080 0001623915066 MOH. IKHSAN L

82 01-03-2020 0137U0120320P000187 0001623915066 MOH. IKHSAN L

83 01-03-2020 0137U0120320P000180 0001624002614 SANTOSO BUDI RAHARJO L

84 01-03-2020 0137U0120320P000181 0001624002625 SRIYATNI P

85 01-03-2020 0137U0120320P000186 0001624456416 TRI YULIASIH P

86 01-03-2020 0137U0120320P000212 0001624995292 FACHRA AROFAH HANDAYANI P

87 01-03-2020 0137U0120320P000154 0001625242724 ROCHAYATI P

Kantor Cabang : BEKASI - 1011

FKTP : Klinik TIARA BUNDA - 0137U012

88 01-03-2020 0137U0120320P000070 0001626733899 SAHID PRIAMBODO L


89 01-03-2020 0137U0120320P000067 0001626733912 SATRIA BYANTARA NADIF L

90 01-03-2020 0137U0120320P000899 0001627073008 TRI ROBIYATI P

91 01-03-2020 0137U0120320P000018 0001627832114 AMBAR ANDRIYANI P

92 01-03-2020 0137U0120320P000141 0001627832283 SARTIKA S P

93 01-03-2020 0137U0120320P000143 0001627832305 RACHEL TEOFANI PASARIBU P

94 01-03-2020 0137U0120320P000815 0001627832474 MELANI P

95 01-03-2020 0137U0120320P000128 0001628003823 AHMAD SYAFIQ SYAIFULLAH L

96 01-03-2020 0137U0120320P000229 0001632544953 NAYLA SAFIYA DEWI L

97 01-03-2020 0137U0120320P000090 0001634262502 AGUS WIJAYA L

98 01-03-2020 0137U0120320P000035 0001636049158 DAFIYA NUR FADILAH P

99 01-03-2020 0137U0120320P000103 0001636494546 IIN INAYAH P

100 01-03-2020 0137U0120320P000159 0001636934635 HAMIDAN FAZA HUDA L

101 01-03-2020 0137U0120320P000178 0001637213837 AFNAN ABYANSYAH PUTRA L


RIYONO

102 01-03-2020 0137U0120320P000379 0001637852815 LUKMAN DILLI ASTOTO L

103 01-03-2020 0137U0120320P000377 0001637852826 ATIN SUPRIATIN P

104 01-03-2020 0137U0120320P000033 0001638230297 MAYDIAH P

105 01-03-2020 0137U0120320P000034 0001638230319 SATRIA ERLANGGA L

106 01-03-2020 0137U0120320P000230 0001638230409 EDWY WINARDI L

Kantor Cabang : BEKASI - 1011

FKTP : Klinik TIARA BUNDA - 0137U012

107 01-03-2020 0137U0120320P000021 0001638232108 MUHAMAD RAYHAN AL GHAZALI L

108 01-03-2020 0137U0120320P000156 0001638310004 AYU SEPTIANI VIDYLIA P

109 01-03-2020 0137U0120320P000126 0001639105672 WARSIDI L

110 01-03-2020 0137U0120320P000198 0001639694687 IBNU RIFQY RAMADHAN L

111 01-03-2020 0137U0120320P000030 0001640292838 SADHIRA RURY RAMADHAN P

112 01-03-2020 0137U0120320P000022 0001641512823 RIZEKI FERDIANTO L

113 01-03-2020 0137U0120320P000118 0001642234961 NURMALASARI P


114 01-03-2020 0137U0120320P000052 0001642630307 ANISA AMALIA PUTRI P

115 01-03-2020 0137U0120320P000210 0001642943103 ROHAYATUN YATNI P

116 01-03-2020 0137U0120320P000142 0001643545631 KONAAH P

117 01-03-2020 0137U0120320P000032 0001644823181 RITA SUSANTI P

118 01-03-2020 0137U0120320P000160 0001645212881 FATHIR ALVARO FAIZIN L

119 01-03-2020 0137U0120320P000213 0001645452246 SADIKIN L

120 01-03-2020 0137U0120320P000196 0001645748043 MOMON HARIYANTO L

121 01-03-2020 0137U0120320P000129 0001646160895 AIS SUCI RAMADHANI P

122 01-03-2020 0137U0120320P000234 0001646736827 DARA ADILA SATAMI P

123 01-03-2020 0137U0120320P000175 0001646739011 DAIMAH P

124 01-03-2020 0137U0120320P000174 0001646739033 FADILAH ANISA FITRI P

Kantor Cabang : BEKASI - 1011

FKTP : Klinik TIARA BUNDA - 0137U012

125 01-03-2020 0137U0120320P000082 0001649884634 LIA HERAWATI P

126 01-03-2020 0137U0120320P000114 0001650447191 SUPARTI NINGSIH P

127 01-03-2020 0137U0120320P000903 0001652474193 Ishmah Inayati P

128 01-03-2020 0137U0120320P000015 0001653662755 KHAIRUL ANWAR L

129 01-03-2020 0137U0120320P001075 0001655358423 EKO SUSYANTO L

130 01-03-2020 0137U0120320P000063 0001655358423 EKO SUSYANTO L

131 01-03-2020 0137U0120320P000158 0001655699589 ALFIYAH P

132 01-03-2020 0137U0120320P000049 0001655717376 NAWAWI L

133 01-03-2020 0137U0120320P000232 0001661760843 NUR AHMAD MUHLISIN L

134 01-03-2020 0137U0120320P000164 0001666768083 ABDUL MALIK L

135 01-03-2020 0137U0120320P000064 0001720677734 LINDA AYU PRATIWI P

136 01-03-2020 0137U0120320P000031 0001724756657 JONATHAN ALEXANDER L


WALUKOW
137 01-03-2020 0137U0120320P000223 0001727494108 MARIA NATALIA FURUKAN P
138 01-03-2020 0137U0120320P000094 0001728221128 NUR ATIKA KILBAREN P

139 01-03-2020 0137U0120320P000109 0001730874216 YULIA P

140 01-03-2020 0137U0120320P000007 0001732491944 CAMELLIA EVAYANTI P

141 01-03-2020 0137U0120320P000008 0001732491955 MIKAEL VINCENTIUS SATRIA L


PRAYOGA
142 01-03-2020 0137U0120320P000006 0001732491966 GABRIELA EULALIA ALISHA P
DARMASTUTI

143 01-03-2020 0137U0120320P000065 0001733029593 FITRIA YULIANA P

Kantor Cabang : BEKASI - 1011

FKTP : Klinik TIARA BUNDA - 0137U012

144 01-03-2020 0137U0120320P000206 0001733995214 TUMI P

145 01-03-2020 0137U0120320P000148 0001736811325 ALVIN YASA L

146 01-03-2020 0137U0120320P000167 0001737824512 NURSALIM L

147 01-03-2020 0137U0120320P000147 0001740974005 WIDYA LEONITA P

148 01-03-2020 0137U0120320P000098 0001741242677 BAYU MAULANA DEWAJI L

149 01-03-2020 0137U0120320P000080 0001744438779 VINO ADHITYA L

150 01-03-2020 0137U0120320P000139 0001744602096 RIKI SEPTIAN L

151 01-03-2020 0137U0120320P000108 0001766807897 MISNA P

152 01-03-2020 0137U0120320P000150 0001767309748 KEVIN ARYA FADILLAH L

153 01-03-2020 0137U0120320P000060 0001771686382 HERBERT P SILALAHI L

154 01-03-2020 0137U0120320P000179 0001788156505 aulia safitri P

155 01-03-2020 0137U0120320P000040 0001789626328 abhinaya zhafran el raffif L

156 01-03-2020 0137U0120320P000376 0001791922228 PRISCYLIA PUTRI AGNESTASIA P


ANGKOUW
157 01-03-2020 0137U0120320P000071 0001798326505 DWI HARTATI P

158 01-03-2020 0137U0120320P000104 0001804625368 GUNAWAN CAHYADI L

159 01-03-2020 0137U0120320P000085 0001805324477 SRI WAHYUNI P

160 01-03-2020 0137U0120320P000083 0001805324545 NADIRA KHAIRUNISA P


161 01-03-2020 0137U0120320P000162 0001809171988 SONIA VANCISKA SELVIA P

Kantor Cabang : BEKASI - 1011

FKTP : Klinik TIARA BUNDA - 0137U012

162 01-03-2020 0137U0120320P000069 0001810934278 IMAM PRAMONO L

163 01-03-2020 0137U0120320P000153 0001823705638 FERNANDO EFENDI L

164 01-03-2020 0137U0120320P000003 0001827693123 VERAWATI P

165 01-03-2020 0137U0120320P000119 0001839122493 waode amnaeni P

166 01-03-2020 0137U0120320P000170 0001843326101 EKO PUJI LESTARI L

167 01-03-2020 0137U0120320P000011 0001845362799 BENZEMA LA AHZAN L

168 01-03-2020 0137U0120320P000233 0001849833821 windra L

169 01-03-2020 0137U0120320P000091 0001851726543 SULASTRI P

170 01-03-2020 0137U0120320P000016 0001852075078 ALMAS SHABRINA PUTRI P

171 01-03-2020 0137U0120320P000068 0001852106141 SABILI AL-MALIK L

172 01-03-2020 0137U0120320P000113 0001854880547 NURDIANA P

173 01-03-2020 0137U0120320P000072 0001856172486 ROMA P

174 01-03-2020 0137U0120320P000374 0001861706935 DIDIER MOSSES SAHALATuA L


SIAGIAN
175 01-03-2020 0137U0120320P000005 0001862007298 KHOIRUNNISA AMALIA PUTRI P

176 01-03-2020 0137U0120320P000012 0001864405282 ADARA PUTRI AHMAD P

177 01-03-2020 0137U0120320P000197 0001868547879 AKMAL NASYWAAN L

178 01-03-2020 0137U0120320P000902 0001868737757 AMBAR WIYATI P

179 01-03-2020 0137U0120320P000024 0001870448139 HAYATUNISA P

180 01-03-2020 0137U0120320P000107 0001871349254 PAULUS TIMBUL WAHYUDI L

Kantor Cabang : BEKASI - 1011

FKTP : Klinik TIARA BUNDA - 0137U012

181 01-03-2020 0137U0120320P000099 0001872054134 MUHAMAD MUKTI MAULANA L

182 01-03-2020 0137U0120320P000235 0001879210258 YULIANAH P


183 01-03-2020 0137U0120320P000029 0001887492159 SAHILLA CINDAI CANTIKA L

184 01-03-2020 0137U0120320P000161 0001898711379 arfan hasief L

185 01-03-2020 0137U0120320P000149 0001900853998 RUTH MICHELLE APRIANI PURBA L

186 01-03-2020 0137U0120320P000132 0001901484393 WASTIA P

187 01-03-2020 0137U0120320P000120 0001907567111 LAODE AFRIAN ARGANIANSYAH L

188 01-03-2020 0137U0120320P000205 0001966710453 SRI WULANDARI P

189 01-03-2020 0137U0120320P000226 0002035316698 NINGSIH P

190 01-03-2020 0137U0120320P000188 0002045217161 ENDANG WERDININGSIH. P P

191 01-03-2020 0137U0120320P000057 0002045487971 FABIAN RURY ISNAIN L

192 01-03-2020 0137U0120320P000112 0002047685365 FELICIA NATHANIA LUMBAN P


GAOL

193 01-03-2020 0137U0120320P000054 0002052546759 BURHAM L

194 01-03-2020 0137U0120320P000053 0002052547064 SUHARNI P

195 01-03-2020 0137U0120320P000066 0002065670291 IMROH ATUN JAMILAH P

196 01-03-2020 0137U0120320P000079 0002077024105 ZYHAN FAIRUS P

Kantor Cabang : BEKASI - 1011

FKTP : Klinik TIARA BUNDA - 0137U012

197 01-03-2020 0137U0120320P000900 0002079467537 SITI SYARI'AH P

198 01-03-2020 0137U0120320P000133 0002083774678 RAFIQA RAZINIA HADIAT P

199 01-03-2020 0137U0120320P000076 0002091307408 MUHAMMAD GIBRAN ATTILLAH L

200 01-03-2020 0137U0120320P000225 0002098983699 RATNI NURHAYATI P

201 01-03-2020 0137U0120320P000043 0002198624545 GALANG RAMADHAN L

202 01-03-2020 0137U0120320P000901 0002203308821 ABICIK NOVASARI P

203 01-03-2020 0137U0120320P000166 0002214135729 MUHAMMAD ZYANDRU NAJMI L


TSAQIB
204 01-03-2020 0137U0120320P000172 0002215100823 AHMAD SYARIF L
205 01-03-2020 0137U0120320P000183 0002223020024 GENDIS ALMAHYRA P
HADZKADINA

206 01-03-2020 0137U0120320P000092 0002231375049 Aksa Putra Pratama L

207 01-03-2020 0137U0120320P000105 0002243478497 KHAYLA AZALEA PUTRI P

208 01-03-2020 0137U0120320P000211 0002244538844 MUHAMMAD AL GHAZI L

209 01-03-2020 0137U0120320P000219 0002247919097 SITI HUSNIYAH P

210 01-03-2020 0137U0120320P000145 0002256418192 RICHARD KENZIO PASARIBU L

211 01-03-2020 0137U0120320P000009 0002266843037 A.BUNYAMIN L

212 01-03-2020 0137U0120320P000097 0002271062384 MUHAMMAD RASYID L

213 01-03-2020 0137U0120320P000010 0002274374654 BAYI NY AULIA NURHAFIDLO L

214 01-03-2020 0137U0120320P000096 0002280844034 ALFIAN MARCELLO ABINAYA L

Kantor Cabang : BEKASI - 1011

FKTP : Klinik TIARA BUNDA - 0137U012

215 01-03-2020 0137U0120320P000061 0002286921532 ARVINO FAEZATURRAHMAN L

216 01-03-2020 0137U0120320P000184 0002287208992 REZKI PUTRI AULIYANI KHANZA P

217 01-03-2020 0137U0120320P000191 0002289580986 MURNI YANTI LIMBONG P

218 01-03-2020 0137U0120320P000189 0002289581188 VERONIKA HASIBUAN P

219 01-03-2020 0137U0120320P000121 0002295546974 BACHTIAR PANDU RAHMADJI L

220 01-03-2020 0137U0120320P000050 0002297197438 AQILA MISHA ZELMIRA P

221 01-03-2020 0137U0120320P000004 0002297429133 hazelia zahra aurafarhania P

222 01-03-2020 0137U0120320P000204 0002313368324 Sri Rahayu P

223 01-03-2020 0137U0120320P000100 0002326532084 MARIA RIANI. S P

224 01-03-2020 0137U0120320P000089 0002327303777 bayi ny ELIN P

225 01-03-2020 0137U0120320P000135 0002358492412 FARIZ NAOFAL WIDODO L


226 01-03-2020 0137U0120320P000215 0002423275479 DARY ABIYYU BUDHITRA L

227 01-03-2020 0137U0120320P000228 0002428151319 NABIL AL AKMAL L

228 01-03-2020 0137U0120320P000130 0002442414148 MUHAMMAD WAFI AKBAR L

229 01-03-2020 0137U0120320P000209 0002460257717 FIRDAUS L

230 01-03-2020 0137U0120320P000115 0002460921535 MIKHAYLA AZZAHRA PUTRI P


VIRGITA

Kantor Cabang : BEKASI - 1011

FKTP : Klinik TIARA BUNDA - 0137U012

231 01-03-2020 0137U0120320P000038 0002462606796 R.SUKARDI L

232 01-03-2020 0137U0120320P000123 0002463399033 ANNISA AVINNI ACHMAD P

233 01-03-2020 0137U0120320P000157 0002463460233 QIANNO PUTRA ALGIBRAN L

234 01-03-2020 0137U0120320P000217 0002489695569 SUANI RAHAYU BADARUDDIN P

235 01-03-2020 0137U0120320P000202 0002499810118 AGUS JOKO PURWANTO L

236 01-03-2020 0137U0120320P000200 0002499810355 SUPRIYATI P

237 01-03-2020 0137U0120320P000199 0002499810524 MUHAMMAD MISHARY RASHID L


AL AFASY

238 01-03-2020 0137U0120320P000231 0002509399765 RAIHAN MUHAMMAD L


ALTHAFATHAN

239 01-03-2020 0137U0120320P000227 0002510377626 MUHAMMAD ABYAN UKASYAH L

240 01-03-2020 0137U0120320P000152 0002510458143 MUHAMMAD KHOIRIL AZAM L

241 01-03-2020 0137U0120320P000203 0002512183959 APRILLIA ANDIYANI P

242 01-03-2020 0137U0120320P000220 0002615217906 MUHAMMAD HAFIDZ RAMADHAN L

243 01-03-2020 0137U0120320P000165 0002622574348 ENGKUN P

244 01-03-2020 0137U0120320P000095 0002744483365 SAFARAS ATHALLAH SAPUTRA L

Kantor Cabang : BEKASI - 1011


FKTP : Klinik TIARA BUNDA - 0137U012

245 01-03-2020 0137U0120320P000081 0002753487292 BAYI NYONYA LINDA DANIYATI L

246 01-03-2020 0137U0120320P000073 0002881885318 MUHAMMAD RAFIF ASHARI L

247 01-03-2020 0137U0120320P000101 0002885850123 MUHAMMAD HUSEIN AZZUARI L

248 01-03-2020 0137U0120320P000087 0002896800636 RIZKI RAMADHAN L

249 01-03-2020 0137U0120320P000106 0002900615624 KIANO NALENDRA ZAVIER L

250 01-03-2020 0137U0120320P000216 0002904723033 BAYI NYONYA SISKA CAHAYA P


PURNAMA
251 01-03-2020 0137U0120320P000134 0002922110583 BAYI NYONYA SEPTIA P
MUHARYANI
JENIS PESERTA DIAGNOSA STATUS PRB PROLANIS
PULANG
PENERIMA PENSIUN PNS Other and unspecified Berobat Jalan
superficial injuries of
breast
PENERIMA PENSIUN PNS Acute upper respiratory Berobat Jalan
infections of multiple
and unspecified sites
PNS PUSAT Thyrotoxicosis, Rujuk Vertikal
unspecified
PNS PUSAT Acute upper respiratory Berobat Jalan
infections of multiple
and unspecified sites
PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple
and unspecified sites
PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple
and unspecified sites
PEGAWAI SWASTA Antenatal screening Berobat Jalan

PBI (APBN) Acute upper respiratory Berobat Jalan


infections of multiple
and unspecified sites
PEGAWAI SWASTA Acute upper respiratory Berobat Jalan
infections of multiple
and unspecified sites
ANGGOTA POLRI Acute pharyngitis Berobat Jalan

ANGGOTA POLRI Other arthrosis Berobat Jalan

PEGAWAI SWASTA Acute upper respiratory Berobat Jalan


infections of multiple
and unspecified sites
PEGAWAI SWASTA Acute upper respiratory Berobat Jalan
infections of multiple
and unspecified sites
PEGAWAI SWASTA Acute upper respiratory Berobat Jalan
infections of multiple
and unspecified sites
PEGAWAI SWASTA Other arthrosis Berobat Jalan

PEGAWAI SWASTA Acute upper respiratory Berobat Jalan


infections of multiple
and unspecified sites
PEGAWAI SWASTA Dyspepsia Berobat Jalan

PEGAWAI SWASTA Antenatal screening Berobat Jalan

PEGAWAI SWASTA Myalgia Berobat Jalan

PEGAWAI SWASTA Contraceptive Berobat Jalan


management
PEKERJA MANDIRI Epilepsy Berobat Jalan

PEGAWAI SWASTA Antenatal screening Berobat Jalan

PEGAWAI SWASTA Acute upper respiratory Berobat Jalan


infections of multiple
and unspecified sites
PEGAWAI SWASTA Wound myiasis Berobat Jalan

PEGAWAI SWASTA Acute upper respiratory Berobat Jalan


infections of multiple
and unspecified sites
PEGAWAI BUMD Acute pharyngitis Berobat Jalan

PEGAWAI SWASTA Acute upper respiratory Berobat Jalan


infections of multiple
and unspecified sites
PEGAWAI SWASTA Acute pharyngitis Berobat Jalan

PEGAWAI SWASTA Acute upper respiratory Berobat Jalan


infections of multiple
and unspecified sites
PEGAWAI SWASTA Acute upper respiratory Berobat Jalan
infections of multiple
and unspecified sites
PEGAWAI SWASTA Antenatal screening Berobat Jalan

PEKERJA MANDIRI Acute upper respiratory Berobat Jalan


infections of multiple
and unspecified sites
PEKERJA MANDIRI Acute upper respiratory Berobat Jalan
infections of multiple
and unspecified sites
PEGAWAI SWASTA Wound myiasis Berobat Jalan

PEGAWAI SWASTA Acute upper respiratory Berobat Jalan


infections of multiple
and unspecified sites
PEKERJA MANDIRI Acute upper respiratory Berobat Jalan
infections of multiple
and unspecified sites
PEKERJA MANDIRI Acute upper respiratory Berobat Jalan Diabetes
infections of multiple Mellitus
and unspecified sites
PEKERJA MANDIRI Acute upper respiratory Berobat Jalan
infections of multiple
and unspecified sites
PEKERJA MANDIRI Dyspepsia Berobat Jalan

PEKERJA MANDIRI Non-insulin-dependent Rujuk Vertikal


diabetes mellitus with
unspecified
PNS PUSAT complications
Acute upper respiratory Berobat Jalan
infections of multiple
and unspecified sites
PEGAWAI SWASTA Acute pharyngitis Berobat Jalan

PEGAWAI SWASTA Acute pharyngitis Berobat Jalan


PEGAWAI SWASTA Acute upper respiratory Berobat Jalan
infections of multiple
and unspecified sites
PEKERJA MANDIRI Erosive (osteo)arthrosis Berobat Jalan

PEKERJA MANDIRI Acute upper respiratory Berobat Jalan


infections of multiple
and unspecified sites
PEKERJA MANDIRI Acute pharyngitis Berobat Jalan

PEKERJA MANDIRI Nummular dermatitis Berobat Jalan

PEGAWAI SWASTA Dermatitis, unspecified Berobat Jalan

PEKERJA MANDIRI Congestive heart failure Berobat Jalan

PEGAWAI SWASTA Acute upper respiratory Berobat Jalan


infections of multiple
and unspecified sites
PEGAWAI SWASTA Acute upper respiratory Berobat Jalan
infections of multiple
and unspecified sites

PEGAWAI SWASTA Acute upper respiratory Berobat Jalan


infections of multiple
and unspecified sites
PEGAWAI SWASTA Acute upper respiratory Berobat Jalan
infections of multiple
and unspecified sites
PEGAWAI SWASTA Acute upper respiratory Berobat Jalan
infections of multiple
and unspecified sites
PEGAWAI SWASTA Acute upper respiratory Berobat Jalan
infections of multiple
and unspecified sites
PEKERJA MANDIRI Acute upper respiratory Berobat Jalan
infections of multiple
and unspecified sites
PEKERJA MANDIRI Dyspepsia Berobat Jalan

PEKERJA MANDIRI Essential (primary) Berobat Jalan


hypertension
PEKERJA MANDIRI Acute upper respiratory Berobat Jalan
infections of multiple
and unspecified sites
PEKERJA MANDIRI Acute upper respiratory Berobat Jalan
infections of multiple
and unspecified sites
PEKERJA MANDIRI Acute upper respiratory Berobat Jalan
infections of multiple
and unspecified sites
PEGAWAI SWASTA Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious
origin
PEGAWAI SWASTA Acute pharyngitis Berobat Jalan

PEKERJA MANDIRI Delivery by elective Rujuk Vertikal


caesarean section
PEGAWAI SWASTA Acute upper respiratory Berobat Jalan
infections of multiple
and unspecified sites
PEGAWAI SWASTA Acute pharyngitis Berobat Jalan

PEKERJA MANDIRI Congestive heart failure Berobat Jalan

PEKERJA MANDIRI Congestive heart failure Berobat Jalan Diabetes


Mellitus
PEGAWAI SWASTA Acute upper respiratory Berobat Jalan
infections of multiple
and unspecified sites
PEKERJA MANDIRI Acute upper respiratory Berobat Jalan
infections of multiple
and unspecified sites
PEGAWAI SWASTA Tinea cruris Berobat Jalan

PEGAWAI SWASTA Congestive heart failure Rujuk Vertikal

PEGAWAI SWASTA Myopia Berobat Jalan

PEGAWAI SWASTA Myopia Berobat Jalan

PEKERJA MANDIRI Paratyphoid fever, Berobat Jalan


unspecified
PEGAWAI SWASTA Antenatal screening Berobat Jalan

PEGAWAI SWASTA Chronic serous otitis Rujuk Vertikal


media
PEGAWAI SWASTA Acute pharyngitis Berobat Jalan

PEGAWAI SWASTA Acute pharyngitis Berobat Jalan

PEGAWAI SWASTA Paratyphoid fever, Berobat Jalan


unspecified
PEGAWAI SWASTA Acute upper respiratory Berobat Jalan
infections of multiple
and unspecified sites
PEGAWAI SWASTA Acute upper respiratory Berobat Jalan
infections of multiple
and unspecified sites
PEGAWAI SWASTA Acute upper respiratory Berobat Jalan
infections of multiple
and unspecified sites
PEGAWAI SWASTA Acute upper respiratory Berobat Jalan
infections of multiple
and unspecified sites
PEGAWAI SWASTA Nummular dermatitis Berobat Jalan

PEGAWAI SWASTA Acute upper respiratory Berobat Jalan


infections of multiple
and unspecified sites

PEGAWAI SWASTA Dyspepsia Berobat Jalan


PEGAWAI SWASTA Acute upper respiratory Berobat Jalan
infection, unspecified
PEGAWAI SWASTA Antenatal screening Berobat Jalan

PEGAWAI SWASTA Acute upper respiratory Berobat Jalan


infections of multiple
and unspecified sites
PEGAWAI SWASTA Acute upper respiratory Berobat Jalan
infections of multiple
and unspecified sites
PEGAWAI SWASTA Acute upper respiratory Berobat Jalan
infections of multiple
and unspecified sites
PEGAWAI SWASTA Antenatal screening Berobat Jalan

PEGAWAI SWASTA Acute pharyngitis Berobat Jalan

PEGAWAI SWASTA Acute upper respiratory Berobat Jalan


infection, unspecified
PEGAWAI SWASTA Acute upper respiratory Berobat Jalan
infection, unspecified
PEGAWAI SWASTA Acute pharyngitis Berobat Jalan

PEGAWAI SWASTA Congestive heart failure Rujuk Vertikal

PEGAWAI SWASTA Acute upper respiratory Berobat Jalan


infections of multiple
and unspecified sites
PEGAWAI SWASTA Acute upper respiratory Berobat Jalan
infections of multiple
and unspecified sites
PEGAWAI SWASTA Myopia Berobat Jalan

PEGAWAI SWASTA Astigmatism Berobat Jalan

PEGAWAI SWASTA Acute pharyngitis Berobat Jalan

PEGAWAI SWASTA Acute pharyngitis Berobat Jalan

PEGAWAI SWASTA Acute upper respiratory Berobat Jalan


infections of multiple
and unspecified sites

PEGAWAI SWASTA Acute upper respiratory Berobat Jalan


infections of multiple
and unspecified sites
PNS PUSAT Delivery by elective Rujuk Vertikal
caesarean section
PEGAWAI SWASTA Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious
origin
PEGAWAI SWASTA Bronchiectasis Rujuk Vertikal

PEGAWAI SWASTA Acute pharyngitis Berobat Jalan

PEGAWAI SWASTA Other gastritis Berobat Jalan

PEGAWAI SWASTA Acute upper respiratory Berobat Jalan


infections of multiple
and unspecified sites
PEGAWAI SWASTA Acute upper respiratory Berobat Jalan
infections of multiple
and unspecified sites
PEKERJA MANDIRI Acute upper respiratory Berobat Jalan
infections of multiple
and unspecified sites
PEGAWAI SWASTA Acute upper respiratory Berobat Jalan
infections of multiple
and unspecified sites
PEGAWAI SWASTA Other gastritis Berobat Jalan

PEGAWAI SWASTA Acute upper respiratory Berobat Jalan


infection, unspecified
PEGAWAI SWASTA Acute upper respiratory Berobat Jalan
infections of multiple
and unspecified sites
PEGAWAI SWASTA Acute upper respiratory Berobat Jalan
infections of multiple
and unspecified sites
PEGAWAI SWASTA Acute pharyngitis Berobat Jalan

PEGAWAI SWASTA Acute tonsillitis Berobat Jalan

PEGAWAI SWASTA Acute upper respiratory Berobat Jalan


infections of multiple
and unspecified sites
PEGAWAI SWASTA Dermatitis, unspecified Berobat Jalan

PEGAWAI SWASTA Acute upper respiratory Berobat Jalan


infections of multiple
and unspecified sites
PEGAWAI SWASTA Congestive heart failure Berobat Jalan

PEGAWAI SWASTA Antenatal screening Berobat Jalan

PEGAWAI SWASTA Tinea cruris Berobat Jalan

PEGAWAI SWASTA Non-insulin-dependent Berobat Jalan Diabetes


diabetes mellitus Mellitus
without complications
PEGAWAI SWASTA Dermatitis, unspecified Berobat Jalan Diabetes
Mellitus
PEGAWAI SWASTA Acute upper respiratory Berobat Jalan
infections of multiple
and unspecified sites
PEGAWAI SWASTA Acute upper respiratory Berobat Jalan
infections of multiple
and unspecified sites
PEKERJA MANDIRI Acute upper respiratory Berobat Jalan
infections of multiple
and unspecified sites
PEGAWAI SWASTA Dyspepsia Berobat Jalan

PEGAWAI SWASTA Dermatitis, unspecified Berobat Jalan

PEKERJA MANDIRI Acute pharyngitis Berobat Jalan

PEGAWAI SWASTA Antenatal screening Berobat Jalan


PEKERJA MANDIRI Dyspepsia Berobat Jalan

PBI (APBN) Acute upper respiratory Berobat Jalan


infections of multiple
and unspecified sites
PEKERJA MANDIRI Acute upper respiratory Berobat Jalan
infections of multiple
and unspecified sites
PEKERJA MANDIRI Gastritis and duodenitis Berobat Jalan

PEKERJA MANDIRI Acute upper respiratory Berobat Jalan


infections of multiple
and unspecified sites
PEKERJA MANDIRI Schizophrenia Rujuk Vertikal

PEKERJA MANDIRI Acute upper respiratory Berobat Jalan Hipertensi


infections of multiple
and unspecified sites
PEKERJA MANDIRI Acute upper respiratory Berobat Jalan
infection, unspecified
PEGAWAI SWASTA Secondary hypertension Berobat Jalan

PEGAWAI SWASTA Acute upper respiratory Berobat Jalan


infections of multiple
and unspecified sites
PEGAWAI SWASTA Dyspepsia Berobat Jalan

PEGAWAI SWASTA Acute upper respiratory Berobat Jalan


infections of multiple
and unspecified sites
PEGAWAI SWASTA Low back pain Berobat Jalan

PBI (APBN) Diarrhoea and Berobat Jalan


gastroenteritis of
presumed infectious
origin
PEGAWAI SWASTA Acute upper respiratory Berobat Jalan
infections of multiple
and unspecified sites
PEGAWAI SWASTA Acute pharyngitis Berobat Jalan

PEKERJA MANDIRI Dyspepsia Berobat Jalan

PRAJURIT AL Acute pharyngitis Berobat Jalan

PEGAWAI SWASTA Myopia Berobat Jalan

PEGAWAI SWASTA Acute sinusitis Rujuk Vertikal

PEGAWAI SWASTA Chronic obstructive Rujuk Vertikal


pulmonary disease,
unspecified
PEGAWAI SWASTA Acute upper respiratory Berobat Jalan
infections of multiple
and unspecified sites
PEGAWAI SWASTA Acute upper respiratory Berobat Jalan
infections of multiple
and unspecified sites
PEKERJA MANDIRI Acute upper respiratory Berobat Jalan
infection, unspecified

PEGAWAI SWASTA Acute pharyngitis Berobat Jalan

PEKERJA MANDIRI Acute upper respiratory Berobat Jalan


infections of multiple
and unspecified sites
PNS DAERAH Acute upper respiratory Berobat Jalan
infections of multiple
and unspecified sites
PEKERJA MANDIRI Acute upper respiratory Berobat Jalan
infections of multiple
and unspecified sites
PEKERJA MANDIRI Acute pharyngitis Berobat Jalan

PEGAWAI SWASTA Acute upper respiratory Berobat Jalan


infections of multiple
and unspecified sites
PNS DAERAH Congestive heart failure Rujuk Vertikal

PEGAWAI SWASTA Acute pharyngitis Berobat Jalan

PEGAWAI SWASTA Other gastritis Berobat Jalan

PEGAWAI SWASTA Acute upper respiratory Berobat Jalan


infection, unspecified
PEGAWAI SWASTA Acute upper respiratory Berobat Jalan
infections of multiple
and unspecified sites
PEKERJA MANDIRI Pre-eclampsia, Rujuk Vertikal
unspecified
PEGAWAI SWASTA Myopia Berobat Jalan

PEGAWAI SWASTA Acute upper respiratory Berobat Jalan


infections of multiple
and unspecified sites
PEGAWAI SWASTA Other gastritis Berobat Jalan

PEGAWAI SWASTA Acute upper respiratory Berobat Jalan


infections of multiple
and unspecified sites
PEGAWAI SWASTA Antenatal screening Berobat Jalan

PEGAWAI SWASTA Wound myiasis Berobat Jalan

PEGAWAI SWASTA Acute upper respiratory Berobat Jalan


infections of multiple
and unspecified sites

PEGAWAI SWASTA Acute upper respiratory Berobat Jalan


infection, unspecified
PEGAWAI SWASTA Wound myiasis Berobat Jalan
PEKERJA MANDIRI Acute upper respiratory Berobat Jalan
infections of multiple
and unspecified sites
PEGAWAI SWASTA Acute upper respiratory Berobat Jalan
infections of multiple
and unspecified sites
PEGAWAI SWASTA Acute upper respiratory Berobat Jalan
infections of multiple
and unspecified sites
PEKERJA MANDIRI Acute upper respiratory Berobat Jalan
infections of multiple
and unspecified sites
PEKERJA MANDIRI Acute upper respiratory Berobat Jalan
infections of multiple
and unspecified sites
PEKERJA MANDIRI Wound myiasis Berobat Jalan

PEGAWAI SWASTA Other symptoms and Berobat Jalan


signs involving the
digestive system and
abdomen
PEGAWAI SWASTA Delivery by elective Rujuk Vertikal
caesarean section
PEGAWAI SWASTA Acute pharyngitis Berobat Jalan

PEGAWAI SWASTA Acute upper respiratory Berobat Jalan


infections of multiple
and unspecified sites
PEGAWAI SWASTA Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious
origin
PEGAWAI SWASTA Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious
origin
PEGAWAI SWASTA Dyspepsia Berobat Jalan

PEGAWAI SWASTA Acute upper respiratory Berobat Jalan


infections of multiple
and unspecified sites

PEGAWAI SWASTA Antenatal screening Berobat Jalan

PEGAWAI SWASTA Acute pharyngitis Berobat Jalan

PEGAWAI SWASTA Dermatitis, unspecified Berobat Jalan

PEGAWAI SWASTA Antenatal screening Berobat Jalan

PEGAWAI SWASTA Acute upper respiratory Berobat Jalan


infections of multiple
and unspecified sites
PEKERJA MANDIRI Antenatal screening Berobat Jalan

PEGAWAI SWASTA Epilepsy Rujuk Vertikal

PEKERJA MANDIRI Acute upper respiratory Berobat Jalan


infections of multiple
and unspecified sites
PNS PUSAT Acute upper respiratory Berobat Jalan
infections of multiple
and unspecified sites
PEGAWAI SWASTA Acute upper respiratory Berobat Jalan
infection, unspecified
PEGAWAI SWASTA Acute upper respiratory Berobat Jalan
infections of multiple
and unspecified sites
PEKERJA MANDIRI Acute upper respiratory Berobat Jalan
infections of multiple
and unspecified sites
PEGAWAI SWASTA Primary inadequate Rujuk Vertikal
contractions
PEGAWAI SWASTA Acute upper respiratory Berobat Jalan
infections of multiple
and unspecified sites
PEKERJA MANDIRI Acute upper respiratory Berobat Jalan Hipertensi
infections of multiple
and unspecified sites
PEGAWAI SWASTA Acute upper respiratory Berobat Jalan
infection, unspecified
PEKERJA MANDIRI Acute upper respiratory Berobat Jalan
infections of multiple
and unspecified sites
PEGAWAI SWASTA Dyspepsia Berobat Jalan

PEGAWAI SWASTA Acute pharyngitis Berobat Jalan

PNS PUSAT Acute upper respiratory Berobat Jalan


DIPERBANTUKAN infections of multiple
and unspecified sites
PEGAWAI SWASTA Plantar fascial Rujuk Vertikal
fibromatosis, hand
PEGAWAI SWASTA Acute upper respiratory Berobat Jalan
infections of multiple
and unspecified sites
PEGAWAI SWASTA Acute upper respiratory Berobat Jalan
infections of multiple
and unspecified sites
PEGAWAI SWASTA Acute pharyngitis Berobat Jalan

PNS DAERAH Acute upper respiratory Berobat Jalan


infections of multiple
and unspecified sites
PEGAWAI SWASTA Acute upper respiratory Berobat Jalan
infections of multiple
and unspecified sites
PEGAWAI PEMERINTAH Acute upper respiratory Berobat Jalan
DENGAN PERJANJIAN infection, unspecified
KERJA
PEGAWAI SWASTA Dyspepsia Berobat Jalan

PEGAWAI SWASTA Acute upper respiratory Berobat Jalan


infections of multiple
and unspecified sites
PEGAWAI SWASTA Acute upper respiratory Berobat Jalan
infections of multiple
and unspecified sites
PBI (APBD) Acute pharyngitis, Berobat Jalan
unspecified
PEGAWAI SWASTA Acute upper respiratory Berobat Jalan
infections of multiple
and unspecified sites
PEGAWAI SWASTA Wound myiasis Berobat Jalan

PEGAWAI SWASTA Acute upper respiratory Berobat Jalan


infections of multiple
and unspecified sites

PEKERJA MANDIRI Diarrhoea and Berobat Jalan


gastroenteritis of
presumed infectious
origin
PEKERJA MANDIRI Acute upper respiratory Berobat Jalan
infections of multiple
and unspecified sites
PEGAWAI SWASTA Acute upper respiratory Berobat Jalan
infections of multiple
and unspecified sites
PEKERJA MANDIRI Personal history of Berobat Jalan
chemotheraphy for
neoplastic disease
PEGAWAI SWASTA Acute upper respiratory Berobat Jalan
infections of multiple
and unspecified sites
PEGAWAI SWASTA Acute upper respiratory Berobat Jalan
infections of multiple
and unspecified sites
PEGAWAI SWASTA Acute upper respiratory Berobat Jalan
infections of multiple
and unspecified sites
PEGAWAI SWASTA Acute upper respiratory Berobat Jalan
infections of multiple
and unspecified sites
PEGAWAI SWASTA Acute upper respiratory Berobat Jalan
infection, unspecified
PEGAWAI SWASTA Acute upper respiratory Berobat Jalan
infections of multiple
and unspecified sites
PEGAWAI SWASTA Acute upper respiratory Berobat Jalan
infections of multiple
and unspecified sites
PEGAWAI SWASTA Nausea and vomiting Berobat Jalan

PEKERJA MANDIRI Acute upper respiratory Berobat Jalan


infections of multiple
and unspecified sites
PEGAWAI SWASTA Acute upper respiratory Berobat Jalan
infections of multiple
and unspecified sites
PEGAWAI SWASTA Acute upper respiratory Berobat Jalan
infections of multiple
and unspecified sites
PEGAWAI SWASTA Acute upper respiratory Berobat Jalan
infections of multiple
and unspecified sites
PEGAWAI SWASTA Acute upper respiratory Berobat Jalan
infections of multiple
and unspecified sites
PEGAWAI SWASTA Acute upper respiratory Berobat Jalan
infections of multiple
and unspecified sites
PEGAWAI SWASTA Acute upper respiratory Berobat Jalan
infections of multiple
and unspecified sites
PEGAWAI SWASTA Hirschsprung's disease Rujuk Vertikal

PEGAWAI SWASTA Acute lymphadenitis, Berobat Jalan


unspecified

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